Andrea M Tilstra
Biographic Data
| ID | 125771 |
|---|---|
| NAME | Andrea M Tilstra |
| GIVEN NAMES | Andrea M |
| FAMILY NAME | Tilstra |
| SIGNATURE | TILSTRA A M |
| AFFILIATIONS | University of Colorado Boulder |
| ORCID | 0000-0001-7622-9088 |
| VERIFIED | Yes |
| TOTAL WORKS | 12 |
| TOTAL CITATIONS | 25 |
| AUTHOR COUNT | 12 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2017 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Why is life expectancy in England & Wales falling behind? A cause-of-death decomposition approach
Life expectancy in England & Wales has diverged from that of its high-income peers since 2011, raising concerns that the country may become an international laggard like the United States (US). Using the contour method, we decompose gaps in life expectancy between England & Wales and 20 individual high-income countries for males and females in 2019 into: (a) pre-existing differences in age- and cause-specific death rates in 2011; and (b) divergin…
Progress Stalled? The Uncertain Future of Mortality in High-Income Countries
Steady and significant improvements in life expectancy have been a bright spot for human progress for the last century or more. Recently, this success has shown signs of faltering in some high-income countries, where mortality improvements have slowed or even reversed since the early 2010s. Combined with the large mortality shock of the COVID-19 pandemic, guaranteed forward progress feels less certain. We review mortality trends in high-income co…
Breaking Bonds, Changing Habits: Understanding Health Behaviors during and after Marital Dissolution
Marital dissolution is a stressful transition that can lead to unhealthy coping strategies, including smoking and drinking. Using fixed effect linear probability models to assess health behavior changes, we analyzed 6,607 women and 6,689 men in the Household, Income, and Labour Dynamics in Australia data set who were either continuously married or experienced marital separation between 2002 and 2020. We observed 1,376 separations (744 women, 632 …
Differences in Determinants: Racialized Obstetric Care and Increases in U.S. State Labor Induction Rates
Induction of labor (IOL) rates in the United States have nearly tripled since 1990. We examine official U.S. birth records to document increases in states’ IOL rates among pregnancies to Black, Latina, and White women. We test if the increases are associated with changes in demographic characteristics and risk factors among states’ racial-ethnic childbearing populations. Among pregnancies to White women, increases in state IOL rates are strongly …
Twin epidemics: The effects of HIV and systolic blood pressure on mortality risk in rural South Africa, 2010-2019
Our results indicate that HIV and elevated blood pressure are acting as separate, non-interacting epidemics affecting high proportions of the older adult population. PLWH with unsuppressed viral load were at higher mortality risk compared to those uninfected. Systolic blood pressure was a mortality risk factor independent of HIV status. As antiretroviral therapy becomes more widespread, further longitudinal follow-up is needed to understand how t…
Outside the Skin”: The Persistence of Black–White Disparities in U.S. Early-Life Mortality
Research on Black–White disparities in mortality emphasizes the cumulative pathways through which racism gets “under the skin” to affect health. Yet this framing is less applicable in early life, when death is primarily attributable to external causes rather than cumulative, biological processes. We use mortality data from the National Vital Statistics System Multiple Cause of Death files and population counts from the Surveillance, Epidemiology,…
Worth the Weight? Recent Trends in Obstetric Practices, Gestational Age, and Birth Weight in the United States
Birth weight in the United States declined substantially during the 1990s and 2000s. We suggest that the declines were likely due to shifts in gestational age resulting from changes in obstetric practices. Using restricted National Vital Statistics System data linked birth/infant death data for 1990–2013, we analyze trends in obstetric practices, gestational age distributions, and birth weights among first-birth singletons born to U.S. non-Hispan…
Family Structure and Early Life Mortality in the United States
ObjectiveThis study investigates the association between family structure and early life mortality (1-24 years of age) in the United States.BackgroundFew studies have examined this association.MethodWe employed the restricted-use 1999-2015 National Health Interview Survey-Linked Mortality Files to reveal all-cause and cause-specific mortality disparities by family structure, as captured at the time of entry into the study, including married-paren…
Family Socioeconomic Status and Early Life Mortality Risk in the United States
Estimating Educational Differences in Low-Risk Cesarean Section Delivery: A Multilevel Modeling Approach
Mortality from Suicide, Chronic Liver Disease, and Drug Poisonings among Middle-Aged U.S. White Men and Women, 1980–2013
Recent increases in all-cause mortality rates among the middle-aged U.S. white population have been explained in terms of elevated levels of midlife distress. This brief report provides evidence against this explanation for recent mortality trends among U.S. white men and women. Official mortality rates for U.S. white men and women aged 45-54 from suicide, chronic liver disease, drug poisonings, and other "extrinsic" causes of death (i.e., causes…
Racial/Ethnic Differences in Early-Life Mortality in the United States
U.S. early-life (ages 1-24) deaths are tragic, far too common, and largely preventable. Yet demographers have focused scant attention on U.S. early-life mortality patterns, particularly as they vary across racial and ethnic groups. We employed the restricted-use 1999-2011 National Health Interview Survey-Linked Mortality Files and hazard models to examine racial/ethnic differences in early-life mortality. Our results reveal that these disparities…
Racial/Ethnic Differences in Early-Life Mortality in the United States
U.S. early-life (ages 1-24) deaths are tragic, far too common, and largely preventable. Yet demographers have focused scant attention on U.S. early-life mortality patterns, particularly as they vary across racial and ethnic groups. We employed the restricted-use 1999-2011 National Health Interview Survey-Linked Mortality Files and hazard models to examine racial/ethnic differences in early-life mortality. Our results reveal that these disparities…
Outside the Skin”: The Persistence of Black–White Disparities in U.S. Early-Life Mortality
Research on Black–White disparities in mortality emphasizes the cumulative pathways through which racism gets “under the skin” to affect health. Yet this framing is less applicable in early life, when death is primarily attributable to external causes rather than cumulative, biological processes. We use mortality data from the National Vital Statistics System Multiple Cause of Death files and population counts from the Surveillance, Epidemiology,…
Family Structure and Early Life Mortality in the United States
ObjectiveThis study investigates the association between family structure and early life mortality (1-24 years of age) in the United States.BackgroundFew studies have examined this association.MethodWe employed the restricted-use 1999-2015 National Health Interview Survey-Linked Mortality Files to reveal all-cause and cause-specific mortality disparities by family structure, as captured at the time of entry into the study, including married-paren…
Differences in Determinants: Racialized Obstetric Care and Increases in U.S. State Labor Induction Rates
Induction of labor (IOL) rates in the United States have nearly tripled since 1990. We examine official U.S. birth records to document increases in states’ IOL rates among pregnancies to Black, Latina, and White women. We test if the increases are associated with changes in demographic characteristics and risk factors among states’ racial-ethnic childbearing populations. Among pregnancies to White women, increases in state IOL rates are strongly …
Worth the Weight? Recent Trends in Obstetric Practices, Gestational Age, and Birth Weight in the United States
Birth weight in the United States declined substantially during the 1990s and 2000s. We suggest that the declines were likely due to shifts in gestational age resulting from changes in obstetric practices. Using restricted National Vital Statistics System data linked birth/infant death data for 1990–2013, we analyze trends in obstetric practices, gestational age distributions, and birth weights among first-birth singletons born to U.S. non-Hispan…
Progress Stalled? The Uncertain Future of Mortality in High-Income Countries
Steady and significant improvements in life expectancy have been a bright spot for human progress for the last century or more. Recently, this success has shown signs of faltering in some high-income countries, where mortality improvements have slowed or even reversed since the early 2010s. Combined with the large mortality shock of the COVID-19 pandemic, guaranteed forward progress feels less certain. We review mortality trends in high-income co…
Mortality from Suicide, Chronic Liver Disease, and Drug Poisonings among Middle-Aged U.S. White Men and Women, 1980–2013
Recent increases in all-cause mortality rates among the middle-aged U.S. white population have been explained in terms of elevated levels of midlife distress. This brief report provides evidence against this explanation for recent mortality trends among U.S. white men and women. Official mortality rates for U.S. white men and women aged 45-54 from suicide, chronic liver disease, drug poisonings, and other "extrinsic" causes of death (i.e., causes…
Racial/Ethnic Differences in Early-Life Mortality in the United States
U.S. early-life (ages 1-24) deaths are tragic, far too common, and largely preventable. Yet demographers have focused scant attention on U.S. early-life mortality patterns, particularly as they vary across racial and ethnic groups. We employed the restricted-use 1999-2011 National Health Interview Survey-Linked Mortality Files and hazard models to examine racial/ethnic differences in early-life mortality. Our results reveal that these disparities…
Estimating Educational Differences in Low-Risk Cesarean Section Delivery: A Multilevel Modeling Approach
Family Socioeconomic Status and Early Life Mortality Risk in the United States
Worth the Weight? Recent Trends in Obstetric Practices, Gestational Age, and Birth Weight in the United States
Birth weight in the United States declined substantially during the 1990s and 2000s. We suggest that the declines were likely due to shifts in gestational age resulting from changes in obstetric practices. Using restricted National Vital Statistics System data linked birth/infant death data for 1990–2013, we analyze trends in obstetric practices, gestational age distributions, and birth weights among first-birth singletons born to U.S. non-Hispan…
Family Structure and Early Life Mortality in the United States
ObjectiveThis study investigates the association between family structure and early life mortality (1-24 years of age) in the United States.BackgroundFew studies have examined this association.MethodWe employed the restricted-use 1999-2015 National Health Interview Survey-Linked Mortality Files to reveal all-cause and cause-specific mortality disparities by family structure, as captured at the time of entry into the study, including married-paren…
Twin epidemics: The effects of HIV and systolic blood pressure on mortality risk in rural South Africa, 2010-2019
Our results indicate that HIV and elevated blood pressure are acting as separate, non-interacting epidemics affecting high proportions of the older adult population. PLWH with unsuppressed viral load were at higher mortality risk compared to those uninfected. Systolic blood pressure was a mortality risk factor independent of HIV status. As antiretroviral therapy becomes more widespread, further longitudinal follow-up is needed to understand how t…
Outside the Skin”: The Persistence of Black–White Disparities in U.S. Early-Life Mortality
Research on Black–White disparities in mortality emphasizes the cumulative pathways through which racism gets “under the skin” to affect health. Yet this framing is less applicable in early life, when death is primarily attributable to external causes rather than cumulative, biological processes. We use mortality data from the National Vital Statistics System Multiple Cause of Death files and population counts from the Surveillance, Epidemiology,…
Differences in Determinants: Racialized Obstetric Care and Increases in U.S. State Labor Induction Rates
Induction of labor (IOL) rates in the United States have nearly tripled since 1990. We examine official U.S. birth records to document increases in states’ IOL rates among pregnancies to Black, Latina, and White women. We test if the increases are associated with changes in demographic characteristics and risk factors among states’ racial-ethnic childbearing populations. Among pregnancies to White women, increases in state IOL rates are strongly …
Progress Stalled? The Uncertain Future of Mortality in High-Income Countries
Steady and significant improvements in life expectancy have been a bright spot for human progress for the last century or more. Recently, this success has shown signs of faltering in some high-income countries, where mortality improvements have slowed or even reversed since the early 2010s. Combined with the large mortality shock of the COVID-19 pandemic, guaranteed forward progress feels less certain. We review mortality trends in high-income co…
Breaking Bonds, Changing Habits: Understanding Health Behaviors during and after Marital Dissolution
Marital dissolution is a stressful transition that can lead to unhealthy coping strategies, including smoking and drinking. Using fixed effect linear probability models to assess health behavior changes, we analyzed 6,607 women and 6,689 men in the Household, Income, and Labour Dynamics in Australia data set who were either continuously married or experienced marital separation between 2002 and 2020. We observed 1,376 separations (744 women, 632 …
Why is life expectancy in England & Wales falling behind? A cause-of-death decomposition approach
Life expectancy in England & Wales has diverged from that of its high-income peers since 2011, raising concerns that the country may become an international laggard like the United States (US). Using the contour method, we decompose gaps in life expectancy between England & Wales and 20 individual high-income countries for males and females in 2019 into: (a) pre-existing differences in age- and cause-specific death rates in 2011; and (b) divergin…
Demography (10 works) · Medicine (10 works) · Population (9 works) · Health disparities and outcomes (8 works) · Gerontology (7 works) · Demography (6 works) · Environmental health (5 works) · Mortality rate (5 works) · Birth, Development, and Health (4 works) · Sociology (4 works)