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Projecting the Effect of Changes in Smoking and Obesity on Future Life Expectancy in the United States

Bibliographic Data

ID10968356
AuthorsH Preston (0000-0001-7038-9689, McNeil Center for Early American Studies, corresponding author), Samuel H Preston (Population Studies Center, University of Pennsylvania, McNeil Building, 3718 Locust Walk, Philadelphia, PA 19104, USA), Andrew Stokes (0000-0002-8502-3636, Population Studies Center, University of Pennsylvania, McNeil Building, 3718 Locust Walk, Philadelphia, PA 19104, USA), Neil K Mehta (0000-0001-6671-8435, Emory University), Bochen Cao (0000-0003-4481-8560, Population Studies Center, University of Pennsylvania, McNeil Building, 3718 Locust Walk, Philadelphia, PA 19104, USA)
Year2014
Volume51
Issue1
Pages27-49
Publication date2014-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueDemography (JOURNAL)
Journal identifiersISSN: 0070-3370 • E-ISSN: 1533-7790
PublisherDuke University Press (PUBLISHER • US)
DOI10.1007/s13524-013-0246-9
PMID24272710
PMCIDPMC4495773
OpenAlexW2039838403
LanguageEN
Citations received27
References cited31

We estimate the effects of declining smoking and increasing obesity on mortality in the United States over the period 2010–2040. Data on cohort behavioral histories are integrated into these estimates. Future distributions of body mass indices are projected using transition matrices applied to the initial distribution in 2010. In addition to projections of current obesity, we project distributions of obesity when cohorts are age 25. To these distributions, we apply death rates by current and age-25 obesity status observed in the National Health and Nutrition Examination Survey, 1988–2006. Estimates of the effects of smoking changes are based on observed relations between cohort smoking patterns and cohort death rates from lung cancer. We find that changes in both smoking and obesity are expected to have large effects on U.S. mortality. For males, the reductions in smoking have larger effects than the rise in obesity throughout the projection period. By 2040, male life expectancy at age 40 is expected to have gained 0.83 years from the combined effects. Among women, however, the two sets of effects largely offset one another throughout the projection period, with a small gain of 0.09 years expected by 2040

Body mass index · Cohort · Cohort effect · Environmental health · Life expectancy · National Health and Nutrition Examination Survey · Obesity · Population · Demography · Global Health Care Issues · Health disparities and outcomes · Insurance, Mortality, Demography, Risk Management · Medicine · Gerontology

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Unique citing works27
Citations per year1,17
Citation span2003 - 2025 (23)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 27

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