US State Disparities in Life Expectancy, Disability-Free Life Expectancy, and Disabled Life Expectancy Among Adults Aged 25 to 89 Years
US State Disparities in Life Expectancy, Disability-Free Life Expectancy, and Disabled Life Expectancy Among Adults Aged 25 to 89 Years
复制标题
DOI：
10.2105/ajph.2020.306064
复制
发表时间：
2021-04-01
影响因子：
12.7
通讯作者：
Hayward, Mark D.
中科院分区：
文献类型：
--
作者：
Farina, Mateo P.;Zajacova, Anna;Hayward, Mark D.
目标.估计美国各州25 - 89岁男女的总预期寿命（TLE）、无残疾预期寿命（DFLE）和残疾预期寿命（DLE），并检查跨州模式。我们使用2013-2017年美国社区调查和2017年美国死亡率数据库的数据，计算美国成年人按性别划分的州特异性TLE、DFLE和DLE，以及假设的最差和最佳情况下的TLE。对于男性和女性，DFLE和DLE因州而异。在女性中，DFLE的范围从西弗吉尼亚州的45.8岁到夏威夷的52.5岁，差距为6.7年。男性也有类似的范围。各州DLE的差距为女性2.4年，男性1.6年。在南方各州，DFLE、DLE和TLE之间的相关性特别强。南方处于双重不利地位：居民寿命较短，残疾人的生活比例更大。各州的DFLE和DLE的明显差异突出了当今美国存在的巨大健康不平等，这对个人的福祉和美国各州的财务成本和医疗负担产生了重大影响。
Objectives. To estimate total life expectancy (TLE), disability-free life expectancy (DFLE), and disabled life expectancy (DLE) by US state for women and men aged 25 to 89 years and examine the cross-state patterns.Methods. We used data from the 2013-2017 American Community Survey and the 2017 US Mortality Database to calculate state-specific TLE, DFLE, and DLE by gender for US adults and hypothetical worstand best-case scenarios.Results. For men and women, DFLEs and DLEs varied widely by state. Among women, DFLE ranged from 45.8 years in West Virginia to 52.5 years in Hawaii, a 6.7-year gap. Men had a similar range. The gap in DLEs across states was 2.4 years for women and 1.6 years for men. The correlation among DFLE, DLE, and TLE was particularly strong in southern states. The South is doubly disadvantaged: residents have shorter lives and spend a greater proportion of those lives with disability.Conclusions. The stark variation in DFLE and DLE across states highlights the large health inequalities present today across the United States, which have significant implications for individuals' well-being and US states' financial costs and medical care burden.