Life Expectancy for White, Black, and Hispanic Race/Ethnicity in U.S. States: Trends and Disparities, 1990 to 2019.
Life Expectancy for White, Black, and Hispanic Race/Ethnicity in U.S. States: Trends and Disparities, 1990 to 2019.
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DOI：
10.7326/m21-3956
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发表时间：
2022-08
影响因子：
39.2
通讯作者：
Roth GA
中科院分区：
文献类型：
--
作者：
Johnson CO;Boon-Dooley AS;DeCleene NK;Henny KF;Blacker BF;Anderson JA;Afshin A;Aravkin A;Cunningham MW;Dieleman JL;Feldman RG;Gakidou E;Mokdad AH;Naghavi M;Spencer CN;Whisnant JL;York HW;Zende RR;Zheng P;Murray CJL;Roth GA
尚未研究按种族/族裔划分的国家内部和国家之间的预期寿命差异。为了估计1990年至2019年美国各州选定种族/民族群体的LE，使用美国未识别死亡记录和人口普查数据构建回归模型，其中平滑了1990年至2019年的死亡率时间序列。对于报告西班牙裔、非西班牙裔黑人或非西班牙裔白色人种/种族的人群亚组，按性别和年份列出的出生时LE。1990年，各州LE的差异为女性8.0岁，男性12.2岁，2019年为女性7.9岁，男性7.8岁。在考虑种族/民族群体时，1990年各州之间的差距为女性20.7，男性24.5，2019年降至女性18.5，男性23.7。在1990年至2019年期间，每个种族/民族群体内的各州差异都有所增加，其中白色非西班牙裔男性的增幅最大，西班牙裔女性的增幅最小。在23个州中的大多数州，所有三个组的估计值都有所下降，但7个州的女性和5个州的男性的差异有所增加，由于样本量小，因此未估计37个州亚组的LE。过去三十年来，各州种族/族裔群体之间的差距总体上有所减少。对于每个种族/族裔群体，各州之间的差距有所增加。虽然在估计的23个州中，大多数州的种族/族裔差距有所减少，但7个州的妇女和5个州的男子的种族/族裔差距有所增加。这项研究得到了国家心脏，肺和血液研究所（NHLBI）资助5 R 01 HL 136868 -03的支持。
Life expectancy (LE) differences within and between states by race/ethnicity have not been examined. To estimate LE for selected race/ethnicity groups in states from 1990 to 2019 Cross-sectional time-series analysis United States Deidentified death records and Census data were used to construct regression models with smoothed time-series of mortality from 1990 to 2019. LE at birth, by sex and year, for subgroups of people reporting Hispanic, Black non-Hispanic, or White non-Hispanic race/ethnicity. Disparity in LE across states was 8.0 years for women and 12.2 for men in 1990 and 7.9 for women and 7.8 for men in 2019. When accounting for race/ethnicity groups, disparities across states were 20.7 for women and 24.5 for men in 1990, decreasing to 18.5 for women and 23.7 for men in 2019. Disparities across states increased within each race/ethnicity group between 1990 and 2019, with the largest increase for White non-Hispanic men and the smallest for Hispanic women. The disparity between race/ethnicity groups within states decreased for most of the 23 states with all three groups estimated, but increased for women in 7 states and men in 5 states LE was not estimated for 37 state subgroups due to small sample size Disparity in LE across states was greater when considering race/ethnicity groups. Disparities across state-race/ethnicity groups in general has decreased over the past three decades. For each race/ethnic group, disparities across states have increased. While race/ethnic disparities decreased within most of the 23 states estimated, they increased for women in 7 states and men in 5 states. This research was supported by the National Heart, Lung, and Blood Institute (NHLBI) grant 5R01HL136868-03.