The "double jeopardy" of midlife and old age mortality trends in the United States.

The "double jeopardy" of midlife and old age mortality trends in the United States.
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DOI:
10.1073/pnas.2308360120
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发表时间:
2023-10-17
影响因子:
11.1
通讯作者:
Mehta, Neil K.
Mehta, Neil K.
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Abrams, Leah R.;Myrskyla, Mikko;Mehta, Neil K.

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自2010年以来,美国的预期寿命增长一直停滞不前。关于美国死亡率的许多研究都集中在工作年龄的成年人身上,因为药物过量死亡,其他外部死亡原因和中年心脏代谢死亡的不利趋势。我们发现,自2010年以来,退休年龄(65岁以上)的不利死亡率趋势实际上对美国预期寿命停滞以及2019年的超额死亡和寿命损失的影响大于工作年龄的不利死亡率趋势。这些结果表明,美国正在经历一个“双重危险”,这是由中年和老年死亡率趋势驱动的,但更多的是由老年死亡率驱动的。了解和解决老年人死亡率恶化趋势背后的原因,对于恢复美国几十年来预期寿命提高的速度至关重要。
Since 2010, US life expectancy growth has stagnated. Much research on US mortality has focused on working-age adults given adverse trends in drug overdose deaths, other external causes of death, and cardiometabolic deaths in midlife. We show that the adverse mortality trend at retirement ages (65+ y) has in fact been more consequential to the US life expectancy stagnation since 2010, as well as excess deaths and years of life lost in 2019, than adverse mortality trends at working ages. These results reveal that the United States is experiencing a “double jeopardy” that is driven by both mid-life and older-age mortality trends, but more so by older-age mortality. Understanding and addressing the causes behind the worsening mortality trend in older ages will be essential to returning to the pace of life expectancy improvements that the United States had experienced for decades.
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