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Socioeconomic Status, Mortality, and Morbidity in Older Americans

美国老年人的社会经济地位、死亡率和发病率

基本信息

批准号：
10602547
负责人：
ANNE CASE
金额：
$ 38.69万
依托单位：
NATIONAL BUREAU OF ECONOMIC RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-15 至 2024-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10602547
关键词：
Affect Age Age Years Alcoholic Liver Diseases American Bachelor&apos s Degree Behavior Bypass Cardiovascular system Caring Cessation of life Cohort Effect Collaborations Country Data Deterioration Disability Insurance Disabled Persons Disparity Economics Education Effectiveness Elderly Eligibility Determination Employment Opportunities Ethnic Origin Event Financial Hardship Future Geographic Locations Health Health Personnel Health behavior Health trends Healthcare Healthcare Systems Heart Diseases Hispanic Populations Hypertension Inequality Insurance Benefits Intervention Life Cycle Stages Literature London Marketing Marriage Medicare Medicare claim Modeling Morbidity - disease rate Mortality Decline Not Hispanic or Latino Occupations Outcome Overdose Pathway interactions Pattern Pharmaceutical Preparations Physicians Play Policies Population Productivity Provider Quality of life Race Religion Research Research Personnel Risk Factors Role Social Security Social support Socioeconomic Status Sociology Source Suicide Testing Time Variant Wages age group beneficiary child bearing cohort college data resource experience health care quality health disparity human old age (65+)middle age mortality mortality disparity nutrition opioid mortality opioid use prescription opioid provider behavior skills social success treatment disparity trend

项目摘要

OTHER PROJECT INFORMATION – Project Summary/Abstract Socioeconomic Status, Mortality, and Morbidity in Older Americans It is now well documented that the midlife mortality declines experienced in other wealthy countries over the last 20 years have bypassed US white non-Hispanics (WNHs). For all five-year age groups from 25-29 to 50- 54, mortality rates for WNHs were higher in 2015 than in 1999, but lower for black non-Hispanics and Hispanics. This stalling and reversal of progress is largely driven by the increasing deaths of white non- Hispanics without a four-year college degree. Deaths from drug overdose, suicide, and alcohol-related liver disease (“deaths of despair”) rose over this period, while progress against heart disease stalled. What is not well understood is the causes of these differential trends. Using data on mortality, morbidity, labor market conditions, credit scores, and social connection, our proposed research will analyze why these alarming trends in early mortality and opioid use have occurred. We will explore multiple causal explanations, channeling through education, employment opportunities, inequality, health behaviors, and health care. What role does education play in rising “deaths of despair”? To what degree does deterioration in the quality and availability of low-skilled jobs cumulatively impact mortality and morbidity over the life course? Does the success of the highly educated come at the expense of those with less education? To what degree are disparities accentuated by health behaviors and health care, such as opioid prescribing and treatment of cardiovascular conditions? These various potential causal pathways are not mutually exclusive, but establishing their importance is critical to developing meaningful interventions, whether in education, labor markets, health care, social supports, or other policies. And finally, we will consider whether the adverse mortality and morbidity patterns evident in midlife, are likely to carry forward into older ages, or to revert to the more favorable patterns currently experienced by the elderly.

其他项目信息 - 项目摘要/摘要美国老年人的社会经济地位、死亡率和发病率现在有充分证据表明，其他富裕国家的中年死亡率在过去几年中出现了下降。过去 20 年，美国非西班牙裔白人 (WNH) 被忽视了。对于从 25-29 岁到 50 岁的所有五年年龄组 - 54、2015 年 WNH 的死亡率高于 1999 年，但黑人非西班牙裔和西班牙裔。这种进展的停滞和逆转很大程度上是由于白人非裔美国人死亡人数的增加造成的没有四年制大学学位的西班牙裔。因吸毒过量、自杀和酒精相关肝脏而死亡在此期间，疾病（“绝望死亡”）增加，而防治心脏病的进展却停滞不前。什么不是造成这些差异趋势的原因是众所周知的。使用死亡率、发病率、劳动力市场数据条件、信用评分和社会关系，我们提出的研究将分析为什么这些令人担忧的趋势早期死亡与阿片类药物的使用有关。我们将探索多种因果解释、通灵通过教育、就业机会、不平等、健康行为和医疗保健。有什么作用教育在“绝望死亡”上升中发挥作用？质量和可用性的恶化程度如何？低技能工作会累积影响生命历程中的死亡率和发病率？是否成功受过高等教育的人会牺牲受教育程度较低的人吗？差距有多大健康行为和医疗保健加剧了这种情况，例如阿片类药物处方和心血管疾病治疗状况？这些不同的潜在因果路径并不相互排斥，而是建立了各自的重要性对于制定有意义的干预措施至关重要，无论是在教育、劳动力市场、医疗保健、社会支持或其他政策。最后，我们将考虑不利的死亡率和发病率是否中年时期明显的模式可能会延续到老年，或者恢复到更有利的模式目前老年人都经历过。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Decoding the mystery of American pain reveals a warning for the future.

DOI：
10.1073/pnas.2012350117
发表时间：
2020-10-06
期刊：
Proceedings of the National Academy of Sciences of the United States of America
影响因子：
11.1
作者：
Case A;Deaton A;Stone AA
通讯作者：
Stone AA

GDP, wellbeing, and health: thoughts on the 2017 round of the International Comparison Program.