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Poor in US live 5 years less than rich

RICE / U. COLORADO BOULDER (US) — The US trails many of the world’s countries when it comes to life expectancy, most notably with its poorest citizens, who live about five years less than those who are more affluent.

Researchers used time-series analysis to evaluate historical data on US mortality from the Human Mortality Database and reviewed data from 1930 through 2000 to identify trends in mortality over time and forecast life expectancy to the year 2055. The findings will be published in an upcoming issue of Social Science Quarterly.

Although the US can expect very moderate gains in coming years (less than an additional three years through 2055), it still trails its developed counterparts in life expectancy. For example, the average life expectancy in the US for a person born today is 78.49, which is significantly lower than people born in Monaco, Macau, and Japan, which have the three highest life expectancies (89.68, 84.43 and 83.91 years, respectively).

In addition, the most deprived US citizens tend to live five years less than their more affluent countrymen, according to Justin Denney, assistant professor of sociology at Rice University, who was principal author for the study.

In 1930, average life expectancy in the United States was 59.85. By 2000, it rose to 77.1 years. “But when broken down, these numbers show that those gains were mostly experienced between 1930, the 1950s and 1960s,” Denney says. “Since that time, gains in life expectancy have flattened out.

“During periods of expansion in length of life, a similar expansion has occurred between more and less advantaged groups—the rich get richer, the poor get poorer, inequality grows and life expectancy is dramatically impacted,” Denney says. “And despite disproportionate spending on health care, life expectancy in the US continues to fall down the ladder of international rankings of length of life. It goes to show that prosperity doesn’t necessarily equal long-term health.”

Many of the chronic conditions that have led to smaller gains in life expectancy are more easily treated when people are more financially stable. The study shows “the ugly side of inequality,” Denney says and he hopes it will draw attention to the fact that more needs to be done to address stagnating life expectancies in the United States and eliminate inequalities in the US.

“Even in uncertain times, it is important to look forward in preparing for the needs of future populations,” Denney says. “The results presented here underscore the relevance of policy and health initiatives aimed at improving the nation’s health and reveal important insight into possible limits to mortality improvement over the next five decades.”

Robert McNown, Richard Rogers, and Steven Doubilet at the University of Colorado Boulder are co-authors of the study.

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