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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w17901 |
来源ID | Working Paper 17901 |
Geographic and Racial Variation in Premature Mortality in the US: Analyzing the Disparities | |
Mark R. Cullen; Clint Cummins; Victor R. Fuchs | |
发表日期 | 2012-03-08 |
出版年 | 2012 |
语种 | 英语 |
摘要 | Life expectancy at birth, estimated from United States period life tables, has been shown to vary systematically and widely by region and race. We use the same tables to estimate the probability of survival from birth to age 70 (S70), a measure of mortality more sensitive to disparities and more reliably calculated for small populations, to describe the variation and identify its sources in greater detail to assess the patterns of this variation. Examination of the unadjusted probability of S70 for each US county with a sufficient population of whites and blacks reveals large geographic differences for each race-sex group. For example, white males born in the ten percent healthiest counties have a 77 percent probability of survival to age 70, but only a 61 percent chance if born in the ten percent least healthy counties. Similar geographical disparities face white women and blacks of each sex. Moreover, within each county, large differences in S70 prevail between blacks and whites, on average 17 percentage points for men and 12 percentage points for women. In linear regressions for each race-sex group, nearly all of the geographic variation is accounted for by a common set of 22 socio-economic and environmental variables, selected for previously suspected impact on mortality; R2 ranges from 0.86 for white males to 0.72 for black females. Analysis of black-white survival chances within each county reveals that the same variables account for most of the race gap in S70 as well. When actual white male values for each explanatory variable are substituted for black in the black male prediction equation to assess the role explanatory variables play in the black-white survival difference, residual black-white differences at the county level shrink markedly to a mean of -2.4% (+/-2.4); for women the mean difference is -3.7 % (+/-2.3). |
主题 | Health, Education, and Welfare ; Health ; Poverty and Wellbeing |
URL | https://www.nber.org/papers/w17901 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/575577 |
推荐引用方式 GB/T 7714 | Mark R. Cullen,Clint Cummins,Victor R. Fuchs. Geographic and Racial Variation in Premature Mortality in the US: Analyzing the Disparities. 2012. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w17901.pdf(985KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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