The “double jeopardy” of midlife and old age mortality trends in the United States

Author:

Abrams Leah R.1ORCID,Myrskylä Mikko234ORCID,Mehta Neil K.5ORCID

Affiliation:

1. Department of Community Health, Tufts University, Medford, MA 02155

2. Max Planck Institute for Demographic Research, Rostock 18057, Germany

3. Population Research Unit, University of Helsinki, Helsinki 00014, Finland

4. Max Planck – University of Helsinki Center for Social Inequalities in Population Health, Rostock 18057, Germany

5. Department of Epidemiology, University of Texas Medical Branch, Galveston, TX 77555

Abstract

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.

Funder

HHS | NIH | National Institute on Aging

AKA | Strategic Research Council

Publisher

Proceedings of the National Academy of Sciences

Subject

Multidisciplinary

Reference10 articles.

1. F. C. Bell M. L. Miller “Life Tables for the United States Social Security Area 1900–2100 Actuarial Study No. 116” (Social Security Administration Office of the Chief Actuary 2002).

2. National Center for Health Statistics Vital Statistics of the United States Volume II: Mortality Part A (Data obtained through the Human Mortality Database www.mortality.org or www.humanmortality.de). Accessed 8 February 2023.

3. High and Rising Mortality Rates Among Working-Age Adults

4. OUP accepted manuscript

5. Excess mortality in the United States in the 21st century

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