Predicting life expectancy in the United States: The importance of healthy living behaviors and residential geography

IF 5.6 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Progress in cardiovascular diseases Pub Date : 2024-07-01 DOI:10.1016/j.pcad.2024.01.021
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Abstract

According to the World Health Organization, 30 countries currently have a life expectancy of ≥80 years: the United States (U.S.) is not among this group of countries. The current analysis assesses the ability of key lifestyle behaviors and characteristics to predict a life expectancy of ≥80 years. Only 577 (19%) of the 3066 U.S. Counties assessed had a life expectancy ≥80 years. These counties had significantly higher life expectancy (81 ± 3 vs. 76 ± 2 years) and lower percent of the population who are physically inactive (20.7 ± 3.9 vs. 27.0 ± 4.7%), actively smoke (15.9 ± 3.1 vs. 21.1 ± 3.6%), obese (31.7 ± 4.7 vs. 37.3 ± 3.9%) and have limited access to healthy food (7.1 ± 6.8 vs. 8.4 ± 6.6%) (all p < 0.001). Binary logistic regression revealed percent adults who currently smoke, percent obese, percent physically inactive, and percent with limited access to healthy food were all significant univariate predictors of </≥80 years life expectancy (p < 0.001) and retained in the multivariate regression (p < 0.05). A better understanding of the driving forces that increase healthy living behaviors should be a primary goal in the effort to increase U.S. life expectancy: an individualized approach recognizing unique regional cultures may significantly improve adoption and maintenance of desirable health behaviors and outcomes.

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预测美国人的预期寿命:健康生活行为和居住地域的重要性
根据世界卫生组织的数据,目前有 30 个国家的预期寿命≥80 岁:美国不在其中。目前的分析评估了主要生活方式行为和特征预测预期寿命≥80 岁的能力。在接受评估的 3066 个美国县中,只有 577 个(19%)的预期寿命≥80 岁。这些县的预期寿命明显较高(81 ± 3 岁 vs. 76 ± 2 岁),不运动(20.7 ± 3.9 vs. 27.0 ± 4.7%)、经常吸烟(15.9 ± 3.1 vs. 21.1 ± 3.6%)、肥胖(31.7 ± 4.7 vs. 37.3 ± 3.9%)和难以获得健康食品(7.1 ± 6.8 vs. 8.4 ± 6.6%)的人口比例也较低(所有数据均为 0.001)。二元逻辑回归显示,目前吸烟的成人百分比、肥胖百分比、不运动百分比和获得健康食品的机会有限百分比都是</≥80 岁预期寿命的重要单变量预测因素(p <0.001),并在多变量回归中得以保留(p <0.05)。更好地了解增加健康生活行为的驱动力应该是提高美国人预期寿命的首要目标:认识到独特地区文化的个性化方法可能会显著提高采用和维持理想健康行为和结果的能力。
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来源期刊
Progress in cardiovascular diseases
Progress in cardiovascular diseases 医学-心血管系统
CiteScore
10.90
自引率
6.60%
发文量
98
审稿时长
7 days
期刊介绍: Progress in Cardiovascular Diseases provides comprehensive coverage of a single topic related to heart and circulatory disorders in each issue. Some issues include special articles, definitive reviews that capture the state of the art in the management of particular clinical problems in cardiology.
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