Accounting for the Widening Mortality Gap between American Adults with and without a BA

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-08-28 DOI:10.1353/eca.2023.a935412
Anne Case, Angus Deaton
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Abstract

We examine mortality differences between American adults with and without a four-year college degree over the period 1992 to 2021. Mortality patterns, in aggregate and across groups, can provide evidence on how well society is functioning, information that goes beyond aggregate measures of material well-being. From 1992 to 2010, both educational groups saw falling mortality, but with greater improvements for the more educated; from 2010 to 2019, mortality continued to fall for those with a four-year degree while rising for those without; during the COVID-19 pandemic, mortality rose for both groups, but markedly more rapidly for the less educated. In consequence, the mortality gap between the two groups expanded in all three periods, leading to an 8.5-year difference in adult life expectancy by the end of 2021. There have been dramatic changes in patterns of mortality since 1992, but gaps rose consistently in each of thirteen broad classifications of cause of death. We document rising gaps in other measures relevant to well-being—background factors to the rising gap in mortality—including morbidity, social isolation, marriage, family income, and wealth.

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有学士学位和没有学士学位的美国成年人死亡率差距不断扩大的原因分析
我们研究了 1992 年至 2021 年期间拥有和未拥有四年制大学学位的美国成年人之间的死亡率差异。总体和跨群体的死亡率模式可以提供社会运行状况的证据,这些信息超越了物质福利的总体衡量标准。从 1992 年到 2010 年,两个受教育群体的死亡率都在下降,但受教育程度较高的群体的死亡率下降幅度更大;从 2010 年到 2019 年,拥有四年制学位的群体的死亡率继续下降,而没有学位的群体的死亡率则在上升;在 COVID-19 大流行期间,两个受教育群体的死亡率都在上升,但受教育程度较低的群体的死亡率明显上升得更快。因此,这两个群体之间的死亡率差距在所有三个时期都有所扩大,导致到 2021 年底,成人预期寿命相差 8.5 岁。自 1992 年以来,死亡率模式发生了巨大变化,但在十三大死因分类中,每一类的差距都在持续扩大。我们记录了与福祉相关的其他指标差距的上升--死亡率差距上升的背景因素--包括发病率、社会隔离、婚姻、家庭收入和财富。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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