Vital Signs: Racial Disparities in Age-Specific Mortality Among Blacks or African Americans — United States, 1999–2015
Although the overall life expectancy at birth has increased for both blacks and whites and the gap between these populations has narrowed, disparities in life expectancy and the leading causes of death for blacks compared with whites in the United States remain substantial. Understanding how factors...
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| Veröffentlicht in: | MMWR. Morbidity and mortality weekly report 2017-05, Vol.66 (17), p.444-456 |
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| creator | Cunningham, Timothy J. Croft, Janet B. Liu, Yong Lu, Hua Eke, Paul I. Giles, Wayne H. |
| description | Although the overall life expectancy at birth has increased for both blacks and whites and the gap between these populations has narrowed, disparities in life expectancy and the leading causes of death for blacks compared with whites in the United States remain substantial. Understanding how factors that influence these disparities vary across the life span might enhance the targeting of appropriate interventions.
Trends during 1999-2015 in mortality rates for the leading causes of death were examined by black and white race and age group. Multiple 2014 and 2015 national data sources were analyzed to compare blacks with whites in selected age groups by sociodemographic characteristics, self-reported health behaviors, health-related quality of life indicators, use of health services, and chronic conditions.
During 1999-2015, age-adjusted death rates decreased significantly in both populations, with rates declining more sharply among blacks for most leading causes of death. Thus, the disparity gap in all-cause mortality rates narrowed from 33% in 1999 to 16% in 2015. However, during 2015, blacks still had higher death rates than whites for all-cause mortality in all groups aged |
| doi_str_mv | 10.15585/mmwr.mm6617e1 |
| format | Article |
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Trends during 1999-2015 in mortality rates for the leading causes of death were examined by black and white race and age group. Multiple 2014 and 2015 national data sources were analyzed to compare blacks with whites in selected age groups by sociodemographic characteristics, self-reported health behaviors, health-related quality of life indicators, use of health services, and chronic conditions.
During 1999-2015, age-adjusted death rates decreased significantly in both populations, with rates declining more sharply among blacks for most leading causes of death. Thus, the disparity gap in all-cause mortality rates narrowed from 33% in 1999 to 16% in 2015. However, during 2015, blacks still had higher death rates than whites for all-cause mortality in all groups aged <65 years. Compared with whites, blacks in age groups <65 years had higher levels of some self-reported risk factors and chronic diseases and mortality from cardiovascular diseases and cancer, diseases that are most common among persons aged ≥65 years.
To continue to reduce the gap in health disparities, these findings suggest an ongoing need for universal and targeted interventions that address the leading causes of deaths among blacks (especially cardiovascular disease and cancer and their risk factors) across the life span and create equal opportunities for health.</description><identifier>ISSN: 0149-2195</identifier><identifier>EISSN: 1545-861X</identifier><identifier>DOI: 10.15585/mmwr.mm6617e1</identifier><identifier>PMID: 28472021</identifier><language>eng</language><publisher>United States: Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services</publisher><subject>Adolescent ; Adult ; African Americans ; African Americans - statistics & numerical data ; Age ; Age Distribution ; Age groups ; Aged ; Body mass index ; Cancer ; Cardiovascular disease ; Cause of Death ; Chronic conditions ; Chronic diseases ; Chronic illnesses ; Comparative analysis ; Death ; Diabetes ; Economic indicators ; Epidemiology ; European Continental Ancestry Group - statistics & numerical data ; Female ; Health behavior ; Health disparities ; Health risks ; Health services utilization ; Health Status Disparities ; Humans ; Life expectancy ; Life span ; Male ; Measles ; Medical care utilization ; Medically uninsured persons ; Middle Aged ; Mortality ; Mortality - ethnology ; Mortality - trends ; Population ; Populations ; Public health ; Quality of life ; Race ; Risk analysis ; Risk factors ; Sociodemographics ; Stroke ; Trends ; United States - epidemiology ; Vital Signs ; White people ; Young Adult</subject><ispartof>MMWR. Morbidity and mortality weekly report, 2017-05, Vol.66 (17), p.444-456</ispartof><rights>COPYRIGHT 2017 U.S. Government Printing Office</rights><rights>Copyright U.S. Center for Disease Control May 5, 2017</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c575t-1d7961a9775fcaa2c62e1465d13a232712d6893c1555242fd13f77089b783d133</citedby><cites>FETCH-LOGICAL-c575t-1d7961a9775fcaa2c62e1465d13a232712d6893c1555242fd13f77089b783d133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26404073$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26404073$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,315,729,782,786,805,887,27931,27932,53798,53800,58024,58257</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28472021$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cunningham, Timothy J.</creatorcontrib><creatorcontrib>Croft, Janet B.</creatorcontrib><creatorcontrib>Liu, Yong</creatorcontrib><creatorcontrib>Lu, Hua</creatorcontrib><creatorcontrib>Eke, Paul I.</creatorcontrib><creatorcontrib>Giles, Wayne H.</creatorcontrib><title>Vital Signs: Racial Disparities in Age-Specific Mortality Among Blacks or African Americans — United States, 1999–2015</title><title>MMWR. Morbidity and mortality weekly report</title><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><description>Although the overall life expectancy at birth has increased for both blacks and whites and the gap between these populations has narrowed, disparities in life expectancy and the leading causes of death for blacks compared with whites in the United States remain substantial. Understanding how factors that influence these disparities vary across the life span might enhance the targeting of appropriate interventions.
Trends during 1999-2015 in mortality rates for the leading causes of death were examined by black and white race and age group. Multiple 2014 and 2015 national data sources were analyzed to compare blacks with whites in selected age groups by sociodemographic characteristics, self-reported health behaviors, health-related quality of life indicators, use of health services, and chronic conditions.
During 1999-2015, age-adjusted death rates decreased significantly in both populations, with rates declining more sharply among blacks for most leading causes of death. Thus, the disparity gap in all-cause mortality rates narrowed from 33% in 1999 to 16% in 2015. However, during 2015, blacks still had higher death rates than whites for all-cause mortality in all groups aged <65 years. Compared with whites, blacks in age groups <65 years had higher levels of some self-reported risk factors and chronic diseases and mortality from cardiovascular diseases and cancer, diseases that are most common among persons aged ≥65 years.
To continue to reduce the gap in health disparities, these findings suggest an ongoing need for universal and targeted interventions that address the leading causes of deaths among blacks (especially cardiovascular disease and cancer and their risk factors) across the life span and create equal opportunities for health.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans</subject><subject>African Americans - statistics & numerical data</subject><subject>Age</subject><subject>Age Distribution</subject><subject>Age groups</subject><subject>Aged</subject><subject>Body mass index</subject><subject>Cancer</subject><subject>Cardiovascular disease</subject><subject>Cause of Death</subject><subject>Chronic conditions</subject><subject>Chronic diseases</subject><subject>Chronic illnesses</subject><subject>Comparative analysis</subject><subject>Death</subject><subject>Diabetes</subject><subject>Economic indicators</subject><subject>Epidemiology</subject><subject>European Continental Ancestry Group - 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Morbidity and mortality weekly report</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cunningham, Timothy J.</au><au>Croft, Janet B.</au><au>Liu, Yong</au><au>Lu, Hua</au><au>Eke, Paul I.</au><au>Giles, Wayne H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vital Signs: Racial Disparities in Age-Specific Mortality Among Blacks or African Americans — United States, 1999–2015</atitle><jtitle>MMWR. Morbidity and mortality weekly report</jtitle><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><date>2017-05-05</date><risdate>2017</risdate><volume>66</volume><issue>17</issue><spage>444</spage><epage>456</epage><pages>444-456</pages><issn>0149-2195</issn><eissn>1545-861X</eissn><abstract>Although the overall life expectancy at birth has increased for both blacks and whites and the gap between these populations has narrowed, disparities in life expectancy and the leading causes of death for blacks compared with whites in the United States remain substantial. Understanding how factors that influence these disparities vary across the life span might enhance the targeting of appropriate interventions.
Trends during 1999-2015 in mortality rates for the leading causes of death were examined by black and white race and age group. Multiple 2014 and 2015 national data sources were analyzed to compare blacks with whites in selected age groups by sociodemographic characteristics, self-reported health behaviors, health-related quality of life indicators, use of health services, and chronic conditions.
During 1999-2015, age-adjusted death rates decreased significantly in both populations, with rates declining more sharply among blacks for most leading causes of death. Thus, the disparity gap in all-cause mortality rates narrowed from 33% in 1999 to 16% in 2015. However, during 2015, blacks still had higher death rates than whites for all-cause mortality in all groups aged <65 years. Compared with whites, blacks in age groups <65 years had higher levels of some self-reported risk factors and chronic diseases and mortality from cardiovascular diseases and cancer, diseases that are most common among persons aged ≥65 years.
To continue to reduce the gap in health disparities, these findings suggest an ongoing need for universal and targeted interventions that address the leading causes of deaths among blacks (especially cardiovascular disease and cancer and their risk factors) across the life span and create equal opportunities for health.</abstract><cop>United States</cop><pub>Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services</pub><pmid>28472021</pmid><doi>10.15585/mmwr.mm6617e1</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; JSTOR Archive Collection A-Z Listing; PubMed Central |
| subjects | Adolescent Adult African Americans African Americans - statistics & numerical data Age Age Distribution Age groups Aged Body mass index Cancer Cardiovascular disease Cause of Death Chronic conditions Chronic diseases Chronic illnesses Comparative analysis Death Diabetes Economic indicators Epidemiology European Continental Ancestry Group - statistics & numerical data Female Health behavior Health disparities Health risks Health services utilization Health Status Disparities Humans Life expectancy Life span Male Measles Medical care utilization Medically uninsured persons Middle Aged Mortality Mortality - ethnology Mortality - trends Population Populations Public health Quality of life Race Risk analysis Risk factors Sociodemographics Stroke Trends United States - epidemiology Vital Signs White people Young Adult |
| title | Vital Signs: Racial Disparities in Age-Specific Mortality Among Blacks or African Americans — United States, 1999–2015 |
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