Yun Jian1,2, Lucas Neas3, Lynne C Messer4, Christine L Gray2,5, Jyotsna S Jagai6, Kristen M Rappazzo3, Danelle T Lobdell7. 1. Informatics Institute, University of Alabama at Birmingham, Birmingham, USA. 2. National Health and Environmental Effects Research Laboratory, Oak Ridge Institute for Science and Education at the U.S. Environmental Protection Agency, Chapel Hill, NC, USA. 3. National Health and Environmental Effects Research Laboratory, U.S. Environmental Protection Agency (USEPA), MD 58A, Research Triangle Park, NC, 27711, USA. 4. School of Community Health, College of Urban and Public Affairs, Portland State University, Portland, OR, USA. 5. Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA. 6. School of Public Health, Division of Environmental and Occupational Health Sciences, University of Illinois, Chicago, Chicago, IL, USA. 7. National Health and Environmental Effects Research Laboratory, U.S. Environmental Protection Agency (USEPA), MD 58A, Research Triangle Park, NC, 27711, USA. lobdell.danelle@epa.gov.
Abstract
OBJECTIVES: To estimate county-level adult life expectancy for Whites, Black/African Americans (Black), American Indian/Alaska Native (AIAN) and Asian/Pacific Islander (Asian) populations and assess the difference across racial groups in the relationship among life expectancy, rurality and specific race proportion. METHODS: We used individual-level death data to estimate county-level life expectancy at age 25 (e25) for Whites, Black, AIAN and Asian in the contiguous USA for 2000-2005. Race-sex-stratified models were used to examine the associations among e25, rurality and specific race proportion, adjusted for socioeconomic variables. RESULTS: Lower e25 was found in the central USA for AIANs and in the west coast for Asians. We found higher e25 in the most rural areas for Whites but in the most urban areas for AIAN and Asians. The associations between specific race proportion and e25 were positive or null for Whites but were negative for Blacks, AIAN, and Asians. The relationship between specific race proportion and e25 varied across rurality. CONCLUSIONS: Identifying differences in adult life expectancy, both across and within racial groups, provides new insights into the geographic determinants of life expectancy disparities.
OBJECTIVES: To estimate county-level adult life expectancy for Whites, Black/African Americans (Black), American Indian/Alaska Native (AIAN) and Asian/Pacific Islander (Asian) populations and assess the difference across racial groups in the relationship among life expectancy, rurality and specific race proportion. METHODS: We used individual-level death data to estimate county-level life expectancy at age 25 (e25) for Whites, Black, AIAN and Asian in the contiguous USA for 2000-2005. Race-sex-stratified models were used to examine the associations among e25, rurality and specific race proportion, adjusted for socioeconomic variables. RESULTS: Lower e25 was found in the central USA for AIANs and in the west coast for Asians. We found higher e25 in the most rural areas for Whites but in the most urban areas for AIAN and Asians. The associations between specific race proportion and e25 were positive or null for Whites but were negative for Blacks, AIAN, and Asians. The relationship between specific race proportion and e25 varied across rurality. CONCLUSIONS: Identifying differences in adult life expectancy, both across and within racial groups, provides new insights into the geographic determinants of life expectancy disparities.
Keywords:
American Indian/Alaska Native population; Asian/Pacific Islander population; Contiguous USA; Life expectancy at age 25; Rurality; Specific race proportion
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