The longevity gap between Black and White men in the United States at the beginning and end of the 20th century.

TitleThe longevity gap between Black and White men in the United States at the beginning and end of the 20th century.
Publication TypeJournal Article
Year of Publication2010
AuthorsSloan, FA, Ayyagari, P, Salm, M, Grossman, D
JournalAm J Public Health
Volume100
Issue2
Pagination357-63
Date Published2010 Feb
ISSN Number1541-0048
KeywordsAfrican Americans, Aged, European Continental Ancestry Group, Health Status Disparities, Humans, Longevity, Longitudinal Studies, Male, Men's health, Middle Aged, Mortality, Proportional Hazards Models, Survival Analysis, United States, Veterans
Abstract

OBJECTIVES: We sought to assess whether the disparity in mortality rates between Black and White men decreased from the beginning to the end of the 20th century.

METHODS: We used Cox proportional hazard models for mortality to estimate differences in longevity between Black and White Civil War veterans from 1900 to 1914 (using data from a pension program) and a later cohort of male participants (using data from the 1992 to 2006 Health and Retirement Study). In sensitivity analysis, we compared relative survival of veterans for alternative baseline years through 1914.

RESULTS: In our survival analysis, the Black-White male difference in mortality, both unadjusted and adjusted for other influences, did not decrease from the beginning to the end of the 20th century. A 17% difference in Black-White mortality remained for the later cohort even after we controlled for other influences. Although we could control for fewer other influences on longevity, the Black-White differences in mortality for the earlier cohort was 18%.

CONCLUSIONS: In spite of overall improvements in longevity, a major difference in Black-White male mortality persists.

URLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2804648/
DOI10.2105/AJPH.2008.158188
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/20019309?dopt=Abstract

Endnote Keywords

Income/Alternative Approaches/Health Care Costs/Retirement/Social Programs/Medicare

Endnote ID

23170

Alternate JournalAm J Public Health
Citation Key7486
PubMed ID20019309
PubMed Central IDPMC2804648
Grant List2R 37-AG-17473-05A1 / AG / NIA NIH HHS / United States