Poverty dynamics, poverty thresholds and mortality: An age-stage Markovian model

TitlePoverty dynamics, poverty thresholds and mortality: An age-stage Markovian model
Publication TypeJournal Article
Year of Publication2018
AuthorsBernstein, SFae, Rehkopf, DH, Tuljapurkar, S, Horvitz, CC
Secondary AuthorsKomarova, NL
JournalPLOS ONE
Volume13
Issue5
Paginatione0195734
Date PublishedApr-05-2019
KeywordsLife Expectancy, Mortality, Poverty, Socioeconomic factors
Abstract

Recent studies have examined the risk of poverty throughout the life course, but few have considered how transitioning in and out of poverty shape the dynamic heterogeneity and mortality disparities of a cohort at each age. Here we use state-by-age modeling to capture individual heterogeneity in crossing one of three different poverty thresholds (defined as 1×, 2× or 3× the “official” poverty threshold) at each age. We examine age-specific state structure, the remaining life expectancy, its variance, and cohort simulations for those above and below each threshold. Survival and transitioning probabilities are statistically estimated by regression analyses of data from the Health and Retirement Survey RAND data-set, and the National Longitudinal Survey of Youth. Using the results of these regression analyses, we parameterize discrete state, discrete age matrix models. We found that individuals above all three thresholds have higher annual survival than those in poverty, especially for mid-ages to about age 80. The advantage is greatest when we classify individuals based on 1× the “official” poverty threshold. The greatest discrepancy in average remaining life expectancy and its variance between those above and in poverty occurs at mid-ages for all three thresholds. And fewer individuals are in poverty between ages 40-60 for all three thresholds. Our findings are consistent with results based on other data sets, but also suggest that dynamic heterogeneity in poverty and the transience of the poverty state is associated with income-related mortality disparities (less transience, especially of those above poverty, more disparities). This paper applies the approach of age-by-stage matrix models to human demography and individual poverty dynamics. In so doing we extend the literature on individual poverty dynamics across the life course.

URLhttp://dx.doi.org/10.1371/journal.pone.0195734
DOI10.1371/journal.pone.0195734
Short TitlePLoS ONE
Citation Key9744