Conservative State Policies Damage U.S. Life Expectancy

Conservative state policies are killing Americans. U.S. life expectancy gains since 2010 would be 25% greater for women & 13% greater for men if state policies hadn’t become more conservative

Life Expectancy is Increasingly Tied to Our Education Level

In the U.S., an individual’s education level is one of the strongest predictors of how long they will live. Since the mid-1980s, it has become an increasingly strong predictor. This is true for women and men and for different race and ethnic groups

Why Does the Importance of Education for Health Differ across the United States?

The positive association between educational attainment and adult health (“the gradient”) is stronger in some areas of the United States than in others. Explanations for the geographic pattern have not been rigorously investigated. Grounded in a contextual and life-course perspective, the aim of this study is to assess childhood circumstances (e.g., childhood health, compulsory schooling laws) and adult circumstances (e.g., wealth, lifestyles, economic policies) as potential explanations. Using data on U.S.-born adults aged 50 to 59 years at baseline (n = 13,095) and followed for up to 16 years across the 1998 to 2014 waves of the Health and Retirement Study, the authors examined how and why educational gradients in morbidity, functioning, and mortality vary across nine U.S. regions. The findings indicate that the gradient is stronger in some areas than others partly because of geographic differences in childhood socioeconomic conditions and health, but mostly because of geographic differences in adult circumstances such as wealth, lifestyles, and economic and tobacco policies

Why Does the Importance of Education for Health Differ across the United States?

The positive association between educational attainment and adult health (“the gradient”) is stronger in some areas of the United States than in others. Explanations for the geographic pattern have not been rigorously investigated. Grounded in a contextual and life-course perspective, the aim of this study is to assess childhood circumstances (e.g., childhood health, compulsory schooling laws) and adult circumstances (e.g., wealth, lifestyles, economic policies) as potential explanations. Using data on U.S.-born adults aged 50 to 59 years at baseline (n = 13,095) and followed for up to 16 years across the 1998 to 2014 waves of the Health and Retirement Study, the authors examined how and why educational gradients in morbidity, functioning, and mortality vary across nine U.S. regions. The findings indicate that the gradient is stronger in some areas than others partly because of geographic differences in childhood socioeconomic conditions and health, but mostly because of geographic differences in adult circumstances such as wealth, lifestyles, and economic and tobacco policies

The Chances of Dying Young Differ Dramatically Across U.S. States

The chances of dying young differ dramatically across U.S. states. This data slice shows state-level differences in rates of death by ages 30, 50, and 65. Individuals living in Minnesota, California, New York, and Massachusetts have the lowest rates of death by age 65, whereas those living in Southern states, including West Virginia, Mississippi, Alabama, Kentucky, Tennessee, Louisiana, Arkansas, and Oklahoma have the highest rates of premature death. If current conditions remain constant in these states, more than 1 in 5 people born in them will not survive to age 65

Work-family context and the longevity disadvantage of US women

Female life expectancy is currently shorter in the United States than in most high-income countries. This study examines work-family context as a potential explanation. While work-family context changed similarly across high-income countries during the past half century, the United States has not implemented institutional supports, such as universally available childcare and family leave, to help Americans contend with these changes. We compare the United States to Finland—a country with similar trends in work-family life but generous institutional supports—and test two hypotheses to explain US women's longevity disadvantage: (1) US women may be less likely than Finnish women to combine employment with childrearing; and (2) US women's longevity may benefit less than Finnish women's longevity from combining employment with childrearing. We used data from women aged 30–60 years during 1988–2006 in the US National Health Interview Survey Linked Mortality File and harmonized it with data from Finnish national registers. We found stronger support for hypothesis 1, especially among low-educated women. Contrary to hypothesis 2, combining employment and childrearing was not less beneficial for US women's longevity. In a simulation exercise, more than 75 percent of US women's longevity disadvantage was eliminated by raising their employment levels to Finnish levels and reducing mortality rates of non-married/non-employed US women to Finnish rates

U.S. State Policy Contexts and Physical Health among Midlife Adults

This study examines how state policy contexts may have contributed to unfavorable adult health in recent decades. It merges individual-level data from the 1993–2016 Behavioral Risk Factor Surveillance System (n=2,166,835) with 15 state-level policy domains measured annually on a conservative to liberal continuum. We examined associations between policy domains and health among adults ages 45–64 years and assess how much of the associations is accounted by adults’ socioeconomic, behavioral/lifestyle, and family factors. A more liberal version of the civil rights domain was associated with better health. It was disproportionately important for less-educated adults and women, and its association with adult health was partly accounted by educational attainment, employment, and income. Environment, gun safety, and marijuana policy domains were, to a lesser degree, predictors of health in some model specifications. In sum, health improvements require a greater focus on macro-level factors that shape the conditions in which people live

Allowing Cities to Raise the Minimum Wage Could Prevent Hundreds of Infant Deaths Annually

This research brief discusses findings that show each additional dollar of minimum wage reduces infant deaths by up to 1.8% annually in large U.S. cities. Over 1,400 infants could be saved annually if localities were allowed to raise the minimum wage to $15. State laws that prevent cities and counties from raising their minimum wage contribute to infant deaths

Alcohol's Collateral Damage: Childhood Exposure to Problem Drinkers and Subsequent Adult Mortality Risk

The importance of childhood circumstances, broadly defined, for shaping adult health and longevity is well-established. But the significance of one of the most prevalent childhood adversities—exposure to problem drinkers—has been understudied from a sociological perspective and remains poorly understood. We address this gap by drawing on cumulative inequality theory, using data from the 1988–2011 National Health Interview Survey-Linked Mortality Files, and estimating Cox proportional hazards models to examine the relationship between exposure to problem drinkers in childhood and adult mortality risk. Childhood exposure to problem drinkers is common (nearly 1 in 5 individuals were exposed) and elevates adult overall and cause-specific mortality risk. Compared to individuals who had not lived with a problem drinker during childhood, those who had done so suffered 17 percent higher risk of death (p<.001) over the follow-up period, net of age, sex, and race/ethnicity. We find compelling evidence that the duration, source, and intensity of exposure to problem drinkers in childhood contributes to inequality in adult mortality risk. Favorable socioeconomic status in adulthood does not ameliorate the consequences of childhood exposure to problem drinkers. The primary intervening mechanisms are risky behaviors, including adult drinking and smoking. The findings—which reveal that the influence of problem drinking is far-reaching and long-term—should inform policies to improve childhood circumstances, reduce detrimental effects of problem drinking, and increase life expectancy

Conservative State Policies Contribute to Higher Mortality Rates among Working-age Americans

The risk of dying during working ages (25 to 64) is high, rising, and unequal in the United States. Working-age mortality rates are much higher in some states than others. Part of the explanation may relate to differing policies across states that affect health. While some states enact policies that invest in people’s economic, social, and behavioral wellbeing, others enact policies that are potentially harmful to health. Using mortality data from the U.S. Centers for Disease Control and Prevention, this study examined how state policies on criminal justice, taxes, environment, firearms, marijuana, health care, labor, and tobacco were associated with the risk of dying among working-age adults from 2000 to 2019. The authors also estimated how changing these policies across a liberal-to-conservative continuum might affect the risks of dying from any cause and from cardiovascular disease (CVD), suicide, alcohol, and drug poisoning. The authors found that more conservative marijuana policies and more liberal policies on firearms, labor, environment, taxes, and tobacco were related to lower risk of death among working-age adults. Simulations show that changing all eight state policy domains to a fully liberal orientation might have saved 171,030 lives in 2019, while changing them to a fully conservative orientation might have cost 217,635 lives. Fixing the high and rising mortality among working-age adults requires state policymakers to enact policies that provide a foundation for all Americans to achieve economic, social, and behavioral wellbeing