US life expectancy stalls due to cardiovascular disease, not drug deaths.

Abstract:

:After decades of robust growth, the rise in US life expectancy stalled after 2010. Explanations for the stall have focused on rising drug-related deaths. Here we show that a stagnating decline in cardiovascular disease (CVD) mortality was the main culprit, outpacing and overshadowing the effects of all other causes of death. The CVD stagnation held back the increase of US life expectancy at age 25 y by 1.14 y in women and men, between 2010 and 2017. Rising drug-related deaths had a much smaller effect: 0.1 y in women and 0.4 y in men. Comparisons with other high-income countries reveal that the US CVD stagnation is unusually strong, contributing to a stark mortality divergence between the US and peer nations. Without the aid of CVD mortality declines, future US life expectancy gains must come from other causes-a monumental task given the enormity of earlier declines in CVD death rates. Reversal of the drug overdose epidemic will be beneficial, but insufficient for achieving pre-2010 pace of life expectancy growth.

authors

Mehta NK,Abrams LR,Myrskylä M

doi

10.1073/pnas.1920391117

subject

Has Abstract

pub_date

2020-03-31 00:00:00

pages

6998-7000

issue

13

eissn

0027-8424

issn

1091-6490

pii

1920391117

journal_volume

117

pub_type

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