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Explaining Divergent Levels of Longevity in High-Income Countries

By: (Author) Committee on Population , (Author) Division of Behavioral and Social Sciences and Education , (Author) National Research Council , (Author) Panel on Understanding Divergent Trends in Longevity in High-Income Countries , (Edited by) Barney Cohen , (Edited by) Eileen M. Crimmins , (Edited by) Samuel H. Preston

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Ksh 7,000.00

Format: Paperback or Softback

ISBN-10: 0309186404

ISBN-13: 9780309186407

Publisher: National Academies Press

Imprint: National Academies Press

Country of Manufacture: US

Country of Publication: GB

Publication Date: Jul 27th, 2011

Print length: 194 Pages

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During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages—cancer and cardiovascular disease—available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which—unlike randomized controlled trials—are subject to many biases. Table of ContentsFront MatterSummary1 Difference Between Life Expectancy in the United States and Other High-Income Countries2 Causes of Death, Health Indicators, and Divergence in Life Expectancy3 The Role of Obesity4 The Role of Physical Activity5 The Role of Smoking6 The Role of Social Networks and Social Integration7 The Role of Health Care8 The Role of Hormone Therapy9 The Role of Inequality10 ConclusionsReferencesBiographical Sketches of Committee Members and Staff

During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes.

According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages—cancer and cardiovascular disease—available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable.

Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which—unlike randomized controlled trials—are subject to many biases.


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