Thursday, March 12, 2020

Seniors live longer these days, but not as long in rural areas, and their lifespans lag many other developed nations

Life expectancy for seniors at age 65 increased across the board from 2000 to 2016, but not nearly as much in rural areas, according to a newly published data analysis.

Urban and coastal seniors survive much longer than seniors in rural areas and the nation's interior—especially areas like Appalachia and the East South Central states (Kentucky, Tennessee, Alabama and Mississippi). The geographic gap emerged around 1999 or 2000 and has been widening since 2000, Judith Graham reports for Kaiser Health News.

University of Pennsylvania demographer Samuel Preston spotted the trend using data from the Census Bureau and the National Center for Health Statistics. The longest-living seniors tend to be found in metro areas on the Pacific coast, and the ones with the shortest lifespans live in the rural East South Central states; the life expectancy gap between those two regions was nearly four years.

Men and women had differing life expectancies, according to co-author Yana Vierboom, a researcher at Germany's Max Planck Institute for Demographic Research; by 2016, "life expectancy at age 65 for women in large metropolitan areas was 1.63 years longer than for those in rural areas. For men, the gap was 1.42 years," Graham reports. "Disparities were also highlighted when researchers examined life expectancy at 65 in the U.S. and 16 other developed nations, using 2016 data. Overall, the U.S. was near the bottom of the pack: American men ranked 11th while American women were in 13th place, behind leaders such as Japan, Switzerland, Australia, France, Spain and Canada."

Preston's study identified a reduction in deaths from cardiovascular illnesses like strokes or heart attacks as the biggest reason Americans are living longer. Such illnesses are the number one cause of death in the United States. Preston speculated that rural seniors might be more apt to die from heart attack or stroke because of lack of medical access, and said smoking rates likely had an impact, too. The study did not consider race, income, or education, which probably play a role, Graham reports.

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