The contribution of smoking-attributable mortality to differences in mortality and life expectancy among US African-American and white adults, 2000-2019
<b>Background</b>: The role of smoking in racial disparities in mortality and life expectancy in the United States has been examined previously, but up-to-date estimates are generally unavailable, even though smoking prevalence has declined in recent decades. <b>Objective</b&...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Max Planck Institute for Demographic Research
2022-05-01
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| Series: | Demographic Research |
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| Online Access: | https://www.demographic-research.org/articles/volume/46/31 |
| _version_ | 1797739406613807104 |
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| author | Brian L. Rostron Cindy M. Chang Brittny C. Davis Lynn Chunfeng Ren Esther Salazar Bridget K. Ambrose |
| author_facet | Brian L. Rostron Cindy M. Chang Brittny C. Davis Lynn Chunfeng Ren Esther Salazar Bridget K. Ambrose |
| author_sort | Brian L. Rostron |
| collection | DOAJ |
| description | <b>Background</b>: The role of smoking in racial disparities in mortality and life expectancy in the United States has been examined previously, but up-to-date estimates are generally unavailable, even though smoking prevalence has declined in recent decades. <b>Objective</b>: We estimate the contribution of smoking-attributable mortality to observed differences in mortality and life expectancy for US African-American and white adults from 2000-2019. <b>Methods</b>: The indirect Preston-Glei-Wilmoth method was used with national vital statistics and population data and nationally representative never-smoker lung cancer death rates to estimate the smoking-attributable fraction (SAF) of deaths in the United States by sex-race group from 2000-2019. Mortality rates without smoking-attributable mortality were used to estimate life expectancy at age 50 (e_50) by group during the period. <b>Results</b>: African-American men had the highest estimated SAF during the period, beginning at 26.4Š (95Š CI:25.0Š-27.8Š) in 2000 and ending at 12.1Š (95Š CI:11.4Š-12.8Š) in 2019. The proportion of the difference in e_50 for white and African-American men that was due to smoking decreased from 27.7Š to 14.8Š. For African-American and white women, the estimated differences in e_50 without smoking-attributable mortality were similar to observed differences. <b>Conclusions</b>: Smoking continues to contribute to racial disparities in mortality and life expectancy among men in the United States. <b>Contribution</b>: We present updated estimates of the contribution of smoking to mortality differences in the United States using nationally representative data sources. |
| first_indexed | 2024-03-12T13:57:45Z |
| format | Article |
| id | doaj.art-6029fef8d592400aaef586d96da30ec6 |
| institution | Directory Open Access Journal |
| issn | 1435-9871 |
| language | English |
| last_indexed | 2024-03-12T13:57:45Z |
| publishDate | 2022-05-01 |
| publisher | Max Planck Institute for Demographic Research |
| record_format | Article |
| series | Demographic Research |
| spelling | doaj.art-6029fef8d592400aaef586d96da30ec62023-08-22T11:19:16ZengMax Planck Institute for Demographic ResearchDemographic Research1435-98712022-05-01463110.4054/DemRes.2022.46.315525The contribution of smoking-attributable mortality to differences in mortality and life expectancy among US African-American and white adults, 2000-2019Brian L. Rostron0Cindy M. Chang1Brittny C. Davis Lynn2Chunfeng Ren3Esther Salazar4Bridget K. Ambrose5US Food and Drug AdministrationUS Food and Drug AdministrationUS Food and Drug AdministrationUS Food and Drug AdministrationUS Food and Drug AdministrationUS Food and Drug Administration<b>Background</b>: The role of smoking in racial disparities in mortality and life expectancy in the United States has been examined previously, but up-to-date estimates are generally unavailable, even though smoking prevalence has declined in recent decades. <b>Objective</b>: We estimate the contribution of smoking-attributable mortality to observed differences in mortality and life expectancy for US African-American and white adults from 2000-2019. <b>Methods</b>: The indirect Preston-Glei-Wilmoth method was used with national vital statistics and population data and nationally representative never-smoker lung cancer death rates to estimate the smoking-attributable fraction (SAF) of deaths in the United States by sex-race group from 2000-2019. Mortality rates without smoking-attributable mortality were used to estimate life expectancy at age 50 (e_50) by group during the period. <b>Results</b>: African-American men had the highest estimated SAF during the period, beginning at 26.4Š (95Š CI:25.0Š-27.8Š) in 2000 and ending at 12.1Š (95Š CI:11.4Š-12.8Š) in 2019. The proportion of the difference in e_50 for white and African-American men that was due to smoking decreased from 27.7Š to 14.8Š. For African-American and white women, the estimated differences in e_50 without smoking-attributable mortality were similar to observed differences. <b>Conclusions</b>: Smoking continues to contribute to racial disparities in mortality and life expectancy among men in the United States. <b>Contribution</b>: We present updated estimates of the contribution of smoking to mortality differences in the United States using nationally representative data sources.https://www.demographic-research.org/articles/volume/46/31african americansdisparitieslife expectancymortalitysmoking |
| spellingShingle | Brian L. Rostron Cindy M. Chang Brittny C. Davis Lynn Chunfeng Ren Esther Salazar Bridget K. Ambrose The contribution of smoking-attributable mortality to differences in mortality and life expectancy among US African-American and white adults, 2000-2019 Demographic Research african americans disparities life expectancy mortality smoking |
| title | The contribution of smoking-attributable mortality to differences in mortality and life expectancy among US African-American and white adults, 2000-2019 |
| title_full | The contribution of smoking-attributable mortality to differences in mortality and life expectancy among US African-American and white adults, 2000-2019 |
| title_fullStr | The contribution of smoking-attributable mortality to differences in mortality and life expectancy among US African-American and white adults, 2000-2019 |
| title_full_unstemmed | The contribution of smoking-attributable mortality to differences in mortality and life expectancy among US African-American and white adults, 2000-2019 |
| title_short | The contribution of smoking-attributable mortality to differences in mortality and life expectancy among US African-American and white adults, 2000-2019 |
| title_sort | contribution of smoking attributable mortality to differences in mortality and life expectancy among us african american and white adults 2000 2019 |
| topic | african americans disparities life expectancy mortality smoking |
| url | https://www.demographic-research.org/articles/volume/46/31 |
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