College of Health Solutions, Arizona State University, Phoenix, AZ, United States of America.
Pennsylvania State University, University Park, PA, United States of America.
Prev Med. 2019 Oct;127:105793. doi: 10.1016/j.ypmed.2019.105793. Epub 2019 Aug 6.
The current study is an original investigation of the U.S. mortality pattern from 2000 to 2017. Previous research has shown that the unusual post-2014 decline in life expectancy is related to the increase in death rates for ages 25-44, mostly due to rising prevalence in drug poisoning and suicide deaths. Our investigation reveals that such increase in younger-age mortality has had an impact not only on life expectancy (or mean age at death), but also, and to a larger extent, on lifespan variability (the dispersion around the mean age at death). Even though lifespan variability is a key component of mortality change, as well as a measure of human well-being, with social, economic, and psychological implications, it has received much less attention than life expectancy has.
本研究是对 2000 年至 2017 年美国死亡率模式的一项原创性调查。先前的研究表明,2014 年后预期寿命的异常下降与 25-44 岁年龄段死亡率的上升有关,主要是由于药物中毒和自杀死亡的发生率上升。我们的调查显示,这种较低年龄段死亡率的增加不仅对预期寿命(或平均死亡年龄)产生了影响,而且对寿命变异性(围绕平均死亡年龄的离散程度)的影响更大。尽管寿命变异性是死亡率变化的一个关键组成部分,也是衡量人类福祉的一个指标,具有社会、经济和心理方面的影响,但它受到的关注远不及预期寿命。