Abstract

The Health Inequality Project uses big data to measure differences in life expectancy by income across areas and identify strategies to improve health outcomes for low-income Americans.

Section 7

This table reports life expectancy point estimates and standard errors for men and women at age 40 for each percentile of the national income distribution. Both race-adjusted and unadjusted estimates are reported.

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Section 13

This table reports life expectancy point estimates and standard errors for men and women at age 40 for each percentile of the national income distribution separately by year. Both race-adjusted and unadjusted estimates are reported.

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Section 6

This dataset was created on 2020-01-10 18:53:00.508 by merging multiple datasets together. The source datasets for this version were:

Commuting Zone Life Expectancy Estimates by year: CZ-level by-year life expectancy estimates for men and women, by income quartile

Commuting Zone Life Expectancy: Commuting zone (CZ)-level life expectancy estimates for men and women, by income quartile

Commuting Zone Life Expectancy Trends: CZ-level estimates of trends in life expectancy for men and women, by income quartile

Commuting Zone Characteristics: CZ-level characteristics

Commuting Zone Life Expectancy for larger populations: CZ-level life expectancy estimates for men and women, by income ventile

Section 15

This table reports life expectancy point estimates and standard errors for men and women at age 40 for each quartile of the national income distribution by state of residence and year. Both race-adjusted and unadjusted estimates are reported.

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Section 11

This table reports US mortality rates by gender, age, year and household income percentile. Household incomes are measured two years prior to the mortality rate for mortality rates at ages 40-63, and at age 61 for mortality rates at ages 64-76. The “lag” variable indicates the number of years between measurement of income and mortality.

Observations with 1 or 2 deaths have been masked: all mortality rates that reflect only 1 or 2 deaths have been recoded to reflect 3 deaths

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Section 3

This table reports coefficients and standard errors from regressions of life expectancy estimates for men and women at age 40 for each quartile of the national income distribution on calendar year by commuting zone of residence. Only the slope coefficient, representing the average increase or decrease in life expectancy per year, is reported. Trend estimates for both race-adjusted and unadjusted life expectancies are reported. Estimates are reported for the 100 largest CZs (populations greater than 590,000) only.

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Section 9

This table reports life expectancy estimates at age 40 for Males and Females for all countries. Source: World Health Organization, accessed at: http://apps.who.int/gho/athena/

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Section 10

This table reports life expectancy point estimates and standard errors for men and women at age 40 for each quartile of the national income distribution by county of residence. Both race-adjusted and unadjusted estimates are reported. Estimates are reported for counties with populations larger than 25,000 only

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Section 2

This table reports life expectancy point estimates and standard errors for men and women at age 40 for each quartile of the national income distribution by commuting zone of residence and year. Both race-adjusted and unadjusted estimates are reported. Estimates are reported for the 100 largest CZs (populations greater than 590,000) only.

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Section 8

This table reports US population and death counts by age, year, and sex from various sources. Counts labelled “dm1” are derived from the Social Security Administration Data Master 1 file. Counts labelled “irs” are derived from tax data. Counts labelled “cdc” are derived from NCHS life tables.

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Section 12

This table reports numerous county characteristics, compiled from various sources. These characteristics are described in the county life expectancy table.

Two variables constructed by the Cen

We used individual-level death data to estimate county-level life expectancy at 25 (e25) for Whites, Black, AIAN and Asian in the contiguous US for 2000-2005. Race-sex-stratified models were used to examine the associations among e25, rurality and specific race proportion, adjusted for socioeconomic variables. Individual death data from the National Center for Health Statistics were aggregated as death counts into five-year age groups by county and race-sex groups for the contiguous US for years 2000-2005 (National Center for Health Statistics 2000-2005). We used bridged-race population estimates to calculate five-year mortality rates. The bridged population data mapped 31 race categories, as specified in the 1997 Office of Management and Budget standards for the collection of data on race and ethnicity, to the four race categories specified under the 1977 standards (the same as race categories in mortality registration) (Ingram et al. 2003). The urban-rural gradient was represented by the 2003 Rural Urban Continuum Codes (RUCC), which distinguished metropolitan counties by population size, and nonmetropolitan counties by degree of urbanization and adjacency to a metro area (United States Department of Agriculture 2016). We obtained county-level sociodemographic data for 2000-2005 from the US Census Bureau. These included median household income, percent of population attaining greater than high school education (high school%), and percent of county occupied rental units (rent%). We obtained county violent crime from Uniform Crime Reports and used it to calculate mean number of violent crimes per capita (Federal Bureau of Investigation 2010). This dataset is not publicly accessible because: EPA cannot release personally identifiable information regarding living individuals, according to the Privacy Act and the Freedom of Information Act (FOIA). This dataset contains information about human research subjects. Because there is potential to identify individual participants and disclose personal information, either alone or in combination with other datasets, individual level data are not appropriate to post for public access. Restricted access may be granted to authorized persons by contacting the party listed. It can be accessed through the following means: Request to author. Format: Data are stored as csv files.

This dataset is associated with the following publication: Jian, Y., L. Neas, L. Messer, C. Gray, J. Jagai, K. Rappazzo, and D. Lobdell. Divergent trends in life expectancy across the rural-urban gradient among races in the contiguous United States. International Journal of Public Health. Springer Basel AG, Basel, SWITZERLAND, 64(9): 1367-1374, (2019).

To estimate county of residence of Filipinx healthcare workers who died of COVID-19, we retrieved data from the Kanlungan website during the month of December 2020.22 In deciding who to include on the website, the AF3IRM team that established the Kanlungan website set two standards in data collection. First, the team found at least one source explicitly stating that the fallen healthcare worker was of Philippine ancestry; this was mostly media articles or obituaries sharing the life stories of the deceased. In a few cases, the confirmation came directly from the deceased healthcare worker's family member who submitted a tribute. Second, the team required a minimum of two sources to identify and announce fallen healthcare workers. We retrieved 86 US tributes from Kanlungan, but only 81 of them had information on county of residence. In total, 45 US counties with at least one reported tribute to a Filipinx healthcare worker who died of COVID-19 were identified for analysis and will hereafter be referred to as “Kanlungan counties.” Mortality data by county, race, and ethnicity came from the National Center for Health Statistics (NCHS).24 Updated weekly, this dataset is based on vital statistics data for use in conducting public health surveillance in near real time to provide provisional mortality estimates based on data received and processed by a specified cutoff date, before data are finalized and publicly released.25 We used the data released on December 30, 2020, which included provisional COVID-19 death counts from February 1, 2020 to December 26, 2020—during the height of the pandemic and prior to COVID-19 vaccines being available—for counties with at least 100 total COVID-19 deaths. During this time period, 501 counties (15.9% of the total 3,142 counties in all 50 states and Washington DC)26 met this criterion. Data on COVID-19 deaths were available for six major racial/ethnic groups: Non-Hispanic White, Non-Hispanic Black, Non-Hispanic Native Hawaiian or Other Pacific Islander, Non-Hispanic American Indian or Alaska Native, Non-Hispanic Asian (hereafter referred to as Asian American), and Hispanic. People with more than one race, and those with unknown race were included in the “Other” category. NCHS suppressed county-level data by race and ethnicity if death counts are less than 10. In total, 133 US counties reported COVID-19 mortality data for Asian Americans. These data were used to calculate the percentage of all COVID-19 decedents in the county who were Asian American. We used data from the 2018 American Community Survey (ACS) five-year estimates, downloaded from the Integrated Public Use Microdata Series (IPUMS) to create county-level population demographic variables.27 IPUMS is publicly available, and the database integrates samples using ACS data from 2000 to the present using a high degree of precision.27 We applied survey weights to calculate the following variables at the county-level: median age among Asian Americans, average income to poverty ratio among Asian Americans, the percentage of the county population that is Filipinx, and the percentage of healthcare workers in the county who are Filipinx. Healthcare workers encompassed all healthcare practitioners, technical occupations, and healthcare service occupations, including nurse practitioners, physicians, surgeons, dentists, physical therapists, home health aides, personal care aides, and other medical technicians and healthcare support workers. County-level data were available for 107 out of the 133 counties (80.5%) that had NCHS data on the distribution of COVID-19 deaths among Asian Americans, and 96 counties (72.2%) with Asian American healthcare workforce data. The ACS 2018 five-year estimates were also the source of county-level percentage of the Asian American population (alone or in combination) who are Filipinx.8 In addition, the ACS provided county-level population counts26 to calculate population density (people per 1,000 people per square mile), estimated by dividing the total population by the county area, then dividing by 1,000 people. The county area was calculated in ArcGIS 10.7.1 using the county boundary shapefile and projected to Albers equal area conic (for counties in the US contiguous states), Hawai’i Albers Equal Area Conic (for Hawai’i counties), and Alaska Albers Equal Area Conic (for Alaska counties).20

Over the past 30 years, the birth rate in the United States has been steadily declining, and in 2023, there were 10.7 births per 1,000 of the population. In 1990, this figure stood at 16.7 births per 1,000 of the population. Demographics have an impact The average birth rate in the U.S. may be falling, but when broken down along ethnic and economic lines, a different picture is painted: Native Hawaiian and other Pacific Islander women saw the highest birth rate in 2022 among all ethnicities, and Asian women and white women both saw the lowest birth rate. Additionally, the higher the family income, the lower the birth rate; families making between 15,000 and 24,999 U.S. dollars annually had the highest birth rate of any income bracket in the States. Life expectancy at birth In addition to the declining birth rate in the U.S., the total life expectancy at birth has also reached its lowest value recently. Studies have shown that the life expectancy of both men and women in the United States has been declining over the last few years. Declines in life expectancy, like declines in birth rates, may indicate that there are social and economic factors negatively influencing the overall population health and well-being of the country.

Adjusted O.R. for neonatal deaths by mother's age at birth of child: Latin America and the Caribbean.

We collected county-level cumulative COVID-19 confirmed cases and death from Mar 25 to Nov 12, 2020, across the contiguous United States from USAFacts (usafacts.org). We considered Mar 25 to Jun 3 as the “1st wave”, Jun 4 to Sep 2 as the “2nd wave”, and Sep 3 to Nov 12 as the “3rd wave” of COVID-19. For the 2nd and 3rd waves, we analyzed the targeted counties in the sunbelt region (including AL, AZ, AR, CA, FL, GA, KS, LA, MS, NV, NM, NC, OK, SC, TX, TN, and UT states) and great plains region (including IA, IL, IN, KS, MI, MO, MN, ND, NE, OH, SD, and WI states), respectively. MIR, as a proxy for survival rate, is calculated by dividing the number of confirmed deaths in each county by the confirmed cases in the same county at the same time-period multiplied by 100. MIR ranges from 0%-100%, 100% indicating the worst situation where all confirmed cases have died.

Thirty-eight potential risk factors (covariates), including county-level MR of comorbidities & disorders, demographics & social factors, and environmental factors, were retrieved from the University of Washington Global Health Data Exchange (http://ghdx.healthdata.org/us-data). Comorbidities and disorders include CVD, cardiomyopathy and myocarditis and myocarditis, hypertensive heart disease, peripheral vascular disease, atrial fibrillation, cerebrovascular disease, diabetes, hepatitis, HIV/AIDS, tuberculosis (TB), lower respiratory infection, interstitial lung disease and pulmonary sarcoidosis, asthma, COPD, ischemia, mesothelioma, tracheal cancer, leukemia, pancreatic cancer, rheumatic disease, drug use disorder, and alcohol use disorder. Demographics & social factors include age, female African American%, female white American%, male African American%, male white American%, Asian%, smokers%, unemployed%, income rate, food insecurity, fair/poor health, and uninsured%. Environmental factors include county population density, air quality index (AQI), temperature, and PM. A descriptive table, including all potential risk factors, is provided in Table S1).

Costs in US dollars ($), DALYs averted, cost-effectiveness ratio, cases averted, and deaths averted for different vaccination programme scenarios compared to a counterfactual scenario without vaccination.

This statistic shows the 20 countries * with the lowest infant mortality rate in 2024. An estimated 1.5 out of 1,000 live births died in the first year of life in Slovenia and Singapore in 2024. Infant mortality Infant mortality rates are often used as an indicator of the health and well-being of a nation. Monaco, Iceland, and Japan are among the top three countries with the lowest infant mortality rates with around 2 infant deaths per 1,000 infants within their first year of life. Generally, the countries with the lowest infant mortality also have some of the highest average life expectancy figures. Additionally, the countries with the highest density of physicians and doctors also generally report low infant mortality. Yet, many different factors contribute to differing rates, including the overall income of a country, health spending per capita, a mother’s level of education, environmental conditions, and medical infrastructure, to name a few. This creates a lot of variation concerning the level of childbirth and infant care around the world. The countries with the highest rates of infant mortality include Afghanistan, Mali, and Somalia. These countries experience around 100 infant deaths per 1,000 infants in their first year of life. While the reasons for high rates of infant mortality are numerous, the leading causes of death for children under the year five around the world are Pneumonia, Diarrhea, and Prematurity.

The statistic shows the 20 countries with the lowest fertility rates in 2024. All figures are estimates. In 2024, the fertility rate in Taiwan was estimated to be at 1.11 children per woman, making it the lowest fertility rate worldwide. Fertility rate The fertility rate is the average number of children born per woman of child-bearing age in a country. Usually, a woman aged between 15 and 45 is considered to be in her child-bearing years. The fertility rate of a country provides an insight into its economic state, as well as the level of health and education of its population. Developing countries usually have a higher fertility rate due to lack of access to birth control and contraception, and to women usually foregoing a higher education, or even any education at all, in favor of taking care of housework. Many families in poorer countries also need their children to help provide for the family by starting to work early and/or as caretakers for their parents in old age. In developed countries, fertility rates and birth rates are usually much lower, as birth control is easier to obtain and women often choose a career before becoming a mother. Additionally, if the number of women of child-bearing age declines, so does the fertility rate of a country. As can be seen above, countries like Hong Kong are a good example for women leaving the patriarchal structures and focusing on their own career instead of becoming a mother at a young age, causing a decline of the country’s fertility rate. A look at the fertility rate per woman worldwide by income group also shows that women with a low income tend to have more children than those with a high income. The United States are neither among the countries with the lowest, nor among those with the highest fertility rate, by the way. At 2.08 children per woman, the fertility rate in the US has been continuously slightly below the global average of about 2.4 children per woman over the last decade.

In 2023, Switzerland led the ranking of countries with the highest average wealth per adult, with approximately ******* U.S. dollars per person. Luxembourg was ranked second with an average wealth of around ******* U.S. dollars per adult, followed by Hong Kong SAR. However, the figures do not show the actual distribution of wealth. The Gini index shows wealth disparities in countries worldwide. Does wealth guarantee a longer life? As the old adage goes, “money can’t buy you happiness”, yet wealth and income are continuously correlated to the quality of life of individuals in different countries around the world. While greater levels of wealth may not guarantee a higher quality of life, it certainly increases an individual’s chances of having a longer one. Although they do not show the whole picture, life expectancy at birth is higher in the wealthier world regions. Does money bring happiness? A number of the world’s happiest nations also feature in the list of those countries for which average income was highest. Finland, however, which was the happiest country worldwide in 2022, is missing from the list of the top twenty countries with the highest wealth per adult. As such, the explanation for this may be the fact that the larger proportion of the population has access to a high income relative to global levels. Measures of quality of life Criticism of the use of income or wealth as a proxy for quality of life led to the creation of the United Nations’ Human Development Index. Although income is included within the index, it also has other factors taken into account, such as health and education. As such, the countries with the highest human development index can be correlated to those with the highest income levels. That said, none of the above measures seek to assess the physical and mental environmental impact of a high quality of life sourced through high incomes. The happy planet index demonstrates that the inclusion of experienced well-being and ecological footprint in place of income and other proxies for quality of life results in many of the world’s materially poorer nations being included in the happiest.