US life expectancy is falling – here’s why.

Here’s a map of American counties whose residents enjoy
a life expectancy of more than eighty years. 

It was drafted by Spooderman89 on Reddit using mapchart.com.

I believe the only states with not a single long-lived county are Mississippi and Delaware.

Why do Americans have shorter life expectancy and worse health than people in other high-income countries? (nih.gov)

Falling behind: life expectancy in US counties from 2000 to 2007 in an international context (nih.gov)

Life Expectancy by Country and in the World (2021) – Worldometer
USA LIFE EXPECTANCY BY COUNTY (worldlifeexpectancy.com)
List of U.S. states and territories by life expectancy – Wikipedia
US Counties With The Longest Life Expectancy – World Atlas
List of U.S. counties with longest life expectancy – Wikipedia
Life expectancy at birth – The World Factbook (cia.gov)
Why is life expectancy in the US so low? – Big Think
Life Expectancy in U.S. Cities | Cheapism.com
U.S. Life Expectancy 1950-2021 | Macrotrends

[PDF]Mortality and Life Expectancy in Rural America: Connecting …

American Counties with the Shortest Life Expectancy 
By Samuel Stebbins

List of U.S. counties with shortest life expectancy – Wikipedia

Life expectancy is one of the most important and commonly cited indicators of
population health — and in the United States, life expectancy is falling at a historic rate. According to the Centers for Disease Control and Prevention, life expectancy at birth declined by 1.5 years in 2020, the largest one-year drop since World War II.
The CDC attributes the decline to the COVID-19 pandemic and 93,000 drug overdose deaths — an all-time one-year high. Homicide, diabetes, and liver disease were also contributing factors.

 Here is a look at the states with the most drug overdose deaths in 2020.
Even before the pandemic, there were parts of the country were life expectancy
at birth was far lower than the national average (in some cases by 10 years or more.)

Using data from County Health Rankings & Roadmaps, a Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute joint program, 24/7 Wall St. identified the 50 U.S. counties with the shortest average life expectancy at birth. Life expectancy figures are averages for the years 2017 through 2019, the most recent period for which county-level data is available.

Among the counties and county equivalents on this list, average life expectancy at birth ranges from 70.9 years to less than 65 years — compared to the national average of 79.2 years. The majority of the counties on this list are located in the South, including 10 in Mississippi alone.

Variations in life expectancy are tied to a number of both economic and behavioral factors. For example, tobacco use is the leading cause of preventable death in the U.S., and in every county on this list, the share of adults who smoke is above the 16.6% national average. 

Here is a look at the American cities where the most people smoke.

Income levels are linked to life expectancy. Poverty, for example, presents challenges and stressors that can take a cumulative toll on both physical and mental health. Additionally, lower-income Americans are less able to afford adequate healthcare or a range of healthy options related to diet and lifestyle. Recent studies have shown that life expectancy among the wealthiest 1% of Americans exceeds that of the poorest 1% by well over a decade. In all but a few counties on this list, the poverty rate exceeds the 13.4% national average.

Having This Many Drinks a Week Slashes Your Heart Attack Risk, New Study Finds.

Life expectancy in the US is falling, but why? | World Economic Forum (weforum.org)

List of countries by life expectancy – Wikipedia
    

image.png WORLD LIFE EXPECTANCY MAP

The Longest-Lived Empires in History (msn.com)
What exercise burns the most calories? (msn.com)

The Most Sleep Deprived Cities in America (msn.com)

Question: Are inequalities in life expectancy among counties in the United States
growing or diminishing, and what factors can explain differences in life expectancy
among counties?

This state has the highest cancer rate in America, according to data (msn.com)

Life expectancy at birth for the population as a whole has been increasing for over a century.  Life expectancy in most US counties falls behind world’s healthiest nations Publication date: June 15, 2011The most current county-level analysis finds large disparities nationwide. Women fare worse than men, and people in Appalachia,
the Deep South, and Northern Texas live the shortest lives.

June 15, 2011 – While people in Japan, Canada, and other nations are enjoying significant gains in life expectancy every year, most counties within the United States are falling behind, according to a new study by the Institute for Health Metrics and Evaluation (IHME) at the University of Washington.

IHME researchers, in collaboration with researchers at Imperial College London,
found that between 2000 and 2007, more than 80% of counties fell in standing against
the average of the 10 nations with the best life expectancies in the world, known as the international frontier. “We are finally able to answer the question of how the US fares in comparison to its peers globally,” said Dr. Christopher Murray, IHME Director and one
of the paper’s co-authors. “Despite the fact that the US spends more per capita than any other nation on health, eight out of every 10 counties are not keeping pace in terms of health outcomes. That’s a staggering statistic.” 

The study, falling behind: life expectancy in US counties from 2000 to 2007
in an international context, was published June 15, 2011, in BioMed Central’s open-access journal Population Health Metrics. In conjunction with the study, IHME is releasing a complete time series for life expectancy from 1987 to 2007 for all counties, the most up-to-date analysis available.  When compared to the international frontier for life expectancy, US counties range from being 16 calendar years ahead to more than 50 behind for women. For men, the range is from 15 calendar years ahead to more than 50 calendar years behind. This means that some counties have a life expectancy today that nations with the best health outcomes had in 1957. The researchers suggest that the relatively low life expectancies in the US cannot be explained by the size of the nation, racial diversity, or economics. Instead, the authors point to high rates of obesity, tobacco use, and other preventable risk factors for an early death as the leading drivers of the gap between the US and other nations.  

Five counties in Mississippi have the lowest life expectancies for women, all below
74.5 years, putting them behind nations such as Honduras, El Salvador, and Peru.

Four of those counties, along with Humphreys County, MS, have the lowest life expectancies for men, all below 67 years, meaning they are behind Brazil, Latvia, and the Philippines. Women live the longest in Collier, FL, at 86 years on average, better than France, Switzerland, and Spain. Men live the longest in Fairfax County, VA, at 81.1 years, which is higher than life expectancies in Japan and Australia. Women are also living long lives in Teton, Wyoming; San Mateo and Marin, California; and Montgomery, Maryland. For men, long life spans also can be found in Marin, California; Montgomery, Maryland; Santa Clara, California; and Douglas, Colorado. 

Nationwide, women fare more poorly than men. The researchers found that women in 1,373 counties – about 40% of US counties – fell more than five years behind the nations with the best life expectancies. Men in about half as many counties – 661 total – fell that far.  Black men and women have lower life expectancies than white men and women in all counties. Life expectancy for black women ranges from 69.6 to 82.6 years, and for black men, from 59.4 to 77.2 years. In both cases, no counties are ahead of the international frontier, and some are more than 50 years behind. The researchers were not able to analyze other race categories because of low population levels in many counties. 

Change in life expectancy is so uneven that within some states there is now a decade difference between the counties with the longest lives and those with the shortest. States such as Arizona, Florida, Virginia, and Georgia have seen counties leap forward more than five years from 1987 to 2007 while nearby counties stagnate or even lose years of life expectancy. In Arizona, Yuma County’s average life expectancy for men increased 8.5 years, nearly twice the national average, while neighboring La Paz County lost a full year of life expectancy, the steepest drop nationwide. Nationally, life expectancy increased 4.3 years for men and 2.4 years for women between 1987 and 2007. “By creating this time series, which has never been available at the county level, we hope states and counties will be able to take targeted action,” Dr. Sandeep Kulkarni, an IHME research fellow and the paper’s lead author, said. “Counties in one part of the state should not be benefiting from big increases in life expectancy while other counties are actually seeing life spans shrink.” 

The authors propose that state and local policymakers use the life expectancy data and the county comparisons to tailor strategies that will fit the dynamics of their communities. This resonates with local policymakers, such as Dr. David Fleming, Director of Public Health – Seattle & King County. “It’s not the healthcare system that’s having the biggest impact on health; it’s the community,” Dr. Fleming said. “The average person in the US spends one hour annually in a physician’s office unless they are really sick. So, until we start moving our interventions out into the communities where people live, we are not going to get ahead of these problems.” 

The Seattle & King County health department is collaborating with IHME
on an ambitious analysis of health in King County, one of the largest studies of its kind. Called the Monitoring Disparities in Chronic Conditions (MDCC) Study researchers are integrating data from emergency medical services, hospital discharge databases, pharmacy records, and other sources to identify the biggest health challenges in King County. They are surveying 9,000 people and taking blood samples to analyze for a range of risk factors and diseases.  “We are building the evidence for focused interventions that will make an impact locally,” said Dr. Ali Mokdad, Professor of Global Health at IHME, who is leading the MDCC Study. “If we as a society are going to fund programs to improve health, we must ensure that we are measuring the impact, because these life expectancy numbers show that what we have been doing up until now clearly is not working.” 

The Institute for Health Metrics and Evaluation (IHME) is an independent global research center at the University of Washington providing sound measurement of population health and the factors that determine health, as well as rigorous evaluation of health system and health program performance. The Institute’s goal is to improve population health by providing the best evidence possible to guide health policy – and by making that evidence easily accessible to decision-makers as they strategically fund, design, and implement programs to improve health outcomes worldwide. IHME was created in 2007 through funding from the Bill & Melinda Gates Foundation and the state of Washington. 

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