banner: American Mortality Project at Penn 2021

Irma T. Elo & Samuel H. Preston of the Population Aging Research Center (PARC) at the University of Pennsylvania lead the American Mortality Project, aligned with their research theme “Health Disparities in Aging.” AMP has been funded by three NIA-BSR awards and an RWJF award, and published 21 papers to date involving 8 current or former students.

Two recent papers include:

Graetz, Nick and Irma T. Elo. 2021. “Decomposing County-Level Working-Age Mortality Trends in the United States between 1999–2001 and 2015–2017.” Spatial Demography.

Preston, Samuel H. and Yana C. Vierboom. 2021. “Excess Mortality in the United States in the 21st Century.” Proceedings of the National Academy of Sciences of the United States of America 118(16):e2024850118. PMCID: PMC8072323.

From the Project:
The turn of the 21st century has been a challenging period for American mortality. Life expectancy in the United States ranked 30th in the world in 2010 and is much lower than in other high-income countries. Since 2010, a stagnation in U.S. life expectancy has caused the U.S. to fall even further behind its peer countries; U.S. life expectancy increased only by 0.14 years between 2010 and 2015, the smallest 5-year increase on record since 1970. At the same time, recent decades have been characterized by large and growing socioeconomic and geographic inequalities in health and mortality within the United States. Recent trends show remarkable improvements in life expectancy in large metropolitan areas. Sizeable differences in life expectancy exist across regions, but large central metros have performed uniformly well since 1990 across all regions. In contrast, non-metro areas have experienced much smaller improvements or even stagnation in life expectancy over the past 25 years. Most prior studies focused on geographic differences in life expectancy across counties, states, or regions, which has obscured a central dimension driving these geographic differences – urbanicity. The degree of urbanicity of one’s place of residence is itself an important stratifying dimension of socioeconomic status (SES) and access to health care services.