The racial crossover in comorbidity, disability, and mortality
- Nan E. Johnson
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This study analyzed one respondent per household who was age 70 or more at the time of the household’s inclusion in Wave 1 (1993–1994) and whose survival status was determinable at Wave 2 (1995–1996) of the Survey on Asset and Health Dynamics Among the Oldest Old (AHEAD Survey). At age 76 at Wave 1, there was a racial crossover in the cumulative number of six potentially fatal diagnoses (chronic lung disease, cancer, heart disease, hypertension, diabetes, and stroke) from a higher cumulative average number for blacks to a higher average number for whites. Also, there was a racial crossover at age 86 in the cumulative average number of disabilities in the Advanced Activities of Daily Living (AADLs), from a higher average for blacks to a higher average for whites. Between Waves 1 and 2, there was a racial crossover in the odds of mortality from higher odds for blacks to higher odds for whites; this occurred at about age 81. The results are consistent with the interpretation that the racial crossover in comorbidity (but not the crossover in AADL disability) propelled the racial crossover in mortality.
- Andersen, R.M., R.M. Mullner, and L.J. Cornelius. 1987. “Black-White Differences in Health Status: Methods or Substance?” Milbank Quarterly 65 (Supp. 1):72–99. CrossRef
- “Black and White View of Veins.” 1994. Science 265 (July 8):183.
- Boring, C.C., T.S. Squires, T. Tong, and S. Montgomery. 1994. Cancer Statistics, 1994. Atlanta: American Cancer Society.
- Christenson, B.A. and N.E. Johnson. 1993. “Racial Differences in Mortality in Michigan: Are African Americans Better Off Than in 1960?” Pp. 49–72 in Policy Choices: Framing the Debate for Michigan’s Future, edited by T.S. Bynum, J. Cutcher-Gershenfeld, P.T.H. Grummon, B.P. Mullan, K. Roberts, and C.S. Weissert. East Lansing: Michigan State University.
- —. 1995. “Educational Inequality in Adult Mortality: An Assessment With Death Certificate Data From Michigan.” Demography 32:215–29. CrossRef
- Clark, D.O. and R.C. Gibson. 1997. “Race, Age, Chronic Disease, and Disability.” Pp. 107–26 in Minorities, Aging, and Health, edited by K.S. Markides and M.R. Miranda. Thousand Oaks, CA: Sage.
- Coale, A. and E.E. Kisker. 1986. “Mortality Crossovers: Reality or Bad Data?” Population Studies 40:389–401. CrossRef
- Corti, M.-C., J.M. Guralnik, L. Ferrucci, G. Izmirlian, S.G. Leveille, M. Pahor, H.J. Cohen, C. Pieper, and R.J. Havlik. 1999. “Evidence of a Black-White Crossover in All-Cause and Coronary Heart Disease Mortality in an Older Population: The North Carolina EPESE.” American Journal of Public Health 89(3): 308–14. CrossRef
- Crews, D.E. and L.M. Gerber. 1994. “Chronic Degenerative Diseases and Aging.” Pp. 154–81 in Biological Anthropology and Aging: Perspectives on Human Variation Over the Life Span, edited by D.E. Crews and R.M. Garruto. New York: Oxford University Press.
- Guralnik, J.M., K.C. Land, D. Blazer, G.G. Fillenbaum, and L.G. Branch. 1993. “Educational Status and Active Life Expectancy Among Older Blacks and Whites.” New England Journal of Medicine 329:110–16. CrossRef
- Hames, C.G., K. Rose, M. Knowles, C.E. Davis, and H.A. Tyroler. 1993. “Black-White Comparisons of 20-Year Coronary Heart Disease Mortality in the Evans County Heart Study.” Cardiology 82:122–36. CrossRef
- Israel, R.A., H.M. Rosenberg, and L.R. Curtin. 1986. “Analytical Potential for Multiple Cause-of-Death Data.” American Journal of Epidemiology 124:161–79.
- Johnson, N.E. and B.A. Christenson. 1998. “Socio-Demographic Correlates of Multiple Causes of Death: Real or Artifactual?” Population Research and Policy Review 17:261–74. CrossRef
- Kestenbaum, B. 1992. “A Description of the Extreme Aged Population Based on Improved Medicare Enrollment Data.” Demography 29:565–80. CrossRef
- Land, K., J. Guralnik, and D. Blazer. 1994. “Estimating Increment-Decrement Life Tables With Multiple Covariates From Panel Data: The Case of Active Life Expectancy.” Demography 31:297–319. CrossRef
- LeClere, F.B., R.G. Rogers, and K.D. Peters. 1997. “Ethnicity and Mortality in the United States: Individual and Community Correlates.” Social Forces 76:169–98. CrossRef
- Liu, X. and M. Witten. 1995. “A Biologically Based Explanation for Mortality Crossover in Human Populations.” The Gerontologist 35:609–15.
- Mansfield, C.J., J.L. Wilson, E.J. Kobrinski, and J. Mitchell. 1999. “Premature Mortality in the United States: The Roles of Geographic Area, Socioeconomic Status, and Availability of Medical Care.” American Journal of Public Health 89:893–98. CrossRef
- Manton, K.G. 1980. “Sex and Race Specific Mortality Differentials in Multiple Cause of Death Data.” The Gerontologist 20:480–93.
- Manton, K., S.S. Poss, and S. Wing. 1979. “The Black/White Mortality Crossover: Investigation From the Perspective of the Components of Aging.” The Gerontologist 19:291–300.
- Manton, K.G. and E. Stallard. 1997a. “Health and Disability Differences Among Racial and Ethnic Groups.” Pp. 43–105 in Racial and Ethnic Differences in the Health of Older Americans, edited by L.G. Martin and B.J. Soldo. Washington, DC: National Academy Press.
- —. 1997b. “Medical Demography: Interaction of Disability Dynamics and Mortality.” Pp. 217–78 in Demography of Aging, edited by L.G. Martin and S.H. Preston. Washington, DC: National Academy Press.
- Menchik, P.L. 1993. “Economic Status as a Determinant of Mortality Among Black and White Older Men: Does Poverty Kill?” Population Studies 47:427–36. CrossRef
- Nam, C.B. 1990. “Mortality Differentials from a Multiple Cause of Death Perspective.” Pp. 328–42 in Measurement and Analysis of Mortality: New Approaches, edited by J. Vallin, S. D’Souza, and A. Palloni. Oxford: Clarendon.
- — 1995. “Another Look at Mortality Crossovers.” Social Biology 42:133–42.
- Nam, C.B., N.L. Weatherby, and K.A. Ockay. 1978. “Causes of Death Which Contribute to the Mortality Crossover Effect.” Social Biology 25:306–14.
- National Center for Health Statistics. 1996a. Vital Statistics of the United States 1992. Volume 2: Mortality. Part A, Section 6: “Life Tables.” Washington, DC: U.S. Government Printing Office.
- —. 1996b. Health, United States, 1998. Washington, DC: U.S. Government Printing Office.
- Ness, R., H.M. Schotland, K.M. Flegal, and F.S. Shofer. 1994. “Reproductive History and Coronary Heart Disease Risk in Women.” Epidemiological Reviews 16:298–314.
- Parnell, A.M. and C.R. Owens. 1999. “Evaluation of U.S. Mortality Patterns at Old Ages Using the Medicare Enrollment Data Base.” Demographic Research 1(2):1–30.
- Preston, S.H., I.T. Elo, I. Rosenwaike, and M. Hill. 1996. “African American Mortality at Older Ages: Results of a Matching Study.” Demography 33:193–209. CrossRef
- Preston, S.H., I.T. Elo, and Q. Stewart. 1997. “Effects of Age Misreporting on Mortality Estimates at Older Ages.” Working Paper 98-01, Population Aging Research Center, Philadelphia.
- Rogers, R.G. 1995. “Marriage, Sex, and Mortality.” Journal of Marriage and the Family 57:515–26. CrossRef
- Rogers, R.G., J.A. Carrigan, and M.G. Kovar. 1997. “Comparing Mortality Estimates Based on Different Administrative Records.” Population Research and Policy Review 16:213–24. CrossRef
- Rogers, R.G., R.A. Hummer, and C.B. Nam. 1999. Living and Dying in the USA: Behavioral, Health, and Social Differentials in Adult Mortality. New York: Academic Press.
- Soldo, B., M. Hurd, W. Rodgers, and R. Wallace. 1997. “Asset and Health Dynamics Among the Oldest Old: An Overview of the AHEAD Survey.” Journals of Gerontology (Psychological and Social Sciences) 52B(May):1–20.
- Sorlie, P.D., E. Backlund, N.J. Johnson, and E. Rogot. 1993. “Mortality by Hispanic Status in the United States.” Journal of the American Medical Association 270:2464–68. CrossRef
- Smith, J.P. and R. Kington. 1997. “Demographic and Economic Correlates of Health in Old Age.” Demography 34:159–70. CrossRef
- Spiegelman, M. 1948. “The Longevity of Jews in Canada, 1940–1942.” Population Studies 2:292–304. CrossRef
- Svetkey, L.P., L.K. George, B.M. Burchett, P.A. Morgan, and D.G. Blazer. 1993. “Black/White Differences in Hypertension in the Elderly: An Epidemiologic Analysis in Central North Carolina.” American Journal of Epidemiology 137:64–73.
- Swallen, K.C. 1997. “Cross-National Comparisons of Mortality Differentials: Immigrants to the U.S. and Stayers in Common Countries of Origin.” Presented at the annual meetings of the Population Association of America, March 28, Washington, DC.
- Thornton, R.G. and C.B. Nam. 1968. “The Lower Mortality Rates of Nonwhites at the Older Ages: An Enigma in Demographic Analysis.” Research Reports in Social Science 11(1):1–8.
- Trovato, F. 1993. “Differential Mortality Between Immigrants and the Canadian-Born, 1985–87: General and Cause-Specific.” Presented at the twenty-second general conference of the International Union for the Scientific Study of Population, August 24–September 1, Montreal.
- Verbrugge, L.M. and A.M. Jette. 1994. “The Disablement Process.” Social Science and Medicine 38(1):1–14. CrossRef
- Verbrugge, L.M., L.-S. Yang, and L. Juarez. 1999. “Multiple Disabilities: Patterns, Severity, and Duration.” Presented at the annual meetings of the Population Association of America, March 27, New York.
- Wing, S., K.G. Manton, E. Stallard, C.G. Hames, and H.A. Tyroler. 1985. “The Black/White Mortality Crossover: Investigation in a Community-Based Study.” Journal of Gerontology 40:78–84.
- The racial crossover in comorbidity, disability, and mortality
Volume 37, Issue 3 , pp 267-283
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- Nan E. Johnson (1)
- Author Affiliations
- 1. Sociology Department, Michigan State University, 48824-1111, East Lansing, MI