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Are Americans Getting Sicker? An Analysis of Emerging Morbidity Trends

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Applied Demography and Public Health in the 21st Century

Part of the book series: Applied Demography Series ((ADS,volume 8))

Abstract

The improvement in the health status of the U.S. population during the 20th century is well documented. Over that century dramatic reductions were recorded for mortality rates (most notably for infant mortality and maternal mortality ), life expectancy markedly increased, and many killer diseases were eliminated as health threats. Americans became healthier as a result of higher standards of living, expanded public health functions and better diets. By the 1980s, however, observers began noting anomalies in the available data that suggest the trend toward improved health was moderating and the occasional piece of evidence that the trend was actually being reversed. By the dawn of the 21st century a growing body of evidence suggested that, in fact, Americans may be getting sicker. It would certainly be a noteworthy development if this adverse trend could be verified. However, a number of factors make it very difficult to determine if a reversal of America’s health fortunes are taking place. This paper addresses the challenges involved in definitively measuring trends in health status, reviews the evidence for declining health status, and considers the possible conclusions that can be drawn.

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References

  • Akinbami, L. J., Moorman, J. E., Bailey, C., et al. (2012). Trends in Asthma prevalence, health care use, and mortality in the United States, 2001–2010. NCHS Data Brief, 94, 1–8.

    Google Scholar 

  • American Lung Association. (2013). Trends in COPD (Chronic Bronchitis and Emphysema): Morbidity and mortality. Washington, DC: American Lung Association.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2014). Summary of notifiable disease—United States, 2011. Downloaded from URL: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6053a1.htm

  • Crescioni, M., Gorina, Y., Bilheimer, L., et al. (2010). Trends in health status and health care use among older men. Hyattsville, MD: National Center for Health Statistics. Downloaded from URL: http://www.cdc.gov/nchs/data/nhsr/nhsr024.pdf

  • Crimmins, E. M., & Beltrán-Sánchez, H. (2011). Mortality and morbidity trends: Is there compression of morbidity? Journal of Gerontology and Psychological Social Sciences, 66B(1), 75–86.

    Article  Google Scholar 

  • Delaney, L., & Smith, J. P. (2012). Childhood health: Trends and consequences over the life course. The Future of Children, 22(1), 43–63.

    Article  Google Scholar 

  • Feigin, V. L., Forouzanfar, M. H., Krishnamurthi, R., et al. (2013). Global and regional burden of stroke during 1990–2010: Findings from the global burden of disease study 2010. The Lancet. Online. Downloaded from URL: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61953-4/fulltext

  • Halfon, L., & Newacheck, P. W. (2010). Evolving notions of childhood chronic illness. JAMA, 303(7), 665–666.

    Article  Google Scholar 

  • Hausmann, R., Tyson, L. D., & Zahidi, S. (2012). The global gender gap report 2012. Geneva: World Economic Forum.

    Google Scholar 

  • Hoyert, D. (2012). 75 Years of mortality in the United States: 1935–2010. NCHS Brief, 88, 1–8.

    Google Scholar 

  • Institute of Medicine. (2006). Preventing childhood obesity: How do we measure up? Washington, DC: National Academies Press.

    Google Scholar 

  • Jasso, G., Massey, D. S., Rosenzweig, M. R., et al. (2004). Immigrant health: Selectivity and acculturation. In N. B. Anderson, R. A. Bulatao & B. Cohen (Eds.), Critical perspectives on racial and ethnic differences in health in late life. Washington: National Academies Press.

    Google Scholar 

  • Kassenbaum, N. J. (Ed.). (2014). Global, regional, and national levels and causes of maternal mortality during 1990–2013: A systematic analysis for the global burden of disease study 2013. The Lancet (May 2). Downloaded from URL: http://download.thelancet.com/flatcontentassets/pdfs/S0140673614604979.pdf

  • Kindig, D. A., & Cheng, E. R. (2013). Even as mortality fell in most US counties, female mortality nonetheless rose in 42.8 percent of counties from 1992 to 2006. Health Affairs, 31(3), 451–458.

    Article  Google Scholar 

  • Kistler, C. E., Walter, L. C., Mitchell, C. M., & Sloane, P. D. (2010). Patient perceptions of mistakes in ambulatory care. Archives of Internal Medicine, 170(16), 1480–1487.

    Article  Google Scholar 

  • Kuhn, R., Rahman, O., & Menken, J. (2006). Survey measures of health: How well do self-reported and observed indicators measure health and predict mortality. In B. Cohen & J. Menken (Eds.), Aging in sub-Saharan Africa. Washington, DC: National Academies Press.

    Google Scholar 

  • Maron, D. F. (2015). Has maternal mortality really doubled in the U.S.? Scientific American (June 6). Downloaded from URL: http://www.scientificamerican.com/article/has-maternal-mortality-really-doubled-in-the-u-s/

  • Martin, J. A., Hamilton, B. E., Ventura, S. V., et al. (2002). Vital statistics of the United States, 1971–2001. Hyattsville, MD: National Center for Health Statistics.

    Google Scholar 

  • Matthews, T. J., Clarke, S., & Singh, G. (1994). Annual summary of births, marriages, divorces, and deaths: United States, 1993. Monthly Vital Statistics Report, 42(13), 1–36.

    Google Scholar 

  • Murray, C. J. L., Abraham, J., Ali, M. K., et al. (2013). The state of US health: 1990–2010: Burden of diseases, injuries and risk factors. Journal of the American Medical Association. Downloaded from URL: http://jama.jamanetwork.com/article.aspx?articleid=1710486&utm_source

  • National Center for Health Statistics. (2010). Death rates for 358 selected causes, by 10-year age groups, race, and sex: United States, 1999–2007. Bethesda, MD: National Center for Health Statistics. Downloaded from URL: http://www.cdc.gov/nchs/data/dvs/MortFinal2007_Worktable12.pdf

  • National Center for Health Statistics. (2013). Health, United States: 2012. Hyattsville, MD: National Center for Health Statistics.

    Google Scholar 

  • National Heart, Lung and Blood Institute. (2013). What are the health risks of overweight and obesity? Downloaded from URL: http://www.nhlbi.nih.gov/health/health-topics/topics/obe/risks.html

  • Olshanky, S. J., Antonucci, T., Berkman, L., et al. (2012). Differences in life expectancy due to race and educational differences are widening, and many may not catch up. Health Affairs, 2012(31), 1803–1813.

    Article  Google Scholar 

  • Robinson, K. (2007). Trends in health status and health care use among older women. Hyattsville, MD: National Center for Health Statistics. Downloaded from URL: http://www.cdc.gov/nchs/data/ahcd/agingtrends/07olderwomen.pdf

  • Saloman, J. A., Nordhagen, S., Oza, S., & Murray, C. J. L. (2009). Are Americans feeling less healthy? The puzzle of trends in self-rated health. American Journal of Epidemiology, 170(3), 343–351.

    Article  Google Scholar 

  • Schlipköter, U., & Flahault, A. (2010). Communicable diseases: Achievements and challenges for public health. Public Health Reviews, 32(1), 90–119.

    Google Scholar 

  • Trust for America’s Health. (2012). Bending the obesity cost curve: Reducing obesity rates by five percent could lead to more than $29 billion in health care savings in five years. Washington, DC: Trust for America’s Health.

    Google Scholar 

  • Wang, H., Schumacher, A. E., Levitz, C. E., et al. (2013). Left behind: Widening disparities for males and females in US county life expectancy, 1985–2010. Population Health Metrics, 11, 8.

    Article  Google Scholar 

  • Wilson, K., Elliott, S. J., Eyles, J. D., et al. (2007). Factors affecting change over time in self-reported health. Canadian Journal of Public Health, 98(2), 154–158.

    Google Scholar 

  • Woolf, S. H., & Laudan, A. (Eds.). (2013). U.S. health in international perspective: Shorter lives, poorer health. Washington: National Academies Press.

    Google Scholar 

  • Wu, S., & Green, A. (2000). Projection of chronic illness prevalence and cost inflation. Santa Monica, CA: Rand Corporation.

    Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Sociology and Anthropology, University of Mississippi, University, Oxford, MS, 38677, USA

    Richard K. Thomas

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  1. Richard K. Thomas
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Correspondence to Richard K. Thomas .

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Editors and Affiliations

  1. Hobby Center for Public Policy, University of Houston, Houston, Texas, USA

    M. Nazrul Hoque

  2. Institute for Demographic and and Socioeconomic Research, University of Texas at San Antonio, San Antonio, USA

    Beverly Pecotte

  3. Health Statistics Branch, Center for Public Health Practice, Arkansas Department of Health, Little Rock, Arkansas, USA

    Mary A. McGehee

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Thomas, R.K. (2017). Are Americans Getting Sicker? An Analysis of Emerging Morbidity Trends. In: Hoque, M., Pecotte, B., McGehee, M. (eds) Applied Demography and Public Health in the 21st Century. Applied Demography Series, vol 8. Springer, Cham. https://doi.org/10.1007/978-3-319-43688-3_2

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  • DOI: https://doi.org/10.1007/978-3-319-43688-3_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43686-9

  • Online ISBN: 978-3-319-43688-3

  • eBook Packages: Social SciencesSocial Sciences (R0)

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