Demography

, Volume 36, Issue 1, pp 77–91

Racial inequality in active life among adult americans

  • Mark D. Hayward
  • Melonie Heron
Racial and ethnic inequality

Abstract

Is a shorter life with more years lived in poor health a defining attribute of the life cycle of disadvantaged groups? Based on the J990 5% Public Use Microdata Survey, we develop life table models of healthy (or active) life for the major racial groups, by sex, in the United States. The analysis underscores the complexity of the relationship between morbidity and mortality in the population. For Asians, longer life is associated with fewer years lived in poor health. In contrast, Native Americans’ relatively longer lives are accompanied by extended periods of chronic health problems. of all racial groups, blacks live the fewest years, and they live a high proportion of those years with a chronic health problem. Hispanics also live substantially fewer years, yet the period of life they spend with a health problem is relatively compressed. Racial differences in the link between morbidity and mortality point to the importance of investigating how chronic diseases and disease prevention and treatment are related to active life across the population subgroups.

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References

  1. Berkman, L., B. Singer, and K. Manton. 1989. “Black/White Differences in Health Status and Mortality Among the Elderly.”Demography 26:661–78.CrossRefGoogle Scholar
  2. Bonneux, L., J.J. Barendregt, K. Meeter, G. Bonsel, and P.J. van der Mass. 1994. “Estimating Clinical Morbidity Due to Ischemic Heart Disease and Congestive Heart Failure: The Future Rise of Heart Failure.”American Journal of Public Health 84:20–28.CrossRefGoogle Scholar
  3. Bound, J., M. Schoenbaum, and T. Waidmann. 1995. “Race and Education Differences in Disability Status and Labor Force Attachment.”Journal of Human Resources 30(Suppl.):S227–67.CrossRefGoogle Scholar
  4. Clogg, C.C. 1979.Measuring Underemployment. New York: Academic Press.Google Scholar
  5. Crimmins, E.M. 1996.” Mixed Trends in Population Health Among Older Adults.”Journal of Gerontology: Social Sciences 5IB:S223–25.Google Scholar
  6. Crimmins, E.M., M.D. Hayward, and Y. Saito. 1994. “Changing Mortality and Morbidity Rates and the Health Status and Life Expectancy of the Older Population.”Demography 31:159–75.CrossRefGoogle Scholar
  7. — 1996. “Differentials in Active Life Expectancy in the Older Population of the United States.”Journal of Gerontology: Social Sciences 51B:S111–20.Google Scholar
  8. Crimmins, E.M., Y. Saito, and M.D. Hayward. 1993. “Sullivan and Multistate Methods of Estimating Active Life Expectancy: Two Methods, Two Answers.” Pp. 155–60 inCalculation of Health Expectancies: Harmonization, Consensus Achieved and Future Perspectives, edited by J.-M. Robine, C.D. Mathers, M.R. Bone, and L Romieu. Montrouge, France: John Libbey Eurotext.Google Scholar
  9. Crimmins, E.M., Y. Saito, and D. Ingegneri. 1989.” Changes in Life Expectancy and Disability-Free Life Expectancy in the United States.”Population and Development Review 15:235–67.CrossRefGoogle Scholar
  10. — 1997. “Trends in Disability-Free Life Expectancy in the United States, 1970-90.”Population and Development Review 23:555–72CrossRefGoogle Scholar
  11. Elo, LT. and S.H. Preston. 1994. “Estimating African-American Mortality From Inaccurate Data.”Demography 31:427–58.CrossRefGoogle Scholar
  12. Fries, J.F. 1980. “Aging, Natural Death and the Compression of Morbidity.”New England Journal of Medicine 303:130–35.CrossRefGoogle Scholar
  13. Gibson, R.C. 1991. “The Subjective Retirement of Black Americans.”Journal of Gerontology 46:S204-S209.Google Scholar
  14. — 1994. “The Age-by-Race Gap in Health and Mortality in the Older Population: A Social Science Research Agenda.”The Gerontologist 34:454–62.Google Scholar
  15. 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.CrossRefGoogle Scholar
  16. Hayward, M.D., E.M. Crimmins, and T. Miles. 1997. “Disease Free Life Expectancy: Where Do Middle-Aged African Americans Fit In?” Paper presented at the 1997 annual meeting of the Population Association of America, Washington, DC.Google Scholar
  17. Hayward, M.D., E.M. Crimmins, and Y. Saito. 1998. “Cause of Death and Active Life Expectancy in the Older Population of the United States.”Journal of Aging and Health 10:192–213.CrossRefGoogle Scholar
  18. Hayward, M.D., S. Friedman, and H. Chen. 1996. “Race Inequities in Men’s Retirement.”Journal of Gerontology: Social Sciences 5IB:S1–10.Google Scholar
  19. Hayward, M.D. and W.R. Grady. 1990. “Work and Retirement Among a Cohort of Older Men in the United States, 19661983.”Demography 27:337–56.CrossRefGoogle Scholar
  20. Hayward, M.D. and D.T. Lichter. 1998. “A Life Cycle Model of Labor Force Inequality: Extending Clegg’s Life Table Approach.”Sociological Methods and Research 26:487–510.CrossRefGoogle Scholar
  21. Laditka, S.B., and D.A. Wolf. 1998. “New Methods for Analyzing Active Life Expectancy.”Journal of Aging and Health 10:21441.CrossRefGoogle Scholar
  22. 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 31:289–319.CrossRefGoogle Scholar
  23. Manton, K.G. 1986. “Past and Future Life Expectancy Increases at Later Ages: The Implications for the Linkage of Chronic Morbidity, Disability, and Mortality.”Journal of Gerontology 41:672–81.Google Scholar
  24. Manton, KG., C.R. Patrick, and KW. Johnson. 1987. “Health Differentials Between Blacks and Whites: Recent Trends in Mortality and Mortality.”Milbank Memorial Fund Quarterly 65(Suppl. 1):129–99.Google Scholar
  25. Markides, K.S. and C.H. Mindel. 1987.Aging and Ethnicity. Newbury Park, CA: Sage.Google Scholar
  26. Mathers, C.D. and J.-M. Robine. 1993. “Health Expectancy Indicators: A Review of the Work of REVES to Date.” Pp. 269–86 inCalculation of Health Expectancies: Harmonization, Consensus Achieved and Future Perspectives, edited by J.-M. Robine, C.D. Mathers, M.R. Bone, and L Romieu. Montrouge, France: John Libbey Eurotext.Google Scholar
  27. Moore, D.E. and M.D. Hayward. 1990. “Occupational Careers and Mortality of Elderly Men.”Demography 27:31–53.CrossRefGoogle Scholar
  28. Myers, G.C. and KG. Manton. 1984. “Compression of Mortality: Myth or Reality?”The Gerontologist 24:346–53.Google Scholar
  29. National Center for Health Statistics. 1994a. “Current Estimates from the National Health Interview Survey, 1993.” DHHS Publication No. (PHS) 95-1518. Hyattsville, MD.Google Scholar
  30. — 1994b.Health United States, 1994. (PHS) 95-1232. U.S. Public Health Service, Hyattsville, MD.Google Scholar
  31. Parsons, D.O. 1980. “Racial Trends in Male Labor Force Participation.”American Economic Review 70:911–20.Google Scholar
  32. Poterba, J.M. and L.H. Summers. 1987. “Public Policy Implications of Declining Old-Age Mortality.” Pp. 19–51 inWork, Health, and Income Among the Elderly, edited by G. Burtless. Washington, DC: The Brookings Institution.Google Scholar
  33. Preston, S.H., I.T. Elo, I. Rosenwaike, and M. Hill. 1996. “African American Mortality at Older Ages: Results From a Matching Study.”Demography 33:193–209.CrossRefGoogle Scholar
  34. Rogers, R.G., R.A. Hummer, C.B. Nam, and K. Peters. 1996. “Demographic, Socioeconomic, and Behavioral Factors Affecting Ethnic Mortality by Cause.”Social Forces 74:1419–38.CrossRefGoogle Scholar
  35. Rogers, R.G., A. Rogers, and A. Belanger. 1989. “Active Life Among the Elderly in the United States: Multistate Life Table Estimates and Population Projections.”Milbank Memorial Fund Quarterly 67:370–411.Google Scholar
  36. Saito, Y., E.M. Crimmins, and M.D. Hayward. 1991. “Stability of Estimates of Active Life Expectancy Using Two Methods of Life Table Construction.”Cahiers Quebecois de Demographic 20:291–327.Google Scholar
  37. Schneider, E.L. and J.A. Brody. 1983. “Aging, Natural Death, and the Compression of Morbidity: Another View.”New England Journal of Medicine 309:854–56.CrossRefGoogle Scholar
  38. Shyrock, H.S. and J.S. Siegel. 1976.The Methods and Materials of Demography. New York:Academic Press.Google Scholar
  39. Sorlie, P.D., E. Rogot, and N. Johnson. 1992. “Validity of Demographic Characteristics on the Death Certificate.”Epidemiology 3:181–84.CrossRefGoogle Scholar
  40. U.S. Bureau of the Census. 1992.Census of Population and Housing, 1990: Public Use Microdata Samples U.S. Machine readable data files and Technical Documentation. Washington, DC.Google Scholar
  41. U.S. Department of Health and Human Services, National Center for Health Statistics. 1993.Mortality Detail Files, 1968–1991, Parts 27–29: 1989–1991 Data. Hyattsville, MD.Google Scholar
  42. Vaupel, J.W., K.G. Manton, and E. Stallard. 1979. “The Impact of Heterogeneity in Individual Frailty on the Dynamics of Mortality.”Demography 16:439–54.CrossRefGoogle Scholar
  43. Ventura, S.J., K.D. Peters, J.A. Martin, and J.D. Maurer. 1997. ” Births and Deaths: United States, 1996.”Monthly Vital Statistics Report Vol. 46, No. I(S)2.Google Scholar
  44. Verbrugge, L.M. 1984. “Longer Life but Worsening Health? Trends in Health and Mortality of Middle-Aged and Older Persons.”The Milbank Memorial Fund Quarterly 62:474–519.Google Scholar
  45. — 1989. “Recent, Present and Future Health of American Adults.” Pp. 333–51 inAnnual Review of Public Health, Vol. 10, edited by L. Breslow, J.E. Fielding, and L.B. Love. Palo Alto, CA: Annual Reviews Inc.Google Scholar
  46. — 1990. “Disability.”Epidemiology of Rheumatic Disease 16:741–61.Google Scholar
  47. —. 1991. “Physical and Social Disability in Adults.” Pp. 3157 inPrimary Care Research: Theory and Methods, edited by H. Hibbard, P.A. Nutting, and M.L. Grady. AHCRP Publication No. 91-0011. Rockville, MD: Agency for Health Care Policy and Research, U.S. Department of Health and Human Services.Google Scholar
  48. Verbrugge, L.M. and D.L. Patrick. 1995. “Seven Chronic Conditions: Their Impact on U.S. Adults’ Activity Levels and Use of Medical Services.”American Journal of Public Health 85: 17382.CrossRefGoogle Scholar
  49. Waidmann, T., J. Bound, and M. Schoenbaum. 1995. “The Illusion of Failure: Trends in the Self-Reported Health of the U.S. Elderly.”The Milbank Memorial Fund Quarterly 73:253–87.Google Scholar
  50. Williams, D.R. 1996. “Race/Ethnicity and Socioeconomic Status: Measurement and Methodological Issues.”International Journal of Health Services 26:483–505.CrossRefGoogle Scholar
  51. Williams, D.R., R. Lavizzo-Mourey, and R.C. Warren. 1994. “The Concept of Race and Health Status in America.”Public Health Reports 109:26–41.Google Scholar

Copyright information

© Population Association of America 1999

Authors and Affiliations

  • Mark D. Hayward
    • 1
  • Melonie Heron
    • 2
  1. 1.Department of Sociology and Population Research InstituteThe Pennsylvania State UniversityUniversity Park
  2. 2.Department of Sociology and Center for the Study of PopulationFlorida State UniversityUSA

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