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Trends in U.S. Adult Chronic Disease Mortality, 1960-1999: Age, Period, and Cohort Variations

Yang, Yang

Demography, 2008-05, Vol.45 (2), p.387-416 [Periódico revisado por pares]

New York: Population Association of America

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Título:
Trends in U.S. Adult Chronic Disease Mortality, 1960-1999: Age, Period, and Cohort Variations
Autor: Yang, Yang
Assuntos: 20th century ; Adult ; Adults ; Age ; Aged ; Aged, 80 and over ; Breast cancer ; Cardiovascular disease ; Cause of Death - trends ; Chronic Disease - mortality ; Chronic diseases ; Chronic illnesses ; Cohort analysis ; Cohort effect ; Cohort Studies ; Death Certificates ; Demographic change ; Demographics ; Demography ; Diseases ; Economic development ; Epidemiology ; Estimators ; Female ; Geography ; Heart diseases ; History ; History, 20th Century ; Humans ; Hypotheses ; International Classification of Diseases ; Lung cancer ; Lung neoplasms ; Male ; Mathematical models ; Medical technology ; Medical treatment ; Medicine/Public Health ; Middle Aged ; Models, Statistical ; Mortality ; Population Economics ; Predation ; Public health ; Risk factors ; Sexes ; Social conditions & trends ; Social Sciences ; Sociology ; Stroke ; Studies ; Survival ; Trends ; U.S.A ; United States ; United States - epidemiology
É parte de: Demography, 2008-05, Vol.45 (2), p.387-416
Notas: ObjectType-Article-2
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Descrição: In this paper, I examine temporal changes in U.S. adult mortality by chronic disease cause of death and by sex over a 40-year period in the second half of the twentieth century. I apply age-period-cohort (APC) analyses that combine conventional approaches and a new method of model estimation to simultaneously account for age, period, and cohort variations in mortality rates for four leading causes of deaths, including heart disease, stroke, lung cancer, and breast cancer. The results show that large reductions in mortality since the late 1960s continued well into the late 1990s and that these reductions were predominately contributed by cohort effects. Cohort effects are found to differ by specific causes of death examined, but they generally show substantial survival improvements. Implications of these results are discussed with regard to demographic theories of mortality reductions, differential cohort accumulation of health capital and lifetime exposures to socioeconomic and behavioral risk factors, and period changes in diagnostic techniques and medical treatment.
Editor: New York: Population Association of America
Idioma: Inglês

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Trends in U.S. Adult Chronic Disease Mortality, 1960-1999: Age, Period, and Cohort Variations

Yang, Yang

New York: Population Association of America

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