Health Affairs

Health Affairs, 27, no. 2 (2008): 350-360 doi: 10.1377/hlthaff.27.2.350 © 2008 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Social Determinants

The Gap Gets Bigger: Changes In Mortality And Life Expectancy, By Education, 1981–2000

Ellen R. Meara, Seth Richards and David M. Cutler

In this paper we examine educational disparities in mortality and life expectancy among non-Hispanic blacks and whites in the 1980s and 1990s. Despite increased attention and substantial dollars directed to groups with low socioeconomic status, within race and gender groups, the educational gap in life expectancy is rising, mainly because of rising differentials among the elderly. With the exception of black males, all recent gains in life expectancy at age twenty-five have occurred among better-educated groups, raising educational differentials in life expectancy by 30 percent. Differential trends in smoking-related diseases explain at least 20 percent of this trend.

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