"Outside the Skin": The Persistence of Black-White Disparities in U.S. Early-Life Mortality.

Autor:	Tilstra AM; Leverhulme Centre for Demographic Science, Department of Sociology, Nuffield College, University of Oxford, Oxford, UK., Gutin I; Population Research Center, Center on Aging and Population Sciences, The University of Texas at Austin, Austin, TX, USA., Dollar NT; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Rogers RG; Department of Sociology, University of Colorado Population Center, Institute of Behavioral Science, University of Colorado Boulder, Boulder, CO, USA., Hummer RA; Carolina Population Center, Department of Sociology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Jazyk:	angličtina
Zdroj:	Demography [Demography] 2022 Dec 01; Vol. 59 (6), pp. 2247-2269.
DOI:	10.1215/00703370-10346963
Abstrakt:	Research on Black-White disparities in mortality emphasizes the cumulative pathways through which racism gets "under the skin" to affect health. Yet this framing is less applicable in early life, when death is primarily attributable to external causes rather than cumulative, biological processes. We use mortality data from the National Vital Statistics System Multiple Cause of Death files and population counts from the Surveillance, Epidemiology, and End Result Program to analyze 705,801 deaths among Black and White males and females, ages 15-24. We estimate age-standardized death rates and single-decrement life tables to show how all-cause and cause-specific mortality changed from 1990 to 2016 by race and sex. Despite overall declines in early-life mortality, Black-White disparities remain unchanged across several causes-especially homicide, for which mortality is nearly 20 times as high among Black as among White males. Suicide and drug-related deaths are higher among White youth during this period, yet their impact on life expectancy at birth is less than half that of homicide among Black youth. Critically, early-life disparities are driven by preventable causes of death whose impact occurs "outside the skin," reflecting racial differences in social exposures and experiences that prove harmful for both Black and White adolescents and young adults. (Copyright © 2022 The Authors.)
Databáze:	MEDLINE
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