An Emerging Storm? Increased Health Inequities in the Context of Racialized Patriarchal Capitalism, Deaths of Despair and Covid-19 DOI Open Access

Carles Muntaner,

Virginia Gunn, Seth J. Prins

et al.

Medical Research Archives, Journal Year: 2023, Volume and Issue: 11(10)

Published: Jan. 1, 2023

his article discusses the gradual increase in Deaths of Despair United States, followed by a reversal increased life expectancy trend for subset population. This phenomenon is examined context pronounced social and health inequities linked to globalization capitalism as well overall negative implications COVID-19 pandemic subsequent socio-economic crisis, all having potential further worsen US but also globally. The development effective actionable solutions requires an in-depth understanding root causes decrease population-level expectancy. While focusing on Death brings attention role class creation mortality rates, this approach should be part larger examination contributing factors. Scrutinizing impact other location factors such race, gender, age, sexual orientation identity, migration, citizenship status, along with their interaction equally important. Research approaches that allow stratification analyses population groups are needed facilitate better observed decreases Such require long-term ongoing investments research intentional collection indicators could reveal breadth depth pathways through which they lead rates various groups. sustained financial investment efforts required examine inform implementation protective policies reverse have bring societal dividends. An indirect outcome reduction adoption individuals populations regain trust institutions and, result, enhance active political participation voter turnout decreased radicalization.

Language: Английский

Causes of excess deaths in the US relative to other wealthy nations, 1999-2020: a population autopsy DOI Creative Commons
Jacob Bor, Rafeya Raquib, David U. Himmelstein

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: July 27, 2024

ABSTRACT Importance The US has higher mortality rates than other wealthy nations. Objective To determine causes of death responsible for excess in the compared to nations and how involved this survival gap have changed over time. Design Repeat cross-sectional study, 1999 2020. Setting United States 12 Participants All residents. Exposures Residing versus Main outcome measures Excess each year due specific using data from World Health Organization Mortality Database. Differences between were quantified cause as: (1) number deaths (i.e., that would been averted if equaled average nations); (2) years life lost (YLL) resulting deaths; (3) ratio observed expected Results 10,856,851 occurred In 2019, prior COVID-19 pandemic, there 637,682 deaths, with leading including circulatory diseases (41% total), mental nervous system disorders (25%), diabetes, renal, metabolic (15%), drug poisonings, alcohol-related suicide (13%), respiratory disease (12%), transportation accidents (5%). Over two decades, alcohol increased -5,937 109,015 poisonings 6.7 times peer countries. Circulatory accounted largest absolute nearly every year. 2020, one 5 attributed COVID-19. Conclusions Relevance had substantially despite having similar access advanced medical technology. Many these could likely be avoided by adopting health social policies benefited KEY POINTS Question What are nations? Findings Between equal although drugs, alcohol, most during study period. Mental disorders, diseases, also major contributors. Meaning suggest areas policy intervention.

Language: Английский

Citations

0

Religious service attendance is protective against the diseases of despair: evidence from regression, sibling-fixed effects, and instrumental variables analyses DOI
Michael Lebenbaum, Jason M. Fletcher

American Journal of Epidemiology, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 20, 2024

Abstract It is unclear whether the large secular decline in religiosity has contributed to dramatic rise “deaths of despair.” We contribute recent epidemiologic literature estimating more rigorous effects on health by examining association between and diseases despair via regression, sibling fixed (SFE) analyses, instrumental variable (IV), cross-lag analyses. used US Add Health sample when respondents were Waves (W) 3-5 (ages: 18-43). measured religious service attendance a composite outcome consisting painkiller abuse, past-year suicidal ideation, weekly binge drinking. estimated linear probability models, SFE, IV, models. Confounders included parental socio-demographics, community/school characteristics, individual socio-demographics. Greater was negatively associated with pooled (β =-0.031; p < .5) at each wave (W3 β=-0.025; W4 β=-0.040; W5 β=-0.028; all .5). Conclusions similar SFE models (W3-5 β=-0.013), IV (W4 β=-0.081; W3-5 β=-0.064, .5, F>100, overidentification > .10) β=-0.023, The consistent results across suggests that likely deaths despair.

Language: Английский

Citations

0

Faltering mortality improvements at young-middle ages in high-income English-speaking countries DOI Creative Commons
Sergey Timonin, David A. Leon, Emily Banks

et al.

International Journal of Epidemiology, Journal Year: 2024, Volume and Issue: 53(5)

Published: Aug. 14, 2024

Abstract Background Before the COVID-19 pandemic, stagnating life expectancy trends were reported in some high-income countries (HICs). Despite previous evidence from country-specific studies, there is a lack of comparative research that provides broader perspective and challenges existing assumptions. This study aims to examine longevity patterns six English-speaking (Australia, Canada, Ireland, New Zealand, United Kingdom, States) by combining period cohort perspectives compare them with other HICs. Methods Using data Human Mortality World Health Organization Databases, we estimated partial expectancy, lifespan inequality survival differences for 1970–2021, as well contribution causes death gap between average HICs 2017–19. Results In pre-pandemic period, increase slowed all countries, except mainly due or rising mortality at young-middle ages. Relative HICs, those born Anglophone since 1970s experienced relative disadvantage, largely attributable injuries (mainly suicides) substance-related poisonings). contrast, older cohorts enjoyed advantages females Australia Canada males States. Conclusions Although future gains wealthy societies will increasingly depend on reducing ages, adverse health younger ages are cause concern. emerging avoidable threat equity should be focus further policy action.

Language: Английский

Citations

0

Progress Stalled? The Uncertain Future of Mortality in High‐Income Countries DOI Creative Commons
Jennifer B. Dowd, Antonino Polizzi, Andrea M. Tilstra

et al.

Population and Development Review, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 4, 2024

Abstract Steady and significant improvements in life expectancy have been a bright spot for human progress the last century or more. Recently, this success has shown signs of faltering some high‐income countries, where mortality slowed even reversed since early 2010s. Combined with large shock COVID‐19 pandemic, guaranteed forward feels less certain. We review trends countries 2000 through pandemic. While deteriorating United States received most attention, including Kingdom, Canada, Netherlands, Greece, Germany are also seeing slowdowns. Before COVID‐19, these slowdowns largely reflected stalling cardiovascular disease increases deaths from external causes young midlife worst‐performing countries. discuss prospects future lingering impacts challenges opportunities related to obesity epidemic, emerging reasons both optimism pessimism. biological limits increased may eventually dominate long‐term trends, human‐made social factors currently holding many back already achievable best‐practice will be key near‐term improvements.

Language: Английский

Citations

0

Integrative Eco Art Therapy: Addressing Humanity’s Fractured Attachment to Nature DOI

Mor Keshet

Ecopsychology, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 14, 2024

Language: Английский

Citations

0

“They pulled that funding away and we’re not recovering. it’s getting worse”: deaths of despair in post-austerity north east England DOI Creative Commons

Timothy Price

International Journal for Equity in Health, Journal Year: 2024, Volume and Issue: 23(1)

Published: Nov. 19, 2024

Abstract Background Deaths related to suicide, drug misuse, and alcohol-specific causes, known collectively as “deaths of despair” are growing interest researchers in England. Rates death from these causes highest deprived northern communities closely tied the social determinants health policy decisions that have shaped them. The aim this paper is explore how stakeholders community members living Middlesbrough South Tyneside, two Northern towns with above average rates deaths despair, understood relationship between austerity policies their areas. Methods I conducted interviews one focus group a total 54 Tyneside. Data were analysed using iterative categorisation technique findings interpreted through thematic analysis. Results highlight four primary ways which exacerbated despair Tyneside: reduced access mental services, diminished substance abuse treatment capacity, loss youth closure institutions. Participants linked cuts rising isolation, declining health, increased deepened geographic inequalities despair. Conclusions This study underscores urgent need for reinvestment local services reduce prevent further unnecessary due drug, causes. Prioritising restoration enhancement lost critical. Such will not only help alleviate some most immediate but also form foundation addressing wider structural perpetuate

Language: Английский

Citations

0

Longitudinal Study of Deaths of Despair in England from 2014 to 2022: Trends by Sex and Deprivation Before, During, and after the COVID-19 Pandemic DOI
Steven Wyatt, Jeremy P.E. Spencer, Paul Seamer

et al.

Published: Jan. 1, 2024

Language: Английский

Citations

0

Unpacking trends in “deaths of despair” in a cohort of male mine workers: A commentary on Colbeth et al., 2024 DOI Creative Commons
Ana Lucia Espinosa Dice

SSM - Mental Health, Journal Year: 2024, Volume and Issue: unknown, P. 100381 - 100381

Published: Dec. 1, 2024

Language: Английский

Citations

0

An Emerging Storm? Increased Health Inequities in the Context of Racialized Patriarchal Capitalism, Deaths of Despair and Covid-19 DOI Open Access

Carles Muntaner,

Virginia Gunn, Seth J. Prins

et al.

Medical Research Archives, Journal Year: 2023, Volume and Issue: 11(10)

Published: Jan. 1, 2023

his article discusses the gradual increase in Deaths of Despair United States, followed by a reversal increased life expectancy trend for subset population. This phenomenon is examined context pronounced social and health inequities linked to globalization capitalism as well overall negative implications COVID-19 pandemic subsequent socio-economic crisis, all having potential further worsen US but also globally. The development effective actionable solutions requires an in-depth understanding root causes decrease population-level expectancy. While focusing on Death brings attention role class creation mortality rates, this approach should be part larger examination contributing factors. Scrutinizing impact other location factors such race, gender, age, sexual orientation identity, migration, citizenship status, along with their interaction equally important. Research approaches that allow stratification analyses population groups are needed facilitate better observed decreases Such require long-term ongoing investments research intentional collection indicators could reveal breadth depth pathways through which they lead rates various groups. sustained financial investment efforts required examine inform implementation protective policies reverse have bring societal dividends. An indirect outcome reduction adoption individuals populations regain trust institutions and, result, enhance active political participation voter turnout decreased radicalization.

Language: Английский

Citations

0