eprintid: 3849 rev_number: 5 eprint_status: archive userid: 1 dir: disk0/00/00/38/49 datestamp: 2022-07-12 07:02:53 lastmod: 2022-07-12 07:02:53 status_changed: 2022-07-12 07:02:53 type: thesis metadata_visibility: show sword_depositor: 1 creators_name: Koopman, Bas creators_id: S4454715 creators_email: bas.koopman@home.nl title: Geographical inequalities in life expectancy across US States between 1999 and 2020 Assessing contributions of age groups and causes of death ispublished: unpub full_text_status: public abstract: Life expectancy in the United States is stalling in the period 1999 to 2020. In this period, US mortality rates were increasing across states, however, not all states have the same developments in life expectancy. In the southeast and up northwards are relatively low values and, in the north-central region and southwest relatively high values of life expectancy. This thesis aims to describe how US life expectancy has developed and which age groups and causes of death contributed the most to developments in life expectancy, which are analyzed using age- and cause-specific decomposition models. The results show that for the states with the lowest life expectancy one pattern in the mortality disadvantage is visible in the age groups. The states with the highest life expectancy show two patterns in the age groups in reaching the mortality advantage. The causes of death which contribute the most to the gap in life expectancy show similarities between the states with the highest and lowest life expectancy, in which especially causes of death I00-I99 (Diseases of the circulatory system) and V01-Y89 (External causes of morbidity and mortality) are big contributors to the gap, however, also all states have different other causes of death which contribute to the gap. Geographical inequality has increased when looking at the states with the highest and lowest life expectancy, which is related to differences in socioeconomic status, policies, context, composition and lifestyle. Policies to improve health should be focused on state-specific mortality rates to increase national life expectancy again. date: 2022 pages: 58 thesis_type: master degree_programme: POPST tutors_name: Remund, A.P.P. tutors_organization: Fac. Ruimtelijke wetenschappen, Basiseenheid Demografie tutors_email: A.P.P.Remund@rug.nl security: staffonly keywords_local: Life expectancy keywords_local: United States keywords_local: Cardiovascular diseases keywords_local: Deaths of despair keywords_local: Geographical inequality keywords_local: Old age groups keywords_local: Midlife age groups language_iso: en agreed_repository: yes date_issued: 2022-07-09 citation: Koopman, Bas (2022) Geographical inequalities in life expectancy across US States between 1999 and 2020 Assessing contributions of age groups and causes of death. Master thesis. document_url: https://frw.studenttheses.ub.rug.nl/3849/1/FinalthesisBasKoopmanS4454715.pdf