Massachusetts’ annual state death report is out with several striking findings. https://www.mass.gov/files/documents/2018/12/26/DPH-Death-Report-2016_FINAL.pdf …pic.twitter.com/3yF2NqhNdO
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Mass. continues to avoid national drop in life expectancy. Average life expectancy inched upward to 80.7 yrs (vs 78.7 nationwide) in 2016 despite the state's persistently high opioid death rate.https://www.bostonglobe.com/metro/2018/12/27/life-expectancy-falls-across-country-but-massachusetts-bucks-trend/qnAdeFxEL4tiCAmCCw76FO/story.html?et_rid=1822197458&s_campaign=todaysheadlines:newsletter …
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The starkest differences in death rates are not by race or gender, but by level of education. People with only a high school degree or less have a *350%* higher annual rate of death than others. That's not a typo.pic.twitter.com/skX8MjK9dl
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The data suggest that MA’s investments in high education levels, economic opportunity, public health measures (e.g., tobacco/gun control, pro-exercise and healthy food policies), and near-universal health coverage are working.
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MA’s persistently high opioid death rates, however, has produced a stunning shift between 2014 and 2016: black MA residents now live longer than non-Hispanic white residents, even despite higher infant mortality rates, due to lower deaths from opioid overdose.pic.twitter.com/0amjXMd4BD
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Finally, re the end of life: Almost 2/3 of MA deaths are now at one’s place of residence – a remarkable change from two decades ago when the hospital was the primary place of death. Find the full 2016 MA death report here: https://www.mass.gov/files/documents/2018/12/26/DPH-Death-Report-2016_FINAL.pdf …
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So, in other words, not race or sex, but CLASS. I put it in capitals so you would see the word that people who assert education as the primary social determinant want to pretend does not exist. CLASS.
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I’m confused. You can argue that education is a surrogate for class but otherwise this slide shows that education IS the primary determinant.
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Correlation is not causation. The reason breaking out class (or income or zip code) matters is then we can determine if education is truly the intervening (or an intervening) variable. 1/
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For example, I had 2 PhDs by the time I was 30, but have chosen to work in the non-profit sector my entire career. I am now disabled and live on SSDI. My class affects my access to healthcare & food more than my education. 2//
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Not so in
@Atul_Gawande. govt data from 2003-2007 (http://publications.gc.ca/collections/collection_2014/sc-hc/H34-193-3-2014-eng.pdf … section 4).
First Nations have a 209-430% increase.
Agree that education makes a big impact, but race (systemic bias, systemic disenfranchisement, etc) can be just as important.pic.twitter.com/5aUKdah7JH
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Truth: poverty determines longevity.
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Socioeconomic status is so important as a cause of morbidity and mortality. In my PhD I’ve looked at some of these factors in older adults, and even for this group early life factors are associated with health outcomes.
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Um, no doubt the missing link is employer provided health insurance. Those limited to High School education tend to work for nonproviders.
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Goes to show how important family units and parents having paid work is for the entire life of a child. Poverty is life threatening and must be combated.
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The link between opiate death and the level of education is easy to explain. https://www.huffingtonpost.com/entry/cable-tech-dick-cheney-sex-dungeon_us_5c0ea571e4b06484c9fd4c21?ncid=engmodushpmg00000004 …pic.twitter.com/KkDeaeQNcE
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does this trend hold when controlling for income?
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Wonder how much of this is a result of high-school-or-less men and to a lesser extent women having to take more dangerous jobs or living in poorer neighborhoods
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Curious if this would correlate as much or more to income levels as it does to education. Do financially successful folks w a high school or lower education still have a 350% higher annual death rate? Is that data available?
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Its not really popular to say, but I think its more likely that whatever causes the only high school degree causes the 350% higher death rate, not that only having a HS degree causes a 250% higher death rate.
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Not to be pedantic, but isn't that 250% higher (i.e 3.5x)?
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