Show simple item record

dc.contributor.authorLeon, David Adrew
dc.contributor.authorJdanov, Dmitri A.
dc.contributor.authorShkolnikov, Vladimir M.
dc.date.accessioned2020-03-05T07:20:19Z
dc.date.available2020-03-05T07:20:19Z
dc.date.issued2019-10-30
dc.description.abstract<i>Background</i> - Since 2010, the rate of improvement in life expectancy in the UK has slowed. We aimed to put this trend in the context of changes over the long term and in relation to a group of other high-income countries.<p><p> <i>Methods</i> - We compared sex-specific trends in life expectancy since 1970 and age-specific mortality in England and Wales with median values for 22 high-income countries (in western Europe, Australia, Canada, New Zealand, Japan, and the USA). We used annual mortality data (1970–2016) from the Human Mortality Database.<p><p> <i>Findings</i> - Until 2011–16, male life expectancy in England and Wales followed the median life expectancy of the comparator group. By contrast, female life expectancy was below the median and is among the lowest of the countries considered. In 2011–16, the rate of improvement in life expectancy slowed sharply for both sexes in England and Wales, and slowed more moderately in the comparator group because of negative trends in all adult age groups. This deceleration resulted in a widening gap between England and Wales and the comparators from 2011 onwards. Since the mid-2000s, for the first time, mortality rates in England and Wales among people aged 25–50 years were appreciably higher than in the comparator group.<p><p> <i>Interpretation</i> - Although many countries have seen slower increases in life expectancy since 2011, trends in England and Wales are among the worst. The poor performance of female life expectancy over the long-term is in part driven by the relative timing of the smoking epidemic across countries. The previously overlooked higher mortality among young working-age adults in England and Wales relative to other countries deserves urgent attention.<p><p> <i>Funding</i> - None.en_US
dc.identifier.citationLeon DA, Jdanov DA, Shkolnikov VM. Trends in life expectancy and age-specific mortality in England and Wales, 1970?2016, in comparison with a set of 22 high-income countries: an analysis of vital statistics data. The Lancet Public Health. 2019;4(11):e575-e582en_US
dc.identifier.cristinIDFRIDAID 1748077
dc.identifier.doi10.1016/S2468-2667(19)30177-X
dc.identifier.issn2468-2667
dc.identifier.urihttps://hdl.handle.net/10037/17628
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalThe Lancet Public Health
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2019 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleTrends in life expectancy and age-specific mortality in England and Wales, 1970-2016, in comparison with a set of 22 high-income countries: an analysis of vital statistics dataen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record