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Understanding the health decline of Americans in boomers to millennials

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  • Zheng, Hui
  • Dirlam, Jonathan
  • Choi, Yoonyoung
  • George, Linda

Abstract

Morbidity and mortality are on the rise among Americans from Boomers to Millennials. We investigate early-life diseases and the socioeconomic, psychosocial, and bio-behavioral factors behind this worsening health trend. Using data from the Panel Study of Income Dynamics Family and Individual Files 1968–2013, we find that the chronic disease index and poor subjective health have continuously increased for Baby Boomers and later cohorts. Early-life diseases, obesity, and shortening job tenure account for about half the health decline across cohorts. Weakening union protection, decreasing marriage, and declining religion only make minor contributions. All other factors, including early life nutrition and family background, adulthood socioeconomic status, physical activity, and smoking behaviors, make negative or non-significant contributions. These findings highlight that even though recent cohorts have better childhood nutrition, family socioeconomic environment,and higher levels of education and income, these advantages have been offset by elevated early-life disease exposure, obesity, and a precarious labor market. We discuss the findings in the context of Case and Deaton's “cumulative deprivation” thesis.

Suggested Citation

  • Zheng, Hui & Dirlam, Jonathan & Choi, Yoonyoung & George, Linda, 2023. "Understanding the health decline of Americans in boomers to millennials," Social Science & Medicine, Elsevier, vol. 337(C).
    • Handle: RePEc:eee:socmed:v:337:y:2023:i:c:s0277953623006391
    DOI: 10.1016/j.socscimed.2023.116282
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    1. repec:pri:rpdevs:case_paxson_cog_function_additional.pdf is not listed on IDEAS
    2. Vicki Freedman & Brenda Spillman & Patti Andreski & Jennifer Cornman & Eileen Crimmins & Ellen Kramarow & James Lubitz & Linda Martin & Sharon Merkin & Robert Schoeni & Teresa Seeman & Timothy Waidman, 2013. "Trends in Late-Life Activity Limitations in the United States: An Update From Five National Surveys," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 661-671, April.
    3. David H. Autor & David Dorn, 2013. "The Growth of Low-Skill Service Jobs and the Polarization of the US Labor Market," American Economic Review, American Economic Association, vol. 103(5), pages 1553-1597, August.
    4. Dora Costa, 2000. "Understanding the twentieth-century decline in chronic conditions among older men," Demography, Springer;Population Association of America (PAA), vol. 37(1), pages 53-72, February.
    5. Anne Case & Angus Deaton, 2017. "Mortality and Morbidity in the 21st Century," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 48(1 (Spring), pages 397-476.
    6. Greenwood, Daphne T & Wolff, Edward N, 1992. "Changes in Wealth in the United States, 1962-1983: Savings, Capital Gains, Inheritance, and Lifetime Transfers," Journal of Population Economics, Springer;European Society for Population Economics, vol. 5(4), pages 261-288.
    7. Thomas C. Buchmueller & John Dinardo & Robert G. Valletta, 2002. "Union Effects on Health Insurance Provision and Coverage in the United States," ILR Review, Cornell University, ILR School, vol. 55(4), pages 610-627, July.
    8. Anne Case & Christina Paxson, 2008. "Height, Health, and Cognitive Function at Older Ages," American Economic Review, American Economic Association, vol. 98(2), pages 463-467, May.
    9. Michelle Jackson & Brian Holzman, 2020. "A century of educational inequality in the United States," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 117(32), pages 19108-19115, August.
    10. Montez, J.K. & Zajacova, A., 2013. "Trends in mortality risk by education level and cause of death among US White Women from 1986 to 2006," American Journal of Public Health, American Public Health Association, vol. 103(3), pages 473-479.
    11. Reither, Eric N. & Hauser, Robert M. & Yang, Yang, 2009. "Do birth cohorts matter? Age-period-cohort analyses of the obesity epidemic in the United States," Social Science & Medicine, Elsevier, vol. 69(10), pages 1439-1448, November.
    12. repec:pri:rpdevs:case_paxson_cog_function_additional is not listed on IDEAS
    13. Zheng, Hui & Choi, Yoonyoung & Dirlam, Jonathan & George, Linda, 2022. "Rising childhood income inequality and declining Americans’ health," Social Science & Medicine, Elsevier, vol. 303(C).
    14. repec:pri:rpdevs:case_paxson_height_health_and_cognitive_function.pdf is not listed on IDEAS
    15. Hui Zheng & J Scott Brown, 2021. "A New Look at Cohort Trend and Underlying Mechanisms in Cognitive Functioning," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(8), pages 1652-1663.
    16. Nicholas J Bishop & Steven A Haas & Ana R Quiñones, 2022. "Cohort Trends in the Burden of Multiple Chronic Conditions Among Aging U.S. Adults [Changes in depressive symptoms over age among older Americans: Differences by gender, race/ethnicity, education, ," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 77(10), pages 1867-1879.
    17. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    18. Neil K. Mehta & Leah R. Abrams & Mikko Myrskylä, 2020. "US life expectancy stalls due to cardiovascular disease, not drug deaths," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 117(13), pages 6998-7000, March.
    19. repec:pri:cheawb:case_paxson_height_health_and_cognitive_function is not listed on IDEAS
    20. repec:pri:rpdevs:case_paxson_height_health_and_cognitive_function is not listed on IDEAS
    21. Lisa A. Gennetian & Danielle A. Crosby & Aletha C. Huston & Edward D. Lowe, 2004. "Can child care assistance in welfare and employment programs support the employment of low-income families?," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 23(4), pages 723-743.
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