Scholarlink

<p>Adult survival among non-Hispanic white (‘white’) people in the USA has stagnated in recent decades, driven by rising mortality among adults with low educational attainment. We examined national mortality and population data to quantify the contributions of smoking-attributable diseases and selected other causes—notably opioids—to survival between ages 30 and 79 years from 1992 to 2019, stratified by three education levels: ≤11 years (low), 12 years (middle) and ≥13 years (high). We found that the absolute gap in the 50-year risk of death between low- and high-education white adults doubled among men and tripled among women. Smoking-attributable mortality increased markedly among low-education white adults but decreased in the two higher-education groups. Among 3.2 million excess premature deaths in low- and middle-education adults, smoking accounted for 63%. At ages 30–64 years, opioids accounted for 3% of excess deaths, rising to 8% during 2010–2019. Smoking-attributable mortality is the leading contributor to stagnating survival among white adults in the USA.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Smoking, education level and excess premature deaths in the USA

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月10日

查看全文
  • Xuyang Tang,
  • Eo Rin Cho,
  • Patrick Brown,
  • Kenneth E. Warner,
  • Prabhat Jha

摘要

Adult survival among non-Hispanic white (‘white’) people in the USA has stagnated in recent decades, driven by rising mortality among adults with low educational attainment. We examined national mortality and population data to quantify the contributions of smoking-attributable diseases and selected other causes—notably opioids—to survival between ages 30 and 79 years from 1992 to 2019, stratified by three education levels: ≤11 years (low), 12 years (middle) and ≥13 years (high). We found that the absolute gap in the 50-year risk of death between low- and high-education white adults doubled among men and tripled among women. Smoking-attributable mortality increased markedly among low-education white adults but decreased in the two higher-education groups. Among 3.2 million excess premature deaths in low- and middle-education adults, smoking accounted for 63%. At ages 30–64 years, opioids accounted for 3% of excess deaths, rising to 8% during 2010–2019. Smoking-attributable mortality is the leading contributor to stagnating survival among white adults in the USA.