Differences In Life Expectancy Due To Race And Educational Differences Are Widening, And Many May Not Catch Up
Abstract
It has long been known that despite well-documented improvements in longevity for most Americans, alarming disparities persist among racial groups and between the well-educated and those with less education. In this article we update estimates of the impact of race and education on past and present life expectancy, examine trends in disparities from 1990 through 2008, and place observed disparities in the context of a rapidly aging society that is emerging at a time of optimism about the next revolution in longevity. We found that in 2008 US adult men and women with fewer than twelve years of education had life expectancies not much better than those of all adults in the 1950s and 1960s. When race and education are combined, the disparity is even more striking. In 2008 white US men and women with 16 years or more of schooling had life expectancies far greater than black Americans with fewer than 12 years of education-14.2 years more for white men than black men, and 10.3 years more for white women than black women. These gaps have widened over time and have led to at least two "Americas," if not multiple others, in terms of life expectancy, demarcated by level of education and racial-group membership. The message for policy makers is clear: implement educational enhancements at young, middle, and older ages for people of all races, to reduce the large gap in health and longevity that persists today.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Educational, racial and income disparities in life expectancy have been stable or rising over the last decades.
“Educational, racial and income disparities in life expectancy have been stable or rising over the last decades (Olshansky et al., 2012).”
From Toward a More Comprehensive Concept of Successful Aging: Disability and Care Needs: Table 1. (2016) · cites this paper as Olshansky et al., 2012
Cites
McEwen, B. S., & Gianaros, P. J. (2010) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.05331.x · Cited by 1,715 · see citing works
Lantz, P. M., House, J. S., Lepkowski, J. M., Williams, D. R., Mero, R. P., & Chen, J. (1998) · JAMA · doi:10.1001/jama.279.21.1703 · Cited by 1,514 · see citing works
Telomerase reactivation reverses tissue degeneration in aged telomerase-deficient mice
Jaskelioff, M., Muller, F. L., Paik, J.-H., Thomas, E., Jiang, S., Adams, A. C., Sahin, E., Kost-Alimova, M., Protopopov, A., Cadiñanos, J., et al. (2011) · Nature · doi:10.1038/nature09603 · Cited by 857 · see citing works
The Gap Gets Bigger: Changes In Mortality And Life Expectancy, By Education, 1981–2000
Meara, E. R., Richards, S., & Cutler, D. M. (2008) · Health Affairs · doi:10.1377/hlthaff.27.2.350 · Cited by 850 · see citing works
Socio‐economic differentials in peripheral biology: Cumulative allostatic load
Seeman, T., Epel, E., Gruenewald, T., Karlamangla, A., & McEwen, B. S. (2010) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.05341.x · Cited by 579 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
The World report on ageing and health: a policy framework for healthy ageing
Beard, J. R., Officer, A., de Carvalho, I. A., Sadana, R., Pot, A. M., Michel, J.-P., Lloyd-Sherlock, P., Epping-Jordan, J. E., Peeters, G. M. E. E. (., Mahanani, W. R., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(15)00516-4 · Cited by 3,287 · see citing works
The Association Between Income and Life Expectancy in the United States, 2001–2014
Chetty, R., Stepner, M., Abraham, S., Lin, S., Scuderi, B., Turner, N., Bergeron, A., & Cutler, D. (2016) · JAMA · doi:10.1001/jama.2016.4226 · Cited by 2,812 · see citing works
Mortality and Morbidity in the 21st Century
Case, A., & Deaton, A. (2017) · Brookings Papers on Economic Activity · doi:10.1353/eca.2017.0005 · Cited by 1,448 · see citing works
Lifespan and healthspan: past, present, and promise
Crimmins, E. M. (2015) · The Gerontologist · doi:10.1093/geront/gnv130 · Cited by 762 · see citing works
Inequalities in health: definitions, concepts, and theories
Arcaya, M. C., Arcaya, A. L., & Subramanian, S. V. (2015) · Global Health Action · doi:10.3402/gha.v8.27106 · Cited by 696 · see citing works
Inequality and the health-care system in the USA
Dickman, S. L., Himmelstein, D. U., & Woolhandler, S. (2017) · The Lancet · doi:10.1016/s0140-6736(17)30398-7 · Cited by 656 · see citing works
Bennett, J. M., Reeves, G., Billman, G. E., & Sturmberg, J. P. (2018) · Frontiers in Medicine · doi:10.3389/fmed.2018.00316 · Cited by 531 · see citing works
Extended Cost-Effectiveness Analysis for Health Policy Assessment: A Tutorial
Verguet, S., Kim, J. J., & Jamison, D. T. (2016) · PharmacoEconomics · doi:10.1007/s40273-016-0414-z · Cited by 251 · see citing works
Black Lives Matter: A Commentary on Racism and Public Health
Jee-Lyn García, J., & Sharif, M. Z. (2015) · American Journal of Public Health · doi:10.2105/ajph.2015.302706 · Cited by 246 · see citing works
Declining Life Expectancy in the United States: Missing the Trees for the Forest
Harper, S., Riddell, C. A., & King, N. B. (2021) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-082619-104231 · Cited by 144 · see citing works
Toward a More Comprehensive Concept of Successful Aging: Disability and Care Needs: Table 1.
Tesch-Römer, C., & Wahl, H.-W. (2016) · The Journals of Gerontology Series B: Psychological Sciences and Social Sciences · doi:10.1093/geronb/gbw162 · Cited by 105 · see citing works
“Educational, racial and income disparities in life expectancy have been stable or rising over the last decades (Olshansky et al., 2012).”
BackgroundHansen, H., & Metzl, J. (2016) · Journal of Bioethical Inquiry · doi:10.1007/s11673-016-9719-z · Cited by 78 · see citing works
Intervening in ageing to prevent the diseases of ageing
Partridge, L. (2014) · Trends in Endocrinology & Metabolism · doi:10.1016/j.tem.2014.08.003 · Cited by 69 · see citing works
RIDDLE: Race and ethnicity Imputation from Disease history with Deep LEarning
Kim, J.-S., Gao, X., & Rzhetsky, A. (2018) · PLOS Computational Biology · doi:10.1371/journal.pcbi.1006106 · Cited by 31 · see citing works
“These are primarily diseases of older age, suggesting that lifespan varies across race and ethnicity due to socioeconomic and lifestyle reasons, as reported in literature [19, 20].”
BackgroundWhat is new with old? What old age teaches us about inequality and stratification
Abramson, C. M., & Portacolone, E. (2017) · Sociology Compass · doi:10.1111/soc4.12450 · Cited by 22 · see citing works
Life expectancy by county and educational attainment in the USA, 2000–19: an observational analysis
Sylte, D. O., Baumann, M. M., Kelly, Y. O., Kendrick, P., Ali, O. M. M., Compton, K., Schmidt, C. A., Kahn, E., Li, Z., La Motte-Kerr, W., et al. (2025) · The Lancet Public Health · doi:10.1016/s2468-2667(24)00303-7 · Cited by 15 · see citing works
Self-direction and the Social Determinants of Health
Croft, B. (2020) · Community Mental Health Journal · doi:10.1007/s10597-020-00597-5 · Cited by 7 · see citing works
- Authors
- Olshansky, S. J., Antonucci, T., Berkman, L., Binstock, R. H., Boersch-Supan, A., Cacioppo, J. T., Carnes, B. A., Carstensen, L. L., Fried, L. P., Goldman, D. P., Jackson, J., Kohli, M., Rother, J., Zheng, Y., & Rowe, J.
- Affiliations
- University of Illinois Chicago (US)
- University of Michigan (US)
- Harvard University (US)
- Case Western Reserve University (US)
- Axel Boersch-Supan is director of the Max Planck Institute for Social Law and Social Policy, in Mannheim, Germany.
- University of Chicago (US)
- University of Oklahoma Health Sciences Center (US)
- Stanford University (US)
- Columbia University (US)
- University of Southern California (US)
- European University Institute (IT)
- John Rother is president and CEO of the National Coalition on Health Care, in Washington, D.C.
- ORCID
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2012-08
- Volume
- 31
- Issue
- 8
- Pages
- 1803-1813
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2004119037
- Cited by
- 693
- References
- 5
- Citations by year
- 2026: 17 · 2025: 22 · 2024: 22 · 2023: 45 · 2022: 64 · 2021: 59 · 2020: 58 · 2019: 63 · 2018: 58 · 2017: 64 · 2016: 54 · 2015: 77 · 2014: 48 · 2013: 36 · 2012: 5
- FWCI
- 60.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Cadmus - EUI Research Repository (European University Institute) (submittedVersion, public-domain)
- Funders
- National Institute on Aging (R01AG008816)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Demography › Insurance, Mortality, Demography, Risk Management
- Social Sciences › Sociology and Political Science › Intergenerational and Educational Inequality Studies
- Keywords
- life expectancy, racial disparities, educational inequality, health disparities, population aging, black-white gap, educational attainment, health policy
- MeSH terms
- Aged, Aged, 80 and over, Educational Status, Emigration and Immigration, Female, Hispanic or Latino, Humans, Life Expectancy, Male, Middle Aged, Sex Factors, United States, Databases, Factual, Racial Groups, Health Status Disparities
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review