File Download
There are no files associated with this item.
Links for fulltext
(May Require Subscription)
- Publisher Website: 10.1093/aje/kwab076
- Scopus: eid_2-s2.0-85106449870
- PMID: 33738469
- WOS: WOS:000743139000002
- Find via
Supplementary
- Citations:
- Appears in Collections:
Article: Are Recent Cohorts Getting Worse? Trends in US Adult Physiological Status, Mental Health, and Health Behaviors Across a Century of Birth Cohorts
Title | Are Recent Cohorts Getting Worse? Trends in US Adult Physiological Status, Mental Health, and Health Behaviors Across a Century of Birth Cohorts |
---|---|
Authors | |
Keywords | cohort analysis gender disparities health behaviors mental health morbidity and mortality obesity physiological status racial disparities |
Issue Date | 2021 |
Citation | American Journal of Epidemiology, 2021, v. 190, n. 11, p. 2242-2255 How to Cite? |
Abstract | Morbidity and mortality have been increasing among middle-Aged and young-old Americans since the turn of the century. We investigated whether these unfavorable trends extend to younger cohorts and their underlying physiological, psychological, and behavioral mechanisms. Applying generalized linear mixed-effects models to data from 62,833 adults from the National Health and Nutrition Examination Surveys (1988-2016) and 625,221 adults from the National Health Interview Surveys (1997-2018), we found that for all sex and racial groups, physiological dysregulation has increased continuously from Baby Boomers through late-Generation X and Generation Y. The magnitude of the increase was higher for White men than for other groups, while Black men had a steepest increase in low urinary albumin (a marker of chronic inflammation). In addition, Whites underwent distinctive increases in anxiety, depression, and heavy drinking, and they had a higher level than Blacks and Hispanics of smoking and drug use in recent cohorts. Smoking is not responsible for the increasing physiological dysregulation across cohorts. The obesity epidemic contributes to the increase in metabolic syndrome but not in low urinary albumin. The worsening physiological and mental health profiles among younger generations imply a challenging morbidity and mortality prospect for the United States, one that might be particularly inauspicious for Whites. |
Persistent Identifier | http://hdl.handle.net/10722/334756 |
ISSN | 2023 Impact Factor: 5.0 2023 SCImago Journal Rankings: 0.837 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Zheng, Hui | - |
dc.contributor.author | Echave, Paola | - |
dc.date.accessioned | 2023-10-20T06:50:26Z | - |
dc.date.available | 2023-10-20T06:50:26Z | - |
dc.date.issued | 2021 | - |
dc.identifier.citation | American Journal of Epidemiology, 2021, v. 190, n. 11, p. 2242-2255 | - |
dc.identifier.issn | 0002-9262 | - |
dc.identifier.uri | http://hdl.handle.net/10722/334756 | - |
dc.description.abstract | Morbidity and mortality have been increasing among middle-Aged and young-old Americans since the turn of the century. We investigated whether these unfavorable trends extend to younger cohorts and their underlying physiological, psychological, and behavioral mechanisms. Applying generalized linear mixed-effects models to data from 62,833 adults from the National Health and Nutrition Examination Surveys (1988-2016) and 625,221 adults from the National Health Interview Surveys (1997-2018), we found that for all sex and racial groups, physiological dysregulation has increased continuously from Baby Boomers through late-Generation X and Generation Y. The magnitude of the increase was higher for White men than for other groups, while Black men had a steepest increase in low urinary albumin (a marker of chronic inflammation). In addition, Whites underwent distinctive increases in anxiety, depression, and heavy drinking, and they had a higher level than Blacks and Hispanics of smoking and drug use in recent cohorts. Smoking is not responsible for the increasing physiological dysregulation across cohorts. The obesity epidemic contributes to the increase in metabolic syndrome but not in low urinary albumin. The worsening physiological and mental health profiles among younger generations imply a challenging morbidity and mortality prospect for the United States, one that might be particularly inauspicious for Whites. | - |
dc.language | eng | - |
dc.relation.ispartof | American Journal of Epidemiology | - |
dc.subject | cohort analysis | - |
dc.subject | gender disparities | - |
dc.subject | health behaviors | - |
dc.subject | mental health | - |
dc.subject | morbidity and mortality | - |
dc.subject | obesity | - |
dc.subject | physiological status | - |
dc.subject | racial disparities | - |
dc.title | Are Recent Cohorts Getting Worse? Trends in US Adult Physiological Status, Mental Health, and Health Behaviors Across a Century of Birth Cohorts | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1093/aje/kwab076 | - |
dc.identifier.pmid | 33738469 | - |
dc.identifier.scopus | eid_2-s2.0-85106449870 | - |
dc.identifier.volume | 190 | - |
dc.identifier.issue | 11 | - |
dc.identifier.spage | 2242 | - |
dc.identifier.epage | 2255 | - |
dc.identifier.eissn | 1476-6256 | - |
dc.identifier.isi | WOS:000743139000002 | - |