The
life expectancy gap between
African-Americans and whites in the United
States is narrowing, research from McGill
University in Montreal and two U.S. and
British universities shows.
The effect was most noticeable among
African-American men, largely due to a
decrease in homicides, improvements in the
treatment of HIV-AIDS and fewer accidents,
said head author Sam Harper, an
epidemiologist who specializes in the study
of health inequalities at McGill.
"Those are the main
factors driving the
gains in men. For
women, those same
things also are
important but also
reductions in heart
disease mortality,"
Harper said from
Montreal.
He and his
co-authors studied
data from the U.S.
National Vital
Statistics System to
try to figure out
what was behind the
closing of the life
expectancy gap that
began to be apparent
around the
mid-1990s.
Life expectancy
in the United States
has been on the rise
since at least the
late 19th century.
But for as long as
life expectancy
rates have been
broken out by race
and ethnicity, the
average life
expectancy of blacks
has been shorter
than whites.
Blacks made
progress toward
closing the gap in
the 1970s and early
1980s, but those
gains were reversed
by the spread of
HIV-AIDs and an
increase in homicide
rates from about
1984 onward.
Since 1993, the
article says, the
gap has narrowed to
historic levels,
declining to 5.3
years in 2003 from
7.1 years in 1993.
Further narrowing
the gap will require
efforts to address
the differences in
outcomes between
blacks and whites
afflicted with
cardiovascular-related
diseases, HIV and
infant mortality,
and further lowering
the homicide rate
among blacks, the
authors say in the
paper, published in
the Journal of the
American Medical
Association.
"The good news is
that we've made some
progress over the
past decade. But
there's still a long
way to go," Harper
said.
"If there's bad
news, the bad news
is that we saw that
heart disease trends
among older black
males were not
favourable. And
those continued to
keep the gap too
far."
"The heart
disease mortality
rates for black men
are going down. But
they're just not
going down as fast
as they are for
white men."
The study doesn't
look to see if there
are any differences
in life expectancy
between blacks and
whites in Canada.