BACKGROUND Over the past several decades, US mortality declines have lagged behind other highincome countries. However, scant attention has been devoted to how US mortality variability compares with other countries. OBJECTIVE We examine trends in mortality and mortality variability in the US and 16 peer countries from 1980 through 2016. METHODS We employ the Human Mortality Database and demographic techniques-with a focus on patterns in the interquartile (IQR), interdecile (IDR), and intercentile (ICR) ranges of survivorship-to better understand US mortality and mortality variability trends in comparative perspective. RESULTS Compared to other high-income countries, the US: (1) mortality ranking has slipped for nearly all age groups; (2) is losing its old age mortality advantage; (3) has seen growth in relative age-specific mortality gaps from infancy through midlife; and (4) exhibits
Research on neighborhood effects draws suggestive links between local spatial environments and a range of social, economic, and public health outcomes. Here, we consider the potential role of genetics in the geography of social stratification in the United States using genomic data from the National Longitudinal Study of Adolescent to Adult Health. We find that those with genotypes related to higher educational attainment sort into neighborhoods that are better educated and have higher population densities, both descriptively and using formal school and sibling fixed-effects models. We identify four mechanisms through which this geographic sorting on genetic endowment can magnify social stratification: assortative mating, social-genetic effects, gene-by-environment interactions, and gene-by-social-genetic interactions. We examine the presence of the latter three in our data, finding provisional yet suggestive evidence for social-genetic effects that putatively amount to about one-third of the influence of one's own genomic profile. We find no evidence, however, for the presence of interactions between environments and individual genetic background. Collectively, these findings highlight the potential for geographic sorting on genotype to emerge both as a key methodological concern in population genetics and social science research and also a potentially overlooked dimension of social stratification worthy of future study.
Objectives
To examine the relationship between obesity and mortality as a function of polygenic risk for obesity among older U.S. adults.
Method
Using data from the 1994–2014 Health and Retirement Study in conjunction with genome-wide data, we evaluated the risk of mortality as a function of obesity classification, an individual’s polygenic risk score (PGS) for obesity, and their interaction, stratified by sex. We conducted our analyses using cox proportional hazard models.
Results
Among those with an average PGS for obesity (8,143 [68.8%]), obese I (hazard ratio [HR] = 0.79, p = .336) adults show no difference in their risk for mortality and obese II/III (HR = 3.17, p = .000) adults present higher risk of mortality relative to non-obese adults. The interaction of obesity classification and PGS suggests that obese II/III respondents with low PGS in the total sample (HR = 2.71, p = .006) and among women (HR = 3.02, p = .023) are at significantly higher risk of death when compared to obese II/III respondents with average or high PGS.
Discussion
We posit that these findings suggest that the pathway to obesity, in this case, more socio-behavioral rather than genetic, may influence subsequent risk of death in older adults. We suggest that practitioners and population researchers be mindful of these pathways as to better identify and understand mortality risk.
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