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Socioeconomic Status, Mortality, and Morbidity in Older Americans

Award Number: R01AG060104
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/15/2018
PERIOD OF PERFORMANCE END DATE: 03/31/2024

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Socioeconomic Status, Mortality, and Morbidity in Older Americans - OTHER PROJECT INFORMATION – Project Summary/Abstract Socioeconomic Status, Mortality, and Morbidity in Older Americans It is now well documented that the midlife mortality declines experienced in other wealthy countries over the last 20 years have bypassed US white non-Hispanics (WNHs). For all five-year age groups from 25-29 to 50- 54, mortality rates for WNHs were higher in 2015 than in 1999, but lower for black non-Hispanics and Hispanics. This stalling and reversal of progress is largely driven by the increasing deaths of white non- Hispanics without a four-year college degree. Deaths from drug overdose, suicide, and alcohol-related liver disease (“deaths of despair”) rose over this period, while progress against heart disease stalled. What is not well understood is the causes of these differential trends. Using data on mortality, morbidity, labor market conditions, credit scores, and social connection, our proposed research will analyze why these alarming trends in early mortality and opioid use have occurred. We will explore multiple causal explanations, channeling through education, employment opportunities, inequality, health behaviors, and health care. What role does education play in rising “deaths of despair”? To what degree does deterioration in the quality and availability of low-skilled jobs cumulatively impact mortality and morbidity over the life course? Does the success of the highly educated come at the expense of those with less education? To what degree are disparities accentuated by health behaviors and health care, such as opioid prescribing and treatment of cardiovascular conditions? These various potential causal pathways are not mutually exclusive, but establishing their importance is critical to developing meaningful interventions, whether in education, labor markets, health care, social supports, or other policies. And finally, we will consider whether the adverse mortality and morbidity patterns evident in midlife, are likely to carry forward into older ages, or to revert to the more favorable patterns currently experienced by the elderly.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$3,815 )
2025	2023	NATIONAL BUREAU OF ECONOMIC RESEARCH INC	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	000	5	1/2/2025	NON-COMPETING CONTINUATION	-$3,815
														Subtotal = -$3,815

Issue Date FY: 2023 ( Subtotal = $386,850 )
2023	2023	NATIONAL BUREAU OF ECONOMIC RESEARCH INC	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	000	5	4/3/2023	NON-COMPETING CONTINUATION	$386,850
														Subtotal = $386,850

Issue Date FY: 2022 ( Subtotal = $382,000 )
2022	2022	NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	000	4	4/5/2022	NON-COMPETING CONTINUATION	$382,000
														Subtotal = $382,000

Issue Date FY: 2021 ( Subtotal = $386,572 )
2021	2021	NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	000	3	3/8/2021	NON-COMPETING CONTINUATION	$386,572
														Subtotal = $386,572

Issue Date FY: 2020 ( Subtotal = $0 )
2020	2019	NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	000	2	6/9/2020	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2019 ( Subtotal = $382,000 )
2019	2019	NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	001	2	7/31/2019	NON-COMPETING CONTINUATION	$382,000
2019	2018	NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	000	1	11/17/2018	NEW	$0
														Subtotal = $382,000

Issue Date FY: 2018 ( Subtotal = $386,309 )
2018	2018	NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	000	1	9/11/2018	NEW	$386,309
														Subtotal = $386,309

Grand Total All Awards = $1,919,916

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Socioeconomic Status, Mortality, and Morbidity in Older Americans

Award Number: R01AG060104

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/15/2018

PERIOD OF PERFORMANCE END DATE: 03/31/2024

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