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Article: Are Recent Cohorts Getting Worse? Trends in US Adult Physiological Status, Mental Health, and Health Behaviors Across a Century of Birth Cohorts

TitleAre Recent Cohorts Getting Worse? Trends in US Adult Physiological Status, Mental Health, and Health Behaviors Across a Century of Birth Cohorts
Authors
Keywordscohort analysis
gender disparities
health behaviors
mental health
morbidity and mortality
obesity
physiological status
racial disparities
Issue Date2021
Citation
American Journal of Epidemiology, 2021, v. 190, n. 11, p. 2242-2255 How to Cite?
AbstractMorbidity 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 Identifierhttp://hdl.handle.net/10722/334756
ISSN
2023 Impact Factor: 5.0
2023 SCImago Journal Rankings: 0.837
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorZheng, Hui-
dc.contributor.authorEchave, Paola-
dc.date.accessioned2023-10-20T06:50:26Z-
dc.date.available2023-10-20T06:50:26Z-
dc.date.issued2021-
dc.identifier.citationAmerican Journal of Epidemiology, 2021, v. 190, n. 11, p. 2242-2255-
dc.identifier.issn0002-9262-
dc.identifier.urihttp://hdl.handle.net/10722/334756-
dc.description.abstractMorbidity 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.languageeng-
dc.relation.ispartofAmerican Journal of Epidemiology-
dc.subjectcohort analysis-
dc.subjectgender disparities-
dc.subjecthealth behaviors-
dc.subjectmental health-
dc.subjectmorbidity and mortality-
dc.subjectobesity-
dc.subjectphysiological status-
dc.subjectracial disparities-
dc.titleAre Recent Cohorts Getting Worse? Trends in US Adult Physiological Status, Mental Health, and Health Behaviors Across a Century of Birth Cohorts-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1093/aje/kwab076-
dc.identifier.pmid33738469-
dc.identifier.scopuseid_2-s2.0-85106449870-
dc.identifier.volume190-
dc.identifier.issue11-
dc.identifier.spage2242-
dc.identifier.epage2255-
dc.identifier.eissn1476-6256-
dc.identifier.isiWOS:000743139000002-

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