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Licensed Unlicensed Requires Authentication Published by De Gruyter March 7, 2022

Enhancing the Utility of the Health and Retirement Study (HRS) to Identify Drivers of Rising Mortality Rates in the United States

  • Shannon M. Monnat ORCID logo EMAIL logo and Irma T. Elo ORCID logo

Abstract

A recent report from the National Academies of Sciences, Engineering, and Medicine (NASEM) highlights rising rates of working-age mortality in the United States, portending troubling population health trends for this group as they age. The Health and Retirement Study (HRS) is an invaluable resource for researchers studying health and aging dynamics among Americans ages 50 and above and has strong potential to be used by researchers to provide insights about the drivers of rising U.S. mortality rates. This paper assesses the strengths and limitations of HRS data for identifying drivers of rising mortality rates in the U.S. and provides recommendations to enhance the utility of the HRS in this regard. Among our many recommendations, we encourage the HRS to prioritize the following: link cause of death information to respondents; reduce the age of eligibility for inclusion in the sample; increase the rural sample size; enhance the existing HRS Contextual Data Resource by incorporating longitudinal measures of structural determinants of health; develop additional data linkages to capture residential settings and characteristics across the life course; and add measures that capture drug use, gun ownership, and social media use.


Corresponding author: Shannon M. Monnat, Lerner Chair for Public Health Promotion and Lerner Center Director, Associate Professor of Sociology, Maxwell School of Citizenship and Public Affairs, Syracuse University, 426 Eggers Hall, Syracuse, NY 13244, USA, E-mail:

Award Identifier / Grant number: P2CHD041025

Award Identifier / Grant number: P30AG012836, P30AG066583, R01AG060115, R24AG045061, R24AG065159

Award Identifier / Grant number: U01DA055972

Funding source: USDA Agricultural Experiment Station Multistate Research Project: W4001, Social, Economic and Environmental Causes and Consequences of Demographic Change in Rural America

Acknowledgements

The authors acknowledge grant funding from the National Institute on Aging (R01AG060115) and National Institute on Drug Abuse (U01DA055972), and support from two NIA-funded research networks (R24AG065159 and R24AG045061), the NIA-funded Center for Aging and Policy Studies at Syracuse University (P30AG066583), the NICHD-funded Population Studies Center (P2CHD044964) and NIA-funded Population Aging Research Center (P30AG012836) at University of Pennsylvania, the NICHD-funded Population Research Institute at Penn State (P2CHD041025), and the USDA Agricultural Experiment Station Multistate Research Project: W4001, Social, Economic and Environmental Causes and Consequences of Demographic Change in Rural America.

  1. Conflict of interest: The authors state no conflict of interest.

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Received: 2021-12-02
Accepted: 2022-02-07
Published Online: 2022-03-07

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