Background In many developed countries, life expectancy at birthis higher than in the United States. Newly available data permit,for the first time, reliable cross-national comparisons of mortalityamong persons 80 years of age or older. Such comparisons areimportant, because in many developed countries more than halfof women and a third of men now die after the age of 80.
Methods We used extinct-cohort methods to assess mortality inJapan, Sweden, France, and England (including Wales) and amongU.S. whites for cohorts born from 1880 to 1894, and used cross-sectionaldata for the year 1987. Extinct-cohort methods rely on continuouslycollected data from death certificates and do not use the lessreliable data from censuses.
Results In the United States, life expectancy at the age of80 and survival from the ages of 80 to 100 significantly exceededlife expectancy in Sweden, France, England, and Japan (P<0.01).This finding was confirmed with accurate cross-sectional datafor 1987. The average life expectancy in the United States is9.1 years for 80-year-old white women and 7.0 years for 80-year-oldwhite men.
Conclusions For people 80 years old or older, life expectancyis greater in the United States than it is in Sweden, France,England, or Japan.
Source Information
From the Center for Demographic Studies (K.G.M.) and the Sanford Institute of Public Policy (J.W.V.), Duke University, Durham, N.C.; and Odense University Medical School, Odense, Denmark (J.W.V.).
Address reprint requests to Dr. Manton at Duke University, Center for Demographic Studies, 2117 Campus Dr., Box 90408, Durham, NC 27708-0408.
Survival after Age 80
Preston S. H., Elo I. T., Hughes-Davies T.H., Sallar A. M., Hogg R. S., Schechter M. T., Manton K. G., Vaupel J. C.
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N Engl J Med 1996;
334:537-538, Feb 22, 1996.
Correspondence
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