Lesser-educated white people, especially women, are living shorter lives, study finds

The life expectancy of white people without a high school diploma fell from 1990 to 2008, with women losing the most, an average of five years, according to a new University of Illinois at Chicago study. These demographics (older and less educated) are disproportionately rural.

The average life expectancy for white women without a high-school diploma was 73.5 years, compared to 83.9 for those with a four-year college degree or more. White men who did not fionish high school are living an average of 67.5 years, compared to 80.4 for those with a four-year degree or more.

"The reasons for the decline remain unclear, but researchers offered possible explanations, including a spike in prescription-drug overdoses among young whites, higher rates of smoking among less-educated white women, rising obesity, and a steady increase in the number of the least-educated Americans who lack health insurance," reports Sabrina Tavernise of The New York Times.

"Some cautioned that the results could be overstated because Americans without a high school diploma — about 12 percent of the population, down from about 22 percent in 1990, according to the Census Bureau — were a shrinking group that was now more likely to be disadvantaged in ways besides education, compared with past generations," Tavernise reports.

The study was published last month in the journal Health Affairs, and the National Academy of Sciences is investigating the decline to better determine its cause. (Read more)

Tool allows detailed examination of inspection reports from nursing homes all over the U.S.

Journalists now have a tool at their fingertips that will allow them to find out about problems in their local long-term care facilities. (iStock photo)

The application is operated by ProPublica, a nonprofit, investigative news group, and allows "anyone to easily search and analyze the details of recent nursing home inspections, most completed since January 2011," report Charles Ornstein and Lena Groeger.

The tool has features that the federal government's Nursing Home Compare tool lacks, including the ability to search using any keyword. Results can also be sorted according to the severity of the violation, and by state. It has already resulted in several significant news stories, Ornstein reports, giving examples and tips on how to use the application.

About 1.5 million people still live in nursing homes nationwide, though more seniors are living at home or in assisted-living facilities. The reports show there were almost 118,000 deficiencies cited against 14,565 homes. According to the Centers for Medicare and Medicaid Services, the average number of deficiencies for a nursing home inspected in the U.S. is eight. ProPublica's analysis shows Texas had the most deficiencies in the country by far, with 183. 

While ProPublica ranks the states, nursing-home industry officials say "inspectors in different regions of the country have different thresholds for issuing a citation, and that could unfairly make one state's homes appear worse than another's," Ornstein and Groeger report. (Read more)

Female lives in 622 rural and exurban counties, nearly 1/4 of total, shortened from 1999 to 2009

The life expectancy of the average U.S. female increased 1.7 years from 1999 to 2009 -- 79.6 to 81.3 years.  Good news on the whole, but Daily Yonder reporters Bill Bishop and Robert Gallardo went a little farther in their analysis of the data provided them by the Institute for Health Metrics and Evaluation at the University of Washington. They found that rural women hardly keep up and some have even lost ground in the last decade while their urban sisters are obviously gaining from widespread health advances.

Bishop and Gallardo report "that the solid gain in longevity was matched in only 168 rural or exurban counties, or 6.5 percent of all the counties outside the cities." That is, while women in most of the nation were living longer lives, in many rural counties -- some 622 of them, in fact -- their longevity shortened in the same decade. The 622 represent some 24 percent of rural counties and exurban counties (counties in a metro area where more than half the county population lives in rural census tracts), women lived shorter lives in 2009 than in 1999. (You can see a similar map and charts for rural men here.)

 As the Daily Yonder reporters point out, "in more than 95 percent of rural and exurban counties, changes in female longevity in the last 10 years failed to match the gains experienced in the rest of the country." The largest decreases in female life expectancy between 1999 and 2009 were clustered in Oklahoma, Eastern Kentucky, West Virginia, Alabama and Georgia. (Read more)