CHANGING CAUSES OF DEATH AND THE SEX DIFFERENTIAL IN THE USA - RECENT TRENDS AND PROJECTIONS

This paper examines the sex differential in US life expectancy, the changes in this differential over the past 25 years and into the near future, and the apportionment of these differences among the leading causes of death. Movements in the sex differential over the years 1960-1985 were largely determined by changes in the accidents and violence and heart disease causes of death. The use of the life expectancy measure emphasizes the importance of those causes of death that impact most severely at younger ages. The historical analysis is extended through projections of life expectancies by sex. In the projections increased cancer mortality among males contributes to a widening differential, tempered by greater progress against heart disease for males.