Cargando…

Black and white differences in subjective survival expectations: An evaluation of competing mechanisms

While black-white inequality in longevity is well documented in the United States, little is known about how individuals from different race/ethnic groups form their own personal survival expectations. Prior research has found that despite having higher mortality, blacks on average report higher sur...

Descripción completa

Detalles Bibliográficos
Autores principales: Bernstein, Shayna Fae, Sasson, Isaac
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918793/
https://www.ncbi.nlm.nih.gov/pubmed/36785548
http://dx.doi.org/10.1016/j.ssmph.2023.101339
_version_ 1784886664684896256
author Bernstein, Shayna Fae
Sasson, Isaac
author_facet Bernstein, Shayna Fae
Sasson, Isaac
author_sort Bernstein, Shayna Fae
collection PubMed
description While black-white inequality in longevity is well documented in the United States, little is known about how individuals from different race/ethnic groups form their own personal survival expectations. Prior research has found that despite having higher mortality, blacks on average report higher survival expectations relative to whites. Using data from the Health and Retirement Study, we examined racial differences in subjective survival expectations across birth cohorts and provide explanatory mechanisms. We find that blacks—men in particular—were overly optimistic about their survival, but this effect had waned with successive birth cohorts. Furthermore, whereas subjective survival expectations and actual survival were correlated among white men, among black men the most optimistic fared worst. Blacks and whites differed not only in their response patterns, but also in how they weighed the different factors (socioeconomic, psychosocial, health, parental longevity) associated with expected survival. Importantly, those who estimated their survival probability with certainty had positive psychosocial characteristics, irrespective of race, but only whites had better health. These findings underscore the importance of group differences in subjective survival expectations as another potential form of inequality. Racial differences in how long individual expect to live may account for differences in social and economic behavior and outcomes, irrespective of actual longevity differentials.
format Online
Article
Text
id pubmed-9918793
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-99187932023-02-12 Black and white differences in subjective survival expectations: An evaluation of competing mechanisms Bernstein, Shayna Fae Sasson, Isaac SSM Popul Health Regular Article While black-white inequality in longevity is well documented in the United States, little is known about how individuals from different race/ethnic groups form their own personal survival expectations. Prior research has found that despite having higher mortality, blacks on average report higher survival expectations relative to whites. Using data from the Health and Retirement Study, we examined racial differences in subjective survival expectations across birth cohorts and provide explanatory mechanisms. We find that blacks—men in particular—were overly optimistic about their survival, but this effect had waned with successive birth cohorts. Furthermore, whereas subjective survival expectations and actual survival were correlated among white men, among black men the most optimistic fared worst. Blacks and whites differed not only in their response patterns, but also in how they weighed the different factors (socioeconomic, psychosocial, health, parental longevity) associated with expected survival. Importantly, those who estimated their survival probability with certainty had positive psychosocial characteristics, irrespective of race, but only whites had better health. These findings underscore the importance of group differences in subjective survival expectations as another potential form of inequality. Racial differences in how long individual expect to live may account for differences in social and economic behavior and outcomes, irrespective of actual longevity differentials. Elsevier 2023-01-12 /pmc/articles/PMC9918793/ /pubmed/36785548 http://dx.doi.org/10.1016/j.ssmph.2023.101339 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Regular Article
Bernstein, Shayna Fae
Sasson, Isaac
Black and white differences in subjective survival expectations: An evaluation of competing mechanisms
title Black and white differences in subjective survival expectations: An evaluation of competing mechanisms
title_full Black and white differences in subjective survival expectations: An evaluation of competing mechanisms
title_fullStr Black and white differences in subjective survival expectations: An evaluation of competing mechanisms
title_full_unstemmed Black and white differences in subjective survival expectations: An evaluation of competing mechanisms
title_short Black and white differences in subjective survival expectations: An evaluation of competing mechanisms
title_sort black and white differences in subjective survival expectations: an evaluation of competing mechanisms
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918793/
https://www.ncbi.nlm.nih.gov/pubmed/36785548
http://dx.doi.org/10.1016/j.ssmph.2023.101339
work_keys_str_mv AT bernsteinshaynafae blackandwhitedifferencesinsubjectivesurvivalexpectationsanevaluationofcompetingmechanisms
AT sassonisaac blackandwhitedifferencesinsubjectivesurvivalexpectationsanevaluationofcompetingmechanisms