[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-426657-105":59,"doc-detail-426657-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","state-and-county-level-social-determinants-of-health-adjusted-life-expectancy-abstract","STATE-AND COUNTY-LEVEL SOCIAL DETERMINANTS OF HEALTH-ADJUSTED LIFE EXPECTANCY - Abstract","","Health-adjusted life expectancy (HALE) in the United States declined by 0.3 years from 2009 to 2019, potentially reflecting increased deaths related to drug overdose, suicide, and alcohol. The study identifies social and economic determinants linked to “deaths of despair” and evaluates them as targets for policy. County-level HALE for 2009 and 2019 comes from the Global Burden of Diseases, Injuries, and Risk Factors Study, then analyzed with state fixed effects using panel determinants at both state and county levels.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/state-and-county-level-social-determinants-of-health-adjusted-life-expectancy-abstract/426657/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/state-and-county-level-social-determinants-of-health-adjusted-life-expectancy-abstract/426657.png","ImageObject",300,407,{"name":92,"@type":93},"Danger Angel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-17","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":81},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What trend in HALE does the study examine between 2009 and 2019?","Question",{"text":112,"@type":113},"It reports a 0.3-year decline in health-adjusted life expectancy (HALE) during 2009–2019 in the United States.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Where do the county-level HALE data come from?",{"text":117,"@type":113},"County-level HALE for 2009 and 2019 is obtained from the Global Burden of Diseases, Injuries, and Risk Factors Study.",{"name":119,"@type":110,"acceptedAnswer":120},"Which types of determinants were analyzed in relation to HALE?",{"text":121,"@type":113},"The analysis includes multiple state-level social and economic determinants and additional county-level factors such as social capital, debt-to-income ratio, and racial segregation, modeled with state fixed effects.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},426657,1792173652,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":81,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},962090769052,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","1324 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.4405  \nSTATE-AND COUNTY-LEVEL SOCIAL  \nDETERMINANTS OF HEALTH-ADJUSTED LIFE  \nEXPECTANCY  \nElizabeth Davis1, Nasim Ferdows1, and Daniel Kim2,  \n1. Northeastern University, Boston, Massachusetts, United States,  \n2. School of Community Health and Behavioral Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, United States  \nIn the United States, health-adjusted life expectancy (HALE) declined by 0.3 years between 2009 and 2019, which may reflect increased deaths related to drug overdose, suicide, and alcohol.  \nTo combat the rise in such “deaths of despair,” it is critical to identify their root causes including social and economic determinants and address them through corresponding policies. We obtained county-level HALE from 2009 and 2019 through the Global Burden of Diseases, Injuries, and Risk Factors Study.  \nUsing state fixed effects models and these panel data, we explored multiple social and economic determinants of HALE simultaneously including the state-level percentage in poverty, gender pay gap ratio, violent crime rate, tax burden, earned income tax credit rate, income inequality, welfare spending, and education spending; and county-level social capital, debt-to-income ratio, and racial segregation. We found several of these factors to be positively associated with HALE including a higher state tax burden and earned income tax credit rate as well as county-level median household income, social capital, and debt-to-income ratio.  \nMoreover, we determined other factors to be inversely linked to HALE including state-level median income, the percentage in poverty, percentage unemployed, and income inequality level; as well as the county-level percentage unemployed. Overall, our findings suggest a variety of specific social and economic determinants of HALE that may help to inform future interventionsand policies in order to promote healthy aging and advance healthy longevity among Americans.","cbCaiuimpBqJ9jRE","https://ap.wps.com/l/cbCaiuimpBqJ9jRE","pdf",1157873,"English","# Background\n# Data and Methods\n# Determinants Examined\n# Findings and Implications","[{\"question\":\"What trend in HALE does the study examine between 2009 and 2019?\",\"answer\":\"It reports a 0.3-year decline in health-adjusted life expectancy (HALE) during 2009–2019 in the United States.\"},{\"question\":\"Where do the county-level HALE data come from?\",\"answer\":\"County-level HALE for 2009 and 2019 is obtained from the Global Burden of Diseases, Injuries, and Risk Factors Study.\"},{\"question\":\"Which types of determinants were analyzed in relation to HALE?\",\"answer\":\"The analysis includes multiple state-level social and economic determinants and additional county-level factors such as social capital, debt-to-income ratio, and racial segregation, modeled with state fixed effects.\"}]","STATE-AND COUNTY-LEVEL SOCIAL DETERMINANTS OF HEALTH-ADJUSTED LIFE EXPECTANCY - Abstract | PDF",1790641321]