An analysis from demographer Samuel Preston of the University of Pennsylvania shows that seniors in American urban areas and on the coasts are surviving longer than their counterparts in rural areas and the nation’s interior.
This geographic gap in life expectancy for older Americans has been widening since 2000; seniors in rural areas have seen smaller improvements than those in large metro areas as longevity has increased nationally. In particular, older Americans in Appalachia and the East South Central region, such as Alabama, Mississippi and Tennessee, have fared worse than those on the coasts.
The geographic differences emerged around 1999-2000 and widened from 2000 to 2016, the study found. By the end of this period, life expectancy at age 65 for women in large metropolitan areas was 1.63 years longer than for those in rural areas. For men, the gap was 1.42 years.
According to the study, the most important factor in living longer has been a reduction in deaths from cardiovascular illnesses, such as heart attacks and strokes — the biggest killer in America.
“It’s likely that medical treatments for cardiovascular disease have disseminated more rapidly in large metro areas than in rural areas,” which have fewer specialist physicians and hospitals, Preston said.
There are large differences in smoking rates across the country, and while the analysis didn’t examine race, income or education, demographers are certain that these factors play a part in the findings.
"Researchers are also sure that Medicare and Social Security have been key factors in the overall upward trend for life expectancy since 1950," said Alliance Secretary-Treasurer Joseph Peters, Jr. "Expanding those programs would go a long way toward helping seniors in areas where increases in longevity have lagged, such as Appalachia and the South."