Health Inequalities: Why do Latinos Live Longer than Whites?

Is summarized below for each state (source) – and it shows some very interesting patterns.

us-life-expectancy-by-race

The average life expectancy of Asian-Americans (86.5 years) is 4 years higher than in Japan – the longest-lived big East Asian country. Taiwan and South Korea are at around 80; Hong Kong is at 83; Singapore is at 81. The other East Asian countries aren’t developed yet, so there isn’t much point in comparison.

The LE of Latinos is 82.8, which is 6 years more than in Mexico, 4 years more than in the longest-lived Latin American countries and even a year higher than in Spain (one of the longest-lived European countries). This is despite the fact that obesity rates among Hispanics in the US is very high – higher than those of whites.

On average American whites can expect to live to just 78.9 – the same as in Chile or Denmark (the shortest-lived Western European country). A most curious anomaly, given their higher SES and lower obesity rates relative to Hispanics.

Blacks can expect to live around 74.2 years. This is far higher than in any African country, but the comparison is flawed for obvious reasons. It is however pretty close to the life expectancy in predominantly mulatto Caribbean countries like Jamaica (73 years) or the Bahamas (75 years), countries which are more suitable for comparison.

Native Americans average 76.9 years, though they are spread out all across the spectrum – ranging from 80 in California, to 69 in Montana.

Some questions and issues to ponder:

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Russia’s Demography Continues To Improve Rapidly In First 3 Months Of 2012

In my previous demography post, I argued that for all intents and purposes, Russia’s “demographic crisis” can be reasonably argued to have ended. Population growth is now consistently positive since 2009, and as of last year, the country’s natural decrease was a mere 131,000. This is a massive improvement over the 500,000-1,000,000 annual natural decrease seen in 1993-2006.

The latest figures continue to beat all expectations (even my relatively optimistic ones) in the first three months of this year. The crude birth rate has risen by 6.5% over the same period last year, implying a c.8% rise in the total fertility rate (slightly higher since the ratio of women of childbearing age is now falling). Projecting it for the rest of the year – a risky assumption, granted, but this is back of the envelope stuff anyway – would give a TFR of about 1.73 for 2012 (from c.1.60 in 2011). This would make it broadly comparable to the Netherlands (1.79), Iran (1.70), Canada (1.67), and Estonia (1.62); below the US, France, the UK, and Scandinavia (1.8-2.0); and above Germany, the Med, Japan, South Korea, Poland, China, and the Christian ex-USSR (1.2-1.5). It is time to stop thinking of Russia as a low-fertility country; it is firmly in the middle of the pack among industrialized countries. It is particularly noteworthy that whereas Russia is frequently described as the sick man of the BRIC’s (in demographic terms), it is now probably closer to Brazil (1.86) than it is to China (c.1.4-1.5).

The numbers of deaths fell by 3.3%, and this is a trend that is likely to persist as excise taxes on alcohol and tobacco are raised at  a more rapid pace now that the elections are done with. As a result, the natural population loss in the first quarter this year is now only 35,000 relative to 79,000 last year. There is now a distinct chance that natural population growth will actually be positive this year – linearly extrapolating from this quarter (which is of course an unreliable method, but whatever) would give 1,793,828*1.065 births and 1,925,036*0.967 deaths = 1,920,426 – 1,861,509 = c.60k increase – although I’d still give it less than even odds. As graphs are worth many words…

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Translation: Sergey Zhuravlev – The Reversal Of The “Russian Cross”

Sergey Zhuravlev is a Russian economist who runs a wonky but eminently readable and very useful, interesting blog and writes for Expert (author profile), which I may add is an excellent publication. You have met him previously on my blog as the inventor of a clever – if, in my opinion, flawed – argument that the 2011 Duma elections were marred by 5%-6% fraud, but were clean in Moscow; and if you read the Russia blogs, you may also have come across Mark Adomanis’ translation of one his articles about Russian regional inequality. Now I am presenting a translation of his Feb 13 article on what I called as the end of Russia’s demographic crisis: The Reversal of the Russian Cross. In my opinion, it has a few weaknesses; in particular, he is too cavalier about dismissing the “alcohol hypothesis” about post-Soviet Russia’s “supermortality”. But overall it is a brilliant and deeply informative survey of the origins of the Russian Cross – the crossover of the births and deaths graphs in 1992 – as well as of its recent reversal, to the extent that natural population decline is now almost stabilized and the overall population is able to grow due to net migrants.

The Reversal Of The Russian Cross

Last year our country’s population increased, for the first time in 20 years. Although positive growth in aggregate was only enabled by immigration from the Near Abroad, existing trends in rising fertility and falling mortality were maintained.

If we are to go by Rosstat’s figures, in the past year Russia’s population – for the first time in virtually the entire twenty years of Russia’s existence as a sovereign state – increased, exceeding 143 million people. The maximum population size was reached in 1992, at 148.56 millions, and has since decreased at a practically monotone rate. That said, it should be added that small population growth was previously observed in 1994 and 2009, and that the population fall in 2010 was, most likely, explained by cumulative errors over the period since the 2002 Census, and by the abnormal mortality during that summer’s heatwave [AK: There were c.56,000 excess deaths during the anomalous 2010 heatwave, which is basically equivalent to population decline of 48,300. Furthermore, the 2010 Census showed there to be 143.9 million Russians, which was one million higher than projections based on the 2002 Census; this implied that during the period, net immigration was underestimated by more than 100,000 per year. So its likely that even despite the heatwave, Russia’s population still eked out an increase in 2010].

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Russia’s Population Is Now Growing

The preliminary results of the 2010 Census are out, showing that the population has fallen to 142.9 million. This compares to 145.2 million counted in the previous 2002 Census.

Most headlines have emphasized the falling population aspect of “Putin’s decade”. But the more interesting stuff is in the derivatives. According to state statistics agency Rosstat, the population in 2010 should have been at 141.9 million (after a period of rapid decline until 2007; a small fall in 2008; and stagnation in 2009-10).

However, the Census results indicate that Rosstat may have placed the population 1.0 million people lower than reality, probably by underestimating immigration.

Furthermore, adding in the tendency towards increasing life expectancy and higher fertility rates previously covered on this blog, I can confidently predict that the 2020 Census will show a population bigger than this year’s. Perhaps 145-147 million, as predicted in both Rosstat’s and my own higher scenarios.

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Three Hypotheses About Demographic Reporting In Nezavisimaya Gazeta

Russia’s demographic revival stalled in 2010, after several years of fast improvements. In January-September, though the birth rate increased by 16,700 souls on the same period last year, it was counterbalanced by an increase in deaths by 37,200 – all of them and more courtesy of the 44,000 excess deaths caused by the Great Russian Heatwave of 2010. A big drop in migration during this period, from 191,500 to 123,100, means that Russia’s population is likely to gently decline this year (in contrast to 2009, when it rose slightly for the first time in 15 years). Nonetheless, the liberal Russian media are as good as ever at spinning these modest developments into harbingers of the apocalypse, as the indefatigable S/O guest blogger Sergey Slobodyan points out.

Three Hypotheses About Demographic Reporting In Nezavisimaya Gazeta

I continue tracking demographic reporting in Nezavisimaya Gazeta (NG). Why NG? I used to like it, many years ago. It still produces serious, thoughtful articles from time to time. In short, it’s a paper I’d like to read – if it were reliable. Regretfully, its reporting on some issues – like demography – is just a total disaster.

Last example: “Rosstat has poured cold water on Minzdrav’s optimism.” Here we learn that mortality in Sep 2010 was 0.3% lower than in Sep 2009, and as usual, deaths from external reasons have dropped by 4.6%. But we also learned that in Jan-Sep 2010, the mortality situation is nothing but a disaster, namely “mortality in 9 months of 2010 is higher than during the whole of 2009”.

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The Boris Bombshell. Two Years Later. Still a Dud.

The two dunces.

The two dunces.

During the past two years, Russian “dissident” liberals Boris Nemtsov and Vladimir Milov have produced a frankly maniacal quantity of so-called “Independent Expert Reports” (there are now seven of them) that purport to debunk the “persistent myths imposed by official [Kremlin] propaganda”. The authors say that their latest exegesis, melodramatically entitled “Putin. The Results. 10 Years” and at 48 pages one of their shorter works, will have a print run of one million copies and will be distributed throughout Russia’s regions. This latest iteration of Nemtsov’s anti-Putin screed differs little in substance from the first, which was pilloried by Sean Guillory in Nemtsov’s White Paper: Bombshell or Dud?

Though Sean castigated the “dynamic duo” for their middle-class chauvinism, neoliberal elitism and poverty of proposed solutions, even he was far too kind in granting them the benefit of the doubt on their “litany of statistics, examples, and facts” showing that Russia had been brought to the brink of collapse by Putin (of course Russia was pushed well past that brink under Yeltsin, when Nemtsov reached his political apogee; but I digress). Now I hadn’t previously read any of Nemtsov and Co.’s earlier scribblings, but their introduction to this latest report raised my suspicions. Apparently, one myth peddled by Kremlin propagandists is that under Putin, Russians began to “give birth more and die less”. Of course, anyone with the slightest familiarity with Russian demography knows this is either a howler or a mendacious lie. If these guys can’t be relied on to get simple facts right, facts which can be looked up on the Internet within seconds, what basis is there to trust them on anything else they have to say? So I decided to sneak a peek at Nemtsov’s chapter on Russia’s demography… and discovered a truly epic mountain of red herrings, statistical manipulation and outright lies worthy of a Brezhnev-era Goskomstat apparatchik.

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10 Myths about Russia’s Demography

This post tries to debunk some popular, but misguided, views on demographic trends in today’s Russia. These consist of the perception that Russia is in a demographic “death spiral” that dooms it to national decline (BidenEberstadt, NIC, CIA, Stratfor, etc). Some extreme pessimists even predict that ethnic Russians – ravaged by AIDS, infertility and alcoholism – will die out as an ethnicity, displaced by Islamist hordes and Chinese settlers (Steyn, Collard).

The Myth of Russia’s Demographic Apocalypse

Think again. While it is true that Russia’s current demographic situation is nothing to write home about, most of the demographic trends that matter are highly positive – and there is compelling evidence that Russia can still return to a healthy, longterm pattern of sustainable population replacement.

1

MYTH: Russia is losing 750,000 of its population per year and will become depopulated within decades.

REALITY: In 1992, for the first time since the Great Patriotic War, deaths exceeded births in Russia, forming the so-called “Russian Cross”. Since then the population fell from 149mn to 142mn souls. However, the rate of depopulation has slowed massively in recent years.

As of 2008, there were 362,000 more deaths than births in Russia, down from 847,000 in 2005.  Furthermore, adding in migration would give a total population loss of just 105,000 people in 2008, equivalent to -0.07% of the population, which is a massive improvement from the 721,000 fall in 2005. The situation continued improving in 2009, despite the economic crisis, with Russia seeing positive natural increase in August and September for the first time in 15 years.

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Russia’s Demographic Resilience

In this post I look at the (surprisingly good) Russian demographic data for Jan-Mar 2009 and argue in more depth that the economic crisis is unlikely to have a very major negative impact on short-term fertility, or any but a very minor impact on long-term demographic trends. I make some falsifiable predictions, estimating a birth rate of 11.5 / 1000 and a death rate of 14.5 / 1000 this year, changed from 12.1 / 1000 and 14.8 / 1000 in 2008, respectively.

In my April article Rite of Spring: Russia’s Fertility Trends, I argued that in the next few years Russia is going to experience a minor demographic resurgence to fertility rates of around 1.7-2.1. This is based on a) relatively high fertility expectations, similar to those seen in the late Soviet Union and Western Europe (France, UK,…) which had / have near replacement-level total fertility rates, b) a little-known indicator called the “average birth sequence” implied the natural long-term fertility rate, absent birth postponement, is around 1.6-1.7 and c) a new spirit of confident conservatism. I also dismissed the idea that the current economic crisis is poised to derail these developments

Furthermore, the post-Soviet collapse was an unprecedented hyper-depression, surpassed only by the Civil War in its social costs. Though on paper recovery from the 1998 crisis was rapid, newly severe budget discipline undercut social spending that left many classes and regions destitute for years. It is telling that in the first six months of the 1998 recession, the proportion of people who could hardly afford even food rose from 29% to 40% of the population; in stark contrast, in the five months since the Russian economy began collapsing in October, this figure rose from 9%…to just 10%.

This is notwithstanding that the rate of decline from Q4 2008 to Q1 2009 was even sharper than during H2 1998. However this time round, both state and society have much bigger surpluses to fall back on during the lean times. As such, the probability that the crisis will have a significant longterm effect on Russian fertility is extremely low.

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