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Survival Convergence and the Preceding Mortality Crossover for Two Population Subgroups
Authors:Xian Liu  Charles C. Engel  David W. Armstrong  Han Kang
Affiliation:(1) Deployment Health Clinical Center, Walter Reed Army Medical Center, 6900 Georgia Avenue, NW, Building 2, 3E01, Washington, DC 20307-5001, USA;(2) Department of Psychiatry, F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA;(3) Department of Veterans Affairs, Environmental Epidemiology Service, Washington, DC 20420, USA
Abstract:
In this paper, we present and develop the argument that if the survival functions for two population subgroups converge in later life, a mortality crossover must precede the occurrence of this convergence. Specifically, two survival curves, S 1(x) and S 2(x), associated with two distinct population subgroups, G1 and G2, tend to converge before all members die out, as often observed and anticipated. This convergence leads to an increased mortality acceleration for the “advantaged” group, and eventually fosters the occurrence of a mortality crossover. We present a mathematical proof for this relationship and offer several explanations for the mechanisms involved in the process of survival convergence and the preceding mortality crossover. This new presentation demonstrates that mortality crossover is a highly observable demographic event given the trend of survival convergence in later life.
Keywords:Differential mortality  Aged persons  Survival analysis  Population subgroups
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