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Geographic Disparities in Alzheimer's Disease and Related Dementia Mortality in the US: Comparing Impacts of Place of Birth and Place of Residence

January 2025

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Doc2Vec is a model that represents entire documents as fixed-length vectors, allowing for the capture of semantic meaning in a way that relates to the context of words within the document. The model learns to associate a unique vector with each document while simultaneously learning word vectors, enabling tasks such as document classification, clustering, and similarity detection by preserving the order and structure of words. The document vectors are compared using cosine similarity/distance to determine the most similar working papers. Papers identified with 🔥 are in the top 20% of similarity.

The 10 most similar working papers to the working paper 'Geographic Disparities in Alzheimer's Disease and Related Dementia Mortality in the US: Comparing Impacts of Place of Birth and Place of Residence' are listed below in order of similarity.

• Working Paper

  🔥

  
  
  EXAMINING THE LONG TERM MORTALITY EFFECTS OF EARLY HEALTH SHOCKS
  

  March 2014

  Authors: Jason Fletcher

  Working Paper Number:

  CES-14-19

  A growing literature in economics and other disciplines has tied exposure to early health shocks, particularly in utero influenza, to reductions in a variety of socioeconomic and health outcomes over the life course. However, no current evidence exists that examines this health shock on mortality because of lack of available data. This paper uses newly released files from the large, representative National Longitudinal Mortality Study to explore the mortality effects of the 1918 influenza pandemic for those in utero. While the results on socioeconomic outcomes mimic those in the literature, showing reductions in completed schooling and income fifty years following influenza exposure, the findings also suggest no effect on overall mortality or by categories of cause-of-death. These results are counter-intuitive in their contrast with the many reported effects on cardiovascular health as well as the literature linking education with later mortality
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• Working Paper

  
  
  New Evidence on the Impacts of Early Exposure to the 1918 Influenza Pandemic on Old-Age Mortality
  

  January 2018

  Authors: Jason Fletcher

  Working Paper Number:

  CES-18-06

  This paper provides new evidence of the impacts of early life exposure to the 1918 pandemic with old-age mortality by analyzing data from the National Longitudinal Mortality Study (n ~ 220,000). The specifications used year and quarter of birth indicators to assess the effects of timing of pandemic exposure and used Cox proportional hazard models for all-cause mortality outcomes. The findings suggest evidence of excess all-cause mortality for cohorts born during 1918 and mixed evidence for cohorts born in 1917 and 1919. Therefore, contrary to some existing research, the results suggest no consistent evidence of the importance of specific windows of exposure by gestation period.
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• Working Paper

  
  
  RESIDENTIAL MOBILITY ACROSS LOCAL AREAS IN THE UNITED STATES AND THE GEOGRAPHIC DISTRIBUTION OF THE HEALTHY POPULATION
  

  February 2014

  Authors: Arline T. Geronimus, John Bound, Annie Ro

  Working Paper Number:

  CES-14-14

  Determining whether population dynamics provide competing explanations to place effects for observed geographic patterns of population health is critical for understanding health inequality. We focus on the working-age population where health disparities are greatest and analyze detailed data on residential mobility collected for the first time in the 2000 US census. Residential mobility over a 5-year period is frequent and selective, with some variation by race and gender. Even so, we find little evidence that mobility biases cross-sectional snapshots of local population health. Areas undergoing large or rapid population growth or decline may be exceptions. Overall, place of residence is an important health indicator; yet, the frequency of residential mobility raises questions of interpretation from etiological or policy perspectives, complicating simple understandings that residential exposures alone explain the association between place and health. Psychosocial stressors related to contingencies of social identity associated with being black, urban, or poor in the U.S. may also have adverse health impacts that track with structural location even with movement across residential areas.
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• Working Paper

  
  
  Divorce, Family Arrangements, and Children's Adult Outcomes
  

  May 2025

  Authors: Maggie R. Jones, Andrew C. Johnston, Nolan G. Pope

  Working Paper Number:

  CES-25-28

  Nearly a third of American children experience parental divorce before adulthood. To understand its consequences, we use linked tax and Census records for over 5 million children to examine how divorce affects family arrangements and children's long-term outcomes. Following divorce, parents move apart, household income falls, parents work longer hours, families move more frequently, and households relocate to poorer neighborhoods with less economic opportunity. This bundle of changes in family circumstances suggests multiple channels through which divorce may affect children's development and outcomes. In the years following divorce, we observe sharp increases in teen births and child mortality. To examine long-run effects on children, we compare siblings with different lengths of exposure to the same divorce. We find that parental divorce reduces children's adult earnings and college residence while increasing incarceration, mortality, and teen births. Changes in household income, neighborhood quality, and parent proximity account for 25 to 60 percent of these divorce effects.
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• Working Paper

  
  
  Education and Mortality: Evidence for the Silent Generation from Linked Census and Administrative Data
  

  August 2025

  Authors: Evan Taylor, Ciprian Domnisoru, Anna Malinovskaya

  Working Paper Number:

  CES-25-56

  We quantify the effect of education on mortality using a linkage of the full count 1940, 2000, and 2010 US census files and the Numident death records file. Our sample is composed of children aged 0-18 in 1940, observed living with at least one parent, for whom we can construct a rich set of parental and neighborhood characteristics. We estimate effects of educational attainment in 1940 on survival to 2000, as well as the effects of completed education, observed in 2000, on 10-year survival to 2010. The educational gradients in longevity that we estimate are robust to the inclusion of detailed individual, parental, household, neighborhood and county covariates. Given our full population census sample, we also explore rich patterns of heterogeneity and examine the effect of mediators of the education-mortality relationship. The mediators we consider in this study explain more than half of the relationship between education and mortality. We further show that the mechanisms underlying the education-mortality gradient might be different at different margins of educational attainment.
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• Working Paper

  
  
  Age, Sex, and Racial/Ethnic Disparities and Temporal-Spatial Variation in Excess All-Cause Mortality During the COVID-19 Pandemic: Evidence from Linked Administrative and Census Bureau Data
  

  May 2022

  Authors: Leticia Fernandez, Sonya R. Porter, Nikolas Pharris-Ciurej, Thomas B. Foster

  Working Paper Number:

  CES-22-18

  Research on the impact of the COVID-19 pandemic in the United States has highlighted substantial racial/ethnic disparities in excess mortality, but reports often differ in the details with respect to the size of these disparities. We suggest that these inconsistencies stem from differences in the temporal scope and measurement of race/ethnicity in existing data. We address these issues using death records for 2010 through 2021 from the Social Security Administration, covering the universe of individuals ever issued a Social Security Number, linked to race/ethnicity responses from the decennial census and American Community Survey. We use these data to (1) estimate excess all-cause mortality at the national level and for age-, sex-, and race/ethnicity-specific subgroups, (2) examine racial/ethnic variation in excess mortality over the course of the pandemic, and (3) explore whether and how racial/ethnic mortality disparities vary across states.
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• Working Paper

  
  
  Mortality in a Multi-State Cohort of Former State Prisoners, 2010-2015
  

  February 2022

  Authors: Leticia Fernandez, Sharon R. Ennis, Sonya R. Porter, Elizabeth Carson

  Working Paper Number:

  CES-22-06

  Previous studies report that individuals who have been imprisoned have higher mortality rates than their demographic counterparts in the general population, particularly non-Hispanic white former prisoners. Most of these studies have been based on a single state's prison system, and the extent to which their findings can be generalized has not been established. In this study we explore the role that race/Hispanic origin, other demographic characteristics, and custodial/ criminal history factors have on post-release mortality, including on the timing of deaths. We also assess whether conditional release to community supervision or reimprisonment may explain the higher post-release mortality found among non-Hispanic whites. In the second part of the analysis, we estimate standardized mortality ratios (SMRs) by sex, age group, and race/Hispanic origin using as reference the U.S. general population. The data come from state prison releases from the Bureau of Justice Statistics' (BJS) National Corrections Reporting Program (NCRP). The NCRP records were linked to the Census Numident to identify deaths occurring within five years from prison release. We also linked NCRP records to previous decennial censuses and survey responses to obtain self-reported race and Hispanic origin if available. We found that non-Hispanic white former prisoners were more likely to die within five years after prison release and more likely to die in the initial weeks after release compared to racial minorities and Hispanics. Reimprisonment, age at release, and a history of multiple prison terms had a similar influence on the odds of dying across all race/Hispanic origin groups. Other factors, such as the type of release and the duration of the last term in prison, were associated with higher risks of mortality for some groups but not for others.
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• Working Paper

  
  
  The Measurement of Medicaid Coverage in the SIPP: Evidence from California, 1990-1996
  

  September 2002

  Authors: David Card, Andrew KG Hildreth, Lara D Shore-Sheppard

  Working Paper Number:

  CES-02-21

  This paper studies the accuracy of reported Medicaid coverage in the Survey of Income and Program Participation (SIPP) using a unique data set formed by matching SIPP survey responses to administrative records from the State of California. Overall, we estimate that the SIPP underestimates Medicaid coverage in the California populaton by about 10 percent. Among SIPP respondents who can be matched to administrative records, we estimate that the probability someone reports Medicaid coverage in a month when they are actually covered is around 85 percent. The corresponding probability for low-income children is even higher ' at least 90 percent. These estimates suggest that the SIPP provides reasonably accurate coverage reports for those who are actually in the Medicaid system. On the other hand, our estimate of the false positive rate (the rate of reported coverage for those who are not covered in the administrative records) is relatively high: 2.5 percent for the sample as a whole, and up to 20 percent for poor children. Some of this is due to errors in the recording of Social Security numbers in the administrative system, rather than to problems in the SIPP.
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• Working Paper

  
  
  The Long-Term Effects of Income for At-Risk Infants: Evidence from Supplemental Security Income
  

  March 2024

  Authors: Sarah Miller, Laura Wherry, Gloria G. Aldana, Amelia A. Hawkins, Christopher A. Hollrah, Mitchell D. Wong

  Working Paper Number:

  CES-24-10

  This paper examines whether a generous cash intervention early in life can "undo" some of the long-term disadvantage associated with poor health at birth. We use new linkages between several large-scale administrative datasets to examine the short-, medium-, and long-term effects of providing low-income families with low birthweight infants support through the Supplemental Security Income (SSI) program. This program uses a birthweight cutoff at 1200 grams to determine eligibility. We find that families of infants born just below this cutoff experience a large increase in cash benefits totaling about 27%of family income in the first three years of the infant's life. These cash benefits persist at lower amounts through age 10. Eligible infants also experience a small but statistically significant increase in Medicaid enrollment during childhood. We examine whether this support affects health care use and mortality in infancy, educational performance in high school, post-secondary school attendance and college degree attainment, and earnings, public assistance use, and mortality in young adulthood for all infants born in California to low-income families whose birthweight puts them near the cutoff. We also examine whether these payments had spillover effects onto the older siblings of these infants who may have also benefited from the increase in family resources. Despite the comprehensive nature of this early life intervention, we detect no improvements in any of the study outcomes, nor do we find improvements among the older siblings of these infants. These null effects persist across several subgroups and alternative model specifications, and, for some outcomes, our estimates are precise enough to rule out published estimates of the effect of early life cash transfers in other settings.
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• Working Paper

  
  
  Every Breath You Take, Every Dollar You'll Make: The Long-Term Consequences of the Clean Air Act of 1970
  

  September 2013

  Authors: Reed Walker, Adam Isen, Maya Rossin-Slater

  Working Paper Number:

  CES-13-52

  This paper examines the long-term impacts of in-utero and early childhood exposure to ambient air pollution on adult labor market outcomes. We take advantage of a new administrative data set that is uniquely suited for addressing this question because it combines information on individuals' quarterly earnings together with their counties and dates of birth. We use the sharp changes in ambient air pollution concentrations driven by the implementation of the 1970 Clean Air Act Amendments as a source of identifying variation, and we compare cohorts born in counties that experienced large changes in total suspended particulate (TSP) exposure to cohorts born in counties that had minimal or no changes. We nd a signi cant relationship between TSP exposure in the year of birth and adult labor market outcomes. A 10 unit decrease in TSP in the year of birth is associated with a 1 percent increase in annual earnings for workers aged 29-31. Most, but not all, of this effect is driven by an increase in labor force participation. In present value, the gains from being born into a county affected by the 1970 Clean Air Act amount to about $4,300 in lifetime income for the 1.5 million individuals born into these counties each year.
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