White Americans, as the largest racial group in the United States, have historically had better health outcomes than oppressed racial groups in the United States. However, in recent years, the scholarly discourse has switched from recognition of the immense positive health outcomes of white Americans towards understanding the negative outcomes unique to this racial group, such as alcoholism.
Health advantages 2007, the 15 leading causes of death in the US were recorded with a specific attention toward racial/ethnic health disparities. For 10 of those 15 causes of death, black Americans had higher rates of death. The following list describes the categories in which non-Hispanic whites have ranked comparatively better than blacks (in order of total deaths):
Heart disease Cancer Stroke Diabetes Respiratory infections Kidney disease Sepsis Hypertension Homicide They also fare better for:
Health insurance coverage Obesity Perinatal conditions including infant morality General life expectancy
Life expectancy Life expectancy can be used to gauge the overall health of a population and is defined as the average number of years a group of infants would live if they were to experience the age-specific death rates that are present in their birth year. White Americans have historically exhibited an advantage over large portions of the US population. From 1980 to 2014, white Americans had the longest life expectancy, black people had the shortest life expectancy in the US, and black men had higher racial differences in life expectancy than black women. These patterns can be identified throughout early childhood until advanced age when the differences become less severe. The differences seen in life expectancy are generally attributed to minority populations having earlier onsets of illness, greater severity of disease, and poorer survival rates. In recent years, white Americans have collectively experienced a consistently declining life expectancy. In particular, this trend is prevalent among non-college educated whites and is largely related to the deaths of despair phenomenon. After 1998, other first-world countries' mortality rates began to fall by 2% a year, which matched the average rate of decline seen in the US from 1978 to 1998. However, the mortality rate of middle-aged white Americans increased by 0.5%.
Diseases of despair In the US, there is a classification of behavior-related medical conditions known as diseases of despair, which comprises: drug or alcohol overdose, suicide, and alcoholic liver disease. The frequency of these illnesses is highest among middle-age working class white people. Scholars have raised the idea that diseases of despair are the result of worsening psychosocial problems that extend from the 1980s and are of concern to the US as a whole. Although these behaviors are thought to be seen with groups who experience lack of social and economic mobility, there are increasing risk factors involved with poor mental health. Despite the vastly different economic trends for white and black Americans, whites are more likely to perceive themselves as having lower social class and are less optimistic about their financial future. This trend among middle-class whites points to an increased need for research on the health status of whites due to continuing rise in premature death caused by these diseases. Further, this trend exemplifies the problematic nature of research using whites as a comparative standard to other ethnic and racial backgrounds in the US.
Opioid epidemic From 2010 and into the 2020s, there has been an increase in opioid overdoses among white Americans, specifically in rural areas. Andrew Kolodny, director of the Opioid Policy Research Collaborative at Brandeis University, attributes the disparate opioid usage among white Americans to physicians' increased propensity towards prescribing narcotics to white patients. In more recent years, however, the opioid epidemic has come to disproportionately impact African Americans, despite the earlier narrative that the opioid epidemic was mainly affecting white Ameficans.
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