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. Author manuscript; available in PMC: 2020 Nov 26.
Published in final edited form as: JAMA. 2019 Nov 26;322(20):1996–2016. doi: 10.1001/jama.2019.16932

Table 1.

Joinpoint analysis of life expectancy trends--US, census divisions, and states

Trends in last two segments (years, APC [95% CI) Change in slope
(% change, 95% CI)
AAPCǂ (2010–16)
Penultimate APCǂ Last APCǂ
UNITED STATES 2003–2011 0.27 (0.21 to 0.34) 2011–2016 0.00 (−0.12 to 0.12) −0.27 (−0.40 to −0.14) 0.05 (−0.05 to 0.14)
Div 1: New England 1977–2012 0.22 (0.22 to 0.23) 2012–2016 −0.09 (−0.32 to 0.14) −0.32 (−0.54 to −0.10) 0.01 (−0.14 to 0.16)
Connecticut 2000–2010 0.31 (0.26 to 0.36) 2010–2016 0.04 (−0.06 to 0.14) −0.27 (−0.38 to −0.16) 0.04 (−0.06 to 0.14)
Maine 1978–2011 0.19 (0.18 to 0.20) 2011–2016 −0.16 (−0.34 to 0.02) −0.35 (−0.52 to −0.17) −0.10 (−0.25 to 0.04)
Massachusetts 1977–2013 0.23 (0.22 to 0.24) 2013–2016 −0.17 (−0.59 to 0.24) −0.40 (−0.81 to 0.00) 0.03 (−0.17 to 0.23)
New Hampshire 1978–2012 0.22 (0.21 to 0.23) 2012–2016 −0.41 (−0.66 to −0.15) −0.63 (−0.88 to −0.38) −0.20 (−0.36 to −0.03)
Rhode Island 1979–2012 0.20 (0.19 to 0.21) 2012–2016 −0.06 (−0.36 to 0.24) −0.26 (−0.55 to 0.03) 0.03 (−0.16 to 0.22)
Vermont 1977–2009 0.24 (0.23 to 0.25) 2009–2016 −0.05 (−0.15 to 0.06) −0.28 (−0.39 to −0.18) −0.05 (−0.15 to 0.06)
Div 2: Mid-Atlantic 1988–2010 0.31 (0.29 to 0.32) 2010–2016 0.10 (−0.01 to 0.21) −0.21 (−0.31 to −0.10) 0.10 (−0.01 to 0.21)
New Jersey 1988–2012 0.30 (0.28 to 0.32) 2012–2016 0.05 (−0.16 to 0.25) −0.25 (−0.45 to −0.05) 0.13 (0.00 to 0.26)
New York 1998–2012 0.31 (0.28 to 0.34) 2012–2016 0.10 (−0.07 to 0.27) −0.21 (−0.38 to −0.05) 0.17 (0.06 to 0.28)
Pennsylvania 1981–2014 0.19 (0.19 to 0.20) 2014–2016 −0.41 (−1.03 to 0.21) −0.60 (−1.21 to 0.00) −0.01 (−0.21 to 0.19)
Div 3: East North Central 1980–2012 0.19 (0.18 to 0.20) 2012–2016 −0.10 (−0.28 to 0.08) −0.29 (−0.46 to −0.11) 0.00 (−0.12 to 0.11)
Illinois 1994–2012 0.29 (0.26 to 0.31) 2012–2016 −0.03 (−0.23 to 0.18) −0.31 (−0.51 to −0.11) 0.08 (−0.05 to 0.21)
Indiana 1981–2011 0.14 (0.13 to 0.15) 2011–2016 −0.10 (−0.24 to 0.05) −0.24 (−0.38 to −0.10) −0.06 (−0.18 to 0.06)
Michigan 1978–2011 0.20 (0.19 to 0.20) 2011–2016 −0.05 (−0.16 to 0.06) −0.25 (−0.36 to −0.14) −0.01 (−0.10 to 0.08)
Ohio 1983–2012 0.15 (0.14 to 0.16) 2012–2016 −0.22 (−0.41 to −0.04) −0.37 (−0.55 to −0.19) −0.10 (−0.22 to 0.02)
Wisconsin 2002–2009 0.25 (0.17 to 0.34) 2009–2016 −0.03 (−0.09 to 0.04) −0.28 (−0.39 to −0.18) −0.03 (−0.09 to 0.04)
Div 4: West North Central 2001–2010 0.20 (0.15 to 0.25) 2010–2016 −0.02 (−0.09 to 0.06) −0.21 (−0.30 to −0.13) −0.02 (−0.09 to 0.06)
Iowa 1980–2010 0.16 (0.15 to 0.16) 2010–2016 −0.04 (−0.13 to 0.05) −0.20 (−0.28 to −0.11) −0.04 (−0.13 to 0.05)
Kansas 2001–2011 0.16 (0.12 to 0.20) 2011–2016 −0.03 (−0.14 to 0.08) −0.19 (−0.30 to −0.08) 0.00 (−0.08 to 0.09)
Minnesota 2000–2009 0.26 (0.20 to 0.32) 2009–2016 0.00 (−0.07 to 0.08) −0.26 (−0.35 to −0.16) 0.00 (−0.07 to 0.08)
Missouri 1999–2012 0.18 (0.16 to 0.21) 2012–2016 −0.11 (−0.28 to 0.06) −0.29 (−0.46 to −0.12) −0.01 (−0.12 to 0.10)
Nebraska 1979–2011 0.17 (0.16 to 0.18) 2011–2016 −0.04 (−0.18 to 0.11) −0.20 (−0.34 to −0.06) 0.00 (−0.12 to 0.12)
North Dakota 2002–2005 0.39 (−0.69 to 1.48) 2005–2016 0.01 (−0.04 to 0.06) −0.37 (−1.43 to 0.68) 0.01 (−0.04 to 0.06)
South Dakota 1982–2013 0.16 (0.15 to 0.18) 2013–2016 −0.32 (−0.80 to 0.16) −0.48 (−0.95 to −0.01) −0.08 (−0.31 to 0.16)
Div 5: South Atlantic 2003–2012 0.30 (0.23 to 0.37) 2012–2016 −0.06 (−0.28 to 0.16) −0.36 (−0.59 to −0.13) 0.06 (−0.09 to 0.20)
Delaware 1969–1977 0.60 (0.46 to 0.73) 1977–2016 0.21 (0.20 to 0.22) −0.39 (−0.52 to −0.25) 0.21 (0.20 to 0.22)
Florida 2005–2013 0.33 (0.22 to 0.44) 2013–2016 −0.14 (−0.55 to 0.26) −0.47 (−0.88 to −0.06) 0.09 (−0.11 to 0.30)
Georgia 2003–2012 0.31 (0.22 to 0.40) 2012–2016 −0.12 (−0.39 to 0.16) −0.42 (−0.71 to −0.14) 0.02 (−0.16 to 0.21)
Maryland 2001–2012 0.36 (0.31 to 0.41) 2012–2016 −0.11 (−0.33 to 0.12) −0.47 (−0.69 to −0.24) 0.05 (−0.10 to 0.20)
North Carolina 2000–2012 0.26 (0.22 to 0.30) 2012–2016 −0.09 (−0.30 to 0.12) −0.35 (−0.56 to −0.14) 0.02 (−0.11 to 0.16)
South Carolina 1972–1979 0.79 (0.61 to 0.96) 1979–2016 0.20 (0.19 to 0.21) −0.59 (−0.76 to −0.41) 0.20 (0.19 to 0.21)
Virginia 1969–1979 0.53 (0.47 to 0.60) 1979–2016 0.22 (0.21 to 0.23) −0.31 (−0.37 to −0.25) 0.22 (0.21 to 0.23)
West Virginia 1996–2014 0.05 (0.03 to 0.06) 2014–2016 −0.37 (−1.07 to 0.35) −0.41 (−1.11 to 0.28) −0.09 (−0.32 to 0.14)
Div 6: East South Central 2005–2011 0.20 (0.07 to 0.33) 2011–2016 −0.10 (−0.23 to 0.03) −0.31 (−0.49 to −0.13) −0.05 (−0.16 to 0.06)
Alabama 1969–1982 0.49 (0.45 to 0.53) 1982–2016 0.09 (0.09 to 0.10) −0.39 (−0.43 to −0.35) 0.09 (0.09 to 0.10)
Kentucky 1992–2013 0.09 (0.08 to 0.11) 2013–2016 −0.38 (−0.73 to −0.03) −0.47 (−0.81 to −0.13) −0.14 (−0.31 to 0.03)
Mississippi 2005–2010 0.31 (0.06 to 0.55) 2010–2016 −0.06 (−0.18 to 0.06) −0.36 (−0.63 to −0.10) −0.06 (−0.18 to 0.06)
Tennessee 2003–2011 0.23 (0.14 to 0.32) 2011–2016 −0.10 (−0.26 to 0.06) −0.33 (−0.51 to −0.16) −0.05 (−0.17 to 0.08)
Div 7: West South Central 2003–2011 0.25 (0.19 to 0.31) 2011–2016 0.03 (−0.08 to 0.14) −0.22 (−0.34 to −0.10) 0.07 (−0.02 to 0.15)
Arkansas 1973–1978 0.68 (0.44 to 0.92) 1978–2016 0.09 (0.08 to 0.10) −0.58 (−0.82 to −0.35) 0.09 (0.08 to 0.10)
Louisiana 2005–2010 0.42 (0.18 to 0.66) 2010–2016 0.02 (−0.10 to 0.14) −0.40 (−0.66 to −0.14) 0.02 (−0.10 to 0.14)
Oklahoma 1987–1995 −0.03 (−0.10 to 0.05) 1995–2016 0.06 (0.05 to 0.07) 0.09 (0.01 to 0.16) 0.06 (0.05 to 0.07)
Texas 1972–1977 0.65 (0.42 to 0.88) 1977–2016 0.19 (0.19 to 0.20) −0.45 (−0.67 to −0.23) 0.19 (0.19 to 0.20)
Div 8: Mountain 2005–2010 0.31 (0.15 to 0.48) 2010–2016 0.01 (−0.07 to 0.10) −0.30 (−0.48 to −0.12) 0.01 (−0.07 to 0.10)
Arizona 2006–2009 0.60 (−0.22 to 1.42) 2009–2016 0.05 (−0.05 to 0.16) −0.55 (−1.34 to 0.25) 0.05 (−0.05 to 0.16)
Colorado 2002–2012 0.24 (0.19 to 0.29) 2012–2016 −0.07 (−0.28 to 0.13) −0.31 (−0.52 to −0.11) 0.03 (−0.10 to 0.16)
Idaho 1991–2010 0.16 (0.14 to 0.17) 2010–2016 −0.02 (−0.11 to 0.08) −0.17 (−0.27 to −0.08) −0.02 (−0.11 to 0.08)
Montana 1977–1988 0.34 (0.27 to 0.41) 1988–2016 0.12 (0.11 to 0.13) −0.22 (−0.29 to −0.15) 0.12 (0.11 to 0.13)
Nevada 2005–2010 0.40 (0.20 to 0.61) 2010–2016 0.06 (−0.05 to 0.16) −0.34 (−0.56 to −0.12) 0.06 (−0.04 to 0.16)
New Mexico 1983–2013 0.13 (0.12 to 0.15) 2013–2016 −0.27 (−0.70 to 0.16) −0.40 (−0.82 to 0.02) −0.07 (−0.28 to 0.14)
Utah 2004–2009 0.28 (0.10 to 0.45) 2009–2016 −0.07 (−0.14 to 0.00) −0.34 (−0.53 to −0.16) −0.07 (−0.13 to 0.00)
Wyoming 1971–1984 0.57 (0.49 to 0.64) 1984–2016 0.12 (0.11 to 0.14) −0.44 (−0.51 to −0.37) 0.12 (0.11 to 0.14)
Div 9: Pacific 1988–2013 0.27 (0.26 to 0.28) 2013–2016 0.01 (−0.24 to 0.26) −0.26 (−0.51 to −0.02) 0.14 (0.02 to 0.26)
Alaska 1984–2010 0.21 (0.18 to 0.23) 2010–2016 −0.04 (−0.27 to 0.18) −0.25 (−0.47 to −0.03) −0.04 (−0.27 to 0.18)
California 1988–2014 0.30 (0.29 to 0.31) 2014–2016 −0.12 (−0.70 to 0.45) −0.42 (−0.98 to 0.14) 0.16 (−0.03 to 0.34)
Hawaii 1977–1997 0.14 (0.12 to 0.16) 1997–2016 0.18 (0.16 to 0.20) 0.04 (0.02 to 0.07) 0.18 (0.16 to 0.20)
Oregon 1971–1979 0.46 (0.35 to 0.58) 1979–2016 0.17 (0.16 to 0.18) −0.29 (−0.40 to −0.18) 0.17 (0.16 to 0.18)
Washington 1980–2013 0.19 (0.19 to 0.20) 2013–2016 −0.03 (−0.32 to 0.26) −0.22 (−0.51 to 0.06) 0.08 (−0.06 to 0.22)
ǂ

Table presents slopes for the two most recent linear trends in life expectancy during 1959–2016. For the penultimate and most recent time periods, the table presents the annual percent change (APC), the years marking the beginning and end of each time period, and the degree to which the slope changed between the two comparison periods. The table also presents the average annual percent change (AAPC) for 2010–2016. The AAPC over any fixed interval is calculated using a weighted average of the slope coefficients of the underlying joinpoint regression line with weights equal to the length of each segment over the interval. The final step of the calculation transforms the weighted average of slope coefficients to an annual percent change. Life expectancy data obtained from the US Mortality Database.