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LETTER |
Arline T. Geronimus, Margaret Hicken, and Danya Keene are with the Department of Health Behavior and Health Education and the Population Studies Center, University of Michigan, Ann Arbor. John Bound is with the Department of Economics and the Population Studies Center, University of Michigan, Ann Arbor, and the National Bureau of Economic Research, Cambridge, Mass.
Correspondence: Requests for reprints should be sent to Arline T. Geronimus, ScD, Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1420 Washington Heights, Ann Arbor, MI 481092029 (e-mail: arline@umich.edu).
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We see no paradox in the observation that Black women have longer life expectancies than White men, but that Black women experience weathering. Many factors affect life expectancy; weathering is only one. Additionally, morbidity processes influenced by weathering are not always life threatening, and those that are may be managed through secondary and tertiary prevention to avert mortality. The key question about weathering and life expectancy is the extent to which members of different populations experience healthy life expectancy.
When we studied this question,1 we estimated that while Black women had longer life expectancies than their White male counterparts (60
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