People Ages 35-44 Faced Biggest 2020 Death Rate Spike: CDC

News December 23, 2021 at 12:15 PM
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The COVID-19 pandemic ended up causing a much bigger percentage increase in death rates for people ages 25 through 44 than in the death rate for people ages 65 and older, according to a new government report on final 2020 U.S. mortality data.

The death rates for people in the 25-34 and 35-44 age groups increased about 24% between 2019.

Americans aged 65 and up continued to be much more likely to die than younger people, but the percentage change in their death rate was less than 20%.

Here's what happened to deaths per 100,000 people in 2020 for each age group in the final mortality data report:

  • 85 and older: 15,210.9 (up 15.0%)
  • 75-84: 4,997 (up 16.0%)
  • 65-74: 2,072.3 (up 17.4%)
  • 55-64: 1,038.9 (up 17.6%)
  • 45-54: 473.5 (up 20.7%)
  • 35-44: 248 (up 24.5%)
  • 25-34: 159.5 (up 23.8%)
  • 15-24: 84.2 (up 20.8%)
  • 5-14: 13.7 (up 2.5%)
  • 1-4: 22.7 (down 2.6%)

The death rate changes reflect deaths caused by COVID-19 itself, the effects of the pandemic on people's access to health care and the effects of social distancing rules and other pandemic control efforts on people's well-being, along with other factors, such as the impact of opioid abuse.

Anything that increases the death rate of people in the 25-34 and 35-444 age groups is of keen interest to life insurers, because insurers typically see those people as prime candidates for low-cost term life policies that can protect young families against the risk of premature death. Even before COVID-19 came along, from 1999 through 2017, mortality statistics for the 25-34 age group were deteriorating, possibly because of factors such as opioid abuse and the growing number of people with diabetes.

For life insurers, one major challenge will be determining how mortality trends for people with life insurance compared with mortality trends for people in the general population.

The 2020 Mortality Backdrop

Analysts at the National Center for Health Statistics, an arm of the Centers for Disease Control and Prevention, included the age-group death rate data in a general review of 2020 U.S. mortality trends.

Because of COVID-19 itself, and the effects of the pandemic on the economy and society, the total number of U.S. deaths increased 18.5% between 2019 and 2020, to 3,383,729.

The overall age-adjusted death rate increased by 16.8% between 2019 and 2020, to 835.4 per 100,000 U.S. residents.

Because the death rate for younger people increased more than the death rate for older people, life expectancy at birth fell more than life expectancy at age 65.

Life expectancy at birth fell 1.8 years, to 77, and life expectancy at age 65 fell 1.1 years. People who were 65 could expect to live 18.5 more years, to age 83.5.

The Final Numbers vs. the Early Numbers

The National Center for Health Statistics published a similar report, based on provisional data in July.

The final numbers look worse than the numbers posted in July.

In July, analysts estimated that life expectancy at birth had fallen to 77.3 years, and that life expectancy at age 65 had fallen to 18.8 years.

Causes of Death

Cause-of-death figures in the new mortality report imply that COVID-19 may have increased death rates for people in younger age groups partly by affecting care for people with heart disease, stroke, Alzheimer's disease and diabetes.

The age-adjusted death rate for heart disease increased to 168.2 deaths per 100,000 people, from 161.5 deaths per 100,000 people.

Similarly, death rates per 100,000 people increased to 38.8, from 37, for stroke; to 24.8, from 21.6, for diabetes; and to 32.4, from 29.8, for Alzheimer's disease.

COVID-19 caused at least 85 deaths per 100,000 people, or 1 out of every 1,176 Americans, in 2020.

COVID-19 ranked third as a cause of death after heart disease and cancer, but it killed many more people than unintentional injuries, stroke, diabetes or kidney disease.

The 2021 Outlook

The CDC's raw, unweighted, early death figures for 2021 show that mortality figures for people ages 25 through 44 could continue to be poor.

Between the first 11 months of 2020 and the first 11 months of 2021, the number of people in the 25-44 age group who died increased 8.7%, to 180,782.

The number of people in the 65-74 age group who died increased just 1.8%, to 631,311.

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