Average Life Expectancy of Males in the U.S.
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Nov 24, 2024
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From 2020 to 2021, the average life expectancy for males in the United States fell from 74 to 73 years—
the lowest it has been since 1996. Between 2019 and 2021, the average life expectancy for U.S. males declined by three years overall.1
Experts largely attribute the decline to the COVID pandemic; the virus has since become the fourth leading cause of death in U.S. males.2 In 2022, the top three leading causes of death were heart disease,
cancer, and unintentional injuries (particularly accidental drug overdoses).3
This article takes a closer look at the average life expectancy and leading causes of death in U.S. males today. It also offers tips that can help you live a longer, healthier life.
Average Life Expectancy of U.S. Males
Due to medical advancements, improved hygiene and living conditions, and overall healthier lifestyles, life expectancy has risen significantly in the United States since the year 1900.4
However, there have been a few exceptions. In 2019, the average age of death for men in the United States was about 76 years old.5 With the start of the COVID pandemic, life expectancy took a steep decline.
According to the Centers for Disease Control and Prevention (CDC), COVID-19 deaths made up nearly 74% of the decline in life expectancy between 2019 to 2020, with a 50% decline noted between 2020 and 2021.6
The average life expectancy for the general population of males dropped by three years between 2019 to
2021. However, some groups experienced larger declines in life expectancy than others:7
American Indian and Alaskan Natives: 6.6 years
Hispanic Americans: 4.2 years
Black Americans: 4 years
White Americans: 2.4 years
Asian Americans: 2.1 years
Factors such as a lack of access to healthcare, preventive care, poverty, and food insecurity all contributed to these disparities.7
Life Expectancy From Prehistory to 1800 and Beyond
Leading Causes of Death in Males
Since 1950, heart disease has consistently been the leading cause of death in the United States for both men and women. In 2019, one in every four male deaths was caused by heart disease. And, about one-
quarter of all heart disease-related deaths occur in men ages 35 to 65.8
Between 2019 and 2022, these were the leading causes of death in males:
2019
2020
2021
2022*
Heart disease
Heart disease
Heart disease
Heart disease
Cancer Cancer Cancer Cancer
Unintentional death
COVID-19
COVID-19
Unintentional death
Chronic lower respiratory disease
Unintentional death
Unintentional death
COVID-19
Stroke
Stroke
Chronic lower respiratory disease
Stroke
* provisional NCHS statistics
1
Heart Disease
senior man stretching for exercise
Jose Luis Pelaez Inc / Blend Images / Getty Images
According to the most recent report from the NCHS, heart disease (otherwise known as coronary artery disease) killed 695,547 people in the United States in 2021.9 Death rates were nearly three times higher among men than women.10
Coronary artery disease (CAD) is caused by the accumulation of fatty plaque that leads to the narrowing or blockage of one or more coronary arteries.11
The main complication of CAD is a heart attack which commonly affects men around the age of 65. Other
complications include arrhythmia (irregular heartbeats) and heart failure.11
To reduce your risk of CAD:
Quit smoking: Tobacco use is associated with a higher risk of heart disease and many other health and even financial consequences.
Eat heart-healthy foods: Choose foods associated with a Mediterranean-style diet, such as fresh fruits, vegetables, whole grains, nuts, fish, and other foods that are high in fiber and low in saturated and trans fats.
Get regular aerobic exercise: Boost your heart rate with 30 minutes of exercise five times a week.
Maintain a healthy weight: If you are overweight, talk with your doctor about how to safely reach your goal weight.
Monitor cholesterol levels: Keeping these within a healthy range lowers your risk for a heart attack.
7 Ways to Improve Your Heart Health
2
Cancer
According to the NCHS, 605,213 people died of cancer in the United States in 2021.12
Though the cancer rate declined more among males than females (30% vs. 25%), the actual number of deaths is 19% higher in males, mainly from lung, prostate, pancreatic, and colon cancer.13
There are several things you can do to lower your risk:
Don't smoke: This includes avoiding secondhand smoke.
Eat a healthy diet: This includes eating more fruits, vegetables, fiber, and fish, and cutting back on saturated fats and red meat.
Avoid air pollution: This includes exposure to chemicals at work and at home.
Keep up with screening tests: Ask your healthcare provider about screening recommendations for colorectal and prostate cancer.
Limit alcohol use: Men should drink no more than two drinks per day.14 High consumption has been linked to colon and rectal cancer.15
Wear sunscreen: If you see any skin changes, have them checked by a dermatologist.
Avoid Cancer With These Cancer Screenings
3
Unintentional Death
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While heart disease, cancer, and stroke are largely aging-related, unintentional death is more common in
adults under 65—and is, in fact, the leading cause of death in people under 45.16
Unintentional deaths include falls, drowning, accidental poisoning, residential fires, motor vehicle crashes, and alcohol-impaired driving crashes.
In Western countries, men are almost four times more likely than women to have an accidental death due to motor vehicle accidents, drug overdose, homicide, suicide, or sports accidents.17
Make a habit of the following to reduce your risk:8
Exercise regularly: Improving strength, balance, and coordination can reduce your risk of falls.
Drink only in moderation: Alcohol use contributes to approximately 40% of residential fire deaths. It can also lead to falls, not to mention motor vehicle crashes.
Get routine eye checks: Get your eyes checked once per year to reduce your risk of falls and vehicular accidents.
Improve the lighting in your home: Good lighting allows for easy navigation and reduces the risk of falls.
Install smoke alarms: Reduce your risk of residential fire death by installing smoke alarms, testing them once per month, and switching out their batteries as needed.
Review medications with your healthcare provider: Make sure you understand what drugs can and cannot be mixed with your medications. Never mix substances unless your provider tells you to.
4
COVID-19
While COVID-19 may not kill as many people as it did during the height of the pandemic, it is still a major
cause of concern for older adults. In 2021, COVID accounted for 460,000 deaths, placing it third overall as a leading cause of death.18
That number has since decreased to 244,000 deaths in 2022.19
The lion's share of deaths occurred in people 65 and over, with the highest mortality rate seen in adults 85 and over. Males die at a rate 50% higher than females, a phenomenon not only seen in the U.S. but around the world.20
Most deaths are due to septic shock (a life-threatening reaction to severe infections) and multiple organ failure.21
If you are older, there are things you should do to avoid getting COVID-19:22
Stay up to date with COVID vaccines: This not only includes getting your primary vaccine but your boosters as well.
Improve ventilation: Increase airflow in your home by opening windows and using fans, ventilators, and air conditioners. You can also try using a HEPA air purifier.
Move indoor activities outdoors: This is especially true if COVID hospital admissions are rising in your area.
Avoid sick people: This not only includes people who have been diagnosed with COVID-19 but anyone who has symptoms of COVID.
Wear a face mask: If you are at risk of severe COVID, don't be embarrassed to wear a mask if you are in a crowded space or event.
Get tested if you have COVID symptoms: Opt for a PCR test at a healthcare facility which is better at detecting the virus than an antigen test.
For older adults and those at risk of severe complications from COVID-19, the oral drugs Paxlovid (nirmatrelvir/ritonavir) and Lagevrio (molnupiravir), or the intravenous drug Verklury (remdesivir) may help reduce the risk of hospitalization and death if started within five to seven days of the appearance of symptoms.23
Why COVID Is More Serious in Males
5
Stroke
According to the NCHS, 162,890 people died from stroke in the United States in 2021.24 Roughly 62% of these deaths were among people 65 and over.25
Overall, strokes and stroke deaths tend to affect women more than men. With that said, stroke rates are higher in males during midlife and only start to equalize when men and women are in their 80s.26
A stroke occurs when the blood supply to a part of the brain is disrupted. A blockage or the rupture of a blood vessel can cause a stroke. High blood pressure greatly increases the risk of a stroke. High cholesterol and diabetes also contribute.
To reduce your risk of stroke:27
Have your blood pressure checked: Treating high blood pressure lowers the risk of stroke and heart disease.
Drink in moderation: Some research shows that a little red wine or alcohol could protect against a stroke,28 but overdoing it is definitely dangerous.
Quit smoking: Smoking causes the buildup of plaque in arteries that can break and cause a blockage of blood flow to the brain.
Keep diabetes under control: Follow your treatment plan to manage your blood sugar.
Reduce your salt intake: This will help lower high blood pressure.
Exercise regularly: This will help you lose unwanted weight and control blood pressure to prevent a stroke.
How to Prevent Stroke and Cardiovascular Disease
6
Chronic Lower Respiratory Disease
While unintentional death is technically a more common cause of death in males, it is a less common cause in males 65 and older.1829 For this age group, chronic lower respiratory disease is a more common cause.30
Centers for Disease Control and Prevention. Leading causes of death – males – all races and origins – United States, 2016.
Chronic lower respiratory disease involves four major diseases: chronic obstructive pulmonary disease (COPD), chronic bronchitis, emphysema, and asthma.31
According to the NCHS, 145,859 people died from chronic lower respiratory diseases in 2021.32 Men were affected more than women. The majority of deaths were associated with COPD, 86% of which involved adults 65 and over.33
To reduce your risk of COPD and other chronic lower respiratory diseases:34
Never start smoking: Smoking accounts for as many as eight out of 10 COPD-related deaths.
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If you smoke, quit: It can take several quit attempts, but smoking cessation aids are available that can help (many of which are fully covered under the Affordable Care Act).
Stay away from secondhand smoke: As many as one out of four Americans with COPD never smoked cigarettes.28 Reduce your risk exposure by avoiding tobacco smoke in any form, including pipes and cigars.
5 Ways to Prevent COPD From Getting Worse
7
Racial and Ethnic Disparities
Health disparities between different racial and ethnic groups directly impact the mortality rate and average life expectancy in males (and females) in the United States.
Factors that can significantly lower life expectancy include:35
Poverty
Lack of access to healthcare
Lack of health insurance
Low quality of care in poorer communities
Low food security
High rates of crime and violence (along with inadequate policing) in poorer communities
Poor air or water qualities
Language barriers that limit health literary and provider communication
Health behaviors and lack of trust in healthcare systems
These factors are prevalent in certain racial or ethnic groups, most predominately Black males and American Indian/Alaskan Native males. The impact is reflected in the most recent life expectancy report issued by the CDC and the National Center for Health Statistics in 2022:36
Asian males: 81.2 years
Hispanic males: 74.4 years
White males: 73.7 years
Black males: 66.7 years
American Indian/Alaskan Native males: 61.5 years
That's a span of almost a decade between the group with the longest longevity (Asian males) and the shortest longevity (American Indian/Alaskan Native).
What Is Health Equity and How Do We Get There?
Summary
Although the average life expectancy of U.S. males has risen over the past century, life expectancy has declined since 2019, largely due to the COVID-19 pandemic. As of 2021, the average age of death in men is 73 years old, with the most common causes of death being heart disease, cancer, unintentional deaths, COVID-19 infection, and stroke.
Healthy lifestyle habits, such as a nutritious diet and regular exercise, are essential for men to reduce the
risk of heart disease, infection, cancer, and stroke. Due to their increased risk of accidental deaths, men should only drink in moderation and avoid risk-taking behaviors that could lead to accidental drownings, falls, or vehicular crashes.