Trends in the gap in life expectancy between Arabs and Jews in Israel between 1975 and 2004.
OBJECTIVE
To examine trends in the Arab-Jew life expectancy gap in Israel during 1975-2004 and to determine the contribution of age groups and causes of death to changes in the gap.


METHODS
Data on life expectancy and mortality rates by cause of death, for Arabs and Jews, were obtained from the Israel Central Bureau of Statistics. Standard life table techniques were used for decomposition analysis to explore the contribution to changes in the life expectancy gap.


RESULTS
While life expectancy of Arabs was lower than Jews during 1975-2004, there was a decline in this gap during 1975-98. However, during the following years the gap increased and the difference in 2004 was 3.2 years for men and 4 years for women. During 2000-04, the main causes of death contributing to the gap in life expectancy were chronic diseases, mainly heart disease and diabetes. Heart disease mortality contributed mostly to the overall life expectancy gap for males and females, accounting for 0.89 and 1.17 years, respectively. The age group >65 years contributed most to the gap (1.33 years among males, and 2.42 years among females).


CONCLUSIONS
Following a period of reduction, the gap in life expectancy at birth between Arabs and Jews in Israel has started to widen. These findings indicate the need for increased attention to primary prevention and disease management in the Arab population. Reducing social and individual risk factors for major causes of death should be a national priority.
Na'amnih
Wasef
W
Israel Center for Disease Control, Ministry of Health, Tel Hashomer, Israel.
Muhsen
Khitam
K
Tarabeia
Jalal
J
Saabneh
Ameed
A
Green
Manfred S
MS
D000328:Adult; D017677:Age Distribution; D000368:Aged; D018912:Arabs / Q000706:statistics & numerical data*; D002423:Cause of Death; D005260:Female; D006801:Humans; D007557:Israel / Q000453:epidemiology; D007585:Jews / Q000706:statistics & numerical data*; D008017:Life Expectancy / Q000208:ethnology*; D008297:Male; D008875:Middle Aged; D017678:Sex Distribution