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Born in the USA? A scoping review of deaths of despair research beyond the United States

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  • Williams, Eurwen H.
  • Saville, Christopher W.N.

Abstract

The concept of ‘deaths of despair’, initially developed to explain rising midlife mortality among non-Hispanic white Americans, has gained traction globally. However, its applicability and conceptual relevance beyond the United States, where it originated, remain emerging areas of research. This scoping review maps the international use of the concept, examining its geographical reach, methodological approaches, and conceptual adaptations.

Suggested Citation

  • Williams, Eurwen H. & Saville, Christopher W.N., 2026. "Born in the USA? A scoping review of deaths of despair research beyond the United States," Social Science & Medicine, Elsevier, vol. 392(C).
  • Handle: RePEc:eee:socmed:v:392:y:2026:i:c:s0277953626000195
    DOI: 10.1016/j.socscimed.2026.118944
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    References listed on IDEAS

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    1. Haan, Peter & Hammerschmid, Anna & Schmieder, Julia, 2019. "Mortality in midlife for subgroups in Germany," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    2. Lucinda Cash-Gibson & Diego F Rojas-Gualdrón & Juan M Pericàs & Joan Benach, 2018. "Inequalities in global health inequalities research: A 50-year bibliometric analysis (1966-2015)," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-22, January.
    3. James Banks & Sarah Cattan & Lucy Kraftman & Sonya Krutikova, 2021. "Mortality Inequality in England over the Past 20 Years," Fiscal Studies, John Wiley & Sons, vol. 42(1), pages 47-77, March.
    4. Anne Case & Angus Deaton, 2017. "Mortality and Morbidity in the 21st Century," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 48(1 (Spring), pages 397-476.
    5. Louise Rawlings & Pauline O’Shaughnessy & Stephen J. Robson, 2019. "Potentially Preventable Mortality in Young Australian Women, 2001 to 2016," Economic Papers, The Economic Society of Australia, vol. 38(3), pages 220-234, September.
    6. Wenyi Lu & Siyuan Fan, 2024. "Drinking in despair: Unintended consequences of automation in China," Health Economics, John Wiley & Sons, Ltd., vol. 33(9), pages 2088-2104, September.
    7. Hania Rahimi-Ardabili & Xiaoqi Feng & Phi-Yen Nguyen & Thomas Astell-Burt, 2022. "Have Deaths of Despair Risen during the COVID-19 Pandemic? A Systematic Review," IJERPH, MDPI, vol. 19(19), pages 1-12, October.
    8. Camacho, Christine & Webb, Roger T. & Bower, Peter & Munford, Luke, 2024. "Risk factors for deaths of despair in England: An ecological study of local authority mortality data," Social Science & Medicine, Elsevier, vol. 342(C).
    9. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    10. Loverock, Alexandra & Benny, Claire & Smith, Brendan T. & Siddiqi, Arjumand & Pabayo, Roman, 2024. "Income inequality and deaths of despair risk in Canada, identifying possible mechanisms," Social Science & Medicine, Elsevier, vol. 344(C).
    11. Friebel, Rocco & Yoo, Katelyn Jison & Maynou, Laia, 2022. "Opioid abuse and austerity: Evidence on health service use and mortality in England," Social Science & Medicine, Elsevier, vol. 298(C).
    12. Ruhm, Christopher J., 2019. "Drivers of the fatal drug epidemic," Journal of Health Economics, Elsevier, vol. 64(C), pages 25-42.
    13. Kristiina Huttunen & Stefano Lombardi, 2021. "Mortality Inequality in Finland," Fiscal Studies, John Wiley & Sons, vol. 42(1), pages 223-244, March.
    14. Gábor Scheiring & Aytalina Azarova & Darja Irdam & Katarzyna Doniec & Martin McKee & David Stuckler & Lawrence King, 2023. "Deindustrialisation and the post-socialist mortality crisis," Cambridge Journal of Economics, Cambridge Political Economy Society, vol. 47(2), pages 341-372.
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