The gap
This gap between the average male and female life expectancy of given population group is alternately labeled as Life Expectancy Gender Gap (LEGG) or Gender Gap in Life Expectancy (GGLE). Going forward I will be using the LEGG acronym.
The expectancy
There are basically two types of life expectancy. In historical context, we usually refer to the Cohort Life Expectancy. We track a group of people born in a particular year, many decades ago, and observe the exact date in which each one of them died. Then we can calculate this cohort’s life expectancy by simply calculating the average of the ages of all members when they died.
It is of course not possible to know this metric before all members of the cohort have died. That is why when talking about the present and the future we use Period Life Expectancy. This is an estimate of the average length of life for a hypothetical cohort assumed to be exposed, from birth through death, to the mortality rates observed at one particular period – commonly the previous year. Estimates of life expectancy of the current generation, which are also used in the calculations of indexes like the Human Development Index or Gender Development Index, are of this Period Life Expectancy type.
There is a corollary: because we are judging the existing generation based on mortality rates of the previous year only, whatever happened to that generation before that year is not taken into account. So let's say. if there was a recent deadly pandemic that affected one gender disproportionally, and this pandemic ended and is not affecting the mortality rates of the previous year, there will be little evidence of said gender disproportionally in the current life expectancy estimates.
The lost years
The first important thing to know about the LEGG is that its impact is, without an exaggeration, enormous. Let's take for example the US, with a LEGG of 5.8 years at the average predicted age for men and women 73.5 and 79.3 years respectively. Do you see the enormity? You don't, do you.
Ok, let's put things into perspective - how do you measure an impact of early death? With Years of Potential Life Lost (YPLL). This is an estimate of the average years a person would have lived if they had not died "prematurely". It is usually reported in years per 100,000 people and the reference, "mature" age should correspond roughly to the life expectancy of the population and is now usually given as 75 years.
Now, men and women in the US lose some 8,265 and 4,862 potential years per of life per 100,000. Given the population as 332 millions, men lose some 5,648,980 more years of potential life than women. Do you see the enormity now? Not yet?
During the roughly 3.5 years of WW2 the US lost 407,300 military and 12,100 civilian lives. With an average life expectancy back then 68 years, and a guestimated age at the time of death 21 years, every killed American lost some 47 years and the US as a whole lost some 5,640,000 potential years of life every year of the war. Do you see the enormity of the LEGG now? I think you do.
The causes
The second important think to know about the LEGG is that nobody seem to care. Biologists, statisticians, politicians, Wikipedians - not even men's rights activists - nobody seems to be franticly looking for the causes or proposing policies to stop this haemorrhage of men's lives. Let me paraphrase what Wikipedia has to says about it:
It is the life style, men drink more and smoke more and eat crap. And it is also the biology, men lack the double X chromosome, we see this across all mammalian species, plus male babies and boys dies of diseases much more than girls.
Speaking of Wikipedia, it has dedicated pages for many things, including the Orgasm gender gap, but it does not have a dedicated page for the LEGG.
To my surprise I have not been able to find any further information, neither on biology forums, nor on Google Scholar. Studies usually focus on one cause or divide the mechanisms into social and biological but there our knowledge seem to end.
At this point I was so intrigued that I decided to do some "research" myself. My first observation was that there is a great variance between developed countries with similar GDP and life expectancy, suggesting that a large part of the gap is not biological. Example:
- 2021 Norway - LE: 83.16 years, LEGG: 3,0 years
- 2021 France - LE: 82.32 years, LEGG: 6,2 years
Next, I knew where to find Eurostat data on causes of death - unfortunately only from 2010 - and I filtered out everything mechanical: suicides, assaults, accidents and drug and alcohol overdoses. The LEGG shrunk significantly:
- 2010 Norway - all LEGG: 4.54 | non-mechanical LEGG: 3,51, decrease by 29.5%
- 2010 France - all LEGG: 7.14 | non-mechanical LEGG: 6.19, decrease by 15.3%
Then I was curious how much of the LEGG is caused by mortality differences of infants and children so I calculated non-mechanical LEGG at 20 years, as opposed to LEGG at birth. The difference is negligible:
- 2010 Norway - non-mechanical LEGG at birth: 3,51, non-mechanical LEGG at 20: 3.37, difference: 3.8%
- 2010 France - non-mechanical LEGG at birth: 6.19, non-mechanical LEGG at 20: 6.07, difference: 1.7%
Next, I did one more napkin calculation. Assuming that smoking reduces the life expectancy on average by 10 yers and smoking rate among French men and women are 0.349 and 0.319 and smoking rate among Norwegian men and women are 0.17 and 0.154, I reduced the LEGG further:
- 2010 Norway - all LEGG: 4.54 | non-mechanical, non-smoking LEGG: 3,35, decrease by 35.7%
- 2010 France - all LEGG: 7.14 | non-mechanical, non-smoking LEGG: 5.89, decrease by 21.2%
Of course this does not mean the reminder is caused by biological factors. There are drugs and alcohol, there is a meat consumption and overall life style. Man also do more paid work so there is work related stress and exposure. It should not be a rocket science to isolate these factors, actually, it would amount to a very cool paper with plenty of citations. So where is this paper?
Actually, I found one piece of information: Causes of Male Excess Mortality: Insights from Cloistered Populations, the abstract talks about 11,000 Bavarian monks and nuns living in "very nearly identical behavioral and environmental conditions" with nuns having only a "slight advantage" in life expectancy - whatever that means, I can't access the paper itself. This of course only applies to men and women who already survived into their teens or twenties, but as we saw above the contribution of different child mortality to LEGG is negligible.
The bad and the ugly
FYI, about 80% of suicide victims are men and suicide is the second leading cause of death in middle aged men only after car accidents. Also, 90% of workplace accidents are men - constructions, mining, trucking, heavy industry, you know - and even though the total numbers are too small to meaningfully influence the LEGG it does not cover exposure to chemicals, hard labour or health impact of night shifts.
Some social and biological mechanisms out there are causing men to lose life equivalent to WW2 every year. We should be creating policies to reduce this loss but we don't. Why? We know that men are far less likely than women to visit a doctor. Where are the public health campaigns and safe driving campaign targeted at men specifically?
Could it be the case of "you grow what you measure"? UN's Gender Development Index that measures gender disparity in achievements between men and women very quietly removes 5 years from the LEGG in it's calculations, arguing that men living 5 years shorter is necessary biology. The Global Gender Gap Report published annually by the World Economic Forum does something similar, arguing that if women live at least 6% longer than men, parity is assumed - but if it is less than 6% it counts as a gender gap.
As a corollary, women is Norway living only 3 years longer than men is interpreted as oppression.
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Notes -
Brief sketch: comparison of the LEGG in humans vs other mammals (takeaway, chimps have a much larger one, at 25%). Different interventions (castration/neutering; being in captivity) substantially decrease the LEGG. Human eunuchs live longer than regular men of same class. Then a bit about how you can't separate biology/society; hemophiliacs have a much lower lifespan than non-hemophiliacs "in the wild" but we have interventions that eliminate that gap, could be done for men too if we prioritized it; different subpopulations of humans have wildly differing LEGGs, with more egalitarian (in the class sense) societies tending to have much smaller gaps. Lastly some speculation that it's not primarily because of either biology or healthcare access but the incentives created by gender roles, which makes it sadly much harder to fix.
This suggest the LEGG mechanism is not biological
My guess would be eunuchs have way fewer accidents than men with testosterone? :)
That is of course true
Source? I think it depends on what you mean by egalitarian, but I don't think this is correct.
Does it? What evidence makes you think so?
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