Journal article
The State of US Health, 1990-2016 Burden of Diseases, Injuries, and Risk Factors Among US States
JAMA : the journal of the American Medical Association, Vol.319(14), pp.1444-1472
04/10/2018
DOI: 10.1001/jama.2018.0158
PMCID: PMC5933332
PMID: 29634829
Abstract
INTRODUCTION Several studies have measured health outcomes in the United States, but none have provided a comprehensive assessment of patterns of health by state.
OBJECTIVE To use the results of the Global Burden of Disease Study (6 BD) to report trends in the burden of diseases, injuries, and risk factors at the state level from 1990 to 2016.
DESIGN AND SETTING A systematic analysis of published studies and available data sources estimates the burden of disease by age, sex, geography, and year.
MAIN OUTCOMES AND MEASURES Prevalence, incidence, mortality, life expectancy, healthy life expectancy (HALE), years of life lost (YLLs) due to premature mortality, years lived with disability (YLDs), and disability-adjusted life-years (DALYs) for 333 causes and 84 risk factors with 95% uncertainty intervals (Uls) were computed.
RESULTS Between 1990 and 2016, overall death rates in the United States declined from 745.2 (95% UI, 740.6 to 749.8) per 100 000 persons to 578.0 (95% UI, 569.4 to 587.1) per 100 000 persons. The probability of death among adults aged 20 to 55 years declined in 31 states and Washington, DC from 1990 to 2016. In 2016, Hawaii had the highest life expectancy at birth (81.3 years) and Mississippi had the lowest (74.7 years), a 6.6-year difference. Minnesota had the highest HALE at birth (70.3 years), and West Virginia had the lowest (63.8 years), a 6.5-year difference. The leading causes of DALYs in the United States for 1990 and 2016 were ischemic heart disease and lung cancer, while the third leading cause in 1990 was low back pain, and the third leading cause in 2016 was chronic obstructive pulmonary disease. Opioid use disorders moved from the 11th leading cause of DALYs in 1990 to the 7th leading cause in 2016, representing a 74.5% (95% UI, 42.8% to 93.9%) change. In 2016, each of the following 6 risks individually accounted for more than 5% of risk-attributable DALYs: tobacco consumption, high body mass index (BMI), poor diet, alcohol and drug use, high fasting plasma glucose, and high blood pressure. Across all US states, the top risk factors in terms of attributable DALYs were due to 1 of the 3 following causes: tobacco consumption (32 states), high BMI (10 states), or alcohol and drug use (8 states).
CONCLUSIONS AND RELEVANCE There are wide differences in the burden of disease at the state level. Specific diseases and risk factors, such as drug use disorders, high BMI, poor diet, high fasting plasma glucose level, and alcohol use disorders are increasing and warrant increased attention. These data can be used to inform national health priorities for research, clinical care, and policy.
Details
- Title: Subtitle
- The State of US Health, 1990-2016 Burden of Diseases, Injuries, and Risk Factors Among US States
- Creators
- Ali H. Mokdad - Institute for Health Metrics and EvaluationKatherine Ballestros - Institute for Health Metrics and EvaluationMichelle Echko - Institute for Health Metrics and EvaluationScott Glenn - University of WashingtonHelen E. Olsen - University of WashingtonErin Mullany - Institute for Health Metrics and EvaluationAlex Lee - University of WashingtonAbdur Rahman Khan - University of LouisvilleAlireza Ahmadi - Karolinska InstitutetAlize J. Ferrari - Institute for Health Metrics and EvaluationAmir Kasaeian - Tehran University of Medical SciencesAndrea Werdecker - Federal Institute for Population ResearchAustin Carter - Institute for Health Metrics and EvaluationBen Zipkin - Institute for Health Metrics and EvaluationBenn Sartorius - University of KwaZulu-NatalBerrin Serdar - University of Colorado Anschutz Medical CampusBryan L. Sykes - University of California, IrvineChris Troeger - Institute for Health Metrics and EvaluationChristina Fitzmaurice - Institute for Health Metrics and EvaluationColin D. Rehm - Montefiore Medical CenterDamian Santomauro - Institute for Health Metrics and EvaluationDaniel Kim - Northeastern UniversityDanny Colombara - Institute for Health Metrics and EvaluationDavid C. Schwebel - University of Alabama at BirminghamDerrick Tsoi - Institute for Health Metrics and EvaluationDhaval Kolte - Brown UniversityElaine Nsoesie - University of WashingtonEmma Nichols - Institute for Health Metrics and EvaluationEyal Oren - San Diego State UniversityFiona J. Charlson - Institute for Health Metrics and EvaluationGeorge C. Patton - The University of MelbourneGregory A. Roth - Institute for Health Metrics and EvaluationH. Dean Hosgood - Albert Einstein College of MedicineHarvey A. Whiteford - Queensland Centre for Mental Health ResearchHmwe Kyu - University of WashingtonHolly E. Erskine - Institute for Health Metrics and EvaluationHsiang Huang - Cambridge Health AllianceIra Martopullo - University of WashingtonJasvinder A. Singh - University of Alabama at BirminghamJean B. Nachega - Stellenbosch UniversityJuan R. Sanabria - Case Western Reserve UniversityKaja Abbas - London School of Hygiene & Tropical MedicineKanyin Ong - University of WashingtonKaren Tabb - University of Illinois Urbana-ChampaignKristopher Krohn - Institute for Health Metrics and EvaluationLeslie Cornaby - Institute for Health Metrics and EvaluationLouisa Degenhardt - UNSW SydneyMark Moses - Institute for Health Metrics and EvaluationMaryam Farvid - Harvard UniversityMax Griswold - Institute for Health Metrics and EvaluationMichael Criqui - University of California San DiegoMichelle Bell - Yale UniversityMinh Nguyen - Institute for Health Metrics and EvaluationMitch Wallin - Washington DC VA Medical CenterMojde Mirarefin - University of WashingtonMostafa Qorbani - Alborz University of Medical SciencesMustafa Younis - Jackson State UniversityNancy Fullman - University of WashingtonPatrick Liu - University of WashingtonPaul Briant - Institute for Health Metrics and EvaluationPhilimon Gona - University of Massachusetts BostonRasmus Havmoller - Karolinska InstitutetRicky Leung - University at Albany, State University of New YorkRuth Kimokoti - Simmons UniversityShahrzad Bazargan-Hejazi - Charles R. Drew University of Medicine and ScienceSimon I. Hay - University of WashingtonSimon Yadgir - Institute for Health Metrics and EvaluationStan Biryukov - Institute for Health Metrics and EvaluationStein Emil Vollset - University of WashingtonTahiya Alam - University of WashingtonTahvi Frank - Institute for Health Metrics and EvaluationTalha Farid - University of LouisvilleTed Miller - Institute for Research and EvaluationTheo Vos - Institute for Health Metrics and EvaluationTill Barnighausen - Heidelberg UniversityTsegaye Telwelde Gebrehiwot - Jimma UniversityYuichiro Yano - Northwestern UniversityZiyad Al-Aly - Washington University in St. LouisAlem Mehari - Howard UniversityAlexis Handal - University of New MexicoAmit Kandel - University at Buffalo, State University of New YorkBen Anderson - University of WashingtonBrian Biroscak - University of South FloridaDarkish Mozaffarian - Tufts UniversityE. Ray Dorsey - University of Rochester Medical CenterEric L. Ding - Harvard UniversityEun-Kee Park - Kosin UniversityGregory Wagner - Harvard UniversityGuoqing Hu - Central South UniversityHonglei Chen - Michigan State UniversityJacob E. Sunshine - Seattle UniversityJagdish Khubchandani - Ball State UniversityJanet Leasher - Nova Southeastern UniversityJanni Leung - Seattle UniversityJoshua Salomon - Harvard Global Health InstituteJurgen Unutzer - Seattle UniversityLeah Cahill - Harvard UniversityLeslie Cooper - Mayo Clinic in FloridaMasako Horino - Nevada Division of Public and Behavioral HealthMichael Brauer - Institute for Health Metrics and EvaluationUS Burden of Disease Collaborators
- Resource Type
- Journal article
- Publication Details
- JAMA : the journal of the American Medical Association, Vol.319(14), pp.1444-1472
- DOI
- 10.1001/jama.2018.0158
- PMID
- 29634829
- PMCID
- PMC5933332
- NLM abbreviation
- JAMA
- ISSN
- 0098-7484
- eISSN
- 1538-3598
- Publisher
- Amer Medical Assoc
- Number of pages
- 29
- Grant note
- National Institute of Environmental Health Sciences; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS) National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA Bill and Melinda Gates Foundation; Bill & Melinda Gates Foundation
- Language
- English
- Date published
- 04/10/2018
- Academic Unit
- Research Administration
- Record Identifier
- 9984949194102771
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