The burden of disease and injury in the United States 1996

Michaud, Catherine M ., McKenna, Matthew T., Begg, Stephen, Tomijima, Niels, Majmudar, Meghna, Bulzacchelli, Maria T., Ebrahim, Shahul, Ezzati, Majid, Salomon, Joshua A., Gaber Kreiser, Jessica, Hogan, Mollie and Murray, Christopher J. L. (2006) The burden of disease and injury in the United States 1996. Population Health Metrics, 4 . doi:10.1186/1478-7954-4-11

Author Michaud, Catherine M .
McKenna, Matthew T.
Begg, Stephen
Tomijima, Niels
Majmudar, Meghna
Bulzacchelli, Maria T.
Ebrahim, Shahul
Ezzati, Majid
Salomon, Joshua A.
Gaber Kreiser, Jessica
Hogan, Mollie
Murray, Christopher J. L.
Title The burden of disease and injury in the United States 1996
Journal name Population Health Metrics   Check publisher's open access policy
ISSN 1478-7954
Publication date 2006-10-18
Sub-type Article (original research)
DOI 10.1186/1478-7954-4-11
Open Access Status DOI
Volume 4
Total pages 49
Place of publication London, England
Publisher BioMed Central Ltd.
Language eng
Subject 1603 Demography
1117 Public Health and Health Services
Formatted abstract

Burden of disease studies have been implemented in many countries using the Disability-Adjusted Life Year (DALY) to assess major health problems. Important objectives of the study were to quantify intra-country differentials in health outcomes and to place the United States situation in the international context.


We applied methods developed for the Global Burden of Disease (GBD) to data specific to the United States to compute Disability-Adjusted Life Years. Estimates are provided by age and gender for the general population of the United States and for each of the four official race groups: White; Black; American Indian or Alaskan Native; and Asian or Pacific Islander. Several adjustments of GBD methods were made: the inclusion of race; a revised list of causes; and a revised algorithm to allocate cardiovascular disease garbage codes to ischaemic heart disease. We compared the results of this analysis to international estimates published by the World Health Organization for developed and developing regions of the world.


In the mid-1990s the leading sources of premature death and disability in the United States, as measured by DALYs, were: cardiovascular conditions, breast and lung cancers, depression, osteoarthritis, diabetes mellitus, and alcohol use and abuse. In addition, motor vehicle-related injuries and the HIV epidemic exacted a substantial toll on the health status of the US population, particularly among racial minorities. The major sources of death and disability in these latter populations were more similar to patterns of burden in developing rather than developed countries.

Keyword Burden Of Disease
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
Version Filter Type
Citation counts: Scopus Citation Count Cited 114 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Fri, 21 Sep 2007, 10:45:54 EST