The state of US health, 1990-2016: Burden of diseases, injuries, and risk factors among US states

Murray, Christopher J. L., Mokdad, Ali H., Ballestros, Katherine, Echko, Michelle, Glenn, Scott, Olsen, Helen E., Mullany, Erin, Lee, Alex, Khan, Abdur Rahman, Ahmadi, Alireza, Ferrari, Alize J., Kasaeian, Amir, Werdecker, Andrea, Carter, Austin, Zipkin, Ben, Sartorius, Benn, Serdar, Berrin, Sykes, Bryan L., Troeger, Chris, Fitzmaurice, Christina, Rehm, Colin D., Santomauro, Damian, Kim, Daniel, Colombara, Danny, Schwebel, David C., Tsoi, Derrick, Kolte, Dhaval, Nsoesie, Elaine, Nichols, Emma, Oren, Eyal, Charlson, Fiona J., Patton, George C., Roth, Gregory A., Dean Hosgood, H., Whiteford, Harvey A., Kyu, Hmwe, Erskine, Holly E., Huang, Hsiang, Martopullo, Ira, Singh, Jasvinder A., Nachega, Jean B., Sanabria, Juan R., Abbas, Kaja, Ong, Kanyin, Tabb, Karen, Krohn, Kristopher J., Cornaby, Leslie, Degenhardt, Louisa, Moses, Mark, Farvid, Maryam, Griswold, Max, Criqui, Michael, Bell, Michelle, Nguyen, Minh, Wallin, Mitch, Mirarefin, Mojde, Qorbani, Mostafa, Younis, Mustafa, Fullman, Nancy, Liu, Patrick, Briant, Paul, Gona, Philimon, Havmoller, Rasmus, Leung, Ricky, Kimokoti, Ruth, Bazargan-Hejazi, Shahrzad, Hay, Simon I., Yadgir, Simon, Biryukov, Stan, Vollset, Stein Emil, Alam, Tahiya, Frank, Tahvi, Farid, Talha, Miller, Ted, Vos, Theo, Bärnighausen, Till, Gebrehiwot, Tsegaye Telwelde, Yano, Yuichiro, Al-Aly, Ziyad, Mehari, Alem, Handal, Alexis, Kandel, Amit, Anderson, Ben, Biroscak, Brian, Mozaffarian, Dariush, Ray Dorsey, E., Ding, Eric L., Park, Eun-Kee, Wagner, Gregory, Hu, Guoqing, Chen, Honglei, Sunshine, Jacob E., Khubchandani, Jagdish, Leasher, Janet, Leung, Janni, Salomon, Joshua, Unutzer, Jurgen, Cahill, Leah, Cooper, Leslie, Horino, Masako, Brauer, Michael, Breitborde, Nicholas, Hotez, Peter, Topor-Madry, Roman, Soneji, Samir, Stranges, Saverio, James, Spencer, Amrock, Stephen, Jayaraman, Sudha, Patel, Tejas, Akinyemiju, Tomi, Skirbekk, Vegard, Kinfu, Yohannes, Bhutta, Zulfiqar, Jonas, Jost B. and Murray, Christopher J. L. (2018) The state of US health, 1990-2016: Burden of diseases, injuries, and risk factors among US states. JAMA - Journal of the American Medical Association, 319 14: 1444-1472. doi:10.1001/jama.2018.0158


Author Murray, Christopher J. L.
Mokdad, Ali H.
Ballestros, Katherine
Echko, Michelle
Glenn, Scott
Olsen, Helen E.
Mullany, Erin
Lee, Alex
Khan, Abdur Rahman
Ahmadi, Alireza
Ferrari, Alize J.
Kasaeian, Amir
Werdecker, Andrea
Carter, Austin
Zipkin, Ben
Sartorius, Benn
Serdar, Berrin
Sykes, Bryan L.
Troeger, Chris
Fitzmaurice, Christina
Rehm, Colin D.
Santomauro, Damian
Kim, Daniel
Colombara, Danny
Schwebel, David C.
Tsoi, Derrick
Kolte, Dhaval
Nsoesie, Elaine
Nichols, Emma
Oren, Eyal
Charlson, Fiona J.
Patton, George C.
Roth, Gregory A.
Dean Hosgood, H.
Whiteford, Harvey A.
Kyu, Hmwe
Erskine, Holly E.
Huang, Hsiang
Martopullo, Ira
Singh, Jasvinder A.
Nachega, Jean B.
Sanabria, Juan R.
Abbas, Kaja
Ong, Kanyin
Tabb, Karen
Krohn, Kristopher J.
Cornaby, Leslie
Degenhardt, Louisa
Moses, Mark
Farvid, Maryam
Griswold, Max
Criqui, Michael
Bell, Michelle
Nguyen, Minh
Wallin, Mitch
Mirarefin, Mojde
Qorbani, Mostafa
Younis, Mustafa
Fullman, Nancy
Liu, Patrick
Briant, Paul
Gona, Philimon
Havmoller, Rasmus
Leung, Ricky
Kimokoti, Ruth
Bazargan-Hejazi, Shahrzad
Hay, Simon I.
Yadgir, Simon
Biryukov, Stan
Vollset, Stein Emil
Alam, Tahiya
Frank, Tahvi
Farid, Talha
Miller, Ted
Vos, Theo
Bärnighausen, Till
Gebrehiwot, Tsegaye Telwelde
Yano, Yuichiro
Al-Aly, Ziyad
Mehari, Alem
Handal, Alexis
Kandel, Amit
Anderson, Ben
Biroscak, Brian
Mozaffarian, Dariush
Ray Dorsey, E.
Ding, Eric L.
Park, Eun-Kee
Wagner, Gregory
Hu, Guoqing
Chen, Honglei
Sunshine, Jacob E.
Khubchandani, Jagdish
Leasher, Janet
Leung, Janni
Salomon, Joshua
Unutzer, Jurgen
Cahill, Leah
Cooper, Leslie
Horino, Masako
Brauer, Michael
Breitborde, Nicholas
Hotez, Peter
Topor-Madry, Roman
Soneji, Samir
Stranges, Saverio
James, Spencer
Amrock, Stephen
Jayaraman, Sudha
Patel, Tejas
Akinyemiju, Tomi
Skirbekk, Vegard
Kinfu, Yohannes
Bhutta, Zulfiqar
Jonas, Jost B.
Murray, Christopher J. L.
Title The state of US health, 1990-2016: Burden of diseases, injuries, and risk factors among US states
Journal name JAMA - Journal of the American Medical Association   Check publisher's open access policy
ISSN 1538-3598
0098-7484
Publication date 2018-04-10
Year available 2018
Sub-type Article (original research)
DOI 10.1001/jama.2018.0158
Open Access Status Not yet assessed
Volume 319
Issue 14
Start page 1444
End page 1472
Total pages 29
Place of publication Chicago, IL United States
Publisher American Medical Association
Language eng
Subject 2700 Medicine
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 (GBD) 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 (UIs) 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.
Keyword American-Heart-Association
United-States
Physical-Activity
Public-Health
Prevalence
Suicide
Mortality
Homicide
Obesity
Access
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Public Health Publications
 
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Created: Fri, 20 Apr 2018, 03:28:17 EST