The State of US Health, 1990-2016

Why is this work in the frame?

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Teacher spread

0.345 · how far apart the two teachers sit on this one work

Validation status

score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

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.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

The record

Venue

JAMA

Topic

COVID-19 and healthcare impacts

Field

Medicine

Canadian institutions

SickKids FoundationWestern UniversityUniversity of British ColumbiaHospital for Sick ChildrenDalhousie University

Funders

National Drug and Alcohol Research CentreMedical Research CouncilSimmons CollegeDepartment of Global Health and Population, Harvard T.H. Chan School of Public HealthUniversitetet i BergenJohns Hopkins Bloomberg School of Public HealthUniversity of RochesterInyuvesi Yakwazulu-NataliUniversity at BuffaloKermanshah University of Medical SciencesJimma UniversityTehran University of Medical Sciences and Health ServicesYale UniversityHarvard T.H. Chan School of Public HealthKarolinska InstitutetKosin UniversityUniversity of WashingtonCurtin University of TechnologySouth African Medical Research CouncilUniversity of OxfordUniversity of South FloridaUniversity of California, IrvineGeorgetown UniversityUniversity of New South WalesWashington University in St. LouisUniversity of PittsburghNorwegian Institute of Public HealthDalhousie UniversityCollege of Engineering, Michigan State UniversityUniversity of California, San DiegoJohns Hopkins UniversityMedical Center, University of RochesterMassachusetts General HospitalCase Western Reserve UniversityRensselaer Polytechnic InstituteNorthwestern UniversityCharles R. Drew University of Medicine and ScienceGraduate School of Public Health, University of PittsburghUniversity of Illinois at Urbana-ChampaignMichigan State UniversityCentral South UniversityNova Southeastern UniversityBrown UniversityNational Institute on Minority Health and Health DisparitiesJackson State UniversityHarvard UniversitySan Diego State UniversityDavid Geffen School of Medicine, University of California, Los AngelesAlborz University of Medical SciencesUniversiteit StellenboschBall State University

Keywords

MedicineLife expectancyYears of potential life lostDemographyIncidence (geometry)Burden of diseaseGerontologyMortality ratePediatricsEnvironmental healthPopulationSurgery

Has abstract in OpenAlex

yes

API

/api/v1/works/W2796615944