The State of US Health, 1990-2016 Burden of Diseases, Injuries, and Risk Factors Among US States

From Journal of the American Medical Association, April 10, 2018 (excerpt)

…Between 1990 and 2016, overall death rates in the United States declined from 745.2 per 100 000 persons to 578.0 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 healthy life expectancy (HALE) at birth (70.3 years), and West Virginia had the lowest (63.8 years), a 6.5-year difference.

The leading causes of disability-adjusted life-years (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% 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)….

PDF: Full Report

HNN: Lucky we live Hawaii: National study finds Hawaii residents lead longer, healthier lives