{"id":56809,"date":"2018-04-10T09:28:26","date_gmt":"2018-04-10T16:28:26","guid":{"rendered":"http:\/\/69.46.6.243\/?p=56809"},"modified":"2018-04-10T09:28:26","modified_gmt":"2018-04-10T16:28:26","slug":"warning-signs-new-us-health-study-reveals-dangerous-disparities-among-states","status":"publish","type":"post","link":"https:\/\/new.thepinetree.net\/?p=56809","title":{"rendered":"Warning Signs: New US Health Study Reveals \u2018Dangerous Disparities\u2019 Among States"},"content":{"rendered":"<p>Seattle, CA&#8230;Working-age Americans in 21 states faced a higher probability of premature death from 1990 to 2016, according to the most\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2678018\">extensive state-by-state US health study ever conducted<\/a>.\u00a0 The likelihood of early death for men and women age 20 to 55 is highest in West Virginia, Mississippi, and Alabama. In contrast, same-age residents of Minnesota, California, New York, and several northeastern states have a lower probability of premature mortality.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/new.thepinetree.net\/wp-content\/uploads\/2018\/04\/State_burden_overarching_summary_GBD2016_Page_1.jpg\" alt=\"\" width=\"640\" height=\"365\" class=\"alignnone size-full wp-image-56810\" srcset=\"https:\/\/new.thepinetree.net\/wp-content\/uploads\/2018\/04\/State_burden_overarching_summary_GBD2016_Page_1.jpg 640w, https:\/\/new.thepinetree.net\/wp-content\/uploads\/2018\/04\/State_burden_overarching_summary_GBD2016_Page_1-300x171.jpg 300w, https:\/\/new.thepinetree.net\/wp-content\/uploads\/2018\/04\/State_burden_overarching_summary_GBD2016_Page_1-123x70.jpg 123w, https:\/\/new.thepinetree.net\/wp-content\/uploads\/2018\/04\/State_burden_overarching_summary_GBD2016_Page_1-570x325.jpg 570w, https:\/\/new.thepinetree.net\/wp-content\/uploads\/2018\/04\/State_burden_overarching_summary_GBD2016_Page_1-150x86.jpg 150w, https:\/\/new.thepinetree.net\/wp-content\/uploads\/2018\/04\/State_burden_overarching_summary_GBD2016_Page_1-500x285.jpg 500w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/S5zzKdXZzls\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><\/iframe><\/p>\n<p>\u201cWe are seeing dangerous disparities among states,\u201d said\u00a0<a href=\"http:\/\/www.healthdata.org\/node\/6337\">Dr. Christopher Murray<\/a>, director of the Institute for Health Metrics and Evaluation (IHME) at the University of Washington, whose organization coordinated the study. \u201cUnless and until leaders of our health care system work together to mitigate risks, such as tobacco, alcohol, and diet, more Americans will die prematurely, and in many cases, unnecessarily.\u201d<\/p>\n<p>______________________________________________________________________________<\/p>\n<p><strong>Note:<\/strong><\/p>\n<p><strong>Access to data visualizations:\u00a0<\/strong><a href=\"https:\/\/vizhub.healthdata.org\/gbd-compare\/\" target=\"_blank\" rel=\"noopener\">https:\/\/vizhub.healthdata.org\/gbd-compare\/<\/a><\/p>\n<p><strong>Access to the study published in JAMA:\u00a0<\/strong><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2678018\">https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2678018<\/a><\/p>\n<p>______________________________________________________________________________<\/p>\n<p>The study, published today in\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2678018\"><em>JAMA<\/em><\/a>, covers 1990 to 2016; it is part of the Global Burden of Disease (GBD) study, a comprehensive effort to quantify health internationally, covering 333 diseases and injuries and 84 risk factors. It is the most comprehensive state-by-state health assessment ever undertaken and includes estimates of prevalence, incidence, death, life expectancy, and several other summary health metrics for all 50 states, the District of Columbia, and the nation overall..<\/p>\n<p>In 2016, key factors driving the increased likelihood of early death for those aged 20 to 55 included substance abuse, suicide, and alcohol-related conditions. For these diseases, the states with the \u201cworst\u201d and \u201cbest\u201d age-standardized rates of years of life lost (YLLs) per 100,000 people were the following (with national rates shown for comparison):<\/p>\n<ul>\n<li>Drug use disorders: West Virginia (982), North Dakota (161), US (451)<\/li>\n<li>Alcohol-related conditions: New Mexico (328), Utah (110), US (156)<\/li>\n<li>Suicide: Utah (979), District of Columbia (306), US (564)<\/li>\n<\/ul>\n<p>Opioid use disorders rose from the 11<sup>th\u00a0<\/sup>leading cause of disability-adjusted life years (DALYs) in 1990 to the seventh leading cause in 2016.<\/p>\n<p>\u201cThe US has witnessed some improvements among youth under 20 and seniors over 55, but overall the nation and some of our states are falling behind other, less developed countries,\u201d said Dr. Ali Mokdad, who, with Murray, wrote the study. \u201cThe strain on America\u2019s health resources is getting worse, and the need for prevention services and greater access to and quality of medical care is increasing.\u201d<\/p>\n<p>In addition, the burden of mental health disorders is increasing in the United States with DALYs; major depression increased over 27% nationwide between 1990 and 2016. Similarly, the burden due to anxiety disorders increased by about 31% and totaled 1.76 million DALYs in 2016.<\/p>\n<p>\u201cThese findings serve as compelling evidence of the need to increase mental health care and screening, as well as programs seeking to prevent mental disorders and to promote mental health,\u201d Murray said.<\/p>\n<p>Murray also noted that high body mass index (BMI), smoking, and high fasting plasma glucose (FPG) were the three largest health risks in 2016. Both high BMI and FPG are linked to diabetes. In addition, high BMI, commonly referred to as overweight or obesity, is associated with an increased risk of cardiovascular diseases, some types of cancer, and poor health generally.<\/p>\n<p>\u201cTo an increasing degree, overweight, obesity, and sugary diets are driving up health care costs and are costing Americans years of healthy life,\u201d Murray said. \u201cThey are undermining progress toward better health.\u201d<\/p>\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2678018\">Among the study\u2019s findings<\/a>:<\/p>\n<ul>\n<li>The three leading causes of years of life lost in the US in 2016 were: ischemic heart disease, lung cancer, and COPD, a change from 1990 when the third leading cause of YLLs was motor vehicle injuries.<\/li>\n<li>While smoking is declining, it remained the top risk factor for DALYs in 34 states in 2016.<\/li>\n<li>There also were increases between 1990 and 2016 nationally in Alzheimer\u2019s disease, which moved from the seventh leading cause of YLLs to the fourth; diabetes rose from 12<sup>th<\/sup>\u00a0to eighth.<\/li>\n<\/ul>\n<p>Mokdad said increasing access to primary care, such as general practitioners and physician assistants, would help identify patients\u2019 early warning signs of poor health.<\/p>\n<p>\u201cPrimary care is our health system\u2019s front line of defense, detection, and treatment,\u201d he said. \u201cLocal, state, and federal dollars need to be targeted more effectively for primary care, especially for those millions of Americans not on Medicare.\u201d<\/p>\n<p class=\"rtecenter\">TOP 10 RISK FACTORS IN 2016 AS A PERCENTAGE OF<\/p>\n<p class=\"rtecenter\">DISABILITY-ADJUSTED LIFE YEARS<\/p>\n<p class=\"rtecenter\">(<a href=\"https:\/\/jamanetwork.com\/data\/Journals\/JAMA\/936922\/joi180029f2.png\">From Figure 2B, Page 1451 of the JAMA publication<\/a>)<\/p>\n<ul>\n<li>Tobacco<\/li>\n<li>Overweight\/obesity (high BMI)<\/li>\n<li>Dietary risks<\/li>\n<li>Alcohol and drug use<\/li>\n<li>High fasting plasma glucose<\/li>\n<li>High systolic blood pressure<\/li>\n<li>High cholesterol<\/li>\n<li>Impaired kidney function<\/li>\n<li>Occupational risks<\/li>\n<li>Air pollution<\/li>\n<\/ul>\n<p class=\"rtecenter\">\u201cTOP AND BOTTOM\u201d 10 STATES FOR PROBABILTY OF<\/p>\n<p class=\"rtecenter\">PREMATURE DEATH AMONG 20 TO 55-YEAR-OLDS BETWEEN 1990 AND 2016<\/p>\n<p class=\"rtecenter\">(<a href=\"https:\/\/jamanetwork.com\/data\/Journals\/JAMA\/936922\/joi180029f4.png\">From Figure 4, Page 1458 of the JAMA publication<\/a>)<\/p>\n<ul>\n<li>Ten states with lowest probability of premature death: Minnesota, California, New York, Connecticut, New Jersey, Washington, Massachusetts, Vermont, New Hampshire, and Hawaii<\/li>\n<li>Ten states with highest probability of premature death: West Virginia, Mississippi, Alabama, Oklahoma, Kentucky, Arkansas, New Mexico, Louisiana, Tennessee, and South Carolina]<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Seattle, CA&#8230;Working-age Americans in 21 states faced a higher probability of premature death from 1990 to 2016, according to the most\u00a0extensive state-by-state US health study ever conducted.\u00a0 The likelihood of early death for men and women age 20 to 55 is highest in West Virginia, Mississippi, and Alabama. In contrast, same-age residents of Minnesota, California, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":56810,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_cbd_carousel_blocks":"[]","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20,33,4,1],"tags":[],"class_list":["post-56809","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured","category-health-fitness","category-life-style","category-news","last_archivepost"],"jetpack_featured_media_url":"https:\/\/new.thepinetree.net\/wp-content\/uploads\/2018\/04\/State_burden_overarching_summary_GBD2016_Page_1.jpg","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/new.thepinetree.net\/index.php?rest_route=\/wp\/v2\/posts\/56809","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/new.thepinetree.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/new.thepinetree.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/new.thepinetree.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/new.thepinetree.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=56809"}],"version-history":[{"count":0,"href":"https:\/\/new.thepinetree.net\/index.php?rest_route=\/wp\/v2\/posts\/56809\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/new.thepinetree.net\/index.php?rest_route=\/wp\/v2\/media\/56810"}],"wp:attachment":[{"href":"https:\/\/new.thepinetree.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=56809"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/new.thepinetree.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=56809"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/new.thepinetree.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=56809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}