the state of us health · 2018. 4. 9. · the state of us health findings from the global burden of...
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The State of US Health findings from the global burden of disease study
The Global Burden of Disease Study (GBD) measures the world’s health problems, including in all 50 of the United States and Washington, D.C., from 1990 through 2016. It is the most comprehensive and comparable
study on Us health to date, tracking 400+ diseases, injuries, and risk factors. It complements the research done by state health departments and the CDC, and is used by the US National Institutes of Health to decide where to invest research funding. The study is coordinated by the Institute for Health Metrics and Evaluation (IHME) at the University of Washington in Seattle.
Health is more than life or deathGBD measures years lost due to death and disability – diseases or injuries that hurt us, but do not necessarily kill us.
Addressing disability has proven difficultWhile treatments for many leading causes of death have improved since 1990, we have been less successful at treating disability, which poses an ever-increasing threat to our nation’s health.
healthdata.org/us-health
Addressing disability is expensive
Low back pain, years lived with disability
Ischemic heart disease,years of life lost
Leading causes of early death and disability in the US, 2016*
1 Ischemic heart disease2 Lung cancer3 COPD4 Diabetes5 Low back pain
6 Alzheimer’s disease7 Opioid use disorders8 Other musculoskeletal9 Major depression10 Migraine
Opioid use was the cause of early death and disability with the largest increase – up 35*% – between 1990 and 2016.
Opioid use rank 1990
11th
Opioid use rank 2016
7th
Eight of the top 10 most expensive health conditions in the US cause more disability than deaths.The most expensive health condition in the US is diabetes – mostly due to the high cost of medications used to treat it.
up 35%
Diabetes spending rose 6% annually from $37 billion in 1996 to 2013 $101 billion in 2013. Nearly 70% of the increase was due to pharmaceutical spending.
in billions of US dollars
$0 $20 $40 $60 $80 $100 $120
Pregnancy and postpartum careSkin diseasesVision and hearing lossOral disordersDepressionFallsHigh blood pressureLow back and neck painIschemic heart diseaseDiabetes mellitus1
23456789
6.10%
0.20%
6.50%
5.10%
3.00%
3.40%
2.90%
2.80%
3.50%
2.90%
Annual rate of change, 1996 - 2013
101.40B
88.10B
87.60B
83.90B
76.30B
71.10B
66.40B
59.00B
55.70B
55.60B10
*All-ages rate
Opioid use up
*All-ages rate
*Age-standardized
YLLs
per
100
,000
*
020161990
500
1.5k
2.5k
3k
1k
2k
YLD
s per
100
,000
*
0
400
600
800
20161990
200
AKAZ
UT
NV
CA
NM
OR
WA
WYID
MT ND
SD
NE
COKS
OK
TX
MN
IA
MO
AR
LA
WIMI
IL IN
KYTN
MS AL GA
FL
SC
NC
VA
OH
WVPA
NY
ME
NH
VT
MACT
MD
RI
DE
NJ
DC
HI
healthdata.org/us-health
Risk factors affecting health in the USMuch of the poor health experienced by Americans is driven by risk factors, such as poor diet, high blood pressure, or smoking.
Six risk factors each accounted for more than 5% of deaths and disabilities in the US in 2016:
1 Tobacco use 2 Obesity and overweight3 Poor diet4 Alcohol and drug use 5 High blood sugar 6 High blood pressure
Health inequality in the USLife expectancy for children born in different states in 2016 differs by as much as 6.6 years.
About IHMEIHME is an independent health research center at the University of Washington in Seattle. It is a leading health metrics organization in the world. Its work includes studies of US health spending, health in all 3,142 US counties, future health scenarios, and a pilot effort to map health at the census tract level. IHME plans to expand its US research in the future. Results from IHME research are made freely available to the public.
For more information, contact:
Katie Leach-KemonPolicy Translation Managerkatielk@uw.edu+1-206-897-2839
How can we improve health in the US?We should prevent health problems by reducing risks and helping all Americans experience improved health.
Reduce risks
Adopt national and local plans to incentivize health systems, providers, individuals, and communities to reduce leading risk factors, including tobacco use, obesity, and poor diet.
Help those falling behind
Expand access to quality care and address the social determinants of health by supporting national, state, and community programs to improve health – especially in the 21 states where adults are now worse off than they were in 1990.
Adults in some places are falling behind
12%12%11%10%
9%8%
Hawaii 81.3HIGHEST
Mississippi 74.7LOWEST 78.9AVERAGE
Life expectancy in the US in years
0 10 20 30 40 50 60 70 80 90 100
Probability of dying between ages 20 and 55
Decreased from 1990 to 2016Increased from 1990 to 2016Increased more than 10% from 1990 to 2016
US
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