The burden of disease and injury in the United States 1996
Open Access
- 18 October 2006
- journal article
- research article
- Published by Springer Nature in Population Health Metrics
- Vol. 4 (1) , 11
- https://doi.org/10.1186/1478-7954-4-11
Abstract
Burden of disease studies have been implemented in many countries using the Disability-Adjusted Life Year (DALY) to assess major health problems. Important objectives of the study were to quantify intra-country differentials in health outcomes and to place the United States situation in the international context. We applied methods developed for the Global Burden of Disease (GBD) to data specific to the United States to compute Disability-Adjusted Life Years. Estimates are provided by age and gender for the general population of the United States and for each of the four official race groups: White; Black; American Indian or Alaskan Native; and Asian or Pacific Islander. Several adjustments of GBD methods were made: the inclusion of race; a revised list of causes; and a revised algorithm to allocate cardiovascular disease garbage codes to ischaemic heart disease. We compared the results of this analysis to international estimates published by the World Health Organization for developed and developing regions of the world. In the mid-1990s the leading sources of premature death and disability in the United States, as measured by DALYs, were: cardiovascular conditions, breast and lung cancers, depression, osteoarthritis, diabetes mellitus, and alcohol use and abuse. In addition, motor vehicle-related injuries and the HIV epidemic exacted a substantial toll on the health status of the US population, particularly among racial minorities. The major sources of death and disability in these latter populations were more similar to patterns of burden in developing rather than developed countries. Estimating DALYs specifically for the United States provides a comprehensive assessment of health problems for this country compared to what is available using mortality data alone.Keywords
This publication has 23 references indexed in Scilit:
- Understanding the Coronary Heart Disease Versus Total Cardiovascular Mortality ParadoxCirculation, 2006
- Racial Disparities — The Need for Research and ActionNew England Journal of Medicine, 2003
- Contribution of Major Diseases to Disparities in MortalityNew England Journal of Medicine, 2002
- Small world, big challenges: a report from the 9th International Congress of the World Federation of Public Health AssociationsAmerican Journal of Public Health, 2001
- Can Alberta buck stampede of health-care globalisation?The Lancet, 2000
- Five‐Hundred Life‐Saving Interventions and Their Cost‐EffectivenessRisk Analysis, 1995
- Actual Causes of Death in the United StatesJAMA, 1993
- Mortality from tobacco in developed countries: indirect estimation from national vital statisticsThe Lancet, 1992
- In Search of Methuselah: Estimating the Upper Limits to Human LongevityScience, 1990
- The Growing Brown PlagueJAMA, 1990