Several studies have measured health outcomes in the United States, but none have provided a comprehensive assessment of patterns of health by state. This study uses the results of the Global Burden of Disease Study (GBD) to report trends in the burden of disease, injuries, and risk factors at the state level from 1990 to 2016.
April 10, 2018
Research Article
March 27, 2018
Research Article
Infectious diseases are mostly preventable but still pose a public health threat in the United States, where estimates of infectious diseases mortality are not available at the county level. In this study, we estimate age-standardized mortality rates and trends by county from 1980 to 2014 from lower respiratory infections, diarrheal diseases, HIV/AIDS, meningitis, hepatitis, and tuberculosis.
March 13, 2018
Research Article
Substance use disorders, including alcohol use disorders and drug use disorders, and intentional injuries, including self-harm and interpersonal violence, are important causes of early death and disability in the United States. The purpose of this research was to estimate age-standardized mortality rates by county from alcohol use disorders, drug use disorders, self-harm, and interpersonal violence in the United States.
December 4, 2017
Research Article
Despite dramatic growth between 1990 and 2010, development assistance for health from high-income countries and development agencies to low- and middle-income countries has stagnated, and proposed cuts make future funding uncertain. To further understand international financial flows for health, we examined international contributions from major donor countries.
September 25, 2017
Research Article
Chronic respiratory diseases are an important cause of death and disability in the United States. This study aims to estimate age-standardized mortality rates by county from chronic respiratory diseases.
May 16, 2017
Trends and patterns of geographic variation in cardiovascular mortality among US counties, 1980–2014
Research Article
Regional variation in cardiovascular mortality is well-known but county-level estimates for all major cardiovascular conditions have not been produced.
May 8, 2017
Research Article
Examining life expectancy by county allows for tracking geographic disparities over time and assessing factors related to these disparities. This information is potentially useful for policymakers, clinicians, and researchers seeking to reduce disparities and increase longevity.
April 18, 2017
Policy Report
Disparities in mortality by county and $115 billion in spending raise issues of cost, quality, and value of services.
January 24, 2017
Research Article
Cancer is a leading cause of morbidity and mortality in the United States and results in a high economic burden. Our objective of this study was to estimate age-standardized mortality rates by US county from 29 cancers.
December 27, 2016
Research Article
US health care spending has continued to increase, and now accounts for more than 17% of the US economy. Despite the size and growth of this spending, little is known about how spending on each condition varies by age and across time.
December 27, 2016
Research Article
Health care spending on children in the United States continues to rise, yet little is known about how this spending varies by condition, age and sex group, and type of care, nor how these patterns have changed over time.
December 13, 2016
Research Article
County-level patterns in mortality rates by cause have not been systematically described but are potentially useful for public health officials, clinicians, and researchers seeking to improve health and reduce geographic disparities. We demonstrate the use of a novel methodology for county-level estimation and estimate annual mortality rates by US county for 21 mutually exclusive causes of death, from 1980 to 2014.
August 23, 2016
Research Article
Previous analyses of diabetes prevalence in the US have considered either only large geographic regions or only individuals in whom diabetes had been diagnosed. We estimated county-level trends in the prevalence of diagnosed, undiagnosed, and total diabetes as well as rates of diagnosis and effective treatment from 1999 to 2012.
August 1, 2016
Research Article
Mental illness prevalence is increasing in USA. Understanding the relationship between functional status and mental health is crucial in optimizing psychiatric treatment.
April 8, 2016
Policy Report
Childhoods in America are safer and healthier than ever before, but the health of the nation’s young children continues to lag behind that of other developed countries.
October 1, 2015
Research Article
Modifiable risks account for a large fraction of disease and death, but clinicians and patients lack tools to identify high-risk populations or compare the possible benefit of different interventions.
April 23, 2015
Research Article
We estimated the prevalence of any drinking and binge drinking from 2002 to 2012 and heavy drinking from 2005 to 2012 in every US county.
March 24, 2014
Research Article
Cigarette smoking is a leading risk factor for morbidity and premature mortality in the United States, yet information about smoking prevalence and trends is not routinely available below the state level, impeding local-level action.
July 10, 2013
Policy Report
This policy report presents key findings from the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) for the US and documents trends in nearly 300 different diseases and injuries that are killing people prematurely and disabling them. The report sheds light on the substantial health threat posed by potentially modifiable risk factors such as poor diet, high body mass index, and lack of physical activity. It also provides an in-depth look at life expectancy, obesity, and physical activity in US counties.
July 10, 2013
Research Article
The United States spends more than any other country on health care, but US life expectancy at birth ranked 40th for males and 39th for females globally in 2010. To help understand this poor national performance, as well as the large disparities seen in life expectancy across communities, researchers estimated age-specific mortality rates for males and females by US county from 1985 to 2010.