Academic Commons

Articles

The burden of disease and injury in the United States 1996

Michaud, Catherine; McKenna, Matthew; Begg, Stephen; Tomijima, Niels; Majmudar, Meghna; Bulzacchelli, Maria; Ebrahim, Shahul; Ezzati, Majid; Salomon, Joshua; Gaber Kreiser, Jessica; Hogan, Mollie; Murray, Christopher

Background: 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. Methods: 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. Results: 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. Conclusion: 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.

Geographic Areas

Files

  • thumnail for 1478-7954-4-11-S1.DOC 1478-7954-4-11-S1.DOC binary/octet-stream 53.5 KB Download File
  • thumnail for 1478-7954-4-11-S4.PPT 1478-7954-4-11-S4.PPT binary/octet-stream 1.43 MB Download File

Also Published In

Title
Population Health Metrics
DOI
https://doi.org/10.1186/1478-7954-4-11

More About This Work

Academic Units
Earth Institute
Published Here
September 9, 2014
Academic Commons provides global access to research and scholarship produced at Columbia University, Barnard College, Teachers College, Union Theological Seminary and Jewish Theological Seminary. Academic Commons is managed by the Columbia University Libraries.