title: Excess deaths from nine chronic diseases in the United States, 1986.
abstract: To assess excess mortality from chronic disease in the United States, state age-adjusted combined mortality rates for nine chronic diseases in 1986 were compared with three "minimum" rates--two calculated from rates actually achieved in states and a third estimated as the mortality remaining after elimination of one risk factor for each disease. Hawaii had the lowest mortality rate of combined diseases (305/100,000); state excesses ranged from 0% to 37%. The sum of lowest disease-specific rates in any state was 284 per 100,000, indicating excesses of between 7% and 41%. A minimum mortality rate of 224 per 100,000 was estimated to result from elimination of one risk factor for each of the nine diseases, indicating state excesses from 26% to 54%, or 524,000 US deaths. Reduction of US mortality from the nine diseases to the risk factor--eliminated rate is estimated to be associated with an increased life expectancy at birth of 4 years.
authors.affiliation: Division of Surveillance and Epidemiologic Studies, Centers for Disease Control, Atlanta, GA 30333.
authors.forename: R A
authors.initials: RA
authors.lastname: Hahn
authors.forename: S M
authors.initials: SM
authors.lastname: Teutsch
authors.forename: R B
authors.initials: RB
authors.lastname: Rothenberg
authors.forename: J S
authors.initials: JS
authors.lastname: Marks
mesh_terms: D002908:Chronic Disease / Q000401:mortality*; D006306:Health Surveys; D006801:Humans; D008017:Life Expectancy; D012044:Regression Analysis; D012307:Risk Factors; D014481:United States / Q000453:epidemiology