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The Burden of Cardiovascular Diseases Among US States, 1990-2016

Roth, Gregory A (author)
Institute for Health Metrics and Evaluation, University of Washington, Seattle
Johnson, Catherine O (author)
Abate, Kalkidan Hassen (author)
Jimma University, Jimma, Ethiopia.
show more...
Abd-Allah, Foad (author)
Ahmed, Muktar (author)
Alam, Khurshid (author)
Alam, Tahiya (author)
Alvis-Guzman, Nelson (author)
Ansari, Hossein (author)
Ärnlöv, Johan (author)
Karolinska Institutet
Atey, Tesfay Mehari (author)
Awasthi, Ashish (author)
Awoke, Tadesse (author)
Barac, Aleksandra (author)
Bärnighausen, Till (author)
Bedi, Neeraj (author)
Bennett, Derrick (author)
Bensenor, Isabela (author)
Biadgilign, Sibhatu (author)
Castañeda-Orjuela, Carlos (author)
Catalá-López, Ferrán (author)
Davletov, Kairat (author)
Dharmaratne, Samath (author)
Ding, Eric L (author)
Dubey, Manisha (author)
Faraon, Emerito Jose Aquino (author)
Farid, Talha (author)
Farvid, Maryam S (author)
Feigin, Valery (author)
Fernandes, João (author)
Frostad, Joseph (author)
Gebru, Alemseged (author)
Geleijnse, Johanna M (author)
Gona, Philimon Nyakauru (author)
Griswold, Max (author)
Hailu, Gessessew Bugssa (author)
Hankey, Graeme J (author)
Hassen, Hamid Yimam (author)
Havmoeller, Rasmus (author)
Hay, Simon (author)
Heckbert, Susan R (author)
Irvine, Caleb Mackay Salpeter (author)
James, Spencer Lewis (author)
Jara, Dube (author)
Kasaeian, Amir (author)
Khan, Abdur Rahman (author)
Khera, Sahil (author)
Khoja, Abdullah T (author)
Khubchandani, Jagdish (author)
Kim, Daniel (author)
Kolte, Dhaval (author)
Lal, Dharmesh (author)
Larsson, Anders (author)
Uppsala universitet,Klinisk kemi
Linn, Shai (author)
Lotufo, Paulo A (author)
Magdy Abd El Razek, Hassan (author)
Mazidi, Mohsen (author)
Meier, Toni (author)
Mendoza, Walter (author)
Mensah, George A (author)
Meretoja, Atte (author)
Mezgebe, Haftay Berhane (author)
Mirrakhimov, Erkin (author)
Mohammed, Shafiu (author)
Moran, Andrew Edward (author)
Nguyen, Grant (author)
Nguyen, Minh (author)
Ong, Kanyin Liane (author)
Owolabi, Mayowa (author)
Pletcher, Martin (author)
Pourmalek, Farshad (author)
Purcell, Caroline A (author)
Qorbani, Mostafa (author)
Rahman, Mahfuzar (author)
Rai, Rajesh Kumar (author)
Ram, Usha (author)
Reitsma, Marissa Bettay (author)
Renzaho, Andre M N (author)
Rios-Blancas, Maria Jesus (author)
Safiri, Saeid (author)
Salomon, Joshua A (author)
Sartorius, Benn (author)
Sepanlou, Sadaf Ghajarieh (author)
Shaikh, Masood Ali (author)
Silva, Diego (author)
Stranges, Saverio (author)
Tabarés-Seisdedos, Rafael (author)
Tadele Atnafu, Niguse (author)
Thakur, J S (author)
Topor-Madry, Roman (author)
Truelsen, Thomas (author)
Tuzcu, E Murat (author)
Tyrovolas, Stefanos (author)
Ukwaja, Kingsley Nnanna (author)
Vasankari, Tommi (author)
Vlassov, Vasiliy (author)
Vollset, Stein Emil (author)
Wakayo, Tolassa (author)
Weintraub, Robert (author)
Wolfe, Charles (author)
Workicho, Abdulhalik (author)
Xu, Gelin (author)
Yadgir, Simon (author)
Yano, Yuichiro (author)
Yip, Paul (author)
Yonemoto, Naohiro (author)
Younis, Mustafa (author)
Yu, Chuanhua (author)
Zaidi, Zoubida (author)
Zaki, Maysaa El Sayed (author)
Zipkin, Ben (author)
Afshin, Ashkan (author)
Gakidou, Emmanuela (author)
Lim, Stephen S (author)
Mokdad, Ali H (author)
Naghavi, Mohsen (author)
Vos, Theo (author)
Murray, Christopher J L (author)
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Institute for Health Metrics and Evaluation, University of Washington, Seattle Jimma University, Jimma, Ethiopia (creator_code:org_t)
American Medical Association (AMA), 2018
2018
English.
In: JAMA cardiology. - : American Medical Association (AMA). - 2380-6583 .- 2380-6591. ; 3:5, s. 375-389
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Importance: Cardiovascular disease (CVD) is the leading cause of death in the United States, but regional variation within the United States is large. Comparable and consistent state-level measures of total CVD burden and risk factors have not been produced previously.Objective: To quantify and describe levels and trends of lost health due to CVD within the United States from 1990 to 2016 as well as risk factors driving these changes.Design, Setting, and Participants: Using the Global Burden of Disease methodology, cardiovascular disease mortality, nonfatal health outcomes, and associated risk factors were analyzed by age group, sex, and year from 1990 to 2016 for all residents in the United States using standardized approaches for data processing and statistical modeling. Burden of disease was estimated for 10 groupings of CVD, and comparative risk analysis was performed. Data were analyzed from August 2016 to July 2017.Exposures: Residing in the United States.Main Outcomes and Measures: Cardiovascular disease disability-adjusted life-years (DALYs).Results: Between 1990 and 2016, age-standardized CVD DALYs for all states decreased. Several states had large rises in their relative rank ordering for total CVD DALYs among states, including Arkansas, Oklahoma, Alabama, Kentucky, Missouri, Indiana, Kansas, Alaska, and Iowa. The rate of decline varied widely across states, and CVD burden increased for a small number of states in the most recent years. Cardiovascular disease DALYs remained twice as large among men compared with women. Ischemic heart disease was the leading cause of CVD DALYs in all states, but the second most common varied by state. Trends were driven by 12 groups of risk factors, with the largest attributable CVD burden due to dietary risk exposures followed by high systolic blood pressure, high body mass index, high total cholesterol level, high fasting plasma glucose level, tobacco smoking, and low levels of physical activity. Increases in risk-deleted CVD DALY rates between 2006 and 2016 in 16 states suggest additional unmeasured risks beyond these traditional factors.Conclusions and Relevance: Large disparities in total burden of CVD persist between US states despite marked improvements in CVD burden. Differences in CVD burden are largely attributable to modifiable risk exposures.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

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art (subject category)

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By the author/editor
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About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Cardiac and Card ...
Articles in the publication
JAMA cardiology
By the university
Uppsala University
Karolinska Institutet

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