Sunday, December 29, 2013

The State of US Health, 1990-2010

OECD : Organisation for Economic Co-operation and Development, a forum of 34 countries committed to democracy and the market economy

We have been going down in health relative to other advanced democracies.
Eg., life expectancy at birth has gone down from 20th to 27th position.
I know there are many people who still thing the U.S. is first in life expectancy, which has not been true for many years.

http://jama.jamanetwork.com/article.aspx?articleid=1710486

The Journal of the American Medical Association
JAMA. 2013;310(6):591-606. doi:10.1001/jama.2013.13805.
Original Investigation | August 14, 2013

Definitions:
Years of life lost due to premature mortality (YLLs) were computed by multiplying the number of deaths at each age by a reference life expectancy at that age. Years lived with disability (YLDs) were calculated by multiplying prevalence (based on systematic reviews) by the disability weight (based on population-based surveys) for each sequela; disability in this study refers to any short- or long-term loss of health. Disability-adjusted life-years (DALYs) were estimated as the sum of YLDs and YLLs. Deaths and DALYs related to risk factors were based on systematic reviews and meta-analyses of exposure data and relative risks for risk-outcome pairs. Healthy life expectancy (HALE) was used to summarize overall population health, accounting for both length of life and levels of ill health experienced at different ages.

Results:

-----

Among 34 OECD countries between 1990 and 2010, the US rank for the age-standardized death rate changed from 18th to 27th, for the age-standardized YLL rate from 23rd to 28th, for the age-standardized YLD rate from 5th to 6th, for life expectancy at birth from 20th to 27th, and for HALE from 14th to 26th.

-----

improvements in population health in the United States have not kept pace with advances in population health in other wealthy nations.

No comments:

Post a Comment