U.S. State Life Tables, 2018

Infant mortality declined again in 1968, for the third successive year, and there is some evidence of a more rapidly downward trend in the unacceptably higher infant death rates which have existed among some population groups. The birth rate also declined again, but the marriage rate showed rather a sharp rise ( Table I ). With an excess of births over deaths of 1.55 million persons, the rate of natural increase was 7.8 per 1,000 population. Births Once more there was a decline in annual number of births, although a smaller one than last year. Nevertheless, with a rising population the birth rate fell to 17.4, the lowest ever recorded in the United States.

Download Full-text

Abstract 10: Widening Rural Disadvantage in United States Premature Heart Disease Mortality: Trends by Region and Race/Ethnicity, 2000 - 2013

Circulation ◽

10.1161/circ.133.suppl_1.10 ◽

2016 ◽

Vol 133 (suppl_1) ◽

Author(s):

Elizabeth B Pathak ◽

Colin J Forsyth

Keyword(s):

United States ◽

Heart Disease ◽

American Indians ◽

Rural Areas ◽

The United States ◽

Vital Statistics ◽

The South ◽

Mortality Trends ◽

Annual Percent Change ◽

Death Rates

Objectives: The purpose of this study was to quantify rural and metropolitan trends in premature heart disease (HD) mortality using the most up-to-date data available (through 2013). To our knowledge this is the first study to analyze these geographic disparities for Hispanics (HSP), Asians/Pacific Islanders (API), and American Indians/Alaska Natives (AI/AN). Methods: Annual age-adjusted HD death rates for adults aged 25-64 years were analyzed for 2000-2013. Rates were calculated for 5 racial/ethnic groups (Non-Hispanic Whites (WNH), Non-Hispanic Blacks (BNH), HSP of any race, Non-Hispanic API, and Non-Hispanic AI/AN). County-level data were aggregated by urbanicity: large central metro (LCM), large fringe metro (LFM), medium/small metro (MSM), and micropolitan/rural (RURAL). Region was defined as South (16 states) and Non-South. All data were obtained from the National Vital Statistics System on CDC WONDER. Average annual percent change (AAPC) was calculated by linear regression of the log-transformed death rates using SAS 9.4. Results: In 2013, the national population-at-risk predominantly resided in metro areas. However, there were more than 10 million RURAL adults aged 25-64 years in the South (16.2% of the region) and more than 13.4 million in the non-South (12.9% of the region). Nationwide, HD death rates were lowest in the LFM counties. In the South, the rate ratio (RR) for RURAL vs. LFM areas in 2011-2013 was 1.76 (95% CI 1.73 to 1.79) for WNH, 2.00 (95% CI 1.85 to 2.16) for HSP, 1.78 (95%CI 1.71 to 1.82) for BNH, 1.57 (95% CI 1.22 to 2.03) for API, and 3.13 (95% CI 2.47 to 3.96) for NNH. In the non-South, RURAL vs. LFM RRs were smaller, with the exception of API (RR 2.37, 95% CI 2.07 to 2.71). Temporal trend analyses revealed significantly smaller AAPC in RURAL areas (see Table). Conclusions: Higher death rates coupled with slower declines have resulted in a widening rural disadvantage in premature HD mortality in the United States from 2000 to 2013, particularly for WNH, HSP, BNH, and AI/AN in the South, and WNH in the non-South.

Download Full-text

Is the long-term decline in cardiovascular-disease mortality in high-income countries over? Evidence from national vital statistics

International Journal of Epidemiology ◽

10.1093/ije/dyz143 ◽

2019 ◽

Vol 48 (6) ◽

pp. 1815-1823 ◽

Cited By ~ 33

Author(s):

Alan D Lopez ◽

Tim Adair

Keyword(s):

Cardiovascular Disease ◽

Mortality Rate ◽

Vital Statistics ◽

High Income ◽

World Health ◽

Death Rates ◽

Males And Females ◽

Rate Of Decline ◽

Cvd Mortality

Abstract Background The substantial decline in cardiovascular-disease (CVD) mortality in high-income countries has underpinned their increasing longevity over the past half-century. However, recent evidence suggests this long-term decline may have stagnated, and even reversed in younger populations. We assess recent CVD-mortality trends in high-income populations and discuss the findings in relation to trends in risk factors. Methods We used vital statistics since 2000 for 23 high-income countries published in the World Health Organization Mortality Database. Age-standardized CVD death rates by sex for all ages, and at ages 35–74 years, were calculated and smoothed using LOWESS regression. Findings were contrasted with the Global Burden of Disease (GBD) Study. Results The rate of decline in CVD mortality has slowed considerably in most countries in recent years for both males and females, particularly at ages 35–74 years. Based on the latest year of data, the decline in the CVD-mortality rate at ages 35–74 years was <2% (about half the annual average since 2000) for at least one sex in more than half the countries. In North America (US males and females, Canada females), the CVD-mortality rate even increased in the most recent year. The GBD Study estimates, after correcting for misdiagnoses, suggest an even more alarming reversal, with CVD death rates rising in seven countries for at least one sex in 2017. The rate of decline and initial level of CVD mortality appear largely unrelated. Conclusions A significant slowdown in CVD-mortality decline is now apparent across high-income countries with diverse epidemiological environments. High and increasing obesity levels, limited potential future gains from further reducing already low smoking prevalence, especially in English-speaking countries, and persistent inequalities in mortality risk pose significant challenges for public policy to promote better cardiovascular health.

Download Full-text

Changes in life expectancy due to avoidable and non-avoidable deaths in Argentina, Chile, Colombia and Mexico, 2000-2011

Cadernos de Saúde Pública ◽

10.1590/0102-311x00093417 ◽

2018 ◽

Vol 34 (6) ◽

Cited By ~ 4

Author(s):

Claudio Dávila-Cervantes ◽

Marcela Agudelo-Botero

Keyword(s):

Latin America ◽

Life Expectancy ◽

Information Source ◽

Age Groups ◽

Population Data ◽

Mortality Rates ◽

Vital Statistics ◽

Death Rates ◽

Avoidable Deaths ◽

Avoidable Death

Abstract: The objective of this study was to analyze the level and trend of avoidable deaths and non-avoidable deaths and their contribution to the change in life expectancy in Latin America by studying the situations in Argentina, Chile, Colombia and Mexico between the years 2000 and 2011, stratified by sex and 5-year age groups. The information source used in this study was the mortality vital statistics, and the population data were obtained from censuses or estimates. The proposal by Nolte & McKee (2012) was used to calculate the standardized mortality rates and the influence from avoidable and non-avoidable causes in the change in life expectancy between 0 and 74 years. In Argentina, Chile and Colombia, all the rates declined between the years 2000 and 2011, whereas in Mexico, the avoidable deaths and non-avoidable deaths rates increased slightly for men and decreased for women. In all the countries, the non-avoidable death rates were higher than the avoidable death rates, and the rates were higher for men. The largest contributions to changes in life expectancy were explained by the non-avoidable deaths for men in all countries and for women in Argentina; in contrast, in Chile, Colombia and Mexico, the gains in years of life expectancy for women were mainly a result of avoidable causes. The results suggest there have been reductions in mortality from these causes that have resulted in gains in years of life expectancy in the region. Despite these achievements, differences between countries, sex and age groups are still present, without any noticeable progress in the reduction of these inequalities until now.

Download Full-text

QuickStats: Death Rates* for Motor Vehicle Traffic Injury,† by Age Group — National Vital Statistics System, United States, 2015 and 2017

MMWR Morbidity and Mortality Weekly Report ◽

10.15585/mmwr.mm6806a8 ◽

2019 ◽

Vol 68 (6) ◽

pp. 167

Keyword(s):

United States ◽

Motor Vehicle ◽

Vital Statistics ◽

Age Group ◽

Death Rates ◽

Vehicle Traffic ◽

Traffic Injury

Download Full-text