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dc.contributor.authorGlobal Burden of Cardiovascular Diseases Collaborationen_NZ
dc.contributor.authorRoth, GAen_NZ
dc.contributor.authorJohnson, COen_NZ
dc.contributor.authorAbate, KHen_NZ
dc.contributor.authorAbd-Allah, Fen_NZ
dc.contributor.authorAhmed, Men_NZ
dc.contributor.authorAlam, Ken_NZ
dc.contributor.authorAlam, Ten_NZ
dc.contributor.authorAlvis-Guzman, Nen_NZ
dc.contributor.authorAnsari, Hen_NZ
dc.contributor.authorÄrnlöv, Jen_NZ
dc.contributor.authorAtey, TMen_NZ
dc.contributor.authorAwasthi, Aen_NZ
dc.contributor.authorAwoke, Ten_NZ
dc.contributor.authorBarac, Aen_NZ
dc.contributor.authorBärnighausen, Ten_NZ
dc.contributor.authorBedi, Nen_NZ
dc.contributor.authorBennett, Den_NZ
dc.contributor.authorBensenor, Ien_NZ
dc.contributor.authorBiadgilign, Sen_NZ
dc.contributor.authorCastañeda-Orjuela, Cen_NZ
dc.contributor.authorCatalá-López, Fen_NZ
dc.contributor.authorDavletov, Ken_NZ
dc.contributor.authorDharmaratne, Sen_NZ
dc.contributor.authorDing, ELen_NZ
dc.contributor.authorDubey, Men_NZ
dc.contributor.authorFaraon, EJAen_NZ
dc.contributor.authorFarid, Ten_NZ
dc.contributor.authorFarvid, MSen_NZ
dc.contributor.authorFeigin, Ven_NZ
dc.contributor.authorFernandes, Jen_NZ
dc.contributor.authorFrostad, Jen_NZ
dc.contributor.authorGebru, Aen_NZ
dc.contributor.authorGeleijnse, JMen_NZ
dc.contributor.authorGona, PNen_NZ
dc.contributor.authorGriswold, Men_NZ
dc.contributor.authorHailu, GBen_NZ
dc.contributor.authorHankey, GJen_NZ
dc.contributor.authorHassen, HYen_NZ
dc.contributor.authorHavmoeller, Ren_NZ
dc.contributor.authorHay, Sen_NZ
dc.contributor.authorHeckbert, SRen_NZ
dc.contributor.authorIrvine, CMSen_NZ
dc.contributor.authorJames, SLen_NZ
dc.contributor.authorJara, Den_NZ
dc.contributor.authorKasaeian, Aen_NZ
dc.contributor.authorKhan, ARen_NZ
dc.contributor.authorKhera, Sen_NZ
dc.contributor.authorKhoja, ATen_NZ
dc.contributor.authorKhubchandani, Jen_NZ
dc.contributor.authorKim, Den_NZ
dc.contributor.authorKolte, Den_NZ
dc.contributor.authorLal, Den_NZ
dc.contributor.authorLarsson, Aen_NZ
dc.contributor.authorLinn, Sen_NZ
dc.contributor.authorLotufo, PAen_NZ
dc.contributor.authorMagdy Abd El Razek, Hen_NZ
dc.contributor.authorMazidi, Men_NZ
dc.contributor.authorMeier, Ten_NZ
dc.contributor.authorMendoza, Wen_NZ
dc.contributor.authorMensah, GAen_NZ
dc.contributor.authorMeretoja, Aen_NZ
dc.contributor.authorMezgebe, HBen_NZ
dc.contributor.authorMirrakhimov, Een_NZ
dc.contributor.authorMohammed, Sen_NZ
dc.contributor.authorMoran, AEen_NZ
dc.contributor.authorNguyen, Gen_NZ
dc.contributor.authorNguyen, Men_NZ
dc.contributor.authorOng, KLen_NZ
dc.contributor.authorOwolabi, Men_NZ
dc.contributor.authorPletcher, Men_NZ
dc.contributor.authorPourmalek, Fen_NZ
dc.contributor.authorPurcell, CAen_NZ
dc.contributor.authorQorbani, Men_NZ
dc.contributor.authorRahman, Men_NZ
dc.contributor.authorRai, RKen_NZ
dc.contributor.authorRam, Uen_NZ
dc.contributor.authorReitsma, MBen_NZ
dc.contributor.authorRenzaho, AMNen_NZ
dc.contributor.authorRios-Blancas, MJen_NZ
dc.contributor.authorSafiri, Sen_NZ
dc.contributor.authorSalomon, JAen_NZ
dc.contributor.authorSartorius, Ben_NZ
dc.contributor.authorSepanlou, SGen_NZ
dc.contributor.authorShaikh, MAen_NZ
dc.contributor.authorSilva, Den_NZ
dc.contributor.authorStranges, Sen_NZ
dc.contributor.authorTabarés-Seisdedos, Ren_NZ
dc.contributor.authorTadele Atnafu, Nen_NZ
dc.contributor.authorThakur, JSen_NZ
dc.contributor.authorTopor-Madry, Ren_NZ
dc.contributor.authorTruelsen, Ten_NZ
dc.contributor.authorTuzcu, EMen_NZ
dc.contributor.authorTyrovolas, Sen_NZ
dc.contributor.authorUkwaja, KNen_NZ
dc.contributor.authorVasankari, Ten_NZ
dc.contributor.authorVlassov, Ven_NZ
dc.contributor.authorVollset, SEen_NZ
dc.contributor.authorWakayo, Ten_NZ
dc.contributor.authorWeintraub, Ren_NZ
dc.contributor.authorWolfe, Cen_NZ
dc.contributor.authorWorkicho, Aen_NZ
dc.contributor.authorXu, Gen_NZ
dc.contributor.authorYadgir, Sen_NZ
dc.contributor.authorYano, Yen_NZ
dc.contributor.authorYip, Pen_NZ
dc.contributor.authorYonemoto, Nen_NZ
dc.contributor.authorYounis, Men_NZ
dc.contributor.authorYu, Cen_NZ
dc.contributor.authorZaidi, Zen_NZ
dc.contributor.authorZaki, MESen_NZ
dc.contributor.authorZipkin, Ben_NZ
dc.contributor.authorAfshin, Aen_NZ
dc.contributor.authorGakidou, Een_NZ
dc.contributor.authorLim, SSen_NZ
dc.contributor.authorMokdad, AHen_NZ
dc.contributor.authorNaghavi, Men_NZ
dc.contributor.authorVos, Ten_NZ
dc.contributor.authorMurray, CJLen_NZ
dc.date.accessioned2018-04-27T04:42:21Z
dc.date.available2018-04-27T04:42:21Z
dc.date.copyright2018en_NZ
dc.identifier.citationJAMA Cardiology (2018). doi:10.1001/jamacardio.2018.0385
dc.identifier.issn2380-6591en_NZ
dc.identifier.issn2380-6591en_NZ
dc.identifier.urihttp://hdl.handle.net/10292/11533
dc.description.abstractImportance: 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.en_NZ
dc.languageengen_NZ
dc.publisherAmerican Medical Associationen_NZ
dc.relation.urihttps://jamanetwork.com/journals/jamacardiology/fullarticle/2678113
dc.rightsThis is an open access article distributed under the terms of the CC-BY License. © 2018 Global Burden of Cardiovascular Diseases Collaboration. JAMA Cardiology.
dc.titleThe burden of cardiovascular diseases among US states, 1990-2016en_NZ
dc.typeJournal Article
dc.rights.accessrightsOpenAccessen_NZ
dc.identifier.doi10.1001/jamacardio.2018.0385en_NZ
pubs.elements-id335273
aut.relation.journalJAMA Cardiologyen_NZ


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