This project will expand and update the analysis of actual causes of mortality in the United States presented in the seminal 1993 McGinnis and Foege paper published in The Journal of the American Medical Association. Previous analyses will be extended by age grouping--to address the specific experiences of children and adolescents, and older Americans; and by content--to address the causes of morbidity as well as mortality. Replicating the methods of the 1993 report, articles published between 1975 and 1998 assessing factors identified as major external (nongenetic) determinants of death and disease (e.g., socioeconomic status, access to medical care, microbial agents, toxic agents, behavioral risk factors) will be systematically reviewed, along with government reports and compilations of vital statistics and surveillance data. The results of this project will update the national perspective on the multiple modifiable factors contributing to death and disease in the United States, offering new guidance for shaping public health and health policy priorities.
Amount Awarded $184,941.00
Awarded on: 10/31/1997
Time frame: 11/1/1997 - 7/31/1999
Grant Number: 32016