ArticleAmerican journal of public health2010
The relative health burden of selected social and behavioral risk factors in the United States: implications for policy.
Article in American journal of public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
56 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Using Social Media to Understand Web-Based Social Factors Concerning Obesity: Systematic Review.JMIR public health and surveillance · 2022Pooled it
- Can Social Policies Improve Health? A Systematic Review and Meta-Analysis of 38 Randomized Trials.The Milbank quarterly · 2020Pooled it
- Socioeconomic status and the 25 × 25 risk factors as determinants of premature mortality: a multicohort study and meta-analysis of 1·7 million men and women.Lancet (London, England) · 2017Pooled it
- Effect of Expanding the Earned Income Tax Credit to Americans Without Dependent Children on Psychological Distress.American journal of epidemiology · 2022Trial
- Impact of welfare reform on mortality: an evaluation of the Connecticut jobs first program, a randomized controlled trial.American journal of public health · 2014Trial
- Cost-effectiveness and cost-utility of Internet-based computer tailoring for smoking cessation.Journal of medical Internet research · 2013Trial
- Monetary incentives to reinforce engagement and achievement in a job-skills training program for homeless, unemployed adults.Journal of applied behavior analysis · 2013Trial
- Socioeconomic Factors Impact the Perception of Healthcare Experiences in Patients with Cirrhosis.Digestive diseases and sciences · 2026Article
- A systematic review of operational research modelling for alcohol consumption and its consequences.Health systems (Basingstoke, England) · 2026Review
- Adolescent Social Networks and School Engagement Across the High School Transition.Pediatrics open science · 2026Article
- From exposure to embedding: how interconnected social determinants drive health inequalities-a complex adaptive system dynamics approach.Frontiers in public health · 2026Article
- Unplanned Surgery in Dually Eligible Beneficiaries for Conditions that Should Be Treated Electively.Annals of surgery · 2025Article
- Addressing Structural Violence in School Policies: A Call to Protect Children's Safety and Well-Being.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Development and validation of a community risk score for sexual and reproductive health in the United States.Health affairs scholar · 2024Article
- Patterns of Social Determinants of Health and Publicly-Funded Service Access among Children Involved in Educational, Child Welfare, and Social Service Systems.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- School Nurse Perspectives on Addressing Chronic Absenteeism.The Journal of school nursing : the official publication of the National Association of School Nurses · 2023Review
- Diagnostic spirometry in COPD is increasing, a comparison of two Swedish cohorts.NPJ primary care respiratory medicine · 2023Article
- Futureproofing Social Support Policies for Population Health.The Milbank quarterly · 2023Article
- Feasibility of a Home-Delivery Produce Prescription Program to Address Food Insecurity and Diet Quality in Adults and Children.Nutrients · 2022Article
- Construction of the Ohio Children's Opportunity Index.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe sought to quantify the potential health impact of selected medical and nonmedical policy changes within the United States.
methodsUsing data from the 1997-2000 National Health Interview Surveys (linked to mortality data through 2002) and the 1996-2002 Medical Expenditure Panel Surveys, we calculated age-specific health-related quality-of-life scores and mortality probabilities for 8 social and behavioral risk factors. We then used Markov models to estimate the quality-adjusted life years lost.
resultsRanked quality-adjusted life years lost were income less than 200% of the poverty line versus 200% or greater (464 million; 95% confidence interval [CI]=368, 564); current-smoker versus never-smoker (329 million; 95% CI=226, 382); body mass index 30 or higher versus 20 to less than 25 (205 million; 95% CI=159, 269); non-Hispanic Black versus non-Hispanic White (120 million; 95% CI=83, 163); and less than 12 years of school relative to 12 or more (74 million; 95% CI=52, 101). Binge drinking, overweight, and health insurance have relatively less influence on population health.
conclusionsPoverty, smoking, and high-school dropouts impose the greatest burden of disease in the United States.
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