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Quick Health Facts (with Sources)

Selected Health Status Indicators in the United States
At a Glance
Health Status
U.S. Life Expectancy: 77.9 years
Infant Mortality Rate: 6.75 per 1000
Adult Obesity Rate: 33.8%
Adult Smokers: 17.2%
Numbers of Americans with Chronic Conditions
Hypertension: 74.5 million
Mental Illness: 57.7 million
Asthma: 34.1 million
Heart Disease: 29.8 million
Diabetes: 23.6 million
Cancer: 11.7 million
Back Pain: 1 in 4 per three month period
HIV: 1.2 million
Health Care Use and Expenditures
U.S. Per Person Health Care Expenditures: $7,960
U.S. Health Care Encounters Per Year: 1.2 billion
Percentage of Health Care Expenditures Attributable to Top 1%: 21.8%
Number of Hospital Admissions in 2010 (5,754 hospitals): 36.9 million
Number of Encounters at FQHCs in 2009 (8,000 sites): 74 million
Number of People Living in Nursing Homes: 1.5 million
Average Years of Life Lost Per Person With the Following Conditions
Serious Mental Illnesses: 25.8
All Cancers: 15.5
Obesity: 13


Detail and Source for Each Data Point
Health Status
United States Life Expectancy (2007):  77.9 years
Infant Mortality Rate (2007): 6.75 per 1000 live births
49.3% of Americans report that they exercise at least three times per week.
33.8% of adults were obese in 2010. (See an animated state-by-state trend map using the following link.)
17.2% of adult Americans smoked in 2010.  For a state by state comparison, use the following link.
Unhealthy communities contribute to poorer health status among Americans.  The odds that an American will be obese increase by 10%, or will have hypertension increase by 6%, with each significant increase in the degree of sprawl in his or her home community.

Common Serious Chronic Conditions in the United States
Hypertension. 74.5 million Americans have high blood pressure. Hypertension is the most commonly diagnosed condition in America.
http://www.americanheart.org/presenter.jhtml?identifier=4621
http://www.cdc.gov/nchs/fastats/docvisit.htm
Mental Illness.  An estimated 57.5 million American adults (26.2%) have a diagnsoable mental illness each year.  One quarter of these have a serious mental illness.  Serious mental illnesses can reduce life expectancy by 25 years or more.
http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-america/index.shtml
http://www.nimh.nih.gov/statistics/2YEARS_STATE.shtml
Asthma.  34.1 million Americans have asthma.
http://www.aaaai.org/media/statistics/asthma-statistics.asp
Other Heart Disease. 29.8 million Americans had heart diseases (stroke, heart attack, angina, heart failure) in addition to, or apart from, hypertension.  Cardiovascular diseases accounted for 34.3% of all deaths.
http://www.americanheart.org/presenter.jhtml?identifier=4478
Diabetes. 23.6 million Americans (and 10.7% of all American adults) have diabetes.
http://www.diabetes.org/diabetes-basics/diabetes-statistics/
Cancer.  11.7 million Americans were living with cancer in 2007.
http://www.cancer.org/cancer/cancerbasics/cancer-prevalence
Back Pain.  One-fourth of adults have at least 1 day of back pain every 3 months
http://www.niams.nih.gov/Health_Info/Back_Pain/default.asp
HIV.  An estimated 1.2 Americans are living with HIV infection.  One in five are unaware that they are infected.
http://www.cdc.gov/hiv/resources/factsheets/us.htm

Health Care Use in the United States
In 2009, health care expenditures in the United States totaled $7,960 per person, highest in the world.  In second place was Norway, spending just $5,352.
http://www.oecd.org/document/16/0,3746,en_2649_37407_2085200_1_1_1_37407,00.html


Based on 2008 data, every year each American makes, on average:
·         1.9 visits to a primary care physician, plus
·         1.3 visits to one or more specialists, and
·         and the remainder either to a hospital, emergency, or outpatient department, totaling
·         3.8 health care encounters (total) each year
Collectively, people in the United States had 1.2 billion health care encounters in 2010.
In 2009, the top 1% of the U.S. population (in terms of health care expenditures) accounted for 21.8% of all health care expenditures.  Their mean expenditure was $90,601.  The top 5% accounted for nearly half of all expenditures.
http://meps.ahrq.gov/mepsweb/data_files/publications/st354/stat354.pdf


36.9 million people in the United States were admitted to 5,754 hospitals in 2010. Total expenses were just over $750 billion.  (Total annual US health care expenditures are around $2.5 trillion.)
20 million people accounted for nearly 74 million encounters at 8,000 delivery sites at Federally Qualified Health Centers in the United States in 2009.
http://www.nachc.com/client/US10.pdf

1.5 million people in the United States live in nursing homes.
http://www.cdc.gov/nchs/fastats/nursingh.htm

Years of Life Lost to Selected Chronic Conditions

Source data for this chart come from the following sources:

http://jama.ama-assn.org/content/289/2/187.full.pdf

http://progressreport.cancer.gov/doc_detail.asp?pid=1&did=2007&chid=76&coid=730&mid=

http://www.nimh.nih.gov/statistics/2YEARS_STATE.shtml

The obesity data from the JAMA article are for a 20 year old white male.  As the full article describes, data for comparably-aged females are lower, and for black males higher.  They are also different across age groups.  I used the 20 year old for comparison because serious mental illness most often occurs in young adult years.  The cancer data are for all cancers -- childhood cancers cost more years of life lost.  I chose this number because the NCI presented it as the average in its 2009-2010 update.  The mental illness data are for public patients in seven states reporting the data from a sixteen state survey.  The full table of the states is available on the NIMH web site; 25.8 years of life lost was the simple average of the data from all seven states.

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