Mortality in young and middle-aged adults

Mortality rates appear to be increasing among young and middle-aged adults in the United States, according to a new report from the National Center for Health Statistics of the Centers for Disease Control and Prevention in the United States.

Among adults aged 25 to 44, "all racial and ethnic groups experienced increases in mortality rates more recently," the researchers wrote in their report, published Tuesday, which also found differences in life expectancy among white adults. Blacks and Hispanics.

The researchers found that mortality rates for Hispanic, white and black adults between 25 and 44 generally decreased between 2000 and 2012, but then increased until 2017.

Between 2012 and 2017, mortality rates increased by 21% among black and white adults aged 25 to 44, and 13% among Hispanic adults in that age group.

The new report did not analyze why the death rate could be rising among this age group, but Dr. Georges Benjamin, executive director of the American Public Health Association, who was not involved in the report, had some ideas.

"It can be assumed that it is probably due to opioids," he said, but added that the causes of death would have to be examined further to determine that.

The report somehow "confirms the mortality findings we have had in the last two years, where mortality in general has increased," he said. "It is consistent with the increases in mortality we have seen in the last two years, in the general mortality of the population, which we know is due to opioids along with few better cardiovascular health and cancer mortality."

For the new report, the researchers analyzed mortality and population data in the United States from the 1999-2017 archives of the National Center for Health Statistics. Information on race and ethnicity was obtained from death certificates.

The researchers examined the data, closely observing trends in mortality rates between 2000 and 2017 for adults 25 years and older.

When examined by race, the data showed that Hispanic adults continued to experience greater life expectancy than black and white adults.

The mortality rate among Hispanic adults over 25 years of age decreased by 21% between 2000 and 2017, with a higher rate of decline between 2000 and 2011 than between 2011 and 2017, the researchers found.

The researchers also found that mortality rates for black and white adults 25 years and older decreased from 2000 to 2011, but then remained stable until 2017.

For adults aged 45 to 64, the researchers found that mortality rates for white adults were stable before increasing by 9% from 2010 to 2017.

For black adults aged 45 to 64, researchers found that, after falling between 2000 and 2011, mortality rates increased 4% until 2017; while mortality rates among Hispanic adults remained stable from 2011 to 2017.

Mortality rates for Hispanic, black and white adults 65 years of age or older declined overall between 2000 and 2017, the researchers found. The percentage decrease among adults in this age group was 27% for black adults compared to 18% and 17%, respectively, for white and Hispanic adults.

In order to reverse these trends in rising mortality rates, Benjamin said the United States must still focus on addressing the opioid epidemic and obesity rates, which can lead to mortality.

"Physical inactivity, diet and tobacco use remain, in my opinion, the fundamental conventions we should focus on," said Benjamin.

“If we focus on those three things, we will have a huge impact on cardiovascular disease, cancer, chronic obstructive pulmonary disease, and there may be some evidence about Alzheimer's disease and diabetes, but those three prevention areas cross all those disease processes, ”said the expert. "Now, they are not injured and do not reach violence with firearms, and that still needs to be addressed specifically in communities where there is high morbidity and mortality."