“How have the levels and trends of the burden of diseases, injuries, and risk factors in the United States changed from 1990 to 2016 by the state?”
This study, involving examination of 333 causes and 84 risk factors, demonstrated that health in the United States improved from 1990 to 2016, although the drivers of mortality and morbidity have changed in some states, with specific risk factors such as drug use disorders, high body mass index (BMI), and alcohol use disorders being associated with adverse outcomes. In 5 states, the probability of death between ages 20 and 55 years has increased more than 10% between 1990 and 2016.
Note the correlation between the states with the highest mortality rates and those with lowest income and education. (mostly southern states).