• Neonatal infections and other conditions
NOTES: Age-adjusted mortality rates in the 17 peer countries show similar relationships when the age-adjusted data are examined separately by sex. However, for some conditions, cross-national patterns change slightly. For example, although the mortality rate for overall injuries (and unintentional injuries) is higher in aggregate in Finland than in the United States, among females only the United States has a higher rate. Similarly, among females, the U.S. mortality rate for infectious and parasitic diseases is higher than that of Portugal, the mortality rate for respiratory diseases is higher than that of the United Kingdom, and the mortality rate for musculoskeletal diseases is higher than that of Spain. Austrian females have a higher mortality rate for cardiovascular diseases, and Swedish and Swiss females have higher rates of mortality for intentional injuries. Among males, the U.S. mortality rate for communicable diseases is higher than that of the United Kingdom; Portugal has a higher mortality rate for noncommunicable diseases in general and genitourinary diseases in particular; Denmark has a higher mortality rate for neuropyshicatric disorders; both Denmark and Austria have higher mortality rates for congenital anomalies; Sweden has a slightly higher mortality rate for cardiovascular diseases; Spain has a higher mortality rate for respiratory diseases; and France and Switzerland have higher mortality rates for musculoskeletal diseases. Not listed here are conditions with relatively low mortality rates (e.g., less than 2 per 100,000), for which the standing of the United States compared with peer countries may differ more substantially by sex.
aPrimarily includes ischemic heart disease but also includes higher death rates from hypertensive and inflammatory heart disease. U.S. death rates from cerebrovascular disease and rheumatic heart disease are at or below average.
bIncludes cancers of the mouth and oropharynx, esophagus, stomach, colon and rectum, liver, pancreas, trachea, bronchus, lung, skin, breast, cervix uteri, corpus uteri, ovary, prostate, and bladder; lymphomas; multiple myeloma; and leukemia.
cIncludes Alzheimer and other dementias, Parkinson disease, multiple sclerosis, and drug use disorders, for which the United States has above-average mortality rates, and the following neuropsychiatric disorders for which the United States has average or below-average mortality rates: unipolar depressive disorder, bipolar disorder, schizophrenia, epilepsy, alcohol use disorder, posttraumatic stress disorder, obsessive-compulsive disorder, panic disorder, insomnia, and migraine.
dIncludes peptic ulcer disease, cirrhosis of the liver, and appendicitis.
ePrimarily nephritis and nephrosis. U.S. death rates from benign prostatic hypertrophy are at or below average.
fIncludes rheumatoid arthritis and osteoarthritis, but U.S. death rates from the latter are at or below average.
gIncludes upper and lower respiratory infections and otitis media.
hIncludes HIV/AIDS and other sexually transmitted infections, tuberculosis, diarrheal diseases, childhood-cluster diseases (e.g., pertussis, poliomyelitis), meningitis, hepatitis B and C, malaria, tropical-cluster diseases (e.g., schistosomiasis, leishmaniasis), leprosy, dengue, Japanese encephalitis, trachoma, and intestinal nematode infections.
iIncludes protein-energy malnutrition, iodine deficiency, Vitamin A deficiency, and iron-deficiency anemia.
SOURCE: Adapted from World Health Organization (2011a, Table 3).