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Financial Burdens and Disability-Adjusted Life Years in Los Angeles County

  • G. F. Kominski
  • P. A. Simon
  • A. Y. Ho
  • J. E. Fielding
Reference work entry

Abstract:

This chapter assesses the burden of disease and injury in the Los Angeles County population using disability-adjusted life years (DALYs), a composite measure of premature mortality and disability that equates to years of healthy life lost. DALYs were calculated for 105 health conditions, and aggregated groups of conditions, in the Los Angeles County population in 2005. Years of life lost (YLLs) were calculated using 2005 county mortality statistics and published life tables. Years lived with disability (YLDs) were derived from age- and gender-specific disease incidence and disability data published in the Global Burden of Disease Study. DALYs produce a substantially different ranking of disease and injury burden than did mortality rates alone. The leading five causes of DALYs among males in the county are ischemic heart disease, alcohol dependence, homicide/other violence, diabetes, and depression. Among females, the leading five causes are Alzheimer’s disease/other dementias, ischemic heart disease, alcohol dependence, diabetes, and depression. Differences in disease burden are also observed by race/ethnicity. The  age-adjusted rates of DALYs for all health conditions combined was highest in African-Americans, followed by whites, Latinos, and Asians/Pacific Islanders. DALYs are a useful tool for assessing population health and burden of disease at the local level, and produce results that are notably difference from those based on mortality rates. The combined economic impact of the top 15 causes of DALYs produced an estimated $28.92 billion loss to the Los Angeles economy in 2005.

Keywords

Chronic Obstructive Pulmonary Disease Alcohol Dependence Premature Mortality Disability Weight County Population 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:

COPD

chronic obstructive pulmonary disease

DALYs

disability adjusted life years

EME

emerging market economies

GBD

global burden of disease

ICD-9

International Classification of Diseases, 9th Edition

ICD-10

International Classification of Diseases, 10th Edition

NIH

National Institutes of Health

YLDs

years lived with disability

YLLs

years of life lost

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Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • G. F. Kominski
  • P. A. Simon
  • A. Y. Ho
  • J. E. Fielding

There are no affiliations available

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