{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:40:39Z","timestamp":1777898439382,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2012,5,1]],"date-time":"2012-05-01T00:00:00Z","timestamp":1335830400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives.<\/jats:title>\n                    <jats:p>Disability-adjusted life years (DALYs) measure the burden of disease and injury in a population. We tested the feasibility of calculating DALYs to assess the burden of disease and injury in Rhode Island (RI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>We computed DALYs for the 2008 RI population using methods developed by the World Health Organization, Harvard University, and the World Bank. DALYs are a composite measure that sum years of life lost (YLLs) due to premature mortality with years lived with disability (YLDs). We calculated crude mortality, YLLs, YLDs, and DALYs for 90 major health conditions for RI and stratified them by gender and age. Calculations for YLLs and YLDs were based on five-year averages. We compared our results with U.S. and Los Angeles County, California, estimates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>A DALYs ranking produces a different picture of RI's disease and injury burden than does mortality-based ranking. Of 90 major health conditions assessed for RI, six of the top 10 causes for mortality and DALYs were the same, but were ranked differently: ischemic heart disease, cerebrovascular disease, Alzheimer dementia and other dementias, trachea\/bronchus\/lung cancer, chronic obstructive pulmonary disease, and diabetes mellitus. These six conditions accounted for 59% of deaths but only 35% of DALYs. Causes and rank orders for DALYs differed between males and females and among age groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>Including nonfatal health conditions in an assessment of population health provides a different picture than traditional mortality-based assessments. This study demonstrates the feasibility and constraints of using DALYs to assess the burden of disease and injury at the state level.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/003335491212700309","type":"journal-article","created":{"date-parts":[[2017,7,3]],"date-time":"2017-07-03T19:30:03Z","timestamp":1499110203000},"page":"293-303","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Using Disability-Adjusted Life Years to Assess the Burden of Disease and Injury in Rhode Island"],"prefix":"10.1177","volume":"127","author":[{"given":"Yongwen","family":"Jiang","sequence":"first","affiliation":[{"name":"Rhode Island Department of Health, Center for Health Data and Analysis, Providence, RI"},{"name":"The Warren Alpert Medical School of Brown University, Department of Community Health, Providence, RI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jana Earl","family":"Hesser","sequence":"additional","affiliation":[{"name":"Rhode Island Department of Health, Center for Health Data and Analysis, Providence, RI"},{"name":"The Warren Alpert Medical School of Brown University, Department of Community Health, Providence, RI"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,5,1]]},"reference":[{"key":"bibr1-003335491212700309","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2005.02.009"},{"key":"bibr2-003335491212700309","doi-asserted-by":"publisher","DOI":"10.1186\/1478-7954-4-11"},{"key":"bibr3-003335491212700309","doi-asserted-by":"publisher","DOI":"10.1093\/phr\/117.2.185"},{"key":"bibr4-003335491212700309","volume-title":"The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020","volume":"10","author":"Murray CJL","year":"1996"},{"key":"bibr5-003335491212700309","first-page":"1076","volume":"79","author":"Mathers CD","year":"2001","journal-title":"Bull World Health Organ"},{"key":"bibr6-003335491212700309","unstructured":"Australia Department of Human Services, Chronic Disease Surveillance and Epidemiology Section, Public Health. Background for users of burden of disease estimates for local government areas of Victoria, 2001 Victoria (Australia): Australia Department of Human Services; 2006."},{"key":"bibr7-003335491212700309","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckl072"},{"key":"bibr8-003335491212700309","volume-title":"Global health statistics: A compendium of incidence, prevalence and mortality estimates for over 200 conditions","volume":"10","author":"Murray CJL","year":"1996"},{"key":"bibr9-003335491212700309","volume-title":"International statistical classification of diseases and related health problems, 10th revision (ICD-10)","volume":"1","year":"1992"},{"key":"bibr10-003335491212700309","unstructured":"Pruss-Ustun A, Mathers C, Corvalan C, Woodward A. Introduction and methods: Assessing the environmental burden of disease at national and local levels. Environmental Burden of Disease Series, No. 1. Geneva: World Health Organization; 2003."},{"key":"bibr11-003335491212700309","unstructured":"SAS Institute, Inc. SAS\u00ae: Version 9.1. Cary (NC): SAS Institute, Inc. 2004."},{"key":"bibr12-003335491212700309","unstructured":"Centers for Disease Control and Prevention (US). Behavioral Risk Factor Surveillance System [cited 2010 Jun 17]. Available from: URL: http:\/\/www.cdc.gov\/brfss"},{"key":"bibr13-003335491212700309","volume-title":"2008 Rhode Island HIV\/AIDS epidemiologic profile with surrogate data","year":"2010"},{"key":"bibr14-003335491212700309","unstructured":"Centers for Disease Control and Prevention (US). CDC Wonder [cited 2010 Jun 17]. Available from: URL: http:\/\/wonder.cdc.gov"},{"key":"bibr15-003335491212700309","unstructured":"Alcohol use among adolescents and adults\u2014New Hampshire, 1991\u20132003. MMWR Morb Mortal Wkly Rep 2004; 53(8):174\u20135."},{"key":"bibr16-003335491212700309","doi-asserted-by":"publisher","DOI":"10.1007\/0-306-47148-5_15"},{"key":"bibr17-003335491212700309","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2004.08.003"},{"key":"bibr18-003335491212700309","doi-asserted-by":"publisher","DOI":"10.1080\/10401230701653294"},{"key":"bibr19-003335491212700309","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-008-0388-z"},{"key":"bibr20-003335491212700309","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5359.58884"},{"key":"bibr21-003335491212700309","doi-asserted-by":"publisher","DOI":"10.1177\/003335490912400206"},{"key":"bibr22-003335491212700309","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-6296(97)00005-2"},{"key":"bibr23-003335491212700309","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2005.10.028"}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003335491212700309","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003335491212700309","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:30:24Z","timestamp":1777627824000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/003335491212700309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2012,5]]}},"alternative-id":["10.1177\/003335491212700309"],"URL":"https:\/\/doi.org\/10.1177\/003335491212700309","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5]]}}}