Accepted for/Published in: JMIR Public Health and Surveillance
Date Submitted: Aug 24, 2022
Open Peer Review Period: Aug 24, 2022 - Sep 7, 2022
Date Accepted: May 24, 2023
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Using the Bump Chart Dashboard and More Specific List to Illustrate Changes in the Rankings of the Leading Causes of Death
ABSTRACT
Background:
Background:
The rankings of the leading causes of death (CODs) is a commonly used surveillance indicator by mass media and health advocacy groups. The National Center for Health Statistics (NCHS) publishes Deaths: Leading Causes annually. However, the ranking list used by the NCHS and many countries includes broad categories (cancer, heart disease and accidents).
Objective:
Objectives: This study examined the long-term (2000–2020) and short-term (2019–2020) changes in the rankings of the leading CODs in the United States using the bump chart dashboard and the World Health Organization (WHO) ranking list, which split broad categories into more specific subcategories (7 for cancer, 9 for heart disease, and 6 for accidents) and adding some specific CODs categories.
Methods:
Methods:
We analyzed mortality data for the years 2000, 2005, 2010, 2015, 2019, and 2020. The rankings of the leading CODs were based on age-adjusted mortality rates. Bump chart dashboard with filters for two lists and demographic characteristics (sex, age, and race/ethnicity) were created that allow the viewers to select the dimension they are interested.
Results:
Results:
Using the WHO list, several specific CODs (ischemic heart disease; lung, breast, and colon cancer; substance use; and accidental poisoning) were among the 10 leading CODs for different sex and age groups; which could not be revealed if the NCHS list was used. The rank of accidental poisoning markedly increased among people aged 15–44 and 45–64 years, as well as that of hypertensive diseases among those aged ≥75 years. In 2020, COVID-19 ranked third among the White population, but ranked first among the Hispanic and Black population.
Conclusions:
Conclusions:
Bump charts dashboard and the WHO list can better reveal the long-term and short-term changes in relative rank positions of specific preventable CODs, thereby providing more actionable information for health policy decision-making. Clinical Trial: Not applicable
Citation
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Copyright
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