US Health

Small number of counties leads the way in reducing smoking rates in the US

Nationally, smoking rates have decreased since 1996, but the declines have been driven by a relatively small share of counties across the US, according to new research from the Institute for Health Metrics and Evaluation (IHME) at the University of Washington.

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Data Visualization

With this interactive map, you can explore health trends in the United States at the county level for both sexes in:
  • Smoking prevalence
  • Life expectancy
  • Hypertension 
  • Obesity
  • Physical activity 
  • Poverty

View the tool help page

Research Article

Cigarette smoking is a leading risk factor for morbidity and premature mortality in the United States, yet information about smoking prevalence and trends is not routinely available below the state level, impeding local-level action.



Policy Report

The State of US Health: Innovations, Insights, and Recommendations from the Global Burden of Disease Study presents key findings from the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) for the US and documents trends in nearly 300 different diseases and injuries that are killing people prematurely and disabling them. The report sheds light on the substantial health threat posed by potentially modifiable risk factors such as poor diet, high body mass index, and lack of physical activity. It also provides an in-depth look at life expectancy, obesity, and physical activity in US counties.


County Profiles

The Institute for Health Metrics and Evaluation (IHME) at the University of Washington analyzed the performance of all 3,143 US counties or county-equivalents in terms of life expectancy at birth, obesity, and physical activity.

Read the county profiles


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