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Premature Death in United States
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United States
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Explore national- and state-level data for hundreds of health, environmental and socioeconomic measures, including background information about each measure. Use features on this page to find measures; view subpopulations, trends and rankings; and download and share content.

United States Value:

7,862

Years of potential life lost before age 75 per 100,000 population (1-year estimate)

Value and rank based on data from 2023

Premature Death in depth:

Additional Measures:

Premature Death Racial Disparity
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Appears In:

Annual Report
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Premature Death by State: American Indian/Alaska Native

Years of potential life lost before age 75 per 100,000 non-Hispanic American Indian or Alaska Native population (3-year estimate)

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Premature Death in

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Premature Death Trends in
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Data from U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Multiple Cause of Death by Single Race Files via CDC WONDER Online Database, 2021-2023

4,270 - 10,040

10,041 - 16,210

16,211 - 21,190

21,191 - 24,669

24,670 - 36,532

No Data

• Data Unavailable
Top StatesRankValue
Tennessee
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14,270
Missouri
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25,480
New York
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37,845
Michigan
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410,040
California
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513,091
Bottom StatesRankValue
Alaska
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1624,669
North Dakota
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1726,656
Montana
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1827,421
Minnesota
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1930,165
South Dakota
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2036,532

Premature Death: American Indian/Alaska Native

Tennessee
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[24]
14,270
Missouri
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[24]
25,480
New York
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37,845
Michigan
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[24]
410,040
California
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513,091
Oregon
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614,918
Nevada
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[24]
715,712
North Carolina
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816,210
Oklahoma
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916,762
Wisconsin
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1018,408
Washington
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1118,963
Mississippi
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1221,190
Nebraska
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[24]
1321,491
Arizona
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1423,286
New Mexico
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1524,615
Alaska
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1624,669
North Dakota
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1726,656
Montana
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1827,421
Minnesota
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1930,165
South Dakota
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2036,532
Alabama
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[2]
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United States
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•16,918
Arkansas
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[2]
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Colorado
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[2]
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Connecticut
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[2]
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District of Columbia
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[2]
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Delaware
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[2]
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Florida
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[2]
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Georgia
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[2]
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Hawaii
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[2]
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Iowa
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[2]
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Idaho
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[2]
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Illinois
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[2]
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Indiana
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[2]
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Kansas
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[2]
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Kentucky
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[2]
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Louisiana
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[2]
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Massachusetts
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[2]
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Maryland
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[2]
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Maine
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New Hampshire
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New Jersey
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Ohio
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Pennsylvania
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Rhode Island
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South Carolina
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Texas
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Utah
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Virginia
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Vermont
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West Virginia
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Wyoming
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• Data Unavailable
[24] Estimates for deaths among multiple age groups based upon 5 or more years of data[2] Results are suppressed due to inadequate sample size and/or to protect identity
Source:
  • U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Multiple Cause of Death by Single Race Files via CDC WONDER Online Database, 2021-2023

Premature Death Trends by Race/Ethnicity

Years of potential life lost before age 75 per 100,000 population (1-year estimate)

About Premature Death

US Value: 7,862

Top State(s): Massachusetts: 5,760

Bottom State(s): Mississippi: 12,071

Definition: Years of potential life lost before age 75 per 100,000 population (1-year estimate)

Data Source and Years(s): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Multiple Cause of Death by Single Race Files via CDC WONDER Online Database, 2023

Suggested Citation: America's Health Rankings analysis of U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Multiple Cause of Death by Single Race Files via CDC WONDER Online Database, United Health Foundation, AmericasHealthRankings.org, accessed 2026.

Premature death is a measure of years of potential life lost due to death occurring before the age of 75. Deaths at younger ages contribute more to the premature death rate than deaths occurring closer to age 75. For example, a person dying at age 70 would lose five years of potential life, whereas a child dying at age five would lose 70 years of potential life. 

According to the National Center for Health Statistics WISQARS Leading Causes of Death Visualization Tool, unintentional injury (including drug overdose deaths), cancer, heart disease, suicide, homicide, liver disease, perinatal deaths, diabetes, cerebrovascular and chronic lower respiratory disease deaths were, in order, the 10 leading causes of years of potential life lost before age 75 in 2023. COVID-19 dropped out of the top 10 in 2023 after ranking as the fifth-leading cause of premature death in 2022, and chronic lower respiratory disease entered the top 10.

Risky behaviors like not wearing seatbelts or motorcycle helmets, misusing drugs and occupational hazards can increase the risk of unintentional injuries and premature death. Additional risk factors for premature death include obesity, smoking, and exposure to environmental hazards such as poor air quality. Risk factors for heart disease, such as high blood pressure, high cholesterol, Type 2 diabetes and physical inactivity, are also risk factors for premature death. Social factors such as low education, poverty, racial segregation and inadequate social support also contribute to premature death.

Populations at higher risk for premature death include:

  • American Indian/Alaska Native populations, who have premature death rates 40% greater than non-Hispanic white populations. Infant mortality rates are higher among American Indian/Alaska Native infants compared with Asian and white infants and are a major contributor to the premature death rate. American Indian/Alaska Native populations also have a disproportionately high rate of unintentional injury deaths due to several factors, including living in rural environments, lack of traffic safety and higher rates of alcohol-related accidents. 
  • Black populations, whose premature mortality rates were consistently double those of white populations from 1960 through 2009, and remain higher than most other racial/ethnic groups today.Racial health disparities in cardiovascular disease and homicide have long been the leading drivers of higher rates of premature mortality among Black populations, as well as staggering and persistent gaps in maternal mortality and birth outcomes. Black populations have the highest infant mortality rate in the United States — more than double non-Hispanic white and Asian populations.

Health officials can encourage lifestyle changes to help prevent premature deaths by reducing risk factors, such as changes in diet, exercise, alcohol consumption and tobacco use, as well as medical treatment for chronic conditions such as depression, diabetes or hypertension. 

Intervention strategies that encourage individuals to seek preventive medical care and achieve healthy lifestyles can be effective in reducing premature death by:

  • Screening for certain health risks, such as alcohol misuse, diabetes, depression, high blood pressure, and breast, cervical and colorectal cancers.
  • Raising vaccination rates. Vaccines are a safe and cost-effective way of protecting infants, adolescents and adults from potentially life-threatening preventable diseases. A complete list of vaccine-specific recommendations is available from the Advisory Committee on Immunization Practices and the Centers for Disease Control and Prevention (CDC) publishes vaccine schedules by age.

The CDC has sponsored many health equity interventions, including:

  • The Traditional Foods Project, aimed at reducing rates of Type 2 diabetes in American Indian/Alaska Native populations.
  • The Boston Children’s Hospital’s Community Asthma Initiative, an intervention for Black and Hispanic children at risk of asthma complications.
  • Initiatives funded by the CDC’s Colorectal Cancer Control Program (CRCCP), which implements multicomponent interventions to increase colorectal cancer screening among racial and ethnic minority populations.

One of the overarching goals of Healthy People 2030 is to “attain healthy, thriving lives and well-being free of preventable disease, disability, injury and premature death.” While Healthy People 2030 does not have a specific goal for reducing premature death, it does set goals for many contributors to premature death, including: 

  • Reducing the cancer death rate.
  • Reducing fatal injuries. 
  • Reducing deaths related to tobacco use.
  • Improving cardiovascular health and reducing deaths from heart disease and stroke.
  • Reducing maternal deaths.
  • Reducing the rate of infant deaths. 
  • Reducing the rate of child and adolescent deaths.

Bundy, Joshua D., Katherine T. Mills, Hua He, Thomas A. LaVeist, Keith C. Ferdinand, Jing Chen, and Jiang He. “Social Determinants of Health and Premature Death Among Adults in the USA From 1999 to 2018: A National Cohort Study.” Lancet Public Health 8, no. 6 (July 15, 2023): E422–31. https://doi.org/10.1016/S2468-2667(23)00081-6.

Gangavelli, Apoorva, and Alanna A. Morris. “Premature Cardiovascular Mortality in the United States: Who Will Protect the Most Vulnerable Among Us?” Circulation 144, no. 16 (October 19, 2021): 1280–83. https://doi.org/10.1161/CIRCULATIONAHA.121.056658.

Hill, Latoya, Samantha Artiga, and Usha Ranji. Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them. Issue Brief. KFF, November 1, 2022. https://www.kff.org/racial-equity-and-health-policy/issue-brief/racial-disparities-in-maternal-and-infant-health-current-status-and-efforts-to-address-them/.

Joseph, Djenaba A. “Use of Evidence-Based Interventions to Address Disparities in Colorectal Cancer Screening.” MMWR Supplements 65, no. 1 (2016). https://doi.org/10.15585/mmwr.su6501a5.

Krieger, Nancy, Jarvis T. Chen, Brent A. Coull, Jason Beckfield, Mathew V. Kiang, and Pamela D. Waterman. “Jim Crow and Premature Mortality Among the US Black and White Population, 1960–2009: An Age–Period–Cohort Analysis.” Epidemiology 25, no. 4 (July 2014): 494–504. https://doi.org/10.1097/EDE.0000000000000104.

Penman-Aguilar, Ana, Karen Bouye, and Leandris C. Liburd. “Strategies for Reducing Health Disparities — Selected CDC-Sponsored Interventions, United States, 2016.” MMWR Supplements 65, no. 1 (February 12, 2016). https://stacks.cdc.gov/view/cdc/37922.

Roy, Brita, Catarina I. Kiefe, David R. Jacobs, David C. Goff, Donald Lloyd-Jones, James M. Shikany, Jared P. Reis, Penny Gordon-Larsen, and Cora E. Lewis. “Education, Race/Ethnicity, and Causes of Premature Mortality Among Middle-Aged Adults in 4 US Urban Communities: Results From CARDIA, 1985–2017.” American Journal of Public Health 110, no. 4 (April 2020): 530–36. https://doi.org/10.2105/AJPH.2019.305506.

Satterfield, Dawn, Lemyra DeBruyn, Marjorie Santos, Larry Alonso, and Melinda Frank. “Health Promotion and Diabetes Prevention in American Indian and Alaska Native Communities — Traditional Foods Project, 2008–2014.” MMWR Supplements 65, no. 1 (February 12, 2016): 4–10. https://doi.org/10.15585/mmwr.su6501a3.

Waidyatillake, Nilakshi T., Patricia T. Campbell, Don Vicendese, Shyamali C. Dharmage, Ariadna Curto, and Mark Stevenson. “Particulate Matter and Premature Mortality: A Bayesian Meta-Analysis.” International Journal of Environmental Research and Public Health 18, no. 14 (July 19, 2021): 7655. https://doi.org/10.3390/ijerph18147655.

Woods, Elizabeth R., Urmi Bhaumik, Susan J. Sommer, Elaine Chan, Lindsay Tsopelas, Eric W. Fleegler, Margarita Lorenzi, et al. “Community Asthma Initiative to Improve Health Outcomes and Reduce Disparities Among Children with Asthma.” MMWR Supplements 65, no. 1 (February 12, 2016): 11–20. https://doi.org/10.15585/mmwr.su6501a4.

Yoon, Paula W., Brigham Bastian, Robert N. Anderson, Janet L. Collins, Harold W. Jaffe, and Centers for Disease Control and Prevention (CDC). “Potentially Preventable Deaths from the Five Leading Causes of Death--United States, 2008-2010.” MMWR. Morbidity and Mortality Weekly Report 63, no. 17 (May 2, 2014): 369–74. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4584887/.

Related Measures

Childhood Immunizations
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Children in Poverty
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Diabetes
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Drug Deaths
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Excessive Drinking
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Heat and Worker Health
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Homicide
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Infant Mortality
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Obesity
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Physical Inactivity
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Premature Death Racial Disparity
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Smoking
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Suicide
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Uninsured
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Current Reports

America’s Health Rankings builds on the work of the United Health Foundation to draw attention to public health and better understand the health of various populations. Our platform provides relevant information that policymakers, public health officials, advocates and leaders can use to effect change in their communities.

We have developed detailed analyses on the health of key populations in the country, including women and children, seniors and those who have served in the U.S. Armed Forces, in addition to a deep dive into health disparities across the country.

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Published May 2025

A portrait of the health and well-being of adults age 65 and older in the United States — with over a decade of data.

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Published December 2025

Latest data provide an overview of challenges and successes across the health of women and children at the national and state levels over time.

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Health of Those Who Have Served Report

Published July 2022

A national report that explores the health and well-being of those who have served in the U.S. Armed Forces.

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Maternal and Infant Health Disparities Data Brief

Published August 2024

Measuring the breadth, depth and persistence of key maternal and infant health disparities by demographic group and at the state level.

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    Published January 2026

    Longest running annual assessment of the nation’s health on a state-by-state basis. The 36th edition features 99 measures across health outcomes and their drivers.

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    Senior Report

    Published May 2025

    A portrait of the health and well-being of adults age 65 and older in the United States — with over a decade of data.

  • women-children

    Health of Women and Children Report

    Published December 2025

    Latest data provide an overview of challenges and successes across the health of women and children at the national and state levels over time.

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    Health of Those Who Have Served Report

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    Maternal and Infant Health Disparities Data Brief

    Published August 2024

    Measuring the breadth, depth and persistence of key maternal and infant health disparities by demographic group and at the state level.

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