We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Are State Mortality Differences due to Migration From the Rust Belt?-Reply

Robert A. Hahn, PhD, MPH; Steven M. Teutsch, MD, MPH; Richard B. Rothenberg, MD, MPH; James S. Marks, MD, MPH
JAMA. 1991;265(9):1112. doi:10.1001/jama.1991.03460090059027.
Text Size: A A A
Published online


In Reply.—  In our comparison of measures of excess chronic disease mortality in the United States, we used age-specific mortality rates for each state (including the 50 states and Washington, DC) in 1986 (calculated from deaths and intercensal population estimates, both for 1986). We age-standardized rates to the 1980 US population because these data are widely available.In an earlier publication (MMWR. 1989;39:17-20), we computed the rates in each state in the same way, but age-standardized them to the 1986 US population. In changing the standard population, the ranking was unchanged for 33 states, changed one place for 12 states, and changed two places for six states. In changing from the 1980 to the 1986 standard, the 10 states with the highest rates remained the top 10, while one state was added (Kansas) and one was dropped (Colorado) from the lowest 10. As Dr Richter suggests, changes in rank reflect


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.