Evidence map›Paper›PMID 39985531›Full record

Observational studyThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2025

Identifying the Changing Landscape of Younger Adult Mortality in the United States from 1999 to 2021.

Virginia Cafferky, Shufang Sun, Frances B Saadeh, Eric B Loucks

Abstract readObservational Study
In one paragraph

Observational study in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Virginia CafferkyDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island; Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts. Electronic address: vcafferk@bu.edu.
Shufang SunDepartment of Behavioral Sciences, Brown University School of Public Health, Providence, Rhode Island; Mindfulness Center, Brown University, Providence, Rhode Island.
Frances B SaadehMindfulness Center, Brown University, Providence, Rhode Island; School of Professional Studies, Brown University, Providence, Rhode Island.
Eric B LoucksDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island; Department of Behavioral Sciences, Brown University School of Public Health, Providence, Rhode Island; Mindfulness Center, Brown University, Providence, Rhode Island.

Funding

Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 2001 to 2026
$48.5M
Developing Internet-Delivered, Mindfulness-based Intervention to Reduce HIV Risk and Promote Mental and Sexual Health among Young Adult MSMK23AT011173 · NCCIH · BROWN UNIVERSITY · PI SUN, SHUFANG · 2020 to 2024
$1.0M
NCCIH NIH HHS K23 AT011173NIMH NIH HHS P30 MH062294
6 · The paper itself

Abstract

purposeTo evaluate temporal trends and drivers of mortality among younger adults (aged 18-39), from 1999 to 2021.

methodsObservational study using nationally representative United States mortality data from 1999 to 2021, acquired via the US Centers for Disease Control Wide-ranging Online Data for Epidemiologic Research database. Exposure of interest was cause of death. Primary outcomes were population-level mortality rates and percent increase from 1999 to 2021. Secondary outcomes were cause-specific and subgroup-specific (sex, race, ethnicity) mortality rates and percent increases.

resultsFrom 1999 to 2021, US younger adults aged 18-39 experienced a 54.1% increase in annual mortality (from 113.4 deaths per 100,000 in 1999 to 174.7 deaths per 100,000 in 2021; Cochran-Armitage p < .0001). Before COVID, from 1999 to 2019, younger adults experienced a 10.8% increase in mortality, compared to a 1.5% increase among the broader US population. The top driver of increased younger adult mortality, from 1999 through 2021, was accidental poisoning and exposure to noxious substances. Mortality trends varied by demographic variables with notable increases among American Indian/Alaskan Native Americans. DISCUSSION: US younger adults are suffering from rising premature mortality. Resources should be calibrated to better support this generation.

Indexed as

MortalityAdolescentAdultCause of DeathCOVID-19FemaleHumansMaleUnited StatesYoung AdultHealth disparitiesPremature mortalityYoung adults

Identifiers

PMID39985531
PMCPMC11930608

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.