In the US, cardiovascular disease, cancer, and diabetes are in the top ten leading causes of death categories. The diseases compromise US life-expectancy and account for significant US health-care costs. This observational study investigates the US population's 1997-2017 Centers for Disease Control and Prevention (CDC) WONDER ICD-10 mortality records to extract the prevalence rates for leading causes of death by diabetes, neoplasms (cancers), and diseases of the circulatory system. The variables of race and age are examined for each disease in order to evaluate demographic and age-group risks. To document the public health burden from these three chronic conditions, mortality data from CDC WONDER was analyzed using MS-Excel and Statistical Analysis System (SAS) software. The general trend of deaths by diabetes, neoplasms, and diseases of the circulatory system has been progressively decreasing nationally; however, a significantly higher trend in mortality rates is observed for the Black or African American populations. Furthermore, over the 1997-2017 observational period, the crude mortality rates for the 45-54 (middle-age) and lower age-groups are below national mortality rate averages but are troublingly increasing for diabetes and notably, for the diseases of the circulatory system, the (younger) 25-34 age-group had a crude mortality rate increase of 6.78%.

中文翻译：

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1997-2017 年糖尿病、肿瘤和循环系统疾病导致死亡的主要原因信息，向美国广大民众发出与体重相关的警示教训。


在美国，心血管疾病、癌症和糖尿病位列十大死亡原因之列。这些疾病损害了美国人的预期寿命，并导致美国医疗保健费用高昂。这项观察性研究调查了 1997-2017 年美国疾病控制和预防中心 (CDC) WONDER ICD-10 死亡率记录，以提取糖尿病、肿瘤（癌症）和循环系统疾病导致死亡的主要原因的患病率。检查每种疾病的种族和年龄变量，以评估人口和年龄组风险。为了记录这三种慢性病造成的公共卫生负担，使用 MS-Excel 和统计分析系统 (SAS) 软件对 CDC WONDER 的死亡率数据进行了分析。全国范围内，糖尿病、肿瘤和循环系统疾病导致的死亡总趋势呈逐步下降趋势；然而，黑人或非裔美国人的死亡率呈显着升高的趋势。此外，在 1997-2017 年观察期内，45-54 岁（中年）及以下年龄组的粗死亡率低于全国死亡率平均水平，但糖尿病、特别是循环系统疾病的粗死亡率正在令人不安地增加。系统显示，（年轻）25-34岁年龄组的粗死亡率增加了6.78%。