Drug and alcohol use was the largest contributor to increasing mortality among working-age adults, accounting for 8% of deaths in this population between 1990 and 2017.

Mortality among working-age adults in the United States is on the rise. Although mortality has decreased in 16 high-income countries since 2010, the U.S. rate is increasing among young and middle-aged adults and in all racial groups.

A new report from a National Academy of Sciences, Engineering and Medicine committee studied mortality data from 1990 to 2017 by cause of death, age, sex, race/ethnicity, socioeconomic status and geography. Three factors contributed heavily to the rising mortality rate.

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