The largest decreases in life expectancy (based on AAPC for 2010-2016) occurred in New Hampshire, Kentucky, Maine, Ohio, West Virginia, South Dakota, New Mexico, Utah, Indiana, Mississippi, and Tennessee.

Life Expectancy and Mortality Rates in the United States, 1959-2017


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The largest increases in excess deaths for middle-aged adults were found in the Ohio Valley region, with one-third of the country's deaths reported in just four states: Kentucky, Indiana, Ohio and Pennsylvania.

Dying too young: Deaths among middle-aged adults reversing life expectancy trends

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