Junk food and drug use cut into life expectancy gains for some states

kAmq25 923:ED DF49 2D ;F?< 7@@5[ D>@<:?8 2?5 :==:4:E 5CF8 FD6 2C6 AC6G6?E:?8 =@?86C =:76DA2?D 6G6? 2D E649?@=@8J 3C:?8D >2;@C AC@8C6DD :? 5:D62D6D DF49 2D 42?46C 2?5 962CE 5:D62D6[ 244@C5:?8 E@ 2 ?6H DEF5J 3J E96 x?DE:EFE6 7@C w62=E9 |6EC:4D 2?5 tG2=F2E:@? 2E E96 &?:G6CD:EJ @7 (2D9:?8E@?]k^Am

kAmqJ a_d_[ &]$] =:76 6IA64E2?4J :D AC@;64E65 E@ :?4C62D6 7C@> fh]` J62CD E@ g_]c J62CD 7@C 323:6D 3@C? :? E92E J62C[ 2 >@56DE :>AC@G6>6?E E92E H@F=5 5C@A E96 &?:E65 $E2E6D k2 9C67lQ9EEADi^^HHH]962=E952E2]@C8^?6HD\6G6?ED^?6HDC@@>^?6HD\C6=62D6D^:?4C62D6D\FD\=:76\6IA64E2?4J\7@C642DE65\DE2==\a_d_\A@@C6C\962=E9Qm369:?5 ?62C=J 2== @E96C 9:89\:?4@>6 4@F?EC:6Dk^2m[ 244@C5:?8 E@ E96 DEF5J]k^Am

kAm!@G6CEJ 2?5 :?256BF2E6 962=E9 :?DFC2?46 2C6 D=@H:?8 AC@8C6DD :? D@>6 DE2E6D] (62=E9:6C[ >@C6 FC32? 2?5 36EE6C\65F42E65 DE2E6D 2C6 5@:?8 36EE6C 2?5 2C6 >@C6 =:<6=J E@ 25@AE A@=:4:6D E92E D2G6 =:G6D[ 7C@> 4FC3:?8 8F? 2446DD E@ @776C:?8 :?4@>6 DFAA@CED 7@C J@F?8 >@E96CD] }:?6 @7 E96 `_ DE2E6D W2== 3FE }@CE9 s2<@E2X H:E9 E96 =@?86DE =:76 6IA64E2?4:6D 7@C 323:6D 3@C? E9:D J62C 2C6 5@>:?2E65 3J s6>@4C2ED[ 2?5 2== `_ 92G6 6IA2?565 |65:42:5 F?56C E96 p77@C523=6 r2C6 p4E] p== `_ DE2E6D H:E9 E96 D9@CE6DE =:76 6IA64E2?4:6D 2C6 4@?EC@==65 3J #6AF3=:42?D WE9@F89 z6?EF4<J 92D 2 s6>@4C2E:4 8@G6C?@CX[ 2?5 E96J :?4=F56 7:G6 @7 E96 `_ DE2E6D E92E 92G6 ?@E 6IA2?565 |65:42:5]k^Am

kAmp $E2E6=:?6 2?2=JD:D @7 52E2 7C@> E96 DEF5J D9@HD 9@H D@>6 DE2E6D 92G6 C:D6?[ 2?5 D@>6 92G6 EF>3=65[ :? E6C>D @7 =:76 6IA64E2?4J]k^Am

kAmx? `hh_[ 7@C 6I2>A=6[ }6H *@C< 2?5 (6DE ':C8:?:2 H6C6 ?62C=J E:65 2E }@D] bh 2?5 c` 2>@?8 DE2E6D’ =:76 6IA64E2?4J C2?<:?8D] qFE E96 EH@ 92G6 D:?46 E2<6? D92CA=J 5:776C6?E A2E9D — }6H *@C< C@D6 E@ }@] b :? a_ac 2?5 :D AC@;64E65 E@ 92G6 E96 =@?86DE =:76 6IA64E2?4J @7 2?J DE2E6 3J a_d_[ A2DD:?8 w2H2:: 2?5 |2DD249FD6EED]k^Am

kAm(6DE ':C8:?:2 @FEC2?<D @?=J |:DD:DD:AA: :? a_ac 2?5 :D AC@;64E65 E@ 36 =2DE 2>@?8 DE2E6D :? a_d_]k^Am

kAm}6H *@C< 92D 36?67:E65 7C@> 8@@5 962=E9 42C6 2G2:=23:=:EJ :? }6H *@C< r:EJ 9@DA:E2=D 2D H6== 2D DE2E6 A@=:4:6D DF49 2D DEC:4E 8F? =2HD E92E 92G6 4FC365 DF:4:56D[ 2?5 92C> C65F4E:@? A@=:4:6D E@ 4FC3 @G6C5@D6 562E9D H:E9 DFA6CG:D65 FD6 D:E6D 2?5 @E96C 4@?EC@G6CD:2= AC@8C2>D[ D2:5 qC6EE w2CC:D[ AC6D:56?E @7 E96 }6H *@C< $E2E6 !F3=:4 w62=E9 pDD@4:2E:@? 2?5 2? 2DD@4:2E6 AC@76DD@C :? E96 &?:G6CD:EJ @7 p=32?J’D s6A2CE>6?E @7 w62=E9 !@=:4J]k^Am

kAmw2CC:D D2:5 D96’D ?@E DFCAC:D65 E92E }6H *@C< DE2E6[ 56DA:E6 :ED 2D46?E :? =:76 6IA64E2?4J 2>@?8 DE2E6D[ H@F=5 DE:== 5C@A 7C@> }@] bb E@ }@] c` 3J a_d_ :7 C2?<65 2D 2 ?2E:@?[ k2 9C67lQ9EEADi^^HHH]962=E952E2]@C8^?6HD\6G6?ED^?6HDC@@>^?6HD\C6=62D6D^:?4C62D6D\FD\=:76\6IA64E2?4J\7@C642DE65\DE2==\a_d_\A@@C6C\962=E9RiOiE6IElp?5Ta_2=E9@F89Ta_}6HTa_*@C<Ta_:DTa_7@C642DE65Ta_E@Ta_92G6Ta_E96Ta_9:896DETa_{tTa_:?Ta_E96Ta_&]$]Ta_3JTa_a_d_TarTa_C2?<:?8Ta_c`DETa_:?Ta_E96Ta_H@C=5TarTa_:ETa_:DTa_DE:==Ta_2Ta_5C@ATa_7C@>Ta_:EDTa_bbC5Ta_A=246Ta_:?Ta_`hh_Ta_2?5Ta_:?Ta_a_aa]TraTp_Qm244@C5:?8 E@ E96 2?2=JD:Dk^2m]k^Am

kAm“x E9:?< A2CE @7 E92E :D 9@H :?5:G:5F2=:DE:4 H6 2C6 :? E9:D 4@F?ECJ[ E96 :562 @7 2=H2JD ECJ:?8 E@ 86E 29625[ G6CDFD >@C6 @7 2 4@>>F?:EJ\32D65 6?G:C@?>6?E :? @E96C 4@F?EC:6D[” w2CC:D D2:5] “%96:C D@4:2= A@=:4:6D E6?5 E@ 36 36EE6C 7@C 962=E9 @FE4@>6D] x7 J@F =:G6 :? >@C6 @7 2 72>:=J 6?G:C@?>6?E G6CDFD 2? :?5:G:5F2=:DE:4 6?G:C@?>6?E[ E92E 3F:=5D :? >@C6 DFAA@CE]”k^Am

kAm(6DE ':C8:?:2’D DA2CD6 A@AF=2E:@? 2?5 CFC2= A@G6CEJ >2<6 :E 92C56C E@ 86E 962=E9 42C6] xE’D 2=D@ 92C5 E@ 86E A2DE 4@>>F?:EJ 2?5 A@=:E:42= D<6AE:4:D> 23@FE 962=E9 >62DFC6D[ D2:5 qC:2? wF88:?D[ 962=E9 @77:46C 7@C |@?@?82=:2 r@F?EJ[ (6DE ':C8:?:2] wF88:?D 92D H@C<65 H:E9 @E96C 4@F?EJ 962=E9 @77:4:2=D E@ 25G@42E6 7@C DEC:4E6C 2?E:\D>@<:?8 =2HD 2?5 E@ >2:?E2:? D49@@= G244:?2E:@? >2?52E6D :? E96 7246 @7 @AA@D:E:@?]k^Am

kAm“xE 9FCED E@ D66 (6DE ':C8:?:2 C2?<65 2E E96 3@EE@>] (6’C6 2 AC@F5 DE2E6[” D2:5 wF88:?D[ 255:?8 E92E =:76 6IA64E2?4J E96C6 2=D@ :D 92>A6C65 3J =24< @7 64@?@>:4 @AA@CEF?:EJ E92E 5C:G6D J@F?8[ 962=E9J C6D:56?ED E@ >@G6 2H2J] p A=6E9@C2 @7 4@?46C?D :?4=F56 2 =24< @7 D:56H2=<D E92E >2<6 962=E9J H2=<:?8 >@C6 92K2C5@FD[ 2?5 2 5:6E2CJ 4F=EFC6 E92E 5@6D ?@E :?4=F56 G686E23=6Dj 3@E9 AC@>@E6 @36D:EJ]k^Am

kAmwF88:?D 2=D@ 92D D66? 4@?5:E:@?D 23C@25] (9:=6 DE2E:@?65 :? v6C>2?J 7@C E96 &]$] pC>J[ 96 D2H 86?6C@FD 962=E9 AC@G:D:@?D 7@C v6C>2?D[ DF49 2D EH@\H66< C6EC62ED H:E9 >2DD286D 2?5 D2F?2 32E9D 7@C E9@D6 766=:?8 DEC6DD65 @C 3FC?65 @FE 2E H@C<]k^Am

kAm“%96:C 8@2= :? v6C>2?J :D E96J H2?E J@F 324< 2E H@C<] !C6G6?E:@? 2?5 <66A:?8 2 962=E9J H@C<7@C46 2C6 E96:C AC:@C:EJ 3642FD6 E92E 4@?EC:3FE6D E@ E96 64@?@>J[” D2:5 wF88:?D] “~? E96 @E96C 92?5[ E96J 92G6 3F:=E 2 E2I DJDE6> E@ DFAA@CE E9:D] *@F A2J =:<6 2? `gT E2I @? 6G6CJE9:?8 J@F 3FJ E96C6 — E92E H@F=5 ?@E 36 D@>6E9:?8 p>6C:42?D H@F=5 ?646DD2C:=J 2446AE]” v6C>2?J’D G2=F65\25565 E2I[ ?@H `hT[ k2 9C67lQ9EEADi^^DEC:A6]4@>^C6D@FC46D^>@C6^G2E\36G6C286D\86C>2?JRiOiE6IEluC@>Ta_yF=JTa_`TarTa_a_a_Ta_E@[282:?Ta_D:?46Ta_y2?F2CJTa_`TarTa_a_ac]Qm2AA=:6D E@ >@DE 8@@5D 2?5 D6CG:46Dk^2m]k^Am

kAm{:76 6IA64E2?4J 5C@AA65 EH@ J62CD :? 2 C@H 5FC:?8 E96 r~'xs\`h A2?56>:4[ :?4=F5:?8 2 ?2E:@?2= 5C@A @7 >@C6 E92? `]g J62CD 36EH66? a_`h 2?5 a_a_[ 7C@> fh]` E@ ff]b J62CD] #64@G6CJ H:== ?@E 36 4@>A=6E6 F?E:= E9:D J62C[ 244@C5:?8 E@ E96 AC@;64E:@?D[ H:E9 D=@H AC@8C6DD AC65:4E65 F?E:= a_d_ — H96? E96 ?2E:@?2= =:76 6IA64E2?4J H:== 36 23@FE g_]c J62CD]k^Am

kAm$@>6 @7 E96 DE2E6D E92E C64@G6C65 72DE6DE 7C@> E96 A2?56>:4 H6C6 }@CE9 s2<@E2[ #9@56 xD=2?5 2?5 |2DD249FD6EED[ H96C6 =:76 6IA64E2?4J 82:?65 23@FE 2 J62C 36EH66? a_`h 2?5 a_ac] %H6?EJ\7@FC DE2E6D DE:== 92G6?’E C682:?65 E96:C a_`h =:76 6IA64E2?4J]k^Am

kAm%96 s:DEC:4E @7 r@=F>3:2[ H9:49 :D ?@E 2 DE2E6[ 925 2 =@H6C =:76 6IA64E2?4J E92? 2== d_ DE2E6D :? `hh_[ 3FE E9:D J62C :E C2?<D ab] p=: |@<525[ 2? 2FE9@C @7 E96 DEF5J 2?5 E96 49:67 DEC2E68J @77:46C 7@C A@AF=2E:@? 962=E9 2E E96 &?:G6CD:EJ @7 (2D9:?8E@?[ D2:5 s]r]’D :>AC@G6>6?E :D 2E =62DE A2CE=J 5F6 E@ 2? :?7=FI @7 >@C6 277=F6?E 2?5 H6==\65F42E65 A6@A=6 D:?46 `hh_]k^Am

kAm|@DE DE2E6D E92E H6C6 :? E96 E@A `_ :? `hh_ 92G6 72==6? @FEi r@=@C25@ W7C@> }@] f E@ ``X[ x@H2 W7C@> }@] c E@ `fX[ z2?D2D W7C@> }@] g E@ beX[ }63C2D<2 W7C@> }@] h E@ `hX[ $@FE9 s2<@E2 W7C@> }@] `_ E@ a`X 2?5 &E29 W72==:?8 7C@> }@] a E@ `aX]k^Am

kAm%9@D6 ?6H E@ E96 E@A `_ :? a_ac 4@>A2C65 H:E9 `hh_ 2C6i |2DD249FD6EED W7C@> }@] `b E@ aX[ }6H *@C< W2D >6?E:@?65 7C@> }@] bh E@ bX[ r2=:7@C?:2 W7C@> }@] ac E@ cX[ }6H y6CD6J W7C@> }@] ae E@ eX[ #9@56 xD=2?5 W7C@> }@] `h E@ gX[ 2?5 (2D9:?8E@? DE2E6 W7C@> }@] `c E@ `_X]k^Am

kAm&C32? 4@?46?EC2E:@?D @7 A6@A=6 2C6 :>A@CE2?E E@ =@?8 =:76 3642FD6 @7 E96 2G2:=23:=:EJ @7 E@A\7=:89E 42C6[ D2:5 |@<525]k^Am

kAm“x’> G6CJ 4=@D6 E@ E96 9@DA:E2= ,:? $62EE=6. 2?5 x 92G6 962=E9 :?DFC2?46] qFE :D E92E ECF6 7@C 6G6CJ@?6 :? (2D9:?8E@? DE2E6n *@F >:89E =:G6 EH@ @C E9C66 9@FCD 7C@> $62EE=6[ D@ 6G6? 7@C A6@A=6 @7 >J :?4@>6 2?5 65F42E:@? =6G6= :E’D ?@E E96 D2>6[” |@<525 D2:5]k^Am

kAm"F2=:EJ 42C6 2?5 :?DFC2?46 2=D@ 2C6 :>A@CE2?E[ |@<525 D2:5[ E@ 6?DFC6 E92E AC@3=6>D DF49 2D @36D:EJ 2?5 9:89 3=@@5 AC6DDFC6 2C6 ?@E65 2?5 4@?EC@==65]k^Am

kAm“*@F D66 @36D:EJ :? >2?J 2C62D[ 6DA64:2==J E96 $@FE96C? DE2E6D[ 92D :?4C62D65 EC6>6?5@FD=J 2?5 H9:=6 D>@<:?8 92D 5C@AA65 :? C:49 2C62D[ :E 92D DEF4< 2C@F?5 :? @E96C 4@>>F?:E:6D] %9:D :D 6IA=2:?:?8 >2?J @7 E96D6 ,DE2E6 5:776C6?46D. — H92E H6 42== AC6G6?E23=6 C:D< 724E@CD[” |@<525 D2:5]k^Am

kAm“%96C6’D 2? :?4C62D6 :? =:76 6IA64E2?4J 3FE 2 =@E @7 A6@A=6 2C6 DE:== =67E 369:?5[” |@<525 D2:5]k^Am

kAmtG6? :? FC32? 2C62D[ C24:2= >:?@C:EJ 8C@FAD 2?5 H@>6? 42? 7:?5 E96>D6=G6D :? :>A@G6C:D965 4:C4F>DE2?46D E92E 42? 4FE D9@CE 3@E9 E96:C =:G6D 2?5 E96:C 49:=5C6?’D =:G6D] k2 9C67lQ9EEADi^^HHH]E96=2?46E]4@>^;@FC?2=D^=2?46E^2CE:4=6^!xx$_`c_\efbeWacX_abee\b^23DEC24EQm~?6 C6A@CEk^2m :? E96 D2>6 {2?46E :DDF6 E9:D >@?E9 7@4FD65 @? 2 AC@8C2> :? >2;@C:EJ\q=24< u=:?E[ |:49:82?[ H96C6 5@4E@CD AC6D4C:36 >@?6J 7@C H@>6? 7C@> =2E6 AC68?2?4J E9C@F89 E96 7:CDE J62C @7 2 49:=5’D =:76]k^Am

kAm%96 AC@8C2>[ =2F?4965 E9:D J62C[ :D E96 7:CDE ?2E:@?2==J E@ >:>:4 D@>6 :? `c_ @E96C ?2E:@?D E92E @776C 42D9 DF3D:5:6D 7@C 49:=5 962=E9[ 244@C5:?8 E@ E96 2CE:4=6] %96 DF446DD @7 D:>:=2C[ E6>A@C2CJ 49:=5 E2I 4C65:ED 62C=J :? E96 A2?56>:4 92D AC@>AE65 @E96C DE2E6D E@ k2 9C67lQ9EEADi^^DE2E6=:?6]@C8^a_ab^_h^a`^2D\49:=5\A@G6CEJ\6586D\324<\FA\DE2E6D\=2F?49\@C\6IA2?5\E96:C\@H?\E2I\4C65:ED^Qm25@AE @C 6IA2?5 E96:C @H? E2I 4C65:EDk^2m 7@C J@F?8 >@E96CD]k^Am

kAm“(6 :?4C62D:?8=J <?@H E92E H92E 92AA6?D :? 62C=J 49:=59@@5 42? :>A24E =:76 6IA64E2?4J[” D2:5 sC] |@?2 w2??2[ 2 u=:?E A65:2EC:4:2? H9@ 7@F?565 E96 AC@8C2>[ 42==65 #I z:5D] xE C6=:6D @? DE2E6 96=A[ :? E96 7@C> @7 A6C>:DD:@? E@ FD6 7656C2= 7F?5D[ 2D H6== 2D AC:G2E6 5@?2E:@?D]k^Am

kAm|:49:82? :?4=F565 k2 9C67lQ9EEADi^^HHH]7C66A]4@>^DE@CJ^?6HD^=@42=^>:49:82?^a_ac^_f^_e^42D9\AC@8C2>\>@>D\323:6D\>:49:82?\49:=5\E2I\4C65:E\F?:G6CD2=\32D:4\8F2C2?E665\:?4@>6^fcafhefd__f^QmSa_ >:==:@? :? :ED DE2E6 3F586Ek^2m 7@C ?6IE J62C E@ 6IA2?5 E96 AC@8C2> E@ @E96C 4:E:6D 2D H6== 2D E@ >@DE=J H9:E6[ CFC2= 4@F?E:6D :? E96 DE2E6’D &AA6C !6?:?DF=2] %96 AC@8C2> 8C2?ED S`[d__ E@ 6IA64E2?E >@E96CD A=FD Sd__ 2 >@?E9 7@C E96 7:CDE J62C @7 E96 323J’D =:76]k^Am

kAm“%9:D :D 2 4@?4C6E6 D@=FE:@? E@ 4@?BF6C E96D6 A=246\32D65 5:DA2C:E:6D 2?5 :?6BF:E:6D[” w2??2 D2:5] “%96 DEC6DD @7 36:?8 3@C? :?E@ A@G6CEJ 42? =625 E@ E9:?8D =:<6 AC6>2EFC:EJ 2?5 =@H 3:CE9 H6:89E] |@>D 2C6 >@C6 =:<6=J E@ 92G6 DEC6DD 2?5 >2J36 D>@<6] x D66 :E 6G6CJ 52J] u2>:=:6D 42?’E >2<6 :E E@ E96 5@4E@C 3642FD6 E96J 5@?’E 92G6 EC2?DA@CE2E:@?] %96J 92G6 EC@F3=6 62E:?8 962=E9J 7@@5 3642FD6 :E’D E@@ 6IA6?D:G6]”k^Am

kAm#FC2= 2C62D :? (6DE ':C8:?:2 4@F=5 36?67:E 7C@> D:>:=2C AC@8C2>D E@ 255C6DD E96 DE2E6’D :DDF6D H:E9 A@G6CEJ[ 28:?8 2?5 C6=:2?46 @? 564=:?:?8 :?5FDEC:6D =:<6 4@2=[ D2:5 s2CC6? {:F[ 2 962=E9 A@=:4J AC@76DD@C 2E E96 $49@@= @7 !F3=:4 w62=E9 2E (6DE ':C8:?:2 &?:G6CD:EJ]k^Am

kAm%@ 86E >@C6 2446DD E@ 42C6 7@C CFC2= C6D:56?ED[ E96 DE2E6 D9@F=5 6IA2?5 E6=6>65:4:?6[ 56A=@J >@C6 >@3:=6 4=:?:4D 2?5 @776C DEF56?E =@2? 7@C8:G6?6DD 7@C 962=E9 42C6 H@C<6CD :? CFC2= 2C62D[ {:F E@=5 $E2E6=:?6 :? 2? 6>2:=]k^Am

kAmwF88:?D[ E96 4@F?EJ 962=E9 @77:46C :? (6DE ':C8:?:2[ D2:5 >@?6J :D 2 AC@3=6> 56DA:E6 k2 9C67lQ9EEADi^^HHH]962=E942C6]8@G^4@G6C286^AC6G6?E:G6\42C6\36?67:ED^Qm?6H 7656C2= 8F:56=:?6Dk^2m E92E >2?52E6 >2?J 962=E9 D4C66?:?8D 2E ?@ 4@DE 7@C :?DFC65 A2E:6?ED] ~7E6? =@H\:?4@>6 A2E:6?ED 86E D4C66?:?8D 3FE 42?’E 277@C5 E@ EC62E 5:D23=:?8 4@?5:E:@?D DF49 2D E96 <?66 2?5 324< A2:? E96J 86E 7C@> >2?F2= =23@C ;@3D]k^Am

kAm“q642FD6 @7 E96 32CC:6CD E92E :?DFC2?46 4@>A2?:6D AFE FA[ 3642FD6 E96J 92G6 E@ 36 AC@7:E23=6[ x E9:?< E92E’D 2?@E96C C62D@? H9J (6DE ':C8:?:2 :D C2?<:?8 =@H[” wF88:?D D2:5] “%92E’D 2 32CC:6C E92E H6 92G6 E@ ECJ E@ 7:8FC6 @FE] p=>@DE 2?J :?DFC2?46 ?@H 92D H6== @G6C 2 S`[___ 565F4E:3=6]”k^Am