💬 Discussion

The top public health concerns, according to Americans

Friday, May 19, 2023

Image: Getty

Yesterday, Axios/Ipsos published the latest installment of its American Health Index, which every few months asks 1,000+ US adults what they think is the biggest threat to American public health.

And in this go-round, gun violence rose by nine percentage-points from the previous survey in February, eclipsing the opioid crisis as Americans’ No. 1 public health concern.

The full results:

  • Access to guns/firearms: 26%
  • Opioids and fentanyl: 25%
  • Obesity: 20%
  • Covid, unsafe driving, alcohol abuse, and smoking (tied): Each came in at 3%, for a combined total of 12%
  • Cancer: 8%
  • Something else: 8%

📾 Big picture: A record-high 48,000 Americans died of gun-related injuries in 2021, split roughly equally between homicides and suicides, per the latest available CDC data. But despite increasing fatalities, the rate of gun deaths in America – a stat that accounts for population size – came in below levels previously seen in the 1970s through 1990s.

Overall, the leading causes of death in the US last year were:

  1. Heart disease; 700,000 deaths
  2. Cancer; 608,000 deaths
  3. Unintentional injury (including drug overdoses and car accidents); 218,000 deaths
  4. Covid; 187,000 deaths
  5. Stroke; 163,000 deaths

📊 Flash poll: In your opinion, what’s currently the No. 1 threat to American public health?

Access to firearms

Alcohol abuse

Cancer

Covid

Loneliness

Obesity

Opioids and fentanyl

Smoking/tobacco products

Social media

Unsafe driving

Something else/other

See a 360° view of what media pundits are saying →

Democratic donkey symbol

Sprinkles from the Left

  • Some commentators argue that US public health policy as a whole needs a major reset, with the scientific community needing to figure a way to get through to a growing segment of the population that distrusts them.
  • Others contend that the greatest threat to Americans’ public health is the ongoing degradation of US society as a whole, and Americans should take steps to address the situation at its root by preventing adverse experiences in childhood.
Republican elephant symbol

Sprinkles from the Right

  • Some commentators argue that US public health officials need to dial back their focus on ideology in favor of a commitment to facts and reason in order to address America’s many public health problems.
  • Others contend that America’s current public health community lacks the credibility to determine – or treat – the biggest threats to Americans’ health after the recent Covid pandemic fiasco.
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