Current poverty (living below half the median income in a given year) is associated with approximately 183,000 deaths among Americans aged 15+ per year (about 6.5% of total deaths in that age group). Cumulative/long-term poverty (persistent over 10 years) is associated with around 295,000 deaths in the same year (about 10.5% of deaths), making it the fourth-leading contributor to mortality, behind heart disease, cancer, and smoking. This places poverty ahead of factors like obesity, diabetes, drug overdoses, suicides, firearms, accidents, stroke, and homicide.