(USA Today) Life expectancy in the U.S. has fallen for the second year in a row, thanks to a combination of drug and alcohol use and suicides, according to a new report released Wednesday.

The drop was particularly large among middle-age white Americans and those living in rural communities, experts said in a report in the BMJ, formerly known as the British Medical Journal.

The report complements one released in December from the Centers for Disease Control and Prevention that also found U.S. life expectancy was down for the second straight year.

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