Use of Selected Nonmedication Mental Health Services by Adolescent Boys and Girls With Serious Emotional or Behavioral Difficulties: United States, 2010–2012

August 27, 2014

Mental health is a key component of a child’s overall wellbeing. Previous research using data from the National Health Interview Survey found that about 6% of adolescents have serious emotional or behavioral difficulties. Both medication and nonmedication services have been found to be effective for treatment. Two recent reports from the National Center for Health Statistics have presented estimates of medication use among U.S. adolescents. The use of prescription medication for emotional or behavioral difficulties was higher among boys than girls.

A new report from NCHS describes differences between boys and girls in the use of nonmedication mental health services in various school and nonschool settings among adolescents aged 12–17 with serious emotional or behavioral difficulties.

Key Findings from the Report:

  • About 4% of adolescents aged 12–17 had a serious emotional or behavioral difficulty and received nonmedication mental health services in the past 6 months.
  • Nearly 71% of adolescents with serious emotional or behavioral difficulties received nonmedication mental health services in the past 6 months.
  • Among adolescents with serious emotional or behavioral difficulties, boys were more likely than girls to receive nonmedication mental health services.
  • Boys with serious emotional or behavioral difficulties were more likely than girls to receive services in school settings.
  • The percentage of boys and girls with serious emotional or behavioral difficulties receiving nonschool services was similar for all settings except for the emergency department.

 


National and State Patterns of Teen Births in the United States, 1940–2013

August 20, 2014

Teen childbearing in the United States has been declining for more than half a century. Except for a brief but steep increase in teen birth rates from 1986 to 1991 and smaller upturns during 1969–1970, 1979–1980, and 2005–2007, birth rates for U.S. teenagers have fallen since 1957. The birth rate in 2013, 26.6 births per 1,000 teenagers aged 15–19, was less than one-half of the rate in 1991 (61.8 per 1,000) and less than one-third of the rate in 1957 (96.3), when the United States rate was at its peak. The overall reductions in teen birth rates have been shared across all age groups, race and ethnicity groups, and states.

A new NCHS report presents trends from 1940 through 2013 in national birth rates for teenagers, with particular focus on the period since 1991. The percent changes in rates for 1991–2012 and
the for 2007–2012 are presented for the United States and for states. Preliminary data for 2013 are shown where available.

Key Findings from the Report:

  • Teen childbearing has been on a long-term downward trend, with only four exceptions since peaking in 1957. The rate in 1957 was 96.3 births per 1,000 women aged 15–19. The rate dropped almost one-third to 65.5 in 1969.
  • The rate then increased 4% in 1969–1970 (68.3) before resuming a decline that continued until 1979–1980 and again until 1986 (50.2). From 1986 through 1991, the birth rate rose 23%. Since 1991, the rate has fallen 57% and the decline has been continuous except for a 5% rise during 2005–2007.
  • The pace of decline accelerated from 2007 forward, with the rate reaching 26.6 per 1,000 in 2013, a drop of 36% from 2007.
  • The 2013 rate is less than one-third of the 1957 peak rate.

 


Recent Declines in Nonmarital Childbearing in the United States

August 13, 2014

There were sharp increases in nonmarital childbearing from 2002 to 2007, following the steady increases beginning in the 1980s. The upward trends have mainly reversed since 2007–2008. In addition, the nature of nonmarital childbearing may be changing as cohabiting unions have increased over the last few decades in the United States along with pregnancies within those unions. Births to unmarried women are at greater risk for adverse outcomes, including low birth weight, preterm birth, and infant mortality. Social and financial supports for unmarried mothers may be limited.

A new NCHS report describes recent trends in nonmarital births from the National Vital Statistics System and in cohabitation for unmarried mothers using data from the National Survey of Family Growth.

Key Findings from the Report:

  • Nonmarital births and birth rates have declined 7% and 14%, respectively, since peaking in the late 2000s.
  • Births to unmarried women totaled 1,605,643 in 2013. About 4 in 10 U.S. births were to unmarried women in each year from 2007 through 2013.
  • Nonmarital birth rates fell in all age groups under 35 since 2007; rates increased for women aged 35 and over.
  • Birth rates were down more for unmarried black and Hispanic women than for unmarried non-Hispanic white women.
  • Nonmarital births are increasingly likely to occur within cohabiting unions—rising from 41% of recent births in 2002 to 58% in 2006–2010.

 


STATE VITALS: MAINE

August 11, 2014

Maine‘s teen birth rate is also lower than the overall U.S. rate (19.4% vs. 29.4%).  Maine also has a significant larger proportion of its population without health insurance than the national average.

However, Maine has mortality rates that are lower than the total U.S. for the following causes: cancer, chronic lower respiratory disease, Alzheimer’s disease, diabetes, kidney disease, and suicide.


Office-based Physician Visits by Patients with Diabetes Increase

July 31, 2014

Diabetes is a chronic condition which affects nearly 29 million Americans and is a major cause of other chronic conditions, including heart disease, eye disease, and stroke. Diabetes was the seventh leading U.S. cause of death in 2009 and 2010. Management of diabetes costs nearly $245 billion annually, and patients with diabetes have medical expenditures approximately 2.3 times higher than those for patients without diabetes.

A new NCHS report shows the trend from 2005 through 2010 for visits to office-based physicians by patients with diabetes, and describes age differences in the utilization of health care by patients with diabetes in 2010.

Key Findings from the Report:

  • Office-based physician visits by patients with diabetes increased 20%, from 94.4 million in 2005 to 113.3 million in 2010, but the rate did not change between 2005 and 2010.
  • The visit rate for diabetes increased with age and averaged 1,380 visits per 1,000 persons aged 65 and over in 2010.
  • A majority of visits made by patients with diabetes (87%) were by those with multiple chronic conditions, and the number of chronic conditions increased with advancing age.
  • Medications were prescribed or continued at a majority of visits (85%) made by patients with diabetes, with the number of medications prescribed or continued increasing as age increased.

 


Deaths Attributed to Heat, Cold, and Other Weather Events in the United States, 2006-10

July 30, 2014

NCHS has just released a report, “Deaths Attributed to Heat, Cold, and Other Weather Events in the United States, 2006-10,” which provides an in-depth look at the approximately 10,000 weather related deaths that occurred in the U.S. over that five-year span. In particular, the report examined the following causes of death: exposure to excessive natural heat (including heat stroke, sun stroke, or all); exposure to excessive natural cold (including hypothermia); and deaths attributed to floods, storms, or lightning.

NCHS has tallied weather-related deaths for years, but because of changes in the International Classification of Diseases (ICD) coding system over time, comparing past decades of weather-related deaths is difficult, if not impossible, particularly for deaths from excessive heat and cold.

DEATHS BY LIGHTNING ON THE DECLINE?

The CDC WONDER data base allows users to research these causes of death, in some cases going back to 1968. A look at the number of lightning deaths shows that from 1968 to 1978 there were 1,253 deaths from being struck by lightning – an annual average of about 114 deaths over that 11-year span. From 1979 to 1998, there were 1,589 lightning deaths, an annual average of about 79.5 deaths over that two-decade period. From 1999 to 2005, there were 365 lightning deaths, an annual average of a little over 52 deaths per year. The new 2006-2010 report shows 182 lightning deaths over that five-year span – an annual average of about 36.5 deaths per year. And 2011 data – the last year for available national data – show that 24 people were killed by lightning in the U.S. that year. So are lightning deaths on the decline in the U.S.? It would appear so.

Lightning deaths, which have had a single, independent ICD code for over the past four-plus decades, are the only of these weather-related deaths that are somewhat comparable.

STORMS & FLOODS – “CATACLYSMS”

From 1968 to 1978, the ICD-8 codes lumped both storms and floods together with other natural disasters like earthquakes and mudslides into one “Cataclysm” category. The ICD-9 codes (1979-1998) separated storms and floods from earthquakes, mudslides, etc. and during that 20-year period documented that storms and floods accounted for about 80% of all “cataclysm” deaths from (WONDER shows there were 2,196 deaths from storms and floods from 1979 to 1998 – an annual average of about 110 deaths per year). From 1968 to 1978, there were 2,683 deaths from all cataclysms – including any that were earthquakes, mudslides, etc.

From 1999 to 2005, there were 1,431 deaths from storms and floods, an annual average of over 204 deaths per year. However, 2005 was the year of Hurricane Katrina (and the less lethal but also devastating Hurricane Rita), which resulted in a spike in the number of these deaths. In the new 2006-2010 study, there were 464 deaths from storms and floods – an annual average of just under 93 deaths per year.

Comparing excessive heat and excessive cold-related deaths over the long term becomes virtually impossible using the WONDER data base, as prior to 1979 there was no distinction made between deaths from heat and cold that were weather-related vs. man-made.


QuickStats: Rate of Nonfatal Fall Injuries Receiving Medical Attention by Age Group – United States, 2012

July 29, 2014

In 2012, the U.S. rate of nonfatal fall injuries receiving medical attention was 43 per 1,000 population. Rates increased with age for adults aged ≥18 years. Adults aged 18–44 years had the lowest rate of falls (22 per 1,000), and the rate for those aged 75 years or older were higher (121 per 1,000) than for all other age groups.

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6329a8.htm


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