Increases in Medically Attended Nonfatal Injury Episodes Among Females in the United States

July 14, 2016

Analysis of mortality and emergency department (ED) data have historically shown higher injury rates among males than females. In 2014, the injury-related death rate was 85.5 per 100,000 population for males and 36.3 for females.

In 2013, 10,746 injury-related ED visits were made per 100,000 population for males and 8,957 for females. The National Health Interview Survey (NHIS) collects information on medically attended nonfatal injury episodes, providing national estimates beyond deaths and ED visits.

NCHS has released a report that describes changes in injury episodes in the female population, comparing estimates in 2005–2008 and 2011–2014 by age group, race and ethnicity, cause of injury, and location of injury.


  • From 2005–2008 to 2011–2014, the nonfatal injury rate increased for females but remained unchanged for males.
  • In 2005–2008, males had a higher nonfatal injury rate than females; however, in 2011–2014, the rates for males and females were similar.
  • From 2005–2008 to 2011–2014, the nonfatal injury rate increased significantly for women aged 45–64 and for non-Hispanic white females.
  • The increase in the nonfatal injury rate among females over time could not be attributed to a specific cause or place of injury occurrence.

America’s Children: Key National Indicators of Well-Being, 2016

July 12, 2016

The teen birth rate dropped for another consecutive year, continuing a long-term decline in teen pregnancy, according to the most recent yearly report on the status of America’s children and youth.

According to the 2016 edition of America’s Children: Key National Indicators of Well-Being, in 2014, the adolescent birth rate was 11 births per 1,000 girls ages 15 to 17 years, down from 12 per 1,000 in 2013. Racial and ethnic disparities in adolescent birth rates also have declined, although substantial differences persist.

The annual report is published by the Federal Interagency Forum on Child and Family Statistics, a working group of 23 federal agencies that collect, analyze and report data on conditions and trends related to child and family well-being. The report tracks 41 indicators of child well-being, using statistics from federal researchers and highlights these indicators by race and ethnicity.

This year’s report is the 18th in an ongoing series and presents key indicators of children’s well-being in seven domains: family and social environment, economic circumstances, health care, physical environment and safety, behavior, education and health.

In the behavior domain, the percentages of 10th- and 12th-graders in all racial and ethnic groups who binge drink—have five or more alcoholic beverages in a row on a single occasion—were the lowest in 2015 since the survey began tracking this statistic in 1980. Among 12th-graders, Hispanic and white non-Hispanic students reported binge drinking at twice the rate of black non-Hispanic students.

In the education domain, overall math scores declined slightly for fourth and eighth graders. However, some progress has been made in narrowing the achievement gap or the differences in average scores for different racial and ethnic groups. For example, the difference in math scores for white and black fourth graders has narrowed from 32 points in 1990 to 24 points in 2015.

The full report is available on the Forum’s website,

Expenditures on Complementary Health Approaches: United States, 2012

June 23, 2016


A new NCHS report presents estimates of expenditures on complementary health approach use among the U.S. population. Estimates are presented for adults and children separately and combined, as well as stratified by type of approach and family income.


  • An estimated 59 million persons aged 4 years and over had at least one expenditure for some type of complementary health approach, resulting in total out-of-pocket expenditures of $30.2 billion.
  • More was spent on visits to complementary practitioners ($14.7 billion) than for purchases of natural product supplements ($12.8 billion) or self-care approaches ($2.7 billion).
  • The mean per user out-of-pocket expenditure for visits to a complementary practitioner ($433) was significantly more than for purchases of natural product supplements ($368) or for self-care approaches ($257).
  • Adults had higher mean annual out-of-pocket expenditures for visits to complementary practitioners than children ($442 and $291, respectively).
  • Total out-of-pocket expenditures and mean per user out-of pocket expenditures for complementary health approaches increased significantly as family income increased.
  • The mean per user out-of-pocket expenditure for complementary health approaches was $435 for persons with family incomes less than $25,000 and $590 for persons with family incomes of $100,000 or more.



Health of Hispanic Adults: United States, 2010–2014

June 17, 2016

There are 54 million Hispanic persons living in the United States, making them the largest minority group in the country. Disaggregated data on Hispanic subgroups are needed to understand the health of Hispanic persons of diverse backgrounds.

A new NCHS report presents selected estimates of health measures for all Hispanic adults aged 18 and over and for the following four Hispanic subgroups: Central or South American, Cuban, Mexican, and Puerto Rican adults. Comparisons are also made across the subgroups and with the non-Hispanic U.S. adult population as a whole.


  • Overall, Puerto Rican adults consistently reported poorer health status than non-Hispanic adults.
  • Puerto Rican (19.2%) and Mexican (17.4%) adults were more likely than Central or South American (12.3%) and Cuban (14.7%) adults to be in fair or poor health.
  • Puerto Rican adults (27.3%) were more likely than Central or South American adults (16.6%) to have had multiple chronic conditions.
  • Puerto Rican adults (6.2%) were nearly twice as likely to report serious psychological distress in the past 30 days compared with Central or South American adults (3.3%).
  • Puerto Rican adults (11.4%) were more likely than Central or South American (2.9%), Cuban (3.9%), and Mexican (4.8%) adults to be unable to work due to health problems.

Health, United States Spotlight Infographics Spring 2016

June 13, 2016

Health, United States spotlight16_spring_thumbnailSpotlights are infographics of selected health data available in Health, United States, the annual report on the health of the nation submitted by the Secretary of the Department of Health and Human Services to the President and Congress.

Each Spotlight displays approximately four health indicators allowing users to visualize and interpret complex information from different data systems and Health, United States subject areas. Multiple infographics will be released throughout the year to spotlight important and relevant health data from Health, United States.

The full Health, United States reports are available at:

The Effect of Changes in Selected Age-specific Causes of Death on Non-Hispanic White Life Expectancy Between 2000 and 2014

June 3, 2016

Between 2000 and 2014, life expectancy at birth in the United States increased by 2 years. The non-Hispanic black population experienced the greatest gain, followed by the Hispanic population.

The non-Hispanic white population experienced the smallest gain. Changes in life expectancy over time are directly affected by increases and decreases in age-specific death rates and age-specific cause of death rates.

NCHS released a report this week describing the relationship between increases in all-cause age-specific and cause-specific death rates and the change in life expectancy for the non-Hispanic white population between 2000 and 2014 is explored.


  • Between 2000 and 2014, life expectancy increased by 3.6, 2.6, and 1.4 years, respectively, for non-Hispanic black, Hispanic, and non-Hispanic white persons.
  • The 1.4-year increase in life expectancy for non-Hispanic white persons would have been greater if not for increases in death rates due to unintentional injuries, suicide, Alzheimer’s disease, chronic liver disease, and hypertension.
  • Increases in death rates due to unintentional injuries, suicide, and chronic liver disease were large enough to increase all-cause non-Hispanic white death rates for ages 25–34, 35–44, and 45–54.
  • Increases in death rates due to unintentional poisonings for ages 25–34, 35–44, and 45–54 had the greatest impact on the change in life expectancy for non-Hispanic white persons.

Births: Preliminary Data for 2015

June 3, 2016

NCHS has released a new report presenting preliminary 2015 data on U.S.births.

Births are shown by age and race and Hispanic origin of mother. Data on marital status, cesarean delivery, preterm births, and low birthweight.


  • The 2015 preliminary number of U.S. births was 3,977,745, down slightly (less than 1%) from 2014.
  • For the three largest race and Hispanic origin groups in the United States, the number of births decreased for non-Hispanic white women, increased for Hispanic women, and were essentially unchanged for non-Hispanic black women in 2015.
  • The general fertility rate was 62.5 births per 1,000 women aged 15–44, down less than 1% from 2014.
  • The birth rate for teenagers aged 15–19 decreased 8% in 2015 to 22.3 births per 1,000 women, another historic low for the country; rates decreased for both younger and older teenagers to record lows.
  • The birth rate for women in their early 20s declined to 76.9 births per 1,000 women, another record low.
  • The rate for women in their late 20s declined as well, to 104.3 births, also a record low.
  • Birth rates for women in their 30s and early40s increased in 2015.The nonmarital birthrate declined 1% in 2015, to 43.5 births per 1,000 unmarried women aged 15–44.
  • The cesarean delivery rate declined for the third year in a row to 32.0%, and the low-risk cesarean delivery rate declined again to 25.7% in 2015.
  • The preterm birth rate (based on obstetric estimate of gestation) was up slightly in 2015 to 9.62%, the first increase in this rate since 2007.
  • The low birthweight rate was also up in 2015 to 8.07%.


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