MORE PEOPLE HAVE HEALTH INSURANCE, EARLY 2022 DATA SHOW

July 28, 2022

NCHS released the latest quarter of data on health insurance coverage in the United States, documenting that 4.4 million fewer people were uninsured in the first quarter of 2022 (26.4 million) compared to the first quarter of 2021 (30.8 million). 


The data come from the National Health Interview Survey’s Early Release Program, and show that overall the percentage of people who were uninsured decreased from 9.5% in the first quarter of 2021 to 8.0% in the first quarter of 2022 among people of all ages. This is the lowest recorded percentage of uninsured since the first tabulated Early Release estimates from 1997.

HISPANIC & NON-HISPANIC WHITE ADULTS DRIVE GAINS

There were some groups which contributed to this overall gain in insurance coverage.  The percentage of uninsured Hispanic adults ages 18-64 decreased from 31.1% in the first quarter of 2021 to 25.7% in the first quarter of 2022.  Among non-Hispanic White adults, there was also a decrease in the percentage of uninsured, from 8.7% in the first quarter of 2021 to 6.9% in the first quarter of 2022.

INCREASES IN PRIVATE COVERAGE

These same groups also experienced an increase in private health insurance coverage. The percentage of Hispanic adults with private coverage increased from 46.9% in the first quarter of 2021 to 51.7% in the first quarter of 2022.  Among non-Hispanic White adults, the percentage with private coverage increased from 74.2% in the first quarter of 2021 to 77.3% in the first quarter of 2022.

In addition, the percentage of all adults in the U.S. ages 18-64 with exchange coverage increased from Q3 2020 (4.0%) to Q1 2022 (5.4%).

Mid-year data for 2022 are expected to be released this Fall.


QuickStats: Age-Adjusted Drug Overdose Death Rates Among Workers Aged 16–64 Years in Usual Occupation Groups with the Highest Drug Overdose Death Rates — National Vital Statistics System, United States, 2020

July 22, 2022

In 2020, the age-adjusted drug overdose death rate among workers with paid, civilian usual occupations was 42.1 deaths per 100,000.

Drug overdose death rates were highest among workers in the following occupations: construction and extraction (162.6); food preparation and serving related (117.9); personal care and service (74.0); transportation and material moving (70.7); building and grounds cleaning and maintenance (70.0); and installation, maintenance, and repair (69.9).

Source: National Vital Statistics System, Mortality Data. https://www.cdc.gov/nchs/deaths.htm

https://www.cdc.gov/mmwr/volumes/71/wr/mm7129a5.htm


QuickStats: Percentage of Uninsured Adults Aged 18−64 Years, by Race, Hispanic Origin, and Selected Asian Subgroups — National Health Interview Survey, United States, 2019−2020

July 15, 2022

During 2019–2020, the percentage of U.S. adults aged 18–64 years who were uninsured was 14.4%.

Among all race and Hispanic origin groups, non-Hispanic Asian adults (7.8%) were the least likely to be uninsured followed by non-Hispanic White (9.7%), non-Hispanic Black (14.6%), and Hispanic adults (30.4%).

Among the non-Hispanic Asian subgroups shown, adults of Korean (14.3%) origin were more likely to be uninsured than adults of Asian Indian (4.8%) and Chinese (6.5%) origin.

Other observed differences were not statistically significant.

Source: National Health Interview Survey, 2019 and 2020 data. https://www.cdc.gov/nchs/nhis.htm


Update to Provisional Drug Overdose Deaths from 12 months ending in February 2022

July 13, 2022

Provisional data show that the predicted number of drug overdose deaths showed an increase of almost 12% from the 12 months ending in February 2021 to the 12 months ending in February 2022, from 97,109 to 108,642.

The predicted number of opioid-involved drug overdose deaths in the United States for the 12-month period ending in February 2022 (81,857) increased from 72,930 in the previous year. Recent trends may be partially due to incomplete data.

The predicted number of drug overdose deaths involving synthetic opioids (excluding methadone; T40.4), psychostimulants with abuse potential (T43.6), and cocaine (T40.5) continued to increase compared to the previous year.


QuickStats: Age-Adjusted Percentage of Adults Aged ≥18 Years Who Met the 2018 Federal Physical Activity Guidelines for Both Muscle-Strengthening and Aerobic Physical Activity, by Urbanization Level — National Health Interview Survey, United States, 2020

July 8, 2022

In 2020, 25.3% of adults aged ≥18 years met the 2018 federal physical activity guidelines for both muscle-strengthening and aerobic physical activity.

The percentage meeting both guidelines was highest in adults living in large central metropolitan (28.0%) and large fringe metropolitan areas (27.6%), followed by those living in medium and small metropolitan areas (23.4%) and lowest in those living in nonmetropolitan areas (18.1%).

Source: National Center for Health Statistics, National Health Interview Survey, 2020. https://www.cdc.gov/nchs/nhis.htm

https://www.cdc.gov/mmwr/volumes/71/wr/mm7127a6.htm


QuickStats: Age-Adjusted Death Rates for Motor Vehicle Traffic Injury, by Race and Hispanic Origin — United States, 2019 and 2020

July 1, 2022

Age-adjusted death rates for motor vehicle traffic injury increased from 11.1 per 100,000 population in 2019 to 12.0 in 2020.

The rates increased from 10.3 to 11.3 for Hispanic persons, from 14.5 to 18.3 for non-Hispanic Black persons, and from 11.2 to 11.6 for non-Hispanic White persons.

The changes in rates among other groups were not statistically significant. During 2019 and 2020, the rates were highest for non-Hispanic American Indian or Alaska Native persons (25.3 and 25.7) and lowest for non-Hispanic Asian persons (4.0 and 3.7), respectively.

Source: National Vital Statistics System, Underlying Cause of Death by Single-Race Categories, 2018–2020. https://wonder.cdc.gov/ucd-icd10- expanded.html

https://www.cdc.gov/mmwr/volumes/71/wr/mm7126a4.htm


PODCAST: Sleep Difficulties & Patterns Among Americans

June 30, 2022

https://www.cdc.gov/nchs/pressroom/podcasts/2022/20220629/20220629.htm

HOST: The American Academy of Sleep Medicine recommends between 9 and 12 hours of sleep for children between ages 6 and 12, and 8 to 10 hours of sleep for teens ages 13 to 18.  However, only two-thirds of school-age children meet these recommendations.

At the same time, the American Academy of Sleep Medicine and the Sleep Research Society recommend that adults receive at least 7 hours of sleep per night, and yet, more than a quarter of adults do not meet this recommendation. Signs of good sleep quality include taking less time to fall asleep and not waking up often or for long periods of time.

Last week, NCHS released two new reports on sleep habits among children and adults, using data from the 2020 National Health Interview Survey – or NHIS.

Today, we’re joined by the lead author of the report on adults, Dzifa Adjaye-Gbewonyo, who is also a co-author on the report on children’s bedtime habits.

HOST:  OK Dzifa, thank you for joining us.  Could you talk a little bit about why your team conducted these analyeis on sleep and sleep behaviors?

DAG:  Sure.  So the 2020 National Health interview survey or NHIS was the first time that data on sleep had been collected on adults since the survey was redesigned in 2019, and we wanted to be able to provide updated information on adult sleep.  The sleep questions had also changed slightly from earlier versions of the NHIS and the 2020 survey was also the first time that sleep data had ever been collected on children in the NHIS.  So we wanted to be able to analyze the adult and child sleep content and produce estimates for some of these measures.

HOST:  So – second question – just stepping back… In a general sense, why is sleep an important part of a healthy lifestyle?

DAG:  So sleep is vital for health and well-being.  Inadequate sleep and issues with falling or staying asleep have been associated with poor health outcomes such as high blood pressure, heart disease, diabetes, obesity and even mortality.  Insufficient sleep also affects children’s physical and mental health, and increases the likelihood of cognitive and behavioral issues, Type II diabetes, obesity and injuries.

HOST: OK and what is the recommended amount of sleep for an adult?

DAG:  So for adults this suggested amount of sleep is at least seven hours a night based on recommendations from the American Academy of Sleep Medicine and the Sleep Research Society.

HOST: OK and what about the what is recommended for children?

DAG:  For children, the American Academy of Pediatrics recommends between 10 to 16 hours of sleep for children under five years, 9 to 12 hours for children 6 to 12 years, and eight to 10 hours for adolescents aged 13 to 18.

HOST:  In your study on adults how did you define sleep difficulties?

DAB: We defined, we looked at two measures for sleep difficulties which we called “trouble falling asleep” and “trouble staying asleep” and those were based on survey questions in the questionnaire so the question on trouble falling asleep was based on a response of if adults answered “most days” or “every day” to the question “During the past 30 days how often did you have trouble falling asleep?” and similarly for” trouble staying asleep” it was also based on a response of “most days” or “every day” to the question “During the past 30 days how often did you have trouble staying asleep?”

HOST: OK now getting into your studies, what were the key findings in your study on adults?

DAB: We found that one in seven adults in the US had trouble falling asleep and about 18% of adults had trouble staying asleep.  These sleep difficulties were more common in women than men, and older adults aged 65 and over had less trouble falling asleep while younger adults aged 18 to 44 had less trouble staying asleep.  Problems falling and staying asleep decreased as family income increased and as place of residence became more urban.  Sleep difficulties also varied by race and ethnicity stand by education level.

HOST: Now your study used 2020 data – was there any insight about how the pandemic impacted sleep patterns?

DAG:  We looked at 2020 data as a whole, so analysis on changes in sleep patterns during the pandemic were beyond the scope of this report.  There is more specific information about when the data were collected, but it might be difficult to tease out the reasons for any changes observed across time periods.  Especially because the data collection process also changed during the pandemic. Prior to 2020 data on sleep were last collected in the 2018 NHIS.  However, they may not be directly comparable to 2020 data due to changes in the survey questions.

HOST:  Would it be accurate to say that your findings here suggest that economic or money concerns have an impact on people sleep habits?

DAG:  Well we can say that there is a link between economic factors and sleep difficulties and that complaints of trouble falling and staying asleep and adults are lower with increasing family income, but we cannot say with certainty what the direction of this impact is from these data alone.  For example, a family’s economic situation may affect someone’s ability to fall or stay asleep, and sleep difficulties could also have some effects on economic status.  So since the survey is a snapshot in time either or both impacts may be possible.

HOST:  Right and anecdotally that would certainly make sense.  So your other study in which you were a co-author on looked at children’s bedtime habits.  How important is it bedtime routine for kids?

DAG:  Studies show that children who have regular bedtimes are more likely to get the amount of sleep they need.  And sleep routines are also linked to other outcomes in children.  For instance, better cognitive performance and a lower risk of obesity.  So bedtime routines are quite important for children.

HOST:  So does your study show that kids are getting the recommended amount of sleep then?

DAG:  Well our data did not look specifically at the amount of sleep children are receiving, but based on other sources just under 2/3 of children get the recommended amount of sleep.  So about 1/3 of children in the U.S. do not get enough sleep.

HOST:  And how does your study define a regular bedtime for kids?

DAG:  For a regular bedtime for children, we define that based on responses to the question “In a typical school week, how often does the child go to bed at the same time?” and so the response options were “Never,” “Some days,” “Most days,” or “Every day,” and we use “Most days” or “Every day” to define having a regular bedtime.

HOST:  What does that study tell us about family structure and bedtime habits and children?

DAG:  Well our results showed that there does seem to be a difference in regular bedtime habits depending on children’s family structure.  Children living in single parent families were less likely to have a regular bedtime every day or most days compared with children living in two-parent families.

HOST:  And which children are more likely not to have a structured bedtime routine?

DAG:  Older children aged 12 to 17 are more likely to not have a regular bedtime, as well as Hispanic and non-Hispanic black children, children living in families with lower incomes, and children to live in communities that are more socially vulnerable.

HOST:  One would assume, too, if they have parents who work evenings or something, or a parent travels a lot, that that would have an impact on bedtime routine?

DAG:  Yeah that’s possible – we didn’t get to look specifically at work schedules and travel but that would be something to look into to tease out some of those impacts.

HOST:  OK so do you have any other take home messages about either report you’d like to emphasize?

DAG:  Well, I think one thing that we would like to emphasize we hope is that these reports will improve our understanding of sleep difficulties in adults and of children’s bedtime routines.  So we hope that they can be useful sources of information that can help inform future research and also inform sleep interventions and targeting sleep interventions for subgroups that may be more at risk.

MUSICAL BRIDGE

HOST: NCHS is part of a team of federal agencies, led by the Census Bureau, that collaborate on the Household Pulse Survey, which has produced mental health and health care access data, along with several other topics, during the pandemic.  On June 22, the Pulse Survey for the first time included data on “long COVID,” defined as “symptoms lasting three or more months after first contracting the virus, and that they didn’t have prior to their COVID-19 infection.”  The first round of data, collected from June 1st to June 13 showed that nearly 1 in 5 Americans who have had COVID-19 still have long COVID.

NCHS released two other new reports this month as well.  On June 23, data from the National Ambulatory Medical Care Survey was examined in a new report on Health Centers in the United States.  The report found that a third of the visits to these health centers were for preventive care.  Another third of visits were due to chronic problems and the other third were due to new problems.  6 in 10 health care center visits involved screening, exams, and health education or counseling.  4 in 10 visits involved lab tests of some kind.  Most of these visits to health care centers were paid for by Medicaid.

And finally, this month NCHS released a report on maternal health characteristics and infant outcomes to women born both in and outside the United States. The report reveals that over 1 in 5 women who gave birth in the United States were born outside the U.S.  Over half of these women born outside the U.S. were from Latin America, who accounted for 12% of all women giving birth in 2020.  Over a quarter of women born outside the U.S. were born in Asia, and accounted for 6% of all births.


HIV Deaths from 1999-2020

June 27, 2022
YearDeathsDeath Rate Per 100,000
199914,8025.3
200014,4785.2
200114,1755
200214,0954.9
200313,6584.7
200413,0634.5
200512,5434.2
200612,1134
200711,2953.7
200810,2853.3
20099,4063
20108,3692.6
20117,6832.4
20127,2162.2
20136,9552.1
20146,7212
20156,4651.9
20166,1601.8
20175,6981.6
20185,4251.5
20195,0441.4
20205,1151.4

Source: https://wonder.cdc.gov


QuickStats: Percentage of Uninsured Adults Aged 18–64 Years, by Race and Selected Hispanic Origin Subgroup — National Health Interview Survey, United States, 2019−2020

June 24, 2022

During 2019–2020, the percentage of U.S. adults aged 18–64 years who were uninsured was 14.4%.

Among all race and Hispanic origin subgroups, those most likely to be uninsured were Hispanic adults (30.4%) followed by non-Hispanic Black (14.6%), non-Hispanic White (9.7%), and non-Hispanic Asian (7.8%) adults.

Among the Hispanic origin subgroups included, those most likely to be uninsured were of Central American (42.2%) origin followed by Mexican or Chicano (33.6%) origin.

Adults of Cuban (22.7%) origin were more likely to be uninsured than those of Puerto Rican (14.8%) and Dominican (12.9%) origin. Other observed differences were not statistically significant.

Source: National Center for Health Statistics, National Health Interview Survey, 2019 and 2020. https://www.cdc.gov/nchs/nhis.htm

https://www.cdc.gov/mmwr/volumes/71/wr/mm7125a3.htm


QuickStats: Percentage Distribution of Heat-Related Deaths by Age Group — National Vital Statistics System, United States, 2018–2020

June 17, 2022

During 2018–2020, a total of 3,066 heat-related deaths occurred.

The highest percentage of heat-related deaths occurred among persons aged 55–64 years (19%), and the lowest percentage occurred among those aged 5–14 years (1%).

Among those aged 5–14 through aged 55–64 years, the percentage of heat-related deaths increased with age, then decreased through those aged ≥85 years (7%).

Approximately 2% of heat-related deaths occurred among those aged <1 year and 4% among those aged 1–4 years.

Source: National Vital Statistics System, Multiple Cause-of-Death Data, 2018–2020. https://wonder.cdc.gov/mcd.html

https://www.cdc.gov/mmwr/volumes/71/wr/mm7124a6.htm