November 20, 2014
Residents in residential care, including assisted living, are individuals that cannot live independently, but generally do not require the skilled level of care provided by nursing homes. On any given day in 2012, there were 713,300 residents in 22,200 residential care communities nationwide. With the aging of the population, the numbers in residential care communities will likely increase, making them an important group within the long-term care population.
Using data from the first wave of the National Study of Long-Term Care Providers (NSLTCP), two new NCHS reports, Operating Characteristics of Residential Care Communities, by Community Bed Size: United States, 2012 and Characteristics of Residents Living in Residential Care Communities, by Community Bed Size: United States, 2012 describe characteristics of residents in residential care and compare selected characteristics by bed size.
State-level estimates for the characteristics presented in the reports are available from the NSLTCP website.
Key Findings from the Reports:
- In 2012, nearly 6 in 10 residential care communities had 4–25 beds, but more than 7 in 10 residents lived in communities with more than 50 beds.
- A higher percentage of communities with 26–50 beds and more than 50 beds were chain-affiliated and in operation for 10 years or more compared with communities with 4–25 beds.
- Compared with communities with 4–25 beds and 26–50 beds, a higher percentage of communities with more than 50 beds screened for cognitive impairment or provided dementia-specific programs.
- A higher percentage of communities with 26–50 beds and more than 50 beds provided therapeutic, hospice, mental health, and dental services compared with communities with 4–25 beds.
- In 2012, 16% of residents living in residential care communities with 4–25 beds were under age 65 compared with 5% of residents living in communities with more than 50 beds.
- A higher percentage of residents in communities with 4–25 beds were male, minority, and receiving Medicaid, compared with residents in communities with 26–50 beds and more than 50 beds.
- The prevalence of Alzheimer’s disease and other dementias was higher in communities with 4–25 beds (49%) than in communities with 26–50 beds (41%) and more than 50 beds (38%).
- The percentages of residents needing assistance with bathing, dressing, toileting, transferring in or out of a bed, and eating were highest in communities with 4–25 beds.
November 19, 2014
Changes in outcomes among live births were seen during 2006–2012. For example, the percentage of births delivered at 39 weeks of gestation or more rose and preterm birth and infant mortality rates declined. Limited recent data, however, have been available on fetal mortality. This information is essential for a more complete understanding of pregnancy health in the United States.
A new NCHS report focuses on fetal deaths (spontaneous intrauterine deaths) at 20 weeks of gestation or more, sometimes referred to as stillbirths, using recently released national data. Trends are examined for fetal mortality for 2000–2012, focusing on the period 2006–2012, and for perinatal mortality by race and Hispanic origin for 2006–2011 (the latest year available) and by state for combined years 2005–2006 and 2010–2011.
Key Findings from the Report:
- Following declines from 2000 through 2006, total, early, and late fetal mortality rates were generally flat from 2006 through 2012.
- Fetal mortality rates were essentially stable for non-Hispanic white (4.91 per 1,000 in 2012), non-Hispanic black (10.67), and Hispanic women (5.33) during 2006–2012.
- The overall perinatal mortality rate declined 4% from 6.51 per 1,000 in 2006 to 6.26 in 2011, with an 8% decline for non-Hispanic black women (10.80 in 2011).
- The perinatal mortality rate declined in 14 states, rose in 1 state, and was unchanged in 35 states and the District of Columbia between 2005–2006 and 2010–2011.
November 19, 2014
The state of Mississippi scores lower than the nation overall in drug poisoning deaths.
However, Mississippi ranks higher than the entire U.S. in mortality for all ten leading causes of death, which include: heart disease, cancer, chronic lower respiratory diseases, stroke, accidents, Alzheimer’s disease, diabetes, kidney disease, influenza/pneumonia and suicide.
November 17, 2014
In 2012, the overall age-adjusted suicide rate in the United States was 12.6 per 100,000 population. Among states, Wyoming had the highest suicide rate (29.6), followed by Alaska (23.0), Montana (22.6), New Mexico (21.3), and Utah (21.0). The District of Columbia had the lowest suicide rate (5.7), followed by New Jersey (7.4), New York (8.3), Massachusetts (8.7), and Rhode Island (9.5). For 34 states, suicide rates were higher than the overall U.S. rate. In 2012, a total of 40,600 suicides were reported in the United States.
November 12, 2014
During 2009–2011, higher death rates for COPD among persons aged 55 years or older were associated with more rural localities, with rates increasing steadily from the least to the most rural county.
For males, the age-adjusted COPD death rate in rural counties was 59% higher than in large central metropolitan counties (284.3 versus 178.9 deaths per 100,000 population). For females, the age-adjusted COPD death rate in rural counties was 39% higher than in large central metropolitan counties (193.6 versus 139.3 deaths per 100,000 population).
COPD death rates for males were 21% to 47% higher than for females, with the largest differentials observed in nonmetropolitan counties (i.e., town/city and rural counties).
November 6, 2014
A new NCHS report presents complete period life tables for the United States by race, Hispanic origin, and sex, based on age-specific death rates in 2010.
Key Findings from the Report:
- In 2010, the overall expectation of life at birth was 78.7 years.
- Between 2009 and 2010, life expectancy at birth increased for all groups considered.
- Life expectancy increased for both males (from 76.0 to 76.2) and females (80.9 to 81.0) and for the white population (78.8 to 78.9), the black population (74.7 to 75.1), the Hispanic population (81.1 to 81.4), the non-Hispanic white population (78.7 to 78.8), and the non-Hispanic black population (74.4 to 74.7).
November 5, 2014
A new NCHS report explores trends in low-risk cesarean delivery at a national level, with particular focus on changes from 2009 through 2013. Trends are examined by state of residence, gestational age, age of mother, and race and Hispanic origin of mother. An earlier report based on birth certificate data, using a slightly different definition, explored low-risk trends from 1990 through 2003
Key Findings from the Report:
- The low-risk cesarean delivery rate reached a low of 18.4% in 1997 and then rose steadily to a high of 28.1% in 2009. The rate decreased from 2009 through 2013, reaching 26.9%. Declines were widespread during this time.
- Low-risk cesarean delivery rates were down for more than one-half of states.
- Rates declined for all term gestational ages (37 or more completed weeks); the largest decline was at 38 weeks, down 9%.
- Rates for all maternal age groups and race and Hispanic origin groups were also down. The largest declines were for women under 40 (6%–8%) and for non-Hispanic white women (6%); rates for these groups decreased at all term gestational ages.
November 4, 2014
During 2007–2010, 48% of U.S. women and 41.1% of U.S. men aged 18–59 years reported having ever been tested (outside of blood donations) for HIV infection. For both men and women, an increase in the number of lifetime sexual partners increased the likelihood that they were tested for HIV. Among persons with zero lifetime sex partners, men were more likely to have had HIV testing than women (24.9% compared with 13.2%). However, among persons with 2–4, 5–9, and 10 or more lifetime sex partners, women were more likely than men to have reported any HIV testing.