Serious Psychological Distress Among Adults: United States, 2009–2013

May 28, 2015

Serious psychological distress includes mental health problems severe enough to cause moderate-to-serious impairment in social, occupational, or school functioning and to require treatment.

Data from the 2009–2013 National Health Interview Survey are used to estimate the prevalence of serious psychological distress—measured by a score of 13 or greater on the Kessler 6 (K6) nonspecific distress scale—among adults overall and by demographic characteristics. The K6 obtains information on the frequency of six psychological distress symptoms.

A new NCHS report also compares health insurance and health characteristics between those with and those without serious psychological distress.

Key Findings from the Report:

  • In every age group, women were more likely to have serious psychological distress than men.
  • Among all adults, as income increased, the percentage with serious psychological distress decreased.
  • Adults aged 18–64 with serious psychological distress were more likely to be uninsured (30.4%) than adults without serious psychological distress (20.5%).
  • More than one-quarter of adults aged 65 and over with serious psychological distress (27.3%) had limitations in activities of daily living.
  • Adults with serious psychological distress were more likely to have chronic obstructive pulmonary disease, heart disease, and diabetes than adults without serious psychological distress.

QuickStats: Percentage of Traumatic Brain Injury (TBI)–Related Deaths by Underlying Cause and Age Group — United States, 2013

May 27, 2015

The causes of injury that result in TBI-related deaths vary by age group. In 2013, 77% of the TBI-related deaths among infants aged <1 year were from causes other than transportation, firearms, or falls, and primarily resulted from assault and maltreatment.

Transportation accounted for 53% of the TBI-related deaths among children aged 1–14 years. Firearm-related injuries accounted for 50% and 52% of the TBI-related deaths for persons aged 15–24 and 25–64 years, respectively. Most of the firearm-related TBI deaths in these two age groups were suicides (62% and 83%, respectively).

The majority (61%) of TBI-related deaths for those aged ≥65 years resulted from falls.


May 22, 2015

The state of North Carolina scores higher than the nation overall in births to unmarried mothers, preterm births, teen births and low birthweight. The state also has a higher homicide rate and higher mortality rate from drug overdose deaths than the national rate.

However, the Tar Heel state has a larger proportion of its population with health insurance than the national average and a lower mortality rate in heart disease than the national rate.

Here is a list of the 15 leading causes of death in North Carolina in 2013 with ICD 10 codes:

  1. Malignant neoplasms (C00-C97)
  2. Diseases of heart (I00-I09,I11,I13,I20-I51)
  3. Chronic lower respiratory diseases (J40-J47)
  4. Cerebrovascular diseases (I60-I69)
  5. Accidents (unintentional injuries) (V01-X59,Y85-Y86)
  6. Alzheimer’s disease (G30)
  7. Diabetes mellitus (E10-E14)
  8. Influenza and pneumonia (J09-J18)
  9. Nephritis, nephrotic syndrome and nephrosis (N00-N07,N17-N19,N25-N27)
  10. Septicemia (A40-A41)
  11. Intentional self-harm (suicide) (U03,X60-X84,Y87.0)
  12. Chronic liver disease and cirrhosis (K70,K73-K74)
  13. Essential hypertension and hypertensive renal disease (I10,I12,I15)
  14. Parkinson’s disease (G20-G21)
  15. Pneumonitis due to solids and liquids (J69)

Insurance Status by State Medicaid Expansion Status: Early Release of Estimates From the National Health Interview Survey, 2013–September 2014

May 21, 2015

Under the Affordable Care Act, states have the option to expand Medicaid coverage to all eligible persons with incomes up to 138% of the federal poverty level (FPL). Previous research has shown that there have already been significant decreases in the percentages of persons who were uninsured between 2013 and the first 9 months of 2014.

Using data from 2013 and the second and third quarters (April through September) of the 2014 National Health Interview Survey (NHIS), a new NCHS report examines changes in the percentage of persons who were uninsured, by state Medicaid expansion status, age, and poverty status.

Data from the second and third quarters of the 2014 NHIS were chosen for this analysis because they capture the surge in enrollment in the Health Insurance Marketplace and state-based exchange plans that occurred in March and the beginning of April 2014. Data from the fourth quarter of the 2014 NHIS are not yet available.

Key Findings from the Report:

  • The percentage of adults aged 18–64 who were uninsured at the time of interview decreased from 20.4% in 2013 to 15.9% in April–September 2014.
  • Adults aged 18–64 with family incomes less than or equal to 138% of the FPL in Medicaid expansion states had a larger decrease in the percentage uninsured (10.2 percentage points) than those with similar income in nonexpansion states (3.3 percentage points) from 2013 to April–September 2014.
  • Between 2013 and April–September 2014, the percentage of uninsured adults aged 18–34 with incomes less than or equal to 138% FPL decreased 9.1 percentage points in Medicaid expansion states, compared with only 0.7 percentage points in nonexpansion states.
  • The greatest absolute decrease in the percentage uninsured from 2013 to April–September 2014 (12.1 percentage points) was among adults aged 45–64 with incomes less than or equal to 138% FPL in Medicaid expansion states.


Maternal Morbidity for Vaginal and Cesarean Deliveries, According to Previous Cesarean History: New Data From the Birth Certificate, 2013

May 20, 2015

A new NCHS report presents recent findings for 2013 on four maternal morbidities associated with labor and delivery—maternal transfusion, ruptured uterus, unplanned hysterectomy, and intensive care unit (ICU) admission—that are collected on birth certificates for a 41-state and District of Columbia reporting area, which represents 90% of all births in the United States.

Key Findings from the Report:

  • Rates of maternal morbidity were higher for cesarean than vaginal deliveries—rates of transfusion (525.1 per 100,000) and ICU admission (383.1) were highest for primary cesarean deliveries, while rates of ruptured uterus (88.9) and unplanned hysterectomy (143.1) were highest for repeat cesarean deliveries.
  • Higher rates of maternal morbidity for cesarean compared with vaginal deliveries were found for nearly all maternal age groups and for women of all races and ethnicities.
  • Women with no previous cesarean delivery who had vaginal deliveries had lower rates for all maternal morbidities compared with those who had cesarean deliveries.
  • Women with a previous cesarean delivery who labored and had vaginal birth generally had lower rates for most of the morbidities, but failed trials of labor were generally associated with higher morbidity than scheduled repeat cesarean deliveries, especially for ruptured uterus, which was seven times higher (495.4 per 100,000 compared with 65.6).


Association Between Diagnosed ADHD and Selected Characteristics Among Children Aged 4–17 Years: United States, 2011–2013

May 14, 2015

Attention deficit hyperactivity disorder (ADHD) is the most common neurobehavioral disorder diagnosed in U.S. children. While this disorder is most often diagnosed in children when they are in elementary school, it is increasingly being identified in preschool children.

A new NCHS report describes the prevalence of diagnosed ADHD among children aged 4–17 years using parent-reported data collected in a large, nationally representative health survey. Differences in the prevalence of diagnosed ADHD are examined by selected demographic and socioeconomic variables: the child’s sex, race and Hispanic ethnicity, health insurance coverage, and poverty status for all children aged 4–17 and among age groups 4–5, 6–11, and 12–17.

Key Findings from the Report:

  • In 2011–2013, 9.5% of children aged 4–17 years were ever diagnosed with attention deficit hyperactivity disorder (ADHD). For those aged 4–5, prevalence was 2.7%, 9.5% for those aged 6–11, and 11.8% for those aged 12–17.
  • Among all age groups, prevalence of ever diagnosed ADHD was more than twice as high in boys as girls.
  • Among those aged 6–17, prevalence was highest among non-Hispanic white children and lowest among Hispanic children.
  • Among all age groups, prevalence was higher among children with public insurance compared with children with private insurance.
  • Among children aged 4–11, prevalence was higher for children with family income less than 200% of the federal poverty threshold than for children with family income at 200% or more of the poverty threshold.

Dental Caries and Tooth Loss in Adults in the United States, 2011–2012

May 14, 2015

Dental caries and tooth loss are important oral health indicators for adults and are key measures for monitoring progress toward health promotion goals set by Healthy People 2020. Although tooth decay and complete tooth loss have been declining in the United States since the 1960s, disparities have remained between some groups. As adults age, oral health-related quality of life is negatively affected by tooth loss and decay.

A new NCHS report describes U.S. adult dental caries and tooth loss by age and race and Hispanic origin for 2011–2012.

Key Findings from the Report:

  • Among adults aged 20–64, 91% had dental caries and 27% had untreated tooth decay.
  • Untreated tooth decay was higher for Hispanic (36%) and non-Hispanic black (42%) adults compared with non-Hispanic white (22%) and non-Hispanic Asian (17%) adults aged 20–64.
  • Adults aged 20–39 were twice as likely to have all their teeth (67%) compared with those aged 40–64 (34%).
  • About one in five adults aged 65 and over had untreated tooth decay.
  • Among adults aged 65 and over, complete tooth loss was lower for older Hispanic (15%) and non-Hispanic white (17%) adults compared with older non-Hispanic black adults (29%).