Fact or Fiction: September 2015

September 28, 2015


HIV Infection in U.S. Household Population Aged 18–59

September 24, 2015

A new NCHS report presents estimates of HIV prevalence, the association of HIV status with key risk factors, and the prevalence of antiretroviral drug use among HIV-infected adults, based on the 2007–2012 National Health and Nutrition Examination Survey.

Key Findings from the Report:

  • During 2007–2012, the overall HIV prevalence among adults aged 18–59 residing in U.S. households was 0.39%.
  • Men were more likely to be HIV-infected than women, and non-Hispanic black persons were more likely to be HIV-infected than all other race and Hispanic origin subgroups combined.
  • HIV infection was associated with high-risk populations, including those with herpes simplex virus type 2 infection, 10 or more lifetime sexual partners, a history of prior sexually transmitted infection, or a history of same-sex sexual contact among men.
  • One-half of HIV-infected adults were on antiretroviral therapy (51.9%). Among HIV-infected adults, 86.1% reported any lifetime history of HIV testing outside of blood donations.

Emergency Department Visits Related to Schizophrenia Among Adults Aged 18–64: United States, 2009–2011

September 23, 2015

Schizophrenia is a severe brain disorder with clinical manifestations that may include hallucinations, delusions, and thought and movement disorders.

A new NCHS report describes the rate and characteristics of emergency department (ED) visits related to schizophrenia among adults aged 18–64.

Key Findings from the Report:

  • During 2009–2011, an estimated 382,000 ED visits related to schizophrenia occurred each year among adults aged 18–64, with an overall ED visit rate of 20.1 per 10,000 adults.
  • The overall rate for ED visits related to schizophrenia for men (26.5 per 10,000) was approximately double the rate for women (13.8 per 10,000).
  • Public insurance (Medicaid, Medicare, or dual Medicare and Medicaid) was used more frequently at ED visits related to schizophrenia compared with ED visits not related to schizophrenia.
  • About one-half of ED visits related to schizophrenia led to either a hospital admission (32.7%) or a transfer to a psychiatric hospital (16.7%); these percentages were higher than for ED visits not related to schizophrenia.


Fruit Consumption by Youth in the United States

September 21, 2015

A new study in the October 2015 Pediatrics, “Fruit Consumption by Youth in the United States,” (published online Sept. 21) looks at what fruits—and fruit juices—children are most likely to eat.

The study used data from the National Health and Nutrition Examination Survey, 2011 to 2012. Using the Food Patterns Equivalents Database and the What We Eat in America 150 food groups, the study calculated the contribution of whole fruit, 100% fruit juices, mixed fruit dishes, and 12 discrete fruit and fruit juices to total fruit consumption. The study also examined differences by age, gender, race and Hispanic origin, and poverty status.

Key Findings from the Report:

  • Nearly 90% of total fruit intake came from whole fruits (53%) and 100% fruit juices (34%) among youth aged 2 to 19 years. Apples, apple juice, citrus juice, and bananas were responsible for almost half of total fruit consumption.
  • Apples accounted for 18.9% of fruit intake. Differences by age were predominately between youth aged 2 to 5 years and 6 to 11 years. For example, apples contributed a larger percentage of total fruit intake among youth 6 to 11 years old (22.4%) than among youth 2 to 5 years old (14.6%), but apple juice contributed a smaller percentage (8.8% vs 16.8%).
  • There were differences by race and Hispanic origin in intake of citrus fruits, berries, melons, dried fruit, and citrus juices and other fruit juices.

Caloric Intake From Fast Food Among Children and Adolescents in the United States, 2011–2012

September 16, 2015

Consumption of fast food has been linked to weight gain in adults. Fast food has also been associated with higher caloric intake and poorer diet quality in children and adolescents. From 1994 through 2006, caloric intake from fast food increased from 10% to 13% among children aged 2–18 years.

NCHS has just released a new report that presents the most recent data on the percentage of calories consumed from fast food among U.S. children by sex, age group, race and Hispanic origin, poverty status, and weight status.

Key Findings from the Report:

  • In 2011–2012, just over one-third of children and adolescents consumed fast food on a given day.
  • In 2011–2012, children and adolescents consumed on average 12.4% of their daily calories from fast food restaurants.
  • Caloric intake from fast foods was higher in adolescents aged 12–19 years than in children aged 2–11 years.
  • Non-Hispanic Asian children had significantly lower caloric intake from fast food compared with non-Hispanic white, non-Hispanic black, and Hispanic children.
  • No significant differences in caloric intake from fast food were noted by sex, poverty status, or weight status.



September 11, 2015

The teen birth rate in the state of Oklahoma has dropped from 58.5 in 2007 to 42.9 in 2013.

However, the sooner state also has mortality rates that are higher than the U.S. for all of the 10 leading causes of death in the United States that include: heart disease, cancer, chronic lower respiratory diseases, accidents, stroke, Alzheimer’s disease, diabetes, influenza/pneumonia, kidney disease and suicide.

Fact or Fiction: The Mountain West subregion of the U.S. has the highest suicide rate in the nation

September 11, 2015

Variation in Physician Office Visit Rates by Patient Characteristics and State, 2012

September 11, 2015

An NCHS report examines the rate of physician office visits by patient age, sex, and state. Visits by adults with private insurance as their expected source of payment were also examined.

Estimates are based on the 2012 National Ambulatory Medical Care Survey, a nationally representative survey of physician office visits. State estimates for the 34 most populous states are available for the first time. State refers to the location of the physician office visit.

Key Findings from the Report:

  • In 2012, there were an estimated 301 physician office visits per 100 persons. The visit rate among females exceeded the rate for males.
  • The rate for adults aged 65 and over was more than twice the rate for adults aged 18–64 and children under age 18 years.
  • Among the 34 most populous states, Missouri had the lowest rate of physician office visits for both adult age groups (18–64 and 65 and over), and Connecticut had the highest rate.
  • The percentage of visits made by adults aged 18–64 with private insurance as the expected source of payment varied across the 34 most populous states, ranging from 53% in New York and Arkansas to 79% in Maryland.


Prevalence and Trends in Psychotropic Medication Use Among U.S. Male Veterans, 1999–2010

September 4, 2015

Prior studies of psychotropic medication use among U.S. veterans are limited in their ability to generalize estimates to the full veteran population and make comparisons with non-veterans.

study from Pharmacoepidemiology and Drug Safety Journal used data from the National Health and Nutrition Examination Survey to estimate the prevalence of psychotropic medication use and trends over time among male U.S. veterans.  This data compared their use of psychotropic medications with non-veteran males, and examined differences among veteran subpopulations.

Results from the Study:

  • The percentage of male veterans who used any psychotropic medication increased from 10.4% in 1999–2002 to 14.3% in 2003–2006, then remained stable in 2007–2010 (14.0%).
  • During the same time period, the percentage of non-veteran males who used psychotropic medications remained relatively stable (7.0%, 8.3%, and 9.2%, respectively).
  • Veterans were more likely to use psychotropic medication, specifically antidepressants, than non-veterans.
  • The percentage of non-Hispanic white veterans and veterans aged 60 years and over who used psychotropic medications increased between 1999–2002 and 2003–2006, but the percentages remained stable between 2003–2006 and 2007–2010.
  • In 2003–2006 and 2007–2010, a higher percentage of non-Hispanic white veterans used psychotropic medications than non-Hispanic black veterans.

Diagnostic Experiences of Children With Attention-Deficit/Hyperactivity Disorder

September 4, 2015

A new NCHS report describes the diagnostic experiences of a sample of children in the United States diagnosed with attention-deficit/hyperactivity disorder (ADHD) as of 2011–2012.

Key Findings from the Report:

  • The median age at which children with ADHD were first diagnosed with the disorder was 7 years; one-third were diagnosed before age 6. Children with ADHD were diagnosed by a wide variety of health care providers, including primary care physicians and specialists.
  • Regardless of age at diagnosis, the majority of children (53.1%) were first diagnosed by primary care physicians. Notable differences were found by age at diagnosis for two types of specialists.
  • Children diagnosed before age 6 were more likely to have been diagnosed by a psychiatrist, and those diagnosed at ages 6 and over were more likely to have been diagnosed by a psychologist.
  • Among children diagnosed with ADHD, the initial concern about a child’s behavior was most commonly expressed by a family member (64.7%), but someone from school or daycare first expressed concern for about one-third of children later diagnosed with ADHD (30.1%).
  • For approximately one out of five children (18.1%), only family members provided information to the child’s doctor during the ADHD assessment.