Receipt of a Sexual Risk Assessment From a Doctor or Medical Care Provider in the Past Year Among Women and Men Aged 15–44 With Recent Sexual Activity

March 29, 2018

Questions for Casey Copen, Ph.D., M.P.H., Statistician and Author of “Receipt of a Sexual Risk Assessment From a Doctor or Medical Care Provider in the Past Year Among Women and Men Aged 15–44 With Recent Sexual Activity.”

Q: Why did you decide to examine the percentage of women and men aged 15-44 in the U.S. who received a sexual risk assessment?

CC: Sexually transmitted infections (STIs) including chlamydia and gonorrhea are among the most common reportable infections nationwide. If left untreated, STIs can result in serious health consequences, including infertility.   The first step in the prevention of HIV and other STIs is to identify the people who may be at risk.  Health care providers who talk to their patients about aspects of their sexual experience may make them aware of behaviors that may increase their risk, such as not using condoms and having multiple sexual partners.  In 2011 (for men) and 2013 (for women), four questions were added to the audio computer-assisted self-interview portion of the National Survey of Family Growth (NSFG) that asked whether a doctor or other medical care provider had questioned them in the past year about 1) their sexual orientation or the sex of their sexual partners; 2) their number of sexual partners; 3) their use of condoms; 4) the types of sex they have, whether vaginal, oral or anal.  Taken together, these questions comprise what is referred to in this report as a sexual risk assessment.  I conducted these analyses because it is important to have a general sense for whether doctors or other medical care providers ask their patients these types of questions.

Q: What are we seeing with the overall percentage of U.S. adults with recent sexual activity who received a sexual risk assessment?

CC: Overall, 47% of women and 23% of men aged 15-44 with recent sexual activity (i.e., sex with an opposite-sex or same-sex partner in the past year) received a sexual risk assessment from a doctor or other medical care provider in the past year.

Q: What differences did you see in the receipt of a sexual risk assessment by selected social, demographic and behavioral characteristics in this analysis?

CC: Receipt of a sexual risk assessment was higher among women and men aged 15-24, those who were Hispanic and Non-Hispanic black, those who had income below 300% of the poverty level, or who had public health insurance.  Additionally, receipt of a sexual risk assessment was higher among men who identified as gay or bisexual, lived in urban areas , or who had a usual place to go for medical care. Higher receipt of a sexual risk assessment was also seen for women and men who had two or more opposite-sex partners in the past compared with those who had only 1 opposite-sex sexual partner and for men who had a same-sex sexual partner in the past year or who had any HIV-related sexual risk behaviors in the past year.

Q:  Were there any findings that surprised you?

CC: It is not surprising that studies on the prevalence of sexual risk assessment are generally concerned with clinic populations (i.e., those who may be most at risk for HIV/STI infection).  However, I do find it interesting that, to my knowledge, this is the first time a nationally representative household survey has provided estimates of sexual risk assessment receipt in the general reproductive-aged population.

Q: What overall message do you hope to leave with the general public when it comes to sexual risk assessment?

CC: A sexual risk assessment is a primary prevention tool that can help identify persons at risk of HIV/STIs.  While about half of women aged 15-44 received a sexual risk assessment in the past year, for men, receipt was more focused among those who engaged in HIV risk-related behaviors in the past year.  In addition, both women and men who received a sexual risk assessment were more likely to have been tested for HIV/STI in the past year.  This positive relationship suggests that where clinical conversations about sexual behavior occur, HIV/STI testing may follow.

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COLON CANCER DEATHS IN THE U.S.

March 23, 2018
1999-2016
Year Deaths Age Adjusted Death Rate
1999 48433 17.7
2000 48570 17.6
2001 47860 17
2002 47586 16.6
2003 46868 16.1
2004 44591 15.1
2005 43989 14.6
2006 44061 14.3
2007 43969 14
2008 43396 13.6
2009 42199 12.9
2010 42009 12.6
2011 41822 12.2
2012 41488 11.9
2013 41502 11.6
2014 41526 11.4
2015 42126 11.3
2016 41612 10.9
SOURCE: CDC WONDER   wonder.cdc.gov

FIREARM HOMICIDES & SUICIDES, U.S. 2016

March 23, 2018
FIREARM HOMICIDES AND SUICIDES 2016 CODE DEATHS Age-Adjusted Death Rate
Intentional self-harm by handgun discharge X72 6112 1.8
Intentional self-harm by rifle, shotgun and larger firearm discharge X73 2890 0.9
Intentional self-harm by other and unspecified firearm discharge X74 13936 4.1
Assault by handgun discharge X93 1053 0.3
Assault by rifle, shotgun and larger firearm discharge X94 522 0.2
Assault by other and unspecified firearm discharge X95 12840 4.1
Total 37353 11.4
SOURCE: CDC WONDER wonder.cdc.gov

Poisoning Deaths in U.S. from 1999-2016

March 19, 2018
Year
Deaths
1999
19,741
2000
20,230
2001
22,242
2002
26,435
2003
28,700
2004
30,308
2005
32,691
2006
37,286
2007
40,059
2008
41,080
2009
41,592
2010
42,917
2011
46,047
2012
46,150
2013
48,545
2014
51,966
2015
57,567
2016
68,995

Source: https://wonder.cdc.gov

Injury Mechanism & All Other Leading Causes: Poisoning

 


QuickStats: Age-Adjusted Percentages of Adults Aged 18 Years or Older Who Are Current Regular Drinkers of Alcohol, by Sex, Race, and Hispanic Origin — National Health Interview Survey, 2016

March 19, 2018

In 2016, men aged 18 years or older were more likely than women to be current regular drinkers of alcohol (62.1% versus 47.2%).

Non-Hispanic white men (65.5%) were more likely to be current regular drinkers than Hispanic men (57.8%) and non-Hispanic black men (52.9%).

Non-Hispanic white women (55.6%) were more likely to be current regular drinkers than non-Hispanic black women (35.9%) and Hispanic women (31.5%).

Source: Tables of summary health statistics for US adults, National Health Interview Survey, 2016.

https://www.cdc.gov/mmwr/volumes/67/wr/mm6710a8.htm


Early Release of Selected Estimates Based on Data From the January-September 2017 National Health Interview Survey

March 15, 2018

Questions for Jeannine Schiller M.P.H., Health Statistician and Lead Author of “Early Release of Selected Estimates Based on Data From the January-September 2017 National Health Interview Survey

Q: What is new in this quarterly update that looks at 15 key health indicators for Americans?

JS: There is always something new in our quarterly estimates of 15 key health indicators for Americans. While results in this release were similar to those from last quarter, consistency of results is also an important finding. These new estimates, when analyzed with those from previous years, allow us to see where we are moving in public health measures and critical public health concerns today. This update provides the latest estimates (through January–September 2017) for this collection of key health indicators. The estimates for the first nine months of 2017 are provided by sex, age group, and race/ethnicity. Estimates represent the noninstitutionalized civilian population of the United States and allow monitoring of these indicators from 1997 to the most recent data available.


Q: What are the goals and benefits of producing a new update on all of these health behaviors every three months?

JS: The goals and benefits of producing these quarterly updates is to provide the most recent data available for timely monitoring of 15 key health indicators important to Americans’ health. Researchers and policy makers can then use this information to make critical decisions and take action sooner rather than later—to improve or maintain the health of our nation. The Early Release Program of the National Health Interview Survey (NHIS) provides analytic reports and preliminary microdata files on an expedited schedule. Estimates are available just six months after the end of data collection. The public can have access to these timely reports and Early Release files without having to wait for the final, annual NHIS microdata files to be released in late June following the end of each data collection year. These early reports and data files are produced prior to final processing in order to provide early access to the most recent information from NHIS.


Q: Was there a result in your latest release of estimates that you hadn’t expected and that really surprised you?

JS: Most of the results for these indicators tend to be fairly consistent over time, so there was nothing unexpected in this latest analysis of 15 key health indicators. Of note, we did see continued increases in pneumococcal and influenza vaccination, obesity, physical activity (based on leisure-time activity), HIV testing, and diabetes—and decreases in current cigarette smoking. When examined over the course of the past couple of decades, some of these results are quite striking.


Q: What differences or similarities did you see among race and ethnic groups and various demographics in this analysis?

JS: We observed a number of variations among race and ethnic groups—and among women—in this quarter’s analysis of 15 health behaviors. Rates of pneumococcal vaccination, physical activity (based on leisure-time activity), and having at least 1 heavy drinking day in the past year, were all higher among non-Hispanic white persons compared to non-Hispanic black persons and Hispanic persons. Current cigarette smoking was lower among Hispanic persons compared to non-Hispanic black persons and non-Hispanic white persons. Among women, the prevalence of obesity was higher among non-Hispanic black persons compared to non-Hispanic white persons and Hispanic persons, while there was no significant difference in the prevalence of obesity by race and ethnicity groups among men.   


Q: What is the take-home message from this report?

JS: In some ways, this is a good news report, though it is also important to keep an eye on some negative trends. I think its take-home message is that there is overall good health of Americans now and in recent years, despite some health behaviors that could affect overall wellness of our population. About two-thirds of persons had excellent or very good health during the first nine months of 2017, and this rate has been stable in recent years.  While some health outcomes are going in the preferred direction (smoking, selected vaccinations, physical activity during leisure time, HIV testing), others, such as obesity and diabetes, continue to move in an undesirable direction.


Stat of the Day – March 7, 2018

March 7, 2018