Updated Provisional Drug Overdose Death Data: 12-Month Ending from October 2017- October 2018

May 15, 2019

Link: https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm

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Births: Provisional Data for 2018

May 15, 2019

Questions for Brady E. Hamilton, Ph.D., Demographer, Statistician, and Lead Author of “Births: Provisional Data for 2018.”

Q: How does the provisional 2018 birth data compare to previous years?

BH: The  number of births, the general fertility rate, the total fertility rate, birth rates for women aged 15-34, the cesarean delivery rate and the low-risk cesarean delivery rate declined from 2017 to 2018, whereas the birth rates for women aged 35-44 and the preterm birth rate rose.


Q: When do you expect the final 2018 birth report to come out?

BH: The 2018 final birth report is scheduled for release in the fall of 2019.


Q: How did the data vary by age and race?

BH:  Birth measures shown in the report varied widely by age and race and Hispanic origin groups. Birth rates ranged from 0.2 births per 1,000 females aged 10-14 to 99.6 births per 1,000 women aged 30-34. By race and Hispanic origin, the cesarean delivery rate ranged from 28.7% of births for non-Hispanic American Indian or Alaska Native women to 36.1% for non-Hispanic black women and the preterm birth rate ranged from 8.56% for non-Hispanic Asian women to 14.12% for non-Hispanic black women.


Q: Was there a specific finding in the provisional data that surprised you?

BH: The report includes a number of interesting findings. The record lows reached for the general fertility rate, the total fertility rate and birth rates for females aged 15-19, 15-17, 18-19, and 20-24 are noteworthy. In addition, the magnitude of the continued decline in the birth rate for teens aged 15-19, down 7% from 2017 to 2018, is also historic.


Q: What is the take home message for this report?

BH:  The number of births for the United States was down 2% from 2017 to 2018, as were the general fertility rate and the total fertility rate, with both at record lows in 2018. Birth rates declined for nearly all age groups of women under 35, but rose for women in their late 30s and early 40s. The birth rate for teenagers aged 15–19 was down 7% from 2017 to 2018. The cesarean delivery rate and low-risk cesarean delivery rate were down in 2018. The preterm birth rate rose for the fourth year in a row in 2018.


Q: Do you anticipate this drop will continue?

BH: The factors associated with family formation and childbearing are numerous and complex. The data on which the report are based come from all birth certificates registered in the U.S. While the scope of these data is wide, with detailed demographic and health   information on rare events, small areas, or small population groups, the data do not provide information on the attitudes and behavior of the parents regarding family formation and childbearing. Accordingly, these data do not answer the question of why the number of births dropped in 2018 or if the decline will continue.


QuickStats: Age-Adjusted Percentages of Persons of All Ages Who Delayed Seeking Medical Care in the Past 12 Months Because of Worry About Cost,† by U.S. Census Region of Residence — National Health Interview Survey, 2012 and 2017

May 10, 2019

The percentage of persons of all ages who delayed seeking medical care in the past 12 months because of worry about the cost decreased from 8.2% in 2012 to 6.3% in 2017, and this pattern was consistent in each U.S. Census region of residence.

Delays in seeking medical care because of worry about the cost declined from 5.8% to 4.4% in the Northeast, from 8.4% to 6.6% in the Midwest, from 8.7% to 7.3% in the South, and from 9.1% to 5.9% in the West.

In both 2012 and 2017, persons of all ages living in the Northeast were the least likely to delay medical care because of worry about the cost.

SOURCE: Summary Health Statistics for the U.S. Population, National Health Interview Survey, 2012. https://www.cdc.gov/nchs/data/series/ sr_10/sr10_259.pdfpdf icon.

https://www.cdc.gov/mmwr/volumes/68/wr/mm6818a5.htm


Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, 2018

May 9, 2019

Questions for Emily P. Terlizzi, M.P.H., Associate Service Fellow and Lead Author on “Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, 2018

Q; How did the uninsured vary by age groups and compare to last year in this report?

ET: In 2018, 9.4% of persons of all ages, 11.1% of persons under age 65, 5.2% of children, and 13.3% of adults aged 18-64 lacked health insurance at the time of interview. In 2017, 9.1% of persons of all ages, 10.7% of persons under age 65, 5.0% of children, and 12.8% of adults aged 18-64 lacked health insurance at the time of interview. However, between 2017 and 2018, none of these differences by age group were significantly different.


Q: How did the uninsured vary by regions in the United States?

ET: In 2018, 7.7% of adults aged 18-64 living in the Northeast, 11.1% of those living in the Midwest, 18.4% of those living in the South, and 11.6% of those living in the West lacked health insurance coverage at the time of interview.


Q: Has there been an increase in the percentage of persons with private coverage enrolled in high deductible health plans?

ET: In 2018, almost 45.8% of persons under age 65 with private coverage were enrolled in a high-deductible health plan (HDHP). The percentage of persons enrolled in a HDHP has increased 20.5 percentage point since 2010.


Q: What is new in this report?

ET: This report provides health insurance estimates for the United States and 17 selected states using a full year of 2018 National Health Interview Survey data. Among adults aged 18–64 the percentage who were uninsured ranged from 4.9% in Massachusetts to 25.0% in Texas.


Q: What is the take home message for this report?

ET: The take-home message from this report is found in the number of Americans who no longer lack health insurance. In 2018, 30.4 million (9.4%) persons of all ages were uninsured at the time of interview. This estimate is not significantly different from the 29.3 million (9.1%) in 2017, but there are 18.2 million fewer uninsured persons than in 2010.


Prescription Drug Use in the United States, 2015–2016

May 8, 2019

Questions for Lead Author Crescent Martin, Health Statistician, of “Prescription Drug Use in the United States, 2015–2016.”

Q: Why did you decide to do a report on prescription drug use in the United States?

CM: We wanted to update a previous report that found an increase in prescription drug use from 1999–2000 through 2007–2008, using the latest available data from 2015–2016.


Q: Do you have data for the years between 2007-2008 and 2015-2016 on prescription drug use?

CM: Yes, the trends analysis (shown in Figure 4) includes an estimate for each two-year survey cycle from 2007–2008 through 2015–2016 (i.e. 5 time points over the decade.)


Q: How did the data vary by age, sex and race?

CM: The percentage of the population that used prescription drugs increased with age among every group we looked at: overall, among both males and females, and among each race and Hispanic origin group.

By sex, prescription drug use was higher among females than males, though this overall difference was primarily driven by the difference observed among adults aged 20–59. Among children age 11 and younger, a higher percentage of boys than girls used prescription drugs.

Prescription drug use was highest among Non-Hispanic white persons, followed by non-Hispanic black persons, and was lowest among non-Hispanic Asian and Hispanic persons. This pattern also varied by age, and among adults aged 60 and over no differences were observed between race and Hispanic origin groups.


Q: Was there a specific finding in your report that surprised you?

CM: I was interested to see the different types of prescription drugs that were most commonly used within each age group. The most commonly used types of prescription drugs were bronchodilators (such as asthma rescue inhalers) for children aged 11 and under, central nervous system stimulants for adolescents aged 12-19, antidepressants for adults aged 20-59, and cholesterol-lowering drugs for adults aged 60 and over.

The top drug type for each age group was actually the same drug type that was most commonly used in 2007–2008, from the earlier report.


Q: What is the take home message for this report?

CM: Overall, almost half of the U.S. population took one or more prescription drugs in the past 30 days during 2015–2016.

When we look at trends over time and take into account how the age distribution of the US population has gotten older over this decade, we see a decline in the use of prescription drugs from 2007–2008 through 2015–2016.