Quickstats: Cancer and Heart Disease Death Rates Among Men and Women Aged 45–64 Years — United States, 1999–2018

May 29, 2020

The cancer death rate for both men and women aged 45–64 years declined steadily from 247.0 per 100,000 in 1999 to 194.9 in 2018 for men and from 204.1 to 166.3 for women.

The heart disease death rate for men declined from 1999 (235.7) to 2011 (183.5) but then increased to 192.9 in 2018. For women, the heart disease death rate declined from 1999 (96.8) to 2011 (74.9), increased through 2016 (80.3), and then leveled off.

In 2018, the cancer death rate for men aged 45–64 years was 1% higher than the heart disease death rate; for women, the cancer death rate was approximately twice the heart disease death rate.

Source: National Vital Statistics System, Mortality Data. https://www.cdc.gov/nchs/nvss/deaths.htm.

https://www.cdc.gov/mmwr/volumes/69/wr/mm6921a4.htm

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Stats of the States: Arkansas

May 28, 2020

ArkansasArkansas has the highest teen birth rate in the nation (30.4 live births per 1,000 females ages 15-19), and the 10th highest overall fertility rate for women of all ages. Arkansas also has the 3rd highest marriage rate in the country, behind Nevada and Hawaii, but also the 2nd highest divorce rate (behind Nevada). The leading cause of death in the state is Heart Disease, followed by (2) Cancer (3) Chronic Lower Respiratory Disease (4) Stroke (5) Accidents (6) Alzheimer disease (7) Diabetes (8) Kidney Disease (9) Influenza & Pneumonia, and (10) Suicide. The infant mortality rate in Arkansas is the 3rd highest in the country. The state ranks 6th in cesarean deliveries and in low birthweight births and 5th in preterm births. However, the drug overdose rate in Arkansas of 15.7 overdose deaths per 100,000 people is among the lower rates in the country and is 27% lower than the national rate.

SOURCE: National Vital Statistics System, 2018

LINK:     https://www.cdc.gov/nchs/pressroom/states/arkansas/ar.htm

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Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January–June 2019

May 28, 2020

Questions for Robin Cohen, Health Statistician and Lead Author of “Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January–June 2019.”

Has the percentage of people without health insurance changed much in recent years?

RC: This most recent release from the National Health Interview Survey (NHIS) includes estimates for January through June 2019. In 2019, the NHIS questionnaire was redesigned to better meet the needs of data users. Due to changes in weighting and design methodology, direct comparisons between estimates for 2019 and earlier years should be made with caution, as the impact of these changes has not been fully evaluated at this time. A working paper entitled, “Preliminary Evaluation of the Impact of the 2019 National Health Interview Survey Questionnaire Redesign and Weighting Adjustments on Early Release Program Estimates” discusses both these issues in greater detail.

Q: Why did NCHS redesign the NHIS?

RC: In 2019, the NHIS questionnaire was redesigned to better meet the needs of data users. The redesign aimed to improve measurement of covered health topics, reduce respondent burden by shortening the length of the questionnaire, harmonize overlapping content with other federal surveys, establish a long-term structure of ongoing and periodic topics and incorporate advances in survey methodology and measurement.

Q: Has the NHIS ever been redesigned before?

RC: The NHIS has undergone several questionnaire redesigns since its inception in 1957. The last major questionnaire redesign occurred in 1997.

Q: How was the health insurance data strengthened by this redesign?

RC: The flow and content of the health insurance questions in the redesign are similar to those from 1997-2018. The main difference is that instead of a family respondent providing health insurance information for all family members as a proxy, health insurance is now asked directly of the sample adult and the parent or guardian of the sample child.

Q: Do we have a sense of how COVID-19 has impacted health insurance coverage in the U.S.?

RC: The estimates from this report are based on data collected from January through June 2019. This is prior to the COVID-19 pandemic. There are some estimates of health insurance coverage during the COVID-19 pandemic available from the Household Pulse Survey (https://www.cdc.gov/nchs/covid19/pulse/health-insurance-coverage.htm). The Household Pulse Survey is a 20-minute survey on how the COVID-19 pandemic may impact households across the country. However, these estimates of health insurance coverage may not be comparable with those using NHIS data. 

Q: When will NHIS have data on the impact of COVID-19 on health insurance coverage?

RC: Data collection from the 2020 NHIS is ongoing, and the early release of estimates from the 2020 NHIS has not been determined.

Q: Is the uninsured # for kids higher than previously reported?

RC: This most recent release from the National Health Interview Survey (NHIS) includes estimates for January through June 2019. In 2019, the NHIS questionnaire was redesigned to better meet the needs of data users. Due to changes in weighting and design methodology, direct comparisons between estimates for 2019 and earlier years should be made with caution, as the impact of these changes has not been fully evaluated at this time.

Q: Anything else of note in your report that you’d like to mention?

RC: In January 2019, the National Health Interview Survey launched a redesigned questionnaire. The new design collects health insurance information from one randomly selected adult and child from each household in the survey. Estimates in this report are based on the first two quarters of 2019.

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QuickStats: Percentage of Adults Aged 18 Years or Older with Disability by Diagnosed Diabetes Status and Age Group

May 22, 2020

In 2018, among adults aged 18 years or older, those ever receiving a diagnosis of diabetes were more likely to have disability than those never receiving a diagnosis of diabetes (27.1% versus 8.1%).

This pattern was consistent among adults aged 18–44 (16.3% versus 4.4%), 45–64 (24.5% versus 8.1%), and 65 years or older (33.3% versus 18.5%).

Regardless of diabetes status, the percentage of adults with disability increased with age.

Source: National Health Interview Survey, 2018. https://www.cdc.gov/nchs/nhis.htm.

https://www.cdc.gov/mmwr/volumes/69/wr/mm6920a5.htm

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Stats of the States: Alaska

May 19, 2020

Alaska

Alaska’s fertility rate of 69.3 births per 1,000 women ages 15-44 ranks 3rd among states in the U.S. and is higher than the national fertility rate of 60.1. Alaska’s teen birth rate is over 10% higher than the national rate, but its cesarean and low birthweight rates are the lowest of all 50 states. Alaska’s infant mortality rate is slightly higher than the national rate. Alaska has the 3rd highest suicide rate in the country, the 4th highest death rate from chronic liver disease and cirrhosis, and the 6th highest firearm fatality rate, but the drug overdose death rate in Alaska is nearly 35% lower than the national rate. Cancer is the leading cause of death in Alaska, followed by: (2) Heart Disease (3) Accidents (4) Chronic Lung Disease (5) Stroke (6) Suicide (7) Alzheimer Disease (8) Diabetes (9) Chronic Liver Disease/Cirrhosis, and (10) Influenza/Pneumonia. The marriage rate in Alaska of 6.7 marriages per 1,000 is slightly higher than the national rate, and the divorce rate in the state of 3.7 divorces per 1,000 is over 24% higher than the rate for the entire United States.

SOURCE: National Vital Statistics System, 2018

LINK:     https://www.cdc.gov/nchs/pressroom/states/alaska/ak.htm

 

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QuickStats: Percentage of Deaths, by Place of Death — National Vital Statistics System, United States, 2000–2018

May 15, 2020

The percentage of deaths from all causes that occurred in a hospital decreased from 48.0% in 2000 to 35.1% in 2018.

During that period, the percentage of deaths that occurred in the decedent’s home increased from 22.7% to 31.4%, and the percentage that occurred in a long-term care facility (hospice, nursing home, long-term care) increased from 22.9% to 26.8%.

Source: National Vital Statistics System. Underlying cause of death data, 2000–2018. https://wonder.cdc.gov/ucd-icd10.html.

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Stats of the States: Alabama

May 11, 2020

alabama

Alabama’s fertility rate of 59.1 births per 1,000 women ages 15-44 ranks 22nd among states in the U.S. and is lower than the national fertility rate of 60.1. Alabama ranks 10th in teen birth rates, 6th in births to unmarried mothers, and 3rd in low birthweight and preterm births.   The infant mortality rate in Alabama is 7 infant deaths per 1,000 live births, tied for 7th highest in the U.S. Alabama has the 2nd highest firearm death rate in the nation – 21.8 firearm deaths per 100,000 – and the 3rd highest homicide rate at 12.2 homicides per 100,000. However, Alabama’s death rate from drug overdoses ranks 32nd among states and is nearly 25% lower than the national overdose death rate. Heart Disease is the leading cause of death in Alabama, followed by: (2) Cancer (3) Chronic Lung Disease (4) Stroke (5) Accidents (6) Alzheimer Disease (7) Influenza/Pneumonia (8) Diabetes (9) Kidney Disease, and (10) Septicemia. The marriage rate in Alabama of 6.8 marriages per 1,000 is slightly higher than the national rate, and the divorce rate in the state of 3.7 divorces per 1,000 is over 24% higher than the rate for the entire United States.

SOURCE: National Vital Statistics System, 2018

LINK:     https://www.cdc.gov/nchs/pressroom/states/alabama/al.htm

 

 

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QuickStats: Age-Adjusted Percentage of Adults Who Have Difficulty Seeing Even When Wearing Glasses by Poverty Status

May 8, 2020

In 2018, 14.9% of adults aged 18 years or older had some difficulty seeing even when wearing glasses, and 1.6% had a lot of difficulty or could not see at all.

The percentage of adults who had some difficulty seeing even when wearing glasses decreased as income increased, from 19.3% among those with income below the poverty threshold to 11.3% among those with income more than 400% of the poverty threshold.

The percentage of adults who had a lot of difficulty or could not see at all also decreased as income increased, from 4.2% among those with income below the poverty threshold to 0.8% among those with income more than 400% of the poverty threshold.

Source: National Center for Health Statistics, National Health Interview Survey, 2018. https://www.cdc.gov/nchs/nhis.htm.

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Sexual Activity and Contraceptive Use Among Teenagers Aged 15-19 in the United States, 2015-2017

May 6, 2020

Questions for Gladys Martinez, Health Statistician and Lead Author of “Sexual Activity and Contraceptive Use Among Teenagers Aged 15-19 in the United States, 2015-2017.”

Q: Why does NCHS conduct studies on sexual activity and contraception?

GM: We conduct studies on sexual activity and contraceptive use to better understand the risk for sexually transmitted diseases, birth and pregnancy rates, and differences between groups in the U.S. reproductive age population.

For this report they are crucial for understanding differences in the risk of teen pregnancy and to put into context recent declines in the U.S. teen birth rate.

Q: Can you summarize how the data varied by sex and age groups?

GM: There has been a decline in the percentage of male and female teens who ever had sex from 1988 to 2017.  But the percentage of male teens who ever had sex continues to decline in most recent time period 2011-2015 to 2015-2017, but has remained the same for female teens.

Male and female had similar:

  • cumulative probabilities of having had sex at each age in their teen years
  • relationship between age at first sex and contraceptive use: teens with younger ages at first sexual intercourse were less likely to use a method of contraception

Q: Was there a specific finding in the data that surprised you from this report?

GM: For the first time since we have been collecting these data, the cumulative probabilities of having had sex by each age in the teen years were similar for young males and females.

Ever use of implant is 15% which is an increase from 2011-2015 when it was only 3%.

Q: How did you obtain this data for this report?

GM: Data for this report are from the 2015-2017 National Survey of Family Growth, a nationally representative in-person survey of men and women aged 15-49 in the United States.

Q: Do you have older data that is comparable beyond 2002?

GM: Yes, we have been tracking these data since the 1970s and the earliest published NSFG report shows data from 1988.

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QuickStats: Age-Adjusted Suicide Rates by State — National Vital Statistics System, United States, 2018

May 1, 2020

In 2018, the U.S. suicide rate was 14.2 per 100,000 standard population, with rates varying by state.

The five states with the highest age-adjusted suicide rates were Wyoming (25.2), New Mexico (25.0), Montana (24.9), Alaska (24.6), and Idaho (23.9).

The five jurisdictions with the lowest suicide rates were the District of Columbia (7.5), New Jersey (8.3), New York (8.3), Rhode Island (9.5), and Massachusetts (9.9).

Source: National Vital Statistics System. Underlying cause of death data, 1999–2018. https://wonder.cdc.gov/ucd-icd10.html.

https://www.cdc.gov/mmwr/volumes/69/wr/mm6917a4.htm

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