National Health Interview Survey Releases 7 New Early Release Products

August 31, 2021

The National Health Interview Survey Early Release Program has released 7 new products that include data on health insurance, key health indicators and wirless phone use.

The new products include a report that presents estimates of health insurance coverage for the civilian noninstitutionalized U.S. population based on data from the 2020 National Health Interview Survey.

 


QuickStats: Percentage of Children and Adolescents Aged 0–17 Years Who Have Experienced a Specified Stressful Life Event, by Type of Event and Poverty Status

August 27, 2021

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In 2019, 20.7% of children and adolescents in families with incomes <200% of the poverty threshold and 12.6% of children and adolescents in families with incomes ≥200% of the poverty threshold had experienced at least one specified stressful life event.

Children and adolescents in families with incomes <200% of the poverty threshold were more likely than children and adolescents in families with incomes ≥200% of the poverty threshold to have been the victim or witnessed violence (8.1% versus 3.5%); lived with someone who had been in jail (8.7% versus 3.5%); lived with a person with problems with mental health or depression (10.1% versus 6.4%); or lived with a person with problems with alcohol or drugs (10.2% versus 6.5%).

Source: National Health Interview Survey, 2019. https://www.cdc.gov/nchs/nhis.htm

https://www.cdc.gov/mmwr/volumes/70/wr/mm7034a7.htm


QuickStats: Age-Adjusted Percentage of Adults Aged 65 Years or Older Who Have a Lot of Difficulty Hearing or Cannot Hear at All Even When Using Hearing Aids by Urbanization Level

August 20, 2021

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In 2019, 4.2% of U.S. adults aged 65 years or older had a lot of difficulty hearing or could not hear at all even when using hearing aids.

Percentages were highest in nonmetropolitan areas (6.7%).

The differences between percentages in large central (3.2%), large fringe metropolitan (3.2%), and medium and small metropolitan (4.3%) areas were not statistically significant.

Source: National Center for Health Statistics, National Health Interview Survey, 2019. https://www.cdc.gov/nchs/nhis.htm

https://www.cdc.gov/mmwr/volumes/70/wr/mm7033a7.htm


Geographic Variation in Health Insurance Coverage: United States, 2019

August 6, 2021

NHSR162_Cover1NCHS releases a new report that presents state, regional, and national estimates of the percentage of persons who were uninsured, had private health insurance coverage, and had public health insurance coverage at the time of the interview.

Key Findings: 

  • In 2019, among persons under age 65, 12.0% were uninsured, 64.3% had private coverage, and 25.9% had public coverage at the time of the interview.
  • Among adults aged 18–64 (working-age adults), the percent uninsured ranged from 12.4% for those living in large fringe (suburban) metropolitan counties to 17.5% for those living in nonmetropolitan counties.
  • Working-age adults living in non-Medicaid expansion states (20.8%) were about twice as likely to be uninsured compared with those living in Medicaid expansion states (10.9%). Similar patterns were observed among children
    aged 0–17 years.
  • The percentage of working-age adults who were uninsured was significantly higher than the national average (14.5%) in Florida (20.6%), Georgia (22.3%), Oklahoma (25.6%), and Texas (30.5%), and significantly lower than the national average in California (11.5%), Minnesota (6.9%), New York (7.4%), Ohio (10.8%), Pennsylvania (9.8%), and Wisconsin (7.7%).
  • The percentage of people under age 65 who were uninsured was lowest in the New England region (4.6%).


QuickStats: Injury Deaths as a Percentage of Total Deaths, by Age Group — National Vital Statistics System, United States, 2019

August 6, 2021

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Injuries accounted for the majority of deaths among persons aged 15–39 years, with the highest percentages among those aged 15–19 (76.0%) and 20–24 years (78.2%).

The percentage of injury deaths was lowest among those aged <1 year (7.9%), 60–64 years (7.5%), and ≥65 years (3.4%).

Source: National Center for Health Statistics, National Vital Statistics System, Mortality Data, 2019. https://www.cdc.gov/nchs/nvss/deaths.htm

https://www.cdc.gov/mmwr/volumes/70/wr/mm7031a3.htm


Prescription Opioid Use Among Adults With Chronic Pain: United States, 2019

August 5, 2021

Questions for Jim Dahlhamer, Health Statistician and Lead Author of “Prescription Opioid Use Among Adults With Chronic Pain: United States, 2019.”

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Q: Why did you decide to do a report on prescription opioid use among U.S. adults with chronic pain?

JD: The latest estimate from NHIS reveals that just over 20% of U.S. adults experience chronic pain. Opioids are widely prescribed for the treatment of chronic pain in this country, even though questions remain as to their efficacy for such treatment. In the context of chronic pain management, some studies have shown prescription opioid use to be associated with an increased risk of misuse, addiction, morbidity, and mortality.  Yet, surprisingly, we found only a handful of national estimates of prescription opioid use among adults with chronic pain. With that in mind, our goal was to produce national estimates of prescription opioid use among adults with chronic pain, overall and by sociodemographic and socioeconomic characteristics such as age, sex, educational attainment, and poverty status. Our hope is that the report provides baseline estimates for continued surveillance of prescription opioid use among adults with chronic pain. These and future results may shed light on subgroups potentially at higher risk of negative outcomes associated with prescription opioid use.


Q: How does the data vary by different demographics?

JD: Prescription opioid use among adults with chronic pain varied across a range of sociodemographic and socioeconomic subgroups. We found that men and employed adults were less likely to have used a prescription opioid compared with women and not employed adults. Prescription opioid use increased with age among adults aged 18–64 and decreased among adults aged 65 and over. Adults from higher socioeconomic backgrounds, as measured by their educational attainment and family income as a percentage of the federal poverty level, were less likely to have used prescription opioids compared with those from lower socioeconomic backgrounds. Finally, adults with private health insurance coverage, Medicare, or Medicaid or other forms of public coverage were more likely to have used a prescription opioid than uninsured adults.


Q: Do you have trend data?

JD: NHIS included questions on pain and opioid use in 2020, so this analysis could be repeated to see how these estimates may have changed, especially in the context of COVID-19. However, opioid questions are not included on the 2021 NHIS and we don’t know at this time when they may be asked in the future.


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

JD: Nearly a quarter of U.S. adults with chronic pain used a prescription opioid in the past 3 months, with use varying across a range of sociodemographic and socioeconomic subgroups. Estimates in this report can be used as a starting point for continued monitoring of prescription opioid use among adults with chronic pain in the U.S., potentially shedding light on subgroups at greater risk of negative outcomes associated with opioid use.


Q: Do you have data on prescription opioid use by state?

JD: Data on prescription opioid use by state would be available through the NCHS Research Data Center. We have not looked at the data by state so we can’t speak to the number of states for which reliable estimates could be produced. It is likely that number would increase once 2020 data are available as a data user could then combine or pool 2019 and 2020 data.


New Report on Children and Adolescent Body Measurements

August 4, 2021

NHSR160_Cover1NCHS releases a new report, “Mean Body Weight, Height, Waist Circumference, and Body Mass Index Among Children and Adolescents: United States, 1999–2018” that presents trends in mean weight, recumbent length, height, waist circumference, and body mass index (BMI) among children and adolescents in the United States from 1999 through 2018.

Key Findings:

  • No significant trends over time were observed in any of the body measures for children aged 2–5 years, except for an increase in mean BMI among girls.
  • Among girls aged 6–11, mean height and waist circumference significantly increased from 1999–2000 through 2003–2004, and then significantly decreased for height but remained stable for waist circumference through 2017–2018.
  • Among those aged 12–15, mean body weight and waist circumference increased over time among boys, and BMI increased among both boys and girls.
  • Among adolescent boys aged 16–19, body weight significantly increased from 1999–2000 through 2009–2010 and
    then significantly decreased through 2017–2018. In addition, height remained stable through 2009–2010 and then significantly decreased through 2017–2018.
  • Among adolescent girls aged 16–19, mean body weight, waist circumference, and BMI significantly increased from 1999–2000 through 2017–2018.