QuickStats: Age-Adjusted Death Rates for Female Breast Cancer, by State — National Vital Statistics System, United States, 2019

October 1, 2021

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In 2019, the age-adjusted rate of female breast cancer deaths in the United States was 19.4 per 100,000 population.

Jurisdictions in the highest category for breast cancer death rates were DC (24.5), Nevada (23.7), Nebraska (22.4), Kentucky (22.2), Louisiana (22.0), and Mississippi (22.0).

Those in the lowest category were North Dakota (14.8), Massachusetts (15.3), Vermont (16.2), Connecticut (16.8), Wyoming (17.2), Minnesota (17.5), Colorado (17.6), Wisconsin (17.6), and Maine (17.7).

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

https://www.cdc.gov/mmwr/volumes/70/wr/mm7039a6.htm


Q & A: Trends in Death Rates in Urban and Rural Areas: United States, 1999–2019

September 21, 2021

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Questions for Sally Curtin, Health Statistician and Lead Author of “Trends in Death Rates in Urban and Rural Areas: United States, 1999–2019.”

Q:  Why did you decide to do a report comparing death rates in rural and urban areas?

SC: In many of our reports, we have examined trends in various causes of death by urban-rural status.  However, we had not published data on trends in all-cause mortality by urban-rural status.  In addition, we had not analyzed death rates for all of the 10 leading causes of death by urban-rural status in one report.  Thus, we felt that a report showing national statistics on urban-rural disparities by leading causes of death might be informative to those interested in delving more into these findings at a state or local level.


Q:  How does the data vary by leading causes of death?

SC:  The data in this report present a compelling picture of rural health as the age-adjusted rates for all 10 leading causes of death were higher in rural than urban areas.  In addition, we show that the differences between rates in rural and urban areas were greatest for the top causes of heart disease, cancer and chronic lower respiratory diseases and the gap widened over the 1999-to-2019 period.


Q:  What is the take home message in this report

SC: The gap in mortality between rural and urban areas has widened over the last 20 years with the overall age-adjusted rate in rural areas increasing from 7% higher than in urban areas in 1999 to 20% higher by 2019.  In addition, higher death rates in rural than urban areas were evident for all 10 leading causes of death with the greatest differences for some of the top causes: heart disease, cancer, and chronic lower respiratory diseases.


Q:  Do you have any predictions to how 2020 death rates will look for urban/rural areas will look?

SC:  We (NCHS) are not into forecasting so I will not speculate, but I can tell you that a report on COVID-19 deaths by urban-rural status for 2020 is planned.


Q:  Any other comments?

SC: In the introduction of the report, we point out that there are health challenges that are greater in rural than urban areas such as more limited access to health care, less health insurance, and more poverty.  Hopefully the findings in this report will alert the research community, health practitioners, and the public that the mortality disparity between rural and urban areas is widening and cannot be pinpointed to just a few causes of death but extends to all 10 leading causes.


QuickStats: Age-Adjusted Death Rates for Cancer, by Urban-Rural Status and Sex — National Vital Statistics System, United States, 1999–2019

September 17, 2021

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Cancer death rates declined among males and females during 1999–2019 in urban areas from 249.6 per 100,000 to 168.4 for males and from 168.2 to 123.9 for females.

Rates also declined in rural areas from 262.4 to 195.6 for males and from 165.4 to 139.2 for females.

Throughout the period, cancer death rates were higher for males than females and in rural compared with urban areas, and the urban-rural differences widened over the period for both males and females.

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

https://www.cdc.gov/mmwr/volumes/70/wr/mm7037a8.htm


QuickStats: Death Rates from Colorectal Cancer by Age Group — United States, 1999–2019

September 7, 2021

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During 1999–2019, deaths per 100,000 persons from colorectal cancer decreased among persons aged 55–64 years (from 33.5 to 24.4), persons aged 65–74 years (from 77.4 to 41.5), and persons aged 75–84 years (from 146.7 to 77.9).

The death rate from colorectal cancer among persons aged 45–54 years generally increased from 1999 (11.1) to 2019 (12.0).

In each year during 1999–2019, the death rate was highest among persons aged 75–84 years and lowest among persons aged 45–54 years.

Source: National Center for Health Statistics, National Vital Statistics System, Mortality Data, 1999–2019. https://www.cdc.gov/nchs/nvss/deaths.htm


Patterns of Mammography, Pap Smear, and Colorectal Cancer Screening Services Among Women Aged 45 and Over

June 9, 2021

NHSR157_SampleQuestions for Yelena Gorina, Health Statistician and Lead Author of “Patterns of Mammography, Pap Smear, and Colorectal Cancer Screening Services Among Women Aged 45 and Over.”

Q: Why did you decide to focus on screening for breast, cervical, and colorectal cancers in women?

YG: I was thinking about this topic since many years ago my step-father who was a gastroenterologist, introduced me to one of his patients who he saved by removing pre-cancerous polyps from her colon.  He was the first one who told me that colon cancer was 90% preventable if the screening would be done on a regular basis.


Q: Can you summarize how the percentage of cancer screenings varied by age groups?

YG: The percentage of cancer screenings varies by age and type of cancer and generally follow The U.S. Preventive Services Task Force recommendations. Percentage of colorectal cancer screening increase from 34% at age 45-54 to 72% at age 75-84 and then drop to 47% at age 85 and over. Percentage of mammography remains about 70% between age 45 and 84 and drops to 31% among those aged 85 and over. Percentage of cervical cancer screening decreases with age gradually from 78% among women 45–54 to 14% among those aged 85 and over.


Q: Do you have trend data for previous years?

YG: The objective of our report was to assess differences in screening for colorectal, breast, and cervical cancers by various characteristics using the data available for 2015 and 2018 National Health Interview Survey. status, behavioral factors, and health care utilization among noninstitutionalized civilian women aged 45 and over. The estimates from the National Center for Health publication Health US 2019 show that prevalence of mammography among women aged 50 and over remains about 65% since 2005;  use of Pap smears among women aged 18+ decreased from 78% in 2005 to 68% in 2018 45-64; and percentage of screening for colorectal cancer among women 50-75 increased from 44% om 2005 to 67% in 2018.


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

YG: A specific findings that surprised me in our report was Non-Hispanic white and black women aged 45-64 are more likely to be screened for breast cancer compared with Hispanic and non-Hispanic Asian women, and that 30% of non-Hispanic Asian women aged 65 and over received no screening for any of the three types of cancer, two times more compared with Hispanic and Non-Hispanic white and black women of the same age.


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

YG: We would like the readers note the disparities in the percentage screened for vulnerable groups of women, especially those with insurance and those without, those with more education and/or poor and those who had more education and not in poverty, and those who live in more rural area and those who live in the metropolitan statistical area.


NCHS UPDATES”STATS OF THE STATES” PAGE WITH LATEST FINAL DATA

March 26, 2021

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The CDC National Center for Health Statistics web page “Stats of the States” has been updated to include the latest state-based final data on selected vital statistics topics, including:

  • General fertility rates
  • Teen birth rates
  • Selected other maternal and infant health measures
  • Marriage & divorce rates
  • Leading causes of death
  • Other high profile causes of death.

The site’s map pages allow users to rank states from highest to lowest or vice versa.  This latest version of “Stats of the States” also includes two new topics:  Life expectancy by state and COVID-19 death rates by state (provisional data on a quarterly basis, through Q3 of 2020).  All death rates are adjusted for age.  Rates are featured in the maps because they best illustrate the impact of a specific measure on a particular state.

The main “Stats of the States” page can be accessed at:  https://www.cdc.gov/nchs/pressroom/stats_of_the_states.htm


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

September 11, 2020

In 2018, the age-adjusted lung cancer death rate in the United States was 34.8 per 100,000.

Twenty-one states had a higher lung cancer death rate than the national rate, 15 states and DC had lower death rates, and 14 states had rates that were not statistically different from the national rate.

Most states with higher death rates were in the Midwest or Southeast. The five states with the highest age-adjusted lung cancer death rates were Kentucky (53.5), West Virginia (50.8), Mississippi (49.6), Arkansas (47.4), and Oklahoma (46.8).

The five jurisdictions with the lowest lung cancer death rates were Utah (16.4), New Mexico (22.5), Colorado (23.0), DC (24.6), and California (25.0).

Sources: National Center for Health Statistics. National Vital Statistics System, mortality data. https://www.cdc.gov/nchs/nvss/deaths.htm; CDC. CDC WONDER online database. https://wonder.cdc.gov/ucd-icd10.html.

https://www.cdc.gov/mmwr/volumes/69/wr/mm6936a8.htm


QuickStats: Percentage of Adults Aged 50–75 Years Who Received Colorectal Cancer Screening by Poverty Status and Year — National Health Interview Survey, United States, 2010 and 2018

July 24, 2020

The percentage of adults aged 50–75 years who received colorectal cancer tests or procedures increased from 58.7% in 2010 to 65.5% in 2018.

The percentage increased from 2010 to 2018 in all income groups: from 37.9% to 53.1% among poor, 47.9% to 56.7% among near poor, and 63.6% to 68.7% among not poor adults.

In both 2010 and 2018, the percentage of adults who received colorectal cancer screening was lowest among poor and highest among not poor adults.

Source: National Health Interview Survey, 2010 and 2018. https://www.cdc.gov/nchs/nhis.htm.

https://www.cdc.gov/mmwr/volumes/69/wr/mm6929a6.htm


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


QuickStats: Percentage of Adults Aged 50–75 Years Who Met Colorectal Cancer (CRC) Screening Recommendations — National Health Interview Survey, United States, 2018

March 20, 2020

March is Colorectal Awareness Month. 67% of U.S. adults aged 50–75 years met the U.S. Preventive Services Task Force recommendations for colorectal cancer screening. Most persons (60.6%) had a colonoscopy in the past 10 years. Cancer screening leads to early detection, and early detection saves lives.

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

https://www.cdc.gov/mmwr/volumes/69/wr/mm6911a7.htm