NCHS Releases New Reports This Week on Hearing Difficulty and Back/Limb pain among U.S. Adults

July 29, 2021

NCHS Releases two new reports this week on hearing difficulty and back/limb pain.

DB414_COver1The first report presents difficulties with hearing even when using a hearing aid among U.S. adults aged 18 and over by level of difficulty and age, sex, and race and Hispanic origin. It also presents estimates of the prevalence of hearing aid use among adults aged 45 and over to focus on the age group with higher rates of hearing difficulties.

Key Findings:

  • In 2019, 13.0% of adults aged 18 and over had some difficulty hearing even when using a hearing aid and 1.6% either had a lot of difficulty hearing or could not hear at all, even when using a hearing aid.
  • Hearing difficulties increased with age with 26.8% of those aged 65 and over having some difficulty and 4.1% having a lot of difficulty or could not hear at all.
  • Among adults aged 45 and over, men were more likely than women to have had some or a lot of difficulty or could
    not hear at all.
  • Non-Hispanic white adults aged 45–64 had higher rates of some difficulty, a lot of difficulty, or being unable to
    hear at all, compared with other race and Hispanic origin groups.
  • In 2019, 7.1% of adults aged 45 and over used a hearing aid; use was higher among men than women in all age groups.

DB415_Cover1The second report provides national estimates of any pain regardless of body region as well as estimates of back, lower limb (hips, knees, or feet), and upper limb (hands, arms, or shoulders) pain in the past 3 months among U.S. adults aged 18 and over by selected sociodemographic characteristics.

Key Findings:

  • In 2019, 39.0% of adults had back pain, 36.5% had lower limb pain, and 30.7% had upper limb pain in the past 3 months.
  • Adults aged 65 and over, women, non-Hispanic white adults, and those with income below 100% of the federal poverty level (FPL) were most likely to experience back pain.
  • Adults aged 18–29 (21.0%), men (33.5%), non-Hispanic Asian adults (20.6%), and those with income 200% of FPL or
    above (35.2%) were least likely to experience lower limb pain.
  • Adults aged 65 and over, women, non-Hispanic white adults, and those with income below 100% of FPL were most likely to experience

Influenza Vaccination in the Past 12 Months Among Children Aged 6 Months–17 Years: United States, 2019

April 15, 2021

21-323150-visual-abstract-db407-child-flu-vacQuestions for Lindsey Black, Health Statistician and Lead Author of “Influenza Vaccination in the Past 12 Months Among Children Aged 6 Months–17 Years: United States, 2019.”

Q: Is this the most recent data you have on this topic?  If so, when will you release 2020 vaccination data?

LB: Yes, this is the most recent data. 2020 data will be released in the fall of 2021.


Q: Do you have influenza vaccination data for adults?

LB: Yes, some information on adults is available in the interactive summary health statistics for adults, located at : https://www.cdc.gov/nchs/nhis/shs.htm


Q: Do you have trend data that goes further back than 2019?

LB: Influenza vaccination has been collected as part of the sample child on NHIS since about 2005. However, in 2019, there were significant changes to the survey and we have not yet evaluated how that may result in a break in the trend, or the appropriateness of assessing trends across survey period (2019 vs earlier than 2019).


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

LB: I found it surprising that the amount of regional differences observed. It is so interesting that starting at the East South Central states, and moving North, we see a gradual improvement to 65.3% of children lving in New England that had a vaccination.


Q: Where can I get COVID vaccination data?  Will this be included in future NHIS data?

NHIS began collecting that and it will be included in the 2021 data release in the fall of 2022. In the meantime, Covid-19 vaccinations in the United States provided by CDC are located at:  https://covid.cdc.gov/covid-data-tracker/#vaccinations


Motor Vehicle Traffic Death Rates, by Sex, Age Group, and Road User Type: United States, 1999–2019

March 18, 2021

A new NCHS report provides national trends in motor vehicle traffic deaths by sex, age group, and type of road user (i.e., motor vehicle occupant, motorcyclist, pedestrian, or pedal cyclist) from 1999 through 2019 using the latest mortality data from the National Vital Statistics System.

Findings:

  • Motor vehicle traffic death rates were stable from 1999 to 2006, declined on average by 8% each year from 2006 (14.5 per 100,000) to 2010 (10.7), and then increased from 2010 through 2019 (11.1).
  • Among males, differences in the rates by age group diminished over time; by 2019, the rate for males aged 15–24, the group with the highest rate in 1999, was lower than the rate for males aged 25–64 and 65 and over.
  • Among females, rates for all age groups decreased from 1999 through 2019.
  • Rates for motor vehicle occupants decreased by 37% from 12.0 in 1999 to 7.6 in 2019.

Dietary Supplement Use Among Adults: United States, 2017–2018

February 25, 2021

NCHS releases a new report that describes recent prevalence estimates for dietary supplement use among U.S. adults, the distribution of the number of dietary supplements used, and the most common types of dietary supplements used.

Trends in dietary supplement use from 2007–2008 through 2017–2018 are also reported.

Findings:

  • Among U.S. adults aged 20 and over, 57.6% used any dietary supplement in the past 30 days, and use was higher among women (63.8%) than men (50.8%).
  • Dietary supplement use increased with age, overall and in both sexes, and was highest among women aged 60 and over (80.2%).
  • The use of two, three, and four or more dietary supplements increased with age, while the percentage of adults not using any dietary supplement decreased with age.
  • The most common types of dietary supplements used by all age groups were multivitamin-mineral supplements, followed by vitamin D and omega-3 fatty acid supplements.
  • From 2007–2008 through 2017–2018, the prevalence of dietary supplement use increased in all age groups among U.S. adults.

Fruit and Vegetable Consumption Among Adults in the United States, 2015–2018

February 5, 2021

A new NCHS report examines the percentage of adults aged 20 and over who consumed fruit and vegetables on a given day by sex and income in 2015–2018 and trends in fruit and vegetable consumption.

Key Findings:

  • More than two-thirds (67.3%) of adults aged 20 and over consumed any fruit on a given day, and fruit consumption was higher among women (70.5%) compared with men (63.8%).
  • Approximately 95% of adults consumed any vegetables on a given day.
  • The percentage of adults who consumed any fruit; citrus, melon, or berries; and other types of whole fruit on a given day increased with income.
  • The percentage of adults who consumed dark green, red and orange, other vegetables, and any vegetable types on a given day increased with income.
  • The percentage of adults who consumed any fruit on a given day decreased from 77.2% in 1999–2000 to 64.9% in 2017–2018, but there was no change in the percentage consuming any vegetables.

Urgent Care Center and Retail Health Clinic Utilization Among Children: United States, 2019

December 3, 2020

Questions for Lindsey Black, Health Statistician and Lead Author of “Urgent Care Center and Retail Health Clinic Utilization Among Children: United States, 2019.”


Q: Why did you decide to research urgent care center and retail health clinic utilization among children? 

LB: This is a growing segment of health care delivery system where many American’s seek both preventative and acute care. In addition, 2019 was the first time that utilization of urgent care was assessed among respondents of the National Health Interview Survey.


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

LB: I was surprised there was not a linear relationship between age and utilization. Often, we see as age increases, service utilization decreases, and other work specific to urgent care utilization has found that adolescents and young adults are more likely to utilize urgent care and retail-based clinic care compared to children.


Q: Can you explain what retail health clinic utilization is?

LB: Urgent care and retail health clinics are facilities that provide health care services to patients and you do not need to make an appointment ahead of time. They can be free standing, or within a grocery store or retail store setting. Services provided often range from routine vaccination to non-emergency acute care.


Q: Is there any trend data for this report?

LB: No. This is the only year of data available that includes urgent care and retail health clinic utilization measures.


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

LB: More than 1 in 4 U.S. children (26.4%) have had one or more visits to an urgent care center or retail health clinic in past year according to 2019 data from the National Health Interview Survey.


Increases in Prepregnancy Obesity: United States, 2016–2019

November 25, 2020

A new NCHS report presents trends in prepregnancy obesity for 2016 through 2019 by maternal race and Hispanic origin, age, and educational attainment. Trends by state for 2016–2019 and 2019 rates also are shown.

Key Findings:

  • Prepregnancy obesity in the United States rose from 26.1% in 2016 to 29.0% in 2019 and increased steadily for non-Hispanic white, non-Hispanic black, and Hispanic women.
  • From 2016 through 2019, prepregnancy obesity increased among women of all ages and was lowest for women under age 20 (20.5% in 2019).
  • From 2016 through 2019, women with less than a bachelor’s degree were more likely to have prepregnancy obesity than those with a bachelor’s degree or higher, but obesity increased over time among all education levels.
  • Compared with 2016, prepregnancy obesity rose in every state but Vermont in 2019.

Chronic Pain and High-impact Chronic Pain Among U.S. Adults, 2019

November 4, 2020

Chronic pain and chronic pain that frequently limits life or work activities, referred to in this report as high-impact chronic pain, are among the most common reasons adults seek medical care and are associated with decreased quality of life, opioid dependence, and poor mental health. This report examines chronic pain and high-impact chronic pain in the past 3 months among U.S. adults aged 18 and over by selected demographic characteristics and urbanization level.

Key Findings:

  • In 2019, 20.4% of adults had chronic pain and 7.4% of adults had chronic pain that frequently limited life or work activities (referred to as high impact chronic pain) in the past 3 months.
  • Chronic pain and highimpact chronic pain both increased with age and were highest among adults aged 65 and over.
  • Non-Hispanic white adults (23.6%) were more likely to have chronic pain compared with non-Hispanic black (19.3%), Hispanic (13.0%), and non-Hispanic Asian (6.8%) adults.
  • The percentage of adults with chronic pain and highimpact chronic pain increased as place of residence became more rural.

Special Diets Among Adults: United States, 2015–2018

November 3, 2020

A new NCHS report  released today shows the percentage of U.S. adults who, on a given day, were on any special diet and specific types of special diets in 2015–2018 and trends from 2007–2008 through 2017–2018.

Key Findings: 

  • In 2015–2018, 17.1% of U.S. adults aged 20 and over were on a special diet on a given day.
  • More women were on a special diet than men, and more adults aged 40–59 and 60 and over were on a special diet than adults aged 20–39.
  • More non-Hispanic white adults (17.8%) were on a special diet than non-Hispanic black (14.7%) and non-Hispanic Asian (14.9%) adults.
  • The most common type of special diet reported among all adults was a weight loss or low-calorie diet.
  • From 2007–2008 through 2017–2018, the percentage of adults on any special diet, weight loss or low-calorie diets, and low carbohydrate diets increased, while the percentage of adults on low-fat or low-cholesterol diets decreased.

Breakfast Intake Among Children and Adolescents: United States, 2015–2018

October 14, 2020

Questions for Ana Terry, Health Statistician and Lead Author of “Breakfast Intake Among Children and Adolescents: United States, 2015–2018.”

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

AT: It was interesting to see that the percentage of breakfast intake among adolescents was more than 20 percentage points lower than younger children: 73% of adolescents aged 12-19 and 96% of children aged 2-5 years old consumed breakfast.


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

AT: We assessed data from the National Health and Nutrition Examination Survey, in which survey participants were asked to report all foods and beverages they consumed in the previous 24 hours, from midnight to midnight. We looked at children and adolescents, aged 2-19 years who reported eating “breakfast” (or “desayuno”).


Q: Is there any trend data that goes back further than 2009-2010?

AT: The National Health and Nutrition Examination Survey has been collecting diet intake information since 1971, for almost 50 years. We focused on breakfast consumption in the past 10 years for this report.


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

AT: Overall, we found that from 2015 to 2018, 82% of children and adolescents consumed breakfast on a given day; breakfast consumption decreased with age and was higher among children & adolescents from families with higher incomes; a lower percentage of non-Hispanic black children and adolescents consumed breakfast; and that milk, cereal, and water were the most commonly reported foods or beverages. The percentage of children and adolescents who consumed breakfast did not change in the past 10 years.


Q: Is there data on lunch and dinner?

AT: Yes, the National Health and Nutrition Examination Survey, which is the source of the data, conducts a 24-hour dietary recall, by which we gather information on all foods and beverages consumed by the participant in the previous 24 hours. Diet intake data is available for researchers to assess which meals and snacks were reported, the time of the day for each meal or snack, and the foods and beverages that were consumed. For this data brief, we focused on breakfast consumption from 2015 to 2018.