QuickStats: Age-Adjusted Rates of Drug Overdose Deaths Involving Heroin, by Race/Ethnicity — National Vital Statistics System, United States, 1999–2017

September 20, 2019

From 1999 to 2005, the overall age-adjusted rate of drug overdose deaths involving heroin in the United States remained stable at approximately 0.7 deaths per 100,000 population.

The rate increased slightly from 0.7 in 2005 to 1.0 in 2010 and further increased to a high of 4.9 in 2016 and 2017.

From 2010 to 2017, rates generally increased for each of the racial/ethnic groups shown, with the highest rates observed for non-Hispanic whites. In 2017, the rates were 6.1 for non-Hispanic whites, 4.9 for non-Hispanic blacks, and 2.9 for Hispanics.

Source: National Center for Health Statistics, National Vital Statistics System mortality data. https://www.cdc.gov/nchs/deaths.htm.

https://www.cdc.gov/mmwr/volumes/68/wr/mm6837a5.htm

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Updated Provisional Drug Overdose Death Data: 12-Month Ending from February 2018- February 2019

September 11, 2019

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


QuickStats: Age-Adjusted Death Rates for Parkinson Disease Among Adults Aged 65 Years or Older

September 6, 2019

From 1999 to 2017, age-adjusted death rates for Parkinson disease among adults aged 65 years or older increased from 41.7 to 65.3 per 100,000 population.

Among men, the age-adjusted death rate increased from 65.2 per 100,000 in 1999 to 97.9 in 2017.

Among women, the rate increased from 28.4 per 100,000 in 1999 to 43.0 in 2017. Throughout 1999–2017, the death rates for Parkinson disease for men were higher than those for women.

Source: National Center for Health Statistics, National Vital Statistics System, Mortality Data 1999–2017. https://www.cdc.gov/nchs/data_access/vitalstatsonline.htm.

https://www.cdc.gov/mmwr/volumes/68/wr/mm6835a6.htm


Mortality Patterns Between Five States With Highest Death Rates and Five States With Lowest Death Rates: United States, 2017

September 5, 2019

Mortality in the United States varies widely by state . A new NCHS report compares average age-adjusted death rates by sex, race and ethnicity, and five leading causes of death between a group of five states with the highest age-adjusted death rates (Alabama, Kentucky, Mississippi, Oklahoma, and West Virginia) and a group of five states with the lowest age-adjusted death rates (California, Connecticut, Hawaii, Minnesota, and New York) in 2017.

Key Findings:

  • The average age-adjusted death rate for the five states with the highest rates (926.8 per 100,000 standard population) was 49% higher than the rate for the five states with the lowest rates (624.0).
  • Age-specific death rates for all age groups were higher for the states with the highest rates compared with the states with the lowest rates.
  • Age-adjusted death rates were higher for non-Hispanic white and non-Hispanic black populations but lower for the Hispanic population in states with the highest rates than in states with the lowest rates.
  • The age-adjusted death rates for chronic lower respiratory diseases and unintentional injuries for the states with the highest rates (62.0 and 65.5, respectively) were almost doubled compared with the states with the lowest rates (31.0 and 35.8).

QuickStats: Rate of Alcohol-Induced Deaths Among Persons Aged 25 Years or Older, by Age Group

August 26, 2019

Rates of alcohol-induced deaths for persons aged 45–64 years increased from 17.3 per 100,000 population in 1999 to 26.0 in 2017.

For persons aged 25–44 years, rates declined from 1999 to 2005, were stable from 2005 to 2012, and then increased from 2012 (4.8) to 2017 (6.3).

A similar pattern was observed for persons aged ≥65 years, with an initial decline, a stable period, and then an increase from 2011 (12.0) to 2017 (16.4).

Source: National Vital Statistics System, Mortality Data, 1999–2017. https://www.cdc.gov/nchs/nvss/deaths.htm.

https://www.cdc.gov/mmwr/volumes/68/wr/mm6833a5.htm


Mortality trends by race and ethnicity among adults aged 25 and over: United States, 2000–2017

July 23, 2019

Questions for Lead Author Sally Curtin, Health Statistician, of “Mortality trends by race and ethnicity among adults aged 25 and over: United States, 2000–2017.”

Q: What is different in this report from what you released in the 2017 final deaths report?

SC: The 2017 final death report shows death rates by race and ethnicity for 5- and 10-year age groups.  The difference is that we are using broad age groups to categorize adults and examining mortality trends:

  • Young adults 25-44
  • Middle-aged 45-64
  • Elderly 65+

Q: Why did you decide to focus on death rates by race and ethnicity for this report?

SC: Compared with death rates for non-Hispanic white (NHW) adults, traditionally rates for non-Hispanic black (NHB) have been the higher while rates for Hispanic have been lower.  We wanted to see if these differences were narrowing or widening.  We also wanted to examine whether trends were similar among the race/ethnicity groups for the three age groups of adults.


Q: How did the data vary by age groups?

SC: Trends differed by age group.  For NHW, NHB and Hispanic, all groups experienced increases over the period for young adults 25-44, NHW and NHB experienced increases for middle-aged adults 45-64, and all groups experienced declines in death rates for the elderly.


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

SC: A couple of very interesting findings. First, all race/ethnicity groups are seeing increases in death rates for young adults aged 25-44, by 21% since 2012 for NHW and NHB.  Also, death rates for elderly adults ages 65+ are now higher for NHW than NHB.


Q: Why did the death rate decline for U.S. Hispanic adults?

SC: Some of the causes of death which have caused the rates to stop declining, or even to increase, among NHW and NHB have not affected Hispanic adults similarly.  For example, a recent report showed that heart disease death rates have been increasing among middle-aged NHW and NHB adults, but not for Hispanic adults.

 

 


Unintentional Injury Death Rates in Rural and Urban Areas: United States, 1999–2017

July 16, 2019

Questions for Lead Author Henry Olaisen, EIS Fellow, of “Unintentional Injury Death Rates in Rural and Urban Areas: United States, 1999–2017.”

Q: Can you define what an unintentional injury death is?  Is there a difference in the term accidental death?

HO: Unintentional injury deaths consist of those deaths involving injuries for which there are no evidence of predetermined intent, meaning intention of harm to self or others. In 2017, the leading causes of unintentional deaths in the U.S. were drug overdose, motor vehicle crashes, and falls.

Unintentional injury deaths are a subset of injury deaths, and exclude those that are intentional (e.g. where there is intent to harm) and those where intent is unknown. Among drug overdose deaths, unintentional drug deaths comprise 87% of all deaths due to overdose.


Q: Do you have data that directly corresponds with this report that goes back further than 1999?

HO: We here at the CDC’s National Center for Health Statistics have data dating back to 1959. Given our focus on unintentional injury and the changing patterns of where people live and work in the U.S., we focused on the most recent 18 years, as they are trend patterns that not only tell an important story, but can guide decision-makers and inform new policies to avoid these types of preventable deaths in the near future.


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

HO: We were surprised that drug overdose death rates are not only growing fastest in the last three years in suburban counties (“large fringe counties”), but that the rate of drug overdose deaths is now (in 2017) highest in small metro and suburban counties(“large fringe counties), and lowest in rural counties.


Q: Why do you think there is a difference in unintentional injury deaths from rural and urban areas?

HO: We observed differences in trends and patterns of unintentional injury deaths using mortality data from the   National Center for Health Statistics. Determining the reasons for the difference is a really important next step, and not something we looked at in this report. We at the National Center for Health Statistics encourage scientists to use these data to help us understand the underlying causes for these observed trends and patterns.


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

HO: Unintentional injury death rates – which are preventable deaths, are on the rise, with a steeper increase since 2014. Between 2014 and 2017, large fringe metro counties had the largest increase in unintentional drug overdose rates; small metro had the largest increase in motor vehicle death rates; and rural counties had the largest increase in death rates due to unintentional falls. While motor vehicle deaths have historically been the leading cause of unintentional deaths for several decades, in 2013 unintentional overdose deaths became the leading cause of unintentional deaths.