QuickStats: Percentage of Adults Aged 65 Years or Older Who Saw Selected Types of Health Professionals in the Past 12 Months, by Diagnosed Diabetes StatusMay 22, 2017
In 2015, adults aged 65 years or older with diagnosed diabetes were more likely than adults without diagnosed diabetes to report seeing general doctors (92.3% compared with 86.7%); eye doctors (66.9% compared with 56.6%); physician specialists (51.5% compared with 45.5%); foot doctors (29.9% compared with 13.0%) and mental health professionals (6.3% compared with 4.5%) in the past 12 months.
Those with diabetes were less likely than those without diabetes to report seeing a dentist or dental hygienist in the past 12 months (54.5% compared with 65%).
QuickStats: Number of Deaths from 10 Leading Causes by Sex — National Vital Statistics System, United States, 2015April 24, 2017
In 2015, a total of 1,339,226 deaths among females and 1,373,404 deaths among males occurred.
Heart disease and cancer were the top two causes of death for both females and males; other leading causes varied in rank by sex.
The 10 leading causes of death accounted for approximately three-quarters of all deaths.
CDC’s National Center for Health Statistics has updated its “Stats of the States” feature on the NCHS web site. This resource features the latest state-by-state comparisons on key health indicators ranging from birth topics such as teen births and cesarean deliveries to leading causes of death and health insurance coverage.
Tabs have been added to the color-coded maps to compare trends on these topics between the most recent years (2015 and 2014) and going back a decade (2005) and in some cases further back.
To access the main “Stats of the States” page, use the following link:
Early Release of Selected Estimates Based on Data From the January–September 2016 National Health Interview SurveyFebruary 23, 2017
Questions for Tainya C. Clarke, Ph.D., M.P.H., Health Statistician and Lead Author on the “Early Release of Selected Estimates Based on Data From the January–September 2016 National Health Interview Survey.”
Q: What health measures does this report look at?
TC: The measures covered in this report are lack of health insurance coverage and type of coverage, having a usual place to go for medical care, obtaining needed medical care, receipt of influenza vaccination, receipt of pneumococcal vaccination, obesity, leisure–time physical activity, current cigarette smoking, alcohol consumption, human immunodeficiency virus (HIV) testing, general health status, personal care needs, serious psychological distress, diagnosed diabetes, and asthma episodes and current asthma. Three of these measures (lack of health insurance coverage, leisure-time physical activity, and current cigarette smoking) are directly related to Healthy People 2020 Leading Health Indicators.
Q: How do you collect your data for these surveys?
TC: The data is collected by household interview surveys that are fielded continuously throughout the year by the National Center for Health Statistics (NCHS). Interviews are conducted in respondents’ homes. Health and socio-demographic information is collected on each member of all families residing within a sampled household. Within each family, additional information is collected from one randomly selected adult (the “sample adult”) aged 18 years or older and one randomly selected child (the “sample child”) aged 17 years or younger. NHIS data is collected at one point in time so we cannot determine causation. Data presented in this report are quarterly data and are preliminary.
Q: What are some of the findings that you would highlight in this early release report?
TC: Here are some findings from the early release report:
• The percentage of persons of all ages who had a usual place to go for medical care decreased, from 87.9% in 2003 to 85.4% in 2010, and then increased to 88.3% in January–September 2016.
• The percentage of persons who failed to obtain needed medical care due to cost increased, from 4.3% in 1999 to 6.9% in 2009 and 2010, and then decreased to 4.4% in January–September 2016.
• The percentage of adults aged 65 and over who had ever received a pneumococcal vaccination increased from 63.5% in 2015 to 67.3% in January–September 2016.
• The prevalence of obesity among U.S. adults aged 20 and over increased, from 19.4% in 1997 to 30.6% in January–September 2016.
• In the third quarter of 2016, 52.8% of U.S. adults aged 18 and over met the 2008 federal physical activity guidelines for aerobic activity (based on leisure-time activity). This was higher than the third quarter of 2015 estimate of 49.5%.
• The prevalence of current cigarette smoking among U.S. adults declined, from 24.7% in 1997 to 15.3% in 2015 and remained low through the third quarter of 2016 (15.9%).
• During January–September 2016, men were more likely to have had at least 1 heavy alcohol drinking day (31.6%) in the past year compared with women (18.6%).
• The prevalence of diagnosed diabetes among adults aged 18 and over increased, from 5.1% in 1997 to 9.2% in 2010, and has since remained stable through January–September 2016.
Q: What do the findings in this report tell us about the health of the country overall?
TC: Since 2010, the percentage of uninsured persons has decreased by almost 50% (16.0% vs 8.8%) and the percentage of persons who failed to obtain needed medical care due to cost has also shown a significant decline during the same time period (6.9% to 4.4%). These two indicators demonstrate increased access to healthcare from 2010 to September 2016.
Q: Are there any trends in this report that Americans should be concerned about?
TC: Although in the 3rd quarter of 2016, 52.8% of U.S. adults met the 2008 federal physical activity guidelines for aerobic activity; obesity is an epidemic that has seen a steady increase since 1997 and now affects just under one third (30.6%) of U.S. adults.
Questions for Maria A. Villarroel, Ph.D., Health Statistician and Lead Author on “Vaccination Coverage Among Adults With Diagnosed Diabetes: United States, 2015.”
Q: Why did you decide to look at vaccination coverage with diagnosed diabetes?
MV: Persons with diabetes are at an increased risk for complications from vaccine-preventable infections, and a number of these of vaccines are recommended for adults living with diabetes. We wanted to examine the vaccine coverage among different segments of adults with diagnosed diabetes. This report describes the receipt of select vaccinations among adults with diagnosed diabetes by sex, age, race and ethnicity, and poverty status.
Q: Overall, which vaccinations were more prevalent for adults with diagnosed diabetes?
MV: We examined vaccination coverage for influenza, pneumococcal, hepatitis B and shingles among adults with diagnosed diabetes. Among adults aged 18 and over with diagnosed diabetes, influenza vaccination (61.6%) was more prevalent than pneumococcal (52.6%) and hepatitis B (17.1%) vaccination. The shingles vaccine is indicated for those aged 60 and older and we found that fewer than 3 in 10 (27.2%) adults aged 60 and over with diagnosed diabetes had been vaccinated for shingles.
Q: How did the vaccination rates for adults with diagnosed diabetes vary by age?
MV: We compared vaccination coverage for influenza, pneumococcal and hepatitis B among adults diagnosed with diabetes who were aged 18-44, 45-59, 60-74 and 75 and over. Vaccination coverage was not the same across age groups. Vaccination for influenza and pneumococcal disease increased with age. In contrast, vaccination for Hepatitis B decreased with age. We also examined vaccination coverage for shingles among adults aged 60 and over, and those who were aged 75 and over were likely to have been vaccinated than those aged 60-74.
Q: How did the vaccination rates for adults with diagnosed diabetes vary by race and ethnicity?
MV: We compared vaccination coverage among adults with diagnosed diabetes who were Hispanic, Non-Hispanic white, non-Hispanic black and Non-Hispanic Asian. Non-Hispanic white adults were more likely than non-Hispanic black and Hispanic adults to have been vaccinated for influenza in the past year and to have ever been vaccinated for pneumococcal disease and shingles at some point in the past. Non-Hispanic Asian adults were more likely than non-Hispanic black and Hispanic adults to have been vaccinated for influenza, but these groups did not differ from one another on pneumococcal and shingles vaccination.
Q: Were there any findings that surprised you?
MV: It was surprising to see the difference in the vaccination coverage for vaccines that are recommended for all adults with diabetes. In addition to differences by age and race and ethnicity, we observed wide differences in vaccination coverage by income status. Adults with diagnosed diabetes who were not living in poverty were consistently the most likely group to have been vaccinated for influenza, pneumococcal disease, hepatitis B, and shingles. From other reports, diagnosed diabetes is more common among poor and near poor adults, yet this report showed that these group are the least likely to get vaccinated.
Any Visit to the Eye Doctor in the Past 12 Months Among Adults Diagnosed With Diabetes, by Years Since Diabetes Diagnosis and by Age: United States, 2012-2013August 5, 2015
Increasing time since diabetes diagnosis is strongly associated with severe vision loss. A comprehensive eye examination by an optometrist or ophthalmologist at least annually or biannually is recommended for persons with diabetes, to identify changes in the blood vessels of the retina. The effectiveness of treatment is well established, warranting screening for diabetic retinopathy and for assessing retinopathy progression. However, the use of select health screenings and therapeutic services may be less common in younger adults with diabetes.
A new NCHS Health E-Stat provides information on the percentage of U.S. adults with diagnosed diabetes who visited an eye doctor in the past year, by years since diabetes diagnosis and by age group, using data from the 2012–2013 National Health Interview Survey. Survey respondents were asked about having seen an “optometrist, ophthalmologist, or eye doctor” in the past year, but they were not asked about the services provided at the visit (including assessment of retinopathy).
Diabetes is a chronic medical condition that affects 1 in 10 adults in the United States. Diabetes can affect multiple organs and lead to serious health complications. Ongoing medical care is recommended for persons of any age who have diabetes in order to manage levels of glucose, obtain preventive care services, and treat diabetes-related complications.
A new NCHS report describes differences by age in the utilization of selected medical care services among adults aged 18 and over with diagnosed diabetes, based on data from the 2013 National Health Interview Survey.
Key Findings from the Report:
- Nine percent of adults aged 18 and over have diagnosed diabetes, and more than 8 in 10 of these adults had contact with a doctor or health care professional in the past 6 months.
- The percentage of adults with diagnosed diabetes who were taking any medication to control their glucose levels increased with age.
- The percentage of adults with diagnosed diabetes who had contact with an eye or foot care specialist in the past 12 months increased with age.
- Among adults with diagnosed diabetes, those aged 18–39 were the least likely to have had their blood pressure or blood cholesterol checked by a doctor, nurse, or other health professional during the past 12 months.
The trend in U.S. life expectancy since 1900 has been gradually improving. In 2010, life expectancy at birth was 78.7 years, an increase of 11% since 1970. For the white population, life expectancy increased 10%, and for the black population the increase was 17%. Nevertheless, differences in life expectancy by race have been observed and have persisted at least since official estimates have been recorded.
A new report from NCHS looks at these disparities by looking at the leading causes of death and how these causes influence life expectancy at birth. In this report, differences in the leading causes of death among black and white populations are examined to determine which causes contributed to the difference in life expectancy between the black and white populations in 2010.
Key Findings from the Report:
- In 2010, life expectancy for the black population was 3.8 years lower than that of the white population. This difference was due to higher death rates for the black population for heart disease, cancer, homicide, diabetes, and perinatal conditions.
- Life expectancy for black males was 4.7 years lower than that of white males. This difference was due to higher death rates for black males for heart disease, homicide, cancer, stroke, and perinatal conditions.
- Life expectancy for black females was 3.3 years lower than that of white females. This difference was due to higher death rates for black females for heart disease, cancer, diabetes, perinatal conditions, and stroke.