QuickStats: Death Rates from Unintentional Falls Among Persons Aged ≥65 Years, by Age Group — National Vital Statistics System, United States, 1999–2018

November 13, 2020

From 1999 to 2018, death rates from unintentional falls among persons aged ≥65 years increased among all age groups.

The largest increase occurred among persons aged ≥85 years, from 110.2 per 100,000 in 1999 to 270.5 in 2018.

For persons aged 75–84 years, the rate increased from 31.5 to 63.1, and among those aged 65–74 years, the rate increased from 9.0 to 16.8.

Throughout the period, rates were highest among persons aged ≥85 years, followed by rates among persons aged 75–84 years, and were lowest among persons aged 65–74 years.

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/69/wr/mm6945a10.htm

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Differences in Characteristics of Adult Day Services Centers, by Level of Medical Service Provision

October 23, 2020

A new NCHS report provides estimates of the most current nationally representative distribution of adult day services centers (ADSCs) and participants by level of the center’s medical service provision. It also examines differences in organizational characteristics, participant characteristics, and geographical characteristics of ADSCs by medical service provision.

Findings:

  • In 2016, 16.1% of ADSCs were nonmedical, 30.6% were low medical, 39.7% were moderate medical, and 13.5% were high medical.
  • Daily attendance, Medicaid licensure, nurse staffing levels, use of electronic health records and any health information exchange with physicians, pharmacies, and hospitals all increased with increasing level of medical service provision.
  • Among participants, there was a significant increase by increasing level of medical service provision in the percentage of participants who were Hispanic and non-Hispanic races other than white or black, aged 65 and over, diagnosed with selected conditions, needed assistance with any activities of daily living, lived in a private residence alone, had Medicaid, and had any adverse events.
  • The percentage of centers located in metropolitan statistical areas and those located in the Northeast and South census regions increased with increasing level of medical service provision.

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Posted by briantsai

QuickStats: Death Rates from Influenza and Pneumonia Among Persons Aged 65 Years or Older

October 9, 2020

In 2018, the death rate from influenza and pneumonia among persons aged 65 years or older was 93.2 deaths per 100,000 population.

Death rates increased with age from 31.7 deaths per 100,000 population among adults aged 65–74 years, to 94.2 among adults aged 75–84 years, to 377.6 among those aged 85 years or older.

Rates increased with age for both men and women, and in each age group the death rates were higher for men than for women.

Source: National Vital Statistics System mortality data. https://www.cdc.gov/nchs/nvss/deaths.htm.

https://www.cdc.gov/mmwr/volumes/69/wr/mm6940a5.htm

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Posted by briantsai

QuickStats: Prevalence of Complete Tooth Loss Among Adults Aged 65 Years or Older by Federal Poverty Level — National Health and Nutrition Examination Survey, United States, 1999–2018

September 18, 2020

The age-adjusted prevalence of complete tooth loss among adults aged 65 years or older decreased from 29.3% during 1999–2000 to 12.6% during 2017–2018.

For the same period, the prevalence decreased from 42.1% to 23.5% for adults living at less than 200% of the federal poverty level and from 17.7% to 8.5% for adults living at more than 200% of the federal poverty level.

Throughout the period, the prevalence of complete tooth loss was higher among those living at less than 200% of the federal poverty level.

Sources: Fleming E, Afful J, Griffin SO. Prevalence of tooth loss among older adults: United States, 2015–2018. NCHS data brief, no. 368. https://www.cdc.gov/nchs/products/databriefs/db368.htm. National Center for Health Statistics, National Health and Nutrition Examination Survey, 2015–2018. https://www.cdc.gov/nchs/nhanes.htm.

https://www.cdc.gov/mmwr/volumes/69/wr/mm6937a8.htm

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Selected Financial Burdens of Health Care Among Families With Older Adults, by Family Composition: United States, 2017–2018

July 15, 2020

Questions for Robin Cohen, Health Statistician and Lead Author of “Selected Financial Burdens of Health Care Among Families With Older Adults, by Family Composition: United States, 2017–2018.”

Q: Why did you decide to do a report on financial burdens to health care among U.S. families with older adults?

RC: Living arrangements are associated with financial status. Sharing financial resources may offer financial stability to the family.  Financial stability has been associated with one’s ability to pay for medical expenses. However, little is known how financial burdens for medical care differ among older adult families in the United States.

Q: Can you summarize some of the data in the report?

RC: About 8.6% of families with older adults experienced problems paying medical bills and 8.9% had forgone medical care. Older-adult families with at least one child were most likely to experience problems paying medical bills and to have forgone medical care. Older-adult families with only two older adults were the least likely to have experienced problems paying medical bills and to have forgone medical care.

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

RC: After adjusting for selected family characteristics in multivariate analyses, the odds of experiencing problems paying medical bills and forgone medical care weakened for all family compositions but remained significantly lower for families with only two older adults.

Q: Is there any trend data that goes back further than 2017?

RC: This is the first time that we have looked at older adult families with the National Health Interview Survey (NHIS). However, NHIS data is available to examine this issue back to 2011.

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

RC: The findings from this report support the premise that older-adult families with different family compositions experience different levels of financial barriers to medical care.

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QuickStats: Percentage of Adults Aged ≥65 Years Who Received Care at Home From a Nurse or Other Health Care Professional During the Past 12 Months

July 10, 2020

In 2018, the percentage of adults aged ≥65 years who received care at home from a nurse or other health care professional during the past 12 months increased with age from 4.5% for adults aged 65–69 years, to 8.2% for those aged 70–74 years and 13.2% for those aged ≥75 years.

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

https://www.cdc.gov/mmwr/volumes/69/wr/mm6927a7.htm

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Shingles Vaccination Among Adults Aged 60 and Over: United States, 2018

July 9, 2020

Questions for Emily Terlizzi, Health Statistician and Lead Author of “Shingles Vaccination Among Adults Aged 60 and Over: United States, 2018.”

Q: Can you summarize how the data varied by sex, age group, race and Hispanic origin, and education?

ET: In 2018, the percentage of adults aged 60 and over who had ever received a shingles vaccine was higher among older adults, non-Hispanic whites, and those who were not poor or had more than a high school diploma or GED. Shingles receipt did not significantly differ by sex.

Q: Are there any trend data that goes back further than 2008?

ET: NHIS trend data on shingles vaccination is not available before 2008, as this was the first year the NHIS asked about this vaccination.

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

ET: Shingles vaccination has increased since 2008, however, disparities in receipt of this vaccination still remain.

Q: What resources does the CDC have on shingles vaccination?

ET: The CDC has a lot of useful information online about shingles vaccination. For more information, please visit:

Click to access db370-h.pdf

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QuickStats: Percentage of Adults Aged 18 Years or Older with Disability by Diagnosed Diabetes Status and Age Group

May 22, 2020

In 2018, among adults aged 18 years or older, those ever receiving a diagnosis of diabetes were more likely to have disability than those never receiving a diagnosis of diabetes (27.1% versus 8.1%).

This pattern was consistent among adults aged 18–44 (16.3% versus 4.4%), 45–64 (24.5% versus 8.1%), and 65 years or older (33.3% versus 18.5%).

Regardless of diabetes status, the percentage of adults with disability increased with age.

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

https://www.cdc.gov/mmwr/volumes/69/wr/mm6920a5.htm

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Trends in electronic health records use among residential care communities: United States 2012, 2014, and 2016

March 3, 2020

Questions for Christine Caffrey Health Statistician and Lead Author of “Trends in electronic health records use among residential care communities: United States 2012, 2014, and 2016.”

Q: Why did you decide to focus on electronic health records use and support for health information exchange among residential care communities?

CC: Since how health information is organized and shared has the potential to affect the quality and efficiency of care and improve communication and facilitate care coordination, especially during care transitions, we wanted to get a national view of how many residential care communities are using electronic health records and have support for health information exchange.

Also, as the Federal Health IT Strategic Plan 2015–2020, established by the Office of the National Coordinator for Health Information Technology, aims to advance health information technology, it is important to understand trends in EHR use and health information exchange capability over time in various health care sectors, including long-term care settings such as residential care communities.

Q: How did the data vary?

CC: We examined several characteristics of residential care communities to see whether electronic health record use and computerized support for health information exchange with physicians or pharmacies were different over time.  What we found was that the percentage of residential care communities that used electronic health records increased between 2012 and 2016 overall (20% to 26%), and increased for all bed size categories, profit and nonprofit ownership, chain and nonchain affiliation, six out of nine census divisions, and metropolitan and non-metropolitan statistical areas.

Among residential care communities reporting electronic health record use, computerized support for health information exchange with physicians or pharmacies also increased between 2012 and 2016 overall (47.2% to 55.0%), and among communities that had more than 100 beds, were for profit, chain affiliated, located in the East North and East South Central census divisions, and in both metropolitan and non-metropolitan statistical areas.

Q: Can you explain what is considered a residential care community?

CC: Residential care communities provide care to persons who cannot live independently but generally do not require the skilled care provided by nursing homes.

Residential care places are known by different names in different states. We refer to all of these places and others like them as residential care communities.  Just a few terms used to refer to these places are assisted living, personal care, and adult care homes, facilities, and communities; adult family and board and care homes; adult foster care; homes for the aged; and housing with services establishments.

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

CC: In 2016, electronic health record use was higher in residential care communities in non-metropolitan statistical area (33.0%) compared with residential care communities in metropolitan areas (24.5%).

The percentage of residential care communities with more than 100 beds that used EHRs and had the capability to exchange health information increased from 48.4% in 2012 to 64.9% in 2016.

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

CC: The percentages of residential care communities that use electronic health records and have support for health information exchange with physicians and pharmacies are increasing over time, and the increases vary based on the organizational and geographic characteristics of the residential care communities.

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Cognitive Performance in Adults Aged 60 and Over, NHANES 2011-2014

September 18, 2019

Questions for Debra Brody, Lead Author of ”Cognitive Performance in Adults Aged 60 and Over, NHANES 2011-2014.”

Q: What was your objective in conducting this study?

DB: Our objective was to describe the cognitive performance, based on objective assessments, of U.S. adults aged 60 and over. We examined selected areas of cognition such as language, memory, attention, reasoning, and processing speed.

Q: Is this a topic you have looked at before?

DB: Cognitive performance has been evaluated periodically in the National Health and Nutrition Examination Survey, but the assessment method and age group has not always been the same.  Of the assessments conducted during 2011-2014, only one had been administered previously.

Q: Which cognitive tests were administered?

DB: Cognitive performance was evaluated with selected standardized instruments, including a 10 word list learning test consisting of 3 immediate recalls, and a delayed recall; a 1 minute animal naming test, and the digit symbol substitution test that required matching numbers with symbols.  There are other subdomains of cognitive ability that were not assessed. The tests were administered during the examination portion of the survey.

Q:  What are your most important findings from this study?

DB: Cognitive assessment scores varied by sociodemographic characteristics.  Overall, mean scores decreased with increasing age; for example, persons 80 years and older, on average, named 5 fewer animals  and remembered 2 fewer words than persons in the 60-69 year old category.   We also found that mean scores were lower for persons with less education and income, for persons reporting fair or poor health status, and for those who were aware of a change in their memory over the past year.  These results are generally consistent with other published studies.

Q: What is the main point you want people to take away from this study?

DB: The report showed the wide range of cognitive performance among adults 60 and older in the U.S.  Further examination of these data in relation to other medical conditions may provide insight in understanding how cognition changes as we age.

 

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