40th Annual Report on the Health of the Nation Features Long-Term Trends in Health and Health Care Delivery in the United States

June 28, 2017

CDC today released Health, United States, 2016, the 40th annual report on the health of the nation from the Secretary of Health and Human Services (HHS) to the President and Congress.

This year’s report features a Chartbook on Long-Term Trends in health and health care delivery over the past 40 years. From declines in cigarette smoking and increases in prescription drug use to changes in expenditures for hospitals and home health care, the annual report also explores population changes that have affected patterns of disease, as well as health care access and utilization since 1975. The 27 charts and 114 tables present birth rates and infant mortality, life expectancy and leading causes of death, health risk behaviors, health care utilization and insurance coverage, and health expenditures.

Among the highlights:

  • Between 1975 and 2015, life expectancy increased for the total population and for males and females. However, between 2014 and 2015, life expectancy declined by 0.1 years for the total population, 0.2 for males, and 0.1 for females.
  • The infant mortality rate decreased 63 percent, from 16.07 to 5.90 deaths per 1,000 live births between 1975 and 2015.
  • Between 1975 and 2015, the age-adjusted heart disease death rate decreased 61 percent from 431.2 to 168.5 deaths per 100,000 population. The age-adjusted cancer death rate decreased 21 percent from 200.1 to 158.5 deaths per 100,000 population. Heart disease and cancer remain the top two causes of death in the United States.
  • Between 1974 and 2015, the age-adjusted prevalence of current cigarette smoking declined from 36.9 percent to 15.6 percent among persons aged 25 and over.
  • The age-adjusted percentage of adults aged 20 and over with obesity increased steadily from 22.9 percent in 1988–1994 to 37.8 percent in 2013–2014.
  • Prescription drug use increased for all age groups between 1988-94 and 2013-14. Among adults 65 and over, use of five or more prescription drugs in the past 30 days increased from 13.8 percent to 42.2 percent during the same period.
  • The percentage of persons with an overnight hospital stay was lower in 2015 than in 1975 for males and females under age 75, and was not significantly different in 2015 than in 1975 for males and females aged 75 and over.
  • Between 1975 and 2014, the number of community hospital beds per 1,000 resident population fell by almost one-half from 4.6 to 2.5. The average length-of-stay per hospital stay fell by almost one-third from 7.7 to 5.5 days, and occupancy rates declined almost 16 percent from 75.0 percent to 62.8 percent.

The complete report and related data products are available on the Health, United States website at:
http://www.cdc.gov/nchs/hus.htm

Advertisements

New Infographic Featuring Data on Medical Care Access, Flu Vaccination and Dentists

May 1, 2017

The fourth Health, United States Spotlight from the National Center for Health Statistics is now available online. This infographic features data on medical care access, supply of dentists, and flu vaccination coverage.

The Health, United States Spotlight is released throughout the year and features indicators available in Health, United States—an annual report on the nation’s health submitted by the Secretary of the Department of Health and Human Services to the President and Congress. Each infographic provides up-to-date estimates, technical notes, description of trends, and data highlights in a visual format.

For more information on past and present infographics, please visit: https://www.cdc.gov/nchs/hus/hus_infographic.htm.


Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January-September 2016

February 14, 2017
Michael Martinez, M.P.H., M.H.S.A., Epidemiologist and Health Statistician

Michael Martinez, M.P.H., M.H.S.A., Epidemiologist and Health Statistician

Questions for Michael Martinez, M.P.H., M.H.S.A., Epidemiologist, Health Statistician and Lead Author on “Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January-September 2016

Q: What do you think is the most significant finding in your new study?

MM: I think the most significant finding in this study is the snapshot view of varied health insurance types. While from January through September 2016, among adults aged 18 to 64, 12.3% were uninsured at the time of interview, 20.3% had public coverage, and 69.0% had private health insurance coverage. Among the 136.0 million adults in this age group with private coverage, 9.3 million–or 4.7%–were covered by private health insurance plans obtained through the Health Insurance Marketplace or state-based exchanges during the first 9 months of 2016.


Q: How did health insurance coverage in the United States compare in the first 9 months of 2016 to 2015 and 2010?

MM: We’ve observed a number of changes in health insurance coverage between 2010 and 2015 compared to the first 9 months of 2016. Between 2010 and the first 9 months of 2016, 20.4 million persons of all ages gained coverage. In the first 9 months of 2016, 28.2 million (8.8%) persons of all ages were uninsured at the time of interview, compared with 48.6 million (16.0%) persons in 2010 and 28.6 million (9.1%) persons in 2015. The difference in uninsured estimates between 2015 and the first 9 months of 2016 was not significant.


Q: Where do high-deductible plans through private health insurance fit into 2016 estimates compared to earlier years?

MM: Among private health insurance plans, enrollment in high-deductible health plans has been increasing in recent years. 39.1% of persons under age 65 with private health insurance were enrolled in high-deductible health plans in the first 9 months of 2016. This percentage has increased significantly, from 25.3% in 2010 and from 36.7% in 2015.


Q: What are the trends among race and ethnicity groups in health insurance coverage this year and compared over time?

MM: There’s been quite a bit of change in health insurance coverage among race and ethnicity groups over the years. For example, in the first 9 months of 2016, 24.7% of Hispanic, 15.1% of non-Hispanic black, 8.5% of non-Hispanic white, and 7.8% of non-Hispanic Asian adults aged 18–64 lacked health insurance coverage at the time of interview. Significant decreases in the percentage of uninsured adults were observed between 2013 and the first 9 months of 2016 for Hispanic, non-Hispanic black, non-Hispanic white, and non-Hispanic Asian adults. Hispanic adults had the greatest percentage point decrease in the uninsured rate between 2013 (40.6%) and the first 9 months of 2016 (24.7%).


Q: How is health insurance coverage looking this year for our youngest population – children under 18 years of age?

MM: From January through September 2016, among children under 18 years of age, 5.0% were uninsured at the time of interview, 43.4% had public coverage, and 53.5% had private health insurance coverage. Among the 39.3 million children under 18 years of age with private coverage, 1.7 million or 2.3% were covered by private health insurance plans obtained through the Health Insurance Marketplace or state-based exchanges during the first 9 months of 2016.


Health, United States Spotlight Infographics September 2016

September 21, 2016

hus_0916_screenshotHealth, United States Spotlights are infographics of selected health data available in Health, United States, the annual report on the health of the nation submitted by the Secretary of the Department of Health and Human Services to the President and Congress.

Each Spotlight displays approximately four health indicators allowing users to visualize and interpret complex information from different data systems and Health, United States subject areas.

This infographic features indicators from the report’s Health Care Expenditures & Payers subject area.

The full Health, United States reports are available at:http://www.cdc.gov/nchs/hus.htm


Health, United States Spotlight Infographics Spring 2016

June 13, 2016

Health, United States spotlight16_spring_thumbnailSpotlights are infographics of selected health data available in Health, United States, the annual report on the health of the nation submitted by the Secretary of the Department of Health and Human Services to the President and Congress.

Each Spotlight displays approximately four health indicators allowing users to visualize and interpret complex information from different data systems and Health, United States subject areas. Multiple infographics will be released throughout the year to spotlight important and relevant health data from Health, United States.

The full Health, United States reports are available at:http://www.cdc.gov/nchs/hus.htm


ANNUAL REPORT CARD ON THE NATION’S HEALTH SHOWS RACIAL AND ETHNIC HEALTH DISPARITIES PERSIST

April 27, 2016

hus15_cover_FINALThe U.S. Department of Health and Human Services has released “Health, United States, 2015”. This is the 39th annual report card on the nation’s health, along with a special feature on racial and ethnic health disparities.

The special feature was inspired by the landmark 1985 Report of the Secretary’s Task Force on Black and Minority Health (Heckler Report), which documented significant health disparities among racial and ethnic groups.

Findings:

  • The difference between the highest (non-Hispanic black) and lowest (non-Hispanic Asian or Pacific Islander) infant mortality rates among the five racial and ethnic groups narrowed from 9.41 deaths per 1,000 live births in 1999 to 7.21 in 2013.
  • During 1999–2014 non-Hispanic black mothers experienced the highest percentage of low-risk cesarean deliveries (29.9 percent in 2014) among the five racial and ethnic groups while non-Hispanic American Indian or Alaska Native mothers experienced the lowest (21.5 percent in 2014).
  • Among Hispanic mothers during 1999-2014, Cuban mothers experienced the highest percentage of low-risk cesarean deliveries among the five Hispanic-origin groups (41.4 percent in 2014) while Mexican mothers experienced the lowest (24.1 percent in 2014).
  • In 2011–2014 for children and adolescents aged 2–19 years, Hispanic children and adolescents had the highest prevalence of obesity (21.9 percent) and non-Hispanic Asian children and adolescents had the lowest prevalence (8.6 percent).
  • The difference for women between the highest (non-Hispanic white) and lowest (non-Hispanic Asian) percentages of current cigarette smokers among racial and ethnic groups narrowed from 17.5 percentage points in 1999 to 13.2 in 2014 (percentages are age-adjusted).
  • The difference between the highest and lowest percentage of uninsured adults aged 18-64, narrowed from a difference of 24.9 percentage points in 1999 (Hispanic adults compared with non-Hispanic white adults) to a difference of 19.9 percentage points in the first six months of 2015 (Hispanic adults compared with non-Hispanic Asian adults).
  • In 2014 among adults aged 18-64, Hispanic adults had the highest percentage of those not receiving needed dental care in the past 12 months due to cost (15.7 percent) and non-Hispanic Asian adults had the lowest percentage (6.3 percent).

New Health, United States Spotlight Infographics

February 17, 2016

HUSSpotlight_Winter16_PostageHealth, United States Spotlights are infographics of selected health data available in Health, United States, the annual report on the health of the nation submitted by the Secretary of the Department of Health and Human Services to the President and Congress.

Each Spotlight displays approximately four health indicators allowing users to visualize and interpret complex information from different data systems and Health, United States subject areas. Multiple infographics will be released throughout the year to spotlight important and relevant health data from Health, United States.

The full Health, United States reports are available at: http://www.cdc.gov/nchs/hus.htm