QuickStats: Age-Adjusted Death Rates by State — United States, 2017

March 15, 2019

In 2017, the overall U.S. death rate was 731.9 per 100,000 standard population; rates varied by state.

The five states with the highest age-adjusted death rates were West Virginia (957.1 deaths per 100,000 standard population), Mississippi (951.3), Kentucky (929.9), Alabama (917.7), and Oklahoma (902.4).

The five states with the lowest death rates were Hawaii (584.9), California (618.7), New York (623.6), Connecticut (651.2), and Minnesota (656.4).

Source: National Vital Statistics System. Underlying cause of death data, 1999–2017. https://wonder.cdc.gov/ucd-icd10.html

https://www.cdc.gov/mmwr/volumes/68/wr/mm6810a7.htm 

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Dementia Mortality in the United States, 2000–2017

March 14, 2019

A new NCHS report presents data on mortality attributable to dementia. Data for dementia as an underlying cause of death from 2000 through 2017 are shown by selected characteristics such as age, sex, race and Hispanic origin, and state of residence.

Trends in dementia deaths overall and by specific cause are presented. The reporting of dementia as a contributing cause of death is also described.

Key Findings:

  • In 2017, a total of 261,914 deaths attributable to dementia as an underlying cause of death were reported in the United States. Forty-six percent of these deaths were due to Alzheimer disease.
  • In 2017, the age-adjusted death rate for dementia as an underlying cause of death was 66.7 deaths per 100,000 U.S. standard population. Age-adjusted death rates were higher for females (72.7) than for males (56.4).
  • Death rates increased with age from 56.9 deaths per 100,000 among people aged 65–74 to 2,707.3 deaths per 100,000 among people aged 85 and over.
  • Age-adjusted death rates were higher among the non-Hispanic white population (70.8) compared with the non-Hispanic black population (65.0) and the Hispanic population (46.0).
  • Overall, age-adjusted death rates for dementia increased from 2000 to 2017.
  • Rates were steady from 2013 through 2016, and increased from 2016 to 2017. Patterns of reporting the individual dementia causes varied across states and across time.

QuickStats: Death Rates Attributed to Excessive Cold or Hypothermia Among Persons Aged 15 Years or Older, by Urbanization Level and Age Group

February 22, 2019

During 2015–2017, death rates attributed to excessive cold or hypothermia increased steadily with age among those aged 15 years or older in both metropolitan and nonmetropolitan counties.

The rate for persons aged 85 years or older reached 3.8 deaths per 100,000 in metropolitan counties and 7.3 in nonmetropolitan counties.

The lowest rates were among those aged 15–24 years (0.2 in metropolitan counties and 0.5 in nonmetropolitan counties). In each age category, death rates were lower in metropolitan counties and higher in nonmetropolitan counties.

Source: National Center for Health Statistics, National Vital Statistics System, Mortality Data 2015–2017.

https://www.cdc.gov/mmwr/volumes/68/wr/mm6807a8.htm


Educational Attainment of Mothers Aged 25 Years and Over: United States, 2017

February 21, 2019

Questions for Brady E. Hamilton, Ph.D., Demographer, Statistician, and Lead Author of “Educational Attainment of Mothers Aged 25 Years and Over: United States, 2017.”

Q: Why study education attainment of mothers in the United States?

BH: Educational attainment of the mother is considered an important measure of socioeconomic status. Maternal education has been shown to be associated with the number of births per woman, timing of childbearing, contraceptive use, and risk of adverse birth outcomes. Women with higher educational attainment have been shown to be more likely to desire and give birth to fewer children and are less likely to engage in behaviors detrimental to their health and pregnancy.


Q: How did you obtain data on educational attainment of mothers?

BH: Information on the educational attainment of mother shown in the report is based on data from 100% of the birth certificates filed in the states and District of Columbia in 2017. The birth certificate includes a question on the highest degree or level of school completed by the mother at the time of delivery. Data collected from the birth certificates on this and other items are provided to the National Center for Health Statistics.


Q: How did educational attainment of mother vary by race and state in 2017?

BH: Large differences in maternal educational attainment are observed by race and Hispanic origin and by state. For example, for mothers aged 25 and over with a Bachelor’s or advanced degree in 2017,  levels ranged from a low of 12.7% and 13.2% for non-Hispanic American Indian or Alaska Native and Native Hawaiian or Other Pacific Islander mothers to a high of 67.9% for non-Hispanic Asian mothers. By state, the percentage of births to mothers aged 25 and over with a Bachelor’s or advanced degree ranged from a low of 26.6% for Nevada to a high of 58.5% for the District of Columbia.


Q: Do you have trend data on educational attainment of mothers that goes back 10 or 20 years?

BH: No, this report is the first to present information on the educational attainment of mothers in the United States in more than 20 years. During this time, comparable data on the education level of mothers were not available for all of the states and District of Columbia and so national data could not be produced. Comparable national data on the education level became available only recently, in 2016. The last report to present national data on the educational attainment was published in 1997 (https://www.cdc.gov/nchs/data/mvsr/supp/mv45_10s.pdf .


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

BH: The range in the mean number of live births by level of educational attainment is certainly noteworthy. The difference in the mean between women with less than a 12th grade education with no diploma and women with an advanced degree is nearly 1 whole birth. In addition, the wide range in the percentage of births by educational attainment for the race and Hispanic origin groups and state, mentioned above, were also notable.


QuickStats: Death Rates for Motor Vehicle Traffic Injury, by Age Group — National Vital Statistics System, United States, 2015 and 2017

February 15, 2019

From 2015 to 2017, death rates for motor vehicle traffic injury increased for persons aged 15 years or older.

For infants and children younger than 15 years there was no statistically significant change from 2015 to 2017, and this group had the lowest death rate (2.0 deaths per 100,000) in 2017.

The highest death rate in 2017 was for persons aged 75 years or older (19.1), followed by a 15.3 death rate for persons aged 15–34 years, and 12.8 for persons aged 35–54 and 55–74 years.

Source: National Vital Statistics System. Underlying cause of death data, 1999–2017.

https://www.cdc.gov/mmwr/volumes/68/wr/mm6806a8.htm?


Updated Provisional Drug Overdose Death Data: 12-Month Ending from July 2017-July 2018

February 13, 2019

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


Drugs Most Frequently Involved in Drug Overdose Deaths: United States, 2011–2016

December 12, 2018

Questions for Lead Author Holly Hedegaard, M.D., M.S.P.H., Health Statistician, and author of “Drugs Most Frequently Involved in Drug Overdose Deaths: United States, 2011–2016.”

Q: Is there a specific finding in this report that surprised you?

HH: During the six years of the study, the relative ranking of the drugs most frequently involved in drug overdose deaths changed. In 2011, the drug most frequently involved in drug overdose deaths was oxycodone, in 2012-2015 was heroin and in 2016 was fentanyl. In 2016, fentanyl was involved in nearly 30% of the drug overdose deaths in the United States.

The drugs most frequently involved in drug overdose deaths also varied by the intent of the death. In 2016, the drugs most frequently involved in unintentional (accidental) drug overdose deaths were fentanyl, heroin and cocaine, while the drugs most frequently mentioned in suicides by drug overdose were oxycodone, diphenhydramine, hydrocodone, and alprazolam.


Q: How is the data in this report different from the recently released drug overdose data brief and provisional drug overdose numbers produced by NCHS?

HH: The drug overdose data brief and the provisional drug overdose numbers produced by NCHS involve analysis of death certificate data coded using the International Classification of Diseases, Tenth Revision (ICD-10). One limitation of this classification system is that, with a few exceptions, ICD–10 codes reflect broad categories of drugs rather than unique specific drugs.

In the National Vital Statistics Report, NCHS uses data from the literal text on death certificates to identify the specific drugs involved in the death. Using this method, we can look at the number of deaths involving specific drugs, such as oxycodone, hydrocodone, or fentanyl, for example, rather than be limited to the broader categories found with ICD-10 coded data, such as natural and semi-synthetic opioids or synthetic opioids other than methadone.


Q: What did your report find on the percentage of drug overdose deaths mentioning at least one specific drug or substance?

HH: Using the literal text to identify the specific drugs involved is dependent on whether or not the specific drugs are reported on the death certificate. The specificity of reporting has improved in recent years. In 2011, the specific drugs or drug classes involved were reported for 78% of drug overdose deaths; in 2016, the reporting increased to nearly 88% of drug overdose deaths.


Q: Do you have data that goes further back than 2011?

HH:  A previous report looked at the drugs most frequently involved in drug overdose deaths in 2010-2014. That report is available at https://www.cdc.gov/nchs/data/nvsr/nvsr65/nvsr65_10.pdf


Q: Do you have data on drugs most frequently involved in drug overdose deaths that goes up to 2017?  If not, when do you expect that will be available?

NCHS does not currently have information on the drugs most frequently involved in drug overdose deaths in 2017. NCHS is currently preparing the data files for analysis. The results for 2017 will be available in 2019.


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

HH: The patterns in the specific drugs most frequently involved in drug overdose deaths can change from year to year. Complete and accurate reporting in the literal text on death certificates of the specific drugs involved provides critical information needed for understanding and preventing drug overdose deaths.