In 2020, the age-adjusted death rate for stroke among adults aged ≥65 years was 260.5 deaths per 100,000 population with rates lower in metropolitan compared with nonmetropolitan areas (259.4 versus 265.5).
The rate was highest among those living in the South (288.2) and lowest among those living in the Northeast (199.1). In the Northeast, the death rate for stroke was lower among adults in metropolitan areas (197.4) than in nonmetropolitan areas (215.7).
In the Midwest and West, death rates for stroke were higher among adults in metropolitan areas (278.0 and 255.4, respectively) than in nonmetropolitan areas (261.4 and 236.4, respectively).
No statistically significant difference was observed between metropolitan and nonmetropolitan areas in the South (287.4 versus 290.9).
Age-adjusted death rates from stroke among adults aged ≥65 years generally declined from 425.9 deaths per 100,000 standard population in 2000 to 250.0 in 2019 before increasing to 260.5 in 2020.
During 2019–2020, stroke death rates increased for Hispanic adults (from 221.6 to 234.0), non-Hispanic Asian or Pacific Islander adults (from 203.9 to 216.4), non-Hispanic Black adults (from 328.4 to 352.2), and non-Hispanic White adults (from 246.2 to 255.0); changes for non-Hispanic American Indian or Alaska Native adults were not significant.
Throughout the 2000–2020 period, death rates for non-Hispanic Black adults were higher than those for adults in other race and Hispanic origin groups.
In 2020, 87.2% of residential care communities offered annual influenza vaccination to residents, and 77.8% offered annual influenza vaccination to all employees and contract staff members.
The percentage of residential care communities offering annual influenza vaccination to residents and to all employees and contract staff members increased with increasing community bed size.
The percentage of communities offering vaccination to residents ranged from 75.2% of communities with four to 10 beds to 91.7% with 11–25 beds, 97.0% with 26–100 beds, and 99.1% with more than 100 beds.
Communities offering vaccination to all employees and contract staff members ranged from 60.9% of communities with four to 10 beds to 80.3% with 11–25 beds, 92.9% with 26–100 beds, and 96.4% with more than 100 beds.
From 2016 to 2020, the percentage of residential care communities using electronic health records increased from 26% to 41%.
The percentage using electronic health records increased from 28% to 41% for 11–25 bed communities, 35% to 54% for 26–50 bed communities, 43% to 71% for 51–100 bed communities, and 50% to 74% for more than 100 bed communities.
The change (from 12% to 14%) was not significant for 4–10 bed communities.
During 1999–2020, 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 population in 1999 to 291.5 in 2020. Among persons aged 75–84 years, the rate increased from 31.5 to 67.9, and among those aged 65–74 years, the rate increased from 9.0 to 18.2.
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.
Significant differences in the age distribution of deaths by race and ethnicity were observed in the United States during 2020.
Decedents aged <65 years accounted for 26% of all U.S. deaths, but they accounted for approximately 50% of deaths among American Indian or Alaska Native (AI/AN) and Native Hawaiian or other Pacific Islander (NH/OPI) persons, 40% of deaths among Black or African American (Black) and Hispanic or Latino (Hispanic) persons, and 20% of deaths among Asian and White persons.
Smaller differences were noted among persons aged 65–84 years. Among persons aged ≥85 years, the pattern was reversed, with the percentage of all deaths ranging from approximately 11% among AI/AN and NH/OPI persons to 33% for Asian and White persons.
In 2020, age-adjusted suicide rates among females increased as the level of urbanization declined, from 4.6 per 100,000 population in large central metropolitan areas to 7.1 in small metropolitan areas, but were similar for small metropolitan, micropolitan, and noncore areas.
Rates among males were lowest in large central areas (16.9) and increased as the level of urbanization declined to 33.7 in noncore areas. Males had higher death rates than females for each corresponding urbanization level.
During 2020, 88.7% of children and adolescents aged 6–17 years had roads, sidewalks, paths, or trails in their neighborhood or near their home where they could walk or ride a bicycle.
Availability of these spaces was less common among children and adolescents who lived in families with incomes <200% of FPL (85.6%) than among those in families with incomes ≥200% of FPL (90.5%) and was consistent among children and adolescents in both urban (89.4% versus 93.9%) and rural (64.9% versus 77.4%) areas.
Regardless of income, availability of spaces to walk or ride a bicycle was lower among children and adolescents living in rural areas (73.4%) than among those in urban areas (92.1%).