QuickStats: Percentage of U.S. Women Aged 50–74 Years Who Have Ever Had Breast Cancer by Race and Hispanic Origin

January 25, 2019

During 2015–2017, 5.3% of U.S. women aged 50–74 years had ever been told they had breast cancer.

Non-Hispanic white women were more likely to have ever been told they had breast cancer (6.1%) compared with Hispanic women (3.2%) and non-Hispanic black women (3.6%).

There was no significant difference in the prevalence of breast cancer between Hispanic and non-Hispanic black women.

Source: National Health Interview Survey, 2015–2017

https://www.cdc.gov/mmwr/volumes/68/wr/mm6803a6.htm

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Total Fertility Rates by State and Race and Hispanic Origin: United States, 2017

January 10, 2019

Questions for Brady E. Hamilton, Ph.D., Demographer, Statistician, and Lead Author of “Total Fertility Rates by State and Race and Hispanic Origin: United States, 2017

Q: Why did you decide to do a report on the total fertility rate in the United States?

BH: We produced this report because we were interested in what differences there were in the total fertility rate (TFR) by state and population group (race and Hispanic origin). This report presents the TFR for each state in 2017, both overall and for the three largest population groups — non-Hispanic white, non-Hispanic black, and Hispanic. As noted in the report, fertility levels affect the size and composition of the population, and family size is associated with female labor force participation and economic growth, as well as other social and economic changes.


Q: Can you explain what the total fertility rate is and how is it different from the general fertility rate and crude birth rate?

BH: The total fertility rate is the number of births expected for a (hypothetical) group of 1,000 women over their lifetime, assuming the current age-specific birth rate hold. The crude birth rate and general fertility rate measure the number of births occurring for either the whole population or the population of women in their childbearing years (ages 15-44 year) in a given year. The TFR, on the other hand, estimates the number of births for women over a generation. For that reason, the TFR can be used to ascertain whether the number of births is at “replacement,” that is, the level at which a given group of women can exactly replace themselves (generally considered to be 2,100 births per 1,000 women for the TFR).


Q: How did total fertility rates vary by state and race in 2017?

BH: Differences in the total fertility rates among the states by race and Hispanic origin were considerable. For non-Hispanic white women, the TFR for Utah (2,099.5, the highest) was more than double the TFR for the District of Columbia (1,012.0, the lowest). For non-Hispanic black women, the TFR for Maine (4,003.5) was 3.5 times higher than that for Wyoming (1,146.0). For Hispanic women, the TFR for Alabama (3,085.0) was 2.6 times higher than the TFR for Vermont (1,200.5). In addition, there were no states with TFRs above replacement for non-Hispanic white women in 2017. However, for non-Hispanic black women, the TFRs for 12 states was above replacement. The TFRs for Hispanic women were above replacement in 29 states.


Q: Do you have trend data on total fertility rates that goes back 10 or 20 years?

BH: The report includes only data for 2017. However, trend data for the total fertility rate at the national level, by race and Hispanic origin group, are available from Births: Final Data for 2017 (https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_08-508.pdf), Births: Final Data for 2015 (https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf), and Trends and Variations in Reproduction and Intrinsic Rates: United States, 1990-2014 (https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_02.pdf). In general, the TFR has declined over the last six decades, with the TFR being below replacement for all but two years (2006 and 2007) since 1971. In 2017, the rates for all groups were below replacement.


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

BH: The range between the highest and lowest total fertility rate among the states by race and Hispanic origin groups is noteworthy. As we mentioned, for non-Hispanic white women, the TFR for Utah was more than double the TFR for the District of Columbia. For non-Hispanic black women, the TFR for Maine was 3.5 times higher than that for Wyoming. For Hispanic women, the TFR for Alabama was 2.6 times higher than the TFR for Vermont.


QuickStats: Age-Adjusted Death Rates from Lung Cancer by Race/Ethnicity — National Vital Statistics System, United States, 2001–2016

August 6, 2018

During 2001–2016, the lung cancer death rates for the total population declined from 55.3 to 38.3 as well as for each racial/ethnic group shown.

During 2001–2016, the death rate for the non-Hispanic black population decreased from 63.3 to 41.2, for the non-Hispanic white population from 57.7 to 41.5, and for the Hispanic population from 23.9 to 16.6.

Throughout this period, the Hispanic population had the lowest death rate.

SOURCE: CDC/National Center for Health Statistics, National Vital Statistics System, 2001–2016, Mortality. CDC Wonder online database. https://wonder.cdc.gov/ucd-icd10.html.

https://www.cdc.gov/mmwr/volumes/67/wr/mm6730a8.htm?


QuickStats: Breast Cancer Death Rates Among Women Aged 50–74 Years, by Race/Ethnicity — National Vital Statistics System, United States, 2006 and 2016

June 4, 2018

The U.S. death rate from breast cancer among all women aged 50–74 years decreased 15.1%, from 53.8 per 100,000 in 2006 to 45.7 in 2016.

In both 2006 and 2016, the death rate was higher among non-Hispanic black women compared with non-Hispanic white women and Hispanic women.

From 2006 to 2016, the death rate from breast cancer decreased for non-Hispanic white women from 54.6 per 100,000 to 46.2, for Hispanic women from 34.8 to 31.0, and for non-Hispanic black women from 71.7 to 64.1.

Source: National Vital Statistics System, 2006 and 2016. https://wonder.cdc.gov/ucd-icd10.html.

https://www.cdc.gov/mmwr/volumes/67/wr/mm6721a8.htm


Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, 2017

May 22, 2018

Questions for Robin Cohen, Ph.D., Health Statistician and Lead Author on “Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, 2017

Q: What were some of the major findings in your full-year 2017 health insurance estimates?

RC: In 2017, 29.3 million persons were uninsured at the time of interview. This is 19.3 million fewer persons than in 2010. In 2017, 9.1% were uninsured, 36.2% had public coverage, and 62.6% had private coverage at the time of interview.


Q: What are the trends among race and ethnicity groups who were uninsured in 2017 and compared over time?

RC: In 2017, 27.2% of Hispanic, 14.1% of non-Hispanic black, 8.5% of non-Hispanic white, and 7.6% 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 from 2013 through 2017 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 from 2013 (40.6%) through 2016 (25.0%). The observed increase among Hispanic adults between 2016 and 2017 (27.2%) was not significant.


Q: What does your data show this year for Americans who have high-deductible health insurance plans compared to previous years?

RC: In 2017, 43.7% of persons under age 65 with private coverage were enrolled in a high-deductible health plan (HDHP). Enrollment in HDHPs has increased 18.4 percentage points from 25.3% in 2010 to 43.7% in 2017. More recently, the percentage enrolled in an HDHP increased from 39.4% in 2016 to 43.7% in 2017.


Q: What do you see in state-level estimates of health insurance coverage this year?

RC: Among the 18 states presented in this report, there were no significant changes in the percentages of uninsured among persons aged 18–64 between 2016 and 2017.


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

RC: The take-home message from this report is found in the number of Americans who no longer lack health insurance. In 2017, 29.3 million (9.1%) persons of all ages were uninsured at the time of interview. This estimate is not significantly different from 2016, but there are 19.3 million fewer uninsured persons than in 2010.

 


QuickStats: Age-Adjusted Death Rates for Drug Overdose by Race/Ethnicity — National Vital Statistics System, United States, 2015–2016

April 2, 2018

During 2015–2016, the age-adjusted death rates from drug overdose for the total population increased from 16.3 per 100,000 standard population to 19.8 (21.5%).

The rate increased from 21.1 to 25.3 (19.9%) for non-Hispanic whites, from 12.2 to 17.1 (40.2%) for non-Hispanic blacks, and from 7.7 to 9.5 (23.4%) for Hispanics.

Source: National Vital Statistics System, Underlying cause of death data, 1999–2016. https://wonder.cdc.gov/ucd-icd10.html.

https://www.cdc.gov/mmwr/volumes/67/wr/mm6712a9.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).