QuickStats: Percentage of Deaths, by Place of Death — National Vital Statistics System, United States, 2000–2018

May 15, 2020

The percentage of deaths from all causes that occurred in a hospital decreased from 48.0% in 2000 to 35.1% in 2018.

During that period, the percentage of deaths that occurred in the decedent’s home increased from 22.7% to 31.4%, and the percentage that occurred in a long-term care facility (hospice, nursing home, long-term care) increased from 22.9% to 26.8%.

Source: National Vital Statistics System. Underlying cause of death data, 2000–2018. https://wonder.cdc.gov/ucd-icd10.html.


QuickStats: Age-Adjusted Suicide Rates by State — National Vital Statistics System, United States, 2018

May 1, 2020

In 2018, the U.S. suicide rate was 14.2 per 100,000 standard population, with rates varying by state.

The five states with the highest age-adjusted suicide rates were Wyoming (25.2), New Mexico (25.0), Montana (24.9), Alaska (24.6), and Idaho (23.9).

The five jurisdictions with the lowest suicide rates were the District of Columbia (7.5), New Jersey (8.3), New York (8.3), Rhode Island (9.5), and Massachusetts (9.9).

Source: National Vital Statistics System. Underlying cause of death data, 1999–2018. https://wonder.cdc.gov/ucd-icd10.html.

https://www.cdc.gov/mmwr/volumes/69/wr/mm6917a4.htm


Marriage Rates in the United States, 1900–2018

April 29, 2020

Questions for Sally Curtin, Health Statistician and Lead Author of “Marriage Rates in the United States, 1900–2018.”

Q: Why did you decide to do a report on marriages?

SC: NCHS computes and publishes marriage rates every year, in total and by State.  As we were working on the 2018 rates, we noticed that the rate had declined yet again, to an all-time low.  This prompted us to write a report looking at the trend over the long term, to help put the 2018 rate in perspective.


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

SC: The marriage rate had been declining since the early 1980s and by 2003 the rate had dropped below the previous low of 7.9 during the heart of the Great Depression (1932).  The rate had leveled off from 2009 to 2017 but then dropped again by 6% from 2017 to 2018.   This most recent drop after leveling off at a relatively low level does make you wonder how low it will go.


Q: Do you have any data on U.S. marriage rates before 1900?

SC: Yes, federal data on marriage go back to 1867 and are published in a previous report which also includes a detailed history of the marriage and divorce reporting.  However, the data from 1867-1899 were less reliable and often not national so we focused on 1900-2018 in this report.  Nonetheless, the 2018 marriage rate of 6.5 per 1,000 is lower than any of the rates from 1867-1899, which ranged between 8.6 and 9.6 per 1,000.


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

SC: The message is that a declining trend in the marriage rate which began in the early 1980s has continued into the 21st century and now the rate is at an all-time low, even lower than in the heart of the Great Depression.


Q: Do you have demographic breakdowns of U.S. marriage rates?

SC: NCHS collects counts of marriages but no longer collects detailed information on marriages—the characteristics of brides and groom from marriage certificates.  This collection ceased in the mid-1990s due to budgetary and priority considerations. But we do know from other data sources, namely data from the Current Population Survey from the Census Bureau, that the average age at first marriage has continued to increase and is about age 30 for males now and age 28 for females.


Fact or Fiction: Is the marriage rate in America at the lowest it’s been in over a century?

April 29, 2020

Source: National Vital Statistics System, 1910-2018

https://www.cdc.gov/nchs/data/hestat/marriage_rate_2018/marriage_rate_2018.htm


QuickStats: Age-Adjusted Drug Overdose Death Rates by State — United States, 2018

April 17, 2020

In 2018, 23 states and DC had drug overdose death rates that were higher than the national rate of 20.7 per 100,000.

Except for Arizona and New Mexico, states with higher rates were in the eastern part of the country, including the two states with the highest rates: West Virginia (51.5) and Delaware (43.8). Twenty-four states had rates that were lower than the national rate; the states with the lowest rates were Nebraska (7.4) and South Dakota (6.9).

Three states (Illinois, Nevada, and Utah) had rates that were not statistically different from the national rate.

Source: National Center for Health Statistics, National Vital Statistics System, Mortality Data. https://www.cdc.gov/nchs/deaths.htm.

https://www.cdc.gov/mmwr/volumes/69/wr/mm6915a5.htm


Provisional Drug Overdose Death Counts (thru September 2019)

April 16, 2020

Provisional data in the United States shows that the reported number of drug overdose deaths occurring in the United States decreased by 0.9% from the 12 months ending in September 2018 to the 12 months ending in September 2019, from 68,421 to 67,839.

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


Increase in Suicide Mortality in the United States, 1999–2018

April 8, 2020

Questions for Holly Hedegaard, Health Statistician and Lead Author of “Increase in Suicide Mortality in the United States, 1999–2018.”

Q: Are there any major changes in the suicide rates rate from 2017 to 2018?

HH: The suicide rate in 2018 (14.2 per 100,000) is slightly higher than the rate in 2017 (14.0).


Q: Can you summarize how the rates data varied by sex, age groups and urbanicity?

HH: The report looks at suicide rates from 1999 through 2018. Suicide rates in 2018 were higher than in 1999 for males and females in all age groups under age 75. Among females, suicide rates from 1999 through 2018 were highest for those aged 45–64 and lowest for those aged 10–14. Among males, suicide rates were highest for those aged 75 and over and lowest for those aged 10–14. After years of increase, the suicide rates for several demographic groups have stabilized in recent years. These include females aged 45 and over, and males aged 45–64. Females aged 10–44, males aged 10–44, and males 65 and over continue to experience increasing trends in suicide rates. In 2018, the suicide rate for females in the most rural counties was 1.6 times the rate for females in the most urban counties. A similar pattern was seen for males where the suicide rate in the most rural counties was 1.7 times the rate for males in the most urban counties.


Q: Are you able to break down the data by race?

HH: The National Center for Health Statistics (NCHS) has data on suicide rates by race and ethnicity, however those results are not presented in this report. Data can be accessed via an on-line query system CDC WONDER at: https://wonder.cdc.gov/


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

HH: It was promising to see that after years of increase, the suicide rates for several demographic groups, including females aged 45 and over and males aged 45–64, have stabilized in recent years.


Q: Do you have any predictions for the 2019 suicide data?

HH: The National Center for Health Statistics (NCHS) prepares quarterly provisional estimates for many of the leading causes of death. See  https://www.cdc.gov/nchs/nvss/vsrr/mortality-dashboard.htm. The quarterly provisional estimates suggest that the age-adjusted suicide death rate for the 12-month period ending in June 2019 was 14.2, which is the same as the age-adjusted death rate of 14.2 for the 12-month period ending in June 2018. This would suggest that by midyear of 2019, the suicide rate was similar to the rate in midyear 2018 (no increase or decrease).