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NCHS Data Brief

Joyce A Martin, Brady E Hamilton, Michelle J K Osterman
This report presents selected highlights from 2017 final birth data on key demographic, health care utilization, and infant health indicators. General fertility rates (the number of births per 1,000 females aged 15-44 years) and teen birth rates are presented by race and Hispanic origin. The use of Medicaid as the source of payment for the delivery and preterm birth rates are presented by the age of the mother. Data for 2017 are compared with 2016 for each indicator.
August 2018: NCHS Data Brief
Robin A Cohen, Emily P Zammitti
High-deductible health plans (HDHPs) are health insurance policies with higher deductibles than traditional insurance plans. Individuals with HDHPs pay lower monthly insurance premiums but pay more out of pocket for medical expenses until their deductible is met. An HDHP may be used with or without a health savings account (HSA). An HSA allows pretax income to be saved to help pay for the higher costs associated with an HDHP (1). This report examines enrollment among adults aged 18-64 with employmentbased private health insurance coverage by plan type and demographic characteristics...
August 2018: NCHS Data Brief
Elizabeth C W Gregory, Patrick Drake, Joyce A Martin
Perinatal mortality (late fetal death at 28 weeks or more and early neonatal death under age 7 days) can be an indicator of the quality of health care before, during, and after delivery (1,2). The U.S. perinatal mortality rate based on the date of the last normal menses (LMP) declined 30% from 1990-2011, but was stable from 2011-2013 (1,3). In 2014, National Center for Health Statistics (NCHS) transitioned to the use of the obstetric estimate of gestational age (OE), introducing a discontinuity in perinatal measures for earlier years (4,5)...
August 2018: NCHS Data Brief
Chinagozi Ugwu, Colleen Nugent
People may choose to adopt a child for several reasons, including starting or growing a family, infertility, legal acknowledgment of a parental relationship with a nonbiological child, or for humanitarian reasons (1,2). Since 1973, the National Survey of Family Growth (NSFG) has gathered data from women on adoption and adoption-related topics (3-7). Using data from NSFG, this report provides the most recent estimates on current adoption and adoption-related behaviors among women aged 18-44 in the United States in 2011-2015...
July 2018: NCHS Data Brief
Crescent B Martin, Kirsten A Herrick, Neda Sarafrazi, Cynthia L Ogden
Almost 40% of adults in the United States had obesity in 2015-2016 (1). Obesity is associated with a range of serious health risks (2). Individuals may have multiple motivations for trying to losing weight, including health and appearance reasons (3). This report describes the percentage of U.S. adults who tried to lose weight in the past year by sex, age, race and Hispanic origin, family income, and weight status, based on data collected in the National Health and Nutrition Examination Survey (NHANES) from 2013 -2016...
July 2018: NCHS Data Brief
Jiaquan Xu
Liver cancer (including intrahepatic bile duct cancer) was the ninth leading cause of cancer death in 2000 and rose to sixth in 2016 (1). Although death rates for all cancer combined have declined since 1990, a recent report documented an increasing trend in liver cancer death rates during 1990-2014 (2,3). In this report, trends in liver cancer death rates are examined by sex, race and Hispanic origin, and age group from 2000 through 2016 for adults aged 25 and over. Death rates in 2016 by state and the District of Columbia (D...
July 2018: NCHS Data Brief
Joyce A Martin, Michelle J K Osterman
Infants born before 37 weeks of gestation, commonly referred to as preterm, are at greater risk of early death than those born later in pregnancy and can suffer numerous health and developmental problems, especially at earlier gestational ages (1-3). The incidence of preterm birth in the United States rose from the early 1980s through 2006 but declined from 2007 through 2014 (4-6). Recent data for 2014-2016, however, indicate that the preterm rate is on the rise again (6). This report describes trends in total, early (less than 34 weeks), and late (34-36 weeks) preterm births by plurality, race and Hispanic origin of the mother, and state of residence during 2014-2016...
June 2018: NCHS Data Brief
Jill J Ashman, Pinyao Rui, Titilayo Okeyode
In 2015, most Americans had a usual place to receive health care (85% of adults and 96% of children) (1,2). The majority of children and adults listed a doctor's office as the usual place they received care (1,2). In 2015, there were an estimated 990.8 million office-based physician visits in the United States (3,4). This report examines visit rates by age and sex. It also examines visit characteristics-including insurance status, reason for visit, and services-by age. Estimates use data from the 2015 National Ambulatory Medical Care Survey (NAMCS)...
June 2018: NCHS Data Brief
Donald Cherry, Michael Albert, Linda F McCaig
In 2016, mental illness affected about 45 million U.S. adults (1). Although mental health-related office visits are often made to psychiatrists (2), primary care physicians can serve as the main source of treatment for patients with mental health issues (3); however, availability of provider type may vary by geographic region (3,4). This report uses data from the 2012-2014 National Ambulatory Medical Care Survey (NAMCS) to examine adult mental healthrelated physician office visits by specialty and selected patient characteristics...
June 2018: NCHS Data Brief
T J Matthews, Brady E Hamilton
The birth rate for teen mothers aged 15-19 declined 57% from 2000 through 2016. During this time, the rate for young adolescent mothers aged 10-14 also declined. Childbearing by very young mothers is a matter of public concern because of the elevated health risks for these mothers and their infants and the socioeconomic consequences. This report describes recent trends and variations in births to young mothers aged 10-14 by race and Hispanic origin and state.
April 2018: NCHS Data Brief
Eleanor Fleming, Joseph Afful
Dental caries is the most common chronic disease among youth aged 6-19 years. Untreated caries can cause pain and infections. Monitoring prevalence of untreated and total caries (untreated and treated) is key to preventing and controlling oral diseases. This report presents the prevalence of total and untreated caries in primary or permanent teeth among youth aged 2-19 years for 2015-2016, and trends from 2011-2012 through 2015-2016.
April 2018: NCHS Data Brief
Lindsay S Womack, Lauren M Rossen, Joyce A Martin
Low birthweight (LBW) is among the leading causes of infant death in the United States (1). LBW infants are also more likely to have health problems (2). After reaching its highest level in four decades, the LBW rate among all births declined from 2006 to 2014 (3,4), but the trend reversed in 2015 and 2016 when the LBW rate increased (4), moving further away from the Healthy People 2020 goal of reducing LBW rates to 7.8% of live births (5). This report shows trends in LBW, moderately low birthweight (MLBW), and very low birthweight (VLBW) by race and Hispanic origin from 2006 to 2016 for singleton births only, as rates of multiple births can impact LBW rates (4,6)...
March 2018: NCHS Data Brief
Debra J Brody, Laura A Pratt, Jeffery P Hughes
Major depression is a common and treatable mental disorder characterized by changes in mood, and cognitive and physical symptoms over a 2-week period (1). It is associated with high societal costs (2) and greater functional impairment than many other chronic diseases, including diabetes and arthritis (3). Depression rates differ by age, sex, income, and health behaviors (4). This report provides the most recent national estimates of depression among adults. Prevalence of depression is based on scores from the Patient Health Questionnaire (PHQ-9), a symptom-screening questionnaire that allows for criteria-based diagnoses of depressive disorders (5)...
February 2018: NCHS Data Brief
Danielle M Ely, Donna L Hoyert
The leading causes of infant death vary by age at death but were consistent from 2005 to 2015 (1-6). Previous research shows higher infant mortality rates in rural counties compared with urban counties and differences in cause of death for individuals aged 1 year and over by urbanization level (4,5,7,8). No research, however, has examined if mortality rates from the leading causes of infant death differ by urbanization level. This report describes the mortality rates for the five leading causes of infant, neonatal, and postneonatal death in the United States across rural, small and medium urban, and large urban counties defined by maternal residence, as reported on the birth certificate for combined years 2013-2015...
February 2018: NCHS Data Brief
Patrick Drake, Anne K Driscoll, T J Mathews
Maternal tobacco use during pregnancy has been linked to a host of negative infant and child outcomes, including low birthweight, preterm birth, and various birth defects (1-5). The 2003 revision of the U.S. Standard Certificate of Live Birth included new and modified items on maternal cigarette smoking before and during pregnancy. The 2016 natality data file is the first for which this information is available for all states and the District of Columbia (D.C.). This report presents the prevalence of cigarette smoking at any time during pregnancy among women who gave birth in 2016 in the United States by state of residence as well as maternal race and Hispanic origin, age, and educational attainment...
February 2018: NCHS Data Brief
Geraldine McQuillan, Deanna Kruszon-Moran, Elaine W Flagg, Ryne Paulose-Ram
Herpes simplex virus types 1 and 2 (HSV-1 and HSV-2) are common, lifelong infections, which often have no symptoms (1). People with symptoms may have painful blisters or sores at the site of infection (2,3). The viruses are transmitted through contact with an infected person’s lesion, mucosal surface, or genital or oral secretions. This report provides recent national estimates of HSV-1 and HSV-2 antibody prevalence from the 2015–2016 National Health and Nutrition Examination Survey (NHANES) among persons aged 14–49 by age, sex, and race and Hispanic origin, and examines trends in prevalence by race and Hispanic origin from 1999–2000 to 2015–2016...
February 2018: NCHS Data Brief
Lindsey I Black, Emily P Zammitti, Howard J Hoffman, Chuan-Ming Li
In recent years, there has been increased awareness and prevention efforts toward reducing concussion incidence. Previous research has most often estimated the prevalence of concussions among youth using medical claims data (1–4). In the 2016 National Health Interview Survey (NHIS), parents or guardians answered questions about whether their children have ever had a significant head injury or concussion. This report presents estimates of parent-reported lifetime significant head injuries among children aged 3–17 years, providing information about head injuries beyond those that were medically attended...
February 2018: NCHS Data Brief
Margaret J Hall, Pinyao Rui, Alexander Schwartzman
An estimated 30 million Americans have diabetes, of whom 26 million are aged 45 and over (1). Healthy eating and exercise can prevent diabetes progression (1,2). Around 12 million emergency department (ED) visits in 2015 were by patients aged 45 and over with diabetes, representing 24% of ED visits by patients aged 45 and over and 80% of diabetes ED visits by patients of all ages (3). This report presents data on ED visits by patients aged 45 and over with diabetes, defined as visits for which diabetes is mentioned as either a diagnosis or as one of a set of conditions that the patient is reported to have...
February 2018: NCHS Data Brief
Christine Caffrey, Manisha Sengupta
Residents of residential care communities are persons who cannot live independently but generally do not require the skilled care provided by nursing homes. On any given day in 2016, an estimated 811,500 residents were in residential care communities (1,2). As the population ages, the numbers in residential care communities will likely increase, creating a sizeable group within the long-term care population. This report presents national estimates of selected characteristics of residential care community residents in 2016 and compares them by community size...
February 2018: NCHS Data Brief
Anne K Driscoll, Michelle J K Osterman
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) seeks to improve fetal development and reduce the incidence of low birth weight, preterm birth, and maternal anemia through intervention during pregnancy (1). Prenatal WIC receipt is associated with lower infant mortality and stronger cognitive development among toddlers and children (2,3). All states and the District of Columbia reported information on maternal receipt of WIC food during pregnancy on the birth certificate for the first time in 2016 based on the question, “Did you receive WIC food for yourself because you were pregnant with this child?” This report describes prenatal WIC receipt in the United States in 2016 by state and by maternal age, race and Hispanic origin, and education...
January 2018: NCHS Data Brief
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