Health United States -2019-

1 Health United States -2019- Copyright informationPermission has been obtained from the copyright holders to reproduce certain quoted material in this report. Further reproduction of this material is prohibited without specific permission of the copyright holder. All other material contained in this report is in the public domain, and may be used and reprinted without special permission; source citation, however, is citationNational Center for Health Statistics. Health , United States , 2019 . Hyattsville, MD. 2021. DOI: Department of Health and Human ServicesNorris Cochran Acting SecretaryCenters for Disease Control and PreventionRochelle P.

2 Walensky, , Center for Health StatisticsBrian C. Moyer, H. Madans, Deputy DirectorHealth, United States , 2019 iiiPrefaceHealth, United States , 2019 is the 43rd report on the Health status of the nation and is submitted by the Secretary of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act. This report was compiled by the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention. The Health , United States series presents an annual overview of national trends in key Health indicators.

3 The 2019 report presents current information and trends on selected measures of morbidity, mortality, Health care utilization and access, Health risk factors, prevention, Health insurance, and personal Health care expenditures in a 20-figure Chartbook. The Health , United States , 2019 Chartbook is supplemented by several other products, including Trend Tables, an At-a-glance Table, Appendixes, and Spotlight Infographics available for download from the Health , United States website at: 2019 EditionThe Health , United States , 2019 Chartbook contains 20 figures and associated data tables on Health and Health care in the United States .

4 Examining trends in Health informs the development, implementation, and evaluation of Health policies and programs. The first section (Figures 1 13) focuses on Health status and determinants: life expectancy, infant mortality, selected causes of death, drug overdose deaths, suicide, maternal mortality, teen births, preterm singleton births, use of tobacco products, current asthma among children, hypertension, heart disease and cancer, and functional limitation. The second section (Figures 14 and 15) presents trends in Health care utilization: use of mammography and colorectal tests and procedures, and unmet need due to cost.

5 The third section (Figures 16 and 17) focuses on Health care resources supply of dentists and physicians. The fourth section (Figures 18 20) describes trends in personal Health care expenditures, Health insurance coverage, and supplemental insurance among Medicare beneficiaries. The Highlights section summarizes major findings from the Materials Available on the WebTrend TablesWith the release of Health , United States , 2019 , detailed Trend Tables are available for download from: These 49 detailed Trend Tables highlight major trends in key Health indicators in four areas: Health status and determinants, Health care utilization, Health care resources, and Health care expenditures.

6 An important criterion used in selecting Trend Tables for the Health , United States series is the availability of comparable national data over several years. Trend Tables included in the online supplement provide data on indicators featured in the Chartbook or on the NCHS FastStats site. FastStats provides quick access to statistics on topics of public Health importance and is available from: At-a-glance Table summarizes major findings from the Trend Tables and is available for download from: ht tps: AppendixesAppendix I, Data Sources describes each data source used in Health , United States , 2019 and provides references for further information about the sources.

7 Data sources are listed alphabetically within two broad categories: Government Sources, and Private and Global Sources. Appendix II, Definitions and Methods includes selected terms used in Health , United States , 2019 . It also contains information on the statistical methodologies used in the Appendixes for Health , United States , 2019 are available for download from: InfographicsThe Health , United States Spotlight is an infographic series that explores topics of public Health importance using trend data from Health , United States . Spotlights are published throughout the year and feature the most current data available at the time of publication.

8 The Spotlight infographics are available for download from: iv Health , United States , 2019 Data FinderThe Data Finder is a useful tool on the Health , United States website for locating data by topic. Using the Data Finder, users may narrow down the list of tables and charts by Health topic and populations of interest. Topics include areas such as drug overdose, prescription drug use, and functional limitation. Populations include groups such as age, sex, race and Hispanic origin, and geographic region. See the Health , United States website at: ht tps: Data ConsiderationsRacial and Ethnic DataSome tables in Health , United States present data according to race and Hispanic origin, consistent with a department-wide emphasis on ensuring that Health data on racial and ethnic minority populations are presented whenever possible.

9 Trend data on race and ethnicity are presented in the greatest detail possible considering the quality of the data, the amount of missing data, and the number of observations. These issues significantly affect the availability of reportable data for certain populations, such as the Native Hawaiian or Other Pacific Islander and the American Indian or Alaska Native populations. Starting with data year 1999, most NCHS survey estimates by race are presented based on the 1997 Office of Management and Budget s Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity.

10 Vital statistics systems, however, transitioned to the 1997 standards over time as States adopted the 2003 revision of the Standard Certificates of Live Birth and Death, which contained the 1997 standards. The 2003 revisions were not adopted by all States until 2016 for the natality file and 2018 for the mortality file. During this transition, it was necessary to make vital records data by race comparable across States . This was done by bridging the race information collected under the 1997 standards to be consistent with data collected under the 1977 standards (1).