NCHS data brief最新文献

{"title":"Total and High-density Lipoprotein Cholesterol in Adults: United States, August 2021-August 2023.","authors":"Margaret D Carroll, Cheryl D Fryar, Jane A Gwira, Marisol Iniguez","doi":"CS354900","DOIUrl":"CS354900","url":null,"abstract":"<p><strong>Introduction: </strong>This report presents prevalence of high total cholesterol and low high-density lipoprotein cholesterol (HDL-C) by sex and age group for adults age 20 and older from the August 2021-August 2023 National Health and Nutrition Examination Survey (NHANES). Trends in the prevalence of high total cholesterol and low HDL-C are also presented.</p><p><strong>Methods: </strong>Data from the August 2021-August 2023 NHANES were used to estimate the prevalence of high total cholesterol (240 mg/dL or higher) and low HDL-C (less than 40 mg/dL). NHANES's complex, multistage probability sample is representative of the U.S. civilian noninstitutionalized population. The prevalence of high total cholesterol and low HDL-C were calculated using survey weights. Standard errors were estimated using Taylor series linearization, a method that accounts for the complex sample design. Differences between groups were tested using a <i>t</i> statistic at the <i>p</i> < 0.05 significance level. Linear trends for subgroups were tested using orthogonal contrast matrices, and linear and nonlinear trends over time were tested using JoinPoint software and linear regression, accounting for unequal duration and spacing of survey cycles.</p><p><strong>Key findings: </strong>During August 2021-August 2023, the prevalence of high total cholesterol was 11.3% in adults, with no significant difference between men and women overall. The prevalence of high total cholesterol was higher in adults ages 40-59 (16.7%) than in adults ages 20-39 (6.0%) and 60 and older (11.3%). The prevalence was lower in adults ages 20-39 compared with adults 60 and older. The pattern by age was different in men than in women. The prevalence of low HDL-C in adults was 13.8%, was higher in men (21.5%) than in women (6.6%) overall, and declined with increasing age for both men and women. High total cholesterol prevalence declined from 1999-2000 to 2013-2014 and remained stable through August 2021-August 2023. Low HDL-C prevalence declined from 2007-2008 to August 2021-August 2023.</p>","PeriodicalId":39458,"journal":{"name":"NCHS data brief","volume":" 515","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Total, Diagnosed, and Undiagnosed Diabetes in Adults: United States, August 2021-August 2023.","authors":"Jane A Gwira, Cheryl D Fryar, Qiuping Gu","doi":"CS354814","DOIUrl":"CS354814","url":null,"abstract":"<p><strong>Introduction: </strong>This report presents the prevalence of diagnosed, undiagnosed, and total diabetes in U.S. adults during August 2021-August 2023. Trends in diagnosed, undiagnosed, and total diabetes prevalence in adults from 1999-2000 through August 2021-August 2023 are also shown.</p><p><strong>Methods: </strong>Prevalence of self-reported diagnosed, undiagnosed, and total diabetes was estimated using August 2021-August 2023 National Health and Nutrition Examination Survey data. Diagnosed diabetes was defined as answering \"yes\" to the question: \"Other than during pregnancy, have you ever been told by a doctor or health professional that you have diabetes or sugar diabetes?\" Undiagnosed diabetes was defined as reporting never receiving a diabetes diagnosis from a healthcare provider and 8- to 24-hour fasting plasma glucose greater than or equal to 126 mg/dL or hemoglobin A1c greater than or equal to 6.5%. Total diabetes was the combined prevalence of diagnosed and undiagnosed diabetes. Standard errors of percentages were estimated using Taylor series linearization. Pairwise differences between groups were evaluated using <i>t</i> statistics, and stated differences were statistically significant at <i>p</i> less than 0.05. Orthogonal contrasts were used to test for linear trends except for trends over time, where a linear regression model was used accounting for the unequal time between survey cycles.</p><p><strong>Key findings: </strong>During August 2021-August 2023, the prevalence of total, diagnosed, and undiagnosed diabetes in U.S. adults was 15.8%, 11.3%, and 4.5%, respectively. The prevalence of total and diagnosed diabetes was higher in men than among women and decreased with increasing educational attainment. The prevalence of total, diagnosed, and undiagnosed diabetes increased with increasing age and increasing weight status. The age-adjusted prevalence of total and diagnosed diabetes increased from 9.7% to 14.3% and from 5.9% to 10.1%, respectively, between 1999-2000 and August 2021-August 2023.No change was seen between 2017-March 2020 and August 2021-August 2023.</p>","PeriodicalId":39458,"journal":{"name":"NCHS data brief","volume":" 516","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Declines in Triplet and Higher-order Multiple Births in the United States, 1998-2023.","authors":"Joyce A Martin, Michelle J K Osterman","doi":"CS354442","DOIUrl":"CS354442","url":null,"abstract":"<p><strong>Objectives: </strong>This report explores changes in the overall rate of triplet and higher-order births from 1998 to 2023 by detailed plurality, maternal race and Hispanic origin, and age.</p><p><strong>Methods: </strong>Data are from the National Vital Statistics System birth files. Triplet and higher-order birth rates (number of triplet and higher-order births per 100,000 births) from 1998 to 2023 are presented. Also presented are the number of triplet, triplet and higher-order, and quadruplet and higher-order births, and triplet and higher-order multiple birth rates by maternal race and Hispanic origin and maternal age for 1998, 2009, and 2023.</p><p><strong>Results: </strong>From 1998 to 2023, the triplet and higher-order multiple birth rate declined 62%, from 193.5 per 100,000 total births to 73.8; the largest declines were from 2009 to 2023. The number of triplet and higher-order births declined from 7,625 to 2,653. Declines in triplet and higher-order birth rates were observed for White non-Hispanic (71%) and Hispanic (25%) mothers, while the rate for Black non-Hispanic mothers increased (25%). Triplet and higher-order birth rates declined for all age groups 20 and older from 1998 to 2023, and the largest declines were for mothers age 30 and older.</p>","PeriodicalId":39458,"journal":{"name":"NCHS data brief","volume":" 512","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bullying Victimization Among Teenagers: United States, July 2021-December 2023.","authors":"Gelila Haile, Basilica Arockiaraj, Benjamin Zablotsky, Amanda E Ng","doi":"CS354553","DOIUrl":"CS354553","url":null,"abstract":"<p><strong>Introduction: </strong>This report describes the percentage of teenagers ages 12â17 who self-reported that they were bullied in the past 12 months, by selected characteristics.</p><p><strong>Methods: </strong>Data between July 2021 and December 2023 from the National Health Interview SurveyâTeen were used for this analysis. Point estimates and the corresponding confidence intervals were calculated using SAS-callable SUDAAN software to account for the complex sample design of NHISâTeen. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level.</p><p><strong>Key findings: </strong>During July 2021 to December 2023, 34.0% of teenagers were bullied in the last 12 months. Sexual and gender minority teenagers were more likely to be bullied (47.1%) than teenagers who are not a sexual or gender minority (30.0%). White non-Hispanic teenagers were more likely to be bullied compared with teenagers in other race and Hispanic-origin groups. Teenagers with a developmental disability were more likely to be bullied than teenagers without a developmental disability. Teenagers who were bullied were nearly twice as likely to experience symptoms of anxiety (29.8%) or depression (28.5%) in the last 2 weeks when compared with teenagers who were not bullied.</p>","PeriodicalId":39458,"journal":{"name":"NCHS data brief","volume":" 514","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily Screen Time Among Teenagers: United States, July 2021-December 2023.","authors":"Benjamin Zablotsky, Basilica Arockiaraj, Gelila Haile, Amanda E Ng","doi":"CS354544","DOIUrl":"https://doi.org/CS354544","url":null,"abstract":"<p><strong>Introduction: </strong>This report describes the self-reported prevalence of daily screen time among teenagers ages 12-17 years and explores whether differences exist by selected characteristics and demographics.</p><p><strong>Methods: </strong>Data from the July 2021-December 2023 National Health Interview Survey-Teen were used for this analysis. Point estimates and the corresponding confidence intervals were calculated using SAS-callable SUDAAN software to account for the complex sample design of NHIS-Teen. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level.</p><p><strong>Key findings: </strong>During July 2021-December 2023, about one-half of teenagers had 4 hours or more of daily screen time (50.4%). Black non-Hispanic teenagers (60.4%) were most likely to have 4 hours or more of daily screen time compared with teenagers in other race and Hispanic origin groups. About 1 in 4 teenagers with 4 hours or more of daily screen time have experienced anxiety (27.1%) or depression symptoms (25.9%) in the past 2 weeks.</p>","PeriodicalId":39458,"journal":{"name":"NCHS data brief","volume":" 513","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypertension Prevalence, Awareness, Treatment, and Control Among Adults Age 18 and Older: United States, August 2021-August 2023.","authors":"Cheryl D Fryar, Brian Kit, Margaret D Carroll, Joseph Afful","doi":"CS354233","DOIUrl":"CS354233","url":null,"abstract":"<p><strong>Introduction: </strong>This report presents the latest findings from the National Health and Nutrition Examination Survey on the prevalence, awareness, treatment, and control of hypertension among adults in the United States during August 2021-August 2023.</p><p><strong>Methods: </strong>Nationally weighted prevalence estimates of hypertension (systolic blood pressure of 130 mm Hg or above or diastolic blood pressure of 80 mm Hg or above, or self-report of current blood pressure medication use), self-reported awareness, self-reported treatment, and control (blood pressure less than 130/80 mm Hg) were obtained using National Health and Nutrition Examination Survey August 2021-August 2023 data. Variance estimates accounted for the complex survey design by using Taylor series linearization. Differences between estimates overall, among subgroups, and compared with 2017-March 2020 were tested using a <i>t</i> statistic at the <i>p</i> < 0.05 significance level.</p><p><strong>Key findings: </strong>During August 2021-August 2023, the prevalence of hypertension in adults was 47.7%, was higher in men (50.8%) than women (44.6%), and increased with age: 23.4% for ages 18-39, 52.5% for 40-59, and 71.6% for 60 and older. Among adults with hypertension, 59.2% were aware of their hypertension status, more than one-half were currently taking medication to lower blood pressure, and about one-fifth had their blood pressure controlled to less than 130/80 mm Hg. No significant change in awareness, treatment, or control of hypertension was seen among adults with hypertension between 2017-March 2020 and August 2021-August 2023.</p>","PeriodicalId":39458,"journal":{"name":"NCHS data brief","volume":" 511","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic Pain and High-impact Chronic Pain in U.S. Adults, 2023.","authors":"Jacqueline W Lucas, Inderbir Sohi","doi":"CS355235","DOIUrl":"CS355235","url":null,"abstract":"<p><strong>Introduction: </strong>This report uses data from the 2023 National Health Interview Survey to provide updated percentages of adults who experienced chronic pain and high-impact chronic pain in the past 3 months by selected demographic characteristics and urbanization level.</p><p><strong>Methods: </strong>Point estimates and corresponding confidence intervals for this analysis were calculated using SAS-callable SUDAAN software to account for the complex sample design of the National Health Interview Survey. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. Linear and quadratic trends by age group and urbanization level were evaluated using orthogonal polynomials.</p><p><strong>Key findings: </strong>In 2023, 24.3% of adults had chronic pain, and 8.5% of adults had high impact chronic pain in the past 3 months. American Indian and Alaska Native non-Hispanic adults were significantly more likely to have chronic pain (30.7%) compared with Asian non-Hispanic (11.8%) and Hispanic (17.1%) adults. The percentage of adults with chronic pain and high-impact chronic pain increased with decreasing urbanization level.</p>","PeriodicalId":39458,"journal":{"name":"NCHS data brief","volume":" 518","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fetal Mortality in the United States: Final 2021-2022 and 2022-Provisional 2023.","authors":"Elizabeth C W Gregory, Claudia P Valenzuela, Joyce A Martin","doi":"CS353884","DOIUrl":"https://doi.org/CS353884","url":null,"abstract":"<p><strong>Objectives: </strong>This report describes changes in total, early, and late fetal mortality between 2022 and 2023 (provisional), as well as fetal mortality by maternal race and Hispanic origin and state of residence. Comparisons are made with findings from 2021 to 2022.</p><p><strong>Methods: </strong>Data are based on reports of fetal death filed in the 50 states and the District of Columbia and collected via the National Vital Statistics System. In this report, only fetal deaths reported at 20 weeks of gestation or more are included. Data for 2021 and 2022 are final and data for 2023 are provisional.</p><p><strong>Results: </strong>In 2023, the overall fetal mortality rate was 5.52 fetal deaths per 1,000 live births and fetal deaths, which was not significantly different from the 2022 rate (5.48). From 2022 to 2023, the early fetal mortality rate (20-27 weeks of gestation) significantly increased by 4% to 2.89 per 1,000, while the late fetal mortality rate (28 weeks of gestation or more) was essentially unchanged at 2.64. Among the race and Hispanic-origin groups, the fetal mortality rate increased for Asian non-Hispanic women and was not significantly different for other groups. Fetal mortality rates increased in 4 states, declined in 1 state, and were not significantly different for 45 states and the District of Columbia from 2022 to 2023. In comparison, from 2021 to 2022, the fetal mortality rate declined for total, early, and late fetal deaths, as well as for White non-Hispanic women and in five states.</p>","PeriodicalId":39458,"journal":{"name":"NCHS data brief","volume":" 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicide Mortality in the United States, 2002-2022.","authors":"Matthew F Garnett, Sally C Curtin","doi":"10.15620/cdc/160504","DOIUrl":"10.15620/cdc/160504","url":null,"abstract":"<p><strong>Introduction: </strong>This report provides final 2022 suicide numbers and age-adjusted rates, updating a provisional 2022 suicide report.</p><p><strong>Methods: </strong>Data were analyzed using National Vital Statistics System multiple cause-of-death mortality files for 2002 through 2022, with suicide deaths identified using <i>International Classification of Diseases, 10th Revision</i> underlying cause-of-death codes U03, X60-X84, and Y87.0. Age-adjusted death rates were calculated using the direct method and the 2000 U.S. standard population. Pairwise comparisons were conducted using the <i>z</i> test with an alpha level of 0.05, and trends were assessed using the Joinpoint Regression Program (5.0.2).</p><p><strong>Key findings: </strong>After increasing from 2002 to 2018, the age-adjusted suicide rate declined from 2018 (14.2 deaths per 100,000 standard population) through 2020 (13.5) but then increased 5%, to 14.2 in 2022. Following a period of decline between 2018 and 2020, suicide rates generally increased between 2020 and 2022 for females ages 25 and older. For males ages 10-14 and 15-24, rates decreased between 2020 and 2022, while rates for older age groups generally increased. For females in 2022, firearm-related suicide (2.0) was the leading means of suicide, with rates generally increasing since 2007. For males in 2022, firearm-related suicide (13.5) was the leading means of suicide, with rates increasing since 2006.</p>","PeriodicalId":39458,"journal":{"name":"NCHS data brief","volume":" 509","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obesity and Severe Obesity Prevalence in Adults: United States, August 2021-August 2023.","authors":"Samuel D Emmerich, Cheryl D Fryar, Bryan Stierman, Cynthia L Ogden","doi":"10.15620/cdc/159281","DOIUrl":"10.15620/cdc/159281","url":null,"abstract":"<p><strong>Introduction: </strong>This report provides prevalence estimates of adult obesity and severe obesity during August 2021-August 2023 by age and sex, as well as obesity prevalence by education level. Trends in the prevalence of adult obesity and severe obesity over the previous 10 years are also shown.</p><p><strong>Methods: </strong>Data from the August 2021-August 2023 National Health and Nutrition Examination Survey (NHANES) were used for prevalence estimates, incorporating examination survey sample weights into the analysis and accounting for the survey's complex, multistage probability design. Measured height and weight were used to calculate body mass index (BMI) to define obesity (BMI at or above 30) and severe obesity (BMI at or above 40). Differences between estimates overall, among subgroups, and compared with 2017-March 2020 were evaluated using <i>t</i> tests at the 0.05 level. Data from four NHANES cycles (2013-2014, 2015-2016, 2017-March 2020, and August 2021-August 2023) were used to assess 10-year trends. Polynomial regression was used to test the significance of linear and nonlinear 10-year trends, accounting for the unequal spacing and lengths of survey cycles.</p><p><strong>Key findings: </strong>During August 2021-August 2023, the prevalence of obesity in adults was 40.3%, with no significant differences between men and women. Obesity prevalence was higher in adults ages 40-59 than in ages 20-39 and 60 and older. The prevalence of obesity was lower in adults with a bachelor's degree or more than in adults with less education. The prevalence of severe obesity in adults was 9.4% and was higher in women than men for each age group. From 2013-2014 through August 2021-August 2023, the age-adjusted prevalence of obesity did not change significantly, while severe obesity prevalence increased from 7.7% to 9.7%.</p>","PeriodicalId":39458,"journal":{"name":"NCHS data brief","volume":" 508","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}