This report uses 2024 National Health Interview Survey (NHIS) data to examine sources of usual health care among adults age 18 and older by sex and age group. Data from the 2024 NHIS were used for this analysis. Point estimates and corresponding variances were calculated using SAS-callable SUDAAN software to account for the complex sample design of NHIS. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. Linear trends by age group were evaluated using orthogonal polynomials in logistic regression. In 2024, 9 in 10 adults reported having a source of usual health care, with women more likely to report having a source of usual care (93.3%) than men (87.1%). Women were more likely to report a doctor's office or health center as their source of usual care (82.2%) compared with men (72.6%). The percentage of adults reporting an urgent care center or clinic in a drug store or grocery store as their source of usual care declined with age. The percentage of adults with a Veterans Affairs (VA) Medical Center or VA outpatient clinic as their source of usual care increased with age. Men were more likely (2.0%) than women (1.5%) to report a hospital emergency room as their usual source of health care.

This data brief presents trends in injury death rates, in total and by the three leading intents (unintentional, suicide, homicide) for 2003 to 2023. Trends in unintentional injury, suicide, and homicide death rates are then presented by the three leading methods for each intent. Mortality data for 2003-2020 are from the National Center for Health Statistics' 1999-2020 Underlying Cause of Death by Bridged-Race Categories and data for 2021-2023 are from the 2018-2023 Underlying Cause of Death by Single-Race Categories. Age-adjusted death rates are based on the 2000 standard U.S. population and are per 100,000 population. Injury deaths are identified using International Classification of Diseases,10th Revision codes. Rates are presented for the three leading injury intents (unintentional, suicide, homicide), which are based on the number of deaths. Rates for the three leading methods within each intent are then presented. After a period of stability from 2003 to 2013, the total injury death rate increased 21% from 2013 to 2019 and an additional 25% through 2021 before declining 4% through 2023. This pattern of an increase before 2019 and an even greater increase from 2019 to 2021 was seen for both unintentional injury and homicide deaths. Suicide, however, exhibited a different pattern, with increases from 2003 to 2018 and then a decline from 2018 to 2020 before resuming its increase. Drug overdose was the leading method of unintentional injury deaths during the period. Death rates increased from 2003 to 2022, with the largest increase from 2019 to 2022. The rate declined from 2022 to 2023. Firearms were the leading method for both suicide and homicide, with rates generally increasing over the period. Since 2021, firearm-involved homicide rates declined, while firearm-involved suicide rates were stable.

This report provides estimates of anemia prevalence during August 2021âAugust 2023 by sex, age, race and Hispanic origin, and poverty income ratio, a measure of family income. Data from the August 2021âAugust 2023 National Health and Nutrition Examination Survey were used to calculate anemia prevalence for people age 2 years and older using phlebotomy sample weights. Anemia was defined as hemoglobin (Hb) less than 11.0 g/dL for children ages 2â4; Hb less than 11.5 g/dL for children 5â11; Hb less than 12.0 g/dL for children 12â14 and females 15 and older, and Hb less than 13.0 g/dL for males 15 and older. Differences between estimates overall and among subgroups were evaluated using t tests at the 0.05 level. Linear regression was used to test the significance of a linear trend by family income. All analyses accounted for the surveyâs complex, multistage probability design. During August 2021âAugust 2023, the overall prevalence of anemia in people age 2 and older was 9.3%, and prevalence was higher in females (13.0%) than in males (5.5%). The prevalence of anemia in Black non-Hispanic people was higher than in all other race and Hispanic-origin groups. Anemia prevalence increased with decreasing income overall. In all race and Hispanic-origin groups and income groups, females had higher anemia prevalence than males.

This report describes the percentage of teenagers ages 12â17 who self-reported that they were bullied in the past 12 months, by selected characteristics. 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. 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.

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. 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. 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.

This report provides final 2022 suicide numbers and age-adjusted rates, updating a provisional 2022 suicide report. Data were analyzed using National Vital Statistics System multiple cause-of-death mortality files for 2002 through 2022, with suicide deaths identified using International Classification of Diseases, 10th Revision 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 z test with an alpha level of 0.05, and trends were assessed using the Joinpoint Regression Program (5.0.2). 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.

Hysterectomy is one of the most common procedures for women in the United States (1,2). Hysterectomy removes the uterus and is used to treat conditions such as uterine fibroids, endometriosis, and gynecological cancer (3). It can be performed on an inpatient or outpatient basis (4,5). This report uses 2021 National Health Interview Survey (NHIS) data to describe the percentage of women age 18 and older who have had a hysterectomy by selected sociodemographic characteristics.

Cesarean delivery is major surgery associated with higher costs and adverse outcomes, such as surgical complications, compared with vaginal delivery (1-3). The cesarean delivery rate in Puerto Rico rose from just over 30% in the early to mid-1990s to over 40% by the early 2000s (4,5). During this time, cesarean delivery rates in Puerto Rico were 40%-70% higher than rates in the U.S. mainland and up to 78% higher than rates for Hispanic women in the U.S. mainland (4,5). This report describes trends in Puerto Rico's cesarean delivery rate from 2010 to 2022 and explores changes by maternal age, gestational age, and municipality from 2018 to 2022.

In 2021, 140 million emergency department (ED) visits occurred in the United States (1). During that year, about 4% of children had two or more ED visits in the past 12 months, and 18% of adults had visited the ED in the past 12 months (2,3). This report presents characteristics of ED visits by age group, sex, race and ethnicity, insurance, and mentions of COVID-19, using data from the 2021 National Hospital Ambulatory Medical Care Survey (NHAMCS) (4).

Mental health disorders, such as attention-deficit/hyperactivity disorder, anxiety, and behavioral conditions, are common in school-aged children in the United States (1). Frontline treatments for mental health disorders can include medication, counseling or therapy, or both, depending on the condition and the age of the child (2). This report describes the percentage of children aged 5-17 years who have received mental health treatment in the past 12 months by selected characteristics, based on data from the 2021 National Health Interview Survey. Mental health treatment is defined as having taken medication for mental health, received counseling or therapy from a mental health professional, or both in the past 12 months.