Although the Asian or Pacific Islander federal race category was split into two in 1997 (1), few reliable health statistics are available for the Native Hawaiian and Pacific Islander (NHPI) population. In 2014, the National Center for Health Statistics (NCHS) fielded a first-of-its-kind federal survey focused exclusively on NHPI population health. This report uses data from that survey, in combination with 2014 data from the annual National Health Interview Survey (NHIS), to highlight differences in the prevalence of selected health conditions between the NHPI population and the Asian population with whom they have historically been combined.

Data from the National Electronic Health Records Survey •In 2015, the percentage of physicians who had electronically sent patient health information ranged from 19.4% in Idaho to 56.3% in Arizona. •In 2015, the percentage of physicians who had electronically received patient health information ranged from 23.6% in Louisiana and Mississippi to 65.5% in Wisconsin. •In 2015, the percentage of physicians who had electronically integrated patient health information from other providers ranged from 18.4% in Alaska to 49.3% in Delaware. •In 2015, the percentage of physicians who had electronically searched for patient health information ranged from 15.1% in the District of Columbia to 61.2% in Oregon. The Health Information Technology for Economic and Clinical Health Act (HITECH) provides financial incentives to eligible providers using a certified electronic health record (EHR) system (1,2). In 2015, 77.9% of office-based physicians had a certified EHR system, up from 74.1% in 2014 (3-5). A federal plan to enhance the nation's health information technology infrastructure was published in 2015 to support information sharing (6,7). Therefore, this report uses the 2015 National Electronic Health Records Survey (NEHRS) to describe the extent to which physicians can electronically send, receive, integrate, and search for patient health information.

Data from the National Vital Statistics System, Mortality •From 2000 through 2014, the age-adjusted rate for chronic obstructive pulmonary disease (COPD)-related deaths decreased 22.5% for men and 3.8% for women aged 25 and over. •Between 2000 and 2014, the COPD-related death rate decreased for both men and women aged 65-84 and for men aged 85 and over. The rate increased for both men and women aged 45-64 and for women aged 85 and over. •The age-adjusted death rate declined for white men but remained stable for white women from 2000 through 2014. •The age-adjusted death rate declined for black men but increased for black women from 2000 through 2014. •The major underlying causes of death for COPD-related deaths were COPD, heart disease, and cancer for both men and women.

Data from the National Vital Statistics System •The triplet and higher-order birth rate declined 41% from 1998 to 2014, or from about 1 in every 515 births in 1998 to one in every 880 births in 2014. •Triplet and higher-order birth rates were down by about 50% or more for women aged 25 and over. Rates were essentially unchanged for women under 25. •The largest declines in triplet and higher-order birth rates by race and Hispanic origin for 1998-2014 were for non-Hispanic white women, down 46% compared with a 15% decline for Hispanic women, and essentially no change for non-Hispanic black women. •Triplet and higher-order birth rates were down from 1998-2000 to 2012-2014 in 42 states; declines of more than 50% were observed in 7 states.

Data from the 2014 National Electronic Health Records Survey. In 2014, 74.1% of office-based physicians had a certified electronic health record (EHR) system, up from 67.5% in 2013. The percentage of physicians who had a certified EHR system ranged from 58.8% in Alaska to 88.6% in Minnesota. In 2014, 32.5% of office-based physicians with a certified EHR system were electronically sharing patient health information with external providers. The percentage of physicians with a certified EHR system electronically sharing patient health information with external providers ranged from 17.7% in New Jersey to 58.8% in North Dakota.

Data from the National Health Interview Survey, 2013-2014. Single parents, especially women, were more likely than adults in other types of families to have short sleep duration, frequently have trouble falling asleep and staying asleep, and frequently wake up feeling not well-rested. Within family types, women were more likely than men to frequently have trouble falling asleep and staying asleep, and to frequently wake up feeling not well-rested. Overall, adults in two-parent families were less likely than adults in other types of families to have taken sleep medication four times or more in the past week.

More than one-quarter of a million participants were enrolled in 4,800 adult day services centers in the United States in 2014. Unlike other long-term care providers, such as nursing homes, home health agencies, hospices, and residential care communities, the majority of adult day services centers are nonprofit. However, for-profit ownership of adult day services centers has increased, from 27% in 2010 to 40% in 2012, and more recently to 44% in 2014. This report presents the most current national estimates of selected adult day services center operating characteristics, and compares these characteristics by center ownership. State estimates for the characteristics presented in this data brief are available online at: http://www.cdc.gov/nchs/ nsltcp/nsltcp_products.htm.

High levels of total cholesterol and low levels of high-density lipoprotein (HDL) cholesterol (the "good cholesterol") are risk factors for coronary heart disease (1-3). During 2009-2010, 13.4% of adults had high total cholesterol and 21.3% had low HDL cholesterol (4). This report presents estimates of the percentage of adults with high total and low HDL cholesterol during 2011-2014, and trends in prevalence of high total and low HDL cholesterol from 2007-2008 to 2013-2014. Analysis is based on measured cholesterol only and does not account for cholesterol-lowering medication use.

The National Health Interview Survey (NHIS) first began collecting data about e-cigarette use in 2014. The estimates presented in this report provide a foundation for understanding who is using e-cigarettes and for monitoring changes in e-cigarette use among U.S. adults over time. In 2014, men were more likely than women to have ever tried e-cigarettes but were not more likely to be current users. Younger adults were more likely than older adults to have tried e-cigarettes and to currently use e-cigarettes. Both non-Hispanic AIAN and non-Hispanic white adults were more likely than non-Hispanic black, non-Hispanic Asian, and Hispanic adults to have ever tried e-cigarettes and to be current e-cigarette users. When examined in the context of conventional cigarette smoking, use of e-cigarettes was highest among current and recent former cigarette smokers, and among current smokers who had made a quit attempt in the past year. Although fewer than 4% of adults who had never smoked conventional cigarettes had ever tried an e-cigarette, nearly 1 in 10 never-smokers aged 18–24 had tried an e-cigarette at least once.

Overall, 19% of persons aged 15-44 in 2011-2013 had been tested for HIV in the past year, including 22% of females and 16% of males. Higher percentages of HIV testing in the past year were seen for persons aged 15-34 compared with those aged 35-44, and for non-Hispanic black persons compared with other race and ethnicity groups. Four of 10 males who had same-sex sexual contact in the past year had been tested for HIV in the past year, compared with 2 of 10 who had opposite-sex sexual contact in the past year. Levels of HIV testing in the past year were higher for persons with behaviors that increase HIV risk, including having one or more same-sex partners or higher numbers of opposite-sex sexual partners in the past year.