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National Center for Health Statistics (US). Health, United States, 2020-2021: Annual Perspective [Internet]. Hyattsville (MD): National Center for Health Statistics (US); 2023. doi: 10.15620/cdc:122044

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Health, United States, 2020-2021: Annual Perspective [Internet].

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Key health indicatorsValue (year)Trend tableData source
Health status and determinants
Natality and mortality
Live births per 1,000 women13.5 (2009)11.6 (2018)11.4 (2019)

Brth

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CDC, NCHS, National Vital Statistics System, Births
Life expectancy at birth (years)78.5 (2009)78.7 (2018)78.8 (2019)

LExpMort

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CDC, NCHS, National Vital Statistics System, Mortality
Infant deaths per 1,000 live births6.4 (2009)5.7 (2018)5.6 (2019)

IMMort

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CDC, NCHS, National Vital Statistics System, Mortality and Births
All-cause deaths per 100,000 population (age adjusted)749.6 (2009)723.6 (2018)715.2 (2019)

SlctMort

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CDC, NCHS, National Vital Statistics System, Mortality
Heart disease deaths per 100,000 population (age adjusted)182.8 (2009)163.6 (2018)161.5 (2019)

SlctMort

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CDC, NCHS, National Vital Statistics System, Mortality
Cancer deaths per 100,000 population (age adjusted)173.5 (2009)149.1 (2018)146.2 (2019)

SlctMort

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CDC, NCHS, National Vital Statistics System, Mortality
Drug overdose deaths per 100,000 population (age adjusted)111.9 (2009)20.7 (2018)21.6 (2019)

ODMort

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CDC, NCHS, National Vital Statistics System, Mortality
Suicides per 100,000 population (age adjusted)11.8 (2009)14.2 (2018)13.9 (2019)

SuicMort

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CDC, NCHS, National Vital Statistics System, Mortality
Morbidity and risk factors
Chlamydia new cases per 100,000 population2405.26 (2009)537.54 (2018)552.84 (2019)

IDNotif

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CDC, Sexually Transmitted Disease Surveillance
HIV diagnoses per 100,000 resident population, people aged 13 years and over14.8 (2015)13.6 (2018)13.2 (2019)

HIV

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CDC, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Current asthma percent, children under 18 years39.6 (2009)7.5 (2018)7.0 (2019)

AsthCh

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CDC, NCHS, National Health Interview Survey
Heart disease prevalence percent, adults aged 18 and over (age adjusted)36.2 (2009)5.5 (2018)5.5 (2019)

HDPrv

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CDC, NCHS, National Health Interview Survey
History of cancer percent, adults aged 18 and over (age adjusted)3,45.8 (2009)6.1 (2018)6.6 (2019)

CanHst

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CDC, NCHS, National Health Interview Survey
Disability percent, adults aged 18 and over (age adjusted)3,58.6 (2010)9.5 (2018)8.2 (2019)

FxLimit

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CDC, NCHS, National Health Interview Survey
Fair or poor health status percent, all ages (age adjusted)39.4 (2009)9.0 (2018)11.2 (2019)

HStat

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CDC, NCHS, National Health Interview Survey
Current cigarette smoking percent, adults aged 18 and over (age adjusted)3,620.6 (2009)13.9 (2018)14.2 (2019)

SmokSex

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CDC, NCHS, National Health Interview Survey
Past month illicit drug use percent, people aged 12 years and over710.1 (2015)11.7 (2018)13.0 (2019)

SubUse

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Substance Abuse and Mental Health Services Administration, National Survey on Drug Use and Health
Past month nicotine vaping percent, all 12th graders11.0 (2017)20.9 (2018)25.5 (2019)

SubUseTn

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Monitoring the Future
Percent kcal from carbohydrates mean, adults aged 20 and over (age adjusted)50.7 (1999–2002)48.6 (2011–2014)46.7 (2015–2018)

McrNutr

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CDC, NCHS, National Health and Nutrition Examination Survey
Healthcare utilization
Delay or nonreceipt of needed medical care due to cost percent, all ages3,811.4 (2009)8.3 (2018)8.5 (2019)

UnmtNd

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CDC, NCHS, National Health Interview Survey
Combined 7-vaccine series percent, children vaccinated by age 24 months965.9 (2010)68.3 (2015)69.7 (2016)

VaxCh

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CDC, National Center for Immunization and Respiratory Diseases, National Immunization Survey–Child
HPV vaccination percent (up-to-date), female adolescents aged 13–17 years1049.5 (2016)53.7 (2018)56.8 (2019)

VaxTn

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CDC, National Center for Immunization and Respiratory Diseases, National Immunization Survey–Teen
HPV vaccination percent (up-to-date), male adolescents aged 13–17 years1037.5 (2016)48.7 (2018)51.8 (2019)

VaxTn

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CDC, National Center for Immunization and Respiratory Diseases, National Immunization Survey–Teen
Mammogram use in past 2 years percent, women aged 40 and over (age adjusted)367.1 (2008)65.6 (2018)67.5 (2019)

CanBrTest

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CDC, NCHS, National Health Interview Survey
Emergency department visit percent, children under 18 years3,820.8 (2009)19.6 (2018)18.0 (2019)

EDCh

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CDC, NCHS, National Health Interview Survey
Emergency department visit percent, adults aged 18 and over3,821.2 (2009)21.3 (2018)21.8 (2019)

EDAd

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CDC, NCHS, National Health Interview Survey
Initial injury-related visits to emergency departments per 10,000 people, all ages (age adjusted)960.9 (2007–2008)1,047.8 (2013–2014)1,035.6 (2017–2018)

InjEDVis

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CDC, NCHS, National Hospital Ambulatory Medical Care Survey
Hospital stays percent, people aged 1 year and over (age adjusted)3,87.3 (2009)6.7 (2018)7.3 (2019)

HospStay

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CDC, NCHS, National Health Interview Survey
Visits to physician offices per 100 people, all ages (age adjusted)315 (2008)267 (2016)250 (2018)

HCareVis

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CDC, NCHS, National Ambulatory Medical Care Survey
Dental visits percent, children aged 2–17 years3,878.4 (2009)85.9 (2018)86.9 (2019)

DentCh

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CDC, NCHS, National Health Interview Survey
Dental visits percent, adults aged 18–643,862.0 (2009)65.9 (2018)65.5 (2019)

DentAd

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CDC, NCHS, National Health Interview Survey
Healthcare resources
Physicians per 10,000 resident population27.3 (2009)29.5 (2018)29.9 (2019)

DocSt

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Health Resources and Services Administration, National Center for Health Workforce Analysis, American Medical Association Physician Masterfile
Dentists per 100,000 resident population59.34 (2010)61.04 (2019)61.04 (2020)

DentSt

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American Dental Association, Health Policy Institute
Community hospital beds per 1,000 resident population2.6 (2009)2.4 (2018)2.4 (2019)

BedComSt

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American Hospital Association, Annual Survey of Hospitals
Average length of stay (days), all hospitals6.2 (2009)6.1 (2018)6.2 (2019)

HospAdmis

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American Hospital Association, Annual Survey of Hospitals
Physician assistants mean hourly wage (dollars)40.78 (2009)49.08 (2016)55.81 (2020)

HCEmpl

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Department of Labor, Bureau of Labor Statistics, Occupational Employment and Wage Statistics
Health expenditures and payers
Personal healthcare expenditures (billions), 2012 constant dollars112,248.7 (2009)2,832.7 (2018)2,937.2 (2019)

HExpPers

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Centers for Medicare & Medicaid Services, National Health Expenditure Accounts
Private health insurance coverage percent, people aged 65 and under363.3 (2009)65.3 (2018)64.3 (2019)

HIPriv

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CDC, NCHS, National Health Interview Survey
Medicaid coverage percent, people aged 65 and under3,1216.1 (2009)20.2 (2018)20.5 (2019)

HIMcaid

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CDC, NCHS, National Health Interview Survey
No health insurance coverage percent, people aged 65 and under3,1317.5 (2009)11.0 (2018)12.0 (2019)

HINone

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CDC, NCHS, National Health Interview Survey
1

Drug overdose deaths include all manners and intents, including unintentional, suicide, homicide, and undetermined intent. See Sources and Definitions, Cause of death; International Classification of Diseases (ICD).

2

Due to the coronavirus disease 2019 (COVID-19) pandemic, 2019 data from some jurisdictions may be incomplete. See Sources and Definitions, National Notifiable Diseases Surveillance System (NNDSS); Sexually Transmitted Disease (STD) Surveillance.

3

In 2019, the National Health Interview Survey (NHIS) questionnaire was redesigned, and other changes were made to weighting and design methodology. Data for 2019 have not been fully evaluated for comparability with earlier years; therefore, trends through 2019 are not shown. For more information on the 2019 NHIS redesign and evaluation of the redesign on selected indicators, see: https://www​.cdc.gov/nchs​/nhis/2019_quest_redesign.htm.

4

Excludes squamous cell and basal cell carcinomas. See Sources and Definitions, Cancer.

5

Defined by the reported level of difficulty in six domains of functioning: seeing, hearing, mobility, communication, cognition, and self-care. Adults reporting a lot of difficulty or cannot do at all to at least one functioning domain are considered to have a disability. See Sources and Definitions, Functional limitation.

6

Defined as ever smoking 100 cigarettes in their lifetime and smoking now every day or some days. See Sources and Definitions, Tobacco use.

7

Includes marijuana, cocaine (including crack), heroin, hallucinogens (including LSD, PCP, peyote, mescaline, psilocybin mushrooms, Ecstasy [MDMA or Molly], ketamine, DMT/AMT/Foxy, and Salvia divinorum), and prescription psychotherapeutic drugs (including pain relievers, tranquilizers, stimulants, and sedatives). See Sources and Definitions, Illicit drug use.

8

Within the past 12 months.

9

Data are for birth year and are based on the 3 subsequent survey years. For example, 2010 birth year data are based on 2011, 2012, and 2013 survey data. See Sources and Definitions, Vaccination.

10

Includes those who are fully vaccinated against HPV (also called up-to-date). Fully vaccinated against HPV is defined as three doses or more, or two doses when the first HPV vaccine dose was initiated before age 15 years and with at least 5 months minus 4 days between the first and second dose. See Sources and Definitions, Vaccination.

11

To account for inflation to compare expenditures over time, nominal (or current) dollar values are adjusted to constant (or real) dollars, using the chain-weighted personal healthcare deflator. See Sources and Definitions, Inflation-adjusted expenditures.

12

Includes people who had any of the following at the time of interview: Medicaid, state-sponsored health plan, or Children’s Health Insurance Program. It also includes those who had another type of coverage in addition to one of these. See Sources and Definitions, Health insurance coverage; Medicaid.

13

People with only Indian Health Service coverage are considered to have no health insurance coverage. See Sources and Definitions, Health insurance coverage; Uninsured.

NOTES: CDC is the Centers for Disease Control and Prevention. NCHS is the National Center for Health Statistics.

From: Health, United States, 2020-2021

Copyright Notice

Permission 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 appreciated.

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