This dataset contains estimates of health risk and protection factors prevalence, shared by the Big Cities Health Coalition members represented by the largest metropolitan health departments in the United States. The estimated values of prevalence cover the 2010-2016 period and are described by gender and race/ethnicity.

This data package contains dataset on prevalence rates of health conditions and diseases like obesity, diabetes and hearing loss and health risk factors for diseases like tobacco, alcohol and drug use.

The crude prevalence rate of diabetes is defined as the ratio of respondents that are 18 years or older who have ever been told by a health professional that they had diabetes (other than during pregnancy) over the total number of respondents in the study (excluding those who refused to answer, had a missing answer, or answered “don’t know/not sure”).Prevalence data are derived from Behavioral Risk Factor Surveillance System (BRFSS) (numerator) and population estimates from the U.S. Census Bureau (denominator).The 500 Cities Project seeks to provide city- and census tract-level small area estimates for chronic disease risk factors, health outcomes, and clinical preventive service use for the largest 500 cities in the United States.Data source: CDC (Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion)Date: 2015

The leading causes of death in the United States have changed significantly from the year 1900 to the present. Leading causes of death in 1900, such as tuberculosis, gastrointestinal infections, and diphtheria have seen huge decreases in death rates and are no longer among the leading causes of death in the United States. However, other diseases such as heart disease and cancer have seen increased death rates. Vaccinations One major factor contributing to the decrease in death rates for many diseases since the year 1900 is the introduction of vaccinations. The decrease seen in the rates of death due to pneumonia and influenza is a prime example of this. In 1900, pneumonia and influenza were the leading causes of death, with around *** deaths per 100,000 population. However, in 2023 pneumonia and influenza were not even among the ten leading causes of death. Cancer One disease that has seen a large increase in death rates since 1900 is cancer. Cancer currently accounts for almost ** percent of all deaths in the United States, with death rates among men higher than those for women. The deadliest form of cancer for both men and women is cancer of the lung and bronchus. Some of the most common avoidable risk factors for cancer include smoking, drinking alcohol, sun exposure, and obesity.

This CD-ROM is the eighth annual compilation of Health, United States. The series presents national trends in health statistics. Major findings are presented in the highlights section. The report includes a chartbook, trend tables, extensive appendixes, and an index. The Chartbook assesses the Nation's health by presenting trends and current information on selected determinants and measures of health status. Determinants of health considered in the chartbook include demographic factors, healt h insurance coverage, health behaviors and risk factors, and preventive health care. Measures of health status include mortality and limitations of activity due to chronic health conditions. Many measures are shown separately for persons of different ages because of the strong effect of age on health, as well as differences in causes of morbidity and mortality across the age span. Selected figures also highlight differences in determinants and measures of health status by such characteristics as sex, race, and Hispanic origin. The chartbook section is followed by 147 trend tables organized around four major subject areas: health status and determinants, health care utilization, health care resources, and health care expenditures. A major criterion used in selecting the trend tables is availability of comparable national data over a period of several years. The tables report data for selected years to highlight major trends in health statistics. Many tables present data according to race and Hispanic origin. Note to Users: This CD is part of a collection located in the Data Archive of the Odum Institute for Research in Social Science at the University of North Carolina at Chapel Hill. The collection is located in Room 10, Manning Hall. Users may check the CDs out subscribing to the honor system. Items can be checked out for a period of two weeks. Loan forms are located adjacent to the collection.

This dataset contains model-based county estimates. PLACES covers the entire United States—50 states and the District of Columbia—at county, place, census tract, and ZIP Code Tabulation Area levels. It provides information uniformly on this large scale for local areas at four geographic levels. Estimates were provided by the Centers for Disease Control and Prevention (CDC), Division of Population Health, Epidemiology and Surveillance Branch. PLACES was funded by the Robert Wood Johnson Foundation in conjunction with the CDC Foundation. This dataset includes estimates for 40 measures: 12 for health outcomes, 7 for preventive services use, 4 for chronic disease-related health risk behaviors, 7 for disabilities, 3 for health status, and 7 for health-related social needs. These estimates can be used to identify emerging health problems and to help develop and carry out effective, targeted public health prevention activities. Because the small area model cannot detect effects due to local interventions, users are cautioned against using these estimates for program or policy evaluations. Data sources used to generate these model-based estimates are Behavioral Risk Factor Surveillance System (BRFSS) 2022 or 2021 data, Census Bureau 2022 county population estimate data, and American Community Survey 2018–2022 estimates. The 2024 release uses 2022 BRFSS data for 36 measures and 2021 BRFSS data for 4 measures (high blood pressure, high cholesterol, cholesterol screening, and taking medicine for high blood pressure control among those with high blood pressure) that the survey collects data on every other year. More information about the methodology can be found at www.cdc.gov/places.

Chronic kidney disease (CKD) remains a significant health concern in the United States, with various risk factors contributing to its prevalence. Recent data from 2017 to 2020 reveals that diabetes continues to be a major risk factor, affecting ** percent of adults with CKD. This underscores the complex relationship between metabolic disorders and kidney health, highlighting the need for comprehensive healthcare strategies. Age and gender disparities in CKD prevalence The impact of CKD is not uniform across age groups and genders. In the period 2017 to 2020, approximately ** percent of individuals aged 65 years and older were living with CKD, indicating a higher susceptibility among the elderly population. Gender differences were also observed, with ** percent of women and ** percent of men affected by the condition. These findings emphasize the importance of targeted screening and prevention efforts for specific demographic groups. Racial and ethnic variations in CKD rates Racial and ethnic disparities play a role in CKD prevalence as well. From 2017 to 2020, about ** percent of non-Hispanic white adults were diagnosed with CKD, compared to ** percent of non-Hispanic Black adults. This statistic provides insight into the distribution of the disease across different racial and ethnic groups, suggesting the need for culturally sensitive approaches to CKD prevention and management. Further research into the factors contributing to these variations could lead to more effective interventions and improved outcomes for all populations.

2001 forward. The National (Nationwide) Inpatient Sample (NIS) is part of a family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The NIS is the largest publicly available all-payer inpatient health care database in the United States, yielding national estimates of hospital inpatient stays. Unweighted, it contains data from more than 7 million hospital stays each year. Weighted, it estimates more than 35 million hospitalizations nationally. Indicators from this data source have been computed by personnel in CDC's Division for Heart Disease and Stroke Prevention (DHDSP). This is one of the datasets provided by the National Cardiovascular Disease Surveillance System. The system is designed to integrate multiple indicators from many data sources to provide a comprehensive picture of the public health burden of CVDs and associated risk factors in the United States. The data are organized by indicator, and they include CVDs (e.g., heart failure). The data can be plotted as trends and stratified by age group, sex, and race/ethnicity.

The Behavioral Risk Factor Surveillance System (BRFSS) is a state-based system of health surveys that collects information on health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury. For many states, the BRFSS is the only available source of timely, accurate data on health-related behaviors. BRFSS was established in 1984 by the Centers for Disease Control and Prevention (CDC); currently data are collected monthly in all 50 states, the District of Columbia, Puerto Rico, the United States Virgin Islands, and Guam. More than 350,000 adults are interviewed each year, making the BRFSS the largest telephone health survey in the world. States use BRFSS data to identify emerging health problems, establish and track health objectives, and develop and evaluate public health policies and programs. The BRFSS is a cross-sectional telephone survey conducted by state health departments with technical and methodologic assistance provided by CDC. States conduct monthly telephone surveillance using a standardized questionnaire to determine the distribution of risk behaviors and health practices among adults. Responses are forwarded to CDC, where the monthly data are aggregated for each state, returned with standard tabulations, and published at the year's end by each state. The BRFSS questionnaire was developed jointly by CDC's Behavioral Surveillance Branch (BSB) and the states. When combined with mortality and morbidity statistics, these data enable public health officials to establish policies and priorities and to initiate and assess health promotion strategies.

The Youth Risk Behavior Surveillance System (YRBSS) is a set of surveys that monitor priority health risk behaviors and experiences that contribute markedly to the leading causes of death, disability, and social problems among youth of grade 9 -12 in the United States. The surveys are administered every other year and it is maintained by the Centers for Disease Control and Prevention (CDC). A total of 107 questionnaire are asked. Some of the health-related behaviors and experiences monitored are: * Student demographics: sex, sexual identity, race and ethnicity, and grade * Youth health behaviors and conditions: sexual, injury and violence, bullying, diet and physical activity, obesity, and mental health, suicide attempt * Substance use behaviors: electronic vapor product and tobacco product use, alcohol use, and other drug use * Student experiences: parental monitoring, school connectedness, unstable housing, and exposure to community violence The dataset is used by a group of graduate students from Texas State University for 2025 TXST Open Datathon. The main YRBSS dataset includes data of multiple years, various states, district. For analyzing demographic variations associated with suicide, the 1991–2023 combined district dataset (https://www.cdc.gov/yrbs/files/sadc_2023/HS/sadc_2023_district.dat) is used, which offers a broad historical perspective on trends across different groups. To examine the preventive measures and develop a predictive model for suicide risk, the 2023 dataset (https://www.cdc.gov/yrbs/files/2023/XXH2023_YRBS_Data.zip) was used, ensuring the inclusion of the most recent behavioral and attributes. Please review the 2023 YRBS Data User's Guide by CDC for further information.

The PLACES (Population Level Analysis and Community Estimates) is an expansion of the original 500 Cities project and is a collaboration between the CDC, the Robert Wood Johnson Foundation (RWJF), and the CDC Foundation (CDCF). The original 500 Cities Project provided city- and census tract-level estimates for chronic disease risk factors (5), health outcomes (13), and clinical preventive services use (9) for the 500 largest US cities. The PLACES Project extends these estimates to all counties, places (incorporated and census designated places), census tracts and ZIP Code Tabulation Areas (ZCTA) across the United States. Data were provided by the Centers for Disease Control and Prevention (CDC), Division of Population Health, Epidemiology and Surveillance Branch. Data sources used to generate these measures include BRFSS data (2018 or 2017), Census Bureau 2010 census population data or annual population estimates for county vintage 2018 or 2017, and American Community Survey (ACS) 2014-2018 or 2013-2017 estimates.The health outcomes include arthritis, current asthma, high blood pressure, cancer (excluding skin cancer), high cholesterol, chronic kidney disease, chronic obstructive pulmonary disease (COPD), coronary heart disease, diagnosed diabetes, mental health not good for >=14 days, physical health not good for >=14 days, all teeth lost and stroke.The preventive services uses include lack of health insurance, visits to doctor for routine checkup, visits to dentist, taking medicine for high blood pressure control, cholesterol screening, mammography use for women, cervical cancer screening for women, colon cancer screening, and core preventive services use for older adults (men and women).The unhealthy behaviors include binge drinking, current smoking, obesity, physical inactivity, and sleeping less than 7 hours.For more information about the methodology, visit https://www.cdc.gov/places or contact places@cdc.gov.CDC's source webpage.CDC's feature service.

This is the complete dataset for the 500 Cities project 2019 release. This dataset includes 2017, 2016 model-based small area estimates for 27 measures of chronic disease related to unhealthy behaviors (5), health outcomes (13), and use of preventive services (9). Data were provided by the Centers for Disease Control and Prevention (CDC), Division of Population Health, Epidemiology and Surveillance Branch. The project was funded by the Robert Wood Johnson Foundation (RWJF) in conjunction with the CDC Foundation. It represents a first-of-its kind effort to release information on a large scale for cities and for small areas within those cities. It includes estimates for the 500 largest US cities and approximately 28,000 census tracts within these cities. These estimates can be used to identify emerging health problems and to inform development and implementation of effective, targeted public health prevention activities. Because the small area model cannot detect effects due to local interventions, users are cautioned against using these estimates for program or policy evaluations. Data sources used to generate these measures include Behavioral Risk Factor Surveillance System (BRFSS) data (2017, 2016), Census Bureau 2010 census population data, and American Community Survey (ACS) 2013-2017, 2012-2016 estimates. Because some questions are only asked every other year in the BRFSS, there are 7 measures (all teeth lost, dental visits, mammograms, pap tests, colorectal cancer screening, core preventive services among older adults, and sleep less than 7 hours) from the 2016 BRFSS that are the same in the 2019 release as the previous 2018 release. More information about the methodology can be found at www.cdc.gov/500cities.

Prevalence (highest to lowest) of diagnosed multiple chronic conditions among adults aged ≥18 years, by state or territory—Behavioral Risk Factor Surveillance System, United States, 2017.

This is the complete dataset for the 500 Cities project 2017 release. This dataset includes 2015, 2014 model-based small area estimates for 27 measures of chronic disease related to unhealthy behaviors (5), health outcomes (13), and use of preventive services (9). Data were provided by the Centers for Disease Control and Prevention (CDC), Division of Population Health, Epidemiology and Surveillance Branch. The project was funded by the Robert Wood Johnson Foundation (RWJF) in conjunction with the CDC Foundation. It represents a first-of-its kind effort to release information on a large scale for cities and for small areas within those cities. It includes estimates for the 500 largest US cities and approximately 28,000 census tracts within these cities. These estimates can be used to identify emerging health problems and to inform development and implementation of effective, targeted public health prevention activities. Because the small area model cannot detect effects due to local interventions, users are cautioned against using these estimates for program or policy evaluations. Data sources used to generate these measures include Behavioral Risk Factor Surveillance System (BRFSS) data (2015, 2014), Census Bureau 2010 census population data, and American Community Survey (ACS) 2011-2015, 2010-2014 estimates. Because some questions are only asked every other year in the BRFSS, there are 7 measures from the 2014 BRFSS that are the same in the 2017 release as the previous 2016 release. More information about the methodology can be found at www.cdc.gov/500cities.

This dataset contains model-based place (incorporated and census-designated places) estimates. PLACES covers the entire United States—50 states and the District of Columbia—at county, place, census tract, and ZIP Code Tabulation Area levels. It provides information uniformly on this large scale for local areas at four geographic levels. Estimates were provided by the Centers for Disease Control and Prevention (CDC), Division of Population Health, Epidemiology and Surveillance Branch. PLACES was funded by the Robert Wood Johnson Foundation in conjunction with the CDC Foundation. The dataset includes estimates for 40 measures: 12 for health outcomes, 7 for preventive services use, 4 for chronic disease-related health risk behaviors, 7 for disabilities, 3 for health status, and 7 for health-related social needs. These estimates can be used to identify emerging health problems and to help develop and carry out effective, targeted public health prevention activities. Because the small area model cannot detect effects due to local interventions, users are cautioned against using these estimates for program or policy evaluations. Data sources used to generate these model-based estimates are Behavioral Risk Factor Surveillance System (BRFSS) 2022 or 2021 data, Census Bureau 2020 population data, and American Community Survey 2018–2022 estimates. The 2024 release uses 2022 BRFSS data for 36 measures and 2021 BRFSS data for 4 measures (high blood pressure, high cholesterol, cholesterol screening, and taking medicine for high blood pressure control among those with high blood pressure) that the survey collects data on every other year. More information about the methodology can be found at www.cdc.gov/places.

Associations between education, alcohol use, smoking, BMI, physical inactivity, and ischemic heart disease mortality in sex-stratified Cox proportional hazards models.

Analysis of ‘Healthcare Cost and Utilization Project (HCUP) - National Inpatient Sample’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/5fd2d275-4019-407f-af21-58e453bc8caa on 27 January 2022.

--- Dataset description provided by original source is as follows ---

2001 forward. The National (Nationwide) Inpatient Sample (NIS) is part of a family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The NIS is the largest publicly available all-payer inpatient health care database in the United States, yielding national estimates of hospital inpatient stays. Unweighted, it contains data from more than 7 million hospital stays each year. Weighted, it estimates more than 35 million hospitalizations nationally. Indicators from this data source have been computed by personnel in CDC's Division for Heart Disease and Stroke Prevention (DHDSP). This is one of the datasets provided by the National Cardiovascular Disease Surveillance System. The system is designed to integrate multiple indicators from many data sources to provide a comprehensive picture of the public health burden of CVDs and associated risk factors in the United States. The data are organized by indicator, and they include CVDs (e.g., heart failure). The data can be plotted as trends and stratified by age group, sex, and race/ethnicity.

--- Original source retains full ownership of the source dataset ---

According to a survey from 2023, around 25 percent of U.S. college students who drank alcohol in the past two weeks had 5 or more (males) or 4 or more (females) drinks in one sitting one time within the past two weeks. This statistic presents the percentage of college students in the U.S. that had 5 or more alcoholic drinks (males) or four or more alcoholic drinks (females) in one sitting within the past two weeks as of fall 2023.

This is the complete dataset for the 500 Cities project 2016 release. This dataset includes 2013, 2014 model-based small area estimates for 27 measures of chronic disease related to unhealthy behaviors (5), health outcomes (13), and use of preventive services (9). Data were provided by the Centers for Disease Control and Prevention (CDC), Division of Population Health, Epidemiology and Surveillance Branch. The project was funded by the Robert Wood Johnson Foundation (RWJF) in conjunction with the CDC Foundation. It represents a first-of-its kind effort to release information on a large scale for cities and for small areas within those cities. It includes estimates for the 500 largest US cities and approximately 28,000 census tracts within these cities. These estimates can be used to identify emerging health problems and to inform development and implementation of effective, targeted public health prevention activities. Because the small area model cannot detect effects due to local interventions, users are cautioned against using these estimates for program or policy evaluations. Data sources used to generate these measures include Behavioral Risk Factor Surveillance System (BRFSS) data (2013, 2014), Census Bureau 2010 census population data, and American Community Survey (ACS) 2009-2013, 2010-2014 estimates. More information about the methodology can be found at www.cdc.gov/500cities. Note: During the process of uploading the 2015 estimates, CDC found a data discrepancy in the published 500 Cities data for the 2014 city-level obesity crude prevalence estimates caused when reformatting the SAS data file to the open data format. . The small area estimation model and code were correct. This data discrepancy only affected the 2014 city-level obesity crude prevalence estimates on the Socrata open data file, the GIS-friendly data file, and the 500 Cities online application. The other obesity estimates (city-level age-adjusted and tract-level) and the Mapbooks were not affected. No other measures were affected. The correct estimates are update in this dataset on October 25, 2017.

This dataset contains model-based ZIP Code Tabulation Area (ZCTA) level estimates. PLACES covers the entire United States—50 states and the District of Columbia—at county, place, census tract, and ZIP Code Tabulation Area levels. It provides information uniformly on this large scale for local areas at four geographic levels. Estimates were provided by the Centers for Disease Control and Prevention (CDC), Division of Population Health, Epidemiology and Surveillance Branch. PLACES was funded by the Robert Wood Johnson Foundation in conjunction with the CDC Foundation. The dataset includes estimates for 40 measures: 12 for health outcomes, 7 for preventive services use, 4 for chronic disease-related health risk behaviors, 7 for disabilities, 3 for health status, and 7 for health-related scocial needs. These estimates can be used to identify emerging health problems and to help develop and carry out effective, targeted public health prevention activities. Because the small area model cannot detect effects due to local interventions, users are cautioned against using these estimates for program or policy evaluations. Data sources used to generate these model-based estimates are Behavioral Risk Factor Surveillance System (BRFSS) 2022 or 2021 data, Census Bureau 2020 population data, and American Community Survey 2018–2022 estimates. The 2024 release uses 2022 BRFSS data for 36 measures and 2021 BRFSS data for 4 measures (high blood pressure, high cholesterol, cholesterol screening, and taking medicine for high blood pressure control among those with high blood pressure) that the survey collects data on every other year. More information about the methodology can be found at www.cdc.gov/places.