This dataset of U.S. mortality trends since 1900 highlights the differences in age-adjusted death rates and life expectancy at birth by race and sex. Age-adjusted death rates (deaths per 100,000) after 1998 are calculated based on the 2000 U.S. standard population. Populations used for computing death rates for 2011–2017 are postcensal estimates based on the 2010 census, estimated as of July 1, 2010. Rates for census years are based on populations enumerated in the corresponding censuses. Rates for noncensus years between 2000 and 2010 are revised using updated intercensal population estimates and may differ from rates previously published. Data on age-adjusted death rates prior to 1999 are taken from historical data (see References below). Life expectancy data are available up to 2017. Due to changes in categories of race used in publications, data are not available for the black population consistently before 1968, and not at all before 1960. More information on historical data on age-adjusted death rates is available at https://www.cdc.gov/nchs/nvss/mortality/hist293.htm. SOURCES CDC/NCHS, National Vital Statistics System, historical data, 1900-1998 (see https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm); CDC/NCHS, National Vital Statistics System, mortality data (see http://www.cdc.gov/nchs/deaths.htm); and CDC WONDER (see http://wonder.cdc.gov). REFERENCES National Center for Health Statistics, Data Warehouse. Comparability of cause-of-death between ICD revisions. 2008. Available from: http://www.cdc.gov/nchs/nvss/mortality/comparability_icd.htm. National Center for Health Statistics. Vital statistics data available. Mortality multiple cause files. Hyattsville, MD: National Center for Health Statistics. Available from: https://www.cdc.gov/nchs/data_access/vitalstatsonline.htm. Kochanek KD, Murphy SL, Xu JQ, Arias E. Deaths: Final data for 2017. National Vital Statistics Reports; vol 68 no 9. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf. Arias E, Xu JQ. United States life tables, 2017. National Vital Statistics Reports; vol 68 no 7. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_07-508.pdf. National Center for Health Statistics. Historical Data, 1900-1998. 2009. Available from: https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm.

This dataset of U.S. mortality trends since 1900 highlights childhood mortality rates by age group for age at death.

Age-adjusted death rates (deaths per 100,000) after 1998 are calculated based on the 2000 U.S. standard population. Populations used for computing death rates for 2011–2017 are postcensal estimates based on the 2010 census, estimated as of July 1, 2010. Rates for census years are based on populations enumerated in the corresponding censuses. Rates for noncensus years between 2000 and 2010 are revised using updated intercensal population estimates and may differ from rates previously published. Data on age-adjusted death rates prior to 1999 are taken from historical data (see References below).

Age groups for childhood death rates are based on age at death.

SOURCES

CDC/NCHS, National Vital Statistics System, historical data, 1900-1998 (see https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm); CDC/NCHS, National Vital Statistics System, mortality data (see http://www.cdc.gov/nchs/deaths.htm); and CDC WONDER (see http://wonder.cdc.gov).

REFERENCES

1. National Center for Health Statistics, Data Warehouse. Comparability of cause-of-death between ICD revisions. 2008. Available from: http://www.cdc.gov/nchs/nvss/mortality/comparability_icd.htm.

2. National Center for Health Statistics. Vital statistics data available. Mortality multiple cause files. Hyattsville, MD: National Center for Health Statistics. Available from: https://www.cdc.gov/nchs/data_access/vitalstatsonline.htm.

3. Kochanek KD, Murphy SL, Xu JQ, Arias E. Deaths: Final data for 2017. National Vital Statistics Reports; vol 68 no 9. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf.

4. Arias E, Xu JQ. United States life tables, 2017. National Vital Statistics Reports; vol 68 no 7. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_07-508.pdf.

5. National Center for Health Statistics. Historical Data, 1900-1998. 2009. Available from: https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm.

This dataset includes percent distribution of births for females by age group in the United States since 1933.

The number of states in the reporting area differ historically. In 1915 (when the birth registration area was established), 10 states and the District of Columbia reported births; by 1933, 48 states and the District of Columbia were reporting births, with the last two states, Alaska and Hawaii, added to the registration area in 1959 and 1960, when these regions gained statehood. Reporting area information is detailed in references 1 and 2 below. Trend lines for 1909–1958 are based on live births adjusted for under-registration; beginning with 1959, trend lines are based on registered live births.

SOURCES

NCHS, National Vital Statistics System, birth data (see https://www.cdc.gov/nchs/births.htm); public-use data files (see https://www.cdc.gov/nchs/data_access/VitalStatsOnline.htm); and CDC WONDER (see http://wonder.cdc.gov/).

REFERENCES

1. National Office of Vital Statistics. Vital Statistics of the United States, 1950, Volume I. 1954. Available from: https://www.cdc.gov/nchs/data/vsus/vsus_1950_1.pdf.

2. Hetzel AM. U.S. vital statistics system: major activities and developments, 1950-95. National Center for Health Statistics. 1997. Available from: https://www.cdc.gov/nchs/data/misc/usvss.pdf.

3. National Center for Health Statistics. Vital Statistics of the United States, 1967, Volume I–Natality. 1969. Available from: https://www.cdc.gov/nchs/data/vsus/nat67_1.pdf.

4. Martin JA, Hamilton BE, Osterman MJK, et al. Births: Final data for 2015. National vital statistics reports; vol 66 no 1. Hyattsville, MD: National Center for Health Statistics. 2017. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf.

5. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Drake P. Births: Final data for 2016. National Vital Statistics Reports; vol 67 no 1. Hyattsville, MD: National Center for Health Statistics. 2018. Available from: https://www.cdc.gov/nvsr/nvsr67/nvsr67_01.pdf.

6. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Births: Final data for 2018. National vital statistics reports; vol 68 no 13. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_13.pdf.

The National Health and Nutrition Examination Survey (NHANES) is designed to assess the health and nutritional status of adults and children in the United States. The survey is unique in that it combines interviews with standardized physical examinations and laboratory tests.
NHANES was conducted on a periodic basis from 1971 to 1994. In 1999 NHANES became continuous. Every year, approximately 5,000 people of all ages are interviewed in their homes and complete the health examination conducted in a mobile examination center.
The NHANES interview includes demographic, socioeconomic, dietary, and health-related questions. The examination component consists of medical, dental, and physiological measurements, as well as the collection of biospecimens, such as blood and urine for laboratory testing.

This set of restricted data contains indirect identifying and/or sensitive information collected in continuous NHANES since 1999. Please refer to the links below for additional data available from NHANES:

• NHANES Public Use Data at: https://wwwn.cdc.gov/nchs/nhanes/Default.aspx
• NHANES Genetic Restricted Data at: https://data.cdc.gov/dataset/National-Health-and-Nutrition-Examination-Survey-N/hdx4-e4uu
• NHANES Restricted Data: Prior to 1999 at: https://data.cdc.gov/dataset/National-Health-and-Nutrition-Examination-Survey-N/ic32-yq9m
• NHANES National Youth Fitness Survey (NNYFS) Restricted Data at: https://data.cdc.gov/dataset/3-NHANES-National-Youth-Fitness-Survey-NNYFS-Restr/5u84-m4rs

The Detailed Mortality - Underlying Cause of Death data on CDC WONDER are county-level national mortality and population data spanning the years 1999-2009. Data are based on death certificates for U.S. residents. Each death certificate contains a single underlying cause of death, and demographic data. The number of deaths, crude death rates, age-adjusted death rates, standard errors and 95% confidence intervals for death rates can be obtained by place of residence (total U.S., region, state, and county), age group (including infants and single-year-of-age cohorts), race (4 groups), Hispanic ethnicity, sex, year of death, and cause-of-death (4-digit ICD-10 code or group of codes, injury intent and mechanism categories, or drug and alcohol related causes), year, month and week day of death, place of death and whether an autopsy was performed. The data are produced by the National Center for Health Statistics.

Data on infant, neonatal, and postneonatal mortality rates in the United States, by detailed race and Hispanic origin of mother. Data are from Health, United States. Source: National Center for Health Statistics, National Vital Statistics System, Linked Birth/Infant Death Data Set. Search, visualize, and download these and other estimates from over 120 health topics with the NCHS Data Query System (DQS), available from: https://www.cdc.gov/nchs/dataquery/index.htm.

This dataset includes live births, birth rates, and fertility rates by race of mother in the United States since 1960.

Data availability varies by race and ethnicity groups. All birth data by race before 1980 are based on race of the child. Since 1980, birth data by race are based on race of the mother. For race, data are available for Black and White births since 1960, and for American Indians/Alaska Native and Asian/Pacific Islander births since 1980. Data on Hispanic origin are available since 1989. Teen birth rates for specific racial and ethnic categories are also available since 1989. From 2003 through 2015, the birth data by race were based on the “bridged” race categories (5). Starting in 2016, the race categories for reporting birth data changed; the new race and Hispanic origin categories are: Non-Hispanic, Single Race White; Non-Hispanic, Single Race Black; Non-Hispanic, Single Race American Indian/Alaska Native; Non-Hispanic, Single Race Asian; and, Non-Hispanic, Single Race Native Hawaiian/Pacific Islander (5,6). Birth data by the prior, “bridged” race (and Hispanic origin) categories are included through 2018 for comparison.

SOURCES

NCHS, National Vital Statistics System, birth data (see https://www.cdc.gov/nchs/births.htm); public-use data files (see https://www.cdc.gov/nchs/data_access/VitalStatsOnline.htm); and CDC WONDER (see http://wonder.cdc.gov/).

REFERENCES

1. National Office of Vital Statistics. Vital Statistics of the United States, 1950, Volume I. 1954. Available from: https://www.cdc.gov/nchs/data/vsus/vsus_1950_1.pdf.

2. Hetzel AM. U.S. vital statistics system: major activities and developments, 1950-95. National Center for Health Statistics. 1997. Available from: https://www.cdc.gov/nchs/data/misc/usvss.pdf.

3. National Center for Health Statistics. Vital Statistics of the United States, 1967, Volume I–Natality. 1969. Available from: https://www.cdc.gov/nchs/data/vsus/nat67_1.pdf.

4. Martin JA, Hamilton BE, Osterman MJK, et al. Births: Final data for 2015. National vital statistics reports; vol 66 no 1. Hyattsville, MD: National Center for Health Statistics. 2017. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf.

5. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Drake P. Births: Final data for 2016. National Vital Statistics Reports; vol 67 no 1. Hyattsville, MD: National Center for Health Statistics. 2018. Available from: https://www.cdc.gov/nvsr/nvsr67/nvsr67_01.pdf.

6. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Births: Final data for 2018. National vital statistics reports; vol 68 no 13. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_13.pdf.

The National Health and Nutrition Examination Survey’s (NHANES) National Youth Fitness Survey (NNYFS) was conducted in 2012 to collect nationally representative data on physical activity and fitness levels for U.S. children and adolescents aged 3-15 years, through household interviews and fitness tests conducted in mobile examination centers.
The NNYFS interview includes demographic, socioeconomic, dietary, and health-related questions. The fitness tests included standardized measurements of core, upper, and lower body muscle strength, and gross motor skills, as well as a measurement of cardiovascular fitness by walking and running on a treadmill. A total of 1,640 children and adolescents aged 3-15 were interviewed and 1,576 were examined.
This set of restricted data files contains indirect identifying and/or sensitive information collected in NNYFS. For NNYFS public use files, please visit NNYFS 2012 at: https://wwwn.cdc.gov/nchs/nhanes/search/nnyfs12.aspx. For more information on the survey design, implementation, and data analysis, see the NNYFS Analytic Guidelines at: https://www.cdc.gov/nchs/nnyfs/analytic_guidelines.htm. For more information on NHANES, visit the NHANES - National Health and Nutrition Examination Survey Homepage at: https://www.cdc.gov/nchs/nhanes/index.htm.

This dataset describes drug poisoning deaths at the U.S. and state level by selected demographic characteristics, and includes age-adjusted death rates for drug poisoning. Deaths are classified using the International Classification of Diseases, Tenth Revision (ICD–10). Drug-poisoning deaths are defined as having ICD–10 underlying cause-of-death codes X40–X44 (unintentional), X60–X64 (suicide), X85 (homicide), or Y10–Y14 (undetermined intent). Estimates are based on the National Vital Statistics System multiple cause-of-death mortality files (1). Age-adjusted death rates (deaths per 100,000 U.S. standard population for 2000) are calculated using the direct method. Populations used for computing death rates for 2011–2017 are postcensal estimates based on the 2010 U.S. census. Rates for census years are based on populations enumerated in the corresponding censuses. Rates for noncensus years before 2010 are revised using updated intercensal population estimates and may differ from rates previously published. Death rates for some states and years may be low due to a high number of unresolved pending cases or misclassification of ICD–10 codes for unintentional poisoning as R99, “Other ill-defined and unspecified causes of mortality” (2). For example, this issue is known to affect New Jersey in 2009 and West Virginia in 2005 and 2009 but also may affect other years and other states. Drug poisoning death rates may be underestimated in those instances. REFERENCES 1. National Center for Health Statistics. National Vital Statistics System: Mortality data. Available from: http://www.cdc.gov/nchs/deaths.htm. CDC. CDC Wonder: Underlying cause of death 1999–2016. Available from: http://wonder.cdc.gov/wonder/help/ucd.html.

Data on death rates for diseases of heart in the United States, by age, sex, race, and Hispanic origin. Data are from Health, United States. SOURCE: National Center for Health Statistics, National Vital Statistics System, Mortality File. Search, visualize, and download these and other estimates from over 120 health topics with the NCHS Data Query System (DQS), available from: https://www.cdc.gov/nchs/dataquery/index.htm.

2019–present. The National Health Interview Survey (NHIS) is a nationally representative household health survey of the U.S. civilian noninstitutionalized population. The NHIS data are used to monitor trends in illness and disability, track progress toward achieving national health objectives, for epidemiologic and policy analysis of various health problems, determining barriers to accessing and using appropriate health care, and evaluating Federal health programs. NHIS is conducted continuously throughout the year by the National Center for Health Statistics (NCHS). Public-use data files on adults and children with corresponding imputed income data files, and survey paradata are released annually. The NHIS data website (https://www.cdc.gov/nchs/nhis/documentation/index.html) features the most up-to-date public-use data files and documentation for downloading including questionnaire, codebooks, CSV and ASCII data files, programs and sample code, and in-depth survey description. Most of the NHIS data are included in the public use files. NHIS is protected by Federal confidentiality laws that state the data collected by NCHS may be used only for statistical reporting and analysis. Some NHIS variables have been suppressed or edited in the public use files to protect confidentiality. Analysts interested in using data that has been suppressed or edited may apply for access through the NCHS Research Data Center at https://www.cdc.gov/rdc/. In 2019, NHIS launched a redesigned content and structure that differs from its previous questionnaire designs. NHIS has been conducted continuously since 1957.

The United States Cancer Statistics (USCS) online databases in WONDER provide cancer incidence and mortality data for the United States for the years since 1999, by year, state and metropolitan areas (MSA), age group, race, ethnicity, sex, childhood cancer classifications and cancer site. Report case counts, deaths, crude and age-adjusted incidence and death rates, and 95% confidence intervals for rates. The USCS data are the official federal statistics on cancer incidence from registries having high-quality data and cancer mortality statistics for 50 states and the District of Columbia. USCS are produced by the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI), in collaboration with the North American Association of Central Cancer Registries (NAACCR). Mortality data are provided by the Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS).

These data represent mean intake, on a given day, estimates of nutrients from foods and beverages from the National Health and Nutrition Examination Survey (NHANES). Search, visualize, and download these and other estimates from over 120 health topics with the NCHS Data Query System (DQS), available from: https://www.cdc.gov/nchs/dataquery/index.htm.

Interactive Summary Health Statistics for Adults provide annual estimates of selected health topics for adults aged 18 years and over based on final data from the National Health Interview Survey.

Footnotes for Health, US - Asthma in children younger than age 18, by selected characteristics: United States.

Data on asthma in children younger than age 18 in the United States, by selected characteristics. Data are from Health, United States. Source: National Center for Health Statistics, National Health Interview Survey.

Data on health care employment and wages in the United States, by selected occupations. Data are from Health, United States. Source: U.S. Department of Labor, Bureau of Labor Statistics, Occupational Employment and Wage Statistics. Search, visualize, and download these and other estimates from over 120 health topics with the NCHS Data Query System (DQS), available from: https://www.cdc.gov/nchs/dataquery/index.htm.

The NCHS Rapid Surveys System includes questions sponsored by CDC programs and other partners to address time-sensitive data needs, public health attitudes or behaviors, and developmental work to improve concept measurement and inform future question design. It also includes standard variables used for sample weighting and calibration, as well as selected portions of existing content from NCHS surveys (such as the National Health Interview Survey) to compare panel estimates to these benchmarks, assess the fitness-for-use of the panel survey data, and for other methodological purposes.

This dataset includes birth rates for females by age group in the United States since 1940. The number of states in the reporting area differ historically. In 1915 (when the birth registration area was established), 10 states and the District of Columbia reported births; by 1933, 48 states and the District of Columbia were reporting births, with the last two states, Alaska and Hawaii, added to the registration area in 1959 and 1960, when these regions gained statehood. Reporting area information is detailed in references 1 and 2 below. Trend lines for 1909–1958 are based on live births adjusted for under-registration; beginning with 1959, trend lines are based on registered live births. SOURCES NCHS, National Vital Statistics System, birth data (see https://www.cdc.gov/nchs/births.htm); public-use data files (see https://www.cdc.gov/nchs/data_access/VitalStatsOnline.htm); and CDC WONDER (see http://wonder.cdc.gov/). REFERENCES National Office of Vital Statistics. Vital Statistics of the United States, 1950, Volume I. 1954. Available from: https://www.cdc.gov/nchs/data/vsus/vsus_1950_1.pdf. Hetzel AM. U.S. vital statistics system: major activities and developments, 1950-95. National Center for Health Statistics. 1997. Available from: https://www.cdc.gov/nchs/data/misc/usvss.pdf. National Center for Health Statistics. Vital Statistics of the United States, 1967, Volume I–Natality. 1969. Available from: https://www.cdc.gov/nchs/data/vsus/nat67_1.pdf. Martin JA, Hamilton BE, Osterman MJK, et al. Births: Final data for 2015. National vital statistics reports; vol 66 no 1. Hyattsville, MD: National Center for Health Statistics. 2017. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Drake P. Births: Final data for 2016. National Vital Statistics Reports; vol 67 no 1. Hyattsville, MD: National Center for Health Statistics. 2018. Available from: https://www.cdc.gov/nvsr/nvsr67/nvsr67_01.pdf. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Births: Final data for 2018. National vital statistics reports; vol 68 no 13. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_13.pdf.

Interactive Summary Health Statistics for Children provide annual estimates of selected health topics for children under age 18 years based on final data from the National Health Interview Survey.

This dataset of U.S. mortality trends since 1900 highlights trends in age-adjusted death rates for five selected major causes of death.

Age-adjusted death rates (deaths per 100,000) after 1998 are calculated based on the 2000 U.S. standard population. Populations used for computing death rates for 2011–2017 are postcensal estimates based on the 2010 census, estimated as of July 1, 2010. Rates for census years are based on populations enumerated in the corresponding censuses. Rates for noncensus years between 2000 and 2010 are revised using updated intercensal population estimates and may differ from rates previously published. Data on age-adjusted death rates prior to 1999 are taken from historical data (see References below).

Revisions to the International Classification of Diseases (ICD) over time may result in discontinuities in cause-of-death trends.

SOURCES

CDC/NCHS, National Vital Statistics System, historical data, 1900-1998 (see https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm); CDC/NCHS, National Vital Statistics System, mortality data (see http://www.cdc.gov/nchs/deaths.htm); and CDC WONDER (see http://wonder.cdc.gov).

REFERENCES

1. National Center for Health Statistics, Data Warehouse. Comparability of cause-of-death between ICD revisions. 2008. Available from: http://www.cdc.gov/nchs/nvss/mortality/comparability_icd.htm.

2. National Center for Health Statistics. Vital statistics data available. Mortality multiple cause files. Hyattsville, MD: National Center for Health Statistics. Available from: https://www.cdc.gov/nchs/data_access/vitalstatsonline.htm.

3. Kochanek KD, Murphy SL, Xu JQ, Arias E. Deaths: Final data for 2017. National Vital Statistics Reports; vol 68 no 9. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf.

4. Arias E, Xu JQ. United States life tables, 2017. National Vital Statistics Reports; vol 68 no 7. Hyattsville, MD: National Center for Health Statistics. 2019. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_07-508.pdf.

5. National Center for Health Statistics. Historical Data, 1900-1998. 2009. Available from: https://www.cdc.gov/nchs/nvss/mortality_historical_data.htm.