health, united states, 2009: in brief

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Copyright informationPermission has been obtained from the copyright holdersto reproduce certain quoted material in this report. Further reproduction of this material is prohibited without speci cpermission of the copyright holder. All other materialcontained in this report is in the public domain and may beused and reprinted without special permission; citation asto source, however, is appreciated.

Suggested citationNational Center for Health Statistics.Health, United States, 2009: In Brief.Hyattsville, MD. 2010.

U.S. Department of Health and Human ServicesKathleen SebeliusSecretary

Centers for Disease Control and PreventionThomas R. Frieden, M.D., M.P.H.Director

National Center for Health StatisticsEdward J. Sondik, Ph.D.Director


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Health, United States, 2009: In Brief For more information, see the complete report available from: http://www.cdc.gov/nchs/hus.htm . 1

INTRODUCTION

Monitoring the health of the American people is anessential step in making sound health policy and settingresearch and program priorities. In a Chartbook and 150detailed tables, Health, United States provides an annualpicture of the health of the entire Nation. This year itincludes a special feature on medical technology. Health,United States, 2009 is the 33rd report on the healthstatus of the Nation and is submitted by the Secretaryof the Department of Health and Human Services tothe President and the Congress of the United States incompliance with Section 308 of the Public Health ServiceAct. This report was compiled by the Centers for DiseaseControl and Preventions (CDC) National Center for HealthStatistics (NCHS).

New for the 2009 edition is Health, United States, 2009:In Brief , a companion piece to Health, United States .This short report is intended to focus attention on trendsin key health statistics. Each topic highlighted inIn Brief is presented in greater detail in the full report. InBrief contains summary information on the health of theAmerican people, including mortality and life expectancy,morbidity and risk factors such as cigarette smoking andoverweight/obesity, access to and utilization of health care,insurance coverage, supply of health care resources, andhealth expenditures. An At a Glance table summarizessome of these key indicators at the national level and isfollowed by selected charts extracted from Health, United States, 2009 that highlight these topics and provideexamples of data contained in the full report.

The full report, Health, United States, 2009, With Special Feature on Medical Technology is available at: http://www.cdc.gov/nchs/hus.htm . On this website, users can nd

The full searchable 2009 report in Adobe PDF format,consisting of a Preface, Executive Summary andHighlights, Chartbook with 36 charts including a Special

Feature on Medical Technology, 150 detailed TrendTables, Data Sources, Methods, and an Index;

Chartbook and Trend Tables available as downloadableExcel spreadsheet les;

Additional years of data for selected Trend Tables;

Standard errors for selected estimates;

Charts in PowerPoint format;

Previous editions, starting with Health, United States,1975 ; and

Groups of charts and tables on speci c topics, such asolder adults, racial and ethnic groups, and state data.
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2 Health, United States, 2009: In Brief For more information, see the complete report available from: http://www.cdc.gov/nchs/hus.htm

Health, United States, 2009 At a Glance

Value (year)Health, United States

Figure/Table no.

Life Expectancy and Mortality

Life expectancy in years Table 24

At birth 76.8 (2000) 77.4 (2005) 77.7 (2006)At age 65 17.6 (2000) 18.2 (2005) 18.5 (2006)

Infant deaths per 1,000 live births Figure 17

All infants 6.91 (2000) 6.87 (2005) 6.69 (2006)

Deaths per 100,000, age-adjusted Figure 18/ Table 26

All causes 869.0 (2000) 798.8 (2005) 776.5 (2006)

Top six causes:

Heart disease 257.6 (2000) 211.1 (2005) 200.2 (2006)

Cancer 199.6 (2000) 183.8 (2005) 180.7 (2006)

Stroke 60.9 (2000) 46.6 (2005) 43.6 (2006)

Chronic lower respiratory diseases 44.2 (2000) 43.2 (2005) 40.5 (2006)

Unintentional injuries 34.9 (2000) 39.1 (2005) 39.8 (2006)

Diabetes 25.0 (2000) 24.6 (2005) 23.3 (2006)

Morbidity and Risk Factors

Fair or poor health, percent Table 57

All ages 8.9 (2000) 9.5 (2006) 9.8 (2007)

65 years and over 26.9 (2000) 24.8 (2006) 26.8 (2007)

Diabetes, percent Table 67

20 years and over 8.3 (19992000) 10.3 (20032004) 10.2 (20052006)

Hypertension, 1 percent Table 67

20 years and over 28.9 (19992000) 32.5 (20032004) 31.7 (20052006)

High serum cholesterol, percent Table 67

20 years and over 17.8 (19992000) 17.0 (20032004) 15.9 (20052006)

Overweight/obese, percent Table 67

Obese, 20 years and over 29.9 (19992000) 32.0 (20032004) 34.2 (20052006)

Overweight:

25 years 10.3 (19992000) 13.9 (20032004) 11.0 (20052006)

611 years 15.1 (19992000) 18.8 (20032004) 15.1 (20052006)

1219 years 14.8 (19992000) 17.4 (20032004) 17.8 (20052006)

Cigarette smoking, percent Table 60

18 years and over 23.2 (2000) 20.8 (2006) 19.8 (2007)

Regular exercise, percent Table 71

18 years and over 31.7 (2000) 30.9 (2006) 30.8 (2007)

Joint pain, percent Table 54

18 years and over 29.5 (2002) 29.7 (2006) 27.6 (2007)

65 years and over 47.2 (2002) 48.2 (2006) 43.9 (2007)

Health Care Utilization

No health care visit in past 12 months, percent Table 80

Under 18 years 12.3 (2000) 10.9 (2006) 10.3 (2007)

1844 years 23.5 (2000) 25.3 (2006) 24.1 (2007)
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MORTALITY

The gap in life expectancy at birth betweenwhite persons and black persons persistsbut has narrowed since 1990.

Life expectancy is a measure often usedto gauge the overall health of a population.From 1900 through 2006, life expectancy atbirth increased from 46 to 75 years for menand from 48 to 80 years for women. Lifeexpectancy at birth increased more for theblack than for the white population between1990 and 2006. During this period, the gap inlife expectancy at birth between whiteand black men narrowed from 8 years to6 years. During the same period, the gap in lifeexpectancy at birth between white women andblack women decreased from 6 years to4 years.

SOURCE: CDC/NCHS, Health, United States, 200 9 , Figure 16 and Table 24 . Da ta from the National Vital Statistics System.

L i f

e e

x p e c

t a n c y

i n y

e a r s

Life expectancy

0

10

20

50

60

70

80

90

100

1970 1980 20001990 2006

Year

Life expectancy at birth

White male

White female

Black male

Black female

Life expectancy at 65 yearsBlack female

White male

White female

Black male

After declining substantially between1950 and 2000, infant, neonatal, and

postneonatal mortality rates have remainedconstant in recent years.

The infant mortality ratethe risk of deathduring the rst year of lifeis related to theunderlying health of the mother, public healthpractices, socioeconomic conditions, and theavailability and use of appropriate health carefor infants and pregnant women. During 20002006, there was little progress in lowering theU.S. infant mortality rate. The infant mortalityrate decreased 2.6%, from 6.87 per 1,000 livebirths in 2005 to 6.69 in 2006. Infant mortalityrates have declined for most racial and ethnicgroups, but large disparities among the groupsremain.

SOURCE: CDC/NCHS, Health, United States, 200 9 , Figure 17.Data from the National Vital Statistics System. Also see: HeronM, Hoyert DL, Murphy SL, Xu J, Kochanek KD, Tejada-Vera B.Deaths: Final data for 2006. National vital statistics reports; vol 57no 14. Hyattsville, MD: NCHS; 2009. Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_14.pdf .

D e a

t h s p e r

1 , 0

0 0 l i v e

b i r t h s

Neonatal

Postneonatal

Year

Infant, neonatal, and postneonatal mortality rates

0

10

20

30

40

1950 1960 1970 1980 1990 20062000

Infant
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MORTALITY

Mortality from heart disease, stroke, andunintentional injuries is substantially lower than in 1950.

In 2006, a total of 2.4 million deaths werereported in the United States. The overallage-adjusted death rate was 46% lower in2006 than in 1950. The reduction in overallmortality since 1950 was driven mostly bydeclines in mortality from heart disease,stroke, and unintentional injuries. In 2006, theage-adjusted death rate for heart diseasetheleading cause of deathwas 66% lower thanin 1950. The age-adjusted death rate for stroke (cerebrovascular disease), the thirdleading cause of death, declined 76% since1950. Between 1990 and 2006, overall deathrates for cancer declined 16%.

NOTE: Rates are age-adjusted.SOURCE: CD C/NC HS, Hea lth, United States, 200 9 , Figure 18an d Tables 28 , 32, an d 33. Data from the National Vital StatisticsSystem.

D e a

t h s p e r

1 0 0

, 0 0 0 p o p u

l a t i o n

( l o g s c a

l e )

Year

Death rates for leading causes of death: All ages

10

100

1,000

10,000

1950 1960 1970 1980 1990 20062000

All causes

Heart disease

Cancer

Stroke

Unintentional injuries

Chronic lower respiratory diseases

Diabetes
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MORBIDITY AND LIMITATION OF ACTIVITY

The prevalence of diabetes, serious heartconditions, and hypertension among adults4564 years of age is strongly associatedwith poverty status.

Some modi able risk factors for hypertension,diabetes, and heart disease are moreprevalent in lower income populations. In2007, poor adults 4564 years of age were56% more likely than those with familyincome more than twice the poverty level tohave diagnosed hypertension and more thantwice as likely to have diagnosed diabetesor diagnosed serious heart conditions.The percentage of poor adults in that agegroup with hypertension was similar to thepercentage of higher income persons whowere 6574 years of age (46%48%).

SOURCE: CDC/NCHS, Health, United States, 2009 , Figure 10. Data from the National Health Interview Survey.

Respondent-reported hypertension, diabetes, and seriousheart conditions among persons 4564 years of age, 2007

Percent

6

10

12

9

16

19

30

38

46

0 20 40 60 80 100

Diabetes

Serious heart conditions

Hypertension

200% or more

Below 100%

Percent of poverty level

100%lessthan 200%

200% or more

Below 100%

100%lessthan 200%

200% or more

Below 100%

100%lessthan 200%

Conditions associated with learning,emotional, behavioral, and developmentalproblems are among the leading causes of activity limitation among children.

Limitation of activity due to chronic physical,mental, or emotional conditions is a broadmeasure of health and functioning thatgauges a childs ability to engage in major age-appropriate activities. A speech problem,mental retardation, and asthma were identi edby parents as the leading causes of activitylimitation among preschool children. Learningdisability and attention-de cit/hyperactivitydisorder (ADHD or ADD) were mentioned asimportant causes of activity limitation amongall school-age children. Among older school-age children (1217 years of age), a mental,emotional, or behavioral problem (other than ADHD, mental retardation, or another developmental problem) was reported as animportant condition causing activity limitation.

* Estimates are considered unreliable. Data shown with an asteriskhave a relative standard error of 20%30%. Data not shown havea relative standard error greater than 30%.SOURCE: CDC/NCHS, Health, United States, 2009 , Figure 13 .Data from the National Health Interview Survey.

Activity limitation caused by chronic conditions amongchildren, 20062007

50

511years

1217years

Under 5 years

Number of children with limitation of activity caused by selectedchronic health conditions per 1,000 population

31.6

20.0

*2.4

24.7

19.0

14.9

14.1

3.8

11.2

10.1

6.5

5.7

4.4

6.9

7.7

23.1

15.8

0 10 20 30 40

*

Asthma

Other mental problem ADHDLearning disability

Speech problem

Mental retardation
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MORBIDITY AND LIMITATION OF ACTIVITY

Arthritis and other musculoskeletalconditions are the most frequently reportedcause of activity limitation among working-age adults.

Chronic physical, mental, and emotionalconditions can limit the ability of adults toperform important activities, such as workingand doing everyday household chores. Withadvancing age, an increasing percentage of adults experience limitation of activity. Arthritisand other musculoskeletal conditions were themost frequently mentioned conditions causinglimitation among working-age adults of all agesin 20062007. Among adults 1844 years of age, mental illness was the second leadingcause of activity limitation. Among adults4564 years of age, heart and circulatory

conditions were the second leading causeof limitation, and mental illness was another frequently mentioned condition.

SOURCE: CDC/NCHS, Health, United States, 2009 , Figure 14 .Data from the National Health Interview Survey. Number of persons with limitation of activity caused by selected

chronic health conditions per 1,000 population

Mental IllnessFractures or joint injuryLungDiabetesHeart or other circulatory

Arthritis or other musculoskeletal

1844years

Activity limitation caused by chronic conditions amongworking-age adults, 20062007

4554years

5564years

Mental retardation

3

4

6

99

58

19

61

27

6

31

14

3

19

12

4

19

13

5

28

23

14

0 20 40 60 80 100 120

Arthritis and other musculoskeletalconditions were the most frequentlymentioned chronic conditions causinglimitation of activity among adults 65 yearsof age and over.

Since 2000, the percentage of noninstitu-tionalized adults 65 years of age and over with limitation of activity has remained at34%35%. In 20062007, the percentage of older adults with limitation of activity increasedwith age from 26% of 6574 year-olds, to36% of 7584 year-olds, and to 62% of adults85 years of age and over. Arthritis and other musculoskeletal conditions were the mostfrequently mentioned chronic conditionscausing limitation of activity among adults 65years of age and over. Heart and circulatoryconditions were the second leading cause of activity limitation. Among noninstitutionalizedadults 85 years of age and over, senility or dementia, vision conditions, and hearingproblems were frequently mentioned causes of activity limitation.

SOURCE: CDC/NCHS, Health, United States, 2009 , Figure 15 .Data from the National Health Interview Survey (includingunpublished analysis).

85 yearsand over

65 74years

Number of persons with limitation of activity caused by selectedchronic health conditions per 1,000 population

7584years

Arthritis or other musculoskeletal

Senility or dementiaLung

DiabetesVision

Heart or other circulatoryHearing

Activity limitation caused by chronic conditions amongolder adults, 20062007

281

167

122

204

138

96

72

22

9

89

31

17

50

44

41

38

42

36

83

34

9

0 50 100 150 200 250 300
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HEALTH RISK FACTORS

In recent years, progress in reducingtobacco use has slowed.

Cigarette smoking remains the Nationsleading cause of premature, preventabledeath. Following the Surgeon Generalsreport on smoking in 1964, cigarette smokingdeclined sharply for men and at a slower pacefor women, thus narrowing the gap betweensmoking rates for men and women. Declinesin current cigarette smoking over the past twodecades have slowed compared with earlier periods. In 2007, 22% of men and 17% of women were current cigarette smokers. In2007, 20% of high school students in grades912 had smoked cigarettes in the past month.

NOTE: Estimates for adults are age-adjusted.SOURCE: CDC/NCHS, Health, United States, 200 9 , Figure 6 an d

Table 60 . Data from the National Health Interview Survey and theYouth Risk Behavior Survey.

P e r c e n t

Year

Cigarette smoking

0

10

20

30

40

50

60

1965 1974 1979 1985 1990 1995 20072000

Men

WomenHigh school students

The percentage of American adults whoare obese has doubled over the past threedecades to about one-third of all adults.

The potential health bene ts from reducingthe prevalence of overweightand obesityin particularare of signi cant public healthimportance. The percentage of adults 2074years of age who are obese (body mass index(BMI) greater than or equal to 30) has morethan doubled, from 15% in 19761980 to35% in 20052006 (age-adjusted). The sharpincreases in the percentage of adults who areobese seen from 19761980 to 19992000

have tapered off in more recent years. In20052006, 15%18% of school-age childrenand adolescents were overweight (de ned asa BMI at or above the sex- and age-speci c95th percentile BMI cut points from the 2000CDC Growth Charts).

NOTE: Estimates for adults are age-adjusted.SOURCE: CDC/NCHS, Health, United States, 200 9 , Figure 7. Data from the National Health Examination Survey and theNational Health and Nutrition Examination Survey. Year

P e r c e n

t

Overweight and obesity

19881994

19992000

20052006

19711974

19601962

19631965

19661970

19761980

0

10

20

30

40

50

60

70

80

90

100

Overweight, 1219 years

Overweight including obese, 2074 years


Overweight but not obese, 2074 years

Obese, 2074 years

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HEALTH CARE UTILIZATION

The use of MRI/CT/PET scans in physicianof ces and hospital outpatient andemergency department settings hasincreased dramatically over the pastdecade.

Advanced diagnostic medical imaging includessuch technologies as computed tomography(CT), magnetic resonance imaging (MRI),and positron emission tomography (PET). In2007, 3%4% of physician of ce and hospitaloutpatient department (OPD) visits includedadvanced imaging scans ordered or providedduring the visit. Advanced imaging scan ratesduring visits to physician of ces and OPDsmore than tripled from 1996 to 2007 amongpersons under 65 years of age and amongpersons 65 years of age and over. The use

of advanced imaging during emergencydepartment (ED) visits increased vefoldamong adults under 65 years of age andquadrupled among adults 65 years of age andover.

SOURCE: CDC/NCHS, Health, United States, 2009 , Figure 25. Data from the National Ambulatory Medical Care Survey and theNational Hospital Ambulatory Medical Care Survey.

N u m

b e r o

f v

i s i t s p e r

1 0 0 p e r s o n s

Ambulatory care visits with MRI/CT/PET scans ordered/provided during visit

Year

0

5

10

15

20

25

30

35

40

1997 1998 1999 2000 2001

Under 65 years,inphysician offices and OPDs

65 years and over, in physician offices and OPDs

2002 2003 2004 2005 2006

Under 65 years, in EDs

65 years an d o ve r, in ED s

1996 2007

The use of statin drugs increased almost10-fold from 19881994 to 20032006;during the same period, the use of antidiabetic drugs increased by 50%.

Some of the most important medical advanceshave been the development and introductionof pharmacological treatments. Twoimportant classes of drugsantidiabetics andcholesterol-lowering statinshave continuedthis pattern of technological advancement.The increase in the use of antidiabetic drugsover time mirrors the increase in diagnoseddiabetes. In 19881994, 10% of adults 45

years of age and over had been diagnosed bytheir physician with diabetes. By 20032006,this had grown to 13%. From 19881994 to20032006, the use of statin drugs by adults45 years of age and over increased almost 10-fold, from 2% to 22%.

* Estimates are considered unreliable. Data shown with an asteriskhave a relative standard error of 20%30%.SOURCE: CDC/NCHS, Health, United States, 200 9 , Figure 34 andTable 51 . Data from the National Health and Nutrition ExaminationSurvey (including unpublished analysis).

Prescription drug use in past month

4564 years

32.8

38.9

13.5

16.8

15.6

15.0

8.7

7.9

3.5

*1.9

*1.9

*2.5

9.0

9.0

5.1

5.9

0 20 40 60 80 100

19881994

20032006

Men

Women

Men

Percent

Women

65 years and over

Men

Women

Men

Women

Antidiabetic drugs

Statin drugs

4564 years

65 years and over
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INSURANCE COVERAGE AND HEALTH CARE EXPENDITURES

Between 1999 and 2007, the percentageof people under age 65 years with privateinsurance declined, while enrollment inpublic coverage programs expanded.

Health insurance coverage is an important

determinant of access to health care. Between1984 and 1994, private coverage declinedamong people under 65 years of age, whileMedicaid enrollment and the percentage withno health insurance increased. After risingto 73% in 1999, the percentage with privatehealth insurance declined, reaching 67% in2007. This decrease has been offset by anincrease in the percentage with Medicaid or Childrens Health Insurance Program, resultingin little change in the percentage of personsunder 65 years of age who were uninsured.

SOURCE: CDC/NCHS, Health, United States, 200 9 , Figure 19. Data from the National Health Interview Survey.

Health insurance coverage at time of interview amongpersons under 65 years of age

P e r c e n t

Year

0

20

40

60

80

100

1984 1989 1994 1999

Medicaid

Uninsured

2007

Private

Personal health care expenditures paid byMedicaid have increased on average 9%per year, Medicare 8% per year, privatehealth insurance 7% per year, and out-of-pocket payments 4% per year since 1990.

Between 1990 and 2007, total personal healthexpenditures tripled, increasing from $600billion to $1.9 trillion. In 2007, slightly over one-half of personal health care expenditureswere paid by private sources, including privatehealth insurance, out-of-pocket payments byconsumers, and philanthropy or other privatelyprovided care. Public sources paid the

remaining $850 billion, with the bulk being paidby the Medicare and Medicaid programs.

SOURCE: CDC/NCHS, Health, United States, 2009 , Figure 22 .Data from the Centers for Medicare & Medicaid Services.

Personal health care expenditures

A m o u n

t i n b i l l i o n s

0

100

200

300

400

500

600

700

1990 20072000

Private health insurance

Medicare

Medicaid (federal)

Year

Medicaid (state)

Out-of-pocket

1995 2005
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Chartbook Figures in Health, United States, 2009

The 2009 Chartbook includes 36 charts, with 14 charts on thisyears special feature, Medical Technology. As advances inmedical technologies continue to transform the provision of health care and improve the length and quality of life, questionsare raised about their appropriate and equitable use and how tobest control their contribution to rising health care expenditures.The Chartbook assesses the Nations health by presenting trends

and current information on selected determinants and measuresof health status and the utilization of health care. Many measuresare shown separately for persons of different ages because of the strong effect of age on health. Selected gures also highlightdifferences in determinants and measures of health status andutilization of health care by such characteristics as sex, race,Hispanic origin, education, and poverty level.

Population : Figures 15

Age distributionRace/ethnicityLiving veteransPoverty

Health Risk Factors and Disease Preventio n: Figures 69

Cigarette smokingOverweight and obesityTrouble sleepingIn uenza and pneumococcal vaccination

Morbidity and Limitation of Activit y: Figures 1015

Hypertension, diabetes, and serious heart conditionsNonfatal occupational injuries and illnessesDepressionLimitation of activity

Mortalit y: Figures 1618

Life expectancyInfant mortalityDeath rates for leading causes

Health Insurance and Expenditure s: Figures 1922

Health insurancePersonal health care expenditures

Special Feature: Medical Technology : Figures 2336

History of medical technologyFederally regulated (CLIA) laboratoriesMRI/CT/PET scansMammographyKnee and hip replacementsCoronary stentingGallbladder removalEndoscopy and colonoscopyICU/CCU use in last 6 months of lifeOrgan transplantationAssisted reproductive technologyPrescription drug useHIV mortalityHospital costs

Trend Tables in Health, United States, 2009

The Chartbook section is followed by 150 Trend Tablesorganized around four major subject areas: health status anddeterminants, health care utilization, health care resources, andhealth care expenditures. A key criterion used in selecting theTrend Tables is the availability of comparable national data over a period of several years. The tables present data for selectedyears, to highlight major trends in health statistics. Earlier

editions of Health, United States may present data for additionalyears that are not included in the current printed report. Wherepossible, these additional years of data are available in Excel spreadsheet les on the Health, United States website. Tableswith additional data years available are listed in Appendix III.

Health Status and Determinants

Population : Tables 13

Fertility and Natality : Tables 416

Birth rates

Low birthweight Prenatal careTeenage childbearing

Mortali ty: Tables 1745

Death rates, all causesInfant mortalityLife expectancy

Determinants and Measures of Health : Tables 4674

AIDS casesAlcohol and other substance abuseCancer Cigarette smokingCholesterolDental cariesDiabetesDisability measureHeadacheHealth status (respondent-assessed)HypertensionInfectious diseasesJoint painOccupational injuriesOverweight and obesityPhysical activityPsychological distress (serious)Renal disease (end-stage)

Utilization of Health Resources

Ambulatory Care : Tables 7597

Access to careDental visitsDoctor visitsEmergency department visitsMammography usePap smear use
http://www.cdc.gov/nchs/data/hus/hus09.pdf#figpopulationhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#figpopulationhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#fighealthriskhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#fighealthriskhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#figmorbidityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#figmorbidityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#figmortalityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#figmortalityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#fighealthinsurancehttp://www.cdc.gov/nchs/data/hus/hus09.pdf#fighealthinsurancehttp://www.cdc.gov/nchs/data/hus/hus09.pdf#figspecialfeaturehttp://www.cdc.gov/nchs/data/hus/hus09.pdf#figspecialfeaturehttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tablepopulationhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tablepopulationhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tablefertilityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tablefertilityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tablemortalityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tablemortalityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tabledeterminantshttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tabledeterminantshttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tableambulatoryhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tableambulatoryhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#figspecialfeaturehttp://www.cdc.gov/nchs/data/hus/hus09.pdf#fighealthinsurancehttp://www.cdc.gov/nchs/data/hus/hus09.pdf#figmortalityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#figmorbidityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#fighealthriskhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#figpopulationhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tablepopulationhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tablefertilityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tablemortalityhttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tabledeterminantshttp://www.cdc.gov/nchs/data/hus/hus09.pdf#tableambulatory


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Trend Tables in Health, United States, 2009

Prescription drug useUsual source of careVaccinations

Inpatient Car e: Tables 98105

Hospital staysNursing home residents

Health Care Resources

Personne l: Tables 106114

DentistsEnrollment in health professions schoolsHealth personnelPhysicians

Facilities : Tables 115121

HospitalsMedicare-certi ed providersMRI units and CT scannersNursing homes

Health Care Expenditures and Payors

National Health Expenditures: Tables 122136

Consumer Price IndexHealth expendituresOut-of-pocket health expenses

Health Care Cover age and Major Federal Programs:Tables 137147

Department of Veterans AffairsMedicaidMedicarePrivate coverageUninsured

State Health Exp enditures and Health Insurance:Tables 148150

MedicaidMedicarePer capita health expendituresUninsured
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health, united states, 2009: in brief

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