jueves, 31 de octubre de 2013

U.S. Preventive Services Task Force: Final Research Plan: Screening for Speech and Language Delay and Disorders in Children Age 5 Years or Younger

U.S. Preventive Services Task Force: Final Research Plan

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U.S. Preventive Services Task Force

Final Research Plan

Screening for Speech and Language Delay and Disorders in Children Age 5 Years or Younger


The final Research Plan is used to guide a systematic review of the evidence by researchers at an Evidence-based Practice Center. The resulting Evidence Report forms the basis of the USPSTF Recommendation Statement on this topic.
The draft Research Plan was available for comment from July 25 until August 21, 2013 at 5:00 p.m., ET. To view the draft Research Plan, click here.

I. Analytic Framework


Select Text Description below for details.
a Excluding children with diagnosed disorders including autism, mental retardation, Fragile X, hearing loss, degenerative and other neurologic conditions.
b School performance, behavioral competence, socioemotional development, quality of life, and others.
[D] Select for Text Description.

II. Key Questions to Be Systematically Reviewed

  1. Does screening for speech and language delay or disorders lead to improved speech and language outcomes, as well as improved outcomes in domains other than speech and language?
  2. Do screening evaluations in the primary care setting accurately identify children for diagnostic evaluations and interventions?
    1. What is the accuracy of these screening techniques and does it vary by age, cultural/linguistic background, whether it is conducted in a child's native language, or by how the screening was administered (i.e., parent report, parent interview, direct assessment of child by professional)?
    2. What are the optimal ages and frequency for screening?
    3. Is selective screening based on risk factors more effective than unselected, general population screening?
    4. Does the accuracy of selective screening vary based on risk factors? Is the accuracy of screening different for children with an inherent language disorder compared with children whose language delay is due to environmental factors?
  3. What are the adverse effects of screening for speech and language delay or disorders?
  4. Does surveillance (active monitoring) by primary care clinicians play a role in accurately identifying children for diagnostic evaluations and interventions?
  5. Do interventions for speech and language delay or disorders improve speech and language outcomes?
  6. Do interventions for speech and language delay or disorders improve other outcomes, such as academic achievement, behavioral competence, and socioemotional development or health outcomes, such as quality of life?
  7. What are the adverse effects of interventions for speech and language delay or disorders (e.g., time, stress, and stigma)?

III. Contextual Questions

Contextual questions will not be systematically reviewed and are not shown in the Analytic Framework.
  1. What are the techniques for screening for speech and language delay or disorders and do they differ by age and cultural background?
  2. What risk factors are associated with speech and language delay?
  3. What is the role of primary care providers in screening in children age 5 years or younger that is performed in other venues (such as Head Start or preschool)?

IV. Research Approach

The Research Approach identifies the study characteristics and criteria that the Evidence-based Practice Center will use to search for publications and to determine whether identified studies should be included or excluded from the Evidence Report. Criteria are overarching as well as specific to each of the key questions (KQs).
CategoryIncludeExclude
PopulationsChildren age 5 years or younger (for screening) who speak any languageChildren with previously known conditions associated with language delay (e.g., hearing impairment, developmental or neurological/neurogenetic impairment)
SettingStudies conducted in countries listed as “high” on the Human Development IndexStudies conducted in countries not listed as “high” on the Human Development Index
Screening All instruments and procedures that are applicable for use in children age 5 years or younger:
  • ≤10 minutes to administer or to be interpreted in a primary care setting
  • >10 minutes if completed by a parent or teacher and interpreted by the clinician
  • Instruments specifically for speech and language
  • General developmental instruments with a separate component for speech and/or language skills
  • Instruments not designed for use in children age 5 years or younger
  • Tools that take >10 minutes to administer
  • General developmental screening instruments that do not have a separate component for speech and/or language skills
Treatment/management interventions
  • All standardized and nonstandardized procedures to diagnose specific speech and/or language impairments that are appropriate for use in children younger than age 6 years
  • All therapeutic interventions designed to improve speech or language in children, as long as diagnosis occurs when child is age 6 years or younger
    • Therapists may be speech-language pathologists or other clinicians, parents, or teachers
    • Therapeutic settings include group and individual sessions offered in a clinical locale, school, or home
  • Diagnostic procedures administered to children older than age 6 years
  • Therapeutic interventions delivered to children who are diagnosed after age 6 years
ComparisonsKQs 1, 3: Screened vs. unscreened
KQs 2, 4: Different subpopulations (e.g., by age, risk factors)
KQ 4: Surveillance vs. referral for diagnosis
KQs 5–7: Intervention vs. no intervention; length of time until outcome measurement
  • Single-group design with no comparator
  • Treatment comparisons
Outcomes
  • Improvements in all aspects of speech and/or language functioning:
    • Speech domains include stuttering, fluency, and articulation
    • Language domains include expressive language, receptive language, phonology, vocabulary, syntax, and/or pragmatics
  • Improvements in other types of functioning, such as emergent academic skills, academic achievement (e.g., reading, writing, spelling, arithmetic), behavior competence, socioemotional functioning, quality of life, and parental satisfaction
Study DesignKQs 1–4, 7: Cohort studies; randomized, controlled trials; systematic reviews
KQs 5, 6: Randomized, controlled trials or systematic reviews of randomized, controlled trials
  • Letters to the editor that do not present primary data, commentaries, editorials, case reports, or case series
  • Poor-quality studies (studies with poor internal or external validity)
LanguageEnglishLanguages other than English

IV. Response to Public Comment

The draft Research Plan was posted for public comment on the U.S. Preventive Services Task Force (USPSTF) Web site from July 25 to August 21, 2013. In response to comments, several key questions were expanded to include more detail; the USPSTF added several child and test characteristics that may affect screening, as well as several specific possible adverse effects of interventions. The USPSTF revised the analytic framework to reflect that referral and diagnostic evaluations for a speech and language delay or disorder could lead to the identification of nonspeech and language diagnostic concerns. This outcome acknowledges that speech and language screening and evaluation can be the gateway to the diagnosis of other conditions, such as autism spectrum disorder. As the framework shows, the review will not examine outcomes related to the diagnosis of other conditions. The USPSTF also added a loop in the analytic framework, from no disorder or delay detected during the diagnostic evaluation back to surveillance, to indicate that screening/surveillance can be a recurrent process.
AHRQ Publication No. 13-05197-EF-5
Current as of October 2013

CDC's Dr. Frank DeStefano Discusses Latest Data on Rotavirus Vaccine and Risk of Intussusception in CDC Expert Commentary on Medscape

CDC's Dr. Frank DeStefano Discusses Latest Data on Rotavirus Vaccine and Risk of Intussusception in CDC Expert Commentary on Medscape


Centers for Disease Control and Prevention

CDC's Dr. Frank DeStefano Discusses Latest Data on Rotavirus Vaccine and Risk of Intussusception in CDC Expert Commentary on Medscape

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In a recent CDC Expert Commentary on Medscape, CDC’s Director of the Immunization Safety Office Dr. Frank DeStefano takes a detailed look at the very latest data on rotavirus vaccine and the risk of intussusception, the most common cause of acute bowel obstruction in infants. Dr. DeStefano explains that providers should be ready to talk with parents about the benefits of rotavirus vaccine, as well as the small risk for intussusception associated with the vaccines. He reminds clinicians that parents need to know the signs and symptoms of intussusception. They also need to know that they should seek prompt care if they are concerned that their child may be ill.
To learn more about rotavirus, rotavirus vaccines, and the benefits and risks associated with vaccines, watch Dr. DeStefano’s commentary.
For additional information, visit these websites:

Viral Hepatitis Prevention Coordinators Convene in DC

Viral Hepatitis Prevention Coordinators Convene in DC

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AIDS.gov Blog Update

AIDS.gov Blog for U.S. Dept. of Health & Human Services.
This information has recently been updated, and is now available.
10/31/2013 10:00 AM EDT

Last week I had the opportunity to discuss the federal response to viral hepatitis with some of our key allies in the states: the CDC-funded Adult Viral Hepatitis Prevention Coordinators who had assembled in Washington, DC for the third National Hepatitis Technical Assistance meeting organized and hosted by the National Alliance of State and Territorial...


Media Availability: HIV Antibody Infusions Show Promise for Treating SHIV-Infected Monkeys

Media Availability: HIV Antibody Infusions Show Promise for Treating SHIV-Infected Monkeys


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National Institute of Allergy and
Infectious Diseases (NIAID)
http://www.niaid.nih.gov
FOR IMMEDIATE RELEASE
Wednesday, Oct. 30, 2013

MEDIA AVAILABILITY
HIV Antibody Infusions Show Promise for Treating SHIV-Infected Monkeys

NIH-Supported Scientists Advocate Trying Similar Strategy in People

WHAT:Two teams are reporting results from experiments in which they infused powerful anti-HIV antibodies into monkeys infected with an HIV-like virus, rapidly reducing the amount of virus, or viral load, to undetectable levels, where it remained for extended periods. One study was led by government scientists at the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, and the other was led by NIAID grantees at Beth Israel Deaconess Medical Center. Both teams worked with monkeys infected with simian human immunodeficiency virus, or SHIV, which can cause AIDS in monkeys. The researchers selected monoclonal antibodies that targeted two different sites on SHIV and gave the monkeys either one or two infusions of one or a combination of two or three of these antibodies. Then the scientists measured changes in the monkeys’ viral load and their immune responses to the virus.

In the study led by NIAID grantees, the antibody infusions reduced SHIV viral load to an undetectable level in 16 of 18 monkeys within just 7 days and kept it there for a median of 56 days, when the infused antibodies were gone. While the two monkeys with the highest viral loads at the outset of the study never achieved undetectable viral loads, the three monkeys with the lowest viral loads at the outset maintained stable, undetectable viral loads long after the infused antibodies were gone. The antibody infusions appeared both to improve the monkeys’ control of the virus and to reduce the presence of SHIV DNA in blood and tissues without generating SHIV resistance to the antibodies.

In the study led by NIAID scientists, infusion of a single antibody to 4 monkeys infected for 3 months quickly reduced SHIV viral load to undetectable levels for 4 to 7 days, but then virus reappeared and strains in two animals were antibody-resistant. Yet when two asymptomatic monkeys SHIV-infected for more than 3 years received an infusion of two antibodies, viral load fell to undetectable levels within 7 to 10 days and remained there for 18 to 36 days. A second infusion reduced viral load to undetectable levels for 4 to 28 days. When virus reappeared, strains in one monkey were antibody-resistant. Infusion of the same antibody pair into three monkeys SHIV-infected for more than 3 years and with AIDS symptoms provided modest or no benefit but did not generate resistance.

The studies’ authors now propose testing antibody-based immunotherapy in HIV-infected people and exploring the potential role of antibody infusions in curing people of HIV.

ARTICLES:DH Barouch et al. Therapeutic efficacy of potent neutralizing HIV-1 specific monoclonal antibodies in SHIV-infected rhesus monkeys. Nature DOI: 10.1038/nature12744 (2013).

M Shingai et al. Antibody-mediated immunotherapy of macaques chronically infected with SHIV suppresses viremia. Nature DOI: 10.1038/nature12746 (2013).

WHO:NIAID Director Anthony S. Fauci, M.D., and Distinguished NIH Senior Investigator Malcolm A. Martin, M.D., are available for comment.

CONTACT:To schedule interviews, please contact Laura S. Leifman, (301) 402-1663, laura.sivitz@nih.gov.

NIAID conducts and supports research—at NIH, throughout the United States, and worldwide—to study the causes of infectious and immune-mediated diseases, and to develop better means of preventing, diagnosing and treating these illnesses. News releases, fact sheets and other NIAID-related materials are available on the NIAID Web site at www.niaid.nih.gov.
About the National Institutes of Health (NIH): NIH, the nation's medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.
NIH...Turning Discovery Into Health ®

Data Brief No. 133. Hypertension Among Adults in the United States: National Health and Nutrition Examination Survey, 2011–2012

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NCHS Data Briefs from the National Center for Health Statistics, Centers for Disease Control and Prevention. The following reports have been added:
Data Brief No. 133. Hypertension Among Adults in the United States: National Health and Nutrition Examination Survey, 2011–2012Hypertension is an important risk factor for cardiovascular disease and affects almost one-third of the U.S. adult population. In 2009–2010, nearly 82% of adults with hypertension were aware of their status, and nearly 76% were taking medication. Despite considerable improvement in increasing the awareness, treatment, and control of hypertension, undiagnosed and uncontrolled hypertension among minority groups remains a challenge. This report presents survey results for 2011–2012 on the prevalence, awareness, treatment, and control of hypertension.
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NCHS Data Briefs

Data Briefs are statistical publications that provide information about current public health topics in a straightforward format. Each report takes a complex data subject and summarizes it in text and graphics that provide readers with easily comprehensible information in a compact publication.
Full text (.PDF) files are linked to each item appearing in these lists. If for any reason a .PDF file does not exist, a note will indicate that fact. Paper copies of Data Brief reports may be available for review in a Federal DepositoryExternal Web Site Icon or health sciences library near you.
Citation of the source is appreciated when using quotations from National Center for Health Statistics publications. Please see How to Cite NCHS Publications for examples.
No. 133. Hypertension Among Adults in the United States: National Health and Nutrition Examination Survey, 2011–2012 8 pp. (PHS) 2014-1209. October 2013.  Adobe PDF file [PDF - 778 KB]
No. 132. Total and High-density Lipoprotein Cholesterol in Adults: National Health and Nutrition Examination Survey, 2011–2012 8 pp. (PHS) 2013-1209. October 2013.  Adobe PDF file [PDF - 779 KB]
No. 131. Prevalence of Obesity Among Adults: United States, 2011–2012 8 pp. (PHS) 2013-1209. October 2013.  Adobe PDF file [PDF - 765 KB]
No. 130. Emergency Department Visits by Persons Aged 65 and Over: United States, 2009–2010 8 pp. (PHS) 2013-1209. October 2013.  Adobe PDF file [PDF - 1.2 MB]
No. 129. Physician Experience With Electronic Health Record Systems That Meet Meaningful Use Criteria: NAMCS Physician Workflow Survey, 2011. 8 pp. (PHS) 2013-1209. September 2013.  Adobe PDF file [PDF - 624 KB]
No. 128. Use of Electronic Health Records in Residential Care Communities. 8 pp. (PHS) 2013-1209. September 2013.  Adobe PDF file [PDF - 607 KB]
No. 127. Prescription Sleep Aid Use Among Adults: United States, 2005–2010. 8 pp. (PHS) 2013-1209. August 2013.  Adobe PDF file [PDF - 1.2 MB]
No. 126. Environmental Tobacco Smoke Exposure in Children Aged 3‒19 Years With and Without Asthma in the United States, 1999‒2010 8 pp. (PHS) 2013-1209. August 2013.  Adobe PDF file [PDF - 1.5 MB]
No. 125. How Did Cause of Death Contribute to Racial Differences in Life Expectancy in the United States in 2010? 8 pp. (PHS) 2013-1209. July 2013.  Adobe PDF file [PDF - 754 KB]
No. 124. Changes in Cesarean Delivery Rates by Gestational Age: United States, 1996-2011 8 pp. (PHS) 2013-1209. June 2013.  Adobe PDF file [PDF - 885 KB]
No. 123. Declines in State Teen Birth Rates by Race and Hispanic Origin. 8 pp. (PHS) 2013-1209. May 2013.  Adobe PDF file [PDF - 933 KB]
No. 122. Consumption of Added Sugars Among U.S. Adults, 2005–2010. 8 pp. (PHS) 2013-1209. May 2013.  Adobe PDF file [PDF - 765 KB]
No. 121. Trends in Allergic Conditions Among Children: United States, 1997–2011. 8 pp. (PHS) 2013-1209. May 2013.  Adobe PDF file [PDF - 444 KB]
No. 120. Recent Declines in Infant Mortality in the United States, 2005–2011. 8 pp. (PHS) 2013-1209. April 2013.  Adobe PDF file [PDF - 770 KB]
No. 119. Strategies Used by Adults to Reduce Their Prescription Drug Costs. 8 pp. (PHS) 2013-1209. April 2013.  Adobe PDF file [PDF - 860 KB]
No. 118. Trends in Inpatient Hospital Deaths: National Hospital Discharge Survey, 2000–2010. 8 pp. (PHS) 2013-1209. March 2013. Adobe PDF file [PDF - 657 KB]
No. 117. Trends in High LDL Cholesterol, Cholesterol-lowering Medication Use, and Dietary Saturated-fat Intake: United States, 1976–2010 8 pp. (PHS) 2013-1209. March 2013.  Adobe PDF file [PDF - 481 KB]
No. 116. Mortality From Alzheimer's Disease in the United States: Data for 2000 and 2010. 8 pp. (PHS) 2013-1209. March 2013.  Adobe PDF file [PDF - 680 KB]
No. 115. Death in the United States, 2011. 8 pp. (PHS) 2013-1209. March 2013.  Adobe PDF file [PDF - 705 KB]
No. 114. Caloric Intake From Fast Food Among Adults: United States, 2007–2010. 8 pp. (PHS) 2013-1209. February 2013.  Adobe PDF file [PDF - 690 KB]
No. 113. Trends in Intake of Energy and Macronutrients in Children and Adolescents From 1999–2000 Through 2009–2010. 8 pp. (PHS) 2013-1209. February 2013.  Adobe PDF file [PDF - 496 KB]
No. 112. Use of Emergency Contraception Among Women Aged 15–44: United States, 2006–2010. 8 pp. (PHS) 2013-1209. February 2013.  Adobe PDF file [PDF - 679 KB]
No. 111. Use and Characteristics of Electronic Health Record Systems Among Office-based Physician Practices: United States, 2001-2012. 8 pp. (PHS) 2013-1209. December 2012.  Adobe PDF file [PDF - 874 KB]
No. 110. Calories Consumed From Alcoholic Beverages by U.S. Adults, 2007–2010. 8 pp. (PHS) 2013-1209. November 2012.  Adobe PDF file [PDF - 686 KB]
No. 109. Consumption of Diet Drinks in the United States, 2009‒2010. 8 pp. (PHS) 2013-1209. October 2012.  Adobe PDF file [PDF -593 KB]
No. 108. Hospitalization for Congestive Heart Failure: United States, 2000–2010. 8 pp. (PHS) 2013-1209. October 2012.  Adobe PDF file [PDF - 657 KB]
No. 107. Hypertension Among Adults in the United States, 2009–2010. 8 pp. (PHS) 2013-1209. October 2012.  Adobe PDF file [PDF - 752 KB]
No. 106. Prevalence of Obesity Among Older Adults in the United States, 2007–2010. 8 pp. (PHS) 2012-1209. September 2012.  Adobe PDF file [PDF - 549 KB]
No. 105. Generalist and Specialty Physicians: Supply and Access, 2009–2010. 8 pp. (PHS) 2012-1209. September 2012.  Adobe PDF file [PDF - 681 KB]
No. 104. Oral Health Disparities as Determined by Selected Healthy People 2020 Oral Health Objectives for the United States, 2009–2010. 8 pp. (PHS) 2012-1209. August 2012.  Adobe PDF file [PDF - 689 KB]
No. 103. Prevalence of Uncontrolled Risk Factors for Cardiovascular Disease: United States, 1999–2010. 8 pp. (PHS) 2012-1209. August 2012.  Adobe PDF file [PDF - 495 KB]
No. 102. Wait Time for Treatment in Hospital Emergency Departments: 2009. 8 pp. (PHS) 2012-1209. August 2012.  Adobe PDF file [PDF - 793 KB]
No. 101. The Health of Male Veterans and Nonveterans Aged 25–64: United States, 2007–2010. 8 pp. (PHS) 2012-1209. August 2012.  Adobe PDF file [PDF - 616 KB]
No. 100. Multiple Chronic Conditions Among Adults Aged 45 and Over: Trends Over the Past 10 Years. 8 pp. (PHS) 2012-1209. July 2012.  Adobe PDF file [PDF - 727 KB]
No. 99. Death in the United States, 2010. 8 pp. (PHS) 2012-1209. July 2012.  Adobe PDF file [PDF - 701 KB]
No. 98. Physician Adoption of Electronic Health Record Systems: United States, 2011. 8 pp. (PHS) 2012-1209. July 2012.  Adobe PDF file [PDF - 685 KB]
No. 97. Diagnostic History and Treatment of School-aged Children with Autism Spectrum Disorder and Special Health Care Needs. 8 pp. (PHS) 2012-1209. May 2012.  Adobe PDF file [PDF - 624 KB]
No. 96. Selected Oral Health Indicators in the United States, 2005-2008. 8 pp. (PHS) 2012-1209. May 2012.  Adobe PDF file [PDF - 977 KB]
No. 95. Hospitalization for Stroke in U.S. Hospitals, 1989–2009. 8 pp. (PHS) 2012-1209. May 2012.  Adobe PDF file [PDF - 632 KB]
No. 94. Trends in Asthma Prevalence, Health Care Use, and Mortality in the United States, 2001–2010. 8 pp. (PHS) 2012-1209. May 2012.  Adobe PDF file [PDF - 681 KB]
No. 93. Osteoporosis or Low Bone Mass at the Femur Neck or Lumbar Spine in Older Adults: United States, 2005–2008. 8 pp. (PHS) 2012-1209. April 2012.  Adobe PDF file [PDF - 748 KB]
No. 92. Total and High-density Lipoprotein Cholesterol in Adults: National Health and Nutrition Examination Survey, 2009–2010. 8 pp. (PHS) 2012-1209. April 2012.  Adobe PDF file [PDF - 512 KB]
No. 91. Residents Living in Residential Care Facilities: United States, 2010. 8 pp. (PHS) 2012-1209. April 2012.  Adobe PDF file [PDF - 500 KB]
No. 90. Infectious Disease Prevalence in Los Angeles County–A Comparison to National Estimates, 1999–2004. 8 pp. (PHS) 2012-1209. April 2012. Adobe PDF file [PDF - 690 KB]
No. 89. Birth Rates for U.S. Teenagers Reach Historic Lows for All Age and Ethnic Groups. 8 pp. (PHS) 2012-1209. April 2012.  Adobe PDF file [PDF - 749 KB]
No. 88. 75 Years of Mortality in the United States, 1935–2010. 8 pp. (PHS) 2012-1209. March 2012.  Adobe PDF file [PDF - 737 KB]
No. 87. Consumption of Added Sugar Among U.S. Children and Adolescents, 2005–2000. 8 pp. (PHS) 2012-1209. February 2012.  Adobe PDF file [PDF - 518 KB]
No. 86. Trends in Adults Receiving a Recommendation for Exercise or Other Physical Activity From a Physician or Other Health Professional. 8 pp. (PHS) 2012-1209. February 2012.  Adobe PDF file [PDF - 848 KB]
No. 85. Smoking and Oral Health in Dentate Adults aged 18–64. 8 pp. (PHS) 2012-1209. February 2012.  Adobe PDF file [PDF - 661 KB]
No. 84. Home Births in the United States, 1990-2009. 8 pp. (PHS) 2012-1209. January 2012.  Adobe PDF file [PDF - 897 KB]
No. 83. Health and Access to Care Among Employed and Unemployed Adults: United States, 2009–2010. 8 pp. (PHS) 2012-1209. January 2012.  Adobe PDF file [PDF - 530 KB]
No. 82. Prevalence of Obesity in the United States, 2009-2010. 8 pp. (PHS) 2012-1209. January 2012.  Adobe PDF file [PDF - 528 KB]
No. 81. Drug Poisoning Deaths in the United States, 1980–2008. 8 pp. (PHS) 2012-1209. December 2011.  Adobe PDF file [PDF - 658 KB]
No. 80. Three Decades of Twin Births in the United States, 1980–2009. 8 pp. (PHS) 2012-1209. January 2012.  Adobe PDF file [PDF - 619 KB]
No. 79. Electronic Health Record Systems and Intent to Apply for Meaningful Use Incentives Among Office-based Physician Practices: United States, 2001–2011. 8 pp. (PHS) 2012-1209. November 2011.  Adobe PDF file [PDF - 665 KB]
No. 78. Residential Care Facilities: A Key Sector in the Spectrum of Long-term Care Providers in the United States. 8 pp. (PHS) 2012-1209. December 2011.  Adobe PDF file [PDF - 555 KB]
No. 77. Physician Assistant and Advance Practice Nurse Care in Hospital Outpatient Departments: United States, 2008-2009. 8 pp. (PHS) 2012-1209. November 2011.  Adobe PDF file [PDF - 742 KB]
No. 76. Antidepressant Use in Persons Aged 12 and Over: United States, 2005–2008. 8 pp. (PHS) 2011-1209. October 2011.  Adobe PDF file [PDF - 742 KB]
No. 75. Low-fat Milk Consumption Among Children and Adolescents in the United States, 2007–2008. 8 pp. (PHS) 2011-1209. September 2011.  Adobe PDF file [PDF - 706 KB]
No. 74. Understanding Racial and Ethnic Disparities in U.S. Infant Mortality Rates. 8 pp. (PHS) 2011-1209. September 2011.  Adobe PDF file [PDF - 531 KB]
No. 73. Prevalence of Complex Activity Limitations Among Racial/Ethnic Groups and Hispanic Subgroups of Adults: United States, 2003-2009. 8 pp. (PHS) 2011-1209. September 2011.  Adobe PDF file [PDF - 713 KB]
No. 72. Blood Pressure Measurements at Emergency Department Visits by Adults: United States, 2007-2008. 8 pp. (PHS) 2011-1209. August 2011.  Adobe PDF file [PDF - 695 KB]
No. 71. Consumption of Sugar Drinks in the United States, 2005–2008. 8 pp. (PHS) 2011-1209. August 2011.  Adobe PDF file [PDF - 674 KB]
No. 70. Attention Deficit Hyperactivity Disorder Among Children Aged 5-17 Years in the United States, 1998-2009. 8 pp. (PHS) 2011-1209. August 2011.  Adobe PDF file [PDF - 423 KB]
No. 69. Nurse Practitioners, Certified Nurse Midwives, and Physician Assistants in Physician Offices. 8 pp. (PHS) 2011-1209. August 2011.  Adobe PDF file [PDF - 725 KB]
No. 68. Childbearing Differences Among Three Generations of U.S. Women. 8 pp. (PHS) 2011-1209. August 2011. Adobe PDF file [PDF - 446 KB]
No. 67. The Changing Profile of Autopsied Deaths in the United States, 1972–2007. 8 pp. (PHS) 2011-1209. August 2011.  Adobe PDF file [PDF - 642 KB]
No. 66. Use of the Internet for Health Information: United States, 2009. 8 pp. (PHS) 2011-1209. July 2011.  Adobe PDF file [PDF - 682 KB]
No. 65. Community Health Centers: Providers, Patients, and Content of Care. 8 pp. (PHS) 2011-1209. July 2011.  Adobe PDF file [PDF - 550 KB]
No. 64. Death in the United States, 2009. 8 pp. (PHS) 2011-1209. July 2011.  Adobe PDF file [PDF - 699 KB]
No. 63. Chronic Obstructive Pulmonary Disease Among Adults Aged 18 and Over in the United States, 1998-2009. 8 pp. (PHS) 2011-1209. June 2011.  Adobe PDF file [PDF - 650 KB]
No. 62. Inpatient Care for Septicemia or Sepsis: A Challenge for Patients and Hospitals. 8 pp. (PHS) 2011-1209. June 2011.  Adobe PDF file [PDF - 610 KB]
No. 61. Dietary Supplement Use Among U.S. Adults Has Increased Since NHANES III (1988–1994). 8 pp. (PHS) 2011-1209. April 2011.  Adobe PDF file [PDF - 537 KB]
No. 60. Recent Decline in Births in the United States, 2007-2009. 8 pp. (PHS) 2011-1209. March 2011.  Adobe PDF file [PDF - 1 MB]
No. 59. Vitamin D Status: United States, 2001-2006. 8 pp. (PHS) 2011-1209. March 2011.  Adobe PDF file [PDF - 1 MB]
No. 58. U.S. Teenage Birth Rate Resumes Decline. 8 pp. (PHS) 2011-1209. February 2011.  Adobe PDF file [PDF - 597 KB]
No. 57. Health Insurance Affects Diagnosis and Control of Hypercholesterolemia and Hypertension Among Adults Aged 20-64: United States, 2005-2008. 8 pp. (PHS) 2011-1209. January 2011.  Adobe PDF file [PDF - 486 KB]
No. 56. Adult Obesity Prevalence in Canada and the United States. 8 pp. (PHS) 2011-1209. March 2011.  Adobe PDF file [PDF - 583 KB] French version  Adobe PDF file [PDF - 568 KB]
No. 55. Young Adults Seeking Medical Care: Do Race and Ethnicity Matter? 8 pp. (PHS) 2011-1209. January 2011.  Adobe PDF file [PDF - 515 KB]
No. 54. Use of Advance Directives in Long-term Care Populations. 8 pp. (PHS) 2011-1209. January 2011.  Adobe PDF file [PDF - 823 KB]
No. 53. Prevalence and Severity of Dental Fluorosis in the United States, 1999-2004. 8 pp. (PHS) 2011-1209. November 2010.  Adobe PDF file [PDF - 848 KB]
No. 52. Blood Lead and Mercury Levels in Pregnant Women in the United States, 2003-2008. 8 pp. (PHS) 2011-1209. December 2010.  Adobe PDF file [PDF - 624 KB]
No. 51. Obesity and Socioeconomic Status in Children and Adolescents: United States, 2005-2008. 8 pp. (PHS) 2011-1209. December 2010.  Adobe PDF file [PDF - 1.2 MB]
No. 50. Obesity and Socioeconomic Status in Adults: United States, 2005-2008. 8 pp. (PHS) 2011-1209. December 2010.  Adobe PDF file [PDF - 1 MB]
No. 49. Trends in Intake of Energy and Macronutrients in Adults From 1999-2000 Through 2007-2008. 8 pp. (PHS) 2011-1209. November 2010.  Adobe PDF file [PDF - 592 KB]
No. 48. Recent Trends in the Prevalence of High Blood Pressure and its Treatment and Control, 1999-2008. 8 pp. (PHS) 2011-1209. October 2010.  Adobe PDF file [PDF - 1.1 MB]
No. 47. Visits to Primary Care Delivery Sites: United States, 2008. 8 pp. (PHS) 2011-1209. October 2010.  Adobe PDF file [PDF - 676 KB]
No. 46. State Disparities in Teenage Birth Rates in the United States. 8 pp. (PHS) 2011-1209. October 2010.  Adobe PDF file [PDF - 857 KB]
No. 45. Electronic Medical Record Adoption and Use in Home Health and Hospice. 8 pp. (PHS) 2011-1209. September 2010.  Adobe PDF file [PDF - 993 KB]
No. 44. Educating Teenagers About Sex in the United States. 8 pp. (PHS) 2010-1209. September 2010.  Adobe PDF file [PDF - 1.1 MB]
No. 43. Emergency Department Visits for Chest Pain and Abdominal Pain: United States, 1999-2008. 8 pp. (PHS) 2010-1209. September 2010.  Adobe PDF file [PDF - 709 KB]
No. 42. Prescription Drug Use Continues to Increase: U.S. Prescription Drug Data for 2007-2008. 8 pp. (PHS) 2010-1209. September 2010.  Adobe PDF file [PDF - 659 KB]
No. 41. Population Aging and the Use of Office-based Physician Services. 8 pp. (PHS) 2010-1209. August 2010.  Adobe PDF file [PDF - 695 KB]
No. 40. Dental Insurance for Persons Under Age 65 Years with Private Health Insurance: United States, 2008. 8 pp. (PHS) 2010-1209. June 2010.  Adobe PDF file [PDF - 1.1 MB]
No. 39. Are Preterm Births on the Decline in the United States? Recent Data From the National Vital Statistics System. 8 pp. (PHS) 2010-1209. May 2010.  Adobe PDF file [PDF - 1.1 MB]
No. 38. Emergency Department Visitors and Visits: Who Used the Emergency Room in 2007?. 8 pp. (PHS) 2010-1209. May 2010.  Adobe PDF file [PDF - 555 KB]
No. 37. Mortality Among Teenagers Aged 12-19 Years: United States, 1999-2006. 8 pp. (PHS) 2010-1209. May 2010.  Adobe PDF file [PDF - 871 KB]
No. 36. Hypertension, High Serum Total Cholesterol, and Diabetes: Racial and Ethnic Prevalence Differences in U.S. Adults, 1999-2006. 8 pp. (PHS) 2010-1209. April 2010.  Adobe PDF file [PDF - 1.1 MB]
No. 35. Recent Trends in Cesarean Delivery in the United States. 8 pp. (PHS) 2010-1209. March 2010.  Adobe PDF file [PDF - 856 KB]
No. 34. Depression and Smoking in the U.S. Household Population Aged 20 and Over, 2005-2008. 8 pp. (PHS) 2010-1209. April 2010.  Adobe PDF file [PDF - 879 KB]
No. 33. Potentially Preventable Emergency Department Visits by Nursing Home Residents: United States, 2004. 8 pp. (PHS) 2010-1209. April 2010.  Adobe PDF file [PDF - 387 KB]
No. 32. Health Care Utilization Among Adults Aged 55-64 Years: How Has It Changed Over the Past 10 Years?. 8 pp. (PHS) 2010-1209. March 2010.  Adobe PDF file [PDF - 1.1 MB]
No. 31. Vision, Hearing, Balance, and Sensory Impairment in Americans Aged 70 Years and Over: United States, 1999-2006. 8 pp. (PHS) 2010-1209. April 2010.  Adobe PDF file [PDF - 540 KB]
No. 30. Prevalence and Management of Pain, by Race and Dementia Among Nursing Home Residents: United States, 2004. 8 pp. (PHS) 2010-1209. March 2010.  Adobe PDF file [PDF - 962 KB]
No. 29. Access to and Utilization of Medical Care for Young Adults Aged 20-29 Years: United States, 2008. 8 pp. (PHS) 2010-1209. February 2010.  Adobe PDF file [PDF - 1.1 MB]
No. 28. Impact of Type of Insurance Plan on Access and Utilization of Health Care Services for Adults Aged 18-64 Years With Private Health Insurance: United States, 2007-2008. 8 pp. (PHS) 2010-1209. February 2010.  Adobe PDF file [PDF - 987 KB]
No. 27. Viral Hepatitis. 8 pp. (PHS) 2010-1209. March 2010.  Adobe PDF file [PDF - 757 KB]
No. 26. Death in the United States, 2007. 8 pp. (PHS) 2010-1209. December 2009.  Adobe PDF file [PDF - 940 KB]
No. 25. Racial Differences in Functioning Among Elderly Nursing Home Residents, 2004. 8 pp. (PHS) 2010-1209. December 2009.  Adobe PDF file [PDF - 940 KB]
No. 24. Born a Bit Too Early: Recent Trends in Late Preterm Births. 8 pp. (PHS) 2010-1209. November 2009.  Adobe PDF file [PDF - 691 KB]
No. 23. Behind International Rankings of Infant Mortality: How the United States Compares with Europe. 8 pp. (PHS) 2010-1209. November 2009.  Adobe PDF file [PDF - 979 KB]
No. 22. Increase in Fatal Poisonings Involving Opioid Analgesics in the United States, 1999-2006. 8 pp. (PHS) 2010-1209. September 2009.  Adobe PDF file [PDF - 1.2 MB]
No. 21. Delayed Childbearing: More Women Are Having Their First Child Later in Life. 8 pp. (PHS) 2009-1209. August 2009.  Adobe PDF file [PDF - 701 KB] Statcasts
No. 20. Aging Differently: Physical Limitations Among Adults Aged 50 years and Over: United States, 2001-2007. 8 pp. (PHS) 2009-1209. July 2009.  Adobe PDF file [PDF - 985 KB]
No. 19. Who Marries and When? Age at first Marriage in the United States; 2002. 8 pp. (PHS) 2009-1209. June 2009.  Adobe PDF file [PDF - 498 KB]
No. 18. Changing Patterns of Nonmarital Childbearing in the United States. 8 pp. (PHS) 2009-1209. May 2009.  Adobe PDF file [PDF - 704 KB]
No. 17. One-Third of U.S. Adults Embraced Most Heart Healthy Behaviors in 1999-2002. 8 pp. (PHS) 2009-1209. May 2009.  Adobe PDF file [PDF - 1 MB]
No. 16. The Challenge of Fetal Mortality. 8 pp. (PHS) 2009-1209. April 2009.  Adobe PDF file [PDF - 528 KB]
No. 15. Consumer-Directed Health Care for Persons Under 65 Years of Age with Private Health Insurance: United States, 2007. 8 pp. (PHS) 2009-1209. March 2009.  Adobe PDF file [PDF - 999 KB]
No. 14. Pressure Ulcers Among Nursing Home Residents: United States, 2004. 8 pp. (PHS) 2009-1209. February 2009.  Adobe PDF file [PDF - 607 KB]
No. 13. Role of International Medical Graduates Providing Office-based Medical Care: United States, 2005-2006. 8 pp. (PHS) 2009-1209. February 2009.  Adobe PDF file [PDF - 403 KB]
No. 12. Who Adopts? Characteristics of Women and Men Who Have Adopted Children. 8 pp. (PHS) 2009-1209. January 2009.  Adobe PDF file [PDF - 484 KB]
No. 11. Marital Status is Associated With Health Insurance Coverage for Working-age Women at all Income Levels, 2007. 8 pp. (PHS) 2009-1209. December 2008.  Adobe PDF file [PDF - 453 KB]
No. 10. Food Allergy Among U.S. Children: Trends in Prevalence and Hospitalizations. 8 pp. (PHS) 2009-1209. October 2008.  Adobe PDF file [PDF - 484 KB]
No. 9. Recent Trends in Infant Mortality in the United States. 8 pp. (PHS) 2009-1209. October 2008.  Adobe PDF file [PDF - 1 MB]
No. 8. Use of Mental Health Services in the Past 12 Months by Children Aged 4-17 Years: United States, 2005-2006. 8 pp. (PHS) 2008-1209. September 2008.  Adobe PDF file [PDF - 806 KB]
No. 7. Depression in the United States Household Population, 2005-2006. 8 pp. (PHS) 2008-1209. September 2008.  Adobe PDF file [PDF - 944 KB]
No. 6. Blood Folate Levels: The Latest NHANES Results. 8 pp. (PHS) 2008-1209. May 2008.  Adobe PDF file [PDF - 467 KB]
No. 5. Breastfeeding in the United States: Findings from the National Health and Nutrition Examination Surveys, 1999-2006. 8 pp. (PHS) 2008-1209. April 2008.  Adobe PDF file [PDF - 500 KB]
No. 4. HIV Infection in the United States Household Population Aged 18-49 Years: Results from 1999-2006. 8 pp. (PHS) 2008-1209. January 2008.  Adobe PDF file [PDF - 614 KB]
No. 3. Hypertension Awareness, Treatment, and Control-Continued Disparities in Adults: United States, 2005-2006. 8 pp. (PHS) 2008-1209. January 2008.  Adobe PDF file [PDF - 1.2 MB]
No. 2. High Serum Total Cholesterol-An Indicator for Monitoring Cholesterol Lowering Efforts: U.S. Adults, 2005-2006. 8 pp. (PHS) 2008-1209. December 2007.  Adobe PDF file [PDF - 490 KB]
No. 1. Obesity Among Adults in the United States-No Statistically Significant Change Since 2003-2004. 8 pp. (PHS) 2008-1209. November 2007.  Adobe PDF file [PDF - 193 KB]