National Vital Statistics Reports

NVSR Volume 67, Number 3. Timing and Adequacy of Prenatal Care in the United States, 2016This report describes prenatal care utilization in the United States for 2016, based on the trimester of pregnancy in which prenatal care began and the Adequacy of Prenatal Care Utilization (APNCU) Index, by selected maternal characteristics. Overall, 77.1% of women who gave birth in 2016 initiated prenatal care in the first trimester of pregnancy; 4.6% began prenatal care in the third trimester, and 1.6% of women received no care at all. According to the APNCU, more than 75% of women received at least adequate prenatal care, and 15.0% of women received inadequate prenatal care. Younger women, women with less education, women having a fourth or higher-order birth, and non-Hispanic Native Hawaiian or Other Pacific Islander women were the least likely to begin care in the first trimester of pregnancy and to have at least adequate prenatal care. The percentages of prenatal care beginning in the first trimester and adequate prenatal care varied by state. Data from the 2016 national birth file from the National Vital Statistics System were used for these analyses and are based on 100% of births registered to residents of the 50 states and the District of Columbia.

NVSR Volume 67, Number 4. Recent Increases in Injury Mortality Among Children and Adolescents Aged 10–19 Years in the United States: 1999–2016 This report presents numbers of injury deaths and death rates for children and adolescents aged 10–19 years in the United States for 1999–2016. Numbers and rates are presented by sex for 1999–2016, by injury intent (e.g., unintentional, suicide, and homicide) and method (e.g., motor vehicle traffic, firearms, and suffocation). Numbers and rates of death according to leading injury intents and methods are shown by sex for ages 10–14 years and 15–19 years for 2016. The total death rate for persons aged 10–19 years declined 33% between 1999 (44.4 per 100,000 population) and 2013 (29.6) and then increased 12% between 2013 and 2016 (33.1). This recent rise is attributable to an increase in injury deaths for persons aged 10–19 years during 2013–2016. Increases occurred among all three leading injury intents (unintentional, suicide, and homicide) during 2013–2016. Unintentional injury, the leading injury intent for children and adolescents aged 10–19 years in 2016, declined 49% between 1999 (20.6) and 2013 (10.6), and then increased 13% between 2013 and 2016 (12.0). The death rate for suicide, the second leading injury intent among ages 10–19 years in 2016, declined 15% between 1999 and 2007 (from 4.6 to 3.9), and then increased 56% between 2007 and 2016 (6.1). The death rate for homicide, the third leading intent of injury death in 2016, fluctuated and then declined 35% between 2007 (5.7) and 2014 (3.7) before increasing 27%, to 4.7 in 2016. Data from death certificates filed in all 50 states and the District of Columbia were used for these analyses.

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