1. Health Statistics and Gender Dr Edward Sondik – US NCHS ESA/STAT/AC.219/5 October 11, 2010

2. Health Statistics and Gender A Catalyst for Change Health Statistics and Gender A Catalyst for Change October 11, 2010

3. Gender Statistics Purpose Purpose Enhance the capacity of countries to collect, disseminate and use quality gender statistics Enhance the capacity of countries to collect, disseminate and use quality gender statistics

4. Gender Statistics

5. This morning … Health Statistics in the US Health Statistics in the US The US system of health statistics The US system of health statistics Principal sources Principal sources A snapshot of US womens health A snapshot of US womens health The impact of data The impact of data The importance of triangulation The importance of triangulation

6. The System of Health Statistics in the United States

9. Monitor the nations health by collecting, analyzing and disseminating health data Analyze across time, populations, providers and geographic areas Analyze across time, populations, providers and geographic areas Identify health problems, risk factors, and disease patterns Identify health problems, risk factors, and disease patterns Inform actions and policies to improve the health of the American people Inform actions and policies to improve the health of the American people Discovery and Evaluation Discovery and Evaluation National Center for Health Statistics What We Do

10. How We Monitor …. Vital Statistics … data collected by States and Territories Vital Statistics … data collected by States and Territories Health Status Health Status National Health Interview Survey (NHIS) National Health and Nutrition Examination Survey (NHANES) Health Care Surveys Health Care Surveys

11. Federal Statistical Agency Operating Guidelines

12. Snapshot of US Womens Health … with an emphasis on how statistics have helped improve womens health

14. December 9, 1985

16. Teen Pregnancy by Race/Ethnicity: United States, 1990-2008 SOURCE: CDC/NCHS, National Vital Statistics System Births per 1,000 females Non-Hispanic black Non-Hispanic white Hispanic American Indian/Alaska Native Asian or Pacific Islander

18. Heart disease mortality and hospitalization rates by sex: United States, 1990-2007 Source: CDC/NCHS, National Vital Statistics System and National Hospital Discharge Survey. Mortality rate per 100,000Hospitalization rate per 10,000 Hospitalization rate Mortality rate

19. CVD Death Rates for Women as a Percent of Male Rates SOURCE: CDC/NCHS, National Vital Statistics System.

20. WHO on Hypertension using NHANES Data

21. Hypertension and Medication United States, 2005-2008 SOURCE: CDC/NCHS, National Health and Nutrition Examination Survey. ------ Women ------ Percent ------- Men ------

24. Factors in Longevity/Survival A New Article: What Changes In Survival Rates Tell Us About US Health Care by Peter A. Muennig and Sherry A. GliedA New Article: What Changes In Survival Rates Tell Us About US Health Care by Peter A. Muennig and Sherry A. Glied Published in Health Affairs, October 7, 2010Published in Health Affairs, October 7, 2010

25. Health Spending and 15-Yr Survival 45-Year-Old Women, 1975 And 2005

26. No Health Insurance Ages 18-64 United States, 2009 Percent

27. No Usual Source of Health Care United States, 2009

28. Triangulation Example: Teen pregnancy Teen education Teen education Teen housing Teen housing Substance abuse Substance abuse Other factors Other factors

30. Sections on Demographics Demographics Health Health Education Education Environment Environment Housing Housing Criminal justice Criminal justice and more and more

31. Summing Up … In the US … Collecting and disseminating Gender Statistics takes a large village – lots of partners Collecting and disseminating Gender Statistics takes a large village – lots of partners The Federal Statistical System leads in data production, definitions and methods, but The Federal Statistical System leads in data production, definitions and methods, but Analysis and use is a broad field Analysis and use is a broad field Agencies, Academics and Analysts Agencies, Academics and Analysts

32. Summing Up … In the US … Informing policy-makers is a challenge … Informing policy-makers is a challenge … But the impact has been great But the impact has been great For NCHS … we sound alarms and evaluate progress For NCHS … we sound alarms and evaluate progress Independence as a Federal Statistical Agency is critical Independence as a Federal Statistical Agency is critical