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Behaviors

Education

Percentage of adults aged 65 and older who reported having a college degree
U.S. Census Bureau, American Community Survey, 2017

Community & Environment

Risk of Social Isolation

Percentile of the mean z scores for six risk factors of social isolation in adults aged 65 and older (poverty; living alone; divorced, separated or widowed; never married; disability; independent living difficulty)
U.S. Census Bureau, American Community Survey, 2013-2017

Clinical Care

Avoided Care Due to Cost

Percentage of adults aged 65 and older who reported that there was a time in the past 12 months when they needed to see a doctor but could not because of cost
Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System, 2017

Geriatricians

Number of family medicine and internal medicine geriatricians per 100,000 population aged 65 and older
U.S. Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services, National Plan and Provider Enumeration System, Aug 2018; U.S. Census Bureau, Annual Estimates of the Resident Population: April 1, 2010 to July 1, 2017, 2017

Overuse—Mammography*

Percentage of female Medicare enrollees aged 75 and older who had a screening mammogram
The Dartmouth Atlas of Health Care, 2014

Overuse—PSA Test*

Percentage of male Medicare enrollees aged 75 and older who had a screening prostate-specific antigen (PSA) test
The Dartmouth Atlas of Health Care, 2014

Outcomes

Cognitive Difficulty

Percentage of adults aged 65 and older who reported having cognitive difficulty
U.S. Census Bureau, American Community Survey, 2017

Depression

Percentage of adults aged 65 and older who reported being told by a health professional they have a depressive disorder
CDC, Behavioral Risk Factor Surveillance System, 2017

Multiple Chronic Conditions*

Percentage of Medicare enrollees aged 65 and older with four or more chronic conditions
U.S. HHS, Centers for Medicare & Medicaid Services, 2015

Poor Mental Health Days

Mean number of days in the past 30 days that adults aged 65 and older reported their mental health was not good
CDC, Behavioral Risk Factor Surveillance System, 2017

Suicide

Number of deaths due to intentional self-harm per 100,000 adults aged 65 and older
CDC WONDER Online Database, Underlying Cause of Death, Multiple Cause of Death files, 2017
*The data appearing in this edition are the same that appeared in the 2018 edition.

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