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Health Outcomes 

  • Drug Deaths* increased 58% from 8.4 to 13.3 deaths per 100,000 adults age 65 and older between 2018-2020 and 2021-2023. 
  • Excessive Drinking** decreased 10% from 7.7% to 6.9% of adults age 65 and older between 2022 and 2023.
  • Early Death* decreased 9% from 1,979 to 1,810 deaths per 100,000 adults ages 65-74 between 2022 and 2023.
  • Suicide* increased 5% from 16.9 to 17.7 deaths per 100,000 adults age 65 and older between 2018-2020 and 2021-2023.

Social and Economic Factors 

  • Volunteerism increased 19% from 22.1% to 26.3% of adults age 65 and older between 2021 and 2023.
  • Firearm Deaths* increased 6% from 13.0 to 13.8 deaths per 100,000 adults age 65 and older between 2018-2020 and 2021-2023.
  • Poverty†† increased 4% from 10.9% to 11.3% of adults age 65 and older between 2022 and 2023.
  • High-Speed Internet†† increased 2% from 84.8% to 86.5% of households with adults age 65 and older between 2022 and 2023.

Clinical Care

  • Flu Vaccination** decreased 6% from 67.7% to 63.4% of adults age 65 and older between 2022 and 2023.
  • Geriatric Clinicians§ increased 5% from 38.0 to 39.9 clinicians per 100,000 adults age 65 and older between September 2023 and September 2024.
  • RSV Vaccination§§ 33.0% of adults age 60 and older reported ever receiving an RSV vaccine in 2024.


* Source: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Multiple Cause of Death by Single Race Files via CDC WONDER Online Database.
** Source: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. (Note: No data were available for Kentucky or Pennsylvania in 2023.)
Source: U.S. Census Bureau, Current Population Survey, Volunteering and Civic Life Supplement.
†† Source: U.S. Census Bureau, American Community Survey, 1-Year Dataset.
§ Source: U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, National Plan and Provider Enumeration System.
§§ Source: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, NIS-Adult COVID Module, January 2025.