America's Children at a Glance

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  Previous Value (Year) Most Recent Value (Year) Change Between Years
open Family and Social Environment
Births to unmarried women
Births to unmarried females ages 15–44 37 per 1,000 (2022) 36 per 1,000 (2023) Arrow pointing down
Births to unmarried females among all births 39.8% (2022) 40% (2023) Arrow pointing up
Adolescent births
Births to females ages 15–17 6 per 1,000 (2022) 5 per 1,000 (2023) Arrow pointing down
Child maltreatmenta
Substantiated reports of maltreatment of children ages 0–17 8 per 1,000 (2022) 7 per 1,000 (2023) NC
open Economic Circumstances
Secure parental employment
Children ages 0–17 living with at least one parent employed year round, full time 79% (2022) 79% (2023) NS
Food insecurity
Children ages 0–17 in households classified by the USDA as "food insecure" 19% (2022) 19% (2023) NS
open Health Care
Health insurance coverage
Children ages 0–17 who were uninsured at the time of interview 4% (2022) 4% (2023) NS
Usual source of health care
Children ages 0–17 with no usual source of health care 3% (2022) 3% (2023) NS
Immunization
Children who completed the combined 7-vaccine series by age 24 months 70% (2019) 68% (2020) NS
Oral health
Children ages 5–17 with a dental visit in the past year 89% (2022) 90% (2023) NS
open Physical Environment and Safety
Outdoor air quality
Children ages 0–17 living in counties with pollutant concentrations above the levels of the current air quality standards 59% (2021) 54% (2022) NS
Secondhand smoke
Children ages 4–11 with any detectable blood cotinine level, a measure for recent exposure to secondhand smoke 37% (2015–2016) 36% (2017–March 2020) NS
Drinking water quality
Children ages 0–17 served by community water systems that did not meet all applicable health-based drinking water standards 8% (2022) 7% (2023) NC
Lead in the blood of children
Children ages 1–5 with blood lead levels greater than or equal to 3.5 µg/dL 2% (2013–2016) 1% (2017– March 2020) NS
Housing problems
Households with children ages 0–17 reporting physically inadequate housing, crowding, and/or housing cost burden 39% (2021) 39% (2023) NS
Youth victims of serious violent crimes
Serious violent crime victimization of youth ages 12–17 6 per 1,000 (2026) 5 per 1,000 (2023) NS
Child injury and mortality
Injury-related deaths of children ages 1–4 12 per 100,000 (2022) 11 per 100,000 (2023) NS
Injury-related deaths of children ages 5–14 7 per 100,000 (2022) 7 per 100,000 (2023) NS
Adolescent injury and mortality
Injury-related deaths of adolescents ages 15–19 46 per 100,000 (2022) 45 per 100,000 (2023) NS
open Behavior
Any nicotine use
Students who reported any nicotine use in the past 30 days
8th grade 9% (2023) 5% (2024) Arrow pointing down
10th grade 13% (2023) 11% (2024) NS
12th grade 20% (2023) 16% (2024) NS
Alcohol use
Students who reported having five or more alcoholic beverages in a row in the past 2 weeks
8th grade 2% (2023) 2% (2024) NS
10th grade 5% (2023) 5% (2024) NS
12th grade 10% (2023) 9% (2024) NS
Illicit drug use
Students who reported using illicit drugs in the past 30 days
8th grade 7% (2023) 5% (2024) NS
10th grade 11% (2023) 10% (2024) NS
12th grade 20% (2023) 17% (2024) Arrow pointing down
Sexual activity
High school students who reported ever having sexual intercourse 30% (2021) 32% (2023) NS
Youth perpetrators of serious violent crimes
Youth offenders ages 12–17 involved in serious violent crimes 6 per 1,000 (2022) 6 per 1,000 (2023) NS
open Education
Youth neither enrolled in schoolb nor working
Youth ages 16–19 who are neither enrolled in school nor working 8% (2023) 9% (2024) NS
School readiness
Percentage of children ages 3–5 who were developmentally on track and ready for school 64% (2022) 66% (2023) NS
open Health
Preterm birth and low birthweight
Infants less than 37 completed weeks of gestation at birth 10% (2022) 10% (2023) NS
Infants weighing less than 5 lb 8 oz at birth 9% (2023) 9% (2023) NS
Infant mortality
Deaths before first birthday 5 per 1,000 (2021) 6 per 1,000 (2022) Arrow pointing up
Emotional and behavioral difficulties
Children ages 4–17 reported by a parent to have serious difficulties with emotions, concentration, behavior, or getting along with other people 6% (2019) 7% (2022) Arrow pointing up
Disability
Children ages 5–17 with disability 13% (2020–2021) 14% (2022–2023) NS
Obesity
Children ages 6–17 who had obesity 21% (2017–Mar. 2020) 23% (Aug. 2021–Aug. 2023) NS
Asthma
Children ages 0–17 who currently have asthma 7% (2023) 7% (2024) NS
NS – No statistically significant change      NC – Not calculated      Arrow pointing up –Statistically significant increase      Arrow pointing down – Statistically significant decrease
a Population estimates are not sample derived and thus not subject to statistical testing. Change between years identifies differences in the proportionate size of these estimates.
b School refers to high school and college.