Per a court order, HHS is required to restore this website to its version as of 12:00 AM on January 29, 2025. Information on this page may be modified and/or removed in the future subject to the terms of the court’s order and implemented consistent with applicable law. Any information on this page promoting gender ideology is extremely inaccurate and disconnected from truth. The Trump Administration rejects gender ideology due to the harms and divisiveness it causes. This page does not reflect reality and therefore the Administration and this Department reject it.

U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Increase the proportion of adults whose health care provider checked their understanding — HC/HIT‑01 Data

National Status: Getting worse

  
Learn more about our data release schedule

Most Recent Data:
23.6 percent (2023)

National Target:
32.2 percent

Desired Direction:
Increase desired

National Baseline:
26.6 percent of adults aged 18 years and over reported that a health care provider asked them to describe how they will follow instructions in 2017

Disparities data are only available for some selections.

View CI in the chart by hovering over a data point.

View SE in the chart by hovering over a data point.

Confidence Interval (CI) not available Standard Error (SE) not available Confidence Interval (CI) and Standard Error (SE) are not available

Display data for:

Persons whose health care provider asks how instructions will be followed, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
Total
26.6
CI 25.5 / 27.7
SE 0.564
25.6
CI 24.4 / 26.9
SE 0.621
26.3
CI 24.8 / 27.9
SE 0.783
23.6
CI 21.7 / 25.5
SE 0.967

Persons whose health care provider asks how instructions will be followed by Sex, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
Male
27.6
CI 26.0 / 29.3
SE 0.846
25.3
CI 23.5 / 27.0
SE 0.888
28.5
CI 26.3 / 30.7
SE 1.133
23.4
CI 20.8 / 26.0
SE 1.317
Female
25.9
CI 24.5 / 27.3
SE 0.722
25.9
CI 24.5 / 27.4
SE 0.745
24.7
CI 22.9 / 26.5
SE 0.904
23.7
CI 21.5 / 25.9
SE 1.114

Persons whose health care provider asks how instructions will be followed by Race/Ethnicity, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
American Indian or Alaska Native only
DSU
33.8
CI 19.7 / 47.8
SE 7.186
26.1
CI 12.9 / 39.3
SE 6.718
DSU
Asian only
31.1
CI 25.7 / 36.6
SE 2.763
30.5
CI 24.3 / 36.8
SE 3.172
24.8
CI 19.0 / 30.6
SE 2.955
24.4
CI 17.8 / 30.9
SE 3.343
Native Hawaiian or Other Pacific Islander only
DSU
DSU
DSU
DSU
Black or African American only
36.0
CI 32.7 / 39.3
SE 1.669
37.3
CI 33.7 / 40.8
SE 1.819
35.5
CI 30.8 / 40.2
SE 2.411
35.3
CI 30.0 / 40.7
SE 2.732
White only
25.1
CI 23.9 / 26.3
SE 0.626
23.7
CI 22.3 / 25.0
SE 0.693
25.0
CI 23.4 / 26.7
SE 0.865
21.6
CI 19.5 / 23.7
SE 1.054
2 or more races
26.6
CI 20.4 / 32.8
SE 3.165
30.4
CI 20.8 / 40.0
SE 4.890
29.8
CI 20.4 / 39.2
SE 4.780
34.6
CI 22.7 / 46.6
SE 6.106
Hispanic or Latino
35.0
CI 31.7 / 38.4
SE 1.723
36.2
CI 32.5 / 39.9
SE 1.870
35.8
CI 31.8 / 39.7
SE 2.009
31.4
CI 27.0 / 35.9
SE 2.275
Not Hispanic or Latino
25.6
CI 24.4 / 26.9
SE 0.625
24.3
CI 23.1 / 25.6
SE 0.642
25.1
CI 23.4 / 26.8
SE 0.864
22.4
CI 20.4 / 24.3
SE 0.989
American Indian or Alaska Native only, not Hispanic or Latino
DSU
DSU
DSU
DSU
Asian only, not Hispanic or Latino
31.6
CI 26.1 / 37.0
SE 2.793
30.7
CI 24.5 / 36.9
SE 3.179
24.7
CI 19.0 / 30.4
SE 2.928
24.8
CI 18.3 / 31.4
SE 3.355
Native Hawaiian or Other Pacific Islander only, not Hispanic or Latino
DSU
DSU
DSU
DSU
Black or African American only, not Hispanic or Latino
36.3
CI 32.9 / 39.6
SE 1.714
37.5
CI 33.8 / 41.1
SE 1.875
35.8
CI 31.1 / 40.5
SE 2.403
35.9
CI 30.5 / 41.3
SE 2.759
White only, not Hispanic or Latino
23.7
CI 22.4 / 25.1
SE 0.691
21.9
CI 20.5 / 23.3
SE 0.709
23.3
CI 21.4 / 25.3
SE 0.985
20.0
CI 17.9 / 22.1
SE 1.075
2 or more races, not Hispanic or Latino
24.3
CI 17.7 / 30.9
SE 3.381
25.8
CI 17.8 / 33.9
SE 4.101
27.4
CI 17.5 / 37.3
SE 5.041
32.3
CI 18.2 / 46.5
SE 7.218

Persons whose health care provider asks how instructions will be followed by Age group, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
18-44 years
26.3
CI 24.4 / 28.1
SE 0.942
25.8
CI 23.5 / 28.1
SE 1.179
25.2
CI 22.2 / 28.3
SE 1.569
22.8
CI 19.5 / 26.0
SE 1.647
18-24 years
28.3
CI 23.8 / 32.8
SE 2.294
27.3
CI 22.2 / 32.5
SE 2.626
28.1
CI 21.6 / 34.5
SE 3.282
24.5
CI 16.5 / 32.5
SE 4.061
25-44 years
25.7
CI 23.8 / 27.6
SE 0.971
25.3
CI 23.0 / 27.7
SE 1.190
24.5
CI 21.3 / 27.8
SE 1.662
22.3
CI 19.2 / 25.4
SE 1.580
45-64 years
28.3
CI 26.5 / 30.2
SE 0.941
25.6
CI 23.7 / 27.6
SE 0.992
28.0
CI 25.8 / 30.1
SE 1.095
24.2
CI 21.5 / 26.9
SE 1.360
45-54 years
29.0
CI 26.1 / 31.8
SE 1.459
26.4
CI 23.4 / 29.3
SE 1.510
27.9
CI 24.3 / 31.4
SE 1.814
25.7
CI 21.7 / 29.8
SE 2.055
55-64 years
27.8
CI 25.3 / 30.3
SE 1.288
25.0
CI 22.6 / 27.5
SE 1.243
28.0
CI 25.0 / 31.0
SE 1.541
23.0
CI 20.1 / 25.8
SE 1.449
65 years and over
24.7
CI 22.8 / 26.6
SE 0.983
25.5
CI 23.4 / 27.5
SE 1.041
25.7
CI 23.5 / 27.8
SE 1.105
23.8
CI 21.5 / 26.1
SE 1.178
65-74 years
26.1
CI 23.3 / 28.8
SE 1.400
26.1
CI 23.6 / 28.6
SE 1.281
26.2
CI 23.4 / 29.1
SE 1.448
22.5
CI 19.8 / 25.2
SE 1.391
75-84 years
23.7
CI 20.4 / 26.9
SE 1.664
23.2
CI 19.7 / 26.6
SE 1.742
23.1
CI 20.1 / 26.0
SE 1.508
25.0
CI 21.2 / 28.9
SE 1.966
85 years and over
19.4
CI 14.1 / 24.8
SE 2.708
28.9
CI 22.6 / 35.2
SE 3.206
31.0
CI 25.3 / 36.7
SE 2.909
29.3
CI 20.1 / 38.6
SE 4.737

Persons whose health care provider asks how instructions will be followed by Educational attainment, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
Less than High school
34.3
CI 30.8 / 37.8
SE 1.777
36.0
CI 31.9 / 40.0
SE 2.075
40.6
CI 35.4 / 45.8
SE 2.653
40.8
CI 33.7 / 47.9
SE 3.629
High school
30.0
CI 27.8 / 32.1
SE 1.089
28.2
CI 25.9 / 30.5
SE 1.182
31.1
CI 28.1 / 34.2
SE 1.544
25.2
CI 22.0 / 28.3
SE 1.605
Some college or Associate degree
26.8
CI 24.6 / 29.1
SE 1.138
26.2
CI 23.9 / 28.5
SE 1.164
26.8
CI 24.2 / 29.5
SE 1.352
25.8
CI 22.5 / 29.1
SE 1.692
4-year college degree or more
22.2
CI 20.4 / 24.0
SE 0.914
21.3
CI 19.7 / 23.0
SE 0.850
20.7
CI 18.8 / 22.7
SE 0.995
19.4
CI 17.0 / 21.8
SE 1.226

Persons whose health care provider asks how instructions will be followed by Family income (percent poverty threshold), 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
<100
31.9
CI 28.7 / 35.2
SE 1.679
31.1
CI 27.8 / 34.4
SE 1.675
32.0
CI 28.1 / 36.0
SE 1.999
26.7
CI 21.9 / 31.6
SE 2.488
100-199
31.2
CI 28.3 / 34.2
SE 1.493
30.5
CI 27.2 / 33.8
SE 1.669
29.6
CI 26.1 / 33.1
SE 1.793
28.8
CI 23.4 / 34.3
SE 2.778
200-399
27.4
CI 25.3 / 29.4
SE 1.061
26.0
CI 23.9 / 28.0
SE 1.057
28.3
CI 25.2 / 31.3
SE 1.564
25.0
CI 21.2 / 28.7
SE 1.919
400+
24.0
CI 22.3 / 25.7
SE 0.860
23.1
CI 21.4 / 24.7
SE 0.844
23.5
CI 21.3 / 25.7
SE 1.125
21.1
CI 19.1 / 23.2
SE 1.033

Persons whose health care provider asks how instructions will be followed by Health insurance status (18-64 years), 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
Uninsured
25.3
CI 19.3 / 31.3
SE 3.059
30.1
CI 21.9 / 38.3
SE 4.202
28.9
CI 20.2 / 37.5
SE 4.420
23.4
CI 13.0 / 33.8
SE 5.314
Any private
26.1
CI 24.6 / 27.7
SE 0.805
24.1
CI 22.4 / 25.8
SE 0.866
25.3
CI 22.9 / 27.6
SE 1.218
22.6
CI 20.0 / 25.2
SE 1.322
Public only
34.0
CI 30.9 / 37.0
SE 1.538
32.2
CI 28.8 / 35.5
SE 1.703
32.5
CI 28.3 / 36.6
SE 2.126
27.5
CI 22.0 / 33.1
SE 2.833

Persons whose health care provider asks how instructions will be followed by Health insurance status (65 years and over), 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
Medicare only
27.3
CI 24.1 / 30.5
SE 1.635
25.1
CI 21.9 / 28.3
SE 1.640
25.5
CI 22.0 / 29.1
SE 1.803
24.2
CI 20.3 / 28.0
SE 1.952
Medicare and private
21.7
CI 19.0 / 24.3
SE 1.338
24.1
CI 21.2 / 27.1
SE 1.506
23.7
CI 20.7 / 26.8
SE 1.539
22.0
CI 18.7 / 25.2
SE 1.639
Medicare and other public
34.6
CI 28.9 / 40.3
SE 2.921
31.6
CI 26.0 / 37.2
SE 2.843
33.5
CI 27.7 / 39.3
SE 2.954
28.8
CI 22.5 / 35.1
SE 3.218

Persons whose health care provider asks how instructions will be followed by Geographic location, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
Metropolitan
27.1
CI 26.0 / 28.3
SE 0.592
25.7
CI 24.4 / 27.0
SE 0.656
25.8
CI 24.4 / 27.3
SE 0.756
23.3
CI 21.3 / 25.4
SE 1.038
Non-metropolitan
23.6
CI 20.4 / 26.8
SE 1.631
25.4
CI 22.2 / 28.6
SE 1.646
29.3
CI 23.9 / 34.7
SE 2.741
25.3
CI 20.0 / 30.5
SE 2.680

Persons whose health care provider asks how instructions will be followed by Marital status, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
Married/​Cohabiting partner
26.7
CI 25.2 / 28.3
SE 0.815
24.4
CI 22.9 / 26.0
SE 0.806
25.4
CI 23.5 / 27.3
SE 0.980
22.7
CI 20.4 / 24.9
SE 1.144
Divorced, separated, widowed
26.9
CI 25.0 / 28.9
SE 0.988
29.0
CI 26.9 / 31.2
SE 1.108
28.7
CI 26.4 / 31.0
SE 1.174
25.3
CI 22.5 / 28.1
SE 1.427
Never married
26.0
CI 23.6 / 28.4
SE 1.233
25.5
CI 22.8 / 28.2
SE 1.369
26.4
CI 22.8 / 29.9
SE 1.820
24.3
CI 20.2 / 28.4
SE 2.071

Persons whose health care provider asks how instructions will be followed by Country of birth, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
US
25.7
CI 24.6 / 26.9
SE 0.607
23.9
CI 22.7 / 25.2
SE 0.627
25.5
CI 23.8 / 27.2
SE 0.857
22.3
CI 20.3 / 24.3
SE 1.001
Outside US
32.6
CI 29.7 / 35.5
SE 1.479
36.7
CI 33.2 / 40.2
SE 1.787
31.6
CI 27.9 / 35.2
SE 1.860
31.3
CI 27.1 / 35.6
SE 2.169

Persons whose health care provider asks how instructions will be followed by Veteran status (20 years and over), 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
Veteran
28.4
CI 24.8 / 31.9
SE 1.821
22.5
CI 18.4 / 26.5
SE 2.068
27.4
CI 18.4 / 36.4
SE 4.581
18.6
CI 9.3 / 28.0
SE 4.770
Non-veteran
26.3
CI 25.1 / 27.5
SE 0.597
25.7
CI 24.4 / 27.0
SE 0.659
26.3
CI 24.7 / 27.8
SE 0.810
23.6
CI 21.7 / 25.4
SE 0.951

Persons whose health care provider asks how instructions will be followed by Disability status, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
People with disabilities
25.3
CI 23.5 / 27.2
SE 0.930
24.7
CI 22.7 / 26.7
SE 1.022
23.6
CI 20.9 / 26.3
SE 1.379
22.7
CI 19.7 / 25.7
SE 1.509
People without disabilities
27.1
CI 25.7 / 28.5
SE 0.716
26.0
CI 24.6 / 27.4
SE 0.719
25.0
CI 22.6 / 27.3
SE 1.192
23.9
CI 21.7 / 26.0
SE 1.108

Persons whose health care provider asks how instructions will be followed by Sexual orientation, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
Sexual orientation
DNC
DNC
DNC
DNC

Persons whose health care provider asks how instructions will be followed by Gender identity, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
Gender identity
DNC
DNC
DNC
DNC

Persons whose health care provider asks how instructions will be followed by Obesity status, 2017-2023 ◊
(percent)
Increase desired

Population 2017 2019 2021 2023
Obesity status
DNA
DNA
DNA
DNA

Disparity