The report also includes the 2006 Chartbook on Trends in the Health of Americans, which assesses the current state of the nation's health and how it is changing, both positively and negatively, by presenting trends and information on selected determinants and measures of health status. Determinants of public health examined in the chartbook include demographic factors, health-insurance coverage, health behaviors, and preventive health care. Measures of health status and risk factors focus on trends in mortality and limitations of activity caused by chronic health conditions. Although many aspects of the public's health have improved, not all populations have benefited equally. The 2006 Chartbook includes a special focus on pain, which affects physical and mental functioning and can affect quality of life. Patterns of self-reported pain are presented by age, sex, race/ethnicity, and poverty status.