Lifestyle
No ‘Green Shoots’ of Academic Recovery as 2022-23 Mathematics, Reading Scores of 13-Year-Olds Decline
Last Updated on July 26, 2024 by Daily News Staff
WASHINGTON /PRNewswire/ — The nation’s 13-year-olds showed the largest declines ever recorded on the National Assessment of Educational Progress (NAEP) long-term trend assessment (LTT) in mathematics, according to results released today by the National Center for Education Statistics (NCES). The average mathematics score for 13-year-olds declined 9 points between the 2019‒20 and 2022‒23 school years, and the average reading score declined 4 points over the same time period.
“The ‘green shoots’ of academic recovery that we had hoped to see have not materialized, as we continue to see worrisome signs about student achievement and well-being more than two years after most students returned for in-person learning,” said NCES Commissioner Peggy G. Carr. “There are signs of risk for a generation of learners in the data we are releasing today and have released over the past year. We are observing steep drops in achievement, troubling shifts in reading habits and other factors that affect achievement, and rising mental health challenges alongside alarming changes in school climate. The mathematics decline for 13-year-olds was the single largest decline we have observed in the past half a century. The mathematics score for the lowest-performing students has returned to levels last seen in the 1970s, and the reading score for our lowest-performing students was actually lower than it was the very first year these data were collected, in 1971.”
The data released today were collected between October and December 2022, during the 2022‒23 academic year. In mathematics, scores declined between 2019‒20 and 2022‒23 for most student groups. Scores declined for Black students, Hispanic students, American Indian/Alaska Native students, students of two or more races, and White students. Declines ranged from 6 points (for White students) to 20 points (for American Indian/Alaska Native students). Mathematics scores for Asian students were not measurably different comparing 2019‒20 and 2022‒23. Scores declined for girls as well as boys, across all regions of the country, and across all school locations. Mathematics scores for students attending Catholic schools were not measurably different comparing 2019‒20 and 2022‒23.
In reading, scores declined since 2019–20 for Black students, White students, and students of two or more races. Scores for Hispanic students, American Indian/Alaska Native students, and Asian students were not measurably different. Reading scores declined for 13-year-olds attending city, suburban, and rural schools, but were not measurably different for schools located in towns. Reading scores for students attending Catholic schools were not measurably different comparing 2019‒20 and 2022‒23.
“Prior to 2012, we had seen noticeable improvements in mathematics achievement and some improvement in reading achievement since the 1970s,” said NCES acting Associate Commissioner Dan McGrath. “Scores for 13-year-olds declined for the first time in both subjects between 2012 and 2020, beginning a downward trajectory that has lasted for more than a decade, and has not been reversed. Middle school is a critical time for students—a time when they are maturing academically as well as socially and emotionally. What happens for students in middle school can strongly influence their path through high school and beyond.”
Fewer Students ‘Reading for Fun’
“Reading for fun is strongly associated with higher achievement,” explained Commissioner Carr. “Yet fewer students, especially lower-performing students, are reading for fun compared to a decade ago. Aside from its academic effects, reading opens the mind and the heart to new ways of seeing and thinking about the world. Many of our young people will never discover latent passions or areas of interest without reading broadly on their own time.”
The percentage of 13-year-olds who said they “never or hardly ever” read for fun has risen over the past decade; about one-third (31 percent) of 13-year-olds said they “never or hardly ever” read for fun in 2023, while 22 percent said they “never or hardly ever” read for fun in 2012.
Higher-performing students were more likely to read for fun; 51 percent of 13-year-olds scoring at or above the 75th percentile on the NAEP reading assessment reported reading for fun at least once per week, while 28 percent of students scoring below the 25th percentile reported reading for fun at least once per week.
Fewer Students Taking Algebra
There have been significant shifts in mathematics coursetaking since 2012. While about one-third of 13-year-olds (34 percent) in 2012 said they were currently taking algebra, that figure has declined to 24 percent in 2023. The percentage of 13-year-olds enrolled in pre-algebra has also declined since 2012; 29 percent of 13-year-olds in 2012 said they were currently taking pre-algebra, and that has declined to 22 percent in 2023. By contrast, the percentage of 13-year-olds taking regular mathematics has risen. In 2012, 28 percent of 13-year-olds said they were currently taking regular mathematics, and that has risen to 42 percent in 2023.
The data suggests this drop in algebra coursetaking is driven by the West region. In 2012, 51 percent of 13-year-olds in the West were currently enrolled in algebra; that has declined to 19 percent in 2023. There were no other measurable differences across the other regions.
Results by Subject
Mathematics
- The average mathematics score (271) for 13-year-old students was 9 points lower in 2023 than in 2020 and 14 points lower than in 2012 but was 5 points higher than in 1973.
- Mathematics scores declined between 2020 and 2023 across the performance distribution, with declines for students at the 10th, 25th, 50th, 75th, and 90th percentiles. There were greater declines for lower-performing students (students at the 10th and 25th percentiles) than their higher-performing peers at the 75th and 90th percentiles.
- The score declined 14 points for students at the 10th percentile, from 228 in 2020 to 213 in 2023.
- The score declined 12 points for students at the 25th percentile, from 255 in 2020 to 244 in 2023.
- The score declined 8 points for students at the 50th percentile, from 282 in 2020 to 274 in 2023.
- The score declined 6 points for students at the 75th percentile, from 307 in 2020 to 301 in 2023.
- The score declined 6 points for students at the 90th percentile, from 329 in 2020 to 322 in 2023.
- The mathematics score for students at the 10th percentile in 2023 (213) was not significantly different compared to the score for students at the 10th percentile in 1978 (213).
- Mathematics scores declined between 2019‒20 and 2022‒23 for most student groups. Scores declined by 13 points for Black students (from 256 to 243), declined by 10 points for Hispanic students (from 267 to 257), declined by 20 points for American Indian/Alaska Native students (from 275 to 255), declined by 8 points for students of two or more (from 285 to 277), and declined by 6 points for White students (from 291 to 285).
- The mathematics scores also declined for both male and female students, for students attending schools in all school locations, and for students from all regions of the country.
- Enrollment in algebra has declined since 2012 among 13-year-olds overall.
Reading
- The average reading score (256) for 13-year-old students was 4 points lower in 2023 than in 2020 and seven points lower than in 2020 and was not significantly different from the average score in 1971 (255).
- Reading scores declined between 2020 and 2023 across the performance distribution, with declines for students at the 10th, 25th, 50th, 75th, and 90th percentiles.
- The score declined 7 points for students at the 10th percentile, from 209 in 2020 to 202 in 2023.
- The score declined 6 points for students at the 25th percentile, from 236 in 2020 to 231 in 2023.
- The score declined 4 points for students at the 50th percentile, from 262 in 2020 to 258 in 2023.
- The score declined 4 points for students at the 75th percentile, from 287 in 2020 to 283 in 2023.
- The score declined 3 points for students at the 90th percentile, from 308 in 2020 to 305 in 2023.
- The reading score for students at the 10th percentile in 2023 (202) was lower than the reading score for students at the 10th percentile in 1971 (208). The score for students at the 25th percentile in 2023 (231) was not significantly different from the score for students at the 25th percentile in 1971 (232). The score for students at the 50th percentile in 2023 (258) was not significantly different from the score for students at the 50th percentile in 1971 (257).
- Scores for Black students declined 7 points (from 244 in 2020 to 237 in 2023); declined by 8 points for students of two or more races (from 265 to 257); and declined by 4 points for White students (from 269 to 264). Scores for Hispanic students, American Indian/Alaska Native students, and Asian students were not measurably different.
- Students who reported reading for fun more often tended to score higher, but a rising percentage of 13-year-olds say that they “never or hardly ever” read for fun.
How Results Are Reported
Student performance on the LTT assessments is reported in several ways: scale scores, percentile scores, performance levels, student group scores, and score gaps.
Scale scores represent the average performance of students on a scale of 0 to 500. Scores are reported at the national level and for groups of students based on race/ethnicity, gender, and other demographic characteristics.
About the Assessment
Since the 1970s, the National Assessment of Educational Progress (NAEP) has monitored student performance in reading and mathematics through the long-term trend (LTT) assessments. The LTT assessments are age-based, rather than grade-based, and assess 9-year-old, 13-year-old, and 17-year-old students.
The LTT assessments measure basic reading and mathematics skills to gauge how the performance of U.S. students has changed over time. At age 13, reading was first assessed in 1971 and mathematics was first assessed in 1973. The LTT reading assessment asks students to read short texts and answer mostly multiple-choice questions, though there are a few questions requiring written responses. For mathematics, students answer mostly multiple-choice questions related to basic math facts, computations, formulas, and real-life applications. Survey questionnaires, which are administered to students, teachers, and school administrators who participate in an LTT assessment, are used to collect and report contextual information about students’ learning experience in and out of the classroom.
The 2023 long-term trend assessment for 13-year-olds was administered between October and December of 2022, during the 2022–23 academic year. The assessment schedule was amended so that NCES could collect, analyze, and report data on 13-year-old students during the 2022–23 school year to report a snapshot of how student achievement has changed since immediately before the onset of the COVID-19 global health emergency.
Visit https://www.nationsreportcard.gov/ to view the report.
The National Center for Education Statistics, a principal agency of the U.S. Federal Statistical System, is the statistical center of the U.S. Department of Education and the primary federal entity for collecting and analyzing data related to education in the U.S. and other nations. Founded in 1867, NCES fulfills a congressional mandate to collect, collate, analyze, and report complete statistics on the condition of American education; conduct and publish reports; and review and report on education activities internationally.
The National Assessment of Educational Progress (NAEP) is a congressionally authorized project sponsored by the U.S. Department of Education. The National Center for Education Statistics, within the Institute of Education Sciences, administers NAEP. The commissioner of the National Center for Education Statistics is responsible by law for carrying out the NAEP project. Policy for the NAEP program is set by the National Assessment Governing Board (NAGB), an independent, bipartisan board whose members include governors, state legislators, local and state school officials, educators, business representatives and members of the general public. Since 1990, NAGB has been developing achievement levels, which are being used on a trial basis.
SOURCE National Center for Education Statistics
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Health
Research Reveals Persistent Racial Disparities in Stroke Treatment and Outcomes

Three new studies shared this week at the Society of NeuroInterventional Surgery (SNIS) 23rd Annual Meeting deliver a clear message: stroke care in the U.S. is improving, but those gains are not reaching everyone equally. Researchers found persistent disparities tied to race, geography, and socioeconomic status—factors that can shape whether a patient receives advanced treatment, how quickly they reach specialized care, and ultimately, whether they survive.
Stroke remains one of the nation’s leading causes of death and long-term disability. In recent years, breakthroughs in emergency response systems and minimally invasive procedures have expanded what’s possible in the critical first hours after a stroke. But the latest findings suggest that access to those life-saving advances still depends too heavily on who you are and where you live.
Study 1: Treatment gaps widen as strokes get more severe
The first study, “Racial Disparities in Endovascular Thrombectomy Widen with Stroke Severity: A National Inpatient Sample Analysis,” examined more than 325,000 acute ischemic stroke patients treated at U.S. teaching hospitals between 2018 and 2022.
The focus was endovascular thrombectomy (EVT), a minimally invasive procedure in which specialists remove a clot from a blocked artery in the brain. EVT can be a game-changer for eligible patients—but researchers found Black patients were less likely than white patients to receive it across all levels of stroke severity.
What stood out most: the disparity grew as stroke severity increased. At a National Institutes of Health Stroke Scale (NIHSS) score of 20, the predicted probability of receiving EVT was:
- 33% for white men
- 32% for white women
- 28% for Black men
- 26% for Black women
Co-first author Muhammed Amir Essibayi, MD, MSc, FRCP, noted that timely access becomes even more critical as severity rises—yet the treatment gap becomes more pronounced. The study also highlighted an intersectional pattern, with Black women consistently least likely to receive EVT.
Study 2: Hemorrhagic stroke deaths are falling—but disparities persist
The second study, “Reducing Inequalities in Stroke Events-Hemorrhagic Disparities (RISE-HD): A 10-year Statewide Analysis of Social Determinants of Mortality in Hemorrhagic Stroke,” analyzed more than 120,000 patients hospitalized with hemorrhagic stroke in Florida between 2013 and 2024.
There was good news: mortality rates declined significantly over the decade, suggesting real progress in stroke systems and hospital care.
But after adjusting for age, sex, and comorbidities, disparities remained. Black patients had higher odds of in-hospital mortality than white patients. Higher mortality was also associated with:
- Living in rural areas
- Having Medicaid or other non-commercial insurance
Researchers also found regional differences across Florida, pointing to uneven access to specialized stroke care.
Primary author Natália Vasconcellos, MD, MSc, emphasized that improving outcomes for everyone will require addressing barriers to specialized stroke systems—especially in underserved communities.
Study 3: The “Stroke Belt” has two different access problems
The third study, “Dual Pathways to Hemorrhagic Stroke Mortality Across the U.S. Stroke Belt: Rural Neurointerventional Isolation and Urban Structural Vulnerability,” looked at hemorrhagic stroke mortality across 433 counties in the “Stroke Belt,” a region long associated with higher stroke rates and worse outcomes.
Researchers compared factors linked to mortality in rural versus urban counties, including:
- Distance to the nearest Comprehensive Stroke Center
- Community-level socioeconomic disadvantage
- Racial and economic segregation
- HIV burden
They found the drivers of mortality differed sharply by setting:
- In rural counties, longer travel times to Comprehensive Stroke Centers were more strongly associated with higher mortality.
- In urban counties, racialized economic segregation and HIV burden were more strongly associated with poorer outcomes—even when specialized care was geographically closer.
Dylan Yates, a medical student at Tulane University School of Medicine, summarized the takeaway: the neurointerventional access gap in the Stroke Belt is “not one problem, it is two.” Solutions need to match the reality on the ground—strengthening transfer networks and specialty connections in rural areas, while addressing structural disadvantage and underinvestment in urban communities.
What to watch for: where the system can improve
Across all three studies, the common thread is that medical innovation alone doesn’t guarantee equitable outcomes. Researchers pointed toward targeted interventions that could help close the gap, including:
- More consistent, equitable treatment pathways for advanced stroke procedures like EVT
- Stronger stroke transfer networks to reduce delays—especially in rural regions
- Expanded access to specialty stroke care and Comprehensive Stroke Centers
- Community-level investment and structural reforms in underserved urban neighborhoods
For patients and families, these findings also reinforce the importance of recognizing stroke symptoms quickly and calling 911 immediately. Time is brain—yet the system must ensure that “time” and “access” don’t vary based on race, ZIP code, or insurance status.Source: Society of NeuroInterventional Surgery (SNIS), July
Related Links
- Society of NeuroInterventional Surgery (SNIS) — https://www.snisonline.org
- NIH: Stroke (overview, symptoms, treatment) — https://www.ninds.nih.gov/health-information/disorders/stroke
- CDC: Stroke (risk factors, prevention, data) — https://www.cdc.gov/stroke/
- American Stroke Association (ASA): Stroke resources — https://www.stroke.org/
- NIH Stroke Scale (NIHSS) basics (clinical context) — https://www.stroke.nih.gov/resources/scale.htm
- Find a certified stroke center (The Joint Commission) — https://www.qualitycheck.org/
SOURCE Society of NeuroInterventional Surgery
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Family
Teach and Inspire Your Kids by Exploring History as a Family
History as a Family: During back-to-school season, education is naturally at the forefront of most parents’ minds. While a lot of important learning is accomplished in the classroom, there are so many opportunities to continue challenging and developing children’s minds and hearts in family life as well.

Teach and Inspire Your Kids by Exploring History as a Family
(Feature Impact) During back-to-school season, education is naturally at the forefront of most parents’ minds. While a lot of important learning is accomplished in the classroom, there are so many opportunities to continue challenging and developing children’s minds and hearts in family life as well. Learning about history together is a practical way to inspire deep, meaningful conversations about the world, whether from books, documentaries or visits to museums.
Watch this video to learn more
Now is an opportune time to explore the story of Anne Frank, a Jewish teenager evading Nazi capture during the Holocaust. Families can read her famous diary together then visit “Anne Frank The Exhibition,” presented by the Anne Frank House at the Griffin Museum of Science and Industry. This comprehensive exhibition immerses visitors in the context that shaped Frank’s life, from her early years in Frankfurt through her tragic death and how her father ensured her legacy. The centerpiece is the first full-scale recreation of the Annex where the Frank family and four other Jews hid during the Nazi occupation of the Netherlands. The exhibition, recommended for visitors ages 10 and older, is open through early 2027.
No matter what piece of history families choose to delve into together, they should take the time to discuss with their kids what they’re thinking and feeling about everything they’re discovering. Then together they can figure out what lessons from the past can be taken into the future.
“Anne Frank ’s story is a powerful reminder of what happens when fear and hatred are
allowed to take root,” said Dr. Chevy Humphrey, Griffin Museum of Science and Industry
president and CEO. “At the same time, it reveals the quiet but enduring strength of
curiosity, creativity and resilience, values that sit at the heart of our mission. We hope this
exhibition offers meaningful moments of reflection for our guests, particularly young
people, and encourages them to think critically about their role in the world they are
inheriting.”
Learn more about the exhibit and other experiences that bring history and science to life at GriffinMSI.org.
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SOURCE:
Griffin Museum of Science and Industry
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Lifestyle
If You’re Feeling Stressed by Pricey Meds, Pharmacists Can Help
Stressed by Pricey Meds? If your wallet is feeling the squeeze of prescription drug costs as other living expenses like grocery and energy prices rise, you’re not alone. That’s where a powerful ally can help you manage drug costs: a health-system pharmacist.

If You’re Feeling Stressed by Pricey Meds, Pharmacists Can Help
(Feature Impact) If your wallet is feeling the squeeze of prescription drug costs as other living expenses like grocery and energy prices rise, you’re not alone.
More people are worrying about affording essential medications these days. In fact, more than 40% of adults said they skipped doses or didn’t fill prescriptions in the past year due to cost, according to a KFF Health survey.
People who take multiple drugs to manage chronic conditions often feel this pinch even more severely. They’re also more likely to make more frequent visits to their clinic or health system for care. That’s where a powerful ally can help them manage their drug costs: a health-system pharmacist.
These medication experts work side-by-side with the clinicians who prescribe drugs in health care practices – and sometimes prescribe medications themselves. Their deep knowledge can help people get the most out of the drugs they take.
“Pharmacists really know the full picture of medications, including pricing, insurance coverage, alternative therapies and potential side effects,” said Lindsey Amerine, PharmD, chief pharmacy officer for the Cleveland Clinic. “That’s why it’s helpful to not only count on your doctor to diagnose your condition and prescribe therapies, but also your pharmacist to optimize your medications.”
Get a Comprehensive Review of Your Medications
Asking the pharmacist on your health-system care team to go over your medications may reveal opportunities to save, Amerine said. Health-system pharmacists are uniquely qualified to provide this service because they keep close track of medication costs as well as approvals of new drugs and how those compare to older options.
A full review might reveal:
- Drugs once needed may not be as useful anymore. People often continue taking medications unaware that something new could offer greater benefits or their condition no longer requires the same therapy.
- Changes in your condition may mean you could safely take a lower dosage of a drug, thereby reducing costs.
- There may be less costly alternatives that would work as well such as a generic or older medication.
Get Help Exploring Discount Options
You’ve probably heard about programs that can help lower prescription costs, including discount and patient assistance programs. Pharmacists can help you understand how to navigate these programs and access potential discount programs and opportunities, Amerine said. Here’s how:
- Pharmacists can guide you through discount programs your health system offers.
- They can check your eligibility for drug maker discounts and help you understand how those discounts work with your insurance, especially if you have a high-deductible plan.
- Pharmacists can help you navigate the various prescription cost-savings programs and how they work.
- They can also help you learn about patient assistance programs that provide free or discounted medications to people who cannot afford them.
Medications are a vital part of your health care. Before you try to stretch a costly medicine or give it up altogether, talk to the medication expert on your health care team: your health-system pharmacist. For more information, visit yourpharmacist.org.
Why It Pays to Talk Meds with a Pharmacist
“My doctor prescribed it, so I must need it.” Often this is true, but not always. People sometimes take drugs longer than they need to, at doses higher than necessary or that may interact with other medications.
Just as you’d see a heart specialist about an odd pulse rate, it can help to see a pharmacist – your medication specialist – to discuss your prescriptions.
Of all health care professionals, pharmacists have the deepest knowledge of drug interactions and safety issues. They’re experts on how the effectiveness of different medications – brand name and generic – compare. They also closely track changes in prices and know when a drug’s cost has dropped or if an effective, less costly alternative is available.
Health-system pharmacists’ expertise is especially helpful for those with multiple chronic conditions who typically take several medications with more benefits, costs and side effects to balance.
Talking with a pharmacist can ensure your prescriptions are best for you and that you have access to the most affordable options.
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SOURCE:
American Society of Health-System Pharmacists
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