Between 1992 and 2012, concentrations of suspended sediment decreased at about 60 % of 137 US stream sites, with increases at only 17 % of sites. Sediment trends were primarily attributed to changes in land management, but streamflow changes also contributed to these trends at > 50 % of sites. At many sites, decreases in sediment occurred despite small-to-moderate increases in the amount of anthropogenic land use, suggesting sediment reduction activities across the US may be seeing some success.