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Healthy People 2010 Focus Area 2

Healthy People 2010 Focus Area 2. Arthritis, Osteoporosis, and Chronic Back Conditions Progress Review September 18, 2002. Healthy People 2010 Focus Area 2. 11 objectives Three musculoskeletal areas Arthritis (8 objectives – 5 developmental) Osteoporosis (2 objectives)

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Healthy People 2010 Focus Area 2

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  1. Healthy People 2010 Focus Area 2 Arthritis, Osteoporosis, and Chronic Back Conditions Progress Review September 18, 2002

  2. Healthy People 2010Focus Area 2 • 11 objectives • Three musculoskeletal areas • Arthritis (8 objectives – 5 developmental) • Osteoporosis (2 objectives) • Chronic Back Conditions (1 objective)

  3. Arthritis

  4. Arthritis prevalenceAdults age 18 and older with arthritis, by gender, family income, and education, 2000 Age-adjusted percent 27 25 25 23 22 21 20 20 18 Total Female Male Poor Near Middle/ Less High At least (<100% poor high than school some poverty) (100%- (>=200% high graduate college 199% poverty) school poverty) Data are age adjusted to the 2000 standard population. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  5. Arthritis prevalenceAdults age 18 and older with arthritis, by race/ethnicity, 2000 Age-adjusted percent 29 22 18 13 15 American Indian/ Asian/Pacific Hispanic** Black, not White, not Alaska Native* Islander* Hispanic Hispanic Data are age adjusted to the 2000 standard population. *Includes persons of Hispanic and non-Hispanic origin. **Persons of Hispanic origin may be of any race. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  6. Prevalence of arthritis among adults age 18 and older by state, 2000 Percent with arthritis (quartiles) 22.7 - 30.4 30.8 - 31.8 32.2 - 33.9 34.6 - 39.4 Data not available Date are not age adjusted. SOURCE: Behavioral Risk Factor Surveillance System (BRFSS), CDC/NCCDPHP.

  7. Measurable Arthritis Objectives • 2-2. Reduce the proportion of adults with chronic joint symptoms who experience a limitation of activity due to arthritis. • 2-3. Reduce the proportion of all adults with chronic joint symptoms who have difficulty in performing two or more personal care activities, thereby preserving independence. • 2-5. Increase the employment rate among adults with arthritis in the working-aged population.

  8. Developmental Arthritis Objectives • 2-1. Increase the mean number of days without severe pain among adults who have chronic joint symptoms. (National data expected from the 2002 NHIS by 2004.) • 2-4. Increase the proportion of adults aged 18 years and older with arthritis who seek help in coping if they experience personal and emotional problems. (National data expected from the 2002 NHIS by 2004.) • 2-6. Eliminate racial disparities in the rate of total knee replacements. (Numerator will be derived from 2000 NHDS and Medicare inpatient data; denominator from 2000 NHIS by 2003.) • 2-7. Increase the proportion of adults who have seen a health care provider for their chronic joint symptoms. (National data expected from the 2002 NHIS by 2004.) • 2- 8. Increase the proportion of persons with arthritis who have had effective, evidence-based arthritis education as an integral part of the management of their condition. (National data expected from the 2002 NHIS by 2004.)

  9. Arthritis 2-2. Adults age 18 and older with arthritis reporting activity limitation due to arthritis, by gender Age-adjusted percent 32 31 28 27 23 21 2010 Target Total Female Male Data are age adjusted to the 2000 standard population. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  10. Arthritis 2-2. Adults age 18 and older with arthritis reporting activity limitation due to arthritis, by race/ethnicity Age-adjusted percent 25 33 33 30 29 20 27 19 26 16 2010 Target American Indian/ Asian/Pacific Hispanic** Black, not White, not Alaska Native* Islander* Hispanic Hispanic Data are age adjusted to the 2000 standard population. *Includes persons of Hispanic and non-Hispanic origin. **Persons of Hispanic origin may be of any race. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  11. Arthritis 2-2. Adults age 18 and older with arthritis reporting activity limitation due to arthritis, by income and education Age-adjusted percent 37 36 34 34 32 30 30 30 26 26 25 25 2010 Target Poor Near poor Middle/high (<100% (100%-199% (>=200% poverty) poverty) poverty) Less High At least than school some high school* graduate* college* Data are age adjusted to the 2000 standard population. *Ages 25 and older. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  12. Arthritis 2-3. Adults age 18 and older with arthritis reporting personal care activity limitations, by gender Age-adjusted percent 2.4 2.3 2.2 2.1 1.8 1.7 2010 Target Total Female Male Data are age adjusted to the 2000 standard population. I= 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  13. Arthritis 2-3. Adults age 18 and older with arthritis reporting personal care activity limitations, by race/ethnicity Age-adjusted percent 3.8 3.5 2.7 1.8 4.9 1.8 2010 Target Hispanic* Black, not Hispanic White, not Hispanic Data are age adjusted to the 2000 standard population. *Persons of Hispanic origin may be of any race. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  14. Arthritis 2-3. Adults age 18 and older with arthritis reporting personal care activity limitations, by income and education Age-adjusted percent 3.4 3.4 5.4 2.4 2.3 2.1 1.8 4.4 1.4 1.3 1.0 2010 Target * Less High At least than school some high school** graduate** college** Poor Near poor Middle/high (<100% (100%-199% (>=200% poverty) poverty) poverty) Data are age adjusted to the 2000 standard population. *Data do not meet criteria for statistical reliability, data quality, or confidentiality. **Ages 25 and older. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  15. Arthritis 2-5. Employment rate among adults age 18-64 with arthritis, by gender Age-adjusted percent 2010 Target 75 73 69 67 65 61 Data are age adjusted to the 2000 standard population. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  16. Arthritis 2-5. Employment rate among adults age 18-64 with arthritis, by race/ethnicity Age-adjusted percent 2010 Target 71 71 62 59 61 54 59 61 52 46 American Indian/ Asian/Pacific Hispanic** Black, not White, not Alaska Native* Islander* Hispanic Hispanic Data are age adjusted to the 2000 standard population. *Includes persons of Hispanic and non-Hispanic origin. **Persons of Hispanic origin can be of any race. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  17. Arthritis 2-5. Employment rate among adults age 18-64 with arthritis, by income and education Age-adjusted percent 2010 Target 79 79 78 75 56 55 68 64 46 46 38 39 Less High At least than school some high school* graduate* college* Poor Near poor Middle/high (<100% (100%-199% (>=200% poverty) poverty) poverty) Data are age adjusted to the 2000 standard population. *Ages 25 and older. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  18. Osteoporosis

  19. Osteoporosis Objectives • 2-9. Reduce the proportion of adults with osteoporosis. • 2-10. Reduce the proportion of adults who are hospitalized for vertebral fractures associated with osteoporosis.

  20. Osteoporosis 2-9. Adults age 50 and older with osteoporosis by race/ethnicity and gender, 1988-94 Age-adjusted percent 16 10 10 10 7 2010 Target 3 Total Mexican Non-Hispanic Female Male American Black White Data are age adjusted to the 2000 standard population. I = 95% confidence interval. SOURCE: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

  21. Osteoporosis 2-10. Hospitalizations for vertebral fractures associated with osteoporosis among adults age 65 and older by race/ethnicity, gender, and age, 1999 49.4 Age-adjusted rate per 10,000 standard population 21.3 17.4 17.3 15.5 11.2 9.8 2010 Target * 65-74 years** 75-84 years** 65 years and over White Black Female Male 85 years and over** Data are age adjusted to the 2000 standard population. I = 95% confidence interval. *Data do not meet the criteria for statistical reliability, data quality, or confidentiality. **Age groups are not age adjusted. SOURCE: National Hospital Discharge Survey (NHDS), CDC/NCHS.

  22. Chronic Back Conditions

  23. Chronic Back Conditions Objective • 2-11. Reduce activity limitation due to chronic back conditions.

  24. Chronic Back Conditions 2-11. Activity limitation due to chronic back conditions among adults age 18 and older, by gender Age-adjusted rate per 1,000 standard population 32 33 31 26 26 27 2010 Target Data are age adjusted to the 2000 standard population. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  25. Chronic Back Conditions 2-11. Activity limitation due to chronic back conditions among adults age 18 and older, by race/ethnicity Age-adjusted rate per 1,000 standard population 46 37 71 32 29 28 25 18 20 2010 Target 12 American Indian/ Asian/Pacific Hispanic** Black, not White, not Alaska Native* Islander* Hispanic Hispanic Data are age adjusted to the 2000 standard population. *Includes persons of Hispanic and non-Hispanic origin. ** Persons of Hispanic origin may be of any race. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  26. Chronic Back Conditions 2-11. Activity limitation due to chronic back conditions among adults age 18 and older by family income and education Age-adjusted rate per 1,000 standard population 78 58 54 55 49 47 36 31 29 25 23 20 2010 Target Poor Near poor Middle/high (<100% (100%-199% (>=200% poverty) poverty) poverty) Less High At least than school some high school* graduate* college* Data are age adjusted to the 2000 standard population. *Ages 25 and older. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  27. Chronic Back Conditions 2-11. Activity limitation due to chronic back conditions among adults age 18 and older, by age Rate per 1,000 population 47 33 45 37 19 15 18-44 years 45-64 years 65 years and older I= 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  28. Supplemental data Employment rate among people with and without arthritis

  29. With and without arthritis Employment rate among adults age 18-64 with and without arthritis by gender, 2000 Age-adjusted percent 85 78 73 71 69 65 Total Female Male Data are age adjusted to the 2000 standard population. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  30. With and without arthritis Employment rate among adults age 25-64 with and without arthritis by race/ethnicity, 2000 Age-adjusted percent 80 74 61 74 73 71 59 62 61 46 American Indian/ Asian/Pacific Hispanic** Black, not White, not Alaska Native* Islander* Hispanic Hispanic Data are age adjusted to the 2000 standard population. *Includes persons of Hispanic and non-Hispanic origin. **Persons of Hispanic origin can be of any race. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  31. With and without arthritis Employment rate among adults age 25-64 with and without arthritis by income and education, 2000 Age-adjusted percent 86 85 79 78 75 69 68 65 56 46 49 38 Poor Near poor Middle/high (<100% (100%-199% (>=200% poverty) poverty) poverty) Less High At least than school some high school graduate college Data are age adjusted to the 2000 standard population. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  32. Supplemental data Limitation of activity due to all chronic conditions

  33. Activity Limitation Activity limitation due to all chronic conditions among adults age 18 and older, by gender Age-adjusted rate per 1,000 163 155 145 140 135 130 Total Female Male Data are age adjusted to the 2000 standard population. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  34. Activity Limitation Activity limitation due to all chronic conditions among adults age 18 and older, by race/ethnicity Age-adjusted rate per 1,000 200 281 167 262 152 152 135 119 86 84 American Indian/ Asian/Pacific Hispanic** Black, not White, not Alaska Native* Islander* Hispanic Hispanic Data are age adjusted to the 2000 standard population. *Includes persons of Hispanic and non-Hispanic origin. ** Persons of Hispanic origin may be of any race. I = 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

  35. Activity Limitation Activity limitation due to all chronic conditions and due to back conditions among adults age 18 and older Age-adjusted rate per 1,000 155 135 32 26 All chronic conditions Back conditions Data are age adjusted to the 2000 standard population. I= 95% confidence interval. SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

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