healthy people 2010 focus area 2 arthritis, osteoporosis, and chronic back conditions progress...

Healthy People 2010Healthy People 2010Focus Area 2Focus Area 2

Arthritis,Osteoporosis, and Chronic Back ConditionsProgress ReviewSeptember 18, 2002

Healthy People 2010Focus Area 2

11 objectives Three musculoskeletal areas

Arthritis (8 objectives – 5 developmental)

Osteoporosis (2 objectives)

Chronic Back Conditions (1 objective)

Arthritis

Arthritis prevalenceAdults age 18 and older with arthritis, by gender, family

income, and education, 2000

0

5

10

15

20

25

30

35

40

Data are age adjusted to the 2000 standard population.I = 95% confidence interval.SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

Age-adjusted percent

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)

2022

18

27

25

20

25

2321

Arthritis prevalenceAdults age 18 and older with arthritis, by race/ethnicity, 2000

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.

0

5

10

15

20

25

30

35

40

American Indian/ Asian/Pacific Hispanic** Black, not White, not Alaska Native* Islander* Hispanic Hispanic


22

181513

29

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.

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.

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.)

Arthritis2-2. Adults age 18 and older with arthritis reporting activity

limitation due to arthritis, by gender


0

5

10

15

20

25

30

35

40

45

Total Female Male

1997 2000

2010Target


28 27

32 31

23 21

Total Female Male

Arthritis2-2. Adults age 18 and older with arthritis reporting activity

limitation due to arthritis, by race/ethnicity

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.

0

5

10

15

20

25

30

35

40

451997 2000



2010Target

2019

16

29 3033 33

27 26

25

0

5

10

15

20

25

30

35

40

451997 2000

Arthritis2-2. Adults age 18 and older with arthritis reporting activity limitation

due to arthritis, by income and education

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.


Poor Near poor Middle/high (<100% (100%-199% (>=200% poverty) poverty) poverty)

2010Target

Less High At least than school some high school* graduate* college*

2525

3030

343634

37

3230

26 26

Arthritis2-3. Adults age 18 and older with arthritis reporting

personal care activity limitations, by gender

0

1

2

3

4

5

6

7

Total Female Male

1997 2000Age-adjusted percent

2010Target


1.81.7

2.42.32.2

2.1

Total Female Male

Arthritis2-3. Adults age 18 and older with arthritis reportingpersonal care activity limitations, by race/ethnicity

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.

0

1

2

3

4

5

6

71997 2000Age-adjusted percent

Hispanic* Black, not Hispanic White, not Hispanic

2010 Target

1.81.84.9

3.5

2.7

3.8

Arthritis2-3. Adults age 18 and older with arthritis reporting

personal care activity limitations, by income and education

0

1

2

3

4

5

6

71997 2000


2010 Target


2.1

1.4

1.82.3

3.4

3.4

1.31.0

2.4

4.4

5.4

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.

Less High At least than school some high school** graduate** college**

*

Arthritis2-5. Employment rate among adults age 18-64 with arthritis, by gender

0

10

20

30

40

50

60

70

80

90

Total Female Male

1997 2000

2010 Target



7375

6561

6967

Arthritis2-5. Employment rate among adults age 18-64 with arthritis,

by race/ethnicity

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.

0

10

20

30

40

50

60

70

80

901997 2000



2010 Target

59

6159

46

52

62

5461

71 71

Arthritis2-5. Employment rate among adults age 18-64 with arthritis,

by income and education

0

10

20

30

40

50

60

70

80

901997 2000



2010 Target

39

55

38

56

7979

68644646

7875



Osteoporosis

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.

Osteoporosis Objectives

0

5

10

15

20

Total Mexican Non-Hispanic Female Male American Black White

Osteoporosis2-9. Adults age 50 and older with osteoporosis by

race/ethnicity and gender, 1988-94

Data are age adjusted to the 2000 standard population.I = 95% confidence interval.SOURCE: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

2010Target


10

10

7

10

16

3

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

65 yearsand over

White Black Female Male 65-74 years**

75-84 years**

85 years and over**

Osteoporosis2-10. Hospitalizations for vertebral fractures associated with osteoporosis

among adults age 65 and older by race/ethnicity, gender, and age, 1999

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.

2010Target

*

15.5

21.3

11.2 9.8

17.4

49.4

17.3

Ag

e-a

dju

ste

d r

ate

pe

r 1

0,0

00

sta

nd

ard

po

pu

lati

on

Chronic Back Conditions

2-11. Reduce activity limitation due to chronic back conditions.

Chronic Back Conditions Objective

Chronic Back Conditions2-11. Activity limitation due to chronic back conditions among adults

age 18 and older, by gender


0

10

20

30

40

50

60

70

80

90

100

Total Female Male

1997 2000Age-adjusted rate per 1,000 standard population

2010Target

3226

3326

3127

Chronic Back Conditions2-11. Activity limitation due to chronic back conditions among adults

age 18 and older, by race/ethnicity

0

10

20

30

40

50

60

70

80

90



2010Target

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.

71

46

18

12

29

20

37

25

3228

Chronic Back Conditions2-11. Activity limitation due to chronic back conditions among

adults age 18 and older by family income and education


0

10

20

30

40

50

60

70

80

90




2010Target

58

47

20

49

31

23

29

55

25

36

54

78

Chronic Back Conditions2-11. Activity limitation due to chronic back conditions

among adults age 18 and older, by age

0

10

20

30

40

50

60

70

80

90

1001997 2000

18-44 years 45-64 years 65 years and older

I = 95% confidence interval.SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

Rate per 1,000 population

1915

45

37

47 33

Supplemental data

Employment rate among people with and without arthritis

With and without arthritisEmployment rate among adults age 18-64 with and without

arthritis by gender, 2000



Total Female Male

0

10

20

30

40

50

60

70

80

90

100With joint pain Without joint pain

69

78

6571

73

85


arthritis by race/ethnicity, 2000

0

10

20

30

40

50

60

70

80


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.



46

59

61 74

6273

61

7471

80


arthritis by income and education, 2000




Less High At least than school some high school graduate college

0

10

20

30

40

50

60

70

80

90


3849

56

69

7985

46

6568

78 75

86

Supplemental data

Limitation of activity due to all chronic conditions

Activity LimitationActivity limitation due to all chronic conditions among adults

age 18 and older, by gender

0

20

40

60

80

100

120

140

160

1801997 2000


Age-adjusted rate per 1,000

Total Female Male

155

135

163

140145

130

Activity LimitationActivity limitation due to all chronic conditions among adults

age 18 and older, by race/ethnicity

0

50

100

150

200

250

300

3501997 2000

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.



281

262

84 86119

152

200

167152

135

0

30

60

90

120

150

180

1997 2000

Activity LimitationActivity limitation due to all chronic conditions and due to back

conditions among adults age 18 and older



155

2632

135

All chronic conditions Back conditions

healthy people 2010 focus area 2 arthritis, osteoporosis, and chronic back conditions progress...

Documents

chronic joint symptoms

personal care limitationschart

collegeageadjusted percent2

hispanicageadjusted

poormiddlehigh incomech

poverty school poverty

focus area

healthy people