H ealthy People 2010 Focus Area 2 Arthritis, Osteoporosis, and Chronic Back Conditions
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Transcript of H ealthy People 2010 Focus Area 2 Arthritis, Osteoporosis, and Chronic Back Conditions
Healthy People 2010Focus Area 2
Arthritis, Osteoporosis, and Chronic Back Conditions
Progress ReviewJuly 20, 2006
Arthritis, Osteoporosis, and Chronic Back Conditions
Arthritis and Other Rheumatic Conditions
• The leading cause of disability• Affect 43M or 21% of adults (67M or 25% by
2030), most are under age 65• Limited activity for 16M or 7.8% of adults
(25M or 9.3% by 2030) • Cost $86B (1997) and $127B in 2003Osteoporosis• Responsible for more than 1.5M fractures,
and $14B medical care costs annuallyChronic Back Conditions• Affect 26M Americans aged 20-64 • Cost about $100B per year
Focus Area 2Arthritis, Osteoporosis, and
Chronic Back Conditions
GoalPrevent illness and disability related
to arthritis and other rheumatic conditions, osteoporosis, and chronic back conditions
Co-Lead Agencies•Centers for Disease Control and
Prevention•National Institutes of Health
Arthritis and Other Rheumatic Conditions2-1. Mean level of joint pain2-2. Activity limitations due to arthritis2-3. Personal care limitations2-4a. Counseling about overweight and obesity2-4b. Counseling about physical activity 2-5a. Unemployment rate2-5b. Effect on paid work 2-6. Racial differences in total knee replacements2-7. Seeing a health care provider2-8. Arthritis education in adults
Osteoporosis2-9. Cases of
osteoporosis2-10. Hospitalization for
vertebral fractures
Arthritis, Osteoporosis, and Chronic Back Conditions
Chronic Back Conditions
2-11. Activity limitations due to chronic back conditions
Note: Objectives in red have had the national baseline established since 2000.Methodology for obj. 2-6 in blue has been defined in 2005.
21.6%
Diagnosed ArthritisAdults 18 and Older, 2004
0 20 40 60
Age-adjusted percent
Total
18-4445-6465-74
75+BMI
-18.418.5-24.925.0-29.930.0-34.935.0-39.9
40.0+
FemaleMale
Less than high school
High schoolAt least some
college
Note: — 95% confidence interval. *Data are statistically unreliable and are suppressed. Data are age adjusted to the 2000 standard population. Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.
8.8M20.2M
8.5M9.0M
Causes of Functional Activities Limitation
Adults 18 years and older, 2004
all others4%
circulatory7%
vision hearing sensory
7%
diabetes3%
developmental2%
weight4%
heart5%
depression5%
other injury2%
other musculoskeletal
9%
respiratory4%
cancer1%
fracture7%
arthritis23%
back or neck17%
Causes of Functional Activities Limitation**
Note: *Having difficulty in performing specific physical tasks and engaging in social activities and recreation without the assistance of another person or using special equipment. **Based on 16,694 causes reported by 10,760 adults with functional activity limitations. Respondents were asked to report up to 3 causes. All others category includes amputation, endocrine, digestive, genitourinary, skin, blood, cyst, substance abuse, medical treatment, fatigue, and pregnancy. Source: National Health Interview Survey, CDC.
Functional Activities
Limitation*
NotLimited
68% Limited32%
28.5–32.125.0-28.421.2–24.9
District ofColumbia
Diagnosed ArthritisAdults 18 and Older, 2005
Note: Data are age adjusted to the 2000 standard population. Source: Behavioral Risk Factor Surveillance System, CDC.
Age-adjusted percent
Mean Level of Joint Pain Adults 18 and Older with Arthritis, 2003
5.6
Obj. 2-1
*
Total
American IndianAsian
Native HawaiianBlackWhite
2 or more racesHispanic
FemaleMale
Less than high school
High schoolAt least some
college
Note: — 95% confidence interval. *Data are statistically unreliable and are suppressed. Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native; Native Hawaiian includes other Pacific Islander. The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.
0 2 4 6 8 10
Level of joint pain on the scale of 1 - 10
*
*
2010 Target: 5.3
Decrease desired
39%
Obj. 2-2
Activity Limitation Due to ArthritisAdults 18 and Older with Arthritis, 2004
0 20 40 60 80
Age-adjusted percent
2010 Target: 33%
*
Note: — 95% confidence interval. *Data are statistically unreliable and are suppressed. Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native; Native Hawaiian includes other Pacific Islander. The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.
Total
American IndianAsian
Native HawaiianBlackWhite
2 or more racesHispanic
FemaleMale
Less than high school
High schoolAt least some
college
Decrease desired
37%
56%
45%**
Counseling by Medical Care ProviderAdults 18 and Older with Arthritis, 2003
Female Male Less than High At least
high school school some college
Obj. 2-4a and 2-4b
Weight counseling* Exercise counseling
Age-adjusted percent
Total
Note: I = 95% confidence interval. *for overweight or obese adults with arthritis. **Exercise counseling for all respondents with or without arthritis, 2001. 2010 target for weight counseling is 46% and exercise counseling is 67%. Data are age adjusted to the 2000 standard population. Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.
100
80
60
40
20
0
2010 target
Increase desired
37%
Weight Counseling by BMIAdults 18 and Older with Arthritis, 2003
Obj. 2-4aNote: I = 95% confidence interval. Data are age adjusted to the 2000 standard population. Source: National Health Interview Survey, CDC.
100
80
60
40
20
0
Age-adjusted percent
25.0+ 18.5-24.9 25.0- 30.0- 35.0- 40.0+
29.9 34.9 39.9
2010 target: 46%
Increase desired
29%Total
American IndianAsian
Native HawaiianBlackWhite
2 or more racesHispanic
FemaleMale
Less than high school
High schoolAt least some
college0 20 40 60
80 Age-adjusted percent
Limited Ability to Work due to Arthritis Adults 18-64 with Arthritis, 2003
***
Note: — 95% confidence interval. *Data are statistically unreliable and are suppressed. Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native; Native Hawaiian includes other Pacific Islander. The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.
Obj. 2-5b
2010 Target: 23%
Decrease desired
55%
11%
Obj. 2-8
Arthritis EducationAdults 18 and Older with Arthritis, 2003
Note: — 95% confidence interval. *Data are statistically unreliable and are suppressed. Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native; Native Hawaiian includes other Pacific Islander. The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group.Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.
Total6
American IndianAsian
Native HawaiianBlackWhite
2 or more racesHispanic
FemaleMale
Less than high schoolHigh school
At least some college
***
0 20 40 60 80
Age-adjusted percent
2010 Target: 13%
*
Diabetes education in 1999
Increase desired
Note: Data are age adjusted to the 2000 standard population.Source: National Hospital Discharge Survey, CDC.
Hospitalizations for Vertebral Fractures
Adults 65 and Older, 1998 - 2004
Obj. 2-10
Female
Total
Male
1998 1999 2000 2001 2002 2003 2004
25
20
15
10
5
0
Age-adjusted rate per 10,000 population
Decrease desired
2010 target
3228
2010 Target: 25
1997
2004
Total
Female
Male
Less than high school
High school
At least some college
Obj. 2-11
Activity Limitations Due to Chronic Back Conditions, Adults 18 Years and Older
Note: — 95% confidence interval. Data are age adjusted to the 2000 standard population. Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.
Decrease desired
0 20 40 60 80
Age-adjusted per 1,000
Summary
Arthritis and Other Rheumatic Conditions• Significant progress in surveillance and
monitoring efforts• Baselines established for all objectives to
assess progress, including 8 developmental objectives
Osteoporosis Update data for cases of osteoporosis (obj.
2-9) available beginning 2005 NHANES (femur scans)
Increase in hospitalization rates since 2001, perhaps due to use of kyphoplasty
Chronic Back Conditions• Reduction in reported activity limitations
due to chronic back conditions
Progress review data and slides are available on the
web
www.cdc.gov/nchs/hphome.htm
www.cdc.gov/nchs/hphome.htm