Prevalence of Selected Chronic ConditionsPrevalence of Selected Chronic Conditions United States, 1979-81 Estimates of the prevalence of selected chronic conditions are presented by

Prevalence ofSelected ChronicConditionsUnited States, 1979-81

Estimates of the prevalence of selected

chronic conditions are presented by

biological system involved, sex, age, andrace. The percent of conditions causinglimitation of activity, the percent of

conditions for which a physician wasconsulted, and the number of restricted-

activity days and bed-disability daysresulting from the conditions are alsoincluded.

Data From the National Health SurveySeries 10, No. 155

DHHS Publicatkn No. (PHS) 86-1583

U.S. Department of Health and Human

ServicesPublic Health ServiceNational Center for Health StatisticsHyattsville, Md.

July 1986

All material appearing in ths report is in the publii domain and may bereproduced or copied without permission; cifstiin se to source, however, isappreciated.

National Canter for Health Statistics, J. G. Collins: Prevalence of selectedchronic condtiona, United States, 1979-S1. Vifal and HeaHfr Statistics.Series 10, No. 15S. DHHS Pub. No. (PHS) S6-1563. PubIii Health Sawka.Washington. U.S. Government Printing k, July 1S66.

Collins, John Gary.Prevalence of selected chronic condkkms: United States, 197S-61

(Series 10, Data from the National HeaRh Survey no. 155) (DHHSpublication ; no. (PHS) 66-16S3)

Bibliography: p.* 1. Chronic d~s-Unifad States-Stati~lcs. 2. Pubhc Health-

United Stafes-Statis@. 3. Health surveye-United Ststea. 4. Unitad States-Statistics, Ma&al. 1. National Center for Health Statistics (U.S.) Il. Tfila.Ill. Series: Vial and Health statistics. series 10, Dats from the national haalthsurvey ; no. 155. IV. series: DHHS pubfikatkM ; no. (PHS) S6-15S3.[DNLM: 1. Chronic Dise~ranM—LJ nitsd Stataa-statistica.W2 A N14Svj no.155]RA407.3.A346 no. 155 3s2.1 ‘0s73021 s S6-5346[RA644.6] [362.1 ‘0S73’021]ISBN 0+40&ow5-5

For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402

National Center for Health Statistics

Manning Feinleib, M. D., Dr. P. H., Director

Robert A. Israel, Deputy Director

Jacob J. Feldman, Ph. D., Associate Director for Analysis and

Epidemiology

Garrie J. Losee, Associate Director for Data Processing and

Services

Alvan O. Zarate, Ph. D., Assistant Director for International

Statistics

Peter L. Hurley, Acting Associate Director for Interview and

Examination Statistics

Stephen E. Nieberding, Associate Director for Management

Gail F. Fisher, Ph. D., Associate Director for Program Planning,

Evaluation, and Coordination

Monroe G. Sirken, Ph. D., Associate Director for Research and

Methodology

Peter L. Hurley, Associate Director for Vital and Health Care

Statistics

Alice Haywood, Information O@cer

Interview and Examination Statistics Program

Peter L. Hurley, Acting Associate Director

Mary Grace Kovar, Dr.P. H., Special Assistant for Data Policy

and Analysis

Paul D. Williams, Chie~ Data Applications and Research Staff

Ddsion of Health Interview Statistics

Owen T. Thombemy, Jr., Ph. D., Director

Gerry E. Hendershot, Ph. D., Chief, Illness and Disability Statistics

Branch

Robert A. Wright, Chiej Utilization and Expenditure Statistics

Branch

Stewart C. Rice, Jr., Chiej Survey Planning and Development

Branch

Cooperationof the U.S. Bureauof the CensusUnder the legislation establishing tha National Health Intam”ew Survey,

the Public Health Service is authorized to use, insofar as possible, the servicesor facilities of other Federal, State, or private agencies.

In accordance with specifications established by the Division of Health ln-

terviaw Statistics, the Bureau of the Census, under a contractual arrangement,participated in planning tha survay and collecting the data.

Nelma B. Keen, Chief, Computer Systems and Programming

Branch

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sourceandlimitationsofthedata. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OtherNCHSprogramsprovidingchroniccondition data . . . . . . . . . . . . . . . . . . . . . . . . . . . .

RelatedNHISdataonchronicconditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Chronicconditionprevalence... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,---

Conditionswithhighprevalence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Selectedcirculatoryconditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Selectedrespiratoryconditions.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Selecteddlgestiveconditions.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Selected impairments and nervous system and sense organ conditions . . . . . . . . . . . . . . . . . . . . .Selected skin and subcutaneous tissue and other related conditions, and musculoskeletal system and connective

tissueconditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - . - . . . . - . . .Selected endocrine, nutritional and metabolic disease and immunity disorders, diseases of the blood and

blood-forming organs, and diseases of the genitourinmy system . . . . . . . . . . . . . . . . . . . . . .Restricted-activity days from selected conditions . . . . . . .“ . . . . . . . . . . . . . . . . . . . . . . . .Bed-disability days from selected conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Listofdetailed tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendixes

I. Technical notes on methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11. Definitions ofterrns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

111.Questimnaire items and flashcards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List of text figures

1. Percent distributions of selected reported chronic conditions with highest prevalence by sex and age:States, 1979-81 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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United. . . .

2. Rate per 1,000 persons per year for selected reported chronic conditions with highest prevalence, by age:lJnited States, 1979-81 . . . . . . . . . . . . . .

3. Selected reported chronic conditions with highestmajor or outside activity: United States, 1979-81 . .

list of text tsbles

A.

B.

. . . . . .

prevalence,. . . . . .

. . . . . . . . . . . . . . . . . . .

in rank order, by percent causing. . . . . . . . . . . . . . . . . . .

Chrcnic conditions and impairments with highest prevalence among nursing home residents, in rankStates, 1977 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . .

limitation in. . . . . . .

order United. . . . . . .

Statistics on selected reported chronic conditions with highest prevalence in civilian noninstitutionalized popula-tion and conditions causing the largest number of deaths, in rank orde~ United States, 1979-81 . . . . . . . . . . .

1

2

3

5

8

9

910111213

14

151515

17

19

47

54

57

11

12

13

7

7

...Ill

C. Selected reported chronic conditions with highest prevalence, in rank order, by sex, race, and age: UnitedStates, 1979-81 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

D. Selected reported chronic conditions causing highest percent of limitation in major and outside activity, in rankorder, and percent of limitation: United States, 1979-81 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

E. Selected chronic conditions with highest number of related restricted-activity days and days per condition, by sexand rank ordev and selected chronic conditions with highest number of related bed-disability days and days percondition, byrankorden United States, 1979-81 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Symbols

--- Data not available

. . . Category not applicable

Quantity zero

0.0 Quantity more than zero but less than0.05

z Quantity more than zero but less than500 where numbers are rounded tothousands

● Figure does not meet standard ofreliability or precision (more than 30-percent relative standard error)

# Figure suppressed to comply withconfidentiality requirements

Prevalence of SelectedChronic Conditionsby John Gary Collins, M.B.A.,Division of Health Interview Statistics

Introduction

National estimates of the prevalence of selected reportedchronic conditions in the civilian noninstituticmalized popula-tion of the United States are presented in this report. Theseestimates are based on data collected by the National Centerfor Health Statistics (NCHS) by means of the National HealthInterview Survey in 1979, 1980, and 1981. Data on the preva-lence of chronic conditions reported in household interviewsare shown in terms of number and rate per 1,000 personscross-tabulated by sex and age, and by race.

In addition, data are provided on the percent of chronicconditions causing limitation of activity and the percent forwhich a physician was consulted. The number of restricted-activity days and bed-disability days caused by selected chronicconditions and the associated days per condition are shownby sex and by race. Conditions with the highest prevalence,those causing the most restricted activity and bed disability,and those causing the highest percent of activity limitationare presented in rank order for the 10highest in each category.

Data are presented on six different categories of chronicconditions:

●

●

●

●

●

●

Circulatory conditions.Respiratory conditions.Digestive conditions.Impairments and conditions of the nervous system andsense organs.Conditions of the skin and subcutaneous tissue and otherrelated condhions, and conditions of the musculoskeletalsystem and connective tissue.Endocrine, nutritional, and metabolic diseases and immun-ity dkorders; diseases of the blood and blood-formingorgans; and conditions of the genitourinary system.

The most recent NCHS report that included NationalHealth Interview Survey data on chronic disease prevalencewas Vital and Healrh Statistics, Series 10, No. 150,’ CurrentEstimates From the National Health Interview Survey, UnitedStates, 1982. Other recent publications providing NationalHealth Interview Survey data on the prevalence of chronicconditions are mentioned in the section on related data.

Highlights of the data contained in this report for the3-year period 197>81 are summarized in the followingstatements.

Chronic sinusitus was the selected chronic condition mostfrequently reported in the interviews, with an annual aver-age prevalence of more than 30 million condhions, or137.7 per every 1,000 persons in the civilian nonin-stitutionalized population.Arthritis and hypertensive disease were the second andthird most prevalent chronic conditions reported, withannual averages of 27 million and 25 million conditions,respectively.Among black persons, hypertensive disease was the mostprevalent condition reported, with a rate of 136.8 per1,000 persons.Among persons under 17 years of age, hay fever, witha rate of 54.9 per 1,000 persons, was the most prevalentchronic condition reported.Arthritis was the most frequently reported chronic condi-tion among persons 45-64 years of age and those 65years of age and over, with rates of 255.8 and 458.4per 1,000 persons, respectively.

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Hearing impairments ranked high among males, with areported rate of 91.0 per 1,000.The selected chronic conditions reported to cause themost restricted-activity days were arthritis (5:34 milliondays per year), deformities or orthopedic impairments(469 million days), and heart conditions (444 milliondays).Paralysis, complete or partial, of extremities or parts ofextremities caused the highest number of restricted-activitydays per condhion reported, 56.2 days per year. Cere-brovascular disease ranked second, with 44.1’ days percondhion, and emphysema was third, with 42.5 daysper condition.Multiple sclerosis was the selected chronic condition mostlikely to cause limitation of activity; 77.0 percent of thereported multiple sclerosis conditions caused limitationin major and outside activities. Paralysis, complete orpartial, of extremities or parts of extremities caused limita-tion in a reported 65.7 percent of the people affected.Emphysema caused limitation of activity in 48.2 percentof those with that condition.

Source and limitationsof the data

Information from the National Interview Survey (NHIS)of the National Center for Health Statistics is based on datacollected in a continuing nationwide survey by householdinterview. Each week a probability sample of households inthe civilian noninstitutionalized population of the United Statesis interviewed by personnel of the U.S. Bureau of the Census.Information is obtained about the health and other characteris-tics of the people in each household.

One of the strengths of NHIS is the ability to combinedata over multiple years. This increases stability of the esti-mates because augmenting the sample size leads to smallersampling errors. Combining data over time is possible becauseof the sampling design of NHIS and its use of standard ques-tions over several years. Combining data is particularly desir-able when making estimates for relatively rare events or popu-lation subgroups-in this case, chronic conditions. In addition,in NHIS, each individual condition group constitutes onlya one-sixth sample in a given year. Therefore, data for thisreport are based on information obtained during 1979, 1980,and 1981, and annual averages for these 3 years are presented.

In 1980, because of budgetary limitations, 4 weeks ofdata collection were deleted from the fourth-quarter sample.The data derived from the remaining weeks were differentiallyweighted to produce a full quarterly estimate. During 1979and 1981 there were 52 weeks of data collection.

The sample for the 3 years combined was composedof about 122,000 eligible occupied households, of which about118,000 were interviewed. These 118,000 households con-tained about 321,000 persons living at the time of interview.The total noninterview rate was 3.3 percent, of which 1.9percent was caused by refusal and the remainder was dueprimarily to failure to find an eligible respondent at homeafter repeated calls.

The regular NHIS respondent rules are that a person whois either aged 19 years or over or has ever been marriedis encouraged to respond for himself or herself and may respondfor any other related household member. A person aged 17or 18 yews who has never been married may respond forself only. A related household member must respond for anever-married person under age 17. An unrelated person livingin a household must be interviewed individually using a sepa-rate questionnaire.

Descriptions of the survey design, the methods used inestimation, and general qualification of the data obtained fromsurveys are presented in appendix I. Because the estimatesshown in this report are based on a sample of the population

rather than on the entire population, they are subject to sam-pling error. Therefore, particular attention should be paidto the section in appendix I entitled “Reliability of estimates.”Sampling errors for most of the estimates are relatively low.However, where an estimated number, or the numerator ordenominator of a rate or percent is small, the sampling errormay be large.

The relatively small size of the sample for the chroniccondition lists, one-sixth of the total sample per year, limitsthe number of variables with which the data can be effectivelyanalyzed.

An asterisk is placed beside certain figures to indicatemore than 30-percent relative standard error. F@ures markedwith an asterisk are given primarily to allow the reader tocombine them with related estimates, thereby possibly produc-ing a more reliable overall estimate for a broader category.Charts of relative sampling errors and instructions for theiruse are shown in appendix I.

In addition to errors resulting from sampling, mentionedeadier, response error is also a possibility in interview data.Response errors occur when household respondents do notknow the requested information, fail to recall accurately eventsthat occurred during the reference period, report events thatactually happened outside the reference period as having oc-curred during it, or withhold information. Errors may alsobe introduced by interviewers, coders, and others during theprocessing and analysis of the data.

Methodological studies have shown that chronic condi-tions are generally underreported in interview surveys.z Re-spondents in health interviews tend to report conditions ofwhich they are aware and about which they are willing toreport to the interviewer. Reporting is better for condhionsthat have made a significant impact on the affected individualand his family. Conditions that are severe or costly, or thatreceive treatment tend to be better reported than condhionshaving less impact. For instance, a condition that has causedlimitation of activity, visits to the doctor, or days in bedis more likely to be reported in the interview than a conditionthat has had little or no impact on the person.

Methodological studies have also indicated that inclusionof a checklist of descriptive condition titles as part of theinterview questionnaire increases the probability that a respon-dent will recognize the terms and report those of which heis aware. Of course, the diagnostic accuracy of conditionreports depends on how well the respondent remembers infor-mation that the attending physician has passed onto the family

3

or, in the absence of medical attendance, on the previousexperience or education of the family.

During the period 1957–67, data were collected in NI-IISon all chronic conditions. From 1968 through 1977, as partof a redesign of the data collection procedure, chronic condi-tions involving disability days, physician visits, hospitaliza-tions, or limitation of activity were collected. In addition,prevalence information was obtained for only a single system

of chronic conditions in each survey year through use of anextended checklist of chronic conditions in that system. Areport describing this design and the results of a study comparingthe previous method with the revised procedure is presentedin Vital and Health Statistics, Series 2, No. 48.3

In 1978 a new procedure was established. Currently sixcategorical lists of selected chronic conditions are includedin the questionnaire. Respondents are questioned on only oneof these six lists, selected on a predetermined basis. Becauseonly a one-sixth sample is available for any specific chroniccondition in a year, data in this report are aggregated over3 years to reduce the sampling errors. In addition, data onchronic conditions causing impact continue to be collected.

In addition to limitations of data on the prevalence ofchronic conditions reported in health interviews, it shouldbe pointed out that the restriction of the survey to the civilian

population not confined to institutions affects the estimatedprevalence. Omission of the institutionalized population re-duces the prevalence estimates, especially for the elderly,because the proportion of persons in institutions who havechronic conditions is high. These estimates do not indicatethe prevalence in the total population.

Certain terms used in this report have specialized meaningsfor the purpose of the survey and are defined in appendixII. It is suggested that the reader become familiar with thesedefinitions.

Appendix III contains the probe questions and recordingform used to obtain information about the prevalence ofselected chronic conditions. The questionnaires for 1979,1980, and 1981 are illustrated in their entirety in the CurrentEstimates reports for these years: Series 10, No. 136,4

Series 10, No. 139,5 and Series 10, No. 141,6 respectively.The portions of the questionnaire shown in appendix III were

the same for all 3 years.Information about the prevalence of chronic conditions

was obtained from responses to the six categorical checklistsof conditions in question 32 (appendix III). Question 32 wasphrased as follows: “During the past 12 months, did anyonein the family (you, your etc. ) have - ?’ ‘

Estimates for days of disability cau~ed by chronic conditionsare based on the number of dkability days reported for the2-week reference period. Questions on disability days andon physician contacts for chronic conditions are located onthe condition portion of the questionnaire (appendix III).

The population estimates used in this report are basedon projections from the 1970 census. A comparison of the1980 population estimates based on the 1970 census withthe 1980 census estimates revealed an error of closure of2.1 percent; that is, the 1970-consistent estimate was 2.1

percent less than the number of people counted in 1980.The U.S. Bureau of the Census has published revised popula-tion estimates for the intercensal years that are consistentwith the 1980 census.’ In general, the rates and percentspresented in this report are affected very little because boththe numerator and denominator are derived from the survey.Estimates of the prevalence of chronic conditions will beaffected more if they are for a population group for whichthe error of closure was relatively large. The inclusion of1981 population data with the 1979 and 1980 data reducesthe potential bias.

In this report, terms such as “similar” and “the same”mean that no statistically significant difference exists betweenthe statistics being compared. Terms relating to difference(for example, “greater” or “less”) indicate that differences

are statistically significant. The t-test, with a critical value

of & 1.96 (0.05 level of significance), was used to test allcomparisons discussed. Lack of comment regarding the differ-ence between any two statistics does not mean that the differ-ence was tested and found to be not significant.

Other NCHS programsproviding chronic condition data

The National Center for Health Statistics sponsors severalprograms that provide information on chronic conditions:NHIS, the survey that provides the data for this repent theNational Ambulatory Medical Care Survey (NAMCS); theNational Medical Care Utilization and Expenditure Survey(NMCUES); the National Health and Nutrition ExaminationSurvey (lWANES); the National Hospital Discharge Survey(NHDS); the National Nursing Home Survey (NNHS); andthe vital statistics program. Because of major program differ-ences in objectives, methodology, and definitions, direct com-parisons are precluded in the majority of instances. However,when these data sets are used to complement one another,it is possible to obtain a comprehensive overview of the preva-lence and effects of chronic conditions in the United States.

NAMCS8 is a national probability sample of ofllce-basedphysicians selected from the master files of the AmericanMedical Association and the American Osteopathic Associa-tion. Selected physicians maintain a listing of all patient visitsto their offices during a randomly assigned 7-day period.The strength of these data is in the precision and depth ofthe medical information provided. Reliable data on informationsuch as diagnosis, reason for visit, diagnostic procedures,treatments, and medication therapy are reported by the physi-cians themselves. However, NAMCS includes only physiciansclassified as non-Federal, office based, and primarily engagedin patient cam activities. Hence the estimates of the numbersof physican visits for chronic condition diagnoses are notreflective of the total population. Because of the high reliabilityof these data, it is nevertheless important to consider theresults of this survey when assessing the impact of chronicconditions. Data from NAMCS for 19799 provide estimatesof physician visits for specific conditions cross-tabulated bya large number of variables. This information is a usefulcomplement to the NHIS prevalence estimates for chronicconditions presented in this report.

NMCUES, like NHIS, is designed to measure health-related characteristics of the civilian noninstitutionalized popu-lation of the United States. There are both similarities anddiffenmces between the two surveys. Hence, estimates thatappear to be similar do not necessarily mean that both surveyshave adequately measured the same phenomenon, nor do dif-ferent estimates necessarily indicate that one or the othersurvey is inadequately measuring the phenomenon. NMCUESis a panel survey conducted in 1980.10 Although its focusis on health care costs, data on health and health care utilizationare obtained as a mechanism to collect cost data and as a

basis for classifying and understanding health care costs. Infor-mation on approximately 17,000 persons was collected inNMCUES in 1980.

Data on conditions causing disability days, limitation ofactivity, doctor visits, and hospital stays are collected inNMCUES and constitute one of the primary study areas inthe survey. Thus, chronic conditions are one of the importantelements of NMCUES.

The wording of the questions used to obtain data onconditions is very similar for NHIS and NMCUES, and condi-tions are coded according to the same basic coding schemeand instructions. However, because of the nature of the twosurveys, differences in the estimated number of chronic condi-tions are expected.

As noted previously, NHIS employs six sets of probequestions to determine prevalence of conditions in the differentbody sytems, and each set is asked of a one-sixth subsampleof persons. Thus, information may be obtained on chronicconditions that did not have any impact on a person duringthe reference period. NMCUES, however, necessitates impactfor the condition to be counted.

In NMCUES and NHIS, conditions are classified as eitheracute or chronic. This distinction has long been made inNHIS as a.basic classification and has been used as a tabulatingcriterion. For NHIS purposes, acute conditions are definedas those that affected the person during the 2-week periodincluded in the survey and that had an onset less than 3months before the interview date. (Certain conditions, how-ever, are always considered chronic regardless of the dateof onset.) An attempt was made to use the same definitionin NMCUES, but the design of the survey resulted indifferences.

The design of NMCUES, which allows for referencinga previously reported condition in later rounds, further affectsdata from that survey. A condhion that was coded as acuteduring one round (onset within 3 months of interview date)was not changed to chronic if it still affected the personduring later reference periods. A condition of this nature wouldappear as a single acute condition in the NMCUES data andas one acute and one chronic condition in the NHIS data.

The net effect of these differences in survey design shouldlead to lower estimates of the prevalence of chronic conditionsin NMCUES than in NHIS. Preliminary analysis of data fromthe two surveys’” indicates that some estimates are relativelysimilar for the two surveys, but for the most part, NHISestimates are higher. NMCUES data can be used to gain

5

a wider understanding of some topics covered in NHIS data,but direct comparisons of data from the two surveys are notpossible.

The NHANES ]1 design is a stratified, multistage, proba-bility cluster sample of households throughout the UnitedStates. The process of selecting a sample of persons to beexamined is a cascading one that involves the selection ofprimary sampling units (counties or small groups of contiguouscounties), census enumeration districts, segments (clusters ofhouseholds), households, eligible persons, and finally samplepersons. The sampling plan included 27,803 sample personsand 20,325 examined persons in 64 primary sampling unitsthroughout the United States in the period 1976-80.

NHANES is used to collect a broad range of morbiditydata and related health information. The essential differenti-ating characteristic of NHANES is its primary concern withthose kinds of health-related data that can be obtained only(or at least optimally) from specially standardized direct medi-cal examinations, including tests and other procedures usedin clinical practice. Because NHANES data come from exami-nations given to persons selected in the scientifically designedsample, estimates can be made of the prevalence of specificallydefined diseases in the U.S. population, including cases notpreviously identified. Estimates can also be made of the distri-bution within the population of a broad variety of health-relatedmeasurements, including not only physical measurements(such as height, weight, and various skinfolds) but also phys-iological measurements (such as diastolic blood pressure andserum cholesterol level) and psychological measurements. Inaddition, this survey provides an assessment of the nutritionalstatus of the U.S. population aged 1–74 years that permits

nutritional variables to be related to health measures.NHANES is a recurring survey and hence permits mea-

surement of changes in health and nutritional status over time.Although information on the range of chronic conditionscovered in NHIS is not obtainable through NHANES, extensivephysiological and biological information on a number of“target” conditions is available. Conditions for which extensivediagnostic and prevalence data are collected through NHANESinclude diabetes, kidney disease, liver disease, allergic condi-tions, arthritis and disc degeneration, cardiovascular diseaseincluding hypertension, skin conditions, pulmonary disease,and speech and hearing pathology. For a number of theseconditions, diabetes and hypertension in particular, theNHANES prevalence estimates are higher than NHIS estimatesbecatise undiagnosed conditions are identified during theNHANES examination. However, when respondents are ques-tioned as to whether or not they suffer from a chronic condition

such as hypertension, prevalence estimates are similar forboth surveys. 12 Thus it is a&antageouS to utilize data from

both surveys when examining the extent and effects of theprevalence of selected chronic conditions. NHANES data canprovide information on undiagnosed conditions. NHIS datacan provide information on the prevalence of serious chroniccondhions (that is, those which cause limitations) as wellas detailed medical and nonmedical information with whichthe condition prevalence information may be related.

NHDS provides statistics on the utilization on non-Federalshort-stay hospitals based on data collected from a national

sample of the hospital records of discharged inpatients. ]3 Itis a continuous survey that has been conducted by NCHS

since 1965.Because NHDS focuses on hospital discharges, condition

data are available only for those conditions requiring hospitali-zation during the survey year. These hospitalizations are dis-charge based and not person based; one person may havemultiple discharges during the year. Estimates for this surveyare made by “first-listed diagnosis” as well as “all-listed diag-noses.” These data are not comparable with NHIS prevalencedata, but may be utilized to estimate the number of hospitaliza-tions resulting from selected chronic conditions during a givenyear as well as to provide a basic demographic profile ofthe persons hospitalized for the conditions. Thus NHDS datacomplement the NHIS chronic condition prevalence estimates.

The National Nursing Home Survey (NNHS) is a continu-ing periodic survey of nursing homes, first conducted byNCHS from August 1973 through April 1974. The surveywas repeated in 1977,14 with data collected from May throughDecember. All types of nursing homes in the conterminous

United States were included in the 1977 NNHS’ regardlessof either their intensity of services or their participation inthe Medicare or Medicaid programs. Data on nursing homefacilities, residents, discharges, and chronic conditions arecollected in the survey.

The institutionalized population is not included in NHIS,so chronic conditions reported in NNHS can be used to supple-ment the NHIS estimates. Unfortunately, NNHS data are clas-sified according to a different revision of the InternationalClassification of Diseases than is used for NHIS, and in someinstances NNHS condition data do not conform to the classifi-

cation structure. Therefore, some NNHS condition data cannotbe combined with NHIS data.

The total number of conditions among nursing home resi-dents is quite small when compared with the number forthe noninstitutionalized population. However, it should benoted that 88 percent of nursing home residents are 65 yearsof age and over, 14 so most of the conditions reported arefor older people and do have some impact on this group.Table A shows the chronic conditions of highest prevalenceas reported in NNHS.

One function of the vital statistics program of NCHSis to report the estimated number of deaths in the United

States by cause of death. Data on deaths from chronic condi-tions are not included in NHIS because only civilian nonin-stitutionalized persons who are alive at the time of intervieware surveyed. To understand the entire spectrum of the problemof chronic conditions in this country, mortality data fromthe vital statistics program must also be considered. Intable B, 10 leading causes of death in the United States

in 1980 are shown along with the 10 most prevalent selectedchronic conditions reported in NHIS for 1979-81. The listof the leadlng causes of death contains some conditions thatare considered acute, such as pneumonia and influenza, andothers that are not collected in their entirety in NHIS, suchas malignant neoplasms. Hence these lists are not comparablebut are nevertheless a useful complement to one another.

6

Table A. Chronic conditions and impairments with highest prevalence among nursing home rasiderrt$ in rank order: United States, 1977

Number ofconditions

Condition Rank in thousands

Arteriosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 620.2

Heart trouble . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Senility.

2 449.0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 416.4

Chronic brain syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 324.7

Arthritis and rheumatism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 320.5

Constipation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 313.2

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 272.9

Edema.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 233.5

Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ---- 9 214.0

Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 189.6

Diseases of theeye, includes blindness, glaucoma, andcataracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 188.2

Rrmanentstiffness ordeformity of back, arms,legs, or&tremities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 181.5

Mental illness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 148.3

Kidney trouble . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 131.7

Insomnia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 125.5

Hip fracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 108.8

Deafness.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 90.4

Chronic respiratory disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 88.5

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 79.8

Anemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 70.6

SOURCENational Center for Health Statistics National Nursing Home Survey.

Table B. Statistics on selected reported chronic conditions with highest prevalence in civilian noninstitutionaIizad population and conditions causing the largestnumber of deaths, in rank order: United States, 1979-81

CrudeRate desth

Number of per Number of rate perCondition conditions in l,tXM Condition and deaths in IOO,WOICD code’ Rank thousands Parsonsz fCD code’ Rank thousands poptrlation3

Chronic conditions

Chronic sinusitis.. . . . . . . . . . . . ...473

Arthritis not elsewhereclassified . . . . ..711 .0.9.712.8.9. 714,

715.01389716,719.3,720.0,8,9,,,, ,,721.0,2,3,5-7,9

Hypertensive disease, not elsewhereclassified . . . ..401 .402.0.403.404.0,

405,796.2Deformities or orthopedic

impairments . . . . .X70-X76, X78-X89Hearing impairments.. . . . . . .X05-X09

Hay fever, without asthma (includesupper respiratoryallergy) . . . . . . . . . . . . . ...477.478.8

Heart conditions . . . . . ...390.392-398.402.1,9,404,1,9,410-414, 415.0,

416,417.8,9,420.9,421 .0,9,422.9,423,424,426.0-2,4,9,426-426,

429.0-35689785.0-3,794.3,> !>!Hemorrhoids . . . . . . . . . . . . . . . . ...455

Visual impairments . . . . . . . . .XCV3-X04Eczema, dermatitis, and urticaria, not

elsewhere classified . . . .277.6,373.3,693-692,893.1,694.0-3, 706,985.1,3

1

2

3

4

5

6

7

8

910

30,2?7

26,858

24,728

18,427

17,565

16,975

16,882

8,759

8,5458,107

137.7

122.8

1126

63.9

60.0

77.3

76.0

39.9

36.936.9

Cause of death

Diseas- of heart. . . .?S0-398, 402,404,410-429

Malignant neop[aems . . . . . . . .140-228

Cerebrovasctrlar diseases . . . . .430-436

Accidents and adverseeffects . . . . . . . . . . . . . . .. EWO-E849

Chronic obstructive pulmonarydiseases and alliedconditions . . . . . . . . . . . . . ..48O-496

Pneumonia and influenza . . . . .460-467

Diabetes mellitus . . . . . . . . . . . . ...250

Chronic liver disease andcirrhosis . . . . . . . . . . . . . . . . . . ..57l

Atherosclerosis . . . . . . . . . . . . . . . . .440Suicide . . . . . . . . . . . . . . . .. E950-E959

1

2

3

4

5

6

7

8

9

10

761.1

416.5

170.2

105.7

56.1

54.6

34.9

30.6

29.426.9

336.0

163.9

75.1

48.7

24.7

24.1

15.4

13.5

13.011.9

1Ninthrevision Intsmational Classification of Diseasea. Impsirmants are coded according to a Swial classification system for the National Health Interview Survey.‘Condltlona par l,CCkl persona in civilian nonlnstltufionallzed population.3Deaths per 1W,WCI resident population.

NOTE Chronic condition date are for 1979-S1; cauae.ofdeath data are for 199).

SOURCE Mortality dsta are fromthevitalstatisticsprogramof the National Center for Health Statistics.

7

Related NHIS data on chronicconditions

Chronic condition data have been collected in NHIS since1957. As mentioned earlier, the procedures for collectingchronic condition data have changed over the years. From1957 through 1967 data were collected on all chronic condi-tions; from 1968 through 1977, the collection of chronic condi-tion data focused on an annual survey of a single systemof chronic conditions using an extended checklist of chroniccondhions in that system. In 1978, the current procedurewas instituted. The total NHIS sample is now divided intosix representative subsamples, each of which is administeredone of the six chronic condition checklists.

In addition to changes in survey procedures, three versionsof the International Classification of Diseases have been uti-lized over this period. Because of changes in survey proceduresand disease classifications, no attempt will be made to examinetrends in chronic conditions in this report. Although a largeamount of chronic condition data has been published overthe years, only material published in about the last 10 yearsis referenced here. However, many other publications arealso cited within those publications listed.

The following is a list of reports on data collected duringthe period when single systems were surveyed. A good dealof detailed and useful information is available in each ofthese reports, but the reader should exercise caution in compar-ing estimates from the following reports with estimates fromthis report.

●

●

●

●

●

●

●

●

Series 10, No. 84: Prevalence of Selected ChronicRespiratory Conditions, United States, 1970.’5Series 10, No. 92: Prevalence of Chronic Skin andMusculoskeletal Conditions, United States, 1969.2Series 10, No. 94: Prevalence of Chronic CirculatoryConditions, United States, 1972.’6Series 10, No. 109: Prevalence of Chronic Conditionsof the Genitourinary, Nervous, Endocrine, Metabolic, andBlood and Blood-forming Systems and of Gthe~rSelectedChronic Conditions, United States, 1973.’7Series 10, No. 121: Characteristics of Persons withHypertension, United States, 1974.18Series 10, No. 123: Prevalence of Selected ChronicDigestive Conditions, United States, 1975. ‘gSeries 10, No. 124: Prevalence of Chronic Skin andMusculoskeletal Conditions, United States, 1976.20Series 10, No. 134: Prevalence of Selected Impairments,United States, 1977.2]

Data on the prevalence of selected chronic conditionswere last presented in the 1982 Current Estimates Report.’Information in the Current Estimates Report is not as detailedas the information in this report, and estimates were subjectto more variation because data for only 1 year were usedas compar6d with data for 3 years for this report.

Chronic condition prevalence

Prevalence often refers to the number of some item existingat a given point in time; W definition of prevalence is usuallyreferred to as point prevalence. Prevalence can also referto the average number of some item existing during a specifiedinterval of time. The latter definition is used in NHIS.

Chronic conditions are defined as conditions that either(1) were first noticed 3 months or more before the date ofinterview or (2) belong to a group of conditions (specifiedin appendix Ill considered chronic regardless of when theybegan.

For the purpose of estimating the prevalence of reportedchronic conditions, the total NHIS sample was divided intosix representative subsamples. Each subsample was adrrhis-tered one of six checklists that contained broad categoriesof types of chronic conditions. Respondents were asked toindicate the presence or absence of each condition specifiedon the particular list administered to them. Because the pres-ence or absence of many types of chronic conditions is oftenambiguous, several “impact” questions were asked about eachcondition reported. The questions include whether the personhad been taking medicine for the condhion, had undergonesurgery or been hospitalized for the condition, and the numberof times he or she had seen a doctor or stayed in bed becauseof the condition during the 12months prior to the interview.

The tables in this report are organized primarily bychecklist. However, some modifications in the presentationwere made for instances in which more than one of the sixlists included data from the same dkease classification systemas listed in the Ninth Revision International Classificationof Diseases .22

Conditions with huh prevalence

The selected chronic conditions with the highest preva-lence during 1979-81 are presented in table C. Top 10 rankingsare presented for all persons, for males and females, forwhite and black persons, and for four broad age categories.

Chronic sinusitus ranked highest in prevalence for allpersons, for both sexes, for white persons, and for persons17-44 years of age. Hypertensive disease was the most preva-lent selected chronic disease among black persons. Hay feverranked highest among persons under 17 years of age, andarthritis was the most prevalent condition among persons aged45-64 years and 65 years and over.

No marked differences in prevalence rank existed by sexor race. However, there were rank differences among the

age groups, and for young people in particular. Among peopleunder 17 years of age, eczema, dermatitis, and urticariwasthm~ chronic bronchitis; hypertrophy of tonsils andadenoids; and disease of sebaceous glands all ranked in thetop 10. For both sexes and for white and black persons,the seven highest ranking conditions were the same, thoughnot in the same order. These were chronic sinusitus; arthritis;hypertensive disease; deformities or orthopedic impairments;hearing impairments; hay feveu and heart condhions. Visualimpairments and asthma ranked in the top 10 among males,whereas eczema, dermatitis, and urticaria, and varicose veinsranked in the top 10 among females.

Percent distributions of the three selected chronic condi-tions with the highest prevalence+hronic sinusitus, arthritis,and hypertensive disease—are presented in figure 1 by sexand age. The proportion of females was much greater thanthe proportion of males for each of the three conditions.This is not surprising because the life expectancy of femalesis greater than that of males, and rates for most chroniccondhions are higher among the elderly. Among the age groupsshown, those 1744 years of age made up the highest percentof chronic sinusitis conditions, and those in age group 45-64accounted for the highest percent of hypertensive disease condi-tions. Of those with arthritis, approximately equal proportionswere in the age groups 45-64 years and 65 years of ageand over.

Figure 2 shows the six selected chronic conditions withthe highest prevalence rates per 1,000 persons by age. Therates for three of the condhions—arthritis, hypertensive dk-ease, and hearing impairments-were much higher in the olderage groups. The prevalence rate for deformities or orthopedicimpairments was also higher, though not as markedly so,in the older age groups. Chronic sinusitis prevalence ratesdid not vary appreciably for persons 17 years of age andover, and the prevalence rate for hay fever was highest inthe age group 17-44 years.

Figure 3 shows the 10 selected chronic conditions withthe highest prevalence rates by the percent of conditions caus-ing limitation in major and outside activity. Although chronicsinusitus was the most prevalent condition, a very small propor-tion of cases (less than 1 percent) caused limitation in activity.In contrast, deformities or orthopedic impairments and heartconditions caused activity limitation in more than 31 percentof the cases.

The selected reported chronic condhions responsible forthe largest proportions of activity limitation tie shown in

9

Table C. Selected reported chrunic conditions with highest prevalence, in rank order, by sex race, and age Unitad States, 1979-81

Age

Sex RaceUnder 65 years

17 17-44 45-64 and

Chronic condition and ICD code’ Total* Male Female White Black years years years over

Condition

Chronic sinusitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...473Arthritis, not elsewhere classified . . . . . .711 .0.9.712.8.9. 714,715.01389,,, ,,

716,719.3,720.0,8,9, 721.0,2,3,5-7,9

Hypertensive disease, not elsewhere classified. . . . .401 .402.0.403,404.0,405,798.2

Deformities or orthopedic impairments. . . . . . . . . . . . . .X70-X76, X78-X89Hearing impairments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X05-X09

Hay fever, without aathma

(includes upPer respiratory allergy) . . . . . . . . . . . . . . . . . . . . . .477,478.8Heart conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . ..39O.392-398.4O2.l.9.

410-414,415.0,416,41 7.8,9,420.0,9,4229,422,424, 425.0-2,4,9,

428-428,429.0-35889785.0-3, 794.3,!, ,>Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...455Visual impairments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XOO-X04Eczema, dermatitis, and urticaria,

notelsewhere classified . . . . . . . . . . . . . . . . . . . . . . . . . . . . .277.8.373.3.890-892,693.1,894.0-3, 708, S95.1,3

Asthm~with orwithout hay fever.... . . . . . . . . . . . . . . . . . . . . . . . ...493Varicose veins, notelsewhere classified . . . . . . . . . . . . . . . . . . ...454.458Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..250.84S.0.775.1

Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...490.491Hypertrophy oftonsils andadenoids. . . . . . . . . . . . . . . . . . . . . . . . . ...474Disease ofsebaceous glands, noteisewhere classified (acne) . . . . ...706

Cataracts, all forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366Arteriosclerosis, not elsewhere classified. . . . . . . . . . . . . . . . . . . . . . ..440

Synovitis, bursitis, andtenosynovitis . . . . . . . . . . . . . . . . . . . . .719.2,720.1,726.1,3-9, 727.0,2-5

12

3

4

5

6

7

8

910

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

14

2

5

3

6

7

98

. . .

10. . .. . .. . .. . .

. . .

. . .

. . .

. . .

12

3

4

7

6

5

10. . .

8

. . .9

. . .

. . .

. . .

. . .

. . .

. . .

. . .

12

3

4

5

6

7

89

10

. . .

. . .

. . .

. . .

. . .

. . .

. .

. . .

. . .

Rank

3

2

1

47

6

5

. . .

9. . .

8. . .10. . .. . .. . .. . .

. . .

. . .

2

. . .

. . .

810

1

9

. . .

. . .3

4. . .. . .

567

. . .

. . .

. . .

1

5

4

3

7

2

10

6. . .

9

. . .

. . .

. . .

. . .

. . .8

. . .

. . .

. . .

31

2

6

4

7

5

8%0. . .

. . .

. . .9

. . .

. . .

. . .

. . .

. . .

310

51

2

‘63

. . .

4

. . .

8. . .

. . .

. . .10. . .. . .. . .

7

9

. . .

1Ninth revision International Classification of Diseases.Impairments are coded according to a special classification system for the National Health Interview 6urvey.21ncludesracesother than white and black.3Conditions aretied with same rate.

NOTE Thistableshows mnkbycondltion prevalence,nonperson prevalence.Apemonmayhave momthanone condition inaomegrouplnga, suchasdefomities, oflhopetic impairments, orheaflconditions,

Indicated rank is not in top 10.

table D, Multiple sclerosis caused the highest percent of limita-tion (77 percent). Although not high in prevalence, this condi-tion is very debilitating. Paralysis, complete or partial, ofextremities or parts of extremities and emphysema rankedsecond and third as causes of activity limitation.

Selected circulatory conditions

Prevalence estimates for selected chronic circulatory con-ditions are shown in table 1, and the corresponding ratesper 1,000 persons are presented by age. Tables 2 and 3 showthis information for males and females, respectively.Table 4 shows the prevalence estimates and rates for whiteand black persons. The percent of conditions causing limitationof activity and the percent that resulted in a physician visitare included in tables 1-4.

Data presented in table 1 show that hypertensive disease,estimated at almost 25 million conditions annually, or 112.6per 1,000 persons, was the most prevalent selected chroniccirculatory condition. High on the prevalence list for selectedchronic circulatory conditions were heart conditions, estimatedat almost 17 million conditions; hemorrhoids, almost 9 million;

and varicose veins, 6 million. Among younger persons (under

17 years) heart conditions had the highest prevalence rate.Hypertensive disease had the highest rate of prevalence inthe other three age groups.

Limitations in major and outside activity from chronic

circulatory conditions ranged from more than 50 percent forsome subclasses of heart conditions to only 1 percent forhemorrhoids. A physician was seen at least once in morethan 90 percent of the cases for all conditions except hemor-

rhoids and varicose veins,, for which 68.1 percent and 72.5percent of the conditions, respectively, were seen by a

physician.

Data from tables 2 and 3 reveal that hypertensive disease,heart conditions, and hemorrhoids had high prevalence forboth sexes. Arteriosclerosis was relatively high in prevalenceamong males, and among females, varicose vein conditionshad high prevalence.

The prevalence rates for selected chronic circulatory dis-

eases among white persons (table 4) were predictably similarto those for all persons. Black persons were reported to havea particularly high rate of hypertensive disease, 136.8 per1,000 persons.

10

Sex Age

Note: The estimated prevalencesforthese renditions are chronic sinusitis, 30,227,000 arthritis 26,958,00cX hypertensive disease, 24,728,@J0.

Selected respiratory conditions

Tables 5–7 contain the prevalence estimates for selectedchronic respiratory condhions and rates per 1,000 personsby age for all persons, males, and females respectively.Table 8 contains the estimates and rates for white and blackpersons. The percent of conditions causing limitation of activityand physician visits are included in all four tables.

Chronic sinusitus was the most frequently reportedselected chronic respiratory condition, with an annual averageprevalence of more than 30 million condhions, or 137.7 condi-tions per 1,000 persons in the civilian noninstitutionalizedpopulation (table 5). Other chronic respiratory conditions ofhigh prevalence included hay fever (almost 17 million condi-tions), chronic bronchitis (7.8 million condhions), and asthma(6.9 million).

With a rate of 54.9 conditions per 1,000 persons, hayfever was the most prevalent condition among persons under

F~ure 1. Percent distributionsof selected reported chronic wndtiins with hghest prevalence by sex and age: United States, 1979-W

17 years of age, followed by chronic sinusitus with a rateof 51.1. Chronic sinusitus was by far the most prevalentselected chronic respiratory disease in all of the other agegroups.

The chronic respiratory conditions which caused the high-est proportions of limitation in major and outside activitywere emphysema, which caused limitation in 48.2 percentof the condhions, and pneumoconiosis, which caused limita-tion in 41.9 percent of the reported conditions. A physicianhad been consulted at least once for a large proportion ofchronic respiratory conditions. Of the reported respiratory con-ditions, chronic laryngitis, chronic sinusitus, and hay feverwere the least likely to have caused a physician visit.

Data in tables 6-8 show that the prevalence patterns forchronic respiratory conditions for males, females, white per-sons, and black persons were similar to those for the totalpopulation. However, some conditions, such as chronic

11

- Under 17 years

Ezzl 17-44 years

~ 45-64 years

~~ 65years andover

n

Chronic smusitus Arfhrtis Hypertensive Deformities or Hearing Hay feverdisease orthopedic impairments

impairments

Figure 2. Rate per 1,000 persona per year for selected reported chronic sond~iona with highest prevalence, by age United Stateq 1979-S1

sinusitus, were more prevalent among females. Other condi- Selected digestive condtiionstions, such as emphysema, were more prevalent among males.Prevalence rates for most of the conditions were somewhat prevalence estimates for selected chronic digestive condi-

higher among white than black persons. This higher rate could tions and the rates per 1,000 persons by age are shown for

be attributable to the greater proportion of older white than all persons in table 9 and for males and females in

black persons because most chronic conditions have greater tables 10 and 11. Prevalence estimates and rates for white

prevalence among the elderly. and black persons are presented in table 12. The proportions

12

100

50

45[

10

5

0Chronic Arthritis Hypertensive Deformities Hearing Hay fever Heart Hemorrhoids Visual Eczema,sinusitis disease or orthopedic impairments condtiorrs impairments dermatitis,

impairments and urticaria

1 2 3 4 5 6 7 8 9 10Conditions by rank in prevalence

of condhions that caused limitation of activity or a physicianvisit are included in tables 9-12.

The most prevalent selected digestive conditions werefunctional and symptomatic upper gastrointestinal disorders(about 3.9 million conditions annually), hernia of the abdomi-nal cavity (3.9 million), ulcer of the stomach and duodenum(3.8 million), and frequent constipation (3.7 million), as shownin table 9. For persons under 17 years of age, frequent constipa-tion and chronic enteritis and colitis were the most prevalentdigestive conditions. Among the age group 17-44 years, ulcerof the stomach and duodenum and functional and symptomaticupper gastrointestinal disorders were highest in prevalence,whereas hernia of the abdominal cavity was predominantamong persons 45-64 years of age. Frequent constipationand hernia of the abdominal cavity were the conditions highestin prevalence among those 65 years and over.

Liver conditions were responsible for the highest percentof limitation in major and outside activity (2 1.8 percent) amongall selected digestive conditions. In addition, a physician hadbeen seen for almost all reported liver conditions (99.4percent).

Data from table 10 indicate that the overall prevalencepatterns for digestive conditions were also found for males.However, the pattern varied somewhat for females (table 11),for whom frequent constipation was the most prevalent selectedchronic digestive condition reported. Although frequent

Fiiure 3. Wed reported chronic conditions w“* highest prevalence, in rsrk order, by percant csuaing Mtstion in major or outside sctiviiUnited State% 1979-S1

constipation conditions were most prevalent among females,they accounted for very little limitation of activity.

The prevalence patterns for white persons (table 12) weresimilar to those for all persons. Black persons, however hada somewhat higher rate of frequent constipation conditionsand a somewhat lower rate of hernias of the abdominal cavity.

Selected impairments and nervoussystem and sense organ condtins

Prevalence estimates for selected impairments and chronicconditions of the nervous system and sense organs, with theaccompanying rates per 1,000 persons by age, are presentedfor all persons in table 13 and for males and females intables 14 and 15, respectively. Prevalence estimates and ratesare shown for white and black persons in table 16. The propor-tions of conditions causing activity limitation or resulting ina physician visit are shown in all four tables.

Among the selected impairments reported (table 13), themost prevalent overall were deformities or orthopedic impair-ments and hearing impairments, with annual average estimatesof 18.4 million and 17.6 million condhions, respectively.Visual impairments were also fairly common with an estimatedannual average of 8.5 million conditions. In the age groupsunder 17 years and 17-44 years, deformities or orthopedicimpairments were highest in prevalence, followed by hearing

13

impairments. In the older age groups, 45-64 years and 65years and over, the two were reversed, hearing impairmentsbeing highest in prevalence and deformities or orthopedicimpairments second.

The selected conditions of the nervous system and senseorgans with the highest prevalence were migraines andcataracts, with annual averages of 5.7 million and 4.0 millionconditions, respectively. Migraines were the most prevalentreported condition in all age groups except among persons65 years of age and over, for whom cataracts were by farthe most prevalent.

Among the selected impairments, paralysis, complete orpartial, of extremities or parts of extremities caused limitationin major and outside activity in 65.7 percent of conditions,which was far greater than the amount of limitation causedby any other impairment. Data on physician visits show that,curiously, only 60.2 percent of speech impairment conditionsresulted in a doctor visit.

Multiple sclerosis was responsible for the highest propor-tion of activity limitation (77.0 percent) among the selectedconditions of the nervous system and sense organs.

The prevalence patterns for selected impairments noted

for all persons also were found for males and females(tables 14 and 15). Males, however, had a higher rate ofhearing impairments and visual impairments than females had.Among conditions of nervous system and sense organs, therewas some variation in the pattern. The most prevalent conditionfor males was color vision deficiencies, with an annual averageof more than 1.8 million conditions, compared with the esti-mate of 135,000 color vision deficiencies for females. Mi-graines and cataracts were high in prevalence for both sexes.

The overall prevalence patterns for selected impairmentsand for selected condhions of the nervous system and senseorgans were also found for both white and black persons(table 16). Black persons, however, had a lower prevalencerate of hearing impairments than white persons had.

Selected skin and subcutaneous tissueand other related conditions, andmusculoskeletal system and connectivetissue conditions

Tables 17–I 9 contain prevalence estimates as well asrates per 1,000 persons, by age, for selected chronic conditionsof the skin and subcutaneous tissue and other related condi-tions; and conditions of the musculoskeletal system and con-nective tissue. Data are shown for all persons and for malesand females respectively. Table 20 contains the prevalenceestimates and rates for white and black persons. Proportionsof conditions causing activity limitation and physician visitsare included in all four tables.

Data in table 17 indicate that eczema, dermatitis, andurticaria was the most prevalent condition of the skin and

subcutaneous tissue, with an average annual estimate of 8.1million conditions. Disease of the sebaceous gland was second,with an average annual estimate of 5.7 million conditions.Eczema, dermatitis, and urticaria was the most prevalent cond]-tion among persons under 17 years of age. Among the agegroup 17-44 years, it was virtually tied for the highest preva-lence with disease of the sebaceous glands. However, amongpersons 45-64 years of age and 65 years of age and over,corns and callosities was the most common condition reported.None of the conditions of the skin and subcutaneous tissuecaused much limitation of activity.

Among the selected musculoskeletal and connective tissueconditions, arthritis was far and away the most frequentlyreported, with an average annual prevalence of almost 27million condhions. Synovitis, bursitis, and tenosynovitis wasthe second most prevalent condition, with 4.9 million condi-tions. Arthritis was also the most prevalent condition in allfour of the age groups. Displacement of intervertebral disccaused the greatest proportion of limitation in major and outsideactivity, 45.9 percent.

Table D. Selected reported chronic conditions caueing highest percent of limitation in major and outside aclivity, in rank order, and percent of IimitatiorrUnited States 1979-81

Percent with limitation

in major and

Chronic condition and lCD code’ Rank outside activity

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...340paralysis, complete or partial, of extremities or parts of extremities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X40-X59Emphysema . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...492.518.1.2Displacement ofintewertebral disc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722.0-7Epilepsyl alltypes, orchronicconvulsiona, cauaeunknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...345.780.3

Pneumoconiosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...495.500-506Cerebrovascular diseeae . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...346.5.430-436.437.0-2.4-6.8.9.438Osteomyelitis and other diseases of bone. . . . . . . . . . . . . . . . . . . . . . . . . . . ...724.7.730.0-3,9,731,0,2, 732,733.0-5,7,9,793.7Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250,648.0,775.1Deformities ororthopedic impairments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X70-X76.X78-X89Heerf conditions . . . . . . . . . . . . . ...390.392-398. 402.1,9,404.1,9,410-414, 415.0,416,417.8,9,420.9, 421.0,9,422.9,423,424,

425.0-2,4,9,426-428, 429.0-3,5,6,8,9,785.0-3, 794.3Phlebitis andthrombophlebitis, notelsewhere classified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...451

1234

5

6789

1011

12

77.065.746.245.9

42.8

41.941.234.3

32.131.631.4

27.3

lNinth revision international Claestiication of Oiseeaes. Impainnenta are codad accordingto a special classificationaysfsm fOr the National Health Interview Survey.

NOTE Some chronic condition subcategories hava a highar percent of limitation activity then those hated abova. Howevar, only the total categorical rendition percents are included inthis table,

14

Although the rates in general were somewhat lower formales (table 18), the prevalence patterns for both selectedskin and subcutaneous tissue conditions and musculoskeletaland connective tissue conditions were similar to those forall persons. The prevalence rates for females (table 19) alsofollowed the same basic pattern. However, in contrast tomales, females had higher than average rates for several condi-tions, particularly arthritis; eczema, dermatitis and urticari%and corns and callosities.

Information presented in table 20 shows that the preva-lence rates for white persons were similar to those for allpersons in both condition systems. The pattern for black per-sons varied somewhat, however. Among skin and subcutane-ous tissue conditions, the highest prevalence estimate for blackpersons was for corns and callosities.

Selected endocrine, nutritional andmetabolic disease and immunitydisorders, diseases of the blood andblood-forming organs, and diseases ofthe genitourinary system

Prevalence estimates as well as the corresponding ratesper 1,000 persons by age are presented for selected chronicendocrine, nutritional, and metabolic disease and immunitydisorders; chronic diseases of the blood and blood-formingorgans; and chronic diseases of the genitourinary system.Information is presented for the total population, males andfemales, in tables 21–23 and for white and black personsin table 24. Activity limitation and physician visit percentsare shown in all four tables. Because these individual systemsdo not include many condhions, they will be treated as oneentity.

For alI persons (table 21), the most prevalent conditionswere diseases of the urinary system, with an average annualprevalence of 5.6 million conditions; diabetes, 5,5 millionconditions; all thyroid conditions, 2.9 million conditions; andanemia, 2.7 million conditions. For persons in the age groupsunder 17 years and 17-44 years, anemia and diseases ofthe urinary system were highest in prevalence. Among personsin the age groups 45-64 years and 65 years and over, diabeteswas by far the most prevalent condition reported. Diabetesalso caused the greatest amount of limitation in major andoutside activity, 32.1 percent.

Among males, diabetes was the most prevalent condition(table 22), followed by diseases of the urinary system, diseasesof the prostate, and gout. The conditions of highest prevalenceamong females were diseases of the urinary system, diabetes,and thyroid conditions, in that order. The prevalence patternsfor each sex were similar to the overall pattern in most agegroups. The exception was males 65 years and over, forwhom diseases of the prostate and gout ranked quite high.

There was no apparent variation between the prevalencepatterns reported for all persons and those reported for whitepersons (table 24) in these three condition systems. However,among black persons, the prevalence rates for diabetes andanemia conditions appeared higher than those for all persons,and the rate for thyroid conditions appeared lower.

Restricted-activity days from selectedconditions

The estimated number of restricted-activity days and thenumber of days per selected chronic condition are presentedby sex, for white persons, and for black persons intable 25. Only conditions for which the total number of re-stricted-activity days for all persons exceeded 19.2 milliondays, which is the cutoff figure for reliability, are included.Table E shows the top 10 rankings for the number of restricted-activity days and the number of days per condition, by sex.Condition subcategories were not included in the rankingsto avoid counting a condition in more than one category.

Of all the selected chronic conditions, arthritis was respon-sible for the largest number of restricted-activity days, 534.4million per year. Ranking second and third were deformitiesor orthopedic impairments and heart conditions, with 469.3million and 443.8 million days of restricted activity, respec-tively. These conditions also ranked first, second, and thirdfor both males and females, although the order of rank variedamong males. Hypertensive disease caused an inordinatelylarge number of restricted-activity days among black persons.

The rankings for days per condition were quite different.Paralysis, complete or partial, of extremities or parts of ex-tremities ranked first, with an annual average of 56.2 daysof restricted activity per reported condition. Cerebrovasculardisease ranked second, with 44.7 days per condition, andemphysema ranked third, with 42.5 restricted-activity daysper reported condition. These three conditions were also rankedfirst, second, and third for males and females, although theranks for cerebrovascular disease and emphysema were re-versed for females.

Bed-disability days from selectedconditions

Table 26 presents the estimated number of bed-disabilitydays from selected chronic conditions and the number ofdays per condition by sex and for white and black persons.Only conditions for which the total number of bed-disabilitydays exceeded the variance cutoff of reliability of 19.2 milliondays were included. Table E presents the top 10 rankingsby number of days and by days per condition. Again, conditionsubcategories were not included in the rankings.

Of the selected reported chronic conditions, heart condi-tions caused the most bed disability, an average of 147.4million days annually. Arthritis was second (132.7 milliondays) and deformities or orthopedic impairments third (101.4million days). Heart conditions also caused the most bed-disability days among males, whereas arthritis caused themost among females (table 26). Conditions causing the largestnumber of bed-disability days per condition were cerebrovascu-lar disease, 23.6 days; paralysis, complete or partial, of ex-tremities or parts of extremities, 21.7 days; and emphysema13.4 days.

The population figures used in computing rates in thisreport are found in table 27.

15

Table E. Selected chronic conditions with higheat number of related restricted-edvity dsys and daya per conditio~ by sex and rank orde~ andselected chronic mnditiona with h~hest number of releted beddkab~i days and daya per condtin, by rank orcfw UnftedStetX 1979-81

Restricted activity daysBed-disability days

Number of days Days per conditionNumber Days

Both BothChronic condition and /CD code’

ofMale

persexes Female sexes Mala Female days condition

Conditions

Arthritis not elsewhere classified . . . . . . . . . . . . . . . . ...71 1.0,9,712.8,9,714,

715.01389716,719.3,720.0,8,9, 721.0,2,3,5-7,9,,, ,,Deformities or orthopedic impairments. . . . . . . . . . . . . . . .X70-X76, X78-X89Heart conditions. .390,392-398,402.1,9, 410-414,415.0,416,417.8,9, 420.0,9,

422.9,423,424,425.0-2,4,9, 426-428,

429.0-35689765.0-3,794.3!,, ,,Hypertensive disease not elsewhere classified . . . . . . . . . . . .401 .402.0. 403,

404.0,405,796.2Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250,646.0,775.1Chronic sinusitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...473

Asthma, withorwithout hay fever... . . . . . . . . . . . . . . . . . . . . . . . . . . ...493Displacement of intervertebral disc. . . . . . . . . . . . . . . . . . . . . . . . . ...722.0-7Emphysema . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...492.518.1.2Alldiseases ofurinary system . . . . . . . . . . ...099.4.344.6,580-563, 564.5-9,

585,587,566.0,8,9,569-591, 592.0,1,593.0-9,595.0-3,8,9,596-598,599.0-6,8,9, 619.0,766.6-8,793.5, 794.4

Cerebrovascular disease. . . . . . . . . . . . . .346.5,430-446,437.0-2,4-6,8,9,438Migraine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Synovitis, bursitis, and tenosynovitis . . . ..719.2.720.1,726.1 ,3-9,727.0,2-5

Paralysis, complete or partial, of extremities or parts ofextremities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X4O+59

Phlebitis and thrombophlebitis, not elsewhere classified. . . . . . . . . . . ...451Osteomyelitis and other diseases of bone. . ...724.7.730.0-3,9, 731.0,2,732,

733.0-5 ,7,9,793.7

Fuor circulation, not elsewhere classified. . . . . . . . . . . . . . . . . . . . . . . .459.9Sciatica .,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .355.0,724.3Arteriosclerosis, not elsewhere classified. . . . . . . . . . . . . . . . . . . . . . . ...44.0

Ulcer of stomach and duodenum . . . . . . . . . . . . . . . . . . . . . . . . . . ...331-534Diseases of prostate . . . . . . . . . . . . . . . . . . . . . . . . . . ...600.601.0-3.8.9.602Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...274

Hernia ofabdominal cavity . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5w-5~.750.6

1

23

4

567

8

910

. . .

. . .

. . .

. . .

. .. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

3 1

1 22 3

4 4

8 6

10 57 86 . . .5 . . .

. . . 7

9. . .. . .. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .9

10. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

98

. . .

. . .

. . .63

. . .

2. . .

. . .

1

45

710. . .. . .. . .. . .. . .

Rank

. . .

6

5

. . .

8

. . .

. . .4

3. . .

2. . .

. . .

1

...

...

...

...79

10. . .. . .

. . .

98

. . .

. . .

. . .

. . .62

. . .

3. . .. . .

1

75

. . .10. . .. . .. . .

4. . .

2

31

4

6

. . .7

. . .

910

5

8. . .

. . .

. . .. . .

. . .

. . .

. . .

. . .

. . .

.<.

. . .

. . .

. . .5

. . .

6. . .1043

. . .

1. . .. . .

2

. . .

. . .

. . .

. . .97

. . .

. . .8

1Ninth revision International Classification of Diseasea. Impairments ars coded according to a special classification system for ths National I+salth Inter-dew SUIVSy.

NOTE Onlyrankings ofcondition daysanddays percondition, notpsrsondays, areshwn. Aperson mayhavemore thanonecondition insomegrouplnga suchasdefomltlS, oroflhop4icimpairments, or heart conditions,

indicated rank la not in top 10.

16

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Health interview responses compared with medical records. Vitaland Health Statistics. Series 2, No.7. PHS Pub. No. 1000. PublicHealth Service. Washington. U.S. Government Printing Office, July1965.

‘National Center for Health Statistics, C. F. Cannell andF. J. Fowle~ Comparison of hospitalization reporting in three surveyprocedures. Vital and Health Statistics. Series 2, No. 8. PHS Pub.No. 1000. Public Health Service. Washington. U.S. GovernmentPrinting Office, July 1965.z~ation~ Center for Health Statistics, W. G. Madow Interview

data on chronic conditions compared with information derived frommdlcal records. Vital and Health Statistics. Series 2, No. 23. PHSPub. No. 1000. Public Health Service. Washington. U.S. GovernmentPrinting Office, May 1967.

%Iational Center for Health Statistics, C. F. Cannell, F. J. Fowler,and K. H. Marquis: The influence of interviewer and respondentpsychological and behavioral variables on the reporting in householdinterviews, Vital and Health Statistics. Series 2, No. 26. PHS Pub.No. 1000. Public Health Service. Washington. U.S. C,ovemmentPrinting Office, Mar. 1968.

3 I National center for Health Statistics: National Health Interview

Survey Medical Coding Manual and Short Index, Hyattsville, Md.,1980,

List of detailed tables

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

Average annual number of selected reported chronic cir-culato~ conditions, rate per 1,000 persons by age, andpercent of condhions causing activity limitation andphysician visits: United States, 1979-81 . . . . . . . .

Average annurd number of selected reported chronic cir-culatory condhions among males, rate per 1,000 pemonsby age, and percent of conditions causing activity limitationand physician visits United States, 1979-81 . . . . .

Average annual number of selected reported chronic cir-culatory condhions among females, rate per 1,000 personsby age, and pcxent of conditions causing activity limitationand physician visits: United States, 1979-81 . . . . .

Average annual number of selected reported chronic cir-culatory condhions, rate per 1,000 persorts, and percentof condkions causing activity limitation and physicianvisits, by ram United States, 1979-81 . . . . . . . .

Average annual number of selected reported chronic re-spiratory conditions, rate per 1,000 persons by age, andpercent of conditions causing activity limitation andphysician visits: United States, 1979-81 . . . . . . . .

Average annual number of selected reported chronicrespiratory conditions among males, rate per 1,000 personsby age, and percent of conditions causing activity limitationand physician visits United States, 1979-81 . . . . .

Average annual number of selected reported chronicrespiratory condhions among females, rate per 1,000 per-sons by age, and percent of condhions causing activitylimitation and physician visitx United States,1979-81 . . . . . . . . . . . . . . . . . . . . . . . . .

Average annual number of selected reported chronicrespimtory conditions, rate ~r 1,000 persons, and pe~entof conditions causing activity limitation and physicianvisits, by race United States, 1979-81 . . . . . . . .

Average annual number of selected reported chronic diges-tive conditions, rate per 1,000 persons by age, and pmentof condhions causing activity limitation and physician visikUnited States, 1979-81 . . . . . . . . . . . . . . . . .

Average annual number of selected reported chronic diges-tive conditions among males, rate per 1,000 persons by.age, and percent of conditions causing activity limitationand physician visits: United States, 1979-81 . . . . .

Average annual number of selected reported chronic diges-tive conditions among females, rate per 1,000 persons byage, and pewent of conditions causing activity limitationand physician visits: United States, 1979-81 . . . . .

Average annual number of selected reported chronic diges-tive conditions, rate per 1,000 persons, and percent of

21

22

23

24

2s

2s

26

26

27

27

28

13.

14.

15.

16.

17.

18.

19.

20.

condhions causing activity limitation and physician visits,byrace United States, 1979-81 . . . . . . . . . . . .

Average annual number of selected reported impairments,and conditions of the nervous system and sense organs,rate per 1,000 persons by age, and prcent of condkionscausing activity limitation and physician visits:United States, 1979-81 . . . . . . . . . . . . . . . . .

Average annual number of selected reported impairments,and conditions of the nervous system and sense organsamong males, rate per 1,000 persons by age, and percentof conditions causing activity limitation and physician visitsUnited States, 1979-81 . . . . . . . . . . . . . . . . .

Average annual number of selected reported impairments,and conditions of the nervous system and sense organsamong females, rate per 1,000 persons by age, and percentof condhions causing activity limitation and physi-cian visits: United States, 197%81 . . . . . . - . . .

Average annual number of selected reported impairmentsand conchtions of the nervous system and sense organs,rate per 1,000 persons, and percent of conditions causingactivity limitation and physician visits, by raceUnited States, 1979-81 . . . . . . . . . . . . . . . . .

Average annual number of selected reported chronic condi-tions of the skin and subcutaneous tissue and other relatedconditions, and conditions of the musculoskeletal systemand connective tissue, rate per 1,000 persons by age, andpercent of condkions causing activity limitation andphysician visit-x United States, 1979-81 . . . . . . . .

Average annual number of selected reported chronic condi-tions of the skin and subcutaneous tissue and other datedcon&tions, and condhions of the musculoskeletal systemand connective tissue among males, rate per 1,000 personsby age, and pement of conditions causing activity limitationand physician visiw. United States, 1979-81 . . . . .

Average annual number of selected reported chronic condi-tions of the skin and subcutaneous tissue and other relatedconditions, and conditions of the musculoskeletal systemand connective tissue among females, rate per 1,000 personsby age, and pcent of conditions causing activity limitationand physician visits United States, ?979-81 . . . . .

Average annual numtw of selected reported chronic condi-tions of the skin and subcutaneous tissue and other relatedconditions, and conditions of the musculoskeletal systemand connective tissue, rate per 1,000 persons, and percentof conditions causing activity limitation and physicianvisits, by race United States, 1979-81 . . . . . . . .

28

29

30

31

32

33

34

35

36

19

21. Average annual number of selected reported chronic endo-crine, nutritional, and metabolic diseases and immunitydisorders; diseases of the blood and blood-forming organs;and genitourinary conditions, rate per 1,000 persons byage, and percent of conditions causing activity limitationand physician visits: United States, 197%8 1 . . .

22. Average annual number of selected reported chronic endo-crine, nutritional, and metabolic diseases and immunitydisorders; diseases of the blood and blood-forming organs;and genitourinary conditions among males; rate per 1,000persons by age, and percent of conditions causingactivity limitation and physician visits: United States,1979–81 . . . . . . . . . . . . . . . . . . . . . . . . .

23. Average annual number ofselected reported chronic endo-crine, nutritional, and metabolic dkeases and immunitydisorders; diseases of the blood and blood-forming organs;and genitourinary conditions among females, rate per1,000 persons by age, and percent of conditions causing

activity limitation and physician visits: United States,1979–81 . . . . . . . . . . . . . . . . . . . . . . . . .

24. Average annual number ofselected repofied chronic endo-crine, nutritional, and metabolic diseases and immunitydisorders; diseases of the blood and blood-forming organs;

and genitourinary conditions; rate per 1,000 persons, andpercent of conditions causing activity limitation and

37 physician visits, by race: United States, 1979–81 . . . 40

25. Average annual number of days of restricted activity from

selected reported chronic conditions and number of

days per condition, by sex and race: United StikS,

1979-81 . . . . . . . . . . . . . . . . . . . . . . . ..4 I

26. Average annual number of days of bed disability from

38selected reported chronic conditions and number of

days per condition, by sex and race: United States,1979-81 . . . . . . . . . . . . . . . . . . . . . . ...4

27. Population used in computing rates shown in this re-

port, by sex and age, and by race: United States,1979-81 . . . . . . . . . . . . . . . . . . . . . . ...45

39

20

TtWal. Avaraga anrtudnwnbar ofaakted fqsortd clsronicdfwWory

w~~ti-n~.w- 1979+

cond60naj rate fmrl,(MOparaona byage, andpercentof~am&~

[Data are baaed onhouseholdinter+iws of thecdvllisnnoninstitutlonatfzedpopulation.Theaway design,generalqualificaticmajandinformationonthe reliabilityof theestimatesera giveninappendix1.Definitionsoftermsam givenInappendixII]

Conditions causingNumber

ofA@ Activity limitation

1physicianconditions Under 65 years h-rmajor visit

Chronic circulatory in All 17 17-44 45-64 and and In major orcondition and ICD code’ thousands ages wars years years over outside activity activity more

Heart conditions.. .390,392-396,402.1,9, 404.1,9,410-414,415.0,416,417.8,9, 420.9,421.0,9,

422.9,423,424, 426.0+4,9, 426-426,42S.0-35 689765.0-3,794.3,, ),,

Active rheumatic fever.. .390,392-396,423.1,424.1

Hypertensiveheartdisease.. .4021,9,404.1,9Coronaryheartdisease . ...410-414.429.2,6,

794.3Otherspecifiedheartdisease. . . . .4;5.0, 416,

417.8,9,420.9,421.0,9, 422.9,423.0,2,8,9,424.0,2,3,9,425.0124 9426.0-7,9,,, ),!

427.0,2-5,428.0,1, 42MI,I,5Unspecifieddisordersof heart

rhythm. . . . . . . . .426.6,427.1,6,8,9,765.0-2Heatt trouble,not otherwise

specified . . . . . . . . ..426.9.429.3.8.9. 765.3Hypertensivedisease,not elsewhere

classified. . . . .401,4020,403,404.0,405, 796.2Cerabrovaeculardisease. . . . . . . .348.5,430-436,

437.0-2,4-8,8,9,436Arteriosclerosis,notelsewhereclassified.. ..440Varicoseveins,notelsewhere

classified. . . . . . . . . . . . . . . . . . . . . ...454.456Hemorrhoids. . . . . . . . . . . . . . . . . . . . . . . . ...455Phlebitisand thrombophlebitis,not elsewhere

classified . . . . . . . . . . . . . . . . . . . . . . . . ...451Poorcirculation,nototherwisespecified.. .459.9Congenitalanomaliesof circulatory

system . . . . . . . . . . . . . . . . . ...425.3.745-747

16,662

1,550

1255,446

1,126

5,764

2,649

24,726

1,903

3,4666,030

8,759696

922635

Rate per 1,000pereons Farcent

76.0

7.1

0.624.6

5.1

26.3

12.1

1126

8.7

15.827.5

39.94.1

4.229

19.6

“0.5

●-*-

“0.3

18.5

“0.3

1.5

‘0.2

*-

‘0.2

“0.6●-

●-

24

37.4

7.0

“0.03.8

2.6

21.5

25

55.6

1.8

“0.819.6

45.123

1.23.1

125.3

13.4

*1.454.1

9.6

26.4

17.4

237.3

14.5

20.751.1

67.46.4

6.724

273.2

11.8

‘2.4113.7

18.4

56.7

66.2

377.2

46.0

103.861.2

64.913.0

21.4“1.7

31.4

19.5

60.845.9

37.7

8.1

55.7

127

41.2

14.93.7

1.027.3

24.027.1

27.4

15.1

●56.440.5

34.2

5.9

50.2

10.8

39.1

13.629

‘0.621.9

20.621.4

98.6

99:2

100.099.7

97.4

97.6

96.6

99.1

96.7”

83.272.5

66.1S9.6

93.899.5

1NinthIWVlsionInternationalClassificationof Diseases.

NOTP Relativestandardenwa ofestimatesforthistableam foundinappendix1,figuresI andIll.

21

Teb+s 2. Average annual number of selected reported Ohmnk circulatory 00ndi60na among MSkS, Me Par 1,000 persons by age, and percent ofconditions causing ectivii Iiiitetion and physician vieii United Stetq 197g-81

pats are bassd on household interviews of the civilian noninstitutionalizad population. The surwy design, genersl qualifications, and information on the reliability of the estimates are given in

appendix L Definitions of terms are given in appemiix II]


of Age Activity limitation1physician

conditions Under 65 years In majorChronic circulatory

visitin All 17 17-44 45-64 and and In major

condition and ICD code’or

thousands ages years years yeara over outside activity activity more

Rate per 1,000 persons Percent


422.9,423,424,425.0-2,4,9, 426-426,429.0-35689765.0-3,784.3,,, !,

Active rheumatic fever. . .380,392-396, 423.I,

424.1

Hypertensive heart disease. . .402.1,9,404.1,9Coronary heart disease . ...410-414. 42$Q6,

784.3Other specified heart disease. . ...415.0.416,

417.6,9,420.9,421.0,9, 422.9,423.0269!,!,424.0,2,3,9,425.01249 426.0-7,9,,,, ,,

427.0,2-5,426.0,1 ,429.0,1 ,5Unspecified disorders of heart

rhythm . . . . . . . . .426.8,427.1689785.0-2,>!,Heart trouble, not otherwise

specified . . . . . . . . ..426.9.429.3.8.9. 785.3Hypertensive disease, not elsewhere

classified. . . . .401,402.0,403,404.0, 405,796.2Cerebrovascular disease . . . . . ...348.5.430-436.

437.0-2,4-6,6,9,436Arteriosclerosis, not elsewhere classified. . ..440Varicose veins, not elsewhere

classified . . . . . . . . . . . . . . . . . . . . . ...454.458Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . ...455Phlebitis and thrombophlebitis, not elsewhere

classified . . . . . . . . . . . . . . . . . . . . . . . . ...451f%or circulation, not otherwise specified.. .458.9Congenital anomalies of circulatory

system . . . . . . . . . . . . . . . . . ...425.3.74.5-747

7,484

540

●35

3,100

567

2,128

1,114

10,365

951

1,8881,071

3,617235

326271

70.6

5.1

“0.329.3

5.4

20.1

10.5

97.8

9.0

15.710.1

38.02.2

3.12.6

22.0

‘0.5

●-*-

‘0.4

20.6

*0.5

‘1.1

“0.4

._

“0.3

“0.8●_

._

3.1

30.0

5.6

._

5.0

2.7

14.3

22

59.6

●1.6

*1.14.6

41.5“0.7

“0.43.1

131.3

10.2

“0.773.3

9.8

19.2

18.1

224.6

18.3

26.620.8

66.34.7

5.0“1.5

276.4

‘5.1

“2.0136.4

23.3

46.8

62.9

287.9

53.1

107.7425

52.810.6

20.60.8

37.2

17.2

●20.O.50.3

40.7

8.6

61.8

11.0

47.5

18.4*2.5

“1.445.5

34.8●22.9

32.9

14.3

‘60.044.4

39.2

5.7

57.4

9.8

46.1

17.4*2.5

“0.837.4

30.5‘16.5

96.7

98.5

‘100.098.7

96.4

97.7

96.2

86.7

96.6

94.375.9

65.198.3

94.5ICO.O

1Ninth revision hrtemationai &ssification of Diseases.

NOTE Relative stsndard errors of estimates forthk table are found in appendix 1,figures I and Ill.

T&fe 3. Averege ennual number of setected reported chronii cimMory condthns mong fenrales rste per 1,000 persons by age, and percent ofrenditions causing sc6vity Iifniin snd physician visik United State% 1979-S1

[Data are based on household interviews of the civifian noninatitutiwalizad population. The survey design, general quafifiiaticms, and information on the reliability of the sstimates are given inappendix1.Definitionsof terms are given in appendix 11]


ofAge Activity limitation 1physician

conditions Under 65 years In major visitChronic circulatory in Ail 17 17-44 45-64 and and In major or

condition and ICD code’ thousands ages years years yeara over outside activity activity more

Rate per 1,003 persons Percent

271.0 26.8 22.9 86.480.9

8.9

0.820.7

4.9

322

13.5

126.4

8.4

15.943.6

43.55.8

5.232

17.0

‘0.5

●-●-

“0.2

162

●_

●1.9

●-

●_

“0.1

“0.4*..

●-

3.7

44.5

8.2

“0.128

25

26.2

28

51.9

1.8

‘0.533.8

48.4

3.9

203.1

119.9

18.2

“2136.5

9.5

36.7

16.8

248.9

129

15.378.8

66.5

11.8

8.33.3


422.9,423,424,425.0-2,4,9, 426-426,426.0-35889765.0-3,784.3,,, ),

Active rheumatic fever.. .380,392-398,423.1,424.1

Hypertensive heart disease.. .402.1,9,404.1,9Coronary heart disease . ...410-414.426.2,6,

764.3Other specified heart disease . . . . .415.0,416,

417.8,9,420.9,421.0,9, 422.9,423.0,2,8,9,

424.0,2,3,9,425.0,1,2,4,9, 426.0-7,9,427.0,2-5,426.0,1,429.0,1,5

Unspecified disorders of heartrhythm.. . . . . . . .426.8.427.1 .8.8.9. 765.0-2

Heart trouble, not otherwisespecified . . . . . . . . ..426.9.429.3.8.9. 765.3

Hypertensive disease, not elsewhereclassified . . . ..401 .402.0.403.404.0, 405,766.2

Carebrovascular disease . . . . . . . .346.5,430-436,437.O-Z4-6,8,9, 436

Arteriosclerosis, not elsewhere classified . . . .44oVaricose veins, not elsewhere

classified . . . . . . . . . . . . . . . . . . . . . ...454.456Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . ...456

Phlebitis and thrombophiebitis, not elsewhereclassified . . . . . . . . . . . . . . . . . . . . . . . . ...451

Poorcirculatlon, not otherwise specified.. .469.9Congenital anomalies of circulatory

system . . . . . . . . . . . . . . . . . ...426.3.745-747

9,196

1,010

w2,346

559

16.5 20.7 15.6 66.5

’27 *53.3 *50.O 100.097.9 39.9 35.3 69.5

15.0 34.7 29.0 86.4

3,666 67.1 7.8 6.0 97.6

1,535

14,363

952

1,6024,656

4,942

663

595364

71.9 51.3 45.0 98.9

4326 14.0 11.5 S9.4

34.8 32.2 96.841.1

101.1106.1

11.74.0

10.03.0

92.171.7

‘0.7

20.8

90.5

16.4

70.5

10Q.O

73.4

14.6

93.366.9

21.8●23

18.030.2

15.123.4

1Ninth ravlsion Intsmational Classificaticfr of Disasaaa.

NOT5 Relative standard errora of estimatea for this table ara found in appendix 1,figures I and Ill.

23

Table 4. Average annual number of aelacted reported chronic circulatory oondition$ rate per l,WO peraon~ and percent of condiia causing adivity(imitation and physician vi- by race United State~ 1979-S1

[Data are baaed on household Intewiewa of the civilian nonhratltutionalized population. The auwey design, general qualifications, and information on the reliability of the estimates am given Inappendix L Definitions of terms are given in appendix 11]

White Black

Conditions causing Conditions causing

NumberActivity limitation

of Rate In major 1physicianconditions per and visit

Chronic circulatory in 1,090 outside In major orcondition and ICD code’ thousands persons activity activity more


of Rate In major 1conditions per and

in 1,000 outside In majorthousands persons activity activity

DhYSiCiS7f

;isitor

more

Heart conditions. . .390,392-398,402.1,9, 404.1,9,410-414,415.0,416,417.8,9, 420.9,421.0,9,

422.9,423,424,425.0-2,4,9, 426-428,

429.0-35689785.0-3,794.3,>, !>Active rheumatic fever . . .390.392-396,423.1,

424.1

Hypertensive heart disease, ..402.1,9,404.1,9Coronary heart disease. . ...410-414.429.2,6,

794.3Other specified heart disease. . ...415.0.416,

417.8,9,420.9,421.0,9, 422.9,423.0289,!, !424.0239425.01249426,0-7,9,,,, ,!, !, !

427.0,2-5,428.0,1,429.0,1,5Unspecified disorders of heart

rhythm. . . . . . . . .426.8 .427.16 89785.0-2,,, ,Heart trouble, not otherwise

specified . . . . . . . . . .428.9.429.3 .8.9. 785.3Hypertensive disease, not elsewhere

classified. . . . .401 .402.0,403,404.0, 405,796.2

Cerebrovascular disease. . . . . ...3485.430-436.437.0-2,4-6,8,9,436

Arteriosclerosis, not elsewhere classified. . ..440Varicose veins, not elsewhere

classified . . . . . . . . . . . . . . . . . . . . . ...454.458Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . ...455Phlebitis and thrombophlebitis, not elsewhere

classified . . . . . . . . . . . . . . . . . . . . . . . . . ...451%orcirculation, not otherwise specified . ..459.9Congenital anomalies of circulatory

system . . . . . . . . . . . . . . . . . . ...425.3. 745-747

14,960

1,360

1055,095

1,031

5,211

2,136

20,916

1,588

3,2715,665

6,021

815

822560

79.2

7.3

0.6270

5.5

27.6

11.3

I1O.7

8.4

17.3

30.0

42.4

4.3

4.33.0

30.7

20.1

‘5a.l45.9

37.0

7.1

54.4

11.0

40.5

14.3

3.6

0.926.1

22.327.3

26.8

15.5

“54.340.7

33.1

5.5

46.6

9.3

36.5

12.92.6

“0.621.1

18.621.8

96.6

99.0

100.099.8

97.9

97.4

96.6

59.1

98.4

92.873.3

63.199.5

93.1

99.5

466

3,537

282

117

317

670

63

lca’51

F&cent

1,563

142

●2O328

87

519

percent

60.5

5.5

‘0.812.6

3.4

20.1

18.1

136.8

10.9

6.812.3

25.9

3.2

3.9’20

3S.8

*14.1

‘60.046.0

946.0

18.3

61.1

22.6

41.1

●24.3

‘5.7

‘1.8

“38.6

‘37.0‘37.3

32.5

●11.3

‘60.037.7

“46.0

“9.6

56.2

19.2

39.7

●24.3

“5.7

●1.2“26.9

‘37.0“27.5

29.0

Ioil.o

● ICKI.OICO.O

96.6

99.0

96.5

99.4

100.0

98.357.1

66.4100.0

100.0*1OO.O

1Ninth revision International Classification of Diaeaaes.

NOTE Relative standard arrors of estimates for this table are found in appendix 1,figures I and Ill.

24

Table 5. Average annual number of selected reported chronic ~“ratory oondiiicnw rate per 1,000 persons by age, and percent of oondtions causingCCWW Iiiitatiin and physician visits United Statetq 1979-s1

[Data are baaed on household interviews of the civilian noninatitutionalizad population. The sutvaydssign, general qualification, and information on the retiabilityof the estimates are given inappendix 1.Definitions of terms are given in appendix II]

Conditions causinoNumber

ofAge Activity /imitation

1physicianconditions Under

. .65 years In major visit

Chrvnic respiratory condition in All 17 17-44 45-64 and and [n major orand ICD codel thousands ages years years years over outside activity activity more

Rate per I,CH30persons Percent

Chronic bronchitis . . . . . . . . . . . . . . . . . ..480,491

Emphysema . . . . . . . . . . . . . . . . . . ...492.518.1.2

Asthma, with or without hay fever . . . . . . . . . .493Hypertrophy of tonsils and adanoids . . . . . . . .474Chronic sinusitis . . . . . . . . . . . . . . . . . . . . . ...473Daflaoted nasal eeptum . . . . . . . . . . . . . . . ...470Naealpolyp . . . . . . . . . . . . . . . . . . . . . . . . . ...471Chronic laryngitis . . . . . . . . . . . . . . . . . . . . ...476Hay fever,without asthma

(includee upper respiratoryallergy) . . . . . . . . . . . . . . . . . . . . . ...477.478.8

Pleurisy . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...511Pneumoconioeis . . . . . . . . . . . . . ...4.95.503-506Other chronic interstitial pneumonia.. .515,516.3Bronchiectasis . . . . . . . . . . . . . . . . . . . . . . ...484

7,7622,2346,6163,107

30,2271,121

714923

16,975

449291243139

35.410.231.014.2

137.75.13.34.2

77.3

37.5‘0.337.929.151.1

‘0.8

1.7

2.6

54.9

26.61.5

27.313.1

158.96.23.45.2

98.7

39.022132.33.5

189.0

9.0424.3

75.2

49.448.427.0“1.5

171.64.34.74.2

524

2.0 ●- 2.3 3.4 3.71.3 ●- ●0.5 2.1 6.31.1 ‘0.5 “0.6 “1.6 3.60.6 “0.3 “0.2 “1.3 “1.6

4.748.221.3‘0.70.9

“0.7*-

“0.72.1

3.843.613.1“0.30.4+-.●-

“0.70.7

94.998.398.795.270.428.164.570.172.7

“0.7 ●- 69.841.9 40.5 93.5

●1O.7 “9.1 98.4‘18.0 ‘18.0 95.0

lNinth revision International Classification of Diseases.

NOTi2 Relative standard ermra of estimates for this table are found In appendix 1,figures I and Ill.

Table 6. Average annual number of ae!scted reported chronic reapirato~ conditions among msle~ rate per 1,000 persons by age, and percent ofconditions causing adivity Iiiitation and physician visits United Stateq 1979-61

[Data a= baaed on household interviews of the civilian nonlnstltutionallzti population.The suweydesign, general qualification, and information on the reliability of the estimates are given inappendix !. Wfinitions of te~S are given in appendix Ifl


ofAge Activity limitation

1 ~hysicianconditions Under 65 years In major visit

Chronio respiratory condition in All 17 77-44 45-64 and and In major orand ICD code’ thousands ages years years years ovar outside activity activity more

Rate per 1,002persons Percent

Chronic bronchitis . . . . . . . . . . . . . . . . . ..49Q49l 3,372 31.8 45.1 21.2 32.1 40.3 3.9 3.5 94.0Emphyeema. . . . . . . . . . . . . . . . . . ...492.518.1.2 1,584 15.0 “0.2 ‘1.6 34.6 79.3 49.1 45.5 95.5Asthma, with or without hay fever . . . . . . . . . .493 3,38$ 320 49.0 23.6 28.4 30.0 21.7 13.1 98.3

Hyperfrophy of tonsifs and adenoids... . . ...474 1,275 120 28.0 10.0 ●2.1 “0.4 ‘0.9 ‘0.2 94.1Chronic sinusitis . . . . . . . . . . . . . . . . . . . . . ...473 12,675 119.6 54.5 1327 167.4 155.1 1.0 “0.5 67.5Deflected nasal septum . . . . . . . . . . . . . . . . . .470 727 6.9 ●1.3 8.1 12.4 ‘6.5 ‘0.6 ●_ 86.9Naeal polyp . . . . . . . . . . . . . . . . . . . . . . . . . ...471 306 2.9 ‘1.7 2.7 4.4 *4.2 ●- ●_ 83.7Chronic laryngitis . . . . . . . . . . . . . . . . . . . . ...476 186 1.6 ●1.7 ●1.3 *1.3 ‘3.0 *_ ●_ 77.1Hay fever,without asthma 7,698 74.5 58.2 95.4 63.9 49.7 2.3 ●0.7 70.5

(includes upper respiratoryallergy) . . . . . . . . . . . . . . . . . . . . . . . .477,478.6

Pleurisy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..511 147 1.4 ●- “1.5 *25 ’27 ●2O ●_ 78.2Pneumoconiosis . . . . . . . . . . . . . ...495.500-508 274 2.6 *- ‘0.6 4.2 15.4 44.5 43.1 98.7Other chronic interstitial pneumonia. . .515,516.3 123 1.2 “0.8 ‘0.7 *1.6 ●3.4 ●17.9 ‘14.6 68.7Bronchiectasis . . . . . . . . . . . . . . . . . . . . . . . ..494 ●7O “0.7 “0.3 ‘0.3 ‘1.6 ●1.6 ‘20.0 WO.o ‘100.0

1NinthrevisionInternationalGIaaalficatlonoi Diseases.

NOT12 Relative standard errors of estimates for this table am found in appendix 1,figures I and III.

25

Tabfe 7. Average annuaf number of aefacted reported CW ra~ con@iona among femx rate per 1,000 persons by egs+ and percent ofcondtina causing ac6vity Iimii and phyafcian vfaitsxUnited stat- 1979-81

pata are based on household Interviews of the civilian noninatltutionalized population. The survey design, general qualifications, and information on the reliability of the estimatea am given in

appendix 1.Definitions of terrna are given in appendix 11]


of Age ActMty Ilmitatjon1physician

conditions Under 65 yaara In majorChronic respiratory condition in All 17

visit17-44 45-64 and

and ICD codeland In major

thousandsor

ages years years years over outside activity activity more

Rate per 1,000 persons f%rcent

Chronic bronchitis. . . . . . . . . . . . . . . ...490.491 4,3W 36.6 28.7 35.7 45.3 55.7Emphysema. . . . .

5.3. . . . . . . . . . . . ...492.518.1.2 650

4.15.7 “0.3

95.6“1.3 10.7 23.6

Asthma, with or without hay fever. . . . . . . ...49345.6

3,43039.5 98.3

30.2 26.3 30.5 37.6 24.0Hypertrophy of tonsils and adenoids. . . . . ...474

20.61,632

13.116.1

97.132.4 16.0 4.8 “22

Chronic sinusitis . . . . . . . . . . . . . . . . . . . . . ...473‘0.5

17,553“0.4

154.5 47.696.0

163.7 206.7 163,1Deflected nasal septum . . . . . . . . . . . . . . . ...470

0.6393 3.5

“0.4“0.3

72.54.4 5.9 “2.6

Nasal polyp. . .“1.0 ●-

. . . . . . . . . . . . . . . . . . . . . ...471 409 3.6 “1.790.8

4.1 4.1 “5.1Chronic laryngitis

●- ●-

. . . . . . . . . . . . . . . . . . . . ...478 757 6.7 3.585.1

8,6 7.0 “5.1 ‘0.8 ‘0.8 66.6Hay fever, without asthma 9,079 79.9 51.5 101.7 65.4 64.3 1.9 ‘0.7 74.6

(includes upper respiratoryallergy) . . . . . . . . . . . . . . . . . . . . . ...477.478.8

Pleurisy. . . . . . . . . . . . . . . . . . . . . . . . . . ...511 302 27 ●- 3.0 4.2 *4.3Pneumoconiosis. .

●-

. . . . . . . . . . . ...495.500-506

●-

“17 ‘0.195.0

●- “0.3 ‘0.2 ●-

Other chronic interstitial pneumonia. ..515,516.3

●- ●-

120‘41.2

1.1 “0.1 “0.6 ●1.7 ●3.6 ●3.3 ●3.3Bronchiectasis . . . . . . . . . . . . . . . . . . . . . . ...494 ●69 “0.6

100.0“0.4 “0.2 “1.1 *1.6 “ 14.5 *14.5 “6a.4

7Ninth re+iaion International Cle.saif ication of DIWaSea.

NOTE Relative standard errors of eatlmates for this table are found in appendix 1,figures I and Ill.

Tabfe 8. Average annual number of selected reported chronic respiratory condition rate per 1,000 persons, and percent of conditions causing activiiIimitatiin and physician visitq by race United State% 1978-81

[Data are based on household interviews of the civilian nonlnstitutionalized population. The survey design, general qualifications, and information on the reliability of the estimates are gh-+n in

appendix L Definitions of terms are given in appendix II]

White Black


NumberActivity limitation Number

Activity limitation

of Rate In major 1physician of Rate In major 1ph ysician

conditions par and visit conditions per and visit

Chronic respiratory condition in 1,GVX3 outside In major or in 1,000 outside In major

and ICD code’

or

thousands persons activity activity more thousands persons activity activity more

Chronic bronchitis . . . . . . . . . . . . . . . . ...490.491 7,012

Emphysema . . . . . . . . . . . . . . . . . . ...492.518.1.2 2,129

Asthma, with or without hay fever . . . . . . . ...463 5,821

Hypertrophy of tonsils and adenoids. . . . . ...474 2,695

Chronic sinusitis . . . . . . . . . . . . . . . . . . . . . ...473 27,235

Deflected naeal septum . . . . . . . . . . . . . . . ...470 1,099

Neealpoiyp, . . . . . . . . . . . . . . . . . . . . . . . . ...471 616

Chronic laryngitis . . . . . . . . . . . . . . . . . . . . ...476 818

Hay fever, without asthma 15,3C0

(includes upper respiratory

allergy) . . . . . . . . . . . . . . . . . . . . . . ...477.478.8Pleurisy . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...511 427

Pneumoconiosis . . . . . . . . . . . . . ...495.500-506 270

Other chronic interstitial 233

pneumonia . . . . . . . . . . . . . . . . . . ...515.516.3

Bronchiectasis . . . . . . . . . . . . . . . . . . . . . . ...494 130

37.111.330.814.3

144.15.8

3.34.3

81.0

2.31.4

1.2

0.7

Percent

4.8

47.321.7

“0.70.8

“0.7●-

‘0.42.0

3.942.913.1“0.40.4●-

●-

“0.40.7

94.996.496.995.770.166.3

67.972.073.1

63563

696

3752,689

“18

78

971,309

24.63.2

34.714.5

104.0“0.7

3.0

3.650.6

‘0.7 ●- 89.2 “18 ‘0.7

44.1 42.6 94.4 ●21 “0.8

“11.2 “9.4 96.3 “lo ‘0.4

“19.2 ●19.2 93.8 ●5 ‘0.2

percent

●3.5 ‘3.0 94.2

“60.2 ‘60.2 92.6

18.5 14.2 96.3

‘0.8 “- 91.2

“1.5 80.9 73.9●- ●- ‘100.0

._●- “55.1

“3.1 “3.1 “55.7

“2.4 80.5 71.7

●✍ ●✍ “100.0

● 14.3 “1 4.3 “81.0●- ●- “100.0

●✍ ●✍ ●1OO.O

lNinth revision International Classification of Diseasss.

NOTE Relative standard errors of estimates for this table am found in ap~ndix 1,figures I and III.

26

Table 9. Average annual number of selected reported chronic digestive condiinq rate per 1,000 persons by age, end percent of conditions causingactivity Iiiitetiors and physician vis”k United State% 1979-sI

[Data are baaed on household intewiews of the civilian noninstitutionalizad population. The survaydesign, genersl qualifications, and information on the reliabiiityof the estimates are given in

appendix L Dafinitiona of terms are given in appendix It]


ofAge Activity /imitation

1physicianconditions Under 65 years In major visit

Chronic digestive in All 17 77-44 45-64 and and /n majorcondition and ICD code’

orthousands ages years years years over outside activity activity more

Ulcer of stomach and duodenum . . . . . . .531-534Frequent constipation. . . . . . . . . . . . . . . ...584.0Hernia of abdominal cavity . . . . . . .550-553,750.6Functional and symptomatic upper

gastrointestinal disorders.. .536,783.0,787.0,1Gallbladder conditions . . ...574.575.576.1-5,6,9,

793.3Gastritis and duodenitis . . . . . . . . ...535.0-2.4-6!Werticulaofintestine . . . . . . . . . . . . . . . . ...562Chronic enteritis and colitis . . . . ...555.558.558Intestinal conditions.. . ...564.15689767.3.5,,, ,,Stomach trouble, not otherwise

specified . . . . . . . . . . . . . . . . . . . . . . . ...537.9Liver conditions . . . . . . . . . . . . ...570-573.794.8

3,7893,8633,8023,W8

1,451

1,7331,4272,1161,615

606

491

Rate per I,OCXJpersons Percent

17.3 “0.8 18.3 30.5 29.016.6 4.6 10.5 23.2 5s.917.8 3.2 8.3 38.5 55.917.8 2.2 17.4 29.7 36.7

6.6 ‘0.1 5.0 125 18.2

7.9 1.4 7.1 14.5 14.76.5 “0.1 ‘0.5 14.0 31.99.6 4.1 8.7 14.0 18.77.4 “0.8 6.2 14.9 14.03.7 “0.6 3.6 5.4 8.3

22 “0.1 2.0 5.3 ‘2.7

9.4 8.0 97.6“0.1 ‘0.1 70.214.9 121 97.4“1.8 ‘1.5 67.8

5.9 5.6 67.6

“2.5 *2.1 91.66.1 5.3 97.96.1 4.6 89.94.9 *4.2 929

“8.4 “7.9 85.0

21.8 20.0 96.4

1Ninth revision International Classification of Oiseases.

NOTE Relative standsrd errors of estimates for this table are found in appendix 1,figures I and Ill.

Table 10. Average annual number of selected reported chronic d~atfve conditbns among ~ rate per 1,000 parsons by age, and percent ofcondtiions causing activii iiiitetion and physician visits United Stst~ 1979-S1

[Data are based on household Intervlewaof the civilian noninstltutionalized population.The survaydeslgn, ganarel qualification& and infomsation cm the reiiebilityof theestimatea are given inappendix L Definitions of terms are given in appendix II]

Conditions causinaNumbar


1physician

conditions Under 85 years In major visit

Chronic digestive in All 17 17-44 45-64 and and In majar

condition and ICD code’

or

thousands ages years years years aver outside activity activity more

Rate per 1,000persons Fercent

Ulcer of stomach and duodenum.. . . . . .531-W 1,810 17.1 “0.3 17.5 33.8 30.8 124 11.2 98.7Frequent constipation . . . . . . . . . . . . . . . ...564.0 858 8.1 3.6 28 11.2 39.2 ●- *- 70.7Hernia of abdominal cavity. . . . ...550-553.750.6 2,056 19.4 4.8 8.1 44.9 61.9 14.3 11.1 98.7Functional and symptomatic upper 2,054 19.4 “2.1 20.7 33.1 26.4 ‘1.5 ‘1.1 84.7

gastrointestinal disorders.. .536,7S3.0,787.0,1Gallbladder conditions . . . . .574,575,576.1 -5,8,9, 307 29 ●_ “0.7 7.9 11.2 ●7.5 ●5.9 98.7

793.3Gastritis and duodenitis . . . . . . . . . . .535.0-2,4-6 717 6.8 ●1.2 6.5 13.4 10.7 ●2O *2O 91.5Diverticula of intestine . . . . . . . . . . . . . . . . ...562 382 3.6 ‘0.1 “0.2 9.8 16.6 “8.6 ‘8.6 95.0Chronic enteritis and colitis . . . . ...555.556.558 642 8.1 4.5 5.2 7.9 10.7 ‘8.3 *5.1 89.9Intestinal conditions. . . . ...564.15689787.3.5,,, ,, 410 3.9 ‘0.4 3.4 7.2 9.5 *5.6 *5.6 83.7Stomach trouble, not otherwise 34s 3.3 “0.7 2.6 5.9 8.5 ‘14.9 ●14.9 77.6

specified . . . . . . . . . . . . . . . . . . . . . . . ...537.9Liver conditions . . . . . . . . . . . . ...570-573.794.8 276 26 “0.1 22 6.3 “4.2 “25.0 ●23.2 68.9

1Ninth revision International Classification of DLseases.

NOTE Relative standard errors of estimates for this table are found in appendix 1,figures I and Ill.

27

Table 11. Average annual number of selected reported chronic digesdve conditions anong femafeq rate par l,fNt) persons by age, and percent ofcondtiiona causing ac6vii Iffitstion and physician visits United Ststeq 1979-81

[Dataarebassdonhouseholdinterviewsof theciviliannonlnstltutionalizedpopukdlon.Thesuweydesign,generalqualification, and Informationonthe reliabilityof theestimateaaregiveninaPPendiX1.Deflnltlonaof termsare giveninappendix11]

NumberConditions causing


1physicianconditions Under 65 years In major visit

Chronic digestive in All 17 17-44 45-64 and and In major

condition and ICD code’or

thousands ages years years years over outside activity activity more

UIcerof stomach and duodenum. . . . ...531-534Frequent constipation. . . . . . . . . . . . . . . ...564.0Hernia of abdominal cavity.. . . ...550-553.759.6Functional and symptomatic upper

gastrointestinal disorders.. .536,763.0,787.0,1Gallbladder conditions. . ...574.575,576.1-5,8,9,

793.3Gastritis and duodenitis. . . . . . . . ...535.0-2.4-6Oivefticula of intestine . . . . . . . . . . . . . . . . ...582Chronic enteritis and colitis . . . . ...555.556.558Intestinal conditions . . . . ...564.15689787.3.5,! >),Stomach trouble, not othetwise

specified . . . . . . . . . . . . . . . . . . . . . . . ...537.9Liver conditions . . . . . . . . . . . . ...570-573.764.8

Rate per 1,000 pereons Percent

1,979 17.4 ●1.4 19.1 27.4 27.7

2,825 24.9 5.6 17.6 34.2 72.61,646 16.2 “1.6 8.5 26.8 51.71,654 16.3 ’22 14.3 25.4 37.0

1,144 10.1 “0.1 9.0 16.7 23.0

1,016 8.9 “1.6 7.7 15.4 17.51,044 9.2 ●- ‘0.7 17.8 42.51,474 13.0 3.7 11.9 19.7 24.21,205 10.6 “1.2 8,9 21.9 17.2

4s1 4.1 “0.6 4.5 5.0 8.2

215 1.9 “- 1.9 4.3 ‘1.8

6.7 5.2

“0.2 ‘0.215.5 13.2‘2.1 “1.8

●5.5 *5.5

“3.0 ●2.2●5.2 ‘4.05.2 ●4.3

*4.6 ●3.7“3.5 ●26

“17.7 “15.8

96.670.196.171.1

97.3

91.7

99.189.996.190.7

100.0

1NinthrevisionInternationalClassificationof Diseases.

NOTE Relativsstandarderrorsofestimatesforthiatablesrefoundinsppendix1,figures1andIll.

Table 12. Average ann.af number of safected reportad chmnfc digestive condi60rw rate per 1,000 pereon~ snd percent of conditions causing ec6vityfimitstionand physician vieii by w United Stete$ 1979-81

[Dataarebasedon householdinterviewsof theciviliannoninatitutlonafizedpopulation.Thesuwaydaeign,gensralqualifications,andinformationonthersliabilltyoftheestimatesaregivaninappendix1.Definitionsoftermsaregiveninappendix11]

White Black

Conditions causing Conditions cauahrg

NumberActivity imitation


of Rete In major 1physician of Rate In major 1physician

conditions per and - visit oonditiona per and visit

Chronic digestive in 1,000 outside In major or in l,LXiO outside in major or

condition and iCD code~ thousands persons activity activity more thousands persons activity activity more

Parcant Fercent

Ulcerof stomachand duodenum. . . . ...631-534 3,301 17.5 8.0 7.0 97.5 475 16.1 19.8 ●16.1 97.6Frequent constipation . . . . . . . . . . . . . . . ...564.0 3,100 16.4 ‘0.2 “0.2 70.3 529 20.5 ●- ●- 72.0Herniaof abdominalcavity . . . . . . .550-553,750.6 3,575 16.9 14.7 11.8 97.3 304 11.8 ●17.1 ‘15.8 96.0Functionaland symptomaticupper 3,409 18.0 ‘1.6 ●1.2 67.2 402 15.6 ‘3.0 83.0 72.9

gastrointestinaldisorders. . .538,763.0,787.0,1Gallbladder 1,315 7.0 ‘4.9 ‘4.6 97.6 118 4.6 “17.8 ‘17.8 96.6

conditions . . . . . ...574.575.576.1-5.8,9, 793.3Gastritis and duodenitis . . . . . . . . ...535.0-2.4-6 1,473 7.8 “2.9 ’24 90.6 210 8.1 ●- *_ 97.1Divefticula of intestine . . . . . . . . . . . . . . . . ...562 1,393 7.4 6.2 5.4 97.9 ’21 ‘0.6 ●- ●- ●1OO.OChronic enteritis and colitis.. . . . ...555.556. 5E8 1,979 10.5 6.5 4.9 90.4 107 4.1 ●- *-

intestinal conditions76.6

. . ...564.15689787.3.5,) 7,! 1,494 7.9 “4.8 “4.0 92.5 108 42 ●7.4 ●7.4 97.2

Stomach trouble, not otherwise 664 3.6 “6.7 ●6.1 65.2 106 4.1 “21.0 “21.0 81.0specified. . . . . . . . . . . . . . . . . . . . . . . . ...637.9

Liverconditions.. . . . . . . . . . . . ...570-573.794.8 442 23 19.7 17.9 96.1 ●45 “1.7 ●42.2 ●42.2 ●1OO.O

1NinthrevisionIntematlonalClssaificationof Diseases.

NOTE Reiativestandarderrorsofestimatesforthistablearefoundinappendix1,figuresI and Ill.

28

Table 13. Average annual number of selected reported impairments, and condtiins of the nervous system and sense organaj rate per 1,000 persons byage, and percent of condtions causing actisrii limitation and physiciin viaitsx United States, 1979-81

[Data are based on household interviews of the civilian noninstitutionalized population. The aurv’aydesign, general quafificahons, and information on the reliability of the est,mates are given inappendixLDefinitionsof termsare g!ven in appendix H]



1physicianImpairment, chronic condition conditions Under 65 years In major visit

of nervous system and sense organs, in All 17 17-44 45-64 and and In major orand ICD code’ thousands ages years years years over outside activity activity more

Impairment

Visual impairments . . . . . . . . . . . . . . . ..XOO-X04Hearing impairments . . . . . . . . . . . . . . . .X05-X09Speech impairments . . . . . . . . . . . . . . . .X1O-XIIAbsence of extremities or parts of extremities

(excludes tips of fingers ortoes only) . . . . . . . . . . . . . . . . . . . . . ..X20-X29

Absence of entire finger(s) andlorthumb@)only . . . . . . . . . . . . . . . ..X22. X25

Other extremities or parts of extremitiesabsent . . . . . . .X20,X21,X23,X24,X26-X29

i%ralysis, complete or partial, of extremitiesor parts of extremities . . . . . . . . . . . . .X40-X59

Deformities or orthopedicimpairments . . . . . . . . . . . . .X70-X76, X78-X89

Deformities or orthopedic impairmentsof back . . . . . . . . . . . . . . . . ..X70. X71.X6O

Deformities or orthopedic impairmentsof upper extremities or parts ofupper extremities . . . . . . . . ..X73. X74.X64

Deformities or orthopedic impairment oflower extremities or parts oflower axtramities . .X75,X76, X78,X85,X86

Condition of nervous systemand sense organs

Glaucoma, all forms . . . . . . . . . . . . . . . .360.4,365Cataracts, all forms. . . . . . . . . . . . . . . . . . ...=Color vision deficiencies . . . . . . . . . . . . . . . .3W5Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . ..340Epilepsy, all types, or chronic convulsions,

cause unknown . . . . . . . . . . . . . . ...345.780.3Migraine . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..346Wlatica . . . . . . . . . . . . . . . . . . . . . . ..355.O.724.3Neuralgia neuritis, specified sites and types,

not elsewhere classified . . .350.1,2,351,352.1,355.1,2,8,357.0

8,54517,5652,1501,715

1,084

631

1,215

18,427

11,664

2,959

5,345

1,4713,9641,966

113872

5,6591,4171,100

Rate per l,WJ persons

36.980.0

9.87.8

4.9

2.9

5.5

63.9

53.2

13.5

24.3

6.716.19.00.54.0

25.66.55.0

9.616.715.91.5

‘0.7

“0.8

1.7

19.8

9.5

2.8

8.4

“0.1“0.73.1●-

3.1

5.6●-

●O.1

28.144.26.64.1

2.8

1.3

3.4

92.8

62.2

13.7

23.3

1.31.5

10.0“0.54.7

35.74.120

53.4129.7

8.116.2

11.0

5.2

7.8

118.4

77.5

20.2

33.3

10.416.613.6●1.24.3

26.313.510.0

125.82626

10.822.3

124

9.9

19.2

1424

80.1

26.3

51.1

37.2127.010.690.5“25

16.718.319.6

Fercent

16.7

3.99.0

18.2

‘5.7

39.0

65.7

31.6

25.8

25.3

43.7

1249.6

“2277.042.8

3.88.3

10.4

12.02.36.4

13.5

*2.5

32.3

54.4

22.4

19.6

17.0

29.1

9.27.4

‘1.067.3X3.6

2.46.4

●6.5

68.573.7eO.269.6

99.6

99.5

96.6

91.2

88.6

92.7

95.0

99.297.465.592.999.5

85.7S3.568.1

lNlnth revision International Classlf Ication of Diseases. impairments are coded according to a special classification system for the National Health Interview Survey.

NOT~ Relative standard errors of estimates for this table are found in appendix 1,figures I end Ill.

29

TaMa 14. Averagamnuat nrnnbarof sefeded1,000personsby eg@ and percentofcmdfhna

mQiMt_d-ifnPa& ~ OfnuMma Oi the narvouaaystemaffttseftaeorgatlsarnorlg-MteperSfMa60nandphyaaan Vfa& Unftedstatoq 19M1

[Dataarebas$donhouseholdintenfiawsof theciviliannoninstitutiomdbsdpopulation.Thesway W9ign,generalqualiflcatiens,andinformaticmonthereliabilityof theestimateasrsgiwt inappendix 1.Oetinitiona of terms am given in appendix II]

Conditions cauaingNumber

ofA@? Activity limitation

1physicianImpairment, chronic condition conditions Under 65 ysara in major

of nerwws system and sense organs,visit

in All 17 17-44 45-64 and and In maior orand ICD code’ thousands ages years years ywara over outside activity activity more

Impairment

Visual Impakrnents . . . . . . . . . . . . . . . ..XW-X04Hearing impairments.. . . . . . . . . . . . . ..X05-X09Speech impairments . . . . . . . . . . . . . . ..XIO-X1lAbsence of extremities or parts of extremities

(excludes tips of fingers ortoas only) . . . . . . . . . . . . . . . . . . . . . ..X20-X29

Absence of entire finger(s) andforthumb(s)only . . . . . . . . . . . . . . . .. X22.X25

Otherextremitiesor partsof extremitiesabsent. . . . . . .X20.X21.X23.X24.X28-X29

Paralysis,mmplete or partial,of extramltieeorpartsof extremities . . . . . . . . . . . ..X40-X58

Deformitiesororthopedicimpairments. . . . . . . . . . . ..X70-X76. X78-X89

Deformitiesororthopedicimpairmentsof back . . . . . . . . . . . . . . . . ..X70. X71.X80

Deformitiesororthopedicimpairmentsof upparextremitiesorpartsofupparextremities. . . . . . . . ..X73. X74.X84

Deformitiesororthopedicimpairmentsoflowerextremitiesor partsoflowerextremities . .X75,X76,X78,X85,X86

Conditionof netvoussystemand senseorgans

Glaucom~allfonns . . . . . . . . . . . . . . ..8&_t.4.8&Cataracts,all forms. . . . . . . . . . . . . . . . . . . ..368Oolorvislondeficiencies.. . . . . . . . . . . . . . .!3E8.5Multipleaclerosls. . . . . . . . . . . . . . . . . . . . . ..fMoEpilepey,all types,orchronicconvulsions,

cause unknown . . . . . . . . . . . . . . ...345.780.3Migraine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .348Sciatica . . . . . . . . . . . . . . . . . . . . . ...355.0.724.3Neuralgi~ neuritis,spaolfladsitesand types,

notelsewhereclaesiflad . . .350,1,~ 351,352.1,355.1,28,367.0

Rate per 1,000 parsons I%cent

4,9229,6391,3761,264

898

486

884

9,119

5,238

1,757

2Jf67

843,m,m“27452

,A80442297

46.591.013.012.9

8.6

4.4

6.5

66.1

48.4

16.6

27.1

6.113.117.3“0.34.3

13.84.228

12817.620.8“20

“0.8

●1.2

“1.9

17.9

6.4

3.1

8.6

“0.1“1.05.8●-

3.7

6.2●-

“0.1

38.257.39.07.3

5.3

2.0

4.5

101.4

60.0

18.8

29.4

“1.520

19.6“0.25.4

19.628

●1.2

68.31=.3

9.727.6

19.6

8.0

10.3

126.5

77.0

24.9

37.1

10.016.328.1“0.8●3.4

14.97.9

- 4.5

133.3323.2

14.640.6

23.1

17.5

21.4

138.0

720

28.6

49.8

37.193.822.7“0.4“26

7.615.414.7

15.33.79.3

18.7

●5.2

43.8

68.9

32.9

27.3

24.7

43.6

14.810.2“22

●85.2520

‘5.0‘9.5

*17.8

11.1235.9

14.2

‘3.0

36.8

54.4

23.1

21.4

17.0

28.3

●11.59.0

*1.1‘70.4427

‘4.0‘8.1

●11.8

83.773.059.999.8

89.6

100.0

9S.1

92.1

89.7

93.1

95.s

98.897.466.6

●1OO.O89.1

83.379.467.9

1NinthrwislonlntemstionalClssafficaticaof Diaaasaa.Impskmantsaracodedaccordingtoa apeclalclassificationsystemforthsNationalHealthIntarviawSUIVSY.

NOTE Ralstivsstandardenorsofestimatesforthistableam foundinappartdix1,flgumsi andIll.

30

Table 15. Average annual number of selected reported impairmen.k -and condrtiona of the nervous system and sense organs smong femde~ rate par1,000 persona by age, and percent of conditions causing sctivty iii and physician visits United States 1979-81

[Dataarebaaedonhouseholdinterviewsof theciviliannoninatltutbnalizsdpeculation.Thesurveydesign, generalqualifications,andinformationon therellabilitvoffheeatimates aregivsn in

appendix 1.Definitions of terms are given in appendix II]



1physicianImpairment, chronic condition conditions Under 65 years in major visit

of nervous system and sense organs, in All 17 17-44 45-84 and and In major orand lCD code’ thousands ages years years years over outside activity activity more

Impairment

Visual impairments . . . . . . . . . . . . . . . ..XOO-X04Hearing impairments . . . . . . . . . . . . . . . .X05-X09Speech impairments. . . . . . . . . . . . . . ..XIO-X1lAbsence of extremities or parts of extremities

(excludestips of fingersortoesonly) . . . . . . . . . . . . . . . . . . . . . ..X20-X29

Absence of entire finger@) and/orthumb(s) only . . . . . . . . . . . . . . . ..X22. X25

Other extremities or parts of extremitiesabsent . . . . . . .MO, X21>X23, X24, X26-X29

Paralysis,completeor partial,of extremitiesor partsof extremities . . . . . . . . . . . ..X40-X59

Deformitiesor orthopedicimpairments. . . . . . . . . . . . .X70-X76, X76-X89

Deformitiesororthopedicimpairmentsof back . . . . . . . . . . . . . . . . ..X70. X71.X6O

Deformitiesororthopedicimpairmentsof upperextremitiesor partsofupperextremities. . . . . . . . . .X73,X74,X64

Deformitiesororthopedicimpairmentsoflowerextremitiesor partsoflowerextremities . .X75,X76,X78,X65, X66

Conditionof nervoussystemand senseorgans

GIaucom~ ali forms. . . . . . . . . . . . . . . .360.4,365Cataracta,all forms . . . . . . . . . . . . . . . . . . . ..3S6Colorvisiondeficiencies. . . . . . . . . . . . . . . .36S.5Multiplesclerosis. . . . . . . . . . . . . . . . . . . . ...340Epilepsy,all types,orchronicconvulsions,

cause unknown . . . . . . . . . . . . . . . ..345.7s0.3Migraine . . . . . . . . . . . . . . . . . . . . . . . . . . . ...346Sciatica . . . . . . . . . . . . . . . . . . . . . . ..355.O.724.3Neuralgia,neuritis,spaoifiadsitesand types,

notelsewhereclassified . ..350.1,2,351,3521,355.1,2,6,357.0

3,6227,926

774351

166

165

531

9,306

6,448

1,202

~476

828Z579

13526

420

4,169975603

Rate per I,OCCIpersons %rcent

31.969.86.83.1

1.6

1.5

4.7

81.9

56.7

10.6

21.8

7.3227

1.20.63.7

37.08.67.1

6.215.810.8“0.9

“0.6

“0.3

●1.5

21.9

127

“25

7.6

*-

“0.4“0.2

●-

●25

5.0●-

17.631.84.2

●1.2

‘0.5

‘0.6

2.3

S4.6

64.2

6.6

17.5

●1.2“1.1‘1.0“0.94.1

51.05.4

●- 29

39.01027

6.65.8

‘3.1

’27

5.4

111.9

78.0

16.0

29.7

10.717.0●2I*1.55.2

55.816.714.9

12Q.5254.4

8.19.6

‘5.1

“4.5

17.8

M5.4

85.8

24.1

51.9

37.2150.2“23“0.6’25

23.120.323.0

18.64.1

●8.5“16.2

●8.6

●25.5

61.6

30.4

24.5

26.3

43.7

10.59.3

‘3.0‘74.4329

3.47.8

‘7.7

13.32.2

“7.2●1O.6

●✍

“23.0

54.4

21.6

18.2

17.0

30.0

“7.56.4●_

*65.123.6

1.8*6.5‘4.5

95.174.5eO.996.9

100.0

97.6

99.2

90.2

87.7

92.0

84.()

99.697.4

“51.’[90.7

Icul.o

66.565.36s.2

1Ninth revlslon Intematlonal Classification of Diseases. Impairments ara coded according to a spatial classification system fw the National Health Intarviaw Swvay.

NOTIE Relative standard errors of estimates for this table are found in appendix 1,flgwra I and Ill.

31

Table 16. Average annual number of selected reported impairments and condtions of the nervous system and sense organs, rate per 1,000 personsjand percent of condtiions causing activity limitation and physician visita, by race: United States, 1979-81

[Data are based on household Intewlews of the awllan non!nstltutlonal lzed populatmn The survey deelgn, general qualificatkms, and reformation on the reliability of the esbmates are given inappendix I De fln!tions of terms are gwen (n appendix 11]

White Black


NumberActivity //mitation


of Rate /n major 1physic[an of Rate In major 1physicianImpairment, chronic condition condttlons per and visit conditions per and visit

of nervous system and sense organs, in 1,000 outside In major or in 7,000 outside In major orand /CD code’ thousands persons activity activity more thousands persons activity activity more

Impairment

Visual impairments . . . . . . .XOO-X04

Hearing impairments. . . . . . . . . . . . . . . .X05-X09

Speech impairments ., . . . . . . . . . . . . .XIO-X1 1

Absence of extremities or parts of extremities

(excludes tips of fingers ortoesonly), . . . . . . . . . . . . . . . . . . . . .. X2O-X29

Absence of entire finger(s) and/orthumb(s) only . . . . . . . . . . . . . . . .. X22.X25

Other extremities or parts of extremitiesabsent. . . . .X20, X21, X23, X24, X26-X29

Paralysis, complete or parfial, of extremitiesorparts of extremities . . . . . . . . . . . .. X40-X59

Deformities or orthopedicimpairments . . . . . . . . . . . . .X70 -X76,X78-X89

Deformities or orthopedic impairmentsof back . . . . . . . . . . . . . . . . .. X70. X71. X8O

Deformities or orthopedic impairmentsof upper extremities or parts of

upper extremities . . . . . . . . . .X73, x74, x64Deformities or orthopedic impairments of

lower extremities or parts of

Iowerextremities . .X75,X76,X78,X85,X88

Condition of nervous systemand sense organs

Glaucoma, all forma. . . . . . . . . . . . . ...360.4. 365Cataracts, all forms . . . . . . . . . . . . . . . . . . . ...366

Color vision deficiencies . . . . . . . . . . . . . ...388.5

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . ...340

Epilepsy, all types, or chronic convu Isions,

cause unknown . . . . . . . . . . . . . . ., ..345,780.3Migraine . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...348Sciatica. . . . . . . . . . . . . . . . . . . . . . ...355.0.724.3Neuralgia, neuritis, specified sites and types,

not elsewhere classified . . . .350,1,2,351,352.1,

355.1,2,8,357.0

7,551

16,048

1,5641,531

984

547

984

16,351

10,475

2,564

4,667

1,2783,552

1,878

105

758

4,9271,3941,021

40.084.9

8.38.1

5.2

2.9

5.2

86.5

55.4

13.6

24.7

8.818.89.90.64.0

26.17.45.4

Fercent Percent

16.83.99.8

16.1

“6.0

33.6

86.4

31.1

25.1

24.5

43.6

12.49.9

*2.3

79.0

41.3

3.88.2

10.3

11.62.36.6

10.8

‘2.4

26.1

54.3

21.4

16.8

15.2

28.4

9.47.3

*1.1

72.4

31.9

2.26.5

●6.7

8a.574.264.7

99.5

99.6

99.3

98.3

90.7

88.0

92.8

95.2

99.498.1

65.696.2

99.5

85.783.288.4

8931,264

550

178

94

64

209

1,059

347

614

Iw375

79

*8

114

684“23“71

34.648.921.3

6.9

3.6

3.3

8.1

70.9

41.0

13.4

23.8

7.414.5

3.1“0.34.4

25.7

“0.9●2.7

15.8●3.8“4.7

“36.5

●3.2

‘73.8

62.2

37.3

32.9

32.9

43.8

“13.2“8.0

●-

“m.o

●52.6

●4.4“21.7*14.1

14.4“2.5●4.2

“36.5

*3.2

●73.8

55.5

30.7

28.3

30.0

33.4

*6.4‘8.0

*_

*-

*44.7

●3.6●-

●4.2

88.167.245.6

100.0

100.0

100.0

100.0

94.4

93.8

90.5

93.0

97.969.9

●60.8‘50.0

100.0

87.3“100.0

“93.0

1Ninth revision International Claasiflcatlon of Disaases. Impairrnants ara ceded according to a spaciel classification system for the National Health Interview Suway.

NOTE Relative standard errors of estimates for this table ara found in appendix 1,figures I and Ill.

32

Table 17. Average annual number of ae!eoted reported chronic oondtins of the skin and subcutaneous tissue and other related oondtin~ andoondtins of the mueculoekeletel system and connective tissue, rate per 1,000 pereons by age, and percent of oondtins causing acWty lknitetiirr and

physician Via’& United Stateq 1979-81

[Date are based on household interviews of thecivllian noninstltutionalized population.l%e survey design, general qualifications, and information on the reliability of the estimates are given inappendixLDefinitionsof terms are givenin appendix II]



1physician

Chronic condition of skin and subcutaneous conditions Under 65 years In major visittissue, chronic condition of musculoskeletal in All 17 17-44 45-64 and and In major

system and connective tissue, and ICD code’

orthousands ages years yeara years over outside activity activity more

Condition of skin andsubcutaneous tissue

Chronic infections of skin and subcutaneous

tissue,not eleewhere classified . . ...680-662.664-6%, 72%.6,723.3,771.4

Eczema, dermatitis, and urticaria,not elsewhere classified . . . . . . . . .277.6,373.3,

690-692,693.1,694.0-3, 706,985.1,3Psoriasie and similar disorders . . . . . . . . . . . .696Other inflammatory conditions of skin

and subcutaneous tissua . . . . . . .694.4-6,695,697,698

Command callosities . . . . . . . . . . . . . . . . . ...700Oiseaaes of nail . . . . . . . . . . . . . . . . . . . . . ...703Oisease of sebaceous glands, not elsewhere

classified (acne) . . . . . . . . . . . . . . . . . . . ...706Other dieeaaes of ekin and subcutaneous tissue,

not elsewhere classified . ..694.8.9,701.5,702,704,705,707,708,782.8

Infectious and parasitic diseases

Dermatophytosis anddermatomycoses . . . . . . . . . . . . . . . ..llO.lll

Neoplasms

Neoplaems of the skin . . . . . . . . . . . .172j 173,216

Condition of musculoskeletal systemand connective tissue

Arthritis, not elsewhereclassified . ..711.0.9,7128,9,714, 715.0,1,3,8,9,

716,719.3,720.0,8,9, 721.0,2,3,6-7,9Rheumatism, nonarticular and

unspecified . . . . . . . . . . . ...710.3.4.715.2.725.726.o,~ 729.0,1

Osteomyelitis and other diseasesof bone . . . . . . . . .724.7,730.0-3,9, 731.0,2, 732,

733.0-5,7,9,793.7Displacement of intervertebral disc . . ...722.0-7

Bunion . . . . . . . . . . . . . . . . . . . . . . . . . . . ...727.1

Synovitie, bursitis andtenosynovitis . . . . . . . . . . . . . . . ..719.2.720.1.

726.1,3-9,727.0,2-5

Rate per 1,000 paraons Percent

277 1.3 ‘1.0

39.1

1.87.9

“1.34.8

228

2.8

●1.1

‘0.4

1.6

39.9

8.216.2

15.519.440.3

6.6

3.3

3.7

‘1.1

33.0

13.317.8

37.625.410.5

9.9

3.4

10.7

‘1.0 *7.2 *4.3 92.4

8,107 36.9 27.4 2.9 7.8 87.5

8.015.3

12.3

24.7

‘1.8‘1.0

‘1.4“0.6

91.356.9

1,7513,352

4,4564,2635,713

1,533

2Q.319.426.0

7.0

53.744.0

6.7

13.4

‘0.9“0.3‘0.8

‘4.6

“0.8●-

“0.1

*4.1

40.944.872.6

76.8

563

1,299

2.7 24 79.8

‘1.8 “0.9 96.119.05.9

26,9!XI 1228 3.1 48.9 255.8 458.4 20.8 16.8 81.0

682 3.2 ‘0.2 2.1 4.9 11.0 ●7.9 “6.8 71.4

1,02U 4.6 20 3.2 6.7 13.0 34.3 24.9 96.7

2,693 13.21,893 8.64,915 22.4

‘0.3‘0.4

1.5

10.84.8

17.7

31.1-t7.353.4

21.1 45.9 36.0 96.927.8 “1.6 ●1.2 49.034.9 5.8 4.5 89.7

lNinth revision Intematlonal Classification of Diseases.

NOTE Relative standard erroraof estimates for this table are found In appendix 1,figures I and Ill.

33

TZMS 18. Average ennuel number of selected reported chronic COnd*tkS of the skin and SLIbCUt8ne0US tissue snd other related condtins, andconditions of the muaouloeiseletd system and oonnaotive tissue ernow male% Mte par 1,000 parsons by age, and percent of condtins causing activityfkniin and physician visii United Stat+ 1979-81

pate are basedonhousehold interviews of the civilian nonlnatltutlonalizad population. The sway design, general qualifications, and information on the reliability of the estimatas are given In

a!wndix 1.DafMons of terms are given In appendix 11]


of Age Activity limitation

Chronic condition of skin and subcutaneous1physician

conditions Under 65 years In majortissue, chronic condition of musculoskeletal in

visitAll 17 17-44 45-64 and In major

system and connective tissue, and iCD code~and or

thousands agas years yeare years over outside activity activity more


Rate per l,CHXIpersons percent

Chronic infections of skin and subcutaneoustissue, not elsewhere classified . . ...880-882.

884-8%, 723.6,729.3,771.4Eczema, dermatitis, and urficaria,

not elsewhere classified. . . . . . . . .277.6.373.3.

6S0-692, 693.1,694.0-3,708,995.1,3Paoriaais and similar disorders. . . . . . . . . ...668Other inflammatory conditions of skin

and subcutaneous tissue . . . . ...694.4-6.695.697,688

Command calloaities . . . . . . . . . . . . . . . . . . ..7ooDiseases of nail . . . . . . . . . . . . . . . . . . . . . . ..7o3Disease of sebaceous glands, not elsewhere

claesifiad (acne) . . . . . . . . . . . . . . . . . . . ...708Other diseaaes of skin and subcutaneous tissue,

not elsewhere classified . ..694.6.9,701.5,702,704,705,707,709,782.6

157 1.5 “0.7 2.0 ‘1.6 “1.2 “4.5 ●✍ 91.1

3,059 26.9 38.0 27.2 23.7 25.8 3.7 ●1.7 87.9

8481.391

6.013.1

“1.67.3

8.613.3

13.517.0

12.721.9

“0.9‘0.6

●0.5“0.6

69.060.0

1,4211,7582,847

775

13.416.625.0

7.3

“0.65.6

22.8

2.8

12.319.737.0

7.2

24.519.89.9

11.4

33.428.7

8.0

13.0

*1.3*-

“0.6

‘4.1

*1.3*-

“0.1

●4.1

38.844.169.3

75.5


Dermatophytosis anddermatomycoses . . . . . . . . . . . . . . ...110.111

348

627

3.3 “1.1 4.2 4.6 ●2.6 ●-

5.9 ‘0.3 2.3 12.5 25.6 “26

*-

“1.3

72.6

97.3

Neoplasms

Neoplasms of the akin. . . . . . . . . ...172.173.216

Condition of musculoskeletal systemand connective tissue

Arthritis, not elsewhereclassified . ..711.0.9,712.8,9,714, 715.01389>, >,,


unspecified. . . . . . . . . . . . .710.3.4. 715.2,725,728.0,2,726.0,1

Osteomyelitis and other diseasesof bone . . . . . . . . .724.7,730.0-3,9,731.0,2, 732,

733.0-5,7,9,793.7Displacement of intervertebral disc . . ...722.0-7Bunion . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..727. ISynovitis, bursitis and

tenosynovitis . . . . . . . . . . . . . . . ..719.~ 720.1.726.1,3-9,727.0,2-5

9,540 90.1 2.7 36.6 201.4 364.4 19.7 16.3 78.0

275 2.6 ‘0.2 *1.2 4.3 12.5 “8.7 ‘8.7 65.5

422 4.0 2.5 3.6 5.9 “6.2 33.6 21.1 95.0

1,582 14.9 “0.1 12.1409 3.9 “0.1 2.1

1,888 17.8 ‘1.2 14.1

38.5 22.7 44.6 35.9 98.19.0 12.5 “5.9 “4.9 53.3

47.3 22.6 4.5 *3.3 85.9

1Ninth revision International Classification of Dk,eaaes.

NOTE Relativestandarderrorsofestimateaforthistablearefoundinappendix1,figuresI and Ill.

Tabfe 19. Average annual number of selected raprted chronic conditions of the skin and subcutaneous tiesws and other related Corrdtins, andcondlths of the mueculoakefetd ayatem and connec6ve tiiue among f- rate per 1,000 parsons by age, and percent of Condtins causing activityMtation and phyafcian visits United State% 1979-81

[Data am baaed on how-ehold intetvlews of the civlfian noninetitutiomalizad population. The sway design, general qualifications, and information on the reliability of the estimates are given in

apwmdixf.Dafinitiona of terms are given in appendix 11]



1physicianChronic condition of skin and subcutaneous conditions Under 65 ~ars In major visittissue, chronic condition of musculoskeletal in All 17 17-44 45-64 and and In majorsyjstem and conrractiw tissue, and ICD code’

orthousands ages p2ars years ~ara over outside activity activity more

Oortdition of skin andsubcutaneous tissue

Chronicinfectionsof skinand subcutaneoustiesue,not eleewhereclaasifled . . ...680-682.

684-686,723.6,729.3, 771.4Eczema,dermatitis,and urticari%

not elsewhereclassified. . . . . . . . .277.6,373.3,690* 693.1,694.0-3,708,995.1,3

Paoriasisandsimilsrdisorders . . . . . . . . . . . .698Other inflammatoryconditionsof skin

and subcutaneoustissue . . . . . . .684.4-8,695,697,m

Oomsand calloslties . . . . . . . . . . . . . . . . . . ..700Dleeasseofnall . . . . . . . . . . . . . . . . . . . . . . ..7O3Diseaseof sebaceousglands,noteleewhere

classified(acne) . . . . . . . . . . . . . . . . . . . ...706Otherdiseeeeaof skinand subcutaneoustissue,

not elsewhereclassified . ..694.6.9,701.5,702,704,705,707,708,7828

h?feotiousand parasiticdiseases

Dermatophytosisanddennatomycoses . . . . . . . . . . . . . . . ..110.1?1

Neoplsems

Neoplasmsof the skin. . . . . . . . . . . .172,173,216

tlmdition of mueculoekeletalsystemand connectivetissue

Arthritis,notelsewhereclassified . ..711.0.9,7128,9,714, 715.0,1,3,89,

716,719.3,720.0,8,9, 721.0,Z3,6-7,9Rheumatism,nonarticularand

unspecified. . . . . . . . . . . ...710.3.4.715.2.725.726.0,2,729.0,1

Osteomyelitisand otherdiseasesof bone. . . . . . . . .724.7,730.0-3,9, 731.0,2j732j

733.0-5,7,9,793.7Displacementof Intervertebraldisc . . ...7220-7Bunion. . . . . . . . . . . . . . . . . . . . . . . . . . . . ..727.lSynovitis,bursitisand

tenosynovitis. . . . . . . . . . . . . . . ..719.3720.1.726.1,3-9, 727.0&5

Rate par l,OLMpersons Percent

1.0

44.4

7.917.3

26.722027.0

6.7

21

5.9

153.3

3.7

5.3

11.513.126.6

“1.3

423

“1.98.5

●1.84.0

227

28.

●1.2

“0.6

3.6

“0.3 ~

‘1.5

“0.5“0.8“1.8

“1.2

51.8

7.819.0

18.519.143.3

6.0

25

5.1

&J.7

2.9

28

9.67.3

21.0

“0.6

41.4

13.218.6

49.630.511.0

8.8

●2.3

9.1

305.3

. 5.5

7.4

24.324.859.0

‘0.9 “10.1 “10.1

1.9

●2.2●0.6

“0.5●-

“0.1

●4.1

●-

90.6

17.1

“5.5

27.6

40.6‘0.25.2

95.0

87.3

93.2

119

5,047 28.5 25

12.126.7

“25“1.2

9031,961

3,0332@5

.58.0

67.854.8

5.9

13.6

‘0.8“0.5“0.9

“5.0

41.945.375.5

78.1

3,066

756

237

672

17,418

416

598

1,3101,4643,026

“22 ._ 89.9

14.2 “1.2 94.8

524.0 21.4 626

10.0 “7.5 75.5

97.8

97.747.892.2

17.8 34.8

19.93a.443.5

47.3“0.58.7

1Ninth ISVislon Intamational Clseeiflcation of Diseases.

NOIE Relatlva standardsnoraofestimatesfor thie fable am foundin appendix 1,figures1and Ill.

3s

Table 20. Average annual number of selected reported chronic condiiins of the skin and subcutaneous tissue and other related conditions, andcondtions of the musculoskeletal system and connective tissue, rate per 1,000 personej and percent of conditions causing activii Iimitatiin and physicianvisita, by race: United States, 1979-81

[Data are based on household mterwews of the cw!ltan non]nstdutlonalized populahon The survey design, gentyai quallf,catio”s, and i“fomatio” on the reliability of the estimates are give” i“

appendix I Defmtlons of terms we given m append!x It]

Wh\te Black


Number Actiwty limitationNumber Activity limitation

of Rate /n major 1phy.wcianChronic condit)on of skm and subcutaneous

of Rate In major 1physicianconditions per and

tissue, chronic cond)tton of muscu/oske/eta/visit conditions per and

m 1,000vjsit

outside In majorsystem and connective tissue, and /CD code’

or in 1,000 outside In major or

thousands persons activity activity more thousands persons activity activity mora


Chronic infections of skin and subcutaneoustissue, not elsewhere classified. . . ...660-682.

684-866,723,6,729.3, 771.4Eczema, dermatitis, and urticaria,

not elsewhere classified. . . . . . . . .277.6.373.3.

690-692,693.1,694.0-3, 706,995.1,3Psoriasis and similar disorders . . . . . . . . . ...686Other inflammatory conditions of skin

and subcutaneous tissue . . . . ...694.4-6.695.

697,698Corns andcallosities . . . . . ... . . . . . . . . . ..7cN3Diseases of nail.............,..,.. . . . . ..7o3

Diseaae of sebaceous glands, not elsewhere

classified (acne) . . . . . . . . . . . . . . . .,. .,. .7C6Other diseases of skin and subcutaneous tissue,

not elsewhere classified. . ..694.8.9,701.5,702,704,705,707,709,782.6


Dermatophytosis and

dermatomycoses . . . . . . . . . . . . . . . . ..llO. lll

Neoplasms

Neoplasms of the skin. . . . . . . . . ...172. 173,216

Condition of muscuioskeletal systemand connective tissue

Arthritis, not elsewhereclassified . .,711.0,9, 712.6,9,714,715.0138 9,, !,,


ufispecified. . . . . . . . . . . . .710.3.4.715.2. 725,

726.0,2,729.0,1Osteomyelitis and other d Iseases

of bone, . . . . . . .724.7,730.0-3,9,731,0,2, 732,733.0-5,7,9,793.7

Displacement of intervertebral disc. . . . .722.0-7Bunion . . . . . . . . . . . . . . . . . . . . . . .727.1Synovitis, bursitis and

tenosynovitis, . . . . . . . . . . .719.2.720.1.726.1,3-9,727.0,2-5

Percent Percent

“7.2

3.0

‘1.8

“0.8

‘0.9“0.2“0.7

“4.1

‘5.4

1.9

‘1.4‘0.4

‘0.7._

“0.1

●3.6

95.1

87.4

91.4

57.8

43.145.872.5

77.6

‘8.0

“2.7

●-

‘3.0

‘1.2*-

‘2.1

●9.3

*_

“1.7

.-

“3.0

●1.2._

‘0.9

‘9.3

‘88.0

88.4

223

7,235

1,6952,975

3,6703,743

5,213

1,346

1.2

38.3

9.015.7

19.419.8

27.6

7.1

“50

664

“42

“1.9

25.7

“1.611,5

28.017.2

16.6

6.7

‘90.5298 66.8

31.339.1

76.7

69.2

723445

433

172

537 2.6 ,- ●- 79.0 ●37 ‘1.4 ●- *- ‘86.5

1,276 6.8 “1.9 ‘0.9 98.0 ’23 ‘0.9 ._ ●✍ *100.0

24,039 127.2 20.1 16.2 60.8 2,738 105.9 26.7 21.9 82.6

596 3,2 ‘7.9 ‘7.2 71.3 91 3.5 ‘8.8 “4.4 ‘75.8

980 5.1 34.3 24.4 86.5 “50 ●1.9 ‘40.0 “40.0 “1OO.O

2,6601,6444,583

14.1

6.724.2

46.2‘1.95.5

37.8‘1.44.0

97.150.289.8

213233292

8.29.0

11.3

40.8.-

“12.3

38.5*-

“12.3

93.937.389.4

1Ninth revision International Classlficat!on of Diseases,

NOTE Relative standard errors of estimates for this table are found m append!x 1,figuras I and Ill.

36

Tabia 21. Average ennual number of selected reported-chronic embcrine n~andrnatdwk~ and ‘hnrnunitydiaodeq.bbod and bkrod-forrningorgan% and ganitrrdnary oonddhn

diaeaaeaoftfle

@YSiCitMvisit= United Stateq 1979-61~rateper l,&Oparaona by~andparmnt ofcmd60na ~-~nati

[Data are baaed on household interviews of the civilian noninstitutionallzed peculation. The survey design, general qualifications, and infonnatkm on the reliability of the estimates am given inappendix1.Definitionsof termsam givenin appendix III

NumberConditions ceusing

Chronic endocrine, nutritional, and metabolic ofAge Activity limitation

1physiciandisease and immunity disorde~ chronic conditions Under 65yaara In major visit

disease of the blood and bloo~forming organs; in All 17 17-U 45-64 and and In major orchronic genitourinary condition; and ICD CodeJ thousands ages years years years over outside activity activity more

Endocrine, nutritional, and metabolicdiseases and immunity disordera

Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...274All thyroid conditions . . . . . . . . . ...226.240.241.

242.0-4,8,9,243-245, 246.0-3,8,9,646.1,775.3,784.5

Goitet all forms . . . . . . .226,240,241,242.0-3Thyroid trouble, not otherwise

specified . . . . . . . . . . . . . . . ...246.9.794.5Other specified diseases of

thyroid gland . . . . . . ...2424.8.9.243-245.246.0-3,8,648.1 ,775.3

Diabetes . . . . . . . . . . . . . . . . . . ..25O.646.O.775.lCystic fibrosis . . . . . . . . . . . . . . . . . . . . . . ..277.O

Diseases of the bloodand blood forming organs

All anemia conditions.. . ...260-264.265.0,1,8,9,646.2776.6

Iron deficiency anemia . . ...260.265.1.776.6Pernicious and other deficiency

anemias . . . . . . . . . . . . . . . . . . . . . . ...201Other specified anemias . . . .2B2-264, 265.0,8Anemi% unspecified . . . . . . . . . . .265.9,646.2

Genitourinaty conditions

All diseases of urinary system . . . . . .099.4,344.6,560-563, 5S4.5-9, 565,567,563.0,8,9,568-591,

5620,1,563.0-9,585.0-3,8,9, 596-54%,599.0-6,8,9,619.0,763.6-6, 7S3.5, 784.4

Nephritis, not elsawhera classified. .WM83,

564.6-9,585,567Calculus of kldnay and ureter . . . . . . . .592.0,1Other disaaaas of kidney and umte~

not elsewhere classified. . .564.5,566.0,8,9,566-581, 693.0+ 784.4

Kidnay trouble or disease, not othenviaaspecified . . . . . . . . . . . . . . . . . . . . ...593.9

Diseases of the urinary system,not elsewhere claasifiad . . . . .098.4.344.6.

595.0-3,8,9,596-596, 586.0-6,8,9,819.0,

766.6-8,793.5Diseases of prostate . . . . . ..600.601 .0-3.8.9. 602All female troubles except breast . . . ...614.615.

616.0,1,3-5,8,9,617, 618,619.1,2,8,9,620.0,1,3-9,621.1-9, 6220-6,8,9,

623.0-6,8,9,624.0-5,8,9, 625.2-5,8,626,627,628.0,2-4,8,9, 629

Disease of uterus and ovary,not elsewhere classified . . . . . ...614.615.616.0,1,3,4,8,9,617, 618.0-6,8,9, 619.1,~8,9,

620.0,1,3-9,621.1-9, 622.0-6,8,9,625.5,627.3,8,626,0,2

Other specified female genitaldisorders . . . . . . . .616.5,618.7,623.0-8,8,9,

624.0-5,8,9,625.2-4,8, 626, 627.O-&4,9,626.3,4,8,9,626.0,1,8

Female trouble, not otherwisespecified . . . . . . . . . . . . . . . . . . . . . . .629.9

1,6462$31

431Wi

1,520

5.46677

2,740

4i769

1112,054

5,578

217

609837

1,066

2$349

1,3152&9

1,165

919

264

Rate par l,CUIOpereons

8.413.3

204.5

6.9

24.90.4

125

220.5

0.59.4

25.4

1.0

3.73.6

4.9

121

6.010.7

5.3

4.2

1.2

●0.I“0.9

“0.1‘0.4

●0.4

“1.1“0.2

7.9

●1.1●-

“0.46.3

7.3

‘0.2

“0.21.6

“1.1

4.1

●-●I.1

“0.1

“1.0

‘0.1

3.311.7

203.0

6.7

9.4“0.4

14.3

3.3●0.I

“0.710.1

26.2

1.0

3.55.0

3.8

129

2118.6

9.5

6.9

22

20.326.5

2.69.4

14.5

56.0“0.4

10.6

●12“0.4

“0.38.7

326

“0.8

6.23.6

7.8

14.2

10.59.5

3.9

4.5

“1.2

26.926.2

5.211.2

9.8

66.3“0.3

20.1

●22●29

“0.214.9

53.0

‘3.0

6.24.9

127

24.3

27.25.5

4.5

‘0.8

‘0.2

Percent

9.66.4

●4.4“6.3

7.0

32.1“27.3

5.9

’27●23.2

’4233.8

11.2

●327

‘8.313.0

221

5.5

6.97.0

8.8

‘4.1

“8.7

8.04.8

*3.5●6.3

*4.3

25.9‘23.4

4.7

●27●19.2

“33.3‘2.9

9.0

‘27.2

●6.810.3

16.3

4.0

5.94.6

6.9

*23

‘2.7

95.599.4

89.3S9.4

99.5

S9.7ICQ.O

97.7

100.010J.O

96.497.1

97.0

100.0

97.5lCH).O

94.0

96.9

66.585.3

99.4

91.0

928

‘Ninth revision International Classification of Okaaes.

NOTE Relative standard enora of estimatea for this table are found in appendix i, figures 1and Iii.

37

Tabfe 22. Average annual number of eefected reported chronic endocrine, nutritionatj and metabolic diseases and immunity disorder% diseases of thebfood and blood-forming organ% and genitounnary conditions among males; rate per 1,000 persons by age, and percent of conditions causing activi~limitation and physician viaii: United Steteq 1979-S1

[Dats are baaed on household Intewlews of the civilian noninstitutionalized population. The SUNSY design, general qualiflcationa, and information on the reliability of the estimstes are given in

aPPendix 1.Definitions of termsaregiveninappendix11]


Chronic endocrine, nutritional, and metabolic ofAge Activity limitation

disease and immunity disorder; chronic1physician

conditions Under 65 years /n majordisease of the blood and blood-forming organs;

visitin All 17 17-44 45-64 and and in major

chronic genitourinary condition; and ICD Codeqor


Endocrine, nutritional, and metabolicdiseaaes and immunity disorders

Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., ..,274All thyroid conditions. . . . . . . . . ...226.240.241.

242.0-4,8,9,243-245, 246.0-3,8,9,648.1,775.3,794.5

Goiter, all forms. . . . ...226.240.241,242.0-3Thyroid trouble, not otherwise

specified . . . . . . . . . . . . . . . ...246.9. 794.5Other specified diseases of

thyroid gland . . . . . . ...242.4.8.9.243-245.246.0-3,8,646.1,775.3

Diabetes. . . . . . . . . . . . . . . . ...250.646.0.775.1Cystic fibrosis . . . . . . . . . . . . . . . . . . . . . . . .277.0


All anemia conditions. . . ...280-284.265.0189,,, ,848.2,776.6


anemias . . . . . . . . . . . . . . . . . . . ., . ...261Other specified anemias. . ..282-284.285.0,8Anemia, unspecified. . . . . . . . ...265.9.646.2

Genitourinary conditions

All diseases of urinary system. . . . . .099.4.344.6.580-583,584.5-9,585, 587,588.0,8,9,589-591,

592.0,1,593.0-9,595.0-3,8,9, 598-598,599.0-6,8,9,619.0,788.6-8, 793.5,794.4

Nephritis, not elsewhere classified. .580-583,584.6-9,585,567

Calculus of kidney and ureter.. . . . ...592.0.1Other diseases of kidney and ureter,

not elsewhere classified. . .564.5,566.0,8,9,589-591,593.0-8,794.4

Kidney trouble or disease, not otherwisespecified . . . . . . . . . . . . . . . . . . . . . ..593.9

Diseases of the urinary system,not elsewhere classified . . . . .099.4.344.6.

595.0-3,8,9,596-598, 589.0-6,8,9,619.0,788.6-8,793.5

Diseases of prostate. . . . ...600.801.0-3,8,9, 602All female troubles except breast . . . ...614.615.

616.0,1,3-5,8,9,617, 616,619.1,2,8,9,620.0,1,3-9,621.1-9, 822.0-6,8,9,

623.0-6,8,9,624.0-5,8,9, 825.2-5,8,626,627,628.0,2-4,8,9, 629

Disease of uterus and ovary,not elsewhere classified . . . . . ...614.615.616.013469617,618.0-6,8,9, 619.1 ,2,8)9,,,, ,,,

620.0,1,3-9,621.1-9, 6220-6,8,9,625.5,627.3,8,628,0,2

Other specified female genitaldisorders. . . . . . ..616.5.618.7,623.0-6,8,9,

624.0-5,8,9,625.2-4,6, 626,627.0-2,4,9,628.3,4,8,9,629.0,1,8

Female tr~uble, not otherwise

specified . . . . . . . . . . . . . . . . . . . . ...628.9

Rate per 1$00 persons Percent

12.44.0

“0.51.4

2.1

22.1‘0.1

4.8

“0.6“0.2

“0.43.6

13.2

0.9

4.31.2

3.5

3.4

12.4. . .

. . .

. . .

“0.1“0.7

‘0.1‘0.3

“0.3

‘0.9“0.2

9.2

“1.3●-

“0.57.4

3.2

‘0.4

“0.2‘0.3

‘0.7

“1.6

●-

5.63.4

“0.7“0.8

1.8

8.2●_

1.8

“0.3“0.1

“0.5●1.1

10.3

‘1.2

3.8“1.2

2.1

1.9

4.4. . .

. . .

. . .

.

30.76.8

“0.4“2.8

3.6

54.0●-

“2.9

“0.3“0.1

“0.2“2.2

21.2

“0.4

8.8‘1.1

5.4

5.6

22.1. .

.

.

. . .

41.911.3

9,2●9.4

7,4“7.0

‘7.1“12.6

“2.7

26.1‘57.1

“8.0

●-

“24.0

*45.5●3.9

10.8

“29.3

●3.5‘8,1

“19.9

“6.9

5.9. .

. . .

96.0100.0

“1(!0.0100.0

100.0

99.7‘1OO.O

96.9

‘100.0‘1OO.O

‘100.095.8

96.5

100.0

98.5100.0

92.4

95.9

96.5. . .

. . .

1,310427

’56151

22?0

2,344“14

511

“62“25

“44380

1,398

92

454124

367

362

1,315. .

.

.

. . .

“1.2●4.8

“7.1● 12.6

“7.3“5.4

82.8“0.8

31.8‘71.4

9.3 ‘8.0

“0.4“1.8

●✍

“24.0

“0.4“6.7

●45.5“3.9

39.8 14.3

‘1.8

8.9‘3.9

‘36.0

‘4.4●12.9

13.9

11.2

24.3

“11.0

66.1. . .

6.9. . .

.

. . .

. . .

. . . .

. . ,.. . . .

. . . . . . . . .

—lNinth revision International Classification of Diseases. Impalrmenta are coded according to a special classification system for the National Health Interview Survey,

NOTE Relative standard errors of estimatea for this table are found m append)x 1,figures I a“d III.

38

Table 23. Average annual number of sefacted reported chronii endocrine, nutrflbnaij and metabolic d-ases and ‘knmunitydmdew dmases of theMood and blood-forming orgsnrz and genitourinary conditions among famaleaj rate par MOO persons by age, and percent of conditions causing -knftatbn and physician visits United .stste~ 1979-81

[Dafsarebaaedonhouseholdinterview of theciviliannoninstitufionalizedpopulation.Thesurveydeaign,generalquafitications,and informationonthe reliabilityof theestimatesaregiveninarswndx 1.Definitionsof termsaregiveninappendixII]


Chronic endocrine, nutritional, andmetabohb of Age Activity limitation7physician

disease and immunity diaorde~ chronic conditions Under 65 years In majordisease of the blood and blood forming organs;

visitin All 17 17-44 45%-4 and and In major

chronic genitourinary condition; and ICD Codeqor


Endocrine,nutritional, and metabolicdiseases and immunity disordera

Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..274All thyroid conditions . . . . . . . . . ...226.240.241.

242.0-4,8,9,243-245, 246.0-3,8>9,646.1,775.3,794.5

Goiter, all forms. . . . ...226.240.241.242.0-3Thyroid trouble, not otherwise

spacifiad . . . . . . . . . . . . . . . ...246.9.784.5Other specified diseases of

thyroid gland . . . . . . ...242.4.8.9.243-245.246.0-3,8,646.1 ,775.3

Diabetes . . . . . . . . . . . . . . . . . ...250.646.0.775.1Cystic fibrosis . . . . . . . . . . . . . . . . . . . . . . ..277.O


All anamia conditions . . . . . .280-264,265.0,1,8,9,646.2,776.6


anemias . . . . . . . . . . . . . . . . . . . . . . ...281Other specified anemias. . ..282-264.266.0,8Anemia, unspecified . . . . . . . . . . .285.9,646.2


All diseases of urinary system. . . . . .0S9.4,344.6,660-583,564.5-9,565, 567,566.0,8,9,569-591,

592.0,1,583.0-9>585.0-3,8,9,596-586,599.0-6,8,9,619.0,766.6-8, 793.5,794.4

Nephritis, not elsewhere classified. .560-563,564.6-9,565,587

Calcukra of kidney and ureter.. . . . ...592.0.1Other diseaaes of kidney and ureter,

not elsewhere classified.. .584.5,586.0,8,9,569-591,593.0-8,784.4

Kidney trouble or disease, not otherwisespecified . . . . . . . . . . . . . . . . . . . . . ..593.9

Diseases of the urinary ayatem,not elsewhere classified . . . . .099.4.344.6.

595.0-3,8,9,5%-596, 5!39.0-6,8,9,619.0,766.6-8,793.5

Diseases of prostate . . . . . . .540,601.0-3,8,9,602All female troubles except breast . . . ...614.615.

616.0,1,3-5,8,9,617, 618,619.1,~8,9,620.0,1,3-9,621.1-9, 622.0-6,8,9,

623.0-6,8,9,624.0-5,8,9, 625.2-5,8,626,627,628.0,2-4,8,9, 628

Disease of uterus and ovary,not elsewhere classified . . . . . ...614.615.616.013489617, 618.0-6)8,9,619.1,2,8,9,,,, ,,,

620.0,1,3-9,621.1-9, 622.0-6,8,9,626.5,627.3,8,628,0,2

Other specified female genitaldisorders . . . . . . . .616.5,618.7,623.0-6,8,9,

624,0-5,8,9,625.2-4,8, 626,627.0-2,4,9,626.3,4,8,9,629.0,1,8

Female trouble, not otherwisespecified . . . . . . . . . . . . . ..”...... ..626.9

Rate per 1,000persons Percent

4.722.0

3.37.3

11.4

27.5“0.6

19.6

3.7“0.7

“0.614.7

36.8

1.1

3.16.3

6.2

20.1

. . .2U.7

10.3

8.1

23

“1.119.6

3.24.9

11.4

10.5“0.9

26.0

6.1‘0.2

“1.018.8

41.3

“0.9

3.28.6

5.3

23.4

. . .36.2

18.4

13.5

4.3

10.944.4

4.615.5

24.3

57.9“0.8

17.7

“20‘0.7

‘0.414.6

43.1

‘1.3

3.85.9

10.0

22.0

. . .18.1

7.4

8.5

●2.2

6362,504

376826

1,300

3,122●63

2,229

415“74

“671,673

4,180

12s

355713

699

2,287

. . .2,349

1,165

919

264

●✍

“1.1

●-“0.6

“0.5

●1.2‘0.1

6.4

‘0.9*-

‘0.45.1

11.5

●-

“0.23.0

“1.6

6.6

. . .“2.2

‘0.1

“2.0

“0.1

16.436.6

●1O.65.9

●9.34.5

94.699.3

8.115.6

“4.0●5.2

“2.9“5.2

‘4.5

86.989.4

129 6.9 99.4

66.8●-

323‘17.5

25.8*17.5

89.8“100.0

27.6 5.4 3.9 97.9

●3.4‘3.6

‘3.1“23.0

‘3.1“17.6

100.0●l(X).O

‘36.8“3.8

●25.4“27

“ 85.597.4

●✍

20.6

622 10.2 6.4 97.2

“3.8

7.75.5

‘28.8 ●25.6 10Q.O

‘13.0 “11.0 96.313.0 10.7 10Q.O

11.9

2S.0

21.0 17.3 94.8

4.6 3.6 97.0

. . . . . . . . .7.0 4.6 95.3

. . .9.3

7.6 8.8 6.9 99.4

●1.3 “4.1 ●2.3 91.0

“0.4 “8.7 “2.7 928

1NinthrevisionInternationalClassificationof Diseases.Impairmentsarecodedaccordingtoa specialclassificationsystemfortheNationalHealthInterviewSurvey

NOTE Relativestandarderrorsofestimatesforthistableare foundinappendix1,figuresI and III.

39

Table 24. Average annual number of aeteoted reported chronic endocrinq nutritional and metabofic diaeaaea and immunity disorder% d~easea of thebfood and blood-forming organ% and genitounnary Condtinw rate Per 1,000 person% and Percent of mndflins causing activii iimitatiin and physicianviaii~ by race United Statea, 1979-81

[Data are basad on household interviews of the civilian noninstitutionalizad population, The survaydeaign, general qualifications, and information on the reliability of the estimates are given inappendix 1.Definitions of terms are given in appendix 11]

White Black




Chronic endocrine, nutritional, and metabolic of Rate In major 1physician of Rate In major 1physiciandisease and immunity disorder; chronic conditions per and visit conditions per and

disease ot the blood and blood-forming organs;visit

in l,COO outside In major or in 1,000 outside In major orchronic genitourinary condition; and ICD Code’ thousands persons activity activity more thousands persons activity activity more

Endocrine, nutritional, and metabolicdiseases and immunity disorders

Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...274All thyroid conditions . . . . . . . . . ...226.240.241.

242.04-4,8,9,243-245, 248.0-3,8,9,648.1,775.3,794.5

Goiter, all forms. . . . ...226.240.241.242.0-3Thyroid trouble, not otherwise

specified . . . . . . . . . . . . . . . ...246.9.794.5Other specified diseases of thyroid

gland . . . . . . . . . . . . . . ..242.4.8.9. 243-245,246.0-3,8,648.1,775.3

Diabetes . . . . . . . . . . . . . . ...250.648.0.775.1Cystic fibrosis . . . . . . . . . . . . . . . . . . . . .277.0


All anemia conditions . . . ...280-284.285.0.1,8,9,848.2,776.8

Iron deficiency anemia. . . ...280.285.1.776.6Pernicious and other deficiency

anemias . . . . . . . . . . . . . . . . . . . . . . . ...281Other specified anemias. . . .282-284,285.0,8Anemia, unspecified . . . . . . . . ...285.9.648.2


All diseases of urinary system . . . . . .099.4.344.8.580-583,584.5-9, 5%5,587,588.0,8,9,

589-591,5920,1,593.0-9, 595.0-3,8,9,596-598,599.0-6,8,9, 619.0,788.6-8,

793.5,794.4Nephritis, not elsewhere

classified . . . ...580-583. &M6-9, 585,587Calculus of kidney and ureter. . . . . ...592.0.1Other diseases of kidney and ureter,

not elsewhere classified . . . . . . . . . . .584.5,588.0,8,9,589-591,593.0-8, 794.4

Kidney trouble or disease, not otherwisespecified . . . . . . . . . . . . . . . . . . . . . . ..593.9

Diseases of the urinary system,not elsewhere classified . . . . . .098.4,344.6,

595.0-3,8,9,596-598, 599.0-6,8)9,619.0,788.6-8,783.5

Diseases of prostate . . . . . . .600.601.0-3.8.9.602All female troubles except breast . . . . . . .614,615,

616.0,1,3-5,8)9,617,618,619.1,2,6,9,620.0,1,3-9,621.1-9, 622.0-6,8,9,

623.0-6,8)9,624.0-5,8,9,625.2-5,8,626,627,628.0,2-4,8,9, 626

Disease of uterus and ovary,not elsewhere classified. . . . . . ...614.615.616.013489617,618.0-6,8,9, 619.1,2,8,9,,,, ,,,

620.0,1,3-9,621.1-9, 622.0-6,6,9,625.5,627.3,8,62%,0,2

Other specified female genitaldisorders. . . . . . . .616.5.618.7.623.0-6.8.9.

624.0-5,8,9,625.2-4,8, 626.627.0-2,4,9,628.3,4,8,9,629.0,1,8

Female trouble, not otherwisespecified . . . . . . . . . . . . . . . . . . . . . ...629.9

Fercent Fercent

1,6162,721

400858

1,464

4,439“62

2,115

38095

●3O1,610

4,915

201

751677

867

2,419

1,2202,103

1,082

775

236

8.614.4

2.14.5

7.7

23.5‘0.3

11.2

2.00.5

‘0.26.5

26.0

1.1

4.03.6

4.6

12.8

6.511.1

5.8

4.1

1.2

8.06.3

‘3.7“6.8

6.8

31.1933.9

4.9

‘3.4“24.2

“26.7*3.7

10.3

“32.8

“6.811.7

20.8

5.4

●5.96.8

8.4

“4.4

●7.6

6.04.6

“27●6.8

●4.2

24.7●29.O

4.1

“3.4●20.O

“26.7“3.0

8.3

●27.4

“5.2●9.7

17.2

4.0

*4.8●4.5

●6.2

“2.3

‘3.0

95.399.4

99.099.4

99.5

99.8100.0

97.9

lm.o100.0

●1OO.O97.2

96.9

100.0

97.3100.0

94.0

96.8

56.695.9

99.3

624

91.5

198190

“29105

●56

887“15

583

85●4

764~9

605

●15

●5O151

191

196

82225

“60

140

*24

7.77.4

*1.14.1

●2.2

34.3“0.6

22.6

3.3“0.2

2.916.2

23.4

“0.6

●1.95.8

7.4

7.7

“19.6●8.4

‘13.8‘3.8

●14.3

38.4●-

●9.1

+-●-

‘48.1*4.5

18.5

“26.7

‘30.0“19.9

*27.2

*5.5

●19.6●6.3

*13.8●3.8

“7.1

34.2*-

●6.5 .

●-*-

“32.9●3.1

14.5

%.7

“30.0“13.2

●21.5

●3.5

96.0lCQ.O

●1OO.O100.0

“1CQ.o

100.0‘100.0

97.3

100.0*lfM.o

●84.798.7

97.2

●1OO.O

“100.0100.0

93.7

97.5

3.2 *13.4 “13.4 96.38.7 “7.1 *4.9 91.1

*2.3

5.4

●0.9

813.3

*2.1

‘20.8

●13.3

“2.1

●-

“100.0

85.7

‘100.0

1Ninth revision International Classification of Diseases.

NOTE Relatlve standard errors of estimates for this table are found in apparrdix 1,flguraa I and Ill.

40

Tabfe 25. Aversge annual number of daya of reabiddrecw United Stete$ 1979-S1

ac6vitYfrom aebcfecff’ePowf chronic condtbns erwfnunber of days per condition, by sex and

[Datearebawd on houaehofdinfewiewsof thecivifisnnminstitutionafizedpopufsfion.Thasurveydesign,g+meralquslkations, endinformationon Ihe reliabifilyof theestimatesaregiveninsppmdix1.DefinWa of tenrrsareg“mnin appendixIfl

Sex Race

All fMSOi7S 2 Male Femate White Black

Number Number Number Number Numberof days Daya of daya Days of daya Days of days Days of days Days

in per in par in per in par in

Chronic rendition and ICD code’

per

thousands condition thousands condition thousands condition thousands condition thousands conditiorr

Circulatory conditions

Heart conditions. ..390,392-396,402.1,9,404.1,9,410-414,415.0,416,417.8,9, 420.9,421.0,9,

422.9,423,424,425.0-2,4,9, 426-428,429.0-35689785.0-$ 794.3,,, ,,

Active rheumatic fever . . .390.392-386,423.1,424.1

Coronary heartdisease . . . . . . . . . . .410-414,429.2,6,794.3

Other specified hearl disease . . . . .415.0,416,417.8,9,420.9,421.0,9,422.9,423.0,2,8,9,

424.0,2,3,9,425.01249 426.0-7,9,,,, ,,427.0,2-5,428.0,1,429.0,1,5

Unspecified dieorders of heart rhythm. .426.8,427.1,6,8,9,765.0-2

Heart trouble, not otherwisespecified . . . . . . . . ..428.9.426.3.8.9. 765.3


Cerebrovascular disease . . . . . . . .346.5,430-436,437.0-2,4-6,8,9,436

Arteriosclerosis, not elsawhera classified. . ..440vCSriCOSe veina, not elsewhere

classified . . . . . . . . . . . . . . . . . . . . . ...454.456Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . ...455Phlebitis and thrombophlebitie, not elsewhere

classified . . . . . . . . . . . . . . . . . . . . . . . . . ...451l%or circulation, not otherwise specified . ..459.9

Respiratory conditions

Chronic bronchitis.. . . . . . . . . . . . . . . ...490.491Emphysema . . . . . . . . . . . . . . . . . . ...492.518.1.2Asthma, with or without hay fever . . . . . . . ...493Chronic sinusitis . . . . . . . . . . . . . . . . . . . . . ...473Hay fever,without asthma

(includes upper respiratory allergy) ..477,478.8

Digestive conditions

Ulcer of stomach and duodenum . . . . . . .531-534Hernia of abdominal cavity . . . . . . .550-553,750.6Functional and symptomatic

uPPer9astrointestinal disorders . . . .w, 733.0,787.0,1

Gallbladder condition . . . ...574.575.576.1-5.8,9,793.3

Gastritis and duodenitis . . . . . . . . ...535.0-2.4-6Chronic enteritis and colitis . . . . . . . .555,556,556Intestinal conditions . . . . ...564.15689787.3.5,,, !,

Impairments

Visual impairments . . . . . . . . . . . . . . . . . .XOO-X04Hearing impairments . . . . . . . . . . . . . . ..X05-X09Absence of extremities or parte of extremities

(excludes tips of fingers ortoesonly) . . . . . . . . . . . . . . . . . . . . . . ..X20-X29

Paralysis, complete or partial, of extremitiesor parta of extremities . . . . . . . . . . . . . .X40-X59

Deformities or orthopedicimpairments . . . . . . . . . . . ..X70-X76. X78-X88

Deformities ororthopertic impairmentsof back . . . . . . . . . . . . . . . . ..X70. X71. XfW

443,829

27,024

187,!%4

53,566

51,722

114,034

274,298

85,102

67,32742,185

35,02131,133

28,039

73,76994,997

111,210112,21459,310

71,78479,00123,754

25,547

30,60337,41227,645

69,69031,66519,421

86,269

489,261

28.6

17.4

34.5

47.6

8.9

43.0

11.1

44.7

19.47.0

4.034.7

31.5

9.542.516.33.73.5

18.920.26.1

17.6

17.817.717.1

8.21.8

11.3

58.2

25.5

21.3

199,852

●7,456

110,398

27,037

39,692

104,014

43,670

37,569●1O,385

●12,093●1O,696

“11,313

29,09662,21350,79342.400

26.7

●13.8

35.6

47.7

“5.6

35.8

10.0

45.9

22.6“9.7

“3.2●46.5

“34.5

8.639.315.03.3

“15,526 “20

33,796 18.734,343 16.7

“13,072 ●6.4

‘5,308 ●17.3

“14,323 ‘20.0●15,972 “24.9

● 5,914 “14.4

30,870 6.3‘15,920 ‘1.7“16,262 “11.9

34,976 51.1

225,231 24.7

97,692 18.7

243,977

19,567

77,5@3

26,551

39,759

74,142

170,264

41,432

29,75a31,790

22,92820,438

17,726

44,67332,78460,41869,814

-43,784

37,99644,656

‘10,662

20,239

“16,46021,43921,731

39,120‘15,945“3,159

33,313

244,030

150,670

26.5

●19.4

33.0

47.5

10.9

46.3

11.9

16.56.4

4.630.8

%29.8

10.250.417.64.04.8

19.224.2“5.8

17.7

*16.214.518.0

10.8*2O‘9.0

627

26.2

23.4

394,036

26,214

171,677

47.%2

49,538

92,032

187,715

70,722

50,89537.018

21,350

63,28484,96794,723!33,51150,100

55,28756,76520,320

19,590

25,02434,47623,009

59,31425,153

“16,035

49,318

384,506

203,334

26.3

19.0

33.7

46.4

9.5

43.0

9.0

44.5

18.66.5

3.631.0

26.0

9.039.916.33.33.3

16.818.46.0

14.9

17.017.415.4

7.91.6

“10.5

50.1

24.1

19.4

46,511

“244

“16,287

‘5,726

“2,168

19,291

82,206

“13,285

‘4,561“5,166

‘5,319“5,874

“7,669

“10,379“10,030‘15,02519,403“6,594

‘14,22820,236“2/t63

“5,957

‘5,382●2,193●4,636

“8,797●3,759●3,3a5

“17,669

65,745

42,527

29.8

“1.7

“50.0

“65.8

●4.2

41.2

23.2

“47.1

“25.8“16.3

“7.9“70.8

*76.9

‘16.3‘120.8‘16.8

7.2“5.0

●34.368.6“6.1

‘50.5

●25.6“20.5●429

“9.9‘3,0

“19.0

. .

●65.5

35.9

40.2

41

Table 25. Average annual number of days of restrioted aobvity from sefeoted reported chronic condtis and manber of days per condtin, by sex andraoe United State% 1979-S14Xm.

[Data are based on household intetviws of the civilian noninslitufionalized population. The sutvey design, general qualiiicationa, and information on fhe reliability of the estimates are given insppsndix 1. Definitions of terms are given in appendix 11]

Sex Race

All peffions 2 Male Female White Black

Number Number Number Number Numberof days Days of days Days of days Days of days Days of days Days

in per in per in par in inChronic condition and lCD code’

per perthousands condition thousands condition thousands condition thousands condition thousands condition

Deformities or orthopedic impairmentsof upper extremities or parts of

upper extremities . . .X73, X74, X64Deformities or orthopedic impairments of

lower extremities or parts oflower extremities. . .X75, X76, X78, X85, X88

Conditions of nervous system

and sense organs

Cataracts, all forms . . . . . . . . . . . . . . . . . . . ...366Migraine . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...348Sciatica ... . . . . . . . . . . . . . . . . . . . ..355.O.724.3Neuralgia, neuritis, specified sites and types,

not elsewhere classified. ., .350,1,2,351,352.1,

355.1,2,8,357.0

Conditions of skin and subcutaneous tissue

Eczema, dermatitis, and urticaria,not elsewhere classified. . . . . . . . .277.6 .373.3.

890-692,693.1,694.0-3, 708,995.1,3

Conditions of musculoskeletal systemand connective tissue

Arthritis, not elsewhereclassified ., .711 .0,9,712.8,9,714, 715.01389,,, ,,

716,719.3,720.0,8,9, 721.0,2,3,5-7,9

Osteomyelitis and other diseasesof bone. . . . . . . . .724.7.730.0-3.9. 731.0,2,732,

733.0-5,7,9,793.7Displacement of intervertebral disc. . . ...722.0-7Synovitia, bursitis and

tenosynovitis. . . . . . . . . . . . . . . ...719.2. 720.1,726.1,3-9,727.0,2-5

Endocrine nutritional and metabolicdiseases and immunity disorders

Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...274All thyroid conditions . . . . . . . . ...226.240.241.

242.0-4,8,9,243-245, 246.0-3,8,9,648.1,

775.3,794.5Diabetes . . . . . . . . . . . . . . . . . . ..250.648.0. 775.1

Diseases of the bloodand blood-forming organs

All anemia conditions . . . ...260-264.285.0.1 ,8,9,

846.2,776.6Anemia, unspecified . . . . . . . . . . ...285.9.848.2


All diseases of urinary system . . . . . .0S9.4, 344.6,

580-563,584.5-9, 5S5, 587,568.0,8,9,589-591,592.0,1,593.0-9, 595.0-3,8,9,

596-596,599.0-6,8,9, 619.0,768.6-8,793.5,794.4

Kidney trouble or disease, not otherwise

specified . . . . . . . . . . . . . . . . . . . . . . ..593.9Diseases of the urinary system,

not elsewhere classified. . . . . .099.4.344 .6.595.0-3,8,9,596-596, 599.0-6,8,9,619.0,

788.6-8,793.5Diseases of prostate . . . . . . .6C0, 601.0-3,8,9,802

61,343

201,357

33,53a

35;23222,235

38,700

534,426

35,117

99,30868,162

37,76719,725

114,802

31,871

20,253

86,381

24,753

29,570

23,052

20.7

37.7

8.512.524.920.2

4.8

19.8

34.4

34.313.9

20.56.7

21.0

11.6

9.9

15.5

23.2

11.2

17.5

31,723

108,4C9

‘ 15,882“11,805011,585

“6,505

“11,181

155,252

‘ 12,259

52,637“ 19,216

‘14,834*579

46,014

“8,582

“3,1S9

21,749

“6,830

“5,246

23,052

18.1

37.8

●11.3‘8.7

“26.2’21.9

“3.7

16.3

‘29.0

33.3“ 10.2

“11.2“1.4

19.6

●16.8

●8.4

15.6

“18.6

● 14.5

17.5

29,620

92,946

“17,85659,15623,647

“ 15,730

27,519

379,174

22,859

48,670443,946

23,133“19,146

88,7s8

23,289

‘17,051

64,631

“17,923

24,324

. . .

24.6

37.5

*6.914.124.3

“19.6

5.5

21.8

38.2

35.616.2

43.2“7.6

22.0

10.4

“1O.2

15.5

●25.6

10.6

. . .

50,254

175,519

30,45557,00134,71721,073

34,473

436,085

33,282

83,78361,189

21,779“16,038

78,512

2Q,389

‘ 14,765

66,509

● 16,945

24,273

‘18,301

19.6

37.6

6.611.624.920.6

4.8

18.1

34.7

31.513.4

13.5“5.9

17.7

9.6

●9.2

13.5

“ 19.5

10.0

“ 15.0

*1 0,303

20,317

●3)083‘11 ,979

“5151,162

“4,227

93,002

*1,836

‘ 15,523“6,983

‘15,027*3,687

32,795

“10,037

“4,828

●17,905

●5,287

‘4,751

*29.7

33.1

●8.2“1 8.0*22.4816.4

‘6.4

34.0

‘36.7

“72.9“23.8

‘75.5“19.4

37.0

‘17.2

‘11.5

‘29.6

“39.6

●26.6

“57.9

Table 25. Average annual numhx’ of days of reatrkted adivity from selected reported chronic condtbn‘- sandnunber ofdaysper aondtbn, by sex andraoG United State* 1979-S142m.

[Data are baaedon householdinfervkwsof the civiliannoninsfifutionalizedpap+dafion.The suwey dasign,generalqualiifkm.s, and informationon Shereriiily of tha eafimafesare giveninappendix1.Definitionsof termsare given in appamfk q

Sex Race

All persons 2 Male Fernata White Black

Number Number Number Number Number

of days Days of days Days of days Days of days Days of daya Days

in per in per in par in per in par

Chronic condition and ICD code’ thousands condition thousands condition thousands condition thousands rendition ltrousands condition

All female troubles except breast. . . . ...614.615. 45,459 19.4 . . . . . . 45,459 19.4 37,894 18.0 ●5,661 “28.1818.0,1,3-5,8,9,617, 818,619.1,2,8,9,

620.0,1,3-9,621.1-9, 622.0-6,6,9,623.0-6,6,9,624.0-5,6,9, 625.2-5,8,

626,627,628.0,2-4,8,9, 629Oiseases of uterus and ovary, 24,3S7 20.9 . . . . . . 24,367 20.9 20,067 16.4 “2,S57 *47.6

not elsewhere classified . . . . . . . . .614,615,616.013469617,616.0-6,6,9,,!, ,,,

619.1,2,6,9,620.0,1,3-9, 621.1-9,622.0-6,6,9,625.5,627.3,6, 628,0,2

1Ninth rwislon International Clasaificafion of Diseases. Impairments are coded according to a special classificaticm system for the National Health lntewiew Survey.‘Includes rsces other than white and black.

NOTfi Relative standard errora of estimates for this table are found in appendix 1,figures I and Il.

43

Table 26. Average annual number of dsya of bed d- from eekted reptWed chmnio oondtins and number of days per condtin, by sex andrace United States, 1979-S1

[Data are baaed on household intewiews of the civilian noninstitufionalized population. The su!vey design, general quafiicetions, and information on the reliability of the estimat~ are given inappendix1.Definitionsof terms are given in appendix11]

Sex Race

All persons 2 Male Female White Black

Number Number Number Number Numberof days Days of daya Days of days Days of days Days of days Days

in per in par in per in per in

Chronic condition and ICD code’

per

thousands condition thousands candition thousands condition thousands condition thousands condition

Circulatory conditions

Heart conditions.. .390,392-396,4021,9, 404.1,9,410-414,415.0,416,417.6,9, 420.9,421.0,9,

42%!.9,423,424,425.0-2,4,9, 426-426,429.0-35669 7ffl.O-3, 784.3,,, ,,

Coronaty heartdisease. . . . . . . . . ..410-414.429.2.6. 794.3

Unspecified disorders of heartrhythm. . . . . . . . .426.6.427.1.6.6.9.765.0-2

Heart trouble, not otherwisespecified .. . . . . . . . ..426.9.429.3.8.9. 765.3


Cerebrovascular disease . . . . . . . .346.5,430-436,437.0-2,4-6,6,9,436

Arteriosclerosis, not elsewhere classified. . ..440

Respiratory conditions

Chronic bronchitis . . . . . . . . . . . . . . . . . ..4S!0,491Emphysema . . . . . . . . . . . . . . . . . . ...492.518.1.2Asthma, with or without hay fever . . . . . . . ...483Chronic sinusitis . . . . . . . . . . . . . . . . . . ,.. ...473

Digestive conditions

Ulcer of stomach and duodenum . . . . . . .531-534Hernia of abdominal cavity. . . . ...550-553.750.6

Impairments

Paralysie,complete or partial, of extremitiesor parts of extremities . . . . . . . . . . . . . .X40-X59

Deformities or orthopedicimpairments . . . . . . . . . . . . .X70-X76, X76-X89

Deformities or orthopedic impairmentsof back..... . . . . . . . . . . . ..X70. X71.X60

Deformities or orthopedic impairments oflower extremities or parts oflower extremities.. .X75,X76,X78,X65,X66

Conditions of nervous systemand sense organa

Migraine . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...346

Conditions of musculoskeletal systemand connective tissue

Arthritis, not elsewhereclassified . ..711.0.9,712.8,9,714, 715.01389,,, ,,

716,719.3,720.0,8,9,721.0,2,3,5-7,9Displacement of Intewertebral disc.. . ...722.0-7

Endocrine, nutritional and metabolicdiseases and Immunity dkwrders

Diabetes . . . . . . . . . . . . . . . . . ...250.646.0.775.1

Genltourinary conditions

All dlsaeses of urinary system . . . . . .089.4.344.6.560-563,584.5-9,585, 567,566.0,8,9,

569-591,592.0,1,593.0-9, 595.0-3,8,9,596-596,698.0-6,8,9, 619.0,766.6-6,

793.5,794.4

147,389

49,260

19,407

50,976

65,617

44,911

21,701

29;93636,29622,492

26,Z!626$43

26,3U5

101,368

61,670

42,537

132$77

26,150

40,056

26,787

8.8

9.0

3.4

19.2

3.5

23.6

6.3

3,213.46.60.7

6.96.8

21.7

5.5

5.3

8.0

5.5

4.9

9.0

7.3

5.2

59,173

25,043

“3,304

“18,116

26,289

20,602

●18,887

“8,000‘16,702“16,659“8,402

“13,642*13,173

“17,407

48,090

23,774

24,900

●4,569

37,197

●1~613

‘17,018

“7,686

7.9

8.1

“1.6

*16.3

27

21.7

*11.4

●2.4● 10.5“4.7“0.7

“7.5“6.4

●25.4

5.4

4.5

8.7

“3.1

3.9

‘8.0

●7.3

“5.6

66,227

24,218

“16,103

32,657

57,326

24,310

92,704

“16,912●13,23622,437

“14,090

‘W&6‘13,470

?6,698

52330

37,896

‘17,637

26,336

95,460

“13,537

23,036

20,699

9.6

10.3

“4.4

21.4

4.0

25.5

*1.5

*3.9*20.4

6.5‘0.8

*6.4●7.3

“16.6

5.6

5.9

●7.1

6.3

5.5

“10.3

7.4

5.0

1Zy301

43,130

“17,37-i

42.639

53,367

33,483

‘16,636

22ft5927,7113ZI 16

●16,227

20,404‘16.736

●16,465

65,423

37,456

22,978

101,124

24,212

21,447

=792

8.4

8.5

“3.3

19.9

2.6

21.1

●5.1

3.213.05.5

‘0.6

6.2●4.7

●18.6

5.2

4.8

8.0

4.7

4.2

9.1

4.8

4.6

20,531

*6,131

“2,036

*8,336

31,419

*1O,343

*3,143

*2,454‘2,227‘6,180*6,153

*5,822“9,805

‘8,717

●14,7%

●11,574

“4,040

“6,745

28,448

*l,93a

“18,036

●5,753

13.1

“16.8

“3.9

*17.8

8.9

*36.7

‘17.8

●3.9%.8*6.9*Z3

‘14.0●328

“41.7

●8.1

‘10.9

*6.6

“10.2

10.4

●9.1

‘20.3

“9.5

‘Ninth ravislon international Classification of Diseases. Impairments are coded according to a special classification system for the National Health Interview Suwey21ncludea races other than white and black

NOTE Relative standard errors of estimates for this table are found in appendix 1,figures I end Il.

44

Tabla 27. Population used in computing rates shown in this report W sex and w, and by raw United Stateaj 1979-81

[Data are based on household Interviews of the civilian noninstitutionalized population.Thesurvey design, general qualifications, and information on the reliability of the estimates are given Inappendix LDefinitions of terms aregiven In appendix II]

AllSex Race

Age peraonsl Male Female White Black

%pulation in thousands

Allages . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219,5&i 105,936 113,628 16a,991 25,646

Under 17yeare . . . . . . . . . . . . . . . . . . . . . . 58,302 26,755 28,548 . . .

17-44 years . . . . . . . . . . . . . . . . . . . . . . . . .

. . .

93,511 45,46a 48,051 . . .

45-64 years . . . . . . . . . . . . . . . . . . . . . . . . .

. . .

43,724 20,647 22,877 . . .

65years andover . . . . . . . . . . . . . . . . . . . .

. . .

24,028 9,875 14,153 . . . . . .

1Includes races other than white and black.

NOTES Forofficlal population estimates for more general use, sea U.S. Bureau of the Census reports on the civilian population of the Unitad States in CurrentPopulationRepofis,Swies WI, P-25,and P.&O.

Relative standard errors of estimates forthls table are found in appendix 1,figure 1.

The number of parsons in each age-sex category of the total population is adjusted to off Icial U.S. Bureau of the Census figures and is not subject to samphng error

45

Appendixes

I. Technical notes ~n methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47Backgroundofthis report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47Statistical design ofthe NationalHerdth Interview Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47General qualifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4gReliability ofestimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @

11. Definitions ofterms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54Terrnsrelating toconditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54Terrnsrelating todisability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55Terms relating tophysicianvisits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56Demographic terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

111.Questionnaire items andflashcards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

&tofsppendixfigures

I. Relative stmtidemrs forchmactetistics related tothep~vdence ofckonic conditions . . . . . . . . . . . . . . . . . SIII. Relative standard errors fordaysof restricted activi~or beddlsability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52III. Relative standard errors ofpercents of characteristics related to chronic conditions . . . . . . . . . . . . . . . . . . . . . . 53

46

Appendix ITechnical notes on methods

Background of this report

This report is one of a series of statistical reports preparedby the National Center for Health Statistics (NCHS). It isbased on information collected by NCHS in a continuingnationwide sample of households in the National Health Inter-view Survey (NHIS).

The National Health Interview Survey utilizes a question-naire for obtaining information on personal and demographiccharacteristics, illnesses, injuries, impairments, chronic condi-tions, and other health topics. As data relating to each ofthese various broad topics are tabulated and analyzed, separatereports are issued that cover one or more of the specifictopics.

The population covered by the sample for NHIS is thecivilian noninstitutionalized population of the United Statesliving at the time of the interview. The sample does notinclude members of the Armed Forces or U. S. nationals livingin foreign countries. It should also be noted that the estimatesshown do not represent a complete measure of any giventopic during the specified calendar period because data arenot collected in the interview for persons who died duringthe reference period. For many types of statistics collectedin the survey, the reference period covers the 2 weeks priorto the interview week. For such a short period, the contributionby decedents to a total inventory of conditions or servicesshould be very small. However, the contribution by decedentsduring a long reference period (for example, 1 year) mightbe sizable, especially for older persons.

Statistical design of the National HealthInterview Survey

General plan

The sampling plan of the survey follows a multistageprobability design that permits a continuous sampling of thecivilian noninstitutionalized population of the United States.The sample is designed in such a way that the sample ofhouseholds interviewed each week is representative of thetarget population and that week]y samples are additive overtime. This feature of the design permits both continuousmeasurement of characteristics of samples and more detailedanalysis of less common characteristics and smaller categoriesof health-related items. The continuous collection has adminis-

The overall sample was designed so that tabulations canbe provided for each of the four major geographic regionsand for selected places of residence in the United States.

The first stage of the sample design consists of drawinga sample of 376 primary sampling units (PSU’S) from approxi-mately 1,900 geographically defined PSU’S. A PSU consistsof a county, a small group of contiguous counties, or a standardmetropolitan statistical area. The PSU’S collectively coverthe 50 States and the District of Columbia.

With no loss in general understanding, the remainingstages can be combined and treated in this discussion as anultimate stage. Within PSU’S, then, ultimate stage units calledsegments are defined in such a manner that each segmentcontains an expected four households. Three general typesof segments are used:

● Area segments, which are defined geographically.. List segments, using 1970 census registers as the frame.. Permit segments, using updated lists of building permits

issued in sample PSU’S since 1970.

Census address listings were used for all areas of thecountry where addresses were well defined and could be usedto locate housing units. In general. the list frame includedthe huger urban areas of the United States,’ from which abouttwo-thi~ds of the NHIS sample was selected.

The usual NHIS sample consists of approximately 12,000segments containing about 50,000 assigned households, ofwhich 9,000 are vacant, demolished, or occupied by personsnot in the scope of the survey. The 41,000 eligible occupiedhouseholds yield a probability sample of about 111,000 per-sons. During 1979, 1980, and 1981, the sample comprisedabout 122,000 eligible occupied households, of which about118,000 were interviewed. (A sample reduction of 4 weeksduring the October-December quarter of 1980 accounts forthe smaller number of households than usual.) The interviewedhouseholds contained about 321,000 persons living at thetime of the interview. The total noninterview rate was 3.3percent, of which 1.9 percent was due to respondent refusal.

Descriptive material on data collection, field procedures,and questionnaire development in NHIS have been pub-lished23’= as weIl as a detailed description of the sampledesign and report on the estimation procedure.25

trative and operational advantages as well as technical assetsbecause it permits fieldwork to be handled with an experienced,

NOTE A listof referencesfollows the text.

stable staff.

47

Collection of data

Field operations for the survey are performed by the U.S.Bureau of the Census under specifications established by

NCHS. In accordance with these specifications, the U.S. Bu-reau of the Census participates in survey planning, selects

the sample, and conducts the field interviewing as an agentof NCHS. The data are coded, edited, and tabulated by NCHS.

Estimating procedures

Because the design of NHIS is a complex multistageprobability sample, it is necessary to use complex proceduresin the derivation of estimates. Four basic operations areinvolved:

Injlation by the reciprocal of the probability of selection—

The probability of selection is the product of the prob-abilities of selection from each step of selection in thedesign (PSU, segment, and household).Nonresponse adjustment—The estimates are inflated bya multiplication factor that has as its numerator the numberof sample households in a given segment and as its de-nominator the number of households interviewed in thatsegment.First-stage ratio adjustment—Sampling theory indicates

that the use of auxiliary information that is highly corre-lated with the variables being estimated improves thereliability of the estimates. To reduce the variability amongPSU’S within a region, the estimates are ratio adjustedto the 1970 populations within 12 race-residence classes.Poststratijication by age-sex-race—The estimates are ratio

adjusted within each of 60 age-sex-race cells to an inde-pendent estimate of the population of each cell for thesurvey period. These independent estimates are preparedby the U.S. Bureau of the Census. Both the first-stageand poststratified ratio adjustments take the form of multi-plication factors applied to the weight of each elementaryunit (person, household, condition, and hospitalization).

The effect of the ratio-estimating process is to make thesample more closely representative of the civilian nonin-stitutionalized population by age, sex, race, and residence,which thereby reduces sampling variance.

As noted, each week’s sample represents the populationliving during that week and characteristics of the population.Consolidation of samples over a time period, for example,a calendar quarter, produces estimates of average characteris-tics of the U.S. population for the calendar quarter. Similarly,population data for a year are averages of the four quarterlyfigures.

For prevalence statistics, such as number of selectedchronic conditions, figures are first calculated for each calendarquarter by averaging estimates for all weeks of interviewingin the quarter. Prevalence data for a year are then obtainedby averaging the four quarterly figures. Similarly, an estimatefor 3 years is obtained by averaging 12 quarterly figures.

For other types of statistics—those measuring the numberof occurrences during a specified time period, such as incidenceof acute conditions, number of disability days, or number

of visits to a doctor or dentist—a similar computational proce-dure is used, but the statistics are interpreted differently. Forthese items, the interviewer asks for the respondent’s experi-ence over the 2 calendar weeks prior to the week of interview.In such instances, the estimated quarterly total for the statistic

is 6.5 times the average 2-week estimate produced by the13 successive samples taken during the period. The annualtotal is the sum of the four quarters. Thus the experienceof persons interviewed during a year-experience that actuallyoccurred for each person in a 2-calendar-week interval priorto week of interview-is treated as though it measured thetotal of such experience during the year. Such interpretationleads to no significant bias.

When 3 years of data are used, as in this neport, thesum of the annual estimates is divided by 3 to obtain anaverage annual estimate for the statistic.

General qualifications

Nonresponse

Data were adjusted for nonresponse by a prooedure thatimputes to persons in a household whose members, were notinterviewed the characteristics of persons in households inthe same segment who were interviewed. Interviews werecompleted in almost 97 percent of the sample households.

The interview process

The statistics presented in this report are based on repliesobtained in interviews with persons in the sample households.Each person 19 years of age and over present at, the time

of interview was interviewed individually. For children andfor adults not present in the home at the time of interview,the information was obtained from a related household membersuch as a spouse or the mother of a child.

There are limitations to the accuracy of diagnostic andother information collected in household interviews. For diag-nostic information, the household respondent can usually passon to the interviewer only the information the physician hasgiven to the family. For conditions not medically attended,diagnostic information is often no more than a descriptionof symptoms. However, other facts, such as the number ofdisability days caused by the condition, can be obtained moreaccurately from household members than from any other sourcebecause only the persons concerned are in a position to reportthis information.

Rounding of numbers

The original tabulations on which the data in this reportare based show all estimates to the nearest whole unit. Allconsolidations were made from the original tabulations usingthe estimates to the nearest unit. In the final published tables,the figures are rounded to the nearest thousand, althoughthey are not necessarily accurate to that detail. Devised statis-tics such as rates and percent distributions are computed afterthe estimates on which they are based have been roundedto the nearest thousand.

48

Popuiatiin figures

Some of the published tables from NHIS include popula-tion figures for specified categories. Except for certain overalltotals by age, sex, and race, which are adjusted to independentestimates, these figures are based on the sample of householdsin NHIS. They are given primarily to provide denominatorsfor rate computation, and for this purpose they are moreappropriate for use with the accompanying measures of healthcharacteristics than other population data that may be available.With the exception of the overall totals by age, sex, andrace mentioned above, the population figures dhYer from fig-ures (which are derived from different sources) publishedin reports of the U.S. Bureau of the Census. Oftlcial populationestimates are presented in U.S. Bureau of the Census reportsin Series P–20, P–25, and P-60.

Reliabilii of estimates

Because the statistics presented in this report are basedon a sample, they dffer somewhat from the figures that wouldhave been obtained if a complete census had been taken usingthe same schedules, instructions, and interviewing personneland procedures.

As in any survey, the results are also subject to reportingand processing errors and errors due to nonresponse. To theextent possible, these types of errors were kept to a minimumby methods built into survey procedures, 26 Although it isvery difficult to measure the extent of bias in NHIS, a numberof studies have been conducted to study this problem. Theresults have been published in several reports .27-30The stan-dard errors shown in this report were computed using thebalanced half-sample replication procedure.

The standard error is primarily a measure of samplingvariability, that is, the variations that might occur by chancebecause only a sample of the population is surveyed, Ascalculated for this report, the standard error also reflects partof the variation that arises in the measurement process. Itdoes not include estimates of any biases that might be inthe data. The chances are about 68 of every 100 that anestimate from the sample would differ from a complete censusby less than the standard error. The chances are about 95of every 100 that the difference would be less than twicethe standard error and about 99 of every 100 that it wouldbe less than 2 1/2 times as large.

Relative standard error charts

The relative standard error of an estimate is obtainedby dividing the standard error of the estimate by the estimateitself and is expressed as a percent of the estimate. For thisreport, asterisks are shown for any cell with more than a30-percent relative standard error. Included in this appendixare charts from which the relative standard errors can bedetermined for estimates shown in the report. To derive relativeerrors that would be applicable to a wide variety of healthstatistics and that could be prepared at a moderate cost, anumber of approximations were required. As a result, the

NOTE: A list of references follows the text,

charts provide an estimate of the approximate relative standarderror rather than the precise error for any specific aggregateor percent.

Three classes of statistics for the health survey are iden-tified for purposes of estimating variances.

●

●

●

Narrow range—This class consists of (1) statistics thatestimate a population attribute, for example, the numberof persons in a particular income group, and (2) statisticsfor which the measure for a single individual during thereference period used in data collection is usually eitherO to 1 and, on occasion, may take on the value 2 orvery rarely 3.Medium range—This class consists of other statistics forwhich the measure for a single individual during the refer-ence period used in data collection will rarely lie outsidethe range Oto 5.Wide range—This class consists of statistics for whichthe measure for a single individual during the referenceperiod used in data collection can range from O to anumber in excess of 5, for example, the number of daysof bed disability.

In addition to classifying variables according to whetherthey are narrow-, medium-, or wide-range, statistics in thesurvey are further classified as to whether they are basedon a reference period of 2 weeks, 6 months, or 12 months.

General rules for determiningrelative standard errors

The following rules will enable the reader to determineapproximate relative standard errors from the charts for esti-mates presented in this report. These charts represent standarderrors of NHIS data. They should be used in preference tothe charts that have appeared in all previous Series 10publications.

Rule 1. Estimates of aggregates—Approximate relativestandard errors for estimates of aggregates, such as the numberof persons with a given characteristic, are obtained fromfigures I and II. The number of persons in the total U.S.population or in an age-sex-race class of the total populationis adjusted to official U.S. Bureau of the Census figuresand is not subject to sampIing error.

Rule 2. Estimates of percents in a percent distribution—Relative standard errors for percents in a percent distributionof a total are obtained from appropriate curves onfigure III. For values that do not fall on one of the curvespresented in the chart, visual interpolation will provide asatisfactory approximation.

Rule 3. Estimates of rates where the numerator is asubclass of the denominator-This rule applies for prevalencerates or where a unit of the numerator occurs, with few excep-tions, only once in the year for anyone unit in the denominator.For example, in computing the rate of visual impairmentsper 1,000 population, the numerator consisting of personswith the impairment is a subclass of the denominator, whichincludes all persons in the population. Such rates, if convertedto rates per 100, maybe treated as though they were percents,and the relative standard errors may be obtained from the

49

percent charts for population estimates. Rates per 1,000, oron any other base, must first be converted to rates per 100;then the percent chart will provide the relative standard errorper 100.

Rule 4. Estimates of rates where the numerator is nota subclass of the denominator—This rule applies where aunit of the numerator often occurs more than once for anyone unit in the denominator. For example, in the computationof the number of persons injured per 100 currently employedpersons per year, it is possible that a person in the denominatorcould have sustained more than one of the injuries includedin the numerator. Approximate relative standard errors forrates of this kind maybe computed as follows:

a. Where the denominator is the total U.S. population orincludes all persons in one or more of the age-sex-racegroups of the total population, the relative error of therate is equivalent to the relative error of the numerator,which can be obtained directly from the appropriate chart.

b. In other cases the relative standard error of the numeratorand of the denominator can be obtained from the appropri-ate curve. Square each of these relative errors, add theresulting values, and extract the square root of the sum.

This procedure will result in an upper bound on the relativestandard error and will overstate the error to the extentthat the correlation between numerator and denominatoris greater than zero.

Rule 5. Estimates of difference between two statistics(mean, rate, total, and so forth): The standard error of adifference is approximately the square root of the sum ofthe squares of each standard error considered separately. Aformula for the standard error of a difference,

d=x, -xzis

u.= ~(x, VX,)2 + (x,VX2)2

where Xl is the estimate for class 1, X’ is the estimate forclass 2, and Vxl and VX2are the relative errors of Xl andX2, respectively. This formula will represent the actual stan-dard error quite accurately for the difference between separateand uncorrelated characteristics although it is only a roughapproximation in most other cases, The relative standard errorof each estimate involved in such a difference can be deter-mined by one of the four rules above, whichever is appropriate.

50

1;(3

I

%--- ,

60 \

50

40

30

20

109876

5

4

3

2

0.:0.8 I ,

0.7 ! I

: 60

- 50

- 40

- 30

20

. 10

: :7

: 6

5

4

- 3

2

:.9f:::H:0.6

: 0.5

. 0.4

. 0.3

~- - - - - - -\ - 0.2

\

0.1

,,+ -- :t I

++

0.5

0.4

0.3

0.2

Ro.”

A210

3 456789A 2

100

56769A 2 3 4 56769A 2 3 456789A 23 6789A

1,000 10,000

Size of esfimate in thousands

100,000 1,000,000

NOTE This curve represents estimatesof ralafiie atsmdarderrors of aggregafea based on a one-sixth subsample over 12 quarfera of data collection for narrow-rangeestimates.

EXAMPLE An estimate of 1,000,000 of a type of chronic condition (on scale at Imttom of chart) has a relative standard srror cd 8.2 percant (read from scale at left side of chart), or a standard error of 82,OOO(8.2 percent of1,000,OQO).

Figure L Refetive stendard errors for cherecteristke refeted to the prevslenoe 01 chronk condiis

m

10090 ,80 , { 1 [ 1 I I , [11111 1 . !

1 c , , r 1 170 I 1 1 I I 1 1 111111 I \

6050

40

30I I 111111111111/ I I I

I I I 120

10 ‘ ~ ~ I \ !~~ !! \H~ I ~ ! j !9 ,8 I , I , 1 1I I,,, 1 1! , 6 11 11117 1 1 [ 1 I 1 1 1 1

! 1 1 1 [Ill 16 I I I 1 1 I I ( I

L I I I I I i I I I 1!!!!!!!! ~ ! I

I I I I I I I Illllilllll I I I3 i I t I I 1 I I I 1 11111111 I 1 1

2

J

0.;0.80.70.6

0.5

0.4

0.3

0.2

0.1

AZ 3 456769A 23

100 1,000A 2 3456769A 2 34 56769

10,000 100,000

size of drnate in thousmcls

4 A56709

1,000,000

2 A3 456769

10,000,000

NOTE This curve represents estimates of relative standard errors Of aggregates using a 2-week reference Period based on a one-sixth subsamp!e over 12 quarters of data collection for wide-range estimates.

EXAMPLE An estimate of 10,000,000 daya of raatricted activity (on scale at bottom of chart) has a relafiVe standard error of 41 percent (read from scale at left side of chart), or a standard error of 4,100,000 (41 percent of

10,000,000).

Fiiure IL Relative stsndsrd errors for days of restricted edivity or bed disability

100906070

60

50

40

30

20

109876

a

4

3

2

1

R0.7

0.6

0.5

0.4

0.3

0.2

.1

! II I v , , d+% I -. , .

I x I I N I I I I \<$’ \

\

\ ~q

\ 50\ \ \\

\ -\

‘N \ 100 \ \

I I I I

II

I I I I I

A 2 3 4 56789A

Hi

2 3’ 4 56789A 2 3 456789 A

10090807060

50

40

30

20

10987

6

5

4

3

2

10.90.80.7

0.6

0.5

0.4

0.3

0.2

0.1

1 10 100 1,000

Estimated percent

NOTE Theee cutves represent estimates of relative standard errors of percents of characteristics related to chmaic mnditims baaed on a one-sisth subsample over 12 quarters

of data collection for narrow-range estimates.

EXAMPLE An estimate of 20 percent (cm ssale at Mtom of dart) baaed on an estimate of 10,000,000 haa a relative standard error of 5.2 percent (read from scale at left

side of chart), the ~int et which the curve for a base of 10,000,000 mteraecta the vertical line for 2U percent. The standard error in percentage points is equal to 20 percent

x 5.2 persent, or 1.04 percentage ~“nts.

F- Ill. Refstfve stsnsfwf errors of percents of chsrscterfstics relstsd to chronic conditions

53

Appendix IIDefinitions of terms

Terms relating to conditions

Condirion—A morbidity condition, or simply a condition,is any entry on the questionnaire that describes a departure

from a state of physical or mental well being. It results froma positive response to one of a series of “medical-disabilityimpact” or “illness-recall” questions. In the coding and tabulat-ing process, conditions are selected or classified according

to a number of different criteria (such as whether they weremedically attended, whether they resulted in disability, andwhether they were acute or chronic) or according to the typeof disease, injury, impairment, or symptom reported. Forthe purposes of each published report or set of tables, only

those conditions recorded on the questionnaire that satisfycertain stated criteria are included.

All conditions except impairments are classified by typeaccording to the ninth revision of the International Classifica-

tion of Diseases,z* with certain modifications adopted to makethe codes more suitable for a household interview survey.

Chronic condition—A condition is considered chronic if(1) the condition is described by the respondent as havingbeen first noticed more than 3 months before the week ofthe interview, or (2) it is one of the following conditionsalways classified as chronic regardless of time of onset:

Tuberculosis.Neoplasms (benign and malignant).Diseases of the thyroid gland.Diabetes.Gout.Psychoses and certain other mental disorders.

Multiple sclerosis and certain other diseases of the centralnervous system.Certain diseases and conditions of the eye.Certain diseases of the circulatory system (includesrheumatic fever, hypertension, stroke, and all heartconditions).Emphysema, asthma, hay fever. and bronchiectasis.Ulcers and certain other diseases of the esophagus,stomach, and duodenum.Hernia of abdominal cavity (includes rupture).Gastroenteritis and colitis (with exceptions).Calculus of kidney, ureter, and other parts of the urinarysystem.

Diseases of the prostate.

● Chronic cystic diseases of the breast.● Eczema and certain other dermatitis.● Arthritis and rheumatism.● Cyst of the bone (except jaw).● All congenital anomalies.

lmpuirtnent-Impairments are chronic or permanent de-fects, usually static in nature, that result from disease, injury,

or congenital malformation. They represent decrease or 10SSof ability to perform various functions, particularly those ofthe musculoskeletal system and the sense organs. All impair-ments are classified by means of a special supplementarycode. Hence code numbers for impairments in the Irntemational

Classification of Diseases are not used. In the supplementarycode, impairments are grouped according to type of functionalimpairment and etiology. The impairment classification isshown inanNHIScodingmanual.31

Prevalence of conditions—In general, prevalence of condi-tions is the estimated number of conditions of a specifiedtype existing at a specified time or the average number existingduring a specified interval of time. The prevalence of chronicconditions is defined as the number of chronic cases reportedto be present or assumed to be present at the time of theinterview. Those assumed to be present at the time of intervieware cases specified by the respondent as present on the selectedchronic condition list or described by the respondent in termsof one of the diseases on the list of conditions always consid-ered chronic and reported to have been present at some timeduring the 12-month period prior to the interview. (See defini-

tion of chronic condition. ) In this report, chronic conditiondata are presented in six different categories: (1) circulatoryconditions; (2) respiratory conditions; (3) digestive conditions;(4) impairments and conditions of the nervous system and

sense organs; (5) conditions of the skin and subcutaneoustissue and other related conditions and conditions c)f the mus-culoskeletal system and connective tissue; and (6) endocrine,nutritional, and metabolic diseases and immunity disorders,diseases of the blood and blood-forming organs, and conditions

of the genitourinary system.Onset of condition—A condition is considered to have

had its onset when it was first noticed. This could be thetime the person first felt sick or became injured, or it couldbe the time when the person or the person’s family wasfirst informed of the previously unknown condition by a physi-cian.

NOTE: A list of references follows the text

54

Terms relating to disability

Disabili~Disability is the general term used to describeany temporzuy or long-term reduction of a person’s activityas a result of an acute or chronic condition.

Disability day—Short-term disability days are classifiedaccording to whether they are days of restricted activity, beddays, hospital days, work-loss days, or school-loss days. Allhospital days are, by definition, days of bed disability; alldays of bed disability are, by definition, days of restrictedactivity. The converse form of these statements, of course,is not true. Days lost from work and days lost from school,special terms that apply to the working and school-age popula-tions only, are days of restricted activity. Hence “days ofrestricted activity” is the most inclusive term used to describedisability days.

Restricted-activi~ day—A day of restricted activity isone during which a person cuts down on usual activities

for the whole of that day because of an illness or an injury.The term “usual activities” for any day means activities theperson ordinarily engages in on that day. For preschool chil-dren, usual activities depend on the usual pattern for thechild’s day, which is affected by the age of the child, weatherconditions, and so forth. For retired or elderly persons, usualactivities might consist of almost no activity, but cutting downon even a small amount of activity for a whole day wouldconstitute restricted activity. On Sundays or holidays, usualactivities are activities the person usually engages in on suchdays—going to church, playing golf, visiting friends or rela-tives, or staying at home and listening to the radio, reading,looking at television, and so forth. Persons who have perma-nently reduced their usual activities because of a chronic condi-tion might not report any restricted-activity days during a2-week period. Therefore absence of restricted-activity daysdoes not imply normal health.

Restricted activity does not imply complete inactivity,but it does imply only the minimum of usual activities. Aspecial nap for an hour after lunch does not constitute cuttingdown on usual activities, nor does the elimination of a heavychore, such as cleaning ashes out of the furnace or hangingout the wash. If a farmer or housewife does only the minimumof the day’s chores, however, this is a day of restricted activity.

A day spent in bed or a day home from work or schoolbecause of illness or injury is a restricted-activity day.

Bed-disability day—A day of bed disability is one duringwhich a person stays in bed for all or most of the day becauseof a specific illness or injury. All or most of the day is

defined as more than one-half of the daylight hours. All hospitaldays for inpatients are considered to be days of bed disability,even if the patients were not actually in bed at the hospital.

Condition day-Condition days of restricted activity, beddisability, and so forth are days of the various forms of disabil-ity associated with any one condition. Any particular dayof disability may be associated with more than one condition,so the sum of days for conditions may add to more thanthe total number of person-days.

Chronic activi~ limitation—Persons are classified intofour categories according to the extent to which their activitiesare limited at present as a result of chronic conditions. Because

the usual activities of preschool children, school-age children.housewives, and workers and other persons differ, a different

set of criteria is used for each group. There is a generalsimilarity among them, however, as will be seen in the follow-ing descriptions of the four categories.

1. Persons unable to carry on major activity for their group(major activity refers to ability to work, keep house.or engage in school or preschool activities), includingthe following:

. Preschool children: Inability to take part in ordinaryplay with other children.

. School-age children: Inability to go to school.

. Housewives: Inability to do any housework.

. Workers and all other persons: Inability to work ata job or business.

2. Persons limited in amount or kind of major activity per-formed (major activity refers to ability to work, keephouse, or engage in school or preschool activities), includ-ing the following:

3.

●

●

●

●

Preschool children: Limited in amount or kind ofplay with other children, for example, need specialrest periods, cannot play strenuous games, or cannotplay for long periods at a time.School-age children: Limited to certain types ofschools or in school attendance, for example, needspecial schools or special teaching or cannot go toschool full time or for long periods at a time.Housewives: Limited in amount or kind of house-work, for example, cannot lift children, wash or iron,or do housework for long periods at a time.Workers and all other persons: Limited in amount

or kind of work, for example, need special workingaids or special rest periods at work, cannot workfull time or for long periods at a time, or cannotdo strenuous work.

Persons not limited in major activity but otherwise limited(major activity refers to ability to work, keep house,or engage in school or preschool activities), includingthe following:

●

●

●

●

Preschool children: Not classified in this category.School-age children: Not limited in going to school

but limited in participation in athletics or other ex-tracurricular activities.Housewives: Not limited in housework but limitedin other activities such as church, clubs, hobbies,civic projects, or shopping.

Workers and all other persons: Not limited in regularwork activities but limited in other activities suchas church, clubs, hobbies, civic projects, sports, orgames.

4. Persons not limited in activities (includes persons whoseactivities are not limited in any of the ways describedabove).

55

In this report, some conditions are specified as causing“limitation in major and outside activity.” This classificationincludes categories 1–3. The classification “limitation in majoractivity” includes categories 1 and 2 only.

Terms relating to physician visits

Physician visit—A physician visit is defined as consuka-tion with a physician, in person or by telephone, for examina-tion, diagnosis, treatment, or advice. The visit is consideredto be a, physician visit if the service is provided directlyby the physician or by a nurse or other person acting undera physician’s supervision. For the purpose of this definition,“physician” includes doctors of medicine and osteopathic phy-sicians. The term “doctor” is used in the interview ratherthan “physician” because of popular usage.

Physician visits for services provided on a mass basisare not included in the tabulations. A service received ona mass basis is defined as any service involving only a single

test (for example, test for diabetes) or a single procedure(for example, measles inoculation) when this single servicewas administered identically to all persons who were at theplace for this purpose. Hence obtaining a chest x ray in

a tuberculosis chest x ray trailer is not included as a physicianvisit. However, a special chest x ray given in a physician’soffice or in an outpatient clinic is considered a physicianvisit.

In this report, some conditions are classified as causing“1 physician visit or more.” This means that the person hadconsulted with a physician regarding the specific conditionat anytime since the onset of the condition.

Demographic terms

Age—The age recorded for each person is the age atlast birthday. Age is recorded in single years and groupedin a variety of distributions depending on the purpose ofthe table.

Race—In this report, data are presented for two racial

groups, white and black. Data for races other than whiteand black are included when totals are presented. For 1979,racial characterization was based on the interviewer’s observa-tion of race. In 1980 and 1981, race characterization was

based on the description of racial background given by therespondent.

56

Appendix IllQuestionnaire itemsand flashcards

3. What is --’s dote of birth? (Enter date and Age. and circle Race and Sex)

L Ask Ccmd,tion list_. Use Flashcard to determine Sample persons; mark SP boxes.

1. Record the number of Bed Days, Doctor Visits, and Hosplcallzations

c2. Record each condl tion in the person’s column, with the quest!on number(s) where it was reported.

Reference dates

2-week period

12-month Bed Daysand Doctor vlsltpro be

Hospttal probe

3. Month Date Year

I .

\

1 , ~

This survcyis bcingcenducted tocoll*ct information on the Nation’shaalth. Iwillask oboutvisitttodoctors onddmrtists, illness inthefomily, andothcr health related items. (Hand calendar)

The ncxtfew questions rcferto thepast 2weeks, the2weeks eutlined inredon that calendar,

b~ginning Monday, (date) , arrri wrding this past Sunday, (d ate )Y (5b)

5a, During those 2 weeks, did -- stay in bed bacause of any illness or iniury? 50. 00 N

}

If age:------------ ------------------ --------- ------------------------------------- --- 17+ (6)

b. During that 2.week period, how many days did --6-16 (7)

stay in bad all or most of the day? b. . Days Under 6 (9)

6. During those 2 weeks, how many days did illness or iniury keep -- from work? 6.

(For females): not counting work around the house?_ WL days (8)

00 ❑ None (9)

7. During those 2 weeks, how many days did illness or iniury keep -- from school? 7.— SL days00I_JNone (9)

If one or more days in 5b, ask 8; otherwise go to 9

8. On how many of these -- daY5 lost from

{y~~~o’ } ‘id--

stay in bed all or mosi of tha day?Days

8. —00 ❑ Ncne

{

in bed9.. (NOT COUNTING tha day(s)

}

lost from work ) 9a. lY

lost from schoolWert there any (othw) days during the post 2 weeks that -- cut down on the things N (10)he u5u011y doms bccausc of illness or iniury?

2

-------------------------------------------- ---------------------------------- --- --------------------

{

in bedb. (Again, not counting the cloy(s)

}

lost from work ) b. — Days

lost from school 00 ❑ None

During that period, how many (other) days did he cut down for as much as o day?

If one or more days in 5-9, ask 10; otherwise go to next person.

{%1:~’}

Enter condition in item C

10a. Who* condition caused -- to during the past 2 weeks? loam Ask 10b

----------------- ----------------------------------------------------------- --- ..- ------------ ..------

b. Did any other condition cause him to{g:g, }d.,ing*h.tp*riO’f? ‘

‘___i?:!________

b.

------------------------------------------------------------------------------- ---c. What condition? c. Enter condition in item C (lob)

[ {

11o. During the past 2 waeks, did anyone in the family, that is you,

your - -, etc., have any (other) accidents or iniuries? Y N (12)------------------------------------------------------------------------------

b, Who was this? -Mark “Accidentor!niury” box in person’s column.------------------------------------------------------------------------------

c. What was the in@y?______________________________________________________________________________

d. Did anyone hove any other accidents or iniuries during that period? Y(Reask Ilbandc) N------------------------------------------------------------------------------

If “Accidentor in jury,” ask:.

e, Asa result of the accident, did - - see a doctor or did he cut down on the things he usually does?

I--..-A _______________

Ilb. c] Acc,denc m tnjwy----------------------

Injury

c.---- -----------------

---------------------

Y (Enter hwury in/tern C)

e. N

14. During *hepast2weeks(the2 wecksoutlined inredon that calendar) how many times did -- seeamedicaldector?

Donot count doctors seen while .s pattent in a hospital.

14.

.

(Besides those visits) I

5a. During thot 2.week period did anyone in the family go to a doctor’s office or Y

clinic for shots, X-rays, tests, or ●xaminations? N (16]. --------- —--- ------------- ---------- -------------------------------------------

b. Who was this? - Mark “Doctor vtslt” box In person’s column..-. --_- _--_ --______ —------------------------ -------- ----------------------------

c. Anyone ●lse? Y (Reask 15b and cl

N

,--

15b,---

------- ____------- -------------------------------------------------------------- -.If “’Doctor vlslt, ” ask

d. How many times did -- visit the doctor during that period? d,

60. During that period, did a“yo”e in the family get Oriy medical advice from Y

a doctor over the telephone? N (17)-------- -------------------------------------------------------- ---------------- ,“%-

b. Who was the phone COII about? - Mark “Phone call” box tn person’s column. 16b.-------- ________________ _______ ----- _____________ ______ ____________________ ----- _

c. Any calls about onyone else? Y (Reosk 16b and c)

N------ _________ _____________ _____ _______ ________________________________________ .W

If “Phone call.”’ ask.

d, How many telephone calls were made to get medical odvice about -- ? d.

/

~ Fill !tem C, (DV), from 14-16 for all persons.

Ask t7a for each person wtth vIsIts In I)V box.

70, For what condition did -- see or talk to a doctor during the past 2 weeks? 17..--------- ---- .- —-- ------------------ ---

b. Did -- see or talk to a doctor about any specific condition? b.------ . . . . . -------- __________________ _______________________________________ ___

c. What condition? c.

d. During that period, did -- see or talk to a doctor about any other condition?----- ----------- .--. —--------------------- ___________ __________________________

e. During the past 2 weeks was -- sick because of her pregnancy?--------- -------- —______ _______________ _______________________ -----------------

f. What was the matter?

8a. During the past !2 months, (that is since (date) a year ago), about how many times did -- see or

talk to o medical doctor? (Do not count doctors seen while a patient in a hospital.)

(Include the -- visits you already told me about.)_______________________________________________________________________________

b. ABOUT how long hos it been since -- LAST saw or talked to a medical doctor?

Include doctors seen while a patient In a hospital.

d-.

e-.

f,

180

-.b

00 ❑ None ) NP_ Number of vIs Its

--- —--- .--.-...--__--U Doctor VISI!.

-- .---” ------------,.

_____----------------

— Number of vlstits (NP)

““--A--..”- --,. --+ -...

~ Phone call,- . . -------- ~

. . .--...-.” . .. ”---------

_Number of calls (W)

D Condltlon (/tern CTHEN i 7d)

❑ Pregnancy ( 17e)

r] h. cond,t,on------------ ---------

Y N (NP)-------------------

Enter condit!on in item CAsk 17d--------------- _— __

Y (17C) N (NP)-------------------

Y N (17d)---------- ---------

Enter condition in item C (l?d)

100 ❑ Only when !n hospital

}00 ❑ None

_ Number of vis!ts------ -------------

1 ❑ 2-week DV------------ --------

2 ❑ Past 2 weeksnot reported(14 and 17)

3 ❑ 2 wks. -6 Imos.

4 ❑ Over 6-12 mos.

s ❑ I year

6 ❑ 2-4 years

7 ❑ 5+ years

8 m Never

56

Ages17+

---------Ages6–16

---------

Agesunder 6

19a. What WOS -- doing MOST OF THE PAST 12 MONTHS - (For males): * do C4rsath I $

If “’something else.” ask: (For females): &p;~ &us5ws*n%i% $&

b. What was -- doing? somatfring ●lse?

If 45+ years and was not “wOrklng.” “keeping hOuse.” Or “’gOlng tO schOOl.” ask:c. IS -- retired?

d. If “retired,” ask: Did he retire becouse of his health?-------------------------------------------------------- :------ -----200. What WOS -- doing MOST OF THE PAST 12 MONTHS - go,ng to school or dotng somethtng ●lse?

------

If ‘isomethlng else, ” ask:b. What Wa5 -- ‘doing?--------------------- ---------------------------------------------------

10. IS -- able to take port at olf m ordinary P/oy with other childrwr?----------------- ------- -------------------------------------------------------

b. Is he limited i“ the kind of play he can do because of his health?-------------------- -----------------------------------------------------------

c. IS he limited in the omount of PlaY because of his health?

20, Is -- limited in any way because of his heolth?-------------------------------------------------------------------------------

b. In what way is he limited? Record I Imitation, not condition.

‘3a. Does -- health now keep him from working?------ ---- ------------------------------ ------ ----------------------------

b. Is he limited in the k,nd of work he could do bacause of his health?

----

---------- ---------------------------------------------------------------------

C. IS he limited in tfre amount Of work he could do ~CaUSe ef his health?--------- -----------------------------------------------------------------

d. is he limited in the kind or amount of other actwnies because of his health?

----

‘4a. Does -- NOW have a iob?---------- ---------------------------------------------------------------------

b. In terms of health, is -- NOW ❑ble to (work - keep house) at all?------------------------- -----------------------------------------------------

c. Is he limited in che k!nd of (work - housework) he con do because of his haalth?-------------------------------------------------------------------------------

d. Is he limited in the omount of (work - housework) he con do because of his heolth?-------- . --------------------------------------------------------------------

● . Is he limited in the ktnd or amount of other activities because of his health?

!5. In terms of health would -- be able to go to school?

‘6a. Does (would) -- have to go to a certain type of school because of his health?----------- ----------------------------------------------------------

b. IS he (would he be) limited in school attendance because of his health?

---------

------------------------------------------------------------------------- ------

c. IS he limited in the ktnd or amount of other activities becouse of his health?

70. Is -- limited in ANY WAY because of a disability or health?-------------- ----- ------------------------------------------------------------

b. In what way is he limited? Record I Imttauon, not condltlon.

{

been limited in --!80. About how long hos he bemr unable to --

had to go to ❑ certain type of school? }------- ----------- .----------- . ------- --------- -----------------------------

b. What (other) condition causes this Iimitotion?

If “old age” only. ask: IS this limi~tion caused by w swific condition?--------------------------------------------------------------------------------

c. IS this limitation caused by any other condition?------------ .------ ------------------------------------------------------------

Mark box or ask:

d. Which of these conditions would you say is the MAIN cause of his limitation?

I n Working(24i4)

2 n Keeping house (24b)

3 m Retired. health (23)

4 n Retired, osher (23)

s ❑ Gc.ms to school (26)

6 ❑ 17+ somethinz else (23)

7 ❑ 6-16 something else (25J

2===I210. Y 1 N (28)

--------------------- .

b. 2 Y (28) N--------------------- .

=&===

d. I 3 Y (m) N (27)

24a. Y (24c) N’------------ ,--------- .

Ib. Y 1 N (28)

--------------------- .

c. 2 Y (28) N--------------------- .

d. 2 Y (28) N--------------------- .

●✎ 3 Y (28) N (27)

25. Y 1 N (28),

i

26.3. 2 Y (28) N--------------------- -

b. 2 Y (28) N--------------------- .

c. 3 Y (28) N,

427a. 4 Y s N (NP)----------------------

Tb.

000 m Less than I monthZBa.

1 — Mos. 2 _ Yrs--------------------- .

b. Enter condition in item CAsk 28c

~] Old as. only (NP)-----------------------

Y (Reask Ne. 28b and c)

1-----------

❑ Only I cond,t,on

d. Enter main condi tmn

59

32a. DURING THE PAST 12 MONTHS, did anyone in the A. Gallstones? 1. Any disease of the porrcreas?

fomily (you, your --, etc. ) have -.—. - —.—— _.. ----- --- --- —----- ------ -------- . __

B. Any other gallbladder trouble? J. Ulcer?

If “Yes, ” ask 32b and c.

C. Cirrhosis of the I iver? K. Hernia or rupture?

1b. Who was this? Enter name of condition and letter of Ilne --—- .. ---—- .— —--- ----- . . ---- ---- ---- .-------- -------- -,

where reported In appropriate person’s column in item C. D. Fatty liver? L. A disease of the esophagus?—_—-—. . ----- ---- --—- . . -.. . ._ ..__ _______ ____ .-

c. During the past 12 month s., did anyone else hove . . .? E. Hepatitis? M. Gastritis?. . . . . . . . . . -. .._. ______ ----- .- ..-. . .

Condlt!ons affecting the dlgestlve system. F. Yellow iaundice? N. FREQUENT indigestion?-. --- —.. . ______ ._ .._ ___________ ,_ ___

Make no entry In Item C for cald, flu, ar grippe even G. Any other Ijver trouble? O. Any other stomach trouble?if reported !n questian 32. -. -------- ---- . .. -—----— . --- -------- ---------------- _.

H. Diabetes? P. Enteritis?

,,.,’, ~’

32a. Does anyone in the fami Iy (YOU, your --, etc.) NOW hove -If “Yes, ” ask 32b and c. A. Permanent stiffness or any deformity of the faot, leg, fingers, arm or back?

b. Who is this? Enter name of condltian and letter af line(Permanent stiffness - jaints will not move at all)

where reported in appropriate person’s column In Item C. ---------------------------------------------------- .-,

c. Does anyone else have . . .? B. Paralysis of any kind?

C. Arthritis of any kind}32d. DURING THE PAST 12 MONTHS, did anyone in the family 4 or Rheumatism?

21. Trick knee?

(you, your --, etc.) have - If “Yes, ” ask 32e and f.

O. Gout? J. A slipped or ruptured disc?

e. Who was this? Enter name of condltlon and letter af line ----- ------------- —----- ___ --------- ------ --------- . ---

where reported In appropriate person’s column in item C. E. Lumbago? K. Curvature of the spine?------------------------ - --- ----- ---------- ------- --- .-.

f. During the past 12 months, did anyone else have . . .? F. Osteomyelitis? L. REPEATEO trouble with

(os-tee-oh-my-uh-l ite-iss) neck, back, or spine?

Condltians C–N and V are conditions affecting the bone------------------------ . --- ------ ---- ---- .. ---- . . . . . . .

and muscle. G. A bone cyst or bone spur?M. Bursitis or Synovitis?

(sin-uh-vite-iss)--------------- -------- . ..- . . . . .—.

H. Any other disease of the N. Any disease of the musclesbone or cartilage? or tendons?

.Ww4.w

A. Goiter or ether320. DURING THE PAST 12 MONTHS, did anyone in the thyraid trouble?

family (you, your --, etc. ) have - ------------------------ . --

: 1Glandular

B. Diabetes? disordersIf “Yes, ” ask 32b and c.

--------- ----------- ---- . --

C. Cystic fibrosis?3 b. Who was this? Enter name of co”ditlan and letter of line ------------------------ . --

where reported in appropriate person’s column In Item C. D. Anemia? Blaad disorder------------------------ - ---

c. During the past 12 months, did anyone else have . . .? E. Epilepsy? .____________ ______ ------ ---

~1Canal itlans affecting

F. Multiple sclerosis?the nervous system

------------- ----------- ----

G. Migraine?

60

W. Cancer of the stomach,32a. DU RING THE PAST 12 MONTHS, did anyone Q. Diverticulitis? colon or rectum?

in the family have ------------------------- --- ------------------------ --

if “Yes, ” ask 32b and c. R. Colitis? X. During the post 12 months,

b. Who was this? Enter in item C.------------------------ - ---

1

did anyone in the familyhave any other condition ofthe digestive system?

c. During the past 12 months, did anyone S. Spastic colon? If “Yes,’”●lse have . . . ?

------------------------ --- ask: Who was

this? - What was the

Conditions affecting the digestive system. T. FREQUENT constipation?condition? (Enter in item C)

------------------------ ----

Make no entry in Item C for cold, flu, or grippe evenIf reported in question 32. U. Any other bowel troubla?

------------------------ ----

V. Any etfwr intestinal trouble?

32d. DURING THE PAST 12 MONTHS, did anyone O. A tumor, cyst or growth U. Dermatitis or any other

in the family have - of the skin? skin trouble?----------------------- --- - --------------- ------- ..-.

If ‘“Yes,”’ ask 32e and f. P. Eczema or psoriasis? V. TROUBLE with fallen ❑rches,

(so.ry*.uh-sis) fiatfeet or clubfoot?e. Who was this? Enter in item C.

---------------------- - --- --------- ---------------- ----

f. Ouring tha past 12 months, did anyone ●lsehave ...? Q. TROUBLE with dry or

2W. TROUBLE with ingrown toenail s

itching skin? or fingernails?

Conditions O-U and W-Z are conditions------------- ---------- --- ------------------------ ---

affecting the skin. X. TROUBLE with bunions, cams,R. TROUBLE with acne? or calluses?

-------------------- ----- --- -------------------- ----- ----

S. A skin ulctr? Y. A disease of the hair or scalp?

----------------------- ----- ------------------------ ----

Z. Any diseosc of tha lymph or

T. Any kind of skin allergy? sweat glands?

- -

32a. DURING THE PAST 12 MONTHS, did onyoneH. Neuralgia or neuritix? Conditions affecting the

------------------------ --- -in the fami Iy hav~ - 1. Sciatica?

nervous system

If “Yes,”----------------------- --- -

ask 32b and c. J. Nephritis?\

---------------------- - --- -

b. Who was this? Enter in item C.

3K. Kidn*y ztones?---------------------- ---- -

c. Ouring the pa5t 12 months, did anymm L. Any otkr kidney trouble?●lse have . . . ? ---------------------- ----

M. Bladder troublo? Genito-ur Inary------------ ------------ ---- - ● condtuonsN. Prostate troubk?

---------------------- ---- -

0. Disease of the uterus or OVOIY?---------------------- ---- -

P. Any ether female trouble?A

61

H. A detachad retina or any other condition

32a. Does anyone in the fami Iy (you, A. Deafness in one or bcth ears? of the retina?

your --, ●tc.) NOW have - ------ ------- . . . . .-. _ ___ _____ __ —_______________________ __

B. Any other trouble hearing with one orIf ‘“Yes, ”

1. Any other trooble seeing with one or bothask 32b and c. both ears? eyes even when wearing glasses?

---- ---- .— -— -- ----- _ _— .—. ._ —______________________ _-

b. Who is this? - Enter name of conditton

4C. Tinnitus or ringing in the ears?

and letter of Ilne where reported InJ. A cleft palate or harelip?

apPrOprlate Person’s column In item C.--—. ---------- --------------- ------ ----

D. Blindness in one or both eyes? K. Stammering or stuttering?c. Does anyone ●lse have . . .? ..-. — . . . . . . . . -.-— ----- ---- .-. ----- . . ---------------- ------ .--,

{}

E. Cotaracts ? L. Any other speech defect?hearing _________________________ ___ ___ ._ ----------------------------- ----

A-L are condtuons affecting visionspeech

M. A missing finger, hand, or arm, tale, foot,F. Glaucoma? or leg?

-— -- --- -— -.. -------- .. —--------- --- ----- . . ._ .-—__ —--------- _____ ---

G. Color blindness? N. A missing (breast), kidney or lung?

.w

320. Has anyone in the family (you, A. Rheumatic fever?

your --, etc.) EVER hod -

v ,,,.1

G. Stroke or ❑ cerebrovoscular accident?---- -.—. . . . . ---- --------- ----- —-- ------ ------------------------- --

If ‘“Yes, ” ask 32b and c,B. Rheumatic heart disease? H. Hemorrhage of the brain?

----- ---- . ..-. ----------------- --- ---- --------------------- ------ --

5b. Who was this? - Enter name of condt - C. Hardening of the arteries or

tion and letter of Ilne where reported in arteriosclerosis?

appropriate person’s column In item C.

1. Angina pectoris?--------- . . . -------- —---------- --- ----------------------------—- --

c. Has anyone else ever had. . .? D. Congenital heart disease? J. Myocordiol infarction?.-. ----------------------------—- --

Cond tuons affecting the heartand circulatory system. E. Coronary heart disease? K. Any other beast attack?

------ ----- -------- . -------- -—. ---

F. High blood pressure?

,, ,,. .

32a. DURING THE PAST 12 MONTHS, did A. Bronchitis? F. Sinus trouble?anyone in the family (you, your --, ----- .----— -------- ------------ --- ------ ------------------------ ---

etc. ) have -B. Bronchiectasis? (brong ke-ek tah-sis) G. Deflected or deviated nasal septum?

--- ..- .-- . . . . ------ -. --- -------------------------------- ---

If “Yes, ” ask 32b and c.C. Asthma?

H. *Tonsillitis or enlargement of thetonsils or adenoids?

. . . . ----- . . . . . . . . . ---- . . -b-

. Wh.r was this? - Enter name of condltlon D. Hay fever?and letter of line where reported in

appropriate person’s column in item C. ‘------ ----- . . . . . ------- . . . - --- -—- --------------------- ------- ---

E. Nasal pOlyp?

61.*Laryngitis?

*lf reported in question 32 only, ask:

c. During the post 12 months did anyone 1. How many times did -- hove . . .else have . . .?

in the post 12 months? - If 2+ enter in item C.

Conditions affectxng theIf only I time, ask:

respiratory system. 2. How long did it last? - If I month or longer, enter in Item C.If less than I month, do not record,

If tonsils or adenoids removed durihg the past 12 months, enter condition causing removal In Item C.

Make no entry in Item C for cold; flu; red, sore, or strep throat; or “virus” reportedIn answer to question 32.

.

62

. Pk~T stiffness or any deformity

32a. Dws ❑nyww in th~ family NOW have -0. Palsy or cerebral palsy?

of the back, foot, or leg? (Fermanentstiffness - joints will not move at all)

If “Yes, ” ask 32b and c.______________________________ --- _______________________________ ---

V. PERMANENT stiffness or any deformity

b. Who is this? Enter in item C. P. Paralysis of any kind? of the fingers, hand, or arm?------------------------------ ---- - —----- —----------------------- ---

4 c.Dow anywm ●lse have . . . ? Q. Curvatrm of *C spine? W. Menta I retardation?

Conditions O-W are impairments._—______ -------- _ -------------— --—- _______________________________ ---

X. Any condition caused by an old accidentor irr@y? If “cYes “

Conditions Y and Z affect the R. REPEATED trwblc with beck or spine?, ask: What is the

nervws system.______________________________ - ,___ ___c_Og*fiQ~?______________________ ---

S. Any TROUBLE with fallen arches orflotfeet? Y. Epilepsy?

----- ____ ---___ -___ -__- __ ----—- ----- ______________________________ -----

Z. REPEATED convulsions, seizures, or

T. A clubfoot? blackwts?

7* ,,s ,

32a. DURING THE PAST 12 MONTHS, did L. Damaged heart valves? R. Gangrene?

anyone in the family (you, ywr --,------------------------------- ----- ------------------------------- ---

●tc.) have - M. Tachycardia or rapid heart? S. Varicose veins?

If “Yes,”------------------------------ ---- ______________________________

ask 32b and c.---

5 N. Heart murmur?

b. Who was this? Enter in item C.

T. Hemorrhoids or piles?------------------------------ ---- ___- ____ -__- _--_ -____ —________ ---

0. Any othw heort trouble?c. During the past 12 months did anyone _______________________ _ . .

U. Phlebitis or thrombophlebitis?--- ------------------------------- ---

●lse have . . .?P. Aneurysm? V. Any ether condition affecting

Conditions affecting the heart ------------------------------ ---- bleed circulation?

and circulatory system.Q. Any blood clots?

— . ~—

J. Tumor, cyst, or growth of the32a. DURING THE PAST 12 MONTHS, did bronchial tube or lung?

O. Tumor, cyst, or growth of the

anyorw in the family have -throat, larynx, or trachea?

------------------------------ --- ------------------------------ - ----

If “Yes, ” ask 32b and c. K. Emphysema?------------------------------ ---- P. Any work-related respiratory condition

b. Who was this? Enter in item C. such as dust on the lungs,

L. Pleurisy?silicosis or pneu-mo-co-ni-o-s is?

c. During the past 12 months, did anyone ------------------------------- - -- __________________________ ----- . ---

else have . . . ? Q. During the past 12 months did anyone inM. Tuberculosis? the fami Iy have any other re~pi ratory,

Make no entry in item C for cold; flu:

6------------------------------ ----

red, sore, or strep throat: or ‘ ‘virus” !;:7~g;,Py~fla~h;;$~%; ? - What

reported tn answer to question 32. N. Abscess of the lung? was the condition? (Enter in item C)

Conditions affecting the

respiratory system.

63

CONDITION 1

1. Person number Nome of condition

I

2. When did -- last see or talk to o doctor about his . . .7

1~] ‘n lntervlew IL. past z wks. (Item c) 5[:; 2-4 YCS.

week 21:] 2 wks. -6 mos. 6~,5- yrs.(Reask .?)

37J Over 6-12 mos. 7EJ Never

‘U I yr. SE] DK If Dr. seen

9[3 DK when Dr. seen

Exam!ne “Name of cond!tlon” entry and mark

AI n ~OlOr bl.d”ess (NC) ➤] 0“ card c (A2)

~ Accident or ,nlury (A2) ~] Ne!ther (30)

If “Doctor not talked to, ” transcribe entry from Item I .If “Doctor talked to, ” ask

3a. What did the doctor soy it WOS? - Did he give it a medical name?

_________________________________________________Do not ask for Cancer ~ On Card C (A2)

b. What was the cause of . , .?

~ Accident or Injury (A2)_________________________________________________

If the entry !n 3a or 3b Includes the words

A,lrnent Cond, f,c.n D,sorder Rupture

Anem~ a cyst Growth Trouble

As?hmo Defect Me.as 1.s Tumor

}

Ask c

Attack Dts.s.as.s Problem Ulcer

c. What kind of. . . is it?

_________________________ _________________________For allergy or stroke, ask

d. How does the allergy (stroke) affect him?

_________________________________________________If In 3a-d there IS an Impairment or any of the followlng entr!es:

Abscess

Ache (axc*pt hood or .ar)BleedingBlood clotBoil

COnc*rcramps (.xc.pt

m.nstr..l)

cyst

DamageGrowthHernorrhoge

lnfec*, on

In flemmoti.an

Neuralgia

Neur, tis

Pain

Pal ,7

Poroly%, s

Rupture

Sore(ness)

Stiff (neJs)

Tumor

ulcerVoricose veins

Weok(ness)

Ask e

e. What part of the body is affected?

Show the follow!ng detail:Specffy

Heed . . . . . . . . .,, ,,. ,., ,,, ,skull, ,calp, foce

Back/spine lve,teb,oe

Side . . . . . ,,. ,.,upper, middle, lower

Ear . . . . . . . . . . . .. ::””,’ “’”’ ““”.Ieft or right

!nner or outer; left, right, or bothEra . . . . . . . . . . . . . . . ,,, ,,, ., ,,, ,lef+, righ+, o, bo+h

Aim . . . . . . . . . . . . shoulder, upper, elbow, lower or wrist; left, tight, o, both

Hond emire hand or fingers only; left, right, or both

Leg . . . . . . . . . hip, upper, kme, lower, or ankle; left, right, or both

Except for eyes, ears, or internal organs, ask if there are any ofthe followlng entries in 3a–d:

Infection sore soreness

f. What part of the (part of body tn 3e) is affected by the (infection/sore/soreness) – the skin, muscle, bone, or some other port? SpecifyK

-------------------------------------------------Ask ,f there are any of the followtng entries in 3a-d:

Tumor cyst Growth

g. Is this (tumor/cyst/growth) malignant or benign?

I ElMalignant 2 L:] Benign g r-q DK

AZ A’yy;;:,’”’sti”’s’ a:~:p;y ‘or‘h’ ‘:;’: ;:t=f in:.2nQ.3a 4DQ.3c SmQ.3e

4. During the past 2 weeks, did his . . . cause him

to cut down on the things he usuolly does? lY 2 N (9)

5. During that period, how many days did he cutdown for as much as a day? _ Days

00 r-l None (9)

6. During that 2-week period, how many days didhis . . . keep him in bed 011 or most of the cloy? I _ Days

00 [:; lNOne

Ask (f 17. years

7. How many days did his . . . keep him from work_Days (9)

during that 2-week period? (For females): notcountinrj work around the house? 00 [ II None (9)

Ask ,f 6-16 years:

8. How many days did his . . . keep him from __ Days

school during that 2-week period? 00 [:] None

9. When did -- first notice his . . .?

1 G Last week 4[~ I 2 weeks-3 months

Z~ Week before 5~] Over 3–I 2 months

3~ Past 2 weeks–DK wh!ch G[~1 More than 12 months ago

(Was it during the past 12 months or before that time?)

(Was it during the past 3 months or before that time?)

(Was it during the past 2 weeks or before that time?)

I ❑ Not an eye cond. (AA) 3 ❑ First eye cond. (6+ yrs.)

A3 2 ❑ First eye cond. (10)(under 6) (AA) 4 m Not first eye cond. (AA)

10. Can -- see well enough to read ordinary newspaper print

{}

WITH GLASSES with his left eye? . ..!Y 2 N

right eye? . ..t Y 2 N

FOOTNOTES

I ~ Missing extrem!ty (A4) A41 o A.cdent or injury ❑ Other (NC)

AA 2 ❑ Cond’t’I ton in C2 does not have a letter as source (A4)

3 ❑ Condition in C2 has a letter as source, Doctor seen (/ / )170. Did the accident happen during the past 2 years or before that time?

a P condition In C2 has a letter as source, Doctor not seen (IS) m During the past 2 years n Before 2 years (18a)-------------------------------------------------

a. Does -- NOW take any medicine or treatmentb. When did the accident happen?lY

for his . . .? 2 N(12) ❑ Last week D Over 3- I 2 months-------------------------------------------------

b. Was any of this medicine or treatment recommwtdcd I Y❑ Week before m I -2 years

by a doctor? 2N ❑ 2 weeks-3 months

‘. Has he ●ver had surgery for this condition?18a. At the time of the occident what part of the body was hurt?

lY

2N What kind of irsiury was it? Anything else?

Was hc ever hospitalized for this condition?

During tht past 12 months, about how many times hos-- -seen or talked to a doctor about his . . .?

(Do not count visits while a poticnt in a hospital.);:F;,,= ~

If accident happened more than 3 months ago, ask:

10. About how many days during the past 12 months has b. What part of the body is affected now?

this condition kept him in bed all or most of the day? _ Days How is his -- affected? Is he affected in any other way?

aoa ❑ None Part(s) of body Presem effects-------------------------------------------------

Ask If 17+ years:

b. About how many days during the past 12 months has _ Days

this condition kept him from work?------------------ -----------------------------------

For females: Not counting work around the house? 000 C None

Ia. How often does his . . . bother him - all of the time, often, 19. Where did the ❑ccident happen?

once in a while, or never? I •l At hame (inside house)

I ❑ All the time 2 ❑ Often 3 ❑ Once in a while z ❑ At home (ad]acent premises)

3 ❑ Street and highway (includes roadway and public sidewalk)o ❑ Never (16c) e u Other - Specify s ❑ Farm______ ------------- ----- —-- ----------------------

b. When it does bother him, is he bothered a great deal, some, or very little?s ❑ Industrial place (includes prernlses)

I u Great deal 2 u Some6 ~ schOOl (Includes premises)

3 ~, Very little 7 ~ place of recreation and sports, except at school

40 Other - Specifya ❑ Other - Specify

J

-------------- -------------------- ----- —--- -- —---- -

~ All the time in 16a OR condition list 4 asked (A4)20. was -- at work at his iob or business when the accident happened?

c. Does -- still have this condition? lY

t Y (A4) N

3 ❑ Whl Ie In Armed Serwces

2N 4 ❑ Under 17 at Ilme of acclde”t----------------------------------------------- ---

d. Is this condition completely cured or is it under control? 210. Was a car, truck, bus, or other motor vehicle

2 ❑ Cured 3 n under con~rol (A4)involved in the accident in any way? lY 2 N (NC)--------------------------------------------------

4 m Other - Specify (A4Jb. Was more than one vehicle involved? Y N

------------------------------------- -------- ---- ------------------------------------------------- .

e. About how long did -- have this condition before it was cured?

o n Less than one month — Months — Years c. Was it (*ither one) moving at the time? lY 2N

65

CARD E2

Show detel In quaetlen 3e, Conditien~ge .md/or queeUon6, Hoapitslpage fer these IMPAIRMENTS.

Deafness

Trouble hearing

Other ear condition

Blindness

Trouble seeing

Other eye ccmditien

Missing hand - all or part

Missing arm - all or parl

M&sing foot - all or part

Missing leg - all or part

Trouble, stiffness or any deformity of - foot, leg, fingers, arm, or back

CARD R

1. Aleut, Eskimo or American Indian

2. Asian or Paciftc Islander

3. Black

4 White

5 Another group not Ihsted - Specify

CAm c

Cimdt&nsreportedforwhkh queatkms Ss4s rfeed notbo esked

Ame Hemorrhoids or piles {[any fdnd)

Appendicitis Hernia (any type)

Arteriossferosis Kidney stenes

Arthritis (any kind) Leytgitis

Athlete’s foot Migraine (any kind)

Bronchitis (any kind) Mumps

Bunions Normal delivery

Bursitis Phlebitis (lhrombephlabfiis)

Calluses Pneumonia

Chiakenpox Pregnansy

Ca!d Ssiatica

Corns Sinus (any kind)

Croup Strep (Streptococcus) throat

Dmbetes (any type) Tonsillitis

Epilepsy (any kind) Ulser (dwdenal, stomssh, pepticor gastric only)

GallsteneaVasectomy

GotierWarts

Hardening of the atieriesWheoping cough

Hay fever

fyi).$. GOVERNMENT PRINTIN@ OFFICE 1986-49 L- 335-40008

66

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Vital and Health Statisticsseries descriptions

SERIES 1.

SERIES 2.

SERIES 3.

SERIES4.

SERIES 5.

SERIES 10.

SERIES 11.

SERIES 12.

SERIES 13.

Programs and Collection Procedures–Reports describing

the general programs of the National Center for Health

Statistics and its offices and divisions and the data COI.

Iection methods used. They also include definitions and

other material necessary for understanding the data.

Data Evaluation and Methods Research –Studies of new

statistical methodology including experimental tests of

new survey methods, studies of vital statistics collection

methods, new analytical techniques, ob}ectwe evaluations

of reliability of collected data, and contributions to

statistical theory. Studies also include comparison of

U.S. methodology with those of other countries.

Analytical and Epidemiological Studies-Reports pre.

senting analytical or interpretive studies based on vital

and health statistics, carrying the analysis further than

the expository types of reports in the other series.

Documents and Committee Reports–Final reports of

major committees concerned with vital and health sta-

tistics and documents such as recommended model vital

registration laws and revised birth and death certificates.

Comparative International Vital and Health Statistics

Reports–Analytical and descriptive reports comparing

US. vital and health statistics with those of other countries.

Data From the National Health Interview Survey-Statis-

tics on illness, accidental injuries, disability, use of hos-

pital, medical, dental, and other services, and other

health-related topics, all based on data collected in the

continuing national household interview survey.

Data From the National Health Examination Survey and

the National Health and Nutrition Examination Survey–

Data from direct examination, testing, and measurement

of national samples of the civilian noninstituti onalized

population provide the basis for (1) estimates of the

medically defined prevalence of specific diseases in the

United States and the distributions of the population

with respect to physical, physiological, and psycho-

logical characteristics end (2) analysis of relationships

among the various measurements without reference to

an explicit finite universe of persons.

Data From the Institutionalized Population Survays-Dis-

continued in 1975. Reports from these surveys are in-

cluded in Series 13.

Data on Health Resources Utilization–Statlstlcs on the

utilization of health manpower end facilities providing

long-term care, ambulatory care, hospital care, and family

planning services.

sER I ES 14. Data on Health Resources: Manpower and Facilities–

Statistics on the numbers, geographic distribution, and

characteristics of health resources including physicians,

dentists, nurses, other health occupations, hospitals,

nursing homes, and outpatient facilities.

SERIES 15. Data From Special Surveys-Statistics on health and

health-related topics collected in special surveys that

are not a part of the continuing data systems of the

National Center for Health Statistics,

SERIES 20. Data on MortaliW–Various statistics on mortality other

than as included in regular annual or monthly reports.

Special analyses by cause of death, age, and other demo-

graphic variables; geographic and time series analyses;

and statistics on characteristics of deaths not ava[lable

from the vital records based on sample surveys of those

records.

SERIES 21. Data on Natality, Marriage, and Divorce–Various sta-

tistics on natality, marriage, and divorce other than as

included In regular annual or monthly reports. Special

analyses by demographic variables; geographic and time

series analyses; studies of fertility; and statistics cm

characteristics of births not available from the vital

records based on sample surveys of those records.

SERIES 22. Data From the National Mortality and Natality Survey$–

Discontinued in 1975. Reports from these sample surveys

based on vital records are included in Series 20 and 2’1,

respectively.

SERIES 23. Data From the National Survey of Family Growttj–

Statistics on fertility, family formation and dissolution,

family planning, and related maternal and infant health

topics derived from a periodic survey of a nationwide

probability sample of ever-married women 1544 years

of age.

For answers to questions about this report or for a list of titles of

reports published in these series, contact:

Scientific and Technical Information Branch

National Center for Health Statistics

Public Health Service

Hyattsville, Md. 20782

301-436-8500

U.S DEPARTMENT OF HEALTH AND HUMAN SERVICESPubhc Health SewIceNational Center for Health Stallstics3700 East-West HighwayHyattswlle, h4aryland 20782

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DHHS Publication No (PHS)8&1583, SOries 10, No. 155