# Presentation: 659305

## Arthritis,

**Focus Area 2**

**Arthritis,**
**Osteoporosis, and **
**Chronic Back Conditions**
**Progress Review**
**September 18, 2002**

## Healthy People 2010Focus Area 2

**11 objectives**
**Three musculoskeletal areas**
**Arthritis (8 objectives – 5 developmental)**
**Osteoporosis (2 objectives)**
**Chronic Back Conditions (1 objective)**

## Arthritis

## Arthritis prevalenceAdults age 18 and older with arthritis, by gender, family income, and education, 2000

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

**Age-adjusted percent**

**      ****Total               Female   Male                Poor     Near    Middle/            Less      High     At least**
**                                                                   ****(<100%  poor      high                than    school    some**
**                                                                ****poverty)  (100%-  (>=200%           high   graduate college**
**                                                                                 ****199%    poverty)          school   **
**                                                                               ****poverty)                         **

**20**

**22**

**18**

**27**

**25**

**20**

**25**

**23**

**21**

## Arthritis prevalenceAdults age 18 and older with arthritis, by race/ethnicity, 2000

- Data are age adjusted to the 2000 standard population.
- *Includes persons of Hispanic and non-Hispanic origin.
- **Persons of Hispanic origin may be of any race.
- I = 95% confidence interval.
- SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

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

**Age-adjusted percent**

**22**

**18**

**15**

**13**

**29**

## Prevalence of arthritis among adults age 18 and older by state, 2000

**Prevalence of arthritis among adults age 18 and older by state, 2000**

**Percent with arthritis**
**(quartiles)**

**22.7 - 30.4**

**30.8 - 31.8**

**32.2 - 33.9**

**34.6 - 39.4**

**Data not available**

- Date are not age adjusted.
- SOURCE: Behavioral Risk Factor Surveillance System (BRFSS), CDC/NCCDPHP.

## Measurable Arthritis Objectives

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

## Developmental Arthritis Objectives

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

## Arthritis

**2-2. Adults age 18 and older with arthritis reporting activity limitation due to arthritis, by gender**

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

**2010**
**Target**

**Age-adjusted percent**

**28**

**27**

**32**

**31**

**23**

**21**

**Total                               Female                                Male**

## Arthritis

**2-2. Adults age 18 and older with arthritis reporting activity limitation due to arthritis, by race/ethnicity**

- Data are age adjusted to the 2000 standard population.
- *Includes persons of Hispanic and non-Hispanic origin.
- **Persons of Hispanic origin may be of any race.
- I = 95% confidence interval.
- SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

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

**Age-adjusted percent**

**2010**
**Target**

**20**

**19**

**16**

**29**

**30**

**33**

**33**

**27**

**26**

**25**

## Arthritis

**Arthritis**
**2-2. Adults age 18 and older with arthritis reporting activity limitation due to arthritis, by income and education**

- Data are age adjusted to the 2000 standard population.
- *Ages 25 and older.
- I = 95% confidence interval.
- SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

**Age-adjusted percent**

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

**2010**
**Target**

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

**25**

**25**

**30**

**30**

**34**

**36**

**34**

**37**

**32**

**30**

**26**

**26**

## Arthritis

**2-3. Adults age 18 and older with arthritis reporting**
**personal care activity limitations, by gender**

**Age-adjusted percent**

**2010**
**Target**

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

**1.8**

**1.7**

**2.4**

**2.3**

**2.2**

**2.1**

**Total                               Female                               Male **

## Arthritis

**2-3. Adults age 18 and older with arthritis reporting**
**personal care activity limitations, by race/ethnicity**

- Data are age adjusted to the 2000 standard population.
- *Persons of Hispanic origin may be of any race.
- I = 95% confidence interval.
- SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

**Age-adjusted percent**

**         ****Hispanic*              Black, not Hispanic     White, not Hispanic      **

**2010 **
**Target**

**1.8**

**1.8**

**4.9**

**3.5**

**2.7**

**3.8**

## Arthritis

**2-3. Adults age 18 and older with arthritis reporting**
**personal care activity limitations, by income and education**

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

**2010 **
**Target**

**Age-adjusted percent**

**2.1**

**1.4**

**1.8**

**2.3**

**3.4**

**3.4**

**1.3**

**1.0**

**2.4**

**4.4**

**5.4**

- Data are age adjusted to the 2000 standard population.
- *Data do not meet criteria for statistical reliability, data quality, or confidentiality.
- **Ages 25 and older.
- I = 95% confidence interval.
- SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

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

- *

## Arthritis

**2-5. Employment rate among adults age 18-64 with arthritis, by gender**

**2010 Target**

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

**Age-adjusted percent**

**73**

**75**

**65**

**61**

**69**

**67**

## Arthritis

**2-5. Employment rate among adults age 18-64 with arthritis, **
**by race/ethnicity**

- Data are age adjusted to the 2000 standard population.
- *Includes persons of Hispanic and non-Hispanic origin.
- **Persons of Hispanic origin can be of any race.
- I = 95% confidence interval.
- SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

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

**Age-adjusted percent**

**2010 Target**

**59**

**61**

**59**

**46**

**52**

**62**

**54**

**61**

**71**

**71**

## Arthritis

**2-5. Employment rate among adults age 18-64 with arthritis,**
**by income and education**

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

**Age-adjusted percent**

**2010 Target**

**39**

**55**

**38**

**56**

**79**

**79**

**68**

**64**

**46**

**46**

**78**

**75**

- Data are age adjusted to the 2000 standard population.
- *Ages 25 and older.
- I = 95% confidence interval.
- SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

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

## Osteoporosis

##  2-9. Reduce the proportion of adults with osteoporosis.  

 2-10. Reduce the proportion of adults who are hospitalized for vertebral fractures associated with osteoporosis.

** ****2-10. Reduce the proportion of adults who are hospitalized for vertebral fractures associated with osteoporosis.**

**Osteoporosis Objectives**

## Osteoporosis

**   ****Total                 Mexican   Non-Hispanic                   Female    Male**
**                           ****American  Black     White                           **

**Osteoporosis**
**2-9. Adults age 50 and older with osteoporosis by**
**race/ethnicity and gender, 1988-94**

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

**2010**
**Target**

**Age-adjusted percent**

**10**

**10**

**7**

**10**

**16**

**3**

## Osteoporosis

**65 years**
**and over**

**White     Black**

**Female**

**Male**

**65-74**
** ****years****

**75-84**
** ****years****

**85 years**
** ****and over****

**Osteoporosis**
**2-10. Hospitalizations for vertebral fractures associated with osteoporosis**
**among adults age 65 and older by race/ethnicity, gender, and age, 1999**

- Data are age adjusted to the 2000 standard population.
- I = 95% confidence interval.
- *Data do not meet the criteria for statistical reliability, data quality, or confidentiality.
- **Age groups are not age adjusted.
- SOURCE: National Hospital Discharge Survey (NHDS), CDC/NCHS.

**2010**
**Target**

- *

**15.5**

**21.3**

**11.2**

**9.8**

**17.4**

**49.4**

**17.3**

**Age-adjusted rate per 10,000 standard population**

## Chronic Back Conditions

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

**Chronic Back Conditions Objective**

## Chronic Back Conditions

**2-11. Activity limitation due to chronic back conditions among adults**
**age 18 and older, by gender**

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

**Age-adjusted rate per 1,000 standard population**

**2010**
**Target**

**32**

**26**

**33**

**26**

**31**

**27**

## Chronic Back Conditions

**2-11. Activity limitation due to chronic back conditions among adults**
**age 18 and older, by race/ethnicity**

**Age-adjusted rate per 1,000 standard population**

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

**2010**
**Target**

- Data are age adjusted to the 2000 standard population.
- *Includes persons of Hispanic and non-Hispanic origin.
- ** Persons of Hispanic origin may be of any race.
- I = 95% confidence interval.
- SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

**71**

**46**

**18**

**12**

**29**

**20**

**37**

**25**

**32**

**28**

## Chronic Back Conditions

**2-11. Activity limitation due to chronic back conditions among adults age 18 and older by family income and education**

- Data are age adjusted to the 2000 standard population.
- *Ages 25 and older.
- I = 95% confidence interval.
- SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

**Age-adjusted rate per 1,000 standard population**

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

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

**2010**
**Target**

**58**

**47**

**20**

**49**

**31**

**23**

**29**

**55**

**25**

**36**

**54**

**78**

## Chronic Back Conditions

**2-11. Activity limitation due to chronic back conditions among adults age 18 and older, by age**

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

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

**Rate per 1,000 population**

**19**

**15**

**45**

**37**

**47**

**33**

## Supplemental data

**Employment rate among people with and without arthritis**

## With and without arthritis

**Employment rate among adults age 18-64 with and without**
**arthritis by gender, 2000**

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

**Age-adjusted percent**

**    ****Total                           Female                           Male**

**69**

**78**

**65**

**71**

**73**

**85**

## With and without arthritis

**Employment rate among adults age 25-64 with and without**
**arthritis by race/ethnicity, 2000**

- Data are age adjusted to the 2000 standard population.
- *Includes persons of Hispanic and non-Hispanic origin.
- **Persons of Hispanic origin can be of any race.
- I = 95% confidence interval.
- SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

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

**Age-adjusted percent**

**46**

**59**

**61**

**74**

**62**

**73**

**61**

**74**

**71**

**80**

## With and without arthritis

**Employment rate among adults age 25-64 with and without**
**arthritis by income and education, 2000**

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

**Age-adjusted percent**

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

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

**38**

**49**

**56**

**69**

**79**

**85**

**46**

**65**

**68**

**78**

**75**

**86**

## Supplemental data

**Limitation of activity due to all chronic conditions**

## Activity Limitation

**Activity limitation due to all chronic conditions among adults age 18 and older, by gender**

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

**Age-adjusted rate per 1,000**

** ****Total                              Female                              Male**

**155**

**135**

**163**

**140**

**145**

**130**

## Activity Limitation

**Activity limitation due to all chronic conditions among adults age 18 and older, by race/ethnicity**

- Data are age adjusted to the 2000 standard population.
- *Includes persons of Hispanic and non-Hispanic origin.
- ** Persons of Hispanic origin may be of any race.
- I = 95% confidence interval.
- SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

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

**Age-adjusted rate per 1,000**

**281**

**262**

**84**

**86**

**119**

**152**

**200**

**167**

**152**

**135**

## Activity Limitation

**Activity Limitation**
**Activity limitation due to all chronic conditions and due to back conditions among adults age 18 and older**

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

**Age-adjusted rate per 1,000**

**155**

**26**

**32**

**135**

**All chronic conditions                           Back conditions**