NATiONAL CENTER Series 3 

For HEALTH STATISTICS INumber 7 

IWOPERWOFTHE


PUBLICATIONS BRANCH 

EDITORIAL LIBMRY 

VITAL and HEALTH STATISTICS 

ANALWICAL STUDIES 

Selected ., 

Family Characteristics


and Health Measures


Reported in the 

Health Interview Survey 

Standardized morbidity ratios for measures of iiiness by 

famiiy size, famiiy type, and famiiy income. 

Washington, D, C. January 1967 

U.S. DEPARTMENT OF 

HEALTH, EDUCATION, AND WELFARE Public Health Service 

John W. Gardner Wil Iiam H. Stewart 

Secretary Surgeor\ General 
Public Health Service Publication No. 1000–Series 3–No. 7 

For sale by the Superintendent of Documents, U.S. Government Printing Office 

Washington, D.C. 20402- Price 25 cents 
NATIONAL CENTER FOR HEALTH STATISTICS 

FORREST E. LINDER, PH.D.,Director 

THEODORE D. WOOLSEY, Deputy Director 

OSWALD K. .SAGEN,PH.~, Assistatit Director 

WALT R. SIMMONS,M.A., Statistical Advisor 

ALICE M. WATERHOUSE,M.D.,Medical Consultant 

JAMES E. KELLY, D.D.S.,DentalAdvisor 

LOUIS R.STOLCIS,M.A.,Executive O//icer 

DONALD GREEN, h/ormation O//icer 

OFFICE OF HEALTH STATISTICS ANALYSIS 

IWAO M. MORIYAMA, PH.D., Chic/ 

DIVISION OF VITAL STATISTICS 

ROBERT D. GROVE, PH.D., Cbie/ 

DIVISION OF HEALTH INTERVIEW STATISTICS 

PHILIP S. LAWRENCE, SC.D.,Cbie/ 

DIVISION OF HEALTH RECORDS STATISTICS 

MONROE G. SIRKEN, PH.D., Chic/


DIVISION OF HEALTH EXAMINATION STATISTICS 

ARTHUR J. MCDOWELL, Chief 

DIVISION OF DATA PROCESSING 

LEONARD D. MC GANN, Chic/ 

Public Health Service Publication No. 1000-Series 3-No. 7 

Library of Congress Catalog Card Number 67-60006 
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CONTENTS 

Introduction


Methodology


Acute Conditions


Chronic Conditions


Other Illness Measures


Restricted-Activity Days - -- -


Hospital Days and Bed-Days


Summary-­

References


Detailed Tables


Appendix Tables


Page 

1 

1 

2 

4 

8 

8 

8 

8 

9 

10 

19 
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1


IN THIS REPORT, standardized morbidity ratios are presented, based 

on data collected in household interviews for the Health Interview Su?wey 

du~ing July 1961-June 1963, fov several measures of illness in groups 

chayacte?’ized by family size, family income, andfamily type and adjusted 

fo~ age, sex, and faym-nonfaym Yesidence. 

I I 

SYMBOLS 

Data not available 

Category not applicable . . . 

Quantity zero -

Quantity more than O but less than 0.05---- 0.0 

Figure does not meet standards of 

reliability or precision * 
SELECTED FAMILY CHARACTERISTICS AND HEALTH MEASURES 

REPORTED IN THE HEALTH INTERVIEW SURVEY 

Lillian Guralnick, Ojj7ce of Health. Statistics Analysis 

INTRODUCTION level of living. Obviously, more income is required to meet the minimum needs of a large 

Analyses of the demographic characteristics family than of a small one. Thus, the “poor” 

of the poor have shown that poverty is concen- are specified in the Social Security definition by 

trated among families whose head is 65 years of family size and family income. Rather than sepage or older, among families with a woman at arate the categorized “poor” in the present 

the head, and among nonwhite persons. 1 The study, family size was retained as a variable 

occurrence of illness has been tabulated by in- along with family income in order to examine the 

come and family size but not by the “type” of interrelationship between the two factors. It was 

family in which the illness was reported.2 In expected that if illness was correlated with 

making plans for the sick or for the poor it poverty, then the percent ill at any income level 

seemed relevant to determine if family char- might increase with increasing family size. 

acteristics associated with poverty also further The data already published on measures of 

identified the sick population. illness by income presented rates for four inAccordingly, “family type” was tabulated for come classes—under $2,000 annual family inmeasures of illness reported in the Health Inter- come. $2,000 to $4,000, $4,000 to $7,000, and 

view Survey (HIS) for the fiscal years 1962 and $7,000 and over–for the fiscal year, July 1962-

1963 in addition to the characteristics pre- June 1963.2 The tabulations in this report, for 

viously tabulated, which included family size, the 2 years combined, fiscal years 1962 and 1963, 

family income, farm -nonfarm residence, age, retain the complete income distribution used in 

color, and sex. The family-type classes were the Health Interview Survey. The tables were dethe normal family whose head is a man, the signed to examine the ways in which measures of 

problem family whose head is a woman, and the illness obtained in the survey were related to 

family whose head is 65 years of age or more certain types of families by family size and 

and is presumably retired. The three subdivi- family income.


sions correspond to the classes shown in reports


of the Bureau of the Census and the Social Se- METHODOLOGY


curity Administration. 1 These family types were


cross-classified by family size, since the latter The data presented in this paper are based on


characteristic is tied into the definition of poverty responses to a continuous nationwide survey con-


established by the Social Security Administra- ducted by household interview.g Each week a


tion’~ which attempts to quantify a subsistence representative sample of households is inter-

viewed to obtain information relating to the health 

characteristics of each member living in the 

household. The survey is limited to the civilian, 

noninstitutional population of the United States 

living at the time of interview. The national sample for the 24-month period ending June 1963 included about 259,000 persons from 80,000 households. The universe sampled does not include 

members of the Armed Forces, U.S. nationals 

living in foreign countries, crews of vessels, or 

persons residing in institutions. 

Estimates obtained in the survey for the 

population of the entire United States were tabulated by age, sex, and color, and cross-classified 

by family income, by residence (living on a farm, 

not living on a farm), by size of family, and by 

the family types previously described. A summary distribution of the population in these 

classes is shown in tables 1 and 2. The rates per 

1,000 population for various measures of morbidity obtained in the survey were then computed 

by age, sex, and residence. These rates were 

applied to the appropriate detailed populations 

estimated from the survey to obtain the number 

of events that could be expected in each familyincome, -type, and -size class if its members 

behaved like the corresponding national average 

for persons in the same age, sex, and residence 

category. The expected numbers for each class 

were summed to the totals needed for the selected units of analysis. The expected number 

was then compared with the actual number of 

events tabulated in the same class. The ratio 

of the actual to the expected number, multiplied 

by 100, produces an index that shows whether 

the observed class experienced rates that were 

higher (over 100) or lower (under 100) than the 

national average, when figures are standardized 

for differences in morbidity experience by age, 

sex, and residence. In all comparisons the 

standardized morbidity ratios were calculated 

separately for persons under 65 years of age, 

and those 65 years of age and over. This procedure avoided the distortion that might possibly 

be produced by the presence of older persons 

with very high morbidity rates in households of 

families whose health experience was otherwise 

average. 

The expected values were based on small 

populations but when these figures were summed 

up over all ages and both sexes, the sum generally 

represented a population unit of more than 30,000 

persons, the cutoff point selected by the HIS staff 

for use with 2-year compilations of data. 

From table 2 it is evident that the majority 

of persons in nonwhite families, in farm families, 

and families whose head is a woman, or whose 

head is over 65 years of age fall into family-income groups below the national median income. 

HIS reports have observed that certain types of 

illness are inversely correlated with family income. It was expected, therefore, that a high 

frequency of such illnesses would be observed 

in the Health Interview Survey data for these 

special types of low-income families. The present 

study was designed to examine whether or not 

family type and family size are directly related 1 

to occurrence of illness as additional factors 

besides income. 

ACUTE CONDITIONS 

An acute condition is defined in the Health 

Interview Survey as “a condition which has lasted 

less than 3 months and which has involved either 

medical attention or restricted activity.” 4 If 

family size is of importance in the incidence of 

illness it should be reflected in measures of 

infectious communicable diseases, and of injuries, 

both of which will be counted in the incidence 

of acute conditions. 

In the earlier study of income and health, 2 

it was observed that the incidence of acute conditions was not much affected by family income, 

except for a greater incidence among older persons whose income was below $2,000. It was also 

pointed out that the objective criteria used to define an acute condition—illness which causes 

restricted activity or has received medical attention—might tend to produce differences in 

illness counts that were directly rather than inversely related to family income. The low-income 

families might not consult a physician for the 

same illness that would receive such attention in 

a high-income family. In the large family the 

mother may call the physician for an illness in 

2 
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one child but not for the same illness in the 

second child. Similarly, a white-collar worker 

on an annual salary might be abIe to take a 

day off from work for an illness that an hourly 

wage worker could not afford to consider disabling. Nevertheless, should incidence of acute 

conditions be related to family size, in the present approach it was thought that specific rates for 

acute conditions might reflect differences by 

family size if the recognized selective effect of 

the HIS definition of acute conditions was related 

chiefly to income. 

Some of the detailed data are shown in table 

3. For persons under 65 years of age in families 

whose head was over 65, the frequencies of illness by family size were too small to produce 

a set of useful figures. Even for the most common family type, the family whose head is a 

male less than 65 years old, there is no pattern 

of increasing morbidity for larger families and 

almost no correlation with income. Whether or 

not the family head under 65 is a man or woman 

also has no clear bearing on the level of the 

standardized morbidity ratios. When the data 

are summarized for all persons regardless of 

family size and type, the standardized morbidity 

ratios for acute conditions are: 

Family income: 1 

Color and age 

Under $3,000 

$3,000 and over 

White persons + 

Under 65 years 103 105 

65 years and over--- 111 9& 

Nonwhite persons 

Under 65 years 

65 years and over---

lit, shouldbe notedthatthroughout thk paPerfigures
‘or


fnmily income under $3,000 and $3,000 and over include unreIntwl individuals whose income was under $2,000 and $2,000 

rind over, rwpectively. 

The differences tend to confirm the observations 

of the earlier report. 2 

The lack of evidence of correlation between 

episodes of acute illness as defined in HIS and 

family size was further corroborated by examination of the reported incidence of acute upper 

respiratory diseases. The summary figures for 

these disorders are: 

Family income:


Color and age 

m 

I I 

White persons


Under 65 years 102 106 

65 years and over--- 108 98 

Nonwhite persons 

Under 65 years 71 

65 years and over--- 69 

The relationship between family size and type, 

and occurrence of illness was further examined 

on the reported numbers of accidental injuries 

receiving medical attention or causing a day of 

restricted activity. (These figures are included 

in the total of acute conditions.) The results were 

again negative. The relative frequencies of the 

three types of accidents, disregarding family 

characteristics, as measured by the standardized 

morbidity ratios are shown below. 

Persons under Persons 65


65 years years and over


Type of accident Family income


and color


Under $:;:00 Jnder $:%:00 

$3,000 over $3,000 over 

Movingmotor­


vehicle accidents


White 102 100 133 104 

Nonwhite 96 92 * * 

Nonmovingmotor­


vehicle accidents


White 106 76 15s


Nonwhite 1:: 77 * *


All other injuries


White 114 103 109 101 

Nonwhite 71 67 45 S8 

3

CHRONIC CONDITIONS 

Persons interviewed in HIS are counted as 

suffering from one or more chronic conditions if 

the respondent answers “Yes” to any of a series 

of listed chronic diseases or impairments, or indicates that he has had some other condition for 

more than 3 months before the week of interview. 

In the studies published previously,2, 5 it was 

observed that the reported rate for chronic conditions so serious that the affected person could 

not carry on his usual activities was clearly related to family income. In the present study, the 

o l-~ 

o $12,00( 

ANNUAL FAMILY INCOME 

Figure 1. Standardized morbid ity ratios for re-


ported chronic conditions producing 1imitation


of major activity for persons under 65 years of


age in families whose head is a white male under


65 years of age, by family size and family in-


come.


(Standardized for	 age, sex, and farm-nonfarm


residence)


relative prevalence of chronic conditions producing major activity limitations has been adjusted forage, sex, and farm-nonfarmresidence. 

When these figures are examined by family income, size, and type, and by color, there maybe 

seen a high relative ratio of activity-limiting 

chronic conditions at the low incomes, and adecline with rise in income over $3,000. For 

families with awhitemale under 65years ofage 

at the head, there is a definite although not 

completelyconsistent patternof increasing standardized morbidity ratio with increasing family 

size (fig. 1). The standardized morbidity ratio is 

100 for a family of two persons at incomes 

close to $4,000, while it does not return to this 

“average” population level for the family of seven 

until incomes of almost $6,000 are reached. There 

was no clear evidence of a similar pattern by 

family size within other family-type and color 

groups. 

The earlier HIS study 2 of health and family 

income states: “It is quite evident that low family 

income is associated with a greater amount of 

chronic limitation of activity. There is little 

doubt that reduction of income because of restrictions in the amount or kind of work that 

can be performed and inability to work, leading 

in some instances to involuntary retirement, are 

major factors in this relationship. ” This point 

is reinforced by a comparison of the standardized 

morbidity ratios for the reported degrees of disability produced by chronic diseases at various 

income levels. Disability from chronic conditions 

is classified in HIS for each chronic condition by 

the degree of limitation suffered by the individual, 

who may be described as: 

10 Unable to carry on major activity (preschool play, school, housework, or work, 

as appropriate). 

2. Limited in amount or kind of major activity. 

3. Not limited in major activity, but otherwise	 limited (church, sports, shopping, 

etc.) 

4. Not limited in activities. 
-- ------ ------- ---

-----

PERSONS UNOER 65 YEARS 

400 

White 

300 

200 

\ --~ *----- -. 

o 

0 $2,000 $4,000 $6,000 $8,000 $10,000 $ 12,000+ o $2,000 44,000 +6,000+ 

PERSONS 65 YEARS ANO OVER 

200 

Whiie Nonwhite 

--\ 

.. . ..=La*...gw=.A..- . . . . . . . . . . . . . . . . . . .... . . . . . .. . . .. . . .. . . . . . .. . . . . . . . . \ _ 100 ——. ——— 

:>y”.......-- ~-, 

‘ti@ %. ,/ 

\“/ 

0 

0 $2,000 $4,000 $6,000 $8,000 $10,000 $12,000+ O %000 $4,000 $6,000+ 

ANNuAL FAMILY INCOME 

LIA?17-AVOIY0/= Ao7/v/TY 

Unable to corry on major activity Limited but nat in major activity 

.—. Limited in amount or kind of . . . .. . . . . .. . . Not limited in activities 

mojor activity 

Figure 2. Standardized morbidity ratios for persons with one or more chronic conditions producing 

specified limitations of activity, by age, color, family income, and type of limitation. 

(Standardized forage, sex, and farm-nonfarm residence) 

241-7040-67-2 5 
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These four stages of chronic disability are 

shown in figure 2 by family income for the white 

and nonwhite populations, under and over 65 

years of age. The largest variation in the standardized morbidity ratio by family income is 

found for persons under 65 years of age who are 

unable to carry on their major activity, presumably, unable to work. In another set of tabulations of these same data, 5 it was found that 

2.8 percent of all persons at ages 45-64 years 

were unable to work (or to keep house, if this 

was the major activity). Among families reporting incomes less than $2,000 this percentage 

rose to 8.2 for the same age group, and at incomes of $2,000-$3,999, it was 4.3 percent. 

Persons whose chronic illness limited the amount 

or kind of major activity represented the following 

percents of all persons 45-64 years of age: 

Family income Percent 

All incomes -------------- 11.6 

Under $2,000 24.8 

$2,000 -$3,999 15.5 

$4,000 -$6,999 9.8 

$7,000 and over 6.3 

It is evident from these published data that a 

sizable proportion of the middle-aged “poor” 

population suffer serious physical limitations in 

their ability to work. 

These figures seemed of sufficient importance to present again in the additional detail 

available from the present set of tables. Both 

the numbers of persons disabled to the extent 

that they cannot perform their usual activities 

and the proportion of the population they represent are shown by income of their family in 

table 4. These are actual unadjusted estimates 

stated simply to show the magnitude of the 

problem. At ages under 65 years, the proportion 

of disabled in families whose income was below 

$3,000 fell between 2 and 3 percent. The figure 

dropped sharply for both white and nonwhite 

persons in families whose income was $3,000 

or more. A much higher level of disability prevailed among persons 65 years of age and over, 

but the relative variation with income was not so 

great. The excess in proportion of disabled was 

about 10 percentage points more for nonwhite 

compared with white persons over 65 years, 

while there was almost no difference (0.6 percentage points) under 65. 

The occurrence of some of the more important chronic conditions that cause limitation 

in activi~ has been shown for demographic 

characteristics of the population in the report 

quoted. 5 The following summary indicates the 

major differences in relative reported prevalence 

for two broad age groups, the two color groups, 

and two income groups of the population in the 

form of standardized morbidity ratios adjusted 

by age, sex, and farm-nonfarm residence. 

Persons under Persons 65


65 years years and over


Condition Family income


and color


Under $:::00 Under $:;:00 

$3,000 $.3,000 over over 

Heart


conditions


White


Nonwhite-­


High blood


pressure


White


Nonwhite-­


Ulcers


White


Nonwhite


Arthritis and


rheumatism


White


Nonwhite-­


Orthopedic


impairments


White


Nonwhite


Visual


impairments


White


Nonwhite


Hearing


impairments


White


Nonwhite-­


Chronic


sinusitis


White


Nonwhite--


152 89 110 93


148 83 102 75


112 108 89


197 1;; 145 98


132 100 121 92


90 70 * *


133 112 85


153 % 133 96


131 96 117 81


130 80 151 88


178 79 112 83


227 91 150 79


144 114 90


92 z; 93 66


111 106 127 83


58 56 71 *


6

ANNUAL FAMILY INCOME UNOER $3,000 ANNUAL FAMILY INCOME $3,000 A NO OVER 

While White 

200 200 

I 50 150 

I 

I 00 100 

50 

i 0 

g 2 3’ 4 5 6 7+ 2 3 4 5 6 7+-

m g FAMILY SIZE FAMILY SIZE 

a 

k!


n


~


z 200 200
 g


U)


150 I 50 

100 I 00 

50 50 

0 0 

2 3 4-6 7+ 2 3 4-6 7+ 

FAMILY SIZE FAMILY SIZE 

HEAO OF FAMILY 

_ Male under 65 ~ Female under .5 = 65years m-d over 

Figure 3. Standardized morbidity ratios for reported restricted-activity days for persons under 65 

years of age in families of two or more persons, by family size, family type, family income, and 

color. 

(Standardized for age, sex, and farm-nonfarm residence)


7


2 
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— 

OTHER ILLNESS MEASURES 

HIS uses a number of other objective measures of the degree of illness in the population. 

Three of these-number of days in which the respondent could not conduct his usual activities, 

the number of days he spent in bed due to illness, 

and the number of days he spent in hospital— 

were also tabulated to further examine the hypothesis that the relative impact of illness is related to family size and family type. 

It was noted earlier that the behavior of a 

sick person may depend on his income. Members 

of low-income families cannot afford not to go to 

work, when absence means loss of income, as 

readily as those of higher income. Thus, restricted-activity days, as well as other measures, 

may reflect differences in sickness behavior 

rather than differences in morbidity alone. 

Restricted-Activity Days 

The detailed data for the relative incidence 

of restricted-activity days showed the same 

general pattern found for acute conditions with no 

evidence that family size or family type was a 

factor in the level of the ratios. Since income also 

shows little effect except for the contrast between 

the low-income groups (families with an income 

under $3,000 a year) and the remainder of the 

population, the data were regrouped as shown 

in figure 3 to emphasize family size and family 

type. No consistent differences can be observed 

in the chart for these characteristics. Conversely, the overriding effect of income on the ‘ 

relative level of restricted-activity days despite 

differences in family size or type stands out 

clearly. 

Hospital Days and Bed-Days 

The two remaining measures of illness 

showed a definite relation to income but not to 

family size or family type. Omitting the last two 

factors, a summary of the standardized morbidity 

ratios is: 

Persons under Persons 65


65 years years and over


Di#~:dy [ Family income


I 1
 cblor under ‘ Under $:3.,:00 $:%:00 

$3,000 over I $3,000 over 

Hosp~i~eda ysl 

129 94 

Nonwhite-- 102 97 1?: 

Bed-days


White 133 91 110 -1 Nonwhite-- 154 198 166

l~a~ed on h~~Pit~l days reported during the z-week period Prior h 

interview. Data differ from those estimated from reports of hospital 

days for the 6-month period prior to interview. 

The appendix tables contain a summary of the 

standardized morbidity ratios by income calculated for this analysis. 

SUMMARY 

It has been accepted as a truism for many 

years that low income and ill health go hand in 

hand as both cause and effect. The current intensive study of problems among low-income 

groups led to a plan to tabulate measures of 

health for some of the characteristics used in 

defining poverty. Specifically, these are family 

size, and family type defined by the sex and age 

of the head of household. It was found that only 

one of the illness measures used in the Health 

Interview Survey showed a clear variation with 

family size—this is the frequency of disabling 

chronic conditions. The family type selected for 

these tabulations did not prove useful in isolating 

families with higher relative frequency of morbidity reported in the Health Interview Survey. 

The standardized morbidity ratio was used 

as the measure of relative frequency. This 

figure compares the actual frequency in the de-
scribed class with the frequency expected if the by 100. Although for most of the observations 

class has the same illness rates as the specific made, the more detailed tabulations prepared 

age, sex, and farm-nonfarm classes for the United here offer no new information, the standardized 

States as a whole. Each figure is essentially morbidity ratios are presented because of their 

age- , sex- , and residence-adjusted and stated simplicity as a summary measure of relative 

as the ratio of actual to expected cases multiplied incidence of disease. 

REFERENCES 

*Social Security Administration: Children of the poor, by %ational Center for Health Statistics: Health survey pro-


M. Orsburrsky. Socia.Z Security BuUetin, July 1963. ced ure. Vital and Health Statistics. PHS Pub. No. 1000, Se-


2Nutionnl Center for Health Statistics: Medical care, health ri es 1, No. 2. Public Health Service. Washington. U.S. Govern­


stntus, and fnmily income. Vital and Health Statistics. PHS ment Printing Office, May 1964.


Pu!J. No. 1000, Series 10, No. 9. Public Health Service. Wash- 5

National Center for Health Statistics: Chronic conditions


ington. U.S. Government Printing Office, hiay 1964. and activity limitation. Vital and Health Statistics. PHS Pub.


%.OL.’lal Security Administration: Counting the poor, another No. 1000, Series 10, No. 17. Public Health Service. WashingIook at the poverty profile, by M. Orshansky. Social Security ton. U.S. Government Printing Office, May 1965. 

[iullctin, Jan. 1965. 

000 

9 
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DETAILED TABLES 

Page


Table 1.	 Total and farm population and percent distribution of unrelated individuals esti­


mated by color and annual income: Health Interview Survey, United States, July


1961-June l963-------------------------------------------------------------------- 11


2. Total and farm population and percent distribution, estimated by color,family size,


family type, and annual family income: Health Interview Survey, United States,July


1961.-June1963 .--..9---------------
 ------ 12


3.	 Standardized morbidity ratios for acute conditions, by color, age, family size,


family type, and annual family income: Health Interview Survey, United States,


July 1961-June l963--------------------------------------------------------------- 16


4. Total population, and number and percent of the population reporting one or more


chronic conditions causing inability to carry on major activity, by age, color,


and annual family income: Health Interview Survey, United States, July 1961-June


l963------------------------------------------------------------------------------ 18


APPENDIX TABLES 

Table I.	 Selected measures of morbidity reported for unrelated individuals,by age and color,


and annual income: Health Interview Survey, United States, July 1961-June 1963---- 19


II.	 Selected measures of morbidity reported for families of two or more persons, by


age and color, and annual family income: Health Interview Survey, United States,


July 1961-June l963--------------------------------------------------------------- 23


10

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Table 1. Total and farm populationand percent distributionof unrelated individualsestimated by


color and annual income: Health Interview Survey, United States, July 1961-June1963


Income


Populationin thousands


All incomes 10,530II 373I 1,502[ 43


Percent distribution


All incomes 100.0 100.0 100.0 100.0 — 

Under $1,000 27.5 40.0 41.2 80.0


$l,ooo-$l,999--------------------------------------------------23.5 26.6 23.6


$2,OOO-$2,999--------------------------------------------------12.9 11.3 14.8


$3,ooo-$4,999--------------------------------------------------18.9 12.2 14.1 20.0


$5,OOO-$6,999-------------------------------------------------- 9.5 4.9


$7,ooo-$9,999-------------------------------------------------- 4.6 9.9


$10,000 and over 3.2 1 1“6


11 
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Table 2. Total and farm population and percent distribution, estimated by color, familY size,


f&ly type, and annual family income: Health Interview survey, United States, July 1961-June


Family size


Color, residence, family type,


and family income


2 3 4 5 6 7 and


over


WHITE TOTAL POPULATION


All types (in thousands) 150,161 28,287 26,506	 33,507 26,370 16,790 18.699
 —


Percent distribution


All incomes 100.0 100.0 100,0 100.0 100.0 100.0 100.0 

Under $1,000 

1,000-$1,999-------------------------

2.5 

5.6 12: 2.4 

5.2 

1.4 

3.3 

1.5 

3.1 i:: 

3.6 

5.1 

$2,000- 2,999------------------------- 13.3 

3,000- 4,999------------------------- 2::; 23.2 2%; 2::; 2::! 2;:$ 2;:! 

$!
5,000- 6,999------------------------- 26.3 19.2 24.6 28.4 30.2 29.7 27.0

7,000-$9,999------------------------- 20.7 15.1 19.7 23.4 23.2 22.8 20.5


$10,000 and over 15.3 11.8 16.0 17.2 17.0 15.6 13.8


Head of family—male, 

under 65 years (in thousands)---- 125,188 16,388 21,024 30,334 24,403 15,628 17,411 

Percent distribution


All incomes 100.0 100.0 100.0 100.0 100.0 100.0 100.0 

Under $1,000 ........-- 1.9 

1,000- 1,999------------------------- 3.5 R 1.9 

3.6 

101 

2.5 

1.5 1.6 ::: 2,000- 2,999------------------------- ::: ::2 

u3,000- 4,999------------------------- 2;:; 2;:? 2H? 2::? 19.4 20.7 2;:; 

$5,000-$6,999------------------------- 28.5 24.5 26.4 29.5 30.9 30.7 27.8 

$7,000-$9,999 22.8 21.0 21.5 24.3 24.0 23.3 21.0 

$10,000 and over 16.7 16.4 17.9 17.8 i7.4 15.9 13.6 

Head of family—female, 

under 65 years (in thousands)-- 10,386 2,735 2,620 2.069 1.346 792 824 

Percent distribution


All incomes 100.0 100.0 100.0 100.0 100.0 100.0 100.0 

Under $1,000 5.0 R 1;:; 3.5


$;, - 15.1 17.0 14.4 15.2 14.0 14.8 12.7 

3:000: 4:999------------------------- 32.1 30.5 35.2 32.7 32.8 26.9 30,5 

5,000- 6,999------------------------- 18.0 18.2 18.0 16.9 20.1 1800 16.3 

$7,000- 9,999------------------------- 11.1 10.8 12.4 9.4 12,9 14.1 

CII:-;,;;; 11,0 8.7 l?:: 1;:: 1::;


[l

$10,000 And over 7.7 M 6,8 10.6 9.3 8.7 9,4 

Head of family—65 years 

and over (in thousands) 14,585 9.164 2.862 1,104 621 370 464 

Percent distribution 

All incomes 100.0 100.0 100.0 100.0 100.0 100.0 100.0 

Under $1,000----, 6.3 4.3 3.9 0.9 5.5 3.6 

$1,000-$1,999------------------------- 20.1 

$2,000-$2,999------------------------- 19.1 

3,000-$4,999------------------------- 23.5 

2;:; 

22.6 

23.1 

13.3 

14.8 

26.1 

1::; 

29.6 

1;:: 

19.5 

10.7 

11,0 

18.0 

9,6 

13.7 

12.5 

5,000-$6,999------------------------- 12.6 16.9 18.1 21.7 14.0 16.3


!7,000-$9,999------------------------- M 14.2 16.9 23.3 23.8 14.4


$10,000 and over %: 5.6 10.3 12.7 16.8 17.1 29.6


12

-----------------------

----------------------

-----------------------

--------------------------

----------------------

-----------------------

----------------------

--------

-----------------------

----------------------

Table 2. Total and farm populationand percent distribution,estimated by color, familY size,


family type, and annual family income: Health Interview Survey, United States, July 1961-June


1963-Con.


Family size


Color, residence,family type, 

and family income 

Total 2 3 4 5 6 7 and 

over 

WHITE FARM POPULATION


All types (in thousands)-------- 12.255 2,086 1,935 2,141 1,974 1,627 2,493 

Percent distribution 

All incomes 100.0 100.0 100.0 100.0 100.0 100.0 100.0 

Under $1,000--------------------------

1,000- 1,999-------------------------


2,000- 2,999-------------------------


3,000- 4,999-------------------------

5,000- 6,999-------------------------

N7,000- 9,999-------------------------

$10,000 and over 

Head of family—male,


under 65 years (in thousands)--


Percent distribution


All incomes


Under $1,000


1,000- 1,999-------------------------


2,000- 2,999-------------------------


3,000- 4,999-------------------------

5,000- 6,999-------------------------

//
7,000- 9,999-------------------------

10,000 and over


Head of family-female,


under 65 years (in thousands)--


Percent distribution


All incomes


Under $1,000--------------------------


1,000- 1,999-------------------------


2,000- 2,999-------------------------


3,000- 4,999-------------------------


5,000- 6,999-------------------------


//7,000- 9,999-------------------------

10,OOO and over 

Head of family—65 yeara


and over (in thousands)


Percent distribution


All incomes


Under $1,000--------------------------


1,000- 1,999-------------------------


2,000- 2,999-------------------------


3,000- 4,999-------------------------

5,000- 6,999-------------------------

/1
7,000- 9,999-------------------------

10,000 and over


12; 12.8 

22.3 

7.5 

13.1 1;:; ;:: 1?:: 

11.8 

12.1 

14.1 17.1 17.6 14.2 10.8 14.9 

30.6 23.5 30.8 32.2 3%+ 35.0 29.8 

16.3 12.6 15.1 17.7 19.1 19.2 15.1 ;.; 9.8 12.2 12.1 . k: 6.3 1?:: 11.6 5.2 ::: 

~o,454 1,228 ~1 534 1,946 1,844 1,541 2,361


100.0 100.0 100.0 100.0 100.0 100.0 100.0 

7.9 12.0 

13.4 14.5 17.6 14.2 10.4 14.8 

32.1 28.1 32.1 32.6 3?:; 35.8 30.3 

17.3 15.7 16.2 18.1 19.8 19.3 15.1 

10.1 8.4 9.5 9.0 11.8 11.8 9.9 

8.5 7.1 7.2 11.5 11.8 5.3 7.0 

1;:: 1;:: 1::? 1;:: 6.1 J:: 11.1 

316 66 53 197 

100.0 100.0 100.0 100.0 

12.7 20.0 12.8 10.4 

27.9 29.1 25.5 28.2 

9.4 16.4 14.9 

25.7 16.4 23.4 2;:; 

24.6 18.2 25.5 26.4 

1,486 792 348 346 

100.0 100.0 100.0 100.0 

13.4 

24.1 

20.1 

17.6 

30.2 

21.4 

2;:: 

18.3 

1::; 

19.0 

21.1 16.9 26.0 26.0 

1:.; 8.2 10.9 14.3 

2.9 9.9 11.7 

4:3 2.9 3.2 8.6 

13

-----------------------

--------

-------------------------

----------------------

-----------------------

------------------------

------------------------- ----------------------

-----------------------

-------- ----------

-------------------------

----------------------

-----------------------

--------------------------

----------------------

Table 2. Total and farm populationand percent distribution,estimated by color, family size,


family type, and annual family income: Health Interview Survey, United States, July 1961-June


1963—Con.


Family size


Color, residence,family type,


and family income 7 and Total 2 3 4 5 6 over 

NONWHITE TOTAL POPULATION


All types (in thousands)-------- 19,771 2,504 2,518 2.925 2,785 2,269 6,773
 — — — —


Percent distribution


All incomes 100.c 100.0 100.0 100.0 100.0 100.0 100.0 

Under $1,000 ................-- 11.t 17.7 12.2 10.8 9.7 11.6 

$1,000-$1,999------------------------- 18.( 

$2,000-$2,999------------------------- 18.( 

$3,000-$4,999------------------------- 27.: 

25.4 

16.1 

22.7 

19.0 

16.7 

27.2 

15.4 

17.8 

27.0 

12: 

18.4 

30.1 

16.3 

19.9 

25.6 

17.2 

20.3 

28.5 

$5,000-$6,999 13.( 11.1 13.7 14.6 15.4 15.2 12.7 

7,000-$9,999------------------------- 4.7 8.2 8.7 8.3 9.8 6.3 

$10,000 and over ::: 2.2 3.1 5.5 3.5 3.5 3.4 

Head of family-male, 

under 65 years (in thousands)-- 14,13: 1,400 1,568 2,131 2,036 1,739 5,258 

Percent distribution 

All incomes 100. ( 100.0 100.C 100.0 100.0 100.0 100.0 

Under $1,000 -. 8.5 10.0 5.9 5.9 7.5 10.8 

$1>000-$1,999------------------------- 13.4 16.7 1;:: 9.7 11.0 13.1 15.4 

2,000-$2,999------------------------- 16.9 15.9 14.1 17.9 15.3 16.9 $;.; 

$3,000-$4,999------------------------- 30.9 30.3 31.6 30.4 35.4 29.2 

$5,000-$6,999------------------------- 16.9 16.7 19.2 18.1 17.9 18.7 14:8 

$7,000-$9,999 6.8 11.5 10.8 10.3 10.: 7.7 

$10,000 and over ::: 3.4 3.4 7.1 4.2 3.f 3.5 

Head of family-female, 

under 65 years (in thousands)-- 3,995 52t 63: 611 611 43[ 1.179 

Percent distribution 

All incomes 100.c 100.0 100.0 100.0 100.0 100.0 100.0 

Under $1,000 .-..-... 19.[ 26.5 19.2 26.7 14.8 18*8 16.2 

$1,000-$1,999 29.( 31,4 29.2 30.7 29.6 29.5 26.3 

$2,000-$2,999------------------------- 24.! 

$3,000-$4,999------------------------- 18.: 

14.7 

17.5 

24.8 

19.4 

18.4 

17.7 

29.4 

15.7 

31.2 

14.1 

27.2 

23.4 

$5,000-$6,999------------------------- 4.; 

7,000-$9,999------------------------- 1“ 9.8 7.6 6.6 10.5 6.3 6.8


!10,000 and over 1:{


Head of family—65 years


and over (in thousands)-------- 1,64: 576 3LE 749


Percent distribution


All incomes 100.( 100.0 100.c 100.0 

Under $1,000 19.( 27.9 20.C 11.5


$1,000-$1,999------------------------- 30.” 40.4 31.7 22.3


2,000-$2,999------------------------- 18.’ 17.9 13.: 21.6


$3,000-$4,999------------------------- 16.1 9.4 20.; 20.6


$5,000-$6,999------------------------- 6.(


$7,000-$9,999------------------------- 5’ 4,3 14.: 24.1


$10,000 and over 3::


14

-----------------------

------------------

----------------------

-----------------------

-------- --

----------------------

-----------------------

----------------------

-----------------------

-------

----------------------

Table 2. Total and farm populationand percent distribution,estimated by color, family size,


family type, and annual family income: Health Interview Survey, United States, July 1961-June


1963-Con.


Family size


Color, residence,family type,


and family income


Total 2 3 4 5 6 ? and


over


NONWHITE FARM POPULATION


All types (in thousanda)-------- 1,696 120 115 139 157 149 1,018 

Percent distribution


All incomes 100.0 100.0 100.0 100.0 100.0 100.0 100.O 

Under $1,000--:----- 34.1 47.8 47.7 47.8 32.9 26.8 30.2


1,000- 1,999------------------------- 35.0 39.1 26.6 38.2 38.3 48.3 32.4


2,000- 2,999-------------------------


3,000- 4,999-------------------------


5,000- 6,999------------------------- 31.0 13.2 25.7 16.2 28.9 24.2 37.2


~1
7,000- 9,999-------------------------


10,000and over


Head of family—male,


under 65 years (in thousands)-- 1,337 54 67 85 131 115 885


Percent distribution


All incomes 100.0 100.0 100.0 100.0 100.0 100.0 100.0 

Under $1,000 ........-
.------- 31.5 35.3 49.2 39.0 37.4 24.3 29.3


1,000- 1,999------------------------- 35.4 47.1 25.4 37.8 27.6 49.6 34.4


2,000- 2,999-------------------------


3,000- 4,999-------------------------


5,000- 6,999------------------------- 33.2 17.6 25.4 24.4 35.0 26.1 36.5


~1
7,000- 9,999-------------------------


10,000 and over


Head of family—female,


under 65 years (in thousands)-- 148 10 15 68


Percent distribution


All incomes 100.0 100.0 100.0 100.0 100.0 

Under $1,000-------------------------- 54.8 100.0 69.2 54.5 45.6 

1,000- 1,999------------------------- 26.0 45.5 19.1 

2,000- 2,999-------------------------

3,000- 4,999-------------------------I 

II
5,000- 6,999-------------------------) 19.2 30.8 35.3

7,000-$9,999-------------------------


i10,000 and over


Head of family—65 years


and over (in thousands)-------- 213 56 33 124


Percent distribution


All incomes 100.0 100.0 100.0 100.0 

Under $1,000..................-------- 3.5.4 50.0 36.4 27.9


1,000- 1,999------------------------- 39.4 39.9 39.4 39.6


2,000- 2,999-------------------------


3,000- 4,999-.,----------------


5,000- 6,999------------------------- 25.3 11.1 24.2 32.4


7,000- 9,999-------------------------1
 /1


10,000 and over


15

-------------------------

-------------------------

-------------------------

-------------------------

-------------------------

-----------------

-------------------------

-------------------------

-------------------------

-------------------------

-----------------

-------------------------

-------------------------

-----------------

Table 3. Standardized morbidity ratioa for acute conditions,by color,age,family size,family type,


and annual family income: Health Interview Survey; United States, July 1961-June 1963


[Standardized for age, sex, and fqn-nmfa,rm residence] 

Age, family type, and family size


Family income


Under $1,ooo- $2,000- $3,000- $5,000- $7,000- $1:::00 

$1,000 $1,999 $2,999 $4,999 $6,999 $9,999 over


White


105 106 72 109 97 97 98


120 104 108 107 106 113 108


119 109 96 108 112 109 121


88 91 90 99 110 100 115


62 78 131 96 101 109 104


91 98 97 86 87 100 109


104 114 123 119 94 115 136 

115 151 139 123 117 93 131 

129 97 93 81 104 132 126 

117 108 54 118 80 61 135 

50 75 130 91 105 115 141 

168 65 26 117 72 121 92 

117 101 98 87 94 100 87


147 143 116 91 79 106 120


70 200 178 139 79 29 53


2


3


4


5


6


7


2


3


4


5


6


7


2


3


4


—


PERSONS UNDER 65 YEARS


Head of family-


male, under years


members


members


members


members


members


members or more


Head of family—


female. under vears


members


members


members


members


members--------------=---------­


members or more


PERSONS 65 YEARS AND OVER


Head of family_-


65 veara and over


members


members


members or more


16

-------------------------

-------------------------

-------------------------

-------------------------

-------------------------

-----------------

-------------------------

-------------------------

-------------------------

-------------------------

-------------------------

-----------------

-------------------------

-------------------------

Table 3. Standardizedmorbidity ratios for acute conditions,bycolor,age,family size,family type,


and annual family income: Health Interview Survey, United States,July 1961-June1963—Con.


~tmdardized for age, sex, and farm-nonfarm residence] 

Family income


Age, family type, and family size


Under $1,ooo- $2,000- $3,000- $:;:00 

$1,000 $1,999 $2,999 $4,999 

2


3


4


5


6 

7 

2 

3 

4 

5 

6 

7 

2 

3 

PERSONS UNDER 65 YEARS


Head of family_—


male, under years


members


members


members


members


members


members or more


Head of fsmilx—


female, under 65 years


members


members


members


members


members 

members or more 

PERSONS 65 YEARS AND OVER 

Head of family—


years and over


members


members


over


Nonwhite


127 120 67 116 70


111 53 95 93 81


74 83 79 79


80 76 56 45 68


94 85 104 101 113 

76 105 89 112 121 

72 79 88 63 67 

89 41 79 41 53


81 125 86 76 182


79 115 * 83 *


* 61 40 60 33


17


4 members orwre.----------------

-----------------------

-----------------------------

-----------------------

-----------------------------

Table 4. Total population, and number and percent of the population reporting one or more chronic


conditions causing inability to on major activity, by age, color, and annual family


income: Health Interview Survey, %%d Statea, July 1961-June 1963


Color and family income


White


All incomes-------------------


Under $1,000------------------------


$1,000-$1,999-----------------------


$2,000-$2,999-----------------------


$3,000 -$4,999


$5,000-$6,999-----------------------


$7,000-$9,999-----------------------


$10,000 and over--------------------


Unknown


Nonwhite


All incomes-------------------


Under $1,000------------------------


$1,000-$1,999-----------------------


$2,000-$2,999-----------------------


$3,000 -$4,999


$5,000-$6,999-----------------------


$7,000-$9,999-----------------------


$10,000 and over--------------------


Unknot


Total population	 Persons reporting one or more chronic


conditions preventing major activityl


Under 65 years Under 65 years


65 years and over 65 years and over


B


Number in thousands Percent


145.473 15.218 1,276 2,233 0.9 14.7 

4,493 1,842 144 320 3.2 17.4 

6,820 3,384 235 564 3.4 16.7 

9,553 2,435 196 356 2.1 14.6 

30,247 2,677 264 356 0,9 13.3 

36,656 1,547 174 198 0.5 12.8 

28,702 1,104 103 145 0.4 13.1 

21,055 990 86 119 0.4 12,0 

7,947 1,239 74 174 0.9 14.0 

20,038 1,235 297 310 1.5 25.1 

2,388 360 71 103 3,0 28.6 

3,295 370 70 105 2.1 28.4 

3,492 158 64 38 1.8 24.1 

5,104 142 44 33 0.9 23.2 

I 

4,496 135 29 17 0.6 12.6


I 

1,263 69 18 14 1.4 20.3


lMajor activity refera to ability to work, keep house, or engage in school or preschool activ­


ities.


18

-------------------------------------------- ----------------

--------------------------------------------

----------------------------------------

---------------------------------------------

--------------------------------------------

-----------------------------------------

--------------------------------------------

-------------------------

----------------------------------------

---------------------------------------------

-------------------------------------------- -----------------------------------------

--------------------------------------------

------------------------------------------ ------------------------------------------

--------- --------- --------- --------- ----

Table 1, Selected measures of morbidity reported for unrelated individuals, by age and color, 

and annual income: Health Interview Survey, United States, July 1961.June 1963 

[hndnrdized morbidity mtio is ratio of actual to expected events adjwted for age, sex, and fmn-nmfmm residence] 

Persons under Persons 65 years 

65 years and over Morbidity measure and income 

=7== White Nonwhite


ACUTE CONDITIONS Number in thousands


Total--.---............................----------- 14,112 2,264I 5,9171 508


Income Standardized morbidity ratio


[1


Under $2,000 126 108 121 116 

$2,000 and over ........--------........- 103 115 109 194 

Under $1,000 118 104 132 114 

1,000- 1,999------------------------------------------- 139 114 112 123 

2,000- 2,999------------------------------------------- 105 122 112 203 

3,000- 4,999------------------------------------------- 97 106 118 * 

5,000- 6,999------------------------------------------- 105 92 

7,000- 9,999------------------------------------------- 103 120 * 

10,000 and over 125 1;: !


Not stated---------------------------------------------- 149 57 82 *


RESTRICTED-ACTIVITY DAYS Number in thousands


Total 106,478I 29,437I 131,2701 16,599


Income Standardized morbidity ratio


Under $2,000 114 179 143 

$2,000 and over 77 90 142 

Under $1,000 105 191 144 

1,000- 1,999------------------------------------------- 127 159 142 

2,000- 2,999-------------------------------------------

3,000- 4,999-------------------------------------------

84 92 

97 

181 

* 

5,000- 6,999------------------------------------------- ;: 7,000- 9,999.........--------- ~1 86 68 * 

10,000 and over 105 

Not stated---------------------------------------------- 107 178 72 

BED-DAYS Number in thousands


Total 38.,0101 9,683 I 44,186I 6$004 

Income Standardized morbidity ratio


Under $2,000 109 152 

$2,000 and over 73 100 

Under $1,000 169 99 

1,000- 1,999 1% 123 62 

2,000- 2,999 72 64 

3,000- 4,999-------------------------------------------

5,000- 6,999-------------------------------------------

75 

64 ‘ 

147 

/17,000- 9,999------------------------------------------- 94 83

10,000 and over 68 I 

Not stated---------------------------------------------- 98 80 110 

19

---------------------------------------------

--------------------------------------------

-----------------------------------------

--------------------------------------------

-------------------------------------------

-----------------------------------------

------------------ ------------------ ----

----------------------------------------------

---------------------------------------------

-------------------------------------------- -----------------------------------------

--------------------------- -----------------

-------------------------------------------

--------- ------- --------------------------- -------------

----------------------------------------------

---------------------------------------------

---------------------------------------------

-----------------------------------------

--------------------------------------------

----------------------------------------

Table I. Selected measures of morbidity reported for unrelated individual, by age and color, 

and annual income: Health Interview Survey, United States, July 1961-June 1963-Con. 

[Standardized morbidity ratio is ratio of actual to expected events adjusted for age, sex, and farm-nonfarm residrmcel 

Morbidity measure and income


= 

DAYS LOST FROM WORK OR SCHOOL Number in thousands


Total 27,738 I 8,476 I 5,536 I 845


Income Standardized morbidity ratio


Under $2,000 

$2,000 and over 1;; 185 

176 

80 

235 

204 

* 

Under $1,000 55 164 60 

$;,::;-$;,;;;------------------------------------------- 218 

1:? 198 3% 

3;000: 4:999------------------------------------------- 161 206 197 

5,000- 6,999 113 266 

7,000- 9,999------------------------------------------- 127 75 63
 * /1

10,000 and over 96 61 

Not stated 84 169 * * 

SHORT-STAY HOSPITAL DAYS Number in thousands


Total 8,073 1,663 7,181 \ 674


Income Standardized morbidity ratio


Under $2,000 

$2,000 and over 

150 

84 

166 

70 

94 

94 1:? 

Under $1,000 127 170 102 

l,ooo-$l,999------------------------------------------- 181 159 87 1%’ 

~ 2,000-$2,999 89 85 187

3,000- 4,999------------------------------------------- 86 :! 96 * 

5,000-$6,999-------------------------------------------

7,000-$9,999 ..................--------- 77 

88 1 72 J! * 

I10,000 and over 135 

Not stated 1;: 135 164 403 

PERSONS WITH ONE OR MORE CHRONIC CONDITIONS Number in thousands


Total 4,103I 736 I 3,144I 288


Income Standardized morbidity ratio


Under $2,000 125 121 106 114


$2,000 and over 108 104 97 *


Under $1,000 130 124 106 113


l,ooo-$l,999------------------------------------------- 119 115 105 115


*
 i2,000- 2,999------------------------------------------- 111 108 99


*
 3,000- 4,999------------------------------------------- 105 99 94


![
5,000- 6,999------------------------------------------- 110 100


$7,ooo-$9,999------------------------------------------- 106 104 101
 *


$J.:,::3t~dover 117 1 87 I


------.--.-------...-----------.----.--------. 97 * 94 *


20

---------------------------------------------

--------------------------------------------- -----------------------------------------

--------------------------------------------

------- ---------- -----------------------

---------------------------------------- ----------------------------------------------

---------------------------------------------

-------------------------------------------- ------------------------------------------

-------- ------------

------------------------------------------- ------------------- ------------------------

---------------------------------------- ----------------------------------------------

-----------------------

-------------------------------------------- -----------------------------------------

--------------------------------------------

---------------------------------------- ----------------------------------------------

Table	I. Selectedmeasures of morbidity reported for unrelated individuals,by age and color,


and annual income:Health Interview Survey, United States, July 1961-June 1963—Con.


ptmdmdized morbidity ratio is ratio of actual b expected events adjusted for age, sex, and fmn-mnfmn residence] 

Morbidity measure and income


UNABLE TO CARRY ON MAJOR ACTIVITY1 Number in thousands


Total 393 76
 ___x!l- 421


Income Standardizedmorbidity ratio


Under $2,000 234 327 164


$2,000 and over 28 * *


Under $1,000 246 * 170 

1,000- 1,999------------------------------------------- 220 * * 

2,000- 2,999------------------------------------------- * * * 

3,000- 4,999-.-...............------------------ * * * 

5,000- 6,999 .s--------- * 

7,000- 9,999------------------------------------------- * * * //

10,000 and over * 

Not stated * * * 

WITH LIMITATION IN AMOUNT OR KIND OF MAJOR ACTIVITY’ Number in thousands


Total 565 I 162 [ 950 I 104


Income Standardizedmorbidity ratio


Under $2,000 175 221 131


$2,000 and over 66 95 *


Under $1,000 .------------.---.------ 253 31


1,000- 1,999------------------------------------------- 169
 *


2,000- 2,999------------------------------------------- * * 

3,000- 4,999------------------------------------------- * * 

5,000- 6,999 

7,000- 9,999 * * /1

10,000 and over Not stated * * 

WITH LIMITATIONBUT NOT IN MAJOR ACTIVITY1 Number in thousands


Total--.” .........---.--.--


Income Standardizedmorbidity ratio


Under $2,000 118 96 113
 *

$2,000 and over 96 * 97 *


Under $1,000 133 * 109 * 

1,000- 1,999------------------------------------------- 100 * 117 * 

2,000- 2,999------------------------------------------- 117 * 103 * 

3,000- 4,999------------------------------------------- 94 * * *

5,000- 6,999------------------------------------------- 83 *

7,000- 9,999------------------------------------------- * * * * * I /1 

10,000 and over *

Not stated * * * * 

21

---------------------------------------------

-------------------------------------------- -----------------------------------------

--------------------------------------------

---------------------------------------- -----------------------------------------------

Table	I. Selectedmeasures of morbidity reported for unrelated individuals,by age and color,


and annual income:Health Interview Survey, United States, July 1961-June 1963—Con.


[Standardized morbidity ratio is ratio of actual to expected events adjusted for age, sex, and fmn-ncmftmn residence] 

Morbiditymeasure and income


WITH NO LIMITATIONOF ACTIVITY Number in thousands


Total 3,124 I 485 I 1,4881 93


Income Standardizedmorbidity ratio


Uhder $2,000 

$2,000 and over 112 

121 

94 

110 

112 

137 

87 

* 

Under $1,000 117 107 81 

1,000- 1,999------------------------------------------- 105 1:! 116 * 

2,000- 2,999------------------------------------------- 116 113 133 * 

3,000- 4,999------------------------------------------- 118 105 135 * 

[15,000- 6,999------------------------------------------- 127 131

7,ooo-$9,999------------------------------------------- 123 II 116 166 * 

10,000 and over 137 150 

Not stated 103 * 105 * 

lMajor activity refers to ability to work, keep house,or engage in school or preschool activi­


ties.


22

---------------------------------------------

-------------------------------------------- -----------------------------------------

------------------------------------------

---------------- ------------------ ----------------- -------- -------- --- ------------------------------------------

---------------------------------------- ----------------------------------------------

---------------------------

---------------------------- ----------------- ----------------------------------------

----------------- ---

-----------------------------------------

-------------------------------------------

---------------------------------------- ----------------------------------------------

---------------------------------------------

------------------------------------------- ----------------------------------------

-------------------------------------------

--------------------------------------- ---------------------------------------------

Table II. Selectedmeasures of morbidity reported for families of two or more persons, by age


and color, and annual family income:Health Interview Survey, United States, July 1961-June 1963


[Stmdurdimd morbidity ratio is ratio of actual to expected events adjusted for age, sex, and fmm-nonfmn residenc~ 

Persons under Persons 65 years


65 years and over
 Morbidity measure and family income


White Nonwhite White Nonwhite


ACUTE CONDITIONS Number in thousands


Total 329,1361 34,0631 14,358I 947


Family income Standardized morbidity ratio


Under $3,000 100 77 105 

$3,000 and over 105 71 92 

Under $1,000 

1,000- 1,999--.-.-------.---------”--.” 

2,000- 2,999 “--------

102 

100 

100 

83 

79 

3,000- 4,999 .-.----!” -.-.”---“------- 102 :; 5,000- 6,999 103 

[1
7,000- 9,999------------------------------------------- 105 75

10,000 and over 111


Not stated 86 77


RESTRICTED-ACTIVITYDAYS Number in thousands


Total--------. -“.----”- 1,937,992I 278,5811 41O,667I 46,391


Familv income Standardized morbidity ratio


Under $3,000 139 131 123 160


$3,000 and over -
 94 91 80 100


Under -------. 170 155 161 191 

1,000- 1,999-------” ---.----------”.-“-”---”- 146 128 131 161 

2,000- 2,999------------------------------------------- 124 120 102 120 

3,000- 4,999 99 97 143 

5,000- 6,999-------------------------------------------

7,000- 9,999 % 85 55 

$1,000 .......--------------------


/1


10,000 and over 91 1


Not stated 78 111 90


BED-DAYS Number in thousands


Total 759,800I 128,8771 178,5251 23,041


Familv income Standardizedmorbidity ratio


Under $3,000 137 l:: “ 128 195 

$3,000 and over 92 87 114 

Under $1,000 165 187 187 240 

l,ooo-$l,999------------------------------------------ 142 147 128 182 

2,OOO-$2>999------------------------------------------ 124 141 105 160 

3,000- 4,999------------------------------------------ 96 103 89 146 

I5,000-$6,999------------------------------------------ 95 

7,ooo-$9,999------------------------------------------ :: ;; 92 

83 1 79 

t10,000 and over Not stated 80 134 85 117 

23

---------------------------------------------

-------------------------------------------- -----------------------------------------

--------------------------------------------

---------------------------------------- ----------------------------------------------

---------------------------------------------

-------------------------------------------- -----------------------------------------

--------------------------------------------

---------------------------------------- ----------------------------------------------

---------------------------------------------

--------------------------------------------

--------------------------------------------

-----------------------------------------

---------------------------------------- ----------------------------------------------

Table II. Selectedmeasurea of morbidity reported for families of two or more persons, by agc 

and color, and annual family income: Health Interview Survey, United States, JU@ 1961-Jun(! 

1963—Con. 

[S&ndardized morbidity ratio is ratio of actual b expected events adjusted for age, sex, and farm-nonfmn residence] 

Persons under Persons 65 years


65 years and over
 Morbidity measure and family income


White Nonwhite White Nonwhite


DAYS LOST FROM WORK OR SCHOOL Number in thousands


Total 485~216/ 75,8541 19,5431 1,594


Family income Standardizedmorbidity ratio


Under $3,000 

$3,000 and over 106 

97 

126 

110 

56 

124 1:: 

Under $1,000 119 152 40 81 

$1,ooo-$l,999------------------------------------------- 102 95 

$2,OOO-$2,999------------------------------------------- 1:? 132 i; 

3,ooo-$4,999------------------------------------------- 95 106 62 lx 

$5,OOO-$6,999------------------------------------------- 132 

7,ooo-$9,999------------------------------------------- 1% 115 126 162 

$10,000 and over 99 I 281 I 

Not stated 77 92 107 116 

SHORT-STAYHOSPITAL DAYS Number in thousands


Total 111,8721 13,869 I 22,892 I 1,975 

Family income Standardizedmorbidity ratio


Under $3,000 126 94 100 

$3,000 and over 95 99 103 

Under $1,000 128 ’33 115 180 

l,ooo-$l,999------------------------------------------- 120 91 Ill 

2,000- 2,999------------------------------------------- 129 118 105 117 

3,000- 4,999------------------------------------------- 109 99 83 

5,000- 6,999------------------------------------------- 103 1?; 

II
7,000- 9,999------------------------------------------- 82 98 108 57

$10,000 and over 106 I


Not stated 1% 144 79 55


PERSONS WITH ONE OR MORE CHRONIC CONDITIONS Number in thousands


Total 56,223I 5,874 I 9,156 I 741


Family income Standardizedmorbidity ratio


Under $3,000 109 95 103 106 

$3,000 and over------------------------+---------------- 101 79 97 87 

Under $1,000 108 100 105 109 

l,ooo-$l,999------------------------------------------- 110 96 104 108 

!2,000- 2,999------------------------------------------- 108 91 102 98 

3,000- 4,999------------------------------------------- 100 80 100 94 

5,000- 6,999 101 95 

!1
7,000- 9,999------------------------------------------- 101 78 97 81

$10,000 and over 101 92


Not stated 84 78 90 96


24

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Table 11. Selectedmeasures of morbidity reported for families of two or more persons, by age and color, and annual family income: Health Interview Survey, United States, July 1961-June 

1963-Con. 

[Stmdurdized morbidityrritio i. ratio C,f WtUaI b expeeted went. adjusted for age, sex, and fwm-nonfmmresidence 

Persons under Persons 65 years 

65 years and over Morbidity measure and family income 

I I 

White Nonwhite White Nonwhite


~ABLE TO CARRY ON NAJORACTIVITY1 Number in thousands 

Total 1,167 I 255 I 1,840 234


Family income Standardized morbidity ratio


Not 

Under $3,000 279 293 118 186 

$3,000 and over 60 101 90 114 

Under $1,000----.--------.---- 328 145 196 

1,000- 1,999------------------------------------------- 330 125 187 

2,000- 2,999------------------------------------------- 225 101 159 

3,000- 4,999------------------------------------------- 103 94 133 

5,000- 6,999------------------------------------------- 89 

[/7,000- 9,999-------------------------------------------

10,000 and over 83 

:; 

* 

stated--------"-------------------------------------- * 86 * 

WITH LIMITATION IN AMOUNT OR KIND OF MAJOR ACTIVITY1 Number in thousands 

Total 6,063 I 924 I 2,956 I 248 

Family income Standardized morbidity ratio


Under $3,000 180 183 114 118 

$3,000 and over 81 92 91 78 

Under $1,000 .-------- 211 205 123 116 

1,000- 1,999------------------------------------------- 187 200 118 123 

2,000- 2,999 163 154 108 112 

3,000- 4,999------------------------------------------- 112 113 100 86 

5,000- 6,999------------------------------------------- 85 89 

/1
7,000- 9,999------------------------------------------- 67 71 88 73

10,000 and over 55 I


Not stated 80 104 z: *


WITH LIMITATION, BUT NOT IN MAJOR ACTIVITY1 Number in thousands 

Total 4,190 I 382 I 837 I 45


Family income Standardized morbidity ratio


Under $3,000 122 61 106 71 

$3,000 and over----------------------------------------- 102 73 106 * 

Under $1,000 

1,000- 1,999-------------------------------------------

2,000- 2,999-------------------------------------------

3,000- 4,999-------------------------------------------

124 

121 

122 

109 

88 

91 

% 

1% 

114 

110 

* 

* 

* 

* 

5,000- 6,999------------------------------------------- 102 

/17,000- 9,999------------------------------------------- 102 67 l%

10,000 and over---------------------------------------- 93 103 

Not stated 74 69 67 * 

25

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Table II. Selected measures of morbidity reported for families of two or more persons, by age


and color, and annual family income: Health Interview Survey, United States, July 1961-June


1963—Con.


[Standardized morbidity ratio is ratio of actual tm expected events adjusted for age, sex, and fmn-nonfam residence] 

Persons under Persons 65 years


65 years and over


Morbidity measure and family income


Non- White Nonwhite I White white 

WITH NO LIMITATION OF ACTIVITY Number in thousands


Total 44,801 [ 4,311 I 3>523 [ 213


Family income Standardized morbidity ratio


Under $3,000 

$3,000 and over 1%’ 79 

77 1% 

65 

89 

Under $1,000 81 82 68 59 

$l,ooo-$l,999--------------------------------------------- 89 78 82 67 

2,OOO-$2,999--------------------------------------------- 94 79 

i3,ooo-$4,999--------------------------------------------- 76 1:: a 

$5,OOO-$6,999--------------------------------------------- 1;: 100 

7,ooo-$9,999---------------------------------------------

$10,000 and over 

Not stated 

107 

111 / 

86 

79 

73 

106 I 

112 

102 

91 

* 

lMajor activity refers to ability to work, keep house, or engage in school or preschool activ­


ities.


26 U.S. GOVZWME”7 PRI”,, ”G O,,,CE 1,,70-2,,.,0, 
OUTLINE OF REPORT SERIES FOR VITAL AND HEALTH STATISTICS 

Public Health Service Publication No. 1000 

Series 1.	 PYogYams and collection pYoceduYes.— Reports which describe the general programs of the National 

Center for Health Statistics and its offices and divisions, data collection methods used, definitions, 

and other material necessary for understanding the data. 

SeYies 2.	 Data evaluation and methods Yesearch. —Studies of new statistical methodology including: experimental tests of new survey methods, studies of vital statistics collection methods, new analytical 

techniques, objective evaluations of reliability of collected data, contributions to statistical theory. 

Se7-ies 3.	 Analytical studies. —Reports presenting analytical or interpretive studies based on vital and health 

statistics, carrying the analysis further than the expository types of reports in the other series. 

Series 4.	 Documents and committee YepoYts. — Final reports of major committees concerned with vital and 

health statistics, and documents such as recommended model vital registration laws and revised birth 

and death certificates. 

Series 10.	 Data fyom the Health InteYview Srmwey. —Statistics on illness, accidental injuries, disability, use of 

hospital, medical, dental, and other services, and other health-related topics, based on data collected 

in a continuing national household interview survey. 

SeYies 11.	 Data from the Health Examination Survey. —Data from direct examination, testing, and measurement of national samples of the population provide the basis for two types of reports: (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 psychological characteristics; and (2) 

analysis of relationships among the various measurements without reference to an explicit finite 

universe of persons. 

Series 12.	 Data j?om the Institutional Population Survey s.- Statistics relating to the health characteristics of 

persons in institutions, and on medical, nursing, and personal care received, based on national 

samples of establishments providing these services and samples of the residents or patients. 

SeYies 13.	 Data from the Hospital Discharge Swvey. -Statistics relating to discharged patients in short-stay 

hospitals, based on a sample of patient records in a national sample of hospitals. 

SeYies 20.	 Data on mo~tality.—Various statistics on mortality other than as included in annual or monthly 

reports —special analyses by cause of death, age, and other demographic variables, also geographic 

and time series analyses. 

Se7-ies 21.	 Data on natality, marriage, and divoyce. —Various statistics on natality, marriage, and divorce other 

than as included in annual or monthly reports— special analyses by demographic variables, also 

geographic and time series analyses, studies of fertility. 

SeYies 22.	 Data porn the National Natality and MoYtality Swveys. —Statistics on characteristics of births and 

deaths not available from the vital records, based on sample surveys stemming from these records, 

including such topics as mortality by s~ioeconomic class, medical experience in the last year of 

life, characteristics of pregnancy, etc. 

For a list of titles of reports published in these series, write to: Office of Information and Publications 

National Center for Health Statistics 

U.S. Public Health Service 

Washington, D.C. 20201