H ealthy People 2010 Focus Area 2 Arthritis, Osteoporosis, and Chronic Back Conditions

Healthy People 2010Focus Area 2

Arthritis, Osteoporosis, and Chronic Back Conditions

Progress ReviewJuly 20, 2006


Arthritis and Other Rheumatic Conditions

• The leading cause of disability• Affect 43M or 21% of adults (67M or 25% by

2030), most are under age 65• Limited activity for 16M or 7.8% of adults

(25M or 9.3% by 2030) • Cost $86B (1997) and $127B in 2003Osteoporosis• Responsible for more than 1.5M fractures,

and $14B medical care costs annuallyChronic Back Conditions• Affect 26M Americans aged 20-64 • Cost about $100B per year

Focus Area 2Arthritis, Osteoporosis, and

Chronic Back Conditions

GoalPrevent illness and disability related

to arthritis and other rheumatic conditions, osteoporosis, and chronic back conditions

Co-Lead Agencies•Centers for Disease Control and

Prevention•National Institutes of Health

Arthritis and Other Rheumatic Conditions2-1. Mean level of joint pain2-2. Activity limitations due to arthritis2-3. Personal care limitations2-4a. Counseling about overweight and obesity2-4b. Counseling about physical activity 2-5a. Unemployment rate2-5b. Effect on paid work 2-6. Racial differences in total knee replacements2-7. Seeing a health care provider2-8. Arthritis education in adults

Osteoporosis2-9. Cases of

osteoporosis2-10. Hospitalization for

vertebral fractures


Chronic Back Conditions

2-11. Activity limitations due to chronic back conditions

Note: Objectives in red have had the national baseline established since 2000.Methodology for obj. 2-6 in blue has been defined in 2005.

21.6%

Diagnosed ArthritisAdults 18 and Older, 2004

0 20 40 60

Age-adjusted percent

Total

18-4445-6465-74

75+BMI

-18.418.5-24.925.0-29.930.0-34.935.0-39.9

40.0+

FemaleMale

Less than high school

High schoolAt least some

college

Note: — 95% confidence interval. *Data are statistically unreliable and are suppressed. Data are age adjusted to the 2000 standard population. Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.

8.8M20.2M

8.5M9.0M

Causes of Functional Activities Limitation

Adults 18 years and older, 2004

all others4%

circulatory7%

vision hearing sensory

7%

diabetes3%

developmental2%

weight4%

heart5%

depression5%

other injury2%

other musculoskeletal

9%

respiratory4%

cancer1%

fracture7%

arthritis23%

back or neck17%

Causes of Functional Activities Limitation**

Note: *Having difficulty in performing specific physical tasks and engaging in social activities and recreation without the assistance of another person or using special equipment. **Based on 16,694 causes reported by 10,760 adults with functional activity limitations. Respondents were asked to report up to 3 causes. All others category includes amputation, endocrine, digestive, genitourinary, skin, blood, cyst, substance abuse, medical treatment, fatigue, and pregnancy. Source: National Health Interview Survey, CDC.

Functional Activities

Limitation*

NotLimited

68% Limited32%

28.5–32.125.0-28.421.2–24.9

District ofColumbia

Diagnosed ArthritisAdults 18 and Older, 2005

Note: Data are age adjusted to the 2000 standard population. Source: Behavioral Risk Factor Surveillance System, CDC.


Mean Level of Joint Pain Adults 18 and Older with Arthritis, 2003

5.6

Obj. 2-1

*

Total

American IndianAsian

Native HawaiianBlackWhite

2 or more racesHispanic

FemaleMale



college

Note: — 95% confidence interval. *Data are statistically unreliable and are suppressed. Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native; Native Hawaiian includes other Pacific Islander. The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.

0 2 4 6 8 10

Level of joint pain on the scale of 1 - 10

*

*

2010 Target: 5.3

Decrease desired

39%

Obj. 2-2

Activity Limitation Due to ArthritisAdults 18 and Older with Arthritis, 2004

0 20 40 60 80


2010 Target: 33%

*


Total




FemaleMale



college

Decrease desired

37%

56%

45%**

Counseling by Medical Care ProviderAdults 18 and Older with Arthritis, 2003

Female Male Less than High At least

high school school some college

Obj. 2-4a and 2-4b

Weight counseling* Exercise counseling


Total

Note: I = 95% confidence interval. *for overweight or obese adults with arthritis. **Exercise counseling for all respondents with or without arthritis, 2001. 2010 target for weight counseling is 46% and exercise counseling is 67%. Data are age adjusted to the 2000 standard population. Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.

100

80

60

40

20

0

2010 target

Increase desired

37%

Weight Counseling by BMIAdults 18 and Older with Arthritis, 2003

Obj. 2-4aNote: I = 95% confidence interval. Data are age adjusted to the 2000 standard population. Source: National Health Interview Survey, CDC.

100

80

60

40

20

0


25.0+ 18.5-24.9 25.0- 30.0- 35.0- 40.0+

29.9 34.9 39.9

2010 target: 46%

Increase desired

29%Total




FemaleMale



college0 20 40 60

80 Age-adjusted percent

Limited Ability to Work due to Arthritis Adults 18-64 with Arthritis, 2003

***


Obj. 2-5b

2010 Target: 23%

Decrease desired

55%

11%

Obj. 2-8

Arthritis EducationAdults 18 and Older with Arthritis, 2003

Note: — 95% confidence interval. *Data are statistically unreliable and are suppressed. Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native; Native Hawaiian includes other Pacific Islander. The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group.Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.

Total6




FemaleMale

Less than high schoolHigh school

At least some college

***

0 20 40 60 80


2010 Target: 13%

*

Diabetes education in 1999

Increase desired

Note: Data are age adjusted to the 2000 standard population.Source: National Hospital Discharge Survey, CDC.

Hospitalizations for Vertebral Fractures

Adults 65 and Older, 1998 - 2004

Obj. 2-10

Female

Total

Male

1998 1999 2000 2001 2002 2003 2004

25

20

15

10

5

0

Age-adjusted rate per 10,000 population

Decrease desired

2010 target

3228

2010 Target: 25

1997

2004

Total

Female

Male


High school

At least some college

Obj. 2-11

Activity Limitations Due to Chronic Back Conditions, Adults 18 Years and Older

Note: — 95% confidence interval. Data are age adjusted to the 2000 standard population. Education category is for adults 25 and older. Source: National Health Interview Survey, CDC.

Decrease desired

0 20 40 60 80

Age-adjusted per 1,000

Summary

Arthritis and Other Rheumatic Conditions• Significant progress in surveillance and

monitoring efforts• Baselines established for all objectives to

assess progress, including 8 developmental objectives

Osteoporosis Update data for cases of osteoporosis (obj.

2-9) available beginning 2005 NHANES (femur scans)

Increase in hospitalization rates since 2001, perhaps due to use of kyphoplasty

Chronic Back Conditions• Reduction in reported activity limitations

due to chronic back conditions

Progress review data and slides are available on the

web

www.cdc.gov/nchs/hphome.htm

www.cdc.gov/nchs/hphome.htm

Documents

H ealthy People 2010 Focus Area 2 Arthritis, Osteoporosis, and Chronic Back Conditions