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Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

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Page 1: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Trends in Health and Aging

Major Trends and Patterns in Health and Aging

July 2007

Page 2: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

These slides highlight some interesting findings from the data on the Trends in Health and Aging web-site

www.cdc.gov/nchs/agingact.htm

There is much more information on these and other topics on the website.

Page 3: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Suggested citation:Trends in Health and Aging website

www.cdc.gov/nchs/agingact.htm, accessed at <date>

Please contact us if you have any questions at [email protected] or (301) 458 - 4241

Page 4: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Age Distribution of U.S. Population, 1980, 1990, and 2005

Data source: The Bureau of the Census

Year 1980 Year 1990 Year 2005

85+

80-84

75-79

70-74

65-69

60-64

55-59

50-54

45-49

40-44

35-39

30-34

25-29

20-24

15-19

10-14

5-9

0-4

0% 5 % 10% 0% 5 % 10% 0% 5 % 10%

Page 5: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Age Distribution of U.S. Population by Race/Ethnicity, 2005

Data source: The Bureau of the Census

HispanicBlack non-HispanicWhite non-Hispanic

85+

75-84

65-74

55-64

45-54

35-44

25-34

20-24

15-19

10-14

5-9

0-4

0% 5 % 10% 15% 20% 0% 5 % 10% 15% 20% 0% 5 % 10% 15% 20%

Page 6: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Age Distribution of U.S. Population by Sex, 2005

Data source: The Bureau of the Census

Female Male

10% 5 % 0% 0% 5 % 10%

85+

80-84

75-79

70-74

65-69

60-64

55-59

50-54

45-49

40-44

35-39

30-34

25-29

20-24

15-19

10-14

5-9

0-4

Page 7: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Living Arrangements by Age and Sex, 2006

0

10

20

30

40

50

60

70

80

65-74 75-84 85 and over 65-74 75-84 85 and over

Living alone Living with spouse Living with other relatives Living with non relatives

Per

cent

(%

)

Data Source: Current Population Survey

Male Female

Page 8: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Years of Education Among Persons Age 65 and Over (age-adjusted) by Sex and Race/Ethnicity, 2006

0

10

20

30

40

50

60

70

Less than HighSchool

High School More than HighSchool

Less than HighSchool

High School More than HighSchool

White non-Hispanic Black non-Hispanic Hispanic

Data source: Current Population Survey

Per

cent

(%

)

Male Female

Page 9: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Percent of Non-institutionalized Persons Age 65 and Over (age-adjusted) Reporting Fair to Poor Health by

Race/Ethnicity, 1982-2005

Data Source: National Health Interview Survey

Per

cent

(%

)

0

10

20

30

40

50

60

1982 1985 1990 1995 2000 2005

White non-Hispanic Hispanic Black non-Hispanic

Page 10: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Percent of Persons Age 65 and Over (age-adjusted) Reporting Selected Chronic Conditions by Sex, 2004-2005

0

10

20

30

40

50

60

Hypertension Arthritis Heart disease Cancer Diabetes

Male Female

Data Source: National Health Interview Survey

Per

cent

(%

)

Page 11: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Diagnosed and Undiagnosed Diabetes Among Non-institutionalized Persons Age 65 and Over (age-adjusted) by Sex, 2001-2004

0

5

10

15

20

25

30

Diagnosed Undiagnosed Total diabetes

Male Female

Per

cent

(%

)

Data Source: National Health and Nutrition Examination Survey

Page 12: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Percent of Persons Age 65 and Over (age-adjusted) with Diagnosed Diabetes by Sex and Race/Ethnicity, 1999-2004

0

5

10

15

20

25

30

Mexican-American White non-Hispanic Black non-Hispanic

Male Female

Per

cent

(%

)

Data Source: National Health and Nutrition Examination Survey

Page 13: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Percent of Persons Age 65 and Over (age-adjusted) with Hypertension by Sex and Race/Ethnicity, 1999-2004

0

10

20

30

40

50

60

70

80

90

White non-Hispanic Black non-Hispanic Mexican-American

Male Female

Data Source: National Health and Nutrition Examination Survey

Per

cent

(%

)

Page 14: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Indicators of Mental Health Among Persons Age 65 and Over (age-adjusted) by Race/Ethnicity, 2004-2005

0 1 2 3 4 5 6

Visited a mental healthprofessional during the past

12 months

Serious mental illness

Hispanic White non-Hispanic Black non-Hispanic

Percent (%)

Data Source: National Health Interview Survey

Page 15: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Percent of Medicare Beneficiaries Reporting Difficulty with IADLs or ADLs by Age, 2004

Data Source: Medicare Current Beneficiary Survey

Per

cent

(%

)

0

5

10

15

20

25

30

35

65-74 75-84 85 years and over

IADL Only 1 to 2 ADLs 3 to 6 ADLs

Page 16: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Edentulism Among Persons Age 65 and Over (age-adjusted) by Age and Race/Ethnicity, 2004-2005

0

10

20

30

40

50

60

70

65-74 75-84 85 and over

Hispanic White non-Hispanic Black non-Hispanic

Per

cent

(%

)

Data source: National Health Interview Survey

Page 17: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Current Cigarette Smoking by Age and Sex, 1965-2005

0

5

10

15

20

25

30

35 65-74 Male65-74 Female75 and over Male75 and over Female

Data source: National Health Interview Survey

Per

cent

(%

)

1965

1975

1985 1995

2005

Page 18: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

0

5

10

15

20

25

30

35

40

25-44 45-64 65-74 75 and over

1988-1994 2001-2004

Per

cent

(%

)

Data source: The National Health and Nutrition Examination Survey

Percent of Population that is Obese (BMI equal to or greater than 30) by Age, Selected Years.

Page 19: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Percent of Persons Age 65 and Over (age-adjusted) Who are Obese (BMI equal to or greater than 30) and Severely Obese (BMI equal to or

greater than 40) by Sex, 2001-2004

0

5

10

15

20

25

30

35

Male Female

Obese Severely Obese

Data source: National Health Interview Survey

Per

cent

(%

)

Page 20: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Percent of Persons Age 65 and Over (age-adjusted) Vaccinated for Pneumonia by

States, 2002-2004

0

25

50

75

Data Source: Behavioral Risk Factor Surveillance System

Page 21: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Hospital Discharges Per 1,000 Population by Age, 1970-2004

0

100

200

300

400

500

600

700

19701972

19741976

19781980

19821984

19861988

19901992

19941996

19982000

20022004

Data Source: The National Hospital Discharge Survey

Dis

char

ges

per

1,00

0 po

pula

tion

65-74

75-84

85 and over

Page 22: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Annual Visit Rates for Persons Age 65 and Over (age-adjusted) to Selected Specialists, Selected Years

0

20

40

60

80

100

120

140

160

180

200

1975-1976 2003-2004

General/Family Practice Internal Medicine Ophthalmology

Cardiovascular Diseases Orthopedic Surgery

Rat

e pe

r 10

0 po

pula

tion

Data Source: The National Ambulatory Medical Care Survey

Page 23: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Average Length of Hospital Stay (in days) by Age, 1970-2004

0

2

4

6

8

10

12

14

16

19701972

19741976

19781980

19821984

19861988

19901992

19941996

19982000

20022004

65-74 75-84 85 and over

Data Source: The National Hospital Discharge Survey

Ave

rage

leng

th o

f st

ay in

day

s

Page 24: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Nursing Homes Residents per 1,000 Population by Race/Ethnicity, 1977-2004

Data Source: The National Nursing Home Survey

Res

iden

ts p

er 1

,000

pop

ulat

ion

0

20

40

60

80

100

120

1977 1985 1995 1997 1999 2004

White Black

Page 25: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Nursing Homes Residents per 1,000 Population by Age, Sex and Race/Ethnicity, 2004

0

20

40

60

80

100

120

140

160

180

200

White Black White Black

65-74 75-84 85 and over

Data Source: The National Nursing Home Survey

Res

iden

ts p

er 1

,000

pop

ulat

ion

Male Female

Page 26: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Average Per Capita Health Spending for Medicare Beneficiaries Age 65 and Over (age-adjusted) by Source of

Payment, 1992 and 2003

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

1992 2003

Data Source: Medicare Current Beneficiary Survey

2003

dol

lars

Medicare

Medicaid

Private Insurance

Out of pocket

Other

Page 27: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

1992 2003

2003

dol

lars

Data Source: Medicare Current Beneficiary Survey

Average Per Capita Health Care Expenditures for Medicare Beneficiaries Age 65 and Over (age-adjusted) by Type of

Service, 1992 and 2003

Inpatient hospital

Physician/Supplier

Outpatient hospital

Long-term

care facility

Prescription medicine

Medicare home health

Medicare hospice

Dental

Page 28: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Average Expenditures on Prescribed Medicines for Community-Dwelling Medicare Beneficiaries Age 65 and

Over (age-adjusted) by Source of Payment, 1992 and 2003

0

100

200

300

400

500

600

700

Medicare Medicaid Privateinsurance

Out of pocket Other

1992

2003

2003

dol

lars

Data source: Medicare Current Beneficiary Survey

Note: Two groups of Medicare beneficiaries are included as community residents. The first lived solely in household units throughout the year. The second lived part of the year in a long-term care facility and part of the year in the community.

Page 29: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Average Per Capita Health Spending for Medicare Beneficiaries Age 65 and Over (age-adjusted) in 2003 Dollars by Functional Status, 1992-2003

Limitations

1992 1997 2003 % change, 1992-2003

None 4,257 5,180 6,683 57.0

Physical limitation only

4,954 6.720 7,639 54.2

IADL 8,243 9,273 11,660 41.5

1-2 ADLs 10,533 12,222 14,573 38.4

3-6 ADLs 24,368 28,240 29,433 20.8

Data source: The Medicare Current Beneficiary Survey

Page 30: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Percent Distribution of Community-Dwelling Medicare Beneficiaries Age 65 and Over (age-adjusted) by Supplemental Insurance Coverage

and Race/Ethnicity, 2004

Data source: Medicare Current Beneficiary Survey

Per

cent

(%

)

0

5

10

15

20

25

30

35

40

45

Medicare riskHMO

Medicaid Employer-sponsored plan

Medigap Medicare fee-for-service only or

others

White non-Hispanic Black non-Hispanic Hispanic

Page 31: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Life Expectancy at Age 65 by Sex and Race/Ethnicity, 1950-2003

0

5

10

15

20

25

19501970

19721974

19761978

19801982

19841986

19881990

19921994

19961998

20002002

White Male White Female Black Male Black Female

Yea

rs

Data Source: The National Vital Statistic System

Page 32: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Deaths Per 100,000 Population Among Persons Age 65 and Over (age-adjusted) by Race/Ethnicity,1984-2004

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

Data Source: The National Vital Statistic System

Dea

ths

per

100,

000

popu

latio

n

Hispanics

White non-Hispanics

Black non-Hispanics

Page 33: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Deaths Per 100,000 Women Age 65 and Over (age-adjusted), Selected Causes, 1981-2004

0

500

1,000

1,500

2,000

2,500

Dea

ths

per

100,

000

popu

latio

n

Data Source: The National Vital Statistic System

Diseases of heart

Cancer

Cerebrovascular diseases

Page 34: Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007

Deaths Per 100,000 Men Age 65 and Over (age-adjusted), Selected Causes, 1981-2004

Dea

ths

per

100,

000

popu

latio

n

Data Source: The National Vital Statistic System

0

500

1,000

1,500

2,000

2,500

3,000

3,500

19811983

19851987

19891991

19931995

19971999

20012003

Diseases of heart

Cancer

Cerebrovascular diseases