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Arthritis, Osteoporosis, and Chronic Back Conditions

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Weight reduction counseling, adults with arthritis, 2002 and 2009

Increase Desired

SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

NOTES: Data are for the proportion of overweight or obese adults aged 18 and over with doctor-diagnosed arthritis who received health care provider counseling for weight reduction. Overweight or obese is defined as body mass index (BMI) greater than or equal to 25.0. Data are age adjusted using the year 2000 standard population. Respondents were asked to select one or more races. Data for the single-race categories are for persons who reported only one racial group. Persons of Hispanic origin may be of any race. 

Confidence Interval= 95% confidence interval.

The proportion of overweight or obese adults aged 18 and over with arthritis who received weight reduction counseling from a health care provider increased 20.3% between 2002 and 2009, from 35.0% to 42.1% (age adjusted), and varied by race and ethnicity as well as by sex. For example, in 2009:

  • 52.8% (age adjusted) of overweight or obese Hispanic or Latino adults with arthritis received weight reduction counseling from a health care provider, compared with 39.5% of overweight or obese non-Hispanic white adults with arthritis. When expressed as overweight or obese adults with arthritis who received no health care provider counseling for weight reduction, the proportion for the non-Hispanic white population was almost one and a half times the proportion for the Hispanic or Latino population.

  • 45.6% (age adjusted) of overweight or obese females with arthritis received weight reduction counseling from a health care provider, compared with 37.7% of overweight or obese males with arthritis.

Revised: Thursday, March 28, 2013

Exercise counseling, adults with arthritis, 2006 and 2009

Increase Desired

SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

NOTES: Data are for the proportion of adults aged 18 and over with doctor-diagnosed arthritis who received health care provider counseling for physical activity or exercise, and are age adjusted using the year 2000 standard population. Respondents were asked to select one or more races. Data for the single-race categories are for persons who reported only one racial group. Persons of Hispanic origin may be of any race. 

PT = Poverty Threshold. 

Confidence Interval= 95% confidence interval.

The proportion of adults aged 18 and over with arthritis who received exercise counseling from a health care provider increased 9.6% between 2006 and 2009, from 52.2% to 57.2% (age adjusted), and varied by race and ethnicity, sex, disability status, and family income. For example, in 2009:

  • 64.7% (age adjusted) of Hispanic or Latino adults with arthritis received exercise counseling from a health care provider, compared with 60.5% of non-Hispanic black, 56.0% of non-Hispanic white, and 49.6% of Asians adults with arthritis; however, the difference between the Hispanic or Latino and non-Hispanic black rates was not statistically significant. The rate of exercise counselling among Hispanic or Latino adults with arthritis was almost one and a half times the rate for Asian adults with arthritis.

  • 61.5% (age adjusted) of females with arthritis received exercise counseling from a health care provider, compared with 50.8% of males with arthritis.

  • 61.9% (age adjusted) of adults with arthritis who experienced activity limitations received exercise counselling from a health care provider, compared with 55.0% of adults with arthritis who did not experience activity limitations.

  • 61.4% (age adjusted) of adults with arthritis whose family incomes were at or above 600% of the Poverty Threshold (PT) received exercise counselling from a health care provider, compared with 52.6% of those at 100–199% of the PT.

Revised: Monday, August 25, 2014

Osteoporosis, adults, 1988–94 and 2005–08

Decrease Desired

SOURCE: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

NOTES: Data are for the proportion of adults aged 50 and over with osteoporosis, and are age adjusted using the year 2000 standard population. Osteoporosis is defined as femoral bone mineral density (BMD) value less than 0.64. Respondents were asked to select only one race prior to 1999. For 1999 and later years, respondents were asked to select one or more races. For all years, the categories `white, non-Hispanic’ and `black, non-Hispanic’ include persons who reported only one racial group. Persons of Mexican-American origin may be of any race. 

Confidence Interval = 95% confidence interval.

The prevalence of osteoporosis among adults aged 50 and over declined 51.6% from 1988–94 to 2005–08, from 12.2% to 5.9% (age adjusted), and varied by race and ethnicity as well as by sex. For example, in 2005–08:

  • 4.0% (age adjusted) of non-Hispanic black adults aged 50 and over had osteoporosis, compared with: 5.9% of non-Hispanic white adults aged 50 and over, about one and a half times the prevalence among non-Hispanic black adults; and 7.1% of Mexican American adults aged 50 and over, nearly twice the prevalence among non-Hispanic black adults.

  • 8.9% (age adjusted) of females aged 50 and over had osteoporosis, about four and a half times the prevalence among males aged 50 and over, 2.0%.

 

Revised: Thursday, March 28, 2013

Activity limitations due to chronic back conditions, adults, 2012

Decrease Desired

SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

NOTES: Data are for adults aged 18 and over with limitations in activity due to chronic back or neck problems, and are age adjusted using the year 2000 standard population. Respondents were asked to select one or more races. Data for the single-race categories are for persons who reported only one racial group. Persons of Hispanic origin may be of any race. 

PT = Poverty Threshold.

Confidence Interval= 95% confidence interval.

In 2012, 33.7 per 1,000 adults (age adjusted) experienced limitations in activity due to chronic back or neck problems. This rate varied by sex, race and ethnicity, and family income:

  • 33.4 per 1,000 male adults (age adjusted) experienced limitations in activity due to chronic back conditions, compared with 33.8 per 1,000 female adults, although this difference was not statistically significant.

  • 11.3 per 1,000 Asian adults (age adjusted) experienced limitations in activity due to chronic back conditions, compared with: 

    • 25.5 per 1,000 Hispanic or Latino adults; more than twice the rate for Asian adults.

    • 33.2 per 1,000 American Indian or Alaska Native adults; almost three times the rate for Asian adults.

    • 35.3 per 1,000 non-Hispanic white adults; more than three times the rate for Asian adults.

    • 40.4 per 1,000 non-Hispanic black adults; more than three and a half times the rate for Asian adults.

    • 67.9 per 1,000 adults of two or more races; six times the rate for Asian adults.

  • 12.5 per 1,000 adults (age adjusted) with family incomes at or above 600% of the Poverty Threshold (PT) experienced limitations in activity due to chronic back conditions, compared with:

    • 19.3 per 1,000 adults with family incomes at 400%–599% of the PT; approximately one and a half times the rate for those at or above 600% of the PT.

    • 30.2 per 1,000 adults with family incomes at 200%–399% of the PT; almost two and a half times the rate for those at or above 600% of the PT.

    • 52.6 per 1,000 adults with family incomes at 100%–199% of the PT; more than four times the rate for those at or above 600% of the PT.

    • 78.0 per 1,000 adults with family incomes below the PT; more than six times the rate for those at or above 600% of the PT.

Revised: Monday, August 25, 2014

National Snapshots Help

HEALTHY PEOPLE 2020 NATIONAL SNAPSHOTS

A User's Guide

  1. National snapshots provide a visual display of progress for selected objectives in each Healthy People 2020 Topic Area, whenever data are available.

  2. The snapshot heading describes the snapshot theme, the population to which the snapshot applies (when needed for clarification), and the data year(s). The snapshot heading is not meant to capture the full scientific scope of the objective(s) that is (are) displayed. The user can find complete technical information about the objective(s) in the Data Details.

  3. The snapshot visual display is generally one of three types: a line graph, a bar chart, or a map. 

  4. The snapshot notes and footnotes indicate any technical information about the data that the user needs to correctly interpret the visual display, together with any key data limitations (when applicable). Although the snapshots are intended to be standalone, the user should consult the objective(s) Data Details for the full range of methodology issues that may impact interpretation.

  5. The snapshot source(s) indicate the data source(s) used to create the visual display.

  6. Age-adjusted data are adjusted using the year 2000 standard population.

  7. Education and income are the primary measures of socioeconomic status in Healthy People 2020. Unless otherwise noted, income is defined as a family’s income before taxes; thus, the terms “income” and “family income” are used interchangeably in the snapshots.

  8. To facilitate comparisons among groups and over time, while adjusting for family size and for inflation, Healthy People 2020 categorizes family income using the Poverty Threshold (PT), sometimes also referred to as the Federal Poverty Level (FPL), developed by the Census Bureau. Unless otherwise overridden by considerations specific to the data system, the five categories of family income primarily used are: 

    1. Below the PT (i.e., less than 100% of the PT) 

    2. At 100%–199% of the PT 

    3. At 200%–399% of the PT 

    4. At 400%–599% of the PT 

    5. At or above 600% of the PT.

  9. A snapshot narrative paragraph highlights some key features of the visual display. The narrative text is not meant to provide an exhaustive analysis of the data displayed. For a more in-depth analysis, the user should refer to the applicable data table(s) and objective(s) Data Details.

  10. The user should keep in mind the following: 

    1. When two rates or proportions are highlighted for comparison (and measures of variability are available), the user may interpret the highlighted difference to be statistically significant at the 0.05 level, unless otherwise stated.

    2. Only selected differences are highlighted in the narrative text. Differences visible in the visual data display but not highlighted in the text still may well be statistically significant.

Revised: Monday, August 25, 2014