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Older Adults

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Use of selected Medicare benefits, older adults, 2008–2012

Increase Desired

SOURCE: Medicare Administrative Data, CMS.
 
NOTES: Data are for the proportion of adults aged 65 and over who used the Welcome to Medicare benefit (objective OA-1) and the proportion of Medicare beneficiaries (aged 65 and over) with diabetes who have had diabetes self-management training (objective OA-4).

The proportion of adults aged 65 and over who used the Welcome to Medicare benefit more than doubled between 2008 and 2011, from 6.4% to 13.1%. On the other hand, the proportion of Medicare beneficiaries with diabetes who have had diabetes self-management training decreased 15.0% between 2008 and 2012, from 2.0% to 1.7%. Data were unavailable to assess the statistical significance of these changes.

Revised: Monday, August 25, 2014

Up to date on a core set of clinical preventive measures, older males, 2012

Increase Desired

SOURCE: Behavioral Risk Factor Surveillance System (BRFSS), CDC/PHSIPO.

NOTES: Data are for the proportion of older males, aged 65 and over, who were up to date on a core set of clinical preventive measures (flu shot in past year, PPV ever and either a colonoscopy/sigmoidoscopy in 10 years or FOBT in past year). Respondents were asked to select one or more races. The single-race categories include persons who reported only one racial group. Persons of Hispanic origin may be of any race.

Confidence Interval = 95% confidence interval.

In 2012, 41.8% of older males, aged 65 and over, were up to date on a core set of clinical preventive measures (flu shot in past year, PPV ever and either a colonoscopy/sigmoidoscopy in 10 years or FOBT in past year). This rate varied by race and ethnicity as well as education. For example:

  • 44.8% of non-Hispanic white older males were up to date on a core set of clinical preventive measures, almost one and a half times the rate for non-Hispanic black older males, 32.8%, and more than one and a half times the rate for Hispanic or Latino older males, 27.6%.

  • 46.6% of older males with a four-year college degree or higher were up to date on a core set of clinical preventive measures, almost one and a half times the rate for older males with less than high school education, 36.3%.

Revised: Monday, August 25, 2014

Up to date on a core set of clinical preventive measures, older females, 2012

Increase Desired

SOURCE: Behavioral Risk Factor Surveillance System (BRFSS), CDC/PHSIPO.

NOTES: Data are for the proportion of older females, aged 65 and over, who were up to date on a core set of clinical preventive measures (flu shot in past year, PPV ever and either a colonoscopy/sigmoidoscopy in 10 years or FOBT in past year plus a mammogram in past 2 years). Respondents were asked to select one or more races. The single-race categories include persons who reported only one racial group. Persons of Hispanic origin may be of any race.

Confidence Interval= 95% confidence interval.

In 2012, 39.2% of older females, aged 65 and over, were up to date on a core set of clinical preventive measures (flu shot in past year, PPV ever and either a colonoscopy/sigmoidoscopy in 10 years or FOBT in past year plus a mammogram in past 2 years). This rate varied by race and ethnicity as well as education. For example:

  • 42.7% of non-Hispanic white older females were up to date on a core set of clinical preventive measures, approximately one and a half times the rate for non-Hispanic black older females, 27.8%, and more than twice the rate for Hispanic or Latino older females, 20.4%.

  • 44.5% of older females with a four-year college degree or higher were up to date on a core set of clinical preventive measures, almost one and a half times the rate for older females with less than high school education, 31.4%.

Revised: Monday, August 25, 2014

Moderate to severe functional limitations, older adults, 2007 and 2011

Decrease Desired

SOURCE: Medicare Current Beneficiary Survey (MCBS), CMS.

NOTES: Data are for the proportion of older adults, aged 65 and over, who had moderate to severe functional limitations and are age adjusted using the year 2000 standard population. Respondents were asked to select one or more races. The categories ‘white, non-Hispanic’ and ‘black, non-Hispanic’ include persons who reported only one racial group. Persons of Hispanic origin may be of any race.

confidence interval= 95% confidence interval.

The proportion of older adults aged 65 and over who had moderate to severe functional limitations increased 9.9% between 2007 and 2011, from 29.3% to 32.2% (age adjusted), and varied by sex and race and ethnicity. For example, in 2011:

  • 34.9% (age adjusted) of older females had moderate to severe functional limitations, compared with 28.6% of older males.

  • 39.0% (age adjusted) of non-Hispanic black older adults had moderate to severe functional limitations, compared with 34.0% of Hispanic or Latino and 31.0% of non-Hispanic white older adults.

Revised: Monday, August 25, 2014

Leisure-time physical activity, older adults with reduced physical or cognitive function, 2012

Increase Desired

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

NOTES: Data are for the proportion of older adults, aged 65 and over, with reduced physical or cognitive function who engaged in light, moderate, or vigorous leisure-time physical activities, and are age adjusted using the year 2000 standard population. Respondents were asked to select one or more races. The single-race categories include persons who reported only one racial group. Persons of Hispanic origin may be of any race.

Confidence Interval= 95% confidence interval.

In 2012, 39.2% (age adjusted) of older adults aged 65 and over with reduced physical or cognitive function engaged in light, moderate, or vigorous leisure-time physical activities. This rate varied by sex and race and ethnicity. For example:

  • 46.3% (age adjusted) of older males with reduced physical or cognitive function engaged in light, moderate, or vigorous leisure-time physical activities, almost one and a half times the rate of leisure-time physical activity among older females with reduced physical or cognitive function, 34.4%.

  • 45.9% (age adjusted) of Asian older adults with reduced physical or cognitive function engaged in light, moderate, or vigorous leisure-time physical activities, approximately one and a half times the rate of leisure-time physical activity among non-Hispanic black older adults with reduced physical or cognitive function, 31.5%.

Revised: Monday, August 25, 2014

Emergency department visits due to falls, older adults, 2007 and 2011

Decrease Desired

SOURCE: National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC/NCHS.
 
NOTES: Data are for emergency department visits that are due to falls among older adults, aged 65 and over. Except for age specific groups, rates are age adjusted using the year 2000 standard population. Respondents were asked to select one or more races. The categories 'white, non-Hispanic' and 'black, non-Hispanic' include persons who reported only one racial group. Persons of Hispanic origin may be of any race.
confidence interval = 95% confidence interval.

The rate of emergency department visits that were due to falls among older adults, aged 65 and over, increased 31.7% between 2007 and 2011, from 5,235.1 to 6,893.5 per 100,000 population (age adjusted), and varied by sex, race and ethnicity, and age. For example, in 2011:

  • Older females, aged 65 and over, experienced 7,973.4 emergency department visits that were due to falls per 100,000 population (age adjusted), approximately one and a half times the rate among older males, 5,350.1 per 100,000.

  • Non-Hispanic white older adults, aged 65 and over, experienced 7,054.8 emergency department visits that were due to falls per 100,000 population (age adjusted), compared with 5,809.0 per 100,000 among Hispanic or Latino older adults, although this difference was not statistically significant.

  • Adults aged 85 and over experienced 16,832.1 emergency department visits that were due to falls per 100,000 population, more than twice the rate among adults aged 7584, 8,035.3 per 100,000, and approximately five times the rate among adults aged 6574, 3,411.1 per 100,000.

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