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Respiratory Diseases

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Asthma deaths, older adults, 1999–2011

Decrease Desired

SOURCE: National Vital Statistics System—Mortality (NVSS-M), CDC/NCHS.

NOTES: Data are for ICD-10 codes J45–J46 reported as underlying cause of death among older adults, aged 65 and over. Prior to 2003 only one race category could be recorded; recording more than one race was not an option. Beginning in 2003 multiple-race data were reported by some states; multiple-race data were bridged to the single-race categories for comparability. Persons of Hispanic origin may be of any race. 

Between 1999 and 2011, the rate of deaths due to asthma among older adults, aged 65 and over, declined 48.2%, from 69.5 to 36.0 deaths per million, and varied by race and ethnicity. For example, in 2011, non-Hispanic white older adults had 34.3 asthma deaths per million population, compared with 51.1 asthma deaths per million among non-Hispanic black older adults and 49.0 asthma deaths per million among Asian or Pacific Islander older adults. The asthma death rate for non-Hispanic black older adults was about one and a half times the rate for non-Hispanic white older adults, whereas the rate for Asian or Pacific Islander older adults was almost one and a half times the rate for non-Hispanic white older adults.

Revised: Monday, August 25, 2014

Asthma emergency department visits, 1995–97 and 2009–11

Decrease Desired

SOURCE: National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC/NCHS.

NOTES: Data are for emergency department visits with a first-listed diagnosis of asthma (ICD-9-CM code 493).

confidence interval = 95% confidence interval.

Differences in the rate of asthma emergency department visits persisted by age. For example, in 2009–11, the rate of emergency department visits with a first-listed diagnosis of asthma among persons under age 5 years was 125.8 per 10,000 visits, compared with 61.5 and 26.8 per 10,000 visits for persons aged 5–64 years and persons aged 65 years and over, respectively. However, 80% of emergency department visits due to asthma in 2009–11 remained among persons aged 5–64 years, compared with 14% and 6% for persons aged under 5 years and persons aged 65 years and over, respectively.

Revised: Monday, August 25, 2014

Activity limitations due to asthma, adults with asthma, 2008–2012

Decrease Desired

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

NOTE: Data are for the proportion of adults aged 18 and over with current asthma who had experienced activity limitations due to asthma, and are age adjusted using the year 2000 standard population. 

PT = Poverty Threshold.

The rate of activity limitation due to asthma among adults aged 18 and over with current asthma decreased 21.3% between 2008 and 2012, from 12.7% to 10.0% (age adjusted), and varied by family income. For example, in 2012, 6.5% (age adjusted) of adults with current asthma whose family incomes were at 400–599% of the Poverty Threshold (PT) experienced activity limitations due to asthma, compared with:

  • 9.0% of adults with current asthma whose family incomes were at 200%–399% of the PT, although this difference was not statistically significant

  • 11.2% of adults with current asthma whose family incomes were at 100%–199% of the PT, more than one and a half times the rate for those at 400–599% of the PT.

  • 14.4% of adults with current asthma whose family incomes were below the PT, more than twice the rate for those at 400–599% of the PT.

Revised: Monday, August 25, 2014

Asthma education, persons with asthma, 2003 and 2008

Increase Desired

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

NOTES: Data are for the proportion of persons with current asthma who had ever taken a course or class on how to manage their asthma, 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.

There was no significant change between 2003 (13.3%, age adjusted) and 2008 (12.1%, age adjusted) in the proportion of persons with current asthma who had ever taken a course or class on how to manage their asthma. Rates of asthma patient education varied by race and ethnicity. For example, in 2008, 20.1% (age adjusted) of the non-Hispanic black population with asthma had ever taken a course or class on how to manage their asthma, compared with 12.6% of the Hispanic or Latino population with asthma and 9.9% of the non-Hispanic white population with asthma. Whereas the difference in asthma patient education rates between the non-Hispanic black and Hispanic or Latino populations was not statistically significant, the rate of asthma patient education among the non-Hispanic black population was twice the rate for the non-Hispanic white population.

Revised: Monday, August 25, 2014

Chronic Obstructive Pulmonary Disease (COPD) deaths, adults, 2011

Decrease Desired

NOTES: Data are for ICD-10 codes J40–J44 reported as underlying cause of death among adults aged 45 and over and are age adjusted using the year 2000 standard population. Multiple-race data were reported by some states; multiple-race data were bridged to the single-race categories for comparability. Persons of Hispanic origin may be of any race.
Confidence Interval= 95% confidence interval.
 

In 2011, the rate of deaths from chronic obstructive pulmonary disease (COPD) among adults aged 45 and over was 117.7 per 100,000 population (age adjusted), varying by sex, race and ethnicity, and age.

  • After adjusting for age differences between males and females, males aged 45 years and over experienced nearly one and a half times the COPD death rate for females aged 45 and over, 135.8 versus 105.7 deaths per 100,000 population (age adjusted). However, the burden of COPD deaths was higher among females aged 45 years and over, with 72,337 COPD deaths in 2011 compared with 65,679 COPD deaths among males aged 45 and over.

  • Asian or Pacific Islander adults aged 45 and over experienced 37.4 COPD deaths per 100,000 population (age adjusted), compared with:

    • 51.9 deaths per 100,000 among Hispanic or Latino adults aged 45 and over; almost one and a half times the rate among Asian or Pacific Islander adults aged 45 and over.

    • 77.6 deaths per 100,000 among non-Hispanic black adults aged 45 and over; more than twice the rate among Asian or Pacific Islander adults aged 45 and over.

    • 79.8 deaths per 100,000 among American Indian or Alaska Native adults aged 45 and over; more than twice the rate among Asian or Pacific Islander adults aged 45 and over.

    • 131.5 deaths per 100,000 among non-Hispanic white population adults aged 45 and over; about three and a half times the rate among Asian or Pacific Islander adults aged 45 and over.

  • Adults aged 45–54 had 9.2 COPD deaths per 100,000 population, compared with 38 and 288.6 COPD deaths per 100,000 population for adults aged 55–64 and adults aged 65 and over, respectively. The COPD death rate for adults aged 55–64 was more than four times the rate for adults aged 45–55, whereas the COPD death rate for adults aged 65 and over was over 31 times the rate for adults aged 45–55. 

 
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