United States, 1985

Current Estimates From the National Health Interview Survey

United States, 1985

Includes estimates on incidence of acute conditions, episodes of persons injured, disability days, physician contacts, prevalence of chronic conditions, limitation of activity, hospitalizations, and assessed health status. Estimates are based on data collected in the National Health Interview Survey of 1985.

Data From the National Health Survey

Series 10, No. 160

,

Copyright information

All material appearing in this report is in the publrc domain and may be

reproduced or copied without permrssion; citation as to source,

National Center for Health Statistics Manning Feinleib, M.D., Dr.P.H., Director Robert A. Israel, Deputy Director

JacobJ. Feldman, Ph.D., Associate Directorfor Analysis and Epidemiology

Garrie J. Losee, Associate Director-for Data Processing and Services

Alvan 0. Zarate, Ph.D., Assistant Directorfor International Statistics

Peter L. Hurley, Acting Associate Directorfor Interview and Examination Statistics

StephenE. Nieberding, Associate Director for Management Gail F. Fisher, Ph.D., Associate Directorfor Program Planning, Evaluation, and Coordination

Monroe G. Sirken, Ph.D., Associate Directorfor Research and Methodology

Peter L. Hurley, Associate Directorfor Vital and Health Care Statistics

Alice Haywood, Information Oflcer

Interview and Examination Statistics Program

Peter L. Hurley, Acting Associate Director

Mary Grace Kovar, Dr.P.H., Special Assistant for Data Policy and Analysis

Paul D. Williams, ChieJ Data Applications and Research St@

Division of Health Interview Statistics

Coopemtion of the U.S. Bureau of the Cen.ws

Under the legislation establishing the National Health Interview Survey, tbe Public Health Service is authorized to use, insofar as posdble, the services or facilities of other Federal, State, or private agencies.

In accordance with specitications established by the Division of Hclltb Interview

Statistics, the U.S. Bureau ofthe Census. under a contractual arrangement, participated

in planning the survey and collecting the data.

I Contents

Introduction ... 1

Sourceand limitations of data ... 2

Highlightsfor ... 3

Acute conditions:Incidence,medical attention, and associatedrestriction in activity ... 3

Episodesof personsinjured ... 4

Restrictedactivity associatedwith injury and impairmentdue to injury. ... 5

Prevalenceofreportedchronicconditions ... 5

Limitation of activity due to chronic conditions ... 5

Restrictedactivity due to acute and chronic conditions ... 6

Respondent-assessedhealthstatus ... 6

Physician contacts:Rate and interval since last contact. ... 6

Hospitalization: Episodesand days for persons;dischargesand averagelengthof stay... 7

References... 9

List of detailedtables ... 10

Appendixes I. Technical noteson methods... 131

II. Definitions of certain terms usedin this report. ... 138

III. Questionnairesandflashcards... 143

List of text tables A. Acute condition measures:United States, 1983-85 ... 4

B. Episodesof personsinjured and associatedrestrictionsin activity: United States, 1983-85 ... 5

C. Health statusmeasures:United States, 1983-85 ... 6

D. Health careutilization: United States,1983-85 ... 7

Symbols - - - Data not available . . . Category not applicable - Quantity zero

0.0 Quantity more than zero but less than 0.05

Z Quantity more than zero but less than 500 where numbers are rounded to thousands

* Figure does not meet standard of reliability or precision (more than 30-percent relative standard error in numerator of percent or rate)

# Figure suppressed to comply with

confidentiality requirements

Current Estimates From the National Health Interview Survey

by Abigail J. Moss, Division of Health Interview Statistics, and Van L Parsons, Office of Research

and Methodology

Introduction

This report on the 1985 civilian noninstitutionalizedpopu­

lation residingin the United Statespresentsestimatesof acute conditions, episodesof personsinjured, restriction in activity, limitation of activity due to chronic conditions, prevalenceof chronic conditions,respondent-assessed health status, and the use of medical services-including physician contacts and short-stayhospitalization.

Estimates of these health characteristicsare presentedin detailed tables for various groupsin the population, including thosedefmedby age,sex,race, and family income(eachshown for specific agegroups),and by geographicregion and.placeof residence.Estimates for other characteristicsof special rele­

vanceto particular health measuresare also included. For in­

stance,estimatesof physician contactsare shownby the place wherethe contact occurred.

The text includes a brief definition of each of the health characteristicsincluded in the detailed tables and reports the 1985 estimatefor eachcharacteristic.Text tables include the corresponding1983 and 1984 estimatesfor each of the major health characteristics.The remainderof the report deals with various technical matters associatedwith the National Health Interview Survey(NHIS) data collection proceduresand pres­

entationof the results.

In 1985 a new samplefor NHIS and a different methodof presenting sampling errors were introduced. Therefore, the technicalmaterial is of unusualimportanceto readerswho are accustomedto using data from the NHIS.

Although publishedreportsarethe primary vehiclefor dis­

seminatingestimatesfrom the NHIS, data are also availablein the form of standardizedmicrcdata tapes that include the reg­

ular characteristicsof each year’s survey from 1969 through 1985. Questionspertainingto the cost and availability of these tapesshouldbe directedto the National Technical Information Service,5285 Port Royal Road, Springfield,Va. 22161. Public use tapes are also available for special topics included in the NHIS from 1973 through 1985. The specialtopics studied in 1985 focusedon health promotion and diseaseprevention is- sues. The 1985 survey was specifically designedto monitor progresstoward one of the major initiatives of the Department of Health and Human Services:The improvementof the health of Americansby 1990. The information containedin the 1985 surveycoveredthreebroad areas:(a) personal healthpractices includingbreastfeeding,cigarettesmoking,stressmanagement, alcohol use,physical exercise,weight control, breakfast,snack and sleep habits, usual place of health care, and preventive examsfor females;(b) health safetypractices including home safety, seat belt use, smoking during pregnarcy, and occupa­

tional health risks; and (c) attitudes toward and knoniedge of health issuesregardingheart disease,stroke, high blood pres­

sure,dentalhealth,and cigarettesmoking.Informationon tapes

relating to specialtopics is availablefrom the National Center

for Health Statistics, Division of Health Interview Statistics,

Computer Systemsand ProgrammingStaff, 3700 East-West

Highway, Hyattsville, Md. 20782.

Source and limitations of data

The information from the National Health Interview Sur­

vey (NHIS) presentedin this report is basedon data collected in a continuing nationwide survey by household interview.

Each week a probability sampleof the civilian noninstitution­

alized population of the United States is interviewed by per­

sonnel of the U.S. Bureau of the Census.Information is ob­

tained about the health and other characteristics of each memberof the household.

The interviewedsamplefor 1985was composedof 34,844 householdscontaining9 1,53 1 persons.The total noninterview rate was about 4.3 percent:2.6 percentwas due to respondent refusal, and the remainderwas primarily due to failure to lo­

cate an eligible respondentat home after repeatedcalls.

In 1985, the NHIS adopted several new sample design features although, conceptually, the sampling plan remained the same as the previous design.The major changesincluded (a) reducing the number of primary sampling locations from 376 to 198 for samplingefficiency, (b) oversamplingthe black population to improve the precision of the statistics, (c) sub- dividing the NHIS sample into four separaterepresentative panelsto facilitate linkageto other National Center for Health Statistics(NCHS) surveys,and (d) using an all-areaframe not basedon the decennialcensusto facilitate NCHS survey link­

ageandto conductNHIS followback surveys.A descriptionof the survey design,the methodsusedin estimation,and general qualificationsof the dataobtainedfrom the surveyarepresented in appendixI. Becausethe estimatesshown in this report are

basedon a sampleof the population, they are subjectto sam­

pling errors. Therefore,particular attention should be paid to the section entitled “Reliability of estimates.” Formulas for calculating relative sampling errors and instructions for their use are given in appendixI.

All information collectedin the surveyresultsfrom reports by responsible family members residing in the household.

When possible, all adult family membersparticipate in the interview. However, proxy responsesare acceptedfor family memberswho are not at home and are requiredfor all children and for family memberswho do not meet the NHIS criteria required of a respondent.Although a considerableeffort is made to ensureaccuratereporting, the information from both proxy and self-respondentsmay be inaccuratebecausethe re­

spondentis unawareof relevant information, has forgotten it, does not wish to reveal it to an interviewer, or becausethe respondentdoes not understandthe intended meaning of a question.

The major conceptsfor which estimatesare shown in this report are definedin appendixII. Appendix III includesa copy of the questionnaireand flashcardsused in the interview. Ill­

nessesand injuries are codedusing a slight modification of the ninth revision of the International Classification of Diseases.’

The Division of Health Interview Statistics of NCHS should be contacted for information about coding and editing pro­

cedures used to produce the final data file from which the

estimatesshownin this report are derived.

Highlights for 1985

In the following sections,each of the health-relatedchar­

acteristicsincluded in this report is defined and the 1985 esti­

mate is comparedwith the 1983 and 1984 estimates2>3 for the same characteristic.The comparisonsare highlighted in text tables, which also include the standarderror for each of the 1985 estimates, The correspondingstandard errors for the 1983 and 1984 estimatesare not shown separatelybecause they are similar to the 1985 standarderrors. The readerwho wants someidea of how much differencetheremust be between the 1983,1984, and 1985 estimatesto constitutea statistically significantdifferencemay usethe standarderrorsto calculatea confidenceinterval or a critical value for the t-test. Of these two methods,the t-test (with a 95-percentlevel of significance) has beenusedin the following discussionas a basisfor making statementsabout the differenceor lack of differencebetween the 1983,1984, and 1985 estimates.

Becausethe text comparesonly the overall rates or per­

centsof health-relatedcharacteristicsbetween1983 and 1985, and the age distribution of the civilian noninstitutionalized population does not changegreatly over a 3-year period, the possibleeffect of differing agedistributionswas not considered in the text. However, readers using the detailed tables and wishing to make comparisonsof subgroupsof the population may want to take into account the possible effect of age in comparingsubgroups.For those sociodemographiccharacter­

istics for which the age distributions of the subgroupsdiffer significantly (such as for sex, race, and family income), the resultsare shownfor specific agegroups.However, in the case of geographicregion and place of residence,there is little dif­

ferencein the agedistribution of the subgroups;therefore,these resultsare not shownfor specific agegroups.

The detailedresultsfor health characteristicsare shownin

the things he or sheusually doesand, second,whethera physi­

cian was contactedregardingthe illness or injury.

Incidence

Tables l-5 show the incidencerate and tables 6-10 the incidenceof acute conditions by type of condition and socio­

demographiccharacteristics.The 1985 rate of 175.3 acute conditions per 100 personsper year (table A) did not signifi­

cantly differ from 1983or 1984(174.7 and 176.9,respectively).

For broad types of acute conditions, the 1985 incidence rates per 100 personsper year ranked as follows: Respiratory conditions (87.1), injuries (27.4), infective and parasitic dis­

eases(20.5), and digestivesystemconditions(7.0). Theserates were similar to the 1983 and 1984 rates.The incidencerate of influenzawas lower in 1985 (40.4) than in 1984 (44.7).

Medical attention

Tables 11-15 show estimatesof the percentof acutecon­

ditions that were medically attended.The 1985 rate of 60.8 percent(table A) was higherthan the 1984 rate (57.7) but was aboutthe sameas the 1983 rate (59.6 percent).

Restricted activity associated with acute conditions

Four types of restricted activity resulting from illness, in- jury, or impairment are measuredin NHIS: Days lost from

work for currently employedpersons18 years of ageand over,

schooldays missedby youths 5-17 years of age,days spentin

bed (which may overlap either of the prior types), and other

days on which a person cut down on the things he or she

usually does.Estimatesof “cut-down” days are not presented

Table A. Acute conditions measures: United Siates, 1983-85

1985

Standard

Acute condition measure 1983 1984 Estimate error

Annual incidence of acute conditions Number per 100 persons per year

Allacuteconditions ... 174.7 176.9 175.3 3.5

Infective and parasitic diseases ... 20.3 20.1 20.5 0.9

Respiratoryconditions’... 85.0 88.7 87.1 2.2

Commoncold ... 30.7 28.6 30.5 1 .l

Influenza ... 38.1 44.7 40.4

Digestive system conditions ... 7.6 7.6 7.0 A::

Injuries ... 27.5 27.1 27.4 1.1

Other acute conditions ... 34.4 33.5 33.4 1.4

Acute conditions medically attended Percent

All acute conditions ... 59.6 67.7 60.8 0.7

Restricted activity associated with acute conditions Number of day:; per 100 persons per year

All restricted activity days ... 721.8 741 .o 687.4 22.1

Bed days ... 335.0 325.2 302.5 11.8

Work-lossZays* ... 306.6 309.6 12.1

School-lossdays ... 420.2 414.1 386.9 21.1

Duarterly incidence of acute conditions Number per 100 persons per quarter

Januaryl-March31 ... 57.5 60.9 58.0 1.7

April 1 -June 30 ... 35.3 36.8 35.9 1.2

July 1 -September 30 ... 34.0 33.0 34.3 1.2

Octoberl-December31 ... 47.9 46.2 47.1 1.5

‘Includes other acute respiratory conditions.

2For currently employed parsons 18 years of age and over. Comparison with 1983 not appropriate; sea text.

3For youths 5-l 7 years of age.

NOTE: Detailed tables show the 1985 estimates by age, sax, race, family income, geographic region, and place of residence.

with” rather than “caused by” are used to describe this type of estimate.

Tables 16-20 show the incidence rate and tables 21-25

show the incidence of restricted activity associated with acute conditions by type of condition and sociodemographic charac­

teristics. While the 1985 rates per 100 persons per year of

restricted activity days (687.4) and school-lossdays (386.9)

appear lower than the corresponding 1983 and 1984 rates, the differences were not statistically significant at the 0.05 level.

The 1985 rate of bed days (302.5), however, was significantly lower than the 1983 rate (335.0) (table A).

The 1985 rate of work-loss days for currently employed

persons18 years of ageand over of 309.6 per 100 personsper

year was similar to the 1984 rate (306.6). These rates should

of the quarters not exceeding what might be expected from sampling variability.

Episodes of persons injured

Injury data may be analyzed in terms of three possible

units: (a) The number of injuries sustainedin a particular epi­

sode involving injury, (b) the number of episodes involving injury during a given period of time, or (c) the number of per- sons involved in one or more episodes in which injury occurred

during a period of time. The estimatesof injuries included in

tables l-50 are of the number of injuries that occurred during

1985. This section considersthe number of episodesthat oc­

curred during 1985 that involved one or more &juries. Because

Table 8. Episodes of persons injured and associated restrictions in activity: United States, 1983-85

1985 Standard

Episodes of parsons injured and associated restricted activitias 1983 1984 Estimate error

Episodes of persons injured Number per 100 persons per year

All types of injury ,,,,,.,,,,,.,....,,.,,.,...,...,... 26.6 26.4 26.8 1 .o

Restriction in activity associated with episodes of persons injured

All restricted-activity days’ . . . , . . . , . . . . 248.0 247.7 271.3 10.9

Beddays... 80.3 78.4 84.6 5.2

‘Includes work-loss and school-loss days as well as bed days.

NOTE: Detailed tables show the 1985 estimates by age, sex, rece, family income, geographic region, and place of residence.

Restricted activity associated with injury and impairment due to injury

An injury may have health-relatedeffects for many years after it occurs, or, for that matter, even for a lifetime. (This might be the case, for instance, for a person who suffered a dislocatedback due to an accident.)The estimatesof activity restriction in tables 53 and 54 and of bed days in tables 55 and 56 are basedon the presenteffects of injuries no matter when they occurred,Thus, theseestimatesincludethe days shownin earlier tables for acute injuries and also include days of re­

stricted activity during 1985 that are attributableto the effects of injuries sufferedprior to 1985. In many casestheseold in- juries have become impairments, and any restricted activity during 1985 that was causedby an injury-relatedimpairmentis also included,

The 1985 rate for restricted activity days associatedwith episodesof personsinjured (271.3 per 100 personsper year) appearshigher than the 1983 and 1984 rates; however, the difference is not statistically significant (table B). The 1985 rate for bed days associatedwith episodesof personsinjured (84.6) is similar to the rates for the two other years.

Prevalence of reported chronic conditions

Chronic conditions are defined as conditions that either

days he or she stayed in bed becauseof the condition during the 12 monthsprior to the interview.

Totals for all chronic conditions are not shown because THIS doesnot measurethe total numberof chronic conditions for eachperson.It shouldalso be notedthat a personmay have more than one chronic condition; therefore, the sum of con­

ditions that are countedmay exceedthe sum of personshaving those conditions.

Tables 57-6 1 show the prevalencerate and:tables 62-66 the prevalenceof selectedchronic conditions.As may be noted in table 57, the reportedconditionswith the highestprevalence rates are sinusitis, arthritis, and hypertension(with rates per 1,OOOpersons of 139.0, 128.6, and 125.1, respectively).

Limitation of activity due to chronic conditions

The concept of limitation of activity used in this report

refers to long-term reduction in activity resulting from chronic

diseaseor impairment. The measurementof this concept in

NHIS permits one to distinguish among(a) personsunableto

carry on their usual activity, (b) personslimited in the amount

or kind of their usual activity, (c) personslimited but not in

their usual activity, and (d) personsnot limited. The category

of personslimited in their major activity includes those in the

first two groups, that is, those unable to carry on the usual

activity for their age-sexgroup, whether it is working, keeping

house,goingto school, or capacity for independentliving, and

Table C. Health status measures: United States, 1983-85

1985 Standard

Health status measure 1983 1984 Estimate error

Restricted activity due to acute and chronic conditions Number of days per 100 persons per year All restricted-activity days. . . . . 14.5 14.8 14.8 0.4

Beddays... 6.7 6.5 6.1 0.2

Work-lossdays’... . . . 4.9 5.3 0.2

School-lossdays2... 5.0 5.1 4.8 0.2

Limitation in activity due to chronic conditions Percent

All persons limited in activity . . . . 14.3 13.9 14.0 0.2 Persons limited in major activity. . . . . 9.9 9.7 9.5 0.1

Respondent-assessed health status Percent distribution

Allhealthstatuse$ . . . . 100.0 100.0 100.0

Excellent... 39.9 39.4 39.5 0.2

Ven/good... 25.5 26.0 27.2 0.2

Good . . . . 23.5 23.6 23.1 0.2 Fair . . . . 8.0 7.9 7.4 0.1 Poor . . . . 3.1 3.1 2.9 0.1

’ For currently employed persons 18 years of age and over. Comparison with 1983 not appropriate: see text.

2For youths 5-l 7 years of age.

3Excludes a small number with unknown health status.

NOTE: Detailed tables show the 1985 estimates by age, sex, race, family income, geographic region, and place of residence.

Restricted activity due to acute and chronic conditions

Earlier in this report estimatesof restricted-activity days associatedwith acute conditions were shown (tables 16-49) and the relationship between the types of restricted activity days discussed.The estimatesshownin table 69 are for person days of restricted activity causedby acute or chronic condi­

tions, or both.

As may be noted in table C, the 1985 rate per personper year of restricted activity days (14.8) is similar to the cor­

respondingrates of the two previous years. The differences observedfor bed days (6.1) and school-lossdays for youths 5-

l.7 years of age(4.8) for 1985 comparedwith the two previous years are within samplingvariation.

As explainedearlier, the 1983 estimateof work-loss days for currently employedpersons18 years of ageand over is not comparable to the 1984 and 1985 estimates because of a changein editing procedures.Thus only the 1984 and 1985 rates of work-loss days are shown in table C. The 1985 rate of

health of most personsin the civilian noninstitutionalizedpop ulationwas assessed as“excellent”(39.5 percent)or “very good”

(27.2 percent).Only about2.9 percentwere assessedas “poor”

(table C). Overall, the 1985 estimates for the health status categoriesshow respondentsassessinghealth somewhatmore favorably than in 1984.

Physician contacts: Rate and interval since last contact

A contact is defined as a consultationwith a physician, in personor by telephone,for examination,diagnosis,treatment, or advice. The visit is considereda physician contact if the service is provided by the physi’cian or by another person working underthe physician’s supervision.

Annual rate

Table D showsthe rates of physician contactsreportedfor

1983-85. The 1985 rate of 5.3 doctor contactsper personper

year is higherthan the rates for 19;33and 1984 (5.1).

I Table D. Health care utilization: United States, 1993-85

I

Health care utilizs tion

Physician contact Contacts per person per

year...

Persons with 1 or more contacts in past year.. . . .

Hospitalization Persons with 1 or more

hospital episodes in past year...

Hospital days per person hospitalized in past year. . . Discharges per 100 persons

per year...

Average length of stay per discharge in days.. . . . . . .

1985 Standard

1983 1984 Estimete error

Number

5.1 5.1 5.3 0.1

Percent

74.7 75.2 75.4 0.2

10.1 9.6 9.2 0.1

Number

9.2 9.2 8.5 0.2

___ 13.4 12.4 0.2

___ 7.2 6.7 0.6

NOTE: Detailed tables show the 1985 estimates by age, sex, race. family

income, geographic region, and place

of residence.

overnight patient in a hospital, such contacts are included in the definitions of the interval since a personlast saw or talked to a physician or a physician’s assistant.

Table D indicatesthat during 1985 an estimated75.4 per- cent of the civilian noninstitutionalizedpopulationhad contact with a physician during the year preceding interview. This estimate is similar to the 1984 estimate (75.2 percent) but higherthan the estimateof 74.7 percentfor 1983.

Other estimatesof ambulatory medical care servicesby physiciansareprovidedby data from the National Ambulatory Medical Care Survey, a probability sample survey conducted periodically by the Division of Health Care Statistics of the National Center for Health Statistics. A summary of 1981 survey results is found in Advance Data From Vital and Health Statistics, Number 99.4

Hospitalization: Episodes and days for persons; discharges and average

focus on the person’shospital experienceduringthe 12 months precedinginterview.The tablesshowingtheseestimatesclassify people on the basis of whether they were hospitalizedduring the referenceperiod and, if so, the numberof times they were hospitalized. Discharge estimatesfocus on hospital stays as the unit of analysisrather than on persons.

Hospital episodes and days

Tables 73 (percentdistribution) and 74 (frequency)show the distribution of short-stay hospital episodesincluding and excludingdeliveriesby the numberof times a personwas hos­

pitalized during the year precedinginterview and socicdemo­

graphic characteristics.The category “delivery” is based on the reasonthe woman enteredthe hospital or whether surgery related to delivery was performed.The percent of personsin

1985 with one or more hospitalizationsduring the year pre­

cedinginterview was 9.2 percent (table D). This is lower than the corresponding1984 estimate (9.6 percent) and continues the downward trend since 1982 when the estimatewas 10.3 percent.

Associatedwith the numberof times a personwas a patient in a short-stayhospital during the year precedinginterview is the total number of days (strictly speaking,nights) the person spent as a patient in the hospital. Table D showsthat in 1985 personswith one or more hospitalizationsspent an averageof 8.5 days in the hospital during the year precedinginterview.

This is lower than the correspondingratesfor 1983 and 1984.

Tables 75-76 show the estimatedrate and numberof hospital daysby the numberof timespeoplewerehospitalized(including andexcludingdeliveries)and so&demographiccharacteristics.

Hospital discharges and average /

length of stay

Table 77 shows the rate and number of hospital dis­

charges,the averagelengthof stay, and the numberof hospital discharge days by sociodemographiccharacteristics and by whether a delivery was involved in the hospitalization. Based on data collected during 1985, there were 12.4 dischargesper 100 persons,and the averagelength of stay per dischargewas 6.7 days.

Both of these rates reflect a noticeable decline from the

1984 estimatesof 13.4 dischargesper 100 persons and 7.2

days per discharge.The declinein length of stay per discharge

vey conductedby the National Center for Health Statistics.

Estimatesfrom the National Hospital DischargeSurvey,pub­

lished in Series 13 of Vital and Health Statistics, are some- what higherthan thosepresentedherebecauseof differencesin collectionprocedures,populationsampled,anddefinitionsused.

The National Hospital DischargeSurveyhas also experienced a recent decline in their hospital dischargerates for all age

groups,except personsaged65 years and over. The National Hospital DischargeSurveyestimatesof averagelengthof stay for older personsare also declining. Thus, the data from the two surveysareconsistentandreinforceoneanother.The most recentnational estimatesof short-stayhospitalizationbasedon the National Hospital Discharge Survey are summarizedin

Series13, Number 87.5

~ References

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tistics. No. 99. DHHS Pub. No. (PHS) 84-1250. Public Health Service.Hyattsville, Md, Sept 28,1984.

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Vital and Health Statistics. Series13, No. 87, Public Health Service, DHHS, Hyattsville, Md In preparation.

6T. F. Moore: Redesign of the National Health Interview Survey.

StatisticalMethods Division MethodologicalMemorandumSeries.Re­

port Number CB/SMD/MM/85/02. Unpublished technical paper.

U.S. Bureau of the Census,Aug. 1,1985.

‘National Center for Health Statistics, M. G. Kovar and G. S. Poe:

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(HSM) 73-1328. Health Servicesand Mental Health Administration.

Washington.U.S. Government Printing Oflice, Mar. 1973.

?National Center for Health Statistics, E. Balamuth and S. Shapiro:

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List of detailed tables

Incidence of acute conditions Rates

1. Number of acute conditions per 100 personsper year, by age and type of condition: United States, 1985 . . . , . . . 13 2. Number of acute conditions per 100 personsper year, by

sex, age,and type of condition: United States, 1985 . . . 14 3. Number of acute conditions per 100 personsper year, by

race, age,and type of condition: United States, 1985 . . . 15 4. Number of acute conditions per 100 personsper year, by

family income, age, and type of condition: United States, 1985 . . . ..I... 16 5. Number of acute conditions per 100 personsper year, by

geographicregion,place of residence,and type of condition:

United States, 1985 . . . 18

Frequencies

6. Number of acute conditions, by age and type of condition:

United States, 1985 .*...*...,., 19 7. Number of acute conditions, by sex, age, and type of con­

dition: United States, 1985 . . . 20 8. Number of acuteconditions, by race, age,and type of con­

dition: United States, 1985 . . . ...* 21 9. Number of acute conditions, by family income, age, and

type of condition: United States, 1985.. . . . 22 10. Number of acute conditions, by geographicregion, place

of residence,and type of condition: United States, 1985. . . 24

Percent of acute conditions

Restricted activity associated with acute conditions

Restricted-activity days: Rates

16. Number of restricted-activity days associatedwith acute conditions per 100 persons pax year, by age and type of condition: United States, 1985 . . . , . 17. Number of restricted-activity d.ays associatedwith acute conditions per 100 personsper ‘year,by sex, age,and type of condition: United States, 1985, . , . . . , . . . . , . . . , . 18. Number of restricted-activity days associatedwith acute

conditions per 100 personsper year, by race, age,and type of condition: United States, 1985 . . . 19. Number of restricted-activity days associatedwith acute conditions per 100 persons per year, by family income, age,and type of condition: United States, 1985 . . . , , 20. Number of restricted-activity days associatedwith acute

conditions per 100 personsper year, by geographicregion, place of residence,and type of cat&ion: 1985 . . . Restricted-activity days: Frequencies

21. Number of restricted-activity days associated with acute conditions, by age and type of condition: United States, 1985 . . . 22. Number of restricted-activity d.ays associatedwith acute conditions, by sex, age, and type of condition: United States,1985...,...

23. Number of restricted-activity days associatedwith acute conditions, by race, age, and type of wndition: United States, 1985..,...,...,.I,...

24. Number of restricted-activity days associatedwith acute conditions, by family inwme, age, and type of condition:

United States,1985 . . . ..*..*...

25. Number of restricted-activity days associatedwith acute 31

32

33

34

36

37

38

39

40

29. Number of bed days associatedwith acute conditions per 100 personsper year, by family income, age, and type of condition: United States,1985 . . .

30. Number of bed days associatedwith acute conditions per 100 personsper year, by geographicregion, place of resi­

dence,and type of condition: United States, 1985 . . .

Bed days: Frequencies

31. Number of bed days associatedwith acute conditions, by age and type of condition: United States, 1985 . . . 32. Number of bed days associatedwith acute conditions, by sex, age,and type of condition: United States, 1985 . . . 33. Number of bed days associatedwith acute conditions, by race, age,and type of condition: United States, 1985 . . . 34. Number of bed days associatedwith acute conditions, by family income, age, and type of condition: United States, 1985 . ..*o.*.*,**.*..*...,...

35. Number of bed days associatedwith acute conditions, by geographicregion,place of residence,and type of condition:

United States, 1985 . . .

Work-loss days: Rates

46

48

49

50

51

52

54

55

56

57

58

59

School-loss days: Rates

46. Number of school-lossdays associatedwith acute condi­

tions per 100 youths 5-17 yearsof age,by sex, race,family income, and type of condition: United States, 1985. . .

41. Number of school-loss days associatedwith acute condi­

tions per 100 youths 5-17 years of age,by geographicre­

gion, place of residence, and type of condition: United States, 1985. . . , .

School-loss days: Frequencies

48. Number of school-lossdays associatedwith acute condi­

tions for youths 5-17 years of age, by sex, race, family income, and type of condition: United States, 1985. . . 49. Number of school-lossdays associatedwith acute condi­

tions for youths 5-17 years of age, by geographicregion, place of residence, and type of condition: United States, 1985 . . , . . . , , . . . , . . . incidence of acute conditions

by quarter

50. Number of acute conditions per 100 personsper year and number of acute conditions, by quarter and type of condi­

tion: United States, 1985. . . Episodes of persons injured and

associated restriction of activity

5 1. Number of episodesof personsinjured per 100 personsper year, by whetherin moving motor vehicle, whether at work, place of accident, and sociodemographiccharacteristics:

United States, 1985 . . . 52. Number of episodes of persons injured, by whether in moving motor vehicle, whether at work, place of accident, and sociodemographic characteristics: United States, lggs...

53. Number of restricted-activity days associatedwith episodes of persons injured per 100 persons per year, by whether in moving motor vehicle,whetherat work, place of accident, and sociodemographic characteristics: United States, lggs...

54. Number of restricted-activity days associatedwith episodes of persons injured, by whether in moving motor vehicle, whether at work, place of accident, and sociodemographic characteristics:United States, 1985.. . . . 55. Number of bed days associatedwith episodesof persons

65

66

67

68

69

70

12

74

76 36.

37.

38.

39.

40.

Number of work-loss days associatedwith acuteconditions per 100 currently employed persons 18 years of age and over, by age and type of condition: United States,1985 . . . Number of work-loss days associatedwith acuteconditions per 100 currently employed persons 18 years of age and over, by sex, age, and type of condition: United States, 1985 ,....a.,...,...

Number of work-loss days associatedwith acute conditions per 100 currently employed persons 18 years of age and over, by race, age, and type of condition: United States, 1985 ,...,...,...

Number of work-loss days associatedwith acuteconditions per 100 currently employed persons 18 years of age and over, by family income, age, and type of condition: United States, 1985. . . Number of work-loss days associatedwith acuteconditions per 100 currently employed persons 18 years of age and over, by geographicregion, place of residence,and type of condition: United States, 1985 . . .

Work-loss days: Frequencies

41. Number of work-loss days associatedwith acuteconditions

for currently employed persons 18 years of age and over,

59. Number of selectedreported chronic conditions per 1,000 persons,by race and age:United States,1985 . . . 86 60. Number of selectedreported chronic conditions per 1,000

persons, by family income and age: United States, 1985... 88 61. Number of selectedreported chronic conditions per 1,000

persons, by geographic region and place of residence:

United States,1985 . . . 92 Frequencies

62.

63.

64.

65.

66.

Number of selected reported chronic conditions, by age:

United States, 1985 . . . 94 Number of selectedreportedchronic conditions,by sex and age:United States 1985.. . . . 96 Number of selected reported chronic conditions, by race and age:United States,1985 . . . 98 Number of selectedreported chronic conditions, by family income and age:United States, 1985.. . . . 100 Number of selected reported chronic conditions, by geo­

graphic region and place of residence: United States, 1985 . . . 104

Limitation of activity due to chronic conditions

67. Percent distribution of persons with limitation of .activity due to chronic conditions, by degreeof limitation accord­

ing to sociodemographic characteristics: United States, 1985 . . . ..*....**... 106 68. Number of personswith limitation of activity due to chronic

conditions, by degree of limitation according to socio­

demographiccharacteristics:United States, 1985 . . . 108

Restricted activity associated with acute and chronic conditions

69. Number of days per person per year and number of days of activity restriction due to acute and chronic conditions, by type of restriction and sociodemographiccharacteristics:

United States, 1985 . . . 110

Respondent-assessed health status

70. Number of personsand percentdistribution by respondent­

assessedhealth status, according to sociodemographic characteristics:United States, 1985. . . 112

Physician contacts

71. Number per personper year and number of physician con­

tacts, by place of contact and so&demographic character­

istics: United States, 1985. . . 114 72. Percentdistribution and numberof personsby interval since

last physician contact, accordingto sociodemographicchar­

acteristics:United States,1985 . . . 116

Hospitalization

73. Percent distribution of living personsby number of short- stay hospital episodesduring the year precedinginterview for all causesand excluding deliveries, accordingto socio­

demographiccharacteristics:United States, 1985 . . . 118 74. Number of living persons,by number of short-stayhospital

episodesduring the year precedinginterview for all causes and excluding deliveries and by sociodemographiccharac­

teristics: United States,1985 . . . 120 75. Number of short-stayhospital days during the year preced­

ing interview per living person hospitalized for all causes and excluding deliveries,by number of episodesand socio­

demographiccharacteristics:United States, 1985 . . . 122 76. Number of short-stayhospital days during the year preced­

ing interview for living personshospitalized for all causes and excluding deliveries,by number of episodesand socio­

demographiccharacteristics:United States, 1985 . . . 124 77. Number per 100 persons per year and annual number of

short-stay hospital discharges,averagelength of stay and annual number of hospital days for living personshospital­

ized for all causesand excluding deliveries by sociodemo­

graphic characteristics:United Stales, 1985 . . . 126

Population

78. Number of personsand number of currently employedper­

sons 18 years of age and over, by sociodemographicchar­

acteristics:United States, 1985 . . , . . . 128

TABLE 1. N U M B E R OF ACUTE CONDITIONS PER 100 PERSONS PER YEAR, BY AGE AND TYPE OF CCNOITION: UNITED STATES,

1985

(DATA ARE BASE0 O N HOUSEHOLD INTERVIEWS OF THE CIVILIAN NONINSTITUTIONALIZED POPULATION. THE SURVEY DESIGN, GENERAL PUALIFICATIONSt AND INFORHATION O N THE RELIABILITY OF THE ESTIMATES ARE GIVEN IN APPENDIX I. DEFINITIONS OF TERMS ARE GIVEN IN APPENDIX

III

45 YEARS AND O V E R

ALL U N D E R 5-1-l 18-24 25-44 45-64 65 YEARS

TYPE OF ACUTE CONDITION AGES 5 YEARS YEARS YEARS YEARS TOTAL YEARS AND O V E R

N U M B E R OF ACUTE CONDITIONS PER

100

PERSONS PER YEAR

ALL ACUTE CONDITIONS ... 175.3 334.6 236.9

179.9 162.7

^107.4

112.9

98.4

INFECTIVE AND PARASITIC DISEASES ... 20.5 50.5 39.0

17.7 17.2

5.7 6.0 5.1

C O N H O N CHILDHOOD DISEASES ... 1.5 6.2 4.5

+0.9

*0.2 +- *- *-

INTESTINAL VIRUS, UNSPECIFIED ... 3.5 13.3 5.9 *2.2 2.9 *0.7 *0.9 *0.5

VIRAL INFECTIONS, UNSPECIFIED ...

OTHER ...

7.8 7.6

lb.1

14.9 12.9

15.3

6.4 a.2

7.3 6.8

3.7 4.1

*1.3

*1.0

^*2.9 *1.7

RESPIRATORY CONDITIONS ...

87.1 152.5 120.6

83.1 83.4 54.0 60.7 45.2

C O M M O N COLD ... 30.5 77.3 38.7 33.1 23.5

19.5

20.6 17.8

OTHER ACUTE UPPER RESPIRATORY INFECTIONS ...

10.2

17.7 21.2 7.7 a.5 5.0 *2.0

INFLUENZA ... 40.4 44.0 53.1 36.5 46.2 247:: 30.6 21.4

ACUTE BRONCHITIS ... 2.3 *3.7 4.4 *2.0 2.6 2.1 2.5

+1.4

PNEUHONIA ... 1.2 W.6 *0.7 *1.4 *0.6 1.4 a.4

*1.4

OTHER RESPIRATORY CONDITIONS ... 2.0 *5.3 2.5 *2.5 1.9 *0.6 *0.7 *0.5

DIGESTIVE SYSTEM CONDITIONS ... 7.0 8.9 9.9 9.9

5.1

^5.4 5.5 5.4

DENTAL CONDITIONS ... *4.0 *1.4 *2.5

1.5

*1.2 e1.4

*1.1

INDIGESTION, NAUSEA, AND

VOHITING ...

:::: *3.9 7.9 4.3 2.0 2.4 2.7

*l-B

OTHER DIGESTIVE CONDITIONS ... 1.6

*1.0

*0.5 *3.2

1.6 1.8

*1.4 *2.5

INJURIES ... 27.4 30.0 34.3 35.1 29.2

17.7

17.2 18.5

FRACTURES AND DISLOCATIONS ... 3.5

*1.s

*3.0 2.9 2.8 *3.3

SPRAINS AND STRAINS ... 6.0 20.6 %:Z 9.2

2:

3.8 *2.G

O P E N W O U N D S AND LACERATIONS ... 5.6 10.3 7.0 9.7 ii:‘;

2.1 *l.G

*2.7

CONTUSIONS AND SUPERFICIAL INJURIES ... 6.7 6.1 10.3 7.7 4.2 3.9 4.7

OTHER CURRENT INJURIES ... 5.6

11.1

3.5 5.3 2: 5.0 4.9 5.1

SELECTED OTHER ACUTE CONDITIONS . . .

24.1

76.5 26.4 25.5 19.4 13.7

14.9 11.8

EYE CONDITIONS ... *1.5 *0.7 *2.5 *o.e

*1.6 *1.5

ACUTE EAR INFECTIONS ... 51.2 11.7 3.7 1.9 ::2”

2.8 *1.0

OTHER EAR CONDITIONS ... *3.3 2.3 *2.4

*1.1 *1.0

*O.b

l 1.6

ACUTE URINARY CONOITIONS...ws ... e2.e *1.2 *1.7 2.3 2.0

+1.9

*2.0

DISORDERS OF MENSTRUATION.. ... . . . *0.7 *0.9 *0.7

*0.1 *0.1

^a-

OTHER DISORDERS OF FEMALE GENITAL TRACT ... *D.7 *0.3

+1.1

1.5 *0.3 *0.5 *

DELIVERY AND OTHER CONDITIONS OF PREGNANCY AND

PUERPERIUH ... . . .

*0.1

7.0 4.1

*0.1 *0.1

. . .

SKIN CONDITIONS ... 22::

6.1

2.8 *o.a 2.1

1.7 *1.7

*1.5

ACUTE HUSCULOSKELETAL CONDITIONS ...

HEADACHE, EXCLUDING MIGRAINE ...

FEVER, UNSPECIFIED ...

3.0 1.4 1.4

80.4

*O.b 9.4

*1.3 2.8 2.5

j2.8

*1.a

*0.7

3.7

*1.1

*0.2

4.1

4.7

*0.7 *0.7

*0.1

*

*3.1

*0.e

*0.2

ALL OTHER ACUTE CONDITIONS... 9.2

lb.2

6.7 a.7 8.5

10.0

8.6 12.4

NOTES: EXCLUDED F R O M THESE ESTIMATES ARE CONDITIONS INVOLVING NEITHER MEDICAL ATTENTION N O R ACTIVITY RESTRICTION.

THE STANDARD E R R O R S AND RELATIVE STANDARD E R R O R S LRSE’S) CAN DE C O M P U T E D BY USING PARAMETER SET

I

OF TABLE I, THE FREPUENCIES OF TABLE 6 AND THE FORMULA PRESENTED IN RULE 2 OF APPENDIX I. ESTIHATES FOR WHICH THE N U M E R A T O R HAS AN RSE OF M O R E THAN 30 PERCENT ARE INDICATED WITH AN ASTERISK.

TABLE 2. N U M B E R OF ACUTE CONDITIONS PER 100 PERSONS PER YEAR, BY SEX, AGE, AND TYPE OF CONDITION: UNITED STATES, 1985

(DATA ARE BASED O N HOUSEHOLD INTERVIEWS OF THE CfVILIAh NONINSTITUTIONALIZED POPULATION. THE SURVEY DESIGN, GENERAL PUALIFICATIONS, AND INFORMATION O N THE RELIABILITY OF THE ESTIMATES ARE GIVEN IN APPENDIX I. DEFINITIONS OF T E R W S ARE GIVEN IN APPENDIX II)

MALE FEMALE

ALL U N D E R 5-17 18-44 45 YEARS ALL U N O E R 5-17 1 a-44 45 YEARS

TYPE OF ACUTE CONDITION AGES 5 YEARS YEARS YEARS AN0 O V E R AGES 5 YEARS YEARS YEARS AND O V E R

N U M B E R OF ACUTE CONDITIONS PER

100

PERSONS PER t’EAR

ALL ACUTE CONDITIONS... 160.3 331.3 224.4 140.7 95.7 189.2 338.0 250.0 193.0 117.1

INFECTIVE AND PARASITIC

DISEASES... 18.2 49.0 35.3 12.8 5.4 22.6 52.1 42.9 21.6 5.9

C O H H O N CHILOHOOO DISEASES... . . . 1.3 *4.5 *3.9 *0.2 *- 1.7 *a.0 *0.5 *-

INTESTINAL VIRUS, UNSPECIFIED.. 15.3 4.4 2.8 *1.0 3.5 11.1 4:: 2.7 *0.5

VIRAL INFECTIONS, UNSPECIFIED.. 28 17.9 11.5 4.8 3.5 8.7 14.3 14.3 9.2 3.7

OTHER... 6.4 11.2 15.5 5.0 *0.9 a.7 18.6 16.0 9.3 *1.6

RESPIRATORY CONOITICNS... 79.5 159.3 110.4 69.5 49.8 94.2 145.5 131.3 96.4 59.0

COtWON COLO ..I... 28.2 81.4 35.8 21.4 17.7 32.6 73.1 41.8 30.7 21.1

OTHER ACUTE UPPER RESPIRATORY

INFECTIONS ... 13.8 19.8 5.9 3.6 11.6 21.7 22.6

10.5

4.6

INFLUENZA ... 3::: 46.7 47.4 37.0 24.8 44.1 41.2 59.1 49.7 29.1

ACUTE BRONCHITIS ... 2.5 *4.3 *3.4 *1.9 *2.4 3.1 *3.1 5.4 3.0 *I.6

PNEUHONIA.. ...

OTHER RESPIRATORY CONDITIONS ... :::

r5.r

*7.4

*o.a

*3.3

*1.0 2.2

*1.2

*0.2 :::

*3.4

*3.0

*0.5

*l.B

^*0.6 2.0

*1.5

*0.9

DIGESTIVE SYSTEM CONDITIONS.... 6.1 *7.7 10.6 4.8 4.5 7.6 *10.3 9.1 8.0 6.2

DENTAL CONDITIONS... 1.6 *1.3 *1.7

*1.e

*1.2 1.9 t6.9 *1.2 t1.7

*1.3

INDIGESTION, NAUSEA, AND

VOMITING... 3.2 *4.5 8.2 *1.4 *2.1 4.1 *3.3 7.6 3.9 2.6

OTHER DIGESTIVE CONDITIONS... 1.4 *1.9 *0.7 *1.7 *1.2

1.8

^*- *0.3 2.4 *2.3

INJURIES... 31.1 25.5 40.5 38.2 15.4 23.9 34.7 27.9 23.7 19.5

FRACTURES AND OISLOCATIONS... 4.2 +0.7 +1.7 *3.0 *4.2

*1.6

4.0

SPRAINS AND STRAINS... ::3 1::: 4.4 ::9’ *1.2 6.3 6.7 2.6

O P E N W O U N D S AN0 LACERATIONS.... 2: 14: 10.6 6.3 *2.2 3.8 *6.4 4.5 4.5 *2.1

CONTUSIONS AND SUPERFICIAL

INJURIES . . . ..I... 6.9 12.8

11.1

8.3 3.1 6.5 *9.6 9.5 5.8 5.1

OTHER CURRENT INJURIES I... 5.4 *7.9 *3.7 6.7 4.1 5.7 14.5 *3.3 5.2 5.7

SELECTED CTHER ACUTE

CONDITIONS... 17.4 70.6 21.5 9.4 11.3 30.4 82.7 31.5 32.3 15.7

EYE CCNOITIONS ...

.l.O +1.1

*0.2 *o.s *1.6 1.6 r1.9 *1.2 *1.7

*1.5

ACUTE EAR INFECTIONS...- ...

OTHER EAR CONDITIONS...

ACUTE URINARY CONDITIONS . . . . 7.3 A:::

47.5. 11.9 *1.0 *2.0

*5.2

*1.0

*1.2 *0.9

*0.5 *0.6 *o.*

*1.1

8.4 1.9 3.1

55.1

*2.4

*5.1

11.4

*3.6

*1.9

3.7

*1.7 3.7

*2.3

*1.0 2.6

DISORDERS OF HENSTRUATION... . . .

. . .

0.9 . . . *1.5 *1.5 *0.2

OTHER DISORDERS OF FEMALE

GENITAL TRACT . . .

. . .

1.6 *1.4 *0.7 2.8 *0.6

DELIVERY AND OTHER CONDITIONS OF PREGNANCY AND PUERPERIUH . . . . SKIN CONOITIONS...,....

. . . 2.1

. . .

. . .

+6.5 *1.7 *I.6 *1.7

4.1 2.3

. . .

‘45.6

*0.2

*3.9

9.6

*1.7

*0.2

*1.6

ACUTE WSCULOSKELETAL CONDITIONS...

HEADACHE, EXCLUDING HIGRAINE...

FEVER, UNSPECIFIED . . . . X:f 1.3

*0.3 *1.2 3.6 3.5

a- *2.9 *0.5 *0.2

*9.4 *2.1 *- *0.2

3.2

1.8 1.5

*0.6

*1.1

*9.4

*1.3

*2.6

*3.0

3.2 2.2

*0.7

*1.1

4.6

*-

ALL OTHER ACUTE CONOITIONS... 6.0 19.3 6.1 6.0 9.3 10.4 12.9 7.4

11.0 10.7

NOTES: EXCLUDED F R O M THESE ESTIMATES ARE

CONDITIONS INVOLVING

NEITHER MEDICAL ATTENTION N O R ACTIVITY RESTRICTION.

THE STANDARD E R R O R S AN0 RELATIVE STANDARD E R R O R S IRSE’SI CAN BE C O M P U T E D BY USING PARAHETER SET I OF TABLE I, THE FRECIUENCIES OF TABLE 7 AN0 THE FORMULA PRESENTEO

IN

RULE 2 OF APPENDIX

I.

ESTIMATES FOR WHICH THE NUHERATOR HAS AN RSE OF M O R E THAN 30 PERCENT ARE INDICATED WITH AN ASTERISK.

TABLE 3. N U M B E R OF ACUTE CONDITIONS PER 100 PERSONS PER YEAR, BY RACE, AGE, AND TYPE OF CONDITION: UNITED STATES, 1985

(DATA ARE BASED O N HOUSEHOLD INTERVIEWS OF THE CIVILIAN NONINSTITUTIONALIZEO POPULATION. THE SURVEY DESIGN, GENERAL ‘.lUALIFICATIONS, AND INFORMATION O N THE RELIABILITY OF THE ESTIMATES ARE GIVEN IN APPENDIX I. DEFINITIONS OF TERMS ARE GIVEN IN APPENDIX III

HHITE BLACK

ALL U N D E R 18-44 45 YEARS ALL U N D E R 18-44 45 YEARS

TYPE OF ACUTE CONDITION AGES 18 YEARS YEARS AND O V E R AGES 18 YEARS YEARS AND O V E R

N U M B E R OF ACUTE CONDITIONS PER 100 PERSONS PER YEAR

ALL ACUTE CONDITIONS ... 181.3 283.0 173.6 109.4 140.7 183.0 130.4 90.4

INFECTIVE AND PARASITIC CISEASES ... 21.7 45.7 18.9 6.1 14.9 30.4 8.9 *3.3

C O H H O N CHILDHOOD DISEASES ... 1.4 4.7 *0.4 *- *2.7 *7.4 *0.5 *-

INTESTINAL VIRUS, UNSPECIFIED.. ... 3.6 8.4 2.8 *0.7 3.6 *7.4 *2 .o *1.0

VIRAL INFECTIONS. UNSPECIFIED ... 8.6 15.6 7.0 3.9 3.8 e5.t. *3.3 *1.9

OTHER... 8.1 16.9 7.9 *1.4 4.7 9.9 *3 .o *0.4

RESPIRATORY CONDITIONS ... 91.3 139.9 88.4 55.0 62.8 82.0 53.7 51.5

C O M M O N COLD ... 30.2 49.5 26.4 19.6 32.8 52.5 23.9 20.4

OTHER ACUTE UPPER RESPIRATORY INFECTIONS ... 11.0 22.4 9.0 4.5 5.8 10.8 *4.0 *1.7

INFLUENZA ... 43.7 57.6 47.1 28.0 19.8 14.0 23.5 21.7

ACUTE BRONCHITtS ... 5.2 2.6 1.8 *2.1 *- *2.1 *4.9

PNEUMONIA ... ::,” 2.1 *0.9 *1.3 *0.7 *0.4 *- *2.4

OTHER RESPIRATORY CCNOITIONS ... 2.1 3.2 2.4 *0.6 *1.7 *4.3 *0.2 *0.5

DIGESTIVE SYSTEM CONDITICNS ... 6.6 9.4 5.9 5.3 9.7 11.0 10.1 *7.2

DENTAL CONDITIONS ... 1.7 2.2 1.6 *1.3 *2.1 a2.6 *2.6 *o .7

INDIGESTIONI NAUSEA, AND VOHITING ... 3.6 6.8 2.5 2.4 4.5 *6.5 *4.4 *1.9

OTHER DIGESTIVE CONDITIONS.. ... 1.4 *0.4 1.8 1.6 *3.1 *2.0 *3.1 *4.5

INJURIES ... 27.8 34.2 31.0 18.3 23.8 25.4 29.1 *12.3

FRACTURES AND DISLOCATIONS ... 3.7 5.1 3.3 3.2 *I.8 *3.6 *o.a *1.2

SPRAINS AND STRAINS ... 5.8 4.4 8.3 3.6 6.0 *5.6 9.5 *o .4

O P E N H O U N D S AND LACERATIONS ... 5.8 9.3 6.5 2.1 4.0 *5.6 *5.2 *3.1

CONTUSIONS AND SUPERFICIAL INJURIES ... 9.6 7.2 4.3 5.7 e5.6 %.4 *4.5

OTHER CURRENT INJURIES ... 2; 5.7 5.7 5.1 5.4 *5.0 *7.1 *3.1

SELECTED OTHER ACUTE CONDITIONS ... 24.9 44.2 21.2 14.2 18.9 26.0 10.4 +9.6

EYE CONDITIONS ... 1.3 $0.9 1.4 1.6 *o.a *1.0 t- *1.tl

ACUTE EAR INFECTIONS ... 8.5 25.9 2.6 2.3 4.6 10.8 *1.5 *1.1

OTHER EAR CONDITIONS ... 2.7 1.6 *1.1 *1.3 *2.6 *1.0 *-

ACUTE URINARY CONDITIONS ... ::‘o 2.0 2.2 1.8 *l-S *0.3 *1.7 *4.0

DISORDERS OF MENSTRUATION ... *0.5 *0.4 *o.a *o. 1 *o.a *1.2 *0.9 *-

OTHER DISORDERS OF FEMALE GENITAL TRACT ... 0.7 *0.2 1.2 *0.4 *1.4 *1.a *2.0 *-

DELIVERY AND OTHER CONDITIONS OF

PREGNANCY AND PUERPERIUM . . . *- 4.6 *o. 1 *2.9 *0.4 *b.5 *

SKIN CONDITIONS ... ::,” 3.6 1.8 1.7 *l-6 *3.7 *0.2 *1.3

ACUTE HUSCULOSKELETAL CONDITIONS ... 3.2 *1.2 3.4 4.4 *1.3 *0.3 *2.7 *0.4

HEADACHE, EXCLUDING MIGRAINE ... 2.2 1.1 *3.. *1.5 *2.2 *1.fJ *-

FEVER, UNSPECIFIED ... ::: 5.0 *0.3 *- *o.a *1.7 *- *1.0

ALL OTHER ACUTE CONDITIONS... 9.0 9.6 8.2 9.7 10.6 *a.2 10.2 14.5

NOTES: EXCLUDED FRON THESE ESTIMATES ARE CONDITIONS INVOLVING NEITHER MEDICAL ATTENTION N O R ACTIVITY RESTRICTION.

THE STANDARD E R R O R S AND RELATIVE STANDARD E R R O R S IRSE’SI CAN BE C O M P U T E D BY USING PARAMETER SET I OF TABLE I, THE FREQUENCIES OF TABLE 8 AND THE FORMULA PRESENTED IN RULE 2 OF APPENDIX I. ESTIMATES FOR NHICH THE N U M E R A T O R HAS AN RSE OF M O R E THAN 30 PERCENT ARE INDICATED WITH AN ASTERISK.

TABLE 4. N U M B E R OF ACUTE CONDITIONS PER 130 PERSONS PER YEAR, BY FARILY INCOME, AGE, AK0 TYPE OF CONDITION: UNITED STATES, 1985 (DATA ARE BASED O N HCUSEHOLD INTERVIEWS OF THE CIVILIAh NOhINSTITUTIDNALIZEO POPULATION. THE SURVEY DESIGN. GENERAL ‘WALIFICATIOhS,

AN0 INFORKATION O N THE RELIABILITY OF THE ESTIMATES ARE GIVEN IN APPENDIX 1. DEFINITIONS OF TERMS ARE GIVEN IN APPENDIX II)

FAMILY INCOME

LESS THAN IlOt 510,000-119,999

ALL U N D E R 18-44 45 YEARS ALL U N D E R

la-44

45 YEARS

TYPE OF ACUTE CONOITIGN AGES 18 YEARS YEARS AN0 O V E R AGES 18 YEARS YEARS AN0 O V E R

NUHBER OF ACUTE CONDITIONS PER

100

PERSONS PER YEAR

ALL ACUTE CONDITIONS ... 176.0 233.5 215.8 95.0

186.6

266.5

184.6

122.2

INFECTIVE AND PARASITIC DISEASES ... 13.9 29.9 11.6 *4.7 la.2 36.7

16.4

*4.9

C O W O N CHILDHOOD DISEASES ... *1.3 *4.9 *- *- *7.3

*1.0

^*-

INTESTINAL VIRUS, UNSPECIFIED ... *2.5 w.1 *3.2 *0.5 t6.a *1.5 *1.3

VIRAL INFECTIONS, UNSPECIFIED ...

OTHER...- ...

5.8 4.4

13.1

+7.a

*5.9 ^*2.6

*3.7

*0.4

10.2 5.7

12.4 a.3

*2.9

*0.7

RESPIRATORY CONDITIONS ... 87.7

111.6

114.2 44.0 94.3 141.6 88.9 61.5

C O H H D N COLD ... 38.3 53.8 43.6 21.9 31.8 56.8 25.8

18.8

OTHER ACUTE UPPER RESPIRATORY INFECTIONS ... a.4 13.3 12.4 *0.9 la.0 a.0

*3.1

INFLUENZA ...

ACUTE BRONCHITIS ...

34.6

*2..5

35.5

*1.9

50.0

*4.1

*1.6 ^18.6

4::;

3.9

55.8 47.5

*4.0 *4.2

33.6

*3.5

PNEUWCNIA ... *1.0 *1.2

*1.5

*0.5 *1.4 *2.4 *0.7

*1.6

OTHER RESPIRATORY CONDITIONS ... *2.6 *5.8 *2.6 *0.4 2.7 *4.5 *2.7

*1.0

DIGESTIVE SYSTEM CONDITIONS ... a.0 12.6 9.1 *5.7 6.0 *5.9 6.7 *5.1

DENTAL CONDITIONS ... *1.9 *4.2 *1.2

*1.0

*1.3 *0.5 *2.0

*1.1

INDIGESTION, NAUSEA, AND VOMITING ...

OTHER DIGESTIVE CONDITIONS ...

3.8 3.0

*7.7

*o.a

*3.1

**.a

^*1.9 *2.a

3.2

*1.5

*3.7 *3.9

*1.7 *o.a

*1.7

*2.3

INJURIES ... 31.1 31.2 46.8 15.3 27.6 29.4 33.6 18.3

FRACTURES AND DISLOCATIONS ... 4.0 +3.3 *6.1 *2.5 2.9 *5.a *2.0 *1.8

SPRAINS AND STRAINS ... 6.2 *2.9 13.0 *1.9 6.6 *5.2 9.7 *3.7

O P E N R O U N D S AND LACERATIONS ... 8.2 11.9 *3.0 5.3 *7.3 6.5 *2.0

CONTUSIONS AND SUPERFICIAL

INJURIES ...

7.9 *a.6

12:

*3.1 *3.3

8.1

*4.2

OTHER CURRENT INJURIES ... 4.8 *4.4

*5.9

*4.0 Z 7.7 7.3 6.7

SELECTED OTHER ACUTE CONDITIONS... 22.8 37.4 24.4 10.8 28.2 43.1 25.0 19.8

EYE CONDITIONS ... *1.9 j1.8 *3.1 +0.9 *1.7

*1.1

*1.5 $2.6

ACUTE EAR INFECTIONS ...

0.8 20.7 7.6 *1.7 8.5 26.7 *1.4 *2.5

OTHER EAR CONDITIONS ... 21.2 *1.0 *o.a *1.7 2.5 *2.7 *2.1 *3.0

ACUTE URINARY CONDITIONS ... *1.9 *1.5

*1.9

*2.1 3.0 *2.4

*3.a

*2.3

DISORDERS OF MENSTRUATION ... *0.2 *D.9

t

*- *o.a *0.9 *1.2 *-

OTHER DISORDERS OF FEHALE GENITAL TRACT ... *0.e *2.2 *0.6 *- *0.9 *- *1.5 *1.1

DELIVERY AND OTHER CONDITIONS OF PREGNANCY AND

PUERPERIUn ... *1.7 *- *4.7 *- 3.0 *- 7.3 *-

SKIN CONDITIONS ...

*1.a

*4.0 *- *1.9 *1.9 *3.4 *1.2 *1.4

ACUTE NUSCULOSKELETAL CONDITIONS ... +1.5 *D.4 *2.3 *1.4 3.3 *0.6 *3.2 *5.6

HEADACHE, EXCLUDING HIGRAINE ...

FEVER. UNSPECIFIED ...

a.9

*1.0 *2.1

*2.7

*3.1

*0.4

*0.6

*o. 5

*1.3

*1.3

*1.6

*3.7

*1.2

*o.a

*1.3

*-

ALL OTHER ACUTE CONDITIONS... 11.7

10.8

9.6 14.6 12.4 9.9 13.9 12.7

SEE NOTES AT END OF TABLE.