prevalenceof chronicskin andmusculoskeletalconditions · authorized to use, insofar as possible,...

Data from theNATIONAL HEALTH SURVEY

Prevalenceof ChronicSkin

and MusculoskeletalConditionsUnitedStates-1976

Statistics on prevalence of chronic skin and musculoskeletal condi-tions by measures of impact of the conditions and selected demo-graphic characteristics. Based on data coIIected in the Health Inter-view Survey during 1976.

DHEW Publication No. (PHS) 79-1552

Series 10Number 124

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFAREPublic Health Service

Office of the Assistant Secretary for HealthNational Center for Health StatisticsHyattsville, Md. November 1978

Library of Congress Cataloging in Publication Data

B(lnham, C,orclon Scott.Prcvalcncc of chronic skin anti ]~]us(t]loskclrttll co[}(litiot)i.”[’t~itc(is(,II[., I!)T(i.

{Vital and health statistics: Series lo, I):it,i l’rom tll~ ,SJ[](Jn.Ll l[{,~ltll \lit-Jcl ; 1)(). 124)

(l) HEW publication; no. (PI IS) 79-1 552)l;dition for 1969 b> \l. 11. J+ ’ildcr.

Bibliography: p. 18.

1. Chronic diseases-~nitcd St:ttcs–Statistics. 2. Skill I)i>t,ijt> L)ll[((! Stat(s Statis-tics. 3. Nlusculoskeletal system l)iscascs--Unitcd St;itt>s Statistic>. 4. [ Ii.dth survc}s

United States. 5. United States–Statistics, lledicd. 1. li”ildm. il:~r~ 11. Prev:dcnct’ 01”chronic skin and musculoskcletal condition s,” Lnitcd .Statcs, 1969. 11. L_nitc(! Statrs.

National Center for Ilcalth Statistics. III. ‘1 itlc. If”, Scl-its: [“]litr(l St:ltcs. XationalCenter for Health Statistics. \~ital al~d health statistics: Scl-its 10. I)at<[ i :(,m the N’atiol]alIlealth Survey, Data from the health intcmiclv surve> ; l),). I ~4. 1’. stri~,: [“:liti,(l States.

I)ept. of Health, Education, and \\~clfarc. 1) II F41$’pul)litation: II(J. (P[i S ) 7!) 1552. [l).XI.A$I:1. Skin disc:~ses–occL( ~-l’cl~cc--Unitcd States. 2, \l\Ls(ular (Iis[<[jcs ()< t ((rr<ll(r Unitt(lStates. 3. Bone discitscs--occurrcrlc(: L_nitc[i St:ltes. \t’2 .\ X 148~,j n,,. 12 + IRA407.3..4346 no. 124 ~R.46-+-}.(i ] ‘312’.0973s

[312’.35’0973] 78-108+9

NATIONAL CENTER FOR HEALTH STATISTICS

DOROTHY P. RICE, Director

ROBERT A. ISRAEL, Deputy Director

JACOB J. FELDMAN, Ph.D., Associate DirectorforAndysk

GAIL F. FISHER, Ph.D., Associate Director for the Cooperative Hetdth Statistics System

ELIJAH L. WHITE, Associate Director for Data Systems

JAMES T. BAIRD, JR., Ph.D., Associate Director for International Statistics

ROBERT C. HUBER, Associate Director for Management

MONROE G. SIRKEN, Ph.D., Associate Director for Mathematical Statktics

PETER L. HURLEY, Assoc&zte Director for Operations

JAMES M. ROBEY, Ph.D., Associate Director for Program Development

PAUL E. LEAVERTON, Ph.D., Associate Director for Research

ALICE HAYWOOD, Information Oficer

DIVISION OF HEALTH INTERVIEW STATISTICS

ROBERT R. FUCHSBERG, Director

ABIGAIL J. MOSS, Acting Chief Illness and Disability Statistics Branch

ROBERT A. WRIGHT, Chief Utilization and Expenditure Statistics Branch

CLINTON E. BURNHAM, Chiej Survey Planning and Development Branch

COOPERATION OF THE U.S. BUREAU OF THE CENSUS

Under the legislation establishing the National Health Sumey, the Public Health Service isauthorized to use, insofar as possible, the services or facilities of other Federal, State, or privateagencies.

In accordance with specifications established by the Division of Health Interview Statistics,the Bureau of the Census, under a contractual arrangement, participated in planning the surveyand collecting the datz

VitaI and Health Statistics-Series 10-NO, 124

DHEW Publication No. (PHS) 79-1552Library of Congress Catalog Card Number 78-10839

CONTENTS

Introduction ...........................................................................................................................................

Source of Data ................................................. ............ ..........................................................................

Prevalence and Measures of Impact of Conditions ..................................................................................

Changes Between 1969 and’ 1976 ................................................................................ ..........................

Prevalence by Selected Demographic Characteristics ............... ...............................................................Eczem~ Dermatitis, and Urticaria, NEC ...........................................................................................Corns and Callosities ........................ ....................................................... ..........................................Diseases of Nail .................................................................................................................................Diseases of Sebaceous Glands, NEC ................... ......... ........................... ............................ ...............Arthritis, NEC ............................. ................................................................. ........................... ..........Synovitis, Bursitis, and Tenosynovitis ......................................................... .................................. ... .

References ............................................................... ............................. ...................................................

List of Detaifed Tables ...........................................................................................................................

Appendixes

b.m.

1.

2.

3.

A

B.

c.

D.

. Technical Notes on Methods ................................................................................................. .........Definitions of Certain Terms Used in This Report .................................. ........................................Questions Used To Obtain Information About Chronic Skin and Musculoskcletaf Conditions .......

LIST OF FIGURES

Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviewsper 1,000 persons, by age: United States, 1976 ......................... ................................... ..............

Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviewsper 1,000 persons, by sex: United States, 1976 ..................................................... .....................

Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviewsper 1,000 persons, by color: United States, 1976 .................. ........................................... ..........

LIST OF TEXT TABLES

Prevalence of selected cfuorsic skin and musculoskeletal conditions repor&ed in health interviews,number per 1,000 persons, percent of conditions by measures of impact, and duration ofdisability days in past year: United States, 1976 ............................... .........................................

Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviewsand percent of conditions for which a person has ever been hospitalized or is now under treat-ment or medkation: United States, 1976 .................................. .................................................

Prevalence of selected chronic skin and musculoskeletal conditions reported in hcafth interviewsand percent distribution of conditions by frequency of bed-disability days in past 12 monthsdue to the condition: United States, 1976 ................................................... ................................

Prevalence of selected chronic skin and musculoskeletaf conditions reported in health interviewsand percent distribution of conditions by frequency of physician visits in past 12 months forthe conditions: United States, 1976 ...........................................................................................

1

1

3

12

14141414141717

18

19

4[1

4853

15

16

17

4

5

6

7

...Ill

E. Prevalence of selected chronic skin and musculoskeletal conditions reported in health inter-views and percent distribution of conditions by frequency of bother: United States, 1976 ........ 8

F. Prwalence of selected chronic skin and muses.doskeletzd conditions reported in health interviewsand percent distribution of conditions by degree person bothered by condition: United States,1976 ............................................................................................................................................ 9

G. Number of selected chronic skin and musculoskeletal conditions reported in health interviewsas causing bother and percent distribution by degree person bothered by condition: UnitedStates, 1976 ................................................................................................................................. 10

H. Prevalence and incidence in past 12 months of chronic skin and musctdoskeletal conditions re-ported in health interviews and percent incidence is of prevalence: United States, 1976 ............ 11

J. Prevalence and incidence per 1,000 persons of selected chronic skin and musculoskeletal condi-tions: United States, 1976 and 1969 .......................................................................................... 12

K. Number of restricted-activity days and bed days in the preceding year for selected chronic skinand musculoskeletaf conditions: United States, 1976 and 1969 ................. ........ .......... ...... ......... 13

SYMBOLS

Data not available—--—-----—-—–-——---- ---

Category not applicable --------------------------- . . .

Quantity zero----—-----------–-------—-- -

Quantity more than Obut less than 0.05----- 0.0

Figure does not meet standards of

reliability or precision (more than

30 percent relative standard error) -------- *

iv

PREVALENCE OF CHRONIC SKIN AND

MUSCULOSKELETAL CONDITIONS

Gordon Scott Bonham, Ph.D., Division of Health Interview Statistics

INTRODUCTION

The prevalence of chronic skin and musculo-skeletal conditions among members of thecivilian noninstitutionalized population wasmeasured in the HeaIth Interview Survey during1976. Prevalence estimates and measures of theeffect of these conditions on the populationcovered by the survey are presented in thisreport. Information on the same set of chronicconditions was collected during 1969 and pub-lished in a previous report. This report comparesthe 1976 data with the earlier information anddiscusses changes over the 7 years in the report-ing of prevalence of chronic skin and musculo-skeletal conditions.

Permanent impairments to the skin or mus-culoskeletal system are not covered in thisreport. Impairments are cluonic or permanentdefects resulting from diseases, injuries, or con-genital malformations. They have been treatedseparately from other conditions by the U.S.Public Health Service through a special codingscheme that groups them according to type offunctional impairment and etiology. Data onimpairments to the skin or musculoskeletalsystems in 1971 have been published $2 andwere collected again in 1977.

Arthritis was the most prevalent chronicmusculoskeletal condition, affecting 117 ofevery 1,000 persons in 1976. Of persons 65years of age or over, 437 of every 1,000 wereaffected. Arthritis bothered the person a greatdeal in 31 percent of the cases and caused theperson to limit activities in 20 percent of the

cases. The reported prevalence of arthritis in-creased between 1969 and 1976. In addition,the average number of bed days and the numberof restricted-activity days per condition in-creased during -the same time period.

Displacement of intervertebral disc had agreater effect on the person than any otherchronic musculoskeletal condition. In half of thecases it restricted the person’s activities andresulted in an average of 8.4 days in bed peryear. Although it affected only 13 of every1,000 persons in 1976, displacement of inter-vertebral disc has increased in both reportedprevalence and personal impact since 1969.

An increase in the reporting of eczema,dermatitis, and urticaria between 1969 and1976, resulted” in these -conditions being themost prevalent chronic skin conditions in 1976.Eczema, dermatitis, and urticaria affected about37 of every 1,000 persons in 1976. The impactof these conditions also increased, although only3-4 percent of the cases were reported in 1976to limit the person’s activity or to cause theperson to spend a day in bed.

SOURCE OF DATA

The information presented in this report onthe prevalence of chronic skin and musculoskele-tal conditions is based on data collected in theHealth Interview Survey, a continuing nation-wide survey conducted by household interview.Each week a probability sample is interviewedby trained personnel of the U.S. Bureau of the

1

Census to obtain information about the healthand other characteristics of each member ofhouseholds in the civilian noninstitutionalizedpopulation of the United States.

During 1976 the sample was composed ofapproximately 40,000 households containingabout 113,000 persons living at the time of theinterview. The total noninterview rate was about3.7 percent–of which 2.1 percent was due torespondent refusal, and the remainder was pri-marily due to the failure to find an eligiblerespondent at home after repeated calls.

A description of the design of the survey,the methods used in estimation, and generalqualifications of the data is presented in appen-dix I. Because estimates shown in this report arebased on a sample of the population rather thanon the entire population, they are subject tosampling error. Therefore, particular attentionshould be paid to the section entitled “Reliabil-ity of Estimates. ” However, where an estimatednumber or the numerator or the denominator ofa rate or percentage is small, the sampling errormay be high. Appendix II presents definitions ofcertain terms used in the report. Appendix 111contains facsimiles of portions of the question-naire used to obtain information about chronicskin and musculoskeletal conditions. A facsimileof the entire questionnaire used during 1976 isin appendix III of the report, “Current Esti-mates From the Health Interview Survey, UnitedStates, 1976.”3

The prevalence estimates of chronic skin andmusculoskeletal conditions as presented in thisreport are likely underestimations of the preva-lence of these conditions in the population. Therestriction of the survey to the civilian popula-tion not confined to institutions reduces theprevalence estimates since the proportion ofpersons with chronic conditions in institutions ishigh. A survey of nursing home residents in1973-74 showed that 342.5 per 1,000 residentswere reported to have chronic arthritis orrheumatism.4

Methodological studies have shown thatchronic conditions are generally underreportedin interview surveys. Findings of several of thesestudies are summarized elsewhere.1 Respondentsin health interviews can report only thoseconditions of which they are aware and whichthey are willing to report to the interviewer.

Reporting is better for those conditions thathave made an impact on the affected individualand his family. Conditions that are severe,costly, or require treatment tend to be betterreported than conditions having less impact.For instance, a condition that has caused hospi-talization, Imitation of activity, visits to thedoctor, or days in bed is more likely to bereported in the interview than a condition thathas little or no impact on the person. Method-ological studies have also indicated that inclu-sion of a checklist of descriptive condition titlesas part of the questionnaire will increase theprobability that a respondent will recognize theterms and report those of which he is aware. Ofcourse, the diagnostic accuracy of reportedconditions depends on the information therespondent remembers that the attending physi-cian has passed on to the family, or in theabsence of medical attendance, on the previousexperience or education of the family.

Adjustment cannot be made for the nonre-porting of conditions, limitation of activity, ordisability days. This report does consider non-reporting of other items either by showing thenumber of conditions with a nonreported orunknown characteristic, or by basing a, percenton those conditions with known characteristics.This latter procedure, used in tables A and B,assumes that the conditions with unknowncharacteristics are distributed in the same way asthose with known characteristics. The unknownswere handled differently in the 1969 report sothat comparison of table B and columns D, E,and F of table A should be made with caution.

Although effort was made to collect infor-mation on chronic skin and musculoskeletalconditions by identical methods” in both 1969and 1976, differences may have emerged thatwere not anticipated. One planned differencewas the emphasis on the terms “repeated” or“trouble” when included in the list of condi-tions in 1976. The interviewer emphasis on thesewords probably resulted in lower reporting ofbunions, corns, and calluses, but not of anyother conditions. Also, people being interviewedmay have had different perceptions of thequestions in the 2 years or answered them indifferent ways. Changes in a reported prevalenceor impact may not reflect a change in the actualprevalence or impact of the condition bmt could

2

be partly or wholly due to changes in diagnosisof disease, medical awareness or knowledge ofthe population, or reporting in the householdinterviews.

Conditions reported in the interview werecounted as chronic if they appeared on the listof those conditions always considered to bechronic regardless of onset or those that hadtheir onset more than 3 months prior to theweek of interview and lasted more than 3months. The chronic conditions reported in thismanner are all assumed to be present at the timeof interview. These condition groups have beencoded to categories in the Eighth RevisionInternational Classification of Diseases, Adaptedfor Use in the United States (ICDA).5

Within each of the condition groups shownin table A, the prevalence estimate, although anestimate of the number of conditions, may beinterpreted as a count of persons with eachcondition since persons would rarely have morethan one condition within one of the conditioncategories. However, the same person may havea condition in more than one of the conditiongroups. For instance, 27,050,000 arthrkis,rheumatism, and gout conditions were reportedby 26,625,000 people in 1976. Additional”dis-cussion “of multiple conditions per person isavailable in the earlier report.1

In this report, terms such as “similar” and“the same” mean that no statistical significanceexists between the statistics being compared.Terms relating to difference (i.e., “greater,”“less,” etc.) indicate that differences are statis-tically significant. The t-test with a critical valueof 1.96 (0.05 level of significance) was used totest aII comparisons that are discussed. Lack ofcomment regarding the difference between anytwo statistics does not mean the difference wastested and found to be not significant.

PREVALENCE AND MEASURESOF IMPACT OF CONDITIONS

The term “prevalence” means the number ofsome item existing at a given point of time; thisterm is often stated as “point-prevalence.”Chronic conditions reported any time during the12 months prior to interview were considered tobe present at the time of interview. Table A

shows the prevalence per 1,000 persons of 11groups of chronic skin and 7 groups of chronicmusculoskeletal conditions reported in healthinterviews. The prevalence rates were the num-ber of reported conditions in the group per1,000 persons in the civilian noninstitutionalizedpopulation.

The 11 skin disease categories shown in tableA encompass all of the chronic skin diseasesreported in health interviews in 1976. Estimatesfor neoplasms of the skin were not published for1969 because experience suggested neoplasms ofany kind were seriously underreported in house-hold interviews. Estimates of skin neoplasms areincluded in this report for 1976 because thereporting of skin neoplasms was found to beconsistent with other data.=

AIthough the majority of the musculo-skeletal condition data collected in 1976 areshown in this report, a residual category contain-ing an estimated 387,000 conditions is notpresented. These were excluded because of thevague and varied nature of the conditionscontained in this category and because manyconditions which might seem to be in thiscategory are classified as impairments. Thisreport also excludes estimates of malignant orbenign neoplasms of the muscuIoskeletal systembecause of the assumed poor reporting of mostneoplasms in household health interviews.

Shown in table A are measures of the impacton the person of skin and musculoskeletalconditions. For example, 20.3 percent ofarthritis conditions caused the person to limithis activity; 9.7 percent of arthritis conditionscaused the person to spend at least 1 day in bedin the past year. A doctor had been seen at sometime for 79.4 percent of arthritis conditions andfor 50.0 percent of them a physician had beenseen in the past year.

The average number of restricted-activitydays per person caused by arthritis was 15.3.Among these restricted-activity days were an

aThe Third National Cancer Survey in 1971-72 foundthe incidence of skin neoplasms among Caucasians infour areas to range from 1.2 to 3.8 per 1,000 popula-tion.6 The incidence of skin neoplasms for white personsis 1.6 per 1,000 population based upon the datacollected in the Health Interview Survey.

3

Table A, Prevalenc8 of selected chronic skin and rmmukxkeletal conditions reported in health interviews, number per 1,000 persons, percent of conditions by measures of impact,and durar ion of disability days in past year: IA ited States, 1976

Chronic condition and ICDA code

Skin—

Dermataphytosis and dermatomycoses .,,,,..,.., .........1... .......l 10,111Neoplasms of the skin ... ...... ...... ...... ...... ... ... .. ....1 72.173 ,216,232.2Chronic infections of skin and subcutaneous tissue. NEC ... . ......680-

682, 684+386Eczema, dermatitis, and urticaria, NEC.,..,..,..,..693 .. ... ...693 -S93. 708Psoriasisand similar disorders ............... ... ... ... ... ... ..... ... ...... ...... ...696Other inflammatory conditions of skin and subcutaneous tis-

SUe.. .. .... .. .... .. .... .. ...... ...... .. .... .. .... ......................694. 695,697,698Corns and callosities .... .. ...... .................. .. .... .. .... .. .... ........ ............7OOOther hvpertrophic and atrophic conditions of skin ... .. .. ...... ... ...7o7Diseasesof nail .... .. ...... ........ .... .. .. .. .. .... .. .................. ... ... .. .... .. ......703Diseasesof sebaceous glands, NEC lac”e) ... ...... ...... .. .... .. .. .. .. ......706Other diseasesof skin and subcutaneous tissue, NEC .... .. ...... .....7O2.

704,705, 707,709 .1,709.9,709.0 part

Musculoskeletal

Arthritis, NEC ..... ...... .. .. .. .. .. .. .. ...... .. .... .. .... .. .... .. ...... . .... .. .....71 G-716Rheumatism, nonarticular and unspecified ..,.., .......... ...... .. .... ....716.

717.0,717.1,717,9,718Osteomyelitis and other diseasesof bone .. .. ... ... ...... .. ...._...72O-723Displacement of intervertebral disc .. ...... .. .... .. .... .. ............ ... ..... ...725Bunion .... ... ... ...... ............ ...... .. ... ... .... .. ............ .. ... ... ...... ...... ..... ...73oSvnovitis, bursitis, and tenosynovitis ........... ..... ... .... ........... ........731

Prevalence

A

Inthou-sands

5981,100

2807,7431,604

1,9645,5631,6064,2345,453

1,217

24,573

8331,6872,6381,6534,0111,644

B

Numberper

1,000persons

2.85.2

1.336,8

8.6

9.326.5

7.620.125.9

5.8

116.7

4.08.0

12.56.8

19.07.8

Percent of condition-

C

Causinglimita-tion ofactivity

+3.03.4

‘7.93.05.7

“1.6‘0.6“0.4+0.4“0.4

4.8

20.3

9.718.249,0‘0.9

5.019.4

D

With 1bed

day ormore in

pastyearl

‘1 ,48.4

25.63.62.3

“0.71.2

‘O .62.72.8

4.4

9.7

14.215.432.4

5.211.216.5

E

Withdoctor

everseenz

78.490.4

89.785.688.3

EQ.434.753.342.273.2

74.7

79.4

73.693.095.441.287.194.7

F

With 1physi-

cianvisit ormore in

pastyearz

43,479,0

70.652.242.6

33.918.728,422.652.1

46.5

50.0

42.156.549.621.151.968.2

G

Restricted-act iviwdays per

per year

●1.35.8

●12.94.03.4

“1.52.5

“0.61.71.4

7.5

15.3

15.115.729.2

5.28.1

16.6

Disability days

H

Beddaysper

condi-tionper

year

●.

“2.0

“3.3“0.6“0.8

“0.3‘0.5

. .

‘0.2“0.5

5.2

4.2

●2.64.38.4

“1.0●1.2

4.7

I

3ed daysper bed-

dis-ablingcondi.

tionper

vear3

. .

●2,4.3

“14.0‘17.4‘37.1

“413.8‘ 3!3.0..

“6.8‘18.6

“12’I .8

44.0

“16.529.628.8

“19.8‘10.5

25.7

J

Nork-10s5

daysper

:ondi -tionper

year

. .

“0.8

“0.9‘0.3‘0.4

●.

‘0.1●.

‘0.0‘0.3

. .

0.6

“0.2“0,3

3.2“0.1“0.5‘0.3

lPercentages are based “PO” persons reporting bed days..2Perce”tages are based upon persons reporting whether m not a doctor had been seen.3This figure is obtnined by dividing the annual volume of bed days (used in computing colmnn H) by the number of persons with tbe condition who reported one or more bed

days in the year (column D).

NOTES: When a figure is show” with an asterisk, it is presented only for the purpose of combining with other celIs. A“ estimate will have a relative smndwd error less than 30percent when the aggregate is at least 35,000,

NEC = Not elsewhere classifiable.

average of 4.2 days in bed and 0.6 days lostfrom work. The 4.2 days in bed, however, are duesolely to the small number of conditions thatcaused any days in bed. An average of 44.0 days

in bed were required by arthritis conditions thatwere severe enough to produce any bed-disability days.

The average numbers of disability daysshown in table A were computed by dividing theannual volume of the particular type of dis-ability days attributed to the condition by thenumber of conditions reported. The disabilitydays are based upon a 2-week recall periodinflated to a yearly estimate, whereas thedenominator is based upon reporting for the full12 months. The small proportion of chronic skinconditions that cause disability days makes mostof the disability day figures unreliable for thesecategories of conditions.

Eczema, dermatitis, and urticaria were themost frequently reported among skin. condi-tions, reported by 36.8 per 1,000 :persons.However, only 3.6 percent of these conditionsrequired the person to spend 1 day or more inbed during the past year. In contrast, chronicskin infections were reported by 1.3 persons per1,000, but about one-fourth of these conditions(25.6) resulted in the person being confined tobed at least 1 day during the past year.

Among musculoskeletal conditions, arthritiswas the most frequently reported condition.However, displacement of the intervertebraldisc, which was less frequently reported, was 2Yztimes as likely to cause limitation of activity aswas arthritis (49.0 and 20.3 percent, respec-tively) and proportionately 4 times as likely torequire at least 1 day in bed during the past year(32.4 and 9.7 percent, respectively).

4

The percent of skin and musculoskeletalconditions requiring hospitalization at any timeprior to interview is shown in table B along withthe percent under medical treatment. Amongchronic skin conditions, ordy neoplasms of theskin and infections of the skin and subcutaneoustissue required a substantial amount of hospitali-zation (12.2 and 19.4 percent, respectively).Among musculoskeletal conditions, 48.5 percentof the displacement of intervertebral disc and21.4 percent of osteomyelitis and other diseasesof the bone required hospitalization. An esti-mated 66.0 percent of persons with gout re-ported that they took medicine or used someother form of treatment recommended by adoctor, and 51.3 percent of persons reportingpsoriasis and similar disorders were undermedical treatment.

Few skin conditions resulted in bed dis-ability in the 12 months preceding interview(table C). The bed-disability days shown in tableC are based on a 12-month reference period (seeappendix III, question 15a). Musculoskeletalconditions were much more likely to haverequired days in bed. Among the musculoskele-tal conditions, persons with displacement ofintervertebral disc spent the most amount oftime in bed with 16.0 percent spending 8 daysor more in bed during the year (the percentwould be higher if the unknowns had beeneliminated from the table).

Among persons with musculoskeletal condi-tions, five or more visits to physicians during theyear were reported by 17.8 percent of thepersons with gout and by 17.6 percent ofpersons with displacement of intervertebral disc

Table B. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews and percent of conditions forwhich a person has ever been hospitalized or is now under treatment or mad ication: United States, 1976

Selected chronic condition]

Skin

Dermatophytosis and dermatomycoses ... . .... .. .. .... .. .. .... .. .. .... .. .. .... . .. .... .. .. ... .. .. .... . .. .... . .. .... .Neoplasms of the skin ... .. .. .... .. .. ..... . .. .... .. .. .... .. .. .. .. . .. ..... . .. .... .. .. ... ... .. ... .. .. .... .. . ..... .. . .... . .. ....Chronic infections of skin and subcutaneous tissue, NEC ..... .. . .... .. .. ..... .. ..... . . ..... .. .. ... .. .. ...Eczema, dermatitis, and urticaria, NEC .. .. .. .... .. .. .... .. . .... .. ... .... .. . ... .. .. ... ... .. .... . .. ... .. ... ... .. .. ...Psoriasis and similar disorders .. ... ... ... . ..... . .. .... .. .. .... .. .. ... .. .. ..... . .. ..... . .. .... . ... ... . .. ..... . .. .... . .. ...Other inflammatory conditions of skin and subcutaneous tissue ... .. .. .... .. .. ... .. .. .... .. .. .... . . ...Corns and callosities .. ..... . ... .... .. .. .... .. ... ... .. . ..... .. .. .... .. . ..... . ... ..... . . ..... . .. .... .. .. .... . .. .... ... . .... .. . ..Other hypertrophic and atrophic conditions of skin ... ... .. .. ..... . .. .... .. .. ... ... . .... .. ... .. ... . .... .. . ..Diseases of nail . ... .... .. .. .... . ... ..... .. . ... ... .. .... .. .. .... .. .. .... . .... .. ... .. .... . .. .... . ... .... .. . .... .. . .... .. .. .... .. . ..Diseases of sebaceous glands, NEC (acne) .. .. .... . .. ..... .. .. ... ... . ..... . .. ... ... .. ... ... . .... . .. .... . .. .... .. ...Other diseases of skin and subcutaneous tissue, NEC .. .. .. ... .. ... .. ... ... .. .. .... . ... ... .. .. ... .. . .... .. .. .

Musculoskeletal

Arthritis, N EC .... . .. .... ... . ...... . ... .. ... . ..... . ... ..... .. . .... . .. .... .... . .... . .. .... .. .. .... . ... ... .. .. ... .. . . .... .. . .... .. .Rheumatism, nonarticular and unspecified ... .. .... .. ..... .. .. ..... . .. ... ... . .... .. .. .... . .. .... . .. .... .. .. ... .. .Osteomyelitis and other diseases of bone ..... . . ..... . ... .. .... ..... .. .. .... .. . .... .. ... ... . .. ..... . .. ... .. .. .... ..Displacement of intervertebral disc ... .. .. ... .... .. ..... .. .. ..... . .. .... .. .. ... ... . .... .. .. .... .. . .... .. .. .... ... ... ..Bunion .... .. .... . ..... . ... ..... .. . ..... .. .. ..... . .. .... . ... .... .. ... .. ... .. .... . .. ..... .. . .... .. . ..... . ... ... .. .. .... . .. .... ... . ....Synovitis, bursitis, and tenosynovitis ... ... . ..... . .. .... ... .. ... . ... .... .. .. .... .. . .... .. ... .. .. .. .... . .. ..... .. . .. ..Gout ... . .... .... .. ... ... ... . ..... . .... .... . .. .... . ... .... ... . .... . .. .... ... . ..... . .. .... .. .. .... .. . .... .. .. .... .. . .... .. .. ... ....... .

Ir.ee table A for ICDA codes..2per~e~t~~ebased upon persorrsmm%.

Prevalencein

thousands

5981,100

2807,7431,8041$64

5,5831,6064,2345,4531,217

24,573833

1,6872,6381,8534,0111,644

wcent2 of conditions for which—

Everhospitalized

*3.612.219.4

2.85.1

“0.91.5

●1 .43.03.05.5

7.87.6

21.448.5

7.06.2

11.6

Now undertreatment ormedication

recommendedby a doctor

34.315.317.942.151.329.3

6.925.5

5.931.332.1

39.530.125.628.6

6.621.366.0

NOTES: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate wilIhave a relative standard error less than 30 percent when the aggregate is at least 35,000.


5

Table C. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews and percent distribution ofconditions by frequency of bed disability days in past 12 months due to the condition: United States, 1976

Selected chronic condition 1

Skin

Dermatophytosis and dermatomycoses .... .. .. .... .. .. .... .. ... ..... .... ... ... .. .... .. .. .... ... . ...Neoplasms of the skin .... .. ... .... .. ... ... ... . ..... .. .. ... .. . .. .... ... .. .... .. .. .... .. ... .... . ... ... ... .. ...Chronic infections of skin and subcutaneous tissue, NEC ... .. ..... .. .. .... ... . ... ... .. ...Eczema, dermatitis, and urticaria, NEC .... .. ... ... .. ... ... ... .. ..... . .. .... .. ... .... .. .. .... ... . ...Psoriasis and similar disorders . . ... ..... .. . ..... . ... ..... .. .. ... .. ... .... .. ... ... .. ... .... .. ... ... .. .. ...Other inflammatory conditions of skin and subcutaneous tissue .. . ..... . .. .. .... .. .. ..Corns and callosities .. ..... . .... .... . .. .... .... . .... ... .. ... ... ... .... .. .. .... . ... .... .. ... ..... .... .... .. . ...Other hypertrophic and atrophic conditions of skin ... .. .... .. ... .... .. .. ..... .. .. .... .. . ...Diseases of nail .. .... .. .. ..... .. .. ..... .. . ..... ... . .... .. ... ... ... . ...... .. .. .... .. .. ...... . .. ..... . ... .... .. ... .Diseases of sebaceous glands, NEC (acne) . ... ... ... .. ..... .. .. ... ... .. .... ... .. .... .. .. ..... .. .. ..Other diseases of skin and subcutaneous tissue, NECK .... .... .. .. .... ... . ..... . .... ... .. .. .

Musculoskeletal

Arthritis, NEC ...................................................................................................Rheumatism, nonarticular and unspecified .. .... .. .. ..... ... . .... .. ... .... ... .. .... .. .. ..... . .. ..Ostaomyalitis and other diseases of bone .. ... .... .. .. .... .. ... .... ... .. ... .. ... .... ... .. .... .. . ...Displacement of intervertebral disc .... . .... .. .. ..... .. .. .... ... .. ..... . .. ..... .. . ..... .. ... ..... . .. ..Bunion .. .. ...... .. .. ... .. ... ..... . ... ..... .. . .... .... . ..... . ... .... ... .. ..... .. . ..... . ... .... ... .. .... .. .. ..... . .. ..Synovitis, bursitis, and tenosynouitis .. ..... .. .. .... ... . ..... ... . ..... . ... .... ... .. ... ... .. .... .. . ...Gout ... . .... .... .. . ..... .... . .... ... .. ..... . ... .... ... . .... ... .. .... ... . ..... .. ... .... . ... .... .. .. ..... .. .. ..... . .. ..

Preva-lence in

thou-sands

5981,100

2807,7431,8041,9645,5831,6064,2345,4531,217

24,573833

1,6872,6381,8534,0111,644

Total

100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0

100.0100.0100.0100.0100.0100.0100.0

Number of bed days-

tone

91.688.467.591.497.498.498.098.396.396.591.5

89.284.679.860.994.487.080.2

1-7

~o.35.6

13.92.9

*1.3*0.40.9

‘0.52.52.4

fil,5

5.37.98.0

13.22.68.4

10.8

8 ormora

*l<o*2.5*9.30.6

*1.0*0.3*O.4*0. I*0.2*O .4*2.7

4.2

:::16.0

2.52.57.4

Unknown

7.23.6

*9.35.2

‘0.4*1.O0.8

*1.11.00.84.2

1.3*1.35.69.9

*0.42.1

‘1.6

Isee table A for ICDA codes.

NOTES: When a fimre is shown with an asterisk. it is oresented only for the rrurpose of combiniw with other cells. An estimate ~have a relative standard-error less t han 30 percent when th~ aggregate is at least 35.000.


(table D). Similarly, among persons with skindiseases 15.4 percent of the persons withchronic infections of the skin and subcutaneoustissue, NEC (not elsewhere classifiable) reportedfive visits or more to physicians.

Questions were asked about the frequencyand amount of bother caused by these condi-tions. “Bother” was not defined for the respond-ent, but would usually be understood as thetrouble, worry, inconvenience, anxiety, or simi-lar problems that the condition caused theperson. Table E shows the range of frequency ofbother. For example, 25.0 percent of arthritisconditions bothered the person all the time; 2.7percent did not bother the person at all. Thiscontrasts with neoplasms of the skin where 6.9percent of the conditions bothered the personall the time and 69.8 percent did not bother atall. The degree to which the condition botheredis shown in tables F and G. Table F shows apercent distribution of the degree of bother for

all conditions and table G shows the degree onlyfor those conditions that were reported tobother the person (unknown degree is includedin the “other” category). Although arthritiscaused bother in a gpeater percent of its casesthan dkplacement of intervertebral disc, thedegree of bother of arthritis was less than thebother of disc displacement; 30.6 percent ofarthritis conditions bothered a great deal and41.2 percent of disc displacement conditionsbothered a great deal.

Table H shows the number of conditionsreported as having been noticed for the firsttime during the year prior to interview. Occur-rence within a year is used to define theincidence of a chronic condition. The respond-ent’s report of onset may have been the firstrecognition of symptoms of a condition thatstarted even earlier. Incidence as stated by therespondents may be prior to that of the medicaldiagnosis of the condition or may occur at a

6

Table D. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews and percent distribution ofconditions by frequency of physician visits in past 12 months for the conditions: United States, 1976

Selected chronic condltionl

Skin

Dermatophytosis and dermatomycoses ... ... .. . ..... . ... .. . .... . .. ... .. .. .. .. . ... ...Neoplasms of the skin . .. ... .. .. ... .. . .... . .. ... .. . ... .. . ... .. . .... . . .... . .. ... .. .. ... .. . ... ..Chronic infections of skin and subcutaneous tissue, NEC ... .. .. .. ... . .... .Eczema, dermatitis, and urticaria, NEC .. .. .. .. .. .... . .... . .. .... . . ... .. .. ... .. . .... .Psoriasis and similar disorders .. .. ... .. .. .. .. ... .. .. .. .... .. ... .. . ... . .. ... ... . ... .. . ... ..Other inflammatory conditions of skin and subcutaneous tissue . . .. .. ..Corns and callosities .. .. .. ... .. .. ... . . .... .. .. ... .. . ... .. . ... .. .. ... .. . ... .. .. ... .. .. ... . . ... ..Other hypertrophic and atrophic conditions of skin .. .... .. .. ... .. . ... . .. ... .Diseases of nail .... .. .. .. .. .. .... . .. ... .. . ... .. ... .. .. .. ... .. . .... . .. ... . .. .... ... ... .. . ... .. . ....Diseases of sebaceous glands, NEC (acne) ... . . .... .. . .. .. . .. ... . .. .... .. . ... .. . ....Other diseases of skin and subcutaneous tissue, NEC .. ... .. . .... .. . ... . .. ....

Musculoskeletal

Arthritis, NEC ..... .... .. .. . ... ... . .... .. . ... .. .. ... ... . ... . .. .... . .. ... . ... ... . .. ... .. . .... . .. ...Rheumatism, nonarticular and unspecified ... . .... . . .... .. .. .. ... . .... . . .... . .. ...Osteomyelitis and other diseases of bone . .... . . .... . .. .... . .. .. .. ... .... .. .... .. ...Displacement of intervertebral disc ... ... .. .. ... . .. .... . .. .... . .. .. .. .. .... . . .... . .. ...Bunion .. .. . ..... . ... .. .. .. .. ... . .... . . ..... . .. ... . ... ... .. . ... .. . .... . .. ... .. ... .. .. . .... . .. ... . .. ...Synovitis, bursitis, and tenosynovitis . ... .. . .... .. . .... . . ... .. ... .. ... . ... .. .. .. .. .. ..Gout . ... .. .. .... . . .... . ... ... ... . ... ... . .... . .. ... .. .. ... . .. .... . .. ... .. . ... .. ... .. ... . .... .. ... .. . ...

Preva-lence inhousands

59B1,100

2807,7431,8041s6453831,6064,2345,4531,217

24,573833

1,6B72,6381,8534,0111,644

Number of physician visits

Tota I None 1 245 ormore

Unknown

100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0‘100.0

100.0100.0100.0100.0100.0100.0100.0

52.520.126.445.256.564.380.170.575.547.250.1

48.256.140.744.577.146.430.8

Percent dist

14.023.621.424.018.118.5

7.618.6

8.919.115.9

17.514.519.011.9

8.722.022.0

18.641.926.818.215.211.2

7.47.09.1

22.615.4

17.615.819.714.2

7.720.126.1

Ition

7.79.9

15.47.18.63.33.42.24.09.7

12.4

13.210.314.217.6

4.28.0

17.8

7.44.4

*1O.O5.6

●1.62.71.5

●1.52.41.36.2

3.6●3.2

6.311.7

2.43.53.2

Isee tab]e A for ICDA cod=.

NOTE: When a fk!ure is shown with an asterisk. it is mesented onlv for the rrurtroseof combinine with other cells. An estimate wiIlhave a relative standar~ error less than 30 percent when th; aggregate is& least 35;oob.


later date than actual onset if the physician has had the smallest (6.3 percent). Of the musculo-not told the respondent about the diagnosis. skeletal conditions, ost eomyeIitis and otherAmong skin conditions, chronic infections of diseases of the bone had the highest percentskin and subcutaneous tissue had the largest occurring in the 12 months preceding interviewpercent occurring in the previous 12 months (16.2 percent); the lowest was for bunions (2.9(32.1 percent), psoriasis and similar disorders percent).

7

Table E. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews and percent distribution ofconditions by f requancy of bother: United States, 1976

Selected chronic conditional

Skin

Dermatophytosis and dermatomycoses ... . .. ... .. ... ...Neoplasms of the skin .... . ... .... .. .. .... .. .. ... ... .. ... .. ... .. .

Chronic infections of skin and subcutaneoustissue, NEC ... .... ... . ..... . .. .... ... . .... .. .. ..... .. . .... .. . .... ..

Eczema, dermatitis, and urticaria, NEC .. ..... .. . .... ..Psoriasis and similar disorders .... ... .. .... . ... .... .. . ..... ..Other inflammatory conditions of skin and

subcutaneous tissue .. ... .... .. ... ... .. .. .... .. ... .. .... . .... . ..Corns and callosities .. .. . ..... . .. .... .. ... .... . .. .... .. .. ..... . . .Other hypertrophic and atrophic conditions of

skin .. ..... .. ... .. ... .. .... .. .. ..... . .. .... . ... ..... . .. .... . ... ... ... .. .Diseases of nail .. .. .... . ... .... .. .. ..... . ... ... .. .. ..... ... .... .. . ..Diseases of sebaceous glands, NEC (acne) . .. .... ... . ..Other diseases of skin and subcutaneous tissue,

NEC ..... . . .... .. ... ..... . ... .. .... . .... .. .. .... ... . .... .. .. .... . ... ..

Musculoskeletal

Arthritis, NEC ... .. .. .. ...... . ... .. ... .. .... . ... ... .. . . ..... . .. .... .Rheumatism, nonarticular and unspecified ... . .. .... .Osteomyelitis and other diseases of bone ..... . .. ..... .Displacement of intervertebral disc . ..... ... . .... . . ...... .Bunion . ... .... .. .. .... .. ... ... .. .. .... .. .. .... .. . ..... .. .. ... ... .. .... . .Synovitisr bursitis, and tenosynovitis .. . ... ... .. .. .... .. .Gout .. . ... ... ... .. .... .. .. .... .. .. ..... . .. .... .. .. .... .. ... ... . .. ..... .. .

Preva-lence inthou-sands

5981,100

2807,7431,804

1,9645,583

1,6064,2345,453

1,217

24,573833

1,6872,6381,8534,011

1,644

Frequency of bother

All Once Frequency UnknownTotal the Often in a not Never

botheredif

time while specified bothered

Percent distribution

100.0 14.9100.0 6.9

100.0 *7.5100.0 10.6100.0 26.9

100.0 14.5100.0 14.2

100.0 15.1100.0 9.3100.0 18.8

100.0 22.0

100.0 25.0100.0 17.0100.0 21.3100.0 23.4100.0 16.4100.0 10.9100.0 17.5

12.7*1.6

15.713.913.6

21.316.8

12.612.812.5

11.5

17.514.514.516.516.412.013.4

47.0

17.5

40.753.041.7

52.560.1

51.766.836.7

33.4

50.358.937.642.153.464.9

50.8

*1 .5‘0.6

“3.95.12.3

4.62.0

6.31.31.5

3.3

3.35.52.82.03.72.52.3

16.9

69.8

22.912.515.0

6.25.9

13.28.9

29.7

25.1

2.7*2.817.8

5.99.67.5

14.5

6,93.6

“9.35.0

*0.6

*1 .01.0

*1.20.90.8

4.8

1.3*1.1

5.910.2*0.5

2.3*1.5

.—


NOTE: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative standard error less than 30 percent when the aggregate is at least 35,000.


Table F. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews and percent distribution ofconditions by degree person bothered by condition: United States, 1976

Selected chronic conditions

Skin

Dermatophytosis and dermatomycoses .... .. .Neoplasms of the skin . .. .. ... ... .. ... . .. .... .. .. .. .. ..Chronic infections of skin and

subcutaneous tissue, NEC .... .... . .. ... .. . .... . ..Eczema, dermatitis, and urticaria, NEC ... . ...Psoriasis and similar disorders . .... .. .. ... .. . .. .. .. .Other inflammatory conditions of skin and

subcutaneous tissue ... . ... .. ... .. ... .. . .... . .. ... .. .Corns and callosities .. .... . ... .. .. .. .... .. . .... . .. ... .. .Other hypertrophic and atrophic

conditions of skin ..... .. .... .. .. .... .. . .... . .. .... ...Diseases of nail .... ... .. .... . .. ... .. .. .... ... . .... . .. ... .. .Diseases of sebaceous glands, NEC (acne) . ..

Other diseasas of skin and subcutaneoustissues, NEC .... ... .. .. .... . .. ..... . .. .... .. . .... . .. .. . ...

Musculoskeletal

Arthritis, NECK .. . .... .. ..... .. .. .... .. . .... .. ... .. ..Rheumatism, nonarticular and unspecified..Osteomyelitis and other diseases of bone ...

Displacement of intervertebral disc .. ... ... . ....Bunion .... . .. .... .. .. .... .. .. ... .. .. .... .. . ..... . ... .. ... . ....Synovitis, bursitis, and tenosynovitis . ... .. .. ...Gout .. . . .... .. .. .... .. .. .... . . ..... .. .. .... .. . .... .. .. ... ... . ...

lSee table A for ICD.4 codes.

Preva-lence

inthou-sands

5981,100

2807,7431,804

1,9645,583

1,6064,234

5,453

1,217

24573833

1,6872,6381,8534,0111.644

Degree condition bothers parson

BotheredUnknown

Total All NotGreat Very

if

bother- Some Other bothereddeal little

bothered

ations


100.0100.0

100.0100.0100.0

100.0100.0

100.0100.0100.0

100.0

100.0100.0100.0100.0100.0100.0100.0

76.326.6

67.982.584.5

92.893.1

85.690.269.4

70.2

96.096.076.284.089.990.384.0

15.94.3

20.7

20.416.5

19.824.2

9.825.610.3

17.7

30.627.428.041.225.534.935.6

34.39.3

32.938.039.0

45.946.7

40.042.033.4

31.1

44.946.534.933.642.840.031.6

24.111.8

13.222.626.6

25.720.5

33.921.324.1

19.9

17.917.210.5

6.619.7

J

13.314.5

‘2.0●1.3

*1.41.52.4

*1.41.8

*1.91.11.7

●1 .5

2.75.02.82.6

●1.82.22.3

16.969.B

22.912.515.0

6.25.9

13.28.9

28.7

25.1

2.7*2.817.8

5.99.67.5

14.5

6.93.6

*9.35.0

‘0.6

●1.O1.0

*1.20.90.8

4.8

1.3●1.1

5.910.2‘0.5

2.3*1.5

NOTES: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative standard error less than 30 percent when the aggregate is at least 35,000.


9

Table G. Number of selected chronic skin and musculoskeletal conditions reported in health interviews as causing bother and percantdistribution by degree person bothered by condition: United Statas, 1976

Selected chronic conditionl

Skin—

Dermatophytosis and dermatomycoses ... .... .. . ..... .. .. .. ... .. .... . .... ... . ... .... . .. ..... .. . .... ..Neoplasms of the skin .... .... .. .. ... ... .. .... .. .. .... .. .. .... .. ... .. ... .. .... .. .. .... .. .. .... .. .. .... .. .. .... .Chronic inactions of skin and subcutaneous tissue, NEC .. . ... ... ... .. .... . ... ... .. .. .... ..Eczema, dermatitis, and urticaria, NEC ...... .. . ..... .. .. ... .. .. ..... . ... ... ... . .... .. .. ..... .. . .... ..Psoriasis and similar disorders ... .. .. .... .. ... ... ... . .... .. .. .... .. .. .... . ... .... .. .. .... . ... ... ... .. .... ..Other inflammatory conditions of skin and subcutaneous tissue ... ... ... .. ... ... . ..... ..Corns and callosities .. .... .. .. .. ..... . ... .... . .. ...... . ... .. .. .. .. ... ... .. .... .. . .... .. ... ... .. ... ... .. .. ..... . .Other hypartrophic and atrophic conditions of skin . ... ... ... . ..... .. .. .... .. . .... .. .. .... ... .Diseases of nail .. .... ... . ..... ... . ..... .. .. .... .. .. .... .. .... .. .. .. .... .. .. ..... .. . .... .. .. ... .... .. ... . .. ..... .. ..Diseases of sebaceous glands, NEC (acne) ... .... ... . .... .. . .... ... .. .... .. .. ... ... .. .... . ... ... ... ..Other diseases of skin and subcutaneous tissue, NEC ..... ... . ..... . ... ... ... .. ... .. .. .... ... ..

Musculoskeletal

Arthritis, NEC ..... .. .. .... ... . .... ... .. .... .. .. .... ... .. .... .. .. .... .. .. .... .. .. .... ... . ..... ... ... .... . .... .... . .Rheumatism, nonarticular and unspecified ... . .. .... ... . ..... .. .. ... ... . ..... .. .. ... ... .. .... .. .. ..Osteomyelitis and other diseases of bone . ..... . ... ... .. .. .... .. .. .... ... .. .... . .... .. ... .. .... .. .. ..Displacement of intervertebral disc ..... .... . ..... . . .... ... .. .... .. . ..... .. .. ..... . ... ... ... . .... .. ... ..Bunion . ..... .. ... .... .. .. .... ... . .... .. .... .... . .. .... . .... .... . .. .... ... .. ..... . ... ... . ... .... .. .. ..... .... .... .. . ...Synovitis, bursitis, and tenosynovitis .. . ... .... ... . .... .. .. .... .. .. ..... ... . .... . .. .... .... . .... .. . ....Gout .. .. .... .... .. .... .. .. .... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. .... ... . .... .. .. .... .... ..... . .. .... .. .. .... .. .. .. .

NumberDegree condition bothers person

causingbother 1 1 1

brea~in thou- Total

dealsands I I “’”e I

456293190

6,3881,5241,8235,1991,3753,8173,787

854

23,601800

1,2862,2151,6653,6211,381


100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0

100.0100.0100.0100.0100.0100.0100.0

20.816.130.524.819.621.326.011.428.514.825.2

31.828.536.749.028.438.642.4

45.0

34.848.446.146.149.550.146.846.648.044.4

46.748.445.840.047.644.337.7

31.644.4

19.527.331 Ij

27.”722.039.6

23.634.728.3

18.617.:3

13.[37 J3

21J3

74.;717;2

*2.6*4.8*2.1

1.82.8

*1.51.9

*2.31.32.5

*2.1

2.85.33.73.1

*2.O2.42.7

I See table A for ICDA codes.

NOTES: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative standard-error less than 30 percent when the aggregate is at least 35,000.


10

Tabla H. Prevalence and incidencel in past 12 months of chronic skin and musculoskeletal conditions reported in haalth interviews andpercent incidence is of prevalence: United Statas, 1976

Selacted chronic condition2

Skin—

Dermatophytosis and dermatomycoses .. ... .. .. . .... .. .. .. .... . .... .. ... .. .. .. ... ... .. ... .. .. ... .. .. .... .. . .... .. .. ... ... .Neoplasms of the skin ... .. .... .. .. .... .. .. .... ... . .... .. .. ... .. ... ... .. . ..... . .. .... ... . .... .. . .... .. .. .... .. . ... .. . .... .. ... ... .. .Chronic inactions of skin and subcutaneous tissue, NEC ... . ... ... .. .. .... . .. .... .. .. ... .. .. .... . .. .... . ... ... .. .Eczama, dermatitis, and urticaria, NEC ... ..... . .. .. ... . ... ... .. . ..... ..... ... . . ..... . .. .... .. . .... .. . .... .. .... .. .. . ..... .Psoriasis and similar disorders .. .. .... .. .. .. .. .. . ... .. .. .. .. .. .. .... .. .. .... .. .. .... .. . .... . .. ... ... .. .... . ... ... . ... ... .. .. .... .Othar inflammatory conditions of skin and subcutaneous tissue . .. . .... .. .. ... ... . .... . .. ..... . ... .. ... . .... .Corns and callosities .. .... .. .. .... .. .. .... . ... .... .. .. .... . ... .... .. . .... . .. .... .... . .... . . ..... .. . ..... . .. ... .. .. .... . .. ..... . . .... .Other hypertrophic and atrophic conditions of skin . ..... . .. .... .. . ..... . . ..... . ... ... .. .. .... . .. ... ... . ... ... .. ... .Diseases of nail .. ..... . .. .... .. ... ..... . . .... .. .. ..... .. .. .... . .. .... .. .. .... .. .. ... ... ...... . .. ... ... . ... ... . .... . ... ... . .. .... ... . ... .Diseases of sebaceous glands, NEC (acne) ... .... . ... .... . . ..... .. ... .. ... .. ... .. .. ... ... . .... .. . .... . .. .... ... . .... .. . ... .Other diseases of skin and subcutaneous tissue, N EC .... .. . .. .. .. .. .... .. .. .... . .. .... . .. ..... .. .... .. .. ... .. ... ...

Musculoskeletal

Arthritis, NEC ... .. .. .. .. .. .. .. .. .... .. .. .... .. .... .... . . .... .. .. . ..... . ... .. .. .. .... .. .... .. .. .. .... .. .. .... .. .. .. ... . .... .. .. .... .. . ..Rheumatism, nonarticular and unspacified .. ... .. .. .... . ... .... .. .. .... .. . .... .. .. .... .. . .... .. ... .. ... . .... .. . ..... . .. ..Osteomyelitis and other diseases of bone .. .. .... ... . .... . .. .... ... .. .... . . .. .. .. .. . .... . .. .... .. .. .. ... .. .... . . ..... . ... .Displacement of intervertebral disc ... .. ..... . ... ... ... . .... . .. .... ... . ..... . ... ... .. .. ... .. .. .... .. .. .. .. ... ... .. .. .... .. .. .Bunion ... .. ... ... .... ...... . ... .... .. .. .... .. ... ... .. . .... ... .. .... .. . .... .. .. .... ... . .... .. .. ... .. .. ..... . . .... .. .. ... .. . . .... .. ..... .....Synovitis, bursitis, and tenosynovitis .. .. .... .. .. .... .. .. ... . .... .... .. . ... .. .. .. .. .. .. ..... . .. ... . .. .. .... . . .. .. .. .. ... ... ..Gout .........................................................................................................................................

1Incidence is defined ~ onset of the condition within 12 months of the week of inte~iew.

Preva-lence

in

5981,100

2807,7431,8041,9645,5831,6064,2345,4531,217

24,573833

1,6872,6381,8534,0111,644

lncidencelin

thousands

111309

901,649

113350373216420979246

1,99481

274245

53646172

Percent

is ofprevalence

18.628.132.121.3

6.317.8

6.713.49.9

18.020.2

8.19.7

16.29.32.9

16.110.5

Zc+e table A for ICDA codes.

NOTE: NEC = Not elsewhere classifiable.

11

CHANGES BETWEEN 1969AND 1976

Table J shows that the reported prevalenceof chronic skin conditions increased enoughbetween 1969 and 1976 to be statisticallysignificant for four cat egories, decreased signifi-cantly for three cat egories, and showed nostatistically significant change for three. Five ofthe categories of chronic musculoskeletal condi-tions had a significant increase in reportedprevalence between 1969 and 1976, and theother two categories had a significant decrease.

The reported prevalence of eczema, derma-titis, and urticaria also increased, as did thenumber of restricted-activity days associatedwith these conditions (table K). This is the onlycategory of skin conditions that increased inreported prewdence, incidence, and impactduring the 7-year period. However, a change inthe reported prevalence, incidence, and impactdoes not necessarily mean a change in the actual

level or seriousness of the disease, as reportingcan be influenced by medical contact, diagnosis,level of medical knowledge, willingness toreport, and the information collection process.

The reported prevalence of psoriasis andsimilar disorders, other inflammatory conditionsof skin and subcutaneous tissue, and diseases ofsebaceous glands (acne) increased between 1969and 1976, but for none of these diseases wasthere an increase in the reported 12-monthincidence that could not be attributed to sam-pling variabilityy. Neither was there any change inthe reported number of restricted-activity daysor bed-disability days per condition per year. Itis not certain, therefore, what the increase inreported prevalence of these diseases means.

The reported prevalence of corns and callosi-ties, other hypertrophic and atrophic conditionsof the skin, and diseases of the nail all decreasedbetween 1969 and 1976. For the first twodisease groups there was also a decrease in theincidence, but the incidence of diseases of the

Table J. Prevalence and incidencel par 1,000 persons of selected chronic skin and musculoskeletal conditions: United States, 1976 and1969

Selected chronic condition2

Skin.

Dermatophytosis and dermatomycoses .... .... .. .. .... .. .. .. .. .. .. .. ...... .. .. .. .. .. .. .... .. .. .... .. .. .. .... . . .. ... ... . ..... .. .. .... ..Neoplasms of the stin ... ...... .. .. .. .. .. ...... . ... .... ... . .... .. . .. ..... .. .. .... .. .. .... .. .. .. .... .. .. .. .. .. . .. ... .. .. .. .... .. .. ..... ... . ......Chronic infections of skin and subcutaneous tissue, NEC ... .... .. .. .... .. .. .. .. .. . ... .. .. .. .. .. .. .. .. . ... .. .... ... ... .. .... .Eczema, dermatitis, and urticaria, NEC .... .. ... . ...... .. .. .... .. ... ... .. .. .. ... ... .. .... .. . .. ..... .. . ...... . ... .... .. ... ... .... . .... .Psoriasis and similar disorders .... ... .. .... .. ... .... .. . ..... .. .. ..... .. ... ... .. .. ..... ... .. .... .. .. .... ... .. .. ... . .... .... .. . ..... .. .. .... ..Other inflammatory conditions of skin and subcutaneous tissue .... . .. . ..... .. ... .... . ... .... .... .. .... . ... ... ... .. .... .Corns and callosities .. .... .... .. .. .. .. .. .. ...... .. .. .... .. .. .... ... .. ..... . ... .... .. .. .. ... ... . ..... .. ... .... .. . ..... ... .. .... ... .. .... .. .. .....Other hypertrophic and atrophic conditions of skin ...... .. .. .... .. . ...... ... . ..... . ... .... ... .... .. ... .. ..... .. .. ..... . .. .....Diseases of nail .. .. ...... .. .. .... .. .. .. .. .. .. .. .. .. .. .. ...... .. .. .. .. .. ...... .. .. ..... . .. .... .. .. .. .... .. .... .... . ... .... .. .. .... .. .. ...... .. ......Diseases of sebaceous glands, NEC (acne) ..... .. .. .... .. .. .. .. .. .... .... .. .. .. .. .. .. .... .. .. ...... .. . ..... .. .. ...... . ... ..... .. . .... .Other diseases of skin and subcutaneous tissue, NEC .... .. .. .. .. .. . . .. .... .. .. .... .. .. .... .... . ..... .. .. ..... . .... .... .. .. .... .

Musculoskeletal

Arthritis, NEC ... .. .. .... .. . ..... .. .. .... ... . .... .. .... .... .. .. .... .... ...... . ... .... .. .. .... .. ... .... .. .. .... ... . ...... . ... .... .. .. ...............Rheumatism, nonarticular and unspecified .. .. .. .... .. .. .. .... .. .. .... .. .. .. .. .. .. ...... .. .. ..... . .. .... .. ... .... .. .. ..... ... . ..... .Osteomyelitis and other diseases of bone .... .. .. .... ... .. ..... .. .. .... ... . ..... . .. .. .... .. .. .... .. .. ...... . ... ..... . .. ..... ... . .... ..Disriacement of intervertebral disc ...... . ... ... ... . ..... .. .. ...... .... ...... . ... ... . .. .... .... .. ... .... . ..... . .... .... . .. .... ... .. ..... .

Synovitis, bursitis, and tenosynovitis .. .. ... ... ... . .... ... ... .... .. .. .... .. . . ..... . .. .. .... .. .. .... .... . ..... . ... .... .. ... .... .. .. ..... .

1Incidence is defined ~ onset ~f the condition within 12 months of the week of interview-2See table A for ICDA codes.

NOTE: NEC = Not elsewhere classifiable.

Prevalence

1976

2.8!5.21.3

36.88.69.3

26.57.6

20.125.9

5.8

116.74.08.0

12.58.8

19.07.8

1969

2.7. . .

1.530.2

6.57.2

41.58.8

22.919.7

5.4

92.96.14.5

8.612.316.5

4.8

lncidencel

1976

0.51.50.47.80.51.71,81.02.04.61.2

9.50.41.31.20.33.10.8

1969

0.6. . .

0.55.60.51.42.91.42.54.51.4

8.70.71.01.00.63.30.8

12

Table K. Number of restricted-activity days and bed days in the preceding year for selected chronic skin and musculoskeletal condi-tions: United States, 1976-and 1969

Selected chronic conditions

Skin—

Dermatophytosis and dermetomycoses .. .. .. .... .. .. .. .. .. .. .. .. ..... . .. .... .... .. .. .. .... . .. ... .. .. . ... .. .. .... .. ..... . .. ... . .. . ... ..Neoplasms of the skin ..... ... ... .. .. ..... . ... ... .. . ..... . . ..... . .. ... .. .. .... . .. .... .. . ... .. .. ..... .. ..... ... .... . .. ... .. . ..... . ... .. ... . ......Chronic infections of skin and subcutaneous tissue, NEC ... . ... .. .. .. .. .. .. ... . .. .... .. .. ... . .. .. .. .. .. .... .. .. .. .. .. .. .. .. .Eczema, dermatitis, and urticaria, NEC ... .. .. .. . ... .. .. .. .. .. .. .. .. .. .... .. .... .. .. .... .. .. .. .. . . .... .. .. .... . .. ... .. .. ... . .. .. .. .. ..Psoriasis and similar disorders . .... ... ...... ... ... ... . .... .. .. ... . ... .. ... . .... .. .. ... .... .. .... . .... . .. ... . ... .... .. . .... . ... ... .. .. ... .. . .Other inflammatory conditions of skin and subcutaneous tissue .. .. .. ... . .... .. .. . .... .. ..... .. . .... ... . ... .. .. ... ... . ..Corns and callosities ... .. . .... .. .. ..... . . .... .. .. .... . ... .... .. . ... .. .. .... . ... ... .. . .... . .. ... ... . .... .. . .... . .. .... .. .. ... . .. .... .. . ..... .....Other hypertrophic and atrophic conditions of skin .. ... ... . .... ... . ... .. . .... . ... ... ... . ... .. . ... .. .. .... .. .. .... . . .... ... .. ..Diseases of nail .. .. .. ... .. .. .... .. .. ... .. . .... ... . .... .. . .... . .... ... .. . .... .. .. .. .. ... .... . . ..... . .. ... .. .. .... . .. ... .. .. ... .. .. ... ... . ...........Diseases of sebaceous glands, NEC (acne) . ..... .. .. ... .. .. ... .. .. .... . .. ... ... . .... . . .. ... . ... .. ... . ... .. .. .... . .. ... .. .. .... .. . .... .Other diseases of skin and subcutaneous tissue, NEC ... . .. .... . ... ... ... . ... .. . ..... .... .. ... . .. ... . .... . .. .... ... . ... .. .. .... .

Musculoskeletal

Arthritis, NEC ..... .. .. ..... . .. .... .. .. .... . .. ... .. .. .... .. . ..... . . .... . ... ... ... . .... . .. .... .. .. ... .. . .... . .. ..... . .. ... .. .. .... . . ................Rheumatism, nonarticular and unspecified ... ... . .. .... . .. .... .. ... .... .. .... .. ...... .. .. .. .. .. .... .. .. .. ... . .... .. .. ... . .. .... .. .. .Osteomyelitis and other diseases of bone . .... ... .. .. .... .. ..... . .. ... ... .. ... .. . .... .. .. .... . .. ..... . ..... .. . ... ... .. ... . . .... ... . ...Displacement of intervertebral disc . .. .. .... .. .. ... . .. . ..... .. .... .. . ... .. .. .. .. .. .. .... .. .. .. .... .... .. .. ... . .. .. .. .. .. ..... . .. .. .. .. ...Bunion . .... .. .. .... .. .. .... .. .. .. .. .. .. .... .. .. .. .. .. .... .. .. .... .. . ... .. .. .... . .. .... . .... .. .. .. .... . . ... . .. .. . ... .. .. .... . . ..........................Synovitis, bursitis, and tenosynovitis ... .... .... .. .. .... ... . .... .. .... .. .. .... .. .. ... .. . .... .. .. .... .. . .. ... .. .... . ... .... .. .... .. .. .. ..Gout .. ..... .. .. ..... . .. .. .. .. .. ... .. . .. .. .. . . .... .. .. .... .. .. ... . .. ...... .. .... .. . ..... ... ... .. .. .... . . .... ... . ... ... .. ... .. ............................


Restricted-activityays per conditior

per yaar

1976

*1.35.8

*12.94.03.4

*1.52.5

‘0.81.71.47.5

15.315.115.729.2

5.28.1

16.8

1969

●✎

✎✎✎

19.61.93.22.30.4

“0.21.11.46.8

12.48.9

17.421.1

1.95.6

12.0

Bed days perconditionper yaar

1976

*.“2.0*3.3●0.6*0.8*0.3*0.5

●-

*O.2*0.5

5.2

4.2*2.6

4.38.4

*1.O●1.2

4.7

1969

*.. . .

10.40.31.10.5

*0.5●0. I●0.2

0.83.2

3.64.87.98.0

*0. I1.54.8

NOTES: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative standard error less than 30 percent when the aggregate is at least 35,000.


nail did not change. The number of restricted-activity days per reported corn or callositycondition increased from 0.4 to 2.5 days peryear. This combination of decreased reportedprevalence and incidence with increased re-ported impact could result if persons in 1969remembered and reported minor problems withcorns and callosities, but persons in 1976 re-membered and reported only those that had agreater effect on their daily lives. The questionin 1976 was, “During the past 12 months didanyone in the family have TROUBLE withbunions, corns, or calluses?,” with the inter-viewer instructed to emphasize the capitalizedword. The 1969 question had the word“trouble” printed in the lower case and therewas no instruction to have it emphasized.

There was no change in the prevalence orincidence of dermatophytosis and dermatomy-

coses, chronic infections of skin and subcutane-ous tissue, NEC, and other diseases of skin andsubcutaneous tissues, NEC. For chronic infec-tions of skin and subcutaneous tissue, NEC,however, there was a decrease from 10.4 to 3.3in the number of bed days per condition peryear.

Bunions (a musetdoskeletal condition), likecorns and callosities, decreased in prevalence andincidence between 1969 and 1976, but showedan increase in the number of restricted-activitydays per reported condition that might beattributed to the emphasis on the word“trouble” in the 1976 question. The othercategory of chronic musculoskeletal conditionsto exhibit a decrease in prevalence and incidencebetween 1969 and 1976 but an increase inimpact was rheumatism. The change in rheuma-tism could not be attributed to interviewer

13

emphasis of a word but could have resulted froma wider use of the term “arthritis” instead of“rheumatism” in 1976.

The other chronic musculoskeletal condi-tions–arthritis; displacement of the interverte-bral disc; osteomyelitis and other bone diseases;synovitis, bursitis, and tenosynovitis; and gout—had an increase in reported prevalence between1969 and 1976, but no statistically significantincrease in reported incidence. Osteomyelitisand other diseases of the bone had a 78-percentincrease in reported prevalence, from 4.5 condi-tions per 1,000 persons in 1969 to 8.0 in 1976.Accompanying this reported increase in preva-lence, however, was a decrease in the averagenumber of bed-disability days per conditionfrom 7.9 to 4.3 bed days per condition per year.This amount of change in the 7 years could beproduced by an increased reporting of condi-tions that were sufficiently mild so that theyproduced no bed disability for the person.

Arthritis; displacement of disc; synovitis,bursitis and tenosynovitis; and gout showed anincrease in the number of restricted-activity daysper condition as well as an increase in preva-lence. Arthritis also showed an increase from 3.6to 4.2 bed days per condition per year. Thusalthough these categories of conditions did notshow an increase in incidence, they did show anincreased effect on people between 1969 and1976 with increased prevalence of the condi-tions associated with more restricted activity percondition.

PREVALENCE BY SELECTEDDEMOGRAPHIC CHARACTERISTICS

Each of the chronic skin and musculoskele-tal conditions has been distributed by age andselected demographic characteristics in tables1-18. Since the age distribution of groups of thepopulation may differ, it is advisable to examinethe age-specific prevalence rates per 1,000 per-sons as well as the crude rate for all ages.Highlights of the distributions in the tables arediscussed in the following section for some ofthese diseases. The diseases not discussed are ofrelatively small magnitude particularly whenmaking comparisons between demo~aphic

groups. Therefore, caution should be takenwhen interpreting differences observed, amongdemographic characteristics for these conditions,because the differences may be attributed tosampling error.

Eczema, Dermatitis,and Urticariar NEC

The prevalence rate of eczema, dermatitis,and urticaria per 1,000 persons did not varymuch by age, although the rate for persons17-44 years was higher than the rate for persons45-64 years of age (figure 1 and table 4). Theseconditions were more prevalent among femalesthan among males (figure 2) and were moreprevalent among white persons than among allother persons (figure 3). The rate increased witheducation of the family head, and was highest inthe West and lowest in the South.

Corns and Callosities

The prevalence of corns and callosities per1,000 persons increased with age. Corns andcallosities were more prevalent among femalesthan among males , and were more commonamong all other persons than among whitepersons. Table 7 also shows that the prevalencerate of corns and callosities decreased withincreased family income.

Diseases of Nail

Ingrowing nails constituted the majority ofconditions classified under the category ofdiseases of nail. The prevalence rate of diseasesof nail (table 9 and figure 1) increased with age,was higher for females than for males, and washigher for white persons than for all otherpersons. As family income increased or as theeducation of the household head increased, theprevalence of diseases of nail per 1,000 personsdecreased.

Diseases of SebaceousGlands, NEC

Acne is the major condition contained inthis category (table 10). The rate per 1,000persons for these conditions was highest amongpersons 17-44 years of age. Males had about the

14

440

420FI

400

380

I360

t

340

320

I

I

280 1-

I

255.8

140

120

100

80

60

40

20

“1 2.2

Arthritis, NEC

436.6

Under 17 years

❑,.,:,..,,F,,,

:,:,::.:}.:.::,::,:,:,:::,,,:,,.,1744 years:x+:+:+:.:

45+34 years

E

=.-;--65 yearsand over

= . .

60

40

20

0

Synoviik, bursitis,Znd tenosynovitis

40

20

0

Eczema,dermatitis, and urticaria, NEC

‘0r 47.6

40

20

0

80

60

40

20

0

Cams and Callosities

60r

Diseasesof sekeous glands,NEC [acne!

Figurel. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews per 1,000 persons, by age:

United States, 1976

15

160

140

I 20

100

80

60

40

20

0

44,4

34.8

147.7

21.4

Eczema, Corns and Diseases Diseasesdermatitis,

Arthritis,callosities

SynO. itis,of nail of N EC bursitis,

and urti. sebaceous and teno.caria, NEC glands, NEC

(acne)synovitis

t

Figure2. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews per 1,000 ~ersons, bv sex:

United States, 1976

16

3B.3

Eczema,dermatitis,

and urti.caria, NEC

36.0

Corns andcallosities

20.9

Disms-ssof nail

27.9

Diwa-of

sebacmusglands, NEC

(we)

119.2

Anhrids,NEC

20.7

Synovitis,bursitis,

and teno.synovitis

Figure3. Prevalence of selected chronic skin and muwuloskeletal conditions rapotied inhealth intemiews perl,OOO persons, by color:United States, 1976

same rate as females, the only condition groupin figure 2 showing no statistically significantsex differential White persons were more likelyto have these conditions than were other per-sons. There was a direct relationship witheducation of the family head: the higher theeducation, the higher the prevalence of diseasesof the sebaceous glands. Residents of the WestRegion were more likely to have these condi-tions than were residents of other regions.

Arthritis, NEC

The prevalence rate of arthritis increasedwith age such that about four out of every ninepersons 65 years of age or older (436.6 per1,000) were reported to have an arthrhic condi-tion (table 12). Arthritis was reported more

frequently by females than by males. Whitepersons reported a higher prevalence rate thanother persons reported, but this relationship isnot found at dl age groups. The prevalence ofarthritis decreased with increased income andwith increased education.

Synovitis, Bursitis, andTenosynovitis

The prevalence rate of synovitis, bursitis,and tenosynovitis by age was highest for persons45-64 years old, and next highest for persons 65years of age or older (table 17). These condi-tions were more prevalent among females thanamong males , and were more prevalent amongwhite persons than among aII other persons.

REFERENCES

1National Center for Health Statistics: Prevalence ofchronic skin and musculos keletal conditions, UnitedStates, 1969, Vital and Health Statistics. Series IO-NO.92. DHEW Pub. No. (HRA) 75-1519. Health ResourcesAdministration. Washington. U.S. Government PrintingOffice, Aug. 1974.

2National Center for Health Statistics: Prevalence ofselected impairments, United States, 1971. Vital andHealth Statistics. Series 10-No. 99. DHEW Pub. No.(HRA) 75-1526. Health Resources Administration.Washington. U.S. Government Printing Office, May1975.

3National Center for Health Statistics: Current Esti-mates from the Health Interview Survey, United States,1976. Vital and Health Statistics. Series 1O-NO. 119.DHEW Pub. No. (PHS) 78-1547. Public Health Service.Washington. U.S. Government Printing Office, Nov.1977.

4National Center for Health Statistics: Profile ofchronic illness in nursing homes, United States, NationalNursing Home Survey, August 1973-ApriI 1974. Vitaland Health Stat&tics. Series 13-No. 29. DHEW Pub. No.(PHS) 78-1780. Public Health Service. Washington. U.S.Government Printing Office, Dec. 1977.

5National Center for Health Statistics: Eighth Re-vision International Classification of Diseases, Adaptedfor Use in the United States. PHS Pub. No. 1693. PublicHealth Service. Washington. U.S. Government PrintingOffice, 1967.

6Scotto, J., Kopf, A. W., and Urbach, F.: Non-melanoma skin cancer among Caucasians in four areas ofthe United States. Cancer 34(4): 1333-1338, Oct. 1974.

7National Center for Health Statistics: Herdth sur-very procedure: Concepts, questionnaire development,and definitions in the Health Interview Suxvey. Vital andHealth Statk.tics. PHS Pub. No. 1000-Series l-No. 2.Public Health Service. Washington. U.S. GovernmentPrinting Office, May 1964.

8National Center for Health Statistics: Health Inter-view Survey procedure, 1957-1974. Vital and HealthStatistics. Series l-No. 11. DHEW Pub. No. (HRA)75-1311. Health Resources Administration. Washington.U.S. Government Printing Office, April 1975.

9U.S. National Health Survey: The statistical designof the health household interview survey. Health Statk-tics. PHS Pub. No. 584-A2. Public Health Service.Washington, D.C., July 1958.

10National Center for Health Statistics: Estimation andsampling variance in the Health Interview Survey. Vitaland Health. Statistics. PHS Pub. No. 1000-Series 2-No.38. Public Health Service. Washington. U.S. GovernmentPrinting Office, June 1970.

11 National Center for Health Statistics: Quality con-trol and measurement of nonsampling error in theHealth Interview Survey. Vital and Health Statistics.Series 2-No. 54. DHEW Pub. No. (HSM) 73-1328. HealthServices and Mental Health Administration. Washington.U.S. Government Printing Office, Mar. 1973.

12 Nation~ Center for Health Statistics: Health inter-view responses compared with medical records. Vital andHealth Statistics. PHS Pub. No. 1000-Series 2-No. 7.Public Health Service. Washington. U.S. GovernmentPrinting Office, July 1965.

13National Center for Health Statistics: Comparison ofhospitalization reporting in three survey procedures.Vital and Health Statistics. PHS Pub. No. 10OO-Series2-No. 8. Public Health Service. Washington. U.S. Govern-ment Printing Office, July 1965.

14 National Center for Health Statistics: Interview dataon chronic conditions compared with information de-rived from medical records. Vital and Health Statistics.PHS Pub. No. 1000-Series 2-No. 23. Public HealthService. Washington. U.S. Government Printing Office,Ma 1967.

1‘National Center for Health Statistics: The influenceof interviewer and respondent psychological and be-havioral variables on the reporting in household inter-views. Vital and Health Statistics. PHS pub. No.

1000-Series 2-No. 26. Public Health Service. Washington.U.S. Government Printing Office, Mar. 1968.

16National Center for Health Statistics: Impairmentsdue to injury, United States, 1971. Vital and Health

Statistics. Series 1O-NO. 87. DHEW Pub. No, (HRA)74-1514. Health Services and Mental Health Administra-tion. Washington. U.S. Government Printing Office, Dec.1973.

18

LIST OF DETAILED TABLES

1. Prevalence of dermatophytosis and dermatomycoses and number per 1,000 parsons, by age and selected characteristics:United States, 1976 ... .. . .... ... . ... ... . ..... . . .... . ... .. ... .. .... . . .... . ... ... .. .. .... .. . .... . ... ... .. . .... . ... ... . ... ... .. . ... .. . . ... .. .. .........................................- 20

2. Prevalence of neoplasms of the skin and number per 1,000 persons, by age and selected characteristics: United States,1976 .... .... .. .. ... ... .. .... . .. ..... . .. .... . .. .... .. .. ... ... . .... . . ..... . ... ... ... ..... . .. ... . ... ... .. .. .... . ... ... .. . .... . . ................................................................. 21

3. Prevalence of chronic infections of skin and subcutaneous tissue, not elsawhere classif iable, and number par 1 MM parsons, byaga and selactad characteristics: United States, 1976 ... .... . .. ... .. .. .... . ... ... . .. .... .. . .... . .. .. .... . .... . . .... .. ... .. .. .. .... . .. .... . .. .... .. . ... ... .. .. .. . .. .. 22

4. Prevalence of eczema, dermatitis, and urticaria, not elsewhere classif iable, and number par 1,000 parsons, by age and selectedcharacteristics: United Statas, 1976 .. . .. ... .. ... .. .. ... ... .. .. ... .. . ..... . .. .... ... ... ... . .... .. . .... . .. ... ... .. ... . ... ... . .. ..... . . .. .. .. . .... .. . ..... . .. .................. 23

5. Prevalence of psoriasis and similar disordera and number per 1,000 persons, by age and selected characteristics: UnitadStates, 1976 .. ..... . ... .. .... . ..... . .. ... ... .. .. .. ... ... .. . .... .. .. ... .. .. .... .. . .... . ... ... .. . ... .. .. .... .. . .... . .. .... . .. .. ... .. ........................................................ 24

6. Prwalence of other inflammatory conditions of skin and subcutaneous tissue and number per 1,000 persons, by age andselected characteristics: United Statas, 1976 . .. ... .. ... .. .. . . .... . .. .... .. . ... .. ... . ... . .. .... . . .. .. .. .. .... .. .... .. . ... ... ... .. .. . .... .. .... .. . .... .. .. .... .. .. .. ...... 25

7. Prevalence of corns and callosities and number per 1,000 persons, by age and salected characteristics: United States, 1976 . .. 26

8. Prevalence of other hypertrophic and atrophic conditions of skin and number per 1,000 persons, by age and selected charac-teristics United States, 1969 . . .... .. . ..... . . ..... . .. ... ... . .... . ... ... .. .. .. .... . .... ... ... .. . ...... .. .... .. . ... .. .. .. .. .. .. ... .. .. .. ... ..... . .. .... ........................... 27

9. Prevalence of diseases of nail and number per 1,000 persons, by age and selected characteristics: Unitad States, 1976 .. .... . .. .. 28

10. Prevalence of diseases of sebaceous glands, not elsewhere classif iable (acne), and number par 1,000 parsons, by age and selectedcharacteristics: United States, 1976 . . ... ... . ... ... .. . .... .. . .... ... .. ... ... ..... .. .... .. ... .. ... . ... ... . .... . .. .... .. . .... .. ... ... . . .... .. .. ... .. .. .... .. . .................. ~

11. Prevalence of other diseases of skin and subcutaneous tissue, not elsewhera classifiable, and number per 1,000 parsons, by ageand selected characteristics: Unitad States, 1976 ... . .... . ... ... .. . ..... . .. .... . .. ... .. . .. ... . ... ... ... .... .. .. .... ... ... ... . ..... .. .... ... . .. .. . ... ... .. . .. .. .... . ... 30

12. Prevalence of arthritis, not elsewhere classifiable, and number par 1,000 parsons, by age and selected characteristics: UnitadStates, 1976 .. .. .. .... ... . ..... .. .. .. ... . ..... . .. ... .. ... ... .. . ..... . . .... .. ... .... . . ..... . ... ... .. . .... .. . ..... ... ... ... .. .... . .. ........................................................ 31

13. Prwalence of rheumatism, nonarticular and unspecified, and number per 1,000 persons, by age and selected chamteristics:United States, 1976 ..... .. .. ... . .. ..... . .. .... .. .. ... ... . .... .. . .... .. .. .... . .. ... .. .. ... ... .. ... .. .. ... .. ... ... . .. ... ... .. .... .. . .. . .. .... .......................................... 32

14. Prevalence of osteomyelitis and other diseases of bone and number per 1,000 parsons, by age and selected characteristics:United States, 1976 . .... . .. .... .. .. ... ... . .... . .. .... . ... ... .. ..... .. .. ... ... . ... ... ..... . ... ... ... .... .. .. .... ... ... ... . .... .. .. ... .. . ..... . ....... ................................ . 33

15. Prevalence of displacement of intervertebral disc and number par 1,000 persons, by age and selected characteristics: UnitedStates, 1976 .. .. .... .. . .. .. .. .. .... .. . ..... . .. .... .. . ... .. . ..... . .. .... .. .. .... ... ... . .. ..... .. . .... .. .. .. ... .. ... . ... ... .. . ... .. . ........................................................ 34

16. Prevalence of bunion and number per 1,000 persons, by age and selected characteristics: United States, 1976 . . .. .... . .. .. .. .... . ... 35

17. Prevalence of synovitis, bursitis, and tenosynovitis and number per 1,000 parsons, by age and selected characteristics:United States, 1976 . ... .. ... .. .. .... .... .. .. .. .... .. .. .. . ... ... ... . ..... . . .... .. . ... .. ... .... . .. .... . . .... .. ... .. ... . ... ... ... ... ... ... . .. ........................................... 36

18. Prevalence of gout and number per 1,000 persons, by age and selected characteristics: Unitad States, 1976 .. .. . ..... . ... ... .. .. .... . . 37

19. Population used in obtaining rates shown in this publication, by age and selected characteristics: Unitad States, 1976 .. ... .... . . 38

19

Table 1. Prevalence of dermatophytosis and dermatomycoses and number per 1,000 persons, by age and selected characteristics: UnitedStates, 1976

[ Data are based on household interviews of the civilian noninstitutionalized population. The survey design, general qualification, andinformation on the reliability of the estimates are given in appendix I. Definitions of terms are given in appendix H]

Characteristic

Totall ... .. .. .... . ..... .. .. ... .... ... .. .... .. .. .... .. . .... ... .... .... .. .... . ... ..

Sex.

Color

Family income

Less than $lO.OOO ... .. .... .. ... .... .. . ..... ... .. .... .. .. ... ... .. .... .. .. .... .. .. .... ... . ..

$10,OOO or more ..... . . .... .. .... .... .. .. ... .. .. ..... . ... .. .. .. .. .. .. .. ... ... .. .. .... .. ... .

Education of head of family

Less than 12 years .... .. ... .... .. . .. ... ... . ..... . .... .... . .. .... .. ... ... .. ... ... .. ... ..... .12 years .... .. ... .... .. . ...... .. .. .... . ... .... .. .. ..... . .. .... .. . .. .... .. .. ... ... .. .... ... . .... ..13 years or more ... .... ... .. ..... .. .. ... .. ... .... .. .. ..... . .. .... ... .. .... .. . .... ... .. .... .

Place of residence

Geographic region

lIncludes unknown income and education.

Prevalence of conditions

in thousands

598

376222

53563

178384

168178242

421178

145134208112

111

7338

95“15

3664

*32

50*29

6843

*I9*3436*22

303~

20697

26736

74219

6477156

22082

756111354

185

9887

173*I2

67101

725157

13253

51395935

Number per 1,000 persons

2.8~

3.72.0

2.92.3

2.53.2

2.32.63.7

2.92.7

3.02.43.12.9

1.8

2.41.3

1.9*1.5

1.91.7

*1.62.3*1.6

1.72.2

*1.4*2.11.8

‘2.0

3.6

5.02.2

3.63.2

2.84.2

2.82.65.0

3.73.2

3.92.74.23.4

2.8

3.32.5

3.0*1.8

2.53.3

2.33.03.8

3.02.5

3.22.32.93.2


20

Tabla 2. Prevalence of neoplasms of the skin and number per 1,000 persons, by age and selectad characteristics: United States, 1976

[Data are based on household intewiews of the civilian noninstitutionaIized population. The survey design, general qualification, andinformation on the reliability of the estimates are given in appendix I. Definitions of terms are given in appendix II]

Characteristic

Total 1 ... ... ... .. .. ... .. ... ... ... . ... .. . .... .. ..

Sex—

Male ... . .... . ... .... ... . ..... . .. .... . ... .... . .. ... . ... ... ... . ....Female ... .. ... ... .. .. ... ... ... ... . .. .... .. .. .... .... .. ... . .....

Color

White .. . ... ... ... . .... .. ... ..... . .. .... . ... ... .. .. .... . . .... .. .. .All other ... .. ... .... . . ..... .. .. ..... . . .... .. ... ... .. . ..... . .. ..

Family incoma

Less than $5,000 ..... .. .. ... ... . .... .. . .... . ... .. ... .. .. ..

$5.000.$9.999 . ... ... .. .. .... .. .. ... .. .. ... .. . .. ... . ... .... .$lo.mo.$14n999 . .. ... ... .. . .... ... .. ..... . . .... . ... ... ...$15,000 or more . .... ... ... . .... .. . .... ... . ..... . .. .... . ..


Less than 9 years ..... .. ... .. ... . ..... . .. .... .. .. .... . .9-11 years .. .. .... ... . .... . ... ... ... .. ... .. . ..... . ... .... .. ....12 years ... . ..... .. . .... ... . .... .. .... .. .. ... .... . .. ... .... . ....13-15 yaars ... .. .. ... .... . .... .. .. .... . ... .... .. . .... . .. . ... ..16 years or more . ... .. ..... . ... ... .. . ..... . .. .... .. .. .... .

Place of rasidence

SMSA .. .. .. .... .. . .... .. ... ... .. .. .... . ... .. .. .... ... .. . .... .. ..Central city . .. . ..... .. ... .... .. . .... . ... ... ... . .... .. ...Not central city .. .. .. ... .. .. ..... .. . .... ... . .... .. .. ..

Outside SMSA., ............................................Nonfarm ... .. ... ... .. .... .. .. .... .. . . .... .. .. .... .. .. ....Farm .. . ... ... .. ... ... .. .... . .. .... ... . ..... .. .. ... . .. .... ..

Geographic region

Northeast .. .... . ..... . ... .... . .. .... . ... .... .. . .... .. . .... . ...North Central .. .... . ... ... ... . .... .. . ... ... .. .... .. . .... . ...South . .. .. .... .. .. .... . ... ... ... .. ... ... .. ... .. .. ... .. . ..... .. . .Wast ... .. .. ... ... . .... .. ... ... .. . ..... .. . .... ... . ... .. .. .... . ... .

~In~l~des unknown income and education.

Prevalanca of conditions in thousands

1,100

551550

1,071*29

214226179369

251180291147224

734261472367335’32

163244397297

*3O

*8●2I

*24*5

+3●2●9*8

*2●4

*I4“7*3

●21“9

●13*9“9*-

*4*12*II

‘3

232

106126

227*5

*32425664

“23*28793565

16761

1066563●2

53556955

472

260212

460●13

488769

229

7488

12675

107

32397

227149133●16

7892

159143

367

176190

361*6

131964348

1526072

+3049

22295

127145131*I4

●2885

15895


5.2

5.45.0

5.9*1.O

7.45.34.04.9

6.15.54.24.86.5

5.14.35.75.55.6

*4.9

3.44.35.97.8

●0.5

‘0.3*0.7

*0.5*0.5

‘0.5“0.2*0.6“0.4

*0.2*0.4*0.7“0.8*0.3

“0.5*0.5*0.5*0.5*0.5

●.

*0.3*0.7*0.5+0.3

2.7

2.62.9

3.1‘0.4

●3.32.63.02.5

●2.2●2.32.62.34.0

2.82.43.12.62.7

‘0.9

2.82.42.63.4

10.9

12.69.4

11.9●2.9

9.811.18.1

13.1

6.911.89.7

15.017.2

10.87.7

13.111.211.4●9.8

7.18.1

11.719.5

16.8

19.614.8

18.3‘3.0

16.815.618.618.2

15.218.617.0

●17.224.5

16.013.718.418.318.5

●16.6

*5.514.322.325.8

NOTE: When a figure isshown withan asterisk, it ispresented only forthepurpose ofcombinhg tithother cells. Anestimatetilhave a relative standard error Iesa than 30 percent when the aggregate is at least 35,000.

21

Table3. Prevalence of chronic infections ofskinand subcutaneous tissue, noteIsewhere classifiable, andnumber perl O@persons, bYageand selected characteristics: United States, 1976

[Data are based on household interviews of thecivilian noninstitutionalized population. Thesumey design, general qualification, andinformation on the reliability of theestimates are given in appendix l. Definitions ofterms aregiven in appendix II]

Characteristic

Totall . .... . ..... .. ... ... .. ... .... ... . ..... . .. ..... .. .. .... .. . .. ..... . .. .... .. .. .

&

Female ..... .. ... .... .. .. .... .. .. .. .... . ... .... .. .. .. .. .... ...... .. .. ..... . .. .... . .... ..... .. .. ..

Color

White ... ... .. .... .. .. .... ... .. ..... .. . ...... .. .. .... ... . .... ... .. ..... . .. .... ... . ..... .. ... .... .. .All other .. ...... .. ... .... . .. ..... .. ... .... . .. ..... ... . ..... ... .. .... .. ... ... .... .... .. .... .... . .

Family income

Less than $lO.OOO ...... .. . ...... .. .. ... ... .. .... .... . .... .. ... ... .. .. . .... .. ... .... .. .. ...$10,000 or more . ... . .... .. .. .... ... .. ..... . ... .. ..... . ..... .. .. .... .. .. .... .... . ... ... .. ..

Education of head of familv

Less than 12 years .... .. ..... .. .. ..... .. .. .... .. .. .... ... ... .... . .... .. ... .. ..... . .. ..... ..12 years . ... .. .... .. ... .... .. ... ... ... . ..... ... .. ..... . .. .... ... ... .... .. .. .. .. .. . ..... .. .. ..... .13 years or more . .... ... .. .... ... ... .. ... .. ..... .. ... .... .. . ..... ... .. .... .. . .... ... .. .....

Place of residence

SMSA ............................................................................................Outside SMSA .. .. .. .... . ... ... ... .... .. .. .... .. .. ..... . .... .... .. . ..... . ... ...... .. .... ... ..

Geographic region

llncludes unknown income and education.

mPrevalence of conditions

in thousands

280

135145

24040

94161

7385

117

21465

92646757

49

*26’24

35*I5

*I235

*lo*18*2O

*32*I8

*I6*II*I4

*9

158

7880

142*I6

4596

*314777

129“30

5439

*3O35

72

*3O41

63+9

37*29

“32*20*2O

54●18

*22*I4*23*I3

II 1 1


1.3

1.31.3

1.31.4

1,31,3

1,01.21.8

1.51.0

1.91.11.01.5

0.8

*0.8‘0.8

0.7*1.5

* 0.61.0

*0.5“0.8*1.1

‘0.8‘0.9

*1.2*0.7*0.7* 0.8

1.9

1.91.8

1.9*1.4

1.71.8

*1.41.62.5

2.2*1.2

2.81.7

*1.12.2

1.1

*1.O1.2

1.1*1.4

1.4*0.9

*1.O*1.2*1.3

1.2*0.8

*1.4‘0.8*1.1*1.2

NOTE: When a figure is shown with an asterisk, it is presented only forthepurpose ofcombtiing with other cells. An estimate tillhave a relative standard error less than 30 percent when the aggregate ia at least 35,000.

22

Table4. Prevalence of eczema, dermatitis, and urticaria, not elsewhere classifiable, andnumber perl,OOO wrsons, byageand=lect~characteristics: United States, 1976

[Data are based on household interviews of the civilian noninstitutionalized population. The survey design, general qualification, andinformation on the reliability of the estimates are given in appendix I. Definitions of terms are given in appendix II]

Characteristic

Totall ..........................................

Sex—

Male .............................................................Female .... .....................................................

Color

White ........................................................ ....All other .............. .......... ...............................

Family income

Lessthan $5,000 ...................................... ....$5#om.$9.999 ......................... .....................$lo.ooo414.999 ...... .......... ...... .......... ...... ....$15,000 or more ..........................................


Less than 9 years .. .. .. .. .. .. .... .. .. .... .. .. .... .. .. .. .. ..9-11 years .. .. .. .... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... . .. .12 years ... ..... . .. .. .. .... .... .. .. .... .. .. .. .. .. ..... . .. .... .. .13-15 years . .. .. .. ... . .. .. .. .. .. .. .. .. .. .... .. .. .... .. .... .. ..16 years or more . .. ... . ... ..... .. .... .. .. ... . .... . ... .. .. .

Place of residance

SMSA ...... .. ...................... .......... ...................Central city .. .. ........ ...... .. ............ .............Not central city .......................................

Outside SMSA ......................... .. ........ ...........Nonfarm ........ .................... .....................Farm ....... .......... .................. ....................

Geographic region

Northeast ........ ...... .................. ...... ...... .... .....North Central ....... .......... ................ ..............South .. .......... ...... ........ .. .............. .. ...............West .............................................................

II I 1 1

Prevalence of ccmditions in thousands

7,743

2,8984,845

6,996747

1,0951,4501,5573,121

1,0311,0512,4171,3481,840

5,5392,3023,2372,2042,010

194

1,8082,0961,9881,851

2,337

1,1261,211

2,047280

194426500

1,030

209302743432633

1,690645

1,045647596

51

605647543542

3,266

1,0772,189

2,!352314

440572745

7,360

220413

1,078662876

2,3801,0101,380

876802

74

758881803824

1,461

475986

‘1,339122

199258252629

312240444193259

1,027448579434385

49

332359420351

679

220459

658*2 I

262194

59103

29196

1536173

433199234246226’19

114209222134


36.8

28.544.4

38.326.9

37.834.135.041.2

24.932.035.344.153.5

38.437.539.133.233.629.7

37.237.329.448.4

38.4

36.340.6

40.328.7

29.634.935.445.8

20.829.634.849.763.5

41.138.443.032.733.426.7

44.939.927.048.9

38.6

26.350.1

40.728.1

44.935.038.141.0

20.634.536.143.854.1

40.340.440.234.534.534.3

39.838.829.951.2

33.8

23.043.6

34.527.1

40.832.928.636.1

29.032.334.138.541.7

34.335.433.532.633.030.1

30.331.631.047.8

31.1

24.535.8

33.3+10.3

33.731.625.639.0

29.129.836.135.036.5

31.228.633.931.031.9

*22.6

22.335.331.436.4


NOTE: When a figure is shown with an asterisk, it is mesented only for the rrumoae of combining with other cells. An estimate willhave a relative standx-d error less than 30 percent when th; aggregate is at least 3~,060.

23

Table 5. Prevalence of psoriasis and similar disorders and number per 1,000 persons, by age and selected characteristics: United States,1976

[Data are based on household interviews of the civilian noninstit,,tionalized population. The survey design, general qualification, andinformation on the reliabilityy of the estimates are given n, appendix I. Definitions of terms are given in appendix II]

Characteristic

Totall .. .... ... .. ..... . .. .... .. .. ..... . ... ... .. .

Sex—

Male ... . ..... ... .. .... .. . ..... .... . ..... .... ... .. .. ..... . ... .... .Female .. .... .. ... .... . ... .... ... . ..... .. .. .... .. .. .... .. .... ...

Color

White .. . .... .... .. .. .... .. ... .... .. ... ... ... . ..... . .... .... . .. ...All other . ..... .. .. .... .... . .... . .... ... ... .. .... . ... .... .. .. ...

Family income

Less than $5,000 ... .. ... .... .. ... .... . ... ... ... .. ..... . .. .

$5.000.$9.999 . ... ..... . ... ... .. .. ...... .. .. .. .... ...... .. ..$lo.ooo.$14.999 . .... .. .. .... ... . .... .. ... ..... .. . .... .. ..$15,000 or more . ..... .. .. ... ... ... .... .. . ..... . .. ..... .. .


Less than 9 years . .. .... ... .. .... .. .. ... ... . ...... .... ... ..9-11 years .. .. .. .... .. .. .... ... .. .... . ... ..... . .. .... .. ... ... ..12 years .. .... .. .. .... .. .. .. .. .. .. .... .. ... ... ... . .... .. .. . .....13-15 years ... .. .... .. .. .. .. .. .. .. .... .. .. .... . .. .... ... . .... .16 years or more .. .. .. .. .. .. .. ... . .... .... . . ..... ... .. ....

Place of residence

SMSA .. .. ... ..... . ... ... .. ... .... .. .. .... .. .. .... .. ... .... . .. ...Central city .. ... .... . .... .. ... ..... . . ..... . ... .... .. .. ..Not central city ... .. .... .. .. .... .. .. .. .. .. .. .... .. .. ..

Outside SMSA .... .... .. . ..... .. .. ..... . .. .... ... .. .... . ... .Nonfarm ... .. ... .... .. .. .... .. .. .... .. .... .... .. .... .. .. .Farm ... .. .... .. .. ..... . ... .... .. .. ..... . ... ... ... .. .... . ...

Geographic region

Northeast .. .. .... . .. . .... ... .. .... .. . ..... .. ... .... .. . .... .. ..North Central .. .. .. .. .... .. .. .... .. .. .... .. .. .... .. .. .... .. .

South . . ..... .. .. .... .. . ..... .. .. ..... .. . ..... ... . .... .. ... ... .. .West ... .. .... .. .. ... ... . ..... .. ... .... . . ..... .... . ..... . .. ... ....

lIn~]~des unknown income and education.

Prevalence of conditions in thousands

1,804

862942

1,71688

289357328682

324258603279323

1,245497747559522

37

497514471322

138

6871

121*I8

’21*26

3744

*8*I9

69*2O*22

9637594239*3

3841

39’20

784

342442

74935

116133152334

60100278160176

544236308240224*I6

193239207145

583

324260

556*28

48104121256

11891

1938297

434149285150142

*7

185163127108

298

129170

291*7

105

95*I9

48

1374763

*I8*29

1717695

127117*lo

8170

9849


8.6~

8.58.6

9.43.2

10.08.47.49.0

7.87.98.89.19.4

8.68.19.08.48.75.7

10.2

9.17.08.4

2.3

2.22.4

2.4*1.8

*3.2*2.1

2.62.0

‘0.8*1.9

3.2*2.3*2.2

2.32.22.42.12,2

*1.6

2.82.51.9

*1.8

9.3

8.310.1

10.23.1

11.98.17.8

10.1

5.68.49.3

10.610.9

9.29.49.09.59.6

*7.4

10.110.5

7.79.0

13.5—.—.

15.711.5

14.3‘6.2

9.813.314.214.7

11.012.214.816.315.6

14.511.816.511.312.2+4,3

16.914.3

9.414.7

13.7

14.413.2

14.7*3.4

13.515.5*8.218.2

13.714.614.9

*1O.3*14.5

12.310.913.816.016.5

*11.9

15.811.8

13.813.3


24

Table 6. Prevalence of other inflammatory conditions of skin and subcutaneous tissue and number per 1,000 persons, by age andselected characteristics: United States, 1976

[Data are based on household interviews of the civilian noninstitutionalized population. The survey design, general qualification, andinformation on the reliabilityy of the estimates are given in appendix 1. Definitions of terms are given in appendix II]

Characteristic

Totall .. .. .. ... .. . ..... . ... .. .... . ... .. . .... .. . .

Sex—

Male ... . . .... .... . ..... .. .... ... . .... .. .. .. .. .. .... .. .. .. .. .. ....Female ..... .. .. .... .. . .... . ... ... .. .. .... . . .... .. .. ... ... . ... ..

Color

White . .. .. . ... .. .. .. .... . .. ... ... . .... .. .. ... ... . ... .. .. .... .. .. .All other . .. .... .. .. .. .. ... ... .. . .... . .. .... .. .. .. ... . .... .. .. ..

Family income

Less than $5,000 .. .. . .... .. . .... .. . .. .. .. .. .... .. .. .. .. .. .$5,000-$9,999 .. .... .. .. ... .. . .... .. .. ... . .... .... .. .... .. ..

$lo.ooo.$14.999 .. .. .. .. ... . .... .. .... . ... .... .. ..... . .. ..$15,000 or mOre . ... ... ... . .... . . .... . .. .... ... . ... .. . ....


Less than 9 years ... ... . .... .. .. ... . .. . .... . . .... . .. .... .. .9-11 years . .... . ... ... .. ... .. .. .. .... . .. ... ... .. ... .. . .... . ... .12 years . .. ...... .. .. .. .. .. .... .. .... .. . ..... .. .... .. .. ... . .. ...13-15 years .. .. .. .... . ... .. .. .. .... . . .... . ... .. .. .. ..... . .. ...16 years or more .. .... . .. ... ... . ..... . ... ... . .. .. ... .. ....

Place of residenca

SMSA ... .. .. .... .. . ..... .. . .... . .. .... .. .. .... . .. ... .. . ..... . ...Central city .... . .. .... .. .. .... .. .. .. .. .. .... .. . .... . .. ..Not central city .. .. .. .. .... .. .. ... . ... ... .. .. .... . . ...

Outside SMSA .. ... . .... . ... .. .... . .... . .. .. .. .. .. ... .. . ....Nonfarm ... .. .. .... .. . .... .. .. .... .. . .... .. . .... . ... ... ..Farm ... . . .. .. .. .. .... .. .. .. .. .. .. .. .. .. .... .. .. ... ... . ... ..

Geographic region

Northeast .. .. .. .. .. .. .... . ... .. .. .... .. .... .. .. ... .. . .... . ... .North Central .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. .. .. .. .... .. .. .South ... ... .... .. .. .... .. .. .. .. .. .... .. .... .. .. .. .. .. . ... .. .. ...West .... .. .. ... ... . .... . .... .. .. .. .... .. .... .. .. .. .. ... ... .. . ....


mII I I 1


1,964

8341,130

1,748216

449404376595

472298563286329

1,384639746581533

48

509677520359

260

132128

233*27

*325237

106

*3 I43795447

19472

1226659*7

83825737

824

310514

714110

115171201298

89114275157182

593264329231210●21

206244210164

446

211235

40145

797598

157

12957

137

4084

288140148159143●I6

108117125

96

434

181252

400*34

223105

40*34

2238373

35●I7

308163146125121

●3

112133128

61

II I IAll

Under17

17-44 45-64ages

yearsyears years

It I I

9.3

8.210.4

9.67.8

15.59.58.57.8

11.49.18.2

9.49.6

9.610.49.08.78.97.3

10.510.37.79.4


4.3

4.34.3

4.6*2.7

*4.94.32.64.7

*3.14.23.76.24.7

4.74.35.03.33.3

*3.7

6.25.12.83.3

9.7

7.611.8

9.79.9

11.710.510.3

9.0

8.39.59.2

10.411.2

10.010.6

9.69.19.0

‘9.7

10.810.7

7.810.2

10.3

10.210.4

10.310.0

16.29.6

11.59.0

12.07.7

10.5

8.o13.5

9.611.1

8.611.912.2*9.8

9.810.3

9.213.1

65years

andover

19.9

20.219.6

20.2●16.7

28.717.117.3

●12.9

22.325.817.220.1●8.5

22.323.421.115.817.1●3.6

21.922.518.116.6


25

Table 7. Prevalence of corns and callosities and number per 1,000 persons, by age and selected characteristics: United States, 1976

[Data are based on household interviews of the civilian noninatitutionalized population. The survey design, general qualification, andinformation on the reliability of the estimates are given in appendix I. Definitiona of terms are given in appendix II]

Characteristic

Totall . ..... .. .. .... .. . ..... .. .. ... ... . .... . ...

Sex—

Male .... .. .. ... .. .. ..... . ... ..... .. .... .. .. .... .. .. .... .. .. .... .Female . .. .. .... .. .. ... . ... ..... .. .. ... ... .... .... .. ... . .. .. ...

Color

White . .... .. .. .... .. .. .... .. .. .... .. ... ... .. .. .... .. ... ..... .. ..All other .. .. .... .. ... .... .. . ..... .. .. .... .. .. .... .. .. ..... . .. .

Family income

Less than $5,000 .. .... .... .. .... . ... .. .. .. .. .... . . .. .. .. .

$5.000.$9.999 ..... .. .. ... .. . .... .. .. .. .. .. .. .. .. .. .. .. .. ..$10,000-$14,999 .. ... ... .. .. .... .. .. .... .. .. ..... . .. .... .

$15,000 or more . .. .. .... .. .. .... .. .. ..... . .. .... .. .. ....


Less than 9 years .... .. .. .... .. .. .... .. .. .... . ... ..... . .. .9-11 years .. .. .. .. .. .. .... .. .. .. .. .. .. .... .. .. ... . .. .. .... .. ..12yaars .. .. .... .. .. ... .... . .. .... .. ... .... . . ..... ... .. .... . .. .13-15 years ... ... ... . .... .. .. ... .... . .... .. . .... .... ...... . ..16 years or more . ..... .. .. .... .. . ..... .. .. .... .. .. .... .. .

Placa of residence

SMSA .. . .. . ..... . . ..... . .. . ..... .. .... .. .... .. .. .. .... .. .. .....Central city .... .. .. .... .. .. .... ... . .... .. .. ... .. ... ... .Noncentral city ... .... .. .. .... .. . .... ... . .... ... . ....

Outside SMSA ... .... .. .. .... .. .. ... ... . .... . .. .... .. .. ....Nonfarm .. .. .. .. .. .. .. .... .. .. .. .. .. .. .... .. .. .. .... .. ..Farm .. .. .. .... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. ..

Geographic region

Northeast .. .. .. .... .. .. .. .. .. .. .... .. .. .. .. .. .... .. .. .... .. ..North Central ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. .... .. .South . .. .. ... . ... .... .. . ..... .. .. .... . .. .... ... .. .... . .. .... .. .West .. .. .. .... .. . . .... .. .. .... .. .. .... .. .. ... ... .. .... .. . .... . ..


5,583

1,7923,791

4,5831,000

1,3411,270

9731,533

1,694943

1,427675756

3,9362,0261,9101,6461,478

168

1,3781,4281,7321,045

54

’26*28

*34*2O

*9*II“13‘ 20

*I5*7

*I6‘6*9

47“19*28

‘7‘5*2

*I4’19

*7*I4

1,777

6801,097

1,412365

226359415671

228285594308346

1,378655724399375*24

459407520392

2,237

6761,561

1,830407

420492428719

676425597235

267

1,614851763

623543

80

591560679407

1,514

4101,104

1,307208

686409117124

774226220125134

897501396

617555

62

314442527231

Number per 1,000 persorw

26.5 0.9

17.6 ‘0.834.8 ‘0.9

25.1 *0.736.0 *2.O

46.3 *1.429.9 ++0.921.9 *0.920.2 *0.9

40.9 *1.528.7 *0.720.8 *0.722.1 +0.722.0 ‘0.9

27.3 1.133.0 *1.123.1 *1.224.8 *0.424.7 *0.325.7 *lco

28.3 *1.O25.4 *1.225.6 ‘0.327.3 *1.3

a16.625.1 I

19.232.7

23.121.921.220.2

21.423.819.920.4

21.4

23.226.221.1

15.716.1

*11.1

24.117.919.424.3

51.7—.—.

3 .8{6 .0

47.290.5

86.162.750.341.2

62.857.245.846.943.0

53.967.244.2

46.846.549.1

53.949.350.055.4

69.5

45.786.0

66.1102.5

88.266.750.747.0

77.470.151.971.8

66.9

64.772.057.377.878.373.6

61.474.674.562.7

l~ncludes unknown income and education.

NOTE: When a figure ia shown with an aaterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative atanda;d error leas than 30 percent when the aggregate is at leaat 35,000.

26

Table 8. Prevalence of other hypertrophic and atrophic conditions of skin and number per 1,000 persons, by age and selectedcharacteristics: United States, 1976

[Data are based on household interviewa of the civilian noninstitutionalized population. The survey design, general qualification, andinformation on the reliability of the estbnates are given in appendix L Definitions of terms are given in appendix II]

Characteristic

Totall .. .. .. .... .. .. .... . ... ... ... ..... . .. .... ..

Sex—

Male ... .. .... . ... .... .. .. .... .... .... .. . ..... .. .. .... .. .... .. .. ..Female .... .. ... ... ... . ..... . ... ... ... . .... . .. .... ... . ..... . . ...

Color

White ... . .. ..... ... .... .. ... ... ... . .... .. ... ... .. . ..... . . .... .. ..All other .. .... .. . ..... ... ... ... . ..... .. ... .. .. .. .... .. .. .... .. .

Familv income

Less than $5,000 ..... . ... ... .... .... . .. .... ... .. .. .. .. .. ..$5,000-$9,999 .. .. ..... . . .... .. .. .... .. .. ... .. ... ... .. .. ....$10,000-$14,999 .. ... . ...... .. . ... ... . .... .. .. . ... .. .. ... .

$15,000 or more .. .. .. .... .. .. ... ... . ..... . .. ... .. ... ... ..


Less than 9 years . ... ... ... . .... .. .. .... .. .. .... .. . .... . ...9-11 yeqrs .. ..... ... . .... .. .. .. .. .. .. ..... . .. .... .. .. .... .. .. ..12 years ... . .. .... .. .. .... .. .. .... .. .. .... .. . ..... .. .. .. ... . ....13-15 years.. c.. .. .. .. .... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..16 years or more ..... . .. .... .. .. .... .. . .... .. ... ... ... ....

Place of residence

SMSA ... .. .. .. .. .. .... .. .. .... .. .. .... .. .... .. .. .. .... .. .. .... ..Central city ... .. .... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. ..Not central city .. .. .... .. .. .. .... .. .. ... ... .. .... . ... .

Outsida SMSA .. .. .. .. .. .. .. .. .. .. .. .. .... .. .... .. . ..... .. ..Nonfarm .... .... .... .. .. .... .. .. .... .. .. .... .. .. .... . .. ..Farm .. .. .. .. .. .. .. .... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ...

Geographic region

Northeast .. .... ... ..... .. .. .... .. .... ... .. .... .. . ... . .... .... .North Central . ... .. .. .. .. .... .. .. .. .. .. .. .. .. .. .... .. .. .. .. .South ... .. .. .... .. .. .... .. .. .. .. .. ..... . .. .. .. .. .. .... . .... .. ...West .... .. .. .... .. .. .... .. .. .... .. .. .... .. .. .. .. .. .. ... . .. .... .. .

l~ncludes unknown income and educaticm.

T 6545-64 yearsyears and

over


1,606

642964

1,469137

295318305602

257195517257348

1,094479615512454

58

355491427334

288

147141

24741

*275856

131

*27●28

895688

18683

10210290

*I2

66798260

663

250413

59567

93124150275

4878

235123169

466202263197179●I8

153225181103

388

171217

366*23

655971

173

7860

1274965

290118172

9889‘9

79110

85114

268

75193

262*6

11077

’28*23

104*29

67●3O●26

1537577

11597

●I9

56777856

Allages

Under17

years

174

years45-64years

65yearsandover

7,6

6.38.8

8.04.9

10.27.56.97.9

6.25.97.58.4

10.1

7.67.87.47.77.68.9

7.38.76.38.7


4.7

4.74.7

4.94.1

●4.14.84.05.8

*2.7●2.7

4.26.48.8

4.54.94.25.25.0

●6.3

4.94.94.15.4

7.8

6.19.4

8.16.0

9.57.67.78.3

4.56.57.98.1

10.4

7.98.17.77.87.7

‘8.4

8.09.96.86.4

9.0

8.39.6

9.4*5.1

13.37.58.39.9

7.28.19.79.8

10.5

9.79.3

10.07.47.6

●5.5

7.29.76.3

15.5

12.3

8.415.0

13.3*3.O

14.112.5

*12.1*8.7

10.4

“9.015.8

●17.2●13.O

11.010.811.114.513.7

●22.6

10.913.011.015.2


. 27

Table 9. Prevalence of diseases of nail and number per 1,000 persons, by age and selected characteristics: United States, 1976

[Data are based on household interviews of the civilian noninstitutionalized population. The survey design, general qualification, andinformation on the reliability of the estimates are given in appendix I. Definitions of terms are given in appendix II]

Characteristic

Totall ...... . ... ... .. .. ...... .. .. .... .. . ..... ..

Sex—

Male .. .. . .... .. ... ...... .... .... .. . ..... .. ... ..... .. . ... .... . ...Female . ..... .. .. ..... . .... .... .. .. .... .... . ..... . ... .... .. . ...

Color

White ... .. .. .... .. ... .... ... .. .... .... .. .... .. .. .... .. .. ..... . ..All other . .. ..... .. ... .... .. . .. .... ... . .... .. .... .. .. .. .. .... ..

Family income

Less than $5,000 .. .... ... ... .... .. .. .... ... .. ..... .. .. ...

$5.000.$9.999 .... . . ..... ... .. ..... .. .. .... .. .. .. ... ... .. ..$lo.ooo414t999 . .... .... .. . ..... ... .. ..... . ... .... ... . ..$15,000 or more . . ... . ... .... ..... ... .. .... .. .... .... . . ..


Less than 9 years ..... .. ... ... .. .. ..... . ... ..... .. . ..... ..9-11 years . ... ... .. ... ..... .. .. .... .. .. .. ... ... .. .... ....<....12 years ... .. .. .... .. .. .. .... .. .. .... .. .. .. .. .. .. .. .... .. .. ....13-15 years .. .. .. ... ... .... ... .. .... . ... .... .. .. ..... . ... ....16 years or more . ... .... .. .. ...... .. .. .. .. .. .. .. .. .. .. ...

Place of residence

SMSA .. . .... .... .. .. ... .... . ..... ... .. ... .. .. ..... ... .. .... . ...Central city ... .. .. .. . ..... .. .. ...... .. .... .. .. . ..... .. .Not central city .. .. .. ... ... .. .... .. .... .. .. .. .... .. ..

Outside SMSA .. .. .... ... ... .... .. . ..... . . .. ... .. .. .. .... ..Nonfarm ... .... ..... . .... .... .. ...... .. .. ..... .. .. ......Farm ... .. .. .. .. .. .. .... .. .. .. .... .. .. .. .. .. .. .... .. .. .....

Geographic region

Northeast .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..... . .... .. .. .. .. ..North Central .. .... . ... ... ... .. .... .. .. . ..... . ... ... ... .. ..South ... .. .... .. .. .. .... .. .. .... .. .. .. .. .. .. .. .. .. .... ...... .. .West ... .. .. .... .. .. .. .... .. .. .... .. .. .. .. .. .. .. .... . ... ..... . .. .

lIncIudes unknown income and education.


4,234

1,6462,589

3,823411

1,090896750

1,172

1,258762

1,159514473

2,7121,2481,4641,5221,392

130

7661,1751,428

865

325

164161

312*I4

*2 I5572

157

5938

1193867

18375

107143127*I6

40

91115

80

1,658

783875

1,492166

260348371595

214308575309239

1,129485644529483

46

285464554355

1,214

428786

1,088126

253254242358

414257320106

93

808359449406371

35

255

327396235

1,037

271766

932105

555239

6462

571158145

6174

592328264444412*32

185

293363195


20.1=

16.223.7

20.914.8

37.621.116.915.5

30.323.216.916.813.8

18.820.317.722.923.219.9

15.820.921.122.6

5.3

5.35.4

6.1●1.4

*3.24.55.17.0

5.93.75.64.46.7

4.54.54.47.27.1

*8.4

3.0

5.65.77.2

19,6

19.120.0

20.314.9

26.621.319.017,9

20.125.719.220.414.8

19.019.418.820.820.821.3

15.0

20.420.722.0

28.1—.

20.734.7

28.128.0

51.932.428.520.5

38.534.624.621.115.0

27.028.426.030.531.821.5

23.228.829.232.0

47.6

30.259.7

47.751.7

71.439.027.723.5

57.149.034.235.037.0

42.747.138.256.058.1

*38.O

36.249.551.353.0

NOTE: When a figure isshown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative standard error less than 30 percent when the aggregate is at least 35,000.

28

Table 10. Prevalence of diseases of sebaceous glands, not elsewhere classifiable (acne), and number per 1,000 persons, by age andselected characteristics: United States, 1976

[ Data are based on household interviews of the civilian noninstitutionelized population. The survey design, general qualification, andinformation on the reliabilityy of the estimates are given in appendix 1. Definitions of terms are given in appendix II]

Characteristic

Totall ............ ..............................

Sex—

Male .............................................................Female ............... ...... .......... ...... .......... ..........

Color

White ........... ........ ............ ........................ .....All other ..... .................... ..............................

Family income

Lessthan $5,000 ...... ....................................$5.000.$9.999 ..............................................$10,000-$14,999 .............................. ............$15,000 or more ..........................................


Lessthan 9 years .............. ............................9-11 years................................ .. ...................12 years..................... ...... .......... ........ ...... .....13-15 years........ ...................... ........ .............16 years or more ...................................... ....

Place of residence

SMSA .................................. .........................Central city .............................................Not central city ......................... .... ..........

Outside SMSA ................. .............. .... ...... .....Nonfarm ................................... ...... ........Farm ..... ........ .......... ........ ........................

Geographic region

Northeast ............ ................ .........................North Central ........... ................ ....................South ...... ........................ .......... ...................West ............... .......... .......................... ..........


mPrwalence of conditions in thousands

5,453

2,5512,902

5,104350

753933

1,0642,415

600713

1,796985

1,316

4,0761,6312,4451,3771,239

139

1,1221,5091,4991,323

1,342

647695

1,25388

72156275740

138207466181337

963339624378328

51

274403358307

3,451

13521,899

3,233218

581646699

1,388

294406

1,140732863

2,6411,1111,530

810750

60

698953937862

509

269240

46742

598266

267

10781

1556396

366130236143124*18

118123154114

152

8468

150*I

4249

“25*2O

61*2O36*9

●2O

10650564636

●lo

*32●3I5039

25.9

25.126.6

27.912.6

26.021.923.931.9

14.521.726.232.238.3

28.326.629.520.720.721.3

23.126.822.234.6


22.0

20.823.3

24.78.7

11.012.819.532.9

13.820.321.820.833.8

23.420.225.619.118.426.7

20.324.917.827.7

40.7

37.943.4

44.019.5

59.439.535.841.8

27.633.938.248.453.3

44.544.444.631.932.327.8

36.641.934.953.5

11.8

13.010.6

12.09.3

12.110.57.8

15.3

9.910.911.912.615.4

12.210.313.710.710.6

●11.O

10.810.811.315.5

7.0

9.45.3

7.6*0.5

5.48.0

●10.8●7.6

6.1*6.28.5

*5.2*1O.O

7.67.28.15.85.1

*11.9

●6.3*5.2

7.110.6


\29

Table 11. Prevalence of other diseases of skin and subcutaneous tissue, not elsewhere classifiable, and number per 1,000 persons, by age

and selected characteristics: United Statesr 1976

[Data are based on household interviews of the civilian noninstitutionalized population. The survey design, general qualification, andinformation on the reliabilityy of the estimates are given in appendix I. Definitions of terms are given in appendix H]

Characteristic

Totall .. ... ..... .. .. ..... .. . ...... .. .. ..... .. ...

Sex—

Male ..... ... . ..... . .... ..... . ... .... ... . ...... ... .. .... .. ... .....Female . .... .. .... ... .. .... .. ... . ..... . ... ..... .. .... ... ... . ....

Color

Family income

Less than $5,000 ... .... ... ... ... .. ... .... ... ... .... .. . ....

$5.000$9.999 .... . ... ..... .. .. ..... ... . ..... . ... ...... .. .. .$lo.ooo$14.999 .. .. . ..... . ... .... ... ... .... . ... ..... . ....$15,000 or more . .... . ..... .. ... ..... . ... ... ... .. ..... . .. .


Less than 9 years . .... .... .. .... .. ... .... ... .. .... ... .. ....9-11 yaars . .... ... .. . . .. .... ... . ...... .. .. .... ... ... .... .. ... ..12 ye~rs ... ... .. ...... . ... ... .... .. .... ... .. .... .. .... .... .. ... .13-15 years ... . ...... .. .. ..... . .. ...... .. .. ..... ... . ..... .. ...16 years or more . .. .. ...... .. ... .... . ... .... ... .. ..... . ...

Place of residence

SMSA ... ... ... .... . ... ...... . ... ..... .. .. ...... . .. ..... ... . .....Central city ... .. .... .. ... ..... .. ... .... .. .. .... .... .. ...Not central city . .... .. .. ..... .. ... ..... . ... .... .. .. ...

Outside SMSA .... . .... .... ... ... .. .... . ..... .. .. . ..... . ... .Nonfarm .. ..... .. ... ..... . .... ... .... .. .... ... .. ..... . ...

Farm ..... ... .. .... ... .. ..... . .... .... .. .... ... ... . ..... ... .

Geographic region

l~ncIude~ un~ow income and education.


1,217

528688

1,050166

293264253336

275151351194

227

861445416356333*23

238281401297

153

787’5

11637

*23*33*34

54

’24*24

61*I7

*27

10536704747*.

“223967

’24

546

256290

47373

99133126168

5463

171121132

386217169160149*II

111135

151149

271

124148

23536

54515791

79*32

71*32

49

202108

946962

*7

66529360

247

71176

227*I9

1174737

*23

118*3 I49

*23’19

16785827974*5

39558964


5.8

5.26.3

5.76.0

10.16.25.74.4

6.64.65.16.36.6

6.07.25.05.45.6

*3.5

4.95.05.97.8

2.5

2.52.5

2.33.7

*3.5*2.7*2.4

2.4

*2.4*2.4

2.9*2.O*2.7

2.62.12.92.4

2.6*.

*1.62.43.3

*2.2

6.4

6.26.6

6.46.5

10.18.16.55.1

5.15.35.78.08.2

6.58.74.96.36.4

*5.1

5.85.95.69.3

6.3

6.06.5

6.18.0

11,16.56.75.2

7.3*4.3

5.4*6.4

7.9

6.78.55.45.25.3

*4.3

6.04.6

6.98.2

11.3

7.913.7

11.5*9.4

15.07.7

16.0*8.7

11.8*9.611.6

●13.2

*9.5

12.012.211.910.010.4

*5.9

7.69.3

12.617.4


30

Table 12. Prevalence of arthritis, not elsewhere classifiable, and number per 1,000 persons, by age and selected characteristics: Unitad ‘States, 1976

[Data are based on household interviewa of the civilian noninstitutionalized population. The survey design, general qualification, andinformation on the reliabilityy of the estimates are given in appendix I. Definitions of terms are given in appendix II]

Characteristic

Total 1 . .. .... . .. .... .. . ..... .. .. .. ... . ...

Sex—

Male .. .. .... .. . ... .. .. .. .. .. .. .. ... . ... .... . .. .... . ... .. ..Female ..................................................

C*

White .....................................................All other .............................................. ..

Family income

Under $5,000 ........................................$5.000.$9.999 .......................................$lo,ooo-$14,988 ...................................$15,000 or more ...................................


Lessthan 9 years ...................................9-11 years...................................... ........12 years.................................................13-15 years ............................................16 years or more ...................................

Place of residence

SMSA ....................................................Central city ... ...................................Not central city ................................

Outside SMSA .......................................Nonfarm ..........................................Farm ........................................ ........

Geographic region

Northeast ........... ...................................North Central ........................................South ....................................................West ......................................................

m11 I I I


24,573

8,47516,098

21,7942,779

6,3365,7474,0466,012

8,7614,0556,2012,5072,599

15,7527,1828,57083217,829

992

5,2546,7828,2764,260

~~~ludes unknown income and education.

137

4789

116*21

*18*24*3O49

*I9*3250

*I5*2 I

8935554738*9

*324239

*23

3,855

1,3322,523

3,388466

548778926

1,393

598609

1,380623601

2,5861,0371,5491,2681,156

112

7431,1651,202

744

11,065

4,0676,997

9,7531,312

1,9012,4142,1553,554

3,4641,9883,0601,1371,224

7,1853,1464,0393,8803,373

506

2,4052,9743,7821,903

9,517

3,0286,489

8,538980

3,8882,531

9361,017

4,6801,4261,711

732754

5,8922,9842,9273,6263,261

365

2,0742,6013,2521,591

mNumber per 1,000 persons

116.7

83.4147.7

119.2100.0

218.6135.191.079.3

211.4123.590.582.075.6

108.2116.9103.5132.8130.7151.7

108.1120.6122.5111.4

2.2

1.53.0

2.3*2.1

*2.7“2.0*2.12.2

●1.9*3.1

2.3*1.7●2.1

2.22.12.32.42.1

●4.7

*2.42.61.9

●2.1

45.5

32.557.7

46.141.7

56.047.547.442.0

56.050.946.241.237.7

43.641.545.249.949.752.0

39.051.244.846.2

255.8

197.1309.3

251.6281.8

389.9307.8253.4203.7

321.9267.5234.8226.7797.0

240.0248.6233.7291.4288.7310.4

219.2261.8278.7258.9

436.6

337.9505.5

431.9482.8

497.5412.5405.5385.1

468.2442.6403.8420.4376.6

424.9425.9423.84!57.1459.9433.5

405.3439.1459.6432.1


31

Table 13. Prevalence of rheumatism, nonarticular and unspecified, and number per 1,000 persons, by age and selected characteristics:United States, 1976

[Data are based on household interviews of the civilian noninstitutionalized population. The survey design, general qualification, andinformation on the reliability y of the estimates are given in appendix I. Definitions of terms are given in appendix H]

Characteristic

Sex—

C&r

Family income

Less than $5.000 ... .. .. .... .. ... .. .. .. ..... .. .. ... .... . .... . .

$5,000-$9,999 ... .... .. . .... ... .. ..... . . .... ... .. .... .. . .... . .$10,000-$14,999 ..... . .. ... .. .. ..... . .. .... .. .. ..... . .. .... .$15,000 or more ..... .. ... ... ... . .... . .. ..... .. .. .... . .. .... .


Less than 12 years ... .. ... .. .... . ... ... ... .. .... . .. .... ... . ..12 years .. .... .. . .... .. ... ... ... . .... .. .. ... .... . ..... . ... .. ... .. .13 years or more . .. .. ..... . .. .... .. .. .... .. . ..... .. .. .... .. . .

Place of residence

SMSA ..... .. .. .... .. .. .... .. . ..... .. .. .... . .. .... .. ... ... .. . ..... ..Central city .. .. .... . . ..... .. ... .... . .. .... . ... ..... . . .... ..Not central city . .. ... .. .... ..... . .... .. .. .. ..... . .. .... .

Outside SMSA ... .. .... .. .. .... ... . ..... . ... .. ... .. .... . .. .... .Nonfarm ... ... . .. .... .. ... ... ... . .... .. .. ... ... . .... .. .. ....Farm ... .. ... ... .. .. ..... . ... .... . .. .... ... .. .. .. .. ..... . ... ...

Geographic region

Northeast .. .. .. .... . . .... ... .. .. .... .. . .... ... . .... .. ... ... . ... ..North Central .. .... .. .. ... .. .. .... .. .. .... .. .. ... .. .. .... ... .. .South .. ... .. .... . .. .... .. .. .... ... . .... . .. .... ... . .... .. .. ... ... .. .West .... .. .. ... .. .. . .... .. .. .... .. . ..... .. .. ... ... . .... .. ... .. ... . ..

l~,,c~udes unkn~w income and education.


833

359475

714119

283168138151

463195152

527263264306271

35

208212278135

*IO

*5‘5

*lo*-

*3*-*-

*5

*7*.

‘3

*7*3*3*3*3*-

*2*5*2‘2

173

52121

162*II

*22*25

6053

516259

11154586256*6

40514636

301

138163

26042

80625270

1668744

210103107

9171

*2 I

87759742

349

163186

28366

17780

*25*23

2394645

199103

96150141

‘9

7981

13355

=

Allages

4.0

3.54.4

3.94.3

9.83.93.72.0

6.22.82.3

3.74.33.24.64.55.4

4.33.84.13.5

Under65

171744 45-64 years

yearsyears yea rs and

over


*0.2

*0.2*0.2

*0.2*.

*0.5*.*.

*0.2

‘0.3*.

‘0.2

+0.2*0.2*0. I“0.2*0.2

*.

*0. I*0.3●0. I*0.2

2.0

1.32.8

2.2*1.O

*2.2*1.5

3.11.6

2.32.11.9

1.92.21.72.42.4

*2.8

2.12.21.72.2

7.0————

6.77.2

6.79.3

16.47,,96,,14,,0

9.16.73,9

7.08.16.26.86.1

*12.9

7.96.67.15.7

16.0—

18.214.5

14.332.5

22.813.0

*10.8

*8.7

18.110.912,0

14.414.813.918.919.9

*10.7

15.413.718.814,9


32

.. .

Table 14. Prevalence of osteomyelitis and other diseases of bone and number per 1,000 persons, by age and selected characteristics:United States, 1976

[Data are baaed on household interviews of the civilian noninstitutionalized population. The survey design, general qualification, andinformation of the reliabilityy of the estimates are given in appendix I. Definitions of terms are given in appendix II]

Characteristic

Total 1 .... . . ..... . ... .. .. ... ... .. . .... . ... ... .. .

Male .... .. ... ..... .. .... ... . .... .. . ..... . .. .... .. . .... .. . ... .. .. .Female . ... ...... . ..... ... . .... .. .. .... . ... .. ... . .... . . ..... . .. .

Color

White .. . ... ... ... . ..... . .. ... .. .. .... .. . .... . ... ... .. .. .... .. . ...All other .... ... . ..... . . .... .. .. ... ... . .... . .. .... . ... ... .. . ....

Family income

Less than $5,000 ..... . ... ... . ... .. ... . .... . .. ..... ... .. ...

$6.000.$9.999 ... . .... . .. .... .. .. ... ... . .... .. ..... . .. .... ..$lo.ooo.$14.999 ... .. .. ... .. .. ... .. .. ..... . . .... . ... .. ... .$15,000 or mora ..........................................

Education of head of familv

Less than 9 years . ... .. .. ... .... .. . .... .. .. ... ... . .... . ... .9-11 years .... . .. .... . ... .... .. . .... . . ..... . .... ... .. . .... . .. ..12 yeais . ... ... .. .... .. .. ... .. .. ... ... . .... ... . ... ... .. .... . .. ..13-15 years . .. ... ... . ..... . ... ... ... . .... . ... ... . ... .... . .. ...16 years or more ..........................................

Place of residenca

SMSA .. .... .. ... .. ... . ..... . .. .... .. .. .. ... .. .. . .. .. ... ... . .... .Central city . .. ..... . . .... ... .. .. ... . .... .. ... .. ... . ... ..Not central city . .. ... .. .. .... .. .. .... .. . .... .. ... ... ..

Outside SMSA ..............................................Nonfarm ....................................... ..........Farm .......................................................

Geographic region

Northeast . .... . . ..... ... . .... .. . .... . .. .... ... . .... . . .... .. .. .North Central .... .. .. ... .. ... .... .. . ... ... .. ... .. .. .... . .. ..South .. . ... .... .. . .... .. .. .. ... . ..... . .. .... .. .. .. ... .. .... . . ...West .... . .. ..... .. . .... . ... .... .. .. ... .. . .... .. .. .... . .. .... . ... .

11nclude5 “nkno- income and education.


1,687

716971

1,60879

348321300590

327254511263314

1,101455646586534

52

364483474366

118

90*28

104*I4

*4*24*24

58

*9*II

35*2341

953758

*23*2O

*3

*32*26*26●34

498

268230

466*31

8373

120194

4354

17395

130

335109227162151*II

111157114115

683

261421

659*24

112118116292

141123208

89112

427178249256231*25

148187190158

388

96292

378*IO

149106

3946

133669457

’32

244131113144132●12

7211314459


8.0

7.08.9

8.82.8

12.07.56.77.8

7.97.77.58.69.1

7.67.47.88.88.98.0

7.58.67.09.6

1.9

2.9‘0.9

2.0*1.4

“0.6●2.O*1.72.6

*0.9*1.1

1.6●2.64.1

2.32.22.4

●1.2●1.1*1.6

*2.4*1.6*1.3*3.1

5.9

6.55.3

6.3*2.8

8.54.56.15.8

4.04.55.86.38.0

5.64.46.66.46.5

*5.1

5.86.94.37.1

15.8

12.618.6

17.0●5.3

23.015.013.616.7

13.116.616.017.718.0

14.314.114.419.219.8

*15.3

13.516.514.021.5

17.8

10.722.7

19.1*4.9

19.217.316.917.4

13.320.522.232.7

*1 6.0

17.618.816.418.218.6

*14.3

14.119.120.416.0

NOTE: When afigure isshown with anasterisk, it is presented only forthepurpose ofcombining tithother cells. Anestimateti1lhave a relative standard error less than 30 percent when the aggregate is at least 35,000.

33

..-

Table 15. Prevalence of displacement of intervertebral disc and number per 1,000 persons, byageand selected characteristics: UnitedStates, 1976

[Data are based on household interviews of thecivilian noninstitutionalized population. The survey design, general qualification, andinformation onthereliability of theestimates are given in appendix I. Definitions of terms aregiven in appendix II]

Characteristic

Totall .. .... ... .. .... .. ... ... .. .. ..... . .. ..... ..

Sex—

Male .. ... .. .. . .... .. ... .... .. ... ... .. .. ..... . ... .... ... . .... .. ...Female ... .. ..... . .... .. ... . ..... .. ... .... .. . .... .... . ..... .. .. .

Color

White .. .. ..... .. .. ..... . ... .... ... . ..... ... .. .... . .... ... .. .. ....All other ... ... .. ..... . ... ... .... . ..... . ... ..... . .. .... ... .. ....

Family income

Less than $5,000 .. .... ... .. .... . ... .... .. .. ..... . ... ..... .

$5#ooo.$9.999 . .. .. .... .. ... ..... . .. .... .... . .... .. ... ... ...$lo.ooo$14.999 . .... .. ... ... .. . . ...... .. . ..... .. . ..... ...$15,000 or more ..... .. .... .. ... . ..... . ... ..... .. .. ... ....


Less than 9 years .... . .. ..... .. .. ..... . .. .... ... .. ... .. ....9-11 years . ..... . ... .... .. ... ... .. ... .... .. .. .... ... .. ... .. ....12 years .. .. .... .. .... .. .. . . ...... .. .. .... . .. .... .... . .....<....13-15 years .... . .. .... ... .. .... .. .. ..... .. . .... ... .. ... .. ... ..16 years or more .. .. .. ..... . ... ... ... .. .... .. ... ... .. .. ...

Place of residence

SMSA ............ ...............................................Central city ... .. .. ... .... . .... .. ... ... ... .. .... . ... .....Not central city .... ... . ..... . ... .... .. .. ..... .. . ......

Outside SMSA ..............................................Nonfarm .... .. .. ...... .. .. .... .. ...... ... . ..... . .. ..... ..Farm .. . .. .... ... . ..... . ... ..... .. . ..... . ... ..... .. .. .... .. .

Geographic region

Northeast ..... .. .. .... ... . ..... . ... .... ... . .... ... .. .... .. . ...North Central .. .... ... .. ..... .. .. .... .. . ..... .. ... .... .. . ...South . .. ... .... .. . ..... .. .. ..... . .. .... ... .. .... . .... ... .. ... ...West ... .. .. ... ... . ..... .. ... ... ... . ..... .. .. .... .. .. .... ... .. ....

1 includes unknown income and education.


2,638

1,5041,134

2,443195

458533487939

631426801355384

1,715701

1,014923807116

529720858531

’13

*7*5

*9*4

*-

*4*2●3

*-

*6*3*2*-

●9‘3*6●3*3+.

*2*2*7*2

1,065

641424

98680

134198262403

146158387157210

719304415346311

35

225311302226

1,152

652500

1,07083

163222178470

303202329155142

762293469390327

63

241272417222

408

204204

379*29

1611094662

182608242

*32

225101124183165*I8

6013513281


2.5

4.80.4

3.47.0

5.82.51.02.4

5.23.01.71.61.2

1.91.42.23.93.57.7

0.92.82.73.9

*0.2

“0.2‘0.2

‘0.2‘0.4

*-

*0.3*0. I*0. I

*.

*0.6*0. I‘0.2

*.

“0.2*0.2*0.2*0.2*0.2

*.

*0. I*0. I*0.3*0.2

12.6

15.69.7

13.47.2

13.712.113.412.1

13.713.213.010.413.0

12.112.212.113.613.416.2

11.813.711.314.0

26.6

31.622.1

27.618.5

33.428.320.926.9

28.227.225.230.922.9

25.523.127.129.328.038.7

22.023.930.730.2

18.7

22.815.9

19.2*14.3

20.717.819.923.5

18.218.619.424.1

●I 6.0

16.274.518.023.123.3

*2 I .4

11.722.818.722.0

NOTE: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative standard error less than 30 percent when the aggregate ia at least 35,000.

34

Table 16. Prevalence of bunion and number per 1,000 persons, by age and selected characteristics: United States, 1976

[Data are based on household interviews of the civilian, noninstitutionalized population. The survey design, general qualification, andinformation on the reliability of the estimates are given in appendix I. Definitions of terms are given in appendix H]

Characteristic

Totall .. ... .. .. .. ..... . .... .. .. . .. ... . ... ... .. ..

Sex—

Male .. . ..... ... .. ...... . .. .... .. .. .... .. . .... .. ... ... .. .. .... ... .Female .... . .... ..... . .. .... .. .. ... .. . . ..... .. .. .. ... . ...... . .. .

Color

White .... ... . ...... .. .. ..... . ... .... ... . .... . ... ... ... . ..... . . ...All other .. . ..... ... .. .... .. . .... ... .. ..... . .. .... .. .. .... . .. ...

Family income

Less than $5,000 . ... .. ..... . ... .. .... ..... . .... .. ... .. ... .$5.0m.$9.999 ..... ... . .... .. .. .... ... . ..... . . ..... ... . .... .$lo.mo414n999 . ... .. .... .. .. ... ... .. .... .. .. ... . .. . .... .$15,000 or more . ... .. ... .. .... .. .. .. ..... . .. .... ... . .... .


Less than 9 years .. .. ... ... . .... .. . ..... ... .. .... . . .... ....9-11 years .. .... .... . .. .. .... . .. ..... . ... .... .. .. ... .. ... ... . ..12 years ..... ... .. .... .. ... .... . .. .... . ... .... .. . ..... .. .. .... ..13-15 years .. .. ..... .. ... ... .. . ..... . ... ... ... .. ... .. ... ... .. .16 years or mora . ...... .. .. ..... ... .... .. .. .... .. .. ... .. ..

Place of residence

SMSA .. ..... . ... ..... . ... .... . .. ..... . . ..... ... . ... .. . .. .... . .. .Central city ... . .... .. ... .... .. . .... .. ... ... ... . .... . ....Not central city . .. . .... ... .. ..... . .. .. .. ... . .... .. . ...

Outside SMSA ...... .... . .... . .... .... . .. .... .. ... .... . .. ...Nonfarm .. . ... ..... . .. .. ... ... . .... .. . ..... . .... ... . .. ...Farm ...... .. . .. ...... . . ..... .. .. ...... . .. ... .. ... .... .. . ...

Geographic region

Northeast .. .... .. ... ..... . . ..... ... .. .... . .. .... ... . .... .. . ...North Central . ... ... ... . .... .. ... .... ... . .... . . .. ... ... .. ...South . . .. ..... ... . ..... ... .. .... . .. .... ... .. ..... . . .... .... . ....West ... . ... ..... .. . ..... .. .. ...... ... ... .. ... .... .. ... .. ... . .....


1,853

3251,527

1,563290

562402274465

649298445202210

1,273548625579527

52

489479558326

*I7

*1*16

*I6●1

●2*2*4‘9

*3*2*8*-

*4

’15●9*6●2*2●.

●6*8*I*2

391

105286

29397

698367

159

5656

1326973

287137150104

99●5

95121100

74

748

145603

623125

159148138240

238144191

8766

537268269211187*24

228172223125

697

74623

63166

333169

6657

35296

1134567

435235200262239●23

160178234126


8.8

3.214.0

8.510.4

19.49.46.26.1

15.7

9.16.56.66.1

8.810.6

7.58.78.88.0

10.1

8.58.38.5

‘0.3

*0.O*0.5

*o .3●0. I

●0.3*0.2“0.3*0.4

●0.3*0.2*0.4

●.

*0.4

‘0.4+’0.5“0.2*0.1●0.1

●.

‘0.4“0.5‘0.0‘0.2

4.6

2.66.5

4.08.7

7.05.13.44.8

5.24.74.44.64.5

4.85.54.44.14.3

●2.3

5.05.33.74.6

17.3

7.026.7

16.127.8

32.618.916.213.8

22.119.414.717.310.6

17.921.215.615.816.0

●14.7

20.815.116.417.0

32.0

8.348.5

31.932.5

42.827.528.621.6

35.229.826.725.833.5

31.433.829.033,033.7

●27.3

31.330.033.134.2

1~~l~des unknown income and education.

NOTE: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate witlhave a relative stand~-d error less than 30 percent when the aggregate is at least 35,000.

35

Table 17. Prevalence of synovitis, bursitis, and tenosynovitis and number per 1,000 persons, by age and selacted characteristics: United

States, 1976

[ Data are based on household interviews of the civilian noninstitutionalized population. The survey design, general qualification, andinformation on the reliabilityy of the estimates are given in appendix I. Definitions of terms are given in appendix II]

Characteristic

Totall .. .... ... .. ..... . ... .... .. .. ..... .. .. .....

Sex—

Male .... .... .. .. .... ... . ..... ... .. ..... . ... .... .. .. ..... .. .. .....Female .... . ... ... .... . ..... .. ... .... .. ... ... ... .. .... . .. .. .....

Color

Familv income

Less than $5,000 .. .... ... .. .... .. .. .... .... . .... ... .. .... .

$5.000.$9.999 .. .. . ..... .. .. ..... . .... ... ... .. .... .. ... .... .$lo.ooo.$14399 .. .... .. ... ..... . ... .... ... . .... ... .. .... .$15,000 or more . ..... ... . ..... .. ... ... ... .. ..... .. .. .... .


Less than 9 years .. .... .. ... ..... . ... .... .. . ..... .. ... .....9-11 years ... .. ...... . . .. .. .... .. .... . ... .... ... . ..... .. .. .....12 years ... .. ... ..... . . ..... ... .. .... .. ... .... .. .. .... .. ... .....13-15 years ... ..... . . ..... .. ... ..... . ... .... .. .. .... .. ... .... .16 years or more .. ..... ... . .... ... .. ... .... . ..... .. .. .....

Place of residence

SMSA .. ..... .. .. .... .. .. .. .. .... . ..... .. .. .... ... . ..... . ... .....Central city .. . .. .... ... ... .... . ... ... ... .. .... ... .. .....Not central city ... ... .. ..... . ... .... .. .. ..... .. .. .... .

Outside SMSA .. .. .. .... ... .. .... .. ... .... ... ..... .. ... .....Nonfarm .... ... . ..... ... .. .... .. ... .... .. ... .... . ... .... .Farm .. . ... ..... .. . ..... ... .. ..... . ... ... ... .. ..... ... . .... .

Geographic region

Northeast .. ... .. .... . .... ... .. .... .. ... ... ... .. ..... .. .. .... ..

North Central .. .. .. .... . .... ..... .. . .... .. ... ..... .. .. .... ..South . ..... . . ..... ... .. .... . .... ... ... .. ..... .. .. ..... . ... ..... .West ... ..... . ... ... ... .. .... ... .. .... .. . ...... . ... ..... . . ..... ...


4,011

1,678

2,334

3,784228

643719792

1,572

894533

1,283602640

2,7601,0741,6861,2511,152

99

1,034

8851,187

905

76

3640

67‘9

*1*I3*1 144

*I5“4

*27*lo*I5

53*I9

35*22*2 I

*2

*I6“12*29*I9

1,386

615

771

1,31374

128242340612

136177510262288

983353630403379*24

353295398340

1,889

7721,117

1,778111

248316373817

443262607270272

1,295495801593542

51

534421522411

660

254406

62635

266147

6899

30091

1395965

428207220233210*23

130157238135


19.0

16.521.4

20.78.2

22.216.917.820.7

21.616.218.719.718.6

19.117.520.418.819.215.1

21.315.717.623.7

1.2

1.21.3

1.3*0.9

*o .2*1.1*0.8

2.0

*1.5*0.4*1.3*1.1*1.5

1.3*1.1

1.4*1.1*1.2*1.O

*1.2*0.7*1.4*1.7

16.4

15.017.6

17.96.6

13.114.817.418.4

12.714.817.117.317.8

16.614.118.415.916.3

*11.1

18.513.014.8

21.1

43.7

37.449.4

45.924.7

50.940.343.946.8

41.235.346.653.843.8

43.339.146.444.546.431.3

48.737.138.5

55.9

30.3

28.331.6

31.717.2

34.224.029.537.5

30.028.232.833.932.5

30.929.731.929.429.6

*27.3

25.4

26.533.636.7

1~ncludes unknown income and education.

NOTE: When a figure is shown with an asterisk, it is rmesented only for the purpose of combining with other cells. An estimate willhave a relative standard error less than 30 percent when th~ aggregate is at least 35,000.

36

Table 18. Prevalence of gout and number per 1,000 persons, by age and selected characteristics: United States, 1976

[Data are based on household interviews of the civilian noninstitutionalized population. The survey design, general qurdification, andinformation on the reliability of the estimates are given in appendix L Definitions of terms are given in appendix H]

Characteristic

Totall .. .. ... ... . ..... . . .... ... .. .. .. .. .... . .. .

Sex—

Male .. ... .. .. .... .. .. ... ... . ... ... . .... . ... ... ... . .... . .. .... .. ..Female ... . . ..... . .. .... .. .. .... . .. ... .. .. ..... . .. .... . ... .. .. ..

Color

White .. ... .. .. .... .. ... ... .. . .... .. .. ... ... .. .... . . .... .. .. .... ..All other .. . .. .... .. .. .... .. .. ... . .. ... ... .. .... .. . ... .. ... ... ..

Family income

Lass than $5,000 . .... .. .. ... .. .. .... . .. .... .. .. ... ... . ....

$5rooo.$9.999 . ... . .... .. .. ... ... . .... .. .. ... .. .. ... ... . ... .$lo.ooo414.999 . ..... . ... ... .. . ..... . .. .... ... . ... .. . ....$15,000 or more .. .... . ... .... .. . .... . .. .... .. .. .... . . ....


Less than 9 years .. .. .... .. . ..... . .. ... .. ... ... .. .. ... .. . ..9-11 years .. .. .. .... .. .. .... .. .. .... . .. .... . ... ... .. .. .... . .. ..12 years . .. .... .. . ... .. ... . .. .. .. ..... . .. .... .. . .... .. . ..... . ...13-15 years .. .. . ..... .. .. ... ... . .... . ... ... ... . .... . . ..... . ...16 years or more .... ... ... . ..... . .. ... .. ... .... . . ..... . .. .

Place of residence

SMSA ...... . .. ... . ... ... ... . .... .. .. ... ... . .... .. .. ... . ... ... ...Central city .... .... . .... . .. .... .. .. .... .. . .... . ... ... .. .Not central city .. . .... .. .. ... .. ... ... .. . .... .. .. ... ...

Outside SMSA .... .... . .. .... .. .. .. ... .. .... .. . .... . ... ... ..Nonfarm ... . .. ... ... . ..... . ... .. .... .... ... .. .... .. . ... ..Farm ... . .... .. .. ..... . .. .... . ... .... .. . .... . ... ... ... . .... .

Northeast ... .. .. ... . ..... . .. .... ... . .... .. . .... .. .. .... . .. ... .North Central ... .. .. .. .. ... ... .. . .. .... . .. .... . ... .. .. . . ....

South .. . .... . .. .... .. .. .... .. ... .. .. .. ..... . .. .... . .. ... ... . ....West .. .. . .... .. .. ... ... . .... .. ... .. .... . ... .. ... ... ... . .... .. .. ..


1,644

1,085559

1,492152

309331303567

469282431211229

1,078467611

566517

49

379403

540322

●2

*.

●2

*2*.

*.*.

*2*.

●.*.

●2*.*.

*.*.*.

*2

*2*.

*.

●2*.*.

321

24:7t

30E*;1

*24588E

137

4437

120

5460

20550

155116

113*3

5772

13855

795

525271

71284

88131152363

201160212101115

542252289

254224*3O

189195

253159

525

316209

47055

197142

6367

22485985654

331165167

194179*I5

133135

149108


7.8

10.75.1

8.25.5

10.77.86.87.5

11.38.66.36.96.7

7.57.67.48.5

8.67.5

7.87.28.08.4

“0.0

●✎

*0. I

*0.O●.

●.*.

●0. I●.

●.●.

*0.I*.*.

*.●.●.

*0. I●0.1

●.

*.*0. I

*.●.

3.8

5.91.8

4.2*1.2

●2.53.54.44.1

4.13.14.03.63.7

3.52.04.54.6

4.9+1.4

3.03.2

5.13.4

18.4

25.412.0

18.418.7

18.016.717.920.8

18.721.516.320.118.5

18.119.916.719.1

19.2●18.4

17.217.218.621.6

24.1

35.316.3

23.827.1

25.323.127.325.4

22.426.423.132.227.0

23.923.724.2

24.525.2

*17.8

26.022.821.129.3

1~clude~ unkno~ income and education.

NOTE: When a figure is shown with an asterisk, it is presented only for the uurgose of combining with other cells. An estimate willhave a relative standtid error less than 30 percent when th; aggregate is at least 3s,000.

37

Table 19. Population used in obtaining rates shown in this publication, by age and selected characteristics: United States, 1976

[ Data are based on household interviews of the civilian noninstitutionalized population. The survey design, general qualification, andinformation on the reliability y of the estimates are given in appendix I. Definitions of terms are given in appendix II]

Characteristic

Total .... ... . ...... . .. ... .... . .... . .... .. ... .. .... . ... .... .. .. ..... . ... ... .. .. .... . ... .... .

Sex—

Male ... .. .. ... ... .. .... .. ... ..... . . .... ... ... ... .. .. .... .. .. ..... . . ...... .. .. .... .. . .... .. ... .... . .. ..... . .Female .. .... .. ... .... .. .. .... ... . ..... . .. .... ... . .... .. ... .... .. .. .... . ... .... .. . ..... . .. ..... .. .. .... .. .

White ... ..... .. ...... .. . ..... .. .. .... .. ... ... ... . ...... .. ..... .. . ..... . .. .... ... .. .... .. . ..... .. . .... .. ...All other . ... .. .... ... . .... ... ... ... . ... .... ... . ..... .. . ... .. .. . .... .. ... ... .. .. ..... . .. ..... ... . ... .. .. .

Family income

Less than $5.000 . .... . ... .... ... . .... .. .. .... .. .. .... .. ... ... .. .. ..... . ... ... ... . .... .. ... ... .. .. ...$5,000-$9,999 .... ... . .... ... .. . ...... . .. ..... .. . ..... . ... ... ... .. ..... . ... ... .. .. .... .. .. .... .. .. ...$10,000-$14,999 ... .. .. .... .. .. .... .. . ..... .. .. ..... . ... ... ... . ..... .. .. .... .. .. .... . ... .... .. . ....$15,000 or more ... ... . ..... . ... ..... . .. .... ... . ..... . ... ... .. ... .... . ... .... ... . ... .. ... ... ... . ....Unknown .. .... .. ... ... ... . .... .. ... ... ... . ..... . ... ... .. .. ..... . ... ..... . . ..... ... . ..... . .. ... ... .. ....Less than $10,000 .. ... .... . ... .... .. . ..... .. ... ... ... . .... .. ... ... ... . .... .. ... .... .. .. .... . .. .....$10,000 or more .. ... . ..... . .. .... ... .. ... .. ... ... ... . ..... . .... .. ... .. .... .. ... ... .. .. .... .. .. .... .


Less than 12 years ... .... ... ..... . ... ... ... .. .... .. .. ..... .. . .... .. .. .... ... . .... ... . .... .. .. .... ...Less than 9 years .. ... . .... .. ... ... .. .. ..... . ... .... .. . ..... .. .. .... .. .. .... .. .. .... ... . .... .. .9-11 years ..... . ... ... ... . ..... . ... ... ... .. ......!.. ... .. .. .... ... .. ... ... .. .... . ... ... ... . ..... ...

12 years .... .. .. ..... . .. .... ... . .... .. .. .... .. .. ..... . ... ... ... . ..... . .. .. .. ... . ..... . .. ...... .. . .... . ...13 years or more c.)... . .... ... ... .. .... ... . ... .. . .. .... ..cd.... .. .. .... ... . .... .. ... .... .. .. .... . .. .

13-15 years .... ..... ...c..... . .. .... .. ... ... .. .. ..... .. .. .... . .. ..... ... . ..... . . .... ... .. ..... . .. .16 years or more ... ... .. ... . ..... . .... .... . .. .... .. ... ... .. .. .... .. .. ..... .. . .... ... .. ... .. .. ..

Unknown or head under 17 years .... .. . .... .. ... ... ... . ..... . ... .... .. .. .... .. .. .... .. .. ..

Place of residence

Geographic region

Under65 45

All17

1744 4%64 years yearsages years years and and

yearsover over

II I i I I

Number of persons in thousands

210,643

101,626109,018

182,85027,793

28,98742,54344,47175,79718,84571,530

120,268

74,28841,45132,83768,486

64,96030,57’434,386

2,910

144,22461,41182,81366,41959,880

6,539

48,61256,23367,57238,226

60,891 I

31,03929,852

50,79210,099

6,54712,20214,12522,511

5,50618,74936,636

20,23310,02410,21021,34118,672

8,6969,976

644

41,11216,78424,32819,77917,867

1,911

13,47516,21420,11311,089

84,701

40,99143,710

73,53311,167

9,789

16,36319,53333,202

5,81426,15252,735

22,64610,67111,97429,87431,31415,12016,194

868

59,30725,01034,29725,39323,238

2,155

19,04722,73526,81316,105

43,253

20,63322,620

38,7574,496

4,876

7,8428,506

17,4434,586

12,71825,948

18,19210,760

7,43113,03411,230

5,0166,214

797

29,93812,65717,28113,31511,684

1,630

10,97311,36013,570

7,350

21,799

8,96212,837

19,7692,030

7,775

6,1362,3082,6412,939

13,9114,949

13,2179,9963,2224,2373,7431,7412,002

601

13,8666,9596,9077,9337,091

842

5,1175s247,0763,682

65,051

29,59535,456

58,5256,526

12,651

13,97810,81420,084

7,52526,62930,897

31,40920,75610,65317,27114,973

6,7578,2161,398

43,80419,61624,18821,24718,775

2,472

16,09017,28420,64511,032

38

APPENDIXES

CONTENTS

L Technical Notes on Methods ..........................................................................................................Background of This Report .......................................................................................................Statistical Design of the Health Interview Survey ......................................................................General Qualifications ................................... ............................................................................Reliability of Estimates .... ........................................ .......................................... ............ ...........

IL Definitions of Certain Terms Used in This Report ........................................... ...............................Terms Relating to Conditions ............................ .......................... .................................. ..........Terms Relating to Disabfity ............................................................... ......................................Terms Relating to Physician Viits ................................................. .......................................... .Demographic Terms .................................................. .........................................................."....

III. Questions Used To Obtain Information About Chronic Skin and Musculoskeletal Conditions ......

LIST OF APPENDIX FIGURES

I. Relative standard errors for population characteristics ...................... ......................... .............. .......

II. Relative standsxd errors for days of restricted activity or bed disabfity (A) and for days lost fromwork or school (B) ........................................................................................................... ..... .. ......

HI. Relative standard errors of percentages of population ch.ctetiti= ............................................. ..

4040404242

4848495051

53

4.5

46

47

39

APPENDIX I

TECHNICAL NOTES ON METHODS

Background of This Report

This report is one of a series of statisticalreports prepared by the National Center forHealth Statistics (NCHS). It is based on infor-mation collected in a continuing nationwidesample of households in the Health InterviewSurvey (HIS).

The Health Interview Survey utilizes aquestionnaire which obtains information on per-sonal and demographic characteristics, illness, in-juries, impairments, chronic conditions, andother health topics. As data relating to each ofthese various broad topics are tabulated and ana-lyzed, separate reports are issued which coverone or more of the specific topics.

‘The population covered by the sample forthe Health Interview Survey is the civilian non-institutionalized population of the United Statesliving at the time of the interview. The sampledoes not include members of the Armed Forcesor U.S. nationals living in foreign countries. Itshould also be noted that the estimates showndo not represent a complete measure of anygiven topic during the specified calendar periodsince data are not collected in the interview forpersons who died during the reference period.For many types of statistics collected in the sur-vey, the reference period covers the 2 weeksprior to the interview week. For such a shortperiod, the contribution by decedents to a totalinventory of conditions or “services should bevery small. However, the contribution by de-cedents during a long reference period (e.g., 1year) might be sizable, especially for olderpersons.

Statistical Design of theHealth Interview Survey

General plan. –The sampling plan of thesurvey follows a multistage probability designwhich permits a continuous sampling of thecivilian noninstitut.icmalized population of theUnited States. The sample is designed in such away that the sample of households interviewedeach week is representative of the target ]popula-tion and that weekly samples are additive overtime. This feature of the design permits bothcontinuous measurement of characteristics ofsamples and more detailed analysis of less com-mon characteristics and smaller categories ofhealth-related items. The continuous collectionhas administrative and operational advantages aswell as technical assets since it permits fieldworkto be handled with an experienced, stable staff.

The overall sample was designed so thattabulations. can be provided for each of the fourmajor geographic regions and for selectec[ placesof residence in the United States.

The first stage of the sample design consistsof drawing a sample of 376 primary samplingunits (PSU’S) from approximately 1,900 geo-graphically defined PSU’S. A PSU consists of acounty, a small group of contiguous counties, ora standard metropolitan statistical area. ThePSU’S collectively cover the 50 States and theDistrict of Columbia.

With no loss in general understanding, theremaining stages can be combined and treated inthis discussion as an ultimate stage. WithinPSU’S, then, ultimate stage units called segmentsare defined in such a manner that each segment

40

contains an expected four households. Threegeneral types of segments are used.

Area segments which are defined geograph-ically.

List segments, using 1970 census registersas the frame.

Permit segments, using updated lists ofbuilding permits issued in sample PSU’Ssince 1970.

Census address Iistings were used for alI areas ofthe country where addresses were well definedand could be used to locate housing units. Ingeneral the list frame included the Iarger urbanareas of the United States from which abouttwo-thirds of the HIS sample was selected.

The usual HIS sample consists of approxi-mateel y 12,000 segments containing about50,000 assigned households, of which 9,000were vacant, demolished, or occupied by personsnot in the scope of the survey. The 41,000 eligi-ble occupied households yield a probability sam-ple of about 120,000 persons.

Descriptive materkd on data collection,field procedures, and questionnaire developmentin the HIS has been published ~8 as well as a de-tailed description of the sample designg and areport on the estimation procedure and themethod used to calculate sampling errors of esti-mates derived from the surveyl”

Collection of data. –Field operations forthe survey are performed by the U.S. Bureau ofthe Census under specifications established bythe National Center for Health Statistics. In ac-cordance with these specifications the Bureau ofthe Census participates in survey planning, se-lects the sample, and conducts the field inter-viewing as an agent of NCHS. The data arecoded, edited, and tabulated by NCHS.

Estimating procedures. –Since the design ofthe HIS is a complex multistage probabilitysample, it is necessary to use complex pro-cedures in the derivation of estimates. Fourbasic operations are involved:

1. Inflation by the reciprocal of th e probabilityof selection. —The probability of selection is

NOTE: A list of references follows the text.

2.

3.

4.

the product of the probabilities of selectionfrom each step of selection in the design(PSU, segment, and household).

Nonresponse adjustment. –The estimates areinflated by a multiplication factor which hasas its numerator the number of sample house-holds in a given segment and as its denomina-tor the number of households interviewed inthat segment.

First-stage ratio adjustment.– Sampling theoryindicates that the use of auxiliary informationwhich is highly correlated with the variablesbeing estimated improves the reliability of theestimates. To reduce the variability betweenPSU’S within a region, the estimates are ratioadjusted to the 1970 populations within 12color-residence classes.

Poststratification by a,ge-sex-color. –The esti-mates ar; ratio ad~us;ed within each of 60age-sex-color cells to an independent estimateof the population of each cell for the surveyperiod. These independent estimates are pre-pared by the Bureau of the Census. Both thefirst-stage and poststratified ratio adjust-ments take the form of multiplication factorsapplied to the weight of each elementary unit(person, household, condition, andhospitalization).

The effect of the ratio-estimating process isto make the sample more closely representativeof the civilian noninstitutionalized populationby age-, sex, color, and residence, which therebyreduces sampling variance.

As noted, each week’s sample representsthe population living during that week and char-acteristics of the population. Consolidation ofsamples over a time period, e.g., a calendarquarter, produces estimates of average character-istics of the U.S. population for the calendarquarter. Similarly, population data for a year areaverages of the four quarterly figures.

For prevalence statistics, such as number ofpersons with speech impairments or number ofpersons classified by time interval since lastphysician visit, figures are first calculated foreach calendar quarter by averaging estimates foraI1 weeks of interviewing in the quarter. Prev-alence data for a year are then obtained byaveraging the four quarterly figures.

41

For other types of statistics-namely thosemeasuring the number of occurrences during aspecified time period—such as incidence of acuteconditions, number of disability days, or num-ber of visits to a doctor or dentist, a similarcomputational procedure is used, but the statis-tics are interpreted differently. For these items,the questionnaire asks for the respondent’s ex-perience over the 2 calendar weeks prior to theweek of interview. In such instances the esti-mated quarterly total for the statistic is 6.’5times the average 2-week estimate produced bythe 13 successive samples taken during theperiod. The annual total is the sum of the fourquarters. Thus the experience of persons inter-viewed during a year–experience which actuallyoccurred for each person in a 2-calendar-weekinterval prior to week of interview—is treated asthough it measured the total of such experiencedun”ng the year. Such interpretation leads to nosignificant bias.

General Qualifications

Nom-esponse. –Data were adjusted for non-response by a procedure which imputes to per-sons in a household who were not interviewedthe characteristics of persons in households inthe same segment who were interviewed.

The interview process. –The statistics pre-sented in this report are based on replies ob-tained in interviews with persons in the samplehouseholds. Each person 19 years of age andover present at the time of interview was inter-viewed individually. For children and for adultsnot present in the home at the time of the inter-view, the information was obtained from a re-Iated household member such as a spouse or themother of a child.

There are limitations to the accuracy ofdiagnostic and other information collected inhousehold interviews. For diagnostic infor-mation, the household respondent can usuallypass on to the interviewer only the informationthe physician has given to the family. For condi-tions not medically attended, diagnostic infor-mation is often no more than a description ofsymptoms. However, other facts, such as thenumber of disability days caused by the condi-tion, can be obtained more accurately fromhousehold members than from any other source

since only the persons concernedtion to report this information.

are in a posi-

Rounding of numbers. –The original tabula-tions on which the data in this report are basedshow all estimates to the nearest whole unit. Allconsolidations were made from the originzdtabulations using the estimates to the nearestunit. In the final published tables, the figures arerounded to the nearest thousand, although theseare not necessarily accurate to that detail. De-vised statistics such as rates and percent distri-butions are computed after the estimates onwhich these are based have been rounded to thenearest thousand.

Population fipres. –Some of the publishedtables include population figures for specifiedcategories. Except for certain overall totals byage, sex, and color, which are adjusted to in-dependent estimates, these figures are based onthe sample of households in the HIS. These aregiven primarily to provide denominators for ratecomputation, and for this purpose are more ap-propriate for use with the accompanying meas-ures of health characteristics than other popula-tion data that may be avaiIable. With the excep-tion of the overall totals by age, sex, and colormentioned above, the population figures differfrom figures (which are derived from differentsources) published in reports of the Bureau ofthe Census. Official population estimates arepresented in Bureau of the Census reports inSeries P-20, P-25, and P-60.

Reliability of Estimates

Since the statistics presented in this reportare based on a sampIe, they will differ somewhatfrom the figures that would have been obtainedif a complete census had been taken using thesame schedules, instructions, and interviewingpersonneI and procedures.

As in any survey, the results are also sub-,ject to reporting and processing errors and errorsdue to nonresponse. To the extent possible,these types of errors were kept to a minimum bymethods built into survey procedures. 11Althoughit is very difficult to measure the extent of biasin the Health Interview Survey, a number ofstudies have been conducted to study this prob-lem. The results have been published in severalrep orts.1 2-15

42

ofThe standard error is primarily a measuresampling variability, that is, the variations

that m-ight- occur by” chance because only asample of the population is surveyed. As calcu-lated for this report, the standard error also re-flects part of the variation which arises in themeasurement process. However, it does not in-clude systematic biases which might be in thedata. The chances are about 68 out of 100 that anestimate from the sample would differ from acomplete census by less than the standard error.The chances are about 95 out of 100 that thedifference would be less than twice the standarderror and about 99 out of 100 that it would beless than 2?4 times as large.

Standard error charts. –The relative stand-ard error of an estimate is obtained by dividingthe standard error of the estimate by the esti-mate itself and is expressed as a percentage ofthe estimate. For this report, asterisks are shownfor any cell with more than a 30-percent relativestandard error. Included in this appendix arecharts from which the relative standard errorscan be determined for estimates shown in thereport. In order to derive relative errors whichwould be applicable to a wide variety of healthstatistics and which could be prepared at a mod-erate cost, a number of approximations were re-quired. As a result, the charts provide an esti-mate of the approximate relative standard errorrather than the precise error for any specific ag-gregate or percentage.

Three classes of statistics for the health sur-vey are identified for purposes of estimating var-iances.

1.

2.

Namow ran.ge.-This class consists of (1)statistics which estimate a population at-tribute, e.g., the number of persons in aparticular income group, and (2) statisticsfor which the measure for a single in-dividual during the reference period usedin data collection is usually either O or 1,on occasion may take on the value 2 orvery rarely 3.

Medium range. –This class consists ofother statistics for which the measure fora single individual during the referenceperiod used in data collection will rarelylie outside the range O to 5.

3. Wide range. –This class consists of sta-tistics for which the measure for a singIeindividual during the reference periodused in data collection can range from Oto a number in excess of 5, e.g., thenumber of days of bed disability.

In addition to classifying variables accord-ing to whether they are narrow-, medium-, orwide-range, statistics in the survey are furtherclassified as to whether they are based on a ref-erence period of 2 weeks, 6 months, or 12months.

General rules for determining relativestandard errors. —The following rules will enablethe reader to determine approximate relativestandard errors from the charts for estimatespresented in this report. These charts representstandard errors of HIS data.

Rule 1. Estimates of aggregates: Approximaterelative standard errors for estimates ofaggregates such as the number of personswith a given characteristic are obtained

from appropriate curves, figures I andII. The number of persons in the totalU.S. population or in an age-sex-colorclass of the total population is adjustedto official Bureau of the Census figuresand is not subject to sampling error.

Rule 2. Estimates of percentages in a percentdistribution: Relative standard errors forpercentages in a percent distribution of atotal are obtained from appropriatecurves, figure III. For values which donot fall on one of the curves presentedin the chart, visual interpolation will pro-vide a satisfactory approximation.

Rule 3. Estimates of rates where the numeratork a subclass of tlze denominator: Thisrule applies for prewdence rates or wherea unit of the numerator occurs, with fewexceptions, only once in the year for anyone unit in the denominator. For ex-ample, in computing the rate of visualimpairments per 1,000 population, thenumerator consisting of persons with theimpairment is a subclass oi the denomi-

43

nator, which includes all persons in thepopulation. Such rates if converted torates per 100 may be treated as thoughthey were percentages and the relativestandard errors obtained from the pm--centage charts for population estimates.Rates per 1,000, or on any other base,must first be converted to rates per 100;then the percentage chart will providethe relative standard error per 100.

Rule 4. Estimates of rates where the numeratoris not a subclass of the denominator:This rule applies where a unit of thenumerator often occurs more than oncefor any one unit in the denominator.For example, in the computation of thenumber of persons injured per 100 cur-rently employed persons per year, it ispossible that a person in the denomi-nator could have sustained more thanone of the injuries included in the nu-merator. Approximate relative standarderrors for rates of this kind may becomputed as follows:

(a)

(b)

Where the denominator is the totalU.S. population or includes all per-sons in one or more of the age-sex-color groups of the total popu-lation, the relative error of the rateis equivalent to the relative error ofthe numerator, which can be ob-tained directly from the appro-priate chart.In other cases the relative standarderror of the numerator and of thedenominator can be obtained from

Rule 5.

the appropriate curve. Square eachof these relative errors, add the re-sulting values, and extract thesquare root of the sum. ‘This pro-c e dure will result in an upperbound on the standard error and of-ten will overstate the error.

Estimates of difference between twostatistics (mean, rate, total, etc.): Thestandard error of a difference is approx-imately the square root of the sum ofthe sauares of each standard error con-.sidered separately. A formulastandard error of a difference,

d = .Y1 – .1’2is

for the

where Xl is the estimate for class 1, X2

is the estimate for class 2, and VX1 and

v~~ are the relative errors of Xl and

X2 respectively. This formula wiII

represent the actual standard error quiteaccurately for the difference bet we enseparate and uncorrelated character-istics although it is only a rough approx-imation in most other cases. The rela-tive standard error of each estimateinvolved in such a difference can be de-termined by one of the fcur rulesabove, whichever is appropriate.

44

Figure 1. RELATIVE STANDARD ERRORS FOR POPULATION CHARACTERISTICS’

100ail6670

60

50

40

30

20

109

;6

5

4

3

2

1.9.8.7

.6

.5

.4

.3

.2

.1

————

—

.—

-..

‘.=—+.-.—4-. -’ “,”,

- ~+-r>~~. . . . . --+- -—k

.-. b *-+LI .—

----- ____

‘--” 4A’ ‘l;tL~!”fR--4--iI ! I—-. —. —--- .++

. L:m~.._LJ..L

100908070

60

50

40

30

20

109876

5

4

3

2

1.9.8.7

.6

.5

.4

.3

.2

.1

, .! :,..

+:l! I !1-. . . .. 1,,l!, !’ll)’ll 1 1!

—

—A 2 3 456789A 2 3 456789A 2 3 4 56789A 2 3 456789A 2 3 456769A

10 Iw f,ooo 10,000 100,000 1,000,OOD

SIZE OF ESTIMATE (IN THOUSANDS)ll’bis curverepresents estimates of relative standard errors based on 4 quarters of data collection for narrow range estimates

of population characteristic: or narrow range estimates of aggregates using a 12-month reference period

Examfde of use of chart.’ An estimate of 10,000,000 persons with annual family income of $15,000 or more, or 10,000,000persons who wire hospklized one or more times k the pas~ year (on scale at bottom ‘of chart) has a relative standard error of 1.7percent (read from scale at left side of chart), or a standard error of 170,000 (1.7 percent of 10,000,000).

s

log

80706050

40

30

20

1098765

4

3

~i

1.9.8.7.6

.5

.4

.3

.2

.1

Figure Il. RELATIVE STANDARD ERRORS FOR DAYS OF RESTRICTED ACTIVITY OR BEDDISABILITY (A) AND FOR DAYS LOST FROM WORK OR SCHOOL (B)l

.—. .—. _ -.————.. . . . . . . ..

-- ---- -. .- .._ —–—-d+..--d :.. l!i -y ~ !. . . ..- . . . . .._ ._ .._ . --- :— .-.-, -.~--,fi {,1 j,,- -----L——

-.. —_______ . ~+–h--.-k-k.--,--————. .._ .. .... .-- . . ..--, ——.- .. ... —- . ., ~~...~jq#_ ~.. ._~~ .

..:’i:; :il:l i I 1.,, :.——.-_.—._ —--!-———————— ! I

, .... .,————-y——-.---—- —...r h-~—--i + . : : ..!, ,,, .,—

,..— .—— .

,1

. . . iii+-:;~:~!’- --- L.&-.-+:..______ -—. : .,,, i,,,

r;, ,,, . $

--------.—--J- .A-- --+-++--+ :.: :1! 1,‘—–—~+’ i

,.,

,. ._._ _..._*:__ :

-:, , !!:. :.. i_—— —!~:i.!.,1 :! .,, ! I

A 2 3 456789A 2 3 4 56789A 23 4 56789A

10023 4 56789A 2 3 456789A

1,000 10,000 100,000 1,000,000 10,000,000SIZE OF ESTIMATE (IN THOUSANDS)

tThesecurvesrepresentestimates of relative standard errors based on 1 to 4 quarters of datacollection for wide range estimates of aggregates using a 2-week reference period.

Example of use of chart: An estimate of 10,000,000 days of restricted activity (on scale at bottom of chart) has a relative standardPC-.,-l ., .,.-

error 01 zz percent \rear.itrom Curve A on scale at left side of chart), or a standard error of 2,200,000 (22 percent of 10,000,000),

90807060

50

40

30

20

1098

6

5

4

3

2

1.9.e

.6

.5

.4

.2

,2

.1

i-~-~++++j++ -- -+--j - -t--+++ ++++++H-H+

n

---t-”tw=l--t

---t-t +--i t-1 I I !

I

---- 1---LU4+H+

E13-Y”l,,,,,,,rll t~

itM-t#tH=---ttiti”i”IIlk--- I

W+d-l%lll!I I I 1 I I I I I I

, ,— . ..+ .–L----.+ --- ...

1

~

I I II

I IlllllllliI 1 1 I 1 1 1 1

II II t

I I I I [ I [ I 1

[_ .-

1 + I I T Htl—‘“ ““-+--+-+-H-H-H-H

--–”t--l-tt+}+ti+t

50

40

30

r

20

109

5

-. 4

- - 3

2

1.9

% ‘.8.7

.6

.5

.4

.3

.2

. .1

A 2 3 456789A 2 3 456789A 2 3 456789

1 10 100ESTIMATED PERCENTAGE

lTy~~ ~Uwe~~qre~entesfiates of relative standard errors of Percent%es ‘f PoPulatiOn

characteristics based on 4 quarters of data collection for narrow range estimates.

Exanzble of use of chart: An estimate of 20 Percent (on scale at bottom of chart) based on anestimate o~ 10.000.000 has a relative standard erro; of 3.6 percent (read from the scale at the left sideof chart), the ‘poin’t at which the curve for a base of 10jOOO,OOO’intersects the vertical line for 20percent. The standard error in percentage points is equal to 20 percent X 3.6 percent or 0.72percentage points.

47

,,..

APPENDIX Ii

DEFINITION OF CERTAIN TERMS USED IN THIS REPORT

Terms Relating to Conditions

Condition. –A morbidity condition, orsimply a condition, is any entry on the question-naire that describes a departure from a state ofphysical or mental well-being. It results from apositive response to one of a series of “medical-disability-impact” or “illness-recall” questions.In the coding and tabulating process, conditionsare selected or classified according to a numberof different criteria such as whether they weremedically attended, whether they resulted indisability, or whether they were acute orchronic; or according to the type of disease,injury, impairment, or symptom reported. Forthe purposes of each published report or set oftables, only those conditions recorded on thequestionnaire that satisfy certain stated criteriaare included.

Conditions except impairments are classifiedby type according to the Eighth Revision Inter-national Classification of Diseases, Adapted forUse in the United States, 5 with certain modifica-tions adopted to make the code more suitablefor a household interview survey.

Chronic condition. –A condition is consid-ered chronic if (1) the condition is described bythe respondent as having been first noticed morethan 3 months before the week of the interviewor (2) it is one of the following conditions thatare always considered chronic regardless of thedate of onset.

Allergy, anyArthritis or rheumatismAsthmaCancerCleft palateClub foot

Condition present since birthDeafness or serious trouble with hearingDiabetesEpilepsyHardening of the arteriesHay feverHeart troubleHemorrhoids or pilesHernia or ruptureHigh blood pressureKidney stonesMental illnessMissing fingers, hand, or arm–toes, foot, or

legPalsyParalysis of any kindPermanent stiffness or deformity of the

foot, leg, fingers, arm, or backProstate troubleRepeated trouble with back or spineRheumatic feverSerious trouble with seeing, even when

wearing glassesSinus trouble, repeated attacks ofSpeech defect, anyStomach ulcerStrokeThyroid trouble or goiterTuberculosisTumor, cyst, or growthVaricose veins, trouble with

lnzpaitvnent.-Impairments are chronic orpermanent defects, usually static in nature,resulting from disease, injury, or congenitalmalformation. They represent decrease or loss ofability to perform various functions, particularlythose of the musculoskeletal system and the

48

sense organs. All impairments are classified bymeans of a special supplementary code forimpairments. Hence code numbers for impair-ments in the International Classification ofDiseases are not used. In the SupplementaryCode, impairments are grouped according totype of functional impairment and etiology. Theimpairment classification is shown in Vital andHealth Statistics, Series 10, No. 87.16

Prevalence of conditions.–In general, preva-lence of conditions is the estimated number ofconditions of a specified type existing at aspecified time or the average number existingduring a specified interval of time. The preva-lence of chronic conditions is defined as thenumber of chronic cases reported to be presentor assumed to be present at the time of theinterview. Those assumed to be present at thetime of the interview are cases described by therespondent in terms of one of the diseases onthe list of conditions always considered chronic(see definition of chronic condition) andreported to have been present at some timeduring the 12-month period prior to theinterview.

Incidence of condz’tions. –The incidence ofconditions is the estimated number of condi-tions having their onset in a specified timeperiod. Incidence in this report refers to a12-month time period.

Onset of condition. –A condition is consid-ered to have had its onset when it was firstnoticed. This could be the time the person firstfelt sick or became injured, or it could be thetime when the person or his family was first toldby a physician that he had a condition of whichhe was previously unaware.

Bed-disabling condition. –A condition withonset in the past 2 weeks involving at least 1 dayof bed disability is called a bed-disabling condi-tion. (See “Bed-disability day” under “TermsRelating to Disability.”)

Terms Relating to Disability

Disability .–Disability is the general termused to describe any temporary or Iong-termreduction of a person’s activity as a result of anacute or chronic condition.

Disability duy. –Short-term disabiIit y daysare classified according to whether they are daysof restricted activity, bed days, hospital days,

work-loss days, or school-loss days. All hospitaldays are, by definition, days of bed disability; alldays of bed disability are, by definition, days ofrestricted activity. The converse form of thesestatements is, of course, not true. Days lost fromwork and days lost from schooI are special termsthat apply to the working and school-agepopulations only, but these too are days ofrestricted activity. Hence “days of restrictedactivity” is the most inclusive term used todescribe disability days.

Restricted-activity duy. –A day of restrictedactivity is one on which a person cuts down onhis usual activities for the whole of that daybecause of an ilIness or an injury. The term“usual activities” for any day means the thingsthat the person would ordinarily do on that day.For children under school age, usual activitiesdepend on whatever the usual pattern is for thechild’s day, which will in turn be affected by theage of the child, weather conditions, and soforth. For retired or elderly persons, usualactivities might consist of almost no activity, butcutting down on even a small amount for asmuch as a day would constitute restrictedactivity. On Sundays or hoIidays, usual activitiesare the things the person usually does on suchdays–going to church, playing golf, visitingfriends or relatives, or staying at home andlistening to the radio, reading, looking at televi-sion, and so forth. Persons who have perma-nently reduced their usual activities because of achronic condition might not report any re-stricted-activity days during a 2-week period.Therefore absence of restricted-activity daysdoes not imply normal health.

Restricted activity does not imply completeinactivity, but it does imply only the minimumof usual activities. A special nap for an hourafter lunch does not constitute cutting down onusual activities, nor does the elimination of aheavy chore such as cleaning ashes out of thefurnace or hanging out the wash. If a farmer orhousewife carries on only the minimum of theday’s chores, however, this is a day of restrictedactivity.

A day spent in bed or a day home fromwork or school because of illness or injury is, ofcourse, a restricted-activity day.

Bed-disability duy.-A day of bed disabilityis one on which a person stays in bed for all or

49

most of the day because of a specific illness orinjury. All or most of the day is defined as morethan half of the daylight hours. All hospital daysfor inpatients are considered to be days of beddisability even if the patient was not actually inbed at the hospital.

Work-loss day.-A day lost from work is aday on which a person did not work at his job orbusiness for at least half of his normal workdaybecause of a specific illness or injury. Thenumber of days lost from work is determinedonly for persons 17 years of age and over whoreported that at any time during the 2-weekperiod covered by the interview they eitherworked at or had a job or business.

Chronic activity limitation. –Persons are clas-sified into four categories according to theextent to which their activities are limited atpresent as a result of chronic conditions. Be-cause the usual activities of preschool children,school-age children, housewives, and workersand other persons differ, a different set ofcriteria is used for each group. There is a generalsimilarity between them, however, as will beseen in the following descriptions of the fourcategories:

1. Persons unable to carry on major activityfor their group (major activity refers toability to work, keep house, or engage inschool or preschool activities)Preschool children:

Inability to take part in ordinary playwith other chMren.

School-age children:Inability to go to school.

Housewives:Inability to do any housework.

Workers and all other persons:Inability to work at a job or business.

2. Persons limited in amount or kind ofmajor activity performed (major activityrefers to ability to work, keep house, orengage in school or preschool activities)Preschool children:

Limited in amount or kind of play withother children, for example, need spe-cial rest periods, cannot play strenuousgames, or cannot play for long periodsat a time.

School-age children:

Limited to certain types of schools or inschool attendance, for example, needspecial schools or special teaching orcannot go to school full time or for longperiods at a time.

Housewives:Limited in amount or kind of house-work, for example, cannot lift children,wash or iron, or do housework for longperiods at a time.

Workers and all other persons:Limited in amount or kind of work, forexample, need special working aids orspecial rest periods at work, cannotwork full time or for long periods at atime, or cannot do strenuous work.

3. Person-s not limited in major activity butotherwise limited (major activity refers toability to work, keep house, or engage inschool or preschool activities)Preschool children:

Not classified in this category.School-age children:

Not limited in going to school butlimited in participation in athletics orother extracuticular activities.

Housewives:Not limited in housework but limited inother activities such as church, clubs,hobbies, civic projects, or shopping.

Workers and all other persons:Not limited in regular work activitiesbut limited in other activities such aschurch, clubs, hobbies, civic projects,sports, or games.

4. Persons not limited in activities (includespersons whose activities are not limited inany of the ways described above)

Terms Relating to Physician Visits

Physician visit.-A physician visit is definedas consultation with a physician, in person or bytelephone, for examination, diagnosis, treat-ment, or advice. The visit is considered to be aphysician visit if the service is provided directlyby the physician or by a nurse or other personacting under a physician’s supervision. For thepurpose of this definition “physician” includesdoctors of medicine and osteopathic physicians.The term “doctor” is used in the interview

50

rather than “physician” because of popularusage. However, the concept toward which allinstructions are directed is that which isdescribed here.

Demographic Terms

Age.–The age recorded for each person isthe age at last birthday. Age is recorded in singleyears and grouped in a variety of distributionsdepending on the purpose of the table.

Color.–The population is divided into twocolor groups, “white” and “all other.” “Allother” includes Negro, American Indian, Chi-nese, Japanese, and any other race. Mexicanpersons are included with “white” unless defi-nitely known to be Indian or of another race.

Income of family or of unrelated individ-uals.—Each member of a family is classifiedaccording to the total income of the family ofwhich he is a member. Within the household allpersons related to each other by blood, mar-riage, or adoption constitute a family. Unrelatedindividuals are classified according to their ownincomes.

The income recorded is the totaI of allincome received by members of the family (orby an unrelated individual) in the 12-monthperiod preceding the week of interview. Incomefrom all sources is incIuded, for example, wages,salaries, rents from property, pensions, and helpfrom relatives.

Education. –The categories of educationstatus show the years of school completed. Onlyyears completed in regular schools, where per-sons are given a formal education, are included.A “regular” schooI is one that advances a persontoward an elementary or high school diploma ora coIIege, university, or professional schooldegree. Thus education in vocational, trade, orbusiness schools outside the regular school sys-tem is not counted in determining the highestgrade of school completed.Education of head of family or of unrelatedindividuals.—Each member of a family is classi-fied according to the education of the head ofthe family of which he is a member. Within thehousehold all persons related to each other byblood, marriage, or adoption constitute a family.Unrelated individual are ckissified according totheir own education.

Geographic region. –For the purpose of clas-sifying the population by geographic area, theStates are grouped into four regions that corre-spond to those used by the U.S. Bureau of theCensus as follows:

Region States included

Northeast ........... Maine, Vermont, New Hamp-shire, Massachusetts, Connec-ticut, Rhode Island, NewYork, New J’ersey, and Penn-sylvania.

Midwest .............. Ohio, Illinois, Indiana, Michi-gan, Wisconsin, Minnesota,IOW3, and MiSSOLUi

South ................. Delaware, Maryland, Districtof Columbia, West Viiginia,Viiginia, Kentucky, Tennes-see, North Carolina, SouthCarolina, Georgia, Florida,Alabam~ Mississippi, Louisi-ana, and Arkansas.

West ................... Washington, Oregon, Calif-ornia, Nevada, New Mexico,Arizona, Texas, Oklahoma,Kansas, Nebraska, NorthDakota, South Dakota,Idaho, Utah, Colorado, Mon-tana, Wyoming, Alaska, andHawaii.

Place of residence. –The place of residenceof a member of the civilian noninstitutiordizedpopulation is classified as inside a standardmetropolitan statistical area (SMSA) or outsidean SMSA and either farm or nonfarm.Standard metropolitan statistical arem.–Thedefinitions and titles of SMSA’S are establishedby the U.S. Office of Management and Budgetwith the advice of the Federal Committee onStandard Metropolitan Statistical Areas. Gen-erally speaking an SMSA consists of a county orgroup of counties containing at least one city (ortwin cities) having a population of 50,000 ormore pIus adjacent counties which are metro-politan in character and are economically andsocially integrated with the central city. In NewEngkmd, towns and cities rather than countiesare the units used in defining SMSA’S. There

51

is no limit to the number of adjacent countiesincluded in the SMSA as long as they are inte-grated with the central city nor is an SMS.\limited to a single State; boundaries may crossState lines. The metropolitan population in thisreport is based on SMSA’S as defined in the1970 census and does not include any subse-quent additions or changes.

Central city of an SMSA.–The largest city inan SMSA is always a central city. One or twoadditional cities may be secondary central citiesin the SMSA on the basis of one of the followingcriteria:

A.

B.

The additional city or cities must have apopulation of one-third or more of thatof the largest city and a minimumpopulation of 25,000.

The additional city or cities must have atleast 250,000 inhabitants.

Not central city of an SMSA.–This includesall of the SMSA that is not part of the centralcity itself. This concept is used in the population

census to provide information on commutingpatterns of workers.

Farm and nonfarm residence.–The populationresiding outside SMSA’S is subdivided into thefarm population, which comprises all non-SMSAresidents living on farms, and the noni%.rmpopulation, which comprises the remaining out-side SMSA population. The farm populationincludes persons living on places of 10 acres ormore from which sales of farm productsamounted to $50 or more during the previous12 months or on places of less than 10 acresfrom which sales of farm products amounted to$250 or more during the preceding 12 months.Other persons living outside an SMSA wereclassified as nonfarm if their household paid rentfor the house but their rent did not include anyland used for farming.

Sales of farm products refer to the gross receiptsfrom the sale of field crops, vegetables, fruits,nuts, livestock and livestock products (milk,wool, etc.), poultry and poultry products, andnursery and forest products produced on theplace and sold at any time during the preceding12 months.

000

52

APPENDIX Ill

QUESTIONS USED TO OBTAIN INFORMATION

ABOUT CHRONIC SKIN AND MUSCULOSKELETAL CONDITIONS

4

5

6

7

a

9

This surva is baing conduct-d to collact information on tho Nntion’. health. 1 will ask about visits toJdoctors on dentixts, illness in the family, and ether health rolatcd it-m.. (Hand calendar)

The next fow qucstians rdar to the past 2 wasks, the 2 waeks outlined in rcd on that calendar,

beginning Monday, (date) , and ●riding this past Sunday, (date) . Y (4b)

k. During thoso 2 wwk., did -- stay in btd bocausc of MY illnos$ or in@y? 4a. ~~ ~

}

If ace:----------------------------- ~ ------------------------------------------------- -- I 7+ (5)

b. During that 2-wQrk period, how many days did

6-16 (6J-- StGY in b.d al I or mozt of the day? b. —Days Under 6 (8)

5. During thoso 2 wc*ks, how many days did illness or in@y k*ap -- from work? 5.

(For females): not counting work around the heus~?_WL days (7)

on ❑ None (.9)

$. During theso 2 weeks, how many days did ilhmss or iniury ketp -- from school? 6._SL days

00 ❑ None (8)

If one or more days in 4b, ask 7; otherwise o to 8.

7. On how many of those -- days lost from[=}

_Daysdid -- stny in b.d all or most of the day? 7.

00 Q None

{

in b.dB.. (NOT COUNTING tlm day(s) Ioat fmm work

})

lost from school8.. 7Y

Were thwo any (other) days during the past 2 weeks that -- cut down on th* things N (9)he usually d.ms b~cause of illness or iniury?

2

------------------------------------------------------------------------------- --- . --------------------

{

in badb. (Again, not counting the day(s) lost from work

}) b. _Days

lost from schoolDuring that period, how many (othsr) days did hr cut down for as much as a day?

00 ~ N.sae

If one or more days in 4-9, ask 9; otherwise gO tO next PersOn.

{%s’}

Enter cmdftion in item C

9a. What condition caused -- to during the past 2 wocks? 9a. Ask 9b

------------------------------------------------------------------------------- ., -- --------------------

{Si%l} ‘U’ingha’p”riod’

Yb. Did any otlmr condition cauxe him tu b.

N (NPJ

------------------------------------------------------------------------------- --=:c. What condition?

------------------.Enter ccod/Nm in /tern C (9QJ

53

3. During the past 2 weeks (th. 2 w.cks outlined in rsd o. !fmt cd.ndar) how many times did --- se= a medicol doctor?

Do not count doctors seen whi Ie a patient in a hospital.

. . .

(B-side. those visits)

(a. During that 2-week period did anyone in the family go to a doctor’s offico or Yclinic for shots, X-rays, t.st$, or ●xaminations? N (15)-------------------------------------------------------------------------------

b. Who was this? - Mark “Doctor visit” box in person’s column.-------------------------------------------------------------------------------

;. Anyotw d Se? Y (Reask 14b and c]N

-------------------------------------------------------------------------------If “Doctor visit,” ask:

d. How mony times did -- visit tbe doctor during tbot period?

5a. During that peried, did anycm. in the family get any medical advice from Ya doctor evw the telephon.? N (/6)-------------------------------------------------------------------------------

b. Who was the phone call about? - Mark ‘a Phone call” box in person’s column.-------------------------------------------------------------------------------

c. Any calls about anyone ●l s.? Y (Reask 15b and c)

N-------------------------------------------------------------------------------

If “Phone call, ” ask:

d. Hew many td-phone calls were made to get medical advice about -- ?,,.

} Fill item C, (W), from 13-15 for all persons.

Ask 16a for each person with visits in DV box.

h. For what condition did -- see or talk to a doctor during the past 2 weeks?-------------------------------------------------------------------------------

b. Did -- see or folk to a doctor about any specific condition?-------------------------------------------------------------------------------

c. Whet condition?------------------ --------------------------------------------------------------

d. During that period, did -- see or talk to a doctor about any other condition?-------------------------------------------------------------------------------

e. During the past 2 weeks was -- sick because of her pregnancy?-------------------------------------------------------------------------------

f. What was the matter?

.,<, ., ,:, ~ ,,

~’ (date) y ‘‘a. During the past 12 months, (that is since a ear ego), about how many times did -- see ortalk to a medical doctor? (Do not count octors seen wh,le a patient in a hospital.)(Include the -- visits you already told me obo.t.)-------------------------------------------------------------------------------

b. ABOUT how long has it been since -- LAST saw or talked to a medical doctor?

Include doctors seen whi Ie a patient in a hospital.

il Doctor visit

_ Number of visits (NPI

Q Phone ..11

_ Number of calls (NP).

7’HEN 16d)

n Pre;nancy (76e)

❑ No condition,------------_-----

Y ‘N (NP)------------------ .

Enter condition In Item CAsk 76d------------------

Y (16c) N (NP)------------------

Y N (16d)------------------ -

Enter condition /n Item C ( 16d

,00 D Only wher, in hospital

IoO❑ None

_ Number of visits------------------ .

1 ❑ 2-ueek DV------------------ .

2 D Past 2 weeksnot reported(13 end 16)

3 ❑ 2 wks. -d mos.

4 U Over 6-12, mos.

5 ❑ I year

6 ❑ 24 years

7 ❑ 5+ years

8 n Never

54

.--------Ages6-16

---------Ages

under 6

18a. Whmt WOS -- doing MOST OF THE PAST 12 MONTHS - (For males): working w &ng something Ofs*?

If “something else,” ask (For females): knping house, wsrking, w doing

b. Whet WOS -- doing? Solmthing ●I*?

If 45+ years and was not “working, “ “keeping house,” or ‘“going to school,” askc. IS -- ratircd?

d. If “’retired,” ask Oid he rotira bmause of his hwzlth?_______________________________________________________________________190. Whotwos --doing MOST OF THE PAST 12 MONTHS -going toschool ordoing somAingclss?

If “something else,” askb. What was --doing?-----------------------------------------------------------------------

!0..1s --obl. totakepart at all inotiino~pfay wi~o~erctildrcn?_______________________________________________________________________________

b. Is h- limited in the kind of jYlay he can do b-cause of his hwlth?-------------------------------------------------------------------------------

c. Iz h- Iimitsd in the amount of Ploy becausr of his health?

!la. IS -- Iimitad in ony way bacause of his hmlth?-------------------------------------------------------------------------------

b. In what way is he Iimitcd? Record limitation, not condition.

22a. DcIes -- health now keap him from working?-------------------------------------------------------------------------------

b. Is he limited in the kind of work he could do bcause of his hmlth?-------------------------------------------------------------------------------

c. 1s h- Iimitcd in the amount of work he could do beaus- of his heolth?-------------------------------------------------------------------------------

d. Is he Iimitsd in the kind or amount of other activities Lwcausc of his haalth?

130. Docx -- NOW havo a iob?-------------------------------------------------------------------------------

b. In tm-ms of health, is -- NOW able to (work - keep house) at all?-------------------------------------------------------------------------------

c. Is hr limited in the kind of (work - housework) he can do b~cause of his health?-------------------------------------------------------------------------------

d. Is ho limited in the amount of (work - housework) he can do Imcaus* of his health?_______________________________________________________________________________

c. Is ho limited in the kind or amount of other activities because of hix health?

?4. In tarms of health would -- bo abl* to go to school?

?5a. DO*S (would) -- have to 90 to a certain typo of school bccausa of his health?-------------------------------------------------------------------------------b. Is he (would he b) Iimitcd in school attendance because of his haalth?

-------------------------------------------------------------------------------

c. Is he limited in the kind or amount of other activities bacause of his health?

Ma. Is -- limited in ANY WAY because of a disability or health?-------------------------------------------------------------------------------

b. In what way is hc limit.d? Record limitation, not condition.

{

b-en limit-d in --27.3. Abeut hew Iemg has he been unable to --

}had to go to a cdnin type of school?-------------------------------------------------------------------------------

b. Whet (other) condition cauxas this limitation?

If “old age” only, ask: Is this limitation caused by any spacific condition?-------------------------------------------------------------------------------

c. Is this Iimjtation caus~d by any otfmr condition?-------------------------------------------------------------------------------

Mark box or ask:

d. Which of th~sc conditions would you ssy is the MAIN couso of his Iimitotien?

18.&

19.

--

—

20.--

b.--

G

21CI<--

b,

! D W.arkin; (23s)

?.n KeepIn; house (23b)

3 ❑ Retired, heslth (22)

4 ❑ Retired. odmr (22)

s ❑ Goln; to school (25)

s ❑ 17+ somethin; else (22)

7 n 6–!6 %orrmthin; else (24)

------- —----------0 ❑ I -5 years (20)o ❑ Under I (27)

Y I N (27).------------------

2 Y (27) N-------------------

z Y (27) N (23)

lY s N (NP)------------------

(27)

22U,--

b.--

_:

d.

22.,--

b.--

-2

d,--

.,

24.—

25a.--

b.

c.

--

h—

27(1<

--b,

--,

c.--,

d.—

1 Y (27) N.------------------ .

2 Y (27) N.------------------

2 Y (27) N,------------------ .

3 Y (27) N (26)

Y (23c) N,------------------ .

Y 1 N (27)------------------ .

2 Y (27) N,------------------ .

?. Y (27) N------------------ .

s Y (27) N (26)

Y 1 N /271

2 Y (27) N------------------ .

2 Y (27) N------------------ .

s Y (27) N

aY 5 N (NP)------------------ .

too ❑ Less. than I mm!h

1 — MO*. 2 — Yr’-------------------

Enter cmJ:p/n hrn C

❑ Old s;0 Ody (NP)-------------------

Y (Remk N27b md c)

------------------.❑ Only I condition

Enter main cmdltlcm

55

b. Who was this? - Circle ‘“Y” in person’s column.------------------------------------------------------------ ------------------- F::l--_-_I--__.--__--_lIf “Y,” ask:

c. During that period, how many timas was -- in a nursing home or similar place? c. _ Tlmas(lfem C)

Ask for each child I year old or under if date of birth is on or after reference date. I Ila. Was -- born in a hospital?

If “Yes,”

30..

snd no hospitalizations entered in his and/or mother’s column, enter “1” in 28b and item C.

If “Yes,”

Y N (NP)

and a hospitalization is entered for the mother and/or baby, ask 30b for each.------------------------------------------------------------------------------- ---- .-------------------

b. Is thlt hospitalization included in tlm numbw you gavo me for --? b.

If “No,” correct entries in 26 and item C for mother and/or baby. Y N

la. Dns anyam in tfm family (you, your --, etc.) HAVE - ~, ~.,iw fiqcr,, ~od O, arm -

If “’Yes,’” ask 31b and c.trns, foot or leg?

_______________ -------------- ---------------- --------------------- : ----

b. Who is this? Enter name of condition and 31or letter of I ine where reported in appropriate A. Pwnanent ctiffncss or any deformity of the foot, ICII, fihgerl, arm or bock?

person’s column in item C.------------------------------------------ ------ _________________ ---

c. Drxs anyone ●lse have . . .? B. Parmlysis of any kind?

?a. DURING THE PAST 12 MONTHS, did anyone C. Arthritis of any kind or Rheumatism?in the family (you, your --, tic.) HAVE -

1. Trick knee?------------------------------ . ---- ------------------------------- ----

If “Yes,” ask 32b and c D. Gout? J. A slipped or ruptured disc?------------------------------ . ---- ------------------------------- --

E. Lumbago?b. Who was this? Enter name of condition and -------------------------------- ---- ------------------------------- ___

K. Curvoturo of tha spine?

Ietttr of Ii ne where reported in appropriate F. Ost*omyeIitis? L. REPEATED trouble with n*ck, back,person’s column in item C. (o&t*a-eb.m$uh.l it&iss) or spine?

---------------------- A---+ ---- ---- ----------- -------------------- --c. Owing the past 12 months, did anyam ●lse have. . .?

G. A bone cyst or bone spur?M. Bursitis or Synovitis]

Conditions C-N and V are conditions of

(sit!-. h.v,ta.iss)----------- ~-----------------_-. --- ------------------------------ ---H. Any othw dts*ase of the bono

the bone and muscle. . . .“+, .“-? M. A.” r+:. am.- .4 d.. ,..,,..1-. . . ,-..4 . . ..’7

32a. DURING THE PAST 12 MONTHS, did onyone i“ O. A tumor, cyst or growth of the skin? U. Dermatitis or any other skin trouble?

the fdmily hove ------------------ ______________ --- ------------------------ .,------- --

V. TROUBLE with fallen arches, flatfeet-~ “’em” O’&~$i~.is)_--_-__--__-- ___ _?L4y&c______________________ ---If “Yes, ” ask 32b and c

b. Who was this? Enter in item CW. TROUBLE with ingrown toenails

Q. TROUBLE with dry or itching skin? or fingernails?------------------------------- --- -------------------------------- --

c. Ouring the post 12 months, did anyone else have. . .? X. TROUBLE with bunions, corns,R. TROUBLE with acne? or calluses?

Conditions O-U and W-Z are conditions------------------------------- --- -------------------------------- --

of the skin.S. A skin ulcer? Y. A disease of the hair or scalp?------------------------------- --- -------------------------------- --

T. Any kind of skin allergy?Z. Any disease of the lymph or

sw.ot qland~?

56

CONDITION 2

1. Person number Nanm of condition

i2. When did -- lost see or talk to a doctor about his . . .?

I O ~e$kterview I ❑ Past 2 wks. (Item C) s u 2–4 yrs.

2 ❑ 2 wks. -6 mos.(Rcosk 2)

6 ❑ 5+ Yrs.3 ❑ Over 6-12 mos. 70 Never

4Dlyr. e ❑ DK if Dr. seen

9 D DK when Dr. seen

(41 IExamine ““Name of condition” entry and mark

❑ Accident or injury (AZ) n On Card C (A2) ❑ Neither (30)

If “Doctor “not talked to,” transcribe entry from item 1.If “Doctor talked to,” ask:

la. What did the doctor say it was? - Did he give it a medical nome?

--------- ..-----Do not ask for Cancer ‘n- On Card C[~---------------

b. What Was the COUS* of . . .?

❑ Accident or injury (AZ)---------------------------- -------------------- -If the entry in 3a or 3b includes the words:

Ai!m..t Condition Disordmr Treuble

A..mim cyst G,wmth TumorAsthma Defect Measl. s ulcer

)

Ask C:

Attack Dis..,e Rupture

c. What kind of . . . is it?

------------ ------------------------------------For allergy or stroke, ask

d. How does thr allergy (stroke) affect him?

-------------------------------------------------If in 3a-d there is an impairment or any of the following entries:

Abs=.ss Dmoge Pomlysis

Ache [.xc.pt had o, d Growth Rupture

Biding Hmmrhag. sore

Blood clot Infection Sa,.. es*

Boll Inflmm.tim Tumor

I

Ask e

Cane.r N.urolgia ulcercramp. (.w.pt Ne.ritls Vmieos. veins

Inmmual) Pain Wmkcyst Pal q Weakness

G What part of the body is affac tad?

Show the following detail:

Hand . . . . . . . . . . . . . . . . . . . . . skull,.. alp,f...Bsck/spinA.mAra . . . . . . . . . . . uPp,,, middlq k. W.,

Eor orwe . . . . . . . . . . . . . . . ..en. orhfhAm . . . . . . . . . . . . . . . . . . . .. one ortmth;sho.lder,.pee,

elbow, Icw.r, wrist, h.an.$’

Lq . . . . . . . . . . . . . . . . . . . . . on. or both; hip, .pp.r, k.**,lc.w.r, ankl., foot

J

~

~z Ask,r~~;$l~.estio”s a~~~~for the condition entered ix

4. During the post 2 weeks, did his . . . cause himto cut down on the things h- usually does?

5. During that period, how many days did he cutdown for as much os a day? _ Days

on m None (9)

6. fl~ing that 2-week period, how many &ys didkeep him in bed all or most of the cloy?

_Days. . .

on u None

Ask if 17+ years:

7. How many days did his . . . keep him from work_Days [9)

during that 2.week period? (For females): notcounting work around the house? cm ❑ None (9)

Ask if 6–16 years:

8. How many days did his . . . keep him from _Days

school during that 2-week period? 00 u None

9. When did -- first notice his . . .?

I ❑ Last week 4 ❑ z weeks-s months2 0 Week before s ❑ Over 3—12 months

3 u Past 2 weeks-DK which s R More than 12 months ago

(Was it during the past 12 months or before that time?)

(Was it during the post 3 months or before that time?)

(WCIS it during the Wst 2 weeks or before thot timr?)

I ❑ Not an eye cond. (AA) 3 ❑ First tie cond. (6+ yrs.)

/43 2 ❑ First eye cond. (Item C, then 10)

(under 6) (AA) 4 ❑ Not first eye cond. (AA)

[0. Can -- see well enough to read ordimm;ywspaperprint WITH GLASSES with his

[

] ●ye?.. !Y 2N

( rightJ . . . . ..l Y 2N

‘OOTNOTES

000

* U. S. GOVE~MENT PRINTING OFFICE :1978 2!31-259/31

57

VITAL AND HEALTH STATISTICS Series

Series 1. Programs and Collection Procedures.– Reports which describe the general programs of the NationalCenter for Health Statistics and its offices and divisions and data collection methods used and includedefinitions and other material necessa~ for understanding the data.

Series 2. Data Evaluation and Methods Research. –Studies of new statistical methodology including experi-mental tests of new survey methods, studies of vital statistics collection methods, new analyticaltechniques, objective evaluations of reliability of collected data, and contributions to statistical theory.

Series 3. Analytical Studies. –Reports presenting analytical or interpretive studies based on vital and healthstatistics, carrying the analysis further than the expository types of reports in the other series.

Series 4. Documents and Committee Reports. – Final reports of major committees concerned with vita] andhealth statistics and documents such as recommended model vital registration laws and revised birthand death certificates.

Series 10. Data From the Health Interview Suruey. –Statistics oil illness, accidental injuries, disability, use ofhospital, medical, dental, and other services, and other health-related topics, all based on data collectedin a continuing national household interview survey.

Srrics 11. Data From the Health Examination Survey and the Health and Arutrition Exarninntion Survey. –Datafrom direct examination, testing, and measurement of national samples of the civilian noninstitu-tionalized population provide the basis for two types of reports: (I) estimates of the medically definedprevalence of specific diseases in the United States and the distributions of the population with respectto physical, physiological, and psychological characteristics and (2) analysis of relationships among thevarious measurements without reference to an expIicit finite universe of persons.

Series 12. Data Fro m the Institutionalized Population Suroeys. -Discontinued effective 1975. Future reports fromthese surveys will be in Series 13.

Series 13. Data on Health Resources Utilization. –Statistics on the utilization of health manpower and facilitiesproviding long-term care, ambulatory care, hospital care, and family plvmning services.

Series 14. Data on Health Resources: Manpower and Facilities. –Statistics on the numbers, geographic distri-bution, and characteristics of health resources including physicians, dentists, nurses, other healthoccupations, hospitals, nursing homes, and outpatient facilities.

Series 20. Data on Mortality. –Various statistics on mortality other than as included in regular annual or monthlyreports. Special analyses by cause of death, age, and other demographic variables; geographic and timeseries analyses; and statistics on characteristics of deaths not available from the vital records based onsample surveys of those records.

Series 21. Data on Natality, Marriage, and Divorce. –Various statistics on natality, marriage, and divorce otherthan as included in regular annual or monthly reports. Special analyses by demographic variables;geographic and time series analyses; studies of fertility; and statistics on chamscteristics of births notavailable from the vital records based on sample surveys of those records.

Series 22. Data From the National Mortality and Natality Survey s.–Discontinued effective 1975. Future reportsfrom these sample surveys based on vital records will be included in Series 20 and 21, respectively.

Series 23, Data From the National Survey of Family Growth. –Statistics on fertility, family formation and dis-solution, family planning, and related maternal and infant health topics derived from a biennial surveyof a nationwide probability sampIe of ever-mamied women 15-44 years of age.

For a list of titles of reports published in these series, write to: Scientific and Technical Information BranchNational Center for Health StatisticsPublic Health ServiceHyattsville, Md. 207S2

—.———....-..- . . .....—.-

I