Recent trends in chronic disease, impairment and disability among older adults in the United States
<p>Abstract</p> <p>Background</p> <p>To examine concurrent prevalence trends of chronic disease, impairment and disability among older adults.</p> <p>Methods</p> <p>We analyzed the 1998, 2004 and 2008 waves of the Health and Retirement Study, a n...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2011-08-01
|
| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-2318/11/47 |
| _version_ | 1831727790326546432 |
|---|---|
| author | Ross Joseph S Hung William W Boockvar Kenneth S Siu Albert L |
| author_facet | Ross Joseph S Hung William W Boockvar Kenneth S Siu Albert L |
| author_sort | Ross Joseph S |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>To examine concurrent prevalence trends of chronic disease, impairment and disability among older adults.</p> <p>Methods</p> <p>We analyzed the 1998, 2004 and 2008 waves of the Health and Retirement Study, a nationally representative survey of older adults in the United States, and included 31,568 community dwelling adults aged 65 and over. Measurements include: prevalence of chronic diseases including hypertension, heart disease, stroke, diabetes, cancer, chronic lung disease and arthritis; prevalence of impairments, including impairments of cognition, vision, hearing, mobility, and urinary incontinence; prevalence of disability, including activities of daily living (ADLs) and instrumental activities of daily living (IADLs).</p> <p>Results</p> <p>The proportion of older adults reporting no chronic disease decreased from 13.1% (95% Confidence Interval [CI], 12.4%-13.8%) in 1998 to 7.8% (95% CI, 7.2%-8.4%) in 2008, whereas the proportion reporting 1 or more chronic diseases increased from 86.9% (95% CI, 86.2%-89.6%) in 1998 to 92.2% (95% CI, 91.6%-92.8%) in 2008. In addition, the proportion reporting 4 or more diseases increased from 11.7% (95% CI, 11.0%-12.4%) in 1998 to 17.4% (95% CI, 16.6%-18.2%) in 2008. The proportion of older adults reporting no impairments was 47.3% (95% CI, 46.3%-48.4%) in 1998 and 44.4% (95% CI, 43.3%-45.5%) in 2008, whereas the proportion of respondents reporting 3 or more was 7.2% (95% CI, 6.7%-7.7%) in 1998 and 7.3% (95% CI, 6.8%-7.9%) in 2008. The proportion of older adults reporting any ADL or IADL disability was 26.3% (95% CI, 25.4%-27.2%) in 1998 and 25.4% (95% CI, 24.5%-26.3%) in 2008.</p> <p>Conclusions</p> <p>Multiple chronic disease is increasingly prevalent among older U.S. adults, whereas the prevalence of impairment and disability, while substantial, remain stable.</p> |
| first_indexed | 2024-12-21T06:36:06Z |
| format | Article |
| id | doaj.art-96cb0278af8c47689f192926fa5e5759 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-21T06:36:06Z |
| publishDate | 2011-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-96cb0278af8c47689f192926fa5e57592022-12-21T19:12:51ZengBMCBMC Geriatrics1471-23182011-08-011114710.1186/1471-2318-11-47Recent trends in chronic disease, impairment and disability among older adults in the United StatesRoss Joseph SHung William WBoockvar Kenneth SSiu Albert L<p>Abstract</p> <p>Background</p> <p>To examine concurrent prevalence trends of chronic disease, impairment and disability among older adults.</p> <p>Methods</p> <p>We analyzed the 1998, 2004 and 2008 waves of the Health and Retirement Study, a nationally representative survey of older adults in the United States, and included 31,568 community dwelling adults aged 65 and over. Measurements include: prevalence of chronic diseases including hypertension, heart disease, stroke, diabetes, cancer, chronic lung disease and arthritis; prevalence of impairments, including impairments of cognition, vision, hearing, mobility, and urinary incontinence; prevalence of disability, including activities of daily living (ADLs) and instrumental activities of daily living (IADLs).</p> <p>Results</p> <p>The proportion of older adults reporting no chronic disease decreased from 13.1% (95% Confidence Interval [CI], 12.4%-13.8%) in 1998 to 7.8% (95% CI, 7.2%-8.4%) in 2008, whereas the proportion reporting 1 or more chronic diseases increased from 86.9% (95% CI, 86.2%-89.6%) in 1998 to 92.2% (95% CI, 91.6%-92.8%) in 2008. In addition, the proportion reporting 4 or more diseases increased from 11.7% (95% CI, 11.0%-12.4%) in 1998 to 17.4% (95% CI, 16.6%-18.2%) in 2008. The proportion of older adults reporting no impairments was 47.3% (95% CI, 46.3%-48.4%) in 1998 and 44.4% (95% CI, 43.3%-45.5%) in 2008, whereas the proportion of respondents reporting 3 or more was 7.2% (95% CI, 6.7%-7.7%) in 1998 and 7.3% (95% CI, 6.8%-7.9%) in 2008. The proportion of older adults reporting any ADL or IADL disability was 26.3% (95% CI, 25.4%-27.2%) in 1998 and 25.4% (95% CI, 24.5%-26.3%) in 2008.</p> <p>Conclusions</p> <p>Multiple chronic disease is increasingly prevalent among older U.S. adults, whereas the prevalence of impairment and disability, while substantial, remain stable.</p>http://www.biomedcentral.com/1471-2318/11/47chronic diseaseimpairmentdisabilityprevalence trends |
| spellingShingle | Ross Joseph S Hung William W Boockvar Kenneth S Siu Albert L Recent trends in chronic disease, impairment and disability among older adults in the United States BMC Geriatrics chronic disease impairment disability prevalence trends |
| title | Recent trends in chronic disease, impairment and disability among older adults in the United States |
| title_full | Recent trends in chronic disease, impairment and disability among older adults in the United States |
| title_fullStr | Recent trends in chronic disease, impairment and disability among older adults in the United States |
| title_full_unstemmed | Recent trends in chronic disease, impairment and disability among older adults in the United States |
| title_short | Recent trends in chronic disease, impairment and disability among older adults in the United States |
| title_sort | recent trends in chronic disease impairment and disability among older adults in the united states |
| topic | chronic disease impairment disability prevalence trends |
| url | http://www.biomedcentral.com/1471-2318/11/47 |
| work_keys_str_mv | AT rossjosephs recenttrendsinchronicdiseaseimpairmentanddisabilityamongolderadultsintheunitedstates AT hungwilliamw recenttrendsinchronicdiseaseimpairmentanddisabilityamongolderadultsintheunitedstates AT boockvarkenneths recenttrendsinchronicdiseaseimpairmentanddisabilityamongolderadultsintheunitedstates AT siualbertl recenttrendsinchronicdiseaseimpairmentanddisabilityamongolderadultsintheunitedstates |