Recent trends in chronic disease, impairment and disability among older adults in the United States.

TitleRecent trends in chronic disease, impairment and disability among older adults in the United States.
Publication TypeJournal Article
Year of Publication2011
AuthorsHung, WW, Ross, JS, Boockvar, KS, Siu, AL
JournalBMC Geriatr
Volume11
Pagination47
Date Published2011 Aug 18
ISSN Number1471-2318
KeywordsActivities of Daily Living, Aged, Aged, 80 and over, Chronic disease, Disabled Persons, Female, Health Surveys, Humans, Longitudinal Studies, Male, United States, Visually Impaired Persons
Abstract

<p><b>BACKGROUND: </b>To examine concurrent prevalence trends of chronic disease, impairment and disability among older adults.</p><p><b>METHODS: </b>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><b>RESULTS: </b>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><b>CONCLUSIONS: </b>Multiple chronic disease is increasingly prevalent among older U.S. adults, whereas the prevalence of impairment and disability, while substantial, remain stable.</p>

Notes

Hung, William W Ross, Joseph S Boockvar, Kenneth S Siu, Albert L K08 AG032886/AG/NIA NIH HHS/United States U01AG009740/AG/NIA NIH HHS/United States Comparative Study Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't England BMC geriatrics BMC Geriatr. 2011 Aug 18;11:47.

DOI10.1186/1471-2318-11-47
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/21851629?dopt=Abstract

Endnote Keywords

PREVALENCE/concurrent prevalence trends/concurrent prevalence trends/Chronic Disease/impairment/impairment/DISABILITY/DISABILITY/ADL and IADL Impairments

Endnote ID

62721

Alternate JournalBMC Geriatr
Citation Key7637
PubMed ID21851629
PubMed Central IDPMC3170191
Grant ListK08 AG032886 / AG / NIA NIH HHS / United States
P30 AG028741 / AG / NIA NIH HHS / United States
U01AG009740 / AG / NIA NIH HHS / United States