VITAL AND HEALTH STATISTICS TRENDS IN THE HEALTH OF OLDER AMERICANS; UNITED STATES 1994 By R.A. COHEN and J.F. VAN NOSTRAND SERIES 3 ANALYTIC AND EPIDEMIOLOGICAL STUDIES Includes 71 detailed tables presenting data from various sources concerning trends in the health status and determinants of health status and determinants of health of older persons. Data on persons aged 55-64 years are included for comparison purposes. Acknowledgment: Support for preparation of this disk was provided by the Federal Interagency Forum on Aging-Related Statistics, sponsored by the Office of Demography of the National Institute on Aging, the National Institutes of Health. Copyright and Citation: Data in these tables are in the public domain and may be used and reprinted without special permission; citation as to sources, however is appreciated. Suggested citation is: Cohen, RA, Van Nostrand JF. Trends in the Health of Older Americans: United States, 1994. National Center for Health Statistics. Vital and Health Statistics 3(30). 1995 U.S. Department of Health and Human Services Public Health Service Centers for Disease Control and Prevention National Center for Health Statistics FILES CONTAINED IN THIS SUBDIRECTORY This subdirectory contains detailed tables presenting data from various sources concerning Trends in the Health of Older Americans: United States, 1994. These tables are in 79 Lotus 1-2-3 spreadsheet files. Another spreadsheet file, AGEGUIDE.WK1, contains a guide to the tables. In addition, the file, AGETABLE.ZIP, contains the complete set of tables as Lotus 1-2-3 spreadsheet files in compressed format. REQUIREMENTS - IBM Compatible computer with hard drive having 1.8 megabytes (1,800,000 bytes) available space for the decompressed files. - Lotus 1-2-3 version 2.0 or higher, or any software that can read the Lotus .WK1 files. Examples of software that can do this are: Lotus Symphony, Microsoft Excel and Borland's Paradox. Note: Lotus 1-2-3 is a trademark of Lotus Corporation. TRENDS IN THE HEALTH OF OLDER AMERICANS: UNITED STATES, 1994 I. INTRODUCTION II. CHAPTER 1. DISABILITY AND ITS CONSEQUENCES IN A COHORT OF ELDERLY CHAPTER 2. TRENDS IN HEALTH STATUS CHAPTER 3. TRENDS IN MORTALITY CHAPTER 4. TRENDS IN HOSPITAL USE CHAPTER 5. TRENDS IN LONG-TERM CARE CHAPTER 6. TRENDS IN NATIONAL HEALTH EXPENDITURES TRENDS IN THE HEALTH OF OLDER AMERICANS: UNITED STATES, 1994 GUIDE TO SYMBOLS USED IN TABLES --- Data not available ... Category not applicable - Quantity zero * Figure does not meet standard of reliability or precision *- Figure does not meet standard of reliability and quantity zero GUIDE TO SPREADSHEET TABLES FROM HEALTH DATA OF OLDER AMERICANS, UNITED STATES: 1994 CONDENSED GUIDE TO TABLES Sex Race Oldest-old ADL,IADL Chapter 1 1-8 Chapter 2 1-9,12,13, 1-7,10,11 1-9,12,13, 2,3 16,17,20, 14,15,18, 16,17,20, 21,24,25, 19,22,23, 21,24,25, 28,29 26,27,30, 28,29 31 Chapter 3 1-7 1-9 1-9 Chapter 4 1-3,7,8 4-6,9,10 1-3,7,8 Chapter 5 1-6 1 1-6 2-5 Chapter 6 4 4 4 Long-term Hospital Chronic Heart care care conditions disease Chapter 1 5,6,10 5,6,10 Chapter 2 8-31 16-19 Chapter 3 3-9 3 Chapter 4 1-10 1-6 1-6 Chapter 5 1-6 Chapter 6 2,3 2,3 Cancer Stroke Diabetes Respiratory Arthritis disease Chapter 1 Chapter 2 12-15, 16-19 24-27 20-23 12-15 20-23 Chapter 3 5-9 4 6 Chapter 4 1-6 1-6 1-6 1-6 1-6 Chapter 5 Chapter 6 DETAILED GUIDE TO TABLES Chapter 1 - Disability and its consequences in a cohort of elderly Table 1. ONE1.WK1 Number and percent distribution of persons 70 years of age and over in 1984 who received the help of another with activities of daily living, according to vital status as of 1990 recontact: United States Table 2. ONE2.WK1 Number and percent distribution of persons 70 years of age and over in 1984 who received the help of another with instrumental activities of daily living, according to vital status as of 1990 recontact: United States Table 3. ONE3.WK1 Number and percent distribution of persons 70 years of age and over in 1984 who received help of another with activities of daily living, according to age and number of activity limitations at 1990 recontact: United States Table 4. ONE4.WK1 Number and percent distribution of persons 70 years of age and over in 1984 who received help of another with instrumental activities of daily living, according to activity limitations at 1990 recontact: United States Table 5. ONE5.WK1 Number and percent distribution of persons 70 years of age and over in 1984 who received help of another with activities of daily living according to hospital and nursing home stays and vital status as of 1990 recontact: United States Table 6. ONE6.WK1 Number and percent distribution of persons 70 years of age and over in 1984 who received the help of another with instrumental activities of daily living, according to hospital and nursing home stays and vital status as of 1990 recontact: United States Table 7. ONE7.WK1 Number and percent distribution of persons 70 years of age and over in 1984 who received the help of another with activities of daily living, according to primary reason for moving from residence and vital status as of 1990 recontact: United States Table 8. ONE8.WK1 Number and percent distribution of persons 70 years of age and over in 1984 who received the help of another with instrumental activities of daily living, according to primary reason for moving from residence and vital status as of 1990 recontact: United States Table 9. ONE9.WK1 Number and percent distribution of persons 70 years of age and over in 1984, according to vital status as of 1990 recontact and selected indicators of disability in 1984: United States Table 10. ONE10.WK1 Number and percent distribution of persons 70 years of age and over in 1984, according to hospital and nursing home stays and vital status as of 1990 recontact, and selected indicators of disability in 1984: United States Table 11. ONE11.WK1 Number and percent distribution of persons 70 years of age and over in 1984, according to primary reason for moving from residence and vital status as of 1990 recontact, and selected indicators of disability in 1984: United States Chapter 2 - Trends in Health Status Table 1. TWO1.WK1 Number and percent distribution of persons according to respondent-assessed health status by race, sex, and age: United States, 1982-92 Table 2. TWO2.WK1 Number of persons 70 years of age and over with and without limitation in selected types of activities as a result of chronic conditions, by race, sex, age, and type of limitation: United States, 1985-92 Table 3. TWO3.WK1 Percent of persons 70 years of age and over with and without limitation in selected types of activities as a result of chronic conditions, by race, sex, age, and type of limitation: United States, 1985-92 Table 4. TWO4.WK1 Number of restricted-activity days per person per year as a result of acute and chronic conditions, by race, sex, and age: United States, 1982-92 Table 5. TWO5.WK1 Number of bed-disability days per person per year as a result of acute and chronic conditions, by race, sex, and age: United States, 1982-92 Table 6. TWO6.WK1 Average number of restricted-activity days per person per year as a result of acute and chronic conditions, by race, sex, age, and location: United States, selected years Table 7. TWO7.WK1 Average number of bed-disability days per person per year as a result of acute and chronic conditions, by race, sex, age, and location: United States, selected years Table 8. TWO8.WK1 Average annual number of selected respondent-reported impairments by sex, age and type of impairment: United States, selected years Table 9. TWO9.WK1 Average annual rate of selected respondent-reported impairments by sex, age and type of impairment: United States, selected years Table 10. TWO10.WK1 Average annual number of selected respondent-reported impairments by race, age and type of impairment: United States, selected years Table 11. TWO11.WK1 Average annual rate of selected respondent-reported impairments by race, age and type of impairment: United States, selected years Table 12. TWO12.WK1 Average annual number of selected respondent-reported chronic skin and musculoskeletal conditions, by sex, age and type of condition: United States, selected years Table 13. TWO13.WK1 Average annual rate of selected respondent-reported chronic skin and musculoskeletal conditions, by sex, age and type of condition: United States, selected years Table 14. TWO14.WK1 Average annual number of selected respondent-reported chronic skin and musculoskeletal conditions, by race, age and type of condition: United States, selected years Table 15. TWO15.WK1 Average annual rate of selected respondent-reported chronic skin and musculoskeletal conditions, by race, age and type of condition: United States, selected years Table 16. TWO16.WK1 Average annual number of selected respondent-reported chronic circulatory conditions, by sex, age and type of condition: United States, selected years Table 17. TWO17.WK1 Average annual rate of selected respondent-reported chronic circulatory conditions, by sex, age and type of condition: United States, selected years Table 18. TWO18.WK1 Average annual number of selected respondent-reported chronic circulatory conditions, by race, age and type of condition: United States, selected years Table 19. TWO19.WK1 Average annual rate of selected respondent-reported chronic circulatory conditions, by race, age and type of condition: United States, selected years Table 20. TWO20.WK1 Average annual number of selected respondent-reported chronic respiratory conditions, by sex, age and type of condition: United States, selected years Table 21. TWO21.WK1 Average annual rate of selected respondent-reported chronic respiratory conditions, by sex, age and type of condition: United States, selected years Table 22. TWO22.WK1 Average annual number of selected respondent-reported chronic respiratory conditions, by race, age and type of condition: United States, selected years Table 23. TWO23.WK1 Average annual rate of selected respondent-reported chronic respiratory conditions, by race, age and type of condition: United States, selected years Table 24. TWO24.WK1 Average annual number of selected respondent-reported chronic conditions of the genitourinary, nervous, endocrine, metabolic, and blood and blood-forming systems, by sex, age, and type of condition: United States, selected years Table 25. TWO25.WK1 Average annual rate of selected respondent-reported chronic conditions of the genitourinary, nervous, endocrine, metabolic, and blood and blood-forming systems, by sex, age, and type of condition: United States, selected years Table 26. TWO26.WK1 Average annual number of selected respondent-reported chronic conditions of the genitourinary, nervous, endocrine, metabolic, and blood and blood-forming systems, by race, age, and type of condition: United States, selected years Table 27. TWO27.WK1 Average annual rate of selected respondent-reported chronic conditions of the genitourinary, nervous, endocrine, metabolic, and blood and blood-forming systems, by race, age, and type of condition: United States, selected years Table 28. TWO28.WK1 Average annual number of selected respondent-reported chronic digestive conditions, by sex, age, and type of condition: United States, selected years Table 29. TWO29.WK1 Average annual rate of selected respondent-reported chronic digestive conditions, by sex, age, and type of condition: United States, selected years Table 30. TWO30.WK1 Average annual number of selected respondent-reported chronic digestive conditions, by race, age, and type of condition: United States, selected years Table 31. TWO31.WK1 Average annual rate of selected respondent-reported chronic digestive conditions, by race, age, and type of condition: United States, selected years Chapter 3 - Trends in Mortality Table 1. THREE1.WK1 Life expectancy at birth and at 65, 75, and 85 years of age, by sex and race: United States, selected years 1900-91 Table 2. THREE2.WK1 Death rates for all causes, by race, sex, and age: United States, selected years Table 3. THREE3.WK1 Death for diseases of heart, according to race, sex, and age: United States, selected years 1960-91 Table 4. THREE4.WK1 Death rates for cerebrovascular disease, by race, sex, and age: United States, selected years 1960-91 Table 5. THREE5.WK1 Death rates for malignant neoplasms, by race, sex, and age: United States, selected years 1960-91 Table 6. THREE6.WK1 Death rates for malignant neoplasms of the respiratory system, by race, sex, and age: United States, selected years 1960-91 Table 7. THREE7.WK1 Death rates for malignant neoplasms of the colon by race, sex, and age: United States, selected years 1960-91 Table 8. THREE8.WK1 Death rates for malignant neoplasms of the prostate for males by race and age: United States, selected years 1960-91 Table 9. THREE9.WK1 Death rates for malignant neoplasms of breast for females, by race and age: United States, selected years 1960-91 Chapter 4 - Trends in Hospital Use Table 1. FOUR1.WK1 Number of discharges from short-stay hospitals, by sex, age, and selected first-listed diagnosis: United States, 1970, 1980, 1985, 1990, and 1991 Table 2. FOUR2.WK1 Rate of discharges from short-stay hospitals, by sex, age, and selected first-listed diagnosis: United States, 1970, 1980, 1985, 1990, and 1991 Table 3. FOUR3.WK1 Average length of stay for discharges from short-stay hospitals, by age, sex, and selected first-listed diagnosis: United States, 1970, 1980, 1985, 1990, and 1991 Table 4. FOUR4.WK1 Number of discharges from short-stay hospitals, by race, age, and selected first-listed diagnosis: United States, 1970, 1980, 1985, 1990, and 1991 Table 5. FOUR5.WK1 Rate of discharges from short-stay hospitals, by race, age, and selected first-listed diagnosis: United States, 1970, 1980, 1985, 1990, and 1991 Table 6. FOUR6.WK1 Average length of stay for discharges from short-stay hospitals, by race, age, and selected first-listed diagnosis: United States, 1970, 1980, 1985, 1990, and 1991 Table 7. FOUR7.WK1 Number of all-listed surgical and non-surgical procedures for discharges from short-stay hospitals, by sex, age, and procedure category: United States, 1980, 1985, 1990, 1991 Table 8. FOUR8.WK1 Rate of all-listed surgical and non-surgical procedures for discharges from short-stay hospitals, by sex, age, and procedure category: United States, 1980, 1985, 1990, and 1991 Table 9. FOUR9.WK1 Number of all-listed surgical and non-surgical procedures for discharges from short-stay hospitals, by race, age, and procedure category: United States, 1980, 1985, 1990, 1991 Table 10. Rate of all-listed surgical and non-surgical procedures for FOUR10.WK1 discharges from short-stay hospitals, by race, age, and procedure category: United States, 1980, 1985, 1990, and 1991 Chapter 5 - Trends in Long-Term Care Table 1. FIVE1.WK1 Number and rate of nursing home residents 65 years of age and over, by age, sex, and race: United States, 1963, 1973-74, 1977, 1985 Table 2. FIVE2.WK1 Number and percent nursing home residents, by sex, age, and individual measures of functional status: United States, 1977 and 1985 Table 3. FIVE3.WK1 Number and percent nursing home residents, by sex, age, and measures of dependency in activities of daily living: United States, 1977, 1985 Table 4. FIVE4.WK1 Number of nursing home residents, by sex, age, and continence status: United States, 1977 and 1985 Table 5. FIVE5.WK1 Percent of nursing home residents, by sex, age, and continence status: United States, 1977 and 1985 Table 6. FIVE6.WK1 Number and percent of nursing home residents, by sex, age, depression, and selected behavioral problems: United States, 1977 and 1985 Chapter 6 - Trends in National Health Expenditures Table 1. SIX1.WK1 Gross domestic product, national health expenditures, and Federal and State and local government expenditures: United States, selected years 1960-91 Table 2. SIX2.WK1 National health expenditures, percent distribution, and average annual percent change, according to type of expenditure: United States, selected years 1960-91 Table 3. SIX3.WK1 Number of Medicare enrollees and amount and percent distribution of expenditures according to type of service: United States and other areas, selected years 1967-91 Table 4. SIX4.WK1 Medicare enrollment, persons served, and payments for Medicare enrollees 65 years of age and over, by year and selected characteristics: United States and other areas, selected years 1967-90 Appendix tables Table I. A2TAB1.WK1 Resident population, by race, sex, and age: United States, selected years 1950-91 Table II. A2TAB2.WK1 Standard million age distribution used to adjust death rates to the U.S. population in 1940 Table III. A2TAB3.WK1 Revision of the iInternational Classification of Diseases, by year of conference by which adopted and years of use in United States Table IV. A2TAB4.WK1 Cause-of-death codes, according to applicable revision of iInternational Classification of Diseases Table V. A2TAB5.WK1 First-listed diagnosis and code number inclusions based on the iInternational Classification of Diseases, 8th Revision iadapted for use in the United States, and the iInternational iClassification of Diseases, 9th Revision, Clinical iModification Table VI. A2TAB6.WK1 Codes for surgical and nonsurgical categories from the iInternational Classification of Diseases, 9th Revision, iClinical Modification Table VII. A2TAB7.WK1 Procedure codes from the iInternational Classification of iDiseases, 9th Revision, Clinical Modification not used in the National Hospital Discharge Survey for 1980, 1985, and 1990 Table VIII. A2TAB8.WK1 iInternational Classification of Diseases, 9th Revision, iClinical Modification codes for diagnostic and nonsurgical procedures for 1980, 1985, 1990, and 1991