Transcript Chart 1.1: Total National Health Expenditures 1980 – 2005(1)

TABLE OF CONTENTS
CHAPTER 7.0:
Community Health Indicators
Chart 7.1:
U.S. Population Trends and Projections by Age, 1980 – 2050
Chart 7.2:
U.S. Population Trends and Projections by Race, 2000 – 2050
Chart 7.3:
Age-adjusted Death Rates, Selected Causes, by Race, 2007
Chart 7.4:
Percent of People with Chronic Conditions by Number and Sex, 2006
Chart 7.5:
Percent of People with Chronic Conditions by Type, 2006
Chart 7.6:
Number of Persons with Asthma, 1980 – 2009
Chart 7.7:
Percent of Adults with Hypertension by Sex, 1988 – 1994 and 2005 – 2008
Chart 7.8:
Percent of Adults Who Are Overweight and Obese, 1960 – 2008
Chart 7.9:
Percent of Services Used by People with Chronic Conditions, 2006
Chart 7.10:
Percent of Spending for Individuals with Chronic Conditions by Insurance Status, 2006
Chart 7.11:
Percent of Population vs. Percent of Spending, by Number of Chronic Conditions, 2006
Chart 7.12:
Working Age Adults with Activity Limitations Due to Chronic Conditions, by Condition and Age, 2006 – 2007
Chart 7.13:
Percent Uninsured by Race, 1984 – 2009
Chart 7.14:
Percent of Adults with No Usual Source of Care by Race, 1993 – 2009
Chart 7.15:
Percent of Adults with No Usual Source of Care by Insurance Status, 1993 – 2009
Chart 7.16:
Percent of Children with No Usual Source of Care by Race, 1993 – 2009
Chart 7.17:
Percent of Children with No Usual Source of Care by Insurance Status, 1993 – 2009
Chart 7.18:
Percent of Individuals with No Health Care Visits by Race, Insurance Status, 1997 and 2009
Chart 7.19:
Percent of Children with No Health Care Visits by Race, Insurance Status, 1998 and 2009
Chart 7.20:
Percent of Children with No Dental Visits by Race, Poverty Status, 1997 and 2009
Chart 7.21:
Percent of Children Vaccinated by Race, Poverty Status, 2002 and 2009
Chart 7.22:
Percent of Women Receiving Mammography by Race, Poverty Status, 1990 and 2008
Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2050(1)
500
Millions
450
400
85+ Years
350
65-84 Years
300
250
20-64 Years
200
150
100
50
1980
0-19 Years
1990
2000
2010
2020
2030
2040
2050
Source: U.S. Department of Commerce, Bureau of the Census. U.S. Interim Projections by Age, Sex, Race, and Hispanic Origin.
Figures updated based on 2009 estimates.
(1)
Years 2010 through 2050 are projections. Projections updated biannually.
Chart 7.2: U.S. Population Trends and Projections by Race,
2000 – 2050(1)
500
All Other(2, 3)
400
Asian(3)
Millions
White, Hispanic
300
Black(3)
200
100
0
2000
White, Non-Hispanic
2010
2020
2030
2040
2050
Source: U.S. Department of Commerce, Bureau of the Census. U.S. Interim Projections by Age, Sex, Race, and Hispanic Origin.
Figures updated based on 2009 estimates.
(1)
(2)
(3)
Years 2010 through 2050 are projections. Projections updated biannually.
All other includes American Indian, Native Alaskan, Native Hawaiian, other Pacific Islander, and two or more races.
Black, Asian, and all other categories include Hispanic and non-Hispanic individuals. 2.8 million individuals of Hispanic origin are
included in these groups.
Deaths per 100,000 Population
Chart 7.3: Age-adjusted Death Rates, Selected Causes, by Race, 2007
300
(1)
White
Black (1)
All Persons
250
200
150
100
50
0
Diseases of the
Heart
Malignant
Neoplasms
Cerebrovascular Chronic Lower
Disease
Respiratory
Diseases
Diabetes
Influenza and
Pneumonia
Cause of Death
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
(1)
Racial categories include individuals of both Hispanic and non-Hispanic origin.
HIV Infection
Chart 7.4: Percent of People with Chronic Conditions by Number
and Sex, 2006
50%
53%
Total
Percent of Individuals
46%
Male
Female
22% 23% 22%
12% 11% 13%
7% 6% 8%
0
1
2
3
4% 3% 5%
5% 4% 6%
4
5+
Number of Chronic Conditions
Source: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins University and the Robert
Wood Johnson Foundation.
Chart 7.5: Percent of People with Chronic Conditions by Type, 2006
Hypertension
33.3%
High Cholesterol
22.3%
Respiratory Diseases
19.2%
Non-traumatic Joint Disorders
16.5%
Heart Disease
13.5%
Diabetes
12.6%
Eye Disorders
11.2%
Asthma
10.1%
Chronic Respiratory Infections
10.0%
0%
10%
20%
30%
Percent of Noninstitutionalized Individuals
Source: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins University and the Robert
Wood Johnson Foundation.
40%
Chart 7.6: Number of Persons with Asthma, 1980 – 2009
45
Millions of Persons
40
35
30
25
20
15
10
5
1980
1990
2001
2005
2006
2007
2008
Source: Centers for Disease Control and Prevention (2002). “Asthma Surveillance – United States, 1980-1999.”
National Center for Health Statistics. National Health Interview Survey 2001, 2005, 2006, 2007, 2008, 2009.
2009
Chart 7.7: Percent of Adults with Hypertension by Sex,(1) 1988 – 1994
and 2005 – 2008
31.6%
Percent of Adults Ages 20+
29.8%
26.4%
1988-1994
2005-2008
Male
24.4%
Female
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
(1)
Data are age-adjusted to 2000 standard population.
Chart 7.8: Percent of Adults Who Are Overweight and Obese,(1)
1960 – 2008
Overweight(2)
Percent of Adults Ages 20-74
70%
60%
50%
40%
Obese
30%
20%
10%
1960-1962
1976-1980
1988-1994
1999-2002
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
(1)
Data are age-adjusted to 2000 standard population.
(2)
Overweight includes obese.
2005-2008
Chart 7.9: Percent of Services Used by People with Chronic
Conditions, 2006
93%
79%
79%
Inpatient Hospital Stays
Physician Visits
Percent of Expenses
97%
Home Health Care Visits
Prescription Drugs
Type of Service
Source: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins University and the Robert
Wood Johnson Foundation.
Chart 7.10: Percent of Spending for Individuals with Chronic Conditions
by Insurance Status, 2006
Uninsured
73%
Privately Insured
78%
Medicaid Beneficiaries
79%
Ages 65+ with Medicare
Only
97%
Ages 65+ with Medicare
and Supplemental
Insurance
98%
Ages 65+ with Medicare
and Medicaid
100%
0%
20%
40%
60%
80%
100%
Percent of Spending
Source: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins University and the Robert
Wood Johnson Foundation.
Chart 7.11: Percent of Population vs. Percent of Spending, by Number of
Chronic Conditions, 2006
5+ Chronic Conditions, 5%
4 Chronic Conditions, 4%
3 Chronic Conditions, 7%
5+ Chronic Conditions, 21%
2 Chronic Conditions, 12%
4 Chronic Conditions, 12%
1 Chronic Condition, 22%
3 Chronic Conditions, 16%
2 Chronic Conditions, 17%
0 Chronic Conditions, 50%
1 Chronic Condition, 18%
0 Chronic Conditions, 16%
Percent of Population
Percent of Spending
Source: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins University and the Robert
Wood Johnson Foundation.
Chart 7.12: Working Age Adults with Activity Limitations Due to Chronic
Conditions, by Condition and Age, 2006 – 2007
Number of Persons per 1,000
Mental Illness
Joint Injury
Lung Conditions
Diabetes
Heart or other Circulatory Conditions
Arthritis
99
100
80
40
20
61
58
60
19
14
5
4
3
27
23
13
12
14
31
28
19
19
6
0
18-44
45-54
Age
Source: National Center for Health Statistics. (2010). Health, United States, 2009. Hyattsville, MD.
55-64
Chart 7.13: Percent Uninsured by Race, 1984 – 2009
Percent of Population Under Age 65
40%
Hispanic
30%
20%
Black(1)
Asian(2)
All
White(1)
10%
1984
1989
1995
2000
2007
2008
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
(1)
Includes individuals of non-Hispanic origin only.
(2)
Includes individuals of Hispanic and non-Hispanic origin.
2009
Chart 7.14: Percent of Adults with No Usual Source of Care
by Race, 1993 – 2009
Percent of Adults Ages 18-64
40%
35%
Hispanic
30%
25%
20%
Black(2)
Asian(1)
15%
White(2)
10%
19931994
19951996
19971998
19992000
20012002
20032004
20052006
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
(1)
Includes individuals of Hispanic and non-Hispanic origin.
(2)
Includes individuals of non-Hispanic origin only.
20062007
20082009
Chart 7.15: Percent of Adults with No Usual Source of Care by Insurance
Status, 1993 – 2009
Percent of Adults Ages 18-64
Insured
Uninsured
49%
47%
43%
13%
19931994
49%
50%
53%
53%
54%
42%
11%
19951996
11%
19971998
11%
19992000
9%
9%
20012002
20032004
10%
20042006
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
10%
20062007
10%
20082009
Chart 7.16: Percent of Children with No Usual Source of Care
by Race, 1993 – 2009
Percent of Children Under 18 Years
20%
15%
10%
5%
Hispanic
Black(2)
Asian(1)
White(2)
0%
1993-19941995-19961997-19981999-20002001-20022003-20042005-20062006-20072008-2009
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
(1)
Includes individuals of Hispanic and non-Hispanic origin.
(2)
Includes individuals of non-Hispanic origin only.
Percent of Children Under 18 Years
Chart 7.17: Percent of Children with No Usual Source of Care by
Insurance Status, 1993 – 2009
Insured
Uninsured
28%
24%
5%
29%
29%
31%
31%
29%
30%
22%
3%
3%
4%
3%
3%
3%
3%
3%
1993-1994 1995-1996 1997-1998 1999-2000 2001-2002 2003-2004 2005-2006 2006-2007 2008-2009
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
Chart 7.18: Percent of Individuals with No Health Care Visits by Race,
Insurance Status, 1997 and 2009
39%
Percent of Individuals
1997
2009
34%
25%
23%
24%
21%
17%
15%
13%
White
14%
14%
12%
Black
Asian
Race(1)
Hispanic
Insured
Uninsured
Insurance Status
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
(1)
White and Black include individuals of non-Hispanic origin only. Asian includes individuals of Hispanic and
non-Hispanic origin.
Percent of Children Under 18 Years
Chart 7.19: Percent of Children with No Health Care Visits by Race,
Insurance Status, 1998 and 2009
1998
2009
34%
29%
19%
16%
15%
11%
11%
15%
13%
10%
White
10%
8%
9%
Black
Asian
Hispanic
10%
8%
Any
Private
Insurance Insurance
Medicaid
(1)
Race
9%
Insurance Status
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
(1)
White and Black include individuals of non-Hispanic origin only. Asian includes individuals of Hispanic and
non-Hispanic origin.
Uninsured
Chart 7.20: Percent of Children with No Dental Visits by Race, Poverty
Status, 1997 and 2009
Percent of Children 2-17 Years
1997
2009
39%
31%
38%
30%
27%
24%
24%
23%
38%
28%
25%
24% 23%
19%
14%
White
Black
Asian
(1)
Race
Hispanic
12%
<100% FPL(2)100-199% 200-399% >400% FPL
FPL
FPL
Poverty Status
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
(1)
White and Black include individuals of non-Hispanic origin only. Asian includes individuals of Hispanic and
non-Hispanic origin.
(2)
FPL = federal poverty limit.
Chart 7.21: Percent of Children Vaccinated(1) by Race, Poverty Status,
2002 and 2009
Percent of Children Under 18 Years
2002
2009
80%
74%
70%
69%
70%
73%
67%
66%
70%
68%
66%
62%
66%
62%
60%
50%
White
Black
Asian
Race
Hispanic
(3)
Below FPL
(2)
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
(1)
Vaccinations include DTP, Polio, MMR, Hib, Hepatitis B, Varicella, and PCV.
(2)
White, Black, and Asian include individuals of non-Hispanic origin only.
(3)
FPL = federal poverty limit.
At or Above
FPL
Poverty Status
Chart 7.22: Percent of Women(1) Receiving Mammography(2) by Race,
Poverty Status, 1990 and 2008
Percent of Women Over Age 40
80%
70%
1990
69%
68%
79%
2008
69%
66%
64%
61%
60%
56%
53%
50%
53%
51%
46%
46%
45%
39%
40%
31%
30%
White
Black
Asian
Race(3)
Hispanic
<100% 100-199% 200-399% >400%
FPL(4)
FPL
FPL
FPL
Poverty Status
Source: National Center for Health Statistics. (2011). Health, United States, 2010. Hyattsville, MD.
(1)
Women over 40 years of age.
(2)
Indicates use of mammography in two years prior to 1990 and 2008.
(3)
White and Black include individuals of non-Hispanic origin only. Asian includes individuals of Hispanic and nonHispanic origin.
(4)
Note: FPL = federal poverty limit.