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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, 2005
Chart 7.4:
Percent of People with Chronic Conditions by Number and Sex, 2004
Chart 7.5:
Percent of People with Chronic Conditions by Type, 2004
Chart 7.6:
Number of Persons with Asthma, 1980 – 2006
Chart 7.7:
Percent of Adults with Hypertension by Sex, 1988 – 1994 and 2003 – 2006
Chart 7.8:
Percent of Adults Who Are Overweight and Obese, 1960 – 2006
Chart 7.9:
Percent of Expenses Attributable to Persons with Chronic Conditions, by Type of Service, 2005
Chart 7.10:
Percent of Spending for Individuals with Chronic Conditions by Insurance Status, 2004
Chart 7.11:
Percent of Population vs. Percent of Spending, by Number of Chronic Conditions, 2004
Chart 7.12:
Working Age Adults with Activity Limitations Due to Chronic Conditions, by Condition and Age, 2005 – 2006
Chart 7.13:
Percent Uninsured by Race, 1984 – 2006
Chart 7.14:
Percent of Adults with No Usual Source of Care by Race, 1993 – 2006
Chart 7.15:
Percent of Adults with No Usual Source of Care by Insurance Status, 1993 – 2006
Chart 7.16:
Percent of Children with No Usual Source of Care by Race, 1993 – 2006
Chart 7.17:
Percent of Children with No Usual Source of Care by Insurance Status, 1993 – 2006
Chart 7.18:
Percent of Individuals with No Health Care Visits by Race, Insurance Status, 1997 and 2006
Chart 7.19:
Percent of Children with No Health Care Visits by Race, Insurance Status, 1997 and 2006
Chart 7.20:
Percent of Children with No Dental Visits by Race, Poverty Status, 1997 and 2006
Chart 7.21:
Percent of Children Vaccinated by Race, Poverty Status, 2002 and 2006
Chart 7.22:
Percent of Women Receiving Mammography by Race, Poverty Status, 1990 and 2005
Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2050(1)
500
450
85+ Years
400
65-84 Years
Millions
350
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. (2004). U.S. Interim Projections by Age, Sex, Race, and Hispanic Origin.
(1)
Years 2010 through 2050 are projections.
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
White, Non-Hispanic
100
0
2000
2010
2020
2030
2040
2050
Source: U.S. Department of Commerce, Bureau of the Census. (2004). U.S. Interim Projections by Age, Sex, Race, and Hispanic
Origin. U.S. Department of Commerce, Bureau of the Census. (2008). Projections of the Population by Age and Sex for the United States.
(1)
Years 2010 through 2050 are projections. Projections are based on 2008 source.
(2)
All other includes American Indian, Native Alaskan, Native Hawaiian, other Pacific Islander, and two or more races.
(3)
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, 2005
300
(1)
250
White
Black(1)
200
All Persons
150
100
50
0
Diseases of the
Heart
Malignant
Neoplasms
Cerebrvascular
Disease
Chronic Lower
Respiratory
Diseases
Diabetes
Influenza and
Pneumonia
Cause of Death
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. 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, 2004
Percent of Individuals
55%
51%
48%
Total
Male
Female
23% 24% 23%
12%
0
1
13%
10%
2
6% 5% 7%
4% 3% 4%
4% 3% 5%
3
4
5+
Number of Chronic Conditions
Source: Anderson, G. (2007). Chronic Conditions: Making the Case for Ongoing Care. Baltimore, MD: Johns Hopkins
University.
Chart 7.5: Percent of People with Chronic Conditions by Type, 2004
Hypertension
33.9%
High Cholesterol
20.9%
Respiratory Diseases
20.0%
Arthritis
15.8%
Heart Disease
12.5%
Diabetes
12.3%
Eye Disorders
11.1%
Asthma
Chronic Respiratory Infections
0%
10.7%
8.8%
10%
20%
30%
Percent of Noninstitutionalized Individuals
Source: Anderson, G. (2007). Chronic Conditions: Making the Case for Ongoing Care. Baltimore, MD: Johns
Hopkins University.
40%
Chart 7.6: Number of Persons with Asthma, 1980 – 2006
35
Millions of Persons
30
25
20
15
10
5
1980
1985
1990
1995
2000
2005
2006
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.
Chart 7.7: Percent of Adults with Hypertension by Sex(1), 1988 – 1994
and 2003 – 2006
Percent of Adults Ages 20+
31.8%
26.4%
30.3%
1988-1994
24.4%
2003-2006
Male
Female
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. Hyattsville, MD.
(1)
Data are age-adjusted to 2000 standard population.
Chart 7.8: Percent of Adults Who Are Overweight and Obese(1),
1960 – 2006
Percent of Adults Ages 20-74
70%
Overweight
(2)
60%
50%
40%
Obese
30%
20%
10%
1960-1962
1976-1980
1988-1994
2001-2004
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. Hyattsville, MD.
(1)
Data are age-adjusted to 2000 standard population.
(2)
Overweight includes obesity.
2003-2006
Chart 7.9: Percent of Expenses Attributable to Persons(1) with Chronic
Conditions, by Type of Service, 2005
99%
97%
90%
87%
91%
87%
Percent of Expenses
79%
Home Health
Care
Prescription
Drugs
Inpatient
Hospital
Office Based
Outpatient
Hospital
Emergency
Room
All Services
Type of Service
Source: Agency for Healthcare Research and Quality, Center for Financing, Access, and Cost Trends. Based on data
from the Medical Expenditure Panel Survey, 2005. Link: http://www.meps.ahrq.gov/mepsweb/data_files/publications/st203/stat203.pdf.
(1)
Data are for adults ages 18 years and older.
Chart 7.10: Percent of Spending for Individuals with Chronic Conditions
by Insurance Status, 2004
Uninsured
76%
Privately Insured
77%
Noninstitutionalized Medicare
Beneficiaries
83%
Ages 65+ with Medicare and
Supplemental Insurance
97%
Ages 65+ with Medicare and
Medicaid
98%
Ages 65+ with Medicare Only
98%
0%
20%
40%
60%
80%
Percent of Spending
Source: Anderson, G. (2007). Chronic Conditions: Making the Case for Ongoing Care. Baltimore, MD: Johns Hopkins
University.
100%
Chart 7.11: Percent of Population vs. Percent of Spending, by Number of
Chronic Conditions, 2004
5+ Chronic Conditions, 4%
4 Chronic Conditions, 4%
3 Chronic Conditions, 6%
5+ Chronic Conditions, 21%
2 Chronic Conditions, 12%
4 Chronic Conditions, 12%
1 Chronic Condition, 23%
3 Chronic Conditions, 14%
2 Chronic Conditions, 18%
0 Chronic Conditions, 51%
1 Chronic Condition, 20%
0 Chronic Conditions, 15%
Percent of Population
Percent of Spending
Source: Anderson, G. (2007). Chronic Conditions: Making the Case for Ongoing Care. Baltimore, MD: Johns
Hopkins University.
Chart 7.12: Working Age Adults with Activity Limitations Due to Chronic
Conditions, by Condition and Age, 2005 – 2006
Number of Persons per 1,000
Mental Illness
Joint Injury
Lung Conditions
Diabetes
Heart or other Circulatory Conditions
Arthritis
99
100
80
63
56
60
40
20
18
13
5
4
3
26
23
13
11
14
31
25
19
21
6
0
18-44
45-54
Age
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. Hyattsville, MD.
55-64
Chart 7.13: Percent Uninsured by Race, 1984 – 2006
Percent of Population Under Age 65
40%
Hispanic
30%
Black (1)
20%
Asian(2)
White(1)
All
10%
1984
1989
1995
2000
2005
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. Hyattsville, MD.
(1)
Includes individuals of non-Hispanic origin only.
(2)
Includes individuals of Hispanic and non-Hispanic origin.
2006
Chart 7.14: Percent of Adults with No Usual Source of Care
by Race, 1993 – 2006
Hispanic
Percent of Adults Ages 18-64
35%
30%
25%
Black (2)
20%
Asian(1)
15%
10%
1993-1994
White(2)
1995-1996
1997-1998
1999-2000
2001-2002
2003-2004
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. Hyattsville, MD.
(1)
Includes individuals of Hispanic and non-Hispanic origin.
(2)
Includes individuals of non-Hispanic origin only.
2005-2006
Chart 7.15: Percent of Adults with No Usual Source of Care by Insurance
Status, 1993 – 2006
Percent of Adults Ages 18-64
Insured
53%
Uninsured
49%
47%
43%
13%
1993-1994
50%
49%
42%
11%
1995-1996
11%
1997-1998
11%
1999-2000
9%
2001-2002
9%
2003-2004
10%
2004-2006
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. Hyattsville, MD.
Chart 7.16: Percent of Children with No Usual Source of Care
by Race, 1993 – 2006
Percent of Children Under 18 Years
20%
15%
Hispanic
10%
Asian(1)
Black (2)
5%
White(2)
0%
1993-1994
1995-1996
1997-1998
1999-2000 2001-2002
2003-2004
2005-2006
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. 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 – 2006
Insured
Uninsured
29%
28%
24%
5%
1993-1994
31%
29%
29%
22%
3%
1995-1996
3%
1997-1998
4%
1999-2000
3%
2001-2002
3%
2003-2004
3%
2005-2006
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. Hyattsville, MD.
Chart 7.18: Percent of Individuals with No Health Care Visits by Race,
Insurance Status, 1997 and 2006
39%
Percent of Individuals
1997
2006
34%
27%
25%
23% 22%
17%
15% 15%
White
16%
14% 14%
Black
Asian
Race(1)
Hispanic
Insured
Uninsured
Insurance Status
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. Hyattsville, MD.
(1)
White and Black include individuals of non-Hispanic origin only. Asian includes individuals of Hispanic and nonHispanic origin.
Chart 7.19: Percent of Children with No Health Care Visits by Race,
Insurance Status, 1998 and 2006
Percent of Children Under 18 Years
40%
1998
2006
32%
29%
30%
20%
18%
16%
19%
17%
15%
11%
10%
12%
10%
10%
9%
10%
9%
10%10%
0%
White
Black
Asian
(1)
Race
Hispanic
Any
Private
Insurance Insurance
Medicaid Uninsured
Insurance Status
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. Hyattsville, MD.
(1)
White and Black include individuals of non-Hispanic origin only. Asian includes individuals of Hispanic and nonHispanic origin.
Percent of Children 2-17 Years
Chart 7.20: Percent of Children with No Dental Visits by Race, Poverty
Status, 1997 and 2006
1997
2006
39%
38%
34%
31%
30%
38%
33%
32%
28%
25%
24%
20%
White
20%
Black
Asian
(1)
Race
Hispanic
<100% FPL(2)
100-200%
FPL
>200% FPL
Poverty Status
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. Hyattsville, MD.
(1)
White and Black include individuals of non-Hispanic origin only. Asian includes individuals of Hispanic and nonHispanic origin.
(2)
FPL = federal poverty limit.
19%
Chart 7.21: Percent of Children Vaccinated(1) by Race, Poverty Status,
2002 and 2006
Percent of Children Under 18 Years
80%
78%
2002
2006
74%
78%
77%
76%
74%
73%
70%
66%
66%
62%
66%
62%
60%
50%
White
Black
Asian
Race (2)
Hispanic
(3)
Below FPL
At or Above
FPL
Poverty Status
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. 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.
Chart 7.22: Percent of Women(1) Receiving Mammography(2) by Race,
Poverty Status, 1990 and 2005
Percent of Women Over Age 40
80%
70%
1990
2005
73%
68%
65%
59%
59%
60%
55%
55%
53%
49%
50%
46%
46%
45%
39%
40%
31%
30%
White
Black
Asian
(2)
Race
Hispanic
<100%
(3)
FPL
100-200%
FPL
>200%
FPL
Poverty Status
Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in the
Health of Americans. Hyattsville, MD.
(1)
Women over 40 years of age.
(2)
Indicates use of mammography in two years prior to 1990 and 2005.
(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.