Vital and Health Statistics - CDC

76
Data from the NATIONAL HEALTH SURVEY Series 10 Number 102 Acute Conditions Incidence and Associated Disability United States July 1973-June 1974 Statistics on the incidence of acute conditions and the associated days of restricted activity, bed disability, and time lost from work and school, by age, sex, calendar quarter, place of residence, and geographic region. Based on data collected in household interviews during the period July 1973#une 1974. DHEW Publication No. (HRA) 76-1529 U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Public Health Service Health Resources Administration National Center for Health Statistics Rockville, Md. October 1975

Transcript of Vital and Health Statistics - CDC

Data from theNATIONAL HEALTH SURVEY

Series 10Number 102

AcuteConditionsIncidence andAssociated DisabilityUnited States July 1973-June 1974

Statistics on the incidence of acute conditions and theassociated days of restricted activity, bed disability, andtime lost from work and school, by age, sex, calendarquarter, place of residence, and geographic region. Basedon data collected in household interviews during theperiod July 1973#une 1974.

DHEW Publication No. (HRA) 76-1529

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFAREPublic Health Service

Health Resources AdministrationNational Center for Health StatisticsRockville, Md. October 1975

Vita] and Health Statistics Series 10-No. 102

For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402- Price $1,35

NATIONAL CENTER FOR HEALTH STATISTICS

EDWARD B. PERRIN, Ph. D., Director

PHI LIP S. LAWRENCE, SC.D., Deyw ty Director

GAIL k. FISHER, Associate Director for the Cooperative Health Statistics System

ELIJAH L. Wf-flTE, Associate Director for Data Systems

IWAO M. MORIYAMA, Ph. D., Associate Director for Internutiomd Statistics

EDWARD E. MINTY, Associate Director for Management

ROBE RT A. ISRAEL, A ssociate Director for Operations

QUENTIN R. REMEIN, Associate Director for Program Development

ALICE HAYWOOD, Information Officer

DIVISION OF HEALTH INTERVIEW STATISTICS

ROBERT R. FUCHSBERG, Director

PETER RIES, Ph. D., Chief Illness and Disability Statistics Branch

KINZO YAMAMOTO, Ph. D., Chief Uti2izatwn and Expenditure Statistics Branch

CLINTON E. BURN HAM, Chiej Survey Planning and Development Branch

COOPERATION OF THE BUREAU OF THE CENSUS

Under the legislation establishing the National Health Survey, the Public Health Service isauthorized to use, insofar as possible, the services or facilities of other Federal, State, or privateagencies.

In accordance with specifications established by the Health Interview Survey, the Bureau ofthe Census, under a contractual arrangement, participates in most aspects of survey planning,selects the sample, and collects the data.

Vital and Health statistics-series 10-NO. 102

DHEW Publication No. (HRA) 76-1529Library of Congress Catalog Card Number 74-26702

CONTENTSPage

Introduction ..............................................................................................

Source of Data ............................................................................................

Incidence of Acute Conditions and Associated Disability Days ..................

Geographic Distribution ............................................................................

Seasonal Variation: Calendar Quarter ........................................................

List of DetaiIed Tables ..............................................................................

Appendix I. Technical Notes on Methods ...................................................Background of This Report ....................................................................Statistical Design of the Health Interview Survey ...................................General Qualifications ............................................................................Reliability of Estimates ..........................................................................Guide to Use of Relative Standard Error Charts ....................................

Appendix II. Definitions of Certain Terms Used in This Report ................Terms Relating to Conditions ................................................................Terms Relating to Disability ..................................................................Demographic Terms ................................................................................

Appendix III. Probe Questions on Disability Days and Physician VisitsDuring 2-Week Reference Period, and Condition Pages ............................

Disability Day Probe Questions ..............................................................Physician Visit Probe Questions .............................................................Condition Page ......................................................................................

1

2

2

10

11

12

474747495053

60606263

66666768

...m

SYMBOLS

Data not available ---------------------------------------- ---

Category not applicable ------------------------------- . . .

Quantity zero ---------------------------------------------- -

Quantity more than O but less than 0.05 ----- 0.0

Figure does not meet standards ofreliability y or precision (more than30 percent relative standard error)---------- *

iv

ACUTE CONDITIONSINCIDENCE AND ASSOCIATED DISABILITY

Charles S. WiIder, Division of Health Interview Statistics

INTRODUCTION

During July 1973-June 1974 an estimated355,265,000 acute illnesses or injuries involvingeither medical attention or restriction of usualdaily activity occurred among the U.S. civilianpopulation not confined in institutions. Theincidence rate of 172.0 per 100 persons per yearwas the lowest reported in the Health InterviewSurvey since its inception in July 1957 (figure1). This incidence rate of 172.0 was about thesame as that of 175.1 reported for calendar year1973=and, abbut 13.2 percent lower than that of

198.1 for July 1972~une 1973. During calendaryeax 1974 the incidence rate was 175.7–aboutthe same as that for 1973 and July 1973-June1974. Thus, whatever caused the decline inincidence in 1973 has continued into 1974.

There is reason to believe that this sharpdecline in the estimate of acute conditionsduring the past two years may be associatedwith a chamge in the questionnaire content.Factors relating to this possibility are discussedon page 4. These factors should be thoroughlyconsidered before any conclusions are drawnregarding a possible major decrease in the

150~

o I I I I I I I I I I I I I I I I I

195a 1959 1960 1961 1962 1963 1964 1965 1966 1967 lam 1969 1970 1971 1972 1973 1974

YEAR ENOING IN JUNE

Figure 1. Incidence of acute conditions per 100 persons per year, July 1957-June 1974 (years ending in June).

1

incidence o: acute conditions in the UnitedStates during the past few years.

This report is one of an annual series ofreports on the incidence of acute conditionsbased on data coIlected in the Health InterviewSurvey. The last report, Series 10, No. 98,covered the period JuIy 1972-June 1973; othersuch reports in Series 10 are Numbers 1, 10, 15,26, 38, 44, 54, 69, 77, 82, and 88. Theincidence of acute conditions on a calendar yearbasis is summarized in the Current Estimatesreports in Series 10, Numbers 52, 60, 63, 72, 79,85,95, and 100 for 1967 through 1974.

SOURCE OF DATA

The information in this report is based ondata collected in a continuing nationwide surveyconducted by household interview. Each week aprobability sample of the civilian,noninstitutionalized population is interviewedby trained personnel of the U.S. Bureau of theCensus to obtain information about the healthand other characteristics of each member of thehousehold. During July 1973-June 1974, thesample was composed of about 40,000households containing some 118,000 personsliving at the time of the interview. A descriptionof the design of the survey, the methods used inestimation, and the generaI qualifications of dataobtained from surveys is presented in appendixI.

Since estimates shown in this report arebased on a sample of the population rather thanon the entire population, they are subject tosampling error. Therefore, particular attentionshould be paid to the section entitled“Reliability of Estimates. ” Sampling errors formost of the estimates are of relatively lowmagnitude. However, where an estimatednumber of the numerator or the denominator ofa rate or percentage is small, the sampling errormay be high.

Certain terms used in this report are defiiedin appendix II. Some of the terms havespecialized meanings for the purpose of thesurvey. For example, estimates of the incidenceo f acute conditions include, with certainexceptions, only those conditions which had

started within the 2 weeks prior to the week ofinterview and which had involved either medicalattention or restricted activity. The exceptions,listed in appendix II, are certain conditions suchas heart trouble and diabetes which are alwaysconsidered chronic, regardless of duration oronset.

Annual estimates of the number of disabilitydays associated with each acute condition arederived from the number of such daysexperienced during the 2-week period prior toweek of interview and include all those reported,even if the acute ilhess causing the disabilityhad its onset prior to the 2-week period. Sinceany particular day of disability may beassociated with more than one condition, thesum of days for all conditions adds to more thanthe total number of person-days of disability.

The questionnaires used for the HealthInterview Survey during 1973 and 1974 areillustrated in the Current Estimates reports forthese years (Series 10, Numbers 95 and 100).Appendix III of this report shows the probequestions for acute conditions and the conditionpages.

INCIDENCE OFACUTE CONDITIONS AND

ASSOCIATED DISABILITY DAYS

During July 1973-June 1974 the incidenceof acute illnesses and injuries involving mediczdattention or activity restriction experienced bythe civilian, noninstitutionalized population wasestimated to be 355.3 million, or 172.0 cases per100 persons per year (table 1). As shown infigure 1, this rate was the lowest ever reportedbased on data collected in the Health InterviewSurvey. The incidence rate for the current yearwas 13.2 percent lower than that of 198.1reported for JuIy 1972-June 1973 (table A). Thedecline in the estimated incidence of acuteconditions began in the first quarter of 1973 andhas continued through 1974. The incidence ratesfor calendar years 1973 and 1974 of 175.1 and175.7 suggest that some common factor hasinfluenced the onset of acute conditions forthese two years.

2

Table A. Comparative incidence and disability-dayrates per 100 persons per year forselected statisticson acute conditions:United States, July 1966-June 1974

Characteristic

All acute conditions---

Condition group

Infectiveand parasiticdiseases--------------------Respiratory conditions-------Upper respiratoryconditions----------------Influenza------------------Other respiratoryconditions----------------

Digestive system conditions--Injuries---------------------All other acute conditions---

Sex

Male-------------------------Female-----------------------

Age

Under 6 years ----------------6-16 years-------------------17-44 years ------------------45-64 years------------------65 years and over------------

Place of residence

All SMSA---------------------Outside SMSA:Nonfarm--------------------Farm -----------------------

Geographic region

Northeast--------------------~~; Central----------------

------------------------West-------------------------

Type of disability day

Days of restricted activity--Days of bed disability-------Days lost from work amongcurrently employed persons--

Days lost from school amongchildren aged 6-16 years----

I I I I I I I

Ju:g July July July July July July

IJuly

- 1967- 1968- 1969- 1970- 1971- 1972- 1973-June June June June June June June1967

June1968 1969 1970 1971 1972 1973 1974

190.2

23.7104.5

72.228.8

3.5

2;::24.9

185.4194.7

335.3232.6173.5124.5103.4

194.4

188.4150.7

194.9187.1180.7206.1

Incidence per 100 persons per year

189.4

21.9106.2

61.041.3

3.9

2::;23.5

182.5195.8

327.9232.6176.9125.597.4

192.3

186.4170.5

188.9174.1194.9206.2

206.8

23.0121.6

63.154.7

1;::24.227.9

202.4210.9

317.3267.8199.6139.5100.6

217.5

194.3143.6

210.3197.4193.1242.7

204.[

24.5113.a

65.841.1

6.111.027.728.7

196.9212.2

346.6263.1193.2132.8103.0

209.4

199.9167.3

199.2193.6204.6233.1

Number of disability days

716.6297.4

312.4

394.2

786.9337.2

339.1

401.6

915.7419.4

392.3

487.7

850.6377.1

379.0

451.6

210.1

27.0110.3

65.239.0

1:::31.829.4

200.0219.5

361.5286.4194.2125.3105.6

214.0

208.2163.8

212.0197.1196.3253.3

220.2

23.3120.7

67.947.5

1;::32.632.1

207.8231.8

366.1280.4215.1144.0109.2

228.2

207.4193.9

213.0227.1205.6245.1

198.1

20.7105.6

56.743.6

5.4

3;::29.7

191.0204.7

343.1250.8196.0124.698.1

200.8

L97.OL61.1

L84.O208.6L87.4220.5

172.0

19.891.5

48.239.4

::?30.122.4

169.7174.1

303.4232.2170.298.375.7

177.1

162.8142.8

152.8179.5167.0195.1

per 100 persons per year

855.9381.2

329.6

482.9

929.5404.7

369.2

466.8

916.9397.5

367.9

440.2

922.2400.4

355.8

493.2

3

Acute conditions may be reported in any ofthe probe questions in the early portion of thequestionnaire. An acute condition is defined as acondition which has lasted less than 3 monthsand which has involved either medical attentionor restricted activity. Thus, the primary sourcesof reporting of acute conditions are thedisability-day probe question 9, the injuryquestion 10, and the doctor visit question 18.The number of these acute conditions reportedto have started in the 2 weeks prior to the weekof interview is the basis on which the annualincidence of acute illnesses or injuries ismeasured.

It is of interest that the relative number ofacute conditions reported in response to theprobe questions has remained the same for thepast three years–1972 through 1974. In each ofthe three years about one acute condition lastingless than 3 months has been reported for eacheight persons in the sample of the civilian,no ninstitutionalized population. Respondentsare asked on the Condition Page for additionalinformation about the impact of the condition.One of these questions is: “When did – firstnotice his . . .“ (– refers to the person and . . .refers to the condition). In 1972 about 73.6percent of the acute conditions reported in theprobe questions were reported to have had theironset in the 2-week reference period. The inci-dence for these conditions was 219.7 conditionsper 100 persons per year for 1972. During 1973and 1974 about 56.6 percent and 57.9 percentof all reported acute conditions were reported asbeginning in the 2-week reference period. Thisreduction in conditions reported with onset inthe 2 weeks prior to interview week hasaccounted for the lower annual incidence ratesfor the past two years.

The onset question itself has beenunchanged in the past three years. The onlychange in the condition page for 1973 and 1974was the addition of item A4—a requirement tocomplete an additional supplement about theconditions first noticed during the 2-weekreference period. It is possible that more carewas exercised in finding out if an acutecondition did start within the 2-week referenceperiod or before the reference period. It isdifficult for respondents to remember exactly

when an acute illness actually &rted, especiallyone which began more than a week ago.Therefore, it is possible that because alf theaddition al requirements for completiiig asupplement for conditions starting in the 2weeks, more extensive probing of respondentswith greater use of memory aids resulted inmore precise pinpointing of the date of onset.

Since the same relative number of acuteconditions was reported in the probe questionsin 1973 and 1974 as in 1972, and the time ofonset is not considered in calculating the annualestimate, it is not surprising that the rates ofutilization of services or of disability haveremained substantially unchanged as shownbelow:

Calendar Calendar Calendar

Incidence of acute con-ditions per 100 personsper year ... . .. .. .. .. . . . .. . .. . . ..

Physician visits per personper year ... . .. .. .. .. . .. .. .. . .. . .

Dental visits per person peryear .. .. .. . . . .. .. .. . .. .. . .. .. . . ..

Days of restricted activityper person per year .. . ..

Days of bed disability perperson per year ... . .. .. .. .

Days lost from work percurrently employed per-son per year ... .. . . .. .. . .. .. .

Days lost from school perperson aged 6-16 yearsper year ... . .. .. . ... . . . .. .. .. . . .

Hospital discharges per 100person per year .. .. .. . .. . ..

Percent of persons withlimitation of activitydue to chronic con-ditions ... . .. .. . .. .. .. .. .. . . . .

1972

219.7

5.0

1.5

16.7

6.5

5.3

5.3

13.9

12.7

1973

175.1

5.0

1.6

16.5

6.4

5.4

5.1

13.9

13.5

.1974

:175.7

4.9

1.7

17.2

6.7

4.9

5.6

14.1

14.1

Table A shows that the decline in incidenceper 100 persons per year occurred in mc}st ofthe condition groups, notabIy for respiratoryconditions and the ‘%I1 other acute conditions”group. It occurred also by sex, age, plalce ofresidence, and geographic region. However, therates of days o f restricted activity, beddisability, and work loss remained at about thesame level as those for the previous year. Therate of days lost from school among chiiidren

4

Table B. Incidence of acute conditions per 100 persons per year and average durationof days of restricted activity and bed disability per condition by selected charac-teristics: United States, July 1973-June 1974

Characteristic

All acute conditions---------------

Condition group

Infective and parasitic diseases---------Respiratory conditions-------------------

Upper respiratory conditions-----------Influenza------------------------------Other respiratory conditions-----------

Digestive system conditions--------------Injuries------------------------ ---------All other acute conditions---------------

Sex

Male-------------------------------------Female--------------------------- --------

Age

Under 6 years----------------------------6-16 years-------------------------------17-44 years--------------------.---------45-64 years------------------------ ------65 years and over------------------------

Place of residence

All SMSA---------------------------------Outside SMSA:

Nonfarm------------------------ --------Farm------------------------ -----------

Geographic region

Northeast-.------------------------------~u~~ Central----------------------------

------------------------------------West---------------- ---------------------

Incidenceof acute

conditionsper 100personsper year

172.0

19.891.548.239.4

::?30.122.4

169.7174.1

303.4232.2170.298.375.7

.

177.1

162.8142.8

152.8179.5167.0195.1

Average durationof disability

~

Duration in daysper condition

5.4

4.64.5

:::11.95.87.36.9

5.4

5.35.3

5.45.35.45.4

2.3

1.61.92.2

H

2.3

2.32.1

2.42.32.32.3

5

Table C. Percent distribution of incidence of acute conditions bv measures of imDactof illness, according to condition group: United States, July”1973-June 1974 ‘

Incidence ofacute conditions

)ledicallyattended

only

Medicallyattended

andactivityrestricting

Activityrestricting

only

Condition groupNumber

inthou-sands

355,265

40,944189,085

99,49181,467

8,12716,70362,18646,347

Percent

Percent distribution

4!5.5All acute conditions ----- 100.0

100.0100.0

100.0100.0

100.0100.0100.0100.0

17.6

::;

13.02.3

16.915.338.435.2

36.9

Infective and parasiticdiseases----------------------

Respiratory conditions ---------Upper respiratoryconditions ------------------Influenza--------------------Other respiratoryconditions ------------------

Digestive system conditions----Injuries-----------------------All other acute conditions -----

44.431.9

29.431.8

63.231.844.741.8

46.559.6

57.666.0

20.05;~.916.92:3.0

Table D. Incidence of acute conditions, incidence per 100 persons per year, and per-cent distribution by measures of impact of illness: United States, July 1961-June1974

Activityrestrict-

ingonly

Incidence of acuteconditions

Medicallyattended

andactivityrestrict-

ingPercent

Medicallyattended

onlyYear Rate

per 100persons

peryear

Numberin

thousands

Percent distribution

July 1961-June 1962-----July 1962-June 1963-----July 1963-June 1964-----July 1964-June 1965-----July 1965-June 1966-----July 1966-June 1967-----July 1967-June 1968-----July 1968-June 1969-----JUIY 1969-June 1970-----July 1970-June 1971-----July 1971-June 1972-----July 1972-June 1973-----July 1973-June 1974-----

401,851400,751387,358400,871404,350365,936368,356406,212406,652422,627447,735406,067355,265

222.3218.8208.5212.7212.0190.2189.4206.8204.8210.1220.2198.1172.0

100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0

24.827.728.428.827.8

38.239.436.238.337.335.738.339.538.638.738.838.936.9

37.032.935.432.934.936.837.843.242.041.041.842!.345.5

27.523.817.319.420.319.318.817.6

‘NOTE: Excluded are all conditions involving neither restricted activity nor mec[i-cal attention.

6

6-16 years of age rose over that of the periodJuly 1972:June 1973.

Acute conditions caused 9.2 days ofrestricted activity and 4.0 days spent in bed per

. person per year (tables 2 and 3). The averageduration of these disability days per condition

. was 5.4 days of restricted activity and 2.3 daysof bed disability (table B). Average duration percondition is computed by dividing the days percondition by the number of cases included inthe incidence of the condition.

An estimated 45.5 percent of all acute

conditions caused activity restriction but werenot medically attended (tables C and 4). About36.9 percent of the conditions were medicallyattended and caused activity restriction and theremaining 17.6 percent were medically attended zonly. During recent years the percentage ofacute conditions with only activity restrictionhas been rising. Table D shows that in July196 8-June 1969 the percentage of theseconditions with no medical attention went over40 percent for the first time in the 13 years ofdata shown here and that the estimate for July

--- J“Jy lw~””a 1972

260r[ .......July 1972June 1972 260— July 1973-Juna 1974

[

/ /4

A./ ..’ %.. .......

/

.--- ;.:............

/-

.\\\ .

w’.*....----

L

240 -

223 -

2s0 -

1s0 -

160 -

140 -

120 -

100 -

/-- --- . ... ............... ........

r..=.

I/-;..s?.~ -.

20 - -*+% *,<., . . . . . %.------

<.?

Whiti All otherCOLOR AND FAMILY INCOME FAMILY INCOME

2s0 –

,/0

240 - /

/’ #

22U - /’ ../ . ...”.

/’ ....”.”

m :/

)i./.”..”.

/;”.

II1s0

I*;1:

i160 -:

~.

140

m

100 -

Eli-

ao-

40 -

m -

EDUCATION OF HEAD OF FAMILY

200 –

240 -

220 -

ml -

1s0 -

\. ..%.....+.

160 - -*.%.

..

140

120 -‘7

EMPLOYMENT STATUS

Figure 2. Incidence of acute conditions per 100 persons per yeer and incidence of medically attendad and activity restricting acuterenditions per 100 persons per year, by color, family income, education of head of family, and employment status of persons 17years and over.

7

Table ‘E.Incidence of acute conditions Per 100 oersons Per year by measures Of ~pact Of the illness and selected characteristics:United _8tat_es,July 1969-June 1974

July 1973-June 1974 July 1972-June 1973 June 1969-June 1972

Medi-cally

——

Total

Medi-callyat-

tendedand

activ-ity

Medi-cally

Total at-tendedonly

Medi-callyat-

tendedand

Activ-ityre-

strict-ing

on1y

Activ-ityre-

Activ-ityre-

strict-ing

only

88.1

Medi- at--

Cally tended

Totaland

~:::ed activ-ityonly ~e-

strict-ing

Medi-callyat-tendedon1y

Characteristic

activ-ityre-

strict.ing

strict-ing

cmlyre -strict-ing

I [ II I I I II I

Incidence of acute ccmditions per 100 persons per year

All persons]---------

T172.0 30.3

178.7 30.8

63.4

65.6

55.967.670.1

48.5

56.750.548.2

56.955.458.669.768.068.9

b4.162.965.579.673.6

48.954.644.8

78.3

82.4

77.282.086.7

50.2

51.343.250.1

68.572.174.677.588.879.8

55.174.281.197.096.6

69.764.2.52.4

198.1

203.8

198.7212.4206.1

158.1

153.4156.9159.4

189.3185.9204.1205.2206.7199.3

153.3196.3205.7219.0232.1

168.0171.7148.0

37.2

38.1

36.639.537.9

31.2

27.137.128.2

37.731.041.537.436.837.8

28.936.239.840.939.8

32.534.828.0

77.2

79.0

79.077.582.0

64.6

54.969.169.6

71.774.474.477.884.777.4

58.078.480.880.794.8

63.9+55.;

83.7 211.8 41.7 82.0

86.8

83.195.486.3

62.3

71.450.761.6

79.980.588.389.985.284.1

66.481.885.197.497.5

71.672.362.0

216.3

204.4216.3225.4

179.8

188.5171.0179.2

200.2201.0199.6218.5226.2217.3

168.9203.5221.8240.3251.7

174.3163.4155.9

42.3

39.843.742.1

37.4

38.534.639.4

38.940.140.544.142.940.6

33.341.444.246.446.3

35.232.733.3

83.0

81.482.586.1

75.1

74.375.375.2

78.780.776.585.385.785.0

65.178.985.492.0100.3

64.163.361.3

91.0

83.190.097.2

67.3

75.661.164.6

82.680.182.689.297.691.7

70.483.392.1101.9105.1

75.067.461.3

White, all incomes---

Less than $5,000.-.-.-.....$5,000-$9,999--------------$10,000 or mOre------------

159.1 I 26.1181.0 31.4189.4 32.7

125.6

137.1121.2123.8

156.0151.2161.5179.9187.0182.6

120.9163.2180.8210.7204.1

144.4144.3120.0

All other, allincmres------------- 26.9

Less than $5,000-----------$5,000-$9,999--------------$10,000 or mOre------------

29.127.625.5

Family income

30.623.728.332.630.233.9

Education of headof family

Less than 9 years----------9-11 years-----------------12 years-------------------13-15 years----------------16 years or more-----------

Emplament status(yersons 17 ears and

oc-J----

Currently employEd---------CurrentlY unemployed-------Not in labor fOrce---------

25.725.522.8

1Includesunknown income and education.

N~E: Excluded are all conditions involving neither restricted activity nor medical attention.

--- July 1969.June 1972IN

[

. . . . . . . July 1972June 1973 120— July 1973June 1974

h

100

80

60

40

20

Figure 3. Incidence of acute conditions requiring activity restriction only or medical attention only per 100persons per year, by color,

White All Other

COLOR AND FAMILY INCOME

family income, education of head of family, and employment status of persons 17 years and over.

1973-June 1974 is the highest during the 13years.

Table E and figures 2 and 3 have beenprepared to examine the relationship in theincidence rates by the measures of impact of theconditions and several demographiccharacteristics not ordinarily presented in theseacute condition reports. The purpose of thisexamination is to see whether the decline inincidence rates beginning with data collected inJanuary 1973 was caused by a reduction ofreporting of acute conditions by some segmentsof the population or whether the requirementthat an acute qondition must have beenmedically attended or activity restricting hasaccounted for some portion of the decline. Themethod of doing this has been to obtain averageannual incidence rates for the three years, July1969-June 1970, JuIy 1970-June 1971, andJuly1971-June 1972, in each of which the incidencerate exceeded 200 cases per 100 persons peryear. The information in tabIe E is summarizedin figures 2 and 3. As expected the incidencerates for JuIy 1973-June 1974 were at a lowerlevel; but the distribution of rates assumes thesame- general pattern as that for JuIy 1969-June1972 for the totalthese data suggests

incidence. Examinationthat the Iower estimate

ofof

the incidence rate of acute conditions during thecurrent year cannot be associated with anyparticular segment of the population. Also, itdoes not appear that there has been anyappreciable reduction in medical attention oractivity restriction that would account for thelower incidence rate.

Based on data in tables A and E, the fall inthe incidence of acute illnesses and injuryappears to have occurred throughout thecivilian, noninstitutionalized population. It willbe of particukir interest to see whether theincidence rates return to their previous levelsbeginning with data for January 1975 orcontinue to folIow the recent pattern, since thecondition supplement used during 1973 and1974 is no Ionger required.

In general the incidence of acute conditionsper 100 persons per year followed the usualpattern in declining with advancing age (table 5and figure 4). However, the difference in ratesby sex that is usually present in these data wasnot present in this year’s incidence rates. Duringeach of the years in table A except the currentone, the incidence rate for females exceededthat for males by a substantial margin. However,during the current year there was ordy a smalldifference in the rate, 4.4 percentage points. A

9

400

[

300

200 –

100 - Male

o~10 20 30 40 50 60 70 80

AGE IN YEARS

Figure 4. i nciden.ce of acute conditions per 100 persons per yearby sex and age.

difference of this size can be explained bysampling variability.

The average duration of restricted activityand bed disability per condition rose withincreasing age (tables B, 6, and 7). Acuteconditions for persons 65 years and over caused14.2 days of restricted activity and 5.5 days inbed per acute condition compared with 3.6 and1.6 days, respectively, for children under 6years.

Acute illnesses or injuries caused 4.9 dayslost from school per child 6-16 years of age(table 8). Respiratory illnesses caused 3.0 ofthese days away from school.

The incidence rate of acute conditionsamong currently employed persons, that is,persons who worked or had a job or business atany time during the 2 weeks prior to the weekof interview, was 144.4 per 100 such persons peryear (table 9). These acute conditions caused355.8 days lost from work per 100 currentlyemployed persons per year, with an averageduration per condition of 2.5 days (table 10).

GEOGRAPHIC DISTRIBUTION

The incidence of acute illnesses and injuriesper 100 persons per year was higher in theStandard Metropolitan Statistical Areas (SMSA)

than outside metropolitan areas (table 11).Following the usual pattern, persons living onfarms outside SMSA’S had the lowest incidencerates. Figure 5 shows the distribution ofincidence rates by age for each place ofresidence. The unusual age-specific rates forfarm residents aged 15-44 years of age may bedue to chance variability in rates. There was nosubstantial difference in rates of restrictedactiv’ity and bed disablity due to acuteconditions between residents of SMSA’S andnonfarm areas, but the rates for farm residentswere somewhat lower than those for residentsof SMSA’S and nonfarm areas (tables 12 and13).

Respiratory conditions accounted for abouthalf of all acute conditions among residents ofmetropolitan areas and nonfarm areas outsideSMSA’S. About three of each five conditionsreported by farm residents were respiratoryconditions (table 14). Acute respiratoryconditions caused fewer disability days per 100persons per year among farm residents than inthe other places of residence (tables 15 and 16).

The incidence rate of acute conditionsfollowed the usual pattern of being highest inthe West Region; acute conditions also causedhigher rates of disability days in the West Regionthan elsewhere (tables 17-22). Figure 6 showsthat age-specific rates of acute conditions for the

o~10 m 30 40 50 60 70 ao

AGE IN YEARS

Figure 5.1 ncidence of acute conditions per 100 persons per year

by place of residence and age.

10

,~10203040 S06070 W

AGE IN YEARS

Figure 6. Incidence of acute conditions per 100 persons per yaarby geographic region and age.

West Region did not follow the patte& commonto the other three regions; the rates in the WestRegion were somewhat higher than in the otherregions for persons 25 years and over:..

Incidence rates of respiratory illness for theWest and North Central Regions weresubstantially higher than for the other tworegions. Co&esp&dingly, disability days causedby respiratory conditions were higherWest and North Central Regions thanothers.

for thefor the

SEASONAL VARIATION:CALENDAR QUARTER

Figure 7 shows that the incidence rates perquarter for each quarter comprising the 12months ending in June 1974 were among thelowest in comparison with the correspondingquarters in the other six years shown in thefigure. Tables 23 and 24 show that the peak inthe rate occurred in January-March 1974,following the usual pattern. TabIes 25-28 showrates of restricted activity and bed disability perquarter. About a third of the disability days forthe year were experienced in the January-Marchquarter. Tables 29 and 30 present seasonal ratesof respiratory conditions and injuries.

1937 19S8 1%9 1970 1971 1972 1973 1974

Figure 7. Incidence of acute conditions per 100 persons per quarter by condition group.

11

LIST OF DETAILED TABLES

Table 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

EXTENDED LIST OF CONDITION GROUPS, BY SEX

Incidence of acute conditions, percent distribution, and number of acute conditions per 100 persons per year,by condition group, according to sex: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . . .

Days of restricted activity associated with acute conditions and days of restricted activity per 100 persons peryear, by sex and condition group: United States, July 1973June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . .

Days of bed disability associated with acute conditions and days of bed disability per 100 persons per year, bysexand condition group: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MEASURES OF THE IMPACT OF ILLNESS

Incidence of acute conditions and number of acute conditions per 100 persons per year, by measures of theimpact of illness, sex, and condition group: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . .

SEX AND AGE

Incidence of acute conditions and number of acute conditions per 100 persons per year, by age, sex, andcondition group: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Days of restricted activity associated with acute conditions” and days of restricted activity per 100 persons peryear, by age, sex, and condition group: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . .

Days of bed disability associated with acute conditions and days of bed disability per 100 persons per year, by

age, sex, and condition group: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TIME LOST FROM SCHOOL AND WORK

Days lost from school associated with acute conditions and days lost from school per 100 children (6-16 years)per year, by sex and condition group: United States, July 1973-hne 1974 . . . . . . . . . . . . . . . . . . . . . . . .

Incidence of acute conditions among currently employed persons and number of acute conditions per 100currently employed persons per year, by age, sex, and condition group: United States, July 1973-June 1974 . .

Days lost from work associated with acute conditions and days lost from work per 100 currently employedpersons per year, by age, sex, and condition group: United States, July 1973-June 1974 . . . . . . . . . . . . . . .

PLACE OF RESIDENCE

Incidence of acute conditions and number of acute conditions per 100 persons per year, by place of residence,sex, andage: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Days of restricted activity associated with acute conditions and days of rastrictad activity per 100 persons per

year, by place of residence, sex, and age: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . .

Days of bed disability associated with acute conditions and days of bed disability per 100 persons per year, by

place of residence, sex, and age: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Incidence of acute conditions and number of acute conditions per 100 parsons per year, by place of residence,sex, end condition group: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Days of restricted activity associated with acute conditions and days of restricted activity per 100 persons peryear, by place of residence, sex, and condition group: United States, July 1973June 1974 . . . . . . . . . . . . . .

Days of bed disability associated with acute conditions and days of bed disability per 100 persons per year, byplace of residence, sex, and condition group: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . .

Page

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

12

LIST OF DETAILED TABLES–Con.

Page

GEOGRAPHIC REGION

Table 17. Incidence of acute conditions and number of acute conditions per 100 persons per year, by geographic region,sex, andage: United States, JuIy 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18. Days of restricted activity associated with acute conditions and days of restricted activity per 100 persons peryear, by geographic region, sex, and age: United States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . .

19. Days of bed disability associated with acute conditions and days of bed disability per 100 persons per year, bygeographic region, sex, and age: United States, July 1973June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20. I ncidance of acute conditions and number of acute conditions per 100 persons per year, by geographic region,sex, and condition group: United Statas, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

21. Days of restricted activity associated with acute conditions and days of restricted activity per 100 persons peryear, by geographic region, sex, and condition group: United States, July 1973June 1974 . . . . . . . . . . . . . .

22. Days of bed disability associated with acute conditions and days of bed disability per 100 persons per year, bygeographic region, sex, and condition group: United States, July 1973June 1974 . . . . . . . . . . . . . . . . . . . .

CALENDAR QUARTER

23. Incidence of acute conditions per quarter and number of acute conditions per 100 persons per quarter, by sexandage: United States, July 1973June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

24. Incidence of acute conditions per quarter and number of acute conditions per 100 persons per quarter, by saxandcondition group: United States, July 1973June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25. Days of restricted activity associated with acute conditions per quarter and days of restricted activity per 100persons per quarter, by sex and aga: United States, July 1973June 1974 . . . . . . . . . . . . . . . . . . . . . . . . .

26. Days of restricted activity associated with acute conditions per quarter and days of restricted activity per 100persons per quarter, by sex and condition group: United States, July 1973June 1974 . . . . . . . . . . . . . . . . .

27. Days of bed disability associated with acute conditions per quarter and days of bed disability per 1(X) personsperquatier, bysexand age: United States, July l97&Junel974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28. Days of bed disability associated with acute conditions per quarter and days of bed disability per 100 personsper quarter, by sex and condition group: United States, July 1973June 1974 . . . . . . . . . . . . . . . . . . . . . .

28. Incidence of acute respiratory conditions and associated disability days per quarter and nutier per 100persons perquarter, by age: United States, July 1973June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

30. Incidence of injuries and associated disability days per quarter and nutier per 100 persons per quarter, byage: United States, July 1973June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

POPULATION

31. Population used in obtaining rates shown in this publication, by place of residence, geographic rqion, sex, andage: Unitad States, July 1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

32. Population of currently employed persons, by sex and age: United States, July 1973June 1974 . . . . . . . . . .

33. Population used in obtaining rates shown in this publication, by quarter, sex, and age: United States, July1973-June 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

“30

31

32

33

34

35

36

37

36

39

40

41

42

43

44

45

46

13

TABLE 1. INCIDENCE OF ACUTE CONDITIONS, PERCENT DISTRIBUTION, ANO NUMBER OF ACUTE CONDITIONS PER 100 PERSONSPFC yFAQ, C!Y Cflh’C?l TTnN GROUP, ACCO?OING TO SEX: UN ITEO ST4T5S, JULY 1=173-JUNE IQ74

[Data arc based m housebcdd int,mi.ws of tbc civilian, nOninstitutiOml~ed population. The SUWCYdesign, general qualifications, and information on tbc reliability Of theestimates am given in appendix 1. Definitions of terms are given in appmdix II]

*EL!_+EINCIDENCE OF ACUTE

CONDITIONS I N THOUSANOS

CON OITION GROUP

NUMBER OF ACUTE CON-DITIONS PER 100PERCENT

DISTRIBUTION PERSONS PER YEAR

ALL ACUTE CONDITIONS --------- 355.265

40,944

169,1C13

19,571

[86,163 100.0 100.0 100.0 172.0 169.7 174.1

,20.0

2.17.4

10.4

93.0

INFECTIVE ANO PARASITIC OISEASES--- 21,373 11.5

1.24.5

5.8

53.2

2B. O20.6

7.422.9

3.919.0

2.30.60.90.8

4.’7

1.1

1.9

1.7

17.5

11.6

1.24.8

5.6

53.0

27.719.9

7.823.1

3.B19.3

2.30.70.70.9

4.3

1.1

1.8

1.5

20.5

11.5

1.24.3

6.0

53.4

28.321.2

7.222.8

4.016.8

2.30.51.10.8

5.0

“1.1

2.0

1.9

14.8

19.8

2.17.B

10.0

91.5

48.235.4

12. B39.4

6.732.7

3.91.01.51.5

B.1

1.8

3.3

3.0

30.1

19.6

2.08.1

9.6

90.0

46.933. B

13.239.1

6.432.7

3.91.21.11.6

7.3

1.8

3.0

2.6

34.8

COMMON CHILOHOOO DISEASES --------VIRIJS , N .o. S.----------— ________

oTHER ‘INFECTIVE ANO PARASITICO I S E ASE S---–-— -----------------

4,25216,021

20,670

189,085

99,49173,055

26.43681,467

13,82267,645

8,1272,0463,0793.002

16,703

1,9918,060

9,520

89,647

46,77733,669

13,1093B,987

6,35632,631

3,8831,1791,1071,598

7,307

2,2617,961

11,150

99,43B

52,71339,386

13,32842,4B0

7,466

35,0144.244

8671,9721,404

9,397

2,009

3,786

3,602

27,4B6

RESPIRATORY CONDITION S-------------

UPPER RESPIRATORY CONDITIONS -----CCMMON COLA-------–--— --------OTHER UPPER RESPIRATORY

CONDITION S--------------------IN FL UENZA-----— -----------------

INFLUENZA WITH OIGESTIVEMA NIFESTATI ONS-–----— --------

OTHER INFLUENZA--—-------—---OTHER RESPIRATORY CONDITIONS -----

P NEUMON I A-—-------------------BRONCHI TIS---------------------OTHER RESPIRATORY CONOITIONS---

49.336.8

:12.539.7

7.032.7

4.00.81.81.3

B.8

1.9

3.5

3.4

25.7

7.22.34.95.8

5.77.0

26.6

4.71.46.4

1.91.2

2.68.4

OIGESTIVE SYSTEM CONDITIONS --------

DENTAL CONDITION S ---------------- 3,798

6,758

6.147

62, 1B6

1,789

2,972

2,545

34,700

FUNCTIONAL ANO SYMPTOMATIC UPPERGASTROINTESTINAL OISOROERS,N .E c.----–— -------------------

OTHER OIGESTIVE SYSTEMCO NO I T1 ON S----–---------------–-

INJUR I E S-—-------------— ---------

FRACTURES, DISLOCATIONS, SPRAINS,AN O STRAIN S––— -----------------

FRACTURES ANO OISLOCATIONS—---SPRAINS ANO STRAINS--—-—----

OPEN WOUNOS ANO LACER ATIONS ------CONTUSIONS ANO SUPERFICIAL

INJURIES ------------------------OTHER CURRENT INJUR IE S—--------–

17,7315,149

12,58117*147

13,1B014,128

46,347

10,0112,7107,301

10,938

7,0786,673

17,878

6,2199BB

1,055

. . .1,532

2,1285,956

7,7202,4395,2816,209

6,1027,456

28,469

5,0131,5156,B23

2,0301,29B

2,7729,018

5.01.43.54.8

3.74.0

13.0

3.20.72.2

0.60.8

1.44.2

5.91.64.36.5

4.23.9

10.6

3.70.60.6

. . .0.9

1.33.5

4.11.32.83.3

3.34.0

15.3

2.70.83.7

1.10.7

1.54.8

B.62.56.1B.3

6.46.8

22.4

5.4

1.23.8

1.01.4

2.47.2

10.02.77.3

11.0

7.16.7

17.9

6.21.01.1

. . .1.5

2.16.0

ALL OTHER ACUTE CON OITIONS-–-—---–

01 SEASES OF THE EPR---------—-—HE A OAC HE S-—------–--------——--GENITOURINARY OISOROERS---------–OEL IV ERIES ANO OISOROERS OF

PREGNANCY ANO THE PUERPERIUV----OISEASES OF THE SKI N–----–-----—01 SEASES OF THE MU SCULOSKELETAL

SYSTEM ----—-—------------–--—ALL OTHER ACUTE CON OPT ION S-------

11,2322,5037,878

2,0302,830

4,90014,974

NOTE: ExCLUOEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NOR MEOICAL

ATTENTION.N. O. S.--NOT OTHERWISE SPECIFIEO; N. E. C.--NOT ELSEWHERE CLASSIFIED.

14

TABLE 2. DAYS OF RESTRICTED ACTIVITY ASSOCIATED !41TH ACUTE CONDITIONS AND DAYS OF RESTRICTED ACTIVITY PER 100PE~SONS PER YEAR, BY SEX AND CCI*19?TION GRllllP: UNITED STATES, JULY 1973-JUNE 1974

[Data arc based on ho.schold interviews of the civilian, nrminstitutionaliied population. Th. survey design, gcneml qualifications, and information on the reliability of theestimates are given in appendix I. Definitions of terms are given in appendix H]

CONDITION GROUP

ALL ACUTE CON DITIONS----—--

INFECTIVE AND PARASITIC OISEASES—-

COMMON CHILDHOOD DISEASES----—--VI RLIS, N-o. s.-—------—----------

OTHER INFECTIVE AND PARASITICDISEASE S—----------------------

RESP I RATDRY CONDITION S---— --------

UPPER RESPIRATORY CCNOITIONS——-COMMON COLA- —-------—----—--OTHER UPPER RESPIRATORY

CoNO I T IONS---------------——-IN F L U ENZ A--—-—------------—---

INFLUENZA h’ITH OIGESTIVEMAN IF E STAT I @NS------—-----—-

OTHER INFLUENZA—-----------—-OTHER RESPIRATORY CONDITIONS -----

P NEUMON I A-—----------------—-ERONCH IT I S-----------— --------OTHER RESPIRATORY Condition S—-

CIGESTIVE SYSTEM CONDITIONS --------

DENTAL COND ITI ON S-----------——-FUNCTIONAL ANO SYMPTOMATIC UPPER

GASTROINTESTINAL DISORDERS,N . E. c.----—------—--—-—— -----

OTHER DIGESTIVE SYSTEMCON D IT 10N S--- —-----------------

I NJU R I E S—-———--—-— --—----

FRACTURES, DISLOCATIONS, SPR21NSSA NO STRA IN S--—-------— --------

FRACTURES ANO OISLOCATIONS——SPRAINS AND STRAINS--—-----—-

OPEN IIOUNOS ANO LACERATION S—----CONTUSIONS AND SUPERFICIAL

I NJ U RI E S---------------------—-OTHER CURRENT INJURIES-—---—

ALL OTHER ACUTE CONDITIONS------—-

DISEASES OF THE EAR-------—-—-HEADACHE S---——-—----—--——-GEN ITOURI NARY 01 SORDERS— --------OEL IV ERIES ANO oISOROERS OF

PREGNANCY ANO THE PUERPERIUP—--01 SEASES OF THE SKI N----------—-DISEASES OF THE MUSCULOSKELETAL

S YST EM---—--—-------—--—ALL OTHER ACUTE CONDITIONS -------

DAYS OF RESTRICTED ACTIVITYI N THOUSANDS

1,905,319

188,138

30,70259,139

98,297

846,278

360,683260,083

100,6D1388,836

41,722347* 114

96,75843,17029,66623,923

96,362

18,083

16,650

61,629

454*3L4

236,622144,854

9L,76861,822

66,53589,335

320,228

44,9075,004

61,519

42.55620,362

40,989104,890

852,820

80,023

13,86626,830

39,327

382,477

163,496118,214

45,282173,501

17,690155,811

45,48020s15611,94813,376

42,511

8,558

6,985

26,968

253.461

136,29386,02550,26840,566

33,72842,873

94.349

22,4791,843

11,449

. . .8,149

18,79031,640

1,052,499

108,115

16,83632,309

58,970

463,801

197,187141,869

55,318215,335

24,032191,303

51,27923,01417,71810,547

53,851

9,525

9,665

34,661

200,853

100,32958,82941,50021,256

32,807.46,462

225,879

22,4283,162

50,071

42,55612,214

22,19973,250

80THSEXES MALE FEMALE

DAYS OF RESTRICTED ACTIVITYPER 100 PERSONS PER YEAR

922.2

91.1

14.928.6

47.6

409.6

174.6125.9

48.7188.2

20.2168.0

46.820.914.411.6

46.6

8.8

8.1

29.8

219.9

114.570.144.429.9

32.243.2

155.0

21.72.4

29.8

20.69.9

19.850.8

T80.3 101.1

13.9 15.726.9 30.2

39.5 55.1

T383.8 433.7

164.1 184.4118.6 132.7

45.4 51.7174.1 201.3

17.8156.4

45.620.212.013.4

22.5178.9

47.921.516.6

9.9

-1-7.0

27.1

9.0

32.4

254.4 187.8

136.8 93.886.3 55.050.4 38.840.7 19.9

33.8 30.743.0 43.4

I94.7 211.2

22.6 21.01.8 3.0

11.5 46.8

. . . 39.88.2 11.4

18.9 20.831.8 68.5

NDTE: N. O. S.--NOT OTHERHISE SPECIFIED: N. E. C.--NOT ELSEUHERE CLASSIFIED.

15

TABLE 3. DAYS OF BED DISABI LITY ASSOCIATED WITH ACUTE CONDITIONS ANO OAYS OF BEO OISA81LITY PER 100 PERSCNSPER YEAR . @Y SEX ANO CONC)ITION GROUP: UN ITEO STATES, JULY 19j’3-JuNE 1974

[Data are based on household intewiews of the civilian, noninstitutionalized population. The survey design, general qualifications, and information on the reliability of tbeestimates arc given in appendix I. Definitions of terms are given in appendix 11]

CONOITION GROUP

ALL ACUTE CONOITIONS------—-

INFECTIVE ANO PARASITIC OISEASES—-

COMMON CHILCHOOO OISEASES---—--VIRUS, N .0 .S ---------------------OTHER INFECTIVE ANO PARASI TIC

O IS EASE S—----------------------

RESP1 RATORY CONO IT ION S-------------

UPPER RESPIRATORY CON OPT IONS-----COMMON COLA-— -----------------OTHER UPPER RESPIRATORY

CONOI T IONS-----—--—---—-—IN FLU EN ZA------------------------

INFLUENZA WITH DIGESTIVEMAN IF E STA T 10N S-------------—-

OTHER IN FLUENZA ----------------OTHER RESPIRATORY CCNOITION%—-

P NEUMON I A---—-—----–----—---BRONCHI TIS--—-------— --------OTHER RESPIRATORY CONOITIONS---

OIGESTIVE SYSTEM CO NO IT ION S--------

OENTAL CONDITIONS-----— ---------FUNCTIONAL ANO SYMPTOMATIC UPPER

GASTROINTESTINAL OISOROERS,N . E . C .----––-— -----------------

OTHER OIGESTIVE SYSTEMCO ND IT ION S---— -----------------

INJU R I E S---------------------------

FRACTURES, DISLOCATIONS, SPRAINS,ANO STRA IN S---------------------

FRACTURES ANO OISLOCATIONS— —-SPRAINS ANO STRAINS ------------

OPEN WOUNOS ANO LACERATIONS—-—-CONTUSIONS ANO SUPERFICIAL

IN JURIES---—---------— --------OTHER CURRENT INJURIES------—-—

ALL OTHER ACUTE CONOI TIONS ---------

01 SEASES OF THE EAR---—--—----HE A OACHE S—-----------------—---GEN I TOUR I NARY 01 SOROERS--------—DELIVERIES ANO DISOROERS OF

PREGNANCY AND THE PUERPERIUM----OISEASES OF THE SK I N-—--------—OISEASES OF THE MUSCULOSKELETAL

S YSTEM-----——----— -----------ALL OTHER ACUTE CCNOITIONS -------

II IBOTHSEXES II MALE I FEMALE

OAYS OF BEO DISABILITYIN THOU SANOS

B27,221

96,124

14. B0332,750

4B,571

41B ,257

145,74298,842

46,901223,165

24,23419 B,930

49,34924,6B913,36711,293

42,475

6,579

B, 162

27,734

135, B53

63,69742, B2820,86915,079

19,56937,50?

134,513

14,9101,542

29,27B

22,6956,350

13,56846.170

356,492

42,399

6,66916,025

19,705

190,133

69,1B246,539

22,64499,064

10,07988,9B521,88710,893

5,3635,631

18,676

2,0B0

4,297

12,299

65’, 39B

32,40B23,533

8,B7610,063

8,531IB,396

35,8B6

7,698*

4,752

. . .3,694

6,62712,645

470,729

53,724

8,13416,725

2B,866

22B, 124

76.56052,303

24,257124,101

14, 155109,946

27,46313,796

8,005.5,662

23,799

4*499

3,865

15,435

66,455

31,28919,29511,994

5,017

11,03B19,111

98,627

7,212*

24,525

22,6952,656

6,94133,525

BOTHSEXES II MALE I FEMALE

OAYS OF BEO DISABILITYPER 100 PERSONS PER YEAP

400.4

46.5

7.215.9

23.5

202.5

70.547. B

22.710B. O

11.796.323.912.0

6.55.5

23.6

3.2

4.0

13.4

65. B

30.820.710.1

7.3

9.5IB.2

65.1

7.20.7

14.2

11.03.1

6.622.3

357. B

42.5

6.716.1

19. B

190.8

6S.446.7

22.799.4

10.189.322.010.9

5.45.7

18.7

2.1

4.3

12.3

69.6

32.523.6

a.910.1

a.6la.5

36.0

7.7*

4.a

. . .3.7

6.712.7

440.1

50.2

7.615.6

27.0

213.3

71.648.9

22.7116.0

13.210,2.8

25.712.9

7.55.3

2.2.3

4.2

3.6

14.4

62.1

29.31(3. ol:L.2

4. 7

10.317.9

92.2

6.7*

22.9

21.22.5

6.531.3

NOTE: N. O. S.--NOT OTHERWISE SPECIFIEO; N. E. C.--NOT ELSEWHERE CLASSIFIED.

16

TABLE 4. INCIDENCE OF ACUTE CONDITIONS ANO NUMBER OF ACUTE CONDITIONS PER 100 PERSONS PER YEAR, BY MEASURES OFTHE IMPACT OF ILLNESS, SEX, AND CONDITION GROUP: UNITEO STATES, JULY 1973-JUNE 1974

[flat. am based on houscboId interviews of the civilian, noninstit.tiomlized population. The survey design, gcnerd q.ahfbtions, and information on the reliability of theestimates are given in appendix I. Dcfkitions of terms are given in appendix II]

MEASURES OF THE IMPACT OF ILLNESS

3EE!EIENUMBER OF ACUTE CONDITIONS

PER 100 PERSONS PER YEAR

MEDICALLYATT ENDEO ACTIVITY

ANO ACT IV- RESTRICT-ITY RE- ING ONLY

STRICTING

SEX ANO CONOITION GROUP MEOICALLYATTENOEO

ONLYTOTAL

BOTH SEXES INCIOENCE OF ACUTE CONOIT IONSI N THOUSANOS

ALL ACUTE CONOITIONS- 355.265 130,930

18,17960,276

29,26625.875

5,135

5s31227,770

19,392

60,839

161,738

19,035112,694

57,33553*737

1,622

8,835.10,525

10,649

76,944

172.0

19.891.5

48.239.4

3.9

8.130.1

22.4

169.7

30.3

1.87.8

6.20.9

0.7

1.211.6

7.9

31.4

63.4

8.829.2

14.212.5

2.5

2.613.4

9.4

61.1

78.3

9.254.5

27.826.0

0.8

4.35.1

5.2

77.2

62,597

INFECTIVE AND PARASITICD ISEASES-—.----—--—---

RESPIRATORY CCINOIT IONS---UPPER RESPIRATORY

CONOITIONS--—--—---INFLUENZA—--—-—---OTHER RESPIRATORY

CON DITIONS--— -------OIGESTIVE SYSTEM

CONOI T 10N S-----—--——-INJURIES --—----—--—---ALL OTHER ACUTE

CO NDITIONS-----—-—----

40,944189,085

99,49LBl,467

8,127

16,70362,186

46.347

L69, 103

3,73016,114

12,8901,855

1,370

2,55623,891

16,306

MALE

ALL ACUTE CONDITIONS- 31,319

INFECTIVE AND PARASITICDISEASE S-—----—-—----

RESPIRATORY CONOITIONS---UPPER RESPIRATORY

COND IT IONS--—----—-1NFL UEN 2A--— ---------OTHER RESPIRATORYCONOITIONS--—-—----

OIGESTIVE SYSTEMCONO IT 10NS--------—----

INJURIES-----------—----ALL OTHER ACUTE

CON DITIONS---—---—----

19,57189,647

46,77738,987

3,883

7,30734,700

17,878

186,163

1,8757,908

6,231822

854

1,25913,463

6.814

7,89428,894

14,15012,352

2,391

1,60915,158

7,285

70,091

9,80252,846

26,39625,812

*

4,4396,079

3,778

84,794

19.690.0

46.939.1

3.9

7.334.8

17.9

174.1

1.97.9

6.30.8

0.9

1.313.5

6.8

29.2

7.929.0

14.212.4

2.4

1.615.2

7.3

65.5

9.B53.0

26.525.9

*

4.56.1

3.8

79.3

FEMALE

ALL ACUTE CONDITIONS- 31,278

INFECTIVE ANO PARASITICO I S EAS ES-——--—----—-

RESPIRATORY CONOITIONS—-UPPER RESPIRATORY

CONDIT IONS——-——-1NFL UEN ZA-------------OTHER RESPIRATORY

CON O IT ION S——-—----DIGESTIVE SYSTEM

CON 01T IONS-----------—-1NJ URI E S----—----—----ALL OTHER ACUTECONOIT 10N S--------------

21,37399,438

52,71342,480

4,244

9,39727,4B6

28,469

1,8558,207

6 ,65B1,032

*

1,29610,429

9,492

10,2B531,383

15,11613,523

2,744

3,70412,612

12,107

9,23359,848

30,93927,925

984

4,3974*445

6,B71

20.093.0

49.339.7

4.0

8.825.7

26.6

1.77.7

6.21.0

*

1.29.8

8.9

9.629.3

14.112.6

2.6

3.511.8

11.3

8.656.0

28.926.1

0.9

4.14.2

6.4

NOTE: EXCLUOEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NOR HE OICALATTENTION.

17

TABLE 5. INCIOENCE OF ACUTE CONDITIONS ANO NUMBER OF ACUTE CONDITIONS PER 100 PERSONS PER YEAR, BY AGE,<~X, Ahlo CONO[TI17)J GRIJIJP: UNITEO ~Tt.TES, Jlgl Y 1973 -. I*INF 1974

[Data are based on household interviews of the civilian, noninstitutionalizcd population. Tbc survey design, genend qualifications, and information on the reliabili-ty of the estimates are given in appendix 1. Definitions of terms are given in appendix II]

SEX ANO CONOITION GROUP45

YEARSG OVER

UNO ER

YEfRSALLAGES

6-16YEARS

1-?-44YEARS

INCIOENCE OF ACUTE CONDITIONSI N THOUSANDS

NUMBER OF ACUTE CONDITIONS PER100 PERSONS PER YEARBOTH SEXES

ALL ACUTE CONOITIONS- 355.265

40,944189,085

99.49181,467

8,127

16,70362,186

46,347

169,103

19,5T189,647

46,77738,5’87

3,883

7,30734,700

17,878

1.86,163

100,571

13,38455,558

30,353

23,535

1,670

4*59316,422

10,614

51,484

136,034

13,31771,766

34,31434,382

3,070

7,17825,964

17,809

62,026

57,48t

4, 37s29,27!

13,86S13,545

1,861

2, 83?12,590

B, 40S

23,967

61,174

9,86432,486

20,95510,005

1,526

2,0997s211

9,515

31,626

4,69216,722

10,6005,324

798

1,2813,940

4,991

29,548

172.: 303 .;

48.5161.1

103. $49.6

7.6

10.435. E

47.2

304.4

232.2 170.2 91.0.—.—

6.946.3

21.921.4

2.9

4.519.9

13.3

83.3-—

5.346.9

22.621.6

2.6

2.620.0

8.5

97.4

B.345.9

21.421.3

3.2

6.119.8

17.3

30.9128.3

70.154.3

3.9

10.637.9

24.5

233.8

INFECTIVE AND PARASITICO I SEAS ES----------------

RESPIRATORY CONOITIONS---UPPER RESPIRATORY

CONO IT IONS -----------INFLUENZA—--—-––-—-OTHER RESPIRATORY

CON DITIONS--— -------OIhESTIVE SYSTEM

CONOIT IONS—---—-—-—-IN JURIES -----------------ALL OTHER ACUTE

CONOIT ION S--------------

19. f91.5

16.789.8

42.943.0

3.8

9.032.5

22.3

160.9

48.:39.4

3.s

8.130.1

22.4

MALE

ALL ACUTE CONOITIONS- 169.7

INFECTIVE ANO PARASITICO I SEAS ES----------------

RESPIRATORY CONOITICNS---

UPPER RESPIRATORYCONO IT IONS——-------

INFLUENZA -------------OTHER RESPIRATORY

CONO IT IONS--— -------OIGESTIVE SYSTEM

CONOIT IONS-—-----------IN JURIES -----------------ALL OTHER ACUTE

CONOIT IONS--------------

7,57227,109

14,04612,332

731

2,0139,476

5,313

49,087

5*77532,340

15,62115*11O

1,608

3,27115,518

5,122

74,008

1,53213,476

6,5106,220

746

7425,765

2,452

33,519

19.690.0

45.5162.0

102.751.6

7.7

12.438.2

48.3

300.3-

52.6160.2

105.247.6

7.4

8.333.2

46.0

34.4123.1

63.856.0

3.3

9.143.0

24.1

230.5

2T.3133.6

76.652.6

4.4

12.132.6

24.9

15.083.9

40.539.2

4.2

8.540.3

13.3

178. B

18.295.3

45.246.6

3.5

9.425.2

30.7

46.939.1

3.9

7.334.8

17.9

FEMALE

ALL ACUTE CONOITIONS- 174.1

INFECTIVE ANO PARASITICO I SEAS ES--------------–-

RESPIRATORY CONDITIONS ---UPPER RESPIRATORY

CONOI T ION S--— -------

INFLUENZA -------------OTHER RESPIRATORY

CON D ITIONS––––-–--—-OIGESTIVE SYSTEM

CONO IT ION S-----— -------INJURIES-–—-–--— -------ALL OTHER ACUTE

CONDITION S--------------

21,37399,438

52,71242,480

4,244

9,39727,486

28,469

5,17215,763

10,3554,681

728

81B3,271

4,524

5,81228,449

16,30711,203

939

2,5806,945

5,301

7,54239 ,4Z7

18,69319,272

1,462

3,90B10,445

12,686

2, 84715,799

7,3597,324

1, 115

2,0916,825

5,958

20.093.0

49.339.7

4.0

8.825.7

26.6

NOTE : EXCLUOEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NOR MEDICALATTENTION.

18

TABLE 6. DAYS OF RESTRICTED ACTIVITY ASSOCIATED WTH ACUTE CONDITIONS ANO DAYS OF RESTRICTED ACTIVITY PER 100PERSONS PER YEdP , 9Y AGE. SEX, AND CONDITION GROUP: UN ITEO STATES. JULY 1973 -JLINE 1974

[Data arc based o. household interview of the civifian, noninstitutiondizcd population. The survey design, general qualifications, md information o. the reliability of theestimates am given in appendix I. Definitions of terms arc given in appendix 11]

II I I IUNOER 45

ALL 6 6-16 17-44 YEARSAGES YEAPS YEARS YEARS G OVER

UNOEP 45ALL 6 6-16 17-+4 YEARSAGES YEAF. S YEARS YEARS & OVEF

SEX ANO CONDITION GROUP

II I 1 I

OAYS OF RESTRICTED ACTIVITY IN THOUSANDSoAYS OF RESTRICTED ACTIVITY

PER 100 PERSONS PER YEARBOTH SEXES

ALL ACUTE CONOITIONS- 1.905.319

188,138846,278

360,6~3388.836

96,758

96,362454,314

320,2.28

852.820

80. C23382.477

163.496173,501

45,480

42,511253,461

94,349

1,052,49S

221.550

41,027132,421

70.75845,122

16.541

4,75811.796

31,549

112,373

19.336b9 ,207

36.94323.529

8,735

2,4038,075

13,353

109,177

404,370

60.504212,466

lo3*97195,531

12,965

L6.84670,205

44.348

21 L,238——

32,949107,668

50.76350,908

5.997

6,95642,566

21,099

L93. 132

708,008

58,936286,369

113,79s143.511

29.060

38,410191,449

132,843

301,263

571,391

27,670215,(/22

72,156104,672

36,193

36,348180,864

111.488

227,947

922.2 1,098. [ 933. t 885. E 904.3

INFECTIVE ANO PARASITICDI SEAS ES--—---—----—-

RESPIRATORY CONOITIONS---UPPER RESPIRATORY

CONO I T ION S-----------INFLUENZA----—-—-—-OTHER RESPIRATORY

CON DITIONS -----------OIGESTIVE SYSTEM

CONOIT 10N S----—--——-1 NJ URIE S——------------ALL OTHER ACUTE

CONOIT IONS— —--.----

203. !656. f

350. !223. [

82. (

23. t58.5

156. :

1,088.4

73.7358. ?

142.4179.5

36.4

48.1239.5

166.2

781.6

43.8343.3

114.2165. T

60.4

57.5286.2

176.4

792.5

91.1409.6

174.6188.2

46.8

46.6219.9

155.0

139. i490.5

240. C220.5

29.5

38. S162.1

102.4

959.4

HAL E

ALL ACUTE CONOI TIONS- 855.8

INFECTIVE AND PARASITICo I S EAS E S——---—-—--- 20,268

118,034

45,58359,693

12,758

17.523119,003

26,435

406,745

38,668168,335

68,21583,818

16,302

20,68672,446

L06,408

7,47087,568

30,20739,371

17,990

15,62983,817

33,463

343*444

20,200127,454

41,95065,301

23,203

20,71997.046

78,025

80.3383.8

187. ?670.4

357.9227.9

84.6

23.378.2

129.4

1,109.5

220.4642.4

343.6219.4

79.3

23.937.8

184.9

149. .S489.0

230.6231.2

27.2

31.6193.3

95.8

906.8

129.4k92. 1

249.8209.5

32.7

46.4129.8

L09.2

52.6306.2

118.3154.9

33.1

45.5308.7

66.6

982.8

93.4406.8

164.8202.5

39.4

50.5175.1

257.1

26.0304.4

105.0136.9

62.5

54.329L.4

116.3

997.7

58.7370.2

121.9L89. T

58.7

60.228L.q

226.7

RESPIRATORY CONOITIONS—-UPPER RESPIRATORY

CON D IT 10N S--—-——- 164.1174.1INFLUENZA—--—-—-—-

oTHER RESPIRATORYCONO IT ION S—---—----

OIGESTIVE SYSTEMCONDIT 10N S-—--——-

INJURIES--— --———-

ALL OTHER ACUTECONO IT IONS-----—-—---

45.6

42.7254.4

94.7

FEMALE

ALL ACUTE CONDITIONS- 984.1

INFECTIVE AND PARASITICOI S EAS ES-------— ------ 108.115

463,801

197,187215,335

51.279

53,851200s853

225,879

21,69263,214

33,81521,593

7,806

2,3553,721

18,196

27,555104,798

53,20844,623

6,968

9,69027,640

23,249

101.1433.7RESPIRATORY cONLl IT IONS---

UPPER RESPIRATORYCON OITICWS—-——--

INFLUENZA----— -------OTHER RESPIRATORY

CONOI T ION S--—-—----DIGESTIVE SYSTEM

CONOIT IONS---—— -------INJURIES——--———-—-ALL OTHER ACU7E

CONDITIONS —------------

184.4201.3

47.9

50.4187.8

211.2

19

TABLE 7. i7AYS OF BED DISABILITY ASSOCIATE WITH ACU7E CONDITIONS ANO OAYS OF BEO DISABILITY PER 100 PERSONS PERYEAR. BY AGF. SEX. ANO CONOITION GROUP: UNITEO STATES. JULY 1973-JUNE 1974

[ flat. xre based cm houscho]d interviews of the civilian, noninstituticma] imd population. ‘he survey design, general qualifications, and information on tbe reliability of the

cstlmtics are given m appendix 1.”Dkinltions of terms are given in appendix II]

SEX ANO CO NO ITI@N GROUP

OAYS OF BEO DISABILITY PEQ100 PEQSONS PER YEAROAYS OF BEO DISABILITY IN THOU SANOSBOTH SEXES

434.4

74.3270.0

112.5142.7

14.7

14.537.1

3.3.6

435.6

78.7267.8

106.9147.7

13.2

9.840. T

38.6

433.2

382.2

37.6175.6

57.0100.3

18.3

20.766.7

81.5

297.2

368.9

19.7157.2

41.485.2

30.5

28.3100.4

63.3

322.6

ALL ACUTE CONOITIONS- 827,221 188, 163 305,463 233,098 400.4 498.4

106.2305.5

125.2135.3

44.9

8.715.0

63.1

515.9

100,497

INFECTIVE ANO PARASITICO I SEAS ES----------------

RESPIRATORY CONOITIONS---UPPER RESPIRATORY

CON DITIONS -----------IN FL UENZA----—-–—---OTHER RESPIRATORY

CONDITIONS -----------OIGESTIVE SYSTEM

CON DITIONS-----— -------INJURIES -----------------ALL OTHER ACUTE

C13NOIT ION S--------------

96.124418,257

21.42361.588

25.24627,280

9,061

1,7473,015

12,724

53,253

10,21433,621

13,64014,912

5,069

*2,264

6,017

47.244

32.16311o,942

4B,75061,832

6,361

6,28610,061

16,710

95,902

30,063140,390

45,56280,201

14,626

16,58253,326

65, 104

114,539

12,47499,337

26,1B553,851

19,301

17,86063,451

39,975

92,797

46.5202.5

145,742223,3.65

70.5108.0

23.949,349

20.665.8

42.475135.853

134,513 65.1

MALE

ALI, ACUTE CONOITIONS- 356,492 357.8

INFECTIVE AND PARASITICDISEASE S----------------

RESPIRATORY CONOIT IONS---UPPER RESPIRATORY

CONO IT ION S-----—----IN FL UENZA -------------OTHER RESPIRATORY

COUO IT 10 NO-----------OIGESTIVE SYSTEM

CONDITIONS---–-—-—-—-IN JURIES —---------------ALL OTHER ACUTE

CONOIT IONS--------------

42,359190,133

17,31958,960

23,53332,513

2,914

2, 1548,972

8,498

92,260

11,49658,856

19,48233,107

6,267

7,41726,354

10,417

L90,924

3,37138,695

12,52818,532

7,635

7,96831,808

10,955

1+09301

42.5190.a

69.499.4

98.9325.7

132.1144.5

49.1

*21.9

58.3

480.1

29.8152.7

50.585.9

16.3

19.268.4

27.0

461.3

44.9197.0

63.0113.8

20.2

22.165.2

132.1

11.7134.5

43.664.4

26.5

27.7110.6

38.1

407.6

69,18299,064

21,887 22.0

18,67669,398

18.769.6

36.035, @E6

FEMALE

440.1ALL ACUTE CONOITIONS- 470,729

INFECTIVE ANO PARASITICDISEASES---—--------—-

RESPIRATORY CONOITIONS---uPPER RESPIRATORY

CON OITIONS-–---—----INFLu EN ZA-------------OTHER RESPIRATORY

CON 01 T ION S-----—----OIGESTIVE SYSTEM

cONDITIONS--------—----IN JURIES—-----–---—----ALL OTHER ACUTE

CONDITION S--------------

2.6.4176.2

39.7102.6

33.9

28.791.9

84.3

9*10360,642

13,65735,319

11,666

9,89331,642

29,020

50.2213.3

113.9284.2

117.9125.7

40.6

**

68.Z

69.7272.2

118.4137.7

16.2

19.433.3

3B.6

53,724228,124

11,20927,967

11,60612,369

3,992

**

6,708

14,84557,982

25,21729,319

3,447

4, 132T.089

a,zlz

18,56781,533

26,08047,094

8,359

9,16526,972

54,687

76,560124,101

71.6116.0

25.7

22.362.1

27,463

23,79966.455

98,627 92.2

20

TABLE 8. DAYS LOST FROM SCHOOL ASSOCIATED WITH ACUTE CONDITIONS AND OAYS LOST FREtM SCHOOL PER 1!30CHILOREN (6-16 YEARS) PER YEAR, BY SEX AND CONn_LTION Gf07UP: UNITED $TATFS, JULY 1973-JIINE 1974

[Dataare basedon householdinterviews ofthecivilian,no.instit.tionalized population.The sumey design,genemlq.alifications, andinfonnationo.

thedab~,ofthe estimatesaregivenin appendixI. Definitions ofterms=egivenin appendixII]

CONDITION GROUP

ALL ACUTE CONDITIONS--——— ------

INFECTIVE AND PARASITIC OISEASES——--—

RESPIRATORY CONDITIONS——--—-— -------UPPER RESPIRATORY CONDITIONS ----------INFLUENZA---------— ------------------OTHER RESPIRATORY CONOITIONS-—----—

OIGESTIVE SYSTEM CONDITIONS----—----—

INJURIES----—-—---—-------—---------

ALL OTHER ACUTE CONDITIONS------————

BOTHSEXES MALE FEMALE

DAYS LOST FROM SCHOOLIN THOUSANDS

213,625

35,435

131,82362,81661,868

7,139

8,302

18,182

19,882

111,800

19,637

66,73431,05832,275

3,40$3

3,686

11,863

9,881

101,824

15,797

65,090

31,758

29,593

3,739

4,617

6,319

10,002

ZEEDAYS LOST FROM SCHOOL PER

100 CHILDREN PER YEAR

181.8 89.2

304.3 303.1145.0 141.1142. 8S 146.6

16.5 15.4

19.2 16.7

42.0 53.9

45.9 44.9

478.1

74.2

305.6149.1138.9

17.6

21.7

29.7

47.0

21

TABLE 9. INCIDENCE OF ACUTE CONDITIONS AMONG CURRENTLY EMPLOYEO PERSONS AND NUMBER OF ACUTE CON-DITIONS PER 100 CURFENTLY EMPLOYEO PERSONS PER YEAR, BY AGE, SEX, AND CONOITION GROUP: UNITEDSTATES. JULY 1973-JUNE 1974

[Data are based on household interviews of the civilian, noninstitutirndked population. The survey design, general qualifications, and information onthe reliability of the estimates are given in appendix I. Definitions of terms are given in appendix.11]

—-

SEX ANO CONDITION GROUP

BOTH SEXES

ALL ACUTE CONDITIONS -------------

INFECTIVE ANO PARASITIC OISEASES -------RESPIRATORY C13NOITIONS-—---— ---------

UPPER RESPIRATORY CONDITIONS ---------INFLUENZA ----------------------------OTHER RESPIRATORY CONDITIONS ---------

OIGESTIVE SYSTEM CONDITIONS ------------INJURIES -------------------------------ALL OTHER ACUTE CONDITIONS--— ---------

MALE

ALL ACUTE CONDITIONS -------------

INFECTIVE ANO PARASITIC OISEASES -------RESPIRATORY CONDITIONS -----------------

UPPER RESPIRATORY CONDITIONS ---------INFLUENZA-—------------------------–OTHER RESPIRATORY CONDITIONS ---------

OIGESTIVE SYSTEM CONDITIONS ------------INJURIES -------------------------------ALL OTHER ACUTE CONDITIONS---—-----—-

FEMALE

ALL ACUTE CONDITIONS -------------

INFECTIVE AND PARASITIC OISEASES -------RESPIRATORY CONDITIONS -----------------

UPPER RESPIRATORY CONDITIONS ---------INFLUENZA------— --------------------OTHER RESPIRATORY CONDITIONS ---------

OIGESTIVE SYSTEM CONDITIONS ------------INJURIES------------------------–--—--ALL OTHER ACUTE CONDITIONS-----–-–----–

$LL AGES-17 YEARS

& OVER17-44YEARS

45YEARS

& OVER

INCIOENCE OF ACUTE CON-DITIONS IN THOUSANDS

121,507

11,66466, 17731,49231,722

2,9636,076

24,18313,407

69,954

5,70138,33318,18618,276

1,8713,282

16,8305,808

51,553

5,96327,84413,30613,446

1,0922,7947,3537,599

92,330

9,39049,88423,96623,757

2,1614,737

18,4629,857

53,295

4,72428,54313,55913,554

1,4302,711

12,9704,347

39,035

4,66621,34010,40610,203

7312,0275,4925,510

29,177

2,27416,293

7,5277,965

8011,3395,7203,550

16,659

9779,7904,6274,722

**

3,8601,461

12,518

1,2976,5042,9003,243

*767

1,8602,090

w!!NUMBEF. OF ACUTE CONDITIONSPER 100 CURRENTLY EMPLOYED

PERSONS PER YEAR

144.4

130978.637.437.7

3.57.2

28.715.9

135.7

11.174.435.335.5

3.66.4

32.711.3

158.0

18.385.440.841.2

3.38.6

22.523.3

172.1

17.593.044.744.3

4.08.8

34.418.4

163.1

14.587.441.541.5

4.48.3

39.713.3

186.2

22.3101.8

49.648.7

3.59.7

26.226.3

95.6

7.553.424.726.1

2.64.4

18.711.6

88.3,

5.251.924.525.0

**

20.57.7

107.4

11.155.824.927.8

*

6.616.017.9

NOTE: EXCLUOEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITYNOR MEOICAL ATTENTION.

22

TABLE 10. DAYS LOST FROM hORK ASSOCIATED WITH ACUTE CONDITIONS AND OAYS LOST FROM WORK PER 100CURRENTLY EMPLOYED PERSONS PER YEAR,BY AGE, SEX, AND CONDITION GROUP:JUNF 1974

UNITED STATES, JULY 1973-

[Data are based on household irrtervicws of the civilian, noninstitutiondiied population. The survey design, general qualifications, and information onthe reliability of the estimates are given in appendix I. Definitions of terms are given in appendix II]

SEX ANO CONOITION GROUP

BOTH SEXES

ALL ACUTE CONDITIONS---— --------

INFECTIVE AND PARASITIC OISEASES -------RESPIRATORY CONDITIONS------— ---------

UPPER RESPIRATORY CONDITICNS-----—--INFLUENZA-—--------------—---------OTHER RESPIRATORY CONDITIONS ---------

DIGESTIVE SYSTEM CONDITIONS--— --------IN.lURIES----—-----— ------------------. ... . .----ALL OTHER

ALL

ACUTE CC!NOITIONS--------—---

MALE

ACUTE CONDITIONS---------—--

INFECTIVE AND PARASITIC OISEASES----—-RESPIRATORY CONDITIONS---------— ------

UPPER RESPIRATORY CONDITIONS ---------INFLUENZA--------— ------------------OTHER RESPIRATORY CONDITIONS ---------

DIGESTIVE SYSTEM CONDITIONS--— --------INJURIES----------— -------------------ALL OTHER

ALL

INFECTIVE

ACUTE CONDITIONS—-— --------

FEMALE

ACUTE CONDITIONS-----— ------

ANO PARASITIC DISEASES----—-RESPIRATORY CONDITIONS -----------------

UPPER RESPIRATORY CONDITIONS ---------INFLUENZA------—---—----—---------OTHER RESPIRATORY CONDITIONS---—----

DIGESTIVE SYSTEM CONDITIONS ------------INJURIES----—-----—----—-—----—--ALL OTHER ACUTE CONDITIONS---—-— -----

I

ETEl!EDAYS LOST FROM WORK

IN THOUSANDS

299,456

21,065124,65’4

41,79765,72917,168L8,48897,97237,237

174,862

I 9,62869,44723,61136,545

9g29010*O8669,53116,171

124.594

11,43755,24718,18629,184

7,8788,403

28,44121,067

207,205

16,77685~76030,26344,67110,82513926567,78223,622

118,867

8,02446,02116,51924,877

4,6267,239

48,3289,254

88,338

8,75239,73813,74519,795

6,1996,026

19,45314,368

92,251

4,28938,93411,53321,057

6,3435,223

30,19013,615

55,995

1,60423,425

7,092117668

4,6652,847

21,2026,917

36,256

2,68415,5094,4419,3891,6792,3778,9886,699

EEiElzOAYS LOST FROM WORK PER100 CURRENTLY EMPLOYED

PERSONS PER YEAR

355.1

25.0148.2

49.778.120.422*O

116.444.2

339* 3

18.7134.8

45.870.918.019.6

134.931.4

381.9

35.1169.3

55.789.524.125.887.264.6

386.:

31.2159.s

56.~83.320.i24.:

126.~44.(

363.t

24.t140.5

50. t76.114.i22.2

147.528.?

302.2

14.1127.6

37.869.020.817.1S8.944.6

296.8

8.5124.2

37.661.824.715.1

112.436.7.

421.31 311.1

41.7189.5

65.694.429.628.792.868.5

23.0133.1

38.180.614.420.477.157.5

23

TABLE 11. INCIDENCE OF ACUTE CONDITIONS AND NUMBER OF ACUTE CONDITIONS PER 100 PERSoNS PER YEAR,, ByPLACE OF RESIDENCE, SEX. AND AGE: UNITED STATES. JULY 1973-JUNE 1974

[Data are based o. household interviews of the civikm, noninstit.tionalized population. The survey design, ge&ral qwdifkiations, and information on the reli-ability of the estimates are given in appendix L Deftitions of term are given in appendix II]

SEX ANO AGE

=

INCIDENCE OF ACUTE CONDITIONS

II I

OUTSIOE St4SA

ALLSMSA

ALLAREAS N13NFAfW I FARM

NUMBER OF ACUTE CONDITIONS PER100 PERSONS PER YEARBOTH SEXES IN THOUSANOS

ALL AGES --------- 355,265 252,140 92,515

13,72424,631

18,89320,054

15,213

9,862

5,351

16,24726,38434,672

43,498

10,610

1,0032,466

2,486

2,3782,277

1,662*

1,0923,5983,643

5,608

172.0

308.0243.0193.8158.0

91.0

98.3

75.7

303.4

232.2170.2

169.7

310.2248.6

183.2.148.9

83.3

87.473.5

306.4

233.8

160.9

174.1

305.8237.1203.9

166.4

97.4108.2

77.2

300.3

230.5178.8

177.1

322.2252.8195.7161.1

93.7103.1

72.7

317.1239.7173.2

175.2

162.8

282.9230.3186.9149.4

85.888.181.9

280.2218.8163.4

158.8

142.8—.—.

221.4

162.5

210.7

159.681.6

85.1*

201.8198.7159.1

14B. 1.

UNDER 5 YEARS—--—----5-14 YEARS--— ---------

15-24 YEARS-— ---------

25-44 YEARS—--------—45 YEARS AND OVER ------

45-64 YEARS— --------65 YEARS ANO OVER--—

51,538S’3,32B

72,977

79,93657,486

41,986

15,500

61,174

100,571136,034

36,81166,230

51,597

57,50539,997

30,4629,534

43,83670,589

97,719

119,996

19,334

33,865

24,21425,963

16,92012,983

3*937

22.693

35,481

44,902

132,144

UNDER 6 YEARS—-—---6-16 YEARS-——-— -----17-44 YEARS—----—----

MALE

ALL AGES --------- 169,103

26,511

48,626

33,65136,34B

23,96717,741

6,226

31,626

51,484

62,026

UNDER 5 YEARS-——----

5-14 YEARS---— --------

15-24 YEARS-----— -----25-44 YEARS ------------45 YEARS AND OVER ------

45-64 YEARS----—----65 YEARS AND OVER--—

UNDER 6 YEARS—--—---

6-16 YEARS---— --------

17-44 YEARS—— --------

6,67413,527

8,1779,2475,8753,8632,011

8,08314,20715,333

49,017

8031,2341,2601,1381,172

894*

8491,7961,791

5* 002

325.8254.5189.8151.1

87.392.274.2

319.3238.5165.7

178.9

318.4251.0201.2170.4

99.1112.9

71.7

314.8241.0180.2

272.4245.6165.0142.0

73.873.873.6

276.3228.1149.3

166.6

293.4214.1208.0156.2

95.6100.6

87.9

284.0208.9176.5

31b. 1165.9192.4157.8

82.991.2

*

291.8196.7153.1

137.2

*159.0233.5161.2

80.278.9

*

*200.8165.4

FEMALE

ALL AGES---—---- 186,163

UNDER 5 YEARS—--—--—5-14 YEARS -------------15-24 YEARS--—---—---

25-44 YEARS--—-——---

45 YEARS ANO OVER ------45-64 YEARS ----------

65 YEARS ANO OVER----

25,02844,70239,32543,58833,51924,245

9,274

29,54849,08774,008

17,77832,36627,38331,54223,07617,479

5,597

21,14335,10852,817

7,05011,10510,71710,807

9,3385,9983,340

8,16312,17719,339

*1,2311,2261,2401,105

768*

*1,80,31,852

UNOER 6 YEARS————-

6-16 YEAfUS -------------

17-44 YEARS—— -------

NOTE : EXCLUDED FROM THESE STATISTICSMEOICAL ATTENTION.

ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NOR

24

TABLE 12. DAYS OF RESTRICTED ACTIVITY ASSOCIATE WITH ACUTE CONDITIONS ANO OAYS OF RESTRICTED ACTIVITYPER 100 PERSONS PER YFA~, RY PI ACE OF RESIDENCE. SEX, U’n AGE: UNITEO STATES, JULY 1973-JUNE 1974

[Data are based on household interviews of the civilian, noninstitutionaked population. The survey design, genexd qualifications; and information on the rcli-ability oftheestimates aregiveninappendix I.DefWltionsof tennsaregiven inappendmII]

OUTSIDE SMSAALL ALL

AREAS SMSA NONFARM FARMSEX ANO AGE

OAYS OF RESTRICTED ACTIVITYIN THOUSANOS

OAYS OF RESTRICTED ACTIVITY PER100 PERSONS PER YEAR

922.2

BOTH SEXES

ALL AGES ---------

UNOER 5 YEARS ----------5-14 YEARS------— -----15-24 YEARS ------------25-44 YEARS----— ------45 YEARS ANO OVER ------

45-64 YEARS ----------65 YEARS ANO OVER--—

UNOER 6 YEARS ----------6-16 YEARS -------------17-44 YEARS-----— -----

MALE

1,905,319 1,356,841 491,792 56,687 865.6 762.7953.2

135,184264,172244,767329,219383,499251,693131,806

2,1917,7689,863

11,77825,08812,86012.,228

2,82312,58516,192

27,870

1, 123.t951.7866.6897.2904.3824.1

1,071.5

1,183.11,008.3

928.2922.5898.9851.6

1,005.4

1, 149.4996.2923.7

877.6

1,043.1875.7709.4841.7918.1780.4

1,154.2

1,032.0816.4804.2

818.1

483.7511.7835.8790.5~98.9658.1

1,460.9

521.8694.9707.1

736.1

*464.4930.4673.2848.3533.4

1,561.0

525.1851.7562.5

790.4

*557.2717.7900.4950.8783.7

1,353.7

*535.5858.1

187,987365,590326,346454,006571,391351,929219,462

221,550404,370708,008

50,61193,65071,717

113,009162,805

87,37675,429

59,84798,447

170,694

224,072

158,881293,339521,123

1,098.8933.6885.8

ALL AGES ---------

UNOER 5 YEARS— --------5-14 YEARS---— --------15-24 YEA%S ------------25-44 YEARS ------------45 YEARS ANO OVER------

45-64 YEARS— --------65 YEARS AND OVER----

UNOER 6 YEARS— --------6-16 YEARS----— -------17-44 YEARS--— --------

FEMALE

ALL AGES ---------

UNOER 5 YEARS-------—-5-14 YEARS -------------15-24 YEARS--— --------25-44 YEARS------—---45 YEARS AND OVER------

45-64 YEARS-----—---65 YEARS AND OVER--—

UNOER 6 YEARS— --------6-16 YEARS -------------17-44 YEARS— ----------

852,820 600,878 855.8

96,014191,526148,256189,078227,947141,544

86,403

112,373211,238301,263

68,296133,180110,132132,954156,316106,530

49,786

26,23654,89132,03051,27059,64529,78729,858

31,71155,63577,082

?67,720

24,37538,75939,68761,739

103,16057,58945,571

28,13642,81293,612

*3,4556,0944,854

11,9865,2276,759

1,5287,7766,581

28,817

*4,3133,7686,924

13,1027,6335,469

*4,8099,611

1,123.5979.2807.0774.-1792.5697.5

1,019.9

1,168.91,000.8

863.1774.0806.4756.6938.5

1,113.5993.7802.8

1,023.3

1, 198.119015.9

989.31,060.3

975.9938.0

1,050.9

1,187.4998.8

1,035.5

1,070.9996.6646.3787.6748.8569.3

1,092.1

1,084.1893.2750.6

909.8

1,014.4747.4770.2892.6

1,056.2965.4

1,198.9

979.0734.3854.5

79,134147,827217,601

1,088.6959.4781.6

1,052,499 755,962 984.1

91,973174,064178,091264,928343,444210,385133,060

109* 177193,132406,745

66,888130,991134,635196,265227, 183145,163

82,020

L, 123.7923.3923.4

1,011.3997.7938.6

1,107.9

79,747145,511303,522

L,109.5906.8982.8

25

TABLE 13. DAYS OF BED DISABILITY ASSOCIATED WITH ACUTE CONDITIONS AND DAYS OF BED DISABILITY PER 100

PEQSDNS ~ER YEAR, BY PLACE OF. RESIf)ENLF. SEX. ANO AGE: UNITED ST&TFS, .JUIY 1973-JUNE 19?’4

[Data are based on household in tcrviews of the civilian, noninstitutionalized population. The survey design, general qualifications, and information on the reli-

ability of theestimates aregiven in appendix I. Definitions of tcrmsare given inappendix II]

ALL

AREAS

SEX AND AGE ALL

AREAS

, ,

DAYS DF BED DISABILITY

IN THOUSANOS

OAYS OF BED DISABILITY PER 100

BOTH SEXES PERSONS PER YEAR

ALL AGES ---------

UNDER 5 YEARS ----------

5-14 YEARS -------------

15-24 YEARS-----— -----

25-44 YEARS ------------

45 YEARS ANO OVER ------

45-64 YEARS— --------65 YEARS AND OVER----

UNDER 6 YEARS— --------

6-16 YEARS -------------

17-44 YEARS ------------

MALE

827,221 213,791

23,364

43,170

38,949

46,716

61,59237,024

24,569

26,7B247,670

77,747

97,9B2

22,435

*

3,040

6,017

4,6,14B,035

3,2284,808

*

6, 134

7,337

9,890

400.4

513.1

438.3

391.6

380.4

368.9347.3

413.8

498.4

434.4

382.2

357.8

301.9

*

200.3

509.9

309.7

287.9165.2

574.4

*

338.7

320.4

261.2

590,995

61,746

122,147

102,484

141,148163,470

108, 08355,388

72,787

134,359

220,379

415.2

543.4

466.2

388.7

395.5383.1

365.7422.5

526.6456.3

390.6

363.1

376.3

481.5

403.7

385.3

347.9347.3330.7376.0

461.8395.3366.3

357.7

85,840

168,357

147,450

192,477

233,098

148,33484,764

100,497

188,163

305,463

ALL AGES ---------

UNDER 5 YEARS---— -----

5-14 YEARS -------------

15-24 YEARS------—----

25-44 YEARS--—-----—45 YEARS ANO OVER ------

45-64 YEARS ----------

65 YEARS AND OVER----

UNDER 6 YEARS ----------

6-16 YEARS -------------

17-44 YEARS---–-–-----–

FEMALE

ALL AGES-–-–---–-

UNDER 5 YEARS--–-––-–-–

5-14 YEARS---—-—––-–-

15-24 YEARS ------------

25-44 YEARS—--------—

45 YEARS AND OVER ------

45-64 YEARS ----------

65 YEARS ANO OVER----

UNOER 6 YEARS ----------

6-16 YEARS -------------

17-44 YEARS------—----

356,492 248,620

45,127

89,547

57,02271,999

92,797

60,060

32,737

53,25395,902

114,539

31,508

62,729

37,4305D,414

66,539

45,117

21,422

37,396

65,071

79,614

13,250

25,546

16,027

20,380

22,779

14,227

8,552

15,488

26,734

32,981

115,809

**

3,564*

3,479*

2,762

*

4,097

1,945

12,545

528.0

457.8

310.4295.0

322.6

296.0

386.4

515.9

435.6

297.2

440.1

539.2

471.4

293.3293.5

343.2

320.4

403.8

526.2

437.4

293.7

463.4

540.8

463.8

323.4

313.1

286.0

271.9

312.8

529.5

429.2

321.1

393.6

**

544.1

*

246.2*

.637.9

*

448.7

166.2

344.1470,729 342, 375

40,713

78,B1O

90,428

120,478

140,301

88,273

52,027

47,244

92,260

190,924

30,238

59,4L765, 054

90,734

96,931

62,966

33,966

35,391

69,288

140,765

10,114

17,625

22,921

26,336

38,813

22,797

16,016

11,294

20,936

44,766

*1,76B

2,4523,408

4,556

2,511

2,045

*

2,037

5,393

497.4

418.0

468.9459.9

407.6

393.8

433.2

480.1

433.2

461.3

541.6

460.8

478.0490.2

416.4

406.9

435.2

527.0

475.6

480.2

420.9

339.9

444.8380.7

397.4

382.2

421.4

393.0

359.1

408.6

*228.4467.0

443.2

330.6

257.8

506.2

*

226.8

481.5

26

TABLE 14. INCIDENCE OF ACUTE CONDITIONS ANO NUMEJER OF ACUTE CCNDITI@NS PER 100 PERSCNS PER YEAR, BY PLACE OFPESIOENCE, SEX, 4N0 CflNOITION GROUP: UN ITEO STATES, JULY l’973-JUNr lq74

[Data are based on household interviews of the civilim, noninstitutiomlizcd pop.htim. The survey dcsi~, gcncml qualifications, and information on the rclhbility of theestimates arc given in appendix I. Definitions of tcnns are given in appendix11]

SEX ANO CONOITION GROUPOUTSIDE SMSA

ALL ALLAREAS SMSA NONFARM FARM

INCIDENCE OF ACUTE CONDITIONS

ALLAREAS

ALLSYSA

@UTSIDE SMSA

NONFARM FARM

NUMBER OF ACIJTE CONDITIONS PE?100 PERSONS PER YEARBOTH SEXES IN THOUSANDS

ALL ACUTE CON DITIONS -------- 355,265

40,%4189,065

99,491B1.467

6,12716,70362,1B6

lT,7’3117,147

13,18014, L2846,347

169,103

252,140 92,515 10,610 172.0 177.1 162.8 142.6

26,623134,003

72,63855.587

5* 779

11,55248,66724,19622,341

2,1304,487

16,304

4,3464,853

3,2943,609

11,507

43,498

7716,4152,6573,543

**

1,519

**

**

1,699

5,608

19.691.548.239.4

3.98.1

30.1

8.68.3

6.46.8

22.4

169.7

19.690.046.939.1

3.97.3

34.8

10.011. D

7.16.7

17.9

174.1

2D. 194. I51.039.1

4.18.4

31.2

9.08.3

6.97.0

23.3

175.2

20.591.749.63s.3

3.87.5

36.4

10.911.2

7.66.7

19.1

17a.9

19.796.452.339.7

4.39.3

26.3

7.35.6

6.17.3

27.1

20.365.742.639.3

3.77.9

28.7

7.78.5

5.86.7

20.3

158.8

16.685.642.039.6

4.07.5

33.9

8.411.1

6.67’.0

14.2

166.6

22.085.743.239. I

3.58.3

24. T

7.06.2

5.16.5

25.9

10.486.335.847.6

**

20.4

**

**

22.9

148.1

*

90.434.850.9

**

19.1

**

**

23.9

137.2

82.:36.844.3

**

21.7

**

**

21.7

INFECTIVE ANO PARASITIC OISEASES--RESPIRATORY CONDITION So----------

UPPER RESPIRATORY CONDITIONS----IN FLUE N ZA——-——----–-——---OTHER RESPIRATORY CO NO IT IONS----

OIGESTIVE SYSTEM CONDITIONS -------INJURIES——-—— —-—--- —---—

FRACTURES. DISLOCATIONS,SPRAINS, AND STRAINS---------–-

OPEN WOUNOS ANO LACERATIONS——CONTUSIONS ANO SUPERFICIAL

I NJUR I E S----------------— -----OTHER CURRENT INJ UR I ES—--——-

ALL OTHER ACUTE CONOI T IO NS---—---

12,01044.363

12,83411,801

9,7599,970

33.141

MALE

ALL ACUTE CONOIT IONS--—--— 119,996

INFECTIVE AND PARASITIC OISEASES--RESPIRATORY CONDITION S------------

UPPER RESPIRATORY CONO IT IONS——1 NFL UENZA-----—-—--—— -----OTHER RESPIRATORY CONOITIONS----

DIGESTIVE SYSTEM CONOITIONS——---INJ UR I E S-—-—---——-----——-—

FRACTURES, DISLOCATIONS,SPRAINS, A NO STRAIN S---——----

oPEN HOUNDS AND LACERATION S-----CONTUSIONS AND SUPERFICIAL

INJUR I E S----------------— -----OTHER CURRENT INJURI ES----—-—

ALL OTHER ACUTE CONOITIONS---—---

19,57189,64746,77738,987

3,8837,307

34,700

10,01110,938

7,0786,673

17,678

186,163

21,37399,43652,72342,480

4,2449,397

27,486

7,7206,209

6,1027,456

28,469

14, 146 5,08723,43911,49210,838

1,1092,0479,048

2,3023,034

1,8051,9073, 8T7

49.017

*3,4231,3171,926

*

72;

**

**

906

5.002

62,76533,96926,223

2.5945.143

24;927

7,4757,637

5,2264,589

13.095

FEMALE

ALL ACUTE CONOITIONS-——--- 132,144

INFECTIVE ANO PARASITIC OISEASES--RESPIRATORY CONDITI ONS-----— -----

UPPER RESPIRATORY CONDITIONS--—INFLUENZA--——------— —--—OTHER RESPIRATORY CO ED IT IONS----

OIGESTIVE SYSTEM CONOITIONS—-——1 NJUR I E S —-—-—-——--—--—--—-

FRACTURES. OISLCCATIONS.SPRA INS, AND STRAINS-———-

OPEN WOUNOS AND LACERATIONS—---CONTUSIONS ANO SUPERFICIAL

I NJUR I E S---—--------———---OTHER CURRENT INJUR I ES—---—---

ALL OTHER ACUTE CONDITIONS --------

14,57671,21838,66929,364

3,1856,867

19,437

6,46325,22812,70411.503

1,0212* 4407,256

2,0461,820

1,4881,9027,629

*2,9921,3401,614

*

79:

**

*

79;

20.093.049.339.7

4.08.8

25.7

7.25.8

5.77.0

26.6

5,3594, 165

4,5335,381

20,046

NOTE : EXCLUOEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NORATTENTION.

!EOICAL

27

TABLE 15. DAYS OF RESTRICTED ACTIVITY ASSOCIATE WITH ACUTE CONDITIONS ANO OAYS OF RESTRICTED ACTIVITY PER 100PER SCNS PER YEAR, BY PLACE CF RESIn ENCE, SEX, ANO CONOITION GROUP: LV41TE0 STATES, JULY 1973-JUNE 1974

[Data arc based On hcmxhold ,nt.rwews of the avili.n, n“nmstituti~na~icd ppu~ti~n. The =WCY desi~, generaI qwlifi=tions, and in formaticm m the reliability of the

cstirnaks arc gwm in appmdix 1. De finitimu of terms are given in appendix II]

SEX ANO CONOIT ION GROUP

BOTH SEXES

ALL ACUTE CON OPT IONS --------

INFECTIVE ANO PARASITIC OISEASES--RESPIRATORY CON DITIONS ------------

UPPER RESPIRATORY CO NO ITIONS----lNFLUENZA------——------— -----OTHER RESPIRATORY CO NO IT IONS----

OIGESTIVE SYSTEM CO NO IT ION S-------!NJURIES--—---—--—---— --------

FRACTURES, DISLOCATIONS,SPRAINS, ANO STRAIN S-----------

OPEN WOUNOS AND LACE RAT ION S—---CONTUSIONS ANO SUPERFICIAL

INJURIES -----------------------OTHER CURRENT INJ URI ES----------

ALL OTHER ACUTE CON OPT IO NO--------

MALE

ALL ACUTE CON OITIONS-----—-

INFECTIVE ANO PARASITIC OISEASES--RESPIRATORY CON DITIONS ------------

UPPER RESPIRATORY CO NO IT IONS----INFLUENZA -----------------------OTHER RESPIRATORY CONOITIONS----

OIGESTIVE SYSTEM CO NO IT ION S-------INJURIES---------— —--------—---

FRACTURES, DISLOCATIONS,SPRAINS, ANfi STRAIN S-----------

OPEN WOUNOS AND LACERATION S—---CONTUSIONS ANO SUPERFICIAL

INJUR I ES----------------— -----OTHER CURRENT INJURIES—------––

A,LL OTHER ACUTE CON OPT IONS --------

FEMALE

ALL ACUTE CON OPT IO NO--------

INFECTIVE ANO PARASITIC OISEASES--RESPIRATORY CONDITION S-- —--------

UPPER RESPIRATORY CONOITIONS----IN FL UENZA-----— ----------------OTHER RESPIRATORY CO NO IT IONS----

DIGESTIVE SYSTEM CONDITION S-------INJURIES---------——–--—---—---

FRACTURES, DISLOCATIONS,SPRAINS, ANO STRAIN S-----------

OPEN WOUNOS ANO LACER AT IONS-----CONTUSIONS ANO SUPERFICIAL

I NJU R I E S-–--—–-— -------------OTHER CURRENT INJURIES ----------

ALL OTHER ACUTE CON OPT ION S--------

11 1 1

OAYS OF RESTRICTED ACTIVITYIN THDUSANOS

1,905,319

188,138846,27B360,683388,836

96,75896,362

454,314

236,62261,822

66,535B9,335

320,228

852,820

B0,023382,477163,496173,501

45,48042,511

253,461

136,29340,566

33,72842,87394*349

1,052,499

108,115463,801197,187215,335

51,27953, B51

200,853

100,32921,256

32,80746,462

225,879

1,356,841

134,691610,580268,85e267,96B

73, 75465,426

321,080

164.71944,040

47,11565,207

225, C163

600,878

55,781272,641122,840113,111

36,69027,573

182,014

94,14429,281

25,48433*10562,869

755,962

78,910337,940146,$)19154,857

37,06437,854

139,066

70,57514,758

21,63132, 102

162,193

491,792——

49,873210,417

81,889106,843

21,68526,843

120,685

64,002L6,693

16,32023,67083,973

224,072

22,48597,71136,57452,927

8,20913,80564,945

38,23810,429

6,9259,353

25,127

!67, 72o

27,388.12,70645,31553,91513,47613,03755,741

25,7646,264

9,39514,31858, B47

56,687

3,57325,280

9,93514,025

*

4,09312,549

7,901*

3,100*

11,192

27,87o

1,75712,125

4,0827,462

**

6,532

3,911*

**

6,353

28,817

1,B1713,155

5,8546,563

*

2,9606,047

3,990*

1,781*

+, 839

OAYS OF RESTRICTED ACTIVITY PER100 PERSONS PER YEAR

922.2

91. L409.6174.6188.2

46.846.6

219.9

114.529.9

32.243.2

155.0

855.8

80.3383.8164.117+.1

45.642.7

254.4

136.840.7

33.843.094.7

984.1

101.1433.7184.4201.3

47.950.4

187.8

93.819.9

30.743.4

211.2

953.2

94.642B.9188.9188.2‘51.846.0

225.6

115.730.9

33.145.8

158.1

877.6

81.5398.2179.4165.2

53.640.3

265.8

137.542.8

37.248.391.8

1.023.3

106.8457.4197.7209.6

50.251.2

188.2

95.520.0

29.343.5

219.5

865.6

87.8370.4144.1188.1

38.247.2

212.4

112.629.4

28.741.7

147.8

818.1

B2.1356.8133.5193.2

30.050.4

237.1

139.638.1

25.334.191.7

909.8

93.1383.0154.0183.2

45.844.3

189.4

87.621.3

31.948.7

200.0

762.7

48.1340. Z133.7188.7

*

55.116B.9

106.3*

41.7*

150.6

736,,1

46 t,4320,)3107<,81974,1

**

171,,7

103.)3*

**

167(, 8

790.4

49.9360.8160.6180.0

*

81.2165.9

109.4*

48.8*

132.7

28

TABLE 16. DAYS OF BED DISABILITY ASSOCIATED HITH ACUTE CONDITIONS AND, DAYS OF BED DISABILITY PER 100 PERSCINS PEPYEAR. 8Y PLACE OF RESIOENCE. 5EX. ANO CONDIT19N .wnw: UN ITF9 ST4TES, JULY 1973-JuNE 1974

[Data me baaed on household interview of the tivifian, .cminstitutionafiid popufatiom The survey design, gcncrd qwlifiations, and infer’nution on the rcfiahility of theestimates arc given in appendix L Dcfbitions of terms arc given in appndix fl]

SEX ANO CONOI TION GROUP

BOTH SEXES

ALL ACUTE CONOITIONS--—-—-

INFECTIVE AND PARASITIC DISEASE S—RESPIRATORY CONDITIONS--— -------

uPPER RESPIRATORY CONOITIONS--—INFLUENZA-— -———-—--——-

OTHER RESPIRATORY CONOITIONS----DIGESTIVE SYSTEM CONOI TICNS——---INJURIES ——-——--———-

FRACTURES, DISLOCATIONS.SPRAINS. AND STRAINS-——-

OPEN UOUNOS AND LACERATIONS——CONTUSIONS AND SUPERFICIAL

I NJUR I ES--------—-—---—-—-OTHER CURRENT INJ UR I ES——--—

ALL OTHER ACUTE CONOITIONS-——

HALE

ALL ACUTE CONOITIONS--—-—

INFECTIVE ANO PARASITIC 01 SEASES—RESPIRATORY CONOI TI ON S—----------

UPPER RESPIRATORY CONDITIONS-—-INFLUENZA—--——--———-—OTHER RESPIRATORY CONOITIONS—--

OIGESTIVE SYSTEH CONDITIONS——--INJURIES— ——— ————-—---

FRACTURES, OISLDCATIONS,SPRA INS, AND STRAINS-——--

OPEN MOUNDS AND LACERATIONS——CONTUSIONS ANO SUPERFICIAL

I NJUR I ES-—--—--—-————OTHER CURRENT INJURIES—-—-—

ALL OTHER ACUTE CONDITIONS --------

FEMALE

ML ACUTE CONDITIONS-——---

INFECTIVE ANO PARASITIC DISEASES--RESPIRATORY CONDITIONS———-—

UPPER RESPIRATORY CONOITIONS-—-INFLUENZA—----—— -------------OTHER RESPIRATORY CONDITIONS——

DIGESTIVE SYSTEM CONDI TIDNS—-——INJURIES——---—--— ------------

FRACTURES, OISLDCATIONS,SPRAINS, ANfJ STRAINS-—-—--

OPEN IAOUNOS AND LACERATIONS—---CONTUSIONS ANO SUPERFICIAL

INJURIES—--— -—-—-——-

OTHER CURRENT I NJ URI E S—-——-ALL OTHER ACUTE CONDITIONS--——-

OAYS OF BEO DISABILITYIN THOUSANOS

827,221

96. L2441~,257145,742223.165

49,34942,475

135,853

63,69715,079

19,56937,507

134*513

356,492

42,399190,133

69,18299,06421.88718,67669,398

32,408l!J, J63

B,53118,39635,886

470,729

53,724228,124

76,569124.101

27,46323,79966,455

31,2B95,017

11,03819*11198,627

590,995

67,350304, 89a109,810157,773

37,31530,34594.955

39.66710,414

16,03427,94094.347

248,620

28,613L36, B08

53,23666,24617,32611,73048,414

19,8367’,994

7,07313,51023,055

342,375

38.737168,090

56,57491,52619,98918,61545, 6+2

19, B312,420

8,96114,43071,292

?13,791

27,308102.664

32,80058,18811,6761I,1OJ37,377

21* 1403*939

2,7739,525

35,342

97,9B2

13,11748,35a14,68329,396

4,2796,946

18,851

11,700*

*

4,BB610,710

,15,809

14,19254,3061B,11728,792

7,3974,153

18,526

9,4412,501

1,9464,638

24,632

22,435

*

10,6943,1327, 2J4

**

4,42(3

2, B90*

**

4,824

9,890

*4,966

*3,422

**

2* 134

**

**

2,120

12,545

*5,7281.8693,783

**

2,287

2,917*

**

2,704

DAYS OF BED DISABILITY PER 133PERSONS PER YEAR

400.4

46.5202.:

70.5108.9

23.s20.665.8

30.87.3

9.5lB.265.1

357.8

42.5190.B69.499.422.018.769.6

32.510.1

8.6lB.536.0

440.1

50.2213.3

71.6116.0

25.722.362.1

29.34.7

10.317.?92.2

415.2

47.3214.2

77.1110.8

26.221.366.1

27.97.3

11.319.666.3

363.1

41.6199.8

77.796.725.317.170.7

29.011.7

10.319.733.7

463.4

52.4227.5

76.6123.9

27.125.261.8

26.83.3

12.119.596.5

376.3

48.1180.7

57.7102.4

20.619.565.8

37.26.9

4.916.862.2

357.7

47.9176.653.6

107.315.625.468-8

42.7*

*17.B39.1

393.6

48.2184.661.697.825.114.163.0

32.18.5

6.615.883.7

301.9

143.:42.196.9

**

59.5

38.9*

**

64.9

261.2

131.:*

90.4**

56.4

**

**

56.0

344.1

*

157.151.3

103.8**

62.7

55.3*

**

74.2

29

TABLE 17. INCIDENCE OF ACUTE CONOITIONS ANO NUMBER OF ACUTE CONDITIONS PER 100 PERSONS PER YEAR, @Y GECIGRAPHICREGION. SEX, ANO AGE: UN ITEO STATES, JULY 1973-JUNE 1974

[D.t. are based on hcmscbo[d interview Of the civilian, nmunstit.ticm.lized population. The survey design, general qualifications, and information on the rdiability of theestimates arc :ivm in appmclix I. Dcfinitlom of terms are give” in appcmlix 11]

ALL NOR.TH- NORTHREGIONS EAST CENTRAL SOUTH WEST

ALL NORTH- NORTH?EGIONS EAST CENTRAL SOUTH WESTSEX AND AGF

INCIDENCE OF ACUTE CONDITIONSIIY THOUSANOS

NUMBER OF ACUTE CONDITIONS PER 100PERSONS PER YEARBOTH SEXES

ALL AGFS--—---- 355,265 74,791 70.759 172.0 195.1————

334.3254.1205.5190.111.5.912!8.3E17.O

339.’3241.1193.0

184.5

100.254 109.460 152.8

273.9240.5171.5138.07T.482.966.1

272.6227.8148.7

152.5

179.5

327.6252.9201.2161.+96.1

105.378.3

326.8233.6178.3

176.8

167.0

300.7230.41S6.9150.884.388.575.6

285.4229.2165.8

16B.O

UNOER 5 YE AD S---------5-14 ‘i EAR S------------15-24 YEAR S-----------25-44 YEAR S—---------45 YEhRS AND OVER -----

45-64 YEA RS---------65 YEARS ANO CVER---

51,53893,32872,97779,93651,48641,98615,500

61,174100,571136,034

169,103

10,21721,17914,73416,23812,4338,9693,464

12,41722,4.5827,474

35,534

15,34025,85421,00721,633L6.42111,8794.543

1B,38326,93138,519

47,943

16,35028,81323,69324,09416,51311,7474,767

1B,64432,33941,964

53,107

9,631L7,49513,54317,97212,1199,3922,726

11,73118,B3328,077

32,518

308.0243.0193.8158.091.09B.375.7

UNOER 6 YEAR S---------6-lb YEAR S------------17-44 YEAR S-----------

303.4232.2170.2

MALE

ALL AGE S-------- 169.7

UNDFP 5 YE AD S---------5-14 YEAR S------------15-24 YEARS-----—----25-44 YEARS -----------45 YEANS ANO OVER -----

45-64 YE AD S---------65 YEARS ANO OVER—-

26,51148,62633,65136,34823,96717,741

6,226

31,62651,4B462,026

1~6,163

25.02844,70239,32543,58833,51924,245

9.274

29,54849,08774,00a

5,23411,5196,3757.5534.8533,4401s413

6,39711,96Bi2,3M

39,257

4,9839,6508,360a,6a47,5795,5292,051

6,02010,50015,15B

8,1B113,499

9,4559,7987,0105,0851,926

9,91113,83817,184

52,311

7,15912,35411,55311,8359,4116,7942,617

a,47213,09321,335

8,01415,2!)711,45911,4117,0164,9602,056

9*18a16,89520,007

56,353

8,33613,60312,23412,6839*4976,7862,711

9,45515,44421,957

5,0828,4006,3637,5a55,0B74,256

831

6,1298,78312,519

38,241

4,5499,0957,17910,3867,0325,1361,895

5,60110,05015,558

310.2248.6

278.7269.6155.6134.366.767.165.6

279.6242.4140.1

153.0

269.1220.11B6.o141.386.397.166.4

265.5213.1156.5

340.0257.3183.314a. 690.895.081.4

342.2235.1161.a

182.2

314.4248.3218.6173.8100.5114.676.2

310.3232.0194.4

2B5.7239.4194.1149.6

7B.779.177.9

272.9234.6165.0

166.1

316.7221.2199.6151.9

89.096.974.0

298.7223.6166.5

34a.8237.4198.1166.2m4. a120.363.2

345.9220.1178.6

205.2

319.7271.9212.5212.4125.5135.7104.2

333.6263.1206.4

183.2148.983.387.473.5

UNOER 6 YEAR S---------6-16 YEAR S------------17-44 YE ADS -----------

306.4233.8160.9

FEMALE

ALL AGE S-------- 174.1

UNOER 5 YEA AS---------5-14 YEAR S------------15-24 YEARS -----------25-44 YE AD S -----------45 YEARS ANO OVER -----

45-64 YE AR S-------—65 YEARS AND OVER ---

305. a237.1203.9166.4

97.4108.2

77.2

UN OER 6 YEA RS---------6-16 Y EAR S------------17-44 YEAR S-----------

300.3230.5178.8

NOTE : EXCLUCEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NOR MEDICALATTENTION.

30

TA8LE 18. DAYS CF RESTRICTED ACTIVITY ASSOCIATE WITH ACUTE CONDITIONS AND DAYS @F RESTFICTEEJ ACTIVITY PER 100pEq SONS PER YEAR, BY GEOGRAPHIC REGION. SEX* lNo AGE: UN ITEO STATES, JULY 1973-JUNE 1974

I Data arc based cm household interviews of the civilian. noninstitutionaked goDulxtion. TIK survcv desicn, zeneral q“fi,lications, and in furmaticm on the reliability Of the

SEX ANO AGE

BOTH SEXES

AL I- AGES --------

UNDER 5 YEAR S---------5-14 YEA RS- —---------15-24 YEAR S—---------25-44 YEAR S—---------45 YEARS ANO OVER -----

45-64 YEA RS---------65 YEARS AND OVER---

UNDER 6 YEA RS---------6-16 Y EAR S----------—17-44 YEAR S-----------

MALE

ALL AGE S----—--

UNOER 5 YEA AS---------5-14 Y EAR S- —-—------15-24 YEARs -----------

25-44 YEAR S-----------45 YEARS ANO OVER -----

45-64 YEARS-----—-65 YEAQS ANO OVER---

UNOER 6 YEARS--——--6-16 YEAR S---------—-17-44 YEAR S-----------

FEMALE

ALL AGE S--—-—-

UNOER 5 YEAR S---------5-14 Y EAR S--—---—---15-24 Y EAR S-—------—25-44 YEARS -----------45 YEARS ANO OVER -----

45-64 YEARS ---------65 YEARS ANO OVER---

UNOER 6 YEARS-— ------6-16 YEARS-—-———-17-44 YEAR S-----------

estimates arc given in .appcndix I.’D;finitions of terms & giv;n” i; appcn&x 11]

ALL NORTH- N03T HREGIONS EAST CENTRAL SOUTH WEST

CAYS OF P.ESTRICTEO ACTIVITY IN THOUSANOS

187,987 38,931365,590 83, L44?26, 346 64,27(454,006 97,291571,391 118,031351,929 71,92E219,462 46,10;

221,550 46,971404,370 93,106708,008 143,565

96,o14 22,316191,526 42.791148,256 28,516189,078 38,495227,947 48,348141,544 30,47486,403 17,u74

112,373 26,452211,238 45,86L301,263 59,805

91,973 16,621174,064 40,353178,091 35,753264,928 58,796343,444 69,683210,385 41*454133,060 28,228

109,177 I 20,520193,132 47,245406,745 83,760

530.117

54,003109.879

89,367126,676150,192

88,6636L,529

64,093117.534L98,298

224.592

26,41457,40438,95953,27848,53831,49617,042

32,27761,69482,082

305,525

27,58952,47550,40973,398

101,65457,16744,487

31,81655,840

116,215

590,571

57,774102,032106,424135,093189,248112,992

76,256

67,202115,328218,794

270,820

29,01654,93950,34756,16080,38845,16235,226

32,64663,04594,742

319,751

28,75847,12356,07778,934108,86067,82941,030

34,55652,283

124,052

382,95$

37,27?73,53:66,28:94,946

113.92178;34635,575

43,28478,402

147,352

L76,942

18,26836,42230,43341,14650,67334,41216,261

20,99840,63864,634

206,017

19700534,11235,85153,90063,248‘43*93419,314

22,28637,76482,718

ALL N12QTH- NORTHREGIONS EAST CENTPAL SOUTH WEST

OAYS OF RESTRICTED ACTIVITY PEP 100PFR.WNS PEF YEAI?

922.2

1, 123.6951.7866.6897.2904.3824.1

1,071.5

1,098.8933.6885.8

855.8

1,123.5979.2807.0774.7792.5697.5

1,019.9

1,088.6959.4781.6

984.1

1,123.7923.3923.4

1,011.3997.7938.6

1,107.9

L,109.5906.8982.8

P20.4

L,043.9944.5748.1826.7734.7664.8879.1

1, C31.2943.8777.1

774.7

1,188.3968.1696.2684.7664.2594.5830.2

!, 156.1928. T680.5

861.9

897.5920.5795.4956.5793.2728.0913.2

905.2958.9864.8

949.4

1,153.2l,074. e

855.8945.0879.1785.7

1,060.8

L,139.41,019.3

918.1

828. o

1,097.81,094.9

755.3808.0628.8588.3720.6

1,114.51,048.0

772.8

1,064.0

1,211.61,054.6

953.81,0T7.61,085.4

963.91,295.1

1,16S.4989.4

1,058.9

901.2——

1,062.4816.1884. L845.5966.4851. C

1 ,209.6

1 ,328.7817.5864.5

857. C

1,034.4864.3852.8736.2902.1T20. I

1,335.3

969.6875.5781.6

942.4

1,092.6766.4514.9945.4

1 ,020.1968.2

1,119.5

1,091.8757.0940.7

1,056.0

1,293.81,024.61,005.81,004.31,.>89.41,069. q1,135.1

1,254.21,003.71,012.9

1,003.8

1,253.81,029.2

947.5901.5

1,043.9972.4

L,236.6

1,185.01,018.2

922.0

L,105.3

1,335.6L,019.8~,061.31,100.21,128.81,161.0L,061.8

Ls327.3988.6

1,097.5

31

TABLE 19. DAYS (?F BED DISABILITY ASSOCIATED WITH ACUTE CONDITIONS ANO OAYS OF BEO 01 SA61LITY PER 100 DERSONS PERYFAR. BY GE13GRrsPHIC kEGION, SEX, ANO A,GE: UNITED STATES, JULY 1973-JuNE 1974

[Data are based O. h.usehdd interviews of the civilian, nonimtitutimmlized pqndatkm. Th. survey design, gcncraf quditicatio~, ~d information cm the reIiabifity of theestimates arc given in qqxmfix 1. Definitions o{ terms are given in appendix U]

.— —._ =_

II I I I II I IALL NORTH- NORTH

REGIONS EAST CENTRAL SOUTH WEST

OAYS OF BEO DISABILITY IN THOUSANOS

ALL NORTH- NORTH?EGIONS EAST CENTRAL SOUTH WESTSEX ANO AGE

OAYS OF BEO DISABILITY PER 100PERSONS PER YEARBOTH SEXES

JALL AGE S-------- 827,221

85,840168.357147,450192,477233,098148,334

B4 ,764

100.497188,163305,463

256,492

178,781 226,035

23,31448,25143,98?52,42658,06C34,43523,625

28.60352,00267,36t

91,307

256,303

25,30048,43050,16954,97077,43349,79027,644

28,79755,37394,699

110,895

L66,103

18,57133,74227,34638,37648. J6930,65017.419

21,83638,06658, 133

72,078

400.4 404.8

497.8472.0421.2391.1339.8305.1407.3

5!38.6451.0404.5

336.6

472.8472.5323.1296.3245.4221.0300.5

490.1461.9291.7

469.2

524.3471.5516.9482.9417.7381.1480.9

528.1439.6513.7

391.1 458.0——

641,.6

490.2415.0405.9459.7418.5555.8

632.7487.3399.6

4ofl.9

62?,. 850EI.1321.9305.6426.8338.3665.0

609.5472.0309.9

504.5

365.2

UNOER 5 YE AD S---------5-14 YEA AS------------15-24 YEARS -----------25-44 YEAR S-----------45 YEARS ANO OVER—––-

45-64 YE AR S--–-—---65 YEARS ANO OVER---

18,65537.93425.95146,705+9,53633,45916,076

21,25742,72265,266

82.212

513.1438.3391.6380.4368.9347.3413.8

498.4434.4382.2

500.1430.9302.1396.8308.3309.2306.6

466.7433.1353.3

352.9

627.2455.0234.0342.4295.2308.7263.2

578.5423.3302.5

376.3

371.3“ 406.6

364.1446.6319.3309.7336.8

353. B442.9399.4

465.2387.4416.5344.1395.4375.G438.5

440.8392.5374.2

350.9

459.3419.7346.1252.6355.2325.8425.3

446.2402.4290.7

428.5

UNOER 6 YEARS-—=----6-16 YEAR S- —--–—---–17-44 YEARS -----------

MALE

ALL AGE S-–—-––- 357.8

UNDER 5 YEAR S–--—---5-14 YEAR S----–-––—--15-24 YE ARS-----—---25-44 YEAR S ------—---45 YEARS ANO OVER---–-

45-64 YEA RS---------65 YEARS ANO OVER---

UNOER 6 YEARS–-–———6-16 YEAR S-—-----—-–17-44 YE ADS -----------

45,12789,54757,02271.99992,79760,06032,737

53,25395,902

114,539

470,729

11,77820,110

9,58619,25121,48815,822

5,666

13,23620,90126,587

96,569

6.87717.82.416,36527,45428,04817.63710,410

8,02121,82138,679

11,37524.79116,66619,53518,94011,834

7,106

1+,19227,19030,986

134,728

11,93823,46027,31832,89139,12022,60116,519

14,41624,81256,380

12,88426,66320,43119,26531,65220,43211,220

15,02428,97435,244

145,407

12,41621,76729,73835,70545,78129,35716,423

13,77326,39859,455

9,08917,98310,33913,94920,718il,973

8,745

10,80118,83721,722

94,026

528.0457.8310.4295.0322.6296.0386.4

515.9435.6297.2

FEMALE

ALL AGES--—–—- 440.1

uNOER 5 YEARS--–—----5-14 YEAR S-—--——--x5-24 yEARs—–—–____

25-44 YEAR S—---------45 YEARS ANO DVER—----

45-64 YEAR S--–-—---65 YEARS ANO OVER---

UNOER 6 YEA RS---—-—6-16 YE AR S- —-------—17-44 years -----------

40,71378,81C90,42e

120,478140,301

88,27352,027

47,24492.260

190.924

9,48115*75917,00724,42727,35118,678

8,674

11,03519,22936,410

497.441B. O468.5459.9407.6

471.7354.C485.;427.7429. C419.C448. ]

435.2382.2450.5

666.3471.1503.5499.5488.1493.6476.9

657.2503.4483.1

393. a433.2

480.1433.2461.3

32

TABLE 20. INCIDENCE OF ACUTE CCINOITICNS AND NUMBER OF ACUTE CVNOITIONS PE% 109 PERSONS PE? YEAP., BY Geographic kEGION, SEX,ANO cONDITII?V GROUP: UN ITEQ SThTES. JULY l?73-JIJhlE lW’4

[DacI arc bawd on household interviews of th. civilian. .O.i.stituti... fd..d population. Th. WVCY dcsiqm wncml q.rdifimtmns, and in fwnmtirm on :hc rcliabzhty of the cstimatm arc gi,cn i“ appcndix I. Definitions of terms arc gwcn in zppcndix 11]

SEX ANO CONDITION GROUP

BOTH SEXES

ALL ACUTE CONOITIONS-----–

INFECTIVE ANO PARASITIC01 SE ACES—------—----— --------

RESPIRATO$?Y CONOIT IONS -----------UPPER RESPIRATORY CONOITIONS---lNFLUENZA——----—-—--—-—-OTHER RESPIRATORY CONOITIONS---

OIGFSTIVE SYSTEM CONOI TIONS—----

INJ URI ES—---------—--—-——--FRACTURES, DISLOCATIONS,

SPRAINS. ANO STRA INS--——-—-❑PEN WOUNOS ANO LACERATIONS——CONTUSIONS ANO SUPERFICIAL

INJURIES--------——---—----OTHER CURRENT INJURIES-———-

ALL OTHER ACUTE CONOITIONS--—---

MALE

ALL ACUTE CDNOITIONS---—--

lNFECTIVE ANO PARASITIC01 SE bS ES--—--—---—-------—--

RESPIRATORY CONOITIONS—-——--Up PER RESPIRATORY CONOITIONS---IN FLU ENZA-------— -------------OTHER RESPIRATORY CONDITIONS—-

oIGESTIVE SYSTEM CONDITIONS ------

1 NJUR I ES-----—-------— ---------FRACTURES, DISLOCATIONS ,

SPRAINS, ANO STRAIN S--———--OPEN WOUNOS ANO LACERATION S----CONTUS1ONS ANO SUPERFICIAL

INJURIES--—-------— ---------OTHER CURRENT INJURIES ---------

ALL OTHER ACUTE CONOIT IONS-—-

FEMALE

ALL ACUTE CONOITIONS--—---

INFECTIVE ANO PARASITIC01 S EACES----—-—---—-—--—-

RESPIRATORY CONDITIONS -----------uppER RESPIRATORY CONOITIONS—--IN FLUE NZA--—---———---—----OTHER RESPIRATORY CONOITIONS—-

OIGESTIVE SYSTEM CONOITIONS——

INJ UR I ES-—-—---—-—-—-----—-FRACTURES, DISLOCATIONS,

SPRAINS, ANO STRA INS——-—-OPEN HOUNOS ANO LACERATIONS——CONTUSIONS ANO SUPERFICIAL

INJURIES--—-----——--——OTHER CURRENT INJURI ES-——-—

ALL OTHER ACUTE CONOIT IONS-----—

ALL NORTH- NORTH ALL NORTH- NORTHREGIONS EAST CENTRAL SOUTH i+EST REGIONS EfIST CENTRAL SOUTH WES?

lNCIOENCE OF ACUTE CnNOITIONS NUMBER f!F ACUTE CONDITIONS PER 10iJIN THOUSANOS pEQsoNs PER YEAP

?55,265

189.0B559,49181,467

8,127

16,702

62,18C

1T,73117,147

13*18C14,128

46,347

169,10?

19,571

89,64746,77738,987

3,883

T,307

34*70C

10,011lo,93e

T,0T26,673

17,878

186,163

21,373

99,43852,71342,480

4, 2+4

9.397

27,486

T,7206,209

6,1027,456

28,469

74,79:

11.39,

36, B6!23,43:11,76,

1.661

3,74”

12,47:

3,53:3, 3B;

3,0112, 54;

10,31:

35,53,

6,085

17, d8J10*753

5.659*

1,643

6.618

2,0442,011

1,780784

4,109

39,257

5.309

19,78512,681

6,1051,000

2,105

5,854

1, +891,371

1,2371,758

6,205

100,25,

6,62t

59,90!27,21,30,81:

1,88:

4,65[

16,43!

5,2814,36;

2,55:4,23;

12,63J

4T ,94:

3*131

28,35012,63614,949

765

2,122

9,456

2,9022.971

1,2022,381

4,884

52.311

3,494

31.55914,57815,865

1,116

2,527

6,983

2,3861,396

1,3501*851

7,747

109.46(

17,97!

49,92!29,84C17,3i3!

2,78(

5,31(

21,1T1

5,60?5,616

4,7045. 24s

15.07t

53,107

8,568

24,35414,266

8,7461,342

2,346

11,856

3,2303,474

2,5022,650

5,983

56,353

9,402

25,570L5,5T3

8*5591,438

2,971

9,316

2,3732,142

2,2022,599

9,095

+4,955

42, 3B619,90321,585

1,79B

2,990

12,103

3,3063,T83

2,9082,106

8,325

19. B

91.54B.239.4

3.9

8.1

30.1

8.68.3

6.46.8

22.4

1,787 I 19.6

19,863 90.09, 122 46.99,633 39.11, 108 3.9

1,196 I 7.3

6,7T0I

3.4.8

1,835 10.02,482 11.0

+

1,595 T. 185B 6.7

2,902 lT.9

38,241 174. I

3,168 20.0

22,523 93.09,B82 49.3

11,952 39.7* 4.0

1,794 8.8

5*333 25.7

1,471 7.21,301 5.8

1,313 5-71,248 7.0

5,423 I 26.6

152. [

23.3

T5.347.924.0

3.4

7.7

25.5

7.26.9

6.25.2

21.1

152.5

26.1

73.546.224.3

*

7.1

28.4

8.88.6

T. 63.4

17.6

153.0

20. T

7T.149.423.8

3.9

8.2

22.8

5.85.3

4.86.9

24.2

179.5

11. <

107. ?48. i55.2

3.4

8.3

2q.4

9.57. E

4.67. t

22.6

L76. E

11.5

194.546.655-1

2. B

7.8

34.9

10.711.0

4.48.8

18.0

182.2

12.2

109.95>.855.2

3.9

8.8

24.3

8.34.9

4.76.4

27.0

167.0

27.4

76.245.526.4

4.2

8.1

32. ?

8.68.6

7.28.0

23.0

16B. O

2T.1

77.145.127.7

4.2

7.4

37.5

10.211.0

7.9B.+

18.9

166.1

27.7

75.445.925.2

4.2

8.8

2T.5

7.06.3

6.57.T

26. S

195.1

13.7

116.952.459.5

5.0

8.2

33.4

9.110.4

8.05.8

23..0

184.5

10.1

112.751.854.6

6.3

6.8

38.4

10.414.1

9.04.9

16.5

205.2

17.0

120.853.064.1

*

9.6

28.6

7.97.0

7.06.7

29.1

NOTE: EXCLUOEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NOR PEOICAL ATTENTION.

33

TABLE 21. DAYS OF RESTRICTED ACTIV1 T’7 ASSOCIATED WITH AcUTE CONOITIONS AND CIAYS DF RESTRICTED ACTIVITY PER 100 PERSDNS PERY’i AR. BY GEOGRAPHIC REG1ON, SEX, A-d? Ctik DITION GROUP : IJNITCII STATES, JULY 1973-JUNE 1974

Il)m, are bawl on IK,U., ht,l.1Imwrwcwsof the civilian, noninstitutionalkd population. Thc survey design, gcncnd qualifications, and in fornu.tion o. the reliability of the c$timatcs arc given in ap-

p.ndi. 1. Dcrinitions “r tcmu arc :ivm in ~ppc”djx III

SEX AND CnNOITION GROUP

BOTH SEXES

ALL ACUTE CONOIT ION S-------

INFECTIVE ANO PARASITIC01 SE AS ES-- —----------------------

RESPIRATORY CONDITIONS ----------UPPER RESPIRATORY CONOITIONS---1 NFL UFNZ A----—-----— ----------LITh ER RESPIRATORY CONOITIONS—-

OIGFSTIVE SYSTEW CONDITIONS ------

1 NJ UK I ES--------------— ---------FRACTURES. OISLCCATICSS,

SPRAINS, ANO STRA IN S----------OPEN WOUNOS ANO LACE RAT IONS----CONTUS1ONS 4N0 SUPERFICIAL

IhJUKIES ----------------------OTHER CURRENT lNJURIES-—— ------

ALL OTHFR ACUTE CONDITION S-------

MALE

ALL ACUTE CChOITIONS -------

INFECTIVE ANO PARASITICOISEASFS----— ------------------

RESP1 RATORY CONDITIONS -----------UPPER RESPIRATORY CONOITIONS—-1 NFLUEN Z A--— ------------------

OTHER RESPIRATORY CONOITIONS---

OIGFSTIVE SYSTEM CONDITIONS ------

INJURIES------------— -----------FGACTURES, DISLOCATIONS.

SPRAINS. A NO 5TRA IN S----------OPEN !40UNOS ANO LAcE RAT loNs--——CONTUS1ONS AND SUPERFICIAL

INJURIES---------—-----—---OTHER CURRENT INJURI ES---------

ALL DTHER ACUTE CCNOIT IONS -------

FEMALE

ALL ACUTE CONOIT ION S-------

INFECTIVE ANO PARASITICO I S EAS E S-- —-------— -----------

RESPIRATORY CONOIT ION S---— ------UPPER RESPIRATORY CONOITIONS—-1 NFL UENZ A--— ------------------OTHER RESPIRATORY CONOITIONS---

OIGFSTIVE SYSTEM CONDITIONS----

I NJ UR I ES-----—-----——-— --------FRACTURES, DISLOCATIONS.

SPRAINS , A NO STRA IN S----—--—OPEN WOUNDS ANrJ LACERATIONS----CONTUSIONS ANO SUPERFICIAL

INJuRIES--—-———------—--OTHER CURRENT I NJURI ES---------

ALL OTHER ACUTE CON OPT IO NO-------

ALLREGIONS

——_____

NDRTH- NORTHEAST CENTRAL SOUTH wEST

II I I

OAYS OF 12ESTRICTE0 ACTIVITY IN THOUSANDS

..5 C5,319

188,138

846,278360,683388.836

96,756

96,362

454.31+

236,62261,822

66.53589,335

?20.228

e52,820

80,023

382,477163,496

173,50L45,480

42,511

253.461

136,29340,566

33,72842,873

94,349

.C52 ,499

108,115

463,801

1s7,187215,335

51,279

53,851

200,853

100,32921,256

32,8o746,462

225,879

401,672

49,70C

176,40091,95862,173

22,269

21,738

85,863

42,330

12,826

14,54616,161

67,971

180.466

25.199

79, i3339,706

28,93110,496

7,591

49.361

24,9148,277

6,7719,399

19,181

221.207

24,501

9?,267

52,25333.242il,773

14,147

36,502

17,4164,549

T,.774

6,762

48,790

530,117

4L,016

255,45798,591

130,052

26,813

22,951

115,388

64,88815,180

13,93821.376

95,305

224,592

16,279

115,89547,156

56,51412,225

10,300

55,918

32,8257,839

4,803

10,451

26,199

105,525

24,737

.39,562

51,43573,53814,588

12,651

59,470

32,0637,347

9,13510,925

69,106

59 G. 571

72,383

?25,82996,94699,504

29,379

33,311

.59,334

78,9822a,3d9

24,75235.290

99,714

Z70,820

29,350

105,6744+,72448,194

12,756

14,644

88,336

45,59813,937

13,85114,950

32,816

119,751

43,034

20,15552,22251,31016,623

18,667

70,998

33,3846,372

10,90220,340

66,898

i82,95S

25, !338

.88,592T3, 18897,108

18,297

18,362

93,729

50,42213,5’20

13,29916,508

57,236

176, S’42

9, 195

8L,774

31.91039,86110,003

9,975

59,845

32,95610,512

8,3038,074

16,153

06,017——

15,843

06,818

41,27757,246

8,294

8,387

33,884

17,4662,987

4,996

8,434

41,085

ALL NORTH- NOR TH:EGIONS EAST CENTRAL SOUTH WEST

OAYS OF RESTRICTED ACTIVITY PER 100PERSONS PER YEAR

922.2

91.1

409.6174.6188.2

46.8

46.6

219.9

114.529.9

32.243.2

155.0

855.8

80.3

383.8164.1174.1

45.6

42.7

254.4

136.840.7

33.843.0

94.7

984.1

101.1

433.7

184.4201.3

47.9

50.4

187.8

93.819.9

30.7

43.4

211.2

820. ~

131.5

360.2187.8127. C

45.5

44.’7

175.4

86.526.2

29.733.0

138.8

774.7

108.;

339.3

170.4124.2

45.1

32. t

211.5

106.535.5

29.140.3

82.3

861.9

95.5

379.0

203.6129.5

45.9

55.1

142.2

67.9

17.7

30.3

26.3

190.1

949.4

73.5

457.5176.6232.9

48.0

41.1

206.6

116.227.2

25.038.3

170.7

828.0

60.0

427.3

173.9208.4

45.1

38.0

2D6. 2

121.028.9

17.738.5

96.6

1,064.0

86.1

486.0

179.1256.1

50.8

44.1

207.1

111.7

25.6

31.8

38.0

240.7

901.2

110.5

344.6147.5151. [

44..!

50.8

243.1

120.531.0

37.853.9

152.2

857.0

92.9

334.4

141.5152.5

40.4

46.3

279.5

144.344.1

43.847.3

103.8

942.4

126.8

354.1153.9151.2

49.0

55.0

209.2

98.418.8

32.1

59.9

197.2

.,056.0

,59.9

520.0201.82157.8

!s0.5

!50.6

258.4

1:39.037.2

36.745.5

157.8

1,003.8——

52.2

463.9

1$1.022!6.1

56.7

56.6

339.5

187.0

59.6

47.145.8

91.6

,105.3——

85.0

573.1221.5307.1

44.5

45.0

181.8

93.7

1,6.0

26.845.2

220.4——

34

TABLE 22. DAYS OF BED DISABILI TY AS SCCIATEO WITH ACUTE CONDITIONS ANO OAYS OF BEO DISABILITY PER 100 PERSONS PER YEAR, eY GEO-GRAPHIC REGICN, SEX, ANO CONOITION GROUP: UNITEO STATES, JULY 19 T3-JUNE 19T4

[ht. arc bmcd m household interviews of the civilian, noninstitutimrdkctl population. The SUWC?dcsi:n, general qualifications, and information ,.m the reliability uf the cstinutm arc ::i\cn in .IP.pcndi. 1. Dcfinilitms of terms .wc :iwm in appcndis 11]

=T=T==r=T=ALL II NORTH-REGIONS EASTSEX ANO CONOITION GROUP

OAYS OF BEO DISABILITY PEF 100 PERSONSPEP YEd#BOTH SEXES OAYS OF BED OISASILITY IN THOUSANOS

ALL ACUTE CONOITIONS---—-- L12T,221 226,03: 166,103 400., 404. t 391.:

60.:

173.:59.189.:24.;

21. t

76. !

30.:10.1

10.:25.(

59.1

350. !

458.0

33.5

251.3T5.8

150.425.1

26.2

78.’1

36.6lJ.7

13.5lT.2

69.0

4C18.9

25.8

221.269. T

129.422.1

31.1

89.9

46.214.6

12.316.9

40. !3

504.5

40.8

279.681.5

170.327.9

21.5

66.7

2T.6*

14.717.5

q5.7

178,781 ?56 ,30:

INFECTIVE ANO PARASITIC01 SEAS ES----——-—-—-----—-- 96,124

41 B,257145,742223,165

49,345

42,475

135,853

63,69715,079

19,56937.507

134,513

?56,492

24,262

86.39B38*73737,10510,556

8,787

28,636

14,9291,885

4,9596,862

30,698

82.212

20,31:

127,31i40 ,T6C73,05;13,50:

10,044

28,76i

15,48:2,725

2,92t7,62t

39,592

91!307

39,384

L13,42138,76258,45116,20?

14,148

50,159

19,9986,593

6,78116,786

39,190

,1>.895

12, L64

91,1202T, 48354,551

9,086

9,494

28,291

13,28T3,872

4,9016,231

25,034

72,078

4,551

38,99812,28922,815

3,893

5*487

15,850

8,1372.571

2,16T2,975

7,192

94,026

46. ! 49. (

176. !79.175.221. {

17. $

58.5

30.53.s

10.114. c

62.7

352.3

36.4

228. C73. C

130.824.2

Ia. c

51.5

27.74.9

5.213.7

70.9

336.6

RESP1RA70RY CONOITIONS—-—-—---uPPER RESPIRATORY CONDITIONS---INFLUENZA--———-—-----_—___OTHER RESPIRATORY CONOI TIONS—-

202. !70.:

108. (23. (

OIGESTIVE SYSTEM CONO1710NS---—- 20. (

65.1I NJ UR I ES—--—---—— ---------FRACTURES, DISLOCATIONS,

SPRAINS, ANO STRAINS-------—-OPEN HOUNOS ANO LACERATION%——CONTUSIONS ANO SUPERFICIAL

30.17.:

9.!18.:

INJUR I ES--—------------—-—OTHER CURRENT INJURIES-— ------

ALL OTHER ACUTE CONOITIONS--—--- 65.1

MALE

ALL ACUTE CONOITIONS-----— 35T. i

INFEC71VE ANO PARAS171C01 SE ASES-----------—-------—-- 42,399

190,13369, L8299,06421, B87

16,676

69,398

32,4o810,063

8,53118,396

35,886

47 C,729

12,313

42,0T8L8,39317,984

5,701

2,660

17,376

10,008*

1,8674,5b9

7,7B5

96,569

7,822

57,61820,52031,126

5,972

3,764

12,883

5,6171.834

*4,749

9,221

134,728

17,714

51,44017,98127,138

6,321

6,765

23,289

8,6464,727

3,8136,103

11.688

45,40T

42.5 52. $

199.679.07T.224.5

11.4

74.6

43.0*

8.019.6

33.4

376.3

46.6

172.779.374.518.9

23.9

43.9

19.2*

12.08.5

89.3

28.8

212.475.7

114.822.3

13.9

47.5

20.76.8

*17.5

34.9

469.2

43.5

242. 773.5

146. G26.2

21.9

55.3

34.4*

7.810.0

105.8

56.1

L62.856.S85. sZo. c

21.4

73.7

27.415.0

12.119.3

37. )

428.5

63.9

182.761.292.329.1

21 .a

79.2

33.55.5

B.?31.5

81.1

RESPIRATORY CONO IT IONS——-—-—uPPER RESPIRATORY COND1710NS—-IN FL UENZA--—----—--—-----—-OTHER RESPIRATORY CONOITIONS---

190.:69.499.422. c

OIGI?STIVE SYSTEM CONOITIONS--—-

INJURIES—- --—---———---—----FRACTURES, DISLOCATIONS,

SPRAINS, ANO STRAINS--—--—-OPEN UOUNOS ANO LACERAT IONS--—CONTUSIONS ANO SUPERFICIAL

I NJuR I ES----—-——----—---OTHER CURRENT INJURI ES-— ------

69.6

32.510.1

8.618.5

ALL OTHER ACUTE CONOITIONS--—--- 36.0

FEMALE

ALL ACUTE CONOIT ION S-—---- 440.1

1 NFECTIVE ANO PARASITICDISEASES-----—-—-—--—-— 53,724

228,12476,560

124,10127’,463

23,799

66,455

31,2895,017

11,038L9,111

98,627

11.950

44,32020,34519,1214,855

6,L27

11,260

4,921*

3,0922,293

22,913

12,492

69,69920,240+1,926

7,533

6,282

15,884

9.,866*

2,2442,878

30,371

21,670

61,98220,78131,319

9,882

7,383

26,870

11,3521.866

2,96810,694

27,502

7,613

52,12315* 19431,736

5* 193

4,007

12,441

5,150*

2,7343,256

17,842

50.2

RESPIRATORY CONDITIONS— ---------UPPER RESPIRATORY CONO1710NS---INFLUENZA —-—----——---------

OTHER RESPIRATORY CONOITIONS---

213.371.6

116.025. T

OIGESTIVE SYSTEM CONO1710NS-—-- 22.3

62.1

29.34.T

10.317.9

I NJ URI ES—-—-———--—-—-—---FRACTURES, OISLOCA710NS,

SPRAINS, AND STRA INS------—--OPEN HOUNOS ANO LACERA710NS—--CONTUSIONS ANO SUPERFICIAL

IkJUR IE S—----——--—-—-OTHER CURRENT INJURI ES-— ------

ALL OTHER ACUTE CONOIT 10 NO------- 92.2

35

TABLE 23. INCIDENCE OF ACUTE CONDITIONS PER QUARTER AND NUMBER OF ACUTE CONDITIONS PER 100 PERSONS PERQUARTER, BY SEX AND AGE: LINITEO STATES, JULY 1973-JUNE 1974

[Data arc based on household interviews of the civilian, noninstitutionaiized population. The survey design, general qualifications, and information on the reli-

ability 01’ the estimates are given in appendix I. Definitions of terms are given in appendix II]

SEX ANO AGE

.——

BOTH SEXES

ALL AGES ---------

UNOER 5 YEARS ----------5-14 VEARS–--––-–-----–15-24 YEARS ------------

25-44 YEARS–––-------–-

45 YEARS ANO OVER ------

45-64 YEARS ----------

65 YEARS AND OVER----

UNOER-6 YEARS----—---

6-16 YEARS-----— ------

17-44 YEARS ------------

MALE

ALL AGES ---------

UNOER 5 YEARS-----—---5-14 YEARS-----——----

15-24 YEARS ------------

25-44 YEARS ------------45 YEARS ANO OVER-—---

45-64 YEARS----—----

65 YEARS ANO OVER----

UNOER 6 YEARS----—----

6-16 YEARS----------—-

17-44 YEARS----— ------

FEMALE

ALL AGES ---------

UNOER 5 YEARS ----------5-14 YEARS--------—---

15-24 YEARS ------------25-44 YEARS----— ------

45 YEARS AND OVER ------

45-64 YEARS ----------65 YEARS AND OVER----

UNOER 6 YEARS----—----6-16 YEARS -------------

17-44 YEARS ------------

JULY–

SEPTEMBER

OCTOBER–

DECEMBER

JANUARY- APRIL–

MARCH JUNE

INCIOENCE OF ACUTE CONDITIONS

I N THOUSANOS

67,878

11,358

15,55913.. s57

16*192

10,$12

7,673

3,240

1?,281

16,31327,373

32,864

5,7698,225

6,859

7,423

4,589

3,43e

1,151

6,S52

e,615

12,7C8

35, C14

5,5897,3?4

6,S99e,769

6,323

4,235

2,C89

.5,3297,698

14,664

96,654

13,30825,76120,041

21,482

16,062

11,583

4,479

16,337

27,41436,840

44,103

7,17913,229

8,334

9,150

6,211

4,589

1,622

8,817

13,65715,419

52,550

6,13012,531

11,70712,332

9,851

6,’3’34

2,857

7,52013,758

21,422

120 *555

15,52035,50824,451

26,414

18,661

14,200

4,460

18,662

38,73544,497

57,527

7,24318,558

11,167

12,3528,207

6,303

1,903

8,699

19,87920,741

63,028

8,27716,95L

13,28414,062

10,454

7,897

2,557

9,963

18,855

23,756

70,179

11,35216,50014,627

L5,849

11,851

8,531

3,321

12,894

18,11027,324

34,608

6,3198,614

7,292

7,423

4,960

3,411

1,549

7,15B

9*333

13,158

35,571

5,0327,886

7,3358,425

6,891

5,120

1,772

5,736

8,777

14,166

JULY- ocTo8ER- JANUARY- APRIL-

SEPTEMBER OECEMBER MARCH JUNE

NUMBER OF ACUTE CONDITIONS PER lCIO

PERSONS PER QUARTER

33.0

66.740.437.0

32.3

17.4

18.0

16.0

64.8

37.634.5

33.1

66.341.9

37.5

30.7

16.1

17.0

13.7

65.3

39.4

33.2

32.8

67.138.8

36.533.8

18.4

18.917.6

64.2

35.9

35.7

46.8

78.367.253.2

42.6

25.5

27.2

,22.0

79.9

63.546.2

44.3

82.767.8

45.3

37.6

21.7

22.7

19.2

84.2

62.2

40.1

49.2

73.866.6

60.847.3

28.6

31.2

23.9

75.4

64.7

51.9

58.3

94.092.364.9

52.0

29.5

33.2

21.7

94.3

88.955.6

57.7

85.994.7

60.9

50.4

28.4

30.9

22.3

86.3

89.6

53.7

58.9

102.489.8

68.853.4

30.3

35.3

21.2

102.6

88.3

57.2

3?,.9—.——

6’3.3

43$.138.6

31.0

18.7

19.9

16.1

64.8

42.033.9

34.6

75.544.2

39.5

30.1

17.1

16.7

18.1

71.0

42.3

33.9

33.2

62.842.0

37.831.8

19.9

22.814.6

58.441.6

33.9

NOTE: EXCLUDEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NORMEOICAL ATTENTION.

36

TABLE 24. INCIDENCE OF ACUTE CONDITIONS PER WARTER AND NUMBER W ‘ACUTE CONDITIONS PER 100 PERSONS PEROUARTER, RY SEX AND CIINDITION GROUP: UN13GD STATES, JULY 19?3-JIINE 1974

[Data are based on household interviews of the civilian, noninstitutiondized population. The survey design, gened quafitktions, and information on the reliabdi-ty of the estimates me gi.,en in appendix 1. Definitions of terms are given in appendix 11]

SEX ANO CONOITION GROUPJULY- OCTOBER- JANUARY– APRIL-

SEPTEM@ER OECEMBER MARCH JUNEJULY-

SEPTEMBEROCTOBER- JANLIARY-OECEMBER MARCH

APRIL-JUNE

INCIDENCE OF ACUTE CONDITIONS NUMBER OF ACUTE CONDITIONS PER 100PERSONS PER QUARTERBOTH SEXES IN THOUSANDS

ALL ACUTE CONOITIONS- 67,878

8,61928,272

16,8449,921

1,507

3,83815,654

11,496

32,E64

120,555

11,45775,369

33,18339,733

2,453

5,15915,124

13*445

57,527

70,179

9,93029,518

16,51311,412

1,593

3,52316,288

10,920

34,608

33.0 58. ?

5.536.4

16.C19.2

1.2

2.57.3

6.5

57.7

33.9

4.814.2

8.05.5

0.8

1.77.9

5.3

34.6

96,654

10,93855,926

32,95020,401

2,575

4,18315,120

10,486

44,103

46.8

INFECTIVE AND PARASITICOISEASES-—-- —--—---

RESPIRATORY CONOITIONS---UPPER RESPIRATORY

CONDITIONS--——-INFLUENZA—-----——-OTHER RESPIRATORY

CONOITIONS——-——-OIGESTIVE SYSTEM

CONDITIONS--------—----INJURIES—--——-—-——-ALL OTHER ACUTE

CONDITIONS-----------—-

4.213.7

5.327.1

8.24.8

16.09.9

0.7 1.2

1.97.6

2.07.3

5.6 5.1

MALE

ALL ACUTE CONOITIONS- 33.1 44.3

INFECTIVE ANO PARASITICOISEASES—-———-—---

RESPIRATORY CONOITIONS—-‘UPPER RESPIRATORY

CONOITIONS—-——-—-INFLUENZA--——-—----OTHER RESPIRATORY

CONOITIONS--—-—----DIGESTIVE SYSTEM

CGNOITIONS---—----—---INJURIES-----------—----ALL OTHER ACUTE

CONDITIONS---—-——----

4.i2113,3?0

8,0C14,775

*

1,9808,714

4,620

35,C14

4,39714,S42

8,8435,146

953

1,8586,S40

6,876

5,44224,955

15,0458,970

939

2,2288,039

3.439

52,550

5,49630,972

17,90511*431

1,636

1,9557,081

7,047

5,16236,415

15,09819,902

1,415

1 *9598,737

5,253

63,028

6,29538,954

18,08519,831

1,037

3,2006,386

8,192

4,74614,947

8,6335* 339

975

1,1399,209

4,567

35,571

5,18414,571

7,8806,073

*

2,3837,079

6,353

4.213.4

8.14.8

*

2.08.8

4.7

5.525.1

15.19.0

0.9

2.28.1

3.5

5.236.5

15.120.0

1.4

2.0B.8

5.3

58.9

4.715.0

8.65.3

1.0

1.19.2

4.6

33.2

FEMALE

ALL ACUTE CONOITIONS- 32.8 49.2

INFECTIVE AND PARASITICDISEASES-—-----——----

RESPIRATORY CONOITIONS---UPPER RESPIRATORY

CONDITIONS--——----INFLUENZA—-———-OTHER RESPIRATORY

CONOITIONS—---—-—-DIGESTIVE SYSTEM

CONDITIONS----——-------INJURIES-----------—----ALL OTHER ACUTE

CONOITIONS-—-————-

4.114.0

8.34.8

0.9

1.76.5

6.4

5.129.0

16.810.7

5.936.4

16.918.5

1.0

3.06.0

7.7

4.813.6

7.35.7

*

2.26.6

5.9

1.5

1.86.6

6.6

NOT E: EXCLUDEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NORMEOICAL ATTENTION.

37

TABLE 25. ,DAYS DF RESTRICTED ACTIVITY ASSOCIATE WITH ACUTE CONDITIONS PER QUARTER ANO OAYS OF

RESTRICTED ACTIVITY PER 100 PERSCNS PER QUARTER, bY SEX ANO AGE: UNITEO STATES, JULY 1973-JUNE 1974

[Data are based on household interviews of the civi!km, noninstituticmaliz.d population. The survey design, general qualifications, and information on the reli.ability of the estimates arc given in appendix I. Definition of terms are given in appendix 11]

JULY- OCTOBER- JANuARY– APRIL–

SEPTEMBER OECEMBER MARCH JUNE

CPYS OF RESTRICTED ACTIVITY

SEX ANO AGE

DAYS OF RESTRICTED ACTIVITY PER 100

PERSONS PER QUARTERBOTH SEXES

ALL AGES ---------

UNOER 5 YEARS ----------

5-14 YEflRs -------------

15-24 YEARS--–---—----

25-44 YEARS ------------

45 YEARS ANO OVER—----

45-64 YEARS---------–

65 YEARS ANO OVER----

UNOER 6 YEARS--–-—----

6-16 YEARS -------------

17-44 YEARS ------------

MALE

ALL AGES ---------

UNOER 5 YEARS ----------

5-14 YEARS -------------

15-24 YEARS------—----

25-44 YEARS ------------

45 YEARS ANO OVER-—---

45-64 YEARS--——----

65 YEARS ANO OVER----

UNOER 6 YEARS-–--—---

6-16 YEARS-------—----

17-44 YEARS ------------

FEMALE

IN THOUSANOS

374,tB0 493,891

53,164

90,311

89,182

129,191

132,044

82,907

49,137

62,042

101,397

198,409

222,689

642,039

——

64,320

150,833

108,1B4

131,821

186,882

119,108

67,774

78,207

167,307

209,643

286,813

394,509 182.0 190.4

T239.3 310.5

312.8 389.5

235.5 392.1

236.9 287.3

256.3 259.5

209.5 295.1

194.5 27B.5

240.9 325’.6

303.5 395.2

234.7 384.1

248. B 261.7

32,169

61,343

66,756

99,619

114,$’s3

67,476

47,517

38,82265,606

155,459

167,2’32

38,33463, 10362,22593,375

137,473B2,43855,035

42,47970,061

i44,497

L76,027

21,80431,90229,10139,25953,96129,86924,092

23,93735,87962,250

218,483

188.8

159.2

178.2

19B.9

183.0

158.5

23+.3

234.0

164.8

164.4

182.7

216.4

192.5

266.0

213.4

162.4

179.3

176.1

1.89.3

151.3

196.1

168.4 223.7 287.5

15,5e4

30,730

31,792

42. t26

+6,380

27,6401.9,74c

19,C43

32,651

69,218

207,588

29,843

48,764

38,023

54,606

51,453

35,601

15,852

34,525

53,173

83,538

271,202

28,802

80,i30

49,341

52,386

76,153

48,434

27,719

34,867

89,53586,258

355,227

178.8

156.7

173.9

177.2

162.4

137.0

223.4

343.7

249. B

206.B

224.5

179.7

176.2

188.1

329.6

242.3

217.0

253.8

280.7

220.7

265.7286.0

234.3

210.9278.1

276.0

226.9278.5

341.6

409.0

268.9

213.9

263.6

237.7

325.5

345.9

403.4

223.5

331.9

2612.7

163.5

157.6

159.3

186.3

146.4

28:1.6

23”?.4

162.8160.2

203.8

178.9

149.2

181.1

194.7ALL AGES ---------

UNDER 5 YEARS ----------

5-14 YEARS -------------

15-24 YEARS ------------

25-44 YEARS ------------45 YEARS ANO OVER ------

45-64 YEARS ----------65 YEARS AND OVER----

UNOER 6 YEARS--— ------

6-16 YEARS-------—----

17-44 YEARS------—----

16,60530,61334,S6556,79368,6133S,83628,777

19,77832,S5586,241

23,321

41,547

51,15974,585

80,591

47,30633,285

27,516

48,224

114,872

35,517

70,702

58,84379,435

110,729

70,67440,055

43,341

77,771

123,385

16,530

31,202

33,12454*115

83,512

52,56930,943

18,542

34, 182

82,247

199.3161.8182.3219.0200.1177.9242.0

439.5

374.6

304.7301.9

321.4

315.5332.5

446.5

364.0

297.3

206.2

166.0

170.8,304.5

241..623+.4

255.1

188.7

162!.0197’.1

200.6

153.5210.2

38

TABLE 26. DAYS OF RESTRICTED ACTIVITY ASSOCIATED WITH ACUTE CONDITIONS PER QuARTER AND DAYS DF RESTRICTEDACTIVITY PER 100 PERSONS PER QUARTER, BY SEX ANO CONOITION GROUP: UNITED STATES, JULY 1973-JUNE 1974

[Data are based on ho.sehoId interviews of the civilian, noninstit.tionalized population. The suwcy design, general qualifications, and information on the rcliabifi-ty of the estimates are givm in appendix I. Definitions of terms are given in appcndlx 11]

SEX ANO CONDITION GROUP

BOTH SEXES

ALL ACUTE CONDITIONS-

INFECTIVE ANO PARASITICDISEASES-—--—---—----

RESPIRATORY CONDITIONS---UPPER RESPIRATORY

CONDITIONS--———-INFLUENZA-------—----OTHER RESPIRATORYCONOITIONS---——-—-

OIGESTIVE SYSTEMCONDITIONS--------—----INJURIES----—-———----ALL OTHER ACUTECONDITIONS:-------------

MALE

, ALL ACUTE CONOITIONs-

INFECTIVE AND PARASITICDISEASES —--— -------

RESPIRATORY CONDITIONS—-UPPER RESPIRATORY

CONDITIONS -----------INFLUENZA-------—----OTHER RESPIRATORY

CONOITIONS--—-—----DIGESTIVE SYSTEM

CONDITIONS----—-— -----INJURIES -----------------ALL OTHER ACUTECONDITIONS----------—--

FEMALE

ALL ACUTE CONOITIONS-

INFECTIVE AND PARASITICDISEASES--------— ------

RESPIRATORY CONOITIONS—-UPPER RESPIRATORY

CONDITIONS-----—---INFLUENZA---—---—---OTHER RESPIRATORY

CONDITIONS--------—-OIGESTIVE SYSTEM

CONDITIONS—------—---INJURIES ----------------ALL OTHER ACUTE

CONDITIONS-—--—---—-

JULY- OCTOBER- JANUARY- APRIL-SEPTEMBER OECEHBER MARCH JUNE

CAYS OF RESTRICTED ACTIVITY i OAY$ OF RE-STRICTEO ACTIVITY PER 100

374,88C

33,68g109,15$

54,46129,713

24, S85

24,614127,052

80,367

167,292

14,17951,635

24,50614,127

13,003

13,18060,331

27,966

207,588

19,50857,523

2S, S5515,586

11, s82

11,43466,721

52,401

IN THOUSANOS

4939891

48,565242,198

124,06190,919

27,218

22,483110,681

69,964

222,689

22,576107,644

59$12836,596

11,919

9,45164,025

18,994

271,202

25,989134,555

64,93254,324

15*298

13,03246,657

50,970

642,03$

58,889368,714

128,148213,012

27,554

23,934102,713

87,789

286,813

22,555167 *462

55,98599,256

12,221

9,82063,483

23i93

355,227

36,334201,252

72,163113,756

15,333

14,11539s230

64,296

394,509

46,996126,207

54,01355,192

17,002

25,330113,868

82,108

176,027

20,71355,735

23,87723,522

8,336

10,06065,622

23,897

218,483

26,28370,472

30,13731,670

8,665

15,27048,246

58,211

182.C

16.453.C

26.414.4

12.1

12.061.7

39.0

168.4

14.352.0

24.714.2

13.1

13.360.7

28.2

194.7

18.353.9

28.114.6

11.2

10.762.6

49.1

PEPSONS PER QUARTER

239.2

23.!117.?

60.144.0

13.2

10.s53.6

33.s

223.7

22.7108.1

59.436.8

12.0

9.564.3

19.1

253.8

24.3125.9

60.850.8

14.3

12.243.7

47.7

310.:

28.5178.?

62.C103.0

13.3

11.649.7

42.5

287.5

22.6167.9

56.199.5

12.3

9.863.6

23.6

331.9

33*91B8.O

67.4106.3

14.3

13.236.7

60.1

190.4

22.760.9

26.126.6

8.2

12.255.0

39.6

176.1

20.755.8

23.923.5

8.3

10.165.7

23.9

203.8

24.565.7

28.129.5

8.1

14.245.0

54.3

39

TABLE 27. IJAYS OF BEO DISABILITY ASSOCIATED WITH ACUTE CONDITIONS PER QUARTERDISABILITY PER 100 PERSONS PER QUARTER, BY SEX ANO AGE:

ANO DAYS OF BEDUNITEO STATES, JULY 1973-JUNE 1974

[Data are based on ho.sebold interviews of the civifian, noninstitutionaIized popuhtion. The survey design, genemf qualifications, and information on the reli-

abWy of the estimates are given in appendix I. Definitions of terms are given in appendm II]

SEX ANO AGE

JULY- OCTOBER- JANuARY– APRIL-SEPTEM@ER OECEMBER MARCH JUNE

JULY-;EPTEMBER

OCTOBER-

OECEMBER

JANUARY- APRIL-MARCH JUNE

OAYS OF BEO Disability

IN THOUSANDS

OAYS OF BEO DISABILITY PER 100BOTH SEXES PERSONS PER QUARTER

164,205

15,76127,948

26,27540,757

53,46832,964

20,504

17,50731,86661,36B

66,693

10,054

13,913

11,617

15,00216,10710,61B

5,489

11,27315,674

23,639

97,516

5,707

14,035

14,65825,75637,361

22,34615,015

6,23416,192

37.729

ALL AGES---—-–-

UNOER 5 YEARS ----------5-14 YEARS--–—--—----

15-24 YEARS—--–-—----

25-44 YEARS----— ------45 YEARS AND OVER ------

45-64 YEARS-—–—----

65 YEARS ANO OVER----

UNDER 6 YEARS---–-—---6-16 YEARS -------------

17-44 YEARS ------------

MALE

147,390 207,245

24,47540,196

39sB5150,BB6

51,83731,B34

20,003

2B,37845,01582,014

B7,477

308,378 71.6

B2.5

55.678.9

77.4

.69.465.2

78.4

82.853.180.4

62.4

100.4

144.0104.8105.9

101.0B2.274.798.1

138.B104.2102.8

87.9

149.1 7’9.3

14*C6021,40229,542

3=s,755

43,C3027,737

15*e54

16.S7123.04263,746

61,SS2.—

6,806

IC,S191C,715

15,5141B,03810,491

7,547

8,53810,$20

24,496

85,?9B

31,54378,81251.7B162,07884,16355,79928,364

37,64188,24098,334

140,330

191.0204.9

137.5

122.2132.9130.5

137.9

190.2202.6122.B

140.7

9(6.273.06’9.47’9.8B4.277.099.1

87.9m.976.1

66.7——

120.271..3

62! .9

60.955.652!.064.2

111,.8

71,.16CI.8

91,.0

ALL AGES—-—--–-

UNOER 5 YEARS ----------

5-14 YEARS-----—-—-—

15-24 YEARS–--------—-

25-44 YEARS ------------45 YEARS AND OVER ------

45-64 YEARS----—----65 YEARS ANO OVER----

UNOER 6 YEARS— —--—-

6-16 YEARS---—-—---

17-44 YEARS------—----

FEMALE

14,780

20,496

13.639

17,00021,56315,508

6,055

16,74321,41127,761

119,767

13,48644,22021,05124,48437,09023,44413,646

16,69947,89738,644

168,047

18,05734,59230,73137,59447,07332,35514,718

20,94240,34359,690

78.255.758.664.263.152.090.0

BO.249.964.1

80.1

87.155.498.189.674.677.070.2

85.556.595.7

170.2105.074.269.975.376.871.9

159.897.572.1

112.1

159.9225.7114.7100.0128.4115.1160.2

165.6215.8100.1

157.0ALL AGES--–——-

UNOER 5 YEARS ----------

5-14 YEARS————-—-15-24 YEARS--———----25-44 YEARS ------------45 YEARS ANO OVER—----

45-64 YEARS———---65 YEARS ANO OVER-—-

UNOER 6 YEARS--——----6-16 YEARS—-----—----

17-44 YEARS ------------

7,25410*4I3318,82723,24125,59217,2468,347

8,43312,12239,251

9,69519,70026,21233,B8730,27416,32713,947

11,63623,60454.254

116.7104.6136.1129.9

BB.O72.8

116.5

116.7111.1131.5

223.4183.3159.1142.9136.6144.4122.2

215.8188.8143.8

71.27=4.775.697.3lea. 199,.6123.8

63.576.8901.4

40

TABLE 28. DAYS OF BED DISABILITY ASSOCIATE wITH ACUTE CONDITIONS PER QUARTER ANO OAYS OF BED DISABILITYPER 100 PE?SONS PER CIUARTER, BY SEX ANO CON@ITIC!N GROUP: UNITED STATES, JULY 1973-JUNE 1974

[Data arebasedon householdinterviewsofthecivikn,noninstitutionaliiedpopulation.The surveydesign,generalqualifications,and informationon thereliabili-tyofthcestimatesaregiveninappendixI.Definitionsoftennsarcgiveninappcndix11]

SEX ANO CONDITION GROUP

OAYS OF BED DISABILITYIN THOUSANDS

DAYS OF BEO DISABILITY PER 10CPERSONS PER QUARTER

71.6

BOTH SEXES

100.4

13.854.0

23.823.5

6.7

3.715.4

13.5

87.9

i49.1

lz.e94.1

25.361.7

7.1

6.517.4

lB.4

140.7

ALL ACUTE CONOITIONS- 147,390

17,27451,228

23,16216,509

10,957

11,56234,199

3?,126

61,SS2

207,245

28,469111,534

49,18248,447

13,905

7,59231,819

27,B31

87,477

308,378

26,384194,601

52,330127,535

14,736

13,36836,059

37,965

140,330

164,209

23,99660,894

20,46830,673

9,752

9*95333,776

35,592

66,693

79.3

11.629.4

9.914.8

4.7

4.816.3

17.2

66.7

INFECTIVE ANO PARASITICDISEASES-— ------------

RESPIRATORY CONOITIONS---UPPER RESPIRATORY

CONDIT ION S--——-—INFLUENZA-------—-—-OTHEF RESPIRATORY

CONDITIONS------—---DIGESTIVE SYSTEM

CONDITIONS --------------INJURIES -----------------ALL OTHER ACUTE

CONDITIONS --------------

8.424.9

11.58.0

5.3

5.616.6

16.1

MALE

ALL ACUTE CONDITIONS- 62.4

INFECTIVE ANO PARASITICDISEASES-—--—-——---

RESPIRATORY CONDITIONS---UPPER RESPIRATORY

CONDITIONS---— ------INFLUENZA----— -------OTHER RESPIRATORY

CONOITIONS---——----OIGESTIVE SYSTEM

CGNOITIONS --------------INJURIES-----------—-—-ALL OTHER ACUTE

CONDITIONS --------------

7,S1222,~37

10,1077,687

4,842

7,13513,427

10,881

85,3S8

12,94148,819

24,66117*353

6,805

3,3B115,817

6,519

119,767

11,34890,345

24,86959,028

6,447

4,74824,595

9,294

168,047

10,198.28,332

9,54514,995

3*791

3,41215,559

9,192

97,516

8.022.8

13.049.0

24.817.4

6.8

3.415.9

6.5

112.1

11.490.6

24.959.2

6.5

4.824.7

9.3

157.0

10.228.3

9.615.0

3.8

3.415.6

9.2

91.0

12.930.4

10.214.6

5.6

6.117.0

24.6

10.27.7

4.9

7.213.5

11.0

FEMALE

ALL ACUTE CONDITIONS- 80.1

INFECTIVE AND PARASITICDISEASES ----------------

RESPIRATORY CONDITIONS---UPPER RESPIRATORY

CONDITIONS--— -------INFLUENZA -------------OTHER RESPIRATORY

CONDITIONS--—--—---DIGESTIVE SYSTEM

CGNOITIONS—-—----—---INJURIES---------— ------ALL OTHER ACUTE

CONDITIONS--------—----

9.?6228,591

13,6558,822

6,114

4,42B20,772

22,245

15,52862,715

24,52131,094

7,100

4,21116,002

21,312

15,037104,256

27,46068,507

8,288

8,62011,464

28,671

13,79832,562

10,92315,678

5,961

6,54018,217

26,400

8.826.8

12.88.3

14.558.7

22.929.1

6.6

3.915.0

19.9

14.097.4

25.764.0

7.7

8.110.7

26.8

5.7

4.219.5

20.9

41

TABLE 29. INCIDENCE OF ACUTE RESPIRATORY CONDITIONS ANO ASSOCIATE DISABILITY DAYS PER QUARTER ANO

NUMBER PER 100 PERSCNS PER QUARTER, BY AGE: UNITEO STATES, JULY 1973–JUNE 1974

[Data are based cm household interviews of the civilian, “oninstitutio”alized popubtion. The survey desi:”, genera] qualifications, and information on the reli.ability of the estimates are givm in .qpmdix I. Definitions of terms are given in appendix 11]

I I IJULY- OCTOBER– JANUARY- APRIL–

SEPTEMEER OECEMBER MARCH JUNE

INCIDENCE OF ACUTE RESPIRATORYCONDITIONS IN THOUSANOS

28,272 55,926 75,369 29,51B

4,568 7,938 9,317 4,609

t,52S 14,972 23,648 6,9755,522 10,566 14,022 5,844

7,50$ 13,189 16,808 7,3943,744 9,261 11,573 4,6962,892 6,885 8,927 3,413

E52 2,376 2,646 1,283

6,C23 9,757 11,776 4,929

6,355 15,651 25,300 8,25212,150 21,257 26,719 11,640

CAYS OF RESTRICTED ACTIVITY

JULY–

SEPTEMBER

OCTOBER- JANUARY-

OECEMBER MARCH

APRIL-

JUNEAGE

NUMBER OF ACUTE RESPIRATORY CONOITIONSPER 100 PERSONS PER QUARTER

ALL AGES----—--- 13.7 27.1 36.4 14.2

29.2 46.7 56.4 28.1

16.9 39.0 61.5 18.214.7 28.1 37.2 15.4

15.0 26.2 33.1 14.5

6.0 14.7 18.3 7.46.8 16.2 20.9 8.04.2 11.6 12.9 6.2

29.4 47.7 59.5 24.8

14.7 36.2 58.1 19.1

15.3 26.7 33.4 14.4

UNDER 5 YEARS ----------

5-14 YEARS -------------

15-24 YEARS-------–-—-

25-44 YEARS ------------

45 YEARS ANO OVER—--––

45-64 YEARS----—----

65 YEARS ANO 0VE17----

UNOER 6 YEARS-----—---

6-16 YEARS-------—---

17-44 YEARS----—-—---

OAYS OF RESTRICTED ACTIVITY PER 100IN THOUSANDS PERSONS PER QUARTER

60.9ALL AGES --------- 109*159 242,198 368,714 126,207 53.0 117.3 178.3

UNOER 5 YEARS ----------

5-14 YEARS -------------

15-24 YEARS ------------25-44 YEARS---—-—----

45 YEARS ANO OVER––-––-

45-64 YEARS-— -------

65 YEARS ANO OVER----

14,631

20,C75

20,45826,263

27,732

18,7S8

8,S33

18,C5919,578

43,390

35,916

50,914

39,62057,66858,081

35,555

22,526

41,37654,124

88,617

43.364

102,562

57,87872,33592,575

56,431

36,144

53,486111,443

111,211

18,413

23,583

19,34328,23436,635

22,367

14,267

19, 500

26,921

43,151

85.9

52.1

54.652.444.1

44.2

44.1

88.146.1

54.7

211.3

132.8

105.3114.4

92.2

83.4

110.4

202.4

125.3

111.1

262.6

266.6

153.7142.4

146.2

131.9

175.8

270.3

255.8

138.8

112.4

61.6

51.155.357.7

52.269.0

97.962.4

53.5

UNOER 6 YEARS-—-—---6-16 YEARS -------------

17-44 YEARS-––-—-——-

i2AYS OF BEO DISABILITY OAYS OF BEO DISABILITY PER 10C

PERSONS PER QUARTERIN THOUSANOS

ALL AGES-–-—-–-

T51,22.5 111,534

6,355 10,166

1C,302 23,000

10,575 21,137

12,145 23,777

11,C50 27,4547,554 17.B95

4,296 9*559

7,864 18,12510,C98 26,45321,415 39,501

194,601

22,471

59,328

32,688

36,645

43,469

30,934

12,535

27,68765,43258,013

60,894

7,462

12,639

8,654

15,576

16,563

10,360

6,203

7,912

14,959

21,460

24.9 54.0 29.494.1

UNOER 5 YEARS----—----

5–14 YEARS-----— ------

15-24 YEARS-—---–--—-

25-44 YEARS-----–-—---

45 YEARS ANO OVER ------

45-64 YEARS----—----

65 YEARS ANO OVER----

37.3

26.7

28.2

24.2

18.917.7

21.2

95.1

60.0

56.2

47.2

43.6

42.0

46.9

88.761.249.5

136.1

154.2

86.8

72.1

68.6

72.3

61.0

139.9150.2

72.4

45.6

33.0

22.9

30.5

26.124.2

30.0

39.7

34.726.6

UNOER 6 YEARS— --------6-16 YEARS--——-—----

17-44 YEARS-—— -------

38.3

23.327.0

NOTE: EXCLUOEO FROM THE INCIDENCE OATA ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NOR

MEOICAL ATTENTION.

42

TABLE 30. INCIOENCE OF INJURIES lND ASSOCIATE DISABILITY OAYS PER QUARTER AND NUMBER PER 100 PERSONSPER QUARTER, BY AGE: UNITEO STATES, JULY 1973-JUNE 1~74

[Data me based on household intcmiews of the civiian, noninstitutiomdiied population. The survey desiqn, general qualifications, and information on the reli-ability of the estimates are ,given in appendk I. Definitions of terms are &cn in appendm II]

AGE

UNDER

15-44

ALL AGES-——----

15 YEARS ---------

YEARS------—---

45 YEARS ANO OVER------

UNOER

15-44

ALL AGES ---------

15 YEARS------—-

YEARS---— -------

45 YEARS ANO OVER------

UNOER

15-44

ALL AGES ---------

15 YEARS------—-

YEARS---—--—---

45 YEARS ANO OVER ------

JULY- OCTOBER- .IANUARY- APRIL-SEPTEMBER OECEMBER MARCH JUNE

INCIOENCE OF INJURIESIN THOUSANOS

m

CAYS OF RESTRICTED ACTIVITYIN THOUSANOS

127,C52

L9,377

62,369

45,206 ZEiECAYS OF BEO DISABILITY

IN THOUSANDS

34,15s 31,819 36,059 33,776

2,9C2 4,509 3,562 4,356

14,S27 16,B72 10,502 14!771

16,370 10,438 21,995 14,648

JULY- OCTOBER- JANUARY- APRIL-SEPTEMBER DECEMBER MARCH JUNE

NUMBER OF INJURIES PER 100PERSONS PER QUARTER

7.6 7.3 I 7.3 I 7.9

I I I

OAYS

9.9 9.0 7.7

B.O 8.1 9.0

5.1 4.8 4.6

OF RESTRICTED ACTIVITY PERPERSONS PER QUARTER

61.7 I 53.6 I 49.-i I

9.9

8.4

5.4

100

55.0mOAYS OF BED DISABILITY PER 100

PERSONS PER QUARTER

16.6 15.4 17.4 16.3

5.2 8.1 6.5 8.0

17.0 19.2 11.9 16.6

26.0 16.6 34.7 23.1

NOTE: EXCLUDEO FROM THE INCIDENCE OATA ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NORMEOICAL ATTENTION.

43

TABLE 31. POPULATION USEO IN OBTAINING RATES SHOWN IN THIS PUBLICATION, BY PLACE OF RESIOENCEtGEOGRAPHIC REGION, SEX, AND AGE: ~NTTFn STATES, JULY 1973-JIJNE 1974

[Data arc based on household interviews of the civilian, noninstitutionalized population. The survey design, general qualifications, and information onthe reliability of the estimates are given in appendix I. Definitions of terms are given in appendix 11]

SEX AND AGE

BOTH SEXES

ALL AGES ---------

UNDER 5 YEAPS ----------5-14 YEARS -------------15-24 YEARS ------------25-44 YEARS ------------45 YEARS ANO OVER ------

45-64 YEARS ----------65 YEARS AND OVER----

UNDER 6 YEARS----—----6-16 YEARS -------------17-44 YEARS ------------

MALE

ALL AGES ---------

UNDER 5 YEARS-— -------5-14 YEARS -------------15-24 YEARS ------------25-44 YEARS ------------45 YEARS ANO OVER ------

45-64 YEARS ----------65 YEARS AND OVER----

UNDER 6 YEARS ----------6-16 YEARS -------------17-44 YEARS ------------

FEMALE

ALL AGES ---------

UNDER 5 YEARS ----------5-14 YEARS -------------15-24 YEARS ------------25-44 YEARS ------------45 YEARS AND OVER ------

45-64 YEARS ----------65 YEARS ANO OVER----

UNOER 6 YEARS----—----6-16 YEARS -------------17-44 YEARS ------------

OUTSIDE SMSAALL NORTH- NORTH

TOTAL St4SA NONFARM FARM EAST CENTRAL SOUTH WEST

POPULATION IN THOUSANOS

206,596

16,73138,41337,65850,60563,18842,70620,482

20,16343$31579,929

99.648

8,54619,56018,37124,40828,76320,292

8,472

10,32322,01838,544

106,S48

8,18518*85319,28726,19734,42522,41512,010

9.e4021,29B41,385

142,348

11,42626,20126,36935,68842,66529,55513s110

13,82329,44556,415

68,472

5,84313,30712,76017,17819,38514,080

5,305

7,10714,87627,104

73,876

5,58312,B9413,60918,51123,28015*475

7,8(I5

6,71614,56929,311

56,815

4,85210,69410,11013,42717,73211*197

6,535

5,79912,05921,225

27,389

2,4505,5084,9566,5107,9655,2322,734

2,9256,229

10,270

29,426

2,4335,1865*1536,9179,7675,9653,801

2,8745,830

10,955

7,432

4531,5181, 1801,4902,7911,954

837

5411,8112,290

3,7B6

254744655721

1,413980433

291913

1,170

3,646

199774525769

1,378974404

250898

1,120

48,959

3,7308, B038,591

11,76916,06510,820

5, 244

4,5559, 865

L8,474

23,295

1,8784,4204,0965,6227,2795, 1262, 153

2,2884,9388,789

25, 664

1,8524, 3844,4956, 1478,7855,6943,091

2,2674,9279,685

55,839

4,68310,22310,44313,40517,08511,285

5,800

5,62511,53121,598

27,124

2,4065,2475,1586,5947,7195,3542,365

2,8965,887

10,622

28,715

2,2774,9765,2856,8119,3665,9313,435

2,7305,644

10,975

65,532

5,43812,50212,03415,97719,58213,278

6,304

6,53314,10825,309

31,602

2, B056,3535,9047,6288,9116,2722,638

3, 3677,201

12,122

33,931

2,6326, 1496, 1298,349

10,6717,0063,665

3,1656,907

13, 187

36,266

2,8816, 8846v5909,454

10,4577,3233, 134

3,4517,811

14, 548

17,627

1,4573,5393,2124,5644,8543,5391,315

1,7723,9917,010

18,639—.

1,4233,3453,3784, B905,6033,7841,819

1,6793,8207,537

NOTE: FOR OFFICIAL POPULATION ESTIMATES FOR MORE GENERAL USE, SEE BUREAU OF THE CENSUS REPORTSON THE CIVILIAN POPULATION OF THE UNITED STATES, IN CURRENT POPULATION REPORTS* SERIES P-20, P-25JANO P-60.

44

TABLE 32. POPULATION OF CURRENTLY EMPLOYED PERSONS, BY SEX ANO AGE: UNITED STATES, JULY 1973-JUNE1974

[Data are based on household intewiews of the civifian, noninstitutionalized population. The survey design, gerreralq.alifications, and information onthe reliability of the estimates are given in appendix I. Definitions of terms are given in appendix II]

fiGE BOTH SEXES HALE FEMALE

17-44

ALL AGES-17 YEARS AND OVER-----——-— ------

YE ARS---—-------—------—----—----———---Klii

45 YEARS AND OVER —--------------—--—-—-——--—I

30,523 II 18,867I

11,656

NOTE: FOR OFFICIAL POPULATION ESTIMATES FOR MORE GENERAL USE, SEE BUREAU OF THE CENSUS REPORTSON THE CIVILIAN POPULATION OF THE UNITEO STATES, IN CURRENT POPULATION REPORTS, SERIES P-20, P-25,AND P-60: ANO BUREAU OF LABCIR STATISTICS MONTHLY REPORT, EMPLOYMENT ANO EARNINGS.

45

TABLE 33. POPULATION USED IN OBTAINING RATES SHOWN IN THIS PUBLICATION, BY QUARTER, SEX, AND AGE:UNITEO STATES, JULY 1973-JUNE 1974

[Data are based on household interviews of the civilian, noninstitutionalizcd population. The survey design, general qualifications, and information onthe reliability of the estimates are given in appendix 1. Definitions of terms are given in appendix II]

SEX AND AGE

BOTH SEXES

ALL AGES -------------------------------

UNDER 5 YEARS --------------------------------5-14 YEARS------------— ---------------------15-24 YEARS ----------------------------------25-44 YEARS ----------------------------------45 YEARS AND OVER ----------------------------

45-64 YEARS----— --------------------------65 YEARS AND OVER --------------------------

UNDER 6 YEARS --------------------------------6-16 YEARS-----------— ----------------------17-44 YEARS ----------------------------------

MALE

ALL AGES -------------------------------

UNOER 5 YEARS---------— ---------------------5-14 YEARS -----------------------------------15-24 YEARS--------------------------—------25-44 YEARS ----------------------------------45 YEARS ANO OVER ----------------------------

45-64 YEARS --------------------------------65 YEARS ANO OVER --------------------------

UNOER 6 YEARS --------------------------------6-16 YEARS -----------------------------------17-44 YEARS ----------------------------------

FEMALE

ALL AGES -------------------------------

5 YEARS --------------------------------UNDER5-14 YEARS------------------------------—---15-24 YEARS----------— ----------------------25-44 YEARS ----------------------------------45 YEARS AND OVER ----------------------------

45-.54 YEARS --------------------------------65 YEARS ANO OVER --------------------------

UNDER 6 YEARS --------------------------------6-16 YEARS -----------------------------------17-44 YEARS ----------------------------------

.IULY- OCTOBER- JANUARY- APRIL-SEPTEMBER OECEMBER MARCH JUNE

205,969

17,03538,52737,46450,09462,84942,57220,277

20,50743,35479,259

99,327

8,70319,61318,28124,16428.56520,178

8,387

10,64721,88538,229

106,642

8,33218,91519,18325,92934,28422,39411,890

9,86021,46941,029

POPULATION IN THOUSANDS

206,421

16,99438,35337,64250,40763,02542,63020,395

20,44443,20479,748

99,546

8,68419,52418,38524,32628,627209201

8,426

10,47621,94938v494

106,875

8,30918,82919,25726,08134,39822,42911,969

9,96821,25541,254

206,781

16,51438,46537.65950; 80463,33842, 77320,564

19,78843,55980,097

99,754

8,43219,59118,34624,49528,’89020,374

8,516

10,08122119438,589

107,027

8,08218,87419,31326,30934,44822,40012,048

9,70621,36541,508

207,156—

16,37938,29937,85651,09963,52342,83620~686

19,90943,13580,5B9

99,937

8,36419,5071B,46424,63928,96120,405

8,556

10,08422* 03938,852

107,219

8,01518,79219?39226,46034,56122,43112,130

9,82521,09741,737

NOTE: FOR OFFICIAL POPULATION ESTIMATES FOR MORE GENERAL USE? SEE BUREAU OF THE CENSUS REPORTSON THE CIVILIAN POPULATION OF THE UNITED STATES, IN CURRENT POPULATION REPORTS! SERIES P-20, P-25,AMO P-60.

46

APPENDIX I

TECHNICAL NOTES ON METHODS

Background of This Report

This report is one of a series of statistical re-ports prepared by the National Center for HealthStatistics (NCHS). It is based on information col-lected in a continuing nationwide sample ofhouseholds in the Health Interview Survey (HIS).

The Health Interview Survey utilizes a ques-tionnaire which obtains information on personaland demographic characteristics, illnesses, in-

juries, impairments, chronic conditions, and otherhealth topics. As data relating to each of thesevarious broad topics are tabulated and analyzed,separate reports are issued which cover one or

more of the specific topics. The present reportis based on data collected in household interviewsduringJuly 1973-June 1974.

The population covered by the sample for theHealth Interview Survey is the civilian, non-institutionalized population of the United Statesliving at the time of the interview. The sample

does not include members of the Armed Forcesor U.S. nationals living in foreign countries. Itshould also be noted th;t the estimates shown donot represent a complete measure of any giventopic during the specified calendar period sinceda~a are not-collect~d in the interview- for personswho died during the reference period. For manytypes of statistics collected in the survey, thereference period covers the 2 weeks prior to theinterview week. For such a short period, the con-tribution by decedents to a total inventory ofconditions or services should be very small. How-ever, the contribution by decedents during a long

reference period (e.g., 1 year) might b e sizable,especially for older persons.

Statistical Design of theHealth Interview Survey

General @an.-The sampling plan of the surveyfollows a multistage probability design which per-mits a continuous sampling of the civilian, non-institutionalized population of the United States.

The sample is designed in such a way that thesample of households interviewed each week isrepresentative of the target population and thatweekly samples are additive over time. This

feature of the design permits both continuousmeasurement of characteristics of samples andmore detaiIed analysis of less common character-istics and smaller categories of health-relateditems. The continuous collection has administra-tive and operational advantages as well as techni-cal assets since it permits fieldwork to be handledwith an experienced, stable staff.

The overall sample was designed so that tabu-lations can be provided for each of the four majorgeographic regions and for urban and rural sectors

of the United States.The first stage of the sample design consists of

drawing a sample of 376 primary sampling units(PSU’S) from approximately 1,900 geographicallydefined PSU’S. A PSU consists of a county, asmall group of contiguous counties, or a standardmetropolitan statistical area. The PSU’S collec-tively cover the 50 States and the District ofColumbia.

47

With no 10SSin general understanding, the re-maining stages can be combined and treated inthis discussion as an ultimate stage. Within

PSU’S, then, ultimate stage units called segmentsare defined in such a manner that each segmentcontains an expected four households. Threegeneral types of segments are used.

Area segments which are defined geographically.

List segments, using 1970 census registers as theframe.

Permits segments, using updated lists of building

permits issued in sample PSU’S since 1970.

Census address listings were used for all areas ofthe country where addresses were well definedand could be used to locate housing units. In gen-eral the list frame included the larger urban areasof the United States from which about two-thirdsof the HIS sample was selected.

The total HIS sample of approximately 12,000segments yields a probability y sample of about

118,000 persons in 40,000 interviewed house-holds in a year.

Descriptive material on data collection, fieldprocedures, and questionnaire development in theHIS has been published as well as a detailed de-scription of the sample designz and a report onthe estimation procedure and the method usedto calculate sampling errors of estimates derivedfrom the survey.3

Collection of data. –Field operations for thesurvey are performed by the U.S. Bureau’ of the

1 ~atiod Gcnrm for He~th Statistics: Health surveY Prom

duse: concepts, questio-e development, and definitions in

the Health Interview Smvey. Vital and Health Statistics. PHSPub. No. 1000-Sesies l-No. 2. Public Health Service. Washing-ton. U.S. Government Psinting Office, May 1964.

2u-s. Natio~ Hc~& Suey: The statistical design of the

health household interview smvey. Health Statktk PHS Pub.

No. 584A2. Public Health Smvice. Washington, D.C.,July 1958.3Natio~ Centm for He~th Statistics: Estimation ad s~-

pling variance in the Health Interview Survey. Vital and HealthStatistics. PHS Pub. No. 1000-Series 2-No. 38. Public HealthService. Washington. U.S. Government Psinting Office, June1970.

Census under specifications established by theNational Center for Health Statistics. In accord-ance with these specifications the Bureau of theCensus participates in survey planning, selectsthe sample, and conducts the field interviewingas an agent of NCHS. The data are coded, edited,and tabulated by NCHS.

Estimatingprocedures. –Since the design of theHIS is a complex multistage probability sample,it is necessary to use complex procedures in thederivation of estimates. Four basic operations areinvolved:

1. Inflation by the reciprocal of the probability

of selection.—The probability y of selection isthe product of the probabilities of selectionfrom each step of selection in the design(PSU, segment, and household).

2. IVonresponse adjustment.–The estimates areinflated by a multiplication factor which has

as its numerator the number of sample house-holds in a given segment and as its denonlina-tor the number of households interviewed inthat segment.

3. First-stage ratio adjustment. –Sampling the-

ory indicates that the use of auxiliary informa-tion which is highly correlated with the vari-ables being estimated improves the reliabilityof the estimates. To reduce the variability be-tween PSU’S within a region, the estimates areratio adjusted to the 1970 populations within12 color-residence classes.

4. Poststratification by age-sex-color.–The esti-mates are ratio adjusted within each of 601age-sex-color cells to an independent estimate ofthe population of each cell for the surveyperiod. These independent estimates are pre-

pared by the Bureau of the Census. Both thefirst-stage and poststratified ratio adjustmentstake the form of multiplication factors appliedto the weight of each elementary unit (person,

household, condition, and hospitalization).

The effect of the ratio-estimating process is tomake the sample more closely representative ofthe civilian, noninstitutionalized population by

48

age, sex, color, and residence, which thereby re-duces sampling variance.

As noted, each week’s sample represents thepopulation living during that week and charac-teristics of the population. Consolidation ofsamples over a time period, e.g., a calendar quar-ter, produces estimates of average characteristics

of the U.S. population for the calendar quarter.Similarly, population data for a year are averagesof the four quarterly figures.

For prevalence statistics, such as number ofpersons with’ speech impairments or number ofpersons classified by time interval since lastphysician visit, figures are first calculated for eachcalendar quarter by averaging estimates for allweeks of interviewing in the quarter. Prevalencedata for a year are then obtained by averaging thefour quarteriy figures.

For other types of statistics–namely thosemeasuring the number of occurrences during aspecified time period—such as incidence of acuteconditions, number of disability days, or num-ber of visits to a doctor or dentist, a similar com-putational procedure is used, but the statisticsare interpreted differently. For these items, thequestionnaire asks for the respondent’s experi-ence over the 2 czdendar weeks prior to the week

of interview. In such instances the estimatedquarterly total for the statistic is 6.5 times theaverage 2-week estimate produced by the 13 suc-cessive samples taken during the period. Theannuzd totzd is the sum of the four quarters. Thusthe experience of persons interviewed durz”nga

year–experience which actually occurred foreach person in a 2-calendar-week interval prior toweek of interview-is treated as though it meas-ured the totzd of such experience durz”ng the year.Such interpretation leads to no significant bias.

General Qualifications

iVonresponse.-Data were adjusted for nonre-sponse by a procedure which imputes to personsin a household which was not interviewed thecharacteristics of persons in households in thesame segment which were interviewed. The total

noninterview rate was about 3 percent—1.4 per-

cent was refusal, and the remainder was prim&lydue to the failure to find an eligible respondentat home after repeated calls.

The interview process.–The statistics pre-sented in this report are based on replies obtainedin interviews with persons in the sample house-holds. Each person 19 years of age and over pre-

sent at the time of interview was interviewedindividually. For children and for adults notpresent in the home at the time of the interview,the information was obtained from a relatedhousehold member such as a spouse or the motherof a child.

There &e limitations to the accuracy of diag-nostic and other information collected in house-hold interviews. For diagnostic information, thehousehold respondent can usually pass on to theinterviewer only the information the physicianhas given to the family. For conditions notmedically attended, diagnostic information isoften no more than a description of symptoms.However, other facts, such as the number of dis-ability days caused by the condition, can be ob-tained more accurately from household membersthan from any other source since only the per-sons concerned are in a position to report thisinformation.

Rounding of numbers.–The original tabula-tions on which the data in this report are basedshow all estimates to the nearest whole unit. Allconsolidations were made from the original tabu-lations using the estimates to the nearest unit. Inthe final published tables, the figures are roundedto the nearest thousand, although these are notnecessarily accurate to that detail. Devised sta-tistics such as rates and percent distributions arecomputed after the estimates on which these arebased have been rounded to the nearest thousand.

Population fi&.wes.-Some of the publishedtables include population figures for specifiedcategories. Except for certain overalI totals byage, sex, and color, which are adjusted to inde-

pendent estimates, these figures are based on thesample of households in the HIS. These are givenprimarily to provide denominators for rate com-putation, and for this purpose are more appro-priate for use with the accompanying measures

49

of health characteristics than other populationdata that may be available. With the exceptionof the overall totals by age, sex, and color men-tioned above, the population figures differ fromfigures (which are de;ived from &fferent sources)published in reports of the Bureau of the Census.Official population estimates are presented inBureau of the Census reports in Series P-20, P-25,and P-60.

Reliability of Estimates

Since the statistics presented in this report arebased on a sample, they will differ somewhat from

the figures that would have been obtained if acomplete census had been taken using the sameschedules, instructions, and interviewing person-nel and procedures.

As in any survey, the results are also subject toreporting and processing errors and errors due tononresponse. To the extent possible, these types

of errors were kept to a minimum by methodsbuilt into survey procedures.4 Although it isvery difficult to measure the extent of bias in theHealth Interview Survey, a number of stydleshave been conducted to study this problem. - Theresults have been published in several reports. 5-10

4Nation~ Center for He~th Statistics: Quality control and

measurement of nonsampling errors in the Health Interview

Survey, Vital and Health Statistics, Series 2-No. 54. DHEWPub. No. (HSM) 73-1328. Health Smvices and Mental HealthAdministration. Wash&ton. U.S. Government Printing Office,Mar. 1973.

5Nation~ Center for Health Statistics: Health interview

responses compared with medical records. Vital and Health Sta-tish.cs. PHS Pub. No. 1000-Series 2-No. 7. Public Health Service.Wash@ton. U.S. Government Printing Office, July 1965.

6 Nation~ Center for Health Statistics: Comparison of hos-

pitalization reporting in three survey procedures. Vital andHealth Statistics. PHS Pub. No. 1000-Series 2-No. 8. PublicHeafth Service. Washington. U.S. Government Printing Office,July 1965.

7Nation~ Center for Health Statistics: Interview data on

chronic condhions compared with information derived frommedical records. Vital and Health Statistics. PHS Pub. No.1000-Series 2-No. 23. Public Health Service. Washington. U.S.Government Printing Office, May 1967.

8 Nation~ Center for Health Statistics: The influence of in-

terview and respondent psychological and behavioral variableson the reporting in household interviews. Vital and Health Sta-tish”cs. PHS Pub. No. 1000-Series 2-No. 26. Public Health Serv-ice. Washington. U.S. Government Printing Office, Mar. 1968.

The standard error is primarily a measure ofsampling variability, that is, the variation thatoccurs by chance because only a sample of thepopulation is surveyed. As calculated for this re-port, the standard error also reflects part of thevariation which arises in the measurement proc-ess. However, it does not include any systematicbiases which might be in the data. The chancesare about 68 out of 100 that an estimate fromthe sample would differ from a complete censusby less than the standard error. The chances areabout 95 out of 100 that the difference would beless than twice the standard error and about 99

out of 100 that it would be less than 2Y2 times aslarge.

The relative standard error of an estimate is

obtained by dividing the standard error of theestimate by the estimate itself and is expressedas a percentage .of the estimate. For this report,asterisks are shown for any cell with more than a30-percent relative standard error. Included in

this appendix are charts from which the relativestandard errors can be determined for estimatesshown in the report. In order to derive relative

errors which would be applicable to a wide vari-ety of health statistics and which could be pre-pared at a moderate cost, a number of approxi-mations were required. As a result, the chartsprovide an estimate of the approximate relative

standard error rather than the precise error forany specific aggregate or percentage.

Three classes of statistics for the health surveyare identified for purposes of estimating variances.

Narrow range. –This class consists of(1) statistics

,which estimate a population attribute, e.g., thenumber of persons in a particular income group,and (2) statistics for which the measure for asingle individual during the reference period usedin data collection is usually either O or 1 or onoccasion may take on the value 2 or very rarely 3.Medt%m range. –This class consists of other statis-

tics for which the measure for a single individualduring the reference period used in data collectionwill rarely lie outside the range O to 5.Wide range. –This class consists of statistics forwhich the measure for a single individual during

50

the reference period used in data collection canrange from O ~o a number in excess of 5, e.g., thenumber of days of bed dkability.

In addition to classifying variables accordingto whether they are narrow-, medium-, or wide-range, statistfis in the survey are further definedas:

Type A. Statistics on prevalence and incidencefor which the period of reference in thequestionnaire is 12 months.

Type B. Incidence-type statistics for which theperiod of reference in the questionnaireis 2 weeks.

Type C. Statistics for which the reference pe-riod is 6 months.

General rules for determining relative standarderrors.-The “guide” on page 53, together withthe following rules, will enable the reader to de-termine approximate relative standard errorsfrom the charts for estimates presented in thisreport.

Rule 1. Estimates of ag~egates: Approximaterelative standard errors for estimatesof aggregates such as the number ofpersons with a given characteristic areobtained from appropriate curves onpages 54-56. The number of personsin the total U.S. population or in anage-sex-color class of the total popula-tion is adjusted to official Bureau ofthe Census figures and is not subject tosampling error.

Rule 2. Estimates of percentages in a percent

distn.bution: Relative standard errorsfor percentages in a percent distribu-

tion of a total are obtained from appro-priate curves on pages 57-59. Forvalues which do not fall on one of thecurves presented in the chart, visualinterpolation will provide a satisfactoryapproximation.

Rule 3. Estimates ofrates where the numeratoris a subclass of the denominator: Thisrule applies for prewdence rates orwhere a unit of the numerator occurs,with few exceptions, only once in theyear for any one unit in the denomina-tor. For example, in computing therate of visual impairments per 1,000population, the numerator consistingof persons with the impairment is a sub-class of the denominator, which in-cludes all persons in the population.Such rates if converted to rates per 100may be treated as though they werepercentages and the relative standarderrors obtained from the chartP4AN-M. Rates per 1,000, or on anyother base, must first be converted torates per 100; then the percentage chart

wilI provide the relative standard errorper 100.

Rule 4. Estimates ofrates where the numeratoris not a subck.rs of the denominator:This rule applies where a unit of thenumerator often occurs more thanonce for any one unit in the denomina-tor. For example, in the computationof the number of persons injured per100 currently employed persons peryear, it is possible that a person in thedenominator could have sustainedmore than one of the injuries includedin the numerator. Approximate rela-tive standard errors for rates of thiskind may be computed as follows:

(a) Where the denominator is the totalU.S. population or includes all per-sons in one or more of the age-sex-color groups of the total popula-lation, the relative error of the rate

is equivalent to the relative error ofthe numerator, which can be ob-tained directly from the appropri-ate chart.

51

(b) In other cases the relative standarderror of the numerator and of thedenominator can be obtained fromthe appropriate curve. Square each

of these relative errors, add the re-sulting values, and extract thesquare root of the sum. This pro-cedure will result in an upper

bound on the standard error andoften will overstate the error.

Rule 5. Estimates of difference between two

statistics (mean, rate, total, etc.): Thestandard error of a difference is approx-imately the square root of the sum ofthe squares of each standard error con-sidered separately. A formula for thestandard error of a difference,

d= X1– X2

is

fJd =/(% ~x ~)2 + (X* V.*)2

where Xl is the estimate for class 1, X2is the estimate for class 2, and VX~ andV%* are the relative errors of Xl andX2 respectively. This formula will

represent the actual standard errorquite accurately for the difference be-tween separate and uncorrelated char-acteristics although it is only a roughapproximation in most other cases.The relative standard error of each

estimate involved in such a differencecan be determined by one of the fourrules above, whichever is appropriate.

52

Guide to Use of Relative Standard Error Charts

The code shown below identifies the appro- (1) A = aggregate, P = percentage; (2) the num-priate curve to be used in estimating the relative ber of calendar quarters of data collection; (3)standard error of the statistic described. .The the type of statistic as described on page 51four components of each code describe the sta- and (4) the range of the statistic as described ontistic as follows: pages 50-51.

Statistic

Number of:Personsbyresidence or region . . . . . . . . . . . . . . . . . . . . . . . . . .Acute conditions:

Per quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Peryear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disability days:Perquarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Peryear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Persons inthe U.S. population orinany age+exmtegory thereof . . . . . .

Percentage distribution of:Personsbyresidence or region . . . . . . . . . . . . . . . . . . . . . . . . . .Disability daysin a year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Acute conditions ina year..... . . . . . . . . . . . . . . . . . . . . . . . .

Incidence rates for acute conditions:PerlOO total U.S. population orperl OOpersons inanyege-sex group of

the total U.S. population:Per quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Per year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Perl OOpersons inanyother population group per year . . . . . . . . . . . .

Number of disability days:PerlOO total U.S. population orperl OOparsons inanyage-sex group of

the total U.S. population:Per quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Peryear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Perl OOpersons inanyother population group per year . . . . . . . . . . . .

Per case for acute conditions:

Perquarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Peryear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Use:

Rule

1

11

1

1

222

4(a)4(a)

4(b)

4(a)4(a)

4(b)

4(b)

4(b)

Code

A4AN

Al BNA4BN

Al BWA4BW

Notsubject tosempling error

P4AN-MP4BWP4BN-M

Al BNA4BN

{

Numer. : A4BNDenom. : A4AN

Al BWA4BW

{

Numer. : A4BWDenom. : A4AN

{

Numer. : AIBWDenom. : AIBN

J&E&E

On page

54

5554

5654

575B59

55545454

56545454

5655

5454

53

Relative standard errorq for aggregates based on four quarkers of data collectionfor data of all types and ranges

Size of estimate (in thousands)

Exsmple of use of chart: An aggregate of 2,000,000 (on scale at bottom of chart) for aNarrow range Type A statistic (code:A4AW) has a relative standard error of 3.6 percent,(read from scale at left side of chart), or a standard error of 72,000 (3.6 percent of2,000,000). For a Wide range Type B statistic (code:A4BW), an aggregate of 6,000,000 hasa relative error of 16.0 percent or a standard error of 960,000 (16 -cent of 6,000,000).

54

h

ij

Relative standard errors for aggregates based on one quarter of data collection for type B

2345 6789a 2345 6789a 2346 6789X?03 1,000 10,000 100,000

Size of estimate (in thousands)

Example ofuse of chart: First, multiply tiequzterly estimate ofacutc conditions orpemons tijurcd byafactorof4and obtain its relative standard error from the chart. For exarnpIe, a quarterly estimate of 5,000,000 (entered as20,000,000 on scale at bottom of chut)h asa relative standard error of r0.7percent, read from scafeatletl side ofchart. The standard error of the estimate is 535,000 (10.7 percent of 5,000,000).

55

Relative standard errors for aggregates based on one quarter of data collection for typeB data, wide range

10Q 100

60. .>.

1“ \

t , ,

40 : ;:’ .I.,1,, ,, \

,;.

30~,. I \.!:, I

\ .1:

--IL H-H--t-t-+w 1 1’1!:’1 I’m!:]

10

I-l! illi.4~ ,, 1.!1! “, .1- + :

[,,, ; ; ,; ‘.;: ~! :!/ ;::’ Id, , ,, 1- i 1

! I -,

.? !’! ‘ ,. ;---,: ,,) .! ,, . ..1....

>.,,.

“’w+.5 1 I 1 1. 1 1 I I ! 1 I .,.

:, ,:, ,i!: : ; !:4,, ,:, , , ,,

“W-F

1

, ;:: ,:,.3

., I I::. ,,,:,

,,

I I I 1’.,, , 4 I

t-t-

:’1,.2 ‘

!;1!: ,1“1:ill: I I !

~,.:,!.

!-J1,$’I : ,1 ,!, ~ ,+ ,.

.L ““ :1,000 10,000

Size of estimate (in thousands)

1

100,000 1,000,000

Example ofuse of chart: First, multiply tiequwterlyestimate ofdisabihtydays byafactor of4andobtak its relativestandard error from the chart. For example, a quarterly estimate of 25,000,000 (entered as 100,000, OOOon scale atbottom of chart) hasa relative standard error of 7.Opercent, read from scdeatleft side ofchart. Thestmd~d errorof the estimate is 1,750,000(7 percent of 25,000,000).

56

RelativeBtandara errors ror percentages based on four qasrters of data collectionfor typeA data,Nsrrowand Media range

(Baseof percentageshuwnon curvesin millions)

Lo

6

5

4

1

*....

Eatinatedpercentage

Emnple of use of chart: An esthate of 20 percent(onscaleat bottanof chart)based onan estlmatcof 10,WD,COO has a rebtive standard cmrorof 3.2 percent (readfron the8caleat the left sideof the chart),the pointat whichthe cum-efor a base of 10,000,000intersectsthe verticalline for 20 perwmt. !lhestandarderrorh percentagepoizrk isequalto 20 percentX 3.2 percentor 0.64percentagepobxbs.

57

1

Relative standard errors for percentages based on four quarters of data collection

for type B data, Wide range(Base of percentage shown on curves in millions)

10 100

Estimated percentage

Example of use of chart: An estimate of 20 percent (on scale at bottom of. chart) based onan estimate of 10,000,000 has a relative standard error of 24.5 percent (read from scaleat the left side of the chart), the point at which the curve for a base of 10,000,000 in-tersects the vertical line for 20 percent., The standard error in percentage points isequal to 20 percent X 24.5 percent or 4.9 percentage points.

58

Relative standard errors for percentages based on four quarters of data collectionfor type B data, Narrow and M@hns range

(Base of percentage shown on curves tim.ill.ions)

Estimated percentage

Example of use of chart: An estimate of 20 percent (on scale at bottom of chart) based onan estimate ~f 10,000,000 has a relative standard error of 17.0 percent (read from scale

at the left side of the chart), the point at which the curve for a base of 10,000,000 in-tersects the vertical line for 20 percent. The standard error in percentage points isequal to 20 percent X 17.0 percent or 3.4 percentage points.

000

59

APPENDIX II

DEFINITIONS OF CERTAIN TERMS IN THIS REPORT

Terms Relating to Conditions

Condition.–A morbidity condition, or simplya condition, is any entry on the questionnairewhich describes a departure from a state of phys-

ical or mental well-being. It results from a posi-tive response to one of a series of “medical-disability impact” or “illness-recall” questions.In the coding and tabulating process conditionsare selected or classified according to a numberof different criteria such as whether they weremedically attended, whether they resulted in dis-ability, or whether they were acute or chronic;or according to the type of disease, injury, im-pairment, or symptom reported. For the pur-

poses of each published report or set of tables,only those conditions recorded on the question-naire which satisfy certain stated criteria areincluded.

Conditions except impairments are classifiedby type according to the Eighth Revision Inter-national Classification of Diseases, A dap ted for

Use in the United States, 9 with certain modifi-cations adopted to make the code more suitablefor a household interview survey.

Acute condition.–An acute condition is de-fined as a condition which has lasted less than 3months and which has involved either medicalattention or restricted activity. Because of theprocedures used to estimate incidence, the acuteconditions included in this report are the condi-tions which had their onset during the 2 weeks

9Nat.ion~ Center for Health Statistics: Eighth Revision In-

termrtional Classification of Diseases, Aakpted for Use in the

United States. PHS Pub. No. 1693. Public Health Service.

Washington. U.S. Government Printing Office, 1967.

prior to the interview week and which involved

either medical attention or restricted activity dur-ing the 2-week period. However, excluded arethe following conditions which are always classi-fied as chronic even though the onset occurred

within 3 months prior to week of interview:

Allergy, anyArthritis or rheumatismAsthmaCancerCleft palateClub foot

Condition present since birthDeafness or serious trouble with hearing

DiabetesEpilepsyHardening of the arteries

Hay feverHeart trouble

Hemorrhoids or pilesHernia or ruptureHigh blood pressureKidney stones,Mental illnessMissing fingers, hand, or arm-toes, foot, or legPalsyParalysis of any kindPermanent stiffness or deformity of the foot, leg,

fingers, arm, or backProstate troubleRepeated trouble with back or spineRheumatic feverSerious trouble with seeing, even when wearing

glasses

Sinus trouble, repeated attacks ofSpeech defect, any

60

Stomach ulcerStrokeThyroid trouble or goiterTuberculosisTumor, cyst, or growthVaricose veins, trouble with

Condition Group

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . .

Common childhood diseases . . . . . . . . . . . . . . . . . . . .

Virus not otherwise specified . . . . . . . . . . . . . . . . . . . .

Other infective and parasitic diseases . . . . . . . . . . . . . . . .

Respiratory conditions . . . . . . . . . . . . . . . . . . . . . . . . . .

Upper respiratory conditions . . . . . . . . . . . . . . . . . . . .

Common cold . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other uppe~ respiratory conditions . . . . . . . . . . . . . . .

Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Influenza with digestive manifestations . . . . . . . . . . . .

Other influenza . . . . . . . . . . . . . . . . . . . . . . . . . .

Other respiratory conditions . . . . . . . . . . . . . . . . . . . .

Pneumonia . . . . . . . . . . . . . . . . . . . . . ..’......

Bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other respiratory conditions . . . . . . . . . . . . . . . . . . .

Digastiva system conditions . . . . . . . . . . . . . . . . . . . . . . .

Dental conditions . . . . . . . . . . . . . . . . . . . . . . . . . . .

Functional and symptomatic ;pper gastrointestinal disorders

notelsewhera classifiable . . . . . . . . . . . . . . . . . . . . .

Other digestive system conditions . . . . . . . . . . . . . . . . .

Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Fractures, dislocations, sprains, and strains . . . . . . . . . . . .

Fractures and dislocations . . . . . . . . . . . . . . . . . . . .

Sprains and strains . . . . . . . . . . . . . . . . . . . . . . . .

Opanwounds and lacerations . . . . . . . . . . . . . . . . . . . .

Contusions and superficial injuries . . . . . . . . . . . . . . . . .

Other current injuries . . . . . . . . . . . . . . . . . . . . . . . . .

Another acute conditions . . . . . . . . . . . . . . . . . . . . . . . .

Diseases of the ear . . . . . . . . . . . . . . . . . . . . . . . . . .

Headaches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Genitourinary disorders . . . . . . . . . . . . . . . . . . . . . . .

Deliveries and disorders of pregnancy and the puerperium . . .

Diseases of theskin . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseases of the rnusculoskeletal system . . . . . . . . . . . . . .

Another acute conditions . . . . . . . . . . . . . . . . . . . . . .

Acute condition groups.-h this report alltables which have data classified by type of condi-tion employ a 5-category regrouping plus severalselected subgroups. The condition groups and theMemational Classification code numbers in-cluded in each category are shown in figure I.

International Classification Code Number

000-136

033,052,055, 056,072

079.9

000-032,034-051,053, 054,057-071,073-136

460A186, 501,508-516,519,783

460-465,501,508

460

461465,501,508

470474

473

470472,474

466,480486,510-516,519, 783

480-486

466

510-516,519,783

520.6-521.5,521.7-523.9, 525-530,535-543,560, 561,564-

577,784,785

520.6-521.5,521.7-523.9, 525

536,784.0,784.1,784.3, 784.7,785.4 pt.

526-530,535, 537, 540-543, 560, 561, 564-577, 784.2,

784.4-784.6.785 pt.

N800-N870, N872-N8B4, N890-N894, N900-N994, N996-

N999

N800-N848

N800-N838

NB40-N848

N870, N872-N884, NB90-N884, N900-N907

N91O-N929

N850-N869, N930-N994, N996-N999

All other acute code numbers

380-387,745.0-745.3, 781.3

791

580-629,786,789

630-678

680-709717-733,787Other acute mda numbers

Figure 1

61

Incidence of conditions.–The incidence ofconditions is the estimated number of conditionshaving their onset in a specified time period. Aspreviously mentioned, minor acute conditions in-volving neither restricted activity nor medicalattention are excluded from the statistics. Theincidence data shown in some reports are furtherlimited to various subclasses of conditions, suchas “incidence of conditions involving bed dis-ability. ”

Onset of condition.–A condition is consideredto have had its onset when it was first noticed.This could be the time the person first felt sickor became injured, or it could be the time whenthe person or his family was first told by aphysician that he had a condition of which hewas previously unaware.

Activity-restricting condition.—An activity-

restricting condition is one which had its onset inthe past 2 weeks and which caused at least 1 dayof restricted activity during the 2 calendar weeksbefore the interview week. (See “Restricted-

activity day” under “Terms Relating toDisability.”)

Bed-disabling condition. –A condition withonset in the past 2 weeks involving at least 1 dayof bed disability is called a bed-disabling condi-tion. (See “Bed-disability day” under “Terms

Relating to Disability.”)Medicafiy attended condition.–A condition

with onset in the past 2 weeks is considered

medically attended if a physician has been con-

sulted about it either at its onset or at any timethereafter. However, when the first medical at-tention for a condition does not occur until afterthe interview, the case is necessarily treated asthough there was no medical attention. Medicalattention includes consultation either in personor by telephone for treatment or advice. Advicefrom the physician transmitted to the patientthrough the nurse is counted as well as visits tophysicians in clinics or hospitals. If during the

course of a single visit the physician is consultedabout more than one condition for each of severalpatients, each condition of each patient iscounted as medically attended.

Discussions of a child’s condition by the physi-cian and a responsible member of the householdare considered as medical attention even if thechild was not seen at that time.

For the purpose of this definition the term“physician” includes doctors of medicine andosteopathic physicians.

Terms Relating to Disability

Disability .–Disability is the general term usedto describe any temporary or long-term reductionof a person’s activity as a result of an acute or

chronic condition.Disability day.–Short-term disability days are

classified according to whether they are days ofrestricted activity, bed days, hospital days, work-10SSdays, or school-loss days. All hospital days

are, by definition, days of bed disability; all daysof bed disability are, by definition, days of re-stricted activity. The converse form of these

statements is, of course, not true. Days lost fromwork and days lost from school are special terms

which apply to the working and school-age popu-lations only, but these too are days of restrictedactivity. Hence “days of restricted activity” isthe most inclusive term used to describe disa-bility days.

Restn”cted-activ~ty day.–A day of restrictedactivity is one on which a person cuts down onhis usual activities for the whole of that day be-

cause of an illness or an injury. The term “usualactivities” for any day means the things that theperson would ordinarily do on that day. Forchildren under school age, usual activity dependson whatever the usual pattern is for the child’sday, which will in turn be affected by the age of

the child, weather conditions, and so forth. Forretired or elderly persons, usual activities mightconsist of almost no activity, but cutting downon even a small amount for as much as a day

would constitute restricted activity. On Sundaysor holidays, usual activities are the things thle per-son usually does on such days—going to church,playing golf, visiting friends or relatives, oIr stay-

62

ing at home-and listening to the radio, reading,looking at television, and so forth. Persons whohave permanently reduced their usual activitiesbecause of a chronic condition might not reportany restricted-activity days during a 2-weekperiod. Therefore absence of restricted-activitydays does not imply normal health.

Restricted activity does not imply completeinactivity, but it does imply only the minimumof usual activities. A special nap for an hour afterlunch does not constitute cutting down on usualactivities, nor does the elimination of a heavychore such as cleaning ashes out of the furnace orhanging out the wash. If a farmer or housewifecarries on only the minimum of the day’s chores,however, this is a day of restricted activity.

A day spent in bed or a day home from workor school because of illness or injury is, of course,a restricted-activit y day.

Bed-disability day.–A day of bed disability isone on which a person stays in bed for all ormost of the day because of a specific illness orinjury. All or most of the day is defined as morethan half of the daylight hours. All hospital daysfor inpatients are considered to be days of beddisability even if the patient was not actually inbed at the hospital.

Work-loss day. –A day lost from work is a dayon which a person did not work at his job or busi-ness for at least haIf of his normal workday be-cause of a specific illness or injury. The numberof days lost from work is determined only forpersons 17 years of age and over who reportedthat at any time during the 2-week period coveredby the interview they either worked at or had a

job or business. (See “Currently employed per-sons” under “Demographic Terms.”)

School-loss day.–A day lost from school is anormal school day on which a child did not at-tend school because of a specific illness or injury.The number of days lost from school is deter-

mined only for children 6-16 years of age.Condition-day. –Condition-days of restricted

activity, bed disability, and so forth are days ofthe various forms of disability associated with any

one condition. Since any particular day of dis-

ability may be assoti”ated with more than onecondition, the sum of days for conditions mayadd to more than the total number of person-days.

Demographic Terms

Age.–The age recorded for each person is theage at last birthday. Age is recorded in singleyears and grouped in a variety of distributionsdepending on the purpose of the table.

Geographic reg”on.–For the purpose of classi-fying the population by geographic area, theStates are grouped into four regions. Theseregions, ”which correspond to those used by theU.S. Bureau of the Census, are shown in figure II.

Regz”on

Northeast. . . . . . .

North Central . . .

South . . . . . . . . .

West . . . . . . . . . . .

States Included

Maine, New Hampshire,Vermont, Massachusetts,Rhode Island, Connecticut,New York, New Jersey,Pennsylvania

Michigan, Ohio, Indiana,Illinois, Wkconsin,Minnesota, Iowa, Missouri,North Dakota, SouthDakota, Kansas, Nebraska

Delaware, Maryland,District of Columbia,Virginia, West Virginia,North Carolina, SouthCarolina, Georgia, Florida,

Kentucky, Texas, Tennessee,Alabama, Mississippi,Arkansas, Louisiana,Oklahoma

Montana, Idaho, Wyoming,

Colorado, New Mexico,Arizona, Utah, Nevada,Washington, Alaska, Oregon,California, Hawaii

Figure II

63

Place of residence.–The place of residence of which sales of farm products amounted to $50 ora member of the civilian, noninstitutionalized more during the previous 12 months or on placespopulation is classified as inside a standard metro- of less than 10 acres from which sales of farmpolitan statistical area (SMSA) or outside an products amounted to $250 or more during theSMSA and either farm or nonfarm. preceding 12 months. Other persons living out-

Standard metropolitan statistical areas–The de f-side an SMSA were classified as nonfarm if their

initions and titles of SMSA’S are established byhousehold paid rent for the house but their rent

the U.S. Office of Management and Budget withdid not include any land used for farming.

the advice of the Federal Committee on Standard Sales of farm products refer to the gross receiptsMetropolitan Statistical Areas. from the sale of field crops, vegetables, fruits,

The definition of an individual SMSA involves nuts, livestock and livestock products (milk,

two considerations: first, a city or cities of speci-WOO1, etc.), poultry and poultry products, and

fied population which constitute the central citynursery and forest products produced on the

and identify the county in which it is located asplace and sold at any time during the preceding

the central county; second, economic and social12 months.

relationships with contiguous counties (except in

New England) which are metropolitan in charac-ter so that the periphery of the specific metro-

politan area may be determined. SMSA’S are notlimited by State boundaries. In New England

SMSA’S consist of towns and cities, rather thancounties.

Central cities. –Each SMSA must include at leastone central city. The complete title of an SMSAidentifies the central city or cities. If only onecentral city is designated, then it must have50,000 inhabitants or more. The area title mayinclude, in addition to the largest city, up to twocity names on the basis and in the order of thefollowing criteria: (1) the additional city has atleast 250,000 inhabitants or (2) the additional

city has a population of one-third or more of thatof the largest city and a minimum population of

25,000. An exception occurs where two citieshave ‘contiguous boundaries and constitute, foreconomic and social purposes, a single commu-nity of at least 50,000, the smaller of which must

have a population of at least 15,000.

Farm and nonfarm residence. –The populationresiding outside SMSA’S is subdivided into the

farm population, which comprise~ all non-SMSAresidents living on farms, and the nonfarm popu-lation, which comprises the remaining outside

SMSA population. The farm population includespersons living on places of 10 acres or more from

In labor force.–All persons 17 years and olderwho worked at or had a job or business or werelooking for work or on layoff from work duringthe 2-week period prior to the week of intervieware in the labor f orce. The labor force consists ofpersons currently employed and those not em-ployed as defined below.

Currently emplo yed.–Persons 17 years of age andover who reported that at any time duiing the2-week period covered by the interview they

either worked at or had a job or business are cur-rently employed. Current employment includespaid work as an employee of someone else; self-employment in business, farming, or professionalpractice; and unpaid work in a family business orfarm. Persons who were temporarily absent from

a job or business because of a temporary illness,vacation, strike, or bad weather are considered ascurrently employed if they expected to work assoon as the particular event causing the absenceno longer existed.

Free-lance workers are considered currently em-

ployed if they had a definite arrangement withone employer or more to work for pay accordingto a weekly or monthly schedule, either full timeor part time.

Excluded from the currently employed popula-

tion are persons who have no definite employ-ment schedule but work only when their services

64

are needed. Also excluded from the currentlyemployed population are (1) persons receivingrevenue from an enterprise but not participatingin its operation, (2) persons doing housework orcharity work for which they receive no pay, (3)seasonal workers during the portion of the yearthey were not working, and (4) persons who werenot working, even though having a job or busi-ness, but were on layoff or looking for work.

The number of currently employed persons esti-mated from the Health Interview Survey (HIS)will differ from the estimates prepared from theCurrent Population Survey (CPS) of the U.S.Bureau of the Census for several”reasons. Inaddition to sampling variabilityy they include threeprimary conceptual differences, namely: (1) HISestimates are for persons 17 years of age and over;CPS estimates are for persons 16 years of age andover. (2) HIS uses a 2-week reference period,while CPS uses a l-week reference period. (3)

HIS is a continuing survey with separate samplestaken weekly; CPS is a monthly sample taken forthe survey week which includes the 12th of themonth.

Currently unemployed. –Persons 17 years andover who during the 2-week period prior to inter-view did not work or had no job or business butwere looking for work and those who had ajobbut were on layoff or looking for work are con-sidered currently imemployed.

Quarter.–The quarters used by the Health In-terview Survey are actually 13-week periodsrather than 3 calendar months. Since each 13-week period begins on a Monday and ends on aSunday, the actual dates of the beginning andend of each 13-week period may overlap intoanother calendar quarter. Therefore the timeperiods in the table headings are the approximaterather than the precise periods during which theinterviewing was conducted.

—o o o—

65

PROBE

APPENDIX Ill

QUESTIONS ON DISABILITY DAYS AND PHYSICIAN VISITS

REFERENCE PERIOD, AND CONDITION PAGES

This survey is being conducted to collect information on the Nation’s health. I will ask about visits todoctors and dentists, illness in the family, and other health related item~. (Hand cd endar)

The next few questions refer to the past 2 weeks, the 2 weeks outlined in red on that calendar,

beginning Monday, (date) , and ending this past Sunday, (date) .

4a. During those 2 weeks, did -- stay in bed because of any illness or iniury?_______________________________________________________________________________

b. During that 2-week period, how many days did -- stay in bed all or most of the day?

5. During those 2 weeks, how many days did illness or iniury keep -- from work?(For females): not counting work am.nd the house?

6. During those 2 weeks, how many days did illness or iniury keep -- from school?

If one.or more days in 4b, ask 7; otherwise go to 8.

7. On how many of these -- days lost from{ ::~~ol }

did -- stay in bed all or most of the day?

{

in bed8.. (NOT COUNTING the day(.) lost from work

})

lost from school

Were there any (other) days during the past 2 weeks that -- cut down on the thingshe usually does because of illness or in@y?_______________________________________________________________________________

b. (Again, not counting tho day(s){

in bedlost from work

})

lost from schoolDuring that period, how many (other) days did he cut down for os much as a day?

If one or more days in 4-8, ask 9; otherwise go to next person.

9a. What condition caused -- to {~;g,} during the past 2 weeks?

_______________________________________________________________________________

b. Did any other condition cause him to

{2%,} ‘“ring’’’’’iod’iod’________________________ __, _

c. Whet condition?

Oa. During the post 2 weeks, did anyone in tho fumily, that is you,your --, *c., have any (other) accidents or iniuri~s? Y N (II)_______________________________________________________________________________

b. Who was this? - Mark ‘iAccident or injury” box in person’s column._______________________________________________________________________________

c. What was tho iniury?_________________________________________ ______________________________________

d. Did anyon. hav. any oth.r accidents or iniuries during that period? . Y (Reask /Ob and c) N_______________________________________________________________________________

If “Accident or iniury,)’ ask:● . As a result of tho accident, did -- so= a doctor or did ha cut down on tho things ho usually doos?

1}Y (4b)

4a. ~. N If age:.- 17+ (5)

16-16 (6)b. —Days Under 6 (8)

l==-s.

_SL days

00 I_J None (8)

4–==–l+ 1 Y

12 N (9)

---------------------

b. ,— DaYS

00 ❑ None

Enter mnditlon h /t&n C9.. Ask 9hI

1--------

Yb.

N (NP).- ____________________

Y (Enter in/uty In Itsm C)●. N I

DISABILITY DAY PROBE QUESTIONS

15. During th. pas? 2 waeks (tlm 2 wo~ks outlined in rod on that calmdar) hew manyiimos did -- s-* a mtdical doctor?

(Bosidos thoso visits)

160. During ihat 2.waok p.riod did anymw in tlm fami [y go to a doctor’s offie~ or Yclinic for shotz, X-rays, tests, or ●xaminations? N (17)_______________________________________________________________________________

b. Whowasthis? -Mark’’Doctor visit” boxinperson’s column._______________________________________________________________________________

c. AnyonQ dsc? Y (Remk 16b and c)N

_______________________________________________________________________________If “Doctor visit,” ask

d. How ~anY tim.s did -- visit th. doctor dur;ng that period?

17a. During that period, did anyone in tho family get any medical advi C* from Ya doctor ovor tfm tclephono? N (/8]__________________________________________________ ~ ____________________________

b. Who was tht phone COII about? - Mark ‘“Phone call” box in person’s column._______________________________________________________________________________

c. Any calls obout anyone ●Isa? Y (Reask J7b and c)N“

_______________________________________________________________________________

If “Phone call,” ask

d. How many tolcphona calls ww. made to got mwlical advice about -- ?,., , ,,.

~

Ask [En for each person with visits in DR box.

18a. For what condition did -- see or talk io a doctor during ihc pa~t 2 weeks?_______________________________________________________________________________

b. Did -- S-c or talk to ~ do=ter about any specific condition?_______________________________________________________________________________

c. What condition?_______________________________________________________________________________

d. During hat p.riod, did -- s.. or talk ~ a do~or about any ~th.r ~ondifien?_______________________________________________________________________________

.. Du,ing h. past 2 ~..kz was -- sick b.caus. of her pr.gnancy?_______________________________________________________________________________

f. What was tho mattar?

.9a. During tho past 12 months, (that is since ~ (date, ya ● ar ago), about how many times did -- s.. or

talk to a madical doctor? (Do not count octors seen whilo o patient in a hospital.)(Includo tho -- visits you already told m~ about.)-------------------------------------------------------------------------------

b. ABOUT how long hat it b-en since -- LAST saw or ialkod io a medical doctor?

iiy+s

.-------_-Ages6-16

_________Azes

20a. What was -- doing MOST OF THE PAST 12 MONTHS - (For males): wwrki.g or &.9 .*.9 ,[,,?

If “’something else,” aslc (For females): kscping Imuaa, wmfing, w doing

b. Whet wos -- doing? Sunathing ●I se?

If 45+ yaws and waa not “working, “ “keeping house,” or “going to school,” askC. IS -- ~atimd?

d. If ‘“retired,” aslc Did hc r.tir. b.cans. Of his haal~?_______________________________________________________________________ .21a. What was -- doing MOST OF THE PAST 12 MONTHS - going to school or doing something ●lsa?

If “something else;’ aslcb. What was -- &in~?_______________ _______________________________________________________ .

unh 6 I . . ..-—

—15.

I16b

II

d

1

17b,

1

i

18..---

b.---

c..-.

d.---

. .--

i19..

--b.

20.h

21.

00 ❑ None -h I

_ Number of visits (Np) I

_Number of calls (NP) I

❑ Pregnancy (lSe)

a NO condition------------------- 1

Y N (NP)-------------------

Enter cof&i~8$ Jim C

- —-----------------

Y (18c) N (NP)___________________

Y N (18d)-------------------

enter condithn In item C (18d) I

10 ❑ None I— Number of visits-------------------

.___.-_L---❑ 2-week DV

❑ Past 2 weeks

};

Marknot reported ‘“12 km.(15 and 18) ;V;pbclx

❑ 2 wks.-6 MO,. ~,um.

J❑ over 6-12 m.,.

❑ I year

~ 2-4 years

~ 5+ years

~ Never

1 ❑ wor~nc(2Wz ❑ Keapinz house (25b)

3 ❑ Retired, health (24)

4 i_J Retired, c.tier (24)

5 ❑ ~ins to school (27)

60 17+ Somethln: else (24)

7 ❑ 6-16 sonmthing elsa (26)

---- ._.J%-n-l=g;;a;;zz)-------0 ❑ U nda! I (23)

PHYSICIAN VISIT PROBE QUESTIONS

67

CONDITION 1

Person number Name of condition

1

!. When did -- last see or talk to a doctor about his . . .?

I ❑ }e$piew I n Past 2 wks. (Item C) s I_J 2-4 yrS.

2 ❑ 2 wks. -6 mos.(Reask 2)

6 ❑ 5+ yrs.

3 ❑ Over 6-12 mos. 7 ❑ Never

4alyr. ‘ e u OK if Dr. seen

9 ❑ DK when Dr. ssen

41 IExamine “Name of condition” entry and mark

❑ Accident or injury (A2) n On Card C (AZ) ❑ Neither (3a)

If “Doctor not talked to,” record adequate description of and it ion.If “Doctor talked to,” ask

o. What did the doctor say it was? - Did ho givt N a medical nom-?

------------------------------------------------ .Do not ask for Cancer

b. What was the cause of. . .?

❑ Accident or injury (A2)------------------------------------------------ .If the entry in 3a or 3b includes the words:

Ailment Condition Disorder Troubl.Anemia cy.~ Growh Tw-m,

Asthma Defec* Mw*lms Ule.r

}

Ask c:

Attack Di semse Rupture

c. What kind of . . . is it?

------------------------------------------------For allergy or stroke, ask

d. How does the al Iergy (stroke) Gff.ct him?

-------------------------------------------------If in 3a-d there is an impairment or sny of the following entries:

Abscess Dwnq. Per+st’

Ache (except heedache) Growth Rupture

Bleeding Hemmfmge so.

Blood C!Ot lnf.ctlm %reness

coil Inflmwrmtlcm Tumor

I

Ask e

can c., Neuralgia Ulc*r

cramps (.X.** Neuritis Vo,l.ws. V. I..menstrual) Pal” Weak

cyst Palsy Weakness

e. What part of. the bady is affoctcd?

Show the following detail:

Head . . . . . . . . . . . . . . . . . . . . . skull, s=+f-Ba.k/.pln./..rtebra . . . . . . . . . . . upper, middle, I.wmEorcw eye . . . . . . . . . . . . . . . ..on. c.rbr.lhAm . . . . . . . . . . . . . . . . . . . . . oneorbth; sho.ldar, up=r,

1.1 bow, lower, wrist, hon

Leg . . . . . . . . . . . . . . . . . . . . . . . . .rbth; hip, upp*r, k...,lower, ankle, foot

The remaining questions will be asked as appropriate for the!

42 condition entered in:❑ Item I ❑ Q. 3b ❑ Q. 3d

-z4. During the past 2 weeks, did his . . . cause himto cut down on the things he usually does?

5. During that period, how many days did he cut

6. During that 2-week period, how many da s did1his . . . keep him in bad all or most of t ● day?

_ Days

00 u None

-?

. during that 2.weak period? (For females) notcounting work around the house?

8. How many days did his . . . keep him fromschool during that 2-week period?

9. When did -- first notice his . . .?

t u Last week 4 ❑ 2 weeks-3 months

z ❑ Week before s ❑ Over 3-12 months

s !7, Past 2 weeks-OK which 6 ❑ t-lorethan I 2 months ago

(Was it during tho past 12 months or before that time?)

(Was it during the past 3 months or beforo that time?)

(Was it during the past 2 w-ok. or before that time?)

t ❑ Not an eye cond. (A4) 30 First eye cond. (6+ yrs.) (1 O

A3 2 u First’eye condition 40 Not first eye cond. (A4)(under 6) (A4)

I10. Can -- s.. w.[1 .no”gh to raad ordinary newspaper

print WITH GLASSES with his

{ ‘** }

●y*?. .1Y 2N

right . . . . ..l Y 2N

a. First noticed during the past 2 weeks?

(Question ) . . . . . . . . . . . Y N (A5)

b, Doctor seen or talked to during the past 2 weeks?

A4 (Que.stion 2) . . . . . . . . . . . Y (Fill Nbuff form)

c. One or more cut-down days?

(Question 5). . . . . . . . . . . Y (Fill N (A5)blue form)

..—

FOOTNOTES

CONDITION PAGE

68

/45 I_JAccident or injury o Other (NC)

10. Did the occident happen during the post 2 years or befora thoi time?

❑ During the past 2 years ❑ Before 2 years {f2a)________________________________________________ .

b. When did the accident happen?

❑ Last week ❑ Over 3- I 2 months

❑ Week before ❑ l-2years

u 2 weeks-3 months

2a. Aithetime ofthcaccident what part of the body was hurt?What kind of in@ywas it? Anything else?

Part(s) of body Kind of Injury

k----------------+ -------------------------------I I

If accident happened more than 3 months ago, aak

b. What part ofth?body isaffecfed now?

How ishis--affcctwd? Isheaffecied inanvotherwov?

Part(s) of body Present affects

t t

---------------- ---_------— ____________________

, ,3. Where didtfm accident happen?

! ❑ At home (inside house)

znAthome (adjacent premises)

s I_J Street and highway (includes roadway and public sidewalk)

4 ❑ Farm

50 Industrial place (includes premises)

SUSchOol (includes premises)7 ❑ i%CC of recreation and sports, except at school

80 other (.$P=W ~

4. Was -- at work at his iob or business when the accidwit happened?

lY 3 l_J While in Armed Services

2N 4 n under 17 attime of accident

%. Was a car, truck, bus, orother motor vehiclcinvolved inthtaccidmt in ony way? lY 2 N (NC)_________________________________________________

b. Was mors than orm vchiclo involved? Y N-------------------------------------------------

c.Wasit(*ither ont)movinaatthc tire*? lY 2N

‘OOTNOTES

CONDITION PAGE

69

VITAL AND HEALTH STATISTICS PUBLICATION SERIES

C)riginaUy 1%ldic Heolth Service PUblication PJO. 1U(IO

Series 1. FWograms and collection fwoceduves, — Reports which describe the general progams of the NationalCenter for Health Statistics and its offices and divisions, data collection methods used, definitions,and other material necessary for understanding the data.

Series 2. Data evaluation and methods ~eseavch. — Studies of new statistical methodology including: experi..mental tests of new survey methods, studies of vital statistics collection methods, new anal~@caltechniques, objective evaluations of reliability of collected data, contributions to statistical theory.

SeVies 3. Analytical studies. —Reports presenting analytical or interpretive studies basedon vital and healthstatistics, carrying the analysis further than the expository types of reports in the Ctki series.

Series 4. Documents and committee yepoyts.— Final report~ of major committees concemeil with vital andhealth statistics, and documents such as recommended model vital registration laws and revisedbirth and death certificates.

Series 10. Data f70m the Health Intevview .%mev. —Statistics on illness, accidental injuries, disability, useof hospital, medical, dental, and other services, and other health-related topics, based on datacollected in a continuing national household interview survey.

Sevies 11. Data from the Health Examination SuTvey. —Data from direct examination, testing, and measure-ment of national samples of the civilian, noninstitutional population provide the bask for two typesof reports: (1) estimates of the medically defined prevalence of specific diseases in the LJnitedStates and the distributions of the population with respect to physical, physiological, a,ld psycho-logical characteristics; and (2) analysis of relationships among the various measurements withoutreference to an explicit finite universe of persons.

Series 12. Data from the Ins titutional Popukztion Suyvey.s —Statistics relating to the health characteristics ofpersons in institutions, and their medical, nursing, and personal care received, based on nationalsamples of establishments providing these services and samples of the residents or patients.

Se-ries 13. Datu @om the Hospital Dischmye Survey, —Statistics relating to di <c[-llrged patients in short-stayhospitals, based on a sample of patient records in a national sampk of hospitals.

Series 14. Data on health resources: manpowe~ and Facilities. —Statistics on the numbers, geoLqal)hic distri-bution, and characteristics of health resources including physicians, dentisw, nurses, other healthoccupations, hospitals, nursing homes, and outpatient facilities.

Series 20. Data cm mortality. —Various statistics on mortality other than as included in regular annual ormonthly reports —special analyses by cause of death, age, and other demo~maphic variables, alsogeographic and time series analyses.

Series 21. Data on natality, mawiage, and diuoyce. — Various statistics on nata~ity, marriage, and dii’orceother than as included in regular annual or monthly reports~pecial analyses by demographicvariables, also geographic and time series analyses, studies of fertility.

Sevies 22. Data fvom the National Natility and Mortality .%mveys. — Statistics on characteristics of birthsand deaths not available from the vital records, based on sample surveys stemming from theserecords, including such topics as mortality by socioeconomic class, hospital experience in thelast year of life, medical care during pregnancy, health insurance coverage, etc.

For a list of titles of reports published in thesq series, write to: Scientific and Technical Information BranchNational Center for Health StatisticsPublic Health Service, HRARockfle, Md. 20852