Schoenborn Charlotte A, Vickerie Jackline L, Powell-Griner Eve
U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Division of Health Interview Statistics, Hyattsville, Maryland 20782, USA.
Adv Data. 2006 Apr 11(370):1-31.
This report highlights the health characteristics of four age groups of older adults-55-64 years, 65-74 years, 75-84 years, and 85 years and over-providing estimates by sex, race and Hispanic origin, poverty status, health insurance status, and marital status.
The estimates in this report were derived from the 2000-2003--National Health Interview Surveys' Family and Sample Adult questionnaires. Estimates are based on interviews with 39,990 sample adults aged 55 years and over.
Overall, prevalence rates for fair or poor health, chronic health conditions (with the exception of diabetes), sensory impairments, and difficulties with physical and social activities increased with advancing age, doubling or even tripling between the age groups 55-64 and 85 years and over. About one in five adults aged 55-64 years were in fair or poor health, rising to about one-third of adults aged 85 years and over. Men and women were about equally likely to be in fair or poor health across the age groups studied, but women were more likely to have difficulty in physical or social activities. Sociodemographic variations in health were noted across the age groups studied, with the most consistent and striking results found for poverty status and health insurance coverage. Poor and near poor adults and those with public health insurance were, by far, the most disadvantaged groups of older adults in terms of health status, health care utilization, and health behaviors.
Health status, health care utilization, and health-promoting behaviors among adults aged 55 and over vary considerably by age and other sociodemographic characteristics. Identifying these variations can help government and private agencies pinpoint areas of greatest need and greatest opportunity for extending years of healthy life among the Nation's seniors.
本报告着重介绍了四个年龄组老年人(55 - 64岁、65 - 74岁、75 - 84岁以及85岁及以上)的健康特征,并按性别、种族和西班牙裔血统、贫困状况、健康保险状况及婚姻状况提供了相关估计数据。
本报告中的估计数据源自2000 - 2003年的《国家健康访谈调查》中的家庭问卷和成人样本问卷。这些估计数据基于对39,990名55岁及以上的样本成年人的访谈。
总体而言,健康状况一般或较差、患有慢性健康疾病(糖尿病除外)、感官障碍以及身体和社交活动存在困难的患病率随年龄增长而上升,在55 - 64岁年龄组和85岁及以上年龄组之间增加了一倍甚至两倍。55 - 64岁的成年人中约五分之一健康状况一般或较差,而在85岁及以上的成年人中这一比例升至约三分之一。在所研究的各年龄组中,男性和女性健康状况一般或较差的可能性大致相同,但女性在身体或社交活动方面更易出现困难。在所研究的各年龄组中,健康状况存在社会人口统计学差异,其中贫困状况和健康保险覆盖情况的差异最为一致且显著。到目前为止,贫困和接近贫困的成年人以及拥有公共健康保险的成年人在健康状况、医疗保健利用和健康行为方面是老年人中最弱势的群体。
55岁及以上成年人的健康状况、医疗保健利用和健康促进行为因年龄及其他社会人口统计学特征而有很大差异。识别这些差异有助于政府和私人机构确定在延长美国老年人健康寿命方面需求最大和机会最大的领域。