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Vital and Health Statistics Advance Data from Vital and Health Statistics: Numbers 121-130

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Vital and Health Statistics Advance Data from Vital and Health Statistics: Numbers 121-130 Vital and Health Statistics Advance Data From Vital and Health Statistics: Numbers 121-130 Series 16: Compilations of Advance Data From Vital and Health Statistics No, 13 Data in this reportfrom health and demqraphic surveys presentstatisticsby age and othervariables on ambulatorymedical care; prevalenceand impact of urinatyproblems; use of dental services; impaired senses of sound and light; visits to office-basedphysicians; and prevalenceof knowndiabetes, Estimates are based on the civilian noninstitutionalizedpopulationof the UnitedStates, These reportswere originallypublished in 1986 and 1987, LLS. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Sewice Centers for Disease Control and Prevention Notional Center for Heatth statistics Hyattsville, Ma~and December 1993 DHHS Publication No. [PHS) 94-1872 ..— —.. ..— Copyright information All material appearing in this report is in the public domain and may be reproduced or copied without permiaaion; citation aa to source, however, is appreciated. Suggested citation National Center fOr Health Statistics. Advance data from vital and health statistics: numbers 121 –1 30. National Center for Health Statistics. Vital Health Stat 16(13). 1993. National Center for Health Statistics Manning Feinleib, M.D., Dr,P.H., Director Jack R. Anderson, Deputy Director Jacob J. Feldman, Ph. D., Associate Dlirectorfor AnaZysis and Epidemiology Gail F, Fisher, Ph.D., Associate Director for Planning and Extramural Programs Peter L. Hurley, Associate Director for P7tal and Health Statistics Systems Robert A. Israel, Associate Director for International Statistics Stephen E. Nieberding, Associate Director for Management Charles J. Rothwell, Associate Director for Data Processing and Services Monroe G. Sirken, Ph.D., Associate Director for Research and Methodology David L. Larson, Assistant Directoq Atlanta Aging in the Eighties, Prevalence and Impact of Urinary Problems in Individuals Age 65 Years and Over, Prelimina~ Data From the Supplement on Aging to the National Health Interview Survey: United States, January-June 1984 . No. 121 Useof Dental Services: United States, 1983.. No. 122 The Management of Chronic Pain in Office-Based Ambulatory Care: National Ambulatory Medical Care Survey . No. 123 Aging in the Eighties, Age 65 Years and Over–Use of Community Services, Preliminary Data From the Supplement to the National Health Interview Survey United States, January-June 1985 . No. 124 Aging in the Eighties, Impaired Senses for Sound and Light in Persons Age 65 Years and Over, Preliminary Data From the Supplement on Aging to the National Health Interview Survey: United States, January-June 1984 . No. 125 Health Promotion Data for the 1990 Objectives, Estimates From the National Health Interview Survey of Health Promotion and Disease Prevention: United States, 1985 . No. 126 1985 Summary: National Hospital Discharge Survey. No. 127 1985 Summary National Ambulatory Medical Care Survey . No. 128 Visits to Office-Based Physicians by Hispanic Persons: United States, 1980-81 . No. 129 Prevalence of Known Diabetes Anong Black hericans . No. 130 ... Ill From Vital and Health Statistics of the National Center for Health Statistics Number 121 . August 27, 1986 Aging in the Eighties, Prevalence and Impact of Urinary Problems in Individuals Age 65 Years and Over Preliminary Data From the Supplement on Aging to the National Health interview Survey United States, January-June 1984 by Tamara Harris, M. D., M. S., Office of Analysis and Epidemiology Program Introduction answered the questions on the SOA for themselves. Of these 5,637 responded to the items regarding urinary problems, The National Health Interview Survey is the large con- The data in this report are from the 5,637 interviews com- tinuing survey of the civilian noninstitutionalized population of pleted during the first 6 months of 1984, which contain infor- the United States conducted by the National Center for Heakh mation on urinary problems. The data are preliminary because Statistics. Each year people in about 42,000 households are only one-half of the year is included and because the data from interviewed by U.S. Bureau of the Census interviewers to obtain the SOA have not been edited. Including the Ml year will double information about their health and use of health care. Dem- the size of the sample and make estimates more reliable, It will graphic information needed to interpret the data is also obtained. also eliminate any possibility of bias because of seasonality. The interviewers have special training on this survey in addition Editing will change some of the estimates from the SOA in the to their regular training, and response rates are high-about 97 text because information from other parts of the questionnaire percent. The only item with a relatively low response rate is or from other family members will be used to comect missing or family income. inconsistent information, In 1984 a special supplement was added to the question- The preliminsuy data about people aged 65 years and over naire to obtain Information about elderly people living in the are being published because the need for information about the community. This supplemen~ the Supplement on Aging (SOA), elderly is critical, and 5,637 people is a large enough sample to was designed to collect information about physical limitations, make estimates that are reliable for many purposes. The reader chronic conditions, housing retirement status, interactions with should use the material in the “Technical notes” before deciding family and organizations, use of community services, and other that differences not mentioned in the text are likely to be statis- health-related information about middle-aged and older people. tically significant. fie number of people in the sample is given All household members aged 65 years and over and a half in each table in addition to the national population estimates sample of those 55-64 years of age were asked the questions that are the base of the percent to make that sample. on the supplement themselves where possible. Another house- ‘Thepurposes of this report are to provide information about hold member was interviewed only when the selected person the prevalence of urinary incontinence in a community-based was unable to answer either because of physical or mental prot+ population of individuals aged 65 years and older and to delin- lems or was going to be away from the household for a longer eate the impact of the incontinence on quali~ of life and utiliza- period than the interviewer would be in the area. Response tion of medical services. rates to the SOA were also high. Of the 5,982 people aged 65 The information is presented separately for those aged years and over who were in interviewed households in Janusry- 65-74 years and for those aged 75 years or older. These advance June 1984,95 percent had complete interviews and 92 percent data should be interpreted cautiously because the number of U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service 2 individuals with urinary problems is still relatively small. When Of all those aged 65 years and older living in the commun- the full data are available for the SOA, more detailed analyses ity, 9 percent had difficulty controlling urination. Of those with by age, gender, and severity of urinary problem will be possible. difficulty, 74 percent had this difticuhy more than once a week and of these 78 percent had this difficulty daily. Less than 1 Background percent of the population over age 65 years responding to tiis survey had a catheter or a device to control urination. Surveys in the United Kingdom and the United States have For the purposes of this report, the following definitions of shown urinary incontinence to be a common medical problem urinary problems were used among older individuals. Estimates of prevalence vary from 5-15 percent in elderly persons in the community] and range to . Those with no difficulty controlling urination and without 40-50 percent for hospitalized and institutionalized persons.2’3 a catheter were considered continent of urine. These estimates vary widely depending on whether the defini- . The group with dif%culty controlling urination includes those tion of incontinence includes aspects of chronicity, frequency, with any degree of dlffkulty controlling urination as well intensity, timing, or costs and whether those whose inconti- as those with catheters. nence is related to immobility are included in the incontinent These’preliminary analyses are presented for persons in population. Data from those 65 years of age and over in the two age groups only: Ages 65–74 and ages 75 years and over. SOA were a.alyzed to provide an estimate of self-reported prevalence of urinary incontinence and to assess whether urinary incontinence may influence health care utilization and quality Demographic characteristics of life for those individuals in a national sample of community- There were over 15 million noninstitutionalized individ- dwelling elders. uals aged 65–74 years in the United States in 1984; 94 percent On the SOA, four questions were asked to ascertain con- had no dfilculty controlling urination (table 1). Of the 6 percent tinence focused on control of urination and frequency of diffi- who had a problem, 69 percent had a problem more than once culty controlling urination. These questions were as follows: a week For over 9 million noninstitutionalized individuals aged 1. Do you have difficulty controlling urination? 75 years or over, 87 percent reported no difficulty controlling 2. How frequently do you have this difficulty: Daily, several urination. Of the 13 percent who had a problem, 78 percent times a week, once a week, or less ‘than once a week? had a problem more than once a week. Prevalence of urinary 3. Do you have a urinary catheter or a device to help control problems increases with age, and the proportion reporting a urination? severe problem increases as well. 4. Do you need help from another person in taking care of Women were only slightly more likely to report problems this device? controlling urination than men, even with increasing age, despite Table 1.
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