Data from the Series 11 NATIONAL HEALTH SURVEY Number 212 Skin Conditions and Related Need for Medical Care Among Persons 1=74 Years United States, 1971-1974 DHEW Publication No. (PHS) 79-1660 U.S, DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Public Health Service Office of the Assistant Secretary for Health National Center for Health Statistics Hyattsville, Md. November 1978 NATIONAL CENTIER FOR HEALTH STATISTICS DOROTHY P. RICE, Director ROBERT A. ISRAEL, Deputy Director JACOB J. FELDAMN, Ph.D., Associate Director for Amdy.sis GAIL F. FISHER, Ph.D., Associate Director for the Cooperative Health Statistics System ELIJAH L. WHITE, Associate Director for Data Systems JAMES T. BAIRD, JR., Ph.D., Associate Director for International Statistics ROBERT C. HUBER, Associate Director for Managewzent MONROE G. SIRKEN, Ph.D., Associate Director for Mathematical Statistics PETER L. HURLEY, Associate Director for Operations JAMES M. ROBEY, Ph.D., Associate Director for Program Development PAUL E. LEAVERTON, Ph.D., Associate Director for Research ALICE HAYWOOD,, Information Officer DIVISION OF HEALTH EXAMINATION STATISTICS MICHAEL A. W. HATTWICK, M.D., Director JEAN ROEERTS, Chiej, Medical Statistics Branch ROBERT S. MURPHY, Chiej Survey Planning and Development Branch DIVISION OF OPERATIONS HENRY MILLER, ChieJ Health -Examination Field Operations Branch COOPERATION OF THE U.S. BUREAU OF THE CENSUS Under the legislation establishing the National Health Survey, the Public Health Service is authorized to use, insofar as possible, the sesw?icesor facilities of other Federal, State, or private agencies. In accordance with specifications established by the National Center for Health Statis- tics, the U.S. Bureau of the Census participated in the design and selection of the sample and carried out the household interview stage of :the data collection and certain parts of the statis- tical processing. Vital and Health Statistics-Series 11-No. 212 DHEW Publication No. (PHS) 79-1660 Library of Congress Catalog Card Number 78-11486 Library of Congress Cataloging h Publication Data Johnson, Mane-Louise T. Skin conditions and related need for medicaI care among persons 1-74 years, United States, 1971-1974. (Vital and health statistics: Series 11, Data from the National Health Survey; no. 212) (DHEW publication; no. (PHS) 79-1660) 1. Skin–Diseases–United States–Statistics. 2. Health surveys-United States. I. Roberts, Jean, joint author. II. Title. III. Series: United States. National Center for Health Statistics. Vital and health statistics: Series 11, Data from the National Health Survey, Data from the health examination survey; no. 212. IV. Series: United States. Dept. of Health, Education, and Welfare. DHEW publication; no. (PHS) 79-1660. [DNLM: 1. Skin diseases—Occurrence— United States. 2. Skin diseases–Pathology. W2 A N148vk no. 212] RA407.3.A347 no,, 212 [RL72] 312’.0973s [312’.35’00973] 78-11486 CONTENTS Introduction ........................................................................................................................................... 1 Dermatology Examination ..................................................................................................................... 3 Mycological Studies .......................................................................................................................... 3 Biopsies ............................................................................................................................................. 3 Photography ..................................................................................................................................... 4 Classification of Disease Conditions .................................................................................................. 4 Quality Control ................................................................................................................................. 4 Findings ................................................................................................................................................. 4 Prevalence ...................................................................................................................................... ... 4 Extent of Concern for Skin Pathology .............................................................................................. 10 Recurrence and Duration of Skin Pathology of Concern ................................................................... 14 Handicap From Skin Condition ........................................................................................................ 15 Discomfort From Skin Condition ..................................................................................................... 17 Adequacy of Treatment for Skin Condition ..................................................................................... 20 Comparison With Previous Studies .................................................................................................... 22 summary............................................................................................................................................... 24 References ............................................................................................................................................. 26 fist of Detailed Tables ........................................................................................................................... 27 Appendixes L Statisticrd Notes ............................................................................................................. .......... 48 IL The Dermatology Examination Form ....................................................................................... 60 III. Skin Pathology Classification and Glossary of Selected Terms .................................................. 67 LIST OF TEXT FIGURES 1. Prevalence rates for significant skin pathology and significant skin conditions among persons 1-74 years, by age: United States, 1971-1974 ...................................................................................... 2. Prevalence rates for significant skin pathology among persons 1-74 years, by age and sex: United States, 1971-1974 ........................................................................................................................ 3. Prevalence rates for significant skin pathology and significant skin conditions among persons 1-74 yea-s, by age and sex: United States, 1971-1974 ......................................................................... 4. Prevrdence rates for the 7 most frequently occurring types of skin pathology among persons 1-74 years, by sex: United States, 1971-1974 ...................................................................................... 5. Prevalence rates for the 4 most frequently occurring types of skin pathology among persons 1-74 years, by age: United States, 1971-1974 ...................................................................................... 6. Prevalence rates for the principaf types of skin pathology within each age group among persons 1-74 years: United States, 1971-1974 .......................................................................................... 7. Prevalence rates for the 4 most frequently occurring types of skin pathology among persons 1-74 years, by age and sex: United States, 1971-1971 ......................................................................... 8. Prevalence rates for significant skin pathology with occupationrd exposure among persons 18-74 years, by age and sex: United States, 1971-1974 ......................................................................... ... [11 9. Prevalence rates for skin conditions of concern (complaints), significant skin pathology not of concern, and nonsignificant skin pathoIogy of concern among persons 1-74 years, by age: United States, 1971-1974 .......... ...................................................... ...... ...................................... 11 10. Prevalence rates for skin conditions of concern (complaints) among persons 1-74 years, by age and sex: United States, 1971-1974 .................. ..... .......... ........................................................... .. 11 11. Prevrdence rates for the major types of skin conditions of concern (complaints) within each age group among persons 1-74 years: United States, 1971-1974 ........................................................ 13 12. Prevalence rates for the major types of skin conditions of concern (complaints) among persons 1-74 years, by age: United States, 1971-1974 ............ ................................. ................................. 13 13. Percent of persons 1-74 years with selected significant skin pathology who are concerned about the condition, by sex: United States, 1971-1974 ......................................................................... 14 14. Percent of skin conditions of concern (complaints) considered sociaf or employment-housework handicap by the individual or to be disfiguring to at least some extent by the examiner, by age: United States, 1971-1974 ............................................................................................................ 16 15. Percent of males and females 1-74 years with skin conditions of concern (complaints) rated as disfiguring by examiner or causing some type of handicap to the affected person: United States, 1971-1974 ......................................................................................................................