Sponsored by The National Council on Aging and CareSource Healthy Aging Briefing Series Trends in Health and Aging: Data for Grant Proposals and much more… WELCOME This session will begin promptly at 1:30pm ESTPlease mute your phonePersonal introductions are not necessaryThe moderator will be on the line shortly
Healthy Aging Briefing Trends in Health and Aging: Data for Grant Proposals and much more… Lena Gorina, MS, MPH Laurie Pratt, PhD National Center for Health Statistics Centers for Disease Control and Prevention www.cdc.gov/nchs/agingact.htm
Trends in Health and Aging is a bilingual (English and Spanish) NCHS web-site supported by NIA
What you can find on our web-site: 1. Navigation tools, contact information, featured Trends Featured Trends (coming)
What you can find on our web-site: 2. Resources: Power Point Presentations, Aging Trends reports, useful links, Teaching Modules
What you can find on our web-site: 3. Tables on a variety of topics, and 4. Instructions and hints on how to use the data.
Choose the topic you are interested in (diabetes) and type it in the Search Tables window or select the topic (e.g. Chronic Conditions)
Topic: Chronic Conditions. The list of the tables appears. First, see the “movie” on how to use the tables, then click on the title of the prevalence of chronic conditions table. MOVIE TABLE
Prevalence of major chronic conditions, 1997-2004. Two-year moving (rolling) average. Age – 65 years old and over (age-adjusted)
The prevalence of diabetes among persons age 65 and over increased from 13% in 1997 to 17% in 2004. View the data by race and Hispanic origin and/or by sex.
Rearrange the table to view it by age group. Some estimates are missing – put a pointer over to see why. Find the demographic group with highest prevalence.
Planning to use our data on the regular basis? Download the software and view the tables on your desktop
In 2002, the average annual health care expenditures of persons 65 and over with diabetes were $16,500. It was $10,300 for persons without diabetes.
Build a chart:In 2002, Medicare beneficiaries with diabetes and stroke had the highest health care expenditures, followed by those with mental disorder.
Draw a map: In 2002-2004, diabetes among older adults was most prevalent in Mississippi and West Virginia.
Click on the information iconto learn more about the source of the data, survey questions, or calculation methods.
What else can you do with these tables? • Nest data by age and sex. Sort data by state. See on-line tutorial for further details. • Download the data in Excel, comma-delimited, and other formats. • Perform statistical tests to compare the estimates and evaluate the trends. • Save on your desktop and work off-line. • View tables in Spanish.
Review our Teaching Modules on the American Society on Aging web-site www.asaging.org/nchs
Possible uses of the data from the Trends in Health and Aging web-site • Research • Teaching materials • Presentations • Reports • Grant proposals • Journalism • Health promotion programs • Planning and evaluation • Health care facility/agency planning • Student papers • Business planning • Marketing
Case study: Describing the mental health of older Americans • Mortality • Suicide • Alzheimer’s Disease • Prevalence • Health Care Utilization • Outpatient • Prescription drugs • Inpatient
Mortality from mental illness: National Vital Statistics System • The suicide rate of older men declined in the 1990’s. • Men 85 years of age and older have a higher suicide rate than any other age-sex group. • Alzheimer’s Disease, an important cause of death in the elderly, is mentioned (any mention) on the death certificate more often than it is cited as the underlying cause of death.
Suicide rates per 100,000 pop by sex and age in the year 2003 Age Source: NVSS
Mortality from Alzheimer’s Disease as underlying cause of death or any mention, by age, 2003 Death rate per 100,000 population Age Source: National Vital Statistics System
Serious Psychological Distress (SPD) • National Health Interview Survey • Six questions about frequency of symptoms of psychological distress (the K6) • Scores above cut-off point indicate psychological distress serious enough to cause impairment in social, occupational or school functioning
Prevalence of SPD in adults by age and sex: 2003-2004 NHIS Percent Age Source: National Health Interview Survey
Health Care Utilization • Outpatient • Person-based data: National Health Interview Survey (NHIS) • Visit-based data: drug mentions from the National Ambulatory Medical Care Survey (NAMCS) • Inpatient: National Hospital Discharge Survey (NHDS)
National Health Interview Survey: person-based data • Seeing or talking to a mental health professional in the past year • Persons over 65 years of age rarely consult mental health specialists. • The rate at which persons over 65 years of age consulted mental health professionals increased significantly between 1997-98 and 2003-04.
Contact with a mental health professional: NHIS 1997-98 and 2003-04 percent Age Source: NHIS
National Ambulatory Medical Care Survey (NAMCS): Drug mentions • Women are prescribed more central nervous system (CNS) drugs than men. • The rate of CNS drug mentions has increased greatly over the past 15 years. • Despite the lower rate of contact with mental health professionals among older people, older people are prescribed more CNS drugs than are younger people.
Central Nervous System Drug mentions by age and sex, 2003-04 Mentions per 100 population Age Source: NAMCS
National Hospital Discharge Survey (NHDS): Inpatient hospitalizations, length of stay • Length of stay for all diagnoses decreased between 1980 and 2003. • The rate of decrease of length of stay for diabetes and mental illness was similar. • The length of stay for hip fracture fell more precipitously.
Average LOS for persons 65+ (age-adjusted) by diagnosis: NHDS days year Source: NHDS
Please contact us – we will be happy to hear your questions and comments. By e-mail: firstname.lastname@example.org By phone: 301 458-4241
Don’t Forget Your Free Copy of Aging in Stride NCOA and Caresource are pleased to offer first-time registrants for this Healthy Aging Briefing Series a complimentary copy of the book, Aging in Stride, which includes the new supplement Just In Case: Emergency Readiness for Older Adults and Caregivers. To receive your copy, please visitwww.AgingInStride.org/NCOAoffer. Or just email email@example.com with your name, title, organization, mailing address, phone number, and date of the Briefing you participated in. One free copy per registrant, please.