prevalenceof chronicskin...

Data from theNATIONAL HEALTH SURVEY

Prevalenceof ChronicSkin

and MusculoskeletalConditionsUnitedStates-1976

Statistics on prevalence of chronic skin and musculoskeletal condi-tions by measures of impact of the conditions and selected demo-graphic characteristics. Based on data coIIected in the Health Inter-view Survey during 1976.

DHEW Publication No. (PHS) 79-1552

Series 10Number 124

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

Office of the Assistant Secretary for HealthNational Center for Health StatisticsHyattsville, Md. November 1978

Library of Congress Cataloging in Publication Data

B(lnham, C,orclon Scott.Prcvalcncc of chronic skin anti ]~]us(t]loskclrttll co[}(litiot)i.”[’t~itc(is(,II[., I!)T(i.

{Vital and health statistics: Series lo, I):it,i l’rom tll~ ,SJ[](Jn.Ll l[{,~ltll \lit-Jcl ; 1)(). 124)

(l) HEW publication; no. (PI IS) 79-1 552)l;dition for 1969 b> \l. 11. J+ ’ildcr.

Bibliography: p. 18.

1. Chronic diseases-~nitcd St:ttcs–Statistics. 2. Skill I)i>t,ijt> L)ll[((! Stat(s Statis-tics. 3. Nlusculoskeletal system l)iscascs--Unitcd St;itt>s Statistic>. 4. [ Ii.dth survc}s

United States. 5. United States–Statistics, lledicd. 1. li”ildm. il:~r~ 11. Prev:dcnct’ 01”chronic skin and musculoskcletal condition s,” Lnitcd .Statcs, 1969. 11. L_nitc(! Statrs.

National Center for Ilcalth Statistics. III. ‘1 itlc. If”, Scl-its: [“]litr(l St:ltcs. XationalCenter for Health Statistics. \~ital al~d health statistics: Scl-its 10. I)at ; l),). I ~4. 1’. stri~,: [“:liti,(l States.

I)ept. of Health, Education, and \\~clfarc. 1) II F41$’pul)litation: II(J. (P[i S ) 7!) 1552. [l).XI.A$I:1. Skin disc:~ses–occL( ~-l’cl~cc--Unitcd States. 2, \l\Ls(ular (Iis[

NATIONAL CENTER FOR HEALTH STATISTICS

DOROTHY P. RICE, Director

ROBERT A. ISRAEL, Deputy Director

JACOB J. FELDMAN, Ph.D., Associate DirectorforAndysk

GAIL F. FISHER, Ph.D., Associate Director for the Cooperative Hetdth 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 Management

MONROE G. SIRKEN, Ph.D., Associate Director for Mathematical Statktics

PETER L. HURLEY, Assoc&zte 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 Oficer

DIVISION OF HEALTH INTERVIEW STATISTICS

ROBERT R. FUCHSBERG, Director

ABIGAIL J. MOSS, Acting Chief Illness and Disability Statistics Branch

ROBERT A. WRIGHT, Chief Utilization and Expenditure Statistics Branch

CLINTON E. BURNHAM, Chiej Survey Planning and Development Branch

COOPERATION OF THE U.S. BUREAU OF THE CENSUS

Under the legislation establishing the National Health Sumey, 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 Division of Health Interview Statistics,the Bureau of the Census, under a contractual arrangement, participated in planning the surveyand collecting the datz

VitaI and Health Statistics-Series 10-NO, 124

DHEW Publication No. (PHS) 79-1552Library of Congress Catalog Card Number 78-10839

CONTENTS

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

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

Prevalence and Measures of Impact of Conditions ..................................................................................

Changes Between 1969 and’ 1976 ................................................................................ ..........................

Prevalence by Selected Demographic Characteristics ............... ...............................................................Eczem~ Dermatitis, and Urticaria, NEC ...........................................................................................Corns and Callosities ........................ ....................................................... ..........................................Diseases of Nail .................................................................................................................................Diseases of Sebaceous Glands, NEC ................... ......... ........................... ............................ ...............Arthritis, NEC ............................. ................................................................. ........................... ..........Synovitis, Bursitis, and Tenosynovitis ......................................................... .................................. ... .

References ............................................................... ............................. ...................................................

List of Detaifed Tables ...........................................................................................................................

Appendixes

b.m.

1.

2.

3.

A

B.

c.

D.

. Technical Notes on Methods ................................................................................................. .........Definitions of Certain Terms Used in This Report .................................. ........................................Questions Used To Obtain Information About Chronic Skin and Musculoskcletaf Conditions .......

LIST OF FIGURES

Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviewsper 1,000 persons, by age: United States, 1976 ......................... ................................... ..............

Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviewsper 1,000 persons, by sex: United States, 1976 ..................................................... .....................

Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviewsper 1,000 persons, by color: United States, 1976 .................. ........................................... ..........

LIST OF TEXT TABLES

Prevalence of selected cfuorsic skin and musculoskeletal conditions repor&ed in health interviews,number per 1,000 persons, percent of conditions by measures of impact, and duration ofdisability days in past year: United States, 1976 ............................... .........................................

Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviewsand percent of conditions for which a person has ever been hospitalized or is now under treat-ment or medkation: United States, 1976 .................................. .................................................

Prevalence of selected chronic skin and musculoskeletal conditions reported in hcafth interviewsand percent distribution of conditions by frequency of bed-disability days in past 12 monthsdue to the condition: United States, 1976 ................................................... ................................

Prevalence of selected chronic skin and musculoskeletaf conditions reported in health interviewsand percent distribution of conditions by frequency of physician visits in past 12 months forthe conditions: United States, 1976 ...........................................................................................

1

1

3

12

14141414141717

18

19

4[1

4853

15

16

17

4

5

6

7

...Ill

E. Prevalence of selected chronic skin and musculoskeletal conditions reported in health inter-views and percent distribution of conditions by frequency of bother: United States, 1976 ........ 8

F. Prwalence of selected chronic skin and muses.doskeletzd conditions reported in health interviewsand percent distribution of conditions by degree person bothered by condition: United States,1976 ............................................................................................................................................ 9

G. Number of selected chronic skin and musculoskeletal conditions reported in health interviewsas causing bother and percent distribution by degree person bothered by condition: UnitedStates, 1976 ................................................................................................................................. 10

H. Prevalence and incidence in past 12 months of chronic skin and musctdoskeletal conditions re-ported in health interviews and percent incidence is of prevalence: United States, 1976 ............ 11

J. Prevalence and incidence per 1,000 persons of selected chronic skin and musculoskeletal condi-tions: United States, 1976 and 1969 .......................................................................................... 12

K. Number of restricted-activity days and bed days in the preceding year for selected chronic skinand musculoskeletaf conditions: United States, 1976 and 1969 ................. ........ .......... ...... ......... 13

SYMBOLS

Data not available—--—-----—-—–-——---- ---

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

Quantity zero----—-----------–-------—-- -

Quantity more than Obut less than 0.05----- 0.0

Figure does not meet standards of

reliability or precision (more than

30 percent relative standard error) -------- *

iv

PREVALENCE OF CHRONIC SKIN AND

MUSCULOSKELETAL CONDITIONS

Gordon Scott Bonham, Ph.D., Division of Health Interview Statistics

INTRODUCTION

The prevalence of chronic skin and musculo-skeletal conditions among members of thecivilian noninstitutionalized population wasmeasured in the HeaIth Interview Survey during1976. Prevalence estimates and measures of theeffect of these conditions on the populationcovered by the survey are presented in thisreport. Information on the same set of chronicconditions was collected during 1969 and pub-lished in a previous report. This report comparesthe 1976 data with the earlier information anddiscusses changes over the 7 years in the report-ing of prevalence of chronic skin and musculo-skeletal conditions.

Permanent impairments to the skin or mus-culoskeletal system are not covered in thisreport. Impairments are cluonic or permanentdefects resulting from diseases, injuries, or con-genital malformations. They have been treatedseparately from other conditions by the U.S.Public Health Service through a special codingscheme that groups them according to type offunctional impairment and etiology. Data onimpairments to the skin or musculoskeletalsystems in 1971 have been published $2 andwere collected again in 1977.

Arthritis was the most prevalent chronicmusculoskeletal condition, affecting 117 ofevery 1,000 persons in 1976. Of persons 65years of age or over, 437 of every 1,000 wereaffected. Arthritis bothered the person a greatdeal in 31 percent of the cases and caused theperson to limit activities in 20 percent of the

cases. The reported prevalence of arthritis in-creased between 1969 and 1976. In addition,the average number of bed days and the numberof restricted-activity days per condition in-creased during -the same time period.

Displacement of intervertebral disc had agreater effect on the person than any otherchronic musculoskeletal condition. In half of thecases it restricted the person’s activities andresulted in an average of 8.4 days in bed peryear. Although it affected only 13 of every1,000 persons in 1976, displacement of inter-vertebral disc has increased in both reportedprevalence and personal impact since 1969.

An increase in the reporting of eczema,dermatitis, and urticaria between 1969 and1976, resulted” in these -conditions being themost prevalent chronic skin conditions in 1976.Eczema, dermatitis, and urticaria affected about37 of every 1,000 persons in 1976. The impactof these conditions also increased, although only3-4 percent of the cases were reported in 1976to limit the person’s activity or to cause theperson to spend a day in bed.

SOURCE OF DATA

The information presented in this report onthe prevalence of chronic skin and musculoskele-tal conditions is based on data collected in theHealth Interview Survey, a continuing nation-wide survey conducted by household interview.Each week a probability sample is interviewedby trained personnel of the U.S. Bureau of the

1

Census to obtain information about the healthand other characteristics of each member ofhouseholds in the civilian noninstitutionalizedpopulation of the United States.

During 1976 the sample was composed ofapproximately 40,000 households containingabout 113,000 persons living at the time of theinterview. The total noninterview rate was about3.7 percent–of which 2.1 percent was due torespondent refusal, and the remainder was pri-marily due to the failure to find an eligiblerespondent at home after repeated calls.

A description of the design of the survey,the methods used in estimation, and generalqualifications of the data is presented in appen-dix I. Because 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 “Reliabil-ity of Estimates. ” However, where an estimatednumber or the numerator or the denominator ofa rate or percentage is small, the sampling errormay be high. Appendix II presents definitions ofcertain terms used in the report. Appendix 111contains facsimiles of portions of the question-naire used to obtain information about chronicskin and musculoskeletal conditions. A facsimileof the entire questionnaire used during 1976 isin appendix III of the report, “Current Esti-mates From the Health Interview Survey, UnitedStates, 1976.”3

The prevalence estimates of chronic skin andmusculoskeletal conditions as presented in thisreport are likely underestimations of the preva-lence of these conditions in the population. Therestriction of the survey to the civilian popula-tion not confined to institutions reduces theprevalence estimates since the proportion ofpersons with chronic conditions in institutions ishigh. A survey of nursing home residents in1973-74 showed that 342.5 per 1,000 residentswere reported to have chronic arthritis orrheumatism.4

Methodological studies have shown thatchronic conditions are generally underreportedin interview surveys. Findings of several of thesestudies are summarized elsewhere.1 Respondentsin health interviews can report only thoseconditions of which they are aware and whichthey are willing to report to the interviewer.

Reporting is better for those conditions thathave made an impact on the affected individualand his family. Conditions that are severe,costly, or require treatment tend to be betterreported than conditions having less impact.For instance, a condition that has caused hospi-talization, Imitation of activity, visits to thedoctor, or days in bed is more likely to bereported in the interview than a condition thathas little or no impact on the person. Method-ological studies have also indicated that inclu-sion of a checklist of descriptive condition titlesas part of the questionnaire will increase theprobability that a respondent will recognize theterms and report those of which he is aware. Ofcourse, the diagnostic accuracy of reportedconditions depends on the information therespondent remembers that the attending physi-cian has passed on to the family, or in theabsence of medical attendance, on the previousexperience or education of the family.

Adjustment cannot be made for the nonre-porting of conditions, limitation of activity, ordisability days. This report does consider non-reporting of other items either by showing thenumber of conditions with a nonreported orunknown characteristic, or by basing a, percenton those conditions with known characteristics.This latter procedure, used in tables A and B,assumes that the conditions with unknowncharacteristics are distributed in the same way asthose with known characteristics. The unknownswere handled differently in the 1969 report sothat comparison of table B and columns D, E,and F of table A should be made with caution.

Although effort was made to collect infor-mation on chronic skin and musculoskeletalconditions by identical methods” in both 1969and 1976, differences may have emerged thatwere not anticipated. One planned differencewas the emphasis on the terms “repeated” or“trouble” when included in the list of condi-tions in 1976. The interviewer emphasis on thesewords probably resulted in lower reporting ofbunions, corns, and calluses, but not of anyother conditions. Also, people being interviewedmay have had different perceptions of thequestions in the 2 years or answered them indifferent ways. Changes in a reported prevalenceor impact may not reflect a change in the actualprevalence or impact of the condition bmt could

2

be partly or wholly due to changes in diagnosisof disease, medical awareness or knowledge ofthe population, or reporting in the householdinterviews.

Conditions reported in the interview werecounted as chronic if they appeared on the listof those conditions always considered to bechronic regardless of onset or those that hadtheir onset more than 3 months prior to theweek of interview and lasted more than 3months. The chronic conditions reported in thismanner are all assumed to be present at the timeof interview. These condition groups have beencoded to categories in the Eighth RevisionInternational Classification of Diseases, Adaptedfor Use in the United States (ICDA).5

Within each of the condition groups shownin table A, the prevalence estimate, although anestimate of the number of conditions, may beinterpreted as a count of persons with eachcondition since persons would rarely have morethan one condition within one of the conditioncategories. However, the same person may havea condition in more than one of the conditiongroups. For instance, 27,050,000 arthrkis,rheumatism, and gout conditions were reportedby 26,625,000 people in 1976. Additional”dis-cussion “of multiple conditions per person isavailable in the earlier report.1

In this report, terms such as “similar” and“the same” mean that no statistical significanceexists between the statistics being compared.Terms relating to difference (i.e., “greater,”“less,” etc.) indicate that differences are statis-tically significant. The t-test with a critical valueof 1.96 (0.05 level of significance) was used totest aII comparisons that are discussed. Lack ofcomment regarding the difference between anytwo statistics does not mean the difference wastested and found to be not significant.

PREVALENCE AND MEASURESOF IMPACT OF CONDITIONS

The term “prevalence” means the number ofsome item existing at a given point of time; thisterm is often stated as “point-prevalence.”Chronic conditions reported any time during the12 months prior to interview were considered tobe present at the time of interview. Table A

shows the prevalence per 1,000 persons of 11groups of chronic skin and 7 groups of chronicmusculoskeletal conditions reported in healthinterviews. The prevalence rates were the num-ber of reported conditions in the group per1,000 persons in the civilian noninstitutionalizedpopulation.

The 11 skin disease categories shown in tableA encompass all of the chronic skin diseasesreported in health interviews in 1976. Estimatesfor neoplasms of the skin were not published for1969 because experience suggested neoplasms ofany kind were seriously underreported in house-hold interviews. Estimates of skin neoplasms areincluded in this report for 1976 because thereporting of skin neoplasms was found to beconsistent with other data.=

AIthough the majority of the musculo-skeletal condition data collected in 1976 areshown in this report, a residual category contain-ing an estimated 387,000 conditions is notpresented. These were excluded because of thevague and varied nature of the conditionscontained in this category and because manyconditions which might seem to be in thiscategory are classified as impairments. Thisreport also excludes estimates of malignant orbenign neoplasms of the muscuIoskeletal systembecause of the assumed poor reporting of mostneoplasms in household health interviews.

Shown in table A are measures of the impacton the person of skin and musculoskeletalconditions. For example, 20.3 percent ofarthritis conditions caused the person to limithis activity; 9.7 percent of arthritis conditionscaused the person to spend at least 1 day in bedin the past year. A doctor had been seen at sometime for 79.4 percent of arthritis conditions andfor 50.0 percent of them a physician had beenseen in the past year.

The average number of restricted-activitydays per person caused by arthritis was 15.3.Among these restricted-activity days were an

aThe Third National Cancer Survey in 1971-72 foundthe incidence of skin neoplasms among Caucasians infour areas to range from 1.2 to 3.8 per 1,000 popula-tion.6 The incidence of skin neoplasms for white personsis 1.6 per 1,000 population based upon the datacollected in the Health Interview Survey.

3

Table A, Prevalenc8 of selected chronic skin and rmmukxkeletal conditions reported in health interviews, number per 1,000 persons, percent of conditions by measures of impact,and durar ion of disability days in past year: IA ited States, 1976

Chronic condition and ICDA code

Skin—

Dermataphytosis and dermatomycoses .,,,,..,.., .........1... .......l 10,111Neoplasms of the skin ... ...... ...... ...... ...... ... ... .. ....1 72.173 ,216,232.2Chronic infections of skin and subcutaneous tissue. NEC ... . ......680-

682, 684+386Eczema, dermatitis, and urticaria, NEC.,..,..,..,..693 .. ... ...693 -S93. 708Psoriasisand similar disorders ............... ... ... ... ... ... ..... ... ...... ...... ...696Other inflammatory conditions of skin and subcutaneous tis-

SUe.. .. .... .. .... .. .... .. ...... ...... .. .... .. .... ......................694. 695,697,698Corns and callosities .... .. ...... .................. .. .... .. .... .. .... ........ ............7OOOther hvpertrophic and atrophic conditions of skin ... .. .. ...... ... ...7o7Diseasesof nail .... .. ...... ........ .... .. .. .. .. .... .. .................. ... ... .. .... .. ......703Diseasesof sebaceous glands, NEC lac”e) ... ...... ...... .. .... .. .. .. .. ......706Other diseasesof skin and subcutaneous tissue, NEC .... .. ...... .....7O2.

704,705, 707,709 .1,709.9,709.0 part

Musculoskeletal

Arthritis, NEC ..... ...... .. .. .. .. .. .. .. ...... .. .... .. .... .. .... .. ...... . .... .. .....71 G-716Rheumatism, nonarticular and unspecified ..,.., .......... ...... .. .... ....716.

717.0,717.1,717,9,718Osteomyelitis and other diseasesof bone .. .. ... ... ...... .. ...._...72O-723Displacement of intervertebral disc .. ...... .. .... .. .... .. ............ ... ..... ...725Bunion .... ... ... ...... ............ ...... .. ... ... .... .. ............ .. ... ... ...... ...... ..... ...73oSvnovitis, bursitis, and tenosynovitis ........... ..... ... .... ........... ........731

Prevalence

A

Inthou-sands

5981,100

2807,7431,604

1,9645,5631,6064,2345,453

1,217

24,573

8331,6872,6381,6534,0111,644

B

Numberper

1,000persons

2.85.2

1.336,8

8.6

9.326.5

7.620.125.9

5.8

116.7

4.08.0

12.56.8

19.07.8

Percent of condition-

C

Causinglimita-tion ofactivity

+3.03.4

‘7.93.05.7

“1.6‘0.6“0.4+0.4“0.4

4.8

20.3

9.718.249,0‘0.9

5.019.4

D

With 1bed

day ormore in

pastyearl

‘1 ,48.4

25.63.62.3

“0.71.2

‘O .62.72.8

4.4

9.7

14.215.432.4

5.211.216.5

E

Withdoctor

everseenz

78.490.4

89.785.688.3

EQ.434.753.342.273.2

74.7

79.4

73.693.095.441.287.194.7

F

With 1physi-

cianvisit ormore in

pastyearz

43,479,0

70.652.242.6

33.918.728,422.652.1

46.5

50.0

42.156.549.621.151.968.2

G

Restricted-act iviwdays per

per year

●1.35.8

●12.94.03.4

“1.52.5

“0.61.71.4

7.5

15.3

15.115.729.2

5.28.1

16.6

Disability days

H

Beddaysper

condi-tionper

year

●.

“2.0

“3.3“0.6“0.8

“0.3‘0.5

. .

‘0.2“0.5

5.2

4.2

●2.64.38.4

“1.0●1.2

4.7

I

3ed daysper bed-

dis-ablingcondi.

tionper

vear3

. .

●2,4.3

“14.0‘17.4‘37.1

“413.8‘ 3!3.0..

“6.8‘18.6

“12’I .8

44.0

“16.529.628.8

“19.8‘10.5

25.7

J

Nork-10s5

daysper

:ondi -tionper

year

. .

“0.8

“0.9‘0.3‘0.4

●.

‘0.1●.

‘0.0‘0.3

. .

0.6

“0.2“0,3

3.2“0.1“0.5‘0.3

lPercentages are based “PO” persons reporting bed days..2Perce”tages are based upon persons reporting whether m not a doctor had been seen.3This figure is obtnined by dividing the annual volume of bed days (used in computing colmnn H) by the number of persons with tbe condition who reported one or more bed

days in the year (column D).

NOTES: When a figure is show” with an asterisk, it is presented only for the purpose of combining with other celIs. A“ estimate will have a relative smndwd error less than 30percent when the aggregate is at least 35,000,

NEC = Not elsewhere classifiable.

average of 4.2 days in bed and 0.6 days lostfrom work. The 4.2 days in bed, however, are duesolely to the small number of conditions thatcaused any days in bed. An average of 44.0 days

in bed were required by arthritis conditions thatwere severe enough to produce any bed-disability days.

The average numbers of disability daysshown in table A were computed by dividing theannual volume of the particular type of dis-ability days attributed to the condition by thenumber of conditions reported. The disabilitydays are based upon a 2-week recall periodinflated to a yearly estimate, whereas thedenominator is based upon reporting for the full12 months. The small proportion of chronic skinconditions that cause disability days makes mostof the disability day figures unreliable for thesecategories of conditions.

Eczema, dermatitis, and urticaria were themost frequently reported among skin. condi-tions, reported by 36.8 per 1,000 :persons.However, only 3.6 percent of these conditionsrequired the person to spend 1 day or more inbed during the past year. In contrast, chronicskin infections were reported by 1.3 persons per1,000, but about one-fourth of these conditions(25.6) resulted in the person being confined tobed at least 1 day during the past year.

Among musculoskeletal conditions, arthritiswas the most frequently reported condition.However, displacement of the intervertebraldisc, which was less frequently reported, was 2Yztimes as likely to cause limitation of activity aswas arthritis (49.0 and 20.3 percent, respec-tively) and proportionately 4 times as likely torequire at least 1 day in bed during the past year(32.4 and 9.7 percent, respectively).

4

The percent of skin and musculoskeletalconditions requiring hospitalization at any timeprior to interview is shown in table B along withthe percent under medical treatment. Amongchronic skin conditions, ordy neoplasms of theskin and infections of the skin and subcutaneoustissue required a substantial amount of hospitali-zation (12.2 and 19.4 percent, respectively).Among musculoskeletal conditions, 48.5 percentof the displacement of intervertebral disc and21.4 percent of osteomyelitis and other diseasesof the bone required hospitalization. An esti-mated 66.0 percent of persons with gout re-ported that they took medicine or used someother form of treatment recommended by adoctor, and 51.3 percent of persons reportingpsoriasis and similar disorders were undermedical treatment.

Few skin conditions resulted in bed dis-ability in the 12 months preceding interview(table C). The bed-disability days shown in tableC are based on a 12-month reference period (seeappendix III, question 15a). Musculoskeletalconditions were much more likely to haverequired days in bed. Among the musculoskele-tal conditions, persons with displacement ofintervertebral disc spent the most amount oftime in bed with 16.0 percent spending 8 daysor more in bed during the year (the percentwould be higher if the unknowns had beeneliminated from the table).

Among persons with musculoskeletal condi-tions, five or more visits to physicians during theyear were reported by 17.8 percent of thepersons with gout and by 17.6 percent ofpersons with displacement of intervertebral disc

Table B. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews and percent of conditions forwhich a person has ever been hospitalized or is now under treatment or mad ication: United States, 1976

Selected chronic condition]

Skin

Dermatophytosis and dermatomycoses ... . .... .. .. .... .. .. .... .. .. .... .. .. .... . .. .... .. .. ... .. .. .... . .. .... . .. .... .Neoplasms of the skin ... .. .. .... .. .. ..... . .. .... .. .. .... .. .. .. .. . .. ..... . .. .... .. .. ... ... .. ... .. .. .... .. . ..... .. . .... . .. ....Chronic infections of skin and subcutaneous tissue, NEC ..... .. . .... .. .. ..... .. ..... . . ..... .. .. ... .. .. ...Eczema, dermatitis, and urticaria, NEC .. .. .. .... .. .. .... .. . .... .. ... .... .. . ... .. .. ... ... .. .... . .. ... .. ... ... .. .. ...Psoriasis and similar disorders .. ... ... ... . ..... . .. .... .. .. .... .. .. ... .. .. ..... . .. ..... . .. .... . ... ... . .. ..... . .. .... . .. ...Other inflammatory conditions of skin and subcutaneous tissue ... .. .. .... .. .. ... .. .. .... .. .. .... . . ...Corns and callosities .. ..... . ... .... .. .. .... .. ... ... .. . ..... .. .. .... .. . ..... . ... ..... . . ..... . .. .... .. .. .... . .. .... ... . .... .. . ..Other hypertrophic and atrophic conditions of skin ... ... .. .. ..... . .. .... .. .. ... ... . .... .. ... .. ... . .... .. . ..Diseases of nail . ... .... .. .. .... . ... ..... .. . ... ... .. .... .. .. .... .. .. .... . .... .. ... .. .... . .. .... . ... .... .. . .... .. . .... .. .. .... .. . ..Diseases of sebaceous glands, NEC (acne) .. .. .... . .. ..... .. .. ... ... . ..... . .. ... ... .. ... ... . .... . .. .... . .. .... .. ...Other diseases of skin and subcutaneous tissue, NEC .. .. .. ... .. ... .. ... ... .. .. .... . ... ... .. .. ... .. . .... .. .. .

Musculoskeletal

Arthritis, N EC .... . .. .... ... . ...... . ... .. ... . ..... . ... ..... .. . .... . .. .... .... . .... . .. .... .. .. .... . ... ... .. .. ... .. . . .... .. . .... .. .Rheumatism, nonarticular and unspecified ... .. .... .. ..... .. .. ..... . .. ... ... . .... .. .. .... . .. .... . .. .... .. .. ... .. .Osteomyelitis and other diseases of bone ..... . . ..... . ... .. .... ..... .. .. .... .. . .... .. ... ... . .. ..... . .. ... .. .. .... ..Displacement of intervertebral disc ... .. .. ... .... .. ..... .. .. ..... . .. .... .. .. ... ... . .... .. .. .... .. . .... .. .. .... ... ... ..Bunion .... .. .... . ..... . ... ..... .. . ..... .. .. ..... . .. .... . ... .... .. ... .. ... .. .... . .. ..... .. . .... .. . ..... . ... ... .. .. .... . .. .... ... . ....Synovitis, bursitis, and tenosynovitis ... ... . ..... . .. .... ... .. ... . ... .... .. .. .... .. . .... .. ... .. .. .. .... . .. ..... .. . .. ..Gout ... . .... .... .. ... ... ... . ..... . .... .... . .. .... . ... .... ... . .... . .. .... ... . ..... . .. .... .. .. .... .. . .... .. .. .... .. . .... .. .. ... ....... .

Ir.ee table A for ICDA codes..2per~e~t~~ebased upon persorrsmm%.

Prevalencein

thousands

5981,100

2807,7431,8041$64

5,5831,6064,2345,4531,217

24,573833

1,6872,6381,8534,0111,644

wcent2 of conditions for which—

Everhospitalized

*3.612.219.4

2.85.1

“0.91.5

●1 .43.03.05.5

7.87.6

21.448.5

7.06.2

11.6

Now undertreatment ormedication

recommendedby a doctor

34.315.317.942.151.329.3

6.925.5

5.931.332.1

39.530.125.628.6

6.621.366.0

NOTES: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate wilIhave a relative standard error less than 30 percent when the aggregate is at least 35,000.


5

Table C. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews and percent distribution ofconditions by frequency of bed disability days in past 12 months due to the condition: United States, 1976

Selected chronic condition 1

Skin

Dermatophytosis and dermatomycoses .... .. .. .... .. .. .... .. ... ..... .... ... ... .. .... .. .. .... ... . ...Neoplasms of the skin .... .. ... .... .. ... ... ... . ..... .. .. ... .. . .. .... ... .. .... .. .. .... .. ... .... . ... ... ... .. ...Chronic infections of skin and subcutaneous tissue, NEC ... .. ..... .. .. .... ... . ... ... .. ...Eczema, dermatitis, and urticaria, NEC .... .. ... ... .. ... ... ... .. ..... . .. .... .. ... .... .. .. .... ... . ...Psoriasis and similar disorders . . ... ..... .. . ..... . ... ..... .. .. ... .. ... .... .. ... ... .. ... .... .. ... ... .. .. ...Other inflammatory conditions of skin and subcutaneous tissue .. . ..... . .. .. .... .. .. ..Corns and callosities .. ..... . .... .... . .. .... .... . .... ... .. ... ... ... .... .. .. .... . ... .... .. ... ..... .... .... .. . ...Other hypertrophic and atrophic conditions of skin ... .. .... .. ... .... .. .. ..... .. .. .... .. . ...Diseases of nail .. .... .. .. ..... .. .. ..... .. . ..... ... . .... .. ... ... ... . ...... .. .. .... .. .. ...... . .. ..... . ... .... .. ... .Diseases of sebaceous glands, NEC (acne) . ... ... ... .. ..... .. .. ... ... .. .... ... .. .... .. .. ..... .. .. ..Other diseases of skin and subcutaneous tissue, NECK .... .... .. .. .... ... . ..... . .... ... .. .. .

Musculoskeletal

Arthritis, NEC ...................................................................................................Rheumatism, nonarticular and unspecified .. .... .. .. ..... ... . .... .. ... .... ... .. .... .. .. ..... . .. ..Ostaomyalitis and other diseases of bone .. ... .... .. .. .... .. ... .... ... .. ... .. ... .... ... .. .... .. . ...Displacement of intervertebral disc .... . .... .. .. ..... .. .. .... ... .. ..... . .. ..... .. . ..... .. ... ..... . .. ..Bunion .. .. ...... .. .. ... .. ... ..... . ... ..... .. . .... .... . ..... . ... .... ... .. ..... .. . ..... . ... .... ... .. .... .. .. ..... . .. ..Synovitis, bursitis, and tenosynouitis .. ..... .. .. .... ... . ..... ... . ..... . ... .... ... .. ... ... .. .... .. . ...Gout ... . .... .... .. . ..... .... . .... ... .. ..... . ... .... ... . .... ... .. .... ... . ..... .. ... .... . ... .... .. .. ..... .. .. ..... . .. ..

Preva-lence in

thou-sands

5981,100

2807,7431,8041,9645,5831,6064,2345,4531,217

24,573833

1,6872,6381,8534,0111,644

Total

100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0

100.0100.0100.0100.0100.0100.0100.0

Number of bed days-

tone

91.688.467.591.497.498.498.098.396.396.591.5

89.284.679.860.994.487.080.2

1-7

~o.35.6

13.92.9

*1.3*0.40.9

‘0.52.52.4

fil,5

5.37.98.0

13.22.68.4

10.8

8 ormora

*l

Table D. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews and percent distribution ofconditions by frequency of physician visits in past 12 months for the conditions: United States, 1976

Selected chronic condltionl

Skin

Dermatophytosis and dermatomycoses ... ... .. . ..... . ... .. . .... . .. ... .. .. .. .. . ... ...Neoplasms of the skin . .. ... .. .. ... .. . .... . .. ... .. . ... .. . ... .. . .... . . .... . .. ... .. .. ... .. . ... ..Chronic infections of skin and subcutaneous tissue, NEC ... .. .. .. ... . .... .Eczema, dermatitis, and urticaria, NEC .. .. .. .. .. .... . .... . .. .... . . ... .. .. ... .. . .... .Psoriasis and similar disorders .. .. ... .. .. .. .. ... .. .. .. .... .. ... .. . ... . .. ... ... . ... .. . ... ..Other inflammatory conditions of skin and subcutaneous tissue . . .. .. ..Corns and callosities .. .. .. ... .. .. ... . . .... .. .. ... .. . ... .. . ... .. .. ... .. . ... .. .. ... .. .. ... . . ... ..Other hypertrophic and atrophic conditions of skin .. .... .. .. ... .. . ... . .. ... .Diseases of nail .... .. .. .. .. .. .... . .. ... .. . ... .. ... .. .. .. ... .. . .... . .. ... . .. .... ... ... .. . ... .. . ....Diseases of sebaceous glands, NEC (acne) ... . . .... .. . .. .. . .. ... . .. .... .. . ... .. . ....Other diseases of skin and subcutaneous tissue, NEC .. ... .. . .... .. . ... . .. ....

Musculoskeletal

Arthritis, NEC ..... .... .. .. . ... ... . .... .. . ... .. .. ... ... . ... . .. .... . .. ... . ... ... . .. ... .. . .... . .. ...Rheumatism, nonarticular and unspecified ... . .... . . .... .. .. .. ... . .... . . .... . .. ...Osteomyelitis and other diseases of bone . .... . . .... . .. .... . .. .. .. ... .... .. .... .. ...Displacement of intervertebral disc ... ... .. .. ... . .. .... . .. .... . .. .. .. .. .... . . .... . .. ...Bunion .. .. . ..... . ... .. .. .. .. ... . .... . . ..... . .. ... . ... ... .. . ... .. . .... . .. ... .. ... .. .. . .... . .. ... . .. ...Synovitis, bursitis, and tenosynovitis . ... .. . .... .. . .... . . ... .. ... .. ... . ... .. .. .. .. .. ..Gout . ... .. .. .... . . .... . ... ... ... . ... ... . .... . .. ... .. .. ... . .. .... . .. ... .. . ... .. ... .. ... . .... .. ... .. . ...

Preva-lence inhousands

59B1,100

2807,7431,8041s6453831,6064,2345,4531,217

24,573833

1,6B72,6381,8534,0111,644

Number of physician visits

Tota I None 1 245 ormore

Unknown

100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0‘100.0

100.0100.0100.0100.0100.0100.0100.0

52.520.126.445.256.564.380.170.575.547.250.1

48.256.140.744.577.146.430.8

Percent dist

14.023.621.424.018.118.5

7.618.6

8.919.115.9

17.514.519.011.9

8.722.022.0

18.641.926.818.215.211.2

7.47.09.1

22.615.4

17.615.819.714.2

7.720.126.1

Ition

7.79.9

15.47.18.63.33.42.24.09.7

12.4

13.210.314.217.6

4.28.0

17.8

7.44.4

*1O.O5.6

●1.62.71.5

●1.52.41.36.2

3.6●3.2

6.311.7

2.43.53.2

Isee tab]e A for ICDA cod=.

NOTE: When a fk!ure is shown with an asterisk. it is mesented onlv for the rrurtroseof combinine with other cells. An estimate wiIlhave a relative standar~ error less than 30 percent when th; aggregate is& least 35;oob.


later date than actual onset if the physician has had the smallest (6.3 percent). Of the musculo-not told the respondent about the diagnosis. skeletal conditions, ost eomyeIitis and otherAmong skin conditions, chronic infections of diseases of the bone had the highest percentskin and subcutaneous tissue had the largest occurring in the 12 months preceding interviewpercent occurring in the previous 12 months (16.2 percent); the lowest was for bunions (2.9(32.1 percent), psoriasis and similar disorders percent).

7

Table E. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews and percent distribution ofconditions by f requancy of bother: United States, 1976

Selected chronic conditional

Skin

Dermatophytosis and dermatomycoses ... . .. ... .. ... ...Neoplasms of the skin .... . ... .... .. .. .... .. .. ... ... .. ... .. ... .. .

Chronic infections of skin and subcutaneoustissue, NEC ... .... ... . ..... . .. .... ... . .... .. .. ..... .. . .... .. . .... ..

Eczema, dermatitis, and urticaria, NEC .. ..... .. . .... ..Psoriasis and similar disorders .... ... .. .... . ... .... .. . ..... ..Other inflammatory conditions of skin and

subcutaneous tissue .. ... .... .. ... ... .. .. .... .. ... .. .... . .... . ..Corns and callosities .. .. . ..... . .. .... .. ... .... . .. .... .. .. ..... . . .Other hypertrophic and atrophic conditions of

skin .. ..... .. ... .. ... .. .... .. .. ..... . .. .... . ... ..... . .. .... . ... ... ... .. .Diseases of nail .. .. .... . ... .... .. .. ..... . ... ... .. .. ..... ... .... .. . ..Diseases of sebaceous glands, NEC (acne) . .. .... ... . ..Other diseases of skin and subcutaneous tissue,

NEC ..... . . .... .. ... ..... . ... .. .... . .... .. .. .... ... . .... .. .. .... . ... ..

Musculoskeletal

Arthritis, NEC ... .. .. .. ...... . ... .. ... .. .... . ... ... .. . . ..... . .. .... .Rheumatism, nonarticular and unspecified ... . .. .... .Osteomyelitis and other diseases of bone ..... . .. ..... .Displacement of intervertebral disc . ..... ... . .... . . ...... .Bunion . ... .... .. .. .... .. ... ... .. .. .... .. .. .... .. . ..... .. .. ... ... .. .... . .Synovitisr bursitis, and tenosynovitis .. . ... ... .. .. .... .. .Gout .. . ... ... ... .. .... .. .. .... .. .. ..... . .. .... .. .. .... .. ... ... . .. ..... .. .

Preva-lence inthou-sands

5981,100

2807,7431,804

1,9645,583

1,6064,2345,453

1,217

24,573833

1,6872,6381,8534,011

1,644

Frequency of bother

All Once Frequency UnknownTotal the Often in a not Never

botheredif

time while specified bothered

Percent distribution

100.0 14.9100.0 6.9

100.0 *7.5100.0 10.6100.0 26.9

100.0 14.5100.0 14.2

100.0 15.1100.0 9.3100.0 18.8

100.0 22.0

100.0 25.0100.0 17.0100.0 21.3100.0 23.4100.0 16.4100.0 10.9100.0 17.5

12.7*1.6

15.713.913.6

21.316.8

12.612.812.5

11.5

17.514.514.516.516.412.013.4

47.0

17.5

40.753.041.7

52.560.1

51.766.836.7

33.4

50.358.937.642.153.464.9

50.8

*1 .5‘0.6

“3.95.12.3

4.62.0

6.31.31.5

3.3

3.35.52.82.03.72.52.3

16.9

69.8

22.912.515.0

6.25.9

13.28.9

29.7

25.1

2.7*2.817.8

5.99.67.5

14.5

6,93.6

“9.35.0

*0.6

*1 .01.0

*1.20.90.8

4.8

1.3*1.1

5.910.2*0.5

2.3*1.5

.—

Isee table A for ICDA codes.

NOTE: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative standard error less than 30 percent when the aggregate is at least 35,000.


Table F. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews and percent distribution ofconditions by degree person bothered by condition: United States, 1976

Selected chronic conditions

Skin

Dermatophytosis and dermatomycoses .... .. .Neoplasms of the skin . .. .. ... ... .. ... . .. .... .. .. .. .. ..Chronic infections of skin and

subcutaneous tissue, NEC .... .... . .. ... .. . .... . ..Eczema, dermatitis, and urticaria, NEC ... . ...Psoriasis and similar disorders . .... .. .. ... .. . .. .. .. .Other inflammatory conditions of skin and

subcutaneous tissue ... . ... .. ... .. ... .. . .... . .. ... .. .Corns and callosities .. .... . ... .. .. .. .... .. . .... . .. ... .. .Other hypertrophic and atrophic

conditions of skin ..... .. .... .. .. .... .. . .... . .. .... ...Diseases of nail .... ... .. .... . .. ... .. .. .... ... . .... . .. ... .. .Diseases of sebaceous glands, NEC (acne) . ..

Other diseasas of skin and subcutaneoustissues, NEC .... ... .. .. .... . .. ..... . .. .... .. . .... . .. .. . ...

Musculoskeletal

Arthritis, NECK .. . .... .. ..... .. .. .... .. . .... .. ... .. ..Rheumatism, nonarticular and unspecified..Osteomyelitis and other diseases of bone ...

Displacement of intervertebral disc .. ... ... . ....Bunion .... . .. .... .. .. .... .. .. ... .. .. .... .. . ..... . ... .. ... . ....Synovitis, bursitis, and tenosynovitis . ... .. .. ...Gout .. . . .... .. .. .... .. .. .... . . ..... .. .. .... .. . .... .. .. ... ... . ...

lSee table A for ICD.4 codes.

Preva-lence

inthou-sands

5981,100

2807,7431,804

1,9645,583

1,6064,234

5,453

1,217

24573833

1,6872,6381,8534,0111.644

Degree condition bothers parson

BotheredUnknown

Total AllNot

Great Veryif

bother- Some Other bothereddeal little

bothered

ations


100.0100.0

100.0100.0100.0

100.0100.0

100.0100.0100.0

100.0

100.0100.0100.0100.0100.0100.0100.0

76.326.6

67.982.584.5

92.893.1

85.690.269.4

70.2

96.096.076.284.089.990.384.0

15.94.3

20.7

20.416.5

19.824.2

9.825.610.3

17.7

30.627.428.041.225.534.935.6

34.39.3

32.938.039.0

45.946.7

40.042.033.4

31.1

44.946.534.933.642.840.031.6

24.111.8

13.222.626.6

25.720.5

33.921.324.1

19.9

17.917.210.5

6.619.7

J

13.314.5

‘2.0●1.3

*1.41.52.4

*1.41.8

*1.91.11.7

●1 .5

2.75.02.82.6

●1.82.22.3

16.969.B

22.912.515.0

6.25.9

13.28.9

28.7

25.1

2.7*2.817.8

5.99.67.5

14.5

6.93.6

*9.35.0

‘0.6

●1.O1.0

*1.20.90.8

4.8

1.3●1.1

5.910.2‘0.5

2.3*1.5

NOTES: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative standard error less than 30 percent when the aggregate is at least 35,000.


9

Table G. Number of selected chronic skin and musculoskeletal conditions reported in health interviews as causing bother and percantdistribution by degree person bothered by condition: United Statas, 1976

Selected chronic conditionl

Skin—

Dermatophytosis and dermatomycoses ... .... .. . ..... .. .. .. ... .. .... . .... ... . ... .... . .. ..... .. . .... ..Neoplasms of the skin .... .... .. .. ... ... .. .... .. .. .... .. .. .... .. ... .. ... .. .... .. .. .... .. .. .... .. .. .... .. .. .... .Chronic inactions of skin and subcutaneous tissue, NEC .. . ... ... ... .. .... . ... ... .. .. .... ..Eczema, dermatitis, and urticaria, NEC ...... .. . ..... .. .. ... .. .. ..... . ... ... ... . .... .. .. ..... .. . .... ..Psoriasis and similar disorders ... .. .. .... .. ... ... ... . .... .. .. .... .. .. .... . ... .... .. .. .... . ... ... ... .. .... ..Other inflammatory conditions of skin and subcutaneous tissue ... ... ... .. ... ... . ..... ..Corns and callosities .. .... .. .. .. ..... . ... .... . .. ...... . ... .. .. .. .. ... ... .. .... .. . .... .. ... ... .. ... ... .. .. ..... . .Other hypartrophic and atrophic conditions of skin . ... ... ... . ..... .. .. .... .. . .... .. .. .... ... .Diseases of nail .. .... ... . ..... ... . ..... .. .. .... .. .. .... .. .... .. .. .. .... .. .. ..... .. . .... .. .. ... .... .. ... . .. ..... .. ..Diseases of sebaceous glands, NEC (acne) ... .... ... . .... .. . .... ... .. .... .. .. ... ... .. .... . ... ... ... ..Other diseases of skin and subcutaneous tissue, NEC ..... ... . ..... . ... ... ... .. ... .. .. .... ... ..

Musculoskeletal

Arthritis, NEC ..... .. .. .... ... . .... ... .. .... .. .. .... ... .. .... .. .. .... .. .. .... .. .. .... ... . ..... ... ... .... . .... .... . .Rheumatism, nonarticular and unspecified ... . .. .... ... . ..... .. .. ... ... . ..... .. .. ... ... .. .... .. .. ..Osteomyelitis and other diseases of bone . ..... . ... ... .. .. .... .. .. .... ... .. .... . .... .. ... .. .... .. .. ..Displacement of intervertebral disc ..... .... . ..... . . .... ... .. .... .. . ..... .. .. ..... . ... ... ... . .... .. ... ..Bunion . ..... .. ... .... .. .. .... ... . .... .. .... .... . .. .... . .... .... . .. .... ... .. ..... . ... ... . ... .... .. .. ..... .... .... .. . ...Synovitis, bursitis, and tenosynovitis .. . ... .... ... . .... .. .. .... .. .. ..... ... . .... . .. .... .... . .... .. . ....Gout .. .. .... .... .. .... .. .. .... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. .... ... . .... .. .. .... .... ..... . .. .... .. .. .... .. .. .. .

NumberDegree condition bothers person

causingbother 1 1 1

brea~in thou- Total

dealsands I I “’”e I

456293190

6,3881,5241,8235,1991,3753,8173,787

854

23,601800

1,2862,2151,6653,6211,381


100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0

100.0100.0100.0100.0100.0100.0100.0

20.816.130.524.819.621.326.011.428.514.825.2

31.828.536.749.028.438.642.4

45.0

34.848.446.146.149.550.146.846.648.044.4

46.748.445.840.047.644.337.7

31.644.4

19.527.331 Ij

27.”722.039.6

23.634.728.3

18.617.:3

13.[37 J3

21J3

74.;717;2

*2.6*4.8*2.1

1.82.8

*1.51.9

*2.31.32.5

*2.1

2.85.33.73.1

*2.O2.42.7

I See table A for ICDA codes.

NOTES: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative standard-error less than 30 percent when the aggregate is at least 35,000.


10

Tabla H. Prevalence and incidencel in past 12 months of chronic skin and musculoskeletal conditions reported in haalth interviews andpercent incidence is of prevalence: United Statas, 1976

Selacted chronic condition2

Skin—

Dermatophytosis and dermatomycoses .. ... .. .. . .... .. .. .. .... . .... .. ... .. .. .. ... ... .. ... .. .. ... .. .. .... .. . .... .. .. ... ... .Neoplasms of the skin ... .. .... .. .. .... .. .. .... ... . .... .. .. ... .. ... ... .. . ..... . .. .... ... . .... .. . .... .. .. .... .. . ... .. . .... .. ... ... .. .Chronic inactions of skin and subcutaneous tissue, NEC ... . ... ... .. .. .... . .. .... .. .. ... .. .. .... . .. .... . ... ... .. .Eczama, dermatitis, and urticaria, NEC ... ..... . .. .. ... . ... ... .. . ..... ..... ... . . ..... . .. .... .. . .... .. . .... .. .... .. .. . ..... .Psoriasis and similar disorders .. .. .... .. .. .. .. .. . ... .. .. .. .. .. .. .... .. .. .... .. .. .... .. . .... . .. ... ... .. .... . ... ... . ... ... .. .. .... .Othar inflammatory conditions of skin and subcutaneous tissue . .. . .... .. .. ... ... . .... . .. ..... . ... .. ... . .... .Corns and callosities .. .... .. .. .... .. .. .... . ... .... .. .. .... . ... .... .. . .... . .. .... .... . .... . . ..... .. . ..... . .. ... .. .. .... . .. ..... . . .... .Other hypertrophic and atrophic conditions of skin . ..... . .. .... .. . ..... . . ..... . ... ... .. .. .... . .. ... ... . ... ... .. ... .Diseases of nail .. ..... . .. .... .. ... ..... . . .... .. .. ..... .. .. .... . .. .... .. .. .... .. .. ... ... ...... . .. ... ... . ... ... . .... . ... ... . .. .... ... . ... .Diseases of sebaceous glands, NEC (acne) ... .... . ... .... . . ..... .. ... .. ... .. ... .. .. ... ... . .... .. . .... . .. .... ... . .... .. . ... .Other diseases of skin and subcutaneous tissue, N EC .... .. . .. .. .. .. .... .. .. .... . .. .... . .. ..... .. .... .. .. ... .. ... ...

Musculoskeletal

Arthritis, NEC ... .. .. .. .. .. .. .. .. .... .. .. .... .. .... .... . . .... .. .. . ..... . ... .. .. .. .... .. .... .. .. .. .... .. .. .... .. .. .. ... . .... .. .. .... .. . ..Rheumatism, nonarticular and unspacified .. ... .. .. .... . ... .... .. .. .... .. . .... .. .. .... .. . .... .. ... .. ... . .... .. . ..... . .. ..Osteomyelitis and other diseases of bone .. .. .... ... . .... . .. .... ... .. .... . . .. .. .. .. . .... . .. .... .. .. .. ... .. .... . . ..... . ... .Displacement of intervertebral disc ... .. ..... . ... ... ... . .... . .. .... ... . ..... . ... ... .. .. ... .. .. .... .. .. .. .. ... ... .. .. .... .. .. .Bunion ... .. ... ... .... ...... . ... .... .. .. .... .. ... ... .. . .... ... .. .... .. . .... .. .. .... ... . .... .. .. ... .. .. ..... . . .... .. .. ... .. . . .... .. ..... .....Synovitis, bursitis, and tenosynovitis .. .. .... .. .. .... .. .. ... . .... .... .. . ... .. .. .. .. .. .. ..... . .. ... . .. .. .... . . .. .. .. .. ... ... ..Gout .........................................................................................................................................

1Incidence is defined ~ onset of the condition within 12 months of the week of inte~iew.

Preva-lence

in

5981,100

2807,7431,8041,9645,5831,6064,2345,4531,217

24,573833

1,6872,6381,8534,0111,644

lncidencelin

thousands

111309

901,649

113350373216420979246

1,99481

274245

53646172

Percent

is ofprevalence

18.628.132.121.3

6.317.8

6.713.49.9

18.020.2

8.19.7

16.29.32.9

16.110.5

Zc+e table A for ICDA codes.

NOTE: NEC = Not elsewhere classifiable.

11

CHANGES BETWEEN 1969AND 1976

Table J shows that the reported prevalenceof chronic skin conditions increased enoughbetween 1969 and 1976 to be statisticallysignificant for four cat egories, decreased signifi-cantly for three cat egories, and showed nostatistically significant change for three. Five ofthe categories of chronic musculoskeletal condi-tions had a significant increase in reportedprevalence between 1969 and 1976, and theother two categories had a significant decrease.

The reported prevalence of eczema, derma-titis, and urticaria also increased, as did thenumber of restricted-activity days associatedwith these conditions (table K). This is the onlycategory of skin conditions that increased inreported prewdence, incidence, and impactduring the 7-year period. However, a change inthe reported prevalence, incidence, and impactdoes not necessarily mean a change in the actual

level or seriousness of the disease, as reportingcan be influenced by medical contact, diagnosis,level of medical knowledge, willingness toreport, and the information collection process.

The reported prevalence of psoriasis andsimilar disorders, other inflammatory conditionsof skin and subcutaneous tissue, and diseases ofsebaceous glands (acne) increased between 1969and 1976, but for none of these diseases wasthere an increase in the reported 12-monthincidence that could not be attributed to sam-pling variabilityy. Neither was there any change inthe reported number of restricted-activity daysor bed-disability days per condition per year. Itis not certain, therefore, what the increase inreported prevalence of these diseases means.

The reported prevalence of corns and callosi-ties, other hypertrophic and atrophic conditionsof the skin, and diseases of the nail all decreasedbetween 1969 and 1976. For the first twodisease groups there was also a decrease in theincidence, but the incidence of diseases of the

Table J. Prevalence and incidencel par 1,000 persons of selected chronic skin and musculoskeletal conditions: United States, 1976 and1969

Selected chronic condition2

Skin.

Dermatophytosis and dermatomycoses .... .... .. .. .... .. .. .. .. .. .. .. ...... .. .. .. .. .. .. .... .. .. .... .. .. .. .... . . .. ... ... . ..... .. .. .... ..Neoplasms of the stin ... ...... .. .. .. .. .. ...... . ... .... ... . .... .. . .. ..... .. .. .... .. .. .... .. .. .. .... .. .. .. .. .. . .. ... .. .. .. .... .. .. ..... ... . ......Chronic infections of skin and subcutaneous tissue, NEC ... .... .. .. .... .. .. .. .. .. . ... .. .. .. .. .. .. .. .. . ... .. .... ... ... .. .... .Eczema, dermatitis, and urticaria, NEC .... .. ... . ...... .. .. .... .. ... ... .. .. .. ... ... .. .... .. . .. ..... .. . ...... . ... .... .. ... ... .... . .... .Psoriasis and similar disorders .... ... .. .... .. ... .... .. . ..... .. .. ..... .. ... ... .. .. ..... ... .. .... .. .. .... ... .. .. ... . .... .... .. . ..... .. .. .... ..Other inflammatory conditions of skin and subcutaneous tissue .... . .. . ..... .. ... .... . ... .... .... .. .... . ... ... ... .. .... .Corns and callosities .. .... .... .. .. .. .. .. .. ...... .. .. .... .. .. .... ... .. ..... . ... .... .. .. .. ... ... . ..... .. ... .... .. . ..... ... .. .... ... .. .... .. .. .....Other hypertrophic and atrophic conditions of skin ...... .. .. .... .. . ...... ... . ..... . ... .... ... .... .. ... .. ..... .. .. ..... . .. .....Diseases of nail .. .. ...... .. .. .... .. .. .. .. .. .. .. .. .. .. .. ...... .. .. .. .. .. ...... .. .. ..... . .. .... .. .. .. .... .. .... .... . ... .... .. .. .... .. .. ...... .. ......Diseases of sebaceous glands, NEC (acne) ..... .. .. .... .. .. .. .. .. .... .... .. .. .. .. .. .. .... .. .. ...... .. . ..... .. .. ...... . ... ..... .. . .... .Other diseases of skin and subcutaneous tissue, NEC .... .. .. .. .. .. . . .. .... .. .. .... .. .. .... .... . ..... .. .. ..... . .... .... .. .. .... .

Musculoskeletal

Arthritis, NEC ... .. .. .... .. . ..... .. .. .... ... . .... .. .... .... .. .. .... .... ...... . ... .... .. .. .... .. ... .... .. .. .... ... . ...... . ... .... .. .. ...............Rheumatism, nonarticular and unspecified .. .. .. .... .. .. .. .... .. .. .... .. .. .. .. .. .. ...... .. .. ..... . .. .... .. ... .... .. .. ..... ... . ..... .Osteomyelitis and other diseases of bone .... .. .. .... ... .. ..... .. .. .... ... . ..... . .. .. .... .. .. .... .. .. ...... . ... ..... . .. ..... ... . .... ..Disriacement of intervertebral disc ...... . ... ... ... . ..... .. .. ...... .... ...... . ... ... . .. .... .... .. ... .... . ..... . .... .... . .. .... ... .. ..... .

Synovitis, bursitis, and tenosynovitis .. .. ... ... ... . .... ... ... .... .. .. .... .. . . ..... . .. .. .... .. .. .... .... . ..... . ... .... .. ... .... .. .. ..... .

1Incidence is defined ~ onset ~f the condition within 12 months of the week of interview-2See table A for ICDA codes.

NOTE: NEC = Not elsewhere classifiable.

Prevalence

1976

2.8!5.21.3

36.88.69.3

26.57.6

20.125.9

5.8

116.74.08.0

12.58.8

19.07.8

1969

2.7. . .

1.530.2

6.57.2

41.58.8

22.919.7

5.4

92.96.14.5

8.612.316.5

4.8

lncidencel

1976

0.51.50.47.80.51.71,81.02.04.61.2

9.50.41.31.20.33.10.8

1969

0.6. . .

0.55.60.51.42.91.42.54.51.4

8.70.71.01.00.63.30.8

12

Table K. Number of restricted-activity days and bed days in the preceding year for selected chronic skin and musculoskeletal condi-tions: United States, 1976-and 1969

Selected chronic conditions

Skin—

Dermatophytosis and dermetomycoses .. .. .. .... .. .. .. .. .. .. .. .. ..... . .. .... .... .. .. .. .... . .. ... .. .. . ... .. .. .... .. ..... . .. ... . .. . ... ..Neoplasms of the skin ..... ... ... .. .. ..... . ... ... .. . ..... . . ..... . .. ... .. .. .... . .. .... .. . ... .. .. ..... .. ..... ... .... . .. ... .. . ..... . ... .. ... . ......Chronic infections of skin and subcutaneous tissue, NEC ... . ... .. .. .. .. .. .. ... . .. .... .. .. ... . .. .. .. .. .. .... .. .. .. .. .. .. .. .. .Eczema, dermatitis, and urticaria, NEC ... .. .. .. . ... .. .. .. .. .. .. .. .. .. .... .. .... .. .. .... .. .. .. .. . . .... .. .. .... . .. ... .. .. ... . .. .. .. .. ..Psoriasis and similar disorders . .... ... ...... ... ... ... . .... .. .. ... . ... .. ... . .... .. .. ... .... .. .... . .... . .. ... . ... .... .. . .... . ... ... .. .. ... .. . .Other inflammatory conditions of skin and subcutaneous tissue .. .. .. ... . .... .. .. . .... .. ..... .. . .... ... . ... .. .. ... ... . ..Corns and callosities ... .. . .... .. .. ..... . . .... .. .. .... . ... .... .. . ... .. .. .... . ... ... .. . .... . .. ... ... . .... .. . .... . .. .... .. .. ... . .. .... .. . ..... .....Other hypertrophic and atrophic conditions of skin .. ... ... . .... ... . ... .. . .... . ... ... ... . ... .. . ... .. .. .... .. .. .... . . .... ... .. ..Diseases of nail .. .. .. ... .. .. .... .. .. ... .. . .... ... . .... .. . .... . .... ... .. . .... .. .. .. .. ... .... . . ..... . .. ... .. .. .... . .. ... .. .. ... .. .. ... ... . ...........Diseases of sebaceous glands, NEC (acne) . ..... .. .. ... .. .. ... .. .. .... . .. ... ... . .... . . .. ... . ... .. ... . ... .. .. .... . .. ... .. .. .... .. . .... .Other diseases of skin and subcutaneous tissue, NEC ... . .. .... . ... ... ... . ... .. . ..... .... .. ... . .. ... . .... . .. .... ... . ... .. .. .... .

Musculoskeletal

Arthritis, NEC ..... .. .. ..... . .. .... .. .. .... . .. ... .. .. .... .. . ..... . . .... . ... ... ... . .... . .. .... .. .. ... .. . .... . .. ..... . .. ... .. .. .... . . ................Rheumatism, nonarticular and unspecified ... ... . .. .... . .. .... .. ... .... .. .... .. ...... .. .. .. .. .. .... .. .. .. ... . .... .. .. ... . .. .... .. .. .Osteomyelitis and other diseases of bone . .... ... .. .. .... .. ..... . .. ... ... .. ... .. . .... .. .. .... . .. ..... . ..... .. . ... ... .. ... . . .... ... . ...Displacement of intervertebral disc . .. .. .... .. .. ... . .. . ..... .. .... .. . ... .. .. .. .. .. .. .... .. .. .. .... .... .. .. ... . .. .. .. .. .. ..... . .. .. .. .. ...Bunion . .... .. .. .... .. .. .... .. .. .. .. .. .. .... .. .. .. .. .. .... .. .. .... .. . ... .. .. .... . .. .... . .... .. .. .. .... . . ... . .. .. . ... .. .. .... . . ..........................Synovitis, bursitis, and tenosynovitis ... .... .... .. .. .... ... . .... .. .... .. .. .... .. .. ... .. . .... .. .. .... .. . .. ... .. .... . ... .... .. .... .. .. .. ..Gout .. ..... .. .. ..... . .. .. .. .. .. ... .. . .. .. .. . . .... .. .. .... .. .. ... . .. ...... .. .... .. . ..... ... ... .. .. .... . . .... ... . ... ... .. ... .. ............................

Isee table A for ICDA codes.

Restricted-activityays per conditior

per yaar

1976

*1.35.8

*12.94.03.4

*1.52.5

‘0.81.71.47.5

15.315.115.729.2

5.28.1

16.8

1969

●✎

✎✎✎

19.61.93.22.30.4

“0.21.11.46.8

12.48.9

17.421.1

1.95.6

12.0

Bed days perconditionper yaar

1976

*.“2.0*3.3●0.6*0.8*0.3*0.5

●-

*O.2*0.5

5.2

4.2*2.6

4.38.4

*1.O●1.2

4.7

1969

*.. . .

10.40.31.10.5

*0.5●0. I●0.2

0.83.2

3.64.87.98.0

*0. I1.54.8

NOTES: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative standard error less than 30 percent when the aggregate is at least 35,000.


nail did not change. The number of restricted-activity days per reported corn or callositycondition increased from 0.4 to 2.5 days peryear. This combination of decreased reportedprevalence and incidence with increased re-ported impact could result if persons in 1969remembered and reported minor problems withcorns and callosities, but persons in 1976 re-membered and reported only those that had agreater effect on their daily lives. The questionin 1976 was, “During the past 12 months didanyone in the family have TROUBLE withbunions, corns, or calluses?,” with the inter-viewer instructed to emphasize the capitalizedword. The 1969 question had the word“trouble” printed in the lower case and therewas no instruction to have it emphasized.

There was no change in the prevalence orincidence of dermatophytosis and dermatomy-

coses, chronic infections of skin and subcutane-ous tissue, NEC, and other diseases of skin andsubcutaneous tissues, NEC. For chronic infec-tions of skin and subcutaneous tissue, NEC,however, there was a decrease from 10.4 to 3.3in the number of bed days per condition peryear.

Bunions (a musetdoskeletal condition), likecorns and callosities, decreased in prevalence andincidence between 1969 and 1976, but showedan increase in the number of restricted-activitydays per reported condition that might beattributed to the emphasis on the word“trouble” in the 1976 question. The othercategory of chronic musculoskeletal conditionsto exhibit a decrease in prevalence and incidencebetween 1969 and 1976 but an increase inimpact was rheumatism. The change in rheuma-tism could not be attributed to interviewer

13

emphasis of a word but could have resulted froma wider use of the term “arthritis” instead of“rheumatism” in 1976.

The other chronic musculoskeletal condi-tions–arthritis; displacement of the interverte-bral disc; osteomyelitis and other bone diseases;synovitis, bursitis, and tenosynovitis; and gout—had an increase in reported prevalence between1969 and 1976, but no statistically significantincrease in reported incidence. Osteomyelitisand other diseases of the bone had a 78-percentincrease in reported prevalence, from 4.5 condi-tions per 1,000 persons in 1969 to 8.0 in 1976.Accompanying this reported increase in preva-lence, however, was a decrease in the averagenumber of bed-disability days per conditionfrom 7.9 to 4.3 bed days per condition per year.This amount of change in the 7 years could beproduced by an increased reporting of condi-tions that were sufficiently mild so that theyproduced no bed disability for the person.

Arthritis; displacement of disc; synovitis,bursitis and tenosynovitis; and gout showed anincrease in the number of restricted-activity daysper condition as well as an increase in preva-lence. Arthritis also showed an increase from 3.6to 4.2 bed days per condition per year. Thusalthough these categories of conditions did notshow an increase in incidence, they did show anincreased effect on people between 1969 and1976 with increased prevalence of the condi-tions associated with more restricted activity percondition.

PREVALENCE BY SELECTEDDEMOGRAPHIC CHARACTERISTICS

Each of the chronic skin and musculoskele-tal conditions has been distributed by age andselected demographic characteristics in tables1-18. Since the age distribution of groups of thepopulation may differ, it is advisable to examinethe age-specific prevalence rates per 1,000 per-sons as well as the crude rate for all ages.Highlights of the distributions in the tables arediscussed in the following section for some ofthese diseases. The diseases not discussed are ofrelatively small magnitude particularly whenmaking comparisons between demo~aphic

groups. Therefore, caution should be takenwhen interpreting differences observed, amongdemographic characteristics for these conditions,because the differences may be attributed tosampling error.

Eczema, Dermatitis,and Urticariar NEC

The prevalence rate of eczema, dermatitis,and urticaria per 1,000 persons did not varymuch by age, although the rate for persons17-44 years was higher than the rate for persons45-64 years of age (figure 1 and table 4). Theseconditions were more prevalent among femalesthan among males (figure 2) and were moreprevalent among white persons than among allother persons (figure 3). The rate increased witheducation of the family head, and was highest inthe West and lowest in the South.

Corns and Callosities

The prevalence of corns and callosities per1,000 persons increased with age. Corns andcallosities were more prevalent among femalesthan among males , and were more commonamong all other persons than among whitepersons. Table 7 also shows that the prevalencerate of corns and callosities decreased withincreased family income.

Diseases of Nail

Ingrowing nails constituted the majority ofconditions classified under the category ofdiseases of nail. The prevalence rate of diseasesof nail (table 9 and figure 1) increased with age,was higher for females than for males, and washigher for white persons than for all otherpersons. As family income increased or as theeducation of the household head increased, theprevalence of diseases of nail per 1,000 personsdecreased.

Diseases of SebaceousGlands, NEC

Acne is the major condition contained inthis category (table 10). The rate per 1,000persons for these conditions was highest amongpersons 17-44 years of age. Males had about the

14

440

420FI

400

380

I360

t

340

320

I

I

280 1-

I

255.8

140

120

100

80

60

40

20

“1 2.2

Arthritis, NEC

436.6

Under 17 years

❑,.,:,..,,F,,,

:,:,::.:}.:.::,::,:,:,:::,,,:,,.,1744 years:x+:+:+:.:

45+34 years

E

=.-;--65 yearsand over

= . .

60

40

20

0

Synoviik, bursitis,Znd tenosynovitis

40

20

0

Eczema,dermatitis, and urticaria, NEC

‘0r 47.640

20

0

80

60

40

20

0

Cams and Callosities

60r

Diseasesof sekeous glands,NEC [acne!

Figurel. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews per 1,000 persons, by age:

United States, 1976

15

160

140

I 20

100

80

60

40

20

0

44,4

34.8

147.7

21.4

Eczema, Corns and Diseases Diseasesdermatitis,

Arthritis,callosities

SynO. itis,of nail of N EC bursitis,

and urti. sebaceous and teno.caria, NEC glands, NEC

(acne)synovitis

t

Figure2. Prevalence of selected chronic skin and musculoskeletal conditions reported in health interviews per 1,000 ~ersons, bv sex:

United States, 1976

16

3B.3

Eczema,dermatitis,

and urti.caria, NEC

36.0

Corns andcallosities

20.9

Disms-ssof nail

27.9

Diwa-of

sebacmusglands, NEC

(we)

119.2

Anhrids,NEC

20.7

Synovitis,bursitis,

and teno.synovitis

Figure3. Prevalence of selected chronic skin and muwuloskeletal conditions rapotied inhealth intemiews perl,OOO persons, by color:United States, 1976

same rate as females, the only condition groupin figure 2 showing no statistically significantsex differential White persons were more likelyto have these conditions than were other per-sons. There was a direct relationship witheducation of the family head: the higher theeducation, the higher the prevalence of diseasesof the sebaceous glands. Residents of the WestRegion were more likely to have these condi-tions than were residents of other regions.

Arthritis, NEC

The prevalence rate of arthritis increasedwith age such that about four out of every ninepersons 65 years of age or older (436.6 per1,000) were reported to have an arthrhic condi-tion (table 12). Arthritis was reported more

frequently by females than by males. Whitepersons reported a higher prevalence rate thanother persons reported, but this relationship isnot found at dl age groups. The prevalence ofarthritis decreased with increased income andwith increased education.

Synovitis, Bursitis, andTenosynovitis

The prevalence rate of synovitis, bursitis,and tenosynovitis by age was highest for persons45-64 years old, and next highest for persons 65years of age or older (table 17). These condi-tions were more prevalent among females thanamong males , and were more prevalent amongwhite persons than among aII other persons.

REFERENCES

1National Center for Health Statistics: Prevalence ofchronic skin and musculos keletal conditions, UnitedStates, 1969, Vital and Health Statistics. Series IO-NO.92. DHEW Pub. No. (HRA) 75-1519. Health ResourcesAdministration. Washington. U.S. Government PrintingOffice, Aug. 1974.

2National Center for Health Statistics: Prevalence ofselected impairments, United States, 1971. Vital andHealth Statistics. Series 10-No. 99. DHEW Pub. No.(HRA) 75-1526. Health Resources Administration.Washington. U.S. Government Printing Office, May1975.

3National Center for Health Statistics: Current Esti-mates from the Health Interview Survey, United States,1976. Vital and Health Statistics. Series 1O-NO. 119.DHEW Pub. No. (PHS) 78-1547. Public Health Service.Washington. U.S. Government Printing Office, Nov.1977.

4National Center for Health Statistics: Profile ofchronic illness in nursing homes, United States, NationalNursing Home Survey, August 1973-ApriI 1974. Vitaland Health Stat&tics. Series 13-No. 29. DHEW Pub. No.(PHS) 78-1780. Public Health Service. Washington. U.S.Government Printing Office, Dec. 1977.

5National Center for Health Statistics: Eighth Re-vision International Classification of Diseases, Adaptedfor Use in the United States. PHS Pub. No. 1693. PublicHealth Service. Washington. U.S. Government PrintingOffice, 1967.

6Scotto, J., Kopf, A. W., and Urbach, F.: Non-melanoma skin cancer among Caucasians in four areas ofthe United States. Cancer 34(4): 1333-1338, Oct. 1974.

7National Center for Health Statistics: Herdth sur-very procedure: Concepts, questionnaire development,and definitions in the Health Interview Suxvey. Vital andHealth Statk.tics. PHS Pub. No. 1000-Series l-No. 2.Public Health Service. Washington. U.S. GovernmentPrinting Office, May 1964.

8National Center for Health Statistics: Health Inter-view Survey procedure, 1957-1974. Vital and HealthStatistics. Series l-No. 11. DHEW Pub. No. (HRA)75-1311. Health Resources Administration. Washington.U.S. Government Printing Office, April 1975.

9U.S. National Health Survey: The statistical designof the health household interview survey. Health Statk-tics. PHS Pub. No. 584-A2. Public Health Service.Washington, D.C., July 1958.

10National Center for Health Statistics: Estimation andsampling variance in the Health Interview Survey. Vitaland Health. Statistics. PHS Pub. No. 1000-Series 2-No.38. Public Health Service. Washington. U.S. GovernmentPrinting Office, June 1970.

11 National Center for Health Statistics: Quality con-trol and measurement of nonsampling error in theHealth Interview Survey. Vital and Health Statistics.Series 2-No. 54. DHEW Pub. No. (HSM) 73-1328. HealthServices and Mental Health Administration. Washington.U.S. Government Printing Office, Mar. 1973.

12 Nation~ Center for Health Statistics: Health inter-view responses compared with medical records. Vital andHealth Statistics. PHS Pub. No. 1000-Series 2-No. 7.Public Health Service. Washington. U.S. GovernmentPrinting Office, July 1965.

13National Center for Health Statistics: Comparison ofhospitalization reporting in three survey procedures.Vital and Health Statistics. PHS Pub. No. 10OO-Series2-No. 8. Public Health Service. Washington. U.S. Govern-ment Printing Office, July 1965.

14 National Center for Health Statistics: Interview dataon chronic conditions compared with information de-rived from medical records. Vital and Health Statistics.PHS Pub. No. 1000-Series 2-No. 23. Public HealthService. Washington. U.S. Government Printing Office,Ma 1967.

1‘National Center for Health Statistics: The influenceof interviewer and respondent psychological and be-havioral variables on the reporting in household inter-views. Vital and Health Statistics. PHS pub. No.1000-Series 2-No. 26. Public Health Service. Washington.U.S. Government Printing Office, Mar. 1968.

16National Center for Health Statistics: Impairmentsdue to injury, United States, 1971. Vital and HealthStatistics. Series 1O-NO. 87. DHEW Pub. No, (HRA)74-1514. Health Services and Mental Health Administra-tion. Washington. U.S. Government Printing Office, Dec.1973.

18

LIST OF DETAILED TABLES

1. Prevalence of dermatophytosis and dermatomycoses and number per 1,000 parsons, by age and selected characteristics:United States, 1976 ... .. . .... ... . ... ... . ..... . . .... . ... .. ... .. .... . . .... . ... ... .. .. .... .. . .... . ... ... .. . .... . ... ... . ... ... .. . ... .. . . ... .. .. .........................................- 20

2. Prevalence of neoplasms of the skin and number per 1,000 persons, by age and selected characteristics: United States,1976 .... .... .. .. ... ... .. .... . .. ..... . .. .... . .. .... .. .. ... ... . .... . . ..... . ... ... ... ..... . .. ... . ... ... .. .. .... . ... ... .. . .... . . ................................................................. 21

3. Prevalence of chronic infections of skin and subcutaneous tissue, not elsawhere classif iable, and number par 1 MM parsons, byaga and selactad characteristics: United States, 1976 ... .... . .. ... .. .. .... . ... ... . .. .... .. . .... . .. .. .... . .... . . .... .. ... .. .. .. .... . .. .... . .. .... .. . ... ... .. .. .. . .. .. 22

4. Prevalence of eczema, dermatitis, and urticaria, not elsewhere classif iable, and number par 1,000 parsons, by age and selectedcharacteristics: United Statas, 1976 .. . .. ... .. ... .. .. ... ... .. .. ... .. . ..... . .. .... ... ... ... . .... .. . .... . .. ... ... .. ... . ... ... . .. ..... . . .. .. .. . .... .. . ..... . .. .................. 23

5. Prevalence of psoriasis and similar disordera and number per 1,000 persons, by age and selected characteristics: UnitadStates, 1976 .. ..... . ... .. .... . ..... . .. ... ... .. .. .. ... ... .. . .... .. .. ... .. .. .... .. . .... . ... ... .. . ... .. .. .... .. . .... . .. .... . .. .. ... .. ........................................................ 24

6. Prwalence of other inflammatory conditions of skin and subcutaneous tissue and number per 1,000 persons, by age andselected characteristics: United Statas, 1976 . .. ... .. ... .. .. . . .... . .. .... .. . ... .. ... . ... . .. .... . . .. .. .. .. .... .. .... .. . ... ... ... .. .. . .... .. .... .. . .... .. .. .... .. .. .. ...... 25

7. Prevalence of corns and callosities and number per 1,000 persons, by age and salected characteristics: United States, 1976 . .. 26

8. Prevalence of other hypertrophic and atrophic conditions of skin and number per 1,000 persons, by age and selected charac-teristics United States, 1969 . . .... .. . ..... . . ..... . .. ... ... . .... . ... ... .. .. .. .... . .... ... ... .. . ...... .. .... .. . ... .. .. .. .. .. .. ... .. .. .. ... ..... . .. .... ........................... 27

9. Prevalence of diseases of nail and number per 1,000 persons, by age and selected characteristics: Unitad States, 1976 .. .... . .. .. 28

10. Prevalence of diseases of sebaceous glands, not elsewhere classif iable (acne), and number par 1,000 parsons, by age and selectedcharacteristics: United States, 1976 . . ... ... . ... ... .. . .... .. . .... ... .. ... ... ..... .. .... .. ... .. ... . ... ... . .... . .. .... .. . .... .. ... ... . . .... .. .. ... .. .. .... .. . .................. ~

11. Prevalence of other diseases of skin and subcutaneous tissue, not elsewhera classifiable, and number per 1,000 parsons, by ageand selected characteristics: Unitad States, 1976 ... . .... . ... ... .. . ..... . .. .... . .. ... .. . .. ... . ... ... ... .... .. .. .... ... ... ... . ..... .. .... ... . .. .. . ... ... .. . .. .. .... . ... 30

12. Prevalence of arthritis, not elsewhere classifiable, and number par 1,000 parsons, by age and selected characteristics: UnitadStates, 1976 .. .. .. .... ... . ..... .. .. .. ... . ..... . .. ... .. ... ... .. . ..... . . .... .. ... .... . . ..... . ... ... .. . .... .. . ..... ... ... ... .. .... . .. ........................................................ 31

13. Prwalence of rheumatism, nonarticular and unspecified, and number per 1,000 persons, by age and selected chamteristics:United States, 1976 ..... .. .. ... . .. ..... . .. .... .. .. ... ... . .... .. . .... .. .. .... . .. ... .. .. ... ... .. ... .. .. ... .. ... ... . .. ... ... .. .... .. . .. . .. .... .......................................... 32

14. Prevalence of osteomyelitis and other diseases of bone and number per 1,000 parsons, by age and selected characteristics:United States, 1976 . .... . .. .... .. .. ... ... . .... . .. .... . ... ... .. ..... .. .. ... ... . ... ... ..... . ... ... ... .... .. .. .... ... ... ... . .... .. .. ... .. . ..... . ....... ................................ . 33

15. Prevalence of displacement of intervertebral disc and number par 1,000 persons, by age and selected characteristics: UnitedStates, 1976 .. .. .... .. . .. .. .. .. .... .. . ..... . .. .... .. . ... .. . ..... . .. .... .. .. .... ... ... . .. ..... .. . .... .. .. .. ... .. ... . ... ... .. . ... .. . ........................................................ 34

16. Prevalence of bunion and number per 1,000 persons, by age and selected characteristics: United States, 1976 . . .. .... . .. .. .. .... . ... 35

17. Prevalence of synovitis, bursitis, and tenosynovitis and number per 1,000 parsons, by age and selected characteristics:United States, 1976 . ... .. ... .. .. .... .... .. .. .. .... .. .. .. . ... ... ... . ..... . . .... .. . ... .. ... .... . .. .... . . .... .. ... .. ... . ... ... ... ... ... ... . .. ........................................... 36

18. Prevalence of gout and number per 1,000 persons, by age and selected characteristics: Unitad States, 1976 .. .. . ..... . ... ... .. .. .... . . 37

19. Population used in obtaining rates shown in this publication, by age and selected characteristics: Unitad States, 1976 .. ... .... . . 38

19

Table 1. Prevalence of dermatophytosis and dermatomycoses and number per 1,000 persons, by age and selected characteristics: UnitedStates, 1976

[ Data are based on household interviews of the civilian noninstitutionalized population. The survey design, general qualification, andinformation on the reliability of the estimates are given in appendix I. Definitions of terms are given in appendix H]

Characteristic

Totall ... .. .. .... . ..... .. .. ... .... ... .. .... .. .. .... .. . .... ... .... .... .. .... . ... ..

Sex.

Color

Family income

Less than $lO.OOO ... .. .... .. ... .... .. . ..... ... .. .... .. .. ... ... .. .... .. .. .... .. .. .... ... . ..

$10,OOO or more ..... . . .... .. .... .... .. .. ... .. .. ..... . ... .. .. .. .. .. .. .. ... ... .. .. .... .. ... .

Education of head of family

Less than 12 years .... .. ... .... .. . .. ... ... . ..... . .... .... . .. .... .. ... ... .. ... ... .. ... ..... .12 years .... .. ... .... .. . ...... .. .. .... . ... .... .. .. ..... . .. .... .. . .. .... .. .. ... ... .. .... ... . .... ..13 years or more ... .... ... .. ..... .. .. ... .. ... .... .. .. ..... . .. .... ... .. .... .. . .... ... .. .... .

Place of residence

Geographic region

lIncludes unknown income and education.

Prevalence of conditions

in thousands

598

376222

53563

178384

168178242

421178

145134208112

111

7338

95“15

3664

*32

50*29

6843

*I9*3436*22

303~

20697

26736

74219

6477156

22082

756111354

185

9887

173*I2

67101

725157

13253

51395935

Number per 1,000 persons

2.8~

3.72.0

2.92.3

2.53.2

2.32.63.7

2.92.7

3.02.43.12.9

1.8

2.41.3

1.9*1.5

1.91.7

*1.62.3*1.6

1.72.2

*1.4*2.11.8

‘2.0

3.6

5.02.2

3.63.2

2.84.2

2.82.65.0

3.73.2

3.92.74.23.4

2.8

3.32.5

3.0*1.8

2.53.3

2.33.03.8

3.02.5

3.22.32.93.2

NOTE: When a figure is shown with an asterisk, it is presented only for the purpose of combining with other cells. An estimate willhave a relative standard error less than 30 percent when the aggregate is at least 35,000.

20

Tabla 2. Prevalence of neoplasms of the skin and number per 1,000 persons, by age and selectad characteristics: United States, 1976

[Data are based on household intewiews of the civilian noninstitutionaIized population. The survey design, general qualification, andinformation on the reliability of the estimates are given in appendix I. Definitions of terms are given in appendix II]

Characteristic

Total 1 ... ... ... .. .. ... .. ... ... ... . ... .. . .... .. ..

Sex—

Male ... . .... . ... .... ... . ..... . .. .... . ... .... . .. ... . ... ... ... . ....Female ... .. ... ... .. .. ... ... ... ... . .. .... .. .. .... .... .. ... . .....

Color

White .. . ... ... ... . .... .. ... ..... . .. .... . ... ... .. .. .... . . .... .. .. .All other ... .. ... .... . . ..... .. .. ..... . . .... .. ... ... .. . ..... . .. ..

Family incoma

Less than $5,000 ..... .. .. ... ... . .... .. . .... . ... .. ... .. .. ..

$5.000.$9.999 . ... ... .. .. .... .. .. ... .. .. ... .. . .. ... . ... .... .$lo.mo.$14n999 . .. ... ... .. . .... ... .. ..... . . .... . ... ... ...$15,000 or more . .... ... ... . .... .. . .... ... . ..... . .. .... . ..

Education of head of family

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

Place of rasidence

SMSA .. .. .. .... .. . .... .. ... ... .. .. .... . ... .. .. .... ... .. . .... .. ..Central city . .. . ..... .. ... .... .. . .... . ... ... ... . .... .. ...Not central city .. .. .. ... .. .. ..... .. . .... ... . .... .. .. ..

Outside SMSA., ............................................Nonfarm ... .. ... ... .. .... .. .. .... .. . . .... .. .. .... .. .. ....Farm .. . ... ... .. ... ... .. .... . .. .... ... . ..... .. .. ... . .. .... ..

Geographic region

Northeast .. .... . ..... . ... .... . .. .... . ... .... .. . .... .. . .... . ...North Central .. .... . ... ... ... . .... .. . ... ... .. .... .. . .... . ...South . .. .. .... .. .. .... . ... ... ... .. ... ... .. ... .. .. ... .. . ..... .. . .Wast ... .. .. ... ... . .... .. ... ... .. . ..... .. . .... ... . ... .. .. .... . ... .

~In~l~des unknown income and education.

Prevalanca of conditions in thousands

1,100

551550

1,071*29

214226179369

251180291147224

734261472367335’32

163244397297

*3O

*8●2I

*24*5

+3●2●9*8

*2●4

*I4“7*3

●21“9

●13*9“9*-

*4*12*II

‘3

232

106126

227*5

*32425664

“23*28793565

16761

1066563●2

53556955

472

260212

460●13

488769

229

7488

12675

107

32397

227149133●16

7892

159143

367

176190

361*6

131964348

1526072

+3049

22295

12714513

prevalenceof chronicskin...

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