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Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

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Page 1: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Trends in Health and Aging

Major Trends and Patterns in Health of Older Hispanics in the United States

October 2007

Page 2: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

These slides highlight findings from the data on the Trends in Health and Aging web-site

www.cdc.gov/nchs/agingact.htm

There is much more information on these and other topics on the website.

Page 3: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Suggested citation:Trends in Health and Aging website

www.cdc.gov/nchs/agingact.htm, accessed at <date>

Please contact us if you have any questions at [email protected] or (301) 458 - 4241

Page 4: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Persons of Hispanic origin age 65 and over by sex, 1981-2005

Source: The Bureau of the Census

0

500,000

1,000,000

1,500,000

Women

Men

1981 1985 1990 1995 2000 2005

Page 5: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of persons age 65 and over among Hispanics by State, 2005

0

4

8

12

Source: Behavior Risk Factor Surveillance System

Page 6: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Source: The Bureau of the Census

States with most Hispanic residents age 65 and over, 2005 State

Number of Hispanic residents age 65 and over

California 620,761

Texas 442,117

Florida 355,765

New York 213,391

New Jersey 78,511

Arizona 75,066

New Mexico 72,437

Illinois 69,963

Colorado 44,353

Pennsylvania 21,957

Page 7: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Living arrangement for older Americans age 65 and over (age-adjusted) by race/Ethnicity, 2006

Source: Current Population Survey

Per

cent

0

10

20

30

40

50

60

Hispanic White Black

Living aloneLiving with spouseLiving with other relativesLiving with non relatives

Page 8: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Living arrangement for older Hispanics by age, 2006

Source: Current Population Survey

Per

cent

0

10

20

30

40

50

60

70

Living alone Living with spouse Living with other relatives

65-74 75-84 85 and over

Page 9: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Educational attainment among persons age 65 and over (age-adjusted) by race/Ethnicity, 2006

Source: Current Population Survey

Per

cent

0

10

20

30

40

50

60

70

Hispanic White Black

Less than high school

High school

1 or more years of college

Page 10: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Source: Current Population Survey

Average personal income for older Americans age 65 and over by race/Ethnicity,1976-2005

2005

dol

lars

Black

Hispanic

White

0

5,000

10,000

15,000

20,000

25,000

30,000

19901980 2000 2005

Page 11: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

HEALTH STATUS

Page 12: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Self-perceived health status among non-institutionalized persons age 65 and over (age-

adjusted) by race/Ethnicity, 2005

Source: National Health Interview Survey

Per

cent

0

10

20

30

40

50

Hispanic Non-Hispanic White Non-Hispanic Black

Fair/Poor Good Excellent/Very Good

Page 13: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized Hispanics in fair/poor health (self-perceived)

by age and type of Hispanic origin, 2001-2006

Per

cent

0

5

10

15

20

25

30

35

40

45

50

25-44 45-64 65+

Puerto Rican

Mexican-American

Cuban-American

Other Hispanic

Source: National Health Interview Survey

Page 14: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized persons age 65 and over (age-adjusted) in fair/poor health (self-reported) by

state and race/Ethnicity, 2004-2006

State

Hispanic Non-Hispanic White Non-Hispanic Black

California 47.2 19.7 34.4

Texas 51.9 28.4 33.9

Florida 47.5 23.0 35.4

New York 51.5 25.3 37.4

Source: Behavioral Risk Factor Surveillance System

Page 15: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Functional Status and Disability

Page 16: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized persons who need help with personal care needs* by age and race/Ethnicity,

2005

Source: National Health Interview Survey

Per

cent

* Respondents were asked, “Because of a physical, mental, or emotional problem, do you need the help of other persons with personal care needs, such as eating, bathing, dressing, or getting around inside this home?"

0

10

20

30

40

50

Hispanic Non-Hispanic White Non-Hispanic Black

65-74 75-84 85 and over

Page 17: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized persons who need help with routine needs* by age and race/Ethnicity, 2005

Source: National Health Interview Survey

Per

cent

* Respondents were asked, “Because of a physical, mental, or emotional problem, do you need the help of other persons in handling routine needs, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes?”

0

10

20

30

40

50

60

Hispanic Non-Hispanic White Non-Hispanic Black

65-74 75-84 85 and over

Page 18: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Chronic Conditions

Page 19: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized persons age 65 and over (age-adjusted) who reported selected chronic conditions

by race/Ethnicity, 2004-2005

Source: National Health Interview Survey

Per

cent

0

10

20

30

40

50

60

Hypertension Diabetes Coronary HeartDisease

Cancer

Hispanic

Non-Hispanic White

Non-Hispanic Black

Page 20: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized Hispanics with diabetes (self-reported)

by age and type of Hispanic origin, 2001-2006

Per

cent

0

5

10

15

20

25

30

35

45-64 65+

Puerto Rican

Mexican-American

Cuban-American

Other Hispanic

Source: National Health Interview Survey

Page 21: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized Hispanics with diabetes (self-reported) by age and place of birth,

2001-2006

Per

cent

0

5

10

15

20

25

30

35

25-44 45-64 65+

Foreign-born US-born

Source: National Health Interview Survey

Page 22: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Diabetes among non-institutionalized persons age 65 and over (age-adjusted) by race/Ethnicity,

1999-2004

Source: National Health and Nutrition Examination Survey

Per

cent

0

5

10

15

20

25

30

35

Mexican-American White non-Hispanic Black non-Hispanic

Diagnosed Undiagnosed

Page 23: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized Hispanics age 65 and over (age-adjusted) who reported diabetes by

state and sex, 2004-2006

State Men Women

California 39.4 26.7

Texas 23.8 29.3

Florida 26.5 19.6

New York * 21.8

Source: Behavioral Risk Factor Surveillance System

* Not reliable estimate

Page 24: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Hypertension among non-institutionalized persons age 65 and over (age-adjusted) by race/Ethnicity,

1999-2004

Source: National Health and Nutrition Examination Survey

Per

cent

0

10

20

30

40

50

60

70

80

90

Male Female

Mexican American White non-Hispanic Black non-Hispanic

Page 25: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized Hispanics with hypertension (self-reported)

by age and type of Hispanic origin, 2001-2006

Per

cent

0

10

20

30

40

50

60

70

80

25-44 45-64 65+

Puerto Rican

Mexican-American

Cuban-American

Other Hispanic

Source: National Health Interview Survey

Page 26: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized Hispanics with hypertension (self-reported) by age and place of

birth, 2001-2006

Per

cent

0

10

20

30

40

50

60

70

80

25-44 45-64 65+

Foreign-born US-born

Source: National Health Interview Survey

Page 27: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Hypertension among non-institutionalized Mexican-Americans by age and place of birth,

1999-2004

Per

cent

0

10

20

30

40

50

60

70

80

25-44 45-64 65 and over

Mexican-born US-born

Source: National Health and Nutrition Examination Survey

Page 28: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized Hispanics age 65 and over (age-adjusted) who reported

hypertension by state and sex, 2003-2005

State Men Women

California 57.2 59.1

Texas 46.4 51.2

Florida 40.3 54.6

New York 47.8 75.7

Source: Behavioral Risk Factor Surveillance System

Page 29: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Serious Mental Illness among non-institutionalized persons by age and race/Ethnicity, 2004-2005

0

1

2

3

4

5

6

18-24 25-44 45-64 65+ (age-adj.)

Hispanic

Non-Hispanic White

Non-Hispanic Black

Source: National Health Interview Survey

Per

cent

Page 30: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized persons who visited a mental health professional during the past 12 months

by age and race/Ethnicity, 2004-2005

0

1

2

3

4

5

6

7

8

9

18-24 25-44 45-64 65+ (age-adj.)

HispanicNon-Hispanic WhiteNon-Hispanic Black

Source: National Health Interview Survey

Per

cent

Page 31: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

ORAL HEALTH

Page 32: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Total tooth loss among non-institutionalized persons age 65 and over (age-adjusted) by sex and race/Ethnicity, 2004-

2005

Source: National Health Interview Survey

0

5

10

15

20

25

30

35

40

45

Hispanic Non-Hispanic White Non-Hispanic Black

Male Female

Per

cent

Page 33: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized persons age 65 and over (age-adjusted) who had visited a dentist in the past year by

race/Ethnicity, 1983-2005

Source: National Health Interview Survey

0

10

20

30

40

50

60

70

Hispanic Non-Hispanic White Non-Hispanic Black

1983 2004-2005

Per

cent

Page 34: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

HEALTH RISK

FACTORS

Page 35: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Obesity (BMI of 30 or higher) and severe obesity (BMI of 40 or higher) among non-institutionalized persons age 65

and over (age-adjusted) by race/Ethnicity, 1999-2004

Source: National Health and Nutrition Examination Survey

0

5

10

15

20

25

30

35

40

45

Obese Severely Obese

Mexican-American

White non-Hispanic

Black non-Hispanic

Per

cent

Page 36: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized Hispanics who are obese (self-reported)

by age and type of Hispanic origin, 2001-2006

Per

cent

0

5

10

15

20

25

30

35

40

25-44 45-64 65+

Puerto RicanMexican-AmericanCuban-AmericanOther Hispanic

Source: National Health Interview Survey

Page 37: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized Mexican-Americans who are obese by age and place of birth,

1999-2004

Per

cent

0

5

10

15

20

25

30

35

40

45

50

25-44 45-64 65 and over

US-born

Mexican-born

Source: National Health and Nutrition Examination Survey

Page 38: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized Hispanics age 65 and over (age-adjusted) who are obese (BMI of 25 or higher, self-reported)

by state and race/Ethnicity, 2004-2006

Source: Behavioral Risk Factors Surveillance System

State

Hispanic Non-Hispanic White Non-Hispanic Black

California 25.1 17.8 *

Texas 29.6 18.7 27.4

Florida 21.7 17.5 32.6

New York 27.9 19.7 29.3

* Not reliable estimate

Page 39: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of non-institutionalized persons age 65 and over (age-adjusted) who engage in regular leisure-time physical

activity by sex and race/Ethnicity, 2004-2005

Source: National Health Interview Survey

Per

cent

0

5

10

15

20

25

30

Hispanic Non-Hispanic White Non-Hispanic Black

Male Female

Page 40: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Cigarette smoking status among non-institutionalized persons age 65 and over (age-adjusted) by sex and race/Ethnicity, 2004-2005

Source: National Health Interview Survey

Per

cent

0

10

20

30

40

50

60

70

80

Hispanic White non-Hispanic

Black non-Hispanic

Hispanic White non-Hispanic

Black non-Hispanic

Hispanic White non-Hispanic

Black non-Hispanic

Male Female

Current Smoker Former Smoker Never Smoked

Page 41: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Health Care Expenditures and Insurance

Page 42: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Average health care expenditures for community-dwelling Medicare beneficiaries age 65 and over (age-adjusted) by

type of service and race/Ethnicity, 2003

0 1000 2000 3000 4000 5000

Physician/Supplier

Inpatient hospital

Long-term facility

Prescription medicine

Outpatient hospital

Medicare home healthservice

Dental Hispanic

White non-Hispanic

Black non-Hispanic

2003 dollars Source: Medicare Current Beneficiary Survey

Page 43: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Percent of community-dwelling Medicare beneficiaries age 65 and over (age-adjusted) with supplemental insurance

coverage by race/Ethnicity, 2004

Source: Medicare Current Beneficiary Survey

Per

cent

0

5

10

15

20

25

30

35

40

45

Medicare riskHMO

Medicaid Employer-sponsored plan

Medigap Medicare fee-for-service only

or others

Hispanic

Black non-Hispanic

White non-Hispanic

Page 44: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Mortality

Page 45: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Leading causes of death for persons age 65 and over by race/Ethnicity, 2004

Hispanics

1. Heart diseases

2. Cancer

3. Stroke

4. Diabetes

5. Chronic lower respiratory disease

White, non -Hispanic

1. Heart diseases

2. Cancer

3. Stroke

4. Chronic lower respiratory disease

5. Alzheimer’s disease

Black, non -Hispanic

1. Heart diseases

2. Cancer

3. Stroke

4. Diabetes

5. Nephritis, nephrotic syndrome and nephrosis

Source: National Vital Statistics System

Page 46: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Deaths per 100,000 Hispanics* age 65 and over (age-adjusted), selected causes, 1997-2004

Source: National Vital Statistics System

0

1000

2000

3000

4000

5000

1997 1998 1999 2000 2001 2002 2003 2004

Dea

ths

per

100,

000

popu

latio

n

* Data for Hispanic origin should be interpreted with caution due to inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys

All deaths

Cancer

Heart Disease

Stroke

Page 47: Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007

Deaths per 100,000 population by race/Ethnicity* among persons age 65 and over (age-adjusted), selected causes,

2004

Source: National Vital Statistics System

0

1000

2000

3000

4000

5000

6000

All deaths Heart diseases Cancer Stroke

Hispanic

White, non-Hispanic

Black, non-Hispanic

Dea

ths

per

100,

000

popu

latio

n

* Data for Hispanic origin should be interpreted with caution due to inconsistencies between reporting Hispanic origin on death certificates and on censuses and surveys