vital and health statistics; series 10, no. 50 (2/69)

58
NATIONAL CENTER Series 10 For HEALTH STATISTICS Number 50 VITAL and HEAZTH STATISTICS DATA FROM THE NATIONAL HEALTH SURVEY PersonsHospitalized by number of hospital episodes and days in a year United States - July 1965- June 1966 Statistics on persons with one or more episodes in short-stay hospitals during an average year, accord- ing to number of episodes, days hospitalized, and patterns of stay. Based on data COI Iected in house- hold interviews during the period July 1965-June 1966. U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Public Health Service Health Services and Mental Health Administration Washington, D.C. February 1969

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NATIONAL CENTER Series 10For HEALTH STATISTICS Number 50

VITAL and HEAZTH STATISTICS

DATA FROM THE NATIONAL HEALTH SURVEY

PersonsHospitalizedby number of hospital episodes

and days in a year

United States - July 1965- June 1966

Statistics on persons with one or more episodes inshort-stay hospitals during an average year, accord-

ing to number of episodes, days hospitalized, andpatterns of stay. Based on data COI Iected in house-hold interviews during the period July 1965-June 1966.

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

Public Health Service

Health Services and Mental Health Administration

Washington, D.C. February 1969

Publ]c Health %?rv,cc Publication No. 10IX)-Series 1O-NO. 50

For sale by the Super] ntc,ndpnt of Documents, L.S. GO\ernmc.nt Printing Office

Washington, D. C.. 20402 - Price ,5.5 cents

NATIONAL CENTER FOR HEALTH STATISTICS

THEODORE D. WOOLSEY, Director

PHILIP S. LAWRENCE, SC. D., Associate Director

OSWALD K. SAGEN, Ph. D., Assistant Director /or Health Statistics Development

WALT R. SIMMONS, M. A., Assistant Director /or Research and Scientific Development

ALICE hi. WATERHOUSE, M. D., Medical Consultant

JAMES E. KELLY, D. D. S., Dental Advisor

EDWARD E. MINTY, Executive O//icer

MA RGERY R. CUNNINGHAM, Information Officer

DIVISION OF HEALTH INTERVIEW STATISTICS

ELIJAH L. WHITE, Director

ROBERT R. FUCHSBERG, Deputy Director

KENNETH HAASE, s~ecia~ Assistant to Director

RONALD W. \VILSON, Cbie/, Survey Methods Branch

GERALDINE A. GLEESON, Chic/, Analysis and Reports Branch

COOPERATION OF THE BUREAU OF THE CENSUS

[Jndcr the legislation establishing the National Health

Survey, the Public Health Service is authorized to use, insofaras possible, the swviccs or facilities of other Federal, St,ate,

or private agencies.

In accordance with specifications established by the

National Health Survey, the Bureau of the Census, under a

contractual arrangement, participates in most aspects of sur-

vey planning, selects the sample, collects the data, and carries

ou t rcrtain parts of the statistical processing.

Public Health Service Publication No. 1000-Series 1O-NO. 50

Library 01 Congress Catalog Card Number 68-62234

CONTENTSPage

Introduction ----------------------------------------------------------

Comparison Witi Earlier HIS Data --------------------------------------

Selected Ftidings -----------------------------------------------------

Source

Special

and Limitations of Data -----------------------------------------

Definitions and Inclusions ---------------------------------------

Persons Hospitalized --------------------------------------------------Age---------------------------------------------------------------Sex --- - -- --- --- - - -- - - ----- - -------- -- - ----------- ----- -- - - - - - -----

Color -------------------------------------------------------------Region ------------------------------------------------------------Residence ---------------------------------------------------------Family Mcome -----------------------------------------------------htarital Status ------------------------------------------------------Living Arrangements -----------------------------------------------

Detailed Tables -------------------------------------------------------

Appendix I. Technical Notes on Mefiods -------------------------------Background of This Report -------------------------------------------Statistical Desi~of tie Healti Interview Survey -----------------------General Qualifications ----------------------------------------------Reliability of Estimates ---------------------------------------------Guide toUseof Relative Standard ErrorCharts ------------------------

Appendix II. Definitions of Certain Terms Used in’This Report -----------Terms Relating to Hospitalization ------------------------------------Demographic, Social, and EconomicTerms ----------------------------

Appendix III. Questionnaire Items Referring to Hospitalization ------------

1

2

3

6

6

77

10101010111111

12

434343444446

494949

51

IN THIS REPORT statistics ave presented from the Health Interview

Survey on the hospital expedience of individual pevsons over a 12-month

peviod, the data being collected duving the peviod July 1965-June 1966,Information on pe~sons of age 65 or oldev should be of special inteves t

since it p~ovides a baseline on hospital episodes just prior to the enact-

ment of the Medicave lep”sla tion.

The 19.1 million pevsons hospitalized in this vefevence period vepve -sent an annual rate of 100 peYsons with one or more episodes pev 1,000population. These figwes ave higher than those based on data collected

duving the period July 1960-June 1962 when 16.6 million pevsons, 93with one or more episodes per 1,000 population, wave hospitalized duv -ing an avevage year. The vate of persons hospitalized with one short-stay hospital episode pev 1,000 population increased from 80 duying theearlier interval to 86 during the period July 1965-June 1966, while therate of multiple episodes peY 1,000 population increased only sli~htly,

@om 13 to 14.

With the exception of females in the 15-44 age vange, an age span duvingwhich theve are many hospitalizations for deliveries, the rate of hospi-talization pev 1,000 population incveased with age. The female vate ofhospitalization was approximately 50 pevcent highev than that fov males.

A single hospital episode of 1-7 days was the most common pattern of

hospital stay, with 63.8 percent of the persons hospitalized experiencingthis pattern. The persons hospitalized duving an average year repre-

sented 10 pe-rcent of the total population, and they experienced approxi-mately 179 million hospital days, an avevage of 9.4 hospital days perperson hospitalized duving the 12-month period ending in June 1966.

SYMBOLS

I Data not available ------------------------ --- ICategory not applicable ------------------- . . .

I Quantity zero ---------------------------- - IQuantity more than O but less than 0.05 ---- 0.0

Figure does not meet standards ofreliability or precision ------------------ *

PERSONS HOSPITALIZED

BY NUMBER OF HOSPITAL EPISODES AND DAYS IN A YEAR

Michael S. Backenheimer, Ph. D., Division of Health Interview Statistics

Prior to

INTRODUCTION

the release of the Vital and HealthStatistics publication, Series 13, No. 1, from theDivision of Health Records Statistics (HospitalDischarge Survey) in October 1966, all of thestatistics on hospitalization issued by the Na-tional Center for Health Statistics were derivedfrom data collected in the Health InterviewSurvey (HIS). With the advent of this and sub-sequent publications based on the Hospital Dis-charge Survey (HDS), differences in short-stayhospital discharge estimates were found to existbetween the two surveys. In each instance, therates of short-stay hospitalizations published byHDS were higher than those published by HIS.

Some of this variation in rates can be ex-plained by differences in the definitions whichwere employed and in the scope of the two sur-veys, and by the sources of data utilized. Esti-mates produced by HDS are based on hospitalrecords and include stays of less than 1 nightas well as hospitalizations that are terminatedby death. In HIS, data are collected by householdinterview, and the experience of persons not livingat the time of interview is excluded from the data.Hospital stays of less than 1 night and hospitalstays by military personnel and institutionalizedpersons (population groups which are not includedin the survey) are also excluded from HIS esti-mates. A detailed reconciliation of hospital dis-

charge estimates derived from the two surveyscan be found in appendix II of Series 13, No. 2.

It is possible to derive two kinds of hospitali-zation estimates from data collected in the HealthInterview Survey. One type of estimate dealswith the number of hospital discharges as a uni-verse without considering the number of personsinvolved. Two publications by the Division ofHealth Interview Statistics (Series B, No. 32, andSeries 10, No. 30) are devoted exclusively to hos-pital discharges and the length of stay in short-stay hospitals. One table in each report of theCurrent Estimates series published by the Divi-sion of Health Interview Statistics (the latestbeing Series 10, No. 43) is also devoted to sum-mary data on hospital discharges. The othertype of hospitalization statistics produced by theHealth Interview Survey consists of estimatesof persons with short-stay hospital episodesduring a year. This report updates findingspresented in Series 10, No. 20, which was thefirst publication of this type.

Using person experience as a basis forestimation, it was found that 19.1 million per-sons in the civilian, noninstitutionalized popu-lation had one or more episodes lasting for 1night or longer in short-stay hospitals for the12-month period, July 1965- June 1966. Thisdiffers materially from the 24.2 million dis-charges per year (also based on health interviewdata and collected during the same period), be-

1

cause itrepresentsa countofpersons,some of

whom had more thanone episodeina year,while

estimatesof dischargesdescribethetotalnum-

ber of hospitalizationsregardlessofthenumber

ofpersons involved.

COMPARISONWITH EARLIER HIS DATA

The 19.1 millionpersons who were hospital-

ized during the 12-month period July 1965-

June 1966 representa rate of 100 persons with

one or more episodes per 1,000 population.

These figuresare substantiallyhigher than the

annualestimate,basedondatacollectedduringthe

period July 1960-June 1962, when 16.6 millionpersons, or 93 persons with one or more epi-

sodes per 1,000 population,were hospitalizedduringan average year.

From table A itcan be seen thatratesof

short-stayhospitalizationinthe 12-month period

ending in June 1966 were, ingeneral,higherfor

Table A. Comparison of average annual number of persons hospitalized per 1,000 popula-tion, for July 1960-June 1962 with number of persons hospitalized per 1,000 popula-tion, for July 1965-June 1966,by number of short-stay episodes, sex, and age: UnitedStates

Sex and age

Both sexes

All ages-

Under 15years-------15-44 years--15-24 years-25-44 years-

45-64 years-.65+ years----

Male

All ages-

Under 15years-------15-44 years--15-24 years-25-44 years-

45-64 years--65+ years----

Female

All ages-

Under 15years-------15-44 years--15-24 years-25-44 years-

45-64 years--65+ years----

Total persons Persons with Persons withhospitalized 1 episode 2+ episodes

July 1960- July 1965- July 1960- July 1965- Jllly 1960- July 1$165-

June 1962 June 1966 June 1962 June 1966 June 1962 June 1966

Number of persons hospitalized per 1,000 population per year

93 100

12:117129109130

78

606659

1::135

121

51177170182111125

80

45107

59

49

100

39160169

54 75753 :59 10

161% 25

104 15

m

14

12

J1929

16

1922

2

both sexes than comparable rates based on datacollected from July 1960- June 1962. The singledeviation from this increasing rate of short-stayhospitalization is to be found among females aged15-24 years who showed a decrease of 21 per-sons hospitalized per 1,000 population. This de-crease probably reflects the declining fertilityrate in the United States which is defined asthe number of live births per 1,000 women aged15-44 years. In calendar year 1965, the fer-tility rate in the United States was 96.6 whilethe same rate for 1961 was 117.2.1

The increasing rate of short-stay hospi-talization noted above is particularly prominentfor persons of both sexes who are 65 years orolder. This may, in part, be due to the fact thatthe incidence of acute conditions was higher duringthe most recent time period (Series 10, Nos. 1 and38). k is important to realize that no part df thisincrease in persons hospitalized can be attributedto Medicare since the basic legislation providingfor hospital coverage of those persons aged 65years and over did not become effective untiIJuly 1, 1966.

It is also evident from table A that most ofthe increase in hospital episodes can be attributedto persons having only one short-stay hospitalepisode in the reference period and not to anylarge increase in multiple episodes. The rate ofpersons hospitalized with one short-stay hospitalepisode per 1,000 population increased from 80 to86 while the rate of multiple episodes per 1,000population increased only slightly, from 13 to 14.The finding that there were approximately 14readmission for every 100 persons with hos-pital episodes compares favorably with a study,carried out in England, that shows between 10 and25 readmission for every 100 persons admittedto a hospital in a year’s time. 2

For both males and females, and white andnonwhite persons, there were increases in thenumber of persons hospitalized per 1,000 popu-lation. Again, most of this gain was among per-sons having only one short- stay hospital episode.

l~ational Center for Health Statistics: VitaZ Statistics ofthe United States, 1965, Vol. L Public Health Service. Wash-

ington. U.S. Government Rintin~ Office, 1966.

I,oIume \/1, I{umber ~, hfaj’ 19~L?.2BIue Cross Reports, ,

From table B it can also be seen that, by region,

the South showed the largest increase in the num-ber of persons hospitalized per 1,000 population.

Days per person hospitalized per year (forpersons with one or more short-stay hospitalepisodes) were also compared for the two timeperiods (table C). In general, hospital episodeswere slightly shorter in the July 1965-June 1966reference period than in the July 1960-June 1962reference period. For both periods of time, males15 years or older consistently had longer averagestays than did females. A single episode of I-7days was the most common pattern of hospitalstay in both time periods with 63.9 percent ofthe persons hospitalized experiencing this patternin the earlier reference period and 63.8 percentexperiencing this pattern in the July 1965-June1966 reference period (table 25).

SELECTED FINDINGS

During the period July 1965-June 1966,19.1million persons were hospitalized in short-stayfacilities, a rate of 100 persons with one or moreepisodes per 1,000 population. As shown in figure1, the rate among males increased with advancingage. Among females, however, this consistent

MALE FEMALE

200

[ 177

I150 L

Figure 1. Number of persons

Fopulatiar{ per year,

hospital ized per 1,000

k.y age ar,cl %JX.

3

Table B. Comparison of average annual number of persons hospitalized per 1,000 popula-tion, for July 1960-June 1962 with number of persons hospitalized per 1,000 popula-tion, for July 1965-June 1966, by number of short-stay episodes and selected demo-graphic characteristics: United States

Character-istic

Aze

All ages-

Under 15years-------15-44 years--45-64 years--65+ years----

Sex

Male ---------Female -------

Color

White --------Nonwhite -----

Region

Northeast----NorthCentral-----South--------West ---------

Total persons Persons with Persons withhospitalized 1 episode 2+ episodes

July 1960- July 1965- July 1960- July 1965- July 1960- July 19fj5-

June 1962 June 1966 June 1962 June 1966 June 1962 June 1966

Number of persons hospitalized per 1,000 population per year

93

5012395

112

9573

89

969293

100

56124109130

lx

10381

95

102105

97

80

45107

H

1::

86

1::90

105

1X

8871

84

868984

13

1:H

1115

1310

11

13

::

14

1216

1510

11

161613

patternwas broken by thehighrateamong those vitalizedexperiencingthispattern.Othercommonaged 15-44 years, an age intervalduringwhich

there are many hospitalizationsfor deliveries.

About 85.8percentofthepersonswithoneor more

hospitalepisodeshad onlyone episodeofhospital-.

ization in the year; 14.2 percent had multipleepisodes including 2.8 percent who had more than

two episodes (table 3). Among persons with hos-pital episodes, multiple episodes were most fre-quent among persons with low family income,living alone or with nonrelatives, divorced orseparated, or living in the North Central orSouth Regions (table 21).

As was stated earlier, a single episode of

1-7 days was the most common pattern ofhos-

pital stay, with 63.8 percent of thepersonshos-

patterns of stay, in order of frequency, were oneepisode of 8-14 days and one episode of 15-30days (table 25). Among persons with family in-comes less than $3,000, 53.5 percent experiencedsingle episodes of 1-7 days compared with 66.5percent for those with family incomes of $3,000or over.

The persons hospitalized during an averageyear represented 10 percent of the total popula-

tion (table 1), and theyexperiencedapproximately179 million hospital days, an average of9.4hos-pital days per person hospitalized during thel2-month period ending June 1966 (table 4).

The many hospitalizations fordeliveryamong

females 15-44 years were responsible, to agreat

A

Table C. Average annual number of hospital days per person per year for persons with1+ short-stay hospital episodes for two time periods by age, sex, and number of epi-sodes: United States, July 1960-June 1962 and July 1965-June 1966

Sex andnumber of hospital episodes

JulyJuly

JulyJuly

JulyJuly

JulyJuly

JulyJuly

JulyJuly

JulyJuly

JulyJuly

JulyJuly

JulyJuly

JulyJuly

JulyJuly

BOTH SEXES

Total hospital episodes

1960-June 1962----------------19,65-June 1966----------------

1 hospital episode

1960-June 1962----------------1965-June 1966----------------

2 hospital episodes

L960-June 1962----------------1965-June 1966----------------

3+ hospital episodes

1960-June 1962----------------1965-June 1966----------------

MALE-

Total hospital episodes

1960-June 1962----------------1965-June 1966----------------

1 hospital episode

1960-June 1962----------------1965-June 1966----------------

2 hospital episodes

1960-June 1962----------------1965-June 1966----------------

3+ hospital episodes

1960-June 1962----------------1965-June 1966----------------

FEMALE,

Total hospital episodes

1960-June 1962----------------1965-June 1966----------------

1 hospital episode

1960-June 1962----------------1965-June 1966----------------

2 hospital episodes

1960-June 1962-----------------1965-June 1966----------------”

3+ hospital episodes

1960-June 1962-----------------1965-June 1966-----------------

Allages

Under15

years

15-44years

15-24 25-44years years

45-64years

Days per person hospitalized per year

9.69.4

7.67.2

19.519.5

33.132.8

12.111.3

;.:.

24.223.2

39.138.1

8.28.2

6.66.4

16.417.0

29.028.8

6.96.5

5.75.2

14.714.9

26.831.5

n

5.45.2

15.013.3

30.532.2

6.96.6

6.05.2

14.217.1

20.730.5

7.67.2

6.05.6

15.314.9

31.629.0

11.510.0

8.87.7

23.020.1

49.236.4

6.46.2

5.15.0

12.712.9

25.925.8

6.36.2

5.25.0

11.313.4

27.725.1

9.88.6

8.07.1

18.019.9

54.024.0

5.45.4

4.54.3

1;:;

22.824.9

8.27.8

6.46.0

17.215.6

33.630.9

12.310.8

9.28.1

24.620.2

48.038.8

6.96.8

5.55.3

14.313.7

28.026.3

13.413.0

10.710.1

25.424.4

35.535.6

15.014.4

11.811.1

29.426.6

35.339.5

12.011.8

9.59.2

21.722.4

35.731.7

65+years

16.915.7

13.612.2

28.828.0

37.937.3

18.117.1

14.412.5

29.931.0

39.242.4

15.814.4

13.011.9

27.724.6

36.532.3

5

extent, for a comparatively low number of hos-pital days per person in this group (fig. 2). Fe-males in this age group averaged 6.2 days in ayear compared with 8.2 days for females of allages. Children under 15 years had comparative-ly few hospital days during the year, withaverages of 6.3 days for males and 6.6 days forfemales. Except for this youngest age group,

males had on the average more hospital daysannually than did females (table C).

MALE

171

FEMALE

14.4

Under M 15-4445.64 6!5+ Under 15 15-4445-64 65+years years years years years years years yeors

igure 2. Average number of days hospital ized per per-son, by age and sex.

SOURCE AND LIMITATIONS

OF DATA

The data for hospitalized persons containedin this publication were derived from householdinterviews in the Health Interview Survey of theNational Center for Health Statistics. These inter-views were conducted in a probability sample ofthe civilian, noninstitutional population of the

United States. The sample is so designed thatinterviews are conducted each week in a repre-

sentative sample of the Nation’s households bytrained personnel of the Bureau of the Census.

6

During the 52-week period from July 1965-June1966, the sample was composed of approximately42,000 households containing about 134,000 per-sons living at the time of the interview. Eachweek interviews were conducted in a differentsample of households. The hospital experience ofhousehold members during the 12 months priorto the interview was elicited, as well as infor-mation on other health and demographic charac-teristics.

A further description of the statistical design

of the survey, of the methods of estimation, andof general qualifications of the data obtained ispresented in appendix I. Since all dats includedin this report are estimates based on a sampleof the population rather than on the entire popu-lation, they are subject to sampling error. Thesampling errors for most of the estimates areof relatively low magnitude. However, where anestimated number of the numerator or denomi-nator of a rate or percentage is small, the sam-pling error may be high. Charts from whichapproximate sampling errors may be estimatedand instructions for their use are also presentedin appendix L

Definitions of certain terms used in the re-

port are given in appendti II. Since many of the

terms have specialized meanings it is suggestedthat the reader familiarize himself with thesedefinitions, as well as with the qualifications of

the interview data as described in the followingsection of this report.

SPECIAL DEFINITIONS AND

INCLUSIONS

Estimates shown in this report describehospitalization only for those members of thecivilian, noninstitutional population of the UnitedStates who were living at the time of the interview.These data on hospitalized persons do not there-fore represent the maximum care which can beprovided by hospitals in the Nation.

The persons included are discussed in re-lation to certain demographic characteristics and

by the extent to which these factors influenced theperson’s pattern of hospital utilization or stay inthe year preceding interview. “Pattern of hospitalstay” is a term used in this report to describethe relationship of the number of hospital daysduring the year to the number of episodes the

person had (for example, a single episode of1-7 days was the most usual pattern of stay).

Stays in short-stay hospitals discussed in thisreport have been referred to as “episodes” and,unlike discharges, are not necessarily hospital-izations completed prior to the interview. Hos-pital days for persons with one or more episodesinclude only those hospital days which occurredwithin the 12-month period prior to the week ofinterview. More significantly, this report dealswith persons, some of whom had more than oneepisode in a year, whereas counts of hospitaldischarges represent the total number of dis-charges during a year without regard to the num-ber of persons involved.

Detailed data from the Health Interview Sur-vey on hospital discharges are contained inthe Vital and Health Statistics report, Series10, No. 30.

PERSONS HOSPITALIZED

Basic to any discussion of persons hospital-ized is the question of what factors cause per-sons to be hospitalized. The patterns of seekingand receiving hospital care in the Nation aredetermined, to a great extent, by an intricateset of interrelated variables. Present medicalpractice and knowledge exert a heavy weight indetermining what conditions and illnesses arebest diagnosed and treated in a hospital. Physi-cians recommend, for example, that deliveriestake place in a hospital setting, that certain diag-nostic tests be administered by hospital facili-ties, and that disabIing and threatening disordersbe observed and treated under hospital care, withsurgery when required.

One prime consideration in ascertainingwhether or not a person will be hospitalized is thecondition to be cared for. Certain conditions,physiologic or pathologic, which are best treatedin the hospital, are characteristic of some agegroups but not of others, or are common to onesex but not the other. Therefore, hospital experi-ence will vary to a great degree according to theage and sex of the person, as well as with otherdemographic characteristics.

It is, however, not just the orientation ofphysicians nor the age and sex of a person thatdictates whether or not he will be hospitalized.

Of prime consideration is the person’s realiza-tion or knowledge of his condition and his atti-tudes toward disease, illness, and the medicalprofession. These factors decide at what point intime a person will seek medical consultationand services, and to what extent he will makeuse of preventive medical care.

Other factors such as a determined programof health education, increased and extended healthinsurance plans, and free hospital care to somesegments of the population have made access tohospital care and treatment easier than in pastgenerations.

Of the selected characteristics of the popu-lation shown in table 1, sex, age, marital status,and living arrangements are important character-istics in relation to the frequency of hospitaliza-tion. The high proportion of hospital episodes fordelivery is, of course, the basic factor causingthe variations noted for these four populationtraits. The infIuence of the high rate of deliveriesis brought into focus by the age-sex data shown intable 2; the percentage of females 15-44 years ofage with hospital episodes (17.7 percent) isapproximately three times that for males :.1 thesame age group (6.6 percent).

The remainder of the detailed tables (3-2!5),exclusive of those showing the population data bythe various characteristics (tables 26- 29), arerestricted to persons with one or more hospitalepisodes. Percent distribution by number ofepisodes and number of hospital days during ~year are shown according to the populatioi~characteristics outlined in table 1.

The foIlowing discussion will focus on shol t-stay hospital episodes and hospital days as tbare related to selected demographic character-ist its. Table D provides the base for most ofthe following discussion. Since the survey coversonly the living members of the household, thefindings are applicable only to the survivorswith hospital episodes.

Age

As might be expected, age shows itself asa potent variable in determining the distributionof short-stay hospitalizations. In general, epi-sodes of short-stay hospitalizations increase withage. The lone exception to this general pattern

7

Table D. Number of persons by age groups hospitalized per 1,000 population per year,by number of short-stay episodes and selected demographic characteristics: UnitedStates, July 1965-June 1966

Characteristic

All ages--------------

Male ------------------------Female----------------------

Color

White -----------------------Nonwhite --------------------

Region

Northeast -------------------North Central---------------South-----------------------West ------------------------

Residence

SMSA’S----------------------Outside SMSA’S:

Nonfarm -------------------Farm----------------------

Family income

Under $3,000----------------$3,000-$4,999---------------$5,000-$6,999---------------$7,000-$9,999---------------$10,000+--------------------

Marital status-17+ vears

Ever married ----------------Married ---------------------Widowed ---------------------Divorced --------------------Separated-------------------Never married ---------------

Living arrangements-17+ years

Living alone or withnonrelatives ---------------Living with relatives-married --------------------Living with relatives-other----------------------

Totalpersons

hospital-ized

All ages

Persons with:

m

Under 15 years

Totalpersons

hospital-ized

Persons with:

1 2+epi- epi-sode sodes

Number of persons hospitalized per 1,000 population

100

78121

10381

1:;10597

96

11094

1071061069689

13513513012815372

112

136

65

86

66104

8871

84868984

84

9278

::918479

11411510710312364

93

115

57

per year

14

1216

;:

11161613

12

1816

2016151310

212123

H8

18

21

8

56

6051

;:

58565259

54

%

4953616052

...

...

...

...

...

...

...

...

...

50

5446

:;

;;4754

49

5343

:255

::

...

...

...

...

...

...

...

...

...

5

65

5*

5655

5

7*

*

;

z

...

...

...

...

...

...

...

...

...

8

Table D. Number of persons by age groups hospitalized per 1,000 population per year,by number of short-stay episodes and selected demographic characteristics: UnitedStates, July 1965-June 1966—Con.

15-44 years 45-64 years 65+ years

Persons with:

m

Totalpersons

ho;:@~al-

Totalpersons

hospital-ized

Persons with: Persons with:Totalpersons

hospital-ized

1epi-sode

2+epi-sodes&!-_E!&

Number of persons hospitalized per 1,000 populationper year

12/ 108 10! 90 19 130 10: 25

1?

12!12(

11[12(13;Ilf

11$

13;11:

13114:13511$

101

15415412314017368

84

154

82

57155

108107

105107114104

105

11896

11512612110289

13313310911314062

73

134

72

lC22

1>1:

1:

::14

15

2019

::181712

2120**9C7

*

20

10

10/11:

1919

20*

;:2320

16

2619

2920201714

20

;;7’<-k*

231

19

18

135125

13479

117129150117

125

139128

125126148112150

131127134160

11;

130

127

135

106104

10865

10110211792

102

110102

R116100136

1051011119C

9;

109

100

111

2922

26*

;23324

23

29*

272632**

252723***

22

27

25

11:8:

9:llL

12:lot

111

81

122

110

91

9

occurs among females aged 15-44 years, a groupwhich has many hospitalizations for deliveries.The rate of multiple short- stay hospital episodesalso increased with age. In general, the annualnumber of days per person hospitalized also in-creased with age. The only deviation in thispattern is due to the low average number of daysamong females in the 15-24-year age group wheredeliveries, a category characterized by a com-paratively short period of hospitalization, area major cause of hospitalization (table C).

Since this report covers the 12-month periodending with June 1966, the data on persons 65years and older are of concern in establishinga baseline of the hospitalization experience of this

group in the period just prior to the effective dateof the Medicare program. The basic legislationproviding for hospital coverage became effectiveJuly 1, 1966; however, it should again be empha-sized that this report includes only the hospital

experience of persons living at the time of theinterview and that, because of this qualification,the hospital experience of the population 65 yearsand older is somewhat greater than that reportedin table D. 8

During the 12-month reference period therewere an estimated 17.6 million persons of age65 or older residing in the United States. Withinthis group there were approximately 2.3 millionpersons with hospital episodes, comprising 13percent of the persons in the age group (table 1).The hospital stay for persons 65 and older waslonger than that for the younger age groups.

Sex

From data shown in table A, it is apparentthat the rate of hospitalization among females wasapproximately 50 percent higher than that amongmales. Since this difference manifests itself mostclearly in the 15-44-year age category, most of thedifference is probably accounted for by hospital-izations for deliveries. Males except for thosepersons under the age of 15 had more hospital

34mong persons of all ages the estimate derived from theinterview data is increased approximately 4.3 percent by the

inclusion of data for decedents; for persons 65 yeare and older,the comparable increase is 18.9 percent (Series 10, No. 32).

days per year on the average than did females(table D).

Color

The rate of hospitalization among white per-sons was about 25 percent higher than that amongnonwhite persons. In terms of persons with mul-tiple hospital episodes, the white group had arate 50 percent higher than the nonwhite group.White children (under the age of 15) were con-

siderably more likely to have a hospitad episodethan nonwhite children (table D). Of the nonwhitechildren who were hospitalized, however, only64.1 percent had 1-7 hospital days during theyear, while the comparable percentage for whitechildren was 81.0. This would indicate that non-white children on the average account for morehospital days than do white children (table 8).

White persons in the 45-64 and 65-years-and- over age groups were hospitalized at higher

rates than were their nonwhite counterparts. Thisdifferential rate of hospitalization may reflectracial differences in economic and social status,in terms of amount of family income, extent of

health insurance coverage, dissemination ofhealth education, and availability of hospital facil-ities (table D).

Region

The rates of persons with single and multi-ple hospital episodes were somewhat higher forthe Nor~h Central and South Regions than for theNortheast and the West. In the 65-and-older age

group, the South had a markedly higher rate ofpersons hospitalized per 1,000 population than didthe other regions (table D).

Residence

Nonfarm residents living outside of metro-politan areas had higher rates of hospitalizationthan did those living in other areas of residence.This finding held true for all age groups but wasparticularly noticeable in the 15-44-year age

group where the nonfarm group living outsidemetropolitan areas had a short-stay hospital

episode rate of 137 per 1,000 population comparedwith 115 for persons in farm areas and 119 for

10

those residing in standard metropolitan statis-tical areas (SMSA’S) (table D).

Family Income

The rate of persons with episodes was in-versely related to the amount of family income;this relationship was noted for both those withsingle and with multiple episodes. Persons in thehighest family income group—$lO,OOO or more—had the lowest short-stay hospital episode rate inthe 15-44 and 45-64-year age groups; however, inthe 65-and- over age group, this income levelhad the highest rate of persons hospitalized (tableD). This turnabout may be due to the fact that

the $10,000 and over family income group is betterable to afford hospital care (and thus receive itwhen necessary) than are persons in other incomegroups.

Marital Status

The rate of hospitalization was appreciablyhigher among persons 17 years and older whowere ever married than among those who werenever married, with a markedly high rate forpersons in, the “separated” status for both singleand multiple episodes (table D).

Due to the high proportion of female hospital-izat ions for deliveries, the marital status of thosepersons between 17 and 44 years of age appearsas a salient variable. Persons in this age groupliving with relatives and married had a rate ofhospitalization of 154 per 1,000 population, whilepersons in other living arrangements had a

rate of only 83. From table D it can be seenthat all of the ever married groups (married,widowed, divorced, or separated) had substantiallyhigher rates of hospital episodes than did persons17 years or older in the never married group.Certainly a part of this difference can be attrib-uted to the fact that females in the never marriedgroup were not “at risk” to the same extent as

females in the “married” group in terms of ex-periencing a hospital episode for delive~.Another notable difference by marital status inthe 17-4-. -year age group is that about 25 per-cent of the married and never married personswith episodes had stays totaling eight or morehospital days during the year while for the di-vorced and separated groups, this estimateapproximated 35 percent (based on data in table20).

Those persons who were married or had everbeen married in the 45-64-year age group weremore likely to have a hospital episode than weretheir never married counterparts. The evermarried group had 111 hospital episodes per1,000 population while the never married grouphad only 81 per 1,000 population (table D). Marriedpersons had shorter stays of hospitalization thandid persons in other marital status groups; 50.7percent of those with hospital episodes among themarried had 7 hospital days or less. For personsin all other marital status groups, this percentageapproximated 40 percent (table 20).

Living Arrangements

Those persons 17 years and older living withrelatives and married had a short-stay hospitalepisode rate of 136 per 1,000 population. Thisrate, which was considerably higher than thosefor other categories of living arrangements, is,in view of the rate for those aged 17-44 years(154 per 1,000 population), explainable in termsof deliveries.

For those persons living with relatives butnot married, episodes of short-stay hospitaliza-tion increased with age. This pattern indicates,to some extent, that in this category there areadults in the 17-44- year age group living with

their parents, and widowed parents in the 65-

years-and-older age group living with their off-spring. Those persons living alone or with non-relative also demonstrated an increasing rateof hospital episodes with advancing age.

000

11

DETAILED TABLES

Table 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

Total population and number and percent distribution of total persons in the pop-ulation, by number of hospital episodes according to selected characteristics:United States, July 1965-June l966-----------------------------------------------

SEX AND AGE

Total population and number and percent distribution of total persons in the pop-ulation, by number of hospital episodes according to sex and age: United States,July 1965-June l966--------------------------------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episocles,~;6~mber of episodes according to sex and age: United States, July 1965-J~une

------------------------------------------------------------------------..---

Number of hospital days and number of hospital days per person per year for per-sons with 1+ short-stay hospital episodes, by number of episodes, sex, and age:United States, July 1965-June l966-----------------------------------------------

Number and percent distribution of persons with 1-1-short-stay hospital episocles,by number of hospital days during the year according to age and number of epi-sodes: United States, July 1965-June 1966----------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episocles,by number of hospital days during the year according to sex and number of epi-sodes: United States, July 1965-June 1966----------------------------------------

COLOR, AGE, AND SEX

Number and percent distribution of persons with 1+ short-stay hospital episocles,by number of episodes according to color, age, and sex: United States,July 1965-June l966------------------------------------------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episocles,by number of hospital days during the year according to color,age,and sex:UnitedStates, July 1965-June l966------------------------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episoc[es,by number of hospital days during the year according to color and number of epi-sodes: United States, July 1965-June 1966---------------------------------------

REGION AND RESIDENCE

Number and percent distribution of persons with 1+ short-stay hospital episocles,by number of episodes according to geographic region and age: United States,Jkly1965-June l966-------------------------------------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episocles,by number of hospital days during the year according to geographic region andage: United States, July 1965-June 1966------------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episocles,by number of hospital days during the year according to geographic region andnumber of episodes: United States, July 1965-June 1966---------------------------

Number and percent distribution of persons with 1+ short-stay hospital episocles,by number of episodes according to place of residence and age: United States,July 1965-June l966--------------------------------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episocles,by number of hospital days during the year according to place of residence andage: United States, July 1965-June 1966-----------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episodes,by number of hospital days during the year according to place of residence, age,and number of episodes: United States, July 1965-June 1966----------------------

Page

14

15

16

17

18

18

19

20

21

22

23

24

25

26

27

12

DETAILED TABLES—Con.

Page

Table 16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

-FAMILY INCOME

Number and percent distribution of persons with 1-1-short-stay hospital episodes,by number of episodes according to family income and age: United States, July1965-June l966------------------------------------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episodes,by number of hospital days during the year according to family income and age:United States, July 1965-June l966----------------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episodes,by number of hospital days during the year according to family income and numberof episodes: United States, July 1965-June 1966---------------------------------

MARITAL STATUS AND LIVING ARRANGEMENTS

Number and percent distribution of persons 17 years or older with 1-1-short-stayhospital episodes, by number of episodes according to marital status and age:United States, July 1965-June l966----------------------------------------------

Number and percent distribution of persons 17 years or older with 1+ short-stayhospital episodes, by number of hospital days during the year according to mari-tal status and age: United States, July 1965-June 1966--------------------------

Number and percent distribution of persons 17 years or older with 1+ short-stayhospital episodes, by number of hospital days during the year according to mari-tal status and number of episodes: United States, July 1965-June 1966-----------

Number and percent distribution of persons with 1+ short-stay hospital episodes,by number of episodes according to living arrangements and age: United States,July 1965-June l966-------------------------------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episodes,by number of hospital days during the year according to living arrangements andage: United States, July 1965-June 1966-----------------------------------------

Number and percent distribution of persons with 1+ short-stay hospital episodes,by number of hospital days during the year according to living arrangement, age,and number of episodes: United States, July 1965-June 1966----------------------

PATTERN OF HOSPITAL STAY

Percent distribution of persons with 1+ short-stay hospital episodes during ayear, by pattern of hospital stay according to selected demographic characteris-tics: United States, July 1965-June 1966----------------------------------------

POPULATION

Population used in obtaining rates shown in this publication, by color, familyincome, sex, and age: United States, July 1965-June 1966------------------------

Population used in obtaining rates shown in this publication, by place of resi-dence, geographic region, sex, and age: United States, July 1965-June 1966------

Population used in obtaining rates shown in this publication, by living arrange-ments, sex, and age: United States, July 1965-June 1966-------------------------

Population used in obtaining rates shown in this publication, by marital status,sex, and age: United States, July 1965-June 1966--------------------------------

28

29

30

31

32

33

34

35

36

37

39

40

41

42

13

Table 1. Total population and number and percent distribution of total persona in the population, bynumber of hospital episodes according to selected characteristics: United States, July 1965-.June 1966

[Dataam based on household interviews of the civilian, noninstitutional population. The survey design, general qua~fications, and informd,io. on the

reliahilityof the estimates are given in Appendix I. Definitions oftarms aregiven in Appendix II]

Characteristic

All personsl -------------

Sex—

Male ---------------------------Female -------------------------

Age—

Under 15 years-----------------15-44 years--------------------45-64 years--------------------65+ years----------------------

Color

White--------------------------Nonwhite -----------------------

Geographic region

Northeast ----------------------North Central------------------South--------------------------West---------------------------

Residence

SMSA’S -------------------------

Outaide SMSA’S:Nonfarm --------------- -------Farm -------------------------

Familv income

Under $3,000-------------------$3,000-$4,999------------------$5,000-$6,999------------------$7,000-$9,999------------------$10,000+-----------------------

Marital status

Under 17 years-----------------Married------------------------Widowed------------------------Divorced-----------------------Separated----------------------Never married------------------

Living arrangement

Living alone or withnonrelatives------------------Living with relatives,married-----------------------Living with relatives,other-------------------------

Number of hosuital eDisodesTotal

populationNone 1 2 3+

Number of persons in thousands

190,710

92,32398,387

59,86874,55038>71317,578

167,95322,757

47,50353,13358,89131,184

122,000

57,75710,954

31,01732,65438,29740,61540,471

66,84087,58410,1383,4422,39920,308

12,961

87,088

90,660

171,590

85,07886,511

56,54265,27134,47915,299

150,68220,908

43,00847,72352,70528>153

110,247

51,4209,923

27,68929,19334,23636,71236,871

63,16975,7248,8213,0002,03318,843

11,511

75,283

84,795

16,405

6,13410,271

3,0028,0693,4951,839

14,7801,625

3,9704,5685,2532,614

10,234

5,313857

2,7212,9393,5043,3953,180

3,31010,0641,080356295

1,300

1,211

10,017

5,178

2,179

883L,296

265986587341

1,991188

418690739332

1,221

812146

482411457417336

2941,43218667

12:

190

1,427

563

535

227308

2X15399

499+<

10615119385

297

211$<

125111100

H

3:;51?<9C?<

Y<

362

124

Total None 1 2 3+

Percent distribution

100.0

100.0100.0

100.0100.0100.0100.0

100.0100.0

100.0100.0100.0100.0

100.0

100.0100.0

100.0100.0100.0100.0100.0

100.0LOO.0LOO.0100.0LOO.0LOO.0

100.0

100.0

100.0

90.0

92.287.9

94.487.689.187.0

89.791.9

90.589.889.590.3

90.4

89.090.6

89.389.489.490.491.1

94.586.587.087.284.792.8

88.8

86.4

93.5

8.6

1:::

li:~

1;:;

8.87.1

:::

H

8.4

9.27.8

8.89.09.18.47.9

5.0L1.5LO.7LO.3L2.36.4

9.3

11.5

5.7

1.1

1.01.3

0.41.31.51.9

::;

0.91.31.31.1

1.0

1.41.3

1.61.31.21.03.8

).4L.6L.8L.92.4).7

1.5

1.6

0.6

0.3

0.20.3

0.10.30.40.6

0.3*

0.20.30.30.3

3.2

3.47’<

).43.31.3).2).2

).1).41.59<**

*

0.4

0.1

lIncludes unknown income.

NOTE: For official population estimates for more general use,see Bureau of the Census reports on thecivilian population of the United States. in Current Population ReDorta. Series P-20. P-25. and P-60.

14

Table 2. Total population and number and percent distribution of total persons in the population,by number of hospital episodes according to sex and age: United States, July 1965-June 1966

[D.tawe based on household interview of the civilian, noninstitutional population. The survey design, general qualifications, and informationon thereliabllity of the estimates aregiven inAppendixI. Definitions of terms are giveninAppendixII]

Number of hospital episodesTotal

populationNone 1 2 3-f-

Sex and age

Total IINone ! 1 12!3+

Both sexes

All ages-----------

Under 15 years-----------

15-44 years--------------

15-24 years------------

25-44 years------------

45-64 years--------------

65+ years-----------------

Number of persons in thousands Percent distribution

190.710 171.590 16.405 2,179

265

986

308

678

587

341

883

535 100.0 90.0 8.6 1.1 0.3

94.4

87.6

88.3

87.1

89.1

87.0

92.2

59,868

74,550

29,365

45,185

38,713

17,578

92.323

56,542

65,271

25,919

39,352

34,479

15,299

85,078

3,002

8,069

3,070

4,999

3,495

1,839

6.134

60

224

67

156

153

99

227

100.0

100.0

100.0

100.0

100.0

100.0

100.0

5.0

10.8

10.5

11.1

9.0

10.5

6.6

0.4

1.3

1.0

1.5

1.5

1.9

1.0

0.1

0.3

0.2

0.3

0.4

0.6

0.2

Male

All ages -----------

15 years-----------

years--------------

30,460

35,575

13,994

21,581

18>597

7,691

98,387

1,648

2,020

742

1,278

1,651

815

10,271

100.0

100.0

100.0

100.0

100.0

100.0

100.0

94.0

93.4

94.1

92.9

89.2

86.5

87.9

94*9

82.3

83.0

81.8

88.9

87.5

5.4

5.7

5.3

5,9

8.9

10,6

10.4

4.6

15.5

15.2

15.8

9.2

10.4

0.5

0.8

0.6

0.9

1.5

2.3

1.3

0.4

1.8

1.5

2.0

1.5

1.7

Under

15-44

28,628

33,212

13,162

20,049

16,590

6,650

86,511

151

276

80

196

280

177

1,296

*

68

*

57

77

*

308

*

0.2

*

0.3

0.4

*

0.3—

*

0.4

0.4

0.4

0,4

0.5

15-24 years------------

25-44 years------------

45-64 years--------------

65+ years----------------

Female

All ages-----------

Under 15 years-----------

15-44 years--------------

15-24 years------------

25-44 years------------

45-64 years--------------

65+ years ----------------

29,408

38,975

15,371

23,605

20,116

9,887

27,914

32,059

12,757

19,302

17,889

8,649

1,354

6,050

2,329

3,721

1,844

1,024

114

711

228

482

307

164

*

156

57

99

76

50

100.0

100.0

100.0

100.0

100.0

100.0

NOTE : For official population estimates for more general use,see Bureau of the Census reportson the civilian population of the United States,in Current Population Reports: Series P-20, P-25,and P-60.

15

Table 3. Number and percent distribution of persons with 1+ short-stay hospital episodes,by num-ber of episodes according to sex and age: United States, July 1965-June 1966

[Data are based cm household interviews of the civilian, noninstitutional population. The survey design, general qualifications, and informationonthereliability of the estimates are given in Appendix I. Definitions of terms are given in Appendix II]

Sex and age

Both sexes

All ages-----------------------------

Under 15 years-----------------------------

15-44 years--------------------------------

M-24 years------------------------------

25-44 years------------------------------

45-64 years--------------------------------

65+ years----------------------------------

Male

All ages-----------------------------

Under 15 years-----------------------------

15-44 years--------------------------------

15-24 years------------------------------

25-44 years------------------------------

45-64 years--------------------------------

65+ years----------------------------------

Female

All ages-----------------------------

Under 15 years-----------------------------

15-44 years--------------------------------

15-24 years------------------------------

25-44 years------------------------------

45-64 years--------------------------------

65+ years----------------------------------

Number of hospital episodes

Total 1 2 3-!-

Number of personsin thousands

19.120

3,326

9,280

3,446

5,834

4,235

2,279

7,245

1,832

2,363

832

1,531

2,007

1,042

11.876

1,494

6,916

2,614

4,302

2,227

1,238

16.405

3,002

8,069

3,070

4,999

3,495

1,839

6,134

1,648

2,020

742

1,278

1,651

815

10,271

1,354

6,050

2,329

3,721

1,844

1,024

2,179—

265

986

308

678

587

341

883

151

276

80

196

280

177

1,296

114

711

228

482

307

164

535

60

224

67

156

153

99

227

*

68

.2

57

77

.%

308

*

156

.57

99

76

50

Percent distribution

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

85.8_

90,3

87.0

89.1

85.7

82.5

80.7

84.7

90.0

85,5

89.2

83.5

82.3

78.2

86.5

90.6

87.5

89.1

86.5

82.8

82,7

11,4_

8.0

10.6

8.9

11.6

13,9

15.0

12.2

8.2

11.7

9.6

12.8

14.0

17.0

10.9

7,6

10.3

8.7

11.2

13.8

13.2

2,8.

1.8

2.4

1.9

2.7

3.6

4.3

3,1—

*

2.9

*

3.7

3.8

-2

2,6—

*

2.3

2,2

2.3

3.4

4.0

16

Table 4. Number of hospital clays and number of hospital days per person per year for personswith1+ short-stayhospital episodes,by number of episodes,sex, and age: United States, July 1965-June 1966

~ata are based on household interviews of the civilian, nonim%itutiontd population. The survey design, general qualifications, and informationon thereliability of the estimates aregiven in,4ppendix I. Definitions of terms aregiven in.4ppendix II]

Sex and age

Both sexes

All ages ---------------------

Under 15 years---------------------

15-44 years------------------------

15-24 years----------------------

25-44 years----------------------

45-64 years------------------------

65+ years--------------------------

Male

All ages---------------------

Under 15 years---------------------

15-44 years------------------------

15-24 years----------------------

25-44 years ----------------------

45-64 years------------------------

65+ years --------------------------

Female

All ages---------------------

Under 15 years---------------------

15-44 years------------------------

15-24 years----------------------

25-44 years----------------------

45-64 years------------------------

65-I-years--------------------------

Nuraberof hospital episodes

Total

Number of hospital daysin thousands

178.958

21,469

66,771

21,243

45,528

55,050

35,668

81,922

11,628

23,627

7,161

16,465

28,873

17,793

97,036

9,840

43,144

14,081

29,063

26,177

17,875

118.915

15,625

45,552

15,424

30,127

35,298

22,440

52,770

8,555

15,594

5,303

10,291

18,398

10,222

66,145

7,070

29,958

10,122

19,836

16,900

12,218

42,513—

3,956

14,718

4,135

10,583

14,303

9,536

20,497

2,009

5,559

1,594

3,965

7,434

5,495

22.016

1,947

9,159

2,541

6,618

6,869

4,041

17,53C—

1,88E

6,501

1,682

4,817

5,448

3,69?

8,655

1,064

2,472

264

2,209

3,040

2,077

8,875

824

4,027

1,419

2,608

2,408

1,616

ElmEDays per person

hospitalizedper year

9.4—

6.5

7.2

6.2

7.8

13.0

15.7

11.3

6.3

10.0

8.6

10.8

14.4

17.1

8.2

6.6

6.2

5.4

6.8

11.8

14.4

7.2.

5.2

5.6

5.0

6.0

.0.1

.2.2

8.6

5.2

7.7

7.1

8.1

,1.1

,2.5

6.4

5.2

5.0

4.3

5.3

9.2

1.9

19.5-

14.9

14.9

13.4

15.6

24.4

28.0

23.2

13.3

20.1

19.9

20.2

26.6

31.0

17.0

17.1

12.9

11.1

?.3.7

22.4

24.6

32.8—

31.5

29.0

25.1

30.9

35.6

37.3

38.1

32.2

36.4

24.0

38.8

39.5

42.4

28.8

30.5

25.8

24.9

26.3

31.7

32.3

17

Table 5. Number and percent distribution of persons with 1+ short-stay hospital episodes, by number of hos-pital days during the year according to age and number of episodes: United States, July 1965-June 1966

[Dataarebad m hous.hulcl ,ntm’,ew of the ci,tlim. no.in.ti(.,iorml .opulatm.. The Survey design, ge.eral q.alificat.ions, and in formatum on the relirihilityof th(, wbmnt(,. nrc vlton tn $rm.nd:x I. Ik.fln]tions of krms we given in Appendix 111

Age and number of episodes

All ages

All episodes ---------------------

1 episode ------------------------------2+ episodes ----------------------------

Under 15 years

All episodes ---------------------

1 episode ------------------------------2+ episodes ----------------------------

15-44 years

All episodes ---------------------

1 episode ------------------------------2+ episodes ----------------------------

45-64 years

All episodes ---------------------

1 episode ------------------------------2+ episodes ----------------------------

65+ years

All episodes ---------------------

1 episode ------------------------------2+ episodes ----------------------------

Number of hospital days

Total 1-7 8-14 15-30 31+ Total 1-7 8-14 15-30 31+

Number of persons in thousands Percent distribution

19,120

16,4052,715

3,326

3,002324

9,280

8,0691,210

4,235

3,495740

2>279

1,839440

12,6911 3,4841 1,975 1970 100.0, 1 1 ,

2,630 379 214 103 100.OI

2,540 272 134 57 100.091 107 81 $? 100.0

m++-=I+=

66.4_

74,418.0

79.1

84.628,1

76.6

84,326.0

48.5

57,42,<

39,2

46.7>,,

IT18,2 10.3 5.1

16.230,3 3!:: 1;:?

11.4] 6.41 3.1

F14.3 6.4 2.6

11.3 3.3 1.134.4 27,3 12.4

27,3 15,6 8.6

27.2 1,1.0 4.428.0 37.2 28,2

mTable 6. Number and percent distribution of persons with 1+ short-stay hospital episodes, by number of hos-

pital days during the year according to sex and number of episodes: United States, July 1965-June 1966. .

Sex and number of episodes

Both sexes

All episodes ---------------------

1 episode ------------------------------2+ episodes ----------------------------

Male

All episodes ---------------------

1 episode ------------------------------2+ episodes ----------------------------

Female

All episodes ---------------------

1 episode ------------------------------2+ episodes ----------------------------

[See headnote cm table 5]

Number of hospital days

Total 1-7 8-14 15-30 31+ Total 1-7 8-14 15-30 31+

Number of persons in thousandsI

Percent distribution

19,120—

16,4052,715

7,245

6,1341,110

11,876

10,2711,604

12,691—

12,202489

4,456

4,282175

8,235

7,921314

m3,484 1,975 970 100,0

2,661 1,108 434 100,0823 867 535 100,0

w2,155 1,075 410 100,0

1,592 589 169 100,0563 486 241 100,0

m..10.3 5.1

74.4 16.218.0 30.3 3::: &

%i-3-tJ18

Table 7. Number and percent distribution of persons with 1+ short-stay hospital episodes, by num-ber of episodes according to color, age, and sex: United States, July 1965-June 1966

[Data are based on household interviews of tbe sivilirm, noninstitutional population. Tbe survey design, general qualifications, snd informationonthereliahility oftbe estimates aregiven in Appendix I. Definitions of terms scegiven in Appendix II]

Number of hospital episodes

Total 1 2+ EzlEEPercent distribution

Color, age, and sex

Number of personsin thousandsTotal

19,120 16,405 2,715All ages-------------------------------- 100.0 85./ 14.2

Under 15 years--------------------------------

15-44 years -----------------------------------

45-64 years-----------------------------------

65+ years-------------------------------------

3,326

9,280

4,235

2,279

17,271

2,944

8,226

3,931

2,170

1,849

3,002

8,069

3,495

1,839

14,780

2,668

7,132

3,232

1,749

1,625

324

1,210

740

440

2,490

276

1,094

699

421

224

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

90.:

87.(

82.!

80.;

85.C

90.(

86.;

82.>

80.C

87.5

9.7

13.0

17.5

19.3

14.4

9.4

13.3

17.8

19.4

12.1

White

All ages--------------------------------

Under

15-44

45-64

15 years--------------------------------

years-----------------------------------

years-----------------------------------

65+ years-------------------------------------

Nonwhite

All ages ------------------ --------- -----

Under 15 years--------------------------------

15-44 years-----------------------------------

45-64 years-----------------------------------

65+ years-------------------------------------

Total

Both sexes------------------------------

Male------------------------------------------

Female----------------------------------------

White

Both sexes------------------------------

Male ------------------------------------------

Female ----------------------------------------

Nonwhite

Both sexes------------------------------

Male ------------------------------------------

Female ----------------------------------------

382

1,054

304

109

19,120

7,245

11,876

17,271

6,610

10,661

1,849

334

938

263

90

16,405

*

116

*

*

2,715

100.0

100.0

100.0

100.0

100.0

87.4

89.C

86.5

82.6

85.8

*

11.0

*

*

14.2

6,134

10,271

14,780

5,580

9,200

1,625

1,110

1,604

2,490

1,029

1,461

224

100.0

100.0

100.0

84.7

86.5

85.6

15.3

13.5

14.4

100.0

100.0

100.0

84.4

86.3

87.9

15.6

13.7

12.1

635

1,214

554

1,071

81

143

100.0

100.0

87.2

88.2

12.8

11.8

19

Table 8. Number and percent distribution of persons with 1+ short-stay hospital episodes, by num-ber of hospital days during the year according to color, age,and sex: United States, July 1965-June 1966

~ata are based on household interviews of the civilian, noninstitutional population. The survey design, general qualifications, and informationonthereliability oftbeestimates megiven in Appendix I. Definitions ofterms aregiven in Appendix II]

Number of hospital days

~otal 1-7 8-14 15-30 31+

Number of persons in thousands

Color, age, and sex

rotal 1-7 8-14 15-30 31+

Percent distributionTotal

All ages---------

Under 15 years---------

15-44 years------------

45-64 years------------

65+ years--------------

White

All ages---------

Under 15 years---------

15-44 years------------

45-64 years------------

65+ years--------------

19,120 !2,691 3,484 1,975 970 100.0 66.4 18.2 10.3 5.1

3,326

9,280

4,235

2,279

17,271

2,944

8,226

3,931

2,170

1,849

382

1,054

304

109

19,120

2,630

7,113

2,054

894

L1,488

2,385

6,317

1,932

854

1,203

379

1,328

1,157

621

3,166

316

1,194

1,066

591

318

214

598

660

503

1,765

166

517

607

475

211

103

241

364

262

852

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

11.4

14.3

27.3

27.2

18.3

10.7

14.5

27.1

27.2

17.2

6.4

6.4

15.6

22.1

10.2——

5.6

6.3

15.4

21.9

11.4

*

7.7

17.4

*

1.0.3

79.1

76.6

48.5

39.2

66.5

81.0

76.8

49.1

394

65.1

3.1

2.6

8.6

11.5

4.9

2.6

2.4

8.3

11.6

6.4

77

198

326

251

118

Nonwhite

All ages---------

15 years---------

years------------

years------------

245

795

122

>’f

12,691

63

134

91

;’<

3,484

64.1

75.4

40.1

>’<

66.4

16.5

12.7

29.9

9<

18.2

Under

15-44

45-64

-k

81

53

>’<

1,975

*

*

$c

*

5.1-

7.7

3.5

4.9

65+ years--------------

Total

Both sexes-------

Male -------------------

Female-----------------

White

Both sexes-------

Male -------------------

Female-----------------

Nonwhite

Both sexes-------

Male-------------------

Female-----------------

20

——

7,245

11,876

17,271

6,610

10,661

1,849

635

1,214

4,456

8,235

L1,488

4,117

7,371

1.203

1,329

2,155

3,166

1,199

1,967

318

900

1,075

1,765

560

410

852

100.0

100.0

100.0

61.5

69.3

66.5

18.3

18.1

18.3

1,2.4

9.1

10.2

809

956

211

485

367

118

100.0

100.0

100.0

62.3

69.1

65.1

18.1

18.5

17.2

12.2

9.0

1.1.4

7.3

3.4

6.4

100.0

100.0

53.4

71.1

20.5

15.5

1.4.3

9.9

339

863

130

188

91

120

74

-k

Table 9. Number and percent distribution of persons with 1+ short-stay hospital episodes, by numb-er of hospital days during the year according to color and number of episodes: United States,July 1965-June 1966

[Data are based on household interviews of the civilian, noninstitutional population. Thesurvey design, general qualifications, and information

on thereliabllityof the estimates are given in Appendix I. Definitions of ternrs are given in Appendix II]

Number of hospital days

Color and number of episodes

Total II 1-7 ] 8-14 I 3.5-30 I 31+

Total

All episodes---------------------------------

1 episode------------------------------------------

2+ episodes----------------------------------------

White

All episodes---------------------------------

1 episode------------------------------------------

2+ episodes----------------------------------------

Nonwhite

All episodes---------------------------------

1 episode------------------------------------------

2+ episodes----------------------------------------

Total

All episodes---------------------------------

1 episode------------------------------------------

2+ episodes----------------------------------------

White

All episodes---------------------------------

1 episode---------------------------k--------------

2-!-episodes----------------------------------------

Nonwhite

All episodes---------------------------------

1 episode------------------------------------------

2+ episodes----------------------------------------

Number of persons in thousands

19.120 12.691 3,484

2,661

823

3,166

970

434

535

852

1,975

1,108

867

1,765

16,405

2,715

12,202

489

11,48817,271

14,780

2,490

11,035

454

1,203

1,167

*

2,410

756

318

251

67

972

793

211

364

488

118

70

*

5.1—

2.6

19.7

4.9

2.5

19.6

6.4

4.3

*

1,849

1,625 136

74224

Percent distribution

100.0 66.4

74.4

18.0

66.5

+100.0

100.0

16.2

30.3

6.8

31.9

100.0 18.3 10.2

100.0

100.0

74.7

18.2

65.1

16.3 6.6

30.4 31.8

100.0 17.2 11.4

100.0

100.0

71.8

*

15.4 8.4

29.9 33.0

21

Table 10. Number and percent distribution of persons with 1+ short-stay hospital episodes, bynumber of episodes according to geographic region and age: United States, July 1965-Jtine 1966

[Data are based on household interviews of tbe civilian, noninstitutional population. The survey design, general qualifications, and informationontbereliability of the estimates aregiven in Appendix I. Definitions of terms aregiven in Appendix II]

Region and age

All regions

All ages-------------------------------------

Under 15 years-------------------------------------

15-44 years----------------------------------------

45-64 years----------------------------------------

65+ years------------------------------------------

Northeast

All ages-------------------------------------

Under 15 years-------------------------------------

15-44 yeara----------------------------------------

45-64 years----------------------------------------

65+ years------------------------------------------

Under

15-44

45-64

North Central

All ages-------------------------------------

15 years-------------------------------------

years----------------------------------------

years----------------------------------------

65+ years------------------------------------------

South

All ages-------------------------------------

Under 15 years-------------------------------------

15-44 years----------------------------------------

45-64 years----------------------------------------

65+ years------------------------------------------

Under

15-44

45-64

West

All ages-------------------------------------

15 yeara-------------------------------------

years----------------------------------------

years----------------------------------------

65+ years------------------------------------------

Number of hospital episodes

Z!zlEzENumber of persona

in thousands

19.120

3,326

9,280

4,235

2,279

4,495

805

2,155

964

571

5,409

922

2,587

1,249

651

6,185

1,002

3,068

1,362

752

3,031

597

1,470

660

305

16.405

3,002

8,069

3,495

1,839

3,970

731

1,919

828

493

4,568

818

2,201

1,032

517

5,253

909

2,657

1,099

588

2,614

544

1,292

536

241

2,71:_

32L

1,21C

74C

44C

524

75

236

136

78

841

104

386

217

134

93:

94

411

26:

165

417

52

178

124

64

=lFFPercent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0100.0100.0100.0

100.0

100.0100.0100.0100.0

100.0

100.0100.0100.0100.0

100.0

100.0

100.0

100.0

100.0

85.8—.

90.3

87’.0

82..5

8CI .7

88,.3——

9oI.8

89.0

851.9

86.3

84..5——

88.7

85.1

82.6

79.4

84.9——

90.7

86.6

80.7

78.2

86.2—.

91.1

87.9

81.2

79.0——

14.2—

9.7

13.0

17.5

19.3

11.7

9.3

11.0

14.1

13.7

15.5

11.3

14.9

17.4

20.6

15.1

9.4

13.4

19.3

21.9

13.8

8.7

12.1

18.8

21.0

22

Table 11. Number and percent distribution of persons with 1+ short-stay hospital episodes, bynumber of hospital-days during the year according to geographic region and age: United States,July 1965-June 1966

[Data are basedm household interviews of the civilinn, noninstitutional population. The survey design, general qualifications, andinfonnationon the rehablhtyofthe estimates are given in Appendix I. Definitions of terms are given in Appendix II]

Number of hospital days

Total 1-7 8-14 15-30 31-1-

Region and age

Total II1-7 8-14 I15-30 31+

All regions

All ages--------------

Under 15 years --------------

15-44 years-----------------

45-64 years-----------------

65+ years-------------------

Northeast

All ages--------------

Under 15 years--------------

15-44 years-----------------

45-64 years -----------------

65+ years -------------------

North Central

All ages--------------

Under 15 years--------------

15-44 years-----------------

45-64 years-----------------

65+ years-------------------

South

All ages--------------

Under 15 years--------------

15-44 years-----------------

45-64 years-----------------

65+ years-------------------

Number of persons in thousands Percent distribution

19,120

3,326

9,280

4,235

2,279

4.495

L2,691—

2,630

7,113

2,054

894

2.807

1,975 970.

103

241

364

262

285—

-k

72

93

86

291—

*

70

116

79

268—

*

72

9969

126—

-2

-k

55*

100.0 66.4 18.2 5.13,484 10.3

379

1,328

1,157

621

895

214

598

660

503

508

100.0100.0

100.0

100.0

100.0

79.1

76.6

48.5

39.2

62.4

11.4

14.3

27.3

27.2

19.9

6.4

6.4

15.6

22.1

11.3

3.1

2.6

8.6

11.5

6.3

75.5

74.8

40.1

34.9

63.8

78.7

72.9

47.5

38.1

68.2

79.6

78.0

52.4$2.0

72.9

*

3.3

9.6

15.1

5.4

*

2.7

9.3

12.1

4.3

‘*

2.3

7.3

9.2

4.2

805

2,155

964

571

5,409

922

2,587

1,249

651

6,185

1,002

3,068

1,362

752

3,031

608

1,612

387

199

3,453

726

1,886

593

248

4,220

798

2,392

714316

2,211

90

337

312

156

1,056

120

424

339

172

1,087

117

407

360203

446

74

133

171

130

609

50

206

200

153

611

61

196

189

165

247

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

11.2

15.6

32.4

27.3

19.5

13.0

16.4

27.1

26.4

17.6

9.26.2

17.7

22.8

11.3

5.4

8.0

16.0

23.5

9.9

6.1

6.4

13.9

21.9

8.1

11.7

13.3

26.4

27.0

14.7

West

All ages--------------

15 years--------------

years-----------------

years-----------------

Under

15-44

45-64

597

1,470

660

305

498

1,222

360

131

52

159

145

90

.L-

62

100

55

100.0

100.0

100.0

100.0

63.4

83.1

54.5

43.0

8.7

10.8

22.0

29.5

$r

4.2

15.2

18.0

**

8.3*65+ years-------------------

23

Table 12. Number and percent distribution of persons with 1+ short-stay hospital episodes, bynumber of hospital days during the year according to geographic region and number of episodes:United States, July 1965-June 1966

[Data are based on household interviews of the civilian, noninstitutional population. The survey design, general qualifications, andinfonnationonthereliability of the estimates are given in Appendix I. Definitions oftenns aregiven in Appendix II]

Number of hospital daysRegion and number

of episodesTotal 1-7 8-14 15-30 31+

Number of persons in thousands

Total 1-7*

All regions

All episodes----------

1 episode-------------------

2+ episodes-----------------

Northeast

All episodes----------

1 episode-------------------

2+ episodes-----------------

North Central

All episodes----------

1 episode-------------------

2+ episodes-----------------

South

All episodes----------

1 episode-------------------

2+ episodes-----------------

West

All episodes----------

1 episode-------------------

2+ episodes-----------------

Percent distribution

100.0 66.4 18.2 10.319,120

16,405

2,715

4,495

3,970

524

5,409

.2,691—

.2,202

489

2,807

2,725

81

3,453

3,484 1,975 970 5.1

2,661

823

895

762

133

1,056

L,108

867

508

344

165

609

434

535

285

100.0

100.0

100.0

100.0

100.0

100.0

74.4

18.0

62.4

68.6

15.5

63.8

16.2

30.3

19.9

19.2

25.4

19.5

6.8

31.9

11.3

8.7

3:L.5

l:L.3

2.6

19.7

6.3

3.5

27.7

5.4

140

145

291

4,568

841

6,185

5,253

933

3,031

2,614

417

3,319

134

4,220

796

260

1,087

330

279

611

124

168

268

100.0

100.0

100.0

72.7

15.9

68.2

17.4

30.9

17.6

‘7.2

33.2

9.9

2.7

20.0

4.3

2.1

16.6

4.2

76.8

19.8

72.9

6.1

3:L.1

3.1

4,035

185

2,211

2,123

89

784

302

446

319

128

320

290

247

114

133

112

155

126

100.0

100.0

100.0

100.0

100.0

14.9

32.4

14.7

59

67

81.2

21.3

12.2

30.7

4.4

31.9

2.3

16.1

24

Table 13. Number and percent distribution of persons with 1+ short-stay hospital episodes, bynumber of episodes according to place of residence and age: United States, July 1965-June .L966

[Dataam basedonhouseholdinterviewsofthecivilian,mmhstitutkmalpopulatkm.Thesurveydesign,generalqualifications,andinforrnationonthereliab]lityoftheestimatesaregiveninAppendixI.DefinitionsofterrnsaregiveninAppendixII]

Residence and age

All areas

All ages-------------------------------------

Under 15 years-------------------------------------

15-44 years ----------------------------------------

45-64 years ----------------------------------------

65-!=years ------------------------------------------

SMSA ‘S

All ages-------------------------------------

Under 15 years-------------------------------------

15-44 years----------------------------------------

45-64 years----------------------------------------

65+ years------------------------------------------

Outside SMSA’S: Nonfarm

All ages-------------------------------------

Under

15-44

45-64

15 years -------------------------------------

years ----------------------------------------

years ----------------------------------------

65-!- years ------------------------------------------

Outside SMSA’S: Farm

All ages-------------------------------------

Under 15 years-------------------------------------

15-44 years----------------------------------------

45-64 years ----------------------------------------

65+ years ------------------------------------------

Number of hospital episodes

EEIENumber of persons

in thousands

19,120

3,326

9,280

4,235

2,279

11,753

2,033

5,83$

2,564

1,318

6,336

1,120

3,017

1,378

821

1,031

173

424

293

141

16,405

3,002

8,069

3,495

1,839

10,234

1,859

5,127

2>171

1,078

5,313

995

2,587

1,082

649

857

148

355

242

112

2,71:

324

1,21C

74C

44C

1,518

174

711

39?

240

1,023

125

430

296

172

173

*

69

51

*

EznzlzPercent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

85.8

90.3

87.0

82.5

80.7

87.1

91.4

87.8

84.7

81.8

83.9

88.8

85.7

78.5

79.0

83.1

85.5

83.7

82.6

79.4

14.2

9.7

13.0

17.5

19.3

12.9

8.6

12.2

15.3

18.2

16.1

11.2

14.3

21.5

21.0

16.8

*

16.3

17.4

*

25

Table 14. Number and percent distribution of persons with 1+ short-stsy hospital episodea, bynumber of hospitsl days during the yesr according to place of residence and age: United States,July 1965-June 1966

~akarebasedon household inkrtiews of thetitilian, notinstitutionsl population. Tbesurvey desi~, general qualifications, andinfomationon tbe reliability of the estimates are given in Appendix I. Definitions oftemrs aregiven in Appendix II]

Number of hospital days

Cotal 1-7 8-14 15-30 31+

Residence and age

‘eta1

I

Percent distributionAll areas

All agea--------------

Number of persons in thousands

.00.0 56.4 18.2 10.3L9,120 12,691—

2,630

7,113

2,o54

894

7,692

1,588

4,440

1,185

479

4,302

892

2,358

702

350

697

!,484 1,975 )70.

.03

!41

)64

!62

;45—

72

164

!27

;82

!80—

*

65

113

72

*—

*

9<

*

*—

5.1

3,326

9,280

4,235

2,279

11,753

2,033

5,838

2,564

1>318

6,336

1,120

3,017

1,378

821

1,03

17

42

29

14

379

,,328

,,157

621

!,173

232

855

730

356

.,119

136

402

357

224

192

214

598

660

503

1,243

141

379

422

301

635

64

192

205

174

97

.00.0

,00,0

.00.0

.00.0

.00.0

.00.0

.00.0

.00.0

.00.0

.00.0

LOO .0

100.0

LOO.O

Loo .0

100.0

79.1

76.6

48.5

39.2

55.4

78.1

76.1

46.2

36.3

67.9

79.6

78.2

50.9

42.6

67.6

11.4

14.3

27.3

27.2

18.5

11.4

14.6

28.5

27.0

17.7

6.4

6.4

15.6

22.1

lCI.6——

6.9

6.5

16.5

22.8

10.0

3.1

2.6

8.6

.1.5

5.5

Under 15 years--------------

15-44 years-----------------

45-64 years-----------------

65+ years-------------------

SMSA ‘S

All agea--------------

15 years--------------

yeara-----------------

years-----------------

Under

15-44

45-64

3.5

2.8

8.9

.3.8

4.4

65+ years-------------------

Outside SMSA’S: Nonfarm

All ages--------------

12.1

13.3

25.9

27.2

18.6

5.7

6.4

14.9

21..2

9.4

9<

*

*

*

Under 15 years--------------

years-----------------

years-----------------

*

2.2

8.2

8.8,

*

15-44

45-64

years-------------------65+

Outside SMSA’S: Farm

All ages--------------

Under 15 years--------------

15-44 years-----------------

45-64 years-----------------

65+ years-------------------

100.0

100.0

100.0

100.0

87.?

74.:

57.(

46.1

*

*

*

9C

151

315

167

65

*

16.;

23.;

9

26

Table 15. Number and percent distribution of persons with 1+ short-stay hospital episodes, by number of hos-pital days during the year according to place of residence, age, and number of episodes: United States,July 1965-June1966

[Dataafebased on householdinterviewsofthecivilian,mmimtitutkxndpop.latiori.The SUrvey design, gemem.1 qualifications, and information on the reliabilityof theestimatss are given in Appendix 1. Definitions of terms are given in Appendix 1~

Number of hospitaldaysResidence,age, andnumber of episodes

rotal 1-7 8-14 15-30 31+ rotal 1-7 8-14 15-30 31+

Percent distributionAll areas

All ages-------------------------

Under 65 years

All episodes -----------------------

1 episode ------------------------------2+ episodes ----------------------------

65+ years

All episodes -----------------------

1 episode ------------------------------2-I-episodes ----------------------------

SMSA’s

All ages-------------------------

Under 65 years

All episodes -----------------------

1 episode ------------------------------2+ episodes ----------------------------

65+ years

All episodes -----------------------

1 episode ------------------------------2+ episodes ----------------------------

Outside SMSA’S: Nonfarm

All ages -------------------------

Under 65 years

All episodes -----------------------

1 episode ------------------------------2+ episodes ----------------------------

65+ years

All episodes -----------------------

1 episode ------------------------------2+ episodes ----------------------------

Outside SNSA’S: Farm

All ages -------------------------

Under 65 yeare

All episodes -----------------------

1 episode ------------------------------2+ episodes ----------------------------

65+ years

All episodes -----------------------

1 episode ------------------------------2+ episodes ----------------------------

Number of persons in thousands

19,120 1,975 970 100.0 18.2 10.3 I 5.1!2,691 3,484 56.4. .

-i

8.7 4.2

5.4 2.130.2 17.8

16,841

14,5662,274

2,279

1,839440

11,753

10,435

9,1571,278

1,318

1,078240

6,336

.1,797

.1,344453

894

2,863 1,472

787686

503

708 100.0 70.0

77.9L9.9

39.2

17.0

2,132731

621

303$05

262

100.0100.0

100.0

14.632.1

27.2

722.1 11.5

17.5 7.141.4 29.8

858J<

7,692

7,213

6,988225

479

465-2

4,302

52992

2,173

1,816

1,432385

356

30650

1,119

321182

1,243

942

52241E

301

21:82

635

461

234226

174

131131

645—

463—212251

182—

8893

280—

208—

1%’

72

100.0100.0

100.0

100.0

100.0100.0

100.0

100.0100.0

Loo.o

100.0

100.0100.0

100.0

k6.7->

55.4

69.1

76.317.6

36.3

43.1.1.

67.9

71.6

80.523.3

52.6

28.820.9

18.5

17.4--1-10.6 5.5

t

9.0 4.4

5.7 2.332.7 19.6

15.630,1

27.C

28.420.8

17.7

16.2

12.835.1

27.3

I

+

10.0 4.4

5,516

4,665851

821

3,952

3,754198

350

895

596299

224

-Q4-5.0 1.726.6 14.9

21.2 8.8

649172

1,031

51.3*

67.6 412.8 *52.9 *

9.4 *

7.9 *

333*

697

193>’;

192

8391

97

**

*

100.0100.0

100.0

29.7*

18.6

890

745145

141

632

602*

65

152

105.:.

*

* 100.0

100.0100.0

100.0

71.0

80.8*

46.1

17.1

14.1*

*

*I ***

*

* *

* ***

112*

61*

100.0*

54.5*

* ** *

*>,.-

**

**

27

Table 16. Number and percent distribution of persons with 1+ short-stay hospital episodes, bynumber of episodes according to family income and age: United States, July 1965-June 1966

[Data are based on household interviews of the civilian, noninstitutional population. The survey design, general qualifications, andinforrnationon the reliability oftheestimatee are given in Appendix I. Definitions of terms are given inAppendixII]

Family income and age

Number of hospital episodes

Tota 1 1 2+ Total 1 2+

Number of personsin thousands IPercent distribution

19,120

All incomesl

All ages -------------------------------------

Under 15 years-------------------------------------15-44 years----------------------------------------45-64 years----------------------------------------65+ years------------------------------------------ T

2,7151 100.0

324 100.01,210 100.0740 100.0440 100.0

85.8 14.216.405

3,3269,2804,2352,279

3,0028,0693,4951,839

2,721

3121,038

558812

2,939

90.387.082.580.7

81.8

86.487.275.678.2

84,9

R)17.519.3

18.2

12.;24.321.8

15.1

Under $3,000

All ages-------------------------------------

15 years-------------------------------------years----------------------------------------yeara----------------------------------------

3,328 607 100.0

3611,191738

1,039

100.0100.0100.0100.0

Under15-4445-64.-.

15;179227b5+ years ------------------------------------------

$3,000-$4,999

All ages-------------------------------------

Under 15 years-------------------------------------15-44 years----------------------------------------45-64 years----------------------------------------65+ years------------------------------------------

3,461 5211 100.0

5691,763699429

4961,526575342

3,504

73 100.0237 100.0125 100.087 100.0

87.286.682.379.7

86,,3

12.813.417.920.3

13.7

$5,000-$6,999

-1-557 100.04,061All ages-------------------------------------

Under 15 years-------------------------------------15-44 years----------------------------------------45-64 years----------------------------------------65+ yeara------------------------------------------

8272,215756264

7531,930614207

3,395

74 100.0285 100.0141 100.057 100.0

91,,187,,181,,278,,4

87,,0

12;18.721.6

13.01-508 100.0

$7,000-$9,999

All agea-------------------------------------

Under 15 yeara-------------------------------------15-44 years----------------------------------------45-64 years----------------------------------------65+ years------------------------------------------

3,903

100.0100.0100.0100.0

8372,109806151

7651,812(55;

3,180

91(,485,,984<,689,,4

88a,4

91.988,,086.,290.6

1:::15.4

*

11.6

1;:;13.8

*

$10.OOW. .

All ages-------------------------------------

15 years-------------------------------------vears----------------------------------------

3,599

Under15-44

6431,728992235

5911,521855213

53 100.0207 100.0137 100.0* 100.0

45-64 ~eara----------------------------------------65+ years------------------------------------------

28

Table 17. Number and percent distribution of persons with 1+ short-stay hospital episodes, bynumber of hospital days during the year according to family income and age: United States, July1965-June 1966

[Datsam basedmrhcmselmldM,erview’softbeeivili.n,n.ninstit.ticmalp.pulsticm.Thesurveyde<~, genemlqualificati..s,sndinformationonthemliabliityoftheestimatasaregiveninAppendixI.DefinitionsoftermsaregiveninAppendixIIl

Family income and age

~1

All ages--------------

Under 15 years--------------15-44 years-----------------45-64 years-----------------65+ years -------------------

Under $3,000

All ages--------------

Under 15 years--------------15-44 years-----------------45-64 years-----------------65+ years-------------------

Number of hospLtal days

Total 1-7 8-14 15-30 31+Total II 1-7 8-14 15-30 31+

Number of persons in thousands Percent distribution

19,12C 12,691—

2,6307,1132,054

894

1,861

233899310418

2,335

4311,411

315177

2,813

6491,728

34888

2,757

7061,57041665

2,477

3,484 1,975_

214598660503

488

9.:125224

355

10;12088

366

1;;11769

331

970—

103241364262

278

*

10:119

200—

**

;:

187—

5;77*

129

100.0—

100.0100.0100.0100.0

100.0

100.0100.0100.0100.0

100.0

100.0100.0100.0100.0

100.0

100.0100.0100.0100.0

100.0

66.4

79.176.6$8.539.2

55.9

64.575.542.C!0.2

67.5

75.760.045.1$1.3

69.3

78.578.0$6.033.3

70.6

18.2

11.414.327.327.2

21.1

10.3—

:::15.622.1

14.7

5.1_

3.12.6

1::;

8.4

3,3269,2804,2352,279

3,328

3611,191

7381,039

3,461

3791,3281,157

621

701

1;;203277

572

19.712.527.526.7

16.5

11.111.527.925.9

17.1

12.613.928.226.9

17.6

*

1::;21.6

10.3

*

1;::20.5

9.0

::;15.526.1

8.5

*

13.:11.5

5.8

**

1:;;

4.6

2.:10.2

*

3.3

$3,000-$4,999

All ages--------------

15 years --------------years-----------------years-----------------

Under15-4445-6465+ years-------------------

5691,763

699429

4,061

8272,215

756264

3,903

2:;195111

696

10430721371

685

$5,000-$6,999

All ages--------------

Under 15 years --------------15-44 years-----------------45-64 years-----------------65+ years-------------------

$7,000-$9,999

All ages--------------

Under 15 years--------------15-44 years-----------------45-64 years-----------------65+ years-------------------

8372,109

806151

3,599

6431,;;;

235

3;:221*

665

*140119*

329

****

128

100.0100.0100.0100.0

100.0

34.374.451.6\3.o

58.8

1:::27.4

*

18.5

6.;14.8

*

9.1

****

3.6

$10,000+

All ages--------------

Under 15 years--------------15-44 years-----------------45-64 years-----------------65+ years-------------------

5361,30354890

22:25670

100.0100.0100.0100.0

13.475.455.238.3

J::25.829.8

10;13953

*

1:::22.6

****

lIncludes unknown income.

29

Table 18. Number and percent distribution Of persons with 1+ short-stay hospital episodesnumber of hospital days during the year according to familY income and number of ePis~de~~United States, July 1965-June 1966

[Datiare based on bousebold interviews ofihecivilian, noninstitutional population. Thesurvey detign, general qualifications, andinfomationon the reliability of the estimates are given in Appendix I. Definitions of terms aregiven in Appendix IIl. .

Number of hospital daysFamily income and

number of episodes8-14 I 15-30 31+

All incomesl Numbe

19,120

16,405

2,715

3,328

2,721

607

3.461

)f persons in thousands Percent distribution

All episodes---------- 1.2,691 1,975 970.

434

535

278

100.C 66.43,484 18.2-

16.2

30.:

21.1

10.3.—

6.8

31.9

14.7——

1(0.1

35.1

10.3.—

6.3

32.4

!).0——

5.8

29.1

8.5

5.3

29.5

9.1——

6.0

32!.9——

5.1-

2.6

19.7

8.4

5.0

23.6

5.8

1 episode-------------------

2+ episodes-----------------

L2,202

485

1,861

2>661

823

701

1,108

867

488

100.0

100.0

100.0

74.4

18.C

55.9

Under $3,000

All episodes----------

1 episode-------------------

2+ episodes-----------------

1,780

81

2,335

2,236

99

2.813

531

170

572

432

140

696

275

213

355

136

143

200

100.0

100.0

100.0

65.4

13.3

67.5

19.5

28.0

16.5

$3,000-$4,999

All episodes----------

1 episode--------------------

2+ episodes-----------------

2,939

521

4,061

186

169

366

203

162

331

86

113

187

79

107

129

100.0

100.0

100.0

100.0

100.0

100.0

76.1

19.0

69.3

14.7

26.9

17.1

2.9

21.7

4.6

$5,000-$6,999

All episodes----------

1 episode-------------------

2+ episodes-----------------

3,504

557

3,903

3,395

508

3,599

3,180

419

2,708

105

2,757

513

183

685

77.3

18.9

70.6

14.6

32.9

17.6

15.2

33.1

18.5

16.7

31.7

2.3

19.2

3.3

1.5

15.6

3.6

$7,000-$9,999

All episodes----------

1 episode-------------------

2+ episodes-----------------

2,64t

112

2,477

2,400

77

517

168

665

181

150

329

50

79

128

100.0

100.0

100.0

77.9

22.0

68.8

$10,000+

All episodes----------

1 episode-------------------

2+ episodes-----------------

llncludes unknovm inccme.

532

133

191

138

57

71

100.0

100.0

75.5

18.4

1.8

16.9

30

Table 19. Number and percent distribution of persons 17 years orolder with 1+ short-stay hospitalepisodes, by number of episodes according to marital status and age: United States, July 1965-June 1966

[Data are based on ho.sebold interviews of the civilisn, mminstitutionsl population. The survey design, general ~ualifications, and informationon the reliability of the estimates are given in Appendix I. Definitions of terms are given in Appendix II]

Number of hospital episodes

Marital status and age

All marital statuses

All ages-17+ years---------------------------

17-44 years----------------------------------------45-64 years----------------------------------------65-1-years------------------------------------------

Married

AU ages-17+ years---------------------------

17-44 years----------------------------------------45-64 years----------------------------------------65-1-years------------------------------------------

Widowed

All ages-17+ years---------------------------

17-44 years----------------------------------------45-64 years ----------------------------------------65+ years------------------------------------------

Divorced

All ages-17+ years---------------------------

17-44 years----------------------------------------45-64 years----------------------------------------65+ years------------------------------------------

Separated

AU ages-17+ years---------------------------

17-44 years----------------------------------------45-64 years----------------------------------------65+ years------------------------------------------

Never married

EzEIzNumber of persons

in thousandsPercent distribution

15.450 13.095 2.355 100.0 15.284.8

13.117.519.3

15.2

8,9364,2352,279

11,860

7,2413,4301,189

1,317

7,7613,4951,839

10,064

1.,174740440

1,797

100.0100.0100.0

100.0

86.982.580.7

84.9

6>2802,846

938

1,080

961584252

237

100.0100.0100.0

100.0

86.783.078.9

82.0

;3.;

82:6

80.5

13.317.021.2

18.0

20.:17.4

19.5

***

19.4

65373878

442

100.0100.0100.0

100.0

23814658

366

191121*

295

100.0100.0100.0

100.0

80.382.9

*

80.6

230109;!>.

1,465

18683*

1,300

100.0100.0

*

100.0

100.0100.0100.0

80.976.1

*

88.7

90.184.282.7

***

11.2

9.9**

-k

*

*

164All ages-17-!-years---------------------------

17-44 years----------------------------------------45-64 years----------------------------------------65-1-years------------------------------------------

1,161177127

1,046149105

115**

31

Table 20. Number and percent distribution of persons 17 years or older with 1+ short-stay hos-pital episodes, by number of hospital days during the year according to marital status and age:United States, July 1965-June 1966

[Data are based onhousehold inteniews of thetivilian, noninstitutional population. Thesumeydetign, general qualifications, andinfomationon thereliability of theestimatis megiven in Appendix I. Definitions of terms sregiven in Appendix II]

Number of hospital days

Marital status and age ~Total 1-7 8-14 15-30 31+

Percent distribution

Total II 1-7 I 8-14 15-30 31+

11 I I I

Number of persons in thousandsAll marital statuses

All ages-17+ years-----

17-44 years------------------45-64 years------------------65+ years--------------------

Married

All ages-17+ years-----

17-44 years------------------45-64 years------------------65+ years--------------------

Widowed

All ages-17+ years-----

17-44 years------------------45-64 years------------------65+ years--------------------

Divorced

All ages-17+ years-----

17-44 years------------------45-64 years------------------65+ years--------------------

Separated

All ages-17+ years-----

17-44 years------------------45-64 years------------------65+ years--------------------

Never married

All ages-17+-years-----

17-44 years------------------45-64 years------------------65+ years--------------------

15,450 9,782 3,071 1,739 858.

232364262

543—

151254138

146

?<

22

*

***

9<

63.3100.0 11.3 5.6

8,936;,;;;J

11,860

7,2413,4301,189

1,317

65373878

442

1,2931,157621

2,282

1,038929316

375

9<100253

105

***

79

6.4151.622,.1

10.0——

l::i20.5

21.3

17.;24.5

14.3—.

***

16.7——

***

9.8——

7.3k>!<

6,8342,054

894

7,845

5,6141,738493

515

15;320

241

576660503

~

439509244

281

9<

2;:

63

9<9<9<

61

100.0100.0100.0

100.0

100.0100.0100.0

100.0

100.0100.0100.0

100.0

100.0100.0100.0

100.0

76.548.539.2

66.1

14.5

27.?27.2

19.2

;::11.5

4.6

77.550.741.5

39.1

41.:36.4

54.5

14.327.126.6

28.5

2.1

Li::

I_l.1

26.;28.8

~3.8

L4.;1.O.3

*

23814658

366

2301099<

1,465

156589<

191

147*

*

990

65.539.7

*

52.2

?C

9<

*

21.6

-k

9<

k

?<

??-k

9<

229

9<

-k

*

103

100.0100.0

-k

100.0

63.9it9<

67.6

7?

*

9<

7.0

5.09<9<

1,161177127

87667SC

14255*

58**

100.0100.0100.0

75.537.9

9C

12.231.1

*

32

Table 21. Number and percent distribution of persons 17 years or older with 1+ short-stay hos-pital episodes, by number of hospital days during the year according to marital status and num-ber of episodes: United States, July 1965-June 1966

~atame based on household interviews of the civilian, noninstitutional population. Thesuwey design, general qualifications, and informationonthereliability of the estimates aregiven in Appendix I. Definitions of terms aregiven in Appendix II]

Number of hospital daysMarital status andnumber of episodes

Total 1-7 8-14 15-30 31+

Number of persons in thousands

+ *

All marital statuses

All episodes-----------

1 episode--------------------

2+ episodes------------------

Married

All episodes-----------

1 episode--------------------

2+ episodes------------------

Widowed

All episodes-----------

1 episode--------------------

2+ episodes------------------

Divorced

All episodes-----------

1 episode--------------------

2+ episodes------------------

Separated

All episodes-----------

1 episode--------------------

2+ episodes------------------

Never married

All episodes-----------

1 episode--------------------

2+ episodes------------------

Percent distribution

15,450

13,095

2,355

11,860

10,064

1,797

1,317

9,782 3,071 1,739—

961

777

1.191

858 100.0 63.3 19.9 11.3 5.6

),395

387

7.845

2,361

709

2,282

1,713

570

375

377

481

543

100.0

100.0

100.0

71.7

16.4

66.1

18.0

30.1

19.2

7.3

33.0

10.0

2.9

20.4

4.6

7,530

315

515

206

336

146

100.0

100.0

100.0

74.8

17.5

39.1

615

576

281

17.0

31.7

28.5

6.1

32.1

21.3

2.0

18.7

11.1

1,080

237

442

319

57

105

180

101

63

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

46.7

*

54.5

65.2

*

52.2

29.5

24.1

23.8

19.9

*

21.6

77

69

*

16.7

42.6

14.3

*

*

16.7

7.1

29.1

*

*

*

*

356

86

366

295

71

1,465

232

*

191

178

J<

990

71

*

79

59

-k

229

*

*

61

*

*

143

*

*

*

*

*

103

fjo.3

*

67.6

20.0

*

15.6

15.4

*

*

*

9.8

7.5

*

*

*

7.0

4.1

30.5

1,300

164

9.51

*

200

*

97

*

53

50

100.0

100.0

73.2

*

33

Table 22. Nuqber and percent distribution of persons with 1+ short-stay hospital episodes, bynumber of epxsodes according to living arrangement and age: United States, July 19fj5.Jll~e 1966

[Data are based onho"sehold interviews of thetivilian, noninstitutional pop"Iation. Thesuwey design, general qualifications, andinfomationon the reliability of the estimates are given in Appendix I. Definitions of terms are given in Appendix II]

I Number of hospital episodea

Living arrangement and age

Total 1 2+

All arrangements Number of personsin thousands

All ages------------------------------------- I 19,120

Under 17 years------------------------------------- 3,670

17-44 years---------------------------------------- 8,936

45-64 years---------------------------------------- 4,235

65-!-years------------------------------------------ 2,279

Living alone or with nonrelatives

All ages------------------------------------- 1,450

Under 17 years------------------------------------- ?’C

17-44 years---------------------------------------- 369

45-64 years---------------------------------------- 477

65+ years------------------------------------------ 597

Living with relatives-married

All ages------------------------------------- 11,805

Under 17 yeara------------------------------------- ...

17-44 years---------------------------------------- 7,222

45-64 years---------------------------------------- 3,413

65+ years------------------------------------------ 1,171

Living with relatives-other

All ages------------------------------------- 5,865

I

under 17 years ------------------------------------- 3,663

17-44 years---------------------------------------- 1,345

45-64 years---------------------------------------- 346

65+ years------------------------------------------ 511

16,405

3,310

7,761

3,495

1,839

1,211

+<

321

386

498

10,017

. . .

6,262

2,832

924

5,178

3,304

1,178

277

418

36C

1,174

740

440

239

*

~<

91

100

1,789

. . .

960

581

248

687

359

167

68

93

Percent distribution

100.0—

100.0

100.0

100.0

100.0

100.0

9<

100.0

LOO.0

Loo.0

100.0

...

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

85.8

90.2

86.9

82.5

80.7

83,5——

*

87,,0

80,,9

83<,4

84,,9——

.!).

86,,7

83,,0

78a,8

88,,3——

90,,2

87,,6

80(,1

81.88

14.2

9.8

13.1

17.5

19.3

16.5

$;

*

19.1

16.8

15.2

...

13.3

17.0

21.2

11.7

9.8

12.4

19.7

18.2

34

Table 23. Number and percent distribution of persons with 1+ short-stay hospital episodes, bynumber of hospital days during the year according to living arrangements and age:United States,July 1965-June 1966

@.ta are based on household interviews of the civilian,rmninstit.timrtd population. The survey design, general q..lificatirms, and informationon the reliability of the estimates are given in Appendix I. Definitions of terms are given in Appendix II]

Number of hospital daysLiving arrangement

and ageTotal II1-7 I 8-14 I 15-30 I 31+ Total 1-7 8-14 15-30 31+

All arrangements

All ages--------------

Number of persons in thousands Percent distribution

19.120 3,484—

414

1,293

1,157

621

358

970 66.4 18.2 5.1.2.691 1,975 100.0 10.3

6.5

6.4

15.6

22.1

16.6

3.1

2.6

8.6

11.5

11.2

*

*

12.8

12.9

4.5

Under 17 years--------------

17-44 years-----------------

45-64 years-----------------

65+ years-------------------

3,670

8,936

4,235

2,279

1,450

2,909

6,834

2,054

894

689

237

576

660

503

240

112

232

364

262

162

100.0

100.0

100.0

100.0

100.0

79.3

76.5

48.5

39.2

47.5

11.3

14.5

27.3

27.2

24.7

Living alone or withnonrelatives

All ages--------------

Under 17 years--------------

17-44 years-----------------

45-64 years-----------------

65+ years-------------------

*

369

477

597

11,805

...

7,222

3,413

1,171

5,865

3,663

1,345

346

511

*

259

185

239

7,816

...

5,603

1,728

485

4,186

2,903

973

142

169

.:.

61

140

157

2,273

*

-A

90

124

1,185

*

100.0

100.0

100.0

100.0

---

70.2

38.8

40.0

66.2

*

16.5

29.4

26.3

19.3

*

*

18.9

20.8

10.0

Living with relatives-married

All ages--------------

Under 17 years--------------

17-44 years-----------------

45-64 years-----------------

65+ years-------------------

. . .

1,037

926

310

853

414

196

90

153

. . .

436

507

242

550

237

114

62

137

. . .

147

251

134

276

110

63

51

51

. . .

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

. . .

77.6

50.6

41.4

71.4

79.3

72.3

41.0

33.1

. . .

14.4

27.1

26.5

14.5

11.3

14.6

26.0

29.9

. . .

6.o

14.9

20.7

9.4

6.5

8.5

17.9

26.8

. . .

2.0

7.4

11.4

4.7

3.0

4.7

14.7

10.0—.

35

Living.with relatives-other

All ages--------------

17 years--------------

years-----------------

years-----------------

Under

17-44

45-64

65+ years-------------------

Table 24. Number and percent distribution of persons with 1+ short-stay hospital episodes, by number of hos.pital days during the year according to living arrangements,July 1965-June 1966

age, and number of episodes: United States,

~ata W. based cm ho.wholcl tntcr,ivws of tb. <,i!inn,non,n.tt.ton.l pOP.18L,On. The survey dc=sign,general q.alifi.acimw, ..d in~cmmation cm the rc.liabilityof the wtinrntw rmc given In \ppcmdix 1. Ikfiniticms of twins are gi!en in \ppendix II]

Number of hospital daysLiving arrangement, age, and

number of episodesrotal II 1-7 I 8-1& 15-30 31+ Total 1-7 8-14 15-30 31+

Percent distributionAll living arrangements

All ages -------------------------

Number of persons in thousands

19,120 12,691 3.484 1,975 970 100.0 66.4 18.2 1.0.3.=

8.7

5.430.2

22.1

5.1

Under 65 years

All episodes ----------------------- 16,841

14,5662,274

2,279

11,797

11,344453

894

2,863

2,132731

621

1,472

787686

503

708

303405

262

100.0

100.0100.0

100.0

70.0

77.919.9

39.2

17.0

14.632.1

27.2

4.2

1%:

11.5

1 episode ------------------------------2+ episodes ----------------------------

65+ years

All episodes -----------------------

1 episode ------------------------------2+ episodes ----------------------------

1,839440

1,450

858.,,..

689

52992

358

321182

240

131131

162

100.0100.0

100.0

46.7-k

47.5

28.820.9

24.7

17.541.4

16.6

7.129.8

11.2

Living alone or with nonrelatives

All ages -------------------------

Under 65 years

All episodes ----------------------- 852 450

431;<

239

201

160>,?

157

142>?

2,273

L,963

1,448515

310

117

74*

124

75.J.

1,185

943

85—,,<

9<

77—

,!,.:

532

100.0

100.0100.0

100.0

100.0100.0

100.0

100.0

100.0100.0

100.0

52.8

60.4;,,

40.0

46.8$<

66.2

68.9

77.418.6

41.4

23.6

22.4?<

26.3

13.7——

10.4,,,

20.8

10.0

>,<*

12.9

1 episode ------------------------------2+ episodes ----------------------------

713139

597

65+ years

All episode s-----------------------

1 episode ------------------------------2+ episodes ----------------------------

498100

11,805

10,634

9,0941,541

1,171

923248

5,865

5,354

4,760594

511

233;:

7,816

7,330

7,043287

485

28.5;Ic

19.3

18.5

15.933.4

26.5

15.1>’C

10.0

8.9

3:::

20.7

*-k

4.5

3.7

1:::

11.4

Living with relatives:married

All ages -------------------------

Under 65 years

All episodes ----------------------- 398

1 episode ------------------------------2+ episodes ----------------------------

65-Fyears

All episodes -----------------------

461482

242

141256

134

1 episode ------------------------------2+ episodes ----------------------------

457-2

4.186

25753

853

15092

550

5975

276

100.0100.0

100.0

49.5>,<

71.4

27.821.4

14.5

16.337.1

9.4

3:::

4.7

Living with relatives-other

All ages -------------------------

Under 65 years

All episodes ----------------------- 4,017 699

525174

153

413

251161

137

225—

113112

51

100.0

100.0100.0

100.0

75.0

81.324.7

33.1

13.1

11.029.3

29.9

7.7

2;:?

26.8——

23.0-2

4.2

1;::

10.0

1 episode ------------------------------2+ episodes ----------------------------

3,870147

169

65+ years

All episodes -----------------------

1 episode ------------------------------2+ episodes ----------------------------

41893

168*129,!,

,,,*

100.0100.0

40.2,,, 30.9,!,,,(

*

36

Table 25. Percent distributionof personswith 1+ short-stayhospital episodesduring a year, bypattern of hospital stay according to selecteddemographiccharacteristics:United States,July1965-June1966

[Data are basedm hmsehddinterviews of t,be civilian,noninstitutional population. The survey design, geuersl qualifications, end informationon the reliability of the estimates are given in Appendix L Definitions of terms are given in Appendix II]

Characteristic

All personal----------------------------

SEX

Male ------------------------------------------Female----------------------------------------

COLOR

White-----------------------------------------Nonwhite--------------------------------------

Under 45 years--------------------------------Under 15 years------------------------------15-44 years---------------------------------

45+ years-------------------------------------45-64 years---------------------------------65+ years-----------------------------------

REGION

Northeast-------------------------------------North Central---------------------------------South-----------------------------------------West------------------------------------------

RESIDENCE

SMSA’S

Under 65 years--------------------------------65+ years-------------------------------------

Outside SMSA’S:Nonfam

Under 65 years------------------------------65+ years-----------------------------------

Outside SMSA’S:Farm

Under 65 years------------------------------65+ years-----------------------------------

Personswith 1+ short-stayhospital episodes

Percent distribution

100.0—

100.0100.0

100.0100.C

100.c100.0100.0100.0100.0100.0

100.0100.0100.0100.0

100.0100.0

100.0100.0

100.0100.0

63.8_

59.166.7

63.963.1

73.876.273.343.947.237.6

60.661.465.270.0

67.035.3

68.1!0.6

67.6k3.3

13.9_

l&.813.4

14.013.6

9.4

M22.722.423.2

17.014.712.710.5

13.723.2

10.823.5

11.820.6

5.8—

M

5.67.4

M

1;:;9.114.1

:::5.23.8

12::

1:::

1::;

4.3—

H

4.43.6

:.:

4:54.64.94.0

2:;4.94.2

3.73.8

::;

5.37.8

4.5—

2:?

4.64.0

H3.6

R8.0

3.7

::?4.4

4.06.3

4.111.1

4.75.7

7.6

10.16.1

7.68.3

;:;

1:::9.713.1

8.17.97.37.1

1:::

7.411.0

;:;

See footnoteat end of table.

37

Table 25. Percent distribution of persons with 1+ short-stay hospital episodes during a year, bypattern of hospital stay according to selected demographic characteristics: United States, July1965-June 1966—Con.

[Data are based on household interview of the civilian, noninstitutional population. The survey design, general qualifications, and informationon the reliability of the estimates are given in Appendix I. Definitions of terms are given in Appendix II]

Characteristic

FAMILY INCOME

Under $3,000----------------------------------

$3,000-$4,999---------------------------------

$5,000-$6,999--------------------------------

$7,000-$9,999---------------------------------

$10,000+--------------------------------------

MARITAL STATUS-17+ years

Married---------------------------------------

Widowed---------------------------------------

Divorced--------------------------------------

Separated-------------------------------------

Never married ---------------------------------

LIVING ARRANGEME~S

Living alone or with nonrelatives

Under 65 years--------------------------------

65+ years-------------------------------------

Living with relatives-married

Under 65 years--------------------------------

65+ years-------------------------------------

Living with relatives-other

Under 65 years--------------------------------

65-1-years-------------------------------------

1Includes unknown income.

Persons with 1+ short-stay hospital episodes

One episode with: Two+ episodeswith:

E

OtherTotal pattern

1-7 8-14 15-30 8-14 15-30 of stay

days days days days days

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

53.5

64.6

66.7

67.8

66.7

63.5

38.3

52.5

48.6

64.9

50.6

39.0

66.2

39.0

72.3

32.9

16.0

12.5

12.6

13.2

14.8

14.4

24.2

16.1

16.1

13.7

18.8

23.8

13.6

21.9

9.8

25.2

8.3

5.4

5.0

4.6

5.3

5.2

13.7

8.1

8.7

6.6

8.7

12.6

4.3

12.8

4.7

18.8

5.1

4.0

4.5

4.3

3.7

4.8

4.3

7.7

5.5

2.0

4.9

2.5

4.8

4.5

3.2

4.7

6.4

4.9

4.0

3.8

3.8

4.9

7.7

6.1

7.9

3.1

4.9

8.0

4.5

7.9

3.0

8.0

10.8

8.6

7.2

6.2

5.7

7.2

11.9

9.3

12.8

9.7

12.1

14.2

6.4

13.8

6.9

10.2

38

Table 26. Population used in obtaining ratea shown in this publication, by color, family income,sex, and age: United States, July 1965-June 1966

[Dataare based cm household interviewsof the civilian,noninstitutionalpopulation.Thesurveydesign,generalqualifications,andinformationonthereliabilityoftheestimatasaregiveninAppendixI.DefinitionsoftermsaregiveninAppendixII]

Sex and age

Both sexes

All agea-------

Under 45 years-------

Under 15 years-----

15-44 years--------

45!-years------------

45-64 years--------

65+ years----------

Male

All agea-------

Under 45 yeara-------

Under 15 years-----

15-44 yeari--------

45t years------------

45-64 years--------

65+ yeara----------

Femsle

All ages-------

Under 45 years-------

Under 15 years-----

15-44 years--------

45+ years------------

45-64 years--------

65+ years ----------

Color Family income

Totalpopulation

White Non- Underwhite

$3’000- $5’000- $7’000- $10,000+$3,000 $4,999 $6,999 $9,999

Population in thousanda

190,710

134,418

59,868

74>550

56,292

38,713

17,578

92.323

66,034

30,460

35,575

26,288

18,597

7,691

98,387

68>384

29,408

38,975

30,003

20,116

9,887

167,953

116,707

50,953

65,754

51,246

35,048

16,198

81,465

57,539

25,995

31,543

23,926

16,863

7,063

86,488

59,168

24,958

34,210

27,320

18,185

9,135

22,757

17,712

8,915

8,797

5,045

3,666

1,380

10,858

8,496

4,464

4,031

2,362

1,734

628

11,899

9,216

4,451

4,765

2,683

1,931

752

31,017

16,490

7,428

9,062

14,527

6,218

8,310

13>518

7,777

3,731

4,046

5,741

2,36?

3,37e

17,49s

8,713

3,697

5,016

8>786

3,855

4,932

32,654

22,892

10,748

12,144

9,762

6,360

3,402

15,618

11,139

5,504

5,636

4,479

2,787

1,691

17,036

11,752

5,244

6,508

5,283

3,573

1,711

38,297

29,594

13,611

15,984

8,703

6,918

1,785

18,948

14,b37

6>933

7,705

4,311

3,443

868

19,349

14,957

6,678

8,279

4,392

3,475

917

40,615

31,818

14,045

L7,772

8,797

7,446

1,351

20,306

15,805

7,174

8>631

4,501

3,921

580

20,308

16,013

6,871

9,141

4,296

3,524

771

40,471

29>363

12,300

17,064

11,107

9,537

1,570

20,353

14,554

6,215

8,338

5,799

5,092

707

20,118

14,810

6,084

8,725

5,308

4,445

863

NOTE: For official population estimates for more general use, see Bureau of the Census reportson the civilian population of the United States, in Current Population Reports: Series P-20,P-25,and P-60.

39

Table 27. Population used in obtaining rates shown in this publication, by place of residence,geographic region, sex, and age: United States, July 1965-June 1966

[Datiare based onhousehold inhrviews of thetiviIian, noninstitutional population. Thesuwey desi@, general qualifications, andinfomationonthe reliability of the estimates aregiven in Appendix I. Definitions of terms aregiven in Appendix II]

Sex and age

Both sexes

All ages---------

Under 15 years---------

15-44 years------------

15-24 years----------

25-44 years----------

45-64 years------------

65+ years--------------

Male

All ages---------

Under 15 years---------

15-44 years------------

15-24 years----------

25-44 years----------

45-64 years------------

65+ years--------------

Female

All ages---------

Under 15 years---------

15-44 years------------

15-24 years----------

25-44 years----------

45-64 years------------

65+ years--------------

Totalpopulation

190.710

59,868

74,550

29,365

45,185

38,713

17,578

92,323

30,460

35,575

13,994

21,581

18,597

7,691

98,387

29,408

38,975

15,371

23,605

20,116

9,887

Place of residence Geographic region

Outside SMSA’S

SMSA‘S North- Northeast Central South West

Nonfarm Farnr

Population in thousands

122.000

37,800

48,875

18,766

30,109

24,753

10,571

58,771

19,109

23,309

8,882

14,427

11,857

4,496

63,229

18,691

25,567

9,884

15,683

12,895

6,075

57,757

18,622

21,986

8,986

13,001

11,244

5,904

27,914

9,542

10,428

4,276

6,152

5,323

2,621

29,842

9,080

11,558

4,710

6,848

5,921

3,283

10.954-

3,445

3,689

1,613

2,076

2,717

1,103

5,637

1,808

1,838

836

1,002

1,417

574

5,316

1,637

1,850

777

1,074

1,300

529

47.503-

13,882

18,294

6,827

11,466

10,453

4,873

22,939

7,128

8,750

3,301

5,449

5,001

2,060

24,564

6,754

9,543

3,526

6,017

5,453

2,814

53.133

16,574

20,557

8,248

12,309

10,936

5,065

25,824

8,333

9,879

3,932

5,947

5,318

2,294

27,309

8,241

10,678

4,316

6,362

5,618

2,771

58.891

19,329

23,329

9,580

13,749

11,210

5,022

28,299

9,773

11,053

4,533

6,519

5,313

2,160

30,592

9,556

12,276

5,046

7,230

5,898

2,862

31,184

10,082

12,371

4,710

7,661

6,113

2,617

15,261

5,225

5,893

2,227

3,666

2,966

1,178

15,922

4,857

6,478

2,483

3,995

3,148

1,439

NOTE: For official population estimates for more general use , see Bureau of the Census reportson the civilian population of the United States, in Current Population Reports: Series P-20,P-25,and P-60.

40

Table 28. Population used in obtaining rates shown in this publication, by living arrangements,sex, and age: United States, July 1965-June 1966

[Data are based on brmsehold interview’s of the civilian, noninstitutional population. Thesrrrvey design, general qualifications, and informationon thereliabllityof the estimates are given in Appendix I. Definitions of terms are given in Appendix II]

Sex and age

Both sexes

All ages-----------------------------------------

Under 17 years-----------------------------------------

17-44 years--------------------------------------------

46-64 years--------------------------------------------

65+ years----------------------------------------------

Under

17-44

45-64

~

All agea-----------------------------------------

17 years-----------------------------------------

years--------------------------------------------

years--------------------------------------------

65+ years----------------------------------------------

Under

17-44

45-64

Female

All ages-----------------------------------------

17 years-----------------------------------------

years---------------- ----------------------------

years--------------------------------------------

65+ years----------------------------------------------

Totalpopulation

Living arrangement

Living

h-

Living with

alone or relatives

with non-relative Married Other

Population in thousands

190.710

66,840

67,579

38,713

17,578

92,323

33,993

32,042

18,597

7,691

98,387

32,847

35,537

20,116

9,887

12.961

75

4,401

3,900

4,585

5,039

*

2,438

1,354

1,200

7,922

*

1,963

2,546

3,385

87.088

● ✎ ✎

46>847

31,025

9,216

43,170

...

21,443

16,145

5,582

43,919

● ✎ ✎

25,404

14,880

3,635

90.660

66,764

16,331

3,789

3,777

44,114

33,945

8,161

1,098

910

46,547

32,819

8,170

2,691

2,867

NOTE: For official population estimates for more general use, see Bureau of the Census reportson the civilian population of the United States, in Current Population Reports: Series P-20,P-25,and P-60.

41

Table 29. Population used in obtaining rates shown in this publication, by marital status, sex,and age: United Statea, July 1965-June 1966

[Data are basedMIhouseholdinterviewsof the civilian, noninstitutional population. The survey design, general qualifications, and informationon thereliability oftbe estimates are given i~ Appendix I. Definitions of terms aregiven in Appendix~l

Sex and age

17-44

45-64

Both sexes

All agea-17+ years--------------

years---------------------------

years---------------------------

65+ years-----------------------------

Male

All ages-17+ years--------------

17-44 years---------------------------

45-64 years---------------------------

65+ years-----------------------------

Femsle

All ages-17+ years--------------

17-44 years---------------------------

45-64 years---------------------------

65+ years-----------------------------

Marital status

Allstatuses

IE

Married Widowed Divorced Separated ~N~~i~d

Population in thousands

123,870

67,579

38,713

17,578

58,330

32,042

18,597

7,691.

65,540

35,537

20,116

9,887

87,584

47,051

31,201

9,332

43,448

21,562

16,248

5,638

44,136

25,489

14,954

3,694

10,138

530

3,073

6,536

1,849

79

453

1,317

8,289

451

2,619

5,218

3,442

1,694

1,385

363

1,229

567

506

156

2,213

1,127

879

207

2,399.

1,326

867

206

889

438

3;!5

1;!5

1,51.0

888

541

81

20,308

16,978

2,188

1,142

10,914

9,395

1,065

455

9,393

7,583

1,123

688

NOTE: For official population estimstea for more general use, “see Bureau of the .Censusreportson the civilian population of the United States, in Current Population Reports: Series P-20, P-25,and P-60.

42

APPENDIX I

TECHNICAL NOTES ON METHODS

Background af This Report

This report is one of a series of statistical reportsprepared by the National Health Survey. It is based oninformation collected in a continuing nationwide sampleof households in the Health Interview Survey, a majorpart of the program.

The Health Interview Survey utilizes a question-naire which, in addition to personal and demographiccharacteristics, obtains information on illnesses, in-juries, chronic conditions and impairments, and otherhealth topics. As data relating to each of these variousbroad topics are tabulated and analyzed, separate re-ports are issued which cover one or more of the spe-cific topics. The present report is based on the consoli-dated sample for 52 weeks of interviewing endingJune 1966.

The population covered by the sample for theHealth Interview Survey is the civilian, noninstitutionalpopulation of the United States living at the time of theinterview. The sample does not include members of theArmed Forces, U.S. nationals living in foreign countries,or crews of vessels. It should also be noted that theestimates shown do not represent a complete count ofepisodes of hospitalization in short-stay hospitals forthe specified calendar period since no adjustment hasbeen made for household members who were hospital-ized during the 12-month recall period but who diedprior to the time the household was interviewed.

Statistical Design of the

Health Interview Survey

General plan. —The sampling plan of the surveyfollows a multistage probability design which permitsa continuous sampling of the civilian population of theUnited States. The first stage of this design consistsof drawing a sample of 357 from about 1,900 geograph-ically defined primary sampling units (PSU’s) intowhich the United States has been divided. A PSU is acounty, a group of contiguous counties, or a standardmetropolitan statistical area.

With no loss in general understanding, the re-maining stages can be combined and treated in thisdiscussion as an ultimate stage. Within PSU’s, then,ultimate stage units called segments are defined insuch a manner that each segment contains an expectednine households. A segment consists of a cluster ofneighkxming households or addresses. Two generaltypes of segments are used (1) area segments whichare defined geographically, and (2) B segments whichare defined from a list of addresses horn the Decen-nial Census and Survey of Construction. Each week arandom sample of about 90 segments is drawn. In theapproximately 800 households in these segments, house-hold members are interviewed concerning factorsrelated to health.

Since the household members interviewed eachweek are a representative sample of the population,samples for successive weeks can be combined intolarger samples. Thus the design permits both contin-uous measurement of characteristics of high incidenceor prevalence in the population and, through the largerconsolidated samples, more detailed analysis of lesscommon characteristics and smaller categories. Thecontinuous collection has administrative and operationaladvantages as well as technical assets since it permitsfield work to be handled with an experienced, stablestaff.

Sample size and geographic detail. —The nationalsample plan for the 12-month period ending in Juneincluded abcmt 134,000 persons from 42,000 householdsin about 4,700 segments.

The overall sample was designed in such a fashionthat tabulations can be provided for each of the majorgeographic regions and for urban and rural sectorsof the United States.

Collection of ckzta.—Field operations for thehousehold survey are performed by the U.S. Bureau ofthe Census under specifications established by theNational Center for Health Statistics. In accordancewith these specifications the Bureau of the Censusselects the sample, conducts the field interviewingas an agent of the Center, and performs a manual

43

editing and coding of the questionnaires. The HealthInterview Survey, using Center electronic computers,carries out further editing and tabulates the editeddata.

Estimating methods. —Each statistic produced bythe survey– for example, the number of persons whoreported episodes of hospitalization—is the result oftwo stages of ratio estimation. In the first of these, thecontrol factor is the ratio of the 1960 decennial popu-lation count to the 1960 estimated population in theNational Health Survey’s first-stage sample of PSU’S.These factors are applied for some 25 color-residenceclasses.

Later, ratios of sample-produced estimates of thepopulation to official Bureau of the Census figures forcurrent population in about 60 age-sex-color classesare computed and serve as second-stage factors forratio estimating.

The effect of the ratio-estimating process is tomake the sample more closely representative of thepopulation by age, sex, color, and residence, thus re-ducing sampling variance.

As noted, each week’s sample represents the popu-lation living during that week and characteristics ofthis population. Consolidation of samples over a timeperiod, say a calendar quarter, produces estimates ofaverage characteristics of the U.S. population for thatcalendar quarter. Similarly, population data for a yearare averages of the four quarterly figures.

For statistics measuring the number of occurrencesduring a specified time period, such as the number ofhospital episodes or number of hospital days, a similarcomputational procedure is used, but the statistics areinterpreted differently. For these items, the question-naire asks for the respondent’s experience during theyear prior to the weelc of interview. Thus, consolidationof, say, samples in 52 successive weeks provides anestimate of 1 year’s experience for all persons in thepopulation; the specific year differs chronologicallyamong persons in samples in the different weeks, theexperience for each such person being that in the 52weeks prior to his week of interview.

General Qualifications

Nonyesponse. —Data were adjusted for nonresponseby a procedure which imputes to persons in a house-hold which was not interviewed the characteristics ofpersons in households in the same segment which wereinterviewed. The total noninterview rate was 5 percent—1 percent was refusal, and the remainder was pri-marily due to the failure to find any eligible house-hold respondent after repeated trials.

The intmview process. —The statistics presentedin this report are based on replies secured in inter-views of persons in the sampled households. Eachperson 19 years of age and over available at the timeof interview was interviewed individually. Proxy re-spondents within the household were employed for

children and for adults not available at the time of theinterview, provided the respondent was closely relatedto the person about whom information was being ob-tained.

There are limitations to the accuracy of diagnosticand other information collected in household interviews.For diagnostic information, the household respondentcan, at best, pass on to the interviewer only the infor-mation the physician has given to the family. For con-ditions not medically attended, diagnostic informationis often no more than a description of symptoms. How-ever, other facts, such as the number of disability dayscaused by the condition, can be obtained more accur-ately from household members than from any othersource since only the persons concerned are in aposition to report this information.

Rounding of num bexs. —The original tabulations onwhich the data in this report are based show all esti-mates to the nearest whole unit. All consolidations weremade from the original tabulations using the estimatesto the nearest unit. In the final published tables thefigures are rounded to the nearest thousand, althoughthese are not necessarily accurate to that detail. De-vised statistics, such as rates and percent distributions,are computed after the estimates on whiclh these arebased have been rounded to the nearest thousand.

Population figuves. —Some of the published tablesinclude population figures for specified categories. Ex-cept for certain overall totals by age and sex, whichare adjusted to independent estimates, these figuresare based on the sample of households in the NationalHealth Survey. These are given primarily to providedenominators for rate computation, and for this pur-pose are more appropriate for use with the accompany-ing measures of health characteristics than other popu-lation data that may be available. In some instancesthese will permit users to recombine published datainto classes more suitable to their specific needs. Withthe exception of the overall totals by age and sex,mentioned above, the population figures (differ fromcorresponding figures (which are derived from differ-ent sources) published in reports of the Bureau of theCensus. For population data for general use, see theofficial estimates presented in Bureau of the Censusreports in the P-20, P-25, and P-60 series.

Reliability of Estimates

Since the estimates are based on a sample, theywill differ somewhat from the figures that would havebeen obtained if a complete census had been takenusing the same schedules, instructions, and interview-ing personnel and procedures. As in any survey, theresults are also subject to measurement error.

The standard error is primarily a measure ofsampling variability, that is, the variations that mightoccur by chance because only a sample of the popu-lation is surveyed. As calculated for this report, thestandard error also reflects part of the variation

44

which arises in the measurement process. It doesnot include estimates of any biases which might lie inthe data. The chances are about 68 out of 100 that anestimate from the sample would differ from a completecensus by less than the standard error. The chancesare about 95 out of 100 that the difference would beless than twice the standard error and about 99 out of100 that it would be less than 2!4 times as large.

The relative standard error of an estimate isobtained by dividing the standard error of the estimateby the estimate itself and is expressed as a percent-age of the estimate. Included in this appendix arecharts from which the relative standard errors can bedetermined for estimates shown in the report. In orderto derive relative errors which would be applicable @a wide variety of health statistics and which could beprepared at a moderate cost, a number of approxima-tions were required. As a result, the charts providean estimate of the approximate relative standarderror rather than the precise error for any specific

aggregate or percentage.Three classes of statistics for the health survey

are identified for purposes of estimating variances.

Narrow vange. —This class consists of (1) statis-tics which estimate a population attribute, e.g., thenumber of persons in a particular income group, and(2) statistics for which the measure for a single individ-ual for the period of reference is usually either O or 1,on occasion may take on the value 2, and very rarelyis 3.

Medium vange. -This class consists of other sta-tistics for which the measure for a single individualfor the period of reference will rarely lie outside therange O to 5.

Wide range. —This class consists of statistics forwhich the measure for a single individual for the periodof reference frequently will range from O to a numberin excess of 5, e.g., the number of days of bed disabilityexperienced during the year.

In addition to classifying variables according towhether they are narrow-, medium-, or wide-range,statistics in the survey are further defined as:

Type A. —Statistics on prevalence and incidencedata for which the period of referencein the questionnaire is 12 months.

Type B. —Incidence-type statistics for which theperiod of reference in the questionnaireis 2 weeks.

Type C. —Statistics for which the reference periodis 6 months.

Only the charts on sampling error applicable todata contained in this report are presented.

General rules fw determining relutive samplingmovs. —The “guide” on page 46, together with thefollowing rules, will enable the reader to determine

approximate relative standard errors from the chartsfor estimates presented in this report.

Rule 1.

Rule 2.

Rule 3.

Rule 4.

Estimates of ag.gregates: Approximaterelative standard errors for estimates ofaggregates such as the number of personswith a given characteristic are obtainedfrom appropriate curves on page 47. Thenumber of persons in the total U.S. popu-lation or in an age-sex class of the totalpopulation is adjusted to official Bureauof the Census figures and is not subjectto sampIing error.

Estimates of percentages in a percentdistribution: Relative standard errors forpercentages in a percent distribution of atotal are obtained from appropriate curveson page 48. For values which do not fallon one of the curves presented in the chart,visual interpolation will provide a satis-factory approximation.

Estimates of rates where the numeratoris a subclass of the denominator: (Notrequired for statistics presented in thisreport.)

Estimates of Yates where the numerator isnot a subclass of the denominator: Thisrule applies where a unit of the numeratoroften occurs more than once for any oneunit in the denominator. For example, inthe computation of the number of personsinjured per 100 currently employed per-sons per year, it is possible that a per-son in the denominator could have sustainedmore than one of the injuries included inthe numerator. Approximate relativestandard errors for rates of this kind maybe computed as follows:

(a)

(b)

Where the denominator is the totalU.S. population or includes all personsin one or more of the age-sex groupsof the total population, the relativeerror of the rate is equivalent to therelative error of fie numerator whichcan be obtained directly from theappropriate chart.

In other cases, obtain the relativestandard error of the numerator andof the denominator from the appro-priate curve. Square each of theserelative errors, adti the resultingvalues, and extract the square rootof the sum. This procedure will resultin an upper lmund and often will over-state the error.

b5

Guide to Use of Relative Standard Error Charts

The code shown below identifies the appropriate (1) A = aggregate, P= percentage; (2) the number ofcurve to be used in estimating the relative standard calendar- quarters of data collection; (3) the type oferror of the statistic described. The four components the statistic as described on page 45, and (4) the rangeof each code describe the statistic as follows: of the statistic as described on page 45.

Statistic

Number of:Persons in the U.S. population, or any age-sex

category thereof-----------------------------------

Persons in any other population grope---------------

Hospital episodes per year--------------------------

Hospital days per year------------------------------

Percentage distribution of:Hospital episodes, or population characteristic -----

Number of hospital days per hospitalized personper year--------------------------------------------

Use:

I

Rule I Code orl page

Not subject to sampling errc)r

1

1

1

2

4(b)

A4AN

A4AN

A4AW

P4AN-M

{

Numer.: A4AWDenom.: A4AN

47

47

47

47

48

:;

46

Relative standard error.?for aggregates based on four qua?rbersof data doll.ectionfor data of all types end ranges

1 00

10

S2h

Sif+al

1~31% 1

1

100 1,000 10,000 100,000

Size of estimate (in thousands)

Exsmple of uee of chart: An aggregate of 2,000,000 (on scale at bottom of chart) for aNarrow range Type A statistic (code: A4AN) has a relative standard error of 3.6 percent,(read from scale at left side of chart), or a standard error of 72,000 (3.6 percent of2,000 ,000). For a Wide range Type B statistic (code: A4BW) , an aggregate of 6,000,000 hasa relative error of 16.0 percent or a standard error of 960,000 (16 percent of 6,000 ,000).

47

Relative standarderrorsfor percentagesbased on four quartersof datacdd.ectdonfor type A data, Narrow and Mediun range

(Base of percentage shown on curves in miKLions)

.*A

.–: 2 3 “45 6789X 2 3 45 6789%

10 100

Estimated percentage

Exm@e of use of chart: Au estimate of 20 percent(onscaleat bottomof char%)basedonan est~te of’10,000,000 has a relative standard error of 3.2 percent (reaclfhm thesc~e at the left side of the chart),tie petit at which the curve for a base of 10,000,000intersectsthe verticalline for 20 percent. The stemdarderrorh percentagepoints iseqti to 20 percentx 3.2percentor 0.64percentage points.

DEFINITIONS

Terms Relating to Hospitalization

APPENDIX II

OF CERTAIN TERMS USED IN THIS REPORT

Hospital episode. —A hospital episode is any con-tinuous period of stay of one or more nights in a hos-pital as an inpatient, except the period of stay of a well,newborn infant. A hospital episode is recorded for afamily member whenever any part of his hospital stayis included in the 12-month period prior to the inter-view week.

Hospital. —For this survey a hospital is definedas any institution meeting one of the following criteria:(1) named in the listing of hospitals in the currentGuide Issues of Hospitals, the Journal of the AmericanHospital Association; (2) named in the listing ofhospitals in the Directories of the American Osteo-pathic Hospital Association; or (3) named in the an-nual inventory of hospitals and related facilities sub-mitted by the States to the Division of Hospital andMedical Facilities of the U.S. Public Health Servicein conjunction with the Hill-Burton program.

Shovt-stuy hospital. —A short-stay hospital is onefor which the type of service is general; maternity;eye, ear, nose, and throat; children’s; osteopathichospital; or hospital department of institution.

Hospital day. —A hospital day is a day on whicha person is confined to a hospital. The day is countedas a hospital day only if the patient stays overnight.Thus, a patient who enters the hospital on Mondayafternoon and leaves Wednesday noon is considered tohave had 2 hospital days.

Hospital akzys during the year. —The number ofhospital days during the year is the total number forall hospital episodes in the 12-month period prior tothe interview week. For the purposes of this estimate,episodes overlapping the beginning or end of the 12-month period are subdivided so that only those daysfalling within the period are included.

Demographic, Social, and Economic Terms

Age. —The age recorded for each person is theage at last birthday. Age is recorded in single yearsand grouped in a variety of distributions dependingupon the purpose of the table.

Cokw. —Color is recorded as “white,” or l’non-white. ‘‘ “Nonwhite” includes Negro, American Indian,Chinese, Japanese, and so forth. Mexican persons areincluded with “white” unless definitely known to beIndian or of another nonwhite race.

Mavitul status . —Marital status is recorded onlyfor persons 17 years of age or older. The marital sta-tus categories in this report are as follows:

uncle-v 17 includes all persons aged 0-16, regard-less of their marital status.

Mamied includes all married persons not sepa-rated from their spouses. Persons with common-law marriages are considered to be married.

~Ter)~ ma~vied includes persons who Were never

married and persons whose only marriage wasannulled.

Sepavated includes married persons who have le-gally separated or who have parted because ofother reasons. This does not include persons sep-arated from their spouses because of circum -stances of employment or because of service inthe Armed Forces; these persons are consideredmarried.

Widowed and diwrced include, re~pectively, allpersons who reported that they were either wid-owed or legally divorced.

lnconze of family or of unrelated individuals. —Each

member of a family is classified according to the totalincome of the family of which he is a member. Withinthe household all persons related to each other byblood, marriage, or adoption constitute a family. Un-related individuals are classified according to theirown income.

The income recorded is the total of all income re-ceived by members of the family (or by an unrelatedindividual) in the 12-month period ending with the weekof interview. Income from all sources is included, e.g.,wages, salaries, rents from property, pensions, helpfrom relatives, and so forth.

49

Residence.—The place of residence of a memberof the civilian, noninstitutional population is classifiedas being inside a standard metropolitan statistical area(SMSA) or outside an SMSA, according to farm or non-farm residence.

Standard metropolitan statistical areas. —The def-initions and titles of SMSA’s are established by theU.S. Bureau of the Budget with the advice of the FederalCommittee on Standard Metropolitan Statistical Areas.There were 212 SMSA’S defined for the 1960 DecennialCensus for which data may be provided by place ofresidence in the Health Interview Survey.

The definition of an individual SMSA involves twoconsiderations: first, a city or cities of specified pop-ulation which constitute the central city and identify thecounty in which it is located as the central county; and,second, economic and social relationships with contig-uous counties (except in New England) which are metro-politan in character, so that the periphery of the spe-cific metropolitan area may be determined. SMSA’S arenot limited by State boundaries.

Fam and nonfavm residence.-The population re-siding outside SMSA’s is subdivided into the farm popu-lation, which comprises all non-SMSA residents livingon farms and the nonfarm population, which comprisesthe remaining non-SMSA population. The farm popula-tion includes persons living on places of 10 acres ormore from which sales of farm products amounted to

$SO or more during the previous 12 months or on placesof less than 10 acres from which sales of farm productsamounted to $250 or more during the preceding 12months. Other persons living in non-SMSA territorywere classified as nonfarm if their household paidrent for the house but their rent did not include anyland used for farming.

Sales of farm products refer to the gross receiptsfrom the sale of field crops, vegetables, fruits, nuts,livestock and livestock products (milk, wool, etc.),poultry and poultry products, and nursery and forestproducts produced on the place and sold at any timeduring the preceding 12 months.

Region.— For the purpose of classifying the popu-lation by geographic area, the States are grouped into

four regions. These regions, which correspond to thoseused by the Bureau of the Census, are as follows:

Region

Northeast -------

North Central ---

South -----------

West -----------

States Included

Maine, New Hampshire, Vermont,Massachusetts, Rhode Island,Connecticut, New York,New Jersey, Pennsylvania

Michigan, Ohio, Indiana, Illinois,Wisconsin, Minnesota, Iowa,Missouri, North Dakota,South Dakota, Nebraska, Kansas

Delaware, Maryland, District ofColumbia, Virginia, West Virginia,North Carolina, South Carolina,Georgia, Florida, Kentucky,Tennessee, Alabama, Mississippi,Arkansas, Louisiana, Oklahoma,Texas

Montana, Idaho, Wyoming, Colorado,New Mexico, Arizona, Utah, Nevada,Alaska, Washington, Oregon,California, Hawaii

Living amangements. —The term “living arrange-ments” describes the individual’s relationship to otherpersons within the same household. For this reportthe definition includes these categories:

1. Living alone OY with nonrelatives.--A personliving in a one-member household, or in a house-hold with another person or persons none ofwhom are related to him by blood, marriage, oradoption.

2. Living with relatzves. —A person living in ahousehold with another person or persons ofwhom one or more are related to him by blood,marriage, or adoption. Persons living with rela-tives are further classified by marital statusas “married” and “other. ”

000

50

APPENDIX Ill- QUESTIONNAIRE ITEMS REFERRING TO HOSPITALIZATION

3.0. Has -- been In a hospital .? any time since a y.., ago? IncIude stnys in nursing homes, = Yes o No

If ,8 Y.s,99 ask: rest homes or similar places.

b. How many time. w.. -- in a hospital during that period?No. of hmes

(Exmdm ago. 1“ q.ostlon 3 for babies 1 paw old or trnder. For each child 1 Year old or under, esk 14a.) Month ~Day I Year

4.0. When was -- born? (If on or after the dot. stomped in 13.z ask 14b.L ------------------------- ---- ------------L ----L---

:i:i:::::i!ii:{i?i!;!;I::--------

1,

If uy,..,,, and .0 hospztoltzotions entered in his cdnnn, enter “I, * in 13b

If~ @’,:_a~g fi@s&@Z~t~O-n.i~ ~~-o~t:< ~o~ ~fy-lnctbgr-.-rnfbptiti .iOsk 14c-

~:__-

= Yes o No------- ---------------— -----

c. [S this hospital iz.at i.. included i. the number you gave me for - -? (If ,<IVO,,, cmrcct cnfry for nwthcr .“a baby) my= @ ONO

“d,

.

..*

(.

,1,

HOSPITAL PAGE ~ 1,Person nuwbcr~J:ku

Enter monlh, day, Y..K } Y.. sold !h.t -- w.. i. *h. hospitalif the exact d.tc i. notknown, obtain tho b.sh ~

(once, twlc.; t..) during the post par: ~~h

.atim.tc, 2. Wh.. did -- .nt.r th. hospl!ol

USEYOUR ~ (th. Io,t Nm.)?

,nte,n~~

CALENOAR ~Make . . . the YEAR —

is .wrect. ID

Do not include my nights Ii. int. rvi.w wc.k. If the I 3. How m.ny nigh!. w.. -- I.

exact number is not. known, ; the hospital?.ccc~l the best c,t, mme. } n

Complete question 4 from ~

~ ‘*r*in*h0posf12m0nrhs? m

,nwiem i“ qnc.tio”e z .nd ~~ 4.. H.w m.”~ .f th . . . . ..i~ht.

if not clew, ask theq.estio..,

l–-----––––––––- ..–––––––--–-––––– -----------------------

Do mot include nny night. ; b. HOW many of th.s.. - nights W.I.in interview week. lost weak o, the “cck b. for.?

nUSEYOUR ‘:-”;:wii:-:X i in iii hii;itoi ia.i-sund-:--o -ye~- -- ;: ;.- --- ‘“CALENOAR night for this h..pitolix.ati..?

Ask for .11 hos.it.lizati.ns. ~ 5. F.. what condition did -_ ..t.r th. hc..pit.l. do Y.. know *h.

If medical n.me not known, !m.di..l nom. ?

.ntcr . . od. quote

description,

EntT must show CAUSE,KIND, and PART OF BODYi. sm. detail ae requir.dfar the Condition p.gc.

I If nnm. of operation is .01known, dcscribewh.t wondo”..

EM., the full name of thehospital, the 81rec1 orhighway on which it islocated, ond the city andStat.; if the city is notk.w+n, enter the c.u”ty.

U*,

..+,.

m,..,,,.

For delivery ask: Was this o normal doliwy? “

For newborn, a.k: Was th. baky nerm.f .1 bkth? “

“[f ‘“No” ask: What W.. th. mutt.,? {ffw “,d ,. .- C,>ndzlwn., /,”> ,

Cond!tom

II ,

6a. W.r. any op.ra~lon. p.rformed on _-duri”g thi. stay at *h. hospital? : Yes ‘: No -GO m 7

. . . . . . —————. ..— —————————-..b. What w.. th. nom. of th. .p.rntion?

Owrsflwl

L I. . . . . .

. . Any .th.r op.r.tims? 0 Yes - Dcscribc abow c, No

7. What IS ih. nom. ond .addr.ss of th. h.spit.l?

Nane Of Hmplld

Address

C!ly (or county) :state

1 I

N)ghts

Q. No.13 14 C+er

Olag.

DqmslsSWST.OIIYtr.et.d

%-N.. 1

OP.,., !.. 2

O.r.ti.n 3

S.f.t . .

Olm.,shtp

WIImacudeo! hawed

Ofh. Acs.1..”> ,:,.<

[C or alum.cede

IF THE CONDITION IN QUESTION 5 OR 6 lNDICATES THAT AN ACCfDENT OR lNJURY WAS INVOLVED,

FILL QUESTIONS 8-77

80. Dld th. a.. id.rd happ.n during th. past 2 yqavs 9.. %S a ear, +,uck, bus ., eth., mat., ,.w b.for. that +Im.? kw.tv.d In th. accld.nt in .ny WOy? ,,.,,., :!

1.1. v., \ -G ,.,, ,.

I ./!-. N..

0 Ounng the past 2 years 0 Before 2 years (6) -Co 109., b. Was nmr. fham one vchicl. i.v.alv.d? ,,,,,., . .

Y.+ !& .

c. Was it (.ith.r c...) moving at th. tire.?.b. Wh.n did th. occld..t h.pp.. ? Enter month and

-,

vcar, mafk one cucle. 10.Wh.r. did th. accident hoppn?

F c ~:::~~

A?bm, (d,=. tiF.-#e? J.... .wee!:-4 *,;.-, ,IA”4, mti..arl,

,.!z.,,r p,x, ,,.<,A, ~,..,,,,,

— c+.!. Cp,,k pr-, .A,r. BC,,&.1kqpc”co :0 2weks-3rwmfbs(2)

G 3-12mMhs(4) 11. Was -- of work at his [.b or b.sin... Id.,w ,7 A. ‘. ,.

c l-2yeafs(6 ) wh. n th= .ccid.ni happsn.d ? ,8. ..: ?.% :-4 F..- :

NOTE TO /.YTERV/EEER If h amdlf!on 1. w.stl.. 5 or 6 1s m Cord A or B o, ,here .,. ,.1,- or morenigh!, I. we-,.. 46, //). cmd; tl.an MU,? ho.. o cmpl. fmd Condlf{on poze /[ tfI. cmd/f ion dxs not hove oCond,tlc.n pop, fill one offer mn,oleli”, .11 rewired H.axpliofhotkn w.s. ●m

,.,

* U. S. GOVERNMENT PRINTING OFFICE 19.69— 34204S/4051

OUTLINE OF REPORT SERIES FOR VITAL AND HEALTH Statistics

Public Health Service Publication No. 1000

Seyies 1.

Sevies 2.

Sevies 3.

Sevzes 4.

Series 10.

Se)-ies 11.

Series 12.

Seuies 1,3.

Proqvams and collection procedures .- Reports which kscrihe the general programs of the NationalCenter for Health Statistics and its offices and divisions, data collection methods used, clefinitions,

and other material necessary for understanding the data.

Data evaluation and methods ?“esearch. —Studies of new statistical methodology including: experi-mental tests of new survey methods, studies of vital statistics collection methods, new analyticaltechniques, objective evaluations of reliability of collected data, contributions to statistical theory.

Analytical str.rdies. -Reports presenting analytical or interpretive studies hased on vital and healthstatistics, carrying the analysis further than the expository types of report~ in the other series.

L)ocuwrents and committee reports. - Final reporth of major committees concerned with vital andhealth statistics, and documents such as recommended moclel vital re~istration laws and revised birthand ~ieath certificates.

Data fvom the Health Intev(iew SuYvey. —Statistic~ on illness, accidental injuries, disability, use of

hospital, medical, dental, and other services, and other he:llth-rel,~ted topics. hase~ on data collectedin o continuing national household interview survey.

L)ata from the Health Exrz)nination Survey.- l)ata from direct examination. testing, and n]easure-n]~mt of national samples of the population pro~,ide the basis for two types of reports: ( 1) estimatesof the rnedicallv defined prevalence of specific diseases in the L!nited States and the distributions ofthe population with respect to physical, physiological, and pfi} chological characteristics; and (?).In Ilysis of relationships ~rnong the v.~rious mc~surements without reference to .m explicit finiteul]iicrsc of persons.

Dtitu f;.OHZ the Institutzo?zal Population Stt}-~:eys. —St:ltistics rel.lting h) the health characteristics Ofpers(ms in institutions, and on medical, nursing. and pt, rs(mal care received, based on nationals.Imples of establishments providing these services and samples of the residents or patients.

L)tita j“rotn the Hos~ital Disc flavge Surzle~. —Statistics relatin~ h) discharged patients in short-stayh[)>~>itals, based on a sample of patient records in a nati(>n.1] s:i)l]l>le of h(~sl)italb.

sales !4.

Series 20.

Sei.les 21.

Se).ies 22.

txtc on health }-PSOWCPS: nzarrpowev and facilities. —S[at~_~lL> In tile numbers, iyXIgI-aphIC distri -huLI(JIn, and charactet-istics of health resources iucluding phy=l~ldns, d.ntists, II UI-SL>S,other healthn].l~]po~vcr occupations, hospitals, nulsinc homus, .lnd outpa [lent .lnd (nh CI- ]npatic, nt facilities.

Da[ti OF? )pzo),tality.—V;lriou6 st~tistics on n],~rt:]lit~- other LII:III ab included in annual or Inonthly:-ep,]rts-special anal~ses by cause of death, aSC,, and (]thcr denl(]gr.lphic variables, JISO geographicanL titnc> series analy.se.s.

LJut(~O}L}tataLtty, wza}.~-iag,c,alu[dit,o~ce. —Variou$ htati>tic> ,~n nita]ity, n]arria~e, and divorce other

th,ln as included in annual or monthly report~—. spcciai ,In,ll,>cs bv demo~raphic variables, also~cw~raphic and time series analyses, studies of ferti!~ty.

deaths not available from the vital records, based (m sanlplc SU: i’t,~;> stenlming from the~e records,inrlud ins such topics as m(]l-talitv b), socioecon(~rnic cla~fi, [ncdi~<il experience in the last year oflile characteristics of pregnanc~-. ~v .

101- .I list (ji’:itlu~ of reports puhlisbcd in these series, write [(): ( )fficc, i)f Ini~Jrnl<ition\,ltl(m.11 r..c,lr~,r for lk>. ilth St,ltistics

L’.S. l’(ihlic Ilc’cllth Service\h,’,~shiIlg[olJ,, 1).(”. ~0201