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Seven chronic conditions: Their impact on US adults' activity levels and use of medical services

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  • Verbrugge, L.M.
  • Patrick, D.L.

Abstract

Objectives. This paper analyzes the impact of seven chronic conditions (three nonfatal: arthritis, visual impairment, hearing impairment; four fatal: ischemic heart disease, chronic obstructive pulmonary disease, diabetes mellitus, malignant neoplasms) on US adults aged 18 and older. Impact refers to how readily a condition prompts activity limitations, physician visits, and hospital stays. Methods. Data come from three national health surveys and vital statistics. For comparability, a single disease classification scheme was applied, and new rates were estimated. Frequency, impact, and prominence of the target conditions are studied via rates, ratios of rates, and ranks, respectively. Results. In young adulthood, the nonfatal conditions prompt limitations less readily than do the fatal ones, but by older ages, arthritis and visual impairment have a limiting impact equivalent to that of fatal conditions. Despite high prevalence and limitations, nonfatal conditions stand well below fatal conditions for health services use. Conclusions. Although statistics on frequency, impact, and prominence all indicate conditions' 'importance,' they give only weak dues about specific service needs of affected persons. The persistent finding that nonfatal conditions do not receive health services care commensurate with their prevalence and impact reflects long-standing imbalanced attention on fatal conditions in research and medical care.

Suggested Citation

  • Verbrugge, L.M. & Patrick, D.L., 1995. "Seven chronic conditions: Their impact on US adults' activity levels and use of medical services," American Journal of Public Health, American Public Health Association, vol. 85(2), pages 173-182.
    • Handle: RePEc:aph:ajpbhl:1995:85:2:173-182_0
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    Cited by:

    1. Azam Tariq & Tian Beihai & Sajjad Ali & Nadeem Abbas & Aasir Ilyas, 2019. "Mediating Effect of Cognitive Social Capital on the Relationship Between Physical Disability and Depression in Elderly People of Rural Pakistan," IJERPH, MDPI, vol. 16(21), pages 1-11, October.
    2. Evelyn Forget & Raisa Deber & Leslie Roos & Randy Walld, 2005. "Canadian Health Reform: A Gender Analysis," Feminist Economics, Taylor & Francis Journals, vol. 11(1), pages 123-141.
    3. Kyung Min Lee & Chanup Jeung, 2021. "The incidence of the healthcare costs of chronic conditions," International Journal of Health Economics and Management, Springer, vol. 21(4), pages 473-493, December.
    4. Azam Tariq & Tian Beihai & Nadeem Abbas & Sajjad Ali & Wang Yao & Muhammad Imran, 2020. "Role of Perceived Social Support on the Association between Physical Disability and Symptoms of Depression in Senior Citizens of Pakistan," IJERPH, MDPI, vol. 17(5), pages 1-14, February.
    5. France Portrait & Maarten Lindeboom & Dorly Deeg, 2001. "Life expectancies in specific health states: Results from a joint model of health status and mortality of older persons," Demography, Springer;Population Association of America (PAA), vol. 38(4), pages 525-536, November.
    6. Byung Kwang Yoo & Kevin Frick, 2005. "Determinants of influenza vaccination timing," Health Economics, John Wiley & Sons, Ltd., vol. 14(8), pages 777-791, August.

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