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Data & TrendsDiabetes Surveillance System1999 Surveillance Report
Chapter 1: The Public Health Burden of Diabetes Mellitus in the United States Disability Rates of disability are substantially higher among persons with diabetes than among persons without this disease (27). The consequences of disability among persons with diabetes include increased use of health care services, unemployment, work absenteeism, and decreased quality of life. In this report, we find that differences among blacks and whites in some measures of disability were less in the mid-1990s than in the 1980s. Approximately half of all persons with diabetes (4.1 million in 1996) reported that they were limited in activity (Figure 9.1, Table 9.1), and more than 65% (2.7 of the 4.1 million) attributed their limitation to diabetes (Table 9.8). Overall, the age-adjusted rate of being limited in activity varied little between 1983 and 1996 (Table 9.1), but the number of persons who were limited in activity was about 1 million higher in 1996 than in 1983. In general, age-adjusted rates of being limited in activity were higher among blacks than among whites and higher among women than among men (Figure 9.2, Tables 9.4, 9.5, 9.6, 9.7). However, these differences were less in the mid-1990s than in the 1980s. In 1996, 39% of persons with diabetes reported being limited in their major activity (Table 9.11), and 23% reported being unable to perform their major activity (Table 9.16). Between 1983 and 1994, racial differences decreased in the age-adjusted prevalence of being limited in major activity and in being unable to perform major activity (Figures 9.3 and 9.4, Tables 9.14, 9.15, 9.19, and 9.20). In 1996, the number of restricted-activity days among persons with diabetes averaged 36 days per year, 17 of which were bed days (Tables 9.25 and 9.30). Between 1983 and 1996, the average number of restricted-activity days and the average number of bed days were greater among blacks than among whites (Figure 9.7, Tables 9.28, 9.29, 9.33, and 9.34) and greater among women than men (Tables 9.26, 9.27, 9.31, and 9.32). Return to Chapter 1 Contents
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Diabetes & Me