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The Burden of Arthritis as a Cause of Disability
Arthritis and other rheumatic conditions are the leading cause of
disability in the United States. They encompass more than 100 diseases that
affect the joints, the tissues surrounding the joints, and other connective
tissue. The pain and disability that accompany arthritis can be lessened
through early diagnosis and appropriate management, including weight
control, physical activity, and other self-management programs that increase
peoples ability to manage their condition.
- Doctor-diagnosed arthritis affects 49 million adults, or nearly one of
every four Americans, making it one of the most common health conditions
in the United States.
- Arthritis is the most common cause of disability in the United States.
Over 8 million Americans are limited in some activity because of
arthritis.
- Arthritis and its related disability will increase. In 2030, an
estimated 71 million Americans will report doctor-diagnosed arthritis.
- In 1997, arthritis and other rheumatic conditions resulted in 36
million physician visits and 750,000 hospitalizations. The estimated total
cost associated with arthritis (including medical care and lost
productivity) exceeded $86 billion.
Percentage of Adults Who Reported Doctor-Diagnosed
Arthritis,* 2001

Source: CDC., Behavioral Risk Factor Surveillance System
Note: Unlike the previous report, this report focuses on adults with
self-reported, doctor-diagnosed arthritis. Previously, adults with either
doctor-diagnosed arthritis or chronic joint symptoms were included under the
heading of arthritis.
[A text
description of this map is also available.]
Number and Percentage of Adults Who Reported
Doctor-Diagnosed Arthritis, by Age Group, 2001
| State |
Total |
18-44 years |
45-64 years |
65+ years |
| |
Number* |
Percent |
Number* |
Percent |
Number* |
Percent |
Number* |
Percent |
| Alabama |
1,012 |
30.2 |
209 |
12.3 |
409 |
40.0 |
386 |
64.7 |
| Alaska |
74 |
16.7 |
21 |
7.9 |
37 |
26.9 |
16 |
39.8 |
| Arizona |
906 |
23.6 |
183 |
9.3 |
327 |
29.8 |
384 |
55.8 |
| Arkansas |
549 |
27.3 |
117 |
11.9 |
196 |
32.1 |
233 |
57.2 |
| California |
4,720 |
18.8 |
844 |
6.2 |
1,988 |
26.2 |
1,888 |
50.0 |
| Colorado |
645 |
19.8 |
136 |
7.9 |
249 |
24.8 |
253 |
52.7 |
| Connecticut |
541 |
20.7 |
88 |
6.9 |
215 |
26.4 |
231 |
48.8 |
| Delaware |
140 |
23.4 |
26 |
8.4 |
59 |
32.9 |
52 |
50.1 |
| District of Columbia |
92 |
20.3 |
13 |
5.4 |
36 |
27.0 |
42 |
57.3 |
| Florida |
3,182 |
25.3 |
508 |
9.0 |
1,085 |
29.5 |
1,543 |
51.0 |
| Georgia |
1,419 |
23.1 |
302 |
9.0 |
618 |
33.0 |
486 |
54.7 |
| Hawaii |
109 |
11.8 |
17 |
3.6 |
45 |
15.8 |
45 |
28.9 |
| Idaho |
203 |
21.9 |
37 |
7.8 |
90 |
31.2 |
75 |
46.7 |
| Illinois |
2,119 |
22.8 |
381 |
8.0 |
867 |
30.3 |
868 |
54.0 |
| Indiana |
1,216 |
26.7 |
252 |
10.9 |
507 |
36.2 |
454 |
56.4 |
| Iowa |
463 |
21.1 |
67 |
6.2 |
185 |
28.3 |
207 |
45.9 |
| Kansas |
467 |
23.4 |
89 |
8.7 |
169 |
28.9 |
204 |
54.5 |
| Kentucky |
912 |
29.9 |
220 |
14.2 |
375 |
39.5 |
314 |
58.1 |
| Louisiana |
738 |
22.9 |
144 |
8.5 |
312 |
32.9 |
275 |
52.2 |
| Maine |
246 |
25.5 |
51 |
10.6 |
100 |
33.5 |
92 |
52.2 |
| Maryland |
864 |
21.5 |
155 |
7.4 |
399 |
31.1 |
302 |
50.3 |
| Massachusetts |
1,014 |
20.7 |
181 |
7.2 |
417 |
28.8 |
407 |
46.1 |
| Michigan |
2,116 |
28.6 |
466 |
12.3 |
876 |
38.5 |
760 |
60.3 |
| Minnesota |
736 |
20.2 |
155 |
8.2 |
302 |
26.7 |
278 |
44.6 |
| Mississippi |
535 |
26.0 |
117 |
10.7 |
215 |
36.0 |
203 |
56.5 |
| Missouri |
1,130 |
26.9 |
229 |
11.0 |
466 |
36.4 |
421 |
52.6 |
| Montana |
161 |
24.1 |
32 |
9.9 |
67 |
31.1 |
61 |
49.2 |
| Nebraska |
257 |
20.3 |
41 |
6.5 |
96 |
25.8 |
118 |
48.6 |
| Nevada |
326 |
21.2 |
72 |
9.1 |
139 |
27.5 |
116 |
46.6 |
| New Hampshire |
198 |
21.0 |
42 |
8.5 |
82 |
28.8 |
72 |
47.9 |
| New Jersey |
1,376 |
21.2 |
232 |
7.3 |
544 |
27.0 |
588 |
49.7 |
| New Mexico |
286 |
21.8 |
62 |
8.8 |
122 |
31.1 |
101 |
47.8 |
| New York |
3,270 |
22.5 |
508 |
7.0 |
1,363 |
30.8 |
1,345 |
52.0 |
| North Carolina |
1,445 |
23.3 |
299 |
9.4 |
598 |
31.4 |
536 |
50.9 |
| North Dakota |
99 |
20.9 |
20 |
8.3 |
33 |
24.3 |
45 |
49.4 |
| Ohio |
2,185 |
25.7 |
428 |
10.0 |
898 |
34.4 |
834 |
55.2 |
| Oklahoma |
692 |
26.9 |
135 |
10.4 |
275 |
35.2 |
277 |
57.4 |
| Oregon |
567 |
21.9 |
102 |
8.0 |
237 |
28.7 |
226 |
48.3 |
| Pennsylvania |
2,487 |
26.4 |
476 |
10.5 |
943 |
32.5 |
1,058 |
54.8 |
| Rhode Island |
211 |
26.0 |
46 |
11.2 |
78 |
33.6 |
83 |
52.5 |
| South Carolina |
722 |
24.0 |
146 |
9.2 |
302 |
33.5 |
261 |
53.0 |
| South Dakota |
121 |
22.1 |
23 |
8.5 |
43 |
27.3 |
53 |
48.6 |
| Tennessee |
1,148 |
26.4 |
234 |
10.6 |
498 |
36.1 |
412 |
53.9 |
| Texas |
3,007 |
19.7 |
543 |
6.5 |
1,270 |
28.3 |
1,178 |
51.4 |
| Utah |
291 |
19.7 |
62 |
7.4 |
127 |
29.3 |
101 |
50.6 |
| Vermont |
99 |
21.6 |
21 |
9.0 |
41 |
28.6 |
37 |
48.7 |
| Virginia |
1,240 |
22.9 |
255 |
8.9 |
525 |
31.7 |
443 |
53.2 |
| Washington |
908 |
20.5 |
165 |
7.2 |
379 |
27.4 |
360 |
49.6 |
| West Virginia |
424 |
30.5 |
91 |
13.9 |
180 |
40.2 |
150 |
53.6 |
| Wisconsin |
990 |
24.8 |
176 |
8.7 |
422 |
34.3 |
390 |
53.2 |
| Wyoming |
70 |
19.7 |
18 |
9.8 |
27 |
23.9 |
24 |
43.0 |
| |
|
|
|
|
|
|
|
|
| All states and District of Columbia combined |
48,728 |
23 |
9,242 |
8.5 |
19,833 |
30.8 |
19,289 |
52.3 |
| |
|
|
|
|
|
|
|
|
| * Number in 1,000's. |
| Source: CDC., Behavioral Risk Factor
Surveillance System |
| Note: Unlike the previous report, this
report focuses on adults with self-reported, doctor-diagnosed arthritis.
Previously, adults with either doctor-diagnosed arthritis or chronic
joint symptoms were included under the heading of arthritis. |

Number and Percentage of Adults Who Reported
Doctor-Diagnosed Arthritis, by Sex, Race, and Ethnicity,* 2001
| |
Women |
Men |
Non-Hispanic
White* |
Non- Hispanic Black* |
Hispanic* |
| State |
Number |
Percent |
Number |
Percent |
Number |
Percent |
Number |
Percent |
Number |
Percent |
| Alabama |
639 |
36.2 |
373 |
23.6 |
738 |
30.6 |
197 |
28.2 |
21 |
33.6 |
| Alaska |
45 |
20.9 |
30 |
12.9 |
53 |
17.2 |
2 |
18.5 |
1 |
5.5 |
| Arizona |
521 |
26.5 |
385 |
20.5 |
704 |
26.5 |
34 |
26.9 |
94 |
13.2 |
| Arkansas |
330 |
31.3 |
218 |
22.9 |
447 |
27.3 |
45 |
20.8 |
10 |
18.0 |
| California |
3,014 |
23.8 |
1,706 |
13.7 |
2,927 |
23.1 |
327 |
23.1 |
1,010 |
12.9 |
| Colorado |
370 |
22.3 |
276 |
17.3 |
540 |
21.6 |
21 |
21.6 |
55 |
11.5 |
| Connecticut |
347 |
25.4 |
194 |
15.6 |
466 |
22.3 |
27 |
17.4 |
26 |
12.0 |
| Delaware |
88 |
28.2 |
52 |
16.1 |
114 |
25.1 |
15 |
16.9 |
3 |
16.6 |
| District of Columbia |
58 |
23.7 |
34 |
16.3 |
24 |
16.8 |
61 |
25.9 |
2 |
5.6 |
| Florida |
1,991 |
30.3 |
1,192 |
19.8 |
2,390 |
28.2 |
246 |
22.0 |
415 |
17.8 |
| Georgia |
879 |
27.4 |
540 |
18.3 |
955 |
24.3 |
361 |
21.7 |
27 |
19.7 |
| Hawaii |
67 |
14.6 |
42 |
9.0 |
39 |
14.8 |
1 |
3.2 |
6 |
8.4 |
| Idaho |
118 |
25.1 |
84 |
18.5 |
185 |
22.0 |
N/A |
N/A |
7 |
17.5 |
| Illinois |
1,306 |
27.0 |
813 |
18.2 |
1,573 |
24.3 |
305 |
27.4 |
89 |
9.5 |
| Indiana |
749 |
31.5 |
467 |
21.5 |
1,081 |
27.6 |
67 |
25.4 |
20 |
11.3 |
| Iowa |
289 |
25.2 |
174 |
16.6 |
436 |
21.0 |
N/A |
N/A |
8 |
20.5 |
| Kansas |
276 |
26.8 |
190 |
19.7 |
414 |
23.8 |
17 |
24.5 |
14 |
14.0 |
| Kentucky |
543 |
34.0 |
369 |
25.3 |
829 |
30.5 |
48 |
23.9 |
10 |
24.0 |
| Louisiana |
473 |
27.9 |
265 |
17.3 |
470 |
23.4 |
195 |
22.5 |
20 |
21.7 |
| Maine |
148 |
29.7 |
97 |
21.0 |
227 |
25.1 |
N/A |
N/A |
N/A |
N/A |
| Maryland |
531 |
25.3 |
332 |
17.3 |
607 |
24.0 |
195 |
20.8 |
22 |
9.2 |
| Massachusetts |
659 |
25.6 |
355 |
15.3 |
897 |
22.0 |
29 |
17.1 |
52 |
13.7 |
| Michigan |
1,282 |
33.2 |
834 |
23.5 |
1,655 |
28.4 |
251 |
33.6 |
36 |
16.6 |
| Minnesota |
447 |
23.8 |
289 |
16.3 |
688 |
20.7 |
12 |
13.0 |
13 |
21.7 |
| Mississippi |
331 |
30.3 |
204 |
21.0 |
340 |
25.9 |
160 |
25.8 |
8 |
18.7 |
| Missouri |
680 |
30.8 |
450 |
22.5 |
994 |
27.8 |
62 |
19.0 |
13 |
19.8 |
| Montana |
101 |
29.7 |
60 |
18.3 |
143 |
23.9 |
N/A |
N/A |
5 |
30.7 |
| Nebraska |
156 |
23.8 |
101 |
16.7 |
241 |
21.5 |
6 |
21.7 |
6 |
6.9 |
| Nevada |
206 |
26.9 |
120 |
15.6 |
242 |
22.3 |
12 |
18.4 |
18 |
10.2 |
| New Hampshire |
118 |
24.3 |
80 |
17.6 |
188 |
21.4 |
N/A |
N/A |
3 |
14.7 |
| New Jersey |
874 |
25.7 |
502 |
16.2 |
1,048 |
24.0 |
148 |
21.4 |
113 |
13.5 |
| New Mexico |
170 |
25.2 |
116 |
18.2 |
163 |
25.8 |
5 |
21.1 |
95 |
18.1 |
| New York |
2,072 |
27.1 |
1,197 |
17.5 |
2,348 |
25.4 |
321 |
20.0 |
430 |
17.6 |
| North Carolina |
930 |
28.7 |
515 |
17.4 |
1,094 |
24.6 |
262 |
22.3 |
18 |
8.2 |
| North Dakota |
61 |
25.7 |
37 |
16.0 |
91 |
20.8 |
N/A |
N/A |
N/A |
N/A |
| Ohio |
1,291 |
28.9 |
894 |
22.2 |
1,909 |
26.2 |
140 |
21.0 |
53 |
22.8 |
| Oklahoma |
417 |
31.1 |
275 |
22.3 |
570 |
28.4 |
25 |
19.3 |
22 |
12.8 |
| Oregon |
355 |
26.6 |
213 |
16.9 |
504 |
23.2 |
N/A |
N/A |
18 |
9.0 |
| Pennsylvania |
1,542 |
31.0 |
945 |
21.2 |
2,111 |
26.5 |
190 |
27.2 |
59 |
21.3 |
| Rhode Island |
128 |
30.0 |
82 |
21.6 |
182 |
27.5 |
9 |
28.5 |
11 |
14.2 |
| South Carolina |
439 |
27.7 |
283 |
19.7 |
503 |
24.6 |
163 |
22.4 |
17 |
15.9 |
| South Dakota |
69 |
24.4 |
52 |
19.5 |
112 |
22.1 |
N/A |
N/A |
3 |
28.2 |
| Tennessee |
683 |
29.9 |
465 |
22.5 |
972 |
27.6 |
128 |
21.1 |
18 |
18.7 |
| Texas |
1,926 |
24.6 |
1,081 |
14.6 |
2,066 |
24.2 |
254 |
19.2 |
493 |
11.2 |
| Utah |
186 |
24.6 |
105 |
14.6 |
269 |
20.5 |
N/A |
N/A |
13 |
15.6 |
| Vermont |
61 |
25.5 |
39 |
17.4 |
95 |
21.7 |
N/A |
N/A |
N/A |
N/A |
| Virginia |
786 |
28.1 |
454 |
17.3 |
938 |
23.8 |
178 |
22.5 |
21 |
9.7 |
| Washington |
568 |
25.1 |
340 |
15.7 |
802 |
21.4 |
15 |
19.6 |
23 |
12.3 |
| West Virginia |
251 |
34.3 |
172 |
26.2 |
370 |
29.7 |
8 |
28.2 |
N/A |
N/A |
| Wisconsin |
557 |
27.0 |
433 |
22.4 |
876 |
24.6 |
36 |
28.7 |
23 |
24.4 |
| Wyoming |
40 |
22.1 |
30 |
17.2 |
65 |
20.0 |
N/A |
N/A |
2 |
16.7 |
| |
|
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|
|
|
|
|
|
|
|
| United States |
30,171 |
27.5 |
18,556 |
18.2 |
37,694 |
25.0 |
4,592 |
22.8 |
3,461 |
13.9 |
| |
|
|
|
|
|
|
|
|
|
|
| * Race and ethnicity were
combined to form 3 groups: white non-Hispanic, black non-Hispanic, and
Hispanic. Respondents who did not fall into one of the three groups were
excluded from the race and ethnicity analysis. |
| A dash Indicates too few
respondents (< 50) to calculate a reliable estimate. |
| Number in 1,000's. |
| Source: CDC., Behavioral Risk Factor
Surveillance System, 2001. Note: Unlike the previous report, this
report focuses on adults with self-reported, doctor-diagnosed arthritis.
Previously, adults with either doctor-diagnosed arthritis or chronic
joint symptoms were included under the heading of arthritis. |

Proportion of National Arthritis* Cases
and Estimated Direct, Indirect, and Total Costs of Arthritis and
Other Rheumatic Conditions, by State, 1997
| State |
% national cases |
Direct |
Indirect |
Total |
| Alabama |
2.08 |
1,064 |
730 |
1,794 |
| Alaska |
0.15 |
77 |
53 |
129 |
| Arizona |
1.86 |
951 |
653 |
1,604 |
| Arkansas |
1.13 |
578 |
397 |
975 |
| California |
9.69 |
4,955 |
3,402 |
8,357 |
| Colorado |
1.32 |
675 |
463 |
1,138 |
| Connecticut |
1.11 |
568 |
390 |
957 |
| Delaware |
0.29 |
148 |
102 |
250 |
| District of Columbia |
0.19 |
97 |
67 |
164 |
| Florida |
6.53 |
3,339 |
2,293 |
5,632 |
| Georgia |
2.91 |
1,488 |
1,022 |
2,510 |
| Hawaii |
0.22 |
112 |
77 |
190 |
| Idaho |
0.42 |
215 |
147 |
362 |
| Illinois |
4.35 |
2,224 |
1,527 |
3,752 |
| Indiana |
2.50 |
1,278 |
878 |
2,156 |
| Iowa |
0.95 |
486 |
334 |
819 |
| Kansas |
0.96 |
491 |
337 |
828 |
| Kentucky |
1.87 |
956 |
657 |
1,613 |
| Louisiana |
1.51 |
772 |
530 |
1,302 |
| Maine |
0.50 |
256 |
176 |
431 |
| Maryland |
1.77 |
905 |
622 |
1,527 |
| Massachusetts |
2.08 |
1,064 |
730 |
1,794 |
| Michigan |
4.34 |
2,219 |
1,524 |
3,743 |
| Minnesota |
1.51 |
772 |
530 |
1,302 |
| Mississippi |
1.10 |
562 |
386 |
949 |
| Missouri |
2.32 |
1,186 |
815 |
2,001 |
| Montana |
0.33 |
169 |
116 |
285 |
| Nebraska |
0.53 |
271 |
186 |
457 |
| Nevada |
0.67 |
343 |
235 |
578 |
| New Hampshire |
0.41 |
210 |
144 |
354 |
| New Jersey |
2.82 |
1,442 |
990 |
2,432 |
| New Mexico |
0.59 |
302 |
207 |
509 |
| New York |
6.71 |
3,431 |
2,356 |
5,787 |
| North Carolina |
2.96 |
1,514 |
1,039 |
2,553 |
| North Dakota |
0.20 |
102 |
70 |
172 |
| Ohio |
4.49 |
2,296 |
1,577 |
3,872 |
| Oklahoma |
1.42 |
726 |
499 |
1,225 |
| Oregon |
1.16 |
593 |
407 |
1,000 |
| Pennsylvania |
5.10 |
2,608 |
1,791 |
4,399 |
| Rhode Island |
0.43 |
220 |
151 |
371 |
| South Carolina |
1.48 |
757 |
520 |
1,276 |
| South Dakota |
0.25 |
128 |
88 |
216 |
| Tennessee |
2.36 |
1,207 |
829 |
2,035 |
| Texas |
6.17 |
3,155 |
2,166 |
5,321 |
| Utah |
0.60 |
307 |
211 |
517 |
| Vermont |
0.20 |
102 |
70 |
172 |
| Virginia |
2.54 |
1,299 |
892 |
2,191 |
| Washington |
1.86 |
951 |
653 |
1,604 |
| West Virginia |
0.87 |
445 |
305 |
750 |
| Wisconsin |
2.03 |
1,038 |
713 |
1,751 |
| Wyoming |
0.14 |
72 |
49 |
121 |
| Total§ |
100.0 |
51,132 |
35,113 |
86,245 |
| Median |
|
726 |
499 |
1,225 |
| |
|
|
|
|
| * Doctor-diagnosed arthritis
cases. |
| In millions of dollars.
Direct costs are medical care expenditures. Indirect costs are lost
earnings. Total costs are the sum of direct and indirect costs. |
| State-specific direct and
indirect values do not add to state total because of rounding. |
| § State-specific values do not
add to national total because of rounding. |
| Source: CDC. Direct and indirect costs of
arthritis and other rheumatic conditions United States, 1997. MMWR
2003;52(46):1124-1127. (Note: MMWR will publish an updated
version early in 2004.) |
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