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The Burden of Chronic Diseases and Their Risk Factors: National and State Perspectives 2004

Section V

The Burden of Arthritis, United States

NOTE: This document is provided for historical purposes only.

 



Please note: This page is best printed in landscape view.


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 people’s 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

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
                     
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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Page last reviewed: October 31, 2005
Page last modified: October 31, 2005
Archive Date: April 8, 2008

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