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ORIGINAL RESEARCH

State-Specific Synthetic Estimates of Health Status Groups Among Inactive Older Adults With Self-Reported Diabetes, 2000-2009

Region % (95% CI)
Homebound Frail Impaired ≥1 Comorbid Condition Healthy
Northeast 2.9 (1.9-4.2) 7.5 (6.2-9.1) 27.9 (25.2-30.8) 55.3 (52.3-58.4) 6.4 (5.2-7.8)
Midwest 3.1 (2.2-4.2) 9.0 (7.6-10.8) 32.7 (30.3-35.3) 49.8 (47.1-52.5) 5.3 (4.3-6.6)
South 3.8 (3.1-4.6) 11.1 (10.1-12.3) 29.6 (28.0-31.3) 48.8 (47.0-50.6) 6.7 (5.8-7.6)
West 3.3 (2.4-4.6) 8.5 (6.9-10.3) 28.0 (25.6-30.6) 51.5 (48.6-54.3) 8.7 (7.3-10.4)

Figure 1. Regional estimates of health status groups among physically inactive diabetic adults aged 50 years or older, National Health Interview Survey, 2000-2009. Error bars represent 95% confidence intervals. Conditions defined as homebound: ≥180 bed days in last year; frail: functional difficulty in walking one-fourth mile, climbing 10 steps, standing for 2 hours, and stooping, bending, and kneeling; impaired: difficulty in 1 to 3 of these functions; comorbid conditions: ≥1, with no functional impairments; and healthy: no impairments or comorbid conditions.

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This map of the United States shows that the highest percentage of older, inactive adults categorized as homebound occurred in the South. The estimated total adults in each health status group tended to be lowest in the least populous state, Alaska, and highest in the most populous state, California.

Figure 2a. State-specific proportions and numbers of physically inactive diabetic adults aged 50 years or older who are homebound, 2000-2009 NHIS and 2000-2009 BRFSS. Proportions are classified by quartiles and numbers by the 5 groupings indicated. Homebound is defined as reporting at least 180 bed days in the past year.

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This map of the United States shows that the highest percentage of older, inactive adults categorized as frail occurred in the South. The estimated total adults in each health status group tended to be lowest in the least populous state, Alaska, and highest in the most populous state, California.

Figure 2b. State-specific proportions and numbers of physically inactive diabetic adults aged 50 years or older who are frail, 2000-2009 NHIS and 2000-2009 BRFSS. Proportions are classified by quartiles and numbers by the 5 groupings indicated. Frail is defined as reporting difficulty with all 4 of the following functions: walking one-fourth mile, climbing 10 steps, standing for 2 hours, and stooping, bending, or kneeling.

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This map of the United States shows that the highest percentage of older, inactive adults categorized as impaired occurred in the Midwest. The estimated total adults in each health status group tended to be lowest in the least populous state, Alaska, and highest in the most populous state, California.

Figure 2c. State-specific proportions and numbers of physically inactive diabetic adults aged 50 years or older who are impaired, 2000-2009 NHIS and 2000-2009 BRFSS. Proportions are classified by quartiles and numbers by the 5 groupings indicated. Impaired is defined as reporting difficulty with 1 to 3 of the following functions: walking one-fourth mile, climbing 10 steps, standing for 2 hours, or stooping, bending, or kneeling.

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This map of the United States shows that the highest percentage of older, inactive adults categorized as having at least 1 comorbid condition occurred in the Northeast. The estimated total adults in each health status group tended to be lowest in the least populous state, Alaska, and highest in the most populous state, California.

Figure 2d. State-specific proportions and numbers of physically inactive diabetic adults aged 50 years or older who have 1 or more comorbid conditions, 2000-2009 NHIS and 2000-2009 BRFSS. Proportions are classified by quartiles and numbers by the 5 groupings indicated. Comorbid condition is defined as not meeting criteria for homebound, frail, or impaired and reporting at least 1 of the following chronic conditions: arthritis, hypertension, cancer, stroke, respiratory illness (emphysema, asthma), cardiovascular disease (coronary heart disease, angina pectoris, heart attack, heart condition/disease), or trouble seeing even with corrective lenses.

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This map of the United States shows that the highest percentage of older, inactive adults categorized as healthy occurred in the West. The estimated total adults in each health status group tended to be lowest in the least populous state, Alaska, and highest in the most populous state, California.

Figure 2e. State-specific proportions and numbers of physically inactive diabetic adults aged 50 years or older who are otherwise healthy, 2000-2009 NHIS and 2000-2009 BRFSS. Proportions are classified by quartiles and numbers by the 5 groupings indicated. Healthy is defined as not meeting the criteria for homebound, frail, impaired, or having comorbid conditions.

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