Diabetes
a Growing Health Problem, Report Shows
Persons with diabetes are three times more likely than others
to say their health is flagging, according to a report from the Centers
for Disease Control and Prevention (CDC).
Half of the estimated 21 million adult Americans with diabetes
now rate themselves as having only fair or poor health.
The news is troubling because fair or poor health among
persons with diabetes is also associated with the presence of diabetes-related
complications.
Complications
may include lower extremity amputation, blindness, kidney failure, and cardiovascular
disease," say editors of the CDC journal Morbidity
and Mortality Weekly Report (MMWR).
In the study, CDC researchers
looked over 2005 data from the federal Behavioral Risk Factor Surveillance
System, an ongoing survey of adult Americans' health and health risk factors.
Among the poll's
questions: "Would you say that, in general,
your health is excellent, very good, good, fair, or poor?"
According to the survey, nearly 50 percent of those with
diabetes said they were only in fair or poor health - a number three times
higher than that of people without diabetes.
The rate of fair/poor health among people ages 45 and older
with diabetes has remained stable over the past 10 years, hovering around 50
percent. But the CDC notes that health complaints
are rising among younger Americans.
Among people with diabetes ages 18 to 44, reports of fair/poor
health rose from about 36 percent in 1996 to 43 percent by 2005, the researchers
found.
Race and availability of insurance were also key to health.
Hispanic Americans, especially, are 60 percent more likely than Caucasians
to note poor health linked to diabetes.
A lack of health insurance boosted the likelihood of poorer
health by 70 percent, the study found.
Diabetes care is becoming an increasing burden on the US
health care system, according to two other government reports.
Between 1996 and 2003, the number of adult diabetes patients
soared from 9.9 million to 13.7 million, and their individual annual spending
on prescription medications jumped almost 86 percent, from $476 to $883.
According to the reports from the Agency
for Healthcare Research and Quality, overall care for patients with
diabetes - including treatment in and out of hospital and for other illnesses
such as congestive heart failure - averaged more than $10,000 annually.
The new diabetes statistics come on the heels of good and
bad news from the federal government's annual report, Health,
United States for 2006.
That report found that diabetes continues to be a growing
threat, especially among older adults. Eleven percent of adults ages 40 to
59, and 23 percent of those 60 and older, have diabetes.
The report also focuses on the problem of chronic pain.
According to the report, 25 percent of adults say they have
experienced pain that lasts at least one day, and 10 percent say they have
lived with pain that persists a year or more.
"We are living longer, and we have more chronic conditions," says
lead author Amy Bernstein, Sc.D., chief of the analytic studies branch at the CDC’s
National Center for Health Statistics.
"Diabetes rates are increasing, obesity rates are increasing.
And, as people live longer, they get more chronic conditions, including pain," says
Dr. Bernstein.
According to the report, 21 percent of adults aged 65 and
older said they had experienced pain in the past month that lasted for more
than 24 hours. And almost three-fifths of adults 65 and older said their pain
had lasted a year or more.
Between the periods 1988-1994 and 1999-2002, the percentage
of adults who took a narcotic medication to alleviate pain in the past month
rose from more than 3 percent to more than 4 percent.
The news from the report was not all bad, however.
Despite the rise in obesity and diabetes, life expectancy
for Americans reached nearly 78 years in 2004, which is a record high.
In addition, since 1990, the gap in life expectancy between
men and women has narrowed from seven to just over five years.
Among women, life expectancy is just over 80 years, and
it is almost 75 for men.
Also, the gap in life expectancy between Caucasians and
African Americans has narrowed from seven years in 1990 to five years in 2004.
Heart disease remains the nation's leading killer, but deaths
from heart disease fell 16 percent between 2000 and 2004, according to the
report.
And deaths from cancer - the number two killer - fell 8
percent.
Always consult your physician for more information. |
