Abstract
Data from the National Health Interview Survey indicate that the prevalence of activity-limiting chronic conditions among children under age 17 years doubled between 1960 and 1981, from 1.8 to 3.8 per cent. Approximately 40 per cent of the overall rise in prevalence occurred before 1970. Most of the increase in prevalence during this early period can be attributed to changes in questionnaire design and aging of the child population following the "baby boom" years. The factors responsible for increases in reported cases of activity limitation following 1970 are more difficult to specify and evaluate. During this later period, the increase in prevalence was restricted to less severe levels of limitations. While prevalence levels rose for a variety of conditions during this period, respiratory conditions and mental and nervous system disorders demonstrated the largest changes. It appears that much of the increase in reported cases of activity limitations during the 1970s can be attributed to shifting perceptions on the part of parents, educators, and physicians.
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- Bluestone C. D., Klein J. O., Paradise J. L., Eichenwald H., Bess F. H., Downs M. P., Green M., Berko-Gleason J., Ventry I. M., Gray S. W. Workshop on effects of otitis media on the child. Pediatrics. 1983 Apr;71(4):639–652. [PubMed] [Google Scholar]
- Colvez A., Blanchet M. Disability trends in the United States population 1966-76: analysis of reported causes. Am J Public Health. 1981 May;71(5):464–471. doi: 10.2105/ajph.71.5.464. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gortmaker S. L., Sappenfield W. Chronic childhood disorders: prevalence and impact. Pediatr Clin North Am. 1984 Feb;31(1):3–18. doi: 10.1016/s0031-3955(16)34532-1. [DOI] [PubMed] [Google Scholar]
- Kuzemko J. A. Natural history of childhood asthma. J Pediatr. 1980 Dec;97(6):886–892. doi: 10.1016/s0022-3476(80)80415-x. [DOI] [PubMed] [Google Scholar]
- McNichol K. N., Williams H. E. Spectrum of asthma in children. II. Allergic components. Br Med J. 1973 Oct 6;4(5883):12–16. doi: 10.1136/bmj.4.5883.12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Newacheck P. W., Budetti P. P., McManus P. Trends in childhood disability. Am J Public Health. 1984 Mar;74(3):232–236. doi: 10.2105/ajph.74.3.232. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Preston S. H. Children and the elderly in the U.S. Sci Am. 1984 Dec;251(6):44–57. doi: 10.1038/scientificamerican1284-44. [DOI] [PubMed] [Google Scholar]
- Wright F. H. Survey of pediatricians certified by the American Board of Pediatrics up to 1975. J Pediatr. 1980 Dec;97(6):1021–1031. doi: 10.1016/s0022-3476(80)80451-3. [DOI] [PubMed] [Google Scholar]