Tracking Healthy People 2010

1000 Pages·2000·36.1 MB·English

HEALTHY
PEOPLE
Tracking
Healthy People
2010
This edition of Tracking Healthy People 2010 supersedes the version contained in the
January 2000 Conference Edition of Healthy People 2010. It includes revised
information and the operational definitions for the Healthy People 2010 objectives.
Updates to the operational definitions will be available periodically.
Tracking Healthy People 2010 is available at http://www.cdc.gov/nchs/hphome.htm.
Data for the objectives will be updated in the DATA2010 database that also can be
accessed at this Web site. For more information, call 301-458-4636.
Suggested citation: U.S. Department of Health and Human Services. Tracking
Healthy People 2010. Washington, DC: U.S. Government Printing Office,
November 2000.
M-lg,
HEALTHY
PEOPLE
Tracking
Healthy People 2010
U.S. Department of Health and Human Services
November 2000

Foreword
The ability to quantify and assess progress on health objectives is at the heart of
the Healthy People initiative. Guided by two broadly defined goals — increasing
years and quality of life and eliminating disparities in health among population
groups — the core of Healthy People is a comprehensive set of objectives with
specific targets that are numerically set, tracked, and evaluated.
Tracking Healthy People 2010 is a unique document and represents an important
contribution to the Healthy People process. It is a comprehensive, authoritative
guidebook on the statistics used for Healthy People — in effect the analytic
framework for the program. Never before has the broad Healthy People
community had this type of resource. This guidebook will assist in ensuring
greater accuracy and comparability in the data produced for, and used by, Healthy
People 2010 programs at the local. State, and national levels.
The earlier Healthy People initiatives built a legacy of considerable statistical and
data management expertise and served as a catalyst for developing and promoting
data resources at the national, State, and local levels. However, those earlier
efforts lacked the important “data manual” at the start of the process to guide data
collection and analysis. As Healthy People 2010 is launched, the data manual is
ready. We have developed it to be useful to those who have highly varied
experience. It will enable new members to j oin the coalition and immediately
begin to produce and use the data, obtaining the necessary background
information in an efficient and effective manner.
Healthy People has helped to set the health data agenda for the Nation. When
Healthy People 2000 began, there were almost 100 objectives without baseline
data. At the end of the decade just a few remained without data. Similarly,
Healthy People 2010 has identified 139 developmental objectives, which are
currently without national baseline data. These objectives are so important they
have been identified as priorities for data collection. They are included in Healthy
People 2010, illustrating the dynamic nature of the data process and the ongoing
effort to provide data support for Healthy People.
Healthy People 2010 is a significant advance in the efforts to prevent disease and
promote good health in America. Its statistical companion, Tracking Healthy
People 2010, will greatly enhance our ability to monitor progress in achieving the
Healthy People 2010 objectives.
Edward J. Sondik, Ph.D.
Director, National Center for Health Statistics

Acknowledgments
Tracking Healthy People 2010 is p art of the Healthy People 2010 initiative that is
coordinated by the U.S. Department of Health and Human Services. Overall
responsibility for planning and developing the content of the volume rested with
the Division of Health Promotion Statistics (DHPS), Office of Analysis,
Epidemiology, and Health Statistics (OAEHP), National Center for Health
Statistics (NCHS), Centers for Disease Control and Prevention, under the
direction of Diane K. Wagener and Richard J. Klein. Substantive review
comments were received from Jennifer H. Madans, Acting Director, OAEHP, and
Associate Director for Science, National Center for Health Statistics, and Deborah
R. Maiese, Senior Health Policy Advisor, Office of Disease Prevention and Health
Promotion (ODPHP), Office of Public Health and Science. Production
coordination responsibility was shared among the DHPS analysts: Colleen M.
Ryan, Kathleen M. Turczyn, Jeanette Guyton-Krishnan, J. Fred Seitz, and
Elizabeth W. Jackson. Substantial help with the production of this volume was
also provided by Jennie A. Wald and David Fessler.
Part A, General Data Issues, was developed and coordinated by Richard J. Klein.
Substantial contributions were made by several NCHS staff members, including
Harry Rosenberg, Donna Pickett, Ken Keppel, Paul Placek, and Gerry
Hendershot.
The DHPS analysts had primary responsibility for the content of Part B,
Operational Definitions. This section could not have been completed without the
critical technical and substantive support provided by members of the 28 Healthy
People 2010 Work Groups, particularly the Work Group Coordinators, listed in
Appendix A, and DHPS computer programming specialists Thomas C. Socey,
Jean F. Williams, and Cheryl R. Willis. Substantive review was also provided by
members of the Healthy People Steering Committee, listed in Appendix D,
Healthy People 2010.
Although Kathleen Turczyn had general responsibility for Part C, Major Data
Sources for Healthy People 2010, the content was mainly provided by the persons
responsible for the data systems that were described. These persons included
David Nelson and Craig Leutzinger for the Behavioral Risk Factor Surveillance
System; Alanna Moshfegh for the Continuing Survey of Food Intake by
Individuals; Gary Edgar, Eva Seiler, and Gena Hill for the HIV/AIDS
Surveillance System; Kate Rickard for the Medical Expenditure Panel Survey;
Andrea Kopstein and Arthur Hughes for the Monitoring the Future Study; Cathy
Burt for the National Ambulatory Medical Care Survey and the National Hospital
Ambulatory Medical Care Survey; Michael Rand for the National Crime
Victimization Survey; Cliff Johnson and Susan Schober for the National Health
and Nutrition Examination Survey; Ann Hardy for the National Health Interview
Survey; Robert Pokras for the National Hospital Discharge Survey; Joe Gfroerer
and Beatrice Rouse for the National Household Survey on Drug Abuse; Nicole
Smith for the National Notifiable Disease Surveillance System and National
Electronic Telecommunications System for Surveillance; Carol Brown and Marc
Tomlinson for the National Profile of Local Health Departments; William Mosher
for the National Survey of Family Growth; Harry Rosenberg and Jeffrey Maurer
for the mortality component of the National Vital Statistics System; Stephanie
Ventura for the natality component of the National Vital Statistics System; Wendy
Lynch and Stephanie Pronk for the 1999 National Worksite Health Promotion
Survey; Laura Kann for the School Health Policies and Programs Study and for
the Youth Risk Behavior Surveillance System; Gabrielle Starr for the State
Tobacco Activities Tracking and Evaluation System (STATE); Russ Roegner for
the STD Case Reporting Surveillance System; and Lawrence Agodoa for the
United States Renal Data System.
Help with the production of the appendices was provided by Jennie A. Wald,
David Fessler, Cheryl R. Willis, Elizabeth W. Jackson, and Colleen M. Ryan, and
Kathleen Turczyn under the direction of Richard J. Klein.
Social & Health Services, Ltd., (SHS) edited Tracking Healthy People 2010 and
prepared the document for publication, under the direction of senior managing
editor, Nancy Klein. Other contributing staff members included Tiffanie Bilbrey,
Carolyn Diaz, Lew Eigen, Eric Moore, Elaine Rahbar, Carli Richard, Steve
Sonner, Emily Tinkler, and Arlene Weitzman.
Special thanks are due to Carter Blakey, ODPHP, and Mary Moien, SHS, for
ensuring editorial consistency between Healthy People 2010 and Tracking
Healthy People 2010.
Acknowledgments
Page A-ii
Contents
Introduction . 1
Part A: General Data Issues . A-1
1. Target-Setting and Assessing Progress for Measurable Objectives . A-3
Target-Setting Methods . A-3
Assessing Progress . A-4
2. Developmental Objectives . A-5
3. Population Estimates . A-6
Postcensal Population Estimates . A-6
Intercensal Estimates . A-7
Population Undercounts . A-8
Target Populations . A-8
Resident Population . A-8
Civilian Population . A-8
Civilian, Noninstitutionalized Population . A-8
4. Population Template . A-10
Minimum Template . A-10
Race and Hispanic Origin . A-1 1
OMB Classification . A-1 1
Misreporting Racial and Ethnic Data . A-1 5
National Vital Statistics System (Mortality) . A-1 5
Patient Care Data . A-1 5
Missing Data . A-1 6
National Hospital Discharge Survey . A-1 6
National Ambulatory Medical Care Surveys . A-1 6
National Notifiable Disease Surveillance System . A-1 6
Socioeconomic Status . A-1 6
Income . A-1 7
Family Income Level . A-1 8
Education . A-20
Other Population Groups . A-22
Urbanization . A-22
Urban . A-22
Metropolitan Statistical Areas (MSA’s) . A-23
Health Insurance Status . A-23
Disability . A-24
Age . A-26
5. Age Adjustment . A-28
Mortality . A-29
Health Surveys . A-32
6. Mortality and Morbidity Classification . A-36
Mortality Data . A-36
Morbidity Data . . A-38
7. National Data . A-40
8. State and Local Data . A-41
Objective Wording/Operational Definition . A-41
Population Data/Race and Ethnicity Reporting . A-41
“Rare” Events/Confidentially . A-42
Age Adjustment . A-42
Data Sources . A-42
9. Variability of Estimates . A-45
10. Healthy People 2010 Database . A-48
Database Description . A-48
Future Plans . A-49
Part B: Operational Definitions . B-1
1. Access to Quality Health Services . B1-1
Clinical Preventive Care . B1-3
Primary Care . B1-11
Emergency Services . B1-38
Long-Term Care and Rehabilitative Services . B1-44
2. Arthritis, Osteoporosis, and Chronic Back Conditions . B2-1
Arthritis and Other Rheumatic Conditions . B2-3
Osteoporosis . B2-9
Chronic Back Conditions . B2-12
3. Cancer . B3-1
4. Chronic Kidney Disease . B4-1
5. Diabetes . B5-1
6. Disability and Secondary Conditions . B6-1
7. Educational and Community-Based Programs . B7-1
School Setting . B7-5
Worksite Setting . B7-19
Health Care Setting . B7-29
Community Setting and Select Populations . B7-32