Sexually Transmitted DiseasesModifications to Objectives and Subobjectives Progress Toward Healthy People 2010 Targets Progress Toward Elimination of Health Disparities Disparities Table (See below) Objectives and Subobjectives |
Midcourse Review > Table of Contents > Focus Area 25: Sexually Transmitted Diseases > Objectives and Subobjectives
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Objectives and Subobjectives
Goal: Promote responsible sexual behaviors, strengthen community capacity, and increase access to quality services to prevent sexually transmitted diseases (STDs) and their complications.
As a result of the Healthy People 2010 Midcourse Review, changes were made to the Healthy People 2010 objectives and subobjectives. These changes are specific to the following situations:
- Changes in the wording of an objective to more accurately describe what is being measured.
- Changes to reflect a different data source or new science.
- Changes resulting from the establishment of a baseline and a target (that is, when a formerly developmental objective or subobjective became measurable).
- Deletion of an objective or subobjective that lacked a data source.
- Correction of errors and omissions in Healthy People 2010.
Revised baselines and targets for measurable objectives and subobjectives do not fall into any of the above categories and, thus, are not considered a midcourse review change.1
When changes were made to an objective, three sections are displayed:
- In the Original Objective section, the objective as published in Healthy People 2010 in 2000 is shown.
- In the Objective With Revisions section, strikethrough indicates text deleted, and underlining is used to show new text.
- In the Revised Objective section, the objective appears as revised as a result of the midcourse review.
Details of the objectives and subobjectives in this focus area, including any changes made at the midcourse, appear on the following pages.
1See Technical Appendix for more information on baseline and target revisions.
Bacterial STD Illness and Disability
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ORIGINAL OBJECTIVE |
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| 25-1. |
Reduce
the proportion of adolescents and young adults with Chlamydia trachomatis
infections. Target and baseline:
Target setting method: Better than the best. Data source: STD Surveillance System, CDC, NCHSTP. |
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OBJECTIVE WITH REVISIONS |
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| 25-1. |
Reduce
the proportion of adolescents and young adults with Chlamydia trachomatis
infections. Target and baseline:
* For data control purposes, subobjectives are not renumbered. † Data source does not track Chlamydia trachomatis infections among males 24 years and under. Target setting method: Better than the best. Data sources: STD Surveillance System, CDC, NCHSTP; National Job Training Program, U.S. Department of Labor. |
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REVISED OBJECTIVE |
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| 25-1. |
Reduce
the proportion of adolescents and young adults with Chlamydia trachomatis
infections. Target and baseline:
* For data control purposes, subobjectives are not renumbered. † Data source does not track Chlamydia trachomatis infections among males 24 years and under. Target setting method: Better than the best. Data sources: STD Surveillance System, CDC, NCHSTP; National Job Training Program, U.S. Department of Labor. |
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ORIGINAL OBJECTIVE |
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| 25-2. |
Reduce
gonorrhea. Target: 19 new cases per 100,000 population. Baseline: 1221 new cases of gonorrhea per 100,000 population occurred in 1997. Target setting method: Better than the best. Data source: STD Surveillance System, CDC, NCHSTP. 1 Baseline revised from 123 after November 2000 publication. |
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OBJECTIVE WITH REVISIONS |
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| 25-2. |
Reduce
gonorrhea. Target and baseline:
Target setting method: Better than the best. Data source: STD Surveillance System, CDC, NCHSTP. 1 Baseline revised from 123 after November 2000 publication. |
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REVISED OBJECTIVE |
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| 25-2. |
Reduce
gonorrhea. Target and baseline:
Target setting method: Better than the best. Data source: STD Surveillance System, CDC, NCHSTP. 1 Baseline revised from 123 after November 2000 publication. |
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NO CHANGE IN OBJECTIVE |
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| 25-3. |
Eliminate
sustained domestic transmission of primary and secondary syphilis. Target: 0.2 new cases per 100,000 population.1 Baseline: 3.2 new cases of primary and secondary syphilis per 100,000 population occurred in 1997.1 Target setting method: Better than the best and consistent with the National Plan to Eliminate Syphilis from the United States, CDC, 1999. Data source: STD Surveillance System, CDC, NCHSTP. 1 Target and baseline corrected at the midcourse to specify new cases. |
Viral STD Illness and Disability
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NO CHANGE IN OBJECTIVE |
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| 25-4. |
Reduce
the proportion of adults with genital herpes infection. Target: 14 percent. Baseline: 17 percent of adults aged 20 to 29 years had genital herpes infection in 1988–94 (as measured by herpes simplex virus type 2 [HSV-2] antibody). Target setting method: Better than the best. Data source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. |
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ORIGINAL OBJECTIVE |
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| 25-5. |
(Developmental)
Reduce the proportion of persons with human papillomavirus (HPV) infection. Potential data source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. |
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OBJECTIVE WITH REVISIONS |
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| 25-5. |
(Developmental)
Reduce the proportion of Potential data source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. |
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REVISED OBJECTIVE |
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| 25-5. |
(Developmental)
Reduce the proportion of females with human papillomavirus (HPV) infection. Potential data source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. |
STD Complications Affecting Females
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NO CHANGE IN OBJECTIVE |
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| 25-6. |
Reduce
the proportion of females who have ever required treatment for pelvic
inflammatory disease (PID).
Target: 5 percent. Baseline: 8 percent of females aged 15 to 44 years required treatment for PID in 1995. Target setting method: Better than the best. Data source: National Survey of Family Growth (NSFG), CDC, NCHS. |
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NO CHANGE IN OBJECTIVE |
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| 25-7. |
Reduce
the proportion of childless females with fertility problems who have had a
sexually transmitted disease or who have required treatment for pelvic
inflammatory disease (PID). Target: 15 percent. Baseline: 27 percent of childless females aged 15 to 44 years with fertility problems had a history of STDs or PID treatment in 1995. Target setting method: 44 percent improvement. Data source: National Survey of Family Growth (NSFG), CDC, NCHS. |
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ORIGINAL OBJECTIVE |
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| 25-8. |
(Developmental)
Reduce HIV infections in adolescent and young adult females aged 13 to 24
years that are associated with heterosexual contact. Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP. |
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OBJECTIVE WITH REVISIONS |
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| 25-8. |
(Objective
moved to Focus Area 13 as objective 13-18) (Developmental) Reduce the number of new cases of HIV/AIDS diagnosed Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP. |
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REVISED OBJECTIVE |
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| 25-8. |
Objective
25-8 moved to Focus Area 13 as new objective 13-18. |
STD Complications Affecting the Fetus and Newborn
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 25-9. |
Reduce
congenital syphilis. Target: 1 new case per 100,000 live births. Baseline: 281 new cases of congenital syphilis per 100,000 live births were reported in 1997. Target setting method: Better than the best and consistent with the National Plan to Eliminate Syphilis from the United States, CDC, 1998. Data sources: STD Surveillance System, CDC, NCHSTP; National Vital Statistics System (NVSS), CDC, NCHS. 1 Baseline revised from 27 after November 2000 publication. |
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OBJECTIVE DELETED |
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| 25-10. |
(Objective
deleted due to lack of data source) (Developmental) Reduce
neonatal consequences from maternal sexually transmitted diseases, including
chlamydial pneumonia, gonococcal and chlamydial ophthalmia neonatorum, laryngeal
papillomatosis (from human papillomavirus infection), neonatal herpes, and preterm
birth and low birth weight associated with bacterial vaginosis.
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Personal Behaviors
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ORIGINAL OBJECTIVE |
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| 25-11. |
Increase
the proportion of adolescents who abstain from sexual intercourse or use
condoms if currently sexually active. Target: 95 percent. Baseline: 85 percent of adolescents in grades 9 through 12 abstained from sexual intercourse or used condoms in 1999 (50 percent had never had intercourse; 14 percent had intercourse but not in the past 3 months; and 21 percent currently were sexually active and used a condom at last intercourse). Target setting method: 12 percent improvement. Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP. |
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OBJECTIVE WITH REVISIONS |
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| 25-11. |
Increase
the proportion of adolescents who abstain from sexual intercourse or use
condoms if currently sexually active. Target and baseline:
Target setting method: 12 percent improvement. Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP. |
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REVISED OBJECTIVE |
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| 25-11. |
Increase
the proportion of adolescents who abstain from sexual intercourse or use
condoms if currently sexually active. Target and baseline:
Target setting method: 12 percent improvement. Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP. |
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OBJECTIVE DELETED |
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| 25-12. |
(Objective deleted due to lack of
data source) (Developmental) Increase the number of positive
messages related to responsible sexual behavior during weekday and nightly
prime-time television programming.
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Community Protection Infrastructure
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NO CHANGE IN OBJECTIVE |
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| 25-13. |
Increase
the proportion of Tribal, State, and local sexually transmitted disease
programs that routinely offer hepatitis B vaccines to all STD clients. Target: 90 percent. Baseline: 5 percent of State and local STD programs offered hepatitis B vaccines to clients in accordance with CDC guidelines in 1998. Tribal STD program data are developmental. Target setting method: 85 percentage point improvement. Data sources: Survey of STD Programs, National Coalition of STD Directors (NCSD); IHS. |
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OBJECTIVE DELETED |
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| 25-14. |
(Objective deleted due to lack of
data source) (Developmental) Increase the proportion of youth
detention facilities and adult city or county jails that screen for common
bacterial sexually transmitted diseases within 24 hours of admission and
treat STDs (when necessary) before persons are released.
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OBJECTIVE DELETED |
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| 25-15. |
(Objective deleted due to lack of
data source) (Developmental) Increase the proportion of all
local health departments that have contracts with managed care providers for
the treatment of nonplan partners of patients with bacterial sexually
transmitted diseases (gonorrhea, syphilis, and chlamydia).
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Personal Health Services
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ORIGINAL OBJECTIVE |
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| 25-16. |
(Developmental)
Increase the proportion of sexually active females aged 25 years and under
who are screened annually for genital chlamydia infections. Potential data sources: Family Planning Annual Report, OPA; STD Surveillance System, CDC, NCHSTP. |
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OBJECTIVE WITH REVISIONS |
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| 25-16. |
Target and baseline:
Target setting method: Percent improvement consistent with HEDIS measures for breast and cervical cancer screenings. |
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REVISED OBJECTIVE |
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| 25-16. |
Increase
the proportion of sexually active females aged 25 years and under who are
screened annually for genital chlamydia infections. Target and baseline:
Target setting method: Percent improvement consistent with HEDIS measures for breast and cervical cancer screenings. Data source: Health Employer Data and Information Set (HEDIS), National Committee for Quality Assurance (NCQA). |
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OBJECTIVE DELETED |
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| 25-17. |
(Objective
deleted due to lack of data source) (Developmental) Increase the proportion
of pregnant females screened for sexually transmitted diseases (including HIV
infection and bacterial vaginosis) during prenatal health care visits,
according to recognized standards.
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OBJECTIVE DELETED |
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| 25-18. |
(Objective deleted because
objective is no longer trackable through the existing data source)
Increase the proportion of primary care providers who treat patients with
sexually transmitted diseases and who manage cases according to recognized
standards.
Target: 90 percent. Baseline: 70 percent of primary care providers treated patients with STDs according to CDC STD Treatment Guidelines in 1988. Target setting method: Retain 2000 target. Data sources: National Disease and Therapeutic Index, IMS America; National Ambulatory Medical Care Survey (NAMCS), CDC, NCHS. |
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OBJECTIVE DELETED |
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| 25-19. |
(Objective deleted due to lack of
data source) (Developmental) Increase the proportion of all sexually
transmitted disease clinic patients who are being treated for bacterial STDs
(chlamydia, gonorrhea, and syphilis) and who are offered provider referral
services for their sex partners.
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