|
|
|
National Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
State Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
Healthy People 2000 Objective
|
15.1 (Heart Disease and Stroke)
(also, 1.1, 2.1, 3.1), age adjusted to the 2000 standard population.
|
|
Measure
|
Rate per 100,000 population (age
adjusted—see Comments).
|
|
Baseline
|
208 (1998).
|
|
Numerator
|
Number of coronary heart
disease-related deaths (ICD-9 codes 402, 410-414, 429.2).
|
|
Denominator
|
Number of persons.
|
|
Population Targeted
|
U.S. resident population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Data are age adjusted to the 2000
standard population. Age-adjusted rates are weighted sums of age-specific
rates. For information on age adjustment, see Part A, section 5.
|
|
This objective differs from
Healthy People 2000 objective 15.1, which adjusted the death rates using the
1940 standard population. See Appendix C for comparison data.
|
|
See Part C for a description of
NVSS and Appendix A for focus area contact information.
|
12-6a. Adults
aged 65 to 74 years.
|
National Data Source
|
National Hospital Discharge Survey
(NHDS), CDC, NCHS.
|
|
State Data Source
|
State hospital discharge data
systems.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Rate per 1,000 population.
|
|
Baseline
|
13.2 (1997).
|
|
Numerator
|
Number of discharges among adults
aged 65 to 74 years with a principal diagnosis of congestive heart failure
(ICD-9-CM code 428.0).
|
|
Denominator
|
Number of adults aged 65 to 74
years.
|
|
Population Targeted
|
U.S. civilian population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Principal diagnosis is the
diagnosis chiefly responsible for admission of the person to the hospital.
|
|
See Part C for a description of
NHDS and Appendix A for focus area contact information.
|
12-6b. Adults
aged 75 to 84 years.
|
National Data Source
|
National Hospital Discharge Survey
(NHDS), CDC, NCHS.
|
|
State Data Source
|
State hospital discharge data
systems.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Rate per 1,000 population.
|
|
Baseline
|
26.7 (1997).
|
|
Numerator
|
Number of discharges among adults
aged 75 to 84 years with a principal diagnosis of congestive heart failure
(ICD-9-CM code 428.0).
|
|
Denominator
|
Number of adults aged 75 to 84
years.
|
|
Population Targeted
|
U.S. civilian population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 12-6a for more information.
|
12-6c. Adults
aged 85 years and older.
|
National Data Source
|
National Hospital Discharge Survey
(NHDS), CDC, NCHS.
|
|
State Data Source
|
State hospital discharge data
systems.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Rate per 1,000 population.
|
|
Baseline
|
52.7 (1997).
|
|
Numerator
|
Number of discharges among adults
aged 85 years and older with a principal diagnosis of congestive heart
failure (ICD-9-CM code 428.0).
|
|
Denominator
|
Number of adults aged 85 years and
older.
|
|
Population Targeted
|
U.S. civilian population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 12-6a for more information.
|
|
|
|
National Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
State Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
Healthy People 2000 Objective
|
15.2 (Heart Disease and Stroke)
(also 2.22, 3.18), age adjusted to the 2000 standard population.
|
|
Measure
|
Rate per 100,000 population (age
adjusted—see Comments).
|
|
Baseline
|
60 (1998).
|
|
Numerator
|
Number of stroke deaths (ICD-9
codes 430-438).
|
|
Denominator
|
Number of persons.
|
|
Population Targeted
|
U.S. resident population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Data are age adjusted to the 2000
standard population. Age-adjusted rates are weighted sums of age-specific
rates. For information on age adjustment, see Part A, section 5.
|
|
This objective differs from
Healthy People 2000 objective 15.2, which adjusted the death rates using the
1940 standard population. See Appendix C for comparison data.
|
|
See Part C for a description of
NVSS and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Percent (age adjusted—see
Comments).
|
|
Baseline
|
28 (1988–94).
|
|
Numerator
|
Number of adults aged 20 years and
older with high blood pressure.
|
|
Denominator
|
Number of adults aged 20 years and
older.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
From the 1988–94 National Health
and Nutrition Examination Survey:
|
|
Ø
Are you now taking prescribed medicine?
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
Adults are defined as having high
blood pressure if they either: (a) have a measurement of systolic blood
pressure (SBP) > 140 mmHg or diastolic blood pressure (DBP) > 90 mmHg
or (b) report they are taking high blood pressure medicine.
|
|
Measurements were taken using a
sphygmomanometer according to the standardized blood pressure measurement
protocols recommended by the American Heart Association.1
|
|
A detailed description of the
procedures for blood pressure measurement in the NHANES has been published
elsewhere.2, 3
|
|
Data are age adjusted to the 2000 standard population. Age-adjusted
percents are weighted sums of age-specific percents. For information on age
adjustment, see Part A, section 5.
|
|
See Part C for a description of
NHANES and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
15.4 (Heart Disease and Stroke)
(also 2.26), age adjusted to the 2000 standard population.
|
|
Measure
|
Percent (age adjust—see Comments).
|
|
Baseline
|
18 (1988–94).
|
|
Numerator
|
Number of adults aged 18 years and
older who have been told by a doctor or other health professional to take
prescribed blood pressure medicine and are now taking it and whose systolic
blood pressure is less than 140 mmHg and diastolic blood pressure is less
than 90 mmHg.
|
|
Denominator
|
Number of adults with high blood
pressure aged 18 years and older.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
From the 1988–94 National Health
and Nutrition Examination Survey:
|
|
Ø
Because of your high blood pressure/hypertension,
have you ever been told by a doctor or other health professional to take
prescribed medicine?
|
|
Ø
Are you now taking prescribed medicine?
|
|
Expected Periodicity
|
Annual beginning with 1999 data.
|
|
Comments
|
See Comments provided with
objective 12-9.
|
|
|
|
National Data Source
|
National Health Interview Survey
(NHIS), CDC, NCHS.
|
|
State Data Source
|
Behavioral Risk Factor
Surveillance System (BRFSS), CDC, NCCDPHP.
|
|
Healthy People 2000 Objective
|
Adapted from 15.5 (Heart Disease
and Stroke).
|
|
Measure
|
Percent (age adjusted—see
Comments).
|
|
Baseline
|
82 (1998).
|
|
Numerator
|
Number of adults aged 18 years and
older with high blood pressure who are dieting, reducing salt or sodium
intake, exercising, reducing alcohol consumption or taking high blood
pressure medications.
|
|
Denominator
|
Number of adults with high blood
pressure aged 18 years and older.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
From the 1998 National Health
Interview Survey:
|
|
[NUMERATOR:]
Ø
Has a doctor or other health professional EVER
advised you to go on a diet or change your eating habits to help lower your
blood pressure?
|
|
[If
yes:]
o
Are you NOW following this advice?
|
|
Ø
Has a doctor or other health professional EVER
advised you to cut down on salt or sodium in your diet to help lower your
blood pressure?
|
|
[If
yes:]
o
Are you NOW following this advice?
|
|
Ø
Has a doctor or other health professional EVER
advised you to reduce alcohol consumption to help lower your blood pressure?
|
|
[If
yes:]
o
Are you NOW following this advice?
|
|
Ø
Has a doctor or other health professional EVER
advised you to exercise to help lower your blood pressure?
|
|
[If
yes:]
o
Are you NOW following this advice?
|
|
Ø
Was any medication EVER prescribed by a doctor to
help lower your blood pressure?
|
|
[If
yes:]
o
Are you NOW following this advice?
|
|
[DENOMINATOR:]
Ø
Were you told on two or more DIFFERENT visits that
you had hypertension, also called high blood pressure?
|
|
|
[If
yes:]
o
Was this only during pregnancy?
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
People with high blood pressure
are defined as those who are told on two or more occasions by a physician or
other health professional that they had high blood pressure. Pregnancy-related
high blood pressure is excluded.
|
|
Adults are classified as taking
action to control their blood pressure if they are now following advice on any
of the actions listed above: diet/change eating habits, cut down on salt
intake, reduce alcohol consumption, exercise, or take medication.
|
|
Data are age adjusted to the 2000
standard population. Age-adjusted percents are weighted sums of age-specific
percents. For information on age adjustment, see Part A, section 5.
|
|
This objective is adapted from
Healthy People 2000 objective 15.5, which tracked the proportion of people
with high blood pressure who were taking medication, dieting to lose weight,
cutting down on salt, and exercising to help control their blood pressure.
This measure tracks the proportion of adults with high blood pressure who are
reducing alcohol consumption, in addition to the other actions, to help
control their blood pressure; the measure is age adjusted to the 2000
standard population.
|
|
In Healthy People 2000, a person
with high blood pressure was defined as “…EVER been told by a doctor or other
health professional that you had hypertension, also called high blood
pressure” while in Healthy People 2010, a person is defined as “…told on two
or more DIFFERENT visits that you had high blood pressure.”
|
|
See Part C for a description of
NHIS and BRFSS, and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Health Interview Survey
(NHIS), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
15.13 (Heart Disease and Stroke),
age adjusted to the 2000 standard population.
|
|
Measure
|
Percent (age adjusted—see
Comments).
|
|
Baseline
|
90 (1998).
|
|
Numerator
|
Number of adults aged 18 years and
older who had their blood pressure measured within the preceding 2 years and
can state level.
|
|
Denominator
|
Number of adults aged 18 years and
older.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
From the 1998 National Health
Interview Survey:
|
|
Ø About
how long has it been since you had your blood pressure checked by a doctor or
health professional?
0)
Never
(Number) ________Days
________Weeks
________Months
________Years
|
|
Ø At
that time, did the doctor or health professional say your blood pressure was
high, low, or normal?
1) Not
told
2) High
3) Low
4) Normal
5) Borderline
6) Other - Specify ________
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
An adult was considered able to
state their blood pressure level if they responded high, low, normal, or borderline
(categories 2-5) to the second question above.
|
|
Data are age adjusted to the 2000
standard population. Age-adjusted percents are weighted sums of age-specific
percents. For information on age adjustment, see Part A, section 5.
|
|
See Part C for a description of
NHIS and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
15.6 (Heart Disease and Stroke)
(also 2.27), age adjusted to the 2000 standard population).
|
|
Measure
|
Mean (age adjusted—see Comments).
|
|
Baseline
|
206 (1988–94).
|
|
Numerator
|
Sum of all cholesterol values for
adults aged 20 years and older.
|
|
Denominator
|
Number of cholesterol measurements
for adults aged 20 years and older.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual beginning with 1999 data.
|
|
Comments
|
Total cholesterol is a combination
of high-density lipoproteins (HDL), low-density lipoproteins (LDL), and
very-low density lipoproteins (VLDL).
|
|
Total blood cholesterol is
measured enzymatically in a series of coupled reactions. A description of the
laboratory procedures for the total cholesterol measurement in NHANES is
published by NCHS.4, 5
|
|
Data are age adjusted to the 2000
standard population. Age-adjusted percents are weighted sums of age-specific
percents. For information on age adjustment, see Part A, section 5.
|
|
See Part C for a description of
NHANES and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
15.7 (Heart Disease and Stroke)
(also 2.25), age adjusted to the 2000 standard population.
|
|
Measure
|
Percent (age adjusted—see
Comments).
|
|
Baseline
|
21 (1988–94).
|
|
Numerator
|
Number of adults aged 20 years and
older with total blood cholesterol > 240 mg/dL.
|
|
Denominator
|
Number of adults aged 20 years and
older.
|
|
Population Targeted
|
U.S. civilian, noninstitutionalized
population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
Total cholesterol is a combination
of HDL, LDL, and VLDL.
|
|
Total blood cholesterol is
measured enzymatically in a series of coupled reactions. A description of the
procedures for the total cholesterol measurement in NHANES has been published
by NCHS.4, 5
|
|
Blood cholesterol levels less than
200 mg/dL are considered desirable. Levels of 240 mg/dL or above are
considered high. Levels of 200-239 mg/dL are considered borderline.
|
|
Data are age adjusted to the 2000
standard population. Age-adjusted percents are weighted sums of age-specific
percents. For information on age adjustment, see Part A, section 5.
|
|
See Part C for a description of
NHANES and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Health Interview Survey
(NHIS), CDC, NCHS.
|
|
State Data Source
|
Behavioral Risk Factor
Surveillance System (BRFSS), CDC, NCCDPHP.
|
|
Healthy People 2000 Objective
|
15.14 (Heart Disease and Stroke),
age adjusted to the 2000 standard population.
|
|
Measure
|
Percent (age adjusted—see
Comments).
|
|
Baseline
|
67 (1998).
|
|
Numerator
|
Number of adults aged 18 years and
older who have had their cholesterol checked within 5 years.
|
|
Denominator
|
Number of adults aged 18 years and
older.
|
|
Population Targeted
|
U.S. civilian, noninstitutionalized
population.
|
|
Questions Used To Obtain the
National Data
|
From the 1998 National Health
Interview Survey:
|
|
Ø When
was the last time that you had your blood cholesterol level checked by a
doctor or health professional?
0)
Never
1) A year ago or less
2) More than 1 year but not more than 2 years
3) More than 2 years but not more than 3 years
4) More than 3 years but not more than 5 years
5) Over 5 years
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
An adult was considered as having
had their blood cholesterol checked within the preceding 5 years if they
responded to any of the categories in 1 through 4 of the question
above.
|
|
Data are age adjusted to the 2000
standard population. Age-adjusted percents are weighted sums of age-specific
percents. For information on age adjustment, see Part A, section 5.
|
|
See Part C for a description of
NHIS and BRFSS and Appendix A for focus area contact information.
|
1. U.S. Department of Health and Human Services (HHS),
National Center for Health Statistics (NCHS). Third National Health and
Nutrition Examination Survey, 1998–1994, NHANES III Adult Household
Questionnaire Data Files (CD-ROM). Public Use Data File Documentation No.
76200. Hyattsville, MD: Centers for Disease Control and Prevention (CDC), 1996.
2. HHS, NCHS. Third National Health and Nutrition
Examination Survey, 1998–1994,
NHANES III Examination Data Files (CD-ROM). Public Use Data File Documentation
No. 76200. Hyattsville, MD: CDC, 1996.
3. Frohlich, E.D.; Grim, C.; Labarthe, D.R.; et al.
Recommendations for human blood pressure determination by sphygmomanometer. Hypertension
11:210A-222A, 1988.
4. HHS, NCHS. Third National Health and Nutrition
Examination Survey, 1998–1994,
NHANES III Laboratory Data Files (CD-ROM). Public Use Data File Documentation
No. 76200. Hyattsville, MD: CDC, 1996.
5. Gunter, E.W.; Lewis, B.G.; and Koncikowski, S.M. Laboratory
Procedures Used for the Third National Health and Nutrition Examination Survey
(NHANES III), 1988–94.
HHS, Public Health Service, CDC, 1996.
