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Objectives and Subobjectives
Goal:
Prevent human
immunodeficiency virus (HIV) infection and its related illness and death.
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.
NO
CHANGE IN OBJECTIVE
|
13-1. |
Reduce AIDS among adolescents and
adults.
Target: 1.0 new
case per 100,000 persons.
Baseline: 19.5 cases
of AIDS per 100,000 persons aged 13 years and older in 1998.
Data are estimated; adjusted for delays in
reporting.
Target setting method: Better than
the best.
Data source: HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
NO
CHANGE IN OBJECTIVE
|
13-2. |
Reduce the number of new AIDS cases
among adolescent and adult men who have sex with men.
Target: 13,385 new
cases.
Baseline: 17,847 new
cases of AIDS in 1998 among males aged 13 years and older.
Data are estimated; risk redistributed;
adjusted for delays in reporting.
Target setting method: 25 percent
improvement.
Data source: HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
NO
CHANGE IN OBJECTIVE
|
13-3. |
Reduce
the number of new AIDS cases among females and males who inject drugs.
Target:
9,075 cases.
Baseline:
12,099 new cases of AIDS among injection
drug users aged 13 years and older (females, 3,667; males, 8,432) in 1998.
Data are point estimates; risk redistributed; adjusted for delays in
reporting.
Target
setting method:
25 percent
improvement.
Data
source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
NO
CHANGE IN OBJECTIVE
|
13-4. |
Reduce
the number of new AIDS cases among adolescent and adult men who have sex with
men and inject drugs.
Target:
1,592 cases.
Baseline:
2,122 new cases of AIDS among males aged
13 years and older in 1998.
Data are
point estimates; risk redistributed; adjusted for delays in reporting.
Target
setting method:
25 percent
improvement.
Data
source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
ORIGINAL
OBJECTIVE
|
13-5. |
(Developmental)
Reduce the number of cases of HIV infection among adolescents and
adults.
Potential
data source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
OBJECTIVE
WITH REVISIONS
|
13-5. |
(Developmental)
Reduce the number of new cases of HIV/AIDS diagnosed infection
among adolescents and adults.
Potential
data source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
REVISED
OBJECTIVE
|
13-5. |
(Developmental)
Reduce the number of new cases of HIV/AIDS diagnosed among adolescents and
adults.
Potential
data source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
ORIGINAL
OBJECTIVE
|
13-6. |
Increase
the proportion of sexually active persons who use condoms.
Target
and baseline:
Objective |
Increase in Sexually Active
Persons Using Condoms |
1995
Baseline
Percent |
2010
Target
Percent |
13-6a. |
Females aged 18 to 44 years |
23 |
50 |
13-6b. |
Males aged 18 to 49 years |
Developmental |
Developmental |
Target
setting method: Better
than the best.
Data
source: National Survey of
Family Growth (NSFG), CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS
|
13-6. |
Increase
the proportion of sexually active persons who use condoms.
Target
and baseline:
Objective |
Increase in Sexually Active
Persons Using Who Use Condoms |
1995
Baseline (unless noted)
Percent |
2010
Target
Percent |
13-6a. |
Unmarried females aged 18 to 44 years |
23 |
50 |
13-6b. |
Unmarried males aged 18 to 494 years |
42 (2002) |
54 |
Target
setting method:
Better
than the best.
Data
source:
National Survey of
Family Growth (NSFG), CDC, NCHS.
|
REVISED
OBJECTIVE
|
13-6. |
Increase
the proportion of sexually active persons who use condoms.
Target
and baseline:
Objective |
Increase in Sexually Active
Persons Who Use Condoms |
1995
Baseline
(unless noted)
Percent |
2010
Target
Percent |
13-6a. |
Unmarried females aged 18 to
44 years |
23 |
50 |
13-6b. |
Unmarried males aged 18 to
44 years |
42 (2002) |
54 |
Target
setting method:
Better
than the best.
Data
source:
National Survey of
Family Growth (NSFG), CDC, NCHS.
|
OBJECTIVE
DELETED
|
13-7. |
(Objective deleted due to lack of
data source) (Developmental) Increase the number of
HIV-positive persons who know their serostatus.
|
NO
CHANGE IN OBJECTIVE
|
13-8. |
Increase
the proportion of substance abuse treatment facilities that offer HIV/AIDS education, counseling, and support.
Target:
70 percent.
Baseline:
58 percent of substance abuse treatment
facilities offered HIV/AIDS education, counseling, and support in 1997.
Target
setting method:
21 percent
improvement.
Data
source:
Uniform Facility
Data Set (UFDS), SAMHSA.
|
OBJECTIVE
DELETED
|
13-9. |
(Objective deleted due to lack of
data source) (Developmental) Increase the number of State
prison systems that provide comprehensive HIV/AIDS, sexually transmitted
diseases, and tuberculosis (TB) education.
|
OBJECTIVE
DELETED
|
13-10. |
(Objective deleted due to lack of
data source) (Developmental) Increase the proportion of
inmates in State prison systems who receive voluntary HIV counseling and
testing during incarceration.
|
NO
CHANGE IN OBJECTIVE
|
13-11. |
Increase
the proportion of adults with tuberculosis (TB) who have been tested for HIV.
Target:
85 percent.
Baseline:
55 percent of adults aged 25 to 44 years
with TB were tested for HIV in 1998.
Target
setting method:
Better
than the best.
Data
source:
National TB
Surveillance System, CDC, DTBE.
|
OBJECTIVE
DELETED
|
13-12. |
(Objective deleted due to lack of
data source) (Developmental) Increase the proportion of adults
in publicly funded HIV counseling and testing sites who are screened for
common bacterial sexually transmitted diseases (STDs) (chlamydia, gonorrhea,
and syphilis) and are immunized against hepatitis B virus.
|
NO
CHANGE IN OBJECTIVE
|
13-13. |
Increase
the proportion of HIV-infected adolescents and adults who receive testing,
treatment, and prophylaxis consistent with current Public Health Service
treatment guidelines.
Target
and baseline:
Objective |
Increase in HIV-Infected
Persons Aged 13 Years and Older Receiving Testing, Treatment, and
Prophylaxis Consistent With Current Public Health Service Guidelines |
1997
Baseline
Percent |
2010
Target
Percent |
|
Testing |
|
|
13-13a. |
Viral load testing |
Developmental |
Developmental |
13-13b. |
Tuberculin skin testing
(TST) |
Developmental |
Developmental |
|
Treatment |
|
|
13-13c. |
Any antiretroviral therapy |
80 |
95 |
13-13d. |
Highly active antiretroviral
therapy (HAART) |
40 |
95 |
|
Prophylaxis |
|
|
13-13e. |
Pneumocystis carinii pneumonia (PCP) prophylaxis |
80 |
95 |
13-13f. |
Mycobacterium avium complex (MAC) prophylaxis |
44 |
95 |
Note:
Data
from 11 cities and 9 States.
Target
setting method:
An
improvement to the same percentage as that projected for Pneumocystis carinii
pneumonia prophylaxis.
Data
source:
Adult Spectrum of
Disease (ASD) Surveillance Project, CDC, NCHSTP.
|
NO
CHANGE IN OBJECTIVE
(Data updated and footnoted)
|
13-14. |
Reduce
deaths from HIV infection.
Target:
0.7 deaths per 100,000 persons.
Baseline:
5.31 deaths from HIV infection
per 100,000 persons in 19991 (age adjusted to the year 2000
population).
Target
setting method:
Better
than the best.
Data
source: National Vital
Statistics System, CDC, NCHS.
1 Baseline and baseline year revised from
4.9 and 1998 after November 2000 publication.
|
ORIGINAL
OBJECTIVE
|
13-15. |
(Developmental)
Extend the interval of time between an initial diagnosis of HIV infection and
AIDS diagnosis in order to increase years of life of an individual infected
with HIV.
Potential
data source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
OBJECTIVE
WITH REVISIONS
|
13-15. |
(Developmental) Extend
the interval of time beween an initial diagnosis of Increase the
proportion of new HIV infections and AIDS diagnosised
in order to increase years of life of an individual infected with
HIV before progression to AIDS.
Potential
data source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
REVISED
OBJECTIVE
|
13-15. |
(Developmental)
Increase the proportion of new HIV infections diagnosed before progression to
AIDS.
Potential
data source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
ORIGINAL
OBJECTIVE
|
13-16. |
(Developmental)
Increase years of life of an HIV-infected person by extending the interval of
time between an AIDS diagnosis and death.
Potential
data source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
OBJECTIVE
WITH REVISIONS
|
13-16. |
(Developmental)
Increase years of life of an the proportion of HIV-infected
persons by extending the interval of time between an AIDS diagnosis
and deathsurviving more than 3 years after a diagnosis of AIDS.
Target:
88 percent.
Baseline:
83 percent of HIV-infected persons
diagnosed with AIDS in 1998 were still living in 2002.
Target
setting method: Better
than the best.
Potential
dData
source: HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
REVISED
OBJECTIVE
|
13-16. |
Increase
the proportion of HIV-infected persons surviving more than 3 years after a
diagnosis of AIDS.
Target:
88 percent.
Baseline:
83 percent of HIV-infected persons
diagnosed with AIDS in 1998 were still living in 2002.
Target
setting method:
Better
than the best.
Data
source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
ORIGINAL
OBJECTIVE
|
13-17. |
(Developmental)
Reduce new cases of perinatally acquired HIV infection.
Potential
data source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
OBJECTIVE
WITH REVISIONS
|
13-17. |
(Developmental)
Reduce the number of new cases of perinatally acquired HIV/AIDS
diagnosed each year and perinatally acquired AIDS infection.
Target
and baseline:
Objective |
Reduction in the Number
of New Cases of Perinatally
Acquired HIV/AIDS Diagnosed Each Year and Perinatally Acquired AIDS |
2002 Baseline
Number of Cases |
2010
Target
Number of Cases |
13-17a. |
Perinatally acquired
HIV/AIDS diagnosed each year |
Developmental |
Developmental |
13-17b. |
Perinatally acquired AIDS |
82 |
75 |
Target
setting method:
For
13-17a, 8 percent improvement; for 13-17b, consistent with Government
Performance and Results Act (GPRA) goal (21 percent improvement).
Potential
dData
source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
REVISED
OBJECTIVE
|
13-17. |
Reduce
the number of new cases of perinatally acquired HIV/AIDS diagnosed each year
and perinatally acquired AIDS.
Target
and baseline:
Objective |
Reduction in the Number of
New Cases of Perinatally Acquired HIV/AIDS Diagnosed Each Year and
Perinatally Acquired AIDS |
2002
Baseline
Number of Cases |
2010
Target
Number of Cases |
13-17a. |
Perinatally acquired
HIV/AIDS diagnosed each year |
Developmental |
Developmental |
13-17b. |
Perinatally acquired AIDS |
82 |
75 |
Target
setting method:
For
13-17a, 8 percent improvement; for 13-17b, consistent with Government
Performance and Results Act (GPRA) goal (21 percent improvement).
Data
source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
ORIGINAL
OBJECTIVE
|
13-18. |
Originally Objective 25-8.
(This objective has been moved from Focus
Area 25 to Focus Area 13.)
(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.
|
OBJECTIVE
WITH REVISIONS
(As
moved from Focus Area 25)
|
13-18. |
25-18.
(Objective moved from 25-8 in Sexually Transmitted Diseases to
Focus Area 13 as objective 13-18.)
(Developmental)
Reduce the number of new cases of HIV/AIDS diagnosed 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.
|
REVISED
OBJECTIVE
|
13-18. |
(Developmental)
Reduce the number of new cases of HIV/AIDS diagnosed 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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