Screening Input Graphs through 2020

Percent Receiving Home Fecal Occult Blood Test in the Past 2 Years(1)

Black Females, Ages 50+(2)

Difficult but feasible goal (3) (Line)
XY
200523.17%
200622.91%
200722.95%
200823.39%
200923.87%
201024.37%
201124.53%
201224.79%
201325.22%
201425.59%
201525.98%
201625.76%
201725.58%
201825.66%
201925.74%
202026.24%
Healthy People 2010 goal met (3)(1) (Line)
XY
200525.81%
200627.37%
200728.52%
200829.81%
200930.96%
201032.16%
201132.9%
201233.57%
201334.22%
201434.88%
201535.46%
201635.21%
201734.92%
201834.98%
201934.94%
202035.32%
NHIS data (4) (Scatter)
XY
200025.33%
200325%
200523%
NHIS data (2) (4) (Scatter)
XY
19874.59%
199211.4%
199812.4%
Home FOBT in the past 2 years trend (1970-2004) (Line)
XY
19791.31%
19802.7%
19813.44%
19824.16%
19834.88%
19845.67%
19856.64%
19867.6%
19878.57%
198810.05%
198911.63%
199013.09%
199114.42%
199215.86%
199315.67%
199415.53%
199515.89%
199616.35%
199716.85%
199817.35%
199919.95%
200022.44%
200122.48%
200222.7%
200323.02%
200423.35%
200522.99%
Projected home FOBT in the past 2 years trend (2005-2020) (Line)
XY
200522.99%
200622.08%
200721.29%
200821.01%
200920.8%
201020.55%
201120.02%
201219.59%
201319.25%
201418.91%
201518.63%
201618.02%
201717.53%
201817.1%
201916.74%
202016.75%
Healthy People 2010 U.S. Target (1) (Scatter)
XY
201033%
NHIS data (4) (Scatter)
XY
200025.33%
200325%
200523%

 

Footnotes:

[1] The official Healthy People 2010 objective is to increase the proportion of adults aged 50+ receiving a fecal occult blood test (FOBT) in the past two years to 50%. The location of the test (i.e., home or office) was not specified. Since the sensitivity for detecting advanced neoplasia is much higher for home-based FOBTs (23.9%) than for office-based FOBTs (4.9%) (Collins et al., Ann Intern Med 2005), we restated the Healthy People 2010 goal as to increase the proportion of adults aged 50+ receiving a home-based FOBT in the past two years to 50%.

[2] Age adjusted to the 2000 standard population using age groups 50-64y and 65+y.

[3] Trend assumed to be flat after the Healthy People 2010 objective is met.

[4] The NHIS questions regarding history of FOBT vary by year. In the 2000 and 2003, respondents were asked when they had their last home-based FOBT (red diamonds). Prior to 2000, respondents were asked when they had their last FOBT and whether their last FOBT was a home- or an office-based test. We used two approaches to estimate the proportion receiving a home-based FOBT in the past two years prior to the year 2000. In one approach we assumed that if the last test was an office-based FOBT, then the person would not have had a home-based test in the previous two years (red stars). In the second approach we estimated the proportion having a home-based FOBT prior to 2000 assuming that the proportion of total FOBTs that are home-based is the same as the proportion observed in 2000 (red crosses).