Indicator 13: Up-to-date on Select Preventive Services (Female)

• The "up-to-date" indicator presents a composite picture of the preventive care and screening behaviors of older adults. Indicators 9-12 measure the use of selected clinical preventive services that are covered by Medicare and recommended for adults aged 65 or older. Although each indicator is essential independently, older adults need to obtain all of these services to protect their health.
• This comprehensive approach aims to provide a more meaningful and practical measure of the delivery of clinical preventive services. This approach also could enhance the ability of health departments and community groups to assess disparities in the delivery of preventive services; to better gauge progress toward measurable objectives; and to identify best practices for achieving prevention goals.(1)
• Call to action:
  • Promoting healthy behaviors among older adults
  • Increasing older adults use of clinical preventive services
  • Increasing adult immunizations in racial/ethnic minority populations
  • Increasing screening for colorectal cancer

Location Data C.I.* Rank† Grade‡ United States 31.6 n/a n/a n/a Alabama 26.9 (23.1 - 31.1) 42 Alaska 28.4 (20.3 - 38.2) 35 Arizona 36.2 (30.9 - 41.9) 8 Arkansas 25.6 (22.1 - 29.4) 47 California 34.8 (30.0 - 39.9) 14 Colorado 38.9 (34.3 - 43.7) 3 Connecticut 36.2 (32.8 - 39.9) 8 Delaware 38.2 (33.4 - 43.4) 4 District of Columbia 27.5 (22.0 - 33.7) 39 Florida 34.6 (31.2 - 38.3) 15 Georgia 27.7 (23.7 - 32.1) 38 Hawaii§ 26.3 (22.0 - 31.0) 44 Idaho 25.9 (22.3 - 29.8) 46 Illinois 25.0 (21.3 - 29.2) 50 Indiana 25.5 (22.6 - 28.7) 48 Iowa 34.4 (31.1 - 38.0) 17 Kansas 30.7 (28.1 - 33.5) 29 Kentucky 25.1 (21.9 - 28.6) 49 Louisiana 31.2 (28.1 - 34.5) 28 Maine 35.8 (31.4 - 40.5) 11 Maryland 34.4 (29.7 - 39.4) 17 Massachusetts 34.9 (31.3 - 38.8) 13 Michigan 36.5 (32.8 - 40.3) 7 Minnesota 47.0 (42.7 - 51.3) 1 Mississippi 24.7 (21.8 - 27.8) 51 Missouri 28.4 (24.5 - 32.7) 35 Montana 36.0 (31.8 - 40.4) 10 Nebraska 31.6 (28.7 - 34.7) 26 Nevada 26.1 (20.0 - 33.2) 45 New Hampshire 33.3 (29.2 - 37.6) 20 New Jersey 30.4 (28.0 - 32.8) 30 New Mexico 31.7 (28.4 - 35.3) 25 New York 28.9 (25.7 - 32.4) 32 North Carolina 32.6 (30.4 - 35.0) 22 North Dakota 34.6 (29.9 - 39.5) 15 Ohio 28.9 (24.0 - 34.4) 32 Oklahoma 28.8 (26.1 - 31.7) 34 Oregon 36.7 (32.8 - 40.7) 6 Pennsylvania 27.2 (24.3 - 30.4) 41 Rhode Island 37.0 (32.4 - 41.9) 5 South Carolina 28.1 (25.0 - 31.4) 37 South Dakota 35.3 (32.1 - 38.6) 12 Tennessee 32.2 (28.0 - 36.7) 24 Texas 26.9 (23.3 - 30.9) 42 Utah 31.6 (27.0 - 36.6) 26 Vermont 29.9 (26.9 - 33.1) 31 Virginia 32.4 (27.9 - 37.3) 23 Washington 34.1 (31.9 - 36.4) 19 West Virginia 27.4 (23.6 - 31.5) 40 Wisconsin 40.8 (36.4 - 45.3) 2 Wyoming 32.8 (28.7 - 37.3) 21

Make comparisons Healthy People 2010 Targets

= Upper Third (top performing 33%)   = Middle Third (middle 33%)   = Lower Third (lowest performing 33%)         * A confidence interval (CI) describes the level of uncertainty of an estimate and specifies the range in which the true value is likely to fall. The State of Aging and Health in America online report uses a 95% level of significance, which means that 95% of the time, the true value falls within these boundaries.         † Rankings are based on the relative numeric scores for each indicator, with a ranking of "1" indicating the highest rank.         ‡ Grades are calculated as tertiles (thirds) and show state performance relative to all other states.         § 2003 data are used for Hawaii because no 2004 data exist.           Note: When comparing prevalence of variables across states or years, we recommend the use of confidence intervals. If the confidence intervals overlap, the difference is not statistically significant.