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

• 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 38.4 n/a n/a n/a Alabama 30.3 (24.7 - 36.7) 50 Alaska 37.1 (24.4 - 51.9) 30 Arizona 40.8 (33.8 - 48.3) 14 Arkansas 38.8 (33.4 - 44.5) 23 California 40.0 (33.6 - 47.0) 17 Colorado 41.3 (35.5 - 47.4) 11 Connecticut 45.4 (40.8 - 50.1) 3 Delaware 43.0 (35.9 - 50.3) 5 District of Columbia 32.1 (25.1 - 40.0) 45 Florida 41.8 (37.3 - 46.4) 8 Georgia 33.3 (27.0 - 40.3) 43 Hawaii§ 20.1 (15.6 - 25.7) 51 Idaho 33.8 (28.4 - 39.7) 41 Illinois 31.7 (26.1 - 37.9) 47 Indiana 35.2 (30.6 - 40.0) 39 Iowa 38.4 (33.3 - 43.8) 26 Kansas 36.9 (33.3 - 40.6) 31 Kentucky 32.4 (26.8 - 38.5) 44 Louisiana 36.8 (32.2 - 41.7) 32 Maine 41.3 (35.3 - 47.5) 11 Maryland 42.3 (36.0 - 48.8) 7 Massachusetts 35.3 (30.7 - 40.1) 37 Michigan 31.5 (27.0 - 36.3) 48 Minnesota 41.4 (35.8 - 47.1) 10 Mississippi 31.1 (26.2 - 36.4) 49 Missouri 36.8 (31.2 - 42.8) 32 Montana 46.0 (40.1 - 51.9) 2 Nebraska 36.5 (32.4 - 40.9) 34 Nevada 33.8 (26.5 - 42.0) 41 New Hampshire 41.8 (36.6 - 47.2) 8 New Jersey 38.2 (34.9 - 41.6) 27 New Mexico 37.7 (33.3 - 42.4) 29 New York 40.3 (35.1 - 45.7) 16 North Carolina 40.0 (36.6 - 43.5) 17 North Dakota 38.9 (32.7 - 45.5) 22 Ohio 35.2 (28.1 - 42.9) 39 Oklahoma 40.8 (36.8 - 45.0) 14 Oregon 39.5 (34.5 - 44.6) 20 Pennsylvania 35.7 (31.4 - 40.2) 36 Rhode Island 45.2 (38.9 - 51.6) 4 South Carolina 36.5 (32.3 - 41.0) 34 South Dakota 42.9 (38.5 - 47.4) 6 Tennessee 38.2 (31.8 - 45.0) 27 Texas 31.8 (26.8 - 37.2) 46 Utah 41.1 (35.4 - 47.1) 13 Vermont 38.6 (34.4 - 43.1) 24 Virginia 39.0 (32.7 - 45.7) 21 Washington 38.5 (35.4 - 41.6) 25 West Virginia 35.3 (29.4 - 41.7) 37 Wisconsin 49.8 (43.5 - 56.0) 1 Wyoming 40.0 (34.4 - 45.8) 17

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.