Tracking Healthy People 2010




Part A: General Data Issues

1. Target-Setting and Assessing Progress for Measurable Objectives

Target-Setting Methods

Assessing Progress

2. Developmental Objectives

3. Population Estimates

Postcensal Population Estimates

Intercensal Estimates

Population Undercounts

Target Populations

Resident Population

Civilian Population

Civilian, Noninstitutionalized Population

4. Population Template

Minimum Template

Race and Hispanic Origin

OMB Classification

Misreporting Racial and Ethnic Data

National Vital Statistics System (Mortality)

Patient Care Data

Missing Data

National Hospital Discharge Survey

National Ambulatory Medical Care Surveys

National Notifiable Disease Surveillance System

Socioeconomic Status


Family Income Level


Other Population Groups



Metropolitan Statistical Areas (MSA's)

Health Insurance Status



5. Age Adjustment


Health Surveys

6. Mortality and Morbidity Classification

Mortality Data

Morbidity Data

7. National Data

8. State and Local Data

Objective Wording/Operational Definition

Population Data/Race and Ethnicity Reporting

"Rare" Events/Confidentiality

Age Adjustment

Data Sources

9. Variability of Estimates

10. Healthy People 2010 Database

Database Description

Future Plans

Part B: Operational Definitions

1.  Access to Quality Health Services

Clinical Preventive Care

Primary Care

Emergency Services

Long-Term Care and Rehabilitative Services

2.  Arthritis, Osteoporosis, and Chronic Back Conditions

Arthritis and Other Rheumatic Conditions


Chronic Back Conditions

3.  Cancer

4.  Chronic Kidney Disease

5.  Diabetes

6.  Disability and Secondary Conditions

7.  Educational and Community-Based Programs

School Setting

Worksite Setting

Health Care Setting

Community Setting and Select Populations

8.  Environmental Health

Outdoor Air Quality

Water Quality

Toxics and Waste

Healthy Homes and Healthy Communities

Infrastructure and Surveillance

Global Environmental Health

9.  Family Planning

10. Food Safety

11. Health Communication

12. Heart Disease and Stroke

Heart Disease


Blood Pressure


13. HIV

14. Immunization and Infectious Diseases

Diseases Preventable Through Universal Vaccination

Diseases Preventable Through Targeted Vaccination

Infectious Diseases and Emerging Antimicrobial Resistance

Vaccination Coverage and Strategies

Vaccine Safety

15. Injury and Violence Prevention

Injury Prevention

Unintentional Injury Prevention

Violence and Abuse Prevention

16. Maternal, Infant, and Child Health

Fetal, Infant, Child, and Adolescent Deaths

Maternal Deaths and Illnesses

Prenatal Care

Obstetrical Care

Risk Factors

Developmental Disabilities and Neural Tube Defects

Prenatal Substance Exposure

Breastfeeding, Newborn Screening, and Service Systems

17. Medical Product Safety

18. Mental Health and Mental Disorders

Mental Health Status Improvement

Treatment Expansion

State Activities

19. Nutrition and Overweight

Weight Status and Growth

Food and Nutrient Consumption

Iron Deficiency and Anemia

Schools, Worksites, and Nutrition Counseling

Food Security

20. Occupational Safety and Health

21. Oral Health

22. Physical Activity and Fitness

Physical Activity in Adults

Muscular Strength/Endurance and Flexibility

Physical Activity in Children and Adolescents


23. Public Health Infrastructure

Data and Information Systems


Public Health Organizations


Prevention Research

24. Respiratory Diseases


Chronic Obstructive Pulmonary Disease

Obstructive Sleep Apnea

25. Sexually Transmitted Diseases

Bacterial STD Illness and Disability

Viral STD Illness and Disability

STD Complications Affecting Females

STD Complications Affecting the Fetus and Newborn

Personal Behaviors

Community Protection Infrastructure

Personal Health Services

26. Substance Abuse

Adverse Consequences of Substance Use and Abuse

Substance Use and Abuse

Risk of Substance Use and Abuse

Treatment for Substance Abuse

State and Local Efforts

27. Tobacco Use

Tobacco Use in Population Groups

Cessation and Treatment

Exposure to Secondhand Smoke

Social and Environmental Changes

28. Vision and Hearing



Part C: Major Data Sources for Healthy People 2010

Behavioral Risk Factor Surveillance System (BRFSS)

Continuing Survey of Food Intake by Individuals (CSFII), 1994–96

HIV-AIDS Case Surveillance System

Medical Expenditure Panel Survey (MEPS)

Monitoring the Future Study (MTF)

National Ambulatory Medical Care Survey (NAMCS)

National Crime Victimization Survey (NCVS)

National Health and Nutrition Examination Survey (NHANES)

National Health Interview Survey (NHIS)

National Hospital Ambulatory Medical Care Survey (NHAMCS)

National Hospital Discharge Survey (NHDS)

National Household Survey on Drug Abuse (NHSDA)

National Notifiable Disease Surveillance System (NNDSS) and National Electronic Telecommunications System for Surveillance (NETSS)

National Profile of Local Health Departments (NPLHD)

National Survey of Family Growth (NSFG)

National Vital Statistics System, Mortality (NVSS-M)

National Vital Statistics System, Natality (NVSS-N)

1999 National Worksite Health Promotion Survey (NWHPS)

School Health Policies and Programs Study (SHPPS)

State Tobacco Activities Tracking and Evaluation System (STATE)

STD Surveillance System (STDSS)

United States Renal Data System (USRDS)

Youth Risk Behavior Surveillance System (YRBSS)


A. Healthy People 2010 Work Group Coordinators

B. List of Abbreviations and Acronyms Used in Healthy People 2010

C. Baselines for Age-Adjusted Mortality Objectives Using Rates Age Adjusted to 1940 and to 2000 Standards: United States, 1999

D. ICD-9 Codes for Cause-Specific Healthy People 2010 Mortality Objectives

E. ICD-9-CM Codes for Cause-Specific Healthy People 2010 Morbidity Objectives

F. Crosswalk From Healthy People 2010 Objectives to Healthy People 2000 Objectives

G. Crosswalk From Healthy People 2000 Objectives to Healthy People 2010 Objectives

H. Healthy People 2010 Objectives That Are Leading Health Indicators

List of Tables and Figures

Figure 1. Resident population by age and gender, United States, 1998

Figure 2. Resident population by race, United States, 1998

Figure 3. Resident population by Hispanic origin, United States, 1998

Figure 4. Poverty status for the civilian, noninstitutionalized population, United States, 1998

Figure 5. Educational attainment for the civilian, noninstitutionalized population aged 25 years and older, United States, 1998

Figure 6. Resident population living in metropolitan and nonmetropolitan areas, United States, 1998

Figure 7. Crude and age-adjusted death rates based on the 1940 and 2000 standard populations, United States, 1979–95

Figure 8. Mortality race ratio based on the 1940 and 2000 standard populations, United States, 1979–95

Table 1. Poverty thresholds in 1998, by size of family and number of related children under 18 years

Table 2. Healthy People 2010 data systems and ages used to report educational attainment

Table 3. 2000 standard million age distribution

Table 4. Age groups used to age adjust from selected major Healthy People 2010 data systems

Table 5. 2000 population projections by age (in thousands)

Table 6. Variables in major data systems for which data are not available from all States

Table 7. Number of Objectives Tracked by Healthy People 2010 Major Data Sources

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