Contents
Introduction	1
Part A: General Data Issues	A-1
1.	Target-Setting and Assessing Progress for Measurable Objectives 	A-3
	Target-Setting Methods	A-3
	Assessing Progress	A-4
2.	Developmental Objectives	A-5
3.	Population Estimates	A-6
	Postcensal Population Estimates	A-6
	Intercensal Estimates	A-7
	Population Undercounts	A-8
	Target Populations	A-8
		Resident Population	A-8
		Civilian Population	A-8
		Civilian, Noninstitutionalized Population	A-8
4.	Population Template	A-10
	Minimum Template	A-10
	Race and Hispanic Origin	A-11
		OMB Classification	A-11
	Misreporting Racial and Ethnic Data	A-15
		National Vital Statistics System (Mortality)	A-15
		Patient Care Data	A-15
	Missing Data	A-16
		National Hospital Discharge Survey	A-16
		National Ambulatory Medical Care Surveys	A-16
		National Notifiable Disease Surveillance System	A-16
	Socioeconomic Status	A-16
		Income	A-17
			Family Income Level	A-18
		Education	A-20
	Other Population Groups	A-22
		Urbanization	A-22
			Urban	A-22
			Metropolitan Statistical Areas (MSA’s)	A-23
		Health Insurance Status	A-23
		Disability	A-24
		Age		A-26
5.	Age Adjustment	A-28
	Mortality	A-29
	Health Surveys	A-32
6.	Mortality and Morbidity Classification	A-36
	Mortality Data	A-36
	Morbidity Data	A-38
7.	National Data	A-40
8.	State and Local Data	A-41
	Objective Wording/Operational Definition	A-41
	Population Data/Race and Ethnicity Reporting	A-41
	“Rare” Events/Confidentially	A-42
	Age Adjustment	A-42
	Data Sources	A-42
9.	Variability of Estimates	A-45
10.	Healthy People 2010 Database	A-48
	Database Description	A-48
	Future Plans	A-49

Part B: Operational Definitions	B-1
1.	Access to Quality Health Services	B1-1
	Clinical Preventive Care	B1-3
	Primary Care	B1-11
	Emergency Services	B1-38
	Long-Term Care and Rehabilitative Services	B1-44
2.	Arthritis, Osteoporosis, and Chronic Back Conditions	B2-1
	Arthritis and Other Rheumatic Conditions	B2-3
	Osteoporosis	B2-9
	Chronic Back Conditions	B2-12
3.	Cancer	B3-1
4.	Chronic Kidney Disease	B4-1
5.	Diabetes	B5-1
6.	Disability and Secondary Conditions	B6-1
7.	Educational and Community-Based Programs	B7-1
	School Setting	B7-5
	Worksite Setting	B7-19
	Health Care Setting	B7-29
	Community Setting and Select Populations	B7-32

8.	Environmental Health	B8-1
	Outdoor Air Quality	B8-5
	Water Quality	B8-17
	Toxics and Waste	B8-21
	Healthy Homes and Healthy Communities	B8-28
	Infrastructure and Surveillance	B8-38
	Global Environmental Health	B8-55
9.	Family Planning	B9-1
10.	Food Safety	B10-1
11.	Health Communication	B11-1
12.	Heart Disease and Stroke	B12-1
	Heart Disease	B12-3
	Stroke	B12-7
	Blood Pressure	B12-9
	Cholesterol	B12-14
13.	HIV		B13-1
14.	Immunization and Infectious Diseases	B14-1
	Diseases Preventable Through Universal Vaccination	B14-5
	Diseases Preventable Through Targeted Vaccination	B14-28
	Infectious Diseases and Emerging Antimicrobial Resistance	B14-31
	Vaccination Coverage and Strategies	B14-49
	Vaccine Safety	B14-81
15.	Injury and Violence Prevention	B15-1
	Injury Prevention	B15-3
	Unintentional Injury Prevention	B15-13
	Violence and Abuse Prevention	B15-32
16.	Maternal, Infant, and Child Health	B16-1
	Fetal, Infant, Child, and Adolescent Deaths	B16-5
	Maternal Deaths and Illnesses	B16-15
	Prenatal Care	B16-17
	Obstetrical Care	B16-19
	Risk Factors	B16-23
	Developmental Disabilities and Neural Tube Defects	B16-28
	Prenatal Substance Exposure	B16-33
	Breastfeeding, Newborn Screening, and Service Systems	B16-40
17.	Medical Product Safety	B17-1

18.	Mental Health and Mental Disorders	B18-1
	Mental Health Status Improvement	B18-3
	Treatment Expansion	B18-8
	State Activities	B18-15
19.	Nutrition and Overweight	B19-1
	Weight Status and Growth	B19-3
	Food and Nutrient Consumption	B19-12
	Iron Deficiency and Anemia	B19-27
	Schools, Worksites, and Nutrition Counseling	B19-33
	Food Security	B19-37
20.	Occupational Safety and Health	B20-1
21.	Oral Health	B21-1
22.	Physical Activity and Fitness	B22-1
	Physical Activity in Adults	B22-3
	Muscular Strength/Endurance and Flexibility	B22-8
	Physical Activity in Children and Adolescents	B22-10
	Access	B22-18
23.	Public Health Infrastructure	B23-1
	Data and Information Systems	B23-3
	Workforce	B23-8
	Public Health Organizations	B23-10
	Resources	B23-13
	Prevention Research	B23-14
24.	Respiratory Diseases	B24-1
	Asthma	B24-3
	Chronic Obstructive Pulmonary Disease (COPD)	B24-14
	Obstructive Sleep Apnea (OSA)	B24-17
25.	Sexually Transmitted Diseases	B25-1
	Bacterial STD Illness and Disability	B25-3
	Viral STD Illness and Disability	B25-9
	STD Complications Affecting Females	B25-10
	STD Complications Affecting the Fetus and Newborn	B25-14
	Personal Behaviors	B25-15
	Community Protection Infrastructure	B25-17
	Personal Health Services	B25-19

26.	Substance Abuse	B26-1
	Adverse Consequences of Substance Use and Abuse	B26-3
	Substance Use and Abuse	B26-11
	Risk of Substance Use and Abuse	B26-34
	Treatment for Substance Abuse	B26-41
	State and Local Efforts	B26-44
27.	Tobacco Use	B27-1
	Tobacco Use in Population Groups	B27-3
	Cessation and Treatment	B27-13
	Exposure to Secondhand Smoke	B27-19
	Social and Environmental Changes	B27-30
28.	Vision and Hearing	B28-1
	Vision	B28-3
	Hearing	B28-7

Part C: Major Data Sources for Healthy People 2010	C-1
Behavioral Risk Factor Surveillance System (BRFSS)	C-4
Continuing Survey of Food Intake by Individuals (CSFII), 1994–96	C-6
HIV-AIDS Case Surveillance System	C-8
Medical Expenditure Panel Survey (MEPS)	C-10
Monitoring the Future Study (MTF)	C-13
National Ambulatory Medical Care Survey (NAMCS)	C-15
National Crime Victimization Survey (NCVS)	C-17
National Health and Nutrition Examination Survey (NHANES)	C-19
National Health Interview Survey (NHIS)	C-21
National Hospital Ambulatory Medical Care Survey (NHAMCS)	C-23
National Hospital Discharge Survey (NHDS)	C-25
National Household Survey on Drug Abuse (NHSDA)	C-27
National Notifiable Disease Surveillance System (NNDSS) and National Electronic Telecommunications System for Surveillance (NETSS)	C-29
National Profile of Local Health Departments (NPLHD)	C-31
National Survey of Family Growth (NSFG)	C-32
National Vital Statistics System, Mortality (NVSS-M)	C-34
National Vital Statistics System, Natality (NVSS-N)	C-36
1999 National Worksite Health Promotion Survey (NWHPS)	C-38
School Health Policies and Programs Study (SHPPS)	C-39
State Tobacco Activities Tracking and Evaluation System (STATE)	C-41
STD Surveillance System (STDSS)	C-43

United States Renal Data System (USRDS)	C-45
Youth Risk Behavior Surveillance System (YRBSS)	C-47

Appendices
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.	A-7
Figure 2. Resident population by race, United States, 1998.	A-12
Figure 3. Resident population by Hispanic origin, United States, 1998.	A-12
Figure 4. Poverty status for the civilian, noninstitutionalized population, 
United States, 1998.	A-18
Figure 5. Educational attainment for the civilian, noninstitutionalized 
population aged 25 years and older, United States, 1998.	A-21
Figure 6. Resident population living in metropolitan and nonmetropolitan 
areas, United States, 1998.	A-23
Figure 7. Crude and age-adjusted death rates based on the 1940 and 
2000 standard populations, United States, 1979–95.	A-30
Figure 8. Mortality race ratio based on the 1940 and 2000 standard 
populations, United States, 1979–95.	A-31

Table 1. Poverty thresholds in 1998, by size of family and number 
of related children under 18 years	A-19
Table 2. Healthy People 2010 data systems and ages used to report 
educational attainment	A-22
Table 3. 2000 standard million age distribution	A-32
Table 4. Age groups used to age adjust from selected major 
Healthy People 2010 data systems	A-33
Table 5. 2000 population projections by age (in thousands).	A-34
Table 6. Variables in major data systems for which data are not available 
from all States	A-41
Table 7. Number of Objectives Tracked by Healthy People 2010 Major Data 
Sources		C-3