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Objectives and Subobjectives
Goal:
Prevent and
control oral and craniofacial diseases, conditions, and injuries and improve
access to related services.
As a result of the Healthy People 2010 Midcourse
Review, changes were made to the Healthy People 2010 objectives and
subobjectives.
These changes are
specific to the following situations:
- Changes in the wording of an
objective to more accurately describe what is being measured.
-
Changes to reflect a different data
source or new science.
-
Changes resulting from the
establishment of a baseline and a target (that is, when a formerly
developmental objective or subobjective became measurable).
-
Deletion of an objective or
subobjective that lacked a data source.
-
Correction of errors and omissions
in Healthy People 2010.
Revised baselines and targets for measurable objectives and
subobjectives do not fall into any of the above categories and, thus, are not
considered a midcourse review change.1
When changes were made to an objective, three
sections are displayed:
-
In the
Original Objective section, the objective as published in Healthy People 2010 in
2000 is shown.
-
In the
Objective With Revisions section, strikethrough indicates text deleted, and
underlining is used to show new text.
-
In the Revised Objective section, the objective appears as revised
as a result of the midcourse review.
Details of the objectives and subobjectives in this
focus area, including any changes made at the midcourse, appear on the following
pages.
1See Technical Appendix for more information on baseline and target revisions.
NO
CHANGE IN OBJECTIVE
|
21-1. |
Reduce the proportion of children
and adolescents who have dental caries experience in their primary or
permanent teeth.
21-1a. Reduce the proportion of young children
with dental caries experience in their primary teeth.
Target: 11 percent.
Baseline: 18 percent of children aged 2 to 4 years
had dental caries experience in 1988–94.
Target
setting method: Better
than the best.
Data
sources: National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS; Oral Health
Survey of Native Americans, 1999, IHS; California Oral Health Needs
Assessment of Children, Dental Health Foundation, 1993–94.
21-1b. Reduce the proportion of children with
dental caries experience in their primary and permanent teeth.
Target: 42 percent.
Baseline: 52 percent of children aged 6 to 8 years
had dental caries experience in 1988–94.
Target
setting method: Better
than the best.
Data
sources: National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS; Oral Health
Survey of Native Americans, 1999, IHS; California Oral Health Needs
Assessment of Children, 1993–94, Dental Health Foundation; Hawai’i Children’s
Oral Health Assessment, 1999, State of Hawaii Department of Health.
21-1c. Reduce the proportion of adolescents with
dental caries experience in their permanent teeth.
Target: 51 percent.
Baseline: 61 percent of adolescents aged 15 years
had dental caries experience in 1988–94.
Target
setting method: Better
than the best.
Data
sources: National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS; Oral Health
Survey of Native Americans, 1999, IHS; California Oral Health Assessment of
Children, 1993–94, Dental Health Foundation.
|
NO
CHANGE IN OBJECTIVE
|
21-2. |
Reduce the proportion of children,
adolescents, and adults with untreated dental decay.
21-2a. Reduce the proportion of young children
with untreated dental decay in their primary teeth.
Target: 9 percent.
Baseline: 16 percent of children aged 2 to 4 years
had untreated dental decay in 1988–94.
Target
setting method: Better
than the best.
Data
sources: National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS; Oral Health
Survey of Native Americans, 1999, IHS; California Oral Health Needs
Assessment of Children, 1993–94, Dental Health Foundation.
21-2b. Reduce the proportion of children with
untreated dental decay in primary and permanent teeth.
Target: 21 percent.
Baseline: 29 percent of children aged 6 to 8 years
had untreated dental decay in 1988–94.
Target
setting method: Better
than the best.
Data
sources: National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS; Oral Health
Survey of Native Americans, 1999, IHS; California Oral Health Needs
Assessment of Children, 1993–94, Dental Health Foundation; Hawai’i Children’s
Oral Health Assessment, 1999, State of Hawaii Department of Health.
21-2c. Reduce the proportion of adolescents with
untreated dental decay in their permanent teeth.
Target: 15 percent.
Baseline: 20 percent of adolescents aged 15 years
had untreated dental decay in 1988–94.
Target
setting method: Better
than the best.
Data
sources: National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS; Oral Health
Survey of Native Americans, 1999, IHS; California Oral Health Needs
Assessment of Children, 1993–94, Dental Health Foundation.
21-2d. Reduce the proportion of adults with
untreated dental decay.
Target: 15 percent.
Baseline: 27 percent of adults aged 35 to 44 years
had untreated dental decay in 1988–94.
Target
setting method: Better
than the best.
Data
sources: National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS; Oral Health
Survey of Native Americans, 1999, IHS.
|
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
21-3. |
Increase the proportion of adults who have never had a permanent tooth
extracted because of dental caries or periodontal disease.
Target:
401 percent.
Baseline:
302 percent of adults aged 35
to 44 years had never had a permanent tooth extracted because of dental
caries or periodontal disease in 1988–94.
Target
setting method:
Better
than the best.
Data
sources:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS.
1 Target revised from 42 because of
baseline revision after November 2000 publication.
2 Baseline revised from 31 after November
2000 publication.
|
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
21-4. |
Reduce the proportion of older
adults who have had all their natural teeth extracted.
Target:
221 percent.
Baseline:
292 percent of adults aged 65
to 74 years had lost all of their natural teeth
in 1997.
Target
setting method: Better
than the best.
Data
sources:
National Health
and Nutrition Examination Survey (NHANES),3 CDC, NCHS; Oral Health
Survey of Native Americans, 1999, IHS.
1 Target revised from 20 because of
baseline revision after November 2000 publication.
2 Baseline revised from 26 after November
2000 publication.
3 Data source revised from National
Health Interview Survey (NHIS) after November 2000 publication.
|
NO
CHANGE IN OBJECTIVE
|
21-5. |
Reduce periodontal disease.
Target
and baseline:
Objective |
Reduction in Periodontal
Disease in Adults Aged 35 to 44 Years |
1988–94
Baseline
Percent |
2010
Target
Percent |
21-5a. |
Gingivitis |
48 |
41 |
21-5b. |
Destructive periodontal
disease |
22 |
14 |
Target
setting method:
Better
than the best.
Data
sources:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS.
|
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
21-6. |
Increase the proportion of oral and
pharyngeal cancers detected at the earliest stage.
Target:
511 percent.
Baseline:
362 percent of oral and
pharyngeal cancers (stage I, localized) were detected in 1990–95.
Target
setting method:
Better
than the best.
Data
source:
Surveillance,
Epidemiology, and End Results (SEER), NIH, NCI.
1 Target revised from 50 because of
baseline revision after November 2000 publication.
2 Baseline revised from 35 after November
2000 publication.
|
NO
CHANGE IN OBJECTIVE
|
21-7. |
Increase the proportion of adults
who, in the past 12 months, report having had an examination to detect oral
and pharyngeal cancers.
Target:
20 percent.
Baseline: 13 percent of adults aged 40 years and
older reported having had an oral and pharyngeal cancer examination in 1998
(age adjusted to the year 2000 standard population).
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
(Data
updated and footnoted)
|
21-8. |
Increase the proportion of children
who have received dental sealants on their molar teeth.
Target
and baseline:
Objective |
Increase in Children
Receiving Dental Sealants on Their Molar Teeth |
1988–94
Baseline
Percent |
2010
Target
Percent |
21-8a. |
Children aged 8 years |
23 |
50 |
21-8b. |
Adolescents aged 14 years |
15 |
50 |
Target
setting method:
Better
than the best.
Data
sources: National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS; Hawai’i Children’s Oral Health Assessment, 1999,
State of Hawaii Department of Health.
|
NO
CHANGE IN OBJECTIVE
|
21-9. |
Increase the proportion of the U.S.
population served by community water systems with optimally fluoridated
water.
Target:
75 percent.
Baseline:
62 percent of the U.S. population was
served by community water systems with optimally fluoridated water in 1992.
Target
setting method:
21 percent
improvement.
Data
source:
CDC Fluoridation
Census, CDC, NCCDPHP.
|
NO
CHANGE IN OBJECTIVE
|
21-10. |
Increase the proportion of children
and adults who use the oral health care system each year.
Target:
56 percent.
Baseline:
44 percent of persons aged 2 years and
older in 1996 visited a dentist during the previous year (age adjusted to the
year 2000 standard population).
Target
setting method:
Better
than the best.
Data
source:
Medical
Expenditure Panel Survey (MEPS), AHRQ.
|
NO
CHANGE IN OBJECTIVE
|
21-11. |
Increase the proportion of long-term
care residents who use the oral health care system each year.
Target:
25 percent.
Baseline:
19 percent of all nursing home residents
received dental services in the past month in 1997.
Target
setting method:
32 percent
improvement.
(Better than the best
will be used when data are available.)
Data
source:
National Nursing
Home Survey, CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
21-12. |
Increase the proportion of low-income
children and adolescents who received any preventive dental service during
the past year.
Target:
661 percent.
Baseline:
252 percent of children and
adolescents under age 19 years at or below 200 percent of the Federal poverty
level received any preventive dental service in 1996.
Target
setting method:
Better
than the best.
Data
source:
Medical
Expenditure Panel Survey (MEPS), AHRQ.
1 Target revised from 57 because of
baseline revision after November 2000 publication.
2 Baseline revised from 20 after November
2000 publication.
|
ORIGINAL
OBJECTIVE
|
21-13. |
(Developmental) Increase the
proportion of school-based health centers with an oral health component.
Potential
data source:
School Health
Policies and Programs Study (SHPPS), CDC, NCCDPHP.
|
OBJECTIVE
WITH REVISIONS
|
21-13. |
(Developmental) Increase the
proportion of school-based health centers with an oral health
component.
Target
and baseline:
Objective |
Increase in the
Proportion of School-Based Health Centers With an Oral Health Component |
2001–02
Baseline
Percent |
2010
Target
Percent |
21-13a. |
Dental sealants |
12 |
15 |
21-13b. |
Dental care |
9 |
11 |
Target
setting method:
25
percent improvement.
Potential
dData
source:
School Health
Policies and Programs Study (SHPPS), CDC, NCCDPHP-Based Health Care
Census, National Assembly of School-Based Health Care.
|
REVISED
OBJECTIVE
|
21-13. |
Increase the proportion of
school-based health centers with an oral health component.
Target
and baseline:
Objective |
Increase in the Proportion
of School-Based Health Centers With an Oral Health Component |
2001–02
Baseline
Percent |
2010
Target
Percent |
21-13a. |
Dental sealants |
12 |
15 |
21-13b. |
Dental care |
9 |
11 |
Target
setting method:
25 percent
improvement.
Data
source:
School-Based
Health Care Census, National Assembly of School-Based Health Care.
|
ORIGINAL
OBJECTIVE
|
21-14. |
Increase the proportion of local
health departments and community-based health centers, including community,
migrant, and homeless health centers, that have an oral health component.
Target:
75 percent.
Baseline:
34 percent of local jurisdictions and health
centers had oral health components in 1997.
Target
setting method:
19 percent
improvement.
Data
source:
HRSA, Bureau of
Primary Health Care (BPHC).
|
OBJECTIVE
WITH REVISIONS
|
21-14. |
Increase the proportion of local
health departments and community-based health centers, including community,
migrant, and homeless health centers, that have an oral health component.
Target:
75 percent.
Baseline:
3452 percent of local
jurisdictions and health centers had oral health components in 1997.
Target
setting method:
19
percent improvementExpert opinion.
Data
source:
HRSA, Bureau of
Primary Health Care (BPHC).
|
REVISED
OBJECTIVE
|
21-14. |
Increase the proportion of local
health departments and community-based health centers, including community,
migrant, and homeless health centers, that have an oral health component.
Target:
75 percent.
Baseline:
52 percent of local jurisdictions and health
centers had oral health components in 1997.
Target
setting method:
Expert
opinion.
Data
source:
HRSA, Bureau of
Primary Health Care (BPHC).
|
NO
CHANGE IN OBJECTIVE
(Data
updated and footnoted)
|
21-15. |
Increase the number of States and the
District of Columbia that have a system for recording and referring infants
and children with cleft lips, cleft palates, and other craniofacial anomalies
to craniofacial anomaly rehabilitative teams.
Target:
All States and the District of Columbia.
Baseline:
16 States and the District of Columbia had
systems for recording and referring children with craniofacial anomalies in
2003.1
Target
setting method:
Total
coverage.
Data
source:
Association of
State and Territorial Dental Directors.2
1 Baseline revised from 23 after November
2000 publication.
2 Data source revised from Survey of
State Dental Directors, Illinois State Health Department, after November 2000
publication.
|
NO
CHANGE IN OBJECTIVE
|
21-16. |
Increase the number of States and the
District of Columbia that have an oral and craniofacial health surveillance
system.
Target:
All States and the District of Columbia.
Baseline:
No States or the District of Columbia had
oral and craniofacial health surveillance systems in 1999.
Target
setting method:
Total
coverage.
Data
source:
Association of
State and Territorial Dental Directors.
|
ORIGINAL
OBJECTIVE
|
21-17. |
(Developmental) Increase the number
of Tribal, State (including the District of Columbia), and local health agencies
that serve jurisdictions of 250,000 or more persons that have in place an
effective public dental health program directed by a dental professional with
public health training.
Potential
data sources:
Association
of State and Territorial Dental Directors; IHS.
|
OBJECTIVE
WITH REVISIONS
|
21-17. |
(Developmental) Increase the
number of Tribal, State (including the District of Columbia), and
local health agencies that serve jurisdictions of 250,000 or more persons
that have in place an effective a public dental health
program directed by a dental professional with public health training.
Target
and baseline:
Objective |
Increase in the Number of
Health Agencies That Have a
Public Dental Health Program Directed by a Dental Professional With Public Health Training |
2003
Baseline
Number |
2010
Target
Number |
21-17a. |
For State (including the
District of Columbia) and local
health agencies that serve jurisdictions of 250,000 or more persons
(out of 191) |
39 |
41 |
21-17b. |
For Indian Health Service
Areas and Tribal health programs
that serve jurisdictions of 30,000 or more persons (out of 27) |
9 |
9 |
Target
setting method: 5
percent improvement.
Potential
dData
sources: Association of
State and Territorial Dental Directors; Division of Oral Health,
IHS. |
REVISED
OBJECTIVE
|
21-17. |
Increase the number of health
agencies that have a public dental health program directed by a dental
professional with public health training.
Target
and baseline:
Objective |
Increase in the Number of
Health Agencies That Have a Public Dental Health Program Directed by a
Dental Professional With Public Health Training |
2003
Baseline
Number |
2010
Target
Number |
21-17a. |
For State (including the
District of Columbia) and local health agencies that serve jurisdictions of
250,000 or more persons (out of 191) |
39 |
41 |
21-17b. |
For Indian Health Service
Areas and Tribal health programs that serve jurisdictions of 30,000 or more
persons (out of 27) |
9 |
9 |
Target
setting method:
5 percent
improvement.
Data
sources:
Association of
State and Territorial Dental Directors; Division of Oral Health, IHS.
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