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Objectives and Subobjectives
Goal:
Promote
responsible sexual behaviors, strengthen community capacity, and increase
access to quality services to prevent sexually transmitted diseases (STDs) and
their complications.
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.
Bacterial STD
Illness and Disability
ORIGINAL
OBJECTIVE
|
25-1. |
Reduce
the proportion of adolescents and young adults with Chlamydia trachomatis
infections.
Target
and baseline:
Objective |
Reduction in Chlamydia trachomatis infections |
1997
Baseline
Percent |
2010
Target
Percent |
25-1a. |
Females aged 15 to 24 years
attending family planning clinics |
5.0 |
3.0 |
25-1b. |
Females aged 15 to 24 years
attending STD clinics |
12.2 |
3.0 |
25-1c. |
Males aged 15 to 24 years
attending STD clinics |
15.7 |
3.0 |
Target
setting method:
Better
than the best.
Data
source:
STD Surveillance
System, CDC, NCHSTP.
|
OBJECTIVE
WITH REVISIONS
|
25-1. |
Reduce
the proportion of adolescents and young adults with Chlamydia trachomatis
infections.
Target
and baseline:
Objective* |
Reduction in Chlamydia trachomatis infections |
1997
Baseline (unless noted)
Percent |
2010
Target
Percent |
25-1a. |
Females aged 15 to 24 years
attending family planning clinics |
5.0 |
3.0 |
25-1b. |
Females aged 15 to 24 years
attending STD clinics |
12.2 |
3.0 |
25-1c. |
Males aged 15 to 24 years
attending STD clinics |
15.7 |
3.0 |
25-1d. |
Females 24 years and
under enrolled in National Job Training Program† |
10.1 (2002)† |
6.8 |
* For data control purposes, subobjectives are not
renumbered.
† Data source does not track Chlamydia
trachomatis infections among males 24 years and under.
Target
setting method:
Better
than the best.
Data
sources:
STD Surveillance
System, CDC, NCHSTP; National Job Training Program, U.S.
Department of Labor.
|
REVISED
OBJECTIVE
|
25-1. |
Reduce
the proportion of adolescents and young adults with Chlamydia trachomatis
infections.
Target
and baseline:
Objective* |
Reduction in Chlamydia trachomatis infections |
1997
Baseline
(unless noted)
Percent |
2010
Target
Percent |
25-1a. |
Females aged 15 to 24 years
attending family planning clinics |
5.0 |
3.0 |
25-1b. |
Females aged 15 to 24 years
attending STD clinics |
12.2 |
3.0 |
25-1c. |
Males aged 15 to 24 years
attending STD clinics |
15.7 |
3.0 |
25-1d. |
Females 24 years and under
enrolled in National Job Training Program† |
10.1 (2002)† |
6.8 |
* For data control purposes, subobjectives are not
renumbered.
† Data source does not track Chlamydia trachomatis
infections among males 24 years and under.
Target
setting method:
Better
than the best.
Data
sources:
STD Surveillance
System, CDC, NCHSTP; National Job Training Program, U.S. Department of
Labor.
|
ORIGINAL
OBJECTIVE
|
25-2. |
Reduce
gonorrhea.
Target:
19 new cases per 100,000 population.
Baseline:
1221 new cases of gonorrhea per
100,000 population occurred in 1997.
Target
setting method:
Better
than the best.
Data
source:
STD Surveillance
System, CDC, NCHSTP.
1 Baseline revised from 123 after
November 2000 publication.
|
OBJECTIVE
WITH REVISIONS
|
25-2. |
Reduce
gonorrhea.
Target
and baseline:
Objective |
Reduction in Gonorrhea |
1997
Baseline
(unless noted)
Rate per 100,000
Population |
2010
Target
Rate per 100,000
Population |
25-2a. |
New cases of gonorrhea in
the total population |
1221 |
19 |
25-2b. |
New cases of gonorrhea
among females aged 15 to 44 years |
279 (2002) |
42 |
Target
setting method: Better
than the best.
Data
source: STD Surveillance
System, CDC, NCHSTP.
1 Baseline revised from 123 after
November 2000 publication.
|
REVISED
OBJECTIVE
|
25-2. |
Reduce
gonorrhea.
Target
and baseline:
Objective |
Reduction in Gonorrhea |
1997
Baseline
(unless noted)
Rate per 100,000
Population |
2010
Target
Rate per 100,000
Population |
25-2a. |
New cases of gonorrhea in
the total population |
1221 |
19 |
25-2b. |
New cases of gonorrhea among
females aged 15 to 44 years |
279 (2002) |
42 |
Target
setting method:
Better
than the best.
Data
source:
STD Surveillance
System, CDC, NCHSTP.
1 Baseline revised from 123 after
November 2000 publication.
|
NO
CHANGE IN OBJECTIVE
|
25-3. |
Eliminate
sustained domestic transmission of primary and secondary syphilis.
Target:
0.2 new cases per 100,000 population.1
Baseline:
3.2 new cases of primary and secondary
syphilis per 100,000 population occurred in 1997.1
Target
setting method:
Better
than the best and consistent with the National Plan to Eliminate Syphilis
from the United States, CDC, 1999.
Data
source: STD Surveillance
System, CDC, NCHSTP.
1 Target and baseline corrected at the
midcourse to specify new cases.
|
Viral STD Illness
and Disability
NO
CHANGE IN OBJECTIVE
|
25-4. |
Reduce
the proportion of adults with genital herpes infection.
Target:
14 percent.
Baseline:
17 percent of adults aged 20 to 29 years
had genital herpes infection in 1988–94 (as measured by herpes simplex virus
type 2 [HSV-2] antibody).
Target
setting method:
Better
than the best.
Data
source:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
ORIGINAL
OBJECTIVE
|
25-5. |
(Developmental)
Reduce the proportion of persons with human papillomavirus (HPV) infection.
Potential
data source:
National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS
|
25-5. |
(Developmental)
Reduce the proportion of persons females
with human papillomavirus (HPV) infection.
Potential
data source:
National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
REVISED
OBJECTIVE
|
25-5. |
(Developmental)
Reduce the proportion of females with human papillomavirus (HPV) infection.
Potential
data source:
National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
STD Complications
Affecting Females
NO
CHANGE IN OBJECTIVE
|
25-6. |
Reduce
the proportion of females who have ever required treatment for pelvic
inflammatory disease (PID).
Target:
5 percent.
Baseline:
8 percent of females aged 15 to 44 years
required treatment for PID in 1995.
Target
setting method:
Better
than the best.
Data
source:
National Survey of
Family Growth (NSFG), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
|
25-7. |
Reduce
the proportion of childless females with fertility problems who have had a
sexually transmitted disease or who have required treatment for pelvic
inflammatory disease (PID).
Target:
15 percent.
Baseline:
27 percent of childless females aged 15 to
44 years with fertility problems had a history of STDs or PID treatment in
1995.
Target
setting method:
44 percent
improvement.
Data
source:
National Survey of
Family Growth (NSFG), CDC, NCHS.
|
ORIGINAL
OBJECTIVE
|
25-8. |
(Developmental)
Reduce HIV infections in adolescent and young adult females aged 13 to 24
years that are associated with heterosexual contact.
Potential
data source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
OBJECTIVE
WITH REVISIONS
|
25-8. |
(Objective
moved to Focus Area 13 as objective 13-18)
(Developmental) Reduce the number of new
cases of HIV/AIDS diagnosed HIV infections in adolescent
and young adult females aged 13 to 24 years that are associated with
heterosexual contact.
Potential
data source:
HIV/AIDS
Surveillance System, CDC, NCHSTP.
|
REVISED
OBJECTIVE
|
25-8. |
Objective
25-8 moved to Focus Area 13 as new objective 13-18.
|
STD Complications
Affecting the Fetus and Newborn
NO
CHANGE IN OBJECTIVE
(Data updated and footnoted)
|
25-9. |
Reduce
congenital syphilis.
Target:
1 new case per 100,000 live births.
Baseline:
281 new cases of congenital
syphilis per 100,000 live births were reported in 1997.
Target
setting method:
Better
than the best and consistent with the National Plan to Eliminate Syphilis
from the United States, CDC, 1998.
Data
sources:
STD Surveillance
System, CDC, NCHSTP; National Vital Statistics System (NVSS), CDC, NCHS.
1 Baseline revised from 27 after November
2000 publication.
|
OBJECTIVE
DELETED
|
25-10. |
(Objective
deleted due to lack of data source) (Developmental) Reduce
neonatal consequences from maternal sexually transmitted diseases, including
chlamydial pneumonia, gonococcal and chlamydial ophthalmia neonatorum, laryngeal
papillomatosis (from human papillomavirus infection), neonatal herpes, and preterm
birth and low birth weight associated with bacterial vaginosis.
|
Personal Behaviors
ORIGINAL
OBJECTIVE
|
25-11. |
Increase
the proportion of adolescents who abstain from sexual intercourse or use
condoms if currently sexually active.
Target:
95 percent.
Baseline:
85 percent of adolescents in grades 9
through 12 abstained from sexual intercourse or used condoms in 1999 (50
percent had never had intercourse; 14 percent had intercourse but not in the
past 3 months; and 21 percent currently were sexually active and used a
condom at last intercourse).
Target
setting method:
12 percent
improvement.
Data
source:
Youth Risk
Behavior Surveillance System (YRBSS), CDC, NCCDPHP.
|
OBJECTIVE
WITH REVISIONS
|
25-11. |
Increase
the proportion of adolescents who abstain from sexual intercourse or use
condoms if currently sexually active.
Target
and baseline:
Objective |
Increase in Proportion of
Students in Grades 9 Through 12
Who Abstain From Sexual Intercourse or Use Condoms if Currently
Sexually Active |
1999
Baseline
Percent |
2010 Target
Percent |
25-11a. |
Never had sexual
intercourse |
50 |
56 |
25-11b. |
If sexually experienced,
are not currently sexually active |
27 |
30 |
25-11c. |
If currently sexually
active, used a condom the last
time they had sexual intercourse |
58 |
65 |
Target:
95 percent.
Baseline:
85 percent of adolescents in grades 9
through 12 abstained from sexual intercourse or used condoms in 1999
(50 percent had never had intercourse; 14 percent had intercourse but
not in the past 3 months; and 21 percent currently were sexually
active and used a condom at last intercourse).
Target
setting method:
12 percent
improvement.
Data
source:
Youth Risk
Behavior Surveillance System (YRBSS), CDC, NCCDPHP.
|
REVISED
OBJECTIVE
|
25-11. |
Increase
the proportion of adolescents who abstain from sexual intercourse or use
condoms if currently sexually active.
Target
and baseline:
Objective |
Increase in Proportion of
Students in Grades 9 Through 12 Who Abstain From Sexual Intercourse or Use
Condoms If Currently Sexually Active |
1999
Baseline
Percent |
2010
Target
Percent |
25-11a. |
Never had sexual intercourse |
50 |
56 |
25-11b. |
If sexually experienced, are
not currently sexually active |
27 |
30 |
25-11c. |
If currently sexually
active, used a condom the last time they had sexual intercourse |
58 |
65 |
Target
setting method:
12 percent
improvement.
Data
source:
Youth Risk
Behavior Surveillance System (YRBSS), CDC, NCCDPHP.
|
OBJECTIVE
DELETED
|
25-12. |
(Objective deleted due to lack of
data source) (Developmental) Increase the number of positive
messages related to responsible sexual behavior during weekday and nightly
prime-time television programming.
|
Community
Protection Infrastructure
NO
CHANGE IN OBJECTIVE
|
25-13. |
Increase
the proportion of Tribal, State, and local sexually transmitted disease
programs that routinely offer hepatitis B vaccines to all STD clients.
Target:
90 percent.
Baseline:
5 percent of State and local STD programs
offered hepatitis B vaccines to clients in accordance with CDC guidelines in
1998.
Tribal STD program data are
developmental.
Target
setting method:
85
percentage point improvement.
Data
sources:
Survey of STD
Programs, National Coalition of STD Directors (NCSD); IHS.
|
OBJECTIVE
DELETED
|
25-14. |
(Objective deleted due to lack of
data source) (Developmental) Increase the proportion of youth
detention facilities and adult city or county jails that screen for common
bacterial sexually transmitted diseases within 24 hours of admission and
treat STDs (when necessary) before persons are released.
|
OBJECTIVE
DELETED
|
25-15. |
(Objective deleted due to lack of
data source) (Developmental) Increase the proportion of all
local health departments that have contracts with managed care providers for
the treatment of nonplan partners of patients with bacterial sexually
transmitted diseases (gonorrhea, syphilis, and chlamydia).
|
Personal Health
Services
ORIGINAL
OBJECTIVE
|
25-16. |
(Developmental)
Increase the proportion of sexually active females aged 25 years and under
who are screened annually for genital chlamydia infections.
Potential
data sources:
Family
Planning Annual Report, OPA; STD Surveillance System, CDC, NCHSTP.
|
OBJECTIVE
WITH REVISIONS
|
25-16. |
(Developmental)
Increase the proportion of sexually active females aged 25 years and under
who are screened annually for genital chlamydia infections.
Target
and baseline:
Objective |
Increase in Sexually
Active Females Aged 25 Years and
Under Who Are Screened Annually for Genital Chlamydia Infections |
2002
Baseline
Percent |
2010
Target
Percent |
25-16a. |
Enrolled in commercial
managed care organizations (MCOs) |
25 |
62 |
25-16b. |
Enrolled in Medicaid MCOs |
41 |
62 |
Target
setting method:
Percent
improvement consistent with HEDIS measures for breast and cervical
cancer screenings.
Potential
dData
source:
Health Employer
Data and Information Set (HEDIS), National Committee for Quality
Assurance (NCQA).Family Planning Annual Report, OPA; STD
Surveillance System, CDC, NCHSTP.
|
REVISED
OBJECTIVE
|
25-16. |
Increase
the proportion of sexually active females aged 25 years and under who are
screened annually for genital chlamydia infections.
Target
and baseline:
Objective |
Increase in Sexually Active
Females Aged 25 Years and Under Who Are Screened Annually for Genital
Chlamydia Infections |
2002
Baseline
Percent |
2010
Target
Percent |
25-16a. |
Enrolled in commercial
managed care organizations (MCOs) |
25 |
62 |
25-16b. |
Enrolled in Medicaid MCOs |
41 |
62 |
Target
setting method:
Percent
improvement consistent with HEDIS measures for breast and cervical cancer
screenings.
Data
source:
Health Employer
Data and Information Set (HEDIS), National Committee for Quality Assurance
(NCQA).
|
OBJECTIVE
DELETED
|
25-17. |
(Objective
deleted due to lack of data source) (Developmental) Increase the proportion
of pregnant females screened for sexually transmitted diseases (including HIV
infection and bacterial vaginosis) during prenatal health care visits,
according to recognized standards.
|
OBJECTIVE
DELETED
|
25-18. |
(Objective deleted because
objective is no longer trackable through the existing data source)
Increase the proportion of primary care providers who treat patients with
sexually transmitted diseases and who manage cases according to recognized
standards.
Target:
90 percent.
Baseline:
70 percent of primary care providers
treated patients with STDs according to CDC STD Treatment Guidelines in
1988.
Target
setting method:
Retain
2000 target.
Data
sources:
National Disease
and Therapeutic Index, IMS America; National Ambulatory Medical Care Survey
(NAMCS), CDC, NCHS.
|
OBJECTIVE
DELETED
|
25-19. |
(Objective deleted due to lack of
data source) (Developmental) Increase the proportion of all sexually
transmitted disease clinic patients who are being treated for bacterial STDs
(chlamydia, gonorrhea, and syphilis) and who are offered provider referral
services for their sex partners.
|
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