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Objectives and Subobjectives
Goal:
Prevent illness
and disability related to arthritis and other rheumatic conditions,
osteoporosis, and chronic back conditions.
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.
Arthritis and
Other Rheumatic Conditions
ORIGINAL
OBJECTIVE |
2-1. |
(Developmental)
Increase the mean number of days without severe pain among adults who have
chronic joint symptoms.
Potential
data sources: Behavioral
Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP; National Health
Interview Survey (NHIS), CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS |
2-1. |
(Developmental)
IncreaseReduce the mean level of joint number of
days without severe pain among adults
with doctor-diagnosed arthritis.
Target: 5.3 mean pain level.
Baseline: Based on a scale of 0 (no pain) to 10 (pain as bad
as it can be), 5.6 was the mean
pain level rating among adults aged 18 years and older with doctor-diagnosed
arthritis in 2002 (age adjusted to the year 2000 standard population).
Target
setting method: Better
than the best.
Potential
dData
sources:
Behavioral
Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP; National
Health Interview Survey (NHIS), CDC, NCHS.
|
REVISED
OBJECTIVE |
2-1. |
Reduce
the mean level of joint pain among adults with doctor-diagnosed arthritis.
Target: 5.3 mean pain level.
Baseline: Based on a scale of 0 (no pain) to 10
(pain as bad as it can be), 5.6 was the mean pain level rating among adults
aged 18 years and older with doctor-diagnosed arthritis in 2002 (age adjusted
to the year 2000 standard population).
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
ORIGINAL
OBJECTIVE |
2-2. |
Reduce
the proportion of adults with chronic joint symptoms who experience a
limitation in activity due to arthritis.
Target: 21 percent.
Baseline: 27 percent of adults aged 18 years and
older with chronic joint symptoms experienced a limitation in activity due to
arthritis in 1997 (age adjusted to the year 2000 standard population).
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS |
2-2. |
Reduce
the proportion of adults with chronic joint symptomsdoctor-diagnosed
arthritis who experience a limitation in activity due to arthritis or
joint symptoms.
Target: 2133 percent.
Baseline: 28 36 percent of adults aged
18 years and older with doctor-diagnosed chronic joint symptomsarthritis
experienced a limitation in activity due to arthritis or joint
symptoms in 1997 2002 (age adjusted to the year 2000 standard
population).
Target
setting method:
Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
REVISED
OBJECTIVE |
2-2. |
Reduce
the proportion of adults with doctor-diagnosed arthritis who experience a
limitation in activity due to arthritis or joint symptoms.
Target: 33
percent.
Baseline: 36 percent of
adults aged 18 years and older with doctor-diagnosed arthritis experienced a
limitation in activity due to arthritis or joint symptoms in 2002 (age
adjusted to the year 2000 standard population).
Target
setting method: Better than the best.
Data source:
National Health Interview Survey (NHIS), CDC, NCHS.
|
ORIGINAL
OBJECTIVE |
2-3. |
Reduce
the proportion of all adults with chronic joint symptoms who have difficulty
in performing two or more personal care activities, thereby preserving
independence.
Target: 1.4 percent.
Baseline: 2.0 percent of
adults aged 18 years and older with chronic joint symptoms experienced
difficulty performing two or more personal care activities in 1997 (age
adjusted to the year 2000 standard population).
Target
setting method: Better than the best.
Data
source: National Health Interview Survey (NHIS), CDC,
NCHS.
|
OBJECTIVE
WITH REVISIONS |
2-3. |
Reduce
the proportion of all adults with chronic joint symptoms doctor-diagnosed
arthritis who have difficulty in performing two or more personal care
activities, thereby preserving independence.
Target: 1.54 percent.
Baseline: 2.01 percent of adults aged 18 years and older with
doctor-diagnosed arthritis hadchronic joint symptoms
experienced difficulty performing two or more personal care activities in 2002 in 1997 (age adjusted to the year
2000 standard population).
Target
setting method: Better than the best.
Data
source: National Health Interview Survey (NHIS), CDC,
NCHS.
|
REVISED
OBJECTIVE |
2-3. |
Reduce
the proportion of adults with doctor-diagnosed arthritis who have difficulty
in performing two or more personal care activities, thereby preserving
independence.
Target: 1.5
percent.
Baseline: 2.1 percent of
adults aged 18 years and older with doctor-diagnosed arthritis had difficulty
performing two or more personal care activities in 2002 (age adjusted to the
year 2000 standard population).
Target
setting method: Better than the best.
Data
source: National Health Interview Survey (NHIS), CDC, NCHS.
|
ORIGINAL
OBJECTIVE |
2-4. |
(Developmental)
Increase the proportion of adults aged 18 years and older with arthritis who
seek help in coping if they experience personal and emotional problems.
Potential
data sources: National Health Interview Survey (NHIS),
CDC, NCHS; Behavioral Risk Factor Surveillance System (BRFSS), CDC,
NCCDPHP.
|
OBJECTIVE
WITH REVISIONS |
2-4. |
(Developmental)
Increase the proportion of adults with doctor-diagnosed arthritis
who receive the proportion of adults aged 18 years and older with arthritis
who seek help in coping if they experience personal and emotional problems
health care provider counseling.
Target
and baseline:
Objective |
Increase the Proportion of
Adults Aged 18 Years and Older
With Doctor-Diagnosed Arthritis Who Receive Health Care Provider Counseling |
|
2010 Target
Percent |
2-4a. |
For weight reduction
among overweight and obese persons |
35 |
46 |
2-4b. |
For physical activity or
exercise |
52 |
67 |
* Age adjusted to the year 2000 standard population.
Target
setting method: Better
than the best.
Potential dData
sources: National Health Interview Survey (NHIS), CDC, NCHS; Behavioral
Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP.
|
REVISED
OBJECTIVE |
2-4. |
Increase
the proportion of adults with doctor-diagnosed arthritis who receive health
care provider counseling.
Target
and baseline:
Objective |
Increase the Proportion of
Adults Aged 18 Years and Older With Doctor-Diagnosed Arthritis Who Receive
Health Care Provider Counseling |
|
2010
Target
Percent |
2-4a. |
For weight reduction among
overweight and obese persons |
35 |
46 |
2-4b. |
For physical activity or
exercise |
52 |
67 |
* Age adjusted to the year 2000 standard population.
Target
setting method: Better than the best.
Data
source: National Health Interview Survey (NHIS), CDC, NCHS.
|
ORIGINAL
OBJECTIVE |
2-5. |
Increase
the employment rate among adults with arthritis in the working-aged
population.
Target: 78 percent.
Baseline: 67 percent of adults aged 18 to 64 years
with arthritis were employed in the past week in 1997 (age adjusted to the
year 2000 standard population).
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS |
2-5. |
IncreaseReduce
the impact of doctor-diagnosed arthritis on employment rate among adults
with arthritis in the working-aged population.
Target
and baseline:
Objective |
Reduction in the Impact of
Doctor-Diagnosed Arthritis on Employment in the Working-Aged Population
Aged 18 to 64 Years |
|
2010
Target
Percent |
2-5a. |
Reduction in the
unemployment rate among adults with doctor-diagnosed arthritis |
33 |
27 |
2-5b. |
Reduction in the proportion
of adults with doctor-diagnosed arthritis who are limited in their ability
to work for pay due to arthritis |
30 |
23 |
* Age adjusted to the year 2000 standard population.
Target:
78 percent.
Baseline:
67 percent
of adults aged 18 to 64 years with arthritis were employed in the past
week in 2002 (age adjusted to the year 2000 standard population).
Target
setting method: Better than the best.
Data source:
National Health Interview Survey (NHIS), CDC, NCHS.
|
REVISED
OBJECTIVE |
2-5. |
Reduce
the impact of doctor-diagnosed arthritis on employment in the working-aged
population.
Target
and baseline:
Objective |
Reduction in the Impact of
Doctor-Diagnosed Arthritis on Employment in the Working-Aged Population
Aged 18 to 64 Years |
|
2010
Target
Percent |
2-5a. |
Reduction in the
unemployment rate among adults with doctor-diagnosed arthritis |
33 |
27 |
2-5b. |
Reduction in the proportion
of adults with doctor-diagnosed arthritis who are limited in their ability
to work for pay due to arthritis |
30 |
23 |
* Age
adjusted to the year 2000 standard population.
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
ORIGINAL
OBJECTIVE |
2-6. |
(Developmental)
Eliminate racial disparities in the rate of total knee replacements.
Potential
data sources: Medicare data, CMS; National Hospital
Discharge Survey (NHDS), CDC, NCHS; Hospital Cost and Utilization Project
(HCUP), AHRQ.
|
OBJECTIVE
WITH REVISIONS |
2-6. |
(Developmental)
Eliminate racial disparities in the rate of total knee replacements among
persons aged 65 years and older.
Target: 0 percent.
Baseline: In 2000, the rate for the white non-Hispanic
population was 34 percent higher
than the rate for the black non-Hispanic population.
Target
setting method: Total
elimination.
Potential dData
sources: Medicare
Parts A and B, Medicare data, HCFA; National Hospital Discharge
Survey (NHDS), CDC, NCHS; Hospital Cost and Utilization Project (HCUP),
AHRQCMS.
|
REVISED
OBJECTIVE |
2-6. |
Eliminate
racial disparities in the rate of total knee replacements among persons aged
65 years and older.
Target: 0
percent.
Baseline: In 2000, the
rate for the white non-Hispanic population was 34 percent higher than the
rate for the black non-Hispanic population.
Target
setting method: Total elimination.
Data
source: Medicare Parts A and B, CMS.
|
ORIGINAL
OBJECTIVE |
2-7. |
(Developmental)
Increase the proportion of adults who have seen a health care provider for
their chronic joint symptoms.
Potential
data source: National Health Interview Survey (NHIS),
CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS |
2-7. |
(Developmental)
Increase the proportion of adults with chronic joint symptoms who have
seen a health care provider for their chronic joint symptoms.
Target: 61 percent.
Baseline: 56 percent of adults aged 18 years and older with
chronic joint symptoms saw a health
care provider for their symptoms in 2002 (age adjusted to the year 2000 standard population).
Target
setting method: Better
than the best.
Potential dData
source:
National Health
Interview Survey (NHIS), CDC, NCHS.
|
REVISED
OBJECTIVE |
2-7. |
Increase
the proportion of adults with chronic joint symptoms who have seen a health
care provider for their symptoms.
Target: 61
percent.
Baseline: 56 percent of
adults aged 18 years and older with chronic joint symptoms saw a health care
provider for their symptoms in 2002 (age adjusted to the year 2000 standard
population).
Target
setting method: Better than the best.
Data
source: National Health Interview Survey (NHIS), CDC, NCHS.
|
ORIGINAL
OBJECTIVE |
2-8. |
(Developmental)
Increase the proportion of persons with arthritis who have had effective,
evidence-based arthritis education as an integral part of the management of
their condition.
Potential
data sources: National Health Interview Survey (NHIS),
CDC, NCHS; Behavioral Risk Factor Surveillance System (BRFSS), CDC,
NCCDPHP.
|
OBJECTIVE
WITH REVISIONS |
2-8. |
(Developmental)
Increase the proportion of persons adults with doctor-diagnosed
arthritis who have had effective, evidence-based arthritis education as an
integral part of the management of their condition.
Target: 13 percent.
Baseline: 11 percent of adults aged 18 years and older with
doctor-diagnosed arthritis had
effective, evidence-based arthritis education as an integral part of the management of their condition in 2002 (age adjusted
to the year 2000 standard population).
Target
setting method: Better
than the best.
Potential dData
sources: National Health Interview Survey (NHIS),
CDC, NCHS; Behavioral Risk Factor Surveillance System (BRFSS), CDC,
NCCDPHP.
|
|
REVISED
OBJECTIVE
|
2-8. |
Increase
the proportion of adults with doctor-diagnosed arthritis who have had
effective, evidence-based arthritis education as an integral part of the
management of their condition.
Target: 13
percent.
Baseline: 11 percent of
adults aged 18 years and older with doctor-diagnosed arthritis had effective,
evidence-based arthritis education as an integral part of the management of
their condition in 2002 (age adjusted to the year 2000 standard
population).
Target
setting method: Better than the best.
Data
source: National Health Interview Survey (NHIS), CDC, NCHS.
|
Osteoporosis
NO
CHANGE IN OBJECTIVE |
2-9. |
Reduce
the proportion of adults with osteoporosis.
Target: 8
percent.
Baseline: 10 percent of
adults aged 50 years and older had osteoporosis as measured by low total
femur bone mineral density (BMD) in 1988–94 (age adjusted to the year 2000
standard population).
Target
setting method: 20 percent improvement.
Data
source: National Health and Nutrition Examination Survey (NHANES), CDC,
NCHS.
|
NO
CHANGE IN OBJECTIVE |
2-10. |
Reduce
the proportion of adults who are hospitalized for vertebral fractures
associated with osteoporosis.
Target: 14.0 hospitalizations per 10,000
adults aged 65 years and older.
Baseline: 17.5 hospitalizations per 10,000
adults aged 65 years and older were for vertebral fractures associated with
osteoporosis in 1998 (age adjusted to the year 2000 standard
population).
Target
setting method: 20 percent
improvement.
Data
source: National
Hospital Discharge Survey (NHDS), CDC, NCHS.
|
Chronic Back
Conditions
NO
CHANGE IN OBJECTIVE |
2-11. |
Reduce
activity limitation due to chronic back conditions.
Target: 25 adults per 1,000 population
aged 18 years and older.
Baseline: 32 adults per
1,000 population aged 18 years and older experienced activity limitation due
to chronic back conditions in 1997 (age adjusted to the year 2000 standard
population).
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
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