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AOCBC-5 Data Details

AOCBC-5 Reduce the proportion of adults with doctor-diagnosed arthritis who report serious psychological distress

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
percent (age adjusted—see Comments)
Baseline (Year)
7.3 (2008)
Target-Setting Method
10 percent improvement
Number of adults aged 18 years and over with doctor-diagnosed arthritis who reported serious psychological distress over the past 30 days [Serious psychological distress is defined as a score of 13 points or higher (on a scale of 24) based on answers to the 6 questions of the Kessler 6.]
Number of adults aged 18 years and over with doctor-diagnosed arthritis
Questions Used to Obtain the National Baseline Data

From the 2008 National Health Interview Survey:


Now I am going to ask you some questions about feelings you may have experienced over the PAST 30 DAYS.

During the PAST 30 DAYS, how often did you feel:

  1. ... So sad that nothing could cheer you up?
  2. ... Nervous?
  3. ... Restless or fidgety?
  4. ... Hopeless?
  5. ... That everything was an effort?
  6. ... Worthless?

Possible responses include:

  1. ALL of the time (4 points)
  2. MOST of the time (3 points)
  3. SOME of the time (2 points)
  4. A LITTLE of the time (1 point)
  5. NONE of the time (0 points)
  6. Refused
  7. Don't know


Have you EVER been told by a doctor or other health professional that you have some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?

  1. Yes
  2. No
  3. Refused
  4. Don't know
Data Collection Frequency
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Defining serious psychological distress using a score of 13 points or higher (on a scale of 24) based on answers to the 6 questions of the Kessler 6 is a standard definition in the field. For each participant, all 6 questions must have nonmissing data to be included.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 18-44, 45-64, 65-74, 75+
  • Sex: 18-44, 45-64, 65-74, 75+
  • Race/Ethnicity: 18-44, 45-64, 65-74, 75+
  • Educational Attainment: 25-44, 45-64, 65-74, 75+
  • Family Income: 18-44, 45-64, 65-74, 75+
  • Family Type: 18-44, 45-64, 65-74, 75+
  • Country of Birth: 18-44, 45-64, 65-74, 75+
  • Disability Status: 18-44, 45-64, 65-74, 75+
  • Geographic Location: 18-44, 45-64, 65-74, 75+
  • Health Insurance Status: 18-44, 45-64
  • Marital Status: 18-44, 45-64, 65-74, 75+


Additional resources about the objective.

  1. Arthritis Foundation, Association of State and Territorial Health Officials, Centers for Disease Control and Prevention. National Arthritis Action Plan: A Public Health Strategy. Atlanta, Georgia: Arthritis Foundation, 1999.
  2. Arthritis Foundation, Centers for Disease Control and Prevention. A National Public Health Agenda for Osteoarthritis. Atlanta, Georgia: Arthritis Foundation, 2010.
  3. Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E. (2003). Screening for Serious Mental Illness in the General Population. Archives of General Psychiatry, 60(2), 184-189.
  4. United States Bone and Joint Decade: The Burden of Musculoskeletal Diseases in the United States. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2008.