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HDS-3 Data Details

HDS-3 Reduce stroke deaths

About the Data

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

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
Yes
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
43.5 (2007)
Target
34.8
Target-Setting Method
Projection/trend analysis
Numerator
Number of stroke deaths (ICD-10 codes I60-I69)
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Death due to cerebrovascular diseases, ICD-10 codes: I60-I69.

FOR SINGLE DATA YEARS: Death rates are calculated based on the resident population of the United States for the data year involved. For census years (e.g. 2010), population counts enumerated as of April 1 are used. For all other years, populations estimates as of July 1 are used. Postcensal population estimates are used in rate calculations for years after a census year and match the data year vintage (e.g. July 1, 2011 resident population estimates from Vintage 2011 are used as the denominator for 2011 rates). Intercensal population estimates are used in rate calculations for the years between censuses (e.g. 1991-1999, 2001-2009). Race-specific population estimates for 1991 and later use bridged-race categories.

FOR MULTIPLE DATA YEARS: Death rates are calculated based on the sum of the resident populations for each of the data years involved (e.g. the denominator of a rate for 2008-2010 combined is the sum of the population estimates for 2008, 2009, and 2010). For census years (e.g. 2010), population counts enumerated as of April 1 are used. For all other years, populations estimates as of July 1 are used. Postcensal population estimates are used in rate calculations for years after a census year and match the data year vintage (e.g. July 1, 2011 resident population estimates from Vintage 2011 are used as the denominator for 2011 rates). Intercensal population estimates are used in rate calculations for the years between censuses (e.g. 1991-1999, 2001-2009). Race-specific population estimates for 1991 and later use bridged-race categories.

Age Adjustment

At the National level this Indicator uses Age-Adjustment Groups:

  • Total: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: <5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75+
Trend Issues
Mortality data by marital status were not available for 60% of Georgia’s records in 2008 and 94% of Georgia’s records in 2009. Therefore, 2008 and 2009 data by marital status should be interpreted with caution.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

In 2013, rates for 2007–2009 were revised using intercensal population estimates based on the 2000 and 2010 censuses instead of the postcensal estimates for the denominator. Thus, the original baseline was revised from 42.2 to 43.5. The target was adjusted from 33.8 to 34.8 to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Centers for Disease Control and Prevention. Achievements in public health, 1990 1999: Decline in deaths from heart disease and stroke--United States, 1990-1999. MMWR 1999;48(30):649-56. Available from: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4830a1.htm.
  2. Centers for Disease Control and Prevention: Stroke
    http://www.cdc.gov/stroke