Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.
Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.
Children aged 3 to 11 years are classified as nonsmokers if they have a serum cotinine level less than or equal to 10ng/mL. The limit of detection used for cotinine is 0.05 ng/mL to be more consistent with other similar measures including indicators from Healthy People 2010 and the National Prevention Strategy. Using a lower level of detection of cotinine, may have allowed us to detect cotinine in persons who are currently categorized as ‘unexposed’.
According to the 2006 Surgeon General’s Report, more than 126 million nonsmoking Americans had detectable serum cotinine levels as of 1999–2002. Moreover, significant population disparities continue to exist and are in some cases widening. For example, children are more heavily exposed than nonsmoking adults.
Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.
The limit of detection for cotinine used for the baseline at launch was 0.015ng/mL. The measure was revised in 2011 to use a limit of detection for cotinine of 0.05ng/mL, to be more consistent with similar measures including indicators from Healthy People 2010 and the National Prevention Strategy. As a result of this change, the original baseline was revised from 82.2% to 52.2%. The target was adjusted from 74.0% to 47.0% to reflect the revised baseline using the original target-setting method.
Additional resources about the objective.
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