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Disability and Health Data Details

About the Data

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

National Data Source
Healthy People 2020 Database (DATA2020); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
2 (2010)
Target
4
Target-Setting Method
Projection/trend analysis
Numerator
Number of applicable Healthy People 2020 person-level data systems that include in their core, a set of standardized questions that identify people with disabilities
Denominator
Number of applicable Healthy People 2020 person-level data systems
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

A data system is considered “applicable” if it 1) is utilized in Healthy People 2020 and 2) obtains data on individuals or families. Systems that meet these criteria will be listed in the denominator section.

A data system is listed in the numerator section if it 1) is utilized in HP2020, 2) obtains data on individuals or families, and 3) includes in their core, a set of standardized questions that identify people with disabilities.

DH-2 Increase the number of Tribes, States, and the District of Columbia that have public health surveillance and health promotion programs for people with disabilities and caregivers

About the Data

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

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
16 (2010)
Target
18
Target-Setting Method
10 percent improvement
Numerator
Number of States and the District of Columbia that have health promotion programs for people with disabilities
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

States and DC are considered to have a statewide health promotion program for people with disabilities if they meet the three criteria listed in the numerator section.

A health promotion program is defined as a sustained and organized entity with fairly broad-reaching health interventions, services, policies, and practices. Health promotion has been defined by the World Health Organization's 2005 Bangkok Charter for Health Promotion in a Globalized World as "the process of enabling people to increase control over their health and its determinants, and thereby improve their health". Health Promotion initiatives include consultation and public involvement, information dissemination, education and/or tools of personal skill development (e.g., Fact Sheets), building partnerships (e.g., expert advisory committees), re-orienting health services (e.g., new consumer information section in the product monograph) and strengthening community action (e.g., Diabetes strategy). When it is possible to implement non-legislative tools such as guidance documents and voluntary standards to communicate among stakeholders, health promotion is increasingly a tool which is being sought to help people increase control over and improve their health.

States and DC with indicated programs are determined through periodic assessment by NCBDDD staff of state health programs.

References

Additional resources about the objective.

  1. Good guidance practices manual. Ontario: Bureau of Policy, Science and International Programs, 2007 Oct 31. c2010 – [cited 2010, Mar 10.]. Available from http://www.hc-sc.gc.ca/dhp-mps/prodpharma/applic-demande/guide-ld/ggp-bpld/ggp_bpld_definition-eng.php
  2. State government [Internet]. Washington (DC): United States Government. c2010 – [cited 2010, Mar 10.]. Available from http://www.usa.gov/Agencies/State_and_Territories.shtml
  3. The Bangkok charter for health promotion in a globalized world [Internet]. Geneva: World Health Organization, 2005 Aug 11. c2010 – [cited 2010, Mar 10.]. Available from http://www.who.int/healthpromotion/conferences/6gchp/bangkok_charter/en

About the Data

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

National Data Source
Behavioral Risk Factor Surveillance System (BRFSS); Centers for Disease Control and Prevention, Public Health Surveillance and Informatics Program Office (CDC/PHSIPO)
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
2 (2010)
Target
51
Target-Setting Method
Retention of Healthy People 2010 target
Numerator
Number of States and the District of Columbia that conduct statewide public health surveillance for caregivers
Questions Used to Obtain the National Baseline Data

From the Behavioral Risk Factor Surveillance System (BRFSS) Assessment, 2010:

[NUMERATOR:] States that identify caregivers of people with disabilities in the BRFSS.

People may provide regular care or assistance to a friend or family member who has a health problem, long-term illness, or disability. During the past month, did you provide any such care or assistance to a friend or family member?   <Yes, No, Don't know, Not sure, Refused>

[denominator:] States and Districts that are officially part of the United States.

Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

States and DC are considered to have a statewide surveillance program for caregivers if they identify caregivers in statewide public health surveillance systems; namely the BRFSS as indicated in the numerator section.

States and DC with indicated surveillance are determined through periodic assessment by NCBDDD staff of BRFSS modules.

References

Additional resources about the objective.

  1. Behavioral risk factor surveillance system [Internet]. Atlanta (GA): National Center on Chronic Disease and Health Promotion. c2010 – [cited 2010, Mar 10.]. Available from http://www.cdc.gov/brfss/questionnaires/english.htm
  2. State government [Internet]. Washington (DC): United States Government. c2010 – [cited 2010, Mar 10.]. Available from http://www.usa.gov/Agencies/State_and_Territories.shtml

About the Data

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

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
0 (2010)
Target
16
Target-Setting Method
Maintain consistency with national programs, regulations, policies, and laws.
Numerator
Number of States and the District of Columbia that have health promotion programs for caregivers
Questions Used to Obtain the National Baseline Data

From The State Health Promotion Program Assessment:

[NUMERATOR:]

Defined as States with established programs that are:

  • Linked to the State Health Department.
  • Have full-time staff dedicated to improving the health and wellness of caregivers.
  • Regularly and deliberately include caregivers in statewide and state-funded "health promotion" efforts.

[denominator:] States and Districts that are officially part of the United States.

Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

States and DC are considered to have a statewide health promotion program for caregivers if they meet the three criteria listed in the numerator section.

A health promotion program is defined as a sustained and organized entity with fairly broad-reaching health interventions, services, policies, and practices. Health promotion has been defined by the World Health Organization's 2005 Bangkok Charter for Health Promotion in a Globalized World as "the process of enabling people to increase control over their health and its determinants, and thereby improve their health". Health Promotion initiatives include consultation and public involvement, information dissemination, education and/or tools of personal skill development (e.g., Fact Sheets), building partnerships (e.g., expert advisory committees), re-orienting health services (e.g., new consumer information section in the product monograph) and strengthening community action (e.g., Diabetes strategy). When it is possible to implement non-legislative tools such as guidance documents and voluntary standards to communicate among stakeholders, health promotion is increasingly a tool which is being sought to help people increase control over and improve their health.

References

Additional resources about the objective.

  1. State government [Internet]. Washington (DC): United States Government. c2010 – [cited 2010, Mar 10.]. Available from http://www.usa.gov/Agencies/State_and_Territories.shtml
  2. The Bangkok charter for health promotion in a globalized world [Internet]. Geneva: World Health Organization, 2005 Aug 11. c2010 – [cited 2010, Mar 10.]. Available from http://www.who.int/healthpromotion/conferences/6gchp/bangkok_charter/en

About the Data

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

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Numerator
Number of Tribes that conduct public health surveillance for people with disabilities
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Tribes are considered to have a tribal surveillance program for people with disabilities if they administer the BRFSS and identify people with disabilities in the BRFSS as indicated in the numerator section above.

There are 562 Federally recognized United States Tribes.

References

Additional resources about the objective.

  1. Behavioral risk factor surveillance system [Internet]. Atlanta (GA): National Center on Chronic Disease and Health Promotion. c2010 – [cited 2010, Mar 10.]. Available from http://www.cdc.gov/brfss/questionnaires/english.htm
  2. Indian entities recognized and eligible to receive services from the United States Bureau of Indian Affairs [Internet]. Washington (DC): United States Government. c2010 – [cited 2010, Mar 10.]. Available from Federal Register, Volume 74, Number 183 dated August 11, 2009 (74 FR 40218) or http://www.artnatam.com/tribes.html

About the Data

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

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Numerator
Number of Tribes that have health promotion programs for people with disabilities
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Tribes are considered to have a health promotion program for people with disabilities if they meet the three criteria listed the numerator section. There are 562 Federally recognized United States Tribes.

A health promotion program is defined as a sustained and organized entity with fairly broad-reaching health interventions, services, policies, and practices. Health promotion has been defined by the World Health Organization's 2005 Bangkok Charter for Health Promotion in a Globalized World as "the process of enabling people to increase control over their health and its determinants, and thereby improve their health". Health Promotion initiatives include consultation and public involvement, information dissemination, education and/or tools of personal skill development (e.g., Fact Sheets), building partnerships (e.g., expert advisory committees), re-orienting health services (e.g., new consumer information section in the product monograph) and strengthening community action (e.g., Diabetes strategy). When it is possible to implement non-legislative tools such as guidance documents and voluntary standards to communicate among stakeholders, health promotion is increasingly a tool which is being sought to help people increase control over and improve their health.

References

Additional resources about the objective.

  1. Indian entities recognized and eligible to receive services from the United States Bureau of Indian Affairs [Internet]. Washington (DC): United States Government. c2010 – [cited 2010, Mar 10.]. Available from Federal Register, Volume 74, Number 183 dated August 11, 2009 (74 FR 40218) or http://www.artnatam.com/tribes.html
  2. The Bangkok charter for health promotion in a globalized world [Internet]. Geneva: World Health Organization, 2005 Aug 11. c2010 – [cited 2010, Mar 10.]. Available from http://www.who.int/healthpromotion/conferences/6gchp/bangkok_charter/en

About the Data

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

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Numerator
Number of Tribes that conduct public health surveillance for caregivers
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Tribes are considered to have a tribal surveillance program for caregivers if they administer the BRFSS and identify caregivers of people with disabilities the BRFSS as indicated in the numerator section.

There are 562 Federally recognized United States Tribes.

References

Additional resources about the objective.

  1. Behavioral risk factor surveillance system [Internet]. Atlanta (GA): National Center on Chronic Disease and Health Promotion. c2010 – [cited 2010, Mar 10.]. Available from http://www.cdc.gov/brfss/questionnaires/english.htm
  2. Indian entities recognized and eligible to receive services from the United States Bureau of Indian Affairs [Internet]. Washington (DC): United States Government. c2010 – [cited 2010, Mar 10.]. Available from Federal Register, Volume 74, Number 183 dated August 11, 2009 (74 FR 40218) or http://www.artnatam.com/tribes.html

About the Data

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

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Numerator
Number of Tribes that have health promotion programs for caregivers
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Tribes are considered to have a health promotion program for caregivers if they meet the three criteria indicated in the numerator section. There are 562 Federally recognized United States Tribes.

A health promotion program is defined as a sustained and organized entity with fairly broad-reaching health interventions, services, policies, and practices. Health promotion has been defined by the World Health Organization's 2005 Bangkok Charter for Health Promotion in a Globalized World as "the process of enabling people to increase control over their health and its determinants, and thereby improve their health". Health Promotion initiatives include consultation and public involvement, information dissemination, education and/or tools of personal skill development (e.g., Fact Sheets), building partnerships (e.g., expert advisory committees), re-orienting health services (e.g., new consumer information section in the product monograph) and strengthening community action (e.g., Diabetes strategy). When it is possible to implement non-legislative tools such as guidance documents and voluntary standards to communicate among stakeholders, health promotion is increasingly a tool which is being sought to help people increase control over and improve their health.

References

Additional resources about the objective.

  1. Good guidance practices manual. Ontario: Bureau of Policy, Science and International Programs, 2007 Oct 31. c2010 – [cited 2010, Mar 10.]. Available from http://www.hc-sc.gc.ca/dhp-mps/prodpharma/applic-demande/guide-ld/ggp-bpld/ggp_bpld_definition-eng.phpp" title="http://www.hc-sc.gc.ca/dhp-mps/prodpharma/applic-demande/guide-ld/ggp-bpld/ggp_bpld_definition-eng.php" target="_blank">http://www.hc-sc.gc.ca/dhp-mps/prodpharma/applic-demande/guide-ld/ggp-bpld/ggp_bpld_definition-eng.phpp
  2. Indian entities recognized and eligible to receive services from the United States Bureau of Indian Affairs [Internet]. Washington (DC): United States Government. c2010 – [cited 2010, Mar 10.]. Available from Federal Register, Volume 74, Number 183 dated August 11, 2009 (74 FR 40218) or http://www.artnatam.com/tribes.html
  3. The Bangkok charter for health promotion in a globalized world [Internet]. Geneva: World Health Organization, 2005 Aug 11. c2010 – [cited 2010, Mar 10.]. Available from http://www.who.int/healthpromotion/conferences/6gchp/bangkok_charter/en

About the Data

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

Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Numerator
Number of accredited and associated U.S. schools of public health who offer at least one disability and health course
Denominator
Number of accredited and associated U.S. schools of public health
Questions Used to Obtain the National Baseline Data

Periodic Assessment of Public Health Courses, CDC, NCBDDD

[NUMERATOR:]

Does your school or program now have one or more graduate-level courses dealing exclusively or nearly exclusively with disability?

  1. Yes
  2. No

Does your school or program now offer other graduate-level courses that deal substantially with disability (for example, courses on aging and old age or maternal and child health)?

  1. Yes
  2. No

Do other components of your school or program's curriculum provide systematic treatments of disability? That is, more than occasional or passing references?

  1. Yes
  2. No

Does your school or program offer a graduate-level track or concentration in disability?

  1. Yes
  2. No

Does your school or program offer dual degree or multidisciplinary programs that highlight disability (for example, programs with physical or occupational therapy or physiatry residency programs)?

  1. Yes
  2. No

[DENOMINATOR:]

Accredited and Associated U.S. schools of public health (N=51)

Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Schools of public health are considered to offer a graduate–level disability and health course if they indicate “yes” to any of the questions listed in the numerator section.

A school is considered to be an accredited school of public health if it is listed as indicated in the denominator section.

References

Additional resources about the objective.

  1. Map of ASPH accredited and associate members [Internet]. Washington (DC): Association of Schools of Public Health. c2010 – [cited 2010, Mar 10.]. Available from http://www.asph.org/UserFiles/ASPH_map.pdf
  2. Tanenhaus RH, Meyers AR, Harbison LA. Disability and the curriculum in US graduate schools of public health. AJPH. 2000;90(8):1315-6.

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
No
Measure
percent 
Numerator
Number of individuals with disabilities who experience delays in receiving needed primary and periodic preventive care due to barriers
Denominator
Number of individuals with disabilities
Questions Used to Obtain the National Baseline Data

From the National Health Interview Survey, Sample Child and Sample Adult:

[NUMERATOR:]

There are many reasons people delay getting medical care. Have you delayed getting care for any of the following reasons in the past 12 MONTHS:

  1. Couldn't get through on the telephone.
  2. Couldn't get an appointment soon enough.
  3. Once you get there, had to wait too long to see the doctor.
  4. The office wasn't open when you could get there.
  5. Didn't have transportation.

During the past 12 MONTHS, was there any time when he/she needed any of the following, but didn't get it because you couldn't afford:

Prescription medicines?

  1. Yes
  2. No
  3. Refused
  4. Don't know

Mental health care or counseling?

  1. Yes
  2. No
  3. Refused
  4. Don't know

Dental care (including check-ups)?

  1. Yes
  2. No
  3. Refused
  4. Don't know

Eyeglasses?

  1. Yes
  2. No
  3. Refused
  4. Don't know

[denominator/DISABILITY IDENTIFIERS:]

1 year old or older:

Is this person deaf or do they have serious difficulty hearing?

  1. Yes
  2. No

Is this person blind or do they have serious difficulty seeing, even when wearing glasses?

  1. Yes
  2. No

5 years old or older:

Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?

  1. Yes
  2. No

Does this person have serious difficulty walking or climbing stairs?

  1. Yes
  2. No

Does this person have difficulty dressing or bathing?

  1. Yes
  2. No

15 years old or older:

Because of a physical, mental, or emotional condition, does this person have difficulty doing errands alone such as visiting a doctor's office or shopping?

  1. Yes
  2. No
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Adults with disabilities are considered to experience delays in care due to barriers if they or an adult proxy responds “yes” to any of the questions listed in the numerator section. Adults with disabilities are identified in this objective if they or an adult proxy responds “yes” to questions listed in the denominator section.

References

Additional resources about the objective.

  1. Behavioral risk factor surveillance system [Internet]. Atlanta (GA): National Center on Chronic Disease Prevention and Health Promotion. c2010 – [cited 2010, Mar 10.]. Available from http://www.cdc.gov/brfss/questionnaires/english.htm
  2. Klein RJ, Proctor SE, Boudreault MA, Turczyn KM. Healthy people 2010 criteria for data suppression. Statistical Notes No. 24. Hyattsville (MD): National Center for Health Statistics. 2002. http://www.cdc.gov/nchs/data/statnt/statnt24.pdf
  3. Klein RJ, Schoenborn CA. Age adjustment using the 2000 projected U.S. population. Statistical Notes No. 20-. Hyattsville (MD): National Center for Health Statistics. 2001. http://www.cdc.gov/nchs/data/statnt/statnt20.pdf

About the Data

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

National Data Source
National Survey of Children with Special Health Care Needs (NS-CSHCN); Health Resources and Services Administration, Maternal and Child Health Bureau, and Centers for Disease Control and Prevention, National Center for Health Statistics (HRSA/MCHB and CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
41.2 (2005-2006)
Target
45.3
Target-Setting Method
10 percent improvement
Numerator
Number of children with special Health Care needs, aged 12 to17 years, whose Health Care provider has discussed transition planning into adult care
Denominator
Number of children with special Health Care needs aged 12 to 17 years
Questions Used to Obtain the National Baseline Data

From the National Survey of Children with Special Health Care Needs (NS-CSHN), 2007/08 (Section 6B. TRANSITION ISSUES):

[NUMERATOR:]

The next questions are about preparing for his/her health care needs as he/she becomes an adult.

Do any of his/her doctors or other health care providers treat only children?

  • (1) Yes
  • (0) No
  • (6) Don't know
  • (7) Refused

Have they talked with you about having his/her eventually see doctors or other health care providers who treat adults?

  • (1) Yes
  • (0) No
  • (6) Don't know
  • (7) Refused

Would a discussion about doctors who treat adults have been helpful to you?

  • (1) Yes
  • (0) No
  • (6) Don't know
  • (7) Refused

Have his/her doctors or other health care providers talked with you or him/her about his/her health care needs as he/she becomes an adult?

  • (1) Yes
  • (0) No
  • (6) Don't know
  • (7) Refused

Would a discussion about his/her health care needs have been helpful?

  • (1) Yes
  • (0) No
  • (6) Don't know
  • (7) Refused

Eligibility for health insurance often changes as children reach adulthood. Has anyone discussed with you how to obtain or keep some type of health insurance coverage as he/she becomes an adult?

  • (1) Yes
  • (0) No
  • (6) Don't know
  • (7) Refused

How often do his/her doctors or other health care providers encourage him/her to take responsibility for his/her health care needs, such as (taking medication, understanding his/her health, or following medical advice)? Would you say?

  • (1) NEVER
  • (2) SOMETIMES
  • (3) USUALLY
  • (4) ALWAYS
  • (6) DON'T KNOW
  • (7) REFUSED

[denominator:]

Does your child currently need or use medicine prescribed by a doctor (other than vitamins)?

  • (1) Yes
  • (0) No
  • (6) Don't know
  • (7) Refused

Does your child need or use more medical care, metal health or educational services than is usual for most children of the same age?

  • (1) Yes
  • (0) No
  • (6) Don't know
  • (7) Refused

Is your child limited or prevented in any way in his or her ability to do things most children of the same age can do?

  • (1) Yes
  • (0) No
  • (6) Don't know
  • (7) Refused

Does your child need or get special therapy such as physical, occupational or speech therapy?

  • (1) Yes
  • (0) No
  • (6) Don't know
  • (7) Refused

Does your child have any kind of emotional, developmental, or behavioral problem for which he or she gets

  • (1) Yes
  • (0) No
  • (6) Don't know
  • (7) Refused
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Youth with special Health Care needs are considered to have Health Care providers who have discussed transition planning into adult Health Care if they or an adult proxy respond “yes, always, usually or sometimes”, to any of the questions listed in the numerator section.

Youth with special Health Care needs are identified in this objective if they or an adult proxy respond “yes” to questions listed in the denominator section.

References

Additional resources about the objective.

  1. Klein RJ, Proctor SE, Boudreault MA, Turczyn KM. Healthy People 2010 criteria for data suppression. Statistical Notes No. 24. Hyattsville (MD): National Center for Health Statistics. 2002. http://www.cdc.gov/nchs/data/statnt/statnt24.pdf
  2. National survey of children with special Health Care needs [Internet]. Portland (OR): Child and Adolescent Health Measurement Initiative (CAHMI). c2010 – [cited 2010, Mar 10.]. Available from http://cshcndata.org/content

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
No
Measure
percent 
Numerator
Number of adults aged 18 years and older with uncontrolled seizures who report that they have visited a neurologist or epilepsy specialist in the past year
Denominator
Number of adults aged 18 years and older with uncontrolled seizures
Questions Used to Obtain the National Baseline Data

From the National Health Interview Survey:

[NUMERATOR:]

Have you ever been told by a doctor that you have a seizure disorder?

  • (1) Yes
  • (2) No
  • (7) Don't know/Not sure
  • (9) Refused

Are you currently taking any medicine to control your seizure disorder or epilepsy?

  • (1) Yes
  • (2) No
  • (7) Don't know/Not sure
  • (9) Refused

How many seizures have you had in the last 3 months?

  • (1) None
  • (2) One
  • (3) More than one
  • (4) No longer have epilepsy
  • (5) Don't know
  • (6) Refused

In the past year, have you seen a neurologist or epilepsy specialist for your epilepsy or seizure disorder?

  • (1) Yes
  • (2) No
  • (7) Don't know/Not sure
  • (9) Refused

[denominator / IDENTIFIERS FOR PEOPLE WITH UNCONTROLLED EPILEPSY:]

Have you ever been told by a doctor that you have a seizure disorder?

  • (1) Yes
  • (2) No
  • (7) Don't know/Not sure
  • (9) Refused

How many seizures have you had in the last 3 months?

  • (1) None
  • (2) One
  • (3) More than one
  • (4) No longer have epilepsy
  • (5) Don't know
  • (6) Refused
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Based on questions piloted in the BRFSS, adults with uncontrolled epilepsy are considered to have appropriate medical care if they say “yes” to items 1, 2 and 4, and “one” or “more than one” to item 3 in the questions listed in the numerator section. Adults with uncontrolled epilepsy are identified in this objective if they responded “yes” to item 1 and “one” or “more than one” to item 2 in the questions listed in the denominator section.

References

Additional resources about the objective.

  1. Behavioral risk factor surveillance system [Internet]. Atlanta (GA): National Center on Chronic Disease Prevention and Health Promotion. c2010 – [cited 2010, Mar 10.]. Available from http://www.cdc.gov/brfss/questionnaires/english.htm
  2. Current Population Survey (CPS), 2010 [Internet]. Washington (DC): Bureau of labor Statistics. c2010 – [cited 2010, Mar 10.]. Available from http://www.bls.census.gov/cps/bqestair.htm
  3. Labor force statistics from the current population survey [Internet database]. Washington (DC): Bureau of Labor Statistics. c2010 – [cited 2010 Mar 11.]. Available from http://www.bls.gov/webapps/legacy/cpsatab6.htm

About the Data

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

National Data Source
Medical Expenditure Panel Survey (MEPS); Agency for Healthcare Research and Quality (AHRQ)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Numerator
Number of adults, age 65 and over, with basic activity limitations, complex activity limitations, or neither who received one or more of 33 potentially inappropriate medications during the calendar year as determined by the Beers criteria
Denominator
Number of adults, age 65 and over, with basic activity limitations, complex activity limitations, or neither
Questions Used to Obtain the National Baseline Data

From the Medical Expenditure Panel Survey, 2005:

[NUMERATOR:]

Medical Provider Visits Section of MEPS:

During this {visit/telephone call}, were any medicines prescribed for (PERSON)? Please include only prescriptions which were filled.

  1. Yes
  2. No

Please tell me the names of the prescriptions from these visits that were filled.

Prescribed Medicines Section of MEPS:

{Since (START DATE)/Between (START DATE) and (END DATE)}, (have/has) (PERSON) obtained any medicines [we have not yet talked about]? For example, (have/has) (PERSON) had any new prescriptions or a refill of a prescription? Please include any on-line prescriptions.

  1. Yes
  2. No

What were the names of these medicines?

{Since (START DATE)/Between (START DATE) and (END DATE)}, did (PERSON) get any free samples of prescribed medicines from a medical or dental provider that we have not yet talked about?

  1. Yes
  2. No

What are the names of these medicines (PERSON) got as free samples?

What is the name of the (next) pharmacy that filled the prescription(s) for (PERSON)?

Survey participants are then asked for permission to collect more detailed information from their pharmacies. At the pharmacies, data are collected on the type, dosage, and payment for each filled prescription. No information is collected for over-the-counter medications. No information is collected for prescription drugs obtained during hospital visits.

Beers List

According to the established Beers criteria implemented in the MEPS in consultation with a panel of experts, drugs that should always be avoided for adults over age 65 include barbiturates, flurazepam, meprobamate, chlorpropamide, meperidine, pentazocine, trimethobenzamide, belladonna alkaloids, dicyclomine, hyoscyamine, and propantheline.

Drugs that should often be avoided for adults over age 65 include carisoprodol, chlorzoxazone, cyclobenzaprine, metaxalone, methocarbamol, amitriptyline, chlordiazepoxide, diazepam, doxepin, indomethacin, dipyridamole, ticlopidine, methyldopa, reserpine, disopyramide, oxybutynin, chlorpheniramine, cyproheptadine, diphenhydramine, hydroxyzine, promethazine, and propoxyphene.

[denominator:]

{Basic activity limitations identifiers}

Does anyone in the family have difficulties walking, climbing stairs, grasping objects, reaching overhead, lifting, bending or stooping, or standing for long periods of time?

  1. Yes
  2. No

Please look at this card and tell me how much difficulty (do/does) (PERSON) have lifting something as heavy as 10 pounds, such as a full bag of groceries? Would you say no difficulty, some difficulty, a lot of difficulty, or completely unable to do it?

  1. No difficulty
  2. Some difficulty
  3. A lot of difficulty
  4. Completely unable to do it

How much difficulty (do/does) (PERSON) have walking up 10 steps without resting?

  1. No difficulty
  2. Some difficulty
  3. A lot of difficulty
  4. Completely unable to do it

How much difficulty (do/does) (PERSON) have walking about 3 city blocks or about a quarter of a mile?

  1. No difficulty
  2. Some difficulty
  3. A lot of difficulty
  4. Completely unable to do it

How much difficulty (do/does) (PERSON) have walking a mile?

How much difficulty (do/does) (PERSON) have standing for about 20 minutes?

  1. No difficulty
  2. Some difficulty
  3. A lot of difficulty
  4. Completely unable to do it

How much difficulty (do/does) (PERSON) have bending down or stooping from a standing position to pick up an object from the floor or tie a shoe?

  1. No difficulty
  2. Some difficulty
  3. A lot of difficulty
  4. Completely unable to do it

How much difficulty (do/does) (PERSON) have reaching overhead, for example to remove something from a shelf?

  1. No difficulty
  2. Some difficulty
  3. A lot of difficulty
  4. Completely unable to do it

How much difficulty (do/does) (PERSON) have using fingers to grasp or handle something such as picking up a glass from a table or using a pencil to write?

  1. No difficulty
  2. Some difficulty
  3. A lot of difficulty
  4. Completely unable to do it

The next few questions are about difficulties people may have with everyday activities such as getting around, bathing, or taking medications. We are interested in difficulties due to impairment or a physical or mental health problem.

Does anyone in the family receive help or supervision using the telephone, paying bills, taking medications, preparing light meals, doing laundry, or going shopping?

  1. Yes
  2. No

Does anyone in the family receive help or supervision with personal care such as bathing, dressing, or getting around the house? Who is that?

  1. Yes
  2. No
  3. Person: ___________

Does anyone in the family wear eyeglasses or contact lenses? Who is that?

  1. Yes
  2. No
  3. Person: ___________

Does anyone in the family have any difficulty seeing {with glasses or contacts, if they use them}? Who is that?

  1. Yes
  2. No
  3. Person: ___________

For persons identified as having difficulty seeing: Can (PERSON) not see anything at all, that is, (are/is) (PERSON) blind?

  1. Yes
  2. No

Does anyone in the family have a hearing aid? Who is that?

  1. Yes
  2. No
  3. Person: ___________

Does anyone in the family have any difficulty hearing {with a hearing aid if they use one}? Who is that?

  1. Yes
  2. No
  3. Person: ___________

For persons identified as having difficulty hearing {with a hearing aid, if they use one}:

Can (PERSON) not hear any speech at all, that is, (are/is) (PERSON) deaf?

{Complex activity limitations identifiers}

Is anyone in the family limited in any way in the ability to work at a job, do housework, or go to school, because of impairment or a physical or mental health problem? Who is that? For which activities is the person limited in doing?

  1. Yes
  2. No
  3. Person: ___________
  4. Activity: ___________

Besides the limitations we just talked about, is anyone in the family limited in participating in social, recreational or family activities because of impairment or a physical or mental health problem?

  1. Yes
  2. No
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

The Beers criteria provide a list of medications that are generally considered inappropriate when given to elderly people because these medications may pose more risk than benefit. For a wide variety of individual reasons, the medications listed tend to cause side effects in the elderly due to the physiologic changes of aging. The criteria were created through consensus of a panel of experts and were most recently updated in 2003.

Individuals are considered to receive inappropriate medications if they indicate that they purchased any of the medications on the BEERS list as listed in the numerator section.

Individuals are considered to be adults, aged 65 and over, with activity limitations if they answered “yes” to questions in the denominator section.

References

Additional resources about the objective.

  1. Agency for Healthcare Research and Quality. 2007 National Healthcare Disparities Report. Rockville (MD): U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality; February 2008. AHRQ publication No. 08-0041. http://www.ahrq.gov/qual/qrdr08.htm
  2. Medical Expenditure Panel Survey [Internet]. Washington (DC): Agency for Health Care Quality Research (AHRQ). c2010 – [cited 2010, Mar 10.]. Available from http://meps.ahrq.gov/mepsweb/data_files/publications/rf5/rf5.pdf#xml=http://meps.ahrq.gov/cgi-bin/texis/webinator/search/pdfhi.txt?query=inappropriate+medications&pr=MEPSPUBS&prox=page&rorder=500&rprox=500&rdfreq=500&rwfreq=500&rlead=500&sufs=0&order=r&cq
  3. Zhan C, Sangl J, Bierman AS, et al. Potentially inappropriate medication use in the community-dwelling elderly. Findings from the 1996 Medical Expenditure Panel Survey. JAMA. 2001;286(22):2823-29.

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
No
Measure
percent 
Numerator
Number of persons aged 18 years and older with disabilities who experience barriers to accessing local health, wellness, or fitness programs that meet their needs
Denominator
Number of persons aged 18 years and older with disabilities.
Questions Used to Obtain the National Baseline Data

From the 2010 National Health Interview Survey Supplement:

[NUMERATOR:]

Do you NOW have ACCESS to a health club, wellness program or fitness facility that meets your needs, if you wanted to use one?

  • (1) Yes
  • (2) No
  • (7) Refused
  • (9) Don't know

Do any of these things on the list limit or prevent your access to a health club, wellness program, or fitness facility that meets your needs?

  • None
  • Cost is too high for your budget
  • Lack of transportation
  • Access into/within the building
  • Lack of exercise equipment that meets your needs
  • Lack of an instructor to show you how to use the equipment
  • Other
  • (7)Refused
  • (9) Don't know

[denominator/DISABILITY IDENTIFIERS:]

1 year old or older:

Is this person deaf or do they have serious difficulty hearing?

  1. Yes
  2. No

Is this person blind or do they have serious difficulty seeing, even when wearing glasses?

  1. Yes
  2. No

5 years old or older:

Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?

  1. Yes
  2. No

Does this person have serious difficulty walking or climbing stairs?

  1. Yes
  2. No

Does this person have difficulty dressing or bathing?

  1. Yes
  2. No

15 years old or older:

Because of a physical, mental, or emotional condition, does this person have difficulty doing errands alone such as visiting a doctor's office or shopping?

  1. Yes
  2. No
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

People are considered to encounter barriers to participation at local health and wellness facilities if they respond “No” to access AND if they identify at least one barrier in the second question listed in the numerator section above. People with disabilities are identified if they or a proxy adult respondent indicates “yes” to any of the questions listed above in the denominator section.

References

Additional resources about the objective.

  1. 2002 NHIS basic module adult core revised: October 23, 2003 Pages 88- 94 [Internet]. Rockville (MD): National Center on Health Statistics. c2010- [cited March10.]. Available from ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Survey_Questionnaires/NHIS/2002/qsamadlt.pdf
  2. Klein RJ, Proctor SE, Boudreault MA, Turczyn KM. Healthy people 2010 criteria for data suppression. Statistical Notes No. 24. Hyattsville (MD): National Center for Health Statistics. 2002. http://www.cdc.gov/nchs/data/statnt/statnt24.pdf
  3. Klein RJ, Schoenborn CA. Age adjustment using the 2000 projected U.S. population. Statistical Notes No. 20-. Hyattsville (MD): National Center for Health Statistics. 2001. http://www.cdc.gov/nchs/data/statnt/statnt20.pdf

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
No
Measure
percent 
Numerator
Number of individuals with disabilities who experience delays in receiving needed primary and periodic preventive care due to barriers
Denominator
Number of individuals with disabilities
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable

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
No
Measure
percent 
Numerator
Number of persons with disabilities who experience barriers to obtaining the devices, technologies or services that they need
Denominator
Number of persons with disabilities
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

People with disabilities are identified as having unmet need if the respondent indicates “no” to the first question and “yes” the second question listed in the numerator section. People with disabilities are identified if they or a proxy adult respondent indicate “yes” to any of the questions listed above in the denominator section.

People with disabilities are identified as having unmet need if the respondent indicates “no” to the first question and “yes” the second question listed in the numerator section. People with disabilities are identified if they or a proxy adult respondent indicate “yes” to any of the questions listed above in the denominator section.

References

Additional resources about the objective.

  1. 2002 NHIS basic module adult core revised: October 23, 2003 Pages 88- 94 [Internet]. Rockville (MD): National Center on Health Statistics. c2010- [cited March10.]. Available from ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Survey_Questionnaires/NHIS/2002/qsamadlt.pdf
  2. Klein RJ, Proctor SE, Boudreault MA, Turczyn KM. Healthy people 2010 criteria for data suppression. Statistical Notes No. 24. Hyattsville (MD): National Center for Health Statistics. 2002. http://www.cdc.gov/nchs/data/statnt/statnt24.pdf
  3. Klein RJ, Schoenborn C.A. Age adjustment using the 2000 projected U.S. population. Statistical Notes No. 20-. Hyattsville (MD): National Center for Health Statistics. 2001. http://www.cdc.gov/nchs/data/statnt/statnt20.pdf

About the Data

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

National Data Source
American Housing Survey (AHS); Department of Housing and Urban Development and U.S. Census Bureau (HUD and Census)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
42.1 (2007)
Target
46.3
Target-Setting Method
10 percent improvement
Numerator
Number of newly constructed or retrofitted U.S. homes and residential buildings that have visitable features; namely a no step entrance
Denominator
Number of newly constructed or retrofitted U.S. homes and residential buildings
Questions Used to Obtain the National Baseline Data

From the American Housing Survey, 2007:

NOSTEP entrance accessible without steps or stairs

  • (1) Yes
  • (2) No
  • (D) Don't Know
  • (R) Refused
  • Blank Not reported
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

In cooperation with the U.S. Department of Housing and Urban Development, the Census Bureau conducts the American Housing Survey, a biennial survey of the nation's housing market. The AHS is conducted by the Census Bureau’s 12 regional offices using telephone and personal visit interviews. The Bureau staff make personal visits if the housing unit is new to the AHS sample, if the household living in the sampled unit has changed since the previous interview, or if the period between the interviews exceeds several years, which is the case for the metropolitan areas.

References

Additional resources about the objective.

  1. American Housing Survey (AHS), 2007 [Internet]. Washington (DC): Department of Housing and Urban Developmental. c2010 – [cited 2010, Mar 10.]. Available from http://www.census.gov/prod/2008pubs/h150-07.pdf http://www.census.gov/hhes/www/housing/ahs/ahs.htmlml
  2. Office of Policy Development and Research (PD&R) and HUD user [Internet]. Washington (DC): Department of Housing and Urban Developmental. c2010 – [cited 2010, Mar 10.]. Available from http://www.huduser.org/about/pdrabout.html
DH-12 Reduce the number of people with disabilities living in congregate care residences.

About the Data

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

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
57,462 (2008)
Target
31,604
Target-Setting Method
Projection/trend analysis
Numerator
Number of adults aged 22 years and older with disability who live in large non-nursing, congregate care residences that serve 16 or more people
Questions Used to Obtain the National Baseline Data

From the Survey of State Developmental Disabilities (DD) Directors, University of Minnesota, 2009:

[NUMERATOR:]

State DD Directors are asked to address the following categories by indicating the number of individuals who live in non nursing, congregate care settings that serve individuals with developmental and other disabilities.

  • 1-3 residents
  • 4-6 residents
  • 1-6 residents
  • 7-15 residents
  • 16+ residents
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Adults are considered to live in a large non-nursing congregate setting for people with developmental and other disabilities if the State DD director provides a count for the “16+ residents” category listed in the numerator section.

State DD Directors are asked to complete a form. The information is abstracted and analyzed by investigators at the University of Minnesota; and reported in Residential Services for Persons with Developmental Disabilities: Status and Trends.

State DD Directors are asked to complete a form. The information is abstracted and analyzed by investigators at the University of Minnesota; and reported in Residential Services for Persons with Developmental Disabilities: Status and Trends.

References

Additional resources about the objective.

  1. Lakin KC, Larson S, Salmi P, Scott N., eds. Residential services for persons with developmental disabilities: status and trends through 2008. Minneapolis (MN): University of Minnesota, Research and Training Center on Community Living, Institute on Community Integration, 2009.

About the Data

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

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
28,890 (2009)
Target
26,001
Target-Setting Method
10 percent improvement
Numerator
Number of children and youth aged 21 years and younger with disability who live in a large non-nursing, congregate care residences that serve 16 or more people
Questions Used to Obtain the National Baseline Data

From the Survey of State Developmental Disabilities (DD) Directors, University of Minnesota, 2005:

[NUMERATOR:]

State DD Directors are asked to address the following categories by indicating the number of individuals aged 21 and younger who live in non-nursing congregate care settings that serve individuals with developmental and other disabilities in these categories.

  • 1-3 residents
  • 4-6 residents
  • 1-6 residents
  • 7-15 residents
  • 16+ residents.
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Adults are considered to live in a large non-nursing congregate setting for people with developmental and other disabilities if the State DD director provides a count for the “16+ residents” category listed in the numerator section.

State DD Directors are asked to complete a form. The information is abstracted and analyzed by investigators at the University of Minnesota; and reported in Residential Services for Persons with Developmental Disabilities: Status and Trends.

State DD Directors are asked to complete a form. The information is abstracted and analyzed by investigators at the University of Minnesota; and reported in Residential Services for Persons with Developmental Disabilities: Status and Trends.

References

Additional resources about the objective.

  1. Lakin KC, Larson S, Salmi P, Scott N., eds. Residential services for persons with developmental disabilities: status and trends through 2008. Minneapolis (MN): University of Minnesota, Research and Training Center on Community Living, Institute on Community Integration, 2009.

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
No
Measure
percent 
Numerator
Number of people with disabilities who participate in social, recreational, community and civic activities to the degree that they wish
Denominator
Number of people with disabilities
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

People with disabilities are considered to participate in social activities if they or an adult proxy respond “yes” to the question listed in the numerator section. People with disabilities are identified if they or a proxy adult respondent respond “yes” to any of the questions listed in the denominator section.

References

Additional resources about the objective.

  1. Klein, R.J. Schoenborn C.A. Age Adjustment Using the 2000 Projected U.S. Population. Statistical Notes No. 20-. Hyattsville (MD): National Center for Health Statistics. 2001. http://www.cdc.gov/nchs/data/statnt/statnt20.pdf
  2. Klein, R.J.; Proctor, S.E.; Boudreault, M.A.; Turczyn, K.M. Healthy People 2010 Criteria for Data Suppression. Statistical Notes No. 24. Hyattsville (MD): National Center for Health Statistics. 2002. http://www.cdc.gov/nchs/data/statnt/statnt24.pdf
  3. World Health Organization. International classification of functioning, disability and health. Geneva: World Health Organization. 2001. http://www.who.int/classifications/icf/en

About the Data

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

National Data Source
Individuals with Disabilities Education Act data (IDEA data); Department of Education, Office of Special Education and Rehabilitative Services (ED/OSERS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
56.8 (2007-2008)
Target
73.8
Target-Setting Method
Projection/trend analysis
Numerator
Number of students aged 6 to 21 years with disabilities who are in regular classrooms at least 80 percent of the day
Denominator
Number of students aged 6 to 21 years with disabilities in all classroom settings
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Data come from the IDEA Data System, U.S. Department of Education, Office of Special Education. Data are based on student counts as defined in the numerator and Denominator sections above. Data are aggregated by states and territories so that there are a total of 57 entries (50 states plus DC, Puerto Rico, Guam, American Samoa, Virgin Islands, N. Marianas, BIA). Thus specific population or demographic data are unavailable (i.e. data by gender, race-ethnicity).

References

Additional resources about the objective.

  1. National Center for Health Statistics. DATA 2010 [Internet database]. Hyattsville (MD): National Center for Health Statistics, Centers for Disease Control and Prevention. c2010 – [cited 2020, August 8, 2010.]. Available from: http://wonder.cdc.gov/data2010
  2. OSEP's Annual Reports to Congress on the Implementation of the Individuals with Disabilities Education Act (IDEA) [Internet]. Washington (DC): U.S. Department of Education. c2010 – [cited 2010, Mar 10.]. Available from http://www2.ed.gov/about/reports/annual/osep/index.html

About the Data

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

National Data Source
Current Population Survey (CPS); U.S. Census Bureau and Department of Labor, Bureau of Labor Statistics (Census and DOL/BLS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
14.5 (2009)
Target
13.1
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 16 to 64 years with disabilities who want a job, are available to work, and are actively looking for work
Denominator
Number of persons aged 16 to 64 years with disabilities who are in the U.S. labor force
Questions Used to Obtain the National Baseline Data

From the Current Population Survey (CPS), 2009:

[NUMERATOR:]

10. Does anyone in this household have a business or farm?

  1. Yes
  2. No

11. Last week, did you do any work for either pay or profit?

  1. Yes
  2. No

12. Last week, did you do any unpaid work in the family business or farm?

  1. Yes
  2. No

13. Last week (in addition to the business) did you have a job, either full time or part time? Include any job from which you were temporarily absent.

  1. Yes
  2. No

14. Last week, were you on layoff from a job?

  1. Yes
  2. No

15. Has your employer given you a date to return to work?

  1. Yes
  2. No

16. Have you been given any indication that you will be recalled to work within the next six months?

  1. Yes
  2. No

17. Have you been doing anything to find work during the last four weeks?

  1. Yes
  2. No

18. What are all of the things you have done to find work during the last four weeks?

  • (10). ____________________
  • (11). ____________________
  • (12). ____________________
  • (13). ____________________

14. Last week, could you have started a job if one had been offered? If no, ask 15.

  1. Yes
  2. No

15. Why is that? If reason other than temporary illness, the person is NOT in the labor force.

[denominator:]

[DISABILITY IDENTIFIERS]

This month we want to learn about people who have physical, mental or emotional conditions that cause serious difficulty with their daily activities. Please answer for household members who are 16 years old or over.

Is anyone deaf or do they have serious difficulty hearing?

  1. Yes
  2. No

Is this person blind or do they have serious difficulty seeing, even when wearing glasses?

  1. Yes
  2. No

Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions.

  1. Yes
  2. No

Does this person have serious difficulty walking or climbing stairs?

  1. Yes
  2. No

Does this person have difficulty dressing or bathing?

  1. Yes
  2. No

Because of a physical, mental, or emotional condition, does this person have difficulty doing errands alone such as visiting a doctor's office or shopping?

  1. Yes
  2. No
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Unemployment Rate = Number of people unemployed and actively looking for work / Total civilian labor force.

Individuals who are available to work are considered unemployed if he/she answered "yes" to questions 5, and either 6 or 7, or if they say “yes” to 8 and provide a job search method that could have brought them into contact with a potential employer in 9 and if the said “yes” to 14 or “temporary illness” to 15 as listed in the numerator section above. Individuals are considered in the total civilian labor force with disabilities if they answered “yes” to questions in the denominator section above, and they are classified as employed or unemployed.

References

Additional resources about the objective.

  1. 1997 to the Present [Internet]. Rockville (MD): National Center on Health Statistics. c2010- [cited March10.]. Available from http://www.cdc.gov/nchs/nhis/quest_data_related_1997_forward.htm
  2. Kobau R, Zahran H, Thurman DJ, Zack MM, Henry TR, Schachter SC, Price PH. Epilepsy surveillance among adults—19 states, Behavioral Risk Factor Surveillance System, 2005. MMWR 2008;57(SS-6):1-20.
  3. Questionnaires, Datasets, and Related Documentation

About the Data

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

National Data Source
Current Population Survey (CPS); U.S. Census Bureau and Department of Labor, Bureau of Labor Statistics (Census and DOL/BLS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
19.2 (2009)
Target
21.1
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 16 to 64 years with disabilities who are in the U.S. labor force
Denominator
Number of persons aged 16 to 64 years with disabilities in the U.S.
Questions Used to Obtain the National Baseline Data

From the 2008 Current Population Survey (CPS):

[NUMERATOR:]

1.Does anyone in this household have a business or farm?

  1. Yes
  2. No

2.Last week, did you do any work for either pay or profit?

  1. Yes
  2. No

3.Last week, did you do any unpaid work in the family business or farm?

  1. Yes
  2. No

4.Last week (in addition to the business) did you have a job, either full time or part time? Include any job from which you were temporarily absent.

  1. Yes
  2. No

5.Last week, were you on layoff from a job?

  1. Yes
  2. No

6.Has your employer given you a date to return to work?

  1. Yes
  2. No

7.Have you been given any indication that you will be recalled to work within the next six months?

  1. Yes
  2. No

8.Have you been doing anything to find work during the last four weeks?

  1. Yes
  2. No

9.What are all of the things you have done to find work during the last four weeks?

[denominator:] The CPS asks for an age and disability indicator for persons aged 16 to 64 years with disabilities in the U.S..

[DISABILITY IDENTIFIERS:]

This month we want to learn about people who have physical, mental or emotional conditions that cause serious difficulty with their daily activities. Please answer for household members who are 16 years old or over.

Is anyone deaf or do they have serious difficulty hearing?

  1. Yes
  2. No

Is this person blind or do they have serious difficulty seeing, even when wearing glasses?

  1. Yes
  2. No

Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?

  1. Yes
  2. No

Does this person have serious difficulty walking or climbing stairs?

  1. Yes
  2. No

Does this person have difficulty dressing or bathing?

  1. Yes
  2. No

Because of a physical, mental, or emotional condition, does this person have difficulty doing errands alone such as visiting a doctor's office or shopping?

  1. Yes
  2. No
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Employment Rate = Number employed / Civilian noninstitutionalized population

Individuals, aged 16 to 64 years, are considered employed if they answered "yes" to questions 2, 3, (and work 15 or more hours in the week.

References

Additional resources about the objective.

  1. Behavioral risk factor surveillance system [Internet]. Atlanta (GA): National Center on Chronic Disease Prevention and Health Promotion. c2010 – [cited 2010, Mar 10.]. Available from http://www.cdc.gov/brfss/questionnaires/english.htm
  2. Current Population Survey (CPS), 2010 [Internet]. Washington (DC): Bureau of labor Statistics. c2010 – [cited 2010, Mar 10.]. Available from http://www.bls.census.gov/cps/bqestair.htm
  3. Labor force statistics from the current population survey [Internet database]. Washington (DC): Bureau of Labor Statistics. c2010 – [cited 2010 Mar 11.]. Available from http://www.bls.gov/webapps/legacy/cpsatab6.htm

About the Data

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

National Data Source
Behavioral Risk Factor Surveillance System (BRFSS); Centers for Disease Control and Prevention, Public Health Surveillance and Informatics Program Office (CDC/PHSIPO)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
69.5 (2008)
Target
76.5
Target-Setting Method
10 percent improvement
Numerator
Number of adults aged 18 years and older with disabilities who report that they have sufficient social and emotional support
Denominator
Number of adults aged 18 years and older with disabilities
Questions Used to Obtain the National Baseline Data

From the 2008 Behavioral Risk Factor Surveillance System:

[NUMERATOR:]

How often do you get the social and emotional support you need?

  1. Always
  2. Usually
  3. Sometimes
  4. Rarely
  5. Never
  6. Refused/Not ascertained/Don't know

[denominator/DISABILITY IDENTIFIERS:]

Are you limited in any way in any activities because of physical, mental, or emotional problems?

  1. Yes
  2. No

Do you now have any health problem that requires you to use special equipment, such as a cane, a wheelchair, a special bed, or a special telephone?

  1. Yes
  2. No
  3. Don't know/Not sure
  4. Refused
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Since 2005, the question for the numerator has resided in the core of the BRFSS representing all 50 states, DC, and some territories. Adults with disabilities are considered to have sufficient social and emotional support if they respond “always” or “usually” to the question listed in the numerator section.

Since 2003, the questions for the denominator have resided in the core of the BRFSS representing all 50 states, DC, and some territories. Adults with disabilities are identified in this objective if they responded “yes” to questions listed in the denominator section.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Educational Attainment: 25-34, 35-44, 45-64, 65+
  • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
  • Family Income: 18-24, 25-34, 35-44, 45-64, 65+
  • Sex: 18-24, 25-34, 35-44, 45-64, 65+
  • Health Insurance Status: 18-24, 25-34, 35-44, 45-64
  • Marital Status: 18-24, 25-34, 35-44, 45-64, 65+
  • Geographic Location: 18-24, 25-34, 35-44, 45-64, 65+
  • Obesity Status: 18-24, 25-34, 35-44, 45-64, 65+
  • Total: 18-24, 25-34, 35-44, 45-64, 65+
Caveats and Limitations
The BRFSS is conducted independently by each state and therefore methodologies may vary. Pooled national estimates may not take into account these differences and so may differ from estimates obtained using data sources that use methodologies designed to produce national estimates.

References

Additional resources about the objective.

  1. Behavioral risk factor surveillance system [Internet]. Atlanta (GA): National Center on Chronic Disease Prevention and Health Promotion. c2010 – [cited 2010, Mar 10.]. Available from http://www.cdc.gov/brfss/questionnaires/english.htm
  2. Klein RJ, Proctor SE, Boudreault MA, Turczyn KM. Healthy People 2010 Criteria for Data Suppression. Statistical Notes No. 24. Hyattsville (MD): National Center for Health Statistics. 2002. http://www.cdc.gov/nchs/data/statnt/statnt24.pdf
  3. Klein RJ, Schoenborn CA. Age Adjustment Using the 2000 Projected U.S. Population. Statistical Notes No. 20-. Hyattsville (MD): National Center for Health Statistics. 2001. http://www.cdc.gov/nchs/data/statnt/statnt20.pdf

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
No
Measure
percent 
Numerator
Number of people with disabilities who report having have symptoms of psychological distress
Denominator
Number of people with disabilities
Questions Used to Obtain the National Baseline Data

From the National Health Interview Survey, Sample Child, Sample Adult, and Family core:

[NUMERATOR - CHILD:]

During the past 6 months has (child) been unhappy, depressed, or tearful?

  1. Not true
  2. Sometimes true
  3. Often true
  4. Refused
  5. Don't know

[NUMERATOR - ADULT:]

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

  • So sad that nothing could cheer you up?
  • Nervous?
  • Restless or fidgety?
  • Hopeless?
  • That everything was an effort?
  • Worthless?
  • ALL of the time
  • MOST of the time
  • SOME of the time
  • A LITTLE of the time
  • NONE of the time
  • Refused/Not ascertained/Don't know

[denominator/DISABILITY IDENTIFIERS:]

1 year old or older:

Is this person deaf or do they have serious difficulty hearing?

  1. Yes
  2. No

Is this person blind or do they have serious difficulty seeing, even when wearing glasses?

  1. Yes
  2. No

5 years old or older:

Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?

  1. Yes
  2. No

Does this person have serious difficulty walking or climbing stairs?

  1. Yes
  2. No

Does this person have difficulty dressing or bathing?

15 years old or older:

Because of a physical, mental, or emotional condition, does this person have difficulty doing errands alone such as visiting a doctor's office or shopping?

  1. Yes
  2. No
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

A child/adolescent is considered to have symptoms of psychological distress if the adult proxy responds “yes” to the numerator question for children. People with disabilities are identified if they or an adult proxy indicates “yes” to any of the questions listed in the denominator section.

An adult is considered to have symptoms of psychological distress if they or an adult proxy responds “yes” to ALL of the time or MOST of the time to any of the numerator questions for adults. The six adult questions reflect the Kessler 6 scale which is used internationally to assess feelings of sadness, restlessness, hopelessness, nervousness, worthlessness, and the sense that everything is an effort. Positive responses increase the score. This scale has the sensitivity and specificity to effectively discriminate between cases and non-cases of DSM-IV mood disorders, but it cannot define which specific disorder (such as clinical depression, generalized anxiety disorder) that any given respondent to the survey may have.

References

Additional resources about the objective.

  1. Behavioral risk factor surveillance system [Internet]. Atlanta (GA): National Center on Chronic Disease Prevention and Health Promotion. c2010 – [cited 2010, Mar 10.]. Available from http://www.cdc.gov/brfss/questionnaires/english.htm
  2. Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand S-LT, Walters EE, Zaslavsky AM. Short screening scales to monitor population prevalences and trends in nonspecific psychological distress. PsycholMed 2002;32:959 – 976.
  3. Klein RJ, Schoenborn CA. Age Adjustment Using the 2000 Projected U.S. Population. Statistical Notes No. 20-. Hyattsville (MD): National Center for Health Statistics. 2001. http://www.cdc.gov/nchs/data/statnt/statnt20.pdf

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
No
Measure
percent 
Numerator
Number of persons with disabilities who experience medically treated nonfatal unintentional injuries
Denominator
Number of persons with disabilities
Questions Used to Obtain the National Baseline Data

From the National Health Interview Survey, Family Core, 2010 (Injuries & Poisoning section):

[NUMERATOR:]

During the past three months, did you or anyone in your family have an injury where any part of the body was hurt, [random example provided e.g., cut or wound, broken bone, sprain or burn]?

  1. Yes
  2. No

Did he/she talk to or see a medical professional about this/these injuries?

  1. Yes
  2. No

Of all the times that he/she was injured, how many of those times was the injury serious enough that a medical professional was consulted?"

During the past three months, were you or anyone in your family poisoned by swallowing or breathing in a harmful substance such as bleach, carbon monoxide, or too many pills or drugs? [Do not include food poisoning, sun poisoning, or poison ivy rashes.]

  1. Yes
  2. No

Did he/she talk to or see a medical professional about any of these poisonings?

  1. Yes
  2. No

Of all the times that he/she was poisoned, how many of those times was the poisoning serious enough that a medical professional was consulted?

Did he/she get medical advice, treatment or follow up care for the injury or poisoning?

  1. Yes
  2. No

How did his/her injury/poisoning on date X (starting with most recent if multiple) happen? How did this injury/poisoning happen? Please describe fully the circumstances or events leading to the injury/poisoning, and any objects, substances, or other people involved.

[denominator / DISABILITY IDENTIFIERS:]

1 year old or older:

Is this person deaf or do they have serious difficulty hearing?

  1. Yes
  2. No

Is this person blind or do they have serious difficulty seeing, even when wearing glasses?

  1. Yes
  2. No

5 years old or older:

Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?

  1. Yes
  2. No

Does this person have serious difficulty walking or climbing stairs?

  1. Yes
  2. No

Does this person have difficulty dressing or bathing?

  1. Yes
  2. No

15 years old or older:

Because of a physical, mental, or emotional condition, does this person have difficulty doing errands alone such as visiting a doctor's office or shopping?

  1. Yes
  2. No
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

A person is considered to experience a nonfatal medically treated unintentional injury if they or a proxy adult responded "yes" to the questions listed in the numerator section. A person may indicate up to a total of ten injury and/or poisoning episodes in the time frame and will be represented in the Injury/Poisoning Episode file as many times as he/she had unique injury and/or poisoning episodes. A binary variable (yes=injured, no=not injured in past 3 months) was used.

People with disabilities are identified if they or a proxy adult respondent indicates "yes" to any of the questions listed above in the denominator section.

References

Additional resources about the objective.

  1. 1997 to the Present [Internet]. Rockville (MD): National Center on Health Statistics. c2010- [cited March10.]. Available from http://www.cdc.gov/nchs/nhis/quest_data_related_1997_forward.htm
  2. Behavioral risk factor surveillance system [Internet]. Atlanta (GA): National Center on Chronic Disease and Health Promotion. c2010 – [cited 2010, Mar 10.]. Available from http://www.cdc.gov/brfss/questionnaires/english.htm
  3. Klein RJ, Schoenborn CA. Age adjustment using the 2000 projected U.S. population. Statistical Notes No. 20-. Hyattsville (MD): National Center for Health Statistics. 2001. http://www.cdc.gov/nchs/data/statnt/statnt20.pdf

About the Data

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

National Data Source
Individuals with Disabilities Education Act data (IDEA data); Department of Education, Office of Special Education and Rehabilitative Services (ED/OSERS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
91.0 (2007)
Target
95.0
Target-Setting Method
Projection/trend analysis
Numerator
Number of children aged 0 (birth) to 2 years with disabilities who receive early intervention services through Part C of IDEA in home or community-based settings
Denominator
Number of children aged 0 (birth) to 2 years with disabilities who need early intervention services through Part C of IDEA in all settings
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Data are derived from the Individuals with Disabilities Education Act (IDEA) database, U.S. Department of Education, Office of Special Education Programs. As required under Section 618 of IDEA, states and territories report the setting where Part C services are delivered (home, community-based, or other).

Data are based on child counts as defined in the numerator and denominator sections above. Data are aggregated by states and territories so that there are a total of 57 entries (50 states plus DC, Puerto Rico, Guam, American Samoa, Virgin Islands, N. Marianas, BIA). Specific population template data are unavailable (e.g., data by gender, race-ethnicity). Data can be found at: https://www.ideadata.org/PartCData.asp, and http://www2.ed.gov/about/reports/annual/2009plan/program.html