D-3 Reduce the diabetes death rate

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
Yes
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
74.0 (2007)
Target
66.6
Target-Setting Method
10 percent improvement
Numerator
Number of deaths due to diabetes (ICD-10 codes E10 - E14) reported as the underlying or multiple cause of death
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective

Comments

Methodology Notes

Diabetes-related mortality data are derived from the multiple-cause-of-death files. Data include all mentions of diabetes on the death certificate, whether as an underlying or a multiple cause of death. Diabetes is approximately three times as likely to be listed as multiple cause of death than as underlying cause.

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.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Race/Ethnicity: < 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+
  • Marital Status: 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+
  • Country of Birth: < 5, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
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.
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 73.1 to 74.0. The target was adjusted from 65.8 to 66.6 to reflect the revised baseline using the original target-setting method.