D-9 Increase the proportion of adults with diabetes who have at least an annual foot examination

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
percent (age adjusted—see Comments)
Baseline (Year)
68.0 (2008)
Target-Setting Method
10 percent improvement
Number of persons aged 18 years and older with diabetes who report that they have seen a health professional for diabetes and have had their feet checked for any sores or irritations
Number of persons aged 18 years and older who report that they have ever been told that they have diabetes
Questions Used to Obtain the National Baseline Data

From the 2008 Behavioral Risk Factor Surveillance System:


About how many times in the past 12 months has a health professional checked your feet for any sores or irritations?

Variable Name: FEETCHK

  • _ _ Number of times [76=76 or more]
  • (88) None
  • (77) DK/Ns
  • (99) Refused


Have you ever been told by a doctor that you have diabetes? (If "Yes" and respondent is female, ask "Was this only when you were pregnant?" If respondent says pre-diabetes or borderline diabetes, use response code 4.)

Variable Name: DIABETE2

  • (1) Yes
  • (2) Yes, but female told only during pregnancy
  • (3) No
  • (4) No, pre-diabetes or borderline diabetes
  • (7) DK/Ns
  • (9) Refused
Data Collection Frequency
Comparable Healthy People 2010 Objective
Retained from HP2010 objective


Methodology Notes

Persons are considered to have diabetes if they had ever been told by a doctor or health professional that they have diabetes or sugar diabetes. Women who report that the only time they have been diagnosed with diabetes was during pregnancy (gestational diabetes) are excluded. Persons who responded pre-diabetes or borderline are counted also excluded. Persons are considered to have had a foot examination if their feet had been checked one or more times in the past 12 months.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Disability Status: 18-44, 45-64, 65+
  • Educational Attainment: 25-44, 45-64, 65+
  • Race/Ethnicity: 18-44, 45-64, 65+
  • Household Income: 18-44, 45-64, 65+
  • Sex: 18-44, 45-64, 65+
  • Health Insurance Status: 18-44, 45-64
  • Marital Status: 18-44, 45-64, 65+
  • Geographic Location: 18-44, 45-64, 65+
  • Obesity Status: 18-44, 45-64, 65+
  • Total: 18-44, 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.
Trend Issues
Data for this objective are collected using the core component and an optional module of the BRFSS, which is made available to States for administration annually. The number of States that select the diabetes module varies every year. In 2008, 38 States including DC used the optional diabetes module. The measure is the mean of data for the reporting States.