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Cancer Data Details

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  • C-1 Reduce the overall cancer death rate

    About the Data: National

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

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000 (age adjusted—see Comments)
    Baseline (Year): 
    179.3 (2007)
    Target: 
    161.4
    Target-Setting Method: 
    10 percent improvement
    Numerator: 

    Number of deaths due to cancer (ICD-10 codes C00-C97).

    Denominator: 

    Number of persons

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

      Deaths due to cancer (ICD-10 codes C00-C97).

      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 Notes: 

      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.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Measure: 
    per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
    Numerator: 

    Number of deaths due to cancer (ICD-10 codes C00-C97).

    Denominator: 

    Number of persons

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        Deaths due to cancer (ICD-10 codes C00-C97).

        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 Notes: 

      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 to provide more accurate rates for the period. Thus, the original baseline was revised from 178.4 to 179.3. The target was adjusted from 160.6 to 161.4 to reflect the revised baseline using the original target-setting method. Note that all mortality rates shown here for 2001–2009 (or any subset of those years) are based on intercensal population estimates and may differ from those previously published on the Internet or in print. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2017, the estimates for geographic location were updated to reflect the 2013 urban/rural classification scheme.
  • C-2 Reduce the lung cancer death rate

    About the Data: National

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

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000 (age adjusted—see Comments)
    Baseline (Year): 
    50.6 (2007)
    Target: 
    45.5
    Target-Setting Method: 
    10 percent improvement
    Numerator: 

    Number of deaths due to lung cancer (ICD-10 code C34)

    Denominator: 

    Number of persons

    Comparable Healthy People 2010 Objective: 
    Adapted from HP2010 objective
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      Death due to malignant neoplasm of the bronchus and lung (ICD-10 code C34).

      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 Notes: 

      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: 
    Lung cancer mortality data have been coded for consistency with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI. ICD-10 code C33 typically is included in this category for the reporting of mortality data from NCHS.

    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.
    Changes Between HP2010 and HP2020: 
    This objective differs from Healthy People 2010 objective 3-2 in that ICD-10 code C33 is no longer included. The change was made to be consistent with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Measure: 
    per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
    Numerator: 

    Number of deaths due to lung cancer (ICD-10 code C34)

    Denominator: 

    Number of persons

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        Death due to malignant neoplasm of the bronchus and lung (ICD-10 code C34).

        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 Notes: 

      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: 
    Lung cancer mortality data have been coded for consistency with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI. ICD-10 code C33 typically is included in this category for the reporting of mortality data from NCHS.

    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 to provide more accurate rates for the period. However, the baseline estimate for the total population did not change so the target remained the same. Some baseline estimates for population subgroups were revised. Note that all mortality rates shown here for 2007–2009 (or any subset of those years) are based on intercensal population estimates and may differ from those previously published on the Internet or in print. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2017, the estimates for geographic location were updated to reflect the 2013 urban/rural classification scheme.

    References

    Additional resources about the objective

    1. Data Documentation and Variable Recodes, Surveillance Epidemiology and End Results (SEER), NCI

    2. Lung Cancer Home Page, NCI

  • C-3 Reduce the female breast cancer death rate

    About the Data: National

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

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000 (age adjusted—see Comments)
    Baseline (Year): 
    23.0 (2007)
    Target: 
    20.7
    Target-Setting Method: 
    10 percent improvement
    Numerator: 

    Number of female deaths due to breast cancer (ICD-10 code C50)

    Denominator: 

    Number of females

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

      Death due to malignant neoplasm of the female breast (ICD-10 code C50).

      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 Notes: 

      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+
      • 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.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Measure: 
    per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
    Numerator: 

    Number of female deaths due to breast cancer (ICD-10 code C50)

    Denominator: 

    Number of females

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        Death due to malignant neoplasm of the female breast (ICD-10 code C50).

        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 Notes: 

      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+
      • 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 to provide more accurate rates for the period. Thus, the original baseline was revised from 22.9 to 23.0. The target was adjusted from 20.6 to 20.7 to reflect the revised baseline using the original target-setting method. Note that all mortality rates shown here for 2001–2009 (or any subset of those years) are based on intercensal population estimates and may differ from those previously published on the Internet or in print. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2017, the estimates for geographic location were updated to reflect the 2013 urban/rural classification scheme.

    References

    Additional resources about the objective

    1. Breast Cancer Home Page, NCI

    2. Cancer Control P.L.A.N.E.T., NCI

  • C-4 Reduce the death rate from cancer of the uterine cervix

    About the Data: National

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

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000 (age adjusted—see Comments)
    Baseline (Year): 
    2.4 (2007)
    Target: 
    2.2
    Target-Setting Method: 
    10 percent improvement
    Numerator: 

    Number of female deaths due to cancer of the uterine cervix (ICD-10 code C53)

    Denominator: 

    Number of females

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

      Death due to malignant neoplasm of the uterine cervix (ICD-10 code C53).

      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 Notes: 

      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+
      • 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.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Measure: 
    per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
    Numerator: 

    Number of female deaths due to cancer of the uterine cervix (ICD-10 code C53)

    Denominator: 

    Number of females

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        Death due to malignant neoplasm of the uterine cervix (ICD-10 code C53).

        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 Notes: 

      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+
      • 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 to provide more accurate rates for the period. However, the baseline estimate for the total population did not change so the target remained the same. Some baseline estimates for population subgroups were revised. Note that all mortality rates shown here for 2001–2009 (or any subset of those years) are based on intercensal population estimates and may differ from those previously published on the Internet or in print. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2017, the estimates for geographic location were updated to reflect the 2013 urban/rural classification scheme.

    References

    Additional resources about the objective

    1. Cancer Control P.L.A.N.E.T., NCI

    2. Cervical Cancer Home Page, NCI

  • C-5 Reduce the colorectal cancer death rate

    About the Data: National

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

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000 (age adjusted—see Comments)
    Baseline (Year): 
    17.1 (2007)
    Target: 
    14.5
    Target-Setting Method: 
    Projection/trend analysis
    Target-Setting Method Justification: 
    The trend for the mortality rate from colorectal cancer each year predicts a decrease of about 33 percent over the decade, due partly to the impact of screening measures. The trend was analyzed using a least squares regression analysis. Because this trend is not expected to continue, a target of 15 percent has been chosen.
    Numerator: 

    Number of deaths due to colorectal cancer (ICD-10 codes C18-C21 and C26.0)

    Denominator: 

    Number of persons

    Comparable Healthy People 2010 Objective: 
    Adapted from HP2010 objective
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      Death due to malignant neoplasm of the colon and rectum (ICD-10 codes C18-C21 and C26.0).

      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 Notes: 

      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: 
    Colorectal cancer mortality data for this indicator have been coded for consistency with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI. ICD-10 code C26.0 typically is not included in this category for the reporting of mortality data from NCHS.

    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.
    Target Calculation Methods: 
    A linear regression model was used to estimate the Healthy People 2020 target based on available data from the National Vital Statistics System. Baseline data are deaths due to colorectal cancer in 2007 and the target was set to be between a 10% improvement and the expected death rate (based on linear regression) a decade later.
    Changes Between HP2010 and HP2020: 
    This objective differs from Healthy People 2010 objective 3-5 in that ICD-10 code C26.0 has been added. The change was made to be consistent with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Measure: 
    per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
    Numerator: 

    Number of deaths due to colorectal cancer (ICD-10 codes C18-C21 and C26.0)

    Denominator: 

    Number of persons

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        Death due to malignant neoplasm of the colon and rectum (ICD-10 codes C18-C21 and C26.0).

        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 Notes: 

      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: 
    Colorectal cancer mortality data for this indicator have been coded for consistency with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI. ICD-10 code C26.0 typically is not included in this category for the reporting of mortality data from NCHS.

    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 to provide more accurate rates for the period. Thus, the original baseline was revised from 17.0 to 17.1. Note that all mortality rates shown here for 2007–2009 (or any subset of those years) are based on intercensal population estimates and may differ from those previously published on the Internet or in print. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2017, the estimates for geographic location were updated to reflect the 2013 urban/rural classification scheme.

    References

    Additional resources about the objective

    1. Cancer Control P.L.A.N.E.T., NCI

    2. Colon and Rectal Cancer Home Page, NCI

    3. Data Documentation and Variable Recodes, Surveillance Epidemiology and End Results (SEER), NCI

  • C-6 Reduce the oropharyngeal cancer death rate

    About the Data: National

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

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000 (age adjusted—see Comments)
    Baseline (Year): 
    2.5 (2007)
    Target: 
    2.3
    Target-Setting Method: 
    10 percent improvement
    Numerator: 

    Number of deaths due to oropharyngeal cancer (ICD-10 codes C00-C14)

    Denominator: 

    Number of persons

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

      Death due to oropharyngeal cancer (ICD-10 codes C00-C14).

      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 Notes: 

      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.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Measure: 
    per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
    Numerator: 

    Number of deaths due to oropharyngeal cancer (ICD-10 codes C00-C14)

    Denominator: 

    Number of persons

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        Death due to oropharyngeal cancer (ICD-10 codes C00-C14).

        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 Notes: 

      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 to provide more accurate rates for the period. However, the baseline estimate for the total population did not change so the target remained the same. Some baseline estimates for population subgroups were revised. Note that all mortality rates shown here for 2001–2009 (or any subset of those years) are based on intercensal population estimates and may differ from those previously published on the Internet or in print. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2017, the estimates for geographic location were updated to reflect the 2013 urban/rural classification scheme.
  • C-7 Reduce the prostate cancer death rate

    About the Data: National

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

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000 (age adjusted—see Comments)
    Baseline (Year): 
    24.2 (2007)
    Target: 
    21.8
    Target-Setting Method: 
    10 percent improvement
    Numerator: 

    Number of male deaths due to prostate cancer (ICD-10 codes C61)

    Denominator: 

    Number of males

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

      Male deaths due to prostate cancer (ICD-10 code C61).

      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 Notes: 

      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.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Measure: 
    per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
    Numerator: 

    Number of male deaths due to prostate cancer (ICD-10 codes C61)

    Denominator: 

    Number of males

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        Male deaths due to prostate cancer (ICD-10 code C61).

        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 Notes: 

      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 to provide more accurate rates for the period. Thus, the original baseline was revised from 23.5 to 24.2. The target was adjusted from 21.2 to 21.8 to reflect the revised baseline using the original target-setting method. Note that all mortality rates shown here for 2001–2009 (or any subset of those years) are based on intercensal population estimates and may differ from those previously published on the Internet or in print. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2017, the estimates for geographic location were updated to reflect the 2013 urban/rural classification scheme.

    References

    Additional resources about the objective

    1. Prostate Cancer Home Page, NCI

  • C-8 Reduce the melanoma cancer death rate

    About the Data: National

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

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000 (age adjusted—see Comments)
    Baseline (Year): 
    2.7 (2007)
    Target: 
    2.4
    Target-Setting Method: 
    10 percent improvement
    Numerator: 

    Number of deaths due to melanoma cancer (ICD-10 code C43)

    Denominator: 

    Number of persons

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

      Death due to melanoma cancer (ICD-10 code C43).

      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 Notes: 

      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.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Bridged-race Population Estimates
    National Vital Statistics System-Mortality
    Measure: 
    per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
    Numerator: 

    Number of deaths due to melanoma cancer (ICD-10 code C43)

    Denominator: 

    Number of persons

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        Death due to melanoma cancer (ICD-10 code C43).

        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 Notes: 

      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 to provide more accurate rates for the period. However, the baseline estimate for the total population did not change so the target remained the same. Some baseline estimates for population subgroups were revised. Note that all mortality rates shown here for 2001–2009 (or any subset of those years) are based on intercensal population estimates and may differ from those previously published on the Internet or in print. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2017, the estimates for geographic location were updated to reflect the 2013 urban/rural classification scheme.

    References

    Additional resources about the objective

    1. Melanoma Home Page, NCI

  • C-9 Reduce invasive colorectal cancer

    About the Data: National

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

    Data Source: 
    Bridged-race Population Estimates
    National Program of Cancer Registries
    Surveillance, Epidemiology, and End Results Program
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000 (age adjusted—see Comments)
    Baseline (Year): 
    47.1 (2007)
    Target: 
    40.0
    Target-Setting Method: 
    Projection/trend analysis
    Target-Setting Method Justification: 
    The trend for the incidence rate of invasive colorectal cancer each year predicts a decrease of about 33 percent over the decade, due partly to the impact of screening measures. The trend was analyzed using a least squares regression analysis. Because this trend is not expected to continue, a target of 15 percent has been chosen.
    Numerator: 

    Number of diagnosed incident cases of invasive colorectal cancer (ICD-O-3 codes C18.0-C18.9, C19.9 and C20.9)

    Denominator: 

    Number of persons

    Comparable Healthy People 2010 Objective: 
    Not applicable
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      The data source is the United States Cancer Statistics report which uses the combined data from the NCI Surveillance, Epidemiology and End Results (SEER) registry data and the CDC National Program of Cancer Registries (NPCR). Together, these registries cover more than 96% of the U.S. population.

      Since the SEER database is continually updated, the estimates will change annually as more cases are received by SEER. To ensure the latest data available are shown, all tracking data for this objective will be updated on an annual basis until the close of Healthy People 2020.

      Age Adjustment Notes: 

      This Indicator uses Age-Adjustment Groups:

      • Total: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
      • Sex: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
      • Race/Ethnicity: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
    Target Calculation Methods: 
    A linear regression model was used to estimate the Healthy People 2020 target based on available data from the National Program of Cancer Registries (NPCR) and Surveillance, Epidemiology, and End Results (SEER) Program. Baseline data are new cases of colorectal cancer in 2006 and the target was set to be between a 10% improvement and the expected new case rate (based on linear regression) a decade later.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Bridged-race Population Estimates
    National Program of Cancer Registries
    Surveillance, Epidemiology, and End Results Program
    Measure: 
    per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
    Numerator: 

    Number of diagnosed incident cases of invasive colorectal cancer (ICD-O-3 codes C18.0-C18.9, C19.9 and C20.9)

    Denominator: 

    Number of persons

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        The data source is the United States Cancer Statistics report which uses the combined data from the NCI Surveillance, Epidemiology and End Results (SEER) registry data and the CDC National Program of Cancer Registries (NPCR). Together, these registries cover more than 96% of the U.S. population.

        Since the SEER database is continually updated, the estimates will change annually as more cases are received by SEER. To ensure the latest data available are shown, all tracking data for this objective will be updated on an annual basis until the close of Healthy People 2020.

      Age Adjustment Notes: 

      This Indicator uses Age-Adjustment Groups:

      • Total: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
      • Sex: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
      • Race/Ethnicity: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+

    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, the original baseline was revised from 45.4 to 45.5 new cases of colorectal cancer per 100,000 population due to a programming error for the original estimate. The target was adjusted from 38.6 to 38.7 to reflect the revised baseline using the original target-setting method. In 2014, the baseline was revised from 45.5 to 46.9 to reflect data surveillance updates. The target was adjusted from 38.7 to 39.9 to reflect the revised baseline using the original target-setting method. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2018, the baseline was revised from 47.0 to 47.1 to reflect data surveillance updates. The target was adjusted from 39.9 to 40.0 to reflect the revised baseline using the original target-setting method.

    References

    Additional resources about the objective

    1. U.S. Cancer Statistics

    2. U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2006 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010.
  • C-10 Reduce invasive uterine cervical cancer

    About the Data: National

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

    Data Source: 
    Bridged-race Population Estimates
    National Program of Cancer Registries
    Surveillance, Epidemiology, and End Results Program
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000 (age adjusted—see Comments)
    Baseline (Year): 
    8.1 (2007)
    Target: 
    7.3
    Target-Setting Method: 
    10 percent improvement
    Numerator: 

    Number of diagnosed incident cases of invasive uterine cervix cancer (ICD-O-3 codes C53.0-C53.9) in the U.S.

    Denominator: 

    Number of females

    Comparable Healthy People 2010 Objective: 
    Not applicable
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      The data source is the United States Cancer Statistics report which uses the combined data from the NCI Surveillance, Epidemiology and End Results (SEER) registry data and the CDC National Program of Cancer Registries (NPCR). Together, these registries cover more than 96% of the U.S. population.

      Since the SEER database is continually updated, the estimates will change annually as more cases are received by SEER. To ensure the latest data available are shown, all tracking data for this objective will be updated on an annual basis until the close of Healthy People 2020.

      Age Adjustment Notes: 

      This Indicator uses Age-Adjustment Groups:

      • Total: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
      • Race/Ethnicity: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Bridged-race Population Estimates
    National Program of Cancer Registries
    Surveillance, Epidemiology, and End Results Program
    Measure: 
    per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
    Numerator: 

    Number of diagnosed incident cases of invasive uterine cervix cancer (ICD-O-3 codes C53.0-C53.9) in the U.S.

    Denominator: 

    Number of females

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        The data source is the United States Cancer Statistics report which uses the combined data from the NCI Surveillance, Epidemiology and End Results (SEER) registry data and the CDC National Program of Cancer Registries (NPCR). Together, these registries cover more than 96% of the U.S. population.

        Since the SEER database is continually updated, the estimates will change annually as more cases are received by SEER. To ensure the latest data available are shown, all tracking data for this objective will be updated on an annual basis until the close of Healthy People 2020.

      Age Adjustment Notes: 

      This Indicator uses Age-Adjustment Groups:

      • Total: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
      • Race/Ethnicity: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+

    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 2014, the original baseline was revised from 7.9 to 8.0 to reflect data surveillance updates. The target was adjusted from 7.1 to 7.2 to reflect the revised baseline using the original target-setting method. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2017, the target was adjusted from 7.2 to 7.3 to reflect the baseline revision using the original target-setting method, 10% improvement.

    References

    Additional resources about the objective

    1. U.S. Cancer Statistics

    2. U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2006 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010.
  • C-11 Reduce late-stage female breast cancer

    About the Data: National

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

    Data Source: 
    Bridged-race Population Estimates
    National Program of Cancer Registries
    Surveillance, Epidemiology, and End Results Program
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000 (age adjusted—see Comments)
    Baseline (Year): 
    44.7 (2007)
    Target: 
    42.4
    Target-Setting Method: 
    Projection/trend analysis
    Numerator: 

    Number of diagnosed incident cases of breast cancer (ICD-O-3 codes C50.1-C50.9) in regional or distant stages

    Denominator: 

    Number of females

    Comparable Healthy People 2010 Objective: 
    Not applicable
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      The data source is the United States Cancer Statistics report which uses the combined data from the NCI Surveillance, Epidemiology and End Results (SEER) registry data and the CDC National Program of Cancer Registries (NPCR). Together, these registries cover more than 96% of the U.S. population.

      Since the SEER database is continually updated, the estimates will change annually as more cases are received by SEER. To ensure the latest data available are shown, all tracking data for this objective will be updated on an annual basis until the close of Healthy People 2020.

      Age Adjustment Notes: 

      This Indicator uses Age-Adjustment Groups:

      • Total: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
      • Race/Ethnicity: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
    Target Calculation Methods: 
    A linear regression model was used to estimate the Healthy People 2020 target based on available data from the National Program of Cancer Registries (NPCR) and Surveillance, Epidemiology, and End Results (SEER) Program. Baseline data are new cases of late-stage female breast cancer in 2006 and the target was set to be a 5% improvement, slightly less than the expected case rate (based on linear regression) a decade later.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Bridged-race Population Estimates
    National Program of Cancer Registries
    Surveillance, Epidemiology, and End Results Program
    Measure: 
    per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
    Numerator: 

    Number of diagnosed incident cases of breast cancer (ICD-O-3 codes C50.1-C50.9) in regional or distant stages

    Denominator: 

    Number of females

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        The data source is the United States Cancer Statistics report which uses the combined data from the NCI Surveillance, Epidemiology and End Results (SEER) registry data and the CDC National Program of Cancer Registries (NPCR). Together, these registries cover more than 96% of the U.S. population.

        Since the SEER database is continually updated, the estimates will change annually as more cases are received by SEER. To ensure the latest data available are shown, all tracking data for this objective will be updated on an annual basis until the close of Healthy People 2020.

      Age Adjustment Notes: 

      This Indicator uses Age-Adjustment Groups:

      • Total: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
      • Race/Ethnicity: <1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+

    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, the original baseline was revised from 43.2 to 43.1 new cases of late-stage breast cancer per 100,000 population due to a programming error for the original estimate. The target was adjusted from 41.0 to 40.9 to reflect the revised baseline using the original target-setting method. In 2014, the original baseline was revised from 43.1 to 44.3 to reflect data surveillance updates. The target was adjusted from 40.9 to 42.1 to reflect the revised baseline using the original target-setting method. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2018, the baseline was revised from 44.5 to 44.6 to reflect data surveillance updates. The target was adjusted from 42.2 to 42.4 to reflect the revised baseline using the original target-setting method.

    References

    Additional resources about the objective

    1. U.S. Cancer Statistics

    2. U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2006 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010.
  • C-12 Increase the number of central, population-based registries from the 50 States and the District of Columbia that capture case information on at least 95 percent of the expected number of reportable cancers

    About the Data: National

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

    Data Source: 
    National Program of Cancer Registries
    Surveillance, Epidemiology, and End Results Program
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    number
    Baseline (Year): 
    43 (2006)
    Target: 
    51
    Target-Setting Method: 
    Total coverage
    Target-Setting Method Justification: 
    Central cancer registries (CCRs) that receive Federal funding are certified annually by the North American Association for Central Cancer Registries. When certification for completeness, accuracy, and timeliness began in 1995, 14 statewide CCRs funded by the National Program of Cancer Registries or the Surveillance, Epidemiology, and End Results Program were certified. By 2006, 42 statewide CCRs were certified. By 2008, that number had increased to 46. Therefore, total coverage is a reasonable goal and has been chosen as the objective target.
    Numerator: 

    Number of States covered by NPCR and SEER programs that capture information on at least 95 percent of expected number of malignant cases occurring in the State residents each year

    Comparable Healthy People 2010 Objective: 
    Adapted from HP2010 objective
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      For the purposes of reporting to state registries, a diagnosis year is the date of the initial diagnosis by a recognized medical practitioner for the tumor being reported.

      NPCR provides funds to 45 states, 3 territories, and the District of Columbia to assist in planning or enhancing registries; develop model legislation and regulations for programs to increase viability of registry operations; set standards for data quality, completeness, and timeliness; provide training for registry personnel; and help establish computerized reporting and data processing systems. SEER covers the remaining five states.

      NPCR supported registries are expected to meet CDC data standards, as well as incorporate standards for data quality and format as described by the North American Association of Cancer Registries. Additional information on the standards for completeness, accuracy, and timeliness of central registry reporting, can be found on the CDC cancer web site.

    Changes Between HP2010 and HP2020: 
    This objective differs from Healthy People 2010 objective 3-14 in that an additional data source, SEER, has been added to cover the 5 states that were not covered by NPCR. However, the target setting method for both Healthy People 2010 and 2020 is total coverage.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    National Program of Cancer Registries
    Surveillance, Epidemiology, and End Results Program
    Measure: 
    number
    Numerator: 

    Number of States covered by NPCR and SEER programs that capture information on at least 95 percent of expected number of malignant cases occurring in the State residents each year

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        For the purposes of reporting to state registries, a diagnosis year is the date of the initial diagnosis by a recognized medical practitioner for the tumor being reported.

        NPCR provides funds to 45 states, 3 territories, and the District of Columbia to assist in planning or enhancing registries; develop model legislation and regulations for programs to increase viability of registry operations; set standards for data quality, completeness, and timeliness; provide training for registry personnel; and help establish computerized reporting and data processing systems. SEER covers the remaining five states.

        NPCR supported registries are expected to meet CDC data standards, as well as incorporate standards for data quality and format as described by the North American Association of Cancer Registries. Additional information on the standards for completeness, accuracy, and timeliness of central registry reporting, can be found on the CDC cancer web site.

    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, the original baseline was revised from 42 to 43 to correct a technical error. The target was not changed since it was already set to be total coverage.

    References

    Additional resources about the objective

    1. Cancer Prevention and Control, CDC

  • C-13 Increase the proportion of cancer survivors who are living 5 years or longer after diagnosis

    About the Data: National

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

    Data Source: 
    Surveillance, Epidemiology, and End Results Program
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    percent
    Baseline (Year): 
    65.2 (2007)
    Target: 
    71.7
    Target-Setting Method: 
    10 percent improvement
    Numerator: 

    5-year observed survival rate

    Denominator: 

    5-year expected survival rate

    Comparable Healthy People 2010 Objective: 
    Adapted from HP2010 objective
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      This measure is tracked with a calculation commonly referred to as the relative survival rate. The relative survival rate is calculated using a procedure whereby the observed survival rate is adjusted for expected mortality. The relative survival rate represents the likelihood that a patient will not die from causes associated specifically with the given cancer before some specified time (usually 5 years) after diagnosis.

      To calculate the relative survival rate, the observed survival rate is divided by the expected survival rate. The observed survival rate is based on all causes of death; no one is excluded. Individuals lost to follow up are censored. The expected survival rate is based on life tables of surviving 5 years in the general population based on age (single year), race, sex, and year of diagnosis (1970, 1980, 1990) of the cohort of cancer patients. This calculation is used so that one does not have to depend on the accuracy and completeness of the cause of death information in order to calculate the effect of the cancer.

      Data for this objective are calculated based on patients diagnosed in the 5-year period immediately preceding a given year year and followed up through that year. For example, the 2007 survival rates used in the baseline are based on patients diagnosed in the 5 year period before 2007 (2002-2006) and followed up through 2007.

      Survival rates are from the SEER program. They are based on data from population-based registries in the SEER 17 areas (San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, Atlanta, San Jose-Monterey, Los Angeles, Alaska Native Registry, Rural Georgia, California excluding San Francisco/San Jose-Monterey/Los Angeles, Kentucky, Louisiana and New Jersey).

      Since the SEER database is continually updated, the estimates will change annually as more cases are received by SEER. To ensure the latest data available are shown, all tracking data for this objective will be updated on an annual basis until the close of Healthy People 2020.

    Changes Between HP2010 and HP2020: 
    This objective differs from Healthy People 2010 objective 3-15 in that the SEER has expanded to 17 registries (SEER 17), compared to the 9 (SEER 9) that were used for Healthy People 2010.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Surveillance, Epidemiology, and End Results Program
    Measure: 
    percent
    Numerator: 

    5-year observed survival rate

    Denominator: 

    5-year expected survival rate

    Data Collection Frequency: 
    Annual
    Methodology Notes: 

        This measure is tracked with a calculation commonly referred to as the relative survival rate. The relative survival rate is calculated using a procedure whereby the observed survival rate is adjusted for expected mortality. The relative survival rate represents the likelihood that a patient will not die from causes associated specifically with the given cancer before some specified time (usually 5 years) after diagnosis.

        To calculate the relative survival rate, the observed survival rate is divided by the expected survival rate. The observed survival rate is based on all causes of death; no one is excluded. Individuals lost to follow up are censored. The expected survival rate is based on life tables of surviving 5 years in the general population based on age (single year), race, sex, and year of diagnosis (1970, 1980, 1990) of the cohort of cancer patients. This calculation is used so that one does not have to depend on the accuracy and completeness of the cause of death information in order to calculate the effect of the cancer.

        Data for this objective are calculated based on patients diagnosed in the 5-year period immediately preceding a given year year and followed up through that year. For example, the 2007 survival rates used in the baseline are based on patients diagnosed in the 5 year period before 2007 (2002-2006) and followed up through 2007.

        Survival rates are from the SEER program. They are based on data from population-based registries in the SEER 17 areas (San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, Atlanta, San Jose-Monterey, Los Angeles, Alaska Native Registry, Rural Georgia, California excluding San Francisco/San Jose-Monterey/Los Angeles, Kentucky, Louisiana and New Jersey).

        Since the SEER database is continually updated, the estimates will change annually as more cases are received by SEER. To ensure the latest data available are shown, all tracking data for this objective will be updated on an annual basis until the close of Healthy People 2020.

    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 2014, the original baseline was revised from 66.2 to 65.2 to reflect data surveillance updates. The target was adjusted from 72.8 to 71.7 to reflect the revised baseline using the original target-setting method.

    References

    Additional resources about the objective

    1. Surveillance Epidemiology and End Results (SEER), NCI

  • C-14 (Developmental) Increase the mental and physical health-related quality of life of cancer survivors

    About the Data

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

    Potential Data Source: 
    National Health Interview Survey
    Changed Since the Healthy People 2020 Launch: 
    No
    Measure: 
    *** Missing ***
    Numerator: 

    *** Missing ***

    Comparable Healthy People 2010 Objective: 
    Not applicable
  • C-15 Increase the proportion of women who receive a cervical cancer screening based on the most recent guidelines

    About the Data

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

    Data Source: 
    National Health Interview Survey
    Changed Since the Healthy People 2020 Launch: 
    No
    Measure: 
    percent (age adjusted—see Comments)
    Baseline (Year): 
    84.5 (2008)
    Target: 
    93.0
    Target-Setting Method: 
    10 percent improvement
    Numerator: 

    Number of women aged 21 to 65 years who have not had a hysterectomy and have had a Pap test in the past 3 years

    Denominator: 

    Number of women aged 21 to 65 years who have not had a hysterectomy

    Comparable Healthy People 2010 Objective: 
    Adapted from HP2010 objective
    Questions Used to Obtain the National Baseline Data: 

      From the 2008 National Health Interview Survey Cancer Control Supplement:

      [NUMERATOR:]

      Have you EVER HAD a Pap smear or Pap test?

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

      [If yes:]

      When did you have your MOST RECENT Pap smear or Pap test?

      _____________

      [NUMERATOR AND DENOMINATOR:]

      Have you EVER HAD a Pap smear or Pap test?

      [If no:]

      What is the most important reason you have {NEVER had a Pap smear or Pap test / NOT had a Pap smear or Pap test in the LAST 3 YEARS}?

      1. No reason/never thought about it
      2. Didn't need/Didn't know I needed this type of test
      3. Doctor didn't order it/didn't say I needed it
      4. Haven't had any problems
      5. Put if off/Didn't get around to it
      6. Too expensive/No insurance/Cost
      7. Too painful, unpleasant, or embarrassing
      8. Had hysterectomy

      [All:]

      Have you had a hysterectomy?

    Data Collection Frequency: 
    Periodic
    Methodology Notes: 

      Data include women who have had a Pap test within the last 3 years. Women who answered “Had hysterectomy” to the third question or did not answer “No” to the fourth question are excluded from the sample. Healthy People 2020 uses the U.S. Preventative Services Task Force (USPSTF) guidelines to measure this objective and the current USPSTF guidelines recommend Pap test every 3 years for women within 3 years of onset of sexual activity or age 21 (whichever comes first) up to 65 years. The USPSTF also recommends against routine Pap smear screening for women who have had a total hysterectomy for benign disease.

      Age Adjustment Notes: 

      This Indicator uses Age-Adjustment Groups:

      • Total: 21-34, 35-44, 45-65
      • Race/Ethnicity: 21-34, 35-44, 45-65
      • Educational Attainment: 25-34, 35-44, 45-65
      • Family Income (percent poverty threshold): 21-34, 35-44, 45-65
      • Family Type: 21-34, 35-44, 45-65
      • Country of Birth: 21-34, 35-44, 45-65
      • Disability Status: 21-34, 35-44, 45-65
      • Geographic Location: 21-34, 35-44, 45-65
      • Health Insurance Status: 21-34, 35-44, 45-65
      • Sexual Orientation: 21-34, 35-44, 45-65
      • Marital Status: 21-34, 35-44, 45-65
    Trend Issues: 
    Beginning with 2018, the American Community Survey questions are no longer available in the NHIS. As a result, tabulated data by disability are discontinued after 2017.
    Changes Between HP2010 and HP2020: 
    This objective differs from Healthy People 2010 objective 3-11b in that the measure was updated to match new guidelines put forth by the U.S. Preventive Services Task Force.

    References

    Additional resources about the objective

    1. U.S. Preventive Services Task Force (USPSTF), AHRQ

  • C-16 Increase the proportion of adults who receive a colorectal cancer screening based on the most recent guidelines
    LHI

    Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.

    About the Data

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

    Data Source: 
    National Health Interview Survey
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    percent (age adjusted—see Comments)
    Baseline (Year): 
    52.1 (2008)
    Target: 
    70.5
    Target-Setting Method: 
    Projection/trend analysis
    Target-Setting Method Justification: 
    According to data from the National Health Interview Survey, colorectal screening rates have increased 40 percent over the past 8 years. A 30-percent improvement has been chosen.
    Numerator: 

    Number of persons aged 50 to 75 years who have had a blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or a colonoscopy in the past 10 years

    Denominator: 

    Number of persons aged 50 to 75 years

    Comparable Healthy People 2010 Objective: 
    Adapted from HP2010 objective
    Questions Used to Obtain the National Baseline Data: 

      From the 2008 National Health Interview Survey Cancer Control Supplement:

      [NUMERATOR:]

      Have you EVER HAD a sigmoidoscopy, colonoscopy, or proctoscopy?

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

      When did you have your MOST RECENT exam?

      _____________

      Was this MOST RECENT exam a sigmoidoscopy, colonoscopy, proctoscopy or something else?

      1. Sigmoidoscopy
      2. Colonoscopy
      3. Proctoscopy
      4. Other

      Have you EVER HAD a blood stool test, using a HOME test kit?

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

      When did you have your MOST RECENT blood stool test using a kit at home?

      _____________

    Data Collection Frequency: 
    Periodic
    Leading Health Indicator:
    Methodology Notes: 

      Data include persons who have had a blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or a colonoscopy in the past 10 years. Healthy People 2020 uses the U.S. Preventative Services Task Force (USPSTF) guidelines to measure this objective and the current USPSTF guidelines recommend screening for colorectal cancer using fecal occult blood testing annually, sigmoidoscopy 5 years with fecal occult blood testing every 3 years, or colonoscopy 10 years for persons aged 50 to 75 years.

      Age Adjustment Notes: 

      This Indicator uses Age-Adjustment Groups:

      • Total: 50-64, 65-75
      • Sex: 50-64, 65-75
      • Race/Ethnicity: 50-64, 65-75
      • Educational Attainment: 50-64, 65-75
      • Family Income (percent poverty threshold): 50-64, 65-75
      • Family Type: 50-64, 65-75
      • Country of Birth: 50-64, 65-75
      • Disability Status: 50-64, 65-75
      • Geographic Location: 50-64, 65-75
      • Sexual Orientation: 50-64, 65-75
      • Marital Status: 50-64, 65-75
    Trend Issues: 
    Beginning with 2018, the American Community Survey questions are no longer available in the NHIS. As a result, tabulated data by disability are discontinued after 2017.
    Target Calculation Methods: 
    A linear regression model was used to estimate the Healthy People 2020 target based on available data from the National Health Interview Survey. Baseline data are colorectal cancer screening rates in 2008 and the target was set to be between a 10% improvement and the screening rate (based on linear regression) a decade later.
    Changes Between HP2010 and HP2020: 
    This objective differs from Healthy People 2010 objective 3-12a and 3-12b in that the measure was updated to match new guidelines put forth by the U.S. Preventive Services Task Force.

    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 2012, the original baseline was revised from 54.2 to 52.1 due to a change in methodology. Because the change was small, the target was not adjusted.

    References

    Additional resources about the objective

    1. U.S. Preventive Services Task Force (USPSTF), AHRQ

  • C-17 Increase the proportion of women who receive a breast cancer screening based on the most recent guidelines

    About the Data

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

    Data Source: 
    National Health Interview Survey
    Changed Since the Healthy People 2020 Launch: 
    No
    Measure: 
    percent (age adjusted—see Comments)
    Baseline (Year): 
    73.7 (2008)
    Target: 
    81.1
    Target-Setting Method: 
    10 percent improvement
    Numerator: 

    Number of women aged 50 to 74 years who have had a mammogram in the past 2 years

    Denominator: 

    Number of women aged 50 to 74 years

    Comparable Healthy People 2010 Objective: 
    Adapted from HP2010 objective
    Questions Used to Obtain the National Baseline Data: 

      From the 2008 National Health Interview Survey Cancer Control Supplement:

      [NUMERATOR:]

      Have you EVER HAD a mammogram?

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

      When did you have your MOST RECENT mammogram?

      _____________

    Data Collection Frequency: 
    Periodic
    Methodology Notes: 

      Data include women who have had a mammogram within the last 2 years. Healthy People 2020 uses the U.S. Preventative Services Task Force (USPSTF) guidelines to measure this objective, and the current USPSTF recommendation includes biennial mammography for women aged 50 to 74 years, with an additional recommendation that starting biennial mammography before age 50 should be an individual decision considering patient context, including a patient’s beliefs regarding possible benefits and harms.

      Age Adjustment Notes: 

      This Indicator uses Age-Adjustment Groups:

      • Total: 50-64, 65-74
      • Race/Ethnicity: 50-64, 65-74
      • Educational Attainment: 50-64, 65-74
      • Family Income (percent poverty threshold): 50-64, 65-74
      • Family Type: 50-64, 65-74
      • Country of Birth: 50-64, 65-74
      • Disability Status: 50-64, 65-74
      • Geographic Location: 50-64, 65-74
      • Sexual Orientation: 50-64, 65-74
      • Marital Status: 50-64, 65-74
    Trend Issues: 
    Beginning with 2018, the American Community Survey questions are no longer available in the NHIS. As a result, tabulated data by disability are discontinued after 2017.
    Changes Between HP2010 and HP2020: 
    This objective differs from Healthy People 2010 objective 3-13 in that the measure was updated to match new guidelines put forth by the U.S. Preventive Services Task Force.

    References

    Additional resources about the objective

    1. U.S. Preventive Services Task Force (USPSTF), AHRQ

  • C-18 Increase the proportion of adults who were counseled about cancer screening consistent with current guidelines

    • C-18.1 Increase the proportion of women who were counseled by their providers about mammograms

      About the Data

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

      Data Source: 
      National Health Interview Survey
      Changed Since the Healthy People 2020 Launch: 
      No
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      69.8 (2008)
      Target: 
      76.8
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of women aged 50 to 74 years who were counseled by their provider about having a mammogram

      Denominator: 

      Number of women aged 50 to 74 years

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2008 National Health Interview Survey Cancer Control Supplement:

        [NUMERATOR:]

        Have you EVER HAD a mammogram?

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

        [If yes:]

        Was your most recent mammogram recommended by a doctor or other health professional?

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

        [If no:]

        In the PAST 12 MONTHS, has a doctor or other health professional recommended that you have a mammogram?

        1. Yes
        2. No
        3. Did not see a doctor in the past 12 months
        4. Refused
        5. Don't know
      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        Data include women whose most recent mammogram was recommended by a provider or whose provider recommended a mammogram in the past 12 months.

        Age Adjustment Notes: 

        This Indicator uses Age-Adjustment Groups:

        • Total: 50-64, 65-74
        • Race/Ethnicity: 50-64, 65-74
        • Educational Attainment: 50-64, 65-74
        • Family Income (percent poverty threshold): 50-64, 65-74
        • Family Type: 50-64, 65-74
        • Country of Birth: 50-64, 65-74
        • Disability Status: 50-64, 65-74
        • Geographic Location: 50-64, 65-74
        • Sexual Orientation: 50-64, 65-74
        • Marital Status: 50-64, 65-74
      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 3-10f in that objective 3-10f tracked the proportion of health care providers who counseled their female patients about mammograms, while the current objective tracks the proportion of women who receive mammogram counseling from their providers. The measure was also updated to match new guidelines put forth by the U.S. Preventive Services Task Force.

      References

      Additional resources about the objective

      1. U.S. Preventive Services Task Force (USPSTF), AHRQ

    • C-18.2 Increase the proportion of women who were counseled by their providers about Pap tests

      About the Data

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

      Data Source: 
      National Health Interview Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      60.2 (2008)
      Target: 
      66.2
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of women aged 21 to 65 years who have not had a hysterectomy and were counseled by their provider about having a Pap test

      Denominator: 

      Number of women aged 21 to 65 years who have not had a hysterectomy

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2008 National Health Interview Survey Cancer Control Supplement:

        [NUMERATOR:]

        Have you EVER HAD a Pap smear or Pap test?

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

        [If yes:]

        Was your most recent Pap smear or Pap test recommended by a doctor or other health professional?

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

        [If no:]

        In the PAST 12 MONTHS, has a doctor or other health professional recommended that you have a Pap smear or Pap test?

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

        [NUMERATOR AND DENOMINATOR:]

        Have you EVER HAD a Pap smear or Pap test?

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

        [If no:]

        What is the most important reason you have {NEVER had a Pap smear or Pap test / NOT had a Pap smear or Pap test in the LAST 3 YEARS}?

        1. No reason/never thought about it
        2. Didn't need/Didn't know I needed this type of test
        3. Doctor didn't order it/didn't say I needed it
        4. Haven't had any problems
        5. Put if off/Didn't get around to it
        6. Too expensive/No insurance/Cost
        7. Too painful, unpleasant, or embarrassing
        8. Had hysterectomy
        9. Don't have doctor
        10. Had an HPV DNA test

        [All:]

        Have you had a hysterectomy?

        1. Yes
        2. No
        3. Refused
        4. Don't know
      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        Data include women whose most recent Pap test was recommended by a provider or whose provider recommended a Pap test in the past 12 months. Only women who have not had a hysterectomy are included in the sample.

        Age Adjustment Notes: 

        This Indicator uses Age-Adjustment Groups:

        • Total: 21-34, 35-44, 45-65
        • Race/Ethnicity: 21-34, 35-44, 45-65
        • Educational Attainment: 25-34, 35-44, 45-65
        • Family Income (percent poverty threshold): 21-34, 35-44, 45-65
        • Family Type: 21-34, 35-44, 45-65
        • Country of Birth: 21-34, 35-44, 45-65
        • Disability Status: 21-34, 35-44, 45-65
        • Geographic Location: 21-34, 35-44, 45-65
        • Health Insurance Status: 21-34, 35-44, 45-64
        • Marital Status: 21-34, 35-44, 45-65
      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 3-10g in that objective 3-10g tracked the proportion of health care providers who counseled their female patients about Pap tests, while the current objective tracks the proportion of women who receive Pap test counseling from their providers. The measure was also updated to match new guidelines put forth by the U.S. Preventive Services Task Force.

      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, the original baseline was revised from 59.8 to 60.2 due to a change in methodology. The target was adjusted from 65.8 to 66.2 to reflect the revised baseline using the original target-setting method.

      References

      Additional resources about the objective

      1. U.S. Preventive Services Task Force (USPSTF), AHRQ

    • C-18.3 (Developmental) Increase the proportion of adults who were counseled by their providers about colorectal cancer screening

      About the Data

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

      Potential Data Source: 
      National Health Interview Survey
      Changed Since the Healthy People 2020 Launch: 
      No
      Measure: 
      percent
      Numerator: 

      *** Missing ***

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

        Data include persons whose provider recommended a colonoscopy, sigmoidoscopy, or blood stool test in the past 12 months. Current US Preventative Services Task Force (USPSTF) guidelines recommend screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy.

      Trend Issues: 
      Objective C-18.3 is similar to Healthy People 2010 objectives 3-10d and 3-10e, which tracked primary care providers who counsel about blood stool and proctoscopic tests, respectively.

      References

      Additional resources about the objective

      1. U.S. Preventive Services Task Force (USPSTF), AHRQ

  • C-19 Increase the proportion of men who have discussed the advantages and disadvantages of the prostate-specific antigen (PSA) test to screen for prostate cancer with their health care provider

    About the Data

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

    Data Source: 
    National Health Interview Survey
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    percent (age adjusted—see Comments)
    Baseline (Year): 
    14.4 (2010)
    Target: 
    15.9
    Target-Setting Method: 
    Minimal statistical significance
    Numerator: 

    Number of men aged 40 years and older who were counseled about advantages and disadvantages of the PSA test

    Denominator: 

    Number of men aged 40 years and older

    Comparable Healthy People 2010 Objective: 
    Not applicable
    Questions Used to Obtain the National Baseline Data: 

      [NUMERATOR:]

      Did a doctor EVER talk with you about the advantages of the PSA test?

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

      Did a doctor EVER talk with you about the disadvantages of the PSA test?

      1. Yes
      2. No
      3. Refused
      4. Don't know
    Data Collection Frequency: 
    Periodic
    Methodology Notes: 

      Data include men who answered yes to both questions.

      Age Adjustment Notes: 

      This Indicator uses Age-Adjustment Groups:

      • Total: 40-49, 50-64, 65-74, 75+
      • Race/Ethnicity: 40-49, 50-64, 65-74, 75+
      • Educational Attainment: 40-49, 50-64, 65-74, 75+
      • Family Income (percent poverty threshold): 40-49, 50-64, 65-74, 75+
      • Family Type: 40-49, 50-64, 65-74, 75+
      • Country of Birth: 40-49, 50-64, 65-74, 75+
      • Disability Status: 40-49, 50-64, 65-74, 75+
      • Geographic Location: 40-49, 50-64, 65-74, 75+
      • Health Insurance Status: 40-49, 50-64
      • Marital Status: 40-49, 50-64, 65-74, 75+
    Trend Issues: 
    Beginning with 2018, the American Community Survey questions are no longer available in the NHIS. As a result, tabulated data by disability are discontinued after 2017.

    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, this objective was moved from developmental to measurable.

    References

    Additional resources about the objective

    1. U.S. Preventive Services Task Force (USPSTF), AHRQ

  • C-20 Increase the proportion of persons who participate in behaviors that reduce their exposure to harmful ultraviolet (UV) irradiation and avoid sunburn

    • C-20.1 Reduce the proportion of adolescents in grades 9 through 12 who report sunburn

      About the Data

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

      Data Source: 
      Youth Risk Behavior Surveillance System
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      55.8 (2015)
      Target: 
      Not applicable
      Target-Setting Method: 
      This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
      Target-Setting Method Justification: 
      Not applicable
      Numerator: 

      Number of students in grades 9 through 12 who reported sunburn during past 12 months

      Denominator: 

      Number of students in grades 9 through 12

      Comparable Healthy People 2010 Objective: 
      Not applicable
      Questions Used to Obtain the National Baseline Data: 

        From the 2015 Youth Risk Behavior Surveillance System:

        [NUMERATOR:]

        During the past 12 months, how many times have you had a sunburn? (Count the number of times even a small part of your skin turned red or hurt for 12 hours or more after being outside in the sun or after using a sunlamp or other indoor tanning device.)

        1. 0 times
        2. 1 time
        3. 2 times
        4. 3 times
        5. 4 times
        6. 5 or more times
      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        Data include adolescents who reported a sunburn one or more times in the past 12 months.

      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 2018, the objective was moved from developmental to informational.

      References

      Additional resources about the objective

      1. Cancer Control P.L.A.N.E.T., NCI

    • C-20.2 Reduce the proportion of adults aged 18 years and older who report sunburn

      About the Data

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

      Data Source: 
      National Health Interview Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      37.5 (2010)
      Target: 
      33.8
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of persons aged 18 years and older who report having a sunburn at least one time in the past 12 months

      Denominator: 

      Number of persons aged 18 years and older

      Comparable Healthy People 2010 Objective: 
      Not applicable
      Questions Used to Obtain the National Baseline Data: 

        From the 2010 National Health Interview Survey Cancer Control Supplement:

        [NUMERATOR:]

        DURING THE PAST 12 MONTHS, how many times have you had a sunburn?

        1. None
        2. 1-365 times
        3. Refused
        4. Don't know
      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        Data include persons who reported having a sunburn one or more times in the past 12 months.

        Age Adjustment Notes: 

        This Indicator uses Age-Adjustment Groups:

        • Total: 18-24, 25-34, 35-44, 45-64, 65+
        • Sex: 18-24, 25-34, 35-44, 45-64, 65+
        • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
        • Educational Attainment: 25-34, 35-44, 45-64, 65+
        • Family Income (percent poverty threshold): 18-24, 25-34, 35-44, 45-64, 65+
        • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
        • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
        • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
        • Geographic Location: 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+

      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, this objective was moved from developmental to measurable.

      References

      Additional resources about the objective

      1. Cancer Control P.L.A.N.E.T., NCI

    • C-20.3 Reduce the proportion of adolescents in grades 9 through 12 who report using artificial sources of ultraviolet light for tanning

      About the Data

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

      Data Source: 
      Youth Risk Behavior Surveillance System
      Changed Since the Healthy People 2020 Launch: 
      No
      Measure: 
      percent
      Baseline (Year): 
      15.6 (2009)
      Target: 
      14.0
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of students in grades 9 through 12 who have used an indoor tanning device at least one time during past 12 months

      Denominator: 

      Number of students in grades 9 through 12

      Comparable Healthy People 2010 Objective: 
      Not applicable
      Questions Used to Obtain the National Baseline Data: 

        From the 2009 Youth Risk Behavior Surveillance System:

        [NUMERATOR:]

        During the past 12 months, how many times did you use an indoor tanning device such as a sunlamp, sunbed, or tanning booth? (Do not include getting a spray-on tan.)

        1. 0 times
        2. 1 or 2 times
        3. 3 to 9 times
        4. 10 to 19 times
        5. 20 to 39 times
        6. 40 or more times
      Data Collection Frequency: 
      Biennial
      Methodology Notes: 

        Data include adolescents who have used an indoor tanning device one or more times in the past 12 months.

    • C-20.4 Reduce the proportion of adults aged 18 and older who report using artificial sources of ultraviolet light for tanning

      About the Data

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

      Data Source: 
      National Health Interview Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      5.6 (2010)
      Target: 
      3.6
      Target-Setting Method: 
      2 percentage point improvement
      Target-Setting Method Justification: 
      After changing the baseline to 5.6%, using the original target-setting method of 10% improvement would result in a target of 5.0%, which equates to a reduction of only 0.6 percentage points. Coincidentally, the same target of 5.0% would result from choosing a target-setting method of minimal statistical significance. We would like to propose a more meaningful and challenging target setting method, a 2 percentage point decline from the baseline, or 3.6%.
      Numerator: 

      Number of persons aged 18 years and older who report using indoor tanning devices

      Denominator: 

      Number of persons aged 18 years and older

      Comparable Healthy People 2010 Objective: 
      Not applicable
      Questions Used to Obtain the National Baseline Data: 

        From the 2010 National Health Interview Survey Cancer Control Supplement:

        [NUMERATOR:]

        DURING THE PAST 12 MONTHS, have you used an indoor tanning device such as a sunlamp, sunbed, or tanning booth EVEN ONE TIME? Do NOT include times you have gotten a spray-on tan.

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

        DURING THE PAST 12 MONTHS, how many times have you used an indoor tanning device such as a sunlamp, sunbed or tanning booth? Do NOT include times you have gotten a spray-on tan.

        1. None
        2. 1-365 times
        3. Refused
        4. Don't know
      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        Data include persons who used indoor tanning devices one or more times in the past 12 months.

        Age Adjustment Notes: 

        This Indicator uses Age-Adjustment Groups:

        • Total: 18-24, 25-34, 35-44, 45-64, 65+
        • Sex: 18-24, 25-34, 35-44, 45-64, 65+
        • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
        • Educational Attainment: 25-34, 35-44, 45-64, 65+
        • Family Income (percent poverty threshold): 18-24, 25-34, 35-44, 45-64, 65+
        • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
        • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
        • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
        • Geographic Location: 18-24, 25-34, 35-44, 45-64, 65+
        • Health Insurance Status: 18-24, 25-34, 35-44, 45-64
        • Sexual Orientation: 18-24, 25-34, 35-44, 45-64, 65+
        • Marital Status: 18-24, 25-34, 35-44, 45-64, 65+

      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, the original baseline was revised from 15.2% to 5.6% due to a change in the baseline year from 2008 to 2010. The target was adjusted from 13.7% to 3.6% to reflect the revised baseline using a new target-setting method of 2 percentage point improvement.
    • C-20.5 Increase the proportion of adolescents in grades 9 through 12 who follow protective measures that may reduce the risk of skin cancer

      About the Data

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

      Data Source: 
      Youth Risk Behavior Surveillance System
      Changed Since the Healthy People 2020 Launch: 
      No
      Measure: 
      percent
      Baseline (Year): 
      9.3 (2009)
      Target: 
      11.2
      Target-Setting Method: 
      Projection/trend analysis
      Target-Setting Method Justification: 
      Health care reform includes specific legislation to increase access to preventive health services, and a new 10 percent tax exists on indoor tanning salons. Based on the projection of the impact of these considerations, this target of 20-percent improvement is challenging yet achievable.
      Numerator: 

      Number of students in grades 9 through 12 who report that they are very likely to use sunscreen

      Denominator: 

      Number of students in grades 9 through 12

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2009 Youth Risk Behavior Surveillance System:

        [NUMERATOR:]

        When you are outside for more than one hour on a sunny day, how often do you wear sunscreen with an SPF of 15 or higher?

        1. Never
        2. Rarely
        3. Sometimes
        4. Most of the time
        5. Always
      Data Collection Frequency: 
      Biennial
      Methodology Notes: 

        For this indicator, a person is defined as following protective measures if the person answers "always" or “most of the time” to the question.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 3-9a in that the data source no longer includes a second question on protective measures to prevent skin cancer.

      References

      Additional resources about the objective

      1. Cancer Control P.L.A.N.E.T., NCI

    • C-20.6 Increase the proportion of adults aged 18 years and older who follow protective measures that may reduce the risk of skin cancer

      About the Data

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

      Data Source: 
      National Health Interview Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      67.0 (2008)
      Target: 
      73.7
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of persons aged 18 years and older who report that they are very likely to limit sun exposure, use sunscreen, or wear protective clothing

      Denominator: 

      Number of persons aged 18 years and older

      Comparable Healthy People 2010 Objective: 
      Retained from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2008 National Health Interview Survey Cancer Control Supplement:

        [NUMERATOR:]

        When you go outside on a warm sunny day for MORE than an hour, how often do you stay in the shade?

        1. Always
        2. Most of the time
        3. Sometimes
        4. Rarely
        5. Never
        6. Don't go out in the sun
        7. Refused
        8. Don't know

        When you go outside on a warm sunny day for MORE than an hour, how often do you wear a hat that shades your face, ears AND neck such as a hat with a wide brim all around?

        1. Always
        2. Most of the time
        3. Sometimes
        4. Rarely
        5. Never
        6. Don't go out in the sun
        7. Refused
        8. Don't know

        When you go outside on a warm sunny day for MORE than an hour, how often do you wear a long sleeved shirt?

        1. Always
        2. Most of the time
        3. Sometimes
        4. Rarely
        5. Never
        6. Don't go out in the sun
        7. Refused
        8. Don't know

        When you go outside on a warm sunny day for MORE than an hour, how often do you wear long pants or other clothing that reaches your ankles?

        1. Always
        2. Most of the time
        3. Sometimes
        4. Rarely
        5. Never
        6. Don't go out in the sun
        7. Refused
        8. Don't know

        When you go outside on a warm sunny day for MORE than an hour, how often do you use sunscreen?

        1. Always
        2. Most of the time
        3. Sometimes
        4. Rarely
        5. Never
        6. Don't go out in the sun
        7. Refused
        8. Don't know

        What is the SPF number of the sunscreen you use most often?

        1. _____________
        2. More than one, different ones, other
        3. Refused
        4. Don't know

        Is the SPF usually 1-14 or 15-50?

        1. 1-14
        2. 15-50
        3. Refused
        4. Don't know
      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        For this indicator, a person is defined as following protective measures if the person answers "always" or “most of the time” to one or more of the questions, with the additional restriction of sunscreen SPF values of 15 or greater for the last question.

        Age Adjustment Notes: 

        This Indicator uses Age-Adjustment Groups:

        • Total: 18-24, 25-34, 35-44, 45-64, 65+
        • Sex: 18-24, 25-34, 35-44, 45-64, 65+
        • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
        • Educational Attainment: 25-34, 35-44, 45-64, 65+
        • Family Income (percent poverty threshold): 18-24, 25-34, 35-44, 45-64, 65+
        • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
        • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
        • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
        • Geographic Location: 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+

      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, the original baseline was revised from 72.8 to 67.0 due to a change in methodology. The target was adjusted from 80.1 to 73.7 to reflect the revised baseline using the original target-setting method.

      References

      Additional resources about the objective

      1. Cancer Control P.L.A.N.E.T., NCI