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DH-4 Data Details

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DH-4 Reduce the proportion of adults with disabilities aged 18 years and older who experience delays in receiving primary and periodic preventive care due to specific barriers

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): 
47.2 (2009)
Target: 
42.5
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of individuals with disabilities aged 18 and over who experience delays in receiving needed primary and periodic preventive care due to barriers

Denominator: 

Number of individuals with disabilities aged 18 and over

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

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

    [NUMERATOR:]

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

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

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

    Prescription medicines?

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

    Mental health care or counseling?

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

    Dental care (including check-ups)?

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

    Eyeglasses?

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

    [NUMERATOR AND DENOMINATOR (DISABILITY IDENTIFIERS):]

    1 year old or older:

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

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

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

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

    5 years old or older:

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

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

    Does this person have serious difficulty walking or climbing stairs?

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

    Does this person have difficulty dressing or bathing?

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

    15 years old or older:

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

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

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

    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 2017, DH-4 target was revised to 42.5 percent using the 10 percent improvement target-setting method. In 2016, the baseline was revised from 49.5 to 47.2 due to a programming error. In 2015, DH-4 was moved from developmental to measurable (a baseline and target were established) and was reworded. The objective statement is: Reduce the proportion of adults with disabilities aged 18 years and older who experience delays in receiving primary and periodic preventive care due to specific barriers. The baseline is 49.5 percent in 2009. The target of 44.6 percent was set using the 10 percent improvement target-setting method.

References

Additional resources about the objective

  1. Behavioral risk factor surveillance system. Atlanta, GA: National Center on Chronic Disease Prevention and Health Promotion.
  2. Klein RJ, Proctor SE, Boudreault MA, Turczyn KM. Healthy people 2010 criteria for data suppression. Statistical Notes No. 24. Hyattsville, MD: National Center for Health Statistics. 2002.
  3. Klein RJ, Schoenborn CA. Age adjustment using the 2000 projected U.S. population. Statistical Notes No. 20. Hyattsville, MD: National Center for Health Statistics. 2001.