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DH-8 Data Details

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DH-8 Reduce the proportion of adults with disabilities aged 18 and older who experience physical or program barriers that limit or prevent them from using available local health and wellness programs

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): 
76.8 (2011)
Target: 
69.1
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons aged 18 years and over with disabilities who experience barriers to accessing local health, wellness, or fitness programs that meet their needs

Denominator: 

Number of persons aged 18 years and over with disabilities.

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

    From the 2010 National Health Interview Survey Supplement:

    [NUMERATOR:]

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

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

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

    1. None
    2. Cost is too high for your budget
    3. Lack of transportation
    4. Access into/within the building
    5. Lack of exercise equipment that meets your needs
    6. Lack of an instructor to show you how to use the equipment
    7. Other
    8. Refused
    9. 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: 

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

    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+
Changes Between HP2010 and HP2020: 
The HP2010 objective with the same definition was 06-10 <a href="https://wonder.cdc.gov/data2010/" class="pub_med_link" target="_blank">https://wonder.cdc.gov/data2010/</a>.

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 2015, DH-8 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 physical or program barriers that limit or prevent them from using available local health and wellness programs. The baseline is 76.8 percent in 2011. The target of 69.1 percent was set using the 10 percent improvement target-setting method.

References

Additional resources about the objective

  1. 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.
  2. NHIS Data Questionnaires and Related Documentation. Hyattsville, MD: National Center for Health Statistics.