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ENT-VSL-12 Data Details

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ENT-VSL-12 Increase the proportion of adults with moderate to severe balance or dizziness problems who have seen or been referred to a health care specialist for evaluation or treatment

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): 
65.4 (2008)
Target: 
72.0
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons aged 18 years and over for whom dizziness, vertigo, or imbalance (unsteadiness) is a moderate, big, or very big problem and who have been seen by, or referred to, a Health Care specialist such as an ENT (Ear, Nose, and Throat physician), an audiologist, a neurologist, a cardiologist, an internist, a podiatrist (foot doctor), a physical therapist, an occupational therapist, or other specialist

Denominator: 

Number of persons aged 18 years and over for whom dizziness, vertigo, or imbalance (unsteadiness) is a moderate, big, or very big problem

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

    From the 2008 National Health Interview Survey, Balance and Dizziness Supplement:

    [NUMERATOR AND DENOMINATOR:]

    DURING THE PAST 12 MONTHS, have you had a problem with dizziness or balance? Do not include times when drinking alcohol.

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

    This next question is about symptoms of dizziness or balance problems. Please tell me if you have had any of these problems in the past 12 months. Please say yes or no to each.

    • A spinning or vertigo sensation, a rocking of yourself or your surroundings
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • A floating, spacey, or tilting sensation
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • Feeling lightheaded, without a sense of motion
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • Feeling as if you are going to pass out or faint
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • Blurring of your vision when you move your head
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • Feeling off-balance or unsteady
    1. Yes
    2. No
    3. Refused
    4. Don't know

    DURING THE PAST 12 MONTHS, which ONE of these feelings of dizziness or balance problems bothered you the most? [Read categories below.]

    1. Feeling a sense of spinning
    2. A floating or spacey feeling
    3. Feeling lightheaded
    4. Feeling like you are about to pass out
    5. Blurred vision
    6. Unsteadiness
    7. Refused
    8. Don't know

    DURING THE PAST 12 MONTHS, how much of a problem was your dizziness or balance condition?

    1. No problem
    2. A small problem
    3. A moderate problem
    4. A big problem
    5. A very big problem
    6. Refused
    7. Don't know

    [NUMERATOR:]

    Have you ever seen a doctor or other health care professional, except for in the emergency room, about your most bothersome dizziness or balance problem?

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

    Which of the following types of doctors or health care professionals have you seen about your most bothersome dizziness or balance problem? Please say Yes or No to each.

    • Cardiologist or doctor of internal medicine
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • Ear, nose, and throat doctor
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • Neurologist
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • Eye doctor, optometrist, or ophthalmologist
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • Podiatrist or foot doctor
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • Psychiatrist, psychologist or social worker
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • Occupational therapist, physical therapist, or rehabilitation specialist
    1. Yes
    2. No
    3. Refused
    4. Don't know
  • Radiologist or technician for MRI, CAT scan or ultrasound
    1. Yes
    2. No
    3. Refused
    4. Don't know
Data Collection Frequency: 
Periodic
Methodology Notes: 

    The denominator includes those persons who responded “yes” to having a balance or dizziness problem in the past 12 months and who said it was a moderate, big, or very big problem. The numerator includes those persons who responded “yes” to having a balance or dizziness problem in the past 12 months; who said it was a moderate, big, or very big problem; AND who also responded “yes” to having been referred to or seen a health care professional in one of the listed specialties.

    Vestibular disorders, which encompass dizziness and balance problems, occur as significant problems (i.e., judged to be “moderate”, “big”, or “very big” problems). Vestibular impairment is an underlying cause in as many of 45% of patients complaining of “dizziness”. Many vestibular disorder can be treated effectively; however the diagnosis is frequently missed, particularly in older patients. Not all the complaints of dizziness, vertigo, or disequilibrium are symptoms that result from vestibular disorders; some problems are the result of neurologic, vascular, psychological, and even orthopedic pathology. As such, it is not always clear which specialty is appropriate for referral. Consequently, the primary care physician must make important decisions as to the appropriateness and cost-effectiveness of diagnostic procedures and referrals to specialists.

    Age Adjustment Notes: 

    This Indicator uses Age-Adjustment Groups:

    • Total: 18-44, 45-64, 65-74, 75+
    • Sex: 18-44, 45-64, 65-74, 75+
    • Race/Ethnicity: 18-44, 45-64, 65-74, 75+
    • Educational Attainment: 25-44, 45-64, 65-74, 75+
    • Family Income (percent poverty threshold): 18-44, 45-64, 65-74, 75+
    • Family Type: 18-44, 45-64, 65-74, 75+
    • Country of Birth: 18-44, 45-64, 65-74, 75+
    • Disability Status: 18-44, 45-64, 65-74, 75+
    • Geographic Location: 18-44, 45-64, 65-74, 75+
    • Health Insurance Status: 18-44, 45-64
    • Marital Status: 18-44, 45-64, 65-74, 75+

References

Additional resources about the objective

  1. Bhattacharyya N, Baugh RF, Orvidas L, et al. 2008. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 139(5 Suppl 4):S47–8
  2. Cohen HS. 2006. Disability and rehabilitation in the dizzy patient. Curr Opin Neurol. 19(1):49–54.
  3. Konrad HR, Girardi M, Helfert R. 1999. Balance and aging. Laryngoscope. 109:1454–1460.