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ENT-VSL-14.3 Data Details

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ENT-VSL-14.3 Reduce the proportion of adults who have missed days of work or school in the past 12 months because of balance and dizziness problems

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): 
14.5 (2008)
Target: 
13.0
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons aged 18 years and over with dizziness or balance problems in the past 12 months who missed days of work or school because of their dizziness or balance problems

Denominator: 

Number of persons aged 18 years and over with dizziness or balance problems in the past 12 months

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

    [NUMERATOR:]

    These next questions are about whether subject's balance or dizziness problems caused them to miss days of school or work in the past year.

    DURING THE PAST 12 MONTHS, how many days of work or school have you missed because of your dizziness or balance problem? (Response categories: 0 to 365)

Data Collection Frequency: 
Periodic
Methodology Notes: 

    The denominator includes those persons who responded “yes” to having a problem with dizziness or balance in the past 12 months or “yes” to one or more of the six symptoms listed. The numerator includes persons who responded “yes” to having a problem with dizziness or balance or “yes” to one or more of the six symptoms AND who responded that they had missed one or more days of work or school because of their dizziness or balance problem.

    Vestibular (inner ear balance) disorders can cause dizziness, vertigo, imbalance, problems with hearing, nausea, fatigue, anxiety, concentration, and other symptoms. They can deeply affect a person's day-to-day functioning, ability to work, social relationships, and quality of life. Balance is a state of body equilibrium or stability. The vestibular and balance disorders are among the most common complaints that lead patients to visit their primary care physicians and are one of the most common reasons elderly people seek medical advice.

    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. Badke MB, Miedaner JA, Shea TA, et al. 2005. Effects of vestibular and balance rehabilitation on sensory organization and dizziness handicap. Ann Otol Rhinol Laryngol. 114(1 Pt 1):48–54.
  2. Cohen H, Kimball KT. 2000. Development of the vestibular disorders activities of daily living scale. Arch Otolaryngol Head Neck Surg. 126: 881–887.
  3. Hillier SL, Hollohan V. 2007. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev. Oct 17;(4):CD005397.