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ENT-VSL-15.2 Data Details

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ENT-VSL-15.2 Reduce the proportion of adults with balance and dizziness problems who have been injured as a result of a fall for any reason in the past 12 months

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): 
41.7 (2008)
Target: 
37.5
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons aged 18 years and over with dizziness or balance problems who have fallen and who were injured as a result of a fall in the past 12 months

Denominator: 

Number of persons aged 18 years and over with dizziness or balance problems and who have fallen 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:]

    DURING THE PAST 12 MONTHS, have you fallen at least once a month on average?

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

    DURING THE PAST 12 MONTHS, how many times have you fallen?

    1. None
    2. 1 time
    3. 2 times
    4. 3-4 times
    5. 5-7 times
    6. 8 times
    7. Refused
    8. Don't know

    DURING THE PAST 12 MONTHS, did you have an injury as a result of a fall? For example, with a bruise, cut or wound, sprain, dislocation; fracture, broken bones, back pain, head or neck injury?

    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 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 fallen one or more times during the past 12 months and had had an injury as a result of a fall during the past 12 months.

    Dizziness and loss of balance are among the most common problems bringing patients to their doctor's office. Left untreated, the results can be debilitating. As people get older, the onset of dizziness and falls from balance problems increases. These falls can lead to injury, hospitalization, surgery and even permanent disability. The symptoms may include whirling dizziness, unsteadiness or imbalance when walking, and nausea. These symptoms may be mild, lasting only minutes, or severe, resulting in total disability.

    Many people experience increasing difficulty with balance and safe mobility as they age, which leads to the common and serious problem of falls. These problems are associated with loss of confidence and decreasing ability to function independently and can lead to the consideration of institutional care. Falls are also a major cause of death in the older population. Fortunately, most causes of falls and instability can be treated successfully, with improved mobility, and fall risk reduced. If treatment guidelines were adhered to, improved outcomes in community-dwelling older adults can be expected.

    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. Gillespie LD, Gillespie WJ, Robertson MC, et al. 2004. Interventions for preventing falls in elderly people (Cochrane Review). In: The Cochrane Library, Issue 3. Chichester, UK: John Wiley & Sons, Ltd.
  2. Nelson D, Holtzman D, Bolen J, et al. 2001. Reliability and validity of measures from the Behavioral Risk Factor Surveillance System (BRFSS). Int J Public Health. 46, S3-S35.
  3. Rubenstein LZ, Solomon DH, Roth CP, et al. 2004. Detection and management of falls and instability in vulnerable elders by community physicians. J Am Geriatr Soc. 52(9):1527–1531.