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HDS-16.1 Data Details

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HDS-16.1 Increase the proportion of adults aged 20 years and older who are aware of the early warning symptoms and signs of a heart attack and the importance of accessing rapid emergency care by calling 9–1–1 or another emergency number

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): 
37.2 (2008)
Target: 
40.9
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons aged 20 years and over who were aware of the early warning symptoms and signs of a heart attack and the importance of accessing rapid emergency care by calling 9-1-1 or another emergency number

Denominator: 

Number of persons aged 20 years and over

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

    From the 2008 National Health Interview Survey Heart Disease Supplement:

    [NUMERATOR:]

    Which of the following would you say are the symptoms that someone may be having a heart attack?

    Pain or discomfort in the jaw, neck or back.

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

    Feeling weak, lightheaded or faint.

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

    Chest pain or discomfort.

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

    Pain or discomfort in the arms or shoulder.

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

    Shortness of breath.

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

    If you thought someone was having a heart attack, what is the BEST thing to do right away?

    1. Advise them to drive to the hospital
    2. Advise them to call their physician
    3. Call 9-1-1 (or another emergency number)
    4. Call spouse or family member
    5. Other
    6. Refused
    7. Don't know
Data Collection Frequency: 
Periodic
Methodology Notes: 

    Persons are considered to be aware of the early warning symptoms and signs of a heart attack and the importance of calling 9-1-1 if they respond
    “yes” to all the symptom questions listed in the NUMERATOR section and indicate that the best thing to do is call 9-1-1 (or another
    emergency number).

    Persons are considered to be unaware of the early warning symptoms and signs of a heart attack and the importance of
    calling 9-1-1 if they respond “no” or “don’t know” to any of the symptom questions listed in the NUMERATOR section or indicate that the best
    thing to do is "advise them to drive to the hospital," "advise them to call their physician," "call spouse or family member," "other," or "don’t know."

    Age Adjustment Notes: 

    This Indicator uses Age-Adjustment Groups:

    • Total: 20-24, 25-34, 35-44, 45-64, 65+
    • Sex: 20-24, 25-34, 35-44, 45-64, 65+
    • Race/Ethnicity: 20-24, 25-34, 35-44, 45-64, 65+
    • Educational Attainment: 25-34, 35-44, 45-64, 65+
    • Family Income (percent poverty threshold): 20-24, 25-34, 35-44, 45-64, 65+
    • Family Type: 20-24, 25-34, 35-44, 45-64, 65+
    • Country of Birth: 20-24, 25-34, 35-44, 45-64, 65+
    • Disability Status: 20-24, 25-34, 35-44, 45-64, 65+
    • Geographic Location: 20-24, 25-34, 35-44, 45-64, 65+
    • Health Insurance Status: 20-24, 25-34, 35-44, 45-64
    • Sexual Orientation: 20-24, 25-34, 35-44, 45-64, 65+
    • Marital Status: 20-24, 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 2012, the original baseline was revised from 39.2 to 37.2 percent due to changes in how the response “don’t know” is handled. Previously responses of “don’t know” were excluded, but they are now included as lack of awareness. The target was proportionally adjusted from 43.1 percent to 40.9 percent to reflect the revised baseline using the original target-setting method.