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HDS-3 Data Details

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HDS-3 Reduce stroke deaths

About the Data: National

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
Bridged-race Population Estimates
National Vital Statistics System-Mortality
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
per 100,000 (age adjusted—see Comments)
Baseline (Year): 
43.5 (2007)
Target: 
34.8
Target-Setting Method: 
Projection/trend analysis
Target-Setting Method Justification: 
The HP2010 target of no more than 50 stroke deaths per 100,000 population (age adjusted) was achieved in 2004, well in advance of the end of the tracking period (2007). Between 1999 and 2007, there was a 32.3 percent decline in the stroke death rate, from 61.6 to 42.2 deaths per 100,000 population (age adjusted). Using linear regression, the projected decline in the stroke death rate between 2007 and 2017 is 63.0 percent to 15.6 stroke deaths per 100,000 population (age adjusted) in 2017. The trend in improvement is likely to continue, although at a slower pace. A 20 percent decline in the stroke death rate over the decade is proposed.
Numerator: 

Number of stroke deaths (ICD-10 codes I60-I69)

Denominator: 

Number of persons

Comparable Healthy People 2010 Objective: 
Retained from HP2010 objective
Data Collection Frequency: 
Annual
Methodology Notes: 

    Death due to cerebrovascular diseases, ICD-10 codes: I60-I69.

    FOR SINGLE DATA YEARS: Death rates are calculated based on the resident population of the United States for the data year involved. For census years (e.g. 2010), population counts enumerated as of April 1 are used. For all other years, populations estimates as of July 1 are used. Postcensal population estimates are used in rate calculations for years after a census year and match the data year vintage (e.g. July 1, 2011 resident population estimates from Vintage 2011 are used as the denominator for 2011 rates). Intercensal population estimates are used in rate calculations for the years between censuses (e.g. 1991-1999, 2001-2009). Race-specific population estimates for 1991 and later use bridged-race categories.

    FOR MULTIPLE DATA YEARS: Death rates are calculated based on the sum of the resident populations for each of the data years involved (e.g. the denominator of a rate for 2008-2010 combined is the sum of the population estimates for 2008, 2009, and 2010). For census years (e.g. 2010), population counts enumerated as of April 1 are used. For all other years, populations estimates as of July 1 are used. Postcensal population estimates are used in rate calculations for years after a census year and match the data year vintage (e.g. July 1, 2011 resident population estimates from Vintage 2011 are used as the denominator for 2011 rates). Intercensal population estimates are used in rate calculations for the years between censuses (e.g. 1991-1999, 2001-2009). Race-specific population estimates for 1991 and later use bridged-race categories.

    Age Adjustment Notes: 

    At the National level this Indicator uses Age-Adjustment Groups:

    • Total: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
    • Sex: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
    • Race/Ethnicity: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
    • Country of Birth: <5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
    • Geographic Location: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
    • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75+
Trend Issues: 
Mortality data by marital status were not available for 60% of Georgia’s records in 2008 and 94% of Georgia’s records in 2009. Therefore, 2008 and 2009 data by marital status should be interpreted with caution.

About the Data: State

Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

Data Source: 
Bridged-race Population Estimates
National Vital Statistics System-Mortality
Measure: 
per 100,000 (age adjusted—see Comments) (age adjusted—see Comments)
Numerator: 

Number of stroke deaths (ICD-10 codes I60-I69)

Denominator: 

Number of persons

Data Collection Frequency: 
Annual
Methodology Notes: 

      Death due to cerebrovascular diseases, ICD-10 codes: I60-I69.

      FOR SINGLE DATA YEARS: Death rates are calculated based on the resident population of the United States for the data year involved. For census years (e.g. 2010), population counts enumerated as of April 1 are used. For all other years, populations estimates as of July 1 are used. Postcensal population estimates are used in rate calculations for years after a census year and match the data year vintage (e.g. July 1, 2011 resident population estimates from Vintage 2011 are used as the denominator for 2011 rates). Intercensal population estimates are used in rate calculations for the years between censuses (e.g. 1991-1999, 2001-2009). Race-specific population estimates for 1991 and later use bridged-race categories.

      FOR MULTIPLE DATA YEARS: Death rates are calculated based on the sum of the resident populations for each of the data years involved (e.g. the denominator of a rate for 2008-2010 combined is the sum of the population estimates for 2008, 2009, and 2010). For census years (e.g. 2010), population counts enumerated as of April 1 are used. For all other years, populations estimates as of July 1 are used. Postcensal population estimates are used in rate calculations for years after a census year and match the data year vintage (e.g. July 1, 2011 resident population estimates from Vintage 2011 are used as the denominator for 2011 rates). Intercensal population estimates are used in rate calculations for the years between censuses (e.g. 1991-1999, 2001-2009). Race-specific population estimates for 1991 and later use bridged-race categories.

    Age Adjustment Notes: 

    At the National level this Indicator uses Age-Adjustment Groups:

    • Total: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
    • Sex: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
    • Race/Ethnicity: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
    • Country of Birth: <5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
    • Geographic Location: <1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
    • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75+
Trend Issues: 
Mortality data by marital status were not available for 60% of Georgia’s records in 2008 and 94% of Georgia’s records in 2009. Therefore, 2008 and 2009 data by marital status should be interpreted with caution.

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 2013, rates for 2007–2009 were revised using intercensal population estimates based on the 2000 and 2010 censuses instead of the postcensal estimates for the denominator to provide more accurate rates for the period. Thus, the original baseline was revised from 42.2 to 43.5. The target was adjusted from 33.8 to 34.8 to reflect the revised baseline using the original target-setting method. Note that all mortality rates shown here for 2001–2009 (or any subset of those years) are based on intercensal population estimates and may differ from those previously published on the Internet or in print. In 2015, the denominator data source name was revised from Population Estimates to Bridged-Race Population Estimates for Census 2000 and 2010. The numerator data source, baseline estimate, target, and target-setting method remain unchanged. In 2017, the estimates for geographic location were updated to reflect the 2013 urban/rural classification scheme.

References

Additional resources about the objective

  1. Centers for Disease Control and Prevention. Achievements in public health, 1990 1999: Decline in deaths from heart disease and stroke--United States, 1990-1999. MMWR 1999;48(30):649-56.
  2. Centers for Disease Control and Prevention: Stroke