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IID-13.2 Data Details

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IID-13.2 Increase the percentage of noninstitutionalized high-risk adults aged 18 to 64 years who are vaccinated against pneumococcal disease

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 (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch: 
No
Measure: 
percent
Baseline (Year): 
16.6 (2008)
Target: 
60.0
Target-Setting Method: 
Maintain consistency with national programs, regulations, policies, and laws.
Target-Setting Method Justification: 
The target remains 60 percent. Rates have been relatively stagnant, and no new general initiatives are planned to reach high-risk adults. Additionally, pneumococcal conjugate vaccination of children has had significant indirect effects on disease in adults, supporting justification not to raise vaccination targets for adults at this time.
Numerator: 

Number of high-risk persons aged 18 to 64 years who report ever receiving a pneumococcal vaccination

Denominator: 

Number of high-risk persons aged 18 to 64 years

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

    From the 2008 National Health Interview Survey:

    [NUMERATOR:]

    Have you EVER had a pneumonia vaccination? This shot is usually given only once in a person's lifetime and is different from the flu shot.

    [NUMERATOR AND DENOMINATOR:]

    Have you EVER been told by a doctor or other health professional that you had...

    • Coronary heart disease?
    1. Yes
    2. No
    3. Refused
    4. Don’t know
  • Angina, also called angina pectoris?
    1. Yes
    2. No
    3. Refused
    4. Don’t know
  • A heart attack (also called myocardial infarction)?
    1. Yes
    2. No
    3. Refused
    4. Don’t know
  • Any kind of heart condition or heart disease (other than the ones I just asked about)?
    1. Yes
    2. No
    3. Refused
    4. Don’t know
  • A stroke?
    1. Yes
    2. No
    3. Refused
    4. Don’t know
  • Emphysema?
    1. Yes
    2. No
    3. Refused
    4. Don’t know
  • Asthma?
    1. Yes
    2. No
    3. Refused
    4. Don’t know

    During the PAST 12 MONTHS, have you had an episode of asthma or asthma attack?

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

    Have you EVER been told by a doctor or other health professional that you had ...

    ... Cancer or a malignancy of any kind?

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

    [If yes:] What kind of cancer was it?

    1. Bladder
    2. Blood
    3. Bone
    4. Brain
    5. Breast
    6. Cervix
    7. Colon
    8. Esophagus
    9. Gallbladder
    10. Kidney
    11. Larynx – windpipe
    12. Leukemia
    13. Liver
    14. Lung
    15. Lymphoma
    16. Melanoma
    17. Mouth/tongue/lip
    18. Ovary
    19. Pancreas
    20. Prostate
    21. Rectum
    22. Skin (non-melanoma)
    23. Skin (Don’t know what kind)
    24. Soft Tissue (muscle or fat)
    25. Stomach
    26. Testes
    27. Throat – pharynx
    28. Thyroid
    29. Uterus
    30. Other
    31. More than 3 kinds

    (Other than during pregnancy,) Have you EVER been told by a doctor or health professional that you have diabetes or sugar diabetes?

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

    During the PAST 12 MONTHS, have you been told by a doctor or other health professional that you had..

    • Chronic bronchitis?
    1. Yes
    2. No
    3. Refused
    4. Don’t know
  • Weak or failing kidneys? - Do not include kidney stones, bladder infections or incontinence.
    1. Yes
    2. No
    3. Refused
    4. Don’t know
  • Any kind of liver condition?
    1. Yes
    2. No
    3. Refused
    4. Don’t know

    Have you smoked at least 100 cigarettes in your ENTIRE LIFE?

    • Yes
    • No
    • Refused
    • Don't know

    [IF YES:] Do you NOW smoke cigarettes every day, some days or not at all?

    • Every day
    • Some days
    • Not at all
    • Refused
    • Don't know
Data Collection Frequency: 
Annual
Methodology Notes: 

    High-risk adults are defined by the Advisory Committee on Immunization Practices (ACIP). A high-risk person is a respondent who answered "yes" to one or more of the conditions listed in the Numerator and Denominator questions. Skin cancer is the only listed condition not included in the definition of high risk (skin, non-melanoma and skin, don’t know what kind).

    Not all high-risk conditions for complications of influenza disease (e.g., immunocompromised) can be ascertained through the National Health Interview Survey (NHIS) and the sample size for some groups may be too small.