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IVP-23.2 Data Details

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IVP-23.2 Prevent an increase in fall-related deaths among adults aged 65 years and older

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): 
47.0 (2007)
Target: 
47.0
Target-Setting Method: 
Maintain the baseline value.
Target-Setting Method Justification: 
The fall-related death rate among persons aged 65 years and older increased 54 percent between 1999 and 2007. The target of maintaining the baseline is proposed because aiming to reduce the rate is too ambitious.
Numerator: 

Number of unintentional deaths from falls (ICD-10 codes W00-W19) among adults aged 65 years and over

Denominator: 

Number of adults aged 65 years and over

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

    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.

    Age Adjustment Notes: 

    This Indicator uses Age-Adjustment Groups:

    • Total: 65-74, 75-84, 85+
    • Sex: 65-74, 75-84, 85+
    • Race/Ethnicity: 65-74, 75-84, 85+
    • Country of Birth: 65-74, 75+
    • Geographic Location: 65-74, 75-84, 85+
    • Marital Status: 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.
Changes Between HP2010 and HP2020: 
Healthy People 2010 objective 15-27, which tracks deaths from unintentional falls among all ages, was retained as Healthy People 2020 objective IVP-23.1. This objective differs from Healthy People 2010 objective 15-27 in that it is limited to adults aged 65 and over, the age group at highest risk of unintentional falls.

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 unintentional deaths from falls (ICD-10 codes W00-W19) among adults aged 65 years and over

Denominator: 

Number of adults aged 65 years and over

Data Collection Frequency: 
Annual
Methodology Notes: 

      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.

    Age Adjustment Notes: 

    This Indicator uses Age-Adjustment Groups:

    • Total: 65-74, 75-84, 85+
    • Sex: 65-74, 75-84, 85+
    • Race/Ethnicity: 65-74, 75-84, 85+
    • Country of Birth: 65-74, 75+
    • Geographic Location: 65-74, 75-84, 85+
    • Marital Status: 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 45.3 to 47.0. The target was adjusted from 45.3 to 47.0 to reflect the revised baseline using the original target-setting method. Note that all mortality rates shown here for 2007–2009 (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 2014, the 2007-2010 data were revised due to a programming error in the age adjustment of the original data, affecting the SE's and data by marital status. 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.