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RD-1.2 Data Details

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RD-1.2 Reduce asthma deaths among adults aged 35 to 64 years old

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 1,000,000
Baseline (Year): 
11.0 (2007)
Target: 
4.9
Target-Setting Method: 
Projection/trend analysis
Target-Setting Method Justification: 
The 2007 baseline rate was 11.0 per million population aged 35 to 64 years. Because of the change to ICD-10 in 1999, only nine data points were available for consideration. Applying linear regression using these nine data points produced a target death rate of 6.0 per million for 2017 for this age group. The target reflects significant change.
Numerator: 

Number of asthma deaths (ICD-10 codes J45-J46) among persons aged 35 to 64 years

Denominator: 

Number of persons aged 35 to 64 years

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

    Deaths due to asthma (ICD-10 codes J45-J46).

    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.

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.
Target Calculation Methods: 
Linear regression was used to estimate the Healthy People 2020 target based on 1999-2007 trend data from the NVSS-M. The Healthy People 2020 baseline year is 2007 and the target was derived by calculating the expected rate a decade later.

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 1,000,000
Numerator: 

Number of asthma deaths (ICD-10 codes J45-J46) among persons aged 35 to 64 years

Denominator: 

Number of persons aged 35 to 64 years

Data Collection Frequency: 
Annual
Methodology Notes: 

      Deaths due to asthma (ICD-10 codes J45-J46).

      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.

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. The target was adjusted from 6.0 to 4.9 deaths per million adults aged 35 to 64 years using the original target-setting method. Although the baseline estimate for the total population did not change, some baseline estimates for population subgroups were revised. 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.