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TU-9.1 Data Details

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TU-9.1 Increase tobacco screening in office-based ambulatory care settings

About the Data

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

Data Source: 
National Ambulatory Medical Care Survey (NAMCS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch: 
Baseline (Year): 
62.4 (2007)
Target-Setting Method: 
10 percent improvement

Number of visits to office-based ambulatory care settings by persons aged 18 years and over at which the patient is classified as either not a current tobacco user or as a current tobacco user


Number of visits to office-based ambulatory care settings by persons aged 18 years and over

Comparable Healthy People 2010 Objective: 
Not applicable
Data Collection Frequency: 
Methodology Notes: 

    “Tobacco use” is identified as a sub-heading of “Patient Information” on the National Ambulatory Medical Care Survey, Patient Record Form. Tobacco use can be classified as not current, current, or unknown.

Caveats and Limitations: 
Unweighted non-response rates for the patients use of tobacco are high (over 30%). Information on patients use of tobacco could be missing from the form either because the doctor didn’t know, the doctor didn’t record, or if the abstracter could not find the information. Because of the high amount of missing information the estimates from these data may serve as a lower bound on the possible value.

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: 
The measure for the objective was revised in 2011. At launch, visits by persons aged 12 years and over were measured; this was revised to visits by persons aged 18 years and over. The rationale for this revision was based on the 2003 US Preventive Task Force conclusion that there was insufficient evidence to recommend for or against the routine screening for tobacco use or interventions to prevent and treat tobacco use and dependence among children or adolescents. As a result of this change, the original baseline was revised from 62.8% to 62.4%. The target was adjusted from 69.1% to 68.6% to reflect the revised baseline using the original target-setting method.


Additional resources about the objective

  1. Ambulatory Health Care Data: NAMCS Scope and Sample Design. National Center for Health Statistics.