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C-16 Data Details

C-16 Increase the proportion of adults who receive a colorectal cancer screening based on the most recent guidelines Leading Health Indicators

Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.

About the Data

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

National 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
Yes
Measure
percent (age adjusted—see Comments)
Baseline (Year)
52.1 (2008)
Target
70.5
Target-Setting Method
Projection/trend analysis
Numerator
Number of persons aged 50 to 75 years who have had a blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or a colonoscopy in the past 10 years
Denominator
Number of persons aged 50 to 75 years
Questions Used to Obtain the National Baseline Data

From the 2008 National Health Interview Survey Cancer Control Supplement:

[NUMERATOR:]

Have you EVER HAD a sigmoidoscopy, colonoscopy, or proctoscopy?

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

When did you have your MOST RECENT exam?

_____________

Was this MOST RECENT exam a sigmoidoscopy, colonoscopy, proctoscopy or something else?

  1. Sigmoidoscopy
  2. Colonoscopy
  3. Proctoscopy
  4. Other

Have you EVER HAD a blood stool test, using a HOME test kit?

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

When did you have your MOST RECENT blood stool test using a kit at home?

_____________

Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Leading Health Indicator
Clinical Preventive Services
Methodology Notes

Data include persons who have had a blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or a colonoscopy in the past 10 years. Healthy People 2020 uses the U.S. Preventative Services Task Force (USPSTF) guidelines to measure this objective and the current USPSTF guidelines recommend screening for colorectal cancer using fecal occult blood testing annually, sigmoidoscopy 5 years with fecal occult blood testing every 3 years, or colonoscopy 10 years for persons aged 50 to 75 years.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 50-64, 65-75
  • Sex: 50-64, 65-75
  • Race/Ethnicity: 50-64, 65-75
  • Educational Attainment: 50-64, 65-75
  • Family Income: 50-64, 65-75
  • Family Type: 50-64, 65-75
  • Country of Birth: 50-64, 65-75
  • Disability Status: 50-64, 65-75
  • Geographic Location: 50-64, 65-75
  • Marital Status: 50-64, 65-75
Target Calculation Methods
A linear regression model was used to estimate the Healthy People 2020 target based on available data from the National Health Interview Survey. Baseline data are colorectal cancer screening rates in 2008 and the target was set to be between a 10% improvement and the screening rate (based on linear regression) a decade later.
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-12a and 3-12b in that the measure was updated to match new guidelines put forth by the U.S. Preventive Services Task Force.

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 2012, the original baseline was revised from 54.2 to 52.1 due to a change in methodology. Because the change was small, the target was not adjusted.

References

Additional resources about the objective.

  1. U.S. Preventive Services Task Force (USPSTF), AHRQ
    http://www.ahrq.gov/legacy/clinic/uspstfix.htm