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Cancer Data Details

About the Data

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

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
Yes
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
179.3 (2007)
Target
161.4
Target-Setting Method
10 percent improvement
Numerator
Number of deaths due to cancer (ICD-10 codes C00-C97).
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Deaths due to cancer (ICD-10 codes C00-C97).

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.

FOR MULTIPLE DATA YEARS: Death rates are calculated based on the sum of the resident populations for each of the data years involved (e.g. the denominator of a rate for 2008-2010 combined is the sum of the population estimates for 2008, 2009, and 2010). 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

This Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
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. Thus, the original baseline was revised from 178.4 to 179.3. The target was adjusted from 160.6 to 161.4 to reflect the revised baseline using the original target-setting method.

About the Data

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

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
Yes
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
50.6 (2007)
Target
45.5
Target-Setting Method
10 percent improvement
Numerator
Number of deaths due to lung cancer (ICD-10 code C34)
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Death due to malignant neoplasm of the bronchus and lung (ICD-10 code C34).

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

At the National level this Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
Trend Issues
Lung cancer mortality data have been coded for consistency with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI. ICD-10 code C33.0 typically is included in this category for the reporting of mortality data from NCHS. 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
This objective differs from Healthy People 2010 objective 3-2 in that ICD-10 code C33 is no longer included. The change was made to be consistent with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI.

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. However, the baseline estimate for the total population did not change.

References

Additional resources about the objective.

  1. Data Documentation and Variable Recodes, Surveillance Epidemiology and End Results (SEER), NCI
    http://seer.cancer.gov/analysis
  2. Lung Cancer Home Page, NCI
    http://www.cancer.gov/cancertopics/types/lung

About the Data

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

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
Yes
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
23.0 (2007)
Target
20.7
Target-Setting Method
10 percent improvement
Numerator
Number of female deaths due to breast cancer (ICD-10 code C50)
Denominator
Number of females
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Death due to malignant neoplasm of the female breast (ICD-10 code C50).

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.

FOR MULTIPLE DATA YEARS: Death rates are calculated based on the sum of the resident populations for each of the data years involved (e.g. the denominator of a rate for 2008-2010 combined is the sum of the population estimates for 2008, 2009, and 2010). 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

At the National level this Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
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. Thus, the original baseline was revised from 22.9 to 23.0. The target was adjusted from 20.6 to 20.7 to reflect the revised baseline using the original target-setting method

References

Additional resources about the objective.

  1. Breast Cancer Home Page, NCI
    http://www.cancer.gov/cancertopics/types/breast
  2. Cancer Control P.L.A.N.E.T., NCI
    http://cancercontrolplanet.cancer.gov

About the Data

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

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
Yes
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
2.4 (2007)
Target
2.2
Target-Setting Method
10 percent improvement
Numerator
Number of female deaths due to cancer of the uterine cervix (ICD-10 code C53)
Denominator
Number of females
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Death due to malignant neoplasm of the uterine cervix (ICD-10 code C53).

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

This Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
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. However, the baseline estimate for the total population did not change.

References

Additional resources about the objective.

  1. Cancer Control P.L.A.N.E.T., NCI
    http://cancercontrolplanet.cancer.gov
  2. Cervical Cancer Home Page, NCI
    http://www.cancer.gov/cancertopics/types/cervical

About the Data

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

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
No
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
17.1 (2007)
Target
14.5
Target-Setting Method
Projection/trend analysis
Numerator
Number of deaths due to colorectal cancer (ICD-10 codes C18-C21 and C26.0)
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Death due to malignant neoplasm of the colon and rectum (ICD-10 codes C18-C21 and C26.0).

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

At the National level this Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
Trend Issues
Colorectal cancer mortality data for this indicator have been coded for consistency with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI. ICD-10 code C26.0 typically is not included in this category for the reporting of mortality data from NCHS. 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
A linear regression model was used to estimate the Healthy People 2020 target based on available data from the National Vital Statistics System. Baseline data are deaths due to colorectal cancer in 2007 and the target was set to be between a 10% improvement and the expected death rate (based on linear regression) a decade later.
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-5 in that ICD-10 code C26.0 has been added. The change was made to be consistent with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI.

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. Thus, the original baseline was revised from 17.0 to 17.1.

References

Additional resources about the objective.

  1. Cancer Control P.L.A.N.E.T., NCI
    http://cancercontrolplanet.cancer.gov
  2. Colon and Rectal Cancer Home Page, NCI
    http://www.cancer.gov/cancertopics/types/colon-and-rectal
  3. Data Documentation and Variable Recodes, Surveillance Epidemiology and End Results (SEER), NCI
    http://seer.cancer.gov/analysis

About the Data

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

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
Yes
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
2.5 (2007)
Target
2.3
Target-Setting Method
10 percent improvement
Numerator
Number of deaths due to oropharyngeal cancer (ICD-10 codes C00-C14)
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Death due to oropharyngeal cancer (ICD-10 codes C00-C14).

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

This Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
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. However, the baseline estimate for the total population did not change.

About the Data

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

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
Yes
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
24.2 (2007)
Target
21.8
Target-Setting Method
10 percent improvement
Numerator
Number of male deaths due to prostate cancer (ICD-10 codes C61)
Denominator
Number of males
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Male deaths due to prostate cancer (ICD-10 code C61).

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

This Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
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. Thus, the original baseline was revised from 23.5 to 24.2. The target was adjusted from 21.2 to 21.8 to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

About the Data

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

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
Yes
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
2.7 (2007)
Target
2.4
Target-Setting Method
10 percent improvement
Numerator
Number of deaths due to melanoma cancer (ICD-10 code C43)
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Death due to melanoma cancer (ICD-10 code C43).

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

This Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
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. However, the baseline estimate for the total population did not change.

References

Additional resources about the objective.

About the Data

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

National Data Source
Surveillance, Epidemiology, and End Results Program (SEER); National Institutes of Health, National Cancer Institute (NIH/NCI)
National Program of Cancer Registries (NPCR); Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion (CDC/NCCDPHP)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
No
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
45.4 (2007)
Target
38.6
Target-Setting Method
Projection/trend analysis
Numerator
Number of diagnosed incident cases of invasive colorectal cancer (ICD-O-3 codes C18.0-C18.9, C19.9 and C20.9)
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

The data source is the United States Cancer Statistics report which uses the combined data from the NCI Surveillance, Epidemiology and End Results (SEER) registry data and the CDC National Program of Cancer Registries (NPCR). Together, these registries cover more than 96% of the U.S. population.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
  • Sex: < 1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
Target Calculation Methods
A linear regression model was used to estimate the Healthy People 2020 target based on available data from the National Program of Cancer Registries (NPCR) and Surveillance, Epidemiology, and End Results (SEER) Program. Baseline data are new cases of colorectal cancer in 2006 and the target was set to be between a 10% improvement and the expected new case rate (based on linear regression) a decade later.

References

Additional resources about the objective.

  1. U.S. Cancer Statistics
    http://www.cdc.gov/uscs
  2. U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2006 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010.

About the Data

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

National Data Source
Surveillance, Epidemiology, and End Results Program (SEER); National Institutes of Health, National Cancer Institute (NIH/NCI)
National Program of Cancer Registries (NPCR); Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion (CDC/NCCDPHP)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
No
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
7.9 (2007)
Target
7.1
Target-Setting Method
10 percent improvement
Numerator
Number of diagnosed incident cases of invasive uterine cervix cancer (ICD-O-3 codes C53.0-C53.9) in the U.S.
Denominator
Number of females
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

The data source is the United States Cancer Statistics report which uses the combined data from the NCI Surveillance, Epidemiology and End Results (SEER) registry data and the CDC National Program of Cancer Registries (NPCR). Together, these registries cover more than 96% of the U.S. population.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+

References

Additional resources about the objective.

  1. U.S. Cancer Statistics
    http://www.cdc.gov/uscs
  2. U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2006 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010.

About the Data

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

National Data Source
Surveillance, Epidemiology, and End Results Program (SEER); National Institutes of Health, National Cancer Institute (NIH/NCI)
National Program of Cancer Registries (NPCR); Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion (CDC/NCCDPHP)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
No
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
43.2 (2007)
Target
41.0
Target-Setting Method
Projection/trend analysis
Numerator
Number of diagnosed incident cases of breast cancer (ICD-O-3 codes C50.1-C50.9) in regional or distant stages
Denominator
Number of females
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

The data source is the United States Cancer Statistics report which uses the combined data from the NCI Surveillance, Epidemiology and End Results (SEER) registry data and the CDC National Program of Cancer Registries (NPCR). Together, these registries cover more than 96% of the U.S. population.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+
Target Calculation Methods
A linear regression model was used to estimate the Healthy People 2020 target based on available data from the National Program of Cancer Registries (NPCR) and Surveillance, Epidemiology, and End Results (SEER) Program. Baseline data are new cases of late-stage female breast cancer in 2006 and the target was set to be a 5% improvement, slightly less than the expected case rate (based on linear regression) a decade later.

References

Additional resources about the objective.

  1. U.S. Cancer Statistics
    http://www.cdc.gov/uscs
  2. U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2006 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010.

About the Data

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

National Data Source
Surveillance, Epidemiology, and End Results Program (SEER); National Institutes of Health, National Cancer Institute (NIH/NCI)
National Program of Cancer Registries (NPCR); Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion (CDC/NCCDPHP)
Changed Since the Healthy People 2020 Launch
Yes
Measure
number 
Baseline (Year)
43 (2006)
Target
51
Target-Setting Method
Total coverage
Numerator

Number of States covered by NPCR and SEER programs that capture information on at least 95 percent of expected number of malignant cases occurring in the State residents each year

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

For the purposes of reporting to state registries, a diagnosis year is the date of the initial diagnosis by a recognized medical practitioner for the tumor being reported.

NPCR provides funds to 45 states, 3 territories, and the District of Columbia to assist in planning or enhancing registries; develop model legislation and regulations for programs to increase viability of registry operations; set standards for data quality, completeness, and timeliness; provide training for registry personnel; and help establish computerized reporting and data processing systems. SEER covers the remaining five states.

NPCR supported registries are expected to meet CDC data standards, as well as incorporate standards for data quality and format as described by the North American Association of Cancer Registries. Additional information on the standards for completeness, accuracy, and timeliness of central registry reporting, can be found on the CDC cancer web site.

Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-14 in that an additional data source, SEER, has been added to cover the 5 states that were not covered by NPCR. However, the target setting method for both Healthy People 2010 and 2020 is total coverage.

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 original baseline was revised from 42 to 43 to correct a technical error. The target was not changed since it was already set to be total coverage.

References

Additional resources about the objective.

  1. Cancer Prevention and Control, CDC
    http://www.cdc.gov/cancer

About the Data

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

National Data Source
Surveillance, Epidemiology, and End Results Program (SEER); National Institutes of Health, National Cancer Institute (NIH/NCI)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
66.2 (2007)
Target
72.8
Target-Setting Method
10 percent improvement
Numerator
5-year observed survival rate
Denominator
5-year expected survival rate
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

This measure is tracked with a calculation commonly referred to as the relative survival rate. The relative survival rate is calculated using a procedure whereby the observed survival rate is adjusted for expected mortality. The relative survival rate represents the likelihood that a patient will not die from causes associated specifically with the given cancer before some specified time (usually 5 years) after diagnosis.

To calculate the relative survival rate, the observed survival rate is divided by the expected survival rate. The observed survival rate is based on all causes of death; no one is excluded. Individuals lost to follow up are censored. The expected survival rate is based on life tables of surviving 5 years in the general population based on age (single year), race, sex, and year of diagnosis (1970, 1980, 1990) of the cohort of cancer patients. This calculation is used so that one does not have to depend on the accuracy and completeness of the cause of death information in order to calculate the effect of the cancer.

Data for this objective are calculated based on patients diagnosed in the 5-year period immediately preceding a given year year and followed up through that year. For example, the 2007 survival rates used in the baseline are based on patients diagnosed in the 5 year period before 2007 (2002-2006) and followed up through 2007.

Survival rates are from the SEER program. They are based on data from population-based registries in the SEER 17 areas (San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, Atlanta, San Jose-Monterey, Los Angeles, Alaska Native Registry, Rural Georgia, California excluding San Francisco/San Jose-Monterey/Los Angeles, Kentucky, Louisiana and New Jersey).

Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-15 in that the SEER has expanded to 17 registries (SEER 17), compared to the 9 (SEER 9) that were used for Healthy People 2010.

References

Additional resources about the objective.

  1. Surveillance Epidemiology and End Results (SEER), NCI
    http://www.seer.cancer.gov

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
No
Measure
*** Missing *** 
Numerator
*** Missing ***
Comparable Healthy People 2010 Objective
Not applicable

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
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
84.5 (2008)
Target
93.0
Target-Setting Method
10 percent improvement
Numerator
Number of women aged 21 to 65 years who have not had a hysterectomy and have had a Pap test in the past 3 years
Denominator
Number of women aged 21 to 65 years who have not had a hysterectomy
Questions Used to Obtain the National Baseline Data

From the 2008 National Health Interview Survey Cancer Control Supplement:

[NUMERATOR:]

Have you EVER HAD a Pap smear or Pap test?

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

[If yes:]

When did you have your MOST RECENT Pap smear or Pap test?

_____________

[NUMERATOR AND DENOMINATOR:]

Have you EVER HAD a Pap smear or Pap test?

[If no:]

What is the most important reason you have {NEVER had a Pap smear or Pap test / NOT had a Pap smear or Pap test in the LAST 3 YEARS}?

  1. No reason/never thought about it
  2. Didn't need/Didn't know I needed this type of test
  3. Doctor didn't order it/didn't say I needed it
  4. Haven't had any problems
  5. Put if off/Didn't get around to it
  6. Too expensive/No insurance/Cost
  7. Too painful, unpleasant, or embarrassing
  8. Had hysterectomy

[All:]

Have you had a hysterectomy?

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

Data include women who have had a Pap test within the last 3 years. Women who answered “Had hysterectomy” to the third question or did not answer “No” to the fourth question are excluded from the sample. Healthy People 2020 uses the U.S. Preventative Services Task Force (USPSTF) guidelines to measure this objective and the current USPSTF guidelines recommend Pap test every 3 years for women within 3 years of onset of sexual activity or age 21 (whichever comes first) up to 65 years. The USPSTF also recommends against routine Pap smear screening for women who have had a total hysterectomy for benign disease.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 21-34, 35-44, 45-65
  • Race/Ethnicity: 21-34, 35-44, 45-65
  • Educational Attainment: 25-34, 35-44, 45-65
  • Family Income: 21-34, 35-44, 45-65
  • Family Type: 21-34, 35-44, 45-65
  • Country of Birth: 21-34, 35-44, 45-65
  • Disability Status: 21-34, 35-44, 45-65
  • Geographic Location: 21-34, 35-44, 45-65
  • Health Insurance Status: 21-34, 35-44, 45-65
  • Marital Status: 21-34, 35-44, 45-65
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-11b in that the measure was updated to match new guidelines put forth by the U.S. Preventive Services Task Force.

References

Additional resources about the objective.

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

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

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
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
73.7 (2008)
Target
81.1
Target-Setting Method
10 percent improvement
Numerator
Number of women aged 50 to 74 years who have had a mammogram in the past 2 years
Denominator
Number of women aged 50 to 74 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 mammogram?

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

When did you have your MOST RECENT mammogram?

_____________

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

Data include women who have had a mammogram within the last 2 years. Healthy People 2020 uses the U.S. Preventative Services Task Force (USPSTF) guidelines to measure this objective, and the current USPSTF recommendation includes biennial mammography for women aged 50 to 74 years, with an additional recommendation that starting biennial mammography before age 50 should be an individual decision considering patient context, including a patient’s beliefs regarding possible benefits and harms.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 50-64, 65-74
  • Race/Ethnicity: 50-64, 65-74
  • Educational Attainment: 50-64, 65-74
  • Family Income: 50-64, 65-74
  • Family Type: 50-64, 65-74
  • Country of Birth: 50-64, 65-74
  • Disability Status: 50-64, 65-74
  • Geographic Location: 50-64, 65-74
  • Marital Status: 50-64, 65-74
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-13 in that the measure was updated to match new guidelines put forth by the U.S. Preventive Services Task Force.

References

Additional resources about the objective.

  1. U.S. Preventive Services Task Force (USPSTF), AHRQ
    http://www.ahrq.gov/legacy/clinic/uspstfix.htm
C-18 Increase the proportion of adults who were counseled about cancer screening consistent with current guidelines

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
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
69.8 (2008)
Target
76.8
Target-Setting Method
10 percent improvement
Numerator
Number of women aged 50 to 74 years who were counseled by their provider about having a mammogram
Denominator
Number of women aged 50 to 74 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 mammogram?

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

[If yes:]

Was your most recent mammogram recommended by a doctor or other health professional?

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

[If no:]

In the PAST 12 MONTHS, has a doctor or other health professional recommended that you have a mammogram?

  1. Yes
  2. No
  3. Did not see a doctor in the past 12 months
  4. Refused
  5. Don't know
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Data include women whose most recent mammogram was recommended by a provider or whose provider recommended a mammogram in the past 12 months.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 50-64, 65-74
  • Race/Ethnicity: 50-64, 65-74
  • Educational Attainment: 50-64, 65-74
  • Family Income: 50-64, 65-74
  • Family Type: 50-64, 65-74
  • Country of Birth: 50-64, 65-74
  • Disability Status: 50-64, 65-74
  • Geographic Location: 50-64, 65-74
  • Marital Status: 50-64, 65-74
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-10f in that objective 3-10f tracked the proportion of health care providers who counseled their female patients about mammograms, while the current objective tracks the proportion of women who receive mammogram counseling from their providers. The measure was also updated to match new guidelines put forth by the U.S. Preventive Services Task Force.

References

Additional resources about the objective.

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

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)
60.2 (2008)
Target
66.2
Target-Setting Method
10 percent improvement
Numerator
Number of women aged 21 to 65 years who have not had a hysterectomy and were counseled by their provider about having a Pap test
Denominator
Number of women aged 21 to 65 years who have not had a hysterectomy
Questions Used to Obtain the National Baseline Data

From the 2008 National Health Interview Survey Cancer Control Supplement:

[NUMERATOR:]

Have you EVER HAD a Pap smear or Pap test?

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

[If yes:]

Was your most recent Pap smear or Pap test recommended by a doctor or other health professional?

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

[If no:]

In the PAST 12 MONTHS, has a doctor or other health professional recommended that you have a Pap smear or Pap test?

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

[NUMERATOR AND DENOMINATOR:]

Have you EVER HAD a Pap smear or Pap test?

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

[If no:]

What is the most important reason you have {NEVER had a Pap smear or Pap test / NOT had a Pap smear or Pap test in the LAST 3 YEARS}?

  1. No reason/never thought about it
  2. Didn't need/Didn't know I needed this type of test
  3. Doctor didn't order it/didn't say I needed it
  4. Haven't had any problems
  5. Put if off/Didn't get around to it
  6. Too expensive/No insurance/Cost
  7. Too painful, unpleasant, or embarrassing
  8. Had hysterectomy
  9. Don't have doctor
  10. Had an HPV DNA test

[All:]

Have you had a hysterectomy?

  1. Yes
  2. No
  3. Refused
  4. Don't know
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Data include women whose most recent Pap test was recommended by a provider or whose provider recommended a Pap test in the past 12 months. Only women who have not had a hysterectomy are included in the sample.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 21-34, 35-44, 45-65
  • Race/Ethnicity: 21-34, 35-44, 45-65
  • Educational Attainment: 25-34, 35-44, 45-65
  • Family Income: 21-34, 35-44, 45-65
  • Family Type: 21-34, 35-44, 45-65
  • Country of Birth: 21-34, 35-44, 45-65
  • Disability Status: 21-34, 35-44, 45-65
  • Geographic Location: 21-34, 35-44, 45-65
  • Health Insurance Status: 21-34, 35-44, 45-64
  • Marital Status: 21-34, 35-44, 45-65
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-10g in that objective 3-10g tracked the proportion of health care providers who counseled their female patients about Pap tests, while the current objective tracks the proportion of women who receive Pap test counseling from their providers. The measure was also 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

The original baseline was revised from 59.8 to 60.2 due to a change in methodology. The target was adjusted from 65.8 to 66.2 to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

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

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
No
Measure
percent 
Numerator
*** Missing ***
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Data include persons whose provider recommended a colonoscopy, sigmoidoscopy, or blood stool test in the past 12 months. Current US Preventative Services Task Force (USPSTF) guidelines recommend screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy.

Trend Issues
Objective C-18.3 is similar to Healthy People 2010 objectives 3-10d and 3-10e, which tracked primary care providers who counsel about blood stool and proctoscopic tests, respectively.

References

Additional resources about the objective.

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

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)
14.4 (2010)
Target
15.9
Target-Setting Method
Minimal statistical significance
Numerator
Number of men aged 40 years and older who were counseled about advantages and disadvantages of the PSA test
Denominator
Number of men aged 40 years and older
Questions Used to Obtain the National Baseline Data

[NUMERATOR:]

Did a doctor EVER talk with you about the advantages of the PSA test?

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

Did a doctor EVER talk with you about the disadvantages of the PSA test?

  1. Yes
  2. No
  3. Refused
  4. Don't know
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Data include men who answered yes to both questions.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 40-49, 50-64, 65-74, 75+
  • Race/Ethnicity: 40-49, 50-64, 65-74, 75+
  • Educational Attainment: 40-49, 50-64, 65-74, 75+
  • Family Income: 40-49, 50-64, 65-74, 75+
  • Family Type: 40-49, 50-64, 65-74, 75+
  • Country of Birth: 40-49, 50-64, 65-74, 75+
  • Disability Status: 40-49, 50-64, 65-74, 75+
  • Geographic Location: 40-49, 50-64, 65-74, 75+
  • Health Insurance Status: 40-49, 50-64
  • Marital Status: 40-49, 50-64, 65-74, 75+

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

This objective was moved from developmental to measurable in 2013.

References

Additional resources about the objective.

  1. U.S. Preventive Services Task Force (USPSTF), AHRQ
    http://www.ahrq.gov/legacy/clinic/uspstfix.htm
C-20 Increase the proportion of persons who participate in behaviors that reduce their exposure to harmful ultraviolet (UV) irradiation and avoid sunburn

About the Data

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

National Data Source
Youth Risk Behavior Surveillance System (YRBSS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Numerator
TBD
Denominator
Number of students in grades 9 through 12
Comparable Healthy People 2010 Objective
Not applicable

References

Additional resources about the objective.

  1. Cancer Control P.L.A.N.E.T., NCI
    http://cancercontrolplanet.cancer.gov

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)
37.5 (2010)
Target
33.8
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 18 years and older who report having a sunburn at least one time in the past 12 months
Denominator
Number of persons aged 18 years and older
Questions Used to Obtain the National Baseline Data

From the 2010 National Health Interview Survey Cancer Control Supplement:

[NUMERATOR:]

DURING THE PAST 12 MONTHS, how many times have you had a sunburn?

  1. None
  2. 1-365 times
  3. Refused
  4. Don't know
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Data include persons who reported having a sunburn one or more times in the past 12 months.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 18-24, 25-34, 35-44, 45-64, 65+
  • Sex: 18-24, 25-34, 35-44, 45-64, 65+
  • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
  • Educational Attainment: 25-34, 35-44, 45-64, 65+
  • Family Income: 18-24, 25-34, 35-44, 45-64, 65+
  • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
  • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
  • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
  • Geographic Location: 18-24, 25-34, 35-44, 45-64, 65+
  • Health Insurance Status: 18-24, 25-34, 35-44, 45-64
  • Marital Status: 18-24, 25-34, 35-44, 45-64, 65+

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

This objective was moved from developmental to measurable in 2013.

References

Additional resources about the objective.

  1. Cancer Control P.L.A.N.E.T., NCI
    http://cancercontrolplanet.cancer.gov

About the Data

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

National Data Source
Youth Risk Behavior Surveillance System (YRBSS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
15.6 (2009)
Target
14.0
Target-Setting Method
10 percent improvement
Numerator
Number of students in grades 9 through 12 who have used an indoor tanning device at least one time during past 12 months
Denominator
Number of students in grades 9 through 12
Questions Used to Obtain the National Baseline Data

From the 2009 Youth Risk Behavior Surveillance System:

[NUMERATOR:]

During the past 12 months, how many times did you use an indoor tanning device such as a sunlamp, sunbed, or tanning booth? (Do not include getting a spray-on tan.)

  1. 0 times
  2. 1 or 2 times
  3. 3 to 9 times
  4. 10 to 19 times
  5. 20 to 39 times
  6. 40 or more times
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Data include adolescents who have used an indoor tanning device one or more times in the past 12 months.

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)
5.6 (2010)
Target
3.6
Target-Setting Method
2 percentage point improvement
Numerator
Number of persons aged 18 years and older who report using indoor tanning devices
Denominator
Number of persons aged 18 years and older
Questions Used to Obtain the National Baseline Data

From the 2010 National Health Interview Survey Cancer Control Supplement:

[NUMERATOR:]

DURING THE PAST 12 MONTHS, have you used an indoor tanning device such as a sunlamp, sunbed, or tanning booth EVEN ONE TIME? Do NOT include times you have gotten a spray-on tan.

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

DURING THE PAST 12 MONTHS, how many times have you used an indoor tanning device such as a sunlamp, sunbed or tanning booth? Do NOT include times you have gotten a spray-on tan.

  1. None
  2. 1-365 times
  3. Refused
  4. Don't know
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Data include persons who used indoor tanning devices one or more times in the past 12 months.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 18-24, 25-34, 35-44, 45-64, 65+
  • Sex: 18-24, 25-34, 35-44, 45-64, 65+
  • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
  • Educational Attainment: 25-34, 35-44, 45-64, 65+
  • Family Income: 18-24, 25-34, 35-44, 45-64, 65+
  • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
  • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
  • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
  • Geographic Location: 18-24, 25-34, 35-44, 45-64, 65+
  • Health Insurance Status: 18-24, 25-34, 35-44, 45-64
  • Marital Status: 18-24, 25-34, 35-44, 45-64, 65+

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 original baseline was revised from 15.2% to 5.6% due to a change in the baseline year from 2008 to 2010. The target was adjusted from 13.7% to 3.6% to reflect the revised baseline using a new target-setting method of 2 percentage point improvement.

About the Data

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

National Data Source
Youth Risk Behavior Surveillance System (YRBSS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
9.3 (2009)
Target
11.2
Target-Setting Method
Projection/trend analysis
Numerator
Number of students in grades 9 through 12 who report that they are very likely to use sunscreen
Denominator
Number of students in grades 9 through 12
Questions Used to Obtain the National Baseline Data

From the 2009 Youth Risk Behavior Surveillance System:

[NUMERATOR:]

When you are outside for more than one hour on a sunny day, how often do you wear sunscreen with an SPF of 15 or higher?

  1. Never
  2. Rarely
  3. Sometimes
  4. Most of the time
  5. Always
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

For this indicator, a person is defined as following protective measures if the person answers "always" or “most of the time” to the question.

Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-9a in that the data source no longer includes a second question on protective measures to prevent skin cancer.

References

Additional resources about the objective.

  1. Cancer Control P.L.A.N.E.T., NCI
    http://cancercontrolplanet.cancer.gov

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)
67.0 (2008)
Target
73.7
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 18 years and older who report that they are very likely to limit sun exposure, use sunscreen, or wear protective clothing
Denominator
Number of persons aged 18 years and older
Questions Used to Obtain the National Baseline Data

From the 2008 National Health Interview Survey Cancer Control Supplement:

[NUMERATOR:]

When you go outside on a warm sunny day for MORE than an hour, how often do you stay in the shade?

  1. Always
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Never
  6. Don't go out in the sun
  7. Refused
  8. Don't know

When you go outside on a warm sunny day for MORE than an hour, how often do you wear a hat that shades your face, ears AND neck such as a hat with a wide brim all around?

  1. Always
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Never
  6. Don't go out in the sun
  7. Refused
  8. Don't know

When you go outside on a warm sunny day for MORE than an hour, how often do you wear a long sleeved shirt?

  1. Always
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Never
  6. Don't go out in the sun
  7. Refused
  8. Don't know

When you go outside on a warm sunny day for MORE than an hour, how often do you wear long pants or other clothing that reaches your ankles?

  1. Always
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Never
  6. Don't go out in the sun
  7. Refused
  8. Don't know

When you go outside on a warm sunny day for MORE than an hour, how often do you use sunscreen?

  1. Always
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Never
  6. Don't go out in the sun
  7. Refused
  8. Don't know

What is the SPF number of the sunscreen you use most often?

  1. _____________
  2. More than one, different ones, other
  3. Refused
  4. Don't know

Is the SPF usually 1-14 or 15-50?

  1. 1-14
  2. 15-50
  3. Refused
  4. Don't know
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

For this indicator, a person is defined as following protective measures if the person answers "always" or “most of the time” to one or more of the questions, with the additional restriction of sunscreen SPF values of 15 or greater for the last question.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 18-24, 25-34, 35-44, 45-64, 65+
  • Sex: 18-24, 25-34, 35-44, 45-64, 65+
  • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
  • Educational Attainment: 25-34, 35-44, 45-64, 65+
  • Family Income: 18-24, 25-34, 35-44, 45-64, 65+
  • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
  • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
  • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
  • Geographic Location: 18-24, 25-34, 35-44, 45-64, 65+
  • Health Insurance Status: 18-24, 25-34, 35-44, 45-64
  • Marital Status: 18-24, 25-34, 35-44, 45-64, 65+

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 original baseline was revised from 72.8 to 67.0 due to a change in methodology. The target was adjusted from 80.1 to 73.7 to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Cancer Control P.L.A.N.E.T., NCI
    http://cancercontrolplanet.cancer.gov