|
21-1a. Reduce
the proportion of young children with dental caries experience in their
primary teeth.
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 13.1 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
18 (1988–94).
|
|
Numerator
|
Number of children aged 2 to 4
years with a clinical diagnosis of dental caries, presence of fillings in at
least one primary tooth, or evidence of a missing tooth due to caries.
|
|
Denominator
|
Number of children aged 2 to 4
years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
Although this objective uses the
same measurement protocol as the comparable Healthy People 2000 objective
13.1, the tracking of young children aged 2 to 4 years is new to Healthy
People 2010.
|
|
A description of the clinical
protocol used to diagnose caries experience for Healthy People 2000 has been
published by NCHS.1
|
|
See Part C for a description of
NHANES.
|
|
Baseline data for the American Indian/Alaska Native population are
from the 1999 Oral Health Survey of Native Americans. IHS collects data
approximately every 10 years on the American Indian/Alaska Native population.
Data are collected on clinic users to assess the oral health status and
treatment needs of the IHS service area population. The data reflect a
weighted sample.
|
|
Baseline data for the Asian
population are from the 1993–94 California Oral Health Needs Assessment of
Children. This data set was used because it had the largest representative
sample of Asian children in which clinical oral health status indicators were
assessed. Data were collected from a representative sample of California children
in schools by trained examiners.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
21-1b. Reduce
the proportion of children with dental caries experience in primary and
permanent teeth.
|
|
National Data Source
|
National Health and Nutrition Examination
Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
13.1 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
52 (1988–94).
|
|
Numerator
|
Number of children aged 6 to 8
years with a clinical diagnosis of dental caries, presence of fillings in at
least one primary or permanent tooth, or evidence of a missing tooth due to
caries.
|
|
Denominator
|
Number of children aged 6 to 8
years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
This objective uses the same
measurement protocol as the comparable Healthy People 2000 objective 13.1. A
description of the clinical protocol used to diagnose caries experience for
Healthy People 2000 has been published by NCHS.1
|
|
See Part C for a description of
NHANES.
|
|
Baseline data for the American Indian/Alaska Native population are
from the 1999 Oral Health Survey of Native Americans. IHS collects data
approximately every 10 years on the American Indian/Alaska Native population.
Data are collected on clinic users to assess the oral health status and
treatment needs of the IHS service area population. The data reflect a
weighted sample.
|
|
Baseline data for the Asian
population are from the 1993–94 California Oral Health Needs Assessment of
Children. This data set was used because it had the largest representative
sample of Asian children in which clinical oral health status indicators were
assessed. Data were collected from a representative sample of California
children in schools by trained examiners.
|
|
Baseline data for the Native
Hawaiian and other Pacific Islander population are from the 1999 Hawai’i
Children’s Oral Health Assessment. The Hawaii State Department of Health
collects oral health data of school children periodically (previously in
1998). In 1999 25,553 school children aged 5 to 11 years were surveyed. Data
were collected by calibrated examiners from a representative sample of Hawaii
children attending public schools.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
21-1c. Reduce
the proportion of adolescents with dental caries experience in their
permanent teeth.
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
13.1 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
61 (1988–94).
|
|
Numerator
|
Number of adolescents aged 15
years with a clinical diagnosis of dental caries, presence of fillings in at
least one permanent tooth, or evidence of a missing permanent tooth due to
caries.
|
|
Denominator
|
Number of adolescents aged 15
years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the National
Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
This objective uses the same
measurement protocol as the comparable Healthy People 2000 objective 13.1. A
description of the clinical protocol used to diagnose caries experience for
Healthy People 2000 has been published by NCHS.1
|
|
See Part C for a description of NHANES.
|
|
Baseline data for the American
Indian/Alaska Native population are from the 1999 Oral Health Survey of
Native Americans. IHS collects data approximately every 10 years on the
American Indian/Alaska Native population. Data are collected on clinic users
to assess the oral health status and treatment needs of the IHS service area
population. The data reflect a weighted sample.
|
|
Baseline data for the Asian
population are from the 1993–94 California Oral Health Needs Assessment of
Children. This data set was used because it had the largest representative
sample of Asian children for which clinical oral health status indicators
were assessed. Data were collected from a representative sample of California
children in schools by trained examiners.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
21-2a. Reduce
the proportion of young children with untreated dental decay in their primary
teeth.
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 13.2 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
16 (1988–94).
|
|
Numerator
|
Number children aged 2 to 4 years with a clinical diagnosis of dental
decay in at least one tooth that has not been restored.
|
|
Denominator
|
Number of children aged 2 to 4 years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
Although this objective uses the
same measurement protocol as the comparable Healthy People 2000 objective
13.2, the tracking of young children aged 2 to 4 years is new to Healthy
People 2010.
|
|
A description of the clinical
protocol used to diagnose dental decay for Healthy People 2000 has been
published by NCHS.1
|
|
See Part C for a description of
NHANES.
|
|
Baseline data for the American
Indian/Alaska Native population are from the 1999 Oral Health Survey of
Native Americans. IHS collects data approximately every 10 years on the
American Indian/Alaska Native population. Data are collected on clinic users
to assess the oral health status and treatment needs of the IHS service area
population. The data reflect a weighted sample.
|
|
Baseline data for the Asian
population are from the 1993–94 California Oral Health Needs Assessment of
Children. This data set was used because it had the largest representative
sample of Asian children for which clinical oral health status indicators
were assessed. Data were collected from a representative sample of California
children in schools by trained examiners.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
21-2b. Reduce
the proportion of children with untreated dental decay in their primary teeth
and permanent teeth.
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
13.2 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
29 (1988–94).
|
|
Numerator
|
Number of children aged 6 to 8
years with a clinical diagnosis of dental decay in at least one primary or
permanent tooth that has not been restored.
|
|
Denominator
|
Number of children aged 6 to 8
years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
This objective uses the same
measurement protocol as the comparable Healthy People 2000 objective 13.2. A
description of the clinical protocol used to diagnose dental decay for
Healthy People 2000 has been published by NCHS.1
|
|
See Part C for a description of
NHANES.
|
|
Baseline data for the American Indian/Alaska Native population are
from the 1999 Oral Health Survey of Native Americans. IHS collects data
approximately every 10 years on the American Indian/Alaska Native population.
Data are collected on clinic users to assess the oral health status and
treatment needs of the IHS service area population. The data reflect a
weighted sample.
|
|
Baseline data for the Asian
population are from the 1993–94 California Oral Health Needs Assessment of
Children. This data set was used because it had the largest representative
sample of Asian children in which clinical oral health status indicators were
assessed. Data were collected from a representative sample of California
children in schools by trained examiners.
|
|
Baseline data for the Native
Hawaiian and other Pacific Islander population are from the 1999 Hawai’i
Children’s Oral Health Assessment. The Hawaii State Department of Health
collects oral health data of school children periodically (previously in
1998). In 1999 25,553 school children aged 5 to 11 years were surveyed. Data
were collected by calibrated examiners from a representative sample of Hawaii
children attending public schools.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
21-2c. Reduce
the proportion of adolescents with untreated dental decay in their permanent
teeth.
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
13.2 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
20 (1988–94).
|
|
Numerator
|
Number of adolescents aged 15
years with a clinical diagnosis of dental decay in at least one permanent
tooth that has not been restored.
|
|
Denominator
|
Number of adolescents aged 15
years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
This objective uses the same
measurement protocol as the comparable Healthy People 2000 objective 13.2. A
description of the clinical protocol used to diagnose dental decay for
Healthy People 2000 has been published by NCHS.1
|
|
See Part C for a description of NHANES.
|
|
Baseline data for the American Indian/Alaska Native population are
from the 1999 Oral Health Survey of Native Americans. IHS collects data
approximately every 10 years on the American Indian/Alaska Native population.
Data are collected on clinic users to assess the oral health status and
treatment needs of the IHS service area population. The data reflect a
weighted sample.
|
|
Baseline data for the Asian
population are from the 1993–94 California Oral Health Needs Assessment of
Children. This data set was used because it had the largest representative
sample of Asian children in which clinical oral health status indicators were
assessed. Data were collected from a representative sample of California
schoolchildren in schools by trained examiners.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
21-2d. Reduce
the proportion of adults with untreated dental decay.
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 13.2 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
27 (1988–94).
|
|
Numerator
|
Number of adults aged 35 to 44
years with a clinical diagnosis of dental decay in at least tooth that has
not been restored.
|
|
Denominator
|
Number of adults aged 35 to 44
years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
Although this objective uses the
same measurement protocol as the comparable Healthy People 2000 objective
13.2, the tracking of adults aged 35 to 44 years is new to Healthy People
2010.
|
|
A description of the clinical
protocol used to diagnose dental decay for Healthy People 2000 has been
published by NCHS.1
|
|
See Part C for a description of NHANES.
|
|
Baseline data for the American
Indian/Alaska Native population are from the 1999 Oral Health Survey of
Native Americans. IHS collects data approximately every 10 years on the
American Indian/Alaska Native population. Data are collected on clinic users
to assess the oral health status and treatment needs of the IHS service area
population. The data reflect a weighted sample.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
13.3 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
31 (1988–94).
|
|
Numerator
|
Number of adults aged 35 to 44
with a clinical confirmation of at least 28 natural teeth, exclusive of third
molars.
|
|
Denominator
|
Number of adults aged 35 to 44
years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
Case definition is “no teeth lost
due to caries or periodontal diseases”; however, because cause of tooth loss
is not feasible to identify, the presence of 28 natural teeth (excluding
third molars) is used as a proxy.
|
|
See Part C for a description of
NHANES.
|
|
Baseline data for the American Indian/Alaska
Native population are from the 1999 Oral Health Survey of Native Americans.
The Indian Health Service (IHS) collects data approximately every 10 years on
the American Indian/Alaska Native population. Data are collected on clinic
users to assess the oral health status and treatment needs of the IHS service
area population. The data reflect a weighted sample.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
National Health Interview Survey
(NHIS), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 13.4 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
26 (1997).
|
|
Numerator
|
Number of older adults aged 65 to
74 years who report having lost all their natural teeth.
|
|
Denominator
|
Number of adults aged 65 to 74
years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
From the 1997 National Health
Interview Survey:
|
|
Ø
Have you lost all of your upper natural (permanent)
teeth?
Ø
Have you lost all of your lower natural (permanent)
teeth?
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
A person is defined as having lost
all their natural teeth if they answered “yes” to both of the preceding
questions.
|
|
Although the same measurement is
used to track this objective and the comparable Healthy People 2000 objective
13.4, data for the Healthy People 2010 objective are restricted to older
adults aged 65 to 74 years while the Healthy People 2000 data cover all older
adults aged 65 years and older.
|
|
A description of the comparable
Healthy People 2000 objective 13.4 has been published by NCHS.1
|
|
See Part C for a description of NHIS.
|
|
Baseline data for the American
Indian/Alaska Native population are from the 1999 Oral Health Survey of
Native Americans. The Indian Health Service (IHS) collects data approximately
every 10 years on the American Indian/Alaska Native population. Data are
collected on clinic users to assess the oral health status and treatment
needs of the IHS service area population. The data reflect a weighted sample.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
21-5a. Gingivitis.
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 13.5 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
48 (1988–94).
|
|
Numerator
|
Number of adults aged 35 to 44
years with a clinical confirmation of gingivitis.
|
|
Denominator
|
Number of adults aged 35 to 44
years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
Gingivitis is gingival bleeding in
one or more sites after gently probing the gingival sulcus.
|
|
A description of the comparable
Healthy People 2000 objective 13.5, which included the clinical protocol used
to diagnose gingivitis has been published by NCHS.1
|
|
The same measurement is used to track this objective and the
comparable Healthy People 2000 objective 13.5. However, published data for
the Healthy People 2000 objective were restricted to employed adults while
the Healthy People 2010 data covers all noninstitutionalized individuals aged
35 to 44 years.
|
|
See Part C for a description of
NHANES.
|
|
Baseline data for the American
Indian/Alaska Native population are from the 1999 Oral Health Survey of
Native Americans. The Indian Health Service (IHS) collects data approximately
every 10 years on the American Indian/Alaska Native population. Data are
collected on clinic users to assess the oral health status and treatment
needs of the IHS service area population. The data reflect a weighted sample.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
21-5b. Destructive
periodontal disease.
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 13.6 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
22 (1988–94).
|
|
Numerator
|
Number of adults aged 35 to 44
years with a clinical diagnosis of destructive periodontal disease.
|
|
Denominator
|
Number of adults aged 35 to 44
years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
Destructive periodontal disease is
the loss of attachment greater than or equal to 4mm in two sites on at least
one tooth—as measured at the mid-facial and mesial facial line angles for two
quadrants. These two quadrants include one randomly selected quadrant in the
maxillary arch and one quadrant in the mandibular arch.
|
|
Although a similar measurement is
used to track the comparable Healthy People 2000 objective 13.6, published
data for the Healthy People 2000 objective were restricted to employed
adults, while the Healthy People 2010 data covers all noninstitutionalized
adults aged 35 to 44 years.
|
|
A description of the clinical
protocol used to diagnose destructive periodontal disease in Healthy People
2000 has been published by NCHS.1
|
|
See Part C for a description of
NHANES.
|
|
Baseline data for the American
Indian/Alaska Native population are from the 1999 Oral Health Survey of
Native Americans. The Indian Health Service (IHS) collects data approximately
every 10 years on the American Indian/Alaska Native population. Data are
collected on clinic users to assess the oral health status and treatment
needs of the IHS service area population. The data reflect a weighted sample.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
Surveillance, Epidemiology, and
End Results Program (SEER), NIH, NCI.
|
|
State Data Source
|
State cancer registries.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Percent.
|
|
Baseline
|
35 (1990–95) (selected areas—see Comments).
|
|
Numerator
|
Number of diagnosed incidents of
cancer cases in stage 1 (localized) of the oral cavity and pharynx (ICD-9
codes 140-149).
|
|
Denominator
|
Number of diagnosed incidents of
all cancer cases of the oral cavity and pharynx (ICD-9 codes 140-149).
|
|
Population Targeted
|
Resident population (selected
areas—see Comments).
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
SEER data are based on data from
population-based registries in Connecticut; New Mexico; Utah; Iowa; Hawaii;
Atlanta, GA; Detroit, MI; Seattle-Puget Sound, WA; and San Francisco-Oakland,
CA.
|
|
A description of the SEER program
has been published by NCI.2
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
National Health Interview Survey
(NHIS), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Percent (age adjusted—see Comments).
|
|
Baseline
|
13 (1998).
|
|
Numerator
|
Number of adults aged 40 years and
older who report having had an examination to detect oral and pharyngeal
cancer in the past 12 months.
|
|
Denominator
|
Number of adults aged 40 years and
older.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
From the 1998 National Health
Interview Survey:
|
|
Ø
Have you ever had a test for oral cancer in which the
doctor or dentist pulls on your tongue, sometimes with gauze wrapped around
it, and feels under the tongue and inside the cheeks?
|
|
[If yes:]
o
When did you have your most recent oral cancer
exam? Was it a year ago or less, more
than 1 year but not more than 2 years, more than 2 years but not more than 3
years, more than 3 years but not more than 5 years, or over 5 years ago?
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
A person is defined as having had
an oral and pharyngeal cancer test in the past 12 months if he/she responded “yes” to the first question and “a year ago or less” to the second question listed
above.
|
|
Data are age adjusted to the 2000
standard population. Age-adjusted percents are weighted sums of age-specific
percents. For a discussion of age adjustment, see Part A, section 5.
|
|
See Part C for a description of
NHIS and Appendix A for focus area contact information.
|
v v v
|
21-8a. Children
aged 8 years.
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
13.8 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
23 (1988–94).
|
|
Numerator
|
Number of children aged 8 years
with a clinical confirmation of dental sealants applied to one or more
permanent molars.
|
|
Denominator
|
Number of children aged 8 years.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
A description of the clinical
protocol used to confirm evidence of protective dental sealants has been
published by NCHS.1
|
|
See Part C for a description of
NHANES.
|
|
Baseline data for the Native
Hawaiian and other Pacific Islander population are from the 1999 Hawai’i
Children’s Oral Health Assessment. The Hawaii State Department of Health
collects oral health data of school children periodically (previously in
1998). In 1999 25,553 school children aged 5 to 11 years were surveyed. Data
were collected by calibrated examiners from a representative sample of Hawaii
children attending public schools.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
21-8b. Adolescents
aged 14 years.
|
|
National Data Source
|
National Health and Nutrition
Examination Survey (NHANES), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 13.8 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
15 (1988–94).
|
|
Numerator
|
Number of adolescents aged 14 years with a clinical confirmation of
dental sealants applied to one or more first and second permanent molars.
|
|
Denominator
|
Number of adolescents aged 14
years with at least one permanent first molar and one permanent second molar.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with 1999 data.
|
|
Comments
|
A description of the clinical
protocol used to confirm evidence of protective dental sealants has been
published by NCHS.1
|
|
Although the same measurement is used to track this objective and the
comparable Healthy People 2000 objective 13.8, the Healthy People 2010 data
are limited to protective sealant data on one or more permanent first and
second molars, while data for the Healthy People 2000 objective did not
distinguish between first and second permanent molars.
|
|
See Part C for a description of
NHANES and Appendix A for focus area contact information.
|
v v v
|
|
|
National Data Source
|
CDC Fluoridation Census, CDC,
NCCDPHP.
|
|
State Data Source
|
CDC Fluoridation Census, CDC,
NCCDPHP.
|
|
Healthy People 2000 Objective
|
13.9 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
62 (1992).
|
|
Numerator
|
Number of persons receiving
optimally fluoridated water from public systems.
|
|
Denominator
|
Number of persons served by public
water systems.
|
|
Population Targeted
|
U.S. resident population served by
public water systems.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual, beginning with year 2000
data.
|
|
Comments
|
Optimal water concentration of
fluoride is specific for geographic areas, based on their mean daily
temperature.
|
|
A description of the protocol used
to characterize a community as optimally fluoridated has been published by
NCHS.1
|
|
Beginning with year 2000 data, the source of data will be an interactive
Web-based surveillance system called the Water Fluoridation Reporting System.
This voluntary reporting system obtains information from the local water
system on the number of people served by the fluoridated water system, the
number of counties and cities served by the fluoridated water system, and the
quality of the fluoridated water system. These quality measures will include
the number of months the system is operating with optimal fluoride
concentration. CDC will produce an annual report from the database.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
Medical Expenditure Panel Survey(MEPS), AHRQ (formerly AHCPR).
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 13.14 (Oral Health).
|
|
Measure
|
Percent.
|
|
Baseline
|
44 (1996).
|
|
Numerator
|
Number of persons aged 2 years and
older who report having had a dental visit in the past 12 months.
|
|
Denominator
|
Number of persons aged 2 years and
older.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
From the 1996 Medical Expenditure
Panel Survey. See http://www.meps.ahrq.gov/survey.htm for more information.
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
MEPS data provide information on
the nature of the dental visit as well as dental insurance status of the
patient. MEPS data are also used for objective 21-12—preventive dental visits
for poor children. MEPS data provide a comprehensive assessment of a previous
dental visit. Subjects are interviewed on five different occasions over 15
months, so that they do not need to recall details of dental care received
more than 3 months beforehand. In addition, MEPS subjects are also asked for
specific information about care received at each visit. Therefore, the
numbers of visits during a year are substantiated with additional
corroborating evidence. MEPS is used as the database for dental visits in the
April 2000 Government Accounting Office report to Congress on access to
dental care.
|
|
This objective differs from a
similar Healthy People 2000 objective 13.14. The Healthy People 2000
objective was tracked by the NHIS and was restricted to adults aged 35 years
and older, while the Healthy People 2010 objective covers all
noninstitutionalized persons aged 2 years and older. A report on the
operational definitions for the Healthy People 2000 oral health objectives
has been published by NCHS.1
|
|
See Part C for a description of MEPS and Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
National Nursing Home Survey
(NNHS), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Percent.
|
|
Baseline
|
19 (1997).
|
|
Numerator
|
Number of nursing home residents
who used the oral health care system.
|
|
Denominator
|
Number of nursing home residents.
|
|
Population Targeted
|
U.S. resident population.
|
|
Questions Used To Obtain the
National Data
|
From the 1997 National Nursing
Home Survey:
|
|
[In the question below, the
phrase “last month” was used if the resident was admitted in the previous
month or earlier. The phrase “since admission” was used if the resident was
admitted in the current month.]
Ø
(Last
month/since admission) which of these services were received by (Resident),
either inside or outside of this facility?
[A “hand flashcard” is supplied with a
check box for “Dental care.”]
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
A nursing home resident was
considered to have used the oral health care system if the respondent
indicated Dental care was provided.
|
|
Nursing home data were used as
proxy data for long-term care facilities since there is no known database
that enumerates all long-term care facilities (nursing homes, chronic disease
hospitals, etc.).
|
|
A description of the 1997 National
Nursing Home Survey has been published by NCHS.3
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
Medical Expenditure Panel Survey
(MEPS), AHQR (formerly AHCPR).
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Percent.
|
|
Baseline
|
20 (1996).
|
|
Numerator
|
Number of children under age 19 years at or below 200 percent of the
Federal poverty level who received a preventive dental visit during the last
year.
|
|
Denominator
|
Number of children under age 19
years at or below 200 percent of the Federal poverty level.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
From the 1996 Medical Expenditure
Panel Survey. See www.meps.ahrq.gov/survey.htm for more information.
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
A preventive dental visit is
defined as receiving a dental sealant, fluoride treatment, or dental
prophylaxis.
|
|
See Comments with objective 21-10
for more information on MEPS. A description of the 1996 MEPS has been
published by AHRQ (formerly AHCPR).4
|
|
See Part C for a description of MEPS and Appendix A for focus area
contact information.
|
v v v
|
|
|
Comments
|
An operational definition could
not be specified at the time of publication.
|
|
The School Health Policies and
Program Study (SHPPS), CDC, NCCDPHP, is a proposed data source since
questions addressing oral health have recently been added. Baseline data are
anticipated from the 2000 SHPPS.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
Health Resources and Services
Administration (HRSA), Bureau of Primary Health Care (BPHC).
|
|
State Data Source
|
Association of State and
Territorial Dental Directors (ASTDD).
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Percent.
|
|
Baseline
|
34 (1997).
|
|
Numerator
|
Number of local health departments
and community-based health centers that have an oral health component.
|
|
Denominator
|
Number of local health departments
and community-based health centers.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Comments
|
In order to be considered as
having an oral health component, a physical office must be identified in
which dental services are provided on-site by a dentist. If a center or local
health department provides contract dental services, at least 700 people must
be served annually.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
Comments
|
A complete operational definition
was not specified at the time of publication.
|
|
This objective is adapted from
Healthy People objective 13.15 (Oral Health).
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
Association of State and
Territorial Dental Directors (ASTDD).
|
|
State Data Source
|
Statewide oral health surveys;
Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP; Water
Fluoridation Reporting System (WFRS),CDC, NCCDPHP; Youth Risk Behavior
Surveillance System (YRBSS), CDC, NCCDPHP; Pregnancy risk data; State cancer
registries/Surveillance, Epidemiology, and End Results (SEER), NIH, NCI;
Orofacial cleft data; Medicaid dental claims data, HCFA; Annual synopsis of
State dental programs, Association of State and Territorial Dental Directors
(ASTDD).
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Number.
|
|
Baseline
|
0 (1999).
|
|
Numerator
|
Number of States or the District
of Columbia with surveillance data for at least six of the nine possible
surveillance databases listed above.
|
|
Denominator
|
Not applicable.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
Comments
|
An operational definition could
not be specified at the time of publication.
|
|
Proposed data sources are the
Association of State and Territorial Dental Directors; the Annual Synopsis of
State Dental Programs (ASTDD); and the Indian Health Service (IHS).
|
|
See Appendix A for focus area
contact information.
|
v v v
References
1.Vargas, C.; Schober, S.; and Gift, H. Operational
definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy
People 2000 Statistical Notes,No. 12. Hyattsville, MD: National
Center for Health Statistics (NCHS), 1997.
2. Ries, L.A.G.; Kosary, C.L.; Hankey, B.F.; et al.; eds. SEER
Cancer Statistics Review, 1973–1996. Bethesda, MD: National Cancer
Institute, 1999.
3. Gabrel, C.S. An
overview of nursing home facilities: Data from the 1997 National Nursing Home
Survey. Advance Data,No. 311. Hyattsville, MD: NCHS, 2000.
4. Krauss, N.A.; Machlin, S.; and Kass, B.L. Use of health
care services, 1996. MEPS Research Findings,No. 7. AHCPR Pub.
No.99‑0018. Rockville, MD: Agency for Health Care Policy and Research,
1998.
