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National Healthcare Disparities Report, 2007

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Effectiveness of Care: Maternal and Child Health


Maternity Care
Mothers receiving prenatal care in the first trimester
Live-born infants with low birthweight (<2,500 grams)
Live-born infants with very low birthweight (<1,500 grams)
Infant mortality per 1,000 live births, all birthweights
Infant mortality per 1,000 live births, birthweight <1,500 grams
Infant mortality per 1,000 live births, birthweight 1,500-2,499 grams
Infant mortality per 1,000 live births, birthweight >2,499 grams
Maternal deaths per 100,000 live births
Birth trauma injury per 1,000 selected live births
Obstetric trauma per 1,000 instrument-assisted deliveries
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance
Obstetric trauma per 1,000 cesarean deliveries
Childhood Immunization
Children ages 19-35 months who received all recommended vaccines
Children ages 19-35 months who received 4 doses of diphtheria-pertussis-tetanus vaccine
Children ages 19-35 months who received 3 doses of polio vaccine
Children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine
Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine
Children ages 19-35 months who received 3 doses of hepatitis B vaccine
Children ages 19-35 months who received 1 dose of varicella vaccine
Treatment of Pediatric Gastroenteritis
Hospital admissions for pediatric gastroenteritis per 100,000 population under age 18
Childhood Preventive Care
Children ages 0-17 who had their height and weight measured by a doctor or other health provider
Children ages 2-17 who received advice from a doctor or other health provider about amount and kind of physical activity
Children ages 2-17 who received advice from a doctor or other health provider about eating healthy
Children ages 3-6 whose vision was checked by a doctor or other health provider
Children ages 0-17 for whom a doctor or other health provider gave advice to parent or guardian about how smoking in the house can be harmful
Children 0-40 lbs for whom a doctor or other health provider gave advice to parent or guardian about using child car safety seats
Children 40-80 lbs for whom a doctor or other health provider gave advice to parent or guardian about using booster seats
Children over 80 lbs for whom a doctor or other health provider gave advice to parent or guardian about using lap or shoulder belts
Children ages 2-17 for whom a doctor or other health provider gave advice to parent or guardian about using a helmet when riding a bicycle or motorcycle
Noninstitutionalized children who were overweight who were told by a doctor they were overweight
Children ages 2-17 who had a dental visit in the past year
Percent of children ages 2-17 with untreated dental caries

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Maternity Care

Measure Title

Mothers receiving prenatal care in the first trimester.

Measure Source

Healthy People 2010.

Tables

70 Pregnant women receiving prenatal care in the first trimester, United States, 2004, by

  • Race.
  • Ethnicity.
  • Education.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System—Natality (NVSS-N).

Denominator

Number of live births.

Numerator

Number of mothers receiving prenatal care in the first trimester (3 months) of pregnancy.

Comments

A description of the primary measurement used to determine the fetus' gestational age—the interval between the first day of the last normal menstrual period (LMP) and the birth—has been published by the NCHS.

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 16.6a in Healthy People 2010 documentation

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Maternity Care

Measure Title

Live-born infants with low birthweight (<2,500 grams).

Measure Source

Healthy People 2010.

Tables

71 Live-born infants with low birthweight (<2,500 grams), United States, 2004, by

  • Race.
  • Ethnicity.
  • Education.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System—Natality (NVSS-N).

Denominator

Number of live births.

Numerator

Number of live births with birthweight of less than 2,500 grams (5 lbs. 8 oz.).

Comments

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 16-10 in Healthy People 2010 documentation..

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Maternity Care

Measure Title

Live-born infants with very low birthweight (<1,500 grams).

Measure Source

Healthy People 2010.

Tables

72 Live-born infants with very low birthweight (<1,500 grams), United States, 2004, by

  • Race.
  • Ethnicity.
  • Education.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System—Natality (NVSS-N).

Denominator

Number of live births.

Numerator

Number of live births with birthweight of less than 1,500 grams (3 lbs. 3 oz.).

Comments

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 16-10 in Healthy People 2010 documentation.

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Maternity Care

Measure Title

Infant mortality per 1,000 live births, all birthweights.

Measure Source

Healthy People 2010.

Tables

73 Infant mortality per 1,000 live births, all birthweights, United States, 2004, by

  • Race.
  • Ethnicity.
  • Education.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System—Linked Birth and Infant Death Data (NVSS-I).

Denominator

Resident live births.

Numerator

Number of infant deaths within the first year.

Comments

The baseline data for this measure come from the period-linked birth and infant death data set (linked file). In the linked file, the information from the death certificate is linked to information on the birth certificate for each infant under 1 year who died during the calendar year. The purpose of linkage is to use the many variables and improve racial/ethnic reporting available from the birth certificate.

The number of deaths for infant mortality is based on a record weight from the linked birth and infant death file, which adjusts for the approximately 2-3% of records each year that cannot be linked to their corresponding birth certificates. Therefore, because of number rounding, the number of deaths for subgroups may not add up to the total.

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 16-1c in Healthy People 2010 documentation.

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Maternity Care

Measure Title

Infant mortality per 1,000 live births, birthweight <1,500 grams.

Measure Source

Healthy People 2010.

Tables

74 Infant mortality per 1,000 live births, birthweight <1,500 grams, United States, 2004, by

  • Race.
  • Ethnicity.
  • Education.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System—Linked Birth and Infant Death Data (NVSS-I).

Denominator

Resident live births with birthweight less than 1,500 grams.

Numerator

Number of infant deaths within the first year among live births with birthweight less than 1,500 grams.

Comments

The baseline data for this measure come from the period-linked birth and infant death data set (linked file). In the linked file, the information from the death certificate is linked to information on the birth certificate for each infant under 1 year who died during the calendar year. The purpose of linkage is to use the many variables and improve racial/ethnic reporting available from the birth certificate.

The number of deaths for infant mortality is based on a record weight from the linked birth and infant death file, which adjusts for the approximately 2-3% of records each year that cannot be linked to their corresponding birth certificates. Therefore, because of number rounding, the number of deaths for subgroups may not add up to the total.

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 16-1c in Healthy People 2010 documentation.

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Maternity Care

Measure Title

Infant mortality per 1,000 live births, birthweight 1,500-2,499 grams.

Measure Source

Healthy People 2010.

Tables

75 Infant mortality per 1,000 live births, birthweight 1,500-2,499 grams, United States, 2004, by

  • Race.
  • Ethnicity.
  • Education.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System—Linked Birth and Infant Death Data (NVSS-I).

Denominator

Resident live births with birthweight of 1,500 to 2,499 grams.

Numerator

Number of infant deaths within the first year among live births with birthweight of 1,500 to 2,499 grams.

Comments

The baseline data for this measure come from the period-linked birth and infant death data set (linked file). In the linked file, the information from the death certificate is linked to information on the birth certificate for each infant under 1 year who died during the calendar year. The purpose of linkage is to use the many variables and improve racial/ethnic reporting available from the birth certificate.

The number of deaths for infant mortality is based on a record weight from the linked birth and infant death file, which adjusts for the approximately 2-3% of records each year that cannot be linked to their corresponding birth certificates. Therefore, because of number rounding, the number of deaths for subgroups may not add up to the total.

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 16-1c in Healthy People 2010 documentation.

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Maternity Care

Measure Title

Infant mortality per 1,000 live births, birthweight >2,499 grams.

Measure Source

Healthy People 2010.

Tables

76 Infant mortality per 1,000 live births, birthweight more than 2,499 grams, United States, 2004, by

  • Race.
  • Ethnicity.
  • Education.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System—Linked Birth and Infant Death Data (NVSS-I).

Denominator

Resident live births with birthweight more than 2,499 grams.

Numerator

Number of infant deaths within the first year among live births with birthweight more than 2,499 grams.

Comments

The baseline data for this measure come from the period-linked birth and infant death data set (linked file). In the linked file, the information from the death certificate is linked to information on the birth certificate for each infant under 1 year who died during the calendar year. The purpose of linkage is to use the many variables and improve racial/ethnic reporting available from the birth certificate.

The number of deaths for infant mortality is based on a record weight from the linked birth and infant death file, which adjusts for the approximately 2-3% of records each year that cannot be linked to their corresponding birth certificates. Therefore, because of number rounding, the number of deaths for subgroups may not add up to the total.

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 16-1c in Healthy People 2010 documentation.

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Maternity Care

Measure Title

Maternal deaths per 100,000 live births.

Measure Source

Healthy People 2010.

Tables

77 Maternal deaths per 100,000 live births, United States, 2004, by

  • Race.
  • Ethnicity.
  • Education.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System—Mortality (NVSS-M).

Denominator

Resident live births.

Numerator

Number of female deaths due to obstetric causes (ICD-10-CM codes O00-O95, O98-O99) within 42 days of a pregnancy.

Comments

Caution should be used when comparing these data with pregnancy-related mortality rates from other reports. NCHS uses the definition of maternal mortality and related coding conventions recommended in the ICD-9-CM by the World Health Organization. Other definitions may use different time intervals from pregnancy to death and may be more inclusive with regard to cause of death.

A description of the maternal mortality measurement has been published by NCHS.

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 16-4 in Healthy People 2010 documentation.

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Maternity Care

Measure Title

Birth trauma injury per 1,000 selected live births.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators (PSI).

Table

179 Birth trauma—injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta births), United States, 2004, by

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP).

Denominator

Live birth discharges in the United States, excluding preterm and osteogenesis imperfecta births.

Numerator

Subset of the denominator with any diagnosis of birth trauma.

Comments

Rates are adjusted by gender. When reporting is by gender, there is no adjustment.

The disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, AR, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, RI, SC, TN, TX, VA, VT, and WI.

This table was created using version 2.1, revision 2, of the AHRQ Patient Safety Indicators software. This measure is referred to as indicator 17 in the AHRQ Patient Safety Indicators software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

This measure and its tables are also presented in other relevant sections of the report.

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Maternity Care

Measure Title

Obstetric trauma per 1,000 instrument-assisted deliveries.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators (PSI).

Table

180 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries, United States, 2004, by

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP).

Denominator

All vaginal delivery hospital discharges with any procedure indicating instrument assisted delivery.

Numerator

Subset of the denominator with any diagnosis or procedure indicating obstetric trauma.

Comments

Rates are adjusted by age. When reporting is by age, there is no adjustment.

The disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, AR, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, RI, SC, TN, TX, VA, VT, and WI.

This table was created using version 2.1, revision 2, of the AHRQ Patient Safety Indicators software. This measure is referred to as indicator 27 in the AHRQ Patient Safety Indicators software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

This measure and its tables are also presented in other relevant sections of the report.

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Maternity Care

Measure Title

Obstetric trauma per 1,000 vaginal deliveries without instrument assistance.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators (PSI).

Table

181 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance, United States, 2004, by

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP).

Denominator

All vaginal delivery hospital discharges without indication of instrument assistance.

Numerator

Subset of the denominator with any diagnosis or procedure indicating obstetric trauma.

Comments

Rates are adjusted by age. When reporting is by age, there is no adjustment.

The disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, AR, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, RI, SC, TN, TX, VA, VT, and WI.

This table was created using version 2.1, revision 2, of the AHRQ Patient Safety Indicators software. This measure is referred to as indicator 28 in the AHRQ Patient Safety Indicators software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

This measure and its tables are also presented in other relevant sections of the report.

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Maternity Care

Measure Title

Obstetric trauma per 1,000 cesarean deliveries.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators (PSI).

Table

182 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 cesarean deliveries, United States, 2004, by

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP).

Denominator

All cesarean section delivery hospital discharges.

Numerator

Cesarean section delivery discharges with any diagnosis or procedure indicating obstetric trauma.

Comments

Rates are adjusted by age. When reporting is by age, there is no adjustment.

The disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, AR, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, RI, SC, TN, TX, VA, VT, and WI.

This table was created using version 2.1, revision 2, of the AHRQ Patient Safety Indicators software. This measure is referred to as indicator 29 in the AHRQ Patient Safety Indicators software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

This measure and its tables are also presented in other relevant sections of the report.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received all recommended vaccines.

Measure Source

Healthy People 2010.

Tables

78 Children ages 19-35 months who received all recommended vaccines (4:3:1:3:3), United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Immunization Program (NCHS), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 4 doses of diphtheria-tetanus-acellular pertussis (DTaP), at least 3 doses of polio, at least 1 dose of measles-mumps-rubella (MMR), at least 3 doses of Haemophilus influenzae B (Hib), and at least 3 doses of hepatitis B antigens.

Comments

This objective is one of the measures used to track the Immunization Leading Health Indicator.

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 14-24a in Healthy People 2010 documentation.

The vaccines included in this measure are based on the corresponding Healthy People 2010 objective. These include at least 4 doses of diphtheria, tetanus, and pertussis vaccine; at least 3 doses of polio vaccine; at least 1 dose of measles, mumps, and rubella vaccine; at least 3 doses of H. influenzae type B vaccine; and at least 3 doses of hepatitis B vaccine. Between 1998 and 2005, the following vaccines were added to the list of recommended vaccines for children up to 35 months of age but not added to this measure: pneumococcal conjugate vaccine (PCV) added in 2001 and influenza vaccine added in 2004. Varicella vaccine and vaccines added after 1998 to the recommended schedule for children up to 35 months of age are not included in this measure.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 4 doses of diphtheria-pertussis-tetanus vaccine.

Measure Source

Healthy People 2010.

Tables

79 Children ages 19-35 months who received 4 doses of diphtheria-pertussis-tetanus vaccine, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Immunization Program (NCHS), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving 4 or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens.

Comments

Statistical adjustments are made to minimize bias due to (1) lower coverage among children living in households without telephones, (2) discrepancies between vaccinations reported by household compared with immunization providers, and (3) differences in racial/ethnic population distribution in the sample compared to racial/ethnic population distribution at birth.

This baseline measure tracks the number of children ages 19-35 months receiving 4 or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens (DTaP) as well as those children who received the combination of diphtheria, tetanus, and pertussis antigens (DTP).

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 14-22a in Healthy People 2010 documentation.

The vaccines included in this measure are based on the corresponding Healthy People 2010 objective. These include at least 4 doses of diphtheria, tetanus, and pertussis vaccine; at least 3 doses of polio vaccine; at least 1 dose of measles, mumps, and rubella vaccine; at least 3 doses of H. influenzae type B vaccine; and at least 3 doses of hepatitis B vaccine. Between 1998 and 2005, the following vaccines were added to the list of recommended vaccines for children up to 35 months of age but not added to this measure: pneumococcal conjugate vaccine (PCV) added in 2001 and influenza vaccine added in 2004. Varicella vaccine and vaccines added after 1998 to the recommended schedule for children up to 35 months of age are not included in this measure.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 3 doses of polio vaccine.

Measure Source

Healthy People 2010.

Tables

80 Children ages 19-35 months who received 3 doses of polio vaccine, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Immunization Program (NCHS), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 3 doses of the polio antigen.

Comments

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 14-22e in Healthy People 2010 documentation.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine.

Measure Source

Healthy People 2010.

Tables

81 Children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Immunization Program (NCHS), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 1 dose of the combination of measles, mumps, and rubella antigens.

Comments

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 14-22d in Healthy People 2010 documentation.

The vaccines included in this measure are based on the corresponding Healthy People 2010 objective. These include at least 4 doses of diphtheria, tetanus, and pertussis vaccine; at least 3 doses of polio vaccine; at least 1 dose of measles, mumps, and rubella vaccine; at least 3 doses of H. influenzae type B vaccine; and at least 3 doses of hepatitis B vaccine. Between 1998 and 2005, the following vaccines were added to the list of recommended vaccines for children up to 35 months of age but not added to this measure: pneumococcal conjugate vaccine (PCV) added in 2001 and influenza vaccine added in 2004. Varicella vaccine and vaccines added after 1998 to the recommended schedule for children up to 35 months of age are not included in this measure.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine.

Measure Source

Healthy People 2010.

Tables

82 Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Immunization Program (NCHS), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 3 doses of the Haemophilus influenzae B antigen.

Comments

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 14-22b in Healthy People 2010 documentation.

The vaccines included in this measure are based on the corresponding Healthy People 2010 objective. These include at least 4 doses of diphtheria, tetanus, and pertussis vaccine; at least 3 doses of polio vaccine; at least 1 dose of measles, mumps, and rubella vaccine; at least 3 doses of H. influenzae type B vaccine; and at least 3 doses of hepatitis B vaccine. Between 1998 and 2005, the following vaccines were added to the list of recommended vaccines for children up to 35 months of age but not added to this measure: pneumococcal conjugate vaccine (PCV) added in 2001 and influenza vaccine added in 2004. Varicella vaccine and vaccines added after 1998 to the recommended schedule for children up to 35 months of age are not included in this measure.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 3 doses of hepatitis B vaccine.

Measure Source

Healthy People 2010.

Tables

83 Children ages 19-35 months who received 3 doses of hepatitis B vaccine, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Immunization Program (NCHS), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 3 doses of the hepatitis B antigen.

Comments

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 14-22c in Healthy People 2010 documentation.

The vaccines included in this measure are based on the corresponding Healthy People 2010 objective. These include at least 4 doses of diphtheria, tetanus, and pertussis vaccine; at least 3 doses of polio vaccine; at least 1 dose of measles, mumps, and rubella vaccine; at least 3 doses of H. influenzae type B vaccine; and at least 3 doses of hepatitis B vaccine. Between 1998 and 2005, the following vaccines were added to the list of recommended vaccines for children up to 35 months of age but not added to this measure: pneumococcal conjugate vaccine (PCV) added in 2001 and influenza vaccine added in 2004. Varicella vaccine and vaccines added after 1998 to the recommended schedule for children up to 35 months of age are not included in this measure.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 1 dose of varicella vaccine.

Measure Source

Healthy People 2010.

Tables

84 Children ages 19-35 months who received 1 dose of varicella vaccine, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Immunization Program (NCHS), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 1 dose of the varicella antigen.

Comments

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 14-22f in Healthy People 2010 documentation.

The vaccines included in this measure are based on the corresponding Healthy People 2010 objective. These include at least 4 doses of diphtheria, tetanus, and pertussis vaccine; at least 3 doses of polio vaccine; at least 1 dose of measles, mumps, and rubella vaccine; at least 3 doses of H. influenzae type B vaccine; and at least 3 doses of hepatitis B vaccine. Between 1998 and 2005, the following vaccines were added to the list of recommended vaccines for children up to 35 months of age but not added to this measure: pneumococcal conjugate vaccine (PCV) added in 2001 and influenza vaccine added in 2004. Varicella vaccine and vaccines added after 1998 to the recommended schedule for children up to 35 months of age are not included in this measure.

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Treatment of Pediatric Gastroenteritis

Measure Title

Hospital admissions for pediatric gastroenteritis per 100,000 population under age 18.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Prevention Quality Indicators (PQI).

Table

85 Admissions for pediatric gastroenteritis (excluding patients with gastrointestinal abnormalities or bacterial gastroenteritis and transfers from other institutions) per 100,000 population, ages 4 months to 17 years, United States, 2004, by

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP).

Denominator

Pediatric U.S. population under age 18 by subcategory (i.e., race, age group, gender, median household income level, urbanization, and region).

Numerator

Pediatric non-maternal/non-neonatal discharges under age 18 with a principal diagnosis of gastroenteritis, excluding transfers from other institutions.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

The disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, AR, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, RI, SC, TN, TX, VA, VT, and WI.

Tables were created using version 2.1, revision 3, of the AHRQ Prevention Quality Indicators software. This measure is referred to as indicator 6 in the AHRQ Prevention Quality Indicators software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

This measure and its tables are also presented in other relevant sections of the report.

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Childhood Preventive Care

Measure Title

Children ages 0-17 who had their height and weight measured by a doctor or other health provider.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

86 Children ages 0-17 with both weight and height measurements, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children ages 0-17, excluding nonrespondents to the questions of whether height or weight was measured by a doctor or other health care provider.

Numerator

Children ages 0-17 who ever had their height and weight measured by a doctor or other health care provider.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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Childhood Preventive Care

Measure Title

Children ages 2-17 who received advice from a doctor or other health provider about amount and kind of physical activity.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

87 Children ages 2-17 with advice about physical activity, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children ages 2-17, excluding nonrespondents to the question, "Has a doctor or other health provider ever given advice about amount and kind of exercise, sports, or physically active hobbies (person) should have?"

Numerator

Children ages 2-17 for whom a doctor or other health provider had ever given advice about amount and kind of physical activity.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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Childhood Preventive Care

Measure Title

Children ages 2-17 who received advice from a doctor or other health provider about eating healthy.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

88 Children ages 2-17 with advice about eating healthy, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children ages 2-17, excluding nonrespondents to the question, "Has a doctor or other health provider ever given advice about eating healthy?"

Numerator

Children ages 2-17 for whom a doctor or other health provider had ever given advice about eating healthy.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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Childhood Preventive Care

Measure Title

Children ages 3-6 whose vision was checked by a doctor or other health provider.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

89 Children ages 3-6 with a vision check, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children ages 3-6. Nonresponses, as well as "don't know" responses, were excluded.

Numerator

Children ages 3-6 whose vision had ever been checked by a doctor or other health provider.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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Childhood Preventive Care

Measure Title

Children ages 0-17 for whom a doctor or other health provider gave advice to parent or guardian about how smoking in the house can be harmful.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

90 Children ages 0-17 with advice to parent or guardian about smoking in the house, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children ages 0-17, excluding nonrespondents to the question of whether a doctor or other health provider had ever given advice about how smoking in the house can be harmful.

Numerator

Children ages 0-17 for whom a doctor or other health provider had ever given advice about how smoking in the house can be harmful.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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Childhood Preventive Care

Measure Title

Children 0-40 lbs for whom a doctor or other health provider gave advice to parent or guardian about using child car safety seats.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

91 Children under 40 lbs with advice to parent or guardian about using child car safety seats, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children whose weight is 40 lbs or less, and children under age 5 if weight is unknown.

Numerator

Children in the denominator for whom a doctor or other health provider had ever given advice about using child car safety seats.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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Childhood Preventive Care

Measure Title

Children 40-80 lbs for whom a doctor or other health provider gave advice to parent or guardian about using booster seats.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

92 Children 40-80 lbs with advice to parent or guardian about using child booster seats, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children 40-80 lbs, or ages 5-9 if weight is unknown.

Numerator

Children in the denominator for whom a doctor or other health provider had ever given advice about using booster seats.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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Childhood Preventive Care

Measure Title

Children over 80 lbs for whom a doctor or other health provider gave advice to parent or guardian about using lap or shoulder belts.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

93 Children over 80 lbs with advice to parent or guardian about using lap and shoulder belts, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children over 80 lbs, or ages 10-17 if weight is unknown.

Numerator

Children in the denominator for whom a doctor or other health provider had ever given advice about using lap and shoulder belts.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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Childhood Preventive Care

Measure Title

Children ages 2-17 for whom a doctor or other health provider gave advice to parent or guardian about using a helmet when riding a bicycle or motorcycle.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

94 Children ages 2-17 with advice about using helmets, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children ages 2-17, excluding nonrespondents to the question of whether a doctor or other health provider had ever given advice about using a helmet when riding a bicycle or motorcycle.

Numerator

Children ages 2-17 for whom a doctor or other health provider had ever given advice about using a helmet when riding a bicycle or motorcycle.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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Childhood Preventive Care

Measure Title

Noninstitutionalized children who were overweight who were told by a doctor they were overweight.

Measure Source

Healthy People 2010.

Table

95 Percent of overweight children and teens ages 2-19 who had been told by a doctor or health professional that they were overweight, United States, 1999-2004

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health and Nutrition Examination Survey (NHANES).

Denominator

Persons ages 2-19 with a body mass index (BMI) greater than or equal to the 95th percentile on the BMI-for-age, sex-specific 2000 CDC growth charts for the United States.

Numerator

Subset of denominator who reported they were told by a doctor or health professional that they were overweight.

Comments

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 19-3c in Healthy People 2010 documentation.

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Childhood Preventive Care

Measure Title

Children ages 2-17 who had a dental visit in the past year.

Measure Source

Healthy People 2010.

Tables

96 Children ages 2-17 with a dental visit in the past year, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Denominator

U.S. civilian noninstitutionalized population: children ages 2-17.

Numerator

Number of children ages 2-17 who had a dental visit during the period of study.

Comments

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 21-10 in Healthy People 2010 documentation.

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Childhood Preventive Care

Measure Title

Percent of children ages 2-17 with untreated dental caries.

Measure Source

Healthy People 2010.

Tables

97a Percent of children ages 2-5 with untreated dental caries, United States, 1999-2004

97b Percent of children ages 6-11 with untreated dental caries, United States, 1999-2004

97c Percent of children ages 12-17 with untreated dental caries, United States, 1999-2004

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health and Nutrition Examination Survey (NHANES).

Denominator

Children ages 2-4, 6-11, and 12-17 years, respectively.

Numerator

Subset of denominator with a clinical diagnosis of dental decay in at least one tooth that has not been restored.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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