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National Healthcare Disparities Report, 2007

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Priority Populations: Other Populations of Interest


Low Income
Women age 40 and over who report they had a mammogram within the past 2 years
Noninstitutionalized adults who were obese who were given advice about exercise
Children ages 2-17 who received advice from a doctor or other health provider about eating healthy
People with a dental visit in the past year
Women
Mothers receiving prenatal care in the first trimester
Composite measure: Patients with acute myocardial infarction (AMI) who received all recommended hospital care for AMI (administered aspirin and beta blocker within 24 hours of admission, prescribed aspirin and beta blocker at discharge, and given smoking cessation counseling while hospitalized)
New AIDS cases per 100,000 population age 13 and over
Percent of women ages 15-44 who completed a pregnancy in the last 12 months and had an HIV test as part of prenatal care
People who have a specific source of ongoing care
Women age 40 and over who report they had a mammogram within the past 2 years
Rate of breast cancers diagnosed at advanced stage
Female Medicare beneficiaries age 65 and over who had a mammogram in the past year
Women age 18 and over who report they had a Pap smear within the past 3 years
Rate of cervical cancer incidence diagnosed at advanced stage (all invasive tumors)
Cancer deaths per 100,000 female population per year for breast cancer
Radiation therapy to the breast is administered within 1 year of diagnosis for women under age 70 receiving breast conserving surgery: breast cancer
Percentage of women with Stage I-IIb breast cancer that received either axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy): breast cancer
Maternal deaths per 100,000 live births
Children
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
Children ages 19-35 months who received all recommended vaccines
Children ages 19-35 months who received four doses of diphtheria-pertussis-tetanus vaccine
Children ages 19-35 months who received three doses of polio vaccine
Children ages 19-35 months who received one dose of measles-mumps-rubella vaccine
Children ages 19-35 months who received three doses of Haemophilus influenzae type B vaccine
Children ages 19-35 months who received three doses of hepatitis B vaccine
Children ages 19-35 months who received one dose of varicella vaccine
Hospital admissions for pediatric gastroenteritis per 100,000 population under age 18
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
Children ages 12-17 with a major depressive episode in the past year who received treatment in the past year
Hospital admissions for asthma per 100,000 population under 18
Children whose parents report that they sometimes or never get appointments for routine care as soon as wanted
Children whose parents report that they sometimes or never get care for illness or injury as soon as wanted
Composite measure: Children who sometimes or never received patient centered care (whose health providers sometimes or never listened carefully, explained things clearly, respected what their parents had to say, and spent enough time with them)
Children whose parents report that their child's providers sometimes or never listened carefully to them
Children whose parents report that their child's providers sometimes or never explained things in a way they could understand
Children whose parents report that their child's providers sometimes or never showed respect for what they had to say
Children whose parents report that their child's providers sometimes or never spent enough time with them
Persons under age 65 with health insurance
Children without problems getting referral to a specialist in the past year
Children whose parents rate their health care in the past year 0 to 6 on a scale from 0 to 10
Elderly
Medicare beneficiaries age 65 and older who had an eye examination in the past year
Female Medicare beneficiaries age 65 and over who had a mammogram in the past year
Medicare beneficiaries age 65 and older who had an influenza vaccination in the past year
Medicare beneficiaries age 65 and older with delayed care due to cost
Medicare beneficiaries age 65 and over who received dental care
Noninstitutionalized adults age 65 and over who received influenza vaccine in the past year
Hospital admissions for influenza per 100,000 population 65 and over
Noninstitutionalized adults age 65 and over who ever received pneumococcal vaccination
Composite measure: Adult Medicare patients having surgery who received appropriate timing of antibiotics (prophylactic antibiotics begun at the right time and ended at the right time)
Percent of adult Medicare patients having surgery who receive prophylactic antibiotics within 1 hour prior to surgical incision
Percent of adult Medicare patients having surgery who have prophylactic antibiotics discontinued within 24 hours after surgery end time
Persons age 65 and over with any private health insurance
Residents of Rural Areas
Mothers receiving prenatal care in the first trimester
Deaths per 1,000 adult admissions with acute myocardial infarction
Composite measure: Adults age 40 and over with diabetes who had all three recommended services for diabetes in the past year (at least one hemoglobin A1c measurement, a retinal eye examination, and a foot examination)
Adults who can sometimes or never get care for illness or injury as soon as wanted
People under age 65 who were uninsured all year
Individuals with Special Health Needs
Elderly Medicare beneficiaries with functional limitations who delayed health care due to cost
Children with special needs who need care right away who can always get care for illness or injury as soon as wanted
Children with special health care needs whose parent/guardians reported that their child's health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them

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Low Income

Measure Title

Women age 40 and over who report they had a mammogram within the past 2 years.

Measure Source

Healthy People 2010.

National Tables

1a Women age 40 and over who reported they had a mammogram within the past 2 years, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

National Denominator

U.S. female resident population age 40 and over.

National Numerator

Number of women age 40 and over who report receiving a mammogram within the past 2 years.

State Tables

1b Women age 40 and over who reported they had a mammogram within the past 2 years, California, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Asian ethnicity.

State Data Source

University of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).

State Denominator

California female civilian population age 40 and over, excluding people residing in group quarters.

State Numerator

Number of women age 40 and over who report receiving a mammogram within the past 2 years.

Comments

Data reported in national table are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5, of Tracking Healthy People 2010.

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

This measure is referred to as measure 3-13 in Healthy People 2010 documentation.

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Low Income

Measure Title

Noninstitutionalized adults who were obese who were given advice about exercise.

Measure Source

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

Tables

61 Adults who were obese who were given advice about exercise, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Persons age 18 and over with a body mass index (BMI) of 30 or greater.

Numerator

Subset of denominator who reported they were given advice about exercise by a doctor or health professional.

Comments

Nonresponses and "Don't know" responses were excluded from the analysis.

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

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Low Income

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

Numerator

Children age 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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Low Income

Measure Title

People with a dental visit in the past year.

Measure Source

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

Tables

232 People with a dental visit, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population.

Numerator

U.S. civilian noninstitutionalized population who reported at least one dental visit.

Comments

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

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Women

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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Women

Measure Title

Composite measure: Patients with acute myocardial infarction (AMI) who received all recommended hospital care for AMI (administered aspirin and beta blocker within 24 hours of admission, prescribed aspirin and beta blocker at discharge, and given smoking cessation counseling while hospitalized).

Measure Source

Centers for Medicare & Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Table

42 Percent of AMI patients who received recommended hospital care, all payers, United States, 2005

Data Source

CMS, Medicare Quality Improvement Organizations Program (QIO).

Denominator

Medicare hospital discharges with a principal diagnosis of AMI and a history of smoking cigarettes anytime during the year prior to hospital arrival.

Numerator

Subset of AMI denominator patients who received all recommended processes during the hospital stay: aspirin and beta blocker administered within 24 hours of admission, aspirin and beta blocker prescribed at discharge, and smoking cessation counseling given while hospitalized.

Comments

ICD-9-CM codes for AMI include 410.01, 410.11, 410.21, 410.31, 410.41, 410.51, 410.61, 410.71, 410.81, and 410.91. The measure specifies exclusion of patients under age 18, patients transferred to another acute care or Federal hospital, patients transferred to hospice, patients who expired, and patients who left against medical advice. Further information on this and other heart disease measures is available at http://www.cms.hhs.gov/QualityInitiativesGenInfo/.

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

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Women

Measure Title

New AIDS cases per 100,000 population age 13 and over.

Measure Source

Healthy People 2010.

Table

63 New AIDS cases per 100,000 population age 13 and over, United States, 2005, by

Ethnicity

Data Source

Centers for Disease Control and Prevention (CDC), National HIV/AIDS Surveillance System.

Denominator

U.S. resident population: adolescents and adults age 13 and over.

Numerator

Number of reported new AIDS cases among adolescents and adults age 13 and over.

Comments

The AIDS case definition used by the HIV/AIDS Surveillance System is provided by the CDC. Data are adjusted for reporting delay.

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

This measure is referred to as measure 13-1 in Healthy People 2010 documentation.

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Women

Measure Title

Percent of women ages 15-44 who completed a pregnancy in the last 12 months and had an HIV test as part of prenatal care.

Measure Source

Centers for Disease Control and Prevention (CDC), National Survey of Family Growth (NSFG).

Table

64 Percent of women ages 15-44 who completed a pregnancy in the last 12 months and had an HIV test as part of prenatal care, United States, 2002

Data Source

CDC, National Center for Health Statistics (NCHS), NSFG.

Denominator

Women age 15-44 who completed a pregnancy in the last 12 months.

Numerator

Subset of the denominator who had an HIV test as part of prenatal care.

Comments

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

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Women

Measure Title

People who have a specific source of ongoing care.

Measure Source

Healthy People 2010.

Tables

216 People who had a specific source of ongoing care, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

Denominator

U.S. civilian population.

Numerator

Number of persons who reported having a specific source of primary care.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5, of Tracking Healthy People 2010.

A specific source of primary care includes urgent care/walk-in clinic, doctor's office, clinic, health center facility, hospital outpatient clinic, HMO/PPO, military or other Veterans Administration health care, some other place. A hospital emergency room is not included as a specific source of primary care.

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

This measure is referred to as measure 1-4 in Healthy People 2010 documentation.

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Women

Measure Title

Women age 40 and over who report they had a mammogram within the past 2 years.

Measure Source

Healthy People 2010.

National Tables

1a Women age 40 and over who reported they had a mammogram within the past 2 years, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

National Denominator

U.S female resident population age 40 and over.

National Numerator

Number of women age 40 and over who report receiving a mammogram within the past 2 years.

State Tables

1b Women age 40 and over who reported they had a mammogram within the past 2 years, California, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Asian ethnicity.

State Data Source

University of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).

State Denominator

California female civilian population age 40 and over, excluding people residing in group quarters.

State Numerator

Number of women age 40 and over who report receiving a mammogram within the past 2 years.

Comments

Data reported in national table are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5, of Tracking Healthy People 2010.

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

This measure is referred to as measure 3-13 in Healthy People 2010 documentation.

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Women

Measure Title

Rate of breast cancers diagnosed at advanced stage.

Measure Source

National Cancer Institute (NCI), Surveillance, Epidemiology, and End Results Program (SEER).

Table

2 Rate of breast cancer incidence per 100,000 women age 40 and over diagnosed at advanced stage (regional, distant stage, or local stage with tumor greater than 2 cm), United States, 2004

Data Source

NCI, SEER.

Denominator

Number of females age 40 and over.

Numerator

Number of women age 40 and over with new breast cancer diagnosed at an advanced stage.

Comments

Incidence rates are age adjusted to the 2000 U.S. standard population.

Advanced stage is defined as localized tumors in excess of 2 cm and regional or distant staged tumors. For more information on staging, see the SEER Cancer Statistics Review Web site at http://seer.cancer.gov/csr/1975_2003/.

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

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Women

Measure Title

Female Medicare beneficiaries age 65 and over who had a mammogram in the past year.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

265 Female Medicare beneficiaries age 65 and over who had a mammogram in the past year, 2003, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

CMS, MCBS.

Denominator

Number of female Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year who reported having a mammogram in the past year.

Comments

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

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Women

Measure Title

Women age 18 and over who report they had a Pap smear within the past 3 years.

Measure Source

Healthy People 2010.

Tables

3 Women age 18 and over who reported they had a Pap smear within the past 3 years, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

Denominator

U.S female resident population age 18 and over.

Numerator

Number of women age 18 and over who report receiving a Pap test within the past 3 years; respondents whose response to the question "When did you have your most recent Pap smear test?" indicated a test within 3 years of the measure year.

Comments

Data include women without a uterine cervix.

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5, of Tracking Healthy People 2010.

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

This measure is referred to as measure 3-11b in Healthy People 2010 documentation.

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Women

Measure Title

Rate of cervical cancer incidence diagnosed at advanced stage (all invasive tumors).

Measure Source

National Cancer Institute (NCI), Surveillance, Epidemiology, and End Results Program (SEER).

Table

4 Rate of cervical cancer incidence per 100,000 women age 20 and over diagnosed at advanced stage (all invasive tumors), United States, 2004

Data Source

NCI, SEER.

Denominator

Number of females age 20 and over.

Numerator

Number of females age 20 and over with new cervical cancers diagnosed as invasive in the survey years.

Comments

Incidence rates are age adjusted to the 2000 U.S. standard population.

Invasive cervical cancer is defined as cancer that has spread from the surface of the cervix to tissue deeper in the cervix or to other parts of the body. For more information on staging, see the SEER Cancer Statistics Review Web site at http://seer.cancer.gov/csr/1975_2003/.

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

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Women

Measure Title

Cancer deaths per 100,000 female population per year for breast cancer.

Measure Source

Healthy People 2010.

Tables

11 Cancer deaths per 100,000 female population per year for breast cancer, 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

U.S. female resident population.

Numerator

Number of deaths due to female breast cancer (ICD-10-CM code C50 [female only]).

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5, of Tracking Healthy People 2010.

This measure differs from Healthy People 2000 objective 16.1, which age adjusted the death rates using the 1940 standard population. See Appendix C of Tracking Healthy People 2010 for comparison data.

Education data are for persons age 25-64 years only.

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

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

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Women

Measure Title

Radiation therapy to the breast is administered within 1 year of diagnosis for women under age 70 receiving breast conserving surgery: breast cancer.

Measure Source

American College of Surgeons (ACS), Commission on Cancer (CoC), National Cancer Database (NCDB).

Tables

16 Patients with breast cancer who received recommended treatment: radiation therapy to the breast within 1 year of diagnosis for women under age 70 receiving breast conserving surgery, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

ACS, CoC, NCDB.

Denominator

Women age 18-69 with AJCC (American Joint Committee on Cancer) Stage I, II, or III primary invasive epithelial breast cancer that was surgically treated by breast conservation surgery. Breast cancer diagnoses are known or assumed first or only cancer diagnosis, and patients were known to be alive within 1 year of their diagnosis

Numerator

Subset of denominator for whom radiation therapy to the breast was initiated within 1 year (365 days) of date of diagnosis.

Comments

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

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Women

Measure Title

Percentage of women with Stage I-IIb breast cancer that received either axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy): breast cancer.

Measure Source

American College of Surgeons (ACS), Commission on Cancer (CoC), National Cancer Database (NCDB).

Tables

17 Patients with breast cancer who received recommended treatment: axillary node dissection or sentinel lymph node biopsy at the time of surgery (lumpectomy or mastectomy) for women with Stage I-IIb breast cancer, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

ACS, CoC, NCDB.

Denominator

Women age 18 and over with AJCC (American Joint Committee on Cancer) Stage I or IIA primary invasive epithelial breast cancer that was surgically treated by breast conservation surgery or mastectomy. Breast cancer diagnoses are known or assumed first or only cancer diagnosis.

Numerator

Subset of denominator who received lymph node surgery (axillary node dissection or sentinel lymph node biopsy) at the time of their breast cancer surgery.

Comments

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

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Women

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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Children

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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Children

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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Children

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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Children

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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Children

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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Children

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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Children

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 (NCHS) and National Immunization Program, National Immunization Survey (NIS).

Denominator

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

Numerator

Number of children age 19-35 months receiving at least four doses of diphtheria-tetanus-acellular pertussis (DTaP), at least three doses of polio, at least one dose of measles-mumps-rubella (MMR), at least three doses of Haemophilus influenzae B (Hib), and at least three 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 four doses of diphtheria, tetanus, and pertussis vaccine; at least three doses of polio vaccine; at least one dose of measles, mumps, and rubella vaccine; at least three 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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Children

Measure Title

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

Measure Source

Healthy People 2010.

Tables

79 Children ages 19-35 months who received four 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 (NCHS) and National Immunization Program, National Immunization Survey (NIS).

Denominator

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

Numerator

Number of children age 19-35 months receiving at least four 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 race/ethnic population distribution in the sample compared to race/ethnic population distribution at birth.

This baseline measure tracks the number of children age 19-35 months receiving four 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 four doses of diphtheria, tetanus, and pertussis vaccine; at least three doses of polio vaccine; at least one dose of measles, mumps, and rubella vaccine; at least three doses of H. influenzae type B vaccine; and at least three 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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Children

Measure Title

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

Measure Source

Healthy People 2010.

Tables

80 Children ages 19-35 months who received three 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 (NCHS) and National Immunization Program, National Immunization Survey (NIS).

Denominator

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

Numerator

Number of children age 19-35 months receiving at least three 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.

The vaccines included in this measure are based on the corresponding Healthy People 2010 objective. These include at least four doses of diphtheria, tetanus, and pertussis vaccine; at least three doses of polio vaccine; at least one dose of measles, mumps, and rubella vaccine; at least three doses of H. influenzae type B vaccine; and at least three 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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Children

Measure Title

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

Measure Source

Healthy People 2010.

Tables

81 Children ages 19-35 months who received one 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 (NCHS) and National Immunization Program, National Immunization Survey (NIS).

Denominator

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

Numerator

Number of children age 19-35 months receiving at least one 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 four doses of diphtheria, tetanus, and pertussis vaccine; at least three doses of polio vaccine; at least one dose of measles, mumps, and rubella vaccine; at least three doses of H. influenzae type B vaccine; and at least three 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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Children

Measure Title

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

Measure Source

Healthy People 2010.

Tables

82 Children ages 19-35 months who received three 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 (NCHS) and National Immunization Program, National Immunization Survey (NIS).

Denominator

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

Numerator

Number of children age 19-35 months receiving at least three 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 four doses of diphtheria, tetanus, and pertussis vaccine; at least three doses of polio vaccine; at least one dose of measles, mumps, and rubella vaccine; at least three doses of H. influenzae type B vaccine; and at least three 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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Children

Measure Title

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

Measure Source

Healthy People 2010.

Tables

83 Children ages 19-35 months who received three 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 (NCHS) and National Immunization Program, National Immunization Survey (NIS).

Denominator

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

Numerator

Number of children age 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 four doses of diphtheria, tetanus, and pertussis vaccine; at least three doses of polio vaccine; at least one dose of measles, mumps, and rubella vaccine; at least three doses of H. influenzae type B vaccine; and at least three 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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Children

Measure Title

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

Measure Source

Healthy People 2010.

Tables

84 Children ages 19-35 months who received one 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 (NCHS) and National Immunization Program, National Immunization Survey (NIS).

Denominator

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

Numerator

Number of children age 19-35 months receiving at least one 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 four doses of diphtheria, tetanus, and pertussis vaccine; at least three doses of polio vaccine; at least one dose of measles, mumps, and rubella vaccine; at least three doses of H. influenzae type B vaccine; and at least three 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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Children

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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Children

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

Numerator

Children age 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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Children

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 age 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 age 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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Children

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

Numerator

Children age 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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Children

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

Numerator

Children age 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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Children

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 age 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 age 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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Children

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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Children

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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Children

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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Children

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 age 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 age 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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Children

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 age 2-19 and over 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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Children

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 age—17.

Numerator

Number of children age 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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Children

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 aged 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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Children

Measure Title

Children ages 12-17 with a major depressive episode in the past year who received treatment in the past year.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

100 Children ages 12-17 with past year major depressive episode who received treatment for the depression in the past year, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Persons ages 12-17 with a major depressive episode in the past year..

Numerator

Subset of the denominator who received treatment in the past year.

Comments

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

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Children

Measure Title

Hospital admissions for asthma per 100,000 population under 18.

Measure Source

Healthy People 2010.

Table

117 Pediatric asthma admissions (excluding patients with cystic fibrosis or anomalies of the respiratory system and transfers from other institutions) per 100,000 population, ages 2-17, United States, 2004, by

  • Race/ethnicity.

Data Source

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

Denominator

U.S. civilian population: children under age 18.

Numerator

Number of discharges with principal diagnosis of asthma (ICD-9-CM code 493) among children under age 18.

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 4 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.

This measure is referred to as measures 24-2 and 1-9a in Healthy People 2010 documentation.

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Children

Measure Title

Children whose parents report that they sometimes or never get appointments for routine care as soon as wanted.

Measure Source

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

Tables

184a Children who can always get appointments for routine care as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

184b Children who can usually get appointments for routine care as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

184c Children who can sometimes or never get appointments for routine care as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 whose parents reported that, during the previous 12 months, they had made an appointment with a doctor or other health provider for regular or routine health care.

Numerator

Percent distribution of the denominator population who can always, usually, sometimes, or never, depending on the table, get an appointment for regular or routine health care as soon as they wanted.

Comments

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

Tables report data from the MEPS Child Health and Preventive Care section. See the MEPS entry in the Data Sources Appendix for more information on this component of MEPS.

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Children

Measure Title

Children whose parents report that they sometimes or never get care for illness or injury as soon as wanted.

Measure Source

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

Tables

186a Children who can always get care for illness or injury as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

186b Children who can usually get care for illness or injury as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

186c Children who can sometimes or never get care for illness or injury as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 whose parents reported that, during the previous 12 months, they had an illness or injury that needed care right away from a doctor's office, clinic, or emergency room.

Numerator

Percent distribution of the denominator population who can always, usually, sometimes, or never, depending on the table, get the appointment for illness or injury care as soon as they wanted.

Comments

Tables report data from the MEPS Child Health and Preventive Care section. See the MEPS entry in the Data Sources Appendix for more information on this component of MEPS.

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

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Children

Measure Title

Composite measure: Children who sometimes or never received patient centered care (whose health providers sometimes or never listened carefully, explained things clearly, respected what their parents had to say, and spent enough time with them).

Measure Source

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

Tables

190a Children whose parents report that their child′s providers always listened carefully to them, explained things clearly to them, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

190b Children whose parents report that their child′s providers usually listened carefully to them, explained things clearly to them, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

190c Children whose parents report that their child′s providers sometimes or never listened carefully to them, explained things clearly to them, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents subsequently reported their provider's level of communication on some or all of the four components of the composite measure as always, usually, or sometimes or never, depending on the table.

Comments

Percent estimates are weighted; percent weights are adjusted for nonresponse based on how many of the questions had a valid response.

Tables report data from the MEPS Child Health and Preventive Care section. See the MEPS entry in the Data Sources Appendix for more information on this component of MEPS.

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

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Children

Measure Title

Children whose parents report that their child's providers sometimes or never listened carefully to them.

Measure Source

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

Tables

192a Children whose parents report that their child′s providers always listened carefully to them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

192b Children whose parents report that their child′s providers usually listened carefully to them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

192c Children whose parents report that their child′s providers sometimes or never listened carefully to them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents subsequently reported that their child's providers always, usually, sometimes, or never, depending on the table, listened carefully to them.

Comments

Tables report data from the MEPS Child Health and Preventive Care section. See the MEPS entry in the Data Sources Appendix for more information on this component of MEPS.

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

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Children

Measure Title

Children whose parents report that their child's providers sometimes or never explained things in a way they could understand.

Measure Source

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

Tables

194a Children whose parents report that their child′s providers always explained things in a way them could understand, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

194b Children whose parents report that their child′s providers usually explained things in a way they could understand, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

194c Children whose parents report that their child′s providers sometimes or never explained things in a way they could understand, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents subsequently reported that their child's providers always, usually, sometimes, or never, depending on the table, explained things in a way they could understand.

Comments

Tables report data from the MEPS Child Health and Preventive Care section. See the MEPS entry in the Data Sources Appendix for more information on this component of MEPS.

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

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Children

Measure Title

Children whose parents report that their child's providers sometimes or never showed respect for what they had to say.

Measure Source

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

Tables

196a Children whose parents report that their child′s providers always showed respect for what they had to say, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

196b Children whose parents report that their child′s providers usually showed respect for what they had to say, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

196c Children whose parents report that their child′s providers sometimes or never showed respect for what they had to say, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents subsequently reported that their child's providers always, usually, sometimes, or never, depending on the table, showed respect for what they had to say.

Comments

Tables report data from the MEPS Child Health and Preventive Care section. See the MEPS entry in the Data Sources Appendix for more information on this component of MEPS.

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

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Children

Measure Title

Children whose parents report that their child's providers sometimes or never spent enough time with them.

Measure Source

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

Tables

198a Children whose parents report that their child′s providers always spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

198b Children whose parents report that their child′s providers usually spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

198c Children whose parents report that their child′s providers sometimes or never spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents subsequently reported that their child's providers always, usually, sometimes, or never, depending on the table, spend enough time with them.

Comments

Tables report data from the MEPS Child Health and Preventive Care section. See the MEPS entry in the Data Sources Appendix for more information on this component of MEPS.

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

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Children

Measure Title

Persons under age 65 with health insurance.

Measure Source

Healthy People 2010.

Tables

209 People under age 65 with health insurance, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

Denominator

U.S. civilian population under age 65.

Numerator

Number of persons under age 65 who reported coverage by any type of public or private health insurance.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5, of Tracking Healthy People 2010.

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

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

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Children

Measure Title

Children without problems getting referral to a specialist in the past year.

Measure Source

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

Tables

226 Children without problems getting referral to a specialist in past year, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 whose parents reported that, during the previous 12 months, they or a doctor thought they needed to see a specialist.

Numerator

U.S. civilian noninstitutionalized children under age 18 whose parents reported that, during the previous 12 months, they or a doctor thought they needed to see a specialist and who subsequently reported no problems getting referral to a specialist in the past year.

Comments

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

Tables report data from the MEPS Child Health and Preventive Care section. See the MEPS entry in the Data Sources Appendix for more information on this component of MEPS.

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Children

Measure Title

Children whose parents rate their health care in the past year 0 to 6 on a scale from 0 to 10.

Measure Source

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

Tables

229a Children whose parents rate their child′s health care in the past year 0-6 on a scale from 0 to 10, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

229b Children whose parents rate their child′s health care in the past year 7-8 on a scale from 0 to 10, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

229c Children whose parents rate their child′s health care in the past year 9-10 on a scale from 0 to 10, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents rated their child's health care in the past year as <7, 7-8, or 9-10, depending on the table, on a scale from 0 to 10.

Comments

Tables report data from the MEPS Child Health and Preventive Care section. See the MEPS entry in the Data Sources Appendix for more information on this component of MEPS.

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

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Elderly

Measure Title

Medicare beneficiaries age 65 and older who had an eye examination in the past year.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

264 Medicare beneficiaries age 65 and over who had an eye examination in the past year, 2003, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

CMS, MCBS.

Denominator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year who reported having had an eye examination in the past year.

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Elderly

Measure Title

Female Medicare beneficiaries age 65 and over who had a mammogram in the past year.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

265 Female Medicare beneficiaries age 65 and over who had a mammogram in the past year, 2003, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

CMS, MCBS.

Denominator

Number of female Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year who reported having a mammogram in the past year.

Comments

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

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Elderly

Measure Title

Medicare beneficiaries age 65 and older who had an influenza vaccination in the past year.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

266 Medicare beneficiaries age 65 and over who had an influenza vaccination in the past year, 2003, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

CMS, MCBS.

Denominator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year who had a influenza vaccination in the past year.

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Elderly

Measure Title

Medicare beneficiaries age 65 and older with delayed care due to cost.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

267 Medicare beneficiaries age 65 and over with delayed care due to cost, 2003, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

CMS, MCBS.

Denominator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year with delayed care due to cost.

Comments

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

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Elderly

Measure Title

Medicare beneficiaries age 65 and over who received dental care.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

268 Medicare beneficiaries age 65 and over who received dental care, 2003, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

CMS, MCBS.

Denominator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year who had dental care in the past year.

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Elderly

Measure Title

Noninstitutionalized adults age 65 and over who received influenza vaccine in the past year.

Measure Source

Healthy People 2010.

National Tables

105a Noninstitutionalized adults age 65 and over who received influenza vaccine in the past year, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

National Denominator

U.S. civilian noninstitutionalized population age 65 and over.

National Numerator

Number of adults age 65 and over who report receiving an influenza vaccination in the past 12 months.

State Tables

105b Adults age 65 and over who received influenza vaccine within the past year, California, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Asian ethnicity.

State Data Source

University of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).

State Denominator

California civilian population age 65 and over, excluding people residing in group quarters.

State Numerator

Number of adults age 65 and over who report receiving an influenza vaccination in the past 12 months.

Comments

This measure is one of the components of the Immunization Leading Health Indicators, which further defines the measure as pertaining to high-risk adults. See Appendix H of Tracking Healthy People 2010 for a complete listing of Leading Health Indicators.

Data reported in national tables 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, of Tracking Healthy People 2010.

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

This measure is referred to as measure 14-29a in Healthy People 2010 documentation.

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Elderly

Measure Title

Hospital admissions for influenza per 100,000 population 65 and over.

Measure Source

Healthy People 2010.

Table

106 Immunization-preventable influenza admissions (excluding transfers from other institutions) per 100,000 population, age 65 and over, United States, 2004, by

  • Race/ethnicity.

Data Source

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

Denominator

Elderly U.S. population (age 65 and older) by subcategory (i.e., race, age group, gender, median household income level, urbanization, and region).

Numerator

Non-maternal hospital discharges age 65 and over with any diagnosis of immunization-preventable influenza (ICD-9-CM codes 487.0, 487.1, and 487.8), 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.

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

This measure is referred to as measure 1-9c in Healthy People 2010 documentation.

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Elderly

Measure Title

Noninstitutionalized adults age 65 and over who ever received pneumococcal vaccination.

Measure Source

Healthy People 2010.

Tables

108 Noninstitutionalized adults age 65 and over who ever received a pneumococcal vaccination, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

Denominator

U.S. civilian noninstitutionalized population: age 65 and over.

Numerator

Number of adults age 65 and over who had a pneumonia vaccination.

Comments

This measure is one of the components of the Immunization Leading Health Indicators, which further defines the measure as pertaining to high-risk adults. See Appendix H of Tracking Healthy People 2010 for a complete listing of Leading Health Indicators.

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5, of Tracking Healthy People 2010.

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

This measure is referred to as measure 14-29b in Healthy People 2010 documentation.

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Elderly

Measure Title

Composite measure: Adult Medicare patients having surgery who received appropriate timing of antibiotics (prophylactic antibiotics begun at the right time and ended at the right time).

Measure Source

Centers for Medicare & Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Table

152 Percent of adult surgery patients who received appropriate timing of antibiotics, all payers, United States, 2005

Data Source

CMS, Medicare Quality Improvement Organizations Program (QIO).

Denominator

Medicare hospital discharges with indication of surgery.

Numerator

Subset of denominator who had prophylactic antibiotics within 1 hour prior to surgery and prophylactic antibiotics discontinued within 24 hours after surgery end time.

Comments

See entries for each of the components of the composite measure for further details about the methodology.

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

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Elderly

Measure Title

Percent of adult Medicare patients having surgery who receive prophylactic antibiotics within 1 hour prior to surgical incision.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Table

153 Percent of adult surgery patients who received prophylactic antibiotics within 1 hour prior to surgical incision, all payers, United States, 2005

Data Source

CMS, Medicare Quality Improvement Organizations Program (QIO).

Denominator

Medicare hospital discharges with indication of surgery.

Numerator

Subset of denominator who had prophylactic antibiotics within 1 hour prior to surgery.

Comments

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

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Elderly

Measure Title

Percent of adult Medicare patients having surgery who have prophylactic antibiotics discontinued within 24 hours after surgery end time.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Table

154 Percent of adult surgery patients who had prophylactic antibiotics discontinued within 24 hours after surgery end time, all payers, United States, 2005

Data Source

CMS, Medicare Quality Improvement Organizations Program (QIO).

Denominator

Medicare hospital discharges with indication of surgery.

Numerator

Subset of denominator who had prophylactic antibiotics discontinued within 24 hours after surgery end time.

Comments

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

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Elderly

Measure Title

Persons age 65 and over with any private health insurance.

Measure Source

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

Tables

212 People age 65 and over with any private health insurance, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

CDC, NCHS, National Health Interview Survey (NHIS).

Denominator

U.S. civilian population age 65 and over.

Numerator

Number of persons age 65 and over who reported coverage by any private health insurance.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5, of Tracking Healthy People 2010.

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

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Residents of Rural Areas

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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Residents of Rural Areas

Measure Title

Deaths per 1,000 adult admissions with acute myocardial infarction.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Inpatient Quality Indicators (IQI).

Table

53 Deaths per 1,000 admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital), age 18 and over, United States, 2004, by

  • Race/ethnicity.

Data Source

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

Denominator

All hospital inpatient discharges age 18 and older with a principal diagnosis code of AMI (ICD-9-CM 410.01, 410.51, 410.11, 410.61, 410.21, 410.71, 410.31, 410.81, 410.41, 410.91). Excludes patients transferring to another short-term hospital and obstetric and neonatal admissions.

Numerator

Number of deaths with a principal diagnosis code of AMI.

Comments

Rates are adjusted by age, gender, age-gender interactions, and APR-DRG risk of mortality score. When reporting is by age, the adjustment is by gender and APR-DRG risk of mortality score; when reporting is by gender, the adjustment is by age and APR-DRG risk of mortality score.

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 3, of the AHRQ Inpatient Quality Indicators software. This measure is referred to as indicator 15 in the AHRQ Inpatient 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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Residents of Rural Areas

Measure Title

Composite measure: Adults age 40 and over with diabetes who had all three recommended services for diabetes in the past year (at least one hemoglobin A1c measurement, a retinal eye examination, and a foot examination).

Measure Source

Healthy People 2010.

National Alliance for Diabetes Quality Improvement, National Quality Forum, 2002.

National Tables

19a Adults age 40 and over with diabetes who had a hemoglobin A1c test, a retinal eye examination, and a foot examination in the past year, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

National Data Source

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

National Denominator

U.S. civilian noninstitutionalized adults age 40 and older with diabetes who answered the Diabetes Care Survey (DCS) question and had valid, non-missing responses to all three questions.

National Numerator

U.S. civilian noninstitutionalized adults age 40 and older with diabetes whose answers indicated they had at least one hemoglobin A1c test, a retinal eye examination, and a foot examination in the study period.

State Tables

19b Diabetes patients age 40 and over who ever had hemoglobin A1c measurement, retinal eye examination, and foot examination within the past year, California, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Asian ethnicity.

State Data Source

University of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).

State Denominator

California civilian population age 40 and older with diabetes who answered the Diabetes Care Survey (DCS) question and had valid, non-missing responses to all three questions, excluding people residing in group quarters.

State Numerator

Adults age 40 and older with diabetes whose answers indicated they had at least one hemoglobin A1c test, a retinal eye examination, and a foot examination in the study period.

Comments

The criteria for selecting the diabetes population from the MEPS survey and the methodology for calculating the diabetes composite measure have changed; reported rates may not be comparable with those found in prior years' editions of the National Healthcare Disparities Report.

Nonresponses and "Don't know" responses to the DCS question were excluded from the analysis.

National estimates are age adjusted to the 2000 standard population with 2 age groups: 40-59, 60 and over.

See entries for each of the three components of the composite measure for further details about the individual survey questions.

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

The measures that comprise this composite measure are referred to as measures 5-12, 5-13, and 5-14 in Healthy People 2010 documentation.

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Residents of Rural Areas

Measure Title

Adults who can sometimes or never get care for illness or injury as soon as wanted.

Measure Source

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

Tables

185a Adults who can always get care for illness or injury as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

185b Adults who can usually get care for illness or injury as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

185c Adults who can sometimes or never get care for illness or injury as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and older who reported that, during the previous 12 months, they had an illness or injury that needed care right away from a doctor's office, clinic, or emergency room.

Numerator

Percent distribution of the denominator population who can always, usually, sometimes, or never, depending on the table, get the appointment for illness or injury care as soon as they wanted.

Comments

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

Tables report data from the MEPS Self-Administered Questionnaire (SAQ). See the MEPS entry in the Data Sources Appendix for more information on the SAQ.

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Residents of Rural Areas

Measure Title

People under age 65 who were uninsured all year.

Measure Source

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

University of California, Los Angeles (UCLA), Center for Health Policy Research (CHPR), California Health Interview Survey (CHIS).

National Tables

213a People under age 65 uninsured all year, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population under age 65.

National Numerator

U.S. civilian noninstitutionalized population under age 65 who reported no private or public health insurance coverage at any time during the year.

State Tables

213b People under age 65 who were uninsured all year during the past year, California, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Asian ethnicity.

State Data Source

UCLA, CHIS.

State Denominator

California civilian population under age 65, excluding people residing in group quarters.

State Numerator

Population under age 65 who reported no private or public health insurance coverage at any time during the year.

Comments

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

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Individuals with Special Health Needs

Measure Title

Elderly Medicare beneficiaries with functional limitations who delayed health care due to cost.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

267 Medicare beneficiaries age 65 and over with delayed care due to cost, 2003, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

CMS, MCBS.

Denominator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year with delayed care due to cost.

Comments

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

This measure is also known as "Medicare beneficiaries age 65 and older with delayed care due to cost."

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Individuals with Special Health Needs

Measure Title

Children with special needs who need care right away who can always get care for illness or injury as soon as wanted.

Measure Source

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

Tables

186a Children who can always get care for illness or injury as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

186b Children who can usually get care for illness or injury as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

186c Children who can sometimes or never get care for illness or injury as soon as wanted, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 whose parents reported that, during the previous 12 months, they had an illness or injury that needed care right away from a doctor's office, clinic, or emergency room.

Numerator

Percent distribution of the denominator population who can always, usually, sometimes, or never, depending on the table, get an appointment for illness or injury care as soon as they wanted.

Comments

Tables report data from the MEPS Child Health and Preventive Care section. See the MEPS entry in the Data Sources Appendix for more information on this component of MEPS.

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

This measure is also known as "Children whose parents report that they sometimes or never get care for illness or injury as soon as wanted."

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Individuals with Special Health Needs

Measure Title

Children with special health care needs whose parent/guardians reported that their child's health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them.

Measure Source

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

Tables

190a Children whose parents report that their child′s providers always listened carefully to them, explained things clearly to them, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

190b Children whose parents report that their child′s providers usually listened carefully to them, explained things clearly to them, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

190c Children whose parents report that their child′s providers sometimes or never listened carefully to them, explained things clearly to them, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents subsequently reported their provider's level of communication on some or all of the four components of the composite measure as always, usually, or sometimes or never, depending on the table.

Comments

Percent estimates are weighted; percent weights are adjusted for nonresponse based on how many of the questions had a valid response.

Tables report data from the MEPS Child Health and Preventive Care section. See the MEPS entry in the Data Sources Appendix for more information on this component of MEPS.

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

This measure is also known as "Composite measure: Children who sometimes or never received patient centered care (whose health providers sometimes or never listened carefully, explained things clearly, respected what their parents had to say, and spent enough time with them)."

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