TABLE 1—
Healthy People 2010 Leading Health Indicators, Related Objectives, and Measures for Children, and Corresponding Survey Items from the National Survey of Children’s Health, 2003 and 2007
| 2010 LHIs | Related Healthy People 2010 Objectives for Children | Healthy People 2010 Indicator (Data Source) | NSCH Questions (Item #) |
| Physical activity | Objective 22–7: Increase the proportion of adolescents who engage in vigorous physical activity that promotes cardiorespiratory fitness 3 or more days per week for 20 or more minutes per occasion | Students in grades 9–12 who reported exercising or participating for at least 20 min in physical activity that made them sweat and breathe hard on ≥ 3 days of the prior 7 d. (YRBSS) | 2003 and 2007: During the past week, on how many days did SC exercise or participate in physical activity for at least 20 min that made (him/her) sweat and breathe hard? (S7Q21; K7Q41) |
| Overweight and obesity | Objective 19–3c: Reduce the proportion of children and adolescents who are overweight or obesea | Persons aged 6–19 y with a BMI at or above the gender- and age-specific 95th percentile form the CDC Growth Charts (NHANES) | 2003 and 2007: BMI for age classification derived from questions related to the child’s height and weight (BMICLASS) |
| Tobacco use | Objective 27–2b: Reduce past-month cigarette use by adolescents | Students in grades 9–12 who reported having smoked cigarettes on 1 or more of the prior 30 d (YRBSS) | None |
| Substance abuse | Objective 26–10a: Increase the proportion of adolescents not using alcohol or any illicit drugs during the past 30 d | Persons aged 12–17 y who reported not using any alcohol or illicit drugs during the past 30 d (NSDUH) | None |
| Responsible sexual behavior | Objective 25–11a: Increase the proportion of adolescents who never had sexual intercourse | Students in grades 9–12 who reported that they have never had sexual intercourse (YRBSS) | None |
| Mental health | Objective 18–1: Reduce the suicide rate | Deaths due to suicide (Vital Statistics) | 2003 and 2007: How often during the past month (child) was sad, unhappy, or depressed (S7Q62; K7Q79) |
| 2007: Does (child) currently have depression? (K2Q32B); If Yes: Would you describe his/her depression as mild, moderate or severe? (K2Q32C) | |||
| Injury and violence | Objective 15–15a: Reduce deaths caused by motor vehicle crashes | Unintentional injury traffic deaths (Vital Statistics) | 2003 and 2007: (During the past 12 mo/Since SC’s birth), has SC been injured and required medical attention? (S6Q55; K6Q30) |
| Objective 15–32: Reduce homicides | Deaths due to homicides (Vital Statistics) | ||
| Environmental quality | Objective 8–1a: Reduce the proportion of persons exposed to ozone | Persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for ozone in 1997 (NAAQS) | None |
| Objective 27–10: Reduce the proportion of nonsmokers exposed to secondhand smoke | Nonsmokers aged 4 y and older who had a serum cotinine level ≥ 0.05 ng/mL (NHANES) | None | |
| Objective 27–9: Reduce the proportion of children who are regularly exposed to tobacco smoke at home | Children aged 6 y and younger living in households where a household resident smoked inside the home at least 4 d/wk (NHIS) | 2003 and 2007: Does anyone living in your household use cigarettes, cigars, or pipe tobacco? (S9Q11B; K9Q40)2007: Does anyone smoke inside SC’s home? (K9Q41) | |
| Immunization | Objective 14–24a: Increase the proportion of children aged 19–35 mo who receive all vaccines that have been recommended for universal administration for at least 5 y | Children aged 19–35 mo receiving at least 4 doses of DTaP, at least 3 doses of polio, at least 1 dose of MMR, at least 3 doses of Hib, and at least 3 doses of hepatitis B antigens (NIS) | 2007: Has SC received a tetanus booster shot or Td or Tdap shot since (he/she) turned 11 y of age? (K2Q81) |
| Access to health care | Objective 1–1: Increase the proportion of persons with health insurance | Persons younger than age 65 y who reported coverage by any type of public or private health insurance (NHIS) | 2003 and 2007: Does SC have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicaid? (S3Q01; K3Q01) |
| Objective 1–4a: Increase the proportion of persons who have a specific source of ongoing careObjective 1–9a: Reduce hospitalization rates for ambulatory-care sensitive conditions–pediatric asthma | Persons who report having a specific source of primary care (NHIS)Number of hospitalizations among persons younger than 18 y with asthma as the principal diagnosis (HCUP) | 2003 & 2007: Do you have 1 or more persons you think of as SC’s personal doctor or nurse? (S5Q01; K4Q04). | |
| 2003: During the past 12 mo, has SC stayed overnight in a hospital because of (his/her) asthma? (S2Q53) |
Note. BMI = body mass index; CDC = Centers for Disease Control and Prevention; DTaP = diphtheria-tetanus-acellular pertussis; HCUP = Healthcare Cost and Utilization Project; Hib = Haemophilus influenzae B; HMO = health maintenance organization; LHI = leading health indicators; MMR = measles-mumps-rubella; NAAQS = National Ambient Air Quality Standards; NHANES = National Health and Nutrition Examination Survey; NHIS = National Health Interview Survey; NIS = National Immunization Survey; NSCH = National Survey of Children’s Health; NSDUH = National Survey on Drug Abuse and Health; SC = subject child; YRBSS = Youth Risk Behavior Surveillance System.
The data label used for objectives 19–3a-c “overweight or obesity” in children and adolescents was revised after the Healthy People 2010 Midcourse Review and progress reviews to “obesity.” The operational definition of the objective only measured obesity, as defined above. Additional information about the change can be found at: http://www.cdc.gov/nchs/healthy_people/hp2010/hp2010_final_review.htm.