Table 1. Healthy People 2020 Objectives, Target Populations, Measures, and Estimates for Attaining Targets for Cancer Screening, Genetic Counseling, and Health Care Access, National Health Interview Survey (NHIS), 2008 and 2010.
| Healthy People Objective | Target Population | NHIS Measure | Target % | Baseline (2008 NHIS) |
Interim (2010 NHIS) |
||
|---|---|---|---|---|---|---|---|
| % (95% CI) | Sample n (Population) | % (95% CI) | Sample n (Population) | ||||
| Cervical cancer screening | |||||||
| C-15 Increase the proportion of women who receive a cervical cancer screening based on the most recent guidelines | Women aged 21–65 who have not had hysterectomy | Women aged 21–65 who have not had hysterectomy and had Pap testing in the past 3 years | 93.0 | 84.4 (83.3–85.4) | 7,560 (74,080,539) | 82.9 (81.9–83.9) | 9,073 (72,522,806) |
| C-18.2 Increase the proportion of women who were counseled by their providers about Pap tests | Women aged 21–65 who have not had hysterectomy | Women aged 21–65 who have not had hysterectomy and were counseled by their providers about Pap testing | 66.2 | 60.2 (58.7–61.7) | 7,560 (74,080,539) | 53.9 (52.6–55.3) | 9,073 (72,522,806) |
| Breast cancer screening | |||||||
| C-17 Increase the proportion of women who receive a breast cancer screening based on the most recent guidelines | Women aged 50–74 | Women aged 50–74 who had a mammogram in the past 2 years | 81.1 | 73.7 (72.0–75.3) | 4,237 (38,963,716) | 72.4 (70.7–74.0) | 5,336 (41,263,848) |
| C-18.1 Increase the proportion of women who were counseled by their providers about mammograms | Women aged 50–74 | Women aged 50–74 who were counseled by their providers about mammograms | 76.8 | 69.8 (67.9–71.6) | 4,237 (38,963,716) | 59.5 (57.7–61.3) | 5,336 (41,263,848) |
| Colorectal cancer screening | |||||||
| C-16 Increase the proportion of adults who receive colorectal cancer screening based on the most recent guidelines | Men and women aged 50–75 | Adults aged 50–75 who had a blood stool test in the past 5 years, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or colonoscopy in the past 10 years | 70.5 | 52.1 (50.7–53.5) | 7,776 (76,769,989) | 59.1 (57.8–60.4) | 9,782 (80,699,526) |
| Prostate cancer screening | |||||||
| C-19 (Developmental) Increase the proportion of men who have discussed with their health care provider whether to have prostate-specific antigen (PSA) testing | Men aged 50–74 | Developmental | NA | NA | 3,328 (35,971,417) | 39.7 (37.7–41.7) | 4,217 (37,771,177) |
| Genetic counseling | |||||||
| G-1 Increase the proportion of women with a family history of breast and/or ovarian cancer who receive genetic counseling | Women aged 18 or older who met USPSTF criteria, based on first-degree relatives, for BRCA1/2 genetic counseling referral and who do not have a personal history of breast or ovarian cancer | Women aged 18 or older who met the USPSTF criteria and who discussed having a genetic test for cancer risk with a health care provider | 38.1 | 34.6 (18.2–51.1)a | 143 (873,220)a | 59.9 (34.0–71.9) | 108 (849,185) |
| Access to health services | |||||||
| AHS-1.1 Increase the proportion of persons with health insurance coverage | People aged 0–64 | People aged <65 who have any type of public or private health insurance coverage | 100.0 | 83.2 (82.6–83.7) | 65,758 (261,960,688) | 81.8 (81.2–82.4) | 79,536 (265,448,191) |
| AHS-5.3 Increase the proportion of persons who have a specific source of ongoing care, adults aged 18–64 years | Men and women aged 18–64 | Adults aged 18–64 who have a usual source of health care (other than an emergency department) | 89.4 | 81.3 (80.4–82.2) | 17,337 (187,950,006) | 79.6 (78.8–80.4) | 21,707 (190,813,389) |
| AHS-5.4 Increase the proportion of persons who have a specific source of ongoing care, adults aged 65 years or older | Men and women aged 65 or older | Adults aged 65 or older who have a usual source of health care (other than an emergency department) | 100.0 | 96.3 (95.6–96.8) | 4,444 (37,277,310) | 96.5 (95.9–97.1) | 5,450 (38,691,705) |
Abbreviations: CI, confidence interval; Pap, Papanicolaou; NA, not available; USPSTF, US Preventive Services Task Force.
a
Baseline for genetic counseling is from the 2005 NHIS.