TABLE 10.2.

Healthy People 2020: Leading Health Indicator Topics

Topic	Indicators
Access to health services	People with medical insurance People with a usual primary care provider
Clinical preventive services	Adults who receive a colorectal cancer screening based on the most recent guidelines Adults with hypertension whose blood pressure is under control Adult diabetic population with an A1c value > 9% Children aged 19–35 months who receive the recommended doses of DTaP, polio, MMR, Hib, hepatitis B, varicella, and PCV vaccines
Environmental quality	Air quality index > 100 Children aged 3–11 years exposed to secondhand smoke
Injury and violence	Fatal injuries Homicides
Maternal, infant, and child health	Infant deaths Preterm births
Mental health	Suicides Adolescents who experience major depressive episodes
Nutrition, physical activity, and obesity	Adults who meet current federal physical activity guidelines for aerobic physical activity and muscle-strengthening activity Adults who are obese Children and adolescents who are considered obese Total vegetable intake for people aged ≥ 2 years
Oral health	People aged ≥ 2 years who used the oral health care system in the past 12 months
Reproductive and sexual health	Sexually active females aged 15–44 years who received reproductive health services in the past 12 months People living with HIV who know their serostatus
Social determinants	Students who graduate with a regular diploma 4 years after starting ninth grade
Substance abuse	Adolescents using alcohol or any illicit drugs during the past 30 days Adults engaging in binge drinking during the past 30 days
Tobacco	Adults who are current cigarette smokers Adolescents who smoked cigarettes in the past 30 days

Note: A1c = glycosylated hemoglobin; DTaP = diphtheria, tetanus, acellular pertussis; MMR = measles, mumps, and rubella; Hib = Haemophilus influenzae type b; PCV = pneumococcal conjugate vaccine.

Source: US Department of Health and Human Services. 2020 LHI topics [updated 12 March 2012]. Available at: http://www.healthypeople.gov/2020/LHI/2020indicators.aspx [Accessed 29 October 2012].