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. Author manuscript; available in PMC: 2021 May 15.
Published in final edited form as: Cancer. 2020 Mar 12;126(10):2250–2266. doi: 10.1002/cncr.32801

Table.

Healthy People 2020 Objectives Related to Cancer

Objective1 Measure2 Data Source
Disease outcome
Reduce the overall cancer death rate (C-1) Overall cancer deaths per 100,000 population NVSS
Reduce the lung cancer death rate (C-2) Lung cancer deaths per 100,000 population NVSS
Reduce the female breast cancer death rate (C-3) Female breast cancer deaths per 100,000 population NVSS
Reduce the colorectal cancer death rate (C-5) Colorectal cancer deaths per 100,000 population NVSS
Reduce the prostate cancer death rate (C-7) Prostate cancer deaths per 100,000 population NVSS
Cancer screening/counseling
Increase the proportion of adults who receive a colorectal cancer screening based on the most recent guidelines (C-16) Proportion of adults aged 50 to 75 years who received a colorectal cancer screening based on the most recent guidelines in 2008 (a blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or a colonoscopy in the past 10 years) NHIS
Increase the proportion of women who receive a breast cancer screening based on the most recent guidelines (C-17) Proportion of females aged 50 to 74 years who received a breast cancer screening based on the most recent guidelines in 2008 (a mammogram in the past 2 years) NHIS
Increase the proportion of men who discuss the advantages and disadvantages of the prostate-specific antigen (PSA) test to screen for prostate cancer with their health care provider (C-19) Proportion of men aged ≥40 years who had discussed the advantages and disadvantages of the prostate-specific antigen (PSA) test to screen for prostate cancer with their health care provider (a shared decision making discussion) NHIS
Increase the proportion of adults who receive a lung cancer screening based on the most recent guidelines (no objective) Proportion of adults aged 55 to 80 years who have ≥ 30 pack-year smoking history and currently smoke or quit within the past 15 years who received a lung cancer screening based on the most recent guidelines in 2013 (a low-dose computed tomography [LDCT] chest scan to check for lung cancer in the past year) NHIS
Cancer risk factors
Reduce cigarette smoking by adults (TU-1.1) Proportion of adults aged ≥18 years who were current cigarette smokers NHIS
Increase recent smoking cessation success by adult smokers (TU-5.1) Proportion of adults aged ≥18 years who successfully stopped smoking within past 6 months to 1 year NHIS
Reduce the proportion of adults aged ≥18 years exposed to secondhand smoke (TU-11.3) Proportion of nonsmoking adults aged ≥18 years exposed to secondhand smoke, defined as having a serum cotinine level ≥ 0.05 ng/mL and ≤10 ng/mL NHANES
Increase the proportion of adults who meet the objectives for aerobic physical activity and for muscle-strengthening activity (PA-2.4) Proportion of adults aged ≥18 years who met the objectives for aerobic physical activity and for muscle-strengthening activity in 2008 (light or moderate physical activity ≥150 minutes per week or vigorous physical activity ≥75 minutes per week or an equivalent combination of moderate and vigorous-intensity activity and physical activities specifically designed to strengthen muscles at least twice per week) NHIS
Reduce the proportion of adults who are obese (NWS-9) Proportion of adults aged ≥20 years who are obese (a body mass index (BMI measured as weight in kilograms by the square of height in meters) ≥30.0) NHANES
Reduce the proportion of adults who drank excessively in the previous 30 days (SA-15) Proportion of adults aged ≥18 years who reported that they drank excessively in the previous 30 days (drank >2 drinks per day on average (for men) or >1 drink per day on average (for women) or who drank ≥5 during a single occasion (for men) or ≥4 drinks during a single occasion (for women) National Survey on Drug Use and Health

Abbreviations: NVSS = National Vital Statistics System; NHIS = National Health Interview Survey; NHANES = National Health and Nutrition Examination Survey.

1

Healthy People 2020 objectives are indicated by topic area and number in parentheses.

2

Measures were age adjusted to the year 2000 standard population.