Healthy People 2010 statistical notes : from the Centers for Disease Control and Prevention/National Center for Health Statistics最新文献

Measuring progress in Healthy People 2010. 衡量2010年《健康人》的进展。

Healthy People 2010 statistical notes : from the Centers for Disease Control and Prevention/National Center for Health Statistics

Pub Date : 2004-09-01 DOI: 10.1037/e583732012-001

K. Keppel, J. Pearcy, Richard J. T. Klein

Background--Healthy People 2010 (HP2010) objectives are based on two overarching goals: 1) to increase years and quality of healthy life, and 2) to eliminate disparities among subgroups of the population. Four hundred and sixty-seven specific objectives consistent with these goals were outlined, baseline data were identified when available, and specific targets were set for the year 2010. This report discusses the techniques that are being used to measure progress toward these two goals. Process--In order to promote consistency in monitoring across different objectives, a minimum template of subgroups was adopted for the population-based objectives in HP2010. A workgroup of individuals representing the U.S. Department of Health and Human Services agencies involved in HP2010 was convened to consider the issues related to monitoring progress toward the two goals of HP2010. The workgroup concurred with the recommendations in this report. Recommendations--Progress toward target attainment can be monitored for all objectives with at least one data point beyond the baseline. For those objectives that are based on data for a population, progress toward target attainment can also be measured for subgroups of the population. Progress toward the elimination of disparity for individual population subgroups can be measured in terms of the percent difference between each subgroup rate and the most favorable or "best" subgroup rate in each domain. For purposes of measuring disparity relative to the "best" subgroup rate, all measures are expressed in terms of adverse events.

背景——健康人群2010 (HP2010)的目标基于两个总体目标:1)增加健康生活的年数和质量，2)消除人口亚群体之间的差距。概述了与这些目标相一致的467项具体目标，确定了可获得的基线数据，并为2010年制定了具体目标。本报告讨论了用于衡量实现这两个目标的进展的技术。过程——为了促进不同目标之间监测的一致性，HP2010中基于人群的目标采用了最小子组模板。代表参与HP2010的美国卫生与公众服务部门的个人工作组召开会议，审议与监测HP2010两个目标的进展有关的问题。工作组同意本报告中的建议。建议——可以用至少一个超出基线的数据点来监测所有目标的实现进展情况。对于那些以人口数据为基础的目标，也可以对人口的子群体衡量实现目标的进展情况。消除个体人口子组差异的进展可以根据每个子组比率与每个领域中最有利或“最佳”子组比率之间的百分比差异来衡量。为了测量相对于“最佳”亚组率的差异，所有的测量都用不良事件来表示。

{"title":"Measuring progress in Healthy People 2010.","authors":"K. Keppel, J. Pearcy, Richard J. T. Klein","doi":"10.1037/e583732012-001","DOIUrl":"https://doi.org/10.1037/e583732012-001","url":null,"abstract":"Background--Healthy People 2010 (HP2010) objectives are based on two overarching goals: 1) to increase years and quality of healthy life, and 2) to eliminate disparities among subgroups of the population. Four hundred and sixty-seven specific objectives consistent with these goals were outlined, baseline data were identified when available, and specific targets were set for the year 2010. This report discusses the techniques that are being used to measure progress toward these two goals. Process--In order to promote consistency in monitoring across different objectives, a minimum template of subgroups was adopted for the population-based objectives in HP2010. A workgroup of individuals representing the U.S. Department of Health and Human Services agencies involved in HP2010 was convened to consider the issues related to monitoring progress toward the two goals of HP2010. The workgroup concurred with the recommendations in this report. Recommendations--Progress toward target attainment can be monitored for all objectives with at least one data point beyond the baseline. For those objectives that are based on data for a population, progress toward target attainment can also be measured for subgroups of the population. Progress toward the elimination of disparity for individual population subgroups can be measured in terms of the percent difference between each subgroup rate and the most favorable or \"best\" subgroup rate in each domain. For purposes of measuring disparity relative to the \"best\" subgroup rate, all measures are expressed in terms of adverse events.","PeriodicalId":83722,"journal":{"name":"Healthy People 2010 statistical notes : from the Centers for Disease Control and Prevention/National Center for Health Statistics","volume":"5 1","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82128163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 88

Measuring progress in Healthy People 2010. 衡量2010年《健康人》的进展。

Healthy People 2010 statistical notes : from the Centers for Disease Control and Prevention/National Center for Health Statistics

Pub Date : 2004-09-01

Kenneth G Keppel, Jeffrey N Pearcy, Richard J Klein

Background--Healthy People 2010 (HP2010) objectives are based on two overarching goals: 1) to increase years and quality of healthy life, and 2) to eliminate disparities among subgroups of the population. Four hundred and sixty-seven specific objectives consistent with these goals were outlined, baseline data were identified when available, and specific targets were set for the year 2010. This report discusses the techniques that are being used to measure progress toward these two goals. Process--In order to promote consistency in monitoring across different objectives, a minimum template of subgroups was adopted for the population-based objectives in HP2010. A workgroup of individuals representing the U.S. Department of Health and Human Services agencies involved in HP2010 was convened to consider the issues related to monitoring progress toward the two goals of HP2010. The workgroup concurred with the recommendations in this report. Recommendations--Progress toward target attainment can be monitored for all objectives with at least one data point beyond the baseline. For those objectives that are based on data for a population, progress toward target attainment can also be measured for subgroups of the population. Progress toward the elimination of disparity for individual population subgroups can be measured in terms of the percent difference between each subgroup rate and the most favorable or "best" subgroup rate in each domain. For purposes of measuring disparity relative to the "best" subgroup rate, all measures are expressed in terms of adverse events.

背景——健康人群2010 (HP2010)的目标基于两个总体目标:1)增加健康生活的年数和质量，2)消除人口亚群体之间的差距。概述了与这些目标相一致的467项具体目标，确定了可获得的基线数据，并为2010年制定了具体目标。本报告讨论了用于衡量实现这两个目标的进展的技术。过程——为了促进不同目标之间监测的一致性，HP2010中基于人群的目标采用了最小子组模板。代表参与HP2010的美国卫生与公众服务部门的个人工作组召开会议，审议与监测HP2010两个目标的进展有关的问题。工作组同意本报告中的建议。建议——可以用至少一个超出基线的数据点来监测所有目标的实现进展情况。对于那些以人口数据为基础的目标，也可以对人口的子群体衡量实现目标的进展情况。消除个体人口子组差异的进展可以根据每个子组比率与每个领域中最有利或“最佳”子组比率之间的百分比差异来衡量。为了测量相对于“最佳”亚组率的差异，所有的测量都用不良事件来表示。

{"title":"Measuring progress in Healthy People 2010.","authors":"Kenneth G Keppel, Jeffrey N Pearcy, Richard J Klein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Background--Healthy People 2010 (HP2010) objectives are based on two overarching goals: 1) to increase years and quality of healthy life, and 2) to eliminate disparities among subgroups of the population. Four hundred and sixty-seven specific objectives consistent with these goals were outlined, baseline data were identified when available, and specific targets were set for the year 2010. This report discusses the techniques that are being used to measure progress toward these two goals. Process--In order to promote consistency in monitoring across different objectives, a minimum template of subgroups was adopted for the population-based objectives in HP2010. A workgroup of individuals representing the U.S. Department of Health and Human Services agencies involved in HP2010 was convened to consider the issues related to monitoring progress toward the two goals of HP2010. The workgroup concurred with the recommendations in this report. Recommendations--Progress toward target attainment can be monitored for all objectives with at least one data point beyond the baseline. For those objectives that are based on data for a population, progress toward target attainment can also be measured for subgroups of the population. Progress toward the elimination of disparity for individual population subgroups can be measured in terms of the percent difference between each subgroup rate and the most favorable or \"best\" subgroup rate in each domain. For purposes of measuring disparity relative to the \"best\" subgroup rate, all measures are expressed in terms of adverse events.</p>","PeriodicalId":83722,"journal":{"name":"Healthy People 2010 statistical notes : from the Centers for Disease Control and Prevention/National Center for Health Statistics","volume":" 25","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24751103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthy People 2010 criteria for data suppression. 《健康人》2010年数据抑制标准。

Healthy People 2010 statistical notes : from the Centers for Disease Control and Prevention/National Center for Health Statistics

Pub Date : 2002-07-01 DOI: 10.1037/e583742012-001

Richard J. T. Klein, S. Proctor, Manon A Boudreault, K. Turczyn

Healthy People 2010 is the third generation of 10-year goals and objectives for the Nation, and builds on initiatives pursued over the past two decades (1–3). It identifies 467 objectives for improving the health of the Nation. Because many of these objectives include a number of subobjectives, there are a total of 823 separate measures presented in Healthy People 2010. Of these measures, 432 are population-based. To facilitate comparisons among population groups, the Healthy People 2010 objectives include a population data table or ‘‘template’’ for each population-based measure. This template includes, at a minimum, disaggregations for specific race, Hispanic origin, gender, and socioeconomic status (either education or income). In addition, some objectives show further disaggregations for categories such as age, disability status, urban/rural classification, specific health conditions, or sexual orientation (3,4).

《2010年健康人口》是国家十年目标和目标的第三代，以过去二十年所采取的举措为基础(1-3)。它确定了467个改善国民健康的目标。由于其中许多目标包括若干子目标，《2010年健康人》总共提出了823项单独的措施。在这些措施中，有432项是基于人口的。为了便于各人口群体之间的比较，《2010年健康人口》的目标包括为每项基于人口的措施编制人口数据表或“模板”。这个模板至少包括对特定种族、西班牙裔、性别和社会经济地位(教育或收入)的分类。此外，一些目标进一步按年龄、残疾状况、城市/农村分类、特定健康状况或性取向等类别进行了分类(3,4)。

引用次数: 158

Summary measures of population health: addressing the first goal of healthy people 2010, improving health expectancy. 人口健康简要措施:实现2010年健康人口第一项目标，提高预期健康水平。

Healthy People 2010 statistical notes : from the Centers for Disease Control and Prevention/National Center for Health Statistics

Pub Date : 2001-08-31 DOI: 10.1037/e583752012-001

D. Wagener, M. T. Molla, E. Crimmins, E. Pamuk, J. Madans

This report is one of several Healthy People Statistical Notes that evaluate methodological issues pertaining to summary measures - statistics that combine mortality and morbidity data to represent overall population health in a single number. This report evaluates the consequences of changes in the components of health expectancy measures (i.e., mortality or morbidity) on the overall measure. Any activity limitation is used as a morbidity measure. Simulations are used to evaluate the impacts of reducing 1995 age-specific mortality or activity limitation rates by 5, 10, 25, and 50 percent at all ages. Then it is limited to ages under 25 years, 25 -64 years, and over 64 years. The impact of completely eliminating mortality or activity limitation for the younger age groups is also examined. In general, reducing morbidity rates results in greater changes than the same percent reduction in death rates. The same proportional reduction in age-specific rates for either mortality or morbidity has a greater impact if it occurs at older ages. Reducing mortality results in a greater change in life expectancy than in health expectancy and a decline in the proportion of life lived in healthy states. Reducing morbidity increases both health expectancy and the proportion of life lived in healthy states. Simultaneous reductions in mortality and morbidity have additive effects on health expectancy.

本报告是评估与汇总措施有关的方法问题的几份《健康人群统计说明》之一，汇总措施是将死亡率和发病率数据结合起来，以单一数字代表总体人口健康状况的统计数据。本报告评估了预期健康指标组成部分(即死亡率或发病率)的变化对总体指标的影响。任何活动限制都被用作发病率的衡量标准。使用模拟来评估1995年在所有年龄段将特定年龄死亡率或活动限制率降低5%、10%、25%和50%的影响。然后，年龄限制在25岁以下，25 -64岁和64岁以上。还研究了完全消除死亡率或活动限制对较年轻年龄组的影响。一般来说，降低发病率比降低相同百分比的死亡率带来更大的变化。同样比例的死亡率或发病率下降，如果发生在老年，影响更大。降低死亡率导致预期寿命的变化大于预期健康的变化，并导致健康状态下的寿命比例下降。降低发病率可提高预期健康水平和健康状态下的寿命比例。死亡率和发病率同时降低对健康预期产生了累加效应。

{"title":"Summary measures of population health: addressing the first goal of healthy people 2010, improving health expectancy.","authors":"D. Wagener, M. T. Molla, E. Crimmins, E. Pamuk, J. Madans","doi":"10.1037/e583752012-001","DOIUrl":"https://doi.org/10.1037/e583752012-001","url":null,"abstract":"This report is one of several Healthy People Statistical Notes that evaluate methodological issues pertaining to summary measures - statistics that combine mortality and morbidity data to represent overall population health in a single number. This report evaluates the consequences of changes in the components of health expectancy measures (i.e., mortality or morbidity) on the overall measure. Any activity limitation is used as a morbidity measure. Simulations are used to evaluate the impacts of reducing 1995 age-specific mortality or activity limitation rates by 5, 10, 25, and 50 percent at all ages. Then it is limited to ages under 25 years, 25 -64 years, and over 64 years. The impact of completely eliminating mortality or activity limitation for the younger age groups is also examined. In general, reducing morbidity rates results in greater changes than the same percent reduction in death rates. The same proportional reduction in age-specific rates for either mortality or morbidity has a greater impact if it occurs at older ages. Reducing mortality results in a greater change in life expectancy than in health expectancy and a decline in the proportion of life lived in healthy states. Reducing morbidity increases both health expectancy and the proportion of life lived in healthy states. Simultaneous reductions in mortality and morbidity have additive effects on health expectancy.","PeriodicalId":83722,"journal":{"name":"Healthy People 2010 statistical notes : from the Centers for Disease Control and Prevention/National Center for Health Statistics","volume":"104 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2001-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80933558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

Summary measures of population health: methods for calculating healthy life expectancy. 人口健康的综合措施:计算健康预期寿命的方法。

Healthy People 2010 statistical notes : from the Centers for Disease Control and Prevention/National Center for Health Statistics

Pub Date : 2001-08-01 DOI: 10.1037/E583762012-001

M. T. Molla, D. Wagener, J. Madans

This report is one of several appearing as Healthy People Statistical Notes that evaluate methodological issues pertaining to summary measures. Summary measures of population health are statistics that combine mortality and morbidity to represent overall population health in a single number--in this report, health expectancy measures. This report presents a comprehensive discussion of the methods for calculation and methodologic issues related to the interpretation of healthy life expectancy. These measures combine both mortality and morbidity using an abridged life-table procedure. Data from the National Center for Health Statistics and other sources will be used to illustrate the calculation of the statistics and the associated statistical tests.

本报告是作为《健康人群统计说明》出现的几份报告之一，用于评估与汇总措施有关的方法学问题。人口健康的汇总指标是将死亡率和发病率结合在一起，以单一数字代表总体人口健康的统计数据————本报告中称为健康预期指标。本报告全面讨论了与解释健康预期寿命有关的计算方法和方法学问题。这些措施使用简化的生命表程序将死亡率和发病率结合起来。来自国家卫生统计中心和其他来源的数据将用于说明统计数据的计算和相关的统计测试。

引用次数: 59

Age adjustment using the 2000 projected U.S. population. 年龄调整使用2000年预计的美国人口。

Healthy People 2010 statistical notes : from the Centers for Disease Control and Prevention/National Center for Health Statistics

Pub Date : 2001-01-01 DOI: 10.1037/e583772012-001

R. Klein, C. Schoenborn

Age adjustment, using the direct method, is the application of observed age-specific rates to a standard age distribution to eliminate differences in crude rates in populations of interest that result from differences in the populations’ age distributions. This adjustment is usually done when comparing two or more populations at one point in time or one population at two or more points in time. Age adjustment is particularly relevant when populations being compared have different age structures, for example, the U.S. white and Hispanic populations. The classic literature on age adjusting, as well as more recent National Center for Health Statistics (NCHS) publications, has focused on adjusting death rates and provides comprehensive discussions of age-adjustment techniques. However, age adjustment can be applied to any population-based event. This report describes several sets of age-adjustment weights, based on the year 2000 projected U.S. population, that were used to generate age-adjusted baseline data for a number of Healthy People 2010 objectives. This work builds on the foundation set by the Department of Health

使用直接方法的年龄调整是将观察到的特定年龄比率应用于标准年龄分布，以消除由于人口年龄分布的差异而导致的有关人口中粗比率的差异。这种调整通常在比较一个时间点上的两个或多个种群，或比较两个或多个时间点上的一个种群时进行。当被比较的人口具有不同的年龄结构时，年龄调整尤其重要，例如，美国白人和西班牙裔人口。关于年龄调整的经典文献，以及最近的国家卫生统计中心(NCHS)出版物，都集中在调整死亡率上，并提供了对年龄调整技术的全面讨论。然而，年龄调整可以应用于任何基于人群的事件。本报告描述了基于2000年美国预计人口的几组年龄调整权重，这些权重用于生成一些2010年健康人目标的年龄调整基线数据。这项工作建立在卫生部确定的基础上

{"title":"Age adjustment using the 2000 projected U.S. population.","authors":"R. Klein, C. Schoenborn","doi":"10.1037/e583772012-001","DOIUrl":"https://doi.org/10.1037/e583772012-001","url":null,"abstract":"Age adjustment, using the direct method, is the application of observed age-specific rates to a standard age distribution to eliminate differences in crude rates in populations of interest that result from differences in the populations’ age distributions. This adjustment is usually done when comparing two or more populations at one point in time or one population at two or more points in time. Age adjustment is particularly relevant when populations being compared have different age structures, for example, the U.S. white and Hispanic populations. The classic literature on age adjusting, as well as more recent National Center for Health Statistics (NCHS) publications, has focused on adjusting death rates and provides comprehensive discussions of age-adjustment techniques. However, age adjustment can be applied to any population-based event. This report describes several sets of age-adjustment weights, based on the year 2000 projected U.S. population, that were used to generate age-adjusted baseline data for a number of Healthy People 2010 objectives. This work builds on the foundation set by the Department of Health","PeriodicalId":83722,"journal":{"name":"Healthy People 2010 statistical notes : from the Centers for Disease Control and Prevention/National Center for Health Statistics","volume":"33 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90369756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 503