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Tracking Healthy People 2010Tracking Healthy People 2010Vision ObjectivesVision Objectives
Kathleen M. Turczyn, MPH
National Center for Health Statistics
““Where there is no vision, the Where there is no vision, the people perish.”people perish.”
Proverbs 29:18 KJV
Healthy PeopleHealthy People
Health promotion agendaIn the third decadeCooperative effortSets objectives with targetsLeading Health Indicators
Vision objectivesVision objectivesShare a focus area with HearingTen objectives (one with two
measures)– Nine measures use the NHIS– One measure uses the NHANES– One measure uses the ASOII and/ or
the NEISSOnly one objective has data now,
others are “developmental”
Objective 28-1Objective 28-1
Increase the proportion of persons who have a dilated eye examination at appropriate intervals
2002 NHIS question:
When was the last time you had an eye exam in which the pupils were dilated? This would have made you temporarily sensitive to bright light.
Objective 28-2Objective 28-2
Increase the proportion of preschool children aged 5 years and under who receive vision screening
Has {child’s name} EVER had {his/her} vision tested by a doctor or other health professional?
When was {his/her} vision last tested?
2002 NHIS questions:
Objective 28-3Objective 28-3
Visual Acuity Test for distance vision
Objective Refraction/Keratometric evaluation
1999-2000 NHANES data released this spring to collaborators; to public in June
Reduce uncorrected visual impairment due to refractive errors
Objective 28-4Objective 28-4
2002 NHIS question: Does {child’s name} have any trouble seeing?
(If age 2+ years:) even when wearing glasses or contact lenses?
Reduce blindness and visual impairment in children and adolescents aged 17 years and under.
28-4. Blindness and visual impairment 28-4. Blindness and visual impairment in children and adolescents by in children and adolescents by race/ethnicity, 1997 and 2000race/ethnicity, 1997 and 2000
0 5 10 15 20 25 30 35
19972000
Rate per 1,000
All ages under 18
White, not Hispanic
Black, not Hispanic
Hispanic*
*Can be of any race.
NOTE: I is 95% confidence interval.SOURCE: CDC, NCHS, National Health Interview Survey.
28-4. Blindness and visual impairment 28-4. Blindness and visual impairment in children and adolescents by gender, in children and adolescents by gender,
1997 and 20001997 and 2000
0
10
20
30
40
1997 2000
Female Male
NOTE: I is 95% confidence interval.SOURCE: CDC, NCHS, National Health Interview Survey.
Rate per 1,000
28-4. Blindness and visual impairment in 28-4. Blindness and visual impairment in children and adolescents by family children and adolescents by family
income level, 1997 and 2000income level, 1997 and 2000
0
10
20
30
40
50
1997 2000
Poor Near poor Middle/HighRate per 1,000
NOTE: I is 95% confidence interval.SOURCE: CDC, NCHS, National Health Interview Survey.
28-4. Blindness and visual impairment 28-4. Blindness and visual impairment in children and adolescents by in children and adolescents by disability status, 1997 and 2000disability status, 1997 and 2000
0
20
40
60
80
100
1997 2000
With disabilities Without disabilitiesRate per 1,000
NOTE: I is 95% confidence interval.SOURCE: CDC, NCHS, National Health Interview Survey.
Objectives 28-5, 28-6, and 28-7Objectives 28-5, 28-6, and 28-7
Diabetic retinopathy (28-5)Glaucoma (28-6)Cataract (28-7)
Reduce visual impairment due to…
2002 NHIS questions for 2002 NHIS questions for objectives 28-5, 28-6, and 28-7objectives 28-5, 28-6, and 28-7
Have you EVER been told by a doctor or other health professional that you had diabetic retinopathy … glaucoma … cataract?
DURING THE PAST 12 MONTHS, have you had diabetic retinopathy … glaucoma … cataract?
Objective 28-8Objective 28-8
Data presently being collected by two surveys:
– BLS ASOII
– NEISS
Two measures?
Reduce occupational eye injury
Objective 28-9Objective 28-9
Increase the use of appropriate personal protective eyewear in recreational activities and hazardous situations around the home
2002 NHIS questions for objective 2002 NHIS questions for objective 28-9 (children 6-17 years)28-9 (children 6-17 years)
Does {child’s name} participate in sports, hobbies, or other activities that can cause eye injury? This includes activities such as baseball, basketball, soccer and mowing the lawn.
(If yes), When doing these activities, on average, does {he/she} wear eye protection always, most of the time, some of the time, or none of the time?
2002 NHIS questions for objective 2002 NHIS questions for objective 28-9 (adults 18 years and older)28-9 (adults 18 years and older)
Outside of work, do you participate in sports, hobbies, or other activities that can cause eye injury? This includes activities such as baseball, basketball, mowing the lawn, woodworking, or working with chemicals.
(If yes), When doing these activities, on average, do you wear eye protection always, most of the time, some of the time, or none of the time?
Objectives 28-10a and 28-10bObjectives 28-10a and 28-10b
Increase the use of rehabilitation services by persons with visual impairments (28-10a)
Increase the use of visual and adaptive devices by persons with visual impairments (28-10b)
Increase vision rehabilitation
2002 NHIS questions for objectives2002 NHIS questions for objectives28-10a and 28-10b28-10a and 28-10b
28-10a: Do you use any vision rehabilitation services, such as job training, counseling, or training in daily living skills and mobility?
28-10b: Do you use any adaptive devices such as telescopic or other prescriptive lenses, magnifiers, large print or talking materials, CCTV, white cane, or guide dog?
When are data expected?When are data expected?
Objectives tracked by the 2002 NHIS will have data by 2004
The objective tracked by the 1999-2000 NHANES will have data in 2002
The objective tracked by the ASOII and/ or the NEISS will have data in 2002
Future for tracking the Future for tracking the objectives looks brightobjectives looks bright
All vision objectives will have baselines by the midcourse review (2004)
State data may be possible if a BRFSS optional vision module can be developed