Appendix B
24 Selected Objectives with Subobjectives

AHS 5: Increase educational achievement of adolescents and young adults.

AH 5.1: Increase the proportion of students who graduate with a regular diploma 4 years after starting 9th grade. Baseline: 74.9 percent. Target: 10 percent improvement. Data Source: Common Core of Data (CCD), State Nonfiscal Survey of Public Elementary/Secondary Education, ED, IES, NCES

AH 5.2: Increase the proportion of students who are served under the Individuals with Disabilities Education Act who graduate high school with a diploma. Baseline: 59.3 percent of students aged 14 to 21 years. Target: 10 percent improvement. Data Source: Individuals with Disabilities Education Act, ED, OSEP, DANS

AH 5.3: Increase the proportion of students whose reading skills are at or above the proficient achievement level for their grade.

AH 5.3.1: Fourth (4th) grade Baseline: 33.0 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES

AH 5.3.2: Eighth (8th) grade. Baseline: 32.4 percent. Target: 10 percent. Data Source: National Assessment of Educational Progress, ED, IES, NCES

AH 5.3.3: Twelfth (12th) grade. Baseline: 35.4 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES



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Appendix B 24 Selected Objectives with Subobjectives AHS 5: Increase educational achievement of adolescents and young adults. AH 5.1: Increase the proportion of students who graduate with a regular diploma 4 years after starting 9th grade. Baseline: 74.9 percent. Target: 10 percent improvement. Data Source: Common Core of Data (CCD), State Nonfiscal Survey of Public Elementary/ Secondary Education, ED, IES, NCES AH 5.2: Increase the proportion of students who are served under the Individuals with Disabilities Education Act who graduate high school with a diploma. Baseline: 59.3 percent of students aged 14 to 21 years. Target: 10 percent improvement. Data Source: Individuals with Disabilities Education Act, ED, OSEP, DANS AH 5.3: Increase the proportion of students whose reading skills are at or above the proficient achievement level for their grade. AH 5.3.1: Fourth (4th) grade Baseline: 33.0 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES AH 5.3.2: Eighth (8th) grade. Baseline: 32.4 percent. Target: 10 percent. Data Source: National Assessment of Educational Prog- ress, ED, IES, NCES AH 5.3.3: Twelfth (12th) grade. Baseline: 35.4 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES 77

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78 LEADING HEALTH INDICATORS FOR HEALTHY PEOPLE 2020 AH 5.4: Increase the proportion of students whose mathematics skills are at or above the proficient achievement level for their grade. AH 5.4.1: Fourth (4th) grade. Baseline: 39.1 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES AH 5.4.2: Eighth (8th) grade. Baseline: 33.9 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES AH 5.4.3: Twelfth (12th) grade. Baseline: 23.0 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES AH 5.5: Increase the proportion of adolescents who consider their school work to be meaningful and important. Baseline: 26.6 per- cent. Target: 10 percent improvement. Data Source: National Sur- vey on Drug Use and Health (NSDUH), SAMHSA AH 5.6: Decrease school absenteeism among adolescents due to illness or injury. Baseline: 14.6 percent. Target: 10 percent improve- ment. Data Source: (National Health Interview Survey (NHIS), CDC, NCHS. AHS 1: Increase the proportion of persons with health insurance. AHS 1.1: Medical insurance. Baseline: 82.3 percent. Target: 100 percent. Data Source: National Health Interview Survey (NHIS), CDC, NCHS AHS 1.2: (Developmental) Dental insurance. No baseline or target given. Data Source: National Health Interview Survey (NHIS), CDC, NCHS AHS 1.3: (Developmental) Prescription drug insurance. No base- line or target given. Data Source: National Health Interview Survey (NHIS), CDC, NCHS AHS 3: Increase the proportion of persons with a usual primary care pro- vider. Baseline: 76.3 percent. Target: 83.9 percent. Data Source: Medical Expenditure Panel Survey (MEPS), AHRQ AHS 7: (Developmental) Increase the proportion of persons who receive appropriate evidence-based clinical preventive services. No baseline or target given. Data Source: Medical Expenditure Panel Survey (MEPS), AHRQ

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79 APPENDIX B C 1: Reduce the overall cancer death rate. Baseline: 178.4 cancer deaths per 1,000 population. Target: 10 percent improvement. Data Source: National Vital Statistics System (NVSS), CDC, NCHS EH 1: Reduce the number of days the Air Quality Index (AQI) exceeds 100. Baseline: 11 days exceeded 100 on the Air Quality Index (AQI) in 2008. Target: 10 days. Data Source: Air Quality System (formerly the Aerometric Information Retrieval System), EPA EMC 1: (Developmental) Increase the proportion of children who are ready for school in all five domains of healthy development: physical development, social-emotional development, approaches to learning, language, and cognitive development. No baseline or target given. Data Source: National Survey of Children’s Health (NSCH), HRSA, MCHS; CDC, NCHS; National Household Education Surveys (NHES), ED FP 8: Reduce pregnancy rates among adolescent females. FP 8.1: Reduce the pregnancy rate among adolescent females aged 15 to 17 years. Baseline: 40.2 pregnancies per 1,000. Target: 10 per- cent improvement. Data Source: Abortion Provider Survey, Gutt- macher Institute; Abortion Surveillance Data, CDC, NCCDPHP; National Vital Statistics System–Natality (NVSS–N), CDC, NCHS; National Survey of Family Growth (NSFG), CDC, NCHS FP 8.2: Reduce the pregnancy rate among adolescent females aged 18 to 19 years. Baseline: 117.7 pregnancies per 1,000. Target: 10 per- cent improvement. Data Source: Abortion Provider Survey, Gutt- macher Institute; National Vital Statistics System (NVSS), CDC, NCHS; National Survey of Family Growth (NSFG), CDC, NCHS; Abortion Surveillance Data, CDC, NCCDPHP HA 1: Reduce central line-associated bloodstream infections (CLABSI). Baseline: 1.0 Standardized Infection Ratio (SIR). Target: 0.25 SIR or 75 percent reduction. Data Source: National Healthcare Safety Network (NHSN), CDC HC/HIT 1: (Developmental) Improve the health literacy of the population. HC/HIT 1.1: Increase the proportion of persons who report their health care provider always gave them easy-to-understand instruc- tions about what to do to take care of their illness or health condi- tion. No baseline or target given. Data Source: Medical Expenditure Panel Survey (MEPS), AHRQ

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80 LEADING HEALTH INDICATORS FOR HEALTHY PEOPLE 2020 HC/HIT 1.2: Increase the proportion of persons who report their health care provider always asked them to describe how they will follow the instructions. No baseline or target given. Data Source: Medical Expenditure Panel Survey (MEPS), AHRQ HC/HIT 1.3: Increase the proportion of persons who report their health care providers’ office always offered help in filling out a form. No baseline or target given. Data Source: Medical Expendi- ture Panel Survey (MEPS), AHRQ HDS 2: Reduce coronary heart disease deaths. Baseline: 126.0 CHD deaths per 1,000. Target: 20 percent improvement. Data Source: National Vital Statistics System–Mortality (NVSS–M), CDC, NCHS HDS 5: Reduce the proportion of persons in the population with hypertension. HDS 5.1: Reduce the proportion of adults with hypertension. Baseline: 29.9 percent aged 18 years and older. Target: 10 percent improvement. Data Source: National Health and Nutrition Exami- nation Survey (NHANES), CDC, NCHS HDS 5.2: Reduce the proportion of children and adolescents with hypertension. Baseline: 3.5 percent aged 8 to 17 years. Target: 10 percent improvement. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS HIV 17: Increase the proportion of sexually active persons who use condoms. HIV 17.1: Unmarried females aged 15 to 44 years. Baseline: 34.5 percent. Target: 10 percent improvement. Data Source: National Survey of Family Growth (NSFG), CDC, NCHS) HIV 17.2: Unmarried males aged 15 to 44 years. Baseline: 55.2 percent. Target: 10 percent improvement. Data Source: National Survey of Family Growth (NSFG), CDC, NCHS IVP 1: Reduce fatal and nonfatal injuries. IVP 1.1: Reduce fatal injuries. Baseline: 59.2 deaths per 100,000. Tar- get: 10 percent improvement. Data Source: National Vital Statistics System–Mortality (NVSS–M), CDC, NCHS IVP 1.2: Reduce hospitalization for nonfatal injuries. Baseline: 617.6 per 100,000. Target: 10 percent improvement. Data Source: National Hospital Discharge Survey (NHDS), CDC, NCHS IVP 1.3: Reduce emergency department visits for nonfatal inju- ries. Baseline: 8370.4 per 100,000. Target: 10 percent improvement.

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81 APPENDIX B Data Source: National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS MHMD 4: Reduce the proportion of persons who experience major depressive episode (MDE). MHMD 4.1: Adolescents aged 12 to 17 years. Baseline: 8.3 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health, SAMHSA MHMD 4.2: Adults aged 18 years and older. Baseline: 6.8 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health, SAMHSA MICH 8: Reduce low birth weight (LBW) and very low birth weight (VLBW). MICH 8.1: Low birth weight (LBW) Baseline: 8.2 percent of live births. Target: 5 percent improvement. Data Source: National Vital Statistics System (NVSS), CDC, NCHS MICH 8.2: Very low birth weight (VLBW) Baseline: 1.5 percent of live births. Target: 5 percent improvement. Data Source: National Vital Statistics System (NVSS), CDC, NCHS NWS 10: Reduce the proportion of children and adolescents who are considered obese. NWS 10.1: Children aged 2 to 5 years Baseline: 10.7 percent. Target: 10 percent improvement. Data Source: National Health and Nutri- tion Examination Survey (NHANES), CDC, NCHS NWS 10.2: Children aged 6 to 11 years Baseline: 17.4 percent. Tar- get: 10 percent improvement. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS NWS 10.3: Adolescents aged 12 to 19 years Baseline: 17.9 percent. Target: 10 percent improvement. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS NWS 10.4: Children and adolescents aged 2 to 19 years Base- line: 16.2 percent. Target: 10 percent improvement. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS NWS 17: Reduce consumption of calories from solid fats and added sug- ars in the population aged 2 years and older. NWS 17.1: Reduce consumption of calories from solid fats. Base- line: 18.9 percent of daily calorie intake. Target: 16.7 percent. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS

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82 LEADING HEALTH INDICATORS FOR HEALTHY PEOPLE 2020 NWS 17.2: Reduce consumption of calories from added sugars. Baseline: 15.7 percent of daily calorie intake. Target: 10.8 percent. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS NWS 17.3: Reduce consumption of calories from solid fats and added sugars. Baseline: 34.6 percent of daily calorie intake. Target: 29.8 percent. Data Source: National Health and Nutrition Examina- tion Survey (NHANES), CDC, NCHS and USDA, ARS PA 2: Increase the proportion of adults who meet current federal physical activity guidelines for aerobic physical activity and for muscle-strength - ening activity. PA 2.1: Increase the proportion of adults who engage in aerobic physical activity of at least moderate intensity for at least 150 minutes/week, or 75 minutes/week of vigorous intensity, or an equivalent combination. Baseline: 43.5 percent. Target: 10 percent improvement. Data Source: National Health Interview Survey, CDC, NCHS PA 2.2: Increase the proportion of adults who engage in aerobic physical activity of at least moderate intensity for more than 300 minutes/week, or more than 150 minutes/week of vigorous inten- sity, or an equivalent combination. Baseline: 28.4 percent. Target: 10 percent improvement. Data Source: National Health Interview Survey, CDC, NCHS PA 2.3: Increase the proportion of adults who perform muscle- strengthening activities on 2 or more days of the week. Base- line: 21.9 percent. Target: 10 percent improvement. Data Source: National Health Interview Survey, CDC, NCHS PA 2.4: Increase the proportion of adults who meet the objective for aerobic physical activity and for muscle-strengthening activ - ity. Baseline: 18.2 percent. Target: 10 percent improvement. Data Source: National Health Interview Survey, CDC, NCHS SA 14: Reduce the proportion of persons engaging in binge drinking of alcoholic beverages. SA 14.1: Reduce the proportion of students engaging in binge drinking during the past 2 weeks—high school seniors. Baseline: 25.2 percent. Target: 10 percent improvement. Data Source: Moni- toring the Future Survey (MTF), NIH SA 14.2: Reduce the proportion of students engaging in binge drinking during the past 2 weeks—college students. Baseline: 40 percent. Target: 10 percent improvement. Data Source: Monitoring the Future Survey (MTF), NIH

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83 APPENDIX B SA 14.3: Reduce the proportion of persons engaging in binge drinking during the past month—adults aged 18 years and older. Baseline: 27 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA SA 14.4: Reduce the proportion of persons engaging in binge drinking during the past month—adolescents aged 12 to 17 years. Baseline: 9.4 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA SA 13: Reduce past-month use of illicit substances. SA 13.1: Reduce the proportion of adolescents reporting use of alcohol or any illicit drugs during the past 30 days. Baseline: 18.3 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA SA 13.2: Reduce the proportion of adolescents reporting use of marijuana during the past 30 days. Baseline: 6.7 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA SA 13.3: Reduce the proportion of adults reporting use of any illicit drug during the past 30 days. Baseline: 7.9 percent. Target: 10 per- cent improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA SH 4: Increase the proportion of adults who get sufficient sleep. Baseline: 69.6 percent. Target: 70.9 percent. Data Source: National Health Interview Survey (NHIS), CDC, NCHS TU 1: Reduce tobacco use by adults. TU 1.1: Cigarette smoking Baseline: 20.6 percent. Target: 12.0 per- cent. Data Source: National Health Interview Survey (NHIS), CDC, NCHS TU 1.2: Smokeless tobacco products. Baseline: 2.3 percent. Tar- get: 0.3 percent. Data Source: National Health Interview Survey (NHIS), CDC, NCHS TU 1.3: Cigars. Baseline: 2.2 percent. Target: 0.2 percent. Data Source: National Health Interview Survey (NHIS), CDC, NCHS TU 3: Reduce the initiation of tobacco use among children, adolescents, and young adults. TU 3.1: Children and adolescents aged 12 to 17 years—Tobacco products. Baseline: 7.7 percent. Target: 2 percentage point improve- ment. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

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84 LEADING HEALTH INDICATORS FOR HEALTHY PEOPLE 2020 TU 3.2: Children and adolescents aged 12 to 17 years—Cigarettes. Baseline: 6.2 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA TU 3.3: Children and adolescents aged 12 to 17 years—Smokeless tobacco products. Baseline: 2.5 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA TU 3.4: Children and adolescents aged 12 to 17 years—Cigars. Baseline: 4.8 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA TU 3.5: Young adults aged 18 to 25 years—Tobacco products. Baseline: 10.8 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA TU 3.6: Young adults aged 18 to 25 years—Cigarettes. Baseline: 8.3 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA TU 3.7: Young adults aged 18 to 25 years—Smokeless tobacco prod- ucts. Baseline: 2.2 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA TU 3.8: Young adults aged 18 to 25 years—Cigars. 6.1 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA