Appendix: Short Titles for Healthy People 2010 Objectives

Goal:

Improve access to comprehensive, high-quality health care services.

Clinical Preventive Care

1-1

Persons with health insurance         

1-2

Health insurance coverage for clinical preventive services

1-3

Counseling about health behaviors

Primary Care

1-4

Source of ongoing care

1-5

Usual primary care provider

1-6

Difficulties or delays in obtaining needed health care

1-7

Core competencies in health provider training

1-8

Racial and ethnic representation in health professions

1-9

Hospitalization for ambulatory-care-sensitive conditions

Emergency Services

1-10

Delay or difficulty in getting emergency care

1-11

Rapid prehospital emergency care

1-12

Single toll-free number for poison control centers        

1-13

Trauma care systems         

1-14

Special needs of children   

Long-Term Care and Rehabilitative Services

1-15

Long-term care services     

1-16

Pressure ulcers among nursing home residents

Goal:

Prevent illness and disability related to arthritis and other rheumatic conditions, osteoporosis, and chronic back conditions.

Arthritis and Other Rheumatic Conditions

2-1

Mean number of days without severe pain

2-2

Activity limitations due to arthritis

2-3

Personal care limitations

2-4

Help in coping

2-5

Employment rate

2-6

Racial differences in total knee replacement

2-7

Seeing a health care provider

2-8

Arthritis education

Osteoporosis

2-9

Cases of osteoporosis

2-10

Hospitalization for vertebral fractures

Chronic Back Conditions

2-11

Activity limitations due to chronic back conditions

Goal:

Reduce the number of new cancer cases as well as the illness, disability, and death caused by cancer.

3-1

Overall cancer deaths         

3-2

Lung cancer deaths             

3-3

Breast cancer deaths

3-4

Cervical cancer deaths       

3-5

Colorectal cancer deaths   

3-6

Oropharyngeal cancer deaths           

3-7

Prostate cancer deaths       

3-8

Melanoma deaths

3-9

Sun exposure and skin cancer          

3-10

Provider counseling about cancer prevention

3-11

Pap tests

3-12

Colorectal cancer screening              

3-13

Mammograms      

3-14

Statewide cancer registries               

3-15

Cancer survival

Goal:

Reduce new cases of chronic kidney disease and its complications, disability, death, and economic costs.

4-1

End-stage renal disease    

4-2

Cardiovascular disease deaths in persons with chronic kidney failure   

4-3

Counseling for chronic kidney failure care      

4-4

Use of arteriovenous fistulas             

4-5

Registration for kidney transplantation            

4-6

Waiting time for kidney transplantation            

4-7

Kidney failure due to diabetes           

4-8

Medical therapy for persons with diabetes and proteinuria

Goal:

Through prevention programs, reduce the disease and economic burden of diabetes, and improve the quality of life for all persons who have or are at risk for diabetes.

5-1

Diabetes education             

5-2

New cases of diabetes       

5-3

Overall cases of diagnosed diabetes              

5-4

Diagnosis of diabetes         

5-5

Diabetes deaths   

5-6

Diabetes-related deaths     

5-7

Cardiovascular disease deaths in persons with diabetes          

5-8

Gestational diabetes           

5-9

Foot ulcers             

5-10

Lower extremity amputations             

5-11

Annual urinary microalbumin measurement

5-12

Annual glycosylated hemoglobin measurement

5-13

Annual dilated eye examinations      

5-14

Annual foot examinations   

5-15

Annual dental examinations              

5-16

Aspirin therapy      

5-17

Self-blood-glucose-monitoring

Goal:

Promote the health of people with disabilities, prevent secondary conditions, and eliminate disparities between people with and without disabilities in the U.S. population.

6-1

Standard definition of people with disabilities in data sets         

6-2

Feelings and depression among children with disabilities        

6-3

Feelings and depression interfering with activities among adults with disabilities               

6-4

Social participation among adults with disabilities       

6-5

Sufficient emotional support among adults with disabilities      

6-6

Satisfaction with life among adults with disabilities     

6-7

Congregate care of children and adults with disabilities             

6-8

Employment parity               

6-9

Inclusion of children and youth with disabilities in regular education programs    

6-10

Accessibility of health and wellness programs

6-11

Assistive devices and technology     

6-12

Environmental barriers affecting participation in activities           

6-13

Surveillance and health promotion programs

Goal:

Increase the quality, availability, and effectiveness of educational and
community-based programs designed to prevent disease and improve health and quality of life.

School Setting

7-1

High school completion

7-2

School health education

7-3

Health-risk behavior information for college and university students

7-4

School nurse-to-student ratio

Worksite Setting

7-5

Worksite health promotion programs

7-6

Participation in employer-sponsored health promotion activities

Health Care Setting

7-7

Patient and family education

7-8

Satisfaction with patient education/p>

7-9

Health care organization sponsorship of community health promotion activities

Community Setting and Select Populations               

7-10

Community health promotion programs

7-11

Culturally appropriate and linguistically competent community health promotion programs

7-12

Older adult participation in community health promotion activities

Goal:

Promote health for all through a healthy environment.

Outdoor Air Quality           

8-1

Harmful air pollutants          

8-2

Alternative modes of transportation  

8-3

Cleaner alternative fuels     

8-4

Airborne toxins      

Water Quality

8-5

Safe drinking water              

8-6

Waterborne disease outbreaks        

8-7

Water conservation              

8-8

Surface water health risks  

8-9

Beach closings     

8-10

Fish contamination              

Toxics and Waste             

8-11

Elevated blood lead levels in children             

8-12

Risks posed by hazardous siites

8-13

Pesticide exposures

8-14

Toxic pollutants

8-15

Recycled municipal solid waste       

Healthy Homes and Healthy Communities  

8-16

Indoor allergens   

8-17

Office building air quality     

8-18

Homes tested for radon      

8-19

Radon-resistant new home construction        

8-20

School policies to protect against environmental hazards          

8-21

Disaster preparedness plans and protocols

8-22

Lead-based paint testing   

8-23

Substandard housing         

Infrastructure and Surveillance    

8-24

Exposure to pesticides       

8-25

Exposure to heavy metals and other toxic chemicals

8-26

Information systems used for environmental health

8-27

Monitoring environmentally related diseases

8-28

Local agencies using surveillance data for vector control           

Global Environmental Health          

8-29

Global burden of disease   

8-30

Water quality in the U.S.-Mexico border region

Goal:

Improve pregnancy planning and spacing and prevent unintended pregnancy.

9-1

Intended pregnancy             

9-2

Birth spacing         

9-3

Contraceptive use

9-4

Contraceptive failure            

9-5

Emergency contraception   

9-6

Male involvement in pregnancy prevention     

9-7

Adolescent pregnancy         

9-8

Abstinence before age 15 years       

9-9

Abstinence among adolescents aged 15 to 17 years       

9-10

Pregnancy prevention and sexually transmitted disease (STD) protection              

9-11

Pregnancy prevention education       

9-12

Problems in becoming pregnant and maintaining a pregnancy

9-13

Insurance coverage for contraceptive supplies and services

Goal:

Reduce foodborne illnesses.

10-1

Foodborne infections          

10-2

Outbreaks of foodborne infections   

10-3

Antimicrobial resistance of Salmonella species           

10-4

Food allergy deaths             

10-5

Consumer food safety practices       

10-6

Safe food preparation practices in retail establishments            

10-7

Organophosphate pesticide exposure

Goal:

Use communication strategically to improve health.

11-1

Households with Internet access

11-2

Health literacy

11-3

Research and evaluation of communication programs

11-4

Quality of Internet health information sources

11-5

Centers for excellence

11-6

Satisfaction with health care providers’ communication skills

Goal:

Improve cardiovascular health and quality of life through the prevention, detection, and treatment of risk factors; early identification and treatment of heart attacks and strokes; and prevention of recurrent cardiovascular events.

Heart Disease    

12-1

Coronary heart disease (CHD) deaths            

12-2

Knowledge of symptoms of heart attack and importance of calling 911  

12-3

Artery-opening therapy        

12-4

Bystander response to cardiac arrest

12-5

Out-of-hospital emergency care        

12-6

Heart failure hospitalizations             

Stroke

12-7

Stroke deaths        

12-8

Knowledge of early warning symptoms of stroke          

Blood Pressure  

12-9

High blood pressure           

12-10

High blood pressure control              

12-11

Action to help control blood pressure              

12-12

Blood pressure monitoring

Cholesterol         

12-13

Mean total blood cholesterol levels  

12-14

High blood cholesterol levels            

12-15

Blood cholesterol screening              

12-16

LDL-cholesterol level in CHD patients

Goal:

Prevent HIV infection and its related illness and death.

13-1

New AIDS cases  

13-2

AIDS among men who have sex with men     

13-3

AIDS among persons who inject drugs           

13-4

AIDS among men who have sex with men and who inject drugs              

13-5

New HIV cases     

13-6

Condom use         

13-7

Knowledge of serostatus   

13-8

HIV counseling and education for persons in substance abuse treatment             

13-9

HIV/AIDS, STD, and TB education in State prisons       

13-10

HIV counseling and testing in State prisons

13-11

HIV testing in TB patients   

13-12

Screening for STDs and immunization for hepatitis B  

13-13

Treatment according to guidelines   

13-14

HIV-infection deaths            

13-15

Interval between HIV infection and AIDS diagnosis      

13-16

Interval between AIDS diagnosis and death from AIDS               

13-17

Perinatally acquired HIV infection

Goal:

Prevent disease, disability, and death from infectious diseases, including vaccine-preventable diseases.

Diseases Preventable Through Universal Vaccination

14-1

Vaccine-preventable diseases          

14-2

Hepatitis B in infants and young children        

14-3

Hepatitis B in adults and high-risk groups     

14-4

Bacterial meningitis in young children             

14-5

Invasive pneumococcal infections    

Diseases Preventable Through Targeted Vaccination

14-6

Hepatitis A             

14-7

Meningococcal disease      

14-8

Lyme disease       

Infectious Diseases and Emerging Antimicrobial Resistance              

14-9

Hepatitis C             

14-10

Identification of persons with chronic hepatitis C

14-11

Tuberculosis         

14-12

Curative therapy for tuberculosis      

14-13

Treatment for high-risk persons with latent tuberculosis infection            

14-14

Timely laboratory confirmation of tuberculosis cases  

14-15

Prevention services for international travelers

14-16

Invasive early onset group B streptococcal disease     

14-17

Peptic ulcer hospitalizations              

14-18

Antibiotics prescribed for ear infections          

14-19

Antibiotics prescribed for common cold          

14-20

Hospital-acquired infections              

14-21

Antimicrobial use in intensive care units         

Vaccination Coverage and Strategies         

14-22

Universally recommended vaccination of children aged 19 to 35 months               

14-23

Vaccination coverage for children in day care, kindergarten, and first grade           

14-24

Fully immunized young children and adolescents        

14-25

Providers who measure childhood vaccination coverage levels

14-26

Children participating in population-based immunization registries        

14-27

Vaccination coverage among adolescents     

14-28

Hepatitis B vaccination among high-risk groups           

14-29

Influenza and pneumococcal vaccination of high-risk adults      

Vaccine Safety   

14-30

Adverse events from vaccinations    

14-31

Active surveillance for vaccine safety

Goal:

Reduce injuries, disabilities, and deaths due to unintentional injuries and violence.

Injury Prevention               

15-1

Nonfatal head injuries         

15-2

Nonfatal spinal cord injuries              

15-3

Firearm-related deaths       

15-4

Proper firearm storage in homes     

15-5

Nonfatal firearm-related injuries       

15-6

Child fatality review              

15-7

Nonfatal poisonings            

15-8

Deaths from poisoning       

15-9

Deaths from suffocation     

15-10

Emergency department surveillance systems

15-11

Hospital discharge surveillance systems       

15-12

Emergency department visits            

Unintentional Injury Prevention      

15-13

Deaths from unintentional injuries   

15-14

Nonfatal unintentional injuries          

15-15

Deaths from motor vehicle crashes 

15-16

Pedestrian deaths               

15-17

Nonfatal motor vehicle injuries          

15-18

Nonfatal pedestrian injuries              

15-19

Safety belts            

15-20

Child restraints     

15-21

Motorcycle helmet use        

15-22

Graduated driver licensing 

15-23

Bicycle helmet use               

15-24

Bicycle helmet laws             

15-25

Residential fire deaths        

15-26

Functioning smoke alarms in residences      

15-27

Deaths from falls  

15-28

Hip fractures          

15-29

Drownings             

15-30

Dog bite injuries   

15-31

Injury protection in school sports      

Violence and Abuse Prevention    

15-32

Homicides             

15-33

Maltreatment and maltreatment fatalities of children    

15-34

Physical assault by intimate partners              

15-35

Rape or attempted rape      

15-36

Sexual assault other than rape         

15-37

Physical assaults 

15-38

Physical fighting among adolescents              

15-39

Weapon carrying by adolescents on school property

Goal:

Improve the health and well-being of women, infants, children, and families.

Fetal, Infant, Child, and Adolescent Deaths

16-1

Fetal and infant deaths       

16-2

Child deaths          

16-3

Adolescent and young adult deaths 

Maternal Deaths and Illnesses      

16-4

Maternal deaths    

16-5

Maternal illness and complications due to pregnancy 

Prenatal Care     

16-6

Prenatal care         

16-7

Childbirth classes

Obstetrical Care

16-8

Very low birth weight infants born at level III hospitals  

16-9

Cesarean births   

Risk Factors       

16-10

Low birth weight and very low birth weight      

16-11

Preterm births       

16-12

Weight gain during pregnancy           

16-13

Infants put to sleep on their backs    

Developmental Disabilities and Neural Tube Defects

16-14

Developmental disabilities

16-15

Spina bifida and other neural tube defects     

16-16

Optimum folic acid levels   

Prenatal Substance Exposure       

16-17

Prenatal substance exposure           

16-18

Fetal alcohol syndrome      

Breastfeeding, Newborn Screening, and Service Systems   

16-19

Breastfeeding       

16-20

Newborn bloodspot screening          

16-21

Sepsis among children with sickle cell disease           

16-22

Medical homes for children with special health care needs       

16-23

Service systems for children with special health care needs

Goal:

Ensure the safe and effective use of medical products.

17-1

Monitoring of adverse medical events             

17-2

Linked, automated information systems         

17-3

Provider review of medications taken by patients          

17-4

Receipt of useful information about prescriptions from pharmacies        

17-5

Receipt of oral counseling about medications from prescribers and dispensers 

17-6

Blood donations

Goal:

Improve mental health and ensure access to appropriate, quality mental health services.

Mental Health Status Improvement              

18-1

Suicide

18-2

Adolescent suicide attempts

18-3

Serious mental illness (SMI) among homeless adults               

18-4

Employment of persons with SMI     

18-5

Eating disorder relapses

Treatment Expansion       

18-6

Primary care screening and assessment      

18-7

Treatment for children with mental health problems    

18-8

Juvenile justice facility screening      

18-9

Treatment for adults with mental disorders    

18-10

Treatment for co-occurring disorders              

18-11

Adult jail diversion programs             

State Activities   

18-12

State tracking of consumer satisfaction          

18-13

State plans addressing cultural competence

18-14

State plans addressing elderly persons

Goal:

Promote health and reduce chronic disease associated with diet and weight.

Weight Status and Growth              

19-1

Healthy weight in adults      

19-2

Obesity in adults   

19-3

Overweight or obesity in children and adolescents      

19-4

Growth retardation in children           

Food and Nutrient Consumption    

19-5

Fruit intake             

19-6

Vegetable intake   

19-7

Grain product intake            

19-8

Saturated fat intake              

19-9

Total fat intake       

19-10

Sodium intake       

19-11

Calcium intake      

Iron Deficiency and Anemia            

19-12

Iron deficiency in young children and in females of childbearing age       

19-13

Anemia in low-income pregnant females       

19-14

Iron deficiency in pregnant females 

Schools, Worksites, and Nutrition Counseling          

19-15

Meals and snacks at school              

19-16

Worksite promotion of nutrition education and weight management        

19-17

Nutrition counseling for medical conditions   

Food Security     

19-18

Food security

Goal:

Promote the health and safety of people at work through prevention and early intervention.

20-1

Work-related injury deaths 

20-2

Work-related injuries           

20-3

Overexertion or repetitive motion       

20-4

Pneumoconiosis deaths    

20-5

Work-related homicides     

20-6

Work-related assaults         

20-7

Elevated blood lead levels from work exposure

20-8

Occupational skin diseases or disorders       

20-9

Worksite stress reduction programs               

20-10

Needlestick injuries             

20-11

Work-related, noise-induced hearing loss

Goal:

Prevent and control oral and craniofacial diseases, conditions, and injuries and improve access to related services.

21-1

Dental caries experience    

21-2

Untreated dental decay       

21-3

No permanent tooth loss    

21-4

Complete tooth loss            

21-5

Periodontal diseases          

21-6

Early detection of oral and pharyngeal cancers

21-7

Annual examinations for oral and pharyngeal cancers

21-8

Dental sealants    

21-9

Community water fluoridation            

21-10

Use of oral health care system         

21-11

Use of oral health care system by residents in long-term care facilities  

21-12

Dental services for low-income children         

21-13

School-based health centers with oral health component          

21-14

Health centers with oral health service components    

21-15

Referral for cleft lip or palate              

21-16

Oral and craniofacial State-based surveillance system               

21-17

Tribal, State, and local dental programs

Goal:

Improve health, fitness, and quality of life through daily physical activity.

Physical Activity in Adults               

22-1

No leisure-time physical activity        

22-2

Moderate physical activity   

22-3

Vigorous physical activity    

Muscular Strength/Endurance and Flexibility            

22-4

Muscular strength and endurance    

22-5

Flexibility 

Physical Activity in Children and Adolescents           

22-6

Moderate physical activity in adolescents       

22-7

Vigorous physical activity in adolescents        

22-8

Physical education requirement in schools   

22-9

Daily physical education in schools 

22-10

Physical activity in physical education class   

22-11

Television viewing

Access 

22-12

School physical activity facilities        

22-13

Worksite physical activity and fitness               

22-14

Community walking             

22-15

Community bicycling

Goal:

Ensure that Federal, Tribal, State, and local health agencies have the infrastructure to provide essential public health services effectively.

Data and Information Systems      

23-1

Public health employee access to the Internet

23-2

Public access to information and surveillance data     

23-3

Use of geocoding in health data systems      

23-4

Data for all population groups           

23-5

Data for Leading Health Indicators, Health Status Indicators, and Priority Data Needs at Tribal, State, and local levels              

23-6

National tracking of Healthy People 2010 objectives    

23-7

Timely release of data on objectives

Workforce           

23-8

Competencies for public health workers        

23-9

Training in essential public health services   

23-10

Continuing education and training by public health agencies    

Public Health Organizations           

23-11

Performance standards for essential public health services     

23-12

Health improvement plans 

23-13

Access to public health laboratory services    

23-14

Access to epidemiology services     

23-15

Model statutes related to essential public health services          

Resources          

23-16

Data on public health expenditures  

Prevention Research       

23-17

Population-based prevention research

Goal:

Promote respiratory health through better prevention, detection, treatment, and education efforts.

Asthma

24-1

Deaths from asthma           

24-2

Hospitalizations for asthma               

24-3

Hospital emergency department visits for asthma       

24-4

Activity limitations 

24-5

School or work days lost     

24-6

Patient education 

24-7

Appropriate asthma care    

24-8

Surveillance systems

Chronic Obstructive Pulmonary Disease (COPD)     

24-9

Activity limitations due to chronic lung and breathing problems

24-10

Deaths from COPD

Obstructive Sleep Apnea (OSA)    

24-11

Medical evaluation and followup

24-12

Vehicular crashes related to excessive sleepiness

Goal:

Promote responsible sexual behaviors, strengthen community capacity, and increase access to quality services to prevent sexually transmitted diseases (STDs) and their complications.

Bacterial STD Illness and Disability              

25-1

Chlamydia             

25-2

Gonorrhea             

25-3

Primary and secondary syphilis        

Viral STD Illness and Disability      

25-4

Genital herpes      

25-5

Human papillomavirus infection       

STD Complications Affecting Females        

25-6

Pelvic inflammatory disease (PID)   

25-7

Fertility problems  

25-8

Heterosexually transmitted HIV infection in women      

STD Complications Affecting the Fetus and Newborn

25-9

Congenital syphilis              

25-10

Neonatal STDs     

Personal Behaviors          

25-11

Responsible adolescent sexual behavior      

25-12

Responsible sexual behavior messages on television               

Community Protection Infrastructure          

25-13

Hepatitis B vaccine services in STD clinics    

25-14

Screening in youth detention facilities and jails

25-15

Contracts to treat nonplan partners of STD patients     

Personal Health Services               

25-16

Annual screening for genital chlamydia          

25-17

Screening of pregnant women          

25-18

Compliance with recognized STD treatment standards              

25-19

Provider referral services for sex partners

Goal:

Reduce substance abuse to protect the health, safety, and quality of life for all, especially children.

Adverse Consequences of Substance Use and Abuse

26-1

Motor vehicle crash deaths and injuries          

26-2

Cirrhosis deaths  

26-3

Drug-induced deaths          

26-4

Drug-related hospital emergency department visits     

26-5

Alcohol-related hospital emergency department visits

26-6

Adolescents riding with a driver who has been drinking              

26-7

Alcohol- and drug-related violence   

26-8

Lost productivity    

Substance Use and Abuse             

26-9

Substance-free youth          

26-10

Adolescent and adult use of illicit substances

26-11

Binge drinking       

26-12

Average annual alcohol consumption             

26-13

Low-risk drinking among adults       

26-14

Steroid use among adolescents      

26-15

Inhalant use among adolescents     

Risk of Substance Use and Abuse               

26-16

Peer disapproval of substance abuse             

26-17

Perception of risk associated with substance abuse   

Treatment for Substance Abuse   

26-18

Treatment gap for illicit drugs            

26-19

Treatment in correctional institutions               

26-20

Treatment for injection drug use       

26-21

Treatment gap for problem alcohol use          

State and Local Efforts    

26-22

Hospital emergency department referrals      

26-23

Community partnerships and coalitions         

26-24

Administrative license revocation laws            

26-25

Blood alcohol concentration (BAC) levels for motor vehicle drivers

Goal:

Reduce illness, disability, and death related to tobacco use and exposure to secondhand smoke.

Tobacco Use in Population Groups              

27-1

Adult tobacco use 

27-2

Adolescent tobacco use     

27-3

Initiation of tobacco use      

27-4

Age at first tobacco use       

Cessation and Treatment               

27-5

Smoking cessation by adults            

27-6

Smoking cessation during pregnancy             

27-7

Smoking cessation by adolescents 

27-8

Insurance coverage of cessation treatment   

Exposure to Secondhand Smoke 

27-9

Exposure to tobacco smoke at home among children 

27-10

Exposure to environmental tobacco smoke   

27-11

Smoke-free and tobacco-free schools            

27-12

Worksite smoking policies 

27-13

Smoke-free indoor air laws

Social and Environmental Changes              

27-14

Enforcement of illegal tobacco sales to minors laws   

27-15

Retail license suspension for sales to minors

27-16

Tobacco advertising and promotion targeting adolescents and young adults        

27-17

Adolescent disapproval of smoking

27-18

Tobacco control programs 

27-19

Preemptive tobacco control laws      

27-20

Tobacco product regulation               

27-21

Tobacco tax

Goal:

Improve the visual and hearing health of the Nation through prevention, early detection, treatment, and rehabilitation.

Vision

28-1

Dilated eye examinations   

28-2

Vision screening for children

28-3

Impairment due to refractive errors  

28-4

Impairment in children and adolescents        

28-5

Impairment due to diabetic retinopathy           

28-6

Impairment due to glaucoma            

28-7

Impairment due to cataract

28-8

Occupational eye injury       

28-9

Protective eyewear               

28-10

Vision rehabilitation services and devices      

Hearing

28-11

Newborn hearing screening, evaluation, and intervention          

28-12

Otitis media           

28-13

Rehabilitation for hearing impairment             

28-14

Hearing examination           

28-15

Evaluation and treatment referrals   

28-16

Hearing protection               

28-17

Noise-induced hearing loss in children          

28-18

Noise-induced hearing loss in adults