Tracking Healthy People 2010 Vision Objectives Kathleen M. Turczyn, MPH National Center for Health...

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.


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:


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


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


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


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


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?


Data presently being collected by two surveys:

– BLS ASOII

– NEISS

Two measures?

Reduce occupational eye injury


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

Tracking Healthy People 2010 Vision Objectives Kathleen M. Turczyn, MPH National Center for Health...

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