Evaluating Progress Toward Healthy People 2010 National Diabetes Objectives
IntroductionIn 1999, the National Diabetes Prevention and Control Program at the Centers for Disease Control and Prevention and its 59 Diabetes Prevention and Control Programs adopted five Healthy People 2010 objectives. These objectives aim to improve the rates of preventive care services among peo...
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| Format: | Article |
| Language: | English |
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Centers for Disease Control and Prevention
2006-01-01
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| Series: | Preventing Chronic Disease |
| Subjects: | |
| Online Access: | http://www.cdc.gov/pcd/issues/2006/jan/05_0122.htm |
| _version_ | 1797427351727898624 |
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| author | Dara Murphy, MPH Mark Rivera, PhD Maurice Martin, PhD Leonard Jack, Jr, PhD, MSc Qaiser Mukhtar, PhD |
| author_facet | Dara Murphy, MPH Mark Rivera, PhD Maurice Martin, PhD Leonard Jack, Jr, PhD, MSc Qaiser Mukhtar, PhD |
| author_sort | Dara Murphy, MPH |
| collection | DOAJ |
| description | IntroductionIn 1999, the National Diabetes Prevention and Control Program at the Centers for Disease Control and Prevention and its 59 Diabetes Prevention and Control Programs adopted five Healthy People 2010 objectives. These objectives aim to improve the rates of preventive care services among people with diabetes and include annual foot examinations, hemoglobin A1c tests, and annual dilated eye examinations. This paper examines progress toward meeting these three objectives.MethodsQuestions from the diabetes module of the Behavioral Risk Factor Surveillance System (BRFSS) were used to evaluate changes in age-adjusted rates for annual foot examinations, hemoglobin A1c tests, and annual dilated eye examinations of 44 jurisdictions between 2000 and 2003. Questions from the diabetes module were also used to compare percentage rates of 47 jurisdictions in 2003 with Healthy People 2010 percentage targets.ResultsFrom 2000 to 2003, for the 44 jurisdictions, the aggregate, age-adjusted rate of annual foot examinations increased from 63.7% to 69.3% (P < .001); the rate of self-reported hemoglobin A1c tests increased from 68.3% to 69.5% (P = .35); and the rate of annual dilated eye examinations decreased from 67.7% to 65.2% (P = .05). In 2003, 20 of 47 jurisdictions met the Healthy People 2010 target for foot or eye examinations, and all 47 jurisdictions met the target for hemoglobin A1c tests. An inverse association was found between baseline rates in 2000 and the magnitude of change from 2000 to 2003 for all three national diabetes objectives.ConclusionThe National Diabetes Prevention and Control Program should consider adopting additional Healthy People 2010 objectives. Baseline rates should be considered in 1) selecting objectives, 2) setting percentage targets, and 3) evaluating current or future objectives. Program-related information should be linked with traditional data sources such as BRFSS so that we can understand the role of environmental factors and evaluate progress of jurisdictions toward national diabetes objectives. |
| first_indexed | 2024-03-09T08:42:58Z |
| format | Article |
| id | doaj.art-8710c27de39942cc84afbe5f19a5965e |
| institution | Directory Open Access Journal |
| issn | 1545-1151 |
| language | English |
| last_indexed | 2024-03-09T08:42:58Z |
| publishDate | 2006-01-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Preventing Chronic Disease |
| spelling | doaj.art-8710c27de39942cc84afbe5f19a5965e2023-12-02T16:10:50ZengCenters for Disease Control and PreventionPreventing Chronic Disease1545-11512006-01-0131Evaluating Progress Toward Healthy People 2010 National Diabetes ObjectivesDara Murphy, MPHMark Rivera, PhDMaurice Martin, PhDLeonard Jack, Jr, PhD, MScQaiser Mukhtar, PhDIntroductionIn 1999, the National Diabetes Prevention and Control Program at the Centers for Disease Control and Prevention and its 59 Diabetes Prevention and Control Programs adopted five Healthy People 2010 objectives. These objectives aim to improve the rates of preventive care services among people with diabetes and include annual foot examinations, hemoglobin A1c tests, and annual dilated eye examinations. This paper examines progress toward meeting these three objectives.MethodsQuestions from the diabetes module of the Behavioral Risk Factor Surveillance System (BRFSS) were used to evaluate changes in age-adjusted rates for annual foot examinations, hemoglobin A1c tests, and annual dilated eye examinations of 44 jurisdictions between 2000 and 2003. Questions from the diabetes module were also used to compare percentage rates of 47 jurisdictions in 2003 with Healthy People 2010 percentage targets.ResultsFrom 2000 to 2003, for the 44 jurisdictions, the aggregate, age-adjusted rate of annual foot examinations increased from 63.7% to 69.3% (P < .001); the rate of self-reported hemoglobin A1c tests increased from 68.3% to 69.5% (P = .35); and the rate of annual dilated eye examinations decreased from 67.7% to 65.2% (P = .05). In 2003, 20 of 47 jurisdictions met the Healthy People 2010 target for foot or eye examinations, and all 47 jurisdictions met the target for hemoglobin A1c tests. An inverse association was found between baseline rates in 2000 and the magnitude of change from 2000 to 2003 for all three national diabetes objectives.ConclusionThe National Diabetes Prevention and Control Program should consider adopting additional Healthy People 2010 objectives. Baseline rates should be considered in 1) selecting objectives, 2) setting percentage targets, and 3) evaluating current or future objectives. Program-related information should be linked with traditional data sources such as BRFSS so that we can understand the role of environmental factors and evaluate progress of jurisdictions toward national diabetes objectives.http://www.cdc.gov/pcd/issues/2006/jan/05_0122.htmpublic healthchronic diseasepreventiondiabetesHealthy People 2010 |
| spellingShingle | Dara Murphy, MPH Mark Rivera, PhD Maurice Martin, PhD Leonard Jack, Jr, PhD, MSc Qaiser Mukhtar, PhD Evaluating Progress Toward Healthy People 2010 National Diabetes Objectives Preventing Chronic Disease public health chronic disease prevention diabetes Healthy People 2010 |
| title | Evaluating Progress Toward Healthy People 2010 National Diabetes Objectives |
| title_full | Evaluating Progress Toward Healthy People 2010 National Diabetes Objectives |
| title_fullStr | Evaluating Progress Toward Healthy People 2010 National Diabetes Objectives |
| title_full_unstemmed | Evaluating Progress Toward Healthy People 2010 National Diabetes Objectives |
| title_short | Evaluating Progress Toward Healthy People 2010 National Diabetes Objectives |
| title_sort | evaluating progress toward healthy people 2010 national diabetes objectives |
| topic | public health chronic disease prevention diabetes Healthy People 2010 |
| url | http://www.cdc.gov/pcd/issues/2006/jan/05_0122.htm |
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