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Objective 28-1

Dilated Eye Examinations

Increase the proportion of persons who have a dilated eye examination every two years.

Many eye diseases and disorders have no symptoms or early warning signs. Dilated eye exams should be performed at appropriate intervals to detect changes in the retina or optic nerve or both. Eye care professionals can view the back of the eye for subtle changes and, if necessary, initiate treatment at the right time.

Data Source

Baseline: 55 percent of persons aged 18 years and older had a dilated eye examination within the past 2 years in 2002 (age adjusted to the year 2000 standard population).

Target: 58 percent of persons 18 years and over.

Target setting method: Better than the best.

Data source: National Health Interview Survey (NHIS), National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC).

Operational definition: This is a valuable tool that allows individuals to set measurable Healthy Vision objectives for their own communities.

Adults 18 years and over Percentage of People
Race and ethnicity
American Indian or Alaska Native only 54%
Asian or Pacific Islander only DNA
Asian only 50%
Native Hawaiian or Other Pacific Islander only DSU
Black or African American only 54%
White only 56%
2 or more races 54%
American Indian or Alaska Native; White 47%
Black or African American; White 57%
Hispanic or Latino 45%
Non Hispanic or Latino 56%
Black or African American only, not Hisp/Latino 54%
White only, not Hispanic or Latino 57%
Female 58%
Male 52%
Education level (persons 25 years and over)
Under 12 years 44%
12 years 55%
13 years and over 62%
Diabetes status (annual examination)
Persons with diabetes 55%
Persons without diabetes 37%

DNA = Data have not been analyzed.
DNC = Data for specific population are not collected.
DSU = Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Operational definition for objective: 28-1
28-1. Increase the proportion of persons who have a dilated eye examination every two years.
National Data Source National Health Interview Survey (NHIS), CDC, NCHS.
State Data Source Not identified.
Healthy People 2000 Objective Adapted from 17.23 (Diabetes and Chronic Disabling Conditions)
Measure Percent (age adjusted - see Comments).
Baseline 55 (2002).
Numerator Number of adults aged 18 years and older who report they had a dilated eye exam within the past two years.
Denominator Number of adults aged 18 years and older.
Population Targeted U.S. civilian, noninstitutionalized population.
Questions Used To Obtain the National Data From the 2002 National Health Interview Survey:

> 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.

Less than 1 month
01 to 12 months
13 to 24 months
More than 2 years
Expected Periodicity Periodic.
Comments Among adults, the appropriate time interval forgetting a dilated eye exam is generally consideredto be within the past 2 years. Adults who respond"less than 1 month," "1 to 12 months," or "13 to24 months" to the above question are consideredto be getting a dilated eye exam within theappropriate time interval. Among personswith diabetes, the appropriate time interval is1 year. Adults with diabetes who respond "less than 1 month" or "1-12 months" to the question are getting a dilated eye exam at the appropriate interval.

Data (except those by education status) are age adjusted to the 2000 standard population using the age groups 18-24, 25-34, 35-44, 45-64, and 65 years and over. Data by education status are adjusted using the age groups 25-34, 35-44, 45-64, and 65 years and over. Age-adjusted rates are weighted sums of age-specific rates. For a discussion on age adjustment, see Part A, section 5.

This objective targets a different population thanthe Healthy People 2000 objective. The targeted population for this objective is the total adult population 18 years and over. Healthy People 2000 objective 17.23 tracked people 18 yearsand over with diabetes only, and stated "Increaseto 70 percent the proportion of people with diabetes who have an annual dilated eye exam." The HealthyPeople 2010 template addresses annual eye exams among people with diabetes.

For some measures, data do not meet the criteria for statistical reliability, data quality, or confidentiality and have been suppressed. Information on suppression of data for the major Healthy People 2010 data systems has been published in a Healthy People Statistical Note report (Klein, R.; Proctor, S.; Boudreault, M.; Turczyn, K. Healthy People 2010 Statistical Notes No. 24. 2002).

See Part C for a description of NHIS and Appendix A for focus area contact information. All referenced "Parts" and "Appendices" can be found in Tracking Healthy People 2010.

Department of Health and Human Services NIH, the National Institutes of Health