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Objective 28-6


Reduce visual impairment due to glaucoma.

This objective was the focus of Healthy Vision Month 2007.

Glaucoma is a major public health problem in this country. The disease causes progressive optic nerve damage that, if left untreated, leads to vision loss. An estimated 3 million people in the United States have the disease; of these, as many as 120,000 are blind as a result. Furthermore, glaucoma is the number one cause of vision loss in African Americans. Treatments to slow the progression of the disease are available. However, at least half of the people who have glaucoma are not receiving treatment because they are unaware of their condition.

Data Source

Baseline: 13.5 per 1,000 persons aged 45 years and older had trouble seeing and glaucoma in 2002 (age adjusted to the year 2000 standard population).

Target: 10.7 per 1,000 persons 45 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.

People 45 years and over Rate per 1000
Race and ethnicity
American Indian or Alaska Native only DSU
Asian or Pacific Islander only DNA
Asian only DSU
Native Hawaiian or Other Pacific Islander only DSU
Black or African American only 38.0
White only 10.9
2 or more races DSU
American Indian or Alaska Native; White DSU
Black or African American; White DSU
Hispanic or Latino 13.5
Non Hispanic or Latino 13.6
Black or African American only, not Hisp/Latino 38.4
White only, not Hispanic or Latino 10.8
Female 15.3
Male 11.2
Education level (persons 25 years and over)
Under 12 years 21.4
12 years 11.2
13 years and over 11.8
Diabetes status
Persons with diabetes (within the past year: 55.0%) 29.1
Persons without diabetes (within the past year 37%) 10.8

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: 28-6
28-6. Reduce visual impairment due to glaucoma.
National Data Source National Health Interview Survey (NHIS), CDC, NCHS.
State Data Source Not identified.
Healthy People 2000 Objective Not applicable.
Measure Rate per 1,000 population (age adjusted - see Comments).
Baseline 13.5 (2002).
Target 10.7
Numerator Number of adults aged 45 years and older who report they have trouble seeing and that they have ever been told they had glaucoma.
Denominator Number of adults aged 45 years and older.
Population Targeted U.S. civilian, noninstitutionalized population.
Questions Used To Obtain the National Data From the 2002 National Health Interview Survey:

> Do you have trouble seeing, even when wearing glasses or contact lenses?

> Have you ever been told by a doctor or other health professional that you had glaucoma?
Expected Periodicity Periodic.
Comments Adults who answer "yes" to the abovequestions meet the criteria for the objectiveas closely as possible using self-report.

Data are age adjusted to the 2000 standard population using the age groups 45-49, 50-64, and 65 years and older. Age-adjusted rates are weighted sums of age-specific rates. For a discussion on age adjustment, see Part A, section 5.

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