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U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Reduce the rate of death from any cause in adults with diabetes — D‑09 Data Methodology and Measurement

On this page:  About the National Data  |  Methodology  |  History

About the National Data

Data

Data Sources:  National Health Interview Survey (NHIS), CDC/NCHS; National Death Index (NDI), CDC/NCHS

Baseline: 15.2 deaths per 1,000 person years occurred among adults aged 18 years and over with diagnosed diabetes in 2010-15

Target: 13.7 per 1,000

Numerator
Number of deaths from all-causes among adults aged 18 years and over with diagnosed diabetes.
Denominator
Person years of follow-up for adults aged 18 years and over with diagnosed diabetes who participated in NHIS. A participant can contribute 1 to 10 years of follow-up to the denominator.
Target-setting method
Percent improvement
Target-setting method details
10 percent improvement from the baseline.
Target-setting method justification
Trend data were not available for this objective. A 10 percent improvement from the baseline was used to calculate a target. This method was used because it was a statistically significant improvement from the baseline.

Methodology

Questions used to obtain the national baseline data

(For additional information, please visit the data source pages linked above.)

From the 2015 National Health Interview Survey:

Numerator:
[For females:]
Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?
  1. Yes
  2. No
  3. Borderline or prediabtes
  4. Refused
  5. Don't know
[For males:]
Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?
  1. Yes
  2. No
  3. Borderline or prediabtes
  4. Refused
  5. Don't know

Methodology notes

The analysis relies on NHIS data linked to the National Death Index for follow-up of vital status. Weighted poisson regression will be used to calculate death rates. This method has been published by Gregg EW, Cheng YL, Srinivasan M, Lin J, Geiss LS, Albright AL, Imperatore GI. Trends in cause-specific mortality among adults with and without diagnosed diabetes in the USA: an epidemiological analysis of linked national survey and vital statistics. Lancet May 18, 2018.

Time variables are survey year and age at follow-up (age during the NHIS survey + time of censor). Time of censor is determined by date of death from NDI linkage or end of follow-up (whichever date occurs first). Total estimates are age adjusted by the following categories: 18-44, 45-64, 65-74, 75+. Persons are considered to have doctor diagnosed diabetes from the NHIS if they answer "yes" to the question listed. Diabetes during pregnancy is excluded. Persons who report borderline are also excluded.

https://pubmed.ncbi.nlm.nih.gov/29784146/

Age-adjustment notes

This Indicator uses Age-Adjustment Groups:

  • Total: 18-44, 45-64, 65-74, 75+

History

Comparable HP2020 objective
Related, which includes objectives that have the same or a similar intent to either a measurable or developmental/archived objective in Healthy People 2020.