National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013

Measures

Obese adults age 20 and over who were told by a doctor they were overweight
People ages 2-19 who were overweight and who were told by a health provider they were overweight
Obese adults who ever received advice from a health provider to exercise more
Obese adults who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week
Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should pursue
Children ages 2-17 for whom a health provider ever gave advice about healthy eating
Obese adults who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods
Adult smokers with a checkup who received advice to quit smoking
 

Measure Title

Obese adults age 20 and over who were told by a doctor they were overweight

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS)

Table Description

Geographic Representation

National

Years Available

1999-2010

Population Subgroups

Age, education, gender, income, race/ethnicity

Data Sources

CDC, NCHS, National Health and Nutrition Examination Survey (NHANES)

Denominator

People age 20 and over with a body mass index (BMI) of 30 or greater

Numerator

Subset of the denominator who reported they were told by a doctor that they were overweight

Comments

Estimates are age adjusted to the 2000 U.S. standard population, except where indicated. Total, race, ethnicity, gender, and family income are adjusted using three age groups: 20-44, 44-64, and 65 and over; education is adjusted using age groups 25-44, 45-64, and 65 and over.

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Measure Title

People ages 2-19 who were overweight and who were told by a health provider they were overweight

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS)

Table Description

Geographic Representation

National

Years Available

National: 2001-2010

Population Subgroups

Age, gender, income, race/ethnicity,

Data Sources

CDC, NCHS, National Health and Nutrition Examination Survey (NHANES)

Denominator

People ages 2-19 with a body mass index (BMI) greater than or equal to the 95th percentile on the BMI-for-age, sex-specific 2000 CDC growth charts for the United States

Numerator

Subset of denominator who reported they were told by a doctor or health professional that they were overweight

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Measure Title

Obese adults who ever received advice from a health provider to exercise more

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitations, age, education, employment status, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Sources

AHRQ, CFACT, MEPS

Denominator

People age 18 and over with a body mass index (BMI) of 30 or greater

Numerator

Subset of the denominator who reported they were given advice about exercise by a doctor or health professional

Comments

Body mass index is based on reported height and weight. Estimates are age adjusted to the 2000 U.S. standard population using three age groups: 18-44, 45-64, and 65 and over.

Nonrespondents and "Don’t Know" responses were excluded from the analysis.

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Measure Title

Obese adults who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitations, age, education, employment status, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Sources

AHRQ, CFACT, MEPS

Denominator

People age 18 and over with a body mass index (BMI) of 30 or greater

Numerator

Subset of the denominator who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week

Comments

Body mass index is based on reported height and weight. Estimates are age adjusted to the 2000 U.S. standard population using three age groups: 18-44, 45-64, and 65 and over.

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Measure Title

Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should pursue

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Sources

AHRQ, CFACT, MEPS

Denominator

Children ages 2-17

Numerator

Subset of the denominator for whom a health provider gave advice within the past 2 years about the amount and kind of exercise, sports, or physically active hobbies they should pursue

Comments

Estimates exclude nonrespondents to the question: "Has a doctor or other health provider ever given advice about amount and kind of exercise, sports, or physically active hobbies you should have?" "Don’t Know" responses were also excluded.

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Measure Title

Children ages 2-17 for whom a health provider ever gave advice about healthy eating

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Sources

AHRQ, CFACT, MEPS

Denominator

Children ages 2-17

Numerator

Subset of the denominator for whom a health provider gave advice within the past 2 years about healthy eating

Comments

Estimates exclude nonrespondents and "Don’t Know" responses.

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Measure Title

Obese adults who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Denominator

People age 18 and over with a body mass index (BMI) of 30 or greater

Numerator

Subset of the denominator who reported they were advised by a doctor or health professional about restricting foods high in fat and cholesterol

Comments

Body mass index is based on reported height and weight. Estimates are age adjusted to the 2000 U.S. standard population using three age groups: 18-44, 45-64, and 65 and over. Nonrespondents and "Don’t Know" responses were excluded from the analyses.

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Measure Title

Adult smokers with a checkup who received advice to quit smoking

Measure Source

Healthy People 2010

Table Description

Geographic Representation

National

Years Available

National: 2002-2010

Population Subgroups

Age, sex, race, ethnicity, activity limitation, employment status, income, perceived health status, preferred language, insurance, U.S.-born, education, location of residence

Data Sources

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS), National CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database (NCBD)

Denominator

U.S. civilian adults who are current smokers and who had a routine checkup in the past 6 or 12 months, as appropriate

Numerator

Subset of the denominator who indicated they had received advice to quit smoking

Comments

The National Table Description reports data from the MEPS Self-Administered Questionnaire (SAQ). Nonrespondents and "Don’t Know" responses were excluded from the analysis.

Estimates are age adjusted to the 2000 U.S. standard population.

This measure is referred to as measure 1-3c in Healthy People 2010 documentation.

The allowable responses to MEPS question about smoking changed in 2003. Therefore, reported national rates may not be comparable with earlier years.

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