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

Reduce the proportion of adults with disabilities who delay preventive care because of cost — DH‑01 Data Methodology and Measurement

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

About the National Data

Data

Data Source:  National Health Interview Survey (NHIS), CDC/NCHS

Baseline: 53.2 percent of adults with disabilities aged 18 years and over experienced delays in receiving primary and periodic preventive care due to cost in 2019

Target: 48.4 percent

Numerator
Number of adults with disabilities aged 18 years and over who experience delays in receiving primary and periodic preventive care due to cost.
Denominator
Number of adults with disabilities aged 18 years and over.
Target-setting method
Minimal statistical significance
Target-setting method details
Minimal statistical significance, assuming the same standard error for the target as for the baseline.
Target-setting method justification
Trend data were not available for this objective. The standard error was used to calculate a target based on minimal statistical significance, assuming the same standard error for the target as for the baseline. This method was used because it was a statistically significant improvement from the baseline, and many factors can affect costs associated with primary health care.

Methodology

Methodology notes

Adults with disabilities are considered to experience delays in care due to cost if they or an adult proxy respond "yes" to any of the questions listed in the numerator section. Adults with disabilities are identified in this objective if they or an adult proxy responds "yes" to questions used to identify people with disabilities.

History

Comparable HP2020 objective
Modified, which includes core objectives that are continuing from Healthy People 2020 but underwent a change in measurement.
Changes between HP2020 and HP2030
This objective differs from Healthy People 2020 objective DH-4 in that objective DH-4 tracked adults with disabilities who experienced delays in receiving care due to specific barriers, while this objective tracks adults with disabilities who experience delays in receiving care due to cost as a barrier. Additionally, DH-4 used the American Community Survey (ACS) questions, while this objective uses the Washington Group short set of disability questions.
Revision History
Revised. 

In 2021, due to the 2019 NHIS redesign, the baseline was revised from 37.2% in 2018 to 53.2% in 2019. The target was revised from 34.9% to 48.4% using the original target setting method.