f ocus area 28 vision and hearing progress review october 20, 2004
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Focus Area 28Vision and HearingProgress Review
October 20, 2004
Vision and Hearing• Goal: Improve the visual and hearing health of
the Nation through prevention, early detection, treatment, and rehabilitation.
• About 85 million people in the U.S. have potentially blinding eye diseases, have low vision, are legally blind, or are more visually impaired.
• In 1995, the economic impact of visual disorders and disabilities was about $38.4 billion.
• About 28 million people in the U.S. are deaf or hard of hearing.
• Related to functional independence and quality of life of people of all ages.
28-1. Dilated eye examinations 28-2. Vision screening for children28-3. Impairment due to refractive errors28-4. Impairment in children and adolescents28-5. Impairment due to diabetic retinopathy28-6. Impairment due to glaucoma28-7. Impairment due to cataract
Vision Objectives28-8a. Occupational eye injuries resulting in lost work days28-8b. Occupational eye injuries treated in emergency departments 28-9a. Protective eyewear use, ages 6-1728-9b. Protective eyewear use, ages 18 and over28-10a. Vision rehabilitation services28-10b. Visual and adaptive devices
New baseline
Getting worse Little or no change
No baseline dataImproving
28-5. Impairment due to diabetic retinopathy
28-6. Impairment due to glaucoma
Highlighted Vision Objectives
28-10a. Vision rehabilitation services28-10b. Visual and adaptive devices
0Rate per 1,000 persons with diabetes
2010Target
4020
Ages 18 and over
White
Female
Hispanic
Male
Asian
60 80 100
Obj. 28-5
Visual Impairment due to Diabetic Retinopathy, 2002
Note: Data are for persons 18 years and over with diabetes, age adjusted to the 2000 standard population. Education-level data are for ages 25 years and over. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval. *Data are statistically unreliable.Source: National Health Interview Survey, CDC, NCHS.
*American Indian
Black **
Less than high school
At least some college
High school
0Percent
105
Ages 18 and over
White
Hispanic
Asian
15 20 25
Diabetes Prevalence by Race/Ethnicity, 2002
Note: Data are for diagnosed diabetes only, age adjusted to the 2000 standard population. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval. Source: National Health Interview Survey, CDC, NCHS.
American Indian
Black
0Rate per 1,000 persons
2010Target
2010
Ages 45 and over
White
Female
Hispanic
Male
Asian
30 40 50
Obj. 28-6
Visual Impairment due to Glaucoma: Ages 45 and Over, 2002
Note: Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval. *Data are statistically unreliable.Source: National Health Interview Survey, CDC, NCHS.
*
Less than high schoolHigh school
At least some college
American Indian
Black *
With diabetesWithout
diabetes
0Rate per 1,000 persons
2010Target
2010
White
30 40 50
Obj. 28-6
Visual Impairment due to Glaucoma by Race and Education: Ages 45 and Over,
2002
Note: Data are age adjusted to the 2000 standard population. Black and white exclude persons of Hispanic origin. I is 95% confidence interval. *Data are statistically unreliable.Source: National Health Interview Survey, CDC, NCHS.
Black
60
Less than high schoolHigh school
At least some college
0Percent among persons with visual impairments
2010Target
1
Ages 18 and over
White
Female
Hispanic
Male
Asian
2 4
Obj. 28-10a
Use of Vision Rehabilitation Services, 2002
*American Indian
Black *
*
*
*
Note: Data are converted from rate per 1,000 to percent for presentation only; they are age adjusted to the 2000 standard population. Education-level data are for ages 25 years and over. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval. *Data are statistically unreliable.Source: National Health Interview Survey, CDC, NCHS.
3
*
Less than high schoolHigh school
At least some college
0Percent among persons with visual impairments
2010Target
105
Ages 18 and over
White
Female
Hispanic
Male
Asian
15 20 25
Obj. 28-10b
Use of Visual Adaptive Devices, 2002
*American Indian
Black *
Note: Data are for persons 18 years and over with visual impairments, age adjusted to the 2000 standard population. Education-level data are for ages 25 years and over. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval. *Data are statistically unreliable.Source: National Health Interview Survey, CDC, NCHS.
Less than high schoolHigh school
At least some college
Hearing Objectives28-14. Hearing examinations a. Ages 20-69 b. Ages 70 and over c. Ages 12-1928-15. Evaluation and treatment referrals28-16a. Hearing protection – adults28-16b. Hearing protection - adolescents28-17. Noise-induced hearing loss among adolescents28-18. Noise-induced hearing loss among adults
28-11a. Newborn hearing screening before age 1 month28-11b. Newborn hearing evaluation before age 3 months28-11c. Newborn intervention services before age 6 months28-12. Otitis media28-13a. Hearing aid use, ages 20-6928-13b. New cochlear implants28-13c. Hearing aid use, ages 70 and over28-13d. Use of assistive listening devices, ages 70+
New baseline
Getting worse Little or no change
No baseline dataImproving
Highlighted Hearing Objectives
28-11a. Newborn hearing screening before age 1 month28-11b. Newborn hearing evaluation before age 3 months28-11c. Newborn hearing intervention
services before age 6 months28-12. Office visits for otitis media28-13b. New cochlear implants
Hearing Screening, Evaluation, and Intervention Services for Newborns,
2001 Newborns
under 1 month
66% screened (46 states) Target: 90%
56% evaluated before3 months (25 states)
Target: 70%
57% received interventionservices before 6 months
(10 states)Target: 85%
Source: State-based Early Hearing Detection and Intervention (EHDI) Program Network, CDC and/or specific state data.
Objs. 28-11a-c
a.
b.
c.For infantswithhearingloss
For infantsidentifiedwith possiblehearing loss
0
50
100
150
200
250
300
350
400Visits per 1,000 children
0
Office Visits for Otitis Media:Ages under 18
Obj. 28-12Source: National Ambulatory Medical Care Survey/ National Hospital Ambulatory Medical Care Survey, CDC, NCHS.
1997 1998 1999 2000 2001 2002
Male
Female
2010Target
0Visits per 1,000 children
2010Target
200
Total
White
Female
Male
600400
Obj. 28-12
Office Visits for Otitis Media:Ages under 18, 2002
Under 3 years3-5 years
6-17 years
Black
Age
1000800
Note: Black and white include persons of Hispanic or non-Hispanic origin. Persons reported one or more races. Data by race are shown for persons who reported one racial group. I is 95% confidence interval. Source: National Ambulatory Medical Care Survey/ National Hospital Ambulatory Medical Care Survey, CDC, NCHS.
1200
0Rate per 10,000 deaf or very hard-of-hearing persons
2010Target
25
All ages
Female
Male
50 325
Obj. 28-13b
New Cochlear Implants, 1999
Under 6 years*
45-64 years
65 years and over
Note: Data are age adjusted to the 2000 standard population. *Data are statistically unreliable.Sources: Healthcare Cost and Utilization Project, AHRQ; National Health Interview Survey, CDC, NCHS.
75 300100
18-44 years
6-17 years*
708
Progress Reviewdata and slides
can be found on the web at:
http://www.cdc.gov/nchs/hphome.htmhttp://www.cdc.gov/nchs/hphome.htm
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