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

Increase the proportion of adults with diabetes who have a yearly eye exam — D‑04 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: 64.8 percent of adults aged 18 years and over with diagnosed diabetes had an eye exam within the past 12 months in 2019

Target: 70.3 percent

Numerator
Number of adults aged 18 years and over who report that they have ever been told by a doctor that they have diabetes and report that they had an eye examination in the past year.
Denominator
Number of adults aged 18 years and over who report that they have ever been told by a doctor that they have diabetes.
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 evaluated for this objective but it was not possible to project a target because the slope was not different from zero. 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.

Methodology

Questions used to obtain the national baseline data

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

From the 2019 National Health Interview Survey Vision Supplement:

Numerator:
During the past 12 months, have you had an eye exam from an optometrist, opthalmologist, or eye doctor?.
  1. Yes
  2. No
  3. Refused
  4. Don't know

From the 2019 National Health Interview Survey:

Numerator and Denominator:
[For females:]
Not including prediabetes or gestational diabetes, has a doctor or other health professional EVER told you that you had diabetes?
  1. Yes
  2. No
  3. Don't know
  4. Refused

Methodology notes

Persons are considered to have diabetes if they respond "yes" to being told by a doctor or health professional that they have diabetes. Diagnoses of prediabetes or gestational diabetes are not included. This indicator uses age-adjustment groups: 18-44, 45-64, 65+.

Age-adjustment notes

This Indicator uses Age-Adjustment Groups:

  • Total: 18-44, 45-64, 65+
  • Sex: 18-44, 45-64, 65+
  • Race/Ethnicity: 18-44, 45-64, 65+
  • Educational Attainment: 25-44, 45-64, 65+
  • Family Income (percent poverty threshold): 18-44, 45-64, 65+
  • Country of Birth: 18-44, 45-64, 65+
  • Geographic Location: 18-44, 45-64, 65+
  • Health Insurance Status: 18-44, 45-64
  • Marital Status: 18-44, 45-64, 65+
  • Veteran Status: 20-44, 45-64, 65+
  • Sexual Orientation: 18-44, 45-64, 65+

History

Comparable HP2020 objective
Modified, which includes core objectives that are continuing from Healthy People 2020 but underwent a change in measurement.
Revision History
  • Revised. 

    In 2021, this objective was revised due to the 2019 NHIS redesign and survey question changes. The baseline questions changed from, "When was the last time you had an eye exam in which the pupils were dilated? This would have made you temporarily sensitive to bright light." and "(Other than during pregnancy,) Have you EVER been told by a doctor or health professional that you have diabetes or sugar diabetes?" to "During the past 12 months, have you had an eye exam from an optometrist, ophthalmologist, or eye doctor?" and "(Not including prediabetes or gestational diabetes) has a doctor or other health professional EVER told you that you had diabetes?" The baseline was revised from 62.3% in 2017 to 64.8% in 2019. The target was revised from 67.7% to 70.3% using the original target setting method.
  • Revised. 

    In 2024, the following categories were recalculated with the use of a newer variable: Never married, American Indian or Alaska Native only, Native Hawaiian or Other Pacific Islander only, 2 or more races only, Not Hispanic or Latino American Indian or Alaska Native only, Not Hispanic or Latino Native Hawaiian or Other Pacific Islander only, Not Hispanic or Latino 2 or more races only. Estimates from data year 2022 or earlier may vary slightly from estimates previously reported. The baseline, baseline year and target were not affected.