Life Course Indicators Online Tool: Categories





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Explore the set of 55 life course indicators by Category, Data Source, or Domain (tabs) and click on the names to expand the section. Individual indicators are denoted by an ID number (e.g. LC-47) and include numerous details, such as a brief description, numerator, denominator, data source, similar measures in other indicator sets, and national comparison data, where appropriate. Throughout Spring 2019, AMCHP will continue to add PDF narratives for each indicator, which will include important notes on calculating the indicator as well as information on how the indicator aligns with the data and life course screening criteria.

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Childhood Experiences

LC-02: Prevalence of Adverse Childhood Experiences Among Children

Brief Description: Prevalence of adverse childhood experiences among children
Narrative: PDF
Numerator: Number of children whose parents responded to the NSCH that their children were exposed to adverse childhood experiences (9 questions related to ACEs)
Denominator: Total number of children
Data Source: National Survey of Children’s Health (NSCH)
Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Screening for domestic violence
National Comparison: 0 Adverse Childhood Experiences= 52.07%
1 Adverse Childhood Experience= 25.32%
2 or More Adverse Childhood Experiences= 22.61%; 2011-2012; (for notes on calculation, please view the narrative)

LC-03: Substantiated Child Maltreatment

Brief Description: Substantiated child maltreatment including experience of physical abuse, neglect or deprivation of necessities, medical neglect, sexual abuse, psychological or emotional maltreatment
Numerator: Number of children with reports of maltreatment types that include physical abuse, neglect or deprivation of necessities, medical neglect, sexual abuse, psychological or emotional maltreatment and the report is considered substantiated.
Denominator: Number of children under 17 years of age in the state
Data Source: National Child Abuse and Neglect Data System (NCANDS)
Similar Measures in Other Indicator Sets: HP 2020 Focus area IVP-38; MIECHV Benchmark Area Prevention of Child Injuries, Child Abuse, Neglect, or Maltreatment, and Reduction of Emergency Department Visits: Reported substantiated maltreatment (substantiated/indicated/alternative response victim) for children in the program

Community Health Policy

LC-04: Breastfeeding Support – Baby Friendly Hospitals

Brief Description: Proportion of births occurring in baby friendly hospitals
Narrative: PDF
Numerator: Number of births at Baby-Friendly designated hospitals for a given year
Denominator: Number of births in State for a given year
Data Source: Annual CDC Breastfeeding Report Card
Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-24; MIECHV Benchmark Area Improved Maternal and Newborn Health:Breastfeeding; Chronic Disease Indicator
National Comparison: 7.15%; 2010; (for notes on calculation, please view the narrative)

LC-05: Fluoridation

Brief Description: Proportion of population served by community water systems that received optimally fluoridated water.
Narrative: PDF
Numerator: Population on community water systems that received optimally fluoridated drinking water in a calendar year.
Denominator: Population on community water systems in a calendar year
Data Source: Water Fluoridation Reporting System
Similar Measures in Other Indicator Sets: HP 2020 focus area OH-13; Chronic Disease Indicator; National Oral Health Surveillance System Indicator
National Comparison: 73.9%; 2010; (for notes on calculation, please view the narrative)

Community Wellbeing

LC-06: Concentrated Disadvantage

Brief Description: Proportion of households with high level of concentrated disadvantage, calculated using 5 Census variables
Narrative: PDF
Numerator: Number of households at high level of concentrated disadvantage
Denominator: Total number of households
Data Source: American Community Survey (ACS)
Similar Measures in Other Indicator Sets: None
National Comparison: National comparison not yet available; ; (for notes on calculation, please view the narrative)

LC-07A: Homelessness

Brief Description: Prevalence of homelessness among individuals.
Narrative: PDF
Numerator: Number of individuals experiencing homelessness in a given county
Denominator: Total county population
Data Source: U.S. Department of Housing and Urban Development, Annual Assessment Report to Congress
Similar Measures in Other Indicator Sets: None
National Comparison: 0.19%; 2013; (for notes on calculation, please view the narrative)

LC-07B: Homelessness

Brief Description: Prevalence of homelessness among families.
Narrative: PDF
Numerator: Number of families experiencing homelessness in a given county
Denominator: Total number of families at county level
Data Source: U.S. Department of Housing and Urban Development, Annual Assessment Report to Congress
Similar Measures in Other Indicator Sets: None
National Comparison: 0.09%; 2013; (for notes on calculation, please view the narrative)

LC-08: Homicide Rate

Brief Description: Homicide rate
Narrative: PDF
Numerator: Total homicide-related deaths
Denominator: Total population
Data Source: National Vital Statistics System (NVSS) Records
Similar Measures in Other Indicator Sets: HP 2020 Focus area IVP-29
National Comparison: 5.28 Per 100,000 US Persons; 2010; (for notes on calculation, please view the narrative)

LC-09: Household Food Insecurity

Brief Description: Household food insecurity
Narrative: PDF
Numerator: Number of households experiencing food insecurity (household reports being unable to afford balanced meals, having to cut the size of meals because of too little money for food, or being hungry because of too little money for food.)
Denominator: Number of households
Data Source: United States Department of Agriculture (USDA) Economic Research Survey (ERS)
Similar Measures in Other Indicator Sets: HP 2020 Focus area NWS-13
National Comparison: 14.9%

LC-10: Poverty

Brief Description: Percent of population living under the Federal Poverty Level
Narrative: PDF
Numerator: Number of families below the Federal Poverty Line or FPL (determined by US Thresholds)
Denominator: Total number of families
Data Source: American Community Survey (ACS)
Similar Measures in Other Indicator Sets: HP 2020 Focus area SDOH-3; MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Household income (including earnings, cash benefits, and in-kind and non-cash benefits); Chronic Disease Indicator; United Health Rankings Core Measure
National Comparison: 18.60%; 2011; (for notes on calculation, please view the narrative)

LC-11: Small for Gestational Age

Brief Description: Proportion of singleton live-born infants whose birth weight is at or below the 10th percentile for a given gestational age
Narrative: PDF
Numerator: Singleton live-born infants whose birth weight is at or below the 10th percentile for a given gestational age
Denominator: Total number of singleton live births
Data Source: National Vital Statistics System (NVSS) Records
Similar Measures in Other Indicator Sets: None
National Comparison: National comparison not yet available (for notes on calculation, please view the narrative)

Discrimination and Segregation

LC-12: Bullying

Brief Description: Percent of 9-12th graders who reported being bullied on school property or electronically bullied
Narrative: PDF
Numerator: Number of 9th through 12th grade students (12-17 years) who reported having been bullied on school property or electronically during the past 12 months.
Denominator: 9th through 12th grade student population (12-17 years)
Data Source: Youth Risk Behavior Surveillance System (YRBSS)
Similar Measures in Other Indicator Sets: Healthy People 2020 focus area IVP-35.
National Comparison: 25.50%; 2011; (for notes on calculation, please view the narrative)

LC-13: Experiences of Race-Based Discrimination or Racism among Women

Brief Description: Percent of women who experienced discrimination right before or during pregnancy.
Narrative: PDF
Numerator: Number of women who answer Yes to the question “During the 12 months before your new baby was born, did you feel emotionally upset (for example, angry, sad or frustrated) as a result of how you were treated based on your race?”
Denominator: Total number of women who recently had a live birth
Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS)
Similar Measures in Other Indicator Sets: None
National Comparison: 8.80%; 2009-2011; (for notes on calculation, please view the narrative)

LC-14: Perceived Experiences of Discrimination Among Children

Brief Description: Percent of children who experienced discrimination in the past year (parent report)
Narrative: PDF
Numerator: Number of children age 0-17 years who (somewhat or very) often experience racial discrimination in the past year, as reported by their parent
Denominator: Total number of children 0-17
Data Source: National Survey of Children’s Health (NSCH)
Similar Measures in Other Indicator Sets: None
National Comparison: 1.21%; 2011-2012; (for notes on calculation, please view the narrative)

LC-16: Racial Residential Segregation, by Community

Brief Description: Differential distribution of individuals by race or other social or income factors (Dissimilarity Index).
Narrative: PDF
Numerator: Number of counties with dissimilarity index (DI) > .6 (very segregated) It is standard to view cities or other geographic areas with a DI under .3 as well integrated, those with a DI value between .3 and .6 as moderately segregated, and those with values above .6 as very segregated (10). See Notes for Calculation for formula
Denominator: Total number of counties
Data Source: American Community Survey (ACS)
Similar Measures in Other Indicator Sets: None
National Comparison: Range of Dissimilarity (lowest and highest across 50 states): 0.070 to 0.49; 2011; (for notes on calculation, please view the narrative)

Early Life Services

LC-17: Early Intervention

Brief Description: Proportion of children aged 0-3 years who received EI services of all children aged 0-3 years
Narrative: PDF
Numerator: Children aged 0-3 years receiving EI services in a given state
Denominator: All children aged 0-3 years
Data Source: IDEA 618 Child Count
Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-29
National Comparison: National comparison not yet available (for notes on calculation, please view the narrative)

LC-18: WIC Nutrition Services

Brief Description: Proportion of children aged 2-5 years receiving WIC services compared to proportion of children <185% FPL
Narrative: PDF
Numerator: Children aged 2-5 years participating in the WIC program
Denominator: Total children aged 2-5 years whose income is below 185% FPL.
Data Source: WIC program data
Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Household income (including earnings, cash benefits, and in-kind and non-cash benefits)
National Comparison: National comparison not yet available (for notes on calculation, please view the narrative)

LC-19: Early Childhood Health Screening – EPSDT

Brief Description: Percent of Medicaid-enrolled children who received at least one initial or periodic screen in past calendar year
Narrative: PDF
Numerator: Number of Medicaid enrollees ages 0-21 (enrolled for 90+ continuous days) receiving at least one initial or periodic screen
Denominator: Total Medicaid-enrolled children ages 0-21 enrolled for 90+ continuous days
Data Source: CMS – Annual Medicaid EPSDT Participation Report
Similar Measures in Other Indicator Sets: Title V Health Systems Capacity Indicator #02 is similar; MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits
National Comparison: 62%; Note:This estimate uses publicly available reports and includes EPSDT data for ages children 0-20 instead of 0-21.; 2011; (for notes on calculation, please view the narrative)

Economic Experiences

LC-20: High School Graduation Rate

Brief Description: High school graduation rate (4 year cohort) as measured by the Adjusted Cohort Graduation Rate
Narrative: PDF
Numerator: Number of students who graduate in four years with a regular high school diploma
Denominator: Number of students who form the adjusted cohort for the graduating class
Data Source: National Center for Education Statistics
Similar Measures in Other Indicator Sets: HP 2020 Focus Area AH-5.1; Chronic Disease Indicators; United Health Rankings Core Measure
National Comparison: 75.5%

LC-21: Mother’s Education Level at Birth

Brief Description: Percent of births by maternal education levels
Narrative: PDF
Numerator: Number of women delivering a live birth with <HS, HS, & some college
Denominator: All live births
Data Source: National Vital Statistics System (NVSS) Records
Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Employment or education of participating adults
National Comparison: 8th Grade or Less = 4.48%; Less than High School = 13.47%; High School = 45.45%; Greater than HS = 35.41%

LC-22: Unemployment

Brief Description: Prevalence of unemployment
Narrative: PDF
Numerator: Number of persons age 16 and older in the labor force who are unemployed (and actively seeking work)
Denominator: Number of persons age 16 and older
Data Source: American Community Survey (ACS)
Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Employment or education of participating adults
National Comparison: 10.3%

Family Wellbeing

LC-23: Adolescent Smoking

Brief Description: Percent of adolescents who smoked cigarettes in the past 30 days
Narrative: PDF
Numerator: Total 9th-12th graders who smoked cigarettes ≥ 1 day during the past 30 days
Denominator: Total population of 9th – 12th graders
Data Source: Youth Risk Behavior Surveillance System (YRBSS)
Similar Measures in Other Indicator Sets: Preconception Health Indicator E1; HP 2020 Focus area TU-2 (TU-2.2 is a Leading Health Indicator); CDC Winnable Battle (Decrease the percentage of youth who smoke cigarettes by 11%); MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs; Chronic Disease Indicator
National Comparison: 18.07%; 2011; (for notes on calculation, please view the narrative)

LC-24: Adolescent Use of Alcohol

Brief Description: Percent of adolescents using alcohol during the past 30 days
Narrative: PDF
Numerator: Number of adolescents aged 12 to 17 years who reported use of alcohol during the past 30 days
Denominator: Total NSDUH survey respondents Ages 12-17
Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA
Similar Measures in Other Indicator Sets: Preconception Health Indicator E5; HP 2020 focus area SA-2.3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs; Chronic Disease Indicator
National Comparison: 12.9%; 2012; (for notes on calculation, please view the narrative)

LC-25: Children with Special Health Care Needs

Brief Description: Percent of children (0-17 years) with a special health care need
Narrative: PDF
Numerator: Children, ages 0-17 years with a special health care need
Denominator: Children, ages 0-17 years
Data Source: National Survey of Children’s Health (NSCH)
Similar Measures in Other Indicator Sets: HP 2020 Focus areas MICH-30 and MICH-31 are specific to CSHCN; Title V Programs report the number of CSHCN served but not prevalence
National Comparison: 19.80%; 2011-2012; (for notes on calculation, please view the narrative)

LC-26: Diabetes

Brief Description: Percent of adults with diagnosed diabetes
Narrative: PDF
Numerator: Total diabetes cases among adults ≥ 18 years
Denominator: Total adult population
Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
Similar Measures in Other Indicator Sets: Preconception Health Indicator I1; HP 2020 Focus area D-1; Chronic Disease Indicator; United Health Rankings Core Measure
National Comparison: 10.17%; 2012; (for notes on calculation, please view the narrative)

LC-27: Exclusive Breastfeeding at 3 Months

Brief Description: Percent of children exclusively breastfed through 3 months
Narrative: PDF
Numerator: Estimate of the number of children exclusively breastfed through 3 months of age.
Denominator: Number of individuals surveyed
Data Source: National Immunization Survey (NIS)
Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-21.4; CDC Winnable Battle (Increase the proportion of infants who are breastfed by 15%); Title V Performance Measure #11 (similar); MIECHV Benchmark Area Improved Maternal and Newborn Health: Breastfeeding; Chronic Disease Indicator
National Comparison: 36.0%±1.3%; 2009; (for notes on calculation, please view the narrative)

LC-28: Exposure to Second Hand Smoke in the Home

Brief Description: Percent of children living in a household where smoking occurs inside home
Narrative: PDF
Numerator: Number of children who live in a household with someone who smokes and smoking occurs inside home
Denominator: Children age 0-17 years
Data Source: National Survey of Children’s Health (NSCH)
Similar Measures in Other Indicator Sets: HP 2020 Focus area TU-11; NQF measure 1346; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s physical health and development
National Comparison: 4.90%; 2011-2012; (for notes on calculation, please view the narrative)

LC-29: Hypertension

Brief Description: Percent of adults with diagnosed hypertension
Narrative: PDF
Numerator: Total number of adults aged 18 and over who indicated a health professional told them they had high blood pressure
Denominator: Total adult population 18 and over
Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
Similar Measures in Other Indicator Sets: Preconception Health Indicator I3; HP 2020 Focus area HDS-5; Chronic Disease Indicator
National Comparison: 31.48%; 2011; (for notes on calculation, please view the narrative)

LC-30: Illicit Drug Use

Brief Description: Prevalence of illicit drug use in the past month among population 12 years and older.
Narrative: PDF
Numerator: Reported illicit drug use in the past month for those 12 and older
Denominator: Total population aged 12 and older
Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA
Similar Measures in Other Indicator Sets: HP 2020 Focus are SA-13, SA-2.4, SA-13.3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Parental use of alcohol, tobacco, or illicit drugs
National Comparison: 9.20%; 2012; (for notes on calculation, please view the narrative)

LC-31: Intimate Partner Violence, Injury, Physical or Sexual Abuse

Brief Description: Number of intimate partner victimizations per 1,000 persons age 18 and older
Narrative: PDF
Numerator: Number of persons aged 18 years or older who reported intimate partner violence
Denominator: Number of persons aged 18 and older per 1,000
Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
Similar Measures in Other Indicator Sets: Preconception Health Indicator H1; HP 2020 Focus area IVP-39
National Comparison: 9.56%; 2007; (for notes on calculation, please view the narrative)

LC-32A: Obesity

Brief Description: Percent of children who are currently overweight or obese
Narrative: PDF
Numerator: Number of children 10-17 who are currently overweight or obese, based on BMI for age (BMI-for-age):overweight OR obese (85th percentile or above)
Denominator: Total children with height and weight data
Data Source: National Survey of Children’s Health (NSCH)
Similar Measures in Other Indicator Sets: HP 2020 Focus area NWS-10; CDC Winnable Battle (Reduce the proportion of children and adolescents age 2-19 who are obese by 5%); Title V Performance Measure #14; Chronic Disease Indicator;
National Comparison: 31.30%; 2011-2012; (for notes on calculation, please view the narrative)

LC-32B: Obesity

Brief Description: Percent of adults who are currently overweight or obese
Narrative: PDF
Numerator: Number of adults currently overweight or obese based on BMI overweight OR obese (with a BMI of 25 or above)
Denominator: Total adults with height and weight data in the above respective population or group
Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
Similar Measures in Other Indicator Sets: Preconception Health Indicator F-2; HP 2020 Focus area NWS-9 (Leading Health Indicator); Title V Performance Measure #14; Chronic Disease Indicators; United Health Rankings Core Measure
National Comparison: 63.50%; 2011; (for notes on calculation, please view the narrative)

LC-33: Physical Activity Among High School Students

Brief Description: Proportion of high school students who are physically active for at least 60 minutes per day on five or more of the past seven days.
Narrative: PDF
Numerator: Number of high school students who report being active for at least 60 minutes per day on five or more of the past seven days.
Denominator: All high school students.
Data Source: Youth Risk Behavior Surveillance System (YRBSS)
Similar Measures in Other Indicator Sets: HP 2020 Focus area PA-3; NQF measure 1348; Chronic Disease Indicator
National Comparison: 49.45%; 2011; (for notes on calculation, please view the narrative)

Health Care Access and Quality

LC-34: Cervical Cancer Screening

Brief Description: The proportion of women who receive the appropriate evidence-based clinical preventive services (Pap Smear) for cervical cancer screening
Narrative: PDF
Numerator: Women ages 21-65 who received a pap smear within the last three years
Denominator: Total women ages 21-65
Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
Similar Measures in Other Indicator Sets: HP 2020 Focus area C-15; NQF measure 0032; Chronic Disease Indicator
National Comparison: 83.84%; 2012; (for notes on calculation, please view the narrative)

LC-35: Children Receiving Age Appropriate Immunizations

Brief Description: Percent of children ages 19-35 receiving age-appropriate immunizations according to the Advisory Committee for Immunization Practices (ACIP) guidelines and HP 2020 Goal.
Narrative: PDF
Numerator: Number of children surveyed who received ≥4 doses of DTaP/DT/DTP (Diphtheria/Tetanus/Acellular pertussis), ≥3 doses of poliovirus vaccine, ≥1 doses of measles-containing vaccine, full series of Hib (Haemophilus influenza – 3 or 4 doses, depending on product type), ≥3 doses of HepB (Hepatitis B), ≥1 dose of varicella vaccine, and >= 4 PCV (Pneumococcal) doses. 4:3:1:3:3:1:4 series
Denominator: Number of children age 19-35 months
Data Source: National Immunization Survey (NIS)
Similar Measures in Other Indicator Sets: HP 2020 Focus areas IID-1, IID-7, IID-8 (Leading Health Indicator), IID-9; Title V Performance Measure #07; NQF measure 0038; MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits; United Health Rankings Core Measure

National Comparison:

68.4% +/- 1.4

; 2012; (for notes on calculation, please view the narrative)

LC-36A: Human Papillomavirus (HPV) Immunization

Brief Description: The proportion of adolescents ages 13-17 who receive the evidence-based clinical preventive service HPV vaccine
Narrative: PDF
Numerator: Adolescents aged 13-17 who received a complete series of HPV vaccine
Denominator: Total population of adolescents aged 13-17
Data Source: National Immunization Survey-Teen (NIS-Teen)
Similar Measures in Other Indicator Sets: HP 2020 Focus area IID-11.4; NQF measure 1959
National Comparison: 48.3% (±4.0); 2013; (for notes on calculation, please view the narrative)

LC-37: Medical Home for Children

Brief Description: Proportion of families who report their child received services in a medical home
Narrative: PDF
Numerator: Children ages 0-17 whose health care meets Medical Home criteria
Denominator: Children ages 0-17 years
Data Source: National Survey of Children’s Health (NSCH)
Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-30; Title V Performance Measure #03 (For CSHCN); MIECHV Benchmark Area Improved Maternal and Newborn Health: Well-Child Visits
National Comparison: 54.41%; 2011-2012; (for notes on calculation, please view the narrative)

LC-38: Asthma Emergency Department Utilization

Brief Description: Proportion of persons on Medicaid with asthma having an asthma emergency department (ED) visit
Narrative: PDF
Numerator: Number of Medicaid beneficiaries with asthma having 1 or more ED visit for asthma during the measurement year.
Denominator: Number of Medicaid beneficiaries with asthma during the measurement year.
Data Source: Medicaid Analytical eXtract (MAX) files
Similar Measures in Other Indicator Sets: HP 2020 Focus area RD-3; NQF measure 1381; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s physical health and development; Chronic Disease Indicator

National Comparison:

National comparison not yet available

; ; (for notes on calculation, please view the narrative)

LC-39: Inability or Delay in Obtaining Necessary Medical Care or Dental Care

Brief Description: Percent of parents reporting their child was not able to obtain necessary medical care or dental care.
Narrative: PDF
Numerator: Number of survey respondents that report their child (ages 0-17) was not able to obtain or had a delay in obtaining necessary medical care or dental care.
Denominator: Total child population ages 0-17
Data Source: National Survey of Children’s Health (NSCH)
Similar Measures in Other Indicator Sets: HP 2020 Focus area AHS-6; Title V Performance Measure #04 (limited to CSHCN); MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Health insurance status of participating adults and children
National Comparison: 6.70%; 2011; (for notes on calculation, please view the narrative)

LC-40: Medical Insurance for Adults

Brief Description: The proportion of adults with medical insurance.
Narrative: PDF
Numerator: Number of adults 19 years and older with medical insurance
Denominator: All adults 19 years and older
Data Source: Current Population Survey (CPS)
Similar Measures in Other Indicator Sets: HP 2020 Focus area AHS-1.1 (Leading Health Indicator); MIECHV Benchmark Area Improvements in Family Economic Self-Sufficiency: Health insurance status of participating adults and children; Chronic Disease Indicator; United Health Rankings core measure
National Comparison: 82.5%; 2012; (for notes on calculation, please view the narrative)

LC-41: Oral Health Preventive Visit for Children

Brief Description: Percent of children who received a preventive dental visit in the past 12 months
Narrative: PDF
Numerator: Number of children ages 1-17 who received at least one preventative dental visit in the past 12 months
Denominator: Total child population ages 1-17
Data Source: National Survey of Children’s Health (NSCH)
Similar Measures in Other Indicator Sets: HP 2020 focus area OH-7 (Leading Health Indicator); NQF measure 1334, Chronic Disease Indicator; National Oral Health Surveillance System Indicator
National Comparison: 77.50%; 2011; (for notes on calculation, please view the narrative)

Mental Health

LC-42: Depression Among Youth

Brief Description: Percent 9th -12th graders who felt sad or hopeless almost every day for more than 2 weeks during the previous 12 months
Narrative: PDF
Numerator: Number of 9th -12th graders who felt sad or hopeless almost every day for more than two weeks during the previous 12 months
Denominator: Number of 9th -12th graders
Data Source: Youth Risk Behavior Surveillance System (YRBSS)
Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-4.1 (Leading Health Indicator)
National Comparison: 28.46%; 2011; (for notes on calculation, please view the narrative)

LC-43: Mental Health Among Adults

Brief Description: Percent of adults with poor mental health
Narrative: PDF
Numerator: Weighted number of adults ages 18 and over responding to the BRFSS survey reporting that their mental health, which includes stress, depression, and problems with emotions, was “not good for ≥14 days out of the past 30 days
Denominator: Weighted number of adults ages 18 and over responding to the BRFSS survey
Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-4.2
National Comparison: 11.22%; 2012; (for notes on calculation, please view the narrative)

LC-44: Postpartum Depression

Brief Description: Percent of women who have recently given birth who reported experiencing postpartum depression following a live birth
Narrative: PDF
Numerator: Number of women who experienced self-reported postpartum depression following a live birth
Denominator: Total live births to recent mothers
Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS)
Similar Measures in Other Indicator Sets: Preconception Health Indicator G3; MIECHV Benchmark Area Improved Maternal and Newborn Health: Screening for maternal depressive symptoms
National Comparison: 23%; 2009-2011; (for notes on calculation, please view the narrative)

LC-45: Suicide

Brief Description: Suicides per 100,000 population
Narrative: PDF
Numerator: Number of suicides
Denominator: Total population
Data Source: National Vital Statistics System (NVSS) Records
Similar Measures in Other Indicator Sets: HP 2020 Focus area MHMD-1 (Leading Health Indicator); Title V Performance Measure #16 (subset of this indicator)
National Comparison: 12.45 per 100,000 US persons; 2010; (for notes on calculation, please view the narrative)

Organizational Measurement Capacity

LC-48: States with P-20 Longitudinal Data Sets

Brief Description: States with P-20W longitudinal data systems. A P-20W is a data system where policies and standards are aligned to link student data for specified purposes across the education continuum, from early childhood through K12, postsecondary and the workforce.
Narrative: PDF
Numerator: Number of states, territories, and jurisdictions that completed 8 or more essential actions of fully functional P-20/workforce longitudinal data system (P for preschool).
Denominator: Total number of states, territories, and jurisdictions
Data Source: The Data Quality Campaign (DQC)
Similar Measures in Other Indicator Sets: None
National Comparison: 33.33% (17 out of 51); 2013; (for notes on calculation, please view the narrative)

Reproductive Life Experiences

LC-49: Diabetes During Pregnancy

Brief Description: Percent of adult women with diagnosed diabetes during pregnancy, only
Narrative: PDF
Numerator: Total women with diabetes only during pregnancy
Denominator: Total population of mothers
Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS)
Similar Measures in Other Indicator Sets: None

National Comparison:

9.23%

; 2009-2011; (for notes on calculation, please view the narrative)

LC-50: Early Sexual Intercourse

Brief Description: Initiation of sexual intercourse before age 13 years.
Narrative: PDF
Numerator: Number of 9th – 12th grade students who report initiating sexual intercourse before age 13 years
Denominator: Number of 9th – 12th grade students
Data Source: Youth Risk Behavior Surveillance System (YRBSS)
Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-9
National Comparison: 6.24%; 2011; (for notes on calculation, please view the narrative)

LC-52: Postpartum Contraception

Brief Description: Proportion of women using birth control postpartum
Narrative: PDF
Numerator: Respondents (women having a live birth) who reported that they or their husbands or partners were currently doing something to keep from getting pregnant
Denominator: All respondents (women having a live birth)
Data Source: Pregnancy Risk Assessment Monitoring System (PRAMS)
Similar Measures in Other Indicator Sets: Preconception Health Indicator D7; MIECHV Benchmark Area Improved Maternal and Newborn Health: Inter-birth Intervals
National Comparison: 84.19%; 2009-2011; (for notes on calculation, please view the narrative)

LC-53: Repeat Teen Birth

Brief Description: Percent of teen births that are repeat teen births
Narrative: PDF
Numerator: Number of repeat live births to females 15-19 years (or other teenage group)
Denominator: Number of live births to females 15-19 years (or other teenage group)
Data Source: National Vital Statistics System (NVSS) Records
Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-8; CDC Winnable Battle (Decrease teen birth rates by 20%)
National Comparison: 17.77%; 2011; (for notes on calculation, please view the narrative)

LC-54: Teen Births

Brief Description: Number of live births born to women aged 10-19 years per 1,000 women aged 10-19 years
Narrative: PDF
Numerator: Number of live births born to women aged 10-19 years
Denominator: Number of women aged 10-19 years
Data Source: National Vital Statistics System (NVSS) Records
Similar Measures in Other Indicator Sets: HP 2020 Focus area FP-8; CDC Winnable Battle (Decrease teen birth rates by 20%); Title V Performance Measure #08
National Comparison: 16.73 per 1000 US women aged 10-19; 2011; (for notes on calculation, please view the narrative)

LC-55: Preterm Birth

Brief Description: Percent of live births born < 37 weeks gestation
Narrative: PDF
Numerator: Number of live births born prior to 37 weeks gestation
Denominator: Total number of live births
Data Source: National Vital Statistics System (NVSS) Records
Similar Measures in Other Indicator Sets: HP 2020 Focus area MICH-9
National Comparison: 11.71%; 2011; (for notes on calculation, please view the narrative)

Social Capital

LC-57: 4th Grade Proficiency

Brief Description: Percent of 4th graders scoring proficient or above on math and reading
Narrative: PDF
Numerator: Number of 4th graders scoring proficient or above on math and reading
Denominator: Total enrolled 4th graders in public schools
Data Source: National Assessment of Educational Progress (NAEP)
Similar Measures in Other Indicator Sets: HP 2020 Focus area AH-5.3.1; MIECHV Benchmark Area Improvements in School Readiness and Achievement: Child’s general cognitive skills
National Comparison: Math: 40%; Reading: 34%

LC-58A: Incarceration Rate

Brief Description: Prevalence of juveniles ages 13-17 male or female, detained in residential placement
Numerator: Number of juveniles ages 13-17 male or female, detained in residential placement
Denominator: Total population of 13-17 year olds
Data Source: National Center for Juvenile Justice, Office of Juvenile Justice and Delinquency
Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Convictions
National Comparison: 82 per 100,000 juveniles ages 13-17

LC-58B: Incarceration Rate

Brief Description: Prevalence of adults incarcerated
Numerator: Number of adults age 18 or over imprisoned
Denominator: Total population of adults age 18 or over
Data Source: Bureau of Justice Statistics, National Prisoner Statistics Program
Similar Measures in Other Indicator Sets: MIECHV Benchmark Area Reduction in Crime or Domestic Violence: Convictions
National Comparison: Overall: 492 per 100,000 residents

LC-59: Voter Registration

Brief Description: Voter Registration
Narrative: PDF
Numerator: Number of adults registered to vote
Denominator: Total eligible population
Data Source: Current Population Survey (CPS)
National Comparison: 71.2%

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