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

Increase the proportion of adolescents who had a preventive health care visit in the past year — AH‑01 Data Methodology and Measurement

On this page:  About this objective  |  Methodology  |  History

About this objective

Data

Data Source:  National Survey of Children's Health (NSCH), HRSA/MCHB

National baseline: 78.7 percent of adolescents aged 12 to 17 years received 1 or more preventive health care visits in the past 12 months in 2016-17

National target: 82.6 percent

Numerator
Number of adolescents aged 12 through 17 years who had 1 or more preventive medical visits in the past 12 months.
Denominator
Number of adolescents aged 12 through 17 years.
National target-setting method
Percentage point improvement
National target-setting method details
Percentage point improvement from the baseline using Cohen's h effect size of 0.10.
1
National target-setting method justification
Trend data were not available for this objective. A percentage point improvement was calculated using Cohen's h effect size of 0.1. This method was used because the Healthy People 2030 Workgroup Subject Matter Experts anticipated an upward trend in preventive health care visits in order to promote health and decrease health risks among the adolescent population. This target aligns with the Health Resources and Services Administration's Maternal and Child Health Bureau guidance for all objectives derived from National Survey of Children's Health data.
National data collection frequency
Annual

Methodology

Questions used to obtain the national baseline data

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

From the 2016 National Survey of Children's Health:

Numerator and Denominator:
DURING THE PAST 12 MONTHS, how many times did this child visit a doctor, nurse, or other health care professional to receive a preventive check-up? A preventive check-up is when this child was not sick or injured, such as an annual or sports physical or well-child visit.
  1. 0 visits
  2. 1 visit
  3. 2 or more visits

Methodology notes

In the National Survey on Children's Health (NSCH), parents report on adolescent use of preventive medical visits. The NSCH data set includes representative samples from each state and is collected on an annual basis.  The sample is selected from the Census Master Address File and supplemented with an administrative records-based flag that identifies households likely to include children. The child-presence flag was developed by the Census Bureau's Center for Administrative Records Research and Applications and builds on multiple sources of administrative data.  The address-based sample covers the 50 U.S. states and the District of Columbia.  Data are collected using a two-phase design including a household screener used to assess the presence, basic demographic characteristics, and special health care need status of children in the home and a substantive, age-specific topical questionnaire completed for one randomly selected child in the household. The respondent is a parent or guardian who knows about the child's health and health care needs.  Data are collected using one of two modes, web survey or paper questionnaire. All sampled addresses received an initial invitation letter with instructions to participate by web. The letter includes the web survey URL along with a unique username and password. Households that do not complete the survey online (and addresses identified as most likely to respond by paper) receive a paper screener questionnaire (along with the web URL and login ID).

Please interpret with caution any estimate with a 95 percent confidence interval width exceeding 20 percentage points or 1.2 times the estimate.

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 AH-1 in that objective AH-1 used data from the National Health Interview Survey (NHIS) to track the receipt of a wellness checkup among children and adolescents aged 10 to 17 years while this objective uses data from the National Survey of Children's Health (NSCH) to track the receipt of preventive care among adolescents aged 12 to 17 years.

1. Effect size h=0.1 was chosen to correspond with 10% improvement from a baseline of 50%.