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

Reduce vision loss from diabetic retinopathy — V‑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: 48.4 per 1,000 adults aged 18 years and over with diabetes had visual impairment due to diabetic retinopathy in 2023

Target: 28.9 per 1,000

Numerator
Number of adults aged 18 years and over with diabetic retinopathy, who have lost vision because of diabetic retinopathy.
Denominator
Number of adults aged 18 years and over with diagnosed 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 projections were not statistically significant improvements from the baseline. 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. The Healthy People 2030 Workgroup Subject Matter Experts viewed this as an ambitious yet achievable target.

Methodology

Questions used to obtain the national baseline data

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

From the 2023 National Health Interview Survey Vision Supplement:

Numerator:
Have you ever been told by a doctor or other health professional that you had diabetic retinopathy?
  1. Yes
  2. No
  3. Refused
  4. Don't know

If answered "yes" (1) then asked:

Have you lost any vision because of diabetic retinopathy?
  1. Yes
  2. No
  3. Refused
  4. Don't know
Numerator and Denominator:
Have you ever been told by a doctor or other health professional that you have diabetes?
  1. Yes
  2. No
  3. Refused
  4. Don't know

Methodology notes

Persons who responded "yes" to all three questions met the criteria for this objective.

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+
  • Disability Status: 20-44, 45-64, 65+
  • Health Insurance Status: 18-44, 45-64
  • Marital Status: 20-44, 45-64, 65+
  • Veteran Status: 18-44, 45-64, 65+
  • Obesity Status: 20-44, 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.
Changes between HP2020 and HP2030
Due to 2019 NHIS redesign, 2023 data were not directly comparable with 2017 baseline and earlier years.
Revision History
Revised. 

The baseline was revised from 33.0 per 1,000 adults aged 18 years and over with diabetes in 2017 to 48.4 per 1,000 in 2023. The target was revised from 16.5 to 28.9 per 1,000 using the original target setting method.