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F ocus Area 28 Vision and Hearing Progress Review

F ocus Area 28 Vision and Hearing Progress Review. October 20, 2004. Vision and Hearing. Goal: Improve the visual and hearing health of the Nation through prevention, early detection, treatment, and rehabilitation.

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F ocus Area 28 Vision and Hearing Progress Review

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  1. Focus Area 28Vision and HearingProgress Review October 20, 2004

  2. 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.

  3. New baseline Improving Getting worse Little or no change No baseline data Vision Objectives 28-8a. Occupational eye injuries resulting in lost work days 28-8b. Occupational eye injuries treated in emergency departments 28-9a. Protective eyewear use, ages 6-17 28-9b. Protective eyewear use, ages 18 and over 28-10a. Vision rehabilitation services 28-10b. Visual and adaptive devices 28-1. Dilated eye examinations 28-2. Vision screening for children 28-3. Impairment due to refractive errors 28-4. Impairment in children and adolescents 28-5. Impairment due to diabetic retinopathy 28-6. Impairment due to glaucoma 28-7. Impairment due to cataract

  4. Highlighted Vision Objectives 28-5. Impairment due to diabetic retinopathy 28-6. Impairment due to glaucoma 28-10a. Vision rehabilitation services 28-10b. Visual and adaptive devices

  5. Visual Impairment due to Diabetic Retinopathy, 2002 2010 Target Ages 18 and over * American Indian * Asian * Black White Hispanic Female Male Less than high school High school At least some college 0 20 40 60 80 100 Rate per 1,000 persons with diabetes 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. Obj. 28-5

  6. Diabetes Prevalence by Race/Ethnicity, 2002 Ages 18 and over American Indian Asian Black White Hispanic 0 5 10 15 20 25 Percent 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.

  7. Visual Impairment due to Glaucoma: Ages 45 and Over, 2002 2010 Target Ages 45 and over * American Indian * Asian Black White Hispanic Female Male Less than high school High school At least some college With diabetes Without diabetes 0 10 20 30 40 50 Rate per 1,000 persons 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. Obj. 28-6

  8. Less than high school High school At least some college Visual Impairment due to Glaucoma by Race and Education: Ages 45 and Over, 2002 2010 Target Black White 0 10 20 30 40 50 60 Rate per 1,000 persons 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. Obj. 28-6

  9. Use of Vision Rehabilitation Services, 2002 2010 Target Ages 18 and over * American Indian * Asian * Black White * Hispanic Female * Male * Less than high school High school At least some college 0 1 2 4 3 Percent among persons with visual impairments 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. Obj. 28-10a

  10. Use of Visual Adaptive Devices, 2002 2010 Target Ages 18 and over * American Indian * Asian Black White Hispanic Female Male Less than high school High school At least some college 0 5 15 20 25 10 Percent among persons with visual impairments 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. Obj. 28-10b

  11. New baseline Improving Getting worse Little or no change No baseline data Hearing Objectives 28-11a. Newborn hearing screening before age 1 month 28-11b. Newborn hearing evaluation before age 3 months 28-11c. Newborn intervention services before age 6 months 28-12. Otitis media 28-13a. Hearing aid use, ages 20-69 28-13b. New cochlear implants 28-13c. Hearing aid use, ages 70 and over 28-13d. Use of assistive listening devices, ages 70+ 28-14. Hearing examinations a. Ages 20-69 b. Ages 70 and over c. Ages 12-19 28-15. Evaluation and treatment referrals 28-16a. Hearing protection – adults 28-16b. Hearing protection - adolescents 28-17. Noise-induced hearing loss among adolescents 28-18. Noise-induced hearing loss among adults

  12. Highlighted Hearing Objectives 28-11a. Newborn hearing screening before age 1 month 28-11b. Newborn hearing evaluation before age 3 months 28-11c. Newborn hearing intervention services before age 6 months 28-12. Office visits for otitis media 28-13b. New cochlear implants

  13. Hearing Screening, Evaluation, and Intervention Services for Newborns, 2001 Newborns under 1 month 66% screened (46 states) Target: 90% a. For infants identified with possible hearing loss 56% evaluated before 3 months (25 states) Target: 70% b. For infants with hearing loss 57% received intervention services before 6 months (10 states) Target: 85% c. Objs. 28-11a-c Source: State-based Early Hearing Detection and Intervention (EHDI) Program Network, CDC and/or specific state data.

  14. 0 2001 2002 1998 2000 1997 1999 Office Visits for Otitis Media:Ages under 18 Visits per 1,000 children Male 2010 Target Female Obj. 28-12 Source: National Ambulatory Medical Care Survey/ National Hospital Ambulatory Medical Care Survey, CDC, NCHS.

  15. Office Visits for Otitis Media:Ages under 18, 2002 2010 Target Total Black White Female Male Age Under 3 years 3-5 years 6-17 years 400 0 600 200 800 1000 1200 Visits per 1,000 children 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. Obj. 28-12

  16. New Cochlear Implants, 1999 2010 Target All ages Female Male Under 6 years* 6-17 years* 708 18-44 years 45-64 years 65 years and over 0 50 300 325 25 75 100 Rate per 10,000 deaf or very hard-of-hearing persons 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. Obj. 28-13b

  17. Progress Review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm

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