Lifestyle Modification

2009 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.


Lifestyle Modification
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking.
Adults with obesity age 20 and over who were told by a doctor they were overweight.
Adults with obesity who ever received advice from a health provider to exercise more.
Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods.


Lifestyle Modification

Measure Title

Adult current smokers with a checkup in the last 12 months who received advice to quit smoking.

Measure Source

Healthy People 2010.

National Tables

9_1_1.1 Adult current smokers with a checkup in the last 12 months who received advice to quit smoking, United States, 2002 and 2006.

9_1_1.2 Adult current smokers with a checkup in the last 12 months who received advice to quit smoking, United States, 2006, by:

  • Race
  • Ethnicity
  • Family income
  • Education

National Data Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Denominator

U.S. civilian adults with a positive Self-Administered Questionnaire (SAQ) weight who are current smokers, who had a routine checkup in the past 12 months, and who answered the question "In the past 12 months did a doctor advise you to stop smoking?" Nonresponses and "Don't Know" responses were excluded.

National Numerator

Subset of the denominator population who indicated they had received advice to quit smoking.

State Tables

9_1_1.3 Adult current smokers who received advice to quit smoking, by State, 2001 and 2005.

State Data Source

Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Behavioral Risk Factor Surveillance System (BRFSS).

State Denominator

Adult current smokers, age 18 and over, with a physician visit in the past year.

State Numerator

Adult smokers who received advice to quit smoking.

Comments

The allowable responses to the MEPS question about smoking changed in 2003. Therefore, reported national rates may not be comparable with earlier years.

The national table reports data from the MEPS Self-Administered Questionnaire (SAQ). See the MEPS entry in the Data Sources appendix for more information on the SAQ. Percentages in the State table are age adjusted to the 2000 standard population.

This measure is referred to as measure 1-3c in Healthy People 2010 documentation.

Nonresponses and "Don't know" responses to the Diabetes Care Survey question were excluded from the analysis.

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Lifestyle Modification

Measure Title

Adults with obesity age 20 and over who were told by a doctor they were overweight.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Tables

9_1_2.1 Adults with obesity age 20 and over who were told by a doctor or health professional they were overweight, United States, 1999-2002 and 2003-2006.

Data Source

CDC, NCHS, National Health and Nutrition Examination Survey (NHANES).

Denominator

People age 20 and over with a body mass index (BMI) of 30 or greater.

Numerator

Subset of denominator who reported they were told by a doctor or health professional that they were overweight.

Comments

Estimates are age adjusted to the 2000 standard population using 3 age groups: 20-44, 45-64, 65+ for total, ethnicity, gender, and family income, and 25-44, 45-64, 65+ for education.

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Lifestyle Modification

Measure Title

Adults with obesity who ever received advice from a health provider to exercise more.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

9_1_3.1 Adults with obesity who ever received advice from a health provider to exercise more, United States, 2002 and 2006.

9_1_3.2 Adults with obesity who ever received advice from a health provider to exercise more, United States, 2006, by:

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

AHRQ, CFACT, MEPS.

Denominator

Adults age 18 and over with a body mass index (BMI) of 30 or greater.

Numerator

Subset of denominator who reported they were given advice about exercise by a doctor or health professional.

Comments

Body mass index is based on reported height and weight.

Nonresponses and "Don't know" responses to the DCS question were excluded from the analysis.

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Lifestyle Modification

Measure Title

Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

9_1_4.1 Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods, United States, 2002 and 2006.

9_1_4.2 Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods, United States, 2006, by:

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

AHRQ, CFACT, MEPS.

Denominator

Adults age 18 and over with a body mass index (BMI) of 30 or greater.

Numerator

Subset of denominator who reported they were advised by a doctor or health professional about restricting foods high in fat and cholesterol.

Comments

Body mass index is based on reported height and weight.

Nonresponses and "Don't know" responses to the DCS question were excluded from the analysis.

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Current as of March 2010
Internet Citation: Lifestyle Modification: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/measurespec/lifestyle_modification.html