Healthy People 2020 Structured Evidence Queries

Practice Informed by Research.This resource provides pre-formulated PubMed search strategies to find published literature to support achieving Healthy People 2020 objectives.

  (Objective AOCBC-1 Reduce the mean level of joint pain among adults with doctor-diagnosed arthritis)

  (Objective AOCBC-2 Reduce the proportion of adults with doctor-diagnosed arthritis who experience a limitation in activity due to arthritis or joint symptoms)

  (Objective AOCBC-3 Reduce the proportion of adults with doctor-diagnosed arthritis who find it “very difficult” to perform specific joint-related activities)

  (Objective AOCBC-4 Reduce the proportion of adults with doctor-diagnosed arthritis who have difficulty in performing two or more personal care activities, thereby preserving independence)

  (Objective AOCBC-5 Reduce the proportion of adults with doctor-diagnosed arthritis who report serious psychological distress)

  (Objective AOCBC-6 Reduce the impact of doctor-diagnosed arthritis on employment in the working-aged population)

  (Objective AOCBC-7 Increase the proportion of adults with doctor-diagnosed arthritis who receive health care provider counseling)

  (Objective AOCBC-8 Increase the proportion of adults with doctor-diagnosed arthritis who have had effective, evidence-based arthritis education as an integral part of the management of their condition)

  (Objective AOCBC-9 Increase the proportion of adults with chronic joint symptoms who have seen a health care provider for their symptoms)

  (Objective AOCBC-10 Reduce the proportion of adults with osteoporosis)

  (Objective AOCBC-11 Reduce hip fractures among older adults)

  (Objective AOCBC-12 Reduce activity limitation due to chronic back conditions)

  (Objective BDBS-1 (Developmental) Increase the proportion of persons with hemoglobinopathies who receive recommended vaccinations)

  (Objective BDBS-2 (Developmental) Increase the proportion of persons with a diagnosis of hemoglobinopathies and their families who are referred for evaluation and treatment)

  (Objective BDBS-3 (Developmental) Increase the proportion of persons with hemoglobinopathies who receive care in a patient/family-centered medical home)

  (Objective BDBS-4 (Developmental) Increase the proportion of persons with a diagnosis of hemoglobinopathies who receive early and continuous screening for complications)

  (Objective BDBS-5 (Developmental) Increase the proportion of persons with hemoglobinopathies who receive disease-modifying therapies)

  (Objective BDBS-6 (Developmental) Increase the proportion of children with sickle cell disease who receive penicillin prophylaxis from 4 months to 5 years of age)

  (Objective BDBS-7 (Developmental) Reduce hospitalizations due to preventable complications of sickle cell disease among children aged 9 years and under)

  (Objective BDBS-8 (Developmental) Increase the proportion of persons with a diagnosis of hemoglobinopathies who complete high school education or a General Education or Equivalency Diploma (GED) by 25 years of age)

  (Objective BDBS-9 (Developmental) Increase the proportion of community-based organizations (CBOs) that provide outreach and awareness campaigns for hemoglobinopathies)

  (Objective BDBS-10 (Developmental) Increase the proportion of hemoglobinopathy carriers who know their own carrier status)

  (Objective BDBS-11 (Developmental) Increase the proportion of persons with bleeding disorders who receive recommended vaccinations)

  (Objective BDBS-12 Reduce the number of persons who develop venous thromboembolism (VTE))

  (Objective BDBS-13 (Developmental) Reduce the number of adults who develop venous thromboembolism (VTE) during hospitalization)

  (Objective BDBS-14 (Developmental) Increase the proportion of providers who refer women with symptoms suggestive of inherited bleeding disorders for diagnosis and treatment)

  (Objective BDBS-15 Increase the proportion of women with von Willebrand disease (vWD) who are timely and accurately diagnosed)

  (Objective BDBS-16 Reduce the proportion of persons with hemophilia who develop reduced joint mobility due to bleeding into joints)

  (Objective BDBS-17 Increase the proportion of persons who donate blood)

  (Objective BDBS-18 (Developmental) Reduce the proportion of persons who develop adverse events resulting from the use of blood and blood products)

  (Objective CKD-1 Reduce the proportion of the U.S. population with chronic kidney disease)

  (Objective CKD-2 Increase the proportion of persons with chronic kidney disease (CKD) who know they have impaired renal function)

  (Objective CKD-3 Increase the proportion of hospital patients who incurred acute kidney injury who have follow-up renal evaluation in 6 months post discharge)

  (Objective CKD-4 Increase the proportion of persons with diabetes and chronic kidney disease who receive recommended medical evaluation)

  (Objective CKD-5 Increase the proportion of persons with diabetes and chronic kidney disease who receive recommended medical treatment with angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBS))

  (Objective CKD-6 Improve cardiovascular care in persons with chronic kidney disease)

  (Objective CKD-7 Reduce the death rate among persons with chronic kidney disease)

  (Objective CKD-8 Reduce the rate of new cases of end-stage renal disease (ESRD))

  (Objective CKD-9 Reduce kidney failure due to diabetes)

  (Objective CKD-10 Increase the proportion of chronic kidney disease patients receiving care from a nephrologist at least 12 months before the start of renal replacement therapy)

  (Objective CKD-11 Improve vascular access for hemodialysis patients)

  (Objective CKD-12 Increase the proportion of dialysis patients wait-listed and/or receiving a deceased donor kidney transplant within 1 year of end-stage renal disease (ESRD) start (among patients under 70 years of age))

  (Objective CKD-13 Increase the proportion of patients with treated chronic kidney failure who receive a transplant)

  (Objective CKD 14 Reduce deaths in persons with end-stage renal disease (ESRD))

  (Objective CKD-14.1 Reduce the total death rate for persons on dialysis)

  (Objective CKD-14.2 Reduce the death rate in dialysis patients within the first 3 months of initiation of renal replacement therapy)

  (Objective CKD-14.3 Reduce the cardiovascular death rate for persons on dialysis)

  (Objective CKD-14.4 Reduce the total death rate for persons with a functioning kidney transplant)

  (Objective CKD-14.5 Reduce the cardiovascular death rate for persons with a functioning kidney transplant)

  (Objective D-1 Reduce the annual number of new cases of diagnosed diabetes in the population)

  (Objective D-2.1 Reduce the rate of all-cause mortality among the population with diabetes)

  (Objective D-2.2 Reduce the rate of cardiovascular disease deaths in persons with diagnosed diabetes)

  (Objective D-3 Reduce the diabetes death rate)

  (Objective D-4 Reduce the rate of lower extremity amputations in persons with diagnosed diabetes)

  (Objective D-5 Improve glycemic control among the population with diagnosed diabetes)

  (Objective D-6 Improve lipid control among persons with diagnosed diabetes)

  (Objective D-7 Increase the proportion of the population with diagnosed diabetes whose blood pressure is under control)

  (Objective D-8 Increase the proportion of persons with diagnosed diabetes who have at least an annual dental examination)

  (Objective D-9 Increase the proportion of adults with diabetes who have at least an annual foot examination)

  (Objective D-10 Increase the proportion of adults with diabetes who have an annual dilated eye examination)

  (Objective D-11 Increase the proportion of adults with diabetes who have a glycosylated hemoglobin measurement at least twice a year)

  (Objective D–12 Increase the proportion of persons with diagnosed diabetes who obtain an annual urinary microalbumin measurement)

  (Objective D-13 Increase the proportion of adults with diabetes who perform self-blood glucose-monitoring at least once daily)

  (Objective D-14 Increase the proportion of persons with diagnosed diabetes who receive formal diabetes education)

  (Objective D-15 Increase the proportion of persons with diabetes whose condition has been diagnosed)

  (Objective D-16.1 Increase the proportion of persons at high risk for diabetes with pre-diabetes who report increasing their levels of physical activity)

  (Objective D-16.2 Increase the proportion of persons at high risk for diabetes with pre-diabetes who report trying to lose weight)

  (Objective D-16.3 Increase the proportion of persons at high risk for diabetes with pre-diabetes who report reducing the amount of fat or calories in their diet)

  (Objective EH-1 Reduce the number of days the Air Quality Index (AQI) exceeds 100)

  (Objective EH-2 Increase use of alternative modes of transportation for work)

  (Objective EH-3 Reduce air toxic emissions to decrease the risk of adverse health effects caused by airborne toxics)

  (Objective EH-4 Increase the proportion of persons served by community water systems who receive a supply of drinking water that meets the regulations of the Safe Drinking Water Act)

  (Objective EH-5 Reduce waterborne disease outbreaks arising from water intended for drinking among persons served by community water systems)

  (Objective EH-6 Reduce per capita domestic water withdrawals with respect to use and conservation)

  (Objective EH-7 Increase the proportion of days that beaches are open and safe for swimming)

  (Objective EH-8 Reduce blood lead levels in children)

  (Objective EH-9 Minimize the risks to human health and the environment posed by hazardous sites)

  (Objective EH-10 Reduce pesticide exposures that result in visits to a health care facility)

  (Objective EH-11 Reduce the amount of toxic pollutants released into the environment)

  (Objective EH-12 Increase recycling of municipal solid waste)

  (Objective EH-13 Reduce indoor allergen levels)

  (Objective EH-14 Increase the number of homes with an operating radon mitigation system for persons living in homes at risk for radon exposure)

  (Objective EH-15 Increase the percentage of new single family homes (SFH) constructed with radon-reducing features, especially in high-radon-potential areas)

  (Objective EH-16 Increase the proportion of the Nation's elementary, middle, and high schools that have official school policies and engage in practices that promote a healthy and safe physical school environment)

  (Objective EH-17 (Developmental) Increase the proportion of persons living in pre-1978 housing that has been tested for the presence of lead-based paint or related hazards)

  (Objective EH-18 Reduce the number of U.S. homes that are found to have lead-based paint or related hazards)

  (Objective EH-19 Reduce the proportion of occupied housing units that have moderate or severe physical problems)

  (Objective EH-20 Reduce exposure to selected environmental chemicals in the population, as measured by blood and urine concentrations of the substances or their metabolites)

  (Objective EH-21 Improve quality, utility, awareness, and use of existing information systems for environmental health)

  (Objective EH-22 Increase the number of States, Territories, Tribes, and the District of Columbia that monitor diseases or conditions that can be caused by exposure to environmental hazards)

  (Objective EH-23 Reduce the number of new schools sited within 500 feet of an interstate or Federal or State highway)

  (Objective EH-24 Reduce the global burden of disease due to poor water quality, sanitation, and insufficient hygiene)

  (Objective FP-1 Increase the proportion of pregnancies that are intended)

  (Objective FP-2 Reduce the proportion of females experiencing pregnancy despite use of a reversible contraceptive method)

  (Objective FP-3.1 Increase the proportion of publicly funded family planning clinics that offer the full range of FDA-approved methods of contraception onsite)

  (Objective FP-3.2 Increase the proportion of publicly funded family planning clinics that offer emergency contraception onsite)

  (Objective FP-4 (Developmental) Increase the proportion of health insurance plans that cover contraceptive supplies and services)

  (Objective FP-5 Reduce the proportion of pregnancies conceived within 18 months of a previous birth)

  (Objective FP-6 Increase the proportion of females or their partners at risk of unintended pregnancy who used contraception at most recent sexual intercourse)

  (Objective FP-7 Increase the proportion of sexually active persons who received reproductive health services)

  (Objective FP-7.1 Increase the proportion of sexually active females aged 15 to 44 years who received reproductive health services)

  (Objective FP-7.2 Increase the proportion of sexually active males aged 15 to 44 years who received reproductive health services)

  (Objective FP-8.1 and FP-8.2 Reduce the pregnancy rate among adolescent females aged 15 to 17 years and Reduce the pregnancy rate among adolescent females aged 18 to 19 years)

  (Objective FP-9 Increase the proportion of adolescents aged 17 years and under who have never had sexual intercourse)

  (Objective FP-10.1 and FP-10.2 Increase the proportion of sexually active females aged 15 to 19 years who use a condom at first intercourse Increase the proportion of sexually active males aged 15 to 19 years who use a condom at first intercourse)

  (Objective FP-10.3 and FP-10.4. Increase the proportion of sexually active females aged 15 to 19 years who use a condom at last intercourse Increase the proportion of sexually active males aged 15 to 19 years who use a condom at last intercourse)

  (Objective FP-11.1 and FP-11.2 Increase the proportion of sexually active females aged 15 to 19 years who use a condom and hormonal or intrauterine contraception at first intercourse Increase the proportion of sexually active males aged 15 to 19 years who use a condom and hormonal or intrauterine contraception at first intercourse)

  (Objective FP-11.3 and FP-11.4 Increase the proportion of sexually active females aged 15 to 19 years who use a condom and hormonal or intrauterine contraception at last intercourse Increase the proportion of sexually active males aged 15 to 19 years who use a condom and hormonal or intrauterine contraception at last intercourse)

  (Objective FP-12.1 and FP-12.2 Increase the proportion of adolescents who received formal instruction on reproductive health topics before they were 18 years old FP 12.1 Abstinence-Females, FP-12.2 Abstinence-Males)

  (Objective FP-12.3 and FP-12-4, Birth control methods-Females, Birth control methods-Males)

  (Objective FP-12.5 and FP-12.6 HIV/AIDS prevention-Females, HIV/AIDS prevention-Males)

  (Objective FP-12.7 and FP-12.8 Sexually transmitted diseases-Females, Sexually transmitted diseases-Males)

  (Objective FP-13: Increase the proportion of adolescents who talked to a parent or guardian about reproductive health topics before they were 18 years old FP-13.1 and FP-13.2, Abstinence-Females, Abstinence-Males)

  (Objective FP-13.3 and FP-13.4, Birth control methods-Females, Birth control methods-Males)

  (Objective FP-13.5 and FP 13.6 HIV/AIDS prevention-Females, HIV/AIDS prevention-Males)

  (Objective FP-13.7 and FP-13.8, Sexually transmitted diseases-Females, Sexually transmitted diseases-Males)

  (Objective FP-14 Increase the number of States that set the income eligibility level for Medicaid-covered family planning services to at least the same level used to determine eligibility for Medicaid-covered,pregnancy-related care)

  (Objective FP-15 Increase the proportion of females in need of publicly supported contraceptive services and supplies who receive those services and supplies)

HIV

  (Objective HIV 1 and HIV 2 (Developmental) Reduce the number of new HIV diagnoses among adolescents and adults and (Developmental) Reduce new (incident) HIV infections among adolescents and adults)

  (Objective HIV-3 Reduce the rate of HIV transmission among adolescents and adults)

  (Objective HIV-4 Reduce the number of new AIDS cases among adolescents and adults)

  (Objective HIV-5 Reduce the number of new AIDS cases among adolescent and adult heterosexuals)

  (Objective HIV-6 Reduce the number of new AIDS cases among adolescent and adult men who have sex with men)

  (Objective HIV-7 Reduce the number of new AIDS cases among adolescents and adults who inject drugs)

  (Objective HIV-8 Reduce the number of perinatally acquired HIV and AIDS cases)

  (Objective HIV-9 (Developmental) Increase the proportion of new HIV infections diagnosed before progression to AIDS)

  (Objective HIV-10 (Developmental) Increase the proportion of HIV-infected adolescents and adults who receive HIV care and treatment consistent with current standards)

  (Objective HIV-11 Increase the proportion of persons surviving more than 3 years after a diagnosis with AIDS)

  (Objective HIV-12 Reduce deaths from HIV infection)

  (Objective HIV-13 Increase the proportion of people living with HIV who know their serostatus)

  (Objective HIV-14.1 Increase the proportion of adolescents and adults who have been tested for HIV in the past 12 months)

  (Objective HIV-14.2(Developmental) Increase the proportion of Men who have sex with men (MSM) who have been tested for HIV in the past 12 months)

  (Objective HIV-14.3 Increase the proportion of Pregnant women who have been tested for HIV in the past 12 months)

  (Objective HIV-14.4 Increase the proportion of Adolescents and young adults who have been tested for HIV in the past 12 months)

  (Objective HIV-15 Increase the proportion of adults with tuberculosis (TB) who have been tested for HIV)

  (Objective HIV-16 Increase the proportion of substance abuse treatment facilities that offer HIV/AIDS education, counseling, and support)

  (Objective HIV-17 Increase the proportion of sexually active persons who use condoms)

  (Objective HIV-18 (Developmental) Decrease the proportion of men who have sex with men who reported unprotected anal sex in the past 12 months)

  (Objective HC/HIT-1(Developmental) Improve the health literacy of the population)

  (Objective HC/HIT-2 Increase the proportion of persons who report that their health care providers have satisfactory communication skills)

  (Objective HC/HIT-3 Increase the proportion of persons who report that their health care providers always involved them in decisions about their health care as much as they wanted)

  (Objective HC/HIT-4 (Developmental) Increase the proportion of patients whose doctor recommends personalized health information resources to help them manage their health)

  (Objective HC/HIT-5 Increase the proportion of persons who use electronic personal health management tools)

  (Objective HC/HIT-7 Increase the proportion of adults who report having friends or family members whom they talk with about their health)

  (Objective HC/HIT-8 Increase the proportion of quality, health-related Websites)

  (Objective HC/HIT-9 Increase the proportion of online health information seekers who report easily accessing health information)

  (Objective HC/HIT-10 Increase the proportion of medical practices that use electronic health records)

  (Objective HC/HIT-11 (Developmental) Increase the proportion of meaningful users of health information technology (HIT))

  (Objective HC/HIT-12 (Developmental) Increase the proportion of crisis and emergency risk messages intended to protect the public’s health that demonstrate the use of best practices)

  (Objective HDS-1 (Developmental) Increase overall cardiovascular health in the U.S. population)

  (Objective HDS-2 Reduce coronary heart disease deaths)

  (Objective HDS-3 Reduce stroke deaths)

  (Objective HDS-4 Increase the proportion of adults who have had their blood pressure measured within the preceding 2 years and can state whether their blood pressure was normal or high)

  (Objective HDS-5 Reduce the proportion of persons in the population with hypertension)

  (Objective HDS-6 Increase the proportion of adults who have had their blood cholesterol checked within the preceding 5 years)

  (Objective HDS-7 and HDS 8 Reduce the proportion of adults with high total blood cholesterol levels and Reduce the mean total blood cholesterol levels among adults)

  (Objective HDS-9 (Developmental) Increase the proportion of adults with prehypertension who meet the recommended guidelines)

  (Objective HDS-10 (Developmental) Increase the proportion of adults with hypertension who meet the recommended guidelines)

  (Objective HDS-11 Increase the proportion of adults with hypertension who are taking the prescribed medications to lower their blood pressure)

  (Objective HDS-12 Increase the proportion of adults with hypertension whose blood pressure is under control)

  (Objective HDS-13 and HDS 14 (Developmental) Increase the proportion of adults with elevated LDL cholesterol who have been advised by a health care provider regarding cholesterol-lowering management including lifestyle changes and, if indicated, medication and (Developmental) Increase the proportion of adults with elevated LDL-cholesterol who adhere to the prescribed LDL-cholesterol lowering management lifestyle changes and, if indicated, medication)

  (Objective HDS-15 (Developmental) Increase aspirin use as recommended among adults with no history of cardiovascular disease)

  (Objective HDS-16 Increase the proportion of adults aged 20 years and older who are aware of, and respond to, early warning symptoms and signs of a heart attack)

  (Objective HDS-17 (Developmental) Increase the proportion of adults aged 20 years and older who are aware of and respond to early warning symptoms and signs of a stroke)

  (Objective HDS-18 (Developmental) Increase the proportion of out-of-hospital cardiac arrests in which appropriate bystander and emergency medical services (EMS) were administered)

  (Objective HDS-19 Increase the proportion of eligible patients with heart attacks or strokes who receive timely artery-opening therapy as specified by current guidelines)

  (Objective HDS-19 Increase the proportion of eligible patients with heart attacks or strokes who receive timely artery-opening therapy as specified by current guidelines)

  (Objective HDS-20 (Developmental) Increase the proportion of adults with coronary heart disease or stroke who have their low-density lipoprotein (LDL) cholesterol level at or below recommended levels<)

  (Objective HDS-21 (Developmental) Increase the proportion of adults with a history of cardiovascular disease who are using aspirin or antiplatelet therapy to prevent recurrent cardiovascular events)

  (Objective HDS-22 (Developmental) Increase the proportion of adult heart attack survivors who are referred to a cardiac rehabilitation program at discharge)

  (Objective HDS-23 (Developmental) Increase the proportion of adult stroke survivors who are referred to a stroke rehabilitation program at discharge)

  (Objective HDS-24 Reduce hospitalizations of older adults with heart failure as the principal diagnosis)

  (Objective MICH-1 Reduce the rate of fetal and infant deaths)

  (Objective MICH-2 Reduce the 1-year mortality rate for infants with Down syndrome)

  (Objective MICH-3 Reduce the rate of child deaths)

  (Objective MICH-4 Reduce the rate of adolescent and young adult deaths)

  (Objective MICH-5 Reduce the rate of maternal mortality)

  (Objective MICH-6 Reduce maternal illness and complications due to pregnancy (complications during hospitalized labor and delivery))

  (Objective MICH-7 Reduce cesarean births among low-risk (full-term, singleton, vertex presentation) women)

  (Objective MICH-8 Reduce low birth weight (LBW) and very low birth weight (VLBW))

  (Objective MICH-9 Reduce preterm births)

  (Objective MICH-10 Increase the proportion of pregnant women who receive early and adequate prenatal care)

  (Objective MICH-11 Increase abstinence from alcohol, cigarettes, and illicit drugs among pregnant women)

  (Objective MICH-12 (Developmental) Increase the proportion of pregnant women who attend a series of prepared childbirth classes)

  (Objective MICH-13 (Developmental) Increase the proportion of mothers who achieve a recommended weight gain during their pregnancies)

  (Objective MICH-14 Increase the proportion of women of childbearing potential with intake of at least 400 µg of folic acid from fortified foods or dietary supplements)

  (Objective MICH-15 Reduce the proportion of women of childbearing potential who have low red blood cell folate concentrations)

  (Objective MICH-16 Increase the proportion of women delivering a live birth who received preconception care services and practiced key recommended preconception health behaviors)

  (Objective MICH-17 Reduce the proportion of persons aged 18 to 44 years who have impaired fecundity (i.e., a physical barrier preventing pregnancy or carrying a pregnancy to term))

  (Objective MICH-18 (Developmental) Reduce postpartum relapse of smoking among women who quit smoking during pregnancy)

  (Objective MICH-19 (Developmental) Increase the proportion of women giving birth who attend a postpartum care visit with a health worker)

  (Objective MICH-20 Increase the proportion of infants who are put to sleep on their backs)

  (Objective MICH-21 Increase the proportion of infants who are breastfed)

  (Objective MICH-22 Increase the proportion of employers that have worksite lactation support programs)

  (Objective MICH-23 Reduce the proportion of breastfed newborns who receive formula supplementation within the first 2 days of life)

  (Objective MICH-24 Increase the proportion of live births that occur in facilities that provide recommended care for lactating mothers and their babies)

  (Objective MICH-25 Reduce the occurrence of fetal alcohol syndrome (FAS))

  (Objective MICH-26 Reduce the proportion of children diagnosed with a disorder through newborn blood spot screening who experience developmental delay requiring special education services)

  (Objective MICH-27 Reduce the proportion of children with cerebral palsy born as low birth weight infants (less than 2,500 grams))

  (Objective MICH-28 Reduce occurrence of neural tube defects)

  (Objective MICH-29 Increase the proportion of young children with an Autism Spectrum Disorder (ASD) and other developmental delays who are screened, evaluated, and enrolled in early intervention services in a timely manner)

  (Objective MICH-30 Increase the proportion of children, including those with special health care needs, who have access to a medical home)

  (Objective MICH-31 Increase the proportion of children with special health care needs who receive their care in family-centered, comprehensive, coordinated systems)

  (Objective MICH-32 Increase appropriate newborn blood-spot screening and followup testing)

  (Objective MICH-33 Increase the proportion of very low birth weight (VLBW) infants born at level III hospitals or subspecialty perinatal centers)

  (Objective NWS-1 Increase the number of States with nutrition standards for foods and beverages provided to preschool-aged children in child care)

  (Objective NWS-2 Increase the proportion of schools that offer nutritious foods and beverages outside of school meals)

  (Objective NWS-3 Increase the number of States that have State-level policies that incentivize food retail outlets to provide foods that are encouraged by the Dietary Guidelines)

  (Objective NWS-4 (Developmental) Increase the proportion of Americans who have access to a food retail outlet that sells a variety of foods that are encouraged by the Dietary Guidelines for Americans)

  (Objective NWS-5 Increase the proportion of primary care physicians who regularly measure the body mass index of their patients)

  (Objective NWS-6 Increase the proportion of physician office visits that include counseling or education related to nutrition or weight)

  (Objective NWS-7 (Developmental) Increase the proportion of worksites that offer nutrition or weight management classes or counseling)

  (Objective NWS-8 Increase the proportion of adults who are at a healthy weight)

  (Objective NWS-9 Reduce the proportion of adults who are obese)

  (Objective NWS-10 Reduce the proportion of children and adolescents who are considered obese)

  (Objective NWS-11 (Developmental) Prevent inappropriate weight gain in youth and adults)

  (Objective NWS-12 Eliminate very low food security among children)

  (Objective NWS-13 Reduce household food insecurity and in doing so reduce hunger)

  (Objective NWS-14 Increase the contribution of fruits to the diets of the population aged 2 years and older)

  (Objective NWS-15 Increase the variety and contribution of vegetables to the diets of the population aged 2 years and older)

  (Objective NWS-16 Increase the contribution of whole grains to the diets of the population aged 2 years and older)

  (Objective NWS-17 Reduce consumption of calories from solid fats and added sugars in the population aged 2 years and older)

  (Objective NWS-18 Reduce consumption of saturated fat in the population aged 2 years and older)

  (Objective NWS-19 Reduce consumption of sodium in the population aged 2 years and older)

  (Objective NWS-20 Increase consumption of calcium in the population aged 2 years and older)

  (Objective NWS-21 Reduce iron deficiency among young children and females of childbearing age)

  (Objective NWS-22 Reduce iron deficiency among pregnant females)

  (Objective OH-1 Reduce the proportion of children and adolescents who have dental caries experience in their primary or permanent teeth)

  (Objective OH-2 Reduce the proportion of children and adolescents with untreated dental decay)

  (Objective OH-3 Reduce the proportion of adults with untreated dental decay)

  (Objective OH-4 Reduce the proportion of adults who have ever had a permanent tooth extracted because of dental caries or periodontal disease)

  (Objective OH-5 Reduce the proportion of adults aged 45 to 74 years with moderate or severe periodontitis)

  (Objective OH-6 Increase the proportion of oral and pharyngeal cancers detected at the earliest stage)

  (Objective OH-7 Increase the proportion of children, adolescents, and adults who used the oral health care system in the past year)

  (Objective OH-8 Increase the proportion of low-income children and adolescents who received any preventive dental service during the past year)

  (Objective OH-9 Increase the proportion of school-based health centers with an oral health component)

  (Objective OH-10 and OH-11 Increase the proportion of local health departments and Federally Qualified Health Centers (FQHCs) that have an oral health component and Increase the proportion of patients who receive oral health services at Federally Qualified Health Centers each year)

  (Objective OH-12 Increase the proportion of children and adolescents who have received dental sealants on their molar teeth)

  (Objective OH-13 Increase the proportion of the U.S. population served by community water systems with optimally fluoridated water)

  (Objective OH-14 (Developmental) Increase the proportion of adults who receive preventive interventions in dental offices)

  (Objective OH-15 (Developmental) Increase the number of States and the District of Columbia that have a system for recording and referring infants and children with cleft lips and cleft palates to craniofacial anomaly rehabilitative teams)

  (Objective OH-16 Increase the number of States and the District of Columbia that have an oral and craniofacial health surveillance system)

  (Objective OH-17 Increase health agencies that have a dental public health program directed by a dental professional with public health training)

  (Objective PA-1 Reduce the proportion of adults who engage in no leisure-time physical activity)

  (Objective PA-2 Increase the proportion of adults who meet current Federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity)

  (Objective PA-3 Increase the proportion of adolescents who meet current Federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity)

  (Objective PA-4 Increase the proportion of the Nation's public and private schools that require daily physical education for all students)

  (Objective PA-5 Increase the proportion of adolescents who participate in daily school physical education)

  (Objective PA-6 Increase regularly scheduled elementary school recess in the United States)

  (Objective PA-7 Increase the proportion of school districts that require or recommend elementary school recess for an appropriate period of time)

  (Objective PA-8 Increase the proportion of children and adolescents who do not exceed recommended limits for screen time)

  (Objective PA-9 Increase the number of States with licensing regulations for physical activity provided in child care)

  (Objective PA-10 Increase the proportion of the Nation's public and private schools that provide access to their physical activity spaces and facilities for all persons outside of normal school hours (that is, before and after the school day, on weekends, and during summer and other vacations))

  (Objective PA-11 Increase the proportion of physician office visits that include counseling or education related to physical activity)

  (Objective PA-12 (Developmental) Increase the proportion of employed adults who have access to and participate in employer-based exercise facilities and exercise programs)

  (Objective PA-13 (Developmental) Increase the proportion of trips made by walking)

  (Objective PA-14 (Developmental) Increase the proportion of trips made by bicycling)

  (Objective PA-15 (Developmental) Increase legislative policies for the built environment that enhance access to and availability of physical activity opportunities)

  (Objective RD-1 Reduce asthma deaths)

  (Objective RD-2 and RD 3 Reduce hospitalizations for asthma and Reduce hospital emergency department visits for asthma)

  (Objective RD-4 Reduce activity limitations among persons with current asthma)

  (Objective RD-5 Reduce the proportion of persons with asthma who miss school or work days)

  (Objective RD-6 Increase the proportion of persons with current asthma who receive formal patient education)

  (Objective RD-7 Increase the proportion of persons with current asthma who receive appropriate asthma care according to National Asthma Education and Prevention Program (NAEPP) guidelines)

  (Objective RD-8 Increase the numbers of States, Territories, and the District of Columbia with a comprehensive asthma surveillance system for tracking asthma cases, illness, and disability at the State level)

  (Objective RD-9 Reduce activity limitations among adults with chronic obstructive pulmonary disease (COPD))

  (Objective RD-10 Reduce deaths from chronic obstructive pulmonary disease (COPD) among adults)

  (Objective RD-11 and RD 12 Reduce hospitalizations for chronic obstructive pulmonary disease (COPD)and Reduce hospital emergency department visits for chronic obstructive pulmonary disease (COPD))

  (Objective RD-13 (Developmental) Increase the proportion of adults with abnormal lung function whose underlying obstructive disease has been diagnosed)

  (Objective SA-1 Reduce the proportion of adolescents who report that they rode, during the previous 30 days, with a driver who had been drinking alcohol)

  (Objective SA-2 Increase the proportion of adolescents never using substances)

  (Objective SA-3 Increase the proportion of adolescents who disapprove of substance abuse)

  (Objective SA-4 Increase the proportion of adolescents who perceive great risk associated with substance abuse)

  (Objective SA-5 (Developmental) Increase the number of drug, driving while impaired (DWI), and other specialty courts in the United States)

  (Objective SA-6 Increase the number of States with mandatory ignition interlock laws for first and repeat impaired driving offenders in the United States)

  (Objective SA-7 Increase the number of admissions to substance abuse treatment for injection drug use)

  (Objective SA-8 Increase the proportion of persons who need alcohol and/or illicit drug treatment and received specialty treatment for abuse or dependence in the past year)

  (Objective SA-9 (Developmental) Increase the proportion of persons who are referred for follow-up care for alcohol problems, drug problems after diagnosis, or treatment for one of these conditions in a hospital emergency department)

  (Objective SA-10 Increase the number of Level I and Level II trauma centers and primary care settings that implement evidence-based alcohol Screening and Brief Intervention (SBI))

  (Objective SA-11 Reduce cirrhosis deaths)

  (Objective SA-12 Reduce drug-induced deaths)

  (Objective SA-13 Reduce past-month use of illicit substances)

  (Objective SA-14 Reduce the proportion of persons engaging in binge drinking of alcoholic beverages)

  (Objective SA-15 Reduce the proportion of adults who drank excessively in the previous 30 days)

  (Objective SA-16 Reduce average annual alcohol consumption)

  (Objective SA-17 Decrease the rate of alcohol-impaired driving (.08+ blood alcohol content [BAC]) fatalities)

  (Objective SA-18 Reduce steroid use among adolescents)

  (Objective SA-19 Reduce the past-year nonmedical use of prescription drugs)

  (Objective SA-20 Decrease the number of deaths attributable to alcohol)

  (Objective SA-21 Reduce the proportion of adolescents who use inhalants)

  (Objective TU-1 Reduce tobacco use by adults)

  (Objective TU-2 Reduce tobacco use by adolescents)

  (Objective TU-3 Reduce the initiation of tobacco use among children, adolescents, and young adults)

  (Objective TU-4 Increase smoking cessation attempts by adult smokers)

  (Objective TU-5 Increase recent smoking cessation success by adult smokers)

  (Objective TU-6 Increase smoking cessation during pregnancy)

  (Objective TU-7 Increase smoking cessation attempts by adolescent smokers)

  (Objective TU-8 Increase comprehensive Medicaid insurance coverage of evidence-based treatment for nicotine dependency in States and the District of Columbia)

  (Objective TU-9 Increase tobacco screening in health care settings)

  (Objective TU-10 Increase tobacco cessation counseling in health care settings)

  (Objective TU-11 Reduce the proportion of nonsmokers exposed to secondhand smoke)

  (Objective TU-12 Increase the proportion of persons covered by indoor worksite policies that prohibit smoking)

  (Objective TU-13 Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksites)

  (Objective TU-14 Increase the proportion of smoke-free homes)

  (Objective TU-15 Increase tobacco-free environments in schools, including all school facilities, property, vehicles, and school events)

  (Objective TU-16 Eliminate State laws that preempt stronger local tobacco control laws)

  (Objective TU-17 Increase the Federal and State tax on tobacco products)

  (Objective TU-18 Reduce the proportion of adolescents and young adults grades 6 through 12 who are exposed to tobacco advertising and promotion)

  (Objective TU-19 Reduce the illegal sales rate to minors through enforcement of laws prohibiting the sale of tobacco products to minors)

  (Objective TU-20 (Developmental) Increase the number of States and the District of Columbia, Territories, and Tribes with sustainable and comprehensive evidence-based tobacco control programs)

Healthy People is a national health promotion program to improve the health of all Americans. Initiated in 1979 and led by the U.S. Department of Health and Human Services (HHS). Healthy People provides science-based, ten-year national objectives for improving the health of all Americans.
HP2020 is organized into 42 subject areas with 600 public health objectives. Developed and selected through consultation with a broad range of organizations, groups and individuals, these objectives provide a framework for monitoring and measuring improvements in health status of the American population over the decade from 2010 to 2020.

HP2020 SEQs are special preformulated PubMed searches for HP2020 objectives. The purpose of the HP2020 SEQ is to make it easier for people working to achieve HP2020 objectives to quickly find current information from published and evidence-based literature. The search queries were developed by public health librarians, working in consultation with subject matter experts in public health. The search queries will be updated and refined over time, and will ultimately be available for all objectives.

Partners in Information Access for the Public Health Workforce (PHPartners) is a collaboration of U.S. government agencies, public health organizations and health sciences libraries. The purpose of PHPartners is to help the public health workforce find and use information effectively to improve and protect the public's health. In addition, the site highlights resources on special topics of interest to the Public Health workforce that will complement your use of the SEQs. Special Topics Include:

Bioterrorism Nutrition
Dental Public Health Obesity
Environmental Health Public Health Genomics
HIV/AIDS Veterinary Public Health
How to Access Journal Articles Workforce Development

PubMed is NLM's free online database comprised of millions of citations and abstracts for biomedical and health services literature from MEDLINE, life science journals, and online books. It encompasses those areas of the life sciences, behavioral sciences, health services research, chemical sciences, and bioengineering needed by health professionals and others engaged in basic research and clinical care, public health, health policy development, and related educational activities.

New citations are continually added to the PubMed database as new research is published, so clicking on a SEQ at a later time will retrieve the most up-to-date results and may retrieve new citations. Most of the HP2020 SEQs search strategies have been limited by date to the most recent five years so as to provide the most current information relating to HP2020 topics, and to return a manageable number of citations.

The quality of published research varies. There are several tools available to evaluate the quality, relevance, and usefulness of research evidence to achieve health promotion and disease prevention goals and objectives.

Searching is an iterative process. While the HP2020 SEQs were carefully constructed to address the objectives, your specific research needs may require that you tailor the search further. You can add or modify search terms in a SEQ, and even save a modified search for your subsequent use.
An overview of searching PubMed is available at PubMed Quick Start, including brief web-tutorials, PubMed Online Training "Quick Tours." PubMed Help also provides additional searching tips including Searching PubMed, Limits, Advanced Search, Understanding Your Search Results, Displaying and Sorting Your Search Results, and Displaying the Search Details.

The search results in PubMed are displayed in the order they were entered in PubMed. To sort the search results by relevance, select "Relevance" from the Display Settings drop-down menu.

A SEQ will identify the most recent relevant literature at the date the search is run. If you are satisfied with the set of citations you receive from a search, you should consider saving those citations. You can store a collection of citations, save a personally-modified search strategy, and set automatic email updates of searches with the tool, My NCBI .
More information is available from PubMed Help at Saving and E-mailing Results and Searches and My NCBI.

Additional information about searching PubMed is available at PubMed Help, PubMed Quick Start, PubMed Online Training, and at NLM Training Manuals and Resources.
You can contact customer support at the PubMed Help Desk and at 1-888-FIND-NLM (1-888-346-3656).

You might also consider taking PubMed training via the National Library of Medicine Training Center or the NLM National Network of Libraries of Medicine. The training is provided free of charge. Check with your own library - including your public library - which may be a member of the National Network of Libraries of Medicine. They might be able to help you find additional classes that are being offered locally via conferences, universities, etc.

PubMed is not a full-text database, but many articles are available for free. If you have an affiliation with a medical or public library, you may have access to journals via an institutional subscription. Icons from publishers or other full-text sources are provided in the citation and abstract display formats for PubMed citations. More information is available at Links to Full Text from Your Library (Library LinkOut Filters) (brief web-tutorial), How to Get the Journal Article, How to Access Journal Articles .
Additionally, the National Network of Libraries of Medicine assists public health workers with training on how to use PubMed, PHPartners.org and other Web resources, providing speakers for educational programs or meetings, obtaining copies of journal articles, and identifying local health library resources. Contact them at http://nnlm.gov or call 1-800-338-7657.

NLM has many specialized resources that will help you quickly find up-to-date information and data from high quality sources drawn from all levels of government as well as from non-government organizations.

PHPartners (Partners in Information Access for the Public Health Workforce) PHPartners.org draws from the websites of the 14 governmental and non-profit organizations that comprise PHPartners, as well as other high-value sources. Information has been organized especially for the Public Health Workforce and is updated regularly. You can browse by public health topic or use the PHPartners search engine box (top right of page).
Public Health Systems and Services Research Special topic page on data, policy and analysis in support of public health.
HSR_Information_Central Specially-curated set of resources to high quality data and analysis resources for the health services research community. Special topics include:
TOXNET NLM's portal to databases on toxicology, hazardous chemicals, environmental health and toxic releases. Explore additional resources related to Environmental Health and Toxicology, including information intended for use by health professionals as well as resources for the public, both K-12 and adult, on such topics as:
  • Disaster Information Management Research Center Responsible for the collection, organization and dissemination of health information resources and informatics research related to disasters of natural, accidental, or deliberate origin. It connects to such diverse NLM resources as:
  • Addtional Information about searching PubMed is available at PubMed Help, PubMed Quick Help, PubMed Online Training, and at NLM Training Manuals and Resources. You can contact customer support at the PubMed Help Desk and at 1-888-FIND-NLM (1-888-346-3656).

    You might also consider taking PubMed training via the National Library of Medicine Training Center or the NLM National Network of Libraries of Medicine. The training is provided free of charge.

    Check with your own library - including your public library - which may be a member of the National Network of Libraries of Medicine. They might be able to help you find additional classes that are being offered locally via conferences, universities, etc.

    MedlinePlus is NLM's website for patients and consumer information. MedlinePlus, updated daily, has extensive information from the NIH and other trusted sources on over 900 diseases and conditions. There are directories, a medical encyclopedia and a medical dictionary, easy-to-understand tutorials on common conditions, tests, and treatments, extensive information on prescription and nonprescription drugs, health information from the media, and links to thousands of clinical trials. It is fully available in Spanish and has extensive consumer resources available in over 40 other languages. There is no advertising on this site, nor does MedlinePlus endorse any company or product.

    We are developing unique SEQs for all of the HP2020 topic areas, and for virtually all of the objectives and sub-objectives. We will add them to our site as they are completed. Please check back again frequently for newly-added topic areas.
    A small number of sub-objectives will not have a unique PubMed search. Some sub-objectives - for example, in some of the "developmental" topics - may not yet have much unique published literature associated with the measure. In such cases, the decision was made to link to the SEQ for the objective rather than provide a limited search retrieval for the sub-objective.

    The National Library of Medicine would like to acknowledge the following people for their time and expertise in the development and review of these search strategies.

    Access to Health Services

    Topic Expert - Claire A. Weschler, Agency for Healthcare Research and Quality

    Topic Expert - Samara Lopez, Health Resources and Services Administration

    Librarian - Dr. B. Lynn Whitener

    Adolescent Health

    Topic Expert - Dr. Trina Anglin, Health Resources and Services Administration

    Librarian - Julie Smith

    Arthritis, Osteporosis and Chronic Back Conditions

    Topic Expert - Healthy People 2020 working group

    Librarian - Kristin Hitchcock

    Chronic Kidney Disease

    Topic Expert - Dr. Lawrence Agodoa, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health

    Librarian - Kimberly Mitchell, Assistant Director of Library Services, at Albany College of Pharmacy and Health Sciences

    Dementias Including Alzheimer's Disease

    Topic Expert - Dallas Anderson, National Institute on Aging, National Institutes of Health

    Topic Expert - Marie Bernard, National Institute on Aging, National Institutes of Health

    Topic Expert - Zita Givens, National Institute on Aging, National Institutes of Health

    Librarian - Assako Holyoke, Saint Louis University Medical Center Library

    Diabetes

    Topic Expert - Dr. Sanford Garfield, National Institute of Diabetes, Digestive and Kidney Diseases, National Institutes of Health

    Librarian - Rachel Walden, Medical Librarian at Eskind Biomedical Library, Vanderbilt University Medical Center

    Early and Middle Chidhood

    Topic Expert - Healthy People 2020 working group

    Librarian - Julie Smith

    Family Planning

    Topic Expert - Susan Newcomer, National Institute of Child Health and Human Development, National Institutes of Health

    Librarian - Rachel Walden, Medical Librarian at Eskind Biomedical Library, Vanderbilt University Medical Center

    Food Safety

    Topic Expert - Elisa Elliot, Food and Drug Administration

    Librarian - Kris Alpi, North Carolina State University

    Genomics

    Topic Expert - Healthy People 2020 working group

    Librarian - Kris Alpi, North Carolina State University

    Health Commnunication and HIT

    Topic Expert - Linda Harris, HHS

    Topic Expert - Cynthia Baur, CDC

    Topic Expert - Healthy People 2020 working group

    Librarian - Dr. B. Lynn Whitener

    Health-Associated Infections

    Topic Expert - Daniel Gallardo, Office of the Assistant Secretary for Health, Health and Human Services

    Topic Expert - Rani Jeeva, Office of the Assistant Secretary for Health, Health and Human Services

    Librarian - Jean Blackwell, University of North Carolina

    Maternal, Infant and Child Health

    Topic Expert - Reem Gandour, HRSA

    Topic Expert - Healthy People 2020 working group

    Librarian - Wendy Scott-Williams

    Medical Product Safety

    Topic Expert - Mary Ghods, Food and Drug Administration

    Librarian - Kris Alpi, North Carolina State University

    Mental Health and Mental Disorders

    Topic Expert - Kevin Malone, Substance Abuse and Mental Health Administration

    Librarian - Brenda Eames, The Institute for Rehabilitation and Research

    Nutrition and Weight Status

    Topic Expert - Mark A. Kantor, Food and Drug Administration

    Librarian - Dr. B. Lynn Whitener

    Oral Health

    Topic Expert - Healthy People 2020 working group

    Librarian - Lisa McGuire

    Physical Activity

    Topic Expert - Jane Wargo, Department of Health and Human Services

    Librarian - Dr. B. Lynn Whitener

    Preparedness

    Topic Expert - Jonathan Ban, Department of Health and Human Services

    Librarian - Lisa McGuire

    Sleep Health

    Topic Expert - Michael Twery, National Heart Lung and Blood Institute, National Institutes of Health

    Librarian - Jeannine Gluck

    Substance Abuse

    Topic Expert - Kevin Malone, Substance Abuse and Mental Health Services Administration

    Librarian - Clare Imholz

    Tobacco Use

    Topic Expert - Healthy People 2020 working group

    Librarian - Clare Imholz

    Vision

    Topic Expert - Rosemary Janiszewski, National Eye Institute, National Institutes of Health

    Topic Expert - Shelly Heath-Watson, National Eye Institute, National Institutes of Health

    Librarian - Nicole Mitchell