Healthy Alaskans

Health Objective Definitions

Chronic Disease

Objective 1: Reduce the cancer mortality rate per 100,000 population

All Alaskans Baseline	141.6
Alaska Native Baseline	188.8
Baseline Year	2018
Target	127.4
Data Source	AK Health Analytics and Vital Records Section – death records/mortality
Numerator	ICD-10 Codes: Underlying cause in C00-C97.
Denominator:	Events per 100,000 population, age adjusted to year 2000 standard population.
Notes:

Environmental Health

Objective 2: Increase the percentage of rural community housing units with water and sewer services

All Alaskans Baseline	86.2%
Alaska Native Baseline	Not available
Baseline Year	2018
Target	90%
Data Source	AK Department of Environmental Conservation
Numerator	Number of rural community housing units with water and sewer services
Denominator	Number of rural community housing units
Notes

Objective 3: Increase the percentage of the Alaskan population served by community water systems with optimally fluoridated water

All Alaskans Baseline	42.0%
Alaska Native Baseline	Not available
Baseline Year	2016
Target	60%
Data Source	AK Department of Environmental Conservation
Numerator	Number of Alaskans served by community water systems with optimally fluoridated water
Denominator	Number of Alaskans served by community water systems
Notes

Healthcare Access

Objective 4: Increase the proportion of women who receive prenatal care beginning in the first trimester.

All Alaskans Baseline	22.1%
Alaska Native Baseline	26.8%
Baseline Year	2018
Target	81.8%
Data Source	AK Health Analytics and Vital Records Section – birth records/natality
Numerator	Number of women delivering lives births who reported not receiving prenatal care in the first trimester of pregnancy for a specific time period.
Denominator	Number of live births for a specific time period.
Notes

Objective 5: Reduce the percentage of adults (aged 18 years and older) reporting that they could not afford to see a doctor in the last 12 months

All Alaskans Baseline	12.8%
Alaska Native Baseline	16.6%
Baseline Year	2018
Target	11.5%
Data Source	AK Behavioral Risk Factor Surveillance System
Numerator	Weighted number of adults (18+) who responded “Yes” on the BRFSS to the question: “Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?”
Denominator	Weighted number of adults (18+) with valid responses to the question: “Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?”, excluding those with missing, “Don’t know/Not sure” or “Refused” responses.
Notes

Objective 6: Reduce the rate of preventable hospitalizations per 1,000 adults (hospitalizations that could have been prevented with high quality primary and preventive care) based on the Agency for Healthcare Research and Quality (AHRQ) definition

All Alaskans Baseline	6.8
Alaska Native Baseline	14.0
Baseline Year	2018
Target	6.1 per 1,000
Data Source	AK Health Analytics and Vital Records Section – Health Facilitaies Data Reporting
Numerator	Number of preventable hospitalizations as defined by the Agency for Healthcare Research and Quality (AHRQ) for Prevention Quality Indicators (PQI) for adults (18+). Expressed as a rate per 1,000.
Denominator	Mid-year resident population of adult (18+) for the same calendar year.
Notes

Objective 7: Increase the percentage of 3-year-olds who have had a well-child checkup in the last 12 months

All Alaskans Baseline	89.1%
Alaska Native Baseline	84.3%
Baseline Year	2018
Target	93.1%
Data Source	AK Childhood Understanding Behavior
Numerator	Weighted number of mothers of 3-year-old children born in Alaska who responded “Yes” on CUBS to the question: “During the past 12 months, has your child seen a health care provider for routine medical care such as a well-child check-up or physical exam?”
Denominator	Weighted number of mothers of 3-year-old children whose child was born in Alaska during the referenced calendar year
Notes

Objective 8: Reduce the percentage of the population without health insurance

All Alaskans Baseline	12.6%
Alaska Native Baseline	22.7%
Baseline Year	2018
Target	11.3%
Data Source	Current Population Survey; American Community Survey
Numerator	Weighted number of ACS respondents who report being uninsured.
Denominator	Weighted number of ACS respondents in a calendar year.
Notes

Healthy Weight

Objective 9: Increase the percentage of children (students in grades K-8) who meet criteria for healthy weight

All Alaskans Baseline	62.6%
Alaska Native Baseline	57.4%
Baseline Year	2018-2019
Target	66%
Data Source	AK Student Weight Status Surveillance System
Numerator	Students measured in Kindergarten, 1st, 3rd, 5th, and 7th grades in participating school districts with sex- and age-specific BMI’s between the 5th and 85th percentile.
Denominator	Students measured for BMI in Kindergarten, 1st, 3rd, 5th, and 7th grades in participating school districts with complete and valid measurements for height and weight.
Notes

Infectious Disease

Objective 10: Increase the vaccination coverage level of 4 doses of diphtheria-tetanus-acellular pertussis (DTaP) vaccine among children by age 2 years

All Alaskans Baseline	76.1%
Alaska Native Baseline	Not available
Baseline Year	2016-2018
Target	90%
Data Source	National Immunization Survey
Numerator	Number of children who reported receiving at least 4 doses of DTaP by age 24 months (before the day the child turns 24 months).
Denominator	Sample of children aged up to 24 months on the NIS.
Notes	Determined IHS data not high enough quality to use as AN measure, looking for alternate source.

Objective 11: Reduce the incidence rate of gonorrhea per 100,000 population

All Alaskans Baseline	306.0
Alaska Native Baseline	952.0
Baseline Year	2018
Target	199 per 100,000
Data Source	AK Section of Epidemiology Sexually Transmitted Disease Program Manager
Numerator	Number of newly reported cases of gonorrhea by date of diagnosis for a specific time period.
Denominator	Mid-year resident population for the specific time period.
Notes

Injury Prevention

Objective 12: Reduce the unintentional injury mortality rate per 100,000 population

All Alaskans Baseline	56.3
Alaska Native Baseline	137.6
Baseline Year	2018-2019
Target	56.5%
Data Source	AK Health Analytics and Vital Records Section – death records/mortality
Numerator	ICD 10 Codes: Motor Vehicles (V02-V04X, V090, V092, V12-V14X, V190-V192, V194-V196, V20-V79X, V803-V805, V810-V811, V820-V821, V83-V86X, V870-V878, V880-V888, V890, V892); Other Land Transport (V01X, V05-V06X, V091, V093-V099, V10-V11X, V15-V18X, V193, V198-V199, V800-V802, V806-V809, V812-V819, V822-V829, V879, V889, V891,V893, V899); Water, Air, Space, or Other Transport (V90-V99X, Y85X); Falls (W00-W19X); Firearm Discharge (W32-W34X); Drowning and Submersion (W65-W74X); Exposure to Smoke, Fire, Flames (X00-X09X); Poisoning or Exposure to Noxious Substances (X40-X49X); Other Nontransport (W20-W31X, W35-W64X, W75-W99X, X10-X39X, X50-X59X, Y86X)
Denominator	Events per 100,000 population, age adjusted to year 2000 standard population.
Notes

Mental Health

Objective 13: Reduce the percentage of adolescents (high school students in grades 9-12) who felt so sad or hopeless every day for 2 weeks or more in a row that they stopped doing some usual activities during the past 12 months

All Alaskans Baseline	36.1%
Alaska Native Baseline	36.2%
Baseline Year	2017
Target	31%
Data Source	AK Youth Risk Behavior Survey
Numerator	Weighted number of adolescents (students in grades 9-12) who responded “Yes” on the YRBS to the question: “During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities?”
Denominator	Weighted number of adolescents (students in grades 9-12) with complete and valid responses to the question on the YRBS.
Notes

Objective 14: Reduce the mean number of days in the past 30 days adults (aged 18 years and older) report being mentally unhealthy

All Alaskans Baseline	3.9
Alaska Native Baseline	4.3
Baseline Year	2018
Target	3.5
Data Source	AK Behavioral Risk Factor Surveillance System
Numerator	Weighted number of days reported by adults (18+) on the BRFSS to the question: “Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good?”
Denominator	Weighted number of adults (18+) with complete and valid responses to the BRFSS question on mentally unhealthy days, excluding those with missing, “Don’t know/Not sure”, or “Refused” responses.
Notes

Nutrition

Objective 15: Reduce the percentage of 3-year-olds who drink any sugary drinks on a given day

All Alaskans Baseline	30.3%
Alaska Native Baseline	46.8%
Baseline Year	2018
Target	25%
Data Source	AK Childhood Understanding Behavior
Numerator	Weighted number of mothers of 3-year-old children born in Alaska who responded on CUBS that their child drank any soda (non-diet), sweetened fruit drinks (such as Kool-Aid, Tang, Capri Sun, or SunnyD), or sports, vitamin or energy drinks (non-diet) on the previous day.
Denominator	Weighted number of mothers of 3-year-old children whose child was born in Alaska during the referenced calendar year
Notes

Physical Activity

Objective 16: Increase the percentage of adolescents (high school students in grades 9-12) who meet the Physical Activity Guidelines for Americans (2008 US DHHS Physical Activity Guidelines: adolescents who do at least 60 minutes of physical activity a day, every day of the week)

All Alaskans Baseline	18.4%
Alaska Native Baseline	15.8%
Baseline Year	2017
Target	22%
Data Source	AK Youth Risk Behavior Survey
Numerator	Weighted number of adolescents (grades 9-12) who responded “7 days” to the YRBS to the question: “During the past 7 days, on how many days were you physically active for a total of at least 60 minutes per day? (Add up all the time you spend in any kind of physical activity that increases your heart rate and makes you breathe hard some of the time.)”
Denominator	Weighted number of adolescents (grades 9-12) with valid responses on the YRBS to the physical activity question.
Notes

Protective Factors

Objective 17: Increase the percentage of adolescents (high school students in grades 9-12) with 3 or more adults (besides their parent(s)) who they feel comfortable seeking help from

All Alaskans Baseline	45.4%
Alaska Native Baseline	39.4%
Baseline Year	2017
Target	50%
Data Source	AK Youth Risk Behavior Survey
Numerator	Weighted number of adolescents (students in grades 9-12) who responded on the YRBS with “3”, “4”, or “5 or more adults” to the question: “Besides your parents, how many adults would you feel comfortable seeking help from if you had an important question affecting your life?”
Denominator	Weighted number of adolescents (students in grades 9-12) who responded on the YRBS with complete and valid responses to the question.
Notes

Objective 18: Increase the percentage of adolescents (high school students in grades 9-12) who feel like they matter to people in their community

All Alaskans Baseline	52.0%
Alaska Native Baseline	52.0%
Baseline Year	2017
Target	57%
Data Source	AK Youth Risk Behavior Survey
Numerator	Weighted number of adolescents (students in grades 9-12) who responded on the YRBS with “Agree”, or “Strongly Agree” to the question: “Do you agree or disagree that in your community you feel like you matter to people?”
Denominator	Weighted number of adolescents (students in grades 9-12) who responded on the YRBS with complete and valid responses to the question.
Notes

Objective 19: Increase the percent of high school students who graduate within 4 years of starting 9th grade

All Alaskans Baseline	78.5%
Alaska Native Baseline	68.6%
Baseline Year	2017-2018
Target	90%
Data Source	AK Department of Education and Early Development
Numerator	All students who graduated.
Denominator	All students who first entered grade nine 4 years prior to the reference year (e.g., 2014-15 for graduation rate in 2017-2018 school year), attended a public high school in Alaska during the cohort period, and did not transfer to a private school in Alaska or an school outside Alaska, or die before the end of the reference school year.
Notes

Objective 20: Reduce the percentage of rental occupied households that exceed 50 percent of household income dedicated to housing

All Alaskans Baseline	17.3%
Alaska Native Baseline	Not Available
Baseline Year	2018
Target	14%
Data Source	Current Population Survey; American Community Survey
Numerator	Weighted number of ACS respondents who reside in rental occupied households with greater than 50% of household income dedicated to housing.
Denominator	Weighted number of ACS respondents who reside in rental occupied households in a calendar year.
Notes

Objective 21: Increase the percentage of residents (all ages) living above the federal poverty level (as defined for AK)

All Alaskans Baseline	81.1%
Alaska Native Baseline	68.2%
Baseline Year	2018
Target	90.0%
Data Source	Current Population Survey; American Community Survey
Numerator	Estimated number of persons whose income is at or above the federal poverty thresholds (125% for Alaskans and 100% for U.S. comparison) as defined by the U.S. Bureau of the Census.
Denominator	Mid-year resident population in calendar year.
Notes	Note: based on income from 2017, but reported on in 2018; 125% of poverty level.

Substance Misuse

Objective 22: Reduce the alcohol-induced mortality rate per 100,000

All Alaskans Baseline	26.3
Alaska Native Baseline	110.3
Baseline Year	2018
Target	23.6
Baseline Year	2018
Data Source	AK Health Analytics and Vital Records Section – death records/mortality
Numerator	ICD-10 Codes: Underlying cause in E244, F10, G312, G621, G721, I42.6, K292, K70, K852, K860, R780, X45, X65, Y15.
Denominator	Events per 100,000 population, age adjusted to year 2000 standard population.
Notes

Objective 23: Reduce the drug-induced mortality rate per 100,000

All Alaskans Baseline	15.8
Alaska Native Baseline	22.0
Baseline Year	2018
Target Rate	14.2
Data Source	AK Health Analytics and Vital Records Section – death records/mortality
Numerator	ICD-10 Codes: Underlying cause in D521, D590, D592, D611, D642, E064, E160, E231, E242, E273, E661, F110-F115, F117-F119, F120-F125, F127-F129, F130-F135, F137-F139, F140-F145, F147-F149, F150-F155, F157-F159, F160-F165, F167-F169, F170, F173-F175, F177-F179, F180-F185, F187-F189, F190-F195, F197-F199, G211, G240, G251, G254, G256, G444, G620, G720, I952, J702, J703, J704, L105, L270, L271, M102, M320, M804, M814, M835, M871, R502, R781, R782, R783, R784, R785, X40-X44, X60-X64, X85, Y10-Y14.
Denominator	Events per 100,000 population, age adjusted to year 2000 standard population.
Notes

Objective 24: Reduce the percentage of adults needing but not receiving substance use disorder treatment

All Alaskans Baseline	8.40%
Alaska Native Baseline	Not Available
Baseline Year	2016-2017
Target Rate	7.9%
Data Source	National Survey on Drug Abuse and Health
Numerator	Weighted number of adults (18+) who on the NSDUH indicated needing illicit drug or alcohol treatment in the past year, but not receiving illicit drug or alcohol treatment at a specialty facility in the past year.
Denominator	Weighted number of adults (18+) with valid responses to the NSDUH questions used to ascertain substance use disorders and treatment within the past 12 months.
Notes

Suicide Prevention

Objective 25: Reduce the suicide mortality rate per 100,000

All Alaskans Baseline	31.3
Alaska Native Baseline	61.5
Baseline Year	2018
Target Rate	25 per 100,000
Data Source	AK Health Analytics and Vital Records Section – death records/mortality
Numerator	ICD-10 Codes: Underlying cause in U03, X60-X84, Y870
Denominator	Events per 100,000 population, age adjusted to year 2000 standard population.
Notes

Tobacco Use

Objective 26: Reduce the percentage of adolescents (high school students in grades 9-12) who have used electronic vapor products, cigarettes, smokeless tobacco, or other tobacco products in the last 30 days

All Alaskans Baseline	34.5%
Alaska Native Baseline	45.1%
Baseline Year	2019
Target	32.0%
Data Source	AK Youth Risk Behavior Survey
Numerator	Weighted number of adolescents (students in grades 9-12) who responded “1 or more days” on the Youth Risk Behavior Survey (YRBS) to any of the following five questions: (1) “During the past 30 days, on how many days did you smoke cigarettes?”; (2) “During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip, such as Redman, Levi Garrett, Beechnut, Skoal, Skoal Bandits, Copenhagen?”; (3) “During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars?”
Denominator	Weighted number of adolescents (grades 9-12) who responded to one or more of the questions indicating one or more types of current tobacco use (response options B-G for one or more questions) OR selected 0 days for all of the questions indicating no tobacco use (response option A for all questions).
Notes

Objective 27: Reduce the percentage of adults (aged 18 and older) who currently smoke cigarettes or use electronic vapor products, smokeless tobacco, or other tobacco products

All Alaskans Baseline	29.7%
Alaska Native Baseline	44.0%
Baseline Year	2018
Target	25%
Data Source	AK Behavioral Risk Factor Surveillance System
Numerator	Weighted number of adults (18+) who responded “Yes” on the BRFSS to any of the following questions: (1) (a)”Have you smoked at least 100 cigarettes in your entire life?” and, if the response was “Yes”, they responded “every day” or “some days” to the question: (b) “Do you now smoke cigarettes every day, some days, or not at all?”; (2) “Have you ever used an e-cigarette or other electronic vaping product, even just one time, in your entire life?” and, if the response was “Yes”, they responded “every day” or “some days” to the question: (b) “Do you now use e-cigarettes or other electronic vaping products every day, some days, or not at all?”; (3) “Do you currently use chewing tobacco, snuff, Iq’mik, or snus every day, some days, or not at all?”
Denominator	Weighted number of adults (18+) with complete and valid responses on the BRFSS to all 6 questions in the numerator, PLUS those where at least one of the 6 questions were answered “Yes”, regardless of missings for other questions. Excludes those for which 1 or more of the 6 questions has missing, “Don’t know/Not sure” or “Refused” responses, unless at least 1 of the 6 questions=”Yes”.
Notes

Violence Prevention

Header text

Objective 28: Reduce the percentage of repeated substantiated child maltreatment within last 12 months

All Alaskans Baseline	13.5%
Alaska Native Baseline	16.6%
Baseline Year	2018
Target	9.5%
Data Source	AK Office of Children’s Services
Numerator	Number of repeated substantiated child maltreatment cases
Denominator	Number of substantiated childhood maltreatment cases within the last 12 months
Notes

Objective 29: Reduce the rate of reported or attempted rape per 100,000 population

All Alaskans Baseline	161.9
Alaska Native Baseline	Not Available
Baseline Year	2018
Target	146.5
Data Source	Uniform Crime Report
Numerator	Number of reported rapes for a specific time period
Denominator	Mid-year resident population for a specific time period
Notes

Objective 30: Reduce the percentage of adolescents (high school students in grades 9-12) who were ever hit, slammed into something, injured with an object or weapon, or physically hurt on purpose by someone they were dating or going out with during the past 12 months

All Alaskans Baseline	7.3%
Alaska Native Baseline	4.5%
Baseline Year	2017
Target	6.6
Data Source	AK Youth Risk Behavior Survey
Numerator	Weighted number of adolescents (grades 9-12) who responded on the YRBS with responses of “1” to “6 or more times” to the question: “During the past 12 months, how many times did someone you were dating or going out with physically hurt you on purpose? (Count such things as being hit, slammed into something, or injured with an object or weapon.)”
Denominator	Weighted number of adolescents (grades 9-12) surveyed on the YRBS who were dating or went out with someone during the past 12 months with complete and valid responses
Notes

News Bulletins

Healthy Alaskans releases first set of 2030 health improvement scorecards, issues final report, scorecards from 2020 plan

January 31, 2023

Healthy Alaskans releases scorecards assessing Alaska’s health progress for 2020 and a health improvement plan for 2030 that sets goals for the next decade

February 4, 2021

State Health Improvement Plan, Healthy Alaskans 2030 (HA2030), Draft for Public Comment Released

August 5, 2020

Healthy Alaskans 2030 Sets Framework for Alaska’s Health Goals; Strengthening communities and empowering individuals

January 22, 2020

Healthy Alaskans 2020 successes

December 9, 2019