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Health Objective Definitions
Chronic Disease
Objective 1: Reduce the cancer mortality rate per 100,000 population
All Alaskans Baseline
141.8
Alaska Native Baseline
192.5
Baseline Year
2018
Target
127.4
Data Source
AK Division of Public Health, Health Analytics and Vital Records Section, Mortality Data
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
ANTHC Environmental Health & Engineering
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
41.9%
Alaska Native Baseline
Not available
Baseline Year
2019
Target
60%
Data Source
CDC Oral Health Program
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
72.5%
Alaska Native Baseline
67.5%
Baseline Year
2018
Target
81.1%
Data Source
AK Division of Public Health, Health Analytics and Vital Records Section, Natality Data
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
13.8%
Alaska Native Baseline
15.3%
Baseline Year
2018
Target
11.5%
Data Source
AK Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Alaska 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
6.6
Alaska Native Baseline
13.8
Baseline Year
2018
Target
6.1 per 1,000
Data Source
AK Division of Public Health, Health Analytics and Vital Records Section, Health Facilities 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 Division of Public Health, Section of Women’s, Children’s, and Family Health, Childhood Understanding Behaviors Survey
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
22.9%
Baseline Year
2018
Target
11.3%
Data Source
U.S. Census Bureau, 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
63.2%
Alaska Native Baseline
71.7%
Baseline Year
2018
Target
90%
Data Source
AK Division of Public Health, Section of Epidemiology, VacTrAK Immunization Information System
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
Alaska Department of Labor & Workforce Development population estimates for the respective birth year
Notes
Healthy Alaskans 2030 switched from using the CDC National Immunization Survey-Child (NIS-Child) survey data to VacTrAK, the Alaska Immunization Information System as of the December 2024 Scorecards release. Due to the data source change, a new baseline was established, and the most current data were included. The new data source also allowed for vaccination data for Alaska Native people to be added, therefore the scorecards now track 4 doses of DTAP by 2 years of age for both All Alaskans and Alaska Native people. The target did not change.
Objective 11: Reduce the incidence rate of gonorrhea per 100,000 population
All Alaskans Baseline
304.7
Alaska Native Baseline
952.0
Baseline Year
2018
Target
199
Data Source
AK Division of Public Health, Section of Epidemiology, Sextually Transmitted Disease Program
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
56.5
Alaska Native Baseline
130.6
Baseline Year
2018
Target
56.5
Data Source
AK Division of Public Health, Health Analytics and Vital Records Section, Mortality Data
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 Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Alaska 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
3.7
Alaska Native Baseline
4.7
Baseline Year
2018
Target
3.5
Data Source
AK Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Alaska 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
30.9%
Alaska Native Baseline
47.8%
Baseline Year
2018
Target
25%
Data Source
AK Division of Public Health, Section of Women’s, Children’s, and Family Health, Childhood Understanding Behaviors Survey
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 Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Alaska 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 Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Alaska 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
58.9%
Alaska Native Baseline
62.5%
Baseline Year
2023
Target
61.8%
Data Source
AK Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Alaska 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
A new baseline and target were selected for the percentage of adolescents who feel like they matter to people in their community to reflect the change in methodology in the 2023 YRBS.
Social Determinants of Health
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
U.S. Census Bureau, 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
82.9%
Alaska Native Baseline
70.6%
Baseline Year
2016-2018
Target
90.0%
Data Source
U.S. Census Bureau and the U.S. Bureau of Labor Statistics, Current Population Survey
Numerator
Estimated number of persons whose income is at or above the federal poverty thresholds as defined by the U.S. Bureau of the Census.
Denominator
Mid-year resident population in calendar year.
Notes
The Alaska poverty level is defined as 125% of the federal poverty level
Substance Misuse
Objective 22: Reduce the alcohol-induced mortality rate per 100,000
All Alaskans Baseline
26.4
Alaska Native Baseline
99.2
Baseline Year
2018
Target
23.6
Baseline Year
2018
Data Source
AK Division of Public Health, Health Analytics and Vital Records Section, Mortality Data
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
24.6
Baseline Year
2018
Target
14.2
Data Source
AK Division of Public Health, Health Analytics and Vital Records Section, Mortality Data
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
9.4%
Alaska Native Baseline
Not Available
Baseline Year
2016-2017
Target
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
25.3
Alaska Native Baseline
39.7
Baseline Year
2018
Target Rate
25
Data Source
AK Division of Public Health, Health Analytics and Vital Records Section, Mortality Data
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 Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Alaska 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
27.3%
Alaska Native Baseline
49.1%
Baseline Year
2018
Target
25%
Data Source
AK Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Alaska 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
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
Federal Bureau of Investigation, Uniform Crime Reporting Program
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 Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Alaska 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
PDFs now available for 2024 scorecards
May 6, 2025
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
