Last Updated: December 2015
Author: Planning & Health Care Quality Unit, Vermont Department of Health
Since 2008, the overall proportion of females who are up to date on a core set of clinical preventive services has declined though the most recent data shows a slight increase from 37% in 2012 to 38% in 2014.
Females were considered as meeting the core set of clinical preventive services if they reported getting a flu shot in the last year, ever getting a pneumococcal vaccine, a mammogram in the last two years, and either a colonoscopy or sigmoidoscopy in the last 10 years or Fecal Occult Blood Test in the last year. As noted by Healthy People 2020, this indicator is particularly useful for assessing program effectiveness, “because it is an all-or-none measure, it cannot increase unless multiple component activities (screenings and vaccinations) are delivered to the same individual.”
In Vermont, the overall decline in the core set is driven by small declines in flu vaccines and colorectal cancer screening. Flu vaccines dropped from 65% in 2012 to 62% in 2014. Similarly, fewer Vermont females 65 and older reported meeting the guidelines for colorectal cancer screening than in previous years (79% in 2012 compared to 76% in 2014). Mammograms remain steady and a higher proportion of females reported ever having the pneumococcal vaccine. These mixed trends in screening behavior will influence which strategies are effective for individual screenings or vaccines as well as the overall outcomes.
For more information about trends in vaccination and screening behavior, see the 2014 Behavioral Risk Factor Surveillance System Annual Report.