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see Appendix I, Population Census and Population<br />

Estimates.)<br />

Resident population includes persons whose usual place<br />

of residence (i.e., the place where one usually lives and<br />

sleeps) is in one of the 50 states or D.C. It includes<br />

members of the Armed Forces stationed in the United<br />

States and their families. It excludes members of the<br />

Armed Forces stationed outside the United States and<br />

civilian U.S. citizens whose usual place of residence is<br />

outside the United States. The resident population is the<br />

denominator used to calculate birth and death rates and<br />

incidence of disease.<br />

Civilian population is the resident population excluding<br />

members of the Armed Forces, although families of<br />

members of the Armed Forces are included. The civilian<br />

population is the denominator for rates calculated for the<br />

National Hospital Discharge Survey and for emergency<br />

department visit rates using the National Hospital<br />

Ambulatory Medical Care Survey—Emergency<br />

Department Component.<br />

Civilian noninstitutionalized population is the civilian<br />

population excluding persons residing in institutions<br />

(such as nursing homes, prisons, jails, mental hospitals,<br />

and juvenile correctional facilities). U.S. Census Bureau<br />

estimates of the civilian noninstitutionalized population<br />

are used to calculate sample weights for the National<br />

Health Interview Survey, the National Health and<br />

Nutrition Examination Survey, and the National Survey of<br />

Family Growth, and as denominators for rates calculated<br />

for the National Ambulatory Medical Care Survey and the<br />

National Hospital Ambulatory Medical Care<br />

Survey—Outpatient Department Component.<br />

Postneonatal mortality rate—See Appendix II, Rate: Death<br />

and related rates.<br />

Poverty—Two related versions of federal poverty measures<br />

are shown in Health, United States. The first measure—a ratio<br />

of family income to federal poverty threshold—is<br />

constructed using poverty thresholds from the U.S. Census<br />

Bureau. Poverty thresholds are updated annually for<br />

inflation by the Census Bureau using the Consumer Price<br />

Index for all urban consumers (CPI–U). Poverty thresholds<br />

include a set of money income thresholds that vary by<br />

family size and composition but do not vary geographically.<br />

Families or individuals with income below the appropriate<br />

threshold are classified as below poverty. For example, the<br />

average poverty threshold for a family of four was $23,834 in<br />

2013, $22,314 in 2010, $17,603 in 2000, and $13,359 in 1990.<br />

For more information, see the U.S. Census Bureau's poverty<br />

threshold website at: http://www.census.gov/hhes/www/<br />

poverty/poverty.html.<br />

The second poverty measure used in Health, United States is<br />

a ratio of family income to the HHS poverty guidelines.<br />

Poverty guidelines are derived from the U. S. Census<br />

Bureau's poverty thresholds, are issued annually by HHS,<br />

and are often used to determine eligibility in certain federal<br />

programs. The HHS poverty guidelines take into account<br />

family size and state (coterminous, Alaska, Hawaii), but not<br />

family composition. For more information, see HHS. Office of<br />

the Assistant Secretary for Planning and Evaluation. Poverty<br />

Guidelines, Research, and Measurement website at:<br />

http://aspe.hhs.gov/poverty/index.cfm.<br />

National Health Interview Survey (NHIS)—For data years<br />

prior to 1997, a ratio of family income to U.S. Census<br />

Bureau poverty threshold is computed taking into<br />

account family income and family size. Starting with<br />

1997 data, the poverty ratio was based on family income,<br />

family size, and family composition (number of children<br />

in the family, and for families with two or fewer adults<br />

the age of the adults in the family). (Also see Appendix II,<br />

Consumer Price Index [CPI]; Family income; and<br />

Appendix I, Current Population Survey [CPS]; National<br />

Health Interview Survey [NHIS].)<br />

National Health and Nutrition Examination Survey<br />

(NHANES)—NHANES uses the U.S. Census Bureau's<br />

Current Population Survey (CPS) definition of family to<br />

group household members into a family unit. A poverty<br />

ratio is computed by dividing family income by the HHS<br />

poverty guidelines specific to family size, as well as the<br />

appropriate guideline year, and state. See: Johnson CL,<br />

Paulose-Ram R, Ogden CL, et al. National Health and<br />

Nutrition Examination Survey: Analytic guidelines,<br />

1999–2010. NCHS. Vital Health Stat 2(161). 2013.<br />

Available from: http://www.cdc.gov/nchs/data/series/<br />

sr_02/sr02_161.pdf.<br />

Preferred provider organization (PPO)—A PPO is a type of<br />

medical plan in which coverage is provided to participants<br />

through a network of selected health care providers, such as<br />

hospitals and physicians. Enrollees may seek care outside<br />

the network but pay a greater percentage of the cost of<br />

coverage than within the network. (Also see Appendix II,<br />

Health maintenance organization [HMO]; Managed care.)<br />

Prevalence—Prevalence is the number of cases of a disease,<br />

number of infected persons, or number of persons with<br />

some other attribute present during a particular interval of<br />

time. It is often expressed as a rate (e.g., the prevalence of<br />

diabetes per 1,000 persons during a year). (Also see<br />

Appendix II, Incidence.)<br />

Primary care specialty—See Appendix II, Physician<br />

specialty.<br />

Private expenditures—See Appendix II, Health<br />

expenditures, national.<br />

Procedure—Procedures can include surgical procedures<br />

(such as appendectomies), diagnostic procedures (such as<br />

spinal taps), and therapeutic treatments (such as infusion of<br />

a cancer chemotherapeutic substance) reported on a<br />

patient's medical record. In Health, United States, procedures<br />

are currently coded according to the International<br />

Health, United States, 2014 Appendix II. Definitions and Methods 435

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