Purpose of the Meeting Insert Title of Meeting and Date Provide an overview of Healthy People 2010 and the Leading Health Indicators Discuss approaches and strategies for achieving the objectives of Healthy People 2010

Purpose of the Meeting Insert Title of Meeting and Date Provide an overview of Healthy People 2010 and the Leading Health Indicators

What is Healthy People 2010? A comprehensive set of national health objectives for the decade Developed by a collaborative process Designed to measure progress over time A public health document that is part strategic plan, part textbook on public health priorities

Healthy People Entering its Third Decade Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention Promoting Health/Preventing Disease: Objectives for the Nation Healthy People 2000: National Health Promotion and Disease Prevention Objectives Healthy People 2010

Healthy People 2010 Coordination The Office of Disease Prevention and Health Promotion U.S. Department of Health and Human Services coordinates Healthy People

Healthy People 2010 Two overarching goals 28 focus areas 467 specific objectives 10 Leading Health Indicators

Healthy People 2010 Two overarching goals

Overarching Goals of Healthy People Increase quality and years of healthy life 2.Eliminate health disparities

Healthy People 2010 Two overarching goals 28 focus areas (chapters)

Healthy People 2010 Chapters 1.Access to Quality Health Services 2.Arthritis, Osteoporosis, and Chronic Back Conditions 3.Cancer 4.Chronic Kidney Disease 5.Diabetes 6.Disability and Secondary Conditions (Continued)

Healthy People 2010 Chapters 7.Educational and Community-Based Programs 8.Environmental Health 9.Family Planning 10.Food Safety 11.Health Communication 12.Heart Disease and Stroke 13.HIV (Continued)

Healthy People 2010 Chapters 14.Immunization and Infectious Diseases 15.Injury and Violence Prevention 16.Maternal, Infant, and Child Health 17.Medical Product Safety 18.Mental Health and Mental Disorders 19.Nutrition and Overweight 20.Occupational Safety and Health (Continued)

Healthy People 2010 Chapters 21.Oral Health 22.Physical Activity and Fitness 23.Public Health Infrastructure 24.Respiratory Diseases 25.Sexually Transmitted Diseases 26.Substance Abuse 27.Tobacco Use 28.Vision and Hearing

Healthy People 2010 Two overarching goals 28 focus areas 467 specific objectives

Example Objectives Reduce the proportion of nonsmokers exposed to environmental tobacco smoke. (Baseline 65%, 2010 target 45%) –This is a measure for a Leading Health Indicator 1-5. Increase the proportion of persons with a usual primary care provider. (Baseline 77%, 2010 target 85%)

Elimination of Disparities 24-1d. Reduce asthma deaths. (adults aged 35 to 64 years) National baseline17.8 American Indian or Alaska NativeDSU Asian or Pacific Islander12.8 Black or African American52.3 White13.3 Hispanic or Latino target data – rates per million

Elimination of Disparities (Continued) 24-1d. Reduce asthma deaths. (adults aged 35 to 64 years) National baseline17.8 Female22.3 Male13.0 Less than high school education31.0 High school graduate22.9 At least some college target data – rates per million

Increase in Objectives

Healthy People 2010 Two overarching goals 28 focus areas 467 specific objectives 10 Leading Health Indicators

Leading Health Indicators Ten Major Public Health Issues 1.Physical activity 2.Overweight and obesity 3.Tobacco use 4.Substance abuse 5.Responsible sexual behavior 6.Mental health 7.Injury and violence 8.Environmental quality 9.Immunization 10.Access to health care

Physical Activity Leading Health Indicator Participation in regular physical activity, United States, 1990–99 *The definition of moderate physical activity was changed in Sources: Centers for Disease Control and Prevention. Youth Risk Behavior Survey.1991–97. Centers for Disease Control and Prevention, National Center for Health Statistics. National Health Interview Survey. 1990–99.

Overweight and Obesity Leading Health Indicator Overweight and obesity, United States,1988–94 *In those aged 6 to 19 years, overweight or obesity is defined as at or above the sex- and age-specific 95th percentile of Body Mass Index (BMI) based on CDC Growth Charts: United States. **In adults, obesity is defined as a BMI of 30 kg/m 2 or more; overweight is a BMI of 25 kg/m 2 or more. Source: Centers for Disease Control and Prevention, National Center for Health Statistics. National Health and Nutrition Examination Survey. 1988–94.

Tobacco Use Leading Health Indicator Cigarette smoking, United States, 1990–99 Sources: Centers for Disease Control and Prevention. Youth Risk Behavior Survey. 1991–99. Centers for Disease Control and Prevention, National Center for Health Statistics. National Health Interview Survey. 1990–98.

Substance Abuse Leading Health Indicator Use of alcohol and/or illicit drugs, United States, 1994–98 Source: Substance Abuse and Mental Health Services Administration, Office of the Assistant Secretary. National Household Survey on Drug Abuse. 1994–98.

Responsible Sexual Behavior Leading Health Indicator Responsible sexual behavior, United States, 1995 and 1999 *This 85 percent includes 50 percent of students in grades 9-12 who were not ever sexually active, 14 percent who were not sexually active in the past 3 months, and 21 percent who were sexually active but used a condom at the last intercourse. **Data on males aged years will be collected in Sources: Centers for Disease Control and Prevention. Youth Risk Behavior Survey Centers for Disease Control and Prevention, National Center for Health Statistics. National Survey of Family Growth

Mental Health Leading Health Indicator Adults with depression* who received treatment,** United States, 1994–97 *Depression is defined as major depressive episode in the past year. **Treatment is defined as treatment in the past year for psychological problems or emotional difficulties at a mental health clinic or by a mental health professional on an outpatient basis or treatment for psychological or emotional difficulties at a hospital overnight or longer. Source: Substance Abuse and Mental Health Services Administration, Office of Applied Studies. National Household Survey on Drug Abuse. 1994–97.

Injury and Violence Leading Health Indicator Motor vehicle deaths and homicides, United States, 1998 Source: Centers for Disease Control and Prevention, National Center for Health Statistics. National Vital Statistics System

Environmental Quality Leading Health Indicator Ozone and environmental tobacco smoke exposure, United States, 1988–94 and 1997 Sources: U.S. Environmental Protection Agency. Aerometric Information Retrieval System Centers for Disease Control and Prevention, National Center for Health Statistics. National Health and Nutrition Examination Survey. 1988–94.

Immunization Leading Health Indicator Immunization coverage, United States, 1990–98 *Four or more doses of diphtheria/tetanus/acellular pertussis (DTaP) vaccine, three or more doses of polio vaccine, one or more dose of measles/mumps/rubella (MMR) vaccine, three or more doses of Haemophilus influenzae type b (Hib) vaccine, and three or more doses of hepatitis B (Hep B) vaccine. Sources: Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program. National Immunization Survey. 1996–98. Centers for Disease Control and Prevention, National Center for Health Statistics. National Health Interview Survey. 1991–98.

Access to Health Care Leading Health Indicator Access to health care, United States, 1997 and 1998 Sources: Centers for Disease Control and Prevention, National Center for Health Statistics. National Health Interview Survey. *1997 and **1998. Centers for Disease Control and Prevention, National Center for Health Statistics. National Vital Statistics System. ***1998.

Purpose of the Meeting Insert Title of Meeting and Date Provide an overview of Healthy People 2010 and the Leading Health Indicators Discuss approaches and strategies for achieving the objectives of Healthy People 2010

Bottom Line of Healthy People 2010 A tremendous national resource A remarkable intellectual investment An important part of a national action plan

Healthy People 2010 How can we take full advantage of the potential of Healthy People 2010 to influence public health over the next 10 years?

Healthy People Consortium Consists of more than 400 private and national membership organizations, State and Territorial, environmental, substance abuse and mental health departments all using the Healthy People 2010 objectives to advance the Nation’s health. For more information about the Healthy People Listserv, Consortium Annual Meetings, Consortium Newsletter and Healthy People updates, visit the Consortium Web site:

Approaches to Healthy People 2010 Use Healthy People 2010 –As a data resource –As a vehicle to involve the public, media, and elected officials Use Healthy People 2010 as a basis to form coalitions and partnerships with community-based groups –To define common ground –As a common template Use Healthy People 2010 to form the basis of agreements and interactions with government

Web site Healthy People

Office of Disease Prevention and Health Promotion U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 738G 200 Independence Avenue, S.W. Washington, DC

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