1. Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review November 16, 2006

2. Impact 1 in 5 community dwelling adults in the U.S. report some type of disability Persons with disabilities are more likely to have: –Self-reported fair to poor health –Serious psychological distress –More co-morbid health conditions –Lower income/Fewer resources

3. Healthy People 2010: Operational Definition Adults with Disabilities (NHIS) Limitation of activity Personal care needs Routine needs Can’t work Limited work Walking Remembering Other Special equipment Cane Wheelchair Special bed Special telephone OR

4. Age-adjusted percent Total Black Hispanic Asian American Indian White Prevalence of Disabilities Among Adults: United States, 2005 I= 95% confidence interval. NOTE: Data are for civilian non-institutionalized adults 18 and over, and are age adjusted to the 2000 standard population. Age-specific estimates are not age-adjusted. American Indians includes Alaskan Native. Asian includes Pacific Islander. The black and white categories exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. SOURCE: National Health Interview Survey (NHIS), CDC, NCHS. 18-4445-6465-7475+FemaleMale

5. Improving 6-2.Sadness or depression - children 6-7a.Congregate care - adults 6-9.Inclusion in regular education programs – children & youth Highlighted Objectives Getting worse 6-3.Negative feelings (psychological symptomatology)- adults 6-8.Employment parity - adults Baseline only 6-4.Social participation - adults 6-10.Access to health programs - adults 6-11.Assistive technology - adults

6. Percent 40 Obj. 6-2 0 1997 2005 50 Decrease desired 2010 Parity Target: 17 I= 95% confidence interval. *Black, 1997 data are not statistically reliable and have been suppressed. NOTE: Data are for non- institutionalized children aged 4 to 17 years with disabilities who are reported to be unhappy, sad, or depressed. The black and white categories exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Prior to 1999, respondents were asked to select one race category; selection of more than one race was not an option. For 1999 and later years, respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. SOURCE: National Health Interview Survey (NHIS), CDC, NCHS. 10 Sadness or Depression Among Children with Disabilities Black Race/ethnicity WhiteMaleFemale Total Gender Hispanic * 30 20

7. Congregate Care of Adults with Developmental Disabilities Number of cases NOTE: Data are for persons aged 22 years and over with disabilities in congregate care facilities (group homes) with 16 or more beds. SOURCE: Survey of State Developmental Disabilities Directors, University of Minnesota. Obj. 6-7a Decrease desired 2010 Target: 46,681 100,000 50,000 60,000 70,000 80,000 90,000 0

8. Inclusion of Children and Youth with Disabilities in Regular Education Programs NOTE: Data are for students aged 6 to 21 years with disabilities who are in regular classes at least 80 percent of the day. Data are for an academic year period ending in the data year listed. SOURCE: Data Analysis System (DANS), U S Department of Education, Office of Special Education. Obj. 6-9 Increase desired 2010 Target: 60 Percent

9. Black Age-adjusted percent 30 Obj. 6-3 Race/ethnicity 0 WhiteMaleFemale 1997 Total 2005 50 Decrease desired 2010 Parity Target: 7 Gender Hispanic I= 95% confidence interval. NOTE: Data are for civilian non-institutionalized persons aged 18 years and over with disabilities who report negative feelings that interfered with activities in the past 30 days. Data are age adjusted to the 2000 standard population. The black and white categories exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Prior to 1999, respondents were asked to select one race category; selection of more than one race was not an option. For 1999 and later years, respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. SOURCE: National Health Interview Survey (NHIS), CDC, NCHS. 20 Psychological Symptomatology that Interferes with Activities Among Adults with Disabilities 40 10

10. Black Percent 60 Obj. 6-8 Race/ethnicity 0 WhiteMaleFemale 1997 Total 2005 90 2010 Parity Target: 80 Gender Hispanic I= 95% confidence interval. NOTE: Data are for civilian non-institutionalized persons aged 18–64 years with disabilities who are employed. The black and white categories exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Prior to 1999, respondents were asked to select one race category; selection of more than one race was not an option. For 1999 and later years, respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. SOURCE: National Health Interview Survey (NHIS), CDC, NCHS. 30 Employment Parity Among Adults with Disabilities Increase desired

11. Obj. 6-4 Age-adjusted percent 2010 Parity Target: 79 Total = 95% confidence interval. NOTE: Data are for civilian non-institutionalized persons aged 18 years and over with disabilities who report participation in at least 5 out of 7 social activities. Data by education are for persons aged 25 years and over. The black and white categories exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. SOURCE: National Health Interview Survey (NHIS), CDC, NCHS. Female Male American Indian/ Alaskan Native Asian Hispanic Black White Less than high school High school At least some college 0102030406050708090 Increase desired Social Participation among Adults with Disabilities, 2001 61%

12. Obj. 6-10 Age-adjusted percent 2010 Parity Target: 63 Total = 95% confidence interval. NOTE: Data are for civilian non-institutionalized persons aged 18 years and older with disabilities who report they now have access to a health club, wellness program, or fitness facility that meets their needs, if they want to use it. Data are age adjusted to the 2000 standard population. Data by education are for persons aged 25 years and over. The black and white categories exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. SOURCE: National Health Interview Survey (NHIS), CDC, NCHS. Female Male Hispanic Black White Less than high school High school At least some college 010203040605070 Increase desired Access to Health and Wellness Programs Among Adults with Disabilities, 2002 48%

13. Obj. 6-11 Age-adjusted percent 2010 Target: 7 = 95% confidence interval. NOTE: Data are for civilian non-institutionalized persons aged 18 years and over with disabilities who report they know equipment they need but do not have. Data are age adjusted to the 2000 standard population. Data by education are for persons aged 25 years and over. The black and white categories exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. SOURCE: National Health Interview Survey (NHIS), CDC, NCHS. 05101520 Decrease desired Not Having Needed Assistive Technology Among Adults with Disabilities, 2002 10% Total Female Male Hispanic Black White Less than high school High school At least some college

14. Summary of All Objectives Target Met –6-13a. Surveillance of persons with disabilities (States and DC) Improving –6-1. Standard questions –6-2. Sadness or depression – children –6-7a. Congregate care - adults –6-9. Inclusion in regular education programs – children –6-13c. Health promotion for persons with disabilities (States and DC) Little or no change –6-7b. Congregate care-children –6-13e, g. Surveillance and health promotion for caregivers (States and DC) Getting worse –6-3. Negative feelings - adults –6-8. Employment parity - adults

15. Summary of All Objectives (Cont.) Cannot Be Tracked –6-4. Social participation - adults –6-10. Access to health programs - adults –6-11. Assistive technology - adults –6-12a-d. Environmental barriers –6-13b,d,f,h. Surveillance or health promotion for persons or caregivers (Tribes) Future Tracking Data –6-5. Emotional support - adults –6-6. Life satisfaction - adults

16. Progress review data and slides are available on the web at: http://www.cdc.gov/nchs/hphome.htm