1. Focus Area 7: Educational and Community- Based Programs Progress Review September 15th, 2004

2. Educational and Community-Based Programs Objectives School Setting 07-01 High school completion 07-02 School health education 07-03 Risk behavior information - college & university students 07-04 School nurse-to-student ratio Worksite Setting 07-05 Worksite health promotion 07-06 Employer-sponsored health promotion activities Health Care Setting 07-07 Patient & family education 07-08 Satisfaction w/ patient education 07-09 Hospital & managed care organization sponsorship of community health promotion activities Community Setting & Select Populations 07-10 Health promotion programs addressing HP2010 focus areas 07-11 Culturally appropriate health promotion programs 07-12 Older adult participation in health promotion activities Improving Getting worse Mixed Little or no change Cannot assess (limited data)

3. Highlighted Objectives 7-02 7-04 7-06 7-10 7-11 7-12 School health education School nurse-to-student ratio Employer-sponsored health promotion Health promotion programs addressing Healthy People focus areas Culturally appropriate and linguistically competent health promotion programs Older adult participation in health promotion activities

4. 0 20 40 60 80 100 0 20 40 60 80 100 Schools Requiring Courses on Selected Health Topics Unintentional Injury Violence Suicide Tobacco Alcohol HIV, STDs & Pregnancy Diet Physical Activity Environmental Health Percent Obj. 7-2 b-j Note: Middle/Junior, Senior High Schools only. I = 95% confidence interval. Source: School Health Policies and Programs Study, CDC, NCCDPHP. 1994 2000 2010 Targets

5. Nurse-to-Student Ratio Elementary Percent of Schools with a Ratio of at least 1:750 Obj. 7-4 a-d Note: Data were not collected in 1994 for Elementary Schools. I = 95% confidence interval. Source: School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP. Middle & Junior High Senior High 2010 Target 2000 1994 2010 Target

6. Percent 2010 Target Participation in Employer-Sponsored Health Promotion, 1994 & 1998 Note: Asian includes Pacific Islanders. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Persons reported one or more races and identified one race as best representing their race. I = 95% confidence interval. Data includes employed persons 18 years and over who reported that they participated in either quit smoking programs, screening tests, used exercise facilities, or received educational information sponsored by their employer. Source: National Health Interview Survey, (NHIS), CDC, NCHS. Obj. 7-6 Total Asian Black White Less than high school High school graduate At least some college Hispanic 1994 1998

7. Community Health Promotion Programs Addressing HP2010 Focus Areas, 2004 Obj. 7-10a # of Focus Areas# of Local Health Jurisdictions <312 3-931 10-16104 17-22199 23-2873 Note: Mean number of focus areas being addressed by Local Health Jurisdictions = 17.3. Response rate = 15%. Source: Association of State and Territorial Directors of Health Promotion and Public Health Education N = 419; Total = 2,789

8. Effective Community Health Promotion Programs 1.Involve at least three community sectors 2.Define health problems, resources, perceptions and priorities for action 3. Develop targeted and measurable objectives for outcomes, risk factors, public awareness, services & protection 4. Design comprehensive, multi-faceted, culturally relevant interventions with targets 5. Monitor & evaluate processes to measure objectives

9. Community Health Promotion Programs Involving at Least Three Community Sectors, 2004 Obj. 7-10b-e Define health problems, resources, perceptions & priorities for action Develop objectives for outcomes, risk factors, public awareness, services & protection Design comprehensive, culturally relevant interventions with targets Monitor & evaluate processes to measure objectives Percent of Responding Public Health Agencies Note: Community Sectors include: government, business, education, faith community, health care, media, voluntary agencies, priority populations, and the general public. Response rate = 15%. Source: Association of State and Territorial Directors of Health Promotion and Public Health Education

10. Culturally Appropriate and Linguistically Competent Health Promotion Programs, 1996-1997 Percent Obj. 7-11 Cancer Environmental Health Family Planning Heart disease/Stroke HIV Immunization/ID Maternal & Infant Health Mental Health Nutrition & Overweight Occupational Safety Oral Health Physical Activity STDs Substance Abuse Tobacco Abuse Note: Data include only those local health departments whose jurisdiction has a minority racial or ethnic group that constitutes more than 10 percent of its population. Culturally appropriate and linguistically competent programs are programs adapted to address cultural differences and special language needs of racial/ethnic minorities. Response Rate = 88%. Source: National Profile of Local Health Departments, NACHHO. 2010 Target 0203040 50 10 60

11. Older Adult Participation in Community- Based Health Promotion Activities, 1998 HispanicWhiteBlack Total Age-adjusted percent 2010 Target Asian Obj. 7-12 Less than high school High school graduate At least some college Note: Data are for ages 65 years and over, age adjusted to the 2000 standard population. Asian includes Pacific Islanders. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Persons reported one or more races and identified one race as best representing their race. I = 95% confidence interval. Data include persons 65 years and over who reported that they participated in an exercise class or attended a presentation on health topics in the past 12 months. Source: National Health Interview Survey, (NHIS), CDC, NCHS.

12. Progress review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm