# Presentation: 227031

## Using DATA2010 to Measure Progress for Steps to a HealthierUS

- Rachel L. Steinfeld
- Richard Klein, MPH
- National Center for Health Statistics, CDC

## Overview

- DATA2010 database
*Steps to a* *Healthier**US* measures

## Slide 3

## Measures for Steps to a HealthierUS

**Addressing Lifestyle Choices**
**Poor Nutrition**
- School health education – Unhealthy dietary patterns
- Breastfeeding – early postpartum, at 6 months, and at 1 year
- Fruit, vegetable, grain, and total fat intake
**Physical Inactivity**
- School health education – Inadequate physical activity
- No leisure-time physical activity
- Moderate and/or vigorous physical activity
- Physical education requirements in schools
- Participation in daily physical education in schools
**Tobacco Use**
- Cigarette smoking (age 18 years and over)
- Smoking cessation attempts by adults
- Environmental tobacco smoke at home among Nonsmokers
**Youth Risk Taking**
- Health-risk behavior information for colleges and university students

## Measures for Steps to a HealthierUS

**Reducing the Burden of Disease**
**Diabetes**
- Number of new cases
- Prevalence
- Proportion diagnosed
- A1C test twice a year
- Annual eye, foot, and dental exam
**Obesity**
- Obesity in adults
- Overweight or obesity in children & adolescents
**Asthma**
- Hospitalization for asthma
- Emergency department visits for asthma
- Activity limitations among persons with asthma
- School or work days lost due to asthma
- Patient education among persons with asthma
- Appropriate asthma care
**Cancer * **
**Heart Disease and Stroke ***
-        * Measures have not yet been selected

## Accessing DATA2010

- A number of paths to:
- _[http://wonder.cdc.gov/data2010](http://wonder.cdc.gov/data2010)_
- _[http://www.healthypeople.gov/](http://www.healthypeople.gov/)_
- _[http://www.cdc.gov/nchs/hphome.htm](http://www.cdc.gov/nchs/hphome.htm)_
- _http://www.healthierus.gov/steps/data.html_
- Other links

## Slide 8

## Slide 9

## Slide 10

## Slide 11

## Slide 14

## Slide 15

## Slide 16

## Slide 17

## Steps to A HealthierUS

- Obesity
- Diabetes
- Physical Inactivity
- Asthma
- Smoking

## Adult Obesity*, 1985

- * BMI  30, or ~ 30 lbs overweight

- Source: Mokdad AH, et al. *J Am Med Assoc* 1999;282:16.

**Obj. 19-02**

## Adult Obesity*, 1990

- * BMI  30, or ~ 30 lbs overweight

- Source: Mokdad AH, et al. *J Am Med Assoc* 1999;282:16.

**Obj. 19-02**

## Adult Obesity*, 1995

- * BMI  30, or ~ 30 lbs overweight

- Source: Mokdad AH, et al. *J Am Med Assoc* 1999;282:16.

**Obj. 19-02**

## Adult Obesity*, 2000

- * BMI  30, or ~ 30 lbs overweight

- Source: Mokdad AH, et al. *J Am Med Assoc* 1999;282:16.

**Obj.**** ****19-02**

## Obesity and Diabetes

**Obesity and Diabetes**

**Age-adjusted percent **

- * BMI  30, Obesity data for 1976-80 are for ages 20-74.

**Age-adjusted rate per**
**1,000 standard population**

**Obesity**

**Diabetes**

**Diabetes**

**Obesity**

**(1976-80)**

**(1988-94)**

**(1999-2000)**

**(all ages)**

**(20+ years)**

**Obj. 5-02, 19-02**

- Source: Diabetes: National Health Interview Survey (NHIS), CDC, NCHS; Obesity: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS.

## No leisure-time physical activity

**0**

- I = 95% confidence interval
-  *Can be of any race.
- Source: CDC, NCHS, National Health Interview Survey.

**Age-adjusted percent**

**2010**
**Target**

**30**

**40**

**10**

**20**

**All ages 18 and over**

**White, non-Hispanic **

**Female**

**Hispanic/Latino***

**Male**

**Black, non-Hispanic **

**1997**

**2001**

**50**

**60**

**Obj. 22-01**

## Emergency department visits for asthma, 1998-2000

**Visits per 10,000 population**

**Children under 5 years**

**Persons 5 to 64 years **

**Persons 65 and older **

- Source: National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS

**2010 Target**

**Total**

**Female**

**Male**

**Black**

**White**

**Obj. 24-3 a, b, c**

- I = 95% confidence interval
- Data for Hispanics, American Indians/Alaska Natives, Asians and Pacific Islanders are statically unreliable.

## Current Cigarette Smoking

**Percent**

**2010 Target: Students**

**Students (grades 9-12)**

**Adults (18 and older)**

**2010 Target: Adults**

**1970**

**1975**

**1980**

**2000**

**1965**

**1985**

**1990**

**1995**

- Notes: Data for adults are age-adjusted to the 2000 standard population.
- Current Smoking: Adults-every/some days (and have smoked at least 100 cigarettes), Students: 1+ day/past month.

- Sources: Adults, National Health Interview Survey (NHIS), NCHS, CDC.  Students, Youth Risk Behavior Surveillance System (YRBSS), NCCDPHP, CDC.

**Obj. 27-1,2**

## Current Cigarette Smoking, Price and Tax:Students (12th Grade)

**Dollars**

**Mean excise tax on a pack of cigarettes**

**Current smoking**

**Real price per pack**

**Current smoking **

**Percent**

- *Current cigarette smoking: Have smoked at least once in the past 30 days. ** Real price is Consumer Price Index-adjusted national average retail price.
- Real price and mean excise tax per pack of cigarettes adjusted for inflation.
- Sources:  Original analysis/slide prepared by the ImpacTeen Project.  Estimated prices for the period covered by the survey data are based on the 11/01 price
- for each year reported by Orzechowski and Walker, adjusted for changes in state and federal cigarette taxes and trends in the non-tax component of price.
- Price data from: Orzechowski W, Walker RC.  The tax burden on tobacco: historical compilation 2001. Arlington, Virginia: Orzechowski and Walker, 2002.
- Smoking prevalence data from:  Monitoring the Future Study, NIH, NIDA. Tax data from: The Tax Burden on Tobacco, The Tobacco Institute.

**Obj. 27-1,2**

## Websites

- Steps to a Healthier US
- _[http://](http://www.healthierus.gov/steps/)__[www.healthierus.gov](http://www.healthierus.gov/steps/)__[/steps/](http://www.healthierus.gov/steps/)__data/_
- DATA2010
- _[http://wonder.cdc.gov/data2010/](http://wonder.cdc.gov/data2010/)_