# Presentation: 521081

## Slide 1

## 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

**1979** -	*Healthy People: The Surgeon General’s **	**Report on Health Promotion and Disease **	**Prevention*
**1980 **-	*Promoting Health/Preventing Disease:**	**Objectives for the Nation*
**1990 **-	*Healthy People 2000: National Health *
*	**	**Promotion and Disease Prevention Objectives*
**2000*** -**	**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 2010*
- www.health.gov/healthypeople
- 1-800-367-4725

## 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 2010

- Increase quality and years of healthy life
- Eliminate health disparities

## Healthy People 2010

- Two overarching goals
- 28 focus areas (chapters)

## Healthy People 2010 Chapters

- Access to Quality Health Services
- Arthritis, Osteoporosis, and Chronic Back Conditions
- Cancer
- Chronic Kidney Disease
- Diabetes
- Disability and Secondary Conditions

- (Continued)

## Healthy People 2010 Chapters

- Educational and Community-Based Programs
- Environmental Health
- Family Planning
- Food Safety
- Health Communication
- Heart Disease and Stroke
- HIV

- (Continued)

## Healthy People 2010 Chapters

- Immunization and Infectious Diseases
- Injury and Violence Prevention
- Maternal, Infant, and Child Health
- Medical Product Safety
- Mental Health and Mental Disorders
- Nutrition and Overweight
- Occupational Safety and Health

- (Continued)

## Healthy People 2010 Chapters

- Oral Health
- Physical Activity and Fitness
- Public Health Infrastructure
- Respiratory Diseases
- Sexually Transmitted Diseases
- Substance Abuse
- Tobacco Use
- Vision and Hearing

## Healthy People 2010

- Two overarching goals
- 28 focus areas
- 467 specific objectives

## Example Objectives

- 27-10. 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 baseline__	__17.8_
- _American Indian or Alaska Native__	__DSU_
- _Asian or Pacific Islander__	__12.8_
- _Black or African American__	__52.3_
- _White__	__13.3_
- _Hispanic or Latino__	__16.4_
- _2010 target__	__9.0_

- 1998 data – rates per million

## Elimination of Disparities (Continued)

- 24-1d.  Reduce asthma deaths. (adults aged 35 to 64 years)
- _National baseline__	__17.8_
- _Female__	__22.3_
- _Male__	__13.0_
- _Less than high school education__	__31.0_
- _High school graduate__	__22.9_
- _At least some college__	__9.3_
- _2010 target__	__9.0_

- 1998 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

- Physical activity
- Overweight and obesity
- Tobacco use
- Substance abuse
- Responsible sexual behavior

- Mental health
- Injury and violence
- Environmental quality
- Immunization
- 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 1997.
- 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/m2 or more; overweight is a BMI of 25 kg/m2 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 15-49 years will be collected in 2003.
- Sources: Centers for Disease Control and Prevention. Youth Risk Behavior Survey. 1999. Centers for Disease Control and Prevention, National Center for Health Statistics. National Survey of Family Growth. 1995.

## 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. 1998.

## 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. 1997. 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:
- www.health.gov/healthypeople/implementation/consortium

## 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 2010
- www.health.gov/healthypeople

## Office of Disease Prevention and Health Promotion

- U.S. Department of Health and Human ServicesHubert H. Humphrey Building, Room 738G
- 200 Independence Avenue, S.W.
- Washington, DC 20201
- http://odphp.osophs.dhhs.gov

## Contact Information

*Your Name *
*Title*
*Organization*
- Telephone	(###) ### – ####
- E-mail  you@yourorganization.org