# Presentation: 820423

## Focus Area 07:Educational and Community-Based ProgramsProgress ReviewRichard J. KleinNational Center for Health StatisticsDecember 9, 2008

## Education level is a powerful predictor of physical/mental health and longevity.
Schools can play a critical role in providing information, tools, and practical strategies to help students adopt healthy lifestyles. 
Community health promotion programs have improved health, reduced health disparities, and supported communities to reverse risk factor trends for obesity and chronic disease.

- Education level is a powerful predictor of physical/mental health and longevity.
- Schools can play a critical role in providing information, tools, and practical strategies to help students adopt healthy lifestyles.
- Community health promotion programs have improved health, reduced health disparities, and supported communities to reverse risk factor trends for obesity and chronic disease.

## Highlighted Objectives

**7-1****	****High school completion**

**Highlighted Objectives**

**7-2 ****	****School health education, Healthy People ****	****priority areas**
**	****a. All areas****	****	****f. ****Alcohol & other drug use**
**	****b. ****Unintentional injury**** ****	****g. Unintended pregnancy/HIV/AIDS**
**	****c. Violence****	****	****h. Unhealthy diet**
**	****d. ****Suicide****	****	****	****i. Inadequate physical activity**
**	****e.**** ****Tobacco****	****	****j. Environmental health**
**	**
**	**

- Improving

- *Percent of targeted progress achieved is between -10% and 10% or not statistically significant.

- Little or no change*

- Target met

## High School Completion

**Obj. 7-1**

- I = 95% confidence interval. Note:** **Data are for adults aged 18 to 24 years not enrolled in grades 7-12 who report that they have received a high school diploma or its equivalent.  Prior to 2003, respondents were asked to select one race category; selecting more than one race was not an option.  Black, white, and Asian/Pacific Islander exclude persons of Hispanic origin. Persons of Hispanic origin may be of any race. There are no 1998 data for 2 or more races.
- Source: National Household Education Survey (NHES), U.S. Department of Education.

**Percent**

**Asian/**
**Pacific Islander**

**White**

**1998**

**2006**

**High School Completion**

**Hispanic**

**2010 Target: 90**

**Black**

**Total**

**2 or more**
**races**

## High School Completion

**Not Hispanic**

- I = 95% confidence interval. Note:** **Data are for adults aged 18 to 24 years not enrolled in grades 7-12 who report that they have received a high school diploma or its equivalent.  First generation is defined as one or both parents born outside the U.S.  Second generation is defined as both parents born in the U.S.  Source: National Household Education Survey (NHES), U.S. Department of Education.

**Percent**

**Born **
**outside US**

**First**
**generation**

**High School Completion**
**and Recency of Immigration, 2006**

**Second **
**generation+**

**Hispanic**

## Self-assessed Health Status, 2007

- I = 95% confidence interval.
- Note: Data are for people aged 25 years and older, January – September. Data are age-adjusted to the 2000 US Standard population.** **
- Source: National Health Interview Survey, NCHS, CDC

**Percent**

**Good**

**Excellent/very good**

**Self-assessed Health Status, 2007**

**Fair/poor**

**< High school**

**High school**

**Some college**

**College graduate**

## Adults With Negative Mood 

- I = 95% confidence interval.** **
- Note: Data are for people aged 25 and older who answered “all of the time” or “most of the time” to separate questions about how often
- in the past 30 days they felt hopeless, worthless, or that everything is an effort.  Data are from January – September, 2007.
- Estimates are age-adjusted to the 2000 standard population.  Source: National Health Interview Survey, NCHS, CDC.

**Percent**

**Worthless**

**Patient Perception of **
**Provider Communication Skills **

**Hopeless**

**Adults With Negative Mood **
**in the Past Month, 2007**

**Everything is an effort**

**< High school**

**High school**

**Some college**

**College graduate**

## Schools that Require Teaching 

- I = 95% confidence interval.
- Note:** **Data are for middle and senior high schools.
- Source: School Health Policies and Programs Study (SHPPS), NCCDPHP, CDC.

**Obj. 7-2 a-e**

**Percent**

**Unintentional **
**injury**

**Violence**

**1994**

**2006**

**Patient Perception of **
**Provider Communication Skills **

**Target: 83**

**Suicide**

**All priority **
**areas**

**Target: 90**

**Target: 80**

**Target: 95**

**Schools that Require Teaching **
**of Health Topics**

**Tobacco**

**Target: 80**

## School Health Education

- I = 95% confidence interval.
- Note:** **Data are for middle and senior high schools. *Environmental health data were not collected in 2006.
- Source: School Health Policies and Programs Study (SHPPS), NCCDPHP,  CDC.

**Obj. 7-2, f-j**

**Percent**

**1994**

**2006**

**Patient Perception of **
**Provider Communication Skills **

**Target: 95**

**Target: 80**

**School Health Education**

**Target: 90**

**Unintended pregnancy/ HIV/AIDS**

**Alcohol &**
** ****other drugs**

**Unhealthy diet**

**Inadequate**
** ****physical **
**activity**

**Environmental health**

- *

## School Nurse-to-Student Ratio

- I = 95% confidence interval. Note:** **Data are for schools which have at least 1 nurse for each 750 students.
- Elementary school baseline is 2000, others are 1994.
- Source: School Health Policies and Programs Study (SHPPS), NCCDPHP, CDC.

**Percent**

**School Nurse-to-Student Ratio**

**2006**

**Baseline**

**High schools**

**Middle schools**

**Elementary**
**schools**

**Obj. 7-4 b-d**

**Target: 50**

**Target: 48**

**Target: 50**

## Most States and Territories address two or more areas (97% in 2006 and 2007)
Two AI/AN tribes receive block grant funding:
Kickapoo tribe has program in Substance Abuse
Santee Sioux tribe has program in Access to Health Care

**Most States and Territories address two or more areas (97% in 2006 and 2007)**
**Two AI/AN tribes receive block grant funding:**
**Kickapoo tribe has program in Substance Abuse**
**Santee Sioux tribe has program in Access to Health Care**

- Source: Block Grant Reporting System, CDC, NCCDCHP

**Obj. 7-10**

## Educational and Community-Based Programs Objectives

- b. Unintentional injury	h. Alcohol & other drug
- c. Violence		i. Unhealthy diet
- d. Suicide		j. Inadequate physical activity
- e. Tobacco		k. Environmental health

**Educational and Community-Based Programs Objectives**

- 7-3.  Health risk behavior information for
-         college and university students

- Getting worse

- Baseline only

- Target met

- Improving

- Little or no change*

- Note: *Percent of targeted progress achieved is between -10% and 10% or not statistically significant.

- 7-1. High school completion

- 7-2. School health education

- 7-4. School nurse-to-student ratio
-         a. Middle and senior	      c. Middle
-         b. Senior	      d. Elementary

- 7-5. Worksite health promotion programs

- 7-6. Participation in employer-sponsored
-        health promotion activities

** **

**Measurable objectives**

- 7-10. Community health programs addressing HP2010 areas

**Objectives deleted at midcourse**

- 7-7. Patient and family education
- 7-8. Satisfaction with patient education
- 7-9. Hospital and managed care sponsorship of community health promotion

**Objectives with no continuing data **
**source**

- 7-11. Culturally appropriate and linguistically competent community health promotion programs
- 7-12. Older adult participation in community health promotion activities

## High school completion is improving for all groups
School health education improving in some areas, no change in most areas 
School nurse to student ratio improving; target met for middle schools
Community health promotion programs based on Healthy People 2010 areas are widespread
Increasingly difficult to measure progress

**High school completion is improving for all groups**
**School health education improving in some areas, no change in most areas **
**School nurse to student ratio improving; target met for middle schools**
**Community health promotion programs based on Healthy People 2010 areas are widespread**
**Increasingly difficult to measure progress**

## Acknowledgements

**Susan Schneider**
**Public Health Analyst**
**CDC/National Center for Health Statistics**
**sah4@cdc.gov**
- Contributors:
- Samara Lorenz, HRSA
- Audrey Williams, CDC
- Ellis Davis, ODPHP
- Elizabeth Jackson, CDC

## http://www.cdc.gov/nchs/hphome.htm

**Progress review data and slides**
**are available on the web at:**

**http://www.cdc.gov/nchs/hphome.htm**