# Presentation: 726250

## HEALTHY PEOPLE 2010

**Objectives for Improving Health**
**Richard Harvey, Ph.D.**
**VA National Center for Health Promotion and Disease Prevention**
**(NCP)**

**Notes:**
Today we will talk about the Healthy People 2010 initiative which details public health goals for improving the health of our nation by the year 2010.

## Healthy People 2010

- Released in late January 2000 by the then Surgeon General, Dr. David Satcher

**Notes:**
The Healthy People 2010 plan is a massive public health plan to improve the health of all Americans by targeting specific health behaviors and health-related situations of concern. The plan is contained in two very large volumes, and includes 467 specific objectives within 28 focus areas. It was released in January of 2000 by the Surgeon General Dr. David Satcher.   We will review a number of the more prominent areas today.

## History of HEALTHY PEOPLE 2010

**1979- “Healthy People:  The Surgeon General’s Report on Health Promotion and Disease Prevention”**
**1980- “Promoting Health/Preventing Disease:  Objectives for the Nation”-    226 targeted health objectives.**

**Notes:**
Health People 2010 was preceded by a 1979 report entitled Healthy People:  The Surgeon General’s Report on Health Promotion and Disease Prevention.  A report in 1980 called “Promotion Health/Preventing Disease:  Objectives for the Nation listed 226 public health targets. 

## History of HEALTHY PEOPLE 2010

**1990- “Healthy People 2000:  National Health Promotion and Disease Prevention Objectives”- numerous objectives in 22 focus areas.**
**2000- “Healthy People 2010” - 467 objectives in 28 focus areas.**

**Notes:**
In 1990 Healthy People 2000 was published, and included hundreds of objectives within 22 focus areas.  Healthy People 2010 was even bigger, with 467 objectives spread through 28 focus areas.

## How Healthy People 2010 came to be

**A massive effort beginning in 1997**
**The Healthy People Consortium - includes 350 national organizations & 250 public health agencies**
**Coordinated by the Office of Disease Prevention & Health Promotion, US Dept. Health & Human Services**

**Notes:**
Self explanatory slide

## Central Goals for Healthy People 2010

**INCREASE the **_**qualit**_**y and **_**years**_** of healthy life**
**Eliminate health disparities**

**Notes:**
These are two major goals overarching the focus areas.

## Years of Life

**Our life expectancy (M=72.5; F=78.9) is below that of at least 18 other countries.**

**Notes:**
There is concern expressed that in spite of all the medical advances, money spent on medical care, and health knowledge in this country, our life expectancy is not what one might expect. 

## Health-Related Quality of Life

**Measured by:**
**Peoples’ “global assessment” of their health as “poor”, “fair”, “good”, “very good”, or “excellent”**
**“****Healthy days” estimates the number of days of poor physical or mental health in the last 30 days vs. days absent of poor physical or mental health.**

**Notes:**
Focusing on health-related quality of life, Healthy People 2010 used several measures to estimate this.  

## Health-Related Quality of Life

**“****Years of healthy life” estimates the average number of days spent in less than optimal health.**

**Notes:**
This measure reflected the average amount of time spent in less than optimal health due to chronic or acute limitations compared to overall life expectancy.

## Health Disparities

**Health status is currently different depending upon: **
**  **
**Age, gender, race, ethnicity, income, education, geographic location, disability, and sexual orientation.**

**Notes:**
Disparities in health status and health care was an important aspect of Healthy People 2010, with the goal being to eliminate health disparities by 2010.

## “Leading Health Indicators”

**These are general categories of health activities which relate to the more specific objectives, because they contribute to those areas.**
**These indicators will be monitored.**

**Notes:**
Certain critical areas were selected to be monitored as “Leading Health Indicators”.  We will cover those areas as we proceed.

## Physical Activity

- “**Increase the proportion of adolescents who engage in vigorous physical activity that promotes cardiorespiratory fitness 3 or more days per week for 20 or more minutes per occasion”  ****(1997 data)  ****from:**

**64%  to  85%**

**Notes:**
Self explanatory slide

## Physical Activity

**“****Increase the proportion of adults who engage regularly, preferably daily, in moderate physical activity for at least 30 minutes per day”  ****(1997 data)****  from:**
**15%  ****to****  30%**

**Notes:**
Self explanatory slide

## Overweight & Obesity

**“****Reduce the proportion of children and adolescents who are overweight or obese” ****(1994 data)**** from:**
**11%  ****to****  5%**

**Notes:**
Needless to say, these data are old and we know that the prevalence of overweight and obesity in children and adolescents has so far gone nowhere but up, although there is at least a great deal of awareness of that fact and actions are being initiated to address the problem.

## Overweight & Obesity

**“****Reduce the proportion of adults who are obese”  ****(1994 data)****  from:**
**23%  ****to****  15%**

**Notes:**
The same issue applies here.  The prevalence of adult obesity has risen rapidly and exceeds 30% by a wide margin at this time (2006).  Similarly, there are initiatives ongoing to address this, such as the VA’s MOVE! program.

## Tobacco Use

- “Reduce cigarette smoking by adolescents” **(1997 data)**  from:
**36%  ****to****  16%**

**Notes:**
Self explanatory slide

## Tobacco Use

- “Reduce cigarette smoking by adults”  **(1997 data)**  from:
**24%  ****to****  12%**

**Notes:**
We know this is currently going in the right direction, but still has a long way to go.

## Substance Abuse

- “Increase the proportion of adolescents NOT using alcohol or any illicit drugs during the past 30 days”  **(1997 data)**  from:
**77%  ****to****  89%**

**Notes:**
Self explanatory slide

## Substance Abuse

- “Reduce the proportion of adults using any illicit drug during the past 30 days” **(1997 data)**  from:
**6%  ****to****  3%**

**Notes:**
Self explanatory slide

## Substance Abuse

- “Reduce the proportion of adults engaging in binge drinking of alcoholic beverages during the past month” **(1997 data)**  from:
**16%  ****to****  6%**

**Notes:**
Self explanatory slide

## Responsible Sexual Behavior

- “Increase the proportion of adolescents who abstain from sexual intercourse or use condoms if sexually active” **(1997 data)**  from:
**85%  ****to****  95%**

**Notes:**
Self explanatory slide

## Responsible Sexual Behavior

- “Increase the proportion of sexually active persons who use condoms” **(1995 data)**  from:
**23%  ****to****  50%**

**Notes:**
Self explanatory slide

## Mental Health

- “Increase the proportion of adults with recognized depression who receive treatment” **(1997 data)**  from:
**23%  ****to****  50%**

**Notes:**
Self explanatory slide

## Injury and Violence

- “Reduce deaths caused by motor vehicle crashes” **(1997 data)**   from:
**15.8 per 100,000 people **
** ****to****  **
**9 per 100,000 people**

**Notes:**
Self explanatory slide

## Injury and Violence

- “Reduce homicides” **(1997 data)**   from:
- 7.2 per 100,000 people
- to
- 3.2 per 100,000 people

**Notes:**
Self explanatory slide

## Environmental Quality

- “Reduce the proportion of persons exposed to air that does not meet the U.S. Environmental Protection Agency’s health based standards for ozone” **(1997 data)**  from:
**43% **** to****  0%**

**Notes:**
An admirable, if extremely difficult or impossible to reach, goal.

## Environmental Quality

- “Reduce the proportion of nonsmokers exposed to environmental tobacco smoke” **(1994 data)  from:**
**65%  ****to****  45%**

**Notes:**
The 2006 Surgeon Generals Report on the Health consequences of Involuntary Exposure to Tobacco Smoke should go a long ways toward achievement of this goal.

## Immunization

- “Increase the proportion of young children who receive all vaccines that have been recommended for universal administration for at least 5 years” **(1998 data)**  from:
**73%  ****to****  80%**

**Notes:**
Self explanatory slide

## Immunization

- “Increase the proportion of noninstitutionalized adults who are vaccinated annually against influenza and ever against pneumococcal disease” **(1998 data)  from:**
**63%**** (flu)  &  ****43%**** (pneumovax)  to**
**90%**

**Notes:**
Self explanatory slide

## Access to Health Care

- “Increase the proportion of persons with health insurance” **(1997 data)**  from:
**86%  ****to****  100%**

**Notes:**
This is one of the areas of health disparities that is of concern.

## Access to Health Care

- “Increase the proportion of persons who have a specific source of ongoing care” **(1997 data)**  from:
**86%  ****to****  96%**

**Notes:**
Same issue here related to health care disparities.

## Access to Health Care

- “Increase the proportion of pregnant women who begin prenatal care in the first trimester of pregnancy” **(1997 data)**  from:
**83%  ****to****  90%**

**Notes:**
Self explanatory slide

## Focus Areas

- A total of 467 specific objectives are included, in 28 focus areas, as follows:
- Access to Quality Health Services
- Arthritis, Osteoporosis, & Chronic Back conditions

**Notes:**
Here are the 28 focus areas

## Focus Areas

- Cancer
- Chronic Kidney Disease
- Diabetes
- Disability & Secondary Conditions

**Notes:**
Self explanatory slide

## Focus Areas

- Educational & Community-Based Programs
- Environmental Health
- Family Planning

**Notes:**
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## Focus Areas

- Food Safety
- Health Communication
- Heart Disease & Stroke
- HIV

**Notes:**
Self explanatory slide

## Focus Areas

- Immunization & Infectious Diseases
- Injury & Violence Prevention
- Maternal, Infant, & Child Health
- Medical Product Safety

**Notes:**
Self explanatory slide

## Focus Areas

- Mental Health & Mental Disorders
- Nutrition & Overweight
- Occupational Safety & Health
- Oral Health

**Notes:**
Self explanatory slide

## Focus Areas

- Physical Activity & Fitness
- Public Health Infrastructure
- Respiratory Diseases
- Sexually Transmitted Diseases

**Notes:**
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## Focus Areas

- Substance Abuse
- Tobacco Use
- Vision & Hearing

**Notes:**
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## How Will This All Come to Be?   What Can We Do?

- Public awareness - we must go forth & spread the word.
- We must incorporate the relevant prevention & health improvement goals into our professional practices.

**Notes:**
So, here we are.  What can we do to advance these objectives?

## How Will This All Come to Be?   What Can We Do?

- We must support and encourage applicable research.
- We must encourage & reinforce public policy which supports these objectives.

**Notes:**
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## How Will This All Come to Be?   What Can We Do?

- We must all work together on improving the health of our nation’s people.
- Perhaps most importantly, we must personally practice what we preach!

**Notes:**
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## How Can I Get the Report?

**It is available on the web at:**
- www.health.gov.healthypeople/
- or call
- 1-800-367-4725

**Notes:**
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## May You Enjoy

- Good Health
- and
- Happiness

**Notes:**
Thank you for your attention.  Questions?