# Presentation: 349366

## Healthy People 2010 Focus Area 12: Heart Disease and Stroke

- Progress Review – April 23, 2003

## Heart Disease and Stroke

- Knowledge

- Risk factors

**Heart Disease and Stroke**
**Chapter Framework**

- Disparities
- Race / ethnicity
- Gender
- Age
- Geographic location
- Socioeconomic factors
- Health status / behaviors

- Trends

-  Early intervention

**Notes:**
Important enough to include...but not baseline data.

NHLBI committed to measuring

## Coronary Heart Disease and Stroke Death Rates, 1980-2000

- 1980

- 1990

- 1985

- 2000

- 1995

- Coronary Heart Disease

**Coronary Heart Disease and Stroke Death Rates, 1980-2000**

**Age-adjusted rate per 100,000**

## Coronary Heart Disease and Stroke Death Rates, 1980-2000

- 1980

- 1990

- 1985

- 2000

- 1995

- Stroke

- Coronary Heart Disease

**Coronary Heart Disease and Stroke Death Rates, 1980-2000**

**Age-adjusted rate per 100,000**

## Coronary Heart Disease and Stroke Death Rates, 1980-2000

- 1980

- 1990

- 1985

- 2000

- 1995

- Stroke

- Coronary Heart Disease

**CHD 2010 target**

**Stroke 2010 target**

**Coronary Heart Disease and Stroke Death Rates, 1980-2000**

**Age-adjusted rate per 100,000**

## Coronary Heart Disease Death Rates, 2000

**Coronary Heart Disease Death Rates, 2000**

**Total**

**Black, Not**
**Hispanic**

**Hispanic**

- Asian or
-  Pacific Islander

**American Indian**
**or Alaska Native**

**White, Not**
**Hispanic**

**Male**

**Female**

**2010**
**target**

**Age-adjusted rate per 100,000**

## Coronary Heart Disease Death Rates, 2000Relative Risk

**Coronary Heart Disease Death Rates, 2000****Relative Risk**

**Black, Not**
**Hispanic**

**Hispanic**

**Asian or**
** ****Pacific Islander**

**American Indian**
**or Alaska Native**

**White, Not**
**Hispanic**

**Male**

**Female**

**Relative risk compared to the total population**

**Greater**
**Risk**

**Less**
**Risk**

## Coronary Heart Disease Deaths by Health Service Area, 1996-98

**Coronary Heart Disease Deaths by Health Service Area, 1996-98**

## Stroke Death Rates, 2000

**Stroke Death Rates, 2000**

**Total**

**Black, Not**
**Hispanic**

**Hispanic**

**Asian or**
** ****Pacific Islander**

**American Indian**
**or Alaska Native**

**White, Not**
**Hispanic**

**Male**

**Female**

**2010**
**target**

**Age-adjusted rate per 100,000**

## Smoothed County Stroke Death Rates:Adults 35 and Older, 1991-98

**Smoothed County Stroke Death Rates:****Adults 35 and Older, 1991-98**

**Notes:**
AIAN gap between highest and lowest quintiles is 5fold,  but only 2fold for us as a whole.  Greatest of all groups

North-south trend.  

If wanted to plan a program aimed at NA,  would miss this trend if looked only at the map for all persons.

## CVD Risk Factors

**CVD Risk Factors**

**Baseline**

**Most recent**

**Age-adjusted percent**

**Overweight**

**Current**
**smoker**

**Moderate**
**activity**

**Adolescents**

**0**

**10**

**40**

**20**

**30**

**50**

**Percent**

## Serum Cholesterol Levels > 240 mg/dL,

**Serum Cholesterol Levels **_**>**_** 240 mg/dL,**
**Adults 20 and Older**

**Total**

- Mexican
- American

- Black, Not
- Hispanic

- White, Not
- Hispanic

**2010**
** ****target**

**Age-adjusted percent**

**1988-94**

**1999-2000**

## Hypertension Prevalence in Adults,

**Hypertension Prevalence in Adults,**
**1999-2000**

**Age-adjusted percent**

**2010**
** ****target**

## CVD Knowledge:

**Age-adjusted percent**

**CVD Knowledge:**
**Adults 20 and Older, 2001**

**Stroke knowledge**

**Heart attack knowledge**
**(including 911)**

## Projected Increase in Total Heart Disease Deaths Related to Increased Diabetes Prevalence

**Proportion**
**due to**
**diabetes**

**Heart Disease Deaths (thousands)**

**Projected Increase in Total Heart Disease Deaths Related to Increased Diabetes Prevalence**

**Notes:**
Important enough to include...but not baseline data.

NHLBI committed to measuring

## 12-3: Artery-opening therapy

12-5: Out of hospital emergency care

12-16: LDL-cholesterol level in CHD patients 

- 12-3: Artery-opening therapy
- 12-5: Out of hospital emergency care
- 12-16: LDL-cholesterol level in CHD patients

**Developmental Objectives**

**Notes:**
Important enough to include...but not baseline data.

NHLBI committed to measuring

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

**can be found on the web at:**

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

## Slide 18

## Obesity in Adults 20 and Older

**Total**

- Black, Not Hispanic

- White, Not Hispanic

- Mexican American

**Obesity in Adults 20 and Older**

**1988-94**

**1999-2000**

**2010**
** ****target**

**Age-adjusted percent**

**Notes:**
Important enough to include...but not baseline data.

NHLBI committed to measuring

## 12-11: Action to help control blood pressure

12-12: Blood pressure monitoring

12-15: Blood cholesterol screening

- 12-11: Action to help control blood pressure
- 12-12: Blood pressure monitoring
- 12-15: Blood cholesterol screening

**2003 NHIS Planned Updates**

**(Data available in 2004)**

**Notes:**
Updates to baseline data collected in 1998 Healthy People supplement.

12-12 had an update in 1999 periodic chronic disease module

## Coronary Heart Disease and Stroke Death Rates, 1980-2000

- 1980

- 1990

- 1985

- 2000

- 1995

- Stroke

- Coronary Heart Disease

**CHD 2010 target**

**Stroke 2010 target**

**Coronary Heart Disease and Stroke Death Rates, 1980-2000**

**Age-adjusted rate per 100,000**