Transcript HealthyPeople2010

HEALTHY PEOPLE 2010
Objectives for Improving Health
Richard Harvey, Ph.D.
VA National Center for Health Promotion and
Disease Prevention
(NCP)
Healthy People 2010

Released in late January 2000 by the
then Surgeon General, Dr. David
Satcher
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.
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.
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

Central Goals for Healthy
People 2010
 INCREASE
the quality and
years of healthy life
 Eliminate
health disparities
Years of Life

Our life expectancy (M=72.5; F=78.9)
is below that of at least 18 other
countries.
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.
Health-Related Quality of Life
• “Years of healthy life” estimates the
average number of days spent in less
than optimal health.
Health Disparities

Health status is currently different
depending upon:

Age, gender, race, ethnicity, income,
education, geographic location,
disability, and sexual orientation.
“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.
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%
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%
Overweight & Obesity

“Reduce the proportion of children
and adolescents who are overweight
or obese” (1994 data) from:
11%
to
5%
Overweight & Obesity

“Reduce the proportion of adults
who are obese” (1994 data) from:
23%
to
15%
Tobacco Use

“Reduce cigarette smoking by
adolescents” (1997 data) from:
36%
to
16%
Tobacco Use

“Reduce cigarette smoking by adults”
(1997 data) from:
24%
to
12%
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%
Substance Abuse

“Reduce the proportion of adults using
any illicit drug during the past 30 days”
(1997 data) from:
6%
to
3%
Substance Abuse

“Reduce the proportion of adults
engaging in binge drinking of alcoholic
beverages during the past month” (1997
data) from:
16%
to
6%
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%
Responsible Sexual
Behavior

“Increase the proportion of sexually
active persons who use condoms” (1995
data) from:
23%
to
50%
Mental Health

“Increase the proportion of adults with
recognized depression who receive
treatment” (1997 data) from:
23%
to
50%
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
Injury and Violence

“Reduce homicides” (1997 data) from:
7.2 per 100,000 people
to
3.2 per 100,000 people
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%
Environmental Quality

“Reduce the proportion of nonsmokers
exposed to environmental tobacco
smoke” (1994 data) from:
65%
to
45%
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%
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)
90%
to
Access to Health Care

“Increase the proportion of persons with
health insurance” (1997 data) from:
86%
to
100%
Access to Health Care

“Increase the proportion of persons who
have a specific source of ongoing care”
(1997 data) from:
86%
to
96%
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%
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
Focus Areas

Cancer

Chronic Kidney Disease

Diabetes

Disability & Secondary Conditions
Focus Areas

Educational & Community-Based
Programs

Environmental Health

Family Planning
Focus Areas

Food Safety

Health Communication

Heart Disease & Stroke

HIV
Focus Areas

Immunization & Infectious Diseases

Injury & Violence Prevention

Maternal, Infant, & Child Health

Medical Product Safety
Focus Areas

Mental Health & Mental Disorders

Nutrition & Overweight

Occupational Safety & Health

Oral Health
Focus Areas

Physical Activity & Fitness

Public Health Infrastructure

Respiratory Diseases

Sexually Transmitted Diseases
Focus Areas

Substance Abuse

Tobacco Use

Vision & Hearing
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.
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.
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!
How Can I Get the Report?

It is available on the web at:
www.health.gov.healthypeople/
or call
1-800-367-4725
May You Enjoy
Good Health
and
Happiness