Healthy People 2010 Progress Reviews Leda G. Gurley, MPH Tamyra Garcia, MPH National Center for Health Statistics
Presentation Outline • Purpose and Value of Progress Reviews • HP2010 Reviews • Focus Areas • Key Players • Materials posted on the Web • Summary report, data table, charts, etc. • Data highlights • Charts & figures from selected Progress Reviews
Purpose • Brief the Assistant Secretary for Health (ASH) on progress toward achieving the HP2010 goals and objective targets for a selected focus area • Opportunity to: • Review data for all objectives in the focus area • Identify data gaps • Look in-depth at data for selected objectives • Examine progress toward objective targets and identify successful strategies for replication • Discuss barriers to achieving the 2010 targets
Value of Progress Reviews • Promote collaboration between the various Federal agencies responsible for monitoring and improving the health of the nation • Identify critical public health issues • Objectives moving away from the 2010 target • Objectives with substantial disparities • Emerging areas not included in HP2010 • Drive data collection and analysis by identifying data gaps • Drive new policy or policy changes • Keep the national objectives at the forefront of the federal public health agenda
Healthy People 2010 • 28 Focus Areas • Each reviewed 2 times • Schedule • Round 1: June 2002 – October 2004 • Break: Midcourse Review • Round 2: Began in June 2006
Healthy People 2010 Focus Areas 1. Access to Quality Health Services 2. Arthritis, Osteoporosis & Chronic Back Conditions 3. Cancer 4. Chronic Kidney Disease 5. Diabetes 6. Disability and Secondary Conditions 7. Educational and Community-Based Programs 8. Environmental Health 9. Family Planning 10. Food Safety 11. Health Communication 12. Heart Disease and Stroke 13. HIV 14. Immunization and Infectious Diseases
Healthy People 2010 Focus Areas 15. Injury and Violence Prevention 16. Maternal, Infant, and Child Health 17. Medical Product Safety 18. Mental Health & Mental Disorders 19. Nutrition and Overweight 20. Occupational Safety and Health 21. Oral Health 22. Physical Activity and Fitness 23. Public Health Infrastructure 24. Respiratory Diseases 25. Sexually Transmitted Diseases 26. Substance Abuse 27. Tobacco Use 28. Vision and Hearing
Key players • Assistant Secretary for Health (OS) • Chairs the Progress Review • Suggests follow-up “action steps” • Office of Disease Prevention & Health Promotion (OS) • Responsible for overall coordination of Progress Reviews • Interface between focus area workgroups and ASH • Establishes schedule and policies for Progress Reviews • Publishes post-Review summary reports on the internet • Focus Area Lead Agencies (DHHS, DoEd, USDA) • Serve as program and subject-area experts during Progress Review • Outline barriers, challenges, and strategies for meeting objectives
Key players • Cross-cutting offices and agencies: • Serve as special population experts during Progress Review • Provide input into format & content of Progress Review materials Offices and agencies include: • Office of the Surgeon General (OS) • Office of the Assistant Secretary for Planning & Evaluation (OS) • Office of the Assistant Secretary for Public Affairs (OS) • Office on Women’s Health (OS) • Office on Minority Health (OS) • Office on Disability (OS) • Administration on Aging (DHHS) • National Center for Health Statistics (CDC, DHHS) • Data coordinator and liaison to Focus Area workgroup • Produce data table and charts/graphs for distribution • Brief Center Director on data issues, gaps
Materials • Comprehensive data table (NCHS) • Baseline & update data for all measurable objectives in the Focus Area • PowerPoint charts & graphs (NCHS) • Point-in-time and trend data illustrating progress toward target attainment and disparity elimination for selected objectives • Strategies & Barriers Summary (Lead Agencies) • Summary of challenges, barriers, and strategies for achieving the HP2010 targets & goals
Adult Obesity Decrease desired 60 40 20 0 1988-94 2003-06 2010 Target: 15% Percent Mexican American Mexican American White Black White Black Female Male Note: I= 95% confidence interval. Data are for ages 20 years and over, and age adjusted to the 2000 standard population. Obesity is defined as BMI ≥ 30.0. Respondents were asked to select only one race prior to 1999. For 1999 and later years, respondents were asked to select one or more races. For all years, the categories black and white include persons who reported only one racial group and exclude persons of Hispanic origin.Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC. Obj. 19-2
Recommended Levels of Physical Activity 60+ min/5-7 days Female 6-11 years 12-15 years 16-19 years Male 6-11 years 12-15 years 16-19 years 30+ min/5-7 days Female 16-19 years 20-59 years 60+ years Male 16-19 years 20-59 years 60+ years 0 10 20 30 40 50 60 Percent Note: Adherence: for ages 6–19 years - 60 or more minutes of moderate- or greater-intensity activity on 5 of 7 days; for ages 16 years and older – 30 or more minutes of moderate- or greater-intensity activity on 5 of 7 days, accumulated in 10-min “bouts.” I = 95% confidence interval. Source: Troiano, RP, et al. Physical Activity in the United States Measured by Accelerometer. Medicine & Science in Sports & Exercise. 2008, 40(1): 181-188. National Health and Nutrition Examination Survey (NHANES), NCHS, CDC.
Chronic Obstructive Pulmonary Disease Death Rates, 2003-2005 2010 Target: 62.3 Rates per 100,000 population Rates are unreliable 46.7 – 104.6 137.7 – 157.3 123.8 – 137.6 157.4 – 250.9 104.7 – 123.7 Note: Data are for ICD-10 codes J40-J44. Data are for ages 45 year and older and are age-adjusted to the 2000 standard population.Legend represents quintiles of the rates. Rates are calculated by health service area.Rates are per 100,000 population. SOURCE:National Vital Statistics System—Mortality, CDC, NCHS.