Appendix A
Healthy People 2010 in Indiana
Healthy People 2010: National Health Promotion and Disease Prevention Objectives was introduced to the American public in 1999 by the Department of Health and Human Services. This release of information grew out of a health strategy initiated in 1979 from a series of reports to the Surgeon General’s office concerning the condition of national health. These documents included a series of comprehensive goals and objectives to be met by the year 2000. These goals and objectives concerned disease prevention and health promotion in the United States, which would allow communities and states to begin to address major health concerns.
Over a twenty-year
period, much in the United States has changed regarding the status of the
nation’s health. There have been changes in demographics among families, age
groups, racial and ethnic populations, and the workforce. Infant mortality has
decreased and some childhood infectious diseases have been completely
eliminated. During the 1990s, declines in death rates for heart disease,
stroke, and unintentional injuries were noted. It is certain that progress in
many areas of disease prevention and health promotion has been observed over
the years; yet, much remains undone. Some of the changes leading to the
progress which has been made thus far can be directly attributed to reductions
in risk factors and changes in specific behaviors which have been monitored
since the beginning of Healthy People 2000.
As stated in Healthy People 2010: "The challenge for the 21st century is twofold. First we must ensure that this rate of advancement continues unabated. Second, we must make certain that all Americans benefit from advancements in quality of life, regardless of their age, race, ethnicity, gender, sexual orientation, disability status, income, education level, or geographic location. These challenges are substantial, but with the objectives defined by Healthy People 2010, they are achievable… Above all, it (Healthy People 2010) demands that all of us work together, using both traditional and innovative approaches, to help the American public achieve the 10-year targets defined by Healthy People 2010."
The Behavioral Risk Factor Surveillance survey assesses the status of many of the challenges outlined in Healthy People 2010. The survey examines some of the changes in social, behavioral, and economic environments experienced in Indiana.
Objective |
Healthy
People 2010 |
2001 |
Indiana |
2001 |
HP 19.1 |
Increase the proportion of adults who are at a healthy weight to 60% (18.5<=BMI<25.0) |
38.7% |
(37.1, 40.2) |
41.1% |
HP 27-1a |
Reduce cigarette smoking to a prevalence of no more than 12% of adults |
27.6% |
(26.2, 28.9) |
23.0% |
HP 3-13 |
Increase to at least 70% the proportion of women age 40 and older who have received a mammogram within the preceding two years |
85.7% |
n/a |
Not available at this time |
HP 22.1 |
Reduce the proportion of adults who engage in no leisure time physical activity to 20% |
27.5% |
(26.1, 28.8) |
24.4% |
HP 3-11a |
Increase to at least 97% the proportion of women age 18 and older with uterine cervix who have ever received a Pap test |
94.9% |
(93.9, 95.8) |
95.2% |
HP 14.29a,b |
Increase the proportion of non-institutionalized adults age 65+ who are vaccinated annually against influenza and ever vaccinated against pneumococcal disease to 90% |
66.3% Flu 61.2% Pneum. |
(63.1, 69.4) |
68.4% Flu 62.9% Pneum. |
1U.S.. Department of Health and Human
Services. Healthy People 2010: Understanding and Improving Health. 2nd
ed. Washington, DC: U.S. Government Printing Office, November 2000. Notes: * BRFSS data only include adults age 18 and older. |