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health health Presentation Transcript

  • Healthy People 2010 Focus Area 12: Heart Disease and Stroke Progress Review – April 23, 2003
    • Mortality
    • Knowledge
    • Risk factors
    Heart Disease and Stroke Chapter Framework
    • Disparities
      • Race / ethnicity
      • Gender
      • Age
      • Geographic location
      • Socioeconomic factors
      • Health status / behaviors
    • Trends
    • Early intervention
  • Coronary Heart Disease and Stroke Death Rates, 1980-2000 1980 1990 1985 2000 1995 Coronary Heart Disease Age-adjusted rate per 100,000
  • Coronary Heart Disease and Stroke Death Rates, 1980-2000 1980 1990 1985 2000 1995 Stroke Coronary Heart Disease 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 Age-adjusted rate per 100,000
  • 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 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
  • 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
  • CVD Risk Factors Baseline Most recent Age-adjusted percent Overweight Current smoker Moderate activity Adolescents 0 10 40 20 30 50 Percent 2010 target Obesity Current smoker Moderate activity Adults
  • 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 Female Male Female Male Female Male Female Male
  • Hypertension Prevalence in Adults, 1999-2000 Age-adjusted percent 2010 target Total Black, Not Hispanic Mexican American White, Not Hispanic High school graduate Less than high school At least some college 20 years and older 25 years and older
  • Age-adjusted percent CVD Knowledge: Adults 20 and Older, 2001 Stroke knowledge Heart attack knowledge (including 911) 0 10 40 20 30 50 60 70 80 90 Total Black, Not Hispanic Hispanic Asian or Pacific Islander American Indian or Alaska Native White, Not Hispanic Total Black, Not Hispanic Hispanic Asian or Pacific Islander American Indian or Alaska Native White, Not Hispanic
  • Proportion due to diabetes Heart Disease Deaths (thousands) Projected Increase in Total Heart Disease Deaths Related to Increased Diabetes Prevalence 21% 29% 724 883
    • 12-3: Artery-opening therapy
    • 12-5: Out of hospital emergency care
    • 12-16: LDL-cholesterol level in CHD patients
    Developmental Objectives
  • http://www.cdc.gov/nchs/hphome.htm Progress review data and slides can be found on the web at:
  •  
  • Total Black, Not Hispanic White, Not Hispanic Mexican American Obesity in Adults 20 and Older 1988-94 1999-2000 2010 target Age-adjusted percent
    • 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)
  • Coronary Heart Disease and Stroke Death Rates, 1980-2000 1980 1990 1985 2000 1995 Stroke Coronary Heart Disease CHD 2010 target Stroke 2010 target Age-adjusted rate per 100,000