Appendix A
Healthy People 2000 in Indiana
Healthy People 2000: National Health Promotion and Disease Prevention Objectives
was introduced to the American public in September of 1990 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 ten-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 ethic populations, and the workforce. Infant mortality has decreased and some childhood infectious diseases have been completely eliminated. During the 1980s, significant 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 2000: "The challenge of Healthy People 2000 is to use the combined strength of scientific knowledge, professional skill, individual commitment, community support, and political will to enable people to achieve their potential to live full, active lives." Each individual is charged with an obligation to contribute to the effort of improving the nation’s health profile. To meet the nation’s challenges, we must look to a united effort from every level of our society so that these challenges can be met.
The Behavioral Risk Factor Surveillance survey assesses the status of many of the challenges outlined in Healthy People 2000. The survey examines some of the changes in social, behavioral, and economic environments experienced in Indiana.
|
Objective |
Healthy People 2000 |
2000 |
Indiana |
2000 |
|
HP 2.3 |
Reduce overweight to a prevalence of no more than 20% of people age 20 and older* *** |
58.4% |
(56.3, 60.4) |
57.1% |
|
HP 3.4 |
Reduce cigarette smoking to a prevalence of no more than 15% of adults age 20 and older* |
26.9% |
(25.1, 28.7) |
23.2% |
|
HP 16.11 |
Increase to at least 80% the proportion of women age 40 and older who have received both a mammogram and a clinical breast exam (CBE) |
20.4% |
(17.6, 23.2) |
18.1% |
|
HP 16.11 |
Increase to at least 60% the proportion of women age 50 and older who have received both a clinical breast exam and a mammogram within the past 2 years |
35.5% |
(31.6, 39.4) |
28.9% |
|
HP 16.12 |
Increase to at least 95% the proportion of women age 18 and older with uterine cervix who have ever received a Pap test |
5.7% |
(3.9, 7.6) |
5.1% |
|
HP 16.12 |
Increase to at least 85% the proportion of women age 18 and older with uterine cervix who have ever received a Pap test within the last 3 years |
15.3% |
(12.9, 17.7) |
13.2% |
|
HP 17.11 |
Reduce diabetes prevalence to no more than 2.5% |
6.0% |
(5.1, 7.0) |
6.1% |
|
1 Public Health Services. Healthy People 2000: National Health Promotion and Disease Prevention Objectives-full report with commentary. Washington, C.C.: U.S. Department of Health and Human Services, 1991.Notes: * BRFSS data only include adults age 18 and older. |
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