Table of Contents

Appendix A

Healthy People 2010 in Indiana

Background:

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 the nation's 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 20-year period, much has changed in the United States 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 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 to be done. Some of the changes leading to the progress 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.

Progress:

Objective
Number

Healthy People 2010
Objective

2006
Indiana
BRFSS
Prevalence

Indiana
95% C.I.

2006
National
BRFSS
Median

HP 19-1

Increase the proportion of adults aged 20 years and older who are at a healthy weight to 60% (18.5<=BMI<25.0)

37.6%*

(36.1-39.2)

37.0%*

HP 27-1a

Reduce cigarette smoking among adults aged 18 years and older to a prevalence of no more than 12%

27.3%

(25.9-28.7)

20.6%

HP 22-1

Reduce the proportion of adults who engage in no leisure time physical activity to 20%

26.9%

(25.6-28.2)

23.8%

HP 14-29a,b

Increase the proportion of non-institutionalized adults aged 65+ who are vaccinated annually against influenza and ever vaccinated against pneumococcal disease to 90%

64.0% Flu

(61.0-67.0)

65.7% Flu

65.3%
Pneumonia

(62.3-68.3)

65.9%
Pneumonia

Sources:
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 include adults aged 18 and older.

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