Appendix A

 

Healthy People 2020 in Indiana

Background:

Healthy People is a set of goals and objectives with 10-year targets designed to guide national health promotion and disease prevention efforts to improve the health of all people in the United States.  Released by the U.S. Department of Health and Human Services each decade, Healthy People reflects the idea that setting objectives and providing science-based benchmarks to track and monitor progress can motivate and focus action.  Healthy People 2020 represents the fourth generation of this initiative, building on a foundation of three decades of work.

Over a 30-year period, much has changed in the United States regarding the status of the nationís 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.

Healthy People is used as a tool for strategic management by the federal government, states, communities, and many other public- and private-sector partners.  Its comprehensive set of objectives and targets is used to measure progress for health issues in specific populations, and serves as (1) a foundation for prevention and wellness activities across various sectors and within the federal government, and (2) a model for measurement at the state and local levels. [Source:  Healthy People 2020]

The Behavioral Risk Factor Surveillance survey assesses the status of many of the challenges outlined in Healthy People 2020. The survey examines some of the changes in social, behavioral, and economic environments experienced in Indiana.

Progress:

Objective
Number

Healthy People 2020
Objective

2015
Indiana
BRFSS
Prevalence

Indiana
95% C.I.

2015
National
BRFSS
Median

NWS-8

Increase the proportion of adults ages 20 and over who are at a healthy weight to 33.9% (18.5<=BMI<25.0)

31.3%

(29.5-33.1)

Prevalence will be posted when available from CDC.

TU-1.1

Reduce cigarette smoking among adults aged 18 years and older to 12%

20.6%*

(18.8-22.4)

Prevalence will be posted when available from CDC.

PA-1

Reduce the proportion of adults who engage in no leisure time physical activity to 32.6%

29.4%

(27.6-31.2)

Prevalence will be posted when available from CDC.

AHS-1

Increase the proportion of adults age 18-64 years with health insurance to 100%

86.0%

(84.2-87.8)

Prevalence will be posted when available from CDC.

IID-12.7

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

61.3%

(58.4-64.2)

Prevalence will be posted when available from CDC.

Sources:
1U.S. Department of Health and Human Services. Healthy People 2020 Washington, DC: U.S. Government Printing Office, December 2010.

Note:
*BRFSS data include adults aged 18 and older.