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Healthy People 2020: Preparing for a New Decade


Healthy People 2020: Preparing for a New Decade Geri Tebo Office of Disease Prevention and Health Promotion, HHS January 20, 2011 Overview of Health Disparities ... – PowerPoint PPT presentation

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Title: Healthy People 2020: Preparing for a New Decade

Healthy People 2020 Preparing for a New Decade
Geri Tebo Office of Disease Prevention and Health
Promotion, HHS January 20, 2011
What is Healthy People?
  • National agenda that communicates a vision,
    mission and overarching goals, supported by topic
    areas and specific objectives for improving the
    populations health.

Aligned Effort Strategic
Healthy People Aligns Strategic Public Health
Goals and Efforts Across the Nation
Non-Aligned Effort

Random Acts of Innovation
Healthy People
Evolution of Healthy People
39 Topic areas with objectives
Key Features of Healthy People
  • Creates a comprehensive strategic framework
    uniting health promotion and disease prevention
    issues under a single umbrella.
  • Requires tracking of data-driven outcomes to
    monitor progress and to motivate, guide, and
    focus action.
  • Engages a network of multi-disciplinary,
    multi-sectoral stakeholders at all levels.
  • Guides national research on public health.
  • Establishes accountability requiring all PHS
    grants to demonstrate support of Healthy People

Healthy People 2010 Pros and Cons
  • Strengths
  • Collaboration and consensus
  • Diverse users
  • Public access to data via internet
  • Science- and evidence-based
  • Data-driven measurable objectives with targets
  • Challenges
  • Encyclopedic approach versus targeted effort
  • Data source funding and development
  • Implementation plan
  • Technical assistance

Healthy People Federally Led, Stakeholder Driven
HHS Secretarys Advisory Committee
State Local Governments (50 state coordinators)
National-level Stakeholders, including members of
the Healthy People Consortium (2,200
Community-Based Organizations, Community Health
Clinics, Social Service Organizations, etc.
Individuals, Families, Neighborhoods across
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Healthy People 2020 Mission
  • Healthy People 2020 strives to
  • Identify nationwide health improvement
  • Increase public awareness and understanding of
    determinants of health, disease, disability and
    opportunities for progress
  • Provide measurable objectives and goals
    applicable at national, state, and local levels
  • Engage multiple sectors to take actions to
    strengthen policies and improve practices driven
    by best available evidence and knowledge
  • Identify critical research, evaluation, and data
    collection needs.

Healthy People 2020 New Topic Areas
  • Life stages
  • Adolescent Health, Early and Middle Childhood,
    Older Adults
  • Blood disorders and Blood Safety
  • Dementia, including Alzheimer's Disease
  • Genomics
  • Global Health
  • Healthcare-Associated Infections
  • LGBT Health
  • Preparedness
  • Health-Related Quality of Life and Well-being
  • Sleep Health
  • Social Determinants of Health

Overview of Health Disparities
  • Achieve health equity, eliminate disparities, and
    improve the health of all groups.
  • Definition a particular type of health
    difference that is closely linked with social,
    economic, and/or environmental disadvantage

For all Americans, other influences on health
include the availability of and access to
  • A high-quality education
  • Nutritious food
  • Decent and safe housing
  • Affordable, reliable public transportation
  • Culturally sensitive health care providers
  • Health insurance
  • Clean water and nonpolluted air

Disparities by race and ethnicity
  • African Americans and American Indians/Alaska
    Natives have higher rates of infant mortality and
  • A higher percentage of Asian Americans live in
    poverty than do non-Hispanic whites.
  • Native Hawaiians/Other Pacific Islanders have
    much higher rates of cancer and hepatitis.
  • Hispanics have higher rates of obesity, HIV/AIDS,
    and smoking.

Disparities by gender
  • Women have higher rates of obesity, arthritis,
    osteoporosis, some mental disorders, and
    autoimmune diseases, such as lupus and multiple
    sclerosis than men.
  • Women, especially those in their childbearing
    years, continue to be the fastest growing segment
    of the population to be infected with HIV or
    diagnosed with AIDS. An estimated 25 percent of
    people living with HIV in the United States are
  • Because women can experience the symptoms of a
    heart attack differently than men, they may be
    misdiagnosed, or women may not realize they are
    having a heart attack until it is too late.

Disparities by gender
  • More men die from heart disease, cancer,
    influenza and pneumonia, chronic liver disease,
    diabetes, and AIDS than women.
  • More men die prematurely from violence (homicide
    and suicide) and accidents than women.
  • Men abuse alcohol and drugs at higher rates than
  • More men than women smoke tobacco.
  • Men are more likely to delay routine checkups and
    ignore symptoms of a health problem than women.

Lesbian, Gay, Bisexual, and Transgender
  • LGBT youth are 2 to 3 times more likely to
    attempt suicide.
  • LGBT youth are more likely to be homeless.
  • Lesbians are less likely to get preventive
    services for cancer.
  • Elderly LGBT individuals face additional barriers
    to health because of isolation and a lack of
    social services and culturally competent
  • LGBT populations have some of the highest rates
    of tobacco use

Persons With Disabilities or Special Health Care
  • Adults with disabilities are more likely to be
    obese or overweight and have high blood pressure
    and high cholesterol than other adults.
  • The rates of substance abuse among people with
    disabilities are about 2 to 4 times greater than
    that of the general population.
  • Research has shown that women with disabilities
    have a higher risk for emotional, physical, and
    sexual abuse than do women without disabilities.

Geographic Location Rural Residents
  • Rural residents face a number of barriers in
  • accessing quality health services, and they
    experience significant health disparities.
    Compared with their urban counterparts, rural
    residents were more likely to
  • Report being in fair to poor health
  • Live with a chronic disease such as diabetes
  • Die from heart disease
  • Be admitted to a hospital for uncontrolled

Geographic Location Urban Residents
  • Concentrated poverty
  • Higher levels of indoor and outdoor pollution,
    such as noise and air pollution from motor
    vehicle traffic and industry, and indoor exposure
    to allergens, carcinogens, and lead
  • Overcrowding, leading to higher rates of
    infectious diseases

Healthy People 2020 Online
  • Vision Create an engaging, user-centered Web
    site that gives new and existing users of Healthy
    People a platform to learn, collaborate, plan,
    and implement strategies to reach the 2020

Healthy People 2020 Online
Healthy People 2020 Online
Healthy People 2020 Online
Healthy People 2020 Online
Healthy People 2020 link to Data Warehouse
  • Health Indicators Warehouse (HIW)
  • contains national, state and community health
    data plus data on successful interventions by
    indicator. Will include data never previously
    released, and will be delivered in a structured,
    standardized, machine-readable, easily accessible
    way, free of charge and intellectual property

Health Indicators Warehouse Available
  • Will include
  • HP 2020 data
  • CMS data
  • MATCH data
  • CHSI

Healthy People 2020 Looking Ahead
  • Spring 2011
  • Healthy People 2010 Final Report - Fall 2011
  • Healthy People Users Conference - Spring 2012
  • Continued development of implementation plan and

Healthy People 2020
  • Office of Disease Prevention and Health Promotion
  • US Department of Health and Human Services
  • Email