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Healthy Gente 2010: History and Health Measures

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Title: Healthy Gente 2010: History and Health Measures


1
Healthy Gente 2010 History and Health Measures
  • Sam Notzon
  • National Center for Health Statistics

2
Topics to Cover
  • Background information
  • Statistical considerations
  • History of Healthy Gente
  • Health measures

3
Dangers of Statistical Analysis
  • In a recent study of the effects of a new chicken
    food
  • 33.3 gained weight
  • 33.3 lost weight
  • the other chicken ran away.
  • (Source anonymous reporter)

4
Statistical Issues
  • Small number problem
  • Racial and ethnic identification

5
(No Transcript)
6
U.S. Counties Included in Border Region
2000 Population
55.1 million 6.6 million
7
Population trends in U.S.-Mexico border 1970-2020
Population in millions
Projections
8
Distribution of the population by specified
race/ethnicity United States, 2000
Percent
American Indian/ Alaska Native, non-Hispanic
Black/African American, non-Hispanic
Hispanic/Latino
White, non-Hispanic
Asian/Native Hawaiian and Other Pacific
Islander, non-Hispanic
Persons of Hispanic/Latino origin may be any
race. Source Census 2000 Summary File 1,
U.S.Bureau of the Census.
9
(No Transcript)
10
(No Transcript)
11
Percent of population that is Hispanic/LatinoUni
ted States and ten States with largestproportion
of Hispanic/Latino residents, 2000
Selected States
Percent
Source Census 2000 Summary File 1, U.S.Bureau
of the Census.
12
(No Transcript)
13
American Indian/Alaskan Native population, 1990
and 2000
( 110)
Number in millions
(25)
2000 AIAN Or Combination
1990
2000 AIAN alone
Source Census 2000 Summary File 1, U.S.Bureau of
the Census.
14
SocioeconomicDifferentials
15
Percent with education less than 9 years,United
States 2000
Source 2000 Census, United States
16
Percent with education less than 9 years,United
States 2000
Source 2000 Census, United States.
17
Percent with no telephone access,United States
2000
Source 2000 Census, United States.
Projections
18
Per capita income, United States 1999
Source 2000 Census, United States.
Projections
19
Health Disparities
20
Medically Underserved Border Counties, 1998
Underserved Border Counties
Entire County
Portion
Not Underserved
Source HRSA.
21
Death rates by cause, US border counties, 2000
Rate per 100,000
Note Rates are age-adjusted to the US 2000
population.
Source NCHS/CDC.
22
Death rates by cause, US border counties, 2000
Rate per 100,000
Note Rates are age-adjusted to the US 2000
population.
Source NCHS/CDC.
23
Communicable Diseases, US border
  • Disease rates by ethnicity not currently
    available, but Hispanic excesses have been
    documented for
  • Hepatitis A
  • Brucellosis
  • Shigellosis
  • Tuberculosis
  • Others

24
US-Mexico Border Health CommissionHealthy
Border/Healthy Gente Program
25
Healthy Border/Healthy Gente Program Timeline
  • 1998 First meeting of Design Team and birth of
    Healthy Gente concept
  • Jan. 2000 US Section Commissioners appointed
  • Jan. 2000 HG objectives finalized, presented at
    launch conference for Healthy People 2010
  • Nov. 2000 HG workshop, S. Padre Island
  • Mar. 2001 Second meeting of Commission US
    Mexico agree to Healthy Border Program

26
Healthy Border/Healthy Gente Program
  • Program of health education and health promotion
  • Establishes priority health objectives for the
    border region
  • Healthy Gente Program based on U.S. Healthy
    People 2010 Program
  • Healthy Border Program combines Healthy Gente
    objectives with Mexicos Indicadores de
    Resultados Program

27
Healthy Border/Healthy Gente Objectives
  • Focus attention on key health issues
  • Improve allocation of health resources
  • Coordinate public and private action
  • Inspire ownership of objectives
  • Achieve objectives through
  • coordinated program activities
  • community projects

28
Selection Criteria
  • Key health issues for border
  • Measurable objectives
  • Limited number
  • Compatible with federal and state objectives

29
Healthy Border/Healthy Gente Program
  • 25 Healthy Gente objectives
  • 20 Healthy Border objectives

30
Access to Care
  • 25 percent reduction in persons lacking access
    to primary care provider in
    underserved areas

31
Medically Underserved Border Counties
Underserved Border Counties
Entire County
Portion
Not Underserved
32
Cancer
  • Reduce breast cancer death rate by 20 percent
  • Reduce cervical cancer death rate by 30 percent

33
Breast Cancer1998-2000
34
Border Breast Cancer Death Rates
Healthy Gente Goal
?20
35
Diabetes
  • Reduce diabetes death rate by 10 percent
  • Reduce hospital admissions for diabetes by 25
    percent

36
Diabetes Mortality1998-2000
Source NCHS, CDC age-adjusted to US 2000
population
37
Border Diabetes Death Rate
Healthy Gente Goal
?10
38
Environment
  • All countries will meet or exceed EPA air
    quality standards
  • All households will be connected to public
    sewage systems or septic tanks
  • Reduce hospitalization for acute pesticide
    poisoning by 25 percent

39
Border Counties and EPA Air Quality Standards
Compliance Status
Not in Compliance
In Compliance
40
HIV
  • Reduce adolescent and adult HIV cases by 50
    percent

41
Border HIV Incidence Rate
Healthy Gente Goal
?50
Source State Health Departments of Arizona, New
Mexico, Texas.
42
Immunizations and Infectious Diseases
  • Reduce incidence of hepatitis A and hepatitis B
    by 50 percent
  • Reduce incidence of tuberculosis by 50 percent
  • Raise and maintain immunization coverage rate at
    90 percent

43
Border Hepatitis A and B Rates
Healthy Gente Goal
?50
Source State Health Departments of Arizona,
California, New Mexico, Texas.
44
Injury/Violence Prevention
  • Reduce motor vehicle crash deaths by 25
    percent
  • Reduce childhood death rate due to
    unintentional injuries by 30 percent

45
Motor Vehicle Crash Deaths1998-2000
Source NCHS, CDC rates age-adjusted to US 2000
population
46
Border Motor Vehicle Death Rate
Healthy Gente Goal
?25
47
Maternal and Child Health
  • Reduce infant mortality rate by 15 percent.
  • Reduce infant mortality rate due to all birth
    defects by 30 percent
  • Raise first trimester prenatal care initiation
    to 85 percent
  • Reduce young teen pregnancy rate by 33 percent

48
Initiation of Prenatal Carein First Trimester,
2000
Source NCHS, CDC
49
Border Prenatal Care in First Trimester
Healthy Gente Goal
Source NCHS/CDC.
50
Mental Health
  • Reduce suicide death rate by 15 percent

51
Suicide Mortality1998-2000
Source NCHS, CDC rates are age-adjusted to the
US 2000 population.
52
Border Suicide Death Rate
Healthy Gente Goal
?15
53
Nutrition and Overweight
  • Reduce the proportion of adults who are obese to
    15 percent

54
Proportion Obese,1988-94
Percent
Source NCHS, CDC
55
Oral Health
  • 75 percent of population served by
    flouridated community water systems
  • 75 percent of children and adults use oral
    health care system each year

56
Respiratory Diseases
  • Reduce asthma hospitalization rate by 40 percent

57
Substance Abuse
  • Reduce the number of alcohol-related motor
    vehicle crash deaths by 50 percent
  • Increase to 89 percent the proportion of
    teenagers not using alcohol or any illicit
    drugs in past 30 days

58
Alcohol-Related Motor Vehicle Crash Deaths, 1998
BAC 0.01Alcohol Related
Source NHTSA, DOT.
59
BAC 0.01 Border Alcohol-Related Motor Vehicle
Crash
Percent
Healthy Gente Goal
  • 50

Percentage
60
Tobacco Use
  • Reduce teen and adult tobacco use by one-third

61
Cigarette Use in Past MonthAdolescents 12-17
Years of Age, USA
Source SAMHSA
62
Additional Statistical Resources
63
Additional Statistical Resources
  • Hospitalization/morbidity data
  • Asthma, diabetes Hospital discharge data files
    from each state
  • Pesticide poisoning State poison control
    centers
  • Risk factor information (obesity, smoking, drug
    use, health insurance, dental care)
  • Border Binational RFSS - 2005
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