healthy people 2010 focus area 12: heart disease and stroke progress review – april 23, 2003
TRANSCRIPT
Healthy People 2010 Focus Area 12: Heart Disease and Stroke
Healthy People 2010 Focus Area 12: Heart Disease and Stroke
Progress Review – April 23, 2003Progress Review – April 23, 2003
• Mortality
• Knowledge
• Risk factors
Heart Disease and StrokeChapter Framework
• Disparities» Race / ethnicity» Gender» Age» Geographic location» Socioeconomic
factors» Health status /
behaviors
• Trends
• Early intervention
0
100
200
300
400
1980 19901985 20001995
Coronary Heart Disease
Coronary Heart Disease and Stroke Death Rates, 1980-2000
Age-adjusted rate per 100,000
0
100
200
300
400
1980 19901985 20001995
Stroke
Coronary Heart Disease
Coronary Heart Disease and Stroke Death Rates, 1980-2000
Age-adjusted rate per 100,000
0
100
200
300
400
1980 19901985 20001995
Stroke
Coronary Heart Disease
CHD 2010 target
Stroke 2010 target
Coronary Heart Disease and Stroke Death Rates, 1980-2000
Age-adjusted rate per 100,000
Coronary Heart Disease Death Rates, 2000
0
50
100
150
200
250
TotalBla
ck, N
ot
Hispan
ic
Hispan
ic
Asian
or
Pac
ific Is
lande
r
Amer
ican
India
n
or Ala
ska
Nativ
e
White
, Not
Hispan
ic Mal
e
Femal
e
2010target
Age-adjusted rate per 100,000
0.4
0.6
0.8
1.0
1.2
1.4
Coronary Heart Disease Death Rates, 2000Relative Risk
Black, NotHispanic
Hispanic
Asian or Pacific Islander
American Indianor Alaska Native
White, NotHispanic
Male
Female
Relative risk compared to the total population
GreaterRisk
LessRisk
Coronary Heart Disease Deaths by Health Service Area, 1996-98
Coronary Heart Disease Deaths by Health Service Area, 1996-98
Stroke Death Rates, 2000
0
20
40
60
80
100
TotalBla
ck, N
ot
Hispan
ic
Hispan
ic
Asian
or
Pac
ific
Isla
nder
Amer
ican
India
n
or Ala
ska
Nativ
e
White
, Not
Hispan
ic Mal
e
Femal
e
2010target
Age-adjusted rate per 100,000
Smoothed County Stroke Death Rates:Adults 35 and Older, 1991-98
CVD Risk Factors
2010 targetBaseline Most recent
Age-adjusted percent
Obesity Currentsmoker
Moderateactivity
Adults
Overweight Currentsmoker
Moderateactivity
Adolescents
0
10
40
20
30
50Percent
Serum Cholesterol Levels > 240 mg/dL,
Adults 20 and Older
Total MexicanAmerican
Black, NotHispanic
White, NotHispanic
2010 target
0
5
10
15
20
25
Age-adjusted percent
Female Male Female Male Female Male Female Male
1988-94 1999-2000
Hypertension Prevalence in Adults,1999-2000
0
5
10
15
20
25
30
35
40
45
Total Black, NotHispanic
MexicanAmerican
White, NotHispanic
Age-adjusted percent
High schoolgraduate
Less thanhigh school
At leastsome college
2010 target
20 years and older 25 years and older
0
10
40
20
30
50
60
70
80
90
TotalBla
ck, N
ot
Hispan
ic
Hispan
ic
Asian
or
Pac
ific
Isla
nder
Amer
ican
India
n
or Ala
ska
Nativ
e
White
, Not
Hispan
ic
Age-adjusted percent
CVD Knowledge:Adults 20 and Older, 2001
Stroke knowledge
TotalBla
ck, N
ot
Hispan
ic
Hispan
ic
Asian
or
Pac
ific
Isla
nder
Amer
ican
India
n
or Ala
ska
Nativ
e
White
, Not
Hispan
ic
Heart attack knowledge(including 911)
0
200
400
600
800
1000
1999 2025
21%
29%724
883
Proportiondue to
diabetes
Heart Disease Deaths (thousands)
Projected Increase in Total Heart Disease Deaths Related to Increased Diabetes
Prevalence
» 12-3: Artery-opening therapy
» 12-5: Out of hospital emergency care
» 12-16: LDL-cholesterol level in CHD patients
Developmental Objectives
Progress review data and slidescan be found on the web at:
http://www.cdc.gov/nchs/hphome.htmhttp://www.cdc.gov/nchs/hphome.htm
0
5
10
15
20
25
30
35
40
45
Total Black, Not Hispanic White, Not Hispanic Mexican American
Obesity in Adults 20 and Older
1988-94 1999-2000
2010 target
Age-adjusted percent
» 12-11: Action to help control blood pressure
» 12-12: Blood pressure monitoring
» 12-15: Blood cholesterol screening
2003 NHIS Planned Updates
(Data available in 2004)
0
100
200
300
400
1980 19901985 20001995
Stroke
Coronary Heart Disease
CHD 2010 target
Stroke 2010 target
Coronary Heart Disease and Stroke Death Rates, 1980-2000
Age-adjusted rate per 100,000