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A Public Health Action Plan to Prevent Heart Disease and Stroke

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Appendix B: National Goals and Objectives

The matrix in this appendix matches the Healthy People 2010 objectives most pertinent to heart disease and stroke with the four goals identified by the Healthy People 2010 Heart and Stroke Partnership. These goals are based on Chapter 12, Heart Disease and Stroke, of Healthy People 2010. In addition to the 16 objectives listed in this chapter,48 objectives in other chapters could, if addressed, help to achieve the four goals.

  Goal 1
Prevention of risk factors		 Goal 2
Detection and treatment of risk factors		 Goal 3
Early detection and treatment of heart attacks and strokes		 Goal 4
Prevention of recurrent cardiovascular events
Objectives from Chapter 12, Heart Disease and Stroke
12–1 Coronary heart disease (CHD) deaths X X X X
12–2 Knowledge of symptoms of heart attack and importance of calling 911 (D*)     X  
12–3 Artery–opening therapy (D)     X  
12–4 Bystander response to cardiac arrest (D)     X  
12–5 Out–of–hospital emergency care (D)     X  
12–6 Heart failure hospitalizations       X
12–7 Stroke deaths X X X X
12–8 Knowledge of early warning symptoms of stroke (D)     X X
12–9 High blood pressure  X X   X
12–10 High blood pressure control   X   X
12–11 Action to help control blood pressure   X   X
12–12 Blood pressure monitoring X X    
12–13 Mean total blood cholesterol levels  X X   X
12–14 High blood cholesterol levels X X   X
12–15 Blood cholesterol screening  X X   X
12–16 LDL–cholesterol level in CHD patients (D)       X
Objectives from Chapter 1, Access to Quality Health Services
1–3 Counseling about health behaviors  X X X X
1–7 Core competencies in health provider training (D)  X X X X
1–10 Delay or difficulty in getting emergency care (D)      X  
1–11 Rapid prehospital emergency care (D)     X  
Objectives from Chapter 4, Chronic Kidney Disease
4–2 Cardiovascular (CVD) deaths in persons with chronic kidney failure      X X
Objectives from Chapter 5, Diabetes
5–2 New cases of diabetes  X      
5–4 Prevent diabetes  X      
5–7 Cardiovascular deaths in persons with diabetes  X  X  X  X
Objectives from Chapter 7, Educational and Community–Based Programs
7–2 School health education  X X X X
7–5 Worksite health promotion programs  X X X X
7–8 Satisfaction with patient education (D)  X X X X
7–10 Community health promotion programs (D)  X X X X
7–11 Culturally appropriate community health promotion  X X X X
7–12 Older adult participation in community health promotion activities X X X X
Objectives from Chapter 11, Health Communication
11–1 Households with Internet access  X X X X
11–2 Health literacy (D) X      
11–4 Quality of Internet health information sources  X X X X
11–6 Satisfaction with providers' communication skills (D) X X X X
Objectives from Chapter 19, Nutrition and Overweight
19–1 Healthy weight in adults X     X
19–2 Obesity in adults X X   X
19–3 Overweight or obesity in children and adolescents X X    
19–5 Fruit intake X      
19–6 Vegetable intake X      
19–8 Saturated fat intake X      
19–9 Total fat intake X      
19–11 Calcium intake X      
19–16 Worksite promotion of nutrition education and weight management X X X X
Objectives from Chapter 22, Physical Activity and Fitness
22–1 No leisure–time physical activity X     X
22–2 Moderate physical activity X     X
22–3 Vigorous physical activity X     X
22–6 Moderate physical activity in adolescents X      
22–7 Vigorous physical activity in adolescents X      
22–11 Television viewing X      
22–13 Worksite physical activity and fitness X     X
22–14 Community walking X     X
22–15 Community bicycling X     X
Objectives from Chapter 23, Public Health Infrastructure
23–1 Public health employee access to Internet (D) X X X X
23–3 Use of geocoding in health data systems X X X X
23–10 Continuing education and training by public health agencies (D) X X X X
23–16 Data on public health expenditures (D) X X X X
Objectives from Chapter 27, Tobacco Use
27–1 Adult tobacco use X     X
27–2 Adolescent tobacco use X      
27–3 Initiation of tobacco use (D) X X X X
27–4 Age at first use of tobacco X      
27–5 Smoking cessation by adults X X   X
27–10 Exposure to environmental tobacco smoke X      
27–16 Tobacco advertising and promotion targeting adolescents and young adults (D) X X X X
27–17 Adolescent disapproval of smoking X X X X
* Developmental (D) objectives provide a vision for a desired outcome or health status. All other objectives are considered measurable objectives, which provide direction for action.

Source: US Department of Health and Human Services. Healthy People 2010: Understanding and Improving Health and Objectives for Improving Health. 2nd ed. 2 vols. Washington, DC: US Government Printing Office; November 2000.

Next Section: Appendix C: Profiles of the Co–Lead Agencies for the Healthy People 2010 Heart Disease and Stroke Focus Area

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Date last reviewed: 05/12/2006
Content source: Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion

  
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