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State Program: Texas
Capacity Building
The Texas Department of Health began
receiving funds from CDC in 2002 to support a state heart disease and stroke
prevention program.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of
death in Texas, accounting for 43,452 deaths or approximately 28% of the
state's deaths in 2002. (National Vital Statistics Report 2004;53(5)).
- Stroke is the third leading cause of
death, accounting for 10,548 deaths or approximately 7% of the state's
deaths in 2002. (National
Vital Statistics Report 2004;53(5)).
- According to Behavioral Risk Factor
Surveillance System (BRFSS) survey results, adults in Texas
reported having the following risk factors for heart disease and stroke:
In 2005,
- 24.3% had high blood pressure
- 34.0% of those screened reported having high blood cholesterol
In 2006,
- 8.0% had diabetes
- 17.9% were current smokers
- 62.4% were overweight or obese (Body
Mass Index greater than or equal to 25.0)
- 28.4% reported no exercise in the prior 30 days
Key Responsibilities
- Facilitate collaboration among public and private sector
partners, such as managed care organizations, health
insurers, federally funded health centers, businesses,
priority population organizations, and emergency response
agencies.
- Define the burden of heart disease and stroke and assess
existing population-based strategies for primary and
secondary prevention of heart disease and stroke within the
state.
- Develop and update a comprehensive state plan for heart
disease and stroke prevention with emphasis on heart-healthy
policies development, physical and social environments
change, and disparities elimination (e.g., based on
geography, gender, race or ethnicity, or socioeconomic
status).
- Identify culturally appropriate approaches to promote
heart disease and stroke prevention among racial, ethnic,
and other priority populations.
- Use population-based public health strategies to
increase public awareness of the signs and symptoms of heart
diseases and stroke, the urgency of early treatment for
heart disease and stroke,
and the need to call 9–1–1.
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State Highlights
- The Program published, The Burden Report: Cardiovascular Disease
and Stroke in Texas in January 2007. It includes mortality, hospital
discharge, Medicaid, and EMS data. This 100-page report guides the
program and partners as they identify priority populations and plan and
implement initiatives in worksites, healthcare sites, and communities
across the state.
- The Heart and Stroke Healthy City Recognition (HSHCR) Program
assesses small, mid-sized, and metro cities on ten indicators related to
policy and environmental features that support heart health, and
emergency response to cardiovascular events. This initiative is
implemented by the Texas Cardiovascular Health and Wellness (CHW)
Program and the Texas Council on Cardiovascular Disease and Stroke.
Results of this assessment and a corresponding award (honorable mention,
bronze, silver, or gold) are presented to the respective local public
health agency and city council. The program reassesses each of the
cities after a two-year period to determine changes in the indicators.
The HSHCR Program has been a successful tool for educating and
motivating municipal decision-makers on policy and environmental changes
they can make to better support heart and brain health.
- The Texas Medical Association (TMA) HeartCare Partnership (HCP)
initiative is a secondary prevention, quality improvement initiative to
reduce the risk of heart disease and stroke, improve early detection and
treatment of acute coronary syndromes and stroke, and prevent recurrence
and complications of heart disease and stroke. The HCP Provider Toolkit
on heart disease and stroke prevention was sent to providers in high
priority areas and HCP training workshops were held in five priority
areas of the state, based on heart disease burden data and the number of
previous HCP participants in the area.
- The program’s Heart of Texas Women (HOTW) initiative provides
participating organizations with an implementation kit that guides
initiative coordinators through steps for making policy and systems
changes and hosting events to support women’s heart health.
- In 2005 and 2006, the program implemented the High Blood Pressure
Awareness Campaign. This initiative targeted worksites and provided
guidance on events and policy and system changes employers can make to
better support employee efforts to control their blood pressure. One
hundred and seven worksites have participated in the initiative.
Respondents conducted education/awareness activities and some have
implemented policy and systems changes.
- The CHW Program, in collaboration with the American Heart
Association, has supported quality improvement for acute cardiac and
stroke events. Aggregate data from participating hospitals show
improvement in three of five coronary artery disease indicators and six
of seven stroke quality indicators.
For more information on heart disease and
stroke prevention in the state, visit the Texas Cardiovascular Health and
Wellness Program Web site at
http://www.dshs.state.tx.us/wellness/default.shtm.*
To view county–level data, visit our
interactive map site at http://www.cdc.gov/dhdsp/library/maps/statemaps.htm.
*Links to non–Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.
Page last reviewed: August 23, 2007
Page last modified: August 23, 2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion
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