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Disability and Health


Leading Health Indicators Data from Healthy People 2010

The Disability and Health Team is examining data on people with disabilities for the HP2010 Leading Health Indicators. Within the Healthy People initiative, there are 10 Leading Health Indicators that represent the top health issues in America. Those top 10 Issues include health care access, immunization, overweight & obesity, physical activity, tobacco use, mental health, substance use, sexual behavior, injury, environmental quality.

People with disabilities are represented in 12 of the 22 objectives used to track progress for the 10 Indicators. The Table below highlights the data currently available for people with disabilities. The data suggest that compared to people without disabilities, people with disabilities are closer to the 2010 target for having an ongoing source of care and two vaccinations. However, compared to people with out disabilities, people with disabilities are less likely to have health insurance, engage in physical activity 3 days a week, and are more likely to be obese, and smoke cigarettes.

The Leading Health Indicator data provide an important glimpse of the nation's health status. Examining the health status of people with disabilities is a celebrated emerging public health activity. Still there is a long way to go beginning with including data on people with disabilities in every relevant area of Healthy People 2010.

Reference: US. Department of Health and Human Services. Health People 2010. 2nd ed. With Understanding and Improving Health, and Objectives for Improving Health. 2 Vols. Washington, DC: U.S. Government Printing Office, November 2000.

No. Objective 2010
Target
Baseline Data
Source
Data
Agency
Ref.
Year
Disability Status
with  without
1-1* People w/disabilities under age 65 who have health insurance 100% 1997 85% 86% NHIS CDC
1-4a* People w/disabilities of all ages who have a specific source of ongoing care 96% 1998 90% 87% NHIS CDC
14-29a* Non-institutionalized adults with disabilities ages 65+ who are annually vaccinated against influenza 90% 1998 63% 60% NHIS CDC
14-29b* Non-institutionalized adults w/disabilities ages 65+ who ever received a pneumococcus vaccine 90% 1998 53% 45% NHIS CDC
19-2a* Women and men w/disabilities who are obese 15% 1991-94 30% 23% NHANES CDC
22-2a* Adults w/disabilities ages 18+ who are physically active 30 minutes 5 days/wk 30% 1997 12% 16% NHIS CDC
22-2b* Adults w/disabilities age 18+ who are physically active 20 minutes 3 days/wk 30% 1997 23% 33% NHIS CDC
27-1a* Adults w/disabilities who smoke cigarettes 12% 1998 32% 23% NHIS CDC
18-9b* Adults w/recognized depression ages 18+ who are receiving treatment 17% better 1997 23% NHSDA NIH or SAMHSA
14-24a* Children w/disabilities ages 19-35 mos who receive all recommended vaccines for at least 5 yrs. 80%   DNC NIS CDC
16-6a* Women w/disabilities who received prenatal care in the first trimester 90% of live births   DNC NVSS CDC
19-3c* Children and teens w/disabilities ages 6-19 who are overweight 5%   DSU NHANES CDC
22-7 Adolescents who engage in vigorous physical activity 3 or more days per week, 20 or more minutes     * YRBSS  
27-3b Teens who smoke cigarettes     * YRBSS  
26-10a Teens who used alcohol or illicit drugs during the past 30 days     * YRBSS  
26-11c Adults who binge drank over past month     * NHSDA  
25-11 Teens who abstain from sex or who use condoms if active     * YRBSS  
13-6 Sexually active people who use condoms     * NSFG  
15-15a Deaths caused by MVA     * NVSS  
15-32 Homicides     * NVSS  
8-1a People exposed to poor quality air     * EPA  
27-10 Nonsmokers who are exposed to tobacco smoke     * NHANES  
23-5 Leading health and health status indicators and priority data needs for which data are available at the tribal, state and local levels     Developmental  NCHS CDC or IHS
23-6 Healthy People objectives that are tracked at the national level every 3 yrs 100% 2000 82% NCHS CDC

 
The following Leading Health Indicators tracking objectives did not include people with disabilities in the data collection template:

22-7   Adolescents who engage in vigorous physical activity that promotes cardiorespiratory fitness 3 or more days per week for 20 or more minutes per occasion. [YRBSS]

27-3b  Teens who smoke cigarettes [YRBSS]

26-10a Teens who used alcohol or illicit drugs during the past 30 days [NHSDA]
26-11c Adults who binge drank over past month [NHSDA]

25-11  Teens who abstain from sex or who use condoms if active [YRBSS]
13-6    Sexually active people who use condoms [NSFG]

15-15a Deaths caused by MVA [NVSS]
15-32   Homicides [NVSS]

8-1a    People exposed to poor quality air [EPA]
27-10  Nonsmokers who are exposed to tobacco smoke [NHANES]

Abbreviations:

NHIS National Health Interview Survey
CDC Centers for Disease Control and Prevention
NHANES National Health and Nutrition Examination Survey
NIH National Institutes of Health
SAMHS Substance Abuse and Mental Health Services Administration 
NIS Naitonal Immunization Survey
NVSS National Vital Statistics Survey
DNC Data not collected
DSU Data statistically unreliable
YRBSS Youth Risk Behavior Surveillance System
NCHS National Center for Health Statistics
NHSDA National Household Survey on Drug Abuse
NSFG National Survey of Family Growth
EPA Environmental Protection Agency
IHS Indian Health Service

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Date: March 28, 2006
Content source: National Center on Birth Defects and Developmental Disabilities

 

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