|
|
Objectives and Subobjectives
Goal:
Increase the
quality, availability, and effectiveness of educational and community-based
programs designed to prevent disease and improve health and quality of life.
As a result of the Healthy People 2010 Midcourse
Review, changes were made to the Healthy People 2010 objectives and
subobjectives.
These changes are
specific to the following situations:
-
Changes
in the wording of an objective to more accurately describe what is being
measured.
-
Changes
to reflect a different data source or new science.
-
Changes
resulting from the establishment of a baseline and a target (that is, when a
formerly developmental objective or subobjective became measurable).
-
Deletion
of an objective or subobjective that lacked a data source.
-
Correction of errors and omissions
in Healthy People 2010.
Revised baselines and targets for measurable objectives and
subobjectives do not fall into any of the above categories and, thus, are not
considered a midcourse review change.1
When changes were made to an objective, three
sections are displayed:
-
In the
Original Objective section, the objective as published in Healthy People 2010 in
2000 is shown.
-
In the
Objective With Revisions section, strikethrough indicates text deleted, and
underlining is used to show new text.
-
In the Revised Objective section, the objective appears as revised
as a result of the midcourse review.
Details of the objectives and subobjectives in this focus area, including any changes made at the midcourse, appear on the following pages.
1See Technical Appendix for more information on baseline and target revisions.
School Setting
NO
CHANGE IN OBJECTIVE |
7-1. |
Increase
high school completion.
Target: 90 percent.
Baseline: 85 percent of persons aged 18 to 24 years
had completed high school in 1998.
Target
setting method: Consistent with National Education Goals Panel—Goals 2000.
Data
source: Current
Population Survey, U.S.
Department of
Commerce, Bureau of the Census.
|
NO
CHANGE IN OBJECTIVE
|
7-2. |
Increase
the proportion of middle, junior high, and senior high schools that provide
school health education to prevent health problems in the following
areas:
unintentional injury;
violence; suicide; tobacco use and addiction; alcohol and other drug use;
unintended pregnancy, HIV/AIDS, and STD infection; unhealthy dietary
patterns; inadequate physical activity; and environmental health.
Target
and baseline:
Objective |
Middle, Junior High, and
Senior High Schools Providing School Health Education in Priority Areas |
1994
Baseline
Percent |
2010
Target
Percent |
7-2a. |
All components |
28 |
70 |
|
Individual components to
prevent health problems in the following areas: |
|
|
7-2b. |
Unintentional injury |
66 |
90 |
7-2c. |
Violence |
58 |
80 |
7-2d. |
Suicide |
58 |
80 |
7-2e. |
Tobacco use and addiction |
86 |
95 |
7-2f. |
Alcohol and other drug use |
90 |
95 |
7-2g. |
Unintended pregnancy,
HIV/AIDS, and STD infection |
65 |
90 |
7-2h. |
Unhealthy dietary patterns |
84 |
95 |
7-2i. |
Inadequate physical activity |
78 |
90 |
7-2j. |
Environmental health |
60 |
80 |
Target
setting method: 150
percent improvement for 7-2a; percentage improvement varies for individual
components 7-2b through 7-2j.
Data
source: School Health
Policies and Programs Study (SHPPS), CDC, NCCDPHP.
|
NO
CHANGE IN OBJECTIVE
|
7-3. |
Increase
the proportion of college and university students who receive information
from their institution on each of the six priority health-risk behavior
areas.
Target: 25 percent.
Baseline: 6 percent of undergraduate students
received information from their college or university on all six topics in
1995:
injuries (intentional and
unintentional), tobacco use, alcohol and illicit drug use, sexual behaviors
that cause unintended pregnancies and sexually transmitted diseases, dietary
patterns that cause disease, and inadequate physical activity.
Target
setting method: Better
than the best.
Data
source: National
College Health Risk Behavior Survey, CDC, NCCDPHP.
|
ORIGINAL
OBJECTIVE
|
7-4. |
Increase
the proportion of the Nation’s elementary, middle, junior high, and senior
high schools that have a nurse-to-student ratio of at least 1:750.
Target
and baseline:
Objective |
Increase in Schools With
Nurse-to-Student Ratio of at Least 1:750 |
1994
Baseline
Percent |
2010
Target
Percent |
7-4a. |
All middle, junior high, and
senior high schools |
28 |
50 |
7-4b. |
Senior high schools |
26 |
50 |
7-4c. |
Middle and junior high
schools |
32 |
50 |
7-4d. |
Elementary schools |
Developmental |
Developmental |
Target
setting method: 79
percent improvement for 7-4a (all schools combined); percentage improvement
varies for individual components 7-4b and 7-4c.
Data
source: School Health
Policies and Programs Study (SHPPS), CDC, NCCDPHP.
Data for elementary schools are developmental. |
OBJECTIVE
WITH REVISIONS
|
7-4. |
Increase
the proportion of the Nation’s elementary, middle, junior high, and senior
high schools that have a nurse-to-student ratio of at least 1:750.
Target
and baseline:
Objective |
Increase in Schools With
Nurse-to-Student Ratio of at Least 1:750 |
1994
Baseline (unless noted)
Percent |
2010
Target
Percent |
7-4a. |
All middle, junior high, and
senior high schools |
28 |
50 |
7-4b. |
Senior high schools |
26 |
50 |
7-4c. |
Middle and junior high
schools |
32 |
50 |
7-4d. |
Elementary schools |
53 (2000) Developmental |
60 |
Target
setting method:79
percent improvement for 7-4a; 92 percent improvement for 7-4b; 56
percent improvement for 7-4c; 13 percent improvement for 7-4d.79 percent
improvement for 7-4a (all schools combined); percentage improvement varies
for individual components 7-4b and 7-4c.
Data
source: School Health
Policies and Programs Study (SHPPS), CDC, NCCDPHP.
Data for elementary schools are developmental.
|
REVISED
OBJECTIVE
|
7-4. |
Increase
the proportion of the Nation’s elementary, middle, junior high, and senior
high schools that have a nurse-to-student ratio of at least 1:750.
Target
and baseline:
Objective |
Increase in Schools With
Nurse-to-Student Ratio of at Least 1:750 |
1994
Baseline
(unless noted)
Percent |
2010
Target
Percent |
7-4a. |
All middle, junior high, and
senior high schools |
28 |
50 |
7-4b. |
Senior high schools |
26 |
50 |
7-4c. |
Middle and junior high
schools |
32 |
50 |
7-4d. |
Elementary schools |
53 (2000) |
60 |
Target
setting method: 79
percent improvement for 7-4a; 92 percent improvement for 7-4b; 56 percent
improvement for 7-4c; 13 percent improvement for 7-4d.
Data
source: School Health
Policies and Programs Study (SHPPS), CDC, NCCDPHP.
|
Worksite Setting
NO
CHANGE IN OBJECTIVE
|
7-5. |
Increase
the proportion of worksites that offer a comprehensive employee health
promotion program to their employees.
Target
and baseline:
Objective |
Increase in Worksites
Offering a Comprehensive Employer-Sponsored Health Promotion Program |
1999
Baseline
Percent |
2010
Target
Percent |
7-5a. |
Worksites with fewer than 50
employees |
Developmental |
Developmental |
7-5b. |
Worksites with 50 or more
employees |
34 |
75 |
7-5c. |
Worksites with 50 to 99
employees |
33 |
75 |
7-5d. |
Worksites with 100 to 249
employees |
33 |
75 |
7-5e. |
Worksites with 250 to 749
employees |
38 |
75 |
7-5f. |
Worksites with 750 or more
employees |
50 |
75 |
Target
setting method: Better
than the best.
Data
source: National
Worksite Health Promotion Survey (NWHPS), Association for Worksite Health
Promotion (AWHP) and OPHS, ODPHP.
|
NO
CHANGE IN OBJECTIVE
(Data updated and footnoted)
|
7-6. |
Increase
the proportion of employees who participate in employer-sponsored health
promotion activities.
Target: 881 percent.
Baseline: 672 percent of
employees aged 18 years and older participated in employer-sponsored health
promotion activities in 1994 (age adjusted to the year 2000 standard
population).
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
1 Target
revised from 75 because of baseline revision after November 2000 publication.
2 Baseline
revised from 61 after November 2000 publication.
|
Health Care Setting
OBJECTIVE
DELETED
|
7-7. |
(Objective
deleted due to lack of data source)
(Developmental) Increase the proportion of health care organizations that
provide patient and family education.
|
OBJECTIVE
DELETED
|
7-8. |
(Objective
deleted due to lack of data source)
(Developmental) Increase the proportion of patients who report that they are
satisfied with the patient education they receive from their health care
organization.
|
OBJECTIVE
DELETED
|
7-9. |
(Objective
deleted due to lack of data source)
(Developmental) Increase the proportion of hospitals and managed care
organizations that provide community disease prevention and health promotion
activities that address the priority health needs identified by their
community.
|
Community Setting and Select
Populations
ORIGINAL
OBJECTIVE
|
7-10. |
(Developmental)
Increase the proportion of Tribal and local health service areas or
jurisdictions that have established a community health promotion program that
addresses multiple Healthy People 2010 focus areas.
Potential
data source: Special
Survey, Association of State and Territorial Directors of Health Promotion
and Public Health Education (ASTDHPPHE).
|
OBJECTIVE
WITH REVISIONS
|
7-10. |
(Developmental)
Increase the proportion of Tribal and local health service areas or jurisdictions
that have established a community health promotion program that addresses
multiple Healthy People 2010 focus areas.
Potential
data source:Special
Survey,Directors of Health Promotion and Education (DHPE)
[formerly Association of State and Territorial Directors of Health
Promotion and Public Health Education (ASTDHPPHE)].
|
REVISED
OBJECTIVE
|
7-10. |
(Developmental)
Increase the proportion of Tribal and local health service areas or
jurisdictions that have established a community health promotion program that
addresses multiple Healthy People 2010 focus areas.
Potential
data source: Directors
of Health Promotion and Education (DHPE) [formerly Association of State and
Territorial Directors of Health Promotion and Public Health Education
(ASTDHPPHE)].
|
ORIGINAL
OBJECTIVE
|
7-11. |
Increase
the proportion of local health departments that have established culturally
appropriate and linguistically competent community health promotion and
disease prevention programs.
Target
and baseline:
Objective |
Increase in Local Health
Department Community Health Promotion and Disease Prevention Programs That
Are Culturally Appropriate and Linguistically Competent |
1996–97
Baseline
Percent |
2010
Target
Percent |
7-11a. |
Access to quality health
services |
Developmental |
Developmental |
|
Clinical
preventive services |
35 |
|
7-11b. |
Arthritis, osteoporosis, and
chronic back conditions |
Developmental |
Developmental |
7-11c. |
Cancer |
30 |
50 |
|
Diabetes and chronic
disabling conditions |
26 |
|
7-11d. |
Chronic
kidney disease |
Developmental |
Developmental |
7-11e. |
Diabetes |
Developmental |
Developmental |
7-11f. |
Disability
and secondary conditions |
Developmental |
Developmental |
7-11g. |
Educational and
community-based programs |
33 |
50 |
7-11h. |
Environmental health |
22 |
50 |
7-11i. |
Family planning |
42 |
50 |
|
Food and drug safety |
18 |
|
7-11j. |
Food
safety |
Developmental |
Developmental |
7-11k. |
Medical
product safety |
Developmental |
Developmental |
7-11l. |
Health communication |
Developmental |
Developmental |
7-11m. |
Heart disease and stroke |
28 |
50 |
7-11n. |
HIV |
45 |
50 |
7-11o. |
Immunization and infectious
diseases |
48 |
50 |
7-11p. |
Injury and violence
prevention |
Developmental |
Developmental |
|
Unintentional
injuries |
19 |
|
|
Violent
and abusive behavior |
25 |
|
7-11q. |
Maternal, infant (and child)
health |
47 |
50 |
7-11r. |
Mental health (and mental
disorders) |
18 |
50 |
7-11s. |
Nutrition and overweight |
44 |
50 |
7-11t. |
Occupational safety and
health |
13 |
50 |
7-11u. |
Oral health |
25 |
50 |
7-11v. |
Physical activity and
fitness |
21 |
50 |
7-11w. |
Public health infrastructure |
Developmental |
Developmental |
|
Surveillance
and data systems |
14 |
|
7-11x. |
Respiratory diseases |
Developmental |
Developmental |
7-11y. |
Sexually transmitted
diseases |
41 |
50 |
7-11z. |
Substance abuse (alcohol and
other drugs) |
26 |
50 |
7-11aa. |
Tobacco use |
24 |
50 |
7-11bb. |
Vision and hearing |
Developmental |
Developmental |
* These are Healthy People 2000 priority areas that are
not applicable to Healthy People 2010.
Target
setting method: Percentage
improvement varies by program.
Data
source: National
Profile of Local Health Departments, National Association of County and City
Health Officials (NACCHO). |
OBJECTIVE
WITH REVISIONS
(Including
subobjectives deleted) |
7-11. |
Increase
the proportion of local health departments that have established culturally
appropriate and linguistically competent community health promotion and
disease prevention programs.
Target
and baseline:
Objective* |
Increase in Local Health
Department Community Health Promotion and Disease Prevention Programs That
Are Culturally Appropriate and Linguistically Competent |
1996–97
Baseline
Percent |
2010
Target
Percent |
7-11a.
|
(Subobjective deleted due to lack of data source)* Access to quality health services Developmental |
Developmental
|
Developmental
|
|
Clinical
preventive services |
35
|
|
7-11b.
|
(Subobjective deleted due to lack of data source)* Arthritis, osteoporosis, and chronic back conditions |
Developmental
|
Developmental
|
7-11c. |
Cancer |
30 |
50 |
|
Diabetes and chronic
disabling conditions |
26
|
|
7-11d.
|
Subobjective deleted due to lack of
data source)* Chronic kidney disease |
Developmental
|
Developmental
|
7-11e.
|
(Subobjective deleted due to lack of
data source)* Diabetes |
Developmental
|
Developmental
|
7-11f.
|
(Subobjective deleted due to lack of data source)* Disability and secondary conditions |
Developmental
|
Developmental
|
7-11g. |
Educational and
community-based programs |
33 |
50 |
7-11h. |
Environmental health |
22 |
50 |
7-11i. |
Family planning |
42 |
50 |
|
Food and drug safety |
18
|
|
7-11j.
|
(Subobjective deleted due to lack of
data source)* Food safety |
Developmental
|
Developmental
|
7-11k.
|
(Subobjective deleted due to lack of
data source)* Medical product safety |
Developmental
|
Developmental
|
7-11l.
|
(Subobjective deleted due to lack of
data source)* Health
communication |
Developmental
|
Developmental
|
7-11m. |
Heart disease and stroke |
28 |
50 |
7-11n. |
HIV |
45 |
50 |
7-11o. |
Immunization and infectious
diseases |
48 |
50 |
7-11p.
|
(Subobjective deleted due to lack of
data source)* Injury and violence prevention |
Developmental
|
Developmental
|
|
Unintentional
injuries |
19
|
|
|
Violent
and abusive behavior |
25
|
|
7-11q. |
Maternal, infant (and child)
health |
47 |
50 |
7-11r. |
Mental health (and mental
disorders) |
18 |
50 |
7-11s. |
Nutrition and overweight |
44 |
50 |
7-11t. |
Occupational safety and
health |
13 |
50 |
7-11u. |
Oral health |
25 |
50 |
7-11v. |
Physical activity and
fitness |
21 |
50 |
7-11w.
|
(Subobjective deleted due to lack of
data source)* Public health infrastructure |
Developmental
|
Developmental
|
|
Surveillance
and data systems |
14
|
|
7-11x.
|
(Subobjective deleted due to lack of
data source)* Respiratory diseases |
Developmental
|
Developmental
|
7-11y. |
Sexually transmitted
diseases |
41 |
50 |
7-11z. |
Substance abuse (alcohol and
other drugs) |
26 |
50 |
7-11aa. |
Tobacco use |
24 |
50 |
7-11bb.
|
(Subobjective deleted due to lack of
data source)* Vision and hearing |
Developmental
|
Developmental
|
* For data control purposes, subobjectives are not
renumbered.
Target
setting method: Percentage improvement varies by program.
Data
source: National
Profile of Local Health Departments, National Association of County and City
Health Officials (NACCHO). |
REVISED
OBJECTIVE
|
7-11. |
Increase
the proportion of local health departments that have established culturally
appropriate and linguistically competent community health promotion and
disease prevention programs.
Target
and baseline:
Objective* |
Increase in Local Health
Department Community Health Promotion and Disease Prevention Programs That
Are Culturally Appropriate and Linguistically Competent |
1996–97
Baseline
Percent |
2010
Target
Percent |
7-11c. |
Cancer |
30 |
50 |
7-11g. |
Educational and
community-based programs |
33 |
50 |
7-11h. |
Environmental health |
22 |
50 |
7-11i. |
Family planning |
42 |
50 |
7-11m. |
Heart disease and stroke |
28 |
50 |
7-11n. |
HIV |
45 |
50 |
7-11o. |
Immunization and infectious
diseases |
48 |
50 |
7-11q. |
Maternal, infant (and child)
health |
47 |
50 |
7-11r. |
Mental health (and mental
disorders) |
18 |
50 |
7-11s. |
Nutrition and overweight |
44 |
50 |
7-11t. |
Occupational safety and
health |
13 |
50 |
7-11u. |
Oral health |
25 |
50 |
7-11v. |
Physical activity and
fitness |
21 |
50 |
7-11y. |
Sexually transmitted
diseases |
41 |
50 |
7-11z. |
Substance abuse (alcohol and
other drugs) |
26 |
50 |
7-11aa. |
Tobacco use |
24 |
50 |
* For data control purposes, subobjectives are not
renumbered.
Target
setting method: Percentage
improvement varies by program.
Data
source: National
Profile of Local Health Departments, National Association of County and City
Health Officials (NACCHO).
|
NO
CHANGE IN OBJECTIVE
|
7-12. |
Increase
the proportion of older adults who have participated during the preceding
year in at least one organized health promotion activity.
Target: 90 percent.
Baseline: 12 percent of adults aged 65 years and
older participated during the preceding year in at least one organized health
promotion activity in 1998 (age adjusted to the year 2000 standard
population).
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
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