Healthy People 2010: Heart Disease and Stroke
National health goals and objectives for the current decade are published in Healthy People 2010 and include those for heart disease and stroke in Chapter 12.5 The Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH) are co-leads for goals for heart disease and stroke. The universal goals of Healthy People 2010 are to improve the quality and increase the duration of peoples lives and to eliminate disparities. The one goal specific to preventing heart disease and stroke has three components:
- Prevention, detection, and treatment of risk factors.
- Early identification and treatment of heart attacks and strokes.
- Prevention of recurrent cardiovascular events.
Focus area 12 of Healthy People 2010 has 16 objectives that address heart disease, congestive heart failure, stroke, high blood pressure, and high total blood cholesterol levels. Fortunately, because most cardiovascular disease is preventable, much can be done to lessen the burden of heart disease and stroke and meet Healthy People 2010 objectives.
Other objectives relevant to heart disease and stroke can be found in Healthy People 2010 focus areas addressing chronic kidney disease, tobacco use, access to quality health services, nutrition and overweight, physical activity and fitness, and public health infrastructure. This broad spectrum of goals and objectives represents a wide range of opportunities for prevention programs.
Table 1. Prevalence of Risk Factors for CVD in the United States, by Race/Ethnicity and Sex, American Heart Association, 2003
Race/Ethnicity and Sex |
High blood pressurea |
25.2 |
20.5 |
36.7 |
36.6 |
24.2 |
22.4 |
High LDL-cholesterolb |
49.6 |
43.7 |
46.3 |
41.6 |
43.6 |
41.6 |
Smokingc |
25.8 |
21.6 |
26.1 |
20.8 |
24.1 |
12.3 |
Physical Inactivityd |
32.5 |
36.2 |
44.1 |
55.2 |
48.9 |
57.4 |
Obesitye |
27.3 |
30.1 |
28.1 |
49.7 |
28.9 |
39.7 |
Diabetesf |
5.4 |
4.7 |
7.6 |
9.5 |
8.1 |
11.4 |
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