Healthy People 2010- Volume 2 Objectives for Improving Health Part B: Focus Areas 15-28 and Appendices

662 Pages·2000·5.54 MB·English

by  US Dept of Human Health and Services

Healthy People
2010
Volume II
n Objectives for Improving Health
(Part B: Focus Areas 15-28)
n Appendices
This edition of Healthy People 2010 supersedes the January 2000
Conference Edition. It includes updated data. In some cases, these updates
have resulted in new baselines and targets for objectives as well as
changes in population data tables and text. Data in this edition are as of
June 1, 2000. For further explanation of differences between the editions,
please refer to the Reader’s Guide in volume I of this document.
For detailed information on objectives and data systems, see the
companion document, Tracking Healthy People 2010.
Healthy People 2010 documents are available online at the Healthy People
Web site at http://www.health.gov/healthypeople. For more information,
visit the Web site or call 1-800-367-4725.

Suggested citation: U.S. Department of Health and Human Services.
Healthy 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.
Volume II
n
Objectives for Improving Health
Part B: Focus Areas 15-28
n
Appendices
U.S. Department of Health and Human Services
November 2000

Contents

Healthy People 2010, Volume II
Healthy People 2010: Objectives for Improving Health (Part B)
15. Injury and Violence Prevention.....................................................................15-1
Injury Prevention...................................................................................15-11
Unintentional Injury Prevention.............................................................15-23
Violence and Abuse Prevention............................................................15-43
16. Maternal, Infant, and Child Health................................................................16-1
Fetal, Infant, Child, and Adolescent Deaths.........................................16-12
Maternal Deaths and Illnesses.............................................................16-23
Prenatal Care........................................................................................16-26
Obstetrical Care....................................................................................16-29
Risk Factors..........................................................................................16-32
Developmental Disabilities and Neural Tube Defects..........................16-38
Prenatal Substance Exposure..............................................................16-43
Breastfeeding, Newborn Screening, and Service Systems..................16-46
17. Medical Product Safety.................................................................................17-1
18. Mental Health and Mental Disorders............................................................18-1
Mental Health Status Improvement......................................................18-12
Treatment Expansion............................................................................18-16
State Activities.......................................................................................18-21
19. Nutrition and Overweight..............................................................................19-1
Weight Status and Growth....................................................................19-10
Food and Nutrient Consumption...........................................................19-18
Iron Deficiency and Anemia..................................................................19-36
Schools, Worksites, and Nutrition Counseling.....................................19-40
Food Security........................................................................................19-44
20. Occupational Safety and Health...................................................................20-1
21. Oral Health....................................................................................................21-1
22. Physical Activity and Fitness........................................................................22-1
Physical Activity in Adults........................................................................22-8
Muscular Strength/Endurance and Flexibility.......................................22-13
Physical Activity in Children and Adolescents......................................22-17
Access...................................................................................................22-25
23. Public Health Infrastructure..........................................................................23-1
Data and Information Systems................................................................23-9
Workforce..............................................................................................23-14
Public Health Organizations .................................................................23-15
Resources.............................................................................................23-19
Prevention Research............................................................................23-20
24. Respiratory Diseases...................................................................................24-1
Asthma..................................................................................................24-13
Chronic Obstructive Pulmonary Disease..............................................24-20
Obstructive Sleep Apnea......................................................................24-22
25. Sexually Transmitted Diseases....................................................................25-1
Bacterial STD Illness and Disability......................................................25-15
Viral STD Illness and Disability.............................................................25-19
STD Complications Affecting Females.................................................25-21
STD Complications Affecting the Fetus and Newborn.........................25-24
Personal Behaviors...............................................................................25-25
Community Protection Infrastructure....................................................25-29
Personal Health Services......................................................................25-30
26. Substance Abuse.........................................................................................26-1
Adverse Consequences of Substance Use and Abuse.......................26-13
Substance Use and Abuse...................................................................26-22
Risk of Substance Use and Abuse.......................................................26-38
Treatment for Substance Abuse...........................................................26-43
State and Local Efforts..........................................................................26-45
27. Tobacco Use................................................................................................27-1
Tobacco Use in Population Groups......................................................27-10
Cessation and Treatment.....................................................................27-19
ii
Exposure to Secondhand Smoke.........................................................27-24
Social and Environmental Changes .....................................................27-29
28. Vision and Hearing.......................................................................................28-1
Vision ....................................................................................................28-12
Hearing..................................................................................................28-14
Appendices
A. Healthy People Consultative Process..............................................................A-1
B. Contributors to Healthy People 2010...............................................................B-1
C. The Secretary’s Council on National Health Promotion and Disease
Prevention Objectives for 2010.......................................................................C-1
D. Healthy People 2010 Steering Committee......................................................D-1
E. Healthy People 2010 Work Group Coordinators.............................................E-1
F. Healthy People 2010 Work Group Members...................................................F-1
G. Healthy People Consortium Members............................................................G-1
H. List of Abbreviations and Acronyms................................................................H-1
Index............................................................................................................................I-1

Healthy People 2010, Volume I
Message from the Secretary.........................................................................................iii
Foreword ........................................................................................................................v
Reader’s Guide.......................................................................................................RG-1
Healthy People 2010: Understanding and Improving Health
Introduction...............................................................................................................1
A Systematic Approach to Health Improvement......................................................7
Healthy People 2010 Goals................................................................................8
Objectives.........................................................................................................17
Determinants of Health.....................................................................................18
Health Status....................................................................................................21
Leading Health Indicators.......................................................................................24
Physical Activity................................................................................................26
Overweight and Obesity....................................................................................28
Tobacco Use.....................................................................................................30
Substance Abuse..............................................................................................32
iii
Responsible Sexual Behavior...........................................................................34
Mental Health....................................................................................................36
Injury and Violence...........................................................................................38
Environmental Quality.......................................................................................40
Immunization.....................................................................................................42
Access to Health Care......................................................................................44
Bibliography............................................................................................................47
Appendix: Short Titles for Healthy People 2010 Objectives..................................53
Healthy People 2010: Objectives for Improving Health (Part A)
1. Access to Quality Health Services..................................................................1-1
Clinical Preventive Care..........................................................................1-13
Primary Care...........................................................................................1-18
Emergency Services...............................................................................1-29
Long-Term Care and Rehabilitative Services.........................................1-34
2. Arthritis, Osteoporosis, and Chronic Back Conditions....................................2-1
Arthritis and Other Rheumatic Conditions..............................................2-11
Osteoporosis...........................................................................................2-17
Chronic Back Conditions ........................................................................2-20
3. Cancer.............................................................................................................3-1
4. Chronic Kidney Disease..................................................................................4-1
5. Diabetes...........................................................................................................5-1
6. Disability and Secondary Conditions...............................................................6-1
7. Educational and Community-Based Programs...............................................7-1
School Setting.........................................................................................7-12
Worksite Setting......................................................................................7-18
Health Care Setting.................................................................................7-21
Community Setting and Select Populations ...........................................7-22
8. Environmental Health......................................................................................8-1
Outdoor Air Quality..................................................................................8-15
Water Quality..........................................................................................8-18
Toxics and Waste...................................................................................8-21
Healthy Homes and Healthy Communities.............................................8-24
iv
Infrastructure and Surveillance...............................................................8-28
Global Environmental Health..................................................................8-31
9. Family Planning..............................................................................................9-1
10. Food Safety..................................................................................................10-1
11. Health Communication.................................................................................11-1
12. Heart Disease and Stroke............................................................................12-1
Heart Disease.......................................................................................12-16
Stroke....................................................................................................12-19
Blood Pressure......................................................................................12-20
Cholesterol............................................................................................12-25
13. HIV................................................................................................................13-1
14. Immunization and Infectious Diseases........................................................14-1
Diseases Preventable Through Universal Vaccination........................14-11
Diseases Preventable Through Targeted Vaccination.........................14-18
Infectious Diseases and Emerging Antimicrobial Resistance..............14-22
Vaccination Coverage and Strategies..................................................14-35
Vaccine Safety......................................................................................14-49
Index............................................................................................................................I-1

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