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Achieving National Health Objectives: The impact on Life Expectancy and Healthy Life Expectancy

Achieving National Health Objectives: The impact on Life Expectancy and Healthy Life Expectancy. Elsie Pamuk, PhD Diane Wagener, PhD Michael Molla, PhD National Center for Health Statistics Centers for Disease Control and Prevention. What is Healthy People 2010 ?.

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Achieving National Health Objectives: The impact on Life Expectancy and Healthy Life Expectancy

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  1. Achieving National Health Objectives: The impact on Life Expectancy and Healthy Life Expectancy Elsie Pamuk, PhD Diane Wagener, PhD Michael Molla, PhD National Center for Health Statistics Centers for Disease Control and Prevention

  2. What is Healthy People 2010 ? • A comprehensive set of national health objectives for the decade • Developed by a collaborative process • Designed to measure progress over time • A public health document that is part strategic plan, part textbook on public health priorities

  3. History of Healthy People • 1979- Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention • 1980 - Promoting Health/Preventing Disease: Objectives for the Nation • 1990- Healthy People 2000: National Health Promotion and Disease Prevention Objectives • 2000 - Healthy People 2010

  4. Components ofHealthy People 2010 • 28focus areas • 467 specific objectives supporting • 2overarching objectives

  5. Overarching goals of Healthy People 2010 • Goal 1: Increase Quality and Years of Healthy Life

  6. Overarching goals of Healthy People 2010 • Goal 1: Increase Quality and Years of Healthy Life • Goal 2: Eliminate Health Disparities

  7. Purpose: to quantify the impact of achieving specific Healthy People 2010 objectives and of eliminating racial/ethnic health disparities on summary measures of health

  8. Methods • Life table methods • Life expectancy • Age-specific death rates applied to a hypothetical cohort of 1000 • Healthy life expectancy • Sullivan’s method: adds in age-specific prevalence of morbidity

  9. Impact on life expectancy of achieving specific HP2010 targets: Baseline = age-specific death rates for 1998 applied mortality reductions specified in 38 objectives

  10. Impact on life expectancy of eliminating racial/ethnic differences: Adjusted the age-specific death rates for Asian or Pacific Islanders for 1997-1999 for race misreporting Applied to the U.S. population

  11. Age-specific mortality reductions implied by achieving alternative objectives

  12. Impact on healthy life expectancy of achieving HP2010 morbidity targets: Baseline = age-specific rates of chronic conditions causing activity limitation for 1998 Implied morbidity reductions of: 25% at ages <50 33% at ages 50+

  13. Impact on healthy life expectancy of eliminating racial/ethnic differences: Age-specific activity limitation rates for Asian or Pacific Islanders for 1997-1999 Applied to the U.S. population

  14. Age-specific morbidity reductions implied by achieving alternative objectives

  15. Summary • Achieving HP2010 targets: • Increases life expectancy by 2.8 yrs • Increases healthy life expectancy by 5.8 yrs • Elimination of racial and ethnic disparity • Increases life expectancy by 4.1 yrs • Increases health life expectancy by 8.1 yrs

  16. Usefulness of the exercise • Summarizes the impact of many diverse objectives and allows tracking of overall progress • Identifies areas that need attention

  17. For more information…. • Pamuk ER, Wagener DK, Molla MT. Achieving national health objectives: the impact on life expectancy and on healthy life expectancy. American Journal of Public Health, 2004; 94(3):378-83.

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