health

Healthy People 2010 Focus Area 12: Heart Disease and Stroke

Healthy People 2010 Focus Area 12: Heart Disease and Stroke

Progress Review – April 23, 2003Progress Review – April 23, 2003

• Mortality

• Knowledge

• Risk factors

Heart Disease and StrokeChapter Framework

• Disparities» Race / ethnicity» Gender» Age» Geographic location» Socioeconomic

factors» Health status /

behaviors

• Trends

• Early intervention

0

100

200

300

400

1980 19901985 20001995

Coronary Heart Disease

Coronary Heart Disease and Stroke Death Rates, 1980-2000

Age-adjusted rate per 100,000

0

100

200

300

400

1980 19901985 20001995

Stroke

Coronary Heart Disease

Coronary Heart Disease and Stroke Death Rates, 1980-2000

Age-adjusted rate per 100,000

0

100

200

300

400

1980 19901985 20001995

Stroke

Coronary Heart Disease

CHD 2010 target

Stroke 2010 target

Coronary Heart Disease and Stroke Death Rates, 1980-2000

Age-adjusted rate per 100,000

Coronary Heart Disease Death Rates, 2000

0

50

100

150

200

250

TotalBla

ck, N

ot

Hispan

ic

Hispan

ic

Asian

or

Pac

ific Is

lande

r

Amer

ican

India

n

or Ala

ska

Nativ

e

White

, Not

Hispan

ic Mal

e

Femal

e

2010target

Age-adjusted rate per 100,000

0.4

0.6

0.8

1.0

1.2

1.4

Coronary Heart Disease Death Rates, 2000Relative Risk

Black, NotHispanic

Hispanic

Asian or Pacific Islander

American Indianor Alaska Native

White, NotHispanic

Male

Female

Relative risk compared to the total population

GreaterRisk

LessRisk

Coronary Heart Disease Deaths by Health Service Area, 1996-98

Coronary Heart Disease Deaths by Health Service Area, 1996-98

Stroke Death Rates, 2000

0

20

40

60

80

100

TotalBla

ck, N

ot

Hispan

ic

Hispan

ic

Asian

or

Pac

ific

Isla

nder

Amer

ican

India

n

or Ala

ska

Nativ

e

White

, Not

Hispan

ic Mal

e

Femal

e

2010target

Age-adjusted rate per 100,000

Smoothed County Stroke Death Rates:Adults 35 and Older, 1991-98

CVD Risk Factors

2010 targetBaseline Most recent

Age-adjusted percent

Obesity Currentsmoker

Moderateactivity

Adults

Overweight Currentsmoker

Moderateactivity

Adolescents

0

10

40

20

30

50Percent

Serum Cholesterol Levels > 240 mg/dL,

Adults 20 and Older

Total MexicanAmerican

Black, NotHispanic

White, NotHispanic

2010 target

0

5

10

15

20

25

Age-adjusted percent

Female Male Female Male Female Male Female Male

1988-94 1999-2000

Hypertension Prevalence in Adults,1999-2000

0

5

10

15

20

25

30

35

40

45

Total Black, NotHispanic

MexicanAmerican

White, NotHispanic

Age-adjusted percent

High schoolgraduate

Less thanhigh school

At leastsome college

2010 target

20 years and older 25 years and older

0

10

40

20

30

50

60

70

80

90

TotalBla

ck, N

ot

Hispan

ic

Hispan

ic

Asian

or

Pac

ific

Isla

nder

Amer

ican

India

n

or Ala

ska

Nativ

e

White

, Not

Hispan

ic

Age-adjusted percent

CVD Knowledge:Adults 20 and Older, 2001

Stroke knowledge

TotalBla

ck, N

ot

Hispan

ic

Hispan

ic

Asian

or

Pac

ific

Isla

nder

Amer

ican

India

n

or Ala

ska

Nativ

e

White

, Not

Hispan

ic

Heart attack knowledge(including 911)

0

200

400

600

800

1000

1999 2025

21%

29%724

883

Proportiondue to

diabetes

Heart Disease Deaths (thousands)

Projected Increase in Total Heart Disease Deaths Related to Increased Diabetes

Prevalence

» 12-3: Artery-opening therapy

» 12-5: Out of hospital emergency care

» 12-16: LDL-cholesterol level in CHD patients

Developmental Objectives

Progress review data and slidescan be found on the web at:

http://www.cdc.gov/nchs/hphome.htmhttp://www.cdc.gov/nchs/hphome.htm

0

5

10

15

20

25

30

35

40

45

Total Black, Not Hispanic White, Not Hispanic Mexican American

Obesity in Adults 20 and Older

1988-94 1999-2000

2010 target

Age-adjusted percent

» 12-11: Action to help control blood pressure

» 12-12: Blood pressure monitoring

» 12-15: Blood cholesterol screening

2003 NHIS Planned Updates

(Data available in 2004)

0

100

200

300

400

1980 19901985 20001995

Stroke

Coronary Heart Disease

CHD 2010 target

Stroke 2010 target

Coronary Heart Disease and Stroke Death Rates, 1980-2000

Age-adjusted rate per 100,000