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American College Health Association - Task Force on National Health Objectives 2

What are Healthy People 2010 andHealthy Campus 2010: Making It Happen?

• Comprehensive sets of national health objectives for the decade

• Developed by a collaborative process

• Designed to measure progress over time

• Public and college health documents that are each part strategic plan and part textbook on national and college health priorities

American College Health Association - Task Force on National Health Objectives 3

Healthy Students on Healthy CampusesA Systematic Approach to Health Improvement

American College Health Association - Task Force on National Health Objectives 4

Approaches toHealthy Campus 2010: Making It Happen

• Use Healthy Campus 2010: Making It Happen– As a data resource– As a vehicle to involve the public, media, and elected officials

• Use Healthy Campus 2010 as a basis to form coalitions and partnerships with campus-based groups

– To define common ground– As a common template

• Use Healthy Campus 2010 to form the basis of agreements and interactions with administration

American College Health Association - Task Force on National Health Objectives 5

Healthy People & Healthy Campus 2010

Two Overarching Goals

• Increase quality and years of healthy life

• Eliminate health disparities

American College Health Association - Task Force on National Health Objectives 6

Leading Health IndicatorsTen Major Public Health Issues

• Physical activity• Overweight and

obesity• Tobacco use • Substance abuse • Responsible sexual

behavior

• Mental health • Injury and violence • Environmental

quality • Immunization • Access to health care

American College Health Association - Task Force on National Health Objectives 7

Physical ActivityLeading Health Indicator

Participation in regular physical activity, United States, 1990–99

*The definition of moderate physical activity was changed in 1997.

Sources: Centers for Disease Control and Prevention. Youth Risk Behavior Survey.1991–97. Centers for Disease Control and Prevention, National Center for Health Statistics. National Health Interview Survey. 1990–99.

40%

Col

leg

e

55%(2010)Target

American College Health Association - Task Force on National Health Objectives 8

Physical ActivityLeading Health Indicator

7-3b11. Increase the proportion of college students who received information from their college about physical fitness and activity.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Better than the best. 50% improvementOur Campus: Data sources: National: Not applicableCollege: National College Health Assessment, Spring 2002Our Campus: National College Health Assessment, Spring 2002

28.6% Our Campus32.3% CollegeDNCNational

Our Campus55%CollegeDNCNational

American College Health Association - Task Force on National Health Objectives 9

Physical ActivityLeading Health Indicator

22-2/3. Increase proportion of college students exercising moderately >/=30 minutes or vigorously >/=20 minutes >/= 3 days/week.

Targets:

Baselines:

Target setting method: National: Not applicableCollege:  Better than the best. 36% improvementOur Campus:  Data sources: National: Not applicableCollege:  National College Health Assessment, Spring 2002 Our Campus: National College Health Assessment, Spring 2002

47.7%Our Campus40.9% CollegeDNCNational

Our Campus55%CollegeDNCNational

American College Health Association - Task Force on National Health Objectives 10

Physical ActivityLeading Health Indicator

22-2. Increase the proportion of adults who engage regularly, preferably daily, in moderate physical activity for at least 30 minutes per day.

Target: 30 percent

Baseline: 15 percent of adults aged 18 years or older were active for at least 30 minutes 5 or more days per week.

Data Sources: Healthy Workforce

American College Health Association - Task Force on National Health Objectives 11

Physical ActivityLeading Health Indicator

22-3. Increase the proportion of adults who engage in vigorous physical activity that promotes the development and maintenance of cardiorespiratory fitness 3 or more days per week for 20 or more minutes per occasion.Target: 30 percent.Baseline: 23 percent of adults aged 18 years and older engaged in vigorous physical activity 3 or more days per week for 20 or more minutes per occasion

Data Source: Healthy Workforce

American College Health Association - Task Force on National Health Objectives 12

Overweight and ObesityLeading Health Indicator

*In those aged 6 to 19 years, overweight or obesity is defined as at or above the sex- and age-specific 95th percentile of Body Mass Index (BMI) based on CDC Growth Charts: United States.

**In adults, obesity is defined as a BMI of 30 kg/m2 or more; overweight is a BMI of 25 kg/m2 or more.

Source: Centers for Disease Control and Prevention, National Center for Health Statistics. National Health and Nutrition Examination Survey. 1988–94.

30%

16%

(2010Target)

Overweight or obeseCollege students

Overweight and obesity, United States,1988–94

American College Health Association - Task Force on National Health Objectives 13

Overweight and ObesityLeading Health Indicator

7-3b1. Increase the proportion of college students who received information from their college about dietary behaviors and nutrition prevention.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Better than the best. 32% improvementOur Campus: Data sources: National: Not applicableCollege: National College Health Assessment, Spring 2002Our Campus: National College Health Assessment, Spring 2002

20.9%Our Campus27.7%CollegeDNCNational

Our Campus55%CollegeDNCNational

American College Health Association - Task Force on National Health Objectives 14

Overweight and ObesityLeading Health Indicator

19-3. Reduce the proportion of adolescent and college students who are overweight and obese.

Targets:

Baselines:

Target setting method: National: Better than the best. 55% improvementCollege: Our Campus: Data sources: National: 1988-1994 NHANES, CDC.College:  National College Health Assessment, Spring 2002 (Self Report) Our Campus: National College Health Assessment, Spring 2002 (Self Report)

39.5%Our Campus35.8%College11%National

Our Campus16%College5%National

American College Health Association - Task Force on National Health Objectives 15

Overweight and ObesityLeading Health Indicator

19-1. Increase the proportion of adults who areat a healthy weight.Target: 60 percent.

Baseline: 42 percent of adults aged 20 years and older were at a healthy weight (defined as a body mass index (BMI) equal to or greater than 18.5 and less than 25)

Data Source: Healthy Workforce

American College Health Association - Task Force on National Health Objectives 16

Overweight and ObesityLeading Health Indicator

19-2. Reduce the proportion of adults who are obese.

Target: 15 percent.

Baseline: 23 percent of adults aged 20 years and older were identified as obese (defined as a BMI of 30 or more)

Data Source: Healthy Workforce

American College Health Association - Task Force on National Health Objectives 17

Tobacco UseLeading Health Indicator

Cigarette smoking, United States, 1990–99

Sources: Centers for Disease Control and Prevention. Youth Risk Behavior Survey. 1991–99. Centers for Disease Control and Prevention, National Center for Health Statistics. National Health Interview Survey. 1990–98.

25%

College students who

smoke

12%(2010

Target)

American College Health Association - Task Force on National Health Objectives 18

Tobacco UseLeading Health Indicator

7-3b1. Increase the proportion of college students who received information from their college about tobacco use prevention.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Better than the best.149% improvementOur Campus: Data sources: National: Not applicableCollege: National College Health Assessment, Spring 2002Our Campus: National College Health Assessment, Spring 2002

13.4%Our Campus26.5%CollegeDNCNational

Our Campus55%CollegeDNCNational

American College Health Association - Task Force on National Health Objectives 19

Tobacco UseLeading Health Indicator

27-1/2. Reduce cigarette smoking by adolescents, adults 18 and over and college students.

Targets:

Baselines:

Target setting method: National: Better than the best. 50% improvementCollege:Our Campus: Data sources: National: Not applicableCollege:  National College Health Assessment, Spring 2002 Our Campus: National College Health Assessment, Spring 2002

25.2%Our Campus26.8%College24%National

Our Campus10.5%College12%National

American College Health Association - Task Force on National Health Objectives 20

Tobacco UseLeading Health Indicator

27-1 Reduce tobacco use by adults

Targets: Cigarette smoking 12%, Spit tobacco .4%, Cigars 1.2%

Baselines: Cigarette smoking 24%, Spit tobacco 2.6%, Cigars 2.5%

Data Source: Healthy Workforce

American College Health Association - Task Force on National Health Objectives 21

Tobacco UseLeading Health Indicator

27-5. Increase smoking cessation attempts by adult smokers.

Target: 75 percent.

Baseline: 41 percent of adult smokers aged 18 years and older stopped smoking for a day or longer because they were trying to quit

Data Source: Healthy Workforce

American College Health Association - Task Force on National Health Objectives 22

Substance AbuseLeading Health Indicator

Use of alcohol and/or illicit drugs, United States, 1994–98

Source: Substance Abuse and Mental Health Services Administration, Office of the Assistant Secretary. National Household Survey on Drug Abuse. 1994–98.

39%

College student binge

drinking

20%(2010

Target)18%

College student

illicit drug use

8%(2010

Target)

31%

College students

reporting no alcohol use in past 30

days

15%(2010

Target)

American College Health Association - Task Force on National Health Objectives 23

The College Alcohol Objectives7-3b2. Increase the proportion of college students who received information from their college about alcohol and other drug use prevention.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Better than the best. 16% improvementOur Campus: Data sources: National: Not applicableCollege: National College Health Assessment, Spring 2002Our Campus: National College Health Assessment, Spring 2002

43.7%Our Campus48.9% CollegeDNCNational

Our Campus55%CollegeDNCNational

American College Health Association - Task Force on National Health Objectives 24

The College Alcohol Objectives26-11b. Reduce the proportion of college students engaging in binge

drinking of alcoholic beverages in the last two weeks.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Target will be revised as more data comes available. 49% improvementOur Campus: Data sources: National: Not applicableCollege: Monitoring the FutureOur Campus: National College Health Assessment, Spring 2002

54.5%Our Campus39.8%(2002)CollegeDNCNational

Our Campus20%CollegeDNCNational

American College Health Association - Task Force on National Health Objectives 25

Substance AbuseLeading Health Indicator

26-10b. Reduce proportion of adolescents ages 12-17 and college students reporting use of marijuana during the past 30 days.

Targets:

Baselines:

Target setting method: National: Better than the best. 92% improvementCollege: Better than the best. 93% improvementOur Campus: Data sources: National: 1998 National Household Survey on Drug Abuse, SAMHSACollege:  National College Health Assessment, Spring 2002 Our Campus: National College Health Assessment, Spring 2002

8.8%Our Campus20.5%College8.3%National

Our Campus1.0%College0.7%National

American College Health Association - Task Force on National Health Objectives 26

Substance AbuseLeading Health Indicator

26-10c Reduce the proportion of adults using any illicit drug during the past 30 days.

Targets: 2.0%

Baselines: 5.8% of adults aged 18 years and older used any illicit drug during the past 30 days.

Data Source: Healthy Workforce

American College Health Association - Task Force on National Health Objectives 27

Substance AbuseLeading Health Indicator

26-12. Reduce average annual alcohol consumption.

Target: 2 gallons.

Baseline: 2.18 gallons of ethanol per person aged 14 years and older were consumed in 1996

Data Source: Healthy Workforce

American College Health Association - Task Force on National Health Objectives 28

Responsible Sexual BehaviorLeading Health Indicator

Responsible sexual behavior, United States, 1995 and 1999

*This 85 percent includes 50 percent of students in grades 9-12 who were not ever sexually active, 14 percent who were not sexually active in the past 3 months, and 21 percent who were sexually active but used a condom at the last intercourse.**Data on males aged 15-49 years will be collected in 2003.Sources: Centers for Disease Control and Prevention. Youth Risk Behavior Survey. 1999. Centers for Disease Control and Prevention, National Center for Health Statistics. National Survey of Family Growth. 1995.

38%

Reported condom use by

partners

70%

(2010 Target)

Sexually active unmarried college women

American College Health Association - Task Force on National Health Objectives 29

Responsible Sexual BehaviorLeading Health Indicator

7-3b7. Increase the proportion of college students who received information from their college about pregnancy prevention.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Better than the best. 16% improvementOur Campus: Data sources: National: Not applicableCollege: National College Health Assessment, Spring 2002Our Campus: National College Health Assessment, Spring 2002

19.7%Our Campus27.7%CollegeDNCNational

Our Campus55%CollegeDNCNational

American College Health Association - Task Force on National Health Objectives 30

Responsible Sexual BehaviorLeading Health Indicator

9-3. Increase the proportion of females at risk of unintended pregnancy (and their partners) who use contraception.

Targets:

Baselines:

Note. Percents include withdrawal and fertility awareness as methods to prevent pregnancyTarget setting method: National: Total coverageCollege: Total coverageOur Campus: Data sources: National: National Survey of Family Growth, CDC NCHSCollege:  National College Health Assessment, Spring 2002 Our Campus: National College Health Assessment, Spring 2002

97.2%Our Campus95.8%College93%National

Our Campus100%College100%National

American College Health Association - Task Force on National Health Objectives 31

Mental HealthLeading Health Indicator

*Depression is defined as major depressive episode in the past year.

**Treatment is defined as treatment in the past year for psychological problems or emotional difficulties at a mental health clinic or by a mental health professional on an outpatient basis or treatment for psychological or emotional difficulties at a hospital overnight or longer.

Source: Substance Abuse and Mental Health Services Administration, Office of Applied Studies. National Household Survey on Drug Abuse. 1994–97.

30%

Recognized depression

70%

(2010 Target)

College students with recognized depression

Adults with depression* who received treatment,** United States, 1994–97

American College Health Association - Task Force on National Health Objectives 32

Mental HealthLeading Health Indicator

7-3b6. Increase the proportion of college students who received information from their college about suicide prevention.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Better than the best. 351% improvementOur Campus: Data sources: National: Not applicableCollege: National College Health Assessment, Spring 2002Our Campus: National College Health Assessment, Spring 2002

8.1%Our Campus12.7%CollegeDNCNational

Our Campus55%CollegeDNCNational

American College Health Association - Task Force on National Health Objectives 33

Mental HealthLeading Health Indicator

18-3. Reduce the rate of suicide attempts by adolescents and college students.

Targets:

Baselines:

Note. Percents include attempts within the past year onlyTarget setting method: National: Better than the best. 62% improvementCollege: Better than the best. 62% improvementOur Campus: Data sources: National: 1999 Youth Risk Behavior Survey, CDC, NCCDPHPCollege:  National College Health Assessment, Spring 2002 Our Campus: National College Health Assessment, Spring 2002

.8%Our Campus1.6%College2.6%National

Our Campus0.5%College1.0%National

American College Health Association - Task Force on National Health Objectives 34

Mental HealthLeading Health Indicator

20-5. Reduce deaths from work-related homicides.

Target: 0.4 deaths per 100,000 workers.

Baseline: 0.5 deaths per 100,000 workers aged 16 years and older were from work-related homicides in 1998.

Data Source: Healthy Workforce

American College Health Association - Task Force on National Health Objectives 35

Injury and ViolenceLeading Health Indicator

Motor vehicle deaths and homicides, United States, 1998

Source: Centers for Disease Control and Prevention, National Center for Health Statistics. National Vital Statistics System. 1998.

.06

(2010 Target).07

Homicides

American College Health Association - Task Force on National Health Objectives 36

Injury and ViolenceLeading Health Indicator

7-3b4. Increase the proportion of college students who received information from their college about violence prevention.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Better than the best. 191% improvementOur Campus: Data sources: National: Not applicableCollege: National College Health Assessment, Spring 2002Our Campus: National College Health Assessment, Spring 2002

18.1%Our Campus21.8%CollegeDNCNational

Our Campus55%CollegeDNCNational

American College Health Association - Task Force on National Health Objectives 37

Injury and ViolenceLeading Health Indicator

15-11b. Reduce physical assaults (does not include sexual assaults).

Targets:

Baselines:

Rate per 1,000 (within past year only)

Target setting method: National: Better than the best. 56% improvement.College: Better than the best. 42% improvement.Our Campus: Data sources: National: 1998 National Crime victimization survey, US Dept of JusticeCollege:  National College Health Assessment, Spring 2002 Our Campus: National College Health Assessment, Spring 2002

40/1000Our Campus46/1000College31.1/1000National

Our Campus21.3/1000College13.6/1000National

American College Health Association - Task Force on National Health Objectives 38

Environmental QualityLeading Health Indicator

Ozone and environmental tobacco smoke exposure, United States, 1988–94 and 1997

Sources: U.S. Environmental Protection Agency. Aerometric Information Retrieval System. 1997. Centers for Disease Control and Prevention, National Center for Health Statistics. National Health and Nutrition Examination Survey. 1988–94.

College data not collected

American College Health Association - Task Force on National Health Objectives 39

Environmental QualityLeading Health Indicator

7-3bx. Increase the proportion of college students who received information from their college about environmental health.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Our Campus: Data sources: National: Not applicableCollege: Our Campus: 

DNCOur CampusDNCCollegeDNCNational

Our CampusCollegeDNCNational

American College Health Association - Task Force on National Health Objectives 40

Environmental QualityLeading Health Indicator

8-2a. Increase trips by bicycle to reduce motor vehicle emissions and improve the Nation’s air quality.

Targets:

Baselines:

Target setting method: National: Consistent with the goal of the National Bicycling and Walking Study, DOTCollege: Our Campus: Data sources: National: Nationwide Personal Transportation Survey, DOTCollege:  Our Campus: 

DNCOur CampusDNCCollege0.9%National

Our CampusCollege1.8%National

American College Health Association - Task Force on National Health Objectives 41

ImmunizationLeading Health Indicator

Immunization coverage, United States, 1990–98

*Four or more doses of diphtheria/tetanus/acellular pertussis (DTaP) vaccine, three or more doses of polio vaccine, one or more dose of measles/mumps/rubella (MMR) vaccine, three or more doses of Haemophilus influenzae type b (Hib) vaccine, and three or more doses of hepatitis B (Hep B) vaccine.

Sources: Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program. National Immunization Survey. 1996–98. Centers for Disease Control and Prevention, National Center for Health Statistics. National Health Interview Survey. 1991–98.

College data not collected

American College Health Association - Task Force on National Health Objectives 42

ImmunizationLeading Health Indicator

7-3bx. Increase the proportion of college students who received information from their college about immunizations.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Our Campus: Data sources: National: Not applicableCollege: Our Campus: 

DNCOur CampusDNCCollegeDNCNational

Our CampusCollegeDNCNational

American College Health Association - Task Force on National Health Objectives 43

ImmunizationLeading Health Indicator

14-3/9. Reduce Hepatitis B

Targets:

Baselines:

% immunized for Hepatitis BTarget setting method: National: Better than the best for 14-3a, etc.College:Our Campus: 

Data sources: National: National Notifiable Disease Surveillance System, CDC.College:  National College Health Assessment, Spring 2002 Our Campus: National College Health Assessment, Spring 2002

64.0%Our Campus66.0%CollegeDNCNational

Our CampusCollegeDNCNational

American College Health Association - Task Force on National Health Objectives 44

Access to Health CareLeading Health Indicator

Access to health care, United States, 1997 and 1998

Sources: Centers for Disease Control and Prevention, National Center for Health Statistics. National Health Interview Survey. *1997 and **1998. Centers for Disease Control and Prevention, National Center for Health Statistics. National Vital Statistics System. ***1998.

83%

100%

(2010 Target)

College students with recognized depression

American College Health Association - Task Force on National Health Objectives 45

Access to Health CareLeading Health Indicator

7-3bx. Increase the proportion of college students who received information from their college about health insurance.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Our Campus:Data sources: National: Not applicableCollege: Our Campus: 

64%Our CampusDNCCollegeDNCNational

Our CampusCollegeDNCNational

American College Health Association - Task Force on National Health Objectives 46

Access to Health CareLeading Health Indicator

26-11b. Increase the proportion of persons and college students with health insurance.

Targets:

Baselines:

Target setting method: National: Total coverage, 20% improvementCollege: Total coverage, 20% improvementOur Campus: Data sources: National: National Health Interview Survey, CDC, NCHSCollege:  National College Health Assessment, Spring 2002 Our Campus: National College Health Assessment, Spring 2002

74.5%Our Campus82.9%College83%National

Our Campus100%College100%National