Monitoring progress toward CDC's health protection goals: health outcome measures by life stage.

Office of the Director, Office of Workforce and Career Development, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS-E94, Atlanta, GA 30333, USA.
Public Health Reports (Impact Factor: 1.64). 124(2):304-16.
Source: PubMed

ABSTRACT From 2004 through 2005, as part of a major strategic planning process called the Futures Initiative, the Centers for Disease Control and Prevention (CDC) developed a set of Health Protection Goals to make the best use of agency resources to achieve health impact. These goals were framed in terms of people, places, preparedness, and global health. This article presents a goals framework and a set of health outcome measures with historical trends and forecasts to track progress toward the Healthy People goals by life stage (Infants and Toddlers, Children, Adolescents, Adults, and Older Adults and Seniors).
Measurable key health outcomes were chosen for each life stage to capture the multidimensional aspects of health, including mortality, morbidity, perceived health, and lifestyle factors. Analytic methods involved identifying nationally representative data sources, reviewing 20-year trends generally ranging from 1984 through 2005, and using time-series techniques to forecast measures by life stage until 2015.
Improvements in measures of mortality and morbidity were noted among all life stages during the study period except Adults, who reported continued declining trends in perceived health status. Although certain behavioral indicators (e.g., prevalence of nonsmokers) revealed steady improvements among Adolescents, Adults, and Older Adults and Seniors, prevalence of the healthy weight indicator was declining steadily among Children and Adolescents and dramatically among Adults and Older Adults and Seniors.
The health indicators for the Healthy People goals established a baseline assessment of population health, which will be monitored on an ongoing basis to measure progress in maximizing health and achieving one component of CDC's Health Protection Goals.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Older adults are considered more vulnerable to foodborne illness due to lowered immune function. We compared the food safety perceptions and practices of older and younger adults and determined associations with demographic characteristics. We focused on 1,317 participants > or = 60 years of age from the U.S. Food and Drug Administration's 2006 Food Safety Survey, a telephone survey of a nationally representative sample of American consumers. We used data on participants < 60 years of age to compare younger and older adults, and used Pearson's Chi-square tests to determine whether perceptions and practices differed by age, gender, level of education, living arrangement, and race/ethnicity. We conducted multiple logistic regression analysis to assess relationship of demographic characteristics and food safety perceptions with food safety practices of older adults. We found that adults > or = 60 years of age were more likely to follow recommended food safety practices than those < 60 years of age. Sixty-six percent of adults > or = 60 years of age reported eating potentially hazardous foods in the past year compared with 81% of adults < 60 years of age. Among people > or = 60 years of age, women, those with less education, and nonwhite individuals generally had better food safety practices and a greater awareness of food safety risk. These findings suggest that certain subsets of the older adult population are less likely to follow recommended food safety practices and, thus, are at greater risk of foodborne illness. Food safety education for older adults should target men and those with more education and higher incomes.
    Public Health Reports 01/2011; 126(2):220-7. DOI:10.2307/41639350 · 1.64 Impact Factor


Available from