Progress toward the healthy people 2010 goals and objectives.
ABSTRACT Healthy People 2010 is a comprehensive framework for improving the health of Americans, built on the foundation of several decades of predecessor initiatives. Its two overarching goals, to "[i]ncrease the quality and years of healthy life" and "[e]liminate health disparities," subsume 28 focus areas and comprise 955 objectives and subobjectives. This review evaluates progress toward meeting the Healthy People 2010 program's challenging agenda in the context of leading health indicator (LHI) measures, developed by the Department of Health and Human Services (DHHS), augmented by additional objectives for a total of 31 measures. Our evaluation of progress includes analysis of changes in objective values, including progress toward Healthy People 2010 targets, where appropriate, and analysis of changes in disparities. The Healthy People 2010 LHI measures suggest that although some progress has been made, there is much work to be done toward the Healthy People 2010 targets and both overarching goals.
- SourceAvailable from: Christina Gamache Martin
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- "In comparison to Caucasians, African Americans and Latinos experience disproportionately greater morbidity and mortality across many diseases, including cancer, cardiovascular disease, and diabetes (Centers for Disease Control and Prevention, 2011; National Center for Health Statistics, 2010; Walsemann et al., 2008). Despite recent improvements in the health of the general population (National Center for Health Statistics, 2010; Sondik et al., 2010), these improvements have not impacted all racial/ethnic groups equally; there are stable or increasing prevalence rates for chronic and life-threatening diseases among many minority "
ABSTRACT: Racial/ethnic minorities experience persistent health disparities due in part to their exposure to chronic SES and psychosocial risk. The hypothalamic-pituitary-adrenal axis and its hormonal end product, cortisol, are believed to mediate the associations between chronic stress and poor health. In this study, racial/ethnic differences in diurnal salivary cortisol rhythms in 179 preadolescent youths and the contributing roles of SES risk, psychosocial risk, perceived discrimination, harsh parenting, and parental monitoring were examined. The analyses revealed racial/ethnic differences in diurnal cortisol rhythms, with African Americans having significantly flatter morning-to-evening cortisol slopes than Caucasians and with Latinos having significantly lower evening cortisol levels than Caucasians. Greater psychosocial risk and less parental monitoring were associated with flatter cortisol slopes. Racial/ethnic differences on the cortisol measures persisted when controlling for SES, psychosocial risk, and parenting quality. The need to assess chronic risk across the lifespan and disentangle possible genetic from environmental contributors is discussed.Hormones and Behavior 03/2012; 61(5):661-8. DOI:10.1016/j.yhbeh.2012.02.025 · 4.51 Impact Factor
Article: A 2020 Vision for Healthy People.New England Journal of Medicine 05/2010; 362(18):1653-6. DOI:10.1056/NEJMp1001601 · 54.42 Impact Factor