Action Against Asthma: A Strategic Plan for the Department of Health and Human Services . Healthy People 2010 Objectives

05/01/2000

Asthma

24-1. Reduce asthma deaths.

Target and baseline:

Objective Age Group 1998 Baseline* 2010 Target
  Rate per Million
24-1a. Children under age 5 years 1.7 1.0
24-1b. Children aged 5 to 14 years 3.2 1.0
24-1c. Adolescents and adults aged 15 to 34 years 5.9 3.0
24-1d. Adults aged 35 to 64 years 17.0 9.0
24-1e. Adults aged 65 years and older 87.5 60.0
*Preliminary data.
Target setting method: Better than the best.
Data source: National Vital Statistics System (NVSS), CDC, NCHS.

 

Select Age Groups, 1997* Asthma Deaths
24-1a. Children Under Age 5 Years 24-1b. Children Aged 5 to 14 Years 24-1c. Persons Aged 15 to 34 Years 24-1d. PersonsAged 35to 64 Years 24-1e. Persons Aged 65 Years and Older
Rate per Million
TOTAL 1.8 3.1 6.2 18.9 85.9
Race and ethnicity
   American Indian or Alaska Native DSU DSU DSU DSU DSU
   Asian or Pacific Islander DSU DSU DSU 22.3 141.2
      Asian DSU DSU DSU DSU DSU
      Native Hawaiian and other Pacific Islander DSU DSU DSU DSU DSU
   Black or African American 7.6 9.7 17.4 52.7 120.2
   White DSU 1.8 4.3 14.3 81.5
   Hispanic or Latino DSU DSU 4.8 17.1 81.8
   Not Hispanic or Latino 2.2 3.4 6.4 19.1 86.1
      Black or African  American 7.8 10.1 18.1 54.6 122.7
      White DSU 1.9 4.2 13.8 81.0
Gender
   Female DSU 2.8 5.2 23.5 99.5
   Male 2.3 3.3 7.2 14.2 66.3
Education (aged 25 to 64 years)
   Less than high school NA NA 12.5 30.6 NA
   High school graduate NA NA 10.5 23.4 NA
   At least some college NA NA 4.3 11.1 NA
DNA = Data have not been analyzed. DNC = Data are not collected. DSU = Data are statistically unreliable. NA = Not applicable.
*New data for population groups will be added when available.

24-2. Reduce hospitalizations for asthma.

Target and baseline:

Objective Age Group 1997 Baseline Rate p 2010 Target er 10,000
24-2a. Children under age 5 years 60.9 25
24-2b. Children and adults aged 5 to 64 years* 13.8 8
24-2c. Adults aged 65 years and older* 19.3 10
*Age adjusted to the year 2000 standard population.
Target setting method: Better than the best.
Data source: National Hospital Discharge Survey (NHDS), CDC, NCHS.

 

Select Age Groups, 1997 Asthma Hospitalizations
24-2a. Children Under Age 5 Years 24-2b. Persons Aged 5 to 64 Years* 24-2c. Persons Aged 65 Years and Older*
Rate per 10,000
TOTAL 60.9 13.8 19.3
Race and ethnicity
   American Indian or Alaska Native DSU DSU DSU
   Asian or Pacific Islander DSU DSU DSU
      Asian DNC DNC DNC
      Native Hawaiian and other Pacific Islander DNC DNC DNC
   Black or African American 125.6 26.4 26.5
   White Hispanic or Latino 33.3 DSU 9.3 DSU 15.4 DSU
   Not Hispanic or Latino DSU DSU DSU
      Black or African American DSU DSU DSU
      White DSU DSU DSU
Gender
   Female 45.3 17.3 24.7
   Male 75.9 10.2 11.7
DNA = Data have not been analyzed.DNC = Data are not collected.DSU = Data are statistically unreliable.
*Age adjusted to the year 2000 standard population.
 

24-3. Reduce hospital emergency department visits for asthma.

Target and baseline:

Objective Age Group 1995-97 Baseline Rate per 1 2010 Target 0,000
24-3a. Children under age 5 years 150.0 80
24-3b. Children and adults aged 5 to 64 years 71.1 50
24-3c. Adults aged 65 years and older 29.5 15
Target setting method: Better than the best.
Data source: National Hospital Ambulatory Medical Care Survey (NHAMCS) CDC, NCHS.

 

Age Groups, 1995–97 Hospital Emergency Department Visits for Asthma
24-3a. Children Under Age 5Years 24-3b. Persons Aged 5 to 64 Years 24-3c. Persons Aged 65 Years and Older
Rate per 10,000
TOTAL 150.0 71.1 29.5
Race and ethnicity
   American Indian or Alaska Native DSU DSU DSU
   Asian or Pacific Islander DSU DSU DSU
      Asian DNC DNC DNC
      Native Hawaiian and other Pa- cific Islander DNC DNC DNC
   Black or African American 407.2 191.7 90.8
   White 101.7 53.4 23.1
   Hispanic or Latino DSU DSU DSU
   Not Hispanic or Latino DSU DSU DSU
      Black or African American DSU DSU DSU
      White DSU DSU DSU
Gender
   Female 103.0 83.6 37.8
   Male 195.5 57.9 17.9
 

24-4. Reduce activity limitations among persons with asthma.

Target: 10 percent.
Baseline: 19.5 percent of persons with asthma in 1994-96 (age adjusted to the year 2000 standard population).
Target setting method: Better than the best.
Data source: National Health Interview Survey (NHIS), CDC, NCHS.

Persons With Asthma, 1994–96 Activity Limitations Percent
TOTAL 19.5
Race and ethnicity
   American Indian or Alaska Native DSU
   Asian or Pacific Islander DSU
      Asian DSU
      Native Hawaiian and other Pacific Islander DSU
   Black or African American 26.3
   White 18.3
   Hispanic or Latino 22.4
   Not Hispanic or Latino 19.2
      Black or African American 26.0
      White 17.8
Gender  
   Female 20.9
   Male 17.3
Family income level  
   Poor 28.2
   Near poor 20.0
   Middle/high income 16.4
DNA = Data have not been analyzed. DNC = Data are not collected. DSU = Data are statistically unreliable.
Note: Age adjusted to the year 2000 standard population.

24-5. (Developmental) Reduce the number of school or work days missed by persons with asthma due to asthma.

Potential data source: National Health Interview Survey (NHIS), CDC, NCHS.

24-6. Increase the proportion of persons with asthma who receive formal patient education, including information about community and self-help resources, as an essential part of the management of their condition.

Target: 30 percent.
Baseline: 6.4 percent of persons with asthma received formal patient education in 1998 (preliminary data; age adjusted to the year 2000 standard population).
Target setting method: Better than the best.
Data source: National Health Interview Survey (NHIS), CDC, NCHS.

Persons With Asthma, 1993* Patient Education Percent
TOTAL 10
Race and ethnicity
   American Indian or Alaska Native DSU
   Asian or Pacific Islander DSU
      Asian DSU
      Native Hawaiian and other Pacific Islander DSU
   Black or African American DSU
   White 10
   Hispanic or Latino DSU
      Not Hispanic or Latino 11
      Black or African American DSU
   White 11
Gender
   Female 11
   Male 9
Family income level
   Poor DSU
   Near poor DSU
   Middle/high income 11
DNA = Data have not been analyzed. DNC = Data are not collected. DSU = Data are statistically unreliable.
Note: Age adjusted to the year 2000 standard population.
*New data for population groups will be added when available.

24-7. (Developmental) Increase the proportion of persons with asthma who receive appropriate asthma care according to the NAEPP Guidelines.

24-7a. Persons with asthma who receive written asthma management plans from their health care provider.
24-7b. Persons with asthma with prescribed inhalers who receive instruction on how to use them properly.
24-7c. Persons with asthma who receive education about recognizing early signs and symptoms of asthma episodes and how to respond appropriately, including instruction on peak flow monitoring for those who use daily therapy.
24-7d. Persons with asthma who receive medication regimens that prevent the need for more than one canister of short-acting inhaled beta agonists per month for relief of symptoms.
24-7e. Persons with asthma who receive followup medical care for long-term management of asthma after any hospitalization due to asthma.
24-7f. Persons with asthma who receive assistance with assessing and reducing exposure to environmental risk factors in their home, school, and work environments.

Potential data source: National Health Interview Survey (NHIS), CDC, NCHS.

24-8. (Developmental) Establish in at least 15 States a surveillance system for tracking asthma death, illness, disability, impact of occupational and environmental factors on asthma, access to medical care, and asthma management.

Potential data sources: Council of State and Territorial Epidemiologists; Association of Schools of Public Health.

Chronic Obstructive Pulmonary Disease

24-9. Reduce the proportion of adults whose activity is limited due to chronic lung and breathing problems.

Target: 1.5 percent.
Baseline: 2.2 percent of adults had activity limitations due to chronic lung and breathing problems in 1997 (age adjusted to the year 2000 standard population).
Target setting method: Better than the best.
Data source: National Health Interview Survey (NHIS), CDC, NCHS.

Adults Aged 45 Years and Older, 1997 Chronic Obstructive Pulmonary Disease Cases Percent
TOTAL 2.2
Race and ethnicity
   American Indian or Alaska Native DSU
   Asian or Pacific Islander DSU
      Asian DSU
      Native Hawaiian and other Pacific Islander DSU
   Black or African American 2.3
   White 2.3
   Hispanic or Latino 1.7
   Not Hispanic or Latino 2.3
      Black or African American 2.2
      White 2.3
Gender
   Female 2.1
      45 to 64 years 1.6
      65 years and older 3.0
   Male 2.5
      45 to 64 years 1.6
      65 years and older 4.1
Family income level
   Poor 5.2
   Near poor 4.0
   Middle/high income 1.8
DNA = Data have not been analyzed. DNC = Data are not collected. DSU = Data are statistically unreliable.
Note: Age adjusted to the year 2000 standard population.

24-10. Reduce deaths from chronic obstructive pulmonary disease (COPD) among adults.

Target: 18 deaths per 100,000 adults.
Baseline: 120.9 deaths from COPD per 100,000 persons aged 45 years and older in 1998 (preliminary data; age adjusted to the year 2000 standard population).
Target setting method: 85 percent improvement.
Data source: National Vital Statistics System (NVSS), CDC, NCHS.

Adults Aged 45 Years and Older, 1997* Chronic Obstructive Pulmonary Disease Deaths Rate per 100,000
TOTAL 117.4
Race and ethnicity
   American Indian or Alaska Native 75.9
   Asian or Pacific Islander 55.1
      Asian DNC
      Native Hawaiian and other Pacific Islander DNC
   Black or African American 82.4
   White 122.2
   Hispanic or Latino 55.3
   Not Hispanic or Latino 120.8
      Black or African American 84.2
      White 125.3
Gender
   Female 107.4
   Male 134.9
Education (ages 25 to 64 years)
   Less than high school 18.8
   High school graduate 12.9
   At least some college 4.6
DNA = Data have not been analyzed. DNC = Data are not collected. DSU = Data are statistically unreliable.
Note: Age adjusted to the year 2000 standard population.
*New data for population groups will be added when available.

Obstructive Sleep Apnea

24-11. (Developmental) Increase the proportion of persons with symptoms of obstructive sleep apnea whose condition is medically managed.

24-11a. Persons with excessive daytime sleepiness, loud snoring, and other signs associated with obstructive sleep apnea who seek medical evaluation.
24-11b. Persons with excessive daytime sleepiness, loud snoring, and other signs associated with obstructive sleep apnea who receive followup medical care for long-term management of their condition.

Potential data source: National Health Interview Survey (NHIS), CDC, NCHS.

24-12. (Developmental) Reduce the proportion of vehicular crashes caused by persons with excessive sleepiness.

Potential data sources: National Health Interview Survey (NHIS), CDC, NCHS; Fatal Accident Reporting System (FARS), U.S. Department of Transportation, National Highway Traffic Safety Administration.

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