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Impact of Educational and Community- Based Programs

Focus Area 07: Educational and Community-Based Programs Progress Review Richard J. Klein National Center for Health Statistics December 9, 2008. Impact of Educational and Community- Based Programs. Education level is a powerful predictor of physical/mental health and longevity.

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Impact of Educational and Community- Based Programs

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  1. Focus Area 07:Educational and Community-Based ProgramsProgress ReviewRichard J. KleinNational Center for Health StatisticsDecember 9, 2008

  2. Impact of Educational and Community- Based Programs • Education level is a powerful predictor of physical/mental health and longevity. • Schools can play a critical role in providing information, tools, and practical strategies to help students adopt healthy lifestyles. • Community health promotion programs have improved health, reduced health disparities, and supported communities to reverse risk factor trends for obesity and chronic disease.

  3. Highlighted Objectives 7-4 School nurse to student ratio a. Middle & senior high c. Middle b. Senior high d. Elementary 7-1 High school completion 7-2 School health education, Healthy People priority areas a. All areas f. Alcohol & other drug use b. Unintentional injury g. Unintended pregnancy/HIV/AIDS c. Violence h. Unhealthy diet d. Suicide i. Inadequate physical activity e.Tobacco j. Environmental health 7-10 Community health promotion programs Target met Improving Little or no change* *Percent of targeted progress achieved is between -10% and 10% or not statistically significant.

  4. High School Completion Increase desired Percent 1998 2006 2010 Target: 90 Total Asian/ Pacific Islander White Black 2 or more races Hispanic I = 95% confidence interval. Note:Data are for adults aged 18 to 24 years not enrolled in grades 7-12 who report that they have received a high school diploma or its equivalent. Prior to 2003, respondents were asked to select one race category; selecting more than one race was not an option. Black, white, and Asian/Pacific Islander exclude persons of Hispanic origin. Persons of Hispanic origin may be of any race. There are no 1998 data for 2 or more races. Source: National Household Education Survey (NHES), U.S. Department of Education. Obj. 7-1

  5. High School Completion and Recency of Immigration, 2006 Hispanic Not Hispanic Percent Born outside US First generation Second generation+ I = 95% confidence interval. Note:Data are for adults aged 18 to 24 years not enrolled in grades 7-12 who report that they have received a high school diploma or its equivalent. First generation is defined as one or both parents born outside the U.S. Second generation is defined as both parents born in the U.S. Source: National Household Education Survey (NHES), U.S. Department of Education.

  6. Self-assessed Health Status, 2007 < High school High school College graduate Some college Percent Excellent/very good Good Fair/poor I = 95% confidence interval. Note: Data are for people aged 25 years and older, January – September. Data are age-adjusted to the 2000 US Standard population. Source: National Health Interview Survey, NCHS, CDC

  7. Patient Perception of Provider Communication Skills Adults With Negative Mood in the Past Month, 2007 < High school High school College graduate Some college Percent Worthless Hopeless Everything is an effort I = 95% confidence interval. Note: Data are for people aged 25 and older who answered “all of the time” or “most of the time” to separate questions about how often in the past 30 days they felt hopeless, worthless, or that everything is an effort. Data are from January – September, 2007. Estimates are age-adjusted to the 2000 standard population. Source: National Health Interview Survey, NCHS, CDC.

  8. Schools that Require Teaching of Health Topics Patient Perception of Provider Communication Skills Increase desired 1994 2006 Percent Target: 95 Target: 90 Target: 83 Target: 80 Target: 80 All priority areas Unintentional injury Suicide Tobacco Violence I = 95% confidence interval. Note:Data are for middle and senior high schools. Source: School Health Policies and Programs Study (SHPPS), NCCDPHP, CDC. Obj. 7-2 a-e

  9. Patient Perception of Provider Communication Skills School Health Education Increase desired Target: 95 Target: 90 Percent 1994 2006 Target: 95 Target: 90 Target: 80 * Alcohol & other drugs Unintended pregnancy/ HIV/AIDS Unhealthy diet Inadequate physical activity Environmental health I = 95% confidence interval. Note:Data are for middle and senior high schools. *Environmental health data were not collected in 2006. Source: School Health Policies and Programs Study (SHPPS), NCCDPHP, CDC. Obj. 7-2, f-j

  10. School Nurse-to-Student Ratio 2006 Baseline Percent Target: 50 Target: 50 Target: 48 High schools Middle schools Elementary schools I = 95% confidence interval. Note:Data are for schools which have at least 1 nurse for each 750 students. Elementary school baseline is 2000, others are 1994. Source: School Health Policies and Programs Study (SHPPS), NCCDPHP, CDC. Obj. 7-4 b-d

  11. Community Health Promotion Programs for Healthy People Focus Areas • Most States and Territories address two or more areas (97% in 2006 and 2007) • Two AI/AN tribes receive block grant funding: • Kickapoo tribe has program in Substance Abuse • Santee Sioux tribe has program in Access to Health Care Source: Block Grant Reporting System, CDC, NCCDCHP Obj. 7-10

  12. Educational and Community-Based Programs Objectives Objectives with no continuing data source Measurable objectives 7-1. High school completion 7-3. Health risk behavior information for college and university students 7-5. Worksite health promotion programs 7-2. School health education 7-6. Participation in employer-sponsored health promotion activities a. All areas f. Unintended preg/HIV/AIDS b. Unintentional injury h. Alcohol & other drug c. Violence i. Unhealthy diet d. Suicide j. Inadequate physical activity e. Tobacco k. Environmental health 7-11. Culturally appropriate and linguistically competent community health promotion programs 7-12. Older adult participation in community health promotion activities 7-4. School nurse-to-student ratio a. Middle and senior c. Middle b. Senior d. Elementary Objectives deleted at midcourse 7-7. Patient and family education 7-8. Satisfaction with patient education 7-9. Hospital and managed care sponsorship of community health promotion 7-10. Community health programs addressing HP2010 areas Target met Improving Little or no change* Getting worse Baseline only Note: *Percent of targeted progress achieved is between -10% and 10% or not statistically significant.

  13. Summary • High school completion is improving for all groups • School health education improving in some areas, no change in most areas • School nurse to student ratio improving; target met for middle schools • Community health promotion programs based on Healthy People 2010 areas are widespread • Increasingly difficult to measure progress

  14. Acknowledgements • Susan Schneider • Public Health Analyst • CDC/National Center for Health Statistics • sah4@cdc.gov • Contributors: • Samara Lorenz, HRSA • Audrey Williams, CDC • Ellis Davis, ODPHP • Elizabeth Jackson, CDC

  15. Progress review data and slides are available on the web at: http://www.cdc.gov/nchs/hphome.htm

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