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Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

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Page 1: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

Healthy People 2010 Focus Area 6: Disability and Secondary

Conditions

Healthy People 2010 Focus Area 6: Disability and Secondary

Conditions

Progress Review – January 15, 2003

Progress Review – January 15, 2003

Page 2: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

Healthy People 2010 operational definition for adults with disabilities† from the NHISHealthy People 2010 operational definition for adults with disabilities† from the NHIS

Special equipment» Cane» Wheelchair» Special bed» Special telephone

Limitation of activity» Personal care

needs» Routine needs» Can’t work» Limited work» Walking» Remembering» Other physical,

mental or emotional

OR

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

Page 3: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

0

10

20

30

40

Ag

e-a

dju

ste

d p

erce

nt

Total

Adults 18 years and older with disabilities†: United States, 2001

Black,

Not

Hispan

ic

Hispan

ic

Asian

or

Pac

ific Is

lande

r

Amer

ican

India

n

or A

laska

Nat

ive

Whit

e, N

ot

Hispan

ic Poor

Midd

le/hig

h

incom

e

Near p

oor

NOTE: I is 95% confidence interval.

SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

Page 4: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

0

20

40

60

80

100

Children who are sad,unhappy or depressed

Adults whose feelingsinterfere with their life

Social participtionamong adults

Sufficient emotionalsupport among adults

Satisfaction with lifeamong adults

71%80%

100%

79%

96%Most recent level 2010 Target

Ag

e-ad

just

ed p

erce

nt

SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.

* Percent not age-adjusted.

17%*

35%*

7%

30%

61%

Direction desired

activities

Emotional well-being of people with disabilities†, 2001

Page 5: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

0

20

40

60

80

100

Black, NotHispanic

Asian orPacific IslanderTotal White, Not

Hispanic

People with disabilities† People without disabilities

Per

cen

t

American Indianor Alaska Native

Hispanic

2010 target

Emotional well-being: Children ages 4 to 17 years who are sad, unhappy or depressed: 2001

NOTE: I is 95% confidence interval.

SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.

Unreliable estimate, relative standard error >30%.

Page 6: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

0

20

40

60

80

100

Near poorPoorTotal

People with disabilities† People without disabilities

SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.

Middle to high income

Per

cen

tEmotional well-being: Children ages 4 to 17

years who are sad, unhappy or depressed: 2001

2010 target

NOTE: I is 95% confidence interval.

Page 7: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

0

10

20

30

40

50

60

Black, NotHispanic

Asian orPacific IslanderTotal White, Not

Hispanic

People with disabilities† People without disabilities

American Indianor Alaska Native

Hispanic

Ag

e-ad

just

ed p

erce

nt

2010 target

Emotional well-being: Adults 18 years and older whose feelings interfere with their life activities, 2001

NOTE: I is 95% confidence interval.

SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.

Page 8: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

0

10

20

30

40

50

60

Near poorPoorTotal

People with disabilities† People without disabilities

NOTE: I is 95% confidence interval.

SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.

Middle to high income

Ag

e-ad

just

ed p

erce

nt

2010 target

Emotional well-being: Adults 18 years and older whose feelings interfere with their life activities, 2001

Page 9: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

0

20

40

60

80

100

Black, NotHispanic

Asian orPacific IslanderTotal White, Not

Hispanic

People with disabilities† People without disabilities

American Indianor Alaska Native

Hispanic

Ag

e-ad

just

ed p

erce

nt

2010 target

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.NOTE: I is 95% confidence interval.

SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.

Emotional well-being: Sufficient emotional support* among adults 18 years and older, 2001

* Always or usually get the emotional support needed.

Page 10: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

0

20

40

60

80

100

Near poorPoorTotal

People with disabilities† People without disabilities

NOTE: I is 95% confidence interval.

SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.

Middle to high income

Ag

e-ad

just

ed p

erce

nt

Emotional well-being: Sufficient emotional support*among adults 18 years and older, 2001

2010 target

* Always or usually get the emotional support needed.

Page 11: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.NOTE: I is 95% confidence interval.

SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.

0

20

40

60

80

100

Black, NotHispanic

Asian orPacific IslanderTotal White, Not

Hispanic

People with disabilities† People without disabilities

American Indianor Alaska Native

Hispanic

Ag

e-ad

just

ed p

erce

nt

2010 target

Emotional well-being: Social participation* among adults 18 years and older, 2001

* Participated in at least 5 out of 7 social activities within 2 weeks of survey.

Page 12: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

0

20

40

60

80

100

Near poorPoorTotal

People with disabilities† People without disabilities

Emotional well-being: Social participation* among adults 18 years and older, 2001

NOTE: I is 95% confidence interval.

SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.

Middle to high income

* Participated in at least 5 out of 7 social activities within 2 weeks of survey.

Ag

e-ad

just

ed p

erce

nt

2010 target

Page 13: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

Emotional well-being: Social participation* among adults 18 years and older, 2001

NOTE: I is 95% confidence interval.

SOURCE: National Health Interview Survey (NHIS), NCHS, CDC.

* Participated in specified social activities within 2 weeks of survey.

0

20

40

60

80

100

Get togetherwith friends

People with disabilities† People without disabilities

Ag

e-ad

just

ed p

erce

nt

Telephone friends

Get togetherwith relatives

Telephonerelatives

Go toworship

Go torestaurant

Go to group event

At least5 activities

Page 14: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

14%

13%

73%

1 to 6 7 to 15 16+

14%

20%

66%

1982 2001

Home capacity

Adults 18 years and older with disabilities† who live in group homes by number of residents, 2001

NOTE: Includes people who are mentally retarded and those with developmental disabilities

SOURCE: Survey of US Residential Facilities, University of Minnesota.

Page 15: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

0

10

20

30

40

50

60

85-86 86-87 87-88 88-89 89-90 90-91 91-92 92-93 93-94 94-95 95-96 96-97 97-98 98-99

Per

cen

t

School year

Inclusion of children and youth ages 6 to 21 years with disabilities† in regular education programs

SOURCE: Data Analysis System (DANS), Office of Special Education Programs, US Department of Education.

2010 target

Page 16: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

0

5

10

15

20

25

0

20

40

60

80

100

Employed

People without disabilities

Per

cen

t

Median earnings

Do

llars

(th

ou

san

ds)

2010 target

People with disabilities†

Employment and earnings of adults ages 21 to 64 years by disability status, 1997

NOTE: I is 95% confidence interval.

SOURCE: Survey of Income and Program Participation, US Census Bureau.

Page 17: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.SOURCE: (2001) National Health Interview Survey (NHIS), NCHS, CDC; National Health and Nutrition Examination Survey, NCHS, CDC.

0

20

40

60

80

100 100%96%

Ag

e-ad

just

ed p

erce

nt

12%

Moderate physical activity

Healthinsurance

Current smokers

Obesity*Usual sourceof care

(<65 years) (18+ years) (18+ years)(20+ years)

85% 85%

91%88%

32%

22%

50%

21%

34%

42%

28%

15%

Direction desired

* 1999-2000 data.

People with disabilities† People without disabilities

Selected risk factors by disability status, 2001

2010 Target

Page 18: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

Prevalence of disability† in adults 21 to 64 years and 65 years and older, by State: 2000

21 to 64 years 65 years and older

14.0-17.117.2-19.920.0-24.5

36.5-39.739.8-42.542.6-51.7

SOURCE: Census 2000 Summary File 3, US Census Bureau.†The measurement of disability may vary between data systems. See Definitions of Disability for specific definitions.

Page 19: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

» 6-10. (Developmental) Increase the proportion of health and wellness and treatment programs and facilities that provide full access for people with disabilities.

Baseline data will be available from the NHIS in 2003.

» 6-11. (Developmental) Reduce the proportion of people with disabilities who report not having the assistive devices and technology needed.

Baseline data will be available from the NHIS in 2003.

» 6-12. (Developmental) Reduce the proportion of people with disabilities reporting environmental barriers to participation in home, school, work, or community activities.

Baseline data will be available from the NHIS in 2003.

Developmental objectives

Page 20: Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review – January 15, 2003

Progress review data and slidescan be found on the web at:

http://www.cdc.gov/nchs/hphome.htmhttp://www.cdc.gov/nchs/hphome.htm