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Results for “Healthy People Programs”

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At least 19 recordsLinked to original sources
PubMed2005

A health care program for homeless children using Healthy People 2010 objectives.

A health care program based on Healthy People 2010 objectives provides screening and treatment to homeless children residing in a homeless shelter through a nursing center located on site. In addition to treatment for minor acute illnesses, children receive physical assessment and screening for health problems for which they are at increased risk. Interventions address these problems within the context of the complex psychosocial issues they face. Outcomes of interventions are monitored to support the value of case management and health education with these families.

Adolescent↗
PubMed1992

Nutrient contribution of the school lunch program: implications for healthy people 2000.

Cardiovascular disease-related nutrients were quantified in a school lunch program over a 15-year period. Methods included 24-hour dietary recall, menu weights, and recipe analysis. School lunch was eaten by 93% of students. School lunches provided 23% of daily kilocalories and 24%, 29%, and 20% of daily fat, protein, and carbohydrate intake, respectively, saturated fat and cholesterol from school lunch were 27% and 24% of daily total. School lunch provided 7% of daily sucrose and 32% of daily sodium. Children not eating school lunch had significantly greater polyunsaturated (p less than .001), carbohydrate (p less than .05), and sucrose (p less than .001) intakes. Though the school lunch contributed less than one-third of daily total nutrients, intakes of diet components related to cardiovascular disease risk were excessive. Sixty percent to 80% of children exceed daily total fat, saturated fat, cholesterol, and sodium intakes over recommended levels. Schools can influence childhood cardiovascular disease risk by providing students healthier foods, with education to promote positive lifestyles.

Adolescent↗
PubMed2004

Rural healthy people 2010--evolving interactive practice.

The objectives of the Rural Healthy People 2010 project are to employ a survey of state and local rural health leaders to identify rural health priorities, to synthesize available research and other publications on these priorities, to identify and describe models for practice employed by rural communities to address these priorities, and to disseminate this information to rural communities. We describe these priorities; the content of Rural Healthy People 2010 products, methods, and target audiences; and the continuing evolution of the program. Rural Healthy People 2010 encourages rural support of Healthy People 2010 goals and invites state and local rural health leaders to share their successful models with others.

Health Status Indicators↗
PubMed2003

Standards for adult immunization practices.

Since the Standards for Adult Immunization Practices were first published in 1990, healthcare researchers and providers have learned important lessons on how to better achieve and maintain high vaccination rates in adults. The success rate of childhood immunization far exceeds the success rate of adult immunization. Thus, information and practices that will produce higher success rates for adult vaccination are crucial, resulting in overall societal cost savings and substantial reductions in hospitalizations and deaths. The Standards, which were developed to encourage the best immunization practices, represent the collective efforts of more than 100 people from more than 60 organizations. The revised Standards are more comprehensive than the 1990 Standards and focus on the accessibility and availability of vaccines, proper assessment of patient vaccination status, opportunities for patient education, correct procedures for administering vaccines, implementation of strategies to improve vaccination rates, and partnerships with the community to reach target patient populations. The revised Standards are recommended for use by all healthcare professionals and all public and private sector organizations that provide immunizations for adults. All who are involved in adult immunization should strive to follow the Standards in order to create the same level of success achieved by childhood vaccination programs and to meet the Healthy People 2010 goals.

Adult↗
PubMed1997

Which parishes are most healthy?

Raw data for 21 health outcomes are ranked from 1 to 64 within each measure for all Louisiana parishes. The average of all ranked outcome measures is reported along with the individual ranked scores. This average rank for all parishes is also reported as a quartile score. The ranked measures are grouped in eight categories suggested by the Healthy People 2000 program, and a quartile score is reported for the average of each of the categories. The purpose of this rankings is to enable comparisons of health outcomes between and within the parishes. The diversity of the measures within parishes suggests strengths and weaknesses for each community. As suggested by the Healthy People 2000 program, health outcomes, when organized in the conceptual categories, suggest how behavior and attitude impact on health status.

Health Status↗
PubMed2002

[Health education and exercise stimulation for older people: development and evaluation of the program "Healthy and Vital"].

In order to promote health in people of 65 years and older, TNO Prevention and Health developed, evaluated, and implemented "Healthy & Vital" (also known as "Ageing Well and Healthily"). Healthy & Vital consists of six sessions of health education and low-intensity exercises. This paper reports on the theoretical basis of the intervention, the methods and results of a Randomised Controlled Trial (n = 50), and a Community Intervention Trial (in 8 municipalities, n = 448). A brief report is given of the implementation study. Healthy & Vital had a number of positive physiological effects, such as a decrease in blood pressure (effect size -0.55), the Body Mass Index (effect 0.62), and the level of blood glucose (1.00), especially in women and in elderly people who are less active physically. Participants' understanding of health and illness increased significantly (effect 0.78). Due to ceiling effects only a few effects on subjective general health were found, and they disappeared after 6 months. A positive effect on feelings of loneliness remained even after 6 months (p < 0.1). The most important effect of Healthy & Vital was the increase in physical activity, especially in the least active elderly (p < 0.001). Twenty-five per cent of the participants continued activities with More Exercise for Seniors, 28% were still considering this, and 19% continued at home with the exercises they had learnt. Currently, Healthy & Vital is being implemented nationally by the Local Policy for the Elderly Knowledge Centre (www.lokoud.nl).

Aged↗
PubMed2005

Evaluating progress toward Healthy People 2010 national diabetes objectives.

INTRODUCTION: In 1999, the National Diabetes Prevention and Control Program at the Centers for Disease Control and Prevention and its 59 Diabetes Prevention and Control Programs adopted five Healthy People 2010 objectives. These objectives aim to improve the rates of preventive care services among people with diabetes and include annual foot examinations, hemoglobin A1c tests, and annual dilated eye examinations. This paper examines progress toward meeting these three objectives. METHODS: Questions from the diabetes module of the Behavioral Risk Factor Surveillance System (BRFSS) were used to evaluate changes in age-adjusted rates for annual foot examinations, hemoglobin A1c tests, and annual dilated eye examinations of 44 jurisdictions between 2000 and 2003. Questions from the diabetes module were also used to compare percentage rates of 47 jurisdictions in 2003 with Healthy People 2010 percentage targets. RESULTS: From 2000 to 2003, for the 44 jurisdictions, the aggregate, age-adjusted rate of annual foot examinations increased from 63.7% to 69.3% (P < .001); the rate of self-reported hemoglobin A1c tests increased from 68.3% to 69.5% (P = .35); and the rate of annual dilated eye examinations decreased from 67.7% to 65.2% (P = .05). In 2003, 20 of 47 jurisdictions met the Healthy People 2010 target for foot or eye examinations, and all 47 jurisdictions met the target for hemoglobin A1c tests. An inverse association was found between baseline rates in 2000 and the magnitude of change from 2000 to 2003 for all three national diabetes objectives. CONCLUSION: The National Diabetes Prevention and Control Program should consider adopting additional Healthy People 2010 objectives. Baseline rates should be considered in 1) selecting objectives, 2) setting percentage targets, and 3) evaluating current or future objectives. Program-related information should be linked with traditional data sources such as BRFSS so that we can understand the role of environmental factors and evaluate progress of jurisdictions toward national diabetes objectives.

Diabetes Complications↗
PubMed2002

Promoting healthy adolescent behavior and development: issues in the design and evaluation of effective youth programs.

The problems of health and development faced by contemporary adolescents require that our communities have greater access to effective, adequately scaled, and sustained youth-serving programs. These 3 dimensions of youth programs are discussed, and the role of evaluations is specified, especially those aimed at program improvement and community empowerment, in facilitating efforts to promote the positive development of young people. These areas of development include competence, confidence, character, connection, and caring/compassion-the "five C's" of positive youth development. Ten features of effective positive youth development programs are described, and the importance of engaging policymakers in order to broadly disseminate and sustain effective programs is stressed.

Adolescent↗
PubMed1996

Inner-city older blacks have high levels of functional disability.

OBJECTIVES: To describe the frequency and severity of functional problems in two groups of noninstitutionalized inner-city blacks aged 70 years and older contrasted with results from appropriate groups of white and black older adults and with the goals of the Healthy People 2000 program. DESIGN: Cross-sectional descriptive study. SETTING: Community-based samples. PARTICIPANTS: A population-based sample of 416 older adults living in a 3.5-square mile catchment area in north St. Louis (NSL), Missouri, and a sample of 197 older residents living in public housing in East St. Louis (ESL), Illinois. MEASUREMENTS: Health status, preventive health activities, health services utilization, and risks for progressive frailty were assessed by self report and observation using well validated, standardized instruments. Whenever possible, comparison data were derived from national datasets, original samples used to validate the measures, and other useful comparison groups. RESULTS: The NSL sample had somewhat better health status and risk for progressive disability than the ESL sample. However, compared with national or regional reference groups using age-gender adjustments, both study groups demonstrated increased levels of dependence in intermediate activities of daily living, restricted activity days, inability to walk one-half mile without assistance, reported poor vision, living alone, and limited income compared with both older whites and blacks, and increased levels of worsening health, inability to perform heavy work around the house, never walking a mile or more, and currently unmarried versus whites with variable decrements versus blacks. Contrasted with other comparison groups, the two samples had increased body fat; consistent decrements in gait speed, timed chair stands, timed one-leg balance, and frequency of preventive exercise; and lower levels of dental care; results relative to physician visits and hospital days were mixed. They also had high levels of measured visual and hearing impairments, unmet needs for home delivered meals, and problems with false teeth. Deficiencies compared with the goals of Healthy People 2000 were large. CONCLUSIONS: The special attributes of inner-city blacks, including poverty and access to and acceptance of remedial programs, will have to be considered if the goals of Healthy People 2000 are to be met in this important and growing segment of older Americans. 44:0000-0000, 1996.

Activities of Daily Living↗
PubMed2005

Tobacco use, access, and exposure to tobacco in media among middle and high school students--United States, 2004.

Two of the national health objectives for 2010 are to reduce the prevalence of any tobacco use during the preceding month to < or =21% and the prevalence of current cigarette use to < or =16% among high school students (objectives 27-2a and 27-2b). The National Youth Tobacco Survey (NYTS), conducted by CDC in 2004, provided estimates of current use of tobacco products and selected indicators related to tobacco use, including youth exposure to tobacco-related media and access to cigarettes. This report summarizes data from the 2004 NYTS and describes changes in tobacco use and indicators related to tobacco use since 2002. During 2002-2004, middle school students reported decreases in pipe use, seeing actors using tobacco on television or in movies, and seeing advertisements for tobacco products on the Internet. Among high school students, no changes were observed in the use of tobacco or in access to tobacco products; however, seeing actors using tobacco on television or in movies declined slightly, and seeing advertisements for tobacco products on the Internet increased. The lack of substantial decreases in the use of almost all tobacco products among middle and high school students underscores the need to fully implement evidence-based strategies (e.g., increasing the retail price of tobacco products, implementing smoking-prevention media campaigns, and decreasing minors' access as part of comprehensive tobacco-control programs) that are effective in preventing youth tobacco use.

Adolescent↗
PubMedDate not supplied

Developing a worksite lactation program.

This article describes the literature about worksite lactation programs and how such a service might be established to enhance breastfeeding success and lead to healthful outcomes for the mother and the baby. Because studies have demonstrated consistently that breastfeeding is associated with lower rates of infant illness, and that full-time maternal employment decreases breastfeeding duration, establishing an onsite lactation program within a corporation or organization could assist employees in maintaining ideal nutrition for their infants. Net gains for the organization, such as decreased absenteeism and fewer healthcare benefit claims can occur. The author suggests that the establishment of such a program by a nurse can be a successful nursing intervention.

Absenteeism↗