Healthy Harford Community Report Card 2000

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Preventative Health and Wellness
Heart Disease
Cancer


Preventative Health and Wellness

Health Indicator

Current Status

2005 Goal

2010 Goal

Childhood Vaccines

  • 100% vaccinated at school entry. (2000 HCPS)
  • 100% vaccinated at school entry. (96 HCPS)

Maintain 100%

Maintain 100%

High Fat Diet

  • 36% of Harford County residents report they eat two or more servings of high fat foods daily. (2000 CHAP)
  • 36% of Harford County residents report they eat two or more servings of high fat foods daily as compared to 34% of Baltimore Region residents. (96 CHAP)

Reduce to 30% of adults who report eating two or more high fat foods daily.

Maintain 30% of adults who report eating two or more high fat foods daily.

Diabetes

  • 9% have been told by a practitioner that they have or had diabetes. (2000 CHAP)
  • 4% have been told by a practitioner that they have or had diabetes. (96 CHAP)
  • 34% have been tested for diabetes within the past two years. (2000 CHAP)

Increase to 38% of adults who report they have been tested for diabetes within the last two years.

Increase to 41% of adults who report they have been tested for diabetes within the last two years.

Intake of Fruits and Vegetables

  • 12% of Harford County residents report they eat 5 or more daily servings of fruits and vegetables. (2000 CHAP)
  • 12% of Harford County residents report they eat 5 or more daily servings of fruits and vegetables as compared to 14% of Baltimore Region residents. (96 CHAP)

Increase to 17% of adults who report eating at least 5 or more servings of fruits and vegetables per day.

Increase to 20% of adults who report eating at least 5 or more servings of fruits and vegetables per day.

Seatbelt Use While Driving

  • 89% report they always wear their seatbelt while driving. (2000 CHAP)
  • 80% report they always wear their seatbelt while driving. (96 CHAP)

Increase to 94% of adults who report they always wear their seatbelt while driving.

Increase to 98% of adults who report they always wear their seatbelt while driving.

Flu Vaccine

  • 80% of adults 65 years of age and older have had a flu vaccine within the past year. (2000 CHAP)
  • 66% of adults 65 years of age and older have had a flu vaccine within the past year. (96 CHAP)

Increase to 85% of individuals 65 years of age and older who have had a flu vaccine within the past year.

Increase to 90% of individuals 65 years of age and older who have had a flu vaccine within the past year.

Seatbelt Use While A Passenger

  • 84% report they always wear their seatbelt while a passenger. (2000 CHAP)
  • 76% report they always wear their seatbelt while a passenger. (96 CHAP)

Increase to 90% of adults who report they always wear their seatbelt while a passenger.

Increase to 95% of adults who report they always wear their seatbelt while a passenger.

Helmet Use

  • 64% of parents with children under 20 years of age report their children always or often wear a helmet while riding a bicycle or rollerblading. (2000 CHAP)
  • 75% of parents with children under 20 years of age report their children wear a helmet while riding a bicycle or rollerblading. (96 CHAP)

Increase to 75% if parents with children under 20 that report their children always or often wear a helmet while riding a bicycle or rollerblading.

Increase to 80% of parents with children under 20 that report their children always or often wear a helmet while riding a bicycle or rollerblading.

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Heart Disease

Health Indicator

Current Status

2005 Goal

2010 Goal

Heart Disease

  • 10% of adult residents have been diagnosed with heart disease. (2000 CHAP)
  • 7% of adult residents have been diagnosed with heart disease. (96 CHAP)
  • 44% have a family history of heart disease. (2000 CHAP)
  • 39% have a family history of heart disease. (96 CHAP)
  • 213 deaths per 100,000 residents.
    (State – 231) (98 MD Vital Statistics)

Reduce the number of deaths from heart disease to 195 per 100,000.

* Reduce the number of deaths from heart disease to 166 per 100,000.

Cholesterol

  • 75% have had their cholesterol screened within the past two years. (2000 CHAP)
  • 52% have had their cholesterol screened within the past two years. (2000 CHAP)
  • 24% report they have been told by a doctor that they have/had high cholesterol. (2000 CHAP)
  • 21% report they have been told by a doctor that they have/had high cholesterol. (96 CHAP)

Maintain at 75% of adults who have had their cholesterol screened within the past two years.

Maintain at 75% of adults who have had their cholesterol screened within the past two months.

Reduce to 17% of adults with high cholesterol (>200).

Overweight

  • 26% of adults have a BMI >30. (2000 CHAP)
  • 39% of adults are overweight according to the body mass index. (96 CHAP)

Reduce to 22% of adults who have a BMI > 30.

**Reduce to 18% of adults whi have a BMI > 30.

Smoking

  • 14% of adults report they smoke. (2000 CHAP)
  • 18% of adults report they smoke. (96 CHAP)

Reduce the level of smoking among adults to 10%

Maintain at 10% the level of smoking among adults.

Exercise

  • 43% report exercising aerobically thirty minutes a day three or more times per week. (2000 CHAP)
  • 47% report exercising aerobically twenty minutes a day three or more times per week. (96 CHAP)

Increase to 45% of adults who report exercising aerobically thirty minutes a day three or more times per week.

Increase to 50% if adults who report exercising aerobically thirty minutes a day three of more times per week.

Blood Pressure

  • 86% have had their blood pressure screened within the past two years. (2000 CHAP)
  • 68% have had their blood pressure screened within the past two years. (96 CHAP)
  • 31 % of residents report they have or have had high blood pressure. (2000 CHAP)
  • 21% of residents report they have high blood pressure. (96 CHAP)

Increase to 90% of adults who have had their blood pressure screened within the past two years.

Increase to 95% of adults who have had their blood pressure screened within the past two years.

* Reduce the percentage of adults who have blood pressure > 140/90 mm Hg to 16%.


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Cancer

Health Indicator

Current Status

2005 Goal

2010 Goal

Smoking

  • 14% of Harford County adults smoke. (2000 CHAP)
  • 18% of Harford County adults smoke as compared to 40% of Baltimore region residents. (96 CHAP)
  • 21% of Harford County youth report smoking. (2000 MYTS)
  • 32% of Harford County youth report smoking. (98 MYTS)

Reduce to 10% the level of smoking among adults.

Reduce to 15% of smoking among youth.

Reduce to 8% the level of smoking among adults.

Reduce to 10% of smoking among youth.

Lung Cancer

  • 0.5% report they have been diagnosed with lung cancer. (2000 CHAP)
  • 0.4% report they have been diagnosed with lung cancer. (96 CHAP)
  • Incidence - 70.1 (State - 66.7)
    (2000 DHMH Baseline Ca Report)
  • Mortality - 56.4 (State - 52)
    (2000 DHMH Baseline Ca Report)

Reduce lung cancer deaths to no more than 50 per 100,000.

*Reduce lung cancer deaths to no more than 45 per $100,000 population.

Cervical Cancer

  • 74% of adult women have had a pap smear within the past two years. (2000 CHAP)
  • 57% of adult women have had a pap smear within the past two years. (96 CHAP)
  • Incidence - 8 (State - 8) (97 Cancer Registry)
  • Mortality - 5 (State - 3) (97 Cancer Registry)

Increase to 80% of adult women who have had a pap smear within the past two years.

Maintain 80% of adult women who have had a pap smear within the past two years.

* Reduce deaths from cancer of the uterine cervix to no more than 1 per 100,000 women.

Breast Cancer

  • 51% of women 50 years of age to 69 have had a mammogram within the past year. (2000 CHAP)
  • 76% of women 50 years of age to 69 have had a mammogram within the past two years. (2000 CHAP)
  • 74% of women 50 years of age to 69 have had a mammogram within the past two years. (96 CHAP)
  • +Incidence - 96 (State - 121)
    (2000 DHMH Baseline Ca Report)
  • +Mortality - 25 (State - 25)
    (2000 DHMH Baseline Ca Report)

Increase to 56% of women 50-69 years of age who have had a mammogram within the past year.

Increase to 61% of women 50-69 years of age who have had a mammogram within the past year.

* Reduce breast cancer deaths to no more than 17 per 100,000 females.

Prostate Cancer

  • 62% of men 50 years of age and older have had a digital rectal exam within the past year. (2000 CHAP)
  • 56% of men 50 years of age and older have had a digital rectal exam within the past year. (96 CHAP)
  • Incidence - 151 (State - 160)
    (2000 DHMH Baseline Ca Report)
  • Mortality - 11 (State - 24.2)
    (2000 DHMH Baseline Ca Report)

Increase to 67% of men 50 years of age and older who have had a digital rectal exam within the past year.

Increase to 75% of men 50 years of age and older who have had a digital rectal exam within the past year.

* Reduce prostate cancer-related deaths to 17 per 100,000 men.

Skin Cancer

  • 34% of adults report they regularly wear sunscreen when outdoors. (2000 CHAP)
  • 30% of adults report they regularly wear sunscreen when outdoors. (96 CHAP)
  • Incidence - 18 (State - 14) (97 Cancer Registry)
  • Mortality - 2 (State - 2) (97 Cancer Registry)

Increase to 40% of adults who report regularly wearing sunscreen when outdoors.

Increase to 50% of adults who report regularly wearing sunscreen when outdoors.

*Decrease melanoma incidence to 15 per 100,000 population.

Colorectal Cancer

  • 33% of respondents > 50 have had a fecal occult lood test (FOBT) within the past year. (2000 CHAP)
  • 18% of respondents > 50 have had a sigmoid/colonscopy within the past year. (2000 CHAP)
  • 13% report they have been tested for colorectal cancer. (96 CHAP)
  • Incidence - 45 (State - 48.6)
    (2000 DHMD Baseline Ca Report)
  • Mortality - 16 (State - 18.1)
    (2000 DHMD Baseline Ca Report

Increase to 50% of those >50 who report having a FOBT annually.

Increase to 65% of those >50 who report having a FOBT annually.

* Reduce colorectal deaths to no more than 8 per 100,000 population.

Oral Cavity and Pharynx

  • 76% of adults report they have been to the dentist in the last year. (2000 CHAP)
  • 87% report they have been to the dentist in the last two years. (96 CHAP)
  • 94% of children go to the dentist for regular check-ups. (2000 CHAP)
  • 88% of children go to the dentist for regular check-ups. (96 CHAP)
  • Incidence - 8 (State - 10)
    (2000 DHMH Baseline Ca Report)
  • Mortality - 3 (State - 3)
    (2000 DHMH Baseline Ca Report)

Increase to 85% of adults with dental screenings within the last year.

Increase to 90% of adults with dental screenings within the last year.

Reduce deaths due to cancer of the oral cavity and pharynx to no more than 2 per 100,000 population.