HEALTHY NEW JERSEY 2010

HEALTHY NEW JERSEY 2010

NEW JERSEY DEPARTMENT OF NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICESHEALTH AND SENIOR SERVICES

Rose Marie Martin. MPHRose Marie Martin. MPH

Research Scientist, NJDHSS, Division of Research Scientist, NJDHSS, Division of Aids Prevention and ControlAids Prevention and Control

JULY 2003JULY 2003

What is Healthy New Jersey 2010?

New Jersey’s health promotion and disease New Jersey’s health promotion and disease prevention initiativeprevention initiative

Proposes year 2010 targets for 150 Proposes year 2010 targets for 150 measurable health objectivesmeasurable health objectives

What is Healthy New Jersey 2010?

Provides comprehensive tracking of NJ Provides comprehensive tracking of NJ residents’ healthresidents’ health

Will be updated at least twice to measure Will be updated at least twice to measure progressprogress

There are brief updates each year in the There are brief updates each year in the annual health statistics reportannual health statistics report

ORGANIZED INTO HEALTH AREAS

WHO WE AREWHO WE ARE

OVERALL HEALTH STATUSOVERALL HEALTH STATUS

ACCESS TO HEALTH CAREACCESS TO HEALTH CARE

FUNDAMENTALS OF GOOD FUNDAMENTALS OF GOOD HEALTH HEALTH

ORGANIZED INTO HEALTH AREAS

(CONTINUED)

PREVENTING AND REDUCING PREVENTING AND REDUCING MAJOR DISEASESMAJOR DISEASES

STRENGTHENING PUBLIC HEALTH STRENGTHENING PUBLIC HEALTH CAPACITYCAPACITY

APPENDICESAPPENDICES

FUNDAMENTALS OF GOOD HEALTH:

ENVIRONMENTAL HEALTH

HEALTHY MOTHERS & YOUNG CHILDREN

HEALTHY BEHAVIORS - ADOLESCENTS

HEALTHY BEHAVIORS - ADULTS

OCCUPATIONAL HEALTH AND SAFETY

UNINTENTIONAL INJURY

PRESERVING GOOD HEALTH FOR SENIORS

PREVENTING AND REDUCING MAJOR DISEASES

HEART DISEASE AND STROKE DIABETES CANCER HIV/AIDS MENTAL HEALTH ADDICTIONS ASTHMA INFECTIOUS DISEASES SEXUALLY TRANSMITTED DISEASES

DEVELOPMENT OF HNJ2010

AN INTER-DEPARTMENTAL WORK GROUP DEVELOPED THE ORIGINAL DRAFT

THREE PUBLIC MEETINGS WERE HELD TO SEEK INPUT

WRITTEN COMMENTS WERE SOLICITED FROM HEALTH PROFESSIONALS AND THE PUBLIC

Framework of Healthy New Jersey 2010

Two overarching goals: Two overarching goals: - Increase health-related quality and years- Increase health-related quality and years

of lifeof life

- Eliminate health disparities based on- Eliminate health disparities based on

race/ethnicityrace/ethnicity These goals are identical in HNJ2010 andThese goals are identical in HNJ2010 and

HP2010HP2010

New Jersey’s Diversity: A Public Health Challenge for 2010

New Jersey United StatesPopulation (2000) 8,414,350 281,421,906

Population Density (2000) (persons/square mile) 1,134.4 79.6

Median Age (2000) 36.7 35.3

Percentage Age > 65 Years (2000) 13.2 12.4 Age > 85 Years (2000) 1.6 1.5

Percentage of Population Male/Female (2000) 48.5/51.5 49.1/50.9

Percentage of Population Below Poverty Level (2000) 8.5 12.4

Percentage of School/aged Related Children Below Poverty Level (2000) 10.5 15.4 Percentage of Live Births to Females Aged 10-17 Years (1997) 3.0 4.9

New Jersey’s Diversity (cont.)

Number of Counties Number of Counties 21 21 3,1363,136Number of Local Health DepartmentsNumber of Local Health Departments 113113 2,9182,918Racial Distribution of Population (2000)Racial Distribution of Population (2000)Percentage White non-HispanicPercentage White non-Hispanic 66.066.0 69.1 69.1Percentage Black non-HispanicPercentage Black non-Hispanic 13.0 12.113.0 12.1Percentage Asian/PI non-HispPercentage Asian/PI non-Hisp 5.7 5.7 3.7 3.7Percentage non-Hispanic Other Percentage non-Hispanic Other 1.9 1.9 2.5 2.5Percentage Hispanic Percentage Hispanic 13.313.3 12.5 12.5

Educational Attainment (2000)Educational Attainment (2000) (Age (Age >> 25 Years) 25 Years) High School Graduate or MoreHigh School Graduate or More 82.1 82.1 80.4 80.4 Completed Bachelor’s DegreeCompleted Bachelor’s Degree or Moreor More 29.8 29.8 24.4 24.4

69.6

Healthy Life Expectancy at Birth in Years New Jersey, 1996-1998

55.2 53.9

66.3

0

10

20

30

40

50

60

70

80

White femalesWhite males Black femalesBlack males Total

67.1

Target Setting Healthy New Jersey indicators identify Healthy New Jersey indicators identify

specific, measurable targets and preferred specific, measurable targets and preferred endpointsendpoints

5 major health areas5 major health areas- Overall Health Status- Overall Health Status- Access to Health Care- Access to Health Care- Fundamentals of Good Health- Fundamentals of Good Health- Preventing and Reducing Major Diseases- Preventing and Reducing Major Diseases- Strengthening Public Health Capacity- Strengthening Public Health Capacity

RACIAL DISPARITY IN HEALTH OUTCOMES

The DebateThe Debate- Balance strong community support to eliminate disparities - Balance strong community support to eliminate disparities against community’s support for realistic, achievable targets against community’s support for realistic, achievable targets for 2010for 2010- Recognize multiple factors contributing to disparities- Recognize multiple factors contributing to disparities

The Decision - Two targetsThe Decision - Two targets 1. Narrows the gap (target) based on trend data, 1. Narrows the gap (target) based on trend data, scientific/medical knowledge and current activitiesscientific/medical knowledge and current activities 2. Eliminates the gap (Preferred 2010 endpoint) in 2. Eliminates the gap (Preferred 2010 endpoint) in

most casesmost cases

How can Healthy New Jersey 2010 be used? Planning resource:Planning resource:

- State and local health agencies- State and local health agencies- Private health organizations-providers, - Private health organizations-providers,

community based organizations, consumer community based organizations, consumer groups, advocacy groupsgroups, advocacy groups

Educational resourceEducational resource- Provides health status for New Jersey- Provides health status for New Jersey

residentsresidents

HEALTHY NJ 2010 Infrastructure and the Internet

HNJ 2010 in print and on the WebHNJ 2010 in print and on the Web Provides specific references to data sourcesProvides specific references to data sources Provides descriptions of data sourcesProvides descriptions of data sources Links to departmental databasesLinks to departmental databases Interdecade updates - not only data updates, but also Interdecade updates - not only data updates, but also

programmatic initiatives. Will recognize programmatic initiatives. Will recognize community memberscommunity members

(Future) Web - link to HP2010 and other states’ (Future) Web - link to HP2010 and other states’ activities related to 2010 objectives activities related to 2010 objectives

Web page: www.state.nj.us/health/chs/hnj.htm

Update Healthy New Jersey 2000 - Second Update and Review Assessment of progress made toward achieving the State's health objectives for 2000.

Healthy New Jersey 2010 State Health Issues Opinion Survey 1999 Results of a public opinion poll conducted by the Eagleton Institute regarding New Jersey residents' views on health issues.

Healthy New Jersey 2010 (June 2001) Volume I (PDF 828K)

Healthy New Jersey 2010 (June 2001) Volume II (PDF 766K) Baseline data for the State's health objectives for 2010.

SOURCES OF DATA

FOR HEALTHY NEW JERSEY 2010

Healthy New Jersey 2010 Data Sources by Number of Objectives Tracked

Data System/SourceNumber of Objectives

Tracked*

Vital Statistics System – Mortality 311/

Behavioral Risk Factor Surveillance System 23Vital Statistics System – Natality 10NJDHSS Office Of Local Health 7UB-92 Hospital Discharge File 6New Jersey Department of Environmental Protection 5NJDHSS Communicable Disease Service Sexually Transmitted DiseasesManagement Information System 5NJDHSS Aids Registry 5NJDHSS Long Term Care Systems Development Minimum Data Set 5NJDHSS Occupational Disease and Injury Services 4NJDHSS Communities That Care Middle School Survey 4NJDHSS Cancer Registry 4NJDHSS Consumer And Environmental Health 4New Jersey Department of Human Services,Division of Mental Health Services 4New Jersey Department of Education, Division of Academic Programs andStandards 3HEDIS 3U.S. Bureau of the Census Current Population Survey 2

Healthy New Jersey 2010 Data Sources by Number of Objectives Tracked (con’t)NJDHSS Lead Surveillance System 2New Jersey Department of Law and Public Safety 2NJDHSS Family Health Services 2NJDHSS Communicable Disease Service NETSS 2NJDHSS Communicable Disease Service Tuberculosis Information System(TIMS) 2NJDHSS Health Information Steering Committee 2NJDHSS WIC Program 1CDC Immunization Survey 1NJDHSS New Jersey Immunization Information System 1NJDHSS TBI Surveillance System 1NJDHSS Survey of Child Bearing Women 1NJDHSS Division of Consumer Support 1Trans-Atlantic Renal Council 1New Jersey Department of Law and Public SafetyDivision of Highway Traffic Safety 1New Jersey Institute of Technology 1NJDHSS Emergency Room Data File** 1NJDHSS Office of Information Technology Services 1NJDHSS Center for Health Statistics 1

1/ 29 objectives tracked through the state’s single cause of death file and two through the multiple cause-

of-death file.* Preliminary count. Includes sources of data for tracking developmental objectives.** Data source under development.

Healthy New Jersey 2010 Objectives Using BRFSS As Measurement 2002 BRFSS Questionnaire

Objective Number Chapter Statement of Objective Location in BRFSS I.3 Overall Health Status % of persons 18+ reporting good, very

good or excellent health Core

I.4 Overall Health Status Days able to do usual activities within past 30 days, population 18+

Module 6, Q.3, Quality of Life (Converse)

2.3 Access to Health Care % of adults who report they have a source of primary care

Core

2.4 Access to Health Care % of 18+* who visit a dentist or dental clinic each year

Core

3D.1 Healthy Behaviors – Adults

% 18+ eating at least 5 daily servings of fruits & vegetables (inc. legumes)

Core


% 18+ who are overweight but not obese

Core


% 18+ who are obese Core


% 18+ who participated in frequent, leisure time physical activity during the past month

Module 4, Physical Activity

3F.2 Unintentional Injury % 18+ who use seat belts in automobiles

Core

3G.2 Preserving Good Health for Seniors

% non-institutionalized 65+ reporting fair or poor health status

Core

3G.3 Preserving Good Health for Seniors

% non-institutionalized 65+ who have ever had pneumococcal vaccination

Core

3G.4 Preserving GoodHealth for Seniors

% non-institutionalized 65+ who hadinfluenza vaccination < past 12 months

Core

4A.3 Heart Disease andStroke

% 18% who have had their bloodcholesterol checked by a healthprofessional < 5 years

Module 3, Cholesterol Awareness, Q’s 1and 2

4B.5 Diabetes % 18+ with diagnosed diabetes whohave had a dilated eye exam < 1 year

Module 1, Diabetes, Q. 10

4B.8 Diabetes % 18+ with diagnosed diabetes whoreport having a glycosylated hemoglobinmeasurement at least once a year

Module 1, Diabetes, Q. 8

4C.2 Cancer % females 40+ who had a clinical breastexam & mammogram < 2 years

Core

4C.5 Cancer % females 18+ with intact cervix uteriwho had Pap test < 2 years

Core

4C.10 Cancer % 50+ who had a fecal occult blood test< 1 year and/or have ever hadsigmoidoscopy

Core (includes colonoscopy)

4E.1 Mental Health Average number of days < past 30when mental health was good

Module 5, Mental Health, Q.2(converse)

4F.5 Addictions Prevalence of cigarette smoking among18+

Core

4F.6 Addictions % 18+ who consumed 5+ alcoholicdrinks per occasion, one+ time < month

Core

*Total population = dentate population + edentulous patients

Revised 10/17/01

WHAT IS AN OBJECTIVE?

FORMAT FOR A MEASURABLE HEALTH OBJECTIVE:

1. WHAT CHANGE (IMPROVEMENT) 1. WHAT CHANGE (IMPROVEMENT) WILL OCCUR? WILL OCCUR?

2. WITHIN WHAT POPULATION 2. WITHIN WHAT POPULATION

AND AT WHAT RATE WILL THE AND AT WHAT RATE WILL THE

CHANGE OCCUR?CHANGE OCCUR?

3. WHAT IS THE TARGET DATE 3. WHAT IS THE TARGET DATE

FOR THE EXPECTED CHANGE? FOR THE EXPECTED CHANGE?

EACH OBJECTIVE HAS FOR THE TOTAL POPULATION AND EACH SUB-POPULATION:

BASELINE DATA FROM THE MOST BASELINE DATA FROM THE MOST RECENTLY AVAILABLE YEARRECENTLY AVAILABLE YEAR

TARGET AND PERCENT CHANGETARGET AND PERCENT CHANGE PREFERRED 2010 ENDPOINT AND PREFERRED 2010 ENDPOINT AND

PERCENT CHANGEPERCENT CHANGE

STATEMENT OF A TYPICAL OBJECTIVE FROM HNJ2000:

INCREASE IMMUNIZATION LEVELS INCREASE IMMUNIZATION LEVELS FOR MEASLES (RUBEOLA) IN FOR MEASLES (RUBEOLA) IN CHILDREN BY AGE TWO TO 90.0 CHILDREN BY AGE TWO TO 90.0 PERCENT BY 2000PERCENT BY 2000

A RELATED OBJECTIVE EXPANDED TO COVER OTHER IMMUNIZATIONS WAS

INCLUDED IN HEALTHY NEW JERSEY 2010:

BY 2010 INCREASE THE PERCENTAGE OF BY 2010 INCREASE THE PERCENTAGE OF TWO YEAR OLD CHILDREN RECEIVING TWO YEAR OLD CHILDREN RECEIVING DTaP, POLIO, MMR, HiB, AND HEPATITIS B DTaP, POLIO, MMR, HiB, AND HEPATITIS B VACCINES, SEPARATELY AND AS PART OF VACCINES, SEPARATELY AND AS PART OF THE 4-3-1 SERIES TO 90.0 PERCENTTHE 4-3-1 SERIES TO 90.0 PERCENT

ALL CHILDREN <= AGE 2 - 90.0%ALL CHILDREN <= AGE 2 - 90.0%

MCO ENROLLEES <= AGE 2 - 90.0MCO ENROLLEES <= AGE 2 - 90.0 % %

COLLECTION OF DATA FOR FIRST UPDATE TO HNJ2010

PLANNED FOR COMPLETION IN LATE PLANNED FOR COMPLETION IN LATE 20032003

TARGETS, PREFERRED 2010 TARGETS, PREFERRED 2010 ENDPOINTS AND BASELINES WILL ENDPOINTS AND BASELINES WILL HAVE TO BE ADJUSTED, IN SOME HAVE TO BE ADJUSTED, IN SOME CASESCASES

DATA SOURCES FOR DATA SOURCES FOR DEVELOPMENTAL OBJECTIVES WILL DEVELOPMENTAL OBJECTIVES WILL NEED TO BE IDENTIFIEDNEED TO BE IDENTIFIED

SELECTED HIGHLIGHTS FROM THE

FINAL UPDATE TO HEALTHY NEW JERSEY 2000

MEASURING PROGRESS TOWARD HEALTHY NEW JERSEY 2000 TARGETS

Progress Quotient =Progress Quotient =

most recent value - baseline value most recent value - baseline value x 100 x 100

year 2000 target - baseline value year 2000 target - baseline value

FINAL STATUS FOR OBJECTIVES RELATED TO BIRTHS TO ADOLESCENTSHEALTHY NEW JERSEY 2000

BIRTH RATE TO TOTAL FEMALES 10-14 YEARSBIRTH RATE TO TOTAL FEMALES 10-14 YEARS

BIRTH RATE TO MINORITY FEMALES 10-14 YEARSBIRTH RATE TO MINORITY FEMALES 10-14 YEARS

BIRTH RATE TO TOTAL FEMALES 15-19 YEARSBIRTH RATE TO TOTAL FEMALES 15-19 YEARS

BIRTH RATE TO MINORITY FEMALES 15-19 BIRTH RATE TO MINORITY FEMALES 15-19

ADOLESCENT FEMALES WHO RECEIVEADOLESCENT FEMALES WHO RECEIVE

FAMILY PLANNING SERVICESFAMILY PLANNING SERVICES

% TARGETED IMPROVEMENT ACHIEVED

FINAL STATUS FOR OBJECTIVES RELATED TO SUBSTANCE USE BY ADOLESCENTS


% HIGH SCHOOL STUDENTS CURRENTLY SMOKING % HIGH SCHOOL STUDENTS CURRENTLY SMOKING CIGARETTESCIGARETTES

% HIGH SCHOOL STUDENTS WHO USED ALCOHOL % HIGH SCHOOL STUDENTS WHO USED ALCOHOL IN THE PAST 30 DAYSIN THE PAST 30 DAYS

% HIGH SCHOOL STUDENTS WHO USED % HIGH SCHOOL STUDENTS WHO USED MARIJUANA IN THE PAST 30 DAYSMARIJUANA IN THE PAST 30 DAYS

% HIGH SCHOOL STUDENTS WHO USED % HIGH SCHOOL STUDENTS WHO USED COCAINE IN THE PAST 30 DAYSCOCAINE IN THE PAST 30 DAYS

-400 -300 -200 -100 0 100


FINAL STATUS FOR OBJECTIVES RELATED TO INJURIES IN ADOLESCENTS


DEATH RATE IN 15-19 YEAR OLDS CAUSED BY DEATH RATE IN 15-19 YEAR OLDS CAUSED BY MOTOR VEHICLE INJURIESMOTOR VEHICLE INJURIES

SUICIDE DEATH RATE IN WHITE MALES 15-19 SUICIDE DEATH RATE IN WHITE MALES 15-19

HOMICIDE DEATH RATE IN MINORITY HOMICIDE DEATH RATE IN MINORITY MALES 15-19MALES 15-19

ALCOHOL-RELATED MOTOR VEHICLE DEATH RATE ALCOHOL-RELATED MOTOR VEHICLE DEATH RATE IN 15-19 YEAR OLDSIN 15-19 YEAR OLDS

0 200 400 600 800 1000


FINAL STATUS FOR ACCESS TO PREVENTIVE AND PRIMARY CARE OBJECTIVESHEALTHY NEW JERSEY 2000

-39.1

-16.2

4.6

23.3

90

56.3

25

129.6

-28.7

19.4

823.1

86.9

43.5

371.7

192.9

-200 0 200 400 600 800 1000% TARGETED IMPROVEMENT ACHIEVED

FEMALE BREAST CANCER DEATH RATE - TOTAL POPULATION

FEMALE BREAST CANCER DEATH RATE - 50-64 YEAR OLDS

FEMALE BREAST CANCER DEATH RATE - 65+ YEAR OLDS

% 40+ WOMEN WITH MAMMOGRAM & CBE WITHIN PAST YEAR

AGE-ADJUSTED TOTAL LUNG CANCER DEATH RATE - NOT CALCULATED

AGE-ADJUSTED LUNG CANCER DEATH RATE- MINORITY MALES

SMOKING PREVALENCE IN ADULTS 20+

SMOKING PREVEALENCE IN HIGH SCHOOL STUDENTS

AGE-ADJUSTED TOTAL CERVICAL CANCER DEATH RATE

FINAL STATUS FOR OBJECTIVES TO PREVENT, DETECT AND CONTROL CANCER


AVERAGE DAILY SERVINGS OF FRUITS AND VEGETABLES

AGE-ADJUSTED MINORITY CERVICAL CANCER DEATH RATE

CERVICAL CANCER DEATH RATE IN WOMEN 65+

% WOMEN WHO HAD A PAP SMEAR IN THE PAST TWO YEARS

AGE-ADJUSTED TOTAL COLORECTAL CANCER DEATH RATE

% MINORITY WOMEN WHO HAD A PAP SMEAR IN THE PAST TWO YEARS

% WOMEN 65+ WHO HAD A PAP SMEAR IN THE PAST TWO YEARS

4Ai. AGE-ADJUSTED FEMALE BREAST CANCER DEATH RATENEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVE

SOURCE: NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES CENTER FOR HEALTH STATISTICS

0

5

10

15

20

25

30

199019952000

YEAR

AG

E-A

DJU

ST

ED

RA

TE

PE

R 100,000 S

TA

ND

AR

D P

OP

UL

AT

ION

YEAR 2000 OBJECTIVE

4Aii. FEMALE BREAST CANCER DEATH RATES BY AGENEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVES


0

20

40

60

80

100

120

140

160

180

199019952000

YEAR

DE

AT

H R

AT

E P

ER

100,000 FE

MA

LE

S

DEATH RATE - FEMALES 65 & OVER

DEATH RATE - FEMALES 50-64

YEAR 2000 OBJECTIVE - FEMALES 65 & OVER

YEAR 2000 OBJECTIVE - FEMALES 50-64

4B. WOMEN AGED 40 AND OVER WHO RECEIVED A CLINICALBREAST EXAMINATION AND A MAMMOGRAM WITHIN THE PAST YEAR

NEW JERSEY, 1991-2000 AND YEAR 2000 OBJECTIVE

SOURCE: NEW JERSEY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM

0

10

20

30

40

50

60

70

80

90

100

1991199419972000

ES

TIM

AT

ED

PE

RC

EN

T O

F P

OP

UL

AT

ION

YEAR 2000 OBJECTIVE

4C. AGE-ADJUSTED LUNG CANCER DEATH RATES, TOTAL AND MINORITY MALESNEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVES


0

10

20

30

40

50

60

70

80

199019952000

YEAR

AG

E-A

DJU

STE

D R

AT

E P

ER

100,000 STA

ND

AR

D P

OP

UL

AT

ION

YEAR 2000 OBJECTIVE - TOTAL

DEATH RATE - MINORITY MALES

DEATH RATE - TOTAL

YEAR 2000 OBJECTIVE - MINORITY MALES

4Dii. PREVALENCE OF CIGARETTE USE* AMONG HIGH SCHOOL STUDENTSNEW JERSEY, 1989-1998 AND YEAR 2000 OBJECTIVE

SOURCE: SURVEY REPORTS -"DRUG AND ALCOHOL USE AMONG NEW JERSEY HIGH SCHOOL STUDENTS"*INCLUDES THOSE WHO SMOKE ON OCCASION AS WELL AS REGULAR SMOKERS

0

5

10

15

20

25

30

35

40

45

19891992199519982000

Percen

t of H

igh

Sch

oo

l Stu

den

ts

YEAR 2000 OBJECTIVE

4Di. PERSONS AGED 20 AND OVER WHO ARE CURRENTLY SMOKING CIGARETTESNEW JERSEY, 1991-2000 AND YEAR 2000 OBJECTIVE

SOURCE: BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM

0

5

10

15

20

25

199119952000

PE

RC

EN

T O

F P

OP

UL

AT

ION

YEAR 2000 OBJECTIVE

4E. AGE-ADJUSTED COLORECTAL CANCER DEATH RATENEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVE


0

2

4

6

8

10

12

14

16

18

199019952000

YEAR

AG

E-A

DJU

ST

ED

RA

TE

/100,000 ST

AN

DA

RD

PO

PU

LA

TIO

N

ORIGINAL YEAR 2000 OBJECTIVE

REVISED YEAR 2000 OBJECTIVE

4F. AVERAGE DAILY SERVINGS OF FRUITS AND VEGETABLES*IN THE POPULATION AGED 18 AND OVER

NEW JERSEY, 1991-2000 AND YEAR 2000 OBJECTIVE

SOURCE: NEW JERSEY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM* NOT INCLUDING FRENCH FRIES, FRIED POTATOES OR POTATO CHIPS

0

1

2

3

4

5

6

1991199419972000

YEAR 2000 OBJECTIVE

4Gi. AGE-ADJUSTED CERVICAL CANCER DEATH RATESNEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVES

SOURCE: NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES, CENTER FOR HEALTH STATISTICS

0

1

2

3

4

5

6

7

199019952000

YEAR

AG

E-A

DJ

US

TE

D R

AT

E P

ER

10

0,0

00

ST

AN

DA

RD

PO

PU

LA

TIO

N

TOTAL

YEAR 2000 OBJECTIVE-TOTAL

MINORITY

YEAR 2000 OBJECTIVE-MINORITY

4Gii. CERVICAL CANCER DEATH RATE, AGED 65 AND OVERNEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVE


0

2

4

6

8

10

12

199019952000

YEAR

DE

AT

H R

AT

E P

ER

100,000 PO

PU

LA

TIO

N

YEAR 2000 OBJECTIVE

4H. WOMEN WITH UTERINE CERVIX WHO HAVE HAD A PAP SMEARDURING THE PAST TWO YEARS

NEW JERSEY, 1991-2000 AND YEAR 2000 OBJECTIVES

SOURCE: NEW JERSEY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMNOTE: MINORITY YEAR 2000 OBJECTIVE WAS REVISED 12/03/93 FROM 80% TO 85%

0

10

20

30

40

50

60

70

80

90

1991199419972000

PE

RC

EN

T O

F P

OP

UL

AT

ION

TOTALMINORITY65+

YEAR 2000 OBJECTIVE - TOTAL & MINORITY

YEAR 2000 OBJECTIVE - WOMEN AGED 65+

4Hi. WOMEN WITH UTERINE CERVIX WHO HAVE HAD A PAP SMEARDURING THE PAST TWO YEARS, BY RACE


SOURCE: NEW JERSEY BEHAIORAL RISK FACTOR SURVEILLANCE SYSTEMNOTE: MINORITY YEAR 2000 OBJECTIVE WAS REVISED 12/03/93 FROM 80% TO 85%

0

10

20

30

40

50

60

70

80

90

1991199419972000

PE

RC

EN

T O

F P

OP

UL

AT

ION

TOTALMINORITY YEAR 2000 OBJECTIVE - TOTAL & MINORITY

4Hii. WOMEN 65+ WITH UTERINE CERVIX WHO HAVE HAD A PAP SMEARDURING THE PAST TWO YEARS


SOURCE: NEW JERSEY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMNOTE: MINORITY YEAR 2000 OBJECTIVE WAS REVISED 12/03/93 FROM 80% TO 85%

0

10

20

30

40

50

60

70

80

1991199419972000

PE

RC

EN

T O

F P

OP

UL

AT

ION

YEAR 2000 OBJECTIVE

Documents

HEALTHY NEW JERSEY 2010