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To create national policies to alleviate health problems, it is imperative to define what constitutes a healthy population. Before evaluating health, those who are assessing health status must develop a mutually agreed on set of measurement tools. One of the best-known and most widely used sets of health indicators are those developed by the federal government's Healthy People 2010 initiative. The initiative identified a set of leading indicators based on their ability to initiate action and measure progress. Specifically, it defined 10 leading health indicators with the objective of measuring the health status of all individuals in the United States over the 10-year period from 2001 to 2010. The 10 leading health indicators are (1) physical activity, (2) overweight and obesity, (3) tobacco use, (4) substance abuse, (5) responsible sexual behavior, (6) mental health, (7) injury and violence, (8) environmental quality, (9) immunization, and (10) access to healthcare.

Healthy People 2010

The Healthy People 2010 initiative is a broad set of health objectives for the United States to achieve over the first decade of this century. The initiative is designed to be used by many different population groups, communities, and professional organizations. The initiative attempted to develop various programs to improve population health. Healthy People 2010 identified leading health indicators that represent the major public health concerns the nation faces in the first decade of the 21st century. Each of the leading indicators depends on the information individuals have about their health.

Development of the Leading Health Indicators

Selecting leading health indicators involved a large interagency task force from the U.S. Department of Health and Human Services (HHS). Additionally, many associations and professional organizations provided comments and analysis at various task force meetings and communicated with it via e-mail and through the Internet. The National Academy of Sciences, Institute of Medicine (IOM) conducted a study, using scientific models, to support a given set of indicators. This systematic approach in determining the leading health indicators legitimized the importance and significance of the resultant measures of the population's health.

The 10 Leading Health Indicators

1. Physical Activity

Physical activity is an important leading health indicator because it is crucial for maintaining a healthy body, enhancing psychological well-being, and preventing early death. In 1997, 63% of adolescents engaged in the recommended amount of daily physical activities: about 20 minutes of vigorous physical activity, 3 or more days per week. During the same year, 15% of adults engaged in the recommended amount of activity: 30 minutes of moderate daily physical activity, 5 or more days per week. The goal is to increase the proportion of the nation's adolescents and adults who engage in daily physical activities.

2. Overweight and Obesity

Being overweight and obese are major contributors to many preventable diseases (e.g., heart disease, stroke, diabetes, and hypertension). Higher body weights are also associated with higher mortality rates. Objectives for the future are to reduce the proportion of children, adolescents, and adults who are overweight and obese. Efforts to maintain a healthy weight must start in childhood.

3. Tobacco Use

Cigarette smoking is the single most preventable cause of disease and death in the United States: Smoking results in more deaths each year than AIDS, alcohol, cocaine, heroin, homicide, suicide, motor vehicle crashes, and fires combined. Objectives for the future are to reduce smoking rates in adolescents and adults.

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