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Heart Disease and Stroke

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Coronary heart disease deaths, 1999–2011

Decrease Desired

SOURCE: National Vital Statistics System—Mortality (NVSS-M), CDC/NCHS.

NOTES: Data are for ICD-10 codes I20–I25 reported as underlying cause of death and are age adjusted using the year 2000 standard population. Prior to 2003, only one race could be recorded; recording more than one race was not an option. Beginning in 2003, multiple-race data were reported by some states; multiple-race data were bridged to the single-race categories for comparability. Persons of Hispanic origin may be of any race. 

The coronary heart disease death rate declined 43.9% between 1999 and 2011, from 194.6 to 109.2 deaths per 100,000 population (age adjusted), and varied by race and ethnicity. For example, in 2010, the Asian or Pacific Islander population had 62.7 deaths per 100,000 (age adjusted) that were due to coronary heart disease, compared with:

  • 81.4 deaths per 100,000 in the American Indian or Alaska Native population; almost one and a half times the rate for the Asian or Pacific Islander population.

  • 84.2 deaths per 100,000 in the Hispanic or Latino population; almost one and a half times the rate for the Asian or Pacific Islander population. 

  • 111.1 deaths per 100,000 in the non-Hispanic white population; nearly twice the rate for the Asian or Pacific Islander population. 

  • 127.9 deaths per 100,000 in the non-Hispanic black population; about twice the rate for the Asian or Pacific Islander population.

Revised: Monday, August 25, 2014

Stroke deaths, 1999–2011

Decrease Desired

SOURCE: National Vital Statistics System—Mortality (NVSS-M), CDC/NCHS.

NOTES: Data are for ICD-10 codes I60–I69 reported as underlying cause of death and are age adjusted using the year 2000 standard population. Prior to 2003 only one race category could be recorded; recording more than one race was not an option. Beginning in 2003, multiple-race data were reported by some states; multiple-race data were bridged to the single-race categories for comparability. Persons of Hispanic origin may be of any race. 

The stroke death rate declined 38.5% between 1999 and 2011, from 61.6 to 37.9 deaths per 100,000 (age adjusted), and varied by race and ethnicity. For example, in 2010, the American Indian or Alaska Native population had 27.1 deaths per 100,000 (age adjusted) that were due to stroke, compared with: 

  • 30.7 deaths per 100,000 in the Hispanic or Latino population.

  • 31.6 deaths per 100,000 in the Asian or Pacific Islander population.

  • 36.7 deaths per 100,000 in the non-Hispanic white population; almost one and a half times the rate for the American Indian or Alaska Native population. 

  • 52.3 deaths per 100,000 in the non-Hispanic black population; nearly twice the rate for the American Indian or Alaska Native population.

Revised: Monday, August 25, 2014

Hypertension, adults, 1988–94, 2001–04, 2005–08, and 2009–12

Decrease Desired

SOURCE: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS

NOTES: Data are for the proportion of adults aged 18 and over with hypertension and are age adjusted using the year 2000 standard population. Hypertension is defined for adults as an average systolic blood pressure greater than or equal to 140 mm Hg, an average diastolic blood pressure greater than or equal to 90 mm Hg, or self-reported current use of blood pressure lowering medication. Respondents were asked to select only one race prior to 1999. For 1999 and later years, respondents were asked to select one or more races. For all years, the categories `white, non-Hispanic’ and `black, non-Hispanic’ include persons who reported only one racial group. Persons of Mexican-American origin may be of any race. 

Confidence Interval = 95% confidence interval.

The prevalence of hypertension among adults aged 18 and over increased 20.2% from 1988–94 to 2001–04, from 24.7% to 29.7% (age adjusted), but has since remained stable through 2009–12. Hypertension prevalence varied by race and ethnicity as well as by sex. For example, in 2009–12:

  • 41.8% (age adjusted) of non-Hispanic black adults had hypertension, about one and a half times the prevalence among Mexican American adults, 27.4%. 

  • 29.9% (age adjusted) of male adults had hypertension, compared with 28.1% of female adults, although this difference was not statistically significant.

Revised: Monday, August 25, 2014

High cholesterol, adults, 1988–94, 2001–04, 2005–08, and 2009–12

Decrease Desired

SOURCE: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

NOTES: Data are for the proportion of adults aged 20 and over with high cholesterol levels and are age adjusted using the year 2000 standard population. High cholesterol level is defined as a total blood cholesterol of 240 mg/dL or greater. Respondents were asked to select only one race prior to 1999. For 1999 and later years, respondents were asked to select one or more races. For all years, the categories `white, non-Hispanic’ and `black, non-Hispanic’ include persons who reported only one racial group. Persons of Mexican-American origin may be of any race. 

Confidence Interval = 95% confidence interval.

The prevalence of high cholesterol among adults aged 20 and over decreased 37.4% from 1988–94 to 2009–12, from 20.6% to 12.9% (age adjusted), and varied by race and ethnicity as well as by sex. For example, in 2009–12:

  • 13.2% (age adjusted) of non-Hispanic white and Mexican American adults aged 20 and over had high cholesterol, almost one and a half times the prevalence among non-Hispanic black adults aged 20 and over, 10.0%. 

  • 14.0% (age adjusted) of female adults aged 20 and over had high cholesterol, compared with 11.6% of male adults.  

Revised: Monday, August 25, 2014

Blood pressure control, adults with hypertension, 1988–94, 2001–04, 2005–08, and 2009–12

Increase Desired

SOURCE: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

NOTES: Data are for the proportion of adults aged 18 and over with hypertension whose blood pressure was under control, and are age adjusted using the year 2000 standard population. Controlled blood pressure among adults with hypertension is defined as an average systolic blood pressure less than 140 mm Hg and an average diastolic blood pressure less than 90 mm Hg. Respondents were asked to select only one race prior to 1999. For 1999 and later years, respondents were asked to select one or more races. For all years, the categories `white, non-Hispanic’ and `black, non-Hispanic’ include persons who reported only one racial group. Persons of Mexican-American origin may be of any race. 

confidence interval = 95% confidence interval.

The prevalence of blood pressure control among adults aged 18 and over with hypertension almost doubled from 1988–94 to 2009–12, from 24.8% to 48.9% (age adjusted), and varied by race and ethnicity as well as by sex. For example, in 2009–12:

  • 53.6% (age adjusted) of non-Hispanic white adults with hypertension had a controlled blood pressure, more than one and a half times the rate of controlled blood pressure among Mexican American adults with hypertension, 32.7% (age adjusted). 

  • 56.6% (age adjusted) of female adults with hypertension had a controlled blood pressure, almost one and a half times the rate of controlled blood pressure among male adults with hypertension, 43.1% (age adjusted). 

Revised: Monday, August 25, 2014

National Snapshots Help

HEALTHY PEOPLE 2020 NATIONAL SNAPSHOTS

A User's Guide

  1. National snapshots provide a visual display of progress for selected objectives in each Healthy People 2020 Topic Area, whenever data are available.

  2. The snapshot heading describes the snapshot theme, the population to which the snapshot applies (when needed for clarification), and the data year(s). The snapshot heading is not meant to capture the full scientific scope of the objective(s) that is (are) displayed. The user can find complete technical information about the objective(s) in the Data Details.

  3. The snapshot visual display is generally one of three types: a line graph, a bar chart, or a map. 

  4. The snapshot notes and footnotes indicate any technical information about the data that the user needs to correctly interpret the visual display, together with any key data limitations (when applicable). Although the snapshots are intended to be standalone, the user should consult the objective(s) Data Details for the full range of methodology issues that may impact interpretation.

  5. The snapshot source(s) indicate the data source(s) used to create the visual display.

  6. Age-adjusted data are adjusted using the year 2000 standard population.

  7. Education and income are the primary measures of socioeconomic status in Healthy People 2020. Unless otherwise noted, income is defined as a family’s income before taxes; thus, the terms “income” and “family income” are used interchangeably in the snapshots.

  8. To facilitate comparisons among groups and over time, while adjusting for family size and for inflation, Healthy People 2020 categorizes family income using the Poverty Threshold (PT), sometimes also referred to as the Federal Poverty Level (FPL), developed by the Census Bureau. Unless otherwise overridden by considerations specific to the data system, the five categories of family income primarily used are: 

    1. Below the PT (i.e., less than 100% of the PT) 

    2. At 100%–199% of the PT 

    3. At 200%–399% of the PT 

    4. At 400%–599% of the PT 

    5. At or above 600% of the PT.

  9. A snapshot narrative paragraph highlights some key features of the visual display. The narrative text is not meant to provide an exhaustive analysis of the data displayed. For a more in-depth analysis, the user should refer to the applicable data table(s) and objective(s) Data Details.

  10. The user should keep in mind the following: 

    1. When two rates or proportions are highlighted for comparison (and measures of variability are available), the user may interpret the highlighted difference to be statistically significant at the 0.05 level, unless otherwise stated.

    2. Only selected differences are highlighted in the narrative text. Differences visible in the visual data display but not highlighted in the text still may well be statistically significant.

Revised: Monday, August 25, 2014