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OCR Page 1 of 68Number 10
nchs
September 1995
HEALTHY
PEOPLE
Statistical
2000
Notes
From the CENTERS FOR DISEASE CONTROL AND PREVENTION/National Center for Health Statistics
Health Status Indicators: Differentials by
Race and Hispanic Origin
Christine Plepys and Richard Klein
Introduction
The Centers for Disease Control and Prevention
Trend data are generally available for most of the indicators
introduced a set of health status indicators in 1990 in
for the total population at the national level. The majority of
response to a need for health status measures that present a
the rates are declining, indicating that the total population is
broad overview of health and can be used by various levels
improving or remaining stable for most of the indicators.
of government (1). The indicators include 18 measures of
The 1992 infant mortality rate of 8.5 infant deaths per
health status and/or factors that put individuals at increased
1,000 live births was the lowest rate ever recorded for the
risk of disease or premature mortality. The development and
United States. Similarly, the all-cause death rate reached a
definition of the indicators and the national data used to
record low in 1992. The age-adjusted death rate of 504.5
measure them are described in previous Statistical Notes
deaths per 100,000 population was about 3 percent below the
(1,2).
rate of 520.2 for 1990 and 14 percent below the rate of
One of the three broad goals of Healthy People 2000 (3)
585.8 for 1980.
is to reduce health disparities among Americans, including
The 1992 age-adjusted death rate for motor vehicle
disparities between race and ethnic groups. In 1994,
crash deaths was 15.8 in 1992, a 16-percent decline from the
Committee 22.1, a group of health professionals who
1989 rate. For homicide (including "legal intervention"), the
established the Health Status Indicators, recommended that,
age-adjusted death rate declined about 4 percent to 10.5
when possible, States and localities should analyze the
deaths per 100,000 population between 1991 and 1992, after
indicators for each of the major population groups in their
increasing an average of nearly 5 percent per year between
jurisdictions (4). Production of State and local reports by
1985 and 1991. For cardiovascular disease deaths, the 1992
race and ethnicity is encouraged. The first part of this
age-adjusted death rate was 180.4 deaths per 100,000
Statistical Note presents updates for previously published
population. Mortality from this cause, which accounts for
trends for the Health Status Indicators for the total
nearly half of all deaths in the U.S., has been generally
population (2). The second part presents comparisons by
declining for decades. The 1992 age-adjusted death rates for
race and Hispanic origin using the most recent national data.
the two major components of cardiovascular disease-heart
disease and stroke-were 144.3 and 26.2, respectively.
The final section provides a discussion of data issues relating
Mortality from heart disease has been declining since about
to race and ethnicity.
1950, while stroke mortality has been dropping steadily
since U.S. mortality statistics were first published in 1900.
Recent Trends for the Total Population
The age-adjusted lung cancer death rate was 39.3 per
National data for the Health Status Indicators for the
100,000 population in 1992, slightly lower than previous
total population have been published elsewhere (2, 5, 6).
years (39.9 in 1990 and 39.6 in 1991). Lung cancer
BUMAN
SERVICES
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
HEALTH
Centers for Disease Control and Prevention
CDC
of
SEPARTMENT
National Center for Health Statistics
CENTERS FOR DISEASE CONTROL
AND PREVENTION
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