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Healthy People 2020 Older Adult Objectives To better understand the determinants of healthy aging in various populations and settings, specific Healthy People 2020 measures related to older adults were defined, with the overall goal of improving their health, function and quality of life. Table 7 shows these measures. Table 7. Healthy People 2020 Older Adult Objectives Objective No. OA-1 OA-2 OA-3 OA-4 OA-5 OA-6 OA-7 OA-8 OA-9 OA-10 OA-11 OA-12 Objective Increase the proportion of older adults who use the Welcome to Medicare benefit. Increase the proportion of older adults who are up-to-date on a core set of clinical preventive services. Increase the proportion of older adults with one or more chronic health conditions, and report confidence in managing their conditions. Increase the proportion of older adults who receive Diabetes Self-Management Benefits. Reduce the proportion of older adults who have moderate to severe functional limitations. Increase the proportion of older adults with reduced physical or cognitive function who engage in moderate or vigorous leisure-time physical activities. Increase the proportion of the health care workforce with geriatric certification. Reduce the proportion of noninstitutionalized older adults with disabilities with unmet need for long-term servicesand supports. Reduce the proportion of unpaid caregivers of older adults who report an unmet need for caregiver support services. Reduce the rate of pressure ulcer-related hospitalizations among older adults. Reduce the rate of emergency department visits caused by falls among older adults. Increase the number of states, the District of Columbia, and tribes that collect and make publicaly available information on the characteristics of victims, perpetrators, and cases of elder abuse, neglect, and exploitation. Indicator Selection The indicators for The State of Aging and Health in America 2013 were modified and updated from previous versions of the report to reflect current public health priorities and available data. Two new indicators are included in the 2013 edition of the report: taking medication for high blood pressure, which replaces cholesterol checked within past 5 years, and fall with injury within the past year, which replaces hip fracture hospitalizations. All indicators were selected on the basis of their relative importance to older adult health, the availability of data for at least 35 states, and the ability to take action on the particular indicator. PAGE 48 The State of Aging and Health in America 2013
Data Source Behavioral Risk Factor Surveillance System This report features data on key indicators of health and well-being for U.S. adults aged 65 years or older. These data are from CDC’s Behavioral Risk Factor Surveillance System (BRFSS). For more than 2 decades, BRFSS has helped states survey U.S. adults regarding a wide range of personal behaviors that affect their health. The BRFSS focuses primarily on physical activity, nutrition, tobacco use, and use of proven preventive services (such as cancer screenings), all of which can affect the rates of the nation’s leading health-related causes of death. BRFSS survey questions assess how many people engage in these and other health and risk behaviors, whether these behaviors are increasing over time, and which populations might be most at risk. The crucial information gathered through this state-based telephone survey system is used by national, state, and local public health agencies to monitor the need for and the effectiveness of various public health interventions. Although the BRFSS is one of our most useful tools for assessing the health of the older adult population, it has a few limitations. First, it excludes people who do not have telephones or who live in institutions, such as nursing homes. Second, it may underrepresent people who are severely impaired because they lack the functional capacity required to participate in the survey. Third, all responses to the BRFSS are self-reported and, therefore, have not been confirmed by a health care provider. Because BRFSS data are collected at the state level, the national data estimates provided in Table 1 are actually the mean data for the 50 states and the District of Columbia. The BRFSS is administered and supported by the CDC. For more information, visit www.cdc.gov/brfss. The State of Aging and Health in America 2013 PAGE 49
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National Center for Chronic Disease
Page 3 and 4:
Foreword “The State of Aging and
Page 5 and 6: But improvement on the remaining He
Page 7 and 8: Contents An Introduction to the Hea
Page 9 and 10: An Introduction to the Health of Ol
Page 11 and 12: 27.6% The Burden of Chronic Disease
Page 13 and 14: Major Contributor to Health Care Co
Page 15 and 16: Call to Action Developing a New Hea
Page 17 and 18: 65+ 65+ Figure 4. Binge Drinking Am
Page 19 and 20: Call to Action Addressing Lesbian,
Page 21 and 22: 19. US Preventive Services Task For
Page 23 and 24: The National Report Card on Healthy
Page 25 and 26: Call to Action Addressing Mental Di
Page 27 and 28: New Resource for Data on Disabiliti
Page 29 and 30: Indicator 9. Taking medications for
Page 31 and 32: Call to Action Monitoring Vaccinati
Page 33 and 34: References 1. Centers for Disease C
Page 35 and 36: The State-by-State Report Card on H
Page 37 and 38: Table 3. State-by-State Report Card
Page 43 and 44: Spotlight: Mobility Mobility Impair
Page 45 and 46: Environmental and Policy Approaches
Page 47 and 48: Regional Collaboration Makes for Li
Page 49 and 50: (e.g., sidewalks, crosswalks, traff
Page 51 and 52: State Examples of Complete Street P
Page 53: References 1. Satariano WA, Guralni
Page 58 and 59: Notes _____________________________
Page 60: www.cdc.gov/aging
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Division of Population Health

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