Healthy People 2010 Midcourse Review Oral Health Gina - PowerPoint PPT Presentation

Healthy People 2010 Midcourse Review Oral Health Gina Thornton-Evans, DDS, MPH Division of Oral Health Centers for Disease Control and Prevention (CDC) Atlanta, Georgia

Healthy People 2010 Goals Healthy People 2010 Goals � To increase the quality of life To increase the quality of life � of all Americans of all Americans � To eliminate health disparities To eliminate health disparities �

HP Oral Health Focus Area HP Oral Health Focus Area � One of the 28 focus areas of HP 2010 One of the 28 focus areas of HP 2010 � � Contains 17 objectives Contains 17 objectives � � Co Co- -Lead Agencies: CDC, HRSA, IHS, NIH Lead Agencies: CDC, HRSA, IHS, NIH � � Data Sources: NHANES, SEER, MEPS Data Sources: NHANES, SEER, MEPS �

HP 2010 Oral Health Objectives: HP 2010 Oral Health Objectives: Baseline, Current Estimates, Targets Baseline, Current Estimates, Targets and Progress towards Target and Progress towards Target

Dental Caries Experience Dental Caries Experience Objective Baseline Current HP 2010 Measure/ Objective Baseline Current HP 2010 Measure/ 21.1 Estimate Target Direction 21.1 Estimate Target Direction to Target to Target 2 to 4 yrs 18% 22% 11% -57% 57% 2 to 4 yrs 18% 22% 11% - 6 to 8 yrs 52% 51% 42% 10% 6 to 8 yrs 52% 51% 42% 10% 15 yrs 61% 57% 51% 40% 15 yrs 61% 57% 51% 40%

Untreated Dental Decay Untreated Dental Decay Objective Baseline Current HP 2010 Measure/ Objective Baseline Current HP 2010 Measure/ 21.2 Estimate Target Direction 21.2 Estimate Target Direction to Target to Target 2 to 4 yrs 16% 17% 9% -14% 14% 2 to 4 yrs 16% 17% 9% - 6 to 8 yrs 28% 27% 21% 14% 6 to 8 yrs 28% 27% 21% 14% 15 yrs 20% 18% 15% 40% 15 yrs 20% 18% 15% 40% 35 to 44 yrs 27% 26% 15% 8% 35 to 44 yrs 27% 26% 15% 8%

21.3 No Permanent Tooth Loss due 21.3 No Permanent Tooth Loss due to Caries or Periodontal Disease— — to Caries or Periodontal Disease Adults (aged 35 to 44) Adults (aged 35 to 44) � Baseline 30% Baseline 30% � � Current Estimate 38% Current Estimate 38% � � HP 2010 Target 40% HP 2010 Target 40% � � Measure/Direction to Target Measure/Direction to Target 80% 80% �

21.4 Complete Tooth Loss 21.4 Complete Tooth Loss Adults (aged 65 – – 74) 74) Adults (aged 65 � Baseline 29% Baseline 29% � � Current Estimate 24% Current Estimate 24% � � HP 2010 Target 22% HP 2010 Target 22% � � Measure/Direction to Target Measure/Direction to Target 71% 71% �

21.5b Destructive Periodontal 21.5b Destructive Periodontal Disease— —Adults (aged 35 to 44 Adults (aged 35 to 44 Disease years) years) � Baseline 22% Baseline 22% � � Current Estimate 20% Current Estimate 20% � � HP 2010 Target 14% HP 2010 Target 14% � � Measure/Direction to Target Measure/Direction to Target 25% 25% �

21.6 Early Detection of Oral and 21.6 Early Detection of Oral and Pharyngeal Cancers Pharyngeal Cancers � Baseline 36% Baseline 36% � � Current Estimate 35% Current Estimate 35% � � HP 2010 Target 51% HP 2010 Target 51% � � Measure/Direction to Target Measure/Direction to Target - -7% 7% �

Dental Sealants Dental Sealants Objective Baseline Current HP 2010 Measure/ Objective Baseline Current HP 2010 Measure/ Estimate Target Direction Estimate Target Direction 21.8 21.8 to Target to Target 8 yrs 23% 31% 50% 30% 8 yrs 23% 31% 50% 30% 14 yrs 15% 20% 50% 14% 14 yrs 15% 20% 50% 14%

Focus Area 21. Midcourse Status Oral Health Moved away from target Moved toward target Met target 21-1. Dental caries experience (1988-94, 1999-2002) -57% a. 2-4 years 10% b. 6-8 years c. 15 years 40% 21-2. Untreated dental decay (1988-94, 1999-2002) -14% a. 2-4 years 14% b. 6-8 years c. 15 years 40% d. 35-44 years 8% 21-3. No permanent tooth loss due to caries or periodontal disease: 35-44 years 80% (1988-94, 1999-2002) 71% 21-4. Complete tooth loss: 65-74 years (1988-94, 1999-2002) 21-5b. Destructive periodontal disease: 35-44 years (1988-94, 1999-2000) 25% 21-6. Early detection of oral and pharyngeal cancers (1990-95, 1996-2000) -7% -100 -75 -50 -25 0 25 50 75 100 Percent of targeted change achieved (See notes at end of chart on next slide.)

Disparities In Oral Disparities In Oral Health Health

Oral Health Disparities Oral Health Disparities � Dental Caries (21.1a, b) Dental Caries (21.1a, b) � � Children aged 2 to 4, by education level (Head of Children aged 2 to 4, by education level (Head of � Household) Household) � Children aged 6 to 8, by education level (Head of Children aged 6 to 8, by education level (Head of � Household) Household) � Untreated Decay (21.2a, 21.2d) Untreated Decay (21.2a, 21.2d) � � Children aged 2 to 4, by education level (Head of Children aged 2 to 4, by education level (Head of � Household) Household) � Adults aged 35 to 44, by race/ethnicity and education Adults aged 35 to 44, by race/ethnicity and education � level level

Oral Health Disparities, cont. Oral Health Disparities, cont. � No permanent tooth loss (21.3) No permanent tooth loss (21.3) � � Adults aged 35 to 44 by race/ethnicity, gender and education Adults aged 35 to 44 by race/ethnicity, gender and education � level level � Destructive Periodontal Disease (21.5b) Destructive Periodontal Disease (21.5b) � � Adults aged 35 to 44 by race/ethnicity, gender and education Adults aged 35 to 44 by race/ethnicity, gender and education � level level � Dental Sealants (21.8a, b) Dental Sealants (21.8a, b) � � Children aged 8 years, by race/ethnicity Children aged 8 years, by race/ethnicity � � Adolescents aged 14 years, by race/ethnicity and gender Adolescents aged 14 years, by race/ethnicity and gender � � Annual Dental Visits (21.10) Annual Dental Visits (21.10) � � by race/ethnicity, and education level by race/ethnicity, and education level (Head of Household) (Head of Household) �

Change in Disparities Change in Disparities � Decrease in Disparities Decrease in Disparities � � Destructive Periodontal Disease (21.5b) by Destructive Periodontal Disease (21.5b) by � race/ethnicity race/ethnicity � Increase in Disparities Increase in Disparities � � No permanent tooth loss (21.3) by gender No permanent tooth loss (21.3) by gender � � Destructive Periodontal Disease (21.5b) by Destructive Periodontal Disease (21.5b) by � education level education level � Annual Dental Visits (21.10) by race/ethnicity Annual Dental Visits (21.10) by race/ethnicity �

Summary of OH Midcourse Review Summary of OH Midcourse Review � Overall most objectives are moving toward their Overall most objectives are moving toward their � targets targets � Greatest disparities occurred in: Greatest disparities occurred in: � � Children aged 2 to 4 for objectives related to dental Children aged 2 to 4 for objectives related to dental � caries experience and untreated dental decay caries experience and untreated dental decay � Adults aged 35 to 44 for the objectives related to Adults aged 35 to 44 for the objectives related to � untreated dental decay and destructive periodontal untreated dental decay and destructive periodontal disease disease � The greatest disparities occurred with education The greatest disparities occurred with education � level across most of the objectives level across most of the objectives

Further Information Further Information � http://www.healthypeople.gov/ http://www.healthypeople.gov/ � � http://wonder.cdc.gov/data2010/ http://wonder.cdc.gov/data2010/ � � http://www.cdc.gov/nchs/ http://www.cdc.gov/nchs/ �