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

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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


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SLIDE 1

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

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SLIDE 2

Healthy People 2010 Goals Healthy People 2010 Goals

  • To increase the quality of life

To increase the quality of life

  • f all Americans
  • f all Americans
  • To eliminate health disparities

To eliminate health disparities

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SLIDE 3

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

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SLIDE 4

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

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SLIDE 5

Dental Caries Experience Dental Caries Experience

Objective Objective 21.1 21.1 Baseline Baseline Current Current Estimate Estimate HP 2010 HP 2010 Target Target Measure/ Measure/ Direction Direction to Target to Target 2 to 4 yrs 2 to 4 yrs 18% 18% 22% 22% 11% 11% 42% 42% 51% 51%

  • 57%

57% 6 to 8 yrs 6 to 8 yrs 52% 52% 51% 51% 10% 10% 15 yrs 15 yrs 61% 61% 57% 57% 40% 40%

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SLIDE 6

Untreated Dental Decay Untreated Dental Decay

Objective Objective 21.2 21.2 Baseline Baseline Current Current Estimate Estimate HP 2010 HP 2010 Target Target Measure/ Measure/ Direction Direction to Target to Target 2 to 4 yrs 2 to 4 yrs 16% 16% 17% 17% 9% 9% 21% 21% 15% 15% 15% 15%

  • 14%

14% 6 to 8 yrs 6 to 8 yrs 28% 28% 27% 27% 14% 14% 15 yrs 15 yrs 20% 20% 18% 18% 40% 40% 35 to 44 yrs 35 to 44 yrs 27% 27% 26% 26% 8% 8%

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SLIDE 7

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%

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SLIDE 8

21.4 Complete Tooth Loss 21.4 Complete Tooth Loss Adults (aged 65 Adults (aged 65 – – 74) 74)

  • 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%

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SLIDE 9

21.5b Destructive Periodontal 21.5b Destructive Periodontal Disease Disease— —Adults (aged 35 to 44 Adults (aged 35 to 44 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%

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SLIDE 10

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%

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SLIDE 11

Dental Sealants Dental Sealants

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

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SLIDE 12

Moved away from target Moved toward target Met target

Focus Area 21. Midcourse Status Oral Health

  • 100 -75 -50 -25 0 25 50 75 100

Percent of targeted change achieved 21-6. Early detection of oral and pharyngeal cancers (1990-95, 1996-2000) 21-1. Dental caries experience (1988-94, 1999-2002)

  • a. 2-4 years
  • b. 6-8 years
  • c. 15 years

21-2. Untreated dental decay (1988-94, 1999-2002)

  • a. 2-4 years
  • b. 6-8 years
  • c. 15 years
  • d. 35-44 years

21-3. No permanent tooth loss due to caries or periodontal disease: 35-44 years (1988-94, 1999-2002) 21-4. Complete tooth loss: 65-74 years (1988-94, 1999-2002) 21-5b. Destructive periodontal disease: 35-44 years (1988-94, 1999-2000)

(See notes at end of chart on next slide.)

  • 57%

10% 40%

  • 14%

14% 40% 8% 80% 71%

  • 7%

25%

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SLIDE 13

Disparities In Oral Disparities In Oral Health Health

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SLIDE 14

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

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SLIDE 15

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)

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SLIDE 16

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

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SLIDE 17

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

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SLIDE 18

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/