Healthy People 2010
The U.S. Department of Health and Human Services has developed Healthy People 2010
– a set of disease prevention and health promotion objectives
for the nation to achieve over the first decade of the new century.
Michigan has had some success in reaching certain asthma objectives
for some groups. Click for more information about Healthy
People 2010.
The Healthy People 2010 Objectives for Asthma
- Reduce hospitalization rates for pediatric asthma.
- Reduce asthma deaths.
- Reduce hospitalizations for asthma.
- Reduce emergency department visits for asthma.
- Reduce activity limitations among persons with asthma.
- Reduce the number of school or workdays missed by persons with asthma due to asthma.
- Increase the proportion of persons with asthma who receive formal patient education.
- Increase the proportion of persons with asthma who receive appropriate asthma care according
to the NAEPP Guidelines. Including:
- written asthma action plans
from health care provider.
- instruction on how to use a prescribed
inhaler properly.
- education about recognizing early
signs and symptoms of asthma episodes and how to
respond properly, with lessons on peak flow monitoring
for those using daily therapy.
- medication regimens that prevent the need for more than 1 canister of short acting
inhaled beta agonists per month for relief of symptoms.
- follow-up medical care for long-term management after a hospitalization due to asthma.
- assistance with assessing and reducing exposure to environmental risk factors.
|
Asthma Hospitalization and Death for All Age Groups
- Since 2000, the annual rates of asthma death for ages 65 years and older have demonstrated a significant overall decline and have met the target rate for this age group. [1]
- Since 2000, annual asthma hospitalization rates for adults age 65 years and older have significantly increased, regardless of race. There has been very little change in the annual asthma hospitalization rates among those less than 65 years of age during this time period, regardless of race. [2]
- There continues to be a striking difference in asthma hospitalization rates between whites and blacks of Michigan. In 2006, the rate for asthma hospitalizations among black persons, 5 to 64 years is over 5 times the rate for white persons in this age group. [2]
- Recent data shows that 18 counties have asthma hospitalization rates significantly lower than the target for persons age 5 to 64 years [2]:
- Allegan
- Alpena
- Antrim
- Chippewa
- Delta
- Dickinson
|
- Emmet
- Grand Traverse
- Ionia
- Kalkaska
- Livingston
- Manistee
|
- Mecosta
- Menominee
- Newaygo
- Ottawa
- Shiawassee
- Van Buren
|
Asthma Death Rates (per 1,000,000) by Age Group, Michigan, 1990-2006 [3]
| |
0 to 4
Years |
5 to 14
Years |
15 to 34
Years |
35 to 64
Years |
65+
Years |
| 1990 |
* |
* |
6.0 |
17.1 |
77.5 |
| 1991 |
* |
* |
8.5 |
18.9 |
77.9 |
| 1992 |
* |
* |
5.2 |
14.2 |
85.2 |
| 1993 |
* |
5.7 |
6.6 |
21.0 |
80.4 |
| 1994 |
* |
* |
8.1 |
18.0 |
88.8 |
| 1995 |
* |
4.9 |
11.0 |
20.7 |
85.3 |
| 1996 |
* |
4.8 |
8.9 |
20.5 |
68.8 |
| 1997 |
* |
* |
4.0 |
14.7 |
84.3 |
| 1998 |
* |
* |
11.2 |
19.3 |
87.4 |
| 1999 |
* |
6.0 |
7.3 |
19.8 |
46.9 |
| 2000 |
* |
4.1 |
8.1 |
16.3 |
58.1 |
| 2001 |
* |
* |
6.2 |
16.1 |
54.6 |
| 2002 |
* |
4.8 |
8.8 |
13.4 |
53.6 |
| 2003 |
* |
4.8 |
8.0 |
13.0 |
43.7 |
| 2004 |
* |
6.3 |
7.6 |
13.2 |
43.3 |
| 2005 |
* |
5.6 |
6.2 |
13.6 |
43.7 |
| 2006 |
* |
5.1 |
6.3 |
10.5 |
42.0 |
| Target |
0.9 |
0.9 |
1.9 |
8.0 |
47.0 |
Asthma Hospitalization Rates1 (per 10,000), by Race
2, Age 5 to 64 Years,
Michigan, 1990-2006 [1]
Special Focus: Children, <18 Years
- Between 1990 and 2006, the rate of asthma hospitalizations among children is approaching the Healthy People 2010 target, 17.3 per 10,000. [2]
- Usual activities are limited by asthma for 74% of children with asthma in Michigan – significantly higher than the Healthy People 2010 target, 6%. [3]
- On average, children with asthma in Michigan miss school due to asthma 4 days per year - significantly higher than the Healthy People 2010 target, 2 days. [3]
- Only 8% of children with asthma (or their parent) have taken an asthma management class. This is significantly lower than the Healthy People 2010 target, 30%. [3]
- Forty five percent (45.3%) of Michigan children have received an asthma action plan, successfully surpassing the Healthy People 2010 target (38%). [3]
- Only 39% of children with current asthma are taking a long term control medication, which would prevent overuse of a Short-Acting Beta 2-Agonist medication. This is significantly lower than the Healthy People 2010 target, 92%. [3]
Asthma Hospitalization Rates (per 10,000), Age <18 Years, 1990-2006 [2]
Percent of Children with Asthma who Report Activity Limitations due to Asthma*, Age <18 Years, 2005 [3]
Average Number of School Days Missed in the Past 12 Months due to Asthma* for Children with Asthma, Age <18 Years, 2005 [3]
Percent of Children with Asthma who (or whose Parent) have Ever Taken an Asthma Management Class*, Age <18 Years, 2005 [3]
Indicators of Receiving Appropriate Asthma Care According to National Guidelines for Children with Asthma, Age <18 Years, 2005 [3]
| Indicator of Appropriate Asthma Care |
Michigan |
HP 2010 Target |
| Percent with asthma who ever received an asthma action plan from a health care provider.* |
45.3% |
38.0% |
| Percent with asthma who received instruction on how to use a prescribed inhaler properly. |
96.6% |
98.8% |
| Percent with asthma who received education about recognizing early signs of asthma episodes, what to do during an asthma attack, and how to use a peak flow meter. |
45.8% |
71.0% |
| Percent with asthma who receive medication regimens that prevent the need for more than 1 canister of short-acting inhaled beta agonist per month for relief of symptoms. |
39.3% |
92.0% |
| Percent with asthma who (or whose parent) have been advised by a health care professional to change their home, work, or school environment to improve the child’s asthma.* |
46.4% |
50.0% |
| Sources: |
- Michigan Death File, 1990-2006.
- Michigan Inpatient Data Base, 1990-2006.
- Michigan Asthma Call-Back Survey, 2005.
|
For more information about asthma in Michigan compared to the Healthy People 2010 targets, please review:
Last Updated 03/09/2009