HEALTHY NEW JERSEY 2010
NEW JERSEY DEPARTMENT OF NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICESHEALTH AND SENIOR SERVICES
Rose Marie Martin. MPHRose Marie Martin. MPH
Research Scientist, NJDHSS, Division of Research Scientist, NJDHSS, Division of Aids Prevention and ControlAids Prevention and Control
JULY 2003JULY 2003
What is Healthy New Jersey 2010?
New Jersey’s health promotion and disease New Jersey’s health promotion and disease prevention initiativeprevention initiative
Proposes year 2010 targets for 150 Proposes year 2010 targets for 150 measurable health objectivesmeasurable health objectives
What is Healthy New Jersey 2010?
Provides comprehensive tracking of NJ Provides comprehensive tracking of NJ residents’ healthresidents’ health
Will be updated at least twice to measure Will be updated at least twice to measure progressprogress
There are brief updates each year in the There are brief updates each year in the annual health statistics reportannual health statistics report
ORGANIZED INTO HEALTH AREAS
WHO WE AREWHO WE ARE
OVERALL HEALTH STATUSOVERALL HEALTH STATUS
ACCESS TO HEALTH CAREACCESS TO HEALTH CARE
FUNDAMENTALS OF GOOD FUNDAMENTALS OF GOOD HEALTH HEALTH
ORGANIZED INTO HEALTH AREAS
(CONTINUED)
PREVENTING AND REDUCING PREVENTING AND REDUCING MAJOR DISEASESMAJOR DISEASES
STRENGTHENING PUBLIC HEALTH STRENGTHENING PUBLIC HEALTH CAPACITYCAPACITY
APPENDICESAPPENDICES
FUNDAMENTALS OF GOOD HEALTH:
ENVIRONMENTAL HEALTH
HEALTHY MOTHERS & YOUNG CHILDREN
HEALTHY BEHAVIORS - ADOLESCENTS
HEALTHY BEHAVIORS - ADULTS
OCCUPATIONAL HEALTH AND SAFETY
UNINTENTIONAL INJURY
PRESERVING GOOD HEALTH FOR SENIORS
PREVENTING AND REDUCING MAJOR DISEASES
HEART DISEASE AND STROKE DIABETES CANCER HIV/AIDS MENTAL HEALTH ADDICTIONS ASTHMA INFECTIOUS DISEASES SEXUALLY TRANSMITTED DISEASES
DEVELOPMENT OF HNJ2010
AN INTER-DEPARTMENTAL WORK GROUP DEVELOPED THE ORIGINAL DRAFT
THREE PUBLIC MEETINGS WERE HELD TO SEEK INPUT
WRITTEN COMMENTS WERE SOLICITED FROM HEALTH PROFESSIONALS AND THE PUBLIC
Framework of Healthy New Jersey 2010
Two overarching goals: Two overarching goals: - Increase health-related quality and years- Increase health-related quality and years
of lifeof life
- Eliminate health disparities based on- Eliminate health disparities based on
race/ethnicityrace/ethnicity These goals are identical in HNJ2010 andThese goals are identical in HNJ2010 and
HP2010HP2010
New Jersey’s Diversity: A Public Health Challenge for 2010
New Jersey United StatesPopulation (2000) 8,414,350 281,421,906
Population Density (2000) (persons/square mile) 1,134.4 79.6
Median Age (2000) 36.7 35.3
Percentage Age > 65 Years (2000) 13.2 12.4 Age > 85 Years (2000) 1.6 1.5
Percentage of Population Male/Female (2000) 48.5/51.5 49.1/50.9
Percentage of Population Below Poverty Level (2000) 8.5 12.4
Percentage of School/aged Related Children Below Poverty Level (2000) 10.5 15.4 Percentage of Live Births to Females Aged 10-17 Years (1997) 3.0 4.9
New Jersey’s Diversity (cont.)
Number of Counties Number of Counties 21 21 3,1363,136Number of Local Health DepartmentsNumber of Local Health Departments 113113 2,9182,918Racial Distribution of Population (2000)Racial Distribution of Population (2000)Percentage White non-HispanicPercentage White non-Hispanic 66.066.0 69.1 69.1Percentage Black non-HispanicPercentage Black non-Hispanic 13.0 12.113.0 12.1Percentage Asian/PI non-HispPercentage Asian/PI non-Hisp 5.7 5.7 3.7 3.7Percentage non-Hispanic Other Percentage non-Hispanic Other 1.9 1.9 2.5 2.5Percentage Hispanic Percentage Hispanic 13.313.3 12.5 12.5
Educational Attainment (2000)Educational Attainment (2000) (Age (Age >> 25 Years) 25 Years) High School Graduate or MoreHigh School Graduate or More 82.1 82.1 80.4 80.4 Completed Bachelor’s DegreeCompleted Bachelor’s Degree or Moreor More 29.8 29.8 24.4 24.4
69.6
Healthy Life Expectancy at Birth in Years New Jersey, 1996-1998
55.2 53.9
66.3
0
10
20
30
40
50
60
70
80
White femalesWhite males Black femalesBlack males Total
67.1
Target Setting Healthy New Jersey indicators identify Healthy New Jersey indicators identify
specific, measurable targets and preferred specific, measurable targets and preferred endpointsendpoints
5 major health areas5 major health areas- Overall Health Status- Overall Health Status- Access to Health Care- Access to Health Care- Fundamentals of Good Health- Fundamentals of Good Health- Preventing and Reducing Major Diseases- Preventing and Reducing Major Diseases- Strengthening Public Health Capacity- Strengthening Public Health Capacity
RACIAL DISPARITY IN HEALTH OUTCOMES
The DebateThe Debate- Balance strong community support to eliminate disparities - Balance strong community support to eliminate disparities against community’s support for realistic, achievable targets against community’s support for realistic, achievable targets for 2010for 2010- Recognize multiple factors contributing to disparities- Recognize multiple factors contributing to disparities
The Decision - Two targetsThe Decision - Two targets 1. Narrows the gap (target) based on trend data, 1. Narrows the gap (target) based on trend data, scientific/medical knowledge and current activitiesscientific/medical knowledge and current activities 2. Eliminates the gap (Preferred 2010 endpoint) in 2. Eliminates the gap (Preferred 2010 endpoint) in
most casesmost cases
How can Healthy New Jersey 2010 be used? Planning resource:Planning resource:
- State and local health agencies- State and local health agencies- Private health organizations-providers, - Private health organizations-providers,
community based organizations, consumer community based organizations, consumer groups, advocacy groupsgroups, advocacy groups
Educational resourceEducational resource- Provides health status for New Jersey- Provides health status for New Jersey
residentsresidents
HEALTHY NJ 2010 Infrastructure and the Internet
HNJ 2010 in print and on the WebHNJ 2010 in print and on the Web Provides specific references to data sourcesProvides specific references to data sources Provides descriptions of data sourcesProvides descriptions of data sources Links to departmental databasesLinks to departmental databases Interdecade updates - not only data updates, but also Interdecade updates - not only data updates, but also
programmatic initiatives. Will recognize programmatic initiatives. Will recognize community memberscommunity members
(Future) Web - link to HP2010 and other states’ (Future) Web - link to HP2010 and other states’ activities related to 2010 objectives activities related to 2010 objectives
Web page: www.state.nj.us/health/chs/hnj.htm
Update Healthy New Jersey 2000 - Second Update and Review Assessment of progress made toward achieving the State's health objectives for 2000.
Healthy New Jersey 2010 State Health Issues Opinion Survey 1999 Results of a public opinion poll conducted by the Eagleton Institute regarding New Jersey residents' views on health issues.
Healthy New Jersey 2010 (June 2001) Volume I (PDF 828K)
Healthy New Jersey 2010 (June 2001) Volume II (PDF 766K) Baseline data for the State's health objectives for 2010.
SOURCES OF DATA
FOR HEALTHY NEW JERSEY 2010
Healthy New Jersey 2010 Data Sources by Number of Objectives Tracked
Data System/SourceNumber of Objectives
Tracked*
Vital Statistics System – Mortality 311/
Behavioral Risk Factor Surveillance System 23Vital Statistics System – Natality 10NJDHSS Office Of Local Health 7UB-92 Hospital Discharge File 6New Jersey Department of Environmental Protection 5NJDHSS Communicable Disease Service Sexually Transmitted DiseasesManagement Information System 5NJDHSS Aids Registry 5NJDHSS Long Term Care Systems Development Minimum Data Set 5NJDHSS Occupational Disease and Injury Services 4NJDHSS Communities That Care Middle School Survey 4NJDHSS Cancer Registry 4NJDHSS Consumer And Environmental Health 4New Jersey Department of Human Services,Division of Mental Health Services 4New Jersey Department of Education, Division of Academic Programs andStandards 3HEDIS 3U.S. Bureau of the Census Current Population Survey 2
Healthy New Jersey 2010 Data Sources by Number of Objectives Tracked (con’t)NJDHSS Lead Surveillance System 2New Jersey Department of Law and Public Safety 2NJDHSS Family Health Services 2NJDHSS Communicable Disease Service NETSS 2NJDHSS Communicable Disease Service Tuberculosis Information System(TIMS) 2NJDHSS Health Information Steering Committee 2NJDHSS WIC Program 1CDC Immunization Survey 1NJDHSS New Jersey Immunization Information System 1NJDHSS TBI Surveillance System 1NJDHSS Survey of Child Bearing Women 1NJDHSS Division of Consumer Support 1Trans-Atlantic Renal Council 1New Jersey Department of Law and Public SafetyDivision of Highway Traffic Safety 1New Jersey Institute of Technology 1NJDHSS Emergency Room Data File** 1NJDHSS Office of Information Technology Services 1NJDHSS Center for Health Statistics 1
1/ 29 objectives tracked through the state’s single cause of death file and two through the multiple cause-
of-death file.* Preliminary count. Includes sources of data for tracking developmental objectives.** Data source under development.
Healthy New Jersey 2010 Objectives Using BRFSS As Measurement 2002 BRFSS Questionnaire
Objective Number Chapter Statement of Objective Location in BRFSS I.3 Overall Health Status % of persons 18+ reporting good, very
good or excellent health Core
I.4 Overall Health Status Days able to do usual activities within past 30 days, population 18+
Module 6, Q.3, Quality of Life (Converse)
2.3 Access to Health Care % of adults who report they have a source of primary care
Core
2.4 Access to Health Care % of 18+* who visit a dentist or dental clinic each year
Core
3D.1 Healthy Behaviors – Adults
% 18+ eating at least 5 daily servings of fruits & vegetables (inc. legumes)
Core
3D.2 Healthy Behaviors – Adults
% 18+ who are overweight but not obese
Core
3D.3 Healthy Behaviors – Adults
% 18+ who are obese Core
3D.4 Healthy Behaviors – Adults
% 18+ who participated in frequent, leisure time physical activity during the past month
Module 4, Physical Activity
3F.2 Unintentional Injury % 18+ who use seat belts in automobiles
Core
3G.2 Preserving Good Health for Seniors
% non-institutionalized 65+ reporting fair or poor health status
Core
3G.3 Preserving Good Health for Seniors
% non-institutionalized 65+ who have ever had pneumococcal vaccination
Core
3G.4 Preserving GoodHealth for Seniors
% non-institutionalized 65+ who hadinfluenza vaccination < past 12 months
Core
4A.3 Heart Disease andStroke
% 18% who have had their bloodcholesterol checked by a healthprofessional < 5 years
Module 3, Cholesterol Awareness, Q’s 1and 2
4B.5 Diabetes % 18+ with diagnosed diabetes whohave had a dilated eye exam < 1 year
Module 1, Diabetes, Q. 10
4B.8 Diabetes % 18+ with diagnosed diabetes whoreport having a glycosylated hemoglobinmeasurement at least once a year
Module 1, Diabetes, Q. 8
4C.2 Cancer % females 40+ who had a clinical breastexam & mammogram < 2 years
Core
4C.5 Cancer % females 18+ with intact cervix uteriwho had Pap test < 2 years
Core
4C.10 Cancer % 50+ who had a fecal occult blood test< 1 year and/or have ever hadsigmoidoscopy
Core (includes colonoscopy)
4E.1 Mental Health Average number of days < past 30when mental health was good
Module 5, Mental Health, Q.2(converse)
4F.5 Addictions Prevalence of cigarette smoking among18+
Core
4F.6 Addictions % 18+ who consumed 5+ alcoholicdrinks per occasion, one+ time < month
Core
*Total population = dentate population + edentulous patients
Revised 10/17/01
WHAT IS AN OBJECTIVE?
FORMAT FOR A MEASURABLE HEALTH OBJECTIVE:
1. WHAT CHANGE (IMPROVEMENT) 1. WHAT CHANGE (IMPROVEMENT) WILL OCCUR? WILL OCCUR?
2. WITHIN WHAT POPULATION 2. WITHIN WHAT POPULATION
AND AT WHAT RATE WILL THE AND AT WHAT RATE WILL THE
CHANGE OCCUR?CHANGE OCCUR?
3. WHAT IS THE TARGET DATE 3. WHAT IS THE TARGET DATE
FOR THE EXPECTED CHANGE? FOR THE EXPECTED CHANGE?
EACH OBJECTIVE HAS FOR THE TOTAL POPULATION AND EACH SUB-POPULATION:
BASELINE DATA FROM THE MOST BASELINE DATA FROM THE MOST RECENTLY AVAILABLE YEARRECENTLY AVAILABLE YEAR
TARGET AND PERCENT CHANGETARGET AND PERCENT CHANGE PREFERRED 2010 ENDPOINT AND PREFERRED 2010 ENDPOINT AND
PERCENT CHANGEPERCENT CHANGE
STATEMENT OF A TYPICAL OBJECTIVE FROM HNJ2000:
INCREASE IMMUNIZATION LEVELS INCREASE IMMUNIZATION LEVELS FOR MEASLES (RUBEOLA) IN FOR MEASLES (RUBEOLA) IN CHILDREN BY AGE TWO TO 90.0 CHILDREN BY AGE TWO TO 90.0 PERCENT BY 2000PERCENT BY 2000
A RELATED OBJECTIVE EXPANDED TO COVER OTHER IMMUNIZATIONS WAS
INCLUDED IN HEALTHY NEW JERSEY 2010:
BY 2010 INCREASE THE PERCENTAGE OF BY 2010 INCREASE THE PERCENTAGE OF TWO YEAR OLD CHILDREN RECEIVING TWO YEAR OLD CHILDREN RECEIVING DTaP, POLIO, MMR, HiB, AND HEPATITIS B DTaP, POLIO, MMR, HiB, AND HEPATITIS B VACCINES, SEPARATELY AND AS PART OF VACCINES, SEPARATELY AND AS PART OF THE 4-3-1 SERIES TO 90.0 PERCENTTHE 4-3-1 SERIES TO 90.0 PERCENT
ALL CHILDREN <= AGE 2 - 90.0%ALL CHILDREN <= AGE 2 - 90.0%
MCO ENROLLEES <= AGE 2 - 90.0MCO ENROLLEES <= AGE 2 - 90.0 % %
COLLECTION OF DATA FOR FIRST UPDATE TO HNJ2010
PLANNED FOR COMPLETION IN LATE PLANNED FOR COMPLETION IN LATE 20032003
TARGETS, PREFERRED 2010 TARGETS, PREFERRED 2010 ENDPOINTS AND BASELINES WILL ENDPOINTS AND BASELINES WILL HAVE TO BE ADJUSTED, IN SOME HAVE TO BE ADJUSTED, IN SOME CASESCASES
DATA SOURCES FOR DATA SOURCES FOR DEVELOPMENTAL OBJECTIVES WILL DEVELOPMENTAL OBJECTIVES WILL NEED TO BE IDENTIFIEDNEED TO BE IDENTIFIED
SELECTED HIGHLIGHTS FROM THE
FINAL UPDATE TO HEALTHY NEW JERSEY 2000
MEASURING PROGRESS TOWARD HEALTHY NEW JERSEY 2000 TARGETS
Progress Quotient =Progress Quotient =
most recent value - baseline value most recent value - baseline value x 100 x 100
year 2000 target - baseline value year 2000 target - baseline value
FINAL STATUS FOR OBJECTIVES RELATED TO BIRTHS TO ADOLESCENTSHEALTHY NEW JERSEY 2000
BIRTH RATE TO TOTAL FEMALES 10-14 YEARSBIRTH RATE TO TOTAL FEMALES 10-14 YEARS
BIRTH RATE TO MINORITY FEMALES 10-14 YEARSBIRTH RATE TO MINORITY FEMALES 10-14 YEARS
BIRTH RATE TO TOTAL FEMALES 15-19 YEARSBIRTH RATE TO TOTAL FEMALES 15-19 YEARS
BIRTH RATE TO MINORITY FEMALES 15-19 BIRTH RATE TO MINORITY FEMALES 15-19
ADOLESCENT FEMALES WHO RECEIVEADOLESCENT FEMALES WHO RECEIVE
FAMILY PLANNING SERVICESFAMILY PLANNING SERVICES
% TARGETED IMPROVEMENT ACHIEVED
FINAL STATUS FOR OBJECTIVES RELATED TO SUBSTANCE USE BY ADOLESCENTS
HEALTHY NEW JERSEY 2000
% HIGH SCHOOL STUDENTS CURRENTLY SMOKING % HIGH SCHOOL STUDENTS CURRENTLY SMOKING CIGARETTESCIGARETTES
% HIGH SCHOOL STUDENTS WHO USED ALCOHOL % HIGH SCHOOL STUDENTS WHO USED ALCOHOL IN THE PAST 30 DAYSIN THE PAST 30 DAYS
% HIGH SCHOOL STUDENTS WHO USED % HIGH SCHOOL STUDENTS WHO USED MARIJUANA IN THE PAST 30 DAYSMARIJUANA IN THE PAST 30 DAYS
% HIGH SCHOOL STUDENTS WHO USED % HIGH SCHOOL STUDENTS WHO USED COCAINE IN THE PAST 30 DAYSCOCAINE IN THE PAST 30 DAYS
-400 -300 -200 -100 0 100
% TARGETED IMPROVEMENT ACHIEVED
FINAL STATUS FOR OBJECTIVES RELATED TO INJURIES IN ADOLESCENTS
HEALTHY NEW JERSEY 2000
DEATH RATE IN 15-19 YEAR OLDS CAUSED BY DEATH RATE IN 15-19 YEAR OLDS CAUSED BY MOTOR VEHICLE INJURIESMOTOR VEHICLE INJURIES
SUICIDE DEATH RATE IN WHITE MALES 15-19 SUICIDE DEATH RATE IN WHITE MALES 15-19
HOMICIDE DEATH RATE IN MINORITY HOMICIDE DEATH RATE IN MINORITY MALES 15-19MALES 15-19
ALCOHOL-RELATED MOTOR VEHICLE DEATH RATE ALCOHOL-RELATED MOTOR VEHICLE DEATH RATE IN 15-19 YEAR OLDSIN 15-19 YEAR OLDS
0 200 400 600 800 1000
% TARGETED IMPROVEMENT ACHIEVED
FINAL STATUS FOR ACCESS TO PREVENTIVE AND PRIMARY CARE OBJECTIVESHEALTHY NEW JERSEY 2000
-39.1
-16.2
4.6
23.3
90
56.3
25
129.6
-28.7
19.4
823.1
86.9
43.5
371.7
192.9
-200 0 200 400 600 800 1000% TARGETED IMPROVEMENT ACHIEVED
FEMALE BREAST CANCER DEATH RATE - TOTAL POPULATION
FEMALE BREAST CANCER DEATH RATE - 50-64 YEAR OLDS
FEMALE BREAST CANCER DEATH RATE - 65+ YEAR OLDS
% 40+ WOMEN WITH MAMMOGRAM & CBE WITHIN PAST YEAR
AGE-ADJUSTED TOTAL LUNG CANCER DEATH RATE - NOT CALCULATED
AGE-ADJUSTED LUNG CANCER DEATH RATE- MINORITY MALES
SMOKING PREVALENCE IN ADULTS 20+
SMOKING PREVEALENCE IN HIGH SCHOOL STUDENTS
AGE-ADJUSTED TOTAL CERVICAL CANCER DEATH RATE
FINAL STATUS FOR OBJECTIVES TO PREVENT, DETECT AND CONTROL CANCER
HEALTHY NEW JERSEY 2000
AVERAGE DAILY SERVINGS OF FRUITS AND VEGETABLES
AGE-ADJUSTED MINORITY CERVICAL CANCER DEATH RATE
CERVICAL CANCER DEATH RATE IN WOMEN 65+
% WOMEN WHO HAD A PAP SMEAR IN THE PAST TWO YEARS
AGE-ADJUSTED TOTAL COLORECTAL CANCER DEATH RATE
% MINORITY WOMEN WHO HAD A PAP SMEAR IN THE PAST TWO YEARS
% WOMEN 65+ WHO HAD A PAP SMEAR IN THE PAST TWO YEARS
4Ai. AGE-ADJUSTED FEMALE BREAST CANCER DEATH RATENEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVE
SOURCE: NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES CENTER FOR HEALTH STATISTICS
0
5
10
15
20
25
30
199019952000
YEAR
AG
E-A
DJU
ST
ED
RA
TE
PE
R 100,000 S
TA
ND
AR
D P
OP
UL
AT
ION
YEAR 2000 OBJECTIVE
4Aii. FEMALE BREAST CANCER DEATH RATES BY AGENEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVES
SOURCE: NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES CENTER FOR HEALTH STATISTICS
0
20
40
60
80
100
120
140
160
180
199019952000
YEAR
DE
AT
H R
AT
E P
ER
100,000 FE
MA
LE
S
DEATH RATE - FEMALES 65 & OVER
DEATH RATE - FEMALES 50-64
YEAR 2000 OBJECTIVE - FEMALES 65 & OVER
YEAR 2000 OBJECTIVE - FEMALES 50-64
4B. WOMEN AGED 40 AND OVER WHO RECEIVED A CLINICALBREAST EXAMINATION AND A MAMMOGRAM WITHIN THE PAST YEAR
NEW JERSEY, 1991-2000 AND YEAR 2000 OBJECTIVE
SOURCE: NEW JERSEY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM
0
10
20
30
40
50
60
70
80
90
100
1991199419972000
ES
TIM
AT
ED
PE
RC
EN
T O
F P
OP
UL
AT
ION
YEAR 2000 OBJECTIVE
4C. AGE-ADJUSTED LUNG CANCER DEATH RATES, TOTAL AND MINORITY MALESNEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVES
SOURCE: NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES CENTER FOR HEALTH STATISTICS
0
10
20
30
40
50
60
70
80
199019952000
YEAR
AG
E-A
DJU
STE
D R
AT
E P
ER
100,000 STA
ND
AR
D P
OP
UL
AT
ION
YEAR 2000 OBJECTIVE - TOTAL
DEATH RATE - MINORITY MALES
DEATH RATE - TOTAL
YEAR 2000 OBJECTIVE - MINORITY MALES
4Dii. PREVALENCE OF CIGARETTE USE* AMONG HIGH SCHOOL STUDENTSNEW JERSEY, 1989-1998 AND YEAR 2000 OBJECTIVE
SOURCE: SURVEY REPORTS -"DRUG AND ALCOHOL USE AMONG NEW JERSEY HIGH SCHOOL STUDENTS"*INCLUDES THOSE WHO SMOKE ON OCCASION AS WELL AS REGULAR SMOKERS
0
5
10
15
20
25
30
35
40
45
19891992199519982000
Percen
t of H
igh
Sch
oo
l Stu
den
ts
YEAR 2000 OBJECTIVE
4Di. PERSONS AGED 20 AND OVER WHO ARE CURRENTLY SMOKING CIGARETTESNEW JERSEY, 1991-2000 AND YEAR 2000 OBJECTIVE
SOURCE: BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM
0
5
10
15
20
25
199119952000
PE
RC
EN
T O
F P
OP
UL
AT
ION
YEAR 2000 OBJECTIVE
4E. AGE-ADJUSTED COLORECTAL CANCER DEATH RATENEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVE
SOURCE: NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES CENTER FOR HEALTH STATISTICS
0
2
4
6
8
10
12
14
16
18
199019952000
YEAR
AG
E-A
DJU
ST
ED
RA
TE
/100,000 ST
AN
DA
RD
PO
PU
LA
TIO
N
ORIGINAL YEAR 2000 OBJECTIVE
REVISED YEAR 2000 OBJECTIVE
4F. AVERAGE DAILY SERVINGS OF FRUITS AND VEGETABLES*IN THE POPULATION AGED 18 AND OVER
NEW JERSEY, 1991-2000 AND YEAR 2000 OBJECTIVE
SOURCE: NEW JERSEY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM* NOT INCLUDING FRENCH FRIES, FRIED POTATOES OR POTATO CHIPS
0
1
2
3
4
5
6
1991199419972000
YEAR 2000 OBJECTIVE
4Gi. AGE-ADJUSTED CERVICAL CANCER DEATH RATESNEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVES
SOURCE: NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES, CENTER FOR HEALTH STATISTICS
0
1
2
3
4
5
6
7
199019952000
YEAR
AG
E-A
DJ
US
TE
D R
AT
E P
ER
10
0,0
00
ST
AN
DA
RD
PO
PU
LA
TIO
N
TOTAL
YEAR 2000 OBJECTIVE-TOTAL
MINORITY
YEAR 2000 OBJECTIVE-MINORITY
4Gii. CERVICAL CANCER DEATH RATE, AGED 65 AND OVERNEW JERSEY, 1990-1998 AND YEAR 2000 OBJECTIVE
SOURCE: NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES CENTER FOR HEALTH STATISTICS
0
2
4
6
8
10
12
199019952000
YEAR
DE
AT
H R
AT
E P
ER
100,000 PO
PU
LA
TIO
N
YEAR 2000 OBJECTIVE
4H. WOMEN WITH UTERINE CERVIX WHO HAVE HAD A PAP SMEARDURING THE PAST TWO YEARS
NEW JERSEY, 1991-2000 AND YEAR 2000 OBJECTIVES
SOURCE: NEW JERSEY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMNOTE: MINORITY YEAR 2000 OBJECTIVE WAS REVISED 12/03/93 FROM 80% TO 85%
0
10
20
30
40
50
60
70
80
90
1991199419972000
PE
RC
EN
T O
F P
OP
UL
AT
ION
TOTALMINORITY65+
YEAR 2000 OBJECTIVE - TOTAL & MINORITY
YEAR 2000 OBJECTIVE - WOMEN AGED 65+
4Hi. WOMEN WITH UTERINE CERVIX WHO HAVE HAD A PAP SMEARDURING THE PAST TWO YEARS, BY RACE
NEW JERSEY, 1991-2000 AND YEAR 2000 OBJECTIVES
SOURCE: NEW JERSEY BEHAIORAL RISK FACTOR SURVEILLANCE SYSTEMNOTE: MINORITY YEAR 2000 OBJECTIVE WAS REVISED 12/03/93 FROM 80% TO 85%
0
10
20
30
40
50
60
70
80
90
1991199419972000
PE
RC
EN
T O
F P
OP
UL
AT
ION
TOTALMINORITY YEAR 2000 OBJECTIVE - TOTAL & MINORITY
4Hii. WOMEN 65+ WITH UTERINE CERVIX WHO HAVE HAD A PAP SMEARDURING THE PAST TWO YEARS
NEW JERSEY, 1991-2000 AND YEAR 2000 OBJECTIVES
SOURCE: NEW JERSEY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMNOTE: MINORITY YEAR 2000 OBJECTIVE WAS REVISED 12/03/93 FROM 80% TO 85%
0
10
20
30
40
50
60
70
80
1991199419972000
PE
RC
EN
T O
F P
OP
UL
AT
ION
YEAR 2000 OBJECTIVE