Healthy People 2000 -- Copyright -- Contents -- Preface -- Acknowledgments -- NOTE ON AUTHORSHIP -- 1. Introduction -- HISTORY AND PURPOSE OF THE OBJECTIVES -- HEARINGS AND TESTIMONY -- Questions for Testifiers -- Scope of the Testimony -- PURPOSE AND STRUCTURE OF THIS REPORT -- Structure of This Document -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 1 -- 2. Objectives Process And Structure -- NATURE OF THE OBJECTIVES -- Need to Address Social Conditions -- Concepts of Health Promotion and Disease Prevention -- FORMAT AND FOCUS OF THE OBJECTIVES -- Measurement Issues -- Group Objectives by Population Subgroups -- Missing Objectives -- PRIORITY SETTING -- Need for Priorities Among the Objectives -- Models for Setting Prloritles -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 2 -- 3. Implementing the Objectives at State and Local Levels -- STATE AND LOCAL PUBLIC HEALTH INITIATIVES -- State and Local Health Department Experience -- The Model Standards -- Federal Funding -- INTERSECTORAL COOPERATION: ROLE OF THE PRIVATE SECTOR -- Community Participation -- Corporate Partnerships -- SURVEILLANCE AND INFORMATION RESOURCES -- State and Local Data Systems -- Specific Diseases and Problems -- Special Needs of Minority Populations -- Information Resources -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 3 -- 4. Children and Adolescents -- CROSSCUTTING TOPICS -- Access to Care -- Child-Care Centers and Health -- The Media and Children's Health -- Coordination of Adolescent Health Services -- Chronic Illness and Disability in Children -- HEALTH PROMOTION -- Nutrition -- PHYSICAL FITNESS -- Substance Abuse -- Mental Health and Suicide -- HEALTH PROTECTION -- Unintentional Injury -- Child Abuse and Family Violence -- Lead Poisoning -- Preventive Services -- Infectious Diseases -- Oral Health -- Screening for Chronic Health Problems in Children -- DATA NEEDS.

REFERENCES -- TESTIFIERS CITED IN CHAPTER 4 -- 5. Older Adults -- CROSSCUTTING ISSUES AND QUALITY OF LIFE -- HEALTH PROMOTION AND HEALTH PROTECTION FOR OLDER ADULTS -- Smoking Cessation -- Alcohol -- Misuse of Medication -- Mental Health -- Physical Activity and Recreation -- Injury Control -- Elder Abuse -- PREVENTIVE SERVICES FOR OLDER ADULTS -- Cardiovascular Disease -- Cancer -- Osteoporosis -- Infectious Diseases -- Dental Health -- Hearing and Communication -- LONG-TERM HEALTH CARE NEEDS OF THE AGING -- IMPLEMENTATION -- Access to Health Care -- Data and Information Needs -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 5 -- 6. Racial and Ethnic Minorities -- SOCIAL, BEHAVIORAL, AND CULTURAL FACTORS -- Socioeconomic Factors -- Poverty -- Unemployment -- Education -- Behavioral Factors -- The Role of Culture -- ACCESS TO HEALTH CARE -- SPECIFIC HEALTH PROBLEMS OF MINORITY GROUPS -- Infant Mortality -- Chronic Diseases -- Heart Disease and Stroke -- Cancer -- Diabetes -- Common Risk Factors and Interventions -- HIV Infection and AIDS -- Homicide, Suicide, and Violence -- Tobacco, Alcohol, and Substance Abuse -- Teenage Pregnancy -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 6 -- 7. People with Disabilities -- HEALTH PROMOTION FOR PEOPLE WITH DISABILITIES -- ACCESS TO HEALTH SERVICES -- IMPLEMENTATION -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 7 -- 8. Health Promotion and Disease Prevention in the Health Care System -- PROBLEMS WITH ACCESS TO HEALTH CARE -- Poor and Homeless -- Racial and Ethnic Minorities -- People with Disabilities -- HEALTH PROMOTION AND DISEASE PREVENTION IN THE HEALTH CARE SYSTEM -- Physicians -- Other Health Professionals -- Health Care Settings and Organizations -- FINANCING HEALTH PROMOTION AND DISEASE PREVENTION PROGRAMS IN THE HEALTH CARE SYSTEM -- Federal Funding Programs -- Medicare -- Medicaid -- Block Grants.

Health Insurance -- IMPLEMENTATION WITHIN THE HEALTH CARE SYSTEM -- Coordination of Services -- Training of Health Professionals -- Underserved Areas -- Minority Practitioners -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 8 -- 9. Health Promotion and Disease Prevention in Community Settings -- HEALTH PROMOTION AND EDUCATION IN SCHOOLS -- Implementation of School-Based Health Promotion -- Specific Problems and Interventions -- Nutrition -- Physical Fitness -- Mental Health -- Family Planning and Reproductive Health -- AIDS Education -- Smoking, Alcohol, and Substance Abuse -- HEALTH PROMOTION IN THE WORKPLACE -- Implementation of Workplace-Based Programs -- Specific Problems and Interventions -- Screening for Chronic Diseases -- Smoking -- Nutrition -- Stress Management -- COMMUNITY-LEVEL INTERVENTIONS -- Specific Problems and Interventions -- Problems of Adolescents -- Alcohol-Related Problems -- Cardiovascular Problems -- Racial and Ethnic Minorities -- Linking Community-level Programs with Larger Efforts -- CROSSCUTTING IMPLEMENTATION ISSUES -- Content of Health Promotion and Education Programs -- Financing Health Promotion and Health Education -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 9 -- 10. Tobacco -- ADOLESCENT SMOKING -- SMOKING AND PREGNANCY -- WORKSITE SMOKING -- SMOKELESS TOBACCO -- IMPLEMENTATION ISSUES -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 10 -- 11. Alcohol and Drug Abuse -- ALCOHOL PROBLEMS -- ADOLESCENT SUBSTANCE ABUSE -- SUBSTANCE ABUSE BY MINORITY GROUPS -- Blacks -- Hispanics -- Native Americans -- The Indigent, Homeless, and Disadvantaged -- IMPLEMENTATION -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 11 -- 12. Nutrition -- HUNGER -- SPECIFIC NUTRITIONAL RISK FACTORS -- Hypertension -- Cholesterol -- Obesity -- Anorexia and Bulimia -- Anemia -- SPECIAL TARGET GROUPS -- Pregnant Women -- Infants and Children.

Hospitalized Patients -- EDUCATION AND OTHER PREVENTIVE STRATEGIES -- IMPLEMENTATION -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 12 -- 13. Physical Fitness and Exercise -- NEW EMPHASES NEEDED -- SPECIAL POPULATIONS -- REVISING GOALS FOR CHILDREN AND YOUTH -- IMPLEMENTATION -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 13 -- 14. Mental Health -- PARTICULAR PROBLEMS -- Stress -- Depression -- Schizophrenia and other Serious Mental Illnesses -- INTERVENTIONS -- Wanted and Healthy Babies -- Prevention of Adolescent Pregnancy -- School Programs -- Support, Information, and Training in Situations of Extreme Stress -- IMPLEMENTATION -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 14 -- 15. Unintentional Injuries -- MOTOR VEHICLE INJURIES -- OTHER CAUSES OF INJURY -- Falls -- Fires -- Poisoning -- Drowning -- DISABLING INJURIES -- IMPLEMENTATION -- Manpower and Organization -- Surveillance and Data Collection -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 15 -- 16. Violent and Abusive Behavior -- HOMICIDE AND INTERPERSONAL VIOLENCE -- SUICIDE -- FAMILY VIOLENCE -- Child Abuse -- Spouse Abuse -- Elder Abuse -- IMPLEMENTATION -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 16 -- 17. Occupational Safety and Health -- GROUPS WITH PARTICULAR NEEDS -- Agricultural Workers -- Health Care Workers -- Other Hazardous Occupations -- Retired Workers -- Working Children -- WORKPLACE PROTECTION ISSUES -- Toxic Agent Exposure -- Injury Control -- Reproductive Effects -- Noise Reduction -- THE WORKPLACE AS A SITE FOR HEALTH PROMOTION AND DISEASE PREVENTION ACTIVITIES -- IMPLEMENTATION -- Surveillance -- Manpower -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 17 -- 18. Environmental Public Health -- TOXIC AGENTS -- Hazardous Wastes -- Water Contamination -- Lead Poisoning -- AIR POLLUTION -- FOOD-BORNE DISEASE -- IMPLEMENTATION -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 18.

19. HIV Infection and AIDS -- EDUCATION, TESTING, AND COUNSELING -- MANDATORY TESTING, REPORTING, AND CONTACT NOTIFICATION -- SPECIAL POPULATIONS -- Children and Adolescents -- Minorities -- Intravenous Drug Users -- Mothers and Infants -- At-Risk Professionals -- IMPLEMENTATION -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 19 -- 20. Sexually Transmitted Diseases -- TARGETING YOUTH -- REDUCING CONGENITAL SEXUALLY TRANSMITTED DISEASES -- IMPLEMENTATION -- Improving Services -- Expanding Research and Reporting -- Setting Quantifiable Goals -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 20 -- 21. Infectious Disease -- IMMUNIZABLE DISEASES -- NOSOCOMIAL INEFECTIONS -- TUBERCULOSIS -- OTHER INFECTIOUS DISEASES -- IMPLEMENTATION -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 21 -- 22. Maternal And Infant Health -- PRENATAL CARE -- MATERNAL MORTALITY AND COMPLICATIONS -- NEWBORN CARE -- IMPLEMENTATION -- Availability of Providers -- Financial Constraints -- Need for Outreach Programs -- Data Needs -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 22 -- 23. Adolescent Pregnancy -- CONTRIBUTING CAUSES -- Availability and Use of Contraception -- Socioeconomic Factors -- PREVENTION STRATEGIES -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 23 -- 24. Cardiovascular Disease -- HYPERTENSION -- HIGH BLOOD CHOLESTEROL -- TARGET POPULATIONS -- Blacks -- Hispanics -- Elderly -- Children -- IMPLEMENTATION -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 24 -- 25. Cancer -- SPECIFIC CANCERS -- Breast and Cervical Cancer -- Malignant Melanoma -- Poor and Minorities -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 25 -- 26. Oral Health -- FLUORIDATION -- INFANTS AND CHILDREN -- ADULTS -- OLDER ADULTS -- UNDERSERVED POPULATIONS: PROBLEMS AND STRATEGIES -- IMPLEMENTATION -- REFERENCES -- TESTIFIERS CITED IN CHAPTER 26 -- 27. Other Chronic Diseases and Disabling Conditions -- DIABETES.

MUSCULOSKELETAL CONDITIONS.