Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1991 Nov;81(11):1456–1465. doi: 10.2105/ajph.81.11.1456

National health objectives for the year 2000: the demographic impact of health promotion and disease prevention.

M A Stoto 1, J S Durch 1
PMCID: PMC1405693  PMID: 1835309

Abstract

BACKGROUND. The national objectives in Healthy People 2000, drafted by health professionals aware of currently available public health interventions, represent a wealth of information about near-term future mortality and morbidity. METHODS. Life table methods were used to calculate the impact of projected changes in mortality and activity limitation rates on life expectancy and expected disability years. RESULTS. Meeting the mortality objectives would increase life expectancy at birth by 1.5 to 2.1 years, raising life expectancy to 76.6 to 77.2 years. In addition, meeting the target for disability from chronic conditions would increase the number of years of life without activity limitations from 66.8 years to 69.3-69.7 years. If the targets for coronary heart disease and unintentional injury were changed to reflect recent trends, a greater improvement in life expectancy at birth would be achieved: from 1.8 to 2.7 years to 76.9 to 77.8 years. CONCLUSION. Meeting the targets would have an important demographic impact. Including changes in the coronary heart disease and injuries targets, life expectancy in the year 2000 would be above the middle of the ranges used in current Census Bureau projections.

Full text

PDF

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brown C. C., Kessler L. G. Projections of lung cancer mortality in the United States: 1985-2025. J Natl Cancer Inst. 1988 Mar 2;80(1):43–51. doi: 10.1093/jnci/80.1.43. [DOI] [PubMed] [Google Scholar]
  2. Erickson P., Kendall E. A., Anderson J. P., Kaplan R. M. Using composite health status measures to assess the nation's health. Med Care. 1989 Mar;27(3 Suppl):S66–S76. doi: 10.1097/00005650-198903001-00006. [DOI] [PubMed] [Google Scholar]
  3. Hahn R. A., Teutsch S. M., Rothenberg R. B., Marks J. S. Excess deaths from nine chronic diseases in the United States, 1986. JAMA. 1990 Nov 28;264(20):2654–2659. [PubMed] [Google Scholar]
  4. Keyfitz N. What difference would it make if cancer were eradicated? An examination of the Taeuber paradox. Demography. 1977 Nov;14(4):411–418. [PubMed] [Google Scholar]
  5. Manton K. G. Past and future life expectancy increases at later ages: their implications for the linkage of chronic morbidity, disability, and mortality. J Gerontol. 1986 Sep;41(5):672–681. doi: 10.1093/geronj/41.5.672. [DOI] [PubMed] [Google Scholar]
  6. Manton K. G., Patrick C. H., Stallard E. Mortality model based on delays in progression of chronic diseases: alternative to cause elimination model. Public Health Rep. 1980 Nov-Dec;95(6):580–588. [PMC free article] [PubMed] [Google Scholar]
  7. McKinlay J. B., McKinlay S. M., Beaglehole R. A review of the evidence concerning the impact of medical measures on recent mortality and morbidity in the United States. Int J Health Serv. 1989;19(2):181–208. doi: 10.2190/L73V-NLDL-G7H3-63JC. [DOI] [PubMed] [Google Scholar]
  8. Olshansky S. J. Pursuing longevity: delay vs elimination of degenerative diseases. Am J Public Health. 1985 Jul;75(7):754–757. doi: 10.2105/ajph.75.7.754. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Schatzkin A. How long can we live? A more optimistic view of potential gains in life expectancy. Am J Public Health. 1980 Nov;70(11):1199–1200. doi: 10.2105/ajph.70.11.1199. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Sempos C., Cooper R., Kovar M. G., McMillen M. Divergence of the recent trends in coronary mortality for the four major race-sex groups in the United States. Am J Public Health. 1988 Nov;78(11):1422–1427. doi: 10.2105/ajph.78.11.1422. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Sullivan D. F. A single index of mortality and morbidity. HSMHA Health Rep. 1971 Apr;86(4):347–354. [PMC free article] [PubMed] [Google Scholar]
  12. Wade A. H. Social Security area population projections: 1987. Soc Secur Bull. 1988 Feb;51(2):3–30. [PubMed] [Google Scholar]
  13. Weinstein M. C., Coxson P. G., Williams L. W., Pass T. M., Stason W. B., Goldman L. Forecasting coronary heart disease incidence, mortality, and cost: the Coronary Heart Disease Policy Model. Am J Public Health. 1987 Nov;77(11):1417–1426. doi: 10.2105/ajph.77.11.1417. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES