Download Chronic Disease and MCH

Maternal and Child Health
and Chronic Disease
Donna F. Stroup, PhD., M.Sc.
Acting Director
Coordinating Center for Health Promotion
Finding Maternal and Child
Health at CDC
Causes of Death
United States, 2000
Actual Causes of Death†
Leading Causes of Death*
Heart Disease
Tobacco
Cancer
Poor diet/Physical inactivity
Stroke
Alcohol consumption
Chronic lower respiratory
disease
Microbial agents
Unintentional Injuries
Toxic agents
Motor vehicles
Diabetes
Firearms
Pneumonia/influenza
Alzheimer’s disease
Sexual behavior
Kidney disease
Illicit drug use
0
5
10
15
20
25 30
Percentage (of all deaths)
35
0
5
10
15
20
Percentage (of all deaths)
* Miniño AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Deaths: final data for 2000. National Vital Statistics Reports 2002; 50(15):1-120.
† Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA. 2004;291(10):1238-1246.
Leading Causes of Disability Among Persons
Aged 15 Years and Older
United States, 1999
Arthritis or rheumatism
Back or spine problem
Heart trouble
Lung or respiratory trouble
Deafness or hearing trouble
Stiffness or deformity of limb
Mental or emotional problem
Diabetes
Blindness or other visual impairment
Stroke
0
5
10
Percentage
Source: CDC. MMWR 2001;50(7):120–5
15
20
Diabetes in Pregnancy …
A vicious cycle
Mother with
diabetes
Child or woman
with diabetes
Infant of
diabetic mother
Projected Trends in Prevalence of
Diagnosed Diabetes Among Women by
Age, 2000 to 2050
0-44
45-64
65-74
75+
Prevalence (%)
20
15
10
5
0
2000
2005
2010
Year
Boyle JP, et al. Diabetes Care 2001
2025
2050
Prevalence of Cigarette Smoking During
Pregnancy, 1989-1999
25
Percent
20
15
10
5
0
1989
1991
1993
1995
1997
Note: Percentage excludes live births for mothers with unknown smoking status.
Sources: National Center for Health Statistics 1992, 1994; Ventura et al. 1995, 1997, 1999, 2000.
1999
Percentage of High School Youth Who Are
Current* Cigarette Smokers, YRBSS†
40
35
Percent
30
All Races
25
20
15
10
5
0
1991
1993
1995
1997
Yea r
Adapted from MMWR 2002;51(19):409–12
* Current Use = self-reported use of at least 1 time in past 30 days
† Youth Risk Behavior Surveillance System
1999
2001
Public Health has a Critical Role to Play
Something Can Be Done ….
CDC’s Role
• Data for Decision Makers
• Funding for Communities
• Prevention Research
• Tools
• National Leadership
What You Can Do:
• Educate the public
• Educate policy makers
• Influence community
institutions
• Influence the health care
system
Imagine a World …….
Imagine a World …….
An Invitation to Collaborate