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Healthy North Carolina 2020: A Better State of Health

Focus Areas, Objectives, and Evidence-Based Strategies Summary Tables

The specific, measurable objectives with current rates and 2020 target values within each focus area are provided below in summary tables by focus area. For most of the objectives (column 1), evidence-based strategies for improvement have been developed by N.C. Public Health agencies with program area expertise. Each evidence-based strategy for an objective is summarized with full details in a PDF document linked in a separate column.

If evidence-based strategies have not been developed the Task Force is working to identify best or promising practices - that is, practices where there is evidence to suggest that an intervention could be effective. In some cases there is a need for additional research.

[+] Expand All Focus Areas | [-] Contract All Focus Areas

 Tobacco Use

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Decrease the percentage of adults who are current smokers.1 Details (PDF, 165 KB) 20.3% (2009) 19.1% (2014)  13.0%
2. Decrease the percentage of high school students reporting current use of any tobacco product.2 Details (PDF, 189 KB) 25.8% (2009) 29.7% (2013) 15.0%
3. Decrease the percentage of people exposed to secondhand smoke in the workplace in the past seven days.1 Details (PDF, 111 KB) 14.6% (2008) 9.7% (2014) 0%

 Physical Activity and Nutrition

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Increase the percentage of high school students who are neither overweight nor obese. Details (PDF, 32 KB) 72.0% (2009) 72.3% (2013) 79.2%
2. Increase the percentage of adults getting meeting CDC Aerobic Recommendations3   46.8% (2011) 48.1% (2013) 60.6%
3. Increase the percentage of adults getting the recommended amount of physical activity.3 Details (PDF, 74 KB) 59.2% (2011) 57.1% (2013) 69.7%
4. Increase the percentage of adults who report they consume fruits and vegetables five or more times per day.3 Details (PDF, 59 KB) 78.1% (2011) 76.3% (2013) 84.7%

 Injury

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Reduce the unintentional poisoning mortality rate (per 100,000 population). Details (PDF, 30 KB) 11.0 (2008) 12.5 (2014) 9.9
2. Reduce the unintentional falls mortality rate (per 100,000 population). Details (PDF, 93 KB) 8.1 (2008) 10.0 (2014) 5.3
3. Reduce the homicide rate (per 100,000 population).   7.5 (2008) 5.6 (2014) 6.7

 Sexually Transmitted Diseases/Unintended Pregnancy

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Decrease the percentage of pregnancies among adults that are unintended. Details (PDF, 48 KB) 39.8% (2007) 42.7% (2011) 30.9%
2. Reduce the percentage of positive results among individuals aged 15 to 24 tested for chlamydia. Details (PDF, 39 KB) 9.7% (2009) 10.8% (2014) 8.7%
3. Reduce the rate of new HIV infection diagnoses (per 100,000 population). Details (PDF, 155 KB) 24.7 (2008) 16.0 (2013) 22.2

 Maternal and Infant Health

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Reduce the infant mortality racial disparity between whites and African Americans. Details (PDF, 30 KB) 2.45 (2008) 2.39 (2014) 1.92
2. Reduce the infant mortality rate (per 1,000 live births). 2.1 Details (PDF, 28 KB)
2.2 Details (PDF, 50 KB)
2.3 Details (PDF, 30 KB)
2.4 Details (PDF, 35 KB)
8.2 (2008) 7.1 (2014) 6.3
3. Reduce the percentage of women who smoke during pregnancy.4 Details (PDF, 27 KB) 10.4% (2008) 9.8% (2013) 6.8%

 Substance Abuse

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Reduce the percentage of high school students who had alcohol on one or more of the past 30 days. Details (PDF, 88 KB) 35.0% (2009) 32.2% (2013) 26.4%
2. Reduce the percentage of traffic crashes that are alcohol-related. Details (PDF, 23 KB) 5.7% (2008) 4.8% (2014) 4.7%
3. Reduce the percentage of individuals aged 12 years and older reporting any illicit drug use in the past 30 days.   7.8% (2007-08) 8.6% (2013-14) 6.6%

 Mental Health

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Reduce the suicide rate (per 100,000 population). Details (PDF, 104 KB) 12.4 (2008)  13.0 (2014) 8.3
2. Decrease the average number of poor mental health days among adults in the past 30 days.1   3.4 (2008) 3.6 (2014) 2.8
3. Reduce the rate of mental health-related visits to emergency departments (per 10,000 population).   92.0 (2008) 104.5 (2012) 82.8

 Infectious Disease/Foodborne Illness

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Increase the percentage of children aged 19-35 months who receive the recommended vaccines. Details (PDF, 25 KB) 77.3% (2007) 83.0% (2014) 91.3%
2. Reduce the pneumonia and influenza mortality rate (per 100,000 population). Details (PDF, 24 KB) 19.5 (2008) 17.1 (2014) 13.5
3. Decrease the average number of critical violations per restaurant/food stand.   6.1 (2009) 6.5 (2011) 5.5

 Oral Health

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Increase the percentage of children aged 1-5 years enrolled in Medicaid who received any dental service during the previous 12 months. Details (PDF, 42 KB) 46.9% (2008) 60.0% (2014) 56.4%
2. Decrease the average number of decayed, missing, or filled teeth among kindergartners. Details (PDF, 72 KB) 1.5 (2008-09) 1.5 (2009-10) 1.1
3. Decrease the percentage of adults who have had permanent teeth removed due to tooth decay or gum disease. Details (PDF, 41 KB) 47.8% (2008) 49.1% (2012) 38.4%

 Social Determinants of Health

Objective Baseline Current 2020 Target
1. Decrease the percentage of individuals living in poverty. 16.9% (2009)  17.1% (2014) 12.5%
2. Increase the four-year high school graduation rate. 71.8% (2008-9) 85.4% (2014-15) 94.6%
3. Decrease the percentage of people spending more than 30% of their income on rental housing. 41.8% (2008) 46.3% (2014) 36.1%

 Environmental Health

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Increase the percentage of air monitor sites meeting the current ozone standard of 0.075 ppm. Details (PDF, 29 KB) 62.5% (2007-2009) 100.0% (2012-14) 100.0%
2. Increase the percentage of the population being served by community water systems (CWS) with no maximum contaminant level violations (among persons on CWS). Details (PDF, 31 KB) 92.2% (2009) 95.3% (2015) 95.0%
3. Reduce the mortality rate from work-related injuries (per 100,000 population). Details (PDF, 38 KB) 3.9 (2008) 2.5 (2013) 3.5

 Chronic Disease

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Reduce the cardiovascular disease mortality rate (per 100,000 population). Details (PDF, 66 KB) 256.6 (2008) 216.5 (2014) 161.5
2. Decrease the percentage of adults with diabetes.1 Details (PDF, 29 KB) 9.6% (2009) 10.8% (2014) 8.6%
3. Reduce the colorectal cancer mortality rate (per 100,000 population). Details (PDF, 48 KB) 15.7 (2008) 14.2 (2014) 10.1

 Cross-cutting

Objective Evidence-Based Strategy Baseline Current 2020 Target
1. Increase average life expectancy (years).   77.5 (2008) 78.3 (2014) 79.5
2. Increase the percentage of adults reporting good, very good, or excellent health.1   81.9% (2009) 81.0% (2014) 90.1%
3. Reduce the percentage of non-elderly uninsured individuals (aged less than 65 years).   20.4% (2009) 15.2% (2014) 8.0%
4. Increase the percentage of adults who are neither overweight nor obese.1 Details (PDF, 44 KB) 34.6% (2009) 34.4% (2014) 38.1%

1 In 2011, the BRFSS methodology changed, so results are not directly comparable to previous years’ results.

2 In 2011, emerging products were added to any tobacco product, so values are not directly comparable to previous years.

3 In 2011, the definition for recommended amount of physical activity and fruit and vegetable consumption changed. The objectives and the baseline values have been changed to reflect the new standards. New targets were set for fruit and vegetable consumption.

4 North Carolina implemented the revised U.S. Standard birth certificate in 2011. The methodology for collecting smoking data was modified, therefore values presented for 2011 are not comparable to prior years.

Abbreviations:

  • BRFSS: Behavioral Risk Factor Surveillance System
  • CDC: Centers for Disease Control and Prevention
  • CWS: Community water systems