Maternal and Child Health and Chronic Disease

1
Maternal and Child Healthand Chronic Disease

• Donna F. Stroup, PhD., M.Sc.
• Acting Director
• Coordinating Center for Health Promotion

2
(No Transcript)
3
Finding Maternal and ChildHealth at CDC
4
Causes of DeathUnited States, 2000
Actual Causes of Death
Leading Causes of Death
Tobacco
Heart Disease
Poor diet/Physical inactivity
Cancer
Alcohol consumption
Stroke
Chronic lower respiratory disease
Microbial agents
Toxic agents
Unintentional Injuries
Motor vehicles
Diabetes
Firearms
Pneumonia/influenza
Alzheimers disease
Sexual behavior
Kidney disease
Illicit drug use
0
5
10
15
20
0
5
10
15
20
25
30
35
Percentage (of all deaths)
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. 2004291(10)1238-1246.
5
Leading Causes of Disability Among PersonsAged
15 Years and OlderUnited 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
Source CDC. MMWR 200150(7)1205
6
(No Transcript)
7
(No Transcript)
8

Diabetes in Pregnancy A vicious
cycle
Mother with diabetes Child or woman
Infant of with diabetes diabetic
mother
9
Projected Trends in Prevalence of Diagnosed
Diabetes Among Women by Age, 2000 to 2050
Boyle JP, et al. Diabetes Care 2001
10
Prevalence of Cigarette Smoking During Pregnancy,
1989-1999
Percent
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.
11
Percentage of High School Youth Who Are Current
Cigarette Smokers, YRBSS
All Races
Adapted from MMWR 200251(19)40912 Current
Use self-reported use of at least 1 time in
past 30 days Youth Risk Behavior Surveillance
System
12
Something Can Be Done .
Public Health has a Critical Role to Play
13
CDCs Role

• Data for Decision Makers
• Funding for Communities
• Prevention Research
• Tools
• National Leadership

14
(No Transcript)
15
What You Can Do

• Educate the public
• Educate policy makers
• Influence community institutions
• Influence the health care system

16
Imagine a World .
17
Imagine a World .
18
(No Transcript)
19
An Invitation to Collaborate
20
(No Transcript)