FY 2019 Annual Performance Plan and Report - Goal 2 Objective 1

Fiscal Year 2019
Released April, 2018

Goal 2.  Objective 1:  Empower people to make informed choices for healthier living

Health promotion and wellness activities involve providing information and education to motivate individuals, families, and communities to adopt healthy behaviors, which ultimately can improve overall public health.  However, the lack of access to and understanding of health information can lead people to make uninformed decisions and engage in risky behavior.

By supporting healthy choices and expanding access to healthier living supports, HHS is helping to curb threats to public health, promote a healthier population, and avoid the economic and human costs of poor health.  HHS is working with partners, including faith-based and community organizations, to help people and communities take steps to identify and address priority health issues.  The Department supports a series of programs and initiatives aimed at improving nutrition; increasing physical activity; reducing environmental hazards; increasing access to preventive services; and reducing the use of tobacco, alcohol, and illicit drugs and prescription drug abuse. These outcomes are achieved through culturally competent and linguistically appropriate health education, services, and supports made possible through strategic partnerships.

The Office of the Secretary leads this objective.  The following divisions are responsible for implementing programs under this strategic objective: ACF, ATSDR, CDC, FDA, HRSA, IHS, NIH, OASH, OCR, OGA, and SAMHSA.

Objective 2.1 Table of Related Performance Measures

Reduce the annual adult per-capita combustible tobacco consumption in the United States (Lead Agency - CDC; Measure ID - 4.6.2a)

  FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 FY 2019
Target Set Baseline N/A N/A N/A 1,145 1,128 967 903
Result 1,342 1,277 1,216 1,211 1,164 Jul 31, 2018 Jul 31, 2019 Jul 31, 2020
Status Baseline Historic Actual Historic Actual Historic Actual Target Not Met but Improved Pending Pending Pending

Although cigarette smoking remains the leading cause of tobacco-related disease, tobacco users are increasingly shifting consumption to other tobacco products and dual use with other combusted tobacco, including cigars, cigarillos and little cigars, pipe tobacco, roll-your-own tobacco, and hookah. This has resulted in a slowing of the decline in the consumption of all combustible tobacco, and indicates that the use of non-cigarette combustible products has become more common in recent years and that some smokers may be switching to other combustible tobacco products rather than quitting smoking cigarettes completely. Per capita combustible tobacco product consumption declined from 1,216 cigarette equivalents in FY 2014 to 1,164 cigarette equivalents in FY 2016, though slightly above the FY 2016 target. In FY 2018 and 2019, CDC will continue to monitor combustible tobacco consumption to inform its strategies on reducing tobacco-related disease.

Reduce the age-adjusted proportion of adults (age 20 years and older) who are obese (Lead Agency - CDC; Measure ID - 4.11.10a)12

  FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 FY 2019
Target 35.1 % N/A 34.4 % N/A 33.2 % N/A 33 % N/A
Result 34.9 % N/A 37.7 % N/A 39.6 % N/A Oct 31, 2019 N/A
Status Target Exceeded N/A Target Not Met N/A Target Not Met N/A Pending N/A

In adults, 2015-2016 National Health and Nutrition Examination Survey (NHANES) data show 39.6% had obesity, an increase in the proportion of obese adults reported in FY 2014 (37.7%). There are some community factors that affect diet and physical activity. This includes the affordability and availability of healthy food options (e.g. fruits and vegetables), peer and social supports, marketing and promotion, and policies that determine whether a community is designed to support physical activity. In FY 2018 and 2019, CDC will continue to implement evidence-based strategies and increase healthy eating and active living through its support for states and communities throughout the U.S.

[12] Data for this measure is collected and reported every other year.


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