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March 2004, Vol 94, No. 3 | American Journal of Public Health 378-383
© 2004 American Public Health Association

EVALUATION METHODS AND PRACTICE

Achieving National Health Objectives: The Impact on Life Expectancy and on Healthy Life Expectancy

Elsie R. Pamuk, PhD, Diane K. Wagener, PhD and Michael T. Molla, PhD

Elsie R. Pamuk and Michael T. Molla are with the National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Md. At the time of the study, Diane K. Wagener also was with the National Center for Health Statistics.

Correspondence: Requests for reprints should be sent to Elsie R. Pamuk, PhD, PO Box 1655, Eastsound, WA 98245-1655 (e-mail: epamuk{at}cdc.gov; ephl{at}orcasonline.com).

Our study quantifies the impact of achieving specific Healthy People 2010 targets and of eliminating racial/ethnic health disparities on summary measures of health. We used life table methods to calculate gains in life expectancy and healthy life expectancy that would result from achievement of Healthy People 2010 objectives or of current mortality rates in the Asian/Pacific Islander (API) population.

Attainment of Healthy People 2010 mortality targets would increase life expectancy by 2.8 years, and reduction of populationwide mortality rates to current API rates would add 4.1 years. Healthy life expectancy would increase by 5.8 years if Healthy People 2010 mortality and assumed morbidity targets were attained and by 8.1 years if API mortality and activity limitation rates were attained.

Achievement of specific Healthy People 2010 targets would produce significant increases in longevity and health, and elimination of racial/ethnic health disparities could result in even larger gains.




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