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Healthy Aging in Action: Advancing the National Prevention Strategy

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Healthy Aging in Action: Advancing the National Prevention Strategy Healthy Aging in Action ADVANCING THE NATIONAL PREVENTION STRATEGY NATIONAL PREVENTION, HEALTH PROMOTION, AND PUBLIC HEALTH COUNCIL NOVEMBER 2016 Healthy Aging in Action: Advancing the National Prevention Strategy was prepared by the National Prevention, Health Promotion, and Public Health Council (National Prevention Council). The Centers for Disease Control and Prevention provides MEMBERS ongoing administrative, scientific, and technical support for Secretary Sylvia Mathews Burwell Assistant Secretary–Indian Affairs Department of Health and (Acting) Lawrence S. Roberts the operations of the National Prevention Council. Human Services Department of the Interior Secretary Tom Vilsack Attorney General Loretta E. Lynch NATIONAL Department of Agriculture Department of Justice Acknowledgements PREVENTION, Secretary John B. King, Jr. Chief Executive Officer This report was developed with staff support from the Office of Department of Education Wendy Spencer the Surgeon General; Centers for Disease Control and Prevention, HEALTH PROMOTION, Corporation for National and Chairwoman Edith Ramirez Community Service Office of the Associate Director for Policy and Division of AND PUBLIC HEALTH Federal Trade Commission Population Health; and Department of Health and Human Secretary Ashton B. Carter Services, Administration for Community Living. The report was COUNCIL MEMBERS Secretary Anthony Foxx Department of Defense also informed by the Advisory Group on Prevention, Health Department of Transportation Promotion, and Integrative and Public Health and their Healthy Secretary Robert A. McDonald Aging working group, including members from the following CHAIR Secretary Thomas E. Perez Department of Veterans Affairs organizations: Alzheimer’s Association, American Association of Department of Labor Retired Persons, American Society on Aging, Grant Makers in Surgeon General Secretary Julián Castro Secretary Jeh Johnson Department of Housing and Aging, Hartford Foundation, National Alliance for Caregiving, Vivek Murthy National Association of Area Agencies on Aging, National Department of Homeland Security Urban Development Association of Chronic Disease Directors, and Services and U.S. Public Health Administrator Gina McCarthy Director Shaun Donovan Advocacy for GLBT Elders (SAGE). Service Environmental Protection Agency Office of Management and Budget Director Michael Botticelli Secretary Sally Jewell FOR MORE INFORMATION ABOUT THE Office of National Drug Control Policy Department of the Interior NATIONAL PREVENTION STRATEGY GO TO: surgeongeneral.gov/priorities/prevention/strategy/ Director Cecilia Muñoz Administrator Denise Turner Roth Domestic Policy Council General Services Administration SUGGESTED CITATION: National Prevention Council. Acting Director Beth F. Cobert Healthy Aging in Action. Washington, DC: Office of Personnel Management U.S. Department of Health and Human Services, Office of the Surgeon General; 2016. ADVANCING THE NATIONAL PREVENTION STRATEGY i MESSAGE FROM AMERICANS REACHING THE AGE of national efforts that have improved This report aligns with the four OF 65 TODAY CAN EXPECT, ON the lives of generations of older adults. strategic directions of the National THE CHAIR OF THE AVERAGE, TO LIVE AN ADDITIONAL Recognizing the contributions of these Prevention Strategy: Healthy and Safe In 2011, the year the National Prevention programs and the need to continue Community Environments, Clinical NATIONAL PREVENTION, our efforts to supportolder Americans, and Community Preventive Services, Strategy was released, the first wave of 19 years President Barack convened the sixth Empowered People, and Elimination HEALTH PROMOTION, AND the baby boomer generation celebrated White House Conference on Aging, of Health Disparities. It also PUBLIC HEALTH COUNCIL its 65th birthday. Since then, the number which brought together older adults, recommends actions that individuals of individuals over the age of 65 has As I reflect on healthy aging and caregivers, researchers, advocates, and and community leaders can take to reached 46 million and is projected to reach what that means, I am reminded leaders from across the United States address supporting older adults in 74 million by 2030. Americans reaching of Amelia Boynton, a 103-year-old to identify and recommend actions to living longer and healthier lives. woman I met just before I was sworn continue to improve the quality of life the age of 65 today can also expect, on As the U.S. Surgeon General and chair in as U.S. Surgeon General. When I of older Americans. average, to live an additional 19 years. of the National Prevention Council, I complimented Ms. Boynton on her While the federal government, states, One important outcome of the am optimistic about the opportunities many accomplishments, she told me conference was the administration’s to be gained from living longer, communities, and families significantly benefit she wasn’t finished yet. I remember announcement of the development healthier lives both for individuals from the contributions and experiences of admiring what it takes to live well to of a report to advance healthy aging and for our nation. I believe we can older Americans, there also are challenges in be 103 years old. While we all may within the National Prevention and will take action to help millions of meeting the needs of the growing population of not be destined to live that long, Strategy. The report that follows, Americans successfully navigate this what strategies can we put into Americans 65 and older. Never has there been Healthy Aging in Action: Advancing next phase of their lives, much like Ms. action, as individuals and within our such a spotlight on older adults, and we can the National Prevention Strategy Boynton did. communities, to ensure the best use this moment to redefine what it means to (HAIA), is the culmination of a review possible health outcomes as we age? experience healthy aging in the United States. of the scientific literature, as well In 2015, our country celebrated the as consultation with experts in the Vivek H. Murthy, MD, MBA U.S. Surgeon General 50th anniversaries of Medicare, fields of aging and public health Vice Admiral, U.S. Public Health Service Medicaid, and the Older Americans and the expertise from leaders U.S. Department of Health and Human Services Act, as well as the 80th anniversary across the federal government from 74 million of Social Security. These programs areas as diverse as housing, health, PEOPLE WILL BE OVER THE AGE OF 65 have proven to be shining examples employment, and transportation. BY 2030 (PROJECTED) ii 1 TABLE OF CONTENTS NATIONAL PREVENTION, HEALTH PROMOTION, AND PUBLIC HEALTH COUNCIL MEMBERS .......................................... i MESSAGE FROM THE CHAIR OF THE NATIONAL PREVENTION, HEALTH PROMOTION, AND PUBLIC HEALTH COUNCIL .........................ii INTRODUCTION .................................................................................. 4 Goals ................................................................................................8 National Prevention Strategy ........................................................9 The State of Aging in the United States ..................................... 10 Origins of Healthy Aging in Action .............................................13 Healthy Aging Recommendations .............................................. 14 HEALTHY AGING ACTIONS TO ADVANCE THE NATIONAL PREVENTION STRATEGY ......................................... 16 Strategic Directions of the National Prevention Strategy .......18 Healthy and Safe Community Environments ............................20 Clinical and Community Preventive Services ............................32 Empowered People ...................................................................... 45 Elimination of Health Disparities ................................................54 MOVING FORWARD ...........................................................................62 APPENDICES ....................................................................................66 Appendix A: Example Federal Healthy Aging Initiatives ...........68 Appendix B: References ..............................................................90 2 3 Introduction 4 HEALTHY AGING IN ACTION ADVANCING THE NATIONAL PREVENTION STRATEGY 5 All sectors must he National Prevention Council, created by the Affordable TCare Act and chaired by the U.S. Surgeon General, provides be engaged in coordination and leadership among 20 executive departments Healthy Aging in Action: and agencies and aims to promote prevention and wellness. In Advancing the National planning for the 2011, the Council released the National Prevention Strategy, which Prevention Strategy (HAIA) identifies the most effective and achievable means for improving identifies specific actions opportunities health and well-being with an overarching goal of increasing the for healthy aging that are number of Americans who are healthy at every stage of life. continuing to improve health and well-being in of a growing The Strategy’s aim is to increase the length of people’s lives and ensure their lives are healthy and productive. The demographics later life. Specifically, this population of of the United States are changing, as more Americans are report highlights federal and reaching the age of 65 and can often have an additional 19 years nonfederal programs that of life.1 The U.S. Census Bureau projects that the population age advance the four Strategic older adults to 85 and over could
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