Please try the style(header) option in the proc report to change the back ground color and text color. Also call define to change the background color of columns displayed.
Here i generated the HTML file, you can try PDF as well.
ods html file='~/sample.html';
PROC REPORT DATA=WORK.HAVE LS=143 PS=30 SPLIT="/" CENTER style(header)=header{BACKGROUND=BLUE};
COLUMN leading_cause deaths;
DEFINE leading_cause / DISPLAY FORMAT= $36. WIDTH=36 SPACING=2 LEFT "Leading Cause" style(header)=header{color=white};
DEFINE deaths / FORMAT= BEST9. WIDTH=9 SPACING=2 RIGHT "Deaths" style(header)=header{color=white};
COMPUTE leading_cause;
CALL DEFINE(_COL_, "style", "STYLE=[BACKGROUND=LIGHTGREEN]");
ENDCOMP;
COMPUTE deaths;
CALL DEFINE(_COL_, "style", "STYLE=[BACKGROUND=LIGHTGREEN]");
ENDCOMP;
RUN;
ods html close;
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