El Paso County Health Indicators · 2017-07-24 · Source: Preamble to the Constitution of the...
Transcript of El Paso County Health Indicators · 2017-07-24 · Source: Preamble to the Constitution of the...
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El Paso County Health IndicatorsEl Paso County Health Indicators
Draft Summary
Prepared by El Paso County Public Health Epidemiology ProgramDecember 6, 2011
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The data included in the following slides have been compiled by the Epidemiology Program at El Paso County Public Health (EPCPH).
Data are still considered PRELIMINARY and are subject to change. Preparation of a full written report is underway and will be made
available in the near future.
If you have questions regarding the data, please contact the EPCPH Epidemiology Program at 719-575-8988.
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A state of complete physical, mental, and social well-being and not merely the absence of disease or well-being and not merely the absence of disease or infirmity.
Source: Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19 June - 22 July 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.
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Medical Model of “Diagnostic” Healthcare
Healthcare provider
Patient
Symptoms
Illness Evaluation
Treatment/Intervention
Improved Health
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Public Health Model of Population Health
Public Health Evaluator
Population
Descriptive/Analytic Epidemiology
Health Indicators/Comparisons
Identify health issues/
Partnerships for interventions
Improved Health
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What is a Community Health Assessment (CHA)?
• An analytic process intended to describe the health of the community and identify issues that cause
▫ Illness or lack of wellness▫ Illness or lack of wellness
▫ Hospitalizations
▫ Injury
▫ Loss of quality of life
▫ Death
▫ Health inequities
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Outcomes of CHA
• What does CHA do?▫ Provides objective measures of health behaviors, health outcomes, illness and death
▫ “Tells it like it is”
▫ Find emerging issues, trends▫ Find emerging issues, trends
▫ Goes beyond just access to health care
• What doesn’t CHA do?▫ Make judgments
▫ Define capacity to change health
▫ Prioritize resources
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Steps for Communities after CHA
• Ascertain assets & capacity to address population health issues and inequities
• Identify potential solutions
• Focus on certain health issues
• Allocate resources and implement solutions
• Evaluate interventions and outcomes
• Reassess…..
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El Paso County CHA
• Standard and validated sources of data
▫ U.S. Census
▫ Colorado Demography Office▫ Colorado Demography Office
▫ Colorado Department of Public Health and Environment birth and death records
▫ Well established health surveys for adults, adolescents and children
▫ Hospitalization data
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• Public health priorities with large-scale, measurable impact on health and the environment, for which there are strategies for change
Public Health Winnable Battles
change
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Colorado Winnable Battles
Colorado Department of Public Health and Environment (CDPHE)
• Clean Air• Clean Water• Infectious Disease Prevention• Infectious Disease Prevention• Injury Prevention• Mental Health & Substance Abuse• Obesity• Oral Health• Safe Food• Tobacco Use• Unintended Pregnancy
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Health EquityAn Explanatory Model for Conceptualizing the Social Determinants of Health
NATIONAL INFLUENCES
GOVERNMENT POLICIES
U.S. CULTURE & CULTURAL NORMS
LIFE COURSE HEALTH
FACTORS =POPULATION
OUTCOMESSOCIAL DETERMINANTS OF
HEALTH +
HEALTHACCESS ,
PREGNANCY
EARLY
CHILDHOOD
CHILDHOOD
ADOLESCENCE
ADULTHOOD
OLDER ADULTS
QUALITY OF LIFE
MORBIDITY
MORTALITY
LIFE EXPECTANCY
ECONOMIC
OPPORTUNITY
PHYSICAL
ENVIRONMENT
SOCIAL
FACTORS
• Income
• Employment
• Education
• Housing
Built
Environment
– Recreation
– Food
–Transportation
Environmental
quality
– Housing
– Water
– Air
Safety
• Participation
• Social support
• Leadership
• Political
influence
• Organizational
networks
• Violence
• Racism
HEALTH
BEHAVIORS &
CONDITIONS
MENTAL
HEALTH
ACCESS ,
UTILIZATION
& QUALITY
CARE
• Nutrition
• Physical
activity
• Tobacco use
• Skin cancer
• Injury
• Oral health
• Sexual health
• Obesity
• Cholesterol
• High blood
pressure
• Mental health
status
• Substance
abuse
• Functional
status
• Health
insurance
coverage
• Received
needed care
• Provider
availability
• Preventive
care
Source: Colorado Department of Public Health and Environment
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Demographic CharacteristicsDemographic Characteristics
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Demographics, El Paso County 2010
• 622,263 residents
▫ Sex
� 50.2% female
� 49.8% male
• Median age: 34.1 years
160,400
62,051
45 to 64
65 and Over
▫ Race/Ethnicity
� 72% non-Hispanic white
� 15% Hispanic, all races
� 6% Black
� 7% non-Hispanic other
Source: U.S. Census Bureau. 2010 Census, Table DP-1.
162,676
68,025
169,111
0 10 20 30
Under 18
18 to 24
25 to 44
Percent
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Population density, by census tract El Paso County 2000
Source: U.S. Census Bureau. 2000 Census, Table GCT-PH1.
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Hispanic population, by census tract El Paso County 2005-2009
Source: U.S. Census Bureau. 2005-2009 American Community Survey (ACS), Table B03002.
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Black, non-Hispanic population, by census tract, El Paso County 2005-2009
Source: U.S. Census Bureau. 2005-2009 ACS, Table B03002.
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Income and education, El Paso County 2010
Annual Household IncomeEducational Attainment in adults 25+
$75,000+Some college or more
Sources: U.S. Census Bureau. 2010 American Community Survey, Table DP03; U.S. Census Bureau. 2010 American Community Survey, Table DP02.
0 10 20 30 40
<$25,000
$25,000-$49,999
$50,000-$74,999
Percent of Households
0 20 40 60 80
Less than high school
High school graduate
Percent
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Median household income, by census tractEl Paso County 2005-2009
Source: U.S. Census Bureau. 2005-2009 ACS, Table S1903.
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Percent of families below poverty, by census tract, El Paso County 2005-2009
Source: U.S. Census Bureau. 2005-2009 ACS, Table S1702.
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Percent of adults 25+ with less than a high school degree, by census tract, El Paso County 2005-2009
Source: U.S. Census Bureau. 2005-2009 ACS, Table S1501.
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General Health StatusGeneral Health Status
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Self-reported general health status of adults, aged 18+, 2010
25
30
35
40
45
Percen
t
El Paso County
Colorado
United States
0
5
10
15
20
25
Poor Fair Good Very Good Excellent
Percen
t
General Health Status
Source: CDPHE Health Statistics Section. 2010 Behavioral Risk Factor Surveillance System (BRFSS).
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Life expectancy and healthy life expectancy, by race/ethnicity, Colorado 2008-10
The difference between life
expectancy and
80.0
71.0
80.2
73.0
79.2
76.8
70
75
80
85
Source: CDPHE Health Statistics Section.
expectancy and healthy life
expectancy are the reduction in years related to poorer health.
61.1
64.0
50
55
60
65
70
Life expectancy
Healthy life expectancy
Life expectancy
Healthy life expectancy
Life expectancy
Healthy life expectancy
Life expectancy
Healthy life expectancy
Total White, non-Hispanic White, Hispanic Black/African American
Years
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Top 10 causes of death El Paso County, 2007-2009
Rank Cause of deathDeaths per 100,000
population1 Cancer 128.5
2 Heart disease 113.6
3 Unintentional injury 38.7
4 Chronic lower respiratory 38.04 Chronic lower respiratory diseases
38.0
5 Cerebrovascular disease 33.1
6 Suicide 18.6
7 Alzheimer’s disease 15.6
8 Diabetes mellitus 12.8
9 Chronic liver disease and cirrhosis
9.7
10 Influenza and pneumonia 9.4
Source: CDPHE. Colorado Health Information Dataset (CoHID): 2007-2009 Death Data.
Note: the above data reflects crude mortality rates only. Age-adjusted rates are available for comparison to other populations.
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Age-group specific leading causes of death El Paso County 2007-2009
Ages 1-14
1. Accidents2. Homicide3. Malignant Neoplasms4. Heart Disease5. Congenital Malformations &
Chromosomal Abnormalities
Ages 15-24
1. Accidents2. Suicide3. Homicide4. Malignant Neoplasms5. Heart Disease
Ages <1
1. Congenital Malformations & Chromosomal Abnormalities
2. Length of Gestation & Fetal Malnutrition
3. SIDS4. Complications of
Pregnancy, Labor, & Delivery
Source: CDPHE Health Statistics Section.
Ages 25-44
1. Accidents2. Suicide3. Malignant Neoplasms4. Heart Disease5. Homicide
Ages 45-64
1. Malignant Neoplasms2. Heart Disease3. Accidents4. Suicide5. Chronic Liver Disease &
Cirrhosis
Ages 65+
1. Malignant Neoplasms2. Heart Disease3. Chronic Lower Respiratory
Diseases4. Cerebrovascular Diseases5. Alzheimer’s Disease
Pregnancy, Labor, & Delivery5. Blood-related Disorders
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Access to Health CareAccess to Health Care
� Uninsured individuals are less likely to receive medical care, and more likely to experience poor health and premature death
Source: Healthy People 2020.
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Health insurance coverage, by type El Paso County 2011
Uninsured12.5%
Other0.5%
Private5.0%
CHP+0.9%
Among those who had coverage for the past
year, 12.3% were considered to be underinsured – had
Source: Colorado Health Access Survey. 2011. Denver, CO: The Colorado Trust.
Medicaid8.8%
Medicare8.9%
Employer-sponsored
63.6%
to be underinsured – had plans which did not
adequately cover the cost of medically necessary services relative to family income.
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Enrollment for public insurance El Paso County 2009
Program Age group Total # Eligible Not Enrolled
Medicaid≤18 years 32,396
1,887
(5.8%)
3,104 19-64 years 12,659
3,104
(24.5%)
CHP+≤18 years 8,462
2,325
(27.5%)
Source: Colorado Health Institute (CHI). 2009 Uninsured, Health Coverage and Access Data.
Child Health Plan Plus (CHP+) is health insurance coverage for low-income children and pregnant women whose family income is
too high to qualify for Medicaid.
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Usual source of care by insurance statusEl Paso County 2011
50
60
70
80
Percen
t
Community health center or other public clinic
0
10
20
30
40
Insured Uninsured
Percen
t
Insurance Status
Doctor's office or private clinic
Hospital emergency room or urgent care center
Some other type of place
Source: Colorado Health Access Survey. 2011. Denver, CO: The Colorado Trust.
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Health screening of adults by insurance status Colorado 2009 & 2010
Sigmoidoscopy or colonoscopy ever, age 50+ (2010)
Cholesterol screening in past five years, age 18+ (2009)
Source: CDPHE Health Statistics Section. 2009-2010 Behavioral Risk Factor Surveillance System (BRFSS).
0 50 100
Clinical breast exam and mammogram in past two years, female age 50+
(2010)
Pap smear in past three years, female age 18+ (2010)
PSA test in past two years, male age 40+ (2010)
Percent
Uninsured
Insured
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Diet, physical activity, and
healthy weighthealthy weight
� Body mass index (BMI) is a widely used measure of unhealthy (over)weight, as defined by:
�A BMI of 25 or greater for adults
�A BMI at or above the 85th BMI-for-age percentile for children and adolescents
� The annual medical expenses associated with obesity in the U.S. have nearly doubled over a decade and are now estimated at $147 billion
Sources: Centers for Disease Control and Prevention (CDC). Defining Overweight and Obesity.; Finkelstein, E.A., Trogdon, J.G., Cohen, J.W., & Dietz, W. (Sep 2009). Annual medical spending attributable to obesity: Payer- and service-specific estimates. Health Affairs, 28 (5):w822-w831.
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Prevalence of obesity (BMI ≥30) among adults aged 18+
Prevalence of adult obesity in
15
20
25
Percen
t
Sources: CDC. 1995-2002 Behavioral Risk Factor Surveillance System (BRFSS): Prevalence and Trends Data; CDPHE Health Statistics Section. CoHID: 2003-2010 BRFSS.
adult obesity in Colorado has doubled since
1995
0
5
10Percen
t
Year
El Paso County
Colorado
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Proportion of population with unhealthy weightEl Paso County 2009-2010
� 3 out of every 5 adults are at an unhealthy weight40
50
60
70
Percen
t
unhealthy weight
� 1 out of every 5 adults is obese
�Nearly 1 out of 4 children are at unhealthy weight
0
10
20
30
Children (2010)* Adolescents (2009)* Adults (2009-10)
Percen
t
Age Group
Overweight
Obese
Sources: CDPHE Health Statistics Section. 2010 Colorado Child Health Survey; 2009 Youth Risk Behavior Survey (YRBS); and 2009-10 BRFSS.
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Prevalence of adults aged 18+ who are obese, by race/ethnicity, income and education El Paso County 2009-2010
$50,000+
< High School
High School Graduate
Some College or More
An
nu
al
Hou
seh
old
In
com
eE
du
cati
on
al
Att
ain
men
t
Source: CDPHE Health Statistics Section. 2009-2010 BRFSS.
0 5 10 15 20 25 30 35 40 45
White
Hispanic
Black
Other
< $25,000
$25,000-$49,999
Race/E
thn
icit
y
An
nu
al
Hou
seh
old
In
com
e
Percent
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El Paso County Colorado
Proportion of adults aged 18+ reporting no leisure-time* physical activity in past 30 days 2009-2010
17.8% 17.1%
* Unrelated to regular job. May include physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise.
Source: CDPHE Health Statistics Section. 2009-2010 BRFSS.
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Prevalence of co-existing conditions in adults aged 18+, by weight status, El Paso County 2009
30
35
40
45
50
Percen
t
Source: CDPHE Health Statistics Section. 2009 BRFSS.
0
5
10
15
20
25
Neither (BMI<25)
Overweight (BMI 25-29.9)
Obese (BMI≥30)
Percen
t
Weight Status
Diabetes
Hypertension
High Cholesterol
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Mental Health & Substance AbuseMental Health & Substance Abuse
�Mental health is a leading cause of disability and has substantial co-morbidity with substance abuse and physical health
� Annual total direct and indirect costs of serious mental illness is $317.6 billion
� Overall costs of substance abuse is more than $600 billion each year
Sources: Healthy People 2020; National Institute of Mental Health; National Institute on Drug Abuse.
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Percent of adults experiencing mental illness within the past year, by ageColorado 2008-2009
Age
18-25 years 26+ years
Any mental illnessa 32.8% 18.7%
Serious mental illnessb 8.0% 4.8%
Had serious thoughts of suicide 6.1% 4.0%
Had at least one major depressive episodec 8.4% 7.4%
a Diagnosable mental, behavioral, or emotional disorder
b Diagnosable mental, behavioral, or emotional disorder resulting in serious functional impairmentc Period of ≥2 weeks characterized by a depressed mood or loss of interest/pleasure in daily activities and a majority of specified depression symptoms
Sources: National Surveys on Drug Use and Health, Substance Abuse and Mental Health Services Administration (SAMHSA)
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Percent of adults aged 18+ with current depression*, 2008
El Paso County Colorado
8.2% 7.0%
*Defined by the presence and severity of specified depression symptoms within past two weeks.
Source: CDPHE Health Statistics Section. 2008 BRFSS.
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Suicide rate, by age and sexEl Paso County 2008-2010
45-54
55+
Female
Source: CDPHE Health Statistics Section. CoHID: 2008-2010 Death Data.
0 20 40 60
15-24
25-34
35-44
Suicide deaths per 100,000 population
Age Male
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Proportion of high school students experiencing mental illness in the 12 months, grades 9-12 Colorado 2009
20
25
30
35
Percen
t
Female
Source: CDPHE Health Statistics Section. Adolescent Health Data: 2009 YRBS.
0
5
10
15
20
Felt sadness/hopeless
for 2 weeks
Considered suicide
Suicide attempt with injury*
Percen
t
Male
* Attempt resulted in injury for which medical treatment was sought.
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Substance abuse among high school students, grades 9-12, Colorado 2009
Timeframe Substance Percent
Use in past 30 days
Binge drinking* 25.1
Marijuana 24.8
* Consuming five or more alcoholic beverages within a couple of hours
Source: CDPHE Health Statistics Section. Adolescent Health Data: 2009 YRBS
Cocaine 3.6
Lifetime use
Inhalants 9.2
Heroin 3.2
Methamphetamines 3.5
Ecstasy 10.2
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Motor Vehicle SafetyMotor Vehicle Safety
� Motor vehicle-related injuries contribute to premature death, disability, poor mental health and high economic consequences
� National costs of motor vehicle-related injuries cost an estimated $99 billion dollars in medical and lost work costs
Source: Healthy People 2020; CDC. Winnable Battles: Motor Vehicle Injuries.
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Rate of motor vehicle traffic injuries resulting in hospitalization
80
100
120
Inju
rie
s p
er 1
00
,00
0 p
op
ula
tion
El Paso County
Colorado
Source: CDPHE Health Statistics Section. CoHID: 2000-2010 Injury Hospitalizations.
0
20
40
60
2000 2002 2004 2006 2008 2010
Inju
rie
s p
er 1
00
,00
0 p
op
ula
tion
Colorado
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Motor vehicle fatalities, by age and sex 2007-2009
12
14
16
18
20
Death
s p
er 1
00
,00
0 p
op
ula
tion
El Paso County
0
2
4
6
8
10
Female Male Female Male
Ages 15-19 Ages 20+
Death
s p
er 1
00
,00
0 p
op
ula
tion
El Paso County
Colorado
Sources: NHTSA. 2007-2009 FARS.; Colorado State Demography Office, 2007-2009 Population Estimates.
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Rate of motor vehicle traffic fatalities, ages 15-19 years, Colorado
25
30
35
40
Death
s p
er 1
00
,00
0 p
op
ula
tion Graduated Driver
Licensing Law enacted
Cell phone ban among drivers of all ages with
instruction permit
0
5
10
15
20
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
Death
s p
er 1
00
,00
0 p
op
ula
tion
Year
Cell phone ban among all drivers under age 18
Sources: NHTSA. 1994-2009 FARS.; Colorado State Demography Office, 1994-2009 Population Estimates.
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Vehicle and driver-related
factorsPercent of total fatalities
Occupant in a passenger
vehicle (all seat positions)66.7%
Characteristics of motor vehicle traffic fatalities, El Paso County 2009
Unrestrained driver or
passenger53.6% of passenger vehicle fatalities
Motorcycle 26.2%
Unhelmeted driver or rider 63.6% of motorcycle fatalities
Alcohol-impaired driver
(BAC = 0.08+)35.7%
Speeding-related crash 45.2%
Teen fatalities (ages 15-19) 14.3%
Sources: NHTSA. 2009 State Traffic Safety Facts and FARS.
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High school students riding in or driving a vehicle operated under the influence of alcohol*, grades 9-12 Colorado
20
25
30
Rode with driver who had
Source: CDPHE Health Statistics. Adolescent Health Data: 2009 YRBS.
0
5
10
15
2005 2009
%
Rode with driver who had been drinking alcohol
Drove after drinking alcohol
* One or more times in past 30 days
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Tobacco UseTobacco Use
� Tobacco use is the leading cause of preventable death in the U.S.
� Approximately 443,000 American die annually from tobacco-related illnesses
� The estimated direct medical costs and loss of productivity associated with tobacco use is $193 billion each year
Source: Healthy People 2020.
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Prevalence of adults aged 18+ who currently smoke cigarettes
15
20
25
Percen
t
0
5
10
Percen
t
Percent
El Paso County
Colorado
Sources: CDC. 1995-2002 BRFSS: Prevalence and Trends Data.; CDPHE Health Statistics Section. CoHID: 2003-2010 BRFSS.
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Trends in Colorado adult current smokers & changes in tobacco policy
20
25
Federal tax
increases
from $0.24 to
Colorado
implements Clean
Indoor Air Act
State tax
Federal tax
increases to $0.39
per pack
0
5
10
15
1995 1997 1999 2001 2003 2005 2007 2009
Percen
t
Year
Federal tax
increases to
$1.01 per pack
from $0.24 to
$0.34 per
pack
State tax
increases from
$0.20 to $0.84 per
pack
Sources: CDC. 1995-2010 BRFSS.; CDC. Federal and State Cigarette Excise Taxes United States, 1995-2009. MMWR 2009;58(19):524-527.
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Prevalence of current smokers aged 18+, by sex, age, income, and education El Paso County 2009-2010
< $25,000
$25,000-$49,999
$50,000+
< High School
High School Graduate
Some College
Annual
Household
Income
Educational
Attainment
Source: CDPHE Health Statistics Section. 2009-2010 BRFSS.
0 5 10 15 20 25 30 35 40
Male
Female
18-24
25-34
35-44
45-54
55-64
65+
< $25,000
Gender
Age
Household
Percent
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Tobacco use by youth, grades 9-12Colorado 2009
Prevalence in 2009 Percent change from 2005
Used tobacco* in the past 30 days 26.5% + 1.5%
Smoked cigarettes in the past 30 days 17.7% - 5.3%
Source: CDPHE Health Statistics Section. Adolescent Health Data: 2005 and 2009 YRBS
Smoked cigarettes in the past 30 days 17.7% - 5.3%
Underage current smokers who typically obtained cigarettes by buying in a store or gas station
12.6% + 12.5%
Current smokers who tried to quit within the past 12 months
53.2% + 2.7%
* Tobacco includes cigarettes, cigars, cigarillos, little cigars, chewing tobacco, snuf, and dip
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Proportion of new mothers who smoked, by age El Paso County 2005-2009
30
35
40
45
50
Percen
t
Before pregnancy
During pregnancy
After pregnancy
Sources: CDPHE Health Statistics Section. CoHID: 2005-2009 Pregnancy Risk Assessment Monitoring System (PRAMS).
0
5
10
15
20
25
30
15-19 20-24 25-34 35+
Percen
t
Age
After pregnancy
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Infectious Disease PreventionInfectious Disease Prevention
Source: Healthy People 2020.
� Completing prevention and treatment measures are vital components of reducing the transmission of infectious disease
� $43.4 billion in direct and indirect costs are avoided for each birth cohort vaccinated with the routine immunization schedule
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Rate of pertussis, by age group El Paso County, 2008-2010
10
12
14
16
10
0,0
00
pop
ula
tion
0
2
4
6
8
<1 1-5 years 6-17 years 18-44 years 45+ years
Cases p
er 1
00
,00
0 p
op
ula
tion
Age Group
Source: CDPHE. Disease Control and Environmental Epidemiology Division.
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Percent of children aged 19-35 months vaccinated* against pertussis
60
70
80
90
100
Colorado
United States
0
10
20
30
40
50
60
2007-08 2008-09 2009-10
Percen
t
Year
United States
Healthy People
Source: National Immunization Survey; Healthy People 2020 Objective IID-7.1
* Have received 4 or more doses of diphtheria-tetanus-acellular pertussis antigens (DTaP)
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Colorado kindergarteners up-to-date on required immunizations at school entry, by vaccine, 2010-11 school year
60
70
80
90
100
Percen
t V
accin
ate
d
Up to Date
0
10
20
30
40
50
60
DTaP
Hepatitis B
Polio
Varicella
MMR
Percen
t V
accin
ate
d
Vaccine
Up to Date
Healthy People
Source: CDPHE. 2010-2011 Immunization School Survey.
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Adolescents aged 13-17 vaccinated against tetanus, diptheria, and pertussis* since age 10
50
60
70
80
90
100
Percen
t
Colorado
United States
Healthy People:
0
10
20
30
40
50
2008 2009 2010
Percen
t
Year
Sources: National Immunization Survey; Healthy People 2020 Objective IID-11.1.
* Have received one or more doses of tetanus toxoid, reduced diptheria toxoid, and acellular pertussis (Tdap) vaccine
Healthy People: 80% of persons aged 13-15
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Percent of adolescents aged 13-17 vaccinated against meningitis*
50
60
70
80
90
100
Percen
t
Colorado
United States
Healthy People: 80% of persons
0
10
20
30
40
50
2008 2009 2010
Percen
t
Year
* Have received one or more doses of meningococcal vaccine
Sources: National Immunization Survey; Healthy People 2020 Objective IID-11.3.
80% of persons aged 13-15
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Unsafe Sexual PracticesUnsafe Sexual Practices
� Unintended pregnancies are associated with negative health and economic consequences for both the mother and children
� The public costs associated with unintended pregnancies is $11 billion per year in the U.S.
� $16 billion of annual health care costs is attributed to sexually transmitted diseases
Source: Healthy People 2020.
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30
35
40
45
50
Percen
t Male
Sexual behavior among youth, grades 9-12 Colorado 2009
0
5
10
15
20
25
Ever had sex Had sex in past 3 months
Had sex before age 13
Had sex with 4+ partners in
life
Percen
t
Female
Source: CDPHE Health Statistics Section. Adolescent Health Data: 2009 YRBS.
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Teen birth rate for females aged 15-17 years
20
25
30
35
Liv
e b
irth
s p
er 1
,00
0 fem
ale
s a
ged
15-1
7
El Paso County
Colorado
Source: CDPHE. Maternal and Child Health Data: 2000-2010 State and County Birth and Death Summary Tables.
0
5
10
15
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Liv
e b
irth
s p
er 1
,00
0 fem
ale
s a
ged
15
Year
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Proportion of pregnancies that were unintended, by age and race/ethnicityEl Paso County 2005-2009
50
60
70
80
90
Percen
t Approximately 38% of these
Source: CDPHE Health Statistics. CoHID: 2005-2009 PRAMS.
0
10
20
30
40
50
15-19 20-24 25-34 35+ White Hispanic White
Black
Age Race/Ethnicity
Percen
t
38% of these women were using birth control at the
time of their pregnancy
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Rates of sexually transmitted infections (STIs)
100
200
300
400
500
600
Cases p
er 1
00
,00
0 p
op
ula
tion Chlamydia
El Paso County
Colorado
0
2006 2007 2008 2009 2010
Cases p
er 1
00
,00
0 p
op
ula
tion
Year
0
20
40
60
80
100
120
140
2006 2007 2008 2009 2010
Cases p
er 1
00
,00
0 p
op
ula
tion
Year
Gonorrhea
El Paso County
Colorado
Source: CDPHE. 2006-2010 STI Rates. Provided by CDPHE STI/HIV Surveillance Program on July 28, 2011.
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Rate of STIs, by sex and ageEl Paso County 2010
Chlamydia per 100,000 population
Gonorrhea per 100,000 population
SexFemale 597.2 69.8
SexMale 251.8 57.4
Age
15-19 1284.2 123.4
20-29 1745.8 260.3
30-39 366.3 73.7
40-54 48.5 20.9
Sources: CDPHE. 2010 STI Rates. Provided by CDPHE STI/HIV Surveillance Program on July 28, 2011.; U.S. Census Bureau. 2010 Census, Table QT-P1.
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El Paso County, 2010 I-25 Corridor, 2006-2010
• 35 new diagnoses of HIV
• 428 people presumed to be living with HIV
County
New HIV infections per
100,000 population
Denver 30.3
Adams 12.7
HIV/AIDS
living with HIV
• 308 people presumed to be living with AIDS
Adams 12.7
Arapahoe 11.2
El Paso 4.7
Pueblo 4.2
Jefferson 3.7
Larimer 3.2
Weld 2.7
Douglas 2.3
Source: CDPHE. Colorado HIV Surveillance Report: 4th Quarter 2010.