2014 Edition RHODE ISLAND

Transcription

1 214 RHODE ISLAND America's Health Rankings is the longest running comparative health index of states. It uses measures of behavior, community and environment, policy, clinical care, and health outcomes to describe the health and wellness of each state compared to all other states. The Rankings are updated each year and provide a perspective on change in health over the last 25 years. The primary objective of America's Health Rankings is to stimulate discussion and action among individuals, community leaders, elected officials, health professionals, educators, and employers to improve the health of each state and our nation. The Rankings are sponsored by United Health Foundation in partnership with American Public Health Association and Partnership for Prevention. Overall, Rhode Island ranks 15th. The state has varied from 1th, it's healthiest rank, to 23rd, it's poorest rank. It ranked 19th last year. Strengths * High immunization coverage among children * High immunization coverage among teens * Ready availability of primary care physicians Overall Rank Overall Rank Challenges * High rate of drug deaths * Low rate of high school graduation * High percentage of children in poverty Determinants Value Rank No. 1 State Behaviors Smoking (Percent of adult population) Binge Drinking (Percent of adult population) Drug Deaths (Deaths per 1, population) Highlights Obesity (Percent of adult population) * In the past year, low birthweight increased by 8 percent from 7.4 percent to 8. percent of births. * In the past year, preventable hospitalizations decreased by 14 percent from 7.3 to 6.4 per 1, Medicare beneficiaries. * In the past 2 years, immunization coverage among children increased by 22 percent from 67.3 percent to 82.1 percent of children aged 19 to 35 months. Rhode Island has the highest child immunization coverage among the states. * Since 199, children in poverty increased by 98 percent from 11.7 percent to 23.2 percent of children. * Physical Inactivity (Percent of adult population) High School Graduation (Percent of incoming ninth graders) Community & Environment Violent Crime (Offenses per 1, population) Occupational Fatalities (Deaths per 1, workers) Infectious Disease (Combined Chlamydia, Pertussis and Salmonella) Chlamydia (Cases per 1, population) Pertussis ( Cases per 1, population) Salmonella ( Cases per 1, population) Children in Poverty (Percent of children) Air Pollution (Micrograms of fine particles per cubic meter) Policy Lack of Health Insurance (Percent of population) Public Health Funding (Dollars per person) $112 8 $219 Immunization - Children (Percent children aged 19 to 35 months) Immunization - Adolescents (Percent aged 13 to 17 years) Clinical Care Low Birthweight (Percent of live births) Primary Care Physicians (Number per 1, population) Dentists (Number per 1, population) Preventable Hospitalizations (Number per 1, Medicare beneficiaries) All Determinants Outcomes Diabetes (Percent of adult population) Poor Mental Health Days (Days in the previous 3 days) Poor Physical Health Days (Days in the previous 3 days) Disparity in Health Status (percent difference) Infant Mortality (Deaths per 1, live births) Cardiovascular Deaths (Deaths per 1, population) Cancer Deaths (Deaths per 1, population) Premature Death (Years lost per 1, population) 6, ,345 All Outcomes Overall United Health Foundation Page 1 America's Health Rankings 214

2 Smoking Smoking is the prevalence of adults who smoke cigarettes regularly. It is defined as the percentage of adults who self-report smoking at least 1 cigarettes in their lifetime and who currently smoke. 4 Rhode Island Smoking Percent of Adults Source: Behavioral Risk Factor Surveillance System data are not directly comparable to prior editions Less than High School High School Some College College Graduate Percent of Adults - aged 25+ Hawaiian / Pacific Islander United Health Foundation Page 2 America's Health Rankings 214

3 Physical Inactivity Physical Inactivity is the percentage of adults who report doing no physical activity or exercise (such as running, calisthenics, golf, gardening, or walking) other than their regular job in the last 3 days. 35 Rhode Island Physical Inactivity Percent of Adults Source: Behavioral Risk Factor Surveillance System data are not directly comparable to prior editions Less than High School High School Some College College Graduate Percent of Adults - aged 25+ Hawaiian / Pacific Islander United Health Foundation Page 3 America's Health Rankings 214

4 Obesity Obesity is the percentage of adults who are estimated to be obese, defined as having a body mass index (BMI) of 3. or higher, according to self-reported height and weight. BMI is equal to weight in pounds divided by height in inches squared and then multiplied by Rhode Island Obesity Percent of Adults Source: Behavioral Risk Factor Surveillance System data are not directly comparable to prior editions Less than High School High School Some College College Graduate Percent of Adults - aged 25+ Hawaiian / Pacific Islander United Health Foundation Page 4 America's Health Rankings 214

5 Binge Drinking Percentage of adults who had 4 or more (women) or 5 or more (men) alcoholic beverages on a single occasion in the past 3 days. 25 Rhode Island Binge Drinking Percent of Adults Source: Behavioral Risk Factor Surveillance System data are not directly comparable to prior editions Less than High School High School Some College College Graduate Percent of Adults - aged 25+ Hawaiian / Pacific Islander United Health Foundation Page 5 America's Health Rankings 214

6 Drug Deaths Number of deaths due to drug injury of any intent (unintentional, suicide, homicide, or undetermined) per 1, population. (3-year average) 2 Rhode Island Drug Deaths Deaths per 1, population Source: National Vital Statistics System Deaths per 1, population Deaths per 1, population 214 United Health Foundation Page 6 America's Health Rankings 214

7 High School Graduation Percentage of incoming ninth graders who graduate in 4 years from a high school with a regular degree. 9 Rhode Island High School Graduation Percent of Incoming Ninth Graders Source: National Center for Education Statistics data not directly comparable to data Percent of Incoming Ninth Graders Percent of Incoming Ninth Graders 214 United Health Foundation Page 7 America's Health Rankings 214

8 Violent Crime Number of murders, rapes, robberies, and aggravated assaults per 1, population. Offenses per 1, Population Rhode Island Violent Crime Source: Federal Bureau of Investigation Children in Poverty Percentage of persons younger than 18 years who live in households at or below the poverty threshold. Percent of Children Rhode Island Children in Poverty Source: Current Population Survey, 214 Annual Social and Economic Supplement Air Pollution Average exposure of the general public to particulate matter of 2.5 microns or less in size (PM2.5). Micrograms of fine particles per cubic meter Rhode Island Air Pollution Source: Environmental Protection Agency 214 United Health Foundation Page 8 America's Health Rankings 214

9 Lack of Health Insurance Percentage of the population that does not have health insurance privately, through their employer, or the government. (Two year average) Percent of Population Rhode Island Lack of Health Insurance Source: American Community Survey Immunization - Children Percentage of children aged 19 to 35 months receiving recommended doses of DTaP, polio, MMR, Hib, hepatitis B, varicella, and PCV vaccines. Percent of Children Rhode Island Immunization Children Source: National Immunization Survey Immunization - Adolescents Percentage of adolescents aged 13 to 17 years who have received 1 dose of Tdap since the age of 1 years, 1 dose of meningococcal conjugate vaccine, and 3 doses of HPV (females). Percent of Adolescents Rhode Island Immunization Adolscents Source: National Immunization Survey 214 United Health Foundation Page 9 America's Health Rankings 214

10 Low Birthweight Percentage of infants weighing less than 25 grams (5 pounds, 8 ounces) at birth. Percent of Births Rhode Island Low Birthweight Source: National Vital Statistics System (Non ) (Non ) Percent of Births Preventable Hospitalizations Discharge rate among the Medicare population for diagnoses that are amenable to non-hospital based care. Number per 1, Medicare beneficiaries Rhode Island Preventable Hospitalizations Source: Dartmouth Atlas 214 United Health Foundation Page 1 America's Health Rankings 214

11 Diabetes Percentage of adults who responded yes to the question "Have you ever been told by a doctor that you have diabetes?" (Excludes prediabetes and gestational diabetes). 12 Rhode Island Diabetes Percent of Adults Source: Behavioral Risk Factor Surveillance System not directly comparable to prior editions Less than High School High School Some College College Graduate Percent of Adults - aged 25+ Hawaiian / Pacific Islander United Health Foundation Page 11 America's Health Rankings 214

12 Disparity in Health Status Difference in the percentage of adults aged 25 and older with vs without a high school education who report their health is very good or excellent 35 Rhode Island Disparity in Health Status 3 25 Difference Source: Behavioral Risk Factor Surveillance System. High Health Status Less than High School High School Some College College Graduate Hawaiian / Pacific Islander United Health Foundation Page 12 America's Health Rankings 214

13 Infant Mortality Number of infant deaths (before age 1) per 1, live births. 12 Rhode Island Infant Mortality Deaths per 1, Live Births Source: National Vital Statistics System Deaths per 1, Live Births Premature Death Number of years of potential life lost prior to age 75 per 1, population. Years lost per 1, population Rhode Island Premature Death 1, 9, 8, 7, 6, 5, 4, 3, 2, 1, Source: National Vital Statistics System 214 United Health Foundation Page 13 America's Health Rankings 214

14 Cancer Deaths Number of deaths due to all causes of cancer per 1, population. 25 Rhode Island Cancer Deaths Deaths per 1, population Source: National Vital Statistics System Deaths per 1, Population Deaths per 1, Population 214 United Health Foundation Page 14 America's Health Rankings 214

15 Cardiovascular Deaths Number of deaths due to cardiovascular disease, including heart disease and stroke, per 1, population. Deaths per 1, population Rhode Island Cardiovascular Deaths Source: National Vital Statistics System Deaths per 1, Population Deaths per 1, Population 214 United Health Foundation Page 15 America's Health Rankings 214