Bronx Community Health Dashboard: Diabetes

Transcription

1 Bronx Community Health Dashboard: Diabetes Created: 4/18/217 Last Updated: 1/23/217 See last slide for more information about this project. 1

2 Diabetes exerts tremendous economic & health toll +75% increase in prevalence of diabetes from late 195s to 214 From.93% to 7.3% 2 Adapted from

3 Ischemic heart disease Low back and neck pain Diabetes mellitus Lung cancer Depressive disorders COPD Drug use disorders Alzheimer's/dementia Sense organ diseases Oth musculoskeletal dis Cerebrovascular disease Road injuries Skin/subcutaneous dis Self-harm Anxiety disorders Chronic kidney disease Migraine Colorectal cancer Congenital birth defect Falls % of total DALYs Diabetes is a leading cause of morbidity & mortality in the US 9% Drug use disorders 8% 7% In the US in 215, diabetes is the third leading cause of morbidity + mortality. Chronic kidney disease Diabetes mellitus Alzheimer's/dementia +1.1% 6% Sense organ diseases Falls 5% 4% 4.4% COPD Depressive disorders Low back and neck pain Burden increasing 3% 2% 1% % Oth musculoskeletal dis Skin/subcutaneous dis Migraine Anxiety disorders Self-harm Colon and rectum cancer Lung cancer Cerebrovascular disease Burden decreasing Diabetes has experienced the 3 rd highest annual increase in morbidity + mortality in the US since 199, trailing only drug use disorders and chronic kidney disease Congenital birth defects Ischemic heart disease Road injuries -3% -2% -1% 1% 2% 3% 4% % Annual Change in DALYs from Data source: 215 Global Burden of Disease Project. DALY = Disability Adjusted Life Years and is a measure that captures the impact of a risk factor or condition on total health, including both morbidity (i.e., disability) and mortality. Analysis limited to top 2 causes.

4 Bronx Brooklyn Queens Manhattan Staten Island Miami-Dade San Bernadino Bexar (San Antonio) Dallas Los Angeles Age-adjusted prevalence Age-adjusted prevalence The Bronx has a higher prevalence of diabetes than all other NYC boroughs and peer counties Bronx Miami-Dade San Bernardino Bexar (TX) Dallas Los Angeles Bronx: +4% Peer Counties Average: +31% Data source: United States Diabetes Surveillance System, Division of Diabetes Translation, CDC. Data not comparable to NYC CHS data presented elsewhere.

5 Percent with Diabetes Bronx has the highest percent of diabetes of all boroughs 16 Bronx NYC, excluding Bronx Brooklyn Manhattan Queens Staten Island Bronx: +27% Rest of NYC +48% 5 Data source: New York City Community Health Survey, Analysis by Montefiore OCPH.

6 Male Female Hispanic NHB NHW <HS HS Some college College Age-Adjusted Percent with Diagnosed Diabetes Those 65 years and older, Females, and Hispanics have highest rates of diabetes in the Bronx in Not age-adjusted 6 Data source: New York City Community Health Survey, Analysis by Montefiore OCPH.

7 Adults with the least education in the Bronx have the highest percent of diabetes 25 Less than high school High school Some college College graduate Data source: New York City Community Health Survey, Analysis by Montefiore OCPH. Data not available for the year 25.

8 Percent of Diabetes Percent of Diabetes 5 out of 1 Districts with Highest Percent of Diabetes are in the Bronx 21 Mott Haven & Melrose 22 Hunts Point & Longwood 23 Morrisania & Crotona 24 Highbridge & Concourse 25 Fordham & University Heights 26 Belmont & East Tremont 27 Kingsbridge Heights & Bedford 28 Riverdale & Fieldston 29 Parkchester & Soundview 21 Throgs Neck & Co-op City 211 Morris Park & Bronxdale 212 Williamsbridge & Baychester Bronx 14% NYC 1% Data source: NYC Community Health Profiles.

9 9 Diabetes Hospitalizations

10 Age-Adjusted Rate of Avoidable Diabetes-Related hospitalizations per 1, Age Adjusted Rate of Avoidable Diabetes-Related Hospitalizations per 1, 5 of the 1 districts with highest rates of avoidable diabetes hospitalizations are in the Bronx 21 Mott Haven & Melrose 22 Hunts Point & Longwood 23 Morrisania & Crotona 24 Highbridge & Concourse 25 Fordham & University Heights 26 Belmont & East Tremont 27 Kingsbridge Heights & Bedford 28 Riverdale & Fieldston 29 Parkchester & Soundview 21 Throgs Neck & Co-op City 211 Morris Park & Bronxdale 212 Williamsbridge & Baychester Bronx 53 NYC Data source: NYC Community Health Profiles.

11 11 Diabetes Mortality

12 Age- Adjusted Mortality Rate per 1, Diabetes Mortality Rate has fallen by 1 percentage points over the last 15 years in the Bronx Bronx NYC Excluding Bronx Bronx NYC Excluding Bronx Miami-Dade San Bernadino Bexar (TX) Dallas Los Angeles Data source: Underlying Cause of Death, Analysis by Montefiore OCPH.

13 Age-Adjusted Mortality Rate per 1, 5 Males have a higher diabetes mortality rate, adjusting for age in the Bronx Male Female Bronx Diabetes Mortality Rates from for Females are divergent from national trends Data source: Underlying Cause of Death, Analysis by Montefiore OCPH.

14 Age-Adjusted Mortality Rate per 1, Males have higher diabetes mortality rates, females do not experience high diabetes mortality rates until reaching 85 years 4 Female Male Female Male Hispanic NHB NHW 14 Data source: Underlying Cause of Death, Analysis by Montefiore OCPH.

15 Out of 59 districts in NYC, Bronx has 2 of 5 highest Diabetes Mortality Rates Bronx Mott Haven & Melrose 22 Hunts Point & Longwood 23 Morrisania & Crotona 24 Highbridge & Concourse NYC Fordham & University Heights 26 Belmont & East Tremont 27 Kingsbridge Heights & Bedford 28 Riverdale & Fieldston 29 Parkchester & Soundview 21 Throgs Neck & Co-op City Morris Park & Bronxdale 212 Williamsbridge & Baychester Data source: NYC Community Health Profiles.

16 About the Community Health Dashboard Project The goal of the project is to provide Bronx-specific data on risk factors and health outcomes with an emphasis on presenting data on trends, socio-demographic differences (e.g., by age, sex, race/ethnicity, etc.) and sub-county/neighborhood level data Data will be periodically updated as new data becomes available. Produced by Montefiore s Office of Community & Population Health using publicly-available data sources For more information please contact Colin Rehm, PhD, Manager of Research & Evaluation (crehm@montefiore.org). 16