El Paso County Health Indicators 2012 Report

Transcription

1 El Paso County Health Indicators 2012 Report

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3 El Paso County Health Indicators 2012 Report The print report is available on El Paso County Public Health s website: These slides represent the graphs and figures included in the print report, with a brief statement about the data. Please refer to the print report for an in depth explanation of the subject matter and data references. Questions regarding the data can be directed to healthinfo@elpasoco.com.

4 El Paso County Health Indicators Demographic and socioeconomic description of El Paso County Morbidity and mortality Access to care Environmental health Food safety Healthy eating and active living Motor vehicle injury Oral health Tobacco use Unsafe sexual practices and teen pregnancy Vaccine-preventable infectious diseases

5 Health Equity An Explanatory Model for Conceptualizing the Social Determinants of Health NATIONAL INFLUENCES GOVERNMENT POLICIES U.S. CULTURE & CULTURAL NORMS LIFE COURSE SOCIAL DETERMINANTS OF HEALTH + HEALTH FACTORS = POPULATION OUTCOMES PREGNANCY EARLY CHILDHOOD CHILDHOOD ADOLESCENCE ADULTHOOD OLDER ADULTS ECONOMIC OPPORTUNITY Income Employment Education Housing PHYSICAL ENVIRONMENT Built Environment Recreation Food Transportation Environmental quality Housing Water Air Safety SOCIAL FACTORS Participation Social support Leadership Political influence Organizational networks Violence Racism HEALTH BEHAVIORS & CONDITIONS Nutrition Physical activity Tobacco use Skin cancer Injury Oral health Sexual health Obesity Cholesterol High blood pressure MENTAL HEALTH Mental health status Substance abuse Functional status ACCESS, UTILIZATION & QUALITY CARE Health insurance coverage Received needed care Provider availability Preventive care QUALITY OF LIFE MORBIDITY MORTALITY LIFE EXPECTANCY Colorado Department of Public Health and Environment

6 DEMOGRAPHIC AND SOCIOECONOMIC DESCRIPTION OF EL PASO COUNTY

7 Figure 1. Population estimates and projected forecast, El Paso County 2000 to ,000, , , , ,000 Population 600, , , , ,096 Estimate Forecast 300, , ,000 0 Year

8 Figure 2. Population density (people/square mile), by census tract, El Paso County 2010

9 Table 1. Age distribution of El Paso County population, 2010 Age Number Percent of population Under 18 years 163, % 18 to 24 years 68, % 25 to 44 years 170, % 45 to 64 years 161, % 65 years and older 62, %

10 Figure 3. Hispanic population, percent by census tract, El Paso County 2010

11 Figure 4. Annual household income, El Paso County 2010 $75,000 and higher 32.9% $50,000-$74, % $25,000-$49, % Less than $25, % Percent of households

12 Figure 5. Percent of families below poverty threshold, by census tract, El Paso County 2006 to 2010

13 Figure 6. Educational attainment among adults ages 25 years and older, El Paso County 2010 Graduate or professional degree 13.0% Bachelor's degree 21.1% Associate's degree 10.0% Some college 26.8% High school graduate 22.0% Less than high school 7.2% Percent of adults ages 25 years and older

14 MORBIDITY AND MORTALITY

15 Figure 1. Life expectancy, by sex and race, El Paso County 1987 to Age (years) White male White female Black male Black female

16 Table 1. Life expectancy and healthy life expectancy, by race/ethnicity, Colorado 2008 to 2010 Life expectancy (years) Healthy life expectancy (years) Total White, non-hispanic White, Hispanic Black

17 Table 2. Top 10 causes of death, El Paso County 2007 to 2009 Rank Cause of death Deaths per 100,000 population per year 1 Cancer Heart disease Unintentional injuries Chronic lower respiratory diseases Cerebrovascular diseases Suicide Alzheimer's disease Diabetes mellitus Chronic liver disease and cirrhosis Influenza and pneumonia 9.4

18 Table 3. Age-specific leading causes of death, El Paso County 2007 to 2009 Age group Top 5 leading causes of death Infants <1 year 1. Congenital malformations & chromosomal abnormalities 2. Length of gestation & fetal malnutrition 3. SIDS 4. Complications of pregnancy, labor & delivery 5. Blood-related disorders Ages 1 to 14 years 1. Accidents 2. Homicide 3. Cancer 4. Heart disease 5. Congenital malformations & chromosomal abnormalities Ages 15 to 24 years 1. Accidents 2. Suicide 3. Homicide 4. Cancer 5. Heart disease Ages 25 to 44 years 1. Accidents 2. Suicide 3. Cancer 4. Heart Disease 5. Homicide Ages 45 to 64 years 1. Cancer 2. Heart disease 3. Accidents 4. Suicide 5. Chronic liver disease & cirrhosis Ages 65 years and older 1. Cancer 2. Heart disease 3. Chronic lower respiratory diseases 4. Cerebrovascular disease 5. Alzheimer s disease

19 ACCESS TO CARE

20 Figure 1. Health insurance coverage, by type, El Paso County 2011 Uninsured 12.5% Other 0.5% Private 5.0% CHP+ 0.9% Employer- Medicaid sponsored 8.8% 63.6% Medicare 8.9%

21 Figure 2. Usual source of health care, by insurance status, El Paso County Percent Community health center or other public clinic Doctor's office or private clinic Hospital emergency room or urgent care center Other 0 Insured Insurance status Uninsured Note: Error bars represent the 95% margin of error for each value.

22 Figure 3. Health screening of adults ages 18 and older, by insurance status, Colorado 2009 and 2010 Cholesterol screening in past five years, age 18+ (2009) Sigmoidoscopy or colonoscopy ever, age 50+ (2010) PSA test in past two years, male age 40+ (2010) Pap smear in past three years, female age 18+ (2010) Uninsured Insured Healthy People 2020 Clinical breast exam and mammogram in past two years, female age 50+ (2010) Percent Note: Error bars represent the 95% margin of error for each value.

23 ENVIRONMENTAL HEALTH

24 Figure 1. Annual average level of PM 2.5 in El Paso County, 2006 to U.S. standard is 15 micrograms per cubic meter per cubic meter Micrograms

25 Figure 2. Number of days per year the average daily ozone levels exceeded U.S. standard ozone concentrations, El Paso County 2006 to U.S. standard is parts per million Number of days

26 Table 1. Primary means of transportation to work among people 16 years of age and older, El Paso County 2010 Means of transportation Percent of workers Drove alone car, truck, or van 77.6% Carpooled car, truck, or van 9.1% Public transportation (excluding taxicab) 0.9% Walked 4.9% Other means 1.7% Worked at home 5.8%

27 Figure 3. Percent of indoor air radon tests above the Environmental Protection Agency action level of 4 picocuries per liter, by county, 2005 to 2009

28 FOOD SAFETY

29 Figure 1. Incidence of common foodborne illness pathogens, El Paso County and Colorado 2008 to 2011* Cases per 100,000 population Colorado Campylobacter Salmonella E. coli Year Cases per 100,000 population El Paso County Campylobacter Salmonella E. coli *2011 data is preliminary Year

30 Table 1. Percent of regular inspections with one or more critical violations, by category, El Paso County 2011 Violation category Percent of inspections with one or more violation in the category Personnel 28% Food temperature control 20% Handwashing and toilet facilities 19% Poisonous or toxic items 19% Sanitization 10% Food source 10% Water, sewage, plumbing systems 6% Pest control 3%

31 HEALTHY EATING AND ACTIVE LIVING

32 Figure 1. Percent of adults 18 years and older who are obese (BMI 30), 1995 to % 21.2% 20.1% Pe ercent of adults % El Paso County Colorado 5 0 Year

33 Figure 2. Percent of population with unhealthy weight, El Paso County and Colorado 2008 to 2010 Adults (El Paso County ) 21.2% 37.1% Adolescents (Colorado 2009) 7.1% 11.1% Obese Overweight Children (El Paso County ) 13.9% 14.6% Percent

34 Figure 3. Percent of adults 18 years and older who are obese (BMI 30), by selected characteristics, El Paso County 2009 to 2010 Educational attainment Annual household income Race/ethnicity Some college or more High school graduate Less than high school $50,000 or more $25,000-$49,999 Less than $25,000 Other Black Hispanic White Percent of adults Note: Error bars represent the 95% margin of error for each value.

35 Figure 4. Percent of adults 18 years and older with co-existing conditions based on weight status, El Paso County Percent Diabetes Hypertension High cholesterol 10 0 Normal weight (BMI<25) Overweight (BMI ) Weight status Obese (BMI 30) Note: Error bars represent the 95% margin of error for each value.

36 Table 1. Percent of children and adolescents engaging in selected eating and recreational behaviors, Colorado 2009 and 2010 Ages 1-14 years (2010) Ages years (2009) Consuming less than recommended daily amount of fruit and vegetables a 81.3% 75.6% Eating fast food one or more times per week b 63.3% n/a Engaging in recommended daily physical activity c 38.0% (ages 5-14) Watching TV or videos two or more hours on average school day d 34.1% (ages 5-14) Playing video games or using computer two or more hours on average school day d 11.0% (ages 5-14) a Five or more servings per day. b Food is paid for at a counter or drive thru, before being eaten. c 60 minutes of physical activity per day. d Unrelated to school n/a: Measure unavailable for age group 26.9% 45.6% 35.2%

37 Figure 5. Percent of new mothers who breastfed their infant and duration of breastfeeding, 2008 to 2010 Percent months or less More than 2 months El Paso County Colorado Initiated breastfeeding Duration of breastfeeding Note: Error bars represent the 95% margin of error for each value.

38 Table 2. Accessibility of healthy food outlets based on zip code in selected Colorado Counties, 2008 Place Percent of zip codes with access to at least one healthy food outlet * Colorado 59% Adams County 83% Arapahoe County 83% Denver County 70% Douglas County 69% El Paso County 44% Jefferson County 83% Larimer County 73% Pueblo County 82% Weld County 52% National Benchmark 92% *Healthy food outlet is defined as a grocery store or produce stand/farmers market

39 MENTAL HEALTH AND SUBSTANCE ABUSE

40 Figure 1. Rate of suicide attempts resulting in hospitalization, by age and sex, El Paso County 2008 to Female Male Age (years) Suicide hospitalizations per 100,000 population

41 Figure 2. Suicide death rate, by age and sex, El Paso County 2008 to Female Male (years) Age Suicide deaths per 100,000 population

42 Table 1. Percent of population who report using illicit drugs in past 30 days, by age, Colorado 2008 to 2009 Age years years 26 years and older Illicit drugs * (other than marijuana) Colorado United States 4.3% ( ) 9.9% ( ) 2.5% ( ) 4.5% 8.1% 2.6% ( ) ( ) ( ) Marijuana Colorado United States 10.2% ( ) 7.0% ( ) 24.3% ( ) 17.3% ( ) * Includes cocaine, heroin, hallucinogens, inhalants, and nonmedical use of prescription-type pain relievers, tranquilizers, stimulants, and sedatives. Note: Numbers in parentheses represent the margin of error. 7.4% ( ) 4.4% ( )

43 Figure 3. Correlation between symptoms of depression and other behaviors among Colorado students in ninth through twelfth grades, 2009 Percent of students Not having depression symptoms Having depression symptoms 10 0 Binge drinking Used tobacco Used marijuana Sexually active Considered suicide Physically active Note: Error bars represent the 95% margin of error for each value.

44 MOTOR VEHICLE INJURIES

45 Figure 1. Rate of motor vehicle traffic fatalities, by age and sex, 2006 to Deaths per 100,000 population El Paso County Colorado 0 Female Male Female Male years 20 years and older

46 Table 1. Characteristics of motor vehicle traffic fatalities in El Paso County, 2010 Vehicle and driver-related factors Occupant in a passenger vehicle (all seat positions) Unrestrained driver or passenger Percent of total fatalities 73.1% 46.7% of passenger vehicle occupant fatalities Motorcycle 19.5% Driver or rider not wearing helmet 75.0% of motorcycle fatalities Alcohol-impaired driver (BAC = 0.08+) 39.0% Speeding-related crash 43.9% Teen fatalities (ages 15-19) 12.2%

47 Figure 2. Rate of motor vehicle traffic fatalities among adolescents ages 15 to 19 years and enactment of state laws, Colorado 1995 to 2010 Deaths per 100,000 population Graduated Driver Licensing Law enacted (1999) Cell phone ban among drivers of all ages with instruction permit (2005) Cell phone ban among all drivers under age 18 (2009) 11.5 Year

48 ORAL HEALTH

49 Figure 1. Percent of El Paso County residents who visited a dentist or dental hygienist in the previous 12 months, by selected characteristics, 2011 Dental insurance status Uninsured Insured 55+ years years Age years 6-17 years 0-5 years Sex Female Male Percent who visited a dental provider Note: Error bars represent the 95% margin of error for each value.

50 Figure 2. Percent of third grade students with dental sealants or cavities, 2006 to % 57.2% ird graders Percent of thi % 35.0% El Paso County Colorado 0 Protective dental sealants Treated or untreated cavities

51 TOBACCO USE

52 Figure 1. Percent of adults 18 years and older who report being a current cigarette smoker, 1995 to % 20.4% 17.5% Percen nt of adults % El Paso County Colorado 5 0

53 Figure 2. Percent of adults 18 years and older who currently smoke, by selected characteristics, El Paso County 2009 to 2010 Educational attainment Annual household income Sex Age Some college or more High school graduate Less than high school $50,000 or more $25,000-$49,999 Less than $25, years years years years years years Female Male Percent who currently smoke Note: Error bars represent the 95% margin of error for each value.

54 Figure 3. Percent of new mothers who smoked before, during, or after pregnancy, by age, El Paso County 2008 to Percent Before pregnancy During pregnancy After pregnancy Age (years) Note: Error bars represent the 95% margin of error for each value.

55 Figure 4. Usual method of acquiring cigarettes (in past 30 days) among underage high school students who currently smoke, Colorado 2009 Took them from store/family 4.3% A person 18 years or older provided them 9.0% Gave someone money to buy Store or gas 30.8% station 12.3% Borrowed/ bummed them 28.0% Other 14.7% Vending machine 0.9%

56 UNSAFE SEXUAL PRACTICES AND TEEN PREGNANCY

57 Figure 1: Proportion of pregnancies* that were unintended, by maternal age and race/ethnicity, El Paso County 2008 to 2010 Percent White non-hispanic White Hispanic Black Other Age (years) Race/ethnicity * Resulting in a live birth Note: Error bars represent the 95% margin of error for each value.

58 Figure 2: Birth rate for teens ages 15 to 17 years, 2000 to 2010 females ages years Live births per 1, El Paso County Colorado Year

59 Figure 3: Sexual behavior among students in ninth through twelfth grade, Colorado 2009 Pe ercent Ever had sex Had sex in past 3 months Had sex before age 13 years Had sex with 4+ partners in life Male Female Note: Error bars represent the 95% margin of error for each value.

60 Figure 4: Rates of sexually transmitted infections, 2006 to 2010 Cases per 100,000 population Chlamydia El Paso County Colorado Year Cases per 100,000 population Gonorrhea El Paso County Colorado Year

61 Table 1: HIV incidence in selected Colorado Counties, 2006 to 2010 County New HIV infections per 100,000 population Denver 30.3 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

62 VACCINE PREVENTABLE INFECTIOUS DISEASES

63 Figure 1. Rates of pertussis, by age group, El Paso County 2009 to 2011 Cases per 10 00,000 population <1 year 1-5 years 6-17 years years 45+ years Age

64 Figure 2. Rates of serious pneumococcal infection, by age group, El Paso County 2009 to Cases per 100,00 00 population <1 year 1-4 years 5-17 years years 65+ years Age

65 Figure 3. Percent of Colorado kindergarteners up-to-date on required immunizations at school entry, school year % 90.6% 82.6% 80.3% 79.4% Percent Vaccinated DTaP Hepatitis B Polio Varicella MMR

66 Table 1. Percent of Colorado adolescents ages 13 to 17 years who received recommended vaccines, 2010 Vaccine Percent of adolescents Tdap 85.7% Meningitis 59.6% MMR 92.6% HPV (females only) 40.9%