Released February Health Status of New Mexico 2018

Transcription

1 Released February 2019 Health Status of New Mexico

2 New Mexico Health s Northwest Northeast Metro Southwest Southeast 2

3 NM Urban-Rural County Classification Metropolitan Counties Small Metro Counties Mixed Urban/Rural Counties Rural Counties 3

4 Percentage of NM Adults Living in Households with Annual Income of Less Than $20,000, By Health New Mexico, % 80% 60% 40% 37.0% 23.5% 21.4% 26.0% 32.5% 20% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 4

5 Percentage of NM Adults Age 65+ Living in Households with Annual Income of Less Than $20,000, By Health New Mexico, % 80% 60% 40% 34.9% 24.1% 19.8% 32.2% 34.7% 20% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 5

6 Percentage of NM Adults Living in Households with Annual Income of Less Than $20,000, by Age Group New Mexico, Age % Age % 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 6

7 Percentage of NM Adults Living in Households with Annual Income of Less Than $20,000, by Urban and Rural Counties New Mexico, Metropolitan 21.5% Small Metro 27.1% Mixed Urban/Rural 31.8% Rural 28.6% Source: NMDOH, Behavioral Risk Factor Surveillance System 7

8 Percentage of NM Adults with Less Than a High School Education, By Health New Mexico, % 80% 60% 40% 20% 19.3% 15.4% 13.2% 21.8% 20.8% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 8

9 Percentage of NM Adults Age 65+ with Less Than a High School Education, By Health New Mexico, % 80% 60% 40% 20% 23.8% 12.7% 14.8% 25.8% 26.6% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 9

10 Percentage of NM Adults with Less Than a High School Education, by Age Group New Mexico, Age % Age % 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 10

11 Percentage of NM Adults with Less Than a High School Education, by Urban and Rural Counties New Mexico, Metropolitan Small Metro Mixed Urban/Rural Rural 13.3% 19.2% 20.3% 14.2% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 11

12 Percentage of NM Adults without Health Care Coverage, By Health New Mexico, % 80% 60% 40% 20% 10.7% 11.3% 10.4% 13.3% 10.3% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 12

13 Percentage of NM Adults Age 65+ without Health Care Coverage, By Health New Mexico, % 80% 60% 40% 20% 1.9% 2.5% 2.2% 2.0% 2.0% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 13

14 Percentage of NM Adults Age without Health Care Coverage, by Health, New Mexico, % 80% 60% 40% 20% 12.8% 14.4% 12.5% 16.1% 12.8% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 14

15 Percentage of NM Adults without Health Care Coverage, by Age Group New Mexico, Age % Age % 0% 20% 40% 60% 80% 100% Percentage Source: NMDOH, Behavioral Risk Factor Surveillance System 15

16 Percentage of NM Adults without Health Care Coverage, by Urban and Rural Counties New Mexico, Metropolitan 13.3% Small Metro 19.2% Mixed Urban/Rural 20.3% Rural 14.2% 0% 20% 40% 60% 80% 100% Percentage Source: NMDOH, Behavioral Risk Factor Surveillance System 16

17 Percentage of Adults with Fair or Poor General Health Status New Mexico and U.S., % New Mexico U.S. 80% 60% 40% 20% 0% * * Addition of Cellular Telephones & New Weighting Process Source: NMDOH, Behavioral Risk Factor Surveillance System 17

18 Percentage of Adults with Very Good or Excellent General Health Status New Mexico and U.S., % New Mexico U.S. 80% 60% 40% 20% 0% Source: NMDOH, Behavioral Risk Factor Surveillance System 18

19 Percentage of Adults with Fair or Poor General Health Status by Household Income New Mexico, % 80% 60% 43.8% 40% 20% 26.5% 19.4% 9.8% 7.9% 0% < $15,000 $15,000 - < $25,000 $25,000 - < $50,000 $50,000- <$75,000 $75,000+ Source: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Center for Disease Control and 19 Prevention, with New Mexico Department of Health.

20 Percentage of Adults with Very Good or Excellent Health Status by Household Income New Mexico, % 80% 60% 40% 24.2% 33.2% 45.0% 51.0% 62.7% 20% 0% < $15,000 $15,000 - < $25,000 $25,000 - < $50,000 $50,000- <$75,000 $75,000+ Source: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Center for Disease Control and 20 Prevention, with New Mexico Department of Health.

21 Percentage of Adults with Fair or Poor General Health Status by Educational Attainment New Mexico, % 80% 60% 40% 20% 38.7% 23.5% 19.2% 10.7% 0% Below High School High School or GED Some College or Tech College Graduate Source: NMDOH, Behavioral Risk Factor Surveillance System 21

22 Percentage of Adults with Very Good or Excellent Health Status by Educational Attainment New Mexico, % 80% 61.4% 60% 40% 21.7% 38.7% 44.2% 20% 0% Below High School High School or GED Some College or Tech College Graduate Source: NMDOH, Behavioral Risk Factor Surveillance System 22

23 Percentage of NM Adults with Fair or Poor General Health Status, by Age Group New Mexico, 2017 Age % Age % 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 23

24 Percentage of NM Adults with Very Good or Excellent General Health Status, by Age Group New Mexico, 2017 Age % Age % 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 24

25 Percentage of Adults with Fair or Poor General Health Status by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native Asian, Pacific Islander Black, African American Hispanic White 24.2% 6.7% 21.8% 24.9% 17.5% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 25

26 Percentage of Adults with Very Good or Excellent General Health Status by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native 31.2% Asian, Pacific Islander 6.7% Black, African American Hispanic 26.8% 37.2% White 52.1% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 26

27 Percentage of Adults with Fair or Poor General Health Status, By Health New Mexico, % 80% 60% 40% 23.2% 23.5% 19.2% 23.9% 22.5% 20% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 27

28 Percentage of Adults with Very Good or Excellent General Health Status, By Health New Mexico, % 80% 60% 40% 38.0% 46.6% 45.1% 39.4% 40.7% 20% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 28

29 Percentage of Adults in Fair or Poor General Health Status by Urban and Rural Counties New Mexico, 2017 Metropolitan Small Metro Mixed Urban/Rural Rural 19.1% 22.9% 23.8% 24.2% 0% 20% 40% 60% 80% 100% Percentage Source: NMDOH, Behavioral Risk Factor Surveillance System 29

30 Percentage of Adults with Very Good or Excellent General Health Status by Urban and Rural Counties New Mexico, 2017 Metropolitan Small Metro Mixed Urban/Rural Rural 45.3% 42.3% 39.7% 44.9% 0% 20% 40% 60% 80% 100% Percentage Source: NMDOH, Behavioral Risk Factor Surveillance System 30

31 Current Smoking New Mexico and U.S., % New Mexico U.S. 80% 60% 40% 20% 0% * * Addition of Cellular Telephones & New Weighting Process Source: NMDOH, Behavioral Risk Factor Surveillance System 31

32 Current Smoking by Household Income New Mexico, % 80% 60% 40% 20% 30.4% 23.1% 16.8% 13.1% 8.6% 0% < $15,000 $15,000 - < $25,000 $25,000 - < $50,000 $50,000- <$75,000 $75,000+ Source: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Center for Disease Control and Prevention, with New Mexico Department of Health. 32

33 Current Smoking by Educational Attainment New Mexico, % 80% 60% 40% 20% 25.5% 19.9% 18.6% 8.1% 0% Below High School High School or GED Some College or Tech College Graduate Source: NMDOH, Behavioral Risk Factor Surveillance System 33

34 Current Smoking, by Age Group New Mexico, 2017 Age % Age % 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 34

35 Current Smoking by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native 14.8% Asian, Pacific Islander 17.8% Black, African American 20.1% Hispanic White 18.2% 17.3% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 35

36 Current Smoking By Health New Mexico, % 80% 60% 40% 20% 16.3% 16.1% 16.8% 21.0% 18.3% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 36

37 Current Smoking by Urban and Rural Counties New Mexico, 2017 Metropolitan 17.2% Small Metro 16.5% Mixed Urban/Rural Rural 18.1% 23.2% 0% 20% 40% 60% 80% 100% Percentage Source: NMDOH, Behavioral Risk Factor Surveillance System 37

38 Oral Health Visit within Past Year New Mexico and U.S., (Even Years Only) New Mexico U.S. 100% 80% 60% * 40% 20% 0% * Addition of Cellular Telephones & New Weighting Process Source: NMDOH, Behavioral Risk Factor Surveillance System 38

39 Percentage of Adults with an Oral Health Visit within the Past Year by Annual Household Income New Mexico, % 80% 74.6% 77.6% 60% 52.4% 52.5% 58.8% 40% 20% 0% < $15,000 $15,000 - < $25,000 $25,000 - < $50,000 $50,000 - < $75,000 $75,000+ Source: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Center for Disease Control and Prevention, with New Mexico Department of Health. 39

40 Percentage of Adults with an Oral Health Visit within the Past Year by Educational Attainment New Mexico, % 80% 60% 49.5% 57.1% 62.9% 76.7% 40% 20% 0% Below High School High School or GED Some College or Tech College Graduate Source: NMDOH, Behavioral Risk Factor Surveillance System 40

41 Percentage of Adults with an Oral Health Visit within the Past Year, by Age Group New Mexico, 2016 Age % Age % 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 41

42 Percentage of Adults with an Oral Health Visit within the Past Year by Race/Ethnicity New Mexico, 2016 American Indian, Alaska Native 52.1% Asian, Pacific Islander Black, African American 65.1% 71.1% Hispanic White 60.3% 66.2% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 42

43 Percentage of Adults with an Oral Health Visit within the Past Year, By Health New Mexico, % 80% 60% 53.4% 64.2% 67.1% 52.0% 61.5% 40% 20% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 43

44 Percentage of Adults with an Oral Health Visit within the Past Year by Urban and Rural Counties New Mexico, 2016 Metropolitan 67.0% Small Metro 63.3% Mixed Urban/Rural 54.6% Rural 54.3% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 44

45 Percentage of NM Adults Who Were Obese BMI 30 New Mexico and U.S., New Mexico U.S. 100% 80% 60% 40% 20% * 0% * Addition of Cellular Telephones & New Weighting Process Source: NMDOH, Behavioral Risk Factor Surveillance System 45

46 Percentage of NM Adults Who Were Obese BMI 30 by Household Income New Mexico, % 80% 60% 40% 35.9% 28.6% 27.8% 28.5% 27.3% 20% 0% < $15,000 $15,000 - < $25,000 $25,000- <50,000 $50,000 - < $75,000 $75,000+ Source: NMDOH, Behavioral Risk Factor Surveillance System 46

47 Percentage of NM Adults Who Were Obese BMI 30 by Educational Attainment New Mexico, % 80% 60% 40% 33.6% 29.1% 28.1% 24.3% 20% 0% Below High School High School or GED Some College or Tech College Graduate Source: NMDOH, Behavioral Risk Factor Surveillance System 47

48 Percentage of NM Adults Who Were Obese BMI 30 by Age Group New Mexico, 2017 Age % Age % 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 48

49 Percentage of NM Adults Who Were Obese BMI 30 by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native 38.8% Asian, Pacific Islander ** Black, African American Hispanic White 24.9% 30.9% 25.2% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System ** Insufficient Sample Size 49

50 Percentage of NM Adults Who Were Obese BMI 30, By Health New Mexico, % 80% 60% 40% 35.3% 23.2% 26.9% 33.4% 29.0% 20% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 50

51 Percentage of NM Adults Who Were Obese BMI 30, by Urban and Rural Counties New Mexico, 2017 Metropolitan 27.0% Small Metropolitan Mixed Urban/Rural 27.6% 31.9% Rural 28.0% 0% 20% 40% 60% 80% 100% Percentage Source: NMDOH, Behavioral Risk Factor Surveillance System 51

52 Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days New Mexico and U.S., % NM Male NM Female U.S. Male U.S. Female 80% 60% 40% 20% 0% * Definition of Binge Drinking Males: 5+ drinks on an occasion, at least once in the past 30 days. Females: 4+ drinks on an occasion, at least once in the past 30 days. Source: NMDOH, Behavioral Risk Factor Surveillance System * Addition of Cellular Telephones & New Weighting Process 52

53 Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days by Gender and Household Income New Mexico, % Males Females 80% 60% 40% 20% 17.9% 21.7% 21.8% 16.8% 9.3% 11.0% 20.4% 10.4% 9.2% 13.3% 0% < $15,000 $15,000 - < $25,000 $25,000 - < $50,000 $50,000- <$75,000 $75,000+ Source: NMDOH, Behavioral Risk Factor Surveillance System 53

54 Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days by Gender and Educational Attainment New Mexico, % Males Females 80% 60% 40% 20% 17.9% 19.5% 20.9% 15.1% 17.9% 5.9% 7.8% 8.9% 0% Below High School High School or GED Some College or Tech College Graduate Source: NMDOH, Behavioral Risk Factor Surveillance System 54

55 Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days by Gender and Age Group New Mexico, 2017 Age % 22.5% Males Females Age % 7.7% 0% 20% 40% 60% 80% 100% Percentage Source: NMDOH, Behavioral Risk Factor Surveillance System 55

56 Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days by Gender and Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native 10.2% 19.8% Males Females Hispanic 9.5% 22.4% White 10.2% 16.3% 0% 20% 40% 60% 80% 100% Percentage ** Insufficient Sample Size for Individuals Identifying as Asian, Pacific Islanders and Black, African Americans Source: NMDOH, Behavioral Risk Factor Surveillance System 56

57 Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days By Gender and Health New Mexico, % 80% 60% Male Female 40% 20% 20.0% 17.2% 17.8% 20.5% 23.1% 8.3% 10.9% 11.0% 8.7% 10.4% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 57

58 Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days by Gender and Urban/Rural Counties New Mexico, 2017 Male Female Metropolitan Small Metro Mixed Urban/Rural Rural 17.8% 10.6% 19.9% 8.3% 20.8% 9.9% 16.5% 14.9% 0% 20% 40% 60% 80% 100% Percentage Source: NMDOH, Behavioral Risk Factor Surveillance System 58

59 Percentage of NM Adults with Diagnosed Diabetes New Mexico and U.S., % 80% 60% 40% New Mexico U.S. 20% 0% * * Addition of Cellular Telephones & New Weighting Process Source: NMDOH, Behavioral Risk Factor Surveillance System 59

60 Percentage of NM Adults with Diagnosed Diabetes by Household Income New Mexico, % 80% 60% 40% 20% 16.0% 12.1% 9.7% 9.8% 6.8% 0% < $15,000 $15,000 - < $25,000 $25,000 - < $50,000 $50,000- <$75,000 $75,000+ Source: NMDOH, Behavioral Risk Factor Surveillance System 60

61 Percentage of NM Adults with Diagnosed Diabetes by Educational Attainment New Mexico, % 80% 60% 40% 20% 14.2% 12.6% 10.2% 6.9% 0% Below High School High School or GED Some College or Tech College Graduate Source: NMDOH, Behavioral Risk Factor Surveillance System 61

62 Percentage of NM Adults with Diagnosed Diabetes by Age Group New Mexico, 2017 Age % Age % 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 62

63 Percentage of NM Adults with Diagnosed Diabetes by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native Asian, Pacific Islander Black, African American Hispanic White 18.6% 11.7% 9.7% 11.6% 8.3% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 63

64 Percentage of NM Adults With Diagnosed Diabetes By Health New Mexico, % 80% 60% 40% 20% 15.7% 10.3% 9.1% 11.4% 11.8% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 64

65 Percentage of NM Adults with Diagnosed Diabetes by Urban and Rural Counties New Mexico, 2017 Metropolitan Small Metro Mixed Urban/Rural Rural 9.2% 11.6% 12.6% 12.5% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 65

66 Percentage of Adults with Mental Distress New Mexico and U.S., % 80% New Mexico U.S. Mental Distress: Self-report that mental health was not good for 6 or more of the past 30 days. 60% 40% 20% 0% * * Addition of Cellular Telephones & New Weighting Process Source: NMDOH, Behavioral Risk Factor Surveillance System 66

67 Percentage of Adults with Mental Distress by Household Income New Mexico, % 80% Mental Distress: Self-report that mental health was not good for 6 or more of the past 30 days. 60% 40% 20% 33.8% 24.1% 21.2% 12.8% 13.1% 0% < $15,000 $15,000 - < $25,000 $25,000 - < $50,000 $50,000- <$75,000 $75,000+ Source: NMDOH, Behavioral Risk Factor Surveillance System 67

68 Percentage of Adults with Mental Distress by Educational Attainment New Mexico, % 80% 60% 40% 20% 20.6% 20.3% 22.1% 16.9% 0% Below High School High School or GED Some College or Tech College Graduate Source: NMDOH, Behavioral Risk Factor Surveillance System 68

69 Percentage of Adults with Mental Distress by Age Group New Mexico, 2017 Age % Age % 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 69

70 Percentage of Adults with Mental Distress by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native Asian, Pacific Islander 18.0% 15.4% Black, African American 31.7% Hispanic White 21.5% 19.1% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 70

71 Percentage of Adults with Mental Distress by Health New Mexico, % 80% 60% 40% 20% 20.1% 17.8% 21.7% 20.3% 18.9% 0% Northwest Northeast Metro Southeast Southwest Source: NMDOH, Behavioral Risk Factor Surveillance System 71

72 Percentage of Adults with Mental Distress by Urban and Rural Counties New Mexico, 2017 Metropolitan 21.9% Small Metro 17.9% Mixed Urban/Rural 19.9% Rural 21.0% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 72

73 Percentage of Adults with Mental Distress by Number of Chronic Health Conditions New Mexico, 2017 None 15.6% One 23.6% Two 23.8% Three or More 36.0% 0% 20% 40% 60% 80% 100% Chronic Health Conditions include: history of MI, history of stroke, heart disease, asthma, COPD, cancer, chronic kidney disease, arthritis, or diabetes. Source: NMDOH, Behavioral Risk Factor Surveillance System 73

74 Alcohol and Drug Use, Grades 9 12 New Mexico and U.S., 2017 New Mexico U.S. 100% 50% 0% 10.9% Binge drinking* 20.7% 13.5% 15.5% First alcohol use before age 13* 27.3% 19.8% Current marijuana use* 9.4% 4.8% Lifetime cocaine use* * Statistically significant difference Source: NM Youth Risk and Resiliency Survey (YRRS). 74

75 Current Drinking by Health, Grades 9-12 New Mexico, % 40% 30% 20.7% 29.4% 26.5% 30.7% 32.5% 20% 10% 0% Northwest Northeast Metro Southeast Southwest Source: NM Youth Risk and Resiliency Survey (YRRS). 75

76 Current Drinking by Urban and Rural Status, Grades 9-12 New Mexico, 2017 Metropolitan 26.5% Small Metro 27.8% Mixed Urban/Rural 29.2% Rural 30.2% 0% 10% 20% 30% 40% 50% Source: NM Youth Risk and Resiliency Survey (YRRS). 76

77 Binge Drinking by Health, Grades 9-12 New Mexico, % 40% 30% 20% 10% 8.5% 12.8% 10.1% 13.8% 14.5% 0% Northwest Northeast Metro Southeast Southwest Source: NM Youth Risk and Resiliency Survey (YRRS). 77

78 Binge Drinking by Urban and Rural Status, Grades 9-12 New Mexico, 2017 Metropolitan 10.1% Small Metro 11.9% Mixed Urban/Rural 12.9% Rural 13.5% 0% 10% 20% 30% 40% 50% Source: NM Youth Risk and Resiliency Survey (YRRS). 78

79 Current Cigarette Smoking Grades 9-12 New Mexico and U.S., % New Mexico U.S. 80% 60% 40% 20% 0% Source: NM Youth Risk and Resiliency Survey (YRRS). 79

80 Current Cigarette Smoking by Health, Grades 9-12 New Mexico, % 40% 30% 20% 12.1% 13.0% 10.1% 10.3% 12.6% 10% 0% Northwest Northeast Metro Southeast Southwest Source: NM Youth Risk and Resiliency Survey (YRRS). 80

81 Any Tobacco Use* by Health, Grades 9-12 New Mexico, % 80% *Any tobacco use: Past 30-day use of cigarettes, cigars, spit tobacco, or hookah. 60% 40% 30.3% 40.2% 35.6% 30.4% 33.0% 20% 0% Northwest Northeast Metro Southeast Southwest Source: NM Youth Risk and Resiliency Survey (YRRS). 81

82 Any Tobacco Use Grades 9-12 New Mexico, Any tobacco use Hookah Cigarettes Cigars Spit tobacco E-cigarettes 100% 80% Cigarettes, cigars, spit tobacco Added hookah 2011 Added e-cigarettes % 40% 34.0% 30.7% 30.2% 30.8% 30.1% 28.2% 33.4% 32.7% 20% 0% Source: NM Youth Risk and Resiliency Survey (YRRS). 82

83 Current Marijuana Use by Health, Grades 9-12 New Mexico, % 80% 60% 40% 30.4% 32.0% 28.7% 21.0% 28.2% 20% 0% Northwest Northeast Metro Southeast Southwest Source: NM Youth Risk and Resiliency Survey (YRRS). 83

84 Current Marijuana Use by Urban and Rural Status, Grades 9-12 New Mexico, 2017 Metropolitan 28.7% Small Metro 28.8% Mixed Urban/Rural 27.7% Rural 23.2% 0% 20% 40% 60% 80% 100% Source: NM Youth Risk and Resiliency Survey (YRRS). 84

85 Current Cocaine Use by Health, Grades 9-12 New Mexico, % 20% 15% 10% 5% 4.2% 4.7% 4.8% 4.1% 6.6% 0% Northwest Northeast Metro Southeast Southwest Source: NM Youth Risk and Resiliency Survey (YRRS). 85

86 Current Cocaine Use by Urban and Rural Counties, Grades 9-12 New Mexico, 2017 Metropolitan 4.8% Small Metro 5.3% Mixed Urban/Rural 5.0% Rural 4.1% 0% 5% 10% 15% 20% 25% Source: NM Youth Risk and Resiliency Survey (YRRS). 86

87 Suicide Attempts and Suicidal Ideation by Gender, Grades 9 12 New Mexico and U.S., 2017 Girls Boys Persistent feelings of sadness and hopelessness 26.6% 45.1% Seriously considered suicide 13.0% 22.7% Made a suicide plan 12.1% 18.6% Suicide attempt 7.7% 11.9% Suicide attempt resulting in injury 3.7% 3.0% 0% 10% 20% 30% 40% 50% Source: NM Youth Risk and Resiliency Survey (YRRS). 87

88 Suicide Attempts by Health and Gender, Grades 9-12 New Mexico, % 40% Girls Boys 30% 20% 10% 17.1% 9.0% 13.2% 11.4% 10.9% 12.1% 8.7% 8.0% 6.2% 7.1% 0% Northwest Northeast Metro Southeast Southwest Source: NM Youth Risk and Resiliency Survey (YRRS). 88

89 Suicide Attempts by Urban and Rural Counties, Grades 9-12 New Mexico, 2017 Girls Metropolitan Small Metro 10.9% 8.0% 11.5% 7.0% Boys Mixed Urban/Rural 8.3% 15.5% Rural 7.4% 11.7% 0% 10% 20% 30% 40% 50% Source: NM Youth Risk and Resiliency Survey (YRRS). 89

90 Forced Sexual Intercourse Grades 9-12 New Mexico and U.S., % New Mexico U.S. 40% 30% 20% 10% 0% Source: NM Youth Risk and Resiliency Survey (YRRS). 90

91 Percentage Forced Sexual Intercourse by Health, Grades 9-12 New Mexico, % 40% 30% 20% 10% 6.6% 8.6% 7.0% 8.7% 9.7% 0% Northwest Northeast Metro Southeast Southwest Source: NM Youth Risk and Resiliency Survey (YRRS). 91

92 Forced Sexual Intercourse by Urban and Rural Counties, Grades 9-12 New Mexico, 2017 Metropolitan 7.0% Small Metro 9.0% Mixed Urban/Rural 8.0% Rural 8.1% 0% 5% 10% 15% 20% 25% Source: NM Youth Risk and Resiliency Survey (YRRS). 92

93 Selected Risk Behaviors by Sexual Identity, Grades 9-12 New Mexico, 2017 LGB Straight Physical fighting Bullied at school Skipped school due to safety issues Current cigarette smoking Binge drinking Used painkiller to get high 8.7% 10.3% 4.6% 25.1% 16.9% 16.9% 9.9% 19.2% 14.4% 17.3% 28.8% 32.4% 0% 10% 20% 30% 40% 50% Source: NM Youth Risk and Resiliency Survey (YRRS). 93

94 Selected Risk Behaviors by Sexual Identity, Grades 9-12 New Mexico, 2017 Forced sexual intercourse In a physical fight Bullied on school property Skipped school because safety concerns Current smoking Binge drinking Took a pain killer to get high Current heroin use 5.9% 19.9% 25.1% 32.4% 16.9% 28.8% 9.9% 16.9% 8.7% 19.2% 10.3% 14.4% 4.6% 0.9% 17.3% 10.0% Straight LGB 0% 20% 40% 60% 80% 100% Percentage at risk of selected behavior 94 Source: NM Youth Risk and Resiliency Survey (YRRS).

95 Selected Risk Behaviors by Country of Birth, Grades 9-12 New Mexico, 2017 Born in US Used painkiller to get high Binge drinking 5.7% 10.7% 18.6% 14.8% Foreign born Current cigarette smoking Skipped school because of safety concerns 10.0% 15.6% 10.7% 21.4% Forced sexual intercourse 7.4% 15.3% In a physical fight 25.7% 33.6% 0% 10% 20% 30% 40% 50% Source: NM Youth Risk and Resiliency Survey (YRRS). 95

96 Selected Risk Behaviors by Family Relationships, Grades 9-12 New Mexico, 2017 In my home, a parent or other adult is interested in my school work. Not true/little bit true Very/Pretty much true In a physical fight 23.4% 34.1% Bullied on school property Skipped school because of safety concerns Current cigarette smoking 8.6% 23.3% 17.0% 16.9% 9.7% 15.7% Binge drinking 16.5% 9.1% Used a pain killer to get high 5.1% 11.5% Sexually active 25.2% 34.0% Source: NM Youth Risk and Resiliency Survey (YRRS). 0% 20% 40% 60% 80% 100% 96 Percent engaging in risk behavior

97 Academic Success (Got mostly A s in school) by Selected Risk Behaviors, Grades 9-12 New Mexico, 2017 Without risk behavior With risk behavior In a physical fight 28.9% 43.1% Bullied on school property Skipped school because of safety concerns 27.6% 34.6% 40.1% 40.5% Current cigarette smoking 17.5% 41.7% Binge drinking 22.2% 42.4% Used a pain killer to get high 19.1% 40.7% Sexually active 30.9% 43.0% 0% 10% 20% 30% 40% 50% Percent earning mostly A s in school 97 Source: NM Youth Risk and Resiliency Survey (YRRS).

98 Percentage who got mostly A s Academic Success by Parent s Education, Grades 9-12 New Mexico, % 80% 60% 40% 28.5% 38.3% 53.7% 20% 0% Less than high school High school graduate College or professional school Source: NM Youth Risk and Resiliency Survey (YRRS). 98

99 Used Painkillers to Get High by Parent s Education, Grades 9-12 New Mexico, % 20% 15% 10% 5% 8.7% 7.4% 4.2% 0% Less than high school High school graduate College or professional school Source: NM Youth Risk and Resiliency Survey (YRRS). 99

100 Unstable Housing by Health, Grades 9-12 New Mexico, % 20% 15% 10% 5.6% 7.2% 6.5% 6.3% 9.1% 5% 0% Northwest Northeast Metro Southeast Southwest Source: NM Youth Risk and Resiliency Survey (YRRS). 100

101 Unstable Housing by Urban and Rural Counties, Grades 9-12 New Mexico, 2017 Metropolitan 6.5% Small Metro 7.5% Mixed Urban/Rural 7.2% Rural 6.1% 0% 5% 10% 15% 20% 25% Source: NM Youth Risk and Resiliency Survey (YRRS). 101

102 Selected Risk Behaviors by Housing Stability, Grades 9-12 New Mexico, 2017 Forced sexual intercourse In a physical fight 6.8% 23.0% 24.6% 52.1% Stable housing Unstable housing Bullied on school property 17.9% 29.1% Skipped school because safety concerns 10.0% 31.3% Current smoking 8.9% 32.2% Binge drinking 9.7% 32.1% Took a pain killer to get high 4.6% 35.2% Current heroin use 0.7% 28.4% 0% 20% 40% 60% 80% 100% Percentage at risk of selected behavior 102 Source: NM Youth Risk and Resiliency Survey (YRRS).

103 Percent 100 Pregnancy Intention among Women with Live Births New Mexico, Wanted then or sooner Mistimed/ unwanted Not sure what wanted * 2013* 2014* 2015* 2016* *The pregnancy intention question during was measured differently from preceding years, by including a fifth option, I wasn t sure what I wanted. Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 103

104 Percent Daily Preconception Multivitamin/Folic Acid Use among Women with Live Births New Mexico Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 104

105 Percent Diabetes among Women with Live Births New Mexico, Diabetes prior to pregnancy Gestational diabetes Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 105

106 Percent Smoking among Women with Live Births New Mexico, Smoked prior to pregnancy Smoked last trimester Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 106

107 Percent Teeth Cleaned During Pregnancy by Insurance New Mexico, Overall Private Medicaid Prenatal Care Insurance Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 107

108 Percent Postpartum Depression by Marital Status New Mexico, Overall Married Not Married Marital Status Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 108

109 Percent Breastfeeding Initiation and Early Duration among Women with Live Births New Mexico, Ever breastfed Breastfed >8 weeks Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 109

110 New Mexico Aggregate* HCP Influenza Vaccination Rates through Source: NMDOH Healthcare-associated Infections Program * 33 inpatient healthcare facilities in New Mexico; reporting is voluntary. Healthy People 2020 goal is 90%. 110

111 Healthcare-associated Infections Trends New Mexico, The standardized infection ratio (SIR) is a summary measure used to track infections at the national, state or local level over time. The SIR compares the actual number of infections to the number expected given the standard population (national baseline). A SIR greater than 1.0 indicates more infections than predicted and a SIR of less than 1.0 indicates fewer infections than predicted. CLABSI- central line associated bloodstream infection MRSA- methicillin resistant staph aureus CDI- clostridium 111 difficile infection

112 Number of cases Measles New Mexico, Two dose schedule approved 1991 & Documented outbreaks imported case at Intel International Science Fair siblings in Rio Arrriba County with unknown exposure source sporadic cases (3 were imported) One sporadic case from Rio Arriba County 0 Includes confirmed and probable cases, Source: NMDOH Infectious Disease Epidemiology Bureau. 112

113 Rate per 100,000 population Invasive Bacterial Infection Rates by Pathogen, New Mexico ( ) and U.S. ( ) New Mexico US estimated Group A Streptococcus Group B Streptococcus Streptococcus pneumoniae Haemophilus influenzae Neisseria meningitidis Bacterial Pathogen Sources: New Mexico NMDOH Infectious Disease Epidemiology Bureau, Active Bacterial Core Surveillance Program (ABCs); US Estimate Centers for Disease Control and Prevention, Active Bacterial Core Surveillance Report, Emerging Infections Program Network. 113

114 Rate per 100,000 population Burden of Invasive Bacterial* Disease by Race/Ethnicity New Mexico, AIAN Asian or Pacific Islander Black or African American Hispanic White, Non-Hispanic GAS GBS SPN HFLU NMEN Bacterial Pathogen *Streptococcus pneumoniae (SPN), Haemophilus influenzae (HFLU), Neisseria meningitidis (NMEN), group A Streptococcus (GAS) and group B Streptococcus (GBS) % of cases missing race/ethnicity information; Source: New Mexico NMDOH Infectious Disease Epidemiology Bureau, Active Bacterial Core Surveillance Program (ABCs)

115 Rate/100,000 population Invasive Streptococcus pneumoniae Rates New Mexico and U.S., NM Rate US Rate Sources: New Mexico Sources: New Mexico NMDOH Infectious Disease Epidemiology Bureau, Active Bacterial Core Surveillance Program (ABCs); New Mexico Indicator-Based Information System (NM-IBIS); US Estimate Centers for Disease Control and Prevention, Active Bacterial Core Surveillance Report, Emerging Infections Program Network, Streptococcus pneumoniae,

116 Invasive Streptococcus pneumoniae Rates by Urban-Rural Areas, New Mexico, Rural Counties Mixed Urban/Rural Counties Small Metro Counties Metropolitan Counties Rate/100,000 population Sources: New Mexico NMDOH Infectious Disease Epidemiology Bureau, Active Bacterial Core Surveillance Program (ABCs); New Mexico Indicator-Based Information System (NM-IBIS) 116

117 Rate per 100,000 Hepatitis A Rates New Mexico and United States, Targeted Vaccination Program United States New Mexico Includes confirmed and probable cases, Sources: New Mexico NMDOH Infectious Disease Epidemiology Bureau; United States Centers for Disease Control & Prevention, Summary of Notifiable Diseases, United States (2014 data not available) 117

118 Rate per 100,000 Population Pertussis Incidence New Mexico and U.S., New Mexico U.S Source: NM Electronic Disease Surveillance System (confirmed and probable cases) and United States Centers for Disease Control & Prevention, Summary of Notifiable Diseases, United States. 118

119 Rate per 100,000 Population Pertussis Rates in Infants <6 Months of Age New Mexico, Source: NM Electronic Disease Surveillance System (confirmed and probable cases) and New Mexico Indicator-Based Information System (NM-IBIS) 119

120 200 Influenza-related Hospitalization Rates by Age New Mexico, yrs 5-17 yrs yrs yrs 65+ yrs Hospitalizations per 100,000 Population. *Source: Influenza Hospitalization Network (FluSurv-NET) 120

121 Pneumonia and Influenza-related Deaths by Year New Mexico, * Influenza Pneumonia Data Source: NMDOH, Bureau of Vital Records & Statistics * includes October 1, 2017-April 28,

122 Deaths 200 Pneumonia and Influenza Death Rates by Age New Mexico, * Season to 4 yrs 5 to 24 yrs 25 to 49 yrs 50 to 64 yrs 65+ yrs Age Group Influenza Pneumonia Data Source: NMDOH, Bureau of Vital Records & Statistics October 1, 2017-April 28,

123 Influenza-like Illness (ILI) Visits New Mexico* and United States**, % NM NM NM NM NM National Baseline US 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% OCT NOV DEC JAN FEB MAR APR MAY *Data Sources: Sentinel Site Surveillance ILI Net & **CDC FluView 123

124 10/10/ /24/ /7/ /21/ /5/ /19/2016 1/2/2017 1/16/2017 1/30/2017 2/13/2017 2/27/2017 3/13/2017 3/27/2017 4/10/2017 4/24/2017 5/8/2017 % of Visits for ILI Influenza-like Illness (ILI) Visits New Mexico* and United States**, Season 6.0% 5.0% 4.0% 3.0% 2.0% 1.0% New Mexico U.S. National Baseline 0.0% *Data Sources: Sentinel Site Surveillance ILI Net & **CDC FluView 124

125 Deaths per 100,000 Population Pneumonia and Influenza Death Rates New Mexico, and U.S., New Mexico U.S Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 125

126 Pneumonia and Influenza Death Rates by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native 25.8 Asian, Pacific Islander 0.0 Black, African American 0.0 Hispanic 13.2 White Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 126

127 Deaths per 100,000 Population 40 Pneumonia and Influenza Death Rates by Health New Mexico, Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 127

128 Pneumonia and Influenza Death Rates by Urban and Rural Counties New Mexico, Rural Counties 15.6 Mixed Urban/Rural Counties 16.7 Small Metro Counties 11.8 Metropolitan Counties Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 128

129 Human Plague Cases by State United States, NM 53% CDC confirmed cases N = 483 AZ 14% Others 9% UT 3% CA 9% CO 12% Source: Centers for Disease Control and Prevention 2017 Plaque data have not been released by the CDC as of 10/16/

130 Human Plague Cases New Mexico, Number of Cases N = Source: NMDOH Infectious Disease Epidemiology Bureau Fatal Recovered 130

131 Rate per 100,000/year Acute Hepatitis B Rates New Mexico and US, NM* US *New Mexico rates are based on less than 20 cases per year. In 2017 there was only one case reported in NM. Rates based on fewer than 20 events can be unstable and should be interpreted with caution. Includes confirmed cases only. Acute hepatitis B rate for US in 2017 is not available yet. Sources: New Mexico NMDOH Infectious Disease Epidemiology Bureau; United States Centers for Disease Control & Prevention, Division of Viral Hepatitis. 131

132 Number of Hospitalizations Hepatitis C Hospitalizations* New Mexico, Hepatitis C, Acute Hepatitis C, Chronic Hepatitis C, Unspecified 1000 Hepatitis C, Total Year *Data from HIDD using ICD9 & ICD 10 codes Acute Hepatitis C: (ICD-9-CM) , (ICD-10-CM) B17.1, B17.10, B17.11 Chronic Hepatitis C: (ICD-9-CM) , (ICD-10-CM) B18.2 Unspecified Hepatitis C: (ICD-9-CM) 070.7, , (ICD-10-CM) B19.2, B19.20, B Please note that the hepatitis C total hospitalizations does not add up to the total of Acute, Unspecified, and Chronic as there is the potential for a hospitalization to have more than one diagnosis code for these three types of hepatitis C. Non-federal hospitalizations for New Mexico residents only. 132

133 Number of Cases Reported Acute & Chronic Hepatitis C Cases < 30 years old New Mexico, Source: New Mexico NMDOH Infectious Disease Epidemiology Bureau. Includes probable and confirmed acute and chronic infections. Limitations: 2017 data are preliminary. Data does not differentiate between past and current infection. Reported cases includes only cases tested, most likely this underestimates true burden of disease. Age represents age at diagnosis, which is likely to be older than age of infection. 133

134 Rate per 100,000 population New HIV Diagnosis Rate Among Adults and Adolescents Age 13 and Older New Mexico, NMOverall USA U.S.. Overall New Mexico Department of Health HIV Case Count Source: ehars Surveillance System Database USA HIV Incident Rate Source: HIV Surveillance Reports ( New Mexico Population Estimates: New Mexico's Indicator-Based Information System 134

135 New HIV diagnosis per 100,000 population New HIV Diagnosis Rate Among Adults and Adolescents Age 13 and Older by New Mexico, Northwest Northeast Metro Southeast Southwest New Mexico Department of Health HIV Case Count Source: ehars Surveillance System Database New Mexico Population Estimates: New Mexico's Indicator-Based Information System 135

136 New HIV Diagnosis Distribution Among Adults and Adolescents Age 13 and Older by Sex New Mexico, Male Female Transgender 11% 0% 89% New Mexico Department of Health HIV Case Count Source: ehars Surveillance System Database Transgender individuals account for less than 1% of new HIV infections. 136

137 TB Rate per 100,000 Popualtion # of NM Cases TB Rates New Mexico and US, # of NM Cases NM TB Rate US TB Rate Year 0 137

138 Number of cases TB Cases by Age Group New Mexico, % % 27% n= % n= % n= years years years years 65 years 138

139 TB Rate per 100,000 Popualtion TB Rates Among US Born vs Foreign Born Persons New Mexico, US Born Rate Foreign Born Rate US Born Rate Foreign Born Rate

140 Cases per 100,000 Population Chlamydia Rates New Mexico and US, NM US

141 Case Rate per 100,000 Population Chlamydia Rates by Sex New Mexico, , NM Male CT Rate NM Female CT Rate

142 Cases per 100,000 Population Chlamydia Rates by Age Group New Mexico, < Age Group (years) 142

143 Cases per 100,000 Population Chlamydia Rates by Race/Ethnicity New Mexico, American Indian/Alaska Native Asian or Pacific Islander Black/African American Hispanic White, non-hispanic 143

144 Cases per 100,000 Population Gonorrhea Rates New Mexico and U.S., NM Gonorrhea Rate US Gonorrhea Rate

145 Case Rate per 100,000 Population Gonorrhea Rates by Sex New Mexico, NM Male GC Rate NM Female GC Rate

146 Cases per 100,000 Population Gonorrhea Rates by Age Group New Mexico, < Age Group (years) 146

147 Cases per 100,000 Population Gonorrhea Rates by Race/Ethnicity New Mexico, American Indian/Alaska Native Asian or Pacific Islander Black/African American Hispanic White, non-hispanic Similar to national level data, gonorrhea rates show health disparities: Gonorrhea disproportionately affects African American, American Indian, and Hispanic populations in New Mexico 147

148 Rate per 100,000 Population Primary and Secondary Syphilis Rates New Mexico and US, NM US

149 Case Rate per 100,000 Population Primary and Secondary Syphilis Cases by Sex New Mexico, NM Male Rate NM Female Rate

150 Cases per 100,000 Population Primary, Secondary, and Early Latent Syphilis Rates by Age Group, Males New Mexico, < Age Group (years) 150

151 Cases per 100,000 Population Primary, Secondary, and Early Latent Syphilis Rates by Race/Ethnicity New Mexico American Indian/Alaska Native Asian or Pacific Islander Black/African American Hispanic White, non-hispanic 151

152 Percentage of Students Obese by Grade New Mexico, Kindergarten Third Grade Source: NMDOH, New Mexico Statewide Childhood Obesity Surveillance System 152

153 Percentage of Students Overweight and Obese by Gender New Mexico, 2017 Overweight Obese Girls Boys Source: NMDOH, New Mexico Statewide Childhood Obesity Surveillance System 153

154 Percentage of Kindergarten Students Overweight and Obese by Race/Ethnicity New Mexico, 2017 Overweight Obese American Indian Hispanic White African American* Asian* Source: NMDOH, New Mexico Statewide Childhood Obesity Surveillance System *Data collected through annual surveillance continue to be inadequate for the systematic study of disparities faced by African Americans and Asians. Due to small sample sizes, 2016 and 2017 data have been aggregated. 154

155 Percentage of Third Grade Students Overweight and Obese by Race/Ethnicity New Mexico, 2017 Overweight Obese American Indian Hispanic White African American* Asian* Source: NMDOH, New Mexico Statewide Childhood Obesity Surveillance System *Data collected through annual surveillance continue to be inadequate for the systematic study of disparities faced by African Americans and Asians. Due to small sample sizes, 2016 and 2017 data have been aggregated. 155

156 Hospitalizations per 10,000 Population Child Asthma Hospitalization Rates Ages 0-17 Years, New Mexico, and U.S., New Mexico U.S NOTES: Includes asthma as first-listed ICD-9 diagnosis ( ) and ICD-10 codes J45 starting September This series does not include Indian Health Service data. Source: New Mexico Department of Health (data via U.S.: CDC/NCHS, National Hospital Discharge Survey (discontinued in 2011). 156

157 Hospitalizations per 10,000 Population 25 Child Asthma Hospitalization Rates by Health Ages 0-17 Years, New Mexico, Northwest Northeast Metro Southeast Southwest Source: New Mexico Department of Health (data via NOTES: Asthma as first-listed ICD-9 diagnosis ( ) from 2012 to September ICD-10 codes J45 for September 2015 and after. This series does not include Indian Health Service data. 157

158 Child Asthma Hospitalization Rates by Urban and Rural Counties Ages 0-17 Years, New Mexico, Rural Counties 8.6 Mixed Urban/Rural Counties 14.5 Small Metro Counties 10.6 Metropolitan Counties Hospitalizations per 10,000 Population Source: New Mexico Department of Health (data via NOTES: Includes asthma as first-listed ICD-9 diagnosis ( ) until September 2015 and ICD- 10 codes J45 starting September This series does not include Indian Health Service data. 158

159 Number of Children per 1,000 Tested Elevated Blood Lead Levels* in Children under Age 6 Years New Mexico, Rate >10 Rate > *Elevated blood lead levels: >=10 µg/dl (prior to 2016) & >= 5 µg/dl (lowered in 2016) by venous test or 2 capillary tests within 12 weeks. SOURCE: NMDOH, Public Health Tracking and Childhood Lead Poisoning Prevention Program 159

160 Rate per 10,000 Live Births Spina Bifida without Anencephaly, New Mexico, vs U.S., US Rate NM Rate SOURCES: NMDOH, Environmental Health Epidemiology Bureau s Birth Defects Prevention and Surveillance System; National data: among programs with prenatal ascertainment. Data not available every year. 160

161 Rate per 10,000 Live Births Cleft Lip with or without Cleft Palate, New Mexico, Metro Northeast Northwest Southeast Southwest New Mexico SOURCE: NMDOH, Environmental Health Epidemiology Bureau s Birth Defects Prevention and Surveillance System 161

162 Crude Fatality Rate Per 100,000 FTE Workers Ages 16 or Older Occupational Injury Fatalities Per 100,000 Full-Time Equivalent Workers New Mexico and U.S., U.S. New Mexico FTE Rates for the United States are not available prior to Source: U.S. Bureau of Labor Statistics Census of Fatal Occupational Injury 162

163 Rates per 10,000 Population Ambulatory Care Sensitive Condition Hospitalization Rates by New Mexico, Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S population Source: NMDOH, NM Hospital Inpatient Discharge Data 163

164 Rates per 10,000 Population Top Five Ambulatory Care Sensitive Condition Hospitalization Rates New Mexico, CHF Bacterial Pneumonia UTI Diabetes Long-Term Complications Rates have been age-adjusted to the standard U.S population Source: NMDOH, NM Hospital Inpatient Discharge Data Diabetes Short-Term Complications 164

165 Rates per 10,000 Population Diabetes Hospitalizations by New Mexico, and Northwest Northeast Metro * Southeast Southwest * * The increase in rates, from earlier to later period, is statistically significant Rates have been age-adjusted to the standard U.S population Source: NMDOH, NM Hospital Inpatient Discharge Data-Diabetes as primary diagnosis 165

166 Diabetes Hospitalizations by Urban and Rural Counties New Mexico, and Rural Counties Mixed Urban/Rural Counties* Small Metro Counties* Metropolitan Counties* Rates per 10,000 Population * The increase in rates, from earlier to later period, is statistically significant Rates have been age-adjusted to the standard U.S population Source: NMDOH, NM Hospital Inpatient Discharge Data -Diabetes as primary diagnosis 166

167 Diabetes Hospitalizations by Urban and Rural Counties New Mexico and Rural Counties Mixed Urban/Rural Counties* Small Metro Counties* Metropolitan Counties* Rates per 10,000 Population * The increase in rates, from earlier to later period, is statistically significant Rates have been age-adjusted to the standard U.S population Source: NMDOH, NM Hospital Inpatient Discharge Data -Diabetes as primary diagnosis 167

168 Rates per 10,000 Population Ambulatory Care Sensitive Condition Emergency Department Visit Rates by New Mexico, Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S population Source: NMDOH, NM Syndromic Surveillance System Data 168

169 Rates per 10,00 Population Top Five Ambulatory Care Sensitive Condition Emergency Department Visit Rates New Mexico, UTI Hypertension Bacterial Pneumonia Dehydration Diabetes Rates have been age-adjusted to the standard U.S population Source: NMDOH, NM Syndromic Surveillance System Data 169

170 Total DALYs per 100K Population DALYs: NM vs. US Age-Standardized Total DALYs, New Mexico United States Source: University of Washington, Institute for Health Metrics and Evaluation, GBD Compare 170

171 Total DALYs per 100K Population DALYs: NM vs. US Age 70+ Total DALYs, New Mexico United States Source: University of Washington, Institute for Health Metrics and Evaluation, GBD Compare 171

172 DALYs: Top 10 Conditions Age-Standardized New Mexico vs. US, 2017 Drug use disorders Ischemic heart disease Low back pain Road injuries Self-harm Diabetes mellitus Alcohol Use & Chronic Liver Disease Chronic obstructive pulmonary disease Depressive disorders Headache disorders DALYs per 100K Population United States New Mexico Source: University of Washington, Institute for Health Metrics and Evaluation, GBD Compare 172

173 DALYs: Top 10 Conditions Age 70+ New Mexico vs. US, 2017 Drug use disorders Ischemic heart disease Low back pain Road injuries Self-harm Diabetes mellitus Alcohol Use & Chronic Liver Disease Chronic obstructive pulmonary disease Depressive disorders Headache disorders DALYs per 100K Population United States New Mexico Source: University of Washington, Institute for Health Metrics and Evaluation, GBD Compare 173

174 Births per 1,000 female teens Teen Birth Rates New Mexico, , and U.S., NM U.S NM U.S Source: NMDOH, Bureau of Vital Records and Health Statistics; National Center for Health Statistics 174

175 Births per 1,000 female teens Teen Birth Rates by Health New Mexico, 2017 Ages Ages Northwest Northeast Metro Southeast Southwest Source: NMDOH, Bureau of Vital Records and Health Statistics 175

176 Teen Birth Rates by Urban and Rural Counties New Mexico, Rural Mixed Urban-Rural Small Metropolitan Metropolitan Births per 1,000 female teens Source: NMDOH, Bureau of Vital Records and Health Statistics 176

177 Percent Percentage of Births to Single Women New Mexico and U.S., New Mexico U.S Source: NMDOH, Bureau of Vital Records and Health Statistics; National Center for Health Statistics 177

178 Percent 100 Percentage of Births to Single Women by Health New Mexico, Northwest Northeast Metro Southeast Southwest Source: NMDOH, Bureau of Vital Records and Health Statistics 178

179 Expected Number of Years of Life Life Expectancy at Birth by Sex New Mexico, Total Male Female Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 179

180 Life Expectancy at Birth by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native 73.3 Asian, Pacific Islander 86.3 Black, African American 76.4 Hispanic 78.8 White Expected Number of Years of Life Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 180

181 Life Expectancy at Birth by Urban and Rural Counties New Mexico, 2017 Rural Counties 77.7 Mixed Urban/Rural Counties 76.6 Small Metro Counties 79.6 Metropolitan Counties Expected Number of Years of Life Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 181

182 Life Expectancy at Birth New Mexico, and U.S., New Mexico U.S Source: NMDOH, New Mexico Indicator-Based Information system (NM IBIS); and ; CDC 182

183 Expected Number of Years of Life Life Expectancy at Birth by Health New Mexico, Northwest Northeast Metro Southeast Southwest Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 183

184 Expected Number of Years of Life Life Expectancy Trend by Sex New Mexico, Male Female Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 184

185 Expected Number of Years of Life Life Expectancy Trend by Race/Ethnicity New Mexico, AIAN Hispanic White Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 185

186 Infant Deaths per 1,000 live births Infant Mortality Rates New Mexico, and U.S., New Mexico U.S Source: NMDOH, Bureau of Vital Records and Health Statistics; NCHS 186

187 Infant Deaths per 1,000 live births Infant Mortality Rates New Mexico, and U.S., New Mexico U.S Source: NMDOH, Bureau of Vital Records and Health Statistics; NCHS 187

188 Infant Deaths per 1,000 live births Infant Mortality Rates by Health New Mexico, Northwest Northeast Metro Southeast Southwest Source: NMDOH, Bureau of Vital Records and Health Statistics 188

189 Infant Mortality Rates by Urban and Rural Counties New Mexico, Rural Counties 4.9 Mixed Urban/Rural Counties 5.6 Small Metro Counties 5.2 Metropolitan Counties Infant Deaths per 1,000 Live Births Source: NM Vital Records and Health Statistics 189

190 Infant Mortality Rates by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native 6.4 Asian, Pacific Islander 4.0 Black, African American 8.1 Hispanic 6.1 White Infant Deaths per 1,000 Live Births Source: NMDOH, Bureau of Vital Records and Health Statistics 190

191 Deaths per 100,000 Population Total Death Rates New Mexico, and U.S., New Mexico U.S Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC WONDER 191

192 Deaths per 100,000 Population Total Death Rates by Health New Mexico, Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 192

193 Total Death Rates by Urban and Rural Counties New Mexico, 2017 Rural Counties Mixed Urban/Rural Counties Small Metro Counties Metropolitan Counties Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 193

194 Total Death Rates by Race/Ethnicity and Sex New Mexico, 2017 Female Male AIAN API Black or AA Hispanic White ,000 1,500 Deaths per 100,000 population Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 194

195 Total Death Rates by Race/Ethnicity Ages 0-24 Years New Mexico, 2017 American Indian, Alaska Native 91.1 Asian, Pacific Islander 38.6 Black, African American 69.6 Hispanic 67.5 White Deaths per 100,000 Population Source: NMDOH, Bureau of Vital Records and Health Statistics 195

196 Total Death Rates by Race/Ethnicity Ages Years New Mexico, 2017 American Indian, Alaska Native Asian, Pacific Islander Black, African American Hispanic White Deaths per 100,000 Population Source: NMDOH, Bureau of Vital Records and Health Statistics 196

197 Total Death Rates by Race/Ethnicity Ages 65 and older Years New Mexico, 2017 American Indian, Alaska Native 3,899.4 Asian, Pacific Islander 2,198.2 Black, African American 4,232.0 Hispanic 3,542.1 White 3, ,000 2,000 3,000 4,000 5,000 Deaths per 100,000 Population Source: NMDOH, Bureau of Vital Records and Health Statistics 197

198 Top 8 Leading Causes of Death, New Mexico, 2017 and U.S., 2016 New Mexico Rank United States Heart disease 1 Heart disease Cancer 2 Cancer Accidents (unintentional injuries) 3 Accidents (unintentional injuries) Chronic lower respiratory diseases 4 Chronic lower respiratory diseases Cerebrovascular diseases 5 Cerebrovascular diseases Diabetes mellitus 6 Alzheimer's disease Chronic liver disease and cirrhosis 7 Diabetes mellitus Alzheimer's disease 8 Influenza and Pneumonia Source, New Mexico: Vital Records and Health Statistics United States: National Center for Health Statistics (NCHS) 198

199 5 Leading Causes of Death New Mexico, 2017 and U.S., 2016 New Mexico United States Heart disease Cancer Unintentional injuries Chronic lower respiratory diseases Cerebrovascular diseases Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 199

200 Deaths per 100,000 Population 5 Leading Causes of Death Northwest, New Mexico, Heart disease Cancer Unintentional injury Chronic liver disease and cirrhosis Diabetes mellitus Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 200

201 Deaths per 100,000 Population 5 Leading Causes of Death Northeast, New Mexico, Cancer Heart disease Unintentional injuries CLRD Chronic liver disease and cirrhosis Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 201

202 Deaths per 100,000 Population 5 Leading Causes of Death Metro, New Mexico, Heart Disease Cancer Unintentional injuries CLRD CVD Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 202

203 Deaths per 100,000 Population 5 Leading Causes of Death Southeast, New Mexico, Heart disease Cancer Unintentional injuries CLRD Alzheimer's disease Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 203

204 Deaths per 100,000 Population 5 Leading Causes of Death Southwest, New Mexico, Heart disease Cancer Unintentional injuries CLRD CVD Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 204

205 Deaths per 100,000 Population Heart Disease Death Rates New Mexico, and U.S., New Mexico U.S Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 205

206 Heart Disease Death Rates by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native Asian, Pacific Islander 84.7 Black, African American Hispanic White Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 206

207 Deaths per 100,000 Population Heart Disease Death Rates by Health New Mexico, Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 207

208 Heart Disease Death Rates by Urban and Rural Counties New Mexico, Rural Counties Mixed Urban/Rural Counties Small Metro Counties Metropolitan Counties Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 208

209 Death per 100,000 population Cancer Death Rates New Mexico, and U.S., New Mexico U.S Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 209

210 Cancer Death Rates by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native Asian, Pacific Islander 91.3 Black, African American Hispanic White Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 210

211 Deaths per 100,000 Population Cancer Death Rates by Health New Mexico, Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 211

212 Cancer Death Rates by Urban and Rural Counties New Mexico, Rural Counties Mixed Urban/Rural Counties Small Metro Counties Metropolitan Counties Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 212

213 Deaths per 100,000 Population Chronic Lower Respiratory Disease Death Rates New Mexico, and U.S., New Mexico U.S Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 213

214 Deaths per 100,000 Population Chronic Lower Respiratory Disease Death Rates by Health New Mexico, Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 214

215 Chronic Lower Respiratory Disease Death Rates by Urban and Rural Counties New Mexico, Rural Counties 52.7 Mixed Urban/Rural Counties 50.6 Small Metro Counties 33.9 Metropolitan Counties Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 215

216 Death per 100,000 population Cerebrovascular Disease Death Rates New Mexico, and U.S., New Mexico U.S Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 216

217 Deaths per 100,000 Population 75 Cerebrovascular Disease Death Rates by Health New Mexico, Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 217

218 Cerebrovascular Disease Death Rates by Urban and Rural Counties New Mexico, Rural Counties 29.1 Mixed Urban/Rural Counties 32.9 Small Metro Counties 32.3 Metropolitan Counties Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 218

219 Death per 100,000 population Diabetes Death Rates New Mexico, and U.S., New Mexico U.S Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 219

220 Deaths per 100,000 Population Diabetes Death Rates by Health New Mexico, Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 220

221 Diabetes Death Rates by Urban and Rural Counties New Mexico, Rural Counties 31.7 Mixed Urban/Rural Counties 34.8 Small Metro Counties 22.9 Metropolitan Counties Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics 221

222 Deaths per 100,000 Population Injury Death Rates New Mexico, and U.S., New Mexico U.S Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 222

223 Deaths per 100,000 Population Suicide Rates New Mexico, and U.S., New Mexico U.S Rates have been age-adjusted to the standard U.S population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 223

224 Rate per 100,000 population Suicide Rates by Age Group New Mexico, Age Source: NMDOH, Bureau of Vital Records and Health Statistics 224