Community-level Data on Social Determinants and Health Outcomes

Transcription

1 Community-level Data on Social Determinants and Health Outcomes The material that accompanies this working document was produced through a data inventory undertaken by Community Science, Inc., for the National Partnership for Action to End Health Disparities (NPA) led by the Office of Minority Health in the Office of the Assistant Secretary for Health (OMH/OASH). The goals of the inventory were to: 1) assess and document the community-level data (i.e., data that can be disaggregated by city, county, neighborhood, or zip code) from state agencies and organizations on social determinants and health outcomes; and 2) share this information with NPA community partners (e.g., Regional Health Equity Councils [RHECs]) to make it easier for them to know what data are and how to access the data. The inventory primarily focuses on state sources because: Data for the current year from national sources (e.g., U.S. Census Bureau) are generally not until several years later; Data from state sources are likely to be sooner and are frequently for measures that are not usually included in national data sources; An inventory of state sources is a more manageable task than an inventory of data from the large number of counties, cities, and other local jurisdiction that may also collect and store data. The inventory started with the social determinants of health and health outcomes included in the National Stakeholder Strategy for Health Equity and in the Centers for Disease Control and Prevention s (CDC) Health Disparities and Inequalities Report. 1 Community Science and OMH/OASH discussed and prioritized the list of social determinants of health and health outcomes to be included in the inventory (see list at the end of this narrative). For each measure, information was sought about the smallest and most recent year for which data were and whether or not the data can be disaggregated by race, ethnicity, gender, age, disability status, primary language, and sexual orientation and gender identity. Community Science attempted to locate the data through contacts with State government staff and through searching the World Wide Web. Community Science recognizes that the search may not be sufficiently thorough to surface data that were not easily, and welcomes information about additional state sources that should be included in the accompanying materials. For questions or to share information about additional state sources, please contact Abigail Baum, Community Science, , ext. 121 or abaum@communityscience.com. Community Science is also working with OMH/OASH to determine other critical social determinants of health and health outcome measures that should be explored. While the inventory focused on state sources, it would be helpful for NPA partners to also have information about certain key national sources; the accompanying material includes this information. 1 CDC Morbidity and Mortality Weekly Report, Supplement, Vol. 60, January 14, 2011

2 List of s Sought Social Determinants of Health Education Educational Attainment High school graduation rates High school dropout rates Highest level of education that an individual has completed # of diploma recipients, # of other high school completers High school equivalency recipients Averaged freshman graduation rates % of persons aged years not enrolled, not high school graduates Post-secondary education enrollment/plans Jobs Labor Market Turnover Unemployment rates Underemployment rates Labor force participation rates Access to Health Care Screening Rates % of early periodic screenings (Early Periodic Screening, Diagnosis and Treatment (EPSDT) as defined in the Medicaid program) % of people receiving colorectal cancer screenings Immunizations Rates % of people influenza vaccination coverage % of children aged months completely immunized Distribution of Health Care Providers MD/DOs in primary care MD/DOs in family practice MD/DOs in general practice MD/DOs in internal medicine MD/DOs in OB/GYN MD/DOs in pediatric primary care practice Total # of oral health care providers Total # of mental/ behavioral health care providers Provider-to-population ratios - mental/behavioral health care services s of availability of services for older adults Interpreter Training/Certification % of interpreters certified by training entities that comply with the codes of ethics and standards for training and practice Race/Ethnicity of Provider Staff-to-Population Ratios Race/ethnicity staff-to-population ratios for primary care Race/ethnicity staff-to-population ratios for family practice Race/ethnicity staff-to-population ratios for general practice Race/ethnicity staff-to-population ratios for pediatric practice Race/ethnicity staff-to-population ratios for internal medicine Race/ethnicity staff-to-population ratios for OB/GYN Race/ethnicity staff-to-population ratios for medical and surgical subspecialties

3 Health Outcomes Mortality and Disease Infant/Maternal mortality Cardiovascular disease Cancer HIV/AIDS Diabetes Chronic lower-respiratory disease Kidney disease Arthritis Violence For violence and trauma look for homicide and suicide rates Homicide rates Suicide rates Behavioral health Binge drinking Cigarette smoking Illegal drug use Sexual behavior (note that these categories were taken from the Youth Risk Behavior Surveillance System Survey though we are interested in other data sources on these for different age groups if ) Condom use Any contraceptive use Forced sexual intercourse Other measures Oral Health Adults over age 18 who have visited a dentist or dental clinic in the past year Percent of students with untreated tooth decay Adults over age 65 who have lost 6 or more teeth Obesity

4 REGION 6

5 Arkansas This is a list of measures for which community-level data are from state sources. Such data were not for the remaining measures from the initial list of 52 measures included at the beginning of the packet. If you are aware of additional state sources for these measures as well as the other measures for which data were not found, please contact Abigail Baum at abaum@communityscience.com or , ext at which data are Social Determinants of Health MD/DOs in internal medicine MD/DOs in OB/GYN MD/DOs in pediatric primary care MD/DOs in primary care Total number of mental/behavioral health care providers MD/DOs in family practice MD/DOs in general practice msservices/healthstatistics/pages/health Professionals.aspx msservices/healthstatistics/pages/health Professionals.aspx msservices/healthstatistics/pages/health Professionals.aspx msservices/healthstatistics/pages/health Professionals.aspx msservices/healthstatistics/pages/health Professionals.aspx msservices/healthstatistics/pages/health Professionals.aspx msservices/healthstatistics/pages/health Professionals.aspx High school dropout rates Collected every year 2010 School District formance/district/district.php High school graduation rates Collected every year 2010 School District formance/district/district.php

6 Arkansas Social Determinants of Health Average freshman graduation rate ansas/arkansas/21 High school graduation rates X X Percentage of people receiving colorectal cancer screenings Percentage of people influenza vaccination coverage Employment/unemployment rates X X X X Collected monthly 2011 City ounties/graduates.aspx aanalysis/areaselection.asp?tablename=l abforce

7 Arkansas Health Outcomes Chronic lower respiratory disease-incidence Collected every year 2007 County X Diabetes-incidence Collected every year 2007 County X Diabetes-mortality Collected every year 2007 County X Homicide-rate per 100,000 Collected every year 2007 County X Infant/Maternal mortality Collected every year 2007 County X Obesity-prevalence Collected every year 2007 County X Suicide-rate per 100,000 Collected every year 2007 County X Arthritis-prevalence Collected every year 2007 County X Cancer-mortality Collected every year 2007 County X msservices/healthstatistics/pages/statisti cs.aspx msservices/healthstatistics/pages/statisti cs.aspx msservices/healthstatistics/pages/statisti cs.aspx msservices/healthstatistics/pages/statisti cs.aspx msservices/healthstatistics/pages/statisti cs.aspx msservices/healthstatistics/pages/statisti cs.aspx msservices/healthstatistics/pages/statisti cs.aspx msservices/healthstatistics/pages/statisti cs.aspx msservices/healthstatistics/pages/statisti cs.aspx

8 Arkansas Health Outcomes Cigarette smoking Condom use Depends on the survey and the county, yearly or every few years Depends on the survey and the county, yearly or every few years 2011 County X 2011 County X HIV/AIDS-prevalence X X X Illegal drug use Adults over age 18 who have visited a dentist or dental clinic in the past year Adults over age 65 who have lost 6 or more teeth Adults over age 65 who have lost 6 or more teeth Any contraceptive use Depends on the survey and the county, yearly or every few years Depends on the survey and the county, yearly or every few years Depends on the survey and the county, yearly or every few years Depends on the survey and the county, yearly or every few years Depends on the survey and the county, yearly or every few years 2011 County X 2011 County X 2011 County X 2011 County X 2011 County X msservices/healthstatistics/pages/stdhivr egistry.aspx

9 Arkansas Health Outcomes Any contraceptive use Binge drinking Cardiovascular diseasemortality Depends on the survey and the county, yearly or every few years Depends on the survey and the county, yearly or every few years Depends on the survey and the county, yearly or every few years 2011 County X 2011 County X 2011 County X

10 Louisiana This is a list of measures for which community-level data are from state sources. Such data were not for the remaining measures from the initial list of 52 measures included at the beginning of the packet. If you are aware of additional state sources for these measures as well as the other measures for which data were not found, please contact Abigail Baum at abaum@communityscience.com or , ext Social Determinants of Health Percentage of children aged months completely immunized Percentage of people influenza vaccination coverage Total number of mental/behavioral health care providers Average freshman graduation rate Collected every year 2007 Health Region Collected every year 2009 Region and State X X X X Collected every year 2009 Region and State X X X X ewsroom/detail/2202 ewsroom/detail/2097 ewsroom/detail/2097 Collected every year 2010 County High school dropout rates High school graduation rates Missing/unable to determine Missing/unable to determine 2010 School District School District Post secondary education enrollment plans Collected every year 2010 School Employment/unemployment rates Missing/unable to Determine 2011 Parish

11 Louisiana Health Outcomes Cancer-incidence Range of years 2006 Geographic Region HIV/AIDS-prevalence Collected every year 2007 Parish Infant/Maternal mortality Collected every year 2007 Parish X Arthritis-prevalence Collected every year 2009 Region and State X X X X Binge drinking Collected every year 2009 Region and State X X X X ewsroom/detail/2202 ewsroom/detail/2202 ewsroom/detail/2202 ewsroom/detail/2097 ewsroom/detail/2097 Cardiovascular diseaseprevalence Collected every year 2009 Region and State X X X X ewsroom/detail/2097 Cigarette smoking Collected every year 2009 Region and State X X X X Diabetes-prevalence Collected every year 2009 Region and State X X X X Forced sexual intercourse Collected every year 2009 Region and State X X X X Illegal drug use Collected every year 2009 Region and State X X X X Obesity-prevalence Collected every year 2009 Region and State X X X X ewsroom/detail/2097 ewsroom/detail/2097 ewsroom/detail/2097 ewsroom/detail/2097 ewsroom/detail/2097

12 New Mexico This is a list of measures for which community-level data are from state sources. Such data were not for the remaining measures from the initial list of 52 measures included at the beginning of the packet. If you are aware of additional state sources for these measures as well as the other measures for which data were not found, please contact Abigail Baum at abaum@communityscience.com or , ext Social Determinants of Health MD/DOs in family practice MD/DOs in internal medicine MD/DOs in OB/GYN Total number of mental/behavioral health care providers One year 2006 County One year 2006 County One year 2006 County an%20supply%20and%20distribution%20i n%20new%20mexico_% pdf an%20supply%20and%20distribution%20i n%20new%20mexico_% pdf an%20supply%20and%20distribution%20i n%20new%20mexico_% pdf DSreport.html MD/DOs in primary care DSreport.html Total number of oral health care providers DSreport.html Percentage of people influenza vaccination coverage Provider-to-population ratiosmental/behavioral health care services X X X Cohort graduation rate Collected every year 2010 School District tion/brfss/brfssselection.html DSreport.html sheets.html

13 New Mexico Social Determinants of Health High school graduation rates Collected every year 2010 School X Number of diploma recipients/number of other high school completers Percentage of children aged months completely immunized Unable to determine Collected every year 2010 School X X Missing/unable to determine 2010 County High school dropout rates Collected every year 2010 School District Employment/unemployment rates Collected monthly 2011 City X sheets.html sheets.html ew/immun431331casa.cnty.html sheets.html on=areadetail&section=empunempinddat a&paramx=faq

14 New Mexico Health Outcomes Arthritis-prevalence County X X X Illegal drug use Adults over age 18 who have visited a dentist or dental clinic in the past year Missing/unable to determine 2007 County Binge drinking dex/alphabetical.html hdata/substanceabuse/2010%20new%20 Mexico%20Substance%20Abuse%20Epide miology%20profile.pdf tion/brfss/brfssselection.html tion/brfss/brfssselection.html Cardiovascular diseasemortality County X X X dex/alphabetical.html Cigarette smoking tion/brfss/brfssselection.html Chronic lower respiratory disease-mortality Collected every year 2010 County tion/mort/mortselection.html Diabetes-mortality Collected every year 2010 County Homicide-rate per 100,000 Collected every year 2010 County tion/mort/mortselection.html tion/mort/mortselection.html

15 Oklahoma This is a list of measures for which community-level data are from state sources. Such data were not for the remaining measures from the initial list of 52 measures included at the beginning of the packet. If you are aware of additional state sources for these measures as well as the other measures for which data were not found, please contact Abigail Baum at abaum@communityscience.com or , ext Social Determinants of Health High school dropout rates Collected every year 2010 School District High school graduation rates Collected every year 2010 School District Number of diploma recipients/number of other high school completers Post-secondary education enrollment plans Collected every year 2010 School District Collected every year 2010 School District ListWeb.asp?usergroupid=8&userstate=25 &year= ListWeb.asp?usergroupid=8&userstate=25 &year= ListWeb.asp?usergroupid=8&userstate=25 &year= ListWeb.asp?usergroupid=8&userstate=25 &year=2010 Employment/unemployment rates Collected monthly 2011 County nd_labor_market_statistics/laus/ Percentage of children aged months completely immunized /index.html

16 Oklahoma Health Outcomes Diabetes-mortality Collected every year 2006 County X Cancer-mortality Collected every year 2006 County X Infant/Maternal mortality Collected every year 2006 County X Kidney Disease-mortality Collected every year 2006 County X Suicide-rate per 100,000 Collected every year 2006 County HIV/AIDS-prevalence Missing/unable to determine 2007 County Binge drinking Collected every year 2008 County Obesity-prevalence Collected every year 2008 County X ealth/community_development_service/ Community_Epidemiology/County_Health _Profiles/index.html ealth/community_development_service/ Community_Epidemiology/County_Health _Profiles/index.html ealth/community_development_service/ Community_Epidemiology/County_Health _Profiles/index.html ealth/community_development_service/ Community_Epidemiology/County_Health _Profiles/index.html ealth/community_development_service/ Community_Epidemiology/County_Health _Profiles/index.html V-HIV-AIDS%20County% pdf ealth/community_development_service/ Community_Epidemiology/County_Health _Profiles/index.html ealth/community_development_service/ Community_Epidemiology/County_Health _Profiles/index.html

17 Oklahoma Health Outcomes Cigarette smoking ealth/community_development_service/ Community_Epidemiology/County_Health _Profiles/index.html Arthritis prevalence /index.html Chronic lower respiratory disease-mortality Adults over age 18 who have visited a dentist or dental clinic in the past year /index.html /index.html

18 Texas This is a list of measures for which community-level data are from state sources. Such data were not for the remaining measures from the initial list of 52 measures included at the beginning of the packet. If you are aware of additional state sources for these measures as well as the other measures for which data were not found, please contact Abigail Baum at abaum@communityscience.com or , ext Social Determinants of Health Percentage of children aged months completely immunized Missing/unable to determine 2007 Region X Cohort graduation rate Collected every year 2011 School District X X X verage/tcriss.shtm s/ Employment/unemployment rates Collected monthly 2011 Metropolitan Statistical Area High school dropout rates Collected every year 2011 School District X X X s/ High school Equivalency recipients Collected every year 2011 School District X X X s/ High school graduation rates Collected every year 2011 School District X X X s/ Highest level of education that an individual has completed Number of diploma recipients/number of other high school completers Post-secondary education enrollment plans Collected every year 2011 School District X X X Collected every year 2011 School District X X X Collected every year 2011 School District X X X s/ s/ s/

19 Texas Social Determinants of Health MD/DOs in general practice MD/DOs in internal medicine MD/DOs in OB/GYN MD/DOs in pediatric primary care MD/DOs in primary care Total number of oral health care providers MD/DOs in family practice YS-lnk.shtm YS-lnk.shtm YS-lnk.shtm YS-lnk.shtm YS-lnk.shtm NT-lnk.shtm YS-lnk.shtm

20 Texas Health Outcomes Cancer-incidence Collected every year 2008 County Chronic lower respiratory disease-mortality Collected every year 2008 County X /2008-Health-Facts-Profiles-for-Texas/ Diabetes-mortality Collected every year 2008 County X Homicide-rate per 100,000 Collected every year 2008 County X Kidney Disease-mortality Collected every year 2008 County X Suicide-rate per 100,000 Collected every year 2008 County X /2008-Health-Facts-Profiles-for-Texas/ /2008-Health-Facts-Profiles-for-Texas/ /2008-Health-Facts-Profiles-for-Texas/ /2008-Health-Facts-Profiles-for-Texas/ Infant/Maternal mortality X HIV/AIDS-incidence Collected every year 2010 State Geographic Region X X X X s/default.shtm