Released February 2019 Health Status of New Mexico 2018 1
New Mexico Health s Northwest Northeast Metro Southwest Southeast 2
NM Urban-Rural County Classification Metropolitan Counties Small Metro Counties Mixed Urban/Rural Counties Rural Counties 3
Percentage of NM Adults Living in Households with Annual Income of Less Than $20,000, By Health New Mexico, 2015-2017 100% 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
Percentage of NM Adults Age 65+ Living in Households with Annual Income of Less Than $20,000, By Health New Mexico, 2015-2017 100% 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
Percentage of NM Adults Living in Households with Annual Income of Less Than $20,000, by Age Group New Mexico, 2015-2017 Age 18-64 25.8% Age 65+ 26.1% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 6
Percentage of NM Adults Living in Households with Annual Income of Less Than $20,000, by Urban and Rural Counties New Mexico, 2015-2017 Metropolitan 21.5% Small Metro 27.1% Mixed Urban/Rural 31.8% Rural 28.6% Source: NMDOH, Behavioral Risk Factor Surveillance System 7
Percentage of NM Adults with Less Than a High School Education, By Health New Mexico, 2015-2017 100% 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
Percentage of NM Adults Age 65+ with Less Than a High School Education, By Health New Mexico, 2015-2017 100% 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
Percentage of NM Adults with Less Than a High School Education, by Age Group New Mexico, 2015-2017 Age 18-64 16.1% Age 65+ 18.8% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 10
Percentage of NM Adults with Less Than a High School Education, by Urban and Rural Counties New Mexico, 2015-2017 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
Percentage of NM Adults without Health Care Coverage, By Health New Mexico, 2015-2017 100% 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
Percentage of NM Adults Age 65+ without Health Care Coverage, By Health New Mexico, 2015-2017 100% 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
Percentage of NM Adults Age 18-64 without Health Care Coverage, by Health, New Mexico, 2017 100% 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
Percentage of NM Adults without Health Care Coverage, by Age Group New Mexico, 2015-2017 Age 18-64 13.3% Age 65+ 2.2% 0% 20% 40% 60% 80% 100% Percentage Source: NMDOH, Behavioral Risk Factor Surveillance System 15
Percentage of NM Adults without Health Care Coverage, by Urban and Rural Counties New Mexico, 2015-2017 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
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Percentage of Adults with Fair or Poor General Health Status New Mexico and U.S., 1996-2017 100% New Mexico U.S. 80% 60% 40% 20% 0% * * Addition of Cellular Telephones & New Weighting Process Source: NMDOH, Behavioral Risk Factor Surveillance System 17
2011 2012 2013 2014 2015 2016 2017 Percentage of Adults with Very Good or Excellent General Health Status New Mexico and U.S., 2011-2017 100% New Mexico U.S. 80% 60% 40% 20% 0% Source: NMDOH, Behavioral Risk Factor Surveillance System 18
Percentage of Adults with Fair or Poor General Health Status by Household Income New Mexico, 2017 100% 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.
Percentage of Adults with Very Good or Excellent Health Status by Household Income New Mexico, 2017 100% 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.
Percentage of Adults with Fair or Poor General Health Status by Educational Attainment New Mexico, 2017 100% 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
Percentage of Adults with Very Good or Excellent Health Status by Educational Attainment New Mexico, 2017 100% 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
Percentage of NM Adults with Fair or Poor General Health Status, by Age Group New Mexico, 2017 Age 18-64 19.6% Age 65+ 28.3% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 23
Percentage of NM Adults with Very Good or Excellent General Health Status, by Age Group New Mexico, 2017 Age 18-64 44.7% Age 65+ 37.4% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 24
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
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
Percentage of Adults with Fair or Poor General Health Status, By Health New Mexico, 2017 100% 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
Percentage of Adults with Very Good or Excellent General Health Status, By Health New Mexico, 2017 100% 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
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
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
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Current Smoking New Mexico and U.S., 2002-2017 100% New Mexico U.S. 80% 60% 40% 20% 0% * * Addition of Cellular Telephones & New Weighting Process Source: NMDOH, Behavioral Risk Factor Surveillance System 31
Current Smoking by Household Income New Mexico, 2017 100% 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
Current Smoking by Educational Attainment New Mexico, 2017 100% 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
Current Smoking, by Age Group New Mexico, 2017 Age 18-64 19.4% Age 65+ 11.2% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 34
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
Current Smoking By Health New Mexico, 2017 100% 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
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
2002 2004 2006 2008 2010 2012 2014 2016 Oral Health Visit within Past Year New Mexico and U.S., 2002-2016 (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
Percentage of Adults with an Oral Health Visit within the Past Year by Annual Household Income New Mexico, 2016 100% 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
Percentage of Adults with an Oral Health Visit within the Past Year by Educational Attainment New Mexico, 2016 100% 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
Percentage of Adults with an Oral Health Visit within the Past Year, by Age Group New Mexico, 2016 Age 18-64 62.0% Age 65+ 63.5% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 41
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
Percentage of Adults with an Oral Health Visit within the Past Year, By Health New Mexico, 2016 100% 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
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
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Percentage of NM Adults Who Were Obese BMI 30 New Mexico and U.S., 1995-2017 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
Percentage of NM Adults Who Were Obese BMI 30 by Household Income New Mexico, 2017 100% 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
Percentage of NM Adults Who Were Obese BMI 30 by Educational Attainment New Mexico, 2017 100% 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
Percentage of NM Adults Who Were Obese BMI 30 by Age Group New Mexico, 2017 Age 18-64 30.4% Age 65+ 21.7% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 48
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
Percentage of NM Adults Who Were Obese BMI 30, By Health New Mexico, 2017 100% 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
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
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days New Mexico and U.S., 2001-2017 100% 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
Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days by Gender and Household Income New Mexico, 2017 100% 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
Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days by Gender and Educational Attainment New Mexico, 2017 100% 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
Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days by Gender and Age Group New Mexico, 2017 Age 18-64 12.9% 22.5% Males Females Age 65+ 2.4% 7.7% 0% 20% 40% 60% 80% 100% Percentage Source: NMDOH, Behavioral Risk Factor Surveillance System 55
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
Percentage of NM Adults with Binge Drinking at Least Once in Past 30 Days By Gender and Health New Mexico, 2017 100% 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
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
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Percentage of NM Adults with Diagnosed Diabetes New Mexico and U.S., 1995-2017 100% 80% 60% 40% New Mexico U.S. 20% 0% * * Addition of Cellular Telephones & New Weighting Process Source: NMDOH, Behavioral Risk Factor Surveillance System 59
Percentage of NM Adults with Diagnosed Diabetes by Household Income New Mexico, 2017 100% 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
Percentage of NM Adults with Diagnosed Diabetes by Educational Attainment New Mexico, 2017 100% 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
Percentage of NM Adults with Diagnosed Diabetes by Age Group New Mexico, 2017 Age 18-64 8.0% Age 65+ 20.1% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 62
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
Percentage of NM Adults With Diagnosed Diabetes By Health New Mexico, 2017 100% 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
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
2003 2004 2005 Percentage of Adults with Mental Distress New Mexico and U.S., 2003-2017 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 100% 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
Percentage of Adults with Mental Distress by Household Income New Mexico, 2017 100% 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
Percentage of Adults with Mental Distress by Educational Attainment New Mexico, 2017 100% 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
Percentage of Adults with Mental Distress by Age Group New Mexico, 2017 Age 18-64 22.6% Age 65+ 12.0% 0% 20% 40% 60% 80% 100% Source: NMDOH, Behavioral Risk Factor Surveillance System 69
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
Percentage of Adults with Mental Distress by Health New Mexico, 2017 100% 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
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
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
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
Current Drinking by Health, Grades 9-12 New Mexico, 2017 50% 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
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
Binge Drinking by Health, Grades 9-12 New Mexico, 2017 50% 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
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
Current Cigarette Smoking Grades 9-12 New Mexico and U.S., 2005-2017 100% New Mexico U.S. 80% 60% 40% 20% 0% 2003 2005 2007 2009 2011 2013 2015 2017 Source: NM Youth Risk and Resiliency Survey (YRRS). 79
Current Cigarette Smoking by Health, Grades 9-12 New Mexico, 2017 50% 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
Any Tobacco Use* by Health, Grades 9-12 New Mexico, 2017 100% 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
Any Tobacco Use Grades 9-12 New Mexico, 2003-2017 Any tobacco use Hookah Cigarettes Cigars Spit tobacco E-cigarettes 100% 80% Cigarettes, cigars, spit tobacco Added hookah 2011 Added e-cigarettes 2017 60% 40% 34.0% 30.7% 30.2% 30.8% 30.1% 28.2% 33.4% 32.7% 20% 0% 2003 2005 2007 2009 2011 2013 2015 2017 Source: NM Youth Risk and Resiliency Survey (YRRS). 82
Current Marijuana Use by Health, Grades 9-12 New Mexico, 2017 100% 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
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
Current Cocaine Use by Health, Grades 9-12 New Mexico, 2017 25% 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
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
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
Suicide Attempts by Health and Gender, Grades 9-12 New Mexico, 2017 50% 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
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
Forced Sexual Intercourse Grades 9-12 New Mexico and U.S., 2005-2017 50% New Mexico U.S. 40% 30% 20% 10% 0% 2003 2005 2007 2009 2011 2013 2015 2017 Source: NM Youth Risk and Resiliency Survey (YRRS). 90
Percentage Forced Sexual Intercourse by Health, Grades 9-12 New Mexico, 2017 50% 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
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
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
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).
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
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
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).
Percentage who got mostly A s Academic Success by Parent s Education, Grades 9-12 New Mexico, 2017 100% 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
Used Painkillers to Get High by Parent s Education, Grades 9-12 New Mexico, 2017 25% 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
Unstable Housing by Health, Grades 9-12 New Mexico, 2017 25% 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
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
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).
Percent 100 Pregnancy Intention among Women with Live Births New Mexico, 2008-2016 80 60 40 20 Wanted then or sooner Mistimed/ unwanted Not sure what wanted 0 2008 2009 2010 2011 2012* 2013* 2014* 2015* 2016* *The pregnancy intention question during 2012-2016 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
Percent Daily Preconception Multivitamin/Folic Acid Use among Women with Live Births New Mexico 2008-2016 100 80 60 40 20 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 104
Percent Diabetes among Women with Live Births New Mexico, 2009-2016 16 14 12 10 8 6 Diabetes prior to pregnancy Gestational diabetes 4 2 0 2009 2010 2011 2012 2013 2014 2015 2016 Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 105
Percent Smoking among Women with Live Births New Mexico, 2009-2016 30 25 20 15 10 Smoked prior to pregnancy Smoked last trimester 5 0 2009 2010 2011 2012 2013 2014 2015 2016 Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 106
Percent Teeth Cleaned During Pregnancy by Insurance New Mexico, 2016 70 60 50 40 30 20 45.4 58.9 39.0 10 0 Overall Private Medicaid Prenatal Care Insurance Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 107
Percent Postpartum Depression by Marital Status New Mexico, 2016 25 20 15 10 5 14.3 10.9 17.9 0 Overall Married Not Married Marital Status Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 108
Percent Breastfeeding Initiation and Early Duration among Women with Live Births New Mexico, 2008-2016 100 80 60 40 20 Ever breastfed Breastfed >8 weeks 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 Source: NMDOH, NM Pregnancy Risk Assessment Monitoring System 109
New Mexico Aggregate* HCP Influenza Vaccination Rates 2011-2012 through 2017-2018 Source: NMDOH Healthcare-associated Infections Program * 33 inpatient healthcare facilities in New Mexico; reporting is voluntary. Healthy People 2020 goal is 90%. 110
Healthcare-associated Infections Trends New Mexico, 2015-2017 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
Number of cases Measles New Mexico, 1985-2017 350 300 250 200 150 100 50 1989 - Two dose schedule approved 1991 & 1995 - Documented outbreaks 2007 1 imported case at Intel International Science Fair 2012 2 siblings in Rio Arrriba County with unknown exposure source 2011 4 sporadic cases (3 were imported) 2014 - One sporadic case from Rio Arriba County 0 Includes confirmed and probable cases, Source: NMDOH Infectious Disease Epidemiology Bureau. 112
Rate per 100,000 population Invasive Bacterial Infection Rates by Pathogen, New Mexico (2013-2017) and U.S. (2012 2016) 16 14 12 10 8 6 New Mexico US estimated 4 2 0 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
Rate per 100,000 population Burden of Invasive Bacterial* Disease by Race/Ethnicity New Mexico, 2013 2017 45.0 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 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) 114 10% of cases missing race/ethnicity information; Source: New Mexico NMDOH Infectious Disease Epidemiology Bureau, Active Bacterial Core Surveillance Program (ABCs) 2010-2014
Rate/100,000 population Invasive Streptococcus pneumoniae Rates New Mexico and U.S., 2012 2017 25.0 20.0 15.0 NM Rate US Rate 10.0 5.0 0.0 2012 2013 2014 2015 2016 2017 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, 2010-2014. 115
Invasive Streptococcus pneumoniae Rates by Urban-Rural Areas, New Mexico, 2012 2017 Rural Counties Mixed Urban/Rural Counties Small Metro Counties Metropolitan Counties 0.0 5.0 10.0 15.0 20.0 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
Rate per 100,000 Hepatitis A Rates New Mexico and United States, 1995-2017 30 1996 - Targeted Vaccination Program 20 10 0 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
Rate per 100,000 Population Pertussis Incidence New Mexico and U.S., 2000-2017 New Mexico U.S. 45.0 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 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
Rate per 100,000 Population Pertussis Rates in Infants <6 Months of Age New Mexico, 2006-2017 350 337 300 250 236 200 185 150 100 50 146 64 77 84 83 90 130 150 116 0 Source: NM Electronic Disease Surveillance System (confirmed and probable cases) and New Mexico Indicator-Based Information System (NM-IBIS) 119
200 Influenza-related Hospitalization Rates by Age New Mexico, 2011-2018 0-4 yrs 5-17 yrs 18-49 yrs 50-64 yrs 65+ yrs 306.5 150 148.8 120.1 112.2 100 77.7 86.3 84 71.3 80.7 74.3 50 0 43 32 35 30.8 24.5 14.8 20.4 26.5 14.113.1 17.5 20.6 6.9 7.4 7.2 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 Hospitalizations per 100,000 Population. *Source: Influenza Hospitalization Network (FluSurv-NET) 120
Pneumonia and Influenza-related Deaths by Year New Mexico, 2013-2017* Influenza Pneumonia 350 300 326 308 320 277 250 232 200 150 100 50 43 34 39 34 78 0 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 Data Source: NMDOH, Bureau of Vital Records & Statistics * 2017-2018 includes October 1, 2017-April 28, 2018 121
Deaths 200 Pneumonia and Influenza Death Rates by Age New Mexico, 2017-2018* Season 188 150 100 50 0 48 27 16 17 1 4 8 1 0 0 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, 2018 122
Influenza-like Illness (ILI) Visits New Mexico* and United States**, 2013-2017 12.0% 2013-14 NM 2014-15 NM 2015-16 NM 2016-2017 NM 2017-2018 NM National Baseline 2017-2018 2017-2018 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
10/10/2016 10/24/2016 11/7/2016 11/21/2016 12/5/2016 12/19/2016 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**, 2016-2017 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
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Deaths per 100,000 Population Pneumonia and Influenza Death Rates New Mexico, 2003-2017 and U.S., 2003-2016 New Mexico U.S. 40 30 20 10 0 Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 125
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 12.4 0 5 10 15 20 25 30 Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 126
Deaths per 100,000 Population 40 Pneumonia and Influenza Death Rates by Health New Mexico, 2017 30 20 17.8 12.7 12.1 12.4 16.4 10 0 Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 127
Pneumonia and Influenza Death Rates by Urban and Rural Counties New Mexico, 2015-2017 Rural Counties 15.6 Mixed Urban/Rural Counties 16.7 Small Metro Counties 11.8 Metropolitan Counties 12.9 0 10 20 30 40 Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 128
Human Plague Cases by State United States, 1970-2017 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 10/16/2018. 129
Human Plague Cases New Mexico, 1949-2017 Number of Cases N = 283 30 25 20 15 10 5 0 50 55 60 65 70 75 80 85 90 95 00 05 10 15 Source: NMDOH Infectious Disease Epidemiology Bureau Fatal Recovered 130
Rate per 100,000/year Acute Hepatitis B Rates New Mexico and US, 2004 2017 2.5 2 NM* US 1.5 1 0.5 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 *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
Number of Hospitalizations Hepatitis C Hospitalizations* New Mexico, 2011-201 6000 5000 Hepatitis C, Acute 4000 3000 2000 Hepatitis C, Chronic Hepatitis C, Unspecified 1000 Hepatitis C, Total 0 2011 2012 2013 2014 2015 2016 Year *Data from HIDD using ICD9 & ICD 10 codes Acute Hepatitis C: (ICD-9-CM) 070.41, 070.51 (ICD-10-CM) B17.1, B17.10, B17.11 Chronic Hepatitis C: (ICD-9-CM) 070.44, 070.54 (ICD-10-CM) B18.2 Unspecified Hepatitis C: (ICD-9-CM) 070.7, 070.70, 070.71 (ICD-10-CM) B19.2, B19.20, B19.21. 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
Number of Cases Reported Acute & Chronic Hepatitis C Cases < 30 years old New Mexico, 2011-2017 1400 1200 1000 800 600 400 0-14 15-19 20-29 200 0 2011 2012 2013 2014 2015 2016 2017 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
Rate per 100,000 population New HIV Diagnosis Rate Among Adults and Adolescents Age 13 and Older New Mexico, 2007-2017 18.0 16.0 14.0 12.0 10.0 8.0 6.0 4.0 2.0 0.0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 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 (https://www.cdc.gov/hiv/library/reports/hiv-surveillance-archive.html) New Mexico Population Estimates: New Mexico's Indicator-Based Information System 134
New HIV diagnosis per 100,000 population New HIV Diagnosis Rate Among Adults and Adolescents Age 13 and Older by New Mexico, 2013-2017 14.0 12.0 10.0 8.0 6.0 4.0 2.0 0.0 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
New HIV Diagnosis Distribution Among Adults and Adolescents Age 13 and Older by Sex New Mexico, 2013-2017 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
TB Rate per 100,000 Popualtion # of NM Cases TB Rates New Mexico and US, 2012-2017 # of NM Cases NM TB Rate US TB Rate 4 80 3 2 3.2 1.9 3.0 3.0 3.0 2.4 2.4 2.2 2.9 1.9 2.8 1.8 60 40 1 20 0 40 50 50 47 39 37 2012 2013 2014 2015 2016 2017 Year 0 137
Number of cases TB Cases by Age Group New Mexico, 2017 16 14 38% 12 10 24% 27% n=14 8 6 4 11% n=9 2 0 0% n=4 0-14 years 15-24 years 25-44 years 45-64 years 65 years 138
TB Rate per 100,000 Popualtion TB Rates Among US Born vs Foreign Born Persons New Mexico, 2012-2017 16 14 12 10 8 6 4 US Born Rate Foreign Born Rate 2 0 2012 2013 2014 2015 2016 2017 US Born Rate 1.1 1.0 1.1 1.2 0.7 0.4 Foreign Born Rate 9 15.1 13.7 12.2 12.7 15.1 139
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Cases per 100,000 Population Chlamydia Rates New Mexico and US, 1989-2017 NM US 700 600 500 400 300 200 100 0 140
Case Rate per 100,000 Population Chlamydia Rates by Sex New Mexico, 2000-2017 1,000 800 600 400 200 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 NM Male CT Rate 110.9 135.3 158.1 158.5 226.7 220.9 243.7 245.7 228.5 248.5 292.6 297.7 307.7 309.5 300.7 327.4 364.1 406.2 NM Female CT Rate 450.5 521.8 623.7 621.9 707.3 643.8 749.1 699.5 685.9 678.2 834.5 789.8 832.2 851.1 785.2 871.5 876.8 879.2 141
Cases per 100,000 Population Chlamydia Rates by Age Group New Mexico, 2016-2017 2016 2017 3500 3000 2500 2000 1500 1000 500 0 <10 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-54 55-64 65 Age Group (years) 142
Cases per 100,000 Population Chlamydia Rates by Race/Ethnicity New Mexico, 2016-2017 2016 2017 1200 1097.8 1000 918.7 800 793.8 817.4 600 510.5 497.9 400 200 198.2 133.5 278.8 268.8 0 American Indian/Alaska Native Asian or Pacific Islander Black/African American Hispanic White, non-hispanic 143
Cases per 100,000 Population Gonorrhea Rates New Mexico and U.S., 1972-2017 NM Gonorrhea Rate US Gonorrhea Rate 700 600 500 400 300 200 100 0 1972 1975 1978 1981 1984 1987 1990 1993 1996 1999 2002 2005 2008 2011 2014 2017 144
Case Rate per 100,000 Population Gonorrhea Rates by Sex New Mexico, 2000-2017 NM Male GC Rate NM Female GC Rate 250 200 150 100 50 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 145
Cases per 100,000 Population Gonorrhea Rates by Age Group New Mexico, 2016-2017 2016 2017 900 800 700 600 500 400 300 200 100 0 <10 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-54 55-64 65 Age Group (years) 146
Cases per 100,000 Population Gonorrhea Rates by Race/Ethnicity New Mexico, 2016-2017 600 500 2016 2017 520.2 513.9 400 300 256.9 200 184.9 140.8 140.1 100 86.2 87.0 34.0 33.4 0 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
1972 1975 1978 1981 1984 1987 1990 1993 1996 1999 2002 2005 2008 2011 2014 2017 Rate per 100,000 Population Primary and Secondary Syphilis Rates New Mexico and US, 1970-2017 25 NM US 20 15 10 5 0 148
Case Rate per 100,000 Population Primary and Secondary Syphilis Cases by Sex New Mexico, 2000-2017 18 16 14 12 10 8 6 4 2 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 NM Male Rate 1.2 1.4 2.9 5.1 4.8 4.2 5.9 3.2 3.8 5.5 5.0 6.7 8.9 5.6 10.9 10.3 15.6 16.8 NM Female Rate 0.5 0.6 1.3 2.4 3.7 1.6 2.2 1.5 0.6 0.6 0.3 0.2 0.9 1.9 1.3 1.0 2.5 1.8 149
Cases per 100,000 Population Primary, Secondary, and Early Latent Syphilis Rates by Age Group, Males New Mexico, 2016-2017 2016 2017 60 50 40 30 20 10 0 <10 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-54 55-64 65 Age Group (years) 150
Cases per 100,000 Population Primary, Secondary, and Early Latent Syphilis Rates by Race/Ethnicity New Mexico 2016 2017 2016 2017 30 28.4 24.6 24.4 20 16.8 14.6 15.2 11.3 10 8.1 7.8 2.8 0 American Indian/Alaska Native Asian or Pacific Islander Black/African American Hispanic White, non-hispanic 151
Percentage of Students Obese by Grade New Mexico, 2010-2017 Kindergarten Third Grade 22.6 21.9 21.4 19.9 18.1 18.9 19.4 19.9 13.2 15.0 14.6 13.7 11.6 11.8 14.9 13.9 2010 2011 2012 2013 2014 2015 2016 2017 Source: NMDOH, New Mexico Statewide Childhood Obesity Surveillance System 152
Percentage of Students Overweight and Obese by Gender New Mexico, 2017 Overweight Obese Girls 14.3 15.3 29.6 Boys 14.0 18.6 32.6 Source: NMDOH, New Mexico Statewide Childhood Obesity Surveillance System 153
Percentage of Kindergarten Students Overweight and Obese by Race/Ethnicity New Mexico, 2017 Overweight Obese American Indian 19.9 22.8 42.7 Hispanic 14.5 14.8 29.3 White 11.8 8.4 20.2 African American* 13.7 10.7 24.4 Asian* 7.2 7.6 14.8 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
Percentage of Third Grade Students Overweight and Obese by Race/Ethnicity New Mexico, 2017 Overweight Obese American Indian 17.8 37.8 55.6 Hispanic 14.5 22.1 36.6 White 12.2 10.4 22.6 African American* 14.9 12.0 26.9 Asian* 10.7 15.2 25.9 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
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Hospitalizations per 10,000 Population Child Asthma Hospitalization Rates Ages 0-17 Years, New Mexico, 1999-2017 and U.S., 2001-2010 New Mexico U.S. 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 NOTES: Includes asthma as first-listed ICD-9 diagnosis (493-493.92) and ICD-10 codes J45 starting September 2015. This series does not include Indian Health Service data. Source: New Mexico Department of Health (data via http://ibis.health.state.nm.us). U.S.: CDC/NCHS, National Hospital Discharge Survey (discontinued in 2011). 156
Hospitalizations per 10,000 Population 25 Child Asthma Hospitalization Rates by Health Ages 0-17 Years, New Mexico, 2012-2017 20 17.0 20.3 15 11.8 11.9 10 6.9 5 0 Northwest Northeast Metro Southeast Southwest Source: New Mexico Department of Health (data via http://ibis.health.state.nm.us). NOTES: Asthma as first-listed ICD-9 diagnosis (493-493.92) from 2012 to September 2015. ICD-10 codes J45 for September 2015 and after. This series does not include Indian Health Service data. 157
Child Asthma Hospitalization Rates by Urban and Rural Counties Ages 0-17 Years, New Mexico, 2012-2017 Rural Counties 8.6 Mixed Urban/Rural Counties 14.5 Small Metro Counties 10.6 Metropolitan Counties 17.0 0 5 10 15 20 Hospitalizations per 10,000 Population Source: New Mexico Department of Health (data via http://ibis.health.state.nm.us). NOTES: Includes asthma as first-listed ICD-9 diagnosis (493-493.92) until September 2015 and ICD- 10 codes J45 starting September 2015. This series does not include Indian Health Service data. 158
Number of Children per 1,000 Tested 25 20 15 Elevated Blood Lead Levels* in Children under Age 6 Years New Mexico, 2006-2017 Rate >10 Rate >5 20.1 18.0 10 5 0 11.4 9.1 6.9 9.0 6.4 5.3 6.8 6.6 7.2 3.9 5.4 3.0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 *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
Rate per 10,000 Live Births Spina Bifida without Anencephaly, New Mexico, 2000-2016 vs U.S., 2000-2011 10.0 9.0 8.0 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 US Rate NM Rate SOURCES: NMDOH, Environmental Health Epidemiology Bureau s Birth Defects Prevention and Surveillance System; National data: http://www.cdc.gov/mmwr/pdf/wk/mm6401.pdf, among programs with prenatal ascertainment. Data not available every year. 160
Rate per 10,000 Live Births Cleft Lip with or without Cleft Palate, New Mexico, 2011-2016 20.0 18.0 17.7 16.0 15.0 14.0 12.0 10.0 9.9 11.7 13.2 13.3 8.0 6.0 4.0 2.0 0.0 Metro Northeast Northwest Southeast Southwest New Mexico SOURCE: NMDOH, Environmental Health Epidemiology Bureau s Birth Defects Prevention and Surveillance System 161
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., 2001-2016 U.S. New Mexico 9 8.2 8 7.7 7 7 6.8 6.8 6.7 6.7 6 5 4 5.8 5.1 4.2 5.9 4 3.8 3.2 5.2 4.8 4.8 3.5 3.6 3.5 3.5 4.1 3.3 3.4 3.4 4.9 3.6 3 2 1 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 FTE Rates for the United States are not available prior to 2006. Source: U.S. Bureau of Labor Statistics Census of Fatal Occupational Injury 162
Rates per 10,000 Population Ambulatory Care Sensitive Condition Hospitalization Rates by New Mexico, 2017 75 55.9 62.0 50 49.6 47.5 45.3 25 0 Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, NM Hospital Inpatient Discharge Data 163
Rates per 10,000 Population Top Five Ambulatory Care Sensitive Condition Hospitalization Rates New Mexico, 2017 20 16.8 10 8.9 5.8 5.1 5.1 0 CHF Bacterial Pneumonia UTI Diabetes Long-Term Complications Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, NM Hospital Inpatient Discharge Data Diabetes Short-Term Complications 164
Rates per 10,000 Population Diabetes Hospitalizations by New Mexico, 2000-2002 and 2015-2017 20 15 10 14.5 17.9 12.2 2000-2002 2015-2017 14.4 15.2 13.3 13.2 9.9 12.4 14.0 5 0 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. 2000 population Source: NMDOH, NM Hospital Inpatient Discharge Data-Diabetes as primary diagnosis 165
Diabetes Hospitalizations by Urban and Rural Counties New Mexico, 2000-2002 and 2015-2017 Rural Counties 2000-2002 2015-2017 13.4 16.1 Mixed Urban/Rural Counties* 14.8 17.8 Small Metro Counties* Metropolitan Counties* 9.8 9.3 12.0 13.3 0 25 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. 2000 population Source: NMDOH, NM Hospital Inpatient Discharge Data -Diabetes as primary diagnosis 166
Diabetes Hospitalizations by Urban and Rural Counties New Mexico 2000-2002 and 2014-2016 Rural Counties Mixed Urban/Rural Counties* Small Metro Counties* Metropolitan Counties* 13.4 13.3 17.8 14.6 9.8 12.0 9.3 12.8 2000-2002 2014-2016 0 25 50 75 100 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. 2000 population Source: NMDOH, NM Hospital Inpatient Discharge Data -Diabetes as primary diagnosis 167
Rates per 10,000 Population Ambulatory Care Sensitive Condition Emergency Department Visit Rates by New Mexico, 2017 160.0 140.0 120.0 100.0 122.3 93.8 130.3 134.2 105.9 80.0 60.0 40.0 20.0 0.0 Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, NM Syndromic Surveillance System Data 168
Rates per 10,00 Population Top Five Ambulatory Care Sensitive Condition Emergency Department Visit Rates New Mexico, 2017 35.0 32.2 30.0 27.1 25.0 20.0 15.0 10.0 10.9 10.0 8.6 5.0 0.0 UTI Hypertension Bacterial Pneumonia Dehydration Diabetes Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, NM Syndromic Surveillance System Data 169
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Total DALYs per 100K Population DALYs: NM vs. US Age-Standardized Total DALYs, 1990-2017 30000 25000 20000 15000 10000 5000 0 New Mexico United States Source: University of Washington, Institute for Health Metrics and Evaluation, GBD Compare 170
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Total DALYs per 100K Population DALYs: NM vs. US Age 70+ Total DALYs, 1990-2017 120000 100000 80000 60000 40000 20000 0 New Mexico United States Source: University of Washington, Institute for Health Metrics and Evaluation, GBD Compare 171
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 0 500 1000 1500 2000 2500 3000 DALYs per 100K Population United States New Mexico Source: University of Washington, Institute for Health Metrics and Evaluation, GBD Compare 172
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 0 2000 4000 6000 8000 10000 12000 14000 DALYs per 100K Population United States New Mexico Source: University of Washington, Institute for Health Metrics and Evaluation, GBD Compare 173
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Births per 1,000 female teens Teen Birth Rates New Mexico, 2003-2017, and U.S., 2003-2016 80 NM 15-19 U.S. 15-19 NM 15-17 U.S. 15-17 60 40 20 0 Source: NMDOH, Bureau of Vital Records and Health Statistics; National Center for Health Statistics 174
Births per 1,000 female teens Teen Birth Rates by Health New Mexico, 2017 Ages 15-19 Ages 15-17 50 42.6 40 30 20 10 30.3 15.0 22.5 19.8 11.1 10.0 19.0 35 20.9 0 Northwest Northeast Metro Southeast Southwest Source: NMDOH, Bureau of Vital Records and Health Statistics 175
Teen Birth Rates by Urban and Rural Counties New Mexico, 2015-2017 15-19 15-17 Rural 17.7 33.7 Mixed Urban-Rural 20.1 41.7 Small Metropolitan 16.1 29.6 Metropolitan 10.7 22.1 0 10 20 30 40 50 Births per 1,000 female teens Source: NMDOH, Bureau of Vital Records and Health Statistics 176
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Percent Percentage of Births to Single Women New Mexico 2003-2017 and U.S., 2003-2016 60.0 New Mexico U.S. 40.0 20.0 0.0 Source: NMDOH, Bureau of Vital Records and Health Statistics; National Center for Health Statistics 177
Percent 100 Percentage of Births to Single Women by Health New Mexico, 2017 80 64.4 60 53.0 47.9 49.4 53.6 40 20 0 Northwest Northeast Metro Southeast Southwest Source: NMDOH, Bureau of Vital Records and Health Statistics 178
Expected Number of Years of Life Life Expectancy at Birth by Sex New Mexico, 2017 100 80 78.2 75.3 81.2 60 40 20 0 Total Male Female Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 179
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 78.8 0 20 40 60 80 100 Expected Number of Years of Life Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 180
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 78.5 0 20 40 60 80 100 Expected Number of Years of Life Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 181
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Life Expectancy at Birth New Mexico, 2003-2017 and U.S., 2003-2016 100 New Mexico U.S. 80 60 40 20 0 Source: NMDOH, New Mexico Indicator-Based Information system (NM IBIS); and ; CDC 182
Expected Number of Years of Life Life Expectancy at Birth by Health New Mexico, 2017 100 75 75.4 79.9 78.5 76.4 78.9 50 25 0 Northwest Northeast Metro Southeast Southwest Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 183
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Expected Number of Years of Life Life Expectancy Trend by Sex New Mexico, 2003-2017 100 Male Female 80 60 40 20 0 Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 184
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Expected Number of Years of Life Life Expectancy Trend by Race/Ethnicity New Mexico, 2003-2017 100 AIAN Hispanic White 80 60 40 20 0 Source: NMDOH, New Mexico Indicator-Based Information System (NM IBIS) 185
1930 1940 1950 1960 1970 1980 1990 2000 2005 2010 2014 2015 2016 2017 Infant Deaths per 1,000 live births Infant Mortality Rates New Mexico, 1930 2017 and U.S., 1930-2016 160 New Mexico U.S. 120 80 40 0 Source: NMDOH, Bureau of Vital Records and Health Statistics; NCHS 186
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Infant Deaths per 1,000 live births Infant Mortality Rates New Mexico, 2003-2017 and U.S., 2003-2016 8.0 New Mexico U.S. 6.0 4.0 2.0 0.0 Source: NMDOH, Bureau of Vital Records and Health Statistics; NCHS 187
Infant Deaths per 1,000 live births Infant Mortality Rates by Health New Mexico, 2017 10 8 7.7 6 5.6 6.1 5.2 4 3.4 2 0 Northwest Northeast Metro Southeast Southwest Source: NMDOH, Bureau of Vital Records and Health Statistics 188
Infant Mortality Rates by Urban and Rural Counties New Mexico, 2015-2017 Rural Counties 4.9 Mixed Urban/Rural Counties 5.6 Small Metro Counties 5.2 Metropolitan Counties 6.2 0 2 4 6 8 10 12 14 Infant Deaths per 1,000 Live Births Source: NM Vital Records and Health Statistics 189
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 5.1 0 2 4 6 8 10 Infant Deaths per 1,000 Live Births Source: NMDOH, Bureau of Vital Records and Health Statistics 190
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Deaths per 100,000 Population Total Death Rates New Mexico, 2006-2017 and U.S., 2006-2016 1000 New Mexico U.S. 800 600 400 200 0 Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC WONDER 191
Deaths per 100,000 Population Total Death Rates by Health New Mexico, 2017 900 867.2 848.3 800 700 653.3 742.9 729.2 600 500 400 300 200 100 0 Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 192
Total Death Rates by Urban and Rural Counties New Mexico, 2017 Rural Counties 769.7 Mixed Urban/Rural Counties 824.6 Small Metro Counties 675.9 Metropolitan Counties 742.9 0 100 200 300 400 500 600 700 800 900 Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 193
Total Death Rates by Race/Ethnicity and Sex New Mexico, 2017 Female Male AIAN 763.8 1236.8 API 416.3 399.1 Black or AA 791.0 934.7 Hispanic White 588.2 609.9 865.1 860.1 0 500 1,000 1,500 Deaths per 100,000 population Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 194
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 68.7 0 20 40 60 80 100 Deaths per 100,000 Population Source: NMDOH, Bureau of Vital Records and Health Statistics 195
Total Death Rates by Race/Ethnicity Ages 25-64 Years New Mexico, 2017 American Indian, Alaska Native 742.9 Asian, Pacific Islander 147.3 Black, African American 509.6 Hispanic 437.4 White 497.6 0 200 400 600 800 Deaths per 100,000 Population Source: NMDOH, Bureau of Vital Records and Health Statistics 196
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 3,721.5 0 1,000 2,000 3,000 4,000 5,000 Deaths per 100,000 Population Source: NMDOH, Bureau of Vital Records and Health Statistics 197
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
5 Leading Causes of Death New Mexico, 2017 and U.S., 2016 New Mexico United States Heart disease Cancer 150.3 165.5 137.3 155.8 Unintentional injuries Chronic lower respiratory diseases Cerebrovascular diseases 47.4 43.9 40.6 34.5 37.3 67.9 0 20 40 60 80 100 120 140 160 180 Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 199
Deaths per 100,000 Population 5 Leading Causes of Death Northwest, New Mexico, 2017 200 150 136.1 134.9 100 97.2 50 53.7 49.0 0 Heart disease Cancer Unintentional injury Chronic liver disease and cirrhosis Diabetes mellitus Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 200
Deaths per 100,000 Population 5 Leading Causes of Death Northeast, New Mexico, 2017 200 150 119.2 116.5 100 72.4 50 32.6 29.5 0 Cancer Heart disease Unintentional injuries CLRD Chronic liver disease and cirrhosis Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 201
Deaths per 100,000 Population 5 Leading Causes of Death Metro, New Mexico, 2017 200 150 147.5 142.7 100 63.7 50 46.5 39.7 0 Heart Disease Cancer Unintentional injuries CLRD CVD Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 202
Deaths per 100,000 Population 5 Leading Causes of Death Southeast, New Mexico, 2017 250 213.1 200 150 149.7 100 72.6 59.0 50 35.1 0 Heart disease Cancer Unintentional injuries CLRD Alzheimer's disease Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 203
Deaths per 100,000 Population 5 Leading Causes of Death Southwest, New Mexico, 2017 200 150 151.7 136.3 100 50 53.8 40.8 34.1 0 Heart disease Cancer Unintentional injuries CLRD CVD Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 204
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Deaths per 100,000 Population Heart Disease Death Rates New Mexico, 2003-2017 and U.S., 2003-2016 New Mexico U.S. 250 200 150 100 50 0 Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 205
Heart Disease Death Rates by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native 123.2 Asian, Pacific Islander 84.7 Black, African American 224.9 Hispanic 134.6 White 159.5 0 50 100 150 200 250 Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 206
Deaths per 100,000 Population Heart Disease Death Rates by Health New Mexico, 2017 250 213.1 200 150 136.1 116.5 147.5 151.7 100 50 0 Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 207
Heart Disease Death Rates by Urban and Rural Counties New Mexico, 2015-2017 Rural Counties 159.3 Mixed Urban/Rural Counties 170.9 Small Metro Counties 124.2 Metropolitan Counties 142.8 0 50 100 150 200 Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 208
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Death per 100,000 population Cancer Death Rates New Mexico, 2003-2017 and U.S., 2003-2016 New Mexico U.S. 200 150 100 50 0 Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 209
Cancer Death Rates by Race/Ethnicity New Mexico, 2017 American Indian, Alaska Native 124.3 Asian, Pacific Islander 91.3 Black, African American 157.6 Hispanic 135.0 White 139.8 0 50 100 150 200 Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 210
Deaths per 100,000 Population Cancer Death Rates by Health New Mexico, 2017 200 150 134.9 119.2 142.7 149.7 136.3 100 50 0 Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 211
Cancer Death Rates by Urban and Rural Counties New Mexico, 2015-2017 Rural Counties 148.4 Mixed Urban/Rural Counties 146.3 Small Metro Counties 125.7 Metropolitan Counties 141.2 0 50 100 150 200 Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 212
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Deaths per 100,000 Population Chronic Lower Respiratory Disease Death Rates New Mexico, 2003-2017 and U.S., 2003-2016 75 New Mexico U.S. 50 25 0 Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 213
Deaths per 100,000 Population Chronic Lower Respiratory Disease Death Rates by Health New Mexico, 2017 75 59.0 50 39.3 32.6 46.5 40.8 25 0 Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 214
Chronic Lower Respiratory Disease Death Rates by Urban and Rural Counties New Mexico, 2015-2017 Rural Counties 52.7 Mixed Urban/Rural Counties 50.6 Small Metro Counties 33.9 Metropolitan Counties 44.7 0 25 50 75 Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 215
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Death per 100,000 population Cerebrovascular Disease Death Rates New Mexico, 2003-2017 and U.S., 2003-2016 New Mexico U.S. 75 50 25 0 Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 216
Deaths per 100,000 Population 75 Cerebrovascular Disease Death Rates by Health New Mexico, 2017 50 25 30.4 25.9 39.7 34.0 34.1 0 Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 217
Cerebrovascular Disease Death Rates by Urban and Rural Counties New Mexico, 2015-2017 Rural Counties 29.1 Mixed Urban/Rural Counties 32.9 Small Metro Counties 32.3 Metropolitan Counties 36.7 0 25 50 75 Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 218
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Death per 100,000 population Diabetes Death Rates New Mexico, 2003-2017 and U.S., 2003-2016 New Mexico U.S. 50 40 30 20 10 0 Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 219
Deaths per 100,000 Population Diabetes Death Rates by Health New Mexico, 2017 50 49.0 40 30 20 21.9 23.6 30.4 23.0 10 0 Northwest Northeast Metro Southeast Southwest Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 220
Diabetes Death Rates by Urban and Rural Counties New Mexico, 2015-2017 Rural Counties 31.7 Mixed Urban/Rural Counties 34.8 Small Metro Counties 22.9 Metropolitan Counties 21.3 0 10 20 30 40 50 Deaths per 100,000 Population Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics 221
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Deaths per 100,000 Population Injury Death Rates New Mexico, 2003-2017 and U.S., 2003-2016 New Mexico U.S. 120 100 80 60 40 20 0 Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 222
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Deaths per 100,000 Population Suicide Rates New Mexico, 2003-2017 and U.S., 2003-2016 New Mexico U.S. 25 20 15 10 5 0 Rates have been age-adjusted to the standard U.S. 2000 population Source: NMDOH, Bureau of Vital Records and Health Statistics; CDC 223
Rate per 100,000 population Suicide Rates by Age Group New Mexico, 2017 40 30 32.3 29.6 27.1 33.2 29.7 26.3 37.2 20 19.5 10 0 1.7 Age Source: NMDOH, Bureau of Vital Records and Health Statistics 224