Colorado Health Disparities Profiles

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Health Disparities Profiles includes: Larimer County Population Total Population Source: CDC/NCHS 2007-based, bridged-race population estimates, 2007. Social Determinants of Health 287,574 248,312 26,629 3,874 6,230 2,529 4,861,515 3,508,736 909,833 228,718 150,112 64,116 Poverty Status: % of population below Federal Poverty Level in 1999 (adjusted for family size) 8.3 15.9 13.1 16.9 6.5 18.9 16.3 11.2 18.3 19.6 Educational Attainment: % educational attainment among population age 25 years and over Male Female Male 1.3 4.4 20.3 23.8 6.8 26.2 17.3 1.4 4.6 22.1 25.8 7.8 25.9 12.4 16.5 17.0 26.7 17.0 5.5 12.1 5.2 1.9 5.9 21.5 24.2 6.9 25.1 14.4 1.9 6.0 23.9 26.1 7.6 23.7 10.8 23.8 20.2 25.2 16.3 4.4 6.9 3.2 Page 1 of 14

Health Disparities Profiles includes: Larimer County Social Determinants of Health - continued Female Male Female Male : Female 15.3 18.9 24.4 19.0 4.8 14.0 3.6 2.1 7.5 9.9 32.5 9.0 23.4 15.7 4.7 0.0 15.5 27.0 12.4 22.7 17.6 4.2 1.7 5.2 17.5 3.8 22.8 44.8 6.5 6.9 9.7 14.4 6.0 32.1 24.4 19.9 19.7 26.8 18.0 4.8 7.5 3.4 2.3 13.3 26.7 28.6 8.8 13.7 6.6 3.5 12.2 25.0 29.9 8.8 13.9 6.7 7.0 7.8 15.8 15.8 6.0 24.7 22.9 10.6 10.2 21.1 14.3 6.5 24.4 12.8 Page 2 of 14

Health Disparities Profiles includes: Larimer County Social Determinants of Health - continued Male Female Source: 2000 Census, United States Census Bureau, Summary File 3. Educational attainment estimates based on population age 25 years and over. 6.0 11.2 28.8 26.9 11.4 4.8 10.7 5.0 10.3 22.5 28.0 15.4 14.0 4.8 8.8 16.8 27.7 26.1 6.7 9.2 4.6 6.9 14.9 27.1 28.1 8.6 10.1 4.4 High School Graduation Rates: % of students in class who graduated high school Total Population Female (all races/ethnicities) Male (all races/ethnicities) Source: Department of Education, Class of 2007. 81.7 83.5 80.0 84.7 60.5 78.0 87.5 62.9 75.0 78.6 71.5 82.1 57.1 65.4 83.5 58.9 Perinatal and Infant Health Live Births: Average annual number of live births 2,723 592 26 97 21 41,749 21,286 3,099 2,483 613 Page 3 of 14

Health Disparities Profiles includes: Larimer County Perinatal and Infant Health - continued Teen Fertility: Rate of live births to women age 15-17 per 1,000 women age 15-17 8.2 66.8 13.1 8.1 13.4 10.2 69.2 28.6 11.6 23.2 Adequate Prenatal Care: % of live births to mothers who received Adequate Prenatal Care 72.6 60.3 65.4 64.5 63.6 72.1 56.9 58.9 66.7 55.2 Low Birth Weight: % of live births weighing less than 2,500 grams 7.8 8.4 10.7 8.1 9.3 8.8 8.5 15.3 10.3 9.9 Infant Mortality: Rate of infant deaths (under 1 year of age) per 1,000 live births Source: Vital Statistics Unit, Health Statistics Section, CDPHE, 2003-2007. Indicates fewer than three events in category. 'Adequate Prenatal Care' is defined here as scoring 'Adequate' or 'Adequate Plus' using the Kotelchuck Adequacy of Prenatal Care Utilization Index. 4.6 7.4 5.0 7.4 15.4 4.3 4.9 Child Health Health Insurance: % of children age 1-14 who had any type of health insurance coverage Regular Doctor: % of children age 1-14 who had a regular health care provider 97.7 71.3 93.6 74.3 92.9 92.6 83.4 67.4 62.5 68.4 72.2 62.5 Page 4 of 14

Health Disparities Profiles includes: Larimer County Child Health - continued Physical Activity: % of children age 5-14 who engaged in physical activity 5+ hours/week 69.8 75.2 69.9 75.8 71.9 59.6 Television Viewing: % of children age 5-14 who viewed television <2 hours per day 87.5 84.3 75.7 63.0 78.7 78.6 Nutrition: % of children 1-14 who ate 5+ servings of fruits and vegetables per day 27.7 27.7 30.7 34.7 30.9 28.8 Food Insecurity: % of households with children age 1-14 that 'often' or 'sometimes' relied on lowcost foods in past year 23.4 20.4 49.0 34.4 15.1 57.6 Overweight/Obese: % of children age 2-14 who were overweight or obese Behavioral or Mental Health Problem: 25.7 % of parents who reported behavioral or mental health problems in their children age 1-14 24.7 22.7 35.9 44.9 17.1 43.1 26.0 31.2 34.9 26.3 40.6 Source: Child Health Survey, Health Statistics Section, CDPHE, 2003-2007. Indicates fewer than 50 respondents in subgroup. Page 5 of 14

Health Disparities Profiles includes: Larimer County Adolescent Health (Grades 9-12) Current Cigarette Use: % of students who smoked cigarettes on 1+ days in the past 30 days, non- All Other Races 17.7 21.6 Current Marijuana Use: % of students who used marijuana 1+ times during the past 30 days, non- All Other Races 22.3 27.1 Binge Drinking: % of students who had 5+ alcoholic drinks in a row on 1+ of past 30 days, non- All Other Races Driving with Someone Who Had Been Drinking Alcohol: % of students who, during the past 30 days, rode in a vehicle driven by someone who had been drinking, non- All Other Races 32.7 37.9 20.8 42.1 Nutrition: % of students who ate 5+ servings of fruits and vegetables per day during past 7 days, non- All Other Races 26.7 26.6 Overweight/Obese: % of students who were overweight or obese, non- All Other Races 13.7 28.2 Physical Activity: % of students who were physically active 60+ minutes per day on 5 or more of past 7 days, non- All Other Races Source: Youth Risk Behavior Survey, Dept. of Education, 2007. Indicates fewer than 100 respondents in subgroup. 45.3 43.7 Page 6 of 14

Health Disparities Profiles includes: Larimer County Adult Health Health Care Coverage: % of adults who reported they had any kind of health care coverage 88.3 52.2 General Health Status: % of adults who reported that their general health was 'fair' or 'poor' 7.1 25.9 Physical Health: Average number of days in past 30 days in which physical health was reported as 'not good' 89.2 57.3 82.5 84.4 68.1 9.3 24.3 15.0 7.7 24.6 2.7 2.9 4.2 Mental Health: Average number of days in past 30 days in which mental health was reported as 'not good' 2.8 3.0 1.7 4.5 Physical Inactivity: % of adults who reported no leisure time physical activity in past 30 days Nutrition: % of adults who reported they ate 5+ servings of fruits and vegetables per day 2.6 3.8 11.2 21.9 27.3 27.7 2.9 3.2 3.9 2.2 4.4 14.2 32.2 22.9 20.6 25.4 25.5 22.2 17.8 26.9 20.7 Page 7 of 14

Health Disparities Profiles includes: Larimer County Adult Health - continued Overweight/Obese: % of adults who were overweight (BMI 25-29) or obese (BMI 30+) Binge Drinking: % of adults who reported binge drinking (males 5+/females 4+ drinks on one or more occasions) in past 30 days 49.5 61.2 52.7 62.6 59.5 33.3 64.3 17.9 16.6 10.5 High Cholesterol: % of adults who had been told by a doctor that they have high cholesterol 36.4 35.2 Hypertension: % of adults who had been told by a doctor that they have high blood pressure 18.3 14.4 Diabetes: % of adults who had been told by a doctor that they have diabetes 3.8 2.4 Arthritis: % of adults who had been told by a doctor that they have arthritis 23.8 11.6 17.8 14.0 13.3 22.7 33.8 29.1 29.8 29.4 28.0 21.4 15.6 28.3 13.5 17.7 4.5 5.1 7.8 4.7 6.9 26.1 13.9 21.5 16.6 24.2 Page 8 of 14

Health Disparities Profiles includes: Larimer County Adult Health - continued Asthma Prevalence: % of adults who had been told by a doctor they currently have asthma Flu Vaccine: % of adults age 65 and over who reported having received a flu shot/vaccine in the past 12 months 8.8 4.0 8.5 5.2 9.7 5.4 8.4 76.4 48.6 76.1 73.5 63.6 76.9 69.9 Pneumonia Vaccine: % of adults age 65 and over who reported ever having received a pneumococcal shot/vaccine 73.6 39.9 71.2 58.2 69.1 58.2 73.6 Colorectal Cancer Screening: % of adults age 50 and over who reported they have ever had a colonoscopy or sigmoidoscopy 65.1 54.7 43.3 48.0 52.6 44.5 Breast Cancer Screening: % of adult women age 50 and over who reported they have had a clinical breast exam or mammogram in the past 2 years 79.8 71.7 69.1 73.1 81.1 71.3 Cervical Cancer Screening: % of adult women who reported they have ever had a pap smear test Source: Behavioral Risk Factor Surveillance System (BRFSS) Survey, Health Statistics Section, CDPHE, 2003-2007. Indicates fewer than 50 respondents in subgroup. 94.8 93.9 93.2 91.0 75.7 98.6 Page 9 of 14

Health Disparities Profiles includes: Larimer County Tobacco Use Among Adults Current Smoker: % of adults who reported that they currently smoke 13.3, non- All Other Races (non-) Former Smoker: % of adults who reported that they used to smoke 19.4, non- All Other Races (non-) Cigarettes Per Day: Reported number of cigarettes smoked per day among current smokers 15.6 22.8 19.4 25.8 21.6 13.8 16.3 14.7 Light (1-9/Day), non- All Other Races (non-) Moderate (10-24/Day), non- All Other Races (non-) Heavy (25+/Day) White, non-hispanic/latin, non- All Other Races (non-) Smoked More Previously: % of current smokers who reported they used to smoke more than they do now 27.7 64.5 7.8 25.0 42.6 43.5 30.4 60.4 54.8 54.6 57.8 14.6 2.6 1.9 11.8, non- All Other Races (non-) Smokeless Tobacco: % of adults who reported that they currently use smokeless tobacco, non- All Other Races (non-) Quit Attempts: % of smokers who reported at least one quit attempt in the past 12 months, non- All Other Races (non-) 70.2 1.6 65.9 68.2 57.0 64.5 57.4 2.5 1.9 0.1 1.8 62.0 76.6 73.9 63.1 Page 10 of 14

Health Disparities Profiles includes: Larimer County Tobacco Use Among Adults - continued Doctor's Advice: % of smokers who reported their doctor has advised them to quit smoking : :, non-: All Other Races (non-): Rules Concerning Smoking In Home: Smoking Is Allowed Everywhere, non- All Other Races (non-) Smoking Is Allowed Sometimes/Some Places, non- All Other Races (non-) Smoking Is Not Allowed, non- All Other Races (non-) Other (Not Known Or No Rules), non- All Other Races (non-) Source: Tobacco Attitudes and Behaviors Survey (TABS), State Tobacco Education and Prevention Partnership, 2005. Indicates fewer than 50 respondents in subgroup. 59.1 4.3 9.9 85.4 0.4 58.5 55.5 59.1 65.5 7.5 6.3 9.0 8.7 9.7 13.9 11.3 13.2 82.1 79.1 79.5 77.2 0.7 0.8 0.3 0.9 Cancer Incidence All Cancers Combined: Age-adjusted incidence rate of all cancers per 100,000 population 465.1 429.5 185.9 460.2 405.2 419.8 282.7 146.0 Colon and Rectum: Age-adjusted incidence rate of colorectal cancer per 100,000 population 50.7 55.5 45.4 50.3 43.2 33.3 18.8 Page 11 of 14

Health Disparities Profiles includes: Larimer County Cancer Incidence - continued Lung and Bronchus: Age-adjusted incidence rate of lung and bronchus cancers per 100,000 population 51.1 54.3 45.2 62.7 36.5 18.3 Female Breast: Age-adjusted incidence rate of female breast cancer per 100,000 women in population 132.9 113.0 132.4 102.3 97.9 69.3 36.8 Prostate: Age-adjusted incidence rate of prostate cancer per 100,000 men in population 169.7 148.5 164.1 133.8 210.0 62.7 Source: Central Cancer Registry, CDPHE, 2001-2005. Indicates fewer than 20 events in category. For questions or assistance in interpreting these cancer incidence statistics, please contact the Central Cancer Registry at (303) 692-2540 or by email at cdphe.pscaregistry@state.co.us Mortality Heart Disease: Age-adjusted rate of mortality due to heart disease per 100,000 population 146.9 111.7 56.1 160.7 141.0 179.7 70.4 103.2 Malignant Neoplasms: Age-adjusted rate of mortality due to cancer per 100,000 population 151.9 159.6 227.5 69.5 129.4 160.4 145.7 185.5 113.7 91.8 Page 12 of 14

Health Disparities Profiles includes: Larimer County Mortality - continued Chronic Lower Respiratory Disease: : : Age-adjusted rate of mortality due to chronic lower respiratory diseases per 100,000 population 33.9 11.4 53.6 34.3 : : : Unintentional Injury: Age-adjusted rate of mortality due to unintentional injuries per 100,000 population 35.4 13.7 27.2 : : : : : Cerebrovascular Disease/Stroke: Age-adjusted rate of mortality due to cerebrovascular disease/stroke per 100,000 population : : 35.7 59.8 18.4 19.6 44.3 52.2 42.0 46.6 39.6 19.9 41.4 41.8 44.0 : : 27.2 : Alzheimer's Disease: Age-adjusted rate of mortality due to Alzheimer's disease per 100,000 population 55.9 38.6 18.0 : : : : : Diabetes Mellitus: Age-adjusted rate of mortality due to diabetes per 100,000 population : : : : : Influenza or Pneumonia: Age-adjusted rate of mortality due to influenza or pneumonia per 100,000 population : : : : : 21.7 14.6 16.7 47.7 47.3 13.3 12.5 28.1 19.2 28.2 11.4 13.8 15.2 38.7 28.0 13.3 36.6 17.2 16.7 17.2 9.5 10.4 Page 13 of 14

Health Disparities Profiles includes: Larimer County Mortality - continued Suicide: Age-adjusted rate of mortality due to suicide per 100,000 population : : : : : 15.2 10.4 17.9 9.8 9.7 9.0 9.4 Chronic Liver Disease: Age-adjusted rate of mortality due to chronic liver disease per 100,000 population : : : : : Source: Vital Statistics Unit, Health Statistics Section, CDPHE, 2005-2007. Indicates fewer than three events in category. 7.4 13.8 8.3 23.0 7.2 3.7 17.5 NOTES: An '' in a field indicates the respective measure has been suppressed due to privacy, confidentiality, and/or statistical considerations per the data suppression policy of the respective data sources. An '' in a field indicates data not available. Suggested citation: Health Disparities Profiles, Health Statistics Section, Department of Public Health and Environment. To view this profile on the Internet, or to obtain profiles for additional counties or regions, please visit the Health Data page at www.cdphe.state.co.us/hs/datahome.html, and select 'Health Disparities Data' in the contents bar. For more information, please contact the Health Statistics Section, Department of Public Health and Environment, at (303) 692-2160 or by email at health.statistics@state.co.us Page 14 of 14