A Presentation of the Colorado Health Institute A profile of your community’s health May 4, 2009...
59
A Presentation of the Colorado Health Institute A profile of your community’s health May 4, 2009 CHI Webinar June 22, 2011
-
Upload
tavion-gunnin -
Category
Documents
-
view
212 -
download
0
Transcript of A Presentation of the Colorado Health Institute A profile of your community’s health May 4, 2009...
A Presentation of the Colorado Health Institute
A profile of your community’s health
May 4, 2009
CHI WebinarJune 22, 2011
2
A Brief Introduction to CHICHI is a trusted and leading source of credible health information for Colorado leaders. Our insight is used to:– Inform policy– Contribute to effective implementation– Support state efforts to improve health
Access Quality Value Prevention
Introduction to Webinar
• How do I ask questions during the webinar?
• Recorded webinar and PowerPoint slides will be available after the webinar.
• Special thanks to the Colorado Health Foundation
4
Your presenter
Jeff Bontrager
Director of Research on Coverage and
Access
Colorado Health Institute
Guiding questions for this presentation
• What health concerns do you hear in your communities?
• What determines health?• What data and resources
are available to help you understand your community’s health? 5
To start things off…
…a question for you:
What are the primary health concerns that you hear from people in your community?
6
Three resources discussed today
7
8
Straw poll
On a scale of 1 – 5, how would you rate the health of the residents in your community?
9
Poor Health
Great Health
1 2 3 4 5
What determines health?
What determines health?
10
Health Determinants
Health behaviors (30% of
determinants)
Tobacco use
Diet and exercise
Alcohol use
High risk sexual behavior
Clinical care (20% of
determinants)
Access to care
Quality of care
Social and economic factors
(40% of determinants)
Education
Employment
Income
Family & social support
Community safety
Physical environment
(10% of determinants)
Environmental quality
Built environment
Source: University of Wisconsin Population Health Institute, 2010 County Health Rankings
HEALTH BEHAVIORS
11
Health Determinants
Health behaviors (30% of
determinants)
Tobacco use
Diet and exercise
Alcohol use
High risk sexual behavior
Clinical care (20% of
determinants)
Access to care
Quality of care
Social and economic factors
(40% of determinants)
Education
Employment
Income
Family & social support
Community safety
Physical environment
(10% of determinants)
Environmental quality
Built environment
HEALTH BEHAVIORS12
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS 1985
Source: Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention
Obesity Trends* Among U.S. AdultsBRFSS 1986
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS 1987
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS 1988
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS 1989
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS 1991
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS 1991
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS 1992
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS 1994
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS 1996
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS 1997
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS 1998
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS 1999
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS 2001
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
Obesity Trends* Among U.S. AdultsBRFSS 2002
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS 2003
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS 2004
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS 2006
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS 2007
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS 2009
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
2010 Colorado rankings: Focus on physical activity
39
Health indicator Value and rank
School-age children who participated in vigorous physical activity for four or more days per week
64%34th
Adolescents who participated in vigorous physical activity on three to five (or more) of the past seven days
47%10th
Adults who participated in any physical activity within the past month
84%4th
Older adults who participated in any physical activity in the past 30 days
75%1st
Source: The Colorado Health Foundation, Grading Our Progress, 2011
40
Smoking and obesity among Colorado adults, 1996-2009
41
199619971998199920002001200220032004200520062007200820095
10
15
20
25
Adult smokers Obese adults
Perc
en
t
Source: Colorado Behavioral Risk Factor Surveillance System, Health Statistics Section, CDPHE
CLINICAL CARE
42
Health DeterminantsHealth behaviors (30% of determinants)Tobacco use
Diet and exercise
Alcohol use
High risk sexual behaviorClinical care
(20% of determinants)Access to care
Quality of careSocial and economic factors
(40% of determinants)Education
Employment
Income
Family & social support
Community safetyPhysical environment (10% of determinants)Environmental quality
Built environment
CLINICAL CARE43
Health insurance coverage
For most people living in the U.S., health insurance provides the mechanism by which to gain access to health care…
44
45
Access vs. coverage
For most people living in the U.S., health insurance provides the mechanism by which to gain access to health care…
46
…however,Not everybody who has coverage, has
accessNot everybody who lacks coverage,
lacks access
CHI inventory of safety net providers
– Community and public hospital emergency departments
– Community health centers (federally-qualified health centers)
– Community-funded/community-based clinics and family practice residency programs
– Rural health clinics– School-based health centers– Low-income dental clinics and public oral health
programs– Community mental health centers– Migrant health centers– Local health departments
47
Safety Net Map
SOCIAL AND ECONOMIC FACTORS
49
Health DeterminantsHealth behaviors (30% of determinants)Tobacco use
Diet and exercise
Alcohol use
High risk sexual behaviorClinical care
(20% of determinants)Access to care
Quality of careSocial and economic factors
(40% of determinants)Education
Employment
Income
Family & social support
Community safetyPhysical environment (10% of determinants)Environmental quality
Built environment
SOCIAL AND ECONOMIC FACTORS 50
51
2011 COUNTY HEALTH RANKINGS
52
Robert Wood Johnson FoundationUniversity of Wisconsin Population Health Institute
53
AGING OF THE POPULATION
54
55
56
Resources
• CHI Regional Profiles: http://www.coloradohealthinstitute.org/Publications/2010/04/Regional-profiles.aspx
• 2010 Colorado Health Report Card: www.coloradohealthreportcard.org
• 2010 County Health Rankings: www.countyhealthrankings.org
• Colorado Department of Public Health and Environment: – Colorado Health Data:
http://www.cdphe.state.co.us/hs/datahome.html • Bringing Health Home Learning Collaborative Webinars
(hosted by Engaged Public)• 2008-09 Colorado Household Survey:
www.coloradohealthinstitute.org/cohs • Colorado Demography Office:
http://dola.colorado.gov/demog/
57
58
Our next webinar
The Colorado Health Insurance Exchange
July 20th from noon-1pm
Presenter:
Joan Henneberry
Planning Director of the Colorado
Health Insurance Exchange
Register at:www.coloradohealthinstitute.org/webinars
Contact Information
Jeff Bontrager, MSPHDirector of Research on Coverage and
720.382.7075
www.coloradohealthinstitute.org
@CoHealthInst facebook.com/ColoradoHealthInstitute 303.831.4200
