El Paso County Health IndicatorsEl Paso County Health Indicators

Draft Summary

Prepared by El Paso County Public Health Epidemiology ProgramDecember 6, 2011

The data included in the following slides have been compiled by the Epidemiology Program at El Paso County Public Health (EPCPH).

Data are still considered PRELIMINARY and are subject to change. Preparation of a full written report is underway and will be made

available in the near future.

If you have questions regarding the data, please contact the EPCPH Epidemiology Program at 719-575-8988.

A state of complete physical, mental, and social well-being and not merely the absence of disease or well-being and not merely the absence of disease or infirmity.

Source: Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19 June - 22 July 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.

Medical Model of “Diagnostic” Healthcare

Healthcare provider

Patient

Symptoms

Illness Evaluation

Treatment/Intervention

Improved Health

Public Health Model of Population Health

Public Health Evaluator

Population

Descriptive/Analytic Epidemiology

Health Indicators/Comparisons

Identify health issues/

Partnerships for interventions

Improved Health

What is a Community Health Assessment (CHA)?

• An analytic process intended to describe the health of the community and identify issues that cause

▫ Illness or lack of wellness▫ Illness or lack of wellness

▫ Hospitalizations

▫ Injury

▫ Loss of quality of life

▫ Death

▫ Health inequities

Outcomes of CHA

• What does CHA do?▫ Provides objective measures of health behaviors, health outcomes, illness and death

▫ “Tells it like it is”

▫ Find emerging issues, trends▫ Find emerging issues, trends

▫ Goes beyond just access to health care

• What doesn’t CHA do?▫ Make judgments

▫ Define capacity to change health

▫ Prioritize resources

Steps for Communities after CHA

• Ascertain assets & capacity to address population health issues and inequities

• Identify potential solutions

• Focus on certain health issues

• Allocate resources and implement solutions

• Evaluate interventions and outcomes

• Reassess…..

El Paso County CHA

• Standard and validated sources of data

▫ U.S. Census

▫ Colorado Demography Office▫ Colorado Demography Office

▫ Colorado Department of Public Health and Environment birth and death records

▫ Well established health surveys for adults, adolescents and children

▫ Hospitalization data

• Public health priorities with large-scale, measurable impact on health and the environment, for which there are strategies for change

Public Health Winnable Battles

change

Colorado Winnable Battles

Colorado Department of Public Health and Environment (CDPHE)

• Clean Air• Clean Water• Infectious Disease Prevention• Infectious Disease Prevention• Injury Prevention• Mental Health & Substance Abuse• Obesity• Oral Health• Safe Food• Tobacco Use• Unintended Pregnancy

Health EquityAn Explanatory Model for Conceptualizing the Social Determinants of Health

NATIONAL INFLUENCES

GOVERNMENT POLICIES

U.S. CULTURE & CULTURAL NORMS

LIFE COURSE HEALTH

FACTORS =POPULATION

OUTCOMESSOCIAL DETERMINANTS OF

HEALTH +

HEALTHACCESS ,

PREGNANCY

EARLY

CHILDHOOD

CHILDHOOD

ADOLESCENCE

ADULTHOOD

OLDER ADULTS

QUALITY OF LIFE

MORBIDITY

MORTALITY

LIFE EXPECTANCY

ECONOMIC

OPPORTUNITY

PHYSICAL

ENVIRONMENT

SOCIAL

FACTORS

• Income

• Employment

• Education

• Housing

Built

Environment

– Recreation

– Food

–Transportation

Environmental

quality

– Housing

– Water

– Air

Safety

• Participation

• Social support

• Leadership

• Political

influence

• Organizational

networks

• Violence

• Racism

HEALTH

BEHAVIORS &

CONDITIONS

MENTAL

HEALTH

ACCESS ,

UTILIZATION

& QUALITY

CARE

• Nutrition

• Physical

activity

• Tobacco use

• Skin cancer

• Injury

• Oral health

• Sexual health

• Obesity

• Cholesterol

• High blood

pressure

• Mental health

status

• Substance

abuse

• Functional

status

• Health

insurance

coverage

• Received

needed care

• Provider

availability

• Preventive

care

Source: Colorado Department of Public Health and Environment

Demographic CharacteristicsDemographic Characteristics

Demographics, El Paso County 2010

• 622,263 residents

▫ Sex

� 50.2% female

� 49.8% male

• Median age: 34.1 years

160,400

62,051

45 to 64

65 and Over

▫ Race/Ethnicity

� 72% non-Hispanic white

� 15% Hispanic, all races

� 6% Black

� 7% non-Hispanic other

Source: U.S. Census Bureau. 2010 Census, Table DP-1.

162,676

68,025

169,111

0 10 20 30

Under 18

18 to 24

25 to 44

Percent

Population density, by census tract El Paso County 2000

Source: U.S. Census Bureau. 2000 Census, Table GCT-PH1.

Hispanic population, by census tract El Paso County 2005-2009

Source: U.S. Census Bureau. 2005-2009 American Community Survey (ACS), Table B03002.

Black, non-Hispanic population, by census tract, El Paso County 2005-2009

Source: U.S. Census Bureau. 2005-2009 ACS, Table B03002.

Income and education, El Paso County 2010

Annual Household IncomeEducational Attainment in adults 25+

$75,000+Some college or more

Sources: U.S. Census Bureau. 2010 American Community Survey, Table DP03; U.S. Census Bureau. 2010 American Community Survey, Table DP02.

0 10 20 30 40

<$25,000

$25,000-$49,999

$50,000-$74,999

Percent of Households

0 20 40 60 80

Less than high school

High school graduate

Percent

Median household income, by census tractEl Paso County 2005-2009

Source: U.S. Census Bureau. 2005-2009 ACS, Table S1903.

Percent of families below poverty, by census tract, El Paso County 2005-2009

Source: U.S. Census Bureau. 2005-2009 ACS, Table S1702.

Percent of adults 25+ with less than a high school degree, by census tract, El Paso County 2005-2009

Source: U.S. Census Bureau. 2005-2009 ACS, Table S1501.

General Health StatusGeneral Health Status

Self-reported general health status of adults, aged 18+, 2010

25

30

35

40

45

Percen

t

El Paso County

Colorado

United States

0

5

10

15

20

25

Poor Fair Good Very Good Excellent

Percen

t

General Health Status

Source: CDPHE Health Statistics Section. 2010 Behavioral Risk Factor Surveillance System (BRFSS).

Life expectancy and healthy life expectancy, by race/ethnicity, Colorado 2008-10

The difference between life

expectancy and

80.0

71.0

80.2

73.0

79.2

76.8

70

75

80

85

Source: CDPHE Health Statistics Section.

expectancy and healthy life

expectancy are the reduction in years related to poorer health.

61.1

64.0

50

55

60

65

70

Life expectancy

Healthy life expectancy

Life expectancy

Healthy life expectancy

Life expectancy

Healthy life expectancy

Life expectancy

Healthy life expectancy

Total White, non-Hispanic White, Hispanic Black/African American

Years

Top 10 causes of death El Paso County, 2007-2009

Rank Cause of deathDeaths per 100,000

population1 Cancer 128.5

2 Heart disease 113.6

3 Unintentional injury 38.7

4 Chronic lower respiratory 38.04 Chronic lower respiratory diseases

38.0

5 Cerebrovascular disease 33.1

6 Suicide 18.6

7 Alzheimer’s disease 15.6

8 Diabetes mellitus 12.8

9 Chronic liver disease and cirrhosis

9.7

10 Influenza and pneumonia 9.4

Source: CDPHE. Colorado Health Information Dataset (CoHID): 2007-2009 Death Data.

Note: the above data reflects crude mortality rates only. Age-adjusted rates are available for comparison to other populations.

Age-group specific leading causes of death El Paso County 2007-2009

Ages 1-14

1. Accidents2. Homicide3. Malignant Neoplasms4. Heart Disease5. Congenital Malformations &

Chromosomal Abnormalities

Ages 15-24

1. Accidents2. Suicide3. Homicide4. Malignant Neoplasms5. Heart Disease

Ages <1

1. Congenital Malformations & Chromosomal Abnormalities

2. Length of Gestation & Fetal Malnutrition

3. SIDS4. Complications of

Pregnancy, Labor, & Delivery

Source: CDPHE Health Statistics Section.

Ages 25-44

1. Accidents2. Suicide3. Malignant Neoplasms4. Heart Disease5. Homicide

Ages 45-64

1. Malignant Neoplasms2. Heart Disease3. Accidents4. Suicide5. Chronic Liver Disease &

Cirrhosis

Ages 65+

1. Malignant Neoplasms2. Heart Disease3. Chronic Lower Respiratory

Diseases4. Cerebrovascular Diseases5. Alzheimer’s Disease

Pregnancy, Labor, & Delivery5. Blood-related Disorders

Access to Health CareAccess to Health Care

� Uninsured individuals are less likely to receive medical care, and more likely to experience poor health and premature death

Source: Healthy People 2020.

Health insurance coverage, by type El Paso County 2011

Uninsured12.5%

Other0.5%

Private5.0%

CHP+0.9%

Among those who had coverage for the past

year, 12.3% were considered to be underinsured – had

Source: Colorado Health Access Survey. 2011. Denver, CO: The Colorado Trust.

Medicaid8.8%

Medicare8.9%

Employer-sponsored

63.6%

to be underinsured – had plans which did not

adequately cover the cost of medically necessary services relative to family income.

Enrollment for public insurance El Paso County 2009

Program Age group Total # Eligible Not Enrolled

Medicaid≤18 years 32,396

1,887

(5.8%)

3,104 19-64 years 12,659

3,104

(24.5%)

CHP+≤18 years 8,462

2,325

(27.5%)

Source: Colorado Health Institute (CHI). 2009 Uninsured, Health Coverage and Access Data.

Child Health Plan Plus (CHP+) is health insurance coverage for low-income children and pregnant women whose family income is

too high to qualify for Medicaid.

Usual source of care by insurance statusEl Paso County 2011

50

60

70

80

Percen

t

Community health center or other public clinic

0

10

20

30

40

Insured Uninsured

Percen

t

Insurance Status

Doctor's office or private clinic

Hospital emergency room or urgent care center

Some other type of place

Source: Colorado Health Access Survey. 2011. Denver, CO: The Colorado Trust.

Health screening of adults by insurance status Colorado 2009 & 2010

Sigmoidoscopy or colonoscopy ever, age 50+ (2010)

Cholesterol screening in past five years, age 18+ (2009)

Source: CDPHE Health Statistics Section. 2009-2010 Behavioral Risk Factor Surveillance System (BRFSS).

0 50 100

Clinical breast exam and mammogram in past two years, female age 50+

(2010)

Pap smear in past three years, female age 18+ (2010)

PSA test in past two years, male age 40+ (2010)

Percent

Uninsured

Insured

Diet, physical activity, and

healthy weighthealthy weight

� Body mass index (BMI) is a widely used measure of unhealthy (over)weight, as defined by:

�A BMI of 25 or greater for adults

�A BMI at or above the 85th BMI-for-age percentile for children and adolescents

� The annual medical expenses associated with obesity in the U.S. have nearly doubled over a decade and are now estimated at $147 billion

Sources: Centers for Disease Control and Prevention (CDC). Defining Overweight and Obesity.; Finkelstein, E.A., Trogdon, J.G., Cohen, J.W., & Dietz, W. (Sep 2009). Annual medical spending attributable to obesity: Payer- and service-specific estimates. Health Affairs, 28 (5):w822-w831.

Prevalence of obesity (BMI ≥30) among adults aged 18+

Prevalence of adult obesity in

15

20

25

Percen

t

Sources: CDC. 1995-2002 Behavioral Risk Factor Surveillance System (BRFSS): Prevalence and Trends Data; CDPHE Health Statistics Section. CoHID: 2003-2010 BRFSS.

adult obesity in Colorado has doubled since

1995

0

5

10Percen

t

Year

El Paso County

Colorado

Proportion of population with unhealthy weightEl Paso County 2009-2010

� 3 out of every 5 adults are at an unhealthy weight40

50

60

70

Percen

t

unhealthy weight

� 1 out of every 5 adults is obese

�Nearly 1 out of 4 children are at unhealthy weight

0

10

20

30

Children (2010)* Adolescents (2009)* Adults (2009-10)

Percen

t

Age Group

Overweight

Obese

Sources: CDPHE Health Statistics Section. 2010 Colorado Child Health Survey; 2009 Youth Risk Behavior Survey (YRBS); and 2009-10 BRFSS.

Prevalence of adults aged 18+ who are obese, by race/ethnicity, income and education El Paso County 2009-2010

$50,000+

< High School

High School Graduate

Some College or More

An

nu

al

Hou

seh

old

In

com

eE

du

cati

on

al

Att

ain

men

t

Source: CDPHE Health Statistics Section. 2009-2010 BRFSS.

0 5 10 15 20 25 30 35 40 45

White

Hispanic

Black

Other

< $25,000

$25,000-$49,999

Race/E

thn

icit

y

An

nu

al

Hou

seh

old

In

com

e

Percent

El Paso County Colorado

Proportion of adults aged 18+ reporting no leisure-time* physical activity in past 30 days 2009-2010

17.8% 17.1%

* Unrelated to regular job. May include physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise.

Source: CDPHE Health Statistics Section. 2009-2010 BRFSS.

Prevalence of co-existing conditions in adults aged 18+, by weight status, El Paso County 2009

30

35

40

45

50

Percen

t

Source: CDPHE Health Statistics Section. 2009 BRFSS.

0

5

10

15

20

25

Neither (BMI<25)

Overweight (BMI 25-29.9)

Obese (BMI≥30)

Percen

t

Weight Status

Diabetes

Hypertension

High Cholesterol

Mental Health & Substance AbuseMental Health & Substance Abuse

�Mental health is a leading cause of disability and has substantial co-morbidity with substance abuse and physical health

� Annual total direct and indirect costs of serious mental illness is $317.6 billion

� Overall costs of substance abuse is more than $600 billion each year

Sources: Healthy People 2020; National Institute of Mental Health; National Institute on Drug Abuse.

Percent of adults experiencing mental illness within the past year, by ageColorado 2008-2009

Age

18-25 years 26+ years

Any mental illnessa 32.8% 18.7%

Serious mental illnessb 8.0% 4.8%

Had serious thoughts of suicide 6.1% 4.0%

Had at least one major depressive episodec 8.4% 7.4%

a Diagnosable mental, behavioral, or emotional disorder

b Diagnosable mental, behavioral, or emotional disorder resulting in serious functional impairmentc Period of ≥2 weeks characterized by a depressed mood or loss of interest/pleasure in daily activities and a majority of specified depression symptoms

Sources: National Surveys on Drug Use and Health, Substance Abuse and Mental Health Services Administration (SAMHSA)

Percent of adults aged 18+ with current depression*, 2008

El Paso County Colorado

8.2% 7.0%

*Defined by the presence and severity of specified depression symptoms within past two weeks.

Source: CDPHE Health Statistics Section. 2008 BRFSS.

Suicide rate, by age and sexEl Paso County 2008-2010

45-54

55+

Female

Source: CDPHE Health Statistics Section. CoHID: 2008-2010 Death Data.

0 20 40 60

15-24

25-34

35-44

Suicide deaths per 100,000 population

Age Male

Proportion of high school students experiencing mental illness in the 12 months, grades 9-12 Colorado 2009

20

25

30

35

Percen

t

Female

Source: CDPHE Health Statistics Section. Adolescent Health Data: 2009 YRBS.

0

5

10

15

20

Felt sadness/hopeless

for 2 weeks

Considered suicide

Suicide attempt with injury*

Percen

t

Male

* Attempt resulted in injury for which medical treatment was sought.

Substance abuse among high school students, grades 9-12, Colorado 2009

Timeframe Substance Percent

Use in past 30 days

Binge drinking* 25.1

Marijuana 24.8

* Consuming five or more alcoholic beverages within a couple of hours

Source: CDPHE Health Statistics Section. Adolescent Health Data: 2009 YRBS

Cocaine 3.6

Lifetime use

Inhalants 9.2

Heroin 3.2

Methamphetamines 3.5

Ecstasy 10.2

Motor Vehicle SafetyMotor Vehicle Safety

� Motor vehicle-related injuries contribute to premature death, disability, poor mental health and high economic consequences

� National costs of motor vehicle-related injuries cost an estimated $99 billion dollars in medical and lost work costs

Source: Healthy People 2020; CDC. Winnable Battles: Motor Vehicle Injuries.

Rate of motor vehicle traffic injuries resulting in hospitalization

80

100

120

Inju

rie

s p

er 1

00

,00

0 p

op

ula

tion

El Paso County

Colorado

Source: CDPHE Health Statistics Section. CoHID: 2000-2010 Injury Hospitalizations.

0

20

40

60

2000 2002 2004 2006 2008 2010

Inju

rie

s p

er 1

00

,00

0 p

op

ula

tion

Colorado

Motor vehicle fatalities, by age and sex 2007-2009

12

14

16

18

20

Death

s p

er 1

00

,00

0 p

op

ula

tion

El Paso County

0

2

4

6

8

10

Female Male Female Male

Ages 15-19 Ages 20+

Death

s p

er 1

00

,00

0 p

op

ula

tion

El Paso County

Colorado

Sources: NHTSA. 2007-2009 FARS.; Colorado State Demography Office, 2007-2009 Population Estimates.

Rate of motor vehicle traffic fatalities, ages 15-19 years, Colorado

25

30

35

40

Death

s p

er 1

00

,00

0 p

op

ula

tion Graduated Driver

Licensing Law enacted

Cell phone ban among drivers of all ages with

instruction permit

0

5

10

15

20

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Death

s p

er 1

00

,00

0 p

op

ula

tion

Year

Cell phone ban among all drivers under age 18

Sources: NHTSA. 1994-2009 FARS.; Colorado State Demography Office, 1994-2009 Population Estimates.

Vehicle and driver-related

factorsPercent of total fatalities

Occupant in a passenger

vehicle (all seat positions)66.7%

Characteristics of motor vehicle traffic fatalities, El Paso County 2009

Unrestrained driver or

passenger53.6% of passenger vehicle fatalities

Motorcycle 26.2%

Unhelmeted driver or rider 63.6% of motorcycle fatalities

Alcohol-impaired driver

(BAC = 0.08+)35.7%

Speeding-related crash 45.2%

Teen fatalities (ages 15-19) 14.3%

Sources: NHTSA. 2009 State Traffic Safety Facts and FARS.

High school students riding in or driving a vehicle operated under the influence of alcohol*, grades 9-12 Colorado

20

25

30

Rode with driver who had

Source: CDPHE Health Statistics. Adolescent Health Data: 2009 YRBS.

0

5

10

15

2005 2009

%

Rode with driver who had been drinking alcohol

Drove after drinking alcohol

* One or more times in past 30 days

Tobacco UseTobacco Use

� Tobacco use is the leading cause of preventable death in the U.S.

� Approximately 443,000 American die annually from tobacco-related illnesses

� The estimated direct medical costs and loss of productivity associated with tobacco use is $193 billion each year

Source: Healthy People 2020.

Prevalence of adults aged 18+ who currently smoke cigarettes

15

20

25

Percen

t

0

5

10

Percen

t

Percent

El Paso County

Colorado

Sources: CDC. 1995-2002 BRFSS: Prevalence and Trends Data.; CDPHE Health Statistics Section. CoHID: 2003-2010 BRFSS.

Trends in Colorado adult current smokers & changes in tobacco policy

20

25

Federal tax

increases

from $0.24 to

Colorado

implements Clean

Indoor Air Act

State tax

Federal tax

increases to $0.39

per pack

0

5

10

15

1995 1997 1999 2001 2003 2005 2007 2009

Percen

t

Year

Federal tax

increases to

$1.01 per pack

from $0.24 to

$0.34 per

pack

State tax

increases from

$0.20 to $0.84 per

pack

Sources: CDC. 1995-2010 BRFSS.; CDC. Federal and State Cigarette Excise Taxes United States, 1995-2009. MMWR 2009;58(19):524-527.

Prevalence of current smokers aged 18+, by sex, age, income, and education El Paso County 2009-2010

< $25,000

$25,000-$49,999

$50,000+

< High School

High School Graduate

Some College

Annual

Household

Income

Educational

Attainment

Source: CDPHE Health Statistics Section. 2009-2010 BRFSS.

0 5 10 15 20 25 30 35 40

Male

Female

18-24

25-34

35-44

45-54

55-64

65+

< $25,000

Gender

Age

Household

Percent

Tobacco use by youth, grades 9-12Colorado 2009

Prevalence in 2009 Percent change from 2005

Used tobacco* in the past 30 days 26.5% + 1.5%

Smoked cigarettes in the past 30 days 17.7% - 5.3%

Source: CDPHE Health Statistics Section. Adolescent Health Data: 2005 and 2009 YRBS

Smoked cigarettes in the past 30 days 17.7% - 5.3%

Underage current smokers who typically obtained cigarettes by buying in a store or gas station

12.6% + 12.5%

Current smokers who tried to quit within the past 12 months

53.2% + 2.7%

* Tobacco includes cigarettes, cigars, cigarillos, little cigars, chewing tobacco, snuf, and dip

Proportion of new mothers who smoked, by age El Paso County 2005-2009

30

35

40

45

50

Percen

t

Before pregnancy

During pregnancy

After pregnancy

Sources: CDPHE Health Statistics Section. CoHID: 2005-2009 Pregnancy Risk Assessment Monitoring System (PRAMS).

0

5

10

15

20

25

30

15-19 20-24 25-34 35+

Percen

t

Age

After pregnancy

Infectious Disease PreventionInfectious Disease Prevention

Source: Healthy People 2020.

� Completing prevention and treatment measures are vital components of reducing the transmission of infectious disease

� $43.4 billion in direct and indirect costs are avoided for each birth cohort vaccinated with the routine immunization schedule

Rate of pertussis, by age group El Paso County, 2008-2010

10

12

14

16

10

0,0

00

pop

ula

tion

0

2

4

6

8

<1 1-5 years 6-17 years 18-44 years 45+ years

Cases p

er 1

00

,00

0 p

op

ula

tion

Age Group

Source: CDPHE. Disease Control and Environmental Epidemiology Division.

Percent of children aged 19-35 months vaccinated* against pertussis

60

70

80

90

100

Colorado

United States

0

10

20

30

40

50

60

2007-08 2008-09 2009-10

Percen

t

Year

United States

Healthy People

Source: National Immunization Survey; Healthy People 2020 Objective IID-7.1

* Have received 4 or more doses of diphtheria-tetanus-acellular pertussis antigens (DTaP)

Colorado kindergarteners up-to-date on required immunizations at school entry, by vaccine, 2010-11 school year

60

70

80

90

100

Percen

t V

accin

ate

d

Up to Date

0

10

20

30

40

50

60

DTaP

Hepatitis B

Polio

Varicella

MMR

Percen

t V

accin

ate

d

Vaccine

Up to Date

Healthy People

Source: CDPHE. 2010-2011 Immunization School Survey.

Adolescents aged 13-17 vaccinated against tetanus, diptheria, and pertussis* since age 10

50

60

70

80

90

100

Percen

t

Colorado

United States

Healthy People:

0

10

20

30

40

50

2008 2009 2010

Percen

t

Year

Sources: National Immunization Survey; Healthy People 2020 Objective IID-11.1.

* Have received one or more doses of tetanus toxoid, reduced diptheria toxoid, and acellular pertussis (Tdap) vaccine

Healthy People: 80% of persons aged 13-15

Percent of adolescents aged 13-17 vaccinated against meningitis*

50

60

70

80

90

100

Percen

t

Colorado

United States

Healthy People: 80% of persons

0

10

20

30

40

50

2008 2009 2010

Percen

t

Year

* Have received one or more doses of meningococcal vaccine

Sources: National Immunization Survey; Healthy People 2020 Objective IID-11.3.

80% of persons aged 13-15

Unsafe Sexual PracticesUnsafe Sexual Practices

� Unintended pregnancies are associated with negative health and economic consequences for both the mother and children

� The public costs associated with unintended pregnancies is $11 billion per year in the U.S.

� $16 billion of annual health care costs is attributed to sexually transmitted diseases

Source: Healthy People 2020.

30

35

40

45

50

Percen

t Male

Sexual behavior among youth, grades 9-12 Colorado 2009

0

5

10

15

20

25

Ever had sex Had sex in past 3 months

Had sex before age 13

Had sex with 4+ partners in

life

Percen

t

Female

Source: CDPHE Health Statistics Section. Adolescent Health Data: 2009 YRBS.

Teen birth rate for females aged 15-17 years

20

25

30

35

Liv

e b

irth

s p

er 1

,00

0 fem

ale

s a

ged

15-1

7

El Paso County

Colorado

Source: CDPHE. Maternal and Child Health Data: 2000-2010 State and County Birth and Death Summary Tables.

0

5

10

15

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Liv

e b

irth

s p

er 1

,00

0 fem

ale

s a

ged

15

Year

Proportion of pregnancies that were unintended, by age and race/ethnicityEl Paso County 2005-2009

50

60

70

80

90

Percen

t Approximately 38% of these

Source: CDPHE Health Statistics. CoHID: 2005-2009 PRAMS.

0

10

20

30

40

50

15-19 20-24 25-34 35+ White Hispanic White

Black

Age Race/Ethnicity

Percen

t

38% of these women were using birth control at the

time of their pregnancy

Rates of sexually transmitted infections (STIs)

100

200

300

400

500

600

Cases p

er 1

00

,00

0 p

op

ula

tion Chlamydia

El Paso County

Colorado

0

2006 2007 2008 2009 2010

Cases p

er 1

00

,00

0 p

op

ula

tion

Year

0

20

40

60

80

100

120

140

2006 2007 2008 2009 2010

Cases p

er 1

00

,00

0 p

op

ula

tion

Year

Gonorrhea

El Paso County

Colorado

Source: CDPHE. 2006-2010 STI Rates. Provided by CDPHE STI/HIV Surveillance Program on July 28, 2011.

Rate of STIs, by sex and ageEl Paso County 2010

Chlamydia per 100,000 population

Gonorrhea per 100,000 population

SexFemale 597.2 69.8

SexMale 251.8 57.4

Age

15-19 1284.2 123.4

20-29 1745.8 260.3

30-39 366.3 73.7

40-54 48.5 20.9

Sources: CDPHE. 2010 STI Rates. Provided by CDPHE STI/HIV Surveillance Program on July 28, 2011.; U.S. Census Bureau. 2010 Census, Table QT-P1.

El Paso County, 2010 I-25 Corridor, 2006-2010

• 35 new diagnoses of HIV

• 428 people presumed to be living with HIV

County

New HIV infections per

100,000 population

Denver 30.3

Adams 12.7

HIV/AIDS

living with HIV

• 308 people presumed to be living with AIDS

Adams 12.7

Arapahoe 11.2

El Paso 4.7

Pueblo 4.2

Jefferson 3.7

Larimer 3.2

Weld 2.7

Douglas 2.3

Source: CDPHE. Colorado HIV Surveillance Report: 4th Quarter 2010.