a presentation of the colorado health institute a profile of your community’s health may 4, 2009...
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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
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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?
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Three resources discussed today
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8
Straw poll
On a scale of 1 – 5, how would you rate the health of the residents in your community?
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Poor Health
Great Health
1 2 3 4 5
What determines health?
What determines health?
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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
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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
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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
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Smoking and obesity among Colorado adults, 1996-2009
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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
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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…
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Access vs. coverage
For most people living in the U.S., health insurance provides the mechanism by which to gain access to health care…
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…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
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Safety Net Map
SOCIAL AND ECONOMIC FACTORS
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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
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2011 COUNTY HEALTH RANKINGS
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Robert Wood Johnson FoundationUniversity of Wisconsin Population Health Institute
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AGING OF THE POPULATION
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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/
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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
Accessbontragerj@coloradohealthinstitute.org
720.382.7075
www.coloradohealthinstitute.org
@CoHealthInst facebook.com/ColoradoHealthInstitute 303.831.4200
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