health profile of massachusetts adults in selected cities, 2008 bureau of health statistics,...

Health Profile of Massachusetts Health Profile of Massachusetts Adults In Selected Cities, 2008Adults In Selected Cities, 2008

Bureau of Health Statistics, Research, and Evaluation, Bureau of Health Statistics, Research, and Evaluation, Division of Research and Epidemiology,Division of Research and Epidemiology,

Health Survey ProgramHealth Survey Program

October 21, 2009

Source data: 2008 Massachusetts BRFSSource data: 2008 Massachusetts BRFSSS

Purpose of the reportPurpose of the report

Committed to providing community level dataCommitted to providing community level dataTo respond to requests for substate information To respond to requests for substate information To provide useful information to cities, at a time To provide useful information to cities, at a time

when local boards of health are under strainwhen local boards of health are under strainThe report compares the cities to statewide The report compares the cities to statewide

findings findings This report has been shared with the citiesThis report has been shared with the cities


Selected Cities - Why These Communities?Selected Cities - Why These Communities?

Boston, Fall River, Lawrence, Lowell, New Boston, Fall River, Lawrence, Lowell, New Bedford, Springfield and Worcester;Bedford, Springfield and Worcester;

Among 15 largest cities in Massachusetts and Among 15 largest cities in Massachusetts and located in different EOHHS regions;located in different EOHHS regions;

Comprise 20% of the total population; 53% of Comprise 20% of the total population; 53% of the Black non-Hispanics; 51% of the Hispanics; the Black non-Hispanics; 51% of the Hispanics; 30% of the Asian;30% of the Asian;

Health information of their residents has been Health information of their residents has been collected historically; these communities have collected historically; these communities have been oversampled since 1994.been oversampled since 1994.

Source data: 2008 Massachusetts BRFSS

Socio-Demographic Composition of BRFSS Respondents in Selected Cities, 2008

State Total

Boston Springfield Worcester Lawrence LowellFall

RiverNew

Bedford

18-34 29 40 37 35 44 40 34 38

hispanic 8 20 30 16 70 19 8 21

< high school

8 12 17 11 33 12 22 25

<$25,000 20 31 42 30 55 31 39 39

Household Income

weighted percentAge Group

Race-ethnicity*

Education


Percent Percent decreasedecrease in uninsured following health in uninsured following health care reform, 2006-2008 care reform, 2006-2008

-61-68

-45-46-38-41

-45

-80-70-60-50-40-30-20-10

0

%

* Statistically significant p<.05

*

*

*

*

* * *MA


Percentage of adults who do not have health Percentage of adults who do not have health insurance, age 18-64, 2008insurance, age 18-64, 2008

5

6

11*

3

12*

8*

3

0

5

10

15

20

%

*Statistically significant p<.05

MA


Percentage of adults who had dental visit in Percentage of adults who had dental visit in past year, age 18-64, 2008past year, age 18-64, 2008

*Statistically significant p<.05

77

7269 70

74

76 76

50

60

70

80

90

%

***

MA


Percentage of adults who do not have personal Percentage of adults who do not have personal health care provider, age 18-64, 2008health care provider, age 18-64, 2008

* Statistically significant p<.05

18 17

20

15

26

1517

0

5

10

15

20

25

30

BostonLowell

Lawrence

Fall River

New Bedford

Springfield

Worcester

%

*

*

*

MA


Health indicators:Health indicators:Selected cities 2008, Selected cities 2008,

Trends 2000 – 2008Trends 2000 – 2008


Percentage of adults who reported fair or poor health, Percentage of adults who reported fair or poor health, 20082008

“worse” is statistically significant p<.05

STATE AVERAGE=12%

22%

30%

16%

26%23%

17%


Percentage of adults who currently smoke, 2008Percentage of adults who currently smoke, 2008


*

*

*

STATE AVERAGE=16%

24%

24%

29%28%

24%


Percentage of adults who are overweight Percentage of adults who are overweight (includes obese), 2008(includes obese), 2008


STATE AVERAGE=58%65%

66%


40

45

50

55

60

65

70

2000 2001 2002 2003 2004 2005 2006 2007 2008

%Percentage of adults who are overweightPercentage of adults who are overweight

(includes obese), 2000-2008 (includes obese), 2000-2008

STATE AVERAGE=58% (2008)



STATE AVERAGE=78%

67%

65%65%

72% 73%

61%

Percentage of adults who reportedPercentage of adults who reported any physical activity, 2008 any physical activity, 2008


Percentage of adults with diabetes, 2008Percentage of adults with diabetes, 2008


STATE AVERAGE=7%

12%

11%

11%


Percentage of adults who currently have asthma, Percentage of adults who currently have asthma, 20082008

STATE AVERAGE=10%


Percentage of adults age 18-64 who have been Percentage of adults age 18-64 who have been tested for HIV, 2008tested for HIV, 2008

“better” is statistically significant p<.05

STATE AVERAGE=41%

51%

52%

53%


Percentage of adults age 50+ who had Percentage of adults age 50+ who had colorectal cancer screening, 2008colorectal cancer screening, 2008

STATE AVERAGE=64%

55%

54%

56%

51%

53%


THE GOOD NEWSTHE GOOD NEWS

Boston:Boston: higher rates of HIV test, higher rates of HIV test, second hand smoking and binge drinking rates are decreasing, second hand smoking and binge drinking rates are decreasing, colorectal cancer screening rate is increasing.colorectal cancer screening rate is increasing. Fall River:Fall River: second hand smoking rate is decreasing, second hand smoking rate is decreasing, pneumonia vaccination and colorectal cancer screening rates are pneumonia vaccination and colorectal cancer screening rates are

increasing. increasing. Lawrence: Lawrence: higher rates of HIV test, higher rates of HIV test, second hand smoking rate is decreasing, second hand smoking rate is decreasing, colorectal cancer screening rate is increasing.colorectal cancer screening rate is increasing. Lowell: Lowell: second hand smoking rate is decreasing, second hand smoking rate is decreasing, colorectal cancer screening rate is increasing.colorectal cancer screening rate is increasing.


THE GOOD NEWS (continue)THE GOOD NEWS (continue)

New Bedford:New Bedford: colorectal cancer screening rate is increasing.colorectal cancer screening rate is increasing. Springfield:Springfield: higher rates of HIV test,higher rates of HIV test, second hand smoking rate is decreasing,second hand smoking rate is decreasing, physical activity is increasing,physical activity is increasing, colorectal cancer screening rate is increasing.colorectal cancer screening rate is increasing. Worcester:Worcester: smoking rate is decreasing and so is second hand smoking rate,smoking rate is decreasing and so is second hand smoking rate, colorectal cancer screening rate is increasing.colorectal cancer screening rate is increasing.


The Health of Selected CitiesThe Health of Selected Cities

Health indicators are different for Health indicators are different for selected cities than for the state as a selected cities than for the state as a whole. whole.

The discrepancies in health between The discrepancies in health between state and local levels persist over time.state and local levels persist over time.

State and the cities have high level of State and the cities have high level of prevention. prevention.


ConsiderationsConsiderationsSmall set of preventive indicators presented.Small set of preventive indicators presented.

Need to observe effect of reform for a longer period Need to observe effect of reform for a longer period of time.of time.

Analysis not adjusted for other factors that might Analysis not adjusted for other factors that might affect outcome (e.g. income, age).affect outcome (e.g. income, age).

Survey not conducted in Asian languages which Survey not conducted in Asian languages which could affect responses in some communities, e.g. could affect responses in some communities, e.g. Lowell.Lowell.


Accessing BRFSS dataAccessing BRFSS data

BRFSS Annual Report: BRFSS Annual Report: A Profile of Health A Profile of Health Among Massachusetts Adults In Selected Among Massachusetts Adults In Selected

Cities, 2008Cities, 2008

Health Survey ProgramHealth Survey Programhttp://http://www.mass.gov/dph/hspwww.mass.gov/dph/hsp

MassCHIPMassCHIPhttp://http://masschip.state.ma.usmasschip.state.ma.us//


Communication with Cities Communication with Cities & Next Steps& Next Steps

Report is part of an effort to make more Report is part of an effort to make more information available to local & regional public information available to local & regional public health practitionershealth practitioners

Shared the report and made follow-up contacts Shared the report and made follow-up contacts with the cities with the cities

Next Steps: discussion with the citiesNext Steps: discussion with the cities Identify best practices Identify best practices Discuss how to control for socio-demographics that Discuss how to control for socio-demographics that

explain variation across the citiesexplain variation across the cities


Local uses of this informationLocal uses of this information

Inform a task force assessing public health Inform a task force assessing public health needs within a cityneeds within a city

Inform efforts to increase cultural competencyInform efforts to increase cultural competencyEngage hospitals in community primary care Engage hospitals in community primary care

effortseffortsCreating awareness locallyCreating awareness locallyHighlight positive information to maintain a focus Highlight positive information to maintain a focus

on community assets on community assets Use the information in grant applications Use the information in grant applications

health profile of massachusetts adults in selected cities, 2008 bureau of health statistics,...

Documents

massachusetts brfsspurpose

citiessource data

poor health

health insurance

largest cities

significant phealth

health survey programoctober

bureau of health statistics