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Cape & Islands Health Dialogue 2007: Regional Health Data Review

Join the Southeast Cape & Islands Regional Health Dialogue hosted by the Massachusetts Department of Public Health on June 7, 2007. Explore the latest health data for the region, identify key health concerns, and shape priorities for public health. Engage in community dialogues to discuss action plans and results toward creating a healthier community.

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Cape & Islands Health Dialogue 2007: Regional Health Data Review

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  1. Southeast – Cape & Islands Regional Health Dialogue Massachusetts Department of Public Health June 7, 2007

  2. Goals for Holding Regional Dialogues • Introduce new DPH leadership • Present latest health data on your particular region • Talk with residents and providers about data and identify areas of need • Gather feedback to inform process of setting DPH priorities

  3. Goals of New DPH leadership • Use data and community input to set new priorities & reshape the Department • Rely on science and evidence-based process to guide the work • Strengthen ties with and support for local health and local agencies • Increase resources to and visibility of Public Health in Massachusetts

  4. Timetable • Hold 8 regional dialogues with comprehensive data review and identification of key health concerns (by July) • Identify short list of top priorities by end of August • Hold second round of community dialogues to discuss action plans/results by end of calendar year

  5. Socio-Demographic Indicators and Health Care Access

  6. Executive Office of Health and Human Services (EOHHS) Regions Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  7. A few comments about the limitations of this presentation • A regional analysis has its drawbacks • Variability within a region – urban vs. rural/suburban (i.e. Cape vs. the rest of the region) • Variability by sub-population – race matters, poverty matters • Our data don’t reflect all the important health indicators

  8. Smallest Gosnold: 86 2005 Population by Communities Southeast Region: 2005 Largest Brockton:100,366 Population > 10,000 Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  9. Race and Ethnic Breakdown of PopulationCape & Islands and Massachusetts: 2005 Cape & Islands Massachusetts American Indian* 0.6% American Indian* 0.2% Asian* 0.9% Asian* 4.9% Hispanic 1.7% Hispanic 7.9% Black* 2.6% Black* 6.0% White* 94.3% White* 81.0% * Non-Hispanics Total = 252,204 Total = 6,436,940 Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  10. Towns by Percent Native American Population Massachusetts: 2000 > 1% MA population <= 1% MA population Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  11. Language Spoken at HomeSoutheast Region and Massachusetts: 2000 Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  12. Population by Age Group Cape & Islands and Massachusetts: 2005 Massachusetts Cape & Islands 65+ years 13.3% 65+ years 21.9% 0-19 years 25.5% 0-19 years 20.4% 45-64 years 25.3% Southeast (non-Cape) 20-24 years 5.0% 20-24 years 6.7% 45-64 years 27.4% 25-44 years 25.2% 25-44 years 29.4% 20-24 years 5.0% 65+ years 12.7% 0-19 years 26.5% Total = 6,436,940 Total =252,204 45-64 years 25.8% 20-24 years 5.9% 25-44 years 29.1% Total = 1,026,041 Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  13. Socio-Demographic IndicatorsSoutheast Region and Massachusetts Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  14. Highest and Lowest Per Capita Income Cape & Islands Communities: 2000 High Low Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  15. Birth Indicators

  16. Infant Mortality Rates by EOHHS Region Massachusetts: 2002-2005 Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Infant Mortality Rate: deaths of infants less than one year of age per 1000 live births Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  17. Summary Birth Indicators Southeast Region and Massachusetts: 2005 Better Outcome (significantly different from state) Worse Outcome (significantly different from state) Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  18. Leading Causes of Death

  19. Leading Causes of DeathCape & Islands and Massachusetts: 2005 Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  20. Chronic Disease Outcomes and Overweight/Obesity

  21. Adults who are Overweight1by EOHHS Region, Massachusetts: 1995 and 2005 Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better 1 Overweight: BMI greater than or equal to 25 Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), Health Survey Program

  22. Cancer

  23. Smoking During Pregnancy by EOHHS Region Massachusetts:2005 * * * * ** ** Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  24. Smoking During PregnancyCape & Islands and Massachusetts: 1990-2005 Cape & Islands Massachusetts Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  25. Smoking During Pregnancy by Race and Ethnicity Cape & Islands and Massachusetts:2005 * NA Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  26. Adults who Currently Smoke Southeast Region and Massachusetts: 2006 * * * Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Obesity: BMI greater than or equal to 30 Source: MDPH, Health Information, Statistics, Research and Evaluation Bureau, Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), Health Survey Program

  27. Incidence Rates for Invasive Lung Cancer by EOHHS Region, Massachusetts: 1999-2003 * * * * ** ** Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Age-adjusted to the 2000 US standard population. Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Cancer Registry

  28. Incidence Rates for Invasive Prostate Cancer by EOHHS Region, Massachusetts: 1999-2003 * * ** ** Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Age-adjusted to the 2000 US standard population. Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Cancer Registry

  29. Summary Indicators for Cancer Screening by Southeast Region and Massachusetts: 2006 *40 years and older, † 50 years and older Better Outcome (significantly different from state) Worse Outcome (significantly different from state) Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Health Survey Program

  30. Summary Cancer Incidence Rates Southeast Region and Massachusetts: 1999-2003 Better Outcome (significantly different from state) Worse Outcome (significantly different from state) Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Cancer Registry

  31. Substance Abuse

  32. Opioid-related Emergency Department Visit Rates by EOHHS Region Massachusetts: 2003-2005 * * * ** ** ** Statistically different from State (p ≤.05) Red (*) = Statistically higher; Green (**) = Statistically lower Age-adjusted to the 2000 US standard population. Source: Division of Health Care Finance and Policy. Calendar Year 2003-2005. Emergency Department Visits

  33. Summary Substance Abuse Indicators Southeast Region, Cape & Islands and Massachusetts: 2005 Statistically higher than state Statistically lower than state Source: Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2005.

  34. Injury and Violence

  35. Hospital Discharge Rates for Motor Vehicle-related Injuries by EOHHS Region Massachusetts: 2003-2005 Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Age-adjusted to the 2000 US standard population. Source: Division of Health Care Finance and Policy. Calendar Year 2003-2005. Inpatient Hospital Discharge Database

  36. Emergency Department Visit Rates for Fall-related Injuries by EOHHS Region Massachusetts: 2003-2005 * * * * * ** ** ** Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Age-adjusted to the 2000 US standard population. Source: Division of Health Care Finance and Policy. Calendar Year 2003-2005. Emergency Department Visits

  37. Emergency DepartmentVisit Rates for Fall-related Injuries byRace/EthnicityCape & Islands and Massachusetts: 2003-2005 * * ** Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Age-adjusted to the 2000 US standard population. Source: Division of Health Care Finance and Policy. Calendar Year 2003-2005. Emergency Department Visits

  38. Suicide Rates by EOHHS Region Massachusetts: 2003-2005 ** Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Age-adjusted to the 2000 US standard population. Source: MDPH, Health Information, Statistics, Research & Evaluation Bureau, Research & Epidemiology Program

  39. Summary Injury/Violence Hospitalization Indicators Southeast Region, Cape & Islands and Massachusetts: 2003-2005 Worse Outcome (significantly different from state) Better Outcome (significantly different from state) Age-adjusted to the 2000 US standard population. Source: Division of Health Care Finance and Policy. Calendar Year 2003-2005. Inpatient Hospital Discharge Database

  40. Infectious Diseases

  41. Summary HIV/AIDS Indicators Southeast Region, Cape & Islands and Massachusetts Better Outcome (significantly different from state) Worse Outcome (significantly different from state)

  42. Lyme Disease Incidence Cape & Islands, Southeast Region, and Massachusetts: 2004 * * ** ** ** Statistically different from State (p ≤.05) Red (*) = Statistically worse; Green (**) = Statistically better Source: MDPH Bureau of Communicable Disease Control, ISIS

  43. Summary Infectious Disease Indicators Southeast Region, Cape & Islands and Massachusetts Worse Outcome (significantly different from state) Better Outcome (significantly different from state)

  44. Asthma

  45. Summary Asthma Indicators Southeast Region, Cape & Islands and Massachusetts: 2005 Statistically higher than state Statistically lower than state Source: Division of Health Care Finance and Policy. Calendar Year 2005. Emergency Department Visits

  46. Summary-Cape & Islands • Socio-demographics difference impact health status • Older population • Socio-demographic indicators are better than the State • Mostly white non-Hispanics • Majority speak only English • In general, the Cape & Islands is a relatively healthy place to live: • Birth indicators are better than the State • Heart disease and diabetes mortality are low • Homicides, firearm, STDs lower than the State • Some indicators are worse than the State : • Cancer incidence is higher for breast and prostate cancer • Higher motor vehicle deaths and suicides than the State • Higher Lyme Disease incidence than the State • Higher Emergency Department Visit rates for opioid-related and for asthma for children ages 10-14 years • Higher Substance Abuse Treatment Program Admission rates than State • We need to examine local variation and subgroups in the population to get a more complete picture of the health of the Cape & Islands region • These are resident data and do not reflect the impact of visitors on the Cape & Islands

  47. Health Disparities by Race/Ethnicity Cape & Islands • Blacks on the Cape & Islands have higher Emergency Visit Rates for fall-related injuries than Blacks in MA • White mothers on the Cape & Islands have higher rates for smoking during pregnancy than whites in MA

  48. How Can You Access these Data? • Hard Copies: (617) 624-5674 • TDD/TTY: (617) 624-6001 • Questions: (617) 624-6021 • Laura.Innis@State.ma.us • For more detailed community data: • http://masschip.state.ma.us • DPH Website: • http://www.mass.gov/dph/comm/health_dialogues.htm

  49. Q/A

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