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CHIP Tracker UpdateJackie Ward, Office of Epidemiology October 13, 2015

2

Access to Care

2011 2012 201360.0%

70.0%

80.0%

90.0%

100.0%

Adults Age 18-64 Who Have Health Care Coverage (BRFSS)

Baseline is 77.1%

Target is 89.5%

3

Access to Care

White

Black

Amer. Indian/ A

laskan Native

Asian/P

acific I

slander

Other

Hispanic

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%83.7% 82.1% 75.2%

84.3%73.2% 69.7%

87.6% 88.0%

70.0%85.0%

72.4% 76.0%

Maricopa County Health Insurance Coverage, Percent of Population in each Race/Ethnicity with

Insurance (ACS)

20132014

4

Access to Care

2011 2012 201362.0%

64.0%

66.0%

68.0%

70.0%

72.0%

74.0%

76.0%

Adults Who Have a Usual Source of Health Care (BRFSS)

Baseline is 73.1%

Target is 72.4%

5

Access to Care

Report Card

Decrease in adults 18-64 who have health care coverage

Decrease in adults who have a usual source of health care

Population health disparities among American Indians and Hispanics

6

Diabetes

8.0%

8.5%

9.0%

9.5%

10.0%

10.5%

9.2%9.4%

10.2%

Adults who have been told they have Diabetes (BRFSS)

2011 2012 2013

Baseline is 9.2%

Target is 8.6%

7

Diabetes

8

Diabetes

White Hispanic Black American Indian.

Asian Other/ Unknown

0.0

100.0

200.0

300.0

400.0

158.8142.0

289.3

338.8

42.172.6

2013 Diabetes-related Inpatient Dischargesby Race (Rate per 100,000 )

9

Diabetes

18 yrs and younger

Age 19 - 34 Age 35 - 64 Age 65 - 74 Age 75 +0.0

50.0

100.0

150.0

200.0

250.0

300.0

44.0

125.2

266.5

236.8

274.2

2013 Diabetes - Related Emergency Department Visit by Age Group (Rate per 100,000)

Diabetes

22.0

22.5

23.0

23.5

24.0

24.5

25.0

25.5

26.0

Death Rate due to Diabetes(Rate per 100,000)

2011 2012 2013

Baseline is 25.8

Target is 23.2

11

Diabetes

WHITE HISPANIC BLACK AMERICAN INDIAN

ASIAN OTHER/ UNKNOWN

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

26.0

16.4

40.5 39.5

12.115.3

2013 Diabetes-related Deaths among Maricopa Residents by Race (Rate per 100,000)

12

Diabetes Report Card

Increase in adults who have been told they have Diabetes

Decrease in death rate due to Diabetes

Population Health Disparities among Blacks, American Indians, 35-64 year olds and older adults 65+

13

Overweight

2011 2012 201332.5%

33.0%

33.5%

34.0%

34.5%

35.0%

35.5%

36.0%

36.5%

37.0%

37.5%

Overweight Adults (BRFSS)

Baseline is 37%

Target is 24.5%

14

Overweight

Maricopa County Total Male Female0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

36.0%43.8%

28.1%

Overweight Adults 2013 (BRFSS)

15

Overweight

Maricopa County Total White Non-Hispanic Hispanic0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

36.0% 39.6%

24.4%

Overweight Adults 2013 (BRFSS)

16

Obesity

2011 2012 201322.0

22.5

23.0

23.5

24.0

24.5

25.0

25.5

26.0

Obese Adults (BRFSS)

Baseline is 25.2%

Target is 22.7%

17

Obesity

Maricopa County Total White Non-Hispanic Hispanic0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

24.5% 20.3%

34.1%

Obese Adults 2013 (BRFSS)

18

Obesity

2011 201311.0%

11.5%

12.0%

12.5%

13.0%

13.5%

14.0%

14.5%

Obese Highschoolers (YRBS)

Baseline is 14%

Target is 12.4%

19

Overweight

2011 20130.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

Overweight Highschoolers (YRBS)

Baseline is 11%

Target is 9.7%

20

Physical Activity

2011 201348.00%

50.00%

52.00%

54.00%

56.00%

58.00%

Adults who meet aerobic physical activity recom-mendations (BRFSS)

Baseline is 52.6%

Target is 57.9%

21

Physical Activity

Maricopa County Total White Non-Hispanic Hispanic0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

51.2% 55.6%47.1%

Adults who meet aerobic physical activity recom-mendations 2013 (BRFSS)

22

Physical Activity

2011 201330.6%

30.8%

31.0%

31.2%

31.4%

Adults who meet muscle strengthening recommenda-tions (BRFSS)

Baseline is 30.9%

23

Physical Activity

Maricopa County Total

18-24 25-34 35-44 45-54 55-64 65+0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

31.2%

44.5% 43.2%

22.6%29.4% 28.7%

22.2%

Adults who meet muscle strengthening recom-mendations 2013 (BRFSS)

24

ObesityReport Card

Decrease in adults who meet aerobic physical activity recommendations

Increase in adults who meet muscle strengthening recommendations

Increase in overweight and obese high school students

Decrease in adults who are overweight or obese

Population health disparities among Hispanics, males, 35-44 year olds and older adults 65+

25

Cardiovascular Disease

2011 2012 201320.0%

22.0%

24.0%

26.0%

28.0%

30.0%

Adults who have been told they have High Blood Pressure (BRFSS)

Baseline is 25.8%

Target is 24.5%

262011 2012 2013

13.0%

18.0%

23.0%

28.0%

33.0%

38.0%

43.0%

Adults who have been told they have High Cholesterol (BRFSS)

Cardiovascular Disease

Baseline is 39.3%

Target is 13.5%

27

Cardiovascular Disease

White Hispanic Black American Indian.

Asian Other/ Unknown

0

200

400

600

800

1,000

1,200

1,075.1

338.8

1,026.4

452.8

286.9

393.7

2013 Cardiovascular Disease-Related Inpatient Discharge by Race (Rate per 100,000)

28

Cardiovascular Disease

White Hispanic Black American Indian.

Asian Other/ Unknown

0

200

400

600

800

1,000

1,200

1,400

769.0

375.1

1,280.7

378.3

252.5333.8

2013 Cardiovascular Disease-related Emergency Department Visits by Race (Rate per 100,000)

29

Cardiovascular Disease & Stroke

2011 2012 2013102.0

104.0

106.0

108.0

110.0

112.0

114.0

116.0

118.0

Deaths Due To Coronary Heart Disease (Rate per 100,000)

Baseline is 117.0

Target is 103.4

30

Stroke

2011 2012 201324.5

25.0

25.5

26.0

26.5

27.0

27.5

28.0

28.5

Deaths Due To Stroke(Cerebrovascular Disease)(Rate per 100,000)

Baseline is 28.0

Target is 25.2

31

Cardiovascular Disease

32

Cardiovascular Disease

WHITE HISPANIC BLACK AMERICAN INDIAN

ASIAN OTHER/ UNKNOWN

0

50

100

150

200

250

217.2

44.3

128.7

63.8 59.379.0

2013 Cardiovascular disease-related Deathsamong Residents by Race (Rate per 100,000)

33

Cardiovascular DiseaseReport Card

Increase in adults who have been told they have High Blood Pressure

Increase in adults who have been told they have High Cholesterol

Decrease in death rate due to Heart Disease

No change in death rate due to Stroke

Population health disparities among Whites, Blacks and older adults 75+

34

2011 2012 201314.0%

14.5%

15.0%

15.5%

16.0%

16.5%

17.0%

17.5%

18.0%

18.5%

19.0%

Adults who Are Current Smokers (BRFSS)

Smoking

Baseline is 18.5%

Target is 15.0%

35

Smoking

2010 2012 20140.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

Students Who Have Smoked Cigarettes in the Past 30 Days (AYS)

Baseline is 14.7%

Target is 11.9%

36

Smoking

2010 2012 20140.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

Students Who Have Tried Cigarettes (AYS)

Baseline is 34.0%

Target is 4.2%

37

Lung Cancer

30

31

32

33

34

35

36

37

38

Lung Cancer Death Rate(Rate per 100,000)

2011 2012 2013

Baseline is 36.3

Target is 32.7

38

Lung Cancer

39

Lung Cancer

White

Black

Amer. Indian/ A

laskan Native

Asian/ P

acific I

slander

Hispanic

0.010.020.030.040.050.060.070.0

53.859.2

33.436.9

30.9

2007-2011 Lung Cancer Incidence Maricopa County Residents of all Ages, by Race/

Ethnicity (Rate per 100,000)

40

Lung CancerReport Card

Decrease in adults who are current smokers

Decrease in high school students who smoked in the last 30 days

Decrease in high school students who tried smoking

Increase in death rate due to lung cancer

Population health disparities among Blacks

Questions?

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