Community Health Assessment ResultsPresented by:Emily Burns, MD, MSPHAssistant Professor of Epidemiology, Colorado School of Public Health

Top ten things to know from the Community Health Assessment

#10

The Community Health Assessment was a collaborative effort.• SJBHD, MRMC, PSMC• students, staff, researchers, community• state and local• stakeholder meetings• etc., etc., etc.

#9

In general, Archuleta and La Plata counties are not that different (sometimes better!) than the state on most health outcomes.

400

500

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1990 1995 2000 2005 2006 2007 2008 2009 2010

rate

per

100

,000

Figure 6: Age-adjusted all-cause death rate, by countyArchuleta

La Plata

Colorado

Source: Death dataset, Health Statistics Section, Colorado Department of Public Health and Environment

0 25 50 75 100 125 150

all invasivecancer

prostate

breast

lung

colorectal

melanoma

cervical

Figure 12: Death rate (per 100,000) from cancer, age-adjusted, by county, 2006-2010

Archuleta

La Plata

Colorado

Source: Colorado Health Information Dataset: Death statistics

#8

Motor vehicle accident hospitalization and death rates are two of the few indicators that are worse in one or both counties compared to the state.

79.6 90.8 74.125.9 20 11.30

20

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Archuleta La Plata Colorado

Figure 20: Motor vehicle accident hospitalization and injury rates, by county vs. state, 2006-2010

hospitalization rate

death rate

Source: Colorado Trauma Registry and Death dataset, via Colorado Health Information Dataset

#7

Obesity and tobacco use measures are not worse in either county but remain leading causes of cardiovascular death.• #1 cause of death in La Plata• #2 cause of death in Archuleta

Leading causes of death, 2007-2009Archuleta La Plata Colorado

Cancer Heart disease Cancer

Heart disease Cancer Heart diseaseUnintentional

injuriesUnintentional

injuriesUnintentional

injuries

Suicide Chronic lower respiratory diseases

Chronic lower respiratory diseases

Chronic lower respiratory diseases Alzheimers disease Cerebrovascular

diseases

Alzheimers disease Cerebrovascular diseases Alzheimers disease

Cerebrovascular diseases Suicide Suicide

Chronic liver disease and cirrhosis

Chronic liver disease and cirrhosis Diabetes mellitus

Other diseases of circulatory system Diabetes mellitus Influenza and

pneumonia

Kidney disease Influenza and pneumonia

Chronic liver disease and cirrhosis

0%

5%

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15%

20%

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1995 1997 1999 2001 2003 2005 2007 2009

Figure 15: Overweight and obesity rates in Colorado and HSR9 region, by year

CO overweight

CO obese

HSR 9 overweight

HSR9 obese

Source: Behavioral Risk Factor Surveillance System, multiple years, Colorado and HSR 9

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Figure 18: Heart disease risk factors in Colorado adults, by race/ethnicity, 2009-2010 white

Latino

Source: Behavioral Risk Factor Surveillance System, 2009-2010, Colorado

#6

Colorectal and breast cancer screening measures are not worse, in general, among both counties but may be important areas for improving cancer outcomes, the leading cause of death in Archuleta and a close second in La Plata.

74.9%

66.4%58.9%

30%

40%

50%

60%

70%

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90%

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18+ pap in 3 years 40+ mammogram in 2years

50+ evidence-basedcolon CA screening in 5-

10 yearsSource: Behavioral Risk Factor Surveillance System

Figure 13: Cancer screening rates for Archuleta and La Plata combined,

2008 & 2010

#5

Access to care, including medical, oral and mental health care, is a significant problem in both counties.

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Archuleta La Plata Colorado

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Figure 26: Age-adjusted mental health and suicide hospitalization rates (per 100,000), 2007-2009

suicide hospitalization

Mental healthhospitalization

#4

Lack of health insurance, one of the primary barriers to accessing health care, is primarily an issue among those aged 19-54 and those with lower incomes, especially 200% of the federal poverty level and below.

Uninsured rates

#3

Older adult and Hispanic populations are prioritized by the communities as having increased health needs and inadequate services.

#2

Capacity assessment of all topic areas reveals the lowest current capacity in the following areas:• La Plata in: oral health, obesity and access to care, and

mental health. • Archuleta, the lowest capacity was in: mental health,

obesity, access to care and cancer.

#1

The Community Health Assessment identifies opportunities for improvement in health outcomes.