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Overview of Population Health Data and Select Health Disparities in Connecticut Mehul Dalal MD, MSc, MHS Chronic Disease Director Connecticut Department of Public Health October 29th, 2014 SIM Quality Council

Overview of Population Health Data and Select Health

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Page 1: Overview of Population Health Data and Select Health

Overview of Population Health Data and Select Health Disparities in

Connecticut

Mehul Dalal MD, MSc, MHS Chronic Disease Director

Connecticut Department of Public Health October 29th, 2014 SIM Quality Council

Page 2: Overview of Population Health Data and Select Health

Population Characteristics, Connecticut, 2000 and 2010

Connecticut

2000 2010

Population 3,405,565 3,574,097

Median age 37.4 yrs 40.0 yrs

65+ yrs of age 13.8% 14.2%

Race/ethnicity

White only 81.6% 77.6%

Black/Afr. Am. only 9.1% 10.1%

Asian only 2.4% 3.8%

American Indian only 0.3% 0.3%

Other/2+ races 6.6% 8.2%

Hispanic any race 9.4% 13.4%

U.S. Census Bureau, 2000 and 2010 Census

Page 3: Overview of Population Health Data and Select Health

Mortality

Page 4: Overview of Population Health Data and Select Health

Leading Causes of Death, by Sex Connecticut, 2009

Source: Connecticut Department of Public Health, Mortality Tables, 2009, Tables 9 and 10.

271

309

296

199

773

588

536

3,355

3,334

305

311

365

573

467

842

900

3,364

3,645

0 1,000 2,000 3,000 4,000

Nephritis, nephrotic syndrome, nephrosis

Diabetes

Influenza and Pneumonia

Alzheimer's disease

Unintentional injuries

Chronic lower respiratory diseases

Stroke

Cancer

Heart disease

Number of Deaths

Females

Males

Page 5: Overview of Population Health Data and Select Health

Age-adjusted Death Rates for Leading Causes of Death Connecticut, 2000-2009

Source: Connecticut Department of Public Health, Mortality Tables, Age-Adjusted Mortality Rate, 2000-2009.

0

50

100

150

200

250

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Dea

ths p

er

10

0,0

00

Po

pu

latio

n

Heart disease

Cancer

Stroke

Chronic lower respiratory disease

Unintentional injuries

Alzheimer's disease

Influenza and Pneumonia

Diabetes

Nephritis, nephrotic syndrome, nephrosis

Page 6: Overview of Population Health Data and Select Health

Age-adjusted Death Rates for Leading Causes of Death, by Race and Ethnicity

Connecticut, 2005-2009

Source: Connecticut Department of Public Health, Mortality Tables, Age-Adjusted Mortality Rate 2005-2009.

80.5

73.8

9.0

11.8

6.4

18.7

66.9

94.7

24.5

29.4

20.5

30.8

117.8

108.4

35.9

32.0

24.4

44.7

184.9

190.5

15.1

33.9

35.9

32.5

168.4

171.9

0 25 50 75 100 125 150 175 200 225

Diabetes

Unintentional injuries

Chronic lower respiratory disease

Stroke

Heart disease

Cancer

Deaths per 100,000 Population

Non-Hispanic White

Non-Hispanic Black

Hispanic

Asian

Native American

Page 7: Overview of Population Health Data and Select Health

Leading Causes of Premature Death [Years of Potential Life Lost (YPLL) before 65 Yrs of Age]

Connecticut, 2009

Source: Connecticut Department of Public Health, YPLL Tables, Age-Adjusted YPLL Rate <65, 2009.

132.7

203.1

296.9

463.9

518.6

585.3

0 200 400 600 800

Homicide

Suicide

Drug-induced deaths

Heart disease

Cancer

Accidents/unintentional injuries

Years of Potential Life Lost per 100,000 Population

Page 8: Overview of Population Health Data and Select Health

Infant Mortality Rate Connecticut, 2001-2009

Source: Connecticut Department of Public Health, Vital Statistics (Registration Reports), 2001-2009, Table 12. Note: Infant mortality defined as death within 1 year of birth

3.7

4.5 4.1

3.4 3.3

4.1

5.5

4.1 3.8

14.9

13.9

12.1 12.5

12.2

14.1

12.1 12.2

13.0

6.3 6.9

5.2

8.1 7.5

7.2

6.4 6.7

7.1

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

2001 2002 2003 2004 2005 2006 2007 2008 2009

De

ath

s p

er

1,0

00

Liv

e B

irth

s

Non-Hispanic White

Non-Hispanic Black

Hispanic

Page 9: Overview of Population Health Data and Select Health

Health Care Utilization

Page 10: Overview of Population Health Data and Select Health

Leading Causes of Hospitalization, by Age Group Connecticut, 2010

Source: Connecticut Department of Public Health, Hospitalization Tables, 2010, Table H-1.

Rank

Age Group

Children (0-14 yrs)

Young Adults (15-24 yrs)

Adults (25-64 yrs)

Elderly (65+yrs)

1 Respiratory system Mental disorders Mental disorders Circulatory

system

2 Injury & poisoning Digestive system Digestive system Respiratory

system

3 Nervous system & sense

organs Injury and poisoning Injury & Poisoning

Digestive system

4 Mental disorders Respiratory system Circulatory system Genitourinary

system

5 Digestive system

Endocrine, nutritional, metabolic, and immunological

disorders

Genitourinary & Musculoskeletal

systems

Musculoskeletal system

Page 11: Overview of Population Health Data and Select Health
Page 12: Overview of Population Health Data and Select Health

Prevalence of Selected Conditions

Page 13: Overview of Population Health Data and Select Health

Current Child Asthma Prevalence by Household Income, Connecticut, 2008 – 2010,

Page 14: Overview of Population Health Data and Select Health

High Blood Pressure Prevalence CT Adults by Race & Ethnicity

2007-2009

25.0 24.7

36.3

22.0

0.0

16.0

32.0

48.0

All White Black Hispanic

Age

-ad

just

ed

pe

rce

nt

Race & Ethnicity

Source: CT Department of Public Health. Behavioral Risk Factor Surveillance System, 2011.

Page 15: Overview of Population Health Data and Select Health

Diabetes Prevalence CT Adults by Race & Ethnicity

2008-2010

6.4 5.7

13.1

9.5

0.0

7.0

14.0

21.0

All White Black Hispanic

Age

-ad

just

ed

pe

rce

nt

Race & Ethnicity

Source: CT Department of Public Health. Behavioral Risk Factor Surveillance System, 2012.

Page 16: Overview of Population Health Data and Select Health

Obesity Prevalence CT Adults by Race & Ethnicity

2008-2010

21.5 20.2

39.7

29.2

0.0

17.0

34.0

51.0

All White Black Hispanic

Age

-ad

just

ed

pe

rce

nt

Race & Ethnicity

Source: CT Department of Public Health. Behavioral Risk Factor Surveillance System, 2012.

Page 17: Overview of Population Health Data and Select Health

0

13

25

38

50

Current Smoker

Obesity HBP Never Had Chol Ckd

Diabetes Physical Inactivity**

Age

-ad

just

ed

Pe

rce

nt

<$25,000 $25K-49999 $50K-74999 $75000+

Sources: CT DPH, BRFSS, 2013.

Modifiable Risk Factors by Annual Household Income, CT, 2011*

*Non- institutionalized adults (18 years and older) **No leisure time physical activity