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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
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
Mortality
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
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
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
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
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
Health Care Utilization
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
Prevalence of Selected Conditions
Current Child Asthma Prevalence by Household Income, Connecticut, 2008 – 2010,
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.
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.
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.
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