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Massachusetts Department of Public Health June 7, 2007

Southeast – Cape & Islands Regional Health Dialogue. Massachusetts Department of Public Health June 7, 2007. Goals for Holding Regional Dialogues. Introduce new DPH leadership Present latest health data on your particular region

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Massachusetts Department of Public Health June 7, 2007

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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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