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Community Health Needs Assessment Essex County Health Indicators PowerPoint Presentation
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Community Health Needs Assessment Essex County Health Indicators

Community Health Needs Assessment Essex County Health Indicators

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Community Health Needs Assessment Essex County Health Indicators

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  1. Community Health Needs Assessment Essex County Health Indicators

  2. MORTALITY RED: statistically worse than comparison statistic at 95% confidence level YELLOW: no statistical difference between county and GREEN: statistically better than comparison statistic at 95% confidence level comparison statistics at 95% confidence level

  3. MORTALITY RED: statistically worse than comparison statistic at 95% confidence level YELLOW: no statistical difference between county and GREEN: statistically better than comparison statistic at 95% confidence level comparison statistics at 95% confidence level

  4. MORTALITY >>Top 10 Causes of Death in Essex County: Age-Adjusted Rate per 100,000 Population • Age-adjusted death rates declined for most of the top ten causes of death. • Exceptions include Septicemia, COPD, and Nephritis. • Cancer and Heart Disease mortality rates have declined, but remain by far the primary causes of death. Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data

  5. MORTALITY >>Deaths due to Diseases of the Heart: Age-Adjusted Rate per 100,000 Population • All geographies have seen a decline in the rate of death due to heart disease over the studied period. • The age-adjusted death rate due to Heart Disease decreased 9.1% between 2004 and 2008 in Essex County but remains significantly higher then the statewide rate. • The Essex County rate is worse (higher) than the Healthy People 2020 target. • In 2011 the rate for Newark was 176.2. (not shown) Essex County 2008: 206.4 Baseline: 126.0 Target: 108.8 Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data, Newark DCFWB Health Planning Division

  6. MORTALITY >>Deaths due to Diseases of the Heart by Race/Ethnicity: Age-Adjusted Rate per 100,000 Population (2008) • Despite the decline in deaths due to heart disease among blacks in Essex County between 2004 and 2008 , black residents had the highest rate of heart disease related deaths in Essex County. • The rate of heart disease deaths increased among Hispanics. Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data

  7. MORTALITY >>Deaths due to Malignant Neoplasms (Cancer): Age-Adjusted Rate per 100,000 Population • All geographies have had a decline in the rate of deaths due to cancer over the studied period. • Essex County saw a rate decrease of 7.9 points (-4.1%) from 2004 to 2008. • Although the age-adjusted rate for Cancer deaths has declined, it is still worse (higher) than the target rate for Healthy People 2020. • In 2011, the rate for Newark was 147.5 per 100,000. (not shown) Essex County 2008: 183.6 Baseline: 178.4 Target: 160.6 Source: NJ Department of Health and Senior Services, New Jersey Cancer Registry, Newark DCFWB Health Planning Division

  8. MORTALITY >>Deaths due to Malignant Neoplasms (Cancer) by Race/Ethnicity: Age-Adjusted Rate per 100,000 Population (2008) While cancer death rates in Essex County decreased for white residents and Hispanics between 2005 and 2008, it rose by 16.6 points (+7.6%) for black residents and was significantly higher than the rate for all county residents. Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data

  9. MORTALITY >>Deaths due to Cerebrovascular Disease (Stroke): Age-Adjusted Rate per 100,000 Population • All geographies have seen a decline in the rate of stroke related deaths over the studied period. • Deaths due to Stroke remains the third leading cause of death in Essex County. • The rate in Essex County declined 19.1% between 2004 and 2008, and is not statistically different from the Healthy People 2020 target. • In 2011, the rate for Newark was 38.4 per 100,000. (not shown) Essex County 2008: 36.0 Baseline: 42.2 Target: 33.8 Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data, Newark DCFWB Health Planning Division

  10. MORTALITY >>Deaths due to Cerebrovascular Disease (Stroke) by Race/Ethnicity: Age-Adjusted Rate per 100,000 Population (2008) Stroke death rates in Essex County dropped among Blacks and Whites between 2004 and 2008. Rates among Hispanics decreased from 2007 to 2008*. Black residents continue to have the highest rate of stroke deaths. Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data Note: *2004, 2005, and 2006 rates for Hispanics did not meet standards of reliability.

  11. MORTALITY >>Deaths due to Septicemia: Age-Adjusted Rate per 100,000 Population The death rate from Septicemia in Essex County increased 12.7% between 2004 and 2008, and is significantly higher than the rate statewide. Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data

  12. MORTALITY >>Deaths due to Septicemia by Race/Ethnicity: Age-Adjusted Rate per 100,000 Population (2008) • Septicemia death rates for black residents in Essex County rose by 10/100,000 (+24.4%) between 2004 and 2008. • Black residents have higher Septicemia death rates than other racial/ethnic groups. Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data Note: 2004, 2005, 2007, and 2008 rates for Hispanics did not meet standards of reliability.

  13. MORTALITY >>Deaths due to Diabetes Mellitus: Age-Adjusted Rate per 100,000 Population • All geographies have seen a decline in the rate of deaths from Diabetes between 2004 and 2008. The rate in Essex County decreased 14.7%, but remains significantly higher than the rate statewide. • In 2011 the rate for Newark was 37.5 per 100,000. (not shown) Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data, Newark DCFWB Health Planning Division

  14. MORTALITY >>Deaths due to Diabetes Mellitus by Race/Ethnicity: Age-Adjusted Rate per 100,000 Population (2008) • The death rate from Diabetes Mellitus in Essex County declined for black residents by 14.5/100,000 (-25.6%), increased for Hispanics, and decreased for white residents. • Essex County black residents have a lower death rate from diabetes than black residents statewide and in comparative counties. • The mortality rate for black residents was significantly higher than all county residents. Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data

  15. YEARS OF POTENTIAL LIFE LOST RED: statistically worse than comparison statistic at 95% confidence level YELLOW: no statistical difference between county and GREEN: statistically better than comparison statistic at 95% confidence level comparison statistics at 95% confidence level

  16. YEARS OF POTENTIAL LIFE LOST >>Premature Death: Years of Potential Life Lost Before Age 75 per 100,000 Population (Age-Adjusted) • All geographies studied saw a decline in the years of potential life lost (YPLL) between 2004 and 2008. • The number in Essex County declined by 734 but remains significantly higher than the statewide number and higher than that of comparative counties. • The rate of YPLL in Essex County was far worse (higher) than the national benchmark. Essex County 2006 - 2008: 8,410 National Benchmark: 5,466 Source: County Health Rankings, National Vital Statistics System Note: Every death occurring before the age of 75 contributes to the total number of years of potential life lost.

  17. INFANT MORTALITY

  18. INFANT MORTALITY >>Infant Mortality Rate: Rate of Infant (under 1 year) Deaths per 1,000 Live Births • The infant mortality rate in Essex County rose 11.8% from 2004 to 2008 and remains significantly higher than the rate statewide. • The Essex County Infant Mortality rate is worse (higher) than the Healthy People 2020 target. Essex County 2008: 8.5 Baseline: 6.7 Target: 6.0 Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data

  19. INFANT MORTALITY >>Infant Mortality Rate: Rate of Infant (Under 1 Year) Deaths per 1,000 Live Births by Race The infant mortality rate for black residents in Essex County is higher than the rates for all other races, and has been increasing since 2006. Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data Note: Rates for white for all years and for Hispanics for 2003 through 2006 did not meet standards of reliability.

  20. LOW BIRTH WEIGHT RED: statistically worse than comparison statistic at 95% confidence level YELLOW: no statistical difference between county and GREEN: statistically better than comparison statistic at 95% confidence level comparison statistics at 95% confidence level

  21. LOW BIRTH WEIGHT >> Low Birth Weight: Percent of Live Births with Low and Very Low Birth Weight (2008) • The percentage of very low birth weight infants declined in Essex County between 2004 and 2008 by 0.1 percentage points, low birth weight infants increased by 0.3 percentage points. • In Essex County the rates for low birth weight and very low birth weight infants are higher (worse) than the Healthy People 2020 targets and significantly higher than the statewide averages. <2500 - Essex County 2008: 10.0% Baseline: 8.2% Target: 7.8% <1500 - Essex County 2008: 2.0% Baseline: 1.5% Target: 1.4% Source: : NJ Department of Health and Senior Services, Bureau of Vital Statistics and Registration, N.J. Birth Certificate Database Note: Percentages are based on the total number of live births for county and state.

  22. LOW BIRTH WEIGHT >> Percent of Live Births with Low and Very Low Birth Weight in Essex County by Mother’s Race/Ethnicity Low and very low birth weight infants among African-Americans in Essex County remains significantly higher than other racial/ethnic groups. Source: : NJ Department of Health and Senior Services, Bureau of Vital Statistics and Registration, N.J. Birth Certificate Database

  23. GENERAL AND MENTAL HEALTH STATUS RED: statistically worse than comparison statistic at 95% confidence level YELLOW: no statistical difference between county and GREEN: statistically better than comparison statistic at 95% confidence level comparison statistics at 95% confidence level

  24. GENERAL HEALTH STATUS >> Percent of Respondents Reporting Their Health as "Fair or Poor" • The percent of Essex County residents reporting their health as poor or fair has declined. • It remains above the percentages reported statewide, in the MMSA, and in comparison counties but is not statistically different than the statewide rate. Source: CDC, Behavioral Risk Factor Surveillance System Note: MMSA: Metropolitan and Micropolitan Statistical Areas

  25. GENERAL HEALTH STATUS >>Average Age-Adjusted Number of Physically Unhealthy Days Reported in the Past 30 Days • Essex County residents report an average of 3.3 physically unhealthy days per month, which was worse (higher) than the national benchmark of 2.6. • This was an increase over 2008, but is in line with increasing trends statewide. Essex County 2004 - 2010: 3.3 National Benchmark: 2.6 Source: County Health Rankings, National Center for Health Statistics Note: The poor physical health measure is based on response to the question: “Thinking about your physical health, which includes physical illness and injury, how many days during the past 30 days was your physical health not good?”

  26. GENERAL HEALTH STATUS >>Total Population With Any Disability • All geographies have seen a decline in the percentage of people reporting a disability over the studied period. • The percent of Essex County residents with a disability declined by 12.5 percentage points between 2000 and 2010. • This indicator was not statistically different from the statewide percentage. Source: U.S. Census Bureau, American Community Survey Note: Percentages are based on the total civilian non-institutionalized population 5 years and older in each region.

  27. MENTAL HEALTH STATUS >> Average Number of Mentally Unhealthy Days Reported in the Past 30 Days • Essex County residents reported an increase in the number of mentally unhealthy days between 2002 - 2008 and 2004 - 2010, from 3.4 to 3.6 per month. • The number of mentally unhealthy days in Essex County is worse (higher) than the National Benchmark. Essex County 2004 - 2010: 3.6 National Benchmark (2009): 2.3 Source: County Health Rankings, National Center for Health Statistics Note: The poor physical health measure is based on response to the question: “Thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good?”

  28. MENTAL HEALTH STATUS >>Deaths due to Suicide: Age-Adjusted Rate per 100,000 Population • The Essex County suicide rate decreased by 44.1% between 2004 and 2008. • Essex County has a lower suicide rate than the Healthy People 2020 target, and significantly lower (better) than the statewide rate. Essex County 2008: 3.3 Baseline: 11.3 Target: 10.2 Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data

  29. MENTAL HEALTH STATUS >>Alcohol and Drug-Related Deaths: Age-Adjusted Rate per 100,000 Population (2007) • Drug related deaths were down between 2006 and 2007 in Essex County and the state. • Drug related deaths were not statistically different from the Healthy People 2020 targetor the statewide average. • Alcohol related death rates increase over the period but were not significantly different from the State. Essex County Drug-related Deaths 2007: 10.2 Baseline: 12.6 Target: 11.3 Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data

  30. MORBIDITY RED: statistically worse than comparison statistic at 95% confidence level YELLOW: no statistical difference between county and GREEN: statistically better than comparison statistic at 95% confidence level comparison statistics at 95% confidence level

  31. MORBIDITY RED: statistically worse than comparison statistic at 95% confidence level YELLOW: no statistical difference between county and GREEN: statistically better than comparison statistic at 95% confidence level comparison statistics at 95% confidence level

  32. MORBIDITY >> Cardiovascular Disease: Were You Ever Told You Had Angina or Coronary Heart Disease? %=Yes • The percent of Essex County residents reporting coronary heart disease declined between 2007 and 2010 by 0.4 percentage points . • At 3.4%, it is not statistically different from the rate statewide. • In 2009, 8% of Newark residents reported Angina or Coronary Heart Disease. (not shown) Source: CDC, Behavioral Risk Factor Surveillance System, Newark DCFWB Health Planning Division

  33. MORBIDITY >>Cardiovascular Disease: Were You Ever Told You Had a Heart Attack (Myocardial Infarction)? %=Yes • The percent of Essex County residents reporting heart attacks increased by 0.4 percentage points between 2007 and 2010 from 2.7% to 3.1%. • This rate was not statistically different than the statewide rate. • In 2009, 6% of Newark residents, or nearly double the county rate reported a heart attack. (not shown) Source: CDC, Behavioral Risk Factor Surveillance System, Newark DCFWB Health Planning Division

  34. MORBIDITY >> Cardiovascular Disease: Have You Ever Been Told You Had a Stroke? %=Yes • The percent of Essex County residents reporting they had a stroke rose by 1.8% to 3.6%. • The percent of Newark residents reporting a stroke was not statistically different than the statewide rate. • In 2009, 4% of Newark residents reported having a stroke. (not shown) Source: CDC, Behavioral Risk Factor Surveillance System, Newark DCFWB Health Planning Division

  35. MORBIDITY >>Asthma: Adults Who Have Ever Been Told They Have Asthma. %=Yes • The percent of adults reporting they have asthma has risen in all the geographies studied. • Essex County experienced among the smallest increase and is now statistically no different from the statewide percentage. • In 2009, 16% of Newark residents reported asthma. (not shown) Source: CDC, Behavioral Risk Factor Surveillance System

  36. MORBIDITY >>Diabetes: Have You Ever Been Told by a Doctor that You Have Diabetes? %=Yes • Diabetes is on the increase in all the geographic areas studied. • In Essex County the percent of people reporting diabetes increased from 7.8% in 2006 to 10.2% in 2010. • At 10.2% the percent of people reporting diabetes in Essex County was not statistically different than the state. • In 2009, 17% of Newark residents reported being told by a doctor that they have Diabetes. (not shown) Source: CDC, Behavioral Risk Factor Surveillance System, Newark DCFWB Health Planning Division

  37. MORBIDITY >>Arthritis: Adults Who Have Been Told They Have Arthritis. %=Yes • Between 2005 and 2009 the percent of Essex County residents reporting Arthritis declined from 19.5% to 18.0%. • The percentage reporting Arthritis in Essex County is significantly lower than the rate in the state. Source: CDC, Behavioral Risk Factor Surveillance System

  38. MORBIDITY >>Overall Invasive Cancer Incidence: Age-Adjusted Rate per 100,000 Population • All geographies have seen declines in the cancer incidence rate between 2005 and 2009. • Essex County has a significantly lower cancer incidence rate than the state. Source: New Jersey Department of Health and Human Services, New Jersey Cancer Registry Note: The rate for prostate cancer is based on 100,000 males, and the rate for breast cancer is based on 100,000 females

  39. MORBIDITY >>Invasive Cancer Incidence by Site: Age-Adjusted Rate per 100,000 Population (2009) • Prostate and Breast cancers are the two most frequently occurring cancers in Essex County. • Between 2005 and 2009 the incidence rate of prostate cancer declined while the rate of breast cancer rose. • Cancer incidence rates for breast and melanoma were significantly better than the state. • Cancer incidence for prostate, lung, and colon were statistically no different from the statewide average. • 2011 rates for Newark: Prostate - 147.3, Breast (f) - 130.6, Lung - 51.3(f) 59 (m), colon/rectum 36.5 (f) 43.8(m). (not shown). Source: New Jersey Department of Health and Human Services, New Jersey Cancer Registry, Newark DCFWB Health Planning Division

  40. MORBIDITY >>Notifiable Communicable Diseases: Rate per 100,000 (2010) • The rate of Campylobacteriosis and Aseptic Meningitis in Essex County were both up between 2006 and 2009, only the rate for Pertussis declined. • None of the reported communicable disease rates were significantly different from the statewide average. • Bloomfield reported 6 confirmed cases of Campylobacteriosis in 2005, 3 in 2006, 1 in 2007, 6 in 2008, 5 in 2009, 6 in 2010, and 11 in 2011 • Bloomfield reported: 1 confirmed case of Pertussis in 2005, 2 in 2006, and zero in 2007, 2008, 2009, 2010, 2011 • Caldwell reported: 1 confirmed case of Campylobacteriosis in 2005, 2006, 2007 and 20011 Source: N.J. Department of Health and Human Services, Division of Communicable Disease Service, New Jersey Reportable Communicable Disease Report, 2010, 2009, 2008, 2007; U.S. Census Bureau, American Community Survey

  41. SCREENINGS RED: statistically worse than comparison statistic at 95% confidence level YELLOW: no statistical difference between county and GREEN: statistically better than comparison statistic at 95% confidence level comparison statistics at 95% confidence level

  42. SCREENINGS >>Hypertension Awareness: Adults Who Have Been Told They Have High Blood Pressure • The percent of people reporting high blood pressure has increased in all geographies studied. • The rate in Essex County is not significantly different than the Healthy People 2020 target or the statewide rate. Essex County 2009: 27.5% Baseline: 29.9% Target: 26.9% Source: CDC, Behavioral Risk Factor Surveillance System

  43. SCREENINGS >> Cholesterol Awareness: Adults Who Have Had Their Cholesterol Checked and Told It Was High • Between 2005 and 2009, adults with high cholesterol rose from 30.6% to 36.7%. • The percentage of people reporting high cholesterol in Essex County is worse than (higher-by nearly three times) the Healthy People 2020 target. • This indicator was not statistically different from the statewide percentage. Essex County 2009: 36.7% Baseline: 15.0% Target:13.5% Source: CDC, Behavioral Risk Factor Surveillance System

  44. SCREENINGS >>Percent of Women Age 40+ Who Have NOT Had a Mammogram Within Past Two Years • The number of Essex County women 40+ and older who have not had a mammogram within the past 2 years has decreased by 8.2 percentage points. • It is not statistically different from the Healthy People 2020 target or the statewide percentage. Essex County 2010: 19.4% Baseline: 26.3% Target: 18.9% Source: CDC, Behavioral Risk Factor Surveillance System

  45. SCREENINGS >>Percent of Women 18 Years and Over Who have Had a Pap Test in the Past 3 years • The percent of women who had a pap test declined between 2004 and 2010. • The percent of Essex County women having a pap test was worse (lower) than the Healthy People 2020 target. • The percent of women who had a pap test was not statistically different than the stateside percentage. Essex County 2010: 81.3% Baseline: 84.5% Target: 93.0% Source: CDC, Behavioral Risk Factor Surveillance System Note: Healthy People 2020 goal is to, “increase the proportion of women who receive a cervical cancer screening based on the most recent guidelines.”

  46. SCREENINGS >> Percent of Adults 50 Years and Over Who Have Ever Had a Sigmoidoscopy or Colonoscopy • All geographies have seen a percentage increase in the number of sigmoidoscopies or colonoscopies (among adults age 50+) over the studied period. • The percentage in 2010 is not statistically different from the statewide average or the Healthy People 2020 target. Essex County 2010: 67.8% Baseline: 54.2% Target: 70.5% Source: CDC, Behavioral Risk Factor Surveillance System