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Health Profile of Massachusetts Adults,2007

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Health Profile of
Massachusetts Adults
2007
Bureau of Health Statistics, Research, and Evaluation
Division of Research and Epidemiology
Health Survey Program
Content of the Presentation
пЃ¶
Massachusetts BRFSS
пЃ¶
Highlights from the 2007 data
пЃ¶
Race/ethnicity disparities in health over the
years
пЃ¶
Massachusetts and national health indicators in
2007 (selected)
Massachusetts BRFSS, 2007
пЃ¶
пЃ¶
21,500 respondents completed survey—larger
sample size due to one-time tobacco control
program contribution
50% of survey questions were state added
пЃ¶
Collaborations: Tobacco Control, Diabetes,
Nutrition, Asthma, Injury surveillance programs,
to name a few
пЃ¶
Data use: basis for MDPH programs reports and
publications
пЃ¶
Support: assistance in data analysis and training
Highlights: 2007
Overall Health Status,2007
Self perceived fair or poor health
*
50.0
prevalence (%)
40
40.0
*
*
30
25
30.0
*
*
16
20.0
11
11
7
6
10.0
0.0
18
-3
4
35
-6
4
65
+
lo
w
hi
gh
Hi
W
Bl
sp
hi
ac
te
ed
an
k
ed
,N
,N
uc
ic
uc
H
H
at
a
tio
io
n
n
* Statistically significant p<.05
Source data: 2007 Massachusetts
BRFSS
“low education”=less than high school;
“high education”=four years of college
or more
Health Insurance Status, 2007
Age 18-64, Uninsured
*
*
19
percentage(%)
20.0
15
15.0
*
9
10.0
7
*
*
4
4
8
4
2
5.0
0.0
Ma
l
es
Fe
m
ale
18
s
-3
4
35
-6
4
lo
w
Bl
W
Hi
ac
hi
sp
te
ed
k,N
an
e
,
du
uc
NH
ic
H
at
ca
io
t io
n
n
hi
gh
* Statistically significant p<.05
Source data: 2007 Massachusetts
BRFSS
“low education”=less than high school;
“high education”=four years of college
or more
Change in Health Insurance Coverage: JanuaryJune vs. July-December for Selected Groups, 2007
Uninsured
percentage(%)
20.0
15.0
12
11
*
10.0
19
7
9
*
7
*
5
4
5.0
0.0
Ov
e
ra
l
Ov
e
lJ
an
-J
u
ra
l
ne
18
lJ
-3
4
ul
-D
ec
18
Ja
nJu
-3
4
n
Ma
l
Ju
l- D
ec
es
Ma
l
Ja
nJ
es
un
* Statistically significant p<.05
Source data: 2007 Massachusetts
BRFSS
Hi
sp
Ju
l-D
ec
an
ic
Hi
sp
Ja
an
ic
nJu
n
Ju
l-D
e
c
Health Risks: Current Tobacco Smoking,
2007
prevalence (%)
50.0
*
31
40.0
30.0
22
*
17
20.0
*
7
10.0
17
17
17
W
hit
Bl
ac
Hi
sp
8
0.0
18
-34
35
65
-64
+
low
ed
hig
uc
a
t io
he
n
du
ca
t
e,
NH
k,N
H
an
ic
ion
* Statistically significant p<.05
Source data: 2007 Massachusetts
BRFSS
“low education”=less than high school;
“high education”=four years of college
or more
†Health Risks: Overweight (BMI>=25),
2007
prevalence (%)
100.0
80.0
*
*
69
*
60.0
49
49
Fe
18
-3
*
70
62
*
60
59
35
-6
65
+
W
66
40.0
20.0
0.0
M
al
e
s
m
al
es
4
4
hi
te
Bl
a
,N
H
ck
,
Hi
s
NH
pa
ni
c
* Statistically significant p<.05
†includes obesity
Source data: 2007 Massachusetts
BRFSS
Chronic Conditions: Lifetime Asthma,
2007
Adult Asthma
Childhood Asthma
30.0
30.0
*
20.0
18
20
prevalence (%)
prevalence (%)
*
*
20
17
12
10.0
6
20.0
*
15
18
*
12
13
65
+
M
10.0
0.0
0.0
M
al
e
Fe
s
m
al
0-
4
5-
11
es
12
-1
7
18
-
*Statistically significant p<.05
Source data: 2007 Massachusetts
BRFSS
34
35
-
64
al
es
Fe
m
al
es
“Childhood” defined as <18
years old
Chronic Conditions: Diabetes,
Pre-diabetes, 2007
*
Diabetes
20.0
17
20.0
Pre diabetes
10.0
8
prevalence (%)
prevalence (%)
*
*
7
7
11
10.0
6
5
5
2
**
0.0
M
al
es
Fe
m
al
18
es
-3
4
35
-6
4
65
0.0
+
M
al
es
Fe
m
18
al
es
-3
4
35
-6
4
65
+
*Statistically significant p<.05
Source data: 2007 Massachusetts
BRFSS
**Insufficient data
Time Trends in
Race/Ethnicity
Health Indicators
Race/Ethnicity Disparities in Health
over the Years
пЃ¶
Prevalence of many health indicators varies by
socio-demographic factors
пЃ¶
These factors are not mutually exclusive
пЃ¶
Annual estimates may fluctuate due to smaller
samples for Black, Hispanic respondents
пЃ¶
Persistence of race/ethnicity differences was
estimated for the longest time period available,
prevalence of health indicators was age-adjusted
Overall Health Status, 1992-2007
Self perceived fair or poor health
percentage(%)
40
30
20
10
0
1990-1991
1994-1995
White
1998-1999
Black
2002-2003
2006-2007
Hispanic
Source data: Massachusetts BRFSS
All percentages are age-adjusted
to standard population (U.S.
2000)
Current Tobacco Smoking, 1990-2007
30
prevalence(%)
25
20
*
15
10
5
0
1990-1991
1994-1995
White
*Statistically significant p<.05
1998-1999
Black
2002-2003
2006-2007
Hispanic
Source data: Massachusetts BRFSS
All percentages are age-adjusted
to standard population (U.S.
2000)
Overweight (BMI>=25), 1990-2007
100
percentage(%)
80
60
*
*
40
*
20
1990-1991
1994-1995
White
*Statistically significant p<.05
1998-1999
Black
2002-2003
2006-2007
Hispanic
Source data: Massachusetts BRFSS
All percentages are age-adjusted
to standard population (U.S.
2000)
Diabetes, 1990-2007
prevalence(%)
15
10
*
5
*
*
0
1990-1991
1994-1995
White
*Statistically significant p<.05
1998-1999
Black
2002-2003
2006-2007
Hispanic
Source data: Massachusetts BRFSS
All percentages are age-adjusted
to standard population (U.S.
2000)
Any Leisure Time Physical Activity in
the Past Month, 1990-2007
100
percentage(%)
80
*
*
60
40
20
1990-1991
1994-1995
White
*Statistically significant p<.05
1998-1999
Black
2002-2003
2006-2007
Hispanic
All percentages are age-adjusted
to standard population (U.S. 2000)
Mammography in the past two years,
Age 40+, 1992-2007
100
percentage(%)
90
*
*
80
70
60
1990-1991
1994-1995
White
*Statistically significant p<.05
1998-1999
Black
2002-2003
2006-2007
Hispanic
Source data: Massachusetts BRFSS
All percentages are age-adjusted
to standard population (U.S.
2000)
Massachusetts vs.
United States, 2007
Massachusetts vs. US, 2007
100
84
89
80
68
80
percentage (%)
*
59
63
60
40
15
13
20
0
Ch
Ha
Li
Ch
Ha
Ov
Ov
Li
fe
fe
ve
ec
ve
ec
er
er
t
tim
i
w
w
m
ku
ku
PC
PC
e
e
e
e
p,
p,
ig
ig
P,
P,
As
As
h
h
Pa
Pa
t/O
t/O
M
U
t
th
h
st
st
S
A
m
m
b
b
Ye
es
es
a,
Ye
a,
e
e,
M
US
ar
ar
M
A
U
U
M
A
S
S
A
*Statistically significant p<.05
Source data: BRFSS, 2007
Summary
пЃ¶ Health care access:
- Health insurance coverage is lower for younger, low
educational attainment, non whites respondents
- Health care reform implementation reduced the
percentage of uninsured in most high risk groups
пЃ¶ Health Risks:
- Overweight is on the rise for all race/ethnicity groups,
however, state prevalence is lower than US average
- Tobacco smoking continues to decrease and
race/ethnicity gap in prevalence is closing
Summary: Race/Ethnicity Trends
пЃ¶
BRFSS covers more than 30 health indicators, only a few of them
are presented here
пЃ¶
For some indicators time trends for Black and Hispanic show
improvement, for instance: current smoking, physical activity and
prevention measures
пЃ¶
However, Black and Hispanic respondents have higher percentage of
uninsured. Hispanic respondents describe themselves as having
poorer overall and mental health. THESE DIFFERENCES PERSIST
OVER TIME
пЃ¶
Overweight and obesity are on the rise among all population
subgroups. THESE DIFFERENCES PERSIST OVER TIME
пЃ¶
Diabetes prevalence is rising with Black and Hispanic respondents
having higher prevalence rates than Whites. THE GAP IS WIDENING
Future Directions
пЃ¶
Further analyze and combine data sources to
examine health disparities more closely
пЃ¶
Continue to collect health care reform data to
determine if insurance mandate has differential
effects by race/ethnicity
пЃ¶
Adopt cell- mail- landline- survey design and
extend oversampled cities to include
communities with large Asian population
пЃ¶
Increase focus on social determinants of health
пЃ¶
Consider to provide survey assistance and data
to smaller geographic areas
Acknowledgments
пЃ¶
We want to thank all our colleagues in Health
Survey Program
пЃ¶
Colleagues of the Bureau of Health Statistics and
Division of Research and Epidemiology
пЃ¶
MDPH programs who collaborated in developing
the BRFSS and provided resources
пЃ¶
CDC for providing basic resources and technical
assistance
пЃ¶
Massachusetts residents who participated in the
survey for their great contribution and support.
Accessing BRFSS Data
BRFSS Annual Report: A Profile of Health
Among Massachusetts Adults, 2007
Health Survey Program
http://www.mass.gov/dph/hsp
MassCHIP
http://masschip.state.ma.us/
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