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A profile of your community’s health

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  1. A profile of your community’s health May 4, 2009 CHI Webinar June 22, 2011

  2. A Brief Introduction to CHI CHI is a trusted and leading source of credible health information for Colorado leaders. Our insight is used to: • Inform policy • Contribute to effective implementation • Support state efforts to improve health

  3. Introduction to Webinar • How do I ask questions during the webinar? • Recorded webinar and PowerPoint slides will be available after the webinar. • Special thanks to the Colorado Health Foundation

  4. Your presenter Jeff Bontrager Director of Research on Coverage and Access Colorado Health Institute

  5. Guiding questions for this presentation • What health concerns do you hear in your communities? • What determines health? • What data and resources are available to help you understand your community’s health?

  6. To start things off… …a question for you: What are the primary health concerns that you hear from people in your community?

  7. Three resources discussed today

  8. Straw poll On a scale of 1 – 5, how would you rate the health of the residents in your community? Poor Health Great Health What determines health?

  9. What determines health? Source: University of Wisconsin Population Health Institute, 2010 County Health Rankings

  10. Health Behaviors

  11. Health Behaviors

  12. Obesity Trends* Among U.S. AdultsBRFSS 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% Source: Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention

  13. Obesity Trends* Among U.S. AdultsBRFSS 1986 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  14. Obesity Trends* Among U.S. AdultsBRFSS 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  15. Obesity Trends* Among U.S. AdultsBRFSS 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  16. Obesity Trends* Among U.S. AdultsBRFSS 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  17. Obesity Trends* Among U.S. AdultsBRFSS 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  18. Obesity Trends* Among U.S. AdultsBRFSS 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  19. Obesity Trends* Among U.S. AdultsBRFSS 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  20. Obesity Trends* Among U.S. AdultsBRFSS 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  21. Obesity Trends* Among U.S. AdultsBRFSS 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  22. Obesity Trends* Among U.S. AdultsBRFSS 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  23. Obesity Trends* Among U.S. AdultsBRFSS 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  24. Obesity Trends* Among U.S. AdultsBRFSS 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  25. Obesity Trends* Among U.S. AdultsBRFSS 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  26. Obesity Trends* Among U.S. AdultsBRFSS 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  27. Obesity Trends* Among U.S. AdultsBRFSS 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  28. Obesity Trends* Among U.S. AdultsBRFSS 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  29. Obesity Trends* Among U.S. AdultsBRFSS 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  30. Obesity Trends* Among U.S. AdultsBRFSS 2002 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  31. Obesity Trends* Among U.S. AdultsBRFSS 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  32. Obesity Trends* Among U.S. AdultsBRFSS 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  33. Obesity Trends* Among U.S. AdultsBRFSS 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  34. Obesity Trends* Among U.S. AdultsBRFSS 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  35. Obesity Trends* Among U.S. AdultsBRFSS 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  36. Obesity Trends* Among U.S. AdultsBRFSS 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  37. Obesity Trends* Among U.S. AdultsBRFSS 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  38. 2010 Colorado rankings: Focus on physical activity Source: The Colorado Health Foundation, Grading Our Progress, 2011

  39. Smoking and obesity among Colorado adults, 1996-2009 Source: Colorado Behavioral Risk Factor Surveillance System, Health Statistics Section, CDPHE

  40. Clinical Care

  41. Clinical care

  42. Health insurance coverage For most people living in the U.S., health insurance provides the mechanism by which to gain access to health care…

  43. Access vs. coverage For most people living in the U.S., health insurance provides the mechanism by which to gain access to health care… …however, Not everybody who has coverage, has access Not everybody who lacks coverage, lacks access

  44. CHI inventory of safety net providers • Community and public hospital emergency departments • Community health centers (federally-qualified health centers) • Community-funded/community-based clinics and family practice residency programs • Rural health clinics • School-based health centers • Low-income dental clinics and public oral health programs • Community mental health centers • Migrant health centers • Local health departments

  45. Safety Net Map

  46. Social and economic factors

  47. Social and economic factors