Community Health Assessment ResultsPresented by:Emily Burns, MD, MSPHAssistant Professor of Epidemiology, Colorado School of Public Health
Top ten things to know from the Community Health Assessment
#10
The Community Health Assessment was a collaborative effort.• SJBHD, MRMC, PSMC• students, staff, researchers, community• state and local• stakeholder meetings• etc., etc., etc.
#9
In general, Archuleta and La Plata counties are not that different (sometimes better!) than the state on most health outcomes.
400
500
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900
1990 1995 2000 2005 2006 2007 2008 2009 2010
rate
per
100
,000
Figure 6: Age-adjusted all-cause death rate, by countyArchuleta
La Plata
Colorado
Source: Death dataset, Health Statistics Section, Colorado Department of Public Health and Environment
0 25 50 75 100 125 150
all invasivecancer
prostate
breast
lung
colorectal
melanoma
cervical
Figure 12: Death rate (per 100,000) from cancer, age-adjusted, by county, 2006-2010
Archuleta
La Plata
Colorado
Source: Colorado Health Information Dataset: Death statistics
#8
Motor vehicle accident hospitalization and death rates are two of the few indicators that are worse in one or both counties compared to the state.
79.6 90.8 74.125.9 20 11.30
20
40
60
80
100
120
Archuleta La Plata Colorado
Figure 20: Motor vehicle accident hospitalization and injury rates, by county vs. state, 2006-2010
hospitalization rate
death rate
Source: Colorado Trauma Registry and Death dataset, via Colorado Health Information Dataset
#7
Obesity and tobacco use measures are not worse in either county but remain leading causes of cardiovascular death.• #1 cause of death in La Plata• #2 cause of death in Archuleta
Leading causes of death, 2007-2009Archuleta La Plata Colorado
Cancer Heart disease Cancer
Heart disease Cancer Heart diseaseUnintentional
injuriesUnintentional
injuriesUnintentional
injuries
Suicide Chronic lower respiratory diseases
Chronic lower respiratory diseases
Chronic lower respiratory diseases Alzheimers disease Cerebrovascular
diseases
Alzheimers disease Cerebrovascular diseases Alzheimers disease
Cerebrovascular diseases Suicide Suicide
Chronic liver disease and cirrhosis
Chronic liver disease and cirrhosis Diabetes mellitus
Other diseases of circulatory system Diabetes mellitus Influenza and
pneumonia
Kidney disease Influenza and pneumonia
Chronic liver disease and cirrhosis
0%
5%
10%
15%
20%
25%
30%
35%
40%
1995 1997 1999 2001 2003 2005 2007 2009
Figure 15: Overweight and obesity rates in Colorado and HSR9 region, by year
CO overweight
CO obese
HSR 9 overweight
HSR9 obese
Source: Behavioral Risk Factor Surveillance System, multiple years, Colorado and HSR 9
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Figure 18: Heart disease risk factors in Colorado adults, by race/ethnicity, 2009-2010 white
Latino
Source: Behavioral Risk Factor Surveillance System, 2009-2010, Colorado
#6
Colorectal and breast cancer screening measures are not worse, in general, among both counties but may be important areas for improving cancer outcomes, the leading cause of death in Archuleta and a close second in La Plata.
74.9%
66.4%58.9%
30%
40%
50%
60%
70%
80%
90%
100%
18+ pap in 3 years 40+ mammogram in 2years
50+ evidence-basedcolon CA screening in 5-
10 yearsSource: Behavioral Risk Factor Surveillance System
Figure 13: Cancer screening rates for Archuleta and La Plata combined,
2008 & 2010
#5
Access to care, including medical, oral and mental health care, is a significant problem in both counties.
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500
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Archuleta La Plata Colorado
Suic
ide
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ons
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Figure 26: Age-adjusted mental health and suicide hospitalization rates (per 100,000), 2007-2009
suicide hospitalization
Mental healthhospitalization
#4
Lack of health insurance, one of the primary barriers to accessing health care, is primarily an issue among those aged 19-54 and those with lower incomes, especially 200% of the federal poverty level and below.
Uninsured rates
#3
Older adult and Hispanic populations are prioritized by the communities as having increased health needs and inadequate services.
#2
Capacity assessment of all topic areas reveals the lowest current capacity in the following areas:• La Plata in: oral health, obesity and access to care, and
mental health. • Archuleta, the lowest capacity was in: mental health,
obesity, access to care and cancer.
#1
The Community Health Assessment identifies opportunities for improvement in health outcomes.