The Epidemiology of Tobacco Use among Populations with Low Socioeconomic Status

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "The Epidemiology of Tobacco Use among Populations with Low Socioeconomic Status"

Transcription

1 The Epidemiology of Tobacco Use among Populations with Low Socioeconomic Status Shanta R. Dube, PhD, MPH Lead Health Scientist Team Lead, Surveillance Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Office on Smoking and Health The findings and conclusions in this presentation are those of the author and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

2 Outline of Presentation Epidemiological data on tobacco use in low SES populations Epidemiology of tobacco use among youth Implications for surveillance and evaluation at the state and local levels

3 About 443,000 U.S. Deaths per Year Attributable to Cigarette Smoking Other diagnoses 44,000 Stroke 15,900 Other cancers 35,500 Chronic Obstructive Pulmonary Disease 92,900 Lung cancer 128,900 Ischemic Heart Disease 126,000 Average annual number of deaths, Source: Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses United States, MMWR 2008;57(45):

4 OSH PRIORITY AREAS ENHANCED SURVEILLANCE PRODUCT PRICING SMOKE-FREE POLICIES TOBACCO PRODUCTS AND FDA SUPPORT COUNTERMARKETING OFFICE ON SMOKING AND HEALTH

5 Epidemiological Evidence of the Protective Effects of Education Across the Lifespan Compared to persons with < high school diploma, those with > high school: Lower mortality rates (Health, United States, 2006, NCHS) Lower prevalence of poor self-rated health (MMWR Surveillance Summaries, Oct. 28, 2005) Lower rates of cardiovascular disease (CVD) (Prevalence of Heart Disease, United States Feb t 16, 2007 MMWR)

6 Trends in Current Cigarette Smoking Among Adults, National Health Interview Survey Adults Percent Year Adults: Total population adults who were current cigarette smokers. Source: National Health Interview Surveys,

7 Epidemiology of Adult Smoking in the U.S. Current smoking among all adults in million adults = 19.3% of population (21.5% of men and 17.3% of women) By Race/Ethnicity: Highest among American Indians/Alaska Natives (31.4%); non-hispanic whites (21.0%); non-hispanic blacks (20.6%). By Age: Adults years (22.0%) and years (21.1%) had the highest prevalence amongst all age groups. By SES: Smoking prevalence decreased with increasing education and was higher among adults living below the poverty level (28.9%) compared to those living at or above poverty level (18.3%). ) Source: CDC. MMWR: Vital Signs: Current Cigarette Smoking Among Adults Aged 18 Years --- United States, , September 6, 2011, 59 (Early Release) OFFICE ON SMOKING AND HEALTH Photo Courtesy of trinketsandtrash.org

8 Percentage of adults 25 years who were current smokers* by education, National Health Interview Survey, United States < High School Graduate High School Graduate Some College College Grad *For NHIS survey years , current smokers included adults who reported smoking >100 cigarettes in their lifetime and current smoking. For , current smokers included adults who reported smoking 100 cigarettes in their lifetime and specified they currently smoked "every day" or "some days." Data on education are presented for persons 25 years of age. Persons <25 years of age might not have completed college or graduate school.

9 Prevalence of Current Cigarette Use Among Adults 18 Years by Educational Status, National Health Interview Survey, United States * * 5.0 < High School GED High School Grad > High School Highest prevalence seen for persons with < HS and GED across time and has not change significantly among persons with < HS and GED Current cigarette use defined as smoking at least 100 cigarettes and now smokes every day or some days.

10 Prevalence of Any Tobacco Use Among Adults 18 Years by Educational Status, National Health Interview Survey, United States < High school GED 50.0 High School Graduate > High Sh School Percent (%) Year Overall 23% of U.S. population used any tobacco in 2010 Highest for persons with GED and < HS; No change over time for these groups Lowest for persons with > HS * Any tobacco use defined as current use of cigarettes, cigars or smokeless tobacco

11 Prevalence of Current Cigar Use and Current Smokeless Use Among Adults 18 Years by Educational Status-- National Interview Health Survey, United States, Highest prevalence of current cigar use and Smokeless us among persons with < HS Percent (%) 2.0 < High School GED 1.5 High School Graduate > High School Cigar Use 2010 Smokeless Use Current cigar use defined as persons who smoked 50 cigars in their lifetime and currently smoke cigars Current smokeless tobacco users reported using chewing tobacco or snuff >20 times in their lifetime and currently used chewing tobacco or snuff.

12 Percentage of adults 18 years who were current smokers* by poverty status, National Health Interview Survey, United States Below Poverty At/Above Poverty *For NHIS survey years , current smokers included adults who reported smoking >100 cigarettes in their lifetime and current smoking. For , current smokers included adults who reported smoking 100 cigarettes in their lifetime and specified they currently smoked "every day" or "some days." Based on self reported family income and poverty thresholds published by the US Census Bureau, (

13 Prevalence of Current Cigar Use by Poverty Status Among Adults 18 Years-- National Interview Health Survey, United States In 2000 and 2005 prevalence was very similar. Percent (%) At or above poverty However, in 2010, an increase was observed in persons below poverty 0.5 Below poverty Year

14 Prevalence of Current Smokeless Use by Poverty Status Among Adults 18 Years-- National Interview Health Survey, United States, Declines observed in both groups (%) Percent Above poverty level However, from 2005 to 2010, prevalence remained unchanged for persons at or below poverty At or below poverty level Year

15 Percentage of the nonsmoking population aged 3 years with serum cotinine levels ng/ml, by selected characteristics - -- National Health and Nutrition Examination Survey, United States, Reductions in secondhand BelowPoverty level 80 smoke exposure 71.6 At or above poverty level by poverty level observed over time. nt (%) Perce However, a higher proportions of nonsmokers living at or below poverty are exposed to secondhand smoke NHANES Year CDC. Vital Signs: Nonsmokers' Exposure to Secondhand Smoke --- United States, MMWR, September 10, 2010 / 59(35);

16 Current cigarette smoking prevalence among currently working adults aged 18 years, by selected characteristics --- National Health Interview Survey, Characteristic Currently working adults Current smoking prevalence Education Number in millions % 95% CI Less than high school diploma ( ) High school/ged ( ) Some college ( ) Bachelor, masters, or higher h degree ( ) Unknown ( ) Poverty status Poor ( ) Near poor ( ) Not poor ( ) Unknown ( ) Health insurance status Uninsured ( ) Insured ( ) Unknown ( ) CDC. Current Cigarette Smoking Prevalence Among Working Adults --- United States, September 30, 2011 / 60(38);

17 Current cigarette smoking prevalence among currently working adults aged 18 years, by Industry group --- National Health Interview Survey, Current cigarette smoking prevalence % (95% CI) Industry group g 3 ( ) By industry, age-adjusted cigarette smoking prevalence among working adults ranged from 9.7% in education services to 30.0% in mining. Mining 30.0 ( ) services to 30.0% in mining. Accommodation and food services 30.0 ( ) Construction 29.7 ( ) Administrative and support and waste 24.5 ( ) management and remediation services Transportation and warehousing 24.3 ( ) Real estate and rental and leasing 23.4 ( ) **For healthcare industry prevalence was 15.9% By occupation group, prevalence ranged from 8.7% in education, training, and library to 31.4% in construction and extraction. Manufacturing 23.2 ( ) CDC. Current Cigarette Smoking Prevalence Among Working Adults --- United States, 2004 Retail trade 23.1 ( ) September 30, 2011 / 60(38); Wholesale trade 22.0 ( )

18 PREVENTING INITIAION: Youth Smoking Adolescence is a period of human development marked by experimentation In the United States, approximately 3,900 young people between the ages of 12 and 17 years initiate cigarette smoking every day 4 An estimated 1,000 young people become daily cigarette smokers 4 Most (80%) of established smokers initiated during youth Substance Abuse and Mental Health Services Administration. (2009). Results from the 2008 National Survey on Drug Use and Health: National Findings, Office of Applied Studies, 2008 National Survey on Drug Use and Health.

19 Youth Smoking In 2009 among U.S. high school students: 46.3% of students reported ever smoking* cigarettes; highest among Hispanics (51.0%); Blacks (43.5%) and Whites (46.1%) % of students were current cigarette smokers**; approximately 19.0% of females and 20.0% of males % of white, 18.0% of Hispanic, and 9.5% of African American students were current cigarette smokers. 1 The rate of decline in youth smoking has slowed in recent years. 1 Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance United States, 2009 Surveillance Summaries, [June 4, 2010]. MMWR 2010;59(No. SS-5). * Ever smoking defined as ever tried smoking even one or two puffs **Curent cigarette smoking defined as having smoked during the past 30 days.

20 CIGARETTE SMOKING IN U.S. HIGH SCHOOLS YRBS initiated in 1991 NYTS initiated in 2000 In 1998, Master Settlement Agreement (MSA); reduced marketing and advertisement toward youth In 1995, OSH initiated media campaigns which led to formal and more effective youth tobacco prevention & cessation programs nationwide Source: Youth Risk Behavior Surveys (YRBS) and National Youth Tobacco Surveys (NYTS) OFFICE ON SMOKING AND HEALTH

21 Factors Associated with Youth Smoking Include: Low socioeconomic status Low levels of academic achievement Use and approval of tobacco use by peers or siblings Smoking by parents or guardians, Accessibility, availability and price of tobacco products Perception that tobacco use is normative Lack of skills to resist influences to tobacco use Low self-image or self-esteem OFFICE ON SMOKING AND HEALTH

22 Weighted Prevalence (95% CI) of Ever Smoking among Youth by Number of School Days Skipped, National a Survey on Drug Use and Health, cigarettes % Youth who ever smoked days 1 day 2 days Ever having smoked part or all of a cigarette was highest among students who had skipped school two to thirty days within the past month as compared to those who skipped only one day and those who did not skip at all. * Chi squares significant at p <.01

23 Adjusted odds ratios of Smoking Outcomes as a Function of Truancy, Monitoring the Future Truancy No truancy 1.0 referent 1.0 referent Current Smoking Overall 8 th 10 th 12th 1.0 referent 1.0 referent Low truancy 2.1*** 2.9*** 2.1*** 1.6*** Medium truancy 3.0*** 4.8*** 3.2*** 2.2*** High truancy 4.2*** 5.6*** 4.6*** 3.4*** Truancy Heavy Smoking Overall 8 th 10 th 12th No truancy 1.0 referent referent 1.0 referent referent Low truancy 1.7*** 2.7*** 1.8*** 1.3*** Medium truancy 2.6*** 4.5*** 3.0*** 1.9*** High truancy 5.0*** 9.7*** 5.8*** 3.5*** Compared to students who did not skip: Positive relationship between level of truancy and current smoking. Similar relationship for Heavy smoking Magnitude somewhat decreases across grades, but still strong and significant relationship for all grades. Models include: race, sex, grade,, family/social characteristics, school measures, geographic controls, and time.

24 School SES and Youth Smoking School characteristic and youth smoking Using Monitoring the Future data: High SES schools had lower rates of smoking among 8 th and 10 th graders compared to lower SES schools (O Malley et al., 2006). Among 8 th grade female students, t a statistically ti ti significant ifi association was found between low SES schools and female 30 day cigarette use (Wallace et al., 2009) Ui Using Nti National Longitudinal Study of Adolescent Health: Researchers identified private schools as statistically significant in protecting against the onset of youth smoking (Wen et al. 2009). O Malley P., Johnston L., Bachman J., Schulenberg J., Kumar R. (2006). How Substance Use Differs Among American Secondary Schools. Preventive Science, v. 7, pg Wallace J., Vaughn M., Bachman J., O Malley P., Johnston L., and Schulenberg J. (2009). Race/Ethnicity, Socioeconomic Factors, and Smoking Among Early Adolescent Girls in the United States. Drug and Alcohol Dependence, v. 104S, S42-S49. Wen M., Van Duker H., Olson L. (2009). Social Contexts of Regular Smoking in Adolescence: Towards a Multidimensional Ecological Model. Journal of Adolescence, v. 32, pg

25 Secondhand Smoke (SHS) Exposure and School Absenteeism Evidence that secondhand smoke exposure in the home is associated with excessive school absenteeism Children s Health Study: Youth 8-12 year olds with asthma who were exposed to SHS had higher odds of school absences than those not exposed to SHS. (RR = 2.35, CI 1.49, 3.71). 1 Dose response relationship between absences and the number of household smokers: as the number of household smokers increased, so did the number of school absences. 1 Among Hispanic youth there was a statistically significant association between being absent from school and exposure to SHS (OR = 2.29, CI = , 298) 2.98). 2 Recent study found that 24%-34% of school absences among 6-11 year olds could be prevented if there was no smoking in the household Gilliland F., Berhane K., Islam T., Wenten M., Rappaport E., Avol E., Gauderman J., McConnell R., and Peters J. (2003). Environmental Tobacco Smoke and Absenteeism Related to Respiratory Illness in Schoolchildren. American Journal of Epidemiology, v. 157, pg Freeman N., Schneider D., McGarvey P. (2003). Household Exposure Factors, Asthma, and School Absenteeism in a Predominantly Hispanic Community. Journal of Exposure Analysis and Environmental Epidemiology, v. 13, pg Levy DE, Winickoff J, Rigotti N. (2011). School absenteeism among children who live with smokers. Pediatrics, 128,

26 Conclusions Tobacco use, particularly smoking is high in adults with low levels of education and persons below poverty level Need to take an upstream approach adults don t drop out, youth do Assess disparities in tobacco use among youth Sub-state level data critical to understand pro-tobacco influences among gyouth Continued surveillance and evaluation of key tobacco indicators needed especially to monitor populations with high prevalence of smoking

27 Implications for Surveillance and Evaluation

28 Best Practices 2007: Surveillance and Evaluation Ten percent of overall budget (and maybe more) toward surveillance and evaluation Focus on maintaining core surveillance systems Documenting the lack of change can inform interventions and policies Importance of establishing sound baselines on key indicators

29 Surveillance and Evaluation National perspective can inform assessments at the state and local levels low SES, other populations States may have unique situations with respect to addressing tobacco related disparities one size cannot fit all May begin by making an assessment of key tobacco indicators at the state level Population based surveys are a good place to start May take other types of assessments, especially to examine tobacco industry tactics May first ask: are there particular populations where we see lack of change over time

30 Where We Are with OSH Surveillance Continue to track Healthy People Objectives for Tobacco HHS Initiative in Tobacco Control Surveillance, Evaluation, and Research Continue to monitor Performance Measures Continue to use Key Outcomes Indicator as a guidance for surveillance and evaluation in Tobacco Control (logic models, measures) Enhancing surveillance also critical component when monitoring key indicators in tobacco

31 Enhancing Surveillance to: Support existing tobacco surveillance systems Develop protocols on emerging areas in tobacco surveillance (pricing, i rapid response) Conducting pilot studies to establish feasibility of novel methods for data collection (smart phones) Investigating and improving survey methodology Creating key tobacco surveillance reports

32 Other Surveys with Tobacco and SES Indicators National Health Interview Survey (NHIS) National Health and Nutrition Examination Survey (NHANES) National Survey on Drug Use and Health (NSDUH) Medical Expenditure Panel Survey (MEPS) Behavioral Risk Factor Surveillance (BRFSS) Health Information National Trends Survey (HINTS) National Adult Tobacco Survey (NATS) State Adult Tobacco Survey (ATS) Current Population Survey Tobacco Use Supplement (CPS-TUS) (Telephone

33 Surveillance Systems Used to Monitor Tobacco and SES Indicators Youth Survey (YRBS, NYTS &YTS) All surveys evaluated cover year olds and most are school based Youth and Adult Surveillance Systems Youth MTF and NSDUH cover the most educational indicators NHANES and PRAMS (household/telephone based surveys) don t ask any questions besides educational attainment and/or enrollment TUS-CPS asks about enrollment, attainment, school type and drop out but doesn t include academic success and behavioral issues Health care delivery rarely asks about educational status Adult Survey Many adult surveys do not differentiate between GED and high school diploma

34 Questions? Contact: Shanta R. Dube, PhD, MPH Lead Health Scientist Surveillance Team Lead, Epidemiology Branch Centers for Disease Control and Prevention Office on Smoking and Health (OSH)

35 A Model of Human Well-being Health and population people enjoy long lives in good health; not just the absence of disease Household and national wealth Individuals, households, and communities have the material goods and income to secure basic goods and income to secure basic needs and decent livelihoods and community resources to support enterprise Knowledge people have knowledge to innovate and cope with change, live well, maintain sustainability, and fulfill their potential Culture avenues for spiritual growth, creativity, and self-expression Eco-systems- support towards environment and environmental consciousness; synergy between communities and environment to promote health and prevent disease Adapted from The Wellbeing of Nations by Prestcott-Allen, Robert

Texas Diabetes Fact Sheet

Texas Diabetes Fact Sheet I. Adult Prediabetes Prevalence, 2009 According to the 2009 Behavioral Risk Factor Surveillance System (BRFSS) survey, 984,142 persons aged eighteen years and older in Texas (5.4% of this age group) have

More information

Smoking in the United States Workforce

Smoking in the United States Workforce P F I Z E R F A C T S Smoking in the United States Workforce Findings from the National Health and Nutrition Examination Survey (NHANES) 1999-2002, the National Health Interview Survey (NHIS) 2006, and

More information

TOBACCO USE AMONG AFRICAN AMERICANS

TOBACCO USE AMONG AFRICAN AMERICANS TOBACCO USE AMONG AFRICAN AMERICANS Each year, approximately 45,000 African Americans die from smoking-related disease. 1 Smoking-related illnesses are the number one cause of death in the African-American

More information

2009 Mississippi Youth Tobacco Survey. Office of Health Data and Research Office of Tobacco Control Mississippi State Department of Health

2009 Mississippi Youth Tobacco Survey. Office of Health Data and Research Office of Tobacco Control Mississippi State Department of Health 9 Mississippi Youth Tobacco Survey Office of Health Data and Research Office of Tobacco Control Mississippi State Department of Health Acknowledgements... 1 Glossary... 2 Introduction... 3 Sample Design

More information

Chapter 13 Patterns of Tobacco Use Among U.S. Youth, Young Adults, and Adults

Chapter 13 Patterns of Tobacco Use Among U.S. Youth, Young Adults, and Adults Chapter 13 Patterns of Tobacco Use Among U.S. Youth, Young Adults, and Adults Introduction 703 Data Sources 703 Key Epidemiologic Measures 704 Historical Trends in Tobacco Use 705 Trends in Tobacco Use

More information

Racial Disparities in US Healthcare

Racial Disparities in US Healthcare Racial Disparities in US Healthcare Paul H. Johnson, Jr. Ph.D. Candidate University of Wisconsin Madison School of Business Research partially funded by the National Institute of Mental Health: Ruth L.

More information

Facts about Diabetes in Massachusetts

Facts about Diabetes in Massachusetts Facts about Diabetes in Massachusetts Diabetes is a disease in which the body does not produce or properly use insulin (a hormone used to convert sugar, starches, and other food into the energy needed

More information

New Jersey Department of Health. Office of Tobacco Control, Nutrition and Fitness. Request for Applications (RFA)#2

New Jersey Department of Health. Office of Tobacco Control, Nutrition and Fitness. Request for Applications (RFA)#2 New Jersey Department of Health Office of Tobacco Control, Nutrition and Fitness Request for Applications (RFA)#2 Smoke-Free Housing / Worksite Wellness Smoke Free Housing/Worksite Wellness Grant The funding

More information

http://www.cdc.gov/nchs.

http://www.cdc.gov/nchs. As the Nation s principal health statistics agency, the National Center for Health Statistics (NCHS) compiles statistical information to guide actions and policies to improve the health of the population.

More information

Behavioral Health Barometer. United States, 2014

Behavioral Health Barometer. United States, 2014 Behavioral Health Barometer United States, 2014 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No.

More information

A report given to the Board of Health, City of Lubbock, March 2011 Brian D. Carr, Ph.D., Board Member *denotes areas of possible intervention

A report given to the Board of Health, City of Lubbock, March 2011 Brian D. Carr, Ph.D., Board Member *denotes areas of possible intervention If you live in Lubbock A Statistical Review A report given to the Board of Health, City of Lubbock, March 2011 Brian D. Carr, Ph.D., Board Member *denotes areas of possible intervention Population Total

More information

Substance Abuse. Health Equity Highlight: Adolescents

Substance Abuse. Health Equity Highlight: Adolescents Substance Abuse 108 Background The deliberate use and overuse of harmful substances has a serious impact on the quality of life of Maine people. As a result of substance abuse, the lives of Maine residents

More information

SMOKING TOBACCO: SMOKING

SMOKING TOBACCO: SMOKING TOBACCO: SMOKING One in 4 adults in Guam is a smoker. Among youth, 1 in 5 smokes. Guam s smoking rate is higher than most US States and Territories; this has remained unchanged since 2001. T O B A C C

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Maine

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Maine Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Maine Data Sources National Survey on Drug Use and Health Sponsored by SAMHSA

More information

February 18, 2010. Dear Cessation Program Provider:

February 18, 2010. Dear Cessation Program Provider: February 18, 2010 Dear Cessation Program Provider: The Alabama Department of Public Health (ADPH) is pleased to present this Request for Application (RFA) for online cessation services for the Alabama

More information

Oral Health Bexar County Community Health Assessment Health behaviors Oral Health 74

Oral Health Bexar County Community Health Assessment Health behaviors Oral Health 74 Oral Health A National Call to Action to Promote Oral Health marks the latest in an ongoing effort to address the country s oral health needs in the 21 st century. In 00, Dr. David Satcher released Oral

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Indiana

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Indiana Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Indiana Data Sources National Survey on Drug Use and Health Sponsored by SAMHSA

More information

Maternal and Child Health Issue Brief

Maternal and Child Health Issue Brief Maternal and Child Health Issue Brief Why is substance abuse an issue among youth? December 14 8 Substance Abuse among Youth in Colorado Substance abuse among youth is defined as using alcohol, tobacco,

More information

TOBACCO CESSATION PILOT PROGRAM. Report to the Texas Legislature

TOBACCO CESSATION PILOT PROGRAM. Report to the Texas Legislature TOBACCO CESSATION PILOT PROGRAM Report to the Texas Legislature As Required by S.B. 10, 80 th Legislature, Regular Session, 2007 Texas Health and Human Services Commission September 2010 Table of Contents

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Washington

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Washington Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Washington Data Sources National Survey on Drug Use and Health Sponsored by

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Georgia

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Georgia Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Georgia Data Sources National Survey on Drug Use and Health Sponsored by SAMHSA

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Florida

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Florida Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Florida Data Sources National Survey on Drug Use and Health Sponsored by SAMHSA

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Idaho

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Idaho Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Idaho Data Sources National Survey on Drug Use and Health Sponsored by SAMHSA

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in New Hampshire

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in New Hampshire Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in New Hampshire Data Sources National Survey on Drug Use and Health Sponsored

More information

TOBACCO AND SOCIOECONOMIC STATUS

TOBACCO AND SOCIOECONOMIC STATUS TOBACCO AND SOCIOECONOMIC STATUS Tobacco is the leading cause of death in the United States, killing 480,000 Americans every year. 1 Another 16 million Americans suffer from a smoking-caused disease, disability,

More information

Position Paper. Tobacco Prevention and Control in the California Community Colleges

Position Paper. Tobacco Prevention and Control in the California Community Colleges Position Paper Tobacco Prevention and Control in the California Community Colleges Written by: Beth Hoffman, RN, MSN Naomi Kitajima NP, MSN Kimberlee Homer Vagadori, MPH Adopted by HSACCC Executive Board

More information

New York State s Racial, Ethnic, and Underserved Populations. Demographic Indicators

New York State s Racial, Ethnic, and Underserved Populations. Demographic Indicators New York State s Racial, Ethnic, and Underserved Populations While much progress has been made to improve the health of racial and ethnic populations, and increase access to care, many still experience

More information

Poll: what do you think are the top 3 health-related issues in Kane County?

Poll: what do you think are the top 3 health-related issues in Kane County? DATA REVIEW Poll: what do you think are the top 3 health-related issues in Kane County? 30% 26% 25% 22% 20% 17% 15% 12% 11% 10% 5% 4% 3% 2% 2% 1% 0% Mental Health Chronic Disease (Obesity, Diabetes, etc.)

More information

ISSUEBrief. Reducing the Burden of Smoking on Employee Health and Productivity. Center for Prevention

ISSUEBrief. Reducing the Burden of Smoking on Employee Health and Productivity. Center for Prevention Center for Prevention and Health ISSUEBrief Services Volume I, Number 5 Reducing the Burden of Smoking on Employee Health and Productivity This issue brief summarizes information presented during the fifth

More information

FAMILY HEALTH SERVICES DIVISION Profiles 2014 OVERVIEW

FAMILY HEALTH SERVICES DIVISION Profiles 2014 OVERVIEW FAMILY HEALTH SERVICES DIVISION Profiles 2014 OVERVIEW Family Health Services Division Overview Data Sources Life Course Perspective and Title V Priorities Population Overview Births Infant Mortality Chapter

More information

Health Profile for St. Louis City

Health Profile for St. Louis City Health Profile for St. Louis City The health indicators of St. Louis City show that the city has many health problems. To highlight a few, the city s rates of sexually transmitted diseases (i.e., HIV/AIDS,

More information

Teens and Tobacco in Minnesota, 2014 Update

Teens and Tobacco in Minnesota, 2014 Update Teens and Tobacco in Minnesota, 2014 Update Executive Summary Minnesota Department of Health Center for Health Equity Center for Health Statistics November, 2014 ii TEENS AND TOBACCO IN MINNESOTA, 2014

More information

Health Insurance Coverage: Estimates from the National Health Interview Survey, 2004

Health Insurance Coverage: Estimates from the National Health Interview Survey, 2004 Health Insurance Coverage: Estimates from the National Health Interview Survey, 2004 by Robin A. Cohen, Ph.D., and Michael E. Martinez, M.P.H., Division of Health Interview Statistics, National Center

More information

Maternal and Child Health Issue Brief

Maternal and Child Health Issue Brief Maternal and Child Health Issue Brief Substance Abuse among Women of Reproductive Age in Colorado September 14 9 Why is substance abuse an issue among women of reproductive age? Substance abuse poses significant

More information

1992 2001 Aggregate data available; release of county or case-based data requires approval by the DHMH Institutional Review Board

1992 2001 Aggregate data available; release of county or case-based data requires approval by the DHMH Institutional Review Board 50 Table 2.4 Maryland Cancer-Related base Summary: bases That Can Be Used for Cancer Surveillance base/system and/or of MD Cancer Registry Administration, Center for Cancer Surveillance and Control 410-767-5521

More information

Durham County Community Health. Assessment? What Is a Community Health

Durham County Community Health. Assessment? What Is a Community Health Durham County Community Health Assessment This document presents key findings from the 2011 Durham County Community Health Assessment. The goal of the assessment was to provide a compilation of valid and

More information

Alcohol & Drug Use. Among Louisiana Public School Students. Youth Risk Behavior Surveillance Surveys 2011 & School Health Profiles Comparison 2010:

Alcohol & Drug Use. Among Louisiana Public School Students. Youth Risk Behavior Surveillance Surveys 2011 & School Health Profiles Comparison 2010: LOUISIANA Youth Risk Behavior Surveillance Surveys 2011 & School Health Profiles Comparison 2010: Alcohol and Drug Use Among Public School Students Alcohol & Drug Use Introduction The Youth Risk Behavior

More information

The American Cancer Society Cancer Prevention Study I: 12-Year Followup

The American Cancer Society Cancer Prevention Study I: 12-Year Followup Chapter 3 The American Cancer Society Cancer Prevention Study I: 12-Year Followup of 1 Million Men and Women David M. Burns, Thomas G. Shanks, Won Choi, Michael J. Thun, Clark W. Heath, Jr., and Lawrence

More information

COMPREHENSIVE STATEWIDE TOBACCO PREVENTION PROGRAMS SAVE MONEY

COMPREHENSIVE STATEWIDE TOBACCO PREVENTION PROGRAMS SAVE MONEY COMPREHENSIVE STATEWIDE TOBACCO PREVENTION PROGRAMS SAVE MONEY It is well established that comprehensive statewide tobacco-prevention programs prompt sharp reductions in smoking levels among both adults

More information

National Health Interview Survey

National Health Interview Survey National Health Interview Survey The principal source of information on the health of the U.S. population National Health Interview Survey Since 1957 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers

More information

CITY OF EAST PALO ALTO A COMMUNITY HEALTH PROFILE

CITY OF EAST PALO ALTO A COMMUNITY HEALTH PROFILE CITY OF EAST PALO ALTO A COMMUNITY HEALTH PROFILE www.gethealthysmc.org Contact us: 650-573-2398 hpp@smcgov.org HEALTH BEGINS WHERE PEOPLE LIVE Over the last century, there have been dramatic increases

More information

Trends in Tobacco Use

Trends in Tobacco Use Trends in Tobacco Use American Lung Association Research and Program Services Epidemiology and Statistics Unit July 2011 Mortality Consumption Prevalence of Tobacco Use and Cessation Tobacco Advertising

More information

State Health Assessment Health Priority Status Report Update. June 29, 2015 Presented by UIC SPH and IDPH

State Health Assessment Health Priority Status Report Update. June 29, 2015 Presented by UIC SPH and IDPH State Health Assessment Health Priority Status Report Update June 29, 2015 Presented by UIC SPH and IDPH 1 Health Priority Presentation Objectives 1. Explain context of how this discussion fits into our

More information

OHIO COUNTY. Demographic Data. Adult Behavioral Health Risk Factors: 2007-2011

OHIO COUNTY. Demographic Data. Adult Behavioral Health Risk Factors: 2007-2011 Prepared by the Department of Health and Human Resources Bureau for Behavioral Health and Health Facilities OHIO COUNTY February 14 Behavioral Health Epidemiological County Profile Demographic Data Ohio

More information

activity guidelines (59.3 versus 25.9 percent, respectively) and four times as likely to meet muscle-strengthening

activity guidelines (59.3 versus 25.9 percent, respectively) and four times as likely to meet muscle-strengthening 18 HEALTH STATUS HEALTH BEHAVIORS WOMEN S HEALTH USA 13 Adequate Physical Activity* Among Women Aged 18 and Older, by Educational Attainment and Activity Type, 09 11 Source II.1: Centers for Disease Control

More information

3 Focus the Evaluation Design

3 Focus the Evaluation Design 3 Focus the Evaluation Design Now that you and your stakeholders have a clear understanding of your program, your evaluation team will need to focus the evaluation. The evaluation team must decide the

More information

Part I. Changing Risk Behaviors and Addressing Environmental Challenges

Part I. Changing Risk Behaviors and Addressing Environmental Challenges Part I Changing Risk Behaviors and Addressing Environmental Challenges Chapter 1 Tobacco Reducing Tobacco Use Initiation RECOMMENDED INTERVENTIONS Increasing the Unit Price for Tobacco Products 10 Mass

More information

YOUTH DRUG SURVEY CHARLOTTE-MECKLENBURG PUBLIC SCHOOLS

YOUTH DRUG SURVEY CHARLOTTE-MECKLENBURG PUBLIC SCHOOLS YOUTH DRUG SURVEY CHARLOTTE-MECKLENBURG PUBLIC SCHOOLS 2010 Paul C. Friday, Ph.D. Research & Training Specialists, Inc. Concord, NC June, 2011 Special appreciation is extended to Helen Harrill, John Basilice,

More information

Louisiana Report 2013

Louisiana Report 2013 Louisiana Report 2013 Prepared by Louisiana State University s Public Policy Research Lab For the Department of Health and Hospitals State of Louisiana December 2015 Introduction The Behavioral Risk Factor

More information

Health Care Access to Vulnerable Populations

Health Care Access to Vulnerable Populations Health Care Access to Vulnerable Populations Closing the Gap: Reducing Racial and Ethnic Disparities in Florida Rosebud L. Foster, ED.D. Access to Health Care The timely use of personal health services

More information

Demographic, Socio-Economic, Schooling, and Labor Market Indicators for 16-24 Year Olds in the City of Hartford

Demographic, Socio-Economic, Schooling, and Labor Market Indicators for 16-24 Year Olds in the City of Hartford Demographic, Socio-Economic, Schooling, and Labor Market Indicators for 16-24 Year Olds in the City of Hartford Prepared by: Center for Labor Market Studies Northeastern University Prepared for: National

More information

Employment-Based Health Insurance: 2010

Employment-Based Health Insurance: 2010 Employment-Based Health Insurance: 2010 Household Economic Studies Hubert Janicki Issued February 2013 P70-134 INTRODUCTION More than half of the U.S. population (55.1 percent) had employment-based health

More information

Impact of Massachusetts Health Care Reform on Racial, Ethnic and Socioeconomic Disparities in Cardiovascular Care

Impact of Massachusetts Health Care Reform on Racial, Ethnic and Socioeconomic Disparities in Cardiovascular Care Impact of Massachusetts Health Care Reform on Racial, Ethnic and Socioeconomic Disparities in Cardiovascular Care Michelle A. Albert MD MPH Treacy S. Silbaugh B.S, John Z. Ayanian MD MPP, Ann Lovett RN

More information

49. INFANT MORTALITY RATE. Infant mortality rate is defined as the death of an infant before his or her first birthday.

49. INFANT MORTALITY RATE. Infant mortality rate is defined as the death of an infant before his or her first birthday. 49. INFANT MORTALITY RATE Wing Tam (Alice) Jennifer Cheng Stat 157 course project More Risk in Everyday Life Risk Meter LIKELIHOOD of exposure to hazardous levels Low Medium High Consequences: Severity,

More information

Coronary Heart Disease (CHD) Brief

Coronary Heart Disease (CHD) Brief Coronary Heart Disease (CHD) Brief What is Coronary Heart Disease? Coronary Heart Disease (CHD), also called coronary artery disease 1, is the most common heart condition in the United States. It occurs

More information

Tribal Epidemiology Center, Tribal, State, & Federal Partnering:

Tribal Epidemiology Center, Tribal, State, & Federal Partnering: Tribal Epidemiology Center, Tribal, State, & Federal Partnering: To Improve Public Health Data for American Indians/Alaska Natives (AI/AN) An Overview April, 2014 LEARNING OBJECTIVES American Indians and

More information

Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease

Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease Breathing Easier In Tennessee: Employers Mitigate Health and Economic Costs of Chronic Obstructive Pulmonary Disease By John W. Walsh, Co-Founder and President of the COPD Foundation Breathing Easier In

More information

Burden of Chronic Diseases COPD. Dr Randeep Guleria M.D, D.M. (Pulmonary Medicine) Professor Department of Medicine A.I.I.M.S

Burden of Chronic Diseases COPD. Dr Randeep Guleria M.D, D.M. (Pulmonary Medicine) Professor Department of Medicine A.I.I.M.S Burden of Chronic Diseases COPD Dr Randeep Guleria M.D, D.M. (Pulmonary Medicine) Professor Department of Medicine A.I.I.M.S Definition Chronic Obstructive Pulmonary Disease (COPD) is a preventable and

More information

Community Information Book Update October 2005. Social and Demographic Characteristics

Community Information Book Update October 2005. Social and Demographic Characteristics Community Information Book Update October 2005 Public Health Department Social and Demographic Characteristics The latest figures from Census 2000 show that 36,334 people lived in San Antonio, an increase

More information

Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January March 2013

Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January March 2013 Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January March 2013 by Robin A. Cohen, Ph.D., and Michael E. Martinez, M.P.H., M.H.S.A. Division of Health

More information

Healthcare Utilization by Individuals with Criminal Justice Involvement: Results of a National Survey

Healthcare Utilization by Individuals with Criminal Justice Involvement: Results of a National Survey Healthcare Utilization by Individuals with Criminal Justice Involvement: Results of a National Survey Frank JW, Linder JA, Becker WC, Fiellin DA, Wang EA Background U.S. criminal justice population is

More information

Healthy People 2020: Who s Leading the Leading Health Indicators?

Healthy People 2020: Who s Leading the Leading Health Indicators? Healthy People 2020: Who s Leading the Leading Health Indicators? Don Wright, MD, MPH Deputy Assistant Secretary for Health Promotion and Disease Prevention Who s Leading the Leading Health Indicators?

More information

Susan G. Queen, Ph.D. Assistant Secretary for Planning and Evaluation

Susan G. Queen, Ph.D. Assistant Secretary for Planning and Evaluation Susan G. Queen, Ph.D. Assistant Secretary for Planning and Evaluation The Data Standards required under the Affordable Care Act (ACA), Section 4302 were adopted in October 2011 ACA Section 4302 provided

More information

Globally 12% of all deaths among adults aged 30 years and over were attributed to tobacco.

Globally 12% of all deaths among adults aged 30 years and over were attributed to tobacco. SUMMARY Proportion of all deaths attributable to tobacco (%) WHO Region Men Women All adults African 5 1 3 Americas 17 15 16 Eastern Mediterannean 12 2 7 European 25 7 16 South East Asian 14 5 10 Western

More information

T obacco use is rising among young adults (aged 18 24

T obacco use is rising among young adults (aged 18 24 ii20 Tobacco use by Massachusetts public college students: long term effect of the Massachusetts Tobacco Control Program N A Rigotti, S Regan, N E Majchrzak, J R Knight, H Wechsler... Tobacco Control 2002;11(Suppl

More information

Alcohol Abuse Among our Nation s Youth What to do as educators

Alcohol Abuse Among our Nation s Youth What to do as educators Alcohol Abuse Among our Nation s Youth What to do as educators The devastating rate of drug and alcohol abuse by American youth is cause for alarm and its prevention and treatment remains one of our nation

More information

COLLEGE ENROLLMENT AND WORK ACTIVITY OF 2014 HIGH SCHOOL GRADUATES

COLLEGE ENROLLMENT AND WORK ACTIVITY OF 2014 HIGH SCHOOL GRADUATES For release 10:00 a.m. (EDT) Thursday, April 16, 2015 USDL-15-0608 Technical information: (202) 691-6378 cpsinfo@bls.gov www.bls.gov/cps Media contact: (202) 691-5902 PressOffice@bls.gov COLLEGE ENROLLMENT

More information

Oklahoma county. Community Health Status Assessment

Oklahoma county. Community Health Status Assessment Oklahoma county Wellness Score 2014 Community Health Status Assessment Mental and Social Health Overall Mental Health score The World Health Organization defines mental health as a state of well-being

More information

National Adolescent Health Information Center NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC

National Adolescent Health Information Center NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC National Adolescent Health Information Center N 2007 Fact A H I C Sheet on Substance : Adolescents & Young Adults Highlights: 4 After an increase in the early 1990s, adolescent substance use has decreased

More information

INTRODUCTION. Tobacco Prevention & Cessation Program Substance Abuse and Tobacco Cessation Report - March 2011

INTRODUCTION. Tobacco Prevention & Cessation Program Substance Abuse and Tobacco Cessation Report - March 2011 TPCP Tobacco Prevention & Cessation Program Substance Abuse and Tobacco Cessation Report Report Prepared by Antionne Dewayne Alcorn, BS, CPC, CIT Contributors Miriam N Karanja, MBA Ma rc h 2 0 1 1 INTRODUCTION

More information

Alcohol drinking and cigarette smoking in a representative sample of English school pupils: Cross-sectional and longitudinal associations

Alcohol drinking and cigarette smoking in a representative sample of English school pupils: Cross-sectional and longitudinal associations Alcohol drinking and cigarette smoking in a representative sample of English school pupils: Cross-sectional and longitudinal associations Gareth Hagger-Johnson 1, Steven Bell 1, Annie Britton 1, Noriko

More information

9. Substance Abuse. pg 166-169: Self-reported alcohol consumption. pg 170-171: Childhood experience of living with someone who used drugs

9. Substance Abuse. pg 166-169: Self-reported alcohol consumption. pg 170-171: Childhood experience of living with someone who used drugs 9. pg 166-169: Self-reported alcohol consumption pg 170-171: Childhood experience of living with someone who used drugs pg 172-173: Hospitalizations related to alcohol and substance abuse pg 174-179: Accidental

More information

Health Education in Schools The Importance of Establishing Healthy Behaviors in our Nation s Youth

Health Education in Schools The Importance of Establishing Healthy Behaviors in our Nation s Youth Health Education in Schools The Importance of Establishing Healthy Behaviors in our Nation s Youth A Statement from the American Cancer Society, the American Diabetes Association, and the American Heart

More information

African Americans & Cardiovascular Diseases

African Americans & Cardiovascular Diseases Statistical Fact Sheet 2013 Update African Americans & Cardiovascular Diseases Cardiovascular Disease (CVD) (ICD/10 codes I00-I99, Q20-Q28) (ICD/9 codes 390-459, 745-747) Among non-hispanic blacks age

More information

EXECUTIVE SUMMARY: INTEGRATED EPIDEMIOLOGIC PROFILE FOR HIV/AIDS PREVENTION AND CARE ELIGIBLE METROPOLITAN AREA PLANNING, PHILADELPHIA

EXECUTIVE SUMMARY: INTEGRATED EPIDEMIOLOGIC PROFILE FOR HIV/AIDS PREVENTION AND CARE ELIGIBLE METROPOLITAN AREA PLANNING, PHILADELPHIA EXECUTIVE SUMMARY: INTEGRATED EPIDEMIOLOGIC PROFILE FOR HIV/AIDS PREVENTION AND CARE PLANNING, PHILADELPHIA ELIGIBLE METROPOLITAN AREA 2015 Prepared for the Philadelphia Eligible Metropolitan Area Ryan

More information

PUBLIC EDUCATION CAMPAIGNS REDUCE TOBACCO USE

PUBLIC EDUCATION CAMPAIGNS REDUCE TOBACCO USE PUBLIC EDUCATION CAMPAIGNS REDUCE TOBACCO USE The scientific evidence is substantial and clear: public education campaigns reduce the number of youth who start smoking, increase the number of smokers who

More information

Take Care New York 2016: An Agenda for Healthier New York City

Take Care New York 2016: An Agenda for Healthier New York City Take Care New York 2016: An Agenda for Healthier New York City Presentation to the Health Committee of Community Board 6 Camellia Mortezazadeh, MPH, Executive Director, Take Care New York and Ewel Napier,

More information

Behavioral Health Barometer. United States, 2014

Behavioral Health Barometer. United States, 2014 Behavioral Health Barometer United States, 2014 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No.

More information

Near-Elderly Adults, Ages 55-64: Health Insurance Coverage, Cost, and Access

Near-Elderly Adults, Ages 55-64: Health Insurance Coverage, Cost, and Access Near-Elderly Adults, Ages 55-64: Health Insurance Coverage, Cost, and Access Estimates From the Medical Expenditure Panel Survey, Center for Financing, Access, and Cost Trends, Agency for Healthcare Research

More information

Health Insurance Coverage: Estimates from the National Health Interview Survey, 2005

Health Insurance Coverage: Estimates from the National Health Interview Survey, 2005 Health Insurance Coverage: Estimates from the National Health Interview Survey, 2005 by Robin A. Cohen, Ph.D., and Michael E. Martinez, M.P.H., Division of Health Interview Statistics, National Center

More information

Jay Weiss Institute for Health Equity Sylvester Comprehensive Cancer Center University of Miami. COMMUNITY PROFILE Liberty City, Florida

Jay Weiss Institute for Health Equity Sylvester Comprehensive Cancer Center University of Miami. COMMUNITY PROFILE Liberty City, Florida Jay Weiss Institute for Health Equity Sylvester Comprehensive Cancer Center University of Miami COMMUNITY PROFILE Liberty City, Florida April 2015 TABLE OF CONTENTS Page Introduction 2 Community Description:

More information

Against the Growing Burden of Disease. Kimberly Elmslie Director General, Centre for Chronic Disease Prevention

Against the Growing Burden of Disease. Kimberly Elmslie Director General, Centre for Chronic Disease Prevention Kimberly Elmslie Director General, Centre for Chronic Disease Prevention Chronic diseases are an increasing global challenge Most significant cause of death (63%) worldwide 1 Chronic diseases cause premature

More information

King County City Health Profile Vashon Island

King County City Health Profile Vashon Island King County City Health Profile Vashon Island West Seattle North Highline Burien SeaTac/Tukwila Vashon Island Des Moines/Normandy Park Kent-West East Federal Way Fed Way-Dash Point/Woodmont December, 212

More information

Genomics and Family History Survey Questions Updated March 2007 Compiled by the University of Washington Center for Genomics & Public Health

Genomics and Family History Survey Questions Updated March 2007 Compiled by the University of Washington Center for Genomics & Public Health Genomics and Survey Questions Updated March 2007 Compiled by the University of Washington Center for Genomics & Public Health This publication is distributed free of charge and supported by CDC Grant #U10/CCU025038-2.

More information

An Ounce of Prevention:

An Ounce of Prevention: An Ounce of Prevention: Tobacco Control Saves Lives, Saves Money Revised November 2003 This report was written with support from the Jessie B. Cox Charitable Trust and the American Cancer Society. Community

More information

Charles E. Drum, MPA, JD, PhD, Principal Investigator. December 3, 2014

Charles E. Drum, MPA, JD, PhD, Principal Investigator. December 3, 2014 Disability and Rehabilitation Research Project: Health and Health Care Disparities Among Individuals with Disabilities (Health Disparities) Project Highlights Charles E. Drum, MPA, JD, PhD, Principal Investigator

More information

Healthy People in Healthy Communities

Healthy People in Healthy Communities Healthy People 2020 Alaska Hawaii American Samoa U.S. Virgin Islands Federated States of Micronesia Republic of Marshall Islands Commonwealth of Northern Mariana Islands Puerto Rico Palau Guam www.healthypeople.gov

More information

Healthy People in Healthy Communities

Healthy People in Healthy Communities Healthy People 2020 Alaska Hawaii American Samoa U.S. Virgin Islands Federated States of Micronesia Republic of Marshall Islands Commonwealth of Northern Mariana Islands Puerto Rico Palau Guam www.healthypeople.gov

More information

Case-Control Studies. Sukon Kanchanaraksa, PhD Johns Hopkins University

Case-Control Studies. Sukon Kanchanaraksa, PhD Johns Hopkins University This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this

More information

The relationship between socioeconomic status and healthy behaviors: A mediational analysis. Jenn Risch Ashley Papoy.

The relationship between socioeconomic status and healthy behaviors: A mediational analysis. Jenn Risch Ashley Papoy. Running head: SOCIOECONOMIC STATUS AND HEALTHY BEHAVIORS The relationship between socioeconomic status and healthy behaviors: A mediational analysis Jenn Risch Ashley Papoy Hanover College Prior research

More information

Prepared by: Michael R. Cousineau, Dr.PH Gregory D. Stevens. Ph.D. With assistance from Jessica Van Gurt. USC Division of Community Health

Prepared by: Michael R. Cousineau, Dr.PH Gregory D. Stevens. Ph.D. With assistance from Jessica Van Gurt. USC Division of Community Health Disparities in Health in the United States A conceptual framework for a multi-disciplinary approach to understanding health disparities and proposing policy solutions towards their elimination First Draft

More information

The Impact of Alcohol

The Impact of Alcohol Alcohol and Tobacco Smoking cigarettes and drinking alcohol are behaviors that often begin in adolescence. Although tobacco companies are prohibited from advertising, promoting, or marketing their products

More information

Selected Health Status Indicators DALLAS COUNTY. Jointly produced to assist those seeking to improve health care in rural Alabama

Selected Health Status Indicators DALLAS COUNTY. Jointly produced to assist those seeking to improve health care in rural Alabama Selected Health Status Indicators DALLAS COUNTY Jointly produced to assist those seeking to improve health care in rural Alabama By The Office of Primary Care and Rural Health, Alabama Department of Public

More information

Does Disadvantage Start at Home? Racial and Ethnic Disparities in Early Childhood Home Routines, Safety, and Educational Practices/Resources

Does Disadvantage Start at Home? Racial and Ethnic Disparities in Early Childhood Home Routines, Safety, and Educational Practices/Resources 1 Does Disadvantage Start at Home? Racial and Ethnic Disparities in Early Childhood Home Routines, Safety, and Educational Practices/Resources Glenn Flores, MD Professor & Director, Center for the Advancement

More information

Butler Memorial Hospital Community Health Needs Assessment 2013

Butler Memorial Hospital Community Health Needs Assessment 2013 Butler Memorial Hospital Community Health Needs Assessment 2013 Butler County best represents the community that Butler Memorial Hospital serves. Butler Memorial Hospital (BMH) has conducted community

More information

THE BURDEN OFTOBACCO IN ALABAMA

THE BURDEN OFTOBACCO IN ALABAMA THE BURDEN OFTOBACCO IN ALABAMA THE BURDEN OFTOBACCO IN ALABAMA PREPARED FOR THE ALABAMA DEPARTMENT OF PUBLIC HEALTH 2011 By: Gabriel H. Fosson Debra M. McCallum The Institute for Social Science Research

More information

The Benefits of a Creating a Healthy Work Environment

The Benefits of a Creating a Healthy Work Environment Eaton County Substance Abuse Advisory Group (ECSAAG) Barry-Eaton District Health Department The Benefits of a Creating a Healthy Work Environment This presentation includes: Harmful affects of alcohol,

More information

A Population Based Risk Algorithm for the Development of Type 2 Diabetes: in the United States

A Population Based Risk Algorithm for the Development of Type 2 Diabetes: in the United States A Population Based Risk Algorithm for the Development of Type 2 Diabetes: Validation of the Diabetes Population Risk Tool (DPoRT) in the United States Christopher Tait PhD Student Canadian Society for

More information

The National Center for Health Statistics' Linked Data Files: Resources for Research and Policy. Eric A. Miller National Center for Health Statistics

The National Center for Health Statistics' Linked Data Files: Resources for Research and Policy. Eric A. Miller National Center for Health Statistics The National Center for Health Statistics' Linked Data Files: Resources for Research and Policy Eric A. Miller National Center for Health Statistics NCHS Record Linkage Program Links survey data with data

More information

NCDs POLICY BRIEF - INDIA

NCDs POLICY BRIEF - INDIA Age group Age group NCDs POLICY BRIEF - INDIA February 2011 The World Bank, South Asia Human Development, Health Nutrition, and Population NON-COMMUNICABLE DISEASES (NCDS) 1 INDIA S NEXT MAJOR HEALTH CHALLENGE

More information