ima county health status compendiumassets.thehcn.net/content/...compendium__2013_.pdf · 2 diseases...

APPENDIXA–PimaCountyHealthStatusCompendiumUpdated:8/12/13

Section1.Demographics 1

PIMA COUNTY HEALTH STATUS COMPENDIUM

SummaryfortheCommunityHealthAssessment



Table of Contents Section1.Demographics.......................................................................................................................................................................6

Population.............................................................................................................................................................................................6

AgeDistributionandMedianAge................................................................................................................................................7

RaceandEthnicity..............................................................................................................................................................................8

EducationandLanguage..................................................................................................................................................................9

Economy...............................................................................................................................................................................................10

Section2.MortalityData....................................................................................................................................................................13

Age‐AdjustedLeadingCauseofDeath.....................................................................................................................................13

Age‐SpecificLeadingCauseofDeath........................................................................................................................................14

Cancer....................................................................................................................................................................................................18

HeartDiseaseandStroke..............................................................................................................................................................21

RespiratoryDisease.........................................................................................................................................................................22

InjuryandViolence..........................................................................................................................................................................23

Section3.MorbidityData...................................................................................................................................................................28

DiabetesandObesity.......................................................................................................................................................................28

Asthma..................................................................................................................................................................................................30

Cancer....................................................................................................................................................................................................31

Section4.HealthRiskBehaviors.....................................................................................................................................................33

PhysicalActivity................................................................................................................................................................................33

SexualBehavior.................................................................................................................................................................................34

SubstanceAbuse...............................................................................................................................................................................35

TobaccoUse........................................................................................................................................................................................39

BehavioralHealthServices...........................................................................................................................................................41

DentalHealthandHygiene...........................................................................................................................................................42

PreventiveHealthServices...........................................................................................................................................................43

Section5.CommunicableDiseases................................................................................................................................................45

HepatitisA...........................................................................................................................................................................................45

Meningococcal...................................................................................................................................................................................46

Tuberculosis.......................................................................................................................................................................................47

HIV/AIDS..............................................................................................................................................................................................48

ChildhoodVaccinations..................................................................................................................................................................49

Section6.MaternalandChildHealth............................................................................................................................................51



PregnancyandPrenatalCare......................................................................................................................................................51

Births.....................................................................................................................................................................................................54

FetalandInfantMortality.............................................................................................................................................................57

Section7.IssuesRelatedtoAging..................................................................................................................................................60

SocialCharacteristics......................................................................................................................................................................61

Disabilityix............................................................................................................................................................................................61

LeadingCausesofDeath................................................................................................................................................................61

Alzheimer’sdisease.........................................................................................................................................................................62

Accidents(Falls)................................................................................................................................................................................63

Suicide...................................................................................................................................................................................................64

Section8.AccesstoCare....................................................................................................................................................................66

InsuranceCoverage.........................................................................................................................................................................66

TransportationScore......................................................................................................................................................................67

UrgentCareandEDUsage............................................................................................................................................................68

ProvidertoPopulation...................................................................................................................................................................69

References................................................................................................................................................................................................70



Methodology:

Datainthisreportwerecompiledfromavarietyofpublicallyavailableresourcesincluding:theArizonaHealthStatusandVitalStatisticsReportfromtheArizonaDepartmentofHealthServices(ADHS),theBehavioralRiskFactorSurveillanceSystem(BRFFS)andYouthRiskBehaviorSurveillanceSystem(YRBSS)reportsfromtheCentersforDiseaseControlandPrevention(CDC),theArizonaYouthSurveyfromtheArizonaCriminalJusticeCommission,andtheU.S.CensusBureau.Dataformapswereobtainedfromthe2011PimaCountyStatisticalProfilesofPrimaryCareAreas.PreliminarydataforthechildhoodvaccineexemptionwereobtainedinternallyfromthePimaCountyHealthDepartment(PCHD).Ifavailable,datawerecompiledtoassessfortrendsinPimaCountyoverafiveyearperiod.PimaCountydatawerecomparedtoArizonadataandHealthyPeople2010and2020goals.Themostcurrentdataavailablewereusedinthisreport.



SECTION 1. DEMOGRAPHICS

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ensity (2011)1

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Age Distribution and Median Age Graph 1.2: Pima County Population by Age Distribution (2011)i

MedianAge:i

ThemedianageofthetotalpopulationofPimaCountyis37.7years.

Themedianageofthemalepopulationis36.2years.

Themedianageofthefemalepopulationis39.1years.

0

1

2

3

4

5

6

7

8

9

Percentage of the overall population

Age in Years



Race and Ethnicity Graph 1.3: Pima County Population by Race (2011)i

Graph 1.4: Pima County Population by Ethnicity (2011)i

74.3%

3.5%

3.3%

2.6%0.2%

3.7%12.4%

White

Black or African American

American Indian and AlaskaNativeAsian

Native Hawaiian and OtherPacific IslanderTwo or More Races

Other

34.6%

65.4%

Hispanic or Latino

Not Hispanic or Latino



Education and Language Graph 1.5: Pima County Population (25 years and older) by Educational Attainment (2011)i

Language:i

28.3%ofPimaCountyresidentsspeakanotherlanguageotherthanEnglishathome.

5%ofPimaCountyhouseholdsarelinguisticallyisolated,meaningthateveryhouseholdmemberaged14andolderhassomedifficultyspeakingEnglish.

5.4%

7.7%

23.3%

26.1%

8.1%

17.4%

12.1%

Less than 9th grade

9th to 12th grade, no diploma

High school graduate (includesequivalency)

Some college, no degree

Associate's degree

Bachelor's degree

Graduate or professional degree

EconomMap 1.6:

Map 1.7:

A

my

Pima County

Pima County

APPENDIXA

y Primary Car

y Primary Car

A–PimaCouUpda

re Areas by Po

re Areas by Po


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opulation Be

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low 100% of

low 200% of

pendium

Section1.

Poverty (201

Poverty (201

Demographi

11)ii

11)ii

ics 10

Map 1.8:

Map 1.9:

A

Pima County(2011)ii

Pima County

APPENDIXA

y Primary Car

y Primary Car

A–PimaCouUpda

re Areas by Pe

re Areas by Pe


ercent of Chi

ercent of Une

StatusComp3

ldren under 1

employment

pendium

Section1.

12 Years of A

(2011)ii

Demographi

Age in Poverty

ics 11

y



SECTION 2: MORTALITY DATA


Section2.MortalityData 13

Section 2. Mortality Data Age‐Adjusted Leading Cause of Death In2010,theleadingcauseofdeathamongPimaCountyresidentswasmalignantneoplasms(cancer);however,maleshadahigherrate(192.2per100,000population)thanfemales(129.3per100,000population).MorePimaCountyresidentsdiedfromlungcancerthananyothertypeofcanceratarateof35.9/100,000population.WhencomparingtheleadingcausesofdeathbetweenmalesandfemalesinPimaCounty,malesweremorelikelytodiefromfirearminjury,alcoholandsuicidethanfemales.FemalesweremorelikelytodiefromAlzheimer’s,influenzaandpneumonia,andchronicliverdiseaseandcirrhosisthanmales.

Table 2.1: Leading Cause of Death in Pima County, 2010 (Female)iii

Rank CauseofDeath Rate*1 Malignantneoplasms 129.32 Diseasesoftheheart 118.33 Chroniclowerrespiratorydiseases 38.64 Cerebrovasculardiseases 36.15 Accidents(unintentionalinjury) 31.56 Alzheimer’sdisease 20.97 Drug‐induceddeaths 17.58 Diabetes 16.69 Influenzaandpneumonia 13.710 Chronicliverdiseaseandcirrhosis 12.0*per100,000populationageadjustedtothe2000U.S.standard

Table 2.2: Leading Cause of Death in Pima County, 2010 (Male)iii

Rank CauseofDeath Rate*1 Malignantneoplasms 192.22 Diseasesoftheheart 171.13 Accidents(unintentionalinjury) 54.74 Chroniclowerrespiratorydiseases 51.25 Cerebrovasculardiseases 30.46 Intentionalself‐harm(suicide) 30.07 Injurybyfirearm 28.78 Drug‐induceddeath 25.49 Diabetes 24.610 Alcoholinduceddeath 18.7*per100,000populationageadjustedtothe2000U.S.standard

Table 2.3: Leading Cause of Death in Pima County, 2010 (Total Population)iii

Rank CauseofDeath Rate*1 Malignantneoplasms 156.12 Diseasesoftheheart 143.03 Chroniclowerrespiratorydiseases 43.94 Accidents(unintentionalinjury) 42.85 Cerebrovasculardiseases 34.06 Drug‐induceddeath 21.47 Diabetes 20.28 Alzheimer’sdisease 19.39 Intentionalself‐harm(suicide) 16.910 Injurybyfirearm 16.0*per100,000populationageadjustedtothe2000U.S.standard

Age‐Spe Map 2.4: Map 2.5:

A

ecific Leadin

Pima County

Pima County

APPENDIXA

ng Cause of

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StatusComp3

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Insufficient data

pendium

Section2.

than 1 year (2

2002‐2011)ii

a/Data not available

MortalityDa

2002‐2011)ii

ata 14

Map 2.6: ii

Map 2.7:

A

Pima County

Pima County

APPENDIXA

y Primary Car

y Primary Car

A–PimaCouUpda

re Areas by A

re Areas by Yo


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oung Adult M

StatusComp3

ortality, Age

Mortality, Age

pendium

Section2.

15‐19 (2002‐

e 20‐40 (2002

MortalityDa

‐2011)

2‐2011)ii

ata 15

Map 2.8: Map 2.9:

A

Pima County

Pima County

APPENDIXA

y Primary Car

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Mid Age Mort

lderly Mortal

StatusComp3

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pendium

Section2.

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84 (2002‐2011

MortalityDa

11)ii

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ata 16

Map 2.10

A

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APPENDIXA

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Elderly Morta

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Section2.

han 85 years

MortalityDa

old (2002‐20

ata 17

011)ii



Cancer Graph 2.11: Overall Age‐adjusted Cancer Death Rate by Year (2006‐2010)3 iv

Graph 2.12: Age‐adjusted Lung Cancer Death Rate by Year (2006‐2010)iv

3Graphswithinthisreporttitled“age‐adjusted”areageadjustedto2000U.S.standard.

135.0

140.0

145.0

150.0

155.0

160.0

165.0

2006 2007 2008 2009 2010

Rate per 100,000

Pima County Arizona Healthy People 2010 Healthy People 2020

30.0

32.0

34.0

36.0

38.0

40.0

42.0

44.0

46.0

48.0

2000 2001 2002 2003 2004

Rate per 100,000




Graph 2.13: Age‐adjusted Breast Cancer Death Rate by Year (2006‐2010)iv

Graph 2.14: Age‐adjusted Colorectal Cancer Death Rate by Year (2006‐2010)iv

15.0

16.0

17.0

18.0

19.0

20.0

21.0

22.0

23.0

24.0

25.0

2006 2007 2008 2009 2010

Rate per 100,000


10.0

11.0

12.0

13.0

14.0

15.0

16.0

2006 2007 2008 2009 2010

Rate per 100,000




Graph 2.15: Age‐adjusted Prostate Cancer Death Rate by Year (2006‐2010)iv

Graph 2.16: Age‐adjusted Cervical Cancer Death Rate by Year (2007‐2011)x

10.0

12.0

14.0

16.0

18.0

20.0

22.0

24.0

26.0

28.0

30.0

2006 2007 2008 2009 2010

Rate per 100,000


2007 2008 2009 2010 2011

Pima County 2.1 1.3 1.8 2.4 2.1

Arizona 1.9 1.8 1.8 2 2.1

Healthy People 2010 2 2 2 2 2

Healthy People 2020 2.2 2.2 2.2 2.2 2.2

0

0.5

1

1.5

2

2.5

3

Rate per 100,000 females



Heart Disease and Stroke Graph 2.16: Age‐adjusted Coronary Heart Disease Death Rate by Year (2006‐2010)iv

Graph 2.17: Age‐adjusted Stroke Death Rate by Year (2006‐2010)iv

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

180.0

2006 2007 2008 2009 2010

Rate per 100,000


0.0

10.0

20.0

30.0

40.0

50.0

60.0

2006 2007 2008 2009 2010

Rate per 100,000




Respiratory Disease Graph 2.18: Chronic Lower Respiratory Disease Death Rate among Adults Aged 45 Years and Older by

Year (2006‐2010)iv

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

2006 2007 2008 2009 2010

Rate per 100,000




Injury and Violence Graph 2.19: Age‐adjusted Firearm‐related Death Rate by Year (2006‐2010)iv

Graph 2.20: Age‐adjusted Unintentional Injury Death Rate by Year (2006‐2010)iv

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

2006 2007 2008 2009 2010

Rate per 100,000


0.0

10.0

20.0

30.0

40.0

50.0

60.0

2006 2007 2008 2009 2010

Rate per 100,000

Pima County Arizona Healhy People 2010 Healthy People 2020



Graph: 2.21: Age‐adjusted Motor Vehicle Death Rate by Year (2006‐2010)iv

Graph 2.22: Age‐adjusted Homicide Rate by Year (2006‐2010)iv

0.0

5.0

10.0

15.0

20.0

25.0

2006 2007 2008 2009 2010

Rate per 100,000

Pima County Arizona Healthy Arizona 2010 Healthy People 2020

0.0

2.0

4.0

6.0

8.0

10.0

12.0

2006 2007 2008 2009 2010

Rate per 100,000




Graph 2.23: Age‐Adjusted Suicide Rate by Year (2006‐2010)iv

Graph 2.24: Suicide Rate among Adolescents Aged 15 to 19 Years by Year (2006‐2010)iv

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

2006 2007 2008 2009 2010

Rate per 100,000


0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2006 2007 2008 2009 2010

Rate per 100,000




Diabetes Graph 2.25: Age‐adjusted Diabetes‐related Death Rate by Year (2006‐2010)iv

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

2006 2007 2008 2009 2010

Rate per 100,000




SECTION 3: MORBIDITY DATA


Section3.MorbidityData 28

Section 3. Morbidity Data Diabetes and Obesity Graph 3.1: Rate of Inpatient Discharges with Diabetes as first‐listed Diagnosis by Year (2006‐2010)iv

Graph 3.2: Percent of Overweight Adults by Year (2006‐2010)v

10.0

11.0

12.0

13.0

14.0

15.0

16.0

17.0

18.0

19.0

20.0

2006 2007 2008 2009 2010

# of discharges per 10,000 population

Pima County Arizona

0

5

10

15

20

25

30

35

40

45

2006 2007 2008 2009 2010

% Overw

eight (bmi 25.0‐29.9)

Pima County Arizona



Graph 3.3: Percent of Obese Adults by year (2006‐2010)vi

Graph 3.4: Percent of Arizona Overweight and Obese High School Students by Year (2005‐2011)4 vi

4PimaCountyspecificdataarenotavailable.Arizonadataareonlyavailableeveryotheryear.

0

5

10

15

20

25

30

35

2006 2007 2008 2009 2010

% Obese (bmi 30.0‐99.8)


0

2

4

6

8

10

12

14

16

2005 2007 2009 2011

Percent

Overweight (bmi 25.0‐29.9) Obese (bmi 30.0‐99.8)



Asthma Graph 3.5: Rate of Inpatient Discharges with Asthma as first‐listed Diagnosis by Year (2006‐2010)iv

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2006 2007 2008 2009 2010

# of discharges per 10,000 population

Pima County Arizona



Cancer Graph 3.6: Incidence of Cervical Cancer by Year (2006‐2010) xi

2006 2007 2008 2009 2010

Pima County 7.17 6.53 6.73 5.95 6.73

Arizona 7.43 7.8 6.9 7.06 6.79

Healthy People 2020 7.1 7.1 7.1 7.1 7.1

0

1

2

3

4

5

6

7

8

9

Incidence rate per 100,000 females

HealthyPeople2010 goal notavailableforthisobjective.



SECTION 4: HEALTH RISK BEHAVIORS


Section4.HealthRiskBehaviors 33

Section 4. Health Risk Behaviors Physical Activity Graph 4.1: Adults that Participated in Physical Activity (in the past month) by Year v

Graph 4.2: Percent of Arizona High School Students that did not participate in at least 60 minutes of

Physical Activity by Sex by Year (2009‐2011)5 vi

5PimaCountyspecificdataarenotavailable.Arizonadataareonlyavailablefor2009and2011.

74

75

76

77

78

79

80

81

82

2006 2007 2008 2009 2010

Percent

Pima County Arizona

18.8

12.5

17.5

13.2

0

2

4

6

8

10

12

14

16

18

20

2009 2011

Percentage

Female Male



Sexual Behavior Graph 4.3: Rate of Gonorrhea Infection by Year (2006‐2010)iv

Graph 4.4: Incidence of Primary and Secondary Syphilis by Year (2006‐2010)iv

0

50

100

150

200

250

300

2006 2007 2008 2009 2010

Rate per 100,000

Pima County ArizonaHealthy People 2010 Healthy People 2020 (male)Helathy People 2020 (female)

0

1

2

3

4

5

6

7

8

9

2006 2007 2008 2009 2010

Rate per 100,000

Pima County ArizonaHealthy People 2010 Healthy People 2020 (male)Healthy People 2020 (female)



Substance Abuse Graph 4.5: Age‐adjusted Rate of Drug‐induced Deaths by Year (2006‐2010)iv

Graph 4.6: Age‐adjusted Rate of Cirrhosis Deaths by Year (2006‐2010)iv

0.0

5.0

10.0

15.0

20.0

25.0

2006 2007 2008 2009 2010

Rate per 100,000


0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

2006 2007 2008 2009 2010

Rate per 100,000




Graph 4.7: Percentage of Adults Aged 18 Years and Older who report Binge Drinking in the Last 30 Days by Year (2006‐2010)6 v

Graph 4.8: Percentage of Youth Grades 8, 10, and 12 who report Drinking Alcohol in their Lifetime by

Year (2006‐2012)7 vii

6BingedrinkingisdefinedasmaleshavingfiveormoredrinksononeoccasionandfemaleshavingfourormoredrinksononeoccasionaccordingtotheBehavioralRiskfactorSurveillanceSystem.7Dataareonlyavailableforevennumberedyears.

0

5

10

15

20

25

30

2006 2007 2008 2009 2010

Percentage


0

10

20

30

40

50

60

70

80

2006 2008 2010 2012

Percentage

Pima County Arizona



Graph 4.9: Percentage of Youth Grades 8, 10, and 12 who report Binge Drinking in the Past 30 Days by Year (2006‐2012)8 vii

Graph 4.10: Percentage of Youth Grades 8, 10, and 12 indicating Marijuana Use in the Past 30 Days by

Year (2006‐2012)9 vii

8Dataareonlyavailableforevennumberedyears.Bingedrinkingisdefinedasdrinking5ormorealcoholicdrinksinarow.HealthyPeopleindicatorsvaryslightlyfromdataavailableintheArizonaYouthSurvey.HealthyPeopleusestheagesofadolescentsfrom12to17yearsasopposetousinggrades.9Dataareonlyavailableforevennumberedyears.HealthyPeopleindicatorsvaryslightlyfromdataavailableintheArizonaYouthSurvey.HealthyPeopleusestheagesofadolescentsfrom12to17yearsasopposetousinggrades.

0

5

10

15

20

25

30

2006 2008 2010 2012

Percentage


0

2

4

6

8

10

12

14

16

18

20

2006 2008 2010 2012

Percentage




Graph 4.11: Percentage of Youth Grades 8, 10, and 12 who report Methamphetamine Use in their Lifetime by Year (2006‐2012)10 vii

10Dataareonlyavailableforevennumberedyears.

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

5

2006 2008 2010 2012

Percentage

Pima County Arizona



Tobacco Use Graph 4.12: Percentage of Youth Grades 8, 10, and 12 indicating Cigarette Use in the Past 30 days by

Year (2006‐2012)11 vii

Graph 4.13: Percentage of Youth Grades 8, 10, and 12 indicating Cigarette Use in their Lifetime by Year

(2006‐2012)12 vii

11Dataareonlyavailableforevennumberedyears.HealthyPeopleindicatorsvaryslightlyfromdataavailableintheArizonaYouthSurvey.HealthyPeopleusesadolescentsingrades9through12asopposetousingyouthingrades8,10,and12.12Dataareonlyavailableforevennumberedyears.

0

5

10

15

20

25

2006 2008 2010 2012

Percentage

Pima County Arizona Healthy People 2010/2020

0

5

10

15

20

25

30

35

40

45

50

2006 2008 2010 2012

Percentage

Pima County Arizona



Graph 4.14: Percentage of Adults aged 18 Years and Older who Smoke by Year (2006‐2010)v

0

5

10

15

20

25

2006 2007 2008 2009 2010

Percentage




Behavioral Health Services Graph 4.15: Rate of Mental Disorders by Hospital Inpatient Discharges and First‐listed Diagnosis by

Year (2006‐2010)13 14 iv

13Aninpatientdischargeoccurswhenapersonwhowasadmittedtoahospitalleavesthathospital.Apersonwhohasbeenhospitalizedmorethanonceinagivencalendaryearwillbecountedmultipletimesasadischargeandincludedmorethanonceinthehospitalinpatientdischargedataset;thus,thenumbersinthisreportarefordischarges,notpersons.ThedatadoesnotincludeDepartmentofDefense,IndianHealthServices,Veteran'sAdministrationorstatelicensedpsychiatrichospitals.14Mentaldisordersincludepsychoses(drugpsychoses,alcoholicpsychosis,schizophreniaandmanic‐depressivepsychosis),neuroticdisorders(anxietystates,depression,personalitydisorders,drugdependence,nondependentabuseofdrugsexcludingalcoholandtobaccouse,nondependentabuseofalcohol,andalcoholdependencesyndrome),depression(notlistedunderneuroticdepressionandhasnomanic‐depressiveorotherpsychoticdepressivefeatures),andmentalretardation.

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

2006 2007 2008 2009 2010

Rate per 10,000 population

Pima County Arizona



Dental Health and Hygiene Table 4.16: Pima County Third Graders Oral Health Data, 2012viii Tooth Decay

Decay(TreatedandUntreated) 66.0%UntreatedDecay 35.0%TreatedDecay 55.0%

NumberofTeethwithUntreatedDecay 0.9NumberofTeethwithTreatedDecay 2.0Sealants

SealantsPresent 47.0%SealantsNeeded 80.0%Dental Visit

Urgent(needsdentalvisitwithinthenext24hours) 6.0%Early(needsdentalvisitwithinnextseveralweeks) 30.0%



Preventive Health Services Graph 4.16: Percent of Women with Pap Test in Past 3 Years by Year (2002‐2010) 15 xii

15ThequestionsregardingPaptestsarepartofaseriesofquestionsaskedeveryotheryearintheBRFSSquestionnaire,ontheevenyears.Stateshavetheoptiontoincludethequestionsintheoddyearsinwhichtheyarenotinthestandardquestionnaire.Forthosestatesinthoseyearsthatopttoincludethequestions,theestimatesrepresentannualaveragesofagreaternumberofyears.EstimatesthatendonanoddyeararenotprovidedthroughtheHealthIndicatorsWarehouse.

TheBRFSS2011prevalencedatashouldbeconsideredabaselineyearfordataanalysisandisnotdirectlycomparabletopreviousyearsofBRFSSdatabecauseofthechangesinweightingmethodologyandtheadditionofthecellphonesamplingframe,thereforenotrenddataisavailable.

2002 2004 2006 2008 2010

Pima County 81.5% 83.1% 75.0% 72.5% 70.1%

Arizona 80.7% 83.3% 79.6% 73.7% 67.5%

Healthy People 2010 99.0% 99.0% 99.0% 99.0% 99.0%

Healthy People 2020 93.0% 93.0% 93.0% 93.0% 93.0%

60%

65%

70%

75%

80%

85%

90%

95%

100%Percent



SECTION 5. COMMUNICABLE DISEASES


Section5.CommunicableDiseases 45

Section 5. Communicable Diseases Hepatitis A Graph 5.1: Age‐adjusted Rate of Hepatitis A by Year (2006‐2010) iv

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

5

2006 2007 2008 2009 2010

Rate per 100,000




Meningococcal Graph 5.2: Age‐adjusted Rate of Meningococcal Disease by Year (2006‐2010)iv

0

0.2

0.4

0.6

0.8

1

1.2

2006 2007 2008 2009 2010

Rate per 100,000




Tuberculosis Graph 5.3: Age‐adjusted Rate of Tuberculosis by Year (2006‐2010)iv

0

1

2

3

4

5

6

2006 2007 2008 2009 2010

Rate per 100,000




HIV/AIDS Graph 5.4: Age‐adjusted Rate of HIV Deaths by Year (2006‐2010)iv

Graph 5.5: Age‐adjusted Rate of New AIDS Cases by Yeariv

0

0.5

1

1.5

2

2.5

3

3.5

2006 2007 2008 2009 2010

Rate per 100,000


0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2006 2007 2008 2009 2010

Rate per 100,000


Childhoo Map 5.6:

16Datacolarenotto

A

od Vaccina

Pima County

llectedbyPimbedistributed

APPENDIXA

tions

y Primary Car

aCountyHeald.

A–PimaCouUpda

re Areas by Va

lthDepartmen


accine Exemp

ntVaccinePrev

StatusComp3

Section

ptions at Chil

ventableProgr

pendium

5.Communi

ld Care Cente

ram.Dataare

cableDiseas

ers, 201216

epreliminarya

es 49

and



SECTION 6. MATERNAL AND CHILD HEALTH

SectionPregnan Graph 6.1

Map 6.1:

50.

60.

70.

80.

90.

100.

Percentage

A

6. Matern

ncy and Pre

1: Proportion(2006‐2010

Pima CountyCare (2011)ii

0

0

0

0

0

0

200

Pima Cou

APPENDIXA

nal and Ch

enatal Care

of Pregnant 0)iv

y Primary Cari

06

unty A

A–PimaCouUpda

ild Health

Women who

re Areas by Pe

2007

Arizona


o Receive Pre

ercentage of

2008

Healthy Pe

StatusComp3

Section6.

enatal Care in

Pregnant Wo

20

ople 2010

pendium

Maternalan

n the First Tri

omen who Re

009

Healthy

ndChildHeal

mester by Ye

eceive Prena

2010

People 2020

lth 51

ear

tal


Section6.MaternalandChildHealth 52

Graph 6.2: Abstinence from Cigarette Smoking among Pregnant Women by Year (2006‐2010)iv

Graph 6.3: Pregnancies among Adolescent Females aged 15‐17 Years by Year (2006‐2010)iv

91.0

92.0

93.0

94.0

95.0

96.0

97.0

98.0

99.0

100.0

2006 2007 2008 2009 2010

Percentage


0

5

10

15

20

25

30

35

40

45

2006 2007 2008 2009 2010

Per 1,000 females 15‐17 years old


Map 6.3:

A

Pima County

APPENDIXA

y Primary Car

A–PimaCouUpda

re Areas by Te


een Births pe

StatusComp3

er 1,000 Fema

Section6:

pendium

ales 14‐19 Ye

Maternaland

ear Oldsii

dChildHealt53

th


54

Births Graph 6.4: Birth Rate by Year (2006‐2010)iv

Graph 6.5: Preterm Births by Year (2006‐2010)17 iv

17Pretermreferstolessthan37weeksgestation.

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

2006 2007 2008 2009 2010

Births per 1,000 population

Pima County Arizona

0.0

2.0

4.0

6.0

8.0

10.0

12.0

2006 2007 2008 2009 2010

Percent

Pima County Arizona Healthy People 2010 Healthy Poeple 2020

Section6:MaternalandChildHealth

Graph 6.6

Map 6.6:

18LowBir

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0Percent

A

6: Low Birth W

Pima County

rthWeight(LB

0

0

0

0

0

0

0

0

0

0

200

Pima Cou

APPENDIXA

Weight by Ye

y Primary Car

BW)referstoa

6

unty A

A–PimaCouUpda

ar (2006‐201

re Areas by Lo

anyneonatew

2007

Arizona


10)18 iv

ow‐Weight B

weighinglesst

2008

Healthy Pe

StatusComp3

irths per 1,00

than2,500gra

20

ople 2010

Section6:

pendium

00 Live Births

amsatbirth.

009

Healthy

Maternalan

s (2011)ii

2010

People 2020

dChildHealt 55

th


56

Graph 6.7: Very Low Birth Weight by Year (2006‐2010)19 iv

19VeryLowBirthWeight(VLBW)referstoanyneonatewhoseweightatbirthis1,500gramsorless.

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

2006 2007 2008 2009 2010

Percent




57

Fetal and Infant Mortality Graph 6.8: Fetal Deaths at 20 or More Weeks of Gestation by Year (2006‐2010)20 iv

Graph 6.9: Fetal and Infant Deaths during the Perinatal Period by Year (2006‐2010)21 iv

20Includesspontaneousandinducedterminationofpregnancyat20ormoreweeksofgestationorifgestationalageisunknown,thedeathsoffetusesofatleast350gramsormore.21Theperinatalperiodis28weeksofgestationto7daysafterbirth.

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

2006 2007 2008 2009 2010

Rate per 1,000 live births


0

1

2

3

4

5

6

7

8

2006 2007 2008 2009 2010





58

Graph 6.10: Infant Deaths by Year (2006‐2010)22 iv

Graph 6.11: Neonatal Deaths by Year (2006‐2010)23 iv

22Anydeathatanytimefrombirthupto,butnotincluding,thefirstyearofage.23Deathofalivebornneonatebeforetheneonatebecomes28daysold.

0

1

2

3

4

5

6

7

8

2006 2007 2008 2009 2010


Pima County Arizona Healthy Arizona 2010/ Healthy People 2020

0.0

1.0

2.0

3.0

4.0

5.0

6.0

2006 2007 2008 2009 2010


Pima County Arizona Healhty People 2010 Healthy People 2020



59

Graph 6.12: Postneonatal Deaths by Year (2006‐2010)24 iv

24Anydeathofaliveborninfantatleast28daysofagebutlessthanoneyearofage.

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

2006 2007 2008 2009 2010





Section7.IssuesRelatedtoAging 60

SECTION 7. ISSUES RELATED TO AGING



Section 7. Issues Related to Aging Social Characteristicsix

Thepercentageofhouseholdswithoneormoreindividuals65yearsandover:27.9%(Arizona:26.2%)

Thepercentageofgrandparentsresponsiblefortheirgrandchildren:43.2%(Arizona:40.7%)

Disabilityix

Thepercentageofthepopulation65yearsandolderwithadisability:34.6%(Arizona

33.6%)Table 7.1: Percentage of Elderly population (65 Years and Older) with Disabilities by Type ix Disability Type Pima (%) Arizona (%)

Hearingdifficulty 15.9 15.0Visiondifficulty 7.1 6.4Cognitivedifficulty 8.6 8.2Ambulatorydifficulty 22.0 21.3Self‐caredifficulty 7.8 7.0Independentlivingdifficulty 14.7 13.1

Leading Causes of Death Table 7.2 Leading Causes of Death among Elderly (65 Years and Older) in Pima County, 2010iii

Rank Cause of Death Rate*1 Diseaseoftheheart 919.42 Malignantneoplasms 887.03 Chroniclowerrespiratorydiseases 312.04 Alzheimer’sdisease 155.35 Diabetes 109.16 Influenzaandpneumonia 100.57 Accident(unintentionalinjury) 91.28 Parkinson’sdisease 66.19 Nephritis,nephroticsyndromeandnephrosis 64.110 Septicemia 41.6*per100,000elderly65yearsandolder



Alzheimer’s disease Graph 7.3: Age‐adjusted Rate of Alzheimer’s Deaths by Year (2006‐2010)iv

Graph 7.4: Rate of Alzheimer’s Death among Elderly (65 Years and Older) by Year (2006‐2010)iv

0

5

10

15

20

25

30

35

40

2006 2007 2008 2009 2010

Rate per 100,000 population

Pima County Arizona

0

50

100

150

200

250

300

2006 2007 2008 2009 2010

Rate per 100,000 elderly 65 years an

d older

Pima County Arizona



Accidents (Falls) Graph 7.5: Age‐adjusted Death Rate from Falls by Year (2006‐2010)iv

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2006 2007 2008 2009 2010

Rate per 100,000

Pima County Arizona Healthy People 2010 Healhty People 2020



Suicide Graph 7.6: Suicide Rate among Elderly (65 Years and Older) by Year (2006‐2010)iv

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

2006 2007 2008 2009 2010

Rate per 100,000




SECTION 8. ACCESS TO CARE


Section8.AccesstoCare 66

Section 8. Access to Care Insurance Coverage Graph 8.1: Pima County Adults with Health Insurance, Three‐Year Estimates (2009‐2011)ix

Graph 8.2: Pima County Children (Under 18 Years) with Health Insurance, Three‐Year Estimates

(2009‐2011)ix

60.8%37.3%

14.8%

With private health insurance With public coverage No health insurance coverage

89.3%

10.7%

With health insurance coverage No health insurance coverage

TranspoMap 8.3:

T

T

25Thetranthan100%yearofagepopulationadequateo

A

ortation Sco

Pima County

ransportatio

ransportatio

nsportationsc%ofFPL,perce,percentofpnwithoutaveorgreaterthe

APPENDIXA

ore

y Primary Car

onScoreforP

onScoreforA

coreiscomprientofpopulatpopulationwitehicle,andnoneneedfortran

A–PimaCouUpda

re Areas by Tr

PimaCounty

Arizona:135

isedofthese6tionolderthanthworkdisabncommercialvnsportation.


ransportation

y:95

5

6indicators:pn65yearsofaility,mobilityvehicle‐to‐pop

StatusComp3

n Score (2011

percentofpopage,percentoylimitationorpulationratio

pendium

Section8.

1)25 ii

ulationwithaofpopulationyself‐carelimit.Thehigherth

AccesstoCa

annualincomeyoungerthantation,percenhescore,thel

are 67

eless14ntofless

Urgent CMap 8.4:

A

A

26Ambulaseverityhconditions27ASCSar

A

Care and ED

Pima County

AmbulatoryC

AmbulatoryC

torycare‐sensadpatientsbeswasfoundinemeasuredp

APPENDIXA

D Usage

y Primary Car

CareSensitive

CareSensitive

sitiveconditioeentreatedthnruralareasoer1000resid

A–PimaCouUpda

re Areas by A

eConditions

eConditions

ons(ACSC)areroughoutpatiofPimaCountyentsunderth


mbulatory Ca

rateforPim

rateforAriz

econditionsthientcarefaciliyandinareaseageof65ye

StatusComp3

are Sensitive

maCounty(20

zona(2011):

hatcouldhavities.Thegreasoflowsocialears.

pendium

Section8.

Conditions (

011):42.3

:44.7

ebeenprevenatestincidenceeconomicstat

AccesstoCa

(2011)26 27 ii

ntedorreduceeofthesetus.

are 68

edin

ProviderMap 8.5:

A

r to Popula

Pima County

APPENDIXA

ation

y Primary Car

A–PimaCouUpda

re Areas by Pr


rovider to Po

StatusComp3

opulation Rat

pendium

Section8.

tio (2011)ii

AccesstoCaare 69


References 70

References iU.S.CensusBureau.(2010)ArizonaStateandCountyQuickFacts.RetrievedFebruary21,2013,fromhttp://www.census.gov/iiArizonaDepartmentofHealthServices.(2011).StatisticalProfile2011.BureauofHealthSystemsDevelopment.iiiMrela,ChristopherK.&ClareTorres.(2010).ArizonaHealthStatusandVitalStatistics.ArizonaDepartmentofHealthServices.ivMrela,ChristopherK.&ClareTorres.(2006‐2010).ArizonaHealthStatusandVitalStatistics.ArizonaDepartmentofHealthServices.vCentersforDiseaseControlandPrevention(2011).BehavioralRiskFactorSurveillanceSystem.Retrieved:February26,2013,fromhttp://www.cdc.gov/brfss/index.htm.viCentersforDiseaseControlandPrevention(2011).YouthRiskBehaviorSurveillanceSystem.RetrievedonFebruary27,2013fromhttp://www.cdc.gov/HealthyYouth/yrbs/index.htmviiArizonaCriminalJusticeCommission(2012).ArizonaYouthSurvey.RetrievedonMarch26,2012fromhttp://www.bach‐harrison.com/arizonadataproject/Indicators.aspxviiiArizonaDepartmentofHealthServices(2012).OralHealthofArizonaChildren.OfficeofOralHealth.ixUnitedStatesCensusBureau(2009‐2011).AmericanCommunitySurvey3‐yearEstimates.RetrievedonMarch27,2013fromhttp://factfinder2.census.gov/faces/tableservices.xMrela,ChristopherK.&ClareTorres.(2007‐2011).ArizonaHealthStatusandVitalStatistics.ArizonaDepartmentofHealthServices.xiArizonaDepartmentofHealthServices(2005‐2010).ArizonaCancerRegistry.Retrieved:June10,2013fromhttp://www.azdhs.gov/phs/phstats/cancer‐registry/.xiiCentersforDiseaseControlandPrevention(2002‐2010).BehavioralRiskFactorSurveillanceSystem.Retrieved:June11,2013fromhttp://healthindicators.gov/Indicators/Pap‐test‐women‐18‐percent_115/Profile/Data.

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