Asthma in Minnesota: Slide Presentation, January 2013

Asthma in Minnesota

Slide Set

Asthma Program

Minnesota Department of Health

January 2013

2

Introduction

This slide set provides a cross-section of recent data on asthma in Minnesota and has been developed as a resource for our partners in the asthma community.

If you extract slides from this presentation, please reference the MDH Asthma Program. For technical assistance, please contact us at health.asthma@state.mn.us

.

Contents

Background

Asthma Prevalence

Asthma Control

Asthma Management

Risk Factors

Asthma Emergency Department Visits and

Hospitalizations

Asthma Mortality

Summary

Background

What is Asthma?

• Asthma is a chronic respiratory disease

• Symptoms include wheezing, chest tightness and coughing

• Triggers of asthma episodes can include respiratory infections, allergens, cigarette smoke, air pollution, and exercise

• Cause of asthma is unknown

Asthma Prevalence

Minnesota Adults and Asthma

• Approximately 1 in 13 Minnesota adults currently have asthma

• Equals an estimated 302,000 adults

• Asthma prevalence in Minnesota is lower than the national average and is not currently increasing

Source: Behavioral Risk Factor Surveillance System

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Percentage of adults with current asthma by year, Minnesota and U.S.

Source: Behavioral Risk Factor Surveillance System

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Percentage of adults with current asthma by sex, Minnesota

Source: Behavioral Risk Factor Surveillance System

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Percentage of adults with current asthma by age group, Minnesota

Source: Behavioral Risk Factor Surveillance System

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Percentage of adults with current asthma by residence, Minnesota

Source: Behavioral Risk Factor Surveillance System

Minnesota Children and Asthma

• Approximately 1 in 14 Minnesota children

(age 0-17) currently have asthma

• Equals an estimated 90,000 children

• Asthma prevalence is lower than the national average and not currently increasing

Source: Behavioral Risk Factor Surveillance System, 2010

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Percentage of children with current asthma by year, Minnesota

Source: Behavioral Risk Factor Surveillance System, 2003-2006, 2010;

National Survey of Children’s Health, 2007

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Percentage of youth ever diagnosed with asthma by grade and sex, Minnesota

Source: Minnesota Student Survey, 2010

Percentage of youth ever diagnosed with asthma by race/ethnicity,

Minnesota

Source: Minnesota Student

Survey, 2010

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Percentage of youth (grades 6-12) by asthma status, Minnesota

Source: Minnesota Youth Tobacco and Asthma Survey, 2011

Asthma Control

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Asthma control among youth with current asthma, Minnesota

Source: Minnesota Youth Tobacco and Asthma Survey, 2011

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Frequency of activity limitations due to asthma in past 12 months among adults with current asthma, Minnesota

Source: Behavioral Risk Factor Surveillance System, 2008

Asthma Management

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Asthma self-management education,

Minnesota and U.S. adults

Taught to recognize early signs of an asthma attack

Taught how to respond to an asthma attack

MN

66.8%

73.6%

U.S.

54.8%

63.8%

Taught how to monitor peak flow 39.1% 39.2%

Taken a class on asthma management 6.6% 12.0%

Sources: Behavioral Risk Factor Surveillance System, 2010 (Minnesota);

National Health Interview Survey, 2008 (U.S.)

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Percentage of children and adult asthma patients receiving “optimal asthma care”

Source: Minnesota Community Measurement, 2010-2011

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Minnesota youth with current asthma having an asthma action plan

Source: Minnesota Youth Tobacco and Asthma Survey, 2011

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Percentage of Minnesota adults with current asthma who have ever been given an asthma action plan

Source: Behavioral Risk Factor Surveillance System, 2005-2010

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Percentage of Minnesota adults who had a flu shot in past year, by asthma status

Source: Behavioral Risk Factor Surveillance System, 2000-2010

Risk Factors

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Percentage of Minnesota adults who are current smokers, by asthma status

Source: Behavioral Risk Factor Surveillance System, 2000-2010

Percentage of youth reporting exposures to environmental tobacco smoke by asthma status

Source: Minnesota

Youth Tobacco and

Asthma Survey, 2011

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Percentage of Minnesota adults who are obese, by asthma status

Source: Behavioral Risk Factor Surveillance System, 2000-2010

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Work-Related Asthma

• New-onset asthma caused by exposures in the workplace + existing asthma aggravated by exposures in the workplace

• Asthmagens include isocynates, welding fumes, poultry droppings, flour dust

In 2008, 30.6% of Minnesota adults with asthma reported that exposures to chemicals, smoke, fumes or dust in their current job had worsened their asthma

Source: Behavioral Risk Factor Surveillance System

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Emergency Department Visits and Hospitalizations for

Asthma

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Age-adjusted rates of asthma emergency department visits by year, Minnesota

Source: Minnesota Hospital Association, 2005-2010

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Rates of asthma ED visits by region, age group and year, Minnesota

Source: Minnesota Hospital Association, 2005-2010

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Rates of asthma ED visits by month and age group, Minnesota

Source: Minnesota Hospital Association, 2010

Age-adjusted rates of asthma hospitalizations by year, Minnesota

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Source: Minnesota Hospital Association, 2000-2010

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Rates of asthma hospitalizations by region and age group, Minnesota

Source: Minnesota Hospital Association, 2000-2010

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Rates of asthma hospitalizations by month and age group, Minnesota

Source: Minnesota Hospital Association, 2010

Asthma Mortality

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Age-adjusted asthma mortality rates,

Minnesota and U.S.

Source: Minnesota Center for Health Statistics, 1999-2010; CDC, 1999-2009

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Percentage of asthma deaths by age group,

Minnesota

Source: Minnesota Center for Health Statistics, 1999-2010

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Summary

• Asthma prevalence in Minnesota is lower than the national average

• However, there are disparities in asthma prevalence by race/ethnicity

• Many measures of asthma morbidity have been improving over time, e.g., asthma hospitalization rates in Twin Cities metro

• However, geographic disparities remain

For more information

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Asthma in Minnesota

2012 Epidemiology

Report www.health.state.mn.us/asthma/documents

/asthmaepireport2012.pdf