Community Health
Assessment Results
Presented by:
Emily Burns, MD, MSPH
Assistant Professor of Epidemiology, Colorado School of Public Health
Top ten things to know from the
Community Health Assessment
#10
The Community Health Assessment was a
collaborative effort.
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SJBHD, MRMC, PSMC
students, staff, researchers, community
state and local
stakeholder meetings
etc., etc., etc.
#9
In general, Archuleta and La Plata counties are not
that different (sometimes better!) than the state
on most health outcomes.
Figure 6: Age-adjusted all-cause death rate, by county
Archuleta
900
rate per 100,000
La Plata
800
Colorado
700
600
500
400
1990
1995
2000
2005
2006
2007
2008
2009
2010
Source: Death dataset, Health Statistics Section, Colorado Department of Public Health and
Environment
Figure 12: Death rate (per 100,000) from cancer, ageadjusted, by county, 2006-2010
0
25
50
75
100
125
150
all invasive
cancer
prostate
breast
lung
colorectal
Archuleta
La Plata
melanoma
cervical
Source: Colorado Health Information Dataset: Death statistics
Colorado
#8
Motor vehicle accident hospitalization and death
rates are two of the few indicators that are worse
in one or both counties compared to the state.
120
Figure 20: Motor vehicle accident hospitalization
and injury rates, by county vs. state, 2006-2010
hospitalization rate
100
death rate
80
60
40
20
79.6
25.9
90.8
20
74.1
11.3
0
Archuleta
La Plata
Colorado
Source: Colorado Trauma Registry and Death dataset, via Colorado Health
Information Dataset
#7
Obesity and tobacco use measures are not worse
in either county but remain leading causes of
cardiovascular death.
• #1 cause of death in La Plata
• #2 cause of death in Archuleta
Leading causes of death, 2007-2009
Archuleta
La Plata
Colorado
Cancer
Heart disease
Cancer
Heart disease
Unintentional
injuries
Cancer
Unintentional
injuries
Heart disease
Unintentional
injuries
Suicide
Chronic lower
Chronic lower
respiratory diseases respiratory diseases
Chronic lower
Alzheimers disease
respiratory diseases
Cerebrovascular
diseases
Alzheimers disease
Cerebrovascular
diseases
Alzheimers disease
Cerebrovascular
diseases
Suicide
Suicide
Chronic liver disease Chronic liver disease
and cirrhosis
and cirrhosis
Diabetes mellitus
Other diseases of
circulatory system
Diabetes mellitus
Influenza and
pneumonia
Kidney disease
Influenza and
pneumonia
Chronic liver disease
and cirrhosis
Figure 15: Overweight and obesity rates in Colorado and HSR9
region, by year
40%
35%
30%
CO overweight
25%
CO obese
20%
HSR 9 overweight
15%
HSR9 obese
10%
5%
0%
1995
1997
1999
2001
2003
2005
2007
2009
Source: Behavioral Risk Factor Surveillance System, multiple years, Colorado and HSR 9
80%
Figure 18: Heart disease risk factors in Colorado adults,
by race/ethnicity, 2009-2010
white
Latino
60%
40%
20%
↑, among checked
checked in 5 yrs
physically inactive*
obese
currently smoke
↑ BP
overweight
diabetes
0%
Cholesterol
Source: Behavioral Risk Factor Surveillance System, 2009-2010, Colorado
#6
Colorectal and breast cancer screening measures
are not worse, in general, among both counties
but may be important areas for improving cancer
outcomes, the leading cause of death in Archuleta
and a close second in La Plata.
100%
90%
80%
Figure 13: Cancer screening rates for
Archuleta and La Plata combined,
2008 & 2010
74.9%
66.4%
70%
58.9%
60%
50%
40%
30%
18+ pap in 3 years
40+ mammogram in 2 50+ evidence-based
years
colon CA screening in 510 years
Source: Behavioral Risk Factor Surveillance System
#5
Access to care, including medical, oral and mental
health care, is a significant problem in both
counties.
Figure 26: Age-adjusted mental health and suicide
hospitalization rates (per 100,000), 2007-2009
3000
2500
70
suicide hospitalization
2905.1
Mental health
hospitalization
60
50
2000
40
1594.6
1500
30
1181.3
1000
20
500
10
26.4
34.6
57.2
0
0
Archuleta
La Plata
Colorado
Suicide hospitalizations
Mental health hospitalizations
3500
Figure 31: Oral Health Indicators in Colorado, by
race/ethnicity, 2010
80%
71.8%
white
70%
60%
Hispanic
59.4%
50%
40.3%
40%
33.3%
30%
20%
22.4%
12.2%
10%
0%
age 65+, all teeth extracted adults, any permanent teeth
extracted
Source: Behavioral Risk Factor Surveillance System, 2010
visited dentist in past year
#4
Lack of health insurance, one of the primary
barriers to accessing health care, is primarily an
issue among those aged 19-54 and those with
lower incomes, especially 200% of the federal
poverty level and below.
Uninsured rates
#3
Older adult and Hispanic populations are
prioritized by the communities as having increased
health needs and inadequate services.
#2
Capacity assessment of all topic areas reveals the
lowest current capacity in the following areas:
• La Plata in: oral health, obesity and access to care, and
mental health.
• Archuleta, the lowest capacity was in: mental health,
obesity, access to care and cancer.
#1
The Community Health Assessment identifies
opportunities for improvement in health
outcomes.