Minnesota County-level Indicators for Community Health Assessment Indicators Sorted by Statewide Health Assessment Theme Updated 3/4/14 Introduction The County-level Indicators for Community Health Assessment is a listing of measures across multiple public health categories and from various data sources. Links to these indicators have been gathered together in this document to assist Minnesota’s local health departments (LHD) and community health boards (CHB) in their community health assessment and community health improvement planning processes. However, LHD/CHBs are not required to use these specific measures, nor are these measures intended to represent the only indicators that LHD/CHB might want or need to examine to do a thorough community health assessment and plan. They should be considered as “first round” data sources, potentially leading to second, third, and even more rounds of data collection and analysis on specific issues on an “as needed basis.” Through this process, the LHD/CHB will not only identify but better understand community health issues and develop an effective community health improvement plan. “Round One” Data Gathering and Analysis According to the national standards for local health departments (PHAB Standard 1.1.2 T/L), a community health assessment must include descriptions of community demographics, health issues, and contributing causes of community health issues, based on an analysis of community health data. This document directs local health departments to initial sets of county-level data under the following six themes: People and Place Opportunity for Health Healthy Living Chronic Disease and Conditions Infectious Disease Injury and Violence These six themes reflect the organization of The Health of Minnesota: 2012 Statewide Health Assessment (SHA). The county-level indicators also reflect the data described in the SHA, to the extent possible (i.e. not every indicator used in the SHA is collected at the county level). The State Community Health Services Advisory Committee/Performance Improvement Steering Committee has recommended that, as much as possible, all Minnesota community health boards use the same organization and indicators as the SHA so that comparisons eventually can more readily be made between counties and with the state. This document is organized by the six themes of the SHA. There are six tables in this document: one for each SHA theme. Each table specifies in which theme of the Statewide Health Assessment the indicator may fit, describes the indicators, provides the original source of the data, and indicates where the data are located within the main data source. Example: The first table contains all the indicators that may fit in the SHA theme “People and Place”. Column 1 indicates the SHA theme. There are some indicators in which two SHA themes are listed; thus those indicators are repeated in another table. One of the first indicators in this table is “Population by age and sex” (Column 2). These data are originally from the Census (Column 3) and can be found in the MCHT Demographic Table 1 (Column 4). The list of indicators is also available in a separate document that is sorted by main data source. It contains the exact same information but is sorted differently. This document is located on the Minnesota County-level Indicators for Community Health Assessment website. Data Sources The indicators come from five main data sources: Minnesota County Health Tables (MCHT): a compilation of public health data for Minnesota and its 87 counties. Minnesota Student Survey Selected Single Year Results (MSS SY): The Minnesota Student Survey (MSS) has been administered every three years to 6th, 9th, and 12th grade students in regular public elementary and secondary schools, charter schools, and tribal schools since 1989. The MSS includes questions about a wide variety of youth behaviors, including risk behaviors such as alcohol, tobacco and other drug (ATOD) use, violence and sexual activity, as well as positive behaviors and connection to family, school and community. The results found in this document are single year results that are also found in the state and county standard MSS tables. This document differs from the report Minnesota Student Survey 1992-2010 Trends. The statewide results found in the Trends report include only those school districts that participated in each of the last seven administrations of the survey. While this data restriction is useful at the state level when examining results over time, restricting results at the county level to consistently participating schools districts results in too much missing data. Because this restriction is not in place, users of the Single Year Results document should be aware that apparent changes over time at may be at least partly due to the differing participation of school districts between survey years. Users are urged to review the list of participating school districts by year found at the end of each county’s report to determine if district participation has changed over time in that county. Minnesota Vital Statistics State, County and Community Health Board Trends (VS Trends): The Minnesota Vital Statistics State and County Trend Report contains demographic, natality and mortality on four blocks of 5-year trends for Minnesota, its 87 counties and Community Health Boards. This report provides information on several indicators including poverty, school drop outs, low birth weight, prenatal care, and selected causes of death. Minnesota Public Health Data Access System (MPHDA): The Minnesota Public Health Data Access (MPHDA) website is an electronic gateway to Minnesota health and environment data. This Web-based information system provides a "one stop shop" for data about health, the environment, and other risk factors that may affect public health in Minnesota. Local public health professionals, the public and others may use MNPH Data Access to gather information about health and environment trends over time, and to conduct queries of state and countylevel data in Minnesota about diseases and conditions, such as asthma, cancer and heart attacks. Once on the site to get to county-level data, click either “query the data” or “map the data”. Local Surveys: Some Minnesota Counties have conducted local surveys that may provide data for these indicators. Listed below are the local surveys that were most recently conducted along with the counties for which results are available. Local Survey Websites Bridge to Health 2005 and 2010 Results for Aitkin County, Carlton County, Cook County, City of Duluth, Itasca County, Koochiching County, Lake County, Pine County, St. Louis County, St. Louis County without Duluth Southwest South Central Adult Health Survey 2010 Results for Big Stone County, Blue Earth County, Brown County, Chippewa County ,Cottonwood County ,Jackson County, Kandiyohi County, Lac qui Parle County, Le Sueur County, Lincoln County, Lyon County, Murray County, Nicollet County, Pipestone County, Redwood County, Renville County, Swift County, Waseca County, Yellow Medicine County Metro Adult Health Survey 2010 Results for Anoka County, Carver County, Dakota County, Ramsey County, Scott County, Washington County Survey of the Health of All the Population and the Environment (SHAPE) 1998, 2002, 2006, 2010 Results for Hennepin County For Other Counties: 2010 MCHT, Morbidity and Utilization Tables 11 and 12 If your county is not listed, you can go to the Minnesota County Health Tables (MCHT) website listed above for synthetic estimates of selected risk behaviors. Note that synthetic estimates are statewide estimates (percentages) from the BRFSS that are statistically adjusted using the age and sex distributions for each county. These estimates indicate the percentage of adults at risk for a particular health behavioral risk factor in a county given 1) the statewide percentage for that behavior and 2) that county’s age and sex composition. These estimates do not indicate the percentage of adults in that county who actually engage in the risk behavior. Round Two (and more) Data Gathering and Analysis A wealth of additional data is available throughout the MDH website in virtually every program area, for conducting second, third and more “rounds” of data gathering and analysis to take a more in-depth look at specific issues. Each LHD/CHB should check the MDH website and feel free to contact MDH programs as desired for more information. The MDH public health nurse consultants can help LHD/CHBs make these connections; technical assistance with data is also available from MDH Center for Health Statistics staff Kim Edelman (kim.edelman@state.mn.us) and Ann Kinney (ann.kinney@state.mn.us). Table of Contents People and Place ..............................................................................................................................................................................................................1 Opportunity for Health ....................................................................................................................................................................................................3 Healthy Living ....................................................................................................................................................................................................................6 Chronic Diseases and Conditions ................................................................................................................................................................................. 11 Infectious Disease ........................................................................................................................................................................................................... 13 Injury and Violence ........................................................................................................................................................................................................ 14 Acronyms.......................................................................................................................................................................................................................... 16 People and Place Statewide Health Assessment Theme Name Indicator Original Source Link to Data Location within Link People and Place Total population Census VS Trends Demographic Section People and Place Population by age and sex Census MCHT Demographics Table 1 People and Place Number of females aged 15-44 Census MCHT Demographics Table 3 People and Place Number of births MDH MCHS VS Trends Natality Section People and Place Birth rate MDH MCHS VS Trends Natality Section People and Place School enrollment for prekindergarten – 12th grade Census VS Trends Education Section People and Place Number and percent of children under age 5 Census MCHT Demographics Table 3 People and Place Number and percent of children aged 0-19 Census MCHT Demographics Table 3 People and Place Child (under 15 years) dependency ratio (per 100 population 15-64) Census VS Trends Demographic Section People and Place Number of households Census VS Trends Demographic Section People and Place Number of deaths MDH MCHS VS Trends Mortality Section People and Place Total population by race and ethnicity Census VS Trends Demographic Section County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 1 Statewide Health Assessment Theme Name Indicator Original Source Link to Data Location within Link People and Place Number of prekindergarten – 12th grade students by race/ethnicity MDE MCHT Demographics Table 9 People and Place Percent of prekindergarten – 12th grade students with limited English proficiency MDE VS Trends Education Section People and Place Number and percent of people aged 65 years and older Census MCHT Demographics Table 4 People and Place Elderly (65+ years) dependency ratio (per 100 population 15-64) Census VS Trends Demographic Section People and Place/Opportunity for Health Percent of households in which the resident is 65 and over and living alone Census MCHT 2011 Demographics Table 4 People and Place Arsenic levels in MN Arsenic MDH MDH Arsenic Arsenic Groundwater Map People and Place Radon levels by zone (low, moderate, high) US EPA US Environmental Map is located halfway Protection down website Agency County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 2 Opportunity for Health Statewide Health Assessment Theme Name Indicator Original Source Link to Data Location within Link Opportunity for Health Four year high school graduation rate MDE VS Trends Education Section Opportunity for Health High school dropout rate MDE VS Trends Education Section Census MCHT Demographics Table 6 MDE VS Trends Education Section Opportunity for Health Opportunity for Health Percent of population aged 25 years and older with less than or equal to high school education or equivalent (e.g. GED) Percent of prekindergarten – 12th grade students receiving special education Opportunity for Health Unemployed rate - annual average MN DEED VS Trends Socioeconomic Section Opportunity for Health Total per capita income Census VS Trends Socioeconomic Section MDE VS Trends Education Section Census VS Trends Socioeconomic Section Opportunity for Health Opportunity for Health Percent of prekindergarten – 12th grade students eligible for free and reduced meals Percent of people under 18 years living in poverty Opportunity for Health Percent of all ages living in poverty Census VS Trends Socioeconomic Section Opportunity for Health Percent of people of all ages living at or below 200% of poverty Census 5 yr ACS MCHT Demographics Table 6 Opportunity for Health Percent of housing occupied by owner Census 5 yr ACS MCHT Demographics Table 6 County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 3 Statewide Health Assessment Theme Name Indicator Original Source Link to Data Location within Link Opportunity for Health Percent of births to unmarried mothers MDH MCHS VS Trends Natality Section Opportunity for Health Carbon monoxide poisoning (hospitalizations and ED visits age adjusted rates per 100,000) MNHDD MPHDA – CO Poisoning or MCHT 2012 Morbidity Table 15 Opportunity for Health Percent of dwellings built before 1979 Census ACS MCHT Demographics Table 12, 2012 MCHT MPHDA – Blood Lead or MCHT 2012 Morbidity Table 15 MPHDACOPD or MCHT 2012 Morbidity Table 15 Opportunity for Health Percent of birth cohort tested with elevated blood lead levels MDH Lead Opportunity for Health COPD hospitalizations (age adjusted rate per 10,000) MNHDD Opportunity for Health Percent of children under 18 living in single parent-headed households Census 5 yr ACS MCHT Demographics Table 6 Opportunity for Health/People and Place Percent of households in which the resident is 65 and over and living alone Census MCHT Demographics Table 4 Opportunity for Health Percent of 9th graders who have changed schools at least once since the beginning of the school year MSS SY Section 1: Academics, School Connectedness, School Safety and Time Use MSS County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 4 Statewide Health Assessment Theme Name Opportunity for Health Opportunity for Health Opportunity for Health Opportunity for Health Opportunity for Health/Healthy Living Indicator Number of children under 18 years arrested for violent crimes (Part 1) per 1,000 population 10 - 17 years old Percent of 9th graders who skipped school one or more days in the last 30 days due to feeling unsafe at or on the way to school Percent of 9th graders who report that a student kicked, bit, or hit them on school property in the last 12 months Percent of 9th graders who report that they have hit or beat up another person one or more times in the last 12 months Rate of children in out of home care per 1,000 (aged 0-17) Original Source Link to Data Location within Link MN DPS MCHT Morbidity Table 5 Section 1: Academics, School Connectedness, School Safety and Time Use Section 1: Academics, School Connectedness, School Safety and Time Use MSS MSS SY MSS MSS SY MSS MSS SY Section 2: Violent and AntiSocial Behavior MN DHS MCHT Demographics Table 11 Opportunity for Health Number of physicians per 10,000 population MDH ORHPC Atlas Online Go to “atlas online, then Health” Opportunity for Health Number of dentists per 10,000 population MDH ORHPC Atlas Online Go to “atlas online, then Health” Opportunity for Health Percent currently uninsured (under age 65) Census SAHIE MCHT MPHDA – Health Insurance Morbidity Table 17 (2012 only) Opportunity for Health/Healthy Living Percent of mothers who initiated prenatal care in the 1st trimester MDH MCHS VS Trends Natality Section County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 5 Healthy Living Statewide Health Assessment Theme Name Indicator Original Source Link to Data Location within Link Healthy Living Birth rate per 1,000 population MDH MCHS VS Trends Natality Section Healthy Living Number of births MDH MCHS VS Trends Natality Section Healthy Living Percent of births by race/ethnicity of mother MDH MCHS VS Trends Natality Section Healthy Living Percent of mothers who smoked during pregnancy MDH MCHS VS Trends Natality Section Healthy Living Percent of births to unmarried mothers MDH MCHS VS Trends Natality Section Healthy Living/Opportunity for Health Percent of mothers who initiated prenatal care in the 1st trimester MDH MCHS VS Trends Natality Section MDH MCHS VS Trends Natality Section MDH MCHS VS Trends Natality Section MDH MCHS VS Trends Natality Section Healthy Living Healthy Living Percent of births that were born premature, less than 37 weeks gestation (singleton births) Percent of birth born low birth weight, less than 2,500 grams (singleton births) Healthy Living Number of infant deaths Healthy Living Percent of 9th and 12th graders who participate in religious activities one or more times per week MSS MSS SY Section 1: Academics, School Connectedness, School Safety and Time Use Healthy Living Teen birth rate per 1,000 females aged 15-19 years MDH MCHS VS Trends Natality Section County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 6 Statewide Health Assessment Theme Name Healthy Living/Opportunity for Health Healthy Living Healthy Living Healthy Living Indicator Original Source Link to Data Location within Link Rate of children in out of home care per 1,000 (aged 0-17) MN DHS MCHT Demographics Table 11 MSS MSS SY Section 7: Other Health Behaviors MSS MSS SY Section 7: Other Health Behaviors Percent of 9th graders who ate five or more servings of fruit, fruit juice, or and vegetables yesterday Percent of 9th graders who drank three or more glasses of pop or soda yesterday Percent of adults who consumed five or more servings of fruits and vegetables per yesterday Local Surveys Local Surveys Local Surveys Healthy Living Healthy Living Healthy Living Healthy Living Percent of adults who reported 30+ minutes of moderate physical activity on five or more days per week Percent of 9th graders who were physically active for 30 minutes or more on at least five of the last seven days Percent of 9th graders who engaged in strenuous exercise for at least 20 minutes on at least three of the last seven days Percent of 9th graders who spend six or more hours per week watching TV, DVDs or videos MCHT data should be used only if local survey data are NOT available Local Surveys or MCHT 2012 Table 19 MSS MSS SY Section 7: Other Health Behaviors MSS MSS SY Section 7: Other Health Behaviors MSS SY Section 1: Academics, School Connectedness, School Safety and Time Use MSS County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 7 Statewide Health Assessment Theme Name Indicator Original Source Link to Data Location within Link Local Surveys or 2012 MCHT Table Morbidity Table 18 MCHT data should be used only if local survey data are NOT available Healthy Living Percent of adults who are binge drinkers Local Surveys Healthy Living Percent of 9th graders who engaged in binge drinking in the last two weeks MSS MSS SY Section 6: Alcohol, Tobacco and Other Drugs Healthy Living Percent of 9th graders who used alcohol one or more times in the last 12 months MSS MSS SY Section 6: Alcohol, Tobacco and Other Drugs MSS MSS SY Section 6: Alcohol, Tobacco and Other Drugs MSS MSS SY Section 6: Alcohol, Tobacco and Other Drugs MSS MSS SY Section 6: Alcohol, Tobacco and Other Drugs MSS MSS SY Section 6: Alcohol, Tobacco and Other Drugs Healthy Living Healthy Living Healthy Living Healthy Living Percent of 9th graders who used alcohol one or more times in the 30 days Percent of 9th and 12th graders who drove a motor vehicle after using alcohol or drugs one or more times in the last 12 months Percent of 9th graders who rarely or often ride with friends after those friends have been using alcohol or drugs Percent of 9th graders who smoked cigarettes during the last 30 days Local Surveys Healthy Living Percent of adults who are current smokers Healthy Living Percent of 9th graders who used chewing tobacco, snuff, or dip during the MSS last 30 days Local Surveys or 2012 MCHT Table Morbidity Table 18 MSS SY County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 8 MCHT data should be used only if local survey data are NOT available Section 6: Alcohol, Tobacco and Other Drugs Statewide Health Assessment Theme Name Indicator Original Source Link to Data Healthy Living Exposure to second hand smoke Local Surveys Local Surveys MSS MSS SY Section 6: Alcohol, Tobacco and Other Drugs MSS MSS SY Section 6: Alcohol, Tobacco and Other Drugs Healthy Living Healthy Living Percent of 9th graders who used marijuana one or more times in the last 12 months Percent of 9th graders who used marijuana one or more times in the last 30 days Location within Link Healthy Living Colorectal cancer screening Local Surveys Local Surveys Healthy Living Breast cancer screening Local Surveys Local Surveys MDH MIIC MCHT Morbidity Table 2 MSS MSS SY Section 9: Sexual Behavior MSS MSS SY Section 9: Sexual Behavior MSS MSS SY Section 7: Other Health Behaviors MSS MSS SY Section 4: Mental Health Healthy Living Healthy Living Healthy Living Healthy Living Healthy Living Percent of children age 24-35 months up to date with immunizations (vaccine series) Percent of 9th and 12th graders who have ever had sexual intercourse Among sexually active students: percent reporting always using a condom Percent of 9th graders who report always wearing a seatbelt when riding in a car Percent of 9th graders who have felt nervous, worried, or upset all or most of the time during the last 30 days County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 9 Statewide Health Assessment Theme Name Healthy Living Healthy Living Indicator Percent of 9th graders who feel that people care about them very much or quite a bit (parents, other adult relatives, teacher/other adults, religious or spiritual leaders, other adults in the community, friends) Percent of 9th graders who felt sad all or most of the time in the last month Original Source Link to Data Location within Link MSS MSS SY Section 8: Families and Social Connections MSS MSS SY Section 4: Mental Health Section 1: Academics, School Connectedness, School Safety and Time Use Section 1: Academics, School Connectedness, School Safety and Time Use Section 1: Academics, School Connectedness, School Safety and Time Use Healthy Living Percent of 9th graders who report that a student/students have made fun of or teased them in the last 30 days MSS MSS SY Healthy Living Percent of 9th graders who report that a student pushed, shoved, or grabbed them on school property in the last 12 months MSS MSS SY Healthy Living Percent of 9th graders who report that they have made fun of or teased another student in the last 30 days MSS MSS SY Healthy Living Percent of 9th graders who had suicidal thoughts in last year MSS MSS SY Section 4: Mental Health Healthy Living Percent of 9th graders who tried to kill themselves in the last year MSS MSS SY Section 4: Mental Health County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 10 Chronic Diseases and Conditions Statewide Health Assessment Theme Name Indicator Original Source Link to Data Chronic Dis. and Cond. Percent of 9th graders who are overweight but not obese according to BMI MSS MSS SY Chronic Dis. and Cond. Percent of 9th graders who are obese according to BMI MSS MSS SY Percent of adults who are overweight according to BMI Local Surveys Local Surveys or 2012 MCHT Table Morbidity Table 18 Chronic Dis. and Cond. Percent of adults who are obese according to BMI Local Surveys Local Surveys or 2012 MCHT Table Morbidity Table 18 Chronic Dis. and Cond. Percent of WIC children under aged 2-5 years who are obese according to BMI MDH WIC MCHT Chronic Dis. and Cond. Leading causes of death - age adjusted rates per 100,000 (e.g. cancer, heart disease, stroke) MDH MCHS VS Trends Chronic Dis. and Cond. Chronic Dis. and Cond. Asthma hospitalizations (age adjusted rate per 10,000) MNHDD Chronic Dis. and Cond. Cancer incidence per 100,000 (all cancer types combined, age adjusted rate per 100,000) MDH MCSS County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 11 MPHDA Asthma or MCHT 2012 Morbidity Table 15 MPHDA - Cancer or MCHT 2012 Morbidity Table 15 Location within Link Section 7: Other Health Behaviors Section 7: Other Health Behaviors MCHT data should be used only if local survey data are NOT available MCHT data should be used only if local survey data are NOT available Morbidity Table 10 Mortality Section Statewide Health Assessment Theme Name Indicator Original Source Chronic Dis. and Cond. Breast cancer incidence (age adjusted rate per 100,000) MDH MCSS Chronic Dis. and Cond. Heart attack hospitalizations (age adjusted rate per 10,000) MNHDD Chronic Dis. and Cond. Heart disease prevalence Chronic Dis. and Cond. Stroke prevalence Chronic Dis. and Cond. Diabetes prevalence Local Surveys Local Surveys Local Surveys County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 12 Link to Data Location within Link MPHDA - Cancer or MCHT 2012 Morbidity Table 15 MPHDA - Heart Attacks or MCHT 2012 Morbidity Table 15 Local Surveys Local Surveys Local Surveys or MCHT 2012 Morbidity Table 12, MCHT data should be used only if local survey data are NOT available Infectious Disease Statewide Health Assessment Theme Name Indicator Original Source Link to Data Location within Link Infectious Disease STD numbers (e.g. chlamydia, gonorrhea) MDH IDEPC MCHT Morbidity Table 3 Infectious Disease Number of tuberculosis cases MDH IDEPC MCHT Morbidity Table 4 Infectious Disease Vector borne diseases (e.g. Lyme disease, West Nile virus) MDH IDEPC MCHT Morbidity Table 4 It is recommended that you contact your field services epidemiologist to review additional data related to STI, infectious diseases and vector borne diseases. Contact information on these MDH staff can be found at MDH Field Services Epidemiologists. County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 13 Injury and Violence Statewide Health Assessment Theme Name Injury and Violence Injury and Violence Injury and Violence Injury and Violence Injury and Violence Injury and Violence Indicator Premature Death Rate per 100,000 Age Adjusted (e.g. due to injury or violence) Unintentional injury death - age adjusted rate per 100,000 Percent of motor vehicle injuries and deaths that are related to alcohol Percent of 9th graders who report that someone they were going out with has ever hit, hurt, threatened or forced them to have sex Rate of children maltreatment per 1,000 children aged 0-17 Suicide deaths Original Source Link to Data Location within Link MDH MCHS MCHT Mortality Tables 5, MCHT 2012 MDH MCHS VS Trends Mortality MN DPS MCHT Injury Table 5, MCHT 2012 MSS MSS SY Section 3: Experiencing Violence MN DHS MCHT Demographics Table 10 MDH MCHS MCHT Mortality Tables 4 and 5, MCHT 2012 County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 14 Local Surveys Some Minnesota Counties have conducted local surveys that may provide data for these indicators. Listed below are the local surveys that were most recently conducted along with the counties in which results are available. Local Survey Websites Bridge to Health 2005 and 2010 Results for Aitkin County, Carlton County, Cook County, City of Duluth, Itasca County, Koochiching County, Lake County, Pine County, St. Louis County, St. Louis County without Duluth Southwest South Central Adult Health Survey 2010 Results for Big Stone County, Blue Earth County, Brown County, Chippewa County ,Cottonwood County ,Jackson County, Kandiyohi County, Lac qui Parle County, Le Sueur County, Lincoln County, Lyon County, Murray County, Nicollet County, Pipestone County, Redwood County, Renville County, Swift County, Waseca County, Yellow Medicine County Metro Adult Health Survey 2010 Results for Anoka County, Carver County, Dakota County, Ramsey County, Scott County, Washington County Survey of the Health of All the Population and the Environment (SHAPE) 1998, 2002, 2006, 2010 Results for Hennepin County For Other Counties: 2010 MCHT, Morbidity and Utilization Tables 11 and 12 If your county is not listed, you can go to the Minnesota County Health Tables (MCHT) website listed above for synthetic estimates of selected risk behaviors. Note that synthetic estimates are statewide estimates (percentages) from the BRFSS that are statistically adjusted using the age and sex distributions for each county. These estimates indicate the percentage of adults at risk for a particular health behavioral risk factor in a county given 1) the statewide percentage for that behavior and 2) that county’s age and sex composition. These estimates do not indicate the percentage of adults in that county who actually engage in the risk behavior. County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 15 Acronyms Atlas Online - Minnesota Center for Rural Policy and Development Census 5 yr ACS - Census 2005-2009 American Community Survey Results Census SAHIE – Census Small Area Health Insurance Estimates MCHT - Minnesota County Health Tables MDE - Minnesota Department of Education Data Center MDH Arsenic - Minnesota Department of Health, Well Management MDH HEP - Minnesota Department of Health, Health Economics Program MDH IDEPC - Minnesota Department of Health, Infectious Disease Epidemiology, Prevention and Control MDH Lead - Minnesota Department of Health, Lead Poisoning Prevention Program MDH MCHS - Minnesota Department of Health, Minnesota Center for Health Statistics MDH MCSS - Minnesota Department of Health, Minnesota Cancer Surveillance System MDH MIIC - Minnesota Department of Health, Minnesota Immunization Information Connection MDH ORHPC - Minnesota Department of Health, Office of Rural Health and Primary Care MDH WIC - Minnesota Department of Health, Women, Infants and Children MN DEED - Minnesota Department of Employment and Economic Development, Local Area Unemployment Statistics MN DHS - Minnesota Department of Human Services MN DPS - Minnesota Department of Public Safety County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 16 MNHDD - Minnesota Hospital Discharge Data maintained by the Minnesota Hospital Association MPHDA - Minnesota Public Health Data Access MSS - Minnesota Student Survey MSS SY - Minnesota Student Survey Selected Single Year Results by State, County and CHB, 1998-2010 US EPA - US Environmental Protection Agency VS Trends – Minnesota Vital Statistics State, County and Community Health Board Trend Report County-level Indicators Sorted by Statewide Health Assessment Theme Minnesota Department of Health, Center for Health Statistics, Updated November 2013 17 The Minnesota Center for Health Statistics collects, analyzes and disseminates data on the health of Minnesotans to help develop public health policies and programs. For more information, contact the Center for Health Statistics at (651) 2013504 or healthstats@state.mn.us. This issue, as well as other Center for Health Statistics publications, can be found on our website: www.health.state.mn.us/divs/chs Minnesota Department of Health Center for Health Statistics PO Box 64882 St. Paul, MN 55164-0882