Montgomery County Indicators For Tracking Public Health Priority Areas

Indicator Prevention Agenda
2013 Objective		 US NYS Montgomery County
ACCESS TO QUALITY HEALTH CARE
% of adults with health care
coverage 1		 100%† 85.5%
(2006)		 86.5%
(2006)		 89.8%
(2003)
% of adults with regular health care provider 1 96%† 80%
(2006)		 85.0%
(2006)		 NA
% of adults who have seen a dentist in the past year 1 83%† 70.3%
(2006)		 71.8%
(2006)		 71.6%
(2003)
Early stage cancer diagnosis 2:
       Breast 80% 63% 63% 69%
       Cervical 65% 53% 51% s
       Colorectal 50% 40%
(1996-2003)		 41%
(2001-2005)		 48%
(2001-2005)
TOBACCO USE
% cigarette smoking in adolescents 3 (past month) 12% 23.0%
(2005)		 16.3%
(2006)		 NA
% cigarette smoking in adults 1 12%† 20.1%
(2006)		 18.2%
(2006)		 29.7%
(2003)
COPD hospitalizations among adults 18 + years 4 (per 10,000) 31.0 23.0
(2004)		 39.7
(2004-2006)		 54.2
(2004-2006)
Lung cancer incidence 2 (per 100,000)
       Male 62.0* 85.3* 80.8* 102.7 *
       Female 41.0* 54.2*
(2004)		 53.8*
(2001-2005)		 53.9 *
(2001-2005)
Indicator Prevention Agenda
2013 Objective		 US NYS Montgomery County
HEALTHY MOTHERS/ HEALTHY BABIES/HEALTHY CHILDREN
% early prenatal care (1st trimester) 5 90%† 83.9%
(2005)		 74.9%
(2004-2006)		 76.7%
(2004-2006)
% low birthweight 5 births (<2500 grams) 5%† 8.2%
(2005)		 8.3%
(2004-2006)		 8.0%
(2004-2006)
Infant mortality (per 1,000 live births) 6 4.5† 6.9
(2005)		 5.8
(2004-2006)		 6.1~
(2004-2006)
Increase % of 2 year old children who receive recommended vaccines (4 DTaP, 3 polio, 1 MMR, 3 Hib, 3 HepB) 7 90% 80.5%
(2006)		 82.4%
(2006)		 NA
% of children with at least one lead screening by age 36 months8 96% - 82.8%
(NYS excl. NYC)
(2004 birth cohort)		 76.4%
(2004 birth cohort)
Prevalence of tooth decay in 3rd grade children 9 42%† 53.0%
(2004)		 54.1%
(2004)		 49.9%
(2004)
Pregnancy rate among females aged 15-17 years 10(per 1,000) 28.0 44.4
(2002)		 36.7
(2004-2006)		 33.9
(2004-2006)
Indicator Prevention Agenda
2013 Objective		 US NYS Montgomery County
PHYSICAL ACTIVITY/NUTRITION
% of obese children by grade level: (BMI for age>95th percentile)
2−4 Years (WIC)11 (pre-school) 11.6% 14.8%
(2004)		 15.2%
(2004-2006)		 15.2%
(2004-2006)
K12 5%† - - NA
2 5%† - - NA
4 5%† - - NA
7 5%† - - NA
10 5%† - - NA
% of adults who are obese (BMI>30) 1 15%† 25.1%
(2006)		 22.9%
(2006)		 22.9%
(2003)
% of adults engaged in some type of leisure time physical activity 1 80%† 77.4%
(2006)		 74.0%
(2006)		 73.1%
(2003)
% of adults eating 5 or more fruits or vegetables per day 1 33% 23.2%
(2005)		 27.4%
(2007)		 24.5%
(2003)
% of WIC mothers breastfeeding at 6 months 11 50%† 24.3%
(2005)		 38.6%
(2004-2006)		 16.4%
(2004-2006)
UNINTENTIONAL INJURY
Unintentional Injury mortality (per 100,000) 13 17.1†* 39.1*
(2005)		 21.0*
(2004-2006)		 30.6 *
(2004-2006)
Unintentional Injury hospitalizations (per 10,000) 14 44.5* - 64.7 *
(2004-2006)		 72.3 *
(2004-2006)
Motor vehicle related mortality (per 100,000) 13 5.8* 15.2 *
(2005)		 7.7 *
(2004-2006)		 15.2 *
(2004-2006)
Pedestrian injury hospitalizations (per 10,000) 15 1.5* - 1.9*
(2004-2006)		 1.0~ *
(2004-2006)
Fall related hospitalizations age 65+ years (per 10,000) 15 155.0 - 196.0
(2004-2006)		 259.9
(2004-2006)
Indicator Prevention Agenda
2013 Objective		 US NYS Montgomery County
HEALTHY ENVIRONMENT
Incidence of children <72 months with confirmed blood
lead level >= 10 µg/dl
(per 100 children tested)14		 0.0† - 1.3
(2003-2005)
(Rate for NYS
Excluding NYC)		 5.3
(2003-2005)
Asthma related hospitalizations (per 10,000) 16
       Total 16.7* 16.6* 21.0* 12.7 *
       Ages 0-17 years 17.3† 22.6
(2003)		 31.5
(2004-2006)		 13.8
(2004-2006)
Work related hospitalizations
(per 10,000 employed persons aged 16+ years) 14		 11.5 - 16.0
(2004-2006)		 19.1
(2005-2007)
Elevated blood lead levels
(>25 µg/dl) per 100,000 employed
persons age 16+ years 14		 0.0† - 6.0
(2004-2006)		 s
(2005-2007)
Indicator Prevention Agenda
2013 Objective		 US NYS Montgomery County
CHRONIC DISEASE
Diabetes prevalence in adults 1 5.7% 7.5%
(2006)		 7.6%
(2006)		 9.1%
(2003)
Diabetes short-term complication hospitalization rate (per 10,000) 17
       Age 6-17 years 2.3 2.9 3.0 6.9~
       Age 18+ years 3.9 5.5
(2004)		 5.3
(2004-2006)		 7.9
(2004-2006)
Coronary heart disease hospitalizations (per 10,000) 14 48.0 - 61.2 *
(2004-2006)		 73.7 *
(2004-2006)
Congestive heart failure hospitalization rate per 10,000 (ages 18+ years) 17 33.0 48.9
(2004)		 46.3
(2004-2006)		 77.4
(2004-2006)
Cerebrovascular (Stroke) disease mortality (per 100,000) 13 24.0* 46.6 *
(2005)		 30.5 *
(2004-2006)		 34.4 *
(2004-2006)
Reduce cancer mortality (per 100,000) 2
       Breast (female) 21.3* † 24.4* 25.5* 23.5 *
       Cervical 2.0* † 2.4* 2.6* 0.8 *
       Colorectal 13.7* † 18.0*
(2004)		 19.1*
(2001-2005)		 20.4 *
(2001-2005)
Indicator Prevention Agenda
2013 Objective		 US NYS Montgomery County
INFECTIOUS DISEASE
Newly diagnosed HIV case rate (per 100,000)18 23.0 18.5
(2006)		 24.0
(2004-2006)		 6.8~
(2004-2006)
Gonorrhea case rate (per 100,000)19 19.0† 120.9
(2006)		 93.4
(2004-2006)		 12.3~
(2004-2006)
Tuberculosis case rate (per 100,000)20 1.0† 4.4
(2007)		 6.8
(2004-2006)		 1.4~
(2004-2006)
% of adults 65+ years with immunizations 1
       flu shot past year 90%† 69.6% 64.7% NA
       ever pneumonia 90%† 66.9%
(2006)		 61.0%
(2006)		 NA
(2003)
COMMUNITY PREPAREDNESS
% population living within jurisdiction with state-approved emergency preparedness plans 21 100% - 100%
(2007)		 100%
(2007)
Indicator Prevention Agenda
2013 Objective		 US NYS Montgomery County
MENTAL HEALTH/SUBSTANCE ABUSE
Suicide mortality rate (per 100,000) 13 4.8†* 10.9*
(2005)		 6.4 *
(2004-2006)		 5.3~ *
(2004-2006)
% adults reporting 14 or more days with poor mental health in last month 1 7.8% 10.1%
(2002-2006)		 10.4%
(2003-2005)		 9.4%
(2003)
% binge drinking past 30 days
(5 + drinks in a row) in adults 1		 13.4%† 15.4%
(2006)		 15.8%
(2006)		 17.3%
(2003)
Drug-related hospitalizations (per 10,000) 22 26.0 - 34.0 *
(2004-2006)		 21.0 *
(2004-2006)

† Healthy People 2010 Goal utilized

* Rate age-adjusted to the 2000 US population

~ Fewer than 20 events in the numerator; rate is unstable

s Suppressed (percent could not be calculated, fewer than 3 cases per year)

DATA SOURCES

  1. NYS (statewide) and US Data Source: Centers for Disease Control, Behavioral Risk Factor Surveillance System, http://apps.nccd.cdc.gov/brfss/index.asp and http://www.cdc.gov/brfss/technical_infodata/surveydata/2006.htm, NYS (county level) Data Source: NYS Department of Health, Expanded Behavioral Risk Factor Surveillance System (Expanded BRFSS), http://www.health.state.ny.us/nysdoh/brfss/expanded/2003/index.htm. Note: the Expanded BRFSS survey 38 localities (including individual counties and county groupings. For a list of counties and county groupings, http://www.health.state.ny.us/nysdoh/brfss/expanded/2003/docs/rptstlocreg.pdf.
  2. NYS (statewide and county level) Data Source: NYS Cancer Registry, http://www.health.state.ny.us/statistics/cancer/registry/, US Data Source: National Cancer Institute, SEER Fast Stats, http://seer.cancer.gov/data/
  3. NYS (statewide) Data Source: New York State Department of Health, Youth Tobacco Surveillance New York State 2006, http://www.health.state.ny.us/prevention/tobacco_control/youth_tobacco_survey.htm, US Data Source: Centers for Disease Control, Youth Risk Behavior Survey, http://www.cdc.gov/HealthyYouth/yrbs/
  4. NYS (statewide and county level) Data Source: New York State Department of Health, Statewide Planning and Research System (SPARCS); US Data Source: AHRQ Quality Indicators, http://www.qualityindicators.ahrq.gov
  5. NYS (statewide and county level) Data Source: NYS Department of Health - Vital Statistics, NYS Community Health Data Set, http://www.health.state.ny.us/statistics/chac/chds.htm, US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 56, Number 6 Births: Final Data for 2005 http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_06.pdf
  6. NYS (statewide and county level) Data Source: NYS Department of Health - Vital Statistics, NYS Community Health Data Set, http://www.health.state.ny.us/statistics/chac/chds.htm, US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 56, Number 10 Deaths: Final Data for 2005, http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.pdf
  7. NYS (statewide) and US Data Source: Centers for Disease Control, National Immunization Survey (NIS), http://www.cdc.gov/vaccines/stats-surv/nis/data/tables_2006.htm
  8. NYS (statewide and county level) Data Source: NYS Department of Health, NYS Childhood Lead Program
  9. NYS (statewide and county level) Data Source: NY State Oral Health Surveillance System, http://www.health.state.ny.us/prevention/dental/docs/child_oral_health_surveillance.pdf, US Data Source: Healthy People Data 2010, Oral Health, http://wonder.cdc.gov/data2010/focus.htm
  10. NYS (statewide and county level) Data Source: NYS Department of Health - Vital Statistics, NYS Community Health Data Set, http://www.health.state.ny.us/statistics/chac/chds.htm, US Data Source: Centers for Disease Control, National Center for Health Statistics, Recent Trends in Teenage Pregnancy in the US, 1990 – 2002, http://www.cdc.gov/nchs/products/pubs/pubd/hestats/teenpr eg1990-2002/teenpreg1990-2002.htm
  11. NYS (statewide and county level) and US Data Source: NYS Department of Health, The Pediatric Nutrition Surveillance System, http://www.health.state.ny.us/statistics/prevention/nutrition/cacfp/pednss/index.htm
  12. NYS (statewide and county level) Data Source: NYS Department of Health, Division of Chronic Disease Prevention and Adult Health, Program Data.
  13. NYS (statewide and county level) Data Source: NYS Department of Health - Vital Statistics, NYS County Health Assessment Indicators, http://www.health.state.ny.us/statistics/chac/chai/, US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 56, Number 10 Deaths: Final Data for 2005, http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.pdf
  14. NYS (statewide and county level) Data Source: NYS Department of Health, NYS County Health Assessment Indicators, http://www.health.state.ny.us/statistics/chac/chai/
  15. NYS (statewide and county level) Data Source: New York State Department of Health, Statewide Planning and Research System (SPARCS)
  16. NYS (statewide and county level) Data Source: NYS Department of Health, NYS Asthma Surveillance Summary Report, http://www.health.state.ny.us/statistics/ny_asthma, US Data Source: National Hospital Discharge Survey 2005, http://www.cdc.gov/nchs/data/series/sr_13/sr13_165.pdf
  17. NYS (statewide and county level) Data Source: New York Department of Health, State Planning and Research System (SPARCS); US Data Source: AHRQ Quality Indicators, http://www.qualityindicators.ahrq.gov
  18. NYS (statewide and county level) Data Source: NYS Department of Health, NYS County Health Assessment Indicators, http://www.health.state.ny.us/statistics/chac/chai/, US Data Source: Centers for Disease Control, HIV/AIDS Surveillance, http://www.cdc.gov/hiv/topics/surveillance/resources/factsheets/us_media.pdf
  19. NYS (statewide and county level) Data Source: New York Department of Health, Communicable Disease Annual Reports, http://www.health.state.ny.us/statistics/diseases/communicable/2006/, US Data Source: Centers for Disease Control, STD Surveillance, http://www.cdc.gov/STD/stats/tables/table1.htm
  20. NYS (statewide and county level) Data Source: NYS Department of Health, NYS County Health Assessment Indicators, http://www.health.state.ny.us/statistics/chac/chai/, US Data Source: Centers for Disease Control, MMWR Weekly, March 21, 2008, Trends in Tuberculosis – United States 2007, http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5711a2
  21. NYS (statewide and county level) Data Source: NYS Department of Health, Emergency Preparedness Program data
  22. NYS (statewide and county level) Data Source: NYS Department of Health, NYS Community Health Data Set, http://www.health.state.ny.us/statistics/chac/chds.htm

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