10/24/2012 Community Health Improvement Planning for Denver: Partnerships and Policies to Improve Health Agenda • Overview of Community Health Improvement Planning • Examples of Health Improvements • Be Healthy Denver Be Healthy Denver • Tools to Improve Health • Built Environment • Access to Care • Health Priorities • Maternal, Child, and Adolescent Health • Unhealthy Weight Unhealthy Weight • Mental Health • Close 1
10/24/2012 Community Health Improvement Planning Community Community Detailed Input: Health Improvement Assessment: Plan: Discuss health issues Issues affecting Actions Community health Costs involvement Health behaviors Ways to measure Ways to measure Suggestions for Outcomes change change Health Improvements Denver motor vehicle accident deaths Rate per 100,000 Blood Alcohol Content lowered In ‐ vehicle (1.0 → 0.8) for DUI breathalyzers for first ‐ time offender s 2
10/24/2012 Partnerships to improve health The New York City Obesity Task Force 2006 ‐ 2011 7 to 10 year olds 11 to 14 year olds 5 and 6 year olds Overall www.nyc.gov/html/om/pdf/ 2012/otf_report.pdf Be Healthy Denver – Steering Committee Whitney Connor Paul Melinkovitch Irene Aguilar Kimball Crangle Lisa Montagu Roger Armstrong Jenna Davis Kanh Nguyen Bridget Beatty Louise Boris Louise Boris Crissy Fanganello Crissy Fanganello Charlene Ortiz Charlene Ortiz Julie Farrar Cindy Patton Barbara Bronson Vanessa Fenley Gordon Robertson Alisha Brown Jim Garcia Alok Sarwal Monica Buhlig Olga Garcia Janine Solano David Burgess Bill Burman Gabriel Guilaume Chris Stanley Wendy Hawthorne Jan Tapy Emily Bustos G Grant Jones t J Cary Wenzara C W Ned Calonge d l Doug Linkhart Chris Wiant Toti Cadavid Michele Lueck Michele Wheeler Carl Clark Jolon Clark Elaina Mastrangelos 3
10/24/2012 Initial Priorities from the Steering Committee • Health Issues Maternal, child, Unhealthy weight: and adolescent overweight and Mental health/ health h lth obesity b it drug and alcohol abuse (teen birth, injury, (diabetes, heart and violence) disease) • Tools to Improve Health Built environment Access to medical (streets, trails, and dental care parks, stores, recreation areas) Using your keypad is easy… but don’t push any buttons yet! This is so easy, even I can do it! can do it! 8 4
10/24/2012 Polling Open Polling Open Let ’ s say you press 2/B Your answer will be displayed Note: after your selection is displayed the screen will go blank The check mark The check mark indicates the answer was received properly 9 Polling Open Polling Open Changing Your Answer As long as polling is open, you can change your answer change your answer by pressing any other key. Note: If you have a problem let the problem, let the screen go blank and then try again 10 5
10/24/2012 Fun practice polling question: Which drink has the most sugar? 1. Vitamin Water 2. Mountain Dew 3. Monster Energy Drink 4. Gatorade 5. Nantucket Nectars 0% 0% 0% 0% 0% Cranberry Juice e e o e r u v n w e o i O r F T h F e e e T e c c c e c i i i i o o o c o h h i h o h C C C h C C Knowing what you know now, which of these five health areas is most important? 1. Maternal, Child, & Adolescent a e a , d, & do esce health 2. Unhealthy Weight 3. Mental Health 4. Health Care Access 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 5. Built Environment 5 B ilt E i t s h t s . t n . e . . l e . . a c l m o n e c A d a H n A m l e o a r r & t t a i h n v C , g e n d i M h E l e i t h W l t a l C i u e y , H B l h a t n l r a e e t h a n M U 6
10/24/2012 Which of these could Denver make the most progress on? 1. Maternal, Child, & Adolescent health 2. Unhealthy Weight 3. Mental Health 4. Health Care Access 5. Built Environment 5. Built Environment 0% 0% 0% 0% 0% s h t s . t n . . e . . l e l . a c o n m e c d a H A n A m e o l a r & t r t a i h v n C , g n d e i l e M h E i t h W l t l C a u i e , y H B l h a t n l r a e e t h a M n U Maternal, child, and adolescent health Teen Birth Rate by Race/Ethnicity (Ages 15 ‐ 19) In 2011, 500 babies • In Colorado and were born to nationwide, 3% Hispanic teen girls ate per 1,000 females of teenage girls in Denver have a baby • In 2011, 714 babies were born to teen b t t R girls in Denver 7
10/24/2012 Maternal, child, and adolescent health Safety: Denver vs. Colorado and USA, 2011 50% Denver High Schoolers Colorado High Schoolers* High Schoolers Nationwide* 40% 33% 30% 30% 25% 20% 19% 20% 16% 14% 14% 11% 10% 5% 6% 5% 0% 0% Been in a physical Have been in physical Brought a weapon Carried a weapon to Have been bullied on Been bullied this Been electronically Were electronically fight during past 12 school in past 30 days school property during bullied during past 12 fight this year to school this year bullied this year months past 12 months months month Maternal, child, and adolescent health Rate of Injury Hospitalizations among Youth, Denver and Colorado, 2000 ‐ 2009 Rate per 100,000 8
10/24/2012 Maternal, child, and adolescent health Key issues • Teen birth • High rates, particularly among Hispanics Hi h t ti l l Hi i • Significant decline over the past 5 years • Injury and violence • Rates similar to Colorado and the nation • Significant improvements in severe injuries (h (hospitalizations and deaths) over the past 10 l d d h ) h years Maternal, child, and adolescent health Potential Interventions • Decrease pregnancy through group ‐ based programs for teens on use of protection (i e condoms oral for teens on use of protection (i.e. condoms, oral contraceptives) • Programs to improve parenting skills in teens • School ‐ based programs to reduce violence and aggressive behaviors 9
10/24/2012 It is important for Denver to make progress on maternal, child and adolescent health. 1. Strongly Agree g y g 2. Agree 3. Neutral 4. Disagree 5. Strongly Disagree 5. Strongly Disagree 0% 0% 0% 0% 0% e l e . e a . e e . e r g r t r r g a g g u A a e s A i N s D i y D l y g l n g o n o r t r S t S Select which of the proposed solutions would have an impact on improving maternal, child and adolescent health in Denver: 1. Option 1 2. Option 2 3. Option 3 4. Option 4 0% 0% 0% 0% Option 1 Option 2 Option 3 Option 4 10
10/24/2012 Unhealthy weight : Percentage of overweight 100% and obese adults, Denver, 2003 ‐ 2009 80% In 2009, 54% of adults have an unhealthy weight (overweight or obese) obese) 60% 60% 21% 19% 20% 15% 40% 20% 36% 36% 35% 34% 0% 2003 2005 2007 2009 Overweight Obese Unhealthy weight : Percentage of public school children (5 ‐ 18 years) overweight and obese, Denver, 2009 33% of boys 11
10/24/2012 Unhealthy weight : Increase in childhood obesity in the U.S., 1971 ‐ 2008 Denver = 16.5% Unhealthy weight in Denver Key issues • Obesity has increased across the entire country, and Denver is no exception and Denver is no exception • Half of Denver adults have an unhealthy weight (overweight or obese) • One ‐ third of Denver’s children have an unhealthy weight • Having an unhealthy weight increases the risks • Having an unhealthy weight increases the risks of diabetes, high blood pressure, heart disease, and some cancers 12
10/24/2012 Unhealthy weight in Denver Potential interventions • Enhanced school ‐ based programs to encourage exercise • Community ‐ wide campaigns to increase physical activity • Decrease screen time (TV, computers) among children It is important for Denver to make progress on addressing unhealthy weight. 1. Strongly Agree 2. Agree 3. Neutral 4. Disagree 5. Strongly Disagree g y g 0% 0% 0% 0% 0% e l e . e a . e e . e r g r t r r g a g g u A a e s A s i N D i y D l y g l n g o n o r t r S t S 13
10/24/2012 Select which of the proposed solutions would have an impact on addressing unhealthy weight in Denver: 1 Ch i 1. Choice One O 2. Choice Two 3. Choice Three 4. Choice Four 5. Choice Five 5 Ch i Fi 0% 0% 0% 0% 0% e e o e r u v n w e o i O r F T h F e e e T e c c c e c i i i i o o o c o h h i h o h C C C h C C Mental health : Number of Denver suicides by race/ethnicity in 2010 100 Total suicide deaths: 104 77 77 80 80 Number of deaths Denver’s suicide rate: 16.6/100,000 60 U.S. suicide rate: 11.9/100,000 40 15 20 10 1 1 0 White Hispanic Black American Other Indian 14
10/24/2012 Mental health: Denver’s youth compared to Colorado and the U.S. In the past year, I have..... 50% Denver High School Colorado High School* National High School* 40% 29% 30% 26% 22% 20% 16% 15% 14% 10% 8% 8% 6% 0% Had feelings of Seriously considered Attempted Suicide depression or Suicide loneliness Mental health/alcohol and drug abuse : Intentional abuse of prescription opioids Denver Trends for Prescription Opioids: 2004 to 2011 15
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