Diabetes in Idaho - 2009 BRFSS 2009 Data collected from Behavioral - - PowerPoint PPT Presentation

Diabetes in Idaho - 2009

BRFSS 2009

Data collected from Behavioral Risk Factor Surveillance System

Idaho Department of Health and Welfare, Division of Public Health Bureau of Vital Records and Health Statistics For more information on this study, please contact (208) 332-7326.

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Idaho Behavioral Risk Factor Surveillance System (BRFSS)

• Ongoing surveillance program developed and partially funded by the

Centers for Disease Control and Prevention (CDC)

• Estimates prevalence of risk factors for the major causes of morbidity and

mortality in the U.S.

• Continuous random telephone survey
• Largest telephone sample in the world >260,000/yr
• 5,390 Idaho adults (18+) were sampled in 2009
• Weighted to correct differences in probability of selection. Weighted by age

and sex based on population estimates.

• >250 cell phone interviews in 2009, ~10% of total sample beginning in 2010
• English and Spanish language versions in Idaho
• Data limitations
• Self-reported behaviors
• Excludes those in prisons, dorms, cell phone only households, those who

speak languages other than English or Spanish and others who are unable to communicate by telephone.

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Idaho Diabetes at a Glance

8.0% of the adult population in Idaho have

been diagnosed with diabetes

• This translates to approximately 90,000 people.

Almost 1 in 12 Idahoans have diabetes Almost 1 in 5 adults aged 65+ have diabetes 51 is the average age of diagnosis Diabetes affects men and women equally Over 80% of those with diabetes are obese

• r overweight

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Percent of Idaho Adults with Diabetes

4.0 4.3 4.8 4.9 5.4 6.1 6.3 6.2 6.8 6.8 7.9 7.0 8.0

5 10 15 20

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Diabetes is a growing chronic disease. Over the past 13 years, diabetes has doubled from 4.0% in 1997 to 8.0% in 2009.

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Diabetes Prevalence by Health District

8.0 7.3 8.4 8.8 6.4 9.1 10.2 8.2

5 10 15 20

Statewide HD1 HD2 HD3 HD4 HD5 HD6 HD7

There is no significant difference in diabetes prevalence by health district.

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Pre-Diabetes, Gestational & Current Diabetes Among Idaho Adults

• Over 5% of Idaho adults have been diagnosed with pre-diabetes,

which translates to approximately 60,000 adults.

• Approximately 14,000 women (1.3%) have been diagnosed with

gestational diabetes.

• About 90,000 (8%) Idaho adults currently have diagnosed diabetes.

1.3 5.3 8.0

10 20 30 40 50 Diabetes Pre-Diabetes Gestational

In total, 164,000 Idaho adults either have Diabetes currently or are at risk to develop Diabetes.

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Diabetes by Gender and Age

8.1 7.8 0.8 2.2 3.9 7.8 14.5 19.0

5 10 15 20 25

Male Female 18-24 25-34 35-44 45-54 55-64 65+

• Approximately 1 in 5 aged 65+ have diabetes
• Approximately 1 in 7 aged 55-64 have diabetes

Diabetes becomes more prevalent with age

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Diabetes by Income & Education

11.2 6.0 9.7 6.8 2 4 6 8 10 12 14 16 18 20

Income < $35K Income $35K + H.S. Grad

• r Less

Some college

• r more

Adults with diabetes are more likely to have lower incomes and education.

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Risk Factors Across Time

20.0 30.1 23.0 4.8 21.5 25.1 37.3 25.9 8.0 16.3

20 40 60 80 100

Obesity Cholesterol Bld Press Diabetes Smoking

1998 2009

Among Total Idaho Adults, Cholesterol, Blood Pressure, Obesity and Diabetes are all on the rise, while Smoking has declined slightly.

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Relationship between Diabetes and

• ther Risk Factors and Disease

How to read this chart:

• Among total Idahoans, 8% have diabetes. Among those with hypertension, 20.5% have

diabetes.

• Overall, people with high blood pressure, cholesterol, elevated weight and experience with

stroke, heart disease or heart attack have higher prevalence of diabetes.

33.3 29.6 26.1 7.8 16.1 10.6 18.5 20.5

10 20 30 40 50 60 70 80

Hypertension Hi Chol Overweight Obese Smoker Stroke Heart Attack Angina

8.0 % Overall Prevalence

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Adults with Diabetes

Experience higher…

• Blood pressure
• Cholesterol
• Weight
• Heart disease and heart attack
• Stroke

And are less likely to…

• Visit the dentist
• Engage in physical activity

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Overweight and Obese

61.3 59.5 83.2 25.1 22.9 51.9

20 40 60 80 100

State Total Without Diabetes With Diabetes

Idaho adults with diabetes are significantly more likely to be overweight or obese than those without diabetes. Overweight Obese

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Blood Pressure & Cholesterol

25.9 22.3 66.8 37.3 33.9 65.8

20 40 60 80 100

State Total Without Diabetes With Diabetes

Compared to people without diabetes, adults with diabetes are much more likely to suffer from high blood pressure and/or cholesterol. High Blood Pressure High Cholesterol

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Cardiovascular & Cerebrovascular Disease

2.5 2.0 8.1 3.62.8 13.6 3.9 2.8 16.3

10 20 30 40

State Total Without Diabetes With Diabetes

Idaho adults with diabetes are significantly more likely to suffer a stroke, heart attack or experience heart disease than those without diabetes. Stroke Heart Disease/ Angina Heart Attack

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Oral Health

70.1 70.7 63.5 56.5 57.2 48.7

20 40 60 80 100

State Total Without Diabetes With Diabetes

Idaho adults with diabetes are less likely to have had a dental visit in the past 12 months, and are less likely to have dental insurance. Dental Visit Dental Insurance

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Leisure Time Physical Activity

21.0 19.7 37.2 20 40 60 80 100 State Total No Diabetes Diabetes

Participate in No Leisure Time Physical Activity

People with diabetes are significantly less active than those without diabetes.

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Smoking

16.3 16.3 16.1 20 40 60 80 100 State Total No Diabetes Diabetes

There is no difference in smoking among those with or without diabetes.

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Diabetes Management Class

Over half have taken a class to help them manage

their diabetes. This is not significantly different over time.

56.8 43.2 25 50 75 100 Taken a class Not taken a class

Note: This data is from the 2008 BRFSS

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

Behaviors by Class Attendance

Taken class Have not taken class

Taking insulin 38.2* 15.4 Had foot exam in past year 75.9* 60.8 Had annual dilated eye exam 66.7 58.6 Had A1c twice in past year 68.1 56.9 Obese 57.9 52.3 No leisure time physical activity 34.6 35.2 Annual flu vaccine 65.3 59.5 Pneumonia vaccine ever 63.3 49.7

* Significantly different

Note: This data is from the 2008 BRFSS

2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics

2008 Results vs. Healthy People 2010 Goals

2008 BRFSS Healthy People Goal A1c Check Twice a Year 63.4 61 Check Blood Sugar Daily 57.0 61 Annual Foot Check 69.4 75 Annual Dilated Eye Exam 63.1 76 Dental Exam in Past Year 60.3 75

In 2008, Idaho met the Healthy People Goal for A1c checks.

Note: This data is from the 2008 BRFSS