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Healthy Minnesota 2020: State Chronic Disease & Injury Dashboard

These leading health indicators place renewed emphasis on the leading causes of death and disability in Minnesota. These indicators will be used to assess the health of our communities, facilitate collaboration across sectors, and motivate action at the State and local levels to improve the health of all Minnesotans. Not all Minnesotans, however, have the same opportunities to be healthy. These health inequities, addressed in Advancing Health Equity in Minnesota, are an important dimension and will be considered as these measures develop.

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18.1%
IMPROVING (2010)

Healthy Eating

Youth (9th graders) who eat the recommended number of fruits and vegetables daily

The key to a healthy diet is balance. Eating a balanced diet is important to maintaining and improving health. No single food provides all the nutrients needed to stay healthy; however, there is evidence that a diet rich in fruits and vegetables can lower the risk of diabetes, heart disease, stroke and cancer. Over the past two decades, changes in dietary habits coupled with sedentary lifestyles have led to increases in nutrition-related chronic diseases in the U.S. While chronic diseases tend to express themselves in adulthood, a growing number of children are developing clinical signs of adult chronic diseases.

2020 Target 30%

Data Definition
Percent of 9th grade students who report consuming at least five fruits, fruit juices or vegetables the previous day.

Youth (9th graders) who eat the recommended
number of fruits and vegetables daily

Data Source: Minnesota Student Survey
Year 1998 2001 2004 2007 2010
Rate 14.5% 14.8% 15.0% 18.4% 18.1%
54.0%
STABLE (2011)

Physical Activity

Adults who meet physical activity guidelines

Physical activity is a public health priority impacting nearly every aspect of health. Lack of physical activity, combined with a poor diet, is the second leading cause of preventable death and disease in the United States and a huge economic burden on the state. Physical inactivity is associated with an increased risk of obesity, heart disease, stroke, diabetes, depression and cancer.

2020 Target 75%

Data Definition
2001 – 2009 – Percent of adults age 18 and older reporting 30 minutes/day of moderate activity 5 or more times/week or 20 minutes/day of vigorous activity 3 or more times/week.

2011 – Participated in 150 minutes or more of Aerobic Physical Activity per week.

Adults who meet physical activity guidelines

Data Source:  Behavioral Risk Factor Surveillance System
(Gap indicates a change in methodology.)
Year 2001 2003 2005 2007 2009 2011*
Rate 48.7% 49.0% 51.0% 48.9% 52.7% 20.9%
27.8%
IMPROVING (2010)

Tobacco Use

Young adults age 18-24 who smoke

Tobacco is the single most preventable cause of death and disease in Minnesota. The Surgeon General has found that smoking causes coronary heart disease, stroke, chronic obstructive pulmonary disease, pneumonia, sudden infant death syndrome, reduced infant birth weight and at least ten kinds of cancer. Nearly one of every seven deaths in Minnesota is caused by smoking. In 2007 the excess medical costs in Minnesota related to smoking were an estimated $2.87 billion.

2020 Target:  19%

Data Definition
Percent of adults age 18-24 who report that they smoked cigarettes in the last 30 days.

Young adults age 18-24 who smoke

Minnesota Adult Tobacco Survey
Year 1999 2003 2007 2010
Rate - 36.8% 28.4% 27.8%
21.9%
STABLE (2012)

Alcohol Abuse

Adult binge drinking

Alcohol abuse contributes to death and disability in many significant ways, including accidents like falls, burns, drowning and motor vehicle crashes; violent acts such as homicide, suicide and assault; chronic diseases including cancer, digestive disease, cardiovascular disorders and chemical dependence; and unintended pregnancies, sexually transmitted diseases and alcohol related birth defects. Alcohol abuse is associated with social and family disruption, lack of educational attainment, reduced productivity, and is a heavy economic burden on local public safety and health care systems. Excessive alcohol use is the third leading preventable cause of death in the U.S.

2020 Target 16%

Data Definition
Percent of males ages 18 and older having five or more drinks on one occasion and females ages 18 and older having four or more drinks on one occasion.

Adult binge drinking

Data Source:  Behavioral Risk Factor Surveillance System
(Gap indicates a change in methodology.)
Year 2006 2007 2008 2009 2010 2011* 2012
Rate 17.6% 14.3% 19.8% 20.2% 17.2% 22.1% 21.9%
13.8%
STABLE (2011)

Arthritis

Adults with arthritis who participate in self-management programs

Arthritis is a major cause of disability and the third leading cause of work limitation in Minnesota. Arthritis is an umbrella term for more than 150 different conditions affecting the joints, surrounding tissues and other connective tissues. The most common forms of arthritis are osteoarthritis, rheumatoid arthritis, gout and fibromyalgia. Symptoms include pain, aching, stiffness or swelling in or around a joint. Some types of arthritis can affect multiple organs and cause widespread symptoms. While the prevalence of arthritis increases with age, it affects people of all ages. Self-management education, physical activity and weight management are key strategies to reduce the impact of arthritis.

2020 Target: 16%

Data Definition
Percent of adults age 18 and older with arthritis who have taken a class to learn how to manage arthritis symptoms.

Percent of adults age 18 and older with arthritis who have taken a class to learn how to manage symptoms.

Data Source:  Behavioral Risk Factor Surveillance System
Year 2009 2011
Rate 14.7% 13.8%
49.0%
IMPROVING (2012)

Asthma

Children age 5-17 with asthma who achieve optimal asthma management

Asthma is a chronic disease that involves episodes of tightening of the muscles around the airways in the lungs, swelling of the bronchial tubes and increased production of mucus. Symptoms vary but may include wheezing, shortness of breath, coughing and chest tightness. When exposed to asthma triggers, people with asthma may have an asthma episode or ‘attack’. Common asthma triggers include respiratory infections, pollen, pet dander, tobacco smoke, mold, and air pollution. Asthma management involves monitoring control of asthma symptoms, lowering risk of future episodes and use of an asthma action plan that lists triggers, medications and actions to take when symptoms occur.

2020 Target 30%

Data Definition
Percent of children age 5-17 with asthma who have: well-controlled asthma; <2 emergency department visits and/or hospitalizations due to asthma in the past 12 months; and a written asthma action plan documenting medication purpose and dose, how to recognize and what to do during an asthma episode and information on triggers.

Additional Data and Measures

Asthma Research and Data

State Asthma Plan

Children age 5-17 with asthma who
achieve optimal asthma management

Data Source:  Minnesota Community Measurement
(Measure began in 2010/2011, no older data is available.)
Year 2010-2011* 2011-2012 2012-13
Rate 24.0% 37.0% 49.0%
68.8%
IMPROVING (2012)

Cancer

Adults age 50 and older who have had colorectal cancer screening

Colorectal cancer is the second leading cause of cancer death and the third most commonly diagnosed cancer in Minnesota. However, the rates of colorectal cancer have declined sharply over the past two decades—in large part due to increases in screening. This cancer of the lower digestive track is highly treatable and even preventable if precancerous polyps are found and removed. Because colorectal cancer is definitely associated with age (90% of cases are diagnosed in people 50 years and older), there is broad consensus that adults age 50 and older should be screened.

2020 Target:  80%

Data Definition
Percent of adults age 51-75 who have had a fecal occult blood test within the previous 12 months or a colonoscopy within the previous 10 years or sigmoidoscopy within the previous 5 years.

Additional Data and Measures

Adults age 50 and older who have
had colorectal cancer screening

Data Source:  Minnesota Community Measurement
(Measure began in 2010/2011, no older data is available.)
Year 2010-2011* 2011-2012 2012-2013
Rate 63.7% 67.6% 68.8%
49.0%
STABLE (2012)

Cardiovascular Disease

Adult vascular disease patients who achieve optimal vascular care treatment goals

Vascular disease includes a number of conditions which affect blood flow to, and functioning of, the heart. The most common type of vascular disease is coronary artery disease, also known as coronary heart disease. A myocardial infarction (MI), also known as heart attack, occurs when the vessels supplying blood to the heart become blocked. Heart muscle tissue is deprived of oxygen, resulting in tissue death.

2020 Target: 50%

Data Definition
Percent of adult patients age 18-75 who have vascular disease and have reached all of the following four treatment goals to reduce the risk of cardiovascular disease: blood pressure less than 140/90 mm Hg; LDL cholesterol less than 100 mg/dl; documented tobacco-free; daily aspirin usage.

Fact Sheets and Reports

Minnesota Heart Disease and Stroke Prevention Plan 2011-2020

Additional Data and Measures

Adult vascular disease patients who achieve
optimal vascular care treatment goals

Data Source:  Minnesota Community Measurement
(Current specifications of measure began with 2010 dates of service)
Year 2010* 2011 2012
Rate 47.0% 49.0% 49.0%
38.0%
STABLE (2012)

Diabetes

Adult diabetes patients who achieve optimal diabetes care outcomes

Diabetes is a complex and serious chronic disease in which the body does not make and/or use insulin correctly. Complications of diabetes include heart, kidney, eye and nerve problems. Five actions can help prevent complications for persons living with either type 1 or 2 diabetes: controlling blood glucose, controlling blood pressure, lowering LDL cholesterol, being tobacco free and taking aspirin daily for some people with diabetes. Optimal Diabetes Care measure shows the percentage of individuals achieving all five goals. Examining attainment of individual goals can enrich interpretation.

2020 Target: 41%

Data Definition
Percentage of patients age 18-75, seen by an eligible provider who are regularly engaging the health care system have diabetes and meet all of the following five management goals: blood pressure <140/90 mm Hg; LDL cholesterol <100 mg/dL; Hemoglobin A1c <8%; is tobacco-free; and, if indicated, regularly takes low dose aspirin

Data & Statistics

Technical Specifications of Optimal Diabetes Care Measure

Adult diabetes patients who achieve
optimal diabetes care outcomes

Data Source:  Minnesota Community Measurement
(Current specifications of measure began with 2010 dates of service; older data is not directly comparable.)
  2010* 2011 2012
Rate 37.0% 38.0% 38.0%
98.9
GETTING WORSE (2010)

Injury

Fall deaths per 100,000 people age 65 and older

In Minnesota, falls are the leading cause of injury mortality as well as nonfatal serious injury, such as traumatic brain injury, spinal cord injury, and trauma.  In the last decade, Minnesota’s fall mortality rate has consistently been at least 60% higher than the U.S. rate.  Minnesota’s rate continues to increase, moving unintentional injury from the 5th leading cause of death in 2008 to the 3rd leading cause in 2011.  This increase in fall mortality is eroding the progress that has been made in the decline of chronic disease mortality.

2020 Target:  79

Data Definition
Adults age 65 and older who die due to or as a result of a fall-related injury (ICD10 codes W00 to W19).

Additional Data and Measures

Fall deaths per 100,000 people age 65 and older

Data Source:  wonder.cdc.gov/
Year 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Age Adjusted Rate Per 100,000

56.2 52.1 61.0 68.4 70.3 69.8 74.0 69.7 83.7 85.4 85.1 90.0 98.9
37.0%
STABLE (2011)

Obesity

Adults who are at a healthy weight

Overweight and obesity threaten the health of children, youth and adults, placing them at much greater risk for premature death and many diseases and health conditions. These conditions include hypertension, hyperlipidemia (high cholesterol), type 2 diabetes, coronary heart disease, stroke and cancer. The obesity epidemic appears in both boys and girls, men and women, and among all racial and ethnic groups.

2020 Target 47%

Data Definition
Percent of adults age 18 and older reporting a Body Mass Index (BMI) less than 25.

Additional Data and Measures

Adults who are at a healthy weight

Behavioral Risk Factor Surveillance System
(Gap indicates a change in methodology.)
Year 1995

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011* 2012*
Rate 49.4% 46.7% 45.2% 40.5% 44.1% 45.0% 39.5% 41.1% 39.1% 39.7% 39.1% 37.3% 38.0% 37.2% 36.8% 36.9% 37.6% 37.0%
74.8%
STABLE (2012)

Oral Health

Adults with a dental visit in the last 12 months

Oral health is integral to overall health. There is a wide range of both acute and chronic conditions that manifest themselves in or near the mouth, including inherited, infectious, neoplastic and neuromuscular diseases, disorders and conditions. Tooth decay (dental caries) and gum diseases (periodontal diseases) are the most prevalent oral conditions, which cause significant morbidity and can result in tooth loss. Most oral conditions are preventable, yet oral conditions remain highly prevalent, especially in children and people of color and underserved populations.

2020 Target:  83%

Data Definition
Percent of adults age 18 and older who report visiting a dentist or dental clinic within the past year for any reason.

Adults with a dental visit in the last 12 months

Behavioral Risk Factor Surveillance System
(Gap indicates a change in methodology.)
Year 1999 2002 2004 2006 2008 2010 2012*
Rate 75.5% 76.4% 79.7% 78.7% 75.3% 78.9% 74.8%

Updated Thursday, June 12, 2014 at 10:19AM