Appendix C: Overview Data Matrix on Health Behaviors and Outcomes Overview Data Matrix on Heath Behaviors and Outcomes Massachusetts State Health Assessment and Improvement Plan For September 26, 2013 Planning Session – Mortality Rate Incidence, Alignment with or Years of Prevalence, or Related Costs Disparities and At-Risk Populations Key Trends State or Nat’l Potential Life Hospitalization Frameworks* Lost (YPLL) Maternal, Child, and Family Health Promotion Teen 14.0 births per 1,000 Teen childbirth in MA Highest rate among Hispanics (47.2 over last 10 years WB ↓ pregnancy females aged 15-19 cost taxpayers $178 births per 1,000 females aged 15-19) among all racial/ethnic HP2020 million followed by Black teens (rate of 24.5) groups by 40-50% Infant 4.3 deaths per Death rates per 1,000 live births: 8.2 Blacks in last HP2020 ↓among mortality 1,000 live Black, non-Hispanic; 5.4 Hispanic; 2.6 20 years. Very slight ↓ births Asian; 3.5 White, non-Hispanic among Whites and Asians; rates vary (both among ↓and ↑) Hispanics Negative birth 8.6% preterm births Preterm costs the Blacks have highest by far for in preterm and LBW HP2020 ↑ (<37 weeks) r US $26 billion annually both. For preterm birth, Black births in last decade, outcomes (preterm and experience 10.1% preterm births per 1 even when adjusting 7.6% low birthweight low birth followed by Hispanics (9.2%). for plurality weight) Chronic Disease Prevention and Control Tobacco use Over 7,700 16.4% of adults $4.3 billion in MA Groups with highest smoking rates Overall in last 10 MDPH SP ↓ deaths healthcare costs due include: LGBT (21.8%), less than high among MA adult PrevTrust 32% of high school annually in MA to smoking ($1.5 billion school education (25.0%), people with and youth smoking; WB students have ever attributed to in ambulatory costs; disabilities (23%), those with poor in youth e-cigarette NPS ↑ smoked and 11% smoking $972 million in hospital mental health (36.3%) and those on use from 2011 to 2013 HP2020 currently smoke costs) MassHealth (32.3%)
Appendix C: Overview Data Matrix on Health Behaviors and Outcomes Overview Data Matrix on Heath Behaviors and Outcomes Massachusetts State Health Assessment and Improvement Plan – For September 26, 2013 Planning Session Mortality Rate or Years of Potential Life Lost (YPLL) Incidence, Prevalence, or Hospitalization Related Costs Disparities and At-Risk Populations Key Trends Alignment with State or Nat’l Frameworks* Maternal, Child, and Family Health Promotion Teen pregnancy 14.0 births per 1,000 females aged 15-19 Teen childbirth in MA cost taxpayers $178 million Highest rate among Hispanics (47.2 births per 1,000 females aged 15-19) followed by Black teens (rate of 24.5) ↓ over last 10 years among all racial/ethnic groups by 40-50% WB HP2020 Infant mortality 4.3 deaths per 1,000 live births Death rates per 1,000 live births: 8.2 Black, non-Hispanic; 5.4 Hispanic; 2.6 Asian; 3.5 White, non-Hispanic ↓among Blacks in last 20 years. Very slight ↓ among Whites and Asians; rates vary (both ↓and ↑) among Hispanics HP2020 Negative birth outcomes (preterm and low birth weight) 8.6% preterm births (<37 weeks) r 7.6% low birthweight Preterm costs the US $26 billion annually Blacks have highest by far for both. For preterm birth, Black experience 10.1% preterm births per 1 followed by Hispanics (9.2%). ↑ in preterm and LBW births in last decade, even when adjusting for plurality HP2020 Chronic Disease Prevention and Control Tobacco use Over 7,700 deaths annually in MA attributed to smoking 16.4% of adults 32% of high school students have ever smoked and 11% currently smoke $4.3 billion in MA healthcare costs due to smoking ($1.5 billion in ambulatory costs; $972 million in hospital costs) Groups with highest smoking rates include: LGBT (21.8%), less than high school education (25.0%), people with disabilities (23%), those with poor mental health (36.3%) and those on MassHealth (32.3%) Overall ↓ in last 10 among MA adult and youth smoking; ↑ in youth e-cigarette use from 2011 to 2013 MDPH SP PrevTrust WB NPS HP2020
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