Health of Massachusetts



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Health of Massachusetts


Massachusetts Department of Public Health 2010

Massachusetts Department of

Public Health

250 Washington Street

Boston, MA 02108

617-624-6000

TTY/TDD (617) 624-6001

www.mass.gov/dph

Deval L. Patrick Governor Commonwealth of Massachusetts

Timothy P. Murray Lt. Governor Commonwealth of Massachusetts

JudyAnn Bigby, MD Secretary Executive Office of Health and Human Services

John Auerbach Commissioner Massachusetts Department of Public Health

Health of Massachusetts

April 2010

Photos in this report are used under a licensing agreement. All other material contained in this report is in the public domain and may be used and reprinted without special permission; citation as to source, however, is appreciated.

Suggested Citation

Massachusetts Department of Public Health. Health of Massachusetts. Boston, MA; April 2010.

Online


To view this report in its entirety or to download specific sections of Health of Massachusetts, visit our Website at: www.mass.gov/dph/healthofmassachusetts

Massachusetts Department of Public Health 250 Washington Street Boston, MA 02108 617.624.6000 www.mass.gov/dph

Commonwealth of Massachusetts Deval L. Patrick Governor

Commonwealth of Massachusetts Timothy P. Murray Lt. Governor

Executive Office of Health and Human Services JudyAnn Bigby, MD Secretary

Massachusetts Department of Public Health John Auerbach, MBA Commissioner

Massachusetts Department of Public Health

250 Washington Street

Boston, MA 02108

617-624-6000

TTY/TDD (617) 624-6001

www.mass.gov/dph

Commonwealth of Massachusetts Deval L. Patrick Governor

Executive Office of Health and Human Services JudyAnn Bigby, MD Secretary

Massachusetts Department of Public Health John Auerbach, MBA Commissioner

Table of Contents


Preface 6

About Us 12

Chapter 1: Demographics and Socio-Economics 16

Population

Gender

Marital Status

Age

Race and Ethnicity



Foreign Born

Language

Disability

EOHHS Regions

Income

Poverty

Unemployment

Industry and Occupation

Education

Policy Perspective: Barry Bluestone and Mary Huff Stevenson



Chapter 2: Community Assets 32

What does community mean?

Building a Supportive Environment

Health Care Infrastructure: Distribution of Resources

Community Infrastructures: Supporting Healthy Eating and Active Living

Policy Perspectives: Mary Bassett and Peter Lee



Chapter 3: Health Care Access 50

Health Insurance Status

Preventive Screenings

Residents Who Have a Doctor

Visits to a Dentist

Effects of Health Care Reform

Policy Perspective: Robert Restuccia and Christine Barber

Chapter 4: Health Care Quality 62

Monitoring Adverse Events and Infections in Hospitals

Licensure and Inspections

Falls


Utilization of Nursing Homes

Special Projects in Hospital Care

Emergency Medical Care

Policy Perspective: Paula Griswold



Chapter 5: Natality and Early Childhood 74

Births


Teen Births

Preterm and Low Birthweight Births

Multiple Births and Fertility Treatments

Infant and Fetal Mortality

Prenatal Care

Gestational Diabetes Mellitus

Method of Delivery

Breastfeeding

Women Infants and Children Nutrition Program

Newborn Hearing and Blood Screening

Birth Defects

Early Intervention

Autism Spectrum Disorders

Policy Perspective: Milton Kotelchuck



Chapter 6: Infectious Disease 94

Vaccine-Preventable Infections

Foodborne Illness

Insect and Tickborne Illnesses

Sexually Transmitted Infections

HIV/AIDS

Hepatitis C

Tuberculosis

Policy Perspective: Donna Bright

Chapter 7: Wellness and Chronic Disease 112

Social Spheres of Influence

Obesity

Asthma


Diabetes

Heart Disease and Stroke

Cancer

Oral Health

Health-Related Quality of Life

Mental Health

Special Note on American Indian Health

Our Aging Population

Policy Perspective: Stuart Chipkin

Chapter 8: Environmental Health 156

Lead Poisoning

Asthma and Allergies

Drinking Water

Swimming

Indoor Air

Skating Rinks

Ambient Air

Food Safety

Policy Perspective: Joseph Brain



Chapter 9: Occupational Health 168

Fatal Injuries at Work

Nonfatal Injuries and Illnesses

Sharps Injuries Among Hospital Workers

Work-Related Lung Diseases

Work-Related Injuries to Teens

Occupational Health Disparities

Promoting and Protecting Employee Health

Policy Perspective: David Wegman and Marcy Goldstein-Gelb

Chapter 10: Alcohol, Tobacco, and Other Drug Use 190

Dependence and Abuse

Substance Use Among Youth

Substance Use Among Young Adults (18-25)

Substance Use Among Adults

Treatment Need

Opioid Related Morbidity and Mortality

Tobacco Use

Exposure to Secondhand Tobacco Smoke

Policy Perspective: Constance Horgan



Chapter 11: Unintentional Injury 210

Unintentional Injury

Traumatic Brain Injuries

Falls Among Older Adults (65+ Years)

Motor Vehicle Occupant Injuries

Pedestrian Injuries

Fire Injuries

Drowning/Near Drowning

Poisoning

Strategies for Injury Prevention

Policy Perspective: Cindy Rodgers

Chapter 12: Suicide and Self-Inflicted Injury 224

Scope of the Problem in Massachusetts

Gender and Age

Racial / Ethnic Differences

Suicide and Mental Illness

Young People and Suicide

Geographic Differences

Suicide Prevention Strategies

Policy Perspective: Ellen Connorton

Chapter 13: Violence 236

Bullying, Harassment, and Violence in School Settings

Community Violence

Rape and Sexual Violence

Intimate Partner Violence: Dating and Domestic Violence

Child Maltreatment and Witnessing Family Violence



Chapter 14: Mortality 248

Overall Mortality

Racial and Ethnic Differences

Leading Causes of Death

Life Expectancy

Educational Attainment

Premature Mortality Rate (PMR)

Amenable Mortality



Appendix 260

Data Sources

MDPH Contact Information

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