Massachusetts department of public health masschip massachusetts Community Health Information Profile



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MASSACHUSETTS DEPARTMENT OF
PUBLIC HEALTH

MassCHIP
Massachusetts Community Health Information Profile

Diabetes Report
for Worcester County


· Prevalence of Diabetes, Massachusetts

· Prevalence of Risk Factors for Diabetes and Complications of Diabetes by Gender, Massachusetts

· Prevalence of Risk Factors among people with and without Diabetes, Massachusetts

· Diabetes Mortality

· Diabetes Related Inpatient Hospitalizations

· Diabetes Related Emergency Visits

· Diabetes Related Outpatient Hospital Visits

· Report Specific Notes




More detail for specific datasets is available by using custom reports

General Notes:

Notes on Population data


Population data are used as the denominators for all rates in MassCHIP except for Infant Deaths which use the Births file as the denominator. The population data used for a given rate depends on the year of the numerator:
MDPH Estimates for 2006-2009 (only available at the state level)
Census Counts for 2010 (available at the city/town level) Population data may also be present in this report as Counts and Percentages. These data are Census counts for 2010 or sample data for 2000. Any population data that have more detail than geography, age, sex and or Race/Hispanic ethnicity are from the selected sample data for 2000 from the U.S. Census Bureau Summary File 3 (SF3).

Limitations of Small Numbers


Cells in some tables in MassCHIP reports, and particularly those specific to individual cities and towns, contain small numbers. In general, rates and proportions based upon less than five observations are suppressed (specific protocols differ by data sets and are noted on the relevant reports). Whether or not the small numbers are suppressed, rates and trends based upon small numbers should be interpreted cautiously.

Note on NA


MassCHIP marks cells with the tag "NA" if one or more of the following is true:

  • The data are suppressed for confidentiality reasons. See report-specific notes for Suppression Rules specific to the data sets used in this Instant Topic.

  • The particular combination of data element, selector value and statistical calculation is not available.

  • The population on which a particular cell is based is too small to calculate reliable results.

Differences with Previously Published Data


Numbers and rates in MassCHIP reports may differ slightly from those contained in previous reports or other publications. These differences may be due to file updates; slight variations in coding schemes used in categorizing the data; differences in the formulas used in calculating rates; and the re-calculating of rates using updates of population estimates from the Massachusetts Institute for Social and Economic Research (MISER).

Note on Time Period


Counts for most data sets are cumulative for the given Calendar or Fiscal year. Children in Foster Care (DSS), WIC, Child Care Services (OCCS) and Department of Transitional Assistance (DTA) data sets give point in time 'snapshot' counts. These are counts taken at a specified point during the year.

See last page for additional informational report-specific notes.



 

Prevalence of Diabetes,(a Worcester County


Copyright ©2005-2013 Massachusetts Department of Public Health - All Rights Reserved, Printed: 6/4/2013, 14:47:51




Worcester County
Percent


State
 Percent 


Total  

 8.0
(7.1 - 8.9)

 7.5
(7.2 - 7.8)

Sex  







    Male

 8.3
(6.8 - 9.7)

 8.3
(7.8 - 8.8)

    Female

 7.7
(6.6 - 8.7)

 6.8
(6.5 - 7.2)

Race/Hispanic Ethnicity  







    White Non-Hispanic

 7.4
(6.5 - 8.3)

 7.1
(6.7 - 7.4)

    Black Non-Hispanic

 11.3
(6.1 - 16.5)

 11.0
(9.4 - 12.6)

    Asian/Pacific Islander Non-Hispanic

 NA
(NA - NA)

 6.5
(4.2 - 8.9)

    Hispanic

 11.9
(6.8 - 17.1)

 9.3
(8.1 - 10.5)

Age  







    18 to 24

 NA
(NA - NA)

 NA
(NA - NA)

    25 to 44

 3.9
(2.5 - 5.3)

 2.9
(2.4 - 3.3)

    45 to 64

 9.8
(8.3 - 11.3)

 9.3
(8.7 - 9.8)

    65 plus

 20.1
(17.5 - 22.8)

 17.9
(17.1 - 18.8)

The Percents are based on Behavioral Risk Factor Surveillance System (BRFSS) responses for the 3 most recent years available for the given question

· Behavioral Risk Factor Surveillance System (BRFSS) for the most recent 3 years available




Prevalence of Risk Factors for Diabetes and Complications of Diabetes by Gender, (a) Worcester County


Copyright ©2005-2013 Massachusetts Department of Public Health - All Rights Reserved, Printed: 6/4/2013, 14:47:51




  Worcester County
Percent 


  State
Percent 





  Male

 Female

  Male

 Female

   High Blood Pressure

 25.5
(22.9 - 28.1)

 25.9
(23.8 - 28.1)

 26.4
(25.5 - 27.4)

 25.3
(24.5 - 26.0)

   High Cholesterol

 39.0
(35.8 - 42.2)

 32.0
(29.5 - 34.4)

 38.6
(37.5 - 39.8)

 33.1
(32.2 - 33.9)

   Cardiovascular: Had a Stroke

 1.9
(1.2 - 2.5)

 2.5
(1.8 - 3.1)

 2.6
(2.3 - 2.9)

 2.6
(2.3 - 2.8)

   Cardiovascular: Had or have Angina or Coronary Heart Disease

 6.2
(5.0 - 7.4)

 4.3
(3.4 - 5.1)

 6.5
(6.0 - 6.9)

 3.8
(3.5 - 4.1)

   Cardiovascular: Had or have Heart Disease







 13.3
(11.0 - 15.6)

 9.1
(7.6 - 10.5)

   Overweight

 73.2
(70.3 - 76.2)

 51.3
(48.6 - 54.1)

 68.9
(67.8 - 70.0)

 48.5
(47.6 - 49.5)

   Obese

 27.8
(25.0 - 30.5)

 22.0
(19.9 - 24.0)

 24.6
(23.7 - 25.6)

 20.0
(19.3 - 20.7)

   Low Physical Activity

 47.3
(43.9 - 50.7)

 52.3
(49.5 - 55.0)

 46.6
(45.4 - 47.9)

 48.6
(47.6 - 49.6)

   Less than 5 Servings of Fruits and Vegetables

 76.7
(73.7 - 79.7)

 69.8
(67.5 - 72.1)

 78.2
(77.2 - 79.2)

 67.4
(66.5 - 68.3)

   Current Smoker

 19.2
(16.5 - 22.0)

 17.2
(15.1 - 19.2)

 15.9
(15.1 - 16.8)

 14.2
(13.6 - 14.9)

The Percents are based on Behavioral Risk Factor Surveillance System (BRFSS) responses for the three most recent years available for the given question
Cardiovascular responses for Having Heart Disease are only available for the years 1997-1999

· Behavioral Risk Factor Surveillance System (BRFSS) for the most recent 3 years available




Prevalence of Risk Factors among People with and without Diabetes,(a) Worcester County


Copyright ©2005-2013 Massachusetts Department of Public Health - All Rights Reserved, Printed: 6/4/2013, 14:47:51




  Worcester County
Percent 


  State
Percent 





 Persons with
Diabetes


 Persons without
Diabetes


   Persons with
Diabetes


 Persons without
Diabetes


   High Blood Pressure

 60.8
(53.8 - 67.7)

 22.8
(21.1 - 24.5)

 61.8
(59.5 - 64.1)

 23.0
(22.4 - 23.6)

   High Cholesterol

 57.2
(50.5 - 63.9)

 33.2
(31.2 - 35.3)

 59.7
(57.4 - 62.1)

 33.5
(32.8 - 34.2)

   Cardiovascular: Had a Stroke

 6.1
(3.9 - 8.3)

 1.8
(1.3 - 2.2)

 7.9
(6.9 - 8.9)

 2.0
(1.9 - 2.2)

   Cardiovascular: Had or have Angina or Coronary Heart Disease

 18.6
(14.5 - 22.8)

 3.7
(3.1 - 4.4)

 16.5
(15.0 - 18.0)

 3.9
(3.6 - 4.1)

   Overweight

 84.3
(80.4 - 88.2)

 60.4
(58.2 - 62.6)

 81.4
(79.6 - 83.1)

 56.8
(56.0 - 57.5)

   Obese

 53.3
(47.5 - 59.1)

 22.4
(20.6 - 24.1)

 47.0
(44.9 - 49.2)

 20.3
(19.7 - 21.0)

   Low Physical Activity

 62.0
(54.8 - 69.2)

 48.8
(46.6 - 51.1)

 64.0
(61.6 - 66.4)

 46.4
(45.5 - 47.2)

   Less than 5 Servings of Fruits and Vegetables

 77.3
(72.0 - 82.5)

 72.7
(70.7 - 74.6)

 74.9
(72.8 - 76.9)

 72.4
(71.7 - 73.1)

   Current Smoker

 15.5
(11.4 - 19.5)

 18.4
(16.6 - 20.2)

 13.4
(12.0 - 14.7)

 15.2
(14.6 - 15.8)

   Have Health Insurance

 99.8
(99.6 - 100.0)

 96.5
(95.6 - 97.4)

 98.2
(97.6 - 98.9)

 96.7
(96.3 - 97.1)

   Have a disability

 42.5
(35.8 - 49.3)

 19.1
(17.4 - 20.9)

 42.6
(40.2 - 44.9)

 18.4
(17.8 - 19.1)

The Percents are based on Behavioral Risk Factor Surveillance System (BRFSS) responses for the three most recent years available for the given question
Cardiovascular responses for Having Heart Disease are only available for the years 1997-1999

· Behavioral Risk Factor Surveillance System (BRFSS) for the most recent 3 years available




Diabetes Mortality:   Worcester County


Copyright ©2005-2013 Massachusetts Department of Public Health - All Rights Reserved, Printed: 6/4/2013, 14:47:51




  Area  
  Count  


  Area Age
  Adjusted
  Rate
 
(b)  

  State Age
  Adjusted
  Rate
 
(b)  

Total

161

18.1

13.2

Gender










    Male

89

23.9

17.2

    Female

72

13.6

10.2

Race










    White Non-Hispanic

143

17.0

12.7

    Black Non-Hispanic

5

29.7

23.0

    Asian/Pacific Islander Non-Hispanic

4

32.9

7.4

    Hispanic

9

28.1

18.4




  Area  
  Count  


  Area Age
  Specific
  Rate
 
(c)  

  State Age
  Specific
  Rate
 
(c)  

Age










    0 to 9 yrs

0

0.0

0.0

    10 to 19 yrs

0

0.0

0.1

    20 to 24 yrs

0

0.0

0.2

    25 to 44 yrs

4

1.9

1.3

    45 to 64 yrs

31

13.7

11.9

    65 to 74 yrs

35

68.0

42.1

    75 or older

91

180.0

132.5

· See Notes on Population Data

· 2010 Mortality (Vital Records) ICD-10 based


Diabetes Related Inpatient Hospitalizations  (d) Worcester County


Copyright ©2005-2013 Massachusetts Department of Public Health - All Rights Reserved, Printed: 6/4/2013, 14:47:51




  Area  
  Count  


  Area Age
  Adjusted
  Rate
 
(b)  

  State Age
  Adjusted
  Rate
 
(b)  

Total

4,064

500.1

488.5

Gender










    Male

2,183

627.0

613.0

    Female

1,881

408.3

405.6

Race










    White Non-Hispanic

3,520

465.1

426.3

    Black Non-Hispanic

195

1614.6

1294.1

    Asian/Pacific Islander Non-Hispanic

29

189.1

252.8

    Hispanic

164

590.2

807.5




  Area  
  Count  


  Area Age
  Specific
  Rate
 
(c)  

  State Age
  Specific
  Rate
 
(c)  

Age










    0 to 9 yrs

107

106.1

90.7

    10 to 19 yrs

57

51.1

38.6

    20 to 24 yrs

54

111.6

107.9

    25 to 44 yrs

318

136.1

144.2

    45 to 64 yrs

958

485.3

445.9

    65 to 74 yrs

861

2009.8

1634.1

    75 or older

1,709

3205.0

3644.5

· See Notes on Population Data

· 2009 Calendar Year Hospital Discharges (UHDDS)


Diabetes Related Emergency Room Visits  (d) Worcester County


Copyright ©2005-2013 Massachusetts Department of Public Health - All Rights Reserved, Printed: 6/4/2013, 14:47:51




  Area  
  Count  


  Area Age
  Adjusted
  Rate
 
(b)  

  State Age
  Adjusted
  Rate
 
(b)  

Total

986

122.1

111.2

Gender










    Male

537

142.3

130.8

    Female

449

105.8

96.1

Race










    White Non-Hispanic

759

104.0

91.3

    Black Non-Hispanic

75

560.0

319.2

    Asian/Pacific Islander Non-Hispanic

8

37.4

52.3

    Hispanic

66

187.7

244.9




  Area  
  Count  


  Area Age
  Specific
  Rate
 
(c)  

  State Age
  Specific
  Rate
 
(c)  

Age










    0 to 9 yrs

NA

NA

6.7

    10 to 19 yrs

48

43.1

27.3

    20 to 24 yrs

20

41.3

47.5

    25 to 44 yrs

187

80.0

79.5

    45 to 64 yrs

355

179.8

162.3

    65 to 74 yrs

149

347.8

306.5

    75 or older

222

416.3

390.6

· See Notes on Population Data

· 2008 Calendar Year Hospital Emergency Visits


Diabetes Related Hospital Observation Stays  (d) Worcester County


Copyright ©2005-2013 Massachusetts Department of Public Health - All Rights Reserved, Printed: 6/4/2013, 14:47:51




  Area  
  Count  


  Area Age
  Adjusted
  Rate
 
(b)  

  State Age
  Adjusted
  Rate
 
(b)  

Total

752

31.2

23.7

Gender










    Male

349

32.3

26.3

    Female

403

31.3

22.2

Race










    White Non-Hispanic

603

27.4

18.5

    Black Non-Hispanic

32

77.7

82.9

    Asian/Pacific Islander Non-Hispanic

NA

NA

16.9

    Hispanic

56

50.6

40.5




  Area  
  Count  


  Area Age
  Specific
  Rate
 
(c)  

  State Age
  Specific
  Rate
 
(c)  

Age










    0 to 9 yrs

NA

NA

0.7

    10 to 19 yrs

10

4.2

3.6

    20 to 24 yrs

22

18.6

11.1

    25 to 44 yrs

99

20.1

13.5

    45 to 64 yrs

159

35.3

28.5

    65 to 74 yrs

87

91.8

78.5

    75 or older

241

150.7

113.9

The Counts and Rates are 3 Year aggregates

· See Notes on Population Data




Diabetes Report Notes


  1. Behavioral Risk Factor Surveillance System (BRFSS), maintained by the Massachusetts Department of Public Health, Bureau of Health Statistics, Research and Evaluation. The BRFSS is a series of annual random-digit-dial telephone surveys of adults (aged 18+) using standardized questionnaires developed by the federal Centers for Disease Control and Prevention, as well as state-added questions.
    BRFSS data are weighted in order to approximate the prevalence of particular behaviors and conditions among Massachusetts adults. Data are initially provided as weighted population estimates of the number of adults who report a particular behavior or condition. Percents are based on these weighted estimates. Questions vary as to which years they were included in the survey.

  2. Age-adjusted rate:
    A procedure for adjusting rates, designed to minimize the effects of differences in age distributions when comparing rates for different populations. Age-adjusted rates are usually expressed per 100,000 persons. For standardization within MassCHIP the standard population used is the 2000 US population.

  3. Age-specific rate:
    A rate for a specific age group. The numerator and denominator refer to the same age group. Age-specific rates are expressed per 100,000 persons in the specific age group.

  4. Diabetes as principal diagnosis or complications of diabetes ( ICD 9: 250 for principal diagnosis; or 648.0, 775.0 or 775.1 for any diagnosis; or 250 for any diagnosis and 365.9, 585 or 707 for another diagnosis; or 250 for any diagnosis and 39.95, 54.98, 55.61, 55.69, 84.10, 84.11, 84.12, 84.14, 84.15 or 84.17 for any procedure)

Suppression Rules:


  • Counts and related calculations of 1 - 6 [Hospitalizations] are suppressed

  • BRFSS: Data are suppressed when the number of respondents to a given question with the given demographic stratifiers is less than 125


For Information or Assistance, contact


MassCHIP
Massachusetts Department of Public Health
250 Washington Street
Boston, MA 02108
Voice:  In MA:   (888) MAS-CHIP
          Outside MA:   (617) 624-5629
E-Mail:  MassCHIP.Support@state.ma.us



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