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