Docstoc

Boston

Document Sample
Boston Powered By Docstoc
					BOSTON: A VIEW OF RISK
 FACTORS AND HEALTH
                                                                          Charlestown

   Boston’s
                                                                                    East Boston
Neighborhoods                                           BackBay/
                                                       Beacon Hill/
                                                        West End
                                                                                        North
                             Allston-Brighton                                            End
                                                                        South
                                                                        End
                                                         Fenway
                                                                               South
                                                            X
                                                            Roxbury
                                                                               Boston
                                 (Mission Hill)

                                                                       North
                                                  Jamaica
                                                                     Dorchester
                                                   Plain



                                            Roslindale                 South
                            West
                           Roxbury                                   Dorchester
                                                         Mattapan



                                             Hyde
                                             Park


 SOURCE: Massachusetts Department of Public Health.
 GRAPHIC: Boston Public Health Commission, Research and Technology Services.
                                                                            Charlestown

   Boston’s                                                                                    H
                                                                                    East Boston
Neighborhoods                                            Back Bay/
                                                        Beacon Hill/
                                                         West End
                                                                                       North
                                Allston-Brighton                                        End
                                                                        South
                                  A                                     End
                                      H
                                                             A
                                                          Fenway A H
                                                                              South
                                                                              Boston
                                                              Roxbury
                                                                H
                                                                       North
   Whites                                           Jamaica
   72.95-95.5%                                                       Dorchester
                                                     Plain                                         Blacks 45%-66.9%
   of population                                                                                   of population
                                                    H
                                                                        H

                                               Roslindale              South                   Blacks 22.8%-
                               West
                                                H                    Dorchester                44.9% of
                              Roxbury
                                                          Mattapan                             population
                                                                                                 Blacks 67%-89%
                                                                                                 of population

                                               Hyde
                                               Park


SOURCE: Massachusetts Department of Public Health
GRAPHIC: Boston Public Health Commission
                                      Population by Race/Ethnicity
                                              Boston, 2000


  Total Population: 589,141                                                                Black
                                                                                           23.8%




                                                                                                  Hispanic
                                                                                                   14.4%


                             White
                             49.5%
                                                                                              Asian
                                                                                              7.5%                  Native
                                                                                                                   American
                                                                                                                    0.3%
                                                                             Other*                      Pacific
                                                                             4.5%                       Islander
                                                                                                          0.0%
*Includes "other races" and "two or more races."
NOTE: Hispanics or Latinos are not included among Whites, Blacks, Asians, Pacific Islanders, Native Americans or Others.
DATA SOURCE: Summary File (SF1) 2000, Bureau of the Census.
DATA ANALYSIS: Boston Public Health Commission, Research Office.
Percent in Poverty

          35
                                31   30
          30
          25               23             Boston
                20                        White
          20
Percent                                   Black
          15          12                  Latino
          10                              Asian
          5
          0


Source: Census 2003 sf3
 Boston demographics
 19% of households below FPL
 28% of children below FPL
 15% of elders below FPL
 75% of adults 25 years and older have HS
  education
 21% speak language other than English at
  home
     10% speak Spanish at home
Boston Health Care
Resources
 16 hospitals
 26 community health centers
 Physicians per 100,000 population
     US - 285
     Massachusetts - 430
     Suffolk county - 1058
                                                                              Charlestown
     Boston’s
  Neighborhoods                                             Back Bay/                East Boston
                                                           Beacon Hill/
                                                            West End
                                                                                        North
                                     Allston-Brighton                                   End
                                                                          South
      Health                                                              End
      professional                                           Fenway
      shortage                                                                 South
      areas                                                                    Boston
                                                                Roxbury                            Homicide
                                                                                                   Infant mortality
                                                                         North
                                                     Jamaica                                       Injury mortality
                                                                       Dorchester
                                                      Plain
                                                                                                   Asthma
                                                                                                   admissions
                                                                                                   Lead poisoning
                                                  Roslindale          South                         all rates higher
                                    West                                                           than for Boston
                                   Roxbury                          Dorchester
                                                             Mattapan                              and other
                                                                                                   neighborhoods


                                                  Hyde
                                                  Park


SOURCE: Massachusetts Department of Public Health.
GRAPHIC: Boston Public Health Commission, Research and Technology Services.
                Leading Causes of Death Age-Adjusted Rates by Sex
                                  Boston, 2000



                           Male                                                           Female
                                                  Deaths                                                       Deaths
                                             per 100,000                                                  per 100,000
Causes of death                               Population           Causes of death                         Population
Cancer (All)                                       294.0           Cancer (All)                                 185.2
Heart Disease                                      274.5           Heart Disease                                165.6
All Injuries Combined                               56.1           Stroke                                        51.2
Stroke                                              55.3           COPD                                          33.2
Pneumonia/Influenza                                 44.5           Pneumonia/Influenza                           25.3
COPD                                                36.7           Septicemia                                    20.7
Nephritis/Nephrosis                                 36.4           All Injuries Combined                         20.6
Substance Abuse                                     31.1           Diabetes                                      20.1
Septicemia                                          26.8           Nephritis/Nephrosis                           19.4
Diabetes                                            18.3           Alzheimer's Disease                           17.1
DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health. Rates are calculated using the US Census
2000 for resident population.
DATA ANALYSIS: Boston Public Health Commission, Research Office
The Boston Behavioral Risk
Factor Surveillance System
     (BRFSS) Survey
Dimensions
 OverallHealth Measures
 Access and Utilization
 Health Risks
 Prevention and Risk Reduction
 Health Conditions
Review of Methodology

 Developed    by Centers for Disease Control
  and Prevention
 Conducted in all US states
 Telephone interview of adults
 Core questions asked by all sites
 Additional items of interest to state or city
 Sample size for 1997-1999
      Boston: 3,499
       Overall Health Measures
                       Percentage of Adults Describing Their
                              Health as Fair or Poor
     20
                                                                 14.7             15.2
     15
                              12.1                                                                 11.9
                                               10.1
     10

       5

       0
                             Boston             White            Black          Hispanic              Asian
SOURCE: Behavioral Risk Factor Survey, Behavioral Risk Factor Surveillance System (BRFSS), 1997-1999, Boston Public Health
Commission, & Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission, Research Office, & Massachusetts Department of Public Health, Health Survey Program
       Overall Health Measures
                      Percentage of Adults Saying They Are
                        Generally Satisfied With Their Life
    100
                                93.7             94.5                              94.7             94.9
       95
                                                                  90.0
       90

       85
       80

       75
                              Boston             White           Black           Hispanic              Asian
SOURCE: Behavioral Risk Factor Survey, Behavioral Risk Factor Surveillance System (BRFSS), 1998-1999, Boston Public Health
Commission, & Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission, Research Office, & Massachusetts Department of Public Health, Health Survey Program
      Overall Health Measures
                Percentage of Adults Saying They Rarely or
                   Never Get Enough Needed Emotional
     25                          Support
                                                                                  20.8
     20
                                                                 14.6
     15
                               9.9                                                                 11.0
     10
                                                6.1
       5

       0
                             Boston             White           Black           Hispanic              Asian
SOURCE: Behavioral Risk Factor Survey, Behavioral Risk Factor Surveillance System (BRFSS), 1998-1999, Boston Public Health
Commission, & Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission, Research Office, & Massachusetts Department of Public Health, Health Survey Program
Lack of health insurance
          25
                                                                   20.9
          20
                                                 14.5
Percent




          15
                      11.7
                                     8.3                                           9.4
          10

          5

          0
                           n         te           k                 i   c          an
                    st
                       o           hi           ac               an            i
                                           Bl                  p            As
               Bo              W
                                                        Hi
                                                           s

           Behavioral Risk Factor Survey, 1999. Data analysis by Boston Public Health
           Commission
Could not afford to see a
physician
          20
                                                          17.6
          18
          16
          14
Percent




          12                                                                 9.9
          10                             8.7
                        7.5
           8
           6
           4
           2
           0
                      White             Black           Hispanic           Asian
               Behavioral Risk Factor Survey, 1999. Data analysis by Boston Public Health
               Commission
Overweight and Obesity in
Bostonians
                        Based on self-reported height and weight

            70                                62.4
            60                                               55.6
            50          45.8        42.6
  Percent




            40
            30
            20                                                           10.7
            10
             0




                                                                          n
                                   te




                                                            ic
                        n




                                             k
                                             ac




                                                                       ia
                   to




                                                       an
                                 hi




                                                                    As
                    s




                                           Bl
                                W




                                                       sp
                 Bo




                                                     Hi
  Behavioral Risk Factor Survey, 1999. Data analysis by Boston Public Health
  Commission
Current smokers
            25
                                                 19.9
            20         18.3       18.2
                                                                 15.7       16.6
  Percent




            15

            10

            5

            0




                                                                  s
                                            ks




                                                                           s
                       n




                                  s




                                                               ic




                                                                           an
                                te
                   to




                                             c




                                                           an
                              hi
                  os




                                          la




                                                                         si
                              W




                                         B




                                                          sp




                                                                        A
                 B




                                                        Hi
  Behavioral Risk Factor Survey, 1999. Data analysis by Boston Public
  Health Commission
      Prevention and Risk
      Reduction
                   Percentage of Adult Smokers Who
               Reported Making an Attempt to Quit in Past
    100
                                 Year
     90
                                                                                   78.8
     80
                                                                 68.2
     70                       64.0
                                                60.9
     60
                                                                                                      N/A
     50
                                   Boston         White         Black         Hispanic          Asian
SOURCE: Behavioral Risk Factor Survey, Behavioral Risk Factor Surveillance System (BRFSS), 1997-1999, Boston Public Health
Commission, & Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission, Research Office, & Massachusetts Department of Public Health, Health Survey Program
Depression and anxiety
             25
                                                     21.6
                         19.4          19.8                                      19.2
             20                                18.5
                                                                16.3
   Percent




             15 12.7                                        13.5
                                    11.1                                                Depression
             10                                                           7.9
                                                                                        Anxiety

              5

              0




                                                                             n
                                  te




                                                              ic
                     n




                                                k
                                                ac




                                                                          ia
                  to




                                                            an
                                hi




                                                                       As
                 s




                                              Bl
                                W




                                                         sp
              Bo




                                                       Hi




 Behavioral Risk Factor Survey, 1999. Data analysis by Boston Public Health
 Commission
      Health Risks
                  Percentage of Adults Ages 18-59 Who
                Reported Experiencing Physical Violence in
                             the Past Year
    10
                                                                                   8.4
     8
     6                        5.2              5.3
                                                                 4.3
     4
                                                                                                    1.8
     2
     0
                                    Boston        White         Black        Hispanic          Asian

SOURCE: Behavioral Risk Factor Survey, Behavioral Risk Factor Surveillance System (BRFSS), 1997-1999, Boston Public Health
Commission, & Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission, Research Office, & Massachusetts Department of Public Health, Health Survey Program
Hypertension and elevated
cholesterol in Bostonians
            30                                                 26.9
                                                                   24.9
            25                                       21.2
                                 21
                                                                                           19.3
            20 17.2                   16.5
  Percent




                                                                              13.5                            14.5   Hypertension
            15
                                                                                                                     Inc Cholesterol
            10
                                                                                                      5
             5
             0
                             n                   s                   s                 s                  s
                      st
                         o                  te                  ck                  ic               an
                                          hi                 la                   n                si
                 Bo                   W                     B              s pa                   A
                                                                         Hi
  Behavioral Risk Factor Survey, 1999. Data analysis by Boston Public
  Health Commission
      Prevention and Risk
      Reduction
                      Percentage of Adults Who Reported
                     Ever Having Had a Blood Test for HIV
   60                                                           57.0              55.5
                             50.9
                                              48.7
   50
                                                                                                   42.3
   40

   30

   20
                                  Boston         White         Black        Hispanic          Asian
SOURCE: Behavioral Risk Factor Survey, Behavioral Risk Factor Surveillance System (BRFSS), 1997-1999, Boston Public Health
Commission, & Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission, Research Office, & Massachusetts Department of Public Health, Health Survey Program
Diabetes in Bostonians
          9                                           8.3
          8
          7
          6
Percent




          5
          4                 3.6
                                        2.9                              2.7
          3
          2
          1                                                                            0
          0
                            n           te            k                  ic       an
                     st
                        o             hi       la
                                                  c                  n          si
                                              B                   pa           A
                Bo                W
                                                            Hi
                                                              s

              Behavioral Risk Factor Survey, 1999. Data analysis by Boston Public Health
              Commission
Diabetes mortality: 1991-1998
                        300                              266.2
   Deaths per 100,000



                        250
                        200
                                  135.3                                139.5
                        150                   114.8
                        100                                                             78
                        50
                         0

                                                         ck




                                                                      c
                                              te




                                                                                   an
                                  n




                                                                      ni
                                 to




                                          hi




                                                       la




                                                                                si
                                                                    pa
                               os




                                          W




                                                      B




                                                                               A
                                                                  is
                              B




                                                                 H
  Data from Dept of Public Health. Data analysis by Boston Public Health
  Commission
Age adjusted heart disease
mortality
                        200
                        180
   Deaths per 100,000



                        160
                        140                                                Boston
                        120                                                White
                        100                                                Black
                         80                                                Hispanic
                         60
                                                                           Asian
                         40
                         20
                          0
                            93


                                   94


                                          95


                                                 96


                                                        97


                                                               98
                          19


                                 19


                                        19


                                               19


                                                      19


                                                             19
  Data from Dept of Public Health. Data analysis by Boston Public Health
  Commission
 Ratio of IHD Mortality for
 Blacks vs. Whites, 1996
    Ratio of Death Rates for Blacks : Whites

                                                                                       Males
                                               4
                                                                                       Females
                                                                                       Boston Female
                                               3

                                               2

                                               1

                                               0
                                                   35-44   45-54     55-64     65-74   75-84     85

                                                                   Age (yrs)
National Center for Health Statistics: Vital Statistics of the United States, 1996.
Boston Public Health Commission
Women’s Health
                        Births by Maternal Birthplace
                        Boston, 2001
                        35.0%
                        30.0%   28.6%
 Percentage of Births




                        25.0%
                        20.0%                18.0%

                        15.0%
                        10.0%
                                                             5.5%         5.0%      4.9%
                         5.0%                                                                     3.2%       2.9%          2.8%     1.8%     1.7%
                         0.0%
                                                                                    iti
                                                                         .




                                                                                                  r




                                                                                                                                    ca
                               te




                                                             o




                                                                                                                      m




                                                                                                                                             na
                                                                                                             co
                                             k




                                                                          p




                                                                                               do
                                              c


                                                         tin




                                                                                 Ha
                             hi




                                                                       Re




                                                                                                                      na



                                                                                                                                  ai
                                           la




                                                                                                                                           hi
                                                                                                           Ri
                                                                                              a
                            W




                                                     La




                                                                                                                              m
                                       B




                                                                                                                    et




                                                                                                                                         C
                                                                                           lv
                                                                  n




                                                                                                       to




                                                                                                                             Ja
                                                                                                                  Vi
                                                                   a




                                                                                          Sa
                            :



                                       :




                                                                                                      er
                         US




                                                     :


                                                                ic
                                    US


                                                  US




                                                                                                  Pu
                                                             in




                                                                                     El
                                                          om
                                                         D




SOURCE: Boston resident live births, Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission Research Office
Infant Mortality in Boston by
Race and Ethnicity
                                         White         Black        Hispanic        Boston
                            20
  Deaths per 1,000 births




                            18
                            16
                            14
                            12
                            10
                             8
                             6
                             4
                             2
                             0
                                 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
 Boston Public Health Commission
   Low Birthweight by Race/Ethnicity
   Boston, 1992-2001
    Percentage of Births Within




                                                           White    Black      Latino       Asian    Boston
                                  15.0%
          Race/Ethnicity




                                  10.0%


                                   5.0%


                                   0.0%
                                           1992    1993    1994    1995     1996    1997     1998    1999     2000    2001
                                  White    5.9%    6.2%    5.8%    6.5%     5.8%    7.2%     6.4%    6.2%     6.7%    7.0%
                                  Black    13.0%   12.6%   13.0%   11.9%    13.2%   12.3%    12.5%   12.4%    13.1%   12.1%
                                  Latino   7.1%    8.0%    7.8%    7.3%     8.7%    8.1%     8.1%    7.0%     7.9%    7.6%
                                  Asian    6.1%    4.1%    5.6%    7.1%     6.2%    7.7%     7.5%    5.5%     6.7%    5.4%
                                  Boston   8.8%    8.9%    8.9%    8.7%     9.0%    9.2%     8.8%    8.5%     9.0%    8.6%


NOTE: LBW is <2,500g.
SOURCE: Boston resident live births, Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission Research Office
              Adequate Prenatal Care by
              Race/Ethnicity, Boston, 1997-2001
                            90.0%
    Within Race/Ethnicity
    Percentage of Births




                            85.0%
                            80.0%
                            75.0%
                            70.0%
                            65.0%
                            60.0%
                                     1997       1998               1999     2000    2001
                            White    83.6%     84.5%              85.3%     84.5%   83.9%
                            Black    65.2%     69.9%              73.7%     70.2%   67.7%
                            Latino   73.5%     75.6%              79.8%     75.6%   77.5%
                            Asian    75.0%     74.2%              78.7%     73.5%   74.7%
                            Boston   73.0%     75.9%              79.2%     76.7%   76.2%

SOURCE: Boston resident births, Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission Research Office
Excess Birthweight Proportionate
Mortality Rates (Black race, 1992-
1995)
8
      7
7
6               5.6
          4.4
5                                                                          Boston
4
                                                                       3   Honolulu
3                     2.5
2                                 1.3   1.4                1.6
                                                    0.8                    King County
                            0.6
                                              0.4                0.2
1
0
     Maternal         Maternal          Newborn           Infant care
      health           care               care
    Boston Public Health Commission
Among Massachusetts women pregnant in the past 5
years, the percent whose pregnancy was unplanned, by
age and race/ethnicity, 1998 BRFSS

                             100%

                             90%

                             80%
                                                                              70%
                                              68%
                             70%
   unplanned pregnancy (%)




                             60%

                             50%

                             40%
                                    31%                               30%
                             30%                      27%                              26%
                                                              19%
                             20%

                             10%

                              0%
                                    overall   18-24   25-34   35-44   White   Black   Hispanic
     Prevention and Risk
     Reduction
                      Percentage of Women Who Reported
                       Having Had a Clinical Breast Exam
   100
                             in the Past Two Years

     90                                        87.0
                              83.9                               84.5

     80                                                                           75.6

     70                                                                                            67.1

     60
                                  Boston         White         Black        Hispanic          Asian
SOURCE: Behavioral Risk Factor Survey, Behavioral Risk Factor Surveillance System (BRFSS), 1997-1999, Boston Public Health
Commission, & Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission, Research Office, & Massachusetts Department of Public Health, Health Survey Program
Breast Cancer Mortality in Boston
Women by Race: 1995-97
              500                                                                             479.6


              400                                                             377.8
Per 100,000




              300
                                                                                      228.8           White
                                                                           195.9
              200                                                                                     Black
                                                       65.9 119.8
              100                        64.9                       85.5
                                  43.4          58.3
                           27.4
                     7.7
               0
                     35-44        45-54         55-64        65-74          75-84         85+
                                                  Age in years

              Boston Public Health Commission
      Prevention and Risk
      Reduction
                  Percentage of Women Who Reported
                Having Had a Pap Smear in the Past Three
    100
                                 Years
                                                                 91.5
                              87.5              88.9
     90
                                                                                   80.6
     80

     70                                                                                             66.6

     60
                                   Boston         White         Black         Hispanic          Asian
SOURCE: Behavioral Risk Factor Survey, Behavioral Risk Factor Surveillance System (BRFSS), 1997-1999, Boston Public Health
Commission, & Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission, Research Office, & Massachusetts Department of Public Health, Health Survey Program
      Health Risks
                     Percentage of Women Ages 18-59 Who
                     Reported Experiencing Intimate Partner
                             Abuse in the Past Year
     12
                                                                                    8.7
       9                                                           8.0
                               6.1
       6                                         5.2
                                                                                                      2.9
       3

       0
                                     Boston         White         Black        Hispanic          Asian
SOURCE: Behavioral Risk Factor Survey, Behavioral Risk Factor Surveillance System (BRFSS), 1998-1999, Boston Public Health
Commission, & Massachusetts Department of Public Health
ANALYSIS: Boston Public Health Commission, Research Office, & Massachusetts Department of Public Health, Health Survey Program
Men’s Health
                                        Cancer Mortality Age-Adjusted Rates Among Males
                                                        By Race/Ethnicity
                                                        Boston, 1993-1998
                                300.0

                                                                           246.2
                                250.0
Deaths per 100,000 Population




                                200.0     184.5
                                                     176.0
                                                                                                          163.5

                                150.0


                                                                                                93.2
                                100.0


                                 50.0


                                  0.0
                                         Boston       White                 Black              Hispanic   Asian
             DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
             DATA ANALYSIS: Boston Public Health Commission, Research Office.
                                       Lung Cancer Mortality Age-Adjusted Rates Among Males
                                                         By Race/Ethnicity
                                                        Boston, 1993-1998

                                70.0
                                                                           64.4
                                                     60.9
                                          59.0
                                60.0
Deaths per 100,000 Population




                                50.0                                                                      48.1


                                40.0

                                30.0

                                                                                                18.9
                                20.0

                                10.0

                                 0.0
                                         Boston      White                 Black               Hispanic   Asian
             DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
             DATA ANALYSIS: Boston Public Health Commission, Research Office.
                                Colorectal Cancer Mortality Age-Adjusted Rates Among Males
                                                     By Race/Ethnicity
                                                    Boston, 1993-1998
                                30.0
                                                               27.2

                                25.0
Deaths per 100,000 Population




                                        19.5
                                20.0               18.7


                                15.0
                                                                                             12.2

                                10.0                                               8.3


                                 5.0


                                 0.0
                                       Boston      White       Black              Hispanic   Asian
DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
DATA ANALYSIS: Boston Public Health Commission, Research Office.
                                 Prostate Cancer Mortality Age-Adjusted Rates Among Males
                                                     By Race/Ethnicity
                                                    Boston, 1993-1998
                                45.0

                                40.0                                     38.8
Deaths per 100,000 Population




                                35.0

                                30.0

                                25.0

                                20.0
                                        16.4
                                15.0                12.7                                        13.5

                                10.0
                                                                                                          4.8
                                 5.0

                                 0.0
                                       Boston      White                 Black                 Hispanic   Asian
             DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
             DATA ANALYSIS: Boston Public Health Commission, Research Office.
                                     Heart Disease Mortality Age-Adjusted Rates Among Males
                                                        By Race/Ethnicity
                                                        Boston, 1993-1998
                                 250.0


                                                                    197.6
 Deaths per 100,000 Population




                                 200.0
                                          171.3       171.5

                                 150.0

                                                                                   108.6
                                                                                             98.2
                                 100.0



                                  50.0



                                   0.0
                                          Boston      White          Black        Hispanic   Asian

DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
DATA ANALYSIS: Boston Public Health Commission, Research Office.
                                    Injury-Related* Mortality Age-Adjusted Rates Among Males
                                                        By Race/Ethnicity
                                                        Boston, 1993-1998
                                120.0
                                                                           107.6

                                100.0
Deaths per 100,000 Population




                                 80.0                                                       72.9
                                          64.0
                                 60.0
                                                     50.0

                                 40.0
                                                                                                      26.5

                                 20.0


                                  0.0
                                         Boston      White                 Black           Hispanic   Asian
*Injury deaths include accidents, homicide, suicide, and motor vehicle-related injuries.
DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
DATA ANALYSIS: Boston Public Health Commission, Research Office.
                                        Homicide Mortality Age-Adjusted Rates Among Males
                                                         By Race/Ethnicity
                                                         Boston, 1993-1998
                                 70.0

                                                                    58.6
                                 60.0
 Deaths per 100,000 Population




                                 50.0

                                 40.0

                                 30.0

                                 20.0      17.0                                    16.4

                                 10.0
                                                       3.9




                                                                                             n<5
                                  0.0
                                          Boston      White        Black          Hispanic   Asian
NOTE: When there are fewer than five deaths (n<5), a rate cannot be calculated.
DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
DATA ANALYSIS: Boston Public Health Commission, Research Office.
                                       Suicide Mortality Age-Adjusted Rates Among Males
                                                        By Race/Ethnicity
                                                        Boston, 1993-1998
                                20.0

                                18.0
Deaths per 100,000 Population




                                16.0                                               15.0
                                14.0                12.9
                                        12.1
                                12.0
                                                                                             10.5
                                10.0                                8.7
                                 8.0

                                 6.0

                                 4.0

                                 2.0

                                 0.0
                                       Boston       White          Black          Hispanic   Asian

DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
DATA ANALYSIS: Boston Public Health Commission, Research Office.
                                         HIV/AIDS Mortality Age-Adjusted Rates Among Males
                                                          By Race/Ethnicity
                                                          Boston, 1993-1998
                                 100.0
                                                                     89.9
                                  90.0

                                  80.0
 Deaths per 100,000 Population




                                  70.0
                                                                                   61.4
                                  60.0      57.5
                                                        50.1
                                  50.0

                                  40.0

                                  30.0

                                  20.0

                                  10.0                                                       7.2

                                   0.0
                                           Boston      White        Black         Hispanic   Asian
DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
DATA ANALYSIS: Boston Public Health Commission, Research Office.
                                   Substance Abuse Mortality Age-Adjusted Rates Among Males
                                                      By Race/Ethnicity
                                                      Boston, 1993-1998
                                  45.0
                                                                                   40.0
                                  40.0               38.8
                                         36.7                       36.3
  Deaths per 100,000 Population




                                  35.0

                                  30.0

                                  25.0

                                  20.0

                                  15.0                                                       13.4

                                  10.0

                                   5.0

                                   0.0
                                         Boston      White          Black         Hispanic   Asian
DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
DATA ANALYSIS: Boston Public Health Commission, Research Office.
                                      Stroke Mortality Age-Adjusted Rates Among Males
                                                       By Race/Ethnicity
                                                      Boston, 1993-1998
                               40.0
                                                                     36.9

                               35.0
Deaths per100,000 Population




                               30.0
                                                                                                    27.1
                                        25.7
                               25.0                22.8
                                                                                          19.2
                               20.0

                               15.0

                               10.0

                                5.0

                                0.0
                                       Boston      White             Black               Hispanic   Asian
       DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
       DATA ANALYSIS: Boston Public Health Commission, Research Office.
                                       COPD Mortality Age-Adjusted Rates Among Males
                                                      By Race/Ethnicity
                                                      Boston, 1993-1998
                                30.0

                                                    25.2
                                25.0     23.8
Deaths per 100,000 Population




                                20.0                            19.2
                                                                                             18.3


                                15.0

                                                                                   10.1
                                10.0


                                 5.0


                                 0.0
                                        Boston      White       Black             Hispanic   Asian
DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health.
DATA ANALYSIS: Boston Public Health Commission, Research Office.
Summary of Health among
Racial and Ethnic Populations
   Areas With a Lack of Reported
   Differences by Race/Ethnicity
 Access      and Utilization
      Lack of a dental visit in past year due to cost:
       5.4%
 Health Risks
   Current smoker: 18.3%

   Daily smoking: 12.5%

   Driving under the influence of alcohol: 2.4%

   Considering self to be of high/medium risk for

    HIV: 8.5%
   Owning of a firearm for personal protection:

    2.3%
  Areas With a Lack of Reported
  Differences by Race/Ethnicity
 Risk   Reduction and Prevention
     Blood stool testing in past two years: 33.9% of
      those ages 50 or over
     Blood stool test ever: 41.9% of those ages 50 and
      over
     Sigmoidoscopy in the past 5 years: 32.9% of
      those ages 50 and over
     Cholesterol testing in the past five years: 75.9%
  Areas With a Lack of Reported
  Differences by Race/Ethnicity
 Health   Conditions
     Limitation in activities in the past month due to
      health: 4.8%
     Ever having been told they had high cholesterol:
      20.9%
     Ever having been diagnosed with heart disease:
      4.6%
     Experiencing physical violence by a stranger in
      the past year: 2.8%
  Summary: Asian Bostonians
 Health    Advantages
     Fewer reported frequent physical pain in the past
      month.
     More reported being full of energy in the past month
      than either Hispanic or black respondents.
     Fewer were overweight or very overweight.
     Fewer had ever been told they had hypertension.
     Fewer 18-59 year-olds reported experiencing physical
      violence in the past year, compared with Hispanics.
  Summary: Asian Bostonians
 Health   Disadvantages
     Fewer women had had a clinical breast exam in the
      past 2 years.
     Fewer women had had a Pap smear in the past 3 years.
  Summary: Black Bostonians
 Health    Advantages
     More reported having had a clinical breast exam in
      the past 2 years, compared with Asian and Hispanic
      respondents.
     More reported having had a Pap smear in the past 3
      years, compared with Asian and Hispanic
      respondents.
     Fewer reported heavy drinking in the past month,
      compared with white respondents.

 Health    Disadvantages
     More described their health as fair or poor, compared
      with white respondents.
  Summary: Black Bostonians
 Health    Disadvantages (Continued)
     More had frequent physical pain in the past month,
      compared with white and Asian respondents.
     More reported 15+ days of poor mental health in the
      past month than in any other group.

     Fewer said they were generally satisfied with their
      life, compared with Hispanic and white respondents.
     More said they rarely or never get enough emotional
      support, compared with white respondents.
     More reported being without health insurance,
      compared with white respondents.
 Summary: Black Bostonians
 Health    Disadvantages (Continued)
     More reported having lost 6 or more teeth to disease
      or decay, compared with every other group.
     More were overweight or very overweight, compared
      with white and Asian respondents.
     More had a disability or limitation for which they
      needed help with their daily activities, compared with
      Asian respondents.
     More had been told they were hypertensive than in
      any other group.
     More had been diagnosed with diabetes than in any
      other group.
  Summary: Hispanic/Latino
  Bostonians
 Health    Advantages
     Fewer reported heavy alcohol consumption in the
      past month, compared with white respondents.

     More smokers reported a quit attempt in the past
      year, compared with white respondents.
 Health    Disadvantages
     More described their health as fair or poor, compared
      with white respondents.
     More said they rarely or never get enough emotional
      support, compared with white respondents.
  Summary: Hispanic/Latino
  Bostonians
 Health    Disadvantages
     More reported 15+ nights of insufficient sleep than in
      any other group.
     More said they had needed to see a doctor in the
      past year but were unable to because of cost, than in
      any other group.
     Fewer women had had a clinical breast exam in the
      past two years, compared with white respondents.
     More reported experiencing physical violence in the
      past year, compared with Asians.
  Summary: Hispanic/Latino
  Bostonians
 Health   Disadvantages
     More women ages 18-59 reported experiencing
      intimate partner violence, compared with Asian
      respondents.
     More were overweight or very overweight, compared
      with Asian respondents.

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:49
posted:5/26/2010
language:English
pages:64