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Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology, BHISRE Massachusetts Department of Public Health
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Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Dec 15, 2015

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Page 1: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Health of Massachusetts

Kristin Golden, Director Policy and Planning, Commissioner’s Office

Bruce Cohen, PhD, Director Division of Research and Epidemiology, BHISRE

Massachusetts Department of Public Health

Page 2: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Health of Massachusetts

Page 3: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Goals of Report

The goal is to produce a statewide health report that highlights DPH work

Compiles information in one place  

Provides baseline data; NOT intended as a definitive research study

Explore the breadth and depth of health topics

Have outside experts provide perspectives

Include topics critical to health such as Community Assets

Page 4: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Visually attractive layout

Page 5: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Variety of graphics

Page 6: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Policy Perspectives essays from leading public health experts

Page 7: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Policy Perspectives Christine Barber, Community Catalyst Mary Bassett, New York City Health Department Barry Bluestone, Northeastern University Joseph Brain, Harvard School of Public Health Donna Bright, Research and Planning, JRI Health Stuart Chipkin, University of Massachusetts, Amherst Ellen Connorton, Founder, Mass Coalition for Suicide Prevention Constance Horgan, Brandeis University Marcy Goldstein-Gelb, Massachusetts Coalition for Occupational Safety and Health Paula Griswold, Massachusetts Coalition for the Prevention of Medical Errors Milton Kotelchuck, Boston University School of Public Health Peter Lee, Mass Partnership for Healthy Communities Robert Restuccia, Community Catalyst Cindy Rodgers, Former Director, Injury Prevention and Control Program, MDPH Mary Huff Stevenson, University of Massachusetts Boston David Wegman, UMASS Lowell

Page 8: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Fourteen chaptershighlights breadth and depth of data and analyses

Page 9: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Air Quality—Alcohol Use—Assaults—Asthma—Autism—Beaches—Birth Defects—Births—Breast Cancer—Breastfeeding—Bullying—Cancer—Cardiovascular Disease—

Chlamydia—Chronic Disease—Colorectal Cancer—Community Assets—Coronary Heart Disease—C-Sections—Dental Health—Dental Visits—Diabetes—Diabetes

(Gestational)—Disabilities—Disparities—Domestic Violence—Drowning—Drug Use—Early Intervention—ED Visits—Education—EEE—Environmental Health—Falls—Farmers' Markets—Fertility—Fire injury—Foodborne illness—Gonorrhea—Gun-

Related Injuries—Health Care System—Health-related quality of life—Hepatitis A—Hepatitis B—Hepatitis C—Heroin and Opioids—HIV / AIDS—Homicide—Hospital

Acquired Infections—Infant Mortality—Infectious Disease—Injury—Insurance—Lead Poisoning—Life Expectancy—Low Birth Weight—Lung Cancer—Lyme Disease—

Malignant Mesothelioma—Marijuana Use—Mental health—Mortality—Motor vehicle injury—Newborn hearing—Newborn Screening—Nursing Homes—Nutrition—Obesity—Occupational health—Oral health—PCPs—Pedestrian injury—Pertussis—Physical

Activity—Poverty—Premature Birth—Prenatal Care—Preventative Screenings—Prostate Cancer—Salmonella—Second-hand Smoke—Serious Reportable Events—

Sexual Assault—Sharps Injuries—Skating Rinks—Smoking—Socio-economics—Stroke—Substance Abuse Treatment—Suicide—Syphilis—Teen Births—Traumatic

Brain Injury—Tuberculosis—Vaccination—Violence—Water supply—Wellness—West Nile Virus—WIC—Workforce shortages

Covering more than 100 subjects

Page 10: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Alan Holmlund—Alfred DeMaria—Alice Bonner—Andrew Hanchett—Angela Laramie—Anita Albright—Beatriz Pazos—Becky Sarah—Beth Hume—Bonnie Andrews—Brianne Beagan—Bruce Cohen—Carlene Pavlos—Carol Davin—Carrie Huisingh—Cathy Corcoran—Ceci Dunn—Cheryl Bartlett—Christine Farrell-O’Reilly—Cynthia Lamond—Deborah Isenberg—Donald Poulsen —

Donna Johnson—Eileen McHale—Eileen Sullivan—Elise Pechter—Elizabeth Daake—Emily Lu—Gail Merriam—Gillian Haney—Helen Hawk—Hermik

Babakhanlou-Chase—Hilary Jacobs—Holly Hackman—Isabel Cáceres—James K. West—James Laing—Jan Sullivan—Jane Dvorak—Janet Farrell—Jean

Pontikas—Jean Zotter Suzanne Condon—Jennifer Tracey—Jerry O’Keefe—Jewel Mullen—Joan Bohlke—Joshua Nyambose—Judy Hause,—Julia Dyck—

June O’Neill—Karen Pressman—Karin Downs—Kathleen Fitzsimmons—Kathleen Grattan—Kathy Foell—Katrina D’Amore—Kevin Cranston—Kristin

Golden—Kyle Marshall—Lauren Kievits—Lenore Azaroff—Leonard Lee—Letitia Davis—Liane Tinsley—Lionel White—Lois Keithly—Lynn Bethel—Malena Hood—Maria Bettencourt—Maria McKenna—Mark Paskowsky—Marlene Anderka—

Michael Botticelli—Michael Fiore—Monika Mitra—Patti Fougere—Paul Oppedisano—Paul Tessier—Philip Mello—Rachel Colchamiro—Rashmi Dayalu

—Roger Eaton—Ron Benham—Sarah Ruiz—Sheila Erimez —Sherman Lohnes—Solomon Mezgebu—Steve Keel—Susan Manning—Terri Mendoza—Thomas

Land—Tracy Osbahr—Vera Mouradian—Vivian Pun—Wee Lock Ooi .

Written by nearly 100 staff

Page 11: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Key Findings

Many Massachusetts indicators are better than those of the US and are getting better:

BreastfeedingCancer deaths (including breast cancer and prostate cancer)ColonoscopyFalls in nursing homesFire deathsHeart disease deaths

Insurance AccessLife ExpectancyMortalityLead poisoningSmoking and Second hand smoke

Page 12: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Key Findings

Other areas have seen increases or no change:

Health of Massachusetts highlights disparities in each chapter by race, ethnicity, gender, age, geography, and socio-economic status

FallsGestational DiabetesHepatitisObesitySyphilisTraumatic Brain Injury

Asthma (Adult)AutismChlamydiaC-SectionDiabetesDrug and Alcohol use

Page 13: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Selected Chapter Highlights

Page 14: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Community Assets

Community Infrastructure

Health Care Infrastructure

Worksite Policies and Programs

Individual Well-Being

• Parks, playgrounds, recreational facilities

• Safety policies

• Healthy eating policies

• Master plan development and community design

• On-site fitness facilities

• Healthy eating policies

• Occupational health and safety policies

• Access to health care facilities

• Access to health care practitioners

Page 15: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Number of Physicians per 100,000 population Massachusetts: 2009

Page 16: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Primary Care Physicians Massachusetts: 2009

Page 17: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Health Care Infrastructure by Region Massachusetts: 2009

Page 18: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Healthy Eating and Active Living Community Assets by Region, Massachusetts: 2007

Page 19: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Communities with Farmers’ Markets Massachusetts: 2009

Page 20: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,
Page 21: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Pregnancy to Early Life Longitudinal Data System

(PELL)

MA Birth Defects Monitoring Program

Universal Newborn Hearing Screening Program

WIC Nutrition Program

New England Newborn Screening Program

Vital Statistics Pregnancy Risk Assessment

Monitoring System (PRAMS)

Early Intervention Program

Natality and Early Childhood

Page 22: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Trends in Multiple BirthsMassachusetts: 1990-2007

Page 23: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Types of Fertility TreatmentMassachusetts: 2007

Page 24: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Eligible Women, Infants and Children served by WICMassachusetts: 2000-2007

Page 25: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

WIC Participation During PregnancyMassachusetts: 2007

Page 26: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Children Served in the Early Intervention ProgramMassachusetts: 1990-2008

Page 27: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Trends in Autism Spectrum DisordersMassachusetts: 2001-2005

Page 28: Health of Massachusetts Kristin Golden, Director Policy and Planning, Commissioner’s Office Bruce Cohen, PhD, Director Division of Research and Epidemiology,

Distribution

Initial print run of 2,000 copies Regional Dialogues around the state

www.mass.gov/dph/healthofmassachusetts Links to related reports with more in-depth

information

Links to programs and bureaus that address those areas