Diabetes in Idaho - 2009 BRFSS 2009 Data collected from Behavioral Risk Factor Surveillance System Idaho Department of Health and Welfare, Division of Public Health Bureau of Vital Records and Health Statistics For more information on this study, please contact (208) 332-7326.
Idaho Behavioral Risk Factor Surveillance System (BRFSS) Ongoing surveillance program developed and partially funded by the � Centers for Disease Control and Prevention (CDC) Estimates prevalence of risk factors for the major causes of morbidity and � mortality in the U.S. Continuous random telephone survey � Largest telephone sample in the world >260,000/yr � 5,390 Idaho adults (18+) were sampled in 2009 � Weighted to correct differences in probability of selection. Weighted by age � and sex based on population estimates. >250 cell phone interviews in 2009, ~10% of total sample beginning in 2010 � English and Spanish language versions in Idaho � Data limitations � Self-reported behaviors � Excludes those in prisons, dorms, cell phone only households, those who � speak languages other than English or Spanish and others who are unable to communicate by telephone. 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Idaho Diabetes at a Glance � 8.0% of the adult population in Idaho have been diagnosed with diabetes This translates to approximately 90,000 people. � � Almost 1 in 12 Idahoans have diabetes � Almost 1 in 5 adults aged 65+ have diabetes � 51 is the average age of diagnosis � Diabetes affects men and women equally � Over 80% of those with diabetes are obese or overweight 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Percent of Idaho Adults with Diabetes Diabetes is a growing chronic disease. 20 Over the past 13 years, diabetes has doubled from 4.0% in 1997 to 8.0% in 2009. 15 10 7.9 8.0 6.8 7.0 6.8 6.2 6.1 6.3 5.4 4.8 4.9 4.0 4.3 5 0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Diabetes Prevalence by Health District There is no significant difference in diabetes prevalence by health district. 20 15 10.2 9.1 10 8.8 8.2 8.4 8.0 7.3 6.4 5 0 Statewide HD1 HD2 HD3 HD4 HD5 HD6 HD7 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Pre-Diabetes, Gestational & Current Diabetes Among Idaho Adults Over 5% of Idaho adults have been diagnosed with pre-diabetes, � which translates to approximately 60,000 adults. Approximately 14,000 women (1.3%) have been diagnosed with � gestational diabetes. About 90,000 (8%) Idaho adults currently have diagnosed diabetes. � Gestational 1.3 In total, 164,000 Idaho adults either have Diabetes currently or are Pre-Diabetes 5.3 at risk to develop Diabetes. Diabetes 8.0 0 10 20 30 40 50 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Diabetes by Gender and Age Diabetes becomes more prevalent with age • Approximately 1 in 5 aged 65+ have diabetes 25 • Approximately 1 in 7 aged 55-64 have diabetes 19.0 20 14.5 15 8.1 10 7.8 7.8 3.9 5 2.2 0.8 0 Male Female 18-24 25-34 35-44 45-54 55-64 65+ 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Diabetes by Income & Education Adults with diabetes are more likely to have lower incomes and education. 20 18 16 14 11.2 9.7 12 10 6.8 6.0 8 6 4 2 0 H.S. Grad Some college Income Income or Less or more < $35K $35K + 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Risk Factors Across Time Among Total Idaho Adults, Cholesterol, Blood Pressure, Obesity and Diabetes are all on the rise, while Smoking has declined slightly. 100 80 60 37.3 40 30.1 25.9 25.1 23.0 21.5 20.0 16.3 20 8.0 4.8 0 Obesity Cholesterol Bld Press Diabetes Smoking 1998 2009 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Relationship between Diabetes and other Risk Factors and Disease How to read this chart: Among total Idahoans, 8% have diabetes. Among those with hypertension, 20.5% have � diabetes. Overall, people with high blood pressure, cholesterol, elevated weight and experience with � stroke, heart disease or heart attack have higher prevalence of diabetes . 80 70 60 50 40 33.3 29.6 26.1 30 20.5 18.5 16.1 20 10.6 8.0 % 7.8 10 Overall Prevalence 0 Hypertension Hi Chol Overweight Obese Smoker Stroke Heart Attack Angina 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Adults with Diabetes � Experience higher… Blood pressure � Cholesterol � Weight � Heart disease and heart attack � Stroke � � And are less likely to… Visit the dentist � Engage in physical activity � 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Overweight and Obese Idaho adults with diabetes are significantly more likely to be overweight or obese than those without diabetes. 100 83.2 80 61.3 59.5 51.9 60 40 25.1 22.9 20 0 Obese Overweight State Total Without Diabetes With Diabetes 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Blood Pressure & Cholesterol Compared to people without diabetes, adults with diabetes are much more likely to suffer from high blood pressure and/or cholesterol. 100 80 66.8 65.8 60 37.3 33.9 40 25.9 22.3 20 0 High Blood Pressure High Cholesterol State Total Without Diabetes With Diabetes 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Cardiovascular & Cerebrovascular Disease Idaho adults with diabetes are significantly more likely to suffer a stroke, heart attack or experience heart disease than those without diabetes. 40 30 20 16.3 13.6 8.1 10 3.62.8 3.9 2.8 2.5 2.0 0 Stroke Heart Attack Heart Disease/ Angina State Total Without Diabetes With Diabetes 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Oral Health Idaho adults with diabetes are less likely to have had a dental visit in the past 12 months, and are less likely to have dental insurance. 100 70.1 70.7 80 63.5 56.5 57.2 48.7 60 40 20 0 Dental Visit Dental Insurance State Total Without Diabetes With Diabetes 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Leisure Time Physical Activity People with diabetes are significantly less active than those without diabetes. 100 80 60 37.2 40 21.0 19.7 20 0 State Total No Diabetes Diabetes Participate in No Leisure Time Physical Activity 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Smoking There is no difference in smoking among those with or without diabetes. 100 80 60 40 16.3 16.3 16.1 20 0 State Total No Diabetes Diabetes 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Diabetes Management Class � Over half have taken a class to help them manage their diabetes. This is not significantly different over time. 100 56.8 43.2 75 50 25 0 Note: This data is from the 2008 BRFSS Taken a class Not taken a class 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
Behaviors by Class Attendance Taken class Have not taken class Taking insulin 38.2* 15.4 75.9* Had foot exam in past year 60.8 Had annual dilated eye exam 66.7 58.6 Had A1c twice in past year 68.1 56.9 Obese 57.9 52.3 No leisure time physical activity 34.6 35.2 Annual flu vaccine 65.3 59.5 Pneumonia vaccine ever 63.3 49.7 * Significantly different Note: This data is from the 2008 BRFSS 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
2008 Results vs. Healthy People 2010 Goals In 2008, Idaho met the Healthy People Goal for A1c checks. 2008 BRFSS Healthy People Goal A1c Check Twice a Year 63.4 61 Check Blood Sugar Daily 57.0 61 Annual Foot Check 69.4 75 Annual Dilated Eye Exam 63.1 76 Dental Exam in Past Year 60.3 75 Note: This data is from the 2008 BRFSS 2009 BRFSS, Idaho Dept. of Health and Welfare, Division of Public Health, Bureau of Vital Records and Health Statistics
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