Health Highlight Report for Sierra County
Chlamydia Rates: Cases per 100,000 Population, 2017
Sierra County221.1 95% Confidence Interval(134.5 - 307.7)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "DNA" (Data Not Available) will appear if the confidence interval was not published with the IBIS indicator data for this measure.
Statistical StabilityStableDescription of Statistical Stability
- Stable = This count or rate is relatively stable and should provide a good estimate of your community risk.
- Unstable = This count or rate is statistically unstable (RSE >0.30), and may fluctuate widely due to random variation (chance).
- Very Unstable = This count or rate is extremely unstable (RSE >0.50). This value should not be used to represent your population risk. You should combine years or otherwise increase the population denominator in this calculation.
- DNA = Data Not Available. The required community value and/or confidence interval was not available for this measure.
New Mexico645.1 U.S.528.8
Sierra County Compared to State
Description of Dashboard Gauge
Description of the Dashboard GaugeThis "dashboard" type graphic is based on the community data on the right. It compares the community value on this indicator to the state overall value.
The community value is considered statistically significantly different from the state value if the state value is outside the range of the community's 95% confidence interval. If the community's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the community's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the community and state values. When selecting priority health issues to work on, a community should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the community number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The community's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The community's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The community's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The community's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?Chlamydia is the most common bacterial sexually transmitted disease. Even though symptoms of chlamydia are usually mild or absent, serious complications that cause irreversible damage, including infertility, can occur "silently" before a woman ever recognizes a problem(1). It is the leading preventable cause of infertility, and screening and treatment are the best means of preventing it.
Risk and Resiliency FactorsChlamydia can be transmitted during vaginal, anal, or oral sex. Chlamydia can also be passed from an infected mother to her baby during vaginal childbirth. Any sexually active person can be infected with chlamydia. The greater the number of sex partners, the greater the risk of infection.
How Are We Doing?Overall, chlamydia rates have been increasing from 2011 (547.0 per 100,000 population) to 2017 (645.1 per 100,000 population). In 2017, chlamydia rates were highest in the Black/African American race/ethnicity category (1097.8 per 100,000), second highest in the American Indian/Alaska Native population, (817.4 per 100,000 population), and third highest in the Hispanic category (497.9 per 100,000). The lowest rates were found in the White category (268.8 per 100,000 population) and Asian/Pacific Islander category (133.5 per 100,000) respectively. By county, the highest Chlamydia rate for 2017 was found in McKinley county (904.2 per 100,000), followed by Cibola County (898.4 per 100,000) and San Juan County (864.8 per 100,000). It is unknown whether this is an actual increase in rates or due to better testing and detection activities.
What Is Being Done?Chlamydia testing is performed on females under age 26 at approximately 200 test sites including 54 public health offices and family planning and other provider agreement sites, in addition to routine treatment and surveillance activities.
Evidence-based PracticesDespite an a recommendation from the U.S Preventive Services Task Force to annually screen all sexually active females under age 25, data from health plans shows that fewer than 50% of that group actually gets screened each year. Chlamydia is the leading preventable cause of infertility, and screening and treatment are the best means of preventing it.
Data SourcesPatient Reporting Investigating Surveillance Manager, Infectious Disease Bureau, New Mexico Department of Health New Mexico Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/. U.S. Data Source: Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention.
Measure Description for Chlamydia Rates
Definition: Chlamydia cases reported in the state of New Mexico per 100,000 population.
Numerator: Number of cases of chlamydia reported to the state of New Mexico (and Centers for Disease Control) in New Mexico residents from all health care providers.
Denominator: Total Population