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Health Highlight Report for McKinley County

Diabetes Deaths: Deaths per 100,000 Population, Age-adjusted, 2014-2016

  • McKinley County
    63.8
    95% Confidence Interval (52.4 - 75.2)
    Statistical StabilityStable
    New Mexico
    26.2
    U.S.
    21.3
  • McKinley County Compared to State

    gauge ranking
    Description of Dashboard Gauge

    Description of the Dashboard Gauge

    This "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.
    • 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.

    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.

Why Is This Important?

In 2016, diabetes was the 6th leading cause of death for New Mexicans and the 7th leading cause in the U.S. Diabetes complications, which are costly to individuals, families and to society, include premature death, cardiovascular disease, blindness, end stage kidney disease, and lower extremity amputations. People with diabetes are two to four times more likely to develop cardiovascular disease and stroke; about 65% of deaths in people with diabetes nationwide are due to these conditions. Costs of diabetes extend beyond medical costs, such as costs due to lower productivity, disability and loss of productive life due to premature death, and care-taking by family members. Effective and accessible diabetes prevention and management programs and resources are necessary to reverse the increasing rates of diabetes in our communities and reduce diabetes complications.

Risk and Resiliency Factors

Many interconnected risk factors contribute to diabetes-related deaths in complex ways. They range from the environmental context/population-based determinants of health such as poverty or living/working in certain geographic areas, to behaviors related to disease management. It must be noted that personal behaviors are strongly dependent on the broader environmental context mentioned above. For example, it is difficult to eat a nutritious diet if one doesn't have access to affordable healthy foods.

How Are We Doing?

Death rates for both New Mexico and the US are far below the HP 2020 target of 66.6 deaths per 100,000 population. New Mexico age-adjusted diabetes death rate in 2016 was 26.7/100,000, down from 34.6/100,000 in 2003. National age-adjusted rates have been lower, 25.5/100,000 in 2003 and 21.3/100,000 in 2015, the most recent year available. The number of New Mexico diabetes deaths (i.e., numerator) ranged from a low of 500 in 2000 to a high of 671 deaths in 2016. From 2000 to 2016, an annual average of 609 diabetes deaths occurred, with a total of 10,357 diabetes deaths. The female rates were lower than the male rates for all age groups. Race/Ethnicity Rates: During the period 2014-2016, the New Mexico American Indian population had the highest diabetes death rates and the White had the lowest diabetes death rate. The American Indian rate was roughly double the rates of Black/African American and Hispanic populations, nearly three times that of the Asian/Pacific Islander population, and four times that of the White population. When looking at the race/ethnicity rates by sex, male rates are higher than female rates in all groups except Asian/Pacific Islander, where there was no significant difference. Among males, the American Indian/Alaska Native rate was four times, and the Black/African American rate was two times, higher than the White rate. The American Indian rate was two times higher than the Hispanic rate and the Black/African American rate. Among females, the American Indian/Alaska Native rate was almost five times higher than the White rate, and two times higher than the Hispanic rate. The Hispanic female rate, as with the male rate, was twice the White rate. All these differences are statistically significant. Urban/Rural: Counties were categorized into Metropolitan, Small Metropolitan, Mixed Urban-Rural and Rural. In 2014-2016, the Mixed Urban-Rural diabetes death rate was the highest and the Metropolitan rate the lowest. The Mixed Urban-Rural rate was 39% higher than that of the Metropolitan rate. The rates for Rural and Mixed Urban-Rural were not statistically different.

What Is Being Done?

The NM Department of Health Diabetes Prevention and Control Program (DPCP) works with health care providers and community partners, agencies and coalitions to provide multiple diabetes prevention and management services and programs. Services and programs include: professional development trainings and resources for diabetes prevention and management; the National Diabetes Prevention Program (National DPP), a proven community-based physical activity and nutrition intervention to prevent or delay diabetes in persons at high risk; community resources to help people manage their diabetes through skill building, such as the Chronic Disease Self-Management and Diabetes Self-Management Education Programs; Kitchen Creations cooking schools; and health system disease management interventions that improve blood glucose, blood pressure, and cholesterol. The DPCP provides education, information, and resources about prediabetes and diabetes, particularly to health care providers, to increase screening, testing and referral to prevention and management programs. This includes a centralized referral and data system that helps providers easily make referrals to the above programs. DPCP?s partners support built environment improvements so people at risk for or with diabetes can be physically active and initiatives that increase access to healthy foods. Both are essential components of effective population-based diabetes prevention and control. The DPCP consults with populations that are disproportionately affected by diabetes and/or those that serve them to develop programs and services that are culturally appropriate for these populations.

Evidence-based Practices

Diabetes and its complications can be prevented, delayed and/or managed through participation in evidence-based programs, including the National Diabetes Prevention Program or NDPP (provided in a clinical, community, or web-based setting), the Diabetes Self-Management Education Program or DSMEP (provided in a community or web-based setting), and Diabetes Self-Management Education and Support programs or DSME/S (usually provided in a clinical setting). Improving the quality of clinical care for people with and at risk for diabetes is also an evidence-based practice. The following DPCP activities are in alignment with these accepted programs and practices: 1. Increase use of the NDPP to prevent or delay onset of type 2 diabetes among people at high risk by raising awareness about prediabetes and the NDPP, increasing delivery sites, facilitating the screening and referral process, and working to obtain health insurance coverage (including Medicaid) for the program. 2. Increase access to sustainable self-management education and support services (DSMEP and DSME/S) to improve control of A1C, blood pressure, and cholesterol, and to promote tobacco cessation, by increasing delivery sites, facilitating the referral process, and working to obtain health insurance coverage (including Medicaid) for the programs. 3. Implement evidence-based worksite programs and policies that help people prevent or manage diabetes and related chronic conditions, promote tobacco cessation, and help employees improve control of their A1C, blood pressure, and cholesterol. 4. Improve health outcomes for people with and at risk for diabetes by supporting health care organizations to improve quality of care through use of the Planned Care Model, Patient Centered Medical Home, and Electronic Health Record. Within these organizations, support policy and protocol implementation that institutionalize and help sustain quality care improvements. 5. Promote the sustainability of Community Health Workers (CHWs) involved in providing diabetes prevention and management services.

Healthy People Objective D-5.1:

Reduce the proportion of the diabetic population with an A1c value greater than 9percent
U.S. Target: 14.6 percent

Note

Age-adjusted to U.S. 2000 population, except for rates by age group. Diabetes deaths include those with ICD10 codes E10 - E14 and as underlying cause of death.  Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE >0.30 and <0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE >0.50). These values should not be used to infer population risk. Some Very Unstable rates have been suppressed.

Data Sources

New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.   Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.  

Measure Description for Diabetes Deaths

Definition: The diabetes death rate: the number of deaths attributed to diabetes per 100,000 people, age-adjusted to the 2000 U.S. population.
Numerator: Number of deaths among New Mexico residents due to diabetes as the underlying cause of death.
Denominator: Estimated total number (population) of New Mexico residents.

Indicator Profile Report

Diabetes Death Rates (exits this report)

Date Content Last Updated

02/09/2018
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Wed, 17 October 2018 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Fri, 6 Jul 2018 17:16:20 MDT