Health Highlight Report for McKinley County
Mental Health - Adult Depression: Percentage with Depression, 2016
McKinley County7 95% Confidence Interval(4 - 11.7)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 StabilityUnstableDescription 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 Mexico9.8 U.S. DNADNA=Data not available.
McKinley 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?Depression is one of the most prevalent and treatable mental disorders. Major depression is usually associated with co-morbid mental disorders, such as anxiety and substance use disorders, and impairment of a person's ability to function in work, home, relationship, and social roles. Depression is also a risk factor for suicide and attempted suicide. In addition, depressive disorders have been associated with an increased prevalence of chronic medical conditions, such as heart disease, stroke, asthma, arthritis, cancer, diabetes, and obesity.
How Are We Doing?In 2016, 9.8% of NM residents 18 years or older screened positive for current depression.
What Is Being Done?The Department of Health Epidemiology and Response Division conducts ongoing surveillance for indicators of mental health among students and adults in every county of New Mexico. The Human Services Department recently modernized the New Mexico Medicaid system by integrating physical and behavioral health services in the Centennial Care program, which will help treat an individual in a more holistic manner.
Evidence-based PracticesFor reviews of evidence-based practices, please see: -US Preventive Services Task Force: http://www.uspreventiveservicestaskforce.org/ -Centers for Disease Control and Prevention?s Community Guide: http://www.thecommunityguide.org/index.html -Substance Abuse and Mental Health Services Administration?s National Registry of Evidence-Based Programs and Practices: https://www.samhsa.gov/nrepp
Healthy People Objective MHMD-4:Reduce the proportion of persons who experience major depressive episode (MDE)
U.S. Target: Not applicable, see subobjectives in this category
Relevant Population Characteristics:
NoteThe Anxiety and Depression Module, included as a state-added module of the Behavioral Risk Factor Surveillance System (BRFSS) in 2011 and 2016, comprises the first eight questions from the Patient Health Questionnaire (PHQ-8), an instrument that can establish a provisional depressive disorder diagnosis using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria. These eight questions ask how many days over the past two weeks the respondents experienced each of the eight symptoms. The number of days during which symptoms were reported were converted to points; the number of points were then summed across the 8 questions to determine the severity of depressive symptoms. A cut-off score of 10 points or more was used to define current depression. (#) Values are unstable. (##) Values are extremely unstable. (**) Data suppressed due to small numbers The county-level BRFSS data used for this indicator report were weighted to be representative of the New Mexico Health Region populations. Had the data been weighted to be representative of each county population, the results may have been different.
Data SourcesBehavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.
Measure Description for Mental Health - Adult Depression
Definition: Percentage of NM residents 18 years or older who screened positive for current depression in the two weeks prior to taking a phone survey.
Numerator: Number of survey respondents who reported a total of 10 depressive symptom-days or more within the two weeks prior to survey.
Denominator: Number of survey respondents excluding those with missing, "Don't know/Not sure," and "Refused" responses.