Health Highlight Report for McKinley County
Mental Health - Youth Feeling Sad/Hopeless: Percentage Feeling Sad/Hopeless, 2017
McKinley County42.9% 95% Confidence Interval(35.4% - 50.7%)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 Mexico35.8% U.S.31.5%
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?Feelings of sadness or hopelessness are a risk factor for depression. Students who report feelings of sadness or hopelessness are more likely than other students to report suicide attempts, cigarette smoking, binge drinking and illicit drug use. The prevalence of feelings of sadness or hopelessness among youth in NM and the US has remained relatively stable since 2001. In 2015, the prevalence among youth in NM (32.5%) was higher than that of the US (29.9%), although this difference was not statistically significant.
How Are We Doing?The prevalence of feelings of sadness or hopelessness among youth in NM and the US has remained relatively stable since 2001, but the prevalence among youth in NM in 2015 is the highest it has been in 15 years.
What Is Being Done?The Department of Health's Office of School and Adolescent Health provides training and funding for 66 school-based health clinics that provide both primary and behavioral health services for students. The Department of Health's 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. In a recent survey of behavioral health consumers in New Mexico, results showed that New Mexico ranks in the top half of states or above the national average regarding access to services, participation in treatment, and mental health workforce availability.
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: http://www.samhsa.gov/nrepp
Healthy People Objective MHMD-4.1:Reduce the proportion of persons who experience major depressive episode (MDE): Adolescents aged 12 to 17 years
U.S. Target: 7.4 percent
Relevant Population Characteristics:
- Binge Drinking Among High School Students (Grades 9-12)
- Youth Current Cocaine Use
- Youth Current Heroin Use
- Youth Current Inhalant Use
- Youth Current Marijuana Use
- Youth Current Methamphetamine Use
- Youth Use of Pain Killers to Get High
- Mental Health - Youth Attempted Suicide
- Tobacco Use - Youth Smoking Prevalence
NoteThe NM Youth Risk and Resiliency Survey (YRRS) is administered in odd years and is part of the national Youth Risk Behavior Surveillance System (YRBS), coordinated and designed by the Centers for Disease Control and Prevention (CDC). Each state, territorial, tribal, and large urban school district participating in YRBS employs a two-stage, cluster sample design to produce a representative sample of students in grades 9-12 in its jurisdiction. In the first sampling stage, in all except a few sites, schools are selected with probability proportional to school enrollment size. In the second sampling stage, intact classes of a required subject or intact classes during a required period (e.g., second period) are selected randomly. All students in sampled classes are eligible to participate. A weight is applied to each student record to adjust for student nonresponse and the distribution of students by grade, sex, and race/ethnicity in each jurisdiction. (**) Data suppressed due to small numbers.
Data SourcesNew Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department. U.S. Centers for Disease Control and Prevention (CDC) High School Youth Risk Behavior Survey Data
Measure Description for Mental Health - Youth Feeling Sad/Hopeless
Definition: Percentage of students grades 9-12 in a NM public school who felt so sad or hopeless almost every day for two weeks or more in a row that they stopped doing some usual activities during the past 12 months.
Numerator: Number of students who answered, "Yes", to the question, "During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities?"
Denominator: Total number of respondents who answered the question, "During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities?"