Health Highlight Report for Sierra County
Nutrition - Adult Fruit and Vegetable Consumption: Percentage Consuming Five a Day, 2013, 2015, 2017
Sierra County17.5% 95% Confidence Interval(10.8% - 27.2%)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 Mexico16.9% U.S. DNADNA=Data not available.
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?Fruits and vegetables contain essential vitamins, minerals, fiber, and other compounds that may help prevent many chronic diseases. Compared with people who consume a diet with only small amounts of fruits and vegetables, those who eat more generous amounts as part of a healthful diet are likely to have reduced risk of heart attack, stroke, type 2 diabetes, and certain cancers (1). Eating vegetables and fruits rich in potassium may lower blood pressure, and may also reduce the risk of developing kidney stones and help to decrease bone loss (1). Fruits and vegetables can also help people to achieve and maintain a healthy weight, because they are relatively low in energy density (2). To promote health and prevent chronic diseases, the 2015-2020 Dietary Guidelines for Americans recommend that adults eat 2 cups of fruit and 2.5 cups of vegetables per day for a standard 2,000 calorie diet, with varying recommendations based on an individual's age, gender, and activity level (3).
How Are We Doing?The majority of New Mexico adults do not consume 5+ servings of fruits and vegetables a day. American Indians were significantly more likely to consume 5+ servings per day than Hispanics and Whites, and women were significantly more likely to consume 5+ servings per day than men.
What Is Being Done?The NM Department of Health (NMDOH) Obesity, Nutrition, and Physical Activity Program; the NMDOH Women, Infants, and Children (WIC) program; the Eight Northern Indian Pueblos Food Distribution Program on Indian Reservations (FDIPR), and NM State University are coordinating efforts to provide monthly scheduled nutrition education through food tastings and cooking demonstrations for WIC and FDIPR recipients using fruits, vegetables, and whole grains.
Evidence-based PracticesFor people to make healthy food choices, healthy food options must be available and accessible. Families living in low-income neighborhoods and rural areas of the state often have less access to healthier food and beverage choices than those in more urban, higher-income areas. Below are some strategies communities may use to support healthy eating (4): - Making healthy food choices available and affordable in public venues - Restricting availability of less healthy options in public venues - Improve geographic availability of supermarkets in underserved areas - Provide incentives to food retailers to locate in and/or offer healthier food and beverage choices in underserved areas - Improve availability of mechanisms for purchasing goods from farms - Provide incentives for the production, distribution, and procurement of foods from local farms - Limit advertisements of less healthy foods and beverages
Healthy People Objective NWS-15:Increase the variety and contribution of vegetables to the diets of the population aged 2 years and older
U.S. Target: Not applicable, see subobjectives in this category
Relevant Population Characteristics:
- Food Insecurity
- New Mexico Population - Median Household Income
- New Mexico Population - Poverty Among All Persons
- New Mexico Population - Race/Ethnicity
- Unemployment Rate
Health Care System Factors:
- Health Care Access - Unable to Get Care Because of Cost
- Health Care Access - Primary Care Physicians Compared to Population Size
- Health Care Access - Primary Medical Provider
- Health Insurance Coverage - BRFSS Survey Estimates
- Medicaid Enrollment
Health Status Outcomes:
NoteThe fruit and vegetable (5-a-Day) consumption questions were administered only in odd years. **Data were not available for some counties due to insufficient numbers of people (fewer than 50) from those counties who were surveyed in the BRFSS. 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 would likely 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. U.S. Centers for Disease Control and Prevention (CDC), BRFSS Prevalence and Trends Data, [https://www.cdc.gov/brfss/brfssprevalence].
Measure Description for Nutrition - Adult Fruit and Vegetable Consumption
Definition: Percentage of adults who report consuming fruits and vegetables five or more times per day.
Numerator: Number of adults who report consuming fruits and vegetables five or more times per day
Denominator: Number of adults in the survey sample