Health Highlight Report for Sierra County
Obesity - Adult Prevalence: Percentage Who Were Obese, 2015-2017
Sierra County23.8% 95% Confidence Interval(17.0% - 32.4%)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 Mexico28.5% U.S.31.3%
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?Obesity is associated with an increased risk for a number of other chronic diseases, including heart disease, stroke, diabetes, and a number of cancers (endometrial, colon, kidney, esophageal, post-menopausal breast, liver, pancreas, gallbladder, stomach, ovary, thyroid, meningioma, and multiple myeloma.) In both New Mexico and the United States, the percentage of adults who are obese, based on telephone survey data, has more than doubled since 1990. Excess weight also contributes to the development of arthritis, a chronic disease that is the leading cause of disability amongst adults in the nation and the state. Obesity has been identified as a population health priority for the New Mexico Department of Health along with diabetes, substance misuse, and unintended teen pregnancy.
How Are We Doing?After decades of climbing, New Mexico's overall rate of adult obesity has remained stable since 2014. However, certain groups of adults, such as American Indians, Hispanics, people who didn't graduate from high school, and people experiencing poverty, have significantly higher rates of obesity than some other groups. By age group, rates of obesity are higher for men and women in the 35 to 49 and 50 to 64 year age ranges than for those in older and younger age groups.
What Is Being Done?- The New Mexico Department of Health's (DOH) Obesity, Nutrition and Physical Activity Program (ONAPA) collaborates with state and local partners to implement sustainable policy, systems and environmental obesity prevention strategies to support healthy eating and physical activity. Healthy Kids Healthy Communities (HKHC), ONAPA's key program, builds state and local partnerships to expand opportunities for healthy eating and physical activity for children and low-income adults where they live, learn, play, work, eat, and shop. HKHC coalitions in 11 counties and 3 tribal communities collaborate with over 600 state and local partners to create sustainable community change through a collective impact framework; key elements include a common agenda, mutually reinforcing activities, continuous communication, shared measurements, and active coalitions to support increased healthy eating, increased physical activity, and healthy weights. - With the addition of federal Supplemental Nutrition Assistance Program Education (SNAP-Ed) funding in 2015, the ONAPA Program expanded its reach to the low-income adult population, specifically those participating in food assistance programs within tribal communities and high-poverty counties. ONAPA, Women, Infants, and Children (WIC), and NM State University are coordinating efforts to provide nutrition education through the implementation of food tastings and cooking demos for WIC recipients using WIC eligible foods, primarily fruits, vegetables, and whole grains. Targeting women and children captures a majority of SNAP-eligible recipients, many of whom also receive WIC benefits, and provides an opportunity to reinforce and build upon nutrition and physical activity education strategies across multiple programs.
Evidence-based PracticesTo help communities in this effort, CDC initiated the Common Community Measures for Obesity Prevention Project (the Measures Project). The objective of the Measures Project was to identify and recommend a set of strategies and associated measurements that communities and local governments can use to plan and monitor environmental and policy-level changes for obesity prevention. This report describes the expert panel process that was used to identify 24 recommended strategies for obesity prevention and a suggested measurement for each strategy that communities can use to assess performance and track progress over time. The 24 strategies are divided into six categories: 1) strategies to promote the availability of affordable healthy food and beverages), 2) strategies to support healthy food and beverage choices, 3) a strategy to encourage breastfeeding, 4) strategies to encourage physical activity or limit sedentary activity among children and youth, 5) strategies to create safe communities that support physical activity, and 6) a strategy to encourage communities to organize for change. For more information, please see Kahn, et al., Recommended Community Strategies and Measurements to Prevent Obesity in the United States, [http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm].
Healthy People Objective NWS-9:Reduce the proportion of adults who are obese
U.S. Target: 30.5 percent
Relevant Population Characteristics:
- Crime Rate
- Food Insecurity
- Multiple Chronic Conditions
- New Mexico Population - Poverty Among Children Under Age 18
- 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
- Nutrition - Adult Fruit and Vegetable Consumption
- Nutrition - Adolescent Fruit and Vegetable Consumption
- Obesity - Adolescent Prevalence
- Physical Activity - Adult Prevalence
- Physical Activity - Adolescent Prevalence
Health Status Outcomes:
- Arthritis Prevalence
- Cancer Incidence - Colorectal Cancer
- Cardiovascular Disease - Heart Disease Deaths
- Cardiovascular Disease - Adult Ever Told Blood Pressure Was High
- Cardiovascular Disease - Prevalence
- Cardiovascular Disease - Stroke Deaths
- Diabetes Deaths
- Diabetes Hospitalizations
- Diabetes - Diagnosed Pre-diabetes Prevalence
- Diabetes (Diagnosed) Prevalence
- Cancer Incidence - Esophagus Cancer
- Cancer Incidence - Breast Cancer
- Cancer Incidence - Kidney and Renal Pelvis
- Cancer Incidence - Liver and Intrahepatic Bile Duct
- Cancer Incidence - Pancreas Cancer
- Cancer Incidence - Thyroid Cancer
NoteObesity is defined as having a Body Mass Index (BMI) equal to or greater than 30.0 kg/m2. BMI is calculated as: [[weight (in pounds) / [height (in inches)]2] x 703]. BMI is a measure of a person's weight in relationship to height. Obesity refers to excessive body fat. For most adults, BMI is strongly correlated with total body fat, and serves as a good surrogate measure for obesity. U.S. value is the median percentage across participating States and the District of Columbia (DC). **Data were not available for some counties due to insufficient numbers of survey respondents (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 Obesity - Adult Prevalence
Definition: The adult obesity prevalence is reported as the percent of BRFSS respondents whose self-reported height and weight corresponds to a Body Mass Index (BMI) equal to or greater than 30.0.
Numerator: Number of obese adults from the Behavioral Risk Factor Surveillance System survey.
Denominator: Number of adults from the Behavioral Risk Factor Surveillance System survey.