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Health Indicator Report of Multiple Chronic Conditions

In New Mexico, 30 percent of adults ages 45 years and older have been diagnosed with two or more chronic diseases; the rate is over 40 percent for those ages 65 years and older. Chronic diseases such as heart disease, cancer, emphysema, stroke, and diabetes account for five of the leading six causes of death in New Mexico. Another common chronic disease, arthritis, is a leading cause of disability among adults. Many chronic diseases share potentially modifiable risk factors such as physical inactivity, tobacco use, unhealthy eating, and excess weight, which tend to cluster in communities and individuals. These shared chronic disease risk factors, in turn, are strongly related to potentially modifiable social determinants such as poverty, unsafe neighborhoods, discrimination, and low educational attainment. This means that many New Mexicans living with the challenge of multiple chronic conditions may not have the health literacy skills, income, community resources, or access to healthcare services that they need to successfully take care of themselves.

Notes

Comparable data for the United States are not currently available.

Data Interpretation Issues

Data for this indicator report are from the Behavioral Risk Factor Surveillance System (BRFSS), an ongoing survey of adults regarding their health-related behaviors, health conditions, and preventive services. Data are collected in all 50 states, D.C., and U.S. territories. Responses have been weighted to reflect the New Mexico adult population by age, sex, ethnicity, geographic region, marital status, education level, home ownership and type of phone ownership. The survey is conducted using scientific telephone survey methods for landline and cellular phones (with cellular since 2011). The landline phone portion of the survey excludes adults living in group quarters such as college dormitories, nursing homes, military barracks, and prisons. The cellular phone portion of the survey includes adult students living in college dormitories but excludes other group quarters. Beginning with 2011, the BRFSS updated its surveillance methods by adding in calls to cell phones and changing its weighting methods. These changes improve BRFSS' ability to take into account the increasing proportion of U.S. adults using only cellular telephones as well as to adjust survey data to improve the representativeness of the estimates generated from the survey. Results have been adjusted for the probability of selection of the respondent, and have been weighted to the adult population by age, gender, phone type, detailed race/ethnicity, renter/owner, education, marital status, and geographic area. Lastly and importantly, these changes mean that the data from years prior to 2011 are not directly comparable to data from 2011 and beyond. Please see the [https://ibis.health.state.nm.us/view/docs/Query/BRFSS/BRFSS_fact_sheet_Aug2012.pdf BRFSS Method Change Factsheet]. The "missing" and "don't know" responses are removed before calculating a percentage.

Definition

Estimated percentage of New Mexican adults ages 45 years and older who have been diagnosed with two or more of the following chronic conditions: cardiovascular disease (heart attack, angina or coronary heart disease, and/or stroke), asthma (current), cancer (excluding skin cancer), COPD (emphysema and/or chronic bronchitis), arthritis, kidney disease, or diabetes

Numerator

Number of adults ages 45 years and older from the Behavioral Risk Factor Surveillance System who have ever been told they have two or more chronic conditions by a doctor, nurse or other health professional

Denominator

Number of adults ages 45 years and older from the Behavioral Risk Factor Surveillance System

Healthy People Objective: ECBP-10.7, Increase the number of community-based organizations (including local health departments, tribal health services, nongovernmental organizations, and State agencies) providing population-based primary prevention services: Chronic disease programs

U.S. Target: 90.8 percent

How Are We Doing?

From 2011 and 2016, the estimated percentage of New Mexican adults ages 45 years and older who reported having multiple chronic conditions increased by more than 15 percent from 26.4 percent to 30.5 percent. In New Mexico in 2016, multiple chronic conditions were nearly twice as prevalent among senior adults than the middle-aged, with a rate of 41.5 percent for ages 65 and older compared to 23.4 percent for ages 45-64. Although increasing age is the strongest risk factor, multiple chronic conditions tend to be more common in communities and individuals with more risk factors and adverse social determinants of health. The data presented here, for example, show that adults who didn't graduate from college were more likely to report multiple chronic conditions than adults in the same age group who were college graduates.

How Do We Compare With the U.S.?

Currently, there are no comparable data available for the United States. However, published reports using a non-BRFSS data source with a very similar definition of 'Multiple Chronic Conditions' showed that the United States prevalence of multiple chronic conditions in 2009-2010 was 21.0 percent for ages 45-64 years compared to 37.2 percent for ages 65 years and older. These rates are very similar to the rates produced for the same age groups in New Mexico using 2011 BRFSS data.

What Is Being Done?

The New Mexico Chronic Disease Prevention Council, a statewide coalition, is working with diverse partners to implement the New Mexico Shared Strategic Plan for Chronic Disease Prevention and Control, which was recently updated for 2017-2021. Additionally, community and health care system partners throughout New Mexico are delivering the Chronic Disease Self-Management Program (CDSMP) in English and Spanish, providing skill building crucial to managing one or more chronic conditions. CDSMP is one of several programs offered through Paths to Health NM. All programs are designed to help adults gain the confidence and skills they need to better manage or prevent chronic health conditions or injuries.

Evidence-based Practices

Coordinate chronic disease prevention efforts across CDC's Four Key Domains: 1) Achieving policy and environmental changes that support healthy communities. 2) Achieving improvements to the way that health care systems detect, manage and control chronic diseases and risk factors through early detection and clinical preventive services. 3) Enhancing clinic-community linkages so that people at high risk can better take charge of their health through self-management programs and other community supports. 4) Providing data and information for decision making at the state level through a strong foundation in surveillance and epidemiology.

Available Services

For information about the Chronic Disease Self-Management Program and other available programs in your community, call Paths to Health NM at (505)850-0176 or (575)703-2343.

Health Program Information

In support of coordinated chronic disease efforts, the Centers for Disease Control and Prevention (CDC) has encouraged state chronic disease programs to work collaboratively by sharing basic functions such as data management, communication, partnership development, and implementation of a statewide chronic disease plan. CDC has provided funding to a number of states, including New Mexico, to maximize the reach of chronic disease programs.
Page Content Updated On 09/11/2017, Published on 09/25/2017
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 Sun, 15 July 2018 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Mon, 25 Sep 2017 15:13:35 MDT