Statistics and Trends Inequities Environmental conditions Cross Cutting Potpourri

100

What is Chlamydia? WHO: Age: 15-24 years old; Racial inequities: African American 10X greater than whites.
This is the most commonly reported infection in Dane County; the incidence is higher than in most WI counties.

100

What is poverty? WHO (racial inequities): AA Children - 47.3%; White children - 7.6%
African American children are over six times more likely than their white peers to experience this.

100

What is smoking tobacco? WHEN (trend): the rates for high school youth who report current smoking were lower in 2012 than in 2009.
20% of Dane County youth report having tried this in their lifetime; about 1/2 of them have done this chronically, a testament to the highly addictive nature of this substance.

100

What are chronic diseases? WHAT: Cancer, Heart disease, Alzheimer's Disease, Stroke, Chronic lung disease, Diabetes, Kidney disease; Comparison: Alzheimer's disease (higher than state) WHO (Racial inequities): African Americans- higher death rates of Stroke and Diabetes
Replacing communicable diseases, these are the now the leading causes of death and disability in Dane County, Wisconsin and the nation.

100

What is dental pain? WHO (racial/ethnic inequities): AA - 29%, Hmong - 26%, Hispanic - 18%, White - 10%
In 2009, over 3000 Dane County youth (middle and high schoolers) reported missing school for this reason; minority youth are more impacted.

200

What is poisoning? WHAT (type): opiates (prescription & heroin). WHO: (Age) death:25-54 year old males; hospital OD: 15-24 year old females.
This is the leading cause of injury death in Dane County, surpassing motor vehicle crashes, as of 2006.

200

What are: diabetes (3X), uncontrolled hypertension (high blood pressure) (almost 2X), stroke (almost 2X), fetal death (4X), sudden infant death (2X), chlamydia (10X), HIV (7X), unintentional injury death (2X).
These heath issues disproportionately affect African Americans living in Dane County (8 possible answers).

200

What are areas of poverty?
According to Madison Police District data, residents living in these areas are more likely to be victims of crime and other quality of life issues.

200

What is substance abuse (tobacco, alcohol and drugs)? HOW (impact on infant): preterm birth, low birth weight, addicted & withdrawal symptoms, birth defects.
This public health issue affects teens and adults; however its implications for pregnant women and infants are particularly troublesome.

200

What is fetal death? WHAT (outcome associations): smoking, intrauterine growth restriction, small for gestational age, and plural pregnancy.
In the last two years in Dane County, African Americans experienced this at a rate of four times that of their white counterparts.

300

What is 11,000? WHO: (Age) adults. WHERE in Dane County: South Madison, North & East Madison, Monona, Cross Plains, Village of Dane.
In 2010, this was the number of visits reported to Dane County emergency rooms, urgent care centers and primary care clinics for dental pain, where only palliative care (pain meds and antibiotics for infection) was given.

300

1. Crowded housing, 2. poverty, 3. unemployment, 4. education, 5. dependency, 6. income level. WHERE: South Madison, Southwest Madison Northeast Madison, Stoughton, Sun Prairie.
Name three of the six indicators used in scoring the economic hardship index.

300

What is the Tobacco Free Columbia-Dane County Coalition? WHEN: Exposure to smoke in public fell from 55% (2008) to 32% (2010) SHOW data.
A 2012 study published in the WI Medical Journal found that fewer Wisconsin residents are exposed to second hand smoke thanks to the leadership of this coalition.

300

What are fruits and vegetables?
Under 25% of Dane County adults and less than 9% of adolescents report consuming the recommended daily allowance of these; important for disease prevention.

300

What is healthydane.org?
A collaboration between PHMDC and local hospitals, this website provides the public with current, reliable, population health data.

400

What is suicide? WHO: (Age) 35-44 years old; (Gender) Males greater than females. HOW: (leading method) firearms.
In 2011, this accounted for 74 deaths, representing a 41% increase from the previous five years.

400

What is Health Equity?
____________ ____________ means creating conditions, through just and fair inclusion, that allow everyone to reach their full potential; eliminating differences in health that are the result of unfair conditions based on race, income, ability, geography, age, gender and sexual orientation.

400

What is fine particulate matter (PM 2.5)? WHAT: exceeds acceptable standard. WHEN: worse in winter months.
Residential exposure to high levels of this contaminant in Dane County has been associated with asthma symptoms, increased risk of bronchitis, heart disease, stroke and lung cancer.

400

What is physical activity? WHO: adolescent females less than males; SES and racial inequities: low income youth less likely to be active; African American girls less likely to be physically active.
Less than 15% of Dane County adults and youth are not engaging in this; a health behavior that positively impacts health.

400

What is inadequate sleep? WHO: high school (37%); middle school (18%).
Almost a quarter of 7th-12th graders report this; which is associated with learning and behavior problems, obesity, depression and substance use.

500

What is binge drinking? WHEN (trend): Increase for high school students from 2009 (12.6%) to 2012 (15.8%). WHO (Gender): Males greater than females
Wisconsin has the dubious distinction of leading the nation in this high risk behavior; 22.3% of Dane County adults and 15.8% high school youth reported in engaging in it.

500

What is: discrimination, bias, sexism, ageism, homophobia, racism, classism, segregation?
These societal wide injustices create institutionalized obstacles, preventing the targeted populations from achieving optimal health.

500

What is vehicle traffic emissions? WHEN (trend): 22% increase in Dane County from 2000 to 2011.
This is a major source of fine particulate matter (PM 2.5) and other chemicals that influence Dane County air quality.

500

What is obesity? WHO (overweight & obesity rates): Adults (59%), 7-12th graders (23%), 13% 2-4 year olds (enrolled in WIC), pregnant women (46%).
Since 1980, the prevalence of this has doubled for adults and tripled for children in the U.S., due to complex societal factors. In Dane County, this impacts adults, young children, adolescents and pregnant women.

500

What are the social determinants of health? Source: World Health Organization. 2013. Social determinants of health. Retrieved from www.who.int/topics/social_determinants/en.
The conditions into which people are born, grow, live and age are known as these, which may include income, educational attainment, and neighborhood conditions.

Dane County Overview Report

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