For the electronic version of this document, visit the Minnesota Department of Health website: www.health.state.mn.us/statewidehealthassessment. The Health of Minnesota: Statewide Health Assessment was produced in collaboration by the Minnesota Department of Health and the Healthy Minnesota Partnership. Partial funding for this project was provided by the following: PHHS Preventive Block Grant No. 2B01DP009029-10; the Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services, through John Snow, Inc. (JSI), July 2011June 2012; and Cooperative Agreement Number CD10-1011 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of any of the above funding organizations. Upon request, this material will be made available in an alternative format such as large print, Braille or cassette tape. Minnesota Department of Health and Healthy Minnesota Partnership PO Box 64975 | 625 Robert Street N | Saint Paul, MN 55164-0975 Phone: (651) 201-5000 | Online: www.health.state.mn.us/healthymnpartnership Conditions and factors for health ............................................................................................... 3 How early experiences get into the body: A biodevelopmental framework .................................. 3 Minnesota counties and tribal nations: 2012 ............................................................................... 3 Minnesota’s overall health ranking in the United States: 1990-2011 ............................................ 4 Populations of color as a proportion of Minnesota’s total population: 1990-2010 ........................ 4 Disparities* in mortality in Minnesota: 2006-2010 ...................................................................... 4 Population change in Minnesota by county: 2000-2010 .............................................................. 5 Immigrants to Minnesota by continent of origin: 2001-2009 ....................................................... 5 Change in the distribution of people of color in Minnesota: 1990-2010 ....................................... 6 Population age distribution in Minnesota: 2010 .......................................................................... 6 Area covered by water in Minnesota .......................................................................................... 6 Minnesota’s changing population: 2000, 2010 ............................................................................ 7 Projected population age 65 and over in Minnesota: 2035 .......................................................... 7 High arsenic and private wells in Minnesota: 2008-2012 ............................................................ 8 Radon zones in Minnesota: 2011 ............................................................................................... 8 Precipitation and temperature in Minnesota: As of 2008 ............................................................ 9 Unhealthy air quality days in Minnesota: 2006-2010 average and 2010 ...................................... 9 State bridges in Minnesota in poor condition, historical and projected(*): 2006-2015 .................. 9 Poor pavement ride quality in Minnesota, historical and projected(*): 2006-2015 ....................... 9 Congested urban freeway miles in the Twin Cities, Minnesota: 2002-2011 ................................10 Minnesota high school students graduating on time: 2010 .........................................................10 Average annual unemployment in Minnesota: 2010 ..................................................................10 Unemployment disparities in U.S. metropolitan areas: 2009 .....................................................11 Minnesota adults in the labor force: 2010 ..................................................................................11 Per capita income in Minnesota: 2010 .......................................................................................11 Poverty rate among Minnesota children under age 18: 2010 ......................................................11 Food security* in Minnesota: 1996-2010 (three-year averages) ..................................................12 Environmental factors influencing physical activity in Minnesota and the United States: 2010 .........................................................................................................................................12 Home ownership in St. Paul and Minneapolis, Minnesota: 2006-2008 ......................................12 Housing built before 1940 in Minnesota: As of 2000 .................................................................13 Characteristics of Minnesotans over age 50: 2005 ......................................................................13 Characteristics of Minnesota’s informal caregivers: 2008 ...........................................................13 Minnesota children in families with single parents: 2000-2010 ...................................................14 Minnesota ninth-graders and changing schools: 2010 ................................................................14 Incarceration disparities in Minnesota and comparison states: 2007 ..........................................14 Minnesota ninth-graders missing school, due to feeling unsafe: 2010 .........................................14 Minnesota domestic violence victims: 2010 ...............................................................................15 Pharmacies and e-prescribing in Minnesota: 2008-2011 .............................................................15 Crime in Minnesota: 2010.........................................................................................................15 Physicians in Minnesota: 2011 ..................................................................................................16 Geographic distribution of Minnesota’s primary care physicians: 2009-2010 .............................16 Dentists in Minnesota: 2011......................................................................................................17 Geographic distribution of Minnesota’s dentists: 2010...............................................................17 Health insurance sources in Minnesota: 2001-2011 ...................................................................18 Uninsured Minnesotans, by income level: 2009 .........................................................................18 Minnesota community health boards and tribal nations: 2012 ...................................................18 Minnesotans and emergency preparedness: 2007 .......................................................................19 Prenatal care in Minnesota: 2006-2010 ......................................................................................19 Infant deaths in Minnesota, for children born in 1989-1993 and 2005-2009................................19 Smoking during pregnancy in Minnesota: 2004-2009 ................................................................19 Drinking prior to pregnancy in Minnesota: 2002-2008 ...............................................................20 Drinking prior to pregnancy in Minnesota: 2008 .......................................................................20 Smoking rate disparities among pregnant women in Minnesota: 2007-2009* ............................ 20 Breast-feeding in Minnesota and the U.S., for children born in 2008 ......................................... 20 Reported abusers and their relationship to abused children in Minnesota: 2009 ........................ 21 Minnesota ninth-graders and physical abuse* in the home: 2010 .............................................. 21 Minnesota students and intimate partner violence: 2010 ........................................................... 21 Minnesota’s teen birth rate for girls 15-19 years old: 2006-2010 ................................................ 21 Minnesota ninth-graders and religious activities: 2010 .............................................................. 22 Minnesota adults and healthy eating: 2003-2009 ...................................................................... 22 Minnesota ninth-graders and healthy eating: 2010 .................................................................... 22 Minnesota students and physical activity: 1998-2010 ................................................................ 22 Minnesota adults and physical activity: 2003-2009 ................................................................... 23 Minnesota adults and binge drinking: 2006-2010 ...................................................................... 23 Minnesota ninth-graders and binge drinking: 1995-2010 ........................................................... 23 Current Minnesota smokers: 2001-2010 ................................................................................... 24 Minnesota adult nonsmokers and secondhand smoke: 2003-2010 ............................................. 24 Ninth-graders and smoking in Minnesota: 2001-2010 ............................................................... 24 Minnesota students and secondhand smoke: 2000-2011 ........................................................... 25 Minnesotans with one or more disabilities: 2010 ...................................................................... 25 Cancer screening in Minnesota and the United States: 2010 ..................................................... 25 Risk factors and care practices among Minnesotans with pre-diabetes: 2007 ............................. 26 Older adults and immunization in Minnesota: 2001-2010 ......................................................... 26 Dental visits and Minnesota adults: 2010 ................................................................................. 26 Minnesota third-graders with caries and sealants: 2010 ............................................................. 26 Children in Minnesota with two or more non-influenza shots in the Minnesota Immunization Information Connection (MIIC): 2011 .............................................................. 27 Minnesota ninth-graders and sexual intercourse: 1995-2010 ..................................................... 27 Minnesota teen girls (ages 13-17) and HPV vaccination: 2008-2010 .......................................... 28 Minnesota students and birth control: 2010 .............................................................................. 28 Safety belt use in Minnesota: 2003-2011 ................................................................................... 28 Minnesota ninth-graders and emotional distress: 2010 .............................................................. 28 Minnesota ninth-graders who feel that people care about them “very much” or “quite a bit”: 2010......................................................................................................................................... 29 Being community-minded in Minnesota: 2009 ......................................................................... 29 Leading causes of death in Minnesota: 2010 ............................................................................. 29 Leading causes of death in Minnesota: 1990-2010 .................................................................... 30 Minnesotans with arthritis: 2009 .............................................................................................. 30 Asthma hospitalizations in Minnesota: 2009 ............................................................................ 30 Daily asthma hospitalizations Minnesota: 2009 ........................................................................30 Cancer* in Minnesota: 1999-2008 .............................................................................................31 Breast cancer in Minnesota women: 2003-2007 .........................................................................31 COPD hospitalizations in Minnesota: 2009 ..............................................................................31 Stroke death in Minnesota: 2006-2010 ......................................................................................31 Heart disease-related death in Minnesota: 1996-2010 ................................................................32 Heart disease mortality in Minnesota: 2005-2009 ......................................................................32 Stroke mortality in Minnesota: 2005-2009 .................................................................................33 Minnesotans with diabetes: 1994-2010 ......................................................................................33 Minnesota adults who are overweight or obese: 1995-2010 ........................................................34 Minnesota ninth-graders who are overweight or obese: 2010* ...................................................34 Minnesota children aged two to five enrolled in WIC* who are overweight or obese: 2009 ........34 Reported MRSA cases in Minnesota: 2000-2009 * ....................................................................34 Minnesotans living with HIV/AIDS: 2010 ................................................................................35 Sexually transmitted infections in Minnesota: 2006-2010 ..........................................................35 Tick-borne disease in Minnesota: 1990-2010 .............................................................................35 Confirmed foodborne outbreaks in Minnesota: 1995-2010.........................................................35 Leading causes of unintentional injury deaths in Minnesota: 2000-2010 ....................................36 Falls-related mortality for older adults in the United States: 2009 ..............................................36 Firearm deaths in Minnesota: 2000-2010...................................................................................36 Motor vehicle death in Minnesota, by age group: 2010 ..............................................................36 Traffic fatalities in Minnesota: 2002-2011..................................................................................37 Unintentional poisoning in Minnesota: 1998-2009 ....................................................................37 Fatal workplace injuries in Minnesota: 2002-2010 .....................................................................37 Non-fatal workplace injuries and illnesses in Minnesota: 2002-2010 ..........................................37 Suicide in Minnesota, by age group: 2006-2010 .........................................................................38 Suicide in Minnesota, by race/ethnicity: 2006-2010 ..................................................................38 Minnesota ninth-graders thinking about suicide: 2010 ...............................................................38 Adult protection report* victims in Minnesota: 2010 .................................................................38 Minnesota ninth-graders and physical violence: 2010 ................................................................39 Minnesota counties and tribal nations: 2012 Conditions and factors for health Source: Heise, L.L. (1998). Violence against women: An integrated, ecological framework. Violence Against Women 4(3), 262-290. How early experiences get into the body: A biodevelopmental framework Source: Harvard University, Center on the Developing Child. (2010). How early experiences get into the body: A biodevelopmental framework. Retrieved April 2 2012. Minnesota’s overall health ranking in the United States: 1990-2011 Disparities* in mortality in Minnesota: 2006-2010 1 1995 2000 2005 2010 Source: United Health Foundation. (2011). America’s Health Rankings: 2011 rankings [Data]. Retrieved January 1 2012. 3.5 3.0 2.5 2.5 6 2.0 1.5 1.0 0.5 0.9 1.0 0.6 0.4 1990 6 0.8 0.7 6 3.5 1.8 4 4.0 0.6 0.8 3 1.7 2 3 3.1 4 1 1.0 1.0 4 1 1.9 3 1 2 2.5 3 1 1.3 1.2 2 2.0 1 2 3 4 5 6 7 8 9 10 1 2 Ratio: Disparity between mortailty of given race compared to white Ranking among U.S. states 1 2 0.0 1-14 years old African-American 15-24 years old 25-44 years old 45-64 years old American Indian Asian Hispanic 65+ years old White Populations of color as a proportion of Minnesota’s total population: 1990-2010 Race/Ethnicity African-American American Indian Asian Hispanic White Proportion of Total Minnesota Population In 1990 In 2000 In 2010 2.2 % 3.5 % 5.2 % 1.1 % 1.1 % 1.1 % 1.8 % 2.9 % 4.1 % 1.2 % 2.9 % 4.7 % 94.4 % 89.4 % 85.3% Source: U.S. Census Bureau. (2011). Percent Growth of Population 189.0 % 22.1 % 177.8 % 364.4 % 9.5 % Age and Ratio: White African-American American Indian Asian Hispanic 1 – 14 1.0 2.0 2.5 1.3 1.2 15 – 24 1.0 1.9 3.1 1.0 1.0 25 – 44 1.0 1.7 3.5 0.6 0.8 45 – 64 1.0 1.8 2.5 0.8 0.7 65+ 1.0 0.9 1.0 0.6 0.4 *Disparity ratios are calculated by dividing the rate for a given population (African-American, American Indian, Asian or Hispanic) by another rate (white) for a selected health indicator to determine how much more likely a particular event is to occur in one population compared to another. Source: Minnesota Department of Health, Minnesota Center for Health Statistics. (2011). Immigrants to Minnesota by continent of origin: 2001-2009 Population change in Minnesota by county: 2000-2010 12,000 10,000 8,000 6,000 4,000 2,000 0 2001 2002 2003 Africa Asia 2005 2006 Europe 2007 2008 2009 North America Continent of Origin Africa 2001 2002 2003 2004 2005 2006 2007 2008 2009 2,641 4,277 2,775 4,319 6,073 7,308 5,167 7,659 9,579 Asia 3,878 4,288 2,814 3,697 4,397 6,479 5,280 4,776 4,963 Europe 2,421 2,597 1,362 1,620 2,452 1,965 1,177 1,170 1,235 North America 1,606 1,736 626 1,510 1,723 1,750 1,502 1,599 1,581 Source: U.S. Census Bureau. (2011). Source: Minnesota State Demographic Center. (2011). Minnesota population change by county: 20002010 [Map]. Analysis of data from U.S. Census. Retrieved January 1 2012. 2004 Population age distribution in Minnesota: 2010 Change in the distribution of people of color in Minnesota: 1990-2010 African-American 3.6% American Indian 4.8% Asian 4.6% Hispanic 35.6% 32.7% 2.3% 14.0% White 12.9% All Races (Statewide) 0.0% 38.4% 5.0% 40.5% 22.7% 24.2% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0% Percent of population, by race/ethnicity Persons 65 and older Children under 18 Source: U.S. Census Bureau. (2011). Area covered by water in Minnesota Total area covered by lakes and rivers (deep water) Total surface water area, including wetlands 2,560,299 acres 13,136,357 acres Source: Minnesota Department of Natural Resources. (2008). Lakes, rivers, and wetland facts. Retrieved January 1 2012. Source: Center for Rural Policy and Development. (2011). Atlas of Minnesota online: Change in the distribution of people of color [Map]. Analysis of data from U.S. Census. Retrieved January 1 2012. Minnesota’s changing population: 2000, 2010 Projected population age 65 and over in Minnesota: 2035 80-84 years 80-84 years 70-74 years 70-74 years 60-64 years 60-64 years 50-54 years 50-54 years 40-44 years 40-44 years 30-34 years 30-34 years 20-24 years 20-24 years 10-14 years 10-14 years 0-4 years 0-4 years 2000 Male 2000 Female 2010 Male 2000 Male 2000 Female 2010 Male 2010 Female 0-4 years 3.4% 3.3% 3.4% 3.3% 5-9 years 3.7% 3.5% 3.4% 10-14 years 3.9% 3.7% 15-19 years 3.9% 20-24 years 2010 Female 2000 Male 2000 Female 2010 Male 2010 Female 45-49 years 3.7% 3.7% 3.8% 3.8% 3.3% 50-54 years 3.1% 3.1% 3.8% 3.8% 3.4% 3.2% 55-59 years 2.3% 2.3% 3.3% 3.3% 3.7% 3.6% 3.4% 60-64 years 1.8% 1.9% 2.6% 2.7% 3.3% 3.2% 3.4% 3.3% 65-69 years 1.5% 1.6% 1.8% 2.0% 25-29 years 3.3% 3.2% 3.5% 3.5% 70-74 years 1.3% 1.6% 1.3% 1.5% 30-34 years 3.6% 3.6% 3.3% 3.2% 75-79 years 1.1% 1.4% 1.0% 1.3% 35-39 years 4.2% 4.2% 3.1% 3.1% 80-84 years 0.7% 1.2% 0.8% 1.1% 40-44 years 4.2% 4.2% 3.3% 3.3% 85+ years 0.5% 1.2% 0.6% 1.4% Source: U.S. Census Bureau. (2011). Source: Center for Rural Policy and Development. (2011). Atlas of Minnesota online: Projected population age 65 and over: 2035 [Map]. Analysis of data from U.S. Census. Retrieved January 1 2012. High arsenic and private wells in Minnesota: 2008-2012 Radon zones in Minnesota: 2011 Source: Minnesota Department of Health, Well Management Section. (2012). Source: U.S. Environmental Protection Agency. (2011). Where you live: Minnesota. Retrieved January 1 2012. Precipitation and temperature in Minnesota: As of 2008 Measure Average annual precipitation Average annual snowfall Average spring temperature Average summer temperature Average fall temperature Average winter temperature State bridges in Minnesota in poor condition, historical and projected(*): 2006-2015 Location and Amount Northwest: 19 inches/year Southeast: 34 inches/year Northeast: 70 inches/year Southwest: 35 inches/year North: 36ºF South: 44ºF North: 60ºF South: 70ºF North: 38ºF South: 46ºF North: 6ºF South: 16ºF 114ºF in Beardsley (West Central); July 29, 1917 114ºF in Moorhead (Northwest); July 6, 1936 -60ºF near Tower (Northeast); February 2, 1996 Warmest temperature on record Coldest temperature on record 8.0% 6.0% 4.0% 3.6% 3.5% 2.9% 2.1% 2.0% 0.0% 2006 2009 2012* 2015* Percent of bridges in poor condition Denotes state principle arterial bridges in poor condition by principle arterial square footage. Unhealthy air quality days in Minnesota: 2006-2010 average and 2010 Source: Minnesota Department of Transportation. (2011). Capital programs: State Transportation Improvement Program. Retrieved April 2 2012. Unhealthy days per year Source: Minnesota Department of Natural Resources. (2008). Climate. Retrieved April 2, 2012. 18 16 14 12 10 8 6 4 2 0 17 Poor pavement ride quality in Minnesota, historical and projected(*): 2006-2015 11 8 5 6 5 1 Twin Cities Metro Central Minnesota 7 2 0 Northeast Minnesota Five-year average (2006-2010) 1 Southwest Minnesota Most recent year (2010) Unhealthy air quality days occur when the Air Quality Index (AQI) reaches a level that is harmful for sensitive groups, including people with respiratory or cardiovascular disease, children, the elderly, and people participating in activities that require heavy or extended exertion. Source: Minnesota Pollution Control Agency. (2012). 6.9% 6.8% 2009 2012* 4.0% 2.0% Southeast Minnesota 8.3% 6.0% 3 Northwest Minnesota 8.0% 3.7% 0.0% 2006 2015* Percent of pavement with poor ride quality Denotes state principle and non-principle arterials with poor pavement ride quality. Source: Minnesota Department of Transportation. (2011). MnDOT performance measurement: Transportation performance reporting and management at MnDOT. Retrieved April 2 2012. Congested urban freeway miles in the Twin Cities, Minnesota: 2002-2011 Average annual unemployment in Minnesota: 2010 25% 20% 15% 21% 18% 20% 21% 19% 18% 2005 2006 10% 17% 18% 2008 2009 22% 21% 2010 2011 5% 0% 2002 2003 2004 2007 Percent of congested miles Source: Minnesota Department of Transportation. (2012). Metropolitan freeway system 2011 congestion report. Minnesota high school students graduating on time: 2010 100.0% 80.0% 60.0% 82.8% 70.0% 46.9% 49.2% 45.3% 40.0% 20.0% 0.0% African-American American Indian Asian Hispanic White Students graduating on time Source: MN Compass. (2011). Education: Overview. Analysis of data from the Minnesota Department of Education. Retrieved January 1 2012. Source: Center for Rural Policy and Development. (2011). Atlas of Minnesota online. Analysis of data from U.S. Department of Labor Bureau of Labor Statistics. Unemployment disparities in U.S. metropolitan areas: 2009 Per capita income in Minnesota: 2010 AfricanAmerican White Ratio: AfricanAmerican to White 20.4 % 6.6 % 3.1 13.8 15.7 % 17.3 % 5.1 % 8.4 % 3.0 2.1 10.5 9.0 14.2 % 6.7 % 2.1 7.5 15.4 % 8.0 % 1.9 7.4 Unemployment Rate Metropolitan Area Minneapolis-St. PaulBloomington Memphis St. Louis New York-North New Jersey-Long Island Miami-Fort LauderdalePompano Beach Difference: AfricanAmerican and White $35,000 $31,120 $28,563 $30,000 $22,335 $25,000 $20,000 $15,000 $14,890 $15,151 $13,499 $10,000 $5,000 $0 African-American American Indian Source: Austin, A. (2010). Uneven pain: Unemployment by metropolitan area and race. Economic Policy Institute. Asian Per capita income within race/ethnicity Hispanic or Latino White Minnesota per capita income Source: U.S. Census Bureau, American Community Survey. (2011). Minnesota adults in the labor force: 2010 White African-American American Indian Asian Hispanic 16-64 in Labor Force* 2,499,966 124,011 24,221 103,729 116,320 16-64 Working 2,311,369 100,499 19,555 93,375 103,202 * For civilian population only. Labor force is defined as those employed and unemployed. Source: U.S. Census Bureau, American Community Survey. (2011). Percent Working 92.5% 81.0% 80.7% 90.0% 88.7% Poverty rate among Minnesota children under age 18: 2010 56.0% 60.0% 50.0% 45.9% 40.0% 30.0% 23.7% 29.3% 20.0% 10.0% 10.0% 0.0% African-American American Indian Asian Hispanic Percent of children under 18 in poverty Source: U.S. Census Bureau, American Community Survey. (2011). White Food security* in Minnesota: 1996-2010 (three-year averages) Home ownership in St. Paul and Minneapolis, Minnesota: 2006-2008 7.1% 8.0% Home ownership in St. Paul 60.0% 7.2% Home ownership in Minneapolis 1996-1998 1999-2001 Households with food insecurity 2002-2004 2005-2007 2008-2010 Households with very low food security * Denotes households experiencing food insecurity and very low food security. Source: U.S. Department of Agriculture, Economic Research Service. (2010). Food security in the U.S.: Current Population Survey Food Security Supplement. Analysis of data from Current Population Survey Food Security Supplement [Data set]. Retrieved January 1 2012. Environmental factors influencing physical activity in Minnesota and the United States: 2010 Percent of youth with parks, community centers, and sidewalks in neighborhood Percent of census blocks with park within one half-mile of block boundary Percent of census blocks with fitness center within one half-mile of block boundary Minnesota United States 53.9 percent 50.0 percent 17.7 percent 20.3 percent 16.1 percent 16.6 percent Source: Centers for Disease Control and Prevention. (2010). State indicator report on physical activity. 10.0% 31.4% 26.1% 20.0% 0.0% 22.0% 30.0% 2.0% 46.7% 40.0% 22.9% 2.0% 2.5% 43.9% 3.7% 3.1% 4.4% 35.1% 50.0% 6.0% 4.0% 70.0% 63.4% 8.6% 10.3% 26.4% 10.0% 9.5% 65.4% 12.0% 0.0% Black/ AfricanAmerican American Indian/ Alaskan Native Asian Hispanic/ Latino White Sources: Corporation for Enterprise Development (CFED). (2011). Assets and opportunity profile: Minneapolis. Retrieved January 1 2012. Corporation for Enterprise Development (CFED). (2011). Assets and opportunity profile: St. Paul. Retrieved January 1 2012. Characteristics of Minnesotans over age 50: 2005 Housing built before 1940 in Minnesota: As of 2000 40.0% 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 34.5% 24.9% 9.5% 5.1% Experience problems with loneliness Lives alone Have no one to provide care if becomes sick/disabled Lives with others Source: Minn. Board on Aging. (2005). Survey of Older Minnesotans [Data set]. Retrieved Jan. 1 2012. Characteristics of Minnesota’s informal caregivers: 2008 13.4% Living with care recipient Spousal caregiver 5.9% Parental caregiver 5.8% 21.8% 23.9% 25.0% 31.4% 19.6% 26.0% Physically limited Long-term (over six years) Retired 56.1% 11.5% Caregivers providing 21 or more hours per week Caregivers providing 20 or fewer hours per week 27.4% Employed 59.6% 57.3% Female 16.7% Over age 60 0.0% Source: Center for Rural Policy and Development. (2011). Atlas of Minnesota online: Housing built before 1940: As of 2000. Analysis of data from U.S. Department of Labor Bureau of Labor Statistics. Retrieved January 1 2012. 10.0% 20.0% 74.3% 75.6% 33.6% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% Source: Metropolitan Area Agency on Aging. (2009). 2008 Minn. Behavioral Risk Factor Surveillance Survey caregiving module. Analysis of data from Centers for Disease Control and Prevention. Minnesota children in families with single parents: 2000-2010 Incarceration disparities in Minnesota and comparison states: 2007 30% 25% 20% 15% 21% 24% 24% 23% 24% 25% 25% 26% 25% 26% 28% 10% 5% 0% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 12.0 10.0 8.0 6.0 4.0 2.0 0.0 10.6 9.1 3.3 1.9 Minnesota Children in families with single parents Wisconsin Hawaii Georgia Ratio: Incarcerated African-American residents to incarcerated white residents Source: U.S. Census Bureau. (2011). Source: Mauer, M. & King, R.S. (2007). Uneven justice: State rates of incarceration by race and ethnicity. The Sentencing Project. Minnesota ninth-graders and changing schools: 2010 Minnesota ninth-graders missing school, due to feeling unsafe: 2010 15% 12% 10% 10% 11% 10% 9% 8% 9% 8% 5% 3% 9% 7% 6% 4% 4% 0% African-American American Indian Asian Hispanic White Minnesota ninth-graders who have changed schools at least once since the beginning of the school year 2% 0% African-American American Indian Asian Hispanic White Minnesota ninth-graders missing one or more days of school during the past 30 days, due to feeling unsafe at school or to/from school Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. Minnesota domestic violence victims: 2010 40% 30% 37% 23% 28% Crime in Minnesota: 2010 31% 21% 26% 20% 20% 14% 10% 0% Less than $30,000 $30,000-$59,999 $60,000-$99,999 Greater than $100,000 Annual income Domestic violence victims (n=317) Other respondents (i.e., non-victims) (n=5,886) Source: Greater Twin Cities United Way & Minnesota Department of Public Safety, Office of Justice Programs. (2011). Domestic violence. Top line summary: 2010. Minnesota Crime Victim Survey. Pharmacies and e-prescribing in Minnesota: 2008-2011 100.0% 80.0% 60.0% 67.2% 75.0% 83.7% 79.6% 67.4% 56.6% 40.0% 95.6% 90.3% 68.0% 76.1% 44.8% 20.0% 24.2% 0.0% Dec. 2008 All Pharmacies* Dec. 2009 Chain Pharmacies Dec. 2010 Oct. 2011 Non-Chain Pharmacies** * Excludes pharmacies with the pharmacy class of medical device manufacturer ** Includes pharmacies with the pharmacy class of independent, franchise, and government/federal Source: U.S. Dept. of Health and Human Services, Office of the National Coordinator. (2011). Source: Wilder Foundation. (2011). Geographic distribution of Minnesota’s primary care physicians: 2009-2010 Physicians in Minnesota: 2011 7% 5% Southwest Minnesota 9% Southeast Minnesota 10% Northwest Minnesota 6% Northeast Minnesota 6% 7% Central Minnesota 15% 9% 13% 54% 58% Seven-County Minneapolis-Saint Paul Area 0% 10% 2010 Minnesota Population 20% 30% 40% 50% 60% 70% Primary Care Physicians* * Includes physicians with a single certification in family medicine, internal medicine, obstetrics and gynecology, or pediatrics. Source: Minnesota Board of Medical Practice. (2011). Source: Center for Rural Policy and Development. (2011). Atlas of Minnesota online: Physicians in Minnesota. Analysis of data from Minnesota Board of Medical Practices, as prepared by the Minnesota Department of Health. Retrieved January 1 2012. Geographic distribution of Minnesota’s dentists: 2010 Dentists in Minnesota: 2011 7% 6% Southwest Minnesota Southeast Minnesota 9% 9% Northwest Minnesota 10% 8% 6% 6% Northeast Minnesota Central Minnesota 9% 13% 54% Seven-County Minneapolis-Saint Paul Area 0% 10% 20% 2010 Minnesota Population Source: Minnesota Board of Dentistry. (2011). Source: Center for Rural Policy and Development. (2011). Atlas of Minnesota online: Dentists in Minnesota. Analysis of data from the Minnesota Department of Health. Retrieved January 1 2012. 30% Dentists 40% 50% 60% 62% 70% Minnesota community health boards and tribal nations: 2012 Health insurance sources in Minnesota: 2001-2011 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 6.1% 7.7% 7.2% 9.0% 9.1% 21.1% 25.1% 25.2% 28.5% 29.2% 4.6% 5.1% 5.1% 5.2% 4.8% 68.1% 2001 Uninsured Public Insurance Individual Insurance 62.6% 62.5% 57.4% 56.4% 2004 2007 2009 2011 Group Insurance Indicates statistically significant difference from the previous year shown. Source: Minnesota Dept. of Health, Health Economics Program. (2012). Health insurance coverage in Minnesota, early results from the 2011 Minnesota Health Access Survey. Retrieved April 13 2012. Uninsured Minnesotans, by income level: 2009 20.0% 16.9% 17.1% 15.0% 12.4% 10.0% 7.2% 2.9% 5.0% 0.0% 0-100% 101-200% 201-300% 301-400% 401% and above Uninsured Minnesotans by percentage of income within Federal Poverty Guidelines Source: Minnesota Department of Health, Health Economics Program. (2010). Minnesota Health Access Survey [Data set]. Retrieved January 1 2012. Infant deaths in Minnesota, for children born in 1989-1993 and 2005-2009 Minnesotans and emergency preparedness: 2007 Have heard, seen, or read about how to prepare household for an emergency Have stored enough food, water, and supplies to meet household needs for at least three days Almost Always Stay home from work, school, or other activities when ill with a respiratory illness like cold or flu 18% Partially No 45% ----- 55% 56% 4% 40% Sometimes 25% Rarely Never 37% 21% 20.0 Deaths per 1,000 births Yes 16.5 16.5 15.0 10.7 9.7 10.0 6.2 6.5 4.6 5.0 4.5 0.0 African-American American Indian 1989-1993 Source: Minnesota Department of Health, Emergency Preparedness. (2007). Ready to respond. Retrieved February 24 2012. 7.3 5.2 Asian Hispanic* White 2005-2009 * Can be any race Source: Minnesota Department of Health, Center for Health Statistics. (2011). Prenatal care in Minnesota: 2006-2010 Smoking during pregnancy in Minnesota: 2004-2009 100.0% 80.0% 89.8% 78.4% 73.9% 20.0% 73.1% 62.9% 17.5% 16.6% 15.5% 16.2% 2006 2007 13.8% 15.0% 60.0% 15.2% 10.0% 40.0% 5.0% 20.0% 0.0% 0.0% African-American American Indian Asian Hispanic White 2004 2008 2009 Women smoking during pregnancy Mothers accessing first-trimester care Source: Minnesota Department of Health, Center for Health Statistics. (2011). 2005 Linear trend p<0.05 Source: Minnesota Department of Health. (2011). Minnesota Pregnancy Risk Assessment Monitoring System (PRAMS) [Data set]. Retrieved January 1 2012. Drinking prior to pregnancy in Minnesota: 2002-2008 Smoking rate disparities among pregnant women in Minnesota: 2007-2009* 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 62.2% 60.4% 2002 2003 65.7% 64.1% 66.1% 64.1% 64.1% 2004 2005 2006 2007 2008 Women drinking in the three months prior to becoming pregnant Denotes mothers reporting having any alcoholic drinks during the three months before getting pregnant Source: Minnesota Department of Health. (2011). Minnesota Pregnancy Risk Assessment Monitoring System (PRAMS) [Data set]. Retrieved January 1 2012. Drinking prior to pregnancy in Minnesota: 2008 Population White Hispanic Greater than 12 years of education Less than 12 years of education Annual income of $50,000 or more Annual income of less than $10,000 Population American Indian African-American Less than 20 years old Between 20 and 24 years old Unmarried High school education or less At 0-100% FPL* At 101-185% FPL* Receiving Medical Assistance (Medicaid) Uninsured Percent who smoke while pregnant 45.2% 25.3% 23.5% 27.7% 30.4% 26.7% 27.6% 21.8% 30.1% 23.8% * FPL: Federal Poverty Guidelines. Data reflects combined years: 2007-2009 Source: Minnesota Department of Health. (2011). Minnesota Pregnancy Risk Assessment Monitoring System (PRAMS) [Data set]. Retrieved January 1 2012. Breast-feeding in Minnesota and the U.S., for children born in 2008 Percent who drink in the three months prior to pregnancy 74.2% 22.0% 73.3% 27.3% 77.6% 35.5% Source: Minnesota Department of Health. (2011). Minnesota Pregnancy Risk Assessment Monitoring System (PRAMS) [Data set]. Retrieved January 1 2012. 100.0% 80.0% 82.5% 74.6% 50.9% 44.3% 60.0% 40.0% 24.1%23.8% 45.0% 35.0% 15.0%14.8% 20.0% 0.0% Ever breast-fed Breast-fed at 6 months Breast-fed at 12 months Children in Minnesota Breast-fed exclusively through 3 months Breast-fed exclusively through 6 months Source: Centers for Disease Control and Prevention. (2011). Breastfeeding report card 2011. Retrieved January 1 2012. Reported abusers and their relationship to abused children in Minnesota: 2009 Minnesota students and intimate partner violence: 2010 Relationship to Child Birth parent Other relative Parents’ companion Licensed provider Other non-relative Percent of Abusers 75% 12% 7% 2% 3% Minnesota ninth- and twelfth-graders who have ever been hit, hurt or threatened, or forced to do something sexual by someone they were dating 30% 24% 25% Source: Minnesota Department of Human Services. (2010). Minnesota’s child welfare report 2009: Report to the 2010 Minnesota Legislature. 20% 19% 21% 18% 15% 14% 15% 16% 11% 14% 10% 10% 5% Minnesota ninth-graders and physical abuse* in the home: 2010 20% 18% 0% 18% 14% 15% African-American American Indian 16% Grade 9 Asian Hispanic White Grade 12 9% 10% Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. 5% 0% African-American American Indian Asian Hispanic White Minnesota ninth-graders who have ever been hit hard or often by an adult in the house Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. Minnesota’s teen birth rate for girls 15-19 years old: 2006-2010 150.0 100.0 98.1 96.2 68.8 46.8 50.0 16.6 0.0 African-American American Indian Asian Hispanic Teen birth rate per 1,000 births Source: Minnesota Department of Health, Center for Health Statistics. (2011). White Minnesota ninth-graders and religious activities: 2010 Minnesota ninth-graders and healthy eating: 2010 Minnesota ninth- and twelfth-graders who participate in religious activities at least once per week 47% 50% 40% 30% 30% 25% 29% 29% 22% 20% 19% 20% 30% 28% 20% 19% 18% 17% 16% 15% 14% 19% 18% 17% 16% African-American American Indian 10% Asian Grade 9 Hispanic White Grade 12 Minnesota students and physical activity: 1998-2010 30.0% 60.0% 25.0% 50.0% 20.0% 40.0% 24.5% 19.4% 21.9% 20.0% 5.0% 10.0% 0.0% 0.0% 2005 2007 2009 Adults who eat five or more fruits and vegetables per day Source: Centers for Disease Control and Prevention. (2011). Behavioral Risk Factor Surveillance System. Retrieved January 1 2012. 50.8% 50.1% 51.9% 54.7% 55.5% 1998 2001 2004 2007 2010 30.0% 10.0% 2003 White Students who were physically active for 30 minutes or more at least five of the last seven days Minnesota adults and healthy eating: 2003-2009 15.0% Hispanic Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. 24.2% Asian Ninth-graders who consumed five or more servings of fruit, fruit juice, or vegetables in the previous day 0% African-American American Indian 18% Students reporting moderate physical activity Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. Minnesota adults and physical activity: 2003-2009 Minnesota ninth-graders and binge drinking: 1995-2010 Moderate physical activity defined as 30+ minutes of moderate physical activity (or 20+ minutes of vigorous physical activity) five or more days per week Minnesota ninth-graders who engaged in binge drinking during the last two weeks 40% 60.0% 40.0% 35% 51.0% 49.0% 52.7% 48.9% 30% 25% 20.0% 20% 0.0% 15% 2003 2005 2007 2009 Adults reporting moderate physical activity 10% 5% Source: Centers for Disease Control and Prevention. (2011). Behavioral Risk Factor Surveillance System. Retrieved January 1 2012. 0% 1995 1998 African-American Minnesota adults and binge drinking: 2006-2010 30.0% 25.0% 20.0% 26.8% 23.8% 15.0% 10.0% 5.0% 25.4% 22.2% 18.8% 11.8% 13.1% 15.2% 10.0% 12.4% 0.0% 2006 2007 Males who binge drink 2008 2009 2010 Females who binge drink Source: Centers for Disease Control and Prevention. (2011). Behavioral Risk Factor Surveillance System. Retrieved January 1 2012. African-American American Indian Asian Hispanic White 1995 18% 31% 16% 34% 20% 2001 2004 American Indian 1998 20% 30% 14% 32% 20% 2001 15% 27% 13% 25% 16% Asian 2004 14% 26% 15% 23% 15% 2007 2010 Hispanic White 2007 14% 22% 12% 20% 12% 2010 11% 18% 9% 18% 9% Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. Current Minnesota smokers: 2001-2010 Ninth-graders and smoking in Minnesota: 2001-2010 Minnesota ninth-graders who smoked cigarettes during the past 30 days 25.0% 20.0% 22.2% 15.0% 21.7% 21.1% 20.7% 20.0% 40% 18.3% 10.0% 16.5% 17.6% 16.7% 14.9% 35% 30% 5.0% 25% 0.0% 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20% 15% Adult smokers 10% Source: Centers for Disease Control and Prevention. (2011). Behavioral Risk Factor Surveillance System. Retrieved January 1 2012. 5% 0% 2001 Minnesota adult nonsmokers and secondhand smoke: 2003-2010 15.0% 2004 African-American 2007 American Indian Asian 2010 Hispanic White 14.0% 11.0% 11.0% 10.0% 10.0% 7.0% 7.0% 8.0% 4.0% 5.0% 4.0% 0.0% 2003 2007 At work In a car 2010 At home Source: ClearWay Minnesota & Minnesota Department of Health. (2010). Minnesota Adult Tobacco Survey. Retrieved January 1 2012. African-American American Indian Asian Hispanic White 2001 18% 36% 16% 29% 19% 2004 15% 30% 14% 23% 15% 2007 13% 25% 10% 18% 11% 2010 11% 22% 8% 16% 10% Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. Minnesota students and secondhand smoke: 2000-2011 Minnesotans with one or more disabilities: 2010 Percent of students exposed to any secondhand smoke in the past seven days 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 65.8% 70.0% 60.0% 75.8% 50.0% 71.8% 58.0% 55.9% 48.7% 35.9% 40.0% 64.8% 55.4% 39.6% 52.5% 37.7% 30.0% 18.9% 20.0% 10.0% 8.1% 9.8% 0.6% 4.6% 0-4 5-17 0.0% 2000 2002 2005 2008 18-64 Minnesotans with disabilities, by age High school students 65-74 75-84 85+ 2011 Minnesotans with disabilities: All ages Middle school students Source: Minnesota Department of Health, Center for Health Statistics. (2011). Teens and tobacco in Minnesota, 2011 update: Results from the Minnesota Youth Tobacco and Asthma Survey. Source: U.S. Census Bureau. (2010). American Community Survey. Cancer screening in Minnesota and the United States: 2010 Cancer Screening Practices Clinical breast examination among women 40 years Mammography use among women 40 years Pap smear use among women 18 years Fecal occult blood test or sigmoidoscopy/colonoscopy among adults aged 50 years Minnesota 83.6% 80.7% 87.5% U.S. 76.5% 75.6% 81.1% 62.5% 57.8% Source: Centers for Disease Control and Prevention. (2010). State indicator report on physical activity. Dental visits and Minnesota adults: 2010 Risk factors and care practices among Minnesotans with pre-diabetes: 2007 100.0% 100% 80.0% 80% 60% 65.8% 60.1% 78% 72% 40% 38% 20% Overweight or obese Current smoker Minnesotans with risk factors 20.0% 16% High blood cholesterol 60.0% 40.0% 42% 16% 0% 86.4% 78.3% 72.4% High blood pressure Weight Annual blood management glucose test class in last year 0.0% Less than $15,000 $15,000$24,999 $25,000$34,999 $35,000$49,999 $50,000+ Percent of adults who visited a dentist or dental clinic in the last year, by income Minnesotans engaging in care management strategies Source: Minnesota Department of Health. (2010). Diabetes and prediabetes in Minnesota. Source: Centers for Disease Control and Prevention. (2010). Behavioral Risk Factor Surveillance System. Retrieved January 1 2012. Older adults and immunization in Minnesota: 2001-2010 Minnesota third-graders with caries and sealants: 2010 100.0% 80.0% 70.1% 80.3% 78.3% 78.1% 73.8% 79.6% 76.4% 76.8% 80.0% 62.9% 70.4% 73.0% 67.9% 71.1% 71.1% 70.9% 70.5% 72.6% 70.4% 20.0% 0.0% 0.0% 2002 2003 2004 2005 2006 2007 2008 2009 2010 65.1% 57.8% 54.8% 52.7% 40.0% 20.0% 2001 66.9% 72.0% 60.0% 60.0% 40.0% 76.6% 23.5% 17.0% White, non-Hispanic Non-white, non-Hispanic 49.4% 15.6% Hispanic Adults 65+ who received flu vaccination in past year Adults 65+ who received pneumonia vaccination in past year Source: Centers for Disease Control and Prevention. (2010). Behavioral Risk Factor Surveillance System. Retrieved January 1 2012. Third-graders with caries experience Third-graders with caries and sealants Source: Minnesota Department of Health, Oral Disease Prevention Unit. (2011). Third grade oral health basic screening survey. Children in Minnesota with two or more non-influenza shots in the Minnesota Immunization Information Connection (MIIC): 2011 Minnesota ninth-graders and sexual intercourse: 1995-2010 Minnesota ninth-graders who have had sexual intercourse one or more times in their lifetimes 70% 60% 50% 40% 30% 20% 10% 0% 1995 1998 African-American African-American American Indian Asian Hispanic White 1995 61% 50% 29% 53% 24% 2001 2004 American Indian 1998 50% 44% 21% 46% 21% Asian 2001 43% 42% 17% 37% 17% 2004 41% 39% 19% 37% 17% 2007 2010 Hispanic White 2007 40% 38% 18% 36% 17% 2010 39% 40% 17% 38% 17% Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. Source: Minnesota Department of Health, Minnesota Immunization Program. (2011). Minnesota Immunization Information Connection (MIIC). Safety belt use in Minnesota: 2003-2011 Minnesota teen girls (ages 13-17) and HPV vaccination: 2008-2010 95.0% 37.8% 40.0% 90.0% 27.0% 30.0% 85.0% 13.7% 20.0% 10.0% 80.0% 0.0% 75.0% 2008 2009 2010 79.4% 82.1% 83.9% 83.3% 2005 2006 90.2% 87.8% 86.7% 2007 2008 92.3% 92.7% 2010 2011 70.0% 2003 Girls age 13-17 receiving three-dose HPV series 2004 2009 Minnesotans using safety belts Source: Centers for Disease Control and Prevention. (2010). National Immunization Survey [Data set]. Retrieved April 2 2012. Source: Eby, D.W., Vivoda, J.M., & Cavanagh, J. (2011). Minnesota safety belt and motorcycle helmet use. Minnesota Department of Public Safety, Office of Traffic Safety. Retrieved January 1 2012. Minnesota students and birth control: 2010 Minnesota students who report that they or their partner “always” use a condom during sexual intercourse 70% 60% 50% 59% 58% 53% 45% 51% 44% 41% 36% 40% 41% Minnesota ninth-graders and emotional distress: 2010 Minnesota ninth-graders who have felt nervous, worried, or upset "all" or "most of the time" during the last 30 days 46% 30% 15% 20% 10% 10% 5% 0% 0% African-American American Indian Grade 9 Asian Hispanic White Grade 12 Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. 23% 25% 20% 28% 27% 30% 14% 24% 21% 14% 14% 11% African-American American Indian Asian Male Hispanic 13% White Female Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. Minnesota ninth-graders who feel that people care about them “very much” or “quite a bit”: 2010 “How much do you feel ________ cares about you?” Other adult relatives Teachers/other adults Religious or spiritual leaders Other adults in the community Friends AfricanAmerican 82% 41% 51% American Indian 80% 36% 43% Asian 76% 41% 45% Hispanic 81% 40% 45% White 87% 46% 57% 36% 32% 33% 35% 44% 71% 71% 69% 70% 78% Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. Being community-minded in Minnesota: 2009 Believe that most of the time, people just look out for themselves 26% 42% Believe that most of the time, people try to be helpful 58% Spend a lot of time visiting friends 40% 74% 50% Usually eat dinner together as family 67% 60% Believe that generally, most people are honest 67% Attend church regularly (at least once per month) 39% 83% 49% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% In Minnesota In the U.S. Source: Augsburg College. (2009). Minnesota civic health index: Integrating civic engagement into community life. Leading causes of death in Minnesota: 2010 Cause of Death Count Age-Adjusted Rate per 100,000 Population Cancer 9,599 166.9 Heart Disease 7,144 118.7 Unintentional Injury 2,087 36.4 Stroke 2,154 35.8 Chronic Lower Respiratory Disease 2,012 35.1 Alzheimer’s Disease 1,450 23.4 Diabetes 1,036 17.7 Nephritis 895 15.0 Suicide 599 11.1 Pneumonia and Influenza 591 9.7 Cirrhosis 412 7.0 Septicemia 337 5.8 Congenital Anomalies 190 3.6 Perinatal Conditions 140 2.7 Homicide 111 2.1 Source: Minnesota Department of Health, Center for Health Statistics. (2012). Leading causes of death in Minnesota: 1990-2010 Asthma hospitalizations in Minnesota: 2009 300.0 20.0 250.0 15.0 18.0 11.8 7.7 10.0 200.0 5.0 150.0 3.0 3.8 15-24 years 25-34 years 8.2 7.2 5.8 0.0 0-4 years 100.0 5-14 years 50.0 35-44 years 45-54 years 55-64 years 65+ years Hospitalizations per 10,000 population 0.0 1990 1992 1994 1996 Cancer 1998 2000 2002 Heart disease 2004 2006 2008 2010 Stroke Source: Minnesota Department of Health. (2011). Asthma hospitalizations: Basic facts and figures. Analysis of Minnesota Hospital Discharge Data. Minnesota Public Health Data Access. Retrieved January 1 2012. Source: Minnesota Department of Health, Center for Health Statistics. (2012). Daily asthma hospitalizations Minnesota: 2009 Minnesotans with arthritis: 2009 Yearly Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000 and above 50 With Arthritis 33.6 % 29.6 % 24.8 % 27.5 % 15.7 % Without Arthritis 66.4 % 70.4 % 75.2 % 72.5 % 84.3 % Source: Centers for Disease Control and Prevention. (2010). Behavioral Risk Factor Surveillance System. 40 30 21.2 20 23.2 22.8 21.3 19.9 17.1 21 15.5 10 13.1 19 15.3 18.8 0 Jan. Feb. Mar. Apr. Daily Admissions: Minimum May June July Aug. Daily Admissions: Maximum Sept. Oct. Nov. Dec. Daily Admissions: Average Source: Minnesota Department of Health. (2012). Chronic obstructive pulmonary disease: Basic facts and figures. Analysis of Minnesota Hospital Discharge Data from the Minnesota Hospital Association. Minnesota Public Health Data Access. Retrieved 26 April 2012. Cancer* in Minnesota: 1999-2008 800 800 644.3 637.0 600 400 COPD hospitalizations in Minnesota: 2009 395.5 557.0 466.6 288.5 253.1 411.8 345.5 300.7 656 650 706 640 652 616 513 600 480 571 583 Nov. Dec. 460 406 400 200 200 0 Black American Indian Asian/Pacific Islander Male White (Hispanic) White (nonHispanic) 97.0 80.4 53.7 12.7 9.7 American Indian/Alaska Native Asian/Pacific Islander Incidence per 100,000 females Apr. May June July Aug. Sept. Oct. 17.1 Hispanic Stroke death in Minnesota: 2006-2010 50.0 40.0 30.0 20.0 10.0 0.0 126.7 African-American Mar. Source: Minnesota Department of Health (2012). Analysis of Minnesota Hospital Discharge Data from the Minnesota Hospital Association. Breast cancer in Minnesota women: 2003-2007 27.1 Feb. Total hospitalizations Source: Minnesota Department of Health. (2011). All cancer types combined: Basic facts and figures. Analysis of data from Minnesota Cancer Surveillance System. Minnesota Public Health Data Access. Retrieved January 1 2012. 103.4 Jan. Female * Incidence calculated for all types of cancer combined. 140.0 120.0 100.0 80.0 60.0 40.0 20.0 0.0 0 21.9 47.3 46.9 46.4 43.9 African-American/ American Indian African 43.3 40.9 Asian/ Pacific Islander 31.5 32.0 35.6 34.7 Hispanic White Males: Age-adjusted rate per 100,000 population White Females: Age-adjusted rate per 100,000 population Source: Minnesota Department of Health, Center for Health Statistics. (2011). Mortality per 100,000 females Source: American Cancer Society, Midwest Division. (2011). Minnesota cancer facts and figures: 2011. Heart disease-related death in Minnesota: 1996-2010 Heart disease mortality in Minnesota: 2005-2009 Rate per 100,000 population 300.0 250.0 200.0 150.0 100.0 50.0 0.0 1996-2000 African-American African-American American Indian Asian Hispanic White 2001-2005 American Indian 1996-2000 200.9 248.9 102.0 156.9 195.9 2006-2010 Asian Hispanic 2001-2005 154.3 226.3 72.4 92.8 153.5 White 2006-2010 123.8 177.0 63.3 53.6 125.5 Source: Peacock, J.M., & Shanedling, S. (2011). Heart disease and stroke in Minnesota: 2011 burden report. Minnesota Department of Health, Heart Disease and Stroke Prevention Unit. Retrieved January 1 2012. Source: Minnesota Department of Health, Center for Health Statistics. (2011). Stroke mortality in Minnesota: 2005-2009 Minnesotans with diabetes: 1994-2010 20.0% 18.0% 16.0% 14.0% 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% 1994 1996 1998 Age 18-44 Age 18-44 Age 45-64 Age 65-74 Age 75+ 1994 1.6% 3.6% 9.4% 9.4% 1996 1.0% 4.4% 12.2% 8.8% 2000 Age 45-64 1998 1.4% 6.0% 12.0% 10.9% 2000 1.2% 6.2% 13.4% 11.6% 2002 2004 Age 65-74 2002 1.5% 6.6% 12.6% 12.3% 2004 1.5% 7.3% 14.0% 14.2% 2006 2008 2010 Age 75+ 2006 1.6% 7.7% 13.5% 15.4% 2008 1.7% 7.9% 15.4% 14.4% 2010 2.0% 7.9% 17.2% 16.0% Source: Centers for Disease Control and Prevention (CDC). (2011). National Diabetes Surveillance System [Data set]. Retrieved January 1 2012. Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota children aged two to five enrolled in WIC* who are overweight or obese: 2009 Minnesota adults who are overweight or obese: 1995-2010 80.0% 60.0% 40.0% 50.6% 55.0% 1995 2000 60.9% 63.1% 2005 2010 20.0% 0.0% Overweight (85th to 94th percentile) 16.0 14.7 18.2 23.2 17.0 18.5 Race/Ethnicity White, non-Hispanic Black, non-Hispanic Hispanic American Indian Asian and Pacific Islander Multiple Races Obese (95th percentile and above) 10.0 12.0 17.7 27.7 15.8 13.1 * WIC is the Special Supplemental Nutrition Program for Women, Infants, and Children, administered by the U.S. federal government. Minnesota adults who are overweight or obese Source: Centers for Disease Control and Prevention. (2011). Behavioral Risk Factor Surveillance System. Retrieved January 1 2012. Source: Centers for Disease Control and Prevention. (2009). Pediatric and Pregnancy Nutrition Surveillance System [Data set]. Retrieved January 1 2012. Minnesota ninth-graders who are overweight or obese: 2010* Reported MRSA cases in Minnesota: 2000-2009 * 40% 30% 31% 29% 35% 27% 2500 35% 31% 28% 20% 2000 26% 19% 1909 15% 1500 1006 1191 1423 500 0% African-American American Indian Overweight male ninth-graders Asian Hispanic White Overweight female ninth-graders * Based on self-reported height and weight. Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. 2069 1763 1056 134 163 216 317 2000 2001 2002 2003 1917 1898 1499 1481 1000 10% 2038 1618 1644 1417 504 0 2004 Community-Associated MRSA (CA-MRSA) 2005 2006 2007 2008 2009 Health Care-Acquired MRSA (HA-MRSA) * Reported at 12 sentinel sites. Source: Minnesota Department of Health, Emerging Infections Unit. (2012). Minnesotans living with HIV/AIDS: 2010 Tick-borne disease in Minnesota: 1990-2010 100% 1500 90% 19% 80% 70% 1% 29% 7% African-American 2% 9% 60% 1000 30% 50% 40% 6% 60% 0 American Indian 1990 Asian 3% 30% 500 African-born 2% 1995 Lyme disease Hispanic 2000 2005 Human anaplasmosis 2010 Babesiosis White 20% 27% 10% Lyme disease Human anaplasmosis Babesiosis 0% Males (n=5,243) 1990 67 0 0 Females (n=1,571) Source: Minnesota Department of Health, Infectious Disease Epidemiology, Prevention and Control Division. (2010). HIV/AIDS Prevalence and Mortality Tables. Retrieved January 1 2012. 1995 204 5 0 2000 465 79 2 2005 917 186 10 2010 1293 720 56 Source: Minn. Dept. of Health, Foodborne, Vectorborne, and Zoonotic Diseases Program. (2011). Confirmed foodborne outbreaks in Minnesota: 1995-2010 Sexually transmitted infections in Minnesota: 2006-2010 100 400 300 264 274 293 292 311 67 71 62 47 43 40 69 61 60 200 100 81 80 41 18 28 40 45 39 46 41 39 41 48 47 2007 2009 24 20 0 2006 2007 Chlamydia rate per 100,000 population 2008 2009 2010 Gonorrhea rate per 100,000 population Source: Minnesota Department of Health, Infectious Disease Epidemiology, Prevention and Control Division. (2011). STD Surveillance Statistics. Retrieved January 1 2012. 0 1995 1997 1999 2001 2003 2005 Number of outbreaks Source: Minn. Dept. of Health, Foodborne, Vectorborne, and Zoonotic Diseases Program. (2011). Number of deaths Leading causes of unintentional injury deaths in Minnesota: 2000-2010 Firearm deaths in Minnesota: 2000-2010 1000 400 800 300 600 400 200 200 100 0 2000 2001 2002 2003 Falls Falls Poisoning Motor Vehicle 2000 390 100 673 2001 477 130 608 2002 527 164 723 2004 2005 Poisoning 2003 536 181 701 2004 546 190 649 2006 2007 2008 2009 2010 0 2000 2001 2002 Motor Vehicle 2005 588 205 638 2006 592 230 607 2007 685 282 617 2003 2004 2005 Unintentional injury 2008 701 333 524 2009 747 379 482 2010 784 351 508 Source: Minnesota Department of Health, Minnesota Center for Health Statistics. (2011). Unintentional Injury Homicide Suicide 2006 2007 Homicide 2008 2009 2010 Suicide 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 7 77 222 5 65 241 5 55 239 7 75 244 1 84 268 9 88 255 5 77 242 2 70 265 3 71 287 3 46 280 4 64 279 Source: Minnesota Department of Health, Minnesota Center for Health Statistics. (2011). Falls-related mortality for older adults in the United States: 2009 States with highest rates of death from falls State Rate per 100,000* Vermont 117.12 New Mexico 101.60 Wisconsin 97.87 Minnesota 85.11 Colorado 84.53 States with lowest rates of death from falls State Rate per 100,000* New Jersey 23.36 Alabama 25.04 South Carolina 29.22 Louisiana 30.93 New York 33.06 Motor vehicle death in Minnesota, by age group: 2010 20.0 15.0 10.0 5.0 0.0 11.1 15.0 14.7 14.6 10.2 7.9 7.6 6.5 7.4 6.5 8.9 9.3 7.4 7.9 11.0 1.1 2.0 2.6 * Rate adjusted for age, in the year 2000; all races, both sexes, adults aged 65-85. Rate in Alaska (26.85) not included due to inadequate sample size. Rate killed per 100,000 population Source: Centers for Disease Control and Prevention, Injury and Prevention Control: Data and Statistics. (2011). Web-based injury statistics query and reporting system. Analysis of data from NCHS Vital Statistics System and U.S. Census Bureau. Retrieved January 22 2012. Source: Minnesota Department of Health, Minnesota Injury Data Access System. (2011). Retrieved January 12 2012. Traffic fatalities in Minnesota: 2002-2011 Fatal workplace injuries in Minnesota: 2002-2010 800 100 600 657 400 80 655 567 559 510 494 200 81 60 455 421 411 370* 72 87 80 78 72 40 65 61 69 20 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 0 2002 Number of traffic fatalities 2004 2006 2008 2010 Number of fatal workplace injuries * Preliminary number. Source: U.S. Department of Transportation, National Highway Traffic Safety Administration. Source: U.S. Department of Labor, Bureau of Labor Statistics. (2011). State occupational injuries, illnesses, and fatalities: Minnesota. Retrieved April 26 2012. Unintentional poisoning in Minnesota: 1998-2009 Non-fatal workplace injuries and illnesses in Minnesota: 2002-2010 4,000 150,000 1,293 1,375 1,496 2001 2002 2003 2004 2005 2006 2007 100,000 2008 111,600 105,500 104,100 107,100 94,200 2009 Hospitalization from poisoning * Emergency department-treated. Source: Minnesota Department of Health, Minnesota Injury Data Access System. (2010). Analysis of Minnesota Hospital Discharge Data. Retrieved August 20 2010. 87,900 78,100 76,700 0 2002 0 Emergency-department treated poisonings 120,500 50,000 1,736 1,234 2000 1,880 1,074 1999 1,600 879 1998 1,440 2,745 2,515 2,377 2,301 2,168 1,930 973 500 1,865 1,000 807 1,500 1,870 2,000 2,702 2,500 2,958 3,000 3,439 3,534 3,500 2004 2006 2008 2010 Number of reportable events Source: U.S. Department of Labor, Bureau of Labor Statistics. (2011). State occupational injuries, illnesses, and fatalities: Minnesota. Retrieved April 26 2012. Rate per 100,000 population Suicide in Minnesota, by age group: 2006-2010 Minnesota ninth-graders thinking about suicide: 2010 Minnesota ninth-graders who have thought about killing themselves during the past year 30.0 23.7 25.0 20.0 25.1 21.8 20.7 18.9 32% 35% 30% 15.0 10.0 4.8 3.7 5.0 8.8 6.7 25% 26% 25% 25% 5.9 20% 15% 14% 20% 17% 14% 13% 12% 10% 0.0 15-24 years 25-34 years 35-44 years Male 45-54 years 55-64 years 5% 0% Female African-American American Indian Asian Male Source: Minnesota Department of Health, Minnesota Center for Health Statistics. (2011). Hispanic White Female Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012. Suicide in Minnesota, by race/ethnicity: 2006-2010 18.3 20.0 Adult protection report* victims in Minnesota: 2010 15.0 10.0 10.9 7.1 6.0 5.1 Asian Hispanic 5.0 0.0 African-American American Indian White Age-adjusted rate per 100,000 population Source: Minnesota Department of Health, Minnesota Center for Health Statistics. (2011). Age group Under 30 30 to 49 50 to 64 65 to 74 85 and older Total Victims (Count) 1,912 3,062 3,444 2,092 3,247 17,895 Percent of Victims 10.7% 17.1% 19.2% 11.7% 18.1% 100.0% * Not yet substantiated. Number of reports: 23,909; number of victims: 17,905; missing data: 10. Source: Source: Minnesota Department of Human Services, Data Warehouse. (2011, April). Minnesota ninth-graders and physical violence: 2010 40% 37% 37% 30% 35% 22% 20% 20% 10% 0% African-American American Indian Asian Hispanic White Minnesota ninth-graders who have "hit or beat up" another person at least once in the past year Source: Minnesota Department of Health, Center for Health Statistics. (2011). Minnesota Student Survey. Retrieved January 1 2012.
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