PROTOTYPE New England DD Health Facts State Developmental Disability Benchmarks for Health-related Indicators HEALTH & WELLNESS BENCHMARKS 2008 This prototype

PROTOTYPE

New England DD Health FactsState Developmental Disability Benchmarks for Health-related Indicators

HEALTH & WELLNESS BENCHMARKS

2008

This prototype document integrates the most recent National Core Indicators results for health-related measures within the New England DD state agencies with representative national benchmark data. NCI results for the participating New England states have been tested for statistical significance, with significance levels noted in footnotes that accompany data tables for the seven health indicators included in this document.

The development of appropriate benchmarks for use in comparing NCI findings with either the general population and/or specific populations reported in the literature is and will continue to be an ongoing process. While many of the benchmarks presented in this document must be viewed with extreme caution (e.g., population characteristics are different, specific measures and operational definitions vary) they can provide a very general background for conducting further analysis and review.

This document is set-up to operate as a MS PowerPoint slide presentation and is best viewed in this fashion. Hyperlinks to specific slides within the presentation are noted in BLUE type. Navigating through the presentation using these hyperlinks should facilitate finding the data the user is most interested in reviewing.

Updates to this presentation will be provided on a periodic basis. All users are strongly encouraged to provide comments regarding the document – as well as links to additional benchmarks – to:[email protected]

September 30, 2008

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PROTOTYPE


HEALTH & WELLNESS BENCHMARKS

Annual Physical (Health) Exams

Annual Ob/Gyn Exams

Dental Exams/ Visits

Physical Activity

Tobacco Use

Weight Concerns

Psychotropic Drug Utilization

2008

CURRENTData and Benchmarks from 2007 NCI

and General Population Statistics

FUTUREData and Benchmarks proposed for future

NCI – to be available in 2009

“click” category to review data

Vision examinationHearing examinationFlu vaccinationPneumonia vaccinationPelvic examination (F)Mammogram (F)PSA test (M)Colorectal cancer screeningFalls evaluationSerious injury from fallTreatment for depression

Directions:

You must run the presentation in PowerPoint SLIDE SHOW in order to activate the hyperlinks. This will allow you to simply “click” on a link in order to be brought to the desired slide. Links are printed in BLUE and underlined.

Each slide has a BACK TO link or series of links in the upper right hand corner. Use these to return to either the main menu or the slide with data on all the participating New England states for each major category.


HEALTH & WELLNESS BENCHMARKS2008

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Annual Health ExamsNational

Benchmark

New England States CT MA ME RI VT

NCI: Percent with physical exam

within the past year 1 86% 86% 94% 78% 81%

Percent adults in U.S. with

preventive health exam per year 2 21%

1 NCI New England State Results (2006-2007). Special report prepared by HSRI, September 12, 2008.

2 Mehrotra A, Zaslavsky A & Ayanian, J. Preventive health examinations and preventive gynecological examinations in the United States. Arch Intern Med. 2007;167(17):1876-1883

Reference group: adult general population. Sample: analysis of 8,413 ambulatory care visits in 2002-2004 extrapolated to the U.S. population to determine estimates of annual preventive health exams

Reference group: adults with DD served by state DD agecnies. Sample: 1,866 adults with DD in four NE states participating in the 2007 NCI cycle.

Pearson chi-square computed for 4 New England NCI state sample only. Chi-square not significant (asymp.sig 2 sided equal to 9.7218E-18).

Indicator: Percent of adults with a physical exam within the past year.

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New England DD Health FactsState Developmental Disability Benchmarks

MEDICAL EXAMS

Indicator: Percent of adult women with a Ob/Gyn exam within the past year.

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Annual Ob/Gyn ExamsNational

Benchmark


NCI: Percent adult women with last

ob/gyn exam within the past year 1 48% 51% 43% 51%

Percent female adults in U.S. with preventive gynecological exam per year 2

18%




Reference group: adults with DD served by state DD agecnies. Sample: 647 female adults with DD in three NE states participating in the 2007 NCI cycle.

Reference group: adult general population. Sample: analysis of 8,413 ambulatory care visits in 2002-2004 extrapolated to the U.S. population to determine estimates of annual preventive health exams

link link linkClick link for state charts


GYN EXAMS

Dental VisitsNational

Benchmark


NCI: Percent with dental visit within the past 6

mo. 1 61% 61% 67% 59% 56%

Percent adults in U.S. reporting at least one

dental visit in past year (12 mo.) 2 60%

Percent persons aged 18-yrs and older who

visited a dentist in the previous year 3 42%

Percent persons with disabilities aged 18-yrs and older who visited a dentist in the previous

year 3 35%

Percent of adults who visited the dentist within

the past year, 2006 4 70% 80% 78% 71% 80% 74%

Indicator: Percent of adults who have had a dental visit within the past six months. [Note: NCI = visit within 6 mo., general population benchmarks = visit within 1 year.]

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Click link for state chartslink

2 CDC National Center for Health Statistics, Trends in Oral Health Status: United States, 1988-1994 and 1999-2004. Series 11, Number 248. 104 pp. (PHS) 2007-1698. Published April 30, 2007 at: http://www.cdc.gov/nchs/pressroom/07newsreleases/oralhealth.htm

3 CDC Healthy People 2010 Database, May 2008 Edition. Objective 21-10, available at: http://wonder.cdc.gov/scripts/broker.exe

4 The National Oral Health Surveillence System, The Center for Disease Control and Prevention (CDC), based on the Behavioral Risk Factor Surveillance System (BRFSS); data available at http://apps.nccd.cdc.gov/brfss/list.asp?cat=OH&yr=2006&qkey=6610&state=All.

Reference group: adults with DD served by state DD agecnies. Sample: 1,851 adults with DD in four NE states participating in the 2007 NCI cycle. Note: criteria for NCI is different than national benchmarks, i.e., visit within 6 mo. v national benchmarks which utilize visit within one year.

Reference group: U.S. adults aged 20 to 64 years who reported having a dental visit in the past year during 1999–2004.

Reference group: U.S. adults aged 18 years and older. Data for 2004.

Reference group: Data represent adults who reported having visited the dentist or dental clinic within the past year for any reason. Data based on the Behavioral Risk Factor Surveillance System, an ongoing, state-based, random-digit-dialed telephone survey of noninstitutionalized civilian adults aged 18 years and older. Date reported for 2006.




DENTAL

Physical Activity: Inactivre National

Benchmark


NCI: Percent adults who are

physically inactive 1 21% 18% 25% 19%

Percent U.S. adults who are never active (2005) 2 10%

Percent of U.S. adults who are

physically inactive 3 14% 10% 12% 9% 12% 8%

Pearson chi-square computed for 3 New England NCI state sample only. Chi-square not significant (asymp.sig 2 sided equal to 0.102908056).

Indicator: Percent of adults who are physically inactive.

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Reference group: age and population adjusted data for adults in the U.S. general population. Inactivity was defined as less than 10 minutes total per week of moderate or vigorous-intensity lifestyle activities (i.e., household, transportation, or leisure-time activity).

3 CDC. Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion. U.S. Physical Activity Statistics, March 2008. available at: http://apps.nccd.cdc.gov/PASurveillance/StateSumV.asp


2 Barnes P. Physical Activity Among Adults: United States, 2000 and 2005. National Center for Health Statistics (NCHS), January 2007, available at: http://www.cdc.gov/nchs/products/pubs/pubd/hestats/physicalactivity/physicalactivity_tables.pdf#1

Reference group: adults served by DD state agencies. Sample: 1,277 adults with DD in three New England states participating in the 2006/2007 NCI cycle.

Reference group: age-adjusted adults (18+ yrs) in the U.S. general population in 2005. "Never active" = inactive physically during usual daily activities and never engaged/unable to engage in leisure-time physical activity.

Also see: JAMA. Vol. 299 No. 1, January 2, 2008, 30-32. Prevalence of Regular Physical Activity Among Adults—United States, 2001 and 2005. Report from the Centers for Disease Control and Prevention: Morbidity and Mortality Weekly Report (MMWR) 2007; 56:1209-1212.


PHYSICAL ACTIVITY

Smoking & Tobacco UseNational

Benchmark


NCI: Percent adults who smoke or

use tobacco 1 9% 10% 9% 9%

Percent adults in U.S. who smoke 2 19% 15% 16% 20% 17% 18%

Pearson chi-square computed for 4 New England NCI state sample only. Chi-square not significant (asymp.sig 2 sided equal to .53955).

Indicator: Percent of adults who smoke/use tobacco.

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Reference group: adults with DD served by state DD agecnies. Sample: 1,866 adults with DD in three NE states participating in the 2007 NCI cycle.

1 NCI New England State Results (2006-2007). Special report prepared

by HSRI, September 12, 2008.

Reference group: Data represent U.S. adults who reported that they current ly smoke every day or some days. Data based on the Behavioral Risk Factor Surveillance System, an ongoing, state-based, random-digit-dialed telephone survey of noninstitutionalized civilian adults aged 18 years and older.

2 Centers for Disease Control and Prevention (CDC), Behavioral Risk

Factor Surveillance Sys tem Survey Data (BRFSS), accessed 06/10/2008. Available at http://apps.nccd.cdc.gov/brfss/list.asp?cat=TU&yr=2007&qkey=4396&state=All.


TOBACCO USE

Weight Concerns: OverweightNational

Benchmark


NCI: Percent adults who are overweight 1 32% 29% 35% 32%

Percent U.S. adults who are obese (2007) 2 26% 22% 22% 25% 22% 22%

Percent of U.S. adults who are overweight

(2007) 2 37% 38% 37% 38% 39% 37%Percent of U.S. adults who are obese (2003-

2004) 3 34%

Percent of U.S. adults who are overweight

(2003-2004) 3 32%

Percent of adults with intellectual disability

who are obese (1997-2000) 4 35%

Percent of adults with intellectual disability

who are overweight (1997-2000) 429%

Pearson chi-square computed for 3 New England NCI state sample for overall weight concern only. Chi-square not significant (asymp.sig 2 sided equal to 0.090679).


WEIGHTIndicator: Percent of adults who are overweight.

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Reference group: adults with DD served by state DD agecnies - self report re: weight. Sample: 1,278 adults with DD in three NE states participating in the 2007 NCI cycle.

Reference group: adults in U.S. general population aged 20- 74-yrs for 2003-2004. Obesity defined as BMI >30; overweight defined as BMI >25 and <30. Data for Fig 13.

Reference group: adults in U.S. general population based on BMI (overweight >25<30, obese >30). Data from the BRFSS.

2 The Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System Survey Data (BRFSS), accessed June 12, 2008. Available at http://apps.nccd.cdc.gov/brfss/list.asp?cat=OB&yr=2007&qkey=4409&state=All


3 National Center for Health Statistics, Health, United States, 2007 With Chartbook on Trends in the Health of Americans. Hyattsville, MD: 2007 Library. available at: http://www.cdc.gov/nchs/data/hus/hus07.pdf#074

4 Yamaki K. Body Weight Status Among Adults With Intellectual Disability in the Community. Mental Retardation: 2005, Vol. 43, No. 1, pp. 1–10. available at: http://aamr.allenpress.com/aamronline/?request=get-document&doi=10.1352%2F0047-6765(2005)43%3C1:BWSAAW%3E2.0.CO%3B2#i0047-6765-43-1-1-t02

Reference group: sample of adults between the ages of 18- and 65-yrs who lived in the community and who were diagnosed with an intellectual disability. Obesity and overweight defined based on BMI: obese (30 BMI), overweight (25 BMI < 30).


PSYCHOTROPIC DRUGUTILIZATION

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MEDICATIONS FOR:

Mood Disorders

Anxiety

Behavior Problems

Psychotic Disorders

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Psychotropic Drugs: Mood disorders

National Benchmark


NCI: Percent adults who take psychotropic

medications for mood disorders 1 31% 29% 34%

Percent of U.S. general population age 18-64

yrs taking antidepressants (2002) 2 10.3%

Percent of persons with MR in LTC who take

antidepressant medications (1995) 3 6.1%

Pearson chi-square computed for 2 New England NCI state sample only. Chi-square significant (asymp.sig 2 sided equal to 0.002387).

Indicator: Percent of adults who use psychotropic medication for a mood disorder. [Note: benchmark for general population NOT directly comparable to NCI.]

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PSYCHOTROPIC MEDICATION

MOOD DISORDERS

Reference group: children and adults with mental retardation who resided in nursing homes in OK in 1995. Sample size = 1,056.

1 NCI New England State Results (2006-2007). Special report prepared by HSRI, September 12, 2008. Reference group: adults with DD served by state DD agecnies - self report re: weight. Sample: 818 adults with DD in three NE states participating in the 2007 NCI cycle.

Reference group: non-elderly adults in the U.S. general population aged 18- to 64-yrs . Data obtained via the MEPS-HC for 2002.

3 Spreat S & Conroy J. Use of Psychotropic Medications for Persons With Mental Retardation Who Live in Oklahoma Nursing Homes. Psychiatr Serv 49:510-512, April 1998. Available at: http://psychservices.psychiatryonline.org/cgi/content/full/49/4/510

2 Stagnitti M. Trends in Antidepressant Use by the U.S. Civilian Noninstitutionalized Population, 1997 and 2002. Medical Expenditure Panel Survey: Statistical Brief No. 76. AHRQ, May 2005. Data available at: http://www.meps.ahrq.gov/mepsweb/data_files/publications/st76/stat76.pdf

Psychotropic Drugs: AnxietyNational

Benchmark



medications for anxiety 128% 26% 29%

12-month prevalence of anxiety disorders in the

U.S. adult general population 219%

Percent of U.S. adult general population that

experiences an anxiety disorder each year 316%


anxiolytic medications (1995) 416%


Indicator: Percent of adults who use psychotropic medication for anxiety. [Note: benchmark for general population NOT directly comparable to NCI.]

link


link




ANXIETY

3 U.S. Department of Health and Human Services. Mental Health: A Report of the Surgeon General—Executive Summary . Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 1999. Available at: http://www.surgeongeneral.gov/library/mentalhealth/home.html

Reference group: adults in the U.S. general population between the ages of 18 to 54-yrs, 1999 report.

Reference group: adults in the U.S. general population between the ages of 18 and older - data updated to 2007.

2 National Comorbidity Survey (NCS) and National Comorbidity Survey Replication (NCS-R). Harvard Medical School, 2007. Data table available at: http://www.hcp.med.harvard.edu/ncs/ftpdir/table_ncsr_12monthprevgenderxage.pdf




Psychotropic Drugs: Behavior Problems

National

Benchmark 2



medications for behavior problems 1 23% 24% 22%


Indicator: Percent of adults who use psychotropic medication for behavior problems. [Note: no comparable general population benchmark.]

link


link




BEHAVIOR


2 No comparable general population benchmark available

Psychotropic Drugs: Psychotic Disorders

National Benchmark



medications for psychotic disorders 115% 16% 15%


antipsychotic medications (1995) 232%


Indicator: Percent of adults who use psychotropic medication for psychotic disorders.

link


link




PSYCHOTIC DISORDERS




STATE SPECIFIC DATA


State: Connecticut - DDS

1 NCI: New England State Results (2006-2007). Special report prepared by HSRI, September 12, 2008.

REFERENCES:



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86% 86%

21%

0%

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60%

70%

80%

90%

100%

NCI: CT (2007) NCI: NE Avg (2007) US Gen Pop

ConnecticutAnnual Health Exam CT NE AvgPercent adults with physical exam in past year 86% 86% 21%

NCI: 2007 1 US Gen

Pop 2


State: Maine - OACPDS


REFERENCES:




94%86%

21%

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100%

NCI: ME (2007) NCI: NE Avg (2007) US Gen Pop

MaineAnnual Health Exam ME NE AvgPercent adults with physical exam in past year 94% 86% 21%

NCI: 2007 1 US Gen

Pop 2


State: Rhode Island - DDD


REFERENCES:




78%86%

21%

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NCI: RI (2007) NCI: NE Avg (2007) US Gen Pop

Rhode IslandAnnual Health Exam RI NE AvgPercent adults with physical exam in past year 78% 86% 21%

NCI: 2007 1 US Gen

Pop 2


State: Vermont - DAIL


REFERENCES:




VermontAnnual Health Exam VT NE AvgPercent adults with physical exam in past year 81% 86% 21%

NCI: 2007 1 US Gen

Pop 2

81%86%

21%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

NCI: VT (2007) NCI: NE Avg (2007) US Gen Pop




REFERENCES:


Indicator: Percent of adult women with an ob/gyn exam within the past year.

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ConnecticutAnnual Ob/Gyn Exam CT DDS NE AvgPercent adult women with ob/gyn exam in past year 51% 48% 18%

NCI: 2007 1 US Gen

Pop 2

51%48%

18%

0%

10%

20%

30%

40%

50%

60%

NCI: CT (2007) NCI: NE Avg (2007) US Gen Pop


State: Maine - OACPDS


REFERENCES:




MaineAnnual Ob/Gyn Exam ME BDS NE AvgPercent adult women with ob/gyn exam in past year 43% 48% 18%

NCI: 2007 1 US Gen

Pop 2

43%48%

18%

0%

10%

20%

30%

40%

50%

60%

NCI: ME (2007) NCI: NE Avg (2007) US Gen Pop




REFERENCES:




Rhode IslandAnnual Ob/Gyn Exam RI NE AvgPercent adult women with ob/gyn exam in past year 51% 48% 18%

NCI: 2007 1 US Gen

Pop 2

51%48%

18%

0%

10%

20%

30%

40%

50%

60%

NCI: RI (2007) NCI: NE Avg (2007) US Gen Pop


State: Connecticut DDSIndicator: Percent of adults with a dental visit within the past six months

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Connecticut

Dental Visit CT NE Avg

Percent adults with dental visit in past 6-mo. 61% 61%Percent adults with at least one dental visit in past year (1999-2004) 60%Percent adults who visited dentist in previous year (2004) 42%Percent adults with disabilities who visited dentist in previous year (2004) 35%Percent adults who visited dentist within past year (2006) 70% 80%

NCI: 2007 1 US Gen

Pop 2,3,4

CT Gen

Pop 4

61% 61% 60%

42%35%

80%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

NCI: CT (2007): 6

mo.

NCI: NE Avg (2007): 6

mo.

US Gen Pop: 20-64/1 yr

US Gen Pop: 18+/1 yr

US Gen Pop: 18+ w

disab/1 yr

CT Gen Pop: adults/1yr


REFERENCES:

2 CDC National Center for Health Statistics, Trends in Oral Health Status: United States, 1988-1994 and 1999-2004. Series 11, Number 248. 104 pp. (PHS) 2007-1698. Published April 30, 2007.

3 CDC Healthy People 2010 Database, May 2008 Edition. Objective 21-10.

4 The National Oral Health Surveillance System, The Center for Disease Control and Prevention (CDC), based on the Behavioral Risk Factor Surveillance System (BRFSS); data.

Visit withinpast 6-mo.


IMPORTANT NOTE:

NCI data is based on a more stringent criteria of dental visits within the past 6 months. This is NOT directly comparable to the general population benchmarks which rely on a criteria of a dental visit within the past year (12 months).

67%61% 60%

42%35%

71%

0%

10%

20%

30%

40%

50%

60%

70%

80%

NCI: ME (2007): 6

mo.

NCI: NE Avg (2007): 6

mo.



US Gen Pop: 18+ w

disab/1 yr

ME Gen Pop: adults/1yr


State: Maine - OACPDSIndicator: Percent of adults with a dental visit within the past six months



REFERENCES:






IMPORTANT NOTE:


Maine

Dental Visit ME NE Avg

Percent adults with dental visit in past 6-mo. 67% 61%Percent adults with at least one dental visit in past year (1999-2004) 60%Percent adults who visited dentist in previous year (2004) 42%Percent adults with disabilities who visited dentist in previous year (2004) 35%Percent adults who visited dentist within past year (2006) 70% 71%

NCI: 2007 1 US Gen

Pop 2,3,4

ME Gen

Pop 4

59% 61% 60%

42%35%

80%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

NCI: RI (2007): 6

mo.

NCI: NE Avg (2007): 6

mo.



US Gen Pop: 18+ w

disab/1 yr

RI Gen Pop: adults/1yr


State: Rhode Island - DDDIndicator: Percent of adults with a dental visit within the past six months



REFERENCES:






IMPORTANT NOTE:


Rhode IslandDental Visit RI NE AvgPercent adults with dental visit in past 6-mo. 59% 61%Percent adults with at least one dental visit in past year (1999-2004) 60%Percent adults who visited dentist in previous year (2004) 42%Percent adults with disabilities who visited dentist in previous year (2004) 35%Percent adults who visited dentist within past year (2006) 70% 80%

NCI: 2007 1 US Gen

Pop 2,3,4

RI Gen

Pop 4

56%61% 60%

42%35%

74%

0%

10%

20%

30%

40%

50%

60%

70%

80%

NCI: VT (2007): 6

mo.

NCI: NE Avg (2007): 6

mo.



US Gen Pop: 18+ w

disab/1 yr

VT Gen Pop: adults/1yr


State: Vermont - DAILIndicator: Percent of adults with a dental visit within the past six months



REFERENCES:






IMPORTANT NOTE:


VermontDental Visit VT NE AvgPercent adults with dental visit in past 6-mo. 56% 61%Percent adults with at least one dental visit in past year (1999-2004) 60%Percent adults who visited dentist in previous year (2004) 42%Percent adults with disabilities who visited dentist in previous year (2004) 35%Percent adults who visited dentist within past year (2006) 70% 74%

NCI: 2007 1 US Gen

Pop 2,3,4

VT Gen

Pop 4



REFERENCES:


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ConnecticutPhysical Activity: Inactive CT NE AvgPercent adults who are physically inactive 18% 21% 14% 10%

NCI: 2007 1 US Gen

Pop 2CT Gen

Pop 2

18%

21%

14%

10%

0%

5%

10%

15%

20%

25%

NCI: CT (2007) NCI: NE Avg (2007) US Gen Pop (2007) CT Gen Pop (2007)


Note: Lower percentages represent greater levels of physical activity (healthier)



REFERENCES:






Rhode IslandPhysical Activity: Inactive RI NE AvgPercent adults who are physically inactive 25% 21% 14% 12%

NCI: 2007 1 US Gen

Pop 2RI Gen

Pop 2

25%

21%

14%12%

0%

5%

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15%

20%

25%

30%

NCI: RI (2007) NCI: NE Avg (2007) US Gen Pop (2007) RI Gen Pop (2007)


State: Vermont- DAIL

REFERENCES:






VermontPhysical Activity: Inactive VT NE AvgPercent adults who are physically inactive 19% 21% 14% 8%

NCI: 2007 1 US Gen

Pop 2VT Gen

Pop 2

19%

21%

14%

8%

0%

5%

10%

15%

20%

25%

NCI: VT (2007) NCI: NE Avg (2007) US Gen Pop (2007) VT Gen Pop (2007)



REFERENCES:


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2 Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System Survey Data (BRFSS), accessed 06/10/2008. Available at http://apps.nccd.cdc.gov/brfss/list.asp?cat=TU&yr=2007&qkey=4396&state=All.

ConnecticutSmoking & Tobacco Use CT NE AvgPercent adults who smoke/use tobacco 10% 9% 19% 15%

NCI: 2007 1 US Gen

Pop 2CT Gen

Pop 2

10%9%

19%

15%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

NCI: CT (2007) NCI: NE Avg (2007) US Gen Pop (2007) CT Gen Pop (2007)



REFERENCES:





Rhode IslandSmoking & Tobacco Use RI NE AvgPercent adults who smoke/use tobacco 9% 9% 19% 17%

NCI: 2007 1 US Gen

Pop 2RI Gen

Pop 2

9% 9%

19%

17%

0%

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16%

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NCI: RI (2007) NCI: NE Avg (2007) US Gen Pop (2007) RI Gen Pop (2007)


State: Vermont- DAIL

REFERENCES:




VermontSmoking & Tobacco Use VT NE AvgPercent adults who smoke/use tobacco 9% 9% 19% 18%

NCI: 2007 1 US Gen

Pop 2VT Gen

Pop 2

9% 9%

19%18%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

NCI: VT (2007) NCI: NE Avg (2007) US Gen Pop (2007) VT Gen Pop (2007)




REFERENCES:

Indicator: Percent of adults who are overweight.

Back to WeightBack to Main Menu

1 Data based on self report and from a special report prepared by HSRI: NCI New England State Results (2006-2007), September 12, 2008.

2 Data for overweight AND obese categories combined. From The Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System Survey Data (BRFSS).

3 Data for overweight AND obese categories combined for this table. Analysis from: Yamaki K. Body Weight Status Among Adults With Intellectual Disability in the Community. Mental Retardation: 2005, Vol. 43, No. 1, pp. 1–10.

IMPORTANT NOTE:

NCI indicator is not directly comparable to the general population data due to differences in definition and methods for determining weight categories. NCI data may underestimate the prevalence of overweight conditions since it is based on subjective response not BMI.

29% 32% 37% 38%29%

26% 22% 35%

0%

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30%

40%

50%

60%

70%

NCI: CT (2007)

NCI: NE Avg (2007)

US Gen Pop (2007)

CT Gen Pop (2007)

Persons with ID (97-00)

OB

OW

OB – Obese (defined by BMI)

OW – Overweight (defined by self report in NCI and BMI in other datasets)

ConnecticutOverweight CT NE Avg

NCI: Percent adults who are overweight 1 29% 32%Percent of U.S. adults who are overweight

and/or obese (2007) 2 63% 60%Percent of adults with intellectual disability who are overweight and/or obese (1997-

2000) 364%

NCI: 2007 1 US Gen

Pop 2,3,

CT Gen

Pop 2



REFERENCES:




2 Data for overweight and obese categories combined. From The Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System Survey Data (BRFSS).

3 Data for overweight and obese categories combined for this table. Analysis from: Yamaki K. Body Weight Status Among Adults With Intellectual Disability in the Community. Mental Retardation: 2005, Vol. 43, No. 1, pp. 1–10.

35% 32% 37% 39%29%

26% 22%35%

0%

10%

20%

30%

40%

50%

60%

70%

NCI: RI (2007)

NCI: NE Avg (2007)

US Gen Pop (2007)

RI Gen Pop (2007)


OB

OW

IMPORTANT NOTE:




Rhode IslandOverweight RI NE Avg

NCI: Percent adults who are overweight 1 35% 32%Percent of U.S. adults who are overweight

and/or obese (2007) 2 63% 61%Percent of adults with intellectual disability who are overweight and/or obese (1997-

2000) 364%

NCI: 2007 1 US Gen

Pop 2,3,

RI Gen

Pop 2


State: Vermont - DAIL

REFERENCES:




2 Data for overweight and obese categories combined. From The Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System Survey Data (BRFSS).

3 Data for overweight and obese categories combined for this table. Analysis from: Yamaki K. Body Weight Status Among Adults With Intellectual Disability in the Community. Mental Retardation: 2005, Vol. 43, No. 1, pp. 1–10.

VermontOverweight VT NE Avg

NCI: Percent adults who are overweight 1 32% 32%Percent of U.S. adults who are overweight or

obese (2007) 2

63% 59%Percent of adults with intellectual disability

who are overweight or obese (1997-2000) 364%

NCI: 2007 1

US Gen

Pop 2,3,

VT Gen

Pop 2

32% 32% 37% 37%29%

26% 22% 35%

0%

10%

20%

30%

40%

50%

60%

70%

NCI: VT (2007)

NCI: NE Avg (2007)

US Gen Pop (2007)

VT Gen Pop (2007)


OB

OW

IMPORTANT NOTE:






REFERENCES:

Indicator: Percent of adults who use psychotropic medications for mood disorders.

Back to Mood DisordersBack to Psychotropic DrugsBack to Main Menu

IMPORTANT NOTE:

NCI indicator is not directly comparable to the general population data due to differences in definition. National benchmarks may underestimate the prevalence of medications used to treat all mood disorders.




29%31%

10%

6%

0%

5%

10%

15%

20%

25%

30%

35%

NCI: CT (2007) NCI: NE Avg (2007) US Gen Pop People with ID in LTC (1995)

Connecticut

Psychotropic drug use: Mood Disorders CT NE Avg

NCI: Percent adults - psychotropic medication for mood disorders 29% 31%

Percent of U.S. general population taking antidepressants (2002) 10%

Percent of persons with MR in LTC who take antidepressant medications (1995) 6%

Benchmark

Pop 2,3

NCI: 2007 1



Indicator: Percent of adults who use psychotropic medications for mood disorders.

Back to Mood DisordersBack to Psychotropic DrugsBack to Main Menu

IMPORTANT NOTE:

NCI indicator is not directly comparable to the general population data due to differences in definition. National benchmarks may underestimate the prevalence of medications used to treat all mood disorders.

REFERENCES:




34%31%

10%

6%

0%

5%

10%

15%

20%

25%

30%

35%

40%

NCI: RI (2007) NCI: NE Avg (2007)

US Gen Pop People with ID in LTC (1995)

Rhode IslandPsychotropic drug use: Mood Disorders RI NE Avg

NCI: Percent adults - psychotropic medication for mood disorders 34% 31%

Percent of U.S. general population taking antidepressants (2002) 10%

Percent of persons with MR in LTC who take antidepressant medications (1995) 6%

NCI: 2007 1

Benchmark

Pop 2,3



REFERENCES:

Indicator: Percent of adults who use psychotropic medications for anxiety.

Back to AnxietyBack to Psychotropic DrugsBack to Main Menu

IMPORTANT NOTE:

NCI indicator is not directly comparable to the general population data due to differences in definition. National benchmark may underestimate the prevalence of medications used to treat all forms of anxiety.



26%28%

16%

0%

5%

10%

15%

20%

25%

30%

NCI: CT (2007) NCI: NE Avg (2007) People with ID in LTC (1995)

ConnecticutPsychotropic drug use: Anxiety CT NE AvgNCI: Percent adults - psychotropic medication for anxiety 26% 28% NAPercent of persons with ID in LTC who take anxiolytic medications. 16%

NCI: 2007 1 Benchmark

Pop 2



Indicator: Percent of adults who use psychotropic medications for anxiety.

Back to AnxietyBack to Psychotropic DrugsBack to Main Menu

IMPORTANT NOTE:

NCI indicator is not directly comparable to the general population data due to differences in definition. National benchmark may underestimate the prevalence of medications used to treat all forms of anxiety.

REFERENCES:



29% 28%

16%

0%

5%

10%

15%

20%

25%

30%

NCI: RI (2007) NCI: NE Avg (2007) People with ID in LTC (1995)

Rhode IslandPsychotropic drug use: Anxiety RI NE AvgNCI: Percent adults - psychotropic medication for anxiety 29% 28% NAPercent of persons with ID in LTC who take anxiolytic medications. 16%

Benchmark

Pop 2NCI: 2007 1



REFERENCES:

Indicator: Percent of adults who use psychotropic medications for behavior problems.

Back to Behavior ProblemsBack to Psychotropic DrugsBack to Main Menu

IMPORTANT NOTE:

NCI indicator is not directly comparable to available general population benchmarks.


ConnecticutPsychotropic drug use: Behavior CT NE AvgNCI: Percent adults - psychotropic medication for behavior problems 24% 23% NA

NCI: 2007 1 US Gen

Pop 2

24% 23%

0%

5%

10%

15%

20%

25%

30%

NCI: CT (2007) NCI: NE Avg (2007)



Indicator: Percent of adults who use psychotropic medications for behavior problems.

Back to Behavior ProblemsBack to Psychotropic DrugsBack to Main Menu

IMPORTANT NOTE:

NCI indicator is not directly comparable to available general population benchmarks.

REFERENCES:


Rhode IslandPsychotropic drug use: Behavior RI NE AvgNCI: Percent adults - psychotropic medication for behavior problems 22% 23% NA

NCI: 2007 1 US Gen

Pop 2

22% 23%

0%

5%

10%

15%

20%

25%

30%

NCI: RI (2007) NCI: NE Avg (2007)



REFERENCES:

Indicator: Percent of adults who use psychotropic medications for psychotic disorders.

Back to Psychotic DisordersBack to Psychotropic DrugsBack to Main Menu



16% 15%

32%

0%

5%

10%

15%

20%

25%

30%

35%

40%

NCI: CT (2007) NCI: NE Avg (2007) People with ID in LTC (1995)

ConnecticutPsychotropic drug use: Psychotic Disorders CT NE AvgNCI: Percent adults - psychotropic medication for psychotic disorders 16% 15% NAPercent of persons with MR in LTC who take

antipsychotic medications (1995) 2 32%

NCI: 2007 1

Benchmark

Pop 2



Indicator: Percent of adults who use psychotropic medications for psychotic disorders.

Back to Psychotic DisordersBack to Psychotropic DrugsBack to Main Menu

REFERENCES:



15% 15%

32%

0%

5%

10%

15%

20%

25%

30%

35%

40%

NCI: RI (2007) NCI: NE Avg (2007) People with ID in LTC (1995)

Rhode IslandPsychotropic drug use: Psychotic Disorders RI NE AvgNCI: Percent adults - psychotropic medication for psychotic disorders 15% 15% NAPercent of persons with MR in LTC who take

antipsychotic medications (1995) 2 32%

NCI: 2007 1

Benchmark

Pop 2

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