Report Indicator

New data for 2007-2011 acquired from the CDC National Vital Statistics System (NVSS) and the Health Indicators Warehouse (replacing data for 2003-2009). Affected indicators:

Social and Economic Factors

• Teen Births

Two indicators have been updated to use the 2013-14 (pooled) California Health Interview Survey (CHIS) survey data. Affected indicators:

Clinical Care

• Dental Care – No Recent Exam (Youth)

Health Outcomes

• Mental Health – Needing Mental Health Care

CHIS queries have been reformatted to eliminate discrepancies between service area and county values due to rounding. Affected indicators:

Clinical Care

• Absence of Dental Insurance Coverage
• Dental Care – Lack of Affordability (Youth)
• Dental Care – No Recent Exam (Youth)
• Lack of a Consistent Source of Primary Care

Health Behaviors

• Low Fruit/Vegetable Consumption (Youth)
• Walking/Biking/Skating to School

Health Outcomes

• Heart Disease Prevalence
• Mental Health – Needing Mental Health Care

Denominator corrected for Teen Births (Under Age 20) indicator. Denominator values are added to the report for informational purposes only – the benchmarked indicator values (birth rates) are unaffected by the change.

The following changes were made to KP CHNA indicators:

• Low Fruit/Vegetable Consumption (Youth):
  This indicator reports the percentage of children aged 2 and older aged 2-13 who are reported to consume less than five servings of fruits and vegetables each day. This indicator is relevant because current behaviors are determinants of future health, and because unhealthy eating habits may illustrate a cause of significant health issues, such as obesity and diabetes.
• Dental Care Utilization (Youth):
  This indicator reports the percentage of children aged 2-13 who self-report that they have visited a dentist that they have not visited a dentist, dental hygienist or dental clinic within the past year. This indicator is relevant because engaging in preventive behaviors decreases the likelihood of developing future health problems. This indicator can also highlight a lack of access to preventive care, a lack of health knowledge, insufficient provider outreach, and/or social barriers preventing utilization of services
• Cancer Screening – Mammogram:
  This indicator reports the percentage of female Medicare enrollees, age 67-69 or older, who have received one or more mammograms in the past two years. This indicator is relevant because engaging in preventive behaviors allows for early detection and treatment of health problems. This indicator can also highlight a lack of access to preventive care, a lack of health knowledge, insufficient provider outreach, and/or social barriers preventing utilization of services.
• Mortality – Motor Vehicle Accident: This indicator reports the rate of death due to coronary heart disease motor vehicle crashes per 100,000 population, which include collisions with another motor vehicle, a nonmotorist, a fixed object, and a non-fixed object, an overturn, and any other non-collision. This indicator is relevant because motor vehicle crash deaths are preventable and they are a cause of premature death.

Walkability indicator data now benchmarks using “Percentage of Population in Car Dependent cities” as a benchmark.
Note: Data is available for select cities only.

Desired direction for Percent Adults Never Screened for HIV / AIDS changed to low or below benchmark. Desired direction for Percentage of Housing Units with No Air Conditioning changed to low or below benchmark.

New multi-year estimates are now available from the 2011 and 2012 Behavioral Risk Factor Surveillance System (replacing estimates from 2006-2010). Due to new sampling procedures, prevalence estimates from 2011 and onward are not comparable to data from previous survey years. Indicator data is available broken out by race/ethnicity for states and the US only. Affected indicators:

Clinical Care

• HIV Screenings

Lack of a Consistent Source of Primary Care

Health Behaviors

• Tobacco Usage – Former or Current Smokers
• Tobacco Usage – Quit Attempt

Health Outcomes

• Asthma Prevalence
• Heart Disease Prevalence
• Overweight (Adult)

One new indicator has been added to the CHNA platform from the 2011-2012 Behavioral Risk Factor Surveillance System. Indicator reports the proportion of the adult population (age 18+) who self-report that they have been diagnosed with high cholesterol. New Indicators:

Health Outcomes

• High Cholesterol (Adult)

New state-level estimates were acquired from the 2011-2012 National Survey of Children’s Health (replacing estimates from 2007). State and national indicator data is available by race / ethnicity. Data is only available for service areas outside of California. Affected indicators:

Health Behaviors

• Breastfeeding (Any)
• Breastfeeding (Exclusive)
• Physical Inactivity (Youth)

Health Outcomes

• Obesity (Youth)

Overweight (Youth)