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Home My WebLink About02/27/2024 00. Misc Distributed at the Meeting 2/27/24,8:37 AM Washington Heart Disease and Stroke Map I Healthier Washington Collaboration Portal Heart Disease Death Rates* Distributed at the# Meeting : 1 1 State: WA Disease: , Heart Disease Race: All Race/Ethnicity 'V Gender: All Gender Washington: Heart Disease Death Rates Washington Select/Hover Over a County to See the Rates Heart Disease Death Rate per 100,000* z n 165 -249 lina Wit 250 - 269 ill 270 - 302 n 303 -411 1-up. n Insufficient Data Data Table + Select/Hover Over a State to See the Rates United States by State haft Heart Disease 44, lit Death Rate per �� 100,000* all 001' 114- 280 ALL 281 - 309 Na ,....-iirpr (— 310 -368 369 - 557 ,c ,,,% . (1 Insufficient Data �b {)' "IIIIPA National Rate: 319.5 Territories: Guam Puerto Rico Virgin Islands N. Mariana Islands American Samoa httnc-//wanortal.oro/partners/washinaton-state-cardiovascular-connection/using-health-data/Washington-heart-disease-and-stroke-map 2/= In looking at Chart 2, the prevalence of diabetes was highest in people 65 years of age and more (19% ±<1% of adults 65 years or more compared to 6% ±<1% under 65 years). Racial and ethnic disparities were apparent, with a greater prevalence of diabetes reported among non- Hispanic Black, Native American/Alaska Native, and Hispanic (any race) communities when compared to the non-Hispanic white population. The wide margin of error made it difficult to compare prevalence in Native Hawaiian/Other Pacific Islander communities. Income and education disparities were also evident, with income less than $25,000/year or a high school education being associated with a roughly 2-fold higher prevalence of diabetes when compared to those in the highest levels of income or formal education. That the elderly, persons of color, and economically disadvantaged groups are disproportionately affected by diabetes underscores the need to focus on health equity and improve access to culturally and linguistically appropriate services. Geographic Disparities Figure 2 shows the percent of adults with diabetes (adjusted for age) and the estimated number of adults with diabetes for each county. County-specific prevalence of diabetes ranged from 7.0% (±<2%) in Whitman County to 15.7% (±<4.5%) in Pacific County in 2015-2017 combined. Future demographic shifts likely to impact the prevalence of diabetes (like population growth, diversity, and aging) are not predicted to spread evenly across the state. For example, rural communities are aging faster than suburban and urban areas', and could see a relatively greater increase in the burden of diabetes in coming years.1° Figure 2. Self-reported diabetes among adults by county, Washington State, 2015-17 combined Whatcom San R Juan 13,030 Pend Okanogan Ferry Oreille 3.390 MR Stevens 1,330 Island 3,280 Clallam 5.280 Age-adjusted 6,260 Snohomish percent 46,740 Jefferson Chelan 2.720 Kitsap 4,620 Douglas Lincoln Spokane 5.8—<7.5 17,140 King 2.910" 1 260 34,120 7.5—<8.4 Grays Mason 122.640 Harbor 5.990 Grant 8.4—<9.4 7.610 Kittlfas 7,030 Adams Thurston Pierce 2.820 ,,` Whitman 9.4—<10.6 22,890 61.790 1.490" 2,790 10.6-12.5 Pac Lewis Franklin2.77f]€ Gorifetii 6,240 6,650 jWC: Idakum soon Cowlitz NR 9,480 Skamania Benton 2,120 850 Clark Klickitat 37,440 1,990 #RSE 25-29%,suggest using caution with potentially unreliable estimate NR: not reported if RSE>_30% Source:Washington State Behavioral Risk Factor Surveillance System Survey WASHINGTON STATE DEPARTMENT OF HEALTH i 7 2019 Diabetes Data Supplement Geographic Variation Disparities • In the 2014-2016 BRFSS, obesity was low- • In the 2014-2016 BRFSS, males had a high- er among adults in King and San Juan er prevalence of obesity than females. counties compared to the state. • Obesity prevalence was lowest among • Adams, Grant, Grays Harbor, Lewis and young adults 18-24 years old. Yakima county adults had a higher prev- alence of obesity compared to the state. • Black and Hispanic adults had a higher obesity prevalence compared to white Obesity Prevalence adults, while Asian adults had a lower prevalence of obesity. Washington Counties BRFSS, 2014-2016 • In the 2014-2016 BRFSS, obesity preva- lence decreased as levels of education Pend Oreille I , I and household income increased. Grays Harbor I Lewis I Adams I Ferry I i I Grant . Adult Obesity Mason i I I Washington State Walla Walla a 1 I Asotin I I I BRFSS, 2014-2016 Yakima I °r'':;:IGftgeli—I Skamania _ 1 1 1 Franklin a i I I Female Columbia , I I i Male H Douglas a I 1 Okanogan _ i I I 65+years old Lincoln I 1 I 55-64 years old 1 H Pacific _ I I Stevens I 45-54 years old 1 H Klickitat ' I 1 i 35-44 years old Kitsap a : 11 I 25-34 years old J I Pierce I-IH 18-24 years old ��1-1 Jefferson �I 1 I 1 i Kittitas - I I I Asians 111111•1111 I Island 1 I NHOPI' I Wahkiakum _ I I Garfield I' 1 I White` Chelan - I 1 I AIAN' ) I Spokane a ± Black' JIIIIIMMIIMIIIIIIMIMMEN-1 Thurston I i Hispanic Benton I I 1 Clallam rI I a Cowlitz I $75,000 or More �-I Whitman I I $50,000 to$74,999 Skagit I I $25,000 to$49,999 011111111 --1 WA State Less Than$25,000 I MIIIIIIIIIIII-I Snohomish H--I Clark I+I College Grad or More H Whatcom� ,+1 { - Some College I Hi San Juan i 1 i High School or Less : I I—I 0 20 40 60 0 20 40 60 Age-Adjusted Percent Age-Adjusted Percent . WA State j ! Lower than WA State *Non-Hispanic (all races) I AIAN:American Indian/Alaska Same as WA State . Higher than WA State Native I NHOPI: Native Hawaiian/Other Pacific Islander 2018 Washington State Health Assessment 75 Geographic Variation Disparities • In the 2014 and 2016 combined HYS, • In the 2014 and 2016 combined HYS, obesity was lower in King County 10'h males had a higher obesity prevalence graders compared to the state. compared to females. • Grays Harbor and Yakima county 10th • Obesity prevalence was at its highest graders had a higher prevalence of obe- among 12th grade students compared to sity compared to 10th graders in the state. 8th and 10th grade students. • NHOPI, Hispanic, AIAN, and black 10th Youth Obesity, loth Graders graders had higher obesity prevalence compared to white 10th graders. Washington Counties HYS, 2014 & 2016 Adams I l I Youth Obesity Grays Harbor Washington State Pend Oreille I I Klickitat# I ' 1 I HYS, 2014 & 2016 Mason I 1 Yakima Douglas _ I I I 12'h Grade EHI__tIrr.-1 Asotin I ILewis I 1 i 10'h Grade Grant I I 1 8'h Grade Cowlitz _ I ISkagit I I I Clallam 1 I — Female Pierce I I I Walla Walla 1 I I Male I- I Stevens I I I Lincoln i I I - Benton I I i `ii Asian* 11.1•111111-1 v Kitsap 1 I i 2 White* 11111111111111111--I Okanogan I I ' t Pacific I , l I c Black* 1111111111111111111111111 I Thurston 1 I i AIAN* I Whatcom 1 I Spokane 1 I i Hispanic WA State .11=111.1-I — NHOPI* I Snohomish Island I I I 0 10 20 30 40 Clark { Percent Chelan I I i Kittitas i Whitman I I i King ± Columbia _ - Ferry _ Franklin Garfield _ NR Jefferson San Juan Skamania Wahkiakum 0 10 20 30 Percent . WA State Lower than WA State Same as WA State IIII Higher than WA State NR: Not reported if RSE>_30%or to protect privacy *Non-Hispanic (all races) I AIAN:American Indian/Alaska #Relative standard error(RSE) is between 25%and 29% Native I NHOPI: Native Hawaiian/Other Pacific Islander 2018 Washington State Health Assessment 77 American Diabetes Association. Connected for Life The Burden of Diabetes in Washington Diabetes is an epidemic in the United States. According to the Centers for Disease Control and Prevention (CDC), over 34 million Americans have diabetes and face its devastating consequences. What's true nationwide is also true in Washington. Washington's diabetes epidemic. • Approximately 582,006 people in Washington, Diagnosed diabetes costs an or 9.7% of the adult population, have estimated $6.7 billion in diagnosed diabetes. Washington each year. • An additional 164,000 people in Washington The serious complications include have diabetes but don't know it, greatly heart disease, stroke, amputation, increasing their health risk. end-stage kidney disease, • There are 1,938,000 people in Washington, blindness—and death. 33.7% of the adult population, who have prediabetes with blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes. • Every year an estimated 53,166 people in Washington are diagnosed with diabetes. Diabetes is expensive. People with diabetes have medical expenses approximately 2.3 times higher than those who do not have diabetes. • Total direct medical expenses for diagnosed diabetes in Washington were estimated at $5 billion in 2017. • In addition, another $1.7 billion was spent on indirect costs from lost productivity due to diabetes. 0 Improving lives, preventing diabetes and finding a cure: Q The Division of Diabetes Translation at the CDC provided $2,717,510 in diabetes prevention and o educational grants in Washington in 2018. E Sources include: • Diabetes Prevalence:2018 state diagnosed diabetes prevalence,cdc.gov/diabetes/data;2017 state undiagnosed diabetes prevalence, Dail et al.,"The Economic Burden of Elevated Blood Glucose Levels in 2017", Diabetes Care,September 2019,vol.42. • Diabetes Incidence:2018 diabetes incidence rate,cdc.gov/diabetes/data • Cost:American Diabetes Association,"Economic Costs of Diabetes in the U.S.in 2017", Diabetes Care, May 2018. • Research expenditures:2020 CDC diabetes funding,fundingprofiles.cdc.gov/FundingProfiles/FundingQuery 0 0 au Learn more at diabetes.org I 1-800-DIABETES (800-342-2383) 10/2021