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State and Native Health Consortium release top 25 Alaska health concerns

ANCHORAGE — Healthy Alaskans 2020, a joint effort between the state of Alaska Department of Health and Social Services and the Alaska Native Tribal Health Consortium, has released its 25 Leading Health Indicators — a list of critical health priorities for Alaska. The indicators provide a science-based framework for identifying public health priorities and are designed to guide efforts in Alaska over the next decade to improve health and ensure health equity for all Alaskans.

The selection process was a collaborative effort among a wide spectrum of partners statewide and was both data‑ and community-driven. A team of experts spent 10 months reviewing Alaska-specific quantitative data related to a broad range of health factors, gathered information from subject matter experts, and considered input from two public surveys in establishing the 25 indicators. The surveys were conducted in the fall of 2012 and spring of 2013 to ascertain Alaskans’ top health concerns and received over 3,000 responses from individuals across the state.

The 25 leading health indicators include reducing the rates of cancer, suicide, and interpersonal violence and sexual assault. Alaskans also wanted to see alcohol, tobacco and drug use curtailed, and an increase in disease prevention through vaccines, improved access to in-home water and wastewater services, and lowering Alaska’s obesity rate.

Target goals for each of the 25 indicators have been established. The next step will be to initiate efforts, or increase existing efforts, to reach those goals.  

“Success in meeting the leading health indicator targets will require a combined effort on the part of all Alaskans — from individuals to communities to policymakers — working together to promote health and prevent illnesses,” said Beverly Wooley, community health systems performance improvement director with ANTHC.

All Alaskans are welcome and encouraged to review the 25 leading health indicators below and on the Healthy Alaskans 2020 website at http://ha2020.alaska.gov/, where more information is available. Alaskans are also encouraged to register for the program’s GovDelivery email distribution list to receive updates and notices of other opportunities to stay involved throughout the process.

Healthy Alaskans 2020 is part of the national Healthy People 2020 project to provide science-based, 10-year national objectives for ambitious — yet achievable — goals for improving the health of all Americans.

 

Healthy Alaskans 2020

Healthy Alaskans 2020's 25 Leading Health Indicators — a list of critical health priorities for Alaska — provide a science-based framework for identifying public health priorities and are designed to guide efforts in Alaska over the next decade to improve health and ensure health equity for all Alaskans.

The 25 leading health indicators include reducing the rates of cancer, suicide, and interpersonal violence and sexual assault. Alaskans also wanted to see alcohol, tobacco and drug use curtailed, and an increase in disease prevention through vaccines, improved access to in-home water and wastewater services, and lowering Alaska’s obesity rate.
Target goals for each of the 25 indicators have been established. The next step will be to initiate efforts, or increase existing efforts, to reach those goals:

Note: The order of indicators does not denote rank or priority. Baseline is 2010 data unless otherwise noted (*); please see the data for more information. For an printer-friendly version of this table, please see the HA2020 Leading Health Indicators.

Reduce Alaskan deaths from cancer

Indicator
Baseline (2010)
HA 2020 Target
Indicator 1
Cancer mortality rate per 100,000 population
179.2 per 100,000
data
162 per 100,000
strategies

Increase the proportion of Alaskans who are tobacco-free

Indicator
Baseline (2010)
HA 2020 Target

Indicator 2
Percentage of adolescents who have not smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days

74.8%*
data
80%
strategies

Indicator 3
Percentage of adults who currently do not smoke cigarettes

77.8%
data
83%
strategies

Reduce the proportion of Alaskans who are overweight or obese

Indicator
Baseline (2010)
HA 2020 Target
Indicator 4
Percentage of Adults who meet criteria for:
-
-
Overweight
38.4%
data
36%
strategies
Obesity
28.9%
data
27%
strategies
Indicator
Baseline (2010)
HA 2020 Target
Indicator 5
Percentage of children and adolescents who meet criteria for:
-
-
Overweight (Adolescents)
14.4%*
data
12%
strategies
Obesity (Adolescents)
11.8%*
data
10%
strategies
Overweight (Children)
16.9%+
data
15%
strategies
Obesity (Children)
16.3%+
data
14%
strategies

Increase the proportion of Alaskans who are physically active

Indicator
Baseline (2010)
HA 2020 Target
Indicator 6
Percentage of Alaskans who meet the CDC's Physical Activity Guidelines for Americans:
-
-
Adults
57.5%**
data
61%
strategies
Adolescents
20.2%*
data
23%
strategies

Reduce Alaskan deaths from suicide

Indicator
Baseline (2010)
HA 2020 Target
Indicator 7
Suicide mortality rate per 100,000 population:
-
-
Among population aged 15 – 24 years
46.9 per 100,000
data
44.1 per 100,000
strategies
Among population aged 25 years and older  
25.8 per 100,000
data
24.3 per 100,000
strategies

Reduce the number of Alaskans experiencing poor mental health

Indicator
Baseline (2010)
HA 2020 Target
Indicator 8
Percentage of adolescents who felt so sad or hopeless every day for 2 weeks or more in a row that they stopped doing some usual activities during the past 12 months
25.2%*
data
23%
strategies
Indicator 9
Mean number of days adults aged 18 and older report being mentally unhealthy
3.2 days
data
2.9 days
strategies

Increase the proportion of Alaska youth with family and/or social support

Indicator
Baseline (2010)
HA 2020 Target
Indicator 10
Percentage of adolescents with 3 or more adults who they feel comfortable seeking help from
44.6%*
data
47%
strategies

Reduce the number of Alaskans experiencing domestic violence and sexual assault

Indicator
Baseline (2010)
HA 2020 Target
Indicator 11
Rate of unique substantiated child maltreatment victims per 1,000 children
15.3 per 1,000
data
14.4 per 1,000
strategies
Indicator 12
Rate of rape per 100,000 population
75.0 per 100,000
data
67.5 per 100,000
strategies
Indicator 13
Percentage of adolescents who were ever hit, slapped, or physically hurt on purpose by their boyfriend or girlfriend during the past 12 months
13.3%*
data
11%
strategies

Reduce the number of Alaskans experiencing alcohol and other drug dependence and abuse

Indicator
Baseline (2010)
HA 2020 Target
Indicator 14
Alcohol induced mortality rate per 100,000 population

16.7 per 100,000
data

15.7 per 100,000
strategies
Indicator
Baseline (2010)
HA 2020 Target
Indicator 15
Percentage of persons who report binge drinking in the past 30 days based on the following criteria:
-
-
Adults: five or more drinks for men; 4 or more drinks for women on one occasion
21.8%
data
20%
strategies
Adolescents: 5 or more alcoholic drinks in a row within a couple of hours, at least once in the past 30 days
21.7% (2009)
data
17%
strategies

Reduce Alaskan deaths from unintentional injury

Indicator
Baseline (2010)
HA 2020 Target
Indicator 16
Unintentional injury mortality rate per 100,000 population
66.6 per 100,000
data
62.6 per 100,000
strategies

Increase the proportion of Alaskans who are protected from vaccine-preventable infectious diseases

Indicator
Baseline (2010)
HA 2020 Target
Indicator 17
Percentage of children aged 19-35 months who do receive the ACIP recommended vaccination series
65.0%
data
75%
strategies

Reduce the proportion of Alaskans experiencing infectious disease

Indicator
Baseline (2010)
HA 2020 Target
Indicator 18
Incidence rate of Chlamydia trachomatis per 100,000 population
849.6 per 100,000
data
705.2 per 100,000
strategies

Increase the proportion of Alaskans with access to in-home water and wastewater services

Indicator
Baseline (2010)
HA 2020 Target
Indicator 19
Percentage of rural community housing units with water and sewer services
78%
data
87%
strategies

Increase the proportion of Alaskans protected against dental diseases

Indicator
Baseline (2010)
HA 2020 Target
Indicator 20
Percentage of the Alaskan population served by community water systems with optimally fluoridated water
54.8%
data
58%
strategies

Reduce the proportion of Alaskans without access to high quality and affordable healthcare

Indicator
Baseline (2010)
HA 2020 Target
Indicator 21
Percentage of women delivering live births who have not received prenatal care beginning in first trimester of pregnancy
21.3%
data
19%
strategies
Indicator 22
Rate of preventable hospitalizations per 1,000 adults based on the Agency for Healthcare Research and Quality
7.6 per 1,000
data
7.1 per 1,000
strategies
Indicator 23
Percentage of adults reporting that they could not afford to see a doctor in the last 12 months
14.7%
data
14%
strategies

Increase the economic and educational status of Alaskans

Indicator
Baseline (2010)
HA 2020 Target
Indicator 24
Percentage of residents living above the federal poverty level
84.5%++
data
90%
strategies
Indicator 25
Percentage of 18-24 year olds with high school diploma or equivalency
81.2%
data
86%
strategies
 

A Joint Project of the State of Alaska Department of Health and Social Services and the Alaska Native Tribal Health Consortium

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