women’s health in massachusetts center for health information, statistics, research, and...

Women’s Health in Massachusetts

Center for Health Information, Statistics, Research, and EvaluationCenter for Community Health

Massachusetts Department of Public Health

March 2007

Socio-Demographic Characteristics of

Women in MA

Prepared by the Division of Research and Epidemiology, CHISRE, and the Center for Community Health, Massachusetts Department of Public Health

Population by Gender and Race/Hispanic Ethnicity

Massachusetts 2005

81

6 8 5

81

6 8 50.2 0.2

0

20

40

60

80

100

White Black Hispanic Asian AmericanIndian

Per

cent

age

(%)

men women

Source: Massachusetts Department of Public Health Modified Age, Race, and Sex 2005 Estimates


Percentage of Women Ages Under 35 yrs and over 64 yrs, by Race/Hispanic Ethnicity

Massachusetts 2005

4440

55

6458

49

13 147

4 6 8

0

40

80

MA Total White Black Hispanic Asian AmericanIndian

Per

cent

age

(%)

Age < 35 Age >=65



Percentages of Women with More than a Bachelor's Degree and with More than $50,000

Earnings by Race/Hispanic Ethnicity Massachusetts 2005

15 15

86

28

9

22 24

15

7

30

9

0

10

20

30

40

MA Total White Black* Hispanic Asian* AmericanIndian*

Per

cent

age

(%)

Graduate Edu Income $50k or more

Note: Earnings in the past 12 months (in 2005 inflation-adjusted dollars), for women population 16 years and over* Includes Hispanic and Non-Hispanic

Source: U.S. Census Bureau, 2005 American Community Survey


Regions Where Women Reside by Race/Hispanic Ethnicity

Massachusetts 2005W

est

Cen

tral

Nor

thE

ast

Nor

thE

ast

Met

roW

est

Met

roW

est

So

uthE

ast

So

uthE

ast

Bo

ston

Bo

ston

0

20

40

White Black Hispanic Asian AmericanIndian

Per

cent

age

(%)


24

40

26

37

28

Maternal and Perinatal Indicators


Characteristic (as % of race group births)

MA

Total (n=76,824)

White, Non-

Hispanic (n=53,469)

Black, Non-Hispanic (n=6,077)

Hispanic (n=10,061)

Asian , Non-

Hispanic (n=5,251)

Am. Indian ,

Non-Hispanic

(n=160)

Age at First Birth

(average in yrs)28 29 25 23 29 25

Not Married 30 21 58 64 15 46

<HS Educ. (ages 20+)

8 4 10 29 9 8

Medicaid Insured

(for PNC)24 17 46 47 20 31

Teen Births (ages15-19)

6 4 10 15 3 10

Maternal Characteristics by Race/Hispanic Ethnicity, 2005

Source: Registry of Vital Records, Center For Health Information, Statistics, Research, and Evaluation


Indicator (as % of race group births)

MA

Total (n=76,824)

White, Non-

Hispanic (n=53,469)

Black, Non-Hispanic (n=6,077)

Hispanic (n=10,061)

Asian , Non-

Hispanic (n=5,251)

Am. Indian ,

Non-Hispanic

(n=160)

Adequate Prenatal Care (Kotelchuck index)

83 86 73 75 81 83

Cesareans 32 33 34 27 29 31

Low Birth weight (<5.5 lb)

8 7 12 8 8 13

Breastfeed 78 76 80 80 85 70

Multiple Births 5 5 4 3 3 9

Smoking 7 8 6 5 1 19

Perinatal Indicators by Race/Hispanic Ethnicity, 2005

Source: Registry of Vital Records, Center For Health Information, Statistics, Research, and Evaluation

Morbidity


Heart Disease Hospitalization Rates by Gender and

Race/Hispanic Ethnicity, 2005

15891463

1342 1355

448

987886

11601005

354

0

500

1000

1500

2000

MA Total White Black Hispanic Asian

ho

spita

liza

tion

s p

er

10

0,0

00

po

pu

latio

n

men women

Note: Rates are age-adjusted to the 2000 US standard population

Source: Hospital Discharge Dataset System, Massachusetts Division of Health Care Finance and Policy


Heart Disease Emergency Visit Rates by Gender and


313 305 314 321

73211 201 281 249

76

0

500

1000

1500

2000


visi

ts p

er

10

0,0

00

po

pu

latio

n

men women




Alcohol/Substance Abuse Hospitalization Rates by Gender and


466 432 487586

42

222 223 165 18127

0

250

500

750

1000

1250

1500


ho

spita

liza

tion

s p

er

10

0,0

00

po

pu

latio

n

men women




Alcohol/Substance Abuse Emergency Visit Rates by Gender and


797 743

1,367 1,344

63

378 388473

274

53

0

250

500

750

1000

1250

1500


visi

ts p

er

10

0,0

00

po

pu

latio

n

men women




Diabetes Mellitus Hospitalization Rates by Gender and


159 139

394

303

50112 92

346

202

40

0

200

400

600


ho

spita

liza

tion

s p

er

10

0,0

00

po

pu

latio

n

men women




Diabetes Mellitus Emergency Visit Rates by Gender and


161130

549

373

32

11889

445

371

41

0

200

400

600


visi

ts p

er

10

0,0

00

po

pu

latio

n

men women




Asthma* Hospitalization Rates by Gender and


113 89 63163 133

371

63211269

374

0

250

500

750

1000

1250

1500

1750


ho

spita

liza

tion

s p

er

10

0,0

00

po

pu

latio

n

men women

Note: Rates are age-adjusted to the 2000 US standard population* Based on principal diagnosis



Asthma* Emergency Visit Rates by Gender and


549396

160

650513

1,568

116

1,285

1,574 1,513

0

250

500

750

1000

1250

1500

1750


visi

ts p

er

10

0,0

00

po

pu

latio

n

men women


Note: Rates are age-adjusted to the 2000 US standard population* Based on principal diagnosis


Asthma Related*Hospitalization Rates by Gender and


582 507

202

1,024892

1,919

253

1,0081,035

2,003

0

500

1000

1500

2000

2500


ho

spita

liza

tion

s p

er

10

0,0

00

po

pu

latio

n

men women


Note: Rates are age-adjusted to the 2000 US standard population* Based on any mentioned diagnosis


Asthma Related*Emergency Visit Rates by Gender and


830637

207

1,047865

2,364

171

1,8012,053

2,179

0

500

1000

1500

2000

2500


visi

ts p

er

10

0,0

00

po

pu

latio

n

men women


Note: Rates are age-adjusted to the 2000 US standard population* Based on any mentioned diagnosis


Injuries and PoisoningsHospitalization Rates by Gender and


896 849

314

766 761

577

306

871

1,064

618

0

250

500

750

1000

1250


ho

spita

liza

tion

s p

er

10

0,0

00

po

pu

latio

n

men women




Injuries and PoisoningsEmergency Visit Rates by Gender and


870 825

261

770 763

524

314

853

1,060

622

0

250

500

750

1000

1250


visi

ts p

er

10

0,0

00

po

pu

latio

n

men women




Hip FracturesHospitalization Rates by Gender and


68 69

23

107 109

40 35

1631

37

0

50

100

150


ho

spita

liza

tion

s p

er

10

0,0

00

po

pu

latio

n

men women




Hip FracturesEmergency Visit Rates by Gender and


76 77

33

118 119

4755

2740

44

0

50

100

150


visi

ts p

er

10

0,0

00

po

pu

latio

n

men women



Mortality


Leading Causes* of Death by Gender Massachusetts 2005

MA Total

(N=53,776)

heart disease

cancer

stroke

chronic lower resp

influenza and pneumonia

unintentional injury

Alzheimer's

nephritis

diabetes

septicema

Men

(N=25,079)

cancer

heart disease


chronic lower resp

stroke


nephritis

diabetes

septicema

Alzheimer's

Women

(N=28,695)

heart disease

cancer

stroke

chronic lower resp

Alzheimer's


nephritis


diabetes

septicema

Source: Preliminary 2005 MA Death file, Registry of Vital Records, Center For Health Information, Statistics, Research, and Evaluation

* Based on total number of deaths


Leading Causes* of Death among Womenby Race/Hispanic Ethnicity

Massachusetts 2005

Black NH (N=1,112)

cancer

heart disease

stroke

nephritis

diabetes

chronic lower resp.

septicema

Alzheimer's

uninten. injury

hypertension

White NH(N=26,790)

heart disease

Cancer

stroke

chronic lower resp.

Alzheimer's

influenza and pneum.

nephritis

uninten. injury

diabetes

septicema

Hispanic (N=511)

cancer

heart disease

diabetes

stroke

uninten. injury

perinatal cond

chronic lower resp.

nephritis

septicema

Alzheimer's

Asian NH (N=243)

cancer

heart disease

stroke

uninten. injury

Alzheimer's

suicide

nephritis

chronic lower resp.

diabetes

congenital malform




Leading Causes of Death among Women Death Rates by Gender,

Massachusetts, 2005

223 216

38 3916

160138

37 3422

0

50

100

150

200

250

cancer heartdisease

stroke CLRD alzheimers

de

ath

s p

er

10

0,0

00

po

pu

latio

n

men women

Note: Rates are age-adjusted to the 2000 US standard populationSource: Preliminary 2005 MA Death file, Registry of Vital Records, Center For Health Information, Statistics, Research, and Evaluation


Heart Disease Mortality by Gender and Race/Hispanic Ethnicity

Massachusetts 2005

216 221234

119

77

138 139

174

84

48

0

50

100

150

200

250


de

ath

s p

er

10

0,0

00

po

pu

latio

n

men womenNote: Rates are age-adjusted to the 2000 US standard population



Diabetes Mortality by Gender and Race/Hispanic Ethnicity

Massachusetts 2005

21 20

40

27

7

15 14

30 31

6

0

10

20

30

40

50


de

ath

s p

er

10

0,0

00

po

pu

latio

n




Unintentional Injury (Accidents) Mortality

by Gender and Race/Hispanic Ethnicity Massachusetts 2005

37 3835

44

1418 19

149

6

0

10

20

30

40

50


de

ath

s p

er

10

0,0

00

po

pu

latio

n




Leading Causes* of Cancer Death Among Women by Race/Hispanic Ethnicity

Massachusetts 2005

Black NHLUNG

FEMALE BREAST

COLORECTAL

PANCREAS

MULTIPLE MYELOMA AND NEOPLASMS

UTERUS

STOMACH

ESOPHAGUS

OVARY

LEUKEMIA

HispanicFEMALE BREAST

LUNG

COLORECTAL

LEUKEMIA

PANCREAS

OVARY

NON-HODGKIN"S LYMPHOMA

STOMACH

UTERUS

BRAIN AND NERVOUS SYSTEM

Asian NHPANCREAS

LUNG

COLORECTAL

NON-HODGKIN"SLYMPHOMA

FEMALE BREAST

STOMACH

LEUKEMIA

UTERUS

CERVIX UTERI

KIDNEY AND URINARY ORGANS

White NHLUNG

FEMALE BREAST

COLORECTAL

PANCREAS

OVARY

NON-HODGKIN"S LYMPHOMA

LEUKEMIA

UTERUS

BLADDER

BRAIN AND NERVOUS SYSTEM




Lung Cancer Mortality by Gender and Race/Hispanic Ethnicity

Massachusetts 2005

64 65

84

27

4244 4640

12 11

0

20

40

60

80

100


de

ath

s p

er

10

0,0

00

po

pu

latio

n




Female Breast Cancer Mortality by Race/Hispanic Ethnicity

Massachusetts 2005

23 2431

166

0

20

40

60

80

100


de

ath

s p

er

10

0,0

00

po

pu

latio

n




Colorectal Cancer Mortality by Gender and Race/Hispanic Ethnicity

Massachusetts 2005

20 2026

12 1016 16 20

10 9

0

20

40

60

80

100


de

ath

s p

er

10

0,0

00

po

pu

latio

n




Pancreatic Cancer Mortality by Gender and Race/Hispanic Ethnicity

Massachusetts 2005

14 14 154 710 10 13

616

0

20

40

60

80

100


de

ath

s p

er

10

0,0

00

po

pu

latio

n




Ovarian Cancer Mortality by Race/Hispanic Ethnicity

Massachusetts 2005

8 9 5 6

0

20

40

60

80

100

MA Total White Black Hispanic

de

ath

s p

er

10

0,0

00

po

pu

latio

n

Note: Rates are age-adjusted to the 2000 US standard populationSource: Preliminary 2005 MA Death file, Registry of Vital Records, Center For Health Information, Statistics, Research, and Evaluation

Cancer Incidence


Lung Cancer Incidence Rates by Gender and Race/Hispanic Ethnicity, 2003

83 85

42

62 64

31 3331

79

50

0

30

60

90


case

s p

er

10

0,0

00

po

pu

latio

n

men women

Note: Rates are age-adjusted to the 2000 US standard populationSource: Cancer Registry, Center For Health Information, Statistics, Research, and Evaluation


Female Breast Cancer Incidence Rates by Race/Hispanic Ethnicity, 2003

130 135

59

8895

0

50

100

150


case

s p

er

10

0,0

00

po

pu

latio

n



Colorectal Cancer Incidence Rates by Gender and Race/Hispanic Ethnicity, 2003

68 69

4848 48

2922

5258

51

0

30

60

90


case

s p

er

10

0,0

00

po

pu

latio

n

men women



Pancreatic Cancer Incidence Rates by Gender and Race/Hispanic Ethnicity, 2003

14 14

11 11

5

910 10

0

5

10

15

20


case

s p

er

10

0,0

00

po

pu

latio

n

men women



Ovarian Cancer Incidence Rates by Gender and Race/Hispanic Ethnicity, 2003

1415

79

5

0

5

10

15

20


case

s p

er

10

0,0

00

po

pu

latio

n



Massachusetts Behavioral Risk Factor Surveillance

System (BRFSS)


Percentage of Massachusetts Adults who Reported Having Health Insurance by Gender and


90 9389

65

93 9488 86

0

50

100


perc

enta

ge (

%)

men women

Note: Crude percentages are presentedSource: Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), Health Survey Program, Center For Health Information, Statistics, Research, and Evaluation


Percentage of Massachusetts Adults who Reported Not Seeing the Doctor Due to Cost by

Gender and Race/Hispanic Ethnicity, 2005

86

19

15

108

11

21

0

5

10

15

20

25


perc

enta

ge (

%)

men women


Self-Reported Health Status


Self-Reported Health Status by Gender and Race/Hispanic Ethnicity, 2005

5 5

12

56 6 6

9

0

5

10

15

20

25


perc

enta

ge (

%)

men women

Limited by Physical or Mental Health



Percentage of Massachusetts Adults who Reported Having Fair or Poor Health by


1211

16

21

1413

17

26

0

5

10

15

20

25

30


perc

enta

ge (

%)

men womenNote: Crude percentages are presentedSource: Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), Health Survey Program, Center For Health Information, Statistics, Research, and Evaluation

Self-Reported Disease Prevalence


Percentage of Massachusetts Adults, Reported Having Disability, Heart

Disease* and Arthritis by Gender, 2005

18

11

2121

7

31

0

10

20

30

40

50

Disablity Heart Disease Arthritis

perc

enta

ge (

%)

men women*ages 35+



Percentage of Massachusetts Adults, ages 35+, who Reported Having a Stroke by


3 3 33 3

5 5

0

5

10


perc

enta

ge (

%)



Percentage of Massachusetts Adults who Reported Having Asthma by Gender and


7 73 4

12 12 1216

0

10

20

30

40

50


perc

enta

ge (

%)



Percentage of Massachusetts Adults who Report Diabetes by Gender and


76

11

8

6 6

10

7

0

10


perc

enta

ge (

%)



Percentage of Massachusetts Adults who are Obese by Gender and Race/Hispanic Ethnicity, 2005

23 23

2825

1917

37

30

0

10

20

30

40

50


perc

enta

ge (

%)


Self-Reported Risk Factor Prevalence


Percentage of Massachusetts Adults who are Current Smokers* by Gender

and Race/Hispanic Ethnicity, 2005

19 18 17

25

18 1915

12

0

10

20

30

40

50


pe

rce

nta

ge

(%

)

men women


*Someone who has smoked at least 100 cigarettes in their lifetime and currently smokes regularly or not


Percentage of Massachusetts Adults who are Heavy Drinkers by Gender and


7 8

14

46 6

2 2

0

10

20

30

40

50


pe

rce

nta

ge

(%

)

men women



Percentage of Massachusetts Adults who are Regularly Physically Active* by


54 55

4346

51 53

4043

0

10

20

30

40

50

60


pe

rce

nta

ge

(%

)

men women *30 minute sessions, 5 or more times per week



Percentage of Massachusetts Adults who Consume 5+ Fruits and Vegetables per day by


24 23

30

23

33 34

25

18

0

10

20

30

40

50


pe

rce

nta

ge

(%

)



Percentage of Women Ages 40+ Who Had a Mammogram in the Past Two Years, by


84 84 8783

0

20

40

60

80

100


pe

rce

nta

ge

(%

)



Trend in the Percentage of Women Ages 40+ who had a Mammogram in the Past 2 Years,

Massachusetts vs. US, 1992-2005

50

60

70

80

90

100

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

Year

pe

rce

nta

ge

(%

) Massachusetts

US



Trend in the Percentage of Women Ages 40+ who had a Mammogram in the Past 2 Years,

by Race/Hispanic Ethnicity, 1992-2005

8487

83

70

80

90

100

1992-1993 1994-1995 1996-1997 1998-1999 2000&2002 2003&2004 2005

Year

pe

rce

nta

ge

(%

)

White Black Hispanic



Percentage of Women Who Reported Sufficient Calcium Intake, by

Race/Hispanic Ethnicity, 2000-2004

42 44

23

33

0

10

20

30

40

50


pe

rce

nta

ge

(%

)



Percentage of Women, Age 18-44, who Reported Birth Control Use,

by Race/Hispanic Ethnicity, 2002-2005

85 86 848181

50

60

70

80

90

100


pe

rce

nta

ge

(%

)



Percentage of Women, Age 18-44, Who had an Unplanned Pregnancy in the Past 5 years, by


2925

33

46

0

15

30

45

60

75


pe

rce

nta

ge

(%

)



Reported Experiencing Lifetime Sexual Violence

by Gender and Race/Hispanic Ethnicity, 2005

6 6

17 16

31

12

0

5

10

15

20

25

30

35


pe

rce

nta

ge

(%

)



Reported Experiencing Lifetime Intimate Partner Violence


14 14

21

13

22 23

18

24

0

5

10

15

20

25

30

35


pe

rce

nta

ge

(%

)

men womenNote: Crude percentages are presented

Source: Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), Health Survey Program, Center For Health Information, Statistics, Research, and Evaluation.Note: The Department of Social Services is the EOHHS Agency that provides the bulk of services for individuals experiencing Intimate Partner Violence


High School Students Reporting Dating violence or Unwanted Sexual Contact

by Gender, 2003

76

1514

0

5

10

15

20

Dating Violence Unwanted Sexual Contact

pe

rce

nta

ge

(%

)

men women

Source: Massachusetts Youth Risk Behavior Survey Results, Massachusetts Department of Education.

Services Provided


Substance Abuse Services by Gender and Race/Hispanic Ethnicity, 2006

Service Type

Gender Race/Hispanic Ethnicity for Women

Women Men

White, Non-

HispanicBlack, Non-

Hispanic HispanicOther, Non-

Hispanic

Detox 10,969(28%)

28,609(72%)

8,608(78%)

940(9%)

1,021(9%)

400(4%)

Narcotic Treatment

2,367(42%)

3,300(58%)

2,004(85%)

77(3%)

208(9%)

78(3%)

Outpatient 6,735(34%)

13,045(66%)

5,105(76%)

709(11%)

612(9%)

309(5%)

Residential 3,735(32%)

7,796(68%)

2,890(77%)

374(10%)

323(9%)

148(4%)

Source: Bureau of Substance Abuse Services


Women, Infants & Children (WIC) Nutrition Program Active Participants


Service Type


Women Men

White, Non-

HispanicBlack, Non-

Hispanic Hispanic Asian

WIC Mothers

31,000(100%)

NA 40% 18% 32% 6%

WIC Infants & Children

47,688(49%)

48,628(51%)

41% 17% 33% 6%

Source: Nutrition Division, Center for Family and Community Health


Screenings from Women’s Health Network Services by Gender and Race/Hispanic

Ethnicity, 2006

Service Type

Gender % Race/Hispanic Ethnicity for Women

Women MenWhite, Non-

HispanicBlack, Non-


Breast 12,427(100%)

1279% 11% 7% 3%

Cervical 7,221 (100%)

NA 84% 9% 4% 3%

Cardiovascular Disease

2,038 (100%)

NA 83% 6% 5% 6%

Source: Women’s Health Network Program, Division of Health Promotion and Disease Prevention, Center for Family and Community Health


Family Planning Program Data by Gender and Race/Hispanic Ethnicity, 2006

Service Type



HispanicBlack, Non-


Family Planning services

96,630(92%)

8,208 (8%)

51,429 (53%)

13,299 (14%)

18,502 (19%)

6,123 (6%)

Source: Family Planning Program, Division of Primary Care and Health Access , Center for Family and Community Health


Sexual Assault Prevention and Survivor Services


Service Type



Hispanic

Black, Non-

HispanicHispanic

Asian , Non-

Hispanic

Sexual Assault Survivors reporting an incident1 to a DPH-funded Rape Crisis Center

988(95%)

50(5%)

658 (67%)

82 (8%)

161(16%)

24(2%)

Individual Counseling and / or Advocacy Services2 to

Sexual Assault Survivors

1,356(95%)

61(4%)

929 (67%)

144 (11%)

179(13%)

31(2%)

Source: 1. Sexual Assault Surveillance System. Data are only presented for reports where the survivor herself made the report and when race/ethnicity was not missing. 2. Sexual Assault Prevention & Survivor Services, Service Delivery Reports, Division of Violence and Injury Prevention. Data are only presented for new clients when the survivor is the client and when race/ethnicity was not missing or unknown. Division of Violence and Injury Prevention, Center for Family and Community Health.


HIV/AIDS Prevention, Education, and Counseling by Gender and Race/Hispanic

Ethnicity, 2006

Service Type


Women Men

White, Non-

Hispanic

Black, Non-

Hispanic Hispanic

Asian, Non-

Hispanic

People Living with HIV/AIDS1

(as of 12/31/2005)

4,598

(29%)

11,368

(71%)

1,352

(30%)

1,838

(40%)

1,310

(29%)

47

(1%)

HIV Prevention and Education2

(encounters)

79,804(33%)

165,472(67%)

NA NA NA NA

Needle Exchange3 (encounters)

6,003(26%)

17,354(74%)

3,771(63%)

176(3%)

356(6%)

24(<1%)

HIV Counseling and Testing4 (encounters)

15,724(35%)

29,527(65%)

6,291(40%)

2,803(18%)

4,121(26%)

426(3%)

Sources:1 MDPH HIV/AIDS Surveillance Program, People Living with HIV/AIDS as of December 31, 2005 (midpoint of FY), data as of 7/1/20062 MDPH HIV/AIDS Prevention and Education Data, July 1, 2005 – June 30, 2006, data as of 3/6/073 MDPH HIV/AIDS Needle Exchange Data, July 1, 2005 – June 30, 2006, data as of 3/6/074 MDPH HIV Counseling and Testing Site Data, July 1, 2005 – June 30, 2006, data as of 3/6/07

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