State of MCH in Colorado Everything’s Coming Up Roses Ashley Juhl, MSPH March 1, 2016

What is the state trend analysis?  A table that shows  Short term and long term trends for maternal and child health indicators  Healthy People 2020 and Colorado 2020 targets  Progress  Issues  Everything you want to know about 46 MCH indicators  Preconception/prenatal  Infants  Children  Teens  Oral Health

Preview

Preconception/Prenatal

Preconception/Prenatal (continued)  Short Term Trend  Right direction  Smoking during pregnancy  Adequate prenatal care  Discussed depression during/after pregnancy  Excessive weight gain during pregnancy

Preconception/Prenatal (continued)  No real change  Poor mental health among women  Postpartum depressive symptoms  Smoking cessation during pregnancy  Drinking during the last 3 months of pregnancy  Need more data to determine trends  Effective birth control ages  Unintended births

Preconception/Prenatal (continued)  Long Term Trend  Drinking during the last three months of pregnancy worsened

Infants

Infants (continued)  Short Term Trend  Right direction  Infant mortality rate  Neonatal mortality rate  Postneonatal mortality rate  Newborn hearing screening  Cesarean delivery among low-risk first births  Preterm births

Infants (continued)  No real change  Ever breastfed  Exclusive breastfeeding through six months  Low birth weight

Infants (continued)  Long Term Trend  Infant, neonatal, and postneonatal mortality rates improved  Newborn hearing screening improved  Preterm births improved  Low birth weight improved  Ever breastfed did not change

Children

Children (continued)  Short Term Trend  Right direction  Child development questionnaire  Childhood vaccination  Mixed  Child death rate ages 1-14

Children (continued)  No real change  Medical home  Overweight or obese children  Medical home – CSHCN  Health insurance – children  Sugar-sweetened beverage - children  Fruit and vegetable consumption – children  Physical activity – children  CSHCN  Child poverty  Need more data to determine trends  Secondhand smoke exposure  Child mental health treatment

Children (continued)  Long Term Trend  Child death rate ages 1-14 improved

Teens

Teens (continued)  Short Term Trend  Right direction  Teen motor vehicle death rate  Teen birth rate  Graduation rate  Injury hospitalization rate  Mixed  Teen suicide death rate

Teens (continued)  Need more data to determine trends  Teen marijuana use  Teen bullying  Effective birth control – teens  Youth connectedness  Extracurricular activities  Poor mental health – teens  Teen prescription drug misuse

Oral Health  One indicator  No 2020 target  Short Term Trend  No real change  Fair/poor condition of teeth

Conclusion  Summary  Colorado is meeting many 2020 targets  Half of the indicators showed improvement over the past five years ( ) (where measureable)  Ten indicators showed improvement between 2003 and 2013; two were worse; one was unchanged (where measureable)

Local Data  Colorado Health and Environmental Data (CHED)  Colorado Health Information Dataset (CoHID)  Colorado Data Request System

Thank you