{ Georgia Simpson May, MS Director, Office of Health Equity Massachusetts Department of Public Health May 21, nd State of Asian Women’s Health in MA Conference

2 State of Asian Women's Health - May 2014 Massachusetts population profile 6.6 million people live in MA 48.4% are Male and 51.6% are Female Of Asians, 47.5% are Male and 52.5% are Female U.S. Census, million people NH = non Hispanic

3 State of Asian Women's Health - May 2014 Health Insurance Status Among MA Adults, Ages 18 – 64, BRFSS 2011 % with No Health Insurance 4.4% 3.1% 10.6% 6.8% 3.4% * * Data from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), 2011 *Significantly higher than White, non-Hispanic (p<.05)

4 State of Asian Women's Health - May 2014 HEALTH BEHAVIORS

Fruit and Vegetable Consumption Percentage of women consuming 5 or more fruits and vegetables daily by race/ethnicity Data from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), State of Asian Women's Health - May 2014 No statistically significant differences

6 State of Asian Women's Health - May 2014 Physical Activity Data from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), 2011 **Significantly lower than White, non-Hispanic (p<.05) **

7 State of Asian Women's Health - May 2014 HEALTH STATUS

Diabetes Percentage of women who have ever been told by a doctor that they have diabetes by race and ethnicity State of Asian Women's Health - May Data from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), 2011 *Significantly higher than White non-Hispanic (p<.05) Note: Due to a high degree of variation, estimates for Asian, non-Hispanic women should be interpreted with caution *

Overweight and Obesity Percentage of women whose body mass index (BMI) can be classified as overweight or obese by race/ethnicity and Asian ancestry State of Asian Women's Health - May Data from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), 2011 *Significantly higher than White non-Hispanic **Significantly lower than White non-Hispanic (p<.05) Note: For “obese,” due to a high degree of variation, estimates for Asian, NH women should be interpreted with caution *

State of Asian Women's Health - May Age-Adjusted Breast Cancer Incidence and Mortality Rates in Massachusetts by Race, Source: Massachusetts Cancer Registry and Vital Statistics

11 State of Asian Women's Health - May 2014 Age-Adjusted Cervical Cancer Incidence and Mortality Rates in Massachusetts by Race, Source: Massachusetts Cancer Registry and Vital Statistics

Mental Health Percentage of women who have had 15 or more days of poor mental health by race/ethnicity State of Asian Women's Health - May Data from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), 2011 *Significantly higher than White non-Hispanic (p<.05) Note: Due to a high degree of variation, estimates for Asian, non-Hispanic women should be interpreted with caution *

Depression & Anxiety-Related ED Visits Rate of depression and anxiety-related* emergency department visits by Asian ancestry *ICD-9 code: Depression ( , , and 311) and Anxiety ( , , , ,308.30, , and ) † Based on 2010 U.S. Census data Data from the Center for Health Information and Analysis, Emergency Department Database, 2011 State of Asian Women's Health - May per 100,000 population

14 State of Asian Women's Health - May 2014 NATALITY

15 State of Asian Women's Health - May 2014 Births by Race and Asian Ethnicity, Massachusetts PRAMS,

Adequate Prenatal Care* and Birth Outcome by Race and Asian Ethnicity, MA Birth Data State of Asian Women's Health - May 2014 Percent

Unintended Pregnancy by Asian Ethnicity, MA PRAMS State of Asian Women's Health - May 2014 * * Statistically significantly lower than the state total. ** Statistically significantly higher than the state total.

Gestational Diabetes Mellitus (GDM) by Asian Ethnicity, MA PRAMS State of Asian Women's Health - May 2014 * * * * Statistically significantly higher than the state total.

 Asian women as a group do as well or better than other racial groups on a variety of health indicators  Important differences exist when examined by Asian subgroup  Data limitations include small numbers for some subgroups and limited languages in surveillance  Disaggregation of Asian ethnic groups is needed to accurately reflect risk factors and health outcomes and appropriately inform interventions Discussion 19 State of Asian Women's Health - May 2014

 Susan E. Manning, MD, MPH - CDR U.S. Public Health Service, CDC MCH, Epidemiology Program Assignee, MDPH  Emily Lu, MPH – PRAMS Coordinator, Office of Data Translation Data Translation  Karin Downs, RN, MPH - Asst. Director for Clinical Affairs, Division of Early Childhood & Special Health Needs  Hafsatou Diop, MD, MPH – Director, Office of Data Translation  Joshua Nyambose, PhD, MALD - Senior Epidemiologist, MA Cancer Prevention and Control Program, BCHAP*  Bonnie Andrews, MPH, CPH - Deputy Director, Office of Statistics and Evaluation, BCHAP*  James Buszkiewicz, MPH - Epidemiologist, Nutrition, Physical Activity, and Obesity, BCHAP* Acknowledgements 20 State of Asian Women's Health - May 2014 *BCHAP - Bureau of Community Health and Prevention