1. How many people die due to diabetes? (listed as a primary cause) *Age adjusted to US2000 Data source: Washington State Department of Health, Center for Health Statistics, Death Certificate Data, 1990-2010, September 2011 180 deaths

2. What are the estimates of how many Pierce County residents have diabetes? Behavioral Risk Factor Surveillance System (BRFSS) 9.9% of PC adults (18+) reported they had ever been told by a doctor that they had diabetes. (2009) Cell phone numbers added in 2010- changed methodology for analysis. Unable to compare rates prior to 2011 to rates after. 9.3% in 2010 8.9% in 2011 8.0% in 2012

3. Data source: Behavioral Risk Factor Surveillance System What are the estimates of How many Pierce County residents have diabetes?

4. What do we know about Pierce County residents with diabetes? The age group 65+ reported a statistically higher rate than any other age group Age groupEver told by a doctor they had diabetes 18-29 years0.7% 30-44 years5.1% 45-64 years13.5% 65 years24.1%

5. What do we know about Pierce County residents with diabetes? Cont. The median age when those were told they had diabetes was 55 years. Age groupAge when told they had diabetes Under 18 years2.8% 18-29 years8.6% 30-44 years24.5% 45-64 years48.1% 65+ years16.1%

6. What do we know about Pierce County residents with diabetes? Cont. Rates among different groups GroupsAmong those ever told they had diabetes White Non-white 9.1% 13.4% < High school College degree 12.7% 7.3% <$15K $75K+ 11.2% 7.7%

7. What do we know about Pierce County residents with diabetes? Cont. County Health Rankings Percent of diabetic Medicare enrollees that receive HbA1c screening Pierce CountyWA StateUS 90%tile 84%87%90% http://www.countyhealthrankings.org

8. What do we know about Pierce County residents with diabetes? Cont.

9. Other data sources for estimates Diabetes Association of Pierce County 2013 free screenings 1,986 (18 years and older) 44.4% were from minority groups (target group) 10.59% of total screened had elevated levels of blood glucose National average 4.5% Suspect higher local rate due to targeting of minority populations http://www.dapc.info/Annual%20Report.htm

10. How many Pierce County residents report depression? Behavioral Risk Factor Surveillance System (BRFSS) 16.4% of PC adults (18+) reported they had ever been told by a doctor that they had a depressive disorder. (2008) Females more likely than males (22.5% vs. 10.5%) By age group, highest among 18-29 year olds (20.3%) By income, highest among those earning less than 15K a year (36.9%)

11. What do we know about youth and depression in Pierce County? Pierce County Healthy Youth Survey (2012) 8 th grade During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities? Yes 28.1% (844/3,004)

12. What do we know about youth and depression in Pierce County? Cont. Pierce County Healthy Youth Survey (2012) 8 th grade During the past 12 months, did you ever seriously consider attempting suicide? Yes 17.2% (515/2,993)