Ruthpalombo,Phd Seniorhealthpolicyofficer Tuftshealthplan Foundation Watertown,MA

HealthyAgingDataReport

Massachusetts

2014

RuthPalombo,PhD SeniorHealthPolicyOfficer TuftsHealthPlan Foundation Watertown,MA

TUFTSmHealthPlan

FOUNDATION

DefiningHealthyAging

FIGURE 1: INGREDIENTS OFHEALTHYAGING

Olderadultswlll.,

H.AVEGOOD01ETS / BESOCIALLYENGAGED / BEPHYSICALLYACTIVE
Healthyeating / Closerelationships / Cardio

Healthydrinking Socialactivities Strength

Civicinvolvement Balance

Work

LEAnMEANINIGFULLIVES BEPROACTIVEABOUr F'EELSAFEANDSECURE Valuedactivities HEAlTH Inincome

Spiritual satisfaction Understandandmanage Inhousing

Handlelossandanxiety

their health conditions

Seekandreefivesupport From\(10lenee

Senseofpurpose fromothers

and...cornrnunltles will support older aduItstoachlevethese goaIs.

WalterLeutz,PhD. HealthyAgingintheCommonwealth:Pathways toLifeLongWellness.

Presentedat the2013HealthyAgingForum.Newton,MA.

TUFTS mHealthPlan

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HealthyAging-AdaptedfromWorldHealth

OrganizationDefinition

▸Supportivecommunitiesarenecessarytoachieve healthyaging.

▸A multi-dimensionalmodelthatalignswiththeWorldHealth

Organization’sdefinitionofactive aging

▸Supportsactivitiesthat“Optimizeopportunitiesforhealth, participationand securityin ordertoenhancequalityoflifeas peopleage.”

TUFTSmHealthPlan

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Gains inhuman longevity(1900=47;2010=79).

1 in 8 (13.3%) US population.41.4millionAmericans(2011);

Aremarkable8,000 adultsper dayturn 65!

Source:(TheAdministrationonAging,ProfileofOlderAmericans:2012)

TUFTS mHealthPlan

FOUNDATION

Massachusettswillsteadilyget older.

(HA,IRI'l: MASSA(HUSETTS PROJE(TEDPOPULATION DISTR.lBUTION BVAGEGR,QUP2010-2030

9,0%,

710%,

60%,

510%,

410%,

310%,

210%,

110%,

21010 21015 .20210 .2025 2030

TUFTS mHealthPlan

FOUNDATION

.0-19 .20-39 040-64 065+

SourceData:U.S.CensusBureau,2010CensusSummary File1: UMassDonahue Institute Population Projections 2013

Thetoolsareall available atmahealthyagingcollaborative.org

r~MASSACHUSETTS

J HEALTHY AGING

... COLLABORATIVE

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MAHealthy Aging Data Report

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HIGHLIGHTSREPORT DATAREPORT TUTORIAL MEETTHETEAMBEHINDTHEMASSACHUSETTS

MEMBERS

COMMUHIlY

PROFILESlG 14

Explorea Watchthisshort video snapshot of tutorial to learnwhat's findingsfrom insidetheMAHealthy

th" MA Aainan::lt::l R"n"rt ::Inn

HEALTHY AGINGDATAREPORT

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Becomeamember ofthecommunity.

TUFTS mHealth Plan

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Newlyreleasedtools for HealthyAgingtoolbox

Watertown (Middlesex)

WatE!oown~5atown Iocatsdapproximately 10Imfies.WE!s.tofIBoston.Hhas.4,702.re,sicle-nts

~ged65orolder.Th~walkscort9>indicatasthat tl:"Jis.isa v«y walt..ablemmm uility (80/1100)·. Cornparad tostat~av~agf!·s ohnflr rf!sidents.ofWahlrtolNn doOE!ik!JOil manyhwltll'l

fliging; indicators ·withIQW.9Jratas(IfdiabEltE!s.,rnromcobstructi~ pulmonary diS-tMse

(COPD).. hY)llE!rtellision,ccrnplats tooth loss, oot?Si"fiy.;;mn: anlllJaU Part DrmonUnly

prescription madlcations .Health promotion behaviors include physical activity, colorectal cancerscracnlno,filJJ shot shinqlasvaccine,annualdamal exam,satinqS ormeressrvlngs. offruit orvegetables-perday,andnotsmoking. Howe-ver.older residentsofWatertown do

worsathan statsavsraqs with higher ratesotdopeosston. isdlemic heartotseasa. txsestcanosr. andmpatlant hospital

reacmlsslons, Community resourcestoprorecte rnMHhy aging'lncfuoe MBTARide.volunteer driving [program,alCoo:nciIon

Aging...MAlNH ChapteroftheAlzheimer's Association, andanarts.and/or cultural department

Town ICity

% of Depression

015.1%.22.7%

022.8%.25.7%

c:J25.8%·28.1%

_28.2%.31.1%

_31.2%.3'11.7%

State average: 28.6%

Source: eMS

cercmcDlseanMap.

"""""!"~n'_.d"10 _, ."

0tf000 ,Ilt~"1,...

11''' • ~,"''' .. CC()f'O)

o_~....,."

...... ,.~ 1<1 .1.....

POPULATIONCOMPOSITION'

Totalpcpulation all:ages.

Population ·65years.oroldEr"as% .ottotat pcputanon

Totalpopulation 6:5ye-,arsor older

%65-74ye<1cs

%8.5 yearsorOld'f!l

%llving alone

%female

f/QC£![tlmicily ,65+ I'OI"1/alion)

1 (Plymouth)

COMMUNITY STATE

E5l1MJ!t.TE. ESIlMAn

31,91'5 6.547.629

14"@% 13.7%

4,702 391_3m

43.1% 49-.8"%

3$.1% 34.3'%

13,0% 15.8%

21l.rn% 32.0%

6'1U% 56·.5%

95.@% 9L'l%

0.1% 3Jl%

2.2% 2.7%

1·'0% 2.1"%

Overview

TECHNICAL APPENDIX

This technical appendix contains details about the development ofthe health < JIMro""'jlIO .... t!Mt_1

community profiles. Itcontains the technical definitions ofallreported healthy 'l~ill.rl(.1

------B-EIT-ER--I------

indicators. information onalidata sources and the years ofdata employed, de 0 'I ,...

the geographic units employed for different types ofindicators, and the statisti "'Il '''C",''J.e,,.,,,jI·1

methods used toestimate the indicators that were estimated from micro-level N~ flOC 1"",,,-"... "141

1. Healthy aging indicator definitions

Due toresource limitations alihealthy aging indicators hadtobederived from secondary data sources. Healthy aging indicators were limited tothose for which secondary data was available for geographic subareas within Massachusetts. Table A·1 contains technical definitions for alithe healthy aging indicators reported inthis study. This does not contain definitions forthe socio-demographic variables used todescribe

the population composition ofMassachusetts cities because these are basic population

characteristics that donot require further explanation.

2.Data Sources

Multiple data sources were used inthis study. Table A-2 contains asummary ofalldata sources and the specific years ofdata used for each population composition and

healthy aging indicator. Estimates ofcomrnunlty-level indicators ofphysical/mental

health, chronic disease prevalence, access tocare, wellness and prevention health

~~,~~rv~~~~h~e~~!~~r~~i!Z~~~~~ra~~n:~~;ji~~~.~I~~~:~Af~~~i~~he~~~e~:\:~A~:~~~ ~~~tnr

TUFTSmHealthPlan

Ihowontvetltllntvl)ltoleolM'llJl'lltl ••

NGINDICATORS

rn 1..3I\..-Hum'::::NTAL HEALTH

%withself-reported fairorpoorhealth status

%injured with afallinlast3months

%with 15+physically unhealthy days lastmonth

%disabled forayearormore

Age-sex adjusted 1-year mortality rate

%with 15+ days poormental health last month

%satisfied withlife

%receiving adequate emotional support

%everdiagnosed withdepression

CHRONIC DISEASE

%withAlzheimer's disease orrelated dementiae

%withdiabetes

WORSE STATE RATE

COMMUNITY MARGINOF STATE MARGIN OF

ESTIMATE ERROR ESTIMATE ERROR

( 16.9% 23.7%) ( 19.9% -21.5% ) ( 3.1%- 8.7%) ( 4.5% - 5.6% ) ( 11.4%- 17.3%) ( 13.3% -14.7% )

32.8% ( 26.8%- 36.9%) ( 3ll.2% -31.9%)

( 3.6%- 5.4%) ( 4.7% - 4.8% )

7.2% ( 5.0% - 9.3%) ( 6.2% - 7.2% )

( 93.6% 97.0%) (95.5% - 96.1%)

( 78.8% 8S.0%) 180.0% -81.4%)

( 26.0% 30.6%) ( 26.5°"", -28.7% )

13.2%(11.5% . 15.0%) 14.4% ( 14.3% -14.5% ) ( 2ll.4% 34.7%) 32.1% I 32'()'" -32.2% )

32.0%

%withstroke

11.6% (10.0% . '3.2%) 12.6% ( 12.5'" ·12.7% )

FOUNDATION

%withchronic obstructive pulmonary disease (COPD)

29.5% (27.2% . 31.9%)

HIGHLIGH'TS FR.OM'THE MASSACHUSETTS HEALTHY AGING DATA R.EPOR'T:

COMMUNITY PROFILES 2014

COMMII:S·:5.!IOINIIEllJIBY

TUFTS... HealthPlan

FOUINIDATIIDN

TUFTS mHealthPlan

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iDensity / ofPopulationAge65+' / Years
By / TownICityICommunity

[31D0t=100

• PersonAge 65+

MA# ofPersonsAge65+:891,303

Source: ACS,2007-20-11

Percentage 10[f Population Age 65[+Years

ByTown ICi[tyICommunity

0/0 PopulationAge65+

D!i6%-'1[ll%

D110.8%-13.3%

D13.9[%-11.6%

_ 17.1%-24.8%

_ 24.9@k -42.9@~ MA.%,ofPersons A~ge6S+:: 13.~1'%-

Source:ACS, 2001-20~~

KeyFindings

▸Therearenoclearpatternsandmuchvariability in thedistributionof demographic,healthandsocialindicatorsacrossthestate.

▸Multiple chronicdiseasesarehighamongolderadults.Stateaverage forpersons65+with 4 ormorechronicdiseasesis59%

▸WhencomparedtootherstatesMassachusettsis advantagedin termsof averageeducationlevel,income,andaccesstohealth insurance.

TUFTSmHealthPlan

FOUNDATION

KeyFindings-continued

▸Diabetes:Nearly 1in 3 (32%)of adults65+haveeverbeendx.

▸Depressionrateshighercomparedtonationalaverages.

▸Hypertension rateshigherthannationalaverages.

▸Alzheimer’sdiseaseandrelateddementiarateshigherthannational averages.

TUFTSmHealthPlan

FOUNDATION

KeyFindings-continued

▸Obesity:About1 in 4(23%)ofadults60+areobese(BMIof 30).

▸Cancer:15%ofmen65+haveprostatecancer.

▸Flushots:2 outof3 adults60+getaflushot.

▸Shingles vaccine:Only15%have takenashingles vaccine.

TUFTSmHealthPlan

FOUNDATION

PercentageofMedicare Beneficiaries Age65+Years withAlzheimer's Disease orRelated Dementias

ByTownICityICommunity

%withAlzheimer's DiseaseorRelatedDementias

c=J6.2%-10.5%

c=J10.6%-12.4%

12.5%-14_2%

.. 14.3%-16.7%

.. 16.8%-24.3%

MA%of Beneficiaries with Alzheimer's DiseaseorRelatedDementias: 14.4%

Source: eMS

Gardner24%,Roslindale23%,Webster 22%,Jamaica Plain 21%,Chelsea20%

TUFTS mHealthPlan

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Percentage of MedilcareBen1eficiiaries Age,65+Years

wiith Hypertension

By TownI'City .f Community

%withHlypertenls~on

CJ61),%-67.5% CJ6,7.6%-72.7% CJn.lI%·- 7'6.5.%

.. 76,.6%-79]%

.. 791..lI% - 86..91%,

MA% ofBelneficiar~es'withHypertension: 77,.5°/'0

Source:eMS

Somerset87%,Fall River87%,Taunton84%,Roxbury84%,NewBedford84%

PercentageofMedicare Beneficiaries Age65+Years withDiabetes

ByTownICityICommunity

%with Diabetes CJ15.3%-22.6% CJ22.7%-27.4%

[::=J27.5%-31.3%

~ 31.4%-35.9%

~36%-49.2%

MA%of Beneficiaries with Diabetes: 32.1%

Source:eMS

Mattapan49%,Roxbury47%,FallRiver 45%,Lowell44%,Lawrence44%

KeyFindings

PriorityCommunities
NewBedford / -31
Springfield / -25
FallRiver / -24
Worcester / -20
Lowell / -19
South Boston / -16

.....~ T.51~J

KeyFindings

~ 17 34.!~

_;"4

',·6

• ~:!II~~

:; 114

10 ~

TUFTSmHealthPlan

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TUFTS mHealth Plan

FOUNDATION

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TUFTS mHealth Plan

FOUNDATION

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TUFTS

Health

Plan

FOUNDATION

InteractiveMapsofHealthIndicators

DevelopedbyAmandaCox,MS(NYTimes)

Chronic Disease Maps

Alzheimer's disease or related dementias

Diabetes

Stroke

Chronic obstructive pulmonary disease (COPD)

Hypertension

Everhada heartattack Ischemic heartdisease Congestive heartfailure

Osteoarthritis!

rheumatoid arthritis Everhadhipfracture Glaucoma

Women with breastcancer

Colon cancer

Menwith prostate cancer

Lungcancer

Osteoporosis

nicville

Hartford

NcwHaven

Manchester

Provide

Cransto» .-

Fal',' ,~.

Percent of people age 65+ with condition

6-11%

11- 12

12- 13

13- 14

14- 16

16+

4+chronic conditions (of14)

TUFTS mHealth Plan

FOUNDATION

mahealthyagingcollaborative.org

DataSources

▸CentersforMedicareandMedicaidServicesforchronicdisease prevalenceandMedicareserviceutilization rates.

▸ US Census(2010)andtheAmericanCommunitySurvey data

pooledoverfive years(2007-2011).

▸BehavioralRiskFactorSurveillanceSystem forhealthrisk behaviors,preventivehealthpractices,andhealthcareaccess primarilyrelatedto chronicdiseaseandinjury.

▸TheElder EconomicSecurityStandard™Index.

▸FederalBureauofInvestigationUniformCrimeReports.

▸AreaHealthResourcesFile (2012-2013).

▸Walkscore.com.

▸Primarydatacollectionon communityresources.

TUFTSmHealthPlan

FOUNDATION

Ovelrviiew

Tllhistechnical aplP,endiixcontains details about 'tlhedevelopment of'the hea.lltllhaging communiiityprofles,11c1c'tntalns thetechniical defliiniUonsof'a,llllrepOiliedihea,ltlhyagingl lndlcators, inf:o'lrmationonallIIdata souroe'sandl'they,e,alfsofdata employed, delffiiiniiitionsot the geogllllaJphicunits employed fordliiifferenttypes of'indiicatoills,and thesta,tiiisUcal

methods usedtoestiimate the lndlcators 'thatwere estimated 'frommicro-level data,

1"Heallthy a'Qlingmdlcator defiinitiolns

Dillietoresource Ilimitatiionsalillheallthy8'gingliiindicators.lhadtobederiv,edfrom secondary data sources, He,althya.gliillngindiicatoiliswere Iliiimit:edtothose forwhiich secondary data was available for'geograp,hi,csubareas wiitlhinMassa.chuseHs. TalblleA-il contains techniical de:~iinitions'fora.11th1e he,aUhyagliinglndlcstors reported in thisg,tudiy·., Tllhisdoes no.tcontaln definitiiiDInsf,o'irtilliesoclo-demoqraphlc variables used todescribe the pepuiatlon composiitiiion'0", Massachusetts citiiiesbecause tlhes:earebasic lPopuillation clharacter,istics 'Unlatdonotrequire further explanation .

.2"O,ataSources.

Mulltipl,e,data sources were used iiinthis.study, Table A-2 contains a.summary ofalilldarla sources andthespecltlc yeaJsofdata used for each population comlP,os,iiitiiioal1.nd heallihy a.gliiinglnidlcetor, ilEstimate,sofcommunity-level iindicators o.fphysicailimenitall heallih, chronic diis,e,aseprevalence, access tocare,wallness and prevention health behaviors, service utlllzatlon, and nutrition anddiiiel:were derived from two majoiJrdata. C:.nnr,il"',~,C::t.h·lOor\/h:.rlli,il"'~rjQO[1lIfI~Ic:iIt,~,Rjr.~njQO'fi,il"'i~ru~.I.Imm~llr\l FDI!~,~Inn ilth~ RlOoha\Jii'nr~1 Riiic:k F.~rtnr

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Inventoryofhealthyagingprograms

A dynamiclistofmore than 150 evidenced-basedand

other programsfromacross thestate.

Findand accessprograms. Getideasfrom other cities/towns. Considerreplicatingor regionalizingyour healthyagingefforts.

Add yours today!

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Howtousethisdata?

UNDERSTAND

▸Spendsometime readingthereportsandlookingat themaps.

▸Letthereportsandmaps“speak”toyou.

▸Whatindicatorsaredifferentfromthestateaverage?

▸Whatchallengesdoyou see?And whatcreativeideasdoyou haveto overcomethechallenges?

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NowWhat?

ACTION

▸Spreadtheword:Tell othersaboutthisresource.

▸Formorjoin a workgrouptoidentifylocal prioritiesandtakesteps toaddressthem.Ask whatdoesyourcommunityneedtoworkon toimprovehealthyaging?

▸Tryinterventionsorprogramsthathelpaddressissuesin your

community.*Iflow onfruits/vegetablesorganizefarmersmarkets.

*Ifobesityis aprioritycreatewalkingclubsorotherphysical activities.Be creative!

▸Supportpolicymakerswhowanttomakehealthyagingapriority.

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SoWhat?

ENGAGE

▸Pleasejoin the healthyagingcollaborative.

▸Participateon thewebpage.

▸Giveusfeedback,shareyourideas,makeyourvoiceheard.

▸Togetherwecanmakehealthyaginga priorityin

Massachusetts,and in turn,becomeamodel forthenation!

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