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

2. 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

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5. Preconception/Prenatal

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

7. Preconception/Prenatal (continued)  No real change  Poor mental health among women 18-44  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 18-44  Unintended births

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

9. Infants

10. 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

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

12. 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

13. Children

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

15. 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

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

17. Teens

18. Teens (continued)  Short Term Trend  Right direction  Teen motor vehicle death rate  Teen birth rate 15-17  Graduation rate  Injury hospitalization rate  Mixed  Teen suicide death rate

19. 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

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

21. Conclusion  Summary  Colorado is meeting many 2020 targets  Half of the indicators showed improvement over the past five years (2009-2013) (where measureable)  Ten indicators showed improvement between 2003 and 2013; two were worse; one was unchanged (where measureable)

22. Local Data  Colorado Health and Environmental Data (CHED) http://www.chd.dphe.state.co.us/default.aspx  Colorado Health Information Dataset (CoHID) http://www.chd.dphe.state.co.us/cohid/Default.aspx  Colorado Data Request System https://www.ephtrequest.dphe.state.co.us/

23. Thank you ashley.juhl@state.co.us 303-692-3375