1. Culture of Health Think Tank: Elderly in North Dakota

2. Elderly in North Dakota: Statistics
2014: ND population = 739,482
Persons 65+ years = 105,998 (14.2%)
Persons 85+ years = 17,959 (2.2%)
48.5% of people 60+ living in rural areas (2010 Census)
> 1 in 3 over 65 years has one or more disabilities
Disparity: 51% American Indian vs. 33.9% White
2025: 65+ years expected to be 18% of population
Not sure what this is showing but could be interesting? Does anyone know? Part F. Persons Served/Service – Units

3. UND Medical School Biennial Report
Figure 1.3. Age of people in North Dakota compared with U.S. in Reprinted from Fourth biennial report: Health issues for the state of North Dakota (p. 5), by Molmen, D., et al. Retrieved from
There are more North Dakotans 85 and older compared with the U.S. population (tied for fourth highest). North Dakota compared with the U.S. has 1.2 times the population age 85 and older. There are fewer North Dakotans between the ages of 40 to 64 and 65 to 84 relative to the U.S. population

4. UND Medical School Biennial Report
The average age for the state has increased from 33 years in 1980 to over 37 years in 2010 (about two years every 10-year census). This trend is projected to increase as the baby boomer population ages. Rural North Dakotans are older than either micropolitan or metropolitan North Dakotans. This was true in all four census periods (1980, 1990, 2000, and 2010).
Figure 1.4. Average age of North Dakota residents from 1980 to 2010 by metropolitan, micropolitan (large rural), and rural counties. Reprinted from Fourth biennial report: Health issues for the state of North Dakota (p. 5), by Molmen, D., et al. Retrieved from

5. UND Medical School Biennial Report
show the progression of population change for people age 65 and older at four census periods (1980, 1990, 2000, and 2010). There has been a continual increase in the proportion of older adults in the rural counties. In 2010, the eight counties with 27% or more of their population age 65 or older were all rural; in fact, they are some of the most remote counties because all are classified as frontier
Reprinted from Fourth biennial report: Health issues for the state of North Dakota (p. 10), by Molmen, D., et al. Retrieved from

6. County Health Rankings
Measure current health
Project future health
Health Outcomes
Length of life
Quality of life
Health Factors
Health behaviors
Clinical care
Social and economic factors
Physical environment

7. County Health Rankings: Health Outcomes
North Dakota
Length of Life (age adjusted)
Premature death
6,600
Quality of Life (age adjusted)
Poor or fair health
13%
Poor physical health days 3
Poor mental health days
3.3
I skipped low birthweight since we are elderly subgroup

8. County Health Rankings: Health Factors
North Dakota
Health Behaviors
Adult smoking
19%
Adult obesity
31%
Food environment index (0-10 scale)
8.4
Physical inactivity
23%
Access to exercise opportunities
66%
Excessive drinking
25%
Alcohol-impaired driving deaths
47%
Chose measures that may be related and most pertinent to age with our subgroup.

9. County Health Rankings: Health Factors
North Dakota
Clinical Care
Primary care physicians
1280 : 1
Dentists
1630 : 1
Mental health providers
640 : 1
Preventable hospital stays 46
Diabetes monitoring
87%
Mammography screening
69%

10. Healthy People 2020
Injury and Violence Prevention (IVP-23.2): Prevent an increase in fall-related deaths among adults aged 65 and older
Mental Health and Mental Disorders (MHMD-4.2): Reduce the proportion of adults aged 18 and older who experience major depressive episodes
MHMD-9.2: Increase the proportion of adults aged 18 and older with major depressive episodes who receive treatment
Older Adults (OA-2.1): Increase the proportion of males aged 65 years and older who are up to date on core set of clinical preventive services
OA-2.2: Increase the proportion of females aged 65 and older who are up to date on core set of clinical preventive services
Respiratory Diseases (RD-10): Reduce deaths from COPD among adults

11. North Dakota Department of Health Indicator Dashboard
Indicators include:
state versions of Healthy People 2020 goals
Health Improvement Plan
Agency-specific
Not searchable by age

12. AARP Livability Index livability score customizable
Housing
Neighborhood
Transportation
Environment
Health
Engagement
Opportunity
customizable

13. North Dakota Compass: Aging
Overview
Ideas at Work
Initiatives and collaborations
Evidence based strategies

14. North Dakota Long Term Care Association
Professional and advocacy organization
Assisted living
Basic care
Nursing facilities
14,000 professionals
14,000 frail elderly and disabled cared for annually
Affiliate of the American Health Care Association and National Center for Assisted Living
ND Culture Change Coalition
ND Culture Change Coalition - embraces the strengths and individuality of the elders they serve

15. North Dakota Family Caregiver Support & Services Study
Spouses/partners
Children
Other family members
Neighbors
Friends
Providing 58 million unpaid hours
Transportation
Personal care
Financial management
Grocery shopping
And MORE!
Worth $860 million
p. 2 of report

16. North Dakota Family Caregiver Support & Services Study
5 aims
Key conclusions and recommendations

17. References
AARP. (n.d.). AARP livability index. Retrieved from
Administration of Community Living. (2017). Profile of state OAA programs: North Dakota. Retrieved from
County Health Rankings. (2017). North Dakota health gaps report. Retrieved from
North Dakota Compass. (2017). Aging. Retrieved from
North Dakota Department of Health. (2011). Building a Healthy North Dakota. Retrieved from
North Dakota Department of Health. (2013). Health indicator tracking dashboard overview. Retrieved from
North Dakota Long Term Care Association. (2015). Helpful links. Retrieved from
Strommen, J., Fuller, H., Sanders, G., Elliott, D., Callahan, K., & Raguse, E. (2016). North Dakota family caregiver supports and services study. Retrieved from
U.S. Department of Health and Human Services. (2017). Healthy people 2020: Data Retrieved from
Molmen, D., Wynne, J., Anderson, M. D., Arnold, T. F., Tinguely, S., Delmore, L.,…Koebele, C. M. (2017). Fourth biennial report: Health issues for the state of North Dakota. Retrieved from