1. Asthma in Minnesota Slide Set Asthma Program Minnesota Department of Health January 2013

2. Introduction This slide set provides a cross-section of recent data on asthma in Minnesota and has been developed as a resource for our partners in the asthma community. If you extract slides from this presentation, please reference the MDH Asthma Program. For technical assistance, please contact us at health.asthma@state.mn.us. health.asthma@state.mn.us 2

3. Contents Background Asthma Prevalence Asthma Control Asthma Management Risk Factors Asthma Emergency Department Visits and Hospitalizations Asthma Mortality Summary

4. Background

5. What is Asthma? Asthma is a chronic respiratory disease Symptoms include wheezing, chest tightness and coughing Triggers of asthma episodes can include respiratory infections, allergens, cigarette smoke, air pollution, and exercise Cause of asthma is unknown

6. Asthma Prevalence

7. Minnesota Adults and Asthma Approximately 1 in 13 Minnesota adults currently have asthma Equals an estimated 302,000 adults Asthma prevalence in Minnesota is lower than the national average and is not currently increasing Source: Behavioral Risk Factor Surveillance System

8. Percentage of adults with current asthma by year, Minnesota and U.S. 8 Source: Behavioral Risk Factor Surveillance System

9. Percentage of adults with current asthma by sex, Minnesota 9 Source: Behavioral Risk Factor Surveillance System

10. Percentage of adults with current asthma by age group, Minnesota 10 Source: Behavioral Risk Factor Surveillance System

11. Percentage of adults with current asthma by residence, Minnesota 11 Source: Behavioral Risk Factor Surveillance System

12. Minnesota Children and Asthma Approximately 1 in 14 Minnesota children (age 0-17) currently have asthma Equals an estimated 90,000 children Asthma prevalence is lower than the national average and not currently increasing Source: Behavioral Risk Factor Surveillance System, 2010

13. Percentage of children with current asthma by year, Minnesota 13 Source: Behavioral Risk Factor Surveillance System, 2003-2006, 2010; National Survey of Children’s Health, 2007

14. Percentage of youth ever diagnosed with asthma by grade and sex, Minnesota 14 Source: Minnesota Student Survey, 2010

15. Percentage of youth ever diagnosed with asthma by race/ethnicity, Minnesota 15 Source: Minnesota Student Survey, 2010

16. Percentage of youth (grades 6-12) by asthma status, Minnesota 16 Source: Minnesota Youth Tobacco and Asthma Survey, 2011

17. Asthma Control

18. Asthma control among youth with current asthma, Minnesota 18 Source: Minnesota Youth Tobacco and Asthma Survey, 2011

19. Frequency of activity limitations due to asthma in past 12 months among adults with current asthma, Minnesota 19 Source: Behavioral Risk Factor Surveillance System, 2008

20. Asthma Management 20

21. Asthma self-management education, Minnesota and U.S. adults 21 Sources: Behavioral Risk Factor Surveillance System, 2010 (Minnesota); National Health Interview Survey, 2008 (U.S.) MNU.S. Taught to recognize early signs of an asthma attack 66.8%54.8% Taught how to respond to an asthma attack 73.6%63.8% Taught how to monitor peak flow39.1%39.2% Taken a class on asthma management6.6%12.0%

22. Percentage of children and adult asthma patients receiving “optimal asthma care” 22 Source: Minnesota Community Measurement, 2010-2011

23. Minnesota youth with current asthma having an asthma action plan 23 Source: Minnesota Youth Tobacco and Asthma Survey, 2011

24. Percentage of Minnesota adults with current asthma who have ever been given an asthma action plan 24 Source: Behavioral Risk Factor Surveillance System, 2005-2010

25. Percentage of Minnesota adults who had a flu shot in past year, by asthma status 25 Source: Behavioral Risk Factor Surveillance System, 2000-2010

26. Risk Factors 26

27. Percentage of Minnesota adults who are current smokers, by asthma status 27 Source: Behavioral Risk Factor Surveillance System, 2000-2010

28. Percentage of youth reporting exposures to environmental tobacco smoke by asthma status 28 Source: Minnesota Youth Tobacco and Asthma Survey, 2011

29. Percentage of Minnesota adults who are obese, by asthma status 29 Source: Behavioral Risk Factor Surveillance System, 2000-2010

30. Work-Related Asthma New-onset asthma caused by exposures in the workplace + existing asthma aggravated by exposures in the workplace Asthmagens include isocynates, welding fumes, poultry droppings, flour dust 30 Source: Behavioral Risk Factor Surveillance System In 2008, 30.6% of Minnesota adults with asthma reported that exposures to chemicals, smoke, fumes or dust in their current job had worsened their asthma

31. Emergency Department Visits and Hospitalizations for Asthma 31

32. Age-adjusted rates of asthma emergency department visits by year, Minnesota 32 Source: Minnesota Hospital Association, 2005-2010

33. Rates of asthma ED visits by region, age group and year, Minnesota 33 Source: Minnesota Hospital Association, 2005-2010

34. Rates of asthma ED visits by month and age group, Minnesota 34 Source: Minnesota Hospital Association, 2010

35. Age-adjusted rates of asthma hospitalizations by year, Minnesota 35 Source: Minnesota Hospital Association, 2000-2010

36. Rates of asthma hospitalizations by region and age group, Minnesota 36 Source: Minnesota Hospital Association, 2000-2010

37. Rates of asthma hospitalizations by month and age group, Minnesota 37 Source: Minnesota Hospital Association, 2010

38. Asthma Mortality 38

39. Age-adjusted asthma mortality rates, Minnesota and U.S. 39 Source: Minnesota Center for Health Statistics, 1999-2010; CDC, 1999-2009

40. Percentage of asthma deaths by age group, Minnesota 40 Source: Minnesota Center for Health Statistics, 1999-2010

41. Summary Asthma prevalence in Minnesota is lower than the national average However, there are disparities in asthma prevalence by race/ethnicity Many measures of asthma morbidity have been improving over time, e.g., asthma hospitalization rates in Twin Cities metro However, geographic disparities remain 41

42. For more information 42 www.health.state.mn.us/asthma/documents /asthmaepireport2012.pdf Asthma in Minnesota 2012 Epidemiology Report