Complete Indicator Profile of Mental Health - Adults (18+) - Past 30 Days (HA2020 Leading Health Indicator: 9)
DefinitionMean number of days adults aged 18 years and older who reported their mental health was not good in the past 30 days.
NumeratorNumber of adults (18+) reporting number of days to the question: "Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health NOT good?"
DenominatorNumber of adults (18+) providing complete and valid responses to the question, excluding those with missing, "Don't know/Not sure" and "Refused" responses.
Why Is This Important?Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and to cope with adversity. Mental health is indispensable to personal well-being, family and interpersonal relationships, and contribution to community or society. Mental health was recognized in the U.S. Surgeon General's 1999 report as being fundamental to overall health. Poor mental health can occur across the lifespan, affecting persons of all racial and ethnic groups, both sexes, and all educational and socioeconomic groups. Evidence has shown that mental disorders are strongly related to the occurrence, successful treatment, and course of many chronic diseases including diabetes, cancer, cardiovascular disease, asthma, and obesity, as well as many risk behaviors for chronic disease, including physical inactivity, smoking, excessive drinking, and insufficient sleep. In teens, sadness or depression can lead to poor grades at school, alcohol or drug use, unsafe sex, and other problems. National studies have found that mental health issues have been the most commonly identified precipitating circumstance in suicides.
Other ObjectivesHealthy Alaskans 2020 Target: 2.9 days
Relevant Population CharacteristicsIn Alaska, seven or more days when mental health was not good in the past 30 days was related to age, sex, income, and education. The percentage of people reporting at least 7 mentally unhealthy days out of the past 30 decreased with increasing age, income, and education, and was higher for women than for men.
Related Relevant Population Characteristics Indicator Profiles:
Health Care System FactorsHealth insurance coverage for mental health problems is often inadequate for persons requiring long-term out-patient psychotherapy. Many psychotherapeutic medications (such as antidepressants and anti-anxiety drugs) are prescribed by primary care physicians. Primary care visits are an opportunity to identify and treat some mental health problems.
Related Health Care System Factors Indicator Profiles:
Related Risk Factors Indicator Profiles:
Health Status OutcomesPersons who are depressed are at risk for suicide and substance abuse. Depression has also been linked to physical disease, such as heart disease.
Persons with mental disorders are often less successful at negotiating the challenges of educational completion and career advancement. As a result, they are at risk for problems associated with poverty.
Related Health Status Outcomes Indicator Profiles:
Graphical Data Views
Mean number of days adults (18+) report being mentally unhealthy, all Alaskans, Alaska Natives, and U.S., 2000-2020
Data NotesHealthy Alaskans 2020 Target: 2.9 days
Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.
The 2002 U.S. data is for 23 states. Post-stratification weights were used for Alaska data from 2000 through 2006; raking weights were used from 2007 through 2011. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx. ** Data Not Available
References and Community ResourcesU.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA): http://www.samhsa.gov/
SAMHSA's National Mental Health Information Center: http://www.mentalhealth.samhsa.gov/
National Institute of Mental Health: http://www.nimh.nih.gov/
"Mental Health: A Report of the Surgeon General": http://www.surgeongeneral.gov/library/mentalhealth/home.html
More information on the Behavioral Risk Factor Surveillance System may be found on the website of the Centers for Disease Control and Prevention - http://www.cdc.gov/brfss/
More Resources and LinksAlaska and national goals may be found at the following sites:
Maps of health indicators for various subdivisions of Alaska may be found at the following site:
Evidence-based community health improvement ideas and interventions may be found at the following sites:
Additional indicator data by state and county may be found on these Websites:
Medical literature can be queried at the PubMed website.
For an on-line medical dictionary, click on this Dictionary link.
Page Content Updated On 02/20/2014, Published on 02/20/2014