Skip directly to searchSkip directly to the site navigationSkip directly to the page's main content
Skip directly to searchSkip directly to the site navigationSkip directly to this page's context menuSkip directly to the page's main content
State of Alaska

Complete Health Indicator Report of Mental Health - Adults (18+) - Past 30 Days (HA2020 Leading Health Indicator: 9)

Definition

Weighted mean number of days reported by adults aged 18 years and older on the Behavioral Risk Factor Surveillance System (BRFSS) 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?"

Numerator

Weighted number of days reported by adults (18+) on the BRFSS 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?"

Denominator

Weighted number of adults (18+) providing complete and valid responses to the BRFSS question, excluding those with missing, "Don't know/Not sure" and "Refused" responses.

Data Interpretation Issues

The Behavioral Risk Factor Surveillance System (BRFSS) is a source for estimating the mean number of mentally unhealthy days for Alaska. The median of states, District of Columbia, and territories provides a comparison for the United States (U.S.). The BRFSS is a telephone survey of adults 18 and over. Information on background and methodology of the BRFSS managed by the Centers for Disease Control and Prevention (CDC) can be found at: [http://www.cdc.gov/brfss/]. The website for the Alaska BRFSS is: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx]. Alaska data were obtained from the Standard AK BRFSS from 1993-2003, 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 question of "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?" has been asked since 1993.

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.^1^ 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.[[br]] [[br]] {{class .SmallerFont # United States. Public Health Service. Office of the Surgeon General. [http://profiles.nlm.nih.gov/ps/retrieve/ResourceMetadata/NNBBHS Mental Health: A Report of the Surgeon General]. National Institute of Mental Health, 1999. }}

Other Objectives

Healthy Alaskans 2020 Indicator 9: Reduce the mean number of days in the past 30 days that adults (age 18 and older) report being mentally unhealthy to 2.9 days by 2020.

How Are We Doing?

The mean number of mentally unhealthy days was 3.1 for all Alaskans and 3.0 for Alaska Native people in 2014. Females reported a significantly higher number of mentally unhealthy days (3.6) than males (2.6) in 2014. Individuals 65 years of age and older report fewer mentally unhealthy days than most younger age groups. Alaska Native people with 3.7 mentally unhealthy days during the past 30 days are significantly higher than the 3.0 mentally unhealthy days reported by white individuals. Married individuals experience fewer mentally unhealthy days than do individuals who are divorced/separated, never married, or living with a partner. The 4.7 mentally unhealthy days reported by those with less than a high school education is significantly higher than the 2.5 days reported by those with a college education. Those unable to work with a mean of 9.4 mentally unhealthy days were significantly higher than the other employment status categories. The mean number of mentally unhealthy days declined with increasing income. Mean number of mentally unhealthy days from the BRFSS are initially presented for all Alaskans, Alaska Native people, and the median from states, District of Columbia, and territories for all available years. Subsequent analyses by demographic subpopulations (i.e., sex, age, race/ethnicity, ethnicity, marital status, education, employment status, income, and poverty status) are limited to 2010 and later to allow for ease of assessing recent trends. Mean number of mentally unhealthy days by regions of Alaska are presented for the most recent time period allowing reporting for all Alaskans and Alaska Native people: 1) single-year for the 6 Alaska Public Health Regions, 2) three-year averages by the 7 Metropolitan and Micropolitan Statistics Areas and rural remainder, 3) single-year for the 10 behavioral health assessment regions based upon aggregations of 20,000 population, 4) three-year averages for 29 boroughs and census areas, and 5) five-year averages for the 12 tribal health organization regions. These time intervals match those for the InstantAtlas health profiles for each of the geographic regionalizes of Alaska for those desiring longer time series.

How Do We Compare With the U.S.?

In 2014, the median national value for the mean number of mentally unhealthy days was 3.6, higher than the 3.1 days for all Alaskans and 3.0 days for Alaska Native people.

What Is Being Done?

Reducing poor mental health in adults was identified as one of 25 leading health indicators to be addressed by Healthy Alaskans 2020.^2^[[br]] [[br]] The Alaska strategies being followed are: 1. Identify adults who rate their mental health as not good and connect them to screening, treatment, and social support services without delay. 2. Identify environmental and individual strengths of Alaskans who are mentally healthy to inform health promotion strategies. 3. Create supportive environments that promote resilient, healthy, and empowered individuals, families, schools, and communities. {{class .SmallerFont 2. Healthy Alaskans 2020. [http://localhost/ibisph-admin/edit/indicator/available_services/HlthStatMent.html Evidence-Based Strategies Indicator 9: Reduce the mean number of days in the past 30 days that adults (age 18 and older) report being mentally unhealthy to 2.9 days by 2020]. }}

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaskan subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Below are the strategies identified for enhancing adult support systems. '''Strategy 1:''' [[br]]Identify adults who are experiencing or at-risk of experiencing mentally unhealthy days and connect them to screening, treatment, and social support services immediately (indicated prevention). '''Evidence Base:''' [[br]]Individuals who receive treatment and/or behavioral interventions earlier are less likely to develop serious mental health disorders. Screening for both depression and substance abuse is indicated, as the impact of misuse and dependence on alcohol and drugs in overall mental health is substantial. The U.S. Preventative Services Task Force recommends depression screening for adults at higher risk, including those experiencing substance misuse, chronic medical diseases, unemployment, and poverty. '''Sources:''' [[br]][http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/section2a.html#Depression Guide to Clinical Preventive Services] [http://beta.samhsa.gov/sites/default/files/sbirtwhitepaper_0.pdf Screening, Brief Intervention and Referral to Treatment (SBIRT) in Behavioral Healthcare] '''Strategy 2:''' [[br]]Identify the environmental and individual strengths of Alaskans reporting 0-3 mentally unhealthy days per month to inform mental health improvement strategies. '''Evidence Base:''' [[br]]Individuals have both biological and psychological characteristics that affect their vulnerability and resiliency to potential behavioral health problems. Protective factors might include positive self-image, self-control, or social competence. Understanding the specific characteristics of mentally healthy Alaskans will inform prevention and health promotion activities tailored to improve mentally healthy days. '''Source:''' [[br]]Bonanno, GA. Loss, Trauma, and Human Resilience: Have We Underestimated the Human Capacity to Thrive After Extremely Aversive Events? American Psychologist. 2004; 59(1): 20-28. '''Strategy 3:''' Create supportive environments that promote resilient, healthy, and empowered individuals, families, schools, and communities (universal prevention). '''Evidence Base:''' The World Health Organization holds that "a supportive environment is of paramount importance for health. The two are interdependent and inseparable" (Sundsvall Statement on Supportive Environments for Health, 1991). Supportive environments can help protect people from risk factors for poor health, encourage participation in health care and health promotion, expand individuals' health competencies and self-reliance, and support person-centered health care. Stigma and attitudes about help-seeking (specifically seeking treatment or services for mental health conditions) are key barriers to promoting mental and emotional health and preventing mental illness. Creating communities that de-stigmatize depression and mental illness and encourage people to seek mental health services when needed can increase the number of people accessing services. '''Sources:''' [[br]]Segal DL et al. Beliefs about mental illness and willingness to seek help: A cross-sectional study. Aging and Mental Health. Aging Ment Health. 2005; 9(4): 363-367. Reynders A, Kerkhof AJFM, Molenberghs G, Van Audenhove C. Attitudes and stigma in relation to help-seeking intentions for psychological problems in low and high suicide rate regions. Social Psychiatry and Psychiatric Epidemiology. 2014; 49(2): 231-239. A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_9_MentalHealth_Adults.pdf].


Related Indicators

Relevant Population Characteristics

In Utah, having 7 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.^3^[[br]] [[br]] 3. Health Status: Mental Health Past 30 Days. Retrieved on 11/18/2015 from Utah Department of Health, Center for Health Data and Informatics, Indicator-Based Information System for Public Health website: [http://ibis.health.utah.gov/. http://ibis.health.utah.gov/indicator/complete_profile/HlthStatMent.html]

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Health 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 Indicators:


Related Risk Factors Indicators:


Health Status Outcomes

Persons 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 Indicators:




Graphical Data Views

Mean number of days adults (18+) report being mentally unhealthy, all Alaskans, Alaska Natives, and U.S., 1993-2020

::chart - missing::
confidence limits

Alaska ComparisonsYearMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 74
All Alaskans19932.72.33.11,502
All Alaskans19942.92.33.41,510
All Alaskans19952.92.43.51,506
All Alaskans19963.02.63.51,492
All Alaskans19973.22.73.71,506
All Alaskans19982.32.02.61,956
All Alaskans19993.22.83.72,010
All Alaskans20002.82.43.22,045
All Alaskans20013.22.93.62,826
All Alaskans20022.62.22.92,577
All Alaskans20032.82.53.22,623
All Alaskans20042.92.63.25,008
All Alaskans20053.12.93.45,655
All Alaskans20063.33.03.74,143
All Alaskans20073.63.23.94,949
All Alaskans20083.33.03.74,781
All Alaskans20092.82.53.14,627
All Alaskans20103.22.83.73,109
All Alaskans20113.22.83.55,932
All Alaskans20123.33.03.68,193
All Alaskans20133.12.83.39,029
All Alaskans20143.12.83.38,819
Alaska Natives19932.81.93.7311
Alaska Natives19942.81.83.8284
Alaska Natives19952.92.03.8303
Alaska Natives19962.72.03.5301
Alaska Natives19972.51.73.2306
Alaska Natives19982.41.53.3352
Alaska Natives19993.22.44.0403
Alaska Natives20003.72.55.0377
Alaska Natives20013.02.43.6604
Alaska Natives20022.92.03.8538
Alaska Natives20032.61.93.4561
Alaska Natives20043.02.43.61,060
Alaska Natives20053.32.73.91,168
Alaska Natives20064.53.25.8849
Alaska Natives20073.62.84.31,059
Alaska Natives20083.63.04.3987
Alaska Natives20093.12.53.7895
Alaska Natives20103.32.34.2567
Alaska Natives20114.03.15.01,124
Alaska Natives20124.53.65.41,744
Alaska Natives20133.53.04.11,534
Alaska Natives20143.02.53.51,386
U.S.1993**
U.S.1994**
U.S.1995**
U.S.1996**
U.S.1997**
U.S.1998**
U.S.1999**
U.S.20003.2
U.S.20013.4
U.S.20023.0
U.S.20033.3
U.S.20043.4
U.S.20053.2
U.S.20063.2
U.S.20073.2
U.S.20083.3
U.S.20093.3
U.S.20103.4
U.S.20113.7
U.S.20123.8
U.S.20133.7
U.S.20143.6
Healthy Alaskans Goal20132.9
Healthy Alaskans Goal20142.9
Healthy Alaskans Goal20152.9
Healthy Alaskans Goal20162.9
Healthy Alaskans Goal20172.9
Healthy Alaskans Goal20182.9
Healthy Alaskans Goal20192.9
Healthy Alaskans Goal20202.9

Data Notes

The 2002 U.S. data is for 23 states. U.S. values are based upon the median value of the states, District of Columbia, and territories. ** = Data not available

Data Sources

  • Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion
  • U.S. Data: National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS)


Mean number of days adults (18+) report being mentally unhealthy, by sex, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Males vs. FemalesYearMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 18
Males20102.72.13.41,401
Males20112.62.23.12,719
Males20122.52.12.83,797
Males20132.42.12.74,143
Males20142.62.33.04,021
Females20103.83.34.31,708
Females20113.73.34.23,213
Females20124.13.74.64,396
Females20133.93.54.34,886
Females20143.63.23.94,798
Healthy Alaskans Goal20132.9
Healthy Alaskans Goal20142.9
Healthy Alaskans Goal20152.9
Healthy Alaskans Goal20162.9
Healthy Alaskans Goal20172.9
Healthy Alaskans Goal20182.9
Healthy Alaskans Goal20192.9
Healthy Alaskans Goal20202.9

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by age group, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Age Group: 18-24,25-34,35-44,45-64,65+YearMean number of unhealhty daysLower LimitUpper LimitDenom- inator
Record Count: 33
18-2420103.21.94.5133
18-2420112.81.83.7348
18-2420122.72.94.4565
18-2420133.62.94.3643
18-2420143.93.14.7487
25-3420103.62.54.8411
25-3420113.62.64.5783
25-3420123.32.74.01,288
25-3420133.22.63.71,243
25-3420143.52.94.11,041
35-4420102.61.93.3540
35-4420113.22.53.81,027
35-4420123.62.74.41,297
35-4420133.52.74.21,393
35-4420142.82.33.31,309
45-6420103.42.74.21,462
45-6420113.42.93.82,645
45-6420123.22.73.63,458
45-6420133.02.63.43,896
45-6420143.12.83.53,854
65+20102.61.63.5525
65+20111.91.32.51,053
65+20122.61.73.61,488
65+20132.21.72.61,763
65+20142.01.62.41,992
Healthy Alaskans Goal20132.9
Healthy Alaskans Goal20142.9
Healthy Alaskans Goal20152.9
Healthy Alaskans Goal20162.9
Healthy Alaskans Goal20172.9
Healthy Alaskans Goal20182.9
Healthy Alaskans Goal20192.9
Healthy Alaskans Goal20202.9

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by race/ethnicity, all Alaskans, 2011-2014 (3-year average)

::chart - missing::
confidence limits

Mean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 8
Alaska Native (any mention)3.73.34.14,664
Asian (non-Hispanic)2.11.33.0394
Black (non-Hispanic)3.92.75.1293
Native Hawaiian/Other Pacific Islander (non-Hispanic)2.71.64.2108
White (non-Hispanic)3.02.93.219,039
Multiracial/Other (non-Hispanic)2.81.73.8453
Hispanic (alone or multi)3.82.94.6649
Healthy Alaskans Goal2.9

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by ethnicity, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Ethnicity - Hispanic/LatinoYearMean number of unhealthy daysLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 18
Hispanic/Latino20103.91.56.373
Hispanic/Latino20113.81.95.7163
Hispanic/Latino20123.32.14.5247
Hispanic/Latino20134.02.75.3263
Hispanic/Latino20144.22.75.7248
Not Hispanic/Latino20103.22.83.63,005
Not Hispanic/Latino20113.12.83.55,721
Not Hispanic/Latino20123.33.03.67,891
Not Hispanic/Latino20133.02.83.38,653
Not Hispanic/Latino20143.02.83.38,435
Healthy Alaskans Goal20132.9
Healthy Alaskans Goal20142.9
Healthy Alaskans Goal20152.9
Healthy Alaskans Goal20162.9
Healthy Alaskans Goal20172.9
Healthy Alaskans Goal20182.9
Healthy Alaskans Goal20192.9
Healthy Alaskans Goal20202.9

Data Notes

Ethnicity is defined independent of race.

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by marital status, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Marital StatusYearMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 33
Married20102.62.13.01,802
Married20112.62.33.03,291
Married20122.32.02.64,415
Married20132.32.02.54,905
Married20142.21.92.54,953
Widowed20103.62.34.9227
Widowed20113.11.74.5408
Widowed20125.23.56.9607
Widowed20134.12.55.8662
Widowed20143.32.44.2673
Divorced/Separated20105.33.76.9493
Divorced/Separated20114.73.95.51,043
Divorced/Separated20125.24.16.31,357
Divorced/Separated20134.33.55.01,507
Divorced/Separated20145.04.25.71,434
Never Married20103.82.64.9449
Never Married20113.42.64.3885
Never Married20123.93.34.61,406
Never Married20133.93.24.61,492
Never Married20143.83.24.41,326
Living with a Partner20103.11.94.3114
Living with a Partner20114.42.56.2251
Living with a Partner20124.62.96.2347
Living with a Partner20134.12.85.4400
Living with a Partner20143.62.64.7344
Healthy Alaskans Goal20132.9
Healthy Alaskans Goal20142.9
Healthy Alaskans Goal20152.9
Healthy Alaskans Goal20162.9
Healthy Alaskans Goal20172.9
Healthy Alaskans Goal20182.9
Healthy Alaskans Goal20192.9
Healthy Alaskans Goal20202.9

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (25+) report being mentally unhealthy, by education, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Edu Level: < HS, HS, Some Coll, Coll GradYearMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 28
< HS20106.13.58.8185
< HS20115.13.46.9358
< HS20126.14.37.9508
< HS20136.04.57.5444
< HS20144.73.46.1427
HS20103.02.33.8805
HS20112.92.43.51,534
HS20122.92.43.42,008
HS20133.32.73.82,123
HS20142.82.43.31,963
Some Coll20103.22.43.9882
Some Coll20113.52.94.11,562
Some Coll20123.42.84.02,250
Some Coll20132.92.53.32,491
Some Coll20143.12.73.62,355
Coll Grad20102.62.03.11,062
Coll Grad20112.41.92.92,040
Coll Grad20122.42.02.82,750
Coll Grad20132.01.72.23,212
Coll Grad20142.52.12.83,409
Healthy Alaskans Goal20132.9
Healthy Alaskans Goal20142.9
Healthy Alaskans Goal20152.9
Healthy Alaskans Goal20162.9
Healthy Alaskans Goal20172.9
Healthy Alaskans Goal20182.9
Healthy Alaskans Goal20192.9
Healthy Alaskans Goal20202.9

Data Notes

Education is based upon education completed by or after 25 years of age. Individuals less than 25 years of age are excluded.

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by employment status, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: EmploymentYearMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 27
Employed20102.72.23.22,002
Employed20112.52.22.83,646
Employed20122.72.43.05,009
Employed20132.52.22.75,415
Employed20142.52.32.85,248
Unemployed20105.63.37.9204
Unemployed20114.42.95.9447
Unemployed20125.13.66.7588
Unemployed20134.83.66.0612
Unemployed20145.24.06.5464
Not In Work Force20102.92.23.6749
Not In Work Force20112.62.13.21,523
Not In Work Force20122.82.33.32,146
Not In Work Force20132.92.43.32,494
Not In Work Force20142.72.33.22,597
Unable to Work201010.17.612.7140
Unable to Work201111.99.414.4291
Unable to Work201211.19.013.2414
Unable to Work20139.57.511.5430
Unable to Work20149.47.811.0413
Healthy Alaskans Goal20132.9
Healthy Alaskans Goal20142.9
Healthy Alaskans Goal20152.9
Healthy Alaskans Goal20162.9
Healthy Alaskans Goal20172.9
Healthy Alaskans Goal20182.9
Healthy Alaskans Goal20192.9

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by income, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Income: <$15k, $15k-$25k, $25k-$50k, $50-$75k, $75k+YearMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 33
<$15,00020105.63.97.4199
<$15,00020116.64.88.4425
<$15,00020126.85.48.2649
<$15,00020136.85.28.3691
<$15,00020145.64.66.7599
$15,000 - $24,99920105.63.97.4291
$15,000 - $24,99920114.33.15.4636
$15,000 - $24,99920125.13.96.3961
$15,000 - $24,99920134.93.95.91,008
$15,000 - $24,99920144.33.55.2924
$25,000 - $49,99920104.02.85.1600
$25,000 - $49,99920113.83.04.71,125
$25,000 - $49,99920123.72.94.51,595
$25,000 - $49,99920133.83.24.31,724
$25,000 - $49,99920144.13.44.71,626
$50,000 - $74,99920102.41.33.5532
$50,000 - $74,99920112.31.82.9962
$50,000 - $74,99920122.62.03.11,299
$50,000 - $74,99920132.01.62.41,501
$50,000 - $74,99920142.41.92.91,373
$75,000+20102.21.72.81,075
$75,000+20112.01.62.32,008
$75,000+20122.01.62.32,615
$75,000+20131.91.62.23,257
$75,000+20142.01.72.33,376
Healthy Alaskans Goal20132.9
Healthy Alaskans Goal20142.9
Healthy Alaskans Goal20152.9
Healthy Alaskans Goal20162.9
Healthy Alaskans Goal20172.9
Healthy Alaskans Goal20182.9
Healthy Alaskans Goal20192.9
Healthy Alaskans Goal20202.9

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by poverty threshold, all Alaskans, 2010-2020

::chart - missing::
confidence limits

Poverty thresholds are intended for use as a statistical yardstick, not as a complete description of what people and families need to live. Poverty thresholds are the dollar amounts assigned by the U.S. Census Bureau to determine poverty status. Poverty thresholds are assigned based upon the size of the family and the ages of the members (i.e., adults versus children). The same thresholds are used throughout the United States. Poverty thresholds were originally derived in the 1963-1964 using U.S. Department of Agriculture food budgets designed for families under economic stress and data about what proportion of their income families spent on food. The thresholds are updated annually for inflation using the Consumer Price Index for All Urban Consumers (CPI-U). How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]
HA: Poverty ThresholdYearMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 23
Poor20105.53.08.0176
Poor20115.94.07.7380
Poor20126.14.77.6655
Poor20135.54.26.8628
Poor20144.23.25.1554
Near Poor20105.23.86.5401
Near Poor20114.63.55.8717
Near Poor20125.03.96.11,159
Near Poor20135.34.46.31,273
Near Poor20145.34.46.21,068
Middle/High20102.62.23.12,120
Middle/High20112.42.12.63,783
Middle/High20122.62.32.95,304
Middle/High20132.32.12.56,280
Middle/High20142.62.32.96,275
Healthy Alaskans Goal20132.9
Healthy Alaskans Goal20142.9
Healthy Alaskans Goal20152.9
Healthy Alaskans Goal20162.9
Healthy Alaskans Goal20172.9
Healthy Alaskans Goal20182.9
Healthy Alaskans Goal20192.9
Healthy Alaskans Goal20202.9

Data Notes

Poverty thresholds computed using the BRFSS assume that householders are less than 65 years of age as the ages of the household heads are not recorded. The maximum of the income range provided for the household is used to evaluate the proportion of the poverty threshold. This is a conservative approach as there are no errors of misclassification into the lowest poverty group. The category of Poor represents less than 100% of the poverty threshold. Near Poor is 100% through 199% of the poverty threshold. Middle/High income families are 200% or higher of the poverty threshold. How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by Alaska Public Health Regions, all Alaskans and Alaska Natives, 2014

::chart - missing::
confidence limits

Alaska ComparisonsAlaska Public Health RegionsMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 13
All AlaskansAnchorage - Mat-Su3.32.93.63,468
All AlaskansGulf Coast2.62.23.11,354
All AlaskansInterior3.327.03.91,788
All AlaskansNorthern1.40.72.0270
All AlaskansSoutheast3.12.63.71,315
All AlaskansSouthwest2.11.42.9624
Alaska NativesAnchorage - Mat-Su4.02.95.1334
Alaska NativesGulf Coast4.12.06.2134
Alaska NativesInterior3.11.64.5218
Alaska NativesNorthern1.40.72.0166
Alaska NativesSoutheast3.92.55.1200
Alaska NativesSouthwest1.91.32.5334
Healthy Alaskans GoalHealthy Alaskans Goal2.9

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by metropolitan/micropolitan statistical areas, all Alaskans and Alaska Natives, 2012-2014 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 15
All AlaskansAnchorage3.22.93.55,427
All AlaskansFairbanks North Star MSA3.43.13.84,151
All AlaskansJuneau MicroSA3.22.73.71,633
All AlaskansKetchikan Gateway MicroSA3.62.64.7851
All AlaskansKodiak Island MicroSA2.71.73.6553
All AlaskansMatanuska-Susistna Borough3.43.03.93,733
All AlaskansRural (non-Metro/MicroSA)2.72.52.99,693
Alaska NativesAnchorage4.63.55.7557
Alaska NativesFairbanks North Star MSA4.83.26.4336
Alaska NativesJuneau MicroSA4.52.56.5170
Alaska NativesKetchikan Gateway MicroSA7.02.811.3137
Alaska NativesKodiak Island MicroSA3.70.86.5102
Alaska NativesMatanuska-Susistna Borough3.92.85.1306
Alaska NativesRural (non-Metro/MicroSA)2.82.43.13,056
Healthy Alaskans GoalHealthy Alaskans Goal2.9

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by behavioral health system assessment areas, all Alaskans and Alaska Natives, 2014

::chart - missing::
confidence limits

Alaska ComparisonsBehavioral Health System Assessment RegionsMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 21
All AlaskansAnchorage Muncipality3.32.83.72,115
All AlaskansFairbanks North Star Borough3.52.84.11,419
All AlaskansCity and Borough of Juneau3.12.33.9553
All AlaskansKenai Peninsula Borough3.02.43.5980
All AlaskansMatanuska-Susitna Borough3.32.73.91,353
All AlaskansNorthwest Region1.40.72.0270
All AlaskansOther Interior Region2.21.53.0555
All AlaskansOther Southeast Region3.22.53.9762
All AlaskansY-K Delta Region1.61.02.2290
All AlaskansSouthwest Region2.41.53.2522
Alaska NativesAnchorage Muncipality3.82.45.1207
Alaska NativesFairbanks North Star Borough3.51.55.5124
Alaska NativesCity and Borough of Juneau2.61.14.265
Alaska NativesKenai Peninsula Borough4.81.77.980
Alaska NativesMatanuska-Susitna Borough4.93.06.8127
Alaska NativesNorthwest Region1.40.72.0166
Alaska NativesOther Interior Region2.60.94.2118
Alaska NativesOther Southeast Region4.32.56.0135
Alaska NativesY-K Delta Region1.70.92.5189
Alaska NativesSouthwest Region2.31.33.2175
Healthy Alaskans GoalHealthy Alaskans Goal2.9

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, boroughs and census areas, all Alaskans and Alaska Natives, 2012-2014 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsBoroughs/Census AreasPercentage of adultsLower LimitUpper LimitDenom- inator
Record Count: 59
All AlaskansAleutians East Borough3.50.96.1179
All AlaskansAleutians West Borough1.10.71.5285
All AlaskansAnchorage Municipality3.23.03.55,427
All AlaskansBethel Census Area2.51.73.4873
All AlaskansBristol Bay Borough3.01.05.1181
All AlaskansDenali Borough2.51.33.7191
All AlaskansDillingham Census Area3.11.84.1392
All AlaskansFairbanks North Star Borough3.43.13.84,151
All AlaskansHaines Borough2.71.93.5193
All AlaskansHoonah-Angoon Census Area3.41.55.3120
All AlaskansJuneau City and Borough3.22.73.71,633
All AlaskansKenai Peninsula Borough3.02.63.32,787
All AlaskansKetchikan Gateway Borough3.62.64.7851
All AlaskansKodiak Island Borough2.71.73.6553
All AlaskansKusilvak Census Area1.61.02.3328
All AlaskansLake and Peninsula Borough3.01.73.4179
All AlaskansMatanuska-Susitna Borough3.43.03.93,733
All AlaskansNome Census Area2.61.93.4504
All AlaskansNorth Slope Borough2.41.63.3288
All AlaskansNorthwest Arctic Borough1.20.71.6315
All AlaskansPetersburg Borough2.11.23.0218
All AlaskansPrince of Wales-Hyder Census Area4.02.85.2287
All AlaskansSitka City and Borough3.02.04.0443
All AlaskansSkagway Municipality1.90.73.256
All AlaskansSoutheast Fairbanks Census Area2.01.42.6626
All AlaskansValdez-Cordova Census Area2.61.83.5569
All AlaskansWrangell City and Borough4.72.47.0127
All AlaskansYakutat City and Borough3.11.35.157
All AlaskansYukon-Koyukuk Census Area2.51.63.3530
Alaska NativesAleutians East Borough2.10.73.696
Alaska NativesAleutians West Borough1.20.22.369
Alaska NativesAnchorage Municipality4.63.55.7557
Alaska NativesBethel Census Area2.71.63.8513
Alaska NativesBristol Bay Borough4.30.58.171
Alaska NativesDenali Borough**12
Alaska NativesDillingham Census Area3.41.95.0186
Alaska NativesFairbanks North Star Borough4.83.26.4336
Alaska NativesHaines Borough**22
Alaska NativesHoonah-Angoon Census Area**33
Alaska NativesJuneau City and Borough4.52.56.5170
Alaska NativesKenai Peninsula Borough4.62.96.3237
Alaska NativesKetchikan Gateway Borough7.02.811.3137
Alaska NativesKodiak Island Borough3.70.86.5102
Alaska NativesKusilvak Census Area1.60.92.3292
Alaska NativesLake and Peninsula Borough3.01.05.0108
Alaska NativesMatanuska-Susitna Borough3.92.85.1306
Alaska NativesNome Census Area2.51.73.4309
Alaska NativesNorth Slope Borough2.31.13.5174
Alaska NativesNorthwest Arctic Borough1.10.61.6221
Alaska NativesPetersburg Borough**20
Alaska NativesPrince of Wales-Hyder Census Area4.42.76.1109
Alaska NativesSitka City and Borough3.11.54.767
Alaska NativesSkagway Municipality**4
Alaska NativesSoutheast Fairbanks Census Area2.80.45.379
Alaska NativesValdez-Cordova Census Area3.91.95.974
Alaska NativesWrangell City and Borough**24
Alaska NativesYakutat City and Borough**28
Alaska NativesYukon-Koyukuk Census Area2.21.43.1308
Healthy Alaskans GoalHealthy Alaskans Goal2.9

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator.

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by tribal health organization regions, all Alaskans and Alaska Natives, 2010-2014 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 25
All AlaskansAleutians and Pribilofs2.51.13.9584
All AlaskansAnchorage/Mat-Su3.33.13.511,532
All AlaskansArctic Slope2.11.42.8374
All AlaskansBristol Bay3.02.23.8994
All AlaskansCopper River/Prince William Sound2.72.13.3857
All AlaskansInterior3.12.83.37,433
All AlaskansKenai Peninsula3.12.83.49,378
All AlaskansKodiak Area2.51.93.2814
All AlaskansNorthwest Arctic1.41.01.8486
All AlaskansNorton Sound2.72.03.3695
All AlaskansSoutheast3.53.23.95,724
All AlaskansYukon-Kuskokwim2.21.82.61,611
Alaska NativesAleutians and Pribilofs2.10.93.2214
Alaska NativesAnchorage/Mat-Su4.63.75.51,061
Alaska NativesArctic Slope1.50.82.2212
Alaska NativesBristol Bay3.42.34.6498
Alaska NativesCopper River/Prince William Sound2.51.33.6118
Alaska NativesInterior4.03.05.0967
Alaska NativesKenai Peninsula4.93.36.5360
Alaska NativesKodiak Area3.91.86.0143
Alaska NativesNorthwest Arctic1.20.81.7339
Alaska NativesNorton Sound2.72.03.4435
Alaska NativesSoutheast4.33.55.2873
Alaska NativesYukon-Kuskokwim2.31.82.81,135
Healthy Alaskans GoalHealthy Alaskans Goal2.9

Data Source

Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion

References and Community Resources

'''References:''' 1. United States. Public Health Service. Office of the Surgeon General. Mental Health: A Report of the Surgeon General. National Institute of Mental Health, 1999. [http://profiles.nlm.nih.gov/ps/retrieve/ResourceMetadata/NNBBHS] 2. Healthy Alaskans 2020. Evidence-Based Strategies Indicator 9: Reduce the mean number of days in the past 30 days that adults (age 18 and older) report being mentally unhealthy to 2.9 days by 2020. [http://localhost/ibisph-admin/edit/indicator/available_services/HlthStatMent.html] 3. Health Status: Mental Health Past 30 Days. Retrieved on 11/18/2015 from Utah Department of Health, Center for Health Data and Informatics, Indicator-Based Information System for Public Health website: [http://ibis.health.utah.gov/. http://ibis.health.utah.gov/indicator/complete_profile/HlthStatMent.html] '''Resources:''' U.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 Links

Alaska 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 01/26/2016, Published on 01/26/2016
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 09 February 2016 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Tue, 26 Jan 2016 08:47:51 AKST
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 09 February 2016 19:32:08 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 26 Jan 2016 08:47:51 AKST