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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 18 years of age and older on the [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx 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+) with complete and valid responses to the BRFSS question on mentally unhealthy days, excluding those with missing, "Don't know/Not sure", or "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, 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.^2^ In teens, sadness or depression can lead to poor grades at school, alcohol or drug use, unsafe sex, and other problems.^3-4^ National studies have found that mental health issues have been the most commonly identified precipitating circumstance in suicide deaths.^5-7^[[br]] [[br]] ---- {{class .SmallerFont 1. U.S. Department of Health and Human Services. Mental Health: A Report of the Surgeon General. [http://profiles.nlm.nih.gov/ps/retrieve/ResourceMetadata/NNBBHS]. Published 1999. Accessed September 15, 2016. 2. Chapman DP, Perry GS, Strine TW. The vital link between chronic disease and depressive disorders. [http://www.cdc.gov/pcd/issues/2005/jan/04_0066.htm]. Published 2005. Accessed September 15, 2016. 3. Frjd SA, Nissinen ES, Pelkonen MU, Marttunen MJ, Koivisto AM, Kaltiala-Heino R. Depression and School Performance in Middle Adolescent Boys and Girls. J Adolesc 200831(4):485-98. 4. Diego MA, Field TM, Sanders CE. Academic Performance, Popularity, and Depression Predict Adolescent Substance Use. Adolescence 2003;38(149):35-42. 5. Ortega LA, Karch D. Precipitating Circumstances of Suicide Among Women of Reproductive Age in 16 U.S. States, 2003-2007. Journal Women's Health 2010;19(1):5-7. 6. Karch DL, Logan J, McDaniel DD, Floyd CF, Vagi KJ. Precipitating Circumstances of Suicide Among Youth Aged 10-17 Years by Sex: Data from the National Violent Death Reporting System, 16 States, 2005-2008. J Adolesc Health 2013;53(1 Suppl):S51-3. 7. Trigylidas TE, Reynolds EM, Teshome G, Dykstra HK, Lichenstein R. Paediatric Suicide in the USA: Analysis of the National Child Death Case Reporting System. Inj Prev 2016;22:268-273. }}

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 3.6 for all Alaskans and 4.0 for Alaska Native people in 2015. Females reported a significantly higher number of mentally unhealthy days (4.2) than males (3.1) in 2015. Individuals 65 years of age and older reported fewer mentally unhealthy days than most younger age groups. Married individuals experienced fewer mentally unhealthy days than individuals who were divorced/separated, never married, or living with a partner. The 5.6 mentally unhealthy days reported by those with less than a high school education was twice the level and significantly higher than the 2.6 days reported by those with a college education. Those unable to work with a mean of 9.9 mentally unhealthy days were significantly higher than the other employment status categories. The mean number of mentally unhealthy days generally declined with increasing income. In most cases, the mean number of mentally unhealthy days increased in 2015 over levels in 2014. 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. Crosstabulations were also conducted for three-year averages by body mass index, current smoking, sexual orientation, disability, and number of Adverse Childhood Experiences. Significant differences occurred within each comparison. 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 7 Alaska Public Health Regions, 2) three-year averages by the 5 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 regionalizations of Alaska for those desiring longer time series.

How Do We Compare With the U.S.?

In 2014 (the most recent national data available), 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 the 25 leading health indicators to be addressed by [http://hss.state.ak.us/ha2020/assets/Actions-Partners_9_MentalHealth_Adults.pdf Healthy Alaskans 2020]. 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.

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). [[br]] '''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. Preventive Services Task Force recommends depression screening for adults at higher risk, including those experiencing substance misuse, chronic medical diseases, unemployment, and poverty. [[br]] '''Sources:''' [[br]]Depression Guide to Clinical Preventive Services. [http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/section2a.html]. Screening, Brief Intervention and Referral to Treatment (SBIRT) in Behavioral Healthcare. [http://beta.samhsa.gov/sites/default/files/sbirtwhitepaper_0.pdf] [[br]] '''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. [[br]] '''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. [[br]] '''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. [[br]] '''Strategy 3:''' [[br]] Create supportive environments that promote resilient, healthy, and empowered individuals, families, schools, and communities (universal prevention). [[br]] '''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. [[br]] '''Sources:''' [[br]]Segal DL et al. Beliefs about Mental Illness and Willingness to Seek Help: A Cross-Sectional Study. 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. [[br]] 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

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: 77
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
All Alaskans20153.63.33.98,054
Alaska Native people19932.81.93.7311
Alaska Native people19942.81.83.8284
Alaska Native people19952.92.03.8303
Alaska Native people19962.72.03.5301
Alaska Native people19972.51.73.2306
Alaska Native people19982.41.53.3352
Alaska Native people19993.22.44.0403
Alaska Native people20003.72.55.0377
Alaska Native people20013.02.43.6604
Alaska Native people20022.92.03.8538
Alaska Native people20032.61.93.4561
Alaska Native people20043.02.43.61,060
Alaska Native people20053.32.73.91,168
Alaska Native people20064.53.25.8849
Alaska Native people20073.62.84.31,059
Alaska Native people20083.63.04.3987
Alaska Native people20093.12.53.7895
Alaska Native people20103.32.34.2567
Alaska Native people20114.03.15.01,124
Alaska Native people20124.53.65.41,744
Alaska Native people20133.53.04.11,534
Alaska Native people20143.02.53.51,386
Alaska Native people20154.03.24.71,491
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
U.S.2015**
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: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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: 20
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
Males20153.12.73.53,730
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
Females20154.23.74.64,324
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 sex of the respondent is only asked if necessary.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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: 38
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
18-2420154.53.65.5450
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
25-3420154.23.45.0920
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
35-4420153.62.94.31,070
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
45-6420153.32.93.73,484
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
65+20152.51.93.11,997
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

Respondents are asked, "What is your age?", which is coded in years. Responses of "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by race/ethnicity, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Mean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 8
Alaska Native (any mention)3.53.13.84,411
Asian (non-Hispanic)2.51.83.2462
Black (non-Hispanic)4.63.35.8345
Native Hawaiian/Other Pacific Islander (non-Hispanic)2.71.34.2124
White (non-Hispanic)3.13.03.319,246
Multiracial/Other (non-Hispanic)3.32.04.6148
Hispanic (alone or multi)3.82.94.7627
Healthy Alaskans Goal2.9

Data Notes

Race/ethnicity is determined by responses to three questions: [[br]] 1) "Are you Hispanic, Latino/a, or Spanish origin?" "If yes, are you...?" One or more categories may be selected from categories of (1) "Mexican, Mexican American, Chicano/a"; (2) "Puerto Rican"; (3) "Cuban"; (4) "Another Hispanic, Latino/a, or Spanish origin".[[br]] 2) "Which one or more of the following would you say is your race?" Response categories consist of "White", "Black or African American", "American Indian or Alaska Native", "Asian" (with subcategories of Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or Other Asian), "Pacific Islander" (with subcategories of Native Hawaiian, Guamanian or Chamorro, Samoan, or Other Pacific Islander), Other, or No additional choices. [[br]] 3) If more than one response to race, then "Which one of these groups would you say best represents your race?" with choices from the list enumerated above. Responses of Don't Know/Not Sure or Refused are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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 LimitDenom- inator
Record Count: 20
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
Hispanic/Latino20153.72.15.2222
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
Not Hispanic/Latino20153.63.33.97,711
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. It is based upon responses to the question, "Are you Hispanic, Latino/a, or Spanish origin?" Responses of "Don't Know/Not Sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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: 38
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
Married20152.62.42.94,452
Widowed20103.62.34.9227
Widowed20113.11.74.5408
Widowed20125.23.56.9607
Widowed20134.12.55.8662
Widowed20143.32.44.2673
Widowed20153.12.84.0659
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
Divorced/Separated20155.34.36.41,246
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
Never Married20154.74.05.41,263
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
Living with a Partner20154.63.55.8334
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

Marital status is determined by the question, "Are you ...?" with responses of "Married", 'Divorced", "Widowed", "Separated", "Never married," or "A member of an unmarried couple". Responses of "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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: 32
< HS20106.13.58.8185
< HS20115.13.46.9358
< HS20126.14.37.9508
< HS20136.04.57.5444
< HS20144.73.46.1427
< HS20155.63.97.3379
HS20103.02.33.8805
HS20112.92.43.51,534
HS20122.92.43.42,008
HS20133.32.73.82,123
HS20142.82.43.31,963
HS20153.63.04.31,881
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
Some Coll20153.53.04.02,266
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
Coll Grad20152.62.23.02,985
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. Education is assessed by responses to the question: "What is the highest grade or year of school you completed?" Responses are "Never attended school or only attended kindergarten", "Grades 1 through 8 (Elementary)", "Grades 9 through 11 (Some high school)", "Grade 12 (High School Graduate)", "College 1 year to 3 years (Some college or technical school)", "College 4 years or more (College graduate)", or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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: 31
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
Employed20153.02.73.44,679
Unemployed20105.63.37.9204
Unemployed20114.42.95.9447
Unemployed20125.13.66.7588
Unemployed20134.83.66.0612
Unemployed20145.24.06.5464
Unemployed20156.04.67.3476
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
Not In Work Force20153.22.63.72,365
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
Unable to Work20159.97.911.8380
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 Notes

Employment status is assessed by the question: "Are you currently ...?" with responses of "Employed for wages", "Self-employed", "Out of work for 1 year or more", "Out of work for less than 1 year", "A Homemaker", "A Student", "Retired", "Unable to work" or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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: 38
<$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
<$15,00020157.15.68.5540
$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
$15,000 - $24,99920155.74.56.8874
$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
$25,000 - $49,99920153.62.94.31,420
$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
$50,000 - $74,99920153.93.04.71,228
$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
$75,000+20152.42.12.73,067
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

Income is measure by the question: "Is your annual household income from all sources ---" with categories of "Less than $10,000", "Less than $15,000", "less than $20,000", "less than $25,000", "less than $35,000", "less than $50,000", "less than $75,000", "$75,000 or more", and "Don't know / Not sure" or "Refused". Responses of "Don't know / Not sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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: 26
Poor20105.53.08.0176
Poor20115.94.07.7380
Poor20126.14.77.6655
Poor20135.54.26.8628
Poor20144.23.25.1554
Poor20155.34.16.6437
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
Near Poor20156.04.97.2835
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
Middle/High20153.02.63.34,852
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: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Mean number of days adults (18+) report being mentally unhealthy, by body mass index, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Weight CategoryMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 4
Neither Overweight nor Obese3.12.93.48,014
Overweight2.92.73.29,096
Obese3.83.54.17,340
Healthy Alaskans Goal2.9

Data Notes

Body Mass Index (BMI) is computed based upon responses to the questions, "About how much do you weight without shoes?" and "About how tall are you without shoes?" Responses of "Don't know / Not sure" or "Refused" to either questions are excluded.


Mean number of days adults (18+) report being mentally unhealthy, by current smoking, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Mean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 3
Not current smoker2.72.62.921,014
Current smoker5.34.95.84,454
Healthy Alaskans Goal2.9

Data Notes

Current smoking is assessed using two questions: "Have you smoked at least 100 cigarettes in your entire life?" and, if "Yes", "Do you now smoke cigarettes every day, some days, or not at all?" Current smokers are defined as those who have smoked at least 100 cigarettes and who now smoke every day or some days. Non-current smokers are those who have either never smoke 100 cigarettes or whom now smoke cigarettes not at all. Responses of "Don't know / Not sure" or "Refused" to either question are excluded.


Mean number of days adults (18+) report being mentally unhealthy, by sexual orientation, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Mean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 3
Heterosexual3.13.03.323,065
Gay, Lesbian, or Bisexual5.64.66.6375
Healthy Alaskans Goal2.9

Data Notes

Sexual orientation is assessed by the question: "Now I'm going to ask you a question about sexual orientation. Do you think of yourself as A. Gay or lesbian, B. Straight, that is, not lesbian or gay, C. Bisexual, or D. something else?" Responses of "Straight, that is not lesbian or gay" are contrasted with the combined responses to "Gay or lesbian" and "Bisexual". Responses of "Something else", "Don't Know / Not sure", or "Refused" are excluded.


Mean number of days adults (18+) report being mentally unhealthy, by disability, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Mean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 3
Disability Present8.17.38.82,129
Disability Absent2.12.02.39,829
Healthy Alaskans Goal2.9

Data Notes

Disability is assessed using responses from 5 questions: 1) "Are you blind or do you have serious difficulty seeing, even when wearing glasses?"; 2) Because of physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?"; 3) "Do you have a serious difficulty walking or climbing stairs?"; 4) "Do you have difficulty dressing or bathing?"; and 5) "Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping?" A "Yes" response to one or more of the questions when all questions have valid answers is used to classify the respondent as having a disability. Responses of "No" to all 5 questions denotes the absence of a disability. Responses of "Don't know / Not sure" or "Refused" to one or more questions result in the survey being excluded from analysis on disability status.


Mean number of days adults (18+) report being mentally unhealthy, by ACEs score, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Mean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 5
01.51.31.73,904
12.42.12.82,339
2-33.63.24.12,562
4+5.65.06.21,859
Healthy Alaskans Goal2.9

Data Notes

The presence of one or more Adverse Childhood Experiences (ACEs) is assessed using either the 10 domains that are grouped into: [[br]] '''Abuse:'''[[br]] 1) Verbal Abuse[[br]] 2) Physical Abuse[[br]] 3) Sexual Abuse][[br]] '''Dysfunctional Households:'''[[br]] 4) Substance Abuse[[br]] 5) Mental Illness[[br]] 6) Domestic Violence[[br]] 7) Separation/Divorce[[br]] 8) Incarceration among household members[[br]] '''Neglect:'''[[br]] 9) Emotional Neglect[[br]] 10) Physical Neglect[[br]] The presence of an Adverse Childhood Experience have grouped into scores of 0 (no exposure), 1 (single exposure to an ACE), 2-3 (exposure to 2 or 3 ACEs), and 4+ (exposure to 4 or more different ACEs) The questions associated with each type of ACEs is described in the [http://ibis.dhss.alaska.gov/indicator/index/Alphabetical.html respective reports]. A summary ACEs score is computed for those with valid responses to all domains. Respondents with refusals to one or more of the ACEs questions are excluded.


Mean number of days adults (18+) report being mentally unhealthy, by Alaska Public Health Regions, all Alaskans and Alaska Natives, 2015

::chart - missing::
confidence limits

Alaska ComparisonsMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 15
All AlaskansAnchorage3.83.34.41,297
All AlaskansGulf Coast3.42.84.01,241
All AlaskansInterior3.52.94.01,760
All AlaskansMat-Su3.63.04.11,234
All AlaskansNorthern2.92.03.7379
All AlaskansSoutheast3.83.24.41,267
All AlaskansSouthwest2.41.83.0876
Alaska Native peopleAnchorage5.93.48.3124
Alaska Native peopleGulf Coast2.51.23.9116
Alaska Native peopleInterior3.72.55.0270
Alaska Native peopleMat-Su5.63.18.086
Alaska Native peopleNorthern3.01.94.1210
Alaska Native peopleSoutheast4.22.85.5192
Alaska Native peopleSouthwest2.41.73.1493
Healthy Alaskans GoalHealthy Alaskans Goal2.9

Data Notes

Geographic descriptions of the public health regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_phr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 11
All AlaskansAnchorage MSA3.43.13.68,963
All AlaskansFairbanks North Star MSA3.53.23.94,180
All AlaskansJuneau MicroSA3.42.93.91,707
All AlaskansKetchikan Gateway MicroSA3.22.63.9854
All AlaskansRural (non-Metro/MicroSA)2.92.73.010,198
Alaska Native peopleAnchorage MSA4.53.65.3829
Alaska Native peopleFairbanks North Star MSA3.92.85.1354
Alaska Native peopleJuneau MicroSA4.02.65.3176
Alaska Native peopleKetchikan Gateway MicroSA4.93.06.9139
Alaska Native peopleRural (non-Metro/MicroSA)2.72.43.02,913
Healthy Alaskans GoalHealthy Alaskans Goal2.9

Data Notes

Geographic descriptions of the metropolitan and micropolitan statistical areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_mmsa.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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, 2015

::chart - missing::
confidence limits

Alaska ComparisonsMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 21
All AlaskansAnchorage Muncipality3.83.24.41,297
All AlaskansFairbanks North Star Borough3.42.84.11,228
All AlaskansCity and Borough of Juneau4.03.05.0538
All AlaskansKenai Peninsula Borough3.73.04.4893
All AlaskansMatanuska-Susitna Borough3.63.04.11,234
All AlaskansNorthwest Region2.92.03.7379
All AlaskansOther Interior Region3.32.54.1696
All AlaskansOther Southeast Region3.62.94.4729
All AlaskansY-K Delta Region2.21.52.9385
All AlaskansSouthwest Region2.92.03.7675
Alaska Native peopleAnchorage Muncipality5.93.48.3124
Alaska Native peopleFairbanks North Star Borough3.31.55.2113
Alaska Native peopleCity and Borough of Juneau4.82.27.460
Alaska Native peopleKenai Peninsula Borough2.10.43.969
Alaska Native peopleMatanuska-Susitna Borough5.63.18.086
Alaska Native peopleNorthwest Region3.01.94.1210
Alaska Native peopleOther Interior Region4.12.65.7173
Alaska Native peopleOther Southeast Region3.82.35.4132
Alaska Native peopleY-K Delta Region2.21.53.0258
Alaska Native peopleSouthwest Region2.81.73.9266
Healthy Alaskans GoalHealthy Alaskans Goal2.9

Data Notes

Geographic descriptions of the behavioral health systems assessment reporting regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bhs.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitDenom- inator
Record Count: 59
All AlaskansAleutians East Borough3.30.95.8183
All AlaskansAleutians West CA1.70.82.5297
All AlaskansAnchorage Municipality3.43.13.75,117
All AlaskansBethel CA2.11.52.7748
All AlaskansBristol Bay Borough3.41.45.5189
All AlaskansDenali Borough2.21.23.2194
All AlaskansDillingham CA2.91.64.2388
All AlaskansFairbanks North Star Borough3.53.23.94,210
All AlaskansHaines Borough2.51.73.3209
All AlaskansHoonah-Angoon CA1.00.51.4115
All AlaskansJuneau City and Borough3.42.93.91,707
All AlaskansKenai Peninsula Borough3.22.93.62,896
All AlaskansKetchikan Gateway Borough3.22.63.9854
All AlaskansKodiak Island Borough2.92.03.9573
All AlaskansKusilvak CA1.91.22.6282
All AlaskansLake and Peninsula Borough2.41.53.3184
All AlaskansMatanuska-Susitna Borough3.43.03.73,846
All AlaskansNome CA2.72.03.5462
All AlaskansNorth Slope Borough2.41.53.2268
All AlaskansNorthwest Arctic Borough1.51.02.1283
All AlaskansPetersburg Borough2.41.43.4219
All AlaskansPrince of Wales-Hyder CA4.93.56.3282
All AlaskansSitka City and Borough3.92.85.0453
All AlaskansSkagway Municipality1.60.42.755
All AlaskansSoutheast Fairbanks CA2.61.93.3634
All AlaskansValdez-Cordova CA2.41.73.1565
All AlaskansWrangell City and Borough4.82.76.9141
All AlaskansYakutat City and Borough3.01.34.650
All AlaskansYukon-Koyukuk CA3.02.03.9498
Alaska Native peopleAleutians East Borough2.20.83.799
Alaska Native peopleAleutians West CA1.40.42.382
Alaska Native peopleAnchorage Municipality4.63.55.6518
Alaska Native peopleBethel CA2.11.42.9441
Alaska Native peopleBristol Bay Borough3.60.36.969
Alaska Native peopleDenali Borough**9
Alaska Native peopleDillingham CA2.91.64.2190
Alaska Native peopleFairbanks North Star Borough3.92.85.0357
Alaska Native peopleHaines Borough**30
Alaska Native peopleHoonah-Angoon CA**32
Alaska Native peopleJuneau City and Borough4.02.65.3176
Alaska Native peopleKenai Peninsula Borough3.92.55.3243
Alaska Native peopleKetchikan Gateway Borough4.93.06.9139
Alaska Native peopleKodiak Island Borough3.31.74.994
Alaska Native peopleKusilvak CA1.91.12.6248
Alaska Native peopleLake and Peninsula Borough2.21.13.2105
Alaska Native peopleMatanuska-Susitna Borough4.23.15.2311
Alaska Native peopleNome CA2.71.83.6274
Alaska Native peopleNorth Slope Borough1.80.92.8139
Alaska Native peopleNorthwest Arctic Borough1.71.02.4181
Alaska Native peoplePetersburg Borough**21
Alaska Native peoplePrince of Wales-Hyder CA5.33.47.3101
Alaska Native peopleSitka City and Borough4.22.16.472
Alaska Native peopleSkagway Municipality**3
Alaska Native peopleSoutheast Fairbanks CA4.21.56.986
Alaska Native peopleValdez-Cordova CA5.02.67.367
Alaska Native peopleWrangell City and Borough**22
Alaska Native peopleYakutat City and Borough**23
Alaska Native peopleYukon-Koyukuk CA2.91.83.9279
Healthy Alaskans GoalHealthy Alaskans Goal2.9

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of boroughs and census areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bca.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, 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, 2011-2015 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsMean number of unhealthy daysLower LimitUpper LimitDenom- inator
Record Count: 25
All AlaskansAleutians and Pribilofs2.51.23.8732
All AlaskansAnchorage/Mat-Su3.43.23.613,434
All AlaskansArctic Slope2.71.93.5436
All AlaskansBristol Bay2.82.13.51,220
All AlaskansCopper R/Prince William Snd.2.51.93.0934
All AlaskansInterior3.22.93.48,428
All AlaskansKenai Peninsula3.12.83.44,417
All AlaskansKodiak Area2.72.13.4906
All AlaskansNorthwest Arctic1.51.11.9556
All AlaskansNorton Sound2.72.13.3784
All AlaskansSoutheast3.53.23.96,339
All AlaskansYukon-Kuskokwim2.21.82.61,841
Alaska Native peopleAleutians and Pribilofs1.71.02.3275
Alaska Native peopleAnchorage/Mat-Su4.94.15.71,234
Alaska Native peopleArctic Slope1.91.12.7232
Alaska Native peopleBristol Bay3.12.34.0617
Alaska Native peopleCopper R/Prince William Snd.3.01.64.3123
Alaska Native peopleInterior4.13.25.01,145
Alaska Native peopleKenai Peninsula4.53.16.0379
Alaska Native peopleKodiak Area3.41.55.3161
Alaska Native peopleNorthwest Arctic1.61.12.1380
Alaska Native peopleNorton Sound2.82.03.6475
Alaska Native peopleSoutheast4.53.75.3985
Alaska Native peopleYukon-Kuskokwim2.31.82.81,273
Healthy Alaskans GoalHealthy Alaskans Goal2.9

Data Notes

Geographic descriptions of the tribal health organization regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_thr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

References and Community Resources

'''References:''' 1. U.S. Department of Health and Human Services. Mental Health: A Report of the Surgeon General. [http://profiles.nlm.nih.gov/ps/retrieve/ResourceMetadata/NNBBHS]. Published 1999. Accessed September 15, 2016. 2. Chapman DP, Perry GS, Strine TW. The vital link between chronic disease and depressive disorders. [http://www.cdc.gov/pcd/issues/2005/jan/04_0066.htm]. Published 2005. Accessed September 15, 2016. 3. Frjd SA, Nissinen ES, Pelkonen MU, Marttunen MJ, Koivisto AM, Kaltiala-Heino R. Depression and School Performance in Middle Adolescent Boys and Girls. J Adolesc 200831(4):485-98. 4. Diego MA, Field TM, Sanders CE. Academic Performance, Popularity, and Depression Predict Adolescent Substance Use. Adolescence 2003;38(149):35-42. 5. Ortega LA, Karch D. Precipitating Circumstances of Suicide Among Women of Reproductive Age in 16 U.S. States, 2003-2007. Journal Women's Health 2010;19(1):5-7. 6. Karch DL, Logan J, McDaniel DD, Floyd CF, Vagi KJ. Precipitating Circumstances of Suicide Among Youth Aged 10-17 Years by Sex: Data from the National Violent Death Reporting System, 16 States, 2005-2008. J Adolesc Health 2013;53(1 Suppl):S51-3. 7. Trigylidas TE, Reynolds EM, Teshome G, Dykstra HK, Lichenstein R. Paediatric Suicide in the USA: Analysis of the National Child Death Case Reporting System. Inj Prev 2016;22:268-273. '''Resources:''' U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA): SAMHSA's National Mental Health Information Center: [http://www.mentalhealth.samhsa.gov/]. National Institute of Mental Health: [http://www.nimh.nih.gov/]. 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:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

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.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 10/17/2016, Published on 10/17/2016
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 Fri, 02 December 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, 25 Oct 2016 16:12:44 AKDT
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 Fri, 02 December 2016 19:35:54 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, 25 Oct 2016 16:12:44 AKDT