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State of Alaska

Complete Health Indicator Report of Obesity - Adults (18+) (HA2020 Leading Health Indicator: 4B)

Definition

Percentage of adults 18 years of age and older who are obese as defined by a body mass index (BMI) of >=30.0 as computed by the [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System (BRFSS)]. BMI is calculated as self-reported weight ("About how much do you weigh without shoes?") in kilograms divided by self-reported height ("About how tall are you without shoes?") in meters squared.

Numerator

Weighted number of adults (18+) who have a BMI of >=30.0 calculated from self-reported weight ("About how much do you weigh without shoes?") and height ("About how tall are you without shoes?") on the BRFSS, excluding women who are pregnant and biologically implausible values.

Denominator

Weighted number of adults (18+) for whom BMI can be calculated from their self-reported weight and height on the BRFSS, excluding women who are pregnant, biologically implausible values, or "Do not know/Not Sure" or "Refused" responses.

Data Interpretation Issues

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx]. Alaska data were obtained from the Standard BRFSS from 1991-2003, and from the Standard and Supplemental 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. Alaska Native people in analyses of the BRFSS refers to any mention of American Indian or Alaska Native heritage when enumerating racial and ethnic background. Individuals who indicate multiple races including American Indian/Alaska Native are considered Alaska Native in the data. When race and ethnicity are considered concurrently, Hispanic individuals with American Indian/Alaska Native heritage are combined into the Alaska Native (any mention) group and removed from the Hispanic class. This definition of the Alaska Native group is intended to conform to the eligibility requirements for access to Alaska Native Tribal Health Consortium health care services.

Why Is This Important?

Leading health officials state that obesity is the predominant public health threat of our lifetimes.^1^ If obesity rates aren't stabilized and reversed, the medical care costs associated with treating obesity-related chronic disease will threaten the government's ability to fund Medicare and Medicaid. Obesity and overweight are determined by calculating Body Mass Index (BMI) from a person's weight and height. BMI provides a reliable indicator of body fatness for most people, and it is used to screen for weight categories that increase the risk of health problems. Obesity is expected to overtake tobacco as the leading cause of death.^3^ It already surpasses tobacco in estimates of annual medical costs in Alaska ($459 million vs. $318 million).^4^ Alaska's obesity-related Medicaid costs will be $684 million annually by 2030 if rates continue as predicted.^2^ The responsibility for this dramatic change in our state's population is both personal and societal. Government is already invested by paying the medical costs related to the chronic disease consequences associated with obesity in an ever-rising Medicaid budget. Obesity increases the risk of type 2 diabetes, heart disease, high blood pressure, stroke, gallbladder disease, osteoarthritis, sleep apnea, respiratory problems, and some types of cancer. It also negatively affects physical performance, life expectancy, and quality of life.^5^ Due to obesity, this generation of children is predicted to have a shorter lifespan than their parents.^6^[[br]] [[br]] ---- {{class .SmallerFont 1. State of Alaska Department of Health and Social Services Press Release. June 25, 2012. [http://dhss.alaska.gov/News/Documents/press/2012/ASDObesityPrevalence_PR_06252012.pdf] 2. Alaska Department of Health and Social Services, 2011. Alaska Obesity Prevention and Control Program: 2010-2011 Status Report. Accessed at [http://dhss.alaska.gov/dph/Chronic/Documents/Obesity/pubs/10-11ObesityStatus_web.pdf]. November 22, 2017. 3. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. (2004) Actual Causes of Death in the United States, 2000. JAMA. 2004;291(10):1238-1245. doi:10.1001/jama.291.10.1238. 4. Trogdon JG, Finkelstein EA, Feagan CW, Cohen JW. State- and Payer-Specific Estimates of Annual Medical Expenditures Attributable to Obesity. Obesity 2012;20(1):214-20. 5. U.S. Department of Health and Human Services. The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity 2001. [https://www.ncbi.nlm.nih.gov/books/NBK44206/pdf/Bookshelf_NBK44206.pdf]. Published 2001. Accessed October 12, 2016. 6. Olshansky SJ, Passaro DJ, Hershow RC, Layden J, et al. A Potential Decline in Life Expectancy in the United States in the 21st Century. N Engl J Med 2005;352(11):1138-45. }}

Other Objectives

Healthy Alaskans 2020 Indicator: Reduce the percentage of adults (age 18 years and older) who meet criteria for obesity (body mass index of >=30 kg/(m*m)) to 27% by 2020. Related Objectives: Healthy People Objective NWS-9: Reduce the proportion of adults who are obese U.S. Target: 30.5% as measured by the National Health and Nutrition Examination Survey (NHANES) for adults 20 years of age and older. The Healthy People objective for adult obesity based upon clinical examination of height and weight cannot be matched by the self-reported measures obtained by the BRFSS. The definition of adult also differs between the two surveillance systems with NHANES using individuals who are 20 years of age and older and the BRFSS defining adults as individuals who are 18 years of age and older.

How Are We Doing?

The percentage of Alaska adults who are obese has increased over the past 27 years, more than doubling since 1991 (13.4%). Since 2016, the prevalence of obesity among Alaska adults has exceeded 30%. Additional statistics on obesity burden are available at: [http://dhss.alaska.gov/dph/Chronic/Pages/Obesity/resources.aspx]. Prevalence rates for obesity 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 Medicaid eligibility) are limited to 2010 and later to allow for ease in assessing recent trends. The rates of obesity 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) single-year for the 11 behavioral health assessment regions based upon aggregations of 20,000 population, and 3) 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.

What Is Being Done?

The goal of the Physical Activity and Nutrition unit is to help Alaskans prevent and manage chronic diseases with regular physical activity and nutritious eating. Our work includes: [[br]]a) Helping young Alaskans grow up healthy by improving physical activity and nutrition in schools and child care programs; [[br]]b) Ensuring families receive support to start and continue breastfeeding their babies; [[br]]c) Building a healthy labor force by improving the availability of healthy foods and drinks in workplaces; [[br]]d) Connecting Alaskans to the places they live, learn, shop and work by promoting activity-friendly routes; and [[br]]e) Educating the public through the Play Every Day campaign on ways to choose healthy foods and drinks and be physically active.


Related Indicators

Related Health Care System Factors Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Percentage of adults (18+) who were obese (BMI >= 30.0), all Alaskans, Alaska Natives, and U.S., 1991-2020

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confidence limits

Alaska ComparisonsYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 92
All Alaskans199113.4%11.1%16.1%
All Alaskans199212.2%10.0%14.8%
All Alaskans199313.6%11.2%16.5%
All Alaskans199413.1%11.0%15.6%
All Alaskans199519.1%16.3%22.3%
All Alaskans199616.6%13.9%19.7%
All Alaskans199719.6%16.8%22.7%
All Alaskans199821.2%18.7%23.9%
All Alaskans199920.4%18.0%22.9%
All Alaskans200021.1%18.7%23.7%
All Alaskans200122.0%19.9%24.2%
All Alaskans200223.5%21.0%26.3%
All Alaskans200323.7%21.5%26.1%
All Alaskans200423.7%21.5%26.1%
All Alaskans200525.6%23.9%27.3%
All Alaskans200626.0%24.1%28.0%
All Alaskans200728.1%26.2%30.2%
All Alaskans200828.5%26.5%30.5%
All Alaskans200926.9%24.9%29.0%
All Alaskans201029.2%26.5%32.1%9003,061
All Alaskans201128.2%26.3%30.1%1,6545,749
All Alaskans201228.2%26.4%30.0%2,3527,829
All Alaskans201329.7%28.1%31.4%2,5718,735
All Alaskans201430.0%28.4%31.6%2,6058,526
All Alaskans201529.8%28.1%31.6%2,3577,629
All Alaskans201631.4%29.5%33.5%2,1656,807
All Alaskans201733.4%31.4%35.4%2,1336,558
All Alaskans201831.5%29.4%33.7%1,2584,091
Alaska Native people199115.7%11.8%20.6%
Alaska Native people199221.0%14.4%29.7%
Alaska Native people199317.4%12.8%23.3%
Alaska Native people199417.7%13.2%23.3%
Alaska Native people199517.0%11.9%23.7%
Alaska Native people199624.5%18.3%31.9%
Alaska Native people199721.9%16.1%29.2%
Alaska Native people199828.6%22.7%35.4%
Alaska Native people199930.7%24.5%37.6%
Alaska Native people200029.0%22.4%36.7%
Alaska Native people200127.5%22.9%32.7%
Alaska Native people200232.8%26.5%39.8%
Alaska Native people200324.0%19.5%29.1%
Alaska Native people200424.6%21.3%28.3%
Alaska Native people200532.6%28.7%36.7%
Alaska Native people200627.2%23.3%31.5%
Alaska Native people200733.9%29.4%38.8%
Alaska Native people200837.5%32.9%42.4%
Alaska Native people200932.2%27.6%37.2%
Alaska Native people201031.4%25.2%38.5%192579
Alaska Native people201134.8%30.4%39.5%4031,107
Alaska Native people201235.0%31.0%39.2%6201,674
Alaska Native people201334.0%30.2%38.1%5251,490
Alaska Native people201434.2%30.6%38.0%5031,361
Alaska Native people201537.6%33.8%41.6%5471,420
Alaska Native people201637.9%33.2%42.7%4711,211
Alaska Native people201736.0%31.0%41.3%4331,135
Alaska Native people201834.4%29.6%39.6%235692
U.S.199112.6%
U.S.199212.6%
U.S.199313.7%
U.S.199414.4%
U.S.199515.8%
U.S.199616.8%
U.S.199716.6%
U.S.199818.3%
U.S.199919.7%
U.S.200020.1%
U.S.200121.0%
U.S.200222.1%
U.S.200322.8%
U.S.200423.1%
U.S.200524.4%
U.S.200625.1%
U.S.200726.3%
U.S.200826.6%
U.S.200927.2%
U.S.201027.6%
U.S.201127.8%
U.S.201227.6%
U.S.201328.9%
U.S.201429.6%
U.S.201529.8%
U.S.201630.1%
U.S.201731.6%
U.S.201830.9%
Healthy Alaskans Goal201327.0%
Healthy Alaskans Goal201427.0%
Healthy Alaskans Goal201527.0%
Healthy Alaskans Goal201627.0%
Healthy Alaskans Goal201727.0%
Healthy Alaskans Goal201827.0%
Healthy Alaskans Goal201927.0%
Healthy Alaskans Goal202027.0%

Data Notes

U.S. values are based upon the median value of the states, District of Columbia, and territories.

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)


Percentage of adults (18+) who were obese (BMI >= 30.0), by sex, all Alaskans, 2010-2020

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confidence limits

HA: Males vs. FemalesYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 26
Males201027.6%23.8%31.8%4001,429
Males201128.4%25.9%31.1%7922,761
Males201228.4%26.0%30.9%1,1523,798
Males201328.8%26.6%31.0%1,2394,137
Males201429.2%27.1%31.4%1,2494,020
Males201528.7%26.4%31.1%1,1573,652
Males201631.9%29.2%34.7%1,0703,233
Males201732.6%30.0%35.4%1,0493,267
Males201831.6%29.1%34.3%6542,065
Females201031.0%27.3%35.1%5001,632
Females201127.9%25.4%30.5%8622,988
Females201228.0%25.5%30.6%1,2004,031
Females201330.8%28.4%33.3%1,3324,598
Females201430.9%28.5%33.4%1,3564,506
Females201531.1%28.5%33.8%1,2003,977
Females201631.0%28.2%33.9%1,0953,574
Females201734.2%31.3%37.2%1,0843,291
Females201831.4%28.3%34.6%6022,022
Healthy Alaskans Goal201327.0%
Healthy Alaskans Goal201427.0%
Healthy Alaskans Goal201527.0%
Healthy Alaskans Goal201627.0%
Healthy Alaskans Goal201727.0%
Healthy Alaskans Goal201827.0%
Healthy Alaskans Goal201927.0%
Healthy Alaskans Goal202027.0%

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


Percentage of adults (18+) who were obese (BMI >= 30.0), by age group, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Age Group: 18-24,25-34,35-44,45-64,65+YearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 53
18-24201016.5%9.7%26.8%25131
18-24201116.0%11.1%22.7%57324
18-24201210.2%7.5%13.6%78537
18-24201316.4%12.7%21.1%109604
18-24201415.2%11.7%19.6%84470
18-24201521.5%16.4%27.7%86425
18-24201619.0%14.0%25.3%65372
18-24201720.5%15.4%26.8%82402
18-24201819.8%13.9%27.5%50250
25-34201026.0%19.3%34.0%94387
25-34201124.7%20.4%29.5%182734
25-34201228.4%24.4%32.7%3501,203
25-34201330.1%26.0%34.5%3331,178
25-34201427.0%23.0%31.4%263980
25-34201527.9%23.6%32.7%233850
25-34201627.6%22.9%32.9%196682
25-34201729.5%24.7%34.8%201723
25-34201827.2%22.2%32.8%123428
35-44201031.7%25.4%38.7%160531
35-44201132.0%27.9%36.5%325992
35-44201231.8%27.2%36.7%3941,231
35-44201331.5%27.5%35.9%4011,346
35-44201433.2%29.2%37.4%4001,268
35-44201534.7%30.2%39.6%3431,000
35-44201640.2%34.9%45.7%295853
35-44201735.6%30.5%41.1%293849
35-44201832.3%27.0%38.0%170528
45-64201035.2%31.3%39.3%4681,447
45-64201132.4%29.7%35.2%7962,584
45-64201232.2%29.3%35.3%1,0983,347
45-64201333.5%30.9%36.2%1,2023,817
45-64201435.5%33.1%38.1%1,2833,760
45-64201532.3%29.9%34.9%1,0883,325
45-64201634.3%31.4%37.4%9902,911
45-64201740.0%36.9%43.2%9662,683
45-64201837.9%34.4%41.6%5141,498
65+201027.4%22.0%33.6%145538
65+201129.7%25.4%34.4%2851,065
65+201230.6%26.0%35.7%4171,453
65+201330.6%27.3%34.2%5211,738
65+201429.1%25.8%32.5%5471,959
65+201530.7%27.2%34.5%5911,953
65+201631.7%27.8%35.9%6031,909
65+201732.7%29.1%36.6%5741,817
65+201829.1%25.8%32.5%3881,325
Healthy Alaskans Goal201327.0%
Healthy Alaskans Goal201427.0%
Healthy Alaskans Goal201527.0%
Healthy Alaskans Goal201627.0%
Healthy Alaskans Goal201727.0%
Healthy Alaskans Goal201827.0%
Healthy Alaskans Goal201927.0%
Healthy Alaskans Goal202027.0%

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


Percentage of adults (18+) who were obese (BMI >= 30.0), by race/ethnicity, all Alaskans, 2016-2018 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Alaska Native (any mention)36.1%33.3%39.1%1,1383,037
Asian (non-Hispanic)15.6%10.4%22.8%51317
Black (non-Hispanic)44.9%35.5%54.6%100241
Native Hawaiian/Other Pacific Islander (non-Hispanic)56.8%41.9%70.5%4285
White (non-Hispanic)30.9%29.6%32.3%3,91112,788
Multiracial/Other (non-Hisp.)39.7%29.0%51.5%68174
Hispanic (alone or multi)31.7%25.6%38.5%159487
Healthy Alaskans Goal27.0%

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


Percentage of adults (18+) who were obese (BMI >= 30.0), by ethnicity, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Ethnicity - Hispanic/LatinoYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 26
Hispanic/Latino201030.2%16.8%48.0%2171
Hispanic/Latino201129.5%19.8%41.4%46165
Hispanic/Latino201225.6%17.8%35.3%63231
Hispanic/Latino201332.8%24.6%42.2%71243
Hispanic/Latino201429.7%21.7%39.1%75229
Hispanic/Latino201528.0%19.9%37.8%68204
Hispanic/Latino201630.4%21.3%41.3%68208
Hispanic/Latino201735.9%26.2%46.9%76203
Hispanic/Latino201830.3%20.0%43.1%42139
Not Hispanic/Latino201029.1%26.4%32.1%8672,958
Not Hispanic/Latino201128.1%26.2%30.0%1,5935,540
Not Hispanic/Latino201228.3%26.5%30.2%2,2767,555
Not Hispanic/Latino201329.6%27.9%31.3%2,4668,399
Not Hispanic/Latino201430.1%28.4%31.8%2,4978,182
Not Hispanic/Latino201529.8%28.1%31.6%2,2627,335
Not Hispanic/Latino201631.6%29.6%33.6%2,0766,523
Not Hispanic/Latino201733.4%31.4%35.5%2,0406,280
Not Hispanic/Latino201831.5%29.4%33.7%1,2073,918
Healthy Alaskans Goal201327.0%
Healthy Alaskans Goal201427.0%
Healthy Alaskans Goal201527.0%
Healthy Alaskans Goal201627.0%
Healthy Alaskans Goal201727.0%
Healthy Alaskans Goal201827.0%
Healthy Alaskans Goal201927.0%
Healthy Alaskans Goal202027.0%

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


Percentage of adults (25+) who were obese (BMI >= 30.0), by education, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Edu Level: LT High School, High School, Some College, College GradYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 44
LT High School201043.2%32.9%54.2%74201
LT High School201137.6%29.9%46.0%133372
LT High School201228.6%22.7%35.4%160505
LT High School201339.7%32.7%47.2%159447
LT High School201437.5%31.0%44.5%155441
LT High School201531.1%24.5%38.5%124374
LT High School201635.6%27.3%44.9%113309
LT High School201735.1%27.0%44.3%123329
LT High School201832.8%25.0%41.7%70216
High School201026.9%22.1%32.2%245817
High School201135.8%32.2%39.6%5311,512
High School201236.3%32.3%40.4%6751,936
High School201335.0%31.6%38.6%7252,085
High School201433.0%29.7%36.4%6741,943
High School201532.3%28.7%36.0%6281,806
High School201634.9%30.7%39.3%5781,617
High School201734.4%30.4%38.6%5521,536
High School201835.4%31.0%40.0%326992
Some College201036.2%31.0%41.7%280850
Some College201129.1%25.9%32.5%4521,517
Some College201233.2%29.8%36.8%7432,153
Some College201332.8%29.8%36.0%7922,423
Some College201436.0%32.8%39.2%8312,322
Some College201534.2%31.2%37.5%7652,152
Some College201638.1%34.5%41.8%7181,907
Some College201740.2%36.5%44.1%6791,796
Some College201835.4%31.6%39.3%3951,126
College Graduate201025.4%21.3%30.0%2681,033
College Graduate201122.3%19.7%25.2%4711,969
College Graduate201223.4%20.6%26.4%6792,631
College Graduate201324.8%22.4%27.4%7783,108
College Graduate201423.2%21.1%25.4%8533,318
College Graduate201526.3%23.7%29.2%7482,844
College Graduate201624.3%21.6%27.2%6852,584
College Graduate201729.2%26.2%32.3%6902,478
College Graduate201828.5%25.3%31.9%4021,449
Healthy Alaskans Goal201327.0%
Healthy Alaskans Goal201427.0%
Healthy Alaskans Goal201527.0%
Healthy Alaskans Goal201627.0%
Healthy Alaskans Goal201727.0%
Healthy Alaskans Goal201827.0%
Healthy Alaskans Goal201927.0%
Healthy Alaskans Goal202027.0%

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


Percentage of adults (18+) who were obese (BMI >= 30.0), by employment status, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: EmploymentYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 44
Employed201028.9%25.6%32.5%5791,954
Employed201127.7%25.5%30.1%1,0143,517
Employed201227.8%25.6%30.2%1,4434,798
Employed201329.2%27.1%31.3%1,5235,249
Employed201429.3%27.3%31.4%1,5375,075
Employed201529.9%27.7%32.1%1,3924,453
Employed201631.7%29.2%34.3%1,2243,809
Employed201734.2%31.7%36.8%1,2353,787
Employed201832.9%30.2%35.8%6882,195
Unemployed201036.3%25.6%48.5%59206
Unemployed201126.1%20.1%33.2%124440
Unemployed201231.2%24.9%38.3%186560
Unemployed201333.5%26.9%40.8%176586
Unemployed201432.2%26.0%39.2%137454
Unemployed201525.0%19.6%31.4%126465
Unemployed201633.3%26.0%41.4%143398
Unemployed201729.2%22.1%37.5%112364
Unemployed201830.1%23.1%38.1%72220
Not In Work Force201024.5%19.5%30.3%195741
Not In Work Force201126.4%23.0%30.1%3921,472
Not In Work Force201226.0%22.7%29.7%5482,036
Not In Work Force201328.0%25.1%31.2%6752,396
Not In Work Force201427.7%24.8%30.8%7052,511
Not In Work Force201527.6%24.3%31.1%6482,267
Not In Work Force201627.9%24.5%31.5%6452,201
Not In Work Force201729.8%26.3%33.5%6192,025
Not In Work Force201828.1%25.0%31.4%4141,419
Unable to Work201048.5%36.0%61.2%63141
Unable to Work201145.7%36.2%55.6%118295
Unable to Work201238.5%30.8%46.9%164408
Unable to Work201342.3%34.0%50.9%177430
Unable to Work201446.4%39.1%53.9%200420
Unable to Work201546.2%38.0%54.6%168380
Unable to Work201644.8%35.8%54.1%144351
Unable to Work201745.1%36.3%54.3%154343
Unable to Work201836.6%26.8%47.7%80241
Healthy Alaskans Goal201327.0%
Healthy Alaskans Goal201427.0%
Healthy Alaskans Goal201527.0%
Healthy Alaskans Goal201627.0%
Healthy Alaskans Goal201727.0%
Healthy Alaskans Goal201827.0%
Healthy Alaskans Goal201927.0%
Healthy Alaskans Goal202027.0%

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


Percentage of adults (18+) who were obese (BMI >= 30.0), by income, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Income: LT $15k, $15k-$25k, $25k-$50k, $50-$75k, $75k+YearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 53
<$15,000201027.9%18.8%39.2%66209
<$15,000201135.5%27.6%44.3%132432
<$15,000201231.7%25.8%38.2%220630
<$15,000201330.7%24.2%37.9%195676
<$15,000201431.6%26.0%37.9%208607
<$15,000201537.4%30.4%45.1%187540
<$15,000201632.1%24.6%40.6%157482
<$15,000201736.9%29.7%44.7%179506
<$15,000201834.4%25.6%44.4%86259
$15,000 - $24,999201036.7%27.8%46.6%99296
$15,000 - $24,999201132.6%26.6%39.3%200630
$15,000 - $24,999201226.2%21.6%31.3%281939
$15,000 - $24,999201333.3%28.5%38.5%326985
$15,000 - $24,999201430.9%26.2%36.1%309907
$15,000 - $24,999201530.4%25.1%36.2%279853
$15,000 - $24,999201637.4%30.9%44.5%243719
$15,000 - $24,999201735.1%29.0%41.7%272760
$15,000 - $24,999201829.3%24.1%35.2%142451
$25,000 - $49,999201029.7%23.9%36.3%175586
$25,000 - $49,999201128.1%23.8%32.8%3041,102
$25,000 - $49,999201230.7%26.8%34.9%4961,549
$25,000 - $49,999201331.4%27.6%35.5%5041,670
$25,000 - $49,999201435.6%31.6%39.8%5191,583
$25,000 - $49,999201529.3%25.5%33.4%4571,387
$25,000 - $49,999201633.8%29.1%38.8%4501,260
$25,000 - $49,999201735.4%30.7%40.5%3941,189
$25,000 - $49,999201830.6%26.0%35.6%226736
$50,000 - $74,999201033.5%26.4%41.5%175527
$50,000 - $74,999201132.0%27.8%36.6%311936
$50,000 - $74,999201230.2%25.5%35.3%3921,256
$50,000 - $74,999201333.0%29.0%37.2%4651,478
$50,000 - $74,999201431.1%27.2%35.3%4151,347
$50,000 - $74,999201534.1%29.6%38.9%3621,186
$50,000 - $74,999201631.2%26.6%36.2%3381,059
$50,000 - $74,999201735.1%30.3%40.2%3451,006
$50,000 - $74,999201826.6%21.9%31.9%161565
$75,000+201027.7%23.3%32.6%2831,047
$75,000+201126.8%24.0%29.7%5291,933
$75,000+201226.7%23.7%29.8%7222,536
$75,000+201327.7%25.2%30.4%8943,173
$75,000+201427.8%25.4%30.4%9583,302
$75,000+201528.1%25.6%30.7%8852,963
$75,000+201629.8%27.0%32.7%8322,731
$75,000+201730.9%28.0%33.9%7922,567
$75,000+201834.7%31.6%38.1%4731,443
Healthy Alaskans Goal201327.0%
Healthy Alaskans Goal201427.0%
Healthy Alaskans Goal201527.0%
Healthy Alaskans Goal201627.0%
Healthy Alaskans Goal201727.0%
Healthy Alaskans Goal201827.0%
Healthy Alaskans Goal201927.0%
Healthy Alaskans Goal202027.0%

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


Percentage of adults (18+) who were obese (BMI >= 30.0), by medicaid eligibility, 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]
Medicaid Eligibility StatusYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 18
Medicaid Eligible201032.0%25.9%38.7%188598
Medicaid Eligible201129.4%24.9%34.3%3251,101
Medicaid Eligible201229.6%26.1%33.4%5951,760
Medicaid Eligible201333.3%29.6%37.3%5781,772
Medicaid Eligible201433.4%29.9%37.2%5801,637
Medicaid Eligible201532.5%28.4%36.9%4801,463
Medicaid Eligible201636.0%31.2%41.2%4241,235
Medicaid Eligible201736.8%31.9%41.9%4541,261
Medicaid Eligible201830.9%25.7%36.6%211637
Medicaid Ineligible201030.0%26.6%33.6%6102,067
Medicaid Ineligible201129.6%27.4%31.9%1,1513,932
Medicaid Ineligible201228.1%26.0%30.4%1,5165,150
Medicaid Ineligible201329.4%27.5%31.4%1,8066,210
Medicaid Ineligible201429.9%28.0%31.9%1,8296,108
Medicaid Ineligible201529.6%27.6%31.6%1,6905,465
Medicaid Ineligible201630.8%28.6%33.0%1,5955,015
Medicaid Ineligible201732.5%30.4%34.8%1,5284,767
Medicaid Ineligible201831.9%29.4%34.5%8722,809

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


Percentage of adults (18+) who were obese (BMI >= 30.0), by adverse childhood experience score, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 5
026.8%24.6%29.0%1,0033,812
129.3%26.5%32.3%6622,281
2-330.7%28.0%33.4%8022,508
4+34.6%31.4%38.0%6871,834
Healthy Alaskans Goal27.0%

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.


Percentage of adults (18+) who were obese (BMI >= 30.0), by Alaska Public Health Regions, all Alaskans and Alaska Natives, 2018

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 15
All AlaskansAnchorage29.9%26.5%33.6%241828
All AlaskansGulf Coast36.0%30.6%41.9%242732
All AlaskansInterior29.9%26.1%33.9%282970
All AlaskansMat-Su34.0%28.0%40.5%155468
All AlaskansNorthern30.8%18.1%47.4%58152
All AlaskansSoutheast29.1%24.9%33.6%205723
All AlaskansSouthwest34.8%27.0%43.7%75218
Alaska Native peopleAnchorage33.9%23.8%45.7%2789
Alaska Native peopleGulf Coast46.5%32.7%60.8%3691
Alaska Native peopleInterior29.9%21.1%40.5%46153
Alaska Native peopleMat-Su**42
Alaska Native peopleNorthern28.0%15.6%45.1%36100
Alaska Native peopleSoutheast35.2%25.9%45.8%38110
Alaska Native peopleSouthwest33.6%24.0%44.9%38107
Healthy Alaskans GoalHealthy Alaskans Goal27.0%

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


Percentage of adults (18+) who were obese (BMI >= 30.0), by behavioral health systems assessment areas, all Alaskans and Alaska Natives, 2018

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 23
All AlaskansAnchorage Muncipality29.9%26.5%33.6%241828
All AlaskansFairbanks North Star Borough30.6%26.0%35.5%206678
All AlaskansCity and Borough of Juneau27.4%19.5%37.1%70273
All AlaskansKenai Peninsula Borough34.0%26.6%42.2%116353
All AlaskansMatanuska-Susitna Borough34.0%28.0%40.5%155468
All AlaskansNorthwest Region30.8%18.1%47.4%58152
All AlaskansOther Interior Region33.3%26.3%41.2%145491
All AlaskansOther SE - Northern23.1%16.1%32.1%56240
All AlaskansOther SE - Southern37.8%29.0%47.4%79210
All AlaskansY-K Delta Region26.6%16.9%39.2%2681
All AlaskansSouthwest Region38.3%32.2%44.7%106317
Alaska Native peopleAnchorage Muncipality33.9%23.8%45.7%2789
Alaska Native peopleFairbanks North Star Borough32.1%16.9%52.4%1953
Alaska Native peopleCity and Borough of Juneau**28
Alaska Native peopleKenai Peninsula Borough**28
Alaska Native peopleMatanuska-Susitna Borough**42
Alaska Native peopleNorthwest Region28.0%15.6%45.1%36100
Alaska Native peopleOther Interior Region28.6%19.5%39.8%38131
Alaska Native peopleOther SE - Northern**42
Alaska Native peopleOther SE - Southern**40
Alaska Native peopleY-K Delta Region29.7%17.3%46.0%1954
Alaska Native peopleSouthwest Region44.9%32.2%58.3%3285
Healthy Alaskans GoalHealthy Alaskans Goal27.0%

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


Percentage of adults (18+) who were obese (BMI >= 30.0), tribal health organization regions, all Alaskans and Alaska Natives, 2014-2018 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 25
All AlaskansAleutians and Pribilofs35.4%28.0%43.4%266623
All AlaskansAnchorage/Mat-Su31.4%30.1%32.8%3,63811,579
All AlaskansArctic Slope38.1%29.9%47.1%130313
All AlaskansBristol Bay33.0%27.8%38.7%3721,017
All AlaskansCopper R/Prince William Snd.34.0%28.7%39.6%268839
All AlaskansInterior30.1%28.5%31.7%2,1937,339
All AlaskansKenai Peninsula31.0%28.5%33.6%1,0813,542
All AlaskansKodiak Area30.6%25.9%35.8%249773
All AlaskansNorthwest Arctic34.6%27.6%42.4%166412
All AlaskansNorton Sound34.8%27.9%42.4%238625
All AlaskansSoutheast30.1%28.4%32.0%1,5405,249
All AlaskansYukon-Kuskokwim30.2%26.0%34.8%3711,283
Alaska Native peopleAleutians and Pribilofs47.8%36.5%59.5%130239
Alaska Native peopleAnchorage/Mat-Su35.9%31.8%40.2%3861,070
Alaska Native peopleArctic Slope44.4%32.5%56.9%76160
Alaska Native peopleBristol Bay38.3%30.7%46.6%224503
Alaska Native peopleCopper R/Prince William Snd.37.3%26.0%50.2%42112
Alaska Native peopleInterior33.2%29.1%37.6%3661,067
Alaska Native peopleKenai Peninsula36.9%28.0%46.8%115291
Alaska Native peopleKodiak Area39.0%26.3%53.5%60130
Alaska Native peopleNorthwest Arctic33.8%25.8%42.8%108266
Alaska Native peopleNorton Sound38.3%30.1%47.4%148372
Alaska Native peopleSoutheast37.2%32.9%41.7%299762
Alaska Native peopleYukon-Kuskokwim30.5%25.5%36.0%233845
Healthy Alaskans GoalHealthy Alaskans Goal27.0%

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. Trogdon JG, Finkelstein EA, Feagan CW, Cohen JW. State- and Payer-Specific Estimates of Annual Medical Expenditures Attributable to Obesity. Obesity 2012;20(1):214-20. 2. Alaska Department of Health and Social Services. [http://dhss.alaska.gov/dph/Chronic/Documents/Obesity/pubs/10-11ObesityStatus_web.pdf Alaska Obesity Prevention and Control Program: 2010-2011 Status Report]. Published 2011. Accessed October 12, 2016. 3. U.S. Department of Health and Human Services. The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity 2001. [https://www.ncbi.nlm.nih.gov/books/NBK44206/pdf/Bookshelf_NBK44206.pdf]. Published 2001. Accessed October 12, 2016. 4. Olshansky SJ, Passaro DJ, Hershow RC, Layden J, et al. A Potential Decline in Life Expectancy in the United States in the 21st Century. N Engl J Med 2005;352(11):1138-45. '''Resources:''' The National Center for Chronic Disease Prevention and Health Promotion provides consumer information. [http://www.cdc.gov/nccdphp/dnpa/obesity/] NHLBI Obesity Education Initiative at [http://www.nhlbi.nih.gov/about/oei/] The Surgeon General's Call to Action to Prevent and Decrease Overweight & Obesity. [http://www.surgeongeneral.gov/topics/obesity] Let's Move, America's Move to Raise a Healthier Generation of Kids. [http://www.letsmove.gov] More information on the Behavioral Risk Factor Surveillance System may be found on the website of the Centers for Disease Control and Prevention at [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 09/26/2019, Published on 09/26/2019
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 Wed, 16 October 2019 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: Mon, 30 Sep 2019 08:35:53 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics 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 Wed, 16 October 2019 22:21:31 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Mon, 30 Sep 2019 08:35:53 AKDT