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State of Alaska

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

Definition

Percentage of adults aged 18 years and older who are obese as defined by a body mass index (BMI) of >=30.0 as computed by the Behavioral Risk Factor Surveillance System (BRFSS). BMI calculated as self-reported weight ("About how much do you weight 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 weight without shoes?") and height ("About how tall are you without shoes?") on the BRFSS. Excludes women who are pregnant and biological implausible values.

Denominator

Weighted number of adults (18+) for whom BMI can be calculated from their self-reported weight and height on the BRFSS. Excludes women who are pregnant, biological implausible values, unknowns or refusals for weight and/or height.

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 AK BRFSS from 1991 through 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 on both surveys. Questions on the height and weight of respondents have been components of the standard BRFSS for Alaska since its inception in 1991 and for the supplemental BRFSS since it began in 2004.

Why Is This Important?

Leading health officials state that obesity is the predominant public health threat of our lifetimes. If obesity rates aren't stabilized and reversed, the medical care cost 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. It already surpasses tobacco in estimates of annual medical costs in Alaska ($459 million^1^ vs. $318 million). 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. Due to obesity, this generation of children is predicted to have a shorter lifespan than their parents.^3^[[br]] [[br]] {{class .SmallerFont # Trogdon JG, Finkelstein EA, Feagan CW, Cohen JW. State- and Payer-Specific Estimates of Annual Medical Expenditures Attributable to Obesity. Obesity (2001) doi::10.1038/ oby2011.169. # Alaska Department of Health and Social Services, 2011. [http://www.hss.state.ak.us/dph/chronic/obesity/pubs/10-11ObesityStatus_web.pdf Alaska Obesity Prevention and Control Program: 2010-2011 Status Report]. Accessed 6/25/2012 # Olshansky SJ, Passaro DJ, Hershow RC et al. A potential decline in life expectancy in the United States in the 21st century. NEJM 2005;352(11):1138-45. }}

Other Objectives

Healthy Alaskans 2020 Indicator 4.b: 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 steadily increased over the past 2 decades, more than doubling between 1991 (13%) and 2014 (30%). The prevalence of obesity is higher for Alaska Native/American Indian people (34%), Black (non-Hispanic) (43%), and Native Hawaiian/Other Pacific Islander (43%) than White Alaskans (28%), who are also above the goal of 27%. Those at decreased risk of obesity include those 65 years of age and older, Asian (non-Hispanic), and individuals who have never married, and college graduates. Additional statistics on obesity burden are available at: [http://www.hss.state.ak.us/dph/chronic/obesity/resources.htm]. 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 poverty status) 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 6 Alaska Public Health Regions, 2) three-year averages by the 7 Metropolitan and Micropolitan Statistics Areas and rural remainder, 3) single-year for the 10 behavioral health assessment regions based upon aggregations of 20,000 population, 4) three-year averages for 29 boroughs and census areas, and 5) five-year averages for the 12 tribal health organization regions. These time intervals match those for the InstantAtlas health profiles for each of the geographic regionalizes of Alaska for those desiring longer time series.

How Do We Compare With the U.S.?

The Alaska adult obesity rate has paralleled the increase seen in adult obesity prevalence nationwide.

What Is Being Done?

The mission of the Obesity Prevention and Control Program is to prevent and reduce obesity among Alaskans though the promotion of physical activity and good nutrition. The program: [[br]]a) manages the Play Every Day campaign, Community Nutrition efforts, Early Care and Education (ECE) Obesity Prevention Partnerships, the Obesity Prevention School Partnerships and supports Healthy Futures; [[br]]b) serves as a credible source of information on the causes, health and economic consequences of obesity; [[br]]c) provides information to the public, health professionals, and the media; [[br]]d) maintain systematic collection, analysis, evaluation and reporting of obesity prevalence and related physical activity and nutrition behaviors; [[br]]e) identifies population groups at greatest risk for the health threats of obesity; [[br]]f) develops partnerships with and provides leadership to a wide variety of private and public agencies; [[br]]g) provides technical advice and support to partners in implementing obesity prevention strategies; [[br]]h) facilitates the Alaska Alliance for Healthy Kids that works to prevent childhood obesity; and [[br]]i) facilitates the Alaska Food Policy Council that works to strengthen Alaska's food systems to spur local economic development, increase food security, and improve nutrition and health.

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaska 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. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. '''Strategy 1:''' [[br]]Implement a comprehensive social marketing campaign promoting nutrition and physical activity. Choose campaign topics strategically; examples include limiting sugary drinks and the importance of family meals. '''Evidence Base:''' [[br]]Citing The Community Guide and other reviews, the CDC recommends community-wide campaigns as effective in increasing physical activity, a contributing factor to maintaining a healthy weight. '''Sources:''' [[br]]Centers for Disease Control and Prevention. Increasing physical activity: A report on recommendations of the Task Force on Community Preventive Services. MMWR. 2001; 50 (RR-18):1-16. [http://www.thecommunityguide.org/pa/index.html The Community Guide]. Kahn EB, Ramsey LT, Brownson RC, et al. The effectiveness of interventions to increase physical activity: a systematic review. Am J Prev Med. 2002; 22(4S): 73-107. A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_4_Overweight_Adult.pdf].


Related Indicators

Related Relevant Population Characteristics 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

::chart - missing::
confidence limits

Alaska ComparisonsYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 80
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 Alaskans200423.0%21.4%24.7%
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%32.0%9003,061
All Alaskans201127.8%26.0%29.6%1,6335,748
All Alaskans201228.1%26.3%29.9%2,3307,833
All Alaskans201329.5%27.9%31.1%2,5508,741
All Alaskans201429.7%28.1%31.3%2,5908,537
Alaska Natives199115.7%11.8%20.6%
Alaska Natives199221.0%14.4%29.7%
Alaska Natives199317.4%12.8%23.3%
Alaska Natives199417.7%13.2%23.3%
Alaska Natives199517.0%11.9%23.7%
Alaska Natives199624.5%18.3%31.9%
Alaska Natives199721.9%16.1%29.2%
Alaska Natives199828.6%22.7%35.4%
Alaska Natives199930.7%24.5%37.6%
Alaska Natives200029.0%22.4%36.7%
Alaska Natives200127.5%22.9%32.7%
Alaska Natives200232.8%26.5%39.8%
Alaska Natives200324.0%19.5%29.1%
Alaska Natives200424.6%21.3%28.3%
Alaska Natives200532.6%28.7%36.7%
Alaska Natives200627.2%23.3%31.5%
Alaska Natives200733.9%29.4%38.8%
Alaska Natives200837.5%32.9%42.4%
Alaska Natives200932.2%27.6%37.2%
Alaska Natives201031.4%25.2%38.4%192579
Alaska Natives201134.5%30.2%39.2%40010,106
Alaska Natives201234.9%30.9%39.0%6141,674
Alaska Natives201333.7%29.9%37.7%5231,491
Alaska Natives201433.8%30.2%37.5%4971,361
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%
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.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion
  • U.S. Data: National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS)


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

::chart - missing::
confidence limits

HA: Males vs. FemalesYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 18
Males201027.6%23.9%31.7%4001,429
Males201128.0%25.4%30.6%7832,760
Males201228.3%25.9%30.8%1,1433,801
Males201328.6%26.5%30.8%1,2284,138
Males201429.0%26.9%31.2%1,2424,027
Females201031.0%27.3%35.0%5001,632
Females201127.5%25.1%30.1%8502,988
Females201227.8%25.3%30.5%1,1874,032
Females201330.5%28.1%33.0%1,3224,603
Females201430.5%28.2%33.0%1,3484,510
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 Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: 33
18-24201016.5%9.7%26.2%25131
18-24201116.0%11.1%22.6%57324
18-24201210.2%7.6%13.6%78537
18-24201315.7%12.1%20.1%105604
18-24201415.0%11.5%19.3%83470
25-34201026.0%19.4%33.9%94387
25-34201124.4%20.1%29.2%181784
25-34201228.1%24.2%32.4%3471,204
25-34201329.9%25.8%34.2%3291,179
25-34201426.3%22.4%30.6%260982
35-44201031.7%25.5%38.6%160531
35-44201131.5%27.4%35.9%320993
35-44201231.7%27.2%36.6%3891,231
35-44201331.5%27.5%35.7%4011,348
35-44201433.1%29.1%37.3%3991,269
45-64201035.2%31.4%39.2%4681,447
45-64201131.8%29.2%34.6%7842,584
45-64201232.1%29.3%35.1%1,0903,348
45-64201333.3%30.8%35.9%1,1923,817
45-64201435.1%32.9%37.9%1,2763,766
65+201027.4%22.0%33.5%145538
65+201129.6%25.3%34.3%2831,063
65+201230.4%25.8%35.4%4111,455
65+201330.5%27.2%34.0%5181,741
65+201428.9%25.7%32.4%5441,961
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 Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who were obese (BMI >= 30.0), by race/ethnicity, all Alaskans, 2012-2014

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Alaska Native (any mention)34.1%31.9%36.4%1,6344,526
Asian (non-Hispanic)18.7%13.5%25.2%63395
Black (non-Hispanic)43.2%35.2%51.6%113281
Native Hawaiian/Other Pacific Islander (non-Hispanic)42.8%30.4%56.1%43104
White (non-Hispanic)27.6%26.6%28.7%5,20718,389
Multiracial/Other (non-Hispanic)27.1%21.0%34.2%119439
Hispanic (alone or multi)29.4%24.3%35.1%178605
Healthy Alaskans Goal27.0%

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: 18
Hispanic/Latino201030.2%16.9%47.8%2171
Hispanic/Latino201129.2%19.7%41.0%45165
Hispanic/Latino201225.6%17.9%35.2%63231
Hispanic/Latino201332.7%24.6%42.0%70243
Hispanic/Latino201429.7%21.8%39.0%75229
Not Hispanic/Latino201029.1%26.4%32.0%8672,958
Not Hispanic/Latino201127.7%27.7%29.6%1,5735,539
Not Hispanic/Latino201228.2%28.2%30.1%2,2547,559
Not Hispanic/Latino201329.3%29.3%31.0%2,4468,405
Not Hispanic/Latino201429.8%28.2%31.5%2,4828,192
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.

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


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

::chart - missing::
confidence limits

HA: Marital StatusYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 33
Married201030.2%26.9%33.8%5111,752
Married201127.8%25.6%30.1%8643,144
Married201231.3%28.8%33.9%1,2964,205
Married201330.6%28.5%32.8%1,3904,707
Married201432.0%29.8%34.1%1,4434,765
Widowed201028.0%18.8%39.5%63228
Widowed201132.8%25.5%41.0%121409
Widowed201228.4%21.9%35.9%159590
Widowed201329.4%24.0%35.3%195657
Widowed201429.9%24.8%35.6%193667
Divorced/Separated201035.4%27.9%43.8%160495
Divorced/Separated201131.8%27.7%36.7%3161,034
Divorced/Separated201229.2%25.1%33.5%4211,318
Divorced/Separated201333.8%29.3%38.6%4651,486
Divorced/Separated201434.6%30.7%38.7%4871,425
Never Married201022.2%16.5%29.3%128458
Never Married201126.8%22.3%31.8%258883
Never Married201220.2%17.2%23.6%3491,349
Never Married201323.5%20.1%27.2%3761,448
Never Married201421.5%18.4%25.0%3431,289
Living with a Partner201036.5%23.9%51.4%31109
Living with a Partner201122.2%15.6%30.6%64241
Living with a Partner201228.3%20.6%37.6%96330
Living with a Partner201333.4%26.0%41.8%114395
Living with a Partner201435.2%27.0%44.3%108339
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 Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: < HS, HS, Some Coll, Coll GradYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 28
< HS201043.1%32.9%54.0%73200
< HS201137.8%30.1%46.2%131367
< HS201228.6%22.7%35.3%159502
< HS201339.2%32.3%46.7%158446
< HS201438.1%31.6%45.1%152434
HS201026.9%22.2%32.2%245817
HS201135.2%31.6%38.9%5241,512
HS201236.1%32.2%40.2%6691,936
HS201335.0%31.6%38.6%7232,087
HS201432.5%29.3%35.9%6631,925
Some Coll201036.2%31.0%41.6%280850
Some Coll201128.6%25.4%32.0%4451,517
Some Coll201233.0%29.7%36.6%7312,154
Some Coll201332.6%29.6%35.7%7822,424
Some Coll201435.9%32.7%39.1%8212,299
Coll Grad201025.4%21.3%30.0%2681,033
Coll Grad201122.1%19.5%24.9%4661,969
Coll Grad201223.3%20.6%26.3%6572,634
Coll Grad201324.7%22.3%27.3%7743,110
Coll Grad201422.8%20.8%25.0%8363,292
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.

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: 28
Employed201028.9%25.6%32.5%5791,954
Employed201127.2%25.0%29.5%9983,516
Employed201227.7%25.5%30.0%1,4324,799
Employed201329.0%26.9%31.1%1,5105,250
Employed201429.2%27.2%31.3%1,5315,081
Unemployed201036.3%25.7%48.4%59206
Unemployed201126.1%20.2%33.1%124440
Unemployed201231.2%25.0%38.2%185560
Unemployed201332.9%26.4%40.2%175586
Unemployed201432.0%25.8%38.9%139455
Not In Work Force201024.5%19.6%30.3%195741
Not In Work Force201126.2%22.8%29.8%3871,473
Not In Work Force201225.9%22.6%29.5%5392,039
Not In Work Force201327.8%24.9%30.9%6692,400
Not In Work Force201427.1%24.3%30.2%6982,515
Unable to Work201048.5%36.1%61.0%63141
Unable to Work201145.8%36.3%55.5%118249
Unable to Work201238.3%30.7%46.6%163408
Unable to Work201341.6%33.4%50.2%175430
Unable to Work201446.4%39.2%53.8%199420
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 Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: <$15k, $15k-$25k, $25k-$50k, $50-$75k, $75k+YearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 33
<$15,000201027.9%18.9%39.1%66209
<$15,000201135.4%27.6%44.1%132432
<$15,000201231.6%25.8%38.1%216630
<$15,000201330.6%24.2%37.8%194677
<$15,000201431.4%25.8%37.5%205607
$15,000 - $24,999201036.7%27.9%46.5%99296
$15,000 - $24,999201132.4%26.4%39.0%196630
$15,000 - $24,999201226.1%21.6%31.2%280940
$15,000 - $24,999201333.0%28.2%38.1%325987
$15,000 - $24,999201430.9%26.2%36.1%309909
$25,000 - $49,999201029.7%23.9%36.3%175586
$25,000 - $49,999201127.6%23.4%32.2%3001,102
$25,000 - $49,999201230.5%26.6%34.7%4901,550
$25,000 - $49,999201331.3%27.5%35.3%5001,671
$25,000 - $49,999201435.6%31.6%39.7%5181,587
$50,000 - $74,999201033.5%26.4%41.5%175527
$50,000 - $74,999201130.9%26.8%35.3%305936
$50,000 - $74,999201230.2%25.5%35.2%3901,256
$50,000 - $74,999201332.8%28.9%37.1%4611,478
$50,000 - $74,999201430.9%27.1%35.1%4131,349
$75,000+201027.7%23.4%32.5%2831,047
$75,000+201126.6%23.9%29.6%5241,933
$75,000+201226.5%23.7%29.7%7162,537
$75,000+201327.4%24.9%30.0%8873,175
$75,000+201427.5%25.2%30.1%9513,304
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 Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who were obese (BMI >= 30.0), 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 ThresholdYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 23
Poor201036.7%24.9%50.3%61180
Poor201129.1%22.1%37.4%105385
Poor201231.7%25.8%38.2%215634
Poor201329.4%23.3%36.4%165606
Poor201427.0%21.7%33.0%170555
Near Poor201029.7%23.1%37.1%123408
Near Poor201126.1%21.6%31.2%212699
Near Poor201228.6%24.3%33.2%3741,132
Near Poor201334.3%30.1%38.7%4331,245
Near Poor201439.3%34.4%44.4%3961,053
Middle/High201029.9%26.6%33.5%6142,077
Middle/High201128.7%26.7%30.9%1,0613,678
Middle/High201227.9%25.8%30.2%1,5025,146
Middle/High201329.3%27.4%31.3%1,7696,137
Middle/High201429.4%27.6%31.3%1,8296,147
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

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.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who were obese (BMI >= 30.0), by Alaska Economic Regions, all Alaskans and Alaska Natives, 2014

::chart - missing::
confidence limits

Alaska ComparisonsAlaska Public Health RegionsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 13
All AlaskansAnchorage - Mat-Su30.1%27.7%32.6%1,0273,358
All AlaskansGulf Coast28.5%24.9%32.4%3791,294
All AlaskansInterior29.0%25.7%32.7%5081,792
All AlaskansNorthern33.2%25.0%42.7%92254
All AlaskansSoutheast28.7%25.0%32.8%3801,287
All AlaskansSouthwest30.7%24.5%37.8%204620
Alaska NativesAnchorage - Mat-Su33.5%26.8%40.8%121327
Alaska NativesGulf Coast48.3%36.3%60.5%54124
Alaska NativesInterior32.3%24.0%42.0%73217
Alaska NativesNorthern34.2%24.4%45.5%58156
Alaska NativesSoutheast31.7%24.1%40.4%76197
Alaska NativesSouthwest31.9%24.9%39.8%115340
Healthy Alaskans GoalHealthy Alaskans Goal27.0%

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who were obese (BMI >= 30.0), by metropolitan/micropolitan statistical areas, all Alaskans and Alaska Natives, 2012-2014 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 15
All AlaskansAnchorage28.9%27.1%30.8%1,4755,227
All AlaskansFairbanks North Star MSA26.2%24.0%28.4%1,1214,018
All AlaskansJuneau MicroSA27.2%23.8%30.9%4231,570
All AlaskansKetchikan Gateway MicroSA27.7%23.1%32.8%241806
All AlaskansKodiak Island MicroSA28.9%23.3%35.2%155530
All AlaskansMatanuska-Susitna Borough30.7%28.3%33.3%1,1223,578
All AlaskansRural (non-Metro/MicroSA)30.7%29.2%32.2%2,9339,382
Alaska NativesAnchorage36.1%30.7%41.8%190537
Alaska NativesFairbanks North Star MSA26.1%20.1%33.2%108327
Alaska NativesJuneau MicroSA37.6%27.5%49.5%70161
Alaska NativesKetchikan Gateway MicroSA23.7%15.7%34.1%42132
Alaska NativesKodiak Island MicroSA52.2%37.8%66.3%4194
Alaska NativesMatanuska-Susitna Borough30.3%23.7%37.9%109300
Alaska NativesRural (non-Metro/MicroSA)34.4%31.7%37.2%1,0742,975
Healthy Alaskans GoalHealthy Alaskans Goal27.0%

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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, 2014

::chart - missing::
confidence limits

Alaska ComparisonsBehavioral Health System Assessment RegionsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 21
All AlaskansAnchorage Muncipality29.1%26.3%32.2%5932,057
All AlaskansFairbanks North Star Borough27.8%24.1%31.9%3981,373
All AlaskansCity and Borough of Juneau30.6%24.6%37.2%157544
All AlaskansKenai Peninsula Borough28.7%24.6%33.2%281921
All AlaskansMatanuska-Susitna Borough33.1%29.5%37.0%4341,301
All AlaskansNorthwest Region33.2%25.0%42.7%92254
All AlaskansOther Interior Region32.0%26.2%38.4%157535
All AlaskansOther Southeast Region27.2%22.7%32.3%223738
All AlaskansY-K Delta Region27.5%19.7%36.9%79290
All AlaskansSouthwest Region32.5%25.4%40.6%176503
Alaska NativesAnchorage Muncipality34.0%26.1%43.0%204
Alaska NativesFairbanks North Star Borough25.2%16.3%36.9%124
Alaska NativesCity and Borough of Juneau37.3%23.6%53.3%66
Alaska NativesKenai Peninsula Borough55.2%39.6%69.9%75
Alaska NativesMatanuska-Susitna Borough31.6%22.3%42.7%123
Alaska NativesNorthwest Region34.2%24.2%45.5%156
Alaska NativesOther Interior Region40.7%28.3%54.3%117
Alaska NativesOther Southeast Region28.9%20.3%39.3%131
Alaska NativesY-K Delta Region26.3%17.6%37.4%194
Alaska NativesSouthwest Region42.4%32.8%52.6%171
Healthy Alaskans GoalHealthy Alaskans Goal27.0%

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who were obese (BMI >= 30.0), boroughs and census areas, all Alaskans and Alaska Natives, 2012-2014 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsBoroughs/Census AreasPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 59
All AlaskansAleutians East Borough37.0%26.7%48.5%64175
All AlaskansAleutians West Borough38.4%26.4%51.9%105274
All AlaskansAnchorage Municipality28.9%27.1%30.8%1,4755,227
All AlaskansBethel Census Area30.1%24.8%35.9%257823
All AlaskansBristol Bay Borough35.5%23.0%50.5%75179
All AlaskansDenali Borough23.9%15.7%34.7%43187
All AlaskansDillingham Census Area33.0%24.8%42.5%138382
All AlaskansFairbanks North Star Borough26.2%24.0%28.4%1,1214,018
All AlaskansHaines Borough16.7%10.4%26.0%39189
All AlaskansHoonah-Angoon Census Area37.3%24.5%52.2%36114
All AlaskansJuneau City and Borough27.2%23.8%30.9%4231,570
All AlaskansKenai Peninsula Borough30.2%27.6%32.9%7882,677
All AlaskansKetchikan Gateway Borough27.7%23.1%32.8%241803
All AlaskansKodiak Island Borough28.9%23.3%35.2%155530
All AlaskansKusilvak Census Area24.7%18.2%32.7%97232
All AlaskansLake and Peninsula Borough28.7%19.1%40.8%56173
All AlaskansMatanuska-Susitna Borough30.7%28.3%33.3%1,1223,578
All AlaskansNome Census Area29.3%23.3%36.1%155489
All AlaskansNorth Slope Borough42.1%31.2%53.9%114274
All AlaskansNorthwest Arctic Borough29.2%21.2%38.7%100308
All AlaskansPetersburg Borough30.7%22.9%39.9%73212
All AlaskansPrince of Wales-Hyder Census Area47.2%38.6%56.0%105278
All AlaskansSitka City and Borough22.4%17.5%28.3%115430
All AlaskansSkagway Municipality21.1%9.7%40.2%1453
All AlaskansSoutheast Fairbanks Census Area32.7%26.9%39.1%193599
All AlaskansValdez-Cordova Census Area27.1%21.9%32.9%163547
All AlaskansWrangell City and Borough39.3%26.5%53.9%39124
All AlaskansYakutat City and Borough22.7%11.9%38.9%1757
All AlaskansYukon-Koyukuk Census Area29.5%23.6%36.2%147515
Alaska NativesAleutians East Borough49.8%35.3%64.6%4693
Alaska NativesAleutians West Borough50.7%32.0%67.2%3566
Alaska NativesAnchorage Municipality36.1%30.7%41.8%190537
Alaska NativesBethel Census Area28.8%22.6%35.9%157510
Alaska NativesBristol Bay Borough49.6%33.2%66.1%3970
Alaska NativesDenali Borough**12
Alaska NativesDillingham Census Area30.6%21.9%41.1%72177
Alaska NativesFairbanks North Star Borough26.1%20.1%33.2%108327
Alaska NativesHaines Borough**22
Alaska NativesHoonah-Angoon Census Area**30
Alaska NativesJuneau City and Borough37.6%27.5%49.0%70161
Alaska NativesKenai Peninsula Borough45.9%36.2%55.9%95230
Alaska NativesKetchikan Gateway Borough23.7%15.7%34.1%42132
Alaska NativesKodiak Island Borough52.2%37.8%66.3%4194
Alaska NativesKusilvak Census Area26.2%19.0%34.9%83268
Alaska NativesLake and Peninsula Borough38.7%26.4%52.6%41105
Alaska NativesMatanuska-Susitna Borough30.3%23.7%37.9%109300
Alaska NativesNome Census Area27.6%20.6%36.0%92301
Alaska NativesNorth Slope Borough47.2%33.3%61.1%76165
Alaska NativesNorthwest Arctic Borough27.5%18.8%38.4%68214
Alaska NativesPetersburg Borough**20
Alaska NativesPrince of Wales-Hyder Census Area55.5%42.5%67.8%57106
Alaska NativesSitka City and Borough26.6%15.5%41.8%2564
Alaska NativesSkagway Municipality**4
Alaska NativesSoutheast Fairbanks Census Area40.9%25.4%58.4%3175
Alaska NativesValdez-Cordova Census Area25.8%14.8%41.0%2371
Alaska NativesWrangell City and Borough**23
Alaska NativesYakutat City and Borough**28
Alaska NativesYukon-Koyukuk Census Area28.8%21.4%37.6%80303
Healthy Alaskans GoalHealthy Alaskans Goal27.0%

Data Notes

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

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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, 2010-2014 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 25
All AlaskansAleutians and Pribilofs36.1%29.0%43.9%211566
All AlaskansAnchorage/Mat-Su29.2%27.8%30.6%3,24411,085
All AlaskansArctic Slope41.1%32.6%50.2%150357
All AlaskansBristol Bay32.9%27.5%38.9%343972
All AlaskansCopper River/Prince William Sound28.8%24.5%33.5%245835
All AlaskansInterior27.4%25.8%29.1%2,0297,166
All AlaskansKenai Peninsula28.0%26.0%30.2%1,1033,847
All AlaskansKodiak Area27.8%23.3%32.7%220779
All AlaskansNorthwest Arctic27.9%21.8%34.8%157476
All AlaskansNorton Sound28.9%24.1%34.2%219681
All AlaskansSoutheast29.1%27.3%31.1%1,5885,558
All AlaskansYukon-Kuskokwim26.3%23.0%29.8%4941,598
Alaska NativesAleutians and Pribilofs44.1%34.2%54.5%97210
Alaska NativesAnchorage/Mat-Su35.1%30.4%40.2%3651,026
Alaska NativesArctic Slope48.9%38.1%59.8%96201
Alaska NativesBristol Bay34.6%27.2%42.8%195484
Alaska NativesCopper River/Prince William Sound38.2%25.9%52.1%43119
Alaska NativesInterior29.2%24.9%34.0%289935
Alaska NativesKenai Peninsula37.1%29.7%45.1%134352
Alaska NativesKodiak Area49.3%38.2%60.4%58136
Alaska NativesNorthwest Arctic27.2%20.4%35.3%109333
Alaska NativesNorton Sound28.2%22.6%34.6%140430
Alaska NativesSoutheast39.1%34.4%44.0%355850
Alaska NativesYukon-Kuskokwim26.1%22.4%30.1%3451,135
Healthy Alaskans GoalHealthy Alaskans Goal27.0%

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion

References and Community Resources

'''References:''' 1. Trogdon JG, Finkelstein EA, Feagan CW, Cohen JW. State- and Payer-Specific Estimates of Annual Medical Expenditures Attributable to Obesity. Obesity (2001) doi::10.1038/ oby2011.169. 2. Alaska Department of Health and Social Services, 2011. Alaska Obesity Prevention and Control Program: 2010-2011 Status Report. Accessed 6/25/2012 [http://www.hss.state.ak.us/dph/chronic/obesity/pubs/10-11ObesityStatus_web.pdf] 3. Olshansky SJ, Passaro DJ, Hershow RC et al. A potential decline in life expectancy in the United States in the 21st century. NEJM 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 - [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 03/04/2016, Published on 03/04/2016
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 Sun, 29 May 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: Fri, 4 Mar 2016 11:16:43 AKST
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 29 May 2016 13:00:04 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 4 Mar 2016 11:16:43 AKST