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Napa County Asthma Profile

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In Napa County, approximately 21,000 children and adults have been diagnosed with asthma.

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County Population
Age Population %
0–4 9,303 6.7
5–17 25,376 18.3
18–64 84,008 60.5
65+ 20,269 14.6
Total 138,956
County Population
Race/Ethnicity1 %
White 60.3
Black 1.2
Hispanic 31.0
Asian/PI 5.2
Other 2.3

Data Source: California Department of Finance, 2008 (2007 release)




Lifetime Asthma Prevalence,2 2009

People who have ever been diagnosed with asthma by a health provider

Percent with Lifetime Asthma (95% Confidence Interval3)
AgeNapa CountyCalifornia
Children0-4 -- 7.7 (6.2-9.2)
5-17 -- 16.2 (14.9-17.6)
Adults18-64 18.0 (10.0-26.1) 13.8 (12.9-14.7)
65+ 12.5 (6.3-18.7) 11.8 (11.0-12.7)
Totals:0-17 -- 14.2 (13.1-15.3)
18+ 17.0 (10.3-23.7) 13.5 (12.8-14.3)
All Ages 16.2 (10.7-21.7) 13.7 (13.1-14.3)

Data Source: California Health Interview Survey (CHIS), 2009

Active Asthma Prevalence,4 2007

People who have been diagnosed with asthma and still have asthma.

Percent with Active Asthma (95% Confidence Interval3)
Age Napa County California
Children 0-4 -- 6.3 (5.1-7.4)
5-17 -- 10.2 (9.3-11.1)
Adults 18-64 8.9 (5.4 - 12.4) 7.8 (7.3-8.2)
65+ 10.5 (5.2 - 15.8) 7.4 (6.8-8.1)
Totals: 0-17 -- 9.1 (8.4-9.9)
18+ 9.2 (6.1 - 12.2) 7.7 (7.3-8.1)
All Ages 9.8 (6.8 - 12.7) 8.1 (7.7-8.4)

Data Source: California Health Interview Survey (CHIS), 2007

Asthma Management Plans

National guidelines recommend that health care providers give all patients with asthma a written self-management plan. In Napa County, 30.3% (95% CI 21.1-39.6) of people with asthma have NOT received an asthma management plan from a health care provider.

Data Source: CHIS, 2009

Asthma Risk Factors, 2009

Napa County Risk Factors
Risk Factor Percent (95% Confidence Interval)
Percent of adults who are current smokers 13.0 (7.1-18.8)
Percent of adults and children exposed to second-hand smoke in the home 2.9 (1.6-4.3)
Percent of adults who are obese7 (BMI>=30) 30.3 (21.1-39.6)
Percent of people below the Federal Poverty Level 9.5 (NA)
Unemployment Rate 8.7 (NA)

Data Source: CHIS, 20098

Asthma Deaths,9 2008-2010

Number of Deaths Due to Asthma (N) and Age-Adjusted Rate9 (per 1,000,000 residents)
Napa CountyCalifornia
AgeNRateNRate
Children0–17 0 -- 57 1.9
Adults18+ 1 -- 1,198 14.3
TotalsAll Ages 1 -- 1,255 11.1

Data Source: California Death Statistical Master Files, 2008-2010

Asthma Emergency Department Visits,10 2010

Number of ED Visits Due to Asthma (N) and Age-Adjusted Rate11 (per 10,000 residents)
Napa County California
Age N Rate N Rate
Children 0–4 63 63.8 30,344 109.7
5–17 115 44.3 42,112 59.0
Adults 18–64 338 40.9 90,989 36.8
65+ 99 46.3 16,527 37.6
Totals: 0–17 178 49.5 72,456 72.6
18+ 437 41.8 107,516 36.9
All Ages 615 43.8 179,972 46.1

Data Source: Office of Statewide Health Planning and Development (OSHPD), 2010

Expected Source of Payment for Asthma ED Visits
Payment Source Napa County California
Medicare 21.0% 12.6%
Medi-Cal 24.1% 37.1%
Private 37.6% 31.1%
Other 17.4% 19.3%

Data Source: Data Source: Office of Statewide Health Planning and Development (OSHPD), 2010

Asthma Hospitalizations,12 2010

Number of Hospitalizations Due to Asthma (N) and Age-Adjusted Rate11 (per 10,000 residents)
Napa CountyCalifornia
AgeNRateNRate
Children0-4 11 -- 56,187 22.3
5–17 11 -- 4,884 6.9
Adults18–64 31 3.6 14,671 5.7
65+ 41 19.0 9,054 20.7
Totals:0–17 22 6.1 11,071 11.0
18+ 72 6.2 23,725 8.3
All Ages 94 6.2 34,796 9.0

Data Source: Office of Statewide Health Planning and Development (OSHPD), 2010

Average Charges13 Per Asthma Hospitalization
AgeNapa CountyCalifornia
Children0–17 $16,189 $19,508
Adults18+ $76,734 $40,853
TotalAll Ages $58,020 $33,749

Data Source: Office of Statewide Health Planning and Development (OSHPD), 2010

Expected Source of Payment for Asthma Hospitalizations
Payment SourceNapa CountyCalifornia
Medicare 42.6% 29.4%
Medi-Cal 18.1% 35.7%
Private 31.9% 24.9%
Other 7.5% 10.0%

Data Source: Office of Statewide Health Planning and Development (OSHPD), 2010

Asthma Disparities

Age-Adjusted Asthma Hospitalizations and ED Visits per 10,000 Napa County Residents by Race/Ethnicity, 2010
EventsWhiteBlackHispanicAsian/PI
Hospitalizations 6.5 0 5.4 0
ED Visits 49.4 185.7 32.6 42.6

Data Source: Office of Statewide Health Planning and Development (OSHPD), 2010

Hospitalization Rates Over Time

Age-Adjusted Asthma Hospitalizations per 10,000 Residents, Napa County and California, 1998-2008
Year Napa County California
1998 7.9 11.7
1999 7.0 12.1
2000 5.5 11.0
2001 5.7 10.5
2002 6.4 10.5
2003 6.7 11.1
2004 6.0 9.8
2005 6.2 9.9
2006 6.5 9.1
2007 4.8 8.6
2008 5.5 9.1

Data Source: Office of Statewide Health Planning and Developmen, 1998-2008.

Healthy People 201014

Asthma Hospitalizations per 10,000 Residents by Age, Compared to HP2010 Targets, California and Napa County, 2008
Events Napa County California HP2010
0-4 0 22.0 25
5-64 4.2 6.0 7.7
65+ 11.3 21.9 11

Data Source: Office of Statewide Health Planning and Developmen.

Asthma ED Visits per 10,000 Residents by Age, Compared to HP2010 Targets, California and Napa County, 2008
Ages Napa County California HP2010
0-4 53.7 102.5 80
5-64 31.5 39.8 50
65+ 34.5 37.7 15

Data Source: Office of Statewide Health Planning and Developmen.


Notes

  1. PI = Pacific Islander; Please see technical notes for more information on race/ethnicity categorizations.
  2. Lifetime asthma prevalence is the proportion of people in the population who have ever been diagnosed with asthma by a health provider.
  3. The 95% confidence interval (CI) is a range that expresses a level of certainty about an estimate based on the margin of error.
    The 95% CI means that we are 95 percent confident that this range contains the true population percent. A narrow CI means that there is less variability in the estimate and/or there is a larger sample size. A wide CI indicates more variability and/or a smaller sample size.
  4. Active asthma prevalence is the proportion of people in the population who have ever been diagnosed with asthma by a health provider and report that they still have asthma and/or report that they had an episode or attack within the past 12 months.
  5. Work-related asthma is asthma that is caused or triggered by conditions or substances in the workplace.
  6. Balmes J, Becklake M, Blanc P, et al. Environmental and Occupational Health Assembly, American Thoracic Society. American Thoracic Society Statement: Occupational Contribution to the Burden of Airway Disease. Am J Respir Crit Care Med. 2003;167:787-797; Lutzker L, Rafferty A, Brunner W, et al. Prevalence of Work-related Asthma in Michigan, Minnesota, and Oregon. Journal of Asthma. 2010;47:156-161.
  7. Obesity is defined as a body mass index (BMI) of 30 or greater.
  8. Data Sources for Asthma Risk Factors: Smoking — CHIS, 2009; Obesity — CHIS, 2009; Poverty Level — American Community Survey, 2007-2009; Unemployment Rate — State of California Employment Development Department, 2009
  9. An asthma death is a death where asthma was indicated as the underlying cause on the death certificate. The rate of asthma deaths is the number of deaths per 1,000,000 residents, age-adjusted to the 2000 U.S. population.
  10. An asthma ED visit is an admission to a licensed ED in California with the primary diagnosis of asthma. The rate of asthma ED visits is the number of visits per 10,000 residents, age-adjusted to the 2000 U.S. population.
  11. Population denominators for rates are from the California Department of Finance. All rates are age-adjusted to the 2000 U.S. population. Age-adjusted rates are modified to eliminate the effect of different age distributions in different populations. Rates based on numbers <20 are not reported.
  12. An asthma hospitalization is a discharge from a licensed acute care hospital in California with the primary diagnosis of asthma. The rate of asthma hospitalizations is the number of hospitalizations per 10,000 residents, age-adjusted to the 2000 U.S. population.
  13. Charges for asthma hospitalizations are the only type of data available to assess the costs of asthma in California counties. However, there are many other costs associated with asthma, including other types of health care utilization, medications, and indirect costs due to factors such as school and work missed.
  14. Healthy People 2010 (HP2010) is a set of national benchmarks for a wide range of health topics, including asthma. For more information on HP2010, visit www.healthypeople.gov.
  15. Outdoor air quality data—including exposures such as PM2.5, PM10, ozone, and traffic pollution—can be found online through the California Environmental Health Tracking Program’s Air Quality Data Query or on the California Air Resources Board website.

Further details about the data presented in this report can be found in the accompanying Technical Notes document.

Last Updated on Thursday, 09 August 2012 12:59