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Infant Mortality
Healthy People 2020 has set a target rate of 5.6 fetal deaths per 1,000 live births. Larimer County has already met this goal. Refer to: Maternal, Infant, and Child Health
Low Birth Weight
Healthy People 2010 has set a target of 7.8. Larimer County has already met this goal. Refer to: Maternal, Infant, and Child Health
Unintended Births
Healthy People 2020 has set a goal to increase the proportion of pregnancies that are intended to 56%. Larimer County and the State of Colorado have already met this goal. Refer to: Family Planning
Immunizations *Note: The six vaccine types are DTaP, Polio, MMR, Hib, Hep B and Varicella.
Healthy People 2020 aims to achieve and maintain effective vaccination coverage levels for universally recommended vaccines among children. The target is 90% for DTaP, Polio, MMR, Hib, Hep B, and Varicella by 19 to 35 months. Larimer County has not yet reached this goal. Refer to: Immunization and Infectious Diseases
Health Insurance Coverage Between 2008 and 2009, 96.5% of Larimer County’s children reportedly had no gap in health insurance coverage. Statewide, 92.9% of children reportedly had no gap in health insurance coverage. According to the Colorado Health Institute, 8.8% of children (under age 19) from all income levels and 18.4% from at/below 200% of poverty level were uninsured in 2009. (Source: Colorado Health Institute - based on U.S. Census Bureau, American Community Surveys, 2008 and 2009) The 2010 Larimer County Community Health Survey reveals the following about health insurance coverage for children:
(Source: 2010 Larimer County Community Health Survey)
(Source: 2010 Larimer County Community Health Survey) In general, approximately 33% of Larimer County residents (all ages) were underinsured or uninsured in 2011. Eighty-five percent (85%) of those uninsured said they could not afford insurance and almost 30% attributed that to job loss. (Source: Coloradoan.com, 11:55 PM, Nov. 16, 2011,“Larimer County loses ground on health insurance” – based on Colorado Health Access Survey) The 2011 Colorado Health Access Survey found that 15.71% of Larimer County residents were uninsured (up from 14.57% in 2008-09) and 10.55% had no regular care provider (down from 13.08% in 2008-09). (Source: 2011 Colorado Health Access Survey) In contrast, in 2007, 33% of Colorado’s children under the age of 18 years living in poverty were uninsured, nearly double the national average of 17%. This ranked Colorado 49 of all 50 states for children living in poverty who were uninsured. Between 2005 and 2007, 2,691 children of the 4,169 children in Larimer County (or 64.5%) who were eligible for Child Health Plan Plus (CHP+) were enrolled in the program compared to 59.6% of children statewide. Between July 2008 and June 2009, 8% of children age birth-18 years in Larimer County were enrolled in CHP+ compared to 8.1% of children statewide. To qualify for the program, children must live in a family with an annual income at or below 205% of the federal poverty guideline. Between July 2008 and June 2009, 21.5% of children ages birth-18 years were enrolled in Medicaid for at least one month, compared to 25.8% of children statewide. To qualify for the program, children age birth-6 years have to live in a family living with incomes below 133% of the federal poverty guideline, and children age 6-18 years have to live in a family living with incomes at 100% or less than the federal poverty guideline. In 2010, the number of primary care providers in Larimer County communities currently accepting CHP+ are: one in Berthoud; two in Estes Park; 21 in Fort Collins; 12 in Loveland; one in Wellington; and three in Windsor (Weld County). The number of providers accepting CHP+ in Berthoud, Estes Park and Wellington have decreased since 2009 from two to one, six to two and three to one respectively. The number of providers in Fort Collins, Loveland and Windsor increased from 12 to 21, five to 12 and one to three respectively.
CCHAP - Colorado Children’s Healthcare Access Program CCHAP goals include increasing the number of Colorado’s pediatric and family practices which devote 10% of their practices to children on Medicaid and CHP+. The program provides an enhanced reimbursement for Medicaid services, plus administrative and family supports. It also provides clinical services, such as mental health, care coordination, transportation and cross-cultural training. Larimer County Contact: Ginger Hillyard, ghillyard@larimer.org State Contact: Dr. Steve Poole, poole.steven@tchden.org
Early Childhood Council of Larimer County ECCLC is working to increase the number of children enrolled in Medicaid and CHP+; increase the number of children who receive health care through a medical home approach; and provide support for the social, emotional and developmental needs of children, with referrals to mental health services as appropriate. Contact: Linda Fellion, lfellion@ecclc.org or 970-377-3388 ext. 206
Personal Health Care Provider The 2010 Larimer County Community Health Survey reported the following regarding whether Larimer County children had a regular Health Care Provider:
(Source: 2010 Larimer County Community Health Survey) The 2010 Larimer County Community Health Survey also reported on how many families delayed health care due to cost. While 86.4% said they never delayed visiting their regular health care provider in the last two years, nearly 10% did delay getting mental health care due to cost.
(Source: 2010 Larimer County Community Health Survey)
According to the 2007 Health District of Northern Colorado’s Community Health Survey, 92% of children under 17 years had a regular health care provider.
Healthy People 2020 has set a target of 100% for Children and Youth aged 17 years and under. This goal has yet to be met. Refer to: Access to Health Services
Dental Care According to Medicaid billing data, between July 2007 and June 2008, 42% of Larimer County’s children who receive Medicaid benefits received needed dental care - the same percentage as children statewide. One in four 3rd grade students enrolled in one of Larimer County's school districts during the 2006-2007 school year had untreated tooth decay, which compares to the same number of 3rd grade students statewide. For the same time period, 58% of 3rd graders in Larimer County had a history of caries experience compared to 57% of 3rd graders statewide.
Healthy People 2020 has set a goal to reduce the proportion of children and adolescents with untreated dental decay in their primary teeth. The target is 25.9 percent. Larimer County has already reached this goal. Refer to: Oral Health
Larimer County Medical Home Coalition The Healthier Communities Coalition of Larimer County received funding from the Colorado Department of Public Health and Environment to lead a local team to:
A sub-group of the LCMHC is the Healthy Harbors – Medical Home for Foster Families pilot project. Medical Home Defined:
Legislation: Colorado Senate Bill-130, Concerning Medical Homes for Children Contact: Kim Sharpe, krs4@pvhs.org or 970-495-7503 PCMH - Patient Centered Medical Home Project Miramont Family Medicine, DeYoung Family Medicine, Internal Medicine Clinic and the Family Medicine Center are participating in this patient-centered medical home pilot project. The primary goal is to increase patients’ access to their providers and medical records (including via email), making them a partner in their own care - at no additional cost to the patient. Contact: Miramont Family Medicine, 970-482-0213
Nutrition, Activity and Weight During the 2010-2011 school year, the Coalition for Activity and Nutrition to Defeat Obesity (CanDo) surveyed 2,405 students (5-18 years of age) in the Fort Collins area. The survey revealed:
Further, the rate of childhood obesity in Colorado has increased second fastest in the nation, behind only Nevada, and from 22% in 2003 to 27% in 2007.
(Source: Coalition for Activity and Nutrition to Defeat Obesity (CanDo) from 2011 Kids Count in Colorado! – based on 2003 and 2007 National Survey of Children’s Health) Watching television has been associated with increased BMI (Body Mass Index). Television Viewing and BMI in Children (age 2-5 years)
(Source: Coalition for Activity and Nutrition to Defeat Obesity (CanDo)– based on Colorado Child Health Survey, 2005-2008) Between 2009 and 2010, the Poudre Valley Health System’s Healthy Hearts Club (formerly known as Heartaware) program surveyed 738 4th- and 5th-grade students in Estes Park, Fort Collins, Loveland and Windsor. Thirteen percent (13%) were overweight and 9% were obese. The Healthy Hearts Club conducted a parent survey that accompanied the student survey; it revealed:
For the Thompson School District alone, the Healthy Hearts Club reports:
According to the Colorado Department of Public Health and Environment:
*Note: Data set includes El Paso, Larimer, Mesa, Pueblo and Weld Counties. **Note: Data set includes students from 19 high schools across the state.
Coalition for Activity and Nutrition to Defeat Obesity (CanDo) The mission of CanDo is to improve the health of Larimer County communities by increasing physical activity and healthy eating to reduce and prevent obesity. Specifically, CanDo works to: Reduce the prevalence of overweight and obesity among citizens Increase the percent of citizens who engage in regular physical activity Increase the percent of citizens who practice healthy eating habits Create environments and policies that support healthy eating, active living, and healthy weights. Contact: Virginia Clark, ve2@pvhs.org or 970-495-7517 Fort Collins Nutrition Network In 2007, the Coalition for Activity and Nutrition to Defeat Obesity (CanDo) partnered with the Colorado Nutrition Network to form a local Nutrition Network. The purpose of the Fort Collins Nutrition Network is to work together to promote and support healthy eating and physical activity for low-income residents in the Fort Collins area. The FCNN is made up of over 20 local agencies in the area that help provide food, health care, child care, recreational activities, education, and other services to this target audience. Contact: Sarah Morales, slm12@pvhs.org or 970-495-7512 Contact: Laura Dvorak, lad10@pvhs.org or 970-624-1680 Healthy Kids Club is a community outreach program, sponsored by Poudre Valley Health System, to promote health and wellness in local elementary school students. Healthy Kids Club partners with schools and agencies that serve youth in Fort Collins, Loveland and Windsor to provide year-round health and safety education. Contact: Laurie Zenner, lhz@pvhs.org or 970-495-7511 CHILD/TEEN INJURY HOSPITALIZATIONS Children Age Birth-14 Years Between 2006 and 2008 in Larimer County, falls were the number one cause of unintentional injury hospitalizations for children age birth-14 years; there were 43 incidents. Motor vehicle crashes were the number two cause of unintentional injury hospitalizations for children birth-14 years with 30 incidents. Suicide attempts were the number one cause of intentional injury hospitalizations for youth age 10-14 years with 37 incidents. Youth Age 15-19 Years Between 2006 and 2008 in Larimer County, suicide attempts were the number one cause of intentional injury hospitalizations for youth age 15-19 years with 152 incidents. Motor vehicle crashes were the number one cause of unintentional injury hospitalizations for youth age 15-19 years with 64 incidents. (Sources: Rates - Colorado Department of Public Health and Environment, 2011 Larimer County Health Profile. Causes - Colorado Department of Public Health and Environment, Colorado Health Information Dataset) Bicycle and Pedestrian Crashes Between November 1, 2009, and October 31, 2010, a total of 41 children/youth age 4-15 years were treated at either the Medical Center of the Rockies in Loveland, Colorado, or Poudre Valley Hospital in Fort Collins, Colorado, for significant trauma injuries related to bicycle crashes (39) and pedestrian/vehicle crashes (2). Of the 39 bicycle crash patients, only 15 (or 38%) were wearing helmets. These data do not include children/youth who were treated in and released from emergency rooms, or when a trauma team was not activated. (Source: Poudre Valley Health System Trauma Department) Children Age 1-14 Years Between 2006 and 2008, unintentional injury (e.g., motor vehicle crash, fall, drowning) was the leading cause of death for children age 1-14 years in Larimer County; there were five deaths. Cancer was the second leading cause of death; there were a total of four deaths. Youth Age 15-19 Years Between 2006 and 2008 in Larimer County, the rate of motor vehicle deaths for youth 15-19 years was 5.7 per 100,000 compared to 14.6 per 100,000 statewide. Motor vehicle crashes was the leading cause of death for youth age 15-19 years; there were 4 deaths. Between 2005 and 2009 in Larimer County, the rate of suicide deaths for youth 15-19 years was 12.0 per 100,000 compared to 12.2 per 100,000 statewide. Suicide was the second leading cause of death for youth age 15-19 years; there were 14 deaths. (Sources: Rates - Colorado Department of Public Health and Environment, 2011 Larimer County Health Profile. Causes -Colorado Department of Public Health and Environment, Colorado Health Information Dataset)
Healthy People 2020 aims to reduce the rate of child deaths. For children aged 1 to 4 years, the target is 25.7 deaths per 100,000 population. For children aged 5 to 9 years, the target is 12.3 deaths per 100,000 population. Healthy People 2020 also aims to reduce the rate of adolescent and young adult deaths. For adolescents aged 10 to 14 years, the target is 15.2 deaths per 100,000 population. For adolescents aged 15 to 19 years, the target is 55.7 deaths per 100,000 population. Refer to: Maternal, Infant, and Child Health
Bicycle and Pedestrian Education Coalition The BPEC is comprised of bicycle advocacy groups, non-profit agencies, state and local governments, school districts, youth, parents and teachers. Through education and encouragement, the BPEC works to reduce the number of motor vehicle/bicycle/pedestrian crashes in our community, and increase knowledge and awareness about how to safely share roads. It works to increase the number of bicycle riders and pedestrians in the community, nurturing health and wellness. Contact: Kim Sharpe, krs4@pvhs.org or 970-495-7503 Safe Kids Larimer County is a partnership of healthcare providers, government agencies, civic clubs, law enforcement, fire, EMS, and private and public organizations committed to preventing accidental injuries in children from birth to 14 years. Contact: Laura Richardson, lfr1@pvhs.org or 970-495-7504
According to the Healthy Kids Colorado Survey (HKCS), nearly three-quarters of youth reported rarely or never wearing a bicycle helmet. In contrast, less than 10% of students stated that they rarely or never wore a seat belt. Colorado students were statistically more likely to report wearing a bicycle helmet compared to the national sample of students. According to the Healthy Kids Colorado Survey (HKCS), students were more than twice as likely to ride with someone who had been drinking than to drive themselves after drinking alcohol. Further, Colorado students were significantly less likely to report driving after drinking in 2009 compared to 2005. Additionally, Colorado students were significantly less likely to both ride with a driver who had been drinking, as well as drive after drinking, compared to the national sample of students. According to the 2010 Larimer County Community Health Survey, 26% of Larimer County residents meet the criteria for binge drinking (5+ drinks in two hours for men, 4+ drinks for women). This rate is much higher than the 15.4% of Coloradoans and 15% of Americans that binge drink. Further, binge drinking is more prevalent in youth; note the higher levels for underage binge drinking in the following graph:
(Source: 2010 Larimer County Community Health Survey) Tobacco, Alcohol, and Other Substance Use In 2009, according to the Healthy Kids Colorado Survey (HKCS), Colorado students were significantly more likely to report using ecstasy at least one time in their life than students nationally. Students were statistically less likely to report drinking alcohol for the first time before age 13 in 2009 (22.4%) compared to 2005 (27.1%). Of those that reported ever smoking, over half (53.2% in 2009, 51.8% in 2005) reported that they had tried to quit smoking in the past year. (Source: Colorado Department of Education, 2009 Healthy Kids Colorado Survey)
Tobacco Free Larimer County works to prevent tobacco use among youth, because tobacco use and subsequent addiction take root in adolescence. Contact: 970-498-6718 Team Fort Collins is dedicated to preventing the abuse and illegal use of alcohol, tobacco, and other drugs, especially among youth and families, by promoting healthy lifestyles. Contact: 970-224-9931
According to the 2009 Colorado Youth Risk Behavior Survey, teenagers in grades 9-12 from a sample of high schools across the state are engaging in sexual behaviors that increase the risk of contracting HIV or other sexually transmitted diseases and unintended pregnancies at the following levels: • 42% have had sexual intercourse (Source: Colorado Department of Public Health and Environment, 2009 Colorado Youth Risk Behavior Survey) According to the Healthy Kids Colorado Survey (HKCS), in Colorado, 40% of high school students reported lifetime sexual activity, or having sex at least once in their life, while close to 30% reported current sexual activity, or having sex with at least one person in the three months prior to the survey. When compared to the nation, Colorado students were statistically less likely to report having sexual intercourse during the three months prior to participating in the survey.
Teen Pregnancy Prevention Action Group (TPPAG) The Larimer County Teen Pregnancy Prevention Action Group is a teen-adult partnership coordinated by Healthier Communities Coalition (HCC) and the Larimer County Department of Health & Environment. Since April 2009, nearly 30 diverse agencies who serve teens in Fort Collins have been meeting in order to cooperatively address the issue of teen pregnancy in Larimer County. The action group has recently launched a small social media campaign with the tag line, "Doing It? Think Ahead. Plan Now." This tag line was developed with careful consideration of the group's agreed upon goals, which include: 1) to integrate positive youth development strategies into community programming for teens and, 2) to integrate and promote the concept of reproductive life planning to teens. Six teens are currently working with HCC to head up efforts to promote a Facebook page, which serves as a place for teens to access local reproductive health resources and medically accurate, age appropriate, and culturally sensitive information. Larimer County Department of Health and Environment - Reproductive Health Education Program The mission of the county's Reproductive Health Education Program is to serve the reproductive health education needs of teens and adults in Larimer County to help prevent or reduce unplanned pregnancy and sexually transmitted disease. Contact: 970-498-6743 Planned Parenthood of the Rocky Mountains Planned Parenthood of the Rocky Mountains provides high-quality reproductive health care, and responsible and age-appropriate sexuality education. Contact: 970-493-02181 Alpha Center is a Christian medical clinic that provides support and information to help individuals facing decisions about unintended pregnancies, sexuality, and relationship issues. The center provides pregnancy testing, limited ultrasound, pregnancy options counseling, new parent mentoring, community resource referrals, STD/STI testing, post-abortion support groups for women and men, peer counseling and abstinence education. All of the services are free, confidential and performed by medical professionals. Contact: Jenny Langness, jennyl@thealphacenter.org Between 2006 and 2008 in Larimer County, there were a total of 214 births to females age 15-17 years representing a fertility rate* of 13.1 per 1,000 compared to 21.2 per 1,000 statewide. Between 2006 and 2008 in Larimer County, the fertility rate for Latinas age 15-17 years was 66.8 per 1,000, while the fertility rate for non-Latinas age 15-17 years was approximately 8.2 per 1,000. Statewide, the fertility rate for Latinas age 15-17 years was approximately 69.2 per 1,000. This means that 47% of all births (108 of the 230) to females age 15-17 years in Larimer County are to Latinas. According to Sue Ricketts, maternal/child health demographer with the Colorado Department of Public Health and Environment, one possible reason for the high Hispanic teen birth rate in Colorado is related to the number of non-U.S. born Hispanic teens in Colorado who tend to have a higher birth rate than U.S. born Hispanic teens. A 2000 study based on Census data found that the birth rate for non-U.S. born Hispanic teens was twice the rate of U.S. born Hispanic teens (131/1000 vs. 65/1000). This means the overall Hispanic teen birth rate (78/1000) in Colorado was higher because of the non U.S. born Hispanic teens who made up 20% of all Hispanic teens statewide. According to the Centers for Disease Control and Prevention (CDC), the national birth rate for youth age 15-19 years increased in 2006 and 2007 after a 14 year decline. There was a 3% increase in 2006 and a 1% increase in 2007 from 41.9 births per 1,000 to 42.5 births per 1,000. The CDC did not report a statistical change in Colorado’s teen birth rate for the same period. *Note: Fertility rates are the number of births per 1,000 females in a specific age group. Graduation rates for teen mothers are substantially lower than their nonpregnant counterparts. Not graduating from high school greatly affects any teen’s future financial and health stability (see Snapshot Dropout Rates). In order to encourage teen mothers in Larimer County to graduate or receive their GED, teen parent programs have been established in the Poudre and Thompson school districts. These programs provide academics required for graduation as well as classes in pregnancy, child development and parenting.
The Poudre School District Teen Parent Program (located at Fort Collins High School) reports the following for Fall 2008-Fall 2010:
The age range for participants varies and it is difficult to track participants once they have left the program, especially when older. However, younger participants are frequently on-track to graduate on-time. (Source: Fort Collins High School, Melissa Schaefer, meschaef@psdschools.org, 970-488-8220) Park School District had too few teen mothers to report. (Source: Estes Park High School, Karen Glassman, karen_glassman@psdr3.k12.co.us, 970-586-2361 x3006)
Teen Parent Program To encourage teen mothers in Larimer County to graduate or receive their GED, teen parent programs have been established in the Poudre and Thompson school districts. These programs provide academics required for graduation as well as classes in pregnancy, child development and parenting. Contact: Poudre School District - Fort Collins High School, Melissa Schaefer, meschaef@psdschools.org, 970-488-8220; Thompson School District - Harold Ferguson High School, Diane Breslin, 970-613-5325 Teen Pregnancy Prevention Action Group (TPPAG) The Larimer County Teen Pregnancy Prevention Action Group is a teen-adult partnership coordinated by Healthier Communities Coalition (HCC) and the Larimer County Department of Health & Environment. Since April 2009, nearly 30 diverse agencies who serve teens in Fort Collins have been meeting in order to cooperatively address the issue of teen pregnancy in Larimer County. The action group has recently launched a small social media campaign with the tag line, "Doing It? Think Ahead. Plan Now." This tag line was developed with careful consideration of the group's agreed upon goals, which include: 1) to integrate positive youth development strategies into community programming for teens and, 2) to integrate and promote the concept of reproductive life planning to teens. Six teens are currently working with HCC to head up efforts to promote a Facebook page, which serves as a place for teens to access local reproductive health resources and medically accurate, age appropriate, and culturally sensitive information. Larimer County Department of Health and Environment - Reproductive Health Education Program The mission of the county's Reproductive Health Education Program is to serve the reproductive health education needs of teens and adults in Larimer County to help prevent or reduce unplanned pregnancy and sexually transmitted disease. Contact: 970-498-6743 Planned Parenthood of the Rocky Mountains Planned Parenthood of the Rocky Mountains provides high-quality reproductive health care, and responsible and age-appropriate sexuality education. Contact: 970-493-02181 Alpha Center is a Christian medical clinic that provides support and information to help individuals facing decisions about unintended pregnancies, sexuality, and relationship issues. The center provides pregnancy testing, limited ultrasound, pregnancy options counseling, new parent mentoring, community resource referrals, STD/STI testing, post-abortion support groups for women and men, peer counseling and abstinence education. All of the services are free, confidential and performed by medical professionals. Contact: Jenny Langness, jennyl@thealphacenter.org |
Healthier Communities Coalition of Larimer County
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