Missouri Report Card

Health Status Data C.I.* Year Rank† Grade‡ Physically Unhealthy Days 6.5 (5.7 - 7.3) 2004 44 Frequent Mental Distress 6.8 (5.6 - 8.3) 2003-2004 31 Oral Health: Complete Tooth Loss 25.2 (22.4 - 28.3) 2004 38 Disability 38.8 (35.3 - 42.4) 2004 44 Health Behaviors Data C.I.* Year Rank† Grade‡ No Leisure-Time Physical Activity 33.1 (29.9 - 36.5) 2004 33 Eating ≥ 5 Fruits and Vegetables Daily 29.4 (25.8 - 33.4) 2003 30 Obesity 20.8 (18.0 - 23.9) 2004 32 Current Smoking 9.8 (7.9 - 12.0) 2004 33 Preventive Care & Screening Data C.I.* Year Rank† Grade‡ Flu Vaccine in Past Year 69.1 (65.6 - 72.4) 2004 22 Ever Had Pneumonia Vaccine 67.1 (63.6 - 70.4) 2004 15 Mammogram Within Past 2 Years 71.2 (67.1 - 74.9) 2004 45 Colorectal Cancer Screening 60.9 (57.3 - 64.3) 2004 31 Up-to-date on Select Preventive Services (Male) 36.8 (31.2 - 42.8) 2004 32 Up-to-date on Select Preventive Services (Female) 28.4 (24.5 - 32.7) 2004 35 Cholesterol Checked in Past 5 Years 88.5 (85.8 - 90.7) 2003 41 Injuries¶ Data C.I.* Year Rank† Grade‡

= Upper Third (top performing 33%)   = Middle Third (middle 33%)   = Lower Third (lowest performing 33%)         * A confidence interval (CI) describes the level of uncertainty of an estimate and specifies the range in which the true value is likely to fall. The State of Aging and Health in America online report uses a 95% level of significance, which means that 95% of the time, the true value falls within these boundaries.         † Rankings are based on the relative numeric scores for each indicator, with a ranking of "1" indicating the highest rank.         ‡ Grades are calculated as tertiles (thirds) and show state performance relative to all other states.         ¶ No state-level data exist for Indicator 15, hip fracture hospitalizations.           Note: When comparing prevalence of variables across states or years, we recommend the use of confidence intervals. If the confidence intervals overlap, the difference is not statistically significant.

State Success Story: Missouri Senior Report - Ahead of the Baby Boom: Missouri Prepares

By 2020, the older adult population in Missouri is expected to exceed 1.2 million, or nearly 1 in 5 Missouri residents. To prepare for this shift in demographics, state officials have developed the Missouri Senior Report: Ahead of the Baby Boom: Missouri Prepares. This 2006 report provides county-level data and other useful information to help state and local policy makers, service providers, and older adults themselves plan for future needs. Prior to this report national and state-level data on older adults could only be obtained from multiple sources, and the data were rarely provided in a format that was user-friendly to consumers.

To develop this report, state officials collected input from Missouri's 10 Area Agencies on Aging and from a series of 47 town hall meetings attended by more than 500 residents from around the state. Useful indicators and measures of the status of older adults for the report were identified through these discussions and meetings. The Report is available online at http://missouriseniorreport.org/download.shtml.

The Report reflects a collaborative effort of the Missouri Department of Health and Senior Services (DHSS), the Office of Social and Economic Data Analysis (OSEDA) at the University of Missouri-Columbia, and other agencies and organizations with an interest in promoting health and quality of life among older adults. It provides demographic data, rates the state and each county on several key measures, and ranks the counties on the basis of a composite score for all measures. It also includes articles written by academic partners on the topics of mental health, health and socioeconomic disparities, and transportation. DHSS and University of Missouri Extension staff members are available to consult with communities to use the data for strategic planning.

The Report serves not only as a source of data for planning and policy decisions, but also as a tool for health education and promotion, providing information about the demographic shifts in the state's population and the need for changes in areas such as housing, transportation, and employment. It will be updated annually and address emerging topics of concern.

To supplement the Report, Missouri also has an interactive health data system, Missouri Information for Community Assessment (MICA). This system allows users to summarize data from a variety of sources, create and download tables, prepare geographic presentations, choose priorities for health policy and planning initiatives based on county and state data. An evidence-based intervention component for selected topics is in development that will enable users to choose interventions to address selected health issues. The MICA system is available at http://www.dhss.mo.gov/MICA.