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The Burden of Chronic Disease, Injury, and Environmental Exposure, California, Second Edition



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  • Description:
    The Burden of Chronic Disease, Injury, and Environmental Exposures, California, Second Edition provides a snapshot of chronic conditions, injuries, and environmental exposures in California. Chronic conditions and injuries accounted for over 75% of deaths in California in 2016. Roughly 40% of California adults report having at least one of five chronic conditions: serious psychological distress, high blood pressure, heart disease, diabetes, or asthma. Millions of these adults have multiple chronic conditions to manage at the same time. Natural disasters in California, like an extended drought, or everyday exposures, such as air pollution can worsen existing chronic conditions and increase injuries. Despite improvements, heart disease, cancer, stroke, and unintentional injuries are still among the leading causes of death in California. Heart disease and cancer cause nearly half of all deaths in the state (approximately 25% each). Stroke is the third leading cause, accounting for 6% of deaths. One in every six California children, and one in three teens, are already overweight or obese, which is a risk factor for cardiovascular disease, cancer and other chronic diseases. Another major risk factor, tobacco use, although decreasing overall, is seeing an increase in youth use of electronic smoking devices. Education, housing, transportation, and the workplace all play an essential role in health. Yet not all Californians have the same opportunities for a healthy life; chronic conditions, injuries, and environmental exposures affect families and communities unequally. These inequalities in health manifest in many ways. For example, life expectancy can vary by race/ethnicity, place of residence, and educational attainment. Latino, Native American, and African American adults and children are more likely to live below the poverty line than White adults and children. Living in poverty influences environmental exposures vital to health, including diet, air quality, housing conditions, and availability of safe, open spaces to be active. As California's population grows and ages, health care costs will increase. Money could be saved with evidence-based preventive measures at the individual, community, and state level. This report intends to promote collaboration and capacity-building to create healthy and safe environments, improve clinical and community preventive services, and achieve health equity. This second edition incorporates fifteen new topic areas to better address the chronic conditions, injuries, and environmental exposures that impact healthy communities in California. Some, such as the opioid and cannabis use epidemics, are emerging issues. Others are included to highlight the impact that environmental and occupational exposures have on health. In alphabetical order, these new topics are: Anxiety Disorders; Autism Spectrum Disorders; Work-Related Asthma; Cannabis (Marijuana, Weed, Pot); Depression; Environmental Emergencies; Exposures to Pesticides; Fatal Occupational Injuries; Gambling Disorder; Hepatitis; HIV; Lead Poisoning in Workers; Opioid Overdose; Preterm Birth and Violence. In total, this report contains 31 topic areas presented in Section Three, "Portraits of Chronic Conditions, Injuries, and Environmental Exposures." The data presented in this report come from a variety of sources, such as telephone surveys, surveillance systems, hospital record databases and disease registries. Data collection is done by a variety of entities, including programs at the California Department of Public Health (CDPH), other state departments, county health departments, nongovernmental entities and universities. A "References" section at the end of the report details where particular data came from, and is a resource for those seeking more information about particular topics. [Description provided by NIOSH]
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  • Location:
  • Pages in Document:
    1-105
  • NIOSHTIC Number:
    nn:20066532
  • Citation:
    Sacramento, CA: California Department of Public Health, 2020 May; :1-105
  • Contact Point Address:
    Jessica M. Núñez de Ybarra, MD, MPH, FACPM, Chief, Chronic Disease Control Branch, California Department of Public Health, Center for Healthy Communities, Chronic Disease Control Branch, MS 7208, P.O. Box 997377, Sacramento, CA 95899-7377
  • Email:
    Jessica.NunezdeYbarra2@cdph.ca.gov
  • Federal Fiscal Year:
    2020
  • Performing Organization:
    Public Health Institute
  • Peer Reviewed:
    False
  • Start Date:
    20050701
  • Source Full Name:
    The burden of chronic disease, injury, and environmental exposure, California, second edition
  • End Date:
    20260630
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  • Main Document Checksum:
    urn:sha-512:761f3053fff29f6a257f23b9058732828d7ca8b28e434abd45b881be0bab6736aa4ca08436d566f03abbbcc07993dba3816bce0444d3234c42a3a384a0a427ca
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    Filetype[PDF - 4.97 MB ]
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