Skip directly to searchSkip directly to the site navigationSkip directly to the page's main content

Complete Health Indicator Report of Arthritis Prevalence

Definition

Percentage of persons who have ever been told by a doctor or other health professional that they have some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia.

Numerator

Includes survey respondents ages 18 and older who reported being told by a doctor or other health professional that they had some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia. Excludes those with missing, don't know, and refused answers.

Denominator

Includes survey respondents ages 18 and older. Excludes those with missing, don't know, or refused answers.

Data Interpretation Issues

Because age affects the likelihood of having arthritis, it is beneficial to adjust for the effect of age when comparing populations. This helps determine if a certain population has factors that contribute to arthritis prevalence other than the effect of age. Beginning in 2011, BRFSS data included both landline and cell phone respondent data along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf].

Why Is This Important?

Arthritis affects 54 million adults (1 in every 4) in the United States and is projected to increase. Arthritis is a leading cause of disability and is associated with substantial activity limitation, work disability, and reduced quality of life. In 2017, the percent of Utah adults age 18 and older with arthritis was 19.3 percent (crude rate). This represents approximately 419,800 individuals based on the estimated Utah population 18 and older for 2017.

Healthy People Objective AOCBC-8:

Increase the proportion of adults with doctor-diagnosed arthritis who have had effective, evidence-based arthritis education as an integral part of the management of their condition
U.S. Target: 11.7 percent
State Target: 12.1 percent

How Are We Doing?

Roughly one in every five Utah adults have reported having arthritis over the past several years. As people age, the likelihood of having arthritis increases. For example, 4.7 percent of adults aged 18-34 reported having arthritis whereas one in every two (49.2 percent) adults 65 years and older reported having arthritis (combined years 2015-2017). As the older adult population increases in the coming years, the prevalence of arthritis is also projected to increase. Women 65 years and older were the most likely to have arthritis with 55.5 percent reporting arthritis. This was significantly greater than the rate for men of the same age (42.0 percent). Women were more likely to have arthritis for all age groups. Other groups that were less likely to have arthritis included college graduates, Hispanics, and adults making more than $75,000 a year when compared to those with less education, non-Hispanics, and those making less than $75,000 a year, respectively. Arthritis prevalence also differed by geographic location. The age-adjusted prevalence of arthritis (combined years 2015-2017) in Utah's Local Health Districts ranged from a low of 17.2 percent in Wasatch County Health District to a high of 28.9 percent in Tooele County Health District. Health districts with rates lower than the state rate included Wasatch County, Utah County, and Salt Lake County. Health districts with rates higher than the state rate included Weber-Morgan, Central Utah, Southeast Utah, Davis County, and Tooele County. The rest of the health districts had rates that were considered the same as the state rate.

How Do We Compare With the U.S.?

The age-adjusted prevalence of arthritis in Utah was 20.4 percent in 2017, which was slightly lower than the U.S. age-adjusted rate of 22.6 percent.

What Is Being Done?

The Utah Arthritis Program focuses on measuring the occurrence of arthritis in Utah, increasing arthritis awareness and educational opportunities, and promoting participation in programs proven to help persons with arthritis, pain, and other chronic conditions. Additionally, the Utah Arthritis Program supports health systems, clinics, and physicians use strategies and resources that support healthcare provider-patient counseling to increase physical activity and referrals to the evidence-based workshops and exercise classes [https://www.selfmanagementresource.com/programs/small-group/chronic-disease-self-management/ proven] to help patients improve their mental and physical health. Physicians can use the [http://livingwell.utah.gov/docs/physicianPortal_Instructions.pdf Living Well physician portal] to refer patients to the evidence-based classes.

Evidence-based Practices

The Utah Arthritis Program partners with healthcare, nonprofit, and government organizations across Utah to deliver evidence-based workshops to help people better manage arthritis, pain, and other chronic conditions. Schedules and locations of these workshops can be found at [http://livingwell.utah.gov/]. The UAP recommends and supports the *Chronic Disease Self-Management Programs, EnhanceFitness, Walk With Ease, Living Well with a Disability, and the Arthritis Foundation Exercise Program which have been proven to improve the quality of life for people with arthritis and other chronic conditions. *Chronic Disease Self-Management programs include:[[br]] - Chronic Disease Self-Management Program (CDSMP) as known as Living Well with Chronic Conditions[[br]] - Diabetes Self-Management Program (DSMP) also known as Living Well with Diabetes[[br]] - Chronic Pain Self-Management Program (CPSMP) also known as Living Well with Chronic Pain[[br]] - Tomando Control de su Salud (Spanish CDSMP)[[br]] - Better Choices Better Health (online CDSMP)[[br]] [[br]] For additional information on these programs visit [https://www.cdc.gov/arthritis/interventions/index.htm] or [http://livingwell.utah.gov/].

Available Services

To find and register for an evidence-based program in your area please visit:[[br]] [http://www.livingwell.utah.gov][[br]] or call the Health Resource Line at:[[br]] 1-888-222-2542[[br]] Other resources for people with arthritis are available at: Utah Arthritis Program[[br]] [http://health.utah.gov/arthritis][[br]] Arthritis Foundation Great West Region[[br]] 4424 S 700 E Ste 180, SLC UT 84107[[br]] 888-391-9389[[br]] Information Evidence-Based Programs:[[br]] [https://www.selfmanagementresource.com/][[br]] [http://www.projectenhance.org/][[br]] Rheumatologists in Utah[[br]] [http://health.usnews.com/doctors/city-index/utah/rheumatologists]

Health Program Information

The vision of the Utah Arthritis Program is to increase self-management skills and improve the quality of life for all Utahns affected by arthritis and other chronic conditions. The Utah Arthritis Program provides technical assistance and coordination to increase awareness, expand reach, and achieve sustainability of evidence-based self-management programs for all Utahns affected by arthritis and other chronic conditions through statewide partnerships. Contact livingwell@utah.gov for questions about providing, referring, or increasing physician counseling for patients into evidence-based programs. Visit [http://livingwell.utah.gov/ LivingWell.Utah.Gov] to find a workshop for yourself or a loved one.


Related Indicators

Relevant Population Characteristics

The population characteristic most relevant to arthritis is the age distribution of the population. As the Utah population ages, a greater percentage of Utahns will be at risk for developing arthritis. People with arthritis are also more likely to report being obese, depressed, and to getting injured from falling.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Utah's aging population is likely to lead to an increase in the prevalence of arthritis that can have dramatic consequences in terms of disability and health care expenditures. Access to health care is still a problem for many Utahns. Individuals who cannot obtain needed health care tend to have higher rates of death and disability from chronic disease. Cost is the most commonly reported barrier to getting needed health care.

Related Health Care System Factors Indicators:


Risk Factors

The prevalence of arthritis increases with age. Females are more likely to report arthritis than males. White, non-Hispanic individuals are more likely to report arthritis than Hispanic persons. Being overweight or obese and smoking are also risk factors. Specific genes are associated with a higher risk of certain types of arthritis, such as rheumatoid arthritis (RA), systemic lupus erythematous (SLE), and ankylosing spondylitis. Other risk factors include joint injuries, infection, and occupations that involve repetitive knee bending and squatting.

Related Risk Factors Indicators:


Health Status Outcomes

In 2017, 27.6 percent of Utah adults with arthritis reported being in fair or poor health, and 35.0 percent reported experiencing seven or more days in the last month when their physical health was not good (age-adjusted rates). The relationship between arthritis and mental health is less dramatic than physical health but still of great importance as 28.5 percent of adults with arthritis reported seven or more days of poor mental health in the past month. This is significantly higher than the 15.2 percent of adults without arthritis that reported seven or more days or poor mental health in the past month (age-adjusted rates).

Related Health Status Outcomes Indicators:




Graphical Data Views

Arthritis Prevalence by Age Group and Sex, Utah, 2015-2017 Combined Years

::chart - missing::
confidence limits

Arthritis prevalence increases as people age and is significantly more common among women than men. For combined years 2015-2017, 4.7 percent of Utah adults aged 18-34 and 49.2 percent of adults 65 years and older reported having arthritis. Women 65 years and older were the most likely to have arthritis with roughly 1 in 2 women having a diagnosis of arthritis (55.5 percent).
Males vs. FemalesAge GroupPercentage of AdultsLower LimitUpper Limit
Record Count: 8
Male18-344.0%3.4%4.8%
Male35-4911.4%10.2%12.7%
Male50-6428.5%26.7%30.3%
Male65+42.0%39.9%44.1%
Female18-345.5%4.7%6.4%
Female35-4913.4%12.2%14.7%
Female50-6437.5%35.7%39.4%
Female65+55.5%53.6%57.3%

Data Notes

Doctor-diagnosed arthritis was self-reported and was not confirmed by a health-care provider; however, such self-reports have been shown to be acceptable for surveillance purposes.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Arthritis Prevalence by Local Health District, Utah, 2015-2017 Combined Years

::chart - missing::
confidence limits

The age-adjusted prevalence of arthritis for combined years 2015-2017 in Utah's Local Health Districts ranged from a low of 17.2 percent in Wasatch County Health District to a high of 28.9 percent in Tooele County Health District. Health districts with arthritis prevalence lower than the state rate included Wasatch County, Utah County, and Salt Lake County. Health districts with rates higher than the state rate included Weber-Morgan, Central Utah, Southeast Utah, Davis County, and Tooele County. The rest of the health districts had rates that were considered the same as the state rate.
Local Health DistrictAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 14
Bear River20.7%18.9%22.7%
Central24.7%22.6%27.0%
Davis County22.5%21.0%24.2%
Salt Lake County19.8%18.9%20.6%
San Juan22.7%17.3%29.2%
Southeast28.8%25.8%32.1%
Southwest22.1%20.5%23.9%
Summit18.6%15.9%21.7%
Tooele28.9%25.9%32.2%
TriCounty22.9%20.9%25.2%
Utah County18.5%17.4%19.7%
Wasatch17.2%14.3%20.6%
Weber-Morgan24.4%22.8%26.1%
State of Utah20.9%20.4%21.4%

Data Notes

Doctor-diagnosed arthritis was self-reported and was not confirmed by a health-care provider; however, such self-reports have been shown to be acceptable for surveillance purposes.   [[br]][[br]] Age-adjusted to the U.S. 2000 standard population for comparison purposes. Age-adjusted rates are based on 5 age groups: 18-24, 25-34, 35-44, 45-64, and 65+.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Prevalece of Arthritis by Ethnicity, Utah, 2015-2017 Combined Years

::chart - missing::
confidence limits

People of Hispanic ethnicity are significantly less likely to report having arthritis those that are non-Hispanic.
Hispanic EthnicityAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 2
Hispanic17.1%15.1%19.2%
Non-Hispanic21.4%20.9%21.9%

Data Notes

Doctor-diagnosed arthritis was self-reported and was not confirmed by a health-care provider; however, such self-reports have been shown to be acceptable for surveillance purposes.   [[br]] [[br]] Age-adjusted to the U.S. 2000 standard population for comparison purposes. Age-adjusted rates are based on 5 age groups: 18-24, 25-34, 35-44, 45-64, and 65+.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Prevalence of Arthritis by Race, Utah, 2015-2017 Combined Years

::chart - missing::
confidence limits

For combined years 2015-2017, those of Asian race had a significantly lower prevalence of arthritis than all races combined.
RaceAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 6
American Indian/Native Alaskan25.5%21.1%30.4%
Asian12.2%8.7%16.9%
Black21.5%16.1%28.1%
Pacific Islander20.5%13.8%29.2%
White20.6%20.1%21.1%
All Races20.9%20.4%21.4%

Data Notes

Doctor-diagnosed arthritis was self-reported and was not confirmed by a health-care provider; however, such self-reports have been shown to be acceptable for surveillance purposes.   [[br]] [[br]] Age-adjusted to the U.S. 2000 standard population for comparison purposes. Age-adjusted rates for race are based on three age groups: 18-34, 35-49, and 50+.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Prevalence of Arthritis by Education Level, Utah Adults 25+, 2015-2017 Combined Years

::chart - missing::
confidence limits

Among adults 25 years of age and older, college graduates were significantly less likely to report having arthritis than all other adults with fewer years of education.
Education LevelAge-adjusted Percentage of Adults 25 and OlderLower LimitUpper Limit
Record Count: 5
Less Than High School26.5%24.1%29.1%
H.S. Grad or G.E.D.25.6%24.5%26.7%
Some Post High School24.6%23.7%25.6%
College Graduate19.9%19.1%20.7%
Total23.5%23.0%24.1%

Data Notes

Doctor-diagnosed arthritis was self-reported and was not confirmed by a health-care provider; however, such self-reports have been shown to be acceptable for surveillance purposes.   [[br]] [[br]] Age-adjusted to the U.S. 2000 standard population for comparison purposes. Age-adjusted rates are based on six age groups: 25-34, 35-44, 55-64, 65-74, 75-84, and 85+.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Prevalence of Arthritis by Income, Utah, 2015-2017 Combined Years

::chart - missing::
confidence limits

The prevalence of arthritis decreases with increasing annual income. For those people making less than $25,000 per year, 27.8 percent reported having arthritis. This was significantly more than the 17.4 percent of people with arthritis among those making $75,000 or more per year.
Income CategoryAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 5
<$25,00027.8%26.3%29.3%
$25,000-$49,99922.7%21.5%24.0%
$50,000-$74,99921.1%19.9%22.3%
$75,000+17.4%16.6%18.2%
Total20.9%20.4%21.4%

Data Notes

Doctor-diagnosed arthritis was self-reported and was not confirmed by a health-care provider; however, such self-reports have been shown to be acceptable for surveillance purposes.   [[br]] [[br]] Age-adjusted rates are based on 5 age groups: 18-24, 25-34, 35-44, 45-64, and 65+.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Prevalence of Arthritis, Utah and U.S., 2011-2017

::chart - missing::
confidence limits

Utah consistently has a lower prevalence of arthritis when compared to the United States.
BRFSS Utah vs. U.S.YearAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 14
UT New Methodology201122.0%21.2%22.8%
UT New Methodology201222.0%21.2%22.8%
UT New Methodology201321.3%20.5%22.1%
UT New Methodology201421.7%21.0%22.4%
UT New Methodology201521.2%20.4%22.0%
UT New Methodology201621.2%20.4%22.1%
UT New Methodology201720.4%19.6%21.3%
US New Methodology201123.6%23.4%23.8%
US New Methodology201224.2%24.0%24.4%
US New Methodology201323.5%23.3%23.8%
US New Methodology201424.0%23.8%24.2%
US New Methodology201523.0%22.8%23.2%
US New Methodology201623.5%23.3%23.7%
US New Methodology201722.6%22.4%22.9%

Data Notes

Doctor-diagnosed arthritis was self-reported and was not confirmed by a health-care provider; however, such self-reports have been shown to be acceptable for surveillance purposes.   [[br]] [[br]]Age-adjusted to the U.S. 2000 standard population. Age-adjusted rates are based on 5 age groups: 18-24, 25-34, 35-44, 45-64, and 65+.

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services


Prevalence of Doctor-diagnosed Arthritis by Utah Small Area, 2015-2017 Combined Years

::chart - missing::
confidence limits

For Utah [https://ibis.health.utah.gov/pdf/resource/UtahSmallAreaInfo.pdf Small Areas], arthritis prevalence ranged from a high of 31.6 percent in Carbon County to a low of 11.2 percent in Utah County (South) V2. Small Areas with arthritis prevalence statistically greater than the state rate included: Central (Other), Roy/Hooper, Ben Lomond, Clearfield Area/Hooper, Layton/South Weber, Sanpete Valley, West Valley (East) V2, Cedar City, Emery County, Tooele Valley, Box Elder County (Other) V2, Ivins/Santa Clara, Tooele County (Other), and Carbon County. Small Areas with arthritis prevalence less than the overall state rate included: Utah County (South) V2, Salem City, Alpine, Saratoga Springs, Provo (West City Center), Draper, Sandy (Northeast), South Jordan V2, Pleasant Grove/Lindon, and Wasatch County. All other areas had rates that are viewed as statistically equal to the state rate.
Utah Small AreasAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 100
Brigham City22.8%18.3%28.0%
Box Elder Co (Other) V228.4%21.1%37.0%
Tremonton22.9%16.7%30.7%
Logan V220.5%17.3%24.2%
North Logan15.8%11.6%21.0%
Cache (Other)/Rich (All) V218.2%14.3%22.8%
Hyrum22.0%13.2%34.3%
Smithfield21.5%14.6%30.4%
Ben Lomond25.1%21.5%29.0%
Weber County (East)23.0%19.6%26.8%
Morgan County25.9%18.9%34.3%
Ogden (Downtown)24.3%20.1%29.2%
South Ogden23.7%19.8%28.3%
Roy/Hooper25.0%21.2%29.2%
Riverdale25.2%20.1%31.2%
Clearfield Area/Hooper25.6%22.0%29.6%
Layton/South Weber25.6%22.4%29.2%
Kaysville/Fruit Heights17.7%13.4%22.9%
Syracuse24.4%19.4%30.2%
Centerville20.6%15.5%26.8%
Farmington20.1%14.8%26.8%
North Salt Lake20.4%15.1%27.0%
Woods Cross/West Bountiful19.6%13.9%26.9%
Bountiful20.9%17.1%25.2%
SLC (Rose Park)17.6%12.9%23.7%
SLC (Avenues)18.7%14.4%24.0%
SLC (Foothill/East Bench)19.5%15.0%25.0%
Magna25.4%20.1%31.4%
SLC (Glendale) V223.6%18.2%30.1%
West Valley (Center)20.2%16.3%24.7%
West Valley (West) V224.1%18.7%30.6%
West Valley (East) V226.5%21.8%31.9%
SLC (Downtown) V218.2%13.9%23.5%
SLC (Southeast Liberty)18.3%13.8%23.8%
South Salt Lake21.2%15.5%28.4%
SLC (Sugar House)17.7%13.8%22.4%
Millcreek (South)17.1%12.7%22.6%
Millcreek (East)20.5%15.4%26.7%
Holladay V219.0%14.5%24.6%
Cottonwood18.5%14.6%23.0%
Kearns V221.2%16.3%27.1%
Taylorsville (E)/Murray (W)22.3%17.8%27.5%
Taylorsville (West)23.7%19.6%28.4%
Murray15.7%11.3%21.4%
Midvale24.8%19.0%31.7%
West Jordan (Northeast) V222.0%16.6%28.6%
West Jordan (Southeast)19.4%15.2%24.4%
West Jordan (W)/Copperton18.8%14.6%24.0%
South Jordan V216.3%13.1%20.0%
Daybreak20.4%14.7%27.5%
Sandy (West)22.4%17.2%28.6%
Sandy (Center) V219.0%14.5%24.5%
Sandy (Northeast)15.9%12.1%20.6%
Sandy (Southeast)21.3%16.7%26.7%
Draper15.7%12.0%20.2%
Riverton/Bluffdale21.2%17.0%26.1%
Herriman20.3%15.6%25.8%
Tooele County (Other)30.5%23.4%38.6%
Tooele Valley28.4%25.2%31.8%
Eagle Mountain/Cedar Valley19.6%13.1%28.3%
Lehi17.5%14.0%21.7%
Saratoga Springs13.8%8.8%20.9%
American Fork17.5%14.2%21.5%
Alpine12.7%8.0%19.5%
Pleasant Grove/Lindon16.9%13.6%20.9%
Orem (North)23.0%18.4%28.4%
Orem (West)19.9%15.4%25.3%
Orem (East)16.7%12.6%21.7%
Provo/BYU19.1%14.7%24.3%
Provo (West City Center)15.0%10.5%20.8%
Provo (East City Center)21.5%12.6%34.2%
Salem City11.7%7.4%17.9%
Spanish Fork23.2%18.8%28.2%
Springville23.6%19.0%29.0%
Mapleton19.7%13.6%27.6%
Utah County (South) V211.2%6.7%18.2%
Payson21.3%16.0%27.7%
Park City18.0%14.1%22.7%
Summit County (East)20.2%16.2%24.9%
Wasatch County17.2%14.3%20.6%
Daggett and Uintah County23.6%20.9%26.6%
Duchesne County22.2%19.0%25.7%
Nephi/Mona26.5%19.4%35.2%
Delta/Fillmore20.3%16.0%25.6%
Sanpete Valley25.7%21.4%30.5%
Central (Other)24.7%21.0%28.8%
Richfield/Monroe/Salina25.0%20.2%30.5%
Carbon County31.6%27.0%36.6%
Emery County28.3%23.5%33.7%
Grand County22.4%17.3%28.5%
Blanding/Monticello25.1%19.3%31.9%
San Juan County (Other)18.6%10.8%30.1%
St. George19.2%16.6%22.0%
Washington Co (Other) V218.0%13.0%24.4%
Washington City22.7%17.7%28.7%
Hurricane/La Verkin26.1%19.9%33.5%
Ivins/Santa Clara30.5%21.6%41.1%
Cedar City27.3%23.2%31.9%
Southwest LHD (Other)20.9%17.1%25.2%
State of Utah20.9%20.4%21.4%

Data Notes

Doctor-diagnosed arthritis was self-reported and was not confirmed by a health-care provider; however, such self-reports have been shown to be acceptable for surveillance purposes.   [[br]] [[br]] A description and boundaries of the Utah Small Areas may be found at: [https://ibis.health.utah.gov/pdf/resource/UtahSmallAreaInfo.pdf]. Age-adjusted to the U.S. 2000 standard population for comparison purposes. Age-adjusted rates are based on eight age groups: 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, and 85+.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health

References and Community Resources

Utah Arthritis Program[[br]] [http://www.health.utah.gov/arthritis][[br]] [[br]] Centers for Disease Control and Prevention[[br]] [http://www.cdc.gov/arthritis/][[br]] [[br]] American Academy of Physical Medicine and Rehabilitation[[br]] [http://www.aapmr.org/][[br]] [[br]] American College of Rheumatology[[br]] [http://www.rheumatology.org/practice/clinical/patients/index.asp][[br]] [[br]] Arthritis Foundation[[br]] [http://www.arthritis.org/][[br]] [[br]] National Institute of Arthritis and Musculoskeletal and Skin Diseases[[br]] [http://www.niams.nih.gov/]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 11/26/2018, Published on 12/14/2018
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 Sat, 19 October 2019 3:18:59 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 20 Jun 2019 13:03:27 MDT