Category Archives: SC Health Assessment

Get Your Flu Shot During National Influenza Vaccination Week

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This week is National Influenza Vaccination Week, and we are entering the peak of flu season. Receiving a flu vaccination can reduce flu illness, doctor’s visits, and missed work or school, as well as prevent flu-related hospitalizations.

Influenza (flu) is a contagious respiratory illness caused by influenza viruses that infect the nose, throat, and sometimes the lungs. According to the Centers for Disease Control and Prevention (CDC), it can cause mild to severe illness and at times can lead to death.

Everyone in your family who is six months and older should get a flu vaccine every year. Protect yourself and your loved ones by getting your shot today.

Flu symptoms may include:

  • fever,
  • cough,
  • sore throat,
  • runny or stuffy nose,
  • muscle or body aches,
  • headaches, and

Flu germs are spread by tiny droplets when people with flu cough, sneeze, or talk. Those droplets can land in the mouths or noses of people who are nearby.

Flu shots_SC Health Assessment

According to the 2018 South Carolina State Health Assessment, many South Carolinians are receiving their flu shots, even above the national average. During the 2016-17 flu season, South Carolina had the second highest percent of adults 18 years and older who received the flu vaccine among the southern states (45.2%). Be in that number and get your shot today. Pregnant women should especially speak to their doctor about flu vaccination, as they are at an increased risk for a severe case of the flu due to changes in their immune system, heart, and lungs during pregnancy. Flu can cause severe reactions to the mother as well present adverse outcomes for the infant.

DHEC offers the flu vaccine at all public health clinics. Find a clinic near you by visiting https://www.scdhec.gov/health/health-public-health-clinics.

A Look at Diabetes in South Carolina for American Diabetes Month

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November is American Diabetes Month. Let’s use this month to understand one of South Carolina’s most prevalent chronic diseases. There are three types of diabetes: type 1, type 2, and gestational. Type 1 diabetes occurs when the body does not produce insulin. Type 2, the most common form of diabetes, occurs when the body does not use insulin properly. Gestational diabetes occurs in some pregnant women when hormones may block the mother’s insulin, causing insulin resistance.

Adults with diabetes in SC

Common Symptoms of Diabetes

  • Frequent urination
  • Feeling very thirsty
  • Extreme fatigue
  • Blurry vision
  • Weight loss (type 1)
  • Cuts/bruises that are slow to heal
  • Tingling, pain, or numbness in the hands/feet (type 2)
  • Feeling very hungry even though you have eaten

Diabetes can be very expensive to manage. Use these tips from the Centers for Disease Control and Prevention (CDC) to find ways to save on medicine. By successfully managing your diabetes, you could prevent other onset chronic diseases and health issues, such as kidney disease, heart disease, or vision impairment, and amputation.

Diabetes in South Carolina

According to the 2018 South Carolina Health Assessment:

  • The prevalence of adults in South Carolina diagnosed with prediabetes increased from 6.7% in 2011 to 9.4% in 2016 (Figure 6.3).
  • Although there was not a steady pattern in the percentage of adults with diabetes in South Carolina from 2011 to 2016, South Carolina’s diabetes rates were consistently higher than the United States (Figure 6.4).
  • Adults aged 65 or older experienced diabetes at the highest rate of other age demographics with 26.1%.
  • In 2016, the prevalence of diabetes was higher in non-Hispanic Blacks (16.9%) than in non-Hispanic Whites (11.7%), and higher in those with an annual household income of less than $25,000 than those with an annual household income of $50,000 or more (9.4%).

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What is Prediabetes?

Prediabetes in SC

Prediabetes, sometimes called “borderline diabetes,” is a condition that can lead to type 2 diabetes and heart disease. It occurs when your blood sugar (glucose) level is elevated, but not in the diabetes range yet. People with prediabetes are more likely to develop type 2 diabetes, heart disease, or experience a stroke. Your chances of having prediabetes increase if you:

  • Are 45 or older
  • Are Black, Hispanic/Latino, American Indian, Asian-American, or Pacific Islander
  • Have a parent, brother or sister with diabetes
  • Are overweight
  • Are physically inactive
  • Have high blood pressure or take medicine for high blood pressure
  • Have low HDL cholesterol and/or high triglycerides
  • Had diabetes during pregnancy
  • Have been diagnosed with Polycystic Ovary Syndrome

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Do you think you could have prediabetes? Take the risk test and find out. It only takes a few minutes and you can find the test online at https://www.cdc.gov/prediabetes/takethetest/.

There are ways to combat diabetes with lifestyle changes. By increasing physical activity, eating a balanced diet and quitting tobacco use, you may prevent your chances of getting diabetes. If your physician has diagnosed you with prediabetes, you can also enroll in a National Diabetes Prevention Program, which has shown to reduce your chances of developing diabetes by 58%. For more information and links to resources, visit https://www.scdhec.gov/health-professionals/clinical-guidance-resources/diabetes-data-and-reports.

Plan a Tobacco-Free Lifestyle during the Great American Smokeout

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Let today be the day to stop smoking or using tobacco products of any kind. Today is the Great American Smokeout, an opportunity for people who use tobacco to commit to a healthy tobacco-free life. Nicotine is one of the most addictive drugs. Whether it is in cigarettes, cigars, chewing tobacco, or Electronic Nicotine Delivery System (ENDS) products such as electronic cigarettes (e-cigarettes) and vapes, the effects of nicotine are detrimental to your health.

Tobacco use is linked to the leading causes of death and hospitalization in South Carolina, which are cancer, heart disease, circulatory system disease and births/pregnancy complications, respectively.  Nearly 90% of all trachea, lung, and bronchus cancer deaths in South Carolina are smoking related.  According to the 2018 South Carolina Health Assessment, cigarette has been shown to increase South Carolina annual health care spending by $1.9 billion per year.

Cigarette Smoking in Adults_SC Health assessment

While South Carolina is making progress toward the CDC Healthy People 2020 goal of a 12% adult smoking rate – the current rate is 20.6% (2016).  Data from the most recent Adult Tobacco Survey (2014) shows that 6.2% of adults in South Carolina use e-cigarettes and 4.6% report using both combustible tobacco products like cigars and cigarettes, as well as using e-cigarettes or vapes.  ENDS products make tobacco prevention and cessation efforts more difficult due to the high concentration of nicotine found in the products (increasing nicotine addiction) and since many smoke-free policies have not been updated to include these products.

Cigarette Smoking in Teens_SC Health Assessment

While South Carolina has achieved the Healthy People 2020 goal of 16% or fewer high school students who are current smokers, the popularity of ENDS products again complicates this achievement. The 2017 Youth Tobacco Survey data show that the use of e-cigarettes or vapes (13%) surpassed the use of cigarettes (12%) for the first time. This new threat is expected to increase with the findings from the 2019 Youth Tobacco Survey slated to be available later this year. Nicotine in any form increases the risk of heart disease and addiction and is not safe for any age, especially adolescents.

Research shows that people who use tobacco are most successful in their efforts to quit when they have support. In fact, tobacco users are three times more likely to quit successfully with individualized counseling in combination with nicotine replacement therapies (over the counter or prescription) – all of which are available free of charge 24/7 through the DHEC administered SC Tobacco Quitline (1-800-QUIT-NOW).  The SC Tobacco Quitline has resources to help you quit and stay quit. Information includes: Nicotine Anonymous meetings, self-help books and materials, and smoking counselors or coaches. The Quitline also has a Youth Support Program for teen tobacco users and a Spanish language Quitline available by calling 1-855-DEJELO-YA.

Here are some additional cessation resources:

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For more tobacco information, visit the Centers for Disease Control and Prevention (CDC)’s Office on Smoking and Health.  For more information about electronic cigarettes, visit DHEC’s e-cigarettes and vapes webpage.  You can quit for keeps. Start today.

South Carolina Health at a Glance: Chronic Disease and Risk Factors (Part 3)

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Our next installment of the 2018 Live Healthy State Health Assessment summaries covers chronic disease and risk factors.  Because this section lists many chronic diseases that affect South Carolina, we will summarize in three sections. In our first section we summarized South Carolina findings on obesity, prediabetes, diabetes, hypertension, arthritis, heart disease, and stroke. The next section summarized physical activity, nutrition, and cigarette smoking.  Our last section will cover all cancers in South Carolina. Check out our previous posts:  overview of the report, South Carolina demographics, leading causes of death and hospitalization, cross-cutting, access to healthcare, and maternal and infant health.

In the United States, cancer remains a leading cause of death, second only to heart disease. In South Carolina, cancer has surpassed heart disease in recent years as the leading cause of death. South Carolina ranks 32nd in the nation for new cases of cancer, however ranks 14th for deaths due to cancer.  Approximately 50% to 75% of cancer deaths are caused by three preventable lifestyle factors: tobacco use, poor nutrition, and lack of exercise.

SC Cancer_Assessment

  • In 2016, 10,349 South Carolina residents died from cancer.
  • Cancer of the lung and bronchus contributed to the largest number of deaths for residents of South Carolina in 2016.
  • From 2006 to 2015 in South Carolina, the rate of new cases of cancer decreased from a high of 486.8 per 100,000 in 2006 to a low of 452.8 per 100,000 in 2015.
  • The counties in South Carolina with the highest rates of new cancers during 2011 to 2015 combined were Chester, Dorchester, Lee, Sumter, and Union.

SC Cancer by County_Assessment

Lung Cancer

  • While South Carolina ranks 32nd in the United States for new cases of all cancers combined, lung cancer poses a challenge in that South Carolina ranks 16th in comparison.
  • Lung cancer was the second leading cause of new cases of cancer in 2015. It was the leading cause of cancer deaths in 2016, claiming the lives of 2,701 South Carolina residents.
  • South Carolina’s rate of new cases of lung cancer decreased from a high of 74.4 per 100,000 population in 2006 to a low of 64.5 per 100,000 population in 2015.

In our last section about South Carolina’s chronic diseases and risk factors, we will summarize information about all cancers. For more detailed information about chronic diseases and risk factors that affect our state, visit https://www.livehealthysc.com/uploads/1/2/2/3/122303641/chronic_disease_and_risk_factors_sc_sha.pdf.

Female Breast Cancer

  • In South Carolina during 2016, 75.4% of women aged 50 to 74 years old, reported receiving a mammogram within the last two years.
  • In 2015 there was a total of 4,077 new cases of breast cancer, and of these, 1,306 were diagnosed as late-stage in South Carolina representing a rate of 42.9 per 100,000.
  • South Carolina had a higher breast cancer death rate than the United States in 2016.

Cervical Cancer

  • South Carolina ranks in the lowest quartile nationally for adolescents having received one or more doses of the HPV vaccine.
  • In 2016, 79.4% of women 21 to 65 years old reported having a Pap smear within the past three years.
  • Black women are diagnosed at a higher rate than White women in South Carolina (22% higher).

Colorectal Cancer

  • In 2015, there were 2,320 new cases of invasive colon and rectum cancer in South Carolina. South Carolina met the Healthy People 2020 goal of 39.9 new cases of colorectal cancer per 100,000 population.
  • More women (71.4%) received the recommended colorectal screening than men (66.5%) in 2016.
  • Non-Hispanic Blacks (45.8 cases per 100,000 population) had a higher rate of new cases of colorectal cancer compared to non-Hispanic Whites (38.1 cases per 100,000 population) in 2015.

Prostate Cancer

  • In 2016, 43.7% of men ages 40 years and older reported receiving a prostate-specific antigen (PSA) test within the past two years.
  • There were 3,521 new cases of prostate cancer in 2015 in South Carolina.
  • Non-Hispanic Black males (173.4 cases per 100,000)) had a higher rate of new cases of prostate cancer than non-Hispanic White males (97.8 cases per 100,000) in 2015.

For more information about South Carolina cancer statistics, read the full Chronic Disease and Risk Factors chapter of the 2018 State Health Assessment.

South Carolina Health at a Glance: Chronic Disease and Risk Factors (Part 2)

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Our next installment of the 2018 Live Healthy State Health Assessment summaries covers chronic disease and risk factors.  Because this section lists many chronic diseases that affect South Carolina, we will summarize in three sections. In our first section we summarized South Carolina findings on obesity, prediabetes, diabetes, hypertension, arthritis, heart disease, and stroke. Our next section will cover nutrition, physical activity, and cigarette smoking. Check out our previous posts:  overview of the report, South Carolina demographics, leading causes of death and hospitalization, cross-cutting, access to healthcare, and maternal and infant health.

Nutrition

A healthy diet is essential to reducing the risk of chronic diseases and other health conditions, including obesity, malnutrition, iron-deficiency anemia, and some cancers.

  • The percent of adults who consumed vegetables less than one time per day was higher in those with an annual household income of less than $15,000 (37.8%) compared to those with an annual household income of $50,000 or higher (16.1%).
  • Men (52.3%) in South Carolina had a higher prevalence of not eating fruits than women (42.5%) in 2015.
  • The prevalence of adults who consumed vegetables less than one time per day did not statistically change from 2011 to 2015.

Physical Activity

  • The rate of adults who met physical activity guidelines for both aerobic and muscle training increased from 18.9% in 2011 to 23.0% in 2016, and surpassed the Healthy People 2020 objective of 20.1%.
  • In 2015, 23.6% of South Carolina high school students met the federal physical activity guidelines for aerobic physical activity.
  • The prevalence among non-Hispanic White students who met the federal physical activity guidelines for aerobic physical activity was higher than non-Hispanic Black students.

SC Adult Cigarette Smoking_Assessment

  • Adult cigarette smoking decreased from 23.7% in 2011 to 20.6% in 2016 in South Carolina.
  • In 2015, 9.6% of high school students (grades 9-12) reported cigarette use on at least one day during the past 30 days.
  • The prevalence of adult women (50%) attempting to quit cigarette smoking within the past year was higher than adult men (41.0%).

SC Second handsmoke_assessment

  • In South Carolina in 2015, 22.4% of adults reported being exposed to secondhand smoke while at the workplace.
  • The five counties in South Carolina with the highest prevalence of secondhand smoke exposure while a work were: Colleton, Hampton, Bamberg, Clarendon, and Marlboro.
  • In 2015, the prevalence of adolescents who reported being exposed to secondhand smoke in homes or vehicles was 40.8%.

In our last section about South Carolina’s chronic diseases and risk factors, we will summarize information about all cancers. For more detailed information about chronic diseases and risk factors that affect our state, visit https://www.livehealthysc.com/uploads/1/2/2/3/122303641/chronic_disease_and_risk_factors_sc_sha.pdf.