Connecticut Leads the Nation in Preventative Health Care

Among the nation’s 34 most populous states, the rate of preventive health care visits was higher in Connecticut than any state in the nation.  Data released this month from the Centers for Disease Control and Prevention National Center for Health Statistics also found that the rate of preventive care visits to primary care physicians, among the 34 most populous states, exceeded the national rate in Connecticut more than elsewhere. Preventive care visits such as general medical examinations, prenatal visits, and well-baby visits give physicians and other health professionals the opportunity to screen for diseases or conditions, as well as to promote healthy behaviors that may delay or prevent these conditions and reduce subsequent use of emergency or inpatient care.

In this report, the rate of preventive care visits to office-based physicians is examined by state, patient demographics, and physician specialty. Estimates are based on data from the National Ambulatory Medical Care Survey (NAMCS), a nationally representative survey of visits to office-based physicians.

Overall, preventive care visit rates were higher for children under age 18 years (73.2 per 100 persons) and for those aged 65 and over (81.1 per 100 persons) than for adults aged 18–44 (53.2 per 100 persons) and 45–64 (51.8 per 100 persons).  The preventive care visit rates for women aged 18–44 (87.1 per 100 women) and 45–64 (60.5 per 100 women) exceeded the rates for men in those age groups (18.5 and 42.5 per 100 men, respectively).

The rate of preventive care visits in the 34 most populous states ranged from 33.1 visits per 100 persons in Arkansas to 120 visits per 100 persons in Connecticut.  Among those 34 states, the rate of preventive care visits was lower than the national rate in 11 states (Arkansas, Indiana, Iowa, Michigan, Missouri, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, and Washington).  The national average was 61.4 visits per 100 persons.  The data is from 2012, the most recent year available from the National Ambulatory Medical Care Survey.

In 2012, 35.7 preventive care visits were made to primary care physicians for every 100 persons across the United States.  In Connecticut, primary care physician preventative care visits were made 59.3 times per 100 people, the highest percentage in the nation.  In Massachusetts, the rate was 53.1, in Colorado 51.7, in Florida 48.7 in Georgia 43.3, in Texas 42.8 and in Maryland 42.2.  Overall, 58.2 percent of preventive care visits were made to primary care physicians, according to the CDC data.  Primary care physicians include office-based physicians in the specialties of family or general medicine, internal medicine, and pediatrics.

The female rate (76.6 visits per 100 females) of preventative care visits exceeded the male rate (45.4 visits per 100 males) by 69 percent. The percentage of preventive care visits to primary care physicians, however, made by males (76.3%) exceeded those made by females (48.0%). The data suggests that women tend to make their preventative care visits to physicians other than their primary care physician, with the report’s summary suggestion. this “may be related to gynecological or obstetric care for women.”

In 2012, the NAMCS survey sample size was increased fivefold to allow for state-level estimates in the 34 most populous states for the first time.

New Casey Foundation Initiative Aims to Improve Job Prospects for Young Adults in Hartford

A total of up to $900,000 will be awarded over the next four years to a Hartford collaborative initiative to strengthen the next generation of workers and meet employer demand.  The Annie E. Casey Foundation has announced plans to award $6 million in grants to increase job opportunities for young adults from low income families in Hartford and four other communities - Cleveland, Indianapolis, Philadelphia, and Seattle. Hartford expects to receive up to $900,000 over the grant period for planning and implementation.

Through Generation Work, the Foundation aims to combine building relationships with businesses, factoring in their needs in the local economy, with youth development strategies to prepare young people for work, such as mentoring and on-the-job learning opportunities. Ultimately, the Casey Foundation hopes to help establish local networks of workforce development organizations that serve young job seekers and have strong connections with businesses.

The Hartford Generation Work initiative is led by United Way of Central and Northeastern Connecticut, working with five other community partners:

• Capital Workforce Partners,
• Hartford Foundation for Public Giving,
• Hartford Opportunity Youth Collaborative,
• Our Piece of the Pie, and
• Workforce Solutions Collaborative of Metro Hartford.

Hartford’s initiative will connect young adults, including those out-of-school or work or underemployed, with education, training and employment for careers in manufacturing and healthcare, officials said. The initiative also intends to improve coordination and collaboration among partners and youth initiatives.

“The strength of our future workforce is one of our nation’s greatest assets and is critical to our ability to compete globally,” said Allison Gerber, a senior associate who oversees the Casey Foundation’s investments in improving job opportunities for low-income individuals and families. “The next generation is eager to work, but we must create more avenues for young adults to develop the knowledge and experience they need to succeed in the job market.”

While the Great Recession hit many hard, teens and young adults have experienced the most drastic drop in employment, data show. Millions of young people — particularly young people of color, justice-system involved, or aging out of foster care and from low-income families — face obstacles to employment or education, and the percentage of young people ages 18 to 29 in the job market nationwide has steadily declined in recent years. At the same time, employers often struggle to find workers with the right set of skills for available positions, Foundation officials point out.

Elder Abuse Prevention Recommendations Sent to State Legislature

Though precise definitions of elder abuse vary widely across jurisdictions, conceptually, elder abuse is any form of mistreatment that results in harm or loss to an older person. That, according to a report issued by Connecticut’s Legislative Commission on Aging, is at the core of a series of 15 recommendations being made to the state legislature and executive branch to respond to increasing concerns about the growing prevalence of elder abuse. The report explains that “it can be physical, financial, psychological, or include neglect or abandonment and it may take place in a home or institutional setting. Though often a hidden phenomenon, elder abuse is a significant human rights, public health and social justice issue that transcends race, ethnicity, religious affiliation, income and education levels.”

Earlier this year, the legislature directed the Commission to conduct a study” concerning best practices for reporting and identification of the abuse, neglect, exploitation and abandonment of older adults.”  The report was submitted to the legislature, which convenes this week.

The Commission has also launched a new website focused on Financial Abuse & Exploitation, which includes a series video training videos and a range of resources.

Organized around the three areas of inquiry framed in Public Act 15-236, the report recommendations are:

To emulate national models for reporting abuse, neglect, exploitation or abandonment:

1. Establish parameters for reasonable caseload standards for the Connecticut Department of Social Services Protective Services for the Elderly program (PSE);
2. Establish an elder abuse resource prosecutor in the Office of the Chief State’s Attorney;
3. Conduct a Connecticut-specific cost assessment to better understand the personal and state costs of financial exploitation; and
4. Evaluate moving to an adult protective services model, for adults ages 18 and older, rather than a model only for adults ages 60 and older, balancing the import of retaining choice and control with ensuring that access to protective services is not restricted by age.

To advance standardization and uniformity in definitions, measurements and reporting mechanisms:

5. Conduct a definitional crosswalk among and between state agencies and national guidelines and assess where legal, policy and practice changes can enhance alignment;
6. Have Connecticut PSE develop a strategic plan to develop national voluntary consensus guidelines that have been developed nationally;
7. Have Connecticut PSE modify its data collection process and explore predictive analytics modeling to improve outcomes and quality, to align with the dataset to be collected nationally, and to develop more targeted interventions; and in the interim, have PSE submit a more detailed report to the Connecticut General Assembly;
8. Require Connecticut PSE to develop an online training module for mandated reports on the role of PSE, elder abuse red flags and reporting procedures to PSE; and
9. Develop training and resources for law enforcement.

To promote and coordinate reporting communication among local and state government entities:

10. Have Connecticut PSE formalize a system for consistent and uniform follow-up with all reporters of elder abuse;
11. Enhance training for Connecticut PSE social workers and utilize consultants with specific subject matter expertise to provide guidance on investigation in certain highly specialized areas;
12. Explore promising evidenced-based assessment tools and service models to make informed policy and practice decisions about how to direct and utilize limited resources on behalf of adults who need them most;
13. Pursue federal funding for enhanced training and services to end abuse later in life program.
14. Empower and support multidisciplinary teams (groups of regularly-meeting professionals to handle complex cases of elder abuse), as well as specialized teams such as financial abuse specialist teams, elder fatality review teams, and an elder abuse forensic center; and
15. Support continued development of Connecticut’s criminal justice information system.

Connecticut’s Legislative Commission on Aging is a nonpartisan public policy and research office of the Connecticut General Assembly.  The report indicated that according to a study sponsored by the U.S. Department of Justice, 12.4 percent of adults age 60 and older reported at least one form of emotional, physical or sexual abuse or potential neglect and 11.7 percent reported financial exploitation by a family member or stranger.

Connecticut is the 7th oldest state in the nation, based on median age. It also has the third longest-lived constituency, with an average life expectancy of 80.8 years for residents born in Connecticut today. The report indicated that the “vast scope of elder abuse is especially concerning in light of the significant adverse health consequences for victims.”

More than one-third of Connecticut’s population is over the age of 50, and that proportion continues to rise. Between 2010 and 2040, Connecticut’s population of people age 65 and older is projected to grow by 57%, with less than 2% growth for people age 20 to 64 during the same period, according to the report.

https://youtu.be/b3Dr_sqJOYE

CT Ranks 20th in Dependence on Gun Industry, But 3rd in Firearms Output, 2nd in Industry Wages

Connecticut’s place in the ongoing national debate about guns is reflected in a new analysis which ranks the state 20^th in the nation in overall dependence on the gun industry, but also ranks the state 3^rd in total firearms industry output per capita and 2^nd in highest average wages & benefits in the firearms industry. With the gun debate center-stage in the presidential primaries and in Washington, D.C., the website WalletHub analyzed which states depend most on the arms and ammunitions industry both directly for jobs and political contributions and indirectly through firearm ownership. WalletHub’s analysts compared the 50 states and the District of Columbia across three key dimensions: 1) Firearms Industry, 2) Gun Prevalence and 3) Gun Politics and eight metrics.

Connecticut also came in 41st in its "firearms prevalence rank" and 47th in "gun politics rank."

The states Most Dependent on the Gun Industry were Idaho, Alaska, Montana, South Dakota, Arkansas, Wyoming, New Hampshire, Minnesota, Kentucky and Alabama.

Officials point out that the gun industry plays an important role in the U.S. economy, and Connecticut is no exception. By one estimate, firearms and ammunitions contributed a total of nearly $43 billion to the national economy in 2014. That figure accounts for more than 263,000 jobs that paid $13.7 billion in total wages, according to the report from the Connecticut-based National Shooting Sports Foundation. In the same year, federal and state governments collected from the industry more than $5.79 billion in business taxes, plus an additional $863.7 million in federal excise duties, the WalletHub report indicated.

In the overall rankings, the states determined to be least dependent on the gun industry are Maryland, New York, New Jersey, Rhode Island and Delaware.

The analysis also found:

• The number of firearms-industry jobs per capita is highest in New Hampshire, which is seven times greater than in the District of Columbia, where it is lowest.
• The average wages & benefits in the firearms industry is highest in the District of Columbia, which is three times greater than in New Mexico, where it is lowest.
• The total firearms industry output per capita is highest in New Hampshire, which is 18 times greater than in Hawaii, where it is lowest.
• The total taxes paid by the firearms industry per capita is highest in Montana, which is six times greater than in Delaware, where it is lowest.
• Gun ownership is highest in Alaska, which is 12 times greater than in Delaware, where it is lowest.

The eight relevant metrics utilized in the analysis and their corresponding weights were as follows:

Firearms Industry – Total Points: 35

• Number of Firearms-Industry Jobs per 10,000 Residents: (~14 Points)
• Average Wages & Benefits in the Firearms Industry: (~7 Points)
• Total Firearms Industry Output per Capita: (~7 Points)
• Total Taxes Paid by the Firearms Industry per Capita: (~7 Points)

Gun Prevalence – Total Points: 35

• Gun Ownership: (~17.5 Points)
• Gun Sales per 1,000 Residents (approximated by using National Instant Criminal Background Check System data): (~17.5 Points)

Gun Politics – Total Points: 30

• Gun-Control Contributions to Congressional Members per 100,000 Residents: (~15 Points)
• Gun-Rights Contributions to Congressional Members per 100,000 Residents: (~15 Points)

Data used to create these rankings were collected from the U.S. Census Bureau, the National Shooting Sports Foundation, the Federal Bureau of Investigation, the BMJ Publishing Group and the Center for Responsive Politics, according to WalletHub.

Bullying Is Parents Top Concern, Depression Next

Across the country, parents with children under age 18 are most concerned about their child being bullied, with 6 in 10 expressing that concern.  The next most prevalent concern – expressed by a majority of those surveyed by the Pew Research Center – is that their child will struggle with anxiety or depression.  Fifty-four percent have that concern. Noting that comprehensive statistics on bullying are difficult to obtain, Pew referenced the 2013 Youth Risk Behavior Study (which covered only high-school students) finding that 19.6 percent had been bullied on school property in the previous 12 months, and 14.8 percent had been electronically bullied. In both cases, white teens and female teens were more likely to say they’d been bullied.

Connecticut’s statistics were higher than the national average in both categories.

In the 2012-13 school year, there were more than 1,400 incidents which an investigation was conducted and active bullying was concluded to have occurred, according to the state Department of Education.  The most recent data posted on the department’s website indicates that “21.9% of Connecticut students had been bullied on school property. Nationwide, the rate is 19.6%. In Connecticut, the prevalence of having been bullied on school property is significantly higher among females (26.1%) than among males (17.9%). The prevalence of having been bullied on school property is significantly higher in grade 11 among students in CT (22.8%) than in the US (16.8%).”

The Youth Risk Behavior Study also indicated that 17.5% of Connecticut students had been electronically bullied. Nationwide, the rate is 14.8%, according to the study report.

Earlier this month, the parents of a high school freshman in Westport who died last month asked the local Superintendent of Schools to investigate reports that their son may have been the target of bullying and the nature of widespread social-media comments about his death among students.

In a letter to school officials, the parents wrote: “several current Staples High School students have reported observing bullying, humiliating or inappropriate behavior by one or more peer or peers toward others, and these students report that they do not know how to respond or intervene. They feel guilty and ashamed of their inaction and passive consent to the blatant behaviors. This is a critical area needed to stop these types of malevolent behaviors.”

Published reports indicate that police have found no evidence of bullying in the student's death.

The likelihood of their child facing anxiety and depression is also of great concern to parents, ranked second-highest in the survey.  About one-in-ten adolescents, or around 2.6 million, have experienced major depression in the past year, according to 2013 data reported by National Institute of Mental Health, the Pew report indicated; for 7.7 percent, their depression caused severe impairment.

Depression was three times as common among teen girls as teen boys (16.2% versus 5.3%). Available data suggest that a quarter of teens have experienced some sort of anxiety disorder (such as phobias, panic disorder or post-traumatic stress disorder) at some point in their lives, according to the National Institute of Mental Health.

The nationwide survey by the Pew Research Center survey also found that the nature of parental concerns varies considerably across demographic groups.  The research found, for example that:

• low-income parents are more concerned about teen pregnancy and their kids getting in trouble with the law than are higher-income parents.
• Black parents are more likely than white parents to worry about their children being shot, while white parents are more likely than black parents to worry that their children will struggle with anxiety or depression.
• Hispanic parents worry more than black or white parents in all eight areas of concern, from being bullied to having problems with drugs or alcohol

Pew Research Center points out that in 2014, the rate of firearm deaths for black youths was 4.26 per 100,000, almost three times the rate for white youths and nearly four times the rate for Hispanic youths. Hospital emergency departments, from which the Centers for Disease Control and Prevention gathers its injury data, don’t always obtain information on race and ethnicity for their patients, the report noted. But based on the 80 percent or so of nonfatal firearm injury cases involving juveniles in 2013 for which race and ethnicity data are available, the disparity among different subpopulations was stark: 1.68 per 100,000 for white youths, 5.3 per 100,000 for Hispanic youths and 24.67 per 100,000 for black youths, the Pew report indicated.

The report also indicated that every state in the nation, as well as the District of Columbia, has a lower teen birthrate than it did in the early 1990s. The birthrate for 15- to 19-year-olds (the metric tracked by federal researchers) has been dropping for decades, Pew pointed out, and hit a record low in 2014. There were just 24.2 births per 1,000 teen females that year, compared with 61.8 per 1,000 in 1991 and 41.5 as recently as 2007.

Caregiving Is Critical Issue as "Incredible Demographic Transformation" Continues, Aging Report Stresses

The United States continues to experience “incredible demographic transformation,” according to the Final Report of the White House Conference on Aging (WHCOA), a year-long, nationwide endeavor throughout 2015. In Connecticut, with the nation’s 7^th oldest population, input was provided by legislative and executive branch agencies, which held hearings and offered expert testimony from organizations including AARP, the state Department on Aging, Legislative Committee on Aging and Commission on Aging. “No topic attracted more attention in the lead-up and follow-up to the 2015 WHCOA than caregiving. It echoed across all four of the conference issue areas,” the report indicated, referencing the four common themes that emerged as particularly important to older Americans: Retirement Security, Healthy Aging, Long-Term Services and Supports, and Elder Justice.  The final report noted the participation, at the Boston Regional Forum, of Connecticut’s Commissioner of the Department of Public Health, Jewel Mullen.

Among the findings in the report, issued by the White House, that will demand the attention of policy makers in the next decade:

• Over 10,000 baby boomers are turning 65 every day, and the fastest growing demographic in the U.S. is women over age 85. The proportion of older adults representing racial and ethnic minorities is also increasing rapidly.
• There is a need to break down the silos between housing, transportation, health care, and long-term services and supports in order to support healthy aging. The United States must also take advantage of an “increasing array of web-based technologies, robotics, and mobile devices” that “help older adults access the services they need, stay connected to family and friends, and remain active and independent.”
• The majority of assistance for older Americans is generally provided at home by informal caregivers, especially family and friends, and are often the “primary lifeline, safety net, and support system for older adults.” Although rewarding, caregiving can be demanding, and “informal caregivers need to be supported and sustained with appropriate resources.”
• With family structures changing as Americans are having fewer children and increasingly moving away from families of origin, the availability of family members to provide care is diminishing. “Direct care is a demanding profession with low wages, long hours, and limited benefits. It is critical for there to be efforts to recruit and retain a sufficient number of direct-care workers to keep pace with the growing need.”

The White House has held a Conference on Aging every decade, beginning in 1961, to identify and advance actions to improve the quality of life of older Americans. In 2015, the United States marked the 50th anniversaries of Medicare, Medicaid, and the Older Americans Act, as well as the 80th anniversary of Social Security. The White House Conference on Aging provided "an opportunity to recognize the importance of these key programs as well as to look ahead to the next decade."

At a public hearing in May at Connecticut's Legislative Office Building, state officials noted that Connecticut is undergoing a “permanent and historic transformation” in its demographics.  Statistics released as part of the WHCOA report echoed that observation.

On July 13, 2015, President Obama hosted the sixth White House Conference on Aging, joining older Americans and their families, caregivers, and advocates at the White House and virtually through hundreds of watch parties across the country.

The July event built on a year-long dialogue; the White House Conference on Aging launched a website to share regular updates on its work and solicit public input; engaged with stakeholders in Washington, D.C. and listening sessions throughout the country; developed policy briefs on the emerging themes for the conference and invited public comment and input on them; and hosted regional forums with community leaders and older Americans in Tampa, Florida; Phoenix, Arizona; Seattle, Washington; Cleveland, Ohio; and Boston, Massachusetts.  Additional hearings, including those in Connecticut, were shared with conference officials.  Individuals and groups participated via live webcast in watch parties held in every State and were able to ask questions of panelists and others via Twitter and Facebook.

The Final Report, completed in late December and publicized by the White House this week, now goes to policy makers at the federal and state level to review findings and consider policy actions to respond the critical issues cited as requiring attention.

Average Age of Mothers Increasing in CT and Nationwide, Federal Data Reveals

First-time mothers are older than ever, new federal data has revealed.  Since 2000, the average mother’s age at the birth of her first child has increased in every state in the nation, rising 1.9 years or more in D.C., California, Oregon, and Utah, while increasing by less than a year in Connecticut, Michigan, New Hampshire, and West Virginia. Overall, the average age of mothers has increased from 2000 to 2014 for all birth orders, with age at first birth having the largest increase, up from 24.9 years old in 2000 to 26.3 years in 2014, according to newly released data compiled by the Centers for Disease Control and Prevention.  Connecticut is among a dozen states with the smallest increases in the average age of first-time mothers. 

The federal agency points out that “a mother's age at birth, and particularly the average age when a mother has her first child, is of interest to researchers and the public. Mean age can affect the total number of births a mother has over a lifetime, which in turn impacts the composition and growth of the U.S. population. Age of mother is associated with a range of birth outcomes, such as multiple births and birth defects, the agency noted.

The largest factor in the rise a mother’s average age when her first child is born is the decline in the proportion of first births to mothers under age 20, down 42 percent from 2000 to 2014, or from approximately 1 in 4 births to 1 in 7.

Increases in the average age for all birth orders were most pronounced from 2009 to 2014, according to the data.  While the average age at the birth of a mother’s first child was fairly stable for the first half of this time period, greater increases were observed from 2009 (25.2 years) to 2014 (26.3 years).

Increases from 2000 to 2014 in average age for higher birth orders were less than those for first births, rising 1.4 years for first births, 1.0 years for second births, 0.8 years for third- and fourth-order births, and 0.5 years for fifth- and higher-order births.  As a result of the different rate of increases by birth order, the gap in the average age between sequential birth orders is less than previously. For example, the difference in a mother’s average age at first birth compared with the mean age at second birth was 2.8 years in 2000 and fell to 2.4 years in 2014.

States with larger increases (1.7 years or more) in the average age at first birth tended to be in the western United States (California, Oregon, Washington, Utah, and Colorado), the data indicated. Greater increases were also seen in Illinois, Arkansas, and D.C.

The report emphasized that over the past several decades, the United States continued to have a larger number of first births to older women along with fewer births to mothers under age 20. “This trend and the more recent uptick in delayed initial childbearing can affect the number of children a typical woman will have in her lifetime, family size, and for the overall population change in the United States,” the federal agency pointed out.

This report contains data from the birth data set, which is part of the National Vital Statistics System (NVSS). NVSS contains all live births reported in the United States. The birth data set is the primary data set for analyzing birth trends and patterns in the United States.

Advertisers Target Hispanic and Black Youth with Unhealthy Snack Ads, UConn Center Study Finds

The University of Connecticut’s Rudd Center for Food Policy & Obesity is calling on media companies to “set nutrition standards” for snack ads aimed at children and teens and “stop targeting advertising high-calorie, nutritionally poor foods to all young people,” but “especially advertising aimed at Black and Hispanic youth.” The recommendations come in the wake of a report that found that Black and Hispanic children “are exposed to more food advertising than white non-Hispanic children” and much of it is for unhealthy foods that have a greater likelihood of adversely impact children’s health.

The Rudd Center’s report, Snack Facts, found that Black children saw 64 percent more snack food ads on TV compared to white children, and Black teens viewed 103 percent more compared to white teens.  The disparity, according to the report issued last fall, had increased between 2010 and 2014, the most recent year studied.  “FACTS” is an acronym for “Food Advertising to Children and Teens Score.”

The findings also indicated that in addition to a barrage of advertising for unhealthy snacks, Black children and teens saw approximately 50 percent and 80 percent more ads for healthier fruit and yogurt brands – although the positive findings were generally outdistanced by findings of concern.  Black children also saw 99 percent more ads for savory snacks and Black teens saw 129 percent more, compared with white children and teens.

From 2010 to 2014, TV ads for savory snacks (salty or spicy) viewed by black children increased 48 percent and ads viewed by black teens increased 95 percent.  “Given that youth of color suffer from higher rates of obesity and other diet-related diseases,” the Rudd Center indicated, “snack food advertising likely exacerbates health disparities affecting their communities.”

Two-thirds of 2- to 5 year-olds and more than half of youth ages 6 to 19 report having three of more snacks per day, and Americans are spending more on snacks – an increase of more than $100 million from 2012 to 2015, according to data cited in the report.

The Rudd Center report found that snack advertising on Spanish language television had changed dramatically between 2010 and 2014, and not for the better:

• Yogurt advertising declined by 93 percent, and not one fruit brand advertised on Spanish-language TV in 2014.
• Spending on savory snack ads (salty/spicy snacks) skyrocketed 551 percent and sweet snack ads rose 30 percent.
• Ads for unhealthy snacks comprised 88 percent of snack food ads viewed by Hispanic children on Spanish-language TV in 2014, a dramatic jump from 39 percent in 2010.

The 102-page report reviewed the advertising practices of specific companies in the snack food industry, and highlighted changes in advertising emphasis.  It also tracked trends in advertising on social media.  The advertising analysis examined 90 brands spending more than$1 million in total advertising in 2014 from 43 different companies, according to the report. 

The report suggested that “media companies could provide lower rates for advertising that promotes nutritious foods,” noting that aggressive marketing of unhealthy snack foods to children and teens exacerbates the crisis of poor diet and related diseases among young people.”

Snack FACTS examined the nutritional quality and advertising for 90 snack food brands offered by 43 companies that were marketed to U.S. children and teens on TV, internet, and in schools in 2014. Researchers analyzed healthier snacks, including yogurt, fruit, and nuts, as well as unhealthy snacks, including sweet and savory snacks such as cookies, chips, and fruit snacks, comparing 2010 and 2014 when possible.

The report also indicates that “companies have recognized the business opportunity in marketing healthy snacks to young people,” and urges those companies to respond in children and youth’s best interest.

The Rudd Center for Food Policy & Obesity, which affiliated with UConn a year ago after a decade at Yale University, is a non-profit research and public policy organization devoted to improving the world’s diet, preventing obesity, and reducing weight stigma. The Rudd Center is described as “a leader in building broad-based consensus to change diet and activity patterns, while holding industry and government agencies responsible for safeguarding public health.”  Research related to the report was funded by a grant from the Robert Wood Johnson Foundation.

Increasing Percentage of Children in Single-Parent Families; CT 21st in US

Single-parent households are growing more common across the U.S., new research reveals.  Connecticut ranks 21^st in the percentage of children in single-parent families, although the number has steadily climbed in Connecticut as nationwide, according to data compiled by the Annie E. Casey Foundation. Nearly 25 million children— 35% of the country’s children — lived in single-parent families in 2014, the latest full-year data.  That is an increase of 392,000 since 2010.

In Connecticut, the percentage has grown from 32 percent in 2010 to 34 percent in 2014, an increase of 3,000 children in single-parent families, but keeping the state below the national average.  In 2000, the percentage in Connecticut was 27 percent, with 211,000 children in single-parent families, compared with 252,000 in 2014, according to the data.

Compared with children in married-couple families, those raised by one parent are more likely to drop out of school, have or cause a teen pregnancy and get divorced as an adult, according to research.

Forty-six states reported an uptick in the number of children raised in single parent households, with the largest jumps occurring in New Hampshire and Delaware.

Utah has the lowest incidence of kids being raised by one parent (19%) followed by Idaho (26%), Wyoming (27%), Minnesota (29%), Iowa (29%), North Dakota (29%) and Nebraska (29%).  Louisiana (47%) and Mississippi (47%) top the list, with nearly half of all kids growing up in single-parent families.  The other states with a high percentage of single-parent children are South Carolina (43%), Delaware (42%) and New Mexico (41%).

The report, released last month, also found that nationwide 26 percent of children live in mother-only households and 8 percent live in father-only households.  Those numbers are virtually unchanged since 2010.  Back in 2000, however, 69 percent of children lived in married-couple households, 25 percent in mother-only homes and 6 percent in father-only households.

In Connecticut, the percentage of children living in married-couple households has fallen from 74 percent in 2000 to 67 percent in 2014.  The percentage of children living in mother-only households has increased from 21 percent to 26 percent, while the number of children in father –only households has grown by 16,000 between 2000 and 2014, from 5 percent of children to 7 percent of children.

Income Inequality in CT's 4th Congressional District is 4th Largest Gap in Nation; 2nd District Has Least Income Inequality in State

Connecticut’s 4th Congressional district, centered in Fairfield Country, has been ranked as the district with the 4th highest level income inequity in the nation.  A year ago, the 4^th C.D. was ranked fifth. A ranking of congressional districts of by their level of income inequality, conducted by Bloomberg, uses the Gini coefficient, a formula that measures the distribution of income across a population. The closer a Gini number is to 1, the greater the level of inequality; the closer to zero, the closer to perfect equality. The average score for the United States was 0.4804.

All of Connecticut’s Congressional Districts, with the exception of the Fourth District, did better than the national average in the degree of income inequality.

Bloomberg Businessweek has previously pointed out that the U.S. congressional districts with the most inequality share certain traits: “they contain a small, enormously wealthy elite surrounded by impoverished neighbors.” Most of the districts with the greatest disparity are located in or near major urban metropolitan areas.

The greatest income inequality in the most recent analysis indicated that the Congressional Districts with the most income inequality are Pennsylvania’s 2^nd District, New York’s 10^th District, and Florida’s 27^th District.  Following Connecticut’s 4^th District on the list are Illinois; 7^th District, and three additional Congressional Districts in New York – the 12^th, 7^th and 16^th.  Rounding out the 10 C.D.’s with the most income inequality are Ohio’s 11^th District and Georgia’s 5^th District.

In Connecticut’s 4^th Congressional District, which includes Bridgeport, the state’s largest city, as well as the communities often referred to as the “Gold Coast,” 59.3 percent of the population has household income in the highest quintile, while 6.7 percent of households have income below the poverty level.

Connecticut’s 5^th Congressional District (.4810) ranked number 88 on the list of Congressional Districts with the most income inequality among residents.  The state’s 3^rd Congressional District (.4792) ranked at number 95, and the 1^st C.D. (.4631) at number 175.  Much later in the rankings, Connecticut’s 2^nd District (.4261) came in at number 387, indicating it is the C.D. in Connecticut with the least income inequality.

The Gini coefficient, which is calculated by the U.S. Census from household income share by quintiles, was used to measure distribution of wealth. It ranges from zero, which reflects absolute equality, to one, complete inequality. The data was updated in November 2015, using 2014 data.  In 2014, a person living alone making less than $12,071 was classified as in poverty. The threshold increases for each additional household member and varies by the number of adults and children in each household.