Preventing Elder Abuse: CT Ranks 26th in USA

Connecticut ranks 26^th among the nation’s 50 states in providing protections for elder abuse, according to a new analysis of state policies by the financial website WalletHub. Connecticut is the 7^th oldest population in the nation.  The U.S. Census Bureau expects the national population aged 65 and older to nearly double from 43.1 million in 2012 to 83.7 million in 2050, in large measure due to aging Baby Boomers who began turning 65 in 2011.

Abuse happens every day and takes many forms, WalletHub’s explains. “Anyone can become a victim of abuse, but vulnerable older Americans — especially those who are women, have disabilities and rely on others for care or other type of assistance — are among the easiest targets for such misconduct.”

WalletHub’s analysts compared the 50 states and the District of Columbia based on 10 key indicators of elder-abuse protection. The data set ranges from “share of elder-abuse, gross-neglect and exploitation complaints” to “financial elder-abuse laws.” By one estimate, the analysis summary points out, elder abuse affects as many as 5 million people per year, and 96 percent of all cases go unreported.

States described as having the “Best Elder-Abuse Protections” are the District of Columbia, Nevada, Massachusetts, Wisconsin, Missouri, Tennessee, Iowa, Louisiana, Vermont and Hawaii.  At the bottom of the list were Rhode Island, California, Wyoming and South Carolina.

WalletHub’s review of data from all 50 states and the District of Columbia were conducted across three key dimensions: 1) Prevalence, 2) Resources and 3) Protection.  Connecticut’s highest ranking in the individual categories was in Resources, ranking 23^rd.  The Resources category included Total Expenditures on Elder-Abuse Prevention per Resident Aged 65 & Older, Total Expenditures on Legal-Assistance Development per Resident Aged 65 & Older, Total Long-Term Care Ombudsman Program Funding per Resident Aged 65 & Older.

The state legislature earlier this year folded the Legislative Commission on Aging into the new Commission on Women, Children and Seniors.  Former executive director Julia Evans Starr pointed out in an April article that "Elder abuse is a significant social justice issue that transcends race, ethnicity, religious affiliation, income, and education levels. At least 10 percent of older adults have suffered elder abuse — and that proportion is set rise among Connecticut’s rapidly growing, longer-lived population. It demands a strong policy response."

Panera in Connecticut: State of Flux

If you’re looking for a Panera location in Connecticut, check twice before you head out for a sandwich.  There may be a new location opening nearby, or the locale you’re familiar with may have already closed its doors. The churn at Panera may not be unusual, but it did come as an unwelcome surprise to regulars at the Newtown location when it abruptly closed in mid-November, with a sign on the door saying farewell (and please visit other locations.)   And later this month, the long-time location in Darien will be closing.

The Darien store has been renting 3,754-square-feet — the entire first floor of its building, since 2007, when it became the first Panera Bread restaurant to open up in Connecticut, according to published reports.

The chain now has more than 2,000 locations, including in Connecticut – some owned by the company, most by franchisees.  While the departure from Newtown was an unexpected surprise to customers, plans to leave the Darien location have been known since June, when it was first reported by local media.

Last fall, a Panera location closed in Meriden and a location in nearby Wallingford opened. Also on the plus side, a Panera opened earlier this year at Evergreen Walk shopping plaza in South Windsor.  As of this spring, there were 17 Panera Bread locations in Connecticut, all across the state.  The Downtown Hartford location, its first in the city, opened in 2013.

As of June 28, 2016, there were 2,007 bakery-cafes in 46 states and in Ontario, Canada operating under the Panera Bread, Saint Louis Bread Co. or Paradise Bakery & Cafe names. Published reports indicate the company has 97,000 employees nationwide and saw a 3.4 percent growth in sales in its third quarter this year. In 2015, it reportedly generated roughly $2.7 billion in revenue. Founder and CEO Ron Shaich attended college at Clark University in Worcester in the 1970’s.

Earlier this year, Fortune magazine reported that the company estimated that over 20% of orders would be produced and paid for digitally by the end of 2016, up from 16%. In some markets, digital sales are making up more than a third of retail sales, according to the company. The restaurant chain says digital orders could make up half of the total business down the road, the magazine reported.

According to the industry website Fast Casual, Panera Bread does not sell single-unit franchises, so it is not possible to open just one bakery-cafe. Rather, the company has chosen to develop by selling market areas which require the franchise developer to open a number of units, typically 15 bakery-cafes in a period of 6 years.

Panera says it serves 3 to 4 percent of all Americans every week.

EpiPen in Connecticut: Costs Vary, Concerns Continue; New Congressional Hearing Possible

Obscured in recent months by the intense presidential campaign, the furor over the price of pharmaceutical company Mylan’s life-saving EpiPen may be moving back to center stage in Washington as questions continue about Connecticut’s policy and the varying impact on school districts across the state.  The EpiPen is the widely used medical device that quickly administers a dose of epinephrine to counter allergic reactions. The cost of EpiPens to Connecticut schools - which keep EpiPens in their nurses’ offices in case a student has a severe allergic reaction - may be defrayed or eliminated by Mylan’s “EpiPens4Schools” program, which gives some schools two twin packs of the medical devices for free.  But that is not uniformly true, according to a recent survey by CT by the Numbers, and questions are being raised about the program’s future. 

A report by Connecticut’s Office of Legislative Research found that “over the last decade, Mylan has continuously increased the EpiPen’s cost, from approximately $60 in 2007 to over $600 in 2016 for a pack of two pens. The device requires a prescription and must be replaced annually.”

North Haven, which has participated in the free program, warns that “if the free program is discontinued, it will be a significant financial burden” for the school district.  “To satisfy the Connecticut mandate, we must stock one box each of EpiPen Jr. and EpiPen Sr., bringing the total cost to $1,600 x 7 schools = $11,200/year!!!”

In Chaplin, officials have also been using the free program, but note “we will not always be eligible year-to-year,” anticipating “the cost increasing by at least $300 or greater per school.”

Now, the chairman of the U.S. Senate Judiciary Committee says he is considering a subpoena or another method of compelling testimony from Mylan and federal officials, the Associated Press is reporting.  Mylan says it agreed to pay $465 million to settle allegations it overbilled Medicaid for EpiPen, but Sen. Charles Grassley says the Justice Department has said there is no "executed settlement."  At issue is whether the product should have been classified as generic.

Published reports indicate that Mylan acquired the decades-old product in 2007, when pharmacies paid less than $100 for a two-pen set, and has since been steadily raising the wholesale price. In 2009, a pharmacy paid $103.50 for a set. By July 2013 the price was up to $264.50, and it rose 75 percent to $461 by May 2015. This past May the price spiked again to $608.61, according to data provided by Elsevier Clinical Solutions’ Gold Standard Drug Database.

At a December 1 health forum sponsored by Forbes, Mylan CEO Heather Bresch said “We absolutely raised the price and take full responsibility for that, ” insisting that Mylan’s price increases were justified by improvements the company made on the product.

As the increases were being imposed, Mylan intensified efforts to have states require that EpiPens be made available in schools.  Connecticut was among 11 states which passed such a law.  The Connecticut General Assembly approved a bill in June 2014 that required all state primary and secondary schools to carry a supply of EpiPens. The new law also allowed school personnel other than a school nurse – if they were properly trained – to administer the epinephrine.  Published reports indicate that other states have approved laws allowing student to bring the dispensers with them to classes or encouraging schools to stock the drug.

The Connecticut Department of Education said it does not know how much the new mandate cost the state’s more than 1,300 primary and secondary schools, because the drug is purchased at the local level at a number of approved pharmacies throughout the state, officials told CT Mirror earlier this year.

A number of districts indicated to CT by the Numbers that they had EpiPens on hand in their schools even before passage of the state requirement, and at least one that had participated in the free program previously did not do so this year.

In Eastford, officials purchased one .15 mg dose and one .30 mg dose EpiPen in each of the past three years.  The costs increased steadily, from $599.90 in 2021-13 to $740 in 2015-16.   In the Region 9 (Easton, Redding) school district, for example, officials indicated that they paid $325 each for three EpiPen twin-packs for the Helen Keller Middle School this year.

Northwestern Regional School District 7 and Regional School District 12, both participants in the free program, have not incurred any costs for EpiPens in recent years.  Bolton school officials report that costs have increased in recent years, to approximately $600 per package of two” for a total of $1800 for the year.  Region 16 reports that they budget for EpiPen purchases each year, in case the free program is no longer available to them.  As of last year, they indicated, the twin-pack price was $535, but they were able to benefit from the company’s free program.

In Cromwell, schools have received 2 twin-packs per school through the free program for the past three years; previously they were purchased by the school district, officials said. In Ansonia, some were provided at no cost, others were purchased. The last time that North Haven paid for the EpiPens was in 2012, when the cost was about $190 each.

In 2015 the legislature considered, but did not pass, a bill requiring the insurance commissioner to study and report on health insurance coverage of and out-of-pocket expenses for EpiPens, according to the OLR report.  The 2014 legislation requires (a) schools to designate and train nonmedical staff to administer EpiPens to students having allergic reactions who were not previously known to have serious allergies and (b) the public health and education departments to jointly develop an annual training program for emergency EpiPen administration.

The website STAT, which focuses on health and medicine, reports that Mylan Pharmaceuticals has been selling the devices to schools at a discounted price for years, giving them a break from rising costs. But the program also prohibited schools from buying competitors’ devices — a provision that experts say may have violated antitrust law.

Mylan’s “EpiPen4Schools” program, begun in August 2012, offers free or discounted EpiPens to schools. Over 65,000 schools receive free EpiPens through the program; an unknown number of schools buy the epinephrine auto-injectors at a discount. Laws in at least 11 states require schools to stock epinephrine, and keeping a stockpile is incentivized by federal law across the country.

As of last year, the EpiPen4Schools discounted price was $112.10, according to company documents reported by STAT, although the prices cited by Connecticut districts vary.

ConnectiCare, First Health Insurer to Open Retail Store, Adds More

Holiday shoppers may encounter something new amidst the traditional retail stores vying for attention.  Last month, ConnectiCare opened its first storefront location, a 6,000-square-foot standalone building in Manchester. The company plans to open outlets in Bridgeport, Newington and Orange in the coming days, according to David Gordon, ConnectiCare's senior vice president for strategy and product innovation. "The impetus for taking this step came from listening to our customers," Gordon said. "The key thing that we consistently heard was how they want a choice in how they engage with us."  It is a way of “providing face-to-face interactions with our members and our nonmembers, who feel their relationship with us would work better if we were sitting across a table from each other."

ConnectiCare is apparently the first health insurance company in the state to offer services from a retail storefront location.  Manchester was chosen after a study of ConnectiCare members, traffic and drive-time patterns and general population figures. The selection of Bridgeport also was based on proximity to significant numbers of ConnectiCare members, and the surrounding population, and are tied to a new partnership with CliniSanitas to offer bilingual facilities for the state's growing Hispanic population.

The flagship Manchester location, near Buckland Hills mall, is staffed by 12 people and includes an area for seminars on various health topics as well as space for yoga and Zumba classes.   ConnectiCare's stores in Bridgeport, Newington and Orange will be smaller than the Manchester flagship, which opened in October.

The ConnecticutCare storefronts will be adjacent to CliniSanitas Medical Center locations.  The centers will offer primary care, specialty care, urgent care, laboratory and diagnostic imaging, as well as health education and wellness services. All three centers – Bridgeport, Newington and Orange - will offer extended evening and weekend hours, with walk-ins welcome. The centers are to be staffed with medical and administrative staff who are bilingual in English and Spanish.

This expansion is the result of a strategic alliance between GuideWell Sanitas and ConnectiCare to serve the health care needs of Connecticut's growing multicultural population, while helping to address the long-standing disparities in the health status of people from culturally diverse backgrounds, officials said. ConnectiCare is the only health insurance plan being accepted by the CliniSanitas Medical Centers, which will also serve those paying directly for health care services and those with traditional Medicare coverage, the companies recently announced.

CliniSanitas has more than 40 years of health care experience with over 200 facilities in South America. In 2015, the first stateside CliniSanitas centers were opened in Florida. The company explains that their  model is focused on improving access to quality primary care services, and delivering the best health outcomes while preventing unnecessary high medical costs, encouraging longer appointments aimed at strengthening the doctor-patient relationship.

CliniSanitas Medical Centers is a joint venture between two leading health care organizations – GuideWell Mutual Holding Company and Organización Sanitas Internacional. GuideWell is a U.S.-based not-for-profit mutual holding company and the parent to a family of forward-thinking companies focused on transforming healthcare.

"We're excited to start our journey in Connecticut in partnership with ConnectiCare and GuideWell to bring our proven model of patient-centered care to the diverse community of Connecticut. These new medical centers will build on our successful centers in Miami, Florida, and our experience transforming healthcare in South America," said Dr. Fernando Fonseca, Chief Executive Officer of CliniSanitas.

"The CliniSanitas Medical Centers will help us deliver on our brand promise to make it easy for our members to get the care they need. ConnectiCare is pleased to help bring the people of Connecticut access to the high quality and culturally relevant health care provided by the CliniSanitas Medical Centers," said Michael Wise, ConnectiCare's President and Chief Executive Officer.

A local company for 35 years, ConnectiCare, a subsidiary of Emblem Health,  has a full range of products and services for businesses, municipalities, individuals and those who are Medicare-eligible.  In September, ConnectiCare, the single-largest insurer on the state’s health exchange, announced it would participate in the exchange in 2017.

UConn Study Questions Marketing, Ingredients in Food Advertised to Young Children

It would be disingenuous to describe the results as surprising, but a new study has found that marketing for baby and toddler food and drinks often contradicts the advice of health professionals. According to the study by the Rudd Center for Food Policy and Obesity at the University of Connecticut, companies tend to use marketing messages that may lead parents to believe that these commercial products are healthier alternatives to breastmilk or homemade food.

The new Baby Food FACTS report found that companies spent $77 million in 2015 to advertise infant formula, baby food, and toddler food and beverages to parents, primarily through TV, magazines, and the internet. By comparison, companies spent $98 million to advertise fruits and vegetables in 2015 – products intended for the entire U.S. population.

“Our analysis shows that marketing for baby and toddler food, infant formula, and toddler milk and nutritional supplements often contradicts expert guidance and in some cases encourages parents to feed their young children products that may not promote healthy eating habits,” said Jennifer Harris, UConn Rudd Center Director of Marketing Initiatives and the report's lead author.

The report analyzed companies spending $100,000 or more in total advertising in 2015 and documented changes in advertising over the past five years. Eight brands from three companies (Nestle, Abbott and Mead Nohnson) were responsible for 99 percent of advertising spending. Four additional baby and toddler food brands spent $100,000 or more in advertising in magazines and online, including Plum Organics (Campbell Soup Company), Beech-Nut (Hero A.G.), and Happy Baby and Happy Tot (Nurture Inc.).

Among the findings:

• Infant formula brands had the most internet advertising and were most active in social media and on mom blogs.
• Nearly 60 percent of advertising dollars promoted products that are not recommended for young children, including sugar-sweetened toddler drinks and nutritionally poor snack food.
• Beech-Nut and Gerber marketed their baby food products in a way that supported most expert recommendations on best practices for feeding infants.
• Toddler milk products including Enfagrow, Gerber Good Start Grow, Nido 1+, Similac Go & Grow, and Happy Tot Grow & Shine, contained added sweeteners, including sugar, glucose syrup solids, honey, and corn syrup solids.
• Pediasure Grow & Gain, a nutritional supplement aimed at toddlers, had 240 calories per serving and as much sugar as an 8-ounce sports drink.
• In contrast to nutritious baby and toddler fruit, vegetable, and meal products, just four of 80 baby and toddler snack foods, such as cookies, cereal bars, puffs, and fruit snacks, were nutritious choices for young children.
• Fifty percent of baby and 83 percent of toddler snacks contained added sugars.

The findings included in this report “provide policymakers, health professionals, public health advocates, industry representatives, and parents an opportunity to address misinformation conveyed through marketing of baby and toddler food and drinks.”

The study also found that traditional advertising spending (primarily on TV and magazines) by infant formula brands declined substantially—from more than $30 million in 2011 to less than $10 million in 2015.

Among the recommendations, the Rudd Center researchers indicated that toddlers’ diets should help them develop gross and fine motor skills and learn to enjoy the taste, flavors, and textures of real fruits and vegetables. By age two, toddlers should be eating the same food as the rest of the family. For all children, they stated, a healthy diet should include a variety of fruits and vegetables every day, and limited consumption of saturated fat and sodium. Children under two should not consume any food with added sugars.

The report called on the U.S. Food and Drug Administration to issue final guidance on claims on infant formula packaging, including claims that compare infant formula to breastmilk, and also regulate claims on toddler milk packaging. The Federal Trade Commission should similarly regulate claims made in advertising, the report advised. The food industry was also urged to expand the Children’s Food and Beverage Advertising Initiative (CFBAI) self-regulatory program for improving food advertising to children to incorporate marketing of baby and toddler food and drinks.

The study was funded by a grant from the Robert Wood Johnson Foundation and presented Nov. 1 at the American Public Health Association’s 2016 Annual Meeting and Expo in Denver.  The Rudd Center for Food Policy & Obesity at the University of Connecticut is a multi-disciplinary research center dedicated to promoting solutions to childhood obesity, poor diet, and weight bias through research and policy. For more information, visit www.UConnRuddCenter.org.

Almond Joy, Born in Connecticut, Is State's Candy Sales Champion

Almond Joy, Milky Way and M&Ms are the likely candies to be greeting Connecticut trick-or-treaters as they move from door to door later this month.  That’s according to candystore.com, which sells bulk candy on-line, in their review of sales data from 2007 through 2015. Connecticut's favorite Halloween candy is Almond Joy, with 2,619 pounds of it, on average, ordered each year, the website indicated. Milky Way is Connecticut's second favorite Halloween candy, with 1,366 pounds ordered. M&M's placed third, at 910 pounds on average.

Among Connecticut’s neighboring states, the candy favorite in Massachusetts is Butterfingers; in New York it is Sour Patch Kids, in Rhode Island candy corn topped the list.  Connecticut was the only state where Almond Joy ranked first in candy sales.

Industry research shows that since 2015, online candy sales have increased by 15 percent, according to candystore.com.

The Almond Joy candy bar was introduced in 1946, just after the World War II, when sugar, tropical coconuts and chocolate became more readily available, by the New Haven-based Peter Paul Manufacturing Company,  which was already well-known for its popular Mounds bar introduced in 1921. Today, the Peter Paul Candy Manufacturing Company is a candy-making division within the Hershey Company. It was originally founded in the Elm City in 1919 by six Armenian immigrants led by Peter Paul Halajian, with a manufacturing plant in nearby Naugatuck.

"Almond Joy has seen a resurgence in popularity over the past few years.  No where is that more apparent than Connecticut.  While it cracked the top 3 in a few other states (MN, SD, TX), it was the #1 candy in Connecticut, " said co-CEO of CandyStore.com, Tom Hoeck.

CandyStore.com is an industry leader in candy sales in the United States and Canada, and offers candies of all shapes, sizes, colors, and brands. To determine the best sellers by state, the company reviewed sales from 2007–2015, focusing on the three months leading up to Halloween.

“Since we sell candy to all 50 states (and Canada), it was easy for us to see a state-by-state breakdown of candy trends and top orders. And we have relationships with all the major candy companies, so they helped us verify as well. Based on this analysis, we determined the Halloween best-sellers that people all over the country love to use in Halloween crafts and treats and give out to trick-or-treaters.”

The company also provides “candy trivia” on its website, noting that during the 1981 inauguration of Ronald Reagan, three tons of jelly beans were served, candy corn is the top selling candy, and two-thirds of American candy bars were introduced more than 50 years ago.

Nationwide, Parents Seek Expanded Health Curriculum in Schools

In Connecticut, a planned, sequential PK-12 Coordinated School Health (CSH) education curriculum is a system designed to addresses the physical, mental, emotional and social dimensions of health.  CSH aims to improve students’ health and their capacity to learn through the support of families, communities and schools working together. A new nationwide survey indicates that the broader, comprehensive definition of health education is precisely what families are seeking in the health education of children.  Teaching kids about drugs, alcohol and sex appears to be less controversial than ever before with the majority of parents in a new poll saying schools should and do teach these subjects.

Many parents want more — saying those topics are not enough — finds the University of Michigan C.S. Mott Children’s Hospital National Poll on Children’s Health. Researchers surveyed a nationally representative sample of parents with kids in middle or high school. Two-thirds of parents polled say schools should definitely cover emotional and mental health issues — which may include such subjects as dealing with depression, stress and bullying — yet only a third say these topics are currently covered by their child’s school.  Another 68 percent of parents want to see schools cover basic first aid, and 63 percent say kids should learn CPR.

A coordinated approach to school health aligns health and education efforts and leads to improved physical, mental and developmental outcomes for students, according to the State Department of Education (SDE) website. The department’s overview of the program indicates that “Students’ physical, social and emotional development requires the same level of ongoing assessment and support as their academic development.”

“Research has consistently concluded that student health and academic achievement are directly connected and, in fact, that student health is one of the most significant influences on learning and achievement,” SDE points out.

In the national survey, parents “clearly perceive a gap between what their children need and what they are receiving in the area of mental health education, as well as basic first aid and CPR,” says Sarah Clark, M.P.H., co-director of the C.S. Mott Children’s Hospital National Poll on Children’s Health.  “We are seeing increasing concerns for such issues as stress, depression and suicide among young people, and parents want schools to be a part of the solution. These results suggest that the stigma of mental health issues may have relaxed among today’s parents, in favor of using a broad array of resources to help children and adolescents with these critical areas.”

The Connecticut curriculum is designed to “motivate children and youth to maintain and improve their health, prevent disease, reduce health-related risk behaviors and develop and demonstrate health-related knowledge, attitudes, skills and practices.”

Nearly four in 10 parents (39 percent) in the Mott survey believe schools should educate students on how to use the health care system. But only one in 10 parents say the topic is covered in their child’s school. Low-income parents are more likely to say schools should teach students how to use the health care system—perhaps, Clark notes, because these parents face challenges themselves in accessing health care.  The survey does not include a state-by-state breakdown of the data.

CT Has Nation's 10th Lowest Rate of Cigarette Smoking

West Virginia had the highest prevalence of cigarette use in the United States, according to a new CDC study.  Utah had the lowest, and Connecticut had the 10^th lowest rate. Using data from the 2014 Behavioral Risk Factor Surveillance System, CDC determined that the prevalence of cigarette use in West Virginia was 26.7%, while the lowest rate was 9.7% in Utah.  In Connecticut the rate of cigarette use was 15.4 percent.

CDC recommended that continued implementation of proven population-based interventions, such as increasing tobacco product prices and enforcing comprehensive smoke-free laws, and increasing access to evidence-based clinical interventions can help reduce tobacco use.

"These findings highlight the importance of enhanced implementation of evidence-based strategies to help smokers and other tobacco users quit completely," CDC said.

Cigarette smoking was significantly higher among males than females in 34 states. Among males, cigarette smoking ranged from 11.2% (Utah) to 27.8% (West Virginia), and among females, from 8.2% (Utah) to 25.6% (West Virginia).

The report also indicated that the prevalence of smokeless tobacco use ranged from 1.4% (Hawaii) to 8.8% (Wyoming). It was 1.8 percent in Connecticut.

Prevalence of any cigarette and/or smokeless tobacco use ranged from 11.3% (Utah) to 32.2% (West Virginia).  Connecticut was 15.3 percent.

The CDC also indicated that the prevalence of any cigarette and/or smokeless tobacco use differed significantly by race/ethnicity in 21 states. Prevalence was highest among whites in eight states (Arizona, Delaware, Georgia, Maryland, New York, North Carolina, Texas, and Virginia), followed by adults of non-Hispanic other races in six states (Arkansas, Florida, Kansas, Nebraska, Oklahoma, and South Carolina), blacks in five states (California, Illinois, Indiana, New Jersey, and Wisconsin), and Hispanics in two states (Connecticut and Michigan).

The report was issued last week from the CDC.  The report concluded that “continued implementation of proven population-based interventions, including increasing tobacco product prices, implementing and enforcing comprehensive smoke-free laws, warning about the dangers of tobacco use through mass media campaigns, and increasing access to evidence-based clinical interventions (including behavioral counseling and FDA-approved medication), can help reduce tobacco use, particularly in populations with the highest use prevalence.”

Obesity Rate Climbs in Connecticut, Is Among the Nation's Lowest

Connecticut now has the 10th lowest adult obesity rate in the nation, according to The State of Obesity: Better Policies for a Healthier America. Connecticut's adult obesity rate is currently 25.3 percent, up from 16.0 percent in 2000 and from 10.4 percent in 1990.

According to the most recent data, adult obesity rates now exceed 35 percent in four states, 30 percent in 25 states and are above 20 percent in all states. Louisiana has the highest adult obesity rate at 36.2 percent and Colorado has the lowest at 20.2 percent.

U.S. adult obesity rates decreased in four states (Minnesota, Montana, New York and Ohio), increased in two (Kansas and Kentucky) and remained stable in the rest, between 2014 and 2015. This marks the first time in the past decade that any states have experienced decreases — aside from a decline in Washington, D.C. in 2010.

The data, released in September 2016 by the Trust for America’s Health and the Robert Wood Johnson Foundation, reflects information compiled nationwide in 2015.

Connecticut’s childhood obesity rates are 15.8 percent for 2-to-4 year olds from low-income families, 15 percent of 10-17 year olds, and 12.3 percent of high school students.

Regarding obesity-related health issues, Connecticut ranked 31^st among the states in the current adult diabetes rate, which is 9.3 percent, and 30^th in hypertension at 30.4 percent of the population. 

In 1985, no state had an adult obesity rate higher than 15 percent; in 1991, no state was over 20 percent; in 2000, no state was over 25 percent; and, in 2006, only Mississippi and West Virginia were above 31 percent.  Nationwide, obesity rates are higher among women (40.4 percent) compared to men (35.0 percent).

CT Families Continue to Struggle Financially, United Way Report Reveals

More Connecticut households are struggling to pay for their most basic needs, according to a new report from United Way.  More than one out of four households - in one of the wealthiest states in the U.S. - are employed, yet still fall below what is needed to thrive financially.  That is an increase in both the number and percentage of such households in 2014 as compared with 2012, according to the updated ALICE report. Two years ago, United Ways introduced ALICE, which stands for - Asset Limited Income Constrained Employed - to place a spotlight on a large population of residents who are working, but have difficulty affording the basic necessities of housing, food, child care, health care and transportation.

In those two years, the problem has grown worse, even has the recession has given way to a slow economic recovery, in Connecticut and nationwide.  ALICE and poverty households combined account for 38 percent of households in the state that struggle to make ends meet.

A total of 361,521 Connecticut households fall into what the study describes as the ALICE population. These are households earning more than the official U.S. poverty level, but less than the basic cost of living. This is more than 2.5 times the number of households that fall below the federal poverty level. ALICE households make up 20% or more of all households in 114 (67%) of Connecticut’s 169 cities and towns.

The highest levels (ALICE and poverty households) were in Hartford (74%), New Haven (65%), Waterbury (63%), Bridgeport (63%) and New Britain (63%).  Also above 50 percent are Meriden, West Haven, East Hartford and New London.  From 2007 to 2014, two cities, Danbury and Waterbury, saw their total household population decrease, by 7 and 9 percent respectively, while the rest experienced an increase in households, with the largest increase of 8 percent in Stamford, according to the report. The number of household below the ALICE Threshold increased in every one of the nine largest cities and towns with Norwalk seeing the largest percent increase (38 percent).

While the prevalence of low-wage jobs still defines Connecticut’s economy for ALICE, for the first time in the past decade, the percent of jobs paying less than $20 per hour fell below 50 percent of all jobs.  The report also highlights a number of trends in Connecticut, including:

• The population is aging, and many seniors do not have the resources they need to support themselves.

• Differences by race and ethnicity persist and ethnicity persist, creating challenges for many ALICE families, as well as for immigrants in Connecticut.
• Low-wage jobs are projected to grow faster than higher-wage jobs over the next decade.
• Technology is changing the workplace, adding some jobs, replacing many others, while also changing where people work, the hours they work, and skills required. The report notes that technology creates opportunities as well as challenges for ALICE workers.

For the first time, an online simulator is also available to experience the financial challenges that ALICE households in Connecticut face at www.MakingToughChoices.org.  The updated Report uses data from a variety of sources, including the U.S. Census and the American Community Survey to provide tools that quantify the number of households in Connecticut's workforce that are struggling financially. The updated United Way ALICE Report reveals:

• The composition of the ALICE population is men and women, young and old, of all races.
• The breakdown of jobs in Connecticut by hourly wage (51% of jobs pay more than $20/hour) compared to what it costs to survive for a family of four (2 adults, 1 infant, 1 preschooler) - $70,788.
• Every city and town in Connecticut has ALICE households. More than two-thirds of Connecticut's cities and towns have at least 1 in 5 households that fit the ALICE definition for financial hardship.

Poverty and ALICE households exist in every racial and ethnic group in Connecticut, but the largest numbers are among White non-Hispanic households. There were about one million White households in 2014, compared to 328,000 households of color (Figure 4 shows the populations of color for whom there is income data: Hispanic, Black and Asian). However, these groups made up a proportionally larger share of households both in poverty and ALICE: 64 percent of Hispanic households, 58 percent of Black households, and 30 percent of Asian households had income below the ALICE Threshold in 2014, compared to 31 percent of White households.

The largest population of color in Connecticut, Hispanics, has been growing since 2007, totaling 156,837 households in 2014, a 25 percent increase. As the number of Hispanic households increased, so did the number and proportion of Hispanics living below the ALICE threshold. The percentage of Hispanic ALICE households rose from 34 percent in 2007 to 39 percent in 2010 and then to 43 percent in 2014. Together Hispanic households in poverty and ALICE made up more than two-thirds of Hispanic households in 2014.

There are some signs of improvement in the education gap among racial and ethnic groups, suggesting that some structural changes are occurring in Connecticut. In K-12 education, the Education Equality Index (EEI) shows that the achievement gap – the disparity in educational measures between socioeconomic and racial or ethnic groups – narrowed slightly between 2011 and 2014 in Connecticut.

Achievement gaps impact graduation rates and college performance. Among the Class of 2013, 64 percent of Black students and 59 percent of Hispanic students in the state went on to college within a year after graduating from high school, compared to 78 percent of White students. They also had lower 6-year college graduation rates: While 54 percent of White students got a college degree within 6 years, only 24 percent of Black students and 21 percent of Hispanic students did the same (Connecticut State Department of Education, 2015).

The updated ALICE Report recommends both short-term and long-term strategies to help ALICE families and strengthen our communities. United Ways work with many community partners to provide support to ALICE families to help them get through a crisis and avoid a downward spiral into even worse circumstances such as homelessness as well as assisting with financial literacy, education and workforce readiness.

Further, United Ways in Connecticut have invested more than $8.5 million in child care and early learning; $1.3 million in housing and homeless prevention work; $5 million in basic needs programs; and, have assisted working families in obtaining nearly $40 million in EITC and tax refunds and credits in 2016.

The updated Connecticut ALICE Report was funded by the 16 Connecticut United Ways. For more information or to find data about ALICE in local communities, visit http://alice.ctunitedway.org.  Connecticut United Ways are joining with United Ways in fifteen other states to provide statewide ALICE Reports. The updated Connecticut ALICE Report provides analysis of how many households are struggling in every town, and what it costs to pay for basic necessities in different parts of the state (Household Survival Budget).

https://youtu.be/u7gPJGu2psw

 [2014 ALICE introductory video]