massachusetts healthy aging community data ......data allow. in other cases, we could only report...

MASSACHUSETTS HEALTHY AGING COMMUNITY DATA PROFILE

Middlesex County

Acton Arlington Ashby Ashland Ayer Bedford Belmont Billerica Boxborough Burlington Cambridge Carlisle Chelmsford Concord Dracut Dunstable Everett Framingham Groton Holliston Hopkinton Hudson Lexington Lincoln Littleton Lowell Malden Marlborough Maynard Medford

Melrose Natick Newton North Reading Pepperell Reading Sherborn Shirley Somerville Stoneham Stow Sudbury Tewksbury Townsend Tyngsborough Wakefield Waltham Watertown Wayland Westford Weston Wilmington Winchester Woburn

ACTON PAGE 1

MASSACHUSETTS HEALTHY AGING COMMUNITY PROFILE

Acton (Middlesex) Acton is a suburban town northwest of Boston with 2,261 residents aged 65 or older. The walkscore indicates it is a somewhat walkable community (51/100). Compared to Massachusetts state averages, older residents of Acton do better on many indicators of healthy aging having lower rates of: depression, Alzheimer’s disease, COPD, hypertension, ischemic heart disease, congestive heart failure, lung cancer, and osteoporosis. Older residents of Acton do very well in terms of health promotion (higher rates of getting flu shots, higher rates of physical activity, mammography, dentist visits, eating fruits and vegetables, and not smoking). Community resources to promote healthy aging include a COA walking club, a Senior Center and Council on Aging, Parks and Recreation department and lifelong learning opportunities.

POPULATION CHARACTERISTICS COMMUNITY ESTIMATE

STATE ESTIMATE

Total population all ages 21,924 6,547,629

Population 60 years or older as % of total population 15.6% 19.2%

Total population 60 years or older 3,371 1,249,723


Total population 65 years or older 2,261 891,303

% 65-74 years 61.5% 49.8%

% 75-84 years 24.7% 34.3%

% 85 years or older 13.8% 15.8%

Gender (65+ population)

% female 53.9% 58.5%

Race/Ethnicity (65+ population)

% White 86.8% 91.5%

% African American 1.4% 3.8%

% Asian 11.0% 2.7%

% Other 0.8% 2.1%

% Hispanic/Latino 0.4% 2.9%

Marital Status (65+ population)

% married 63.1% 50.9%

% divorced/separated 9.6% 11.7%

% widowed 23.7% 30.2%

% never married 3.7% 7.3%

Education (65+ population)

% with less than high school education 5.4% 20.4%

% with high school or some college 38.0% 54.5%

% with college degree 56.7% 25.1%

% of 65+ population living alone 24.6% 30.3%

% of 65+ population who speak only English at home 80.5% 83.4%

% of 65+ population who are veterans of military service 11.8% 11.5%

Age-sex adjusted 1-year mortality rate 3.9% 4.7%

ACTON PAGE 2

HEALTHY AGING INDICATORS BETTER / WORSE STATE RATE

COMMUNITY ESTIMATE

STATE ESTIMATE

Geographic Migration (65+ population)

% moved within same county 1.7% 3.5%

% moved from different county in Massachusetts 0.0% 1.0%

% moved from different state 0.4% 0.7%

WELLNESS and PREVENTION

% any physical activity within last month B 79.2% 72.4%

% injured in a fall within last 3 months 4.8% 5.1%

% ever had hip fracture 3.9% 3.9%

% with self-reported fair or poor health status B 12.9% 20.7%

% with 15+ physically unhealthy days last month B 9.6% 14.0%

% with physical exam/check-up in past year 87.9% 90.2%

% flu shot past year B 76.7% 67.8%

% pneumonia vaccine 63.5% 60.8%

% shingles vaccine 18.0% 14.9%

% cholesterol screening 97.1% 95.8%

% mammogram within last 2 years (women) B 93.7% 85.4%

% colorectal cancer screening 68.2% 65.6%

Oral Health

% with complete tooth loss B 25.5% 35.9%

% with annual dental exam B 86.1% 76.1%

# dentists per 100,000 persons (all ages) 88 85

NUTRITION/DIET

% with 5 or more servings of fruit or vegetables per day B 32.9% 24.9%

% obese 21.0% 22.6%

% high cholesterol B 58.2% 73.6%

% current smokers B 4.6% 9.1%

% excessive drinking 10.4% 9.2%

MENTAL HEALTH

% with 15+ days poor mental health last month 5.9% 6.7%

% satisfied with life 96.8% 95.8%

% receiving adequate emotional support 83.0% 80.7%

% ever diagnosed with depression B 24.9% 28.6%

CHRONIC DISEASE

% with Alzheimer’s disease or related dementias 14.2% 14.4%

% with diabetes B 19.0% 32.1%

% with stroke 12.8% 12.6%

% with chronic obstructive pulmonary disease B 15.7% 23.3%

% with asthma 10.7% 11.8%

% with hypertension B 65.7% 77.5%

ACTON PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE

% ever had a heart attack 4.0% 5.0%

% with ischemic heart disease B 37.9% 44.1%

% with congestive heart failure B 17.0% 24.8%

% with atrial fibrillation 15.4% 16.1%

% with osteoarthritis/rheumatoid arthritis 50.3% 50.2%

% with osteoporosis B 17.3% 21.7%

% with glaucoma 23.8% 25.1%

% with cataract 64.9% 65.7%

% women with breast cancer 11.3% 10.3%

% with colon cancer 2.6% 3.3%

% men with prostate cancer 15.5% 14.6%

% with lung cancer B 1.4% 2.1%

% with hypothyroidism B 14.1% 17.2%

% with anemia B 40.3% 48.7%

% with benign prostatic hyperplasia B 34.8% 40.9%

% with chronic kidney disease B 17.4% 22.2%

Summary chronic disease measures

% with 4+ chronic conditions B 50.9% 61.5%

% with 0 chronic conditions B 12.1% 7.8%

LIVING WITH DISABILITY

% disabled for a year or more 31.3% 31.0%

Hearing impairment

% 65-74 with hearing difficulty 8.6% 7.4%

% 75+ with hearing difficulty 20.6% 21.2%

Vision impairment

% 65-74 with vision difficulty 3.4% 3.2%

% 75+ with vision difficulty 7.1% 9.3%

Cognition impairment

% 65-74 with cognition difficulty 4.0% 4.7%

% 75+ with cognition difficulty 19.3% 12.1%

Ambulatory impairment

% 65-74 with ambulatory difficulty 8.0% 12.9%

% 75+ with ambulatory difficulty 44.6% 29.4%

Self-care impairment

% 65-74 with self-care difficulty 1.7% 3.7%

% 75+ with self-care difficulty 28.0% 12.2%

Independent living impairment

% 65-74 with independent living difficulty 6.9% 7.2%

% 75+ with independent living difficulty 39.4% 24.3%

ACTON PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE

Medicare (65+ population)

% Medicare managed care enrollees 25.9% 21.2%

% dually eligible for Medicare and Medicaid 6.2% 15.9%

% with a regular doctor 96.1% 96.2%

% did not see doctor when needed due to cost 4.3% 3.7%

# of primary care providers (within 5 miles) 168 11,897

# of hospitals (within 5 miles) 0 69

# of nursing homes (within 5 miles) 4 418

# of home health agencies (in same town) 24 210

SERVICE UTILIZATION

Physician visits per year 7.4 7.6

Emergency room visits/1000 persons 65+ years per year * 503 646

Part D monthly prescription fills per person per year * 43.1 52.7

Home health visits per year 3.5 4.2

Durable medical equipment claims per year * 1.4 2.1

Inpatient hospital stays/1000 persons 65+ years per year * 271 354

Inpatient hospital readmissions (as % of admissions) * 12.6% 17.8%

Skilled nursing facility stays/1000 persons 65+ years per year 104 117

COMMUNITY VARIABLES & CIVIC ENGAGEMENT

Air Pollution/Air Quality Index

Annual # of unhealthy days for older adults 0 NA

Walkability of Community

Walkability score (0-100) Somewhat Walkable 51.0 52.6

# of registered voters (age 18+) 14,398 4,342,841

Voter participation rate in 2012 presidential election (age 18+) 83.5% 73.3%

SAFETY

Violent crime rate / 100,000 persons 150 428

Property crime rate / 100,000 persons 911 2,259

# of motor vehicle fatalities involving adult age 60+/ town 1 484

# of motor vehicle fatalities involving adult age 60+/county 87 484

ECONOMIC VARIABLES

Poverty (65+ Population)

% with income below the poverty level past year 3.6% 9.3%

Household income (65+ householder)

% households with annual income < $20,000 13.9% 28.4%

% households with annual income $20,000-49,999 31.1% 34.1%

% households with annual income > $50,000 55.0% 37.5%

ACTON PAGE 5

HEALTHY AGING INDICATORS $ COUNTY ESTIMATE

$ STATE ESTIMATE

RATIO OF COUNTY TO STATE

Elder Economic Security Standard Index

Single, homeowner without mortgage, good health $24,600 $23,808 1.03

Single, renter, good health $28,956 $27,924 1.04

Couple, homeowner without mortgage, good health $35,616 $35,532 1.00

Couple, renter, good health $39,972 $39,648 1.01 TECHNICAL NOTES *See our technical report (http://mahealthyagingcollaborative.org/data-report/explore-the-profiles/data-sources-and-methods/#technical) for information on data sources, methodology, and margin of errors. For most indicators the reported community and state values are both estimates derived from sample data. Thus, it is possible that some of the differences between state and community estimates may be due to chance associated with population sampling. We use the terms “better” and “worse” to highlight differences between local and state estimates that we are confident are not due to chance. “Better” is used where a higher/lower value should have positive implications for the health of older residents. “Worse” is used where a higher/lower score should have negative implications for the health of older residents. When the implication for healthy aging is unclear we use an *. General Notes

• We used a hierarchical approach to reporting. We report estimates for every city/town in Massachusetts and 16 Boston neighborhoods when data allow. In other cases, we could only report indicators for aggregated areas (e.g., 14 MA counties, 33 Aging Service Access Points, 310 or 311 geographic units). The same estimate is reported for all cities/towns within aggregated geographic areas.

• Total population estimates are from the 2010 Census and are reported for 367 geographic units (351 individual cities/towns and 16 subareas within Boston). Other population characteristic estimates are from the American Community Survey (ACS) (either 2007-2011 or 2008-2012) and are reported for the 367 geographic units. Note that % may not add up to 100% due to rounding error.

• Mortality rate, specific chronic disease, access and utilization estimates are for beneficiaries 65 years or older in 2011 from the 2011 Centers for Medicare and Medicaid Services (CMS) Master Beneficiary Summary File (MBSF). For these estimates some towns with smaller populations were aggregated together, resulting in 311 geographic areas in the state. The same estimate is reported for all cities/towns within aggregated geographic areas.

• The 2007-2011 Behavioral Risk Factor Surveillance System (BRFSS) is the source for wellness, health behavior, and some prevention estimates. BRFSS indicators were estimated for persons 60 years or older for 33 geographic areas based on Aging Services Access Point (ASAP) geographic service areas. The same rate is reported for all cities/towns within the same ASAP service area.

• Dentist supply estimates for 2010 were from the Area Resource File for 14 MA counties. The same rate is reported for all cities/towns within the same county.

• Access to care data pertaining to the # of primary care providers, hospitals, nursing homes, and home health agencies were obtained July-August 2014 from the following CMS websites: http://www.medicare.gov/nursinghomecompare/search.html, http://www.medicare.gov/homehealthcompare/search.html, http://www.medicare.gov/hospitalcompare/search.html, http://www.medicare.gov/physiciancompare/results.html.

• Walkability Estimates were downloaded from http://www.walkscore.com/ in July-August, 2013 using the finder term “city/town name, Massachusetts.” Estimates are reported for 367 individual cities/towns and subareas within Boston. “NA” is reported for towns where data on block length and intersection density were not posted. The state estimates are simple unweighted averages of the values reported for all towns with posted data and the 16 subareas within Boston.

• Air pollution/air quality estimates are from the US Environmental Protection Agency reported for 14 MA counties for older adults with no specific health concerns (2013). The same rate is reported for cities/towns within the same county.

• 2012 voter participation data from the Massachusetts Elections Division, Secretary of the Commonwealth. • Estimates are from 2007-2011 FBI Uniform Crime Reports (http://www.fbi.gov/stats-services/crimestats). Some towns with smaller populations

were aggregated together resulting in 310 geographic areas in the state. The same rate is reported for all cities/towns within these aggregated geographic areas and for subareas within Boston.

• Data on fatal auto (driver, passenger) and pedestrian accidents for persons age 60+ is from the Fatal Accident Reporting System of the National Highway Traffic Safety Administration (2008-2012), reported at the town and county level.

• The household income < $20,000 estimates are from the 2007-2011 ACS and are reported for individual cities/towns. The city of Boston rate is reported for all subareas within Boston. Poverty status for adults 65+ ACS 2007-2011.

• The 2010 Elder Economic Security Standard Index estimates were downloaded from http://www.basiceconomicsecurity.org/EI/ for 14 counties for persons 65 years or older. The same rate is reported for all cities/towns within the same county.

• The University of Massachusetts Boston Gerontology Institute Research Team includes: Elizabeth Dugan, Frank Porell, Nina Silverstein, Chae Man Lee, Joo Suk Chae, Brittany Gaines, Kristina Turk, Mei Chen, and Hyo Jung Lee. We thank Amanda Cox from the NYTimes.com for data visualization contributions.

• *Please send your questions/comments/ideas to [email protected] or post to the Massachusetts Healthy Aging Collaborative website at http://mahealthyagingcollaborative.org/connect/conversations/

http://www.medicare.gov/nursinghomecompare/search.html

http://www.medicare.gov/homehealthcompare/search.html

http://www.medicare.gov/hospitalcompare/search.html

mailto:[email protected]

ARLINGTON PAGE 1


Arlington (Middlesex)

Arlington is a town 6 miles from Boston with 6,651 residents aged 65 or older. The walkscore indicates the community is extremely walkable (91/100). Compared to state averages, older residents of Arlington do better on many healthy aging indicators: self-rated health, diabetes, stroke, COPD, hypertension, and tooth loss; however, they have higher rates of osteoporosis, breast cancer, and glaucoma. They are likely to have fewer emergency room visits and take less than the state average number of monthly prescription medications. However, compared to state averages older residents have a higher rate of hospital readmissions. Community resources to promote healthy aging include having a walking club, Council on Aging, and recreation department. Arlington has several resources to promote senior transportation including access to the MBTA Ride, ITNGreaterBoston, and a volunteer driver program.


STATE ESTIMATE






% 65-74 years 49.8% 49.8%

% 75-84 years 34.4% 34.3%

% 85 years or older 15.8% 15.8%


% female 58.4% 58.5%


% White 97.2% 91.5%


% Asian 2.6% 2.7%

% Other 0.1% 2.1%



% married 55.6% 50.9%


% widowed 22.4% 30.2%










ARLINGTON PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH




% ever diagnosed with depression 28.1% 28.6%

CHRONIC DISEASE



% with stroke B 11.1% 12.6%


% with asthma B 9.1% 11.8%


ARLINGTON PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE


% with ischemic heart disease 43.9% 44.1%

% with congestive heart failure 23.4% 24.8%



% with osteoporosis W 23.5% 21.7%

% with glaucoma W 27.8% 25.1%


% women with breast cancer W 11.8% 10.3%



% with lung cancer 1.9% 2.1%

% with hypothyroidism 17.0% 17.2%

% with anemia 48.3% 48.7%

% with benign prostatic hyperplasia 38.6% 40.9%




% with 0 chronic conditions 8.3% 7.8%



Hearing impairment



Vision impairment















ARLINGTON PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION

Physician visits per year * 7.1 7.6





Inpatient hospital stays/1000 persons 65+ years per year 347 354







Walkability score (0-100) Walker's Paradise 91.0 52.6



SAFETY


Property crime rate / 100,000 persons 1,452 2,259



ECONOMIC VARIABLES







ARLINGTON PAGE 5


$ STATE ESTIMATE


























ASHBY PAGE 1


Ashby (Middlesex) Ashby is a rural town in north central Massachusetts with 318 residents aged 65 or older. The walkscore indicates that it is a car dependent (37/100) community. Ashby older residents do better than state averages on: hypertension, arthritis, prostate cancer, osteoporosis, and use rate of prescription medications. However, compared to state averages older residents of Ashby have higher rates of hip fracture and tooth loss. They are less likely to take the health promotion step of having a shingles vaccine. Community resources to promote healthy aging include a walking club, a Council on Aging, and Cultural Council. However, community resources for senior transportation and physical activity are limited.


STATE ESTIMATE



Total population 60 years or older 480 1,249,723


Total population 65 years or older 318 891,303

% 65-74 years 54.4% 49.8%

% 75-84 years 33.3% 34.3%

% 85 years or older 12.3% 15.8%


% female 56.0% 58.5%


% White 97.5% 91.5%


% Asian 1.6% 2.7%

% Other 0.9% 2.1%



% married 56.6% 50.9%


% widowed 32.1% 30.2%









Age-sex adjusted 1-year mortality rate B 3.3% 4.7%

ASHBY PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE






% any physical activity within last month 72.4% 72.4%


% ever had hip fracture W 5.6% 3.9%

% with self-reported fair or poor health status 25.0% 20.7%

% with 15+ physically unhealthy days last month 15.7% 14.0%


% flu shot past year 65.8% 67.8%


% shingles vaccine W 8.7% 14.9%


% mammogram within last 2 years (women) 84.8% 85.4%


Oral Health

% with complete tooth loss W 45.5% 35.9%

% with annual dental exam 74.9% 76.1%


NUTRITION/DIET

% with 5 or more servings of fruit or vegetables per day 24.1% 24.9%

% obese 24.2% 22.6%


% current smokers 10.6% 9.1%


MENTAL HEALTH





CHRONIC DISEASE


% with diabetes 32.6% 32.1%


% with chronic obstructive pulmonary disease 22.7% 23.3%



ASHBY PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE





% with osteoarthritis/rheumatoid arthritis B 44.8% 50.2%



% with cataract B 57.5% 65.7%



% men with prostate cancer B 11.0% 14.6%





% with chronic kidney disease 21.7% 22.2%





% disabled for a year or more W 37.2% 31.0%

Hearing impairment



Vision impairment















ASHBY PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION


Emergency room visits/1000 persons 65+ years per year 582 646



Durable medical equipment claims per year 2.5 2.1


Inpatient hospital readmissions (as % of admissions) 19.8% 17.8%






Walkability score (0-100) Car Dependent 37.0 52.6



SAFETY





ECONOMIC VARIABLES







ASHBY PAGE 5


$ STATE ESTIMATE


























ASHLAND PAGE 1


Ashland (Middlesex) Ashland is a town in the Metrowest region with 1,681 residents aged 65 or older. The walkscore indicates it is a very walkable community (86/100). Compared to state averages, Ashland older residents do better on a number of healthy aging indicators including having lower rates of COPD, heart attacks, and glaucoma. Community resources to promote healthy aging include a Council on Aging, recreation department, and lifelong learning opportunities. Senior transportation resources include access to the MBTA Ride and to ITNGreaterBoston. Physical activity resources are limited.


STATE ESTIMATE






% 65-74 years 55.4% 49.8%

% 75-84 years 28.1% 34.3%

% 85 years or older 16.5% 15.8%


% female 61.1% 58.5%


% White 96.4% 91.5%


% Asian 0.0% 2.7%

% Other 0.0% 2.1%



% married 53.3% 50.9%


% widowed 29.2% 30.2%










ASHLAND PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health

% with complete tooth loss 34.6% 35.9%



NUTRITION/DIET


% obese 23.7% 22.6%

% high cholesterol 72.1% 73.6%



MENTAL HEALTH



% receiving adequate emotional support B 85.2% 80.7%


CHRONIC DISEASE






% with hypertension 75.9% 77.5%

ASHLAND PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE

% ever had a heart attack B 3.5% 5.0%





% with osteoporosis 23.1% 21.7%

% with glaucoma B 22.5% 25.1%









% with chronic kidney disease W 25.2% 22.2%


% with 4+ chronic conditions 58.7% 61.5%




Hearing impairment



Vision impairment















ASHLAND PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION



Part D monthly prescription fills per person per year 51.3 52.7










Walkability score (0-100) Very Walkable 86.0 52.6



SAFETY





ECONOMIC VARIABLES







ASHLAND PAGE 5


$ STATE ESTIMATE


























AYER PAGE 1


Ayer (Middlesex) Ayer is a town approximately 35 miles northwest of Boston with 1,047 residents aged 65 or older. The walkscore indicates it is a very walkable community (83/100). Older residents of Ayer have higher rates of diabetes, ischemic heart disease, congestive heart failure, and glaucoma. They have a greater rate of tooth loss and are less likely to take the health promotion step of getting a shingles vaccine. In addition, older residents of Ayer have a higher than the state average rate of emergency room visits. Community resources to promote healthy aging include a Council on Aging and a Cultural Council. Senior transportation options and physical activity resources are limited.


STATE ESTIMATE






% 65-74 years 37.3% 49.8%

% 75-84 years 46.1% 34.3%

% 85 years or older 16.5% 15.8%


% female 69.3% 58.5%


% White 95.3% 91.5%


% Asian 0.0% 2.7%

% Other 0.0% 2.1%



% married 39.9% 50.9%


% widowed 44.7% 30.2%










AYER PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.2% 22.6%




MENTAL HEALTH





CHRONIC DISEASE


% with diabetes W 40.0% 32.1%





AYER PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE


% with ischemic heart disease W 59.4% 44.1%

% with congestive heart failure W 34.6% 24.8%

% with atrial fibrillation W 20.6% 16.1%










% with anemia W 53.3% 48.7%








Hearing impairment



Vision impairment















AYER PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION




Home health visits per year * 6.5 4.2












SAFETY





ECONOMIC VARIABLES







AYER PAGE 5


$ STATE ESTIMATE


























BEDFORD PAGE 1


Bedford (Middlesex)

Bedford is a town approximately 15 miles northwest of Boston with 2,201 residents aged 65 or older. The walkscore indicates it is a somewhat walkable community (60/100). Older residents of Bedford do better on many of the healthy aging indicators such as having lower rates of diabetes, COPD, hypertension, ischemic heart disease, congestive heart failure, and tooth loss; however, they have higher rates of glaucoma and breast cancer. Residents of Bedford do better than state average on health promotion indicators: physical activity, flu shots, mammograms, eating fruits and vegetables, not smoking, and going to the dentist. Their healthcare utilizations reflect healthy aging with fewer hospital stays and emergency room visits. Community resources to promote healthy aging include a walking club, access to the MBTA Ride, a Council on Aging, and Cultural Council.


STATE ESTIMATE






% 65-74 years 35.6% 49.8%

% 75-84 years 45.7% 34.3%

% 85 years or older 18.7% 15.8%


% female 56.9% 58.5%


% White 97.9% 91.5%


% Asian 0.4% 2.7%

% Other 0.1% 2.1%



% married 53.0% 50.9%


% widowed 31.6% 30.2%










BEDFORD PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







BEDFORD PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















BEDFORD PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION








Skilled nursing facility stays/1000 persons 65+ years per year * 88 117








SAFETY





ECONOMIC VARIABLES







BEDFORD PAGE 5


$ STATE ESTIMATE


























BELMONT PAGE 1


Belmont (Middlesex)

Belmont is a town 7 miles northwest of Boston with 3,799 residents aged 65 or older. The walkscore indicates it is a very walkable community (72/100). Older residents of Belmont are doing better on most healthy aging indicators. They have lower than state average rates for: diabetes, stroke COPD, hypertension, heart attack, congestive heart failure, and tooth loss; however, they have a higher rate for breast cancer. Compared to state averages, older residents of Belmont are doing better on health promotion behaviors by maintaining a healthy weight, eating fruits and vegetables, physical activity, taking flu shots and shingles vaccine, colorectal cancer screening and seeing a dentist. They take fewer monthly prescription medications. Health utilization indicators in Belmont are lower than state averages for: hospital stays, nursing home stays, home health visits, and emergency room visits. Community resources to promote healthy aging include access to the MBTA Ride, a Council on Aging, and recreation department.


STATE ESTIMATE






% 65-74 years 49.2% 49.8%

% 75-84 years 36.7% 34.3%

% 85 years or older 14.0% 15.8%


% female 57.1% 58.5%


% White 93.3% 91.5%


% Asian 5.1% 2.7%

% Other 0.0% 2.1%



% married 61.0% 50.9%


% widowed 23.8% 30.2%










BELMONT PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE














% shingles vaccine B 21.8% 14.9%



% colorectal cancer screening B 74.0% 65.6%

Oral Health




NUTRITION/DIET


% obese B 15.8% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







BELMONT PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE





















% disabled for a year or more B 25.2% 31.0%

Hearing impairment



Vision impairment















BELMONT PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE





% did not see doctor when needed due to cost B 1.4% 3.7%





SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







BELMONT PAGE 5


$ STATE ESTIMATE


























BILLERICA PAGE 1


Billerica (Middlesex) Billerica is a town north of Boston with 4,643 residents aged 65 or older. Compared to state averages, older residents of Billerica do better on many indicators of healthy aging by having lower rates of depression, Alzheimer’s disease, hypertension, ischemic heart disease, congestive heart failure, arthritis, hip fracture, colon and prostate cancer, and osteoporosis; however, they have a higher rate of diabetes. They have fewer emergency room visits. Community resources to promote healthy aging include a walking club, access to the LRTA, a Council on Aging, and recreation department. Senior transportation options and physical activity resources are limited.


STATE ESTIMATE






% 65-74 years 65.6% 49.8%

% 75-84 years 23.9% 34.3%

% 85 years or older 10.5% 15.8%


% female 54.9% 58.5%


% White 97.2% 91.5%


% Asian 1.7% 2.7%

% Other 0.6% 2.1%



% married 62.7% 50.9%


% widowed 24.6% 30.2%










BILLERICA PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE








% ever had hip fracture B 2.8% 3.9%










Oral Health




NUTRITION/DIET


% obese 23.3% 22.6%




MENTAL HEALTH





CHRONIC DISEASE

% with Alzheimer’s disease or related dementias B 12.3% 14.4%






BILLERICA PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE




% with atrial fibrillation B 14.7% 16.1%






% with colon cancer B 2.6% 3.3%












Hearing impairment



Vision impairment















BILLERICA PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







BILLERICA PAGE 5


$ STATE ESTIMATE


























BOXBOROUGH PAGE 1


Boxborough (Middlesex)

Boxborough is rural town northwest of Boston with 474 residents aged 65 and older. The walkscore indicates it is a car dependent community (35/100). Compared to state averages, older residents of Boxborough do very well on healthy aging indicators. They are better than state averages with lower rates of: diabetes, COPD, hypertension, congestive heart failure, arthritis, osteoporosis, and tooth loss. They have fewer hospital stays and readmissions, nursing home stays, home health visits, emergency room visits, and a lower use rate of prescription medications. Their health promotion behaviors include physical activity, flu shots, annual dental visits, eating fruits and vegetables, and not smoking. Community resources to promote healthy aging include a Council on Aging and recreation department. Senior transportation options and physical activity resources are limited.


STATE ESTIMATE






% 65-74 years 61.2% 49.8%

% 75-84 years 25.3% 34.3%

% 85 years or older 13.5% 15.8%


% female 58.2% 58.5%


% White 90.3% 91.5%


% Asian 9.7% 2.7%

% Other 0.0% 2.1%



% married 54.9% 50.9%


% widowed 20.7% 30.2%










BOXBOROUGH PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







BOXBOROUGH PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















BOXBOROUGH PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







BOXBOROUGH PAGE 5


$ STATE ESTIMATE


























BURLINGTON PAGE 1


Burlington (Middlesex) Burlington is a town north of Boston with 4,069 residents aged 65 or older. The walkscore indicates it is a somewhat walkable community (68/100). Older residents of Burlington do better than state averages on most of the indicators of healthy aging including: self-rated health, rates, depression, diabetes, stroke, COPD, hypertension, arthritis, and quality of care measures. The only indicator where older residents of Burlington do worse than state averages in on rate of glaucoma. Community resources to promote healthy aging include a Council on Aging, Cultural Council, lifelong learning opportunities, and access to senior transportation (MBTA Ride).


STATE ESTIMATE






% 65-74 years 53.6% 49.8%

% 75-84 years 37.3% 34.3%

% 85 years or older 9.0% 15.8%


% female 59.8% 58.5%


% White 94.6% 91.5%


% Asian 4.2% 2.7%

% Other 0.5% 2.1%



% married 58.0% 50.9%


% widowed 27.6% 30.2%










BURLINGTON PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







BURLINGTON PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















BURLINGTON PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







BURLINGTON PAGE 5


$ STATE ESTIMATE


























CAMBRIDGE PAGE 1


Cambridge (Middlesex) Cambridge is a city in Massachusetts with 10,574 residents aged 65 or older. The walkscore indicates it is an extremely walkable community (89/100). Compared to state averages, older residents of Cambridge do better on nearly two dozen indicators of healthy aging related to chronic disease, preventive health, and quality of care. The only health indicator where older residents were worse compared to state averages was on depression. Cambridge is a community with many resources aimed at promoting healthy aging including: a walking club, Mass in Motion community, a YMCA, access to senior transportation (MBTA Ride, ITNGreaterBoston), a Council on Aging, arts council, and lifelong learning opportunities.


STATE ESTIMATE






% 65-74 years 51.6% 49.8%

% 75-84 years 30.6% 34.3%

% 85 years or older 17.8% 15.8%


% female 60.2% 58.5%


% White 79.8% 91.5%


% Asian 6.7% 2.7%

% Other 3.3% 2.1%



% married 44.1% 50.9%


% widowed 23.7% 30.2%










CAMBRIDGE PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE















% cholesterol screening B 98.8% 95.8%



Oral Health




NUTRITION/DIET


% obese 19.3% 22.6%




MENTAL HEALTH

% with 15+ days poor mental health last month B 2.6% 6.7%



% ever diagnosed with depression W 32.4% 28.6%

CHRONIC DISEASE







CAMBRIDGE PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















CAMBRIDGE PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE






# of primary care providers (within 5 miles) 4,564 11,897




SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







CAMBRIDGE PAGE 5


$ STATE ESTIMATE


























CARLISLE PAGE 1


Carlisle (Middlesex) Carlisle is a rural town northwest of Boston with 551 residents aged 65 or older. The walkscore indicates that this is a car dependent community (31/100). By nearly every measure, older residents of Carlisle are doing better than state averages on indicators related to preventive health, quality of care, and chronic diseases. Community resources to promote healthy aging include a walking club, a Council on Aging, and arts council. Access to senior transportation is limited.


STATE ESTIMATE






% 65-74 years 64.2% 49.8%

% 75-84 years 34.5% 34.3%



% female 41.0% 58.5%


% White 78.4% 91.5%


% Asian 20.5% 2.7%

% Other 0.0% 2.1%



% married 77.5% 50.9%


% widowed 15.8% 30.2%










CARLISLE PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







CARLISLE PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















CARLISLE PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







CARLISLE PAGE 5


$ STATE ESTIMATE


























CHELMSFORD PAGE 1


Chelmsford (Middlesex) Chelmsford is a town located in the Greater Lowell area with 5,331 residents aged 65 or older. The walkscore indicates that this is a car dependent community (25/100). Compared to state averages, older residents in Chelmsford do better on several healthy aging indicators including: lower rates of depression, Alzheimer’s disease or related dementias, diabetes, COPD, hypertension, heart attack, ischemic heart disease, congestive heart failure, osteoarthritis/rheumatoid arthritis, prostate cancer, osteoporosis, and prescription medication use. Community resources to promote healthy aging include a walking club, a Council on Aging, a parks department, and lifelong learning opportunities/area college.


STATE ESTIMATE






% 65-74 years 54.4% 49.8%

% 75-84 years 31.2% 34.3%

% 85 years or older 14.4% 15.8%


% female 57.9% 58.5%


% White 96.1% 91.5%


% Asian 3.0% 2.7%

% Other 0.8% 2.1%



% married 59.2% 50.9%


% widowed 29.3% 30.2%










CHELMSFORD PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.3% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







CHELMSFORD PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















CHELMSFORD PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







CHELMSFORD PAGE 5


$ STATE ESTIMATE


























CONCORD PAGE 1


Concord (Middlesex) Concord is a town 20 miles west of Boston with 3,555 residents aged 65 and above. Concord is a very walkable city with a walkscore of 92/100. Compared to the state average, older residents of Concord do better on several healthy aging indicators: diabetes, COPD, hypertension, heart attacks, ischemic heart disease, congestive heart failure, tooth loss, annual hospital stays, inpatient hospital readmissions, emergency room visits, prescription medication use, physical activity in the last month, mammogram in the last two years, flu shot in the last year, annual dental exam, eating 5 or more fruits of vegetables daily, and current smoker status. However, residents of Concord score worse on Alzheimer’s disease and breast cancer. Community resources to promote healthy aging include access to the MBTA Ride, a Council on Aging, lifelong learning opportunities/area colleges, and an arts council.


STATE ESTIMATE






% 65-74 years 43.9% 49.8%

% 75-84 years 38.3% 34.3%

% 85 years or older 17.8% 15.8%


% female 55.2% 58.5%


% White 97.5% 91.5%


% Asian 0.2% 2.7%

% Other 1.2% 2.1%



% married 57.6% 50.9%


% widowed 26.1% 30.2%










CONCORD PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE

% with Alzheimer’s disease or related dementias W 16.4% 14.4%






CONCORD PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE








% with cataract W 70.3% 65.7%














Hearing impairment



Vision impairment















CONCORD PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







CONCORD PAGE 5


$ STATE ESTIMATE


























DRACUT PAGE 1


Dracut (Middlesex) Dracut is a suburban community belonging to Greater Lowell and bordering New Hampshire. It has a population of 3,623 residents 65 and older. Dracut is very walkable with a walkscore of 74/100. Compared to state averages, older residents of Dracut do better on several indicators including: Alzheimer’s and other dementias, congestive heart failure, rheumatoid arthritis/osteoarthritis, breast cancer, prostate cancer, osteoporosis, and emergency room visits. However, older residents of Dracut score worse on diabetes, COPD, hypertension, and ischemic heart disease. Community resources to promote healthy aging include a Council on Aging and a recreation department.


STATE ESTIMATE






% 65-74 years 50.7% 49.8%

% 75-84 years 35.2% 34.3%

% 85 years or older 14.1% 15.8%


% female 55.5% 58.5%


% White 95.0% 91.5%


% Asian 1.8% 2.7%

% Other 1.9% 2.1%



% married 55.1% 50.9%


% widowed 35.8% 30.2%










DRACUT PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.3% 22.6%

% high cholesterol W 78.6% 73.6%



MENTAL HEALTH





CHRONIC DISEASE




% with chronic obstructive pulmonary disease W 28.7% 23.3%


% with hypertension W 79.4% 77.5%

DRACUT PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE









% women with breast cancer B 8.6% 10.3%













Hearing impairment



Vision impairment















DRACUT PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







DRACUT PAGE 5


$ STATE ESTIMATE


























DUNSTABLE PAGE 1


Dunstable (Middlesex) Dunstable is a rural community located just south of the New Hampshire border. It has a population of 331 aged 65 and older. Dunstable is a car dependent community with a walkscore of only 32/100. Compared to state averages, older Dunstable residents do better on many healthy aging indicators including depression, hypertension, rheumatoid arthritis/osteoarthritis, glaucoma, osteoporosis, annual skilled nursing stays, and monthly prescription medication use. Community resources to promote healthy aging include access to the MBTA Ride, a Cultural Council, and a Council on Aging.


STATE ESTIMATE






% 65-74 years 69.5% 49.8%

% 75-84 years 23.3% 34.3%



% female 61.3% 58.5%


% White 100.0% 91.5%


% Asian 0.0% 2.7%

% Other 0.0% 2.1%



% married 56.2% 50.9%


% widowed 30.8% 30.2%










DUNSTABLE PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.3% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







DUNSTABLE PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















DUNSTABLE PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







DUNSTABLE PAGE 5


$ STATE ESTIMATE


























EVERETT PAGE 1


Everett (Middlesex) Everett has 4,802 people aged 65 and older. Everett is a very walkable community with a walkscore of 89/100. Compared to state averages, older residents of Everett do better on several healthy aging indicators with lower rates of stroke, rheumatoid arthritis/osteoarthritis, and prostate cancer. However, older residents of Everett have higher rates of diabetes, COPD, hypertension, congestive heart failure, and lung cancer. They have a greater than state average number of hospital stays, inpatient hospital readmissions, and emergency room visits. Community resources to promote healthy aging are a walking club, being a Mass in Motion community, access to the MBTA Ride, a Council on Aging, and a recreation department.


STATE ESTIMATE






% 65-74 years 43.5% 49.8%

% 75-84 years 39.3% 34.3%

% 85 years or older 17.2% 15.8%


% female 59.6% 58.5%


% White 90.0% 91.5%


% Asian 2.4% 2.7%

% Other 0.9% 2.1%



% married 43.7% 50.9%


% widowed 34.2% 30.2%










EVERETT PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.5% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







EVERETT PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE












% with lung cancer W 2.9% 2.1%






% with 4+ chronic conditions W 64.1% 61.5%




Hearing impairment



Vision impairment















EVERETT PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION

physician visits per year * 6.6 7.6

emergency room visits/1000 persons 65+ years per year * 760 646


home health visits per year 4.6 4.2

durable medical equipment claims per year * 2.3 2.1

inpatient hospital stays/1000 persons 65+ years per year * 399 354

inpatient hospital readmissions (as % of admissions) * 19.5% 17.8%

skilled nursing facility stays/1000 persons 65+ years per year 126 117








SAFETY





ECONOMIC VARIABLES







EVERETT PAGE 5


$ STATE ESTIMATE




















• The University of Massachusetts Boston Gerontology Institute Research Team includes: Elizabeth Dugan, Frank Porell, Nina Silverstein, Chae Man Lee, Joo Suk Chae, Brittany Gaines, Kristina Turk, Mei Chen, Deepak Kafle, and Hyo Jung Lee. We thank Amanda Cox from the NYTimes.com for data visualization contributions.

*Please send your questions/comments/ideas to [email protected] or post to http://mahealthyagingcollaborative.org/connect/conversations/





FRAMINGHAM PAGE 1


Framingham (Middlesex) Framingham is a community located 20 miles west of Boston. It has 9,020 residents aged 65 and older and is considered “a walker’s paradise” (walkscore: 95/100). Compared to state averages, older residents of Framingham have a lower rate of glaucoma. However, older residents of Framingham score have higher rates of depression, Alzheimer’s disease, hypertension, ischemic heart disease, breast cancer, colon cancer, and osteoporosis. Rates are higher than state average for annual hospital stays, inpatient hospital readmissions, and emergency room visits. Community resources to promote healthy aging include a walking club, YMCA, access to the MBTA Ride, a volunteer driver program, a Council on Aging, a Cultural Council, lifelong learning opportunities/area colleges, and it is a Mass in Motion community.


STATE ESTIMATE






% 65-74 years 50.2% 49.8%

% 75-84 years 33.0% 34.3%

% 85 years or older 16.9% 15.8%


% female 60.2% 58.5%


% White 89.5% 91.5%


% Asian 1.8% 2.7%

% Other 4.9% 2.1%



% married 47.2% 50.9%


% widowed 31.8% 30.2%










FRAMINGHAM PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.7% 22.6%




MENTAL HEALTH





CHRONIC DISEASE





% with asthma W 12.9% 11.8%


FRAMINGHAM PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE










% with colon cancer W 3.9% 3.3%



% with hypothyroidism W 19.5% 17.2%


% with benign prostatic hyperplasia W 43.4% 40.9%







Hearing impairment



Vision impairment















FRAMINGHAM PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







FRAMINGHAM PAGE 5


$ STATE ESTIMATE


























GROTON PAGE 1


Groton (Middlesex) Groton is a town in northwestern Middlesex County with 1,016 residents aged 65 and older. Groton is somewhat walkable with a walkscore of 52/100. Compared to state averages, older residents of Groton do better on several healthy aging indicators with lower rates of COPD and hypertension. However, older residents of Groton score worse than state averages on indicators such as congestive heart failure, ischemic heart disease, and tooth loss. They are less likely to take the health promotion step of having a shingles vaccine. Community resources to promote healthy aging include a Council on Aging, a recreation department, and a walking club.


STATE ESTIMATE






% 65-74 years 53.5% 49.8%

% 75-84 years 34.4% 34.3%

% 85 years or older 12.0% 15.8%


% female 53.6% 58.5%


% White 96.7% 91.5%


% Asian 0.9% 2.7%

% Other 0.0% 2.1%



% married 59.9% 50.9%


% widowed 20.2% 30.2%










GROTON PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.2% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







GROTON PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















GROTON PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







GROTON PAGE 5


$ STATE ESTIMATE


























HOLLISTON PAGE 1


Holliston (Middlesex) Holliston is a suburban town west of Boston with 1,715 residents aged 65 or older. The walkscore indicates it is a very walkable community (75/100). Older residents of Holliston do better than state averages on several indicators of healthy aging including: lower rates of Alzheimer’s disease, stroke, COPD, heart attack, congestive heart failure, arthritis, and number of monthly prescription medications. Community resources to promote healthy aging include a Council on Aging and a recreation department. Access to senior transportation and physical activity facilities are limited.


STATE ESTIMATE






% 65-74 years 55.6% 49.8%

% 75-84 years 33.5% 34.3%

% 85 years or older 10.9% 15.8%


% female 54.6% 58.5%


% White 96.0% 91.5%


% Asian 1.2% 2.7%

% Other 0.1% 2.1%



% married 58.3% 50.9%


% widowed 29.7% 30.2%










HOLLISTON PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.7% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







HOLLISTON PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















HOLLISTON PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY

Violent crime rate / 100,000 persons 1,007 428




ECONOMIC VARIABLES







HOLLISTON PAGE 5


$ STATE ESTIMATE


























HOPKINTON PAGE 1


Hopkinton (Middlesex) Hopkinton is a rural town in central Massachusetts with 1,186 residents aged 65 or older. The walkscore indicates it is a very walkable community (74/100). Compared to state averages, older residents of Hopkinton do better on several indicators of healthy aging with lower rates of depression, diabetes, COPD, heart attack, ischemic heart disease, arthritis, glaucoma, colon cancer, and osteoporosis; however, they have a higher rate for hospital readmissions. Community resources to promote healthy aging include a Council on Aging, a YMCA, and a Cultural Council. Access to senior transportation and lifelong learning opportunities are limited.


STATE ESTIMATE






% 65-74 years 59.4% 49.8%

% 75-84 years 31.8% 34.3%



% female 55.6% 58.5%


% White 98.1% 91.5%


% Asian 1.9% 2.7%

% Other 0.0% 2.1%



% married 59.6% 50.9%


% widowed 26.6% 30.2%










HOPKINTON PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.7% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







HOPKINTON PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















HOPKINTON PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







HOPKINTON PAGE 5


$ STATE ESTIMATE


























HUDSON PAGE 1


Hudson (Middlesex) Hudson is a town in the metrowest region approximately 30 miles west of Boston. It has 2,735 residents aged 65 or older. The walkscore indicates it is a very walkable community (75/100). Compared to state averages, older residents of Hudson do better on several healthy aging indicators with lower rates of COPD, glaucoma, and nursing home stays. Community resources to promote healthy aging include a walking club, a Mass in Motion community, a Council on Aging, and recreation department. Access to senior transportation and physical activity facilities are limited.


STATE ESTIMATE






% 65-74 years 56.5% 49.8%

% 75-84 years 32.4% 34.3%

% 85 years or older 11.2% 15.8%


% female 54.6% 58.5%


% White 97.5% 91.5%


% Asian 0.9% 2.7%

% Other 1.6% 2.1%



% married 63.7% 50.9%


% widowed 17.9% 30.2%










HUDSON PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.7% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







HUDSON PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















HUDSON PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







HUDSON PAGE 5


$ STATE ESTIMATE


























LEXINGTON PAGE 1


Lexington (Middlesex) Lexington is a suburban town about 14 miles northwest of Boston. It has 5,679 residents aged 65 or older and is a very walkable community (walkscore: 80/100). They do better on many healthy aging indicators with lower rates of diabetes, COPD, hypertension, heath attack, ischemic heart disease, congestive heart failure, tooth loss, hospital stays, nursing home stays, emergency room visits, and prescription medications. However, they have higher rates of Alzheimer’s disease, prostate cancer, and osteoporosis. They do well on health promotion behaviors including exercise, mammography, flu shots, annual dental check-ups, eating recommended levels of fruits and vegetables, and not smoking. Community resources to promote healthy aging include a Council on Aging, access to the MBTA Ride, and a recreation department. Access to physical activity and lifelong learning resources are limited.


STATE ESTIMATE






% 65-74 years 45.5% 49.8%

% 75-84 years 37.6% 34.3%

% 85 years or older 16.9% 15.8%


% female 56.9% 58.5%


% White 87.8% 91.5%


% Asian 10.5% 2.7%

% Other 0.0% 2.1%



% married 62.1% 50.9%


% widowed 22.6% 30.2%










LEXINGTON PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







LEXINGTON PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE











% men with prostate cancer W 16.9% 14.6%











Hearing impairment



Vision impairment















LEXINGTON PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







LEXINGTON PAGE 5


$ STATE ESTIMATE


























LINCOLN PAGE 1


Lincoln (Middlesex) Middlesex County with 796 residents aged 65 or older. The walkscore indicates this is a car dependent community (42/100). Compared to state averages, older residents of Lincoln do better on many healthy aging indicators: self-rated health, diabetes, COPD, hypertension, heart attack, ischemic heart disease, congestive heart failure, colon cancer, tooth loss, hospital stays, nursing home stays, emergency room visits, prescription medications, exercise, mammography, flu shot, annual dental check-up, eating fruits and vegetables, and not smoking. Community resources to promote healthy aging include a Council on Aging, access to the MBTA Ride and ITN Greater Boston, and a recreation department. Access to physical activity and lifelong learning resources are limited.


STATE ESTIMATE






% 65-74 years 28.3% 49.8%

% 75-84 years 36.1% 34.3%

% 85 years or older 35.7% 15.8%


% female 52.1% 58.5%


% White 100.0% 91.5%


% Asian 0.0% 2.7%

% Other 0.0% 2.1%



% married 71.7% 50.9%


% widowed 20.4% 30.2%










LINCOLN PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







LINCOLN PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















LINCOLN PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







LINCOLN PAGE 5


$ STATE ESTIMATE


























LITTLETON PAGE 1


Littleton (Middlesex) Littleton is a rural town about 35 miles northwest of Boston with 1,306 residents aged 65 or older. The walkscore indicates this is a car dependent community (32/100). Compared to state averages, older residents do better on several indicators: hypertension, arthritis, tooth loss, prescription medication use, exercise, mammography, flu shot, annual dental check-up, eating fruits and vegetables, and not smoking. They score worse on only one indicator with a higher rate of glaucoma. Community resources to promote healthy aging include a Council on Aging and a recreation department. Access to senior transportation, physical activity and lifelong learning resources are limited.


STATE ESTIMATE






% 65-74 years 42.3% 49.8%

% 75-84 years 43.5% 34.3%

% 85 years or older 14.2% 15.8%


% female 61.3% 58.5%


% White 95.3% 91.5%


% Asian 4.0% 2.7%

% Other 0.8% 2.1%



% married 46.0% 50.9%


% widowed 34.5% 30.2%










LITTLETON PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







LITTLETON PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















LITTLETON PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







LITTLETON PAGE 5


$ STATE ESTIMATE


























LOWELL PAGE 1


Lowell (Middlesex) Lowell is the fourth largest city in the state. It has 11,478 residents aged 65 or older and is a very walkable community (walkscore: 77/100). Compared to state averages, older residents do better on a few healthy aging indicators including breast cancer, prostate cancer, and osteoporosis. However, older residents of Lowell do worse on many healthy aging indicators including: depression, Alzheimer’s disease, diabetes, stroke, COPD, hypertension, heart attack, tooth loss, hospital stays, emergency room visits, exercise, screening for colon cancer, shingles vaccine, annual dental check-up, eating fruits and vegetables, and obesity. Community resources to promote healthy aging include a walking club, a Mass in Motion community, a YMCA, a Council on Aging, a recreation department, and lifelong learning opportunities. Access to senior transportation is limited.


STATE ESTIMATE






% 65-74 years 48.9% 49.8%

% 75-84 years 36.3% 34.3%

% 85 years or older 14.7% 15.8%


% female 61.8% 58.5%


% White 83.6% 91.5%


% Asian 9.4% 2.7%

% Other 4.0% 2.1%



% married 41.4% 50.9%


% widowed 38.1% 30.2%









Age-sex adjusted 1-year mortality rate W 5.5% 4.7%

LOWELL PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE






% any physical activity within last month W 58.3% 72.4%



% with self-reported fair or poor health status W 31.8% 20.7%








% colorectal cancer screening W 59.4% 65.6%

Oral Health


% with annual dental exam W 61.4% 76.1%


NUTRITION/DIET

% with 5 or more servings of fruit or vegetables per day W 14.2% 24.9%

% obese W 30.6% 22.6%




MENTAL HEALTH


% satisfied with life W 93.4% 95.8%

% receiving adequate emotional support W 72.5% 80.7%


CHRONIC DISEASE



% with stroke W 16.3% 12.6%




LOWELL PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE

% ever had a heart attack W 6.1% 5.0%








% women with breast cancer B 7.1% 10.3%













Hearing impairment



Vision impairment















LOWELL PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







LOWELL PAGE 5


$ STATE ESTIMATE


























MALDEN PAGE 1


Malden (Middlesex) Malden is a city 5 miles northwest of Boston with 7,056 residents aged 65 or older. The walkscore indicates a community that is very walkable (86/100). Compared to Massachusetts state averages, older residents of Malden have lower rates of osteoarthritis/rheumatoid arthritis, prostate cancer and osteoporosis. They have higher rates of diabetes, congestive heart failure and lung cancer. They also have a higher than state average rate of hospital admissions and emergency department visits. Community resources to promote healthy aging include being a MA Department of Public Health Mass in Motion community, having a walking club, a YMCA, a Council on Aging, a cultural council, lifelong learning opportunities, access to the MBTA Ride and to volunteer driver programs.


STATE ESTIMATE






% 65-74 years 49.6% 49.8%

% 75-84 years 35.1% 34.3%

% 85 years or older 15.3% 15.8%


% female 58.7% 58.5%


% White 80.1% 91.5%


% Asian 12.5% 2.7%

% Other 0.9% 2.1%



% married 52.4% 50.9%


% widowed 29.1% 30.2%










MALDEN PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.5% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







MALDEN PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















MALDEN PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







MALDEN PAGE 5


$ STATE ESTIMATE


























MARLBOROUGH PAGE 1


Marlborough (Middlesex) Marlborough is a city with 4,718 residents aged 65 or older. The walkscore indicates this is a very walkable community (88/100). Compared to Massachusetts state averages, older residents of Marlborough have higher rates on several medical conditions including depression, Alzheimer’s disease, COPD, hypertension and heart disease. They are also more likely than the state average rate to have more hospital admissions, emergency department visits, nursing home stays, and home health visits. Community resources to promote healthy aging include being a MA Department of Public Health Mass in Motion community, having a walking club, a Council on Aging, a cultural council and lifelong learning opportunities. They have access to ITN GreaterBoston and to volunteer driver programs.


STATE ESTIMATE






% 65-74 years 47.3% 49.8%

% 75-84 years 39.8% 34.3%

% 85 years or older 12.9% 15.8%


% female 57.2% 58.5%


% White 97.4% 91.5%


% Asian 1.0% 2.7%

% Other 0.1% 2.1%



% married 47.9% 50.9%


% widowed 31.2% 30.2%









Age-sex adjusted 1-year mortality rate W 5.6% 4.7%

MARLBOROUGH PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.7% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







MARLBOROUGH PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















MARLBOROUGH PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







MARLBOROUGH PAGE 5


$ STATE ESTIMATE


























MAYNARD PAGE 1


Maynard (Middlesex) Maynard is a town 20 miles west of Boston with 1,282 residents aged 65 or older. The walkscore indicates a this is a “walker’s paradise (98/100). Compared to Massachusetts state averages, older residents of Maynard have lower rates of diabetes, COPD, hypertension, congestive heart failure, osteoarthritis/rheumatoid arthritis, osteoporosis and tooth loss. They take fewer than the average number of monthly prescription medications. They are likely to engage in the health promotion steps of exercising, mammograms, flu shots, eating 5 or more daily servings of fruits and vegetables and not smoking. Community resources to promote healthy aging include a Council on Aging and a Cultural Council.


STATE ESTIMATE






% 65-74 years 46.4% 49.8%

% 75-84 years 42.2% 34.3%

% 85 years or older 11.4% 15.8%


% female 52.1% 58.5%


% White 100.0% 91.5%


% Asian 0.0% 2.7%

% Other 0.0% 2.1%



% married 56.4% 50.9%


% widowed 24.9% 30.2%










MAYNARD PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







MAYNARD PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















MAYNARD PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







MAYNARD PAGE 5


$ STATE ESTIMATE


























MEDFORD PAGE 1


Medford (Middlesex) Medford is a city 5 miles northwest of Boston with 8,729 residents aged 65 or older. The walkscore indicates this is a very walkable community (82/100). Compared to Massachusetts state averages, older residents of Medford have lower rates of stroke and prostate cancer; they have higher rates of diabetes, heart disease, hip fracture, glaucoma, lung cancer and osteoporosis. They have a higher rate of hospital admissions and emergency department visits. Community resources to promote healthy aging include being a MA Department of Public Health Mass in Motion community, having a walking club, a Council on Aging, a Cultural Council, and access to the MBTA Ride.


STATE ESTIMATE






% 65-74 years 43.1% 49.8%

% 75-84 years 39.4% 34.3%

% 85 years or older 17.5% 15.8%


% female 59.8% 58.5%


% White 89.7% 91.5%


% Asian 4.3% 2.7%

% Other 1.4% 2.1%



% married 51.3% 50.9%


% widowed 30.0% 30.2%










MEDFORD PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.5% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







MEDFORD PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















MEDFORD PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







MEDFORD PAGE 5


$ STATE ESTIMATE


























MELROSE PAGE 1


Melrose (Middlesex) Melrose is a city located in the greater Boston metropolitan area with 4,012 residents aged 65 or older. The walkscore indicates a community that is very walkable (85/100). Compared to Massachusetts state averages, older residents of Melrose have lower rates of diabetes and osteoarthritis/rheumatoid arthritis; they have higher than state average rates for emergency department visits, hospital admissions and nursing home stays. Community resources to promote healthy aging include being a MA Department of Public Health Mass in Motion community, a YMCA, a Council on Aging, a Cultural Council and access to the MBTA Ride.


STATE ESTIMATE






% 65-74 years 47.4% 49.8%

% 75-84 years 33.4% 34.3%

% 85 years or older 19.2% 15.8%


% female 57.6% 58.5%


% White 97.1% 91.5%


% Asian 2.3% 2.7%

% Other 0.0% 2.1%



% married 51.4% 50.9%


% widowed 30.9% 30.2%










MELROSE PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.5% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







MELROSE PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















MELROSE PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







MELROSE PAGE 5


$ STATE ESTIMATE


























NATICK PAGE 1


Natick (Middlesex) Natick is a metrowest suburban community 15 miles west of Boston with 4,584 residents aged 65 or older. The walkscore indicates a community that is very walkable (77/100). Compared to Massachusetts state averages, older residents of Natick have lower rates of diabetes and COPD; but have higher rates of glaucoma, breast cancer, prostate cancer, and osteoporosis. They have greater than state average rates of hospital admissions and emergency department visits. Community resources to promote healthy aging include access to the MBTA Ride and to ITN Greater Boston, a Council on Aging, and cultural district.


STATE ESTIMATE






% 65-74 years 47.6% 49.8%

% 75-84 years 35.0% 34.3%

% 85 years or older 17.4% 15.8%


% female 59.2% 58.5%


% White 97.0% 91.5%


% Asian 1.0% 2.7%

% Other 0.6% 2.1%



% married 50.0% 50.9%


% widowed 32.0% 30.2%










NATICK PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.7% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







NATICK PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















NATICK PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







NATICK PAGE 5


$ STATE ESTIMATE


























NEWTON PAGE 1


Newton (Middlesex) Newton is a suburban city about 7 miles west of downtown Boston with 12,690 residents aged 65 or older. The walkscore indicates a community that is somewhat walkable (51/100). Compared to state averages, older residents of Newton have lower rates of diabetes, stroke, COPD, hypertension, and obesity; but they have higher rates of depression, osteoarthritis/rheumatoid arthritis, hip fracture, glaucoma, breast cancer, and osteoporosis. They take fewer monthly prescription medications than the state average rate and are more likely to engage in health promotion behaviors such as exercise, colorectal cancer screening, flu and shingles vaccines, dentist visits, eating 5 or more daily servings of fruits and vegetables, and not smoking. Community resources to promote healthy aging include a walking club, a Council on Aging, a YMCA, access to the MBTA Ride and to ITN Greater Boston, and an arts and cultural center.


STATE ESTIMATE






% 65-74 years 48.1% 49.8%

% 75-84 years 32.9% 34.3%

% 85 years or older 18.9% 15.8%


% female 56.0% 58.5%


% White 92.4% 91.5%


% Asian 5.5% 2.7%

% Other 0.3% 2.1%



% married 60.5% 50.9%


% widowed 26.0% 30.2%










NEWTON PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese B 15.8% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







NEWTON PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE





% with osteoarthritis/rheumatoid arthritis W 54.2% 50.2%

















Hearing impairment



Vision impairment















NEWTON PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







NEWTON PAGE 5


$ STATE ESTIMATE


























NORTH READING PAGE 1


North Reading (Middlesex) North Reading is an outlying suburban town in greater Boston and has 1,693 residents aged 65 or older. The walkscore indicates a community that is somewhat walkable (54/100). Compared to state averages, older residents of North Reading have lower rates of depression, COPD, hypertension, osteoarthritis/rheumatoid arthritis and osteoporosis; but they have a higher rate for glaucoma. They have fewer emergency department visits and take less than the state average number of monthly prescription medications. Community resources to promote healthy aging include a MA Department of Public Health walking club, a Council on Aging, and an arts and cultural center.


STATE ESTIMATE






% 65-74 years 65.7% 49.8%

% 75-84 years 24.0% 34.3%

% 85 years or older 10.3% 15.8%


% female 56.0% 58.5%


% White 98.9% 91.5%


% Asian 1.1% 2.7%

% Other 0.0% 2.1%



% married 52.7% 50.9%


% widowed 30.7% 30.2%












COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.5% 22.6%




MENTAL HEALTH





CHRONIC DISEASE









COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment

















COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES









$ STATE ESTIMATE


























PEPPERELL PAGE 1


Pepperell (Middlesex) Pepperell is a rural community situated 35 miles northwest of Boston adjacent to the New Hampshire border with 942 residents aged 65 or older. Pepperell is somewhat walkable with a walkscore of 63/100. Compared to state averages, older residents of Pepperell score better on these healthy aging indicators with lower rates of depression, rheumatoid arthritis/osteoarthritis, and hip fractures. However, older residents of Pepperell have higher rates of ischemic heart disease, congestive heart failure, and tooth loss. They are less likely to follow the health promotion step of having a shingles vaccine. Community resources to promote healthy aging include a Council on Aging and a recreation department.


STATE ESTIMATE






% 65-74 years 63.3% 49.8%

% 75-84 years 31.6% 34.3%



% female 56.2% 58.5%


% White 98.9% 91.5%


% Asian 0.0% 2.7%

% Other 1.1% 2.1%



% married 58.7% 50.9%


% widowed 16.3% 30.2%










PEPPERELL PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.2% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







PEPPERELL PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















PEPPERELL PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







PEPPERELL PAGE 5


$ STATE ESTIMATE


























READING PAGE 1


Reading (Middlesex) Reading is a town 11 miles north of Boston, with 3,436 residents aged 65 or older. Reading is a very walkable city with a walkscore of 80/100. Compared to state averages, older residents of Reading do better on these healthy aging indicators with lower rates of diabetes, COPD, hypertension, rheumatoid arthritis/osteoarthritis, prostate cancer, emergency room visits, and fewer monthly part D prescription medications. However, older residents of Reading have higher rates of glaucoma and breast cancer. Community resources to promote healthy aging include a walking club, a YMCA, MBTA Ride, and a Council on Aging.


STATE ESTIMATE






% 65-74 years 55.2% 49.8%

% 75-84 years 30.8% 34.3%

% 85 years or older 14.0% 15.8%


% female 59.1% 58.5%


% White 95.7% 91.5%


% Asian 3.8% 2.7%

% Other 0.4% 2.1%



% married 56.0% 50.9%


% widowed 29.0% 30.2%










READING PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.5% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







READING PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















READING PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







READING PAGE 5


$ STATE ESTIMATE


























SHERBORN PAGE 1


Sherborn (Middlesex)

Sherborn is a rural town south of Framingham with 566 residents aged 65 or older. It is a car dependent community (walkscore: 45/100). Compared to Massachusetts state averages, older residents do better on: mortality rate, high cholesterol, emotional support, depression, diabetes, COPD, asthma, hypertension, ischemic heart disease, congestive heart failure, anemia, kidney disease, nursing home stays, and lower prescription medication use. Community resources to promote healthy aging include a Council on Aging and a Parks and Recreation department. Compared to state averages Sherborn has lower crime and poverty rates. Access to senior transportation, physical activity, and lifelong learning resources are limited.


STATE ESTIMATE






% 65-74 years 56.9% 49.8%

% 75-84 years 31.1% 34.3%

% 85 years or older 12.0% 15.8%


% female 55.8% 58.5%


% White 100.0% 91.5%


% Asian 0.0% 2.7%

% Other 0.0% 2.1%



% married 66.6% 50.9%


% widowed 20.1% 30.2%










SHERBORN PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.7% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







SHERBORN PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















SHERBORN PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION

physician visits per year 7.7 7.6

emergency room visits/1000 persons 65+ years per year 578 646




inpatient hospital stays/1000 persons 65+ years per year 304 354

inpatient hospital readmissions (as % of admissions) 20.0% 17.8%

skilled nursing facility stays/1000 persons 65+ years per year * 64 117








SAFETY





ECONOMIC VARIABLES







SHERBORN PAGE 5


$ STATE ESTIMATE


























SHIRLEY PAGE 1


Shirley (Middlesex) Shirley is a rural town in north central Massachusetts with 710 residents aged 65 or older. It is a somewhat walkable community (walkscore: 57/100). Compared to Massachusetts state averages, older residents do better on: cholesterol, depression, arthritis, cataracts, anemia, BPH, hospital stays, and emergency room visits. However, compared to state averages older residents have a higher rate of asthma, disability for more than a year, and tooth loss. They are less likely to take the shingles vaccine. Community resources to promote healthy aging include a Council on Aging and a Parks and Recreation department. Access to senior transportation, physical activity, and lifelong learning resources are limited.


STATE ESTIMATE






% 65-74 years 47.3% 49.8%

% 75-84 years 41.5% 34.3%

% 85 years or older 11.1% 15.8%


% female 62.4% 58.5%


% White 96.8% 91.5%


% Asian 3.2% 2.7%

% Other 0.0% 2.1%



% married 56.5% 50.9%


% widowed 24.9% 30.2%










SHIRLEY PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.2% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







SHIRLEY PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















SHIRLEY PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION





durable medical equipment claims per year 2.4 2.1











SAFETY





ECONOMIC VARIABLES







SHIRLEY PAGE 5


$ STATE ESTIMATE


























SOMERVILLE PAGE 1


Somerville (Middlesex) Somerville is a city 3 miles from Boston with 6,767 residents aged 65 or older. Compared to Massachusetts state averages, older residents do better on: preventive health (not smoking, shingles vaccine, cholesterol monitoring), perceptions (self-rated physical and mental health), and a few chronic disease indicators (stroke, arthritis, asthma, cataracts, BPH, and prostate cancer). However, compared to state averages older residents did worse on: depression, diabetes, ischemic heart disease, congestive heart failure, anemia, kidney disease, prescription refills, durable medical equipment claims, hospital stays, and emergency room visits. There are many community resources directed to promoting healthy aging in Somerville, including: a walking club, Mass in Motion community, YMCA, Council on Aging, Parks and Recreation department, lifelong learning programs, and access to the MBTA Ride and ITN Greater Boston.


STATE ESTIMATE






% 65-74 years 45.9% 49.8%

% 75-84 years 39.4% 34.3%

% 85 years or older 14.6% 15.8%


% female 62.0% 58.5%


% White 89.5% 91.5%


% Asian 4.4% 2.7%

% Other 1.6% 2.1%



% married 42.1% 50.9%


% widowed 31.4% 30.2%










SOMERVILLE PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE















% cholesterol screening B 98.8% 95.8%



Oral Health




NUTRITION/DIET


% obese 19.3% 22.6%




MENTAL HEALTH

% with 15+ days poor mental health last month B 2.6% 6.7%




CHRONIC DISEASE







SOMERVILLE PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















SOMERVILLE PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE






# of primary care providers (within 5 miles) 4,555 11,897




SERVICE UTILIZATION
















SAFETY





ECONOMIC VARIABLES







SOMERVILLE PAGE 5


$ STATE ESTIMATE


























STONEHAM PAGE 1


Stoneham (Middlesex) Stoneham is a town 9 miles north of Boston with 3,939 residents aged 65 and older. Compared to Massachusetts state averages, older residents have lower rates of COPD. However, compared to state averages older residents have higher rates of ischemic heart disease, congestive heart failure, glaucoma, cataracts, osteoporosis, hypothyroidism, and hospital stays. Community resources to promote healthy aging include a Council on Aging, a Senior Center, and a Parks and Recreation department. Compared to state averages the voter participation rate is higher and the crime rates are lower. Access to senior transportation, physical activity, and lifelong learning resources are limited.


STATE ESTIMATE






% 65-74 years 50.6% 49.8%

% 75-84 years 32.7% 34.3%

% 85 years or older 16.8% 15.8%


% female 56.1% 58.5%


% White 96.5% 91.5%


% Asian 0.7% 2.7%

% Other 2.4% 2.1%



% married 46.2% 50.9%


% widowed 31.6% 30.2%










STONEHAM PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.5% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







STONEHAM PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















STONEHAM PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION




home health visits per year * 3.3 4.2












SAFETY





ECONOMIC VARIABLES







STONEHAM PAGE 5


$ STATE ESTIMATE


























STOW PAGE 1


Stow (Middlesex) Stow is a rural town with 808 residents aged 65 or older. Older residents of Stow are better than state average rates on most indicators – including: preventive health (not smoking, eating fruits and vegetables, annual dental check-up, flu shots, mammography, exercise); chronic disease (depression, diabetes, COPD, hypertension, congestive heart failure, arthritis, glaucoma, osteoporosis, hypothyroidism, anemia, BPH, kidney disease), service utilization (emergency room visits, nursing home stays, hospital stays, hospital readmissions, prescription refills), and tooth loss. Community resources to promote healthy aging include a walking club, a Council on Aging, and a Parks & Recreation department. Voter participation, crime, and poverty rates are all better than state average. Access to senior transportation, physical activity, and lifelong learning resources are limited.


STATE ESTIMATE






% 65-74 years 60.3% 49.8%

% 75-84 years 29.1% 34.3%

% 85 years or older 10.6% 15.8%


% female 49.4% 58.5%


% White 98.4% 91.5%


% Asian 1.6% 2.7%

% Other 0.0% 2.1%



% married 68.7% 50.9%


% widowed 20.8% 30.2%










STOW PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







STOW PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















STOW PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

ACCESS TO CARE










SERVICE UTILIZATION








skilled nursing facility stays/1000 persons 65+ years per year * 58 117








SAFETY





ECONOMIC VARIABLES







STOW PAGE 5


$ STATE ESTIMATE


























SUDBURY PAGE 1


Sudbury (Middlesex) Sudbury is a town in Boston’s Metrowest area with 2,150 residents aged 65 or older. It is a car dependent community (walkscore: 40/100). Compared to Massachusetts state averages, older residents do better on many indicators of healthy aging, with lower rates of diabetes, COPD, asthma, hypertension, ischemic heart disease, congestive heart failure, glaucoma, cataracts, anemia, kidney disease, hospital stays, hospital readmissions, emergency room visits, and prescription medication use. Community resources to promote healthy aging include a Council on Aging and a Parks and Recreation department. Voter participation rates are higher than state average and crime rates and poverty rate are lower. Access to senior transportation, lifelong learning, and physical activity resources are limited.


STATE ESTIMATE






% 65-74 years 48.4% 49.8%

% 75-84 years 40.7% 34.3%

% 85 years or older 11.0% 15.8%


% female 52.3% 58.5%


% White 93.3% 91.5%


% Asian 2.3% 2.7%

% Other 1.7% 2.1%



% married 67.2% 50.9%


% widowed 21.8% 30.2%










SUDBURY PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.7% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







SUDBURY PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE






















Hearing impairment



Vision impairment















SUDBURY PAGE 4


COMMUNITY ESTIMATE

STATE ESTIMATE

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SUDBURY PAGE 5


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TEWKSBURY PAGE 1


Tewksbury (Middlesex) Tewksbury is a town in Greater Lowell about 19 miles northwest of Boston. It has 4,117 residents aged 65 or older. It is a somewhat walkable community (walkscore 60/100). Compared to Massachusetts state averages, older residents do better on several indicators of healthy aging, including having lower rates of depression, asthma, arthritis, hip fracture, osteoporosis, cataracts, hypothyroidism, anemia, BPH, and emergency room visits. However, compared to state averages older residents have higher rates of diabetes, COPD, and lung cancer. Community resources to promote healthy aging include a walking club, Council on Aging, and a Parks and Recreation department. Voter participation, crime, and poverty rates are better than state average. Access to senior transportation, lifelong learning programs, and physical activity resources are limited.


STATE ESTIMATE






% 65-74 years 44.1% 49.8%

% 75-84 years 37.7% 34.3%

% 85 years or older 18.2% 15.8%


% female 63.7% 58.5%


% White 98.5% 91.5%


% Asian 0.3% 2.7%

% Other 0.7% 2.1%



% married 48.0% 50.9%


% widowed 39.6% 30.2%










TEWKSBURY PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.3% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







TEWKSBURY PAGE 3


COMMUNITY ESTIMATE

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Hearing impairment



Vision impairment















TEWKSBURY PAGE 4


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SAFETY





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TEWKSBURY PAGE 5


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TOWNSEND PAGE 1


Townsend (Middlesex) Townsend is a rural town in north central Massachusetts that borders New Hampshire. It has 777 residents aged 65 or older and is a somewhat walkable community (walkscore 68/100). Compared to Massachusetts state averages, older residents do better on several indicators of healthy aging, including: hypertension, arthritis, osteoporosis, cataracts, prostate cancer, anemia, BPH, and prescription medication use. However, compared to state averages they have higher rates of disability, hip fracture, and tooth loss. They are less likely to take a shingles vaccine. Community resources to promote healthy aging include a Council on Aging and a Parks and Recreation department. Compared to state rates Townsend does better on voter participation, crime, and poverty rates. Access to senior transportation, lifelong learning programs, and physical activity resources are limited.


STATE ESTIMATE






% 65-74 years 58.8% 49.8%

% 75-84 years 31.9% 34.3%



% female 53.9% 58.5%


% White 100.0% 91.5%


% Asian 0.0% 2.7%

% Other 0.0% 2.1%



% married 57.1% 50.9%


% widowed 26.6% 30.2%










TOWNSEND PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.2% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







TOWNSEND PAGE 3


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Hearing impairment



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TOWNSEND PAGE 4


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ECONOMIC VARIABLES







TOWNSEND PAGE 5


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TYNGSBOROUGH PAGE 1


Tyngsborough (Middlesex)

Tyngsborough is a town located in the northeastern region of Massachusetts. It has 973 residents aged 65 or older. The walkscore indicates that this is a car dependent community (42/100). Compared to state averages older residents in Tyngsborough have lower rates of cataracts, congestive heart failure, colon cancer, osteoporosis, BPH, and inpatient hospital readmissions. However, older residents of Tyngsborough have higher rates of diabetes and stroke. Community resources to promote healthy aging include a Council on Aging and an arts and/or cultural department. Compared to state averages the rates for voter participation and property crime are better in Tyngsborough. Resources to promote physical activity and senior transportation are limited.


STATE ESTIMATE






% 65-74 years 55.1% 49.8%

% 75-84 years 31.2% 34.3%

% 85 years or older 13.7% 15.8%


% female 60.4% 58.5%


% White 96.5% 91.5%


% Asian 3.5% 2.7%

% Other 0.0% 2.1%



% married 44.7% 50.9%


% widowed 40.2% 30.2%










TYNGSBOROUGH PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.3% 22.6%




MENTAL HEALTH





CHRONIC DISEASE



% with stroke W 15.5% 12.6%




TYNGSBOROUGH PAGE 3


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Hearing impairment



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TYNGSBOROUGH PAGE 4


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TYNGSBOROUGH PAGE 5


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WAKEFIELD PAGE 1


Wakefield (Middlesex)

Wakefield is a town with 3,733 residents aged 65 or older. The walkscore indicates that this is a very walkable community (86/100). Compared to state averages older residents of Wakefield have lower rates of chronic obstructive pulmonary disease (COPD), asthma, glaucoma, hypothyroidism, and BPH. However, older residents of Wakefield have higher rates of heart attack, ischemic heart disease, congestive heart failure, and lung cancer. Community resources to promote healthy aging include: Mass in Motion, a Council on Aging, senior center, and an arts and/or cultural department. Compared to state average, the voter participation, crime, and poverty rates are better in Wakefield. However, resources to promote senior transportation are limited.


STATE ESTIMATE






% 65-74 years 55.1% 49.8%

% 75-84 years 27.2% 34.3%

% 85 years or older 17.7% 15.8%


% female 59.7% 58.5%


% White 96.5% 91.5%


% Asian 3.1% 2.7%

% Other 0.3% 2.1%



% married 47.3% 50.9%


% widowed 36.5% 30.2%










WAKEFIELD PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 24.5% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







WAKEFIELD PAGE 3


COMMUNITY ESTIMATE

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Hearing impairment



Vision impairment















WAKEFIELD PAGE 4


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SAFETY





ECONOMIC VARIABLES







WAKEFIELD PAGE 5


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WALTHAM PAGE 1


Waltham (Middlesex)

Waltham is a town located approximately 10 miles west of Boston with 7,054 residents aged 65 or older. Compared to state averages older residents of Waltham have lower rates of hypertension, kidney disease, disability, complete tooth loss, obesity, and prescription medication use. Health promotion behavior includes physical activity, colorectal cancer screening, flu shot, shingles vaccine, annual dental exam, and eating 5 or servings of fruit or vegetables per day, and not smoking. Community resources to promote healthy aging include: Mass in Motion, YMCA, MBTA Ride, volunteer driving program, a Council on Aging, and lifelong learning opportunities/area college.


STATE ESTIMATE






% 65-74 years 49.5% 49.8%

% 75-84 years 36.9% 34.3%

% 85 years or older 13.5% 15.8%


% female 61.3% 58.5%


% White 90.1% 91.5%


% Asian 6.3% 2.7%

% Other 0.4% 2.1%



% married 52.1% 50.9%


% widowed 27.2% 30.2%










WALTHAM PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese B 15.8% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







WALTHAM PAGE 3


COMMUNITY ESTIMATE

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Hearing impairment



Vision impairment















WALTHAM PAGE 4


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ECONOMIC VARIABLES







WALTHAM PAGE 5


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WATERTOWN PAGE 1


Watertown (Middlesex)

Watertown is a town located approximately 10 miles west of Boston. It has 4,702 residents aged 65 or older. Compared to state averages older residents of Watertown do better on many healthy aging indicators with lower rates of: diabetes, chronic obstructive pulmonary disease (COPD), asthma, hypertension, disability, complete tooth loss, obesity, prescription refills, and hospital readmissions. Health promotion behaviors include physical activity, colorectal cancer screening, flu shot, shingles vaccine, annual dental exam, eating 5 or more servings of fruit or vegetables per day, and not smoking. However, older residents of Watertown do worse than state average with higher rates of depression, ischemic heart disease, breast cancer, and anemia. Community resources to promote healthy aging include: MBTA Ride, volunteer driving program, a Council on Aging, MA/NH Chapter of the Alzheimer’s Association, and an arts and/or cultural department. The % of adults 65+ living in poverty is higher than state average.


STATE ESTIMATE






% 65-74 years 48.3% 49.8%

% 75-84 years 38.1% 34.3%

% 85 years or older 13.6% 15.8%


% female 60.3% 58.5%


% White 95.8% 91.5%


% Asian 2.2% 2.7%

% Other 1.6% 2.1%



% married 54.3% 50.9%


% widowed 23.4% 30.2%










WATERTOWN PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese B 15.8% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







WATERTOWN PAGE 3


COMMUNITY ESTIMATE

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Hearing impairment



Vision impairment















WATERTOWN PAGE 4


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SAFETY





ECONOMIC VARIABLES







WATERTOWN PAGE 5


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WAYLAND PAGE 1


Wayland (Middlesex)

Wayland is a town located approximately 20 west of Boston. It has 2,253 residents aged 65 or older. Compared to state averages older residents of Wayland do better on many healthy aging indicators with lower rates of: depression, Alzheimer’s disease, diabetes, stroke, COPD, hypertension, heart attack, ischemic heart disease, congestive heart failure, anemia, kidney disease, annual hospital stays, emergency room visits, and annual prescription medication use. However, older residents of Wayland do worse than state average on: glaucoma, breast cancer, BPH, and osteoporosis. Community resources to promote healthy aging include: a Council on Aging, senior center, and an arts and/or cultural department. Voter participation rate is higher than state average while crime and poverty rates are lower. Resources to promote physical activity and senior transportation are limited.


STATE ESTIMATE






% 65-74 years 53.7% 49.8%

% 75-84 years 34.8% 34.3%

% 85 years or older 11.5% 15.8%


% female 55.4% 58.5%


% White 92.9% 91.5%


% Asian 5.5% 2.7%

% Other 1.1% 2.1%



% married 69.1% 50.9%


% widowed 21.3% 30.2%










WAYLAND PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.7% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







WAYLAND PAGE 3


COMMUNITY ESTIMATE

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Hearing impairment



Vision impairment















WAYLAND PAGE 4


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SAFETY





ECONOMIC VARIABLES







WAYLAND PAGE 5


$ STATE ESTIMATE


























WESTFORD PAGE 1


Westford (Middlesex)

Westford is a town located approximately 35 miles northwest of Boston with 2,180 residents aged 65 or older. Compared to state averages, older residents of Westford do better on several healthy aging indicators: depression, Alzheimer’s disease, diabetes, COPD, asthma, hypertension, ischemic heart disease, congestive heart failure, atrial fibrillation, arthritis, osteoporosis, cataracts, prostate cancer, hypothyroidism, anemia, BPH, emergency room visits, and prescription medication use. However, older residents of Westford have a higher rate of glaucoma. Community resources to promote healthy aging include: a Council on Aging and arts and/or cultural department. The voter participation, crime, and poverty rates are all better than state averages. Resources to promote physical activity and senior transportation are limited.


STATE ESTIMATE






% 65-74 years 66.4% 49.8%

% 75-84 years 23.4% 34.3%

% 85 years or older 10.1% 15.8%


% female 52.8% 58.5%


% White 87.6% 91.5%


% Asian 11.2% 2.7%

% Other 0.6% 2.1%



% married 65.8% 50.9%


% widowed 21.7% 30.2%










WESTFORD PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 23.3% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







WESTFORD PAGE 3


COMMUNITY ESTIMATE

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Hearing impairment



Vision impairment















WESTFORD PAGE 4


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SAFETY





ECONOMIC VARIABLES







WESTFORD PAGE 5


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WESTON PAGE 1


Weston (Middlesex)

Weston is an affluent Boston suburb with 1,778 residents aged 65 or older. More than 70% of 65+ households have annual incomes above $50,000. Compared to state average, older residents of Weston do better on many healthy aging indicators with lower rates of obesity, high cholesterol, smoking, diabetes, stroke, COPD, asthma, hypertension, heart attack, kidney disease, disability, and emergency room visits. Health promotion behaviors include physical activity, colorectal cancer screening, flu shot, shingles vaccine, annual dental exam, and eating 5 or more servings of fruit or vegetables per day. However, older residents of Weston do worse than state average on: atrial fibrillation, arthritis, glaucoma, cataracts, prostate cancer, hypothyroidism, and BPH. Community resources to promote healthy aging include: a walking club, a Council on Aging, an arts and/or cultural department, and lifelong learning opportunities/area college. Voter participation and crime rates are better than state averages.


STATE ESTIMATE






% 65-74 years 41.2% 49.8%

% 75-84 years 40.3% 34.3%

% 85 years or older 18.5% 15.8%


% female 53.0% 58.5%


% White 90.0% 91.5%


% Asian 5.8% 2.7%

% Other 1.7% 2.1%



% married 64.6% 50.9%


% widowed 24.0% 30.2%










WESTON PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese B 15.8% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







WESTON PAGE 3


COMMUNITY ESTIMATE

STATE ESTIMATE





% with osteoarthritis/rheumatoid arthritis W 55.4% 50.2%

















Hearing impairment



Vision impairment















WESTON PAGE 4


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SAFETY





ECONOMIC VARIABLES







WESTON PAGE 5


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WILMINGTON PAGE 1


Wilmington (Middlesex)

Wilmington is a town located approximately 20 miles northwest of Boston with 2,903 residents aged 65 or older. Compared to state averages older residents in Wilmington do better on several healthy aging indicators with lower rates of depression, asthma, atrial fibrillation, arthritis, cataracts, anemia, BPH, complete tooth loss, emergency room visits, and annual Part D monthly prescription medications. Health promotion behaviors include physical activity, mammogram within 2 years, flu shot, annual dental exam, 5 or more servings of fruit or vegetables per day, and not smoking. However, older residents of Wilmington have higher rates of glaucoma, annual inpatient hospital stays, and inpatient hospital readmissions. Community resources to promote healthy aging includes: a Council on Aging, an arts and/or cultural department, and lifelong learning opportunities and area colleges. Resources to promote physical activity and senior transportation are limited.


STATE ESTIMATE






% 65-74 years 57.1% 49.8%

% 75-84 years 31.8% 34.3%

% 85 years or older 11.0% 15.8%


% female 57.1% 58.5%


% White 96.8% 91.5%


% Asian 2.9% 2.7%

% Other 0.2% 2.1%



% married 64.0% 50.9%


% widowed 24.9% 30.2%










WILMINGTON PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







WILMINGTON PAGE 3


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Hearing impairment



Vision impairment















WILMINGTON PAGE 4


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ECONOMIC VARIABLES







WILMINGTON PAGE 5


$ STATE ESTIMATE


























WINCHESTER PAGE 1


Winchester (Middlesex)

Winchester is a town located 8 miles north of Boston with 3,501 residents aged 65 or older. Compared to state averages, older residents in Winchester do better on many healthy aging indicators with lower rates of depression, diabetes, stroke, COPD, asthma, hypertension, anemia, kidney disease, complete tooth loss, and prescription medication use. Health promotion behaviors include physical activity, mammogram within last 2 years, flu shot, annual dental exam, 5 or more servings of fruit or vegetables per day, and not smoking. However, older residents of Winchester have higher rates of Alzheimer’s disease, glaucoma, cataracts, breast cancer, and osteoporosis. Community resources to promote healthy aging include: a Council on Aging, and an arts and/or cultural department. Resources to promote physical activity and senior transportation are limited. Voter participation, crime, and poverty rates are all better than state averages.


STATE ESTIMATE






% 65-74 years 48.5% 49.8%

% 75-84 years 34.1% 34.3%

% 85 years or older 17.4% 15.8%


% female 60.7% 58.5%


% White 96.3% 91.5%


% Asian 3.1% 2.7%

% Other 0.4% 2.1%



% married 59.9% 50.9%


% widowed 28.3% 30.2%










WINCHESTER PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







WINCHESTER PAGE 3


COMMUNITY ESTIMATE

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Hearing impairment



Vision impairment















WINCHESTER PAGE 4


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SAFETY





ECONOMIC VARIABLES







WINCHESTER PAGE 5


$ STATE ESTIMATE


























WOBURN PAGE 1


Woburn (Middlesex)

Woburn is a city located 9 miles north of Boston with 5,830 residents aged 65 or older. Compared to state averages older residents in Woburn do better on several healthy aging indicators with lower rates of depression, asthma, osteoarthritis/rheumatoid arthritis, cataracts, and complete tooth loss. Health promotion behaviors include physical activity, mammogram within last 2 years, flu shot, annual dental exam, 5 or more servings of fruit or vegetables per day, and not smoking. However, older residents of Woburn do worse than state average on many indicators with higher rates of Alzheimer’s disease or related dementias, hypertension, heart attack, ischemic heart disease, congestive heart failure, atrial fibrillation, glaucoma, osteoporosis, kidney disease, annual inpatient hospital stays, and inpatient hospital readmissions. Community resources to promote healthy aging include: a walking club, YMCA, a Council on Aging, an arts and/or cultural department, and lifelong learning opportunities/area college. The voter participation, crime, and poverty rates are all better than state averages.


STATE ESTIMATE






% 65-74 years 48.2% 49.8%

% 75-84 years 36.7% 34.3%

% 85 years or older 15.1% 15.8%


% female 60.1% 58.5%


% White 98.0% 91.5%


% Asian 1.3% 2.7%

% Other 0.0% 2.1%



% married 49.0% 50.9%


% widowed 36.8% 30.2%










WOBURN PAGE 2


COMMUNITY ESTIMATE

STATE ESTIMATE


















Oral Health




NUTRITION/DIET


% obese 21.0% 22.6%




MENTAL HEALTH





CHRONIC DISEASE







WOBURN PAGE 3


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Hearing impairment



Vision impairment















WOBURN PAGE 4


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SAFETY





ECONOMIC VARIABLES







WOBURN PAGE 5


$ STATE ESTIMATE


























massachusetts healthy aging community data ......data allow. in other cases, we could only report...

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