Stark County Indicators Report 2014

Transcription

1 Stark County Indicators Report 214

2 Table of Contents Acknowledgements... 5 Introduction... 6 Stark County Demographics Population Estimates... 9 Population Estimates by Race... 1 Population Estimates by Hispanic Origin... 1 Population Estimates by Age Population Estimates by Gender Educational Attainment Population With A College Degree Marital Status Population Below Poverty Employment Status Employment Status Household Income Household Income Physical Health Stark County Women of Childbearing Age Live Birth Rate.. 18 Stark County Birth Rate by Maternal Age Adolescent Birth Rate Birth Weight... 2 Stark County Very Low Birth Weight by Race Low Birth Weight by Race Very Low Birth Weight by Maternal Age Low Birth Weight by Maternal Age Gestational Age Stark County Gestational Age Gestational Age by Race Gestational Age by Hispanic Origin Trimester of Entry into Prenatal Care Stark County Trimester of Entry into Prenatal Care Trimester of Entry into Prenatal Care by Race Trimester of Entry into Prenatal Care by Hispanic Origin Cesarean Sections

3 Table of Contents Physical Health (continued) Infant Mortality Rate Stark County Infant Mortality Rate Infant Mortality Rate by Race Infant Deaths by Race Stark County Resident Induced Abortions... 3 Resident Induced Abortion by Race Resident Induced Abortion by Age Stark County Resident Deaths Resident Death by Race Resident Death by Hispanic Origin Resident Death by Gender Resident Death by Age Group Leading Causes of Death Stark County Leading Causes of Death Leading Causes of Death Gonorrhea Rate Chlamydia Rate Stark County Sexually Transmitted Infections Gonorrhea Rate by Race Gonorrhea Rate by Hispanic Origin Gonorrhea Rate by Age... 4 Gonorrhea Rate by Gender... 4 Chlamydia Rate by Race Chlamydia Rate by Hispanic Origin Chlamydia Rate by Age Chlamydia Rate by Gender Syphilis Rate Stark County Syphilis Rate by Race HIV Diagnosed Cases AIDS Diagnosed Cases Stark County HIV/AIDS Diagnosed Cases HIV Diagnosed Cases by Race HIV Diagnosed Cases by Gender HIV Diagnosed Cases by Age Diagnosed Diabetes Adult BMI Overweight Adult BMI Obese

4 Table of Contents Physical Health (continued) Third Grade BMI Stark County Children Treated For Injury... 5 Children Treated For Injury by Age Group... 5 Behavioral Health Completed Suicide Rate Stark County Completed Suicide Rate by Race Completed Suicide Rate by Gender Unintentional Drug Death Rate Heroin Poisoning Death Rate Opioid Related Poisoning Death Rate Chronic Disease Risk Factors Stark County Chronic Disease Risk Factors Stark County Tobacco Use Tobacco Use by Race Tobacco Use by Age Tobacco Use by Gender Stark County Top Ten Diagnostic Groups Total Behavioral Health Clients Adult/Children Behavioral Health Clients Behavioral Health Clients by Race Behavioral Health Clients by Gender Behavioral Health Clients by Age Access To HealthCare Stark County Medicaid Recipients Medicaid Expenditures Medicaid by Race Medicaid by Hispanic Origin Medicaid by Age Medicaid by Gender Stark County Health Insurance Coverage Uninsured by Race Uninsured by Gender Uninsured by Age Group Uninsured by Employment Status Stark County Oral Health

5 Table of Contents Environmental Health Asthma - Adults Current/Lifetime Asthma - Children Current/Lifetime Stark County Air Quality Index Levels... 7 Monthly Air Quality Index Levels Air Pollutants Ozone Levels Carbon Monoxide Levels Particulate Matter 2.5 Levels Public Safety Traffic Crashes Stark County Traffic Crashes Alcohol-Related Traffic Crashes Stark County Alcohol-Related Traffic Crashes

6 Acknowledgements The Stark County Indicators Report is a result of the past efforts of COMPASS (United Way), as well as, the 21 Patient Protection and Affordable Care Act that required charitable hospitals to conduct a Community Health Needs Assessment. The Indicators Report is only part of the needs assessment process, but would not be possible without the dedication of the Health Advisory Committee. The Advisory Committee is composed of 19 agencies and several community advocates. Through several discussions the Data Sub-Committee provided oversight, direction and recommendations for The Stark County Indicators Report. Special thanks is extended to the Data Sub-Committee for compiling, updating and formatting the secondary data for The Indicators Report. We would also like to thank those who took the time to review and edit The Stark County Indicators Report. Data Sub-Committee Members: Anne M. Baker, CPA Aultman Health Foundation Kay Conley, MPA, CHES Stark County Health Department Kimberly Douce, LSW United Way of Greater Stark County Christine Henning, RS, MPH Canton City Health Department Cindy Hickey Mercy Medical Center Janice Houchins, LISW-S Family Council Mark Juenemann, MBA Mercy Medical Center Julia Wagner, MPH Stark County Health Department Audra Martin, LISW, ABD Mental Health and Recovery Services Board of Stark County Kelly Potkay, BSAS, CHES Stark County Health Department Kara Witting Stark County Job & Family Services Carla Wright Stark County Community Action Agency William James, MBA Alliance Community Hospital Funded in part by the Ohio Department of Health/Federal Government Bureau of Child and Family Health Services Child and Family Health Services Program 5

7 Introduction Format Each segment of The Stark County Indicators Report is made up of the following sections: Narrative - qualitative context surrounding the data Related Data - additional data related to the indicator Data - indicator in question Sources, Definitions, Caveats and Notes - source citation, meaning of word term or phase and additional explanatory information Purpose The Health Advisory Committee is composed of over 2 agencies and several community advocates knowledgeable in the area of health and social services. An indicator is a set of data which reflects the current status of a segment of the community and can be used as a predictor of future conditions. The Data Sub-Committee made the initial selection of the indicators. Each of the indicators has been selected for accuracy, availability, consistency, timeliness, history and reporting. The indicators illustrate trends at the county level. Indicators have been added and subtracted through committee discussion, based on availability of data to monitor over time and the usefulness of the data to the community. How To Use This Report This report consists of narratives and selected indicators that are intended as a starting point in the exploration of the issues. Although indicators cannot be used to establish causal relationships between specific interventions and outcomes, they can be used to monitor progress toward outcomes over time. The indicators presented in this report can play a critical role in documenting whether changes are occurring in the desired direction. The brevity of the narratives is intentional. The content of the narratives is condensed and open to multiple interpretations. The narratives are intended to provide a context within which to interpret the data and to start discussions. The 214 Indicators Report includes the most current and up-to-date data available. To review older data not included in this Report please reference the 211 Indicators Report. Please note that this document is best viewed/printed in color. 6

8 Stark County Demographics Population The overall population in Stark County has been slightly decreasing since 2. Population growth or decline is positively correlated with the economic health of an area. Racial Stark County is racially and ethnically homogenous. Minority populations represent approximately 1 percent of the total population. While minority groups have increased in number, they still represent a very small, but increasing, portion of the population. Stark County is also racially and ethnically segregated. Minorities live in pockets within the county. The urban areas of Stark County (Canton, Massillon and Alliance) have a much higher percentage of minorities than the suburban areas of the county. Age The population in Stark County, like that of the state and the nation, is aging. The median age in Stark County is 41.6 years old which is 2.3 years older than the state median age and 4.2 years older than the national median age. This trend has been accelerating with specific trends contributing to the aging of Stark County: a decreasing birth rate and a stable consistency in the population of all ages. Dependent age groups, to19 and 65 years and older, represented 41.8 percent of the population in 212. Educational Attainment There is a developing consensus that education and training beyond a high school diploma is seen as critical to the economic growth within Stark County. A college degree is not the only postsecondary educational option available in Stark County. Approximately 22 percent of Stark County adults 25 years and older have some college experience but no degree. These post educational opportunities can include skilled training, certifications and stackable certificates resulting in a degree. On average, there is a direct correlation between educational attainment, earnings and employment. Higher educational attainment is directly related to higher individual earnings and to lower rates of unemployment. Educational attainment is higher among younger population groups than in the older population. 7

9 Stark County Demographics Income Stark County is a low-income and low cost-of-living county. While Stark County s economic base has been deteriorating and discretionary income has been decreasing, most Stark County families have incomes that are sufficient for basic needs. Standard measures of income (per capita, median family and median household) are below that of the state and nation. Additionally, there are income disparities. On average, males earn more than females and whites earn more than people of color. The total percent of the population living below poverty for 212 was 14.5, with female headed households more likely to live in poverty. Employment Unemployment has decreased to 6 percent of the workforce during 212. Population estimates from the Census Bureau show that Stark County s population between 2 and 54 years of age has remained consistent. 8

10 Number of Individuals Stark County Demographics 4, 395, 39, 385, Stark County Population Estimates 38, 375, 37, 365, 36, 355, 35, Population 38, , , , , ,87 374,868 U.S. Census Bureau - American Community Survey (ACS) Caveat: Estimates are based on statistical regression and not on actual counts. Note: The Population Estimates Program annually produces population estimates based upon the last decennial census. Each year, the estimates are re-calculated using the most up-to-date demographic components of change and legal boundaries available. 9

11 Number of Individuals Number of Individuals Stark County Demographics Stark County Population Estimates by Race 37, 33, 29, 25, 21, 17, 13, 9, 5, 1, Caucasian 347, ,1 347, , , , ,169 African-American 31,986 32,26 32,29 33,2 28,29 26,53 23,989 Stark County Population by Hispanic Origin 7, 6,5 6, 5,5 5, 4,5 4, 3,5 3, 2,5 2, Hispanic 4,24 4,161 4,557 4,88 6,36 6,236 6,54 U.S. Census Bureau - American Community Survey Caveat: Estimates are based on statistical regression and not on actual counts. Native Americans and Asian/Pacific Islanders are not reported due to small population size. Changes in small populations can result in a large percent change. Note: Although the ACS produces population, demographic and housing unit estimates, it is the Census Bureau s Population Estimates Program that produces and disseminates the official estimates of the population. 1

12 Number of Individuals Number of Individuals Stark County Demographics 12, Stark County Population Estimates by Age Group 1, 8, 6, 4, 2, to 9 45,343 45,64 46,787 45,3 45,882 44,167 42,269 1 to 19 52,755 52,114 48,755 52,429 5,41 5,373 51,129 2 to 34 67,637 66,849 67,67 65,469 63,346 65,458 65, to 54 11,6 18,682 18,864 16,573 13,518 1,535 98, to 64 45,837 46,638 47,839 49,481 51,885 83,66 52, to 84 5,387 5,43 5,59 5,758 52,285 52,524 52, and Over 8,16 8,311 8,853 9,726 8,364 9,513 11,3 2, 198, 196, 194, 192, 19, 188, 186, 184, 182, 18, 178, Stark County Population Estimates by Gender Male 182, , , , ,67 182, ,565 Female 197, , , ,9 192, ,23 193,33 U.S. Census Bureau - American Community Survey Caveat: Estimates are based on statistical regression and not on actual counts. Note: Although the ACS produces population, demographic and housing unit estimates, it is the Census Bureau s Population Estimates Program that produces and disseminates the official estimates of the population. 11

13 Number of Individuals 25 Years and Over Number of Individuals 25 Over Stark County Demographics Stark County Educational Attainment 12, 1, 8, 6, 4, 2, Less than 9th Grade 8,242 6,889 9,331 9,127 6,377 6,631 7,79 9th to 12th Grade, No Diploma 28,646 23,195 21,646 25,429 2,265 2,366 18,64 High School Graduate 19,67 16,48 17,67 12,65 11,691 11,955 97,647 Some College, No Degree 48,412 46,698 54,535 51,429 54,561 53,569 56,671 Associate Degree 15,739 18,646 16,245 17,931 21,524 21,268 21,784 Bachelor's Degree 32,681 37,556 34,232 35,573 34,464 37,159 36,758 Graduate or Professional Degree 15,839 19,467 16,866 17,292 18,298 15,985 17,932 Stark County Population With A College Degree 4, 35, 3, 25, 2, 15, 1, 5, Associate Degree 15,739 18,646 16,245 17,931 21,524 21,268 21,784 Bachelor's Degree 32,681 37,556 34,232 35,573 34,464 37,159 36,758 Graduate or Professional Degree 15,839 19,467 16,866 17,292 18,298 15,985 17,932 U.S. Census Bureau - American Community Survey Caveat: Estimates are based on statistical regression and not on actual counts. Note: Data are limited to the household population and exclude the population living in institutions, college dormitories and other group quarters. 12

14 Percent of Population Number of Individuals Stark County Demographics Stark County Marital Status 18, 16, 14, 12, 1, 8, 6, 4, 2, Never Married 63,317 7,878 75,63 76,636 81,736 83,423 82,247 87,22 87,544 88,721 87,311 Now Married 167, ,752 16, ,147 16,283 16,48 157,28 158, , ,15 152,461 Separated 5,777 4,98 4,948 3,42 3,894 4,5 4,718 6,131 6,536 4,838 4,67 Widowed 17,93 21,661 22,661 19,889 23,71 22,727 27,828 2,688 23,26 21,991 2,38 Divorced 35,86 33,2 36,193 33,725 39,981 36,981 41,447 36,589 36,219 38,287 41,54 Stark County Population Below Poverty 18% 16% 14% 12% 1% 8% 6% 4% 2% % Population Below Poverty 12.3% 1.7% 12.3% 14.9% 14.3% 16.3% 14.5% U.S. Census Bureau - American Community Survey Caveat: Estimates are based on statistical regression and not on actual counts. Data are based on a sample and are subject to sampling variability. The degree of uncertainty for an estimate arising from sampling variability is represented through the use of a margin of error. The values shown here equal a 9% margin of error. Note: Data are limited to the household population and exclude the population living in institutions, college dormitories and other group quarters. Although the ACS produces population, demographic and housing unit estimates, it is the Census Bureau s Population Estimates Program that produce sand disseminated the official estimates of the population. 13

15 Number of Individuals Stark County Demographics Stark County Employment Status 2, 18, 16, 14, 12, 1, 8, 6, 4, 2, Employed 18, ,24 175, ,55 183,48 182, , , , , ,144 Unemployed 11,639 14,949 17,297 13,763 14,684 13,831 14,388 21,894 23,591 2,977 18,689 Retired 93,25 95,87 12,492 12,969 15,855 17,397 15, ,64 19,248 19, ,45 Stark County Employment Status 212 Retired 37% Employed 57% Unemployed 6% U.S. Census Bureau - American Community Survey Caveat: Estimates are based on statistical regression and not on actual counts. Employment and unemployment estimates may vary from the official labor force data released by the Bureau of Labor Statistics because of differences in survey design and data collection. Note: Although the ACS produces population, demographic and housing unit estimates, it is the Census Bureau s Population Estimates Program that produces and disseminates the official estimates of the population. 14

16 Number of Households Stark County Demographics Stark County Household Income 16, 14, 12, 1, 8, 6, 4, 2, $2, or more 1, ,348 1,786 3,86 2,364 3,6 2,825 3,63 2,887 2,662 $15 to $199,999 2,736 2,987 2,151 1,726 2,64 4,237 4,157 3,186 3,32 3,771 3,464 $1 to $149,999 9,522 9,489 7,163 12,768 11,614 13,386 12,25 12,447 13,122 13,546 14,791 $75 to $99,999 13,52 11,74 14,71 14,314 16,35 17,218 17,621 18,411 15,639 16,981 16,796 $5 to $74,999 27,613 28,86 29,543 31,185 3,16 31,248 29,644 28,562 26,565 26,524 3,826 $35 to $49,999 28,64 27,48 26,787 24,867 24,21 23,142 23,96 25,61 26,981 22,4 24,59 $25 to $34,999 27,94 23,57 21,569 19,24 19,317 17,449 19,142 18,388 2,694 18,795 18,478 $15 to $24,999 19,796 21,744 24,43 2,139 21,358 2,287 2,166 19,43 2,424 2,752 18,168 $1 to $14,999 8,258 11,91 12,269 1,413 11,178 9,872 9,184 8,286 9,9 9,697 8,495 Less than $1, 8,81 1,47 9,77 11,259 11,71 11,479 11,223 13,654 1,323 13,647 12,2 Stark County Household Income 212 $15 to $199,999 2% $1 to $149,999 1% $75 to $99,999 11% $2, or more 2% Less than $1, 8% $1 to $14,999 6% $15 to $24,999 12% $5 to $74,999 21% $35 to $49,999 16% $25 to $34,999 12% U.S. Census Bureau - American Community Survey Caveat: Data are based on a sample and are subject to sampling variability. The degree of uncertainty for an estimate arising from sampling variability is represented through the use of a margin of error. The values shown here equal a 9 percent margin of error. Note: Although the ACS produces population, demographic and housing unit estimates, it is the Census Bureau s Population Estimates Program that produces and disseminates the official estimates of the population. 15

17 Stark County Narrative Physical Health Physical health concerns the body and its proper functioning and condition. Environment, nutrition, accidents, illness and age are factors affecting physical health. There are several significant negative trends emerging locally regarding an increase in the percentage of very low birth weight infants, a higher infant mortality rate in the African-American population and an increase in sexually transmitted infections (STIs). Stark County s population aged 6 and older has been increasing and mortality rates confirm that our residents are living longer. The issues of heart disease, blood pressure, diabetes, kidney disease and injuries related to falls in our aging population will continue to have an impact on health delivery systems and capacity. Health disparities are differences that can be seen in specific populations of a community in relation to diseases, health outcomes or quality of health care received. Several variables impacting disparities are health behaviors, status before care, access to healthcare and health care delivery. In Stark County there are significant disparities between the Caucasian and African-American populations including prenatal care, infant mortality rates, leading causes of death, STIs and insurance coverage. Behavioral Health Behavioral health includes mental health, substance abuse treatment and prevention services. Using national prevalence rates for mental health services, it is estimated that less than one-third of Stark County residents affected with mental illness receive treatment each year. Barriers to accessing treatment include stigma, lack of or inadequate insurance coverage and limited program capacity. The highest rates of mental illness are among adults aged twenty-five to thirty-four years old. Depression, bipolar disorders, anxiety disorders, alcohol abuse and schizophrenia are the most frequent diagnoses among adults. The leading diagnoses for children are adjustment, conduct, attention deficit, anxiety and bipolar disorders. There is concern that antidepressants are frequently being used without the associated mental health treatment. Illicit use of prescription drugs, heroin and opioids is an emerging concern due to the high incidents of drug overdose among teens and young adults. While unintended interactions are a cause of death, most poisonings seem to be linked to recreational use. Access to HealthCare Driven by a decline in the economy, demand for free/sliding fee healthcare services has been increasing. However, safety net providers in Stark County are at or beyond capacity. The use of the emergency room for non-emergency healthcare continues to be a concern for the hospitals in Stark County. 16

18 Stark County Narrative Access to HealthCare (continued) More than forty thousand or about one out of every nine Stark County residents are without health insurance and there is an increasing number of individuals who are underinsured. It is often difficult for adults to qualify for Medicaid due to income requirements. Of concern are individuals between the age of thirty and sixty-four with chronic medical problems who have difficulty maintaining employment but are not medically disabled. Even if an individual is Medicaid eligible, few healthcare providers, especially specialists, are willing to accept new Medicaid patients. Medicaid data and the number of uninsured will change due to the enactment of the Affordable Care Act (ACA) and will be referenced in future reports. Having insurance does not guarantee easy access to affordable, quality care. Even among those with medical insurance, one out of every three Stark County residents lack dental, vision and mental health services coverage. Businesses that offer health insurance have increased the employee premium contribution and/or increased the deductible paid by the employee, often making medical coverage more difficult to afford. Environmental Health On average 98 percent of days in Stark County have been between good to moderate range for the air quality index (AQI). Air quality is measured by ozone, carbon monoxide and particulate matter. As air quality degrades, the air becomes unhealthy for adults and children with respiratory ailments such as asthma or heart disease. Two pollutants of concern are ozone and particulate matter. In the Earth's lower atmosphere, near ground level, ozone is formed when pollutants emitted by cars, power plants, industrial boilers, refineries, chemical plants, and other sources react chemically in the presence of sunlight. Particulate matter less than 2.5 micrometers in diameter are called "fine" particles. These fine particles can lodge deep within the respiratory system causing potential problems for sensitive groups. Sources of fine particles include all types of combustion, including motor vehicles, power plants, residential wood burning, forest fires, agricultural burning, and some industrial processes. 17

19 Pate Per 1, Women 15 to 44 Years of Age Number of Women 15 to 44 Years Old Physical Health Women of Childbearing Age 76, 74, 72, 7, 68, 66, 64, 62, Stark 73,751 72,6 71,689 7,367 67,43 67,665 68,429 68,429 Ohio 2,331,21 2,33,947 2,289,61 2,275,513 2,231,844 2,219,687 2,213,97 2,213,97 2,34, 2,32, 2,3, 2,28, 2,26, 2,24, 2,22, 2,2, 2,18, 2,16, 2,14, Live Birth Rate Stark Ohio Ohio Department of Health Data Warehouse Secure Site Definition: Birth Rate: Number of births per 1, women of childbearing age (15 to 44 years of age) Caveat: Due to incomplete 213 data, 212 information is used 18

20 Rate Per 1, Women 15 to 19 Years Old Rate Per 1, Women 15 to 44 Years Old Physical Health Stark County Live Birth Rate by Maternal Age Adolescent Birth Rate Stark Ohio Stark Ohio Ohio Department of Health Data Warehouse Secure Site Definition: Birth Rate: Number of births per 1, women of childbearing age (15 to 44 years of age) Caveat: Due to incomplete 213 data, 212 information is used 19

21 Percent of Births Physical Health Birth Weight 9.% 8.% 7.% 6.% 5.% 4.% 3.% 2.% 1.%.% Stark Very Low Birth Weight 1.5% 2.% 2.2% 1.2% 1.7% 1.4% 1.7% 1.7% Ohio Very Low Birth Weight 1.6% 1.7% 1.6% 1.6% 1.7% 1.7% 1.7% 1.6% Stark Low Birth Weight 7.9% 8.% 7.1% 7.2% 6.7% 6.4% 7.2% 7.% Ohio Low Birth Weight 7.2% 7.% 7.% 6.9% 6.8% 6.9% 6.8% 6.9% Ohio Department of Health Data Warehouse Secure Site Definition: Birth Weight - The percent of births with known weight. Very Low Birth Weight (VLBW) - Births of weight less than 1,5 grams (approximately 3 pounds, 3 ounces). Low Birth Weight (LBW) - Births of weight less than 2,5 grams approximately 5 pounds, 8 ounces). 2

22 Percent of Births Percent of Births Physical Health 5.% 4.5% 4.% Stark County Very Low Birth Weight by Race 3.5% 3.% 2.5% 2.% 1.5% 1.%.5%.% Caucasian 1.2% 1.7% 2.% 1.% 1.5% 1.1% 1.4% 1.5% African-American 3.3% 4.3% 3.4% 3.2% 2.6% 3.5% 3.1% 2.6% 16.% 14.% Stark County Low Birth Weight by Race 12.% 1.% 8.% 6.% 4.% 2.%.% Caucasian 6.8% 7.2% 6.3% 6.8% 6.4% 6.% 6.5% 6.4% African-American 14.1% 14.2% 12.5% 1.7% 8.8% 9.8% 11.6% 11.6% Ohio Department of Health Data Warehouse Secure Site Definition: Birth Weight - The percent of births with known weight. Very Low Birth Weight (VLBW) - Births of weight less than 1,5 grams (approximately 3 pounds, 3 ounces). Low Birth Weight (LBW) - Births of weight less than 2,5 grams approximately 5 pounds, 8 ounces). Caveat: Native Americans and Asian/Pacific Islanders are not reported due to small population size. 21

23 Percent of Births Percent of Births Physical Health 7.% 6.% 5.% Stark County Very Low Birth Weight by Maternal Age 4.% 3.% 2.% 1.%.% to % 14.2% 16.7% 15.1% 17.4% 12.1% 13.2% 1.% 2 to % 6.9% 6.4% 54.8% 46.3% 51.7% 6.3% 54.3% 3 to % 25.% 22.5% 3.2% 36.1% 36.2% 26.5% 35.7% 7.% 6.% 5.% Stark County Low Birth Weight by Maternal Age 4.% 3.% 2.% 1.%.% to % 11.8% 12.5% 14.8% 7.7% 1.4% 7.8% 11.4% 2 to % 6.8% 59.1% 51.6% 58.6% 56.5% 59.9% 57.4% 33 to % 26.8% 28.1% 33.5% 33.3% 33.1% 32.3% 31.2% Ohio Department of Health Data Warehouse Secure Site Definition: Birth Weight - The percent of births with known weight. Very Low Birth Weight (VLBW) - Births of weight less than 1,5 grams (approximately 3 pounds, 3 ounces). Low Birth Weight (LBW) - Births of weight less than 2,5 grams approximately 5 pounds, 8 ounces). 22

24 Percent of Births Percent of Births Physical Health 1.% 9.% 8.% 7.% 6.% 5.% 4.% 3.% 2.% 1.%.% Gestational Age Stark Very Pre-Term 1.9% 2.2% 2.4% 1.2% 2.% 1.5% 1.7% 1.7% Ohio Very Pre-Term 1.8% 1.9% 1.8% 1.9% 2.4% 1.9% 2.5% 1.8% Stark Pre-Term 9.4% 8.9% 8.9% 8.2% 8.4% 7.7% 8.1% 7.4% Ohio Pre-Term 9.3% 9.% 8.9% 8.5% 7.9% 8.3% 7.9% 8.4% Stark Term 88.6% 88.8% 88.9% 9.4% 89.5% 9.7% 88.5% 84.3% Ohio Term 88.5% 88.7% 89.% 89.3% 89.3% 89.2% 89.3% 89.3% 1.% 9.% 8.% 7.% 6.% 5.% 4.% 3.% 2.% 1.%.% Stark County Gestational Age Very Pre-Term 1.9% 2.2% 2.4% 1.2% 2.% 1.5% 1.7% 1.7% Pre-Term 9.4% 8.9% 8.9% 8.2% 8.4% 7.7% 8.1% 7.4% Term 88.6% 88.8% 88.9% 9.4% 89.5% 9.7% 88.5% 84.3% Ohio Department of Health Data Warehouse Secure Site Definition: Gestational Age - is a clinical estimation. Very Pre-Term - <32 Weeks Pre-Term - 32 to 36 Weeks Term - 37 to 42 Weeks Post-Term - >42 Weeks Note: Due to small numbers post-term and unknown are not included. 23

25 Percent of Births Physical Health Percent of Births Born Prematurily Stark County Gestational Age by Race 14.% 12.% 1.% 8.% 6.% 4.% 2.%.% Caucasian Very Pre -Term 1.7% 1.9% 2.2% 1.% 1.8% 1.1% 1.5% 1.5% African-American Very Pre-Term 3.9% 4.3% 4.2% 3.% 3.2% 4.% 2.6% 2.4% Caucasian Pre-Term 9.2% 8.3% 8.4% 8.2% 8.2% 7.4% 8.1% 6.9% African-American Pre-Term 1.3% 12.6% 1.9% 8.1% 8.6% 9.6% 9.6% 1.5% Stark County Gestational Age by Hispanic Origin 1.% 9.% 8.% 7.% 6.% 5.% 4.% 3.% 2.% 1.%.% Pre-Term 12.5% 9.4% 4.9% 2.8% 14.3% 6.% 5.% 6.9% Term 85.% 9.6% 89.% 94.3% 85.7% 94.% 91.3% 84.2% Ohio Department of Health Data Warehouse Secure Site Definition: Very Pre-Term - <32 Weeks Pre-Term - 32 to 36 Weeks Term - 37 to 42 Weeks Post-Term - >42 Weeks Caveat: Native Americans and Asian/Pacific Islanders are not reported due to small population size. 24

26 Percent of Females Percent of Females Physical Health 8.% 7.% 6.% 5.% 4.% 3.% 2.% 1.%.% Trimester of Entry into Prenatal Care Stark First Trimester 76.1% 74.1% 72.8% 71.8% 75.4% 73.% 71.2% Ohio First Trimester 74.5% 72.8% 71.8% 71.8% 74.4% 74.4% 73.8% Stark Second Trimester 21.3% 22.7% 24.6% 25.3% 21.9% 23.5% 25.1% Ohio Second Trimester 21.5% 22.8% 23.6% 23.7% 21.5% 21.3% 21.6% Stark Third Trimester 2.7% 3.2% 2.6% 2.9% 2.7% 3.5% 3.7% Ohio Third Trimester 3.9% 4.4% 4.6% 4.5% 4.1% 4.3% 4.6% 8.% 7.% 6.% Stark County Trimester of Entry into Prenatal Care 5.% 4.% 3.% 2.% 1.%.% First Trimester 76.1% 74.1% 72.8% 71.8% 75.4% 73.% 71.2% Second Trimester 21.3% 22.7% 24.6% 25.3% 21.9% 23.5% 25.1% Third Trimester 2.7% 3.2% 2.6% 2.9% 2.7% 3.5% 3.7% Ohio Department of Health Data Warehouse Secure Site Definition: First Trimester - Time period extending from the first day of the last menstrual period through 12 weeks of gestation. Second Trimester - Time period extending from the 13th to the 27th week of gestation. Third Trimester - Time period extending from the 28th week of gestation until delivery. Note: 212 data is preliminary data that may change. 25

27 Number of Females Percent of Females Physical Health Stark County Trimester of Entry into Prenatal Care by Race 9.% 8.% 7.% 6.% 5.% 4.% 3.% 2.% 1.%.% Caucasian 1st Trimester 77.7% 76.1% 74.8% 73.6% 76.8% 74.5% 72.6% African-American 1st Trimester 63.4% 58.6% 58.3% 59.3% 67.1% 66.3% 61.9% Caucasian 2nd Trimester 19.8% 21.1% 23.% 23.8% 21.% 22.7% 24.3% African-American 2nd Trimester 32.4% 34.6% 36.1% 35.3% 27.6% 27.4% 3.8% Caucasian 3rd Trimester 2.5% 2.8% 2.2% 2.6% 2.2% 2.8% 3.2% African-American 3rd Trimester 4.1% 6.8% 5.6% 5.4% 5.3% 6.4% 7.3% Stark County Trimester of Entry into Prenatal Care by Hispanic Origin 7.% 6.% 5.% 4.% 3.% 2.% 1.%.% First Trimester 5.9% 46.6% 5.7% 49.2% 64.5% 44.8% 56.8% Second Trimester 42.1% 42.2% 42.5% 37.7% 32.3% 41.4% 35.1% Third Trimester 7.% 11.1% 6.8% 13.1% 3.2% 13.8% 8.1% Ohio Department of Health Data Warehouse Secure Site Definition: First Trimester - Time period extending from the first day of the last menstrual period through 12 weeks of gestation. Second Trimester - Time period extending from the 13th to the 27th week of gestation. Third Trimester - Time period extending from the 28th week of gestation until delivery. Caveat Native Americans and Asian/Pacific Islanders are not reported due to small population size. 26

28 Percent of Cesarean Sections Physical Health Cesarean Section 35% 3% 25% 2% 15% 1% 5% % Stark 24.9% 22.9% 26.3% 3.9% 25.9% Ohio 27.1% 27.4% 26.9% 26.8% 26.3% ODH Hospital Performance Measure Reporting Note: Number of cesarean section births only include moms having their first baby with no complications (baby was not breech, delivery was at full-term and mom was not having twins or multiples). 27

29 Rate Per 1, Live Births Rate Per 1, Live Births Physical Health Infant Mortality Rate Stark Ohio Stark County Infant Mortality Rate Stark Ohio Department of Health for all CityMatCH Partners Definition: Infant Mortality - Number of infant deaths per 1, live births 28

30 Number of Deaths Rate per 1, Live Births Physical Health Stark County Infant Mortality Rate by Race Caucasian African-American Stark County Infant Deaths by Race Caucasian African-American Ohio Department of Health for all CityMatCH Partners Definition: Infant Mortality - Number of infant deaths per 1, live births 29

31 Number of Induced Abortions Physical Health Stark County Resident Induced Abortions Stark Ohio Department of Health - Induced Abortions in Ohio Table 3: Resident Induced Abortions by County of Residence, Definition: Induced Abortions - Pregnancy terminated by a physician. 3

32 Number of Induced Abortions Number of Induced Abortions Physical Health Stark County Resident Induced Abortions by Race Caucasian African-American Stark County Resident Induced Abortions by Age to to to to Ohio Department of Health - Induced Abortions in Ohio Table 5a: Resident Induced Abortions Definition: Induced Abortions - Pregnancy terminated by a physician. Caveat: Native Americans and Asian/Pacific Islanders are not reported due to small population size. No data was available for age 5 and over. 31

33 Number of Individuals Physical Health 4,1 Stark County Resident Deaths 4,5 4, 3,95 3,9 3,85 3,8 3,75 3,7 3, Stark 3,922 4,2 3,88 3,927 4,48 4,3 Ohio Department of Health - Vital Statistics Note: 212 data is preliminary. Preliminary means the data is strong enough to show a certain result, but has not been thoroughly analyzed. 32

34 Number of Individuals Number of Individuals Physical Health Stark County Resident Death by Race 4, 3,5 3, 2,5 2, 1,5 1, Caucasian 3,653 3,74 3,549 3,664 3,751 3,76 African-American Stark County Resident Death by Hispanic Origin Hispanic Ohio Department of Health - Vital Statistics Caveat: Native Americans and Asian/Pacific Islanders are not reported due to small population size. Note: 212 data is preliminary. Preliminary means the data is strong enough to show a certain result, but has not been thoroughly analyzed. 33

35 Number of Individuals Number of Individuals Physical Health Stark County Resident Death by Gender 2,2 2,15 2,1 2,5 2, 1,95 1,9 1,85 1,8 1,75 1,7 1, Male 1,84 1,872 1,842 1,928 1,927 1,888 Female 2,82 2,13 1,966 1,999 2,11 2,142 Stark County Resident Deaths by Age Group <1 Year to to to to 74 1,2 1,35 1,8 1,8 1,112 1,119 1, to 85+ 2,495 2,54 2,369 2,428 2,485 2,471 2,438 Ohio Department of Health - Vital Statistics Note: 212 data is preliminary. Preliminary means the data is strong enough to show a certain result, but has not been thoroughly analyzed. 34

36 Rate per 1, Individuals Physical Health Leading Causes of Death Stark 28 Ohio 28 Stark 29 Ohio 29 Stark 21 Ohio 21 Stark 211 Ohio 211 Stark 212 Ohio 212 Heart Disease Cancer Stroke CLRD Unintentional Injury Alzheimer's Disease Ohio Department of Health, Office of Vital Statistics Definition: Age-Adjusted Death Rate - Rate per 1, population age standardized to average out differences due to changes in the overall age of the population. CLRD - Chronic Lower Respiratory Diseases - Diseases of the lungs 35

37 Rate Per 1, Individuals Physical Health Stark County Leading Causes of Death Heart Disease Cancer CLRD Stroke Unintentional Injury Alzheimer's Disease Stark County Leading Causes of Death 212 Alzheimer's Disease 7% Unintentional Injury 7% CLRD 1% Heart Disease 35% Stroke 8% Cancer 33% Ohio Department of Health, Office of Vital Statistics Definition: Age-Adjusted Death Rate - Rate per 1, population age standardized to average out differences due to changes in the overall age of the population. CLRD - Chronic Lower Respiratory Diseases - Diseases of the lungs 36

38 Rate Per 1, Individuals Rate Per 1, Individuals Physical Health Gonorrhea Rate Stark Ohio Chlamydia Rate Stark Ohio Ohio Department of Health - STD Surveillance Notes: Rates are shown per 1, persons and were calculated using census estimates for that year. Provisional data. Numbers subject to change when additional information is gained. 37

39 Rate Per 1, Individuals Physical Health Stark County Sexually Transmitted Infections Gonorrhea Chlamydia Ohio Department of Health - STD Surveillance Notes: Rates are shown per 1, persons and were calculated using census estimates for that year. Syphilis diagnoses are not a good indicator of sexually transmitted diseases due to the small numbers of diagnoses. Small numbers are unstable and should be interpreted with caution. Provisional data. Numbers subject to change when additional information is gained. 38

40 Rate per 1, Individuals Rate per 1, Individuals Physical Health Stark County Gonorrhea Rate by Race Caucasian African-American ,38.6 1, Stark County Gonorrhea Rate by Hispanic Origin Hispanic Ohio Department of Health - STD Surveillance Caveat: Native Americans and Asian/Pacific Islanders are not reported due to small population size. Notes: In this presentation, date of diagnosis is defined as the date the specimen was collected by the provider. Rates are shown per 1, persons and were calculated using census estimates for that year. Provisional data. Numbers subject to change when additional information is gained. Small numbers are unstable and should be interpreted with caution. 39

41 Rate per 1, Individuals Rate per 1, Individuals Physical Health Stark County Gonorrhea Rate by Age to to to to to Stark County Gonorrhea Rate by Gender Male Female Ohio Department of Health - STD Surveillance Notes: In this presentation, date of diagnosis is defined as the date the specimen was collected by the provider. Rates are shown per 1, persons and were calculated using census estimates for that year. Provisional data. Numbers subject to change when additional information is gained. Small numbers are unstable and should be interpreted with caution. 4

42 Rate per 1, Individuals Rate per 1, Individuals Physical Health Stark County Chlamydia Rate by Race Caucasian African-American 1,11.5 1,555. 1, ,54.9 1, , , , ,399.2 Stark County Chlamydia Rate by Hispanic Origin Hispanic Ohio Department of Health - STD Surveillance Caveat: Native Americans and Asian/Pacific Islanders are not reported due to small population size. Notes: In this presentation, date of diagnosis is defined as the date the specimen was collected by the provider. Rates are shown per 1, persons and were calculated using census estimates for that year. Provisional data. Numbers subject to change when additional information is gained. Small numbers are unstable and should be interpreted with caution. 41

43 Rate per 1, Individuals Rate per 1, Individuals Physical Health Stark County Chlamydia Rate by Age 2,5. 2,. 1,5. 1, to 19 1, ,98.4 1, ,87.2 1, to 24 1, , ,22.1 1, , , , , , to , 3 to to Stark County Chlamydia Rate by Gender Male Female Ohio Department of Health - STD Surveillance Notes: In this presentation, date of diagnosis is defined as the date the specimen was collected by the provider. Rates are shown per 1, persons and were calculated using census estimates for that year. Small numbers are unstable and should be interpreted with caution. Provisional data. Numbers subject to change when additional information is gained. 42

44 Rate per 1, Individuals Rate Per 1, Individuals Physical Health Syphilis Rates Stark Ohio Stark County Syphilis Rate by Race Caucasian African-American Ohio Department of Health - STD Surveillance Caveat: Native Americans and Asian/Pacific Islanders are not reported due to small population size. Notes: Syphilis rate includes primary and secondary cases. Rates are shown per 1, persons and were calculated using census estimates for that year. Provisional data. Numbers subject to change when additional information is gained. Syphilis diagnoses are not a good indicator of sexually transmitted diseases due to the small numbers of diagnoses. Small numbers are unstable and should be interpreted with caution. 43

45 Rate Per 1, Individuals Rate Per 1, Individuals Physical Health HIV Diagnosed Cases Stark Ohio AIDS Diagnosed Cases Stark Ohio Ohio Department of Health - HIV/AIDS Surveillance Program Notes: Diagnoses of HIV infection include persons with a diagnosis of HIV infection (not AIDS), a diagnosis of HIV infection and a later AIDS diagnosis and concurrent diagnoses of HIV infection and AIDS. Diagnoses of HIV infection by year (24-212) represent all reported cases diagnosed in each year. AIDS diagnoses by year (24-212) represent all reported AIDS cases diagnosed in each year. County reflects county of residence at time of earliest diagnosis. Rate per 1, population. The rate is based on the U.S. Census Bureau s population estimates. 44

46 Number of Reported Diagnosed Cases Physical Health Stark County HIV/AIDS Diagnosed Cases HIV AIDS Stark County HIV Diagnosed Cases by Race 212 African-American 21% Caucasian 79% Ohio Department of Health - HIV/AIDS Surveillance Program Caveat: Native Americans and Asian/Pacific Islanders are not reported due to small population size. Notes: Diagnoses of HIV infection include persons with a diagnosis of HIV infection (not AIDS), a diagnosis of HIV infection and a later AIDS diagnosis and concurrent diagnoses of HIV infection and AIDS. Diagnoses of HIV/AIDS by year (24-212) represent all reported cases diagnosed in each year. County reflects county of residence at time of earliest diagnosis or AIDS diagnosis. 45

47 Physical Health Stark County HIV Diagnosed Cases by Gender 212 Female 14% Male 86% Stark County HIV Diagnosed Cases by Age % % % 2-24 % % % % % % Ohio Department of Health - HIV/AIDS Surveillance Program Notes: Diagnoses of HIV infection include persons with a diagnosis of HIV infection (not AIDS), a diagnosis of HIV infection and a later AIDS diagnosis and concurrent diagnoses of HIV infection and AIDS. Diagnoses of HIV infection by year (24-212) represent all reported cases diagnosed in each year. County reflects county of residence at time of earliest diagnosis or AIDS diagnosis. 46

48 Percent of Adults Physical Health Diagnosed Diabetes 12% 1% 8% 6% 4% 2% % Stark 8.% 7.7% 8.9% 9.6% 1.1% 9.8% Ohio 7.8% 7.1% 7.5% 8.2% 9.2% 9.4% Centers for Disease Control and Prevention - Behavioral Risk Factor Surveillance System National Diabetes Surveillance System Definition: Age-Adjusted Percentage - Artificial estimate that minimizes the effects of different age distributions and allows comparisons between different populations. Notes: Data computed by personnel of the CDC s Division of Diabetes Translation 47

49 Percent of Adults Percent of Adults Physical Health Adult BMI - Overweight 4% 35% 3% 25% 2% 15% 1% 5% % Stark 35.8% 36.8% 36.8% 35.7% 34.3% Ohio 35.4% 34.1% 37.% 36.% 36.2% Adult BMI - Obese 4% 35% 3% 25% 2% 15% 1% 5% % Stark 28.5% 34.1% 32.7% 29.6% 3.7% Ohio 28.1% 29.3% 29.8% 29.7% 29.7% Centers for Disease Control and Prevention, Office of Surveillance, Epidemiology and Laboratory Services, Behavioral Risk Factor Surveillance System Definition: BMI - Body Mass Index - a weight classification. BMI is a measure that compares weight and height. Neither Overweight/Obese - BMI 24.9 and under. Overweight - BMI between Obese - BMI over 3.. Notes: Percentages are weighted to population characteristics. 48

50 Percent of Third Graders Physical Health Third Grade BMI 4% 35% 3% 25% 2% 15% 1% 5% % Stark - Overweight/Obese 33.5% 34.1% Ohio - Overweight/Obese 35.6% 34.6% Ohio Department of Health Division of Family and Community Health Services - School and Adolescent Health Section. A Report on Body Mass Index of Ohio's Third Graders Definitions: Overweight - BMI-for-age 85th percentile to <95th percentile. Obese- BMI-for-age 95th percentile and greater. BMI - Body Mass Index used to screen for obesity. BMI is a measure that compares weight to height. Notes: BMI is interpreted differently for adults. 49

51 Number of Children Number of Children Physical Health 16, 14, 12, Stark County Children Treated For Injury 1, 8, 6, 4, 2, Children Treated For Injury 7,627 8,913 8,144 7,781 7,791 7,467 9,262 11,712 14,326 11, Stark County Children Treated for Injury by Age Group , Under Age to to to Stark County Health Department, Stark County Child Injury Report: Note: Reports did not include Immediate Care Facilitates, only Hospitals. 29 Stark County Child Injury Report - First year to include adolescents age

52 Rate Per 1, Individuals Behavioral Health Completed Suicide Rate Stark Ohio Ohio Department of Health - Vital Statistics Definition: Age-Adjusted Suicide Rate -Rate of completed suicides per 1, population age standardized to average out differences due to age. 51

53 Rate Per 1, Individuals Rate Per 1, Individuals Behavioral Health Stark County Competed Suicide Rate by Race Caucasian African-American Stark County Completed Suicide Rate by Gender Male Female Ohio Department of Health - Vital Statistics Definition: Age-Adjusted Suicide Rate -Rate of completed suicides per 1, population age standardized to average out differences due to age. Caveat: Native Americans and Asian/Pacific Islanders are not reported due to small population size. 52