Huron County Community Health Profile

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1 2014 Huron County Community Health Profile ` Prepared by: Eileen Unruh RN, MSN Samantha Fackler RN, MSN 11/1/2014

2 1 HURON COUNTY COMMUNITY HEALTH PROFILE TABLE OF CONTENTS INTRODUCTION DEMOGRAPHICS... 6 HEALTHY CHILDREN AND YOUTH GOAL 1: IMPROVE PERINATAL HEALTH OBJECTIVE A: REDUCE INFANT MORTALITY 8 1) NUMBER OF INFANT DEATHS PER 1,000 LIVE BIRTHS OBJECTIVE B: REDUCE LOW BIRTH WEIGHT 9 1) PERCENT OF INFANTS BORN WITH LOW BIRTH WEIGHT OBJECTIVE C: REDUCE SMOKING DURING PREGNANCY. 10 1) PERCENT OF WOMEN WHO SMOKED DURING PREGNANCY GOAL 2: INCREASE IMMUNIZATION LEVELS. 11 OBJECTIVE A: INCREASE THE NUMBER OF CHILDREN RECEIVING IMMUNIZATIONS ) PERCENT OF CHILDREN MONTHS WHO ARE FULLY IMMUNIZED GOAL 3: REDUCE CHILD ABUSE AND NEGLECT 12 OBJECTIVE A: REDUCE THE NUMBER OF VICTIMS OF SUBSTANTIATED CHILD. 12 ABUSE AND NEGLECT 1) RATE OF CONFIRMED VICTIMS OF ABUSE OR NEGLECT, AGED 0 17 GOAL 4: REDUCE CHILD AND ADOLESCENT DEATHS...13 OBJECTIVE A: REDUCE CHILD AND ADOLESCENT DEATHS..13 1) RATE OF DEATHS FOR CHILDREN AGED 1 19 YEARS GOAL 5: REDUCE THE USE OF ALCOHOL AND TOBACCO BY ADOLESCENTS.. 15 OBJECTIVE A: REDUCE CHILD AND ADOLESCENT DEATHS ) PERCENT OF STUDENTS WHO HAVE EVER USED ALCOHOL 2) PERCENT OF STUDENTS WHO CONSUMED ALCOHOL IN THE 30 DAYS PRIOR TO THE SURVEY OBJECTIVE B: REDUCE THE USE OF TOBACCO 19 1) PERCENT OF STUDENTS WHO HAVE EVER SMOKED CIGARETTES 2) PERCENT OF STUDENTS WHO SMOKED CIGARETTES IN THE LAST 30 DAYS ACCESS TO HEALTH CARE GOAL 6: INCREASE ACCESS TO INFORMATION ABOUT RESOURCES AVAILABLE. 22 IN THE COMMUNITY SUMMARY OF AGENCIES/PROGRAMS ON IS NO LONGER AVAILABLE; CONTENT OF WEBSITE HAS CHANGED GOAL 7: DECREASE ECONOMIC BARRIERS TO HEALTH CARE OBJECTIVE A: REDUCE THE NUMBER OF PEOPLE LIVING BELOW THE POVERTY LINE 23 1) PERCENT OF PEOPLE LIVING BELOW THE POVERTY LINE

3 2 OBJECTIVE B: REDUCE THE NUMBER OF CHILDREN LIVING IN POVERTY ) PERCENT OF CHILDREN (0 17) LIVING IN POVERTY OBJECTIVE C: INCREASE THE NUMBER OF PEOPLE WITH HEALTH INSURANCE 25 1) PERCENT OF POPULATION INSURED GOAL 8: INCREASE ACCESS TO PRIMARY CARE SERVICES.26 OBJECTIVE A: DECREASE PREVENTABLE HOSPITALIZATIONS 26 1) PERCENTAGE OF AMBULATORY CARE SENSITIVE HOSPITALIZATIONS OBJECTIVE B: INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS PER 100,000 PEOPLE ) NUMBER OF PRIMARY CARE PHYSICIANS PER 100,000 OBJECTIVE C: INCREASE ADEQUATE PRENATAL CARE..29 1) PERCENT OF BIRTHS WITH LESS THAN ADEQUATE CARE OBJECTIVE D: INCREASE ACCESS TO DENTAL CARE ) NUMBER OF DENTISTS PER 100,000 HEALTHY ADULTS GOAL 9: IMPROVE MENTAL HEALTH OF ADULTS 31 OBJECTIVE A: REDUCE DEATHS FROM SUICIDE. 31 1) NUMBER OF SUICIDE DEATHS PER 100,000 GOAL 10: REDUCE PREVENTABLE CHRONIC DISEASE DEATHS. 32 OBJECTIVE A: DECREASE DEATHS FROM HEART DISEASE ) NUMBER OF DEATHS FROM HEART DISEASE PER 100,000 OBJECTIVE B: DECREASE DEATHS FROM CANCER. 33 1) NUMBER OF DEATHS FROM CANCER PER 100,000 OBJECTIVE C: DECREASE DEATHS FROM DIABETES ) NUMBER OF DEATHS FROM DIABETES PER 100,000 OBJECTIVE D: DECREASE DEATHS FROM STROKE..35 1) NUMBER OF DEATHS FROM STROKE PER 100,000 GOAL 11: REDUCE THE TRANSMISSIOM OF HIV.. 36 OBJECTIVE A: REDUCE THE NUMBER OF HIV POSITIVE PEOPLE ) NUMBER OF HIV POSITIVE PEOPLE OBJECTIVE B: REDUCE THE NUMBER OF PEOPLE WITH AIDS ) NUMBER OF PEOPLE WITH AIDS (STAGE 3 HIV INFECTION) 2) RATE OF TOTAL (ALL STAGES) HIV INFECTION GOAL 12: REDUCE ABUSIVE PATTERNS OF ALCOHOL AND CIGARETTE USE AMONG ADULTS OBJECTIVE A: REDUCE ALCOHOL ABUSE ) NUMBER OF ADULTS ARRESTED FOR DUI 2) RATE OF ADULTS ARRESTED FOR DUI OBJECTIVE B: INCREASE TREATMENT ADMISSIONS FOR SUBSTANCE ABUSE ) NUMBER OF TREATMENT ADMISSIONS FOR SUBSTANCE ABUSE OBJECTIVE C: REDUCE CIGARETTE USE. 42 1) PERCENTAGE OF ADULTS WHO CURRENTLY SMOKE

4 3 SAFE COMMUNITIES GOAL 13: DECREASE MOTOR VEHICLE CRASH DEATHS.. 43 OBJECTIVE A: REDUCE DEATHS FROM MOTOR VEHICLE CRASHES ) NUMBER OF FATALITIES 2) FATALITY RATE GOAL 14: REDUCE THE OCCURRENCE OF DOMESTIC VIOLENCE.. 46 OBJECTIVE A: REDUCE THE NUMBER OF ASSAULTS ATRIBUTED TO DOMESTIC VIOLENCE ) NUMBER OF VICTIMS OF DOMESTIC VIOLENCE 2) RATE OF DOMESTIC VIOLENCE HEALTHY ENVIRONMENT GOAL 15: REDUCE ASTHMA MORBIDITY. 48 OBJECTIVE A: REDUCE HOSPITAL VISITS DUE TO ASTHMA. 48 1) RATE OF PREVENTABLE HOSPITALIZATIONS DUE TO ASTHMA FOR PATIENTS OF ALL AGES GOAL 16: REDUCE CHILDHOOD LEAD POISONING.. 49 OBJECTIVE A: INCREASE THE NUMBER OF CHILDREN SCREENED FOR LEAD. 49 1) PERCENTAGE OF CHILDREN UNDER AGE 6 TESTED FOR LEAD OBJECTIVE B: DECREASE THE NUMBER OF CHILDREN WITH ELEVATED LEAD LEVELS 50 1) PERCENTAGE OF CHILDREN UNDER THE AGE OF 6 WITH ELEVATED LEAD LEVELS OBJECTIVE C: REDUCE THE NUMBER OF HOUSES BUILT BEFORE ) PERCENTAGE OF HOMES BUILT BEFORE 1950 REFERENCES. 52

5 4 Huron County Community Health Profile Introduction History and Development of the CHP The original Community Health Profile was an endeavor that was accomplished by the Community Health Assessment & Improvement (CHAI) Workgroup in Current Update by HCHD Since originally presented by the CHAI Workgroup in 1999, the review, assessment and update to the CHP for Huron County has since been maintained by the Huron County Health Department with update/revisions completed in 2003, 2009, 2012 and currently in Purpose of the CHP The purpose of the CHP is to assess the health status of the community and analyze state and federal research in order to identify the top priority goals to focus future strategic planning, funding and provision of care to address the top health care needs. Healthy People 2020 Healthy People is a set of goals and objectives with 10 year targets which are released by the Department of Health and Human Services each decade. They are designed to guide national health promotion and disease prevention efforts to improve the health of all the people in the United States. Thumb Rural Health Network (THRN) Established in 2006, the TRHN is a collaborative effort of six Community Hospitals and three County Public Health Departments which seek to improve comprehensive health services in Huron, Sanilac and Tuscola counties by exploring and facilitating innovative approaches with and among the network members.

6 5 The Michigan Behavioral Risk Factor Survey (MiBRFS) The MiBRFS is a telephone survey of the adult population of the State of Michigan that was conducted on behalf of the Michigan Department of Community Health (MDCH) by the Office for Survey Research in Michigan State University s Institute for Public Policy and Social Research. The Thumb Behavioral Risk Factor Survey (TBRFS) The TBRFS is a telephone survey of the adult population of Huron, Sanilac and Tuscola Counties. It has been completed every five years since 2003 on behalf of the Thumb Rural Health Network. The TBRFS is designed to parallel the MiBRFS in terms of the methodology, the questions asked, the sampling, the data processing and the analysis so that the results of the TBRFS could be compared or piggybacked onto the MiBRFS. The 2013 TBRFS will compare data (when applicable) to 2003 & 2008 BRFS results in order to identify trends.

7 6 Demographics 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Huron County Age Distribution Huron County Age Distribution % 17.4% 8.1% % 4.2% 11.5% % 11.6% 14.2% % 24.3% 19.9% % 16.4% 19.1% % 26.1% 27.2%

8 7 100% Thumb Region Age Distribution % 80% 70% 60% 50% 40% 30% 20% % 0% Thumb Region Age Distribution % 15.0% 9.5% % 10.8% 13.0% % 11.6% 15.5% % 26.0% 20.6% % 15.8% 18.3% % 21% 23.2%

9 8 Healthy Children and Youth Goal 1: Improve Perinatal Health Objective A Objective A: Reduce infant mortality* Infant mortality rate Huron a Michigan a National b Target c HP 2020 c 6 *infant deaths /1000 live births Note: Data not available for Huron County for and due to <6 occurrences. a: Data obtained from: MI/5/0 b: Data obtained from: infantmortality?loc=1&loct=1 detailed/1/any/false/133,38,35,18,17/any/12719 c: Healthy People 2020 target obtained from: Infant Mortality Rates for U.S, Michigan, & Huron County Infant mortality rate Huron a Michigan a National b

10 9 Goal 1: Improve Perinatal Health Objective B Objective B: Reduce low birth weight* Percent of infants born with low birth weight Huron a Michigan a National b Target c % 8.1% 7.9% % 8.2% 8.1% % 8.3% 8.2% % 8.4% 8.3% % 8.4% 8.2% % 8.5% 8.2% % 8.5% 8.2% % 8.5% 8.1% % 8.4% 8.1% % 8.4% 8.0% HP 2020 c 7.8% *born weighing < 2500 grams a: Data obtained from: MI/5/0 b: Data obtained from: low birthweight babies?loc=24&loct=5 detailed/5/3775,3822/true/868,867,133,38,35/any/13068 c: Healthy People 2020 target obtained from: % 8.5% Low Birth Weight Infants for: Huron County, Michigan, and the U.S. 8.0% 7.5% 7.0% 6.5% 6.0% Huron a Michigan a National b Linear (Huron a) 5.5% 5.0%

11 10 Goal 1: Improve Perinatal Health Objective C Objective C: Reduce smoking during pregnancy* Percent of women who smoked during pregnancy Huron a Michigan a National b Target c % 17.8% % 16.6% % 15.9% % 15.5% % 15.3% % 14.9% 15% % 14.4% 16% % 14.0% 12% % 13.8% 13% % 14.1% 10% % HP 2020 c 1.4% *Percent of women who smoked during their pregnancy a: Data obtained from: MI/5/0 b: Data obtained from: births to motherswho smoked during pregnancy?loc=24&loct=5 detailed/5/any/false/18,17,16,15,14/any/3517,13073 c: Healthy People 2020 target obtained from: % Percent of Women Who Smoked During Pregnancy 20.0% 15.0% 10.0% Huron a Michigan a National b 5.0% Linear (Huron a)

12 11 Goal 2: Increase Immunization Levels Objective A Objective A: Increase number of children receiving immunizations* Percent of children months who are fully immunized Huron a Michigan a National b Target b % 74.1% % 76.8% % 72.9% % 65.2% % 60.9% % 70.0% 56.6% % 74.1% 68.5% % 74.6% HP 2020 b 80% * Percent of children months who are fully immunized a: Huron & Michigan 2011 and 2012 data obtained from: children ages months withimmunizations detailed/2/any/false/868,867,133,38,35/any/3627,13128 b: Healthy People 2020 national and target data obtained from: Immunization Levels for Huron, Michigan, and the U.S. 80.0% 75.0% 70.0% 65.0% 60.0% 55.0% 50.0% 45.0% Huron a Michigan a National b Linear (Huron a) 40.0%

13 12 Goal 3: Reduce Child Abuse and Neglect Objective A Objective A: Reduce the number/rate of victims of substantiated child abuse and neglect * Rate of confirmed victims of abuse or neglect aged 0 17 Huron Michigan National Target HP ** * Rate of confirmed victims of abuse or neglect, ages 0 17 per 1,000 children. This includes victims of both fatal and nonfatal abuse/neglect. Note: this is the number of victims, not the number of incidents. Children who were mistreated on more than one occasion are only counted once. **Target rate for nonfatal child maltreatment (per 1,000 population, <18 years). Although this does not include fatal child maltreatment, the HP 2020 target rate for fatal child maltreatment is 2.1 per 100,000 children or.0021/1,000: if added to the nonfatal target rate, this does not significantly alter the target rate indicated above. Data obtained from: confirmed victims of abuse and orneglect ages 0 17?loc=24&loct=5 detailed/5/3775,3822/true/868,867,133,38,35/any/ Rate of Substantiated Child Abuse/Neglect for Huron, Michigan, and the U.S. 15 Huron 10 Michigan 5 National 0 Linear (Huron)

14 13 Goal 4: Reduce Child and Adolescent Deaths Objective A Objective A: Reduce Child and Adolescent Deaths * Rate of deaths for children aged 1 19 years Huron a Michigan a National b Target HP 2020 N/A: No equivalent HP 2020 goal for this objective N/A * Data displayed is the rate of deaths: the number of deaths for ages 1 19 per 100,000 population. Using the rate allows comparison whereas using actual numbers of deaths does not. Note: For Huron County, rate data was not calculated for The actual number of deaths was 2. a: Data obtained from: child teendeaths ages 1 19?loc=24&loct=5C b: Data obtained from: child and teendeahttp://datacenter.kidscount.org/data/tables/7243 child and teen deathrate?loc=1&loct=1 detailed/1/any/false/any/any/14285,14286th rate?loc=1&loct=1

15 14 80 Rate of Child and Adolescent Deaths for Huron County, the State of Michigan, and the U.S Death Rate Huron a Michigan a National b Linear (Huron a)

16 15 Goal 5: Reduce the use of Alcohol and Tobacco by Adolescents Objective A Objective A: Reduce the use of alcohol Related HP 2020 objective: Increase the proportion of High school seniors never using alcoholic beverages to 30.5% (1) Percent of students who have ever used alcohol Huron [a] Michigan [b] Target % % % % % % % % % % % % % % % % % HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective Note: Huron County data includes adolescents from 7th 12th grades, Huron County data includes adolescents from 7th, 9th and 11th grades [a] data obtained from Thumb Area 2008 Health Status Data Monitoring Report (aka "TRHN Data Book"), pg. 43; 2008, '10, & '14 data retrieved from: [b] Data obtained from:

17 16 90% Percent of Students Who Have Ever Used Alcohol: Huron County & Michigan 80% 70% 60% 50% 40% 30% Huron [a] Michigan [b] 20% 10% 0%

18 17 Goal 5: Reduce the use of Alcohol and Tobacco by Adolescents Objective A Objective A: Reduce the use of alcohol (2) Percent of students who consumed alcohol in the last 30 days Huron [a] Michigan [b] Target % % % % % % % % % % % % % % % % % HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective Note: Huron County data includes adolescents from 7th 12th grades, Huron County data includes adolescents from 7th, 9th and 11th grades [a] data obtained from Thumb Area 2008 Health Status Data Monitoring Report (aka "TRHN Data Book"), pg. 43; 2008, '10, & '14 data retrieved from: [b] Data obtained from:

19 18 60% Percent of students who consumed alcohol in the last 30 days 50% 40% 30% 20% 10% Huron [a] Michigan [b] 0%

20 19 Goal 5: Reduce the use of Alcohol and Tobacco by Adolescents Objective B Objective B: Reduce the use of Tobacco (1) Percent of students who have ever smoked cigarettes* Huron [a] Michigan [b] Target % % % % % % % % % % % % % % % % % HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective * For Michigan, data indicates students who ever took even one puff of a cigarette. For Huron County, data indicates students who ever smoked a whole cigarette. If data is used for comparison, this should be considered. Note: Huron County data includes adolescents from 7th 12th grades, Huron County data includes adolescents from 7th, 9th and 11th grades [a] data obtained from Thumb Area 2008 Health Status Data Monitoring Report (aka "TRHN Data Book"), pg. 43; 2008, '10, & '14 data retrieved from: [b] Data obtained from:

21 20 80% Percent of students who have ever smoked cigarettes 70% 60% 50% 40% 30% Huron [a] Michigan [b] 20% 10% 0%

22 21 Goal 5: Reduce the use of Alcohol and Tobacco by Adolescents Objective B Objective B: Reduce the use of Tobacco (2) Percent of students who smoked cigarettes in the last 30 days Huron [a] Michigan [b] % % % % % % % % % % % % % % % % % Target [c] HP % Note: Huron County data includes adolescents from 7th 12th grades, Huron County data includes adolescents from 7th, 9th and 11th grades [a] data obtained from Thumb Area 2008 Health Status Data Monitoring Report (aka "TRHN Data Book"), pg. 43; 2008, '10, & '14 data retrieved from: [b] Data obtained from: [c] Target obtained from:

23 22 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Percent of students who smoked cigarettes in the last 30 days Huron [a] Michigan [b] Access to Health Care Goal 6: Increase access to information about resources available in the community Objective A: Increase agency awareness summary of agencies/programs on Data for this goal/objective is no longer available: the purpose and content of the website has changed.

24 23 Goal 7: Decrease economic barriers to health care Objective A Objective A: Reduce the number of people living below the poverty line Percent of people living below the poverty line Huron (a) Michigan (a) Target % 11.5% % 9.9% % 9.8% % 11.0% % 13.1% % 13.9% % 16.1% % 17.5% HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective (a) Data retrieved from: poverty all ages saipe?loc=24&loct=2 detailed/5/3775,3822/false/867,133,38,35,18/any/ % Percent of people living below the poverty line 15.0% 10.0% 5.0% Huron (a) Michigan (a) 0.0%

25 24 Goal 7: Decrease economic barriers to health care Objective B Objective B: Reduce the number of children living in poverty Percent of children (0 17) living in poverty Huron Michigan Target % 18.0% % 14.2% % 13.4% % 15.0% % 18.3% % 19.3% % 22.2% % 24.6% % 23% % 25% % 25% HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective Data retrieved from: poverty children ages 0 17 saipe?loc=24&loct=5 detailed/5/3775,3822/true/867/any/ '14 Data retrieved from: % Percent of children (0 17) living in poverty 25.0% 20.0% 15.0% 10.0% Huron Michigan 5.0% 0.0%

26 25 Goal 7: Decrease economic barriers to health care Objective C Objective C: Increase the number of people with health insurance Percent of population insured Target Huron (a) Michigan (a) National (b) (b) % 87.7% 83.0% % 87.9% 83.4% % 87.6% 83.2% % 86.1% 82.5% % 85.7% 81.8% % 86.4% 82.8% % 86.6% 83.1% % 86% % 86% HP % (a) data retrieved from: view=data&utilbtn=pdf&ylb=0&stlb=23&alb=0&slb=0&ilb=0&rlb=0&countycbselected=true&insu redrbg=pu_&multiyearselected=false&multiyearalertflag=false (b) data and target retrieved from: * data retrieved from: % Percent of population insured 88.0% 86.0% 84.0% 82.0% 80.0% Huron (a) Michigan (a) National (b) 78.0%

27 26 Goal 8: Increase access to primary care services Objective A Objective A: Decrease preventable [ambulatory care sensitive] hospitalizations* Percentage of ambulatory care sensitive hospitalizations Huron (a) Michigan (a) Target % 19.0% % 18.7% % 18.9% % 19.4% % 19.4% % 19.5% % 20.1% % 19.8% % 20.0% % 20.4% % 20.5% % 20.5% % 20.6% % 20.2% HP 2020 N/A: No equivalent HP 2020 goal for this objective N/A Notes: Ambulatory Care Sensitive Hospitalizations are hospitalizations for conditions where timely and effective ambulatory care can decrease hospitalizations by preventing the onset of an illness or condition, controlling an acute episode of an illness or managing a chronic disease or condition. Hospitalizations are inpatient hospital stays as measured by stays that were completed during the specified year. The number of hospitalizations is often greater than the number of persons hospitalized since some persons are hospitalized more than once during a year. Percent of all hospitalizations that were categorized as ambulatory care sensitive hospitalizations for the specified year. Source: Michigan Resident Inpatient Files, Division for Vital Records and Health Statistics, Michigan Department of Community Health Last Updated: 03/17/2014 (a) Data & notes retrieved from:

28 % Percentage of ambulatory care sensitive hospitaliations 24.0% 23.0% 22.0% 21.0% 20.0% 19.0% Huron (a) Michigan (a) Linear (Huron (a)) 18.0% 17.0%

29 28 Goal 8: Increase access to primary care services Objective B Objective B: Increase the number of primary care physicians per 100,000 Related HP 2020 goal: Increase the number of practicing primary care providers Number of primary care physicians per 100,000 Huron Michigan Target HP 2020 * HP 2020 goal does not list a target value N/A* 2008 '10 Data obtained from: care providers per _25/Profile 2011 '14 data obtained from: Note: for ease of comparison, County Health Ranking data was converted from a ratio of residents: physician to physicians per 100,000 population 100 Number of primary care physicians per 100, Huron Michigan

30 29 Goal 8: Increase access to primary care services Objective C Objective C: Increase adequate prenatal care Percent of births with less than adequate care Huron Michigan Target % 24.00% % 24.4% % 24.0% % 21.7% % 21.9% % 22.5% % 29.5% % 29.4% HP %* Data retrieved from: MI/5/27/28 * Target value calculated from HP 2020 objective MICH 10.2 "Increase the proportion of pregnant women who receive early and adequate prenatal care" to 77.6% 35.00% 30.00% 25.00% Percent of births with less than adequate care 20.00% 15.00% 10.00% 5.00% 0.00% Huron Michigan

31 30 Goal 8: Increase access to primary care services Objective D Objective D: Increase access to dental care Number of Dentists per 100,000 Huron Michigan Target HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective data obtained from the Huron County Community Health Profile (updated July 2012) '14 data retrieved from Note: for ease of comparison, County Health Ranking data was converted from a ratio of # residents per physician to the ratio of physicians per 100,000 population. 70 Number of Dentists per 100, Huron Michigan

32 31 Healthy Adults Goal 9: Improve mental health of adults Objective A Objective A: Reduce deaths from suicide Number of suicide deaths per 100,000 (a) Michigan Huron (b) (b) Target * HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective * An asterisk indicates that data does not meet standards of reliability or precision. (a) Data represents 5 year moving averages for a five year period ending with the year displayed, i.e data is the average of data. (b) Data retrieved from: Number of suicide deaths per 100, Huron (b) Michigan (b)

33 32 Goal 10: Reduce Preventable Chronic Disease Deaths Objective A Objective A: Decrease Deaths from heart disease (Number of deaths per 100,000 population) Number of deaths from heart disease per 100,000 (age adjusted)* Huron Michigan Target HP * Data represents 3 year moving averages for a three year period ending with the year displayed, i.e data is the average of data. Data retrieved from: HP 2020 target obtained from: objectives/topic/heart disease andstroke/objectives Deaths from Heart Disease per 100,000 population HP 2020 Huron Michigan Target Linear (Huron)

34 33 Goal 10: Reduce Preventable Chronic Disease Deaths Objective B Objective B: Decrease Deaths from cancer (Number of deaths per 100,000 population) Number of deaths from cancer per 100,000 (age adjusted)* Huron Michigan Target HP * Data represents 3 year moving averages for a three year period ending with the year displayed, i.e data is the average of data. Data retrieved from: HP 2020 target obtained from: objectives/topic/cancer/objectives Number of deaths from cancer per 100,000 Population HP 2020 Huron Michigan Target Linear (Huron)

35 34 Goal 10: Reduce Preventable Chronic Disease Deaths Objective C Objective C: Decrease Deaths from diabetes (Number of deaths per 100,000 population) Number of deaths from diabetes per 100,000 (age adjusted)* Huron Michigan Target HP * Data represents 3 year moving averages for a three year period ending with the year displayed, i.e data is the average of data. Data retrieved from: HP 2020 target obtained from: objectives/topic/diabetes/objectives Number of deaths from diabetes per 100,000 Population HP 2020 Huron Michigan Target Linear (Huron)

36 35 Goal 10: Reduce Preventable Chronic Disease Deaths Objective D Objective D: Decrease deaths from stroke (Number of deaths per 100,000 population) Number of deaths from stroke per 100,000 (age adjusted)* Huron Michigan Target HP * Data represents 3 year moving averages for a three year period ending with the year displayed, i.e data is the average of data. Data retrieved from: HP 2020 target obtained from: objectives/topic/heart disease andstroke/objectives 80 Number of deaths from stroke per 100,000 Population HP 2020 Huron Michigan Target Linear (Huron)

37 36 Goal 11: Reduce the transmission of HIV Objective A Objective A: Reduce the number of HIV positive people Related Healthy People 2020 goal: Reduce new HIV infections Number of HIV positive people (non stage 3 HIV infection) Huron Michigan Target HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal Data retrieved from: _ ,00.html Number of HIV positive people (non stage 3 HIV infection) in Huron County Huron

38 37 Goal 11: Reduce the transmission of HIV Objective B Objective B: Reduce the number of people with AIDS (Stage 3 HIV infection) 1) Number of people with AIDS (Stage 3 HIV infection) Huron Michigan Target HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal Data retrieved from: _ ,00.html 6 Number of people with AIDS (Stage 3 HIV infection)in Huron County Huron

39 38 Goal 11: Reduce the transmission of HIV Objective B 2) Rate of total (all stages) HIV infection Huron Michigan Target 2005 * * HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal Rate= number of people per 100,000 population *Prevalence rates of <10 are unreliable and therefore not reported cell left blank. Data retrieved from: Note: The data year displayed in the tables above indicates the year the data was reported. For 2006 and prior, the rate of HIV infection was estimated. After 2006, rates are reported rates rather than estimates Rate of HIV Infection Huron Michigan

40 39 Goal 12: Reduce abusive patterns of alcohol and cigarette use among adults Objective A Objective A: reduce alcohol abuse [as determined by the number of arrests for driving under the influence (DUI) of alcohol] Related Healthy People 2020 goal: Decrease the rate of alcohol impaired driving (.08+ blood alcohol content [BAC]) fatalities 1) Number of adults arrested for DUI Huron Michigan Target , , , , , , , , , , ,962 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal 300 Number of adults arrested for DUI Huron

41 40 Goal 12: Reduce abusive patterns of alcohol and cigarette use among adults Objective A Objective A: reduce alcohol abuse [as determined by the number of arrests for driving under the influence (DUI) of alcohol] 2) Rate* of adults arrested for DUI Huron Michigan Target HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal *Rate = number of people per 100,000 population Data retrieved from: Rate of adults arrested for DUI Huron Michigan

42 41 Goal 12: Reduce abusive patterns of alcohol and cigarette use among adults Objective B Objective B: Increase treatment admissions for substance abuse Related HP 2020 goal: Increase the number of admissions to substance abuse treatment for injection drug use Number of treatment admissions for substance abuse Huron Michigan Target , , , , , ,293 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal County/state Data retrieved from: _4871_45835_ ,00.html Number of treatment admissions for substance abuse Huron Linear (Huron)

43 42 Goal 12: Reduce abusive patterns of alcohol and cigarette use among adults Objective C Objective C: reduce cigarette use Percentage of Adults Who Currently Smoke Huron (a) Thumb region (a) Michigan (b) % 23.8% 25.8% % 20.0% 20.2% % 26.0% 21.4% Target HP % (a) Data obtained from the 2003, 2008, and 2013 Thumb Behavioral Risk Factor Surveys (b) Data retrieved from: _5104_5279_39424_ ,00.html [c] Healthy People 2020 Target obtained from: objectives/topic/tobacco use/objectives Percentage of Adults Who Currently Smoke 29.0% 27.0% 25.0% 23.0% 21.0% 19.0% Huron (a) Thumb region (a) Michigan (b) 17.0% 15.0%

44 43 Safe Communities Goal 13: Decrease motor vehicle crash deaths Objective A Objective A: Reduce deaths from motor vehicle crashes Number of fatalities Huron Michigan Target HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal Number of Traffic Fatalities in Huron County Huron Linear (Huron)

45 44 Goal 13: Decrease motor vehicle crash deaths Objective A Objective A: Reduce deaths from motor vehicle crashes Fatality rate (per 100,00 population) Huron Michigan National Target HP rate calculated using fatality and census data from 2 sites: fars.nhtsa.dot.gov/states/statescrashesandallvictims.aspx and ,00.html County data retrieved from: fars.nhtsa.dot.gov/states/statescrashesandallvictims.aspx State data retrieved from: nrd.nhtsa.dot.gov/departments/nrd 30/ncsa/STSI/26_MI/2012/26_MI_2012.PDF National data retrieved from: fars.nhtsa.dot.gov/main/index.aspx Healthy People 2020 target retrieved from: and Violence Prevention&objective=IVP 13.1&anchor=6681

46 45 30 Traffic Fatality Rate (per 100,000 population) Huron Michigan National Linear (Huron)

47 46 Goal 14: Reduce the occurrence of domestic violence Objective A Objective A: reduce the number of assaults attributed to domestic violence Healthy People 2020 topic, "Injury and Violence Prevention" includes multiple related objectives Number of victims of domestic violence Huron Michigan Target , , , , , , , , , ,572 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal Objective A: reduce the number of assaults attributed to domestic violence Rate* of domestic violence Huron Michigan Target , , , , , , HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal *Rate = number of victims per 100,000 population Data retrieved from: _3501_ ,00.html

48 Rate of domestic violence Huron Michigan Linear (Huron)

49 48 Healthy Adults Goal 15: Reduce asthma morbidity Objective A Objective A: Reduce hospital visits due to asthma Related Healthy People 2020 goal: Reduce hospitalizations for asthma Rate* of preventable hospitalizations due to asthma for patients of all ages Huron Michigan Target HP * Rate = number of preventable hospitalizations per 10,000 population and 2006 data obtained from the Thumb Area Community Health Data Book, March and 2012 data retrieved from: Healthy People 2020 age specific target ranges obtained from: objectives/topic/respiratory diseases/objectives Rate of preventable hospitalizations due to asthma for patients of all ages Huron Michigan

50 49 Goal 16: Reduce childhood lead poisoning Objective A Objective A: Increase the number of children screened for lead Percentage of children under age 6 tested for lead Huron Michigan Target 2005 (a) 11.1% 14.9% 2006 (a) 16.6% 17.4% 2007 (a) * 16.9% 2008 (b) 24.4% 17.7% 2009 (a) * 15.1% 2010 (b) 26.8% 21.0% 2011 (b) 28.0% 21.1% 2012 (b) 24.5% 20.7% HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal * Data not available 30.0% Percentage of children under age 6 tested for lead 25.0% 20.0% 15.0% 10.0% Huron Michigan 5.0% 0.0% 2005 (a) 2006 (a) 2007 (a) 2008 (b) 2009 (a) 2010 (b) 2011 (b) 2012 (b)

51 50 Goal 16: Reduce childhood lead poisoning Objective B Objective B: Decrease children with elevated lead levels (> 10ug/dL) HP 2020 objective: Eliminate elevated blood lead levels (> 10ug/dL) in children Percentage of children under the age of 6 with elevated lead levels (> 10ug/dL) Huron Michigan Target 2005 (a) 0.7% 2.8% 2006 (a) 0.3% 1.8% 2007 (a) * 1.5% 2008 (b) 0.0% 1.2% 2009 (a) * 0.6% 2010 (b) 0.4% 0.8% 2011 (b) 0.0% 0.6% 2012 (b) 0.0% 0.5% HP % * Data not available HP 2020 Target obtained from: objectives/topic/environmentalhealth/objectives 3.0% Percentage of children under the age of 6 with elevated lead levels (> 10ug/dL) 2.5% 2.0% 1.5% 1.0% Huron Michigan 0.5% 0.0% 2005 (a) 2006 (a) 2007 (a) 2008 (b) 2009 (a) 2010 (b) 2011 (b) 2012 (b)

52 51 Goal 16: Reduce childhood lead poisoning Objective C Objective C: reduce the number of houses built before 1950 Related Healthy People 2020 goals: i) Increase the proportion of persons living in pre 1978 housing that has been tested for the presence of lead based paint or related hazards. ii) Reduce the number of U.S. homes that are found to have lead based paint or related hazards Percentage of homes built before 1950 Huron Michigan Target 2000 (a) 33.5% 26.7% 2010 (b) 33.5% 27.0% 2011 (b) 31.8% 24.7% 2012 (b) 31.8% 24.7% HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal (a) Data retrieved from: (b) Data retrieved from: % Percentage of homes built before % 30.0% 25.0% 20.0% 15.0% Huron Michigan 10.0% 5.0% 0.0% 2000 (a) 2010 (b) 2011 (b) 2012 (b)

53 52 REFERENCES Annie E. Casey Foundation. (n.d). Michigan indicators [Datafile]. Retrieved from County Health Rankings & Roadmaps website. (2014). Crude mortality rates by county of residence, State of Michigan, Michigan counties, and Detroit city, (n.d.). Retrieved from Easy Access to FBI Arrest Statistics: website. (n.d.). General MiPHY FAQ (2010). Retrieved from _64839_38684_29233_44681,00.html HIV/AIDS statewide annual analyses. (n.d.). Retrieved September 25, 2014, from Health Indicators Warehouse website. (n.d.). HealthyPeople.gov website. (n.d.). Kids Count Data Center website. (n.d.). Michigan BRFS annual tables. (2014). Retrieved from _5104_5279_39424_ ,00.html Michigan Department of Community Health. (2011). Health indicators and risk estimates by community health assessment regions & local health departments; Michigan Behavioral Risk Factor Survey, combined. Lansing, MI: Author.

54 53 Michigan Department of Community Health website. (2014). Michigan Profile for Healthy Youth. (n.d.). Retrieved October 30, 2014, from _64839_38684_29233_44681,00.html Michigan State University. (2014). Health behaviors in Michigan s thumb: Results of the 2013 thumb behavioral risk factor survey. East Lansing: Author. Michigan school health survey system: County report generation. (2012). Retrieved September 28, 2014, from rtgeneration.aspx Michigan youth risk behavior survey. (2014). Retrieved September 28, 2014, from _64839_38684_29233_41316,00.html Michigan.gov website. (n.d.). National Highway Traffic Safety Administration. (n.d.). Fatality Analysis Reporting System Encyclopedia [e Encyclopedia]. Retrieved from fars.nhtsa.dot.gov/main/index.aspx National Highway Traffic Safety Administration website. (n.d.). Uniform Crime Reporting website. (n.d.). Uniform crime report. (2014). Retrieved October 14, 2014, from _3501_4621,00.html United States Census Bureau website. (n.d.).

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