CHRONIC DISEASE HEALTH PROFILE REGIONS AND COUNTIES: TENNESSEE EAST REGION
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1 CHRONIC DISEASE HEALTH PROFILE REGIONS AND COUNTIES: TENNESSEE EAST REGION TENNESSEE DEPARTMENT OF HEALTH OFFICE OF POLICY, PLANNING & ASSESSMENT SURVEILLANCE, EPIDEMIOLOGY AND EVALUATION DECEMBER 211
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3 TABLE OF CONTENTS SECTION 1: STATE PROFILE TENNESSEE 1 SECTION 2: RANKINGS REGIONAL RANKINGS OF SELECTED INDICATORS 15 COUNTY RANKINGS OF SELECTED INDICATORS 16 COUNTY RANKINGS OF SELECTED INDICATORS BY RURAL REGION 2 SECTION 3: REGIONAL & COUNTY PROFILES EAST REGION 24 ANDERSON COUNTY 38 BLOUNT COUNTY 49 CAMPBELL COUNTY 6 CLAIBORNE COUNTY 71 COCKE COUNTY 82 GRAINGER COUNTY 93 HAMBLEN COUNTY 14 JEFFERSON COUNTY 115 LOUDON COUNTY 126 MONROE COUNTY 137 MORGAN COUNTY 148 ROANE COUNTY 159 SCOTT COUNTY 17 SEVIER COUNTY 181 UNION COUNTY 192 SECTION 4: TECHNICAL NOTES TECHNICAL NOTES 23
4 Demographics Tennessee Quick Facts Median Age 1 : 37.3 Median Income 1 : $42,943 Home Ownership 1 : Unemployment 1 : 7.9% Crime Rate 2 (per 1,): 91.9 Teen Pregnancy Rate 3 (per 1,) Population by Age, Gender and Race, Overall: 63.4 Age Gender Race Total White: 52.4 Hispanic Female Male Non- Non- Black: 13.3 Hispanic Hispanic Infant Mortality 4 (per 1,) White Black Overall: 8.1 <18 72, ,47 1,25, ,159 9,277 1,475,3 White: ,143,968 1,14,65 1,699,82 41,678 16,533 2,284,33 Black: , ,142 1,315,58 226,29 25,576 1,62,913 Automobile Accident ,99 332,68 698,898 81,4 6,57 796,977 Deaths 4 (per 1,): 18.7 Total 3,157,271 3,1,682 4,74,16 1,16,5 228,443 6,158, % Male Female Demographics of Tennessee, NH White NH Black Hispanic HS Graduate 82. Families in Poverty Individuals in Poverty Percent 1 Data Source: U.S. Census Bureau, American Community Survey, Data Source: Tennessee Bureau of Investigation. "Tennessee Incident Based Reporting System (TIBRS)" accessed July 26, Data Source: Birth Statistical System, Fetal Death Statistical System, and Induced Abortion Statistical System. Tennessee Department of Health, Division of Health Statistics, Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics,
5 General Health "Fair/Poor" Health 1 Tennessee Lacking Health Insurance Percent Percent Percent Pneumonia and Influenza Vaccination Status Ever received pneumonia vaccination (age 65+) Received flu shot in past 12 months (age 5+) Prevalence for General Health Indicators Among Tennessee Adults 18+, 29 1 Indicator Total NH White NH Black Female Male Fair/Poor Health Status (%) Lacking Health Insurance (%) Ever Received Pneumonia Vaccination 2 (%) Received Flu Shot in Past 12 Months 3 (%) Mean # of Days of Poor Physical Health per Month (%) Mean # of Days of Poor Mental Health per Month (%) Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 2 Age Age 5+. 2
6 Behavioral Risk Factors Tennessee 6 Overweight and Obesity 1 Percent Overweight Obese Percent Nutrition and Physical Activity Percent Cholesterol Screening and High Cholesterol Eating < 5 Fruit & Vegetables/Day Not Meeting Physical Activity Recommendations Cholesterol Not Checked in 5 Years Ever Told Had High Cholesterol Prevalence for Behavioral Risk Factors Among Tennessee Adults 18+, 29 1 Risk factor Total NH White NH Black Female Male Eating <5 Fruits & Vegetables per Day (%) Not Meeting Physical Activity Recommendations (%) Overweight or Obese (%) Have Not Checked Cholesterol Within the Past 5 Years (%) Ever Told Had High Cholesterol (%) Ever Told Had High Blood Pressure (%) Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 3
7 Cigarette & Alcohol Use Tennessee Cost in Dollars Cigarette Cost and Sales in Tennessee 1 2 Since 199: % Increase in Cost per Pack 63.2% Decrease in Sales Average Cost Per Pack Pack Sales Per Capita Pack Sales Per Capita Percent Current Cigarette Smokers Alcohol Use 2 Percent Heavy Drinking Binge Drinking Prevalence for Alcohol and Tobacco Use Among Tennessee Adults 18+, 29 2 Indicator Total NH White NH Black Female Male Heavy Drinking (%) Binge Drinking (%) Current Smokers (%) Data Source: Centers for Disease Control and Prevention (CDC) State Tobacco Activities Tracking and Evaluation (STATE) System. 2 Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 4
8 Tennessee Leading Causes of Death Leading Causes of Death, Tennessee, Rank 2 Cause # Deaths Age Adjusted Mortality Rate 3 and Demographic Ranking Heart Disease Cancer Chronic Lower Respiratory Diseases Stroke Accidents Alzheimer's Disease Diabetes Mellitus Influenza and Pneumonia Suicide Kidney Disease 42,982 39,629 1,157 9,857 9,574 6,88 5,174 4,24 2,737 2, Ranking Key: All Cause Mortality by Race, Tennessee, Total 895. White Black 1,73.1 Female Male 1, Deaths per 1, 1 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 2 Ranking for the total population. 3 Annual Mortality Rate per 1, population, age adjusted to the 2 standard US population. 5
9 Heart Disease Tennessee Rate Per 1, Age Adjusted Mortality 1 and Hospitalization 2, Heart Disease 1,525 1,528 1,545 1,545 1,549 1,55 1,456 1,436 1,357 1,323 1, Mortality Hospitalization Heart Disease Mortality 1, Hospitialization 2, Mortality (per 1,) Hospitalization (per 1,) 1,36.8 1, , ,69.4 1,61. Heart Disease Prevalence 3, 29 Total NH White NH Black Female Male Prevalence of MI 4 (%) Prevalence of CHD 5 (%) Age Specific Mortality by Race, Heart Disease, , , ,996.9 Black White 4, Deaths per 1, 1 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjustment based on the 2 standard US population. 2 Data Source: Hospital Discharge Data System, Tennessee Department of Health, Division of Health Statistics, Data are for discharges, not necessarily for unique patients and are calculated for all ages. Age adjusted to the 2 standard US population. 3 Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 4 MI= Myocardial Infarction. 5 CHD=Coronary Heart Disease. 6
10 Stroke Tennessee Age Adjusted Mortality 1 and Hospitalization 2, Stroke 5 Rate per 1, Mortality Hospitalization Stroke Mortality 1, Hospitialization 2, and Prevalence 3, Mortality (per 1,) Hospitalization (per 1,) Prevalence 4 (%) Age Specific Mortality by Race, Stroke, Black White Deaths per 1, 1 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjustment based on the 2 standard US population. 2 Data Source: Hospital Discharge Data System, Tennessee Department of Health, Division of Health Statistics, Data are for discharges, not necessarily for unique patients and are calculated for all ages. Age adjusted to the 2 standard US population. 3 Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise data, NH white and NH black race groups. 7
11 CLRD 1 Tennessee Rate per 1, Age Adjusted Mortality 2 and Hospitalization 3, CLRD Mortality 29 Hospitalization Chronic Lower Respiratory Disease Mortality 2 and Hospitialization 3, Mortality (per 1,) Hospitalization (per 1,) Asthma Prevalence, 29 4 Total NH White NH Black Female Male Ever Had Asthma (%) Currently Have Asthma (%) Percent Prevalence of Self-Reported Current Asthma 4 Age Specific Mortality by Race, CLRD, Black 35.1 White Deaths per 1, 1 CLRD= Chronic Lower Respiratory Disease. 2 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjustment based on the 2 standard US population. 3 Data Source: Hospital Discharge Data System, Tennessee Department of Health, Division of Health Statistics, Data are for discharges, not necessarily for unique patients and are calculated for all ages. Age adjusted to the 2 standard US population. 4 Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 8
12 Diabetes Tennessee Age Adjusted Mortality 1 and Hospitalization 2, Diabetes Rate per 1, Mortality Hospitalization Diabetes Mortality 1 and Hospitialization 2, Mortality (per 1,) Hospitalization (per 1,) Diabetes Prevalence 3 and Diabetes Management Indicators 3, 29 Self-Blood Glucose Monitoring at Least Once Daily (%) Total NH White NH Black Female Male Prevalence (%) Foot Examined by a Doctor in Past 12 Months (%) Received a Dilated Eye Exam in past 12 Months (%) Age Specific Mortality by Race, Diabetes, Deaths per 1, Black White Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjustment based on the 2 standard US population. 2 Data Source: Hospital Discharge Data System, Tennessee Department of Health, Division of Health Statistics, Data are for discharges, not necessarily for unique patients and are calculated for all ages. Age adjusted to the 2 standard US population. 3 Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 9
13 Cancer Tennessee 6 Age Adjusted Incidence 1, Mortality 1 and Hospitalization 2, All Cancers Rate per 1, Incidence Mortality Hospitalization Cancer Incidence 1 and Mortality 1, Incidence (per 1,) Mortality (per 1,) Age Specific Mortality by Race, All Cancer, Black White , , Deaths Per 1, 1 Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2 standard US population. 2 Data Source: Hospital Discharge Data System, Tennessee Department of Health, Division of Health Statistics, Data are for discharges, not necessarily for unique patients and are calculated for all ages. Age adjusted to the 2 standard US population. 3 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 1
14 Lung Cancer Tennessee Rate per 1, Age Adjusted Incidence 1 and Mortality 1, Lung Cancer Incidence Mortality Lung Cancer Incidence 1 and Mortality 1, Incidence (per 1,) Mortality (per 1,) ) Age Specific Mortality by Race, Lung Cancer, Black White Deaths Per 1, 1 Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2 standard US population. 2 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 11
15 Breast Cancer Tennessee Rate per 1, Age Adjusted Incidence 1 and Mortality 1, Female Breast Cancer Incidence Mortality Female Breast Cancer Incidence 1 and Mortality 1, Total White Black Incidence (per 1,) Mortality (per 1,) Age Specific Mortality by Race, Female Breast Cancer, Black White Deaths Per 1, 1 Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2 standard US population. 2 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 12
16 Colorectal Cancer Tennessee 1 Age Adjusted Incidence 1 and Mortality 1, Colorectal Cancer Rate per 1, Incidence Mortality Colorectal Cancer Incidence 1 and Mortality 1, Incidence (per 1,) Mortality (per 1,) Age Specific Mortality by Race, Colorectal Cancer, Black White Deaths Per 1, 1 Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2 standard US population. 2 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 13
17 Prostate Cancer Tennessee Rate per 1, Age Adjusted Incidence 1 and Mortality 1, Prostate Cancer Incidence Mortality Prostate Cancer Incidence 1 and Mortality 1, Total White Black Incidence (per 1,) Mortality (per 1,) Age Specific Mortality by Race, Prostate Cancer, Black White Deaths Per 1, 1 Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2 standard US population. 2 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 14
18 Indicator Regional Rankings of Selected Indicators, Tennessee* Davidson East Hamilton Knox Madison Mid- Cumberland High School Education or Higher Individuals in Poverty Unemployment Crime Teen Pregnancy Infant Mortality Fair/Poor Health Status Lacking Health Insurance Ever Received Pneumonia Vaccination Received Flu Shot in Past 12 Months Eating <5 F&V Not Meeting PA 4 Recommendations Overweight or Obese Cholesterol Not Checked Within the Past 5 Years Ever Told High Cholesterol Ever Told High Blood Pressure Current Cigarette Smoker Heavy Drinking Binge Drinking All Cause Mortality Heart Disease Mortality Myocardial Infarction Prevalence CHD 5 Prevalence Stroke Mortality Stroke Prevalence CLRD 6 Mortality Asthma Prevalence (Ever) Asthma Prevalence (Current) Diabetes Mortality Diabetes Prevalence Cancer Mortality Cancer Incidence Lung Cancer Incidence Breast Cancer Incidence Colorectal Cancer Incidence Prostate Cancer Incidence Northeast Northwest Shelby South Central Southeast Southwest Sullivan Upper- Cumberland * Regional rankings are in descending order, where a rank of 1 indicates the highest value for that indicator among all regions. 1 For population age For population age Fruit and vegetable. 4 Physical Activity. 5 Coronary heart disease. 6 Chronic lower respiratory disease. Data Sources: U.S. Census Bureau, American Community Survey, 25-29: High School Education or Higher, Individuals in Poverty, Unemployment. Tennessee Bureau of Investigation, "Tennessee Incident Based Reporting System (TIBRS)" 27-29: Crime. Tennessee Birth Statistical System, Fetal Death Statistical System, and Induced Abortion Statistical System, 27-29: Teen Pregnancy. Tennessee Death Statistical System, 27-29: Infant Mortality, All Cause Mortality, Heart Disease Mortality, Stroke Mortality, CLRD Mortality, Diabetes Mortality. Tennessee Behavioral Risk Factor Surveillance System, 29: Fair/Poor Health Status, Lacking Health Insurance, Ever Received Pneumonia Vaccination, Received Flu Shot in Past 12 Months, Eating <5 FV, Not Meeting PA Recommendations, Overweight or Obese, Cholesterol Not Checked Within the Past 5 Years, Ever Told High Cholesterol, Ever Told High Blood Pressure, Current Cigarette Smoker, Heavy Drinking, Binge Drinking, Myocardial Infarction Prevalence, CHD Prevalence, Stroke Prevalence, Asthma Prevalence Ever/Current, Diabetes Prevalence. Tennessee Cancer Registry, 24-28: Cancer Mortality, Cancer Incidence, Lung Cancer Incidence, Breast Cancer Incidence, Colorectal Cancer Incidence, Prostate Cancer Incidence. 15
19 County Rankings of Selected Indicators, Tennessee* County High School Education and Higher Individuals in Poverty Unemployment Crime Teen Pregnancy Infant Mortality All Cause Mortality Heart Disease Mortality Metropolitan Counties Davidson Hamilton Knox Madison Shelby Sullivan East Region Anderson Blount Campbell Claiborne Cocke Grainger Hamblen Jefferson Loudon Monroe Morgan Roane Scott Sevier Union Mid-Cumberland Region Cheatham Dickson Houston Humphreys Montgomery Robertson Stroke Mortality CLRD 1 Mortality Diabetes Mortality Cancer Mortality Cancer Incidence Lung Cancer Incidence Breast Cancer Incidence Colorectal Cancer Incidence Prostate Cancer Incidence 16
20 County High School Education and Higher Individuals in Poverty Unemployment Crime Teen Pregnancy Infant Mortality All Cause Mortality Heart Disease Mortality Rutherford Stewart Sumner Trousdale Williamson Wilson Northeast Region Carter Greene Hancock Hawkins Johnson Unicoi Washington Northwest Region Benton Carroll Crockett Dyer Gibson Henry Lake Obion Weakley South Central Region Bedford Coffee Giles Hickman Lawrence Lewis Stroke Mortality CLRD 1 Mortality Diabetes Mortality Cancer Mortality Cancer Incidence Lung Cancer Incidence Breast Cancer Incidence Colorectal Cancer Incidence Prostate Cancer Incidence 17
21 County High School Education and Higher Individuals in Poverty Unemployment Crime Teen Pregnancy Infant Mortality All Cause Mortality Heart Disease Mortality Lincoln Marshall Maury Moore Perry Wayne Southeast Region Bledsoe Bradley Franklin Grundy Marion McMinn Meigs Polk Rhea Sequatchie Southwest Region Chester Decatur Fayette Hardeman Hardin Haywood Henderson Lauderdale McNairy Tipton Upper-Cumberland Region Cannon Clay Stroke Mortality CLRD 1 Mortality Diabetes Mortality Cancer Mortality Cancer Incidence Lung Cancer Incidence Breast Cancer Incidence Colorectal Cancer Incidence Prostate Cancer Incidence 18
22 County High School Education and Higher Individuals in Poverty Unemployment Crime Teen Pregnancy Infant Mortality All Cause Mortality Heart Disease Mortality Cumberland Dekalb Fentress Jackson Macon Overton Pickett Putnam Smith Van Buren Warren White *County rankings are in descending order, where a rank of 1 indicates the highest value for that indicator among all counties. 1 Chronic lower respiratory disease. Data Sources: U.S. Census Bureau, American Community Survey, 25-29: High School Education or Higher, Individuals in Poverty, Unemployment. Tennessee Bureau of Investigation, "Tennessee Incident Based Reporting System (TIBRS)" 27-29: Crime. Tennessee Birth Statistical System, Fetal Death Statistical System, and Induced Abortion Statistical System, 27-29: Teen Pregnancy. Tennessee Death Statistical System, 27-29: Infant Mortality, All Cause Mortality, Heart Disease Mortality, Stroke Mortality, CLRD Mortality, Diabetes Mortality. Tennessee Cancer Registry, 24-28: Cancer Mortality, Cancer Incidence, Lung Cancer Incidence, Breast Cancer Incidence, Colorectal Cancer Incidence, Prostate Cancer Incidence. Stroke Mortality CLRD 1 Mortality Diabetes Mortality Cancer Mortality Cancer Incidence Lung Cancer Incidence Breast Cancer Incidence Colorectal Cancer Incidence Prostate Cancer Incidence 19
23 County Rankings of Selected Indicators by Rural Region, Tennessee* County High School Education and Higher Individuals in Poverty Unemployment Crime Teen Pregnancy Infant Mortality All Cause Mortality Heart Disease Mortality Stroke Mortality CLRD 1 Mortality Diabetes Mortality Cancer Mortality Cancer Incidence Lung Cancer Incidence Breast Cancer Incidence Colorectal Cancer Incidence East Region Anderson Blount Campbell Claiborne Cocke Grainger Hamblen Jefferson Loudon Monroe Morgan Roane Scott Sevier Union Mid-Cumberland Region Cheatham Dickson Houston Humphreys Montgomery Robertson Rutherford Stewart Sumner Trousdale Williamson Wilson Northeast Region Carter Prostate Cancer Incidence 2
24 County High School Education and Higher Individuals in Poverty Unemployment Crime Teen Pregnancy Infant Mortality All Cause Mortality Heart Disease Mortality Stroke Mortality CLRD 1 Mortality Diabetes Mortality Cancer Mortality Cancer Incidence Lung Cancer Incidence Breast Cancer Incidence Colorectal Cancer Incidence Greene Hancock Hawkins Johnson Unicoi Washington Northwest Region Benton Carroll Crockett Dyer Gibson Henry Lake Obion Weakley South Central Region Bedford Coffee Giles Hickman Lawrence Lewis Lincoln Marshall Maury Moore Perry Wayne Southeast Region Bledsoe Bradley Prostate Cancer Incidence 21
25 County High School Education and Higher Individuals in Poverty Unemployment Crime Teen Pregnancy Infant Mortality All Cause Mortality Heart Disease Mortality Stroke Mortality CLRD 1 Mortality Diabetes Mortality Cancer Mortality Cancer Incidence Lung Cancer Incidence Breast Cancer Incidence Colorectal Cancer Incidence Franklin Grundy Marion McMinn Meigs Polk Rhea Sequatchie Southwest Region Chester Decatur Fayette Hardeman Hardin Haywood Henderson Lauderdale McNairy Tipton Upper-Cumberland Region Cannon Clay Cumberland Dekalb Fentress Jackson Macon Overton Pickett Putnam Smith Van Buren Prostate Cancer Incidence 22
26 County High School Education and Higher Individuals in Poverty Unemployment Crime Teen Pregnancy Infant Mortality All Cause Mortality Heart Disease Mortality Stroke Mortality CLRD 1 Mortality Diabetes Mortality Cancer Mortality Cancer Incidence Lung Cancer Incidence Breast Cancer Incidence Colorectal Cancer Incidence Warren White *County rankings are in descending order, where a rank of 1 indicates the highest value for that indicator among all counties. 1 Chronic lower respiratory disease. Data Sources: U.S. Census Bureau, American Community Survey, 25-29: High School Education or Higher, Individuals in Poverty, Unemployment. Tennessee Bureau of Investigation, "Tennessee Incident Based Reporting System (TIBRS)" 27-29: Crime. Tennessee Birth Statistical System, Fetal Death Statistical System, and Induced Abortion Statistical System, 27-29: Teen Pregnancy. Tennessee Death Statistical System, 27-29: Infant Mortality, All Cause Mortality, Heart Disease Mortality, Stroke Mortality, CLRD Mortality, Diabetes Mortality. Tennessee Cancer Registry, 24-28: Cancer Mortality, Cancer Incidence, Lung Cancer Incidence, Breast Cancer Incidence, Colorectal Cancer Incidence, Prostate Cancer Incidence. Prostate Cancer Incidence 23
27 Demographics East Quick Facts Median Age 1 : Median Income 1 : Home Ownership 1 : Unemployment 1 : 4.1 $ 36, % 8.% Crime Rate 2 (per 1,) : 76.4 Teen Pregnancy Rate 3 (per 1,) Population by Age, Gender, and Race Distribution (25-29) 1 Overall: 59 Age Gender Race Total White: 58.4 Female Male Non- Non- Hispanic Black: 55.6 Hispanic Hispanic Infant Mortality 4 (per 1,) White Black Overall: 6.5 <18 2,176 83,74 145,256 4,59 7,722 85,88 White: , , ,66 5,558 9, ,533 Black: ,952 97, ,917 4,24 2,36 21,595 Automobile Accident ,649 48,22 18,17 1, ,671 Deaths 4 (per 1,): 23.3 Total 291, ,116 67,949 15,533 19, ,679 Male Female NH White NH Black Hispanic Demographics, HS Graduate 73.5 Families in Poverty Individuals in Poverty Percent 1 Data Source: U.S. Census Bureau, American Community Survey, Data Source: Tennessee Bureau of Investigation. "Tennessee Incident Based Reporting System (TIBRS)" accessed July 26, Data Source: Birth Statistical System, Fetal Death Statistical System, and Induced Abortion Statistical System. Tennessee Department of Health, Division of Health Statistics, Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics,
28 General Health East 6 "Fair/Poor" Health 1 6 Lacking Health Insurance 1 Percent Percent Percent Pneumonia and Influenza Vaccination Status Ever received pneumonia vaccination (age 65+) Received flu shot in past 12 months (age 5+) Prevalence for General Health Indicators Among Adults 18+, 29 1 Indicator Total NH White NH Black Female Male Fair/Poor Health Status (%) Lacking Health Insurance (%) Ever Received Pneumonia Vaccination 2 (%) Received Flu Shot in Past 12 Months 3 (%) Mean # of Days of Poor Physical Health per Month Mean # of Days of Poor Mental Health per Month Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 2 Age Age
29 Behavioral Risk Factors East 6 Overweight and Obesity 1 Percent Overweight Obese Percent Nutrition and Physical Activity Percent Cholesterol Screening and High Cholesterol Eating <5 Fruit Vegetables/Day Not Meeting Physical Activity Recommendations Cholesterol Not Checked in 5 Years Ever Told Had High Cholesterol Prevalence for Behavioral Risk Factors, 29 1 Risk factor Total NH White NH Black Female Male Eating <5 Fruits & Vegetables per Day (%) Not Meeting Physical Activity Recommendations (%) Overweight or Obese (%) Have Not Checked Cholesterol Within the Past 5 Years (%) Ever Told High Cholesterol (%) Ever Told High Blood Pressure (%) Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 26
30 Cigarette & Alcohol Use East Percent Current Cigarette Smokers Alcohol Use 1 Percent Heavy Drinking Binge Drinking Prevalence for Alcohol and Tobacco Use, 29 1 Indicator Total NH White NH Black Female Male Heavy Drinking (%) Binge Drinking (%) Current Smokers (%) Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 27
31 East Leading Causes of Death Leading Causes of Death, Rank 2 Cause # Deaths Age Adjusted Mortality Rate 3 and Demographic Ranking 1 Cancer 5, Heart disease 5, Chronic lower respiratory diseases 1, Accidents 1, Stroke 1, Alzheimer s disease 1, Diabetes mellitus Influenza and pneumonia Suicide Kidney disease Ranking Key: All Cause Mortality by Race, ,3 Total 93.1 White 94.1 Black 1,23. Female 742. Male 1, Deaths per 1, 1 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjusted to the 2 standard US population. 2 Ranking order is based on counts for the total population. Demographic ranking is based on counts for each subgroup. 3 Annual mortality rate per 1, population. Age adjusted to the 2 standard US population. 28
32 Heart Disease East Rate Per 1, Age Adjusted Mortality 1 and Hospitalization 2, Heart Disease 1,526 1,631 1,575 1,616 1,612 1,564 1,638 1,564 1,474 1,428 1,312 1,259 1, Mortality Hospitalization Heart Disease Mortality 1 and Hospitialization 2, Mortality (per 1,) Hospitalization (per 1,) 1, , ,216. 1,27.2 1,547.5 Heart Disease Prevalence 3, 29 Total NH White NH Black Female Male Prevalence of MI 4 (%) Prevalence of CHD 5 (%) Age Specific Mortality by Race, Heart Disease, , ,457. 1,425.6 Black White 3, , Deaths per 1, 1 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjustment based on the 2 standard US population. 2 Data Source: Hospital Discharge Data System, Tennessee Department of Health, Division of Health Statistics, Data are for discharges, not necessarily for unique patients and are calculated for all ages. Age adjusted to 2 US standard population. 3 Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 4 MI= Myocardial Infarction. 5 CHD=Coronary Heart Disease. 29
33 Stroke East Age Adjusted Mortality 1 and Hospitalization 2, Stroke Rate per 1, Mortality Hospitalization Stroke Mortality 1, Hospitialization 2, and Prevalence 3, Mortality (per 1,) Hospitalization (per 1,) Prevalence 4 (%) Age Specific Mortality by Race, Stroke, Black White Deaths per 1, 1 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjustment based on the 2 standard US population. 2 Data Source: Hospital Discharge Data System, Tennessee Department of Health, Division of Health Statistics, Data are for discharges, not necessarily for unique patients and are calculated for all ages. Age adjusted to the 2 standard US population. 3 Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise data, NH white and NH black race groups. 3
34 CLRD 1 East Rate per 1, Age Adjusted Mortality 2 and Hospitalization 3, CLRD Mortality Hospitalization Chronic Lower Respiratory Disease Mortality 2 and Hospitialization 3, Mortality (per 1,) Hospitalization (per 1,) Asthma Prevalence, 29 4 Total NH White NH Black Female Male Ever Had Asthma (%) Currently Have Asthma (%) Prevalence of Self-Reported Current Asthma 4 Age Specific Mortality by Race, CLRD, Percent Black White Deaths per 1, 1 CLRD= Chronic Lower Respiratory Disease. 2 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjustment based on the 2 standard US population. 3 Data Source: Hospital Discharge Data System, Tennessee Department of Health, Division of Health Statistics, Data are for discharges, not necessarily for unique patients and are calculated for all ages. Age adjusted to the 2 standard US population. 4 Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 31
35 Diabetes East Age Adjusted Mortality 1, and Hospitalization 2, Diabetes Rate per 1, Mortality Hospitalization Diabetes Mortality 1 and Hospitialization 2, Mortality (per 1,) Hospitalization (per 1,) Diabetes Prevalence 3 and Diabetes Management Indicators 3, 29 Self-Blood Glucose Monitoring at Least Once Daily (%) Total NH White NH Black Female Male Prevalence (%) Foot Examined by a Doctor in Past 12 Months (%) Received a Dilated Eye Exam in past 12 Months (%) Age Specific Mortality by Race, Diabetes, Deaths per 1, Black White 1 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjustment based on the 2 standard US population. 2 Data Source: Hospital Discharge Data System, Tennessee Department of Health, Division of Health Statistics, Data are for discharges, not necessarily for unique patients and are calculated for all ages. Age adjusted to the 2 standard US population. 3 Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 32
36 Cancer East Age Adjusted Incidence 1 and Mortality 1, All Cancers Rate per 1, Incidence Mortality Cancer Incidence 1 and Mortality 1, Incidence (per 1,) Mortality (per 1,) Age Specific Mortality by Race, All Cancer, Black White Deaths Per 1, 1 Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2 standard US population. 2 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 33
37 Lung Cancer East 2 Age Adjusted Incidence 1, and Mortality 1, Lung Cancer Rate per 1, Incidence Mortality Lung Cancer Incidence 1 and Mortality 1, Incidence (per 1,) Mortality (per 1,) ) Age Specific Mortality by Race, Lung Cancer, Black White Deaths Per 1, 1 Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2 standard US population. 2 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 34
38 Breast Cancer East 2 Age Adjusted Incidence 1 and Mortality 1, Female Breast Cancer Rate per 1, Incidence Mortality Female Breast Cancer Incidence 1 and Mortality 1, Total White Black Incidence (per 1,) Mortality (per 1,) Age Specific Mortality by Race, Female Breast Cancer, Black White Deaths Per 1, 1 Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2 standard US population. 2 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 35
39 Colorectal Cancer East 1 Age Adjusted Incidence 1 and Mortality 1, Colorectal Cancer Rate per 1, Incidence Mortality Colorectal Cancer Incidence 1 and Mortality 1, Incidence (per 1,) Mortality (per 1,) Age Specific Mortality by Race, Colorectal Cancer, Black White Deaths Per 1, 1 Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2 standard US population. 2 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 36
40 Prostate Cancer East Rate per 1, Age Adjusted Incidence 1 and Mortality 1, Prostate Cancer Incidence Mortality Prostate Cancer Incidence 1 and Mortality 1, Total White Black Incidence (per 1,) Mortality (per 1,) Age Specific Mortality by Race, Prostate Cancer, Black White , Deaths Per 1, 1 Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2 standard US population. 2 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 37
41 Demographics Anderson Quick Facts Median Age 1 : Median Income 1 : Home Ownership 1 : Unemployment 1 : 41.1 $42, % 7.2% Crime Rate 2 (per 1,) : 96.1 Teen Pregnancy Rate 3 (per 1,): Population by Age, Gender, and Race Distribution (25-29) 1 Overall: 47.6 Age Gender Race Total White: 47.1 Female Male Non- Non- Hispanic Black: 57.4 Hispanic Hispanic Infant Mortality 4 (per 1,): White Black Overall: 3.8 <18 7,874 8,827 14, ,71 White: ,64 11,898 21,516 1, ,962 Black: ,78 9,847 19, ,555 Automobile Accident 65+ 7,146 5,18 11, ,164 Deaths 4 (per 1,): 22.6 Total 37,792 35,59 66,923 2,965 1,296 73,382 Male Female NH White NH Black Hispanic Demographics, HS Graduate 77.8 Families in Poverty Individuals in Poverty Percent 1 Data Source: U.S. Census Bureau, American Community Survey, Data Source: Tennessee Bureau of Investigation. "Tennessee Incident Based Reporting System (TIBRS)" accessed July 26, Data Source: Birth Statistical System, Fetal Death Statistical System, and Induced Abortion Statistical System. Tennessee Department of Health, Division of Health Statistics, Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics,
42 Anderson Leading Causes of Death Leading Causes of Death, Rank 2 Cause # Deaths Age Adjusted Mortality Rate 3 and Demographic Ranking 1 Cancer Heart disease Chronic lower respiratory diseases Accidents Alzheimer s disease Influenza and pneumonia Stroke Diabetes mellitus Suicide Kidney disease Ranking Key: All Cause Mortality by Race, ,3 Total White Black 1,151.8 Female Male 1, Deaths per 1, 1 Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. 2 Ranking order is based on counts for the total population. Demographic ranking is based on counts for each subgroup. 3 Annual mortality rate per 1, population, age adjusted to the 2 standard US population. 39
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