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Congressional Black Caucus Joint Meeting of Congressional Black Caucus Joint Meeting of the Environmental Justice and Health the Environmental Justice and Health Braintrusts Braintrusts June 7-8, 2002 June 7-8, 2002 Prepared by: National Center for Health Prepared by: National Center for Health Statistics Statistics Centers for Disease Control and Prevention Centers for Disease Control and Prevention A Demographic and Health A Demographic and Health Snapshot of Region IV Snapshot of Region IV

Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

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Page 1: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

Congressional Black Caucus Joint Meeting of the Congressional Black Caucus Joint Meeting of the Environmental Justice and Health BraintrustsEnvironmental Justice and Health Braintrusts

June 7-8, 2002June 7-8, 2002

Prepared by: National Center for Health Prepared by: National Center for Health Statistics Statistics

Centers for Disease Control and PreventionCenters for Disease Control and Prevention

A Demographic and Health A Demographic and Health Snapshot of Region IVSnapshot of Region IV

Page 2: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

Public Health Service Region IVPublic Health Service Region IV

D.C.D.C.

Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee

Page 3: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

Demographic characteristicsDemographic characteristics

Page 4: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

5101520 0 5 10 15 20

85 and over

75-84

65-74

60-64

55-59

45-54

35-44

25-34

20-24

15-19

10-14

5-9

Under 5

Age in years

5101520 0 5 10 15 20

Percent distribution of the population by age and race:Percent distribution of the population by age and race:United States and Region IV, 2000United States and Region IV, 2000

Percent of population

Black/African American

Source: Census 2000 Summary File 1, US Bureau of the Census.

UnitedStates

UnitedStates

Total

Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee

RegionIV

RegionIV

Page 5: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80Region IVUnited States

Black/African American,not-Hispanic

American Indian/Alaska Native*

Hispanic**

White, not-HispanicAsian/Pacific Islander*

Percent distribution of the population by specified Percent distribution of the population by specified race/ethnicity: United States and Region IV, 2000race/ethnicity: United States and Region IV, 2000

*Includes persons of Hispanic and non-Hispanic origin.**Persons of Hispanic origin may be any race.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: Census 2000 Summary File 1, US Bureau of the Census.

Perc

en

t

Page 6: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

United S

tate

s

Perc

en

t

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Percent of population that is black/African American:Percent of population that is black/African American:United States and Region IV States, 2000United States and Region IV States, 2000

Source: Census 2000 Summary File 1, US Bureau of the Census.

Page 7: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics
Page 8: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

Perc

en

tPercent of households that are headed by females*:Percent of households that are headed by females*:United States and Region IV States, by race, 2000United States and Region IV States, by race, 2000

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Source: Census 2000 Summary File 1, US Bureau of the Census.

*No spouse present.

Page 9: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

Perc

en

tPercent of population that lives in a rural area:Percent of population that lives in a rural area:

United States and Region IV States, 1990United States and Region IV States, 1990

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Source: 1990 Census of Population and Housing, US Bureau of the Census.

Page 10: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

50 Black/African AmericanTotal population

In t

hou

san

ds

(dolla

rs)

Median household income in the past 12 months:Median household income in the past 12 months:United States and Region IV States, by race, 2000United States and Region IV States, by race, 2000

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Source: Census 2000 Supplementary Survey, US Bureau of the Census.

I = 90% confidence interval.

Page 11: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

Percent of population below the federal poverty level :Percent of population below the federal poverty level :United States and Region IV States, by race, 2000United States and Region IV States, by race, 2000

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Perc

en

t

Source: Census 2000 Supplementary Survey, US Bureau of the Census.

Percents are based on income in the past 12 months.

I = 90% confidence interval.

Page 12: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

2

4

6

8

10

Source: Census 2000 Supplementary Survey, US Bureau of the Census.

Perc

en

tPercent of civilian labor force 16 and older who are Percent of civilian labor force 16 and older who are

unemployed: United States and Region IV States, 2000unemployed: United States and Region IV States, 2000

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Page 13: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

MortalityMortality

Page 14: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

*Rank based on number of deaths.**Cause-of-death definitions may differ for those used in Healthy People 2010 and the Leading Health Indicators.***Age-adjusted rates per 100,000 standard population based on year 2000 standard.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

15 Leading causes of death, 199915 Leading causes of death, 1999

Total Black/African

American

… All causes 881.9 932.6 1199.61 Diseases of heart 267.8 279.8 343.62 Malignant neoplasms 202.7 208.2 256.03 Cerebrovascular diseases 61.8 66.4 97.14 Chronic lower respiratory disease 45.8 48.1 33.25 Accidents (unintentional injuries) 35.9 43.7 49.46 Diabetes mellitus 25.2 25.1 51.87 Influenza and pneumonia 23.6 23.8 26.98 Alzheimer's disease 16.5 17.2 12.79 Nephritis, nephrotic syndrome and nephrosis 13.1 14.1 32.8

10 Septicemia 11.3 11.9 23.911 Intentional self-harm (suicide) 10.7 12.1 5.212 Chronic liver disease and cirrhosis 9.7 10.1 10.013 Hypertension and hypertensive renal disease 6.3 7.1 19.514 Assault (homicide) 6.2 7.7 18.015 Aortic aneurysm and dissection 5.8 5.8 4.7

US rank*

Cause of death**

Age-adjusted death rate***

Region IVUnited States

Page 15: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

50

100

150

200

250

300

350

*Coronary heart disease (ICD-10 codes: I11, I20-I25) is a subcategory of Diseases of heart (ICD-10 codes: I00-I09, I11, I13, I51).**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

Region IVUnited States

Coronary heart disease* death rates: United StatesCoronary heart disease* death rates: United Statesand Region IV, by specified race, 1999and Region IV, by specified race, 1999

Black/African American,not-Hispanic

American Indian/Alaska Native**

Hispanic***

White, not-HispanicAsian/Pacific Islander**

2010 target (US)

Page 16: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

50

100

150

200

250

300

350

Coronary heart disease* death rates: United StatesCoronary heart disease* death rates: United Statesand Region IV States, by race, 1999and Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Coronary heart disease(ICD-10 codes: I11, I20-I25) is a subcategory of Diseases of heart (ICD-10 codes: I00-I09, I11, I13, I51).Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 17: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

*HIV deaths are classified by ICD-10 codes: I11, I20-I25.Rates are age-adjusted to the year 2000 standard population.American Indian/Alaska Native and Asian/Pacific Islander death rates from HIV are unreliable in Region IV. Information on these populations have been suppressed. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

0

10

20

30

40

50

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

Region IVUnited States

Human immunodeficiency virus (HIV)* death rates:Human immunodeficiency virus (HIV)* death rates:United States and Region IV, by specified race, 1999United States and Region IV, by specified race, 1999

Black/African American,not-Hispanic

Hispanic***White, not-Hispanic

2010 target (US)

Page 18: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

50

Human immunodeficiency virus (HIV)* death rates:Human immunodeficiency virus (HIV)* death rates:United States and Region IV States, by race, 1999United States and Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*HIV deaths are classified by ICD-10 codes: I11, I20-I25.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 19: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

*Cancer deaths are classified by ICD-10 codes: C00-C97.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

0

50

100

150

200

250

300Region IVUnited States

Malignant neoplasms (cancer)* death rates:Malignant neoplasms (cancer)* death rates:United States and Region IV, by specified race, 1999United States and Region IV, by specified race, 1999

Black/African American,not-Hispanic

American Indian/Alaska Native**

Hispanic***

White, not-HispanicAsian/Pacific Islander**

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 20: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

50

100

150

200

250

300

Malignant neoplasms (cancer)* death rates:Malignant neoplasms (cancer)* death rates:United States and Region IV States, by race, 1999United States and Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Cancer deaths are classified by ICD-10 codes: C00-C97.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 21: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

02468

1012141618 Region IVUnited States

Infant*mortality: United States andInfant*mortality: United States andRegion IV, by specified race, 1999Region IV, by specified race, 1999

Black/African American,not-Hispanic

American Indian/Alaska Native**

Hispanic***

White, not-HispanicAsian/Pacific Islander**

Rate

per

1,0

00

liv

e b

irth

s

*Under 1 year.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Vital Statistics System (NVSS) Linked Birth and Infant Death File, Centers for Disease Control and Prevention, NCHS.

2010 target (US)

Page 22: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

02468

1012141618

Infant* mortality: United States andInfant* mortality: United States andRegion IV States, by race, 1999Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Rate

per

1,0

00

liv

e b

irth

s

*Under 1 year.Source: National Vital Statistics System (NVSS) Linked Birth and Infant Death File, Centers for Disease Control and Prevention, NCHS.

2010 target (US)

Page 23: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

*Unintentional injury deaths are classified by ICD-10 codes: V01-X59, Y85-Y86.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

0

10

20

30

40

50

60

70 Region IVUnited States

Unintentional injury* death rates: United States and Region Unintentional injury* death rates: United States and Region IV, by specified race, 1999IV, by specified race, 1999

Black/African American,not-Hispanic

American Indian/Alaska Native**

Hispanic***

White, not-HispanicAsian/Pacific Islander**

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 24: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

50

60

70

Unintentional injury* death rates: United StatesUnintentional injury* death rates: United Statesand Region IV States, by race, 1999and Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Unintentional injury deaths are classified by ICD-10 codes: V01-X59, Y85-Y86.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 25: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

120

140

*Stroke deaths are classified by ICD-10 codes: I60-I69.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Region IVUnited States

Cerebrovascular disease (stroke)* death rates:Cerebrovascular disease (stroke)* death rates:United States and Region IV, by specified race, 1999United States and Region IV, by specified race, 1999

Black/African American,not-Hispanic

American Indian/Alaska Native**

Hispanic***

White, not-HispanicAsian/Pacific Islander**

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 26: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

120

140

Cerebrovascular disease (stroke)* death rates:Cerebrovascular disease (stroke)* death rates:United States and Region IV States, by race, 1999United States and Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Stroke deaths are classified by ICD-10 codes: I60-I69.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 27: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

50

100

150

200

*Diabetes deaths are classified by ICD-10 codes: E10-E14 and may be the underlying or contributing cause of death.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Region IVUnited States

Diabetes death* rates: United States andDiabetes death* rates: United States andRegion IV, by specified race, 1999Region IV, by specified race, 1999

Black/African American,not-Hispanic

American Indian/Alaska Native**

Hispanic***

White, not-HispanicAsian/Pacific Islander**

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 28: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

50

100

150

200

Diabetes death* rates: United States andDiabetes death* rates: United States andRegion IV States, by race, 1999Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Diabetes deaths are classified by ICD-10 codes: E10-E14 and may be the underlying or contributing cause of death.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 29: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

25

50

75

100

125

150

175

*Chronic lower respiratory disease deaths are classified by ICD-10 codes: J40-J47.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Region IVUnited States

Chronic lower respiratory disease* death rates for people Chronic lower respiratory disease* death rates for people 45 years and older: United States and Region IV,45 years and older: United States and Region IV,

by specified race, 1999by specified race, 1999

Black/African American,not-Hispanic

American Indian/Alaska Native**

Hispanic***

White, not-HispanicAsian/Pacific Islander**

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 30: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

25

50

75

100

125

150

175

Chronic lower respiratory disease* death rates for people Chronic lower respiratory disease* death rates for people 45 years and older: United States and Region IV States, 45 years and older: United States and Region IV States,

by race, 1999by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Chronic lower respiratory disease deaths are classified by ICD-10 codes: J40-J47.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 31: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

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10

20

30

40

*Influenza and pneumonia deaths are classified by ICD-10 codes: J10-J18.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

Region IVUnited States

Influenza and pneumonia* death rates: United StatesInfluenza and pneumonia* death rates: United Statesand Region IV, by specified race, 1999and Region IV, by specified race, 1999

Black/African American,not-Hispanic

American Indian/Alaska Native**

Hispanic***

White, not-HispanicAsian/Pacific Islander**

Page 32: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

Influenza and pneumonia* death rates: United StatesInfluenza and pneumonia* death rates: United Statesand Region IV States, by race, 1999and Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Influenza and pneumonia deaths are classified by ICD-10 codes: J10-J18.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

Page 33: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

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10

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40

*Breast cancer deaths are classified by ICD-10 code: C50.**Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population.American Indian/Alaska Native and Asian/Pacific Islander female breast cancer death rates are unreliable for Region IV. Information for these populations have been suppressed.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

Region IVUnited States

Breast cancer* death rates among females: United StatesBreast cancer* death rates among females: United Statesand Region IV, by specified race, 1999and Region IV, by specified race, 1999

Black/African American,not-Hispanic

Hispanic**White, not-Hispanic

2010 target (US)

Page 34: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

Breast cancer* death rates among females: United StatesBreast cancer* death rates among females: United Statesand Region IV States, by race, 1999and Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Breast cancer deaths are classified by ICD-10 code: C50.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 35: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

*Prostate cancer deaths are classified by ICD-10 code: C61.**Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population.American Indian/Alaska Native and Asian/Pacific Islander prostate cancer death rates are unreliable for Region IV. Information for these populations have been suppressed.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

Region IVUnited States

Prostate cancer* death rates among males : United StatesProstate cancer* death rates among males : United Statesand Region IV, by specified race, 1999and Region IV, by specified race, 1999

Black/African American,not-Hispanic

Hispanic**White, not-Hispanic

2010 target (US)

Page 36: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

Prostate cancer* death rates among males: United StatesProstate cancer* death rates among males: United Statesand Region IV States, by race, 1999and Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Prostate cancer deaths are classified by ICD-10 code: C61.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 37: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics
Page 38: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

Healthy People 2010 and the Healthy People 2010 and the Leading Health IndicatorsLeading Health Indicators

Page 39: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

Healthy People 2010Healthy People 2010 2 broad goals

Increase quality and years of healthy lifeEliminate health disparities

28 Focus Areas 467 specific objectives U.S. targets to be reached by the year

2010 Tracking Healthy People 2010 – Statistical compendium

Page 40: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

Leading Health IndicatorsLeading Health Indicators

Areas of broad public health importance

Specific Healthy People 2010 objectives

Measurable at the State and local level

Ability to educate and motivate action

Page 41: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

Mental health Injury and

violence Environmental

quality Immunization Access to health

care

Leading Health Indicators:Leading Health Indicators:Ten major public health issuesTen major public health issues

Physical activity Overweight and

obesity Tobacco use Substance abuse Responsible

sexual behavior

Page 42: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

Leading Health IndicatorsLeading Health Indicators

Page 43: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

I = 95% confidence interval.*Exercising or participating for at least 20 minutes in physical activity that makes them sweat and breathe hard 3 or more days per week.**Persons of Hispanic origin may be any race.American Indian/Alaska Native and Asian/Pacific Islander activity rates are unreliable. Information on these populations have been suppressed. Source: Youth Risk Behavior Surveillance System (YRBSS), Centers for Disease Control and Prevention, NCCDPHP.

Percent of students in grades 9 - 12 who engage in Percent of students in grades 9 - 12 who engage in vigorous physical activity*: United States,vigorous physical activity*: United States,

by specified race, 1999by specified race, 1999

Black/African American,not-Hispanic

Hispanic**White, not-Hispanic

Perc

en

t

2010 target (US)

Page 44: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

Perc

en

t

Black/African American,Not-Hispanic

Total population

Percent of students in grades 9 - 12 who engage in Percent of students in grades 9 - 12 who engage in vigorous physical activity*: United States and Region IV vigorous physical activity*: United States and Region IV

States, by race, 1999States, by race, 1999

I = 95% confidence interval.*Exercising or participating for at least 20 minutes in physical activity that makes them sweat and breathe hard 3 or more days per week.Region IV States include Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee.Student activity rates are unreliable for Florida and Kentucky. Information on these States have been suppressed.Student activity rates are unavailable from Georgia and North Carolina. Source: Youth Risk Behavior Surveillance System (YRBSS), Centers for Disease Control and Prevention, NCCDPHP.

United S

tate

s

Mississ

ippi

South

Car

olina

Tennes

see

Alabam

a

2010 target (US)

Page 45: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

Ag

e-a

dju

sted

perc

en

tPercent of adults 18 and older who engage in moderate Percent of adults 18 and older who engage in moderate

and/or vigorous physical activity*: United States and and/or vigorous physical activity*: United States and Region IV, by specified race, 2000Region IV, by specified race, 2000

Region IVTotal population

2010 target (US)

I = 95% confidence interval.*Vigorous: Exercising or participating in physical activity that causes sweating and hard breathing for at least 20 minutes 3 or more times per week.Moderate: Exercising or participating in physical activity that causes light sweating and slight to moderate increase in breathing or heart rate for at least 30 minutes 5 or more times per week.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Percents are age-adjusted to the year 2000 standard population.American Indian/Alaska Native activity rates are unreliable. Information for this population has been suppressed.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee.Source: National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS.

Black/African American,not-Hispanic

Hispanic***White, not-HispanicAsian/Pacific Islander**

Page 46: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

I = 95% confidence interval.*Vigorous: Exercising or participating in physical activity that causes sweating and hard breathing for at least 20 minutes 3 or more times per week.Moderate: Exercising or participating in physical activity that causes light sweating and slight to moderate increase in breathing or heart rate for at least 30 minutes 5 or more times per week.Percents are age-adjusted to the year 2000 standard population.Source: National/Regional - National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS; State – Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

0

20

40

60

Percent of adults 18 and older who engage in moderate Percent of adults 18 and older who engage in moderate and/or vigorous physical activity*: United States andand/or vigorous physical activity*: United States and

Region IV States, by race, 2000Region IV States, by race, 2000

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Ag

e-a

dju

sted

perc

en

t

2010 target (US)

Page 47: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

50

Percent of adults 20 and older who are obese*:Percent of adults 20 and older who are obese*:United States and Region IV States, by race, 2000United States and Region IV States, by race, 2000

Black/African AmericanTotal population

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Age a

dju

sted p

erc

ent

I = 95% confidence interval.*Body mass index > 30 kg/m2 (based on self-reported height and weight).**The 2010 target for the United States is based on measured height and weight data.Percents are age-adjusted to the year 2000 standard population.Source: Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

2010 target (US)**

Page 48: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

Perc

en

t

Black/African American,Not-Hispanic

Total population

Percent of students in grades 9 - 12 who smoked Percent of students in grades 9 - 12 who smoked cigarettes in the past month: United States and Region IV cigarettes in the past month: United States and Region IV

States, by race, 1999States, by race, 1999

I = 95% confidence interval.*Region IV States include Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee.Student smoking rates are unreliable for Florida and Kentucky. Information on these States have been suppressed.Student smoking rates are unavailable from Georgia and North Carolina. Source: Youth Risk Behavior Surveillance System (YRBSS), Centers for Disease Control and Prevention, NCCDPHP.

United S

tate

s

Mississ

ippi

South

Car

olina

Tennes

see

Alabam

a

2010 target (US)

Page 49: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

50

Ag

e-a

dju

sted

perc

en

tPercent of adults 18 and older who are current smokers*: Percent of adults 18 and older who are current smokers*:

United States and Region IV, by specified race, 2000United States and Region IV, by specified race, 2000

Region IVTotal population

I = 95% confidence interval.*Current smokers have smoked more than 100 cigarettes in their life and now smoke cigarettes every day or some days.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Percents are age-adjusted to the year 2000 standard population.American Indian/Alaska Native smoking rates for Region IV are unreliable. Information for this population has been suppressed.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee.Source: National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS.

Black/African American,not-Hispanic

Hispanic***White, not-HispanicAsian/Pacific Islander**

2010 target (US)

Page 50: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

50

Percent of adults 18 and older who are current smokers*:Percent of adults 18 and older who are current smokers*:United States and Region IV States, by race, 2000United States and Region IV States, by race, 2000

Black/African AmericanTotal population

Age a

dju

sted p

erc

ent

I = 95% confidence interval.*Current smokers have smoked more than 100 cigarettes in their life and now smoke cigarettes every day or some days. Percents are age-adjusted to the year 2000 standard population.Source: National/Regional - National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS; State – Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

2010 target (US)

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Page 51: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

Perc

en

tPercent of adults 18 and older who engaged in binge Percent of adults 18 and older who engaged in binge

alcohol use* in the past month: United States,alcohol use* in the past month: United States,by specified race, 2000by specified race, 2000

I = 95% confidence interval.*Binge alcohol use is drinking 5 or more drinks on the same occasion on at least 1 day in the past 30 days.***Persons of Hispanic origin may be any race.Source: National Household Survey on Drug Abuse (NHSDA), Substance Abuse and Mental Health Service Administration, OAS.

Black/African American,not-Hispanic

Hispanic***White,not-Hispanic

Asian,not-Hispanic

2010 target (US)

American Indian/Alaska Nativenot-Hispanic

Page 52: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

Percent of adults 18 and older who engaged in binge Percent of adults 18 and older who engaged in binge alcohol use* in the past month: United States andalcohol use* in the past month: United States and

Region IV States, by race, 1999Region IV States, by race, 1999

Black/African AmericanTotal population

I = 95% confidence interval.*Binge alcohol use is drinking 5 or more drinks on the same occasion on at least 1 day in the past 30 days.**Black/African American data is for Black/African American, not-HispanicSource: National- National Household Survey on Drug Abuse (NHSDA), Substance Abuse and Mental Health Service Administration, OAS. State – Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

2010 target (US)

United S

tate

s**

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Perc

en

t

Page 53: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

Perc

en

t

Black/African American, not-Hispanic

Total population

Percent of students in grades 9 - 12 who exhibit Percent of students in grades 9 - 12 who exhibit responsible sexual behavior*: United States and Region IV responsible sexual behavior*: United States and Region IV

States, by race, 1999States, by race, 1999

I = 95% confidence interval.*responsible sexual behavior is never having sexual intercourse, not having sexual intercourse in the past 3 months, or used a condom at last sexual encounter within the past 3 months. Region IV States include Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee.Student behavior rates are unreliable for Florida and Kentucky. Information on these States have been suppressed.Student behavior rates are unavailable from Alabama, Georgia and North Carolina. Source: Youth Risk Behavior Surveillance System (YRBSS), Centers for Disease Control and Prevention, NCCDPHP.

United States Mississippi South Carolina Tennessee

2010 target (US)

Page 54: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

5

10

15

20

*Suicides are classified by ICD-10 codes: X60-X84, Y87.0.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population.American Indian/Alaska Native death rates from suicide are unreliable in Region IV. Information on this population has been suppressed.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Region IVUnited States

Suicide* among people 20 and older: United States and Suicide* among people 20 and older: United States and Region IV, by specified race, 1999Region IV, by specified race, 1999

Black/African American,not-Hispanic

Hispanic***White, not-HispanicAsian/Pacific Islander**Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 55: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

5

10

15

20

Suicide* among people 20 and older: United States and Suicide* among people 20 and older: United States and Region IV States, by race, 1999Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Suicides are classified by ICD-10 codes: X60-X84, Y87.0.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 56: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

*Traffic-related motor vehicle crash deaths are classified by ICD-10 codes: V30-V39(.4-.9), V40-V49(.4-.9), V50-V59(.4-.9), V60-V69(.4-.9), V70-V79(.4-.9), V81.1, V82.1, V83-V86(.0-.3), V20-V28(.3-.9), V29(.4-.9), V12-V14(.3-.9), V19(.4-.6), V02-V04(.1, .9), V09.2, V80(.3-.5), V87(.0-.8), V89.2.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

0

10

20

30

40 Region IVUnited States

Traffic-related motor vehicle crash* death rates: United States Traffic-related motor vehicle crash* death rates: United States and Region IV, by specified race, 1999and Region IV, by specified race, 1999

Black/African American,not-Hispanic

American Indian/Alaska Native**

Hispanic***

White, not-HispanicAsian/Pacific Islander**

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 57: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

10

20

30

40

Traffic-related motor vehicle crash* death rates:Traffic-related motor vehicle crash* death rates:United States and Region IV States, by race, 1999United States and Region IV States, by race, 1999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Traffic-related motor vehicle crash deaths are classified by ICD-10 codes: V30-V39(.4-.9), V40-V49(.4-.9), V50-V59(.4-.9), V60-V69(.4-.9), V70-V79(.4-.9), V81.1, V82.1, V83-V86(.0-.3), V20-V28(.3-.9), V29(.4-.9), V12-V14(.3-.9), V19(.4-.6), V02-V04(.1, .9), V09.2,V80(.3-.5), V87(.0-.8), V89.2.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 58: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

5

10

15

20

25

*Homicides are classified by ICD-10 codes: X85-Y09, Y87.1.**Includes persons of Hispanic and non-Hispanic origin.***Persons of Hispanic origin may be any race..Rates are age-adjusted to the year 2000 standard population.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Region IVUnited States

Homicide*: United States and Region IV,Homicide*: United States and Region IV,by specified race, 1999by specified race, 1999

Black/African American,not-Hispanic

American Indian/Alaska Native**

Hispanic***

White, not-HispanicAsian/Pacific Islander**

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 59: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

5

10

15

20

25

Homicide*: United States and Region IV States, by race, Homicide*: United States and Region IV States, by race, 19991999

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

*Homicides are classified by ICD-10 codes: X85-Y09, Y87.1.Rates are age-adjusted to the year 2000 standard population.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted r

ate

per

10

0,0

00

standard

popula

tion

2010 target (US)

Page 60: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

Nonattainment designations for ozoneNonattainment designations for ozoneas of January 2002: Region IV States, by countyas of January 2002: Region IV States, by county

As of January 2002, there were 18 counties comprising the nonattainment areas in Region IV.These nonattainment designations are based on the ozone 1-hour air quality standard. Source: Aerometric Information Retrieval System (AIRS), US Environmental Protection Agency, OAR.

Nonattainment

Attainment

50

40

30

20

10

0

Population (millions)

Nonattainment status

Page 61: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

Perc

en

tPercent of children 6 and under who are regularly exposed Percent of children 6 and under who are regularly exposed to tobacco smoke*: United States and Region IV, by race, to tobacco smoke*: United States and Region IV, by race,

19981998

I = 95% confidence interval.*lived in a household where someone smoked inside the house at least 4 days per week.**Persons of Hispanic origin may be any race.American Indian/Alaska Native and Asian/Pacific Islander exposure rates for Region IV are unreliable. Information for these populations have been suppressed.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee.Source: National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS.

Region IVUnited States

Black/African American,not-Hispanic

Hispanic**White, not-Hispanic

2010 target (US)

Page 62: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

Perc

en

t

Black/African American,Not-Hispanic

Total population

Percent of children 6 and under who are regularly exposed Percent of children 6 and under who are regularly exposed to tobacco smoke*: United States and Region IV States, to tobacco smoke*: United States and Region IV States,

by race, 2000by race, 2000

I = 95% confidence interval.*lived in a household where someone smoked inside the house at least 4 days per week.Region IV States include Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee.Exposure rates are unavailable from Alabama, Florida, Georgia , Kentucky and Tennessee. Source: Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

United States Mississippi South Carolina

2010 target (US)

North Carolina

Page 63: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

Percent of children 19 to 35 months who are fully immunized*: Percent of children 19 to 35 months who are fully immunized*: United States and Region IV, by specified race, 2000United States and Region IV, by specified race, 2000

Black/African American,not-Hispanic

Hispanic**White, not-HispanicAsian, not-Hispanic

Perc

ent

I = 95% confidence interval.*Four or more doses of DTP, three or more doses of poliovirus, one or more doses of MCV, three or more doses of Hib, and three or more doses of HepB.**Persons of Hispanic origin may be any race.American Indian/Alaska Native immunization rates are unreliable for Region IV. Information on this population has been suppressed.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee.Source: National Immunization Survey (NIS), Centers for Disease Control and Prevention, NIP and NCHS.

2010 target (US)

Page 64: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

Percent of children 19 to 35 months who are fully immunized*: Percent of children 19 to 35 months who are fully immunized*: United States and Region IV States, by race, 2000United States and Region IV States, by race, 2000

Black/African American,not-Hispanic

Total population

United S

tate

s

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Georg

ia

Perc

ent

I = 95% confidence interval.*Four or more doses of DTP, three or more doses of poliovirus, one or more doses of MCV, three or more doses of Hib, and three or more doses of HepB.Black/African American immunization rates are unreliable for Florida and Kentucky. Information on these States have been suppressed.Source: National Immunization Survey (NIS), Centers for Disease Control and Prevention, NIP and NCHS.

2010 target (US)

Region

IV

Page 65: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

I = 95% confidence interval.*Persons of Hispanic origin may be any race.Percents are age-adjusted to the year 2000 standard population.American Indian/Alaska Native and Asian/Pacific Islander vaccination rates are unreliable for Region IV. Information for these populations have been suppressed.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee.Source: National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS.

0

20

40

60

80

100

Percent of non-institutionalized adults 65 and over who received Percent of non-institutionalized adults 65 and over who received an influenza vaccination in the past 12 months: United Statesan influenza vaccination in the past 12 months: United States

and Region IV, by specified race, 2000and Region IV, by specified race, 2000

Age-a

dju

sted p

erc

ent

Black/African American,not-Hispanic

Hispanic*White, not-Hispanic

Region IVUnited States

2010 target (US)

Page 66: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

I = 95% confidence interval.*Persons of Hispanic origin may be any race.Percents are age-adjusted to the year 2000 standard population.American Indian/Alaska Native and Asian/Pacific Islander vaccination rates are unreliable for Region IV. Information for these populations have been suppressed.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee.Source: National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS.

0

20

40

60

80

100

Percent of non-institutionalized adults 65 and over who receivedPercent of non-institutionalized adults 65 and over who receiveda pneumonia vaccination in their lifetime: United Statesa pneumonia vaccination in their lifetime: United States

and Region IV, by specified race, 2000and Region IV, by specified race, 2000

Age-a

dju

sted p

erc

ent

Black/African American,not-Hispanic

Hispanic*White, not-Hispanic

Region IVUnited States

2010 target (US)

Page 67: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100Region IVUnited States

Percent of people under 65 years with health insurancePercent of people under 65 years with health insurancecoverage: United States and Region IV, by specified race, 2000coverage: United States and Region IV, by specified race, 2000

Black/African American,not-Hispanic

American Indian/Alaska Native*

Hispanic**

White, not-HispanicAsian/Pacific Islander*

I = 95% confidence interval.*Includes persons of Hispanic and non-Hispanic origin.**Persons of Hispanic origin may be any race.Percents are age-adjusted to the year 2000 standard population.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS.

Age-a

dju

sted p

erc

ent

2010 target (US)

Page 68: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

Percent of people under 65 years with health insurancePercent of people under 65 years with health insurancecoverage: United States and Region IV States, by race, 2000coverage: United States and Region IV States, by race, 2000

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Age-a

dju

sted p

erc

ent

I = 95% confidence interval.Percents are age-adjusted to the year 2000 standard population.Source: National/Regional - National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS; State – Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

2010 target (US)

Page 69: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

I = 95% confidence interval.*Includes persons of Hispanic and non-Hispanic origin.**Persons of Hispanic origin may be any race.Percents are age-adjusted to the year 2000 standard population.American Indian/Alaska Native care rates are unreliable in Region IV. Information for this population has been suppressed.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS.

0

20

40

60

80

100

Percent of population with a specific source of ongoing Percent of population with a specific source of ongoing care: United States and Region IV, by specified race 2000care: United States and Region IV, by specified race 2000

Ag

e-a

dju

sted

perc

en

t

Region IVUnited States

Black/African American, not-Hispanic

Hispanic**White, not-HispanicAsian/Pacific Islander*

2010 target (US)

Page 70: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

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20

40

60

80

100

*Includes persons of Hispanic and non-Hispanic origin.**Persons of Hispanic origin may be any race.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee.Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Region IVUnited States

Percent of mothers who began prenatal care in the first Percent of mothers who began prenatal care in the first trimester of pregnancy: United States and Region IV,trimester of pregnancy: United States and Region IV,

by specified race, 2000 by specified race, 2000

Black/African American,not-Hispanic

American Indian/Alaska Native*

Hispanic**

White, not-HispanicAsian/Pacific Islander*

Perc

ent

2010 target (US)

Page 71: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

Percent of mothers who began prenatal care in the first Percent of mothers who began prenatal care in the first trimester of pregnancy: United States and trimester of pregnancy: United States and

Region IV States, by race, 2000Region IV States, by race, 2000

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

Perc

ent

2010 target (US)

Page 72: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

Oral health andOral health andPreventive servicesPreventive services

Page 73: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

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20

40

60

80

Percent of adults 65 to 74 who have lost all of their natural Percent of adults 65 to 74 who have lost all of their natural permanent teeth: United States, by specified race, 2000permanent teeth: United States, by specified race, 2000

2010 target (US)

Black/African American,not-Hispanic

American Indian/Alaska Native*

Hispanic**White, not-Hispanic

Perc

ent

I = 95% confidence interval.*1999 data for IHS service areas. Includes persons of Hispanic and non-Hispanic origin.**Persons of Hispanic origin may be any race.Asian/Pacific Islander edentulous rates are unreliable. Information for this population has been suppressed.Source: National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS; American Indian/Alaska Native – Oral Health Survey of Native Americans, HIS.

Page 74: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

Black/African American,not-Hispanic

Total population

United S

tate

s

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Perc

ent

I = 95% confidence interval.*The 2010 target for the United States is for people ages 65 to 74 years.Source: Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

2010 target (US)*

Percent of adults 65 and over who have lost all of their natural Percent of adults 65 and over who have lost all of their natural permanent teeth: United States and Region IV States,permanent teeth: United States and Region IV States,

by race, 2000by race, 2000

Page 75: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

Black/African American,not-Hispanic

Total population

United S

tate

s

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Perc

ent

I = 95% confidence interval.*The 2010 target for the United States is for people ages 2 years and older. Source: Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

2010 target (US)*

Percent of people 18 and older who visited a dentist or dental Percent of people 18 and older who visited a dentist or dental clinic within the past year: United States and Region IV States,clinic within the past year: United States and Region IV States,

by race, 1999by race, 1999

Page 76: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

I = 95% confidence interval.*Persons of Hispanic origin may be any race.Percents are age-adjusted to the year 2000 standard population.American Indian/Alaska Native and Asian/Pacific Islander mammogram rates are unreliable for Region IV. Information for these populations havebeen suppressed.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, TennesseeSource: National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS.

0

20

40

60

80

100

Ag

e-a

dju

sted

perc

en

t

Region IVUnited States

Black/African American, not-Hispanic

Hispanic*White, not-Hispanic

Percent of women 40 and older who have received a Percent of women 40 and older who have received a mammogram within the past 2 years: United States andmammogram within the past 2 years: United States and

Region IV, by specified race, 2000Region IV, by specified race, 2000

2010 target (US)

Page 77: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

0

20

40

60

80

100

Percent of women 40 and older who have received a Percent of women 40 and older who have received a mammogram within the past 2 years: United States andmammogram within the past 2 years: United States and

Region IV States, by race, 2000Region IV States, by race, 2000

Black/African AmericanTotal population

United S

tate

s

Region

IV

Kentu

cky

Mississ

ippi

North

Car

olina

South

Car

olina

Tennes

see

Alabam

a

Florid

a

Georg

ia

Age-a

dju

sted p

erc

ent

I = 95% confidence interval.Percents are age-adjusted to the year 2000 standard population.Source: National/Regional - National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS; State – Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

2010 target (US)

Page 78: Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002 Prepared by: National Center for Health Statistics

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20

40

60

80

100

Percent of adults 18 and older with diabetes who had anPercent of adults 18 and older with diabetes who had anannual dilated eye examination: United States andannual dilated eye examination: United States and

Region IV States, by race, 2000Region IV States, by race, 2000

Black/African AmericanTotal population

United S

tate

s

Mississ

ippi

North

Car

olina

South

Car

olina

Alabam

a

Florid

a

Georg

ia

Age-a

dju

sted p

erc

ent

I = 95% confidence interval.Percents are age-adjusted to the year 2000 standard population.Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee.Examination rates for the black/African American population in Kentucky and Tennessee are unreliable. Information for these States have been suppressed.Source: Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

2010 target (US)