Embed Size (px)
Citation preview
Social Environment
Poverty
County Health Rankings American Fact Finder
Childhood Poverty Family Poverty Income Inequality
U.S. adults with high school& some or college grad is
27.5 and 59.5 percent.
The U.S. Status DropoutRate was 4 percent
between 2013 to 2016.
The U.S. Graduation Ratefrom 2013 and 2017 rangedbetween 79 to 83 percent.
Education
Graduation Rate Dropout Rate Attainment (>25yr)
Nicholas County
County Health Rankings
14.3
16.6
Nicholas KY
05
101520253035
2013 2014 2015 2016 2017 2018
Nicholas KY
0123456
2015 2016 2017 2018
$86,200
Median House Value
Children living in single-parent household between 2013 and 2018 ranged from 26 to38 percent. Compared to Kentucky, children living in single-parent households duringthis time frame ranged between 33 to 35 percent.
American Fact Finder
County Health Rankings
America's Health Ranking Kids Count American Fact Finder
March 2019
Nicholas KY
50
75
100
2013 2014 2015 2016 2017
Nicholas KY
0
1
2
3
2013 2014 2015 2016 2017 <High School High School Grad
Some College & College Grad
01020304050
2012-2016 KY
WEDCO Health Equity Report
% Under 18 Living in Poverty Ratio Household Income at 80thpercentile to 20th percentile
% Past 12 Months IncomeBelow Poverty Level
Dropout Rates for Grades 9-12 % Population 25 Years and Older 4 Year Graduation Rates
Open HouseOpen House American Fact Finder
Literacy affects a persons ability to navigate the health system and hindersdecision making regarding health. Research has found that adults who self-reportthe worst health also have the most limited literacy, numeracy, and health literacyskills (CDC). The last set of data collected at the state and county level wasconducted in 2003. New data is needed to assess Nicholas County accurately.
The Employment Rate in the United States between 2013 and 2018changed from 58.6 to 60.4 percent. The Unemployment Rate between2013 and 2018 changed from 7.4 to 3.9 percent.
The percentage of Nicholas County's residents driving alone to work was lower
than Kentucky except for the year 2016and 2017, where Nicholas was higher orequal to Kentucky.
Employment
% Voter Turnout (General Election)NC KY
2016
2015
2014
0 10 20 30 40 50 60
77%Nicholas
82%KY
The number of registered voters for NicholasCounty in the last general election of 2017 was
5,438. The percent of registered voter whoturned out was 54 percent.
Other Social Environment Factors:
Domestic Violence - No Database Available
Violent Crime - The number of reported violent crimeoffenses per 100,000 population for Nicholas County is 76.
Kentucky's violent crime is 215.
County Health Rankings
Drive Alone to Work
Bureau of Labor Statistics
Literacy
Vote
5,486Registered Voters
State Board of Elections
County Health Rankings
Nicholas KY
50
55
60
2013-2017
Nicholas KY
0
5
10
15
2013 2014 2015 2016 2017 2018
Civilian Labor Force Employment Annual Unemployment
% 16 Yrs & Older Unemployed
American Fact Finder County Health Rankings
% 16 Yrs & Older Employed
Environment
Air Pollution Drinking Water Violation Park Availability
Access to placesinclude parks and
recreational facilities.
More data is need toidentify the accessibility
of county residents.
In 2013 & 2016, foodInsecurity in the U.S.
changed from 15.8% to12.9%.
ACCESS TO.....
Healthy Food Transportation Exercise
Physical EnvironmentNicholas County
March 2019
County Health Ranking County Health Ranking ESRI Map Gallery & OpenStreets, 2013NC KY
0
5
10
15
2013 2014 2015 2016 2017 2018
NC KY
01020304050607080
2014 2015 2016 2017 2018
2016
2017
Yes
2018
Yes
Yes
Avg. Daily Density of Particulate Matter
0.15%Nicholas County Residents Live
Within 1/2 mile of a park
NC KY
0
10
20
2014 2015 2016 2017 2018
Feed America
CHR
% Lack Access to Food
CHR
% Access to Places for PhysicalActivity
The World Health Organization (WHO) has estimated that thirteen milliondeaths annually are attributable to preventable environmental causes. Thereport also estimates that 24% of the global disease burden (healthy life yearslost) and 23% of all deaths (premature mortality) are attributable toenvironmental factors.
Remoundou, K., & Koundouri, P. (2009).
WEDCO Health Equity Report
According to Walk Score, Carlisle is somewhat walkable. The walk scoreindicates that some errands can be accomplished by foot in Carlisle.
Moorefield is scored as car dependent, meaning all errands require a car.
Walk Score
Next Steps:
There is a need for more data collection in Nicholas County.A collaborative with county and city officials to initiate a
environmental health assessment is needed to judge thehealth implications for at risk populations.
Per Capita Liquor Stores
Community Commons
Carlisle
The availability of alcohol is a factor oftenassociated with higher levels of alcohol
consumption and harm. Communityconsequences such as violence and crime
are most often attributed with higheralcohol sale outlets (Pereira, Wood, Foster,
Haggard, 2013). The number of liquor storesper 100,000 persons in Nicholas County was
14.0 between 2013-2016.
NC
KY
US
2013-2017
0 5 10 15 20 25Amer. Fact Finder
Aging Housing
Pre-1940
Scale from zero to 100
Walk Score
Moorefield
Severe Housing Problems
Overcrowding, high cost, lack plumbing or kitchen
NC KY
0
5
10
15
2014 2015 2016 2017 2018
CHR
% with at least 1 of 4 problems
Preventative Health Care
Access to Health Care Providers
Primary Care Physicians Mental Health Providers*
Barriers to Health Care
Mid-Level Providers
Nicholas County
March 2019
NC KY U.S.
0
5
10
15
20
25
2013-2017 2017
CHR CHR CHR
NC KY
010002000300040005000600070008000
2013 2014 2015 2016 2017 2018
NC KY
0
500
1000
1500
2000
2500
2014 2015 2016 2017 2018
NC KY
010002000300040005000600070008000
2013 2014 2015 2016 2017 2018
Access to Dentists
2376 7080
NC KY US
0
5
10
15
2013-2017 2017
% No Health Care ProviderBRFSS Preval.
CHR
% Couldn't See Dr. Due to Cost
Report of those in the past12 months who needed tosee a doctor but could not
because of cost.
Delayed CareReport of those who don'tidentify one persons asa primary care doctor.
No Usual Source
BRFSS Preval.
# Patients Per One Provider
KyBRFS
2013 2018
NC NC
1802 1560# Patients / 1 Provider 1 1
Report of those whodo not have any healthinsurance coverage.
Health Coverage
NC KY US
0
5
10
15
2013-2017 2017
% Without Health Care Coverage
KyBRFS
WEDCO Health Equity Report
KyBRFS
BRFSS Preval.
In Kentucky the schedule II-V prescriptions prescribe between1st quarter 2015 & 4th quarter 2017 increased from 596 to 653
per 1,000 persons.
Immunizations
Preventable NC
KY
U.S.
2013 2014 2015 2016 2017 20180
50
100
150
Access to Medications
KyBRFS
% Couldn't Get Because of Cost
Access to Preventative Services
KY US
0
10
20
30
2014 2016
KY US
010203040506070
2016
BRFSS Preval.
KYBRFSS KyBRFS
KY US
10
40
70
2013 2014 2015 2016 2017
Alprazolam Buprenorphine/ Naxolone All Opioids Opioids BN
Hydrocodone Oxycodone Stimulants
0
100
200
300
400
NC 4th Q 2017
% 65+ Adults Had Flu Shot Past Year % Children 19-35 months who didn'treceive age appropriate vaccines
CHR & Amer. HR
BRFSS Preval.
KY US
0
10
20
30
2013 2014 2015 2016
KASPAR
State Health System Performance Scorecard
Breast Screening
Nicholas County statisticsuppressed due to small
sample size.
Colorectal Screening
Percent of Nicholas Countyresidents with no A1c test inpast 3 years suppressed due
to small response rate.
Diabetes Control
% 50-75 Aged Adults Had Colonoscopy (Past 10 yrs)
% 40+Women Didn't Have Mammogram (Past 2yrs)
KY US
0
10
20
2015
% 18-64 Aged Diabetic NoA1c Test (Past Year)
BRFSS Preval. State Scorecard
KyBRFS
Hospitalizations
Prescribe Prescription Per 1,000 Persons
Due to the small number ofresponses, Nicholas County
statistic is suppressed.
Per 1,000 Medicare Enrollees
SUPRESSED
Data Information Sources
Data Information Sources
