APEXPH Summary

Assessment Protocol for Excellence in Public Health

Community Health Planner Panayiota Agamemnonos Gallatin County Health Department

Gallatin County Demographic Profile • • • • •

2006 Population – 8,153 3,915 (50%) males* 3,923 (50%) female* 7,908 (97.2%) white (2005) 141 (1.7%) black (2005)

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187 (2.3%) Hispanic or Latino origin (2005)

National Center for Health Statistics, U.S. Census Bureau, *2002 Vital Statistics

2002 Race Distribution by Sex

Male Female White

3,774 (50%) 3,801 (50%)

Black Other

72 (56%) 69 (51%) 56 (44%) 66 (49%)

2002 Kentucky Vital Statistics

Population Distribution by Age in 2002

Gallatin Kentucky

Under 1 year 1 – 4 years 5 – 14 years 15 – 24 years 25 – 34 years 35 – 44 years 45 – 54 years 55 – 64 years 65 – 74 years 75 – 84 years 85 + Total 95 (1.2%) 451 (5.8%) 1,387 (17.7%) 985 (12.6%) 1,053 (13.3%) 1,290 (16.5%) 1,071 (13.7%) 753 (9.6%) 402 (5.1%) 251 (3.2%) 54,312 (1.3%) 216,039 (5.3%) 558,077 (13.6%) 584,864 (14.3%) 554,891 (13.6%) 631,173 (15.4%) 582,643 (14.2%) 402,450 (9.8%) 273,875 (6.7%) 176,282 (4.3%) 100 (1.3%) 58,402 (1.5%) 7,838 4,093.008

2002 Kentucky Vital Statistics

2010 Population Projections

Change in Age Distribution % pop.

20 15 10 5 0 50 45 40 35 30 25 0-19 20-29 2000 2010 30 - 64 65 & older 2000 Census

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Socioeconomic Profile

17.2% of Gallatin County’s population is below the poverty level compared to 16.3% statewide in 2004.

• Per capita income in 2004 was $22,506 compared to the state average of $27,265.

• Median family income in 2004 was $35,105 compared to Kentucky’s $37,046.

• 6.1% unemployment rate compare to 6.1% statewide in 2005 .

National Center for Health Statistics, U.S. Census Bureau

2002 Socioeconomic Profile, cont.

25.0% 20.0% 15.0% 10.0% 5.0% 0.0% Food stamps WIC Medicaid eligible Gallatin Kentucky Utilize Medicaid Uninsured Children 2002 County Health Profile

Birth Indicators

Gallatin Birth rate 16.6 per 1000 pop.

Kentucky 13.4 per 1000 pop.

Infant death rate 7.5 per 1000 births 6.8 per 1000 births Mothers under 15 0.0 per 1000 births 0.8 per 1000 births Mothers 15 - 17 Birthweights < 2500 grams No care in first trimester Maternal Smoking 34.5 per 1000 females 24.8 per 1000 females 11.3 per 100 births 8.8 per 100 births 13.0% 37%* 13.0% 26%*

2003 Kentucky Vital Statistics, *2006 KIDS COUNT

Child Well-being Indicators

• Average daily attendance for students – 93% with Ky.’s being 94%. (2005)

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89% completed high school compared to the state’s 83% in 2005. 6.9% completed 4 or more years of college, and Kentucky 17.1% in 2000.

• School drop-out rate in Gallatin Co. was 2.7% with Kentucky’s being 2.6% (2000-2001).

2006 KIDS Count Data Book

Gallatin County High School

2004-2005 KCCT Test Proficient/Distinguished Academic Index Reading 10th PL/VS 10th Mathematics 11th Science 11th Social Studies 11th Arts & Humanities 11th Writing 12th District 30% 58% 20% 23% 23% 25% 31% State 39% 54% 34% 37% 41% 39% 33% District 70.4

81.4

52.2

59.6

62.3

56.3

66.9

State 77.5

79.1

66.3

69.4

78.1

70.7

68.4

KY Department of Education

Gallatin County High School

2004-2005 National Norm Referenced Test (CTBS/5) District State Nation 9th Grade Reading 37%ile 56%ile 50%ile 9th Grade Language Arts 29%ile 51%ile 50%ile 9th Grade Mathematics 41%ile 52%ile 50%ile

KY Department of Education

Gallatin County Middle School

2004-2005 KCCT Test Proficient/Distinguished Academic Index Reading 7th Science 7th Writing 7th Mathematics 8th Social Studies 8th Arts & Humanities 8th PL/VS 8th District 44% 27% 17% 16% 23% 37% 31% State 62% 41% 21% 36% 39% District 77.9

64.8

53 56.8

59.9

State 87 74 57.3

71 73.5

53% 43% 64.8

63.7

76.5

74.3

KY Department of Education

Gallatin County Middle School

2004-2005 National Norm Referenced Test (CTBS/5) District State Nation 6th Grade Reading 43%ile 58%ile 50%ile 6th Grade Language Arts 38%ile 54%ile 50%ile 6th Grade Mathematics 39%ile 57%ile 50%ile

KY Department of Education

Gallatin County Primary/Elementary School

2004-2005 KCCT Test Proficient/Distinguished Academic Index Reading 4th Science 4th Writing 4th Mathematics 5th Social Studies 5th Arts & Humanities 5th PL/VS 5th District 40% 27% 21% 22% 22% 21% 44% State 68% 54% 43% 45% 53% District 66.6

69.9

61.5

54.4

57.4

State 87.1

87.6

74.9

74.4

79.3

32% 63% 48.4

62.8

67.5

84.9

KY Department of Education

Gallatin County Primary/Elementary School

2004-2005 National Norm Referenced Test (CTBS/5) District State Nation End of Primary (EOP) Reading 53%ile 65%ile 50%ile EOP Language Arts 53%ile 62%ile 50%ile EOP Mathematics 63%ile 67%ile 50%ile

KY Department of Education

Child Well-being Indicators •

In 2003, 20% of pop. <18 lived in poverty

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Only 60% of obligated child support payments were collected in 2006.

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In 2005, there were 13 reports cases of physical abuse, 0 reports of sexual abuse, and 38 reports of neglect and/or dependency.

2006 KIDS Count Data Book

2005 Traffic Collisions •

2005 saw a total of 242 collisions of those 5 involved fatalities, 65 non-fatal injuries, and 172 property damage.

– 5 people were killed and 100 people were injured.

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Of the 242 collisions, 19 involved drinking drivers and 1 involved drivers under influence of drugs

2005 Traffic Collision Facts

2005 Driving under the Influence •

1 of the 19 collisions with drinking drivers involved fatal collisions, 9 non fatal injury, and 9 property damage. – 1 people were killed and 15 people were injured.

2005 Traffic Collision Facts

DUI Convictions Trend

220 200 180 160 140 120 100 2001 2002 2003 2004 2005

2006 Crime in Kentucky

2005 Crime •

In 2005, 111 DUI arrests with 105 adults and 2 juveniles making them the highest.

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There was a total of 583 arrest in 2005 with 104 arrests for narcotic drug laws.

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Another 80 of the arrests were for drunkenness.

2006 Crime in Kentucky

Access to Primary Health Care Profile

• Primary care provider ratio is the population of a given area divided by the number of full time primary care providers serving that area.

• The Federal Government estimates that 1 primary care provider can provide care to 1500 individuals.

• In 2005, Gallatin County’s ratio is 1 to 7735, Kentucky’s ratio is 1917.

KY Department of Public Health, Health Care Access Branch

• Gallatin County’s cancer of all sites incidence age-adjusted rate for 2000-2004 was 444.42 compared to KY’s age-adjusted rate as 513.73

2007 Kentucky Cancer Registry

• Gallatin County’s cancer of respiratory system incidence age-adjusted rate for 2000-2004 was 121.14 compared to KY’s age-adjusted rate as 108.12

2007 Kentucky Cancer Registry

• Gallatin County’s cancer of breast incidence age-adjusted rate for 2000-2004 was 58.11 compared to KY’s age-adjusted rate as 66.90

2007 Kentucky Cancer Registry

• Gallatin County’s cancer of all sites mortality age-adjusted rate for 2000-2004 was 314.88 compared to KY’s age-adjusted rate as 224.25

2007 Kentucky Cancer Registry

• Gallatin County’s cancer of respiratory system mortality age-adjusted rate for 2000-2004 was 139.25 compared to KY’s age-adjusted rate as 81.85

2007 Kentucky Cancer Registry

• Gallatin County’s cancer of breast mortality age-adjusted rate for 2000-2004 was 22.18 compared to KY’s age-adjusted rate as 14.99

2007 Kentucky Cancer Registry

2002 Leading Causes of Mortality

Under 1 year Age 1-14 15-24 25-34 35-44 45-54 55-64 65 and over Perinatal conditions Assault (Homicide) Unintentional injury Unintentional injury Unintentional injury Heart Disease Malignant neoplasm Heart disease

2002 Vital Statistics Report

Years of Potential Life Lost (YPLL) • Years of Potential Life Lost

based on life expectancy.

is a measure of causes of mortality that are responsible for taking the highest number of years of life

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Years of potential life lost are calculated by multiplying the number of deaths per age group by years of life lost as determined by the difference in age at the time of death and life expectancy.

< 1

Deaths From All Causes /YPLL

Age 1-14 years 15-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65+ years Total # of Deaths 0 2 0 5 3 4 13 73 100 Mean Age at Death 0 8 0 30 40 50 60 70 75 – Mean Age at Death 0 67 0 45 35 25 15 5 YPLL 0 134 0 225 105 100 195 365 1,124

2002 Vital Statistics Report

Deaths From Unintentional Injuries /YPLL Age # of Deaths Mean Age at Death 65 – Mean Age at Death YPLL < 1 1-14 years 15-24 years 25-34 years 35-44 years 45-54 years 55-64 years 0 0 0 3 0 0 1 0 0 0 30 0 0 60 0 0 5 0 0 0 35 0 0 5 0 0 0 105 65+ years Total 2 6 70 5 10 120

2002 Vital Statistics Report

Malignant Neoplasm •

Malignant neoplasm ranked in the top three for cause of death in all age categories with the exception of those under age 1.

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Cancer tops the list for YPLL in Gallatin County with 220 years of life lost.

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Lung cancer is responsible for 125 of those years and breast cancer another 15.

2002 Vital Statistics Report

Unintentional Injuries •

Unintentional injuries are responsible for 155 years of life lost.

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Motor vehicle accidents make 155 years of the total.

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Drug-induced death is to blame for the loss of 35 years.

2002 Vital Statistics Report

Heart Disease •

Heart disease ranks 3 rd for YPLL with 135 years of potential life lost.

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Heart disease ranks 2 nd as cause of mortality in those over the age of 65.

2002Vital Statistics Report

Other contributors to YPLL •

Diabetes takes another 30 years.

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Chronic lower respiratory disease takes 15 years.

2002 Vital Statistics Report

Next Steps •

The next step in the APEXPH process is to gather input from community leaders regarding actions to be taken to address the preceding statistics.

Sources

1.

National Center for Health Statistics; U.S. Census Bureau (2007) Fedstats. From http://www.fedstats.gov/qf/states/21000.html

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9.

Cabinet for Health and Family Services; Kentucky Department for Public Health (2002) Kentucky Vital Statistics. From http://chfs.ky.gov/dph/vital/2002vitalreports.htm

Cabinet for Health and Family Services; Kentucky Department for Public Health (2002) KY County Health Profile. From http://chfs.ky.gov/dph/epi/cohealthprofiles.htm

Kentucky Youth Advocates (2006) KIDS COUNT. From http://www.kyyouth.org/Publications/KIDS_COUNT_2006/2006+ County+Data+Book+v3.pdf

KY Department of Education; School Report Card 2000-2005 (2004 2005) School Report Card. From http://apps.kde.state.ky.us/report_card/index.cfm?action=display _cards Kentucky State Police (2005) Traffic Collision Facts, From http://www.kentuckystatepolice.ky.gov/pdf/KY_Traffic_Collision_ Facts_2005.pdf

Kentucky State Police (2006) Crime in Kentucky, From http://www.kentuckystatepolice.ky.gov/pdf/cik_2006.pdf

Kentucky Cancer Registry (2003) From http://cancer rates.info/ky/index.html

Cabinet for Health and Family Services; Kentucky Department for Public Health (2003) Kentucky Vital Statistics. From http://chfs.ky.gov/dph/vital/2003vitalreports.htm