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Minnesota Demographic Change And Dentistry Tom Gillaspy, State Demographer Mn Dept of Administration March 2008 Minnesota Ranks Highly in Many Social/Economic Indicators • 2nd percent of 16-64 • 4th lowest rate of disability • • • • • employed (76.9%) 8th lowest poverty rate 1st percent with health insurance 2004-06 ave 9th median family income in 2006 1st Kids Count 2007 Updated October 2007 • • • among people age 16-64 1st with at least high school degree (90.7%) 12th with at least a bachelor’s degree 1st home ownership 2nd United Health Foundation ranking of state healthiness 2007 Minnesota Ranks Highly In Many Health Outcome Measures 2005 United Health Foundation Rankings Rank Motor Vehicle Deaths Mn Rate US Rate 3 1.0 1.5 21 22.6% 23.1% 1 8.9% 15.7% 27 75.8% 75.4% Public Health Spending 6 $249 $162 Immunization (children 19-35 months) 11 85.2% 80.9% Infant Mortality 2 4.8 6.7 YPPL 1 5728 7564 Obesity Lack of Health Insurance Pre Natal Care Successful, Yes But Demographic Mega-trends Are Altering The Face Of Minnesota Suburban growth/ rural and central city not growing Increasingly diverse Aging And these changes are altering the client base for dentistry as well as the workforce Minnesota Is Projected To Add 1 ¼ Million People In The Next 30 Years 7,000,000 6,000,000 5,000,000 4,000,000 3,000,000 2,000,000 1,000,000 0 20 00 20 07 20 10 20 15 Minnesota State Demographic Center Projections 20 20 20 25 20 30 20 35 Most Growth Is In The Twin City Suburban Doughnut • Twin Cities accounts for 78% of growth in the • • • • state Suburban ring is spreading outward 7 of 13 metro counties in fastest 100 growing of the nation Rural and central city declines since 1950 Increasing metropolitan and lakeshore development have implications for natural resource management Population Change 2000-04 Census Bureau Estimate Population Change Loss Gain Under 1,000 Gain 5,000 to 1,000 Gain More Than 5,000 Minnesota is Growing More Diverse • Minnesota is one of the least diverse states in the nation—13% minority v US 32% • Over half of total population growth this decade is minority. • And this is related to age—new, diverse population is younger Upper Midwest Becoming More Diverse But Still Less Than The Nation 33% United States 24% 14% Wisconsin 9% 13% South Dakota 2005 1990 9% 9% North Dakota 6% 14% Minnesota 6% 9% Iowa 4% 0% 5% 10% 15% 20% 25% 30% 35% Percent Population of Color Note: Population except white alone, not Hispanic, 2005 Census Bureau estimate Minnesota’s Children Are More Diverse Than Older People 20% 20% 17% 16% 15% 12% 10% 8% 6% 5% 5% 3% Age Group 2000 Census 70 + 69 60 to 59 50 to 49 40 to 39 30 to 29 20 to 19 to 10 er 10 0% U nd Percent Minority 25% Students Speaking Non-English Language At Home: Much Of The Growth In ESL Enrollment Is Directly Related To Growth In Local Employment State 93-94 State 06-07 National 03 St. Paul Worthington Richfield Brooklyn Center Pelican Rapids Columbia Heights Minneapolis Sleepy Eye Westbrook-Walnut Grove Madelia Mountain Lake 0% 3.0% 11.0% 18.7% 43.4% 37.5% 37.3% 36.6% 32.8% 31.6% 30.6% 30.5% 27.6% 26.2% 25.9% 10% 20% 30% 40% Percent of Students in 2006-07 Source: Mn Dept of Education data, Districts of more than 100 enrollment. 50% Aging Is The Dominant Demographic Trend In Minnesota And The Nation • • • • • It is not normal for a society to age Dramatic changes will be seen in 2008 and 2011 and beyond The leading edge of “Boomers” turn 60 this year! By 2020, the number of Minnesotans 65+ will increase by 53%. By 2030 it will double Aging, combined with growth and increased diversity will lead to challenges and opportunities not fully anticipated From 2005 to 2015, Largest Growth in Minnesota Will Be in Ages 55 to 69 85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 16,200 3,900 6,700 44,500 98,000 119,400 107,200 55,500 -43,400 -64,100 -700 67,200 51,800 -9,600 -29,200 Source: Minnesota State Demographic Center Numbers are rounded 7,400 49,100 37,600 The Boom Generation Starts Turning 65 in 2011 65+ Passes School Age Around 2020 1,400,000 1,200,000 1,000,000 18-24 65+ 5-17 800,000 600,000 400,000 200,000 0 1950 1960 1970 1980 1990 2000 2010 2020 2030 Census counts & State Demographer projection, revised 2007 Aging Will Alter Oral Health Services • • • • Baby-boom aging--maintenance on complicated dental appliances and prosthetics, such as bridges. Older Americans are retaining more of their teeth than in the past, and are thus more likely to experience destructive periodontal disease. While the percentage of individuals older than age 65 without any teeth has declined tremendously over past 20-30 years, it is still higher than for those younger than 65. Older adults often have additional medical conditions that cause a higher level of maintenance to be necessary in order to maintain their oral health. Minnesota Will See a 30 Percent Jump in Workers Turning Age 62 Beginning 2008 Worked Within Past 5 years 60,000 50,000 40,000 30,000 20,000 10,000 0 7/05 to 7/06 7/06 to 7/07 7/07 to 7/08 7/08 to 7/09 7/09 to 7/10 Year Turning Age 62 2005 ACS 7/10 to 7/11 7/11 to 7/12 Competition For The Future Workforce Will Increase 14% 13.0% Percent Change 18-24 12% 10% 8% US Mn 6.8% 6% 4.5% 4% 2% 0% -2% -1.2% -4% -1.6% -2.2% -3.5% -3.0% -6% 2000-05 2005-10 2010-15 Census Bureau US Proj, Mn State Demographer revised 2007 2015-20 Migration Will Be An Increasingly Important Component To The Slowing Labor Force Growth Net Labor Force Growth 500,000 400,000 Total Natural Part Rate Migration 300,000 200,000 100,000 0 -100,000 2000-10 State Demographer projection revised 2007 2010-20 2020-30 Two Thirds of Active Minnesota Dentist Are 50+ Percent Of Dentists 100% 90% 80% 70% 60% 21% 30% 36% 50% 40% 26% 30% 20% 10% 0% 30% 14% 19% 14% 4% 5% Nation Minnesota 2006 American Community Survey 60+ 50-59 40-49 30-39 Under 30 Dentists Are Older Than The Overall Workforce Total Workforce 28% Dental Hygenists & Assistants 20% Dentists 66% 0% 10% 20% 30% 40% 50% Percent Of Workforce Age 50+ 2006 ACS 60% 70% U.S. Age Structure Of Dentals And Related Occupations 50,000 45,000 40,000 35,000 30,000 Dentist Hyginests Dental Asst 25,000 20,000 15,000 10,000 5,000 U 2006 American Community Survey 75 + nd er 25 25 -2 9 30 -3 4 35 -3 9 40 -4 4 45 -4 9 50 -5 4 55 -5 9 60 -6 4 65 -6 9 70 -7 4 0