Transcript Slide 1

Community Profile 2008
Tulsa County
Prepared for the Tulsa Area United Way Community Investments Process
By the Community Service Council of Greater Tulsa
December, 2007
Adults and Families at Risk…
Adults & Families at Risk
Top Risk Factors for Adults
and Families
Single-parent households
Low educational attainment
Illiteracy
Childhood abuse and other adverse childhood
experiences
Substance abuse/addiction
Lack of health insurance/poor health care
Poor diet & lack of exercise
Tobacco use & excessive alcohol use
Types of Families with Ow n Children Under 18,
by Race & Hispanic Origin
Tulsa County, 2000
Total
White
Adults & Families at Risk
69.5%
Black
37.4%
75.1%
6.0%
6.4%
18.9%
24.1%
7.6%
55.0%
63.7%
75.1%
86.4%
2.5%
8.3%
8.1%
11.1%
16.8%
28.0%
American Indian
Married couple
Asian
Female-headed
Hispanic
Male-headed
Source: U.S. Census Bureau, 2000 Census.
Prepared by the Community Service Council of Greater Tulsa
Educational Attainment for Persons Age 25 & Older
Tulsa County, 2000 & 2006 Estimates
Less than
high school
Adults & Families at Risk
High school
graduate
Some
college
Associate's
degree
Bachelor's
degree
Master's
degree
Professional
school degree
2000
2006 (est.)
Doctorate
degree
0%
5%
10%
15%
20%
25%
30%
Percent of persons 25+
Less than
high school
2000
14.9%
2006 (est.)
12.6%
High school
graduate
26.5%
28.6%
Some
college
24.7%
22.2%
Associate's
degree
6.9%
7.1%
Bachelor's
degree
18.5%
20.2%
Master's
degree
5.4%
6.1%
Professional Doctorate
school degree
degree
2.2%
0.8%
2.3%
1%
Source: US Census Bureau, 2000 Census; US Census Bureau, American Community Survey 2006.
Prepared by the Community Service Council of Greater Tulsa
Rates of Adult Level 1 Literacy
By County
Percent of adults at Lev el 1 Literacy
Level 1 Literacy is the lowest
literacy level. Adults at this
level display difficulty using
certain reading, writing, and
computational skills
considered necessary for
functioning in everyday life.
Adults & Families at Risk
30%
25%
25%
Oklahoma has
a rate of 18% .
19%
20%
15%
16%
15%
13%
13%
10%
5%
0%
Tulsa Co.
Creek Co. Okmulgee Co. Osage Co.
Rogers Co. Wagoner Co.
Source: Oklahoma Literacy Resource Office.
Prepared by the Community Service Council of Greater Tulsa
Methamphetamine Labs Seized by Authorities
Oklahoma and City of Tulsa, 1994 - 2007
Number of labs discov ered
Oklahoma
Tulsa
1,200
1,000
800
600
400
2007
(prelim.)
781
132
2006
275
47
2005
1999
241
13
2004
1998
125
6
2003
1997
34
0
2002
1996
Oklahoma 10
Tulsa 0
2001
1995
0
2000
200
1994
Adults & Families at Risk
1,400
946 1,193 1,254 1,235 812
150 124 178 214 131
274
51
194
na
137
na
Source: Oklahoma State Bureau of Narcotics and Dangerous Drugs Website, Tulsa Police Department Website.
Prepared by the Community Service Council of Greater Tulsa
Health Insurance Status, by Age
Oklahoma, 2005-2006
Total Population
Under Age 19
113,735 (13.2%)
Adults & Families at Risk
644,292 (18.6%)
1,673,131 (48.2%)
553,526 (15.9%)
435,497 (50.5%)
312,416 (36.3%)
459,315 (13.2%)
141,341 (4.1%)
524,480 (25.3%)
93,994 (4.5%)
1,240,462 (59.9%)
29,855 (5.8%)
3,337 (0.7%)
6,077 (1.2%)
473,042 (92.3%)
117,044 (5.6%)
95,634 (4.6%)
Age 19-64
Employer
Individual
Age 65 & ov er
Medicaid
Medicare/Other Public
Source: Kaiser Family Foundation.
Prepared by the Community Service Council of Greater Tulsa
Uninsured
Major Health Concern:
Uninsured – Tulsa to Comparable Cities
Buf f alo
Cincinnati
Omaha
Kansas City
Wichita
Birmingham
US
Place
Adults & Families at Risk
Uninsure d Ra te s by City, 2000
Salt Lake City
Little Rock
Tulsa
Memphis
Oklahoma City
Denver
Dallas
A lbuquerque
Bakersf ield
El Paso
0
5
10
15
20
25
30
Rate
Lapolla, Health Policy Analysis of the Tulsa Metropolitan Area, OU Center for Health Policy, 2005;.
THD – Patel/Woodruff 9/05
Oklahoma's Rankings in Risk Factors
Associated w ith Poor Health, 1990 and 2007
According to United Health Foundation's State Health Rankings
Ranking: 1=best, 50=worst
Adults & Families at Risk
Personal Behav iors
Prevalence of smoking
Prevalence of Binge Drinking
Prevalence of obesity
High school graduation
#44
#47
#12
#23
#44
#31
#24
Community Env ironment
#24
Violent crime
Occupational fatalities
Infectious disease
Children in poverty
#34
#38
#8
#32
#24
#21
#42
Public & Health Policies
Lack of health insurance
Per capita public health spending
Immunization coverage
Clinical Care
Adequacy of prenatal care
Primary Care Physicians
Preventable Hospitalizations
#46
#42
#30
#25
#41
#40
#50
#45
1990
2007
Source: United Health Foundation.
Prepared by the Community Service Council of Greater Tulsa
Adults & Families at Risk
Risk Factors Increase Likelihood of
Adverse Health and Social Outcomes
~ Adverse Outcomes for Adults and Families:
Lower earnings/lack of economic selfsufficiency
Domestic violence
Crime/gang violence/incarceration
Effects of adverse childhood
experiences
Disease or disability
Suicide
Premature death
Ratio of Income to Poverty for Families by Family
Type and Age of Children
Tulsa County, 1999
Pov erty rate
Adults & Families at Risk
100%
% below 100%
%below 185%
80%
79.9%
64%
60%
50.6%
40%
49.5%
41.6%
34.5%
26.7%
20%
23.6%
19.9%
17.8%
0%
# below 100%
# below 185%
8.2%
5.6%
Marriedcouple
Maleheaded
Femaleheaded
Marriedcouple
Maleheaded
Femaleheaded
3,033
10,828
996
2,325
6,537
12,123
1,935
6,317
476
1,021
3,322
5,358
Families with children <18
Families with children <5
Source: U.S. Census Bureau, Census 2000.
Prepared by the Community Service Council of Greater Tulsa
Real Hourly Wage by Educational Attainment
United States, 1973-2005
Real hourly wage (2005 dollars)
Adults & Families at Risk
$35
$30
$25
$20
$15
$10
$5
$0
3
7
19
75 977 979 981 983 985 987 989 991 993 995 997 999 001 003 005
9
1
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
Less than high school
High school
College degree
Source: Economic Policy Institute website.
Prepared by the Community Service Council of Greater Tulsa
Advanced degree
Adults & Families at Risk
Adult Literacy Levels and Income
Over 20% of American adults read at or below a 5th
grade level - far below the level needed to earn a living
wage.
43% of people with the lowest literacy skills live in
poverty.
Workers who lack a high school diploma earned an
average hourly wage of $9.50 in 2001, compared to
$12.81 for high school graduates and $22.58 for those
with a college degree.
Source: Oklahoma Literacy Resource Office; Economic Policy Institute.
Domestic Violence Cases Reported to
Law Enforcement Agencies
Oklahoma, 1994 - 2006
Adults & Families at Risk
30,000
25,000
20,000
15,000
10,000
5,000
0
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Cases
18,153 18,621 21,683 23,087 21,435 21,211 22,065 23,687 25,157 23,773 24,542 25,893 24,105
Source: Oklahoma State Bureau of Investigation 2004 & 2006 Uniform Crime Reports.
Prepared by the Community Service Council of Greater Tulsa
Domestic Violence Cases Reported to Law
Enforcement Agencies, by Offense
Oklahoma, 2006
Adults & Families at Risk
25,000
20,000
A total of 24,105 domestic violence
cases were reported to Oklahoma
law enforcement agencies in 2006.
19,690
15,000
10,000
3,635
5,000
47
733
0
Murder
Sex crimes
Assaults
Source: Oklahoma State Bureau of Investigation 2006 Uniform Crime Report.
Prepared by the Community Service Council of Greater Tulsa
Assault & Battery
Oklahoma’s prison population was relatively
stable until 1980 when laws passed to curb
illegal drug use came into effect
Adults & Families at Risk
Oklahoma’s Prison Population
1950-2005
25,000
22,500
20,000
17,500
15,000
12,500
10,000
1980
7,500
5,000
2,500
'04
'02
'00
'98
'96
'94
'92
'90
'88
'86
'84
'82
'80
'78
'76
'74
'72
'70
'68
'66
'64
'62
'60
'58
'56
'54
'52
'50
0
Note: Number of inmates in Oklahoma prisons, data as of June 30 of each year
Source: Oklahoma State Department of Corrections,
Prepared by the Community Service Council of Greater Tulsa for the Metropolitan Human Services Commission in Tulsa.
DOC Receptions Drug Crimes and
Other Crimes
Adults & Families at Risk
FY1995 – FY 2005
6,000
5,000
4,000
3,000
2,000
Other Crime Receptions
Drug Crime Receptions
1,000
Linear (Other Crime Receptions)
Linear (Drug Crime Receptions)
0
FY'95
FY'96
FY'97
FY'98
FY'99
FY'00
FY'01
FY'02
FY'03
FY'04
FY'05
Source: Oklahoma State Department of Corrections
Prepared by the Community Service Council of Greater Tulsa for the Metropolitan Human Services Commission in Tulsa.
Violent Crimes Reported to Tulsa Police Department
1994 to 2006
Adults & Families at Risk
4,000
Number reported
3,000
Agg. Assault
Robbery
Forcible Rape
Homicide
2,000
1,000
0
Agg. Assault
Robbery
Forcible Rape
Homicide
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
3,344 3,195 3,330 3,461 3,315 3,361 3,464 3,565 3,233 3,161 3,402 3,614 3,554
1,104 986 897 962 886 938 778 818 953 934 1,072 1,157 1,061
314 277 312 290 287 256 266 300 295 310 337 326 312
45
33
35
46
50
44
34
39
33
70
49
60
56
Source: Tulsa Police Department Statistical Report - 1998; TPD Website.
Prepared by the Community Service Council of Greater Tulsa
Department of Corrections Receptions from
Tulsa County, FY 2005
Percent Distribution by Race
Adults & Families at Risk
60%
51.8%
Total receptions from Tulsa
County = 1,807.
Drug related conv ictions account
for 35% of these receptions.
50%
40%
32.5%
30%
20%
7.6%
10%
7.6%
0.4%
0.1%
0%
White
Black
Hispanic
Nativ e
American
Other
Source: Oklahoma Department of Corrections.
Prepared by the Community Service Council of Greater Tulsa
Unknown
Department of Corrections
Receptions from Tulsa County by Gender
1998-2002
Adults & Families at Risk
350
1600
TOTAL female
TOTAL male
1400
300
1200
250
1000
200
800
150
600
100
400
50
200
0
0
1998
1999
2000
2001
2002
1998
1999
2000
2001
2002
Source: Oklahoma State Department of Corrections
Prepared by the Community Service Council of Greater Tulsa for the Metropolitan Human Services Commission in Tulsa.
Adults & Families at Risk
The Adverse Childhood
Experiences (ACE) Study
Major American research project that poses the question
of whether and how childhood experiences affect adult
health decades later
Provides compelling evidence that:



Adverse childhood experiences are surprisingly common
ACE’s happen even in “the best of families”
ACE’s have long-term, damaging consequences
Findings reveal powerful relationships between
emotional experiences as children and physical and
mental health as adults
Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood
Experiences Study.”
Adults & Families at Risk
The Adverse Childhood Experiences
(ACE) Study Pyramid
Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood
Experiences Study.”
Adults & Families at Risk
Adverse Childhood Experiences…
Growing up in a household with:
Recurrent physical
abuse
Recurrent emotional
abuse
Sexual abuse
An alcohol or drug
abuser
An incarcerated
household member
Someone who is
chronically depressed,
suicidal, institutionalized
or mentally ill
Mother being treated
violently
One or no parents
Emotional or physical
neglect
Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “What are Adverse Childhood
Experieinces (ACE’s).”
Adults & Families at Risk
…Lead to Health-Risk Behaviors…
Smoking
Overeating
Physical inactivity
Heavy alcohol use
Drug use
Promiscuity
Source: The Adverse Childhood Experiences Study website: www.acestudy.org
Adults & Families at Risk
…Which Cause Disease, Disability
and Social Problems in Adulthood
Nicotine addiction
Alcoholism
Drug addiction
Obesity
Depression
Suicide
Injuries
Unintentional
pregnancy
Heart disease
Cancer
Chronic lung and liver
disease
Stroke
Diabetes
Sexually transmitted
diseases
Source: Felitti, Vincent J., “The Relationship of Adverse Childhood Experiences to Adult Health: Turning gold into lead;”
CDC Media Relations, May 14, 1998, “Adult Health Problems Linked to Traumatic Childhood Experiences.”
Oklahoma's Rankings in Outcomes
Associated w ith Poor Health, 1990 and 2007
According to United Health Foundation's State Health Rankings
Adults & Families at Risk
Ranking: 1=best, 50=worst
Overall ranking
#31
#47
#47
Poor mental health days
#48
Poor physical health days
Infant mortality
Cardiovascular deaths
Cancer deaths
Premature death
#27
#40
#31
#50
#24
#43
#27
#43
1990
2007
Source: United Health Foundation.
Prepared by the Community Service Council of Greater Tulsa
Adults & Families at Risk
What is a Disability?
– A person is considered to hav e a
– A person who is unable to
disability if he or she has dif f iculty
perf orm one or more activ ities,
perf orming certain f unctions (e.g.,
or who uses some ty pe of
seeing, hearing, talking, walking,
assistiv e technology to improv e
climbing stairs, lif ting and
daily participation in all aspects
carry ing, etc.), or has dif f iculty
of work, school and community
perf orming activ ities of daily liv ing,
lif e, or who needs assistance
or has dif f iculty with certain social
f rom another person to perf orm
roles (e.g., doing school work f or
basic activ ities is considered to
children, working at a job and
hav e a sev ere disability.
around the house f or adults, etc.).
1 in 5 Americans have some level of disability.
1 in 8 Americans have a severe disability.
1 in 9 children age 6 to 14 have a disability.
Source: ARC-USA, 2000; Americans with Disabilities Act of 1990 (ADA); Developmental Services Division (DDSD),
Oklahoma Department of Human Services (DHS), 2000; National Organization on Disability (NOD), 2000;
U.S. Bureau of
the Census, 2001, Americans with Disabilities: 1997 .
Prepared by the Community Service Council of Greater Tulsa
Disability Prevalence by Age and Level of Disability
Oklahoma, 1997
Age Group
2%
Adults & Families at Risk
0 to 2
Level of disability
Any
Severe
3.4%
3 to 5
11.2%
6 to 14
4.8%
10.7%
15-24
5.3%
13.4%
25-44
8.1%
22.6%
45-54
13.9%
35.7%
55-64
24.2%
49%
65-79
31.8%
73.6%
80+
57.6%
0%
20%
40%
60%
80%
Percent with Specif ied Lev el of Disability
Source: U.S. Bureau of the Census, 2001, Americans with Disabilities: 1997 (Aug.-Nov. 1997 data from Survey of
Income and Program Participation); US Census Bureau, American Community Survey 2005.
Prepared by the Community Service Council of Greater Tulsa
100%
Disability Prevalence by Age
Non-institutionalized Population
Oklahoma & Tulsa County, 2006 Estimates
Percent of population
Adults & Families at Risk
50%
Oklahoma %
46.8%
Tulsa Co. %
43.3%
40%
30%
19.6%
20%
17%
16.9%
7%
10%
14.5%
7.3%
0%
Oklahoma #
Tulsa Co. #
5 & older
635,170
88,048
5-15
40,417
6,606
16-64
383,676
53,273
Source: US Census Bureau, American Community Survey 2006.
Prepared by the Community Service Council of Greater Tulsa
65 & older
211,077
28,169
Persons w ith Disabilities by Age and Type
Civilian Noninstitutionalized Population, Tulsa County, 2000
Age 16-20
(N=5,639)
Age 5-15
(N=6,099)
0.3%
17.2%
6.2%
Adults & Families at Risk
5.0%
5.5%
9.1%
63.0%
5.8%
30.0%
21.0%
35.0%
1.9%
0.2%
2.9%
4.1%
12.8%
27.0%
2.2%
0.2%
10.1%
25.1%
8.7%
7.5%
Age 21-64
(N=61,895)
Sensory
Physical
45.5%
Mental
Self-care
53.7%
Go-outside-home
Employment
Source: U.S. Census Bureau, Census 2000.
Prepared by the Community Service Council of Greater Tulsa
Age 65+
(N=26,445)
2 or more disabilities
Labor Force Participation of People w ith Work Disabilitie
Oklahoma, 1999
Adults & Families at Risk
work
disability
27.6%
30.5% in
labor force
employed
2.9%
90.3%
no work
disability
unemployed
2.9%
9.7%
69.5%
not in
labor force
An estimated 10% of
Oklahoma's population age
16-64 have a work disability.
Of those with a work
disability, 31% are in labor
force and 28% are
employed.
Note: A work disability is one which prevents a person from working or limits a person in terms of kind or amount of work he
or she can do.
Source: U.S. Census Bureau, March 1999 Current Population Survey.
Prepared by the Community Service Council of Greater Tulsa
Employment Rates by Disability Type
Civilian Noninstitutionalized Population Age 21 to 64, Tulsa County, 2000
Adults & Families at Risk
Sensory
Physical
Mental
Self-care
Go-outside-home
Employment
0%
10%
20%
30%
40%
50%
60%
70%
Percent Employ ed
Disability
Sensory
55.7%
Physical
40%
Mental
36.9%
Self-care
23.3%
Go-outside-home
45.7%
Source: U.S. Census Bureau, Census 2000.
Prepared by the Community Service Council of Greater Tulsa
Employment
64.1%
Poverty Rates by Disability Status and Age
Civilian Noninstitutionalized Population, Tulsa County, 1999
Percent of population liv ing below pov erty
Adults & Families at Risk
30%
Persons with a disability
Persons with no disability
24.7%
25%
22.5%
20%
17.2%
14.7%
16.5%
15.3%
15%
11.7%
9.7%
10%
8%
5.7%
5%
0%
Age 5-15
Age 16-20
Age 21-64
Age 65+
Source: U.S. Census Bureau, Census 2000.
Prepared by the Community Service Council of Greater Tulsa
Total Age 5+
Cumulative Total of Oklahomans Living with HIV and AID
By Year, 1990 to 2007
Number of persons liv ing with HIV and AIDS
AIDS
HIV
2,385
2,305
1,907
2,001
2,343
2,442
1,859
2,171
2,529
1,905
2,458
2,209
1,451
1,729
2,073
1,406
1,597
1,980
1,359
1,796
1,259
1,650
1,050
850
1,250
750
1,100
550
200
0
700
1,000
300 950
2,000
1,450
3,000
2,394
4,000
150450
Adults & Families at Risk
5,000
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Source: Oklahoma State Dept. of Health, "HIV/AIDS Statistics."
Prepared by the Community Service Council of Greater Tulsa
Age-Adjusted Death Rates for HIV
Tulsa County, Tulsa MSA and Oklahoma, 1985 - 2005
18
Rate per 100,000 persons
Adults & Families at Risk
16
14
12
10
8
6
4
2
0
85 986 987 988 989 990 991 992 993 994 995 996 997 998 999 000 001 002 003 004 005
9
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
Tulsa County
Tulsa MSA
Oklahoma
Source: Oklahoma State Department of Health, Vital Statistics.
Prepared by the Community Service Council of Greater Tulsa
Suicide Rates Among Persons of All Ages
Oklahoma, 1930 - 2005
Adults & Families at Risk
16
Rate per 100,000 persons
14
12
10
8
6
4
2
0
1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005
Rate
9.3
10.1
8
6.4
8.3
9
9.8
9.5
10.7
15.2
13.6
14.8
13.3
14.6
14.7
Source: Oklahoma State Department of Health, Vital Statistics; National Center for Health Statistics, National Vital
Statistics Report.
Prepared by the Community Service Council of Greater Tulsa
14.3
Suicide Rates Among Persons of All Ages
By County, 3-Year Averages, 1991-93, 1996-98, 2001-03, 2003-05
Rate per 100,000 persons
Adults & Families at Risk
25
1991-93
1996-98
2001-03
2003-05
20
15
10
5
0
1991-93
1996-98
2001-03
2003-05
Tulsa Co.
Creek Co.
Okmulgee Co.
Osage Co.
Rogers Co.
Wagoner Co.
14.6
14.6
15.2
16
15
10.2
18
18
11.7
8.5
15.1
17.6
22
10.7
13.3
14.7
17.9
10.3
9.7
9.7
15.5
12.2
6
10.6
Source: Oklahoma State Department of Health, Vital Statistics
.
Prepared by the Community Service Council of Greater Tulsa
Age-Adjusted Death Rates for the Leading Causes of Death
United States, 2004, Oklahoma and Tulsa County, 2005
Adults & Families at Risk
Heart disease
Cancer
Stroke
Chronic lower
respiratory diseases
Accidents
Diabetes mettitus
U.S.
Oklahoma
Tulsa County
Alzheimer's disease
Influenza & pneumonia
0
50
100
150
200
250
Rate per 100,000 Persons
Source: National Center for Health Statistics, Health E-Stats; Oklahoma State Department of Health, Vital Statistics.
Prepared by the Community Service Council of Greater Tulsa
300
Mortality Rates for the Four Leading Causes of Death
Oklahoma, 1930 - 2005
Rate per 100,000 persons
Adults & Families at Risk
400
Heart Disease
Cancer
Stroke
Chronic Lower
Respiratory Disease
350
300
250
200
150
100
50
0
1930
1935
1940
1945
1950
1955
1960
1965
1970
1975
1980
1985
Source: Oklahoma State Department of Health, Vital Statistics.
Prepared by the Community Service Council of Greater Tulsa
1990
1995
2000
2005
Major Health Concern:
Tulsa’s high age-adjusted death rate compared to
other areas
Adults & Families at Risk
Age-Adjusted Deaths Rates for Tulsa and Comparable Areas, 2002
 Good:
Death Rates for Comparable Areas, 2002
Honolulu, HI

El Paso, TX
Salt Lake City, UT
Albuquerque, NM
Syracuse, NY

Tucson, AZ
Fresno, CA
US
Buf f alo, NY

Baltimore, MD
Omaha, NE
Denver, CO
Wichita, KS
Little Rock, AR
Knoxville, TN
Toledo, OH
Tulsa Co death rates parallel
those of OK
Tulsa rates below the OK rate
for most years;
2002 Tulsa rate lower than
some metro areas of similar
size and scope, including
Oklahoma City.
Bakersf ield, CA
Tulsa, OK
 Bad: By 2002 Tulsa County rate
was 14.5% higher than the nation.
Louisville, KY
Oklahoma City, OK
Washington, DC
Birmingham, AL
600
700
800
900
1,000
1,100
County Rate
THD – Patel/Woodruff 9/05
Community Profile 2008
…is available on our website:
www.csctulsa.org
Prepared for the Tulsa Area United Way Community Investments Process
By the Community Service Council of Greater Tulsa
December, 2007