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APEXPH Summary
Assessment Protocol for Excellence
in
Public Health
Community Health Planner
Panayiota Agamemnonos
Owen County Health Department
Owen County Demographic Profile
• 2006 Population – 11,428
• 5,476 (50%) males*
• 5,477 (50%) female*
• 11,139 (97.9%) white(2005)
• 126 (1.1%) black
(2005)
• 123 (1.1%) 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
5,283 (50%) 5,340 (50%)
Black
67 (56%)
52 (44%)
Other
126 (60%)
85 (40%)
2002 Kentucky Vital Statistics
Population Distribution by Age in 2002
Owen
Kentucky
Under 1 year
138 (1.3%)
54,312 (1.3%)
1 – 4 years
564 (5.1%)
216,039 (5.3%)
5 – 14 years
1,582 (14.4%)
558,077 (13.6%)
15 – 24 years
1,443 (13.2%)
584,864 (14.3%)
25 – 34 years
1,326 (12.1%)
554,891 (13.6%)
35 – 44 years
1,662 (15.2%)
631,173 (15.4%)
45 – 54 years
1,570 (14.3%)
582,643 (14.2%)
55 – 64 years
1,156 (10.6%)
402,450 (9.8%)
65 – 74 years
806 (7.4%)
273,875 (6.7%)
75 – 84 years
496 (4.5%)
176,282 (4.3%)
85 +
210 (1.9%)
58,402
Total
10,953
(1.5%)
4,093,008
2002 Kentucky Vital Statistics
2010 Population Projections
2000
2010
Change in Age Distribution
50
45
40
35
30
% pop. 25
20
15
10
5
0
0-19
20-29
30 - 64
65 & older
2000 Census
Socioeconomic Profile
• Only 16.0% of Owen County’s population is
below the poverty level compared to 16.3%
statewide in 2004.
• Per capita income in 2004 was $18,426 compared
to the state average of $27,265.
• Median family income in 2004 was $35,191
compared to Kentucky’s $37,046.
• Owen Co.’s unemployment rate was 5.8%
compared to 6.1% statewide in 2005.
National Center for Health Statistics,
U.S. Census Bureau
2002 Socioeconomic Profile, cont.
Owen
Kentucky
25.0%
20.0%
15.0%
10.0%
5.0%
0.0%
Food stamps
WIC
Medicaid
eligible
Utilize
Medicaid
Uninsured
Children
2002 County Health Profile
Birth Indicators
Owen
Kentucky
Birth rate
12.3 per 1000 pop.
13.4 per 1000 pop.
Infant death rate
0.0 per 1000 births
6.8 per 1000 births
Mothers under 15
2.5 per 1000 births
0.8 per 1000 births
Mothers 15-17
17.5 per 1000
females
24.8 per
1000 females
Birthweights <
2500 grams
11.8 per 100 births
8.8 per 100 births
No care in first
trimester
19.0%
13.0%
Maternal Smoking 28%*
26%*
2003 Kentucky Vital Statistics, *2006 KIDS COUNT
Child Well-being Indicators
• Average daily attendance for students – 94%.
Ky.’s average was 94%. (2005)
• 75% completed high school to the
state’s 83% in 2005. 9.1 % completed 4
or more years of college, and Kentucky
17.1% in 2000.
• School drop-out rate in county – 2.7% 2.6%
in KY (2000-2001).
2006 KIDS Count Data Book
Owen County High School
KCCT Test
2004-2005
Proficient/Distinguished
District
State
Academic Index
District State
Reading 10th
44%
39%
82.6
77.5
PL/VS 10th
60%
54%
82.8
79.1
Mathematics
11th
31%
34%
65
66.3
Science 11th
42%
37%
75.6
69.4
Social Studies
11th
33%
41%
71.6
78.1
Arts &
Humanities
11th
34%
39%
71.9
70.7
Writing 12th
19%
33%
65.3
68.4
KY Department of Education
Owen County High School
2004-2005
National Norm
Referenced Test
(CTBS/5)
District State
Nation
9th Grade Reading
46%ile
56%ile
50%ile
9th Grade Language Arts
42%ile
51%ile
50%ile
9th Grade Mathematics
44%ile
52%ile
50%ile
KY Department of Education
Owen County Middle School
KCCT Test
2004-2005
Proficient/Distinguished Academic Index
District
State
District
State
Reading 7th
57%
62%
83.8
87
Science 7th
38%
41%
69.7
74
Writing 7th
15%
21%
49.9
57.3
Mathematics
8th
31%
36%
69
71
Social Studies
8th
32%
39%
69
73.5
Arts &
Humanities 8th
35%
53%
64.1
76.5
PL/VS 8th
32%
43%
63.1
74.3
KY Department of Education
Owen County Middle School
2004-2005
National Norm
Referenced Test
(CTBS/5)
District State
Nation
6th Grade Reading
52%ile
58%ile
50%ile
6th Grade Language Arts
51%ile
54%ile
50%ile
6th Grade Mathematics
67%ile
57%ile
50%ile
KY Department of Education
Owen County Primary/Elementary School
KCCT Test
2004-2005
Proficient/Distinguished Academic Index
District
State
District
State
Reading 4th
51%
68%
74.1
87.1
Science 4th
39%
54%
80.3
87.6
Writing 4th
24%
43%
64.9
74.9
Mathematics
5th
33%
45%
65.5
74.4
Social Studies
5th
41%
53%
69
79.3
Arts &
Humanities
5th
31%
32%
61.2
62.8
PL/VS 5th
60%
63%
82
84.9
KY Department of Education
Owen County Primary/Elementary School
2004-2005
National Norm
Referenced Test
(CTBS/5)
District State
Nation
End of Primary (EOP)
Reading
52%ile
65%ile
50%ile
EOP Language Arts
52%ile
62%ile
50%ile
EOP Mathematics
53%ile
67%ile
50%ile
KY Department of Education
Child Well-being Indicators
• In 2003, 21% of pop. <18 lived in poverty
• Only 68% of obligated child support
payments were collected in 2006.
• In 2005, there were 35 reports cases of
physical abuse, 8 reports of sexual abuse,
and 66 reports of neglect and/or
dependency.
2006 KIDS Count Data Book
2005 Traffic Collisions
• 2005 saw a total of 192 collisions of
those 2 involved fatalities, 79 non-fatal
injuries, and 111 property damage.
– 2 people were killed and 116 people were
injured.
• Of the 192 collisions, 14 involved
drinking drivers and 1 involved drivers
under influence of drugs
2005 Traffic Collision Facts
2005 Driving under the Influence
• 0 of the 14 collisions with drinking
drivers involved fatal collisions, 8 nonfatal injury, and 6 property damage.
– 11 people were injured.
• 1 person was injured in the collision
involving drugs
2005 Traffic Collision Facts
DUI Convictions Trend
70
60
50
40
30
20
10
2001
2002
2003
2004
2005
2006 Crime in Kentucky
2005 Crime
• In 2005, 35 DUI arrests with 34 adults
and 0 juveniles.
• There was a total of 275 arrest in 2005
with 43 arrests for narcotic drug laws
making them the highest.
• Another 25 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 fulltime primary care providers serving that area.
• The Federal Government estimates that 1
primary care provider can provide care to
1500 individuals.
• In 2004, Owen County’s ratio is 1 to 2600 ,
Kentucky’s ratio is 1917. KY Department of Public Health,
Health Care Access Branch
• Owen County’s cancer of all sites incidence
age-adjusted rate for 2000-2004 was 430.63
compared to KY’s age-adjusted rate as 513.73
2007 Kentucky Cancer Registry
• Owen County’s cancer of respiratory system
incidence age-adjusted rate for 2000-2004
was 84.38 compared to KY’s age-adjusted
rate as 108.12
2007 Kentucky Cancer Registry
• Owen County’s cancer of breast incidence
age-adjusted rate for 2000-2004 was 65.08
compared to KY’s age-adjusted rate as 66.90
2007 Kentucky Cancer Registry
• Owen County’s cancer of all sites mortality
age-adjusted rate for 2000-2004 was 195.56
compared to KY’s age-adjusted rate as 224.25
2007 Kentucky Cancer Registry
• Owen County’s cancer of respiratory system
mortality age-adjusted rate for 2000-2004
was 61.02 compared to KY’s age-adjusted
rate as 81.85
2007 Kentucky Cancer Registry
• Owen County’s cancer of breast mortality
age-adjusted rate for 2000-2004 was 13.00
compared to KY’s age-adjusted rate as 14.99
2007 Kentucky Cancer Registry
2002 Leading Causes of Mortality
Under 1 year
Perinatal conditions
Age 1-14
Unintentional injury
15-24
Unintentional injury
25-34
Unintentional injury
35-44
Unintentional injury
45-54
Heart disease
55-64
Diabetes
65 and over
Heart disease
2002 Vital Statistics Report
Years of Potential Life Lost (YPLL)
• Years of Potential Life Lost is a measure of
causes of mortality that are responsible for
taking the highest number of years of life
based on life expectancy.
• 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.
Death From All Causes /YPLL
Age
<1
1-14 years
15-24 years
25-34 years
35-44 years
45-54 years
55-64 years
65+ years
Total
# of
Deaths
Mean Age
at Death
75 – Mean
Age at
Death
YPLL
1
0
0
2
0.5
0
0
30
74.5
0
0
45
74.5
0
0
90
0
6
13
0
50
60
0
25
15
0
150
195
77
99
70
-
5
-
385
894.5
2002 Vital Statistics Report
Death From Unintentional Injuries /YPLL
Age
<1
1-14 years
15-24 years
25-34 years
35-44 years
45-54 years
55-64 years
65+ years
Total
# of
Deaths
Mean Age
at Death
75 – Mean
Age at
Death
YPLL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2002 Vital Statistics Report
Malignant Neoplasm
• Cancer tops the list for YPLL in Owen
County with 145 years of life lost.
• Lung cancer is responsible for 55 of those
years and breast cancer another 15.
2002 Vital Statistics Report
Unintentional Injuries
• Drug-induced death is to blame for the
loss of 25 years.
2002 Vital Statistics Report
Heart Disease
• Heart disease ranks 3rd for YPLL with 75
years of potential life lost.
• Heart disease ranks 1st as cause of
mortality in those over the age of 65
and for those between the ages of 45
and 54.
2002 Vital Statistics Report
Other contributors to YPLL
• Chronic lower respiratory disease takes
105 years.
• Diabetes takes another 45 years.
• Cerebrovascular disease takes 5 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.
2.
3.
4.
5.
6.
7.
8.
9.
National Center for Health Statistics; U.S. Census Bureau (2007)
Fedstats. From http://www.fedstats.gov/qf/states/21000.html
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 (20042005) 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://cancerrates.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