Ozaukee County Health Data Report. A summary of secondary data sources

Transcription

1 Ozaukee County Health Data Report A summary of secondary data sources 2014

2 This report was prepared by the Design, Analysis and Evaluation team at the Center for Urban Population Health. Sydney Allen, MPH, and Nitali Tagger, MPH, prepared this report. If there are any questions, please feel free to contact them at The funding to prepare this report comes from Aurora Health Care, Children s Hospital of Wisconsin, Columbia St. Mary s Health System, Froedtert Health, and Wheaton Franciscan Healthcare.

3 Notes: In the summer of 2014, the Center for Urban Population Health was enlisted to create reports detailing the health of various counties using secondary data. These health data reports are one piece of a variety of data sources being used by five local health systems to describe their communities and the health priorities of their service areas. These reports were specifically developed to compliment a telephone survey being done in each county. Because of their complimentary nature, these reports are not all-inclusive. Indicators for which primary data are being collected were excluded from this report. In addition, rather than repurposing data from the comprehensive county rankings report created by the University of Wisconsin Population Health Institute (2014), the county level data from the rankings report is included in its entirety at the end of this report. All of the data used in this report come from publicly available data sources. Data for each indicator were presented by race and ethnicity and gender when the data were available. Race data categorized as unknown or missing were rarely included in this report. Therefore, not all races are represented in the data that follows. In some cases data were not presented by the system from which it was pulled due to their internal confidentiality policies which specify that data will not be released when the number is less than five. In other cases, the data were available but the rates or percentages are not presented in this report. This is due to the indicator having small numbers in the numerator or denominator resulting in rates or percentages that were subject to large year to year fluctuations and, as such, would not have provided a meaningful representation of the data for the population subset. When applicable, Healthy People 2020 objectives are provided for each indicator. These objectives were not included unless the indicator directly matched with a Healthy People 2020 objective. University of Wisconsin Population Health Institute. County Health Rankings Accessible at

4 Table of Contents Total Population Demographics Population Change by Race Population Change by Age Poverty Total Births Percent Births Receiving First Trimester Care 7 Percent Late or No Prenatal Care 8 Tobacco Use During Pregnancy 9 Low Birth Weight 10 Infant Mortality 11 Premature Birth 12 Birth Rate Ages Birth Rate Ages Years of Potential Life Lost (YPLL) 15 Number of Deaths and Mortality Rate Age-Adjusted Mortality Rate Average Age at Death 18 Number and Rate of Injury Deaths 19 Number and Rate of Suicides 20 Number and Rate of injury Hospitalizations 21 Number and Rate of Emergency Department Visits for Injuries 22 Number of Emergency Department Visits for Injury by Cause Rate of Emergency Department Visits for Injury by Cause Domestic Abuse

5 Child Abuse Sexually Transmitted Diseases HIV Cancer Incidence 29 Cancer Incidence and Mortality Rates by Site Number and Rate of Cerebrovascular Disease Health Behaviors from Behavioral Risk Factors Surveillance Survey County Health Rankings 33

6 Total Population - Ozaukee Co (#) 2012 (%) State 2012 Total Population 86, % 5,687,219 Total Population Hispanic or Latino (of any race) 2, % 335,208 White alone 80, % 4,737,471 Black or African American alone 1, % 347,253 American Indian and Alaska Native Alone % 45,149 Asian alone 1, % 128,799 Native Hawaiian and Other Pacific Islander alone 1,183 Some other race alone % 4,518 Two or more races % 87,638 Total Population Under 5 years 4, % 355,308 5 to 9 years 5, % 366, to 14 years 6, % 376, to 19 years 6, % 399, to 24 years 4, % 388, to 34 years 7, % 719, to 44 years 10, % 727, to 54 years 14, % 866, to 59 years 6, % 387, to 64 years 5, % 315, to 74 years 6, % 405, to 84 years 4, % 262, years and over 1, % 116,549 Data accessed from S_12_5YR_DP05&prodType=table on August 22,

7 Demographics - Ozaukee Co State 2012 Education level of adults 25 years or older Less than high school degree 4.0% 9.9% High school degree 22.6% 33.1% Some college/associates 29.3% 30.7% Bachelors degree or higher 44.0% 26.4% Percent of those ages 16 or older who are unemployed Unemployment rate 4.2% 5.1% Median HH Income (2012 dollars) Median Income $75,854 $52,627 Percent below poverty in last 12 months Percent below poverty 4.6% 12.5% Language spoken at home English only 93.5% 91.4% Spanish 1.6% 4.5% Other Indo-European 3.7% 2.2% Asian and Pacific Island 0.9% 1.6% Other Languages 0.3% 0.3% Housing Owner Occupied 78.6% 68.6% Renter Occupied 21.4% 31.4% Data from U.S. Census Bureau, American Community Survey. Accessed at: ype=table, ype=table, and ype=table on August 22,

8 Race and Ethnicity for Ozaukee County 2000 Census 2010 Census 2000 to 2010 Change Total Population Hispanic or Latino Population Not Hispanic or Latino Number % of Total Number % of Total Number Percent 82, % 86, % 4, % 1, % 1, % % 81, % 84, % 3, % White Alone 78, % 80, % 1, % Black Alone % 1, % % American Indian Alone % % % Asian Alone % 1, % % Native Hawaiian or Other Pacific Some Other Race Alone Two or More Races % % % % % % % % % Data accessed from on August 22,

9 Age Breakdown for Ozaukee County 2000 Census 2010 Census 2000 to 2010 Change Total Population Number % of Total Number % of Total Number Percent 82, % 86, % 4, % 0 to 4 5, % 4, % % 5 to 9 6, % 5, % % 10 to 14 6, % 6, % % 15 to 19 6, % 6, % % 20 to 24 3, % 4, % % 25 to 29 3, % 4, % % 30 to 34 4, % 4, % % 35 to 39 6, % 4, % -2, % 40 to 44 7, % 6, % -1, % 45 to 49 7, % 7, % % 50 to 54 6, % 7, % 1, % 55 to 59 4, % 6, % 2, % 60 to 64 3, % 5, % 2, % 65 to 69 2, % 4, % 1, % 70 to 74 2, % 2, % % 75 to 79 2, % 2, % % 80 to 84 1, % 1, % % 85+ 1, % 1, % % Data accessed from on August 22, Prepared for by the Center for Urban Population Health 4

10 Poverty - Ozaukee Co. Percent of all ages in poverty Ozaukee 2012 State % 13.2% Data Accessed from &clb=46&dlb=0&glb=0&ussts_cbselected=false&ustot_cbselected=true&statetot_cbselected=true&plb=0 &multiyearselected=false&multiyearalertflag=false&prstateflag=false&invalidsdyearsflag=false on August 13,

11 Total Births - Ozaukee Co State 2012 Total Births ,229 Total Births by Race/Ethnicity of Mother White (Non-Hispanic) ,061 Black/African American (Non- Hispanic) ,229 American Indian/Alaska Native (Non-Hispanic) Hispanic ,580 Laotian or Hmong (Non- Hispanic) 1,586 Other (Non-Hispanic) ,721 Two or more races (Non- Hispanic) ,273 Total Births by Education of Mother Some High School or Less ,479 High School Graduate ,493 Some College ,379 College Graduate ,749 Post Graduate ,889 Healthy People 2020 goal Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Birth Counts Module, accessed 8/6/

12 Percent births to those receiving first trimester care - Ozaukee Co State 2012 HP 2020 goal Total Births ,229 Percent 1st trimester care 92.1% 85.1% 85.1% 76.5% 77.9 Percent births to those receiving first trimester care by race White (Non-Hispanic) 93.0% 86.1% 86.0% 81.5% Black/African American (Non-Hispanic) 100.0% 60.1% American Indian/Alaska Native (Non-Hispanic) 85.7% 63.7% Hispanic 80.0% 66.7% 81.3% 63.8% Laotian or Hmong (Non- Hispanic) 56.2% Other (Non-Hispanic) 81.8% 84.2% 85.0% 73.5% Two or more races (Non- Hispanic) 88.9% 84.6% 69.0% Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Prenatal Care Module, accessed 8/6/

13 Percent late (started in third trimester) or no prenatal care - Ozaukee Co State 2012 Total Births ,229 Percent late or no prenatal care 0.6% 1.3% 1.3% 3.9% Percent late or no prenatal care by race White (Non-Hispanic) 1.2% 1.4% 3.1% Healthy People 2020 goal Black/African American (Non-Hispanic) 7.6% American Indian/Alaska Native (Non-Hispanic) 6.9% Hispanic 5.3% Laotian or Hmong (Non- Hispanic) 4.9% Other (Non-Hispanic) 4.6% Two or more races (Non- Hispanic) 6.6% Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Prenatal Care Module, accessed 8/6/

14 Tobacco Use During Pregnancy - Ozaukee Co. Total Births Percent of births where mother indicated smoking during pregnancy State , % 7.6% 6.9% 14.1% Percent of Mothers who smoke by race White (Non-Hispanic) 6.3% 7.8% 7.2% 14.8% Black/African American (Non- Hispanic) 17.2% American Indian/Alaska Native (Non-Hispanic) 37.8% Hispanic 6.4% Laotian or Hmong (Non- Hispanic) 5.3% Other (Non-Hispanic) 2.6% Two or more races (Non- Hispanic) 25.1% Percent of Mothers who smoke by education Some High School or Less 35.3% 39.0% 22.5% High School Graduate 22.2% 23.7% 23.1% 25.0% Some College 7.0% 11.6% 11.2% 14.8% College Graduate 2.0% 2.1% Post Graduate 0.9% Healthy People 2020 goal No greater than 1.4% Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Birth Counts Module, accessed 8/6/

15 Percent of all births that are low birth weight - Ozaukee Co State 2012 Healthy People 2020 goal Total Births ,229 Percent low birthweight (<2,500 grams) 5.4% 5.8% 5.2% 7.2% 7.8% Percent of all births that are low birth weight by race White (Non-Hispanic) 5.1% 5.1% 4.9% 6.5% Black/African American (Non- Hispanic) 13.0% American Indian/Alaska Native (Non- Hispanic) 6.3% Hispanic 6.6% Laotian or Hmong (Non-Hispanic) 7.4% Other (Non-Hispanic) 6.8% Two or more races (Non-Hispanic) 9.0% Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Low Birthweight Module, accessed 8/7/

16 Infant Mortality - Ozaukee Co. Total Births State ,229 Healthy People 2020 goal Total number of Infant Deaths (<365 days) 385 Infant mortality rate (<365 days) per 1,000 live births Infant mortality rate per 1,000 live births by race/ethnicity of the mother White (Non-Hispanic) Black/African American (Non-Hispanic) 13.2 American Indian/Alaska Native (Non- Hispanic) 10.9 Hispanic 4.6 Laotian or Hmong (Non-Hispanic) 6.3 Other (Non-Hispanic) 5.8 Two or more races (Non-Hispanic) 10.2 Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Infant Mortality Module, accessed 8/7/

17 Premature Birth - Ozaukee Co. Healthy State 2012 People 2020 goal Total Births ,229 Percent Premature (<37 weeks of gestation) 9% 8.9% 8.1% 10.2% 11.4% Percent Premature birth by race/ethnicity of mother White (Non-Hispanic) 9.1% 8.8% 8.2% 9.6% Black/African American (Non- Hispanic) 15% American Indian/Alaska Native (Non-Hispanic) 10.6% Hispanic 10.2% Laotian or Hmong (Non-Hispanic) 10.1% Other (Non-Hispanic) 8.6% Two or more races (Non-Hispanic) 11.2% Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Birth Counts Module, accessed 8/11/

18 Birth rate (women 15-19) - Ozaukee Co. Total Births to Teens Birth rate per 1000 (women 15-19) State , Healthy People 2020 goal Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Teen Births - Teen Birth Rates Module, accessed 8/8/

19 Birth rate (women 15-17) - Ozaukee Co State 2012 Total Births to Teens ,171 Birth rate per 1000 (women 15-17) Healthy People 2020 goal Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Teen Births - Teen Birth Rates Module, accessed 8/8/

20 Years of potential lost life (YPLL) per 100,000 population - Ozaukee Co State 2012 Total Deaths ,225 Mortality Rate YPLL 4,220 3,921 4, Years potential lost life by race per 100,000 population White Black Hispanic American Indian Asian Years potential lost life by gender per 100,000 population Male 4,813 5,028 5, Female 3,633 2,822 3, Healthy People 2020 goal Note: Years of Potential Life Lost (YPLL): An estimate of premature mortality, defined as the number of years of life lost among persons who die before the age 75. YPLL is the sum of the differences between age 75 and the age at death for everyone who died before age 75. Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Mortality Module, accessed 8/8/

21 Number of deaths - Ozaukee Co State 2012 Total Deaths (all causes) ,225 Mortality Rate Number of deaths White ,149 Black 9 9 2,316 Hispanic 555 American Indian 434 Asian 326 Number of deaths Male ,721 Female ,504 Healthy People 2020 goal Mortality Rate (Per 100,000) - Ozaukee Co State 2012 Total Deaths (all causes) ,225 Mortality Rate Mortality Rate (Per 100,000) White Black Hispanic American Indian Asian Mortality Rate (Per 100,000) Male Female Healthy People 2020 goal Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Mortality Module, accessed 8/8/

22 Age Adjusted Mortality Rate (Per 100,000) - Ozaukee Co State 2012 Total Deaths (all causes) ,225 Mortality Rate Age Adjusted Mortality Rate (Per 100,000) White Black Hispanic American Indian Asian Age Adjusted Mortality Rate (Per 100,000) Male Female Healthy People 2020 goal Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Mortality Module, accessed 8/8/

23 Average Age at Death - Ozaukee Co State 2012 Average Age at Death Average Age at Death White Black Hispanic American Indian Asian Average Age at Death Male Female Healthy People 2020 goal Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Mortality Module, accessed 8/8/

24 Number Injury Related Deaths - Ozaukee Co State 2012 Total Deaths (all causes) ,225 Number Injury Related Deaths ,778 Number Injury Related Death White ,397 Black 275 Hispanic 87 American Indian 62 Asian 44 Number Injury Related Death Male ,377 Female ,401 Healthy People 2020 goal Injury Death Rate Per 100,000 - Ozaukee Co State 2012 Healthy People 2020 goal Injury Related Death Rate Injury Death Rate Per 100,000 White Black Hispanic 24.6 American Indian Asian 29.3 Injury Death Rate Per 100,000 Male Female Injury Death Rate for Falls Per 100,000 Age Age Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Injury Mortality Module, accessed 8/11/

25 Number of Suicides - Ozaukee Co State 2012 Total Deaths (all causes) ,225 Number of Suicides Number of Suicides White Black 18 Hispanic 13 American Indian 8 Asian 12 Number of Suicides Male Female 161 Healthy People 2020 goal Suicide Rate Per 100,000 - Ozaukee Co State 2012 Healthy People 2020 goal Suicide Rate Suicide Rate Per 100,000 White Black 4.5 Hispanic 3.7 American Indian 11.5 Asian 8.0 Suicide Rate Per 100,000 Male Female Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Injury Mortality Module, accessed 8/11/

26 Number Injury Hospitalizations - Ozaukee Co State 2012 Number of Injury Hospitalizations ,878 Number Injury Hospitalizations White ,656 Black ,700 Hispanic 8 1,516 American Indian 517 Asian 349 Other Unknown ,761 Number Injury Hospitalizations Male ,035 Female ,843 HP 2020 goal Rate of Injury Hospitalizations - Ozaukee Co State 2012 HP 2020 goal Rate of Injury Hospitalizations Average Patient Age Length of Hospital Stay Total Hospital Charges $20,754,587 $24,380,687 $23,166,829 $1,768,303,923 Average Hospital Charges $31,735 $34,534 $31,954 $34,086 Rate of Injury Hospitalizations White Black Hispanic American Indian Asian Rate of Injury Hospitalizations Male Female Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Injury Hospitalization Module, accessed 8/11/

27 Number ED Visits for Injuries - Ozaukee Co State 2012 Total Number of ED Visits for Injury 4,423 4,648 4, ,684 Average Age of ED Injury Patient Total Hospital Charges for All Injury Patients $7,649,911 $7,736,626 $8,978,062 $568,929,641 Average Hospital Charges Per Injury Patient $1,730 1, , $1, Number ED Visits for Injuries Male 2,317 2,498 2, ,832 Female 2,106 2,150 2, ,852 HP 2020 goal Rate of ED Visits for Injury Per 100,000 Pop. - Ozaukee Co State 2012 HP 2020 goal Total Number of ED Visits for Injury 4,423 4,648 4, ,684 Rate of ED Visits for Injury Rate of ED Visits for Injury Per 100,000 Pop. Male 5, , , ,359.5 Female 4, , , ,493.0 Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Injury-Related Emergency Department Visits Module, accessed 8/11/

28 Rank Causes of Emergency Department Visits for Injury - Ozaukee Co Total ED Visits for Injury by Cause Falls 1,592 Struck By or Against Object or Person 777 Cutting or Piercing Objects 470 Unspecified cause of injury 384 Overexertion 346 Motor vehicle traffic crash - Occupant 308 Other specified classifiable cause of injury 260 Natural or environmental factors 228 Poisoning 74 Other specified cause of injury, not elsewhere classifiable 63 Nontraffic transportation 59 Fire, heat, chemical burns 57 Nontraffic pedal cyclist 50 Motor vehicle traffic crash - Motorcyclist 44 Machinery 39 Motor vehicle traffic crash - Other, unspecified 32 MVT - Selfinflicted/Assault/Undetermined 16 Motor vehicle traffic crash - Pedestrian 14 Nontraffic pedestrian 9 Suffocation Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Injury-Related Emergency Department Visits Module, accessed 8/25/2014. Prepared for by the Center for Urban Population Health 23

29 Rank Causes of Emergency Department Visits for Injury - Ozaukee Co Rate of ED Visits for Injury by Cause Per 100,000 Falls 1,836.0 Struck By or Against Object or Person Cutting or Piercing Objects Unspecified cause of injury Overexertion Motor vehicle traffic crash - Occupant Other specified classifiable cause of injury Natural or environmental factors Poisoning 85.0 Other specified cause of injury, not elsewhere classifiable 73.0 Nontraffic transportation 68.0 Fire, heat, chemical burns 66.0 Nontraffic pedal cyclist 58.0 Motor vehicle traffic crash - Motorcyclist 51.0 Machinery 45.0 Motor vehicle traffic crash - Other, unspecified 37.0 MVT - Selfinflicted/Assault/Undetermined 18.0 Motor vehicle traffic crash - Pedestrian 16.0 Nontraffic pedestrian 10.0 Suffocation 6.0 Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Injury-Related Emergency Department Visits Module, accessed 8/25/2014. Prepared for by the Center For Urban Population Health 24

30 Domestic Abuse Incidents - Ozaukee Co. Total Number of Reported Domestic Abuse Incidents Ozaukee 2012 State ,729 Data accessed from on August 13,

31 Child Abuse - Ozaukee Co. Child Protective Service (CPS) Reports per 1,000 Children Ozaukee 2012 State Data accessed from on August 13,

32 Sexually Transmitted Disease Incidence Rate per 100,000 - Ozaukee Co State 2012 STD Incidence Rate per 100, STD Incidence Rate per 100,000 White African American ,620.0 Hispanic American Indian Asian/Pacific Islander Other 0 Unknown STD Incidence Rate per 100,000 Male Female HP 2020 goal Note: Information for STD Incidence only includes data on chlamydia, gonorrhea and syphilis, not all existing STDs Data accessed from and on August 11,

33 HIV Incidence per 100,000 - Ozaukee Co. Ozaukee Ozaukee 2013 State 2013 HIV Incidence Rate HIV Incidence per 100,000 White African American Hispanic American Indian Asian/Pacific Islander Multi-racial HIV Incidence per 100,000 Male Female HP 2020 goal Data from and accessed on August 11,

34 Cancer Incidence Age-Adjusted Rate per 100,000 - Ozaukee Co. Ozaukee State 2011 Cancer Incidence Rate Cancer Incidence Age-Adjusted Rate per 100,000 White African American 556 Hispanic American Indian/Alaska Native Asian/Pacific Islander Cancer Incidence Age-Adjusted Rate per 100,000 Male Female HP 2020 goal Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Cancer Module, accessed 8/11/

35 Cancer Incidence Age-Adjusted Rate per 100,000 - Ozaukee Co. Ozaukee State 2011 Male Female Male Female Cancer Incidence Age-Adjusted Rate per 100,000 Female Breast Cervical (Cervix Uteri) Colorectal Lung and Bronchus Prostate Cancer Cancer Mortality Age-Adjusted Rate per 100,000 Ozaukee State 2010 Male Female Male Female Female Breast Cervical (Cervix Uteri) 1.3 Colorectal Lung and Bronchus Prostate Cancer Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, Cancer Module, accessed 8/11/

36 Cerebrovascular Disease - Ozaukee Co. Total Number of Deaths due to Cerebrovascular Disease Cerebrovascular Disease Death Rate per 100,000 Residents Ozaukee 2011 State , Data accessed from and on August 25, Prepared for by the Center for Urban Population Health 31

37 Behavioral Health Risk Factors Survey - Ozaukee Co State Percent of adults reporting they are heavy drinkers 3.9% 7.1% Percent of adults reporting they have ever been tested for HIV 27.4% 33.6% Healthy People 2020 goal Wisconsin Dept. of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system, BRFS Module, accessed 4/25/

38 Ozaukee (OZ) Ozaukee County Error Margin Top U.S. Performers* Wisconsin Hea lt h Ou t com es 1 Len gt h of Life 2 Pr em a tu r e dea th 4, , , , ,8 7 8 Qu a lit y of Life 6 Poor or fa ir h ea lth 8 % % 1 0% 1 2 % Poor ph y sica l h ea lth da y s Poor m en ta l h ea lth da y s Low bir th w eig h t 5.5 % % 6.0% 7.0% Hea lt h Fa ct ors 1 Hea lt h Beh a v iors 2 A du lt sm okin g 1 2 % % 1 4 % 1 8 % A du lt obesity 2 6 % % 2 5 % 2 9 % Food en v ir on m en t in dex Ph y sica l in a ctiv ity 1 8 % % 2 1 % 2 2 % A ccess to ex er cise oppor tu n ities 8 4 % 8 5 % 7 8 % Ex cessiv e dr in kin g 2 6 % % 1 0% 2 4 % A lcoh ol-im pa ir ed dr iv in g dea th s 4 8 % 1 4 % 3 9 % Sex u a lly tr a n sm itted in fection s Teen bir th s Clin ica l Ca re 1 Un in su r ed 6 % 5-7 % 1 1 % 1 0% Pr im a r y ca r e ph y sicia n s :1 1,05 1 :1 1,2 3 3 :1 Den tists 1,09 4 :1 1,4 3 9 :1 1,7 03 :1 Men ta l h ea lth pr ov ider s : :1 1,05 0:1 Pr ev en ta ble h ospita l sta y s Dia betic scr een in g 9 3 % % 9 0% 9 0% Ma m m og r a ph y scr een in g 7 5 % % 7 1 % 7 0% Socia l & Econ om ic Fa ct ors 1 Hig h sch ool g r a du a tion 9 5 % 8 7 % Som e colleg e 8 1 % % 7 0% 6 5 % Un em ploy m en t 5.7 % 4.4 % 6.9 % Ch ildr en in pov er ty 6 % 4-7 % 1 3 % 1 8 % In a dequ a te socia l su ppor t 1 5 % % 1 4 % 1 7 % Ch ildr en in sin g le-pa r en t h ou seh olds 1 8 % % 2 0% 3 0% V iolen t cr im e In ju r y dea th s Ph y sica l En v iron m en t 57 A ir pollu tion - pa r ticu la te m a tter Dr in kin g w a ter v iola tion s 1 1 % 0% 6 % Sev er e h ou sin g pr oblem s 1 0% % 9 % 1 5 % Dr iv in g a lon e to w or k 8 3 % % 7 1 % 8 0% Lon g com m u te - dr iv in g a lon e 3 4 % % 1 5 % 2 6 % Rank (of 72) * 9 0th per cen tile, i.e., on ly 1 0% a r e better. Note: Bla n k v a lu es r eflect u n r elia ble or m issin g da ta