Basic and Preventive Care Mason County Data Series Health Insurance About 21 or over 6,900 Mason County adults had no form of health care insurance in 2008. About 1,570 or 11 of children are uninsured. The adult uninsured rates have increased from 17 in 2004. An additional 16 of adults are covered by one of DSHS six Medicaid programs. 6,925 children representing 49, of this population have Medicaid coverage. (D1) Uninsured Population and Income Level Mason County based upon Regional estimates, 2008 Age Group Under 100 101 to 250 Over 250 Children 329 1,049 192 Adults 1,697 4,367 884 = Federal Poverty Level, determined by family size State Medicaid includes: Children s Medical, Family Medical (TANF), People with Disabilities, Elderly, Pregnant Women s Coverage, Family Planning, and Medicare SLMB Beneficiaries. Local data describing the extent of uninsured population is not available. Trend data for the state can be used as a proxy. Uninsured Population and Income Level Washington State, 2000-08 2000 2004 2008 Age Group 2000-08 Children 5.5 5.9 4.6 16 Adults 10.0 13.3 15.5 55 Personal Health Care Provider In 2007, about 30 of Mason County adults reported that they did not have a personal doctor or health care provider. (D2,D3) Adults 18+ with a Personal Doctor or Health Care Provider, Mason County and Washington State, 2007 Yes, one Yes, more than No Provider provider one provider Mason County 61 9 30 Washington 73 6 21 Affordability is one of the barriers to access to health care. The affordability barrier affects Mason County residents to a greater extent when compared to Washington State as a whole. (D2,D3) Adults 18+ Unable to Access a Provider due to Cost, Mason County and Washington State, 2004-7 2004 2006 2007 Mason County 16 14 18 13 Washington 14 12 12 14 Based upon 2007 census data, Mason County adults received that health care coverage through the following sources: 36 own employer 23 Medicaid The remainder have coverage through self-insured. Medicare, military, Indian Health or Basic Health. The sample size was too small to determine rates per category. (D7) 61 of all Mason County women who gave birth in 2008 were covered by Medicaid. In comparison, 43 of Washington State women who gave birth in 2008. were covered by Medicaid. (D8) 14, representing 54 women, of the Medicaid covered births were undocumented women, who otherwise would have been uninsured. (D8) In 2010, the primary reason of uninsured status was can t afford. This cause accounted for 58 of Washington s uninsured population. This rate has remained largely und during the current decade. (D1) The unavailability of plans accounted for 10 of the uninsured in 2010. In the Western Rural Counties, which includes Mason County, 56 of the uninsured reported affordability as the primary reason for uninsured status. In 2010, 50 of Western Rural County residents (which includes Mason County) receive employer or union sponsored health insurance. This rate dropped from 59 in 2000. (D1)
Basic and Preventive Health continued Mason County - Page 2 Dental Care and Coverage In 2007, about 66 of Mason County adults reported that they had dental coverage. This figure is comparable to State rate of coverage. In 2004, about 61 of Mason County adults reported that they had seen a dentist within the last year. (D4,D5) Last Visited a Dentist for Any Reason among Adults 18+, Mason County and Washington State 2007 within between 1 over 5 years past year 2 years Mason County 67 11 13 Washington 71 11 8 In Washington State, low-income children have dental benefits as part of their Medicaid coverage. The State offers an enhanced reimbursement dental program (ABCD) for Medicaid-eligible children under the age of 5 years. Participation rates for both programs has been slowly increasing. (D6) Utilization of Medicaid Dental Benefits by Children Mason County and Washington State ABCD Medicaid Mason County 38 41 Washington 43 48 Adult Immunizations Adults who had a Flu Shot within the Past 12 months, Mason County and Washington State, 2007 (D9,D10) 50+ Yes to Shot 65+ Yes to Shot Mason County 39 60 Washington State 37 72 Adults 65+ who has had a Pneumonia Shot at some point in their Lifetime Mason County and Washington State, 2007 (D9,D10) Yes to Shot No to Shot Mason County 33 67 Washington State 27 73 Prenatal Care There are about 630 births to Mason County women on average since. A large majority of these women receive prenatal care starting in their first trimester. (D8) Late or No Prenatal Care, Mason County and Washington, 2000-2008 2000-2 Mason County 3.9 2.9 5.6 30 Washington 3.0 4.6 5.7 90 In 2007, 34 of all Mason County adults reported that they did not have any type of dental coverage. (D4) In comparison, 33 of Washington State adults reported that they did not have dental coverage in 2007. (D4) There were 5,101 Mason County adults who had dental benefits through Medicaid in. Only 25 of Medicaid-eligible adults utilized their dental benefits when they had them. (D6) Medicaid coverage for adults provided dental benefits prior to March 2011. (D6) Children s Medicaid dental utilization rates increased 32 from 2000 to. (D6) In. Mason County s hospitalization rate for influenza (flu) was 27.05/100,000; this rate is higher than the state rate of 20.1/100,000. (D17) In. Mason County s hospitalization rate for pneumonia was 19.8/100,000; this rate is much higher than the state rate of 7.5/100,000. (D17) The current immunization rate for Mason County s two-year olds is 79. It is impossible to get trend data, since there were quality concerns around the data base. Mason County Public Health and local medical providers made a committed effort in 2010-11 to update the state data base. = Percent
Basic and Preventive Care continued... Mason County - Page 3 Cancer Screening Oral Screening questions were included for the first time on the 2007 Community Health Survey conducted by the Center for Disease Control. (D15, D16) Adults who reported having had an Oral Screening at some time Mason County and Washington, 2007 Yes No Mason County 37 63 Washington 40 60 Mammogram and Prostrate Screening questions are included periodically in the CDC s Community Health Survey. (D15, D16) Women 40+ who report having had a Mammogram at some point in their life Mason County and Washington State 2006 Yes Mammo Yes breast exam Mason County 69 90 Washington 64 91 The advantages of early prenatal care include the treatment of maternal health issues that may result in preterm labor. In addition, the fetus is monitored for healthy growth and development. Untreated infections, such as STD s, can results in early term labor. In 2006, 20 of Mason County women over the age of 50 years had never had a mammogram. (D11) Men 50+ who report having had Prostrate Cancer Screening at some time Mason County and Washington, 2006 Yes PSA Test Yes Digital Rectal Exam Mason County 64 86 Washington 58 81 The PSA test measure the level of Prostate-specific antigen in the blood. Prostate cancer or benign non-cancerous conditions can increase PSA levels. A digital rectal exam usually occurs as part of a routine physical exam. Cancer Incidence s Mason County s cancer incidence rates are higher than state rates when comparing cancer incidents across all ages. (D20) Cancer Incidences s for Selected Cancers Mason County, 2000-2008 Cancer 2000 2008 Breast 127.5 126.1 1 Prostrate 97.2 120.8 24 Colorectal 78.9 72.8 8 Oral 14.2 17.8 25 Cancer Incident s for all Ages and All Types of Cancer Mason County and Washington, 2000-08 2000 2008 Mason County 705.3 746.5 774.6 10 Washington 518.5 536.6 529.3 2 In 2006, 75 of Mason County women have reported having had a pap test, the test for cervix cancer, at some point in their lifetime. This compares to 84 of Washington State women. (D11) In 2007, 70 of Mason County adults age 50+ have had a signoidoscopy or colonscopy exam at some point in their lifetime. This compares to 67 of Washington State adults over age of 50 years. (D18) In 2004, 96 of Mason County women reported having had a mammogram at some point in their lives. (D15) In 2004, 97 of Mason County men reported having had a digital rectal exam at some point in their life. (D15) = Percent = per 100,000
Basic and Preventive Care continued... Mason County - Page 4 Alcohol and Drug Services In, 116 Mason County youth, aged 10-17 years, received some type of state-funded alcohol and drug services. (D21) State-funded Alcohol or Drug Services among Youth 10-17 years Mason County and Washington, 2000-2000 Mason County 15.93 18.83 19.65 23 Washington 12.34 10.67 10.94 11 = per 1,000 538 Mason County residents alcohol and drug outpatient 100 were youth under the age of 17 years. (D22) 164 Mason County residents alcohol and drug in-patient 22 were youth under the age of 17 years. (D22) In, 966 Mason County adults received some type of state-funded alcohol and drug services. (D21) State-funded Alcohol or Drug Services among Adults Mason County and Washington, 2000-2000 Mason County 18.13 20.15 21.58 19 Washington 11.64 13.49 14.11 21 = per 1,000 State-funded services include assessment, treatment and detox. 59 Mason County residents alcohol and drug detoxification 3 were youth under the age of 17 years. (D22) Only one senior (over the age of 65 years) benefited from state-funded alcohol or drug services in 2007-08. (D22) = Percent Questions about the data can be directed to Kim Klint at 360-427-9670 x543 or kak@co.mason.wa.us www.masonmatters.org
Data Sources for Basic Health and Prevention (D1) (D2) (D3) Mason County page 5 Uninsured in Mason County. Office of Management and Finance, WA State. <www.ofm.wa.gov/healthcare/healthin/profiles/default.asp> Mason County Health Care: Use and Access, 2007. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington State. Washington State -Health Care: Use and Access, 2007. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington (D4) Mason County Oral Health, 2006. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington State. (D5) Washington State Oral Health, 2006. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington State. (D6) Dental Data File name: Cost and Utilization by Users County Summary. Washington State Medicaid. <hrsa.dshs.wa.gov/dentalproviders/dental_data.htmn> (D7) (D8) (D9) Mason County Health Care: 2007. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington State. Count Profiles Birth Statistics and Maternity Care Access.. Washington Department of Social and Health Services. Research and Data Analysis Division. <www.dshs.wa.gov//pdf/ms/rda/research/9/98.pdf> Mason County Immunizations, 2007. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington State. (D10) Washington State Immunizations, 2007. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington State. (D11) Mason County Women s Health, 2006. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington (D12) Washington State Women s Health, 2006. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington (D13) Mason County Prostrate Screening, 2006. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington (D14) Washington State Prostrate Screening, 2006. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington (D15) Mason County Oral Cancer, 2007. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington (D16) Washington State Oral Cancer, 2007. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington (D17) Causes of Hospitalizations Community Health Assessment Tool, Department of Health, Washington (D18) Mason County Colorectal Cancer, 2007. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington (D19) Washington State Colorectal Cancer, 2007. Behavioral Risk Factor Surveillance Survey, Department of Health, Washington (D20) Cancer Incidence. Community Health Assessment Tool, Department of Health, Washington (D21) Risk and Protection Profile for Substance Use Prevention. Department of Social and Health Services, Research and Data Analysis Division. www.dshs.wa.gov/pdf/ms/rda/research/4/47/updated/state.pdf (D22) Client Services Smaller Geographies. Department of Social and Health Services, Research and Data Division. <clientdata.rda.dshs.wa.gov>