WASHINGTON STATE COMPARISONS TO: KITSAP COUNTY CORE PUBLIC HEALTH INDICATORS May 2015

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WASHINGTON STATE COMPARISONS TO: KITSAP COUNTY CORE PUBLIC HEALTH INDICATORS This is a companion document to the Core Public Health Indicators that provides a comparison of to Washington State for the most recent year of data available. State-level data for some indicators are not available at this time or are locally generated; therefore, this is a sub-set of the full Core Public Health Indicators document.* Comparisons are presented as,, or. A comparison is or only if there is a statistically significant difference between the two data points. For more information on health indicators, data sources, and statistical methods, please refer to the Core Public Health Indicators document. CHANGES TO THE INDICATORS WITH THE MAY 2015 RELEASE: Removed: Added: Chronic Hepatitis C rate per Birth rate, infant mortality rate, death rate, 100,000 residents (temporary premature (<75 years old) death rate removal pending data issues) Children age 3-4 enrolled in early Adults reporting binge drinking education programs (5 or more drinks on an Babies born at low birth weight occasion) in the past 30 days Youth report being bullied in past month Youth (grade 8) report riding in Youth report having an adult they can turn a vehicle driven by someone to for help when sad/hopeless who had been drinking alcohol Adults report usually or always getting (past 30 days) needed social/emotional support Motor vehicle injury related Youth past 30 day electronic cigarette use death rate per 100,000 Youth past 30 day marijuana use residents Drug associated hospitalization rate per 100,000 residents (non-fatal) Youth report ever being physically hurt by an adult Youth report risk factor of poor family management Changed: Youth substance use indicators changed from grade 8 to grade 10 Motor vehicle injury-related hospitalization rate per 100,000 now includes fatal and non-fatal hospitalizations Violent and property crime rates per 100,000 are now combined in one indicator, Group A offence crime rate per 100,000 residents CHANGES IN COMPARISON OF KITSAP TO WA FROM LAST RELEASE Civilian adults currently employed, Kitsap was Households paying more than 30% of monthly income on housing costs, Kitsap was Youth (grade 8) reporting seriously considering suicide in the past 12 months, Kitsap was Youth (grade 8) reporting 1 or more hours of physical activity five or more days per week, Kitsap was Fast food restaurant and convenience store density, Kitsap was *The Kitsap Core Public Health Indicators not included in this Washington State Comparison document are: homelessness rate, healthy air days, group A/B water systems, fresh water streams, shoreline miles harvestable for shellfish, and food establishment inspections. 1

Age Group Age Group DEMOGRAPHIC PROFILE Population by Age Group and Gender, Washington State, 1 male 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 female 5% 4% 3% 2% 1% 0% 1% 2% 3% 4% 5% Percent of Total Population Population by Age Group and Gender,, 1 male 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 female 5% 4% 3% 2% 1% 0% 1% 2% 3% 4% 5% Percent of Total Population Race/Ethnicity, 1 Washington State Number Percent Number Percent Total 6,968,170 100% 255,901 100% White, Non-Hispanic 4,932,640 71% 199,526 78% Black or African American, Non-Hispanic 247,417 4% 6,820 3% American Indian and Alaska Native, Non-Hispanic 90,314 1% 3,588 1% Asian, Non-Hispanic 525,664 8% 12,771 5% Native Hawaiian and Other Pacific Islander, Non-Hispanic 43,756 1% 2,334 1% Two or more races, Non-Hispanic 278,103 4% 13,579 5% Hispanic or Latino 850,276 12% 17,283 7% Birth and Death Rates 2 65.6 Birth rate per 1,000 women (ages 15-44) 64.1 Lower 64.2 63.8 Upper 67.0 64.3 higher Infant mortality rate per 1,000 live births 6.4 4.6 4.8 4.4 8.3 4.9 higher Death rate per 100,000 residents 665.8 689.1 648.5 685.5 683.5 692.6 lower Premature death rate per 100,000 residents (<75 years old) 275.9 288.6 264.7 286.3 287.6 290.9 lower 2

Children aged 3-4 enrolled in early education programs 3 High school graduation rate 4-14 Adults aged 25-64 with more than high school education 3 Civilian pregnant women with more than high school education 5 Civilian adults currently employed 6 Residents living below 100% of poverty 7 Youth (ages 5-17) living below 100% of poverty 7 Public school students (grades K-12) enrolled in free or reduced lunch program -14 (eligibility = < 185% poverty) 4 Civilian births paid by Medicaid (eligibility = < 185% poverty) 5 Households paying more than 30% of monthly income on housing costs 3 Civilian adults aged 18-64 report having health insurance 3 Adults report having visited a dentist or dental clinic in past year 8 2012 Youth (grade 8) report having had a dental checkup, exam or cleaning in past 12 months 9 Civilian women have prenatal care in the first trimester 4 Babies born at low birth weight (<2500 g) 4 Adults report that in general their health is: excellent, very good, or good 8 Adults report activities not limited by poor physical or mental health during the past 30 days 8 Adults report never having a permanent tooth extracted because of decay or gum 2012 disease 8 Youth (grade 6) report being bullied in the past 30 days 9 Youth (grade 8) report having adults they can turn to when feeling sad or hopeless 9 Adults report always or usually getting the social/emotional support they need 8 2012 47.0 45.7 48.4 38.4 38.2 38.6 86.2 84.9 87.4 79.9 79.6 80.2 73.5 73.3 73.8 68.5 68.4 68.5 65.7 63.6 67.7 63.0 62.6 63.3 93.7 93.6 93.8 93.8 93.7 93.8 11.4 10.0 12.8 14.1 13.8 14.4 13.5 10.7 16.3 17.6 16.8 18.4 36.2 35.7 36.7 45.2 45.1 45.3 41.7 39.6 43.9 41.6 41.2 41.9 35.0 34.7 35.3 35.4 35.4 35.5 84.0 83.9 84.2 80.2 80.2 80.3 68.4 63.0 73.4 67.7 66.6 68.7 84.8 82.4 86.9 84.9 83.8 85.9 77.5 75.6 79.3 80.7 80.5 81.0 5.0 4.5 5.6 4.8 4.7 4.9 81.1 75.3 85.8 84.3 83.3 85.2 51.8 43.7 59.9 55.1 53.3 56.8 57.6 52.2 62.9 61.5 60.4 62.5 29.4 27.0 31.9 30.9 29.9 31.9 64.7 61.4 67.8 66.7 65.2 68.1 78.0 73.2 82.1 77.2 76.2 78.2 3

Adults report mental distress (14 or more days of poor mental health during the past 30 days) 8 Youth (grade 8) report seriously considering attempting suicide during past 12 months 9 Annual suicide death rate per 100,000 residents 2 Kindergarten children with complete immunizations 10 Chlamydia rate per 100,000 adolescents and adults (age 15-44) 2 Gonorrhea rate per 100,000 adolescents and adults (age 15-44) 2 Adults ever told they have cardiovascular disease or diabetes 8 Diabetes-related hospitalization rate per 100,000 residents 2 Adults at a healthy weight (BMI=18.5-24.9) 8 Youth (grade 8) at a healthy weight (below 85th percentile for BMI) 9 Youth (grade 8) report eating 5 or more fruits or vegetables daily 9 Youth (grade 8) report 2 hours or less of screen time for fun on school days 9 2012 Adults report engaging in 1 or more hours of physical activity on average each day per week 8 Youth (grade 8) report engaging in one or more hours of physical activity five or more days per week 9 Youth (grade 8) report drinking no sugary beverages in past 7 days at school 9 Adults report currently smoking 8 Civilian women report smoking during pregnancy 5 Youth (grade 10) report smoking in the past 30 days 9 Youth (grade 10) report using electronic cigarettes in the past 30 days 9 Youth (grade 10) report using alcohol in the past 30 days 9 12.8 8.9 18.1 11.5 10.7 12.4 19.8 18.2 21.5 16.1 15.4 16.8 12.8 10.3 15.7 14.2 13.7 14.7 86.8 86.0 87.5 84.5 84.3 84.6 936.7 902.2 972.4 846.5 840.3 852.8 70.5 61.5 80.9 112.7 110.5 115.0 14.5 11.3 18.5 13.8 13.0 14.6 1057.8 1035.9 1080.1 1166.7 1162.1 1171.3 36.8 30.8 43.2 40.2 38.9 41.5 76.3 73.5 78.9 77.1 75.9 78.3 23.5 21.1 26.1 24.5 23.4 25.7 83.0 81.4 84.5 80.7 79.9 81.4 37.9 31.8 44.5 34.1 32.8 35.5 64.1 61.2 66.9 58.3 57.0 59.6 57.8 54.9 60.7 59.7 58.4 61.0 18.5 13.8 24.3 16.0 15.1 17.1 12.0 10.7 13.5 8.7 8.6 8.9 10.5 9.2 11.9 7.9 7.3 8.5 22.7 20.3 25.4 18.0 16.9 19.2 21.3 19.6 23.1 20.6 19.8 21.5 4

Youth (grade 10) report using marijuana in the past 30 days 9 Drug-associated non-fatal hospitalization rate per 100,000 residents 2 Drug-associated death rate per 100,000 residents 2 Illness commonly related to unsafe food, water, or poor hygiene rate per 100,000 residents 2 Motor vehicle injury-related hospitalization rate (fatal and non-fatal) per 100,000 residents 2 Fast food and convenience store density per 100,000 residents 1,12 Group A offence crime rate per 100,000 residents 1,13 Firearm death rate per 100,000 residents 2 Youth (grades 8,10,12) report ever being physically hurt by an adult 9 Youth (grades 8,10,12) report risk factor of poor family management 9 Adults report no Adverse Childhood Experiences (ACEs) 8 2011 Adults report three or more Adverse Childhood Experiences (ACEs) 8 SOURCES 2011 19.6 17.9 21.4 18.1 17.3 18.9 323.1 310.1 336.5 469.5 466.5 472.5 12.2 9.8 15.0 14.5 13.9 15.0 38.2 31.0 46.6 52.0 50.3 53.7 39.2 34.8 44.0 47.2 46.2 48.1 71.3 65.3 77.5 77.7 76.5 78.9 5880.8 5790.3 5972.6 6857.6 6835.9 6879.3 9.0 7.0 11.5 9.1 8.7 9.5 25.0 23.4 26.7 24.3 23.6 25.1 33.4 31.6 35.2 32.3 31.5 33.2 34.1 27.3 41.6 35.9 34.5 37.2 28.6 22.4 35.7 28.4 27.1 29.8 1 Washington State Office of Financial Management, Population Estimates 2 Washington State Department of Health, Community Health Assessment Tool (CHAT) 3 US Census & American Community Survey 4 Washington State Office of the Superintendent of Public Instruction 5 Washington State Department of Health, Center for Health Statistics, Vital Statistics Databases (births and deaths): analyzed by Kitsap Public Health District 6 US Department of Labor, Bureau of Labor Statistics, Local Area Unemployment Statistics 7 US Census Bureau, Small Area Income and Poverty Estimates 8 Washington State Department of Health, Center for Health Statistics, Behavioral Risk Factor Surveillance System, supported in part by Centers for Disease Control and Prevention; analyzed by Kitsap Public Health District 9 Washington State Department of Health, Healthy Youth Survey 10 IMMENU School Data Software, Washington State Department of Health Immunization Program 11 Washington State Department of Health, Office of Infectious Disease, Chronic Hepatitis Surveillance Data 12 US Census Business Patterns 13 Washington State Association of Sheriff and Police Chiefs Although data sources remain the, some data are updated by agencies to reflect the most current data collected and analytical methodologies. The Core Public Health Indicators and Washington State Comparisons incorporate these data changes on an annual basis; therefore, data that were reported in previous years may not match data reported currently. These changes are usually small so that the reported proportion or rate does not vary much. 5