PHACS County Profile Report for Searcy County Presented by: Arkansas Center for Health Disparities and Arkansas Prevention Research Center
Contents Introduction... Page 2 Demographics...Page 3 Social Environment Factors... Page Access to Health Care... Page 8 Behavioral Risks... Page 11 Preventive Care and Screenings...Page 1 Health Outcomes and Mortality......Page 18 Introduction PHACS, Public Health in Arkansas Communities Search, is a project built from collaboration between the Arkansas Center for Health Disparities and the Arkansas Center for Clinical and Translational Research. The PHACS County Profile Report presents the most recent information for each health indicator that has been collected by our group. The data is collected from several reliable data sources and includes over 100 variables that can indicate the health of a county. In this report, the results are grouped by the following categories: Demographics Social/Economic Factors Access to Healthcare Risk Behaviors Preventive Behavior Health Outcomes Each county has been ranked for every health indicator as it compares to other counties in the state. We use a quintile ranking to group the counties into five equal groups according to the number of occurrences for each health indicator. All data, except for demographics, is ranked from 1 to with 1 being the most favorable and being the least favorable health ranking. Demographic data is ranked from 1 to with 1 being counties with the highest occurrence for that demographic and being the least occurrence for that demographic. indicates that the data is currently not available. The Arkansas state value for each indicator is also reported if the information is available. The information presented in this report is also available on our website,. The county profile report is updated as new information becomes available from each data source. This may result in several updates each year. Check our latest news and updates on the website for changes and updates to the PHACS county profile reports. *Some health indicators such as Number of Hospitals only have 3 groupings instead of.
Demographic trends indicate that the number of Americans who are vulnerable to suffering the effects of heath care disparities will rise over the next half century. Current data show that some ethnic minorities, as well as low-income families of whatever race or ethnicity, tend to be in poorer health than other Americans. Additionally, some racial and ethnic minorities are growing at a much more rapid pace than the majority white population. Nearly 1 in 2 Americans will be a member of a racial or ethnic minority-i.e., black, Hispanic, Asian, or American Indian-by the year 200. Clearly, these trends pose a daunting challenge for policymakers and the health care system. Source: Agency for Healthcare Research and Quality, 2003. National Healthcare Disparities Report Color Ranking Scale 1 = Highest Occurrence = Lowest Occurrence 1 2 3 4 Demographics Indicator Data Source Data Year(s) Measure Ranking County Value Arkansas Total Population Count 8,036 2,947,036 Total Adult Population States Census Count 6,36.48 Number of Youth Residents States Census Count 1 1,679.2 of Young Residents States Census 4 20.9% Number of Elderly Residents States Census Count 1 1,800.06 of Elderly Residents States Census 1 22.4% Number of White Residents Count 7,721 2,306,073 of White Residents 1 96.1% Number of African-American Residents Count 26 48,136 Page 3 of 23
of American Indian and Alaska Native (alone) Residents 1 0.9% Number of Hispanic/Latino Residents Count 14 198,109 of Hispanic/Latino Residents 4 1.8% Number of American Indian and Alaska Native (alone) Residents Count 3 7 18,337 Number of Asian (alone) Residents Count 3 6 38,409 of Asian (alone) Residents 2 0.8% of Households that do not speak English States Census 0.2% of Households that speak another language other than English States Census 1.4% of Households with Children States Census 2.9% of Households with no Children States Census 1 74.1% of People that were born in US States Census 1 99.2% of People that were Foreign-born States Census 0.8% of African-American Residents 0.3% Population Density Rate 2012 Persons per Square Mile 12.3 4.4 of Spanish-Speaking Households that don t speak English States Census 0.% Page 4 of 23
Social environment includes interactions with family, friends, co-workers, and others in the community. It also encompasses social institutions, such as law enforcement, the workplace, places of worship, and schools. Housing, public transportation, and the pres-ence or absence of violence in the community are among other components of the social environment. The social environment has a profound effect on individual health, as well as on the health of the larger community, and is unique because of cultural customs; language; and personal, religious, or spiritual beliefs. At the same time, individuals and their behaviors contribute to the quality of the social environment. Source: Centers for Disease Control and Prevention, Healthy People 2010 Color Ranking Scale 1 = Most Favorable = Least Favorable 1 2 3 4 Social and Economic Factors Indicator Data Source Year(s) Measure Ranking County Value Arkansas Average Wages Median Household Income Unemployment Annual Average Median Cost of Rent of Population Under Poverty Child Poverty Population of Elderly Living in Poverty Childcare Capacity of Licensed Facilities Food Stamp (SNAP) Applications Approved United States of Economic Analysis United States of Labor Statistics Arkansas Department of Human Services Arkansas Department of Human Services US Dollars 2,610 40,60 US Dollars 17,208 2012 2 7.2% 6% Dollars 1 421 4 23.3% Count 1 29 4 1.1% Count 301 171,709 2013 Count 72 276,44 Page of 23
Social and Economic Factors Indicator Data Source Year(s) Measure Ranking County Value Arkansas Food Stamp (SNAP) Applications Declined Number of True Child Abuse Reports Number of Unsubstantiated Child Abuse Reports of Grandparents who are primary caregivers of Households with Single Parent of Peole with some College education of People with High School Diploma of People with Less than 9th grade education of People with some College education of People with some High School education of True Child Abuse Reports with a College Degree or Higher Population with a College Degree or Higher Total Children in Foster Care Arkansas Department of Human Services Arkansas Department of Human Services Arkansas Department of Human Services Arkansas Department of Human Services Arkansas Department of Human Services 2013 Count 343 122,777 Count 1 19,971 Count 1 1 20,704 2 21.3% 2 61.1% 200-2009 31.8% 4.9% 3 39.3% 3 6.7% 4 26.1% 4 20.7% 4 27.8% 24.7% 3 13.8% Count 491.74 Count 1 2 7,13 Page 6 of 23
Social and Economic Factors Indicator Data Source Year(s) Measure Ranking County Value Arkansas Violent Crime with Child Poverty Number of SNAP Cases Number of Persons in SNAP Program Median Cost of Rent as age of Income Population Under Poverty United States Federal of Investigation Arkansas Department of Human Services Arkansas Department of Human Services per 1,000 Persons 1 1.13 4.87 3 31.% Count 1 708 298,07 Count 1 1,79 68,812 3% Count 1 1,84 Page 7 of 23
The health of individuals and communities also depends greatly on access to quality health care. Expanding access to quality health care is important to eliminate health disparities and to increase the quality and years of healthy life for all people living in the United States. Health care in the broadest sense not only includes services received through health care providers but also health information and services received through other venues in the community. Source: Centers for Disease Control and Prevention, Healthy People 2010 Color Ranking Scale 1 = Most Favorable = Least Favorable 1 2 3 4 Access to HealthCare Indicator Data Source Year(s) Measure Ranking County Value Arkansas Total Number of Hospitals Arkansas Hospital Association 201 Count 3 0 Number of Dentists Number of Physicians Medicaid Eligible Medicaid Eligible Elderly persons with Medicare Number of Adults with No Health Insurance of Adults with No Health Insurance Number of Adults with No Personal Doctor of Adults with No Personal Doctor Arkansas Department of Health Workforce Report Arkansas Department of Health Worforce Report Arkansas Department of Human Services Arkansas Department of Human Services Health and Human Services-Centers of Medicare and Medicaid Services Count 1 1,301 Count 4 3,721 2013 Count 1 2,743 829,12 2013 4 33.% 27.8% 201 Count 1 2,37.8 43,082.92 2010 Count 1 1,819 439,923 2010 28.7% 21.3% 2010 Count 1 79 34,843 2010 2 12.% 16.3% Uninsured Ages 0-19 2012 4 7.7% 6.% Uninsured Ages 0-64 26.% 18.4% Page 8 of 23
Access to HealthCare Indicator Data Source Year(s) Measure Ranking County Value Arkansas Uninsured Ages 18-64 33.3% 23.% Uninsured Ages 40-64 2012 2.6% 19.4% Uninsured Ages 4-64 2.1% 16.7% Uninsured Ages 0-17 8.4%.8% Page 9 of 23
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Behaviors are individual responses or reactions to internal stimuli and external conditions. Behaviors can have a reciprocal relation-ship to biology; in other words, each can react to the other. For ex-ample, smoking (behavior) can alter the cells in the lung and result in shortness of breath, emphysema, or cancer (biology) that then may lead an individual to stop smoking (behavior). Similarly, a family history that includes heart disease (biology) may motivate an individual to develop good eating habits, avoid tobacco, and maintain an active lifestyle (behaviors), which may prevent his or her own development of heart disease (biology). Source: Centers for Disease Control and Prevention, Healthy People 2010 Color Ranking Scale 1 = Most Favorable = Least Favorable 1 2 3 4 Risk Behavior Indicator Data Source Year(s) Measure Ranking County Value Arkansas Any Alcohol Use in the Past 30 days, by 6th grade Any Alcohol Use in the Past 30 days, by 12th grade Any Chewing Tobacco Use in the Past 30 days, by 6th grade Any Chewing Tobacco Use in the Past 30 days, by 12th grade Any Cigarette Use in the Past 30 days, by 6th grade Any Cigarette Use in the Past 30 days, by 12th grade Any Drug Use in the Past 30 days, by 6th grade Any Drug Use in the Past 30 days, by 12th grade 201-2016 9% 1.2% 201-2016 3 28.3% 27.8% 201-2016 3 1.4% 1.1% 201-2016 18.2% 9.1% 201-2016 1.4% 0.8% 201-2016 21.8% 14.2% 201-2016 2 1.7% 3.6% 201-2016 1 11.3% 19.% Average Age of First Alcoholic Drink, 6th grade 201-2016 Average Age In Years 10.20 10.40 Average Age of First Alcoholic Drink, 12th grade 201-2016 Average Age In Years 13.30 14.40 Average Age of First Cigarette, 6th grade 201-2016 Average Age In Years 4 10.20 10.0 Page 11 of 23
Risk Behavior Indicator Data Source Year(s) Measure Ranking County Value Arkansas Average Age of First Cigarette, 12th grade 201-2016 Average Age In Years 4 13.10 13.70 Average Age of First Regular Alcohol Use, 6th grade 201-2016 Average Age In Years 2 10.70 11 Average Age of First Regular Alcohol Use, 12th grade 201-2016 Average Age In Years 13.90 1.40 Binge Drinking, 6th Grade Binge Drinking, 12th Grade Lifetime Use of Alcohol by 6th Grade Lifetime Use of Alcohol by 12th Grade Lifetime Use of Any Drug by 6th Grade Lifetime Use of Any Drug by 12th Grade Lifetime Use of Chewing Tobacco by 6th Grade Lifetime Use of Chewing Tobacco by 12th Grade Lifetime Use of Cigarettes by 6th Grade Lifetime Use of Cigarettes by 12th Grade Number of Adult Smokers of Adult Smokers Number of Adults Consuming Few Fruits and Vegetables of Adults Consuming Few Fruits and Vegetables Number of Adults Reporting Binge Drinking 201-2016 1 0% 0.6% 201-2016 3 1.4% 17.6% 201-2016 1 3.3% 8.2% 201-2016 66%.8% 201-2016 2 % 7.2% 201-2016 2 30.2% 36.9% 201-2016 4.7% 4.1% 201-2016 37.% 19.9% 201-2016 4 7.1%.7% 201-2016 4.% 3.3% 2010 Count 1 1,82 487,482 2010 29.2% 22.9% 2009 Count 1,327 1,732,876 2009 84% 79.6% 2010 Count 2 683 214,177 Page 12 of 23
Risk Behavior Indicator Data Source Year(s) Measure Ranking County Value Arkansas of Adults Reporting Binge Drinking Number of Adults Reporting No Exercise of Adults Reporting No Exercise 2010 4 10.8% 9.7% 2010 Count 1 2,371 644,07 2010 4 37.4% 29.8% Page 13 of 23
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There is ample evidence to show that increasing use of proven preventive services will result in fewer people suffering from diseases that could have been prevented or treated with less pain at early stages. Also, preventive services are often more cost effective-meaning they provide better value for the dollar-than waiting to treat diseases, and some preventive services even save more money than they cost. Underuse of effective preventive care is a wasted opportunity. The U.S. health care system suffers a quality deficit in part because too many patients do not get the effective preventive care they need when they need it. Source: Partnership for Prevention, 2007. Preventive Care: A National Report on Use, Disparities, and Health Benefits Color Ranking Scale 1 = Most Favorable = Least Favorable 1 2 3 4 Preventive Behavior Indicator Data Source Year(s) Measure Ranking County Value Arkansas Children with Age Appropriate Vaccinations Arkansas Department of Health 2012 3 90% 86% Number of Adults Meeting Moderate Physical Activity Recommendation of Adults Meeting Moderate Physical Activity Recommendation Number of Adults Meeting Vigorous Physical Activity Recommendation of Adults Meeting Vigorous Physical Activity Recommendation Number of Adults That Meet Physical Activity Recommendation of Adults That Meet Physical Activity Recommendation of Adults Never Having Colorectal Exams of Adults with No HIV Test of Elderly with No Flu Shot of Elderly with No Pneumonia Shot 2009 Count 2,439 799,922 2009 2 38.4% 37.1% 2009 Count 1,713 1,817 2009 2 27% 2.3% 2009 Count 3,012 1,02,772 2009 2 47.% 47.3% 2010 4 43.6% 39.1% 2010 3 6.6% 64.7% 2010 4 3% 30.4% 2010 3 34% 32.7% Page 1 of 23
Preventive Behavior Indicator Data Source Year(s) Measure Ranking County Value Arkansas of Women with Early Prenatal Care of Women with No Recent Mammogram of Women with No Recent Pap Test of Men with No Recent Prostate Cancer Screening (PSA) March of Dimes Peristats/ National Center for Health Statistics 2009-2012 87.9% 79% 2010 4 33.7% 31.3% 2010 3.9% 2.2% 2010 4 44.1% 42.9% Page 16 of 23
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The leading causes of death in the United States generally result from a mix of behaviors; injury, violence, and other factors in the environment; and the unavailability or inaccessibility of quality health services. Understanding and monitoring behaviors, environ-mental factors, and community health systems may prove more useful to monitoring the Nation s true health, and in driving health improvement activities, than the death rates that reflect the cumulative impact of these factors. Source: Centers for Disease Control and Prevention, Healthy People 2010 Color Ranking Scale 1 = Most Favorable = Least Favorable 1 2 3 4 Health Outcomes Indicator Data Source Year(s) Data Measure Ranking County Value Arkansas Birth Rate March of Dimes Peristats/ National Center for Health Statistics 2009-2012 per 1,000 Women 1-44 Years 60.4 68.1 Low Birth Weight Preterm Births March of Dimes Peristats/ National Center for Health Statistics March of Dimes Peristats/ National Center for Health Statistics 2009-2012 1 6.% 8.9% 2009-2012 2 11.3% 13.1% Life Expectancy Arkansas Department of Health 2009 Age in Years 1 78.02 7.86 Preventable Hospitalizations Arkansas Department of Health per 1,000 Medicare Patients 120 38,204 Infant Deaths Arkansas Department of Health per 100,000 1,31.3 761.81 Number of Adults Reporting Being Obese of Adults Reporting Being Obese Number of Adults Reporting Being Overweight of Adults Reporting Being Overweight Number of Adults Reporting being Overweight or Obese of Adults Reporting being Overweight or Obese 2010 Count 1 1,39 680,138 2010 1 24.3% 30.9% 2010 Count 1 2,062 781,393 2010 1 32.% 36.3% 2010 Count 1 3,601 1,461,29 2010 1 6.8% 67.1% Page 18 of 23
Health Outcomes Indicator Data Source Year(s) Data Measure Ranking County Value Arkansas Number of Adults Reporting Poor Mental Health of Adults Reporting Poor Mental Health Number of Adults Reporting Poor Mental or Physical Health of Adults Reporting Poor Mental or Physical Health Number of Adults Reporting Poor Physical Health of Adults Reporting Poor Physical Health Number of Adults with Arthritis of Adults with Arthritis Number of Adults with Asthma of Adults with Asthma Number of Adults with Coronary Heart Disease of Adults with Coronary Heart Disease Number of Adults with Diabetes of Adults with Diabetes Number of Adults with High Blood Cholesterol of Adults with High Blood Cholesterol Number of Adults with Hypertension of Adults with Hypertension 2010 Count 1 900 26,268 2010 4 14.2% 12.% 2010 Count 1 1,209 369,39 2010 3 19.1% 16.9% 2010 Count 1 2,4 864,921 2010 3 40.1% 40.1% 2009 Count 2 2,31 673,63 2009 39.9% 31.3% 2010 Count 1 309 167,984 2010 1 4.9% 7.8% 2010 Count 1 304 114,813 2010 2 4.8%.1% 2010 Count 1 2 212,93 2010 2 8.7% 9.6% 2009 Count 1 2,898 83,884 2009 4 4.7% 38.7% 2009 Count 1 1,98 749,00 2009 2 30.9% 34.4% Page 19 of 23
Health Outcomes Indicator Data Source Year(s) Data Measure Ranking County Value Arkansas age of Healthy Weight Students age of Obese Students age of Overweight Students age of Students Overweight or Obese age of Students Underweight or a Healthy Weight age of Underweight Students Arkansas Center for Health Improvement Arkansas Center for Health Improvement Arkansas Center for Health Improvement Arkansas Center for Health Improvement Arkansas Center for Health Improvement Arkansas Center for Health Improvement -201 4 4.3% -201 4 2.1% -201 19.7% -201 44.8% -201.3% -201 1 1% Prostate Cancer Incidence Arkansas Central Cancer Registry, Arkansas Department of Health 2012 Rate per 100,000 men 2 11.0 Breast Cancer Incidence Arkansas Central Cancer Registry, Arkansas Department of Health 2012 Rate per 100,000 women 2 109 Colon and Rectum Cancer Incidence Arkansas Central Cancer Registry, Arkansas Department of Health 2012 Rate per 100,000 persons 2 41.0 Lung and Bronchus Cancer Incidence Arkansas Central Cancer Registry, Arkansas Department of Health 2012 Rate per 100,000 persons 10.0 7.20 Overall Mortality All Causes (Age Adjusted Rate) Overall Mortality All Causes (Crude Rate) per 100,000 3 930.20 883.70 per 100,000 1,13.40 1,027.10 Premature Death Arkansas Department of Health Count 11,803.60 9,002.91 Accident Deaths (Age Adjusted Rate) Accident Deaths (Crude Rate) Teen Suicide Rate per 100,000 67.67 43.30 per 100,000 7.67 44.84 2008-2013 per 100,000 4 20.20 13.73 Traffic Fatalities Related To Drugs or Alcohol Arkansas State Police 2011-2013 2 38.% 42.6% Homicide Rate (Age Adjusted Rate) per 100,000 persons 4 8.12 7.36 Page 20 of 23
Health Outcomes Indicator Data Source Year(s) Data Measure Ranking County Value Arkansas Homicide Rate (Crude Rate) per 100,000 12.61 7.0 Cardiovascular Disease Deaths (Age Adjusted Rate) Cardiovascular Disease Deaths (Crude Rate) CDC Wonder per 100,000 4 310.90 277.20 CDC Wonder per 100,000 17.10 32.60 Cancer Deaths (Age Adjusted Rate) CDC Wonder per 100,000 233.40 188.10 Cancer Deaths (Crude Rate) CDC Wonder per 100,000 416.20 226.0 Breast Cancer Deaths (Age Adjusted Rate) Breast Cancer Deaths (Crude Rate) Lung Cancer Deaths (Age Adjusted Rate) Lung Cancer Deaths (Crude Rate) Diabetes Deaths (Age Adjusted Rate) Diabetes Deaths (Crude Rate) per 100,000 61.27 21.83 per 100,000 76.26 27.24 per 100,000 4 61.77 4.82 per 100,000 113.1 67.6 per 100,000 4 26.36 19.80 per 100,000 0.84 2.18 Page 21 of 23
Data Sources, http://brfss.arkansas.gov/county_data.html Arkansas Cancer Registry: http://cancer-rates.info/ar/index.php Arkansas Center for Health Improvement, http://www.achi.net/bmireports.asp Arkansas Department of Health: http://www.healthyarkansas.com/data/data.html Arkansas Department of Health, Cause of Death: http://170.94.1.100/scripts/broker.exe?_service=default&_program=arcode.icd10_welcome_live.sas&_debug= Arkansas Department of Health, Workforce Report: http://www.healthy.arkansas.gov/programsservices/healthstatistics/documents/healthprofessionals/manpower_report2012.pdf Arkansas Department of Human Services, Annual Statistical Report, http://www.arkansas.gov/dhs/newdhs/dhswork.html#reports : arkansas.pridesurvers.com Arkansas State Police: http://www.asp.state.ar.us/hso/hso_index.html of Economic Advancement: http://www.bea.gov of Labor Statistics: http://www.bls.gov/lau/tables.htm Centers for Medicare and Medicaid Services: http://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicareenrpts/index.html? redirect=/medicareenrpts/ County Health Rankings: http://www.countyhealthrankings.org/ FBI :http://www.fbi.gov/ucr/ucr.htm March of Dimes Peristats, http://www.marchofdimes.com/peristats/ US of Economic Analysis - http://www.bea.gov US Census : http://quickfacts.census.gov http://censtats.census.gov/ http://www.census.gov/did/www/sahie/data/interactive/#view=data&utilbtn=&ylb=0&stlb=4&alb=4&slb=0&ilb=0&rlb=0&countycbselected=true&insuredrbg=pu_&multiyearselec ted=false&multiyearalertflag=false Page 22 of 23
Acknowledgments Martha Phillips, PhD, MPH, MBA Nikiya M. Simpson, MBA Bryant Phelan, MPH B. Elizabeth Taylor Corlin Burks Public Health in Arkansas Communities Search c/o Epidemiology Department University of Arkansas for Medical Sciences 4801 West Markham Street Mail Slot 820 Little Rock, AR 7220 phacs@uams.edu Page 23 of 23