Health Rankings Monroe 2016 Graphics of Health Rankings Include All Counties In the North Central Health District Public Health for Middle Georgia Serving Baldwin, Bibb, Crawford, Hancock, Houston, Jasper, Jones, Monroe, Peach, Putnam, Twiggs, Washington and Wilkinson Counties We Protect Lives.
What are the Health Rankings? Help counties understand what influences how healthy residents are and how long they will live. The Rankings are unique in their ability to measure the current overall health of nearly every county in all 50 states. They also look at a variety of measures that affect the future health of communities, such as high school graduation rates, access to healthy foods, rates of smoking, obesity, and teen births. Communities use the Rankings to help identify issues and opportunities for local health improvement, as well as to garner support for initiatives among government agencies, healthcare providers, community organizations, business leaders, policy makers, and the public.
What are health gaps and why do they matter? As a country, we have achieved significant health improvements over the past century. We have benefited from progress in automobile safety, better workplace standards, good schools and medical clinics, and reductions in smoking or infectious diseases. But when you look closer, within each state across the country including Georgia there are significant differences in health outcomes according to where people live, learn, work, and play. It is clear that not all Americans have the means and opportunity to be their healthiest.
How big are the health gaps in Georgia?
What Should We Look for When Reviewing the Data? Which of your county s health outcomes and factors have the best ranks? Which of the measures in your county s snapshot are better than the state average? Which of your ranks is worse: Health Outcomes or Health Factors? If your overall rank for health outcomes is better than your rank for health factors, this suggests if you take no further action, your health outcomes rank may decline in the future. If your health outcomes rank is worse than your health factors rank, your health outcomes rank may improve in the future. Which of your health factors have the best and worst ranks? Which of the measures in your counties snapshot are worse than the state average?
Health Outcomes 2016 Health Ranking Data
Health Outcomes Ranking Health outcomes in the Health Rankings represent how healthy a county is. Measures two types of health outcomes: How long people live (length of life) Examines mortality (or death) data to find out how long people live. More specifically, it measures what are known as premature deaths (deaths before age 75) How healthy people feel while alive (quality of life). Quality of life refers to how healthy people feel while alive. Specifically, it reports on the measures of their health-related quality of life (their overall health, physical health, and mental health) and birth outcomes (in this case, babies born with a low birthweight).
Health Outcome Rank 160 140 146 2016 Health Outcomes Rankings Length of Life and Quality of Life 151 120 122 100 97 104 103 80 74 83 67 60 53 55 40 32 20 15 0 * data obtained at http://www.countyhealthrankings.org/
Length of Life Health Outcomes 2016 Health Ranking Data
Length of Life Rank Length of Life Ranking Premature Mortality 160 140 150 141 120 121 100 102 101 80 60 67 61 76 62 66 40 30 41 20 17 0 * data obtained at http://www.countyhealthrankings.org/
Years of Life Lost Before Age 75 (per 100,000) Premature Death Rate Years of Potential Life Lost Before Age 75 (YPLL-75) 12000 10000 8000 7300 8400 11200 8200 10200 6500 8800 7200 8200 10900 9500 8300 7500 9500 6000 4000 2000 0 * data obtained at http://www.countyhealthrankings.org/
Quality of Life Health Outcomes 2016 Health Ranking Data
Quality of Life Rank 180 160 Quality of Life Rankings Health Related Quality of Life and Birth Outcomes 156 140 120 126 138 137 117 110 100 80 81 88 69 60 54 57 40 20 30 37 0 * data obtained at http://www.countyhealthrankings.org/
% of Live Births with Low Birthweight (<2500 grams) 16.0% Low Birthweight Percentage of Live Births Where the Infant Weighed Less than 2,500 Grams 15.0% 14.0% 13.0% 12.0% 12.0% 11.0% 11.0% 11.0% 11.0% 11.0% 10.0% 9.0% 9.0% 9.0% 9.0% 10.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% * data obtained at http://www.countyhealthrankings.org/
% of adults reporting fair or poor health (age-adjusted) Fair or Poor Health Percentage of Adults Reporting Fair or Poor Health 30% 27% 25% 20% 15% 17% 23% 22% 18% 17% 20% 15% 16% 21% 18% 25% 23% 20% 10% 5% 0% * data obtained at http://www.countyhealthrankings.org/
# of Physically unhealthy days reported in past 30 days (age-adjusted) 6.0 Number of Physically Unhealthy Days Average number of physically unhealthy days reported in past 30 days 5.0 4.0 3.8 4.6 4.6 3.9 5.0 3.7 4.3 3.6 3.7 4.2 3.9 4.9 4.5 4.3 3.0 2.0 1.0 0.0 * data obtained at http://www.countyhealthrankings.org/
# of Mentally Unhealthy Days Reported in past 30 days (age-adjusted) Number of Mentally Unhealthy Days Average number of mentally unhealthy days reported in past 30 days 5.0 4.5 4.0 3.5 3.8 4.3 4.4 3.9 4.5 3.7 4.2 3.6 3.7 4.0 3.9 4.6 4.2 4.2 3.0 2.5 2.0 1.5 1.0 0.5 0.0 * data obtained at http://www.countyhealthrankings.org/
Health Factors 2016 Health Ranking Data
Health Factors Ranking Health factors in the Health Rankings represent what influences the health of a county. Measures four types of health factors: health behaviors, clinical care, social and economic, and physical environment factors.
Health Factors Rank 160 140 Health Factors Rankings Health Behaviors, Clinical Care, Social and Economic, and Physical Environment Factors 152 134 142 120 100 102 97 86 90 106 80 68 65 60 40 20 32 26 27 0 * data obtained at http://www.countyhealthrankings.org/
Health Behaviors Health Factors 2016 Health Ranking Data
Health Behavior Rank 160 Health Behaviors Rankings Alcohol & Drug Use, Diet & Exercise, Sexual Activity, and Tobacco Use 148 140 120 120 124 127 104 100 93 94 80 69 60 40 39 35 33 36 48 20 0 * data obtained at http://www.countyhealthrankings.org/
% of Adults Who Are Current Smokers Adult Smoking Percentage of the adult population that currently smokes every day or most days and has smoked at least 100 cigarettes in their lifetime 25% 21% 21% 20% 15% 17% 19% 17% 16% 19% 15% 16% 19% 17% 19% 18% 10% 5% 0% * data obtained at http://www.countyhealthrankings.org/
Area to Explore: Adult Smoking Community Health Improvement Plan (CHIP) Priority #3: Maternal, Infant, and Child Health Goal 3-A: Improve the health of mothers, infants, and children before, during, and after pregnancy to live healthy lives. Objective 3.1: By 2020, reduce infant mortality rates by 5%. Strategy: Reduce tobacco usage among pregnant women, discourage 2 nd hand smoke exposure for families, and ad e-cigarettes to tobacco screening questions.
% of Obese Adults (BMI 30) 40% 35% 30% Adult Obesity Percentage of the adult population (age 20 and older) that reports a body mass index (BMI) greater than or equal to 30 kg/m2 29% 34% 31% 28% 36% 32% 31% 33% 32% 35% 32% 31% 35% 34% 25% 20% 15% 10% 5% 0% * data obtained at http://www.countyhealthrankings.org/
Area to Explore Adult Obesity Community Health Improvement Plan (CHIP) 2016-2020 Priority #1: Chronic Disease-Focus on Obesity Goal 1-A: Reduce burden of chronic disease caused by obesity among all NCHD residents Objective 1.1: By 2020 increase by 5% the percent of adults and children in the NCHD who meet or exceed physical activity guidelines for health. Strategy: Increase access to local school facilities, fields, basketball courts, community recreational facilities, parks, playgrounds, etc. by establishing new joint-use agreements and improving adherence to existing joint-use agreements. Priority #3: Maternal, Infant, and Child Health Goal 3-A: Improve the health of mothers, infants, and children before, during, and after pregnancy to live healthy lives. Objective 3.1: By 2020, reduce infant mortality rates by 5%. Strategy: Promote healthy BMI s to include waist circumference education and monitoring.
Area to Explore Adult Obesity North Central Health District Strategic Plan 2016-2020 Strategic Issue: Chronic Disease-Focus on Obesity Goal 1: Increase awareness and education regarding obesity in the Community. Obesity is one of the biggest health threats of our time and is a primary risk factor for many chronic diseases including diabetes, hypertension, cardiovascular disease, and cancers. The NCHD will focus on educating clients about the risk of obesity and related chronic diseases. Objective 1: By 2020, 80% of NCHD facilities waiting room televisions will incorporate the use of health education media to promote chronic disease and obesity topics. Action Steps: Development of health education material and provide health education media to NCHD facilities.
Area to Explore Adult Obesity North Central Health District Strategic Plan 2016-2020 Strategic Issue: Chronic Disease-Focus on Obesity Goal 2: Increase worksite wellness activities in area workplaces. Adults spend a large portion of their time at work. The workplace is an ideal place to encourage and promote healthy behaviors around physical activity and health eating. Objective 1: By 2017, increase the number of NCHD-area workplaces that have worksite wellness by 5% Action Steps: Development worksite wellness policy template to be shared with area workplaces. Objective 2: 100% compliance with state healthy meals policy by 2020. Action Steps: Adapt the state healthy meals policy to fit district needs.
Index of Factors that Contribute to a Healthy Food Environment (0-10) Food Environment Indices Limited Access to Healthy Foods and Food Insecurity The Food Environment Index ranges from 0 (worst) to 10 (best) and equally weights two indicators of the food environment. 8 7 6 5 6.5 5 5.4 7.4 6.6 7.1 7.4 7.3 5.6 7.4 6.3 4.6 5.9 4 3 3.3 2 1 0 * data obtained at http://www.countyhealthrankings.org/
% of Adults reporting no Leisure-time Activity Physical Inactivity Percentage of adults aged 20 and over reporting no leisure-time physical activity 35% 30% 25% 25% 25% 27% 33% 30% 24% 30% 29% 28% 28% 25% 32% 31% 30% 20% 15% 10% 5% 0% * data obtained at http://www.countyhealthrankings.org/
% of Population with Access to Locations for Physical Activity 100% Access to Exercise Opportunities Percentage of population with adequate access to locations for physical activity 90% 86% 80% 75% 77% 74% 70% 60% 67% 65% 60% 62% 59% 50% 40% 39% 30% 25% 20% 10% 10% 14% 0% 0% * data obtained at http://www.countyhealthrankings.org/
# of Newly Diagnosed Case (per 100,000) Sexually Transmitted Infection Rate Number of newly diagnosed chlamydia cases per 100,000 population 800 700 600 709.4 633.6 756.6 651.4 595.2 514.8 500 429.2 464 419.9 400 300 200 190.5 264.1 136.5 259 236.8 100 0 * data obtained at http://www.countyhealthrankings.org/
# of Births to 15-19 years old (per 1,000 female population) 70 Teen Births Number of births per 1,000 female population ages 15-19 60 58 58 50 40 30 42 28 35 40 40 46 26 31 36 53 40 49 20 10 0 * data obtained at http://www.countyhealthrankings.org/
% of Adults Reporting Binge or Heavy Drinking 18% Excessive Drinking Percentage of adults reporting binge or heavy drinking 16% 14% 12% 16% 14% 14% 15% 11% 15% 14% 16% 15% 14% 14% 12% 13% 13% 10% 8% 6% 4% 2% 0% * data obtained at http://www.countyhealthrankings.org/
% of Driving Deaths with Alcohol Involvement 60% Alcohol-Impaired Driving Deaths Percentage of driving deaths with alcohol involvement 50% 50% 40% 39% 30% 24% 29% 22% 27% 31% 31% 20% 14% 18% 15% 14% 18% 10% 7% 0% * data obtained at http://www.countyhealthrankings.org/
Clinical Care Health Factors 2016 Health Ranking Data
Clinical Care Rank Clinical Care Rankings Access to Care and Quality of Care 140 120 120 119 126 100 92 101 80 82 80 67 60 56 47 40 26 20 12 13 0 * data obtained at http://www.countyhealthrankings.org/
% of Population Without Health Insurance (Under Age 65) 30% Uninsured Percentage of population under age 65 without health insurance 25% 24% 20% 21% 19% 21% 21% 20% 18% 22% 18% 18% 22% 21% 20% 20% 15% 10% 5% 0% * data obtained at http://www.countyhealthrankings.org/
Rate of Primary Care Physicians (per 100,000 population) 140 Primary Care Physicians Rate of primary care physicians per 100,000 population 120 124 100 80 77 60 65 59 51 44 48 40 20 0 8 23 21 30 23 0 11 * data obtained at http://www.countyhealthrankings.org/
Rate of Dentists (per 100,000 population) 60 55 Dentists Rate of dentists per 100,000 population 50 40 49 41 49 45 30 24 20 10 12 15 10 15 19 11 0 0 0 * data obtained at http://www.countyhealthrankings.org/
Rate of Mental Health Providers (per 100,000 population) 180 160 158 Mental Health Providers Rate of Mental Health Providers per 100,000 population 140 120 118 129 100 80 78 60 56 40 20 35 22 21 26 33 19 21 0 0 0 * data obtained at http://www.countyhealthrankings.org/
Rate of Mental Health Providers (per 100,000 population) 180 160 158 Mental Health Providers Rate of Mental Health Providers per 100,000 population 140 120 118 129 100 80 78 60 56 40 20 35 22 21 26 33 19 21 0 0 0 * data obtained at http://www.countyhealthrankings.org/
# of Preventable Hospital Stays (per 1,000 Medicare Enrollees) Preventable Hospital Stays Number of hospital stays for ambulatory-care sensitive conditions per 1,000 Medicare enrollees 100 90 80 81 89 74 90 70 60 50 55 56 60 62 66 52 62 67 48 65 40 30 20 10 0 * data obtained at http://www.countyhealthrankings.org/
% of Diabetic Medicare Enrollees Ages 65-75 that Receive HbA1c Monitoring 100% Diabetic Monitoring Percentage of diabetic Medicare enrollees ages 65-75 that receive HbA1c monitoring 90% 80% 85% 87% 84% 81% 87% 82% 85% 84% 85% 85% 88% 85% 88% 80% 70% 60% 50% 40% 30% 20% 10% 0% * data obtained at http://www.countyhealthrankings.org/
% Female Medicare Enrollees Ages 67-69 that received Mammography Screening 100% Mammogram Screening Percentage of female Medicare enrollees ages 67-69 that receive mammography screening 90% 80% 70% 60% 62% 61% 68% 55% 62% 64% 55% 68% 67% 66% 69% 75% 69% 54% 50% 40% 30% 20% 10% 0% * data obtained at http://www.countyhealthrankings.org/
Social and Economic Health Factors 2016 Health Ranking Data
Social and Economic Factor Rank 180 Social and Economic Factors Rankings Community Safety, Education, Employment, Family & Social Support, and Income 160 150 156 140 120 128 122 132 110 100 97 80 73 83 60 56 40 20 27 22 24 0 * data obtained at http://www.countyhealthrankings.org/
% of Ninth-grade Cohort that Graduats in 4 years High School Graduation Percentage of ninth-grade cohort that graduates in four years 100% 93% 90% 80% 70% 60% 73% 65% 61% 63% 79% 68% 77% 85% 63% 73% 78% 78% 83% 50% 40% 30% 20% 10% 0% * data obtained at http://www.countyhealthrankings.org/
Some College Percentage of adults ages 25-44 with some post-secondary education. 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% % of Adults ages 25-44 with Some Post-Secondary Education100% 61% 49% 56% 52% 30% 65% 46% 59% 53% 56% 51% 39% 40% 31% * data obtained at http://www.countyhealthrankings.org/
Unemployment Percentage of population ages 16 and older unemployed but seeking work 13.0% 11.0% 9.0% 7.0% 5.0% 3.0% 1.0% % of Adults ages 25-44 with Some Post-Secondary Education15.0% 7.2% 8.9% 8.1% 7.5% 11.9% 6.9% 6.6% 6.4% 6.7% 9.6% 9.2% 11.4% 8.4% 8.8% * data obtained at http://www.countyhealthrankings.org/
% of Children Under Age 18 in Poverty Children in Poverty Percentage of children under age 18 in poverty. 50% 45% 43% 44% 44% 40% 39% 35% 30% 25% 20% 26% 35% 31% 24% 29% 21% 21% 33% 34% 35% 15% 10% 5% 0% * data obtained at http://www.countyhealthrankings.org/
Ratoi of Household Income at 80th Percentile to 20th Percentile 8 7 6.7 Income Inequality Ratio of household income at the 80th percentile to income at the 20th percentile 7.2 6 5 4 5 6.1 3.8 5.2 4.4 4.3 4.4 4.4 5.4 4.2 5.8 4.4 3 2 1 0 * data obtained at http://www.countyhealthrankings.org/
% of Children in that Live in A Household Headed by a Single Parent Children in Single-parent Households Percentage of children that live in a household headed by single parent 60% 53% 53% 54% 53% 50% 40% 37% 46% 37% 42% 45% 40% 49% 44% 33% 33% 30% 20% 10% 0% * data obtained at http://www.countyhealthrankings.org/
# of Membership Associations (per 10,000 population) Social Associations Number of membership associations per 10,000 population 16.0 14.0 14.2 13.8 12.0 10.0 8.0 6.0 9.0 8.7 6.4 7.4 8.1 7.4 10.0 8.1 11.2 8.3 10.6 4.0 3.4 2.0 0.0 * data obtained at http://www.countyhealthrankings.org/
# of Reported Violent Crime Offenses (per 100,000) 700 Violent Crime Number of reported violent crime offenses per 100,000 population 644 600 500 505 545 502 400 385 300 296 335 315 218 200 100 116 98 156 138 65 0 * data obtained at http://www.countyhealthrankings.org/
# of Deaths Due to Injury (per 100,000 population) Injury Deaths Number of deaths due to injury per 100,000 population 100 90 80 70 60 50 58 47 70 60 63 52 74 64 78 76 84 91 49 65 40 30 20 10 0 * data obtained at http://www.countyhealthrankings.org/
Physical Environment Health Factors 2016 Health Ranking Data
Physical Environment Rankings 160 Physical Environment Rankings Air & Water Quality and Housing & Transit 156 140 137 130 141 126 120 100 101 108 113 100 93 80 77 60 40 52 43 20 0 * data obtained at http://www.countyhealthrankings.org/
Average Daily Density of Fine Particulate Matter (micrograms per cubic meter) 15.0 Air Pollution-Particulate Matter Average daily density of fine particulate matter in micrograms per cubic meter (PM2.5) 14.5 14.0 13.5 13.0 12.8 12.9 12.9 12.9 12.9 12.8 13.1 13.0 13.0 12.8 13.0 12.9 12.9 12.9 12.5 12.0 11.5 11.0 10.5 10.0 * data obtained at http://www.countyhealthrankings.org/
Presence of Health-Related Drinking Water Violations (1=Violation Present) 2 Drinking Water Violations Indicator of the presence of health-related drinking water violations. 1 indicates the presence of a violation, 0 indicates no violation 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 * data obtained at http://www.countyhealthrankings.org/
% Households with Overcrowding, High Holding Costs, or Lack of Kitchen or Plumbing 25% Severe Housing Problems Percentage of households with at least 1 of 4 housing problems: overcrowding, high housing costs, or lack of kitchen or plumbing facilities. 23% 23% 20% 18% 19% 17% 18% 17% 17% 15% 15% 15% 14% 15% 12% 12% 10% 5% 0% * data obtained at http://www.countyhealthrankings.org/
% of the Workforce that Drives Alone to Work 100% Driving Alone to Work Percentage of the workforce that drives alone to work 95% 92% 90% 85% 80% 80% 83% 83% 86% 82% 86% 78% 86% 87% 80% 79% 83% 88% 75% 70% 65% 60% * data obtained at http://www.countyhealthrankings.org/
% of the Workforce that have a long commute and drive alone 70% 60% Long Commute-Driving Alone Among workers who commute in their car alone, the percentage that commute more than 30 minutes 53% 52% 61% 50% 40% 30% 39% 43% 35% 29% 33% 41% 35% 20% 23% 21% 23% 21% 10% 0% * data obtained at http://www.countyhealthrankings.org/
How Should We Use This Data? 2016 Health Ranking Data
Using the Data The Health Rankings provide a snapshot of a community s health and a starting point for investigating and focusing ways to build a Culture of Health. The NCHD uses this data to Engage communities in Health Improvement Assess the health of our communities Data used in our Community Health Assessments, Community Health Improvement Plan, and Strategic Plan Identify the Root Causes of Health Issues Track Progress Support Decision-Making and Policy Change
Amber Erickson, MPH District Epidemiologist North Central Health District 5-2 478-751-6034 office Amber.Erickson@dph.ga.gov