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OKLAHOMA’S RURAL HEALTH STATUS Richard Perry, M.A., Director Oklahoma AHEC OSU Center for Rural Health

OKLAHOMA’S RURAL HEALTH STATUS Richard Perry, M.A., Director Oklahoma AHEC OSU Center for Rural Health. Healthy People 2010: A Systematic Approach to Health Improvement. Determinants of Health. Policies and Interventions. Behavior Physical Social Environment Individual Environment

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OKLAHOMA’S RURAL HEALTH STATUS Richard Perry, M.A., Director Oklahoma AHEC OSU Center for Rural Health

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  1. OKLAHOMA’S RURAL HEALTH STATUS Richard Perry, M.A., DirectorOklahoma AHECOSU Center for Rural Health

  2. Healthy People 2010: A Systematic Approach to Health Improvement Determinants of Health Policies and Interventions Behavior Physical Social Environment Individual Environment Biology Access to Quality Health Care Health Status

  3. Listen for: • Why is Oklahoma’s health status so bad and seems only to get worse? Which Demographic, Economic, and Behavioral trends that impact health status • What factors would impact the way you practice. • What factors would impact the decision you make about where you want to practice.

  4. 14 “ Corridor” Counties 61% of the Population Resides

  5. Legend Years 27.6 – 33.2 34.2 – 37.0 37.2 – 38.7 38.9 – 40.9 41.3 – 45.3 Median Age Oklahoma, 2000 State Median Age = 35.5

  6. 14 “ I-44 Corridor” Counties 61% of the Population Resides Persons per sq mile 2 - 26 29 - 58 70 - 118 388 - 388 931 - 988

  7. Population Trends in Rural Oklahoma

  8. Legend 63.2 – 70.4 70.8 – 74.3 74.7 – 78.2 78.6 – 82.7 83.4 – 88.1 Percent of People 25 yrs and Older with High School Diploma or More in 2000

  9. Direct from High School-to-College-Going Rate2001-2002 through 2003-2004

  10. Three Year Rate of Youth Under Age 19 Dropping Out of High School (2001/2002 through 2003/2004 Oklahoma kids count Factbook 2005

  11. Per Capita Income in OklahomaMetro/Non-Metro

  12. Poverty Rural/Non-rural Rural Kids Count, August, 2004

  13. Legend 7.9-12.0 12.5-14.6 15.0-17.2 17.6-20.8 21.7-29.7 Percent of Persons Below Poverty Level in 2000

  14. County Economic Index:Rankings of Various Economic Factors Oklahoma kids count Factbook 2005

  15. Percent of Adult Respondents Reporting Currently Smoking Cigarettes by Sub-State Planning Districts: Oklahoma 2002 •High rates of smoking among Native Americans. • Decreased smoking with increased age. • Decreased smoking with increased education. • Decreased smoking with increased income.

  16. Percent of Adult Respondents With Any Kind of Health Plan by Sub-State Planning Districts:Okahoma 2001-2003 • Clear disparity of lack of health plan coverage with younger ages. • Increased rate of health plan coverage with increased education and income. • Highest rates of health plan coverage among whites. • Lowest rates of health plan coverage in southeast Oklahoma.

  17. Medicaid as a Percent of Population Oklahoma Health Care AuthorityState Fiscal year 2003 Annual Report

  18. Oklahoma’s Rural Health Status

  19. Healthy People 2010: A Systematic Approach to Health Improvement Determinants of Health Policies and Interventions Behavior Physical Social Environment Individual Environment Biology Access to Quality Health Care Health Status

  20. Crude Mortality Rates by County (Deaths per 100,000 population)2003 County Average 1123

  21. Age Adjusted Mortality Rate(Deaths Per 100,000 Population2003 County Average 1024

  22. Years of Potential Life Lost Prior to Age 75 per Death by, County, 1994 – 1996 Average

  23. Cancer MortalityHistorical Trends1978 - 2002

  24. Discussion: • Why is Oklahoma’s health status so bad and seems only to get worse? Which Demographic, Economic, and Behavioral trends that impact health status • What factors would impact the way you practice. • What factors would impact the decision you make about where you want to practice.

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