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Piedmont Health Foundation

GREENVILLE COUNTY. HEALTH. ASSESSMENT. DEATH AND DISEASE. Piedmont Health Foundation. Death and Disease. FINDING: Greenvillians are still impacted by fairly high rates of disease. Premature Death. Overall in South Carolina: 9,075 National Benchmark: 5,466 (90th percentile).

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Piedmont Health Foundation

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  1. GREENVILLE COUNTY HEALTH ASSESSMENT DEATH AND DISEASE Piedmont Health Foundation

  2. Death and Disease FINDING: Greenvillians are still impacted by fairly high rates of disease.

  3. Premature Death Overall in South Carolina: 9,075 National Benchmark: 5,466 (90th percentile) Premature death is represented by the years of potential life lost before age 75 (YPLL-75). Every death occurring before the age of 75 contributes to the total number of years of potential life lost. For example, a person dying at age 25 contributes 50 years of life lost, whereas a person who dies at age 65 contributes 10 years of life lost to a county’s YPLL. The YPLL measure is presented as a rate per 100,000 population and is age-adjusted to the 2000 U.S. population. Source: Health Data Warehouse. 2012

  4. Top Ten Causes of Premature Death in Greenville Age Adjusted Mortality Rate (per 100,000) Source: SCDHEC BioStatistics

  5. Death Rates All death statistics are age adjusted and standardized to the 2000 population.Source: Impact of Chronic Conditions, Greenville County, 1998, 2001, 2005, 2010

  6. Hospitalization Rates All hospitalization statistics are age adjusted and standardized to the 2000 population.Source: Impact of Chronic Conditions, Greenville County, 1998, 2001, 2005, 2010

  7. Chronic Disease Economics Total costs of hospitalizations (millions) Total number of hospitalizations Heart Disease+467% Heart Disease+100% Cancer-32% Cancer+152% Stroke-65% Stroke+255% Source: DHEC, Impact of Chronic Illness Greenville County Report 1998, 2001, 2005

  8. Asthma • Based on 2003 estimates, 190,000 adults and 91,000 children suffer from asthma in South Carolina. • In Greenville County, it is estimated that about 16,135 adults suffer from asthma. • It is the leading cause of hospitalization in Greenville County for children under the age of 18. • US asthma cases more than tripled from 6.7 million in 1980 to 21.9 million in 2002 SCDHEC, Behavioral Risk Factor Surveillance System

  9. Arthritis Prevalence in SC, 2009

  10. Arthritis Prevalence in SC, 2009 • Doctor diagnosed arthritis affects nearly 50 million people in the United States making it one of our most common diseases. • As the population ages, this number will increase. • Arthritis is the leading cause of disability among U.S. adults, limiting everyday activities for 21 million Americans. • Each year, arthritis results in 992,100 hospitalizations and 44 million outpatient visits nationally. • Arthritis and other rheumatic conditions cost the United States approximately 127.8 billion dollars in 2003 for medical costs and lost wages. • South Carolina had a statewide prevalence of 30.7% in 2009. It was the 7th highest prevalence rate in the nation. • Almost 60% of arthritis cases are women and almost 60% of the elderly population has arthritis. Risk increases with age.

  11. Sexually Transmitted Infection - Chlamydia Overall in South Carolina: 595 National Benchmark: 84 (90th percentile) The Sexually Transmitted Infection (STI) rate is measured as chlamydia incidence (the number of new cases reported) per 100,000 population. Source: Health Data Warehouse

  12. Diabetes Overall in South Carolina: 10.7% Greenville: 8.2% Based on the BRFSS question: "Have you ever been told by a doctor that you have diabetes (If "Yes" and respondent is female, ask "Was this only when you were pregnant?" Source: Health Data Warehouse

  13. Sexually Transmitted Infection - Chlamydia Overall in South Carolina: 595 National Benchmark: 84 (90th percentile) The Sexually Transmitted Infection (STI) rate is measured as chlamydia incidence (the number of new cases reported) per 100,000 population. Source: Health Data Warehouse

  14. Poor Mental Health Days Overall in South Carolina: 3.6 National Benchmark: 2.3 (90th percentile) The poor mental health days measure is a companion measure to the poor physical health days reported in the County Health Rankings. The estimates are based on responses to the question: “Thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good?” We present the average number of days a county’s adult respondents report that their mental health was not good. The measure is age-adjusted to the 2000 U.S. population. Source: Health Data Warehouse. 2012

  15. HIV Rates -39% -54% Case rates per 1,000Data Source: DHEC http://www.statelibrary.sc.gov/scedocs/H3496DS/000479.pdf

  16. AIDS Rates -23% -25% Case rates per 1,000Data Source: DHEC 2007

  17. Maternal Health • In 2006, 5,876 women had children in Greenville County, up 133% since 2001. • Among those, 36%, or over 2,100 births, were among unmarried women. The United States rate is 29% and for South Carolina the rate is 44%. • In 2005, 73% of births with African Americans were to single mothers; 27% of white births in Greenville. Source: DHEC, 2006

  18. Teen Pregnancy From 1999 to 2009, Greenville County’s teen birth rate decreased 23%. Birth rates among 15 to 19 year olds in Greenville County decreased 13% from 2008 to 2009. Source: South Carolina Campaign to Prevent Teen Pregnancy, 2011 Update: Greenville County Epidemiological Profile

  19. Teen Pregnancy The birth rate for 18-19 year olds decreased by 19% and the birth rate for 15-17 year olds decreased by 29% from 1999 to 2009. Source: South Carolina Campaign to Prevent Teen Pregnancy, 2011 Update: Greenville County Epidemiological Profile

  20. Teen Pregnancy Source: South Carolina Campaign to Prevent Teen Pregnancy, 2011 Update: Greenville County Epidemiological Profile

  21. Mental Health • On the 2003 YRBS, 22% of boys and 33% of girls in high school reported that during the past year they felt so sad and hopeless almost every day for two weeks or more that they stopped doing some usual activities. • 11% of high school students in South Carolina reported that they had "attempted suicide" in the past year. • In 2004, there were 55 deaths due to suicide. SCDHEC, SC Office of Research and Statistics

  22. Low Birth Weight Births Overall in South Carolina: 10.1% National Benchmark: 6% (90th percentile) Low birthweight is the percent of live births for which the infant weighed less than 2,500 grams (approximately 5 lbs., 8 oz.). Source: Health Data Warehouse. 2012

  23. Health and Wellness Overall Trends • Increase in recreation and exercise opportunities – parks, events, trails • Increase in community-wide focus on wellness and “total health” • Concern regarding safe infrastructure around traffic patterns (bike lanes, sidewalks) • Concern regarding increasing childhood obesity

  24. Flu Vaccinations % who have had a flu shot in the last year Health Indicators Warehouse. BFRSS: "A flu shot is an influenza vaccine injected into your arm. During the past 12 months, have you had a flu shot?” Age adjusted.

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