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Missouri Rural Health Report: Using Data to Tell Your Story

This report analyzes the current health of rural Missourians and provides recommendations based on data. It includes information on death rates, emergency room visits, and maternal and child health indicators.

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Missouri Rural Health Report: Using Data to Tell Your Story

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  1. The Missouri Rural Health Report Using Data to Tell Your Story Andrew Hunter and Becca Mickels Missouri Department of Health and Senior Services Bureau of Health Care Analysis and Data Dissemination

  2. the Missouri Rural Health Report

  3. Missouri Rural Health Report • Describes the Office of Primary Care and Rural Health’s current activities and recommendations • Provides an analysis of the current health of rural Missourians to support those activities and recommendations • Previous versions have been used extensively to tell the story of rural health in Missouri

  4. Missouri Rural Health Report Data Sources • Almost all are publicly available at no cost to users • Most (but not all) provide data for individual counties • All data sources are cited in the report for reader accessibility • Death rates • Emergency room visit rates • Maternal and child health indicators

  5. Missouri’s Rural population

  6. 2014-2015 Health in Missouri Biennial ReportRural/Urban County Classification Developed by the Bureau of Health Care Analysis and Data Dissemination using 2013 population estimates from the National Center for Health Statistics

  7. Population ChangeMissouri, 2003-2013 Developed by the Bureau of Health Care Analysis and Data Dissemination using population estimates from the National Center for Health Statistics

  8. Population by Race/EthnicityMissouri, 2013 Rural Counties Urban Counties Source: National Center for Health Statistics The Hispanic category also includes persons identified as Latinos.

  9. Persistent PovertyMissouri, 1980-2011 Developed by the Bureau of Health Care Analysis and Data Dissemination using data from the U.S. Department of Agriculture, Economic Research Service

  10. The Health Status of Rural Missourians Life Expectancy

  11. Life Expectancy at BirthMissouri, 2004-2012 Source: Bureau of Health Care Analysis and Data Dissemination * Asterisks indicate if either the rural or urban rate is statistically significantly high compared to the other geography’s rate. These life expectancy rates were calculated using 2004-2012 birth and death figures from the Bureau of Vital Statistics and 2008 population estimates from the National Center for Health Statistics (NCHS).

  12. County Life Expectancy at BirthMissouri, 2004-2012 Highest Rural: Nodaway, 79.4 years Highest: Platte (urban), 80.2 years 8.5 years 7.5 years Lowest: Pemiscot, 71.7 years Source: Bureau of Health Care Analysis and Data Dissemination

  13. The Health Status of Rural Missourians Leading Causes of Death and Related Emergency Room Visits

  14. Death Rates from All CausesMissouri, 2013 Age-adjusted rates per 100,000 residents Source: Death MICA

  15. Death Rates from All CausesMissouri, 2003-2013 Age-adjusted rates per 100,000 residents Source: Death MICA

  16. Emergency Room Visit Rates for All DiagnosesMissouri, 2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA Patients who seek treatment in the emergency room (ER) and are directly admitted into the hospital are counted in inpatient hospitalization statistics, not ER statistics.

  17. Emergency Room Visit Rates for All DiagnosesMissouri, 2003-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  18. Emergency Room Visit Rates for All DiagnosesMissouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  19. Emergency Room Visit Rates for All DiagnosesMissouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  20. Leading Causes of Death Rural Urban • Heart disease* • Cancer* • Chronic lower respiratory diseases* • Stroke* • Unintentional injuries* • Alzheimer’s disease* • Diabetes* • Pneumonia and influenza* • Kidney disease* • Suicide* • Heart disease • Cancer • Stroke • Chronic lower respiratory diseases • Unintentional injuries • Alzheimer’s disease • Diabetes • Pneumonia and influenza • Kidney disease • Suicide

  21. Death Rates from CancerMissouri, 2003-2013 Age-adjusted rates per 100,000 residents Source: Death MICA The Healthy People 2020 target rate for this indicator was revised after the publication of the 2012-2013Health in Rural Missouri Biennial Report.

  22. Cancer Incidence RatesMissouri, 2010-2012 Age-adjusted rates per 100,000 residents Source: Cancer Registry MICA

  23. Death Rates from CLRDMissouri, 2003-2013 Age-adjusted rates per 100,000 residents Source: Death MICA CLRD = Chronic Lower Respiratory Diseases

  24. Death Rates from CLRDMissouri, 2003-2013 Age-adjusted rates per 100,000 residents Source: Death MICA CLRD = Chronic Lower Respiratory Diseases

  25. Emergency Room Visits for COPD/BronchiectasisMissouri, 2009-2013 Source: Emergency Room MICA; Based on age-adjusted rates per 1,000 residents and statistical significance compared to the state using 95 percent confidence intervals; COPD = Chronic Obstructive Pulmonary Disease

  26. Emergency Room Visit Rates for AsthmaMissouri, 2009-2013 Source: Emergency Room MICA; Based on age-adjusted rates per 1,000 residents and statistical significance compared to the state using 95 percent confidence intervals

  27. Emergency Room Visits for COPD/BronchiectasisMissouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA COPD = Chronic Obstructive Pulmonary Disease

  28. Emergency Room Visit Rates for AsthmaMissouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  29. Emergency Room Visit Rates for COPD/Bronchiectasis and Asthma,Missouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  30. Emergency Room Visits for COPD/BronchiectasisMissouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  31. Emergency Room Visit Rates for AsthmaMissouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  32. Types of Unintentional Injury DeathsMissouri, 2003-2013 Rural Counties Urban Counties Source: Death MICA

  33. Death Rates from Motor Vehicle AccidentsMissouri, 2003-2013 Age-adjusted rates per 100,000 residents Source: Death MICA

  34. Death Rates from Motor Vehicle AccidentsMissouri, 2003-2013 Age-adjusted rates per 100,000 residents Source: Death MICA

  35. Death Rates from Motor Vehicle AccidentsMissouri, 2003-2013 Age-adjusted rates per 100,000 residents Source: Death MICA

  36. Emergency Room Visit Ratesfor Motor Vehicle Traffic Accidents (MVTAs)Missouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  37. Emergency Room Visit Rates for MVTAsMissouri, 2009-2013 Source: Emergency Room MICA; Based on age-adjusted rates per 1,000 residents and statistical significance compared to the state using 95 percent confidence intervals; MVTAs = Motor Vehicle Traffic Accidents

  38. Emergency Room Visit Rates for MVTAsMissouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA MVTAs = Motor Vehicle Traffic Accidents

  39. Emergency Room Visit Rates for MVTAsMissouri, 2003-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA MVTAs = Motor Vehicle Traffic Accidents

  40. Death Rates from SuicideMissouri, 2003-2013 Age-adjusted rates per 100,000 residents Source: Death MICA

  41. Death Rates from SuicideMissouri, 2003-2013 Age-adjusted rates per 100,000 residents Source: Death MICA

  42. Death Rates from SuicideMissouri, 2003-2013 Age-adjusted rates per 100,000 residents Source: Death MICA

  43. Death Rates from SuicideMissouri, 2003-2013 Age-adjusted rates per 100,000 residents Source: Death MICA

  44. The Health Status of Rural Missourians Additional Emergency Room Diagnoses

  45. Emergency Room Visit Rates for Affective DisordersMissouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  46. Emergency Room Visit Rates for Affective DisordersMissouri, 2003-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  47. Emergency Room Visit Rates for Affective DisordersMissouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  48. Emergency Room Visit Rates for Acute BronchitisMissouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  49. Emergency Room Visit Rates for Acute BronchitisMissouri, 2003-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

  50. Emergency Room Visit Rates for Acute BronchitisMissouri, 2009-2013 Age-adjusted rates per 1,000 residents Source: Emergency Room MICA

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