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APEXPH Summary. Assessment Protocol for Excellence in Public Health Community Health Planner Panayiota Agamemnonos Gallatin County Health Department. Gallatin County Demographic Profile. 2006 Population – 8,153 3,915 (50%) males* 3,923 (50%) female* 7,908 (97.2%) white (2005)
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APEXPH Summary Assessment Protocol for Excellence in Public Health Community Health Planner Panayiota Agamemnonos Gallatin County Health Department
Gallatin County Demographic Profile • 2006 Population – 8,153 • 3,915 (50%) males* • 3,923 (50%) female* • 7,908 (97.2%) white(2005) • 141 (1.7%) black(2005) • 187 (2.3%) Hispanic or Latino origin (2005) National Center for Health Statistics, U.S. Census Bureau, *2002 Vital Statistics
2002 Race Distribution by Sex 2002 Kentucky Vital Statistics
Population Distribution by Age in 2002 2002 Kentucky Vital Statistics
2010 Population Projections 2000 Census
Socioeconomic Profile • 17.2% of Gallatin County’s population is below the poverty level compared to 16.3% statewide in 2004. • Per capita income in 2004 was $22,506 compared to the state average of $27,265. • Median family income in 2004 was $35,105 compared to Kentucky’s $37,046. • 6.1% unemployment rate compare to 6.1% statewide in 2005. National Center for Health Statistics, U.S. Census Bureau
2002 Socioeconomic Profile, cont. 2002 County Health Profile
Birth Indicators 2003 Kentucky Vital Statistics, *2006 KIDS COUNT
Child Well-being Indicators • Average daily attendance for students – 93% with Ky.’s being 94%. (2005) • 89% completed high school compared to the state’s 83% in 2005. 6.9% completed 4 or more years of college, and Kentucky 17.1% in 2000. • School drop-out rate in Gallatin Co. was 2.7% with Kentucky’s being 2.6% (2000-2001). 2006 KIDS Count Data Book
Gallatin County High School2004-2005 KY Department of Education
Gallatin County High School2004-2005 KY Department of Education
Gallatin County Middle School2004-2005 KY Department of Education
Gallatin County Middle School2004-2005 KY Department of Education
Gallatin County Primary/Elementary School2004-2005 KY Department of Education
Gallatin County Primary/Elementary School2004-2005 KY Department of Education
Child Well-being Indicators • In 2003, 20% of pop. <18 lived in poverty • Only 60% of obligated child support payments were collected in 2006. • In 2005, there were 13 reports cases of physical abuse, 0 reports of sexual abuse, and 38 reports of neglect and/or dependency. 2006 KIDS Count Data Book
2005 Traffic Collisions • 2005 saw a total of 242 collisions of those 5 involved fatalities, 65 non-fatal injuries, and 172 property damage. • 5 people were killed and 100 people were injured. • Of the 242 collisions, 19 involved drinking drivers and 1 involved drivers under influence of drugs 2005 Traffic Collision Facts
2005 Driving under the Influence • 1 of the 19 collisions with drinking drivers involved fatal collisions, 9 non-fatal injury, and 9 property damage. • 1 people were killed and 15 people were injured. 2005 Traffic Collision Facts
DUI Convictions Trend 2006 Crime in Kentucky
2005 Crime • In 2005, 111 DUI arrests with 105 adults and 2 juveniles making them the highest. • There was a total of 583 arrest in 2005 with 104 arrests for narcotic drug laws. • Another 80 of the arrests were for drunkenness. 2006 Crime in Kentucky
Access to Primary Health Care Profile • Primary care provider ratio is the population of a given area divided by the number of full-time primary care providers serving that area. • The Federal Government estimates that 1 primary care provider can provide care to 1500 individuals. • In 2005, Gallatin County’s ratio is 1 to 7735,Kentucky’s ratio is 1917. KY Department of Public Health, Health Care Access Branch
Gallatin County’s cancer of all sites incidenceage-adjusted rate for 2000-2004 was 444.42 compared to KY’s age-adjusted rate as 513.73 2007 Kentucky Cancer Registry
Gallatin County’s cancer of respiratory system incidence age-adjusted rate for 2000-2004 was 121.14 compared to KY’s age-adjusted rate as 108.12 2007 Kentucky Cancer Registry
Gallatin County’s cancer of breast incidence age-adjusted rate for 2000-2004 was 58.11 compared to KY’s age-adjusted rate as 66.90 2007 Kentucky Cancer Registry
Gallatin County’s cancer of all sites mortality age-adjusted rate for 2000-2004 was 314.88 compared to KY’s age-adjusted rate as 224.25 2007 Kentucky Cancer Registry
Gallatin County’s cancer of respiratory system mortality age-adjusted rate for 2000-2004 was 139.25 compared to KY’s age-adjusted rate as 81.85 2007 Kentucky Cancer Registry
Gallatin County’s cancer of breast mortality age-adjusted rate for 2000-2004 was 22.18 compared to KY’s age-adjusted rate as 14.99 2007 Kentucky Cancer Registry
2002 Leading Causes of Mortality 2002 Vital Statistics Report
Years of Potential Life Lost (YPLL) • Years of Potential Life Lost is a measure of causes of mortality that are responsible for taking the highest number of years of life based on life expectancy. • Years of potential life lost are calculated by multiplying the number of deaths per age group by years of life lost as determined by the difference in age at the time of death and life expectancy.
Deaths From All Causes /YPLL 2002 Vital Statistics Report
Deaths From Unintentional Injuries /YPLL 2002 Vital Statistics Report
Malignant Neoplasm • Malignant neoplasm ranked in the top three for cause of death in all age categories with the exception of those under age 1. • Cancer tops the list for YPLL in Gallatin County with 220 years of life lost. • Lung cancer is responsible for 125 of those years and breast cancer another 15. 2002 Vital Statistics Report
Unintentional Injuries • Unintentional injuries are responsible for 155 years of life lost. • Motor vehicle accidents make 155 years of the total. • Drug-induced death is to blame for the loss of 35 years. 2002 Vital Statistics Report
Heart Disease • Heart disease ranks 3rd for YPLL with 135 years of potential life lost. • Heart disease ranks 2nd as cause of mortality in those over the age of 65. 2002Vital Statistics Report
Other contributors to YPLL • Diabetes takes another 30 years. • Chronic lower respiratory disease takes 15 years. 2002 Vital Statistics Report
Next Steps • The next step in the APEXPH process is to gather input from community leaders regarding actions to be taken to address the preceding statistics.
Sources • National Center for Health Statistics; U.S. Census Bureau (2007) Fedstats. From http://www.fedstats.gov/qf/states/21000.html • Cabinet for Health and Family Services; Kentucky Department for Public Health (2002) Kentucky Vital Statistics. From http://chfs.ky.gov/dph/vital/2002vitalreports.htm • Cabinet for Health and Family Services; Kentucky Department for Public Health (2002) KY County Health Profile. From http://chfs.ky.gov/dph/epi/cohealthprofiles.htm • Kentucky Youth Advocates (2006) KIDS COUNT. From http://www.kyyouth.org/Publications/KIDS_COUNT_2006/2006+County+Data+Book+v3.pdf • KY Department of Education; School Report Card 2000-2005 (2004-2005) School Report Card. From http://apps.kde.state.ky.us/report_card/index.cfm?action=display_cards • Kentucky State Police (2005) Traffic Collision Facts, From http://www.kentuckystatepolice.ky.gov/pdf/KY_Traffic_Collision_Facts_2005.pdf • Kentucky State Police (2006) Crime in Kentucky, From http://www.kentuckystatepolice.ky.gov/pdf/cik_2006.pdf • Kentucky Cancer Registry (2003) From http://cancer-rates.info/ky/index.html • Cabinet for Health and Family Services; Kentucky Department for Public Health (2003) Kentucky Vital Statistics. From http://chfs.ky.gov/dph/vital/2003vitalreports.htm