Curry County Community Health Status

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Curry County Community Health Status

  1. 1. Introduction to Curry CountyGeography and TransportationPopulation and Demographics
  2. 2.  34% of residents live inremote areas Brookings-Harbor areaencompasses 49.7% ofCurry’s population(11,120) Port Orford 0.05%(1,225) Gold Beach, the countyseat, 11% (2,445)Sixes River
  3. 3. 15 10 5 0 5 1000-0405-0910-1415-1920-2425-2930-3435-3940-4445-4950-5455-5960-6465-6970-7475-7980-8485+Percent of PopulationPopulation Distribution by Age, Curry County vs. OregonOregonCurryU.S. Census Bureau, 2010
  4. 4. Social Determinants of HealthEducationEmploymentIncome and PovertyHousing
  5. 5. Social Determinants of Health
  6. 6. Percent >25 without a high schooldiploma, U.S. Census Bureau, 2010
  7. 7.  AMO graduationrates , 2009-2010 Total = 67.8% AMO graduationrates, 2011-12 Total = 59.2% Male = 55.2% Female = 64.4%
  8. 8.  Source: American Community Survey
  9. 9. Renter Housing Burden, U.S. Census Bureau,American Community Survey
  10. 10. Manufactured Housing in Curry Total households =10,350 Manufactured homes estimated total = 3,647 Thus 35.2% of homes in Curry are manufactured Oregon’s manufactured home estimate isapproximately 8.5-10% Possibility of ~2000 manufactured homes lived inby residents 50 years or olderTotalBuiltbefore1980Builtbetween1950-1969Builtbetween1970-1982Builtbetween1983-1999Builtbetween2000-newerBlankAmount ofHomes2539 1105 256 924 910 434 15Percentage 44.00% 10% 36% 36% 17%Privately Owned Manufactured Homes
  11. 11. Health Factors and BehaviorsHealth Factor RankingsPhysical EnvironmentCrimePhysical Activity, Obesity, & Built EnvironmentTobacco Use
  12. 12.  Source: County Health Factor RankingsCurry County is : 19 health factors 15 health behaviors 10 tobacco use 30 diet and exercise 25 alcohol use 23 socioeconomicfactors 26 clinical care 1 physicalenvironment(air/water qualityand access torecreation andhealthy foods)
  13. 13. Arthritis Status Compared to Obesity and No PhysicalActivity in Oregon Adults Obese status in Curry is 29% vs. 24.5% in Oregon 49.4% of adults met CDC recommendations for physicalactivity in Curry County and 37.4% consumed at least fiveservings of fruits and vegetables per day (Oregon BRFSS,2006-2009
  14. 14.  In 2009, 24% of Curry adults reported zero leisurephysical activity
  15. 15. Tobacco Use According to the Oregon Health Authority (CurryCounty Tobacco Fact Sheet 2011), over 21 percentof deaths, or 65 deaths annually, are linked totobacco use. 3,302 Curry adults regularly smokecigarettes and 1,261 suffer from a serious illnesscaused by tobacco use.
  16. 16. Preventative Health ScreeningsInfluenza Vaccination Rates among Health Care Workers,Oregon, 2008 (Oregon BRFSS)In past 12monthsPersons who workin a health care facilityPersons with directpatient contactFlu shotreceived51.9% 49.4%FluMistreceived1 .0% 1.3% Immunizations- 41% Pneumonia and Flu Shots In 2011, Curry child immunization rates were 12% belowthe state average at a rate of 67.7% and 14.3% below thenational average. Cholesterol and Colon Cancer Screening- 50% and 62% Pap Smears and Mammograms- NA and 64% Medicare Diabetic- 86% Medicare
  17. 17. Maternal and Child HealthBirth OutcomesPrenatal CareAdverse Childhood ExperiencesInsurance and Family Supports
  18. 18. Maternal and Child Health Stats Curry averages 180 live births annually Average of 7 LBW babies born annually In 2009, 115 of 180 (63%) of pregnant womenaccessed 1st trimester care. In 2010, 172 of 180(95.6%) women received prenatal care in Curry. June 2009 - September 2011, Oregon Healthy Kidsenrollment increased from 1,115 to 1,648 children,(48% of Curry’s children) Low-income children = 1,961 2010, Curry WIC served 53% of pregnant womenand 410 families, 64% from working families
  19. 19. Adverse Child Experience (ACE) Childhood abuse, physical and emotional neglect,and family dysfunction
  20. 20. Curry County ACEsHarm Referrals 23.3% related to domestic violence 55.8% were related to substance abuseFoster Care Approximately 3% or 89 of 3,296 children were in fostercare in Curry during 2011Victims by Age5 years and younger6 to 12 years13+ yearsSource of HarmDomestic ViolenceSubstance AbuseOther
  21. 21. Morbidity and Chronic DiseaseMental and Physical StateHeart DiseaseHypertensionBlood CholesterolArthritisDiabetesAsthma
  22. 22. Chronic Disease Prevalence, 2008-2011 (*Heartdisease includes angina, heart attack, and stroke)05101520253035High Cholesterol Arthritis High BloodPressureAsthma Diabetes Heart Disease*Curry CountyOregon
  23. 23. Chronic Disease Stats 18.6% of Curry County residents reported fair orpoor health The prevalence of heart attack and angina in CurryCounty is higher than Oregon’s but has decreasedsince 2004 (6%, 2009) >45 jumps to 12% High blood pressure decreased in Curry Countyfrom 35% to 25.8% from 2004-2009 High blood cholesterol has risen 27% to 33%
  24. 24.  2006-2009 arthritis prevalence increased from 27.2%to 34.1%
  25. 25. MortalityLeading Causes of DeathHealthy People 2020Age and Manner of DeathYears of Potential Life Lost (YPLL)
  26. 26. Leading Causes of Death (2005-2009): Crude Death Rates per 100,000Source: Oregon Department of Human Services and Oregon Office of Rural HealthBrookings Gold Beach Port Orford Curry County OregonCancer 420.2 397.7 436.1 425.1 191.4Heart Disease 391.0 445.8 383.8 397.6 169.4Chronic LowerRespiratory Disease96.3 107.3 104.7 101.5 48.8CerebrovascularDisease (Stroke)99.2 87.4 61.1 91.1 51.2Unintended Injuries 61.3 39.3 95.9 63.6 41.0Diabetes 43.8 78.7 61.1 54.1 28.4Alzheimer’s 67.1 21.9 34.9 52.2 32.0Suicide 35.0 21.9 69.8 35.1 15.3Alcohol Induced 20.4 30.6 52.3 25.6 13.8Flu and Pneumonia 29.2 13.1 17.4 24.7 13.5
  27. 27. 050100150200250300350400450CerebrovascularDiseaseHeart Disease CancerHealthy People 2020 Oregon Curry CountyCrude Death Rates per 100,000 utilized by Healthy People 2020Oregon and Curry 2005-2009 data
  28. 28. Age and Manner of Death110100100010000100000CrudeDeath(logarithmicscale)AgeCrude Death Trends by Age, 2011OregonCurry
  29. 29. Premature Death Fatalities under 55 years of age are attributable tounintentional injuries, suicides, and alcohol-induced death Top 3 Oregon Injuries: (#1 cause of death for <45)1. Falls2. Poisonings3. Motor Vehicle Crash Fatalities Curry County is similar to Oregon regardingmanner, age, and mechanism of death. Differs inrates of death. Suicide a concern in Curry County.(Oregon Injury and Violence Prevention Program, 2011)
  30. 30.  In 2009, there were 10 violent deaths reported for CurryCounty, all of which were suicides.Suicide Death Rates per 100,000 by Age and Sex,Oregon, 2011
  31. 31.  Unintentional injuries are #1 cause of death for persons aged1-44 years in Oregon In 2011, there were 18 deathsAverage Unintentional Poisoning Mortality by Age andSex, Oregon, 2011
  32. 32.  HIV rate of 0.5 per 1000 in 2010 In 2011, the incidence of Gonorrhea was 4.7 per 100,000in Curry County, while the incidence of Chlamydiasignificantly higher, 156 per 100,000. 3 cases of Hepatitis BOregon STD 10 Year Trends
  33. 33. Health CareOHP CoverageDental CoverageProvider SupplyHospitalsPreventable HospitalizationsUnmet Healthcare Needs
  34. 34. Insurance StatusCurrent Month Eligible Clients , August 2011Health Plan Plus:TANF, PLMC, AB/AD,GA, OAA, CHIP, ChildProtective Services,PLMWHealth PlanStandard:Adults/Couples andFamiliesMedical AssistanceOther: CAWEM,QMB, BCCPTotal MedicalAssistance ProgramsCurry County 2,769 471 233 3,473Oregon 526,577 66,782 44,709 638,068 23% of Curry residents uninsured in 2012 16.5% of residents eligible for OHP in 2011 In 2012, there were 587 dually enrolledindividuals in Medicare and Medicaid Ready to Smile estimated value of servicesprovided is $135,945 between September 2011and May 2012
  35. 35. County Docs and Practitioners by CountyCurry County, Oregon 2012 Licensure Data, Oregon Office of Rural HealthCertified Nurse Anesthetists 1Family Practitioner 6.8General Practitioner 0.8Internists 5.2Nurse Practitioners 11Obstetricians/Gynecologists 1.6Pediatricians 0PAs 3Certified Nurse Midwives 1Dental Hygienists 8Dentists 11Psychiatrists 1.7RNs 76General Surgeons 0Other Surgeons 1
  36. 36. Health Care Provider Type Curry CountyNumbersCurry County Ratio Oregon RatioPrimary Care Physicians 12 1:2124 1:984Emergency Physicians 0 1:5820General Surgeons 0 1:10418Obstetricians/Gynecologists 1 1:10918 1:3386Physician Assistants 2 1:10670 1:4165Registered Nurses 87 1:245 1:107Nurse Practitioners 12 1:1778 1:1956Nurse Anesthetists-CRNA 1 1:21340 1:12451Pharmacists 4 1:5335 1:1716Psychiatrists 3 1:7113 1:6437Physical Therapists 11 1:1940 1:1593Dieticians 1 1:21340 1:1614Dental Hygienists 9 1:2371 1:1614Dentists 12 1:2041 1:2360 Provider Ratios 2009-2011 Oregon Office of Rural Health (Combined data)Sutter numbers not included
  37. 37.  Curry County Hospitalizations in Oregon and California, 2010Hospital NameCurryResidentsBrookings/HarborCurry General 712 314Sutter Coast 605 593Rogue Valley 382 313Bay Area 335 70Sacred Heart - Riverbend 113 30Oregon Health Sciences 80 41Southern Coos General 75 0Three Rivers 48 41All other Oregon 111 76All other California 92 81Total Oregon and CaliforniaHospitalizations2,553 1,559
  38. 38. Diagnosis Rollup Conditions or Diseases %Live Born 9.5Pneumonia (except that caused by tuberculosis or sexually transmitteddisease) 6.3Septicemia (except in labor) 5.1Congestive heart failure; non-hypertensive 4.1Prolonged pregnancy 2.7Urinary tract infections 2.7Gastrointestinal hemorrhage 2.7Cardiac dysrhythmias 2.3Alcohol-related mental disorders 2.1Acute cerebrovascular disease 1.9Pancreatic disorders (not diabetes) 1.9Nonspecific chest pain 1.8Asthma 1.6Deficiency and other anemia 1.6Skin and subcutaneous tissue infections 1.5Curry Resident Conditions Seen at Curry Generaland Sutter Coast, 2010 Source: Hospital Discharge Dataset, 2010
  39. 39.  ACSC ratio <1.00 area has lower preventable hospitalizationrate than the state as a whole; = 1.00 equals the states rate; > 1.00 above average hospitalization for preventableconditions. The mean ACSC Ratio for rural service areas is 1.27. Theservice areas with the largest ratios compared to the state are: 1. Warm Springs 4.81 2. Gold Beach 2.41 3. Reedsport 2.26 4. Lakeview 2.12 5. Coos Bay 2.04 6. Wallowa/Enterprise 2.00 7. Bandon 1.95 8. Coquille/Myrtle Point 1.94 9. Elgin 1.88Preventable Hospitalizations2012 Unmet Health Care Need in Rural Oregon Report, ORH
  40. 40. Substance Abuse and MentalHealthDependenceMotor Vehicle InjuriesSubstance Induced DeathPsychological Stress, YouthMental Health Service Data
  41. 41. 020040060080010001200140012-17 years 18-25 years 26 or olderEstimated # of Persons with Alcohol Dependence by Age,Curry County (National Survey on Drug Use and Health)2008-2010
  42. 42. 05010015020025030035012-17 years 18-25 years 26 or olderEstimated # of Persons with Drug Abuse and Dependence byAge, Curry County (National Survey on Drug Use and Health)2008-2010
  43. 43. Conclusion & Intervention• Curry County #1 for naturalenvironment.• education• unemployment• child poverty• immunizations• health care access, quality, &workforce• tobacco use• obesity• substance abuse• premature death rates• High blood cholesterol,arthritis, asthma, and suicideare on the rise

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