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Page 1: 2018 DATA BOOK - Kansas Health Foundation · 2018-07-18 · INTRODUCTION Kansas Health Foundation 2018 Data Book Page 4 We literally have millions of facts at our fingertips when

2018 DATA BOOK

Page 2: 2018 DATA BOOK - Kansas Health Foundation · 2018-07-18 · INTRODUCTION Kansas Health Foundation 2018 Data Book Page 4 We literally have millions of facts at our fingertips when

Kansas Health Foundation 2018 Data Book Page 2

Publication Team:

Ashley Booker, associate communication officer

Kristi Zukovich, vice president for communication and policy

Chase Willhite, associate vice president for communication

Graphic design by Tamra Merritt.

Special thanks to Pratik Pandya, Kansas Department of Health and Environment advanced epidemiologist.

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Kansas Health Foundation 2018 Data Book Page 3

TABLE OF CONTENTS

INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ACCESS TO CARE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Medical Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Dental Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

Behavioral Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

HEALTHY BEHAVIORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Tobacco Use Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Healthy Eating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

Physical Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

EDUCATIONAL ATTAINMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

CIVIC AND COMMUNITY ENGAGEMENT . . . . . . . . . . . . . . . . . . . . . . . .44

Page 4: 2018 DATA BOOK - Kansas Health Foundation · 2018-07-18 · INTRODUCTION Kansas Health Foundation 2018 Data Book Page 4 We literally have millions of facts at our fingertips when

INTRODUCTION

Kansas Health Foundation 2018 Data Book Page 4

We literally have millions of facts at our fingertips when we search the internet. And, the likelihood that we would all land on the same data point is slim. With health data, the key is finding credible, relevant, timely information that helps to convey the appropriate message. Many times it’s a struggle to determine just what to use—too little information doesn’t help provide a compelling case or describe the problem. But, using too much information can be overwhelming, confusing or the reader may just lose interest.

Data plays a key role in defining the problem or opportunity, and is one of the first steps to making change happen. Too often, rather than spending time defining the problem, people want to jump to the “fun part” of creating solutions and rush to implementation. This doesn’t always result in success as solutions may not be tied to a problem or audience, and then change doesn’t occur. Or sometimes the solutions appear to be “searching for a problem that doesn’t exist.”

At KHF, we want to be as clear as possible about the health challenges and opportunities in Kansas and how we are working toward change. So, we’ve sifted through millions (ok, maybe thousands) of pieces of public data to identify key metrics that help provide a big picture view of the health needs in our four impact areas: •AccesstoCare •HealthyBehaviors •EducationalAttainment •CivicandCommunityEngagement

This KHF Data Book is designed to present public health data–from credible, reliable public sources like America’s Health Rankings, KIDS COUNT, Centers for Disease Control and Prevention, and the Kansas Department of Health and Environment–in a timely, visual manner. These are things you could find on the internet, without having to do the searching. We want to keep it simple enough to make it understandable and interesting, but not too complex to make it unusable or confusing. And, we’ve actually used pictures and graphics whenever possible!

“Having all the information in the world at our fingertips doesn’t make it easier to communicate: it makes it harder.” - Cole Nussbaumer Knaflic, Storytelling with Data

“Numbers have an important story to tell. They rely on you to give them a clear and convincing voice.” - Anonymous

“Measurementis fabulous. Unless

you’re busy measuring what’s easy to measure as opposed to what’s

important.”- Seth Godin

Access to Care Healthy Behaviors Educational Attainment Civic and Community Engagement

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Kansas Health Foundation 2018 Data Book Page 5

We all know that data serves many purposes. The KHF Data Book is intended to provide a relevant snapshot to describe and communicate health challenges we face in Kansas. We have included “subsets” of data related to race, income, zip code and education level, because we know these factors can all influence health outcomes. The KHF Data Book is not intended to provide scientific data related to specific initiatives. For those purposes, information from the data sources we are using (Behavioral Risk Factor Surveillance System, Youth Risk Behavior Survey, American Community Survey, etc.) is often compiled over a period of time and evaluated differently We are simply providing a “capture” of these data points from their most recent annual numbers; the numbers you would find in publicly available data for our Kansas communities or at-risk populations.

We hope this KHF Data Book will help bring greater awareness to you and others. We hope we’ve piqued your interest, given you new insight about our state or even shocked you a little about some of the facts. If this data can help us to tell a compelling story for change, we have taken the first steps to improve the health of all Kansans.

“If an insight isn’t understood and isn’t compelling, no one will act on it and no change will occur.” - Anonymous

KANSASPOPULATION2,913,123

24.6%

Under 18

15.0%65+

Kansas PopulationUnder 18 and65+

Kansas Population by Race/Ethnicity

WhiteAfrican-AmericanHispanicAsian

86.6%

6.2%

11.6%

3%

Source: U.S. Census Bureau, 2016 Source: U.S. Census Bureau, 2016

Source: U.S. Census Bureau, 2016 Source: United States Census Bureau, 2017 population estimates

Kansas Median Household Income

$53,571

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ACCESS TO HEALTH CARE

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Kansas Health Foundation 2018 Data Book Page 7

15.9% 12.9%Approximately 1 in 6 Kansas adults age 18 to 64 lack health care coverage.

Approximately 1 in 8 Kansas adults age 18 and older lack health care coverage.

Source: 2016 Kansas Behavioral Risk Factor Surveillance System (KS BRFSS)

low-income Kansans fall into a health coverage gap. Source: Alliance for a Healthy Kansas, 2017

ACCESS TO MEDICAL CARE

More than

150,000% of adults age 18-64 who lack health care coverage:

% of adults age 18 and older who lack health care coverage:

41.6%

37.1%

10.6%

22.3%

Less than $15,000$15,000 to $24,999$25,000 to $34,999$35,000 to $49,999$50,000+

Source: 2016 KS BRFSS

4%

34.9%

28.7%

8.3%

17%

3.6%

UNINSURED KANSANS:

UNINSURED KANSANS: INCOME

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Kansas Health Foundation 2018 Data Book Page 8

% of adults age 18-64 who lack health care coverage:

% of adults age 18 and older who lack health care coverage:

Source: 2016 KS BRFSSPrevalence estimates for race and ethnicity were age-adjusted to the U.S. 2000 standard population.

11.2%

24.9%

43.8%

14.4%

White, non-HispanicAfrican-American, non-HispanicOther/Multi-race, non-HispanicHispanic

9.5%

20.9%

36.6%

12.2%

4.7%127

3.9%231

4.5%56

4.0%84

5.0%141

4.2%330

5.4%136

5.1%147

5.8%146

3.8%94

3.1%166

4.9%264

4.5%229

3.2%928

3.4%104 3.7%

9922.7%264

3.0%1880

4.0%298

4.1%230

2.9%673

2.4%860

3.0%15360

2.9%998

1.4%410

3.2%1747

3.6%209

4.3%384

4.9%282 5.3%

292

3.6%674

7.3%877 3.4%

92

3.0%1015

3.0%235

4.0%390

1.7%1264

2.9%683

2.7%185

3.4%340

3.0%287 2.3%

180

2.8%463

3.2%614

4.0%4790

4.7%27713

3.5%5735

2.0%1586

1.4%466

3.7%204

3.0%2003

4.2%256

5.0%126

3.6%122

2.5%800

3.1%266

4.8%150

4.0%327

2.7%215

3.6%347

3.3%1091

3.5%903

2.7%432

2.5%4448

2.5%330

3.9%493

3.7%540

3.5%567 2.3%

879

2.4%480

1.9%384

3.9%268

6.3%229

5.5%200

5.7%162

5.4%332

5.2%159

4.1%262

3.7%250

4.1%120

4.0%167

3.5%88

4.2%76

4.0%184

3.8%359

6.1%160

4.3%125

7.1%110

3.2%159

3.0%1129

2.9%117

2.4%542

2.6%112

2.5%51

3.3%196 2.2%

754

6.1%112

3.3%95

2.8%75

4.0%82

2.6%72

2.0%110

2.8%210

3.6%144

4.4%67

Source:KansasHealthInstitute(KHI),2018

2.1-3.0%0.0-2.0% 3.1%-4.0% 4.1%-5.0% 5.1% and abovePercent of Population EnrolledCounty Name% of Population EnrolledNumber Enrolled

UNINSURED KANSANS: RACE/ETHNICITY

2018 Marketplace Enrollment by County

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Kansas Health Foundation 2018 Data Book Page 9

DID YOU KNOW?

Adults

(75.3%) uninsured adult Kansans age 19–64 are working. Source: KHI, 2018 Annual Insurance Update (2016 data)

of Kansas adults have not seen a doctor for a routine checkup in the past year. Source: 2016 KS BRFSS

In 2016, young Kansas adults age 19-25 were more likely to be without insurance than other people their age around the country.Prior to 2014, young adults in Kansas were less likely to be uninsured compared to their peers nationally. Source: KHI, Sept. 2017

32.7%3 out of 4

15.7%Kansas

14.1%U.S.

More than

ChildrenFrom 2011 to 2014, children in Kansas were less likely to be uninsured than those in the country as a whole, but children in other states have made larger gains in insurance coverage since that time. Source: KHI, Sept. 2017

In 2016, 4.3% of Kansas children age 0-17 were uninsured, compared to 4.5% in the U.S.

4.3%Kansas

4.5%U.S.

Uninsured rates of young adults age 19-25

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Kansas Health Foundation 2018 Data Book Page 10

Implementation of ACAInsurance Expansions

9% 20% 10%

16% 13% 7%

12% 13%

13% 9% 12%

18% 12% 15%

13%

11% 12% 6%

10% 14% 12% 11%

18% 11% 9% 12%8%

16%

14%

14%

13%8% 7% 14% 13%

7%

12%

12%

17%

14%

5%13%

18%

15%

15%

13%

11% 8% 13%

6% 12%

14% 9%13%

9% 14% 17%

N/A

10% 14%

N/A

N/A

11%

15%N/A

13% 13%

16%8%

13%

13%10%

13%

11%12%

15%

16%

16%

9%10%

15%N/A

9%

10%N/A

N/A

N/A

N/A

N/A

N/A

14% 15% 15% N/A 8%

13%

14% 11% 12%

8% 11% 17%

8% 16% 15%

Primary Medical Care Health Professional Shortage Areas

Other Facts

There are 1,320 people per primary care physician in Kansas. The U.S. ratio is also 1,320:1. Source: 2018 County Health Rankings & Roadmaps (2015 data)

1,320: 1,320:Kansas U.S.

Source:KansasDepartmentofHealthandEnvironment(KDHE),March2018HPSAsarescoredonascaleof0-25forprimarycare,withhigherscoresindicatinggreaterneed.

CountieswithGeographicPrimaryCareHPSADesignation

Counties with Primary Care HPSA Score of 15 or higher

Counties with Primary Care HPSA Score of 14 or lower

Counties Submitted for Score Update Pending, HRSA Approval

Counties not eligible for Primary Care HPSA Designation

Countiespropsedforwithdrawals

DID YOU KNOW?

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Kansas Health Foundation 2018 Data Book Page 11

ACCESS TO DENTAL CARE

32.7% or nearly 1 in 3 adults, do not have dental insurance. Source: 2015 KS BRFSS

Education

Less than high schoolHigh school or G.E.D.Some post high schoolCollege graduate

Source: 2015 KS BRFSSPrevalence estimates for race and ethnicity were age-adjusted to the U.S. 2000 standard population.

58.1%

38.5%

30.6%

20.9%

Race/Ethnicity

White, non-HispanicAfrican-American, non-HispanicOther/Multi, non-HispanicHispanic

28.0%

29.9%

33.1%

50.3%

Income

Less than $15,000$15,000 to $24,999$25,000 to $34,999$35,000 to $49,999$50,000+

67.5%

52.4%

41.8%

32.1%

16.4%

% of Kansas Adults Without Dental Insurance

of Kansans who haven’t visited a dentist in the last year say cost is the main reason they don’t visit the doctor more frequently. Inconvenient location or time was the second biggest reason (26%).

Source: American Dental Association Health Policy Institute, 2015

63% oflow-incomeindividuals71%

indicated cost was their biggest barrier to care.

UNINSURED KANSANS:

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DID YOU KNOW?

Children

of children had a preventative dental visit in the past year. Source: Child and Adolescent Health Measurement Initiative (CAHMI), Data Resource Center for Child and Adolescent Health, 2016 National Survey of Children’s Health (NSCH)

26% of Kansas dentists participated in Medicaid for child Dental Services in 2014.

of third grade students have caries experience (treated or untreated tooth decay).

Source: American Dental Association Health Policy Institute, 2015 (2014 data)

or525,360children76.3%

48.4%

26%Kansas dentists 42%

National average

have dental sealants on at least one permanent molar tooth.

Source: Centers for Disease Control and Prevention, National Oral Health Surveillance System, 2011-2012

Source: Kansas Health Matters, 2016-2017

of thirdgradestudents

of screened K-12th grade students have obvious dental decay.

35.7%

16.5%

reported visits to Kansas emergency departments for dental pain. Source: Kansas Hospital Association

dentists with active licenses in Kansas. Source: Kansas Dental Board, 2017

18,900 1,960In 2015, there were There areOther Facts

453 don’t practicein Kansas

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Kansas Health Foundation 2018 Data Book Page 13

There are 1,760 people per dentist in Kansas. The U.S. ratio is 1,480:1. Source: 2018 County Health Rankings & Roadmaps (2016 data)

1,760: 1,480:Kansas U.S.

15% 15% 9%

15% 12% 5%

6% N/A

5% N/A N/A

6% 7% N/A

15%

8% 13% 11%

7% 12% 8% 7%

5% 15% 7% 15%N/A

9%

7%

13%

5%16% 9% 12% N/A

8%

15%

13%

17%

14%

12%9%

19%

12%

13%

9%

11% 12% 14%

9% 9%

17% 17%19%

17% 13% 17%

16%

15% 10%

N/A

N/A

10%

14%N/A

12% 10%

15%13%

19%

15%15%

N/A

12%5%

14%

9%

5%

13%14%

N/AN/A

9%

12%N/A

N/A

14%

8%

12%

N/A

8% 11% 7% N/A 14%

14%

11% N/A 5%

4% 11% 12%

10% N/A 15%

Dental Health Professional Shortage Areas

Source:KDHE,March2018HPSAsarescoredonascaleof0-26fordentalhealth,withhigherscoresindicatinggreaterneed.

CountieswithGeographicDentalHPSADesignation

Counties with Dental HPSA Score of 15 or higher

Counties with Dental HPSA Score of 14 or lower

Counties not eligible for Dental HPSA Designation

Countiespropsedforwithdrawals

DID YOU KNOW?

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Kansas Health Foundation 2018 Data Book Page 14

MENTAL HEALTH & THE UNINSURED

ACCESS TO BEHAVIORAL HEALTH CARE

18.2%of Kansas adults (or 387,000 people) experience mental health problems every year.

Source: Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Behavioral Health Statistics and Quality, 2015-2016 National Survey on Drug Use and Health

people living in Kansas receive mental health services in a community setting, and just less than one of every 1,000 people receive treatment in state hospitals. Source: KHI, Oct. 2017

46 of every 1,000Roughly

On average,

of adults with Any Mental Illness did not receive treatment. Source: 2018 Mental Health America Report (2013-2015 data)

or193,000adults53.7%

or 18.5% of adults with mental illness are uninsured. Source: 2018 Mental Health America Report (2013-2015 data)

66,000 of consumers treated by community mental health centers in Kansas are uninsured (53%). Source: Kansas Mental Health Coalition, 2018

More than 50%

Uninsured Insured

INCOME:

70%of individuals served by community mental health centers have incomes of less than $20,000. Source: Kansas Mental Health Coalition, 2018

Nearly

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DID YOU KNOW?

Children

have been diagnosed with autism, developmental delays, depression or anxiety, ADD/ADHD, or behavioral/conduct problems. Source: Kansas State Department of Education (KSDE) Kansas Technical Assistance System Network (TASN), “Kansas Well-Being data: Implications for School Mental Health,” July 2017 (2011-2012 data)

children and adolescents (under 18) were served in Kansas’ public mental health system in 2015. Source: SAMHSA, Behavioral Health Barometer Kansas, Volume 4

Source: 2018 Mental Health America Report (2015 data)

Source: KIDS COUNT Data Center, 2016

16%

37,451

of Kansas children age 2-17

A little more than5 out of every 1,000 students have been identified as having an Emotional Disturbance for an Individualized Education Program.

A little more than5 out of every 1,000 children and adolescents (under 18) have received a mental health diagnosis.

31%1 or more

1 or more

2 or more

45.2%

21.7% Age 0-5 who experience 1 or more (ACEs)

ACEs include a range of experiences, like stressful family situations, abuse or neglect that can impact children’s brain development and physical, social, mental, emotional and behavioral health and wellbeing.

Age 0-17 who experience 1 or more (ACEs)

Age 0-17 who experience 2 or more (ACEs)

Source: Johns Hopkins Bloomberg School of Public Health issue brief, Oct. 2017

Kansaschildren

andadolescents

age 0-17

Kansaschildrenage 0-5

% of children and adolescents who experience Adverse Childhood Experiences (ACEs) • ACEsandschoolperformance: Students with ACEs are 2.5 times more likely to fail a grade, are suspended or expelled more often, have lower test scores, experience language difficulties and are more frequently designated to special education.

Source: KSDE TASN, School Mental Health Initiative

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Kansans received mental health services in communities.

Kansans received mental health services through state institutions.

133,247 2,406In 2016 In 2016

Number of Consumers Served by the Mental Health System:

Nearly 46 out of every 1,000 Kansans were served by Community Mental Health Programs. Comparatively:22 out of every 1,000 Americans were served by Community Mental Health Programs.

Source: SAMHSA, Kansas 2016 Mental Health National Outcome Measures

Nearly 1 (0.83) out of every 1,000 Kansans received mental health services through state hospitals. Comparatively:Nearly 1 (0.41) out of every 1,000 Americans received mental health services through state hospitals.

CommunityMental Health

Programs State

Hospitals

46 out of 1,000

Kansans

1 (0.83) out of 1,000

Kansans

22 out of 1,000

Americans

1 (0.41) out of 1,000

Americans

Community Mental Health Programs State Hospitals

DID YOU KNOW?

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Page 17

licensed and board-certified psychiatrists. 230 70%

30%Kansas has an estimated

Mental Health Providers:

Source: Association of Community Mental Health Centers (CMHCs) of Kansas, 2017

A psychiatrist in Frontier Kansas covers approximately 5,000 lives in their 683 square-mile coverage area, whereas a psychiatrist in an urban area covers approximately 900 lives within 1 square mile. Source: Compass Behavioral Health, 2017

of these psychiatrists are in Johnson, Douglas, Wyandotte, Shawnee and Riley counties. are over age 65.

11% 11% 11%

11% 11% 11%

11% 11%

17% 17% 17%

17% 17% 17%

17%

17% 17% 17%

17% 17% 17% 17%

17% 11% 11% 16%16%

15%

15%

11%

11%11% 11% 11% 15%

15%

13%

13%

N/A

N/A

14%16%

16%

16%

13%

13%

16% 18% 18%

18% 18%

13% 18%17%

13% 14% 14%

18%

17% 16%

N/A

14%

16%

N/A13%

15% 15%

11%11%

11%

11%15%

16%

16%17%

17%

15%

15%

15%15%

11%7%

15%

15%17%

17%

15%

15%

16%

11%

15% 15% 15% 14% 18%

11%

11% 11% 11%

11% 11% 11%

11% 11% 11%

Mental Health Professional Shortage Areas

Kansas Health Foundation 2018 Data Book

Source:KDHE,March2018HPSAsarescoredonascaleof0-25formentalhealth,withhigherscoresindicatinggreaterneed.

CountieswithGeographicDentalHPSADesignation

Counties with Mental Health HPSA Score of 15 or higher

Counties with Mental Health HPSA Score of 14 or lower

Counties not eligible for Mental Health HPSA Designation

Countiespropsedforwithdrawals

DID YOU KNOW?

There are 560 people per mental health provider in Kansas. The U.S. ratio is 470:1. Source: 2018 County Health Rankings & Roadmaps (2017 data)

560: 470:Kansas U.S.

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Kansas Health Foundation 2018 Data Book Page 18

Riverton

Pittsburg

Ottawa

ParsonsIndependence

21

4

6

Lawrence

2

Topeka

25 7 Mission

Wyandotte

12

Leavenworth

24

Hiawatha

13

Manhattan16

Salina

3

Hays

9

Great Bend

23

Greensburg

11

Garden City

1

Liberal

20

Hutchinson

10El Dorado

18

Emporia

15

Wellington

22

Wichita5

Newton

17

26

14

Iola

19

8

Community Mental Health Centers of Kansas

Source:AssociationofCMHCsofKansas,Inc.

Locations of Community Mental Health Centers

Southeast Kansas Mental Health Centerwww.sekmhcenter.org

Southwest Guidance Centerwww.sewardcountyks.org/154/Southwest-Guidance-Center

Spring River Mental Health & Wellnesswww.springrivermh.org/

Sumner Mental Health Center www.sumnermentalhealth.org

The Center for Counseling and Consultationwww.thecentergb.org

The Guidance Center Inc.www.theguidance-ctr.org

Valeo Behavioral Health Carewww.valeotopeka.org/

Wyandot Center for Community Behavioral Healthwww.wyandotcenter.org

19

20

21

22

23

24

25

26

Compass Behavioral Healthwww.compassbh.org

Bert Nash Community Mental Health Centerwww.bertnash.org

Central Kansas Mental Health Centerwww.ckmhc.org

Crawford County Mental Health Center www.crawfordmentalhealth.org

COMCARE of Sedgwick Countywww.sedgwickcounty.org/comcare

Elizabeth Layton Center, Inc.www.laytoncenter.org

Family Service & Guidance Centerwww.fsgctopeka.com

Four County Mental Health Centerwww.fourcounty.com

High Plains Mental Health Centerwww.highplainsmentalhealth.com

1

2

3

4

5

6

7

8

9

Horizons Mental Health Centerwww.hmhc.com

Iroquois Center for HumanDevelopment Inc.www.irqcenter.com

Johnson County Mental Health Centerwww.jocogov.org/dept/mental-health/home

KANZA Mental Health & Guidance Centerwww.kanzamhgc.org

Labette Center for Mental Health Serviceswww.lcmhs.com

Crosswinds Counseling & Wellnesswww.crosswindsks.org

Pawnee Mental Health Serviceswww.pawnee.org

Prairie View Inc.www.prairieview.org

Sounth Central Mental HealthCounseling Centerwww.scmhcc.org

10

11

12

13

14

15

16

17

18

MainCenterss

DID YOU KNOW?

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Policy:

Source: Kansas Mental Health Coalition, 2018

In Kansas, untreated mental illness is associated with an estimated

costing the private sector, including employers, nearly

128$429 million

per year.

21,000 29,000suicides incarcerations unemployed adults

DID YOU KNOW?

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HEALTHY BEHAVIORS

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TOBACCO USE PREVENTION

These individuals reported smoking at least 100 cigarettes in their lifetime and currently smoke every day or some days. Kansas ranks 26th against other states in this measure. Source: America’s Health Rankings, 2017 Annual Report

Adults who currently use smokeless tobacco products, which include things like chewing tobacco, snuff or snus (Swedish for snuff), some days or every day. Source: 2016 KS BRFSS

Source: 2016 KS BRFSS

Smoking status of adult Kansans

ADULTS

Kansas Health Foundation 2018 Data Book Page 21

Approximately1 in 6

Source: 2016 KS BRFSS

Current-every day/some days

FormerNever

75.9%

19.2%

4.9%

High school students who currently smoke cigarettes. Source: 2017 Kansas Youth Risk Behavior Survey (KS YRBS)

High school students who use smokeless tobacco products. Source: 2017 KS YRBS

6th, 8th, 10th, and 12th graders who have used cigarettes or smokeless tobacco in the past 30 days. Source: KIDS COUNT Data Center, 2017

YOUTH(16,400)Smoke

Cigarettes

Have Used Cigarettes or

Smokeless TobaccoIn Past 30 Days

7.2%5.3% 5.5%

Use Smokeless

Tobacco Products

Never smokedFormer smokersSmoke some daysSmoke every day

E-cigarette use of adult Kansans:

58.7%4.7%

12.5%

24.1%

17.2%

Kansas adults whosmoke cigarettes

17.1%National average

Kansas adults who currentlyuse smokeless

tobacco products

5.9%Approximately

1 in 17

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Race/Ethnicity

Race/Ethnicity

Education

Education

Income

Income

% of Kansas Adults Who Currently Smoke Cigarettes Some Days or Every Day

% of Kansas Adults Who Currently Use Smokeless Tobacco Products Some Days or Every Day

Kansas Health Foundation 2018 Data Book Page 22

17.6%

24.5%

24%

14.9%

White, non-HispanicAfrican-American, non-HispanicOther/multi, non-HispanicHispanic

7.2%

2.2%

6.9%

2%

White, non-HispanicAfrican-American, non-HispanicOther/multi, non-HispanicHispanic

Less than high schoolHigh school graduate or G.E.D.Some collegeCollege graduate

Less than $15,000$15,000 to $24,999$25,000 to $34,999$35,000 to $49,999$50,000 or more

Source: 2016 KS BRFSS Prevalance estimates for race and ethnicity were age-adjusted to the U.S. 2000 standard population.

Source: 2016 KS BRFSS Prevalance estimates for race and ethnicity were age-adjusted to the U.S. 2000 standard population.

30%

23.9%

16.7%

6.8%

Less than high schoolHigh school graduate or G.E.D.Some collegeCollege graduate

5.7%

8.3%

6.5%

3%

36.7%

25.7%

20.5%

17.8%

10.8%

Less than $15,000$15,000 to $24,999$25,000 to $34,999$35,000 to $49,999$50,000 or more

5.6%

4.5%

8.3%

5.9%

6.6%

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% of Current Adult Smokers by County

Kansas Health Foundation 2018 Data Book Page 23

14% 14% 15%

15%

15%

16%16%

16% 16%

16%

16% 16%

16%

16% 16%

17%

14%

14%

14%

14%

14% 16%

15%

15%15%

15%

17%16%

16%

15%15%

17%

17%

14%

14%

16%14%

14%

14%

16%

16%

15%

15%

15%

15%

13%

13%16%

16%

17%

17%

17% 17%

13%

17%

17%

15%

15%

15%

14%

16%

15%

14%14%16%

16% 16%

16%

17%

15%

15% 12%

16%

16%

16%

16% 16%

16%

16%

18%

18%

19%

19%

18%

17%

17%18%

18%

19%

23%

20%

17%

19%

19%

19% 21%

19% 19%

20%

20%

17%

15%

15%

17%

17%

4,400Effects of smoking cigarettes:

adults die each year from smoking-related illness. Source: Campaign for Tobacco-Free Kids, 2017 (2014 data)

Source: Kansas Tobacco Control Strategic Plan 2016-2020 (2013 data)

Kansas tobacco use and mental distress:

Current smoking adults with Serious Psychological Distress (SPD)Current smoking adults with no Serious Psychological Distress (SPD)Current smoking adults with Frequent Mental Distress (FMD)Current smoking adults with no Frequent Mental Distress (FMD)

43.2%

16.2%

36.1%

18.7%

Source:2018CountyHealthRankings&Roadmaps(2016data)

Missing 12%-13% 14%-15% 16%-17% 18%-19% 20%-21% 22%-23%

DID YOU KNOW?

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Kansas Health Foundation 2018 Data Book Page 24

Tobacco Use & Obesity:Current adult cigarette smokers:

15.3%

16.3%

20.7%

Current adult smokeless tabacco product users:

Report being obese (BMI of 30 or above)Report being overweight (BMI 25 up to 30)Report being normal weight (BMI less than 25)

6.7%

7.2%

5.2%

Source: 2016 KS BRFSS

High school students:

Currently smoke cigarettes, cigars or smokeless tobacco at least one day in the past 30 daysCurrently smoke cigars, cigarillos, or little cigars on at leastone day in the past 30 daysCurrently smoke cigarettes or cigars

12.7%

7.6%

10.6%

Source: 2017 KS YRBS

Middle school students:

Currently use a tobacco product, including e-cigarettesCurrently use smokeless tobacco productsCurrently use cigarettesHave used a tobacco product, including e-cigarettes

4.3%

1.2%

1.2%

Source: 2013/2014 Kansas Youth Tobacco Survey (KS YTS)

14.9%

1,500 14.6%kids under 18 become newdaily smokers each year. Source: Campaign for Tobacco-Free Kids, 2017 (2016 data)”

of children live in households where someone uses tobacco. Source: CAHMI, Data Resource Center for Child and Adolescent Health, 2016 NSCH

Youth & Tobacco Use:

DID YOU KNOW?

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Kansas Health Foundation 2018 Data Book Page 25

$1.12 billion:

$1.29

10.2%

$237.4 million:

4,134 25.4% of all deaths

Annual health care costs directly caused by smoking.

State tax per 20-pack, effective July 2015. Source: Campaign for Tobacco-Free Kids, 2018

of mothers (3,878) report smoking during pregnancy.

All other tobacco products are taxed 10% of the wholesale price.A $0.05 tax per milliliter of consumable material in electronic cigarettes began on July 1, 2017. Source: Kansas Department of Revenue, 2017 Annual Report, and Campaign for Tobacco-Free Kids, 2018

Source: Kansas Department of Revenue, 2017 Annual Report, and KDOR staff.

The average cost per pack of 20 cigarettes in Kansas is $5.89, which includes the $1.01 federal tax rate.

Source: KDHE, 2016 Kansas Annual Summary of Vital Statistics

Medicaid (KanCare) costs caused by smoking. Source: Campaign for Tobacco-Free Kids, 2017

deaths were related to tobacco use in 2016.

Cost of Smoking in Kansas

Tobacco Taxes in Kansas

Other Facts

Death by Tobacco in Kansas

Causes of death showing largest tobacco contribution:

Cancer of the trachea, bronchus and lungChronic lower respiratory diseaseIschemic heart disease

89.2%

86.2%

36.3%

Because information may not be available at the time the death certificate is completed, tobacco’s contribution may be subject to some underreporting.

Source: KDHE, 2016 Annual Summary of Vital Statistics

$1.72 is national averageKS ranks 32nd nationally

Kansas 4,564 3,826 3,379 3,217

Total 3 monthsprior topregnancy

Firsttrimester ofpregnancy

Secondtrimester ofpregnancy

Thirdtrimester ofpregnancy

Package of 20

Package of 25

$0.70

$0.875

$0.79

$0.99

$1.29

$1.61

July 1, 2002-Dec. 31, 2002

Jan 1, 2003-June 30, 2015

July 1, 2015-present

DID YOU KNOW?

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HEALTHY EATING

Kansas Health Foundation 2018 Data Book Page 26

Individual clients served directly by Feeding America’s Kansas network of food banks and their partner agencies:

Race/Ethnicity:

51.9%

15.2%

25.6%

7.4%

White: 190,600African-American: 55,700Hispanic: 94,100Some other race: 27,100

1 in 8 Kansans

struggle to have enough food. Of the 375,360 Kansans who are food insecure, 131,130 are children.Source: Feeding America, 2018 Map the Meal Gap (2016 data)

do not have access to healthy food sources, such as grocery stores, within a reasonable distance from their home.

or 375,360people =

12.9%foodinsecurityrate

752,882people =

26%of totalpopulation

More than

This information is about the population that has low access to a grocery store at 1 mile for urban areas and 10 miles for rural areas.

Source: United States Department of Agriculture (USDA), 2015 Food Access Research Atlas

TopekaManhattan

Junction CityLawrence

Wichita

Hutchinson

Emporia

Dodge City

Hays

Goodland

Garden City

Liberal

Great Bend

Kansas City

St. Joseph

Pittsburgh

Independence

Source:FeedingAmerica,HungerinAmerica2014StateReportforKansas

Second HarvestCommunity Food Bank

Harvesters CommunityFood Network

Kansas Food Bank

H Home City l Satellite Location s Major City

Food Bank Service Areas

752,800 Kansans

FOOD INSECURITY

African-Americans, Native-Americans, and Latinos in Kansas are 3 times more likely to face hunger and poverty than the general population. Source: Bread for the World, 2016

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Kansas Health Foundation 2018 Data Book Page 27

Education level of individual adult clients, and student status of adult clients, served directly by Feeding America’s Kansas network of food banks and their partner agencies:

Education level: Student status:

Education:

26.8% 6.3%

35.6% 3.0%

9.8%

90.7%8.9%

Less than high school (HS): 63,800HS diploma: 84,700General equivalency diploma or GED: 21,300License, certificate, or degree beyond HS: 23,300Some college or two-year degree: 33,4004-year college degree or higher: 11,300

Full time student: 14,900Part time student: 7,000Not a student: 214,700

Source: Feeding America, Hunger in America 2014 State Report for Kansas

14.1%

4.8%

Food Insecurity Rates 4-14% 15-19% 20-24% 25-29% 30% +

Food Insecurity Rates by County Child Food Insecurity Rates by County

12.9% 18.3%Source: Feeding America, 2018 Map the Meal Gap (2016 data) Source: Feeding America, 2018 Map the Meal Gap (2016 data)

Rate of overall food insecure Kansans

Rate of food insecure Kansaschildren

4-14% 15-19% 20-24% 25-29% 30% +Food Insecurity Rates

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Kansas Health Foundation 2018 Data Book Page 28

CHILDREN & HEALTHY FOOD

47.9%of public K-12 students areapproved for free- or reduced-price lunches. Source: KSDE, Data Central, 2017-2018

To compare,householdswithoutchildrenrate at

12.2% Source: Food Research & Action Center (FRAC), Food Hardships in America Report, 2016

Source: FRAC, Summer Nutrition Status Report, 2017 (2015 and 2016 data)

Source: Kansas Appleseed, Addressing Summer Hunger through the Summer Food Service Program, 2017

Kansas has the 26th highest rate of food hardships for households with children at

Kansas was in the bottom 10 performing states when it comes to student participation in summer meals compared to the regular school year’s free and reduced-price lunches. But, the state saw a

students received meals on average each day in July 2016. Less than 1 in 10 students participated in the summer nutrition program that did during the school year (187,582 students receive free- and reduced-price lunches each day).

18.6%

ranking Kansas at 45th.

The ratio of summer nutrition to the National School Lunch Program was 9.2%10.4% increase in the number of

students participating in summer meals last summer (only eight states saw an increase by 10% or more from 2015 to 2016).

meals were served to children through

the Summer Food Service Program.

More than

1.4 millionIn 2017, there were 19 Kansas counties

without a Summer Food Service Program site.

89 more sites in 2016 served 3,888 more children Source: FRAC, Summer Nutrition Status Report, 2017 (2015 and 2016 data)

July 2015

July 2016

388

477

314,897

318,785

SitesSummer nutritionmonth, year

Meals Served17,187

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Kansas Health Foundation 2018 Data Book Page 29

ACCESS TO GROCERY:

low-income Kansans (253,276) live more than 1 mile from a grocery store in urban areas, and more than 10 miles from a grocery store in rural areas. Source: USDA, 2015 Food Access Research Atlas

More than 250,000

Wichita

LawrenceTopeka

Manhattan

SalinaHays

Garden City

Dodge City

Liberal

Source:USDA,2015

Low Income & Low Access at 1 and 10 miles

Food Deserts

Depicts low-income residents who are more than 1 mile (urban) or 10 miles (rural) from the nearest supermarket.

INCOME:

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Kansas Food Assistance Program (SNAP)

71%And, the estimated participation rate of the eligible working poor was 64%. Source: USDA, “Reaching Those in Need: Estimates of State Supplemental Nutrition Assistance Program Participation Rates in 2015”

The estimated participation rate of eligible people in 2015 was

Source: Kansas Department for Children and Families (DCF), Jan. 2018 Public Assistance Report

More than 48% are in working families (national average is more than 44%). Source: Center on Budget and Policy Priorities, 2018 (2016 FY data)

or 8%of thestatepopulation(1 in 12) in Fiscal Year 2016.

234,000 Kansans

SNAP MONTHLY AVERAGE PARTICIPATION RATE

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

350,000

325,000

300,000

275,000

250,000

225,000

200,000

175,000

150,000

125,000

100,000

75,000

50,000

25,000

0

Fiscal Year

175,4

90

156,6

57

120,

465

110,76

7

110,0

19

117,24

1

131,7

23

155,8

00

167,9

71

175,7

10

182,8

21

184,0

36

187,3

75

208,0

07

259,6

09

296,5

42

303,2

57

316,4

24

301,3

77

277,6

14

258,4

12

239,5

92

What happened in 2013?On Oct. 1, adults age 18 to 49 had to work at least 20 hours per week or enroll in a federally-approved

job training program within three months in order to keep receiving SNAP benefits.Source: Wichita Eagle, 2013

SNAP reached

DID YOU KNOW?

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Kansas Food Assistance Program (SNAP)

Fruits & Vegetables

participants are in families with children (national average is more than 68%). Source: Center on Budget and Policy Priorities, 2018 (2016 FY data) and Kansas Action for Children, 2017 KIDS COUNT (2016 data)

are in families with members who are either elderly or disabled (national average is more than 31%).The average monthly SNAP benefit for each household member is $114. Source: Center on Budget and Policy Priorities, 2018 (2017 FY data)

123,081 children on average were enrolled monthly in SNAP.

More than Almost

74%

86%

34%of KS SNAP

of SNAPparticipants

14% report eating 5 or more per day 45.7% of these adults have diabetes,

44.3% are overweight (BMI of 25 to 29), and 47.2% are obese (BMI 30 or above).

24.1% of these adults have diabetes, 21.8% are overweight (BMI of 25 to 29) and 23.5% are obese (BMI 30 or above). Source: 2015 KS BRFSS

of Kansans reported eating fewer than 5 fruits and vegetables per day. Source: Policy Map, 2013

Food insecurity is associated with obesity, as many food-insecure families face difficult tradeoffs between calorie-dense foods that are most affordable and healthier food choices that are frequently beyond reach of their budgets.

“…Food insecurity and obesity are often found in the same individual or family. The relationship between the two, however, is complex and research studies have yielded inconsistent results. The strongest and most consistent evidence is of an increased risk for overweight/obesity among food-insecure adult women.” Source: KHI Food Insecurity in Kansas Technical Report, 2015

Source: 2015 KS BRFSS

of adults (or more than 2 in 5) do not consume fruit at least once per day.

of adults (or 1 in 5) do not consume vegetables at least once per day.

43.7%

DID YOU KNOW?

22.3%

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Kansas Health Foundation 2018 Data Book Page 32

The prevalence of obesity increased significantly from 2014 (31.3%) to 2015 (34.2%). In 2015, Kansas had the 7th highest adult obesity rate in the nation.

22nd highest in the nation

Source: 2017 State of Obesity

31.2%Kansas has an obesity rate of

68%of Kansas adultswere eitheroverweightor obese.

In 2015,

ADULT OBESITY RATE IN KANSAS (1990-2016)

‘90 ‘94 ‘98 ‘02 ‘06 ‘10 ‘14

40%

35%

30%

25%

20%

15%

10%

5%

0%

PHYSICAL ACTIVITY

1995 2000 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2016Year

13.5% 19.1% 22.6% 22.9% 23.2% 24.3% 25.8% 27.2% 28.2% 29.0% 29.6% 29.9% 30.0% 31.3% 31.2%Adult Obesity Rate

2015

34.2%

Source: 2015 KS BRFSS

34.2%

33.8%

29.9%

Obese(BMI 30+)

Class I Obesity(BMI 30.0-34.9)

17.6%

Class II Obesity(BMI 35.0-39.9)

7.2%

Class III Obesity(BMI 40.0+)

9.4%

Overweight(BMI 25.0-29.9)

Normal Weight(BMI 18.5-24.9)

2.0%Underweight(BMI <18.5)

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Kansas Health Foundation 2018 Data Book Page 33

% of adults who are obese:

% of adults who are obese:

% of adults who are obese:

% of adults who are obese or overweight:

% of adults who are obese or overweight:

% of adults who are obese or overweight:

Income:

Race/Ethnicity:

Education:

37%

30.7%

30.4% 68.9%

65.1%

65.7%

34.7%

42.3%

32.3% 65.2%

69.5%

79.5%

34.8%

33.3%

27.3% 64.7%

69%

75.4%

33.2%

27.5%

33.6% 68.8%

68.5%

59.7%

White, non-HispanicAfrican-American, non-HispanicOther/multi-race, non-HispanicHispanic

Less than high schoolHigh school graduate or G.E.D.Some college (some post-high school)College graduate

Less than $15,000$15,000 to $24,999$25,000 to $34,999$35,000 to $49,999$50,000 or more

Source: 2016 KS BRFSS and KDHE staffPrevalance estimates for race and ethnicity were age-adjusted to the U.S. 2000 standard population

Source: 2016 KS BRFSS

Source: 2016 KS BRFSS

29.2% 67.9%

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Obesity & Chronic Disease

of adults who reported being obese in 2016,

Source: 2016 KS BRFSS

cases of heart disease reported in 2010, and at the current rate, there will be an estimated 769,578 cases in 2030. Source: 2017 State of Obesity

cases of obesity-related cancer, and at the current rate, there will be an estimated 106,322 cases in 2030. Source: 2017 State of Obesity

There were 558,427 reported hypertension cases in 2010 and at the current rate, there will be an estimated 713,158 cases in 2030. Source: 2017 State of Obesity

53.8% had diabetes.

Of the

There were In 2010, there were

31.2%

176,438 44,590

31.6% of Kansas adults hadhypertension in 2015.

Adult Obesity Rate (BMI 30+)

Source:2018CountyHealthRankings&Roadmaps (2014data)

25% - 26.0%

27% - 28.0%

29% - 30.0%

31% - 32.0%

33% - 34.0%

35% - 36.0%

37% - 38.0%

39% - 40.0%

Missing

34% 34% 35%

34%

33%

33%34%

34% 29%

35%

32% 33%

33%

37% 35%

35%

38%

34%

31%

33%

32% 34%

34%

25%35%

40%

32%36%

35%

32%35%

36%

36%

32%

38%

34%36%

32%

34%

32%

36%

31%

30%

33%

30%

33%

31%33%

31%

34%

39%

36% 38%

32%

32%

33%

34%

31%

28%

31%

36%

31%

34%32%30%

35% 34%

34%

35%

36%

26% 29%

30%

35%

35%

33% 36%

37%

35%

33%

35%

40%

37%

34%

35%

36%37%

36%

34%

37%

34%

34%

37%

35%

38% 36%

36% 35%

35%

39%

31%

33%

33%

31%

34%

% of Obese Adults by County

DID YOU KNOW?

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Kansas Health Foundation 2018 Data Book Page 35

Chronic Conditions by Adult Weight Status

Adult Physical Activity

Kansas adults did not participate in leisure-time physical activity in the past 30 days.

(approximately 1 in 4) of

Of these people, 40.4% had diabetes, and 29.9% were obese (BMI 30 or more). Source: 2016 KS BRFSS

In 2016,

23.5%

28.9%

13.2%

45.0%

58.0%

28.3%

26.7%

43.8%

32.7%

23.6%

41.0%

34.1%

24.9%

DiabetesCurrent AsthmaArthritisCVD

Cardiovascular disease (CVD) includes angina or coronary heart disease (CHD), heart attack or stroke.

Source: Feb. 2017 Kansas Health Statistics Report, 2015 KS BRFSS data

Obese(BMI 30+)

Overweight(BMI 25.0-29.9)

Normal/Underweight(BMI <24.9)

DID YOU KNOW?

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Childhood Obesity & Physical Activity

11.6%

74.5%

21.7%

30.9%

13.2%33.8%

89%

13.1%of children age 10-17 are obese. Source: 2016 NSCH

of children and adolescents, age 6 to 17, are not physically active at least 60 minutes per day (recommendation for this age group). Source: CAHMI, Data Resource Center for Child and Adolescent Health, 2016 NSCH

ate fruits and vegetables five or more times per day in the past week. Source: 2013/2014 KS YTS

of children age 10-17are overweight or obese. Source: 2016 NSCH

of high school students do not participate in at least 60 minutes of physical activity on at least 1 day. Source: 2017 KS YRBS

report drinking any sugar drink at least once in the past 30 days – excluding 100% fruit juice. Source: 2013/2014 KS YTS

of high school studentsare obese and 15.3% areoverweight. Source: 2017 KS YRBS

(approximately 1 in 3) of middle school students are physically active for at least 60 minutes per day. Source: 2013/2014 KS YTS

Physical Activity Recommendations

Consumption of Healthy Foods & Drinks

of children(under 18)

(1 in 5) of middleschoolstudents

DID YOU KNOW?

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EDUCATIONAL ATTAINMENT

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students were enrolled in public schools across Kansas (pre-K to 12th grade) in 2017-2018. Source: KSDE, Data Central, 2017-2018 state headcount enrollment

Kansas Health Foundation 2018 Data Book Page 38

Source: KSDE, Kansans CAN, Kansas Report Card 2016-2017, level 1 & 2 accountability population

Below proficient in math

Third Grade to High School Fourth Grade Eighth Grade

Below proficient in English/language artsPROFICIENCY

5.3%

24.1%

86.6%

13.4%

480,000More than

65.8% 61.8% 60.5%50.5%

74.7% 72.7%

EDUCATIONAL ATTAINMENT

Graduation Rates

86.6% of public school students graduate from

high school, which means 13.4% of students are left behind Source: KSDE, Data Central, 2016-2017 four-year cohort

Students whograduate highschool Students who are left behind

Some Kansas students are below proficient in math and English/language arts.

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INCOME:

Free- or Reduced-Price Lunches:

Free- or Reduced-Price Lunches & Graduation Rates:

Free- or Reduced-Price Lunches & Proficiency:

Kansas Health Foundation 2018 Data Book Page 39

47.9% of public school students are approved for free- or reduced-price lunches.

A majority of students eligible for free- or reduced-price lunches are below proficient in math and English/language arts.

Source: KSDE 2016 State-Level Graduation and Dropout Data Rate reflects public and private, seventh to 12th-grade students.

Source: KSDE, Kansans CAN, Kansas Report Card 2016-2017, level 1 & 2 accountability population

1,975 (or 2%)

of students eligible for free- or reduced-price lunches graduate from high school. Source: Kansas Assessment Program, 2016 baseline state data as reported in KSDE’s Every Student Succeeds Act plan, March 2017 77.7%

The four school districts with the highest percentage of students who received free or reduced-price lunches include Kansas City (Wyandotte) at 86 percent, Liberal (Seward) at 82.7 percent, Elk Valley (Elk) at 81 percent and Dodge City (Ford) at 80.8 percent. Source: KSDE Data Central, 2017-2018

Fourth Grade

75.5%66.3%

Eighth Grade

87.7% 85.7%

Below proficient in math

Below proficient in English/language arts

of all students approved for free- or reduced-price lunches dropped out of school in 2016.

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64.4%

6.9%

0.9%

3%

5.2%

19.5% WhiteAfrican-AmericanHispanicAmerican Indian or Alaska NativeAsianMulti-RaceSource: KSDE Data Central, 2017-2018

Race/ethnicity of overall public K-12 student population:

Student Population:

88.8%

93.1%

81.9%

82.6%

72.5%

77.1%

79.9%

Four-year adjusted cohort graduation rates by race/ethnicity:

Graduation Rates:

WhiteAfrican-AmericanHispanicAmerican Indian or Alaska NativeNative Hawaiian/Pacific IslanderAsianMulti-Race

Source: KSDE, 2016 State-Level Graduation and Dropout Data.Rate reflects public and private, seventh to 12th grade students.

RACE:

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African-American

Hispanic

White

Asian

American Indian or Alaska Native

Multi-Racial

2.7%

2.4%

1.3%

1%

3.6%

2.3%

415

944

2012

68

83

228

2016 Dropout RateRace/Ethnicity 2016 Dropout Count

African-American

Hispanic

White

Asian

American Indian or Alaska Native

Multi-Racial

82.3%

77.9%

55.1%

47.1%

73.5%

64%

86.6%

80.7%

59.6%

43.9%

78.1%

69.6%

% Below Proficient in English/Language ArtsRace/Ethnicity % Below Proficient in Math

African-American

Hispanic

White

Asian

American Indian or Alaska Native

Multi-Racial

74.8%

68%

42.7%

34.9%

62.4%

54%

84.9%

77%

53%

40.5%

73.5%

65.9%

% Below Proficient in English/Language ArtsRace/Ethnicity % Below Proficient in Math

African-American

Hispanic

White

Asian

American Indian or Alaska Native

Multi-Racial

90.3%

86.1%

67.4%

57.5%

80.8%

76.2%

92.4%

87.3%

69.9%

47.5%

83.8%

78.9%

% Below Proficient in English/Language ArtsRace/Ethnicity % Below Proficient in Math

% of Kansas students (third grade to high school) below proficient by race/ethnicity:

% of fourth grade students below proficient by race/ethnicity:

% of eighth grade students below proficient by race/ethnicity:

Source: KSDE, 2016 State-Level Graduation and Dropout DataRate reflects public and private, seventh to 12th-grade students.

Source: KSDE, Kansans CAN, Kansas Report Card 2016-2017, level 1 & 2 accountability population

Dropout Rate/Count by Race/Ethnicity:

Students Below Proficient in Math and English/Language Arts:

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Topeka

Graduation Rates by USD

Source:ResearchTriangleInstitute,KSDE,DataCentral,2014-2015

No Data Less than 80% 80% - 89% 90% - 99% 100% County Boundaries

260

263

357 463

304402

396

205

462

282

380

390

386 246

244252

253

284

243

365

362

367

289287

456

421420251

330

329

454

437

501

450

434

417

288

290416

229

230231

232 233

512

500202204

203469453

449339

342341

341

340345372

321320

323

384

378

322

383

475

337

336

335 377 409

114429111

430

415113115

380

364

498223224

379

473

481

487

397

408

398

490206373

460

411423448

313309

376

405401355428

495496

227

395

106

303

403

410419418444

435

108109107237110

325

212

211

294105103297

352

241275

274

242

200

494

452

218

217

210

209

480

483226

225219

459

220

214507 374 478

371

215 216 363

457

477 102

443381

467 466

468

482

314 315

326

392

399

407432489

388

270269

208

281

271

293292291

412316

112431

327307

299 298

239

240393

305

306

400

426

333

273272334 338

458454

348

497 491

388

484

283481

387

492

385259266

282

439440369

312

311

310

331332

382438

474422

300

254

255

511361

359 353 358

360 509

465

471 285 286436

446447

445

506

503

493

247 250249

246

234235256

258366

257

479346

344

248505101

413

404508470

347502

351

350

349

267

268

356

265251

264

375

% of Students Approved for Free- or Reduced-Price Lunches by USD

Source:KSDE,DataCentral,2016-2017

0.01 - 14.99 15.00 - 29.99 30.00 - 40.99 41.00 - 50.99 51.00 - 60.99

61.00 - 74.99 75.00 - 90.99 91.00 - 100.00

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Kansas Health Foundation 2018 Data Book Page 43

# of Children by Household Head’s Educational Attainment:

Race/Ethnicity of Adults with Less Than a High School Diploma:

Not a high school graduate

High school diploma or GED

Associate degree

Bachelor’s degree

Graduate degree

10%

43%

11%

23%

13%

% in 2016Education Level

Source: KIDS COUNT Data Center, 2016

African-American only

White only

Asian only

American Indian or Alaska Native only

Multi-racial

Hispanic or Latino origin

11.9%

8.3%

15.5%

16.1%

11.1%

36.4%

% of all adults with less than a high school diploma

Race/Ethnicity

Source: 2016 American Community Survey 1-year estimates

Source: 2016 American Community Survey 1-year estimates

of all Kansas adults age 25 and older have less than a high school diploma.

178,843 or

9.4%

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CIVIC AND COMMUNITY ENGAGEMENT

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Eligible Kansas voters turned out to vote in the November general election Registered voters turned out to vote

Eligible Kansas voters turned out to vote in the November general election Registered voters turned out to vote

Eligible Kansas voters turned out to vote in the November general election Registered voters turned out to vote

General/Presidential Elections:

General/Gubernatorial Election:

Local Elections:

Kansas Health Foundation 2018 Data Book Page 45

Source: Eligible voter turnout: United States Elections Project, voter turnout dataRegistered voter turnout: State of Kansas Office of the Secretary of State (KSSOS), election statistics

Source: Eligible voter turnout: United States Elections Project, voter turnout dataRegistered voter turnout: KSSOS, election statistics

Source: 2016 Kansas Civic Health Index

59.7%

67.4%2016

43.3%

50.8%2014

58.2%

66.8%2012

On the ballot: President of the United States, U.S. and Kansas Senate/House, state and local judges and a state ballot measure

On the ballot: State executive offices (including governor and lieutenant governor), U.S. House/ Senate, state house, a state ballot measure and state courts

On the ballot: President of the United States, U.S. and Kansas Senate/House, state and local judges and a state ballot measure

of Kansas adults sometimes or always vote in local elections. The U.S. average is , ranking Kansas among the bottom 10 states. 56.6% 58.2%

CIVIC AND COMMUNITY ENGAGEMENT

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Race/Ethnicity

White

African-American

Asian

American Indian and Alaska native

Native Hawaiian and other Pacific Islander

Hispanic

81.3%

6.2%

3.1%

1.7%

0.1%

9.2%

66.3%

12.5%

6%

1.2%

0.3%

15.3%

KansasRace/Ethnicity U.S.

18-44

45-64

65+

Age

Voting-Age Population

47.4%

33.5%

19%

47.1%

34.1%

18.9%

Kansas U.S.

Source: U.S. Census Bureau, 2016

Kansas Electorate Profile:

Median Household

Income

PovertyRate

Bachelor’sDegree

or higher(population age 25 and older)

$52,504

$53,657

Kansas

U.S.

12.2%

13.6%

Kansas

U.S.

31.5%

30.1%

Kansas

U.S.

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75.1%

69.1% 80.5% 77.1% 72.9% 70.8% 68.4% 71.1%66.5%

69.1% 67.3%

71.0%

60.5%

65.1%61.3%

63.2%

73.5%64.1%71.4%

73.4%53.4%

65.1%

68.7%70.0%

66.7%

72.9%66.9%69.8%72.4%74.8%78.4%

78.0% 71.1% 68.6% 68.4% 74.9% 73.7% 60.0%

63.4% 77.3% 73.5%

70.1%

64.6%

68.4% 62.9% 70.2%

66.7%

54.2%

62.0%

52.3%52.0%

56.5%

65.7%

63.8%67.9%

66.4%

75.1%

63.0%65.4%

71.7%

60.2%67.1%

65.3%60.6%

66.8%

70.9%61.0%

64.8%

62.8%77.5%81.8%70.4%54.2%49.7%64.4%63.4%

66.3% 69.4%

65.7%69.0%

79.6%

70.8%

71.1%74.9%

50.3%70.0%

55.4%

58.2%67.6%

73.1%

77.4%

64.1%

77.6%

71.2% 71.0% 68.8% 75.5% 72.9% 70.3% 69.6% 84.3% 75.0% 72.3%67.7% 70.7%

57.9%

54.9% 57.6% 62.3% 61.3% 60.5% 52.8% 53.9%53.4%

56.0%47.5%

55.0%

44.9%

51.8%43.2%

35.6%

51.3%51.0%

60.8%64.1%37.1%

51.4%

53.6%55.8%

57.1%

60.1%55.0%55.0%44.4%60.5%62.4%

63.0% 56.0% 56.2% 60.6% 59.3% 59.2% 47.9%

51.0%65.2% 58.2%

56.3%

47.1%

57.1%44.8% 50.8%

51.1%

46.1%

46.8%

37.1%36.8%

44.4%

53.5%

48.9%52.8%

59.1%

54.4%

46.5%49.6%

60.4%

59.3%53.2%

49.1%46.9%

52.7%

55.1%47.3%

54.8%

49.1%58.9%60.1%58.2%45.8%34.4%50.2%48.0%

59.4% 53.2%

50.1%54.8%

59.0%

62.4%

55.6%63.4%

41.7%56.9%

42.0%

44.5%53.3%

58.7%

61.5%

51.2%

58.9%

57.0% 62.2% 59.6% 70.1% 58.8% 51.5% 54.4% 60.3% 59.6% 59.6% 55.7% 48.6%

2016 General/Presidential Election Voter Turnout Rates by County

2014 General/Gubernatorial Election Voter Turnout Rates by County

Source:KSSOS,electionstatistics,2016generalelection

Top 5 counties in terms of voting rate Bottom 5 counties in terms of voting rate

Source:KSSOS,electionstatistics,2014generalelection

Top 5 counties in terms of voting rate Bottom 5 counties in terms of voting rate

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70.5%

36.8%

Bachelor’s degreeor higher

Less than a highschool diploma

62.7%

44.6%

>$75,000/yearhousehold income

<$35,000/yearhousehold income

61.6%

46.3%

26.8%

White,non-Hispanic

African-American,non-Hispanic

Hispanic

Local Voting Disparities

Source: 2016 Kansas Civic Health Index

of Kansas adults have contacted or visited a public official in the last year. The U.S. average is 11%. Source: 2016 Kansas Civic Health Index

14.4%African-American, non-Hispanic

Hispanic

White, non-Hispanic

Less than high school diploma

Less than $35k/year

8.5%

8.9%

15.5%

1.5%

8.8%

of Kansas adults attended at least one public meeting in the past year. Source: 2016 Kansas Civic Health Index

11.5%

Source: 2016 Kansas Civic Health Index

of Kansas adults volunteer.The U.S. average is 26.2%.

Kansas ranks 4th against other states in this measure. 36.1%

DID YOU KNOW?

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Children & the General Election: Kids Voting Kansas, is a nonprofit organization that encourages student involvement through community and school partnerships in order to fulfill its mission. It was created as a solution to citizen apathy and poor voter turnout. Kids Voting sparks a renewed interest in American democracy. Kids Voting Kansas has received enthusiastic responses from educators, volunteers, parents, and most importantly, the students. Students are not only exposed to the basics of an election, they also experience information gathering, decision-making, and the empowerment of voting. Students are active participants in this learning process, discussing and debating the election in school and at home. Source: 2016 KIDS Voting USA

Children’s Community Engagement:

More than

Kansas students voted through this program during the 2016 general election.

of children age 6-17 have participated in community service or volunteer work at school, church or in the community within the past year. Source: CAHMI, Data Resource Center For Child and Adolescent Health, 2016 NSCH

48.6%

46,000N N N

N N N

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309 E. Douglas I Wichita, KS 67202 I 316.262.7676 I www.kansashealth.org I [email protected]