chsi hamilton co

7/28/2019 CHSI Hamilton Co.

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6/24/13 1:26 PHSI Report

Page 3 otp://wwwn.cdc.gov/CommunityHealth/ReportPdf.aspx?GeogCD=47061&PeerStrat=69&state=Tennessee&county=Grundy

PROVIDED TO YOU COURTESY OF:

For more information, please contact your State of local health department or theproject partners, or visit the Community Health Status Indicators Project web site at:

communityhealth.hhs.gov

ASTHOAssociation of State andTerritorial Health [email protected]

Johns Hopkins UniversityBloomberg School of [email protected]

NACCHONational Association of Countyand City Health [email protected]

NALBOHThe National Association of Local Boards of [email protected]

PHFPublic Health [email protected]

RWJFRobert Wood JohnsonFoundationwww.rwjf.org

COMMUNITY HEALTH STATUS REPORT

Grundy County

Tennessee2009

Our Mission: Provide Information for Improving Community Health

Brought to you by a partnership of Federal agencies and not-for-profit organizations that are identified at the end of the pamphlet. Comments and questions can be sent to

[email protected].

Please refer to the CHSI Data Sources, Definitions, and Notes for all sources, methods, and calculations (available on website).

http://wwwn.cdc.gov/CommunityHealth/Companion_Document/CHSI-Data_Sources_Definitions_And_Notes.pdf


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PUBLIC HEALTH IN AMERICA

VISION

Healthy People in Healthy Communities

MISSION

Promote Physical and Mental Health andPrevent Disease,

Injury, and Disability

PUBLIC HEALTH

Prevents epidemics and spread of diseaseProtects against environmental hazardsPrevents injuriesPromotes and encourages healthy behaviorsResponds to disasters and assists communities in recoveryAssures the quality and accessibility of health services

ESSENTIAL PUBLIC HEALTH SERVICES

Monitor health status to i dentify community health problemsDiagnose and investigate health problems and health hazards in thecommunity

Inform, educate, and empower people about health issuesMobilize community partnerships to identify and solve healthproblemsDevelop policies and plans that support i ndividual and communityhealth effortsEnforce laws and regulations that protect health and ensure safetyLink people to needed personal health services and assure theprovision of health care when otherwise unavailableAssure a competent public health and personal health care workforceEvaluate effectiveness, accessibility, and quality of personal andpopulation-based health servicesResearch for new insights and innovative solutions to health problems

Source: Public Health Functions Steering Committee, Fall 1994.

CONFIDENCE INTERVALSSUMMARY MEASURES OF HEALTH page 4

Value Confidence Interval ALL CAUSES OF DEATH 1848.1 (1760.6 - 1935.6)SELF-RATED HEALTH STATUS nrf (nrf - nrf)

AVERAGE NUMBER OF UNHEALTHY DAYS INPAST MONTH

nrf (nrf - nrf)

ADULT PREVENTIVE SERVICES USE (%) page 10Value Confidence Interval

Pap Smears (18+) nrf (nrf - nrf)Mammography (50+) nrf (nrf - nrf)Sigmoidoscopy (50+) nrf (nrf - nrf)

Pneumonia vaccine (65+) nrf (nrf - nrf)Flu vaccine (65+) nrf (nrf - nrf)

RISK FACTORS FOR PREMATURE DEATH page 11Value Confidence Interval

No exercise nrf (nrf - nrf)Few Fruits/Vegetables nrf (nrf - nrf)Obesity nrf (nrf - nrf)High Blood Pressure nrf (nrf - nrf)Smoker nrf (nrf - nrf)Diabetes 9.5% (2.6 - 16.3%)

FEDERAL PARTNERS

ATSDRAgency for Toxic Substances and

Disease Registryatsdr.cdc.gov

CDCCenter for Disease Control andPreventionwww.cdc.gov

HRSAHealth Resources and ServicesAdministrationwww.hrsa.gov

NLMNational Library of Medicine

www.nlm.nih.gov

FIPS CODE: 47 - 061 COMMUNITY HEALTH STATUS REPORT 13
http://wwwn.cdc.gov/CommunityHealth/ReportPdf.aspx?GeogCD=47061&PeerStrat=69&state=Tennessee&county=Grundy#-http://wwwn.cdc.gov/CommunityHealth/ReportPdf.aspx?GeogCD=47061&PeerStrat=69&state=Tennessee&county=Grundy#Adulthttp://wwwn.cdc.gov/CommunityHealth/ReportPdf.aspx?GeogCD=47061&PeerStrat=69&state=Tennessee&county=Grundy#Summary


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SELECTED TERMS

Age-Adjusted death rates allow comparison of rates betweencommunities with different age structures. Rates have been adjusted tothe year 2000 standard, the standard recommended for years 1999 andlater.

Expected number of infectious disease cases has beencalculated by applying the rate observed for all the peer counties to thecounty population.

Death rates and birth measures are consistent with U.S. HealthyPeople 2010 objectives.

EPA air quality standards measured and exceeded are reported.Monitoring is conducted in areas believed to be at risk and is not done inevery jurisdiction.

Leading causes of death are provided for underlying cause of deathcategories constituting 10% or more of deaths in that race/ethnicity andage group.

Prevalence rates indicate the number in a population who have acertain characteristic at any time during the period. The BRFSS surveyhas been weighted to represent the State's adults.

Persons enrolled in Medicaid or Medicare are programbeneficiaries. The number of persons under age 65 receiving Medicaremay represent a measure of disability in children and adults. Persons overage 65 with Medicaid coverage may also represent a population havinggrater medical needs.

Relative health importance determination of unfavorable were ratesabove the peer or the U.S. rate.

Vulnerable populations of the work disabled, those depressed, andrecent drug users were estimated. Work disabled used a regression-basedcounty-specific estimate. National age- or race-specific rates of majordepression and recent drug use were applied to t he county population toobtain the county estimate.

For complete information regarding data definitions and sources, please referto the Data Sources, Definitions, and Notes available on HRSA's web site at:


* Other lifestyle and personal behavior (nongenetic) risk factors include microbes, toxins, firearms, sexualbehavior, motor vehicles, and drug use. Source: McGinnis, J.M., & Foege, W.H. (1993). Actual causes of death

in the United States. JAMA., 270(18), 2207-2212.

While we may measure deaths due toheart disease, cancers, or infant deaths,

we should always keep in mind that factors such as tobacco, diet, activity,

and alcohol use substantially contributeto these deaths. For example, as shown

in the above graphic, tobacco useaccounts for 19 percent of all U.S.

deaths.

12 FIPS CODE: 47 - 061 COMMUNITY HEALTH STATUS REPORT 1


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Age distribution 1 Under Age 19 24.6%

Age 19-64 59.2% Age 65-84 14.0%

Age 85+ 2.2%Race/Ethnicity 1

White 98.1%Black 0.6%

American Indian 0.3% Asian/Pacific Islander 0.2%

Hispanic origin (non add) 1.1%

Age distribution 1 Under Age 19 23.0 - 28.6%

Age 19-64 57.9 - 63.8% Age 65-84 10.5 - 14.0%

Age 85+ 1.3 - 2.2%

Race/Ethnicity 1 White 49.1 - 98.4%Black 0.3 - 49.6%

American Indian 0.1 - 0.7% Asian/Pacific Islander 0.1 - 0.7%

Hispanic orig in (non add) 0.7 - 8.0%

DEMOGRAPHIC INFORMATION

Grundy County, TN

Population size 1 14,220

Population density (people per square mile) 2 39

Individuals living below poverty level 3 29.5%

PEER COUNTIESPeer counties (counties and county-like geographic areas) in stratum number 69 werestratified on the basis of the following factors: frontier status, population size, poverty, age,population density. Below are peer county ranges representing the 10th and 90th percentileof values. This trimmed range of peer county value is used consistently throughout thereport.

Population size 1 12,946 - 25,115

Population density (people per square mile) 2 38 - 77

Individuals living below poverty level 3 19.0 - 30.2%

nda No data available.1 The Census Bureau. Current Population Estimates, 2008.2 HRSA. Area Resource File, 2008.3 The Census Bureau. Small Area Income Poverty Estimates, 2008.

RISK FACTORS FOR PREMATURE DEATH 1

Grundy County, TN

Communities may wish to obtain information about these measures, collected andmonitored at local level.

nrf No report, survey sample size fewer than 50.1 CDC. Behavioral Risk Factor Surveillance System, 2000-2006.

ACCESS TO CARE

Grundy County, TNIn addition to use of services, access to care may be characterized by medical carecoverage and service availability.

Uninsured individuals (age under 65) 1 2,110

Medicare beneficiaries 2

Elderly (Age 65+) 2,031Disabled 788

Medicaid beneficiaries 2 7,207

Primary care physicians per 100,000 pop 2 21.1

Dentists per 100,000 pop 2 0.0

Community/Migrant Health Centers 3 Yes

Health Professional Shortage Area 3 Yes

nda No data available.1 The Census Bureau. Small Area Health Insurance Estimates Program, 2006.2 HRSA. Area Resource File, 2008.3 HRSA. Geospatial Data Warehouse, 2009.

2FIPS CODE: 47 - 061 COMMUNITY HEALTH STATUS REPORT

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PREVENTIVE SERVICES USE

Grundy County, TNINFECTIOUS DISEASE CASES 1

These diseases respond to public health control efforts. The expected number is basedon the occurrence of cases among peer counties.

ReportedCases

ExpectedCases

AIDS rna rnaTuberculosis rna rnaHaemophilus influenzae B 1 0

Hepatitis A 0 3Hepatitis B 4 4Measles 0 0Pertussis 1 1Congenital Rubella Syndrome 0 0Syphilis 1 3

Indicates a status favorable to peers.Indicates a status less than favorable.

rna The release of data for all counties has not beenauthorizednda No data available.

CHILD PREVENTIVE SERVICES USEIndicators such as immunizations, dental caries, and the prevalence of lead screeningare not collected at the national level and must be obtained locally.

ADULT PREVENTIVE SERVICES USE (%) 2

nrf No report, survey sample size fewer than 50.1 CDC. National Notifiable Diseases Surveillance System, 1998-2007.2 CDC. Behavioral Risk Factor Surveillance System, 2000-2006.

PEER COUNTIES

A distinctive aspect of this report is the ability to compare a county with its peers,those counties similar in population composition and selected demographics. Strata, orpeer group size averages 36 and ranges from 15 t o 62 counties. There are a total of 88strata. Listed below are the 44 peer counties in stratum number 69. Due to thepopulation size of counties within this stratum, data on vital statistics (e.g. births anddeaths) and nationally notifiable diseases were aggregated across the most recent 10year time period (1996-2005) in order to ensure stable estimates.

FloridaHardee CountyUnion County

GeorgiaBacon CountyBen Hill CountyBerrien CountyCook CountyCrisp CountyEvans CountyGrady CountyGreene CountyJeff Davis CountyLanier CountyMcDuffie CountyMeriwether CountyMitchell CountyPeach CountyPierce CountyWorth County

KentuckyClay CountyJackson CountyKnott CountyLawrence CountyMagoffin CountyMartin CountyMcCreary County

KentuckyPowell County

LouisianaAssumption ParishEast Feliciana ParishPointe Coupee ParishSt. James Parish

MississippiClay CountyCovington CountyGrenada CountyWalthall County

MissouriMcDonald County

North CarolinaWashington County

OklahomaAdair County

South CarolinaBamberg CountyBarnwell CountyLee County

TennesseeHardeman CountyLauderdale CountyScott County

VirginiaDickenson County

10 FIPS CODE: 47 - 061 COMMUNITY HEALTH STATUS REPORT 3


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SUMMARY MEASURES OF HEALTH

Grundy County, TNAVERAGE LIFE EXPECTANCY 1

ALL CAUSES OF DEATH 2

SELF-RATED HEALTH STATUS 3

AVERAGE NUMBER OF UNHEALTHY DAYS IN PAST MONTH 3

nrf No report, survey sample size fewer than 50.

nda No data available.1 Murray et al., PLoS Medicine 2006 Vol. 3, No. 9, e260 doi:10.1371/journal.pmed.0030260.2 NCHS. Vital Statistics Reporting System, 1996-2005.3 CDC. Behavioral Risk Factor Surveillance System, 2000-2006.

VULNERABLE POPULATIONS

Grundy County, TNVulnerable populations may face unique health risks and barriers tocare, requiring enhanced services and targeted strategies for outreachand case management.

Vulnerable Populations Include People Who 1

Have no high school diploma (among adults age 25and older) 4,440

Are unemployed 486 Are severely work disabled 788Have major depression 1,070

Are recent drug users (within past month) 1,013

nda No data available.1 The most current estimates of prevalence, obtained from various

sources (see the Data Sources, Definitions, and Notes for details),were applied to 2008 mid-year county population figures.

ENVIRONMENTAL HEALTH

Grundy County, TNINFECTIOUS DISEASES 1

Cases Reported ExpectedE.coli 0 0Salmonella 12 33Shigella 1 11

TOXIC CHEMICALS RELEASED ANNUALLY 2: nda

NATIONAL AIR QUALITY STANDARDS MET BY COUNTY 3

CarbonMonoxide

NitrogenDioxide

SulfurDioxide

Ozone ParticulateMatter

Lead

Yes Yes Yes Yes Yes Yes

Indicates a status favorable to peers.Indicates a status less than favorable.

nda No data available.1 CDC. National Notifiable Diseases Surveillance System, 1998-2007.2 EPA. Toxic Release Inventory (TRI) Explorer Report, 2008.3 EPA. AIRSData, 2008.

4FIPS CODE: 47 - 061 COMMUNITY HEALTH STATUS REPORT

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RELATIVE HEALTH IMPORTANCE

Grundy County, TN

Premature Births (


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MEASURES OF BIRTH AND DEATH 1

Grundy County, TN

County Percent / C.I. Peer County Range Birth MeasuresU.S.

Percent2005

Healthy People2010 Target

9.1 (7.8 , 10.4) 7.5 - 11.9 Low Birth Wt. (

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