HSN Report

AdultsOctober, 2006

Brain Drain

There are 3 kinds of mathematicians, those who can count and those who

can’t.

Healthy habits ??

Current smokers - Michigan vs. US(Smoke everyday + smoke some days)

Source: Behavioral Risk Factor Surveillance System 2004

0

5

10

15

20

25

30

Per

cen

t

1996 1997 1998 1999 2000 2001 2002 2003 2004

MI US

Smoking vs. Income level- Michigan vs. U.S. (Smoke everyday)

Source: Behavioral Risk Factor Surveillance System 2004

0

10

20

30

40

Per

cen

t w

ho

sm

oke

<15k 15-24k 25-34k 35-50k 50k+

Income level

MI

US

Smoking vs. Education level – Michigan vs. U.S.

Smoke EverydaySource: Behavioral Risk Factor Surveillance System 2004

0

5

10

15

20

25

30

35

40

Pe

rce

nt

wh

o s

mo

ke

< H.S. H.S. grad Somecollege

Collegegrad.

MI

US

Branch/Hillsdale/St. JosephHow do we compare?

Source: Behavioral Risk Factor Study 1998

27.4 32.5 30.833.2

0

10

20

30

40

50

Per

cent

MI Branch Hillsdale St. Joseph

% Current smokers/MI and by County

Mothers who smoked during Pregnancy – Hillsdale, Branch and Michigan -1994-2004

Source: Michigan Birth files

0

5

10

15

20

25

30

35

Per

cen

t

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

% Hillsdale

% Branch% Michigan

Smoking trends by age group – MichiganSmoke everyday

Source: Behavioral Risk Factor Survey – 2004

29.8

15.8

19.517.5

15.8

6.3

0

10

20

30

40

50

Per

cent

18-24 yrs 25-34 yrs 35-44 yrs 45-54 yrs 55-64 yrs 65 + yrs

Alcohol and Drugs

Offenses and arrests for DUI (Alcohol or narcotics) Hillsdale County 1998-2004

Source: MSP Uniform Crime Report

0

50

100

150

200

250

300

350

400

450

1998

1999

2000

2001

2002

2003

2004

Offenses-HDArrests-HDOffenses-BRArrests-BR

Motor vehicle accidents involving driving when impaired, Hillsdale County

Source: Michigan Traffic Crash Facts

7381

94 92 898892

107

79

67

79

64

78

51

76

59

0

20

40

60

80

100

120

1997 1998 1999 2000 2001 2002 2003 2004

Crashes-HDCrashes-BR

Number killed in motor vehicle accidents with alcohol involved - Hillsdale County

1999-2004Source: Michigan State Police Traffic Crash Facts

2

8

32 3

1

4 4

6

1

34

0

5

10

15

20

1999 2000 2001 2002 2003 2004

Deaths-HDDeaths-BR

Crime

Offenses and arrests due to narcotic law violations, Hillsdale/Branch, 1994 to 2004

Source: MSP Uniform Crime Report

69

133

53

109

74 81

56

158

65

9489

183

96

139126

166

190

138

123

148

132

222

0

50

100

150

200

250

Num

ber

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

Arrests-HD

Arrests-BR

Narcotic offense rate per 100,000, Hillsdale, Branch & MI, 2000-2004

Source: MSP Uniform Crime Reports

415406 411

477 507437

630

523

420479

548

429

522

641

433

-50

50

150

250

350

450

550

650

750

2000 2001 2002 2003 2004

Hillsdale

Branch

Michigan

2003 Narcotic arrests by type of drugHillsdale County and Michigan

Source: Michigan State Police/Hillsdale Co. Sheriff’s Department

8775.5

11

18

2 2.1 0.6 1.60

102030405060708090

100

Per

cen

tage

of

Arr

ests

Marijuana Opium-Cocaine

OtherDrugs

Synthetics

HillsdaleMichigan

Non-Index crimes, 5-Year (2000-2004) average arrest rates per 100,000 for Hillsdale & Branch

counties & MichiganSource: Michigan State Police Uniform Crime Reports

Crime BR Rate

HD Rate

MI Rate

Neg.Manslaughter 1.3 1.3 .9 Non-aggr. Assault 1150.2 1439.9 1210

Forgery 41.3 59.4 73.1 Fraud 409.7 559.9 382.5

Embezzlement 54.3 39.3 47.6 Stolen Property 36.5 28.2 59.8

Vandalism 1061.3 1156.4 1031.1 Weapons 30 29.9 44.5

Sex Offenses 163.8 123.5 102.5 Narcotic Laws 526 498.9 425.9

Family&Children 210.2 285.4 89 DUI 701.9 725.1 531

Liquor Laws 291.6 267.5 215.8 D Disorderly Conduct 716.9 780.7 635.8

Index Crimes Hillsdale, Branch and Michigan 5 year average arrest rates per 100,000 for

2000-2004Source: Michigan State Police Uniform Crime Reports

Crime BR Rate

HD Rate

MI Rate

Murder 1.3 2.1 6.5 Rape 86.5 74.3 53.5 Robbery 9.6 12 120.6 Aggr. Assault 189.4 169.3 345.3 Burglary 485.3 566.3 678.4 Larceny 1787.9 1569.8 2096.4 MV Theft 128.3 122.2 516.8 Arson 31.7 22.7 43 Total 2720 2538.7 3680.4

Number of adults in Hillsdale seeking shelter for domestic violence 1996-2005

Source: Domestic Harmony

40

29

42 43

52

65 62

45

59

0

10

20

30

40

50

60

70

80

Nu

mb

er

1996-97

1997-98

1998-99

1999-00

2000-01

2001-02

2002-03

2003-04

2004-05

Number of adult resident nights provided by Domestic Violence Shelter 1996-2005

Source: Domestic Harmony

2197

893676

1549 1439

981 813 836 873

0

500

1000

1500

2000

2500

Nu

mb

er

1996-97

1997-98

1998-99

1999-00

2000-01

2001-02

2002-03

2003-04

2004-05

Hospitalization and Mortality

Rate per 10,000 of preventable hospitalizations by age group

Hillsdale, Branch, Michigan- 2003Source: MDCH Hospitalization files

0

500

1000

1500

2000

2500

Per

cent

age

< 18 18-24 25-44 45-64 65-74 75-84 85+

BranchHillsdaleMichigan

Number and rank of preventable hospitalizations by type, all ages

Hillsdale, Branch and Michigan, 2003Source: Michigan Resident Inpatient Files

BR HD MI Preventable Hospitalization Rank Rank Rank

Pneumonia 1 1 2 Congestive heart failure 2 2 1 COPD 3 3 3 Angina 8 6 10 Kidney/Urinary 5 4 5 Dehydration 9 5 7 Asthma 4 7 4 Diabetes 7 9 8 Cellulitis 6 8 6 Gastroenteritis 10 * * Hypertension * 10 12 Convulsions * * 9

Leading Causes of Death and Crude Rates per 100,000,

Hillsdale/Branch Counties, and Michigan, 2004 Source: 2004 Resident Death File

Cause BR Rate HD Rate MI Rate

Heart Disease 206.7 294.9 245.3

Cancer 223.9 217 194.4 Stroke 51.7 37.9 52.2 Unintentional Injuries

43.1 46.3 32.6

Chronic Lower Respiratory

68.9 44.2 42

Diabetes 43.1 16.9 29.2 Alzheimer’s 28 14.7 22.1 Pneumonia or Influenza

19.4 25.3 19.4

Kidney Disease * 23.2 14.9 Suicide 12.9 14.7 10.8

Rates of Death due to diseases of the HeartSource: CDC 2000 U.S. death data

Cancer terminology - Stage definitions (stuff you would rather not have to hear)

In Situ – Presence of malignant cells within the cell group from which they arose. Latin for “in the place”

Localized – invasive cancer confined to the organ of origin

Regional – direct extension to adjacent organs or tissues or involvement in the regional lymph nodes.

Distant – continuation to non-adjacent organs, involvement of the distant lymph nodes

Percentage of breast cancer cases by stage at diagnosis, Hillsdale Residents, 1996-2000

Source: MDCH Hospitalization records

51.6%

1.9% 5.1% 16.6%

24.8%

In SituLocalizedRegionalDistantUnknown

Percentage of breast cancer cases by stage at diagnosis, Hillsdale Residents, 1998-2002

Source: MDCH Hospitalization records

53.5%

3.8% 2.7% 14.6%

25.4%

In SituLocalizedRegionalDistantUnknown

Percentage of prostate cancer cases by stage at diagnosis, Hillsdale residents, 1996

to 2000Source: MDCH Hospitalization records

70.6%

4.2%

18.5%

0.8%

5.9%

In Situ

Localized

Regional

Distant

Unknown

Percentage of prostate cancer cases by stage at diagnosis, Hillsdale residents, 1998

to 2002Source: MDCH Hospitalization records

78.1%

2.9%12.4%

1.5%5.1%

In Situ

Localized

Regional

Distant

Unknown

Percentage of colon cancer cases by stage at diagnosis, Hillsdale residents, 1996-2000

Source: MDCH Hospitalization records

12.6%

28.3%

15.0%

7.9%

36.2%

In Situ

Localized

Regional

Distant

Unknown

Percentage of colon cancer cases by stage at diagnosis, Hillsdale residents, 1998-2002

Source: MDCH Hospitalization records

10.1%

27.4%

13.1%

13.7%

35.7%

In Situ

Localized

Regional

Distant

Unknown

Economics 101

Median Family IncomeSource: US Census 1990/2000/2002/2005

0

10000

20000

30000

40000

50000

60000

70000

1990Census

2000Census

2002 2005

Hillsdale

Branch

Michigan

Home OwnershipHillsdale, Branch and Michigan

Source: FedStats.gov/ U.S. Census 2000

79.9 73.8 78.9

0

20

40

60

80

100

Per

cen

t

Hillsdale Michigan Branch

Formula: Owner occupied units / total occupied units

Hillsdale

Michigan

Branch

Average, non-seasonally adjusted unemployment rates,

Hillsdale, Branch & MichiganSource: U.S. Bureau of Labor Statistics

0

1

2

3

4

5

6

7

8

9

Rat

es

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

HillsdaleMichiganBranch

Per capita income estimates, Hillsdale, MI, & U.S., 1998-2004

Source: U.S. Dept. of Commerce, Bureau of Economic Analysis

0

5000

10000

15000

20000

25000

30000

35000

Inco

me

1998 1999 2000 2001 2002 2003 2004

HillsdaleBranchMichiganMI- Non metro

Poverty estimates for Hillsdale, all agesSource: U.S. Census

1990 2000

Branch 14.1% 9.4% Hillsdale 12.8 % 8.2% Michigan 13.2%10.5%

Conclusions - Adults

62% more HD moms smoke than MI Moms while pregnant

HD unemployment has exceeded Branch County and MI for the past 3 years and is currently 7% higher than MI

Arrests for DUI in HD exceed Branch County by 65% - crashes involving alcohol exceed Branch County by 28%

Crimes rates involving fraud, sex offenses, narcotics, family & children and disorderly conduct far exceed Branch County and MI

Heart Disease death rates exceed MI by 20% Crime Rates for rape in Hillsdale exceed the MI rate

by 39%