state of health tulsa county

STATE OF HEALTH TULSA COUNTY

Commissioned by JumpStart Tulsa

Prepared by the Community Service CouncilOctober 2011

TULSA COUNTY

Demographic Trends Economics and Employment Health Indicators Indicators

Dem

ogra

phic

s

DEMOGRAPHIC TRENDS

DEMOGRAPHIC TRENDS Population change--migration to

suburban areas of Tulsa and Oklahoma City MSA with an overall decrease in new births

Age--aging population Race and ethnicity--more culturally

diverse Living arrangements--transitional for

family living arrangement

Dem

ogra

phic

s

Dem

ogra

phic

s

Prepared by the Community Service Council of Greater Tulsa

Population Trends for Total Population and Under Age 5Tusla County, 1980 through 2030

Source: US Census Bureau, 1980, 1990 & 2000 Censuses; Population Estimates Program.

1980 1990 2000 2008(est.)

2010(proj.)

2020(proj.)

2030(proj.)

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

Under age 5 36,714 38,835 41,434 48,035 40,733 41,651 41,573Total Population 470,593 503,341 563,299 591,982 598,876 631,433 658,541


Dem

ogra

phic

sRace Comparison for Total Population and Children under 5

Oklahoma and Tulsa County, 2010

Source: US Census Bureau, 2010 Census.

59.3%

8.2%11.0%

1.6%

19.8%54.9%

12.6%

7.3%2.5%

22.8%

72.2%

7.4%

8.6%

1.7%

10.1%69.2%

10.7%

6.0%

2.3%

11.7%

White Black American Indian Asian Other/2+ races

Oklahoma Tulsa County

Under 5

Total Population

N = 591,982

N = 48,035N = 266,547

N = 3,642,361

Hispanic16.8%

Hispanic20.6%

Hispanic8.9%

Hispanic11.0%


Population Trends and Projections by Age GroupTulsa County, 1970 - 2030

Source: US Census Bureau, 1970, 1980, 1990, & 2000 Censuses; US Census Bureau, Population Estimates Division, Population Projections, 2000 - 2030.

6.3

6.6

6.8

7.4

7.7

7.7

8.5

16.6

17.1

18.2

18.9

18.4

19.8

25.9

9.2

9.7

10.1

10

10.1

13.5

10.7

47.8

50.5

52.5

51.9

52.2

49.1

46.2

17.5

14.1

10.6

10.4

10.4

9

8.1

2030

2020

2010

2000

1990

1980

1970

0% 20% 40% 60% 80% 100%

Percent of population0-4 5-17 18-24 25-64 65-84 85+

1.9

1.4

1.2

.9

.6

Pr o

ject

i ons 2.5

2.1

Dem

ogra

phic

s


Living Arrangements of Related Children Under 18Tulsa County, 1970, 1980, 1990, 2000 & 2005-07 Estimates

Source: US Census Bureau, 1970, 1980, 1990, and 2000 Censuses; US Census Bureau, American Community Survey 2005-07.

Married Couple Male-headed Female-headed Other relatives0%

20%

40%

60%

80%

100% 1970 1980 1990 2000 2005-07 est.

1970 82% 1% 11% 4%1980 74% 2% 16% 6%1990 71% 3% 18% 5%2000 65% 5% 21% 7%

2005-07 est. 61% 6% 25% 8%

Children living with 1 or both parents

Dem

ogra

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ECONOMICS AND EMPLOYMENT

Ratio of Income to Poverty LevelPercentage of Total Population and Children

Tulsa County, 2005-09

Source: US Census Bureau, 2005-09 American Community Survey.

Total population Under 18 Under 6 6-170%

25%

50%

75%

Percentage of population

Below 100% Below 185% Below 200%

Below 100% 19.8% 22.2% 26.8% 19.6%Below 185% 41.6% 42.1% 47.9% 38.7%Below 200% 45.4% 45.4% 51.1% 42.1%

EC

ON

OM

ICS

& E

MP

LOY

ME

NT

Family of Three, Tulsa County, 2010*

Source: Oklahoma Association of Community Action Agencies and the Oklahoma Asset Building Coalition, December 2009, The Self-Sufficiency Standard for Oklahoma 2009; 2009 HHS Poverty Guidelines, Federal Register, Vol. 74, No. 14, January 23, 2009, p. 4200; Oklahoma State Dept. of Human Services; U.S. Census Bureau, 2006-08 American Community Survey.

$73,324

$52,870

$36,832

$10,309$15,312 $18,310

$33,874

$21,551

WelfareWage

MinimumWage

PovertyWage

185% PovertyWage

Median FamilyIncome

(2006-08 ACS)

$0

$20,000

$40,000

$60,000

$80,000Annual Wage

Self-Sufficiency Wage = $39,978 ($18.93/hr)

Comparison of Wages: Self-Sufficiency, Welfare, Minimum, Poverty, 185% of Poverty, and Median Family Income

($4.88/hr) ($7.25/hr) ($8.67/hr) ($16.04/hr)

Notes: For the self-sufficiency wage, family of three consists of one adult, one preschooler and one schoolage child. Hourly wages given assume full-time, year-round employment. The 2009 poverty guidelines are being used until at least March 1, 2010. Welfare wage is the combined value of TANF, SNAP, & WIC.

Married-couple families w/ children <18($34.72/hr)

All families w/ children <18

Male-headed families w/ children <18

Female-headed families w/ children <18

($17.44/hr)

($25.03/hr)

($10.20/hr)

Econ

omic

s &

Em

ploy

men

t


Participation in Public Assistance ProgramsNumber of Participants and Percentage of Population Participating

Tulsa County, 2011

Source: Oklahoma Dept. of Human Services, Statistical Bulletin, June 2011; Oklahoma State Dept. of Education, Low Income Report for 2010-11; US Census Bureau, 2010 Census; Oklahoma State Department of Health-WIC Service, Caseload Report, August 2011.

129,750

73,002

4,152

9,972

4,231

87,852

2,533

31,732

4,946

21.5%

44.9%

47.1%

22.3%

9.5%

14.6%

1.6%

52.8%

8.2%

Soonercare Total (185%/100%) (8/11)

Soonercare <19 (185%) (8/11)

WIC Infants (185%) (8/11)

WIC age 1-5 (185%) (8/11)

Child Care Subsidy <5 (185%) 6/11)

SNAP Total (130%) (6/11)

TANF <18 (50%) (6/11)

Elem. School Free Lunch (130%)(SY 2010-11)

Elem. School Reduced Lunch (185%)(SY 2010-11)

050,000100,000150,000

Number of Participants

0% 20% 40% 60%

Percent of Population

Econ

omic

s &

Em

ploy

men

t


Educational Attainment for Persons Age 25 & OlderTulsa County, 2006-08 Estimates

Source: US Census Bureau, American Community Survey 2006-08.

15.1%

33%

22.8%

6.7%

15.1%

5.1%

1.4%

0.8%

Less than high school

High school graduate

Some college

Associate degree

Bachelor's degree

Master's degree

Professional school degree

Doctorate degree

0% 10% 20% 30% 40%Percent of persons 25+

Econ

omic

s &

Em

ploy

men

t


Unemployment RatesTulsa County and Tulsa MSA, 1990 - 2011

Source: U.S. Department of Labor, Bureau of Labor Statistics.

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 July2011

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

10.0

Tulsa Co. 4.3 5.1 5.6 6.1 5.4 4.0 3.3 3.4 3.2 3.4 2.8 3.3 5.0 6.0 4.9 4.2 3.9 3.8 3.6 6.8 7.6 6.2Tulsa MSA 4.8 5.7 6.0 6.4 5.8 4.4 3.6 3.7 3.6 3.5 2.9 3.4 5.0 6.1 5.1 4.4 4.0 3.9 3.7 7.1 7.9 6.4

Econ

omic

s &

Em

ploy

men

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CHILD INDICATORS

WHY ARE CHILDREN AT RISK?

Lack of health insurance Limited access to preventative

services Living in high risk families Living in a state with a high level of

premature death


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THE ADVERSE CHILDHOOD EXPERIENCES (ACE) STUDY

Major American research project that poses the question of whether and how childhood experiences affect adult health decades later

Provides compelling evidence that: Adverse childhood experiences are surprisingly common ACE’s happen even in “the best of families” ACE’s have long-term, damaging consequences

Findings reveal powerful relationships between emotional experiences as children and physical and mental health as adults

Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

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THE ADVERSE CHILDHOOD EXPERIENCES (ACE) STUDY PYRAMID

Early Death

Disease, Disability and Social Problems

Adoption of Health-

risk

Behaviors

Social, Emotional and Cognitive

Impairment

Disrupted Neurodevelopment

Adverse Childhood Experiences

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Conception

Death

Mechanisms by which Adverse Childhood Experiences Influence Health and Well-being throughout the Lifespan

Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

ADVERSE CHILDHOOD EXPERIENCES…

Recurrent physical abuse

Recurrent emotional abuse

Sexual abuse An alcohol or drug

abuser An incarcerated

household member

Someone who is chronically depressed, suicidal, institutionalized or mentally ill

Mother being treated violently

One or no parents Emotional or

physical neglectSource: The Adverse Childhood Experiences Study website: www.acestudy.org, “What are Adverse Childhood Experieinces (ACE’s).”

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…GROWING UP IN A HOUSEHOLD WITH:

…LEAD TO HEALTH-RISK BEHAVIORS…

Smoking Overeating Physical inactivity Heavy alcohol use Drug use Promiscuity

Source: The Adverse Childhood Experiences Study website: www.acestudy.org

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…WHICH CAUSE DISEASE, DISABILITY AND SOCIAL PROBLEMS IN ADULTHOOD

Heart disease Cancer Chronic lung and

liver disease Stroke Diabetes Sexually transmitted

diseases

Nicotine addiction Alcoholism Drug addiction Obesity Depression Suicide Injuries Unintentional

pregnancy

Source: Felitti, Vincent J., “The Relationship of Adverse Childhood Experiences to Adult Health: Turning gold into lead;” CDC Media Relations, May 14, 1998, “Adult Health Problems Linked to Traumatic Childhood Experiences.”

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Summary of Risk Factors for InfantsTulsa County and Oklahoma, 2008

Source: Oklahoma State Department of Health, Vital Statistics.

12.1%

43.9%

8%

23.2%

7%

1.8%

31.5%

17.6%

12.2%

13.7%

42.3%

5.4%

21.4%

6.9%

1.4%

34.8%

20.5%

11%

Teen mother(age 15-19)

Unmarried mother

Poor prenatal care(3rd trimester/no care)

Mother w/ <12th gradeeducation

Low birthweight(1500-2499 grams)

Very low birthweight(<1500 grams)

Short birth spacing(<24 mos. apart)

Very short birth spacing(<18 mos. apart)

Premature(<37 weeks gest.)

0% 10% 20% 30% 40% 50%Percent of Births

Tulsa Co.Oklahoma

Tulsa County births: 9,530 Oklahoma births: 54,753

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Characteristics of Births to Teen Mothers (Age 15-19)Tulsa County and Oklahoma, 2008


87.7%

10.4%

59%

7.7%

2%

61.1%

39.9%

12.3%

20.9%

2.8%

81.6%

7.1%

54.1%

7.9%

1.8%

67.6%

46.9%

11.6%

20.8%

3.6%

Unmarried

Poor prenatal care(3rd trimester/no care)

Mother w/ <12th gradeeducation

Low birthweight(1500-2499 grams)

Very low birthweight(<1500 grams)

Short birth spacing(<24 mos. apart)

Very short birth spacing(<18 mos. apart)

Premature(<37 weeks gest.)

1+ previous births

2+ previous births

0% 20% 40% 60% 80% 100%Percent of Teen Births

Tulsa Co.Oklahoma

Tulsa County births to teens: 1,152Tulsa County teen birth rate: 60.3 (per 100,000 females age 15-19)Oklahoma births to teens: 7,492Oklahoma teen birth rate: 61.6 (per 100,000 females age 15-19)


Resident Births to Teens Age 15-17 and 18-19Tulsa County, 1980, 1990, 2000 and 2008


1980 1990 2000 20080

250

500

750

1,000

Number of births

0

40

80

120

160Specific birth rate

Births 15-17 547 385 419 376Births 18-19 897 810 858 776

Birth rate 15-17 48.5 38.6 35.2 31.1Birth rate 18-19 106.4 119.2 108 110.3

Note: Specific birth rate is the number of births to females in specified age group per 1,000 females in age group.

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Infant Mortality RatesTulsa County and Oklahoma, 1980 through 2007

Source: Oklahoma State Department of Health

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

0

5

10

15Number of infant deaths per 1,000 live births

Tulsa County Oklahoma

Tulsa County 10.412.3 1010.7 9.810.7 9.9 8.8 10.4 9.5 9 9.2 8.3 10.3 9.7 9.3 9.1 6.9 6.9 7.1 9 7 8.8 7.5 6.6 8.2 8.7 9.4Oklahoma 12.311.411.910.310.210.6 9.9 9.2 8.7 8.1 9 9.3 8.4 8.5 8.4 8.3 8.4 7.4 8.5 8.5 8.4 7.2 8.1 7.8 7.9 8.1 8 8.6

From 2003 through 2007, there was an average of 77 infant deaths per year in Tulsa County, for a rate of 8.1 per 1,000 live births. In Oklahoma, the average was 425 infant deaths, for a rate of 8.1.

“Healthy People 2010” goal = 5 per 1,000

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Average Daily Membership and Percentage of Children Enrolled in Special Education, by School District

Tulsa County County, School Year 2008-09

Source: Oklahoma State Department of Education, Education Oversight Board, Office of Accountability, Profiles 2009 Reports.

Berryhill Bixby BrokenArrow

Collinsville Glenpool Jenks Keystone Liberty Owasso SandSprings

Skiatook Sperry Tulsa Union0

10,000

20,000

30,000

40,000

50,000ADM

0%

10%

20%

30%

40%

50%Percent in Special Education

ADM % Spec. Ed.

ADM 1,230 4,623 16,193 2,544 2,379 9,982 423 594 8,698 5,431 2,525 1,280 41,195 14,658% Spec. Ed. 8.5% 14.4% 14.4% 11.8% 12.9% 14.8% 16.3% 18.2% 11% 13.5% 13.1% 12.3% 14.6% 10%

Tulsa County total ADM = 111,755; percentage in special education = 13.4%

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DHS Licensed Child Care Services Provided to Children Under Age 5, by Age

Tulsa County, October 2001 - October, 20010

Source: Oklahoma Department of Human Services, Monthly Statistical Bulletins.

October2001

October2002

October2003

October2004

October2005

October2006

October2007

October2008

October2009

October2010

0

200

400

600

800

1,000

1,200

1,400

Age <1 530 648 709 696 758 739 622 586 604 532Age 1 1,010 1,012 1,029 1,128 1,019 1,016 989 909 882 941Age 2 1,098 1,182 1,162 1,201 1,158 1,106 1,067 1,039 1,020 1,022Age 3 1,117 1,111 1,168 1,234 1,145 1,080 1,076 1,052 1,014 1,043Age 4 975 1,020 989 1,150 1,019 931 961 893 870 859

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Child Deaths Due to AbuseOklahoma, Fiscal Years 1978 - 2007

Source: Oklahoma Dept. of Human Services, Children & Family Services Division.

75

12 13

1821

16 16

24

31

2325

18

38

2023

3134

29

4245

47 48

3835

27

51

40

32

39

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

0

10

20

30

40

50

60

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CHILD ABUSE & NEGLECT In Tulsa County in FY 2009, there were 3,933 reports of child abuse

and/or neglect accepted for investigation or assessment. 6,583 children were involved in these reports (duplicated count).

1,248 children were confirmed victims of child abuse and/or neglect. 89 were abused, 992 were neglected, 167 were victims of both abuse and neglect.

Eight of every 1,000 children in Tulsa County are victims of abuse and/or neglect. In Oklahoma, the rate is 10 of every 1,000 children.

Oklahoma ranks #35 in the nation in the rate of children who are victims of abuse and/or neglect.

Parents make up 73.7% of all perpetrators, followed by “no relation” at 6.9%, step-parents at 5.9%, and grandparents at 3.5%.

Substance abuse is a major contributing factor to child neglect.


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Age of Children of Confirmed Abuse and NeglectOklahoma, FY 2009

Source: Oklahoma Dept. of Human Services, Children & Family Services Division.

Under 11,492 (17.3%)

1-21,480 (17.2%)

3-62,351 (27.3%)

7-111,883 (21.9%)

12 & older1,399 (16.3%)

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Elementary School Students Eligible for Free and Reduced Lunch Program

By School District, Tulsa County, 2010-2011 School Year

Source: Oklahoma State Dept. of Education, Low Income Report for 2009-2010.

52.8%

78.2%

64.5%

50.1%

51.4%

50.7%

51.6%

40.1%

43.1%

31.5%

31%

29.9%

24.7%

26.3%

20.5%

8.2%

8.3%

7%

17.2%

13.6%

12.1%

9.7%

12.3%

8.6%

12%

7.4%

7.4%

7.4%

5.4%

4.2%

Tulsa County Total

Tulsa

Sperry

Keystone

Sand Springs

Liberty

Union

Glenpool

Skiatook

Collinsville

Broken Arrow

Berryhill

Owasso

Jenks

Bixby

0% 20% 40% 60% 80% 100%

Percent of Students Eligible

FreeReduced

Free lunch eligibility requirement: annual household income below 130% of poverty, which currently is $24,089 for a family of three.

Reduced lunch eligibility requirement: annual household income below 185% of poverty, which currently is $34,281 for a family of three.

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Juvenile Arrests, by Type of CrimeTulsa County, 2001 through 2008

Source: Oklahoma State Bureau of Investigation, Uniform Crime Reports.

Index crimes Drug related Alcohol related Other crimes0

500

1,000

1,500

2,000

2,500

3,000

3,500Number of arrests

2001 2002 2003 2004 2005 2006 2007 2008

A total of 4,140 juvenile arrests were made in Tulsa County in 2008, for a rate of 65.2 per 1,000 juveniles age 10-17, down from 5,954 arrests for a

rate of 91.9 in 2001.

Includes murder, rape, robbery aggravated

assault, burglary, larceny, and motor vehicle theft.

Includes sale/manufacturing

and possession of drugs.

Includes driving under the influence, liquor law violations, and

drunkenness.

Includes other assaults, disorderly conduct, curfew & loitering, runaway and all other non-traffic offenses

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Source: Centers for Disease Control, Youth Risk Behavior Surveillance System; Oklahoma State Department of Health, OK2SHARE.

47.8%

22%

9.9%

22.2%

26.5%

17.5%

30.6%

40.5%

18.7%

7.1%

18.4%

28.6%

12.3%

25.8%

43.1%

15.9%

5.5%

19.1%

23.2%

13.3%

26.8%

39%

17.2%

4.8%

16.8%

22.6%

11%

23.1%

44.7%

19.7%

4.4%

22.3%

20%

10.5%

29.1%

Alcohol

Marijuana

Methamphetamine

Offered/sold/givenillegal drugs at school

Smoked cigarettesduring past month

Drove after drinkingalcohol in past month

Rode with drinkingdriver in past month

0% 20%40%60%80%100%

2003 Oklahoma2005 Oklahoma2007 Oklahoma2009 Oklahoma2007 US

Youth Risk Behavior Survey:Summary of Alcohol, Other Drug & Tobacco Use

High School Students, Oklahoma, 2003 through 2009, and U.S., 2007

Used once or more during past 30 days...

Ever used...

Note: National 2009 YRBSS data have not yet been released.

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Source: Centers for Disease Control, Youth Risk Behavior Surveillance System; Oklahoma State Department of Health, OK2SHARE.

50%

5.8%

64.3%

17.7%

7%

14.2%

49.3%

6.5%

61.7%

16.4%

7.9%

15.9%

38.2%

50.9%

5.8%

59.6%

16.7%

5.9%

15.2%

49.6%

51.1%

4.7%

56.7%

22.7%

7%

16.4%

47.4%

47.8%

7.1%

61.5%

16%

6.9%

15.8%

34.7%

Ever hadsexual intercourse

Had sex before age 13

Used condom last time

Used birth controlpills last time

Attempted suicidein past year

Overweight(according to BMI)

Physical activity for60 min/day 5 of past 7 days

0% 20% 40% 60% 80% 100%

2003 Oklahoma2005 Oklahoma2007 Oklahoma2009 Oklahoma2007 US

Youth Risk Behavior Survey:Summary of Sexual Behaviors, Suicide & Physical Health

High School Students, Oklahoma, 2003 through 2009, and U.S., 2007

Note: National 2009 YRBSS data have not yet been released.

na

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Health StatusOklahoma and United States, 1996 - 2009

Source: United Health Foundation, “America’s Health Rankings.“

'96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '090%

5%

10%

15%

20%

25%

Per

c ent

adu

lts re

por ti

ng fa

ir or

poo

r hea

lth

0

10

20

30

40

50

State rank

Oklahoma Rank US

Oklahoma 13.1% 14% 13.4% 12.6% 17.4% 15.3% 19.6% 17.7% 17.8% 19.7% 18.7% 20.2% 19.2% 18.7%Rank 26 32 28 25 42 34 45 41 41 44 42 46 43 42

US 12.9% 12.9% 12.8% 12.6% 13% 13.9% 14% 14.7% 14.7% 14.9% 14.8% 14.7% 14.9% 14.4%

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Prevalence of ObesityOklahoma and United States, 1990 - 2009


'90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '090%

5%

10%

15%

20%

25%

30%

35%

Per

c ent

of p

opul

atio

n es

tima t

ed to

be

obes

e

0

10

20

30

40

50

State rank

Oklahoma Rank US

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Prevalence of SmokingOklahoma and United States, 1990 - 2009


'90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '090%

10%

20%

30%

40%

50%

60%

Per

c ent

of p

opul

atio

n ov

er 1

8 th

at s

mok

e re

g ula

rly

0

10

20

30

40

50

60

State rank

Oklahoma Rank US

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Health Insurance Status, by AgeOklahoma, 2007-2008

Source: Kaiser Family Foundation.

1,714,100 (48.5%)

156,600 (4.4%)505,000 (14.3%)

590,500 (16.7%)

564,700 (16.0%)

456,300 (47.0%)

38,900 (4.0%)

337,000 (34.7%)

38,600 (4.0%)101,000 (10.4%)

1,255,500 (60.6%)

114,800 (5.5%)

146,300 (7.1%)

96,800 (4.7%)

457,500 (22.1%)

2,300 (0.5%)2,900 (0.6%)21,700 (4.4%)

455,100 (93.2%)

6,200 (1.3%)

Employer Individual Medicaid Medicare/Other Public Uninsured

Total Population Under Age 19

Age 19-64 Age 65 & over

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Oklahoma’s Prison PopulationFiscal Years 1950 - 2008

Source: Oklahoma Department of Corrections.

1950

1955

1960

1965

1970

1975

1980

1985

1990

1995

2000

2005

2008

0

5,000

10,000

15,000

20,000

25,000

30,000Prison population

Cri

me

& In

carc

erat

ion

Oklahoma's Rankings in Health Determinants, 2010 (part 1)According to United Health Foundation's State Health Rankings


#48

#10

#46

#23

#40

#44

#28

#31

#24

Personal Behaviors

Prevalence of smoking

Prevalence of Binge Drinking

Prevalence of obesity

Community & Environment

High school graduation

Violent crime

Occupational fatalities

Infectious disease

Children in poverty

Air pollution

#0 #10 #20 #30 #40 #50

1990 2010

Ranking: 1=best, 50=worst

HE

AL

TH

IN

DIC

AT

OR

S

Oklahoma's Rankings in Health Determinants, 2010 (part 2)According to United Health Foundation's State Health Rankings


#35

#14

#18

#47

#49

#46

#45

Public & Health Policies

Lack of health insurance

Public health funding (per capita)

Immunization coverage

Clinical Care

Early prenatal care

Primary Care Physicians

Preventable Hospitalizations

All Determinants

#0 #10 #20 #30 #40 #50

1990 2010


HE

AL

TH

IN

DIC

AT

OR

S

Oklahoma's Rankings in Health Outcomes, 2010According to United Health Foundation's State Health Rankings


#48

#46

#21

#44

#48

#40

#46

#46

Poor mental health days

Poor physical health days

Geographic disparity

Infant mortality

Cardiovascular deaths

Cancer deaths

Premature death

All Health Outcomes

#0 #10 #20 #30 #40 #50

1990 2010


Oklahoma’s overall health ranking for 2010 is # 46

HE

AL

TH

IN

DIC

AT

OR

S

ADVERSE CHILDHOOD EXPERIENCESTULSA COUNTY RANKINGS

Parental separation or divorce 49 Incarcerated household member 76 Mentally ill household member 77 Substance abusing household member 76* Violence against mother 57 Psychological, physical & sexual abuse 12 Emotional & physical neglect 4

Overall ranking 31Rankings: 1 = best, 77 = worst

*Indicates a tie with at least one other county

Source: Oklahoma KIDS COUNT Factbook, 2006-2007, Oklahoma Institute for Child Advocacy

Child

Indi

cato

rs

…IN SUMMARY

TULSA PERINATAL HEALTH CARE SYSTEM Social Marketing

Client

Outreach Case Finding Free Pregnancy Testing Planline/Family Planning

BabyLine/Risk Assessment

CHC IHCRC Morton OSU OB/GYN

OU Family Med

PP THD

High Risk Care

Safety Net/ Low and Moderate Risk Care

Private Doctors OSU OU

OB/GYN

Deliveries

OSU SouthcrestHillcrest

Safety Net/Post-partum & Family Planning

OU Xavier

CHC IHCRC Morton OSU OB/GYN

OU Family Med

PP THDOU

St. John Saint Francix

BEST PRACTICESSTRATEGIES

Outcome performance measures Community coalitions

Collaborative, public-private partnerships Consumer/client investments

Successful outreach and recruitment Case management/Care coordination Strong social marketing Risk reduction education Access to services and care

Child care Transportation Translation

RESPONSES…BEFORE BIRTH AND THROUGH AGE 5 YEARS OLD

Support systems Free pregnancy testing Babyline Home visitation

programs High risk medical case

management Home-clinic case

management Early care and learning Health information

exchange

System supports Community profile Fetal-infant mortality

review PRAMS Tots First grade study Family Health

Coalition/Turning Point JumpStart Tulsa Teen Pregnancy

Prevention Coalition

STATE OF HEALTH TULSA COUNTY

Prepared by the Community Service Council of Greater TulsaOctober 2011

…is available on our website:www.csctulsa.org

state of health tulsa county

Documents

population of children

total population

hispanic population

state of oklahoma

year old population

population of rural

suburban areas of tulsa

child indicators