COUNTY PROFILE HIGHLIGHTS--2005
· Please note that some of the data discussed in the “Highlights” are either not available by county or the number of cases or respondents is too small to permit meaningful analysis. For these data elements, Service Area or other multi-county data have been presented and noted in the Profile. Further details are available in the “2005 County Profiles Definitions and Data Sources” document.
· In Adams County, 15.4% of the residents are aged 65 or older, according to 2004 U.S. Census Estimates. Statewide, 13.3% of the population are 65 or older.
· The proportion of county residents who were under age 18 was 23.2%, compared to the Nebraska average of 25.5% in 2004.
· Racial and ethnic minority residents made up 9.5% of the population of Adams County, compared to 14.3% statewide in 2004. Hispanic Americans account for 5.5% of the total population of this county, while Asian Americans comprise 2.3% of the total.
· The proportion of single-parent families in this county has increased somewhat since 1990, as it has statewide. In 2000, 11.2% of Adams County households were single-parent families, compared to an average of 12.4% for Nebraska.
· Among racial/ethnic minority households, the proportion of single-parent families is larger (14.4% for Adams County and 21.8% for Nebraska).
· Overall, 13.7% of Adams County residents aged 25 years or older have less than a high school education, compared to 13.4% statewide.
· Among racial/ethnic minority residents in Adams County, four out of ten (41.9%) had not completed high school. Statewide, 34.2% had less than a high school education.
· In Adams County, 9.9% of residents lived in households with incomes below 100% of the federally-defined poverty level in 2002, compared to an average of 10.0% for Nebraska. Among Hispanic Americans in this county, nearly one-fourth (24.5%) lived in poverty in 2000.
· The proportion of seventh- to twelfth-graders in Adams County who dropped out of school during the 2003-2004 school year was 1.8%, compared to 1.9% statewide.
· About one of every ten first births in this county (10.3%) occurred to unmarried women under age 20 with less than a high school education in 2000-2004. This rate of “new families at risk” is higher than the Nebraska average of 9% of first births.
· The arrest rate for all crime in Adams County in 2004 (46.5 arrests per 1,000 population) was lower than the overall rate for Nebraska (54.2). However, the arrest rate for juveniles under age 18 (34.9) was slightly higher than the statewide rate (33.3).
· In an average month in 2004, 149 Adams County children were in out-of-home care (that is, foster care, group homes or other residential care facilities).
· The multi-county agency serving domestic violence victims in Adams County handled 1,633 crisis calls and served 906 new contacts in FY2000.
· The overall death rate in Adams County (708.9 deaths per 100,000 people) was lower than the Nebraska rate (789.1) for 2000-2004.
· The heart disease death rate for the county (210.7 deaths per 100,000 population) was 2.7% higher than the Nebraska rate (205.1).
· The cancer death rate for Adams County (175.5) was close to the Nebraska rate of 182.0. The county rate was 19.4% higher than the state’s Healthy People 2010 objective of no more than 147.0 cancer deaths per 100,000 population.
· The rate of deaths due to cerebrovascular disease (stroke) in Adams County (47.9) was 11.3% lower than the statewide rate (54.0) and slightly above Nebraska’s 2010 objective for reducing deaths due to stroke (47.4).
· The unintentional injury death rate in Adams County (31.2) was lower than the statewide rate (37.6) but was 60.8% higher than the Nebraska 2010 objective for reducing deaths due to this cause (19.4).
· The diabetes-related death rate in Adams County (51.1) was lower than the state rate (72.6), but was over 2 times as high as the Nebraska 2010 objective for these deaths (25).
· There were 239 tobacco-related deaths (120.7 per 100,000 people) in Adams County during the five-year period 2000-2004. A total of 55 alcohol-related deaths were reported for the county during this period, resulting in a rate of 30.0 deaths per 100,000 people.
· There were 770 new cases of cancer reported in Adams County during the five-year period 1999-2003, resulting in a rate (434.0 cases per 100,000 population) that was less than the statewide rate of 474.2.
· The hospitalization rate for Adams County residents (11,205 hospital discharges per 100,000 population) was 14% higher than the Nebraska rate (9,837) in 2003-2004. Adams County residents were at least 62.4% more likely than people in Nebraska overall to be hospitalized for alcohol related diseases, psychosis/mental health, and pneumonia.
· Compared to the state overall (36.5%), Medicare was the expected payer for a larger share of hospitalizations of Adams County residents (48.9%) in 2003-2004. Medicaid accounted for a smaller share of the total (12.8% vs. 14.1% statewide).
· Incidence of sexually transmitted diseases (STDs) in Adams County (330.2 reported cases per 100,000 population) was considerably lower than the rate for the state (424.4) in 2004.
· Based on prevalence estimates supplied by the Alzheimer’s Association, it is estimated that 986 persons aged 65 and older in Adams County had senile dementia in 2004.
MATERNAL AND CHILD HEALTH AND WELL-BEING
· There were 12 deaths of infants under one year of age in Adams County during the five-year period 2000-2004, resulting in an infant mortality rate of 5.8 per 1,000 live births, compared to a rate of 6.6 for Nebraska. The Nebraska 2010 objective is to reduce this rate to no more than 4.5 infant deaths per 1,000 live births.
· The rate of low weight births (babies weighing less than 2,500 grams at birth) in Adams County (59.5 per 1,000 live births) was lower than the Nebraska rate of 69.4 during 2000-2004. The Nebraska 2010 target is to reduce this rate to no more than 50.0 low weight births per 1,000.
· In Adams County, births to adolescent girls aged 10 to 17 accounted for 2.9% of all births for 2000-2004, compared to a statewide average of 2.9%.
· An average of 17.1% of Adams County women giving birth during the five-year period 2000-2004 reported smoking cigarettes during this pregnancy, compared to the state average of 14.1%. The Nebraska 2010 objective is to reduce this proportion to 2.0% or less.
· Pregnant women in this county were somewhat more likely than Nebraska women overall to begin receiving prenatal care in the first three months of pregnancy (87.5% vs. 83.2% statewide) in 2000-2004. However, Hispanic American women (75.5%) were less likely than white women (88.1%) in Adams County to receive first trimester care. The Nebraska objective for the year 2010 is to have 90.0% of all pregnant women begin receiving prenatal care in their first trimester.
· Results of an immunization survey conducted by the Centers for Disease Control and Prevention showed that 82.4% of Nebraska children aged 19 to 35 months were up-to-date on immunizations with all five recommended vaccines in FY 2004. The current Nebraska objective is to have at least 90% of all children in this age group appropriately immunized.
RISK FACTOR PREVALENCE, 2000-2004
· Twenty two percent of adults in the South Heartland Health District (which includes Adams County) reported heights and weights that placed them in the obese category (Body Mass Index = 30 or higher). The Nebraska 2010 objective is to reduce this proportion to no more than 15%.
· The proportion of adults who said they had not participated in any leisure-time physical activity in the previous month was 24.7% in the district and 25% statewide. These rates are higher than the state’s 2010 target rate of no more than 15% of adults who are physically inactive.
· Adults in the district (19.9%) were somewhat less likely than Nebraska adults overall (21.1%) to state that they are current smokers. The Nebraska 2010 objective is to reduce the proportion of adults currently smoking cigarettes to no more than 12%.
· The proportion of adults reporting they have no health insurance was 12.6% in the district and 11.9% statewide.
· Nearly 7 percent of adults in the district and 8.4% statewide reported that there had been a time in the past 12 months when they were unable to see a doctor for needed care due to the potential cost of services. The Nebraska 2010 target is to reduce this proportion to no more than 4% of adults.
· Prevalence of screening for breast cancer was higher in the district (82.1%) than the state (75.5%). Eight out of ten women aged 40 and older in the district and three out of four statewide reported having a mammogram in the past two years.
· More than three-fourths of the adults aged 65 and older in the district (75.6%) compared to 71.5% in Nebraska had a flu shot in the past 12 months. A smaller proportion of these adults also reported ever having been vaccinated for pneumonia (64.8% vs. 63.2% statewide). The Nebraska 2010 objectives for these adult immunizations have been set at 90%.
· Based on results of the 2000-2004 Nebraska Behavioral Risk Factor Surveillance System, African Americans reported higher prevalence of obesity (34% vs. 23%), no leisure-time physical activity (34% vs. 25%), and cigarette smoking (27% vs. 23%) than white BRFSS respondents. African Americans were also more likely to say they have no health insurance (20% vs. 11%) or could not afford to see a physician at some time during the past 12 months (17% vs. 9%).
· Native Americans report a much higher prevalence of cigarette smoking (44%) than white persons in Nebraska (23%), and they were more likely to be physically inactive (29% vs. 25%) or obese (39% vs. 23%). They were more likely to report having no health insurance (27% vs. 11%), and to say there had been a time during the past 12 months when they could not afford to see to a doctor (21% vs. 9%).
· Asian Americans in Nebraska were less likely than white persons in the state to be obese (11% vs. 23%). Like other members of racial and ethnic minority groups, a greater proportion of Asian Americans reported having no health insurance (14% vs. 11%).
· Compared to non-Hispanic white persons in Nebraska, a greater proportion of Hispanic Americans stated they had not participated in any leisure-time physical activity in the previous month (44% vs. 25%). They were also more likely to have no health insurance (45% vs. 11%), and to be unable to afford to see a physician at least once in the past 12 months (17% vs. 9%).
· According to the 2003 Youth Risk Behavior Survey, Nebraska high school students were more likely than their counterparts nationwide to drink and drive and ride in a motor vehicle with a drinking driver. However, they were less likely to have ever used marijuana or to have used it, or tobacco, in the past 30 days.
· Of the persons receiving their drinking water from 14 municipal water systems or rural water districts in Adams County, 0.1% received water containing excessive levels of nitrate (>10 ppm) in 2000-2004.
· None of the county’s 7 community water systems sampled in 2004 supplied adequate levels of fluoride in the drinking water.
· Of all children under age 6 years whose blood lead levels were tested, 25 (3.4%) were found to have elevated levels of lead in 2002-2004 vs. 3.3% statewide (1,846 tests elevated).
AVAILABILITY OF SERVICES
· A total of 28 primary care physicians (GP/FP’s, IM’s, PED’s, and Ob/Gyn’s) were in practice in Adams County in 2003. There was also 1 psychiatrist, 6 physician assistants, and 9 nurse practitioners practicing in the county. In addition, there were 21 dentists in practice in Adams County in 2003.
· As of 2003, part of Adams County was federally-designated as a Health Professional Shortage Area. Part of the county was designated as a Medically Underserved Area or Population.
· Public transportation is currently available in Adams County.
SERVICE UTILIZATION DATA
· Children make up the greatest share of the Medicaid eligible population in Adams County (62.6%) in FY 2003. In comparison to the state, aged persons in this county comprise a slightly larger share of the Medicaid eligible population (10.9% vs. 9.0% for Nebraska).
· Medicaid expenditures for aged persons comprise 32.1% of the total in Adams County, compared to 29.4% statewide. ADC recipients (both children and adults) account for 34.7% of all Medicaid expenditures in the county, while blind and disabled recipients account for the remaining 33.1% of total expenditures.
· Medicaid fee-for-service expenditures accounted for the greatest share of the total, both in Adams County (73.4%) and the state (75.8%) in FY 2003. Capitated and other Medicaid payments comprised 26.6% of total Medicaid expenditures. Fee-for-service payments to nursing facilities made up 23.8% of total Medicaid expenditures in Adams County. Prescribed drugs comprised 19.3% of total Medicaid expenditures in this county.
· In FY 2004, a monthly average of 196 families received Aid to Dependent Children benefits and 1,913 persons participated in the Food Stamp Program in Adams County.
· In 2004, 1,266 women, infants and children from this county participated in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
· A total of 306 beds in nursing homes and hospital long-term care facilities were licensed in Adams County, with an occupancy rate of 88% in 2004.
· In Adams County, 5% of residents aged 65 and older live in nursing homes, compared to 5.5% for the state in 2004.