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 Antelope County, 20% of the residents are aged 65 or older, according to the 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 25.4%, compared to the Nebraska average of 25.5% in 2004.
· Racial and ethnic minority residents made up 1.6% of the population of Antelope County, compared to 14.3% statewide in 2004.
· The proportion of single-parent families in this county has increased slightly since 1990. In 2000, 7.7% of Antelope County households were single-parent families, compared to an average of 12.4% for Nebraska.
· Overall, 14.5% of Antelope County residents aged 25 years or older have less than a high school education, compared to 13.4% statewide.
· In Antelope County, 12.9% 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.
· The proportion of seventh- to twelfth-graders in Antelope County who dropped out of school during the 2003-2004 school year was 0.8%, compared to 1.9% statewide.
· About one of every 25 first births in this county (4.5%) occurred to unmarried women under age 20 with less than a high school education. This rate of “new families at risk” is lower than the Nebraska average of 9% of first births in 2000-2004.
· The arrest rate for all crime in Antelope County in 2004 (9 arrests per 1,000 population) was only about one-sixth as high as the overall rate for Nebraska (54.2).
· In an average month in 2004, 16 Antelope 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 Antelope County handled 4,487 crisis calls and served 893 new contacts in FY2000.
· The overall death rate in Antelope County (662.3 deaths per 100,000 people) was 16.1% lower than the Nebraska rate for 2000-2004 (789.1).
· The heart disease death rate for the county (189.3 deaths per 100,000 population) was 7.7% lower than the Nebraska rate (205.1).
· The cancer death rate for Antelope County (163.7) was lower than the Nebraska rate of 182. The county rate was 11.4% 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 Antelope County (51.6) was lower than the statewide rate (54) and 8.9% higher than Nebraska’s 2010 objective (47.4) for reducing deaths due to stroke.
· The diabetes-related death rate in Antelope County (77) was higher than the state rate (72.6), and was more than triple the Nebraska 2010 objective of no more than 25.0 of these deaths per 100,000 population.
· There were 67 tobacco-related deaths (114.3 per 100,000 people) in Antelope County during the five-year period 2000-2004 vs. 137.2 per 100,000 statewide
· There were 208 new cases of cancer reported in Antelope County during the five-year period 1999-2003, resulting in a rate (417.1 cases per 100,000 population) that was 12% lower than the statewide rate of 474.2.
· The hospitalization rate for Antelope County residents (9,566 hospital discharges per 100,000 population) was 2.8% lower than the Nebraska rate (9,837) in 2003-2004. Antelope County residents were at least 46.7% more likely than people in Nebraska overall to be hospitalized for pneumonia and other respiratory diseases. On the other hand, the rate of hospitalization resulting from psychosis/mental health diseases was 46% lower than Nebraska rates for these conditions.
· Compared to the state overall (36.5%), Medicare was the expected payer for a larger share of hospitalizations of Antelope County residents (52.7%) in 2003-2004. Medicaid accounted for a smaller share of the total (11.8% vs. 14.1% statewide).
· Incidence of sexually transmitted diseases (STDs) in Antelope County (13.9 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 297 persons aged 65 and older in Antelope County had senile dementia in 2004.
MATERNAL AND CHILD HEALTH AND WELL-BEING
· There were 3 deaths of infants under one year of age in Antelope County during the five-year period 2000-2004.
· The rate of low weight births (babies weighing less than 2,500 grams at birth) in Antelope County (45.9 per 1,000 live births) was less than the Nebraska rate of 69.4 in 2000-2004. Antelope County has already achieved the Nebraska 2010 target rate of no more than 50 low weight births per 1,000 live births.
· An average of 20.9% of Antelope 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 slightly more likely than Nebraska women overall to begin receiving prenatal care in the first three months of pregnancy (85.7% vs. 83.2% statewide) in 2000-2004. 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 NE objective is to have at least 90% of all children in this age group appropriately immunized.
RISK FACTOR PREVALENCE, 2000-2004
· Twenty-three percent of adults in the North Central Health District (which includes Antelope 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 30.4% in the district and 25% statewide. The district rate is roughly double the state’s 2010 target rate of no more than 15% of adults who are physically inactive.
· Adults in the district (19.4%) were slightly 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 18.5% in the district and 11.9% statewide.
· Ten 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 somewhat lower in the district than in the state overall. Two-thirds of the women aged 40 and older in this district (69.8%) reported having a mammogram in the past two years, compared to 75.5% statewide.
· About two-thirds of the adults aged 65 and older in the district (67.3%) and 71.5% statewide had a flu shot in the past 12 months. A smaller proportion of these adults reported ever having been vaccinated for pneumonia (58.8% 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 report 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 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 15 municipal water systems or rural water districts in Antelope County, 1.1% received water containing excessive levels of nitrate (>10 ppm) in 2000-2004.
· Two of the county’s 7 community water systems sampled in 2004 supply adequate levels of fluoride in the drinking water. These systems supply water with adequate fluoride level to 63.1% of the people served by community water systems in Antelope County.
· Of all children under age 6 years whose blood lead levels were tested, 10 (8.3%) 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 4 primary care physicians (all GP/FP’s) were in practice in Antelope County in 2003. There were also 3 nurse practitioners and 2 physician assistants, but no psychiatrists, practicing in the county. In addition, there was 1 dentist in practice in Antelope County in 2003.
· As of 2003, all of Antelope County was federally-designated as a Medically Underserved Area or Population.
· Public transportation is currently available in Antelope County.
SERVICE UTILIZATION DATA
· Children make up the greatest share of the Medicaid eligible population in Antelope County (67.2%) in FY 2003. In comparison to the state, aged persons in this county comprise a somewhat larger share of the Medicaid eligible population (14.4% vs. 9.0% for Nebraska).
· Medicaid expenditures for aged persons comprise 45.8% of the total in Antelope County, compared to 29.4% statewide. ADC recipients (both children and adults) account for 26.1% of all Medicaid expenditures in the county, while blind and disabled recipients account for the remaining 28.0% of total expenditures.
· Medicaid fee-for-service expenditures accounted for the greatest share of the total, both in Antelope County (94.3%) and the state (80.9%) in FY 2003. Capitated and other Medicaid payments comprised a much smaller percentage of the total (12.7%). Fee-for-service payments to nursing facilities made up 31.3% of total Medicaid expenditures in Antelope County. Prescribed drugs comprised 16.3% of total Medicaid expenditures in this county.
· In FY 2004, a monthly average of 21 families received Aid to Dependent Children benefits and 374 persons participated in the Food Stamp Program in Antelope County.
· In 2004, 171 women, infants and children from this county participated in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
· A total of 80 beds in nursing homes and hospital long-term care facilities are licensed in Antelope County, with an occupancy rate of 77.8% in 2004.
· In Antelope County, 4% of residents aged 65 and older live in nursing homes, compared to 5.5% for the state in 2004.