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 Arthur County, 20.4% 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 24.1%, compared to the Nebraska average of 25.5% in 2004.
· Racial and ethnic minority residents made up 3.5% of the population of Arthur County, compared to 14.3% statewide in 2004.
· The proportion of single-parent families in this county has increased since 1990, as it has statewide. In 2000, 11.3% of Arthur County households were single-parent families, compared to an average of 12.4% for Nebraska.
· Overall, 10.4% of Arthur County residents aged 25 years or older have less than a high school education, compared to 13.4% statewide in 2000.
· In Arthur 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.
· No seventh- to twelfth-graders in Arthur County dropped out of school during the 2003-2004 school year, compared to 1.9% of these students statewide.
· There were only 3 arrests for all crime and no arrests of juveniles under age 18 in Arthur County in 2004.
· In an average month in 2004, 1 Arthur County child was 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 Arthur County handled 1,482 crisis calls and served 630 new contacts in FY2000.
· The overall death rate in Arthur County (810 deaths per 100,000 people) was greater than the Nebraska rate (789.1) for 2000-2004. Only 20 deaths occurred in this county during the five-year period.
· There were 13 new cases of cancer reported in Arthur County during the five-year period 1999-2003, resulting in a rate (493.3 cases per 100,000 population) that was 4% higher than the statewide rate of 474.2.
· The hospitalization rate for Arthur County residents (8,426 hospital discharges per 100,000 population) was 16.75% lower than the Nebraska rate (9,837 in 2003-2004). Only 79 hospitalizations occurred among county residents during 2003-2004.
· Compared to the state overall (36.5%), Medicare was the expected payer for a larger share of hospitalizations of Arthur County residents (54.4%) in 2003-2004.
· No cases of sexually transmitted diseases (STDs) were reported in Arthur County in 2004. For Nebraska, the incidence rate averaged 424.4 new cases per 100,000 population for the year 2004.
· Based on prevalence estimates supplied by the Alzheimer’s Association, it is estimated that 12 persons aged 65 and older in Arthur County had senile dementia in 2004.
MATERNAL AND CHILD HEALTH AND WELL-BEING
· There were no deaths of infants under one year of age in Arthur County during the five-year period 2000-2004.
· There was only 1 low weight birth (babies weighing less than 2,500 grams at birth) in Arthur County during the five-year period 2000-2004. In Nebraska, there was an average of 69.4 low weight births per 1,000 live births. The Nebraska 2010 target is to reduce this rate to no more than 50.0 low weight births per 1,000.
· In Arthur County, no births to adolescent girls aged 10 to 17 were reported for 2000-2004. Statewide, 2.9% of all births occurred to girls in this age bracket.
· No Arthur 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 (92.6% 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 Nebraska objective is to have at least 90% of all children in this age group appropriately immunized.
RISK FACTOR PREVALENCE, 2000-2004
· Twenty one percent of adults in West Central Health District (which includes Arthur 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 26.7% in the district and 25% statewide. These rates are much higher than the state’s 2010 target rate of no more than 15% of adults who are physically inactive.
· Adults in the district (20.3%) were just as likely as 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 12.9% 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 lower in the district than it was in the state overall. Seventy-three percent of the women aged 40 and older in the district reported having a mammogram in the past two years, compared to 75.5% statewide.
· Over two-thirds of the adults aged 65 and older in the district (69.4%) 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 (55% 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% vs. 23%) than white persons in Nebraska do, 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 (25% 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 are 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.
· Three community water systems in Arthur County were sampled for presence of nitrates in drinking water. None of these systems had levels > 10 ppm. None of these water systems had adequate fluoride levels, however.
AVAILABILITY OF SERVICES
· No primary care physicians (GP/FP’s, IM’s, pediatricians, and Ob/Gyn’s) were in practice in Arthur County in 2003. No psychiatrists, physician assistants, nurse practitioners, or dentists were practicing in the county either.
· As of 2003, all of Arthur County was federally-designated as a Health Professional Shortage Area and as a Medically Underserved Area.
· Public transportation is currently available in Arthur County.
SERVICE UTILIZATION DATA
· Children made up the greatest share of the Medicaid eligible population in Arthur County (82.10%) in FY 2003.
· Medicaid expenditures for aged persons comprise 6.7% of the total in Arthur County, compared to 29.4% statewide. ADC recipients (both children and adults) account for 87.5% of all Medicaid expenditures in the county, while blind and disabled recipients account for the remaining 5.8% of total expenditures.
· Medicaid fee-for-service expenditures accounted for 89.1% of the total in Arthur County compared to 75.8% for the state in FY2003. Hospital inpatient (38.6%) and outpatient (36.8%) charges comprised 75.4% of Medicaid fee-for service expenditures in Arthur County. Capitated and other Medicaid payments accounted for 10.9% of the total Medicaid expenditures. Prescribed drugs comprised 6.1% of Medicaid fee-for-service expenditures in this county.
· In FY 2004, a monthly average of 0 families received Aid to Dependent Children benefits and 7 persons participated in the Food Stamp Program in Arthur County.
· In 2004, 15 women, infants and children from this county participated in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
· There were no licensed nursing home or hospital long-term care beds in Arthur County in 2004. Thus, the proportion of residents living in nursing homes in the county was zero.