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 Blaine County, 24.5% 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 21.8%, compared to the Nebraska average of 25.5% in 2004.
· Racial and ethnic minority residents made up 0.8% of the population of Blaine County, compared to 14.3% statewide in 2004.
· In 2000, 5.0% of Blaine County households were single-parent families, compared to an average of 12.4% for Nebraska.
· Overall, 6.6% of Blaine County residents aged 25 years or older have less than a high school education, compared to 13.4% statewide.
· In Blaine County, 16.9% 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.
· In Blaine County, no seventh- to twelfth-graders dropped out of school during the 2003-2004 school year, compared to 1.9% of these students statewide.
· There were no arrests for all crime and no arrests of juveniles under age 18 in Blaine County in 2004.
· In an average month in 2004, no Blaine 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 Blaine County handled 1,676 crisis calls and served 102 new contacts in FY2000.
· The overall death rate in Blaine County (436.5 deaths per 100,000 people) was much lower than the Nebraska rate (789.1) for 2000-2004. Only 18 deaths occurred in this county during the five-year period.
· There were 16 new cases of cancer reported in Blaine County during the five-year period 1999-2003, resulting in a rate (378.4 cases per 100,000 population) that was lower than the statewide rate of 474.2.
· The hospitalization rate for Blaine County residents (13,758 hospital discharges per 100,000 population) was higher than the Nebraska rate (9,837). Only 167 hospitalizations occurred among county residents during 2003-2004.
· Compared to the state overall (36.5%), Medicare was the expected payer for a somewhat larger share of hospitalizations of Blaine County residents (51.5%) in 2003-2004. Medicaid accounted for a smaller share of the total (12% vs. 14.1% statewide).
· No cases of sexually transmitted diseases (STDs) were reported in Blaine 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 25 persons aged 65 and older in Blaine 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 Blaine County during the five-year period 1999-2003.
· There were two low weight births (babies weighing less than 2,500 grams at birth) in Blaine County during the five-year period 2000-2004 (66.7 per 1,000 live births) in 2000-2004. In Nebraska, the low birth weight rate averaged 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 Blaine 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 in 2000-2004.
· Among Blaine County women giving birth during the five-year period 2000-2004, 13.8% 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 less likely than Nebraska women overall to begin receiving prenatal care in the first three months of pregnancy (80.0% vs. 83.2% statewide) during 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-four percent of adults in the Loup Basin Public Health District (which includes Blaine 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 28% 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 (17%) were somewhat less likely than Nebraska adults overall (21%) 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 13% in the district and 12% statewide.
· Ten percent of adults in the district and 8% 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 much lower in the district (58%) than it was in the state overall. Seventy-six percent of the women aged 40 and older reported having a mammogram in the past two years in Nebraska.
· Over 70% of the adults aged 65 and older in the district (72%) and statewide (71%) had a flu shot in the past 12 months. A smaller proportion of these adults reported ever having been vaccinated for pneumonia (63%). 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.
· Of the persons receiving their drinking water from 2 municipal water systems or rural water districts in Blaine County, none received water containing excessive levels of nitrate (> 10ppm) in 2000-2004.
· The community water system sampled in 2004 in Blaine County does not supply adequate levels of fluoride in the drinking water.
AVAILABILITY OF SERVICES
· No primary care physicians (GP/FP’s, IM’s, pediatricians, and Ob/Gyn’s) were in practice in Blaine County in 2003. No psychiatrists, physician assistants, nurse practitioners, or dentists were practicing in the county either.
· As of 2003, all of Blaine County was federally-designated as a Health Professional Shortage Area and as a Medically Underserved Area.
· No public transportation is currently available in Blaine County.
SERVICE UTILIZATION DATA
· Children made up the greatest share of the Medicaid eligible population in Blaine County (85.1%), compared to 65.6% for Nebraska in FY 2003.
· Medicaid expenditures for children who are ADC recipients comprise 50.6% of the total in Blaine County, compared to only 26.6% statewide. Expenditures for aged (36.4%) and blind and disabled recipients (9.5%) account for most of the remainder in this county.
· Medicaid fee-for-service expenditures accounted for the greatest share of the total, both in Blaine County (87.5%) and the state (75.8%) in FY2003. Capitated and other Medicaid payments comprised a much smaller percentage of the total. Fee-for-service payments to hospitals made up 57.9% of total Medicaid expenditures in Blaine County, while physician fees accounted for 7.8%. Prescribed drugs comprised 12.7% of total expenditures in this county.
· In FY 2004, a monthly average of 1 family received Aid to Dependent Children benefits and 26 persons participated in the Food Stamp Program in Blaine County.
· In 2004, 17 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 Blaine County in 2004. Thus, the proportion of residents living in nursing homes in the county was zero.