COUNTY PROFILE HIGHLIGHTS--2005
Box Butte County
· 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 Box Butte County, 14.6% 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 26.8%, compared to the Nebraska average of 25.5% in 2004.
· Racial and ethnic minority residents made up 14% of the population of Box Butte County, compared to 14.3% statewide in 2004. Hispanic Americans account for 8.8% and Native Americans account for 3.3% of the total population of the county in 2004.
· In 2000, 11.2% of Box Butte County households were single-parent families, compared to an average of 12.4% for Nebraska. On average, the proportion of single-parent family households was greater among racial/ethnic minorities (18.7% for the county).
· Overall, 11.9% of Box Butte County residents aged 25 years or older have less than a high school education, compared to 13.4% statewide. Among Hispanic Americans (52.0%), the proportion that had not finished high school was much higher.
· In Box Butte County, 11.1% of residents lived in households with incomes below 100% of the federally-defined poverty level in 2002, compared to an average of 10% for Nebraska.
· Among Native Americans (42.2%) and Hispanic Americans (30.3%) in this county, the proportion of people living in poverty was much greater, according to the 2000 census.
· The proportion of seventh- to twelfth-graders in Box Butte County who dropped out of school during the 2003-2004 school year was 0.2%, compared to a statewide average of 1.9%.
· About one in every 14 first births in this county (7%) occurred to unmarried women under age 20 with less than a high school education, compared to 9% statewide in 2000-2004.
· The arrest rate for all crime in Box Butte County in 2004 (82.6 arrests per 1,000 population) was 52.3% higher than the overall rate for Nebraska (54.2). The arrest rate for juveniles under age 18 (69.7) was also much higher than the statewide rate (33.3).
· In an average month in 2004, 14 Box Butte 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 Box Butte County handled 1,375 crisis calls and served 394 new contacts in FY2000.
· The overall death rate in Box Butte County (879.3 deaths per 100,000 people) was 11.4% higher than the Nebraska rate (789.1) in 2000-2004.
· The heart disease death rate for the county (239.2 deaths per 100,000 population) was 16.6% higher than the Nebraska rate (205.1).
· The cancer death rate for Box Butte County (204.6) was 12.4% higher than the Nebraska rate of 182 and 39.2% 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 Box Butte County (62.2) was 15.2% above the statewide rate (54) and is 31.2% higher than Nebraska's 2010 objective for reducing deaths due to stroke (47.4).
· The unintentional injury death rate in Box Butte County (54.6) was 45.3% higher than the statewide rate (37.6) and was 2.8 times the Nebraska objective for reducing deaths due to this cause (19.4).
· The diabetes-related death rate in Box Butte County (76.2) was higher than the Nebraska rate (72.6), but was more than triple the Nebraska 2010 objective of no more than 25.0 of these deaths per 100,000 population.
· There were 108 tobacco-related deaths (153.8 per 100,000 people) in Box Butte County during the five-year period 2000-2004.
· There were 328 new cases of cancer reported in Box Butte County during the five-year period 1999-2003, resulting in a rate (492.3 cases per 100,000 population) that was higher than the statewide rate of 474.2.
· The hospitalization rate for Box Butte County residents (10,732 hospital discharges per 100,000 population) was 9.1% higher than the Nebraska rate (9,837) in 2003-2004. Box Butte County residents were at least 80.6% more likely than people in Nebraska overall to be hospitalized for alcohol related diseases and pneumonia.
· Compared to the state overall (36.5%), Medicare was the expected payer for a much larger share of hospitalizations of county residents (49.5%) in 2003-2004. Medicaid accounted for a larger share of the total (20.6% vs. 14.1% for Nebraska).
· Incidence of sexually transmitted diseases (STDs) in Box Butte County (137.1 reported cases per 100,000 population) was considerably lower than the Nebraska rate of 424.4, in 2004.
· Based on prevalence estimates supplied by the Alzheimer’s Association, it is estimated that 330 persons aged 65 and older in Box Butte County had senile dementia in 2004.
MATERNAL AND CHILD HEALTH AND WELL-BEING
· There were 4 deaths of infants under one year of age in Box Butte County during the five-year period 2000-2004 (5.3 per 1,000 live births). The Nebraska 2010 objective is to reduce the infant mortality 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 Box Butte County (68.2 per 1,000 live births) was about the same as the Nebraska rate of 69.4. The Box Butte County rate is 36.4% higher than the Nebraska 2010 target of reducing this rate to no more than 50.0 low weight births per 1,000.
· In Box Butte County, births to adolescent girls aged 10 to 17 accounted for 2.6% of all births in 2000-2004, compared to a statewide average of 2.9%.
· An average of 22.7% of Box Butte 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 more likely as Nebraska women overall to begin receiving prenatal care in the first three months of pregnancy (86.8% vs. 83.2% statewide) during 2000-2004.
· Racial and ethnic minority women were less likely than white women in Box Butte County to receive first trimester care. Among Hispanic American women in the county, 81.7% reported receiving this care, compared to 88.7% of white women. The proportion was even lower among Native American women in Box Butte (66%). 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 2004. The current Nebraska objective is to have at least 90% of all children in this age group appropriately immunized.
RISK FACTOR PREVALENCE
· Twenty-three percent of adults in the Panhandle Public Health District (which includes Box Butte 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% 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 (22%) were slightly more 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 that they have no health insurance was higher in the district (15%) than it was statewide (12%).
· Twelve percent of the 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 lower in the district than in the state overall. Among women aged 40 and older in this district, 64.6% reported having a mammogram in the past two years, compared to 75.5% statewide.
· Two-thirds of adults aged 65 and older in the district (66.6%) and 72% in Nebraska overall had a flu shot in the past 12 months. A smaller proportion of these adults reported ever having been vaccinated for pneumonia (58% vs. 63% statewide). The Nebraska 2010 objectives for these adult vaccinations 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 8 municipal water systems or rural water districts in Box Butte County, none received water containing excessive levels of nitrate (>10 ppm) in 2000-2004.
· Both of the county’s 2 community water systems sampled supply adequate levels of fluoride in the drinking water. These systems supply water to 100.0% of the people served by community water systems.
· Of all children under age 6 years whose blood lead levels were tested, 3 (0.8%) were found to have elevated levels of lead in 2002-2004 vs. 3.3% statewide (1,846 tests elevated).
AVAILABILITY OF SERVICES
· Five primary care physicians (3 GP/FP’s, 1 IM’s and 1 pediatrician) were in practice in Box Butte County in 2003. In addition, 6 physician assistants, 1 nurse practitioner and 5 dentists were practicing in the county in 2003.
· As of 2003, part of Butte County was federally designated as a Health Professional Shortage Area.
· Public transportation is currently available in Box Butte County.
SERVICE UTILIZATION DATA
· Children made up the greatest share of the Medicaid eligible population in Box Butte County (63.6) in FY 2003.
· Medicaid expenditures for aged persons comprise 37% of the total in Box Butte County, compared to 29.4% statewide. ADC recipients (both children and adults) account for 42.2% of all Medicaid expenditures in the county, while blind and disabled recipients account for the remaining 20.8% of total expenditures.
· Medicaid fee-for-service expenditures accounted for the greatest share of the total in Box Butte County (83.9%) and statewide (75.8%) in FY2003. Capitated and other Medicaid payments make up 16.1% of these expenditures in Box Butte County. Fee-for-service payments to nursing facilities made up 24.6% of total Medicaid expenditures in Box Butte County, while prescribed drugs comprised 13.8% of the total.
· In FY 2004, a monthly average of 117 families received Aid to Dependent Children benefits and 1,102 persons participated in the Food Stamp Program in Box Butte County.
· In 2004, 599 women, infants and children from this county participated in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
· A total of 163 beds in nursing homes and hospital long-term care facilities are licensed in Box Butte County, with an occupancy rate of 83.3% in 2004.
· In Box Butte County, 7.4% of residents aged 65 and older lived in nursing homes, compared to 5.5% for the state in 2004.