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 Brown County, 22.2% 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 23.3%, compared to the Nebraska average of 25.5% during 2004.
· Racial and ethnic minority residents made up 1.7% of the population of Brown County, compared to 14.3% statewide.
· In 2000, 8.1% of Brown County households were single-parent families, compared to an average of 12.4% for Nebraska.
· Overall, 16.6% of Brown County residents aged 25 years or older have less than a high school education, compared to 13.4% statewide.
· In Brown County, 13.7% of residents lived in households with incomes below 100% of the federally-defined poverty level in 2000, compared to an average of 10% for Nebraska.
· A total of 0.3% of seventh- to twelfth-graders in Brown County dropped out of school during the 2003-2004 school year, compared to a statewide average of 1.9%.
· The arrest rate for all crime in Brown County in 2004 (30.3 arrests per 1,000 population) was much lower than the overall rate for Nebraska (54.2). The juvenile arrest rate (8.8) was also much lower than statewide (33.3).
· In an average month in 2004, 3 Brown 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 Brown County handled 371 crisis calls and served 58 new contacts in FY2000.
· The overall death rate in Brown County (670.1 deaths per 100,000 people) was 15.1% lower than the Nebraska rate for 2000-2004 (789.1).
· The heart disease death rate for the county (158.6 deaths per 100,000 population) was 22.7% lower than the Nebraska rate (205.1).
· The cancer death rate for Brown County (167.9) was 7.7% lower than the Nebraska rate of 182, but was 14.2% higher than the state’s Healthy People 2010 objective of no more than 147.0 cancer deaths per 100,000 population.
· There were 35 tobacco-related deaths (115.9 per 100,000 people) in Brown County during the five-year period 2000-2004 vs. a statewide rate of 137.2.
· There were 116 new cases of cancer reported in Brown County during the five-year period 1999-2003, resulting in a rate (431.8 cases per 100,000 population) that was 8.9% lower than the statewide rate of 474.2.
· In 2003-2004 the hospitalization rate for Brown County residents (10,724 hospital discharges per 100,000 population) was 9% higher than the Nebraska rate (9,837). Brown County residents were at least 68.8% more likely than people in Nebraska overall to be hospitalized for COPD and other respiratory diseases. On the other hand, rates of hospitalization resulting from psychosis/mental health diseases were 76% lower than Nebraska rates for corresponding causes.
· Compared to the state overall (36.5%), Medicare was the expected payer for a larger share of hospitalizations of Brown County residents (57.4%) in 2003-2004. Medicaid accounted for a smaller share of the total (12.6% vs. 14.1% statewide).
· Incidence of sexually transmitted diseases (STDs) in Brown County (57.3 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 161 persons aged 65 and older in Brown 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 Brown County during the five-year period 1999-2003. 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 Brown County (93.9 per 1,000 live births) was 35% higher than the Nebraska rate of 69.4 in 2000-2004. The Nebraska 2010 target is to reduce this rate to no more than 50.0 low weight births per 1,000.
· An average of 14.4% of Brown 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 less likely as Nebraska women overall to begin receiving prenatal care in the first three months of pregnancy (80.1% 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 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 North Central Health District (which includes Brown 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% in the district and 25% statewide. These rates are 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 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 18.5% 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 slightly lower in the district than it was in the state overall. Two-thirds of the women aged 40 and older in this Service Area (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% 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 10 municipal water systems or rural water districts in Brown County, none received water containing excessive levels of nitrate (>10 ppm) in 1996-2000.
· Neither of the county’s two community water systems sampled supplies adequate levels of fluoride in the drinking water.
· Of all children under age 6 years whose blood lead levels were tested, 2 (1.5%) were found to have elevated levels of lead in 2003-2004 vs. 3.3% statewide (1,846 tests elevated).
AVAILABILITY OF SERVICES
· A total of 4 primary care physicians (2 GP/FP’s and 2 IM) were in practice in Brown County in 2003. Two nurse practitioners and one dentist were also practicing in the county.
· As of 2003, part of Brown County was federally-designated as a Health Professional Shortage Area and all of the county was a Medically Underserved Area.
· Public transportation is currently available in Brown County.
SERVICE UTILIZATION DATA
· Children made up the greatest share of the Medicaid eligible population in Brown County (71.3%) in FY 2003. In comparison to the state, aged persons in this county comprise a larger share of the Medicaid eligible population (13.2% vs. 9.0% for Nebraska).
· Medicaid expenditures for aged persons comprise 48.0% of the total in Brown County, compared to only 29.4% statewide. ADC recipients (both children and adults) account for 33.7% of all Medicaid expenditures in the county, while blind and disabled recipients account for the remaining 18.3% of total expenditures.
· Medicaid fee-for-service expenditures accounted for the greatest share of the total, both in Brown County (84.0%) 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 nursing facilities made up 31.9% of total Medicaid expenditures in Brown County. Prescribed drugs comprised 15.0% of total expenditures in this county.
· In FY 2004, a monthly average of 4 families received Aid to Dependent Children benefits and 157 persons participated in the Food Stamp Program in Brown County.
· In 2004, 126 women, infants and children from this county participated in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
· A total of 46 beds in nursing homes and hospital long-term care facilities were licensed in Brown County, with an occupancy rate of 93% in 2004.
· In Brown County, 4.6% of residents aged 65 and older lived in nursing homes, compared to 5.5% for the state in 2004.