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 Butler County, 17.2% 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 26.4%, slightly higher than the Nebraska average of 25.5% in 2004.
· Racial and ethnic minority residents made up 3.4% of the population of Butler County, compared to 14.3% statewide in 2004. Hispanic Americans account for 2.7% of the county’s total population.
· The proportion of single-parent families in this county has increased since 1990, as it has statewide. In 2000, 8.7% of Butler County households were single-parent families, compared to an average of 12.4% for Nebraska.
· Overall, 16.6% of Butler County residents aged 25 years or older have less than a high school education, compared to 13.4% statewide.
· Among Hispanic Americans, the proportion that had not completed high school was much higher—51.4% in Butler County and 53.4% in Nebraska.
· The proportion of Butler County residents living in households with incomes below 100% of the federally-defined poverty level was 9.5% in 2002, lower than the average of 10% for Nebraska.
· The proportion of seventh- to twelfth-graders in Butler County who dropped out of school during the 2003-2004 school year was 1.2%, compared to 1.9% statewide.
· About one of every 17 first births in this county (5.9%) 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 Butler County in 2004 (10.2 arrests per 1,000 population) was about one-fifth as high as the overall rate for Nebraska (54.2). The arrest rate for juveniles under age 18 (6.0) was also much lower than the statewide rate (33.3).
· In an average month in 2004, 34 Butler County children were in out-of-home care (that is, foster care, group homes or other residential care facilities).
· The agencies serving domestic violence victims in Butler County handled 3,759 crisis calls and served 817 new contacts in FY2000.
· The overall death rate in Butler County (854.0) was 8.2% higher than the state average for 2000-2004 (789.1).
· The heart disease death rate for the county (266.7 deaths per 100,000 population) was 30% higher than the Nebraska rate (205.1).
· Cancer death rates for Butler County (175.7) and for Nebraska (182.0) were 19.5% higher and 23.8% higher, respectively, than the state’s Healthy People 2010 objective of no more than 147.0 deaths per 100,000 population.
· The rate of deaths due to cerebrovascular disease (stroke) in Butler County (54.1) nearly matched the statewide rate (54.0), but was 14% higher than Nebraska’s 2010 objective for reducing deaths due to stroke (47.4).
· The diabetes-related death rate in Butler County (128.5) was 77% higher than the state rate (72.6) and was more than 5 times the Nebraska 2010 objective for these deaths (25).
· There were 87 tobacco-related deaths were recorded in Butler County for 2000-2004 (145.2 deaths per 100,000 population) vs. a statewide rate of 137.2.
· There were 273 new cases of cancer reported in Butler County during the five-year period 1999-2003, resulting in a rate (490.3 cases per 100,000 population) that was 3.4% higher than the statewide rate (474.2).
· The hospitalization rate for Butler County residents (8,943 hospital discharges per 100,000 population) was 9.1% lower than the Nebraska rate (9,837) in 2003-2004. Rates of hospitalization resulting from psychosis/mental illness and COPD were at least 44.7% 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 Butler County residents (47.3%). Medicaid accounted for a smaller share of the total (10.3% vs. 14.1% for Nebraska) in 2003-2004.
· Incidence of sexually transmitted diseases (STDs) in Butler County (11.2 reported cases per 100,000 population) was considerably lower than the rate for the state (424.5) in 2004.
· Based on prevalence estimates supplied by the Alzheimer’s Association, it is estimated that 278 persons aged 65 and older in Butler County had senile dementia in 2004.
MATERNAL AND CHILD HEALTH AND WELL-BEING
· There was 1 death of an infant under one year of age in Butler County during the five-year period 2000-2004 (1.9 per 1,000 live births), compared to the statewide rate of 6.6 infant deaths per 1,000 live births. The Nebraska 2010 objective is to reduce this 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 Butler County (47.4 per 1,000 live births) was 32% below the Nebraska rate of 69.4. The Butler County rate was below the Nebraska 2010 target rate of 50.0 low weight births per 1,000.
· An average of 16.3% of Butler 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% of women giving birth. The Nebraska 2010 objective is to reduce this proportion to 2.0% or less.
· Pregnant women in this county were more likely than women throughout Nebraska to begin receiving prenatal care in the first three months of pregnancy (86.4% vs. 83.2% statewide) during 2000-2004. However, Hispanic American women (60.0%) were less likely than white women (86.5%) in Butler County to receive first trimester care. 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
· Almost one out of four (24.1%) adults in the Four Corners Health District (of which Butler County is a part) reported heights and weights that placed them in the obese category (Body Mass Index = 30 or higher) according to the 2000-2004 Nebraska Behavioral Risk Factor Survey. 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 19.9% in the district and 25% statewide. These rates are a good deal higher than the state’s 2010 target rate of no more than 15% of adults who are physically inactive.
· Adults in the district (16.5%) were somewhat less likely than Nebraska adults overall (21.1%) to state that they are current smokers in 2000-2004. 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 smaller in the district (7.8%) than it was statewide (11.9%).
· In 2000-2004, 5.0 percent of adults in the Four Corners Health 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 slightly lower in the district than in the state overall. Almost three-fourths (74.4%) of women aged 40 and older reported having a mammogram in the past two years, compared to 75.5% statewide.
· The proportion of adults aged 65 and older who had a flu shot in the past 12 months was less in the district (66.1%) than in Nebraska overall (71.5%). A smaller proportion of these adults reported ever having been vaccinated for pneumonia (59.3% 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 18 municipal water systems or rural water districts in Butler County, none received water containing excessive levels of nitrate (>10 ppm).
· One of the county’s 9 community water systems sampled supplies adequate levels of fluoride in the drinking water. This system supplies water of adequate fluoride level to 2.2% of the people served by community water systems in Butler County.
· Of all children under 6 years whose blood lead levels were tested, 4 (4.44%) 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 5 primary care physicians (all GP/FP’s) were in practice in Butler County in 2003. There were also 2 physician assistants and 3 dentists practicing in the county.
· As of 2003, part of Butler County was a federally-designated Medically Underserved Area.
· Public transportation is currently available in Butler County.
SERVICE UTILIZATION DATA
· Children make up the greatest share of the Medicaid eligible population in Butler County (59.0%) in FY 2003. In comparison to the state, aged persons in this county comprise a larger share of the Medicaid eligible population (15.5% vs. 9.0% for Nebraska).
· Medicaid expenditures for aged persons comprise 42.2% of the total in Butler County, compared to 29.4% statewide. ADC recipients (both children and adults) account for 20.3% of all Medicaid expenditures in the county, while blind and disabled recipients account for the remaining 37.5% of total expenditures.
· Medicaid fee-for-service expenditures accounted for the greatest share of the total, both in Butler County and the state in FY2003. However, capitated payments comprised a slightly larger percentage of the total in Butler County (24.5%) than they did statewide (24.2%). Fee-for-service payments to nursing facilities made up 31.5% of total Medicaid expenditures in Butler County, while prescribed drugs comprised 14.1%.
· In FY 2004, a monthly average of 23 families received Aid to Dependent Children benefits and 461 persons participated in the Food Stamp Program in Butler County.
· In 2004, 190 women, infants and children from this county participated in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
· A total of 144 beds in nursing homes and hospital long-term care facilities are licensed in Butler County, with an occupancy rate of 88.3% in 2004.
· In Butler County, 8% of residents aged 65 and older live in nursing homes, compared to 5.5% for the state in 2004.