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 Chase County, 21.0% 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 23.7%, compared to the Nebraska average of 25.5% in 2004.
· Racial and ethnic minority residents made up 4.4% of the population of Chase County, compared to 14.3% statewide in 2004. Hispanic Americans account for 3.8% of the total population of the county.
· In 2000, 8.0% of Chase County households were single-parent families, compared to an average of 12.4% for Nebraska.
· Overall, 13.6% of Chase County residents aged 25 years or older have less than a high school education, compared to 13.4% statewide.
· In Chase County, 11.2% 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.
· The proportion of seventh- to twelfth-graders in Chase County who dropped out of school during the 2003-2004 school year was 0.6%, compared to a statewide average of 1.9%.
· The arrest rate for all crime in Chase County in 2004 (25.2 arrests per 1,000 population) was less than the overall rate for Nebraska (54.2). The arrest rate for juveniles under age 18 (21.3) was also lower than the statewide rate (33.3).
· In an average month in 2004, 5 Chase 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 Chase County handled 1,858 crisis calls and served 410 new contacts in FY2000.
· The overall death rate in Chase County (835.0 deaths per 100,000 people) was 6% higher than the Nebraska rate for 2000-2004 (789.1).
· The heart disease death rate for the county (209.8 deaths per 100,000 population) was higher than the Nebraska rate (205.1).
· The cancer death rate for Chase County (151.9) was lower than the Nebraska rate of 182.0 and only 3.3% higher than the state’s Healthy People 2010 objective of no more than 147.0 cancer deaths per 100,000 population.
· The diabetes-related death rate in this county (55.3) was lower than the state rate (72.6) and was over twice as high as the Nebraska 2010 objective of no more than 25.0 diabetes-related deaths per 100,000 population.
· There were 39 tobacco-related deaths (120.4 per 100,000 people) in Chase County during the five-year period 2000-2004.
· There were 116 new cases of cancer reported in Chase County during the five-year period 1999-2003, resulting in a rate (388.1 cases per 100,000 population) that was 18.2% lower than the statewide rate of 474.2.
· The hospitalization rate for Chase County residents (11,360 hospital discharges per 100,000 population) was 15.5% higher than the Nebraska rate (9,837) in 2003-2004. Chase County residents were at least 86% more likely than people in Nebraska overall to be hospitalized for genitourinary diseases and pneumonia. On the other hand, the rates of hospitalization resulting from heart disease and psychosis/mental health diseases were at least 32% lower in Chase County than they were statewide.
· Compared to statewide averages, Medicare is the expected payer for a somewhat greater share of hospitalizations in Chase County (50.4% vs. 36.5% for Nebraska) in 2003-2004. Medicaid accounted for a smaller share of the total (12.2% vs. 14.1% statewide).
· Incidence of sexually transmitted diseases (STDs) in Chase County (24.7 reported cases per 100,000 population) was much less than the Nebraska rate of 424.4 in 2004.
· Based on prevalence estimates supplied by the Alzheimer’s Association, it is estimated that 172 persons aged 65 and older in Chase County had senile dementia in 2004.
MATERNAL AND CHILD HEALTH AND WELL-BEING
· There was one death of an infant under one year of age in Chase County during the five-year period 2000-2004. 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 Chase County was 65.2 per 1,000 live births or 15 low weight births in 2000-2004. The county rate is lower than the Nebraska rate of 69.4, but was 30.4% higher than the Nebraska 2010 target rate of no more than 50.0 low weight births per 1,000.
· An average of 17.5% of Chase 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 less likely than Nebraska women overall to begin receiving prenatal care in the first three months of pregnancy (79.8% 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 2000. The current Nebraska objective is to have at least 90% of all children in this age group appropriately immunized.
RISK FACTOR PREVALENCE
· Twenty-one percent of adults in the Southwest Nebraska Public Health District (which includes Chase 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 26.1% in the district and 25.0% statewide. These rates are higher than the state’s 2010 target rate of no more than 15% of adults who are physically inactive.
· Adults in the district (19.2%) were less 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 15.6% in the district and 11.9% statewide.
· In 2000-2004, 10.8% 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. Two-thirds of the women aged 40 and older in this district (68.2%) 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 (70.6%) 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 (63.2% each). 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 5 municipal water systems or rural water districts in Chase County, none received water containing excessive levels of nitrate (>10 ppm) in 2000-2004.
· Both of the county’s community water systems sampled supply adequate levels of fluoride in the drinking water. These systems supplied water of adequate fluoride level to 100% of the people served by community water systems in Chase County in 2004.
AVAILABILITY OF SERVICES
· A total of 4 primary care physicians (all GP/FP’s), 1 physician assistant, 1 nurse practitioner, and 2 dentists were in practice in Chase County in 2003.
· As of 2003, all of Chase County was federally designated as a Medically Underserved Area or Population.
· Public transportation is currently available in Chase County.
SERVICE UTILIZATION DATA
· Children make up the greatest share of the Medicaid eligible population in Chase County (61.6%) in FY 2003.
· Medicaid expenditures for aged persons comprise 47.4% of the total in Chase County, compared to 29.4% statewide. ADC recipients (both children and adults) account for 27.8% of all Medicaid expenditures in the county, while blind and disabled recipients accounted for the remaining 24.9% of total expenditures in FY 2003.
· Medicaid fee-for-service expenditures accounted for the greatest share of the total in Chase County (88.2%) and statewide (75.8%) in FY2003. Capitated and other Medicaid payments make up 11.8% of these expenditures in Chase County. Fee-for-service payments to nursing facilities made up 32.7% of total Medicaid expenditures in Chase County, while prescribed drugs comprised 16.3% of the total.
· In FY 2004, a monthly average of 11 families received Aid to Dependent Children benefits and 194 persons participated in the Food Stamp Program in Chase County.
· In 2004, 117 women, infants and children from this county participated in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
· A total of 91 beds in nursing homes and hospital long-term care facilities were licensed in Chase County, with an occupancy rate of 72.6%, in 2004.
· In Chase County in 2004, 7.9% of residents aged 65 and older lived in nursing homes, compared to 5.5% for the state.