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 Cheyenne County, 15.9% of the residents are aged 65 and 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 25.6%, very near the Nebraska average 25.5% in 2004.
· Racial and ethnic minority residents made up 6.7% of the population of Cheyenne County, compared to 14.3% statewide in 2004. Hispanic Americans account for 4.7% of the total population of this county.
· The proportion of single-parent families in this county has increased somewhat since 1990, as it has statewide. In 2000, 11.3% of Cheyenne County households were single-parent families, compared to an average of 12.4% for Nebraska.
· Among Hispanic American households, the proportion of single-parent families is larger (21.6% for Cheyenne County and 17.9% for Nebraska).
· Overall, 13.3% of Cheyenne County residents aged 25 years or older have less than a high school education, compared to 13.4% statewide.
· Among Hispanic Americans in Cheyenne County, more than one-half (52.5%) had not completed high school. Statewide, 53.4% of Hispanic Americans had less than a high school education.
· About one in ten Cheyenne County residents (9.8%) lived in households with incomes below 100% of the federally-defined poverty level in 2002, compared to an average of 10% for Nebraska. Among Hispanic Americans in this county, 21.0% lived in poverty in 2000.
· The proportion of seventh- to twelfth-graders in Cheyenne County who dropped out of school during the 2003-2004 school year was 0.5%, compared to 1.9% statewide.
· One of every 14 (7.3%) first births in this county occurred to unmarried women under age 20 with less than a high school education. This rate of “new families at risk” was lower than the Nebraska average of 9.0% of first births in 2000-2004.
· The arrest rate for all crime in Cheyenne County in 2004 (55.8 arrests per 1,000 population) was slightly higher than the overall rate for Nebraska (54.2). The arrest rate for juveniles under age 18 (43.0) was also higher than the statewide rate (33.3).
· In an average month in 2004, 42 Cheyenne County children were in out-of-home care (that is, foster care, group homes, or other residential facilities).
· The multi-county agency serving domestic violence victims in Cheyenne County handled 1,415 crisis calls and served 192 new contacts in FY2000.
· The overall death rate in Cheyenne County (874.8) was 10.9% higher than the state average in 2000-2004 (789.1).
· The heart disease death rate for the county (197.0 deaths per 100,000 population) was lower than the Nebraska rate (205.1).
· The cancer death rate for Cheyenne County (180.8) was near the Nebraska rate of 182.0. The county rate was 23% 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 Cheyenne County (53.6) was slightly lower than the statewide rate (54.0) and 13% higher than Nebraska’s 2010 objective for reducing deaths due to stroke (47.4).
· The unintentional injury death rate in Cheyenne County (49.1) was higher than the statewide rate (37.6) and was 2.5 times larger than the Nebraska 2010 objective for reducing deaths due to this cause (19.4).
· The diabetes-related death rate in Cheyenne County (96.0) was higher than the state rate (72.6) and was 3.8 times larger than the Nebraska 2010 objective for this cause (25).
· There were 100 tobacco-related deaths in Cheyenne County during the five-year period 2000-2004 (155.6 per 100,000 people vs. a statewide rate of 137.2). A total of 37 alcohol-related deaths were reported for the county during this period, resulting in a rate of 62.7 deaths per 100,000 people—much higher than the corresponding rate for the state (35.5).
· There were 279 new cases of cancer reported in Cheyenne County during the five-year period 1999-2003, resulting in a rate (470.9 cases per 100,000 population) that was slightly lower than the statewide rate (474.2).
· The hospitalization rate for Cheyenne County residents (8,244 hospital discharges per 100,000 population) was 16.2% lower than the Nebraska rate (9,837) in 2003-2004. Cheyenne County residents were at least 32.4% more likely than people in Nebraska overall to be hospitalized for digestive diseases and other respiratory diseases. On the other hand, rates of hospitalization resulting from falls and musculoskeletal diseases were at least 63.1% 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 Cheyenne County residents (46.6%) in 2003-2004. Medicaid accounted for a larger share of the total (17.2% vs. 14.1% statewide).
· Incidence of sexually transmitted diseases (STDs) in Cheyenne County (90.5 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 305 persons aged 65 and older in Cheyenne County had senile dementia in 2004.
MATERNAL AND CHILD HEALTH AND WELL-BEING
· There were 7 deaths of infants under one year of age in Cheyenne County during the five-year period 2000-2004, resulting in an infant mortality rate of 10.8 per 1,000 live births. The Cheyenne County rate is 64% higher than the Nebraska rate of 6.6. 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 Cheyenne County (61.7 per 1,000 live births) was 12.5% lower than the Nebraska rate of 69.4. The Nebraska 2010 target is to reduce this rate to no more than 50.0 low weight births per 1,000.
· In Cheyenne County, births to adolescent girls aged 10 to 17 accounted for 2.6% of all birhts for 2000-2004, compared to a statewide average of 2.9%.
· An average of 14.9% of Cheyenne 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 for the year 2010 is to reduce this proportion to 2.0% or less.
· Pregnant women in this county were equally as likely as women throughout Nebraska to begin receiving prenatal care in the first 3 months of pregnancy (83.2% vs. 83.2% statewide). However, Hispanic American women (61.5%) were much less likely than white women (83.1%) in this county to receive first trimester care. The Nebraska objective for year 2010 is to have 90% 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
· In the Panhandle Public Health District (which includes Cheyenne County), 22.8% of adults reported heights and weights that placed them in the obese category (Body Mass Index = 30 or higher) in 2000-2004. 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 26.2% in the district and 25.0% statewide. These rates are larger than the state’s 2010 target rate of no more than 15% of adults who are physically inactive.
· Adults in the district (22.0%) were slightly more likely than 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 that they have no health insurance was higher in the district (14.9%) than it was statewide (11.9%).
· In 2000-2004, 11.6% of the 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 in the state overall. Fewer than two-thirds of women aged 40 and older in this Service Area (64.3%) reported having a mammogram in the past two years, compared to 75.5% statewide.
· Two-thirds (66.1%) of adults aged 65 and older in the district and 71.5% in Nebraska had a flu shot in the past 12 months. A smaller proportion of these adults reported ever having been vaccinated for pneumonia (58.2% vs. 63.2% 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 13 municipal water systems or rural water districts in Cheyenne County, none received water containing excessive levels of nitrate (>10 ppm).
· One of the county’s 6 community water systems sampled supplies adequate levels of fluoride in the drinking water. This system supplies water of adequate fluoride level to 2.5% of the people served by community water systems in Cheyenne County.
· Of all children under age 6 years whose blood lead levels were tested, 1 (1.1%) was found to have an elevated level 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 Cheyenne County in 2003. There were also 3 physician assistants, but no psychiatrists or nurse practitioners practicing in the county. In addition, there were 4 dentists in practice in Cheyenne County in 2003.
· As of 2003, part of Cheyenne County was federally designated as a Health Professional Shortage Area. None of the county was a Medically Underserved Area or Population.
· Public transportation is available in Cheyenne County.
SERVICE UTILIZATION DATA
· Children make up the greatest of the Medicaid eligible population in Cheyenne County (63.1%) in FY 2003. In comparison to the state, aged persons in this county comprise a slightly larger share of the Medicaid eligible population (11.1% vs. 9.0% for Nebraska).
· Medicaid expenditures for aged persons comprise 33.0% of the total in Cheyenne County, compared to 29.4% statewide. ADC recipients (both children and adults) account for 31.9% of all Medicaid expenditures in the county, while blind and disabled recipients account for the remaining 35.2% of total expenditures in FY 2003.
· Medicaid fee-for-service expenditures accounted for the greatest share of the total, both in Cheyenne County (74.3%) and the state (75.8%) in FY 2003. Capitated and other Medicaid payments comprised a much smaller percentage of the total. Fee-for-service payments to nursing facilities made up 22.5% of total Medicaid expenditures in Cheyenne County. Prescribed drugs comprised 15.7% of total expenditures in this county.
· In FY 2004, a monthly average of 32 families received Aid to Dependent Children benefits and 500 persons participated in the Food Stamp Program in Cheyenne County.
· In 2004, 317 women, infants and children from this county participated in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC).
· A total of 105 beds in nursing homes and hospital long-term care facilities were licensed in Cheyenne County in 2004, with an occupancy rate of 81.0%.
· In Cheyenne County in 2004, 5.9% of residents aged 65 and older lived in nursing homes, compared to 5.5% for the state.