AREA PROFILE -- FOUR CORNERS
DEMOGRAPHIC DATA
U.S. CENSUS ESTIMATES, 2004
FOUR CORNERS - 45,105 NEBRASKA - 1,747,214
POPULATION BY AGE AND RACE/ETHNICITY
FOUR CORNERS NEBRASKA
AGE PERCENT NATIVE NATIVE
GROUP TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC
0-4 2,518 5.6 18 17 15 125 122,049 7.0 6,566 1,726 2,087 15,560
5-14 5,696 12.6 51 24 37 208 236,970 13.6 14,021 3,332 3,652 24,538
15-24 7,756 17.2 67 30 85 179 266,314 15.2 13,893 3,368 4,811 21,847
25-44 10,182 22.6 104 44 76 304 473,637 27.1 22,127 4,736 11,084 40,755
45-64 11,275 25.0 24 19 33 75 416,441 23.8 13,444 2,631 5,077 13,752
65-74 3,543 7.9 1 2 4 9 111,352 6.4 2,767 471 821 2,126
75-84 2,864 6.3 4 2 2 16 84,541 4.8 1,454 213 325 1,044
85+ 1,271 2.8 2 0 3 12 35,910 2.1 549 93 76 359
<18 10,858 24.1 91 51 78 399 446,083 25.5 24,698 6,261 7,104 47,141
65+ 7,678 17.0 7 4 9 37 231,803 13.3 4,770 777 1,222 3,529
POPULATION BY GENDER AND RACE/ETHNICITY
FOUR CORNERS NEBRASKA
PERCENT NATIVE NATIVE
GENDER TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC
Men 22,541 50.0 110 52 137 483 863,628 49.4 37,128 8,068 13,719 65,048
Women 22,564 50.0 161 86 118 445 883,586 50.6 37,693 8,502 14,214 54,933
15-17 1,252 11 6 12 33 42,285 1,986 590 663 3,127
POPULATION BY RACE/ETHNICITY
FOUR CORNERS NEBRASKA
RACE/ETHNICITY NUMBER PERCENT NUMBER PERCENT
White 44,223 98.0 1,609,056 92.1
Black 271 0.6 74,821 4.3
Native American 138 0.3 16,570 0.9
Asian 255 0.6 27,933 1.6
Hispanic 928 2.1 119,981 6.9
Minority * 1,717 3.8 250,577 14.3
* Minority Population = Total Population - White, Not Hispanic Population
HOUSEHOLDS BY TYPE, 2000 CENSUS
FOUR CORNERS NEBRASKA
% OF % OF % OF % OF
HOUSE- HOUSE- HOUSE- HOUSE-
HOLDS HOLDS HOLDS HOLDS
WITH NO WITH AT WITH NO WITH AT
CHILDREN LEAST 1 CHILDREN LEAST 1
FAMILY TYPE <18 CHILD<18 <18 CHILD<18
Married couples 33.8 27.1 28.6 25.6
Male householders 1.1 1.7 1.3 2.0
Female householders 1.8 3.8 2.6 6.5
Male householder nonfamilies 14.5 0.3 15.2 0.3
Female householder nonfamilies 15.9 0.0 17.8 0.1
HOUSEHOLDS BY TYPE AND RACE/ETHNICITY, 2000 CENSUS
% OF HOUSEHOLDS % OF HOUSEHOLDS
Native Native
Total White Black American Total White Black American
Families 69.3 69.3 50.1 72.7 66.6 66.2 65.0 74.3
Married Couples 60.9 61.1 38.3 50.0 54.2 55.4 28.8 35.4
W/Children < 18 27.1 27.0 26.5 36.4 25.6 25.4 16.7 24.0
Single Parent Families 8.4 5.3 11.8 22.7 12.4 7.2 28.7 32.6
Male householder 2.8 2.7 5.9 9.1 3.3 3.0 5.4 8.8
W/Children < 18 1.7 1.6 5.9 9.1 2.0 1.8 3.6 6.7
Female Householder 5.6 5.5 5.9 13.6 9.1 7.8 30.8 30.1
W/Children < 18 3.8 3.7 5.9 13.6 6.5 5.4 25.1 25.9
Nonfamily households 30.7 30.7 50.0 27.3 33.4 33.7 34.9 25.7
% OF HOUSEHOLDS % OF HOUSEHOLDS
Asian Hispanic Minority * Asian Hispanic Minority *
Families 67.9 78.4 70.1 66.9 77.3 70.2
Married Couples 50.0 57.5 52.5 53.7 54.0 42.1
W/Children < 18 25.0 39.6 34.1 33.0 40.7 28.3
Single Parent Families 17.9 17.2 15.0 8.3 17.9 21.8
Male householder 0.0 9.7 6.8 4.5 9.6 7.1
W/Children < 18 0.0 6.0 4.9 2.2 6.3 4.6
Female Householder 17.9 11.2 10.8 8.7 13.7 21.0
W/Children < 18 17.9 11.2 10.1 6.1 11.6 17.2
Nonfamily households 32.1 21.6 30.0 33.1 22.6 29.9
* Minority Population = Total Population - White, Not Hispanic Population
EDUCATIONAL ATTAINMENT BY RACE/ETHNICITY, 2000 CENSUS
Percent of persons 25 years and older
FOUR CORNERS NEBRASKA
Native Native
Total White Black American Total White Black American
Less than 9th grade 6.0 5.9 0.0 0.0 5.4 4.5 5.3 9.0
9th to 11th grade 7.6 7.6 0.0 14.3 8.0 7.3 16.0 15.1
High school diploma 36.7 36.7 41.3 57.1 31.3 31.8 31.2 33.7
Some college, no degree 22.3 22.2 40.0 14.3 24.3 24.5 27.4 26.1
Associate degree 9.7 9.8 18.8 4.8 7.3 7.5 5.9 7.4
Baccalaureate degree 12.4 12.5 0.0 9.5 16.5 17.0 10.5 6.2
Graduate or professional 5.3 5.3 0.0 0.0 7.3 7.4 3.6 2.6
degree
Percent of persons 25 years and older
FOUR CORNERS NEBRASKA
Asian Hispanic Minority * Asian Hispanic Minority *
Less than 9th grade 0.0 33.3 15.5 10.8 34.2 17.9
9th to 11th grade 0.0 9.1 7.4 11.9 19.2 16.3
High school diploma 27.1 21.0 32.6 17.1 21.3 25.5
Some college, no degree 0.0 24.7 24.4 13.3 13.9 20.1
Associate degree 10.4 1.8 5.9 5.4 2.9 4.8
Baccalaureate degree 43.8 4.6 7.8 21.8 5.9 10.0
Graduate or professional 18.8 5.5 6.4 19.8 2.7 5.5
degree
* Minority Population = Total Population - White, Not Hispanic Population
SOCIAL INDICATORS
PER CAPITA INCOME, 2000 CENSUS
FOUR CORNERS NEBRASKA
$17,714 $19,613
MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES
FOUR CORNERS NEBRASKA
$39,734 $41,978
PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES
FOUR CORNERS NEBRASKA
5-17 Years of Age 8.4 10.8
Total Population 8.5 10.0
PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *
FOUR CORNERS NEBRASKA
White 7.2 8.2
Black 15.4 27.4
Native American 33.3 33.0
Asian 9.7 12.8
Hispanic 38.8 20.4
* A '.' indicates the population estimate of the racial/ethnic group is zero.
PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004
FOUR CORNERS NEBRASKA
# UNEMPLOYED % OF WORKERS # UNEMPLOYED % OF WORKERS
879 3.5 39,368 4.0
HIGH SCHOOL DROPOUT RATE, 2003-2004
FOUR CORNERS NEBRASKA
% of 7-12th Grade Member-
ship Who Drop Out of School 0.7 1.9
NEW FAMILIES AT RISK BY RACE/ETHNICITY, 2000-2004
First Births to Unmarried Women Under Age 20 with Less Than H.S. Education
FOUR CORNERS NEBRASKA
# BIRTHS % OF 1ST BIRTHS* # BIRTHS % OF 1ST BIRTHS*
Total 45 4.7 4,398 9.0
White 42 4.5 3,351 7.7
Black 1 12.5 653 24.4
Native American 1 16.7 232 36.9
Asian 1 12.5 39 2.9
Hispanic 4 16.0 1,034 19.3
* Percentage based on at least 6 first births.
REPORTS AND/OR ARRESTS FOR VIOLENT CRIME, DUI AND OTHER DRUG CHARGES, 2004
FOUR CORNERS NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Total Arrests 1,287 28.5 94,648 54.2
Arrests for violent crimes * 6 0.1 1,596 0.9
Reported forcible rape offenses 2 0.0 195 0.1
Arrests for DUI 255 5.7 14,163 8.1
Drug law violation arrests 174 3.9 10,898 6.2
*Violent crimes include: murder, forcible rape, robbery and aggravated assault.
JUVENILE ARRESTS(<18) FOR VIOLENT CRIMES, DUI AND DRUG LAW VIOLATIONS, 2004
FOUR CORNERS NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Total Arrests 257 23.7 14,867 33.3
Arrests for violent crimes * 0 0.0 224 0.5
Arrests for DUI 8 0.7 348 0.8
Drug law violation arrests 9 0.8 1,150 2.6
*Violent crimes include: murder, forcible rape, robbery and aggravated assault.
CHILD PROTECTION AND SAFETY, CY 2004
FOUR CORNERS NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Average number of children
in out-of-home care * 182 16.2 7,160 15.9
*Children in temporary or permanent out-of home care (foster care, group homes or
other residential care facilities).
CHILDREN INVOLVED IN SUBSTANTIATED CASES OF ABUSE/NEGLECT, CY 2003
FOUR CORNERS NEBRASKA
Rate per 1,000 Children < Age 19 6.9 8.6
DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000
FOUR CORNERS NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Number of Crisis Calls
Received by Multi-County Agency 5,764 37.0 108,312 63.3
Total New Contacts for
Multi-County Agency 1,031 6.6 24,249 14.2
FOUR CORNERS MULTI-COUNTY AREA ALSO INCLUDES:
Four Corners HD plus sundry counties
HEALTH STATUS
LEADING CAUSES OF DEATH, 2000-2004
Age-Adjusted Death Rates per 100,000 Population
NEBRASKA
NEBRASKA NATIVE
FOUR CORNERS NEBRASKA YEAR 2010 BLACK AMERICAN HISPANIC
CAUSE OF DEATH DEATHS RATE DEATHS RATE OBJECTIVE RATE RATE RATE
Heart Disease (#1) 788 224.4 20,262 205.1 -- 245.6 276.0 110.6
Cancer -- All Sites (#2) 517 173.1 16,798 182.0 147.0 255.2 201.9 117.8
Lung/Bronchus/Trachea 109 37.4 4,444 49.1 39.0 81.5 60.1 24.6
Breast (Female) 31 16.9 1,224 23.8 20.7 41.3 32.8 9.7
Prostate 31 22.9 943 25.7 25.9 48.8 18.5 9.3
Cerebrovascular (#3) 164 46.2 5,385 54.0 47.4 87.0 55.2 28.8
Unintentional Injuries (#4) 96 35.1 3,457 37.6 19.4 25.2 92.6 34.9
Motor Vehicle 47 20.3 1,469 16.6 12.0 9.7 43.8 17.4
Chronic Lung Disease (#5) 88 27.6 3,746 39.4 -- 39.2 54.7 12.4
Suicide 21 8.2 922 10.7 8.2 4.6 9.1 4.2
Homicide 1 0.4 259 3.0 2.0 20.3 11.9 6.6
Diabetes Related 238 71.4 6,933 72.6 25.0 162.8 260.9 109.3
Tobacco Related 367 116.5 12,886 137.2 -- 184.1 192.6 75.5
Alcohol Related 89 30.7 3,255 35.5 -- 41.9 137.3 41.2
Work Related Accidents 2 0.8 209 2.4 -- 0.4 0.9 2.5
All Causes 2,366 722.0 75,953 789.1 -- 1,110.5 1,269.2 559.0
NOTE: Age adjusted rates are based on the 2000 U.S. census standard.
CANCER INCIDENCE, 1999-2003
Age-Adjusted Incidence Rates per 100,000 Population
FOUR CORNERS NEBRASKA
Native
Total Total Total Total Black American Hispanic
Cancer Type # Cases Rate # Cases Rate Rate Rate Rate
All Sites 1,261 455.0 42,194 474.2 474.5 393.6 292.3
Lung & Bronchus 138 48.3 5,572 62.7 93.3 62.7 39.3
Breast (Female) 189 130.0 6,278 131.8 102.2 56.9 57.2
Prostate 184 145.2 6,470 165.9 197.9 146.3 57.0
Colorectal 186 62.9 5,366 59.1 61.9 47.7 44.5
NOTE: Age adjusted rates are based on the 2000 U.S. census standard.
LEADING REASONS FOR HOSPITALIZATION (NEBRASKA OCCURRANCE ONLY), 2003-2004
Age-Adjusted Hospital Discharge Rates per 100,000 Population
FOUR CORNERS NEBRASKA PERCENT
CONDITION/INJURY # DISCHARGES RATE # DISCHARGES RATE DIFFERENCE
All Conditions/Injuries 9,150 9,180.00 359,031 9,837.00 -6.7
Pregnancy/Childbirth 1,926 2,526.00 89,507 2,465.00 2.5
All Injuries 1,421 1,287.00 55,504 1,509.00 -14.7
Diabetes Related Diseases 1,294 1,138.00 46,921 1,277.00 -10.9
Heart Disease 1,050 885.00 37,934 1,014.00 -12.7
Digestive Diseases 733 669.0 29,464 808.0 -17.2
Musculoskeletal Diseases 795 731.0 23,783 659.0 10.9
Psychosis/Mental Health 322 361.0 17,125 492.0 -26.6
Pneumonia 396 334.0 14,664 386.0 -13.5
Genitourinary Diseases 411 413.0 14,656 411.0 0.5
Cancer 341 305.0 11,800 322.0 -5.3
Fractures 346 291.0 9,998 261.0 11.5
Other Respiratory Diseases 212 196.0 9,145 246.0 -20.3
Tobacco Related Diseases 257 223.0 9,566 257.0 -13.2
Surgical/Medical Complications 224 217.0 8,506 236.0 -8.1
Cerebrovascular Disease 254 204.0 8,131 214.0 -4.7
COPD 148 135.0 7,578 208.0 -35.1
Alcohol Related Diseases 46 40.0 2,405 67.0 -40.3
Leading Causes of Injury
Falls 320 253.0 11,318 291.0 -13.1
MV Accidents 83 87.0 2,218 62.0 40.3
Self-Inflicted 34 39.0 1,754 50.0 -22.0
Other Unintentional 15 13.0 1,215 33.0 -60.6
Poisoning 5 5.0 592 16.0 -68.8
Struck/Pierced by Object 10 8.0 609 17.0 -52.9
Overexertion 17 15.0 480 13.0 15.4
Environmental 14 16.0 513 14.0 14.3
Assault 1 1.0 442 12.0 -91.7
LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004
FOUR CORNERS NEBRASKA PERCENT
PAYER TYPE DISCHARGES % DISCHARGES % DIFFERENCE
Commercial 3,535 38.6 168,501 46.9 -17.7
Medicare 4,442 48.5 131,141 36.5 32.9
Medicaid 1,005 11.0 50,769 14.1 -22.0
Self-Pay 49 0.5 3,460 1.0 -50.0
Other State/Federal 119 1.3 5,160 1.4 -7.1
NOTE: Age adjusted rates are based on the 2000 U.S. census standard.
INCIDENCE OF AIDS, 2000-2004
FOUR CORNERS NEBRASKA
*Rate Rate
2.4 3.8
* County or HD rates are not available. The above rates are the rate per
100,000 population of the Service Area containing the county or HD.
INCIDENCE OF RESOURCE INTENSIVE COMMUNICABLE DISEASES, 2003
FOUR CORNERS NEBRASKA
Rate Rate
West Nile Virus (WNV) 192 112
Chronic Hepatitis C 37.5 64.2
TB 4.4 1.6
Note: Rates are per 100,000 Population.
INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY
FOUR CORNERS NEBRASKA
2000-2004 2000-2004
2004 2004 Native His- 2004 2004 Native His-
AGE GROUP Total White Black American Asian panic Total White Black American Asian panic
All Ages 74.9 42.6 930.2 1176.5 92.6 224.4 424.4 193.7 2847.6 903.3 166.6 518.3
< 18 35.7 27.5 0.0 0.0 0.0 59.7 226.2 83.9 1616.4 383.6 67.7 125.0
> 17 79.0 38.6 1387.3 1750.0 125.8 304.3 455.9 207.6 3181.6 1086.7 163.3 667.2
STD TYPE
Gonorrhea 4.4 4.5 232.6 336.1 0.0 0.0 65.8 19.1 1025.7 127.1 19.6 62.9
Chlamydia 61.7 33.7 620.2 840.3 92.6 196.4 301.3 146.5 1695.1 722.6 131.0 413.7
Female 96.6 53.8 784.3 1111.1 200.0 233.2 433.6 223.1 2278.7 1163.2 198.0 666.3
Herpes 4.4 2.2 0.0 0.0 0.0 0.0 42.0 18.6 82.7 18.7 7.3 23.5
Note: Rates are per 100,000 Population.
ESTIMATED PREVALENCE OF DEMENTIA, 2004
FOUR CORNERS NEBRASKA
Rate * # of Persons ** # of Persons **
Age 65-74 10% 354 11,135
Age 75-84 20% 573 16,908
Age 85+ 47% 597 16,878
* Source: Prevalence estimates - Alzheimer's Association.
** Number of persons is the Alzheimer prevalence times the 2004 U.S. Census estimate.
MATERNAL AND CHILD HEALTH AND WELL-BEING
INFANT MORTALITY BY RACE/ETHNICITY, 2000-2004
FOUR CORNERS NEBRASKA
INFANT INFANT NEBRASKA YEAR 2010
RACE/ETHNICITY DEATHS RATE DEATHS RATE OBJECTIVE
White 10 3.8 670 5.9 4.5
Black 0 0.0 121 16.9 4.5
Native American 0 0.0 31 14.4 4.5
Asian 0 0.0 10 3.5 4.5
Total 10 3.7 838 6.6 4.5
Hispanic 1 12.1 109 6.9 4.5
Note: Rates are per 1,000 live births.
VERY LOW (<1500 GR) AND LOW (<2500 GR) BIRTH WEIGHT BY RACE/ETHNICITY, 2000-2004
NEBRASKA YEAR 2010
FOUR CORNERS NEBRASKA OBJECTIVE
WEIGHT NUMBER RATE NUMBER RATE RATE
Very Low - All Births 29 10.8 1,611 12.7 9.0
Low - All Births 166 61.9 8,821 69.4 50.0
White 163 62.2 7,431 65.8 50.0
Black 1 40.0 897 125.1 50.0
Native American 0 0.0 145 67.2 50.0
Asian 2 142.9 221 77.7 50.0
Hispanic 5 60.2 976 62.0 50.0
Note: Rates are per 1,000 live births.
NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003
FOUR CORNERS NEBRASKA
# of % of # of % of
Infants Total Births Infants Total Births
Infants with birth
defects 106 4.0 4,534 3.6
TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004
FOUR CORNERS NEBRASKA
Age of Mother 10-17 15-17 10-17 15-17
NUMBER % NUMBER % NUMBER % NUMBER %
All Births 43 1.6 43 1.6 3,715 2.9 3,583 2.8
White 40 1.5 40 1.5 2,792 2.5 2,718 2.4
Black 1 4.0 1 4.0 631 8.8 586 8.2
Native Amer 1 6.3 1 6.3 184 8.5 179 8.3
Asian 1 7.1 1 7.1 36 1.3 35 1.2
Hispanic 3 3.6 3 3.6 881 5.6 846 5.4
PERCENTAGE OF PREGNANT WOMEN WHO SMOKE DURING PREGNANCY, 2000-2004
NUMBER OF CIGARETTES NEBRASKA YEAR 2010
SMOKED PER DAY FOUR CORNERS NEBRASKA OBJECTIVE
1-10 11.5 10.4 --
11-20 4.1 2.8 --
21+ 0.2 0.6 --
Unknown 0.0 0.3 --
TOTAL 15.9 14.1 2.0
Note: These figures are based on pregnant women who have a live birth.
PERCENT BEGINNING PRENATAL CARE IN THE FIRST TRIMESTER, 2000-2004
NEBRASKA YEAR 2010
RACE FOUR CORNERS NEBRASKA OBJECTIVE
White 84.0 84.7 90.0
Black 48.0 70.5 90.0
Native American 81.3 68.3 90.0
Asian 71.4 82.2 90.0
Total 83.6 83.2 90.0
Hispanic 73.8 69.3 90.0
Note: These figures are based on pregnant women who have a live birth.
CHILDREN AGED 19-35 MONTHS UP-TO-DATE ON IMMUNIZATIONS, July 2003 - June 2004
NEBRASKA
FOUR CORNERS NEBRASKA CURRENT
OBJECTIVE
% of children receiving County-level data
4 DTP/3 Polio/1 Measles- not avaliable 82.4% 90%
Containing Vaccine/3 Hib/
3 Hepatitis B
RISK FACTOR PREVALENCE
BRFSS RISK FACTOR PREVALENCE ESTIMATES (ADULTS AGE 18 OR OLDER), 2000-2004
FOUR CORNERS NEBRASKA NEBRASKA
* % WITH % WITH YEAR 2010
RISK FACTOR (N) BEHAVIOR (N) BEHAVIOR OBJECTIVE
Obese (body mass
index 30 or higher) 612 24.1 23,583 22.4 15%
No leisure-time
physical activity 653 19.9 24,965 25.0 15%
Currently smoke
cigarettes 652 16.5 24,932 21.1 12%
Chronic drinking
60+/Mo Men - 30+/Mo Women 545 3.3 21,579 4.8 --
No health insurance 654 7.8 24,932 11.9 0%
Could not see physician in
past 12 months due to cost 420 5.0 16,873 8.4 4%
Mammogram
in past two
years (Ages 40+) 178 74.4 6,913 75.5 75%
Immunization rates (65+)
Flu shot past 12 months 200 66.1 6,210 71.5 90%
Pneumonia immunization 197 59.3 6,123 63.2 90%
General health good to
excellent (self-reported) 652 84.3 24,924 87.4 --
Ten or more days in past 30
days health not good
Physical health 516 9.9 20,236 9.7 --
Mental health 519 8.9 20,276 9.5 --
* Note: With the exception of Sarpy, county percentages are the
Health District percentage containing the county. Douglas and
Lancaster counties are their own Health District
YOUTH RISK BEHAVIORS, GRADES 9-12, 2003
NEBRASKA YEAR 2010
NEBRASKA U.S. OBJECTIVE
Smoking at least once in
past 30 days 24% 35% 15%
Drank alcohol on at least
1 of past 30 days 47% 50% --
Binge drinking (5+ drinks
on an occasion) in past
30 days 32% 32% 25%
Drinking and driving
in past 30 days 21% 13% 10%
Riding in a motor vehicle with
someone who has been drinking
alcohol (past 30 days) 39% 33% 30%
Ever used marijuana in lifetime 35% 49% --
Used marijuana in past 30 days 18% 27% 5%
Ever used cocaine (any form) in
lifetime 7% 10% --
Ever used inhalants (sniffed glue,
breathed contents of aerosol spray
cans, inhaled paints/sprays to get
high) in lifetime 12% 15% --
RACIAL/ETHNIC RISK FACTOR PREVALENCE ESTIMATES, AGES 18 & OLDER, 2000-2004
State-Level Data Only
African Native Asian Hispanic
Risk Factor American American American American White
Obese (BMI 30 or higher) 34 39 11 24 23
No leisure-time physical activity 34 29 25 44 25
Currently smoke cigarettes 27 44 20 18 23
General health good to excellent 77 76 89 73 86
No health insurance 20 27 14 45 11
Could not afford to see physician 17 21 13 17 9
ENVIRONMENTAL DATA
NITRATE LEVELS IN COMMUNITY WATER SYSTEMS, 2000-2004
FOUR CORNERS NEBRASKA
% OF % OF
# OF COMM POP AVERAGE # OF COMM POP AVERAGE
COMMNTY DRINKING NITRATE COMMNTY DRINKING NITRATE NEBRASKA YEAR 2010
SYSTEMS >10 PPM LEVEL* SYSTEMS >10 PPM LEVEL* OBJECTIVE
< 1% who drink
78 19.5 5.4 1351 1.0 3.0 water >10 ppm
* Weighted average. Weight is the number served by the water system.
FLUORIDE LEVELS IN COMMUNITY WATER SYSTEMS, 2004
FOUR CORNERS NEBRASKA
% OF % OF
SYSTEMS COMM POP SYSTEMS COMM POP
# OF WITH COMMTY % DRINKING # OF WITH COMMTY % DRINKING
COMMNTY FLUORIDE OF 2000 FLUORIDE COMMNTY FLUORIDE OF 2000 FLUORIDE
SYSTEMS .75-1 PPM CENSUS .75-1 PPM SYSTEMS .75-1 PPM CENSUS .75-1 PPM
35 3 67.2 5.4 607 97 81.1 67.5
Nebraska Year 2010 Objective: at least 80% of people served by community
water systems receive optimal levels of
fluoride (.75-1 ppm).
HIGH BLOOD LEAD LEVELS IN CHILDREN UNDER AGE 6, 2002-2004
FOUR CORNERS NEBRASKA
# w/High % # w/High % NEBRASKA YEAR 2010
LEAD LEVEL Blood Lead Tested Blood Lead Tested OBJECTIVE
>9ug/dL 38 3.8 1846 3.3 0% (>9ug/dL)
AVAILABILITY OF SERVICES
HEALTH PROFESSIONALS IN PRACTICE, 2003
FOUR CORNERS NEBRASKA
# Persons # Persons
# of Served per # of Served per
PROFESSION Practitioners Practitioner Practitioners Practitioner
General/Family Practice 26 1747 677 2569
Internal Medicine 1 45411 227 7662
Pediatrics 0 . 162 10736
OB/Gynecology 0 . 143 12163
Psychiatry 0 . 140 12424
Physician Assistant 11 4128 445 3909
Nurse Practitioner 0 . 329 5287
Licensed Practical Nurse 212 214 6337 274
Dentist 20 2271 1084 1605
Registered Nurse 401 113 18257 95
Note: Persons served was calculated using 2003 census estimates.
RN's (2002) & Primary Care Physicians (2004) by Race/Ethnicity
# RN's # Primary Care Physicians # RN's # Primary Care Physicians
White 222 21 15729 1023
Black . 0 166 15
Native American . 0 54 5
Asian 2 1 117 43
Hispanic . 0 183 25
Other Race/Ethnicity/Unknown 2 0 85 4
FEDERAL SHORTAGE AREA DESIGNATIONS, 2003
FOUR CORNERS NEBRASKA
HPSA Part Part
MUA/MUP Part Part
EMERGENCY SERVICES, 2003
SERVICE FOUR CORNERS NEBRASKA
Ambulance services 20 394
AVAILABILITY OF TRANSPORATION, 1998
PUBLIC TRANSPORTATION AVAILABLE IN FOUR CORNERS ? YES .
COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN FOUR CORNERS :
Four Corners HD Cities
SERVICE UTILIZATION DATA
MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003
FOUR CORNERS NEBRASKA
TOTAL PERSONS % OF TOTAL PERSONS % OF
ELIGIBLE(#) ELIGIBLES ELIGIBLE(#) ELIGIBLES
Medicaid 3,751 100.0 205,498 100.0
Aged 518 13.8 18,449 9.0
Blind & Disabled 486 13.0 26,534 12.9
ADC Children 2,415 64.4 134,743 65.6
ADC Adults 332 8.9 25,772 12.5
FOUR CORNERS NEBRASKA
TOTAL % OF TOTAL TOTAL % OF TOTAL
DOLLARS MEDICAID DOLLARS MEDICAID
($000) DOLLARS ($000) DOLLARS
Medicaid $31,379 100.0 $1,280,005 100.0
Aged 11,197 38.2 353,582 29.4
Blind & Disabled 8,774 29.9 432,011 36.0
ADC Children 8,101 27.6 319,452 26.6
ADC Adults 1,246 4.2 95,724 8.0
MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003
FOUR CORNERS NEBRASKA
TOTAL % OF TOTAL TOTAL % OF TOTAL
DOLLARS MEDICAID DOLLARS MEDICAID
($000) DOLLARS ($000) DOLLARS
All Medicaid $31,379 100.0 $1,280,005 100.0
Medicaid Fee-for-Service 25,372 80.9 970,707 75.8
Hospital--Inpatient 6,950 22.1 257,282 20.1
Hospital--Outpatient 1,688 5.4 75,892 5.9
ICF Mentally Retarded 196 0.6 50,253 3.9
Nursing Facility 9,822 31.3 271,975 21.2
Physician 2,375 7.6 100,083 7.8
Dental 567 1.8 33,337 2.6
Prescribed Drugs 3,774 12.0 181,885 14.2
Other Medicaid (Includes
Capitated Payments) 6,007 19.1 309,298 24.2
UTILIZATION OF SERVICES BY PROGRAM, FY 2004
FOUR CORNERS NEBRASKA
AVERAGE AVERAGE AVERAGE AVERAGE
MONTHLY PAYMENT MONTHLY PAYMENT
PARTICIPANTS ($) PARTICIPANTS ($)
Aid to Dependent 86 $368.85* 12,237 $353.16*
Children (ADC)
Food Stamp Program 1,687 $71.56** 111,435 $79.42**
* Average payment per family.
** Average payment per person.
NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS
SERVICE PROVIDED FOUR CORNERS NEBRASKA
WIC, UNDUPLICATED PERSONS SERVED, 2004
Pregnant women seen 43 4,527
Breastfeeding clients seen 84 5,609
Postpartum women seen 208 10,951
Infants seen 159 9,521
Children seen 704 39,835
Native Native
Total WIC clients Total Black Am Asian Hispanic Total Black Am Asian Hispanic
seen in 2004 1,194 15 5 12 105 70,449 7,664 1,316 1,296 20,674
Reproductive health, 2004 228 42,421
NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004
FOUR CORNERS NEBRASKA
Nursing Home and Hospital
Long-Term Care Facilities
Number of licensed beds 719 17,130
Occupancy rate 86.3 82.7
Persons Aged 65 and Older
Living in Nursing Homes or
Hospital Long-Term Care
Facilities
Number 592 12,710
Percent of population 7.6 5.5
aged 65 and older
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