AREA PROFILE -- S HEARTLAND
DEMOGRAPHIC DATA
U.S. CENSUS ESTIMATES, 2004
S HEARTLAND - 46,400 NEBRASKA - 1,747,214
POPULATION BY AGE AND RACE/ETHNICITY
S HEARTLAND NEBRASKA
AGE PERCENT NATIVE NATIVE
GROUP TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC
0-4 2,746 5.9 20 14 47 282 122,049 7.0 6,566 1,726 2,087 15,560
5-14 5,853 12.6 58 34 84 436 236,970 13.6 14,021 3,332 3,652 24,538
15-24 7,192 15.5 57 45 147 374 266,314 15.2 13,893 3,368 4,811 21,847
25-44 10,731 23.1 85 68 235 734 473,637 27.1 22,127 4,736 11,084 40,755
45-64 11,792 25.4 37 28 212 198 416,441 23.8 13,444 2,631 5,077 13,752
65-74 3,529 7.6 4 7 31 28 111,352 6.4 2,767 471 821 2,126
75-84 3,155 6.8 1 1 8 13 84,541 4.8 1,454 213 325 1,044
85+ 1,402 3.0 3 2 2 4 35,910 2.1 549 93 76 359
<18 10,984 23.7 94 61 170 836 446,083 25.5 24,698 6,261 7,104 47,141
65+ 8,086 17.4 8 10 41 45 231,803 13.3 4,770 777 1,222 3,529
POPULATION BY GENDER AND RACE/ETHNICITY
S HEARTLAND NEBRASKA
PERCENT NATIVE NATIVE
GENDER TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC
Men 22,706 48.9 172 96 393 1,124 863,628 49.4 37,128 8,068 13,719 65,048
Women 23,694 51.1 93 103 373 945 883,586 50.6 37,693 8,502 14,214 54,933
15-17 1,203 5 7 19 51 42,285 1,986 590 663 3,127
POPULATION BY RACE/ETHNICITY
S HEARTLAND NEBRASKA
RACE/ETHNICITY NUMBER PERCENT NUMBER PERCENT
White 44,946 96.9 1,609,056 92.1
Black 265 0.6 74,821 4.3
Native American 199 0.4 16,570 0.9
Asian 766 1.7 27,933 1.6
Hispanic 2,069 4.5 119,981 6.9
Minority * 3,425 7.4 250,577 14.3
* Minority Population = Total Population - White, Not Hispanic Population
HOUSEHOLDS BY TYPE, 2000 CENSUS
S HEARTLAND 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 32.0 24.6 28.6 25.6
Male householders 1.0 1.7 1.3 2.0
Female householders 2.0 5.1 2.6 6.5
Male householder nonfamilies 14.3 0.3 15.2 0.3
Female householder nonfamilies 18.8 0.1 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 66.4 66.3 51.0 68.7 66.6 66.2 65.0 74.3
Married Couples 56.6 56.7 28.1 42.9 54.2 55.4 28.8 35.4
W/Children < 18 24.6 24.2 19.3 22.9 25.6 25.4 16.7 24.0
Single Parent Families 9.8 6.6 19.3 20.0 12.4 7.2 28.7 32.6
Male householder 2.7 2.6 7.1 8.6 3.3 3.0 5.4 8.8
W/Children < 18 1.7 1.6 5.3 5.7 2.0 1.8 3.6 6.7
Female Householder 7.1 7.0 15.8 17.2 9.1 7.8 30.8 30.1
W/Children < 18 5.1 5.0 14.0 14.3 6.5 5.4 25.1 25.9
Nonfamily households 33.5 33.7 49.1 31.4 33.4 33.7 34.9 25.7
% OF HOUSEHOLDS % OF HOUSEHOLDS
Asian Hispanic Minority * Asian Hispanic Minority *
Families 85.5 77.9 75.7 66.9 77.3 70.2
Married Couples 63.6 59.9 57.3 53.7 54.0 42.1
W/Children < 18 39.4 46.6 40.2 33.0 40.7 28.3
Single Parent Families 15.1 14.0 13.8 8.3 17.9 21.8
Male householder 8.3 8.1 7.6 4.5 9.6 7.1
W/Children < 18 4.5 4.8 4.5 2.2 6.3 4.6
Female Householder 13.6 9.9 10.8 8.7 13.7 21.0
W/Children < 18 10.6 9.2 9.3 6.1 11.6 17.2
Nonfamily households 14.4 22.2 24.3 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
S HEARTLAND NEBRASKA
Native Native
Total White Black American Total White Black American
Less than 9th grade 5.8 5.3 1.0 24.7 5.4 4.5 5.3 9.0
9th to 11th grade 8.3 7.8 23.8 20.2 8.0 7.3 16.0 15.1
High school diploma 35.2 35.5 36.2 15.7 31.3 31.8 31.2 33.7
Some college, no degree 25.2 25.8 13.3 20.2 24.3 24.5 27.4 26.1
Associate degree 7.5 7.7 1.0 4.5 7.3 7.5 5.9 7.4
Baccalaureate degree 12.1 12.1 24.8 10.1 16.5 17.0 10.5 6.2
Graduate or professional 5.9 5.9 0.0 4.5 7.3 7.4 3.6 2.6
degree
Percent of persons 25 years and older
S HEARTLAND NEBRASKA
Asian Hispanic Minority * Asian Hispanic Minority *
Less than 9th grade 25.2 22.6 20.0 10.8 34.2 17.9
9th to 11th grade 16.3 29.0 22.1 11.9 19.2 16.3
High school diploma 27.6 30.3 29.1 17.1 21.3 25.5
Some college, no degree 4.0 11.1 11.3 13.3 13.9 20.1
Associate degree 5.4 1.9 3.2 5.4 2.9 4.8
Baccalaureate degree 11.3 3.0 8.9 21.8 5.9 10.0
Graduate or professional 10.1 2.1 5.4 19.8 2.7 5.5
degree
* Minority Population = Total Population - White, Not Hispanic Population
SOCIAL INDICATORS
PER CAPITA INCOME, 2000 CENSUS
S HEARTLAND NEBRASKA
$17,676 $19,613
MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES
S HEARTLAND NEBRASKA
$35,964 $41,978
PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES
S HEARTLAND NEBRASKA
5-17 Years of Age 10.4 10.8
Total Population 10.3 10.0
PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *
S HEARTLAND NEBRASKA
White 9.6 8.2
Black 19.5 27.4
Native American 34.6 33.0
Asian 4.1 12.8
Hispanic 24.4 20.4
* A '.' indicates the population estimate of the racial/ethnic group is zero.
PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004
S HEARTLAND NEBRASKA
# UNEMPLOYED % OF WORKERS # UNEMPLOYED % OF WORKERS
827 3.7 39,368 4.0
HIGH SCHOOL DROPOUT RATE, 2003-2004
S HEARTLAND NEBRASKA
% of 7-12th Grade Member-
ship Who Drop Out of School 1.3 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
S HEARTLAND NEBRASKA
# BIRTHS % OF 1ST BIRTHS* # BIRTHS % OF 1ST BIRTHS*
Total 102 10.0 4,398 9.0
White 98 10.0 3,351 7.7
Black 3 42.9 653 24.4
Native American 1 12.5 232 36.9
Asian 0 0.0 39 2.9
Hispanic 24 26.1 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
S HEARTLAND NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Total Arrests 1,670 36.0 94,648 54.2
Arrests for violent crimes * 26 0.6 1,596 0.9
Reported forcible rape offenses 3 0.1 195 0.1
Arrests for DUI 204 4.4 14,163 8.1
Drug law violation arrests 127 2.7 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
S HEARTLAND NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Total Arrests 276 25.1 14,867 33.3
Arrests for violent crimes * 4 0.4 224 0.5
Arrests for DUI 8 0.7 348 0.8
Drug law violation arrests 5 0.5 1,150 2.6
*Violent crimes include: murder, forcible rape, robbery and aggravated assault.
CHILD PROTECTION AND SAFETY, CY 2004
S HEARTLAND NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Average number of children
in out-of-home care * 182 16.3 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
S HEARTLAND NEBRASKA
Rate per 1,000 Children < Age 19 7.3 8.6
DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000
S HEARTLAND NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Number of Crisis Calls
Received by Multi-County Agency 1,633 34.5 108,312 63.3
Total New Contacts for
Multi-County Agency 906 19.2 24,249 14.2
S HEARTLAND MULTI-COUNTY AREA ALSO INCLUDES:
South Heartland HD
HEALTH STATUS
LEADING CAUSES OF DEATH, 2000-2004
Age-Adjusted Death Rates per 100,000 Population
NEBRASKA
NEBRASKA NATIVE
S HEARTLAND NEBRASKA YEAR 2010 BLACK AMERICAN HISPANIC
CAUSE OF DEATH DEATHS RATE DEATHS RATE OBJECTIVE RATE RATE RATE
Heart Disease (#1) 814 222.5 20,262 205.1 -- 245.6 276.0 110.6
Cancer -- All Sites (#2) 564 178.0 16,798 182.0 147.0 255.2 201.9 117.8
Lung/Bronchus/Trachea 143 46.6 4,444 49.1 39.0 81.5 60.1 24.6
Breast (Female) 34 20.4 1,224 23.8 20.7 41.3 32.8 9.7
Prostate 34 25.0 943 25.7 25.9 48.8 18.5 9.3
Cerebrovascular (#3) 184 49.6 5,385 54.0 47.4 87.0 55.2 28.8
Unintentional Injuries (#4) 107 38.6 3,457 37.6 19.4 25.2 92.6 34.9
Motor Vehicle 49 20.1 1,469 16.6 12.0 9.7 43.8 17.4
Chronic Lung Disease (#5) 93 26.9 3,746 39.4 -- 39.2 54.7 12.4
Suicide 17 7.2 922 10.7 8.2 4.6 9.1 4.2
Homicide 5 2.2 259 3.0 2.0 20.3 11.9 6.6
Diabetes Related 222 64.2 6,933 72.6 25.0 162.8 260.9 109.3
Tobacco Related 422 127.7 12,886 137.2 -- 184.1 192.6 75.5
Alcohol Related 96 32.1 3,255 35.5 -- 41.9 137.3 41.2
Work Related Accidents 8 3.0 209 2.4 -- 0.4 0.9 2.5
All Causes 2,543 736.6 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
S HEARTLAND NEBRASKA
Native
Total Total Total Total Black American Hispanic
Cancer Type # Cases Rate # Cases Rate Rate Rate Rate
All Sites 1,337 450.8 42,194 474.2 474.5 393.6 292.3
Lung & Bronchus 196 65.9 5,572 62.7 93.3 62.7 39.3
Breast (Female) 189 117.5 6,278 131.8 102.2 56.9 57.2
Prostate 180 137.2 6,470 165.9 197.9 146.3 57.0
Colorectal 179 56.7 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
S HEARTLAND NEBRASKA PERCENT
CONDITION/INJURY # DISCHARGES RATE # DISCHARGES RATE DIFFERENCE
All Conditions/Injuries 12,338 11,466.00 359,031 9,837.00 16.6
Pregnancy/Childbirth 2,169 2,562.00 89,507 2,465.00 3.9
All Injuries 1,982 1,712.00 55,504 1,509.00 13.5
Diabetes Related Diseases 1,874 1,547.00 46,921 1,277.00 21.1
Heart Disease 1,905 1,502.00 37,934 1,014.00 48.1
Digestive Diseases 1,026 915.0 29,464 808.0 13.2
Musculoskeletal Diseases 750 664.0 23,783 659.0 0.8
Psychosis/Mental Health 727 830.0 17,125 492.0 68.7
Pneumonia 817 629.0 14,664 386.0 63.0
Genitourinary Diseases 495 469.0 14,656 411.0 14.1
Cancer 416 361.0 11,800 322.0 12.1
Fractures 415 320.0 9,998 261.0 22.6
Other Respiratory Diseases 292 270.0 9,145 246.0 9.8
Tobacco Related Diseases 420 337.0 9,566 257.0 31.1
Surgical/Medical Complications 366 328.0 8,506 236.0 39.0
Cerebrovascular Disease 343 258.0 8,131 214.0 20.6
COPD 325 277.0 7,578 208.0 33.2
Alcohol Related Diseases 104 96.0 2,405 67.0 43.3
Leading Causes of Injury
Falls 492 356.0 11,318 291.0 22.3
MV Accidents 74 76.0 2,218 62.0 22.6
Self-Inflicted 73 84.0 1,754 50.0 68.0
Other Unintentional 43 31.0 1,215 33.0 -6.1
Poisoning 13 14.0 592 16.0 -12.5
Struck/Pierced by Object 25 23.0 609 17.0 35.3
Overexertion 14 12.0 480 13.0 -7.7
Environmental 14 15.0 513 14.0 7.1
Assault 8 9.0 442 12.0 -25.0
LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004
S HEARTLAND NEBRASKA PERCENT
PAYER TYPE DISCHARGES % DISCHARGES % DIFFERENCE
Commercial 3,935 31.9 168,501 46.9 -32.0
Medicare 6,551 53.1 131,141 36.5 45.5
Medicaid 1,401 11.4 50,769 14.1 -19.1
Self-Pay 83 0.7 3,460 1.0 -30.0
Other State/Federal 368 3.0 5,160 1.4 114.3
NOTE: Age adjusted rates are based on the 2000 U.S. census standard.
INCIDENCE OF AIDS, 2000-2004
S HEARTLAND 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
S HEARTLAND NEBRASKA
Rate Rate
West Nile Virus (WNV) 368 112
Chronic Hepatitis C 31.9 64.2
TB 0.0 1.6
Note: Rates are per 100,000 Population.
INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY
S HEARTLAND 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 240.9 159.6 975.6 119.0 59.8 516.8 424.4 193.7 2847.6 903.3 166.6 518.3
< 18 62.8 46.6 576.9 0.0 0.0 356.2 226.2 83.9 1616.4 383.6 67.7 125.0
> 17 203.7 116.3 930.2 181.8 73.8 543.9 455.9 207.6 3181.6 1086.7 163.3 667.2
STD TYPE
Gonorrhea 17.2 13.3 406.5 0.0 0.0 44.0 65.8 19.1 1025.7 127.1 19.6 62.9
Chlamydia 189.3 146.3 569.1 0.0 59.8 450.8 301.3 146.5 1695.1 722.6 131.0 413.7
Female 293.5 245.6 1075.3 0.0 119.0 769.2 433.6 223.1 2278.7 1163.2 198.0 666.3
Herpes 32.3 0.0 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
S HEARTLAND NEBRASKA
Rate * # of Persons ** # of Persons **
Age 65-74 10% 353 11,135
Age 75-84 20% 631 16,908
Age 85+ 47% 659 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
S HEARTLAND NEBRASKA
INFANT INFANT NEBRASKA YEAR 2010
RACE/ETHNICITY DEATHS RATE DEATHS RATE OBJECTIVE
White 16 5.8 670 5.9 4.5
Black 1 52.6 121 16.9 4.5
Native American 0 0.0 31 14.4 4.5
Asian 0 0.0 10 3.5 4.5
Total 17 5.9 838 6.6 4.5
Hispanic 4 13.5 109 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
S HEARTLAND NEBRASKA OBJECTIVE
WEIGHT NUMBER RATE NUMBER RATE RATE
Very Low - All Births 39 13.5 1,611 12.7 9.0
Low - All Births 174 60.2 8,821 69.4 50.0
White 169 61.1 7,431 65.8 50.0
Black 0 0.0 897 125.1 50.0
Native American 1 47.6 145 67.2 50.0
Asian 2 31.8 221 77.7 50.0
Hispanic 17 57.4 976 62.0 50.0
Note: Rates are per 1,000 live births.
NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003
S HEARTLAND NEBRASKA
# of % of # of % of
Infants Total Births Infants Total Births
Infants with birth
defects 57 2.0 4,534 3.6
TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004
S HEARTLAND NEBRASKA
Age of Mother 10-17 15-17 10-17 15-17
NUMBER % NUMBER % NUMBER % NUMBER %
All Births 78 2.7 75 2.6 3,715 2.9 3,583 2.8
White 73 2.6 70 2.5 2,792 2.5 2,718 2.4
Black 4 21.1 4 21.1 631 8.8 586 8.2
Native Amer 1 4.8 1 4.8 184 8.5 179 8.3
Asian 0 0.0 0 0.0 36 1.3 35 1.2
Hispanic 20 6.8 19 6.4 881 5.6 846 5.4
PERCENTAGE OF PREGNANT WOMEN WHO SMOKE DURING PREGNANCY, 2000-2004
NUMBER OF CIGARETTES NEBRASKA YEAR 2010
SMOKED PER DAY S HEARTLAND NEBRASKA OBJECTIVE
1-10 11.6 10.4 --
11-20 4.1 2.8 --
21+ 0.7 0.6 --
Unknown 0.1 0.3 --
TOTAL 16.5 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 S HEARTLAND NEBRASKA OBJECTIVE
White 87.6 84.7 90.0
Black 68.4 70.5 90.0
Native American 61.9 68.3 90.0
Asian 85.5 82.2 90.0
Total 87.1 83.2 90.0
Hispanic 75.0 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
S HEARTLAND 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
S HEARTLAND NEBRASKA NEBRASKA
* % WITH % WITH YEAR 2010
RISK FACTOR (N) BEHAVIOR (N) BEHAVIOR OBJECTIVE
Obese (body mass
index 30 or higher) 798 22.3 23,583 22.4 15%
No leisure-time
physical activity 836 24.7 24,965 25.0 15%
Currently smoke
cigarettes 833 19.9 24,932 21.1 12%
Chronic drinking
60+/Mo Men - 30+/Mo Women 730 3.7 21,579 4.8 --
No health insurance 834 12.6 24,932 11.9 0%
Could not see physician in
past 12 months due to cost 594 6.7 16,873 8.4 4%
Mammogram
in past two
years (Ages 40+) 275 82.1 6,913 75.5 75%
Immunization rates (65+)
Flu shot past 12 months 255 75.6 6,210 71.5 90%
Pneumonia immunization 253 64.8 6,123 63.2 90%
General health good to
excellent (self-reported) 834 86.2 24,924 87.4 --
Ten or more days in past 30
days health not good
Physical health 684 8.8 20,236 9.7 --
Mental health 688 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
S HEARTLAND 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
40 0.8 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
S HEARTLAND 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
26 5 81.3 13.0 607 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
S HEARTLAND NEBRASKA
# w/High % # w/High % NEBRASKA YEAR 2010
LEAD LEVEL Blood Lead Tested Blood Lead Tested OBJECTIVE
>9ug/dL 38 3.7 1846 3.3 0% (>9ug/dL)
AVAILABILITY OF SERVICES
HEALTH PROFESSIONALS IN PRACTICE, 2003
S HEARTLAND NEBRASKA
# Persons # Persons
# of Served per # of Served per
PROFESSION Practitioners Practitioner Practitioners Practitioner
General/Family Practice 21 2214 677 2569
Internal Medicine 5 9299 227 7662
Pediatrics 5 9299 162 10736
OB/Gynecology 4 11624 143 12163
Psychiatry 1 46494 140 12424
Physician Assistant 9 5166 445 3909
Nurse Practitioner 10 4649 329 5287
Licensed Practical Nurse 188 247 6337 274
Dentist 26 1788 1084 1605
Registered Nurse 572 81 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 559 32 15729 1023
Black . 0 166 15
Native American 1 0 54 5
Asian 1 1 117 43
Hispanic 1 0 183 25
Other Race/Ethnicity/Unknown 1 0 85 4
FEDERAL SHORTAGE AREA DESIGNATIONS, 2003
S HEARTLAND NEBRASKA
HPSA Part Part
MUA/MUP Part Part
EMERGENCY SERVICES, 2003
SERVICE S HEARTLAND NEBRASKA
Ambulance services 20 394
AVAILABILITY OF TRANSPORATION, 1998
PUBLIC TRANSPORTATION AVAILABLE IN S HEARTLAND ? YES .
COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN S HEARTLAND :
South Heartland HD Cities
SERVICE UTILIZATION DATA
MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003
S HEARTLAND NEBRASKA
TOTAL PERSONS % OF TOTAL PERSONS % OF
ELIGIBLE(#) ELIGIBLES ELIGIBLE(#) ELIGIBLES
Medicaid 5,743 100.0 205,498 100.0
Aged 736 12.8 18,449 9.0
Blind & Disabled 871 15.2 26,534 12.9
ADC Children 3,519 61.3 134,743 65.6
ADC Adults 617 10.7 25,772 12.5
S HEARTLAND NEBRASKA
TOTAL % OF TOTAL TOTAL % OF TOTAL
DOLLARS MEDICAID DOLLARS MEDICAID
($000) DOLLARS ($000) DOLLARS
Medicaid $37,823 100.0 $1,280,005 100.0
Aged 13,397 36.4 353,582 29.4
Blind & Disabled 12,022 32.6 432,011 36.0
ADC Children 8,932 24.2 319,452 26.6
ADC Adults 2,483 6.7 95,724 8.0
MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003
S HEARTLAND NEBRASKA
TOTAL % OF TOTAL TOTAL % OF TOTAL
DOLLARS MEDICAID DOLLARS MEDICAID
($000) DOLLARS ($000) DOLLARS
All Medicaid $37,823 100.0 $1,280,005 100.0
Medicaid Fee-for-Service 29,294 77.5 970,707 75.8
Hospital--Inpatient 6,061 16.0 257,282 20.1
Hospital--Outpatient 2,075 5.5 75,892 5.9
ICF Mentally Retarded 574 1.5 50,253 3.9
Nursing Facility 9,956 26.3 271,975 21.2
Physician 2,856 7.6 100,083 7.8
Dental 902 2.4 33,337 2.6
Prescribed Drugs 6,870 18.2 181,885 14.2
Other Medicaid (Includes
Capitated Payments) 8,529 22.5 309,298 24.2
UTILIZATION OF SERVICES BY PROGRAM, FY 2004
S HEARTLAND NEBRASKA
AVERAGE AVERAGE AVERAGE AVERAGE
MONTHLY PAYMENT MONTHLY PAYMENT
PARTICIPANTS ($) PARTICIPANTS ($)
Aid to Dependent 255 $342.52* 12,237 $353.16*
Children (ADC)
Food Stamp Program 2,668 $74.93** 111,435 $79.42**
* Average payment per family.
** Average payment per person.
NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS
SERVICE PROVIDED S HEARTLAND NEBRASKA
WIC, UNDUPLICATED PERSONS SERVED, 2004
Pregnant women seen 81 4,527
Breastfeeding clients seen 153 5,609
Postpartum women seen 268 10,951
Infants seen 227 9,521
Children seen 1,026 39,835
Native Native
Total WIC clients Total Black Am Asian Hispanic Total Black Am Asian Hispanic
seen in 2004 1,757 40 9 33 418 70,449 7,664 1,316 1,296 20,674
Reproductive health, 2004 572 42,421
NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004
S HEARTLAND NEBRASKA
Nursing Home and Hospital
Long-Term Care Facilities
Number of licensed beds 649 17,130
Occupancy rate 84.2 82.7
Persons Aged 65 and Older
Living in Nursing Homes or
Hospital Long-Term Care
Facilities
Number 496 12,710
Percent of population 6.1 5.5
aged 65 and older
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