AREA PROFILE -- THREE RIVERS
DEMOGRAPHIC DATA
U.S. CENSUS ESTIMATES, 2004
THREE RIVERS - 76,015 NEBRASKA - 1,747,214
POPULATION BY AGE AND RACE/ETHNICITY
THREE RIVERS NEBRASKA
AGE PERCENT NATIVE NATIVE
GROUP TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC
0-4 4,698 6.2 17 19 19 398 122,049 7.0 6,566 1,726 2,087 15,560
5-14 10,090 13.3 83 41 55 570 236,970 13.6 14,021 3,332 3,652 24,538
15-24 11,459 15.1 95 59 118 456 266,314 15.2 13,893 3,368 4,811 21,847
25-44 18,864 24.8 114 89 130 971 473,637 27.1 22,127 4,736 11,084 40,755
45-64 18,975 25.0 27 47 70 258 416,441 23.8 13,444 2,631 5,077 13,752
65-74 5,760 7.6 9 6 17 26 111,352 6.4 2,767 471 821 2,126
75-84 4,294 5.6 4 1 6 15 84,541 4.8 1,454 213 325 1,044
85+ 1,875 2.5 1 2 2 12 35,910 2.1 549 93 76 359
<18 19,011 25.0 133 82 115 1,127 446,083 25.5 24,698 6,261 7,104 47,141
65+ 11,929 15.7 14 9 25 53 231,803 13.3 4,770 777 1,222 3,529
POPULATION BY GENDER AND RACE/ETHNICITY
THREE RIVERS NEBRASKA
PERCENT NATIVE NATIVE
GENDER TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC
Men 37,462 49.3 202 145 193 1,483 863,628 49.4 37,128 8,068 13,719 65,048
Women 38,553 50.7 148 119 224 1,223 883,586 50.6 37,693 8,502 14,214 54,933
15-17 2,123 14 9 19 69 42,285 1,986 590 663 3,127
POPULATION BY RACE/ETHNICITY
THREE RIVERS NEBRASKA
RACE/ETHNICITY NUMBER PERCENT NUMBER PERCENT
White 74,608 98.1 1,609,056 92.1
Black 350 0.5 74,821 4.3
Native American 264 0.3 16,570 0.9
Asian 417 0.5 27,933 1.6
Hispanic 2,706 3.6 119,981 6.9
Minority * 3,943 5.2 250,577 14.3
* Minority Population = Total Population - White, Not Hispanic Population
HOUSEHOLDS BY TYPE, 2000 CENSUS
THREE RIVERS 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 32.5 27.1 28.6 25.6
Male householders 1.2 2.0 1.3 2.0
Female householders 2.3 5.4 2.6 6.5
Male householder nonfamilies 13.1 0.3 15.2 0.3
Female householder nonfamilies 16.1 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 70.5 70.4 63.5 77.3 66.6 66.2 65.0 74.3
Married Couples 59.6 59.7 32.7 50.0 54.2 55.4 28.8 35.4
W/Children < 18 27.1 26.9 13.5 24.2 25.6 25.4 16.7 24.0
Single Parent Families 10.9 7.2 25.0 24.3 12.4 7.2 28.7 32.6
Male householder 3.2 3.1 13.5 6.1 3.3 3.0 5.4 8.8
W/Children < 18 2.0 1.9 13.5 6.1 2.0 1.8 3.6 6.7
Female Householder 7.7 7.6 17.3 21.2 9.1 7.8 30.8 30.1
W/Children < 18 5.4 5.3 11.5 18.2 6.5 5.4 25.1 25.9
Nonfamily households 29.5 29.7 36.5 22.7 33.4 33.7 34.9 25.7
% OF HOUSEHOLDS % OF HOUSEHOLDS
Asian Hispanic Minority * Asian Hispanic Minority *
Families 76.8 77.7 77.0 66.9 77.3 70.2
Married Couples 60.9 49.7 51.7 53.7 54.0 42.1
W/Children < 18 31.9 39.6 35.6 33.0 40.7 28.3
Single Parent Families 8.7 21.4 19.0 8.3 17.9 21.8
Male householder 7.2 10.6 9.8 4.5 9.6 7.1
W/Children < 18 2.9 6.5 6.5 2.2 6.3 4.6
Female Householder 8.7 17.4 15.5 8.7 13.7 21.0
W/Children < 18 5.8 14.9 12.5 6.1 11.6 17.2
Nonfamily households 23.2 22.3 23.0 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
THREE RIVERS NEBRASKA
Native Native
Total White Black American Total White Black American
Less than 9th grade 5.4 5.0 0.0 18.1 5.4 4.5 5.3 9.0
9th to 11th grade 8.7 8.5 9.0 16.9 8.0 7.3 16.0 15.1
High school diploma 38.6 38.9 25.6 34.3 31.3 31.8 31.2 33.7
Some college, no degree 23.5 23.7 7.5 17.5 24.3 24.5 27.4 26.1
Associate degree 6.4 6.4 22.6 5.4 7.3 7.5 5.9 7.4
Baccalaureate degree 12.6 12.6 28.6 0.0 16.5 17.0 10.5 6.2
Graduate or professional 4.8 4.9 6.8 7.8 7.3 7.4 3.6 2.6
degree
Percent of persons 25 years and older
THREE RIVERS NEBRASKA
Asian Hispanic Minority * Asian Hispanic Minority *
Less than 9th grade 18.8 34.1 23.6 10.8 34.2 17.9
9th to 11th grade 7.4 30.1 23.9 11.9 19.2 16.3
High school diploma 19.5 20.0 23.2 17.1 21.3 25.5
Some college, no degree 24.8 6.7 12.1 13.3 13.9 20.1
Associate degree 0.0 3.0 6.3 5.4 2.9 4.8
Baccalaureate degree 22.1 5.6 8.3 21.8 5.9 10.0
Graduate or professional 7.4 0.6 2.7 19.8 2.7 5.5
degree
* Minority Population = Total Population - White, Not Hispanic Population
SOCIAL INDICATORS
PER CAPITA INCOME, 2000 CENSUS
THREE RIVERS NEBRASKA
$18,754 $19,613
MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES
THREE RIVERS NEBRASKA
$42,654 $41,978
PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES
THREE RIVERS NEBRASKA
5-17 Years of Age 7.9 10.8
Total Population 8.1 10.0
PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *
THREE RIVERS NEBRASKA
White 7.1 8.2
Black 21.3 27.4
Native American 34.3 33.0
Asian 8.4 12.8
Hispanic 19.7 20.4
* A '.' indicates the population estimate of the racial/ethnic group is zero.
PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004
THREE RIVERS NEBRASKA
# UNEMPLOYED % OF WORKERS # UNEMPLOYED % OF WORKERS
1,709 4.0 39,368 4.0
HIGH SCHOOL DROPOUT RATE, 2003-2004
THREE RIVERS NEBRASKA
% of 7-12th Grade Member-
ship Who Drop Out of School 1.0 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
THREE RIVERS NEBRASKA
# BIRTHS % OF 1ST BIRTHS* # BIRTHS % OF 1ST BIRTHS*
Total 123 7.2 4,398 9.0
White 118 7.1 3,351 7.7
Black 1 14.3 653 24.4
Native American 1 . 232 36.9
Asian 0 0.0 39 2.9
Hispanic 24 15.8 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
THREE RIVERS NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Total Arrests 2,926 38.5 94,648 54.2
Arrests for violent crimes * 30 0.4 1,596 0.9
Reported forcible rape offenses 2 0.0 195 0.1
Arrests for DUI 605 8.0 14,163 8.1
Drug law violation arrests 460 6.1 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
THREE RIVERS NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Total Arrests 454 23.9 14,867 33.3
Arrests for violent crimes * 4 0.2 224 0.5
Arrests for DUI 18 0.9 348 0.8
Drug law violation arrests 56 2.9 1,150 2.6
*Violent crimes include: murder, forcible rape, robbery and aggravated assault.
CHILD PROTECTION AND SAFETY, CY 2004
THREE RIVERS NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Average number of children
in out-of-home care * 305 15.8 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
THREE RIVERS NEBRASKA
Rate per 1,000 Children < Age 19 5.6 8.6
DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000
THREE RIVERS NEBRASKA
NUMBER RATE/1,000 NUMBER RATE/1,000
Number of Crisis Calls
Received by Multi-County Agency 2,300 24.8 108,312 63.3
Total New Contacts for
Multi-County Agency 1,299 14.0 24,249 14.2
THREE RIVERS MULTI-COUNTY AREA ALSO INCLUDES:
Three Rivers HD plus Cuming County
HEALTH STATUS
LEADING CAUSES OF DEATH, 2000-2004
Age-Adjusted Death Rates per 100,000 Population
NEBRASKA
NEBRASKA NATIVE
THREE RIVERS NEBRASKA YEAR 2010 BLACK AMERICAN HISPANIC
CAUSE OF DEATH DEATHS RATE DEATHS RATE OBJECTIVE RATE RATE RATE
Heart Disease (#1) 806 157.0 20,262 205.1 -- 245.6 276.0 110.6
Cancer -- All Sites (#2) 825 179.6 16,798 182.0 147.0 255.2 201.9 117.8
Lung/Bronchus/Trachea 218 48.7 4,444 49.1 39.0 81.5 60.1 24.6
Breast (Female) 61 24.2 1,224 23.8 20.7 41.3 32.8 9.7
Prostate 39 21.7 943 25.7 25.9 48.8 18.5 9.3
Cerebrovascular (#3) 316 62.0 5,385 54.0 47.4 87.0 55.2 28.8
Unintentional Injuries (#4) 175 42.2 3,457 37.6 19.4 25.2 92.6 34.9
Motor Vehicle 80 20.9 1,469 16.6 12.0 9.7 43.8 17.4
Chronic Lung Disease (#5) 159 33.4 3,746 39.4 -- 39.2 54.7 12.4
Suicide 36 9.7 922 10.7 8.2 4.6 9.1 4.2
Homicide 6 1.6 259 3.0 2.0 20.3 11.9 6.6
Diabetes Related 364 75.7 6,933 72.6 25.0 162.8 260.9 109.3
Tobacco Related 583 124.0 12,886 137.2 -- 184.1 192.6 75.5
Alcohol Related 161 37.0 3,255 35.5 -- 41.9 137.3 41.2
Work Related Accidents 14 3.8 209 2.4 -- 0.4 0.9 2.5
All Causes 3,729 771.4 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
THREE RIVERS NEBRASKA
Native
Total Total Total Total Black American Hispanic
Cancer Type # Cases Rate # Cases Rate Rate Rate Rate
All Sites 2,070 475.9 42,194 474.2 474.5 393.6 292.3
Lung & Bronchus 261 59.2 5,572 62.7 93.3 62.7 39.3
Breast (Female) 300 133.1 6,278 131.8 102.2 56.9 57.2
Prostate 375 192.0 6,470 165.9 197.9 146.3 57.0
Colorectal 309 68.4 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
THREE RIVERS NEBRASKA PERCENT
CONDITION/INJURY # DISCHARGES RATE # DISCHARGES RATE DIFFERENCE
All Conditions/Injuries 17,280 10,548.00 359,031 9,837.00 7.2
Pregnancy/Childbirth 3,665 2,670.00 89,507 2,465.00 8.3
All Injuries 2,836 1,626.00 55,504 1,509.00 7.8
Diabetes Related Diseases 2,357 1,302.00 46,921 1,277.00 2.0
Heart Disease 2,104 1,134.00 37,934 1,014.00 11.8
Digestive Diseases 1,603 940.0 29,464 808.0 16.3
Musculoskeletal Diseases 1,320 770.0 23,783 659.0 16.8
Psychosis/Mental Health 595 389.0 17,125 492.0 -20.9
Pneumonia 702 385.0 14,664 386.0 -0.3
Genitourinary Diseases 730 447.0 14,656 411.0 8.8
Cancer 653 366.0 11,800 322.0 13.7
Fractures 535 289.0 9,998 261.0 10.7
Other Respiratory Diseases 577 333.0 9,145 246.0 35.4
Tobacco Related Diseases 491 268.0 9,566 257.0 4.3
Surgical/Medical Complications 438 258.0 8,506 236.0 9.3
Cerebrovascular Disease 404 212.0 8,131 214.0 -0.9
COPD 405 231.0 7,578 208.0 11.1
Alcohol Related Diseases 97 54.0 2,405 67.0 -19.4
Leading Causes of Injury
Falls 552 288.0 11,318 291.0 -1.0
MV Accidents 122 77.0 2,218 62.0 24.2
Self-Inflicted 76 52.0 1,754 50.0 4.0
Other Unintentional 65 37.0 1,215 33.0 12.1
Poisoning 32 20.0 592 16.0 25.0
Struck/Pierced by Object 30 18.0 609 17.0 5.9
Overexertion 22 13.0 480 13.0 0.0
Environmental 19 11.0 513 14.0 -21.4
Assault 14 10.0 442 12.0 -16.7
LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004
THREE RIVERS NEBRASKA PERCENT
PAYER TYPE DISCHARGES % DISCHARGES % DIFFERENCE
Commercial 7,923 45.9 168,501 46.9 -2.1
Medicare 6,758 39.1 131,141 36.5 7.1
Medicaid 2,240 13.0 50,769 14.1 -7.8
Self-Pay 137 0.8 3,460 1.0 -20.0
Other State/Federal 222 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
THREE RIVERS NEBRASKA
*Rate Rate
1.3 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
THREE RIVERS NEBRASKA
Rate Rate
West Nile Virus (WNV) 89.2 112
Chronic Hepatitis C 43.9 64.2
TB 0.0 1.6
Note: Rates are per 100,000 Population.
INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY
THREE RIVERS 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 173.1 153.4 962.2 161.3 54.5 384.8 424.4 193.7 2847.6 903.3 166.6 518.3
< 18 46.6 26.5 155.0 0.0 0.0 19.5 226.2 83.9 1616.4 383.6 67.7 125.0
> 17 211.2 193.0 1081.1 242.4 0.0 523.7 455.9 207.6 3181.6 1086.7 163.3 667.2
STD TYPE
Gonorrhea 7.9 6.7 137.5 0.0 0.0 0.0 65.8 19.1 1025.7 127.1 19.6 62.9
Chlamydia 119.0 105.0 687.3 80.6 54.5 268.5 301.3 146.5 1695.1 722.6 131.0 413.7
Female 172.2 151.3 991.7 186.9 102.0 334.3 433.6 223.1 2278.7 1163.2 198.0 666.3
Herpes 44.9 40.4 137.5 80.6 0.0 107.4 42.0 18.6 82.7 18.7 7.3 23.5
Note: Rates are per 100,000 Population.
ESTIMATED PREVALENCE OF DEMENTIA, 2004
THREE RIVERS NEBRASKA
Rate * # of Persons ** # of Persons **
Age 65-74 10% 576 11,135
Age 75-84 20% 859 16,908
Age 85+ 47% 881 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
THREE RIVERS NEBRASKA
INFANT INFANT NEBRASKA YEAR 2010
RACE/ETHNICITY DEATHS RATE DEATHS RATE OBJECTIVE
White 32 6.9 670 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 32 6.8 838 6.6 4.5
Hispanic 2 4.9 109 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
THREE RIVERS NEBRASKA OBJECTIVE
WEIGHT NUMBER RATE NUMBER RATE RATE
Very Low - All Births 50 10.5 1,611 12.7 9.0
Low - All Births 313 66.0 8,821 69.4 50.0
White 302 65.5 7,431 65.8 50.0
Black 3 157.9 897 125.1 50.0
Native American 2 87.0 145 67.2 50.0
Asian 5 131.6 221 77.7 50.0
Hispanic 13 32.1 976 62.0 50.0
Note: Rates are per 1,000 live births.
NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003
THREE RIVERS NEBRASKA
# of % of # of % of
Infants Total Births Infants Total Births
Infants with birth
defects 182 3.9 4,534 3.6
TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004
THREE RIVERS NEBRASKA
Age of Mother 10-17 15-17 10-17 15-17
NUMBER % NUMBER % NUMBER % NUMBER %
All Births 99 2.1 96 2.0 3,715 2.9 3,583 2.8
White 93 2.0 91 2.0 2,792 2.5 2,718 2.4
Black 3 15.8 3 15.8 631 8.8 586 8.2
Native Amer 1 4.4 1 4.4 184 8.5 179 8.3
Asian 0 0.0 0 0.0 36 1.3 35 1.2
Hispanic 23 5.7 22 5.4 881 5.6 846 5.4
PERCENTAGE OF PREGNANT WOMEN WHO SMOKE DURING PREGNANCY, 2000-2004
NUMBER OF CIGARETTES NEBRASKA YEAR 2010
SMOKED PER DAY THREE RIVERS NEBRASKA OBJECTIVE
1-10 12.3 10.4 --
11-20 3.0 2.8 --
21+ 1.0 0.6 --
Unknown 0.1 0.3 --
TOTAL 16.3 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 THREE RIVERS NEBRASKA OBJECTIVE
White 83.9 84.7 90.0
Black 73.7 70.5 90.0
Native American 69.6 68.3 90.0
Asian 89.5 82.2 90.0
Total 83.5 83.2 90.0
Hispanic 60.2 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
THREE RIVERS 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
THREE RIVERS NEBRASKA NEBRASKA
* % WITH % WITH YEAR 2010
RISK FACTOR (N) BEHAVIOR (N) BEHAVIOR OBJECTIVE
Obese (body mass
index 30 or higher) 1,060 26.0 23,583 22.4 15%
No leisure-time
physical activity 1,117 25.5 24,965 25.0 15%
Currently smoke
cigarettes 1,115 21.2 24,932 21.1 12%
Chronic drinking
60+/Mo Men - 30+/Mo Women 967 5.1 21,579 4.8 --
No health insurance 1,118 11.4 24,932 11.9 0%
Could not see physician in
past 12 months due to cost 752 9.2 16,873 8.4 4%
Mammogram
in past two
years (Ages 40+) 293 74.0 6,913 75.5 75%
Immunization rates (65+)
Flu shot past 12 months 293 72.6 6,210 71.5 90%
Pneumonia immunization 282 56.2 6,123 63.2 90%
General health good to
excellent (self-reported) 1,114 85.8 24,924 87.4 --
Ten or more days in past 30
days health not good
Physical health 908 13.6 20,236 9.7 --
Mental health 902 9.6 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
THREE RIVERS 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
63 0.1 2.3 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
THREE RIVERS 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
40 7 73.4 63.9 607 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
THREE RIVERS NEBRASKA
# w/High % # w/High % NEBRASKA YEAR 2010
LEAD LEVEL Blood Lead Tested Blood Lead Tested OBJECTIVE
>9ug/dL 47 2.3 1846 3.3 0% (>9ug/dL)
AVAILABILITY OF SERVICES
HEALTH PROFESSIONALS IN PRACTICE, 2003
THREE RIVERS NEBRASKA
# Persons # Persons
# of Served per # of Served per
PROFESSION Practitioners Practitioner Practitioners Practitioner
General/Family Practice 23 3290 677 2569
Internal Medicine 7 10808 227 7662
Pediatrics 3 25220 162 10736
OB/Gynecology 4 18915 143 12163
Psychiatry 1 75659 140 12424
Physician Assistant 21 3603 445 3909
Nurse Practitioner 3 25220 329 5287
Licensed Practical Nurse 205 369 6337 274
Dentist 35 2162 1084 1605
Registered Nurse 757 100 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 386 29 15729 1023
Black . 0 166 15
Native American . 0 54 5
Asian . 2 117 43
Hispanic 1 1 183 25
Other Race/Ethnicity/Unknown . 0 85 4
FEDERAL SHORTAGE AREA DESIGNATIONS, 2003
THREE RIVERS NEBRASKA
HPSA Part Part
MUA/MUP Part Part
EMERGENCY SERVICES, 2003
SERVICE THREE RIVERS NEBRASKA
Ambulance services 26 394
AVAILABILITY OF TRANSPORATION, 1998
PUBLIC TRANSPORTATION AVAILABLE IN THREE RIVERS ? YES .
COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN THREE RIVERS :
Three Rivers HD Cities
SERVICE UTILIZATION DATA
MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003
THREE RIVERS NEBRASKA
TOTAL PERSONS % OF TOTAL PERSONS % OF
ELIGIBLE(#) ELIGIBLES ELIGIBLE(#) ELIGIBLES
Medicaid 7,074 100.0 205,498 100.0
Aged 849 12.0 18,449 9.0
Blind & Disabled 938 13.3 26,534 12.9
ADC Children 4,528 64.0 134,743 65.6
ADC Adults 759 10.7 25,772 12.5
THREE RIVERS NEBRASKA
TOTAL % OF TOTAL TOTAL % OF TOTAL
DOLLARS MEDICAID DOLLARS MEDICAID
($000) DOLLARS ($000) DOLLARS
Medicaid $52,087 100.0 $1,280,005 100.0
Aged 20,076 41.2 353,582 29.4
Blind & Disabled 14,717 30.2 432,011 36.0
ADC Children 10,582 21.7 319,452 26.6
ADC Adults 3,300 6.8 95,724 8.0
MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003
THREE RIVERS NEBRASKA
TOTAL % OF TOTAL TOTAL % OF TOTAL
DOLLARS MEDICAID DOLLARS MEDICAID
($000) DOLLARS ($000) DOLLARS
All Medicaid $52,087 100.0 $1,280,005 100.0
Medicaid Fee-for-Service 41,235 79.2 970,707 75.8
Hospital--Inpatient 8,412 16.2 257,282 20.1
Hospital--Outpatient 3,025 5.8 75,892 5.9
ICF Mentally Retarded 316 0.6 50,253 3.9
Nursing Facility 15,528 29.8 271,975 21.2
Physician 4,904 9.4 100,083 7.8
Dental 1,279 2.5 33,337 2.6
Prescribed Drugs 7,770 14.9 181,885 14.2
Other Medicaid (Includes
Capitated Payments) 10,852 20.8 309,298 24.2
UTILIZATION OF SERVICES BY PROGRAM, FY 2004
THREE RIVERS NEBRASKA
AVERAGE AVERAGE AVERAGE AVERAGE
MONTHLY PAYMENT MONTHLY PAYMENT
PARTICIPANTS ($) PARTICIPANTS ($)
Aid to Dependent 287 $342.29* 12,237 $353.16*
Children (ADC)
Food Stamp Program 3,416 $77.28** 111,435 $79.42**
* Average payment per family.
** Average payment per person.
NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS
SERVICE PROVIDED THREE RIVERS NEBRASKA
WIC, UNDUPLICATED PERSONS SERVED, 2004
Pregnant women seen 144 4,527
Breastfeeding clients seen 123 5,609
Postpartum women seen 544 10,951
Infants seen 371 9,521
Children seen 1,574 39,835
Native Native
Total WIC clients Total Black Am Asian Hispanic Total Black Am Asian Hispanic
seen in 2004 2,756 35 14 16 592 70,449 7,664 1,316 1,296 20,674
Reproductive health, 2004 1,226 42,421
NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004
THREE RIVERS NEBRASKA
Nursing Home and Hospital
Long-Term Care Facilities
Number of licensed beds 1,037 17,130
Occupancy rate 82.5 82.7
Persons Aged 65 and Older
Living in Nursing Homes or
Hospital Long-Term Care
Facilities
Number 791 12,710
Percent of population 6.7 5.5
aged 65 and older
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