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 York County, 17.7% 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 23.8%, compared to the Nebraska average of 25.5% in 2004.
· Racial and ethnic minority residents made up 5.1% of the population of York County, compared to 14.3% statewide in 2004. Hispanic Americans account for 2.3% and African Americans for 1.4% of the county’s total population.
· The proportion of single-parent families in this county has increased since 1990, as it has statewide. In 2000, 8.6% of York County households were single-parent families, compared to an average of 12.4% for Nebraska.
· Among Hispanic American (17.8%) and Asian American (23.1%) households in York County, the proportion of single-parent families is higher.
· Overall, 12.8% of York County residents aged 25 years or older have less than a high school education, compared to 13.4% statewide. Among Hispanic Americans, the proportion that had not completed high school was much higher—51.3% in York County and 53.4% in Nebraska.
· The proportion of York County residents living in households with incomes below 100% of the federally-defined poverty level was 9.0% in 2002, compared to an average of 10.0% for Nebraska. Among Hispanic Americans in this county, 60.2% had incomes below the poverty level in 2000.
· The proportion of seventh- to twelfth-graders in York County who dropped out of school during the 2003-2004 school year was 0.6%, compared to 1.9% statewide.
· Altogether, 5.6% of first births in York County occurred to unmarried women under age 20 with less than a high school education. This rate of “new families at risk” is lower than the Nebraska average of 9% of first births in 2000-2004.
· The arrest rate for all crime in York County in 2004 (32 arrests per 1,000 population) was 41% lower than the overall rate for Nebraska (54.2). The arrest rate for juveniles under age 18 (46.4) was 39.3% higher than the statewide rate (33.3).
· In an average month in 2004, 84 York County children were in out-of-home care (that is, foster care, group homes or other residential care facilities).
· The overall death rate in York County (680.5) was 14% below the state average (789.1 deaths per 100,000 population) for 2000-2004.
· The heart disease death rate for the county (213.1 deaths per 100,000) was slightly higher than the Nebraska rate (205.1).
· The cancer death rate for York County (159.6) was 12% lower than the rate for Nebraska (182.0). The county rate was 9% 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 York County (58.1) was 8% higher than the statewide rate (54.0) and 23% higher than Nebraska’s 2010 objective for reducing deaths due to stroke (47.4).
· The unintentional injury death rate in York County (33.8) was 10% lower than the statewide rate (37.6) and 1.7 times as high as the Nebraska 2010 objective (19.4) for reducing deaths due to this cause.
· The diabetes-related death rate in York County (51.4) was 29% below the state rate (72.6), but was more than double the Nebraska 2010 objective (25.0) for these deaths.
· There were 111 tobacco-related deaths and 31 alcohol-related deaths in York County in 2000-2004.
· There were 402 new cases of cancer reported in York County during the five-year period 1999-2003, resulting in a rate (448.2 cases per 100,000 population) that was 5% lower than the statewide rate (474.2).
· The hospitalization rate for York County residents (9,615 hospital discharges per 100,000 population) was 2.3% lower than the Nebraska rate (9,837) in 2003-2004. County residents were 31% more likely than Nebraskans overall to be hospitalized for musculoskeletal diseases. They were at least 20% less likely to be hospitalized for all injuries and digestive diseases.
· Compared to the state overall (36.5%), Medicare was the expected payer for a larger share of hospitalizations of York County residents (50.1%).
· Incidence of sexually transmitted diseases (STDs) in York County (104.4 reported cases per 1,000 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 503 persons aged 65 and older in York County had senile dementia in 2004.
MATERNAL AND CHILD HEALTH AND WELL-BEING
· There were 4 deaths of infants under one year of age in York County during the five-year period 2000-2004. The Nebraska rate was 6.6 infant deaths per 1,000 live births. 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 York County (67.1 per 1,000 live births) was 3% lower than the Nebraska rate of 69.4 in 2000-2004. The York County rate was 34% higher than the Nebraska 2010 target rate of 50 low weight births per 1,000.
· In York County, births to adolescent girls aged 10 to 17 accounted for 2.1% of all births for 2000-2004, compared to a statewide average of 2.9%.
· An average of 18.6% of York 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% of women giving birth. The Nebraska 2010 objective is to reduce this proportion to 2.0% or less.
· Pregnant women in this county were less likely than women throughout Nebraska to begin receiving prenatal care in the first three months of pregnancy (80.8% vs. 83.2% statewide) in 2000-2004. However, racial and ethnic minority women in York County were less likely than white women to get first trimester care. 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 in July 2003-June 2004 showed that 82.4% of Nebraska children aged 19 to 35 months were up-to-date on immunizations with all five recommended vaccines. The Nebraska objective is to have at least 90% of all children in this age group appropriately immunized.
RISK FACTOR PREVALENCE
· Nearly one-fourth (24.0%) of adults in the Four Corners Health District (of which York County is a part) 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 19.9% in this 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 this district (16.5%) were less 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 they have no health insurance was smaller in this district (7.8%) than it was statewide (11.9%).
· In 2000-2004, 5.0 percent 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 slightly lower in the district than in the state overall. Less than three-fourths (74.4%) of women aged 40 and older reported having a mammogram in the past two years, compared to 75.5% statewide.
· The proportion of adults aged 65 and older who had a flu shot in the past 12 months was smaller in the district (66.1%) than in Nebraska overall (71.5%). A smaller proportion of these adults reported ever having been vaccinated for pneumonia (59.3% vs. 63.2% statewide). 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 30 municipal water systems or rural water districts in York County, 0.8% received water containing excessive levels of nitrate (>10 ppm).
· None of the county’s 9 community water systems sampled supply adequate levels of fluoride in the drinking water.
· Of all children under age 6 years whose blood lead levels were tested, 25 (5.3%) were found to have elevated levels of lead in 2002-2004 vs. 3.3% statewide (1,846 elevated tests).
AVAILABILITY OF SERVICES
· A total of 10 primary care physicians (all GP/FP’s) were in practice in York County in 2003. There were also 4 physician assistants and 8 dentists practicing in the county.
· As of 2003, part of York County was federally designated as a Health Professional Shortage Area.
· Public transportation is currently available in York County.
SERVICE UTILIZATION DATA
· Children make up the greatest share of the Medicaid eligible population in York County (68.6%), while aged persons account for 10.7%.
· Medicaid expenditures for aged persons comprise 24.7% of the total in York County, compared to 29.4% statewide. ADC recipients (both children and adults) account for 45.3% of all Medicaid expenditures in the county, while blind and disabled persons account for the remaining 30.0% of total expenditures.
· Medicaid fee-for-service expenditures accounted for the greatest share of the total, both in York County (75.3%) and the state (75.8%) in FY2003. Capitated payments comprised a much smaller percentage of the total.
· Fee-for-service payments to nursing facilities made up 18.3% of total Medicaid expenditures in York County, while hospital charges comprised 37.0%. Prescribed drugs accounted for 10.8% of the total.
· In FY 2004, a monthly average of 31 families received Aid to Dependent Children benefits and 589 persons participated in the Food Stamp Program in York County.
· In 2004, 481 women, infants and children from this county participated in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
· A total of 171 beds in nursing homes and hospital long-term care facilities are licensed in York County in 2004, with an occupancy rate of 91.3%.
· In York County in 2004, 6.8% of residents aged 65 and older live in nursing homes, compared to 5.5% for the state.