APEXPH Summary

1
APEXPH Summary

• Assessment Protocol for Excellence
• in
• Public Health
• Community Health Planner
• Panayiota Agamemnonos
• Pendleton County Health Department

2
Pendleton County Demographic Profile

• 2006 Population 15,334
• 7,415 (50) males
• 7,399 (50) female
• 14,956 (98.9) white (2005)
• 81 (0.5) black (2005)
• 408 (3.9) Hispanic or Latino origin (2005)

National Center for Health Statistics, U.S.
Census Bureau , 2002 Vital Statistics
3
2002 Race Distribution by Sex
Male Female
White 7,279 (50) 7,300 (50)
Black 44 (62) 27 (38)
Other 92 (56) 72 (44)
2002 Kentucky Vital Statistics
4
Population Distribution by Age in 2002
Pendleton Kentucky
Under 1 year 226 (1.5) 54,312 (1.3)
1 4 years 841 (5.7) 216,039 (5.3)
5 14 years 2,410 (16.3) 558,077 (13.6)
15 24 years 2,015 (13.6) 584,864 (14.3)
25 34 years 1,979 (13.4) 554,891 (13.6)
35 44 years 2,470 (16.7) 631,173 (15.4)
45 54 years 1,911 (12.9) 582,643 (14.2)
55 64 years 1,423 (9.6) 402,450 (9.8)
65 74 years 852 (5.7) 273,875 (6.7)
75 84 years 510 (3.4) 176,282 (4.3)
85 years 177 (1.2) 58,402 (1.5)
Total 14,814 4,093,008
2002 Kentucky Vital Statistics
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2010 Population Projections
2000 Census
6
Socioeconomic Profile

• Only 13.6 of Pendleton Countys population is
  below the poverty level compared to 16.3
  statewide in 2004.
• Per capita income in 2004 was 21,234 compared to
  the state average of 27,265.
• Median family income in 2004 was 39,295 compared
  to Kentuckys 37,046.
• 5.7 unemployment rate compared to 6.1 statewide
  in 2005.

National Center for Health Statistics, U.S.
Census Bureau
7
2002 Socioeconomic Profile, cont.
2002 County Health Profile
8
Birth Indicators
Pendleton Kentucky
Birth rate 10.0 per 1000 pop. 13.4 per 1000 pop.
Infant death rate 13.3 per 1000 births 6.8 per 1000 births
Mothers Under 15 0.0 per 1000 births 0.8 per 1000 births
Mothers 15-17 14.4 per 1000 females 24.8 per 1000 females
Birthweights lt 2500 grams 7.3 per 100 births 8.8 per 100 births
No care in first trimester 8.0 13.0
Maternal Smoking 45 26
2003 Kentucky Vital Statistics, 2006 KIDS COUNT
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Child Well-being Indicators

• Average daily attendance for students 95.
  Ky.s average was 94. (2005)
• 89 completed high school compared to the states
  83 in 2005. 9.7 completed 4 or more years of
  college and Kentucky 17.1 in 2000.
• School drop-out rate in county Pendleton Co was
  1.2 with Kentuckys being 2.6 (2000-2001).

2006 KIDS Count Data Book
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Pendleton County High School2004-2005
KCCT Test Proficient/Distinguished Proficient/Distinguished Academic Index Academic Index
District State District State
Reading 10th 27 39 68.5 77.5
PL/VS 10th 47 54 71.5 79.1
Mathematics 11th 25 34 59.8 66.3
Science 11th 29 37 65.5 69.4
Social Studies 11th 32 41 71.6 78.1
Arts Humanities 11th 34 39 67.2 70.7
Writing 12th 30 33 62.1 68.4
KY Department of Education
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Pendleton County High School2004-2005
National Norm Referenced Test (CTBS/5) District State Nation
9th Grade Reading 54ile 56ile 50ile
9th Grade Language Arts 45ile 51ile 50ile
9th Grade Mathematics 48ile 52ile 50ile
KY Department of Education
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Pendleton County Middle School2004-2005
KCCT Test Proficient/Distinguished Proficient/Distinguished Academic Index Academic Index
District State District State
Reading 7th 63 62 86.2 87
Science 7th 45 41 78.5 74
Writing 7th 19 21 53.5 57.3
Mathematics 8th 44 36 77.2 71
Social Studies 8th 46 39 83.6 73.5
Arts Humanities 8th 52 53 78.6 76.5
PL/VS 8th 44 43 76.3 74.3
KY Department of Education
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Pendleton County Middle School2004-2005
National Norm Referenced Test (CTBS/5) District State Nation
6th Grade Reading 54ile 58ile 50ile
6th Grade Language Arts 48ile 54ile 50ile
6th Grade Mathematics 55ile 57ile 50ile
KY Department of Education
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Pendleton County Primary/Elementary
School2004-2005
KCCT Test Proficient/Distinguished Proficient/Distinguished Academic Index Academic Index
District State District State
Reading 4th 68 68 85.8 87.1
Science 4th 60 54 89.3 87.6
Writing 4th 35 43 71.1 74.9
Mathematics 5th 36 45 67.2 74.4
Social Studies 5th 44 53 72.4 79.3
Arts Humanities 5th 35 32 65.2 62.8
PL/VS 5th 58 63 79.9 84.9
KY Department of Education
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Pendleton County Primary/Elementary
School2004-2005
National Norm Referenced Test (CTBS/5) District State Nation
End of Primary (EOP) Reading 61ile 65ile 50ile
EOP Language Arts 62ile 62ile 50ile
EOP Mathematics 72ile 67ile 50ile
KY Department of Education
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Child Well-being Indicators

• In 2003, 17 of pop. lt18 lived in poverty
• Only 67 of obligated child support payments were
  collected in 2006.
• In 2005, there were 21 reports cases of physical
  abuse, 16 reports of sexual abuse, and 127
  reports of neglect and/or dependency.

2006 KIDS Count Data Book
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2005 Traffic Collisions

• 2005 saw a total of 354 collisions of those 7
  involved fatalities, 83 non-fatal injuries, and
  264 property damage.
• 7 people were killed and 116 people were injured.
• Of the 354 collisions, 22 involved drinking
  drivers and 1 involved drivers under influence of
  drugs

2005 Traffic Collision Facts
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2005 Driving under the Influence

• 3 of the 22 collisions with drinking drivers
  involved fatal collisions, 8 non-fatal injury,
  and 11 property damage.
• 3 people were killed and 18 people were injured.
• 1 person was killed in the collision involving
  drugs

2005 Traffic Collision Facts
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DUI Convictions Trend
2006 Crime in Kentucky
20
2006 Crime

• In 2005, 64 DUI arrests with 63 adults and 1
  juveniles.
• There was a total of 492 arrest in 2005 with 34
  arrests for narcotic drug laws.
• Another 33 of the arrests were for drunkenness.
• There were 52 arrests for larceny-thefts

2006 Crime in Kentucky
21
Access to Primary Health Care Profile

• Primary care provider ratio is the population of
  a given area divided by the number of full-time
  primary care providers serving that area.
• The Federal Government estimates that 1 primary
  care provider can provide care to 1500
  individuals.
• In 2005, Pendleton Countys ratio is 1 to 5936,
  Kentuckys ratio is 1917.

KY Department of Public Health, Health Care
Access Branch
22

• Pendleton Countys cancer of all sites incidence
  age-adjusted rate for 2000-2004 was 433.38
  compared to KYs age-adjusted rate as 513.73

2007 Kentucky Cancer Registry
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• Pendleton Countys cancer of respiratory system
  incidence age-adjusted rate for 2000-2004 was
  97.55 compared to KYs age-adjusted rate as
  108.12

2007 Kentucky Cancer Registry
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• Pendleton Countys cancer of breast incidence
  age-adjusted rate for 2000-2004 was 59.59
  compared to KYs age-adjusted rate as 66.90

2007 Kentucky Cancer Registry
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• Pendleton Countys cancer of all sites mortality
  age-adjusted rate for 2000-2004 was 190.69
  compared to KYs age-adjusted rate as 224.25

2007 Kentucky Cancer Registry
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• Pendleton Countys cancer of respiratory system
  mortality age-adjusted rate for 2000-2004 was
  64.55 compared to KYs age-adjusted rate as 81.85

2007 Kentucky Cancer Registry
27

• Pendleton countys cancer of breast mortality
  age-adjusted rate for 2000-2004 was 8.36
  compared to KYs age-adjusted rate as 14.99

2007 Kentucky Cancer Registry
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2002 Leading Causes of Mortality
Under 1 year Perinatal conditions
Age 1-14 Unintentional injury
15-24 Unintentional injury
25-34 Chronic Lower Respiratory Diseases
35-44 Unintentional injury
45-54 Malignant neoplasm
55-64 Malignant neoplasm
65 and over Heart disease
2002 Vital Statistics Report
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Years of Potential Life Lost (YPLL)

• Years of Potential Life Lost is a measure of
  causes of mortality that are responsible for
  taking the highest number of years of life based
  on life expectancy.
• Years of potential life lost are calculated by
  multiplying the number of deaths per age group by
  years of life lost as determined by the
  difference in age at the time of death and life
  expectancy.

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Deaths From All Causes /YPLL
Age of Deaths Mean Age at Death 75 Mean Age at Death YPLL
lt 1 1 .5 74.5 74.5
1-14 years 1 8 67 67
15-24 years 3 20 55 165
25-34 years 1 30 45 45
35-44 years 5 40 35 175
45-54 years 6 50 25 150
55-64 years 17 60 15 255
65 years 68 70 5 340
Total 102 - - 1,271.5
2002 Vital Statistics Report
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Deaths From Unintentional Injuries /YPLL
Age of Deaths Mean Age at Death 75 Mean Age at Death YPLL
lt 1 0 0 0 0
1-14 years 1 8 67 67
15-24 years 3 20 55 165
25-34 years 0 0 0 0
35-44 years 0 0 0 0
45-54 years 1 50 25 25
55-64 years 0 0 0 0
65 years 0 0 0 0
Total 5 - - 247
2002 Vital Statistics Report
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Malignant Neoplasm

• Malignant neoplasm ranked in the top three for
  cause of death in all age categories with the
  exception of those under age 1.
• Cancer tops the list for YPLL in Pendleton County
  with 250 years of life lost.
• Lung cancer is responsible for 120 of those years
  and breast cancer another 5.

2002 Vital Statistics Report
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Unintentional Injuries

• Unintentional injuries are responsible for 255
  years of life lost.
• Motor vehicle accidents make 135 years of the
  total.

2002 Vital Statistics Report
34
Heart Disease

• Heart disease ranks 3rd for YPLL with 145 years
  of potential life lost.
• Heart disease ranks 1st as cause of mortality in
  those over the age of 65 and for those between
  the ages of 45 and 54.

2002 Vital Statistics Report
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Other contributors to YPLL

• Chronic lower respiratory disease takes 95 years.
• Diabetes takes another 30 years
• Septicemia takes another 15 years.

2002 Vital Statistics Report
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Next Steps

• The next step in the APEXPH process is to gather
  input from community leaders regarding actions to
  be taken to address the preceding statistics.

37
Sources

1. National Center for Health Statistics U.S.
   Census Bureau (2007) Fedstats. From
   http//www.fedstats.gov/qf/states/21000.html
2. Cabinet for Health and Family Services Kentucky
   Department for Public Health (2002) Kentucky
   Vital Statistics. From http//chfs.ky.gov/dph/vita
   l/2002vitalreports.htm
3. Cabinet for Health and Family Services Kentucky
   Department for Public Health (2002) KY County
   Health Profile. From http//chfs.ky.gov/dph/epi/co
   healthprofiles.htm
4. Kentucky Youth Advocates (2006) KIDS COUNT. From
   http//www.kyyouth.org/Publications/KIDS_COUNT_200
   6/2006CountyDataBookv3.pdf
5. KY Department of Education School Report Card
   2000-2005 (2004-2005) School Report Card. From
   http//apps.kde.state.ky.us/report_card/index.cfm?
   actiondisplay_cards
6. Kentucky State Police (2005) Traffic Collision
   Facts, From http//www.kentuckystatepolice.ky.gov/
   pdf/KY_Traffic_Collision_Facts_2005.pdf
7. Kentucky State Police (2006) Crime in Kentucky,
   From http//www.kentuckystatepolice.ky.gov/pdf/cik
   _2006.pdf
8. Kentucky Cancer Registry (2003) From
   http//cancer-rates.info/ky/index.html
9. Cabinet for Health and Family Services Kentucky
   Department for Public Health (2003) Kentucky
   Vital Statistics. From http//chfs.ky.gov/dph/vita
   l/2003vitalreports.htm