APEXPH Summary

1
APEXPH Summary

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

2
Gallatin County Demographic Profile

• 2006 Population 8,153
• 3,915 (50) males
• 3,923 (50) female
• 7,908 (97.2) white(2005)
• 141 (1.7) black(2005)
• 187 (2.3) 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 3,774 (50) 3,801 (50)
Black 72 (56) 56 (44)
Other 69 (51) 66 (49)
2002 Kentucky Vital Statistics
4
Population Distribution by Age in 2002
Gallatin Kentucky
Under 1 year 95 (1.2) 54,312 (1.3)
1 4 years 451 (5.8) 216,039 (5.3)
5 14 years 1,387 (17.7) 558,077 (13.6)
15 24 years 985 (12.6) 584,864 (14.3)
25 34 years 1,053 (13.3) 554,891 (13.6)
35 44 years 1,290 (16.5) 631,173 (15.4)
45 54 years 1,071 (13.7) 582,643 (14.2)
55 64 years 753 (9.6) 402,450 (9.8)
65 74 years 402 (5.1) 273,875 (6.7)
75 84 years 251 (3.2) 176,282 (4.3)
85 100 (1.3) 58,402 (1.5)
Total 7,838 4,093.008
2002 Kentucky Vital Statistics
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2010 Population Projections
2000 Census
6
Socioeconomic Profile

• 17.2 of Gallatin Countys population is below
  the poverty level compared to 16.3 statewide in
  2004.
• Per capita income in 2004 was 22,506 compared to
  the state average of 27,265.
• Median family income in 2004 was 35,105 compared
  to Kentuckys 37,046.
• 6.1 unemployment rate compare 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
Gallatin Kentucky
Birth rate 16.6 per 1000 pop. 13.4 per 1000 pop.
Infant death rate 7.5 per 1000 births 6.8 per 1000 births
Mothers under 15 0.0 per 1000 births 0.8 per 1000 births
Mothers 15 - 17 34.5 per 1000 females 24.8 per 1000 females
Birthweights lt 2500 grams 11.3 per 100 births 8.8 per 100 births
No care in first trimester 13.0 13.0
Maternal Smoking 37 26
2003 Kentucky Vital Statistics, 2006 KIDS COUNT
9
Child Well-being Indicators

• Average daily attendance for students 93 with
  Ky.s being 94. (2005)
• 89 completed high school compared to the states
  83 in 2005. 6.9 completed 4 or more years of
  college, and Kentucky 17.1 in 2000.
• School drop-out rate in Gallatin Co. was 2.7
  with Kentuckys being 2.6 (2000-2001).

2006 KIDS Count Data Book
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Gallatin County High School2004-2005
KCCT Test Proficient/Distinguished Proficient/Distinguished Academic Index Academic Index
District State District State
Reading 10th 30 39 70.4 77.5
PL/VS 10th 58 54 81.4 79.1
Mathematics 11th 20 34 52.2 66.3
Science 11th 23 37 59.6 69.4
Social Studies 11th 23 41 62.3 78.1
Arts Humanities 11th 25 39 56.3 70.7
Writing 12th 31 33 66.9 68.4
KY Department of Education
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Gallatin County High School2004-2005
National Norm Referenced Test (CTBS/5) District State Nation
9th Grade Reading 37ile 56ile 50ile
9th Grade Language Arts 29ile 51ile 50ile
9th Grade Mathematics 41ile 52ile 50ile
KY Department of Education
12
Gallatin County Middle School2004-2005
KCCT Test Proficient/Distinguished Proficient/Distinguished Academic Index Academic Index
District State District State
Reading 7th 44 62 77.9 87
Science 7th 27 41 64.8 74
Writing 7th 17 21 53 57.3
Mathematics 8th 16 36 56.8 71
Social Studies 8th 23 39 59.9 73.5
Arts Humanities 8th 37 53 64.8 76.5
PL/VS 8th 31 43 63.7 74.3
KY Department of Education
13
Gallatin County Middle School2004-2005
National Norm Referenced Test (CTBS/5) District State Nation
6th Grade Reading 43ile 58ile 50ile
6th Grade Language Arts 38ile 54ile 50ile
6th Grade Mathematics 39ile 57ile 50ile
KY Department of Education
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Gallatin County Primary/Elementary
School2004-2005
KCCT Test Proficient/Distinguished Proficient/Distinguished Academic Index Academic Index
District State District State
Reading 4th 40 68 66.6 87.1
Science 4th 27 54 69.9 87.6
Writing 4th 21 43 61.5 74.9
Mathematics 5th 22 45 54.4 74.4
Social Studies 5th 22 53 57.4 79.3
Arts Humanities 5th 21 32 48.4 62.8
PL/VS 5th 44 63 67.5 84.9
KY Department of Education
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Gallatin County Primary/Elementary
School2004-2005
National Norm Referenced Test (CTBS/5) District State Nation
End of Primary (EOP) Reading 53ile 65ile 50ile
EOP Language Arts 53ile 62ile 50ile
EOP Mathematics 63ile 67ile 50ile
KY Department of Education
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Child Well-being Indicators

• In 2003, 20 of pop. lt18 lived in poverty
• Only 60 of obligated child support payments were
  collected in 2006.
• In 2005, there were 13 reports cases of physical
  abuse, 0 reports of sexual abuse, and 38 reports
  of neglect and/or dependency.

2006 KIDS Count Data Book
17
2005 Traffic Collisions

• 2005 saw a total of 242 collisions of those 5
  involved fatalities, 65 non-fatal injuries, and
  172 property damage.
• 5 people were killed and 100 people were injured.
• Of the 242 collisions, 19 involved drinking
  drivers and 1 involved drivers under influence of
  drugs

2005 Traffic Collision Facts
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2005 Driving under the Influence

• 1 of the 19 collisions with drinking drivers
  involved fatal collisions, 9 non-fatal injury,
  and 9 property damage.
• 1 people were killed and 15 people were injured.

2005 Traffic Collision Facts
19
DUI Convictions Trend
2006 Crime in Kentucky
20
2005 Crime

• In 2005, 111 DUI arrests with 105 adults and 2
  juveniles making them the highest.
• There was a total of 583 arrest in 2005 with 104
  arrests for narcotic drug laws.
• Another 80 of the arrests were for drunkenness.

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, Gallatin Countys ratio is 1 to 7735,
  Kentuckys ratio is 1917.

KY Department of Public Health, Health Care
Access Branch
22

• Gallatin Countys cancer of all sites incidence
  age-adjusted rate for 2000-2004 was 444.42
  compared to KYs age-adjusted rate as 513.73

2007 Kentucky Cancer Registry
23

• Gallatin Countys cancer of respiratory system
  incidence age-adjusted rate for 2000-2004 was
  121.14 compared to KYs age-adjusted rate as
  108.12

2007 Kentucky Cancer Registry
24

• Gallatin Countys cancer of breast incidence
  age-adjusted rate for 2000-2004 was 58.11
  compared to KYs age-adjusted rate as 66.90

2007 Kentucky Cancer Registry
25

• Gallatin Countys cancer of all sites mortality
  age-adjusted rate for 2000-2004 was 314.88
  compared to KYs age-adjusted rate as 224.25

2007 Kentucky Cancer Registry
26

• Gallatin Countys cancer of respiratory system
  mortality age-adjusted rate for 2000-2004 was
  139.25 compared to KYs age-adjusted rate as
  81.85

2007 Kentucky Cancer Registry
27

• Gallatin Countys cancer of breast mortality
  age-adjusted rate for 2000-2004 was 22.18
  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 Assault (Homicide)
15-24 Unintentional injury
25-34 Unintentional injury
35-44 Unintentional injury
45-54 Heart Disease
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 0 0 0 0
1-14 years 2 8 67 134
15-24 years 0 0 0 0
25-34 years 5 30 45 225
35-44 years 3 40 35 105
45-54 years 4 50 25 100
55-64 years 13 60 15 195
65 years 73 70 5 365
Total 100 - - 1,124
2002 Vital Statistics Report
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Deaths From Unintentional Injuries /YPLL
Age of Deaths Mean Age at Death 65 Mean Age at Death YPLL
lt 1 0 0 0 0
1-14 years 0 0 0 0
15-24 years 0 0 0 0
25-34 years 3 30 35 105
35-44 years 0 0 0 0
45-54 years 0 0 0 0
55-64 years 1 60 5 5
65 years 2 70 5 10
Total 6 - - 120
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 Gallatin County
  with 220 years of life lost.
• Lung cancer is responsible for 125 of those years
  and breast cancer another 15.

2002 Vital Statistics Report
33
Unintentional Injuries

• Unintentional injuries are responsible for 155
  years of life lost.
• Motor vehicle accidents make 155 years of the
  total.
• Drug-induced death is to blame for the loss of 35
  years.

2002 Vital Statistics Report
34
Heart Disease

• Heart disease ranks 3rd for YPLL with 135 years
  of potential life lost.
• Heart disease ranks 2nd as cause of mortality in
  those over the age of 65.

2002Vital Statistics Report
35
Other contributors to YPLL

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

2002 Vital Statistics Report
36
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