HCI Data Update Prepared April 2020 R. Keith Howard Healthy - - PowerPoint PPT Presentation

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HCI Data Update Prepared April 2020 R. Keith Howard Healthy - - PowerPoint PPT Presentation

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HCI Data Update Prepared April 2020 R. Keith Howard Healthy Communities Initiative of Jefferson County Coordinator 2 Data Update 2020 Since its inception, HCI had provided to the community data to compare the health of Jefferson County

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HCI Data Update Prepared April 2020

  • R. Keith Howard

Healthy Communities Initiative of Jefferson County Coordinator

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SLIDE 2

Data Update 2020

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  • Since its inception, HCI had provided

to the community data to compare the health of Jefferson County to the rest of the state and nation.

  • Over time, the data set has been

expanded to provide additional insights.

  • Timely data is still difficult to access.
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Facts about Jefferson County

Category 2014 2018 IN - 2018 Total Population 32,410 32,308 6,732,219 Children in Need of Services (Rate /1000) 9.1 38.4 21.8 Child Abuse and Neglact (Rate/1000) 20.8 30.0 17.2 Single Parent Families 41.2% 38.9% 34.2% Children receiving Free or Reduced Lunch 54.8% 52.5% 52.6% Median Household Income $ 45,964 $ 51,031 $ 55,725 Ratio of Population to One Mental Health Provider 1,248 1,040 670 High School Graduates Enrolling in College 64.2% 53.8% 63.0% Postsecondary Degree Attainment 24.9% 29.0% 43.6%

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Sources: 2020 Indiana Kids Count Data Book, IYI and Stronger Nation, Lumina Foundation

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Healthy Lifestyles

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Deaths Due to Stroke Rate per 100,000 and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 39.5 3,040 40.2 3,151 39.4 3,154 Jefferson County 57.3 23 41.7 18 62.6 25

Statistical unit is Age Adjusted Death Rate per 100,000. ICD-10 code: I60-I69.

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Death from Diseases of the Heart Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 180.6 13,954 183.1 14,437 180.6 14,522 Jefferson County 221.1 93 237.2 97 243.0 101

Statistical unit is Age Adjusted Death Rate per 100,000. ICD-10 code: I00-I09,I11,I13,I20-I51.

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Deaths from Diabetes Mellitus Rate per 100,000 and County

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 26.0 1,994 26.6 2,095 26 2,092 Jefferson County 24.2 10 28.1 9 15.5 5

Statistical unit is Age Adjusted Death Rate per 100,000. ICD-10 code: E10-E14.

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Percentage of Smoking Adults

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Location 2013 2014 2015 2016 2017 United States 19.0 18.1 17.5 17.1 17.1 Indiana 21.9 22.9 20.6 21.1 21.8 Location 2003-07 2008-12 2013-17 Jefferson 34.3 29.6 34.0

Source: Indiana State Department of Health/CDC – 2017

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Smoked During Pregnancy

Percent of the Population Years 2014 to 2018

Location 2014 2015 2016 2017 2018 United States 8.0 8.0 7.2 Indiana 15.1 14.3 13.5 13.5 11.5 Jefferson 27.1 31.3 30.4 28.2 26.1

Source: Indiana State Department of Health/CDC – 2017 and Indiana Youth Institute-2020

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Tobacco Outlets Non-Compliance Rates for Minimum Age Laws - 2018

Source: Indiana Prevention Resource Council - https://iprc.iu.edu/epidemiological-data/epi_table.php?table_id=t603&county=39

Category Jefferson Indiana Number of tobacco compliance inspections 70 8,173 Percent of inspections that were non-compliant 2.90% 11.00%

Includes data from compliance checks conducted for 3 monitoring programs - US Food and Drug Administration, Indiana State Excise Police, and the Synar program overseen by the Indiana Division

  • f Mental Health and Addiction.
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SLIDE 11

Healthy Lifestyle Highlights

  • Deaths due to stroke remain above the

statewide average.

  • Deaths from heart disease is higher

than the state of Indiana and increasing.

  • Deaths due to diabetes is decreasing.
  • The number of women who smoke

while pregnant remains much higher than the statewide rate.

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Substance Abuse

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Alcohol Outlets Non-Compliance Rates for Minimum Age Laws - 2018

Source: Indiana Prevention Resource Council - https://iprc.iu.edu/epidemiological-data/epi_table.php?table_id=t603&county=39

Category Jefferson Indiana Number of alcohol compliance inspections 43 7,983 Percent of inspections that were non-compliant 4.70% 5.50%

IN State Excise Police, Survey for Alcohol Compliance Program

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Alcohol-Impaired Driving Deaths

Source: National Traffic Highway and Safety Administration, Fatality and Injury Reporting System, https://cdan.dot.gov/query

2016 2017 2018 Category Jefferson Indiana Jefferson Indiana Jefferson Indiana Number of alcohol-impaired motor vehicle deaths 1 192 3 236 191 Percent of driving deaths with alcohol involvement 20.0% 24.7% 37.5% 28.2% 0.0% 24.7%

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Deaths from Alcohol-Related Causes Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer,

https://gis.in.gov/apps/isdh/meta/stats_layers.htm?q=VAR_ID%20like%20%27%25%25%27&prof=18077

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 9.4 706 9.6 721 10.7 793 Jefferson County 6.2 2 15.6 5 24.9 8

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Jefferson County Drugs Submitted to Indiana State Police Lab

Source: Indiana State Police - https://hub.mph.in.gov/dataset/drug-submissions-to-indiana-state-police-laboratories

Drug DEA Grouping 2016 2017 2018 Acrylfentanyl Opioid 1 Alprazolam Depressant 1 1 Amphetamine Stimulant 1 Buprenorphine Opioid 12 4 6 Cocaine Stimulant 2 1 1 Fentanyl Opioid 2 2 Heroin Opioid 5 1 Hydrocodone Opioid 1 3 Marijuana Cannabis 7 6 5 Methadone Opioid 1 Methamphetamine Stimulant 47 27 29 Oxycodone Opioid 6 1 Tetrahydrocannabinol (THC) Cannabis 1 Total 2,095 2,063 2,067

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Substance Use Treatment Episodes - FY2018

Source: Indiana Prevention Resource Center - https://iprc.iu.edu/epidemiological-data/epi_table.php?table_id=t901&county=39

Treatment Type Jefferson Indiana Total number of admissions for treatment 307 33,399 Number of admissions with alcohol use reported 96 15,250 Percent of admissions with alcohol use reported 31.3% 45.7% Number of admissions with marijuana use reported 162 16,489 Percent of admissions with marijuana use reported 52.8% 49.4% Number of admissions with cocaine use reported 13 3,934 Percent of admissions with cocaine use reported 4.2% 11.8% Number of admissions with heroin use reported 40 7,131 Percent of admissions with heroin use reported 13.0% 21.4% Number of admissions with methamphetamine use reported 153 9,976 Percent of admissions with methamphetamine use reported 49.8% 29.9% Number of admissions with prescription opioid use reported 108 6,818 Percent of admissions with prescription opioid use reported 35.2% 20.4% *Note: Treatment data represent the number of admissions to treatment, not the number of individuals (who may be admitted to treatment more

than once in a year). The data include only admissions to state-funded treatment (individuals who are 200% below the federal poverty level).

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Fatal Drug Overdoses by Type – 2018

Rate per 100,000 (Crude Rate) and Count

A Closer Look at Jefferson County Resident Fatal Drug Overdoses Drug Category Jefferson Count Indiana Count Jefferson Rate Indiana Rate All Drugs 7 1,626 21.8 24.3 All Opioids 2 1,098 6.2 16.4 Cocaine 332 0.0 3.8 Heroin 309 0.0 4.6 Benzodiazepines 253 0.0 5.0 Psychostimulants

  • ther than Cocaine

3 377 9.33 5.6

18 Source: Indiana State Department of Health, Stats Explorer,

https://gis.in.gov/apps/isdh/meta/stats_layers.htm?q=VAR_ID%20like%20%27%25%25%27&prof=18077

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Non-Fatal Emergency Department Visits Involving Any Drug Overdose Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 County Rate Count Rate Count Rate Count Indiana 299.1 19,839 311.0 20,732 258.7 17,311 Jefferson County 296.1 96 311.6 100 263.9 85

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Non-Fatal Emergency Department Visits Involving Any Opioid Overdose Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 104.5 6,934 122.5 8,169 87.0 5,825 Jefferson County 43.2 14 37.4 12 21.7 7

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Non-Fatal Emergency Department Visits Involving Any Heroin Overdose Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 70.7 4,690 85.4 5,693 55.7 3,727 Jefferson County 27.8 9 24.9 8

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Non-Fatal In-Patient Hospitalizations Involving Any Drug Overdose Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 119.7 7,940 112.8 7,522 105.8 7,079 Jefferson County 83.3 27 59.2 19 86.9 28

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Non-Fatal In-Patient Hospitalizations Involving Any Opioid Overdose Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 36.6 2,426 32.1 2,138 25.2 1,688 Jefferson County 15.6 5 25.4 7

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Non-Fatal In-Patient Hospitalizations Involving Any Heroin Overdose Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 County Rate Count Rate Count Rate Count Indiana 9.8 648 9.5 635 7.1 472 Jefferson County

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Deaths From Drug Poisoning

Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 22.9 1,518 27.8 1,852 24.3 1,626 Jefferson County 6.2 2 21.9 7 21.8 7

Statistical unit is Crude Death Rate per 100,000. Deaths with any of the following ICD-10 codes as an underlying cause of death: X40-X44 (accidental poisonings by drugs), X60-X64 (intentional self-poisoning by drugs), X85 (assault by drug poisoning), or Y10-Y14 (drug poisoning of undetermined intent).

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Deaths From Drug Poisoning Involving Any Opioid

Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 11.8 785 17.6 1,176 16.4 1,098 Jefferson County 3.1 1 9.4 3 6.2 2

Deaths of residents of Indiana caused by acute drug poisonings that involve any opioid as a contributing cause of death. The all opioid category includes drugs such as opium, heroin, prescription opioids (hydrocodone, oxycodone, morphine, methadone and fentanyl), and other and unspecified narcotics Statistical unit is Crude Death Rate per 100,000. Deaths are selected using the following ICD-10 codes as an underlying cause of death: X40- X44 (accidental poisonings by drugs), X60-X64 (intentional self-poisoning by drugs), X85 (assault by drug poisoning), or Y10-Y14 (drug poisoning of undetermined intent) AND with any of the following ICD-10 contributing cause of death codes: T40.0 (opium), T40.1 (heroin), T40.2 (natural and semisynthetic opioids), T40.3 (methadone), or T40.4 (synthetic opioids, other than methadone, including but not limited to fentanyl and tramadol), and T40.6 (other and unspecified narcotics). Rates are provided for 10 or more deaths. Note: To avoid over-counting the number of drug deaths, counts from this dataset should not be added to counts from other datasets. Multiple drugs can be listed on the death certificate for drug poisoning deaths, and deaths can be included in more than one of these tables for deaths from certain drugs and drug types.

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Deaths From Drug Poisoning Involving Any Cocaine

Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 1.7 111 3.7 249 3.8 253 Jefferson County

Statistical unit is Crude Death Rate per 100,000. Deaths with any of the following ICD-10 codes as an underlying cause of death: X40-X44, X60-X64, X85 or Y10-Y14 and a contributing cause of death code T40.5 (Cocaine).

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Deaths From Drug Poisoning Involving Heroin

Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 4.5 296 4.9 327 4.6 309 Jefferson County

Statistical unit is Crude Death Rate per 100,000. Deaths with any of the following ICD-10 codes as an underlying cause of death: X40-X44 (accidental poisonings by drugs), X60-X64 (intentional self- poisoning by drugs), X85 (assault by drug poisoning), or Y10-Y14 (drug poisoning of undetermined intent) AND with the ICD-10 contributing cause-of-death code: T40.1 (Heroin). Note: To avoid over- counting the number of drug deaths, counts from this dataset should not be added to counts from other

  • datasets. Multiple drugs can be listed on the death certificate for drug-poisoning deaths, and deaths can

be included in more than one of these tables for deaths from certain drugs and drug types.

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Deaths From Drug Poisoning Involving Psychostimulants Other Than Cocaine

Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 1.8 120 4.3 289 5.6 377 Jefferson County 3.1 1 9.3 3

Deaths with any of the following ICD-10 codes as an underlying cause of death: X40-X44, X60-X64, X85

  • r Y10-Y14 and a contributing cause of death code T43.6 (Psychostimulants other than cocaine).
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Deaths From Drug Poisoning Involving Benzodiazepines

Rate per 100,000 (Crude Rate) and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 2.9 191 4.6 308 5.0 332 Jefferson County 3.1 1

Deaths with any of the following ICD-10 codes as an underlying cause of death: X40-X44, X60-X64, X85

  • r Y10-Y14 and a contributing cause of death code T42.4 (Benzodiazepenes). (For example, Valium and

Xanax)

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Substance Abuse Highlights

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  • Deaths from alcohol related deaths are
  • n the rise.
  • The majority of drugs sent to the State

Police crime lab are for methamphetamines, but the number has reduced greatly from 2016.

  • In 2018, the number of Emergency

Department (ED) visits for drug

  • verdose declined.
  • The rate for ED visits for opioid
  • verdose is well below the state rate.
  • Deaths from drug poisoning are low in

Jefferson County.

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Zero Suicide/ Mental Health

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Deaths from Intentional Self-Harm (Suicide) Rate per 100,000 and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 15.4 1,034 16.2 1,083 15.9 1,075 Jefferson County 41.8 13 32.6 11 16.8 6

Age Adjusted Death Rate per 100,000. ICD-10 code: X60-X84,Y87.0.

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Deaths from Intentional Self-Harm (Suicide) By Gender

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Male Female Male Female Male Female Jefferson County 10 3 8 3 6

Age Adjusted Death Rate per 100,000. ICD-10 code: X60-X84,Y87.0. All persons were Caucasian.

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Deaths from Intentional Self-Harm (Suicide) By Discharge of Firearms Rate per 100,000 and Count

Source: Indiana State Department of Health, Stats Explorer

2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 8.6 592 8.8 604 8.5 589 Jefferson County 29.6 10 21.9 7 9.3 3

Age adjusted rate per 100,000 CD10 range is 'X93' to 'X959’.

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Percent of Deaths from Intentional Self-Harm (Suicide) By Discharge of Firearms

Source: Indiana State Department of Health, Stats Explorer

Locality 2016 2017 2018 Indiana 57.3% 55.8% 54.8% Jefferson County 76.9% 63.6% 50.0%

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Mental Health Providers

Ratio of Population to Mental Health Providers and Number of Providers

Source: County Health Rankings and Roadmaps – Robert Wood Johnson Foundation - https://www.countyhealthrankings.org

2016 2017 2018 Locality Rate Number Rate Number Rate Number United States 500:1 470:1 440:1 Indiana 730:1 9,011 700:1 9,460 670:1 9,969 Jefferson County 1160:1 28 1050:1 31 1046:1 31

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Average Number of Mentally Unhealthy Days Reported in Past 30 Days (Age-adjusted)

Source: County Health Rankings and Roadmaps – Robert Wood Johnson Foundation - https://www.countyhealthrankings.org

Locality 2016 2017 United States 3.8 4.0 Indiana 4.3 4.7 Jefferson County 4.0 4.7

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Mental Health Highlights

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  • In the three years presented, the rate
  • f suicide has decreased from 41.8 per

100,000 to 16.8. This is still above the national and state rates.

  • During the time period, those persons

who died by suicide were Caucasian and predominately male.

  • The means by which suicide occurs is

mostly with firearms.

  • While improving, Jefferson County

remains a mental health professional shortage area.

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Thank you very much for your support of

  • HCI. If you have any questions or would like

more information, please contact:

  • R. Keith Howard

HCI Coordinator howardk@kdhmadison.org

Additional information about the health of Jefferson County can be found in the 2019 Community Health Needs Assessment conducted by King’s Daughters’ Health at https://www.kdhmadison.org/about-us/community- health-needs-assessment/ This slide deck is available at https://www.kdhmadison.org/media/2579/data- presentation-2020.pdf

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