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

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

2002 Race Distribution by Sex MaleFemale White 7,279 (50%) 7,300 (50%) Black 44 (62%)27 (38%) Other 92 (56%)72 (44%) 2002 Kentucky Vital Statistics

Population Distribution by Age in 2002 PendletonKentucky 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 14,8144,093, Kentucky Vital Statistics

2010 Population Projections 2000 Census

Socioeconomic Profile Only 13.6% of Pendleton County’s population is below the poverty level compared to 16.3% statewide in 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 Kentucky’s $37, % unemployment rate compared to 6.1% statewide in National Center for Health Statistics, U.S. Census Bureau

2002 Socioeconomic Profile, cont County Health Profile

Birth Indicators PendletonKentucky Birth rate 10.0 per 1000 pop.13.4 per 1000 pop. Infant death rate 13.3 per 1000 births6.8 per 1000 births Mothers Under per 1000 births0.8 per 1000 births Mothers per 1000 females 24.8 per 1000 females Birthweights < 2500 grams 7.3 per 100 births8.8 per 100 births No care in first trimester 8.0%13.0% Maternal Smoking 45%*26%* 2003 Kentucky Vital Statistics, *2006 KIDS COUNT

Child Well-being Indicators Average daily attendance for students – 95%. Ky.’s average was 94%. (2005) 89% completed high school compared to the state’s 83% in % completed 4 or more years of college and Kentucky 17.1% in School drop-out rate in county Pendleton Co was 1.2% with Kentucky’s being 2.6% ( ) KIDS Count Data Book

Pendleton County High School KCCT TestProficient/DistinguishedAcademic Index DistrictStateDistrictState Reading 10th27%39% PL/VS 10th47%54% Mathematics 11th25%34% Science 11th29%37% Social Studies 11th32%41% Arts & Humanities 11th34%39% Writing 12th30%33% KY Department of Education

Pendleton County High School National Norm Referenced Test (CTBS/5)DistrictStateNation 9th Grade Reading54%ile56%ile50%ile 9th Grade Language Arts45%ile51%ile50%ile 9th Grade Mathematics48%ile52%ile50%ile KY Department of Education

Pendleton County Middle School KCCT TestProficient/DistinguishedAcademic Index DistrictStateDistrictState Reading 7th63%62% Science 7th45%41% Writing 7th19%21% Mathematics 8th44%36% Social Studies 8th46%39% Arts & Humanities 8th52%53% PL/VS 8th44%43% KY Department of Education

Pendleton County Middle School National Norm Referenced Test (CTBS/5)DistrictStateNation 6th Grade Reading54%ile58%ile50%ile 6th Grade Language Arts48%ile54%ile50%ile 6th Grade Mathematics55%ile57%ile50%ile KY Department of Education

Pendleton County Primary/Elementary School KCCT TestProficient/DistinguishedAcademic Index DistrictStateDistrictState Reading 4th68% Science 4th60%54% Writing 4th35%43% Mathematics 5th36%45% Social Studies 5th44%53% Arts & Humanities 5th35%32% PL/VS 5th58%63% KY Department of Education

Pendleton County Primary/Elementary School National Norm Referenced Test (CTBS/5)DistrictStateNation End of Primary (EOP) Reading61%ile65%ile50%ile EOP Language Arts62%ile 50%ile EOP Mathematics72%ile67%ile50%ile KY Department of Education

Child Well-being Indicators In 2003, 17% of pop. <18 lived in poverty Only 67% of obligated child support payments were collected in In 2005, there were 21 reports cases of physical abuse, 16 reports of sexual abuse, and 127 reports of neglect and/or dependency KIDS Count Data Book

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

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

DUI Convictions Trend 2006 Crime in Kentucky

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

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 County’s ratio is 1 to 5936, Kentucky’s ratio is KY Department of Public Health, Health Care Access Branch

Pendleton County’s cancer of all sites incidence age-adjusted rate for was compared to KY’s age-adjusted rate as Kentucky Cancer Registry

Pendleton County’s cancer of respiratory system incidence age-adjusted rate for was compared to KY’s age- adjusted rate as Kentucky Cancer Registry

Pendleton County’s cancer of breast incidence age-adjusted rate for was compared to KY’s age-adjusted rate as Kentucky Cancer Registry

Pendleton County’s cancer of all sites mortality age-adjusted rate for was compared to KY’s age-adjusted rate as Kentucky Cancer Registry

Pendleton County’s cancer of respiratory system mortality age-adjusted rate for was compared to KY’s age- adjusted rate as Kentucky Cancer Registry

Pendleton county’s cancer of breast mortality age-adjusted rate for was 8.36 compared to KY’s age-adjusted rate as Kentucky Cancer Registry

2002 Leading Causes of Mortality Under 1 yearPerinatal conditions Age 1-14Unintentional injury 15-24Unintentional injury 25-34Chronic Lower Respiratory Diseases 35-44Unintentional injury 45-54Malignant neoplasm 55-64Malignant neoplasm 65 and overHeart disease 2002 Vital Statistics Report

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.

Age# of Deaths Mean Age at Death 75 – Mean Age at Death YPLL < years years years years years years years Total ,271.5 Deaths From All Causes /YPLL 2002 Vital Statistics Report

Age# of Deaths Mean Age at Death 75 – Mean Age at Death YPLL < years years years years years years years 0000 Total Deaths From Unintentional Injuries /YPLL 2002 Vital Statistics Report

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 Vital Statistics Report

Unintentional Injuries Unintentional injuries are responsible for 255 years of life lost. Motor vehicle accidents make 135 years of the total Vital Statistics Report

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

Other contributors to YPLL Chronic lower respiratory disease takes 95 years. Diabetes takes another 30 years Septicemia takes another 15 years Vital Statistics Report

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.

Sources 1.National Center for Health Statistics; U.S. Census Bureau (2007) Fedstats. From 2.Cabinet for Health and Family Services; Kentucky Department for Public Health (2002) Kentucky Vital Statistics. From Cabinet for Health and Family Services; Kentucky Department for Public Health (2002) KY County Health Profile. From Kentucky Youth Advocates (2006) KIDS COUNT. From County+Data+Book+v3.pdf County+Data+Book+v3.pdf 5.KY Department of Education; School Report Card ( ) School Report Card. From _cards _cards 6.Kentucky State Police (2005) Traffic Collision Facts, From Facts_2005.pdf Facts_2005.pdf 7.Kentucky State Police (2006) Crime in Kentucky, From Kentucky Cancer Registry (2003) From rates.info/ky/index.htmlhttp://cancer- rates.info/ky/index.html 9.Cabinet for Health and Family Services; Kentucky Department for Public Health (2003) Kentucky Vital Statistics. From