1. 2010 McHenry County Healthy Community Study Community Analysis Prepared by Kristen Harrison, M.P.H Epidemiologist McHenry County Department of Health

2. Topics  Population  Demographics  Housing  Education  Employment  Income &Poverty  Crime  Natality (Births)  Mortality (Deaths)  Health Status & Behavior  Healthcare Resources & Utilization  Environmental Health April 2011 **Note: All data in this presentation is specific to McHenry County, unless otherwise noted.

3. POPULATION April 2011

4. McHenry County Population: 1900 - 2010  The population of McHenry County grew by 18.7% from 2000 to 2010. Source: US Census Bureau, decennial Census counts April 2011

5. DEMOGRAPHICS April 2011

6. Persons by Race/Ethnicity 1 : 2009 1 All groups except Hispanic are non-Hispanic. Source: US Census Bureau, Population Division, 2009 Census estimates April 2011

7. Population Change by Race/Ethnic Group: 2000 - 2009 1 All groups except Hispanic are non-Hispanic. Source: US Census Bureau, Population Division, 2009 Census estimates and decennial Census for 2000 April 2011

8. Population by Age Group: 2009  Median age: 37.9 years.  One in 5 people were under 18 years.  One in 10 people were 65 years or older. Source: US Census Bureau, Population Division, 2009 Census estimates April 2011

9. Percent Change Among Selected Age Groups: 2000 - 2009 Source: US Census Bureau, Population Division, 2009 Census estimates and decennial Census for 2000

10. Age Distribution by Gender: 2009  In 2009, for every female there was 1.3 males. Source: US Census Bureau, Population Division, 2009 Census estimates April 2011

11. HOUSEHOLD & MARITAL STATUS April 2011

12. Household Types: 2005 - 2009  106,951 households in McHenry County  Average household size: 2.91 persons  Average family size: 3.38 persons Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year estimates All HouseholdsHouseholds With Children <18 Years April 2011

13. Marriages, Divorces/Annulments & Dissolution Ratio: 1980 - 2009  In 2009, for every 100 marriages there were 76 divorces in the County – 31 more than the State. Source: Illinois Department of Public Health April 2011 Marriages & DivorcesDissolution Ratio

14. HOUSING April 2011

15. Home Value: 2005 - 2009  County median home value: $251,200 (IL: $200,400) Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year Estimates April 2011

16. Home Sales and Median Price: 2005 - 2009 Source: Illinois Association of Realtors, Market Sales Percent Change 2005 - 2009 Single family : -55% Condo: -57% Percent Change 2005 - 2009 Single family : -55% Condo: -57% Percent Change 2005 - 2009 Single family : -39% Condo: -17% Percent Change 2005 - 2009 Single family : -39% Condo: -17% April 2011

17. Homeownership & Housing Costs: 2005 -2009  County homeownership rate: 85% (IL: 69%, US: 67%).  Median home costs:  Homeowners w mortgage: 26.9% of annual income (IL: 25.5%, US: 24.8%)  Renters: 31% (IL: 31.0%, US: 30.0%)  Affordable housing is generally considered to be <30% of the annual income of a household 1  Percent of homeowners with home costs ≥30% of annual household income  Homeowners w mortgage: 40.8% (IL: 38.1%; US: 36.7%)  Renters: 48.4% (IL: 46.4%; US: 38.7%) 1 US Department of Housing and Urban Development (HUD) Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year Estimates April 2011

18. EDUCATION April 2011

19. Educational Attainment (Adults 25 Years and Older): 2005 - 2009 Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year Estimates April 2011

20. EMPLOYMENT April 2011

21. Unemployment: 1980 - 2009  2009 unemployment rate: 9.7% (IL: 10.1%; US: 9.3%) Source: Illinois Department of Employment Security, Local Area Unemployment Statistics April 2011

22. Annual Employment by Industry: 2000 - 2009  Net gain: +3,812 jobs (+4.2%)  Largest employment growth:  Professional and business services sector (+51.1%)  Largest employment loss:  Manufacturing (-33.2%) Source: Illinois Department of Employment Security, LEHD State of Illinois County Reports – Quarterly Workforce Indicators April 2011

23. INCOME & POVERTY April 2011

24. Median Household Income: 1999 & 2005 - 2009  The County’s median household income exceeded the State by $22,092 during 2005-2009. Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year estimates and decennial Census for 2000 April 2011

25. Poverty for Selected Groups: 2005 - 2009 Group McHenry County IllinoisUS All people5.6%12.4%13.5% People 65 years and older4.5%8.9%9.8% Families4.2%9.1%9.9% With children < 18 years old6.3%14.1%15.3% With children < 5 years old7.6%15.2%16.6% Female-headed families21.2%28.1%28.7% With children < 18 years old29.7%36.8%37.1% With children < 5 years old55.3%45.0%45.6% Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year estimates. April 2011

26. Medicaid Recipients: 1990 - 2009  More than 5-fold increase in the number of recipients Source: Illinois Department of Human Services, Bureau of Research and Analysis. April 2011

27. CRIME April 2011

28. Crime 1 & Crime Rate: 1999 - 2008  2008 crime rate: 1,807.9 crimes per 100,000 population.  75% were theft and 14% were burglary. 1 Only counting index crimes, which include murder and manslaughter, criminal sexual assault, robbery, aggravated assault (including attempted murder, aggravated battery, and ritual mutilation), burglary, larceny/theft, motor vehicle theft, and arson. Source: Illinois State Police, Illinois Uniform Crime Reporting Program April 2011

29. NATALITY (Births) April 2011

30. Birth Rates: 1980 - 2008  2008 birth rate: 12.0 births per 1,000 population (IL: 13.8; US: 14.0) Source: Illinois Department of Public Health, and National Center for Health Statistics April 2011

31. Age-Specific Fertility: 2008 1 Age-group specific female population Source: Illinois Department of Public health, and US Census Bureau, 2008 estimates April 2011  The overall fertility rate for McHenry County was 28.1 births per 1,000 females (IL: 31.2).

32. Births to Teen Mothers: 1980 - 2008  2008 percent of births to teen mothers: 5.0% (IL: 10.0%; US: 10.4%) Source: Illinois Department of Public Health, and National Center for Health Statistics April 2011

33. Births to Unmarried Mothers: 1980 - 2008  2008 percent of births to unmarried mothers: 29.1% (IL: 40.7%, US: 40.6%) Source: Illinois Department of Public Health, and National Center for Health Statistics April 2011

34. Infant Mortality: 1980 - 2007  2007 infant deaths: 21  2007 infant death rate: 5.1 deaths per 1,000 live births (IL: 6.6; US: 6.8)  1980 – 2007 percent change: -52% Source: Illinois Department of Public Health, and National Center for Health Statistics April 2011

35. MORTALITY (Deaths) April 2011

36. Mortality Rate: 1980 - 2007  2007 mortality rate: 5.8 deaths per 1,000 population (IL: 7.8; US: 8.0) Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database April 2011

37. Leading Causes of Death: 2007 1 Rate per 100,000 population Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database April 2011

38. Leading Causes of Death:1997 & 2007 1997 2007 Cause Age- Adjusted Mortality Rate 1 1.Heart disease161.3 2.Cancer147.2 3.Stroke47.4 4.Chronic lower respiratory disease 27.2 5.Accidents20.6 Cause Age- Adjusted Mortality Rate 1 1.Cancer190.8 2.Heart disease169.1 3.Stroke45.5 4.Chronic lower respiratory disease 39.1 5.Accidents30.3 1 Rate per 100,000 population using 2000 US standard population Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database April 2011

39. Leading Causes of Premature Mortality: 2007 Cause Percent Of Cause Under 65 Years McHenry County Illinois All Causes24.7%26.4% Suicide90.3%85.2% Accidents67.4%67.7% Diabetes mellitus32.5%26.4% Cancer28.4%30.2% Kidney disease20.9%16.1% Heart disease17.7%20.3% Influenza & pneumonia16.1%13.5% Stroke11.8%13.4% Chronic lower respiratory disease10.6%13.7% Septicemia10.3%24.0% Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database April 2011

40. Leading Causes of Death by Age Group: 2003 – 2007 Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database April 2011

41. HEALTH STATUS & BEHAVIORS April 2011

42. Perception of General Health (Adults 25 Years & Older): 2007 Source: Illinois Department of Public Health, Behavioral Risk Factor Survey April 2011

43. Source: Illinois Department of Public Health, Behavioral Risk Factor Survey Perception of Health Status: 2007 April 2011

44. Source: Illinois Department of Public Health, Behavioral Risk Factor Survey Prevalence of Selected Conditions in Adults: 2007 April 2011

45. Obesity Status (Adults 25 Years & Older): 2007 Source: Illinois Department of Public Health, Behavioral Risk Factor Survey  Almost 60% of adults are overweight or obese in the County and 62% in Illinois. April 2011

46. Smoking Status (Adults 25 Years & Older): 2007 Source: Illinois Department of Public Health, Behavioral Risk Factor Survey April 2011

47. SiteNumberRate 1 TOTAL3,117446.8 1.Invasive breast867120.6 2.Lung & bronchus40260.6 3.Colon & rectum33549.5 4.Corpus & uterus22331.4 Leading Cancer Incidence by Site: 2003 - 2007 SiteNumberRate 1 TOTAL3,140552.6 1.Prostate888156.1 2.Lung & bronchus42279.4 3.Colon & rectum32459.0 4.Urinary bladder22142.0 1 Age-adjusted incidence rate per 100,000 population Source: Illinois Department of Public Health, Illinois State Cancer Registry MalesFemales April 2011

48. Disabilities include: Sensory: blindness, deafness or a severe vision or hearing impairment Physical: a condition that substantially limits one or more basic physical activities, such as walking, climbing stairs, reaching, lifting or carrying Mental: learning, remembering or concentration Self-care: dressing, bathing or getting around inside the home Outside home: going outside the home alone to shop or visit a doctor’s office Employment: working at a job or business Disabilities include: Sensory: blindness, deafness or a severe vision or hearing impairment Physical: a condition that substantially limits one or more basic physical activities, such as walking, climbing stairs, reaching, lifting or carrying Mental: learning, remembering or concentration Self-care: dressing, bathing or getting around inside the home Outside home: going outside the home alone to shop or visit a doctor’s office Employment: working at a job or business Population With At Least One Disability by Age Group: 2005 - 2007  9.6% of people five years and older have at least one disability (US: 15.1%). Source: US Census Bureau, 2005 – 2007 American Community Survey 3-Year Estimates April 2011

49. HEALTHCARE RESOURCES & UTILIZATION April 2011

50. Healthcare Utilization: 2007 Source: Illinois Department of Public Health, Behavioral Risk Factor Survey April 2011

51. Last Dental Visit (Adults 25 Years & Older): 2007 Source: Illinois Department of Public Health, Behavioral Risk Factor Survey April 2011

52. Hospitalization Rate for Leading Reasons 1 : 2009 RankDiagnosis-Related Group (DRG) Description McHenry CountyIllinois NumberRate 2 1.Psychoses (885) 1,73754.174.7 2.Major joint replacement/reattachment of lower extremity without complications (470) 1,05032.731.2 3.Esophagitis, gastroenteritis and miscellaneous digestive disorders without complications (392) 98630.732.4 4.Alcohol/drug abuse or dependence without rehabilitation therapy or complications (897) 62819.627.7 5.Chest pain (313) 50915.919.8 6.Rehabilitation (945) 48415.117.4 7.Nutritional and miscellaneous metabolic disorders without complications (641) 43813.617.0 8.Percutaneous cardiovascular procedure with drug-eluting stent without complications (247) 40712.710.9 9.Circulatory disorders except acute myocardial infarction, with cardiac catheterization without complications (287) 39412.312.2 10.Simple pneumonia and pleurisy with comorbid conditions (194) 38812.116.5 1 Excluding birth-related reasons 2 Rate per 10,000 population Source: Illinois Hospital Association, COMPdata April 2011

53. Population Per Physician: 2008 Source: American Medical Association, Physician Characteristics and Distribution in the US 2010 Edition. April 2011

54. ENVIRONMENTAL HEALTH April 2011

55. McHenry County Air Quality: 1998 - 2008  2008 percent of days: 83.9% good, 16.1% moderate  1998 – 2008 Average Percent of Days:  85.1% good air quality,  13.3% moderate, and  1.6% unhealthy for sensitive groups. Source: US Environmental Protection Agency, Air Quality Index Report April 2011

56. STRENGTHS & CHALLENGES April 2011

57. Strengths - General  High homeownership rates  Higher overall educational attainment  High median household income  Low poverty rates  Decreasing crime rate April 2011

58. Strengths - Health  Decreasing birth rates, births to teen moms and infant mortality, and increasing births to older moms  Low mortality rate  Perception of general and physical health is higher than State  Lower diabetes and high cholesterol prevalence than State and comparable hypertension prevalence  Lower obesity rates  Small percent of the population with a disability  Higher rates of health care coverage than State  Good air quality April 2011

59. Challenges - General  Population growth  Increase in minority populations  Aging population  Increasing divorce rate and decreasing marriage rate  Home values are high and the cost is a substantial portion of income for many  Falling housing market  Increasing unemployment, especially in manufacturing  High poverty among single mothers  Increasing Medicaid participation April 2011

60. Challenges - Health  Increasing births to unmarried mothers  Most deaths due to cancer or heart disease  Percent of population experiencing poor mental health is higher than the State  Higher prevalence of asthma and arthritis than State  3 out of 5 adults are overweight or obese  Prostate (men only) and Breast (female only), lung and colorectal cancers are the most common in the County  Most frequent reasons for hospitalization were for mental disorders, hip/knee replacements and digestive disorders  High population per physician for all types of practices and specialties April 2011