1. Health Report Card Lincoln Trail District Health Department
108 New Glendale Road, Elizabethtown, KY 42701
Phone: Fax:
Website:

2. Mission
The Lincoln Trail District Health Department provides assurance of the public’s health and safety through assessment, intervention and preparedness.

3. July, 2013
Dear Fellow Community Member,
Lincoln Trail District Health Department is pleased to offer you a look into your community’s health indicators. With this data, we are able to go out into our communities and work with one another to help prevent health issues and disparities. We also use this data to make policy changes as well as create programs that are individualized to each community.
This is the ninth community report card for the Lincoln Trail District. As public health evolves, it is more important than ever to involve our community members in decisions that impact the community’s health and safety. A large part of this collaboration involves the use of data, such as the data contained in this report. We rate ourselves based on how close we are to achieving the goals established by Healthy Kentuckians 2020.
We hope this report card is beneficial to your and your family. Our challenge continues to be to improve the health and safety of our communities through prevention and health promotion. We invite you to become a part of this challenge. Please feel free to contact us with any questions or comments.
Sincerely,
Linda M. Sims, CHE Dean Watts
Public Health Director LTDHD Board of Health Chair

4. Grading Criteria A Good B Fair (emphasis and planning needed)
C Poor (immediate action needed)
Definitions:
Age-adjusted rate – The hypothetical death rate that would have occurred if the observed age specific rates were present in a population whose age distribution were that of a standard population.
Age-adjusted death rate
Sum of (age specific death rate per 100,000 population x standard population in corresponding age group)   
(Sum of the standard population)
Crude and age-adjusted death rate – The crude rate indicates the true current “risk of dying” in a population.  However, since the crude death rate is influenced by the age composition of a population as well as by the number of deaths by age group, the crude rate is not appropriate for comparisons between different populations.  The age-adjusted death rate is used to indicate the relative risk of dying among different populations by relating them to a standard population.  By removing the influence of the age composition, the age-adjusted rate allows for valid comparisons between two populations.
Data Sources: Robert Woods Johnson County Health Rankings, Kentucky Health Facts, BRFSS, U.S. Census, KY KIDS Count Data Book, Workforce KY, Community Action, Ky Dept. for Public Health

5. Health Department Locations
HARDIN CO HEALTH CENTER E-TOWN 580 WESTPORT ROAD ELIZABETHOWN, KENTUCKY HARDIN CO HEALTH CENTER/RADCLIFF 1460 NORTH WILSON ROAD RADCLIFF, KENTUCKY LARUE COUNTY HEALTH CENTER 215 EAST MAIN STREET HODGENVILLE, KENTUCKY MARION COUNTY HEALTH CENTER 516 NORTH SPALDING AVE. LEBANON, KENTUCKY
MEADE COUNTY HEALTH CENTER 520 FAIRWAY DRIVE BRANDENBURG, KENTUCKY NELSON COUNTY HEALTH CENTER 325 SOUTH THIRD BARDSTOWN, KENTUCKY WASHINGTON COUNTY HEALTH CENTER 302EAST MAIN STREET SPRINGFIELD, KENTUCKY

6. Social and Economic Factors
Hardin County Health Profile
Demographics
Hardin County Total Population:
107,025
White Persons
87,332
Black Persons
13,271
Hispanic or Latino Origin
5,565
Other
857
Major Industries
(Persons Employed)
Social and Economic Factors
Families below the Poverty level
12.50%
Children in single parent households
36%
Uninsured adults (18-64) 6%
Health Care Access
Indicators
Hardin
Primary Care Physician Ratio
1 per 1,597
Dentist ratio
1 per 1,328
Mental Health Provider Ratio
1 per 3,821
In the most recent data available, the average household income in Hardin County is $48,743.00

7. Social and Behavioral Factors Cancer Deaths (per 100,000 population)
Measure
Hardin County
Kentucky
Score
Adults that report that they are sedentary - no physical activity
28%
26%  C
Prevalence of Obesity (adults)
31%
33%
Prevalence of Overweight (adults)
68%
64%
Prevalence of Smoking (adults)
Prevalence of Youth Smoking (% of high school students)
22%
25%
Tooth Loss (adults missing 6 or more teeth)
21%
Binge Drinking (adults) 9%
10%
Drug Arrests (per 100,000 population)
1,284
1,116
Health Outcomes
Measure
Hardin County
Kentucky
Score
Total Mortality (per 100,000 population) Rate of death from all causes per year
814.1
906.8 B 
Less Than Good Health (% of adults that report their health as being generally fair or poor)
19%
21%
Average Mentally Unhealthy Days (per month)
(Average number of days on the past 30 days when mental health, including stress, depression and emotional problems was not good) 5 4
Prevalence of Asthma (adults)
10%
13%
Prevalence of Diabetes (adults)
15%
Prevalence of Hypertension (adults)
27.20%
36.40%
Cancer Deaths (per 100,000 population)
Measure
Hardin County
Kentucky
Score
All Cancers
198
212 B 
Lung and Bronchus 68 75
Colorectal 18 20
Breast 24 23
Prostate 25

8. B B C Cardiovascular (per 100,000 population)
Measure
Hardin County
Kentucky
Score
Heart Disease Deaths
196
224 B 
Stroke Deaths
56.9 47
Maternal and Child Health
Measure
Hardin County
Kentucky
Score
Adequate Prenatal Care (percentage of pregnant women who received prenatal care)
80%
85%  B
Infant Mortality (per 1,000 live births)
5.7
6.7
Low Birth Weight (percentage of babies born with a weight of < 5 pounds, 8 ounces)
7.6%
9.1%
Teen Births (rate per 1,000 women ages 15-19) 54 50
Immunization Coverage (percentage of children ages months who received the suggested early childhood immunizations)
75%
Uninsured Child Population (percent children under age 19)
11% 9%
Communicable Diseases
Measure
Hardin County
Kentucky
Score
Chlamydia (among all age groups) per 100,000
698.6
379.9  C
Gonorrhea (among all age groups) per 100,000
112.3
100.7
Tuberculosis (Number of TB Cases 2011) 70
HIV (Total Cases)
147
8,439
Pertussis (Total Cases) 18
677

9. Social and Economic Factors
Larue County Health Profile
Demographics
Larue County Total Population:
14,315
White Persons
13,169
Black Persons
429
Hispanic or Latino Origin
Other
288
Major Industries
(Persons Employed)
Social and Economic Factors
Families below the Poverty level
15.70%
Children in single parent households
30%
Uninsured adults (18-64)
22%
Health Care Access
Indicators
Larue
Primary Care Physician Ratio
1 per 14,215
Dentist Ratio
1 per 4,843
Mental Health Provider Ratio
1 per 7,108
In the most recent data available, the average household income in Larue County is $38,891

10. Social and Behavioral Factors Cancer Deaths (per 100,000 population)
Measure
Larue County
Kentucky
Score
Adults that report that they are sedentary - no physical activity
32%
31%  B
Prevalence of Obesity (adults)
33%
Prevalence of Overweight (adults)
68%
64%
Prevalence of Smoking (adults)
26%
Prevalence of Youth Smoking (% of high school students)
24%
25%
Tooth Loss (adults missing 6 or more teeth)
21%
Binge Drinking (adults)
18%
10%
Drug Arrests (per 100,000 population)
356
1,116
Health Outcomes
Measure
Larue
County
Kentucky
Score
Total Mortality (per 100,000 population) Rate of death from all causes per year
935.2
906.8  B
Less Than Good Health (% of adults that report their health as being generally fair or poor)
21%
Average Mentally Unhealthy Days (per month)
(Average number of days on the past 30 days when mental health, including stress, depression and emotional problems was not good) 4
Prevalence of Asthma (adults) 5%
13%
Prevalence of Diabetes (adults) 6%
10%
Prevalence of Hypertension (adults)
30.80%
36.40%
Cancer Deaths (per 100,000 population)
Measure
Larue
County
Kentucky
Score
All Cancers
200
212  B
Lung and Bronchus 64 75
Colorectal 21 20
Breast
not available 23
Prostate 25

11. B C B Cardiovascular (per 100,000 population)
Measure
Larue County
Kentucky
Score
Heart Disease Deaths
207.1
224 B 
Stroke Deaths
46.4 47
Maternal and Child Health
Measure
Larue County
Kentucky
Score
Adequate Prenatal Care (percentage of pregnant women who received prenatal care)
81%
85% C 
Infant Mortality (per 1,000 live births)
4.8
6.7
Low Birth Weight (percentage of babies born with a weight of < 5 pounds, 8 ounces)
6.9%
9.1%
Teen Births (rate per 1,000 women ages 15-19) 52 50
Immunization Coverage (percentage of children ages months who received the suggested early childhood immunizations)
76%
80%
Uninsured Child Population (percent children under age 19)
11% 9%
Communicable Diseases
Measure
Larue County
Kentucky
Score
Chlamydia (among all age groups) per 100,000
219.6
379.9  B
Gonorrhea (among all age groups) per 100,000 22
100.7
Tuberculosis (Number of TB Cases 2011) 70
HIV (Total Cases) 5
8,439
Pertussis (Total Cases) 1
677

12. Social and Economic Factors
Marion County Health Profile
Demographics
Marion County Total Population:
20,090
White Persons
17,844
Black Persons
1,658
Hispanic or Latino Origin
539
Other 49
Major Industries
(Persons Employed)
Social and Economic Factors
Families below the Poverty level
19.70%
Children in single parent households
31%
Uninsured adults (18-64)
21%
Health Care Access
Indicators
Marion
Primary Care Physician Ratio
1 per 2,477
Dentist Ratio
1 per 3,017
Mental Health Provider Ratio
1 per 19,819
In the most recent data available, the average household income in Marion County is $36,168

13. Social and Behavioral Factors Cancer Deaths (per 100,000 population)
Measure
Marion
County
Kentucky
Score
Adults that report that they are sedentary - no physical activity
35%
31% C 
Prevalence of Obesity (adults)
34%
33%
Prevalence of Overweight (adults)
70%
64%
Prevalence of Smoking (adults)
27%
26%
Prevalence of Youth Smoking (% of high school students)
24%
25%
Tooth Loss (adults missing 6 or more teeth)
21%
Binge Drinking (adults)
15%
10%
Drug Arrests (per 100,000 population)
920
1,116
Health Outcomes
Measure
Marion
County
Kentucky
Score
Total Mortality (per 100,000 population) Rate of death from all causes per year
894.9
906.8  B
Less Than Good Health (% of adults that report their health as being generally fair or poor)
19%
21%
Average Mentally Unhealthy Days (per month)
(Average number of days on the past 30 days when mental health, including stress, depression and emotional problems was not good) 4
Prevalence of Asthma (adults) 8%
13%
Prevalence of Diabetes (adults) 5%
10%
Prevalence of Hypertension (adults)
30.80%
36.40%
Cancer Deaths (per 100,000 population)
Measure
Marion
County
Kentucky
Score
All Cancers
205
212  B
Lung and Bronchus 72 75
Colorectal
unavailable 20
Breast 23
Prostate 25

14. B C Cardiovascular (per 100,000 population) Maternal and Child Health
Measure
Marion County
Kentucky
Score
Heart Disease Deaths
215.3
224  B
Stroke Deaths
43.9 47
Maternal and Child Health
Measure
Marion
County
Kentucky
Score
Adequate Prenatal Care (percentage of pregnant women who received prenatal care)
85%  C
Infant Mortality (per 1,000 live births)
3.0
6.7
Low Birth Weight (percentage of babies born with a weight of < 5 pounds, 8 ounces)
8.7
9.1
Teen Births (rate per 1,000 women ages 15-19) 55 50
Immunization Coverage (percentage of children ages months who received the suggested early childhood immunizations)
80%
Uninsured Child Population (percent children under age 19)
10% 9%
Communicable Diseases
Measure
Marion County
Kentucky
Score
Chlamydia (among all age groups) per 100,000
328.4
379.9  C
Gonorrhea (among all age groups) per 100,000
61.6
100.7
Tuberculosis (Number of TB Cases 2011) 70
HIV (Total Cases) 15
8,439
Pertussis (Total Cases) 1
677

15. Social and Economic Factors
Meade County Health Profile
Demographics
Meade County Total Population:
29,237
White Persons
26,956
Black Persons
1,198
Hispanic or Latino Origin
1,023
Other 60
Major Industries
(Persons Employed)
Social and Economic Factors
Families below the Poverty level
15.70%
Children in single parent households
29%
Uninsured adults (18-64)
21%
Health Care Access
Indicators
Meade
Primary Care Physician Ratio
1 per 4,781
Dentist Ratio
1 per 4,128
Mental Health Provider Ratio
1 per 28,683
In the most recent data available, the average household income in Meade County is $43,800.

16. Social and Behavioral Factors Cancer Deaths (per 100,000 population)
Measure
Meade
County
Kentucky
Score
Adults that report that they are sedentary - no physical activity
32%
31% C 
Prevalence of Obesity (adults)
36%
33%
Prevalence of Overweight (adults)
74%
64%
Prevalence of Smoking (adults)
34%
26%
Prevalence of Youth Smoking (% of high school students)
23%
25%
Tooth Loss (adults missing 6 or more teeth)
16%
21%
Binge Drinking (adults)
11%
10%
Drug Arrests (per 100,000 population)
932
1,116
Health Outcomes
Measure
Meade
County
Kentucky
Score
Total Mortality (per 100,000 population) Rate of death from all causes per year
870.1
906.8 B 
Less Than Good Health (% of adults that report their health as being generally fair or poor)
17%
21%
Average Mentally Unhealthy Days (per month)
(Average number of days on the past 30 days when mental health, including stress, depression and emotional problems was not good) 5 4
Prevalence of Asthma (adults)
10%
13%
Prevalence of Diabetes (adults)
11%
Prevalence of Hypertension (adults)
32.30%
36.40%
Cancer Deaths (per 100,000 population)
Measure
Meade
County
Kentucky
Score
All Cancers
212  B
Lung and Bronchus 62 75
Colorectal 15 20
Breast
unavailable 23
Prostate 25

17. B B B Cardiovascular (per 100,000 population)
Measure
Meade County
Kentucky
Score
Heart Disease Deaths
212.2
224 B 
Stroke Deaths
38.1 47
Maternal and Child Health
Measure
Meade
County
Kentucky
Score
Adequate Prenatal Care (percentage of pregnant women who received prenatal care)
81%
85% B 
Infant Mortality (per 1,000 live births)
5.9
6.7
Low Birth Weight (percentage of babies born with a weight of < 5 pounds, 8 ounces)
5.9%
9.1%
Teen Births (rate per 1,000 women ages 15-19) 37 50
Immunization Coverage (percentage of children ages months who received the suggested early childhood immunizations)
76%
80%
Uninsured Child Population (percent children under age 19)
13% 9%
Communicable Diseases
Measure
Meade County
Kentucky
Score
Chlamydia (among all age groups) per 100,000
230.2
379.9 B 
Gonorrhea (among all age groups) per 100,000
7.5
100.7
Tuberculosis (Number of TB Cases 2011) 70
HIV (Total Cases) 23
8,439
Pertussis (Total Cases) 1
677

18. Social and Economic Factors
Nelson County Health Profile
Demographics
Nelson County Total Population:
44,319
White Persons
41,128
Black Persons
2,260
Hispanic or Latino Origin
886
Other 45
Major Industries
(Persons Employed)
Social and Economic Factors
Families below the Poverty level
12%
Children in single parent households
29%
Uninsured adults (18-64)
17%
Health Care Access
Indicators
Nelson
Primary Care Physician Ratio
1 per 2,421
Dentist Ratio
1 per 2,099
Mental Health Provider Ratio
1 per 7,263
In the most recent data available, the average household income in Nelson County is $44,783.

19. Social and Behavioral Factors Cancer Deaths (per 100,000 population)
Measure
Nelson
County
Kentucky
Score
Adults that report that they are sedentary - no physical activity
29%
31% C 
Prevalence of Obesity (adults)
30%
33%
Prevalence of Overweight (adults)
67%
64%
Prevalence of Smoking (adults)
19%
25%
Prevalence of Youth Smoking (% of high school students)
Tooth Loss (adults missing 6 or more teeth)
16%
21%
Binge Drinking (adults)
10%
Drug Arrests (per 100,000 population)
1,669
1,116
Health Outcomes
Measure
Nelson
County
Kentucky
Score
Total Mortality (per 100,000 population) Rate of death from all causes per year
843.4
906.8 C 
Less Than Good Health (% of adults that report their health as being generally fair or poor)
19%
21%
Average Mentally Unhealthy Days (per month)
(Average number of days on the past 30 days when mental health, including stress, depression and emotional problems was not good) 4
Prevalence of Asthma (adults)
12%
13%
Prevalence of Diabetes (adults)
10%
Prevalence of Hypertension (adults)
32.30%
36.40%
Cancer Deaths (per 100,000 population)
Measure
Nelson
County
Kentucky
Score
All Cancers
211
212  C
Lung and Bronchus 67 75
Colorectal 29 20
Breast 23
Prostate 36 25

20. C B C Cardiovascular (per 100,000 population)
Measure
Nelson County
Kentucky
Score
Heart Disease Deaths
202.1
224 C 
Stroke Deaths
68.7 47
Maternal and Child Health
Measure
Nelson
County
Kentucky
Score
Adequate Prenatal Care (percentage of pregnant women who received prenatal care)
82%
85% B 
Infant Mortality (per 1,000 live births)
5.5
6.7
Low Birth Weight (percentage of babies born with a weight of < 5 pounds, 8 ounces)
5.5%
9.1%
Teen Births (rate per 1,000 women ages 15-19) 48 50
Immunization Coverage (percentage of children ages months who received the suggested early childhood immunizations)
77%
80%
Uninsured Child Population (percent children under age 19)
10% 9%
Communicable Diseases
Measure
Nelson County
Kentucky
Score
Chlamydia (among all age groups) per 100,000
477.6
379.9  C
Gonorrhea (among all age groups) per 100,000
75.8
100.7
Tuberculosis (Number of TB Cases 2011) 1 70
HIV (Total Cases) 30
8,439
Pertussis (Total Cases) 8
677

21. Social and Economic Factors
Washington County Health Profile
Demographics
Washington County Total Population:
11,833
White Persons
10,531
Black Persons
709
Hispanic or Latino Origin
354
Other
239
Major Industries
(Persons Employed)
Social and Economic Factors
Families below the Poverty level
15%
Children in single parent households
24%
Uninsured adults (18-64)
20%
Health Care Access
Indicators
Washington
Primary Care Physician Ratio
1 per 2,354
Dentist Ratio
1 per 2,431
Mental Health Provider Ratio
1 per 11,768
In the most recent data available, the average household income in Washington County is $42,995.

22. Social and Behavioral Factors Cancer Deaths (per 100,000 population)
Measure
Washington
County
Kentucky
Score
Adults that report that they are sedentary - no physical activity
30%
26% B 
Prevalence of Obesity (adults)
32%
33%
Prevalence of Overweight (adults)
54%
64%
Prevalence of Smoking (adults)
24%
Prevalence of Youth Smoking (% of high school students)
18%
25%
Tooth Loss (adults missing 6 or more teeth)
17%
21%
Binge Drinking (adults) 2%
10%
Drug Arrests (per 100,000 population)
862
1,116
Health Outcomes
Measure
Washington
County
Kentucky
Score
Total Mortality (per 100,000 population) Rate of death from all causes per year
821.1
906.8 B 
Less Than Good Health (% of adults that report their health as being generally fair or poor)
15%
21%
Average Mentally Unhealthy Days (per month)
(Average number of days on the past 30 days when mental health, including stress, depression and emotional problems was not good) 3 4
Prevalence of Asthma (adults)
26%
13%
Prevalence of Diabetes (adults) 9%
10%
Prevalence of Hypertension (adults)
32.70%
36.40%
Cancer Deaths (per 100,000 population)
Measure
Washington
County
Kentucky
Score
All Cancers
180
212 A 
Lung and Bronchus 37 75
Colorectal
unavailable 20
Breast 23
Prostate 25

23. B B C Cardiovascular (per 100,000 population)
Measure
Washington County
Kentucky
Score
Heart Disease Deaths
226
224  B
Stroke Deaths
41.6 47
Maternal and Child Health
Measure
Washington
County
Kentucky
Score
Adequate Prenatal Care (percentage of pregnant women who received prenatal care)
81%
85%  B
Infant Mortality (per 1,000 live births)
2.9
6.7
Low Birth Weight (percentage of babies born with a weight of < 5 pounds, 8 ounces)
6.4%
9.1%
Teen Births (rate per 1,000 women ages 15-19) 37 50
Immunization Coverage (percentage of children ages months who received the suggested early childhood immunizations)
76%
80%
Uninsured Child Population (percent children under age 19)
13% 9%
Communicable Diseases
Measure
Washington County
Kentucky
Score
Chlamydia (among all age groups) per 100,000
435.3
379.9 C 
Gonorrhea (among all age groups) per 100,000
8.9
100.7
Tuberculosis (Number of TB Cases 2011) 70
HIV (Total Cases) 4
8,439
Pertussis (Total Cases) 6
677