1. Indiana Public Health District Asthma Profiles
Chronic Respiratory Disease Section
June 2016
Jack Kinsey, MPH — Asthma Epidemiologist
Indiana State Department of Health

2. Overview Where did the data come from?
Data on asthma hospital discharges and emergency department (ED) visits were obtained from Indiana’s Hospital Discharge Data source, which includes over 95 percent of Indiana hospitals. These data contain de-identified health record details on patient demographics, charges, diagnoses, procedures and residence by ZIP code.
Why adjusted rates?
Adjusted rates enable comparisons between groups with different age, racial, and ethnic distributions. Rates were calculated using the U.S standard population to remove the impact of different age, racial, and ethnic distributions between populations.
Who was included in the rate?
Asthma hospitalizations and ED visits were defined as a primary diagnosis asthma encounter using ICD-9-CM diagnosis code 493 (inclusive) for an Indiana resident (all ages) discharged from an Indiana hospital/emergency department during the 2014 calendar year (January 1, 2014 to December 31, 2014) and the 2013 calendar year. ED rates also include patients discharged from the ED and admitted into the hospital. All provided rates are per 10,000 population.
Why are some rates missing?
Adjusted rates and counts were suppressed if the number of hospitalizations or ED visits for a particular district is less than or equal to 5. Rates were considered unstable if fewer than 20 hospitalizations or ED visits occurred in the district.

3. Public Health District 1
Population: 816,379
Percent High School Graduate or Higher2: 87%
Weighted Mean Household Income2: $65,476
Counties: Jasper, Lake, LaPorte, Newton, Porter

4. District 1 – Emergency Department Visits

5. District 1 – Hospitalizations

6. Public Health District 2
Population: 651,801
Percent High School Graduate or Higher2: 84.4%
Weighted Mean Household Income2: $60,307
Counties: Elkhart, Fulton, Kosciusko, Marshall, Pulaski, St. Joseph, Starke

7. District 2 – Emergency Department Visits

8. District 2 – Hospitalizations

9. Public Health District 3
Population: 729,631
Percent High School Graduate or Higher2: 86.3%
Weighted Mean Household Income2: $57,594
Counties: Adams, Allen, DeKalb, Huntington, LaGrange, Miami, Noble, Steuben, Wabash, Wells, Whitley

10. District 3 – Emergency Department Visits

11. District 3 – Hospitalizations

12. Public Health District 4
Population: 370,520
Percent High School Graduate or Higher2: 88.8%
Weighted Mean Household Income2: $59,459
Counties: Benton, Cass, Carroll, Clinton, Fountain, Montgomery, Tippecanoe, Warren, White

13. District 4 – Emergency Department Visits

14. District 4 - Hospitalizations

15. Public Health District 5
Population: 1,788,625
Percent High School Graduate or Higher2: 87.7%
Weighted Mean Household Income2: $72,518
Counties: Boone, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, Shelby

16. District 5 – Emergency Department Visits

17. District 5 – Hospitalizations

18. Public Health District 6
Population: 637,345
Percent High School Graduate or Higher2: 86%
Weighted Mean Household Income2: $53,403
Counties: Blackford, Delaware, Fayette, Grant, Henry, Howard, Jay, Madison, Randolph, Rush, Tipton, Union, Wayne

19. District 6 – Emergency Department Visits

20. District 6 – Hospitalizations

21. Public Health District 7
Population: 280,026
Percent High School Graduate or Higher2: 85.9%
Weighted Mean Household Income2: $56,508
Counties: Clay, Greene, Owen, Parke, Putnam, Sullivan, Vermillion, Vigo

22. District 7 – Emergency Department Visits

23. District 7 – Hospitalizations

24. Public Health District 8
Population: 375,431
Percent High School Graduate or Higher2: 88.7%
Weighted Mean Household Income2: $60,033
Counties: Bartholomew, Brown, Jackson, Lawrence, Monroe, Orange, Washington

25. District 8 – Emergency Department Visits

26. District 8 – Hospitalizations

27. Public Health District 9
Population: 457,894
Percent High School Graduate or Higher2: 86.2%
Weighted Mean Household Income2: $62,503
Counties: Clark, Dearborn, Decatur, Floyd, Franklin, Harrison, Jefferson, Jennings, Ohio, Ripley, Scott, Switzerland

28. District 9 – Emergency Department Visits

29. District 9 – Hospitalizations

30. Public Health District 10
Population: 489,203
Percent High School Graduate or Higher2: 87.7%
Weighted Mean Household Income2: $61,681
Counties: Crawford, Daviess, Dubois, Gibson, Knox, Martin, Perry, Pike, Posey, Spencer, Vanderburgh, Warrick

31. District 10 – Emergency Department Visits

32. District 10 – Hospitalizations

33. Resources Used
ISDH DAT. (2015). Indiana Hospital Discharge Datasets,
U.S. Census Bureau. (2015) American Community Survey 5-Year Estimates [Data File]. Retrieved from .
This publication was supported by Cooperative Agreement 5 UE1EH000507, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.