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

2. 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

3. 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

4. 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 14,8144,093,008 2002 Kentucky Vital Statistics

5. 2010 Population Projections 2000 Census

6. Socioeconomic Profile Only 13.6% of Pendleton County’s population is below the poverty level compared to 16.3% statewide in 2004. 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 $37,046. 5.7% unemployment rate compared to 6.1% statewide in 2005. National Center for Health Statistics, U.S. Census Bureau

7. 2002 Socioeconomic Profile, cont. 2002 County Health Profile

8. 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 15 0.0 per 1000 births0.8 per 1000 births Mothers 15-17 14.4 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

9. 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 2005. 9.7% completed 4 or more years of college and Kentucky 17.1% in 2000. School drop-out rate in county Pendleton Co was 1.2% with Kentucky’s being 2.6% (2000- 2001). 2006 KIDS Count Data Book

10. Pendleton County High School 2004-2005 KCCT TestProficient/DistinguishedAcademic Index DistrictStateDistrictState Reading 10th27%39%68.577.5 PL/VS 10th47%54%71.579.1 Mathematics 11th25%34%59.866.3 Science 11th29%37%65.569.4 Social Studies 11th32%41%71.678.1 Arts & Humanities 11th34%39%67.270.7 Writing 12th30%33%62.168.4 KY Department of Education

11. Pendleton County High School 2004-2005 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

12. Pendleton County Middle School 2004-2005 KCCT TestProficient/DistinguishedAcademic Index DistrictStateDistrictState Reading 7th63%62%86.287 Science 7th45%41%78.574 Writing 7th19%21%53.557.3 Mathematics 8th44%36%77.271 Social Studies 8th46%39%83.673.5 Arts & Humanities 8th52%53%78.676.5 PL/VS 8th44%43%76.374.3 KY Department of Education

13. Pendleton County Middle School 2004-2005 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

14. Pendleton County Primary/Elementary School 2004-2005 KCCT TestProficient/DistinguishedAcademic Index DistrictStateDistrictState Reading 4th68% 85.887.1 Science 4th60%54%89.387.6 Writing 4th35%43%71.174.9 Mathematics 5th36%45%67.274.4 Social Studies 5th44%53%72.479.3 Arts & Humanities 5th35%32%65.262.8 PL/VS 5th58%63%79.984.9 KY Department of Education

15. Pendleton County Primary/Elementary School 2004-2005 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

16. Child Well-being Indicators In 2003, 17% of pop. <18 lived in poverty Only 67% of obligated child support payments were collected in 2006. In 2005, there were 21 reports cases of physical abuse, 16 reports of sexual abuse, and 127 reports of neglect and/or dependency. 2006 KIDS Count Data Book

17. 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

18. 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

19. DUI Convictions Trend 2006 Crime in Kentucky

20. 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

21. 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 1917. KY Department of Public Health, Health Care Access Branch

22. Pendleton County’s cancer of all sites incidence age-adjusted rate for 2000-2004 was 433.38 compared to KY’s age-adjusted rate as 513.73 2007 Kentucky Cancer Registry

23. Pendleton County’s cancer of respiratory system incidence age-adjusted rate for 2000- 2004 was 97.55 compared to KY’s age- adjusted rate as 108.12 2007 Kentucky Cancer Registry

24. Pendleton County’s cancer of breast incidence age-adjusted rate for 2000-2004 was 59.59 compared to KY’s age-adjusted rate as 66.90 2007 Kentucky Cancer Registry

25. Pendleton County’s cancer of all sites mortality age-adjusted rate for 2000-2004 was 190.69 compared to KY’s age-adjusted rate as 224.25 2007 Kentucky Cancer Registry

26. Pendleton County’s cancer of respiratory system mortality age-adjusted rate for 2000- 2004 was 64.55 compared to KY’s age- adjusted rate as 81.85 2007 Kentucky Cancer Registry

27. Pendleton county’s cancer of breast mortality age-adjusted rate for 2000-2004 was 8.36 compared to KY’s age-adjusted rate as 14.99 2007 Kentucky Cancer Registry

28. 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

29. 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.

30. Age# of Deaths Mean Age at Death 75 – Mean Age at Death YPLL < 1 1.574.5 1-14 years 1867 15-24 years 32055165 25-34 years 13045 35-44 years 54035175 45-54 years 65025150 55-64 years 176015255 65+ years 68705340 Total 102--1,271.5 Deaths From All Causes /YPLL 2002 Vital Statistics Report

31. Age# of Deaths Mean Age at Death 75 – Mean Age at Death YPLL < 1 0000 1-14 years 1867 15-24 years 32055165 25-34 years 0000 35-44 years 0000 45-54 years 15025 55-64 years 0000 65+ years 0000 Total 5--247 Deaths From Unintentional Injuries /YPLL 2002 Vital Statistics Report

32. 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 5. 2002 Vital Statistics Report

33. Unintentional Injuries Unintentional injuries are responsible for 255 years of life lost. Motor vehicle accidents make 135 years of the total. 2002 Vital Statistics Report

34. 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 54. 2002 Vital Statistics Report

35. Other contributors to YPLL Chronic lower respiratory disease takes 95 years. Diabetes takes another 30 years Septicemia takes another 15 years. 2002 Vital Statistics Report

36. 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.

37. Sources 1.National Center for Health Statistics; U.S. Census Bureau (2007) Fedstats. From http://www.fedstats.gov/qf/states/21000.htmlhttp://www.fedstats.gov/qf/states/21000.html 2.Cabinet for Health and Family Services; Kentucky Department for Public Health (2002) Kentucky Vital Statistics. From http://chfs.ky.gov/dph/vital/2002vitalreports.htm http://chfs.ky.gov/dph/vital/2002vitalreports.htm 3.Cabinet for Health and Family Services; Kentucky Department for Public Health (2002) KY County Health Profile. From http://chfs.ky.gov/dph/epi/cohealthprofiles.htm http://chfs.ky.gov/dph/epi/cohealthprofiles.htm 4.Kentucky Youth Advocates (2006) KIDS COUNT. From http://www.kyyouth.org/Publications/KIDS_COUNT_2006/2006+ County+Data+Book+v3.pdf http://www.kyyouth.org/Publications/KIDS_COUNT_2006/2006+ County+Data+Book+v3.pdf 5.KY Department of Education; School Report Card 2000-2005 (2004- 2005) School Report Card. From http://apps.kde.state.ky.us/report_card/index.cfm?action=display _cards http://apps.kde.state.ky.us/report_card/index.cfm?action=display _cards 6.Kentucky State Police (2005) Traffic Collision Facts, From http://www.kentuckystatepolice.ky.gov/pdf/KY_Traffic_Collision_ Facts_2005.pdf http://www.kentuckystatepolice.ky.gov/pdf/KY_Traffic_Collision_ Facts_2005.pdf 7.Kentucky State Police (2006) Crime in Kentucky, From http://www.kentuckystatepolice.ky.gov/pdf/cik_2006.pdf http://www.kentuckystatepolice.ky.gov/pdf/cik_2006.pdf 8.Kentucky Cancer Registry (2003) From http://cancer- 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 http://chfs.ky.gov/dph/vital/2003vitalreports.htm http://chfs.ky.gov/dph/vital/2003vitalreports.htm