1. OKLAHOMA’S RURAL HEALTH STATUS Richard Perry, M.A., Director Oklahoma AHEC OSU Center for Rural Health

2. Healthy People 2010: A Systematic Approach to Health Improvement Determinants of Health Policies and Interventions Behavior Physical Social EnvironmentIndividualEnvironment Biology Access to Quality Health Care Health Status

3. Listen for:Listen for: –Why is Oklahoma’s health status so bad and seems only to get worse ? Which Demographic, Economic, and Behavioral trends that impact health status –What factors would impact the way you practice. –What factors would impact the decision you make about where you want to practice.

5. 14 “ Corridor” Counties 61% of the Population Resides

6. Median Age Oklahoma, 2000 Legend Years 27.6 – 33.2 34.2 – 37.0 37.2 – 38.7 38.9 – 40.9 41.3 – 45.3 State Median Age = 35.5

7. 14 “ I-44 Corridor” Counties 61% of the Population Resides Persons per sq mile 2 - 26 29 - 58 70 - 118 388 - 388 931 - 988

9. Population Trends in Rural Oklahoma Rural Population19902000 Numerical Change 1990 - 2000 Percent Change 1990 - 2000 Rural Oklahoma total population1,224,9401,293,62468,6846% Rural Oklahoma population under age 18320,579326,0235,4442% Rural Oklahoma population under age 699,78899,88092Less than 0.5%

10. Percent of People 25 yrs and Older with High School Diploma or More in 2000 Legend 63.2 – 70.4 70.8 – 74.3 74.7 – 78.2 78.6 – 82.7 83.4 – 88.1

11. Direct from High School-to-College-Going Rate 2001-2002 through 2003-2004

12. Three Year Rate of Youth Under Age 19 Dropping Out of High School (2001/2002 through 2003/2004 Oklahoma kids count Factbook 2005

13. Per Capita Income in Oklahoma Metro/Non-Metro

14. Poverty Rural/Non-rural Rural Kids Count, August, 2004

15. Percent of Persons Below Poverty Level in 2000 Legend 7.9-12.0 12.5-14.6 15.0-17.2 17.6-20.8 21.7-29.7

16. County Economic Index: Rankings of Various Economic Factors Oklahoma kids count Factbook 2005

17. Percent of Adult Respondents Reporting Currently Smoking Cigarettes by Sub- State Planning Districts: Oklahoma 2002 High rates of smoking among Native Americans. Decreased smoking with increased age. Decreased smoking with increased education. Decreased smoking with increased income.

18. Percent of Adult Respondents With Any Kind of Health Plan by Sub-State Planning Districts: Okahoma 2001-2003 Clear disparity of lack of health plan coverage with younger ages. Increased rate of health plan coverage with increased education and income. Highest rates of health plan coverage among whites. Lowest rates of health plan coverage in southeast Oklahoma.

19. Medicaid as a Percent of Population Oklahoma Health Care Authority State Fiscal year 2003 Annual Report

20. Oklahoma’s Rural Health Status

21. Healthy People 2010: A Systematic Approach to Health Improvement Determinants of Health Policies and Interventions Behavior Physical Social EnvironmentIndividualEnvironment Biology Access to Quality Health Care Health Status

24. Crude Mortality Rates by County (Deaths per 100,000 population) 2003 County Average 1123

25. Age Adjusted Mortality Rate (Deaths Per 100,000 Population 2003 County Average 1024

26. Years of Potential Life Lost Prior to Age 75 per Death by, County, 1994 – 1996 Average

29. Cancer Mortality Historical Trends 1978 - 2002

33. Discussion:Discussion: –Why is Oklahoma’s health status so bad and seems only to get worse ? Which Demographic, Economic, and Behavioral trends that impact health status –What factors would impact the way you practice. –What factors would impact the decision you make about where you want to practice.