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Cape Girardeau County Public Health Center Community Health Cape Girardeau County Public Health Center Community Health Assessment 2015 Table of Contents Introduction ……………………………………………………………………………………… …. 6 Vision-Mission-Core Values ………………………………………………………………………. 6 Section I: Demographic, Education, and Socioeconomic Indicators …………………… 8 Demographic Characterizes …………………………………………………………………… 9 Population …………………………………………………………………………………….. 9 Age and Gender ………………………………………………………………………………. 11 Racial/Ethnic Diversity ………………………………………………………………………… 14 Population with a Disability 17 ……………………………………………………………………. Household Characteristics……………………………………………………………………. 18 Marital Status …………………………………………………………………………………. 18 Education ………………………………………………………………………………………… 19 Educational Attainment ……………………………………………………………………….. 19 Graduation Rates …………………………………………………………………………….. 21 High School Dropout Rates …………………………………………………………………… 22 Basic Prose Literacy Skills ……………………………………………………………………. 24 Limited English Proficiency …………………………………………………………………… 25 Children with Disabilities Receiving Special Education Services ……………………………. 25 Socioeconomic Indicators ………………………………………………………………………. 26 Median Income Level …………………………………………………………………………. 26 Wages ………………………………………………………………………………………… 27 Child Care Costs ……………………………………………………………………………… 29 Housing ……………………………………………………………………………………….. 30 Employment …………………………………………………………………………………… 33 Employment by Type …………………………………………………………………………. 34 Temporary Assistance for Needy Families (TANF) …………………………………………. 36 Students Enrolled in Free and Reduced Lunch ………………………………………………. 36 Supplemental Nutrition Assistance Program (SNAP) ………………………………………… 37 Social Security Administration Benefits ………………………………………………………. 39 Unemployment ………………………………………………………………………………... 40 Poverty ………………………………………………………………………………………… 41 Children in Poverty ……………………………………………………………………………. 45 Seniors in Poverty …………………………………………………………………………….. 48 Section II: Environmental Health Risk Factors ……………………………………………… 49 Climate ………………………………………………………………………………………… 50 Outdoor Air Quality ……………………………………………………………………………. 51 Indoor Air Quality ……………………………………………………………………………… 52 Occupational Health Risks ……………………………………………………………………. 54 Water ………………………………………………………………………………………….. 56 Childhood Lead Poisonings …………………………………………………………………… 57 Housing Related to Blood Lead ………………………………………………………………. 58 Solid Waste Management …………………………………………………………………….. 60 Hazardous Waste …………………………………………………………………………….. 61 Built Environment ……………………………………………………………………………... 61 Section III: Public Safety and Domestic Violence …………………………………………... 66 Crime Index …………………………………………………………………………………… 67 Juvenile Crime and Court Referrals ………………………………………………………….. 68 Domestic Violence 70 …………………………………………………………………………….. Child Abuse and Neglect ……………………………………………………………………… 70 Section IV: Alcohol Tobacco and Substance Abuse ………………………………………. 72 Alcohol Use and Abuse ……………………………………………………………………….. 73 Illegal Drug Use ……………………………………………………………………………….. 75 Tobacco Use ………………………………………………………………………………….. 76 Smoking-Attributable Hospitalizations and Leading Causes of Death ……………………….. 79 Comprehensive Tobacco Assessment Survey ………………………………………………………. 80 Cape Girardeau County Residents …………………………………………………………… 81 Food Establishments ………………………………………………………………………….. 83 Employers …………………………………………………………………………………….. 84 Day Care Facilities ……………………………………………………………………………. 84 Educational Institutions ……………………………………………………………………….. 84 Section V: Injury ……………………………………………..…………………………………… 86 Injury by Age ………………………………………………………………………………….. 87 Injury by Cause ………………………………………………………………………………. 88 Leading Causes of Injury ……………………………………………………………………… 89 Unintentional Injuries ………………………………………………………………………….. 91 Unintentional Injuries in Children 93 ……………………………………………………………… Section VI: Maternal and Child Health Indicators ………………………………………….. 94 Births ………………………………………………………………………….………………. 95 Gestation ……………………………………………………………………………………… 96 Education Status of Mothers …………………………………………………………………. 97 Birth Weight …………………………………………………………………………………… 98 Prenatal Care …………………………………………………………………………………. 99 Smoking During Pregnancy …………………………………………………………………… 101 WIC Participation ……………………………………………………………………………… 103 Teen Births ……………………………………………………………………………………. 105 Birth Defects ………………………………………………………………………………….. 107 Section VII: Infectious, Communicable, and Vaccine Preventable Diseases …………. 109 Infectious Disease …………………………………………………………………………….. 110 Sexually Transmitted Diseases ……………………………………………………………….. 112 Communicable Diseases ……………………………………………………………………… 114 Vaccine Preventable Diseases ……………………………………………………………….. 120 Section VIII: Chronic Disease …………………...……………………………………………… 125 Chronic Disease Background …………………………………………………………………. 126 Physical Inactivity …………………………………………………………………………….. 127 Unhealthy Diet ………………………………………………………………………………… 128 Adult Tobacco Use ……………………………………………………………………………. 128 High Blood Pressure ………………………………………………………………………….. 129 High Cholesterol ……………………………………………………………………………… 130 Overweight or Obese …………………………………………………………………………. 130 Chronic Disease Risk Factor Summary ………………………………………………………. 134 Chronic Respiratory Disease …………………………………………………………………. 136 Diabetes ………………………………………………………………………………………. 139 Cancer Incidence ……………………………………………………………………………… 142 Section IX: Leading Causes of Mortality …………………...………………………………… 144 Causes of Death Overview …………………………………………………………............... 145 Death Related to Cancer ………………………………………………………….................. 146 Deaths Related to Heart Disease …………………………………………………………...... 148 Chronic Lower Respiratory Disease Deaths ………………………………………………….. 149 Diabetes Deaths ………………………………………………………….............................. 149 Infant Mortality …………………………………………………………................................ 150 Child Deaths …………………………………………………………................................... 153 Violent Deaths …………………………………………………………................................. 154 Deaths by Race and Cause ………………………………………………………….............. 155 Section X: Health Care System Indicators …………………...……………………………… 156 Access to Care …………………………………………………………................................ 157 Health Care Providers …………………………………………………………...................... 160 Mental Health ………………………………………………………….................................. 163 Dental Health ………………………………………………………….................................. 166 Emergency Services …………………………………………………………........................ 168 Long-Term Care Facilities …………………………………………………………................ 170 Transportation …………………………………………………………................................. 170 Public Transportation …………………………………………………………....................... 172 Section XI: Community Health Assessment Summary of Findings ……………………. 173 Community Health Assessment Population Survey ………………………………………….. 174 Cape Girardeau County Public Health Priorities ……………………………………………… 175 INTRODUCTION The Cape Girardeau County Public Health Center and its governing Board of Trustees have collaborated with community partners and residents to complete the 2015 Community Health Assessment of Cape Girardeau County. The 2015 Community Health Assessment contains baseline and trended data from a variety of sources including the Missouri Department of Health and Senior Services, Missouri Department of Social Services, Missouri Department of Elementary and Secondary Education, Missouri Kids Count, Office of Social and Economic Data Analysis, Missouri Department of Mental Health, Missouri Department of Natural Resources, U.S. Census Bureau Data Center, County Health Rankings, and other state and local data reports. In addition, a Community Health Assessment Survey was distributed to Cape Girardeau County residents to provide them the opportunity to voice their opinions regarding the major risk factors and health issues facing them and the county. This report examines rates and occurrences between local, state, and national for key health status indicators as well as year to year comparisons for Cape Girardeau County. In instances where indicators reveal Cape Girardeau County is faring worse than the region and the state, particular attention is paid to the importance of that health indicator being a public health priority issue. When indicators show that the rate for Cape Girardeau County is similar or slightly better than state rates, but when compared to the U.S. as a whole is still faring worse, it is also viewed as a public health priority. The information contained in this Community Health Assessment will be utilized by the Cape Girardeau County Public Health Center as a resource for identifying and planning service delivery, program planning, and fiscal obligation. VISION – MISSION – CORE VALUES Vision: Cape Girardeau County Public Health Center promotes good health and ensures the county’s public health through: Assessment of health and environmental needs Policy Development Community Education Prevention Assurance Vision: Cape Girardeau County will become a healthy community of healthy people where all needs are identified, addressed and resolved with partnership of the community. Core Values: Cape Girardeau County Public Health Center’s staff and Board of Trustees are a dedicated, professional, physical and environmental health care team committed to building and maintaining a relationship of trust and accountability to the community. We demonstrate the highest moral and ethical standards in all aspects of our work and provide all services in a non-discriminatory manner. In March, 2015, Community Stakeholders, Partner Agencies, and Board of Trustees members joined Cape Girardeau County Public Health Center
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