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Nevada Rural and Frontier Health Data Book – Ninth Edition January 2019

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Nevada Rural and Frontier Health Data Book – Ninth Edition January 2019 Nevada Rural and Frontier Health Data Book – Ninth Edition January 2019 Tabor Griswold, PhD,Trav John Packham, PhD, Laima Etchegoyhen, MPH, Victoria Young, MPH and Jordan Friend, MPH This publication is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number 4454RH00015-19-01, Medicare Rural Hospital Flexibility Grant Program, $1,017,663 (0% financed with nongovernmental sources). This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. Nevada Health Workforce Research Center www.med.unr.edu/statewide Nevada Rural and Frontier Health Data Book Table of Contents Contents Page Table of Contents ..................................................................................................... i Introduction: Health and Health Care in Rural and Frontier Nevada ................................. 1 Map 1: Healthcare Resources in Nevada ..................................................................................................................................... 4 Map 2: Nevada Population and Geography by Rural-Urban Commuting Areas (RUCA) ............................................................. 5 Map 3: Nevada Geography .......................................................................................................................................................... 7 Map 4: Public and Private Land Ownership in Nevada ................................................................................................................ 8 Map 5: Selected Northeastern States Placed Within the State of Nevada .................................................................................. 9 Section One: Demographic Profile of Rural and Frontier Nevada .................................... 13 Table 1.1: Population in Nevada by County — 2019 to 2029 .................................................................................................... 17 Table 1.2: Population Density in Nevada by County — 2019 .................................................................................................... 18 Table 1.3: Population in Nevada by City, County, and Region — 2007 to 2017 ........................................................................ 19 Table 1.3: Population in Nevada by City, County, and Region — 2007 to 2017 (continued) .................................................... 20 Table 1.3: Population in Nevada by City, County, and Region — 2007 to 2017 (continued) .................................................... 21 Table 1.4: Population by Age Category in Nevada by County — 2019 ...................................................................................... 22 Table 1.5: Median Age of Nevadans by County – 2000 to 2016 ................................................................................................ 23 Table 1.6: Population Aged 17 and Under in Nevada by County — 2019 to 2029 .................................................................... 24 Table 1.7: Population Aged 18 to 64 in Nevada by County — 2019 to 2029 ............................................................................. 25 Table 1.8: Population Aged 65 and Over in Nevada by County — 2019 to 2029 ...................................................................... 26 Table 1.9: Population by Selected Racial and Ethnic Categories in Nevada by County — 2019 ................................................ 27 Table 1.10: Percent of Population by Selected Racial and Ethnic Categories in Nevada by County — 2019 ............................ 28 Table 1.11: Hispanic Population in Nevada by County — 2019 to 2029 ................................................................................... 29 Table 1.12: Veteran Population by Age in Nevada by County — 2018 ...................................................................................... 30 Table 1.13: Veteran Population in Nevada by County — 2018 to 2028 .................................................................................... 31 Table 1.14: Population by Place of Birth in Nevada by County — 2016 .................................................................................... 32 UNR Med – Office of Statewide Initiatives i Nevada Rural and Frontier Health Data Book — Ninth Edition Contents Page Table 1.15: Population Incarcerated in State of Nevada Correctional Facilities by County — 2018 ......................................... 33 Section Two: Social and Economic Profile of Rural and Frontier Nevada ........................ 35 Table 2.1: Per Capita Personal Income as a Percent of Nevada and U.S. Per Capita Income in Nevada by County — 2017 .... 39 Table 2.2: Change in Per Capita Personal Income in Nevada by County — 2007 to 2017 ........................................................ 40 Table 2.3: Sources and Percent of Personal Income in Nevada by County — 2017 .................................................................. 41 Table 2.4: Percent of Income from Transfer Payments by Type of Payment in Nevada by County — 2017 ............................ 42 Table 2.5: Median Family and Household Income in Nevada by County — 2016 ..................................................................... 43 Table 2.6: Population in Poverty in Nevada by County – 2017 .................................................................................................. 44 Table 2.7: Change in Poverty in Nevada by County – 2007 to 2017 .......................................................................................... 45 Table 2.8: Supplemental Nutrition Assistance Program (SNAP) Participation in Nevada by County — 2010 to 2018 .............. 46 Table 2.9: Students Qualifying for Free and Reduced School Lunch (FRL) in Nevada by County — 2018 ................................. 47 Table 2.10: Enrollment in Public and Private Schools (K-12) in Nevada by County — 2017 ..................................................... 48 Table 2.11: Public Expenditures on Education in Nevada by County — 2014 to 2018 .............................................................. 49 Table 2.12: High School Graduation Rate by Gender in Nevada by County — 2017 ................................................................. 50 Table 2.13: Educational Attainment in Nevada by County — 2016........................................................................................... 51 Table 2.14: Registered Voters in Nevada by County — 2018 .................................................................................................... 52 Table 2.15: Registered Voters by Party in Nevada by County — 2018 ...................................................................................... 53 Table 2.16: Civic Engagement in Nevada by County .................................................................................................................. 54 Table 2.17: Income Inequality in Nevada by County — 2016 .................................................................................................... 55 Table 2.18: Reported Violent Crimes in Nevada by County — 2015 ......................................................................................... 56 Table 2.19: Reported Property Crimes in Nevada by County — 2015 ....................................................................................... 57 Table 2.20: Violent and Property Crime Rates in Nevada by County — 2015 ........................................................................... 58 Section Three: Health Insurance Coverage in Rural and Frontier Nevada ....................... 59 Table 3.1: Health Insurance Coverage in Nevada by County — 2016........................................................................................ 61 Table 3.2: Health Insurance Coverage for Population Under the Age of 65 in Nevada by County — 2016 .............................. 62 Table 3.3: Uninsured Population Under the Age of 65 in Nevada by County — 2008 to 2016 ................................................. 63 Table 3.4: Health Insurance Coverage for Population Under the Age of 19 in Nevada by County — 2016 .............................. 64 Table 3.5: Health Insurance Coverage for Population Under the Age of 65 At or Below 138% Federal Poverty Level (FPL) in Nevada by County — 2016 .................................................................................................................................. 65 ii UNR Med – Office of Statewide Initiatives Nevada Rural and Frontier Health Data Book — Ninth Edition Contents Page Table 3.6: Medicaid Enrollment in Nevada by County — 2013 to 2018 .................................................................................... 66 Table 3.7: Nevada Check Up (Nevada’s Children’s Health Insurance Program) Enrollment in Nevada by County — 2013 to 2018 ........................................................................................................................................................................ 67 Table 3.8: Medicare Enrollment in Nevada by County — 2013 to 2018 ................................................................................... 68 Table 3.9: Medicare Advantage Enrollment in Nevada by County — 2013 to 2018 ................................................................. 69 Table 3.10: Medicare Prescription Drug Plan Enrollment in Nevada by County — 2013 to 2018
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