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The Importance of Early Childhood

Quality of Life The needs of a young child are often dependent upon factors that are completely beyond their control; needs related to health, safety, security, shelter and Index: family stability. During the early years, the child undergoes rapid changes that serve as the foundation for their physical and , growth and Scoring Summary development and ability to learn and engage in healthy, satisfying interpersonal relationships.

About the Index The Childhood Quality of Life Index (QOLI) is a 12 measure of many factors that can impact the early years of a child’s life and their ability to learn. It was Quality of Life adapted from an instrument developed by the Williams Institute at the Institute for Urban Policy Research of the University of Texas at Dallas. The Indicators report is organized into components that parallel the three layers of the sphere of influence: the child, the family and the community. This report provides a snapshot of the conditions that exist in McLennan The Child County. Teen Births Prenatal Care However, the study is limited by the availability and Fetal Deaths accessibility of data from a broad range of sources. Infant Mortality The data provides the basis for examining factors that Low Birth Weight have been shown to have a significant impact upon Preterm / Total Births early childhood growth, development and education. The factors that were selected represent a portion of Child the factors that can influence a child’s growth.

The Family How to Use the Index Female Parent Education This index is a tool not to be used indiscriminately. It Limited English Proficiency is not meant to disparage any community or indicate Median Income the superiority of others. It is designed to show where disparities exist and where the greatest needs in the county are concentrated. It is also a dynamic tool that can be used to measure successes. It can The Community guide the community in selections of appropriate Foreclosures outcome measures and identify changes in current Child Care Availability data collection procedures that will be most useful as this community looks toward its future.

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Methodology

Data was collected from a broad range of sources at the federal, state and local level. The data, when available, contained sufficient detail that a comparison of information specific to each zip code in McLennan County was possible. However, in many cases, data was available only at the county and state level and was reported accordingly.

Data sets were recoded for analysis and information not specific to McLennan County was removed. Frequency and rates of occurrence were calculated for specific geographic regions. Upon completion of the analyses, the results were sorted and ranked numerically.

Prior to scoring, the results for each of the selected categories were examined and the exclusion rules (described below) applied. The exclusion rules eliminated groups or areas that have the potential of compromising the identity members of the community and of skewing the data because of the limited size of the population. The table below defines the rules for exclusion and identifies those zip codes that were eliminated from the analyses.

QOLI Category Exclusion Rule Effected Zip Codes

Teen births <20 live births / year (03‐07) 76789, 76798, 76654, 76684 Prenatal care <20 live births / year (03‐07) 76789, 76798, 76654, 76684 Fetal deaths <20 live births / year (03‐07) 76789, 76798, 76654, 76684 Infant death Rate <20 live births / year (03‐07) 76789, 76798, 76654, 76684 Low birth weight <20 live births / year (03‐07) 76789, 76798, 76654, 76684 Preterm births <20 live births / year (03‐07) 76789, 76798, 76654, 76684 Child abuse <250 children (0‐17) years of age No exclusions Female parent education Population <1000 No exclusions Limited English proficiency Population <1000 No exclusions Median household income Population <1000 No exclusions Foreclosures Population <1000 No exclusions Children / licensed facility ratio Population <1000 No exclusions Table SS.1 Rules for Exclusion for Quality of Life Index Scoring

The ranked results were subsequently examined for classification into a system that distributes the ranked data into ten groups of equal frequency (decile system). The decile (tenths) rankings were then used to score the specific factors (i.e. rates of abuse, teen childbirth, ) selected for inclusion in the Quality of Life Index.

The tenths distribution was coupled with a scoring system that ranged from a score of 0 (worst) to 10 (best). Each factor that was included in the QOLI was assigned a numerical value based upon its

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placement in the decile (tenths) distribution. Two scoring Decile Direct Inverse systems were employed for this analysis and are Percentile Ranking scores scores described below. The analysis of data for some of the Max D10 10 0 selected factors produced results that indicated a positive value D9 90% 9 1 relationship between the decile ranking and the scoring; D8 80% 8 2 namely, the higher the ranking, the better the score. D7 70% 7 3 Under these circumstances, a direct scoring system was D6 60% 6 4 used. D5 50% 5 5 D4 40% 4 6 The analysis of some of the factors produced results D3 30% 3 7 where a negative or potentially harmful relationship was D2 20% 2 8 indicated. For these cases, an inverse (reverse) scoring D1 10% 1 9 system was used in which a higher ranking (i.e. child D0 Min value 0 10 abuse) yielded a lower score. For each factor, the Table SS.2 assignment of a score was dependent upon the Decile Ranking and Scoring for Quality of interpretation of the analysis. This system was used Life Index throughout the scoring of the QOLI.

Upon completion of the scoring,, a matrix of zip codes and QOLI factors was set up. Scores were entered into the matrix and the scores from all 12 factors were added together for each zip code. The total points scored for each zip code were divided by 120, the maximum number of points possible for the index, to obtain a percent score. As the analysis continued, a second distribution into a system based upon four equal quarters (quartiles). Each of the quartile ranked factors was mapped onto a zip code map of McLennan County.

In the following pages, each factor used for the QOLI is described and the scoring presented. After each factor is described, the matrix is presented with the scoring for the county. These are the scores that were used for the final map of this report. This is also the baseline for the community. Future assessments can be compared against the results of this first study and interpretation of the success of this community’s initiatives.

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QOLI Scores

How the Scores are Calculated Twelve factors were selected. For each factor, the analysis results were ranked and scored by a decile system. Using a matrix established for scoring, the zip code score for each category was recorded and the total of the scores calculated. Subsequently, a percent score was calculated using the total raw score divided by the possible total (120 points).

The Results of the Analysis The results of the scoring are detailed in the figure below, a spatial representation of the quartile rankings of the analysis. The analysis has shown that zip codes on the east side of Waco had the lowest index scores (Q1) while the western half of McLennan County, in general, scored the highest (Q4).

Highest QOLI scores  76633  76712  76655  76643  76630

Lowest QOLI scores  76707  76711  76704  76708  76705

Figure SS.3 Geospatial Representation of Zip Code Quartile Ranking of Quality of Life Index Total Score Inset detail

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Teen Births

The Indicator This indicator measures the birth rates to mothers under the age of 20 years between the years 2003 and 2007. The rate is calculated as the ratio of the number of teen births to total number of live births annually. For McLennan County, 17.20% of all live births are to teenage mothers.

The Importance of this Indicator Children born to teenage mothers face greater risks associated with inadequate prenatal care and the mother’s high risk behaviors such as smoking or alcohol consumption during pregnancy. Teen parents lack developed parenting skills which contributes to higher rates of child abuse and neglect. Many teen mothers are unmarried and do not have a partner to help them raise their child. In many situations, the mother’s parents [grandparents] assume the responsibility for raising the newborn.

Figure SS.4 Geospatial Representation of Zip Code Quartile Ranking of Quality of Life Index Inset detail Teen Birth Scoring

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The highs and lows Following the analysis and ranking, the inverse scoring system was applied to this factor. Five zip codes with the lowest QOLI scores (highest rates of teen births) are located on the east side of the city of Waco. Among these zip codes, the rate of teen births reached as Total Live % QOLI high as 28.1 births /1000 births, exceeding the Zip Code % U20 Qtile Births U17 Score county average by 16.26 births per 1000 live 76704 707 5.80% 26.03% Q4 0 births, 137.3% above the average. On the other 76707 1980 4.70% 24.70% Q4 1 side of the spectrum, five zip codes reported rates of teen births below the county average. These zip 76711 806 4.59% 24.07% Q4 1 codes, which are located in the western half of the 76524 149 2.68% 22.15% Q4 2 county, reported rates as low as 3.29 per 1000 live 76706 2153 3.95% 20.58% Q4 2 births, 72.19% below the county average. 76682 117 3.42% 19.66% Q4 3 76640 189 4.23% 19.58% Q3 3 76624 134 0.00% 19.40% Q3 4 76708 2079 3.08% 18.90% Q3 4 76630 103 1.94% 18.45% Q3 5 Highest 76705 2366 3.80% 18.34% Q3 5 QOLI scores 76664 203 5.42% 17.24% Q2 5 76638 76712 76701 122 1.64% 17.21% Q2 6 76655 McLennan 16920 3.02% 17.20% Q2 6 76643 County 76633 76657 579 1.04% 16.06% Q2 7 Lowest 76557 268 1.49% 14.18% Q2 7 QOLI scores 76710 1676 1.79% 13.19% Q2 8 76707 76704 76691 342 0.58% 13.16% Q1 8 76711 76633 261 1.15% 7.28% Q1 9 76708 76655 365 0.55% 7.12% Q1 9 76705 76638 124 0.81% 6.45% Q1 10 76712 1171 0.94% 5.89% Q1 10 76643 938 1.17% 5.54% Q1 10

Table SS.5 Zip Code Quartile Ranking of Quality of Life Index

Teen Birth Scoring

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Adequate Prenatal Care

The Indicator This indicator examines prenatal care for McLennan County between the years 2003 and 2007 and reported births specific for each zip code in McLennan County. The rate is calculated as the number of women receiving inadequate prenatal care as a percentage of the total live births. Analysis of data for the five year period revealed that the average percentage of live births with inadequate prenatal care was 10.81%.

The Importance of this Indicator A key predictor of birth outcomes and child growth and development is the prenatal care that is received during pregnancy. Early and regular prenatal care is the most effective means of promoting a healthy pregnancy giving the expectant mother and her doctor an opportunity to discuss diet, parental immunization needs and expectations for the pregnancy. The key to determining the adequacy of prenatal care is the reporting of the number of visits, as well as the month that the prenatal care began (based upon Kessner Index for assessing adequacy of prenatal care).

Inset detail

Figure SS.6 Geospatial Representation of Zip Code Quartile Ranking of Quality of Life Index

Adequate Prenatal Care Scoring

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The Highs and Lows Following the analysis and ranking, the inverse scoring system was applied to this factor. The five zip codes with the lowest QOLI scores (corresponding to the highest percentages of inadequate prenatal care) are located on the east side of the McLennan County and the city of Waco. Among these zip codes, the percentages Highest of inadequate prenatal care exceeded 16.5%. QOLI scores Five zip codes distributed across the county, 76682 reported percentages of inadequate prenatal 76691 76557 care as low as 7.00%, a full 3.81 percentage 76633 points below the average for the county. 76630 Lowest QOLI QOLI scores Zip Code Inad % Inad Qtile Score 76704 76704 117 16.55% Q4 0 76701 76701 19 15.57% Q4 1 76705 76664 76705 316 13.36% Q4 1 76657 76664 26 12.81% Q4 2 76657 73 12.61% Q4 2 76707 238 12.02% Q4 3 McLennan 1827 10.81% Q3 3 County 76624 14 10.45% Q3 4 76706 220 10.22% Q3 4 76524 15 10.07% Q3 5 Table SS.7 76710 165 9.84% Q3 5 Zip Code Quartile Ranking of Quality 76711 78 9.68% Q2 5 76638 12 9.68% Q2 5 of Life Index

76708 199 9.57% Q2 6 Adequate Prenatal Care Scoring 76655 34 9.32% Q2 7 76712 109 9.31% Q2 7 76643 86 9.17% Q2 8 76640 17 8.99% Q1 8 76630 9 8.74% Q1 9 76633 21 8.05% Q1 9 76557 20 7.46% Q1 10 76691 25 7.31% Q1 10 76682 8 7.00% Q1 10

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Fetal Deaths

The Indicator This indicator measures the rate of fetal deaths per 1000 live births. The analysis examined births for the years 2003‐2007 and isolated reported deaths by zip code for McLennan County. Analysis of data for the five year period revealed that the average rate of fetal deaths in McLennan County was 8.39 deaths per 1000 live births.

The Importance of this Indicator officials have made great strides to reduce the fetal death rate. In many cases, disparities, and social and environmental factors contribute to the elevated rates. For many women living in these conditions, the risk to the health, growth and development of the surviving children is significant.

Figure SS.8 Geospatial Representation of Zip Code Quartile Ranking of Quality of Inset detail Life Index

Fetal Deaths Scoring

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The Highs and Lows Following the analysis and ranking, the inverse scoring system was applied to this factor. Five zip codes reported no fetal deaths during the time period analyzed. These five zip codes which scored the highest on the QOLI are located primarily on the western side of the FETAL county. The five zip codes with the lowest QOLI scores QOLI Zip Code Dth/1000 Qtile Score (highest rates of fetal deaths) are located on the east side of live births McLennan County and the city of Waco. Among these zip 76682 17.09 Q4 0 codes, the fetal death rates ranged from 11.06 to 17.09 fetal 76701 16.39 Q4 1 deaths per 1000 live births. The largest fetal death rate 76705 11.83 Q4 1 reported (17.09 fetal deaths per 1000 live births) was 76704 11.32 Q4 2 103.7% above the average for McLennan County. 76708 11.06 Q4 2 76706 10.68 Q4 3

76657 10.36 Q3 3 76711 9.93 Q3 4 76630 9.71 Q3 4 76691 8.77 Q3 5 Highest McLennan QOLI scores 8.39 Q3 5 County 76638 76624 7.46 Q2 5 76524 76712 5.12 Q2 6 76640 76664 4.93 Q2 6 76557 76655 76643 4.26 Q2 7 76710 4.18 Q2 7 Lowest 76633 3.83 Q2 8 QOLI scores 76707 3.54 Q1 8 76682 76701 76655 0 Q1 10 76705 76557 0 Q1 10 76704 76640 0 Q1 10 76708 76524 0 Q1 10 76638 0 Q1 10

Table SS.9 Zip Code Quartile Ranking of Quality of Life Index

Fetal Death Scoring

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Pre-term Deliveries

The Indicator This indicator measures the ratio of pre‐term deliveries to total live births for the years 2003 through 2007. Analysis of data for the five year period revealed that the average ratio of pre‐term deliveries to total live births in McLennan County, based upon the reported gestation age at the time of birth, was 12.22%.

The Importance of this Indicator Preterm delivery, defined as delivery prior to 37 weeks gestation, is a strong predictor of a child’s positive growth and development and academic success. The last months and weeks of a pregnancy are characterized by rapid growth and maturation of systems that are vital for the survival of the child. The lungs, brain, and immune system are only a portion of the systems of the body that undergo developmental changes as the pregnancy comes to term. Reports indicate that children born pre‐term exhibit more behavioral and emotional problems, developmental challenges and cognitive delays. These problems can eventually impact a child’s ability to learn and succeed academically.

Figure SS.10 Geospatial Representation of Zip Code Quartile Ranking of Quality of

Life Index

Inset detail Preterm Deliveries Scoring

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The Highs and Lows The five zip codes with the lowest QOLI scores (highest ratio of pre‐term/total births) are located on the east side of McLennan County and the city of Waco. Among these zip codes, the percentages of pre‐term deliveries exceeded 16.7%. The five zip codes with the highest QOLI scores are distributed across the county, PT/Total QOLI reporting percentages of pre‐term deliveries as low as 9.40%. The Zip Code Qtile ratio score ratios for the high scoring zip codes were as much as 2.42 76557 16.79% Q4 0 percentage points below the average for McLennan County. 76704 15.13% Q4 1 76711 14.39% Q4 1 76707 13.79% Q4 2 76640 13.76% Q4 3 76630 13.59% Q4 3 Highest 76708 12.70% Q3 3 QOLI scores 76701 12.30% Q3 4 76524 76643 12.26% Q3 4 76633 McLennan 76624 12.22% Q3 5 County 76712 76706 12.08% Q3 5 76664 76657 11.57% Q3 5 Lowest 76710 11.52% Q2 6 QOLI scores 76705 11.33% Q2 6 76557 76638 11.29% Q2 7 76704 76655 11.23% Q2 7 76711 76682 11.11% Q2 8 76707 76691 11.11% Q2 8 76640 76664 10.84% Q1 9 76712 10.08% Q1 9 76624 9.70% Q1 10 76633 9.58% Q1 10 76524 9.40% Q1 10

Table SS.11 Zip Code Quartile Ranking of Quality of Life Index

Preterm Deliveries Scoring

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Infant Mortality

The Indicator This indicator measures the rate of infant deaths to the total of live births. The analysis examined infant deaths for the years 2003 through 2006 in zip codes across McLennan County. The analysis of this data revealed that the average infant death rate for McLennan County during the four year period was 8.42 deaths per 1000 live births.

The Importance of this Indicator Infant mortality is defined as the death of a child before the age of one. Among the causes are SIDS, congenital malformations, infections, preterm delivery and other complications of the pregnancy. In McLennan County, the leading causes are SIDS, extreme immaturity, other unknown causes, primary atelectasis and hypoplasia / dysplasia of the lung.

Figure SS.12 Geospatial Representation of Zip Inset detail Code Quartile Ranking of Quality of Life Index

Teen Birth Scoring

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The Highs and Lows Following the analysis and ranking, the inverse scoring system was applied to this factor. Five zip codes reported zero infant deaths during the 2003‐2006 time period and received the highest QOLI scores for this indicator (10 points). These zip codes are distributed throughout QOLI McLennan County. In contrast, the five zip codes with the lowest Zip Code IDR Qtile Score QOLI score for the county are localized within the city of Waco with 76704 23.21 Q4 0 the exception of 76664. The infant death rate for these zip codes 76707 12.63 Q4 1 exceeded the county average by as much as 14.79 deaths/1000 live 76664 11.70 Q4 1 births. 76701 10.42 Q4 2 76710 9.84 Q4 2 76708 8.60 Q4 3 McLennan 8.42 Q3 3 County 76705 8.36 Q3 4 76706 8.24 Q3 4 76524 8.20 Q3 5 Highest 76711 7.85 Q3 5 QOLI scores 76655 7.04 Q3 5 76682 76633 4.74 Q2 6 76640 76638 76657 4.66 Q2 6 76630 76557 4.46 Q2 7 76624 76643 4.08 Q2 7 Lowest 76691 3.50 Q2 8 QOLI scores 76712 3.33 Q1 8 76704 76624 0.00 Q1 10 76707 76630 0.00 Q1 10 76664 76638 0.00 Q1 10 76710 76640 0.00 Q1 10 76708 76682 0.00 Q1 10

Table SS.13 Zip Code Quartile Ranking of Quality of Life Index

Infant Mortality Scoring

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Low Birth Weight

The Indicator This indicator measures the percentages of live births that do not meet the criteria for healthy birth weight. The analysis examined the percentage of Low Birth Weight (LBW)/ Very Low Birth Weight (VLBW) deliveries as a function of the total live births for the county. The analysis revealed that 8.30% of all live births met the criteria for classification as LBW/VLBW.

The Importance of this Indicator Low birth weight (<2500 grams at birth) and very low birth weight (<1500 grams at birth) are key indicators of risk to newborn children. While the causes of low birth weight deliveries are largely unknown, many factors that contribute to this condition have been identified. Social and emotional , intrauterine growth restrictions and premature birth are factors that contribute to this condition. Low birth weight children are at increased risk due to incomplete develop‐ ment of key systems of the body including the nervous, immune and endocrine systems. These children also are at increased risk for SIDS and infectious disorders.

Figure SS.14 Inset detail Geospatial Representation of Zip Code Quartile Ranking of Quality of Life Index

Low Birth Weight Scoring

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The Highs and Lows

Following the analysis and ranking, the inverse scoring system was applied to this factor. Across McLennan County, 8.30% of all live births between 2003 and 2007 met the criteria for classification as a LBW or VLBW delivery. Five zip codes in % of QOLI Zip Code LBW Qtile the county reported percentages of LBW deliveries that were at least Score births a full percentage point higher than the county average. Further, two 76704 13.60% Q4 0 zip codes reported percentages of LBW births that were five 76557 13.10% Q4 1 percentage points above the county average. Fourteen other zip 76701 10.70% Q4 1 codes fell below the average for the county with the lowest reported 76657 9.80% Q4 2 rate at 2.70%, 5.6 percentage points below the average for 76664 9.40% Q4 2 McLennan County. 76707 9.30% Q4 3 76708 8.50% Q3 3 76640 8.50% Q3 3 McLennan 8.30% Q3 4 County 76705 8.30% Q3 4 76711 8.20% Q3 5 Highest 76710 8.10% Q2 5 QOLI scores 76706 8.00% Q2 6 76524 76630 7.80% Q2 6 76691 76638 7.30% Q2 7 76624 76655 7.10% Q2 7 76712 76682 76643 6.80% Q2 8 76633 6.10% Q1 8 Lowest 76682 6.00% Q1 9 QOLI scores 76712 5.80% Q1 9 76704 76557 76624 4.50% Q1 10 76701 76691 4.40% Q1 10 76657 76524 2.70% Q1 10 76664

Table SS.15 Zip Code Quartile Ranking of Quality of Life Index

Low Birth Weight Scoring

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Child Abuse & Neglect:

The Indicator This indicator examines the rate of child abuse and neglect in McLennan County. The analysis of confirmed cases of child abuse for the year 2008 revealed that the average rate of child abuse is 8.51 confirmed events per 1000 children.

The Importance of this Indicator Physical, sexual, emotional abuse and neglect occur at alarming rates across the country. Children who are victims of abuse and neglect suffer physical and emotional injuries from which many never recover. The violence that the children face on a recurring basis can affect growth and development in a negative manner. Stress associated with the fear and anxiety of abuse impacts the maturation of the nervous system (brain), the immune system (disease recovery) and the neuroendocrine system (stress responses). The harm inflicted on these young children has a long term effect which carries through their entire life. The effects of the abuse have been implicated as contributing to a child’s lack of success in school, physical and behavioral health problems, and involve‐ ment in the juvenile and adult systems.

Figure SS.16 Geospatial Representation of Zip Code Quartile Ranking of Quality of Life Index

Child Abuse / Neglect Scoring Inset detail

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The Highs and Lows

Following the analysis and ranking, the inverse scoring system was Rate of applied to this factor. Across McLennan County in 2008, the QOLI Zip Code abuse Quartile average rate of confirmed child abuse was reported to be 8.51 Score (2008) incidents per 1000 children. Eight zip codes reported rates that 76707 12.62 Q4 0 exceeded the average with the highest rate reported at 12.62 76682 10.77 Q4 1 incidents/1000 children. The five zip codes with the lowest QOLI 76705 10.6 Q4 1 scores each reported rates of abuse that were at least 1 full point 76708 9.7 Q4 2 above the county average. These zip codes are located parallel to 76701 9.55 Q4 2 the Brazos River in the eastern portion of McLennan County in the 76711 9.42 Q4 2 city of Waco (detailed on the previous page). 76704 9.04 Q3 3 76664 8.7 Q3 3 Fourteen zip codes reported rates of abuse that fell below the McLennan 8.51 Q3 4 County county average. The five zip codes with the highest QOLI scores 76710 7.67 Q3 4 were each at least five points lower than the average for McLennan 76643 7.11 Q3 5 County. The zip code with the lowest rates of abuse was a full 7.16 76633 6.53 Q2 5 points below the county’s average rate. Four of the five highest 76706 5.28 Q2 6 scoring zip codes are located in southwestern McLennan County. 76691 4.93 Q2 6 One additional zip code is located along the eastern border of the 76638 4.78 Q2 7 county. 76640 4.23 Q2 7 76712 4.19 Q2 8 76657 3.73 Q1 8 76624 2.89 Q1 9 Highest QOLI scores 76524 1.96 Q1 9 76630 1.69 Q1 10 76557 76655 76655 1.51 Q1 10 76630 76557 1.35 Q1 10 76524

76624

Lowest

Table SS.17 QOLI scores

Zip Code Quartile Ranking of Quality 76707

of Life Index 76682 76705 Child Abuse / Neglect Scoring 76708 76701

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Female parent education

The Indicator This indicator examines the academic achievements of the population in McLennan County and the individual zip codes. The female parent was selected because of the predominant number of single parent headed by a female. Similar results were found when examining the academic achievements of the adult male population in the county. Across the county, three out of four (76.61%) adult females were reported to have completed high school or beyond. In addition, the analysis revealed that 1.4% of the population has received no formal education.

The Importance of this Indicator Academic success is dependent upon a wide range of conditions and events that occur throughout the life of the child. It is influenced by environmental conditions of the child (the home and community), the child’s growth and development, early exposure to appropriate stimuli and the influence of the parents. Children of parents who have successfully completed high school and college traditionally are more successful and achieve greater accomplish‐ ments in school.

Inset detail Figure SS.18 Geospatial Representation of Zip Code Quartile Ranking of Quality of Life Index

Female Parent Education Scoring

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The Highs and Lows Following the analysis and ranking, the direct scoring system was applied to this factor. Across McLennan County in 2007, greater than three out of four adult females (age 25 or greater) reported completing high school or better. Further, only 1.4% of the same adult population had no formal education. The analysis of this factor at the zip code level offered further evidence of the disparities in the population for McLennan County. Twelve zip codes ranked higher in the QOLI scoring than the average for McLennan County. The % % no QOLI top five zip codes, each reporting a greater than 84% Zip Code completing Qtile education Score HS or more high school or better completion percentage, are located in the western half of the county. The top zip 76643 0.00% 93.62% Q4 10 code reported a high school or better completion rate 76712 0.53% 91.52% Q4 9 of 93.62% among the female population. 76655 0.03% 89.53% Q4 9

76633 0.07% 87.65% Q4 8 On the other end of the scale, eleven zip codes ranked 76638 0.46% 84.78% Q4 8 below the McLennan County average. The five lowest 76630 0.00% 82.84% Q4 7 76624 0.43% 82.57% Q3 7 scoring zip codes, each located within the city limits of 76710 1.20% 82.11% Q3 6 Waco, reported completion percentages ranging from 76689 0.20% 81.44% Q3 6 a low of 59.10% to 69.81%. Further, the population of 76682 0.37% 78.82% Q3 6 adult females in these zip codes with no formal 76640 0.59% 78.48% Q3 5 education reached as high as 4.05%. These zip codes 76524 0.41% 77.97% Q3 5 are located in Eastern and Southern Waco. McLennan 1.41% 76.61% Q2 4 County 76557 1.07% 75.28% Q2 4 76705 1.14% 74.86% Q2 4 76657 1.32% 73.85% Q2 3 Highest 76708 2.07% 73.76% Q2 3 QOLI scores 76664 1.09% 73.28% Q2 2 76643 76691 0.97% 72.85% Q1 2 76712 76706 2.46% 69.81% Q1 1 76655 76704 0.67% 68.79% Q1 1 76633 76701 3.44% 67.87% Q1 0 76638 76711 4.05% 60.15% Q1 0 Lowest 76707 3.21% 59.10% Q1 0 QOLI scores 76707 76711 76701

Table SS.19 76704 76706 Zip Code Quartile Ranking of Quality of Life Index

Female Parent Education Scoring

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Median Household Income

The Indicator This indicator examines the median household income of the population in McLennan County and the individual zip codes. The analysis of this factor found a distinct disparity between the highest and lowest scoring zip codes. In McLennan County, the reported median household income for 2006 was $36,207.00. Median household incomes for McLennan County zip codes ranged from $15,142.00 to $63,181.00.

The Importance of this Indicator Family income plays a significant role in the dynamics of family living. The ability to provide shelter to the members of the family, purchase food and clothing, access health care, acquire and maintain personal transportation, and have disposable income for some non‐essential items are dependent upon the income of a family. Children living in low‐income homes often live without many basic needs. Family relationships are also impacted by the availability of disposable income. The stress caused by financial worries affects the interaction between adults in two parent households, between the parent(s) and the child(ren) and between siblings. These conditions can influence a child’s growth and development, and eventually, their academic abilities and successes.

Figure SS.20 Geospatial Representation of Zip Code Quartile Ranking of Quality of Inset detail Life Index

Median Household Income Scoring

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The Highs and Lows Following the analysis and ranking, the direct scoring system was applied to this factor. Across McLennan County, ten zip codes reported median household incomes below the McLennan County average for 2006. Further, three of the ten were at or below the federal Median level for a family of four with the lowest reported income at QOLI Zip Code Household Qtile $15,402.00 per year. The analysis showed that the five zip codes Score Income scoring lowest on the QOLI are located in or near central Waco. 76643 $61,181.00 Q4 10 Further, the highest scoring zip codes, with reported incomes as 76655 $56,627.00 Q4 9 high as $61,181.00 per year, are located the 76638 $53,088.00 Q4 9 western/northwestern part of the county. 76633 $52,847.00 Q4 8 76712 $52,079.00 Q4 7 76657 $45,415.00 Q4 7 76689 $44,754.00 Q3 7 76624 $43,702.00 Q3 6 Highest 76691 $41,737.00 Q3 6 76557 $41,430.00 Q3 6 QOLI scores

76640 $39,613.00 Q3 5 76643 76630 $37,499.00 Q3 5 76655 76524 $37,220.00 Q2 4 76638 76633 McLennan $36,207.00 Q2 4 76712 County Lowest 76682 $35,142.00 Q2 3 76710 $34,146.00 Q2 3 QOLI scores 76704 76705 $32,600.00 Q2 3 76711 $28,869.00 Q2 2 76701 76706 76708 $28,414.00 Q1 2 76707 76664 $26,996.00 Q1 1 76664 76707 $24,765.00 Q1 1 76706 $22,433.00 Q1 0 76701 $19,878.00 Q1 0 76704 $15,142.00 Q1 0

Table SS.21 Zip Code Quartile Ranking of Quality of Life Index

Median Household Income Scoring

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Limited English Proficiency

The Indicator This indicator examines the percentage of the population in McLennan County that speaks a foreign language and has only a limited proficiency for the English language. This analysis identified zip codes with the highest percentage of persons with Limited English Proficiency (LEP). In McLennan County, 6.8% of the population exhibited a limited English proficiency. Across the county, the percentages ranged from 0.8% to 17.5% for individual zip codes.

The Importance of this Indicator The ability to communicate with others in the community offers opportunities for interpersonal relationships, employment, education and access to community resources. Families of limited English proficiency struggle to become fully engaged in the community. Access to appropriate health care becomes more difficult because of language differences. Families seeking the services of police and fire professionals may not receive needed assistance due to the communications barrier. Children entering the education system face additional challenges not experienced by their English speaking peers. These challenges eventually can cause a LEP student to fall further behind their classmates. These conditions can jeopardize the safety and health of a young child, contributing to a level of stress that can impact not only their growth and development, but their academic abilities and successes as well.

Figure SS.22 Geospatial Representation of Zip Inset detail Code Quartile Ranking of Quality of Life Index

Limited English Proficiency Scoring

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Highs and Lows Following the analysis and ranking, the inverse scoring system was applied to this factor. Across McLennan County, ten zip codes reported limited English proficiency that exceeded the McLennan County average of 6.8%. Five zip codes, located within the Waco city limits, scored lowest on the QOLI. The percentages of the % Population QOLI Zip Code Quartile with LEP Score population in the five zip codes with LEP ranged from 10.00% to 17.50%. At the other end of the scale, sixteen zip 76711 17.50% Q4 0 codes reported percentages of LEP residents that fell below 76707 15.20% Q4 1 the county average. The five highest QOLI scoring zip codes 76706 11.00% Q4 1 ranged from 0.80% to 1.70% of the total population. The 76701 10.40% Q4 2 highest scoring zip codes are primarily located in 76708 10.00% Q4 2 southeastern McLennan County. 76657 7.10% Q4 3

76524 7.00% Q3 3 McLennan 6.80% Q3 3 County 76691 5.60% Q3 4 76705 5.10% Q3 4 76710 4.50% Q3 5 76557 4.30% Q3 5 76638 2.80% Q2 6 76640 2.40% Q2 6 Highest 76655 2.30% Q2 7 QOLI scores 76798 2.30% Q2 7 76624 76643 2.20% Q2 7 76682 76633 2.10% Q2 8 76704 76630 1.90% Q1 8 76664 76712 1.70% Q1 9 76712 76664 1.60% Q1 9 Lowest 76704 1.60% Q1 9 QOLI scores 76682 1.20% Q1 10 76711 76624 0.80% Q1 10 76707 76654 ND 76706 76684 ND 76701

ND – No data available 76708

Table SS.23 Zip Code Quartile Ranking of Quality of Life Index

Limited English Proficiency Scoring

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Home foreclosures

The Indicator This indicator is a snapshot analysis from August 2009 of the frequency of home foreclosures in McLennan County. The analysis revealed that 1 in every 747 owner occupied properties is in foreclosure in the county. A zip code analysis revealed that the frequencies across the county range from zero foreclosures to 1 in 461 properties. The Importance of this Indicator Shelter is one of the basic needs of human beings. The downturn in the housing market that began in 2006 has created a situation of instability for families across the country. The loss of a family home, either renter or owner occupied, often accompanies a job loss or serious medical event that drains the financial resources of a family. The loss of a home produces a wide range of feelings ranging from to shame to despair. The loss of a family home is

followed by relocation to the home of a friend or family member, a shelter, or the streets where the family joins the homeless population.

Children in these families are exposed to unstable home conditions and possibly parental discord brought about by the financial strain. Children that are removed from their home may also experience health problems related to the stressful conditions.

Figure SS.24 Geospatial Representation of Zip Code Quartile Ranking of Quality of Life Index Inset detail

Home Foreclosures Scoring

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Highs and Lows Following the analysis and ranking, the inverse scoring system was applied to this factor. Across McLennan County, nineteen zip codes reported frequencies of foreclosure that were below the average for the county. Nine of the zip codes reported no foreclosure activity at the time of this analysis. Frequency of foreclosure for the remaining ten zip Foreclosure codes ranged from 1 in 2766 to 1 in 1000. Six zip codes had activity for Zip Code Score frequencies of foreclosure that exceeded the county average. The August frequency of foreclosure for the six zip codes, which are 2009 distributed across the county, ranged from 1 in every 703 to 1 in 76640 1:461 0 every 461 owner occupied properties 76638 1:494 1 76708 1:617 1 76655 1:618 1 76711 1:656 2 76557 1:703 2 McLennan Highest 1:747 3 County QOLI scores 76624 1:1000 3 76798 76707 1:1128 4 76701 76705 1:1200 4 76684 76682 76657 1:1227 4 76664 76704 1:1309 5 Lowest 76710 1:1357 5 QOLI scores 76643 1:1465 6 76640 76712 1:1711 6 76638 76706 1:2592 6 76708 76691 1:2766 7 76655 76524 ND 10 76711 76630 ND 10 76633 ND 10 76654 ND 10 76664 ND 10 76682 ND 10 76684 ND 10 76701 ND 10 76798 ND 10 ND – None reported

Table SS.25 Zip Code Quartile Ranking of Quality of Life Index

Home Foreclosure Scoring

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Children/licensed facility ratio

The Indicator This indicator is a examination of the ratio of children to licensed child care facilities. In McLennan County, there is one licensed facility for every 194.47 children. A zip code analysis revealed that the ratios across the county range from no facilities in the zip code to 1 facility for every 51.07 children.

The Importance of this Indicator Child care needs vary from family to family and are highly dynamic. As the child and family grows, the needs for safe, quality child care change. With the diversity in family structure, income, availability of transportation and work schedules, the qualities of the child care facilities sought by the parent(s) will vary. Parents seek out quality care that is available, affordable, safe, and clean.

The proximity of child care is a necessity for many. For families with no personal transportation, local child care allows them to access care and meet their other obligations without spending hours each day on public transportation. The ability to meet this very basic need can have a positive impact on the overall quality of life for the family.

Inset detail Figure SS.26 Geospatial Representation of Zip Code Quartile Ranking of Quality of Life Index

Children / Licensed Facility Ratio Scoring

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Highs and Lows Following the analysis and ranking, the direct scoring system was applied to this factor. In McLennan County, on average, there is one licensed center for every 194.47 children. Seven zip codes had child / facility ratios that were larger than the child / QOLI Zip Code Qtile county average with children / facility ratios ranging from 202.67:1 to facility Score 303:1. Further, these zip codes with the high ratios are distributed 76704 51.07 Q4 10 across the county and not restricted to the city of Waco alone. An 76701 52.67 Q4 9 additional five zip codes have no licensed facilities located within 76557 95.20 Q4 9 their boundaries. Nine zip codes have ratios that fall below the 76708 121.71 Q4 8 county average. The child / facility ratios for these zip codes range 76638 128.00 Q4 8 from 165.33:1 to 51.07:1. The zip codes with the low ratios are 76633 132.00 Q4 7 distributed widely across the county. 76664 139.00 Q3 7

76706 159.71 Q3 6

76691 165.33 Q3 6 McLennan 194.47 Q3 5 County 76655 202.67 Q3 5 Highest 76643 205.33 Q2 4 QOLI scores 76624 215.00 Q2 4 76704 76707 226.71 Q2 3 76701 76705 282.88 Q2 3 76557 76640 293.00 Q2 2 76708 76638 76657 303.00 Q2 2 Lowest 76524 NR Q1 0 QOLI scores 76710 NR Q1 0 76711 76682 NR Q1 0 76712 76712 NR Q1 0 76682 76711 NR Q1 0 76710 NR – None reported 76524

Table SS.27

Zip Code Quartile Ranking of Quality of

Life Index

Children / Licensed Facility Ratio Scoring

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The scoring matrix

ratio

(5yr)

yr) Education

Zip (5yr) Income

(5

City Total % (confirmed) facility (5yr)

Code / Births HH

care

Parent

abuse births Deaths (5yr)

Median Foreclosures children

1:Teen 2:Prenatal 3:Fetal 4:IDR 5:LBW 6:PT/TOTAL 7:Child 8:Female 9:LEP 10: 11: 12: 76633 China Spring, TX 9 9 8 6 8 10 5 8 8 8 10 7 96 80.00% 76712 Woodway, TX 9 7 6 8 9 9 8 9 9 7 7 0 89 74.17% 76638 Crawford, TX 9 5 10 10 7 7 7 8 6 9 1 8 88 73.33% 76643 Hewitt, TX 10 8 7 7 8 4 5 10 7 10 7 4 87 72.50%

76655 Lorena, TX 8 7 10 5 7 7 10 9 7 9 2 5 87 72.50%

76630 Bruceville, TX 5 9 4 10 6 3 10 7 8 5 10 ND 77 70.00% 76624 Axtell, TX 4 4 5 10 10 10 9 7 10 6 4 4 83 69.17% 76691 West, TX 7 10 5 8 10 8 6 2 4 6 8 5 80 66.67% 76524 Eddy, TX 2 5 10 5 10 10 9 5 3 4 10 0 73 60.83% 76557 Moody, TX 7 10 10 7 1 0 10 4 5 6 3 9 72 60.00% 76682 Riesel, TX 3 10 0 10 9 8 1 6 10 3 10 0 70 58.33% 76640 Elm Mott, TX 3 8 10 10 3 3 7 5 6 5 0 2 62 51.67%

76664 Mart, TX 5 2 6 1 2 9 3 2 9 1 10 7 57 47.50%

76710 Waco, TX 7 5 7 2 5 6 4 6 5 3 6 0 57 47.50%

76657 McGregor, TX 6 2 3 6 2 5 8 3 3 7 6 2 54 45.00% McLennan County 6 3 5 3 4 5 4 4 3 4 4 5 50 41.67% 76706 Waco, TX 2 4 3 4 6 5 6 1 1 0 7 6 45 37.50% 76705 Waco, TX 5 1 1 4 4 6 1 4 4 3 5 3 41 34.17% 76708 Waco, TX 4 6 2 3 3 3 2 3 2 2 1 8 39 32.50% 76701 Waco, TX 6 1 1 2 1 4 2 0 2 0 10 9 38 31.67% 76704 Waco, TX 0 0 2 0 0 1 3 1 9 0 6 10 32 26.67%

76711 Waco, TX 1 5 4 5 5 1 2 0 0 2 3 0 28 23.33%

76707 Waco, TX 1 3 8 1 3 2 0 0 1 1 5 3 28 23.33%

Table SS.28 Zip Code Scoring Matrix Quality of Life Index

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Conclusion

In recent years, a growing body of scientific evidence has demonstrated a correlation between the factors selected for the index and the influence upon the health, development and education of young children. The selection was significantly influenced by the availability of data that could be analyzed for specific geographic areas (zip codes). Other information was included in this report that just as easily could have been included had the data limitations been overcome. Still, the data that was used is very valuable to this assessment of McLennan County.

The scoring of each of the factors provides a vital piece of information that can be used by the community to address specific needs and direct the focus of the community on future initiatives. In Dallas, the information developed for their report was vital for the formation of the “0‐3 Collaborative” in Northwest Dallas. Similar efforts could result from the information developed in McLennan County.

The results of this analysis have shown that no area of McLennan County is without need. No one zip code scored high on each factor. However, many zip codes scored well above the McLennan County average of 41.67%. The top five zip codes listed earlier in this chapter can provide vital information that can serve as a guide for the positive conditions of the county. The seven zip codes that scored below the county average, however, are areas of focus for future initiatives.

Finally, it should be remembered that this report is a tool, not an indictment, of any area of the county and should be used as such. It will guide this community in the coming years; a community that has demonstrated a powerful commitment to its children and families. Eventually, improvements to the quality of life for the young children across the county will yield positive returns for the children, the families and the community into the future.

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