APEXPH Summary
Assessment Protocol for Excellence
in
Public Health
Community Health Planner
Panayiota Agamemnonos
Pendleton County Health Department
Pendleton County Demographic Profile
• 2006 Population – 15,334
• 7,415 (50%) males*
• 7,399 (50%) female*
• 14,956 (98.9%) white
• 81 (0.5%) black
(2005)
(2005)
• 408 (3.9%) Hispanic or Latino origin
(2005)
National Center for Health Statistics,
U.S. Census Bureau ,
*2002 Vital Statistics
2002 Race Distribution by Sex
Male
Female
White
7,279 (50%) 7,300 (50%)
Black
44 (62%)
27 (38%)
Other
92 (56%)
72 (44%)
2002 Kentucky Vital Statistics
Population Distribution by Age in 2002
Pendleton
Kentucky
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%)
14,814
4,093,008
Total
2002 Kentucky Vital Statistics
2010 Population Projections
Change in Age Distribution
50
45
40
35
30
% pop. 25
20
15
10
5
0
0-19
20-29
30 - 64
2000
2010
65 & older
2000 Census
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
2002 Socioeconomic Profile, cont.
Pendleton
Kentucky
25.0%
20.0%
15.0%
10.0%
5.0%
0.0%
Food
stamps
WIC
Medicaid Utilize Uninsured
eligible Medicaid Children
2002 County Health Profile
Birth Indicators
Pendleton
Kentucky
Birth rate
10.0 per 1000 pop.
13.4 per 1000 pop.
Infant death rate
13.3 per 1000 births 6.8 per 1000 births
Mothers Under 15
0.0 per 1000 births
0.8 per 1000 births
Mothers 15-17
14.4 per 1000
females
24.8 per 1000
females
Birthweights <
2500 grams
7.3 per 100 births
8.8 per 100 births
No care in first
trimester
8.0%
13.0%
Maternal Smoking 45%*
26%*
2003 Kentucky Vital Statistics, *2006 KIDS COUNT
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% (20002001).
2006 KIDS Count Data Book
Pendleton County High School
KCCT Test
2004-2005
Proficient/Distinguished Academic Index
District
State
District
State
Reading 10th
27%
39%
68.5
77.5
PL/VS 10th
47%
54%
71.5
79.1
Mathematics
11th
25%
34%
59.8
66.3
Science 11th
29%
37%
65.5
69.4
Social Studies
11th
32%
41%
71.6
78.1
Arts &
Humanities
11th
34%
39%
67.2
70.7
Writing 12th
30%
33%
62.1
68.4
KY Department of Education
Pendleton County High School
2004-2005
National Norm
Referenced Test
(CTBS/5)
District
9th Grade Reading
54%ile
56%ile
50%ile
9th Grade Language Arts
45%ile
51%ile
50%ile
9th Grade Mathematics
48%ile
52%ile
50%ile
State
Nation
KY Department of Education
Pendleton County Middle School
KCCT Test
2004-2005
Proficient/Distinguished Academic Index
District
State
District
State
Reading 7th
63%
62%
86.2
87
Science 7th
45%
41%
78.5
74
Writing 7th
19%
21%
53.5
57.3
Mathematics
8th
44%
36%
77.2
71
Social Studies
8th
46%
39%
83.6
73.5
Arts &
Humanities 8th
52%
53%
78.6
76.5
PL/VS 8th
44%
43%
76.3
74.3
KY Department of Education
Pendleton County Middle School
2004-2005
National Norm
Referenced Test
(CTBS/5)
District State
Nation
6th Grade Reading
54%ile
58%ile
50%ile
6th Grade Language Arts
48%ile
54%ile
50%ile
6th Grade Mathematics
55%ile
57%ile
50%ile
KY Department of Education
Pendleton County Primary/Elementary School
2004-2005
KCCT Test
Proficient/Distinguished Academic Index
District
State
District
State
Reading 4th
68%
68%
85.8
87.1
Science 4th
60%
54%
89.3
87.6
Writing 4th
35%
43%
71.1
74.9
Mathematics
5th
36%
45%
67.2
74.4
Social Studies
5th
44%
53%
72.4
79.3
Arts &
Humanities 5th
35%
32%
65.2
62.8
PL/VS 5th
58%
63%
79.9
84.9
KY Department of Education
Pendleton County Primary/Elementary School
2004-2005
National Norm
Referenced Test
(CTBS/5)
District State
Nation
End of Primary (EOP)
Reading
61%ile
65%ile
50%ile
EOP Language Arts
62%ile
62%ile
50%ile
EOP Mathematics
72%ile
67%ile
50%ile
KY Department of Education
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
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
2005 Driving under the Influence
• 3 of the 22 collisions with drinking
drivers involved fatal collisions, 8 nonfatal 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
DUI Convictions Trend
160
140
120
100
80
60
40
20
2001
2002
2003
2004
2005
2006 Crime in Kentucky
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
Access to Primary Health Care Profile
• Primary care provider ratio is the population
of a given area divided by the number of fulltime 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
• 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
• Pendleton County’s cancer of respiratory
system incidence age-adjusted rate for 20002004 was 97.55 compared to KY’s ageadjusted rate as 108.12
2007 Kentucky Cancer Registry
• 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
• 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
• Pendleton County’s cancer of respiratory
system mortality age-adjusted rate for 20002004 was 64.55 compared to KY’s ageadjusted rate as 81.85
2007 Kentucky Cancer Registry
• 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
2002 Leading Causes of Mortality
Under 1 year
Perinatal conditions
Age 1-14
Unintentional injury
15-24
Unintentional injury
25-34
35-44
Chronic Lower
Respiratory Diseases
Unintentional injury
45-54
Malignant neoplasm
55-64
Malignant neoplasm
65 and over
Heart disease
2002 Vital Statistics Report
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.
Deaths From All Causes /YPLL
Age
# of
Deaths
Mean Age
at Death
75 – Mean
Age at
Death
25-34 years
1
1
3
1
.5
8
20
30
74.5
67
55
45
74.5
67
165
45
35-44 years
5
40
35
175
45-54 years
6
50
25
150
55-64 years
17
60
15
255
65+ years
68
102
70
-
5
-
340
1,271.5
<1
1-14 years
15-24 years
Total
YPLL
2002 Vital Statistics Report
Deaths From Unintentional Injuries /YPLL
Age
<1
1-14 years
15-24 years
25-34 years
35-44 years
45-54 years
55-64 years
65+ years
Total
# of
Deaths
Mean Age
at Death
75 – Mean
Age at
Death
YPLL
0
1
3
0
0
8
20
0
0
67
55
0
0
67
165
0
0
1
0
0
50
0
0
25
0
0
25
0
0
5
0
-
0
-
0
247
2002 Vital Statistics Report
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
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
Heart Disease
• Heart disease ranks 3rd for YPLL with
145 years of potential life lost.
• Heart disease ranks 1st 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
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
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.
Sources
1.
2.
3.
4.
5.
6.
7.
8.
9.
National Center for Health Statistics; U.S. Census Bureau (2007)
Fedstats. From http://www.fedstats.gov/qf/states/21000.html
Cabinet for Health and Family Services; Kentucky Department for
Public Health (2002) Kentucky Vital Statistics. From
http://chfs.ky.gov/dph/vital/2002vitalreports.htm
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
Kentucky Youth Advocates (2006) KIDS COUNT. From
http://www.kyyouth.org/Publications/KIDS_COUNT_2006/2006+
County+Data+Book+v3.pdf
KY Department of Education; School Report Card 2000-2005 (20042005) School Report Card. From
http://apps.kde.state.ky.us/report_card/index.cfm?action=display
_cards
Kentucky State Police (2005) Traffic Collision Facts, From
http://www.kentuckystatepolice.ky.gov/pdf/KY_Traffic_Collision_
Facts_2005.pdf
Kentucky State Police (2006) Crime in Kentucky, From
http://www.kentuckystatepolice.ky.gov/pdf/cik_2006.pdf
Kentucky Cancer Registry (2003) From http://cancerrates.info/ky/index.html
Cabinet for Health and Family Services; Kentucky Department for
Public Health (2003) Kentucky Vital Statistics. From
http://chfs.ky.gov/dph/vital/2003vitalreports.htm