Health Indicator Report DEMOGRAPHICS Report Area: Allegan County, MI; Barry County, MI; Bay County, MI; Berrien County, MI; Branch County, MI; Calhoun County, MI; Cass County, MI; Clinton County, MI; Eaton County, MI; Genesee County, MI; Gratiot County, MI; Hillsdale County, MI; Huron County, MI; Ingham County, MI; Ionia County, MI; Isabella County, MI; Jackson County, MI; Kalamazoo County, MI; Kent County, MI; Lapeer County, MI; Lenawee County, MI; Livingston County, MI; Macomb County, MI; Mecosta County, MI; Midland County, MI; Monroe County, MI; Montcalm County, MI; Muskegon County, MI; Newaygo County, MI; Oakland County, MI; Oceana County, MI; Ottawa County, MI; Saginaw County, MI; Sanilac County, MI; Shiawassee County, MI; St. Clair County, MI; St. Joseph County, MI; Tuscola County, MI; Van Buren County, MI; Washtenaw County, MI; Wayne County, MI Demographics // Health Outcomes Population Age 18-64 Population Age 65 Current population demographics and changes in demographic composition over time play a determining role in the types of health and social services needed by communities. Population Age 18-64 This indicator reports the percentage of population age 18-64 in the designated geographic area. This indicator is relevant because it is important to understand the percentage of adults in the community, as this population has unique health needs which should be considered separately from other age groups. Report Area Total Population Population Age 18-64 Percent Population Age 0-17 Report Area Report Area Total Population Population Age 18-64 Percent Population Age 0-17 8,941,752 5,610,761 62.75% 111,589 67,732 60.70% 59,249 36,089 60.91% Bay County, MI 107,633 66,121 61.43% Berrien County, MI 156,759 94,550 60.32% Branch County, MI 44,920 27,361 60.91% Calhoun County, MI 136,063 82,986 60.99% Cass County, MI 52,412 31,572 60.24% Clinton County, MI 75,274 46,809 62.18% Eaton County, MI 107,861 67,699 62.77% Genesee County, MI 425,337 260,576 61.26% Gratiot County, MI 42,340 26,955 63.66% Hillsdale County, MI 46,617 28,284 60.67% Huron County, MI 33,001 19,029 57.66% 281,323 193,200 68.68% Ionia County, MI 64,149 40,902 63.76% Isabella County, MI 70,186 50,814 72.40% Jackson County, MI 160,257 100,431 62.67% Allegan County, MI Barry County, MI Ingham County, MI Report Area Total Population Population Age 18-64 Percent Population Age 0-17 Kalamazoo County, MI 250,704 163,274 65.13% Kent County, MI 605,244 379,176 62.65% Lapeer County, MI 88,626 55,372 62.48% Lenawee County, MI 99,878 62,081 62.16% Livingston County, MI 181,678 113,606 62.53% Macomb County, MI 841,769 527,633 62.68% Mecosta County, MI 42,947 27,834 64.81% Midland County, MI 83,744 51,609 61.63% Monroe County, MI 151,944 94,816 62.40% Montcalm County, MI 63,357 39,060 61.65% Muskegon County, MI 171,755 105,522 61.44% Newaygo County, MI 48,517 28,852 59.47% Oakland County, MI 1,207,097 764,249 63.31% Oceana County, MI 26,636 15,498 58.18% Ottawa County, MI 264,835 164,747 62.21% Saginaw County, MI 200,017 122,541 61.27% St. Clair County, MI 162,978 100,654 61.76% 61,314 36,381 59.34% St. Joseph County, MI Report Area Total Population Population Age 18-64 Percent Population Age 0-17 Sanilac County, MI 43,096 25,301 58.71% Shiawassee County, MI 70,402 43,297 61.50% Tuscola County, MI 55,616 33,654 60.51% Van Buren County, MI 76,149 46,228 60.71% Washtenaw County, MI 346,010 238,956 69.06% Wayne County, MI 1,822,469 1,129,310 61.97% Michigan 9,897,264 6,186,627 62.51% 309,138,720 194,487,424 62.91% United States Data Source: US Census Bureau, American Community Survey: 2008-12. Source geography: Tract. Population Age 18-64, Percent by County, ACS 2008-12 Over 63.0% 60.1 - 63.0% 57.1 - 60.0% Under 57.1% No Data or Data Suppressed Report Area Population Age 18-64 by Gender Report Area Report Area Total Male Total Female Percent Male Percent Female 2,769,012 2,841,749 63.33% 62.19% Allegan County, MI 33,946 33,786 61.25% 60.15% Barry County, MI 18,326 17,763 61.89% 59.93% Bay County, MI 32,903 33,218 62.40% 60.51% Berrien County, MI 46,479 48,071 60.99% 59.67% Branch County, MI 14,811 12,550 63.42% 58.19% Calhoun County, MI 40,945 42,041 61.68% 60.34% Cass County, MI 15,849 15,723 60.80% 59.68% Clinton County, MI 23,064 23,745 62.10% 62.27% Eaton County, MI 33,184 34,515 63.24% 62.32% 125,842 134,734 61.40% 61.13% Gratiot County, MI 14,850 12,105 66.78% 60.21% Hillsdale County, MI 14,192 14,092 61.25% 60.11% 9,712 9,317 59.31% 56.04% Ingham County, MI 94,162 99,038 68.96% 68.40% Ionia County, MI 22,731 18,171 66.76% 60.37% Isabella County, MI 24,764 26,050 72.82% 72% Jackson County, MI 52,756 47,675 64.48% 60.78% Genesee County, MI Huron County, MI Report Area Kalamazoo County, MI Total Male Total Female Percent Male Percent Female 80,790 82,484 65.82% 64.46% 187,071 192,105 63.05% 62.26% Lapeer County, MI 28,296 27,076 63.27% 61.68% Lenawee County, MI 32,094 29,987 63.78% 60.51% Livingston County, MI 57,061 56,545 62.87% 62.20% Macomb County, MI 260,265 267,368 63.55% 61.85% Mecosta County, MI 14,280 13,554 65.95% 63.65% Midland County, MI 25,725 25,884 62.60% 60.69% Monroe County, MI 47,529 47,287 63.37% 61.46% Montcalm County, MI 20,732 18,328 63.34% 59.84% Muskegon County, MI 53,040 52,482 62.30% 60.59% Newaygo County, MI 14,563 14,289 59.52% 59.41% Oakland County, MI 372,747 391,502 63.62% 63.02% Oceana County, MI 7,876 7,622 58.79% 57.57% Ottawa County, MI 80,860 83,887 62.25% 62.17% Saginaw County, MI 59,701 62,840 61.68% 60.88% St. Clair County, MI 50,351 50,303 62.38% 61.15% St. Joseph County, MI 18,278 18,103 60.20% 58.49% Kent County, MI Report Area Total Male Total Female Percent Male Percent Female Sanilac County, MI 12,729 12,572 59.62% 57.82% Shiawassee County, MI 21,504 21,793 61.85% 61.16% Tuscola County, MI 17,115 16,539 61.28% 59.74% Van Buren County, MI 23,102 23,126 61.26% 60.16% Washtenaw County, MI 118,621 120,335 69.46% 68.67% Wayne County, MI 546,166 583,144 62.39% 61.57% 3,065,910 3,120,717 63.14% 61.90% 96,618,000 97,869,408 63.56% 62.29% Michigan United States Population Age 18-64 by Ethnicity Alone Report Area Report Area Total Hispanic / Latino Total Not Hispanic / Latino Percent Hispanic / Latino Percent Not Hispanic / Latino 239,262 5,371,499 56.51% 63.06% 3,966 63,766 52.74% 61.27% 712 35,377 51.63% 61.13% Bay County, MI 2,748 63,373 54.08% 61.80% Berrien County, MI 4,081 90,469 57.37% 60.46% Branch County, MI 970 26,391 52.83% 61.25% Allegan County, MI Barry County, MI Report Area Calhoun County, MI Total Hispanic / Latino Total Not Hispanic / Latino Percent Hispanic / Latino Percent Not Hispanic / Latino 3,323 79,663 54.15% 61.31% 803 30,769 51.11% 60.52% Clinton County, MI 1,640 45,169 55.71% 62.45% Eaton County, MI 2,973 64,726 57.85% 63.01% Genesee County, MI 7,112 253,464 54.97% 61.46% Gratiot County, MI 1,240 25,715 54.77% 64.17% Hillsdale County, MI 454 27,830 53.47% 60.81% Huron County, MI 352 18,677 54.66% 57.72% 12,216 180,984 59.70% 69.38% Ionia County, MI 1,622 39,280 57.38% 64.06% Isabella County, MI 1,479 49,335 64.64% 72.66% Jackson County, MI 2,762 97,669 56.84% 62.85% Kalamazoo County, MI 6,019 157,255 59.98% 65.34% 32,182 346,994 55.05% 63.46% Lapeer County, MI 2,050 53,322 55.68% 62.77% Lenawee County, MI 4,235 57,846 55.81% 62.68% Livingston County, MI 1,999 111,607 56.60% 62.65% Cass County, MI Ingham County, MI Kent County, MI Report Area Total Hispanic / Latino Total Not Hispanic / Latino Percent Hispanic / Latino Percent Not Hispanic / Latino Macomb County, MI 10,983 516,650 57.13% 62.81% Mecosta County, MI 451 27,383 58.88% 64.92% Midland County, MI 999 50,610 57.38% 61.72% Monroe County, MI 2,636 92,180 56.12% 62.60% Montcalm County, MI 961 38,099 49.33% 62.04% Muskegon County, MI 4,379 101,143 52.83% 61.87% Newaygo County, MI 1,342 27,510 50.64% 59.98% Oakland County, MI 24,485 739,764 57.95% 63.51% Oceana County, MI 1,889 13,609 51.82% 59.19% Ottawa County, MI 12,877 151,870 55.84% 62.82% Saginaw County, MI 8,408 114,133 54.10% 61.87% St. Clair County, MI 2,527 98,127 53.46% 62.01% St. Joseph County, MI 2,067 34,314 51.19% 59.91% Sanilac County, MI 787 24,514 53.61% 58.89% Shiawassee County, MI 913 42,384 53.36% 61.70% Tuscola County, MI 843 32,811 52.82% 60.74% 4,113 42,115 53.18% 61.56% Van Buren County, MI Report Area Total Hispanic / Latino Washtenaw County, MI Wayne County, MI Michigan United States Total Not Hispanic / Latino Percent Hispanic / Latino Percent Not Hispanic / Latino 9,341 229,615 66.73% 69.16% 54,323 1,074,987 57.08% 62.23% 247,522 5,939,105 56.46% 62.79% 30,655,668 163,831,760 60.65% 63.35% Population Age 18-64 by Race Alone, Percent Report Area White Black or African American Native American / Alaska Native Asian Native Hawaiian / Pacific Some Other Race Multiple Race Islander Report Area 63.24% 62.40% 66.99% 67.62% 73.97% 61.39% 43.51% Allegan County, MI 61.15% 50.47% 64.20% 59.35% no data 64.51% 37.72% Barry County, MI 61.14% 63.84% 73.98% 57.99% 100% 47.69% 40.84% Bay County, MI 61.81% 66.27% 72.17% 73.86% 100% 60.20% 42.16% Berrien County, MI 60.90% 59.80% 81.07% 69.90% 68.97% 57.15% 37.53% Branch County, MI 60.21% 85.58% 65.41% 47.43% 100% 62.15% 63.26% Calhoun County, MI 61.77% 59.78% 60.24% 73.96% no data 58.64% 37.72% Cass County, MI 61.22% 58.62% 51.37% 59.38% no data 59.29% 38.87% Report Area White Black or African American Native American / Alaska Native Asian Native Hawaiian / Pacific Islander Some Other Race Multiple Race Clinton County, MI 62.25% 64.62% 88.89% 77.62% 46.67% 53.08% 47.24% Eaton County, MI 62.81% 72.28% 72.15% 68.41% 100% 70.90% 36.06% Genesee County, MI 62.24% 60.04% 67.92% 69.55% 76.56% 69.48% 38.77% Gratiot County, MI 61.85% 94.84% 88.49% 77.78% 100% 62.53% 58.15% Hillsdale County, MI 60.77% 67.36% 59.45% 67.91% no data 58.57% 43.07% Huron County, MI 57.84% 77.14% 71.13% 50.57% no data 52.42% 35.63% Ingham County, MI 70.22% 65.62% 73.66% 75.69% 84.55% 65.72% 43.54% Ionia County, MI 62.80% 91.27% 72.16% 83.24% 0% 66.21% 53.42% Isabella County, MI 73.12% 80.22% 61.23% 77.61% 100% 80.24% 53.42% Jackson County, MI 62.69% 68.85% 58.90% 66.75% 86.36% 63.06% 37.60% Kalamazoo County, MI 66.13% 60.45% 71.72% 74.18% 91.49% 71.65% 43.36% Kent County, MI 63.85% 60.48% 68.23% 66.80% 66.10% 58.13% 36.33% Lapeer County, MI 62.52% 81.99% 52.31% 66.35% 100% 60.37% 46.19% Lenawee County, MI 62.06% 80.65% 61.02% 58.71% no data 66.25% 42.25% Livingston County, MI 62.71% 64.38% 80.55% 59.08% 94.23% 71.34% 44.44% Report Area White Black or African American Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race Macomb County, MI 63.02% 62.95% 69.46% 64.35% 56.25% 55.76% 44.77% Mecosta County, MI 64.47% 73.83% 85.89% 86.45% 100% 78.57% 55.06% Midland County, MI 61.66% 72.23% 77.91% 66.15% 70% 62.77% 38.73% Monroe County, MI 62.80% 63.87% 75.39% 70.85% 89.47% 62.89% 34.21% Montcalm County, MI 61.24% 86.14% 70.41% 90.10% no data 45.56% 50.34% Muskegon County, MI 62.14% 61.91% 69.32% 56.10% 78.18% 58.65% 42.15% Newaygo County, MI 59.76% 61.78% 68.96% 63.75% no data 52.59% 39.29% Oakland County, MI 63.50% 64.17% 66.72% 65.85% 62.66% 59.53% 46.34% Oceana County, MI 58.11% 58.99% 68.31% 28% no data 62.31% 56.51% Ottawa County, MI 62.72% 72.68% 62.84% 64.83% 78.57% 60.45% 33.84% Saginaw County, MI 61.93% 60.89% 57.80% 69.27% 49.18% 64.70% 42% St. Clair County, MI 62.17% 61.98% 76.18% 61.51% 100% 73.23% 39.43% St. Joseph County, MI 59.76% 59.61% 74.87% 75.91% no data 56.28% 34.23% Sanilac County, MI 58.72% 54.82% 73.25% 84.09% 0% 76.49% 44.88% Report Area White Black or African American Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race Shiawassee County, MI 61.66% 60.55% 65.71% 41.52% 100% 77.64% 46.32% Tuscola County, MI 60.83% 56.28% 61.68% 68.52% 100% 59% 41.20% Van Buren County, MI 61.29% 55.09% 59.18% 62.78% 35.85% 64.96% 39.69% Washtenaw County, MI 69.62% 66.89% 59.19% 76.21% 100% 73.05% 50.44% Wayne County, MI 62.70% 61.66% 65.85% 64.27% 87.78% 60.60% 47.33% Michigan 62.88% 62.59% 65.02% 67.60% 71.51% 61.56% 43.85% United States 62.92% 63.50% 63.54% 68.58% 66.03% 63.83% 47.76% Population Age 18-64 by Race Alone, Total Report Area Report Area Allegan County, MI White Black or African American Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race 4,399,115 860,297 24,002 162,680 1,785 68,995 93,887 63,832 698 459 454 0 1,572 717 Report Area White Black or African American Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race Barry County, MI 35,198 173 145 156 21 124 272 Bay County, MI 62,725 896 249 438 37 552 1,224 Berrien County, MI 74,406 14,318 514 1,816 40 2,042 1,414 Branch County, MI 25,512 1,080 87 129 3 197 353 Calhoun County, MI 69,751 8,898 450 1,642 0 706 1,539 Cass County, MI 28,443 1,628 150 250 0 418 683 Clinton County, MI 43,927 990 160 732 14 250 736 Eaton County, MI 59,825 4,526 215 1,319 11 648 1,155 198,181 51,942 1,548 2,782 98 1,334 4,691 Gratiot County, MI 23,903 2,075 123 133 20 262 439 Hillsdale County, MI 27,614 161 151 146 0 41 171 Huron County, MI 18,606 54 101 89 0 65 114 151,386 20,482 786 11,154 104 3,549 5,739 Ionia County, MI 36,631 2,278 210 154 0 574 1,055 Isabella County, MI 45,725 1,399 1,336 943 6 203 1,202 Jackson County, MI 88,239 8,909 566 785 57 577 1,298 Genesee County, MI Ingham County, MI Report Area White Black or African American Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race Kalamazoo County, MI 136,563 17,021 908 4,165 86 1,519 3,012 Kent County, MI 316,795 35,266 1,632 9,417 156 9,410 6,500 Lapeer County, MI 53,173 792 136 207 8 492 564 Lenawee County, MI 57,435 2,025 382 236 0 1,103 900 Livingston County, MI 110,121 497 410 859 98 483 1,138 Macomb County, MI 452,769 45,887 1,774 17,278 81 2,633 7,211 Mecosta County, MI 25,908 903 140 287 8 66 522 Midland County, MI 48,615 775 254 1,143 7 344 471 Monroe County, MI 90,360 1,966 389 610 17 549 925 Montcalm County, MI 36,604 1,330 138 182 0 205 601 Muskegon County, MI 85,996 14,862 705 602 43 983 2,331 Newaygo County, MI 27,212 375 371 102 0 528 264 594,758 103,659 2,308 45,448 193 5,021 12,862 Oakland County, MI Report Area White Black or African American Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race Oceana County, MI 14,652 82 166 21 0 334 243 Ottawa County, MI 148,678 2,809 700 4,555 55 5,986 1,964 Saginaw County, MI 93,689 22,550 415 1,519 60 1,915 2,393 St. Clair County, MI 95,191 2,440 275 521 13 766 1,448 St. Joseph County, MI 34,284 980 143 271 0 260 443 Sanilac County, MI 24,547 108 115 37 0 231 263 Shiawassee County, MI 42,184 244 253 93 39 125 359 Tuscola County, MI 32,567 327 132 111 3 177 337 Van Buren County, MI 41,014 1,782 377 285 57 2,130 583 Washtenaw County, MI 180,157 28,351 602 20,869 26 2,144 6,807 Wayne County, MI 601,939 454,759 4,027 30,740 424 18,477 18,944 4,937,904 870,800 36,233 166,008 1,915 70,981 102,786 144,277,504 24,654,694 1,607,043 10,190,911 339,637 9,455,602 3,962,005 Michigan United States Population Age 65 An estimated 13.27% percent of the population in the report area according to the U.S. Census Bureau American Community Survey 2008-12 5-year estimates. An estimated total of 1,186,352 older adults resided in the area during this time period. The number of persons age 65 or older is relevant because this population has unique health needs which should be considered separately from other age groups. Report Area Report Area Total Population Population Age 65 Percent Population Age 65 8,941,752 1,186,352 13.27% 111,589 14,725 13.20% 59,249 8,718 14.71% Bay County, MI 107,633 17,696 16.44% Berrien County, MI 156,759 25,495 16.26% Branch County, MI 44,920 6,738 15% Calhoun County, MI 136,063 20,196 14.84% Cass County, MI 52,412 8,651 16.51% Clinton County, MI 75,274 9,962 13.23% Eaton County, MI 107,861 15,205 14.10% Genesee County, MI 425,337 58,557 13.77% Gratiot County, MI 42,340 6,294 14.87% Hillsdale County, MI 46,617 7,324 15.71% Huron County, MI 33,001 7,186 21.78% 281,323 29,631 10.53% Allegan County, MI Barry County, MI Ingham County, MI Report Area Total Population Population Age 65 Percent Population Age 65 Ionia County, MI 64,149 7,341 11.44% Isabella County, MI 70,186 6,813 9.71% Jackson County, MI 160,257 22,769 14.21% Kalamazoo County, MI 250,704 30,929 12.34% Kent County, MI 605,244 67,603 11.17% Lapeer County, MI 88,626 11,888 13.41% Lenawee County, MI 99,878 14,691 14.71% Livingston County, MI 181,678 22,067 12.15% Macomb County, MI 841,769 121,084 14.38% Mecosta County, MI 42,947 6,574 15.31% Midland County, MI 83,744 12,361 14.76% Monroe County, MI 151,944 20,540 13.52% Montcalm County, MI 63,357 9,009 14.22% Muskegon County, MI 171,755 23,553 13.71% Newaygo County, MI 48,517 7,584 15.63% Oakland County, MI 1,207,097 161,217 13.36% Oceana County, MI 26,636 4,559 17.12% Ottawa County, MI 264,835 31,197 11.78% Report Area Total Population Population Age 65 Percent Population Age 65 Saginaw County, MI 200,017 30,701 15.35% St. Clair County, MI 162,978 23,847 14.63% St. Joseph County, MI 61,314 9,126 14.88% Sanilac County, MI 43,096 7,621 17.68% Shiawassee County, MI 70,402 10,206 14.50% Tuscola County, MI 55,616 8,950 16.09% Van Buren County, MI 76,149 10,631 13.96% Washtenaw County, MI 346,010 35,498 10.26% Wayne County, MI 1,822,469 231,615 12.71% Michigan 9,897,264 1,372,225 13.86% 309,138,720 40,671,440 13.16% United States Data Source: US Census Bureau, American Community Survey: 2008-12. Source geography: Tract. Population Age 65 , Percent by County, ACS 2008-12 Over 20.0% 16.1 - 20.0% 12.1 - 16.0% Under 12.1% No Data or Data Suppressed Report Area Population Age 65 by Gender Report Area Report Area Total Male Total Female Percent Male Percent Female 452,690 680,378 10.35% 14.89% Allegan County, MI 6,084 8,095 10.98% 14.41% Barry County, MI 3,650 4,764 12.33% 16.07% Bay County, MI 6,739 10,204 12.78% 18.59% Berrien County, MI 9,766 14,547 12.82% 18.06% Branch County, MI 2,773 3,705 11.87% 17.18% Calhoun County, MI 7,828 11,540 11.79% 16.56% Cass County, MI 3,622 4,659 13.89% 17.69% Clinton County, MI 4,048 5,437 10.90% 14.26% Report Area Eaton County, MI Total Male Total Female Percent Male Percent Female 5,999 8,520 11.43% 15.38% 22,787 33,738 11.12% 15.31% Gratiot County, MI 2,420 3,553 10.88% 17.67% Hillsdale County, MI 3,000 4,003 12.95% 17.07% Huron County, MI 2,778 4,002 16.96% 24.07% 11,053 17,158 8.10% 11.85% Ionia County, MI 2,972 4,056 8.73% 13.48% Isabella County, MI 2,607 3,905 7.67% 10.79% Jackson County, MI 8,927 12,738 10.91% 16.24% Kalamazoo County, MI 11,562 17,954 9.42% 14.03% Kent County, MI 24,974 39,130 8.42% 12.68% Lapeer County, MI 5,158 6,429 11.53% 14.64% Lenawee County, MI 5,692 8,368 11.31% 16.89% Livingston County, MI 9,199 11,984 10.14% 13.18% Macomb County, MI 44,593 70,943 10.89% 16.41% Mecosta County, MI 2,793 3,581 12.90% 16.82% Midland County, MI 4,832 7,017 11.76% 16.45% Monroe County, MI 8,138 11,687 10.85% 15.19% Genesee County, MI Ingham County, MI Report Area Total Male Total Female Percent Male Percent Female Montcalm County, MI 3,782 4,906 11.56% 16.02% Muskegon County, MI 9,084 13,330 10.67% 15.39% Newaygo County, MI 3,303 3,958 13.50% 16.46% Oakland County, MI 60,882 92,360 10.39% 14.87% Oceana County, MI 1,955 2,401 14.59% 18.14% Ottawa County, MI 12,327 17,440 9.49% 12.93% Saginaw County, MI 11,801 17,624 12.19% 17.07% St. Clair County, MI 9,713 13,259 12.03% 16.12% St. Joseph County, MI 3,505 5,118 11.54% 16.54% Sanilac County, MI 3,103 4,166 14.53% 19.16% Shiawassee County, MI 3,974 5,752 11.43% 16.14% Tuscola County, MI 3,761 4,902 13.47% 17.71% Van Buren County, MI 4,424 5,868 11.73% 15.27% Washtenaw County, MI 13,851 20,055 8.11% 11.44% Wayne County, MI 83,231 137,522 9.51% 14.52% 531,366 779,768 10.94% 15.47% 15,754,421 23,115,796 10.36% 14.71% Michigan United States Population Age 65 by Ethnicity Alone Report Area Report Area Total Hispanic / Latino Total Not Hispanic / Latino Percent Hispanic / Latino Percent Not Hispanic / Latino 19,081 1,167,271 4.51% 13.70% 270 14,455 3.59% 13.89% 60 8,658 4.35% 14.96% Bay County, MI 304 17,392 5.98% 16.96% Berrien County, MI 281 25,214 3.95% 16.85% Branch County, MI 72 6,666 3.92% 15.47% Calhoun County, MI 293 19,903 4.77% 15.32% 62 8,589 3.95% 16.89% Clinton County, MI 179 9,783 6.08% 13.53% Eaton County, MI 240 14,965 4.67% 14.57% Genesee County, MI 764 57,793 5.91% 14.01% Gratiot County, MI 136 6,158 6.01% 15.37% Hillsdale County, MI 25 7,299 2.94% 15.95% Huron County, MI 44 7,142 6.83% 22.07% 960 28,671 4.69% 10.99% Ionia County, MI 93 7,248 3.29% 11.82% Isabella County, MI 45 6,768 1.97% 9.97% Allegan County, MI Barry County, MI Cass County, MI Ingham County, MI Report Area Total Hispanic / Latino Total Not Hispanic / Latino Percent Hispanic / Latino Percent Not Hispanic / Latino Jackson County, MI 202 22,567 4.16% 14.52% Kalamazoo County, MI 263 30,666 2.62% 12.74% 1,663 65,940 2.84% 12.06% Lapeer County, MI 161 11,727 4.37% 13.81% Lenawee County, MI 464 14,227 6.11% 15.42% Livingston County, MI 163 21,904 4.61% 12.30% Macomb County, MI 1,067 120,017 5.55% 14.59% Mecosta County, MI 55 6,519 7.18% 15.45% Midland County, MI 80 12,281 4.60% 14.98% Monroe County, MI 218 20,322 4.64% 13.80% Montcalm County, MI 115 8,894 5.90% 14.48% Muskegon County, MI 338 23,215 4.08% 14.20% Newaygo County, MI 130 7,454 4.91% 16.25% Oakland County, MI 2,035 159,182 4.82% 13.67% Oceana County, MI 119 4,440 3.26% 19.31% Ottawa County, MI 772 30,425 3.35% 12.58% 1,239 29,462 7.97% 15.97% Kent County, MI Saginaw County, MI Report Area Total Hispanic / Latino St. Clair County, MI Total Not Hispanic / Latino Percent Hispanic / Latino Percent Not Hispanic / Latino 263 23,584 5.56% 14.90% St. Joseph County, MI 82 9,044 2.03% 15.79% Sanilac County, MI 96 7,525 6.54% 18.08% Shiawassee County, MI 99 10,107 5.79% 14.71% Tuscola County, MI 117 8,833 7.33% 16.35% Van Buren County, MI 220 10,411 2.84% 15.22% Washtenaw County, MI 429 35,069 3.06% 10.56% 4,863 226,752 5.11% 13.13% 20,019 1,352,206 4.57% 14.30% 2,822,580 37,848,860 5.58% 14.64% Wayne County, MI Michigan United States Population Age 65 by Race Alone, Percent Report Area White Black or African American Native American / Alaska Native Native Asian Hawaiian / Pacific Islander Some Other Race Multiple Race Report Area 14.68% 9.70% 7.39% 6.83% 0.99% 3.62% 3.82% Allegan County, MI 13.71% 13.67% 6.15% 3.79% no data 4.10% 2.79% Report Area Black or African American White Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race Barry County, MI 14.97% 4.06% 6.12% 15.61% 0% 3.08% 4.05% Bay County, MI 17.04% 8.65% 14.49% 1.85% 0% 9.71% 4.82% Berrien County, MI 18.62% 9.51% 5.68% 7.47% 0% 2.99% 3.61% Branch County, MI 15.63% 4.04% 7.52% 14.34% 0% 0.95% 2.33% Calhoun County, MI 16.06% 11.58% 11.38% 5.32% no data 1.16% 2.99% Cass County, MI 17.08% 17.32% 13.01% 14.49% no data 0.14% 7.63% Clinton County, MI 13.86% 7.64% 0.56% 3.61% 0% 0.64% 1.60% Eaton County, MI 15.18% 7.35% 13.42% 4.56% 0% 5.69% 3.22% Genesee County, MI 15.26% 10.22% 5.62% 10.35% 0% 8.13% 3.58% 16% 0.82% 2.16% 0% 0% 11.22% 5.83% Hillsdale County, MI 15.97% 0.42% 3.94% 1.86% no data 18.57% 9.57% Huron County, MI 22.04% 20% 7.75% 21.02% no data 12.90% 5.31% Ingham County, MI 12.09% 6.80% 4.97% 4.89% 0% 7.22% 2.03% Ionia County, MI 12.38% 1.76% 3.09% 0% 100% 2.42% 1.97% Isabella County, MI 10.51% 2.01% 5.77% 3.70% 0% 2.37% 1.38% Jackson County, MI 15.34% 6.72% 4.06% 5.02% 1.52% 6.67% 4.17% Gratiot County, MI Report Area White Black or African American Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race Kalamazoo County, MI 13.82% 6.35% 6.08% 6.02% 0% 0.66% 2.46% Kent County, MI 12.53% 6.25% 4.60% 5.87% 0% 1.72% 3.34% Lapeer County, MI 13.77% 1.86% 32.69% 7.05% 0% 2.21% 3.03% Lenawee County, MI 15.56% 2.71% 8.79% 16.17% no data 2.70% 2.63% Livingston County, MI 12.38% 7.90% 2.55% 7.57% 0% 2.51% 5.27% Macomb County, MI 15.93% 4.83% 7.40% 7.96% 0% 3.35% 3.92% Mecosta County, MI 16.08% 2.78% 5.52% 0% 0% 11.90% 6.01% Midland County, MI 15.39% 3.26% 5.21% 5.56% 0% 1.82% 6% Monroe County, MI 13.94% 7.57% 5.04% 4.07% 0% 7.67% 4.51% Montcalm County, MI 14.85% 2.20% 16.84% 0% no data 3.56% 4.27% Muskegon County, MI 15.31% 8.58% 5.90% 10.81% 0% 1.97% 1.83% Newaygo County, MI 16.11% 10.38% 4.83% 14.38% no data 9.06% 6.99% Oakland County, MI 14.78% 9.96% 8.18% 7.03% 4.55% 3.69% 4.40% Report Area White Black or African American Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race Oceana County, MI 17.73% 3.60% 6.17% 21.33% no data 3.17% 8.37% Ottawa County, MI 12.77% 3.23% 5.92% 3.93% 0% 2.76% 3.02% Saginaw County, MI 17.33% 10.30% 5.57% 5.88% 0% 10.57% 3.16% St. Clair County, MI 15.14% 8.97% 1.11% 15.23% 0% 4.59% 3.54% St. Joseph County, MI 15.45% 11.56% 5.76% 7.56% no data 0% 2.78% Sanilac County, MI 18.04% 4.57% 5.73% 0% 100% 3.64% 8.19% Shiawassee County, MI 14.66% 8.19% 11.95% 34.82% 0% 0% 2.71% Tuscola County, MI 16.24% 16.52% 13.55% 19.14% 0% 11.67% 7.82% Van Buren County, MI 14.72% 17.59% 9.11% 13.88% 0% 1.16% 3.68% Washtenaw County, MI 11.72% 7.51% 5.31% 5.57% 0% 1.98% 2.59% Wayne County, MI 14.98% 10.89% 10.43% 7.60% 0% 3.69% 5.20% Michigan 15.32% 9.67% 7.70% 6.83% 1.27% 3.65% 4.03% United States 15.08% 8.95% 7.45% 9.65% 5.91% 4.01% 4.50% Population Age 65 by Race Alone, Total Report Area Report Area White Black or African American Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race 1,021,213 133,725 2,648 16,427 24 4,073 8,242 14,310 189 44 29 0 100 53 8,618 11 12 42 0 8 27 Bay County, MI 17,289 117 50 11 0 89 140 Berrien County, MI 22,745 2,277 36 194 0 107 136 Branch County, MI 6,622 51 10 39 0 3 13 Calhoun County, MI 18,134 1,723 85 118 0 14 122 Cass County, MI 7,936 481 38 61 0 1 134 Clinton County, MI 9,782 117 1 34 0 3 25 Eaton County, MI 14,462 460 40 88 0 52 103 Genesee County, MI 48,588 8,838 128 414 0 156 433 Gratiot County, MI 6,182 18 3 0 0 47 44 Hillsdale County, MI 7,258 1 10 4 0 13 38 Huron County, MI 7,091 14 11 37 0 16 17 26,076 2,124 53 721 0 390 267 7,223 44 9 0 5 21 39 Allegan County, MI Barry County, MI Ingham County, MI Ionia County, MI Report Area White Black or African American Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race Isabella County, MI 6,570 35 126 45 0 6 31 Jackson County, MI 21,595 870 39 59 1 61 144 Kalamazoo County, MI 28,541 1,788 77 338 0 14 171 Kent County, MI 62,148 3,642 110 827 0 278 598 Lapeer County, MI 11,708 18 85 22 0 18 37 Lenawee County, MI 14,402 68 55 65 0 45 56 Livingston County, MI 21,731 61 13 110 0 17 135 Macomb County, MI 114,448 3,519 189 2,138 0 158 632 Mecosta County, MI 6,464 34 9 0 0 10 57 Midland County, MI 12,130 35 17 96 0 10 73 Monroe County, MI 20,057 233 26 35 0 67 122 Montcalm County, MI 8,875 34 33 0 0 16 51 Muskegon County, MI 21,184 2,059 60 116 0 33 101 Newaygo County, 7,334 63 26 23 0 91 47 Report Area White Black or African American Native American / Alaska Native Native Hawaiian / Pacific Islander Asian Some Other Race Multiple Race MI Oakland County, MI 138,442 16,092 283 4,853 14 311 1,222 Oceana County, MI 4,470 5 15 16 0 17 36 Ottawa County, MI 30,282 125 66 276 0 273 175 Saginaw County, MI 26,225 3,814 40 129 0 313 180 St. Clair County, MI 23,183 353 4 129 0 48 130 St. Joseph County, MI 8,862 190 11 27 0 0 36 Sanilac County, MI 7,540 9 9 0 4 11 48 Shiawassee County, MI 10,028 33 46 78 0 0 21 Tuscola County, MI 8,695 96 29 31 0 35 64 9,849 569 58 63 0 38 54 30,329 3,182 54 1,526 0 58 349 143,805 80,333 638 3,633 0 1,125 2,081 1,202,958 134,507 4,291 16,774 34 4,210 9,451 Van Buren County, MI Washtenaw County, MI Wayne County, MI Michigan Report Area Black or African American White United States 34,574,624 Native American / Alaska Native 3,476,420 188,442 Asian 1,434,282 Native Hawaiian / Pacific Islander Some Other Race 30,418 593,511 Multiple Race 373,745 HEALTH OUTCOMES Measuring morbidity and mortality rates allows assessing linkages between social determinants of health and outcomes. By comparing, for example, the prevalence of certain chronic diseases to indicators in other categories (e.g., poor diet and exercise) with outcomes (e.g., high rates of obesity and diabetes), various causal relationship may emerge, allowing a better understanding of how certain community health needs may be addressed. Diabetes Prevalence This indicator reports the percentage of adults aged 20 and older who have ever been told by a doctor that they have diabetes. This indicator is relevant because diabetes is a prevalent problem in the U.S.; it may indicate an unhealthy lifestyle and puts individuals at risk for further health issues. Population with Diagnosed Report Area Total Population Age 20 Population with Diagnosed Diabetes Population with Diagnosed Diabetes, Crude Rate Population with Diagnosed Diabetes, AgeAdjusted Rate 6,496,766 693,355 10.67 9.76 Allegan County, MI 79,989 7,279 9.10 8.10 Barry County, MI 43,134 4,184 9.70 8.30 Bay County, MI 80,848 9,055 11.20 9.50 Report Area Diabetes, Age-Adjusted Rate Report Area (9.76%) Michigan (9.67%) United States (8.95%) Berrien County, MI 115,723 12,961 11.20 9.50 Branch County, MI 33,333 3,800 11.40 10.10 Calhoun County, MI 99,156 12,097 12.20 10.80 Cass County, MI 38,691 3,753 9.70 8.10 Clinton County, MI 54,727 4,816 8.80 8 Eaton County, MI 79,510 7,951 10 8.80 Genesee County, MI 306,536 38,317 12.50 11.30 Gratiot County, MI 31,841 3,407 10.70 9.80 Hillsdale County, MI 34,115 4,162 12.20 10.40 Huron County, MI 25,692 2,749 10.70 8.20 204,943 18,035 8.80 9.10 Ionia County, MI 46,773 4,537 9.70 9.40 Isabella County, MI 50,731 3,957 7.80 8.70 Jackson County, MI 118,469 11,610 9.80 8.80 Kalamazoo County, MI 183,616 18,178 9.90 9.60 Kent County, MI 426,905 40,556 9.50 9.20 Lapeer County, MI 64,186 6,226 9.70 8.40 Lenawee County, 73,776 8,558 11.60 10.20 Ingham County, MI MI Livingston County, MI 130,024 10,922 8.40 7.40 Macomb County, MI 626,759 67,690 10.80 9.70 Mecosta County, MI 31,680 3,263 10.30 9.50 Midland County, MI 61,152 6,054 9.90 8.60 Monroe County, MI 111,514 12,155 10.90 9.70 Montcalm County, MI 46,202 4,112 8.90 7.90 Muskegon County, MI 124,714 14,841 11.90 10.70 Newaygo County, MI 35,220 4,649 13.20 11.30 Oakland County, MI 889,571 80,951 9.10 8.20 Oceana County, MI 19,256 2,253 11.70 9.60 Ottawa County, MI 182,872 15,727 8.60 8.10 Saginaw County, MI 145,739 16,760 11.50 10 St. Clair County, MI 120,461 12,287 10.20 8.90 St. Joseph County, MI 44,111 4,367 9.90 8.70 Sanilac County, MI 31,981 3,422 10.70 8.80 Shiawassee County, MI 51,447 5,299 10.30 9 Tuscola County, MI 41,349 4,507 10.90 9.20 Van Buren County, MI 54,974 6,267 11.40 10 257,076 20,309 7.90 8.20 Wayne County, MI 1,297,970 171,332 13.20 12.20 Michigan 7,232,626 775,835 10.73 9.67 228,834,127 21,876,232 9.56 8.95 Washtenaw County, MI United States Note: This indicator is compared with the state average. Data Source: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Diabetes Atlas: 2010. Source geography: County. Diabetes Prevalence, Percent of Adults Age 20 by County, CDC NCCDPHP 2010 Over 11.0% 9.6 - 11.0% 8.1 - 9.5% Under 8.1% Report Area Adults with Diagnosed Diabetes by Gender Report Area Report Area Total Males with Diabetes Percent Males with Diabetes Total Females with Diabetes Percent Females with Diabetes 716,461 10.78% 670,646 8.86% Allegan County, MI 4,045 9.30% 3,379 7.30% Barry County, MI 3,899 9% 3,379 7.30% Bay County, MI 2,282 9.30% 1,903 7.40% Berrien County, MI 2,236 9.30% 1,903 7.40% Branch County, MI 4,513 10.30% 4,400 8.70% Calhoun County, MI 4,654 10.50% 4,400 8.70% Cass County, MI 6,790 10.70% 6,171 8.50% Clinton County, MI 6,860 10.70% 6,171 8.50% Eaton County, MI 1,838 10.20% 1,686 9.10% Genesee County, MI 2,115 11.10% 1,686 9.10% Gratiot County, MI 6,342 12% 5,755 9.60% Hillsdale County, MI 5,996 11.60% 5,755 9.60% Huron County, MI 1,979 9.40% 1,724 7.20% Ingham County, MI 2,029 9% 1,724 7.20% Ionia County, MI 2,593 9% 2,223 7.10% Isabella County, MI 2,740 9.90% 2,223 7.10% Percent Males with Diabetes Total Females with Diabetes Percent Females with Diabetes Report Area Total Males with Diabetes Jackson County, MI 3,941 9.60% 3,822 8% Kalamazoo County, MI 4,129 9.70% 3,822 8% Kent County, MI 18,770 12% 19,547 10.70% Lapeer County, MI 17,785 11.50% 19,547 10.70% Lenawee County, MI 1,731 10.50% 1,452 8.40% Livingston County, MI 1,955 11.10% 1,452 8.40% Macomb County, MI 2,212 11.40% 1,950 9.40% Mecosta County, MI 1,882 10.10% 1,950 9.40% Midland County, MI 1,382 8.90% 1,262 7.30% Monroe County, MI 1,487 9.30% 1,262 7.30% Montcalm County, MI 9,370 10.20% 8,665 8.10% Muskegon County, MI 8,682 9.60% 8,665 8.10% Newaygo County, MI 2,537 10.90% 1,948 8.20% Oakland County, MI 2,590 10.40% 1,948 8.20% Oceana County, MI 2,092 9.80% 1,866 7.80% Ottawa County, MI 1,963 9.50% 1,866 7.80% Saginaw County, MI 6,984 11% 5,072 7.50% Percent Males with Diabetes Total Females with Diabetes Percent Females with Diabetes Report Area Total Males with Diabetes St. Clair County, MI 6,537 10.10% 5,072 7.50% St. Joseph County, MI 9,264 10.60% 8,914 8.80% Sanilac County, MI 8,733 10.20% 8,914 8.80% Shiawassee County, MI 20,714 10.10% 20,065 8.60% Tuscola County, MI 20,491 10% 20,065 8.60% Van Buren County, MI 3,421 9.40% 2,805 7.50% Washtenaw County, MI 3,446 9.30% 2,805 7.50% Wayne County, MI 3,899 9.90% 3,962 9.10% 803,238 10.67% 746,194 8.78% 21,395,214 9.56% 21,148,216 8.28% Michigan United States Percent Adults with Diagnosed Diabetes by Year, 2004 through 2010 Report Area 2004 2005 2006 2007 2008 2009 2010 Report Area 8.08% 8.30% 8.68% 9.17% 9.30% 9.61% 9.76% Allegan County, MI 7.90% 8.10% 7.70% 8% 8.30% 8.50% 8.10% Barry County, MI 8.20% 8.70% 8.30% 8.50% 8.20% 8.30% 8.30% Bay County, MI 8.40% 9.10% 9.60% 9.20% 8.90% 9.20% 9.50% Report Area 2004 2005 2006 2007 2008 2009 2010 Berrien County, MI 7.60% 8% 8.20% 9.30% 9.10% 9.40% 9.50% Branch County, MI 7.60% 7.50% 7.80% 8% 8.70% 9.20% 10.10% Calhoun County, MI 8.80% 8.50% 8.80% 8.70% 9.30% 10.30% 10.80% Cass County, MI 7.80% 7.90% 8.20% 8.50% 8.70% 8.50% 8.10% Clinton County, MI 7.70% 7.30% 7.60% 8.20% 8.50% 9% 8% Eaton County, MI 7.30% 7.50% 8.10% 8.60% 8.30% 8.50% 8.80% Genesee County, MI 8.50% 9% 9.70% 10.60% 10.40% 10.60% 11.30% Gratiot County, MI 7.70% 8.10% 8.60% 9.10% 9.20% 9.10% 9.80% Hillsdale County, MI 8.40% 9% 9% 8.20% 8.40% 9.10% 10.40% Huron County, MI 7.10% 7.20% 7.60% 7.90% 8% 7.80% 8.20% Ingham County, MI 8.10% 8.50% 9% 8.50% 8.70% 8.30% 9.10% Ionia County, MI 8.10% 8.50% 8.80% 8.50% 8.90% 9.80% 9.40% Isabella County, MI 7.70% 8% 8.30% 8.60% 8.50% 8.50% 8.70% Jackson County, MI 7.80% 7.90% 8% 8.80% 9% 9.40% 8.80% Kalamazoo County, MI 7.50% 7.20% 7.80% 8.80% 9.40% 9.30% 9.60% Kent County, MI 7.60% 8.10% 8.40% 8.70% 8.60% 8.90% 9.20% Lapeer County, MI 7.60% 8.10% 8.50% 8.70% 8.50% 8.30% 8.40% Report Area 2004 2005 2006 2007 2008 2009 2010 Lenawee County, MI 7.70% 8.50% 8.60% 8.60% 8.60% 8.50% 10.20% Livingston County, MI 7.20% 7.10% 7.20% 7.70% 7.70% 7.60% 7.40% Macomb County, MI 7.90% 7.80% 8% 8.40% 8.70% 9.40% 9.70% Mecosta County, MI 8% 8.50% 8.10% 8.40% 8.50% 9.60% 9.50% Midland County, MI 7.30% 7.40% 8% 8.70% 8.50% 8.10% 8.60% Monroe County, MI 7.80% 7.70% 8.50% 9.10% 9.50% 10.10% 9.70% Montcalm County, MI 7.80% 8.50% 8.80% 9.30% 9% 9% 7.90% Muskegon County, MI 8.90% 9% 9.50% 10.20% 9.80% 9.90% 10.70% Newaygo County, MI 7.60% 8% 8.30% 9.10% 9.40% 11.50% 11.30% Oakland County, MI 6.80% 6.90% 7.30% 8.10% 8.70% 8.70% 8.20% Oceana County, MI 7.80% 7.90% 7.80% 8.40% 8.50% 9.60% 9.60% Ottawa County, MI 7.30% 7.80% 8.20% 8.30% 8.20% 8.20% 8.10% Saginaw County, MI 8.90% 8.80% 9.40% 9.60% 9.90% 9.80% 10% St. Clair County, MI 7.60% 7.90% 8% 8.50% 8.10% 9.30% 8.90% St. Joseph County, MI 8.40% 8.80% 8.60% 8.70% 9% 9.50% 8.70% Report Area 2004 2005 2006 2007 2008 2009 2010 Sanilac County, MI 7.60% 7.80% 8% 8.50% 8.60% 8.80% 8.80% Shiawassee County, MI 7.30% 7.30% 7.60% 8.20% 8.50% 9.50% 9% Tuscola County, MI 8.10% 8.50% 8.60% 8.10% 8.20% 9% 9.20% 7.90% 8.20% 8.70% 8.60% 8.80% 9.20% 10% Washtenaw County, MI 7.40% 7.40% 8% 8.40% 8.70% 8.50% 8.20% Wayne County, MI 9.50% 9.90% 10.40% 11% 11% 11.60% 12.20% Michigan 8.03% 8.26% 8.63% 9.09% 9.22% 9.50% 9.67% United States 7.31% 7.58% 8.04% 8.33% 8.55% 8.72% 8.89% Van Buren County, MI Diabetes - Medicare Population This indicator reports the percentage of the Medicare fee-for-service population with ischaemic heart disease. Percent with Diabetes Report Area Report Area Allegan County, MI Total Medicare Beneficiaries Beneficiaries with Diabetes Percent with Diabetes 1,080,892 333,532 30.86% 9,594 2,574 26.83% Report Area (30.86%) 5,794 1,557 26.87% Bay County, MI 18,048 5,020 27.81% Berrien County, MI 27,193 7,263 26.71% Branch County, MI 6,549 1,690 25.81% Calhoun County, MI 21,879 6,134 28.04% Cass County, MI 5,502 1,481 26.92% Clinton County, MI 6,643 1,693 25.49% Eaton County, MI 10,582 2,751 26% Genesee County, MI 57,818 20,211 34.96% Gratiot County, MI 6,423 1,893 29.47% Hillsdale County, MI 6,741 1,848 27.41% Huron County, MI 6,975 1,954 28.01% 36,307 9,655 26.59% Ionia County, MI 6,583 1,848 28.07% Isabella County, MI 7,248 2,166 29.88% Jackson County, MI 23,224 6,300 27.13% Kalamazoo County, MI 28,112 6,971 24.80% Kent County, MI 47,575 12,120 25.48% Lapeer County, MI 10,834 3,197 29.51% Barry County, MI Ingham County, MI Michigan (30.22%) United States (27.03%) Lenawee County, MI 15,432 4,403 28.53% Livingston County, MI 15,612 3,978 25.48% Macomb County, MI 110,458 36,794 33.31% Mecosta County, MI 5,876 1,521 25.88% Midland County, MI 12,084 3,107 25.71% Monroe County, MI 19,132 6,166 32.23% Montcalm County, MI 9,062 2,591 28.59% Muskegon County, MI 21,789 6,365 29.21% Newaygo County, MI 5,263 1,450 27.55% Oakland County, MI 140,479 43,856 31.22% Oceana County, MI 4,297 1,158 26.95% Ottawa County, MI 18,754 4,408 23.50% Saginaw County, MI 31,328 9,687 30.92% St. Clair County, MI 24,555 7,072 28.80% St. Joseph County, MI 8,868 2,322 26.18% Sanilac County, MI 7,393 2,332 31.54% 10,735 3,091 28.79% 9,561 2,813 29.42% 11,139 2,978 26.73% Shiawassee County, MI Tuscola County, MI Van Buren County, MI Washtenaw County, MI Wayne County, MI Michigan United States 33,202 8,079 24.33% 216,249 81,035 37.47% 1,265,431 382,426 30.22% 34,126,305 9,224,278 27.03% Note: This indicator is compared with the state average. Data breakout by demographic groups are not available. Data Source: Centers for Medicare and Medicaid Services : 2012. Source geography: County. Beneficiaries with Diabetes, Percent by County, CMS 2012 Over 30.0% 27.1 - 30.0% 24.1 - 27.0% Under 24.1% No Data or Data Suppressed Report Area Heart Disease Prevalence 313,312, or 4.85% of adults aged 18 and older who have ever been told by a doctor that they have coronary heart disease or angina. This indicator is relevant because coronary heart disease is a leading cause of death in the U.S. and is also related to high blood pressure, high cholesterol, and heart attacks. Percent Adults with Heart Report Area Survey Population Total Adults with Heart Percent Adults with Heart (Adults Age 18 ) Disease Disease Disease 6,457,075 313,312 4.85% Allegan County, MI 82,423 2,689 3.26% Barry County, MI 57,815 2,651 4.58% Report Area 61,150 4,440 7.26% Berrien County, MI 125,706 8,122 6.46% Branch County, MI 43,430 983 2.26% Calhoun County, MI 110,648 9,767 8.83% Cass County, MI 47,037 6,829 14.52% Clinton County, MI 70,166 2,712 3.86% Eaton County, MI 93,490 4,042 4.32% 320,385 21,280 6.64% Gratiot County, MI 34,929 1,240 3.55% Hillsdale County, MI 38,748 2,783 7.18% Huron County, MI 27,289 820 3.00% 234,094 10,287 4.39% Ionia County, MI 51,920 1,663 3.20% Isabella County, MI 58,002 3,928 6.77% Jackson County, MI 130,233 9,378 7.20% Kalamazoo County, MI 183,798 8,175 4.45% Bay County, MI Genesee County, MI Ingham County, MI Report Area (4.85%) Michigan (5.01%) United States (4.40%) 417,049 17,611 4.22% Lapeer County, MI 76,602 5,113 6.67% Lenawee County, MI 77,076 4,926 6.39% Livingston County, MI 133,437 4,018 3.01% Macomb County, MI 509,904 23,029 4.52% Mecosta County, MI 31,455 554 1.76% Midland County, MI 69,413 4,593 6.62% Monroe County, MI 102,215 2,933 2.87% Montcalm County, MI 60,160 6,647 11.05% Muskegon County, MI 146,424 6,909 4.72% Newaygo County, MI 46,547 1,930 4.15% Oakland County, MI 764,886 37,085 4.85% Oceana County, MI 17,008 306 1.80% Ottawa County, MI 206,557 5,430 2.63% Saginaw County, MI 140,704 10,079 7.16% St. Clair County, MI 144,688 6,947 4.80% St. Joseph County, MI 62,991 1,678 2.66% Sanilac County, MI 38,240 2,859 7.47% Shiawassee County, MI 55,069 3,577 6.49% Kent County, MI Tuscola County, MI 47,927 3,807 7.94% Van Buren County, MI 59,957 2,688 4.48% Washtenaw County, MI 242,984 8,650 3.56% Wayne County, MI 1,234,519 50,154 4.06% Michigan 7,454,647 373,388 5.01% 236,406,904 10,407,185 4.40% United States Note: This indicator is compared with the state average. Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System: 2011-12. Additional data analysis by CARES. Source geography: County. Heart Disease (Diagnosed), Percent of Adults Age 18 by County, BRFSS 201112 Over 7.0% 5.1 - 7.0% 3.1 - 5.0% Under 3.1% No Data or Data Suppressed Report Area Adults Ever Diagnosed with Heart Disease by Race / Ethnicity, Percent Report Area White (Non-Hispanic) Black (Non-Hispanic) Other Race (Non-Hispanic) Hispanic / Latino Report Area Report Area White (Non-Hispanic) Black (Non-Hispanic) no data Other Race (Non-Hispanic) no data no data Hispanic / Latino no data Michigan 5.15% 4.07% 5.74% 4.74% United States 4.99% 3.63% 3.23% 2.92% Note: No county data available. See FOOTNOTES for more details. Heart Disease - Medicare Population This indicator reports the percentage of the Medicare fee-for-service population with ischaemic heart disease. Percent with Heart Disease Report Area Total Medicare Beneficiaries with Heart Percent with Heart Beneficiaries Disease Disease 1,080,892 379,488 35.11% Allegan County, MI 9,594 2,581 26.90% Barry County, MI 5,794 1,640 28.31% Bay County, MI 18,048 8,134 45.07% Berrien County, MI 27,193 8,568 31.51% Branch County, MI 6,549 2,087 31.87% Calhoun County, MI 21,879 6,122 27.98% 5,502 1,781 32.37% Report Area Cass County, MI Report Area (35.11%) Michigan (34.35%) United States (28.55%) Clinton County, MI 6,643 1,876 28.24% Eaton County, MI 10,582 2,974 28.10% Genesee County, MI 57,818 22,696 39.25% Gratiot County, MI 6,423 2,154 33.54% Hillsdale County, MI 6,741 2,377 35.26% Huron County, MI 6,975 3,009 43.14% 36,307 9,712 26.75% Ionia County, MI 6,583 1,989 30.21% Isabella County, MI 7,248 2,323 32.05% Jackson County, MI 23,224 7,155 30.81% Kalamazoo County, MI 28,112 7,575 26.95% Kent County, MI 47,575 12,041 25.31% Lapeer County, MI 10,834 3,972 36.66% Lenawee County, MI 15,432 4,240 27.48% Livingston County, MI 15,612 4,357 27.91% Macomb County, MI 110,458 46,959 42.51% Mecosta County, MI 5,876 1,619 27.55% Midland County, MI 12,084 4,049 33.51% Monroe County, MI 19,132 6,824 35.67% Ingham County, MI Montcalm County, MI 9,062 3,006 33.17% Muskegon County, MI 21,789 5,009 22.99% Newaygo County, MI 5,263 1,401 26.62% Oakland County, MI 140,479 54,136 38.54% Oceana County, MI 4,297 1,072 24.95% Ottawa County, MI 18,754 4,371 23.31% Saginaw County, MI 31,328 10,817 34.53% St. Clair County, MI 24,555 10,129 41.25% St. Joseph County, MI 8,868 2,697 30.41% Sanilac County, MI 7,393 3,138 42.45% 10,735 3,426 31.91% 9,561 3,867 40.45% Van Buren County, MI 11,139 3,303 29.65% Washtenaw County, MI 33,202 7,582 22.84% 216,249 86,720 40.10% 1,265,431 434,673 34.35% 34,126,305 9,744,058 28.55% Shiawassee County, MI Tuscola County, MI Wayne County, MI Michigan United States Note: This indicator is compared with the state average. Data breakout by demographic groups are not available. Data Source: Centers for Medicare and Medicaid Services : 2012. Source geography: County. Beneficiaries with Ischemic Heart Disease, Percent by County, CMS 2012 Over 32.0% 28.1 - 32.0% 24.1 - 28.0% Under 24.1% No Data or Data Suppressed Report Area FOOTNOTES Population Age 18-64 Data Background The American Community Survey (ACS) is a nationwide, continuous survey designed to provide communities with reliable and timely demographic, housing, social, and economic data. The ACS samples nearly 3 million addresses each year, resulting in nearly 2 million final interviews. The ACS replaces the long-form decennial census; however, the number of household surveys reported annually for the ACS is significantly less than the number reported in the long-form decennial census. As a result, the ACS combines detailed population and housing data from multiple years to produce reliable estimates for small counties, neighborhoods, and other local areas. Negotiating between timeliness and accuracy, the ACS annually releases current, one-year estimates for geographic areas with large populations; three-year, and five-year estimates are also released each year for additional areas based on minimum population thresholds. Citation: U.S. Census Bureau: A Compass for Understanding and Using American Community Survey Data (2008). For more information about this source, including data collection methodology and definitions, refer to the American Community Survey website. Methodology Population counts for demographic groups and total area population data are acquired from the U.S. Census Bureau’s American Community Survey. Data represent estimates for the 5 year period 2008-2012. Mapped data are summarized to 2010 census tract boundaries. Area demographic statistics are measured as a percentage of the total population based on the following formula: Percentage = [Subgroup Population] / [Total Population] * 100 For more information on the data reported in the American Community Survey, please see the complete American Community Survey 2012 Subject Definitions. Notes Race and Ethnicity Race and ethnicity (Hispanic origin) are collected as two separate categories in the American Community Survey (ACS) based on methods established by the U.S. Office of Management and Budget (OMB) in 1997. Indicator race and ethnicity statistics are generated from self-identified survey responses. Using the OMB standard, the available race categories in the ACS are: White, Black, American Indian/Alaskan Native, Asian, and Other. An ACS survey respondent may identify as one race alone, or may choose multiple races. Respondents selecting multiple categories are racially identified as “Two or More Races”. The minimum ethnicity categories are: Hispanic or Latino, and Not Hispanic or Latino. Respondents may only choose one ethnicity. All social and economic data are reported in the ACS public use files by race alone, ethnicity alone, and for the white non-Hispanic population. Data Limitations Beginning in 2006, the population in group quarters (GQ) was included in the ACS. Some types of GQ populations have age and sex distributions that are very different from the household population. The inclusion of the GQ population could therefore have a noticeable impact on demographic distribution. This is particularly true for areas with a substantial GQ population (like areas with military bases, colleges, or jails). Population Age 65 Data Background The American Community Survey (ACS) is a nationwide, continuous survey designed to provide communities with reliable and timely demographic, housing, social, and economic data. The ACS samples nearly 3 million addresses each year, resulting in nearly 2 million final interviews. The ACS replaces the long-form decennial census; however, the number of household surveys reported annually for the ACS is significantly less than the number reported in the long-form decennial census. As a result, the ACS combines detailed population and housing data from multiple years to produce reliable estimates for small counties, neighborhoods, and other local areas. Negotiating between timeliness and accuracy, the ACS annually releases current, one-year estimates for geographic areas with large populations; three-year, and five-year estimates are also released each year for additional areas based on minimum population thresholds. Citation: U.S. Census Bureau: A Compass for Understanding and Using American Community Survey Data (2008). For more information about this source, including data collection methodology and definitions, refer to the American Community Survey website. Methodology Population counts for demographic groups and total area population data are acquired from the U.S. Census Bureau’s American Community Survey. Data represent estimates for the 5 year period 2008-2012. Mapped data are summarized to 2010 census tract boundaries. Area demographic statistics are measured as a percentage of the total population based on the following formula: Percentage = [Subgroup Population] / [Total Population] * 100 For more information on the data reported in the American Community Survey, please see the complete American Community Survey 2012 Subject Definitions. Notes Race and Ethnicity Race and ethnicity (Hispanic origin) are collected as two separate categories in the American Community Survey (ACS) based on methods established by the U.S. Office of Management and Budget (OMB) in 1997. Indicator race and ethnicity statistics are generated from self-identified survey responses. Using the OMB standard, the available race categories in the ACS are: White, Black, American Indian/Alaskan Native, Asian, and Other. An ACS survey respondent may identify as one race alone, or may choose multiple races. Respondents selecting multiple categories are racially identified as “Two or More Races”. The minimum ethnicity categories are: Hispanic or Latino, and Not Hispanic or Latino. Respondents may only choose one ethnicity. All social and economic data are reported in the ACS public use files by race alone, ethnicity alone, and for the white non-Hispanic population. Data Limitations Beginning in 2006, the population in group quarters (GQ) was included in the ACS. Some types of GQ populations have age and sex distributions that are very different from the household population. The inclusion of the GQ population could therefore have a noticeable impact on demographic distribution. This is particularly true for areas with a substantial GQ population (like areas with military bases, colleges, or jails). Diabetes Prevalence Data Background The Centers for Disease Control and Prevention’s National Center for Chronic Disease Prevention and Health Promotion monitors the health of the Nation and produces publically available data to promote general health. The division maintains the Diabetes Data and Trends data system, which includes the National Diabetes Fact Sheet and the National Diabetes Surveillance System. These programs provide resources documenting the public health burden of diabetes and its complications in the United States. The surveillance system also includes county-level estimates of diagnosed diabetes and selected risk factors for all U.S. counties to help target and optimize the resources for diabetes control and prevention. Citation: Centers for Disease Control and Prevention, Diabetes Data & Trends: Frequently Asked Questions (FAQ). (2012). Methodology Data for total population and estimated obese population data are acquired from the County Level Estimates of Diagnosed Diabetes, a service of the Centers for Disease Control and Prevention’s National Diabetes Surveillance Program. Diabetes and other risk factor prevalence is estimated using the following formula: Percent Prevalence = [Risk Factor Population] / [Total Population] * 100. All data are estimates modeled by the CDC using the methods described below: The National Diabetes Surveillance system produces data estimating the prevalence of diagnosed diabetes and population obesity by county using data from CDC's Behavioral Risk Factor Surveillance System (BRFSS) and data from the U.S. Census Bureau’s Population Estimates Program. The BRFSS is an ongoing, monthly, state-based telephone survey of the adult population. The survey provides state-specific information on behavioral risk factors and preventive health practices. Respondents were considered to have diabetes if they responded "yes" to the question, "Has a doctor ever told you that you have diabetes?" Women who indicated that they only had diabetes during pregnancy were not considered to have diabetes. Respondents were considered obese if their body mass index was 30 or greater. Body mass index (weight [kg]/height [m]2) was derived from self-report of height and weight. Respondents were considered to be physically inactive if they answered "no" to the question, "During the past month, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?" Three years of data were used to improve the precision of the year-specific county-level estimates of diagnosed diabetes and selected risk factors. For example, 2003, 2004, and 2005 were used for the 2004 estimate and 2004, 2005, and 2006 were used for the 2005 estimate. Estimates were restricted to adults 20 years of age or older to be consistent with population estimates from the U.S. Census Bureau. The U.S. Census Bureau provides year-specific county population estimates by demographic characteristics—age, sex, race, and Hispanic origin. . The county-level estimates were based on indirect model-dependent estimates. The model-dependent approach employs a statistical model that “borrows strength” in making an estimate for one county from BRFSS data collected in other counties. Bayesian multilevel modeling techniques were used to obtain these estimates. Separate models were developed for each of the four census regions: West, Midwest, Northeast and South. Multilevel Poisson regression models with random effects of demographic variables (age 20–44, 45–64, 65 ; race; sex) at the county-level were developed. State was included as a county-level covariate. Citation: Centers for Disease Control and Prevention, Diabetes Data & Trends: Frequently Asked Questions (FAQ). (2012). Rates were age adjusted by the CDC for the following three age groups: 20-44, 45-64, 65 . Additional information, including the complete methodology and data definitions, can be found at the CDC’s Diabetes Data and Trends website. Notes Race and Ethnicity Statistics by race and ethnicity are not provided for this indicator from the data source. Detailed race/ethnicity data may be available at a broader geographic level, or from a local source. Diabetes - Medicare Population Data Background The Centers for Medicare & Medicaid Services (CMS), a branch of the Department of Health and Human Services (HHS), is the federal agency that runs the Medicare Program and monitors Medicaid programs offered by each state. Medicare is a type of federally-funded health insurance available to disabled persons and the population age 65 and older. CMS provides various data on the Medicare population based on claims and enrollment data. Methodology Indicator percentages are acquired for 2012 from Centers for Medicare and Medicaid Services (CMS) Chronic Conditions Warehouse. The data used in the chronic condition reports are based upon CMS administrative enrollment and claims data for Medicare beneficiaries enrolled in the fee-for-service program. Beneficiaries who died during the year are included up to their date of death if they meet the other inclusion criteria. Chronic condition prevalence estimates are calculated by CMS by taking the beneficiaries with a particular condition divided by the total number of beneficiaries in our fee-for-service population, expressed as a percentage. For more information and to view the original data, please visit the CMS Chronic Conditions web page. Heart Disease Prevalence Data Background The Behavioral Risk Factor Surveillance System (BRFSS) is “... a collaborative project of the Centers for Disease Control and Prevention (CDC) and U.S. states and territories. The BRFSS, administered and supported by CDC's Behavioral Risk Factor Surveillance Branch, is an ongoing data collection program designed to measure behavioral risk factors for the adult population (18 years of age or older) living in households. ” Citation: Centers for Disease Control and Prevention, Office of Surveillance, Epidemiology, and Laboratory Services. Overview: BRFSS 2010. The health characteristics estimated from the BRFSS include data pertaining to health behaviors, chronic conditions, access and utilization of healthcare, and general health. Surveys are administered to populations at the state level and then delivered to the CDC. BRFSS annual survey data are publically available and maintained on the CDC's BRFSS Annual Survey Data web page. For more information on the BRFSS survey methods, or to obtain a copy of the survey questionnaires, please visit the Behavioral Risk Factor Surveillance System home page. Methodology Indicator percentages are acquired from analysis of annual survey data from the Behavioral Risk Factor Surveillance System (BRFSS) for years 2011-2012. Percentages are generated based on valid responses to the following questions: " Has a doctor, nurse, or other health professional ever told you that you had any of the following: -Ever told you had a heart attack, also called mycardial infarction? -Ever told you had angina or coronary heart disease? - Ever told you had a stroke?" This indicator represents the percentage of those persons who answered that “yes”, they have been diagnosed with angina or coronary heart disease. Data only pertain to the non-institutionalized population aged 18 and up and are weighted to reflect the total county population using the methods described in the BRFSS Comparability of Data documentation. Additional detailed information about the BRFSS, including questionnaires, data collection procedures, and data processing methodologies are available on the Behavioral Risk Factor Surveillance System home page. Notes Data Suppression Suppression is used to avoid misinterpretation when rates are unstable. Data is suppressed when the total number of persons sampled (for each geographic area / population group combination) over the survey period is less than 20. Data are unreliable when the total number of persons sampled over the survey period is less than 50. Confidence intervals are available when exploring the data through the map viewer. Race and Ethnicity Race and ethnicity (Hispanic origin) are collected as two separate categories in the Behavioral Risk Factor Surveillance System (BRFSS) interview surveys based on methods established by the U.S. Office of Management and Budget (OMB) in 1997. Before the raw survey data files are released, self-identified race and ethnicity variables are recoded by National Center for Health Statistics (NCHS) analysts into the following categories: White, Non-Hispanic; Black, Non-Hispanic; Multiple Race, Non-Hispanic; Other Race, Non-Hispanic; and Hispanic or Latino. Due to sample size constraints, race and ethnicity statistics are only reported at the state and national levels. Heart Disease - Medicare Population Data Background The Centers for Medicare & Medicaid Services (CMS), a branch of the Department of Health and Human Services (HHS), is the federal agency that runs the Medicare Program and monitors Medicaid programs offered by each state. Medicare is a type of federally-funded health insurance available to disabled persons and the population age 65 and older. CMS provides various data on the Medicare population based on claims and enrollment data. Methodology Indicator percentages are acquired for 2012 from Centers for Medicare and Medicaid Services (CMS) Chronic Conditions Warehouse. The data used in the chronic condition reports are based upon CMS administrative enrollment and claims data for Medicare beneficiaries enrolled in the fee-for-service program. Beneficiaries who died during the year are included up to their date of death if they meet the other inclusion criteria. Chronic condition prevalence estimates are calculated by CMS by taking the beneficiaries with a particular condition divided by the total number of beneficiaries in our fee-for-service population, expressed as a percentage. For more information and to view the original data, please visit the CMS Chronic Conditions web page. Report prepared by http://assessment.communitycommons.org on July 18, 2014 © Community Commons & IP3.