Community Analysis 2010 Community Presentation 04132011 2

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							      2010 McHenry County
     Healthy Community Study


Community Analysis

          Prepared by
    Kristen Harrison, M.P.H
            Epidemiologist
  McHenry County Department of Health
Topics
   Population                   Natality (Births)
   Demographics                 Mortality (Deaths)
   Housing                      Health Status & Behavior
   Education                    Healthcare Resources &
   Employment                    Utilization
   Income &Poverty              Environmental Health
   Crime

**Note: All data in this presentation is specific to McHenry
County, unless otherwise noted.


                                                           April 2011
             POPULATION




April 2011
McHenry County Population:
1900 - 2010
   The population of McHenry County grew by 18.7% from 2000 to
    2010.




Source: US Census Bureau, decennial Census counts
                                                                  April 2011
             DEMOGRAPHICS




April 2011
Persons by Race/Ethnicity1: 2009




1All
   groups except Hispanic are non-Hispanic.
Source: US Census Bureau, Population Division, 2009 Census estimates   April 2011
Population Change by Race/Ethnic Group:
2000 - 2009




1All
   groups except Hispanic are non-Hispanic.
Source: US Census Bureau, Population Division, 2009 Census estimates and decennial Census for 2000   April 2011
Population by Age Group: 2009
   Median age: 37.9 years.
   One in 5 people were under 18 years.
   One in 10 people were 65 years or older.




Source: US Census Bureau, Population Division, 2009 Census estimates
                                                                       April 2011
Percent Change Among Selected Age
Groups: 2000 - 2009




Source: US Census Bureau, Population Division, 2009 Census estimates and decennial Census for 2000
Age Distribution by Gender: 2009
   In 2009, for every female there was 1.3 males.




Source: US Census Bureau, Population Division, 2009 Census estimates
                                                                       April 2011
                  HOUSEHOLD
             & MARITAL STATUS




April 2011
Household Types: 2005 - 2009
   106,951 households in McHenry County
   Average household size: 2.91 persons
   Average family size: 3.38 persons

           All Households                                      Households With Children <18
                                                                          Years




Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year estimates
                                                                                              April 2011
Marriages, Divorces/Annulments
& Dissolution Ratio: 1980 - 2009
   In 2009, for every 100 marriages there were 76 divorces in the
    County – 31 more than the State.

           Marriages & Divorces                 Dissolution Ratio




Source: Illinois Department of Public Health
                                                                     April 2011
             HOUSING




April 2011
Home Value: 2005 - 2009
   County median home value: $251,200 (IL: $200,400)




Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year Estimates
                                                                                   April 2011
Home Sales and Median Price:
2005 - 2009




         Percent Change 2005 - 2009                      Percent Change 2005 - 2009
          • Single family : -55%                         • Single family : -39%
          • Condo: -57%                                  • Condo: -17%

Source: Illinois Association of Realtors, Market Sales
                                                                                      April 2011
Homeownership & Housing Costs:
2005 -2009
   County homeownership rate: 85% (IL: 69%, US: 67%).

   Median home costs:
       Homeowners w mortgage: 26.9% of annual income (IL: 25.5%,
        US: 24.8%)
       Renters: 31% (IL: 31.0%, US: 30.0%)

   Affordable housing is generally considered to be <30%
    of the annual income of a household1
       Percent of homeowners with home costs ≥30% of annual
        household income
           Homeowners w mortgage: 40.8% (IL: 38.1%; US: 36.7%)
           Renters: 48.4% (IL: 46.4%; US: 38.7%)


1US Department of Housing and Urban Development (HUD)
Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year Estimates   April 2011
             EDUCATION




April 2011
Educational Attainment
(Adults 25 Years and Older): 2005 - 2009




Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year Estimates
                                                                                   April 2011
             EMPLOYMENT




April 2011
Unemployment: 1980 - 2009
   2009 unemployment rate: 9.7% (IL: 10.1%; US: 9.3%)




Source: Illinois Department of Employment Security, Local Area Unemployment Statistics
                                                                                         April 2011
   Annual Employment by Industry: 2000 - 2009
                                                                 Percent
             Sector                       2009        2000
                                                                 Change
Goods Producing                          22,809 32,639            -30.1%
 Natural Resources and Mining              763         698        +9.3%
 Construction                             6,665      8,913        -25.2%
 Manufacturing                           15,381 23,028            -33.2%          Net gain: +3,812 jobs (+4.2%)
Service Providing                        67,467 54,841           +23.0%
  Trade, Transportation &                20,138 18,845            +6.9%           Largest employment growth:
  Utilities
                                                                                      Professional and business
  Information                             1,288      1,666        -22.7%               services sector (+51.1%)
  Finance Activities                      2,997      2,588       +15.8%
  Professional & Business                10,027      6,638       +51.1%
                                                                                  Largest employment loss:
  Services
                                                                                      Manufacturing (-33.2%)
  Educational & Health                   20,765 14,671           +41.5%
  Services
  Leisure & Hospitality                   9,042      7,576       +19.4%
  Other Services                          3,210      2,857       +12.4%
Government                                4,112      3,096       +32.8%
TOTAL                                    94,388 90,576            +4.2%

    Source: Illinois Department of Employment Security, LEHD State of Illinois County Reports – Quarterly Workforce
    Indicators                                                                                                        April 2011
                INCOME
             & POVERTY




April 2011
Median Household Income:
1999 & 2005 - 2009
   The County’s median household income exceeded the State by
    $22,092 during 2005-2009.




Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year estimates and decennial Census for 2000
                                                                                                                 April 2011
Poverty for Selected Groups: 2005 - 2009

                                                             McHenry
                             Group                                             Illinois     US
                                                             County
          All people                                            5.6%            12.4%      13.5%
          People 65 years and older                             4.5%                8.9%   9.8%
          Families                                              4.2%                9.1%   9.9%
               With children < 18 years old                     6.3%            14.1%      15.3%
               With children < 5 years old                      7.6%            15.2%      16.6%
          Female-headed families                               21.2%            28.1%      28.7%
               With children < 18 years old                    29.7%            36.8%      37.1%
               With children < 5 years old                     55.3%            45.0%      45.6%




Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year estimates.
                                                                                                   April 2011
Medicaid Recipients: 1990 - 2009
   More than 5-fold increase in the number of recipients




Source: Illinois Department of Human Services, Bureau of Research and Analysis.
                                                                                  April 2011
             CRIME




April 2011
Crime1 & Crime Rate: 1999 - 2008
   2008 crime rate: 1,807.9 crimes per 100,000 population.
        75% were theft and 14% were burglary.




1Only  counting index crimes, which include murder and manslaughter, criminal sexual assault, robbery, aggravated assault
(including attempted murder, aggravated battery, and ritual mutilation), burglary, larceny/theft, motor vehicle theft, and arson.
Source: Illinois State Police, Illinois Uniform Crime Reporting Program                                                           April 2011
             NATALITY
                (Births)




April 2011
Birth Rates: 1980 - 2008
   2008 birth rate: 12.0 births per 1,000 population (IL: 13.8; US: 14.0)




Source: Illinois Department of Public Health, and National Center for Health Statistics
                                                                                          April 2011
Age-Specific Fertility: 2008
   The overall fertility rate for McHenry County was 28.1 births per
    1,000 females (IL: 31.2).




1Age-group   specific female population
Source: Illinois Department of Public health, and US Census Bureau, 2008 estimates   April 2011
Births to Teen Mothers: 1980 - 2008
   2008 percent of births to teen mothers: 5.0% (IL: 10.0%; US: 10.4%)




Source: Illinois Department of Public Health, and National Center for Health Statistics
                                                                                          April 2011
Births to Unmarried Mothers: 1980 - 2008
   2008 percent of births to unmarried mothers: 29.1% (IL: 40.7% , US:
    40.6%)




Source: Illinois Department of Public Health, and National Center for Health Statistics
                                                                                          April 2011
Infant Mortality: 1980 - 2007
   2007 infant deaths: 21
   2007 infant death rate: 5.1 deaths per 1,000 live births (IL: 6.6; US: 6.8)
   1980 – 2007 percent change: -52%




Source: Illinois Department of Public Health, and National Center for Health Statistics
                                                                                          April 2011
             MORTALITY
                 (Deaths)




April 2011
Mortality Rate: 1980 - 2007
   2007 mortality rate: 5.8 deaths per 1,000 population (IL: 7.8; US: 8.0)




Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database
                                                                                                                 April 2011
Leading Causes of Death: 2007
                                                                                        Crude Mortality
        Rank                           Cause                            Deaths              Rate1
                                 TOTAL                                   1,820                 578.4
        1.         Cancer                                                 493                  156.7
        2.         Heart disease                                          418                  132.8
        3.         Accidents                                              120                   38.1
        4.         Stroke                                                 110                   35.0
        5.         Chronic lower respiratory disease
                                                                           94                   29.9
                      (formerly COPD)
        6.         Alzheimer’s disease                                     66                   21.0
        7.         Kidney disease                                          43                   13.7
        8.         Diabetes mellitus                                       40                   12.7
        T-9.       Influenza & pneumonia                                   31                    9.9
        T-9.       Suicide                                                 31                    9.9

1Rateper 100,000 population
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database   April 2011
Leading Causes of Death:1997 & 2007

                       1997                                                            2007
                                             Age-                                                           Age-
                                           Adjusted                                                       Adjusted
              Cause                                                           Cause
                                           Mortality                                                      Mortality
                                            Rate1                                                          Rate1
1. Heart disease                              161.3            1. Cancer                                     190.8
2. Cancer                                     147.2            2. Heart disease                              169.1
3. Stroke                                      47.4            3. Stroke                                         45.5
4. Chronic lower                               27.2            4. Chronic lower                                  39.1
   respiratory disease                                            respiratory disease
5. Accidents                                   20.6            5. Accidents                                      30.3




1Rateper 100,000 population using 2000 US standard population
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database          April 2011
Leading Causes of Premature Mortality: 2007
                                                                 Percent Of Cause Under 65
                                                                           Years
                                                                  McHenry
                                                                                         Illinois
                                   Cause                          County
                  All Causes                                        24.7%                26.4%

                  Suicide                                           90.3%                85.2%

                  Accidents                                         67.4%                67.7%

                  Diabetes mellitus                                 32.5%                26.4%

                  Cancer                                            28.4%                30.2%

                  Kidney disease                                    20.9%                16.1%

                  Heart disease                                     17.7%                20.3%

                  Influenza & pneumonia                             16.1%                13.5%

                  Stroke                                            11.8%                13.4%

                  Chronic lower respiratory disease                 10.6%                13.7%

                  Septicemia                                        10.3%                24.0%

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database
                                                                                                                 April 2011
Leading Causes of Death by Age Group:
2003 – 2007
          Age Group                                            Cause of Death
     0 – 11 Months               1. Perinatal conditions
                                 2. Congenital malformations
     1 – 14 Years                1. Congenital malformation
     15 – 24 Years               1. Motor vehicle accidents
                                 2. Accidental poisoning/exposure to noxious substances
     25 - 44 Years               1. Motor vehicle accidents
                                 2. Accidental poisoning/exposure to noxious substances
     45 – 64 Years               1. Lung cancer
                                 2. Heart attack
     65 – 74 Years               1. Lung cancer
                                 2. Chronic lower respiratory disease (formerly COPD)
     75 Years & Older            1. Stroke
                                 2. Alzheimer’s disease




Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database
                                                                                                                 April 2011
             HEALTH STATUS
               & BEHAVIORS




April 2011
Perception of General Health (Adults 25
Years & Older): 2007




Source: Illinois Department of Public Health, Behavioral Risk Factor Survey
                                                                              April 2011
Perception of Health Status: 2007

                                                        Percent of Adults 25+ Years
                          Response                      McHenry County        Illinois
                     Days Mental Health Not Good Within Past Month
                            None                                 57.0%        62.1%
                            1 – 7 days                           29.3%        25.8%
                            8 – 30 days                          13.7%        12.1%
                     Days Physical Health Not Good Within Past Month
                            None                                 66.8%        61.5%
                            1 – 7 days                           21.1%        26.1%
                            8 – 30 days                          12.1%        12.4%




Source: Illinois Department of Public Health, Behavioral Risk Factor Survey
                                                                                         April 2011
Prevalence of Selected Conditions in Adults:
2007




Source: Illinois Department of Public Health, Behavioral Risk Factor Survey
                                                                              April 2011
Obesity Status (Adults 25 Years & Older):
2007
   Almost 60% of adults are overweight or obese in the County and
    62% in Illinois.




Source: Illinois Department of Public Health, Behavioral Risk Factor Survey
                                                                              April 2011
Smoking Status (Adults 25 Years & Older):
2007




Source: Illinois Department of Public Health, Behavioral Risk Factor Survey
                                                                              April 2011
Leading Cancer Incidence by Site:
2003 - 2007


                       Males                                                           Females
            Site                   Number          Rate1                        Site        Number   Rate1
          TOTAL                      3,140         552.6                       TOTAL         3,117   446.8
1. Prostate                           888          156.1              1. Invasive breast     867     120.6
2. Lung & bronchus                    422           79.4              2. Lung & bronchus     402     60.6
3. Colon & rectum                     324           59.0              3. Colon & rectum      335     49.5
4. Urinary bladder                    221           42.0              4. Corpus & uterus     223     31.4




1Age-adjusted   incidence rate per 100,000 population
Source: Illinois Department of Public Health, Illinois State Cancer Registry                            April 2011
Population With At Least One Disability
by Age Group: 2005 - 2007
   9.6% of people five years and older have at least one disability (US:
    15.1%).

                                                                Disabilities include:
                                                                •  Sensory: blindness, deafness or a severe
                                                                   vision or hearing impairment
                                                                •  Physical: a condition that substantially limits
                                                                   one or more basic physical activities, such as
                                                                   walking, climbing stairs, reaching, lifting or
                                                                   carrying
                                                                •  Mental: learning, remembering or
                                                                   concentration
                                                                •  Self-care: dressing, bathing or getting
                                                                   around inside the home
                                                                •  Outside home: going outside the home
                                                                   alone to shop or visit a doctor’s office
                                                                •  Employment: working at a job or business




Source: US Census Bureau, 2005 – 2007 American Community Survey 3-Year Estimates
                                                                                                           April 2011
             HEALTHCARE RESOURCES
                      & UTILIZATION




April 2011
Healthcare Utilization: 2007


                                                                              Percent of Adults
                                                                                 25+ Years
                                                                              McHenry
                                 Indicator                                    County     Illinois
Have health coverage                                                           92.4%     85.0%
Have usual person as health care provider                                      84.8%     82.7%
Avoided doctor due to cost                                                     8.1%      12.8%
Have dental insurance                                                          67.7%       NA




Source: Illinois Department of Public Health, Behavioral Risk Factor Survey
                                                                                                April 2011
Last Dental Visit (Adults 25 Years & Older):
2007




Source: Illinois Department of Public Health, Behavioral Risk Factor Survey
                                                                              April 2011
 Hospitalization Rate for Leading Reasons1:
 2009
                                                                            McHenry County   Illinois
Rank              Diagnosis-Related Group (DRG) Description
                                                                            Number   Rate2   Rate2
 1.       Psychoses (885)                                                    1,737    54.1    74.7
 2.       Major joint replacement/reattachment of lower extremity without
                                                                             1,050    32.7    31.2
          complications (470)
 3.       Esophagitis, gastroenteritis and miscellaneous digestive
                                                                             986      30.7    32.4
          disorders without complications (392)
 4.       Alcohol/drug abuse or dependence without rehabilitation therapy
                                                                             628      19.6    27.7
          or complications (897)
 5.       Chest pain (313)                                                   509      15.9    19.8
 6.       Rehabilitation (945)                                               484      15.1    17.4
 7.       Nutritional and miscellaneous metabolic disorders without
                                                                             438      13.6    17.0
          complications (641)
 8.       Percutaneous cardiovascular procedure with drug-eluting stent
                                                                             407      12.7    10.9
          without complications (247)
 9.       Circulatory disorders except acute myocardial infarction, with
                                                                             394      12.3    12.2
          cardiac catheterization without complications (287)
10.       Simple pneumonia and pleurisy with comorbid conditions (194)       388      12.1    16.5
  1Excluding   birth-related reasons
  2Rateper 10,000 population
  Source: Illinois Hospital Association, COMPdata                                             April 2011
Population Per Physician: 2008




Source: American Medical Association, Physician Characteristics and Distribution in the US 2010 Edition
.                                                                                                         April 2011
             ENVIRONMENTAL
                    HEALTH




April 2011
McHenry County Air Quality: 1998 - 2008
   2008 percent of days: 83.9% good, 16.1% moderate
   1998 – 2008 Average Percent of Days:
       85.1% good air quality,
       13.3% moderate, and
       1.6% unhealthy for sensitive groups.




Source: US Environmental Protection Agency, Air Quality Index Report
                                                                       April 2011
                STRENGTHS
             & CHALLENGES




April 2011
Strengths - General
   High homeownership rates
   Higher overall educational attainment
   High median household income
   Low poverty rates
   Decreasing crime rate




                                            April 2011
Strengths - Health
   Decreasing birth rates, births to teen moms and infant mortality, and
    increasing births to older moms
   Low mortality rate
   Perception of general and physical health is higher than State
   Lower diabetes and high cholesterol prevalence than State and
    comparable hypertension prevalence
   Lower obesity rates
   Small percent of the population with a disability
   Higher rates of health care coverage than State
   Good air quality




                                                                        April 2011
Challenges - General
   Population growth
   Increase in minority populations
   Aging population
   Increasing divorce rate and decreasing marriage rate
   Home values are high and the cost is a substantial portion of income
    for many
   Falling housing market
   Increasing unemployment, especially in manufacturing
   High poverty among single mothers
   Increasing Medicaid participation




                                                                      April 2011
Challenges - Health
   Increasing births to unmarried mothers
   Most deaths due to cancer or heart disease
   Percent of population experiencing poor mental health is higher than
    the State
   Higher prevalence of asthma and arthritis than State
   3 out of 5 adults are overweight or obese
   Prostate (men only) and Breast (female only), lung and colorectal
    cancers are the most common in the County
   Most frequent reasons for hospitalization were for mental disorders,
    hip/knee replacements and digestive disorders
   High population per physician for all types of practices and
    specialties




                                                                      April 2011

						
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