HEALTH ______ Tallahassee-Leon County Florida by cuiliqing

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									                     Quality of Life Report         Tallahassee-Leon County, FL




                                          HEALTH
                                        _____________
                                   Tallahassee-Leon County
                                            Florida




21st Century Council, Tallahassee, FL                           www.21stcenturycouncil.net
                             Quality of Life Report                                                Tallahassee-Leon County, FL

                                                                  HEALTH
                                                  Indicator 1: Health Insurance

Indicator:
Percentage of children and non-elderly adults who do                                               Lack of Health Insurance
                                                                                                    Percent not insured as of 1999
not have health insurance.
                                                                                          50%
                                                                                          45%
Analysis:
Approximately one in ten (10%) children in Leon County do                                 40%




                                                                    Percent not insured
                                                                                          35%
not have any health insurance through Medicaid, private                                                                                                   Leon
                                                                                          30%
insurance or other sources. This percentage is better than the
                                                                                          25%                                                             Florida
statewide average.
                                                                                          20%
                                                                                          15%
Adults ages 18-64 are less likely than children to have
                                                                                          10%
health insurance in Leon County and in Florida. The
                                                                                          5%
discrepancy in coverage between the entire non-elderly
                                                                                          0%
population (ages 0-64) compared to the 0-18 age group is                                        Ages 0-18                      Ages 0-64
accounted for by this group.

Data source:                                                                1999                      Ages 0-18                        Ages 0-64
Florida Agency for Health Care Administration
                                                                  Leon County                             11%                            14%
Florida Health Insurance Study, 1999
                                                                  Florida                                 14%                            17%
Website:                                                         Seniors (age 65+) are not shown because most are covered by Medicare.
http://www.fdhc.state.fl.us/index.shtml
                                                                 County estimates for the Florida Health Insurance Survey will be updated in September 2004.




21st Century Council, Tallahassee, FL                                                                                         www.21stcenturycouncil.net
                             Quality of Life Report                                                                  Tallahassee-Leon County, FL

                                                                                          HEALTH                                                    Updated
                                                Indicator 2: Emergency Room Visits                                                                   3/31/04




Indicator:
Number of visits to emergency                                                                             Emergency Room Visits
                                                                                                               Leon County Hospitals
rooms at Tallahassee Memorial
Hospital (TMH) and Capital                                                   100,000

Regional Medical Center (CRMC),                                               80,000


                                                          Number of Visits
reported for all ages.
                                                                              60,000                                                                                      TMH
Analysis:                                                                                                                                                                 CRMC
                                                                              40,000
From 1995 to 2002, the number of                                                                                                                                          TOTAL
hospital emergency room (ER) visits in                                        20,000
Leon County increased at a much higher
rate (25%) than the population (14%).                                                 0
TMH continues to receive the largest                                                      95   96    97   98    99   00    01   02    03      04    05      06
number of ER visits in the county.                                                                                      Year
However, CRMC showed the largest
percentage increase (35%) over this time
period.
                                                                                                                                                                          Percent
Data source:                                                                                                                                                              Change
Florida Agency for Health Care Administration                                 1995         1996      1997       1998       1999       2000          2001          2002    1995-2002
Center for Health Statistics                     TMH*                        52,721       52,417    55,105     58,687     62,461     63,954        62,229        63,552     21%
                                                 CRMC                        19,369       18,477    16,621     16,804     18,723     19,675        22,193        26,212     35%
Website:                                         TOTAL                       72,090       70,894    71,726     75,491     81,184     83,629        84,422        89,764     25%
http://www.fdhc.state.fl.us/index.shtml            * TMH data are reported for fiscal years ending in the date shown. CRMC data are reported by calendar year.




21st Century Council, Tallahassee, FL                                                                                                                www.21stcenturycouncil.net
                             Quality of Life Report                                                                       Tallahassee-Leon County, FL

                                                                                   HEALTH                                                    Updated
                                                              Indicator 3: Infant Mortality                                                      2/8/04




Indicator:
Number of infants, per 1,000 live births, who died                                                                       Infant Mortality Rates
                                                                                                                          Three-year rolling averages
before their first birthday – by race.
                                                                                                20.00
                                                                                                18.00




                                                                      Number of infant deaths
                                                                        per 1,000 live births
                                                                                                16.00
Analysis:                                                                                       14.00
The infant mortality rate for all races in Leon County is                                       12.00                                                                       Leon - Black
consistently higher than in Florida (As of 2000-02, 10.5                                        10.00                                                                       FL - Black
per 1,000 live births in Leon County compared to 7.3 in                                          8.00
                                                                                                                                                                            Leon - White
Florida).                                                                                        6.00
                                                                                                 4.00                                                                       FL - White
                                                                                                 2.00
Both Leon County and Florida show a major disparity                                              0.00
between Blacks and Whites on infant mortality. The                                                      97-99   98-00   99-01    00-02   01-03    02-04   03-05   04-06
Black-White gap is higher in Leon County than in                                                                                3-year periods
Florida and has nearly doubled since 1997-99.

Data source:                                                                                                        1997-99                1998-00                1999-01   2000-02
Florida Department of Health, Public Health Statistics              Leon – Black                                      15.5                   16.7                   16.4      17.6
                                                                    FL – Black                                        12.7                   12.8                   13.2      13.2
                                                                    Leon – White                                      8.6                    8.7                    8.1        5.8
                                                                    FL – White                                        5.7                    5.6                    5.5        5.6
Websites:                                                           Leon County gap*                                  6.9                    7.9                    8.3       11.8
http://www.doh.state.fl.us/planning_eval/phstats/index.html         Florida gap*                                      7.0                    7.2                    7.7        7.6
http://www.co.leon.fl.us/lcphu/index.htm                            * Not shown on graph. The gap is the rate for Blacks minus the rate for Whites.




21st Century Council, Tallahassee, FL                                                                                                                        www.21stcenturycouncil.net
                             Quality of Life Report                                                                                  Tallahassee-Leon County, FL

                                                                                                      HEALTH                                                Updated
                                                          Indicator 4: Low Birth Weight                                                                      2/8/04




Indicator:
Percent of full-term and premature babies                                                                                            Low Birth Weight
who weighed less than 5 lbs., 9 oz. at birth.                                                         16%




                                                                        Percent under 5 lbs., 9 oz.
                                                                                                      14%
                                                                                                      12%
Analysis:                                                                                                                                                                          Leon - White
                                                                                                      10%
On average, the percentage of babies born with a                                                                                                                                   Florida - White
                                                                                                      8%
low birth weight tends to be higher in Leon
                                                                                                      6%                                                                           Leon - Black
County than in Florida.
                                                                                                      4%                                                                           Florida - Black

Black babies are about twice as likely to be born                                                     2%
with a low birth weight than White babies in                                                          0%
both Leon County and in Florida. In 2002, the                                                               95   96   97   98   99    00     01   02   03   04   05   06
Black-White disparity widened in Leon County                                                                                           Year
because of an increase in the percentage for
Blacks and a decrease for Whites.
Data source:                                                                        1995                               1996           1997         1998           1999      2000       2001           2002
Florida Department of Health                                  Leon - White          6.8%                               5.7%           6.6%         7.2%           7.8%      6.2%       8.0%           6.0%
Public Health Indicators Data System (PHIDS)                  Florida - White       6.4%                               6.6%           6.8%         6.8%           6.9%      6.6%       6.8%           7.1%
                                                              Leon - Black         12.5%                              11.4%          11.8%        14.3%          12.2%     13.2%      13.0%          14.4%
Websites:                                                     Florida - Black      12.1%                              12.3%          12.3%        12.3%          12.3%     12.4%      12.5%          12.8%
http://www.doh.state.fl.us/planning_eval/phstats/index.html   Leon – Total*         8.9%                               7.7%           8.6%         9.9%           9.3%      8.9%       9.9%           9.4%
http://www.co.leon.fl.us/lcphu/index.htm                      Florida – Total*      7.7%                               7.9%           8.0%         8.1%           8.2%      8.0%       8.2%           8.4%
                                                                   * Not shown on graph




21st Century Council, Tallahassee, FL                                                                                                                                 www.21stcenturycouncil.net
                             Quality of Life Report                                                                         Tallahassee-Leon County, FL

                                                                                            HEALTH                                                                               Updated
                           Indicator 5: Sexually Transmitted Diseases among Teenagers                                                                                              2/8/04




Indicator:
Number of new cases of chlamydia and                                                                Sexually Transmitted Diseases, Ages 15-19
                                                                                                                     Three-year rolling averages
gonorrhea, per 100,000 females ages 15-19.
                                                                                    3,000
Analysis:                                                                           2,500



                                                               Number per 100,000
After an initial decline, the reported incidence of                                                                                                                             Chlamydia - Leon
Gonorrhea and Chlamydia has risen among Leon                                        2,000
                                                                                                                                                                                Chlamydia - FL
County teenagers ages 15-19. The increase is                                        1,500
                                                                                                                                                                                Gonorrhea - Leon
particularly dramatic for Chlamydia.
                                                                                    1,000                                                                                       Gonorrhea - FL

Historically, Leon County’s rates for this age                                       500
group have been lower than the state’s. However,                                       0
in 2000-02, Leon County’s teenagers had a                                                   96-98   97-99   98-00   99-01   00-02   01-03   02-04    03-05    04-06
higher incidence of Gonnorhea and Chlamydia                                                                          3-year periods
than teenagers in the state as a whole.

Data source:
Florida Department of Health                                                                                  1996-98          1997-99              1998-00           1999-01        2000-02
Public Health Indicators Data System (PHIDS)                  Chlamydia - Leon                                 1,951            1,755                1,390             2,060          2,747
                                                              Chlamydia - Florida                              2,040            2,115                2,171             2,352          2,439
Websites:
http://www.doh.state.fl.us/planning_eval/phstats/index.html   Gonorrhea - Leon                                  668              620                  553               785            934
http://www.co.leon.fl.us/lcphu/index.htm                      Gonorrhea - Florida                               796              810                  810               814            761




21st Century Council, Tallahassee, FL                                                                                                                         www.21stcenturycouncil.net
                           Quality of Life Report                                                              Tallahassee-Leon County, FL

                                                                                         HEALTH
                                                  Indicator 6: Youth Smoking

Indicator:
Percent of youth surveyed who reported                                                                       Cigarette Smoking
smoking within the last 30 days.                                                                             smoked in last 30 days
                                                                                        25%




                                                          Percent reporting cigarette
                                                                                        20%
Analysis:
Cigarette smoking among youth has been                                                  15%



                                                                    smoking
declining in Leon County and in Florida. High                                                                                                                          2000
school students in Leon County reported a                                               10%
                                                                                                                                                                       2002
significant decline, from 22.8% in 2000 to 7.0%
in 2002.                                                                                5%

                                                                                        0%
                                                                                                 Leon -         Florida -          Leon -             Florida -
                                                                                              High Schools   High Schools      Middle Schools      Middle Schools




Data source:                                                                                                                 2000                              2002
Florida Department of Health                      Leon County - High Schools                                                22.8%                              7.0%
Florida Youth Tobacco Survey
                                                  Florida – High Schools                                                    23.0%                             17.8%
                                                  Leon County - Middle Schools                                              10.4%                          Not available
Website:
http://www9.myflorida.com/tobacco/index.html      Florida - Middle Schools                                                  10.9%                              9.2%

                                                  Note: 2004 data will be available in 2005.




21st Century Council, Tallahassee, FL                                                                                                           www.21stcenturycouncil.net
                             Quality of Life Report                                                                      Tallahassee-Leon County, FL

                                                                                           HEALTH
                                                        Indicator 7: Youth Drinking

Indicator:
Percent of students who reported that                                                                          Alcohol Use among Youth
                                                                                                                               Year 2000
they were current drinkers (one or more
drinks in the last 30 days) and binge                                               50%
                                                                                                                                                                              Leon County -
drinkers (5 or more drinks in one sitting                                           45%
                                                                                                                                                                              High Schools
                                                                                    40%

                                                            Percent reporting use
in the last 2 weeks).                                                               35%                                                                                       Florida -
                                                                                    30%                                                                                       High Schools
Analysis:                                                                           25%                                                                                       Leon County -
As of the Year 2000, underage alcohol                                               20%                                                                                       Middle Schools
consumption was a problem locally and                                               15%                                                                                       Florida -
statewide. In Leon County, 41% of high                                              10%                                                                                       Middle Schools
school students reported drinking alcohol in                                         5%
the last 30 days; 22% reported binge drinking                                        0%
in the last 2 weeks. Middle school students                                               One or more drinks in last 30 days         5 or more drinks in one
reported lower consumption, but still                                                                                                 sitting in last 2 w eeks
substantial drinking for that age group.
Data source:                                                                                                               One or more drinks                    5 or more drinks in one
Florida Department of Children and Families                                                2000                              in last 30 days                      sitting in last 2 weeks
Alcohol, Drug Abuse and Mental Health                   Leon County - High Schools                                                40.6%                                    21.5%
Florida Youth Substance Abuse Survey, 2000
(2002 data not available for grade 12 in Leon County)   Florida - High Schools                                                    43.4%                                    23.3%
                                                        Leon County - Middle Schools                                              21.1%                                     9.9%
Website:                                                Florida – Middle Schools                                                  20.4%                                     8.8%
http://www5.myflorida.com/cf_web/                       Note: 2004 data will be available in 2005.




21st Century Council, Tallahassee, FL                                                                                                                   www.21stcenturycouncil.net
                            Quality of Life Report                                                                              Tallahassee-Leon County, FL

                                                                                                       HEALTH
                                              Indicator 8: Youth Substance Abuse

Indicator:
Percent of students who reported                                                                                 Substance Abuse among Youth
                                                                                                                               Year 2000
that they used various substances
                                                                                       50%
within the last 30 days.
                                                 Percent reporting use, last 30 days
                                                                                       45%
Analysis:                                                                              40%
                                                                                                                                                                     Leon County -
Alcohol use is much more common                                                        35%
                                                                                                                                                                     High Schools
than drug use among high school and                                                    30%
                                                                                                                                                                     Florida -
middle school students in Leon                                                         25%                                                                           High Schools
County and in Florida. Both are more                                                   20%                                                                           Leon County -
common among high school students                                                      15%                                                                           Middle Schools
than middle school students.                                                           10%                                                                           Florida -
                                                                                       5%                                                                            Middle Schools
In Leon County, marijuana is the                                                       0%
drug most often used by high school                                                                  Marijuana         Illicit drug other          Alcohol
students; both marijuana and                                                                                            than Marijuana
inhalants are the substances most
commonly used by middle school
students. Drug use rates for both                                                                                                           Illicit drug other
groups are above statewide averages.                                                         2000*                   Marijuana               than Marijuana            Alcohol
                                              Leon County - High Schools                                              22.4%                        10.6%                40.6%
Data source:                                  Florida - High Schools                                                  18.3%                        10.4%                43.4%
Florida Department of Children and Families
                                              Leon County - Middle Schools                                             6.9%                         9.0%                21.1%
Alcohol, Drug Abuse and Mental Health
                                              Florida - Middle Schools                                                 5.1%                         7.7%                20.4%
Florida Youth Substance Abuse Survey, 2000
                                              * 2002 data not comparable because of exclusion of Grade 12 in Leon County; 2004 data will be available in 2005.
http://www5.myflorida.com/cf_web/



21st Century Council, Tallahassee, FL                                                                                                                     www.21stcenturycouncil.net
                               Quality of Life Report                                                                            Tallahassee-Leon County, FL

                                                                                                             HEALTH
                                                         Indicator 9: Youth Mental Health

Indicator:
Percent of middle and high school students                                                                                    Youth Mental Health
who said “Yes” when asked, “In the past                                                                       2002: Depressed or sad MOST days during the past year
year, have you felt depressed or sad MOST                                                             100%




                                                                 Percent depressed or sad most days
days, even if you felt OK sometimes?”                                                                 90%
                                                                                                      80%
Analysis:
                                                                                                      70%
In 2002, a substantial percentage (38%) of grade
                                                                                                      60%
6-11 students in Leon County reported that they
                                                                                                      50%                                                                  Middle school
felt depressed or sad most days in the past year.
The percentage (46%) was even higher for grade                                                        40%                                                                  High school
6-11 students in the state as a whole.                                                                30%
                                                                                                      20%
In Leon County, this problem was more often                                                           10%
reported by high school than middle school
                                                                                                       0%
students; the reverse was true in Florida.
                                                                                                                       Leon                      Florida

Data source:
Florida Department of Children and Families
Alcohol, Drug Abuse and Mental Health
Florida Youth Substance Abuse Survey, 2002                      2002                                                              Leon County                    Florida
                                                                Middle school                                                        35.2%                       46.9%
Data not available for earlier years or for grade 12 in 2002.   High school                                                          41.4%                       45.3%
Website:                                                        Total – grades 6-11*                                                 38.3%                       46.2%
http://www5.myflorida.com/cf_web/                               * Not shown on graph. 2004 data will be available in 2005.




21st Century Council, Tallahassee, FL                                                                                                                      www.21stcenturycouncil.net
                     Quality of Life Report   Tallahassee-Leon County, FL




21st Century Council, Tallahassee, FL                     www.21stcenturycouncil.net

								
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