oklahoma’s rural health status richard perry, m.a., director oklahoma ahec osu center for rural...
TRANSCRIPT
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OKLAHOMA’S RURAL HEALTH STATUS
Richard Perry, M.A., DirectorOklahoma AHEC
OSU Center for Rural Health
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Healthy People 2010:
A Systematic Approach to Health Improvement
Determinants of Health
Policies and Interventions
Behavior
Physical Social Environment Individual Environment
Biology
Access to Quality Health Care
Health Status
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• Listen for:Listen for:– WhyWhy is Oklahoma’s health status so bad and is Oklahoma’s health status so bad and
seems only to get worseseems only to get worse? ? Which Demographic, Which Demographic, Economic, and Behavioral trends that impact Economic, and Behavioral trends that impact health statushealth status
– What factors would impact the What factors would impact the wayway you you practice.practice.
– What factors would impact the decision you What factors would impact the decision you make about make about wherewhere you want to practice. you want to practice.
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14 “ Corridor” Counties 61% of the Population Resides
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Median Age Oklahoma, 2000
Legend
Years
27.6 – 33.2
34.2 – 37.0
37.2 – 38.7
38.9 – 40.9
41.3 – 45.3
State Median Age = 35.5
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14 “ I-44 Corridor” Counties 61% of the Population Resides
Persons per sq
mile
2 - 26
29 - 58
70 - 118
388 - 388
931 - 988
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Population Trends in Rural Oklahoma
Rural Population 1990 2000Numerical Change
1990 - 2000Percent Change
1990 - 2000
Rural Oklahoma total population 1,224,940 1,293,624 68,684 6%
Rural Oklahoma population under age 18 320,579 326,023 5,444 2%
Rural Oklahoma population under age 6 99,788 99,880 92 Less than 0.5%
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Percent of People 25 yrs and Older with High School Diploma or More in 2000
Legend
63.2 – 70.4
70.8 – 74.3
74.7 – 78.2
78.6 – 82.7
83.4 – 88.1
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Direct from High School-to-College-Going Rate2001-2002 through 2003-2004
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Three Year Rate of Youth Under Age 19 Dropping Out of High School (2001/2002 through 2003/2004
Oklahoma kids count Factbook 2005
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Per Capita Income in OklahomaMetro/Non-Metro
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Poverty Rural/Non-rural
Rural Kids Count, August, 2004
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Percent of Persons Below Poverty Level in 2000
Legend
7.9-12.0
12.5-14.6
15.0-17.2
17.6-20.8
21.7-29.7
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County Economic Index:Rankings of Various Economic Factors
Oklahoma kids count Factbook 2005
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Percent of Adult Respondents Reporting Currently Smoking Cigarettes by Sub-State Planning Districts: Oklahoma 2002
•High rates of smoking among Native Americans.• Decreased smoking with increased age.• Decreased smoking with increased education.• Decreased smoking with increased income.
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Percent of Adult Respondents With Any Kind of Health Plan by Sub-State Planning Districts:
Okahoma 2001-2003
• Clear disparity of lack of health plan coverage with younger ages.• Increased rate of health plan coverage with increased education and income.• Highest rates of health plan coverage among whites.• Lowest rates of health plan coverage in southeast Oklahoma.
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Medicaid as a Percent of Population
Oklahoma Health Care AuthorityState Fiscal year 2003Annual Report
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Oklahoma’s Rural Health Status
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Healthy People 2010:
A Systematic Approach to Health Improvement
Determinants of Health
Policies and Interventions
Behavior
Physical Social Environment Individual Environment
Biology
Access to Quality Health Care
Health Status
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Crude Mortality Rates by County (Deaths per 100,000 population)
2003 County Average 1123
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Age Adjusted Mortality Rate(Deaths Per 100,000 Population
2003 County Average 1024
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Years of Potential Life Lost Prior to Age 75 per Death by, County, 1994 – 1996 Average
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Historical Trends (1978 - 2002)Mortality, All Cancer Sites, All Races, Both Sexes, All Ages
190
195
200
205
210
215
220
1978 1982 1986 1990 1994 1998 2002
OK US
Cancer MortalityHistorical Trends
1978 - 2002
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• Discussion:Discussion:– WhyWhy is Oklahoma’s health status so bad and is Oklahoma’s health status so bad and
seems only to get worseseems only to get worse? ? Which Demographic, Which Demographic, Economic, and Behavioral trends that impact Economic, and Behavioral trends that impact health statushealth status
– What factors would impact the What factors would impact the wayway you you practice.practice.
– What factors would impact the decision you What factors would impact the decision you make about make about wherewhere you want to practice. you want to practice.