state of the county’s health report - ok.gov county 2010.pdf · (11,445 to 11,500) ... 26.8%...

Oklahoma ranks near the bottom in many key health status indicators. Most of these outcomes are related to conditions that Oklahomans must live with every day. Poverty, lack of insurance, limited access to primary care, and inadequate prenatal care, along with associated risky health behaviors (low fruit/vegetable consumption, low physical activity, a high prevalence of smoking) all contribute to the poor health status of our citizens.

The vision of the Oklahoma Health Improvement Plan (OHIP) involves local partnerships and communities working together to improve and sustain the physical, social, and mental well‐being of all people in Oklahoma. The targeted flagship initiatives of children’s health improvement, tobacco use prevention, and obesity reduction will help to maximize opportunities for all Oklahomans to lead healthy lives. If you would like more information about OHIP, please visit the Oklahoma State Department of Health website at http://www.ok.gov/ health/Organization/ Board_of_Health/OHIP.html.

This report focuses on health factors and demographics in Washita County. Awareness and thoughtful application of this health data can assist us in our joint endeavors to improve the health status of our local citizens.

Washita County

Working Together For Health

Inside This Issue

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Washita County

Spring 2010

Table of Contents 1

County Demographics 2

Top 10 Leading Causes of Death 2

Top 10 Leading Causes of Death Table 3

Nutrition & Overweight 4

Physical Activity & Fitness 4

Diabetes 5

Teen Births 5

Tobacco Use Prevention

Healthy People 2010 Table

Health Care Costs Summary

County Health Department Usage

Health Education

Primary Care Map

Board of Health Map

Oklahoma Health Improvement Plan

7

8

9

10

11

11

12

12

Infant Mortality 6 Reference List 13

Low Birth Weight 6 Turning Point 14

Injury & Violence 7 Contact Information 14

Together We Can Move Forward

OSAGE809

TEXAS827

BEAVER760

ELLIS869

KAY979

CADDO1066

LE FLORE1024

CIMARRON908 WOODS

802

MCCURTAIN1111

GRADY1007

CREEK1011

ATOKA903

KIOWA1097

GRANT869

BRYAN1020

DEWEY978

MAJOR871

HARPER1110

BLAINE950

CUSTER971

PITTSBURG954

CRAIG989

NOBLE875

LINCOLN1008

WASHITA841

PAYNE777

LOGAN887

GARFIELD954

ALFALFA771

CARTER1058

PUSHMATAHA1042

GARVIN1016

MAYES944

TILLMAN1004

WOODWARD862

HUGHES1048GREER

969

COMANCHE954

BECKHAM1082

ADAIR1121

ROGERS900

CANADIAN853

STEPHENS986

ROGER MILLS798

LATIMER1035

COAL1140

COTTON929

KINGFISHER885

NO

WATA

879

OKLAHOMA932

OTTAWA1021

LOVE874

TULSA943

JACKSON1037

CHOCTAW1149

MUSKOGEE971

DELAW

ARE

922CH

EROKEE

1029

HASKELL1048

PAWNEE956

JEFFERSON1085

MCINTOSH960

PONTOTOC1008

SEQUOYAH1002

MCCLAIN962

OKMULGEE1042

SEMIN

OLE

1073

HAR

MO

N1024

JOHNSTON1097

OKFUSKEE1076

WAGONER862

MURRAY1119

POTTAW

ATOM

IE998

CLEVELAND

861

MARSHALL918

WASH

ING

TON

855

County Demographics

STATE OF THE COUNTY’S HEALTH REPORT

Population estimates1

o 0.5% increase from 1990 to 2000 (11,445 to 11,500)

1.8% increase from 2000 to 2008 (11,500 to 11,709) o Ranked 35th for growth in state

2008 Census Estimates2

Hispanic/Latino ethnicity = 6.3% Race o Whites = 94.3% o Native Americans = 4.1% o Blacks = 1.3%

Age o Under 5 = 7.4% o 65 and over = 17.8% o Median age = 39.2 years

2000 Census3

Housing units Occupied = 4,506 (83%) Vacant = 946 (17%)

Disability (ages 21 to 64) = 18.6% state = 21.5% national = 19.2% 51.5% of disabled (ages 21-64)

are employed

Individuals below poverty = 15.5% state = 14.7% national = 12.4%

Families below poverty = 13.1% state = 11.2% national = 9.2%

0%

5%

10%

15%

20%

0‐4 5‐14 15‐24 25‐34 35‐44 45‐54 55‐64 65‐74 75‐84 85+Percent of Population

Age Group

1990, 2000, & 2008 Population by Age Groups,

1990 Census 2000 Census 2008 Estimate

Washita County

Top 10 Leading Causes of Death

295 214 2480 0 0 0

164419 363

1,741

4,684

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

Washita * Age-Adjusted Death Rate per 100,000 Population

Rate per 100,000 Population

Heart Disease Death Rates by Demographic Groups, Washita County, 2002-20064

The top 10 leading causes of death4 table on the next page dis-plays a broad picture of the causes of death in Washita County. Since many health-related issues are unique to specific ages, this table provides causes of death by age group at a glance. The causes of death that are present across almost every age group have been highlighted. From 1983 to 1993 heart disease killed 1,129 people in Washita County and is still the leading cause of death with all age groups combined.

From 2006-2008, the total charges for all heart disease-related hospitalizations for Washita County residents was $18,889,614.00, which translated to an average of $35,176.19 per discharge.5 Total charges are an indicator of community health, however, these are hospital-based charges and not pay-ments or costs of actual illness. The direct and indirect costs of disease are actually much higher (i.e., loss of employee wages, loss of tax revenue, loss of years of life).

State = 945.6 National = 810.1 * Note: Data classified by Quartiles

Legend

759.5 - 885.4

885.5 - 970.8

970.9 - 1034.6

1034.7 - 1149.0

Missing

Age-Adjusted Death Rates by County, OSDH Vital Statistics, 2002-20064

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The increasing inactivity of the U.S. population is con-tributing to an increase in numerous poor health-related outcomes. Physical inactivity robs the body of precious energy needed to function properly, in turn health de-clines, and rates of various chronic diseases escalate.

According to the 2003-2008 BRFSS8, it is estimated that 26.8% (2,322) of people in Washita County had no lei-sure activity in the past month (at the time they were sur-veyed) and over half of the adults (52.9%) did not reach the recommended physical activity level.

Statewide, 55% of high school students did not partici-pate in physical activity for at least 60 minutes per day on five or more days in a week.7 Efforts need to be made to increase physical activity for our youth to build long-term healthy habits.

With obesity at epidemic levels, steps need to be taken to control this issue. Surveillance systems have improved and been ex-panded to obtain more accurate county-level data. While efforts continue on this front, communities must utilize this information to improve the problem itself. With health care costs being, on average, $395 more for a person under the age of 65 who is obese than a person of the same age who is not obese6, estimated health care costs related to obesity for Washita County soar to almost $7.5 thousand. These costs only go up when the 65 and over population are included.

The Youth Risk Behavior Surveillance System (YRBS)7, while not producing county-level data, shows that in 2005, 2007, and 2009 combined, 15.8% of high school children participating in the survey classified themselves as overweight. Further, 14.7% classified themselves as obese. Interestingly, 8.9% of the males said they were obese compared to 5.8% of females. This trend was reversed in the overweight category with 8.0% of females and 7.8% of males, statewide. Although, neither weight category is statistically significant by gender.

According to the Behavioral Risk Factor Surveillance System (BRFSS, 2003 & 2005)8 , 79.3% of Washita County adults did not eat the recommended 5 servings of fruits and vegetables a day. Increasing fruit and vegetable consumption is an eco-nomical way to control many health-related issues such as obesity and diabetes.

Nutrition & Overweight


OSAGE36

TEXAS27.1

BEAVER38.1

ELLIS35.6

CADDO30.3

LE FLORE32.6

CIMARRON36.8 KAY

26.6WOODS

27

MCCURTAIN35.8

GRADY25.5

CREEK30.6

ATOKA31.7

KIOWA28

GRANT16.4

BRYAN35.2

DEWEY36.4

MAJOR31.2

HARPER50.3

BLAINE37.7

CUSTER28

PITTSBURG34.8

CRAIG35.5

NOBLE35.2

LINCOLN35.4

WASHITA26.8

PAYNE23.1

LOGAN30.4

GARFIELD28.4

ALFALFA26.6

CARTER35.1

PUSHMATAHA30.5

GARVIN31.8

MAYES34.6

TILLMAN36.8

WOODWARD28.1

HUGHES31.8

GREER37.8

COMANCHE29.7

BECKHAM33.2

COAL34.6

ADAIR37.5

JACKSON27.6

ROGERS28.9

CANADIAN25.3

STEPHENS33.8

ROGER MILLS35.1

LATIMER34.6

COTTON24.5

KINGFISHER30.4

NO

WATA

30.9

PONTOTOC30.8

SEQUOYAH35

OKMULGEE36.8OKLAHOMA

29.5

OTTAWA34.1

LOVE37.3

TULSA26.8

CHOCTAW33.7

MUSKOGEE37.1

DELAW

ARE

35.8

CHEROKEE35.7

HASKELL39.2

PAWNEE33.4

JEFFERSON29.7

MCINTOSH40.4

MCCLAIN27.3

SEMIN

OLE

28

HAR

MO

N53.6

JOHNSTON32.6

OKFUSKEE40.7

WAGONER27.6

MURRAY26.1

POTTAW

ATOM

IE31.1

CLEVELAND

23.8

MARSHALL35.1

WASH

ING

TON

28.4

Percent of Adults with No Physical Activity Within Past Month, BRFSS, 2003-20088

State = 29.9% National = Data Not Available * Note: Data classified by Quartiles

Physical Activity & Fitness

WASH

ING

TON

38.1

MARSHALL27.6CLEVELAN

D37

POTTAW

ATOM

IE36

MURRAY36.2

WAGONER35.9

OKFUSKEE44.6

JOHNSTON41

HAR

MO

N34.9

SEMIN

OLE

35.8

OKMULGEE31.2

MCCLAIN36.5

SEQUOYAH34.7

PONTOTOC33.8

MCINTOSH34

JEFFERSON38.2

PAWNEE39.3

HASKELL39.3

CHEROKEE34.9

DELAW

ARE

38

MUSKOGEE33

CHOCTAW34.4

JACKSON36.2

TULSA36.8

LOVE40

OTTAWA32.7

OKLAHOMA34

NO

WATA

37.2

KINGFISHER31

COTTON28.7

LATIMER32.9

ROGER MILLS34.6

STEPHENS36.5

CANADIAN38

ROGERS38.4

ADAIR35.3

BECKHAM39.2

COMANCHE36.3

GREER46.2

COAL37.8

HUGHES37.3

WOODWARD29.7

TILLMAN32.9

MAYES39.1

GARVIN36.7

PUSHMATAHA35.4

CARTER39.7

ALFALFA26.9

GARFIELD36.2

LOGAN39.1

PAYNE34.6

WASHITA40.8

LINCOLN34.6

NOBLE39.9

CRAIG40.4

PITTSBURG36

CUSTER37.3

BLAINE34.7

HARPER50.9

MAJOR36.7

DEWEY40.3

BRYAN40.5

GRANT50.4

KIOWA35.2

ATOKA34.1

CREEK34.4

GRADY38.6

MCCURTAIN36.1

WOODS36

KAY36.4

CIMARRON44

LE FLORE40.1

CADDO36.2

ELLIS48.5

BEAVER43.2

TEXAS40.9

OSAGE34.8OSAGE34.8

TEXAS40.9

BEAVER43.2

ELLIS48.5

CADDO36.2

LE FLORE40.1

CIMARRON44 KAY

36.4WOODS

36

MCCURTAIN36.1

GRADY38.6

CREEK34.4

ATOKA34.1

KIOWA35.2

GRANT50.4

BRYAN40.5

DEWEY40.3

MAJOR36.7

HARPER50.9

BLAINE34.7

CUSTER37.3

PITTSBURG36

CRAIG40.4

NOBLE39.9

LINCOLN34.6

WASHITA40.8

PAYNE34.6LOGAN

39.1

GARFIELD36.2

ALFALFA26.9

CARTER39.7

PUSHMATAHA35.4

GARVIN36.7

MAYES39.1

TILLMAN32.9

WOODWARD29.7

HUGHES37.3

COAL37.8

GREER46.2

COMANCHE36.3

BECKHAM39.2

ADAIR35.3

ROGERS38.4

CANADIAN38

STEPHENS36.5

ROGER MILLS34.6

LATIMER32.9

COTTON28.7

KINGFISHER31

NO

WATA

37.2

OKLAHOMA34

OTTAWA32.7

LOVE40

TULSA36.8

JACKSON36.2

CHOCTAW34.4

MUSKOGEE33

DELAW

ARE

38CHEROKEE

34.9

HASKELL39.3

PAWNEE39.3

JEFFERSON38.2

MCINTOSH34

PONTOTOC33.8

SEQUOYAH34.7

MCCLAIN36.5

OKMULGEE31.2

SEMIN

OLE

35.8

HAR

MO

N34.9

JOHNSTON41

OKFUSKEE44.6

WAGONER35.9

MURRAY36.2

POTTAW

ATOM

IE36

CLEVELAND

37

MARSHALL27.6

WASH

ING

TON

38.1

State = 36.0% National = 34.9% * Note: Data classified by Quartiles

Percent of Adults who are Overweight, BRFSS, 2003-20088

Legend

26.9 - 34.7

34.8 - 36.5

36.6 - 39.3

39.4 - 50.9

Missing

WASH

ING

TON

24.8

MARSHALL38.8

CLEVELAN

D25

POTTAW

ATOM

IE31.2

MURRAY22.6

WAGONER28.7

OKFUSKEE25.5

JOHNSTON30.4

HAR

MO

N17.6

SEMIN

OLE

31.4MCCLAIN29.5

MCINTOSH29.5

JEFFERSON27.4

PAWNEE33.8

HASKELL27.8

CHEROKEE29.9

DELAW

ARE

29.2

MUSKOGEE29.4

CHOCTAW27.3

TULSA24.6

LOVE29.7

OTTAWA32

OKLAHOMA26.2

OKMULGEE35 SEQUOYAH

32.2

PONTOTOC28.3

NO

WATA

31.2

KINGFISHER30.3

COTTON40.5

LATIMER34.5

ROGER MILLS36.4

STEPHENS28.8

CANADIAN24.1

ROGERS27.7

JACKSON29.8

ADAIR34.4

COAL28.6

BECKHAM28.4

COMANCHE28.2

GREER26.2

HUGHES24.4

WOODWARD28.8

TILLMAN31.5

MAYES30.5

GARVIN29.6

PUSHMATAHA29

CARTER24.4

ALFALFA34.9

GARFIELD30.8

LOGAN28.3

PAYNE25.2

WASHITA21.9

LINCOLN31.4

NOBLE30

CRAIG32

PITTSBURG28

CUSTER28.8

BLAINE34.5

HARPER23

MAJOR30.5

DEWEY26.9

BRYAN24.8

GRANT21.2

KIOWA33

ATOKA30.8

CREEK27.5

GRADY29.8

MCCURTAIN31.5

WOODS16.6

CIMARRON14.2

LE FLORE29.6

KAY28.7

CADDO30.5

ELLIS26.4

BEAVER28

TEXAS24.6

OSAGE31.8


Percent of Adults who are Obese, BRFSS, 2003-20088

Legend

14.2 - 26.4

26.5 - 29.0

29.1 - 31.2

31.3 - 40.5

Missing

Legend

16.4 - 28.1

28.2 - 32.6

32.7 - 35.7

35.8 - 53.6

Missing

As stated previously, poor nutrition and lack of physical activity are linked to many chronic issues including diabe-tes. It is often hard to distinguish between Type I and Type II diabetes in large datasets but looking at the overall im-pact of diabetes is necessary to examine a communities health.

From 2006 to 2008, there were 111 hospital discharges for diabetes among Washita County residents.5 This ac-counted for a total of 495 days in the hospital and $1,407,678.00 in total charges.5 This was an average of 4.5 days and $12,681.78 in charges.5

According to the 2004-2008 BRFSS, it is esti-mated that 7.5% (650) of Washita County citi-zens have been diagnosed by a health profes-sional as having diabetes.

In 2007, the per capita annual healthcare costs for people with diabetes was $11,744 com-pared to $5,106 for people without diabetes.9 Persons with diabetes accumulate an esti-mated $8,605,301.40 in health care costs in one year for Washita County. Actual hospital charges account for only 5.3% of the total health care impact of diabetes.

While births to teen mothers (age 15 to 19) have been on the decline in both the U.S. and Oklahoma, Oklahoma has moved down in the rankings according to the United Health Foundation.10 In 1993, the rate for teen births in the U.S. was 60.3 per 1,000 15-19 year old females and 67.1 in Oklahoma, ranking 35th in the country.10 In 2003, the rate decreased to 47.7 in the U.S. and 59.7 in Oklahoma, accounting for a decrease of 21% and 11%, respectively.10 However, while the rate decreased, Oklahoma continued to fall in the rakings (41st). In 2009, the rate of teen births stayed the same for Oklahoma (59.6) but the state ranked 45th in the country.10

Children of teen mothers are more likely to display poor health and social outcomes than those of older mothers, such as premature birth, low birth weight, higher rates of abuse and neglect, and are more likely to go into foster care or do poorly in school.11

According to Oklahoma Vital Statistics, Washita County had a teen birth rate of 80.6 in 2007, which accounted for a 41% increase from 2003 (57.1) and a 27% increase from 1993 (63.3)12. The map represents a five-year average of teen birth rates, 2003-2007.12

On average in Oklahoma, births to teen mothers accumu-late $3,807 a year for each teenage birth13, which is often passed on to citizens. With an average of 24.0 births per year (2003-2007)12, teen pregnancy costs the citizens of Washita County $76,800.00 a year.

Diabetes

Teen Births

WASHITA COUN TY

HAR

MO

N

CIMARRON

OSAGE12

TEXAS3.6 KAY

12BEAVER

7.3

ELLIS6.7

CADDO13.2

LE FLORE14.6

WOODS6.8

MCCURTAIN9.5

GRADY6.5

CREEK8.8

ATOKA12.3

KIOWA15.3

GRANT5.6

BRYAN9.9

DEWEY6.2

MAJOR8

HARPER18.4

BLAINE12.3

CUSTER10.9

PITTSBURG10.3

CRAIG12.3

NOBLE11

LINCOLN9.6

WASHITA7.5

PAYNE8.2

LOGAN9.4

GARFIELD8.5

ALFALFA14.6

CARTER8.7

PUSHMATAHA11.1

GARVIN12.1

MAYES11.3

TILLMAN18.7

WOODWARD10.7

HUGHES11.6

COAL8.4

GREER10.7

COMANCHE8.8

BECKHAM10.3

ADAIR13.9

JACKSON13.7

ROGERS10.1

CANADIAN8.6

STEPHENS10.1

ROGER MILLS9.9

LATIMER13.7

COTTON9

KINGFISHER8

NO

WATA

11PONTOTOC

8.7

SEQUOYAH10

OKMULGEE12.2

OKLAHOMA8.5

OTTAWA13

LOVE17.6

TULSA8.7

CHOCTAW9.9

MUSKOGEE11.8

DELAW

ARE

12.6

CHEROKEE12.2

HASKELL5.9

PAWNEE12.5

JEFFERSON10.2

MCINTOSH9.5

MCCLAIN6.6

SEMIN

OLE

6.9

JOHNSTON8.3

OKFUSKEE15.6

WAGONER10.4

MURRAY14.4

POTTAW

ATOM

IE9.1

CLEVELAND

7.2

MARSHALL9.1

WASH

ING

TON

10


Percent of Adults Who Have Ever Been Told They Have Diabetes, BRFSS, 2004-20088

Legend

3.6 - 8.5

8.6 - 10.1

10.2 - 12.2

12.3 - 18.7

Missing

OSAGE43.1

TEXAS79.2

BEAVER38.5

ELLIS61

CADDO63.3

KAY67.2

LE FLORE78.2

CIMARRON42.1 WOODS

25.8

MCCURTAIN88.3

GRADY47.2

CREEK56.3

ATOKA66.3

KIOWA70.5

GRANT26.4

BRYAN65.6

DEWEY39.5

MAJOR37.9

HARPER65.8

BLAINE67.7

CUSTER46.7

PITTSBURG70.7

CRAIG65.1

NOBLE39.9

LINCOLN54.4

WASHITA61

PAYNE25.1

LOGAN32.7

GARFIELD67.9

ALFALFA29.5

CARTER74.2

PUSHMATAHA68.9

GARVIN71.8

MAYES66.3

TILLMAN84.1

WOODWARD76.8

HUGHES82.6

COAL57.2

GREER76

COMANCHE63.9

BECKHAM83

ADAIR93.1

JACKSON69.1

ROGERS38.4

CANADIAN35.2

STEPHENS58.1

ROGER MILLS63.3

LATIMER48.1

COTTON64.9

KINGFISHER42.8

NO

WATA

59.3

PONTOTOC56.7

SEQUOYAH71.9

OKMULGEE67.1

OKLAHOMA68.8

OTTAWA66.6

LOVE61.6

TULSA60.8

CHOCTAW83.3

MUSKOGEE75.6

DELAW

ARE

68.3

CHEROKEE52.3

HASKELL77.9

PAWNEE55.9

JEFFERSON91.6

MCINTOSH52.8

MCCLAIN41.1

SEMIN

OLE

72.9

HAR

MO

N80.3

JOHNSTON83.3

OKFUSKEE65.3

WAGONER40

MURRAY87.3

POTTAW

ATOM

IE59.8

CLEVELAND

26.2

MARSHALL82.7

WASH

ING

TON

47.2

State = 58.2 per 1,000 Female Population Aged 15-19 National = 40.5 per 1,000 Female Population Aged 15-19 (2005)

* Note: Data classified by Quartiles

Rate of Births to Teen Mothers (Age 15-19), OSDH Vital Statistics, 2003-200712

Legend

25.1 - 47.2

47.3 - 64.9

65.0 - 71.9

72.0 - 93.1

Missing

Protecting the most vulnerable populations is a task for every Oklahoman, socio-demographic variables have repeatedly been shown to affect infant mortality and birth weight. Income, education, race/ethnicity, access to medical care and social services, and social support are just a few of the characteristics that alter these rates, both positively and negatively.16 Differences in infant mortality rates are most apparent within racial categories. From 2003-2005 within the U.S., the infant mortality rate among white mothers was 5.7 deaths per 1,000 live births, while black or African Americans mothers had an infant mortality rate of 13.3 and

American Indian mothers a rate of 8.4. Interest-ingly, Hispanic mothers had rates similar to white mothers.15

Within Oklahoma, this trend continues. From 2002-2006, the infant mortality rate was highest for black or African American mothers (16.0), followed by American Indian (8.4), White (7.1), and Asian (5).4 The Hispanic infant mortality rate was 7.9.4

With an average of 412 infant deaths a year across Oklahoma4, it is difficult to obtain stable county-level data by race. From 2002-2006, the overall infant mortality rate for Washita County was 6.5. This accounted for a 19% decrease from the state rate of 8.0 deaths per 1,000 live births.4

In addition, the infant mortality rate in Washita County accounted for 375 years of potential life lost based on an average age of death in Okla-homa of 75 years of age.4

Birth weight has been a long standing indicator of long-term health outcomes as birth weight has been linked to certain adult chronic conditions such as high blood pressure, Type II diabetes, and heart disease.17 Low birth weight is defined as any baby born weighing less than 2,500 grams or 5 pounds and 8 ounces (including very low birth weight = less than 1,500 grams/3 pounds, 5 ounces).17 Low birth weight is associated with premature births, multiple births, birth defects, chronic health problems or infections in the mother, smoking, alcohol or drug use, placental problems, inadequate mater-nal weight gain or socioeconomic factors.17 Un-derstanding the trends behind low birth weight can assist in pinpointing causes specific to a com-munity.

In Oklahoma from 2003-2007, 8.1% of the live births were less than 2,500 grams. As with infant mortality, babies born to black or African Ameri-can mothers have the highest rates of low birth weight (14.1%), followed by White (7.5%), American Indian and Asian (6.9% each).12 This trend is similar to the national data.18

In Washita County, from 2003-2007 the low birth weight rate was 6.3%.12 This was a 22.2% de-crease from the state and national low birth weight rate. Because of the small numbers that occur in this category, county level data by race is unavail-able.

Infant Mortality

Low Birth Weight

OSAGE7.7

TEXAS6.7 KAY

7.8BEAVER

6.5

ELLIS6.7

CADDO8.2

LE FLORE6.5

CIMARRON4.2 WOODS

4.9

MCCURTAIN8.2

GRADY8.7

CREEK8

ATOKA9.1

KIOWA10.8

GRANT5

BRYAN7.4

DEWEY4.9

MAJOR10.3

HARPER6.5

BLAINE9.8

CUSTER6.9

PITTSBURG7.8

CRAIG9.2

NOBLE5.4

LINCOLN7.9

WASHITA6.3

PAYNE6.1

LOGAN7.1

GARFIELD8.4

ALFALFA6.3

CARTER9.2

PUSHMATAHA7.1

GARVIN7.5

MAYES6.9

TILLMAN7.7

WOODWARD8.1

HUGHES7.4

COAL6.9

GREER11.7

COMANCHE8.8

BECKHAM9

ADAIR8.7

JACKSON9.9

ROGERS6.7

CANADIAN7.2

STEPHENS7.3

ROGER MILLS7.3

LATIMER5.7

COTTON8.2

KINGFISHER7.6

NO

WATA

4.8

MCINTOSH9.1

OKLAHOMA8.8

OTTAWA8.1

LOVE9.3

TULSA8.2

CHOCTAW9.3

MUSKOGEE8.2

DELAW

ARE

7.9

CHEROKEE7.5

HASKELL7.5

PAWNEE8.5

JEFFERSON9.4

PONTOTOC8.6

SEQUOYAH8.5

MCCLAIN8.5

OKMULGEE8.1

SEMIN

OLE

8.5

HARM

ON

8.6

JOHNSTON7.6

OKFUSKEE8

WAGONER7.6

MURRAY9.9

POTTAW

ATOM

IE7.3

CLEVELAN

D7

MARSHALL7.2

WASH

ING

TON

7.1

State = 8.1% of live births National = 8.1% of live births (2003-2006) Note: % of births with birth weight under 2500 grams Data classified by Quartiles

Percent of Live Births with Low and Very Low Birth Weight, OSDH Vital Statistics, 2003-200712

BEAVER

ELLIS

OSAGE8.8

CIMARRON

WOODS

TEXAS5.7 GRANT

KAY7.8ALFALFA

CADDO8

LE FLORE8.2

MCCURTAIN5.1

GRADY7.8

CREEK8.6

ATOKA10.8

KIOWA8.5

BRYAN8.6

DEWEY10.8

MAJOR8

PAWNEE

HARPER13.1

BLAINE9.7

CUSTER4.8

PITTSBURG7.6

CRAIG6.4

NOBLE5.6

LINCOLN9.9

WASHITA6.5

PAYNE7.1

LOGAN8.7

GARFIELD10.4

CARTER6.2

PUSHMATAHA7.3

GARVIN8.4

MAYES15.3

TILLMAN10.4

WOODWARD9.3

HUGHES7.8

GREER12.7

COMANCHE7.6

BECKHAM6

ADAIR7.5

JACKSON10.2

ROGERS6.3

CANADIAN7.2

STEPHENS8.4

ROGER MILLS13.1

LATIMER14

COTTON8.1

KINGFISHER3.1

NO

WATA

4.7

PONTOTOC8.3

SEQUOYAH7.6

OKMULGEE9.5

OKLAHOMA8.9

OTTAWA7.4

LOVE5.2

TULSA8

CHOCTAW12.6

MUSKOGEE6.2

DELAW

ARE

4.8

CHEROKEE9.3

HASKELL9.8

JEFFERSON9.8

MCINTOSH6.1

MCCLAIN7.4

SEMIN

OLE

9.5

HAR

MO

N14.9

JOHNSTON5.8

OKFUSKEE5.5

WAGONER5.4

MURRAY6.1

POTTAW

ATOM

IE7.3

CLEVELAND

6.3

MARSHALL7.8

COAL26.8

WASH

ING

TON

7.7

Infant Mortality Rate, Oklahoma Vital Statistics, 2002-20064

State = 8.0 per 1,000 births National = 6.8 per 1,000 births (2003-2005) * Note: Data classified by Quartiles

Legend

3.1 - 6.3

6.4 - 7.8

7.9 - 9.5

9.6 - 26.8

Missing

Legend

4.2 - 7.0

7.1 - 7.8

7.9 - 8.6

8.7 - 11.7

Missing


According to the 2005 State of the State’s Health Report19, tobacco use among Oklahomans has remained fairly stable from 1990 to 2002. The good news is that total cigarette sales in Oklahoma (tribal and non-tribal combined) have dropped from 98.2 packs per capita in fiscal year 2005 to 86.7 packs per capita during fiscal year 2008. The national average dropped during this same time period.20

Tobacco use is no longer just the problem of the individual but also the community as a whole. With health care costs on the rise, targeting areas such as tobacco use is an effective way to control those costs. The Oklahoma Tobacco Helpline (1-800-QUIT-NOW), supported jointly by the Oklahoma Tobacco Settlement Endowment Trust and the Oklahoma State Department of Health, con-tinues to experience high call volume. Over 37,800 Oklahomans received free cessation assistance through the Helpline in fiscal year 2009.20 Since inception of the Helpline in August 2003, over 110,000 Oklahomans have received free cessa-tion assistance.20

The CDC estimated that a person who used tobacco accrued over $3,300 in health care costs per year.21 According to the BRFSS (2005-2009)8, it is estimated that 28.3% (2,452) of adults in Washita County use tobacco of some sort. Medical costs accumu-lated by those persons are over $8.1 million a year for Washita

Across the nation and the state of Oklahoma, unintentional and violence-related injuries are on the rise. Uninten-tional injuries account for the 5th leading cause of death in the United States and Oklahoma for 2002-2006. For per-sons ages 1 to 44 in Oklahoma, unintentional injuries are the leading cause of death.4

This trend does not change much in Washita County. Unintentional injuries are the lead-ing cause of death for ages 15 to 44 in Washita County.

It is estimated that for every motor vehicle-related death $1.3 million in economic costs are incurred (2008 data).16 For Washita County, which has an average of 2.4 motor vehicle-related deaths a year4, the estimated economic costs are almost $3.1 million a year.

Violence-related injuries (homicide and sui-cide) in Washita County are ranked in the top 10 causes of death for persons from 15 to age 54 and suicide is the 10th leading cause of death for all ages.4

Injury and Violence

Tobacco Use Prevention

Per Capita Cigarette Sales: Oklahoma & United States20

MCCLAIN6HAR

MO

N

ELLIS

HARPERALFALFA

MAJOR

COAL

TEXAS10.7 WOODS

10

GRADY10.5

PAYNE7.7

LOGAN8

GARFIELD11

HUGHES11

JACKSON7.2

ROGERS11.3

CANADIAN11.7

STEPHENS10.8

KINGFISHER11.7

NO

WATA

8.5

HASKELL7.3

JEFFERSON11.6

OKFUSKEE9.7

WAGONER9.6

CLEVELAND

11.1

OSAGE13.7

LE FLORE13.9

KIOWA11.9

GRANT12.2

BLAINE12.8

CUSTER11.8

CRAIG14.1

NOBLE12

TILLMAN13.6

WOODWARD12

COMANCHE13.1

ADAIR13.9

SEQUOYAH12.3

OKLAHOMA14.2

LOVE13.7

DELAW

ARE

13.3

PAWNEE12.2

JOHNSTON13.4

CADDO16.6

KAY15.1

ATOKA16.4

DEWEY15.1

WASHITA15.5

CARTER16.6

PUSHMATAHA15.3

GREER16.2

ROGER MILLS17.6

PONTOTOC15.3

OKMULGEE16.5

TULSA15.3

CHOCTAW18.4

MUSKOGEE14.4

CHEROKEE17.4

POTTAW

ATOM

IE15.1

MARSHALL15.1

BEAVER23.6

CIMARRON29.6

MCCURTAIN26.4

CREEK21.5

BRYAN19.6

PITTSBURG19.5

LINCOLN21.9

GARVIN25

MAYES19.2

BECKHAM19.7

LATIMER40.2

COTTON19.4

OTTAWA21.4

MCINTOSH22.7SEM

INO

LE23.8

MURRAY21.8

WASH

ING

TON

21.9

State = 14.0 National = 10.9 * Note: Data classified by Quartiles

Age-Adjusted Suicide Rate by County, OSDH Vital Statistics, 2002-20064

Legend

6.6 - 11.7

11.8 - 14.2

14.3 - 18.4

18.5 - 40.2

Missing

WASHITA COUN TY

0

10

20

30

40

50

60

Percent of Adults

Current Smoker Former Smoker Never SmokedWashita

Percent of Adults by Smoking Status, Washita County, 2001-2009, Five-Year Averages8

Healthy People 2010 Table


Washita County

Prevalence of Obese (Aged 18+) 2002‐2008 20.2% 2008 31.0% 2008 26.7% 15%

No Leisure‐Time Physical Activity (Aged 18+) 2002‐2008 26.4% 2008 31.5% 2008 24.6% 20%

Prevalence of Smoking (Aged 18+) 2002‐2008 26.1% 2008 24.7% 2008 18.4% 12%

Infant Mortality (Per 1,000 of births) 2002‐2006 6.5 2006 8.1 2006 6.8 4.5

Low Birth Weight Infants (Percent of live births) 2002‐2007 6.5% 2006 8.3% 2006 8.3% 5%

Very Low Birth Weight Infants (Percent of live births) 2002‐2007 0.9% 2006 1.6% 2006 1.5% 0.9%

First Trimester Prenatal Care (Percent of births) 2002‐2007 64.3% 2006 75.6% 2006 83.2% 90%

Prevalence of Diabetes (Aged 18+) 2002‐2008 7.3% 2008 11.3% 2008 9.2% 2.5%

Lack of Health Insurance (Aged 18‐64) 2002‐2008 27.8% 2008 22.8% 2008 17.1% 0%

Prevalence of Binge Drinking (Aged 18+) 2002‐2008 5.4% 2008 12.2% 2008 15.6% 6%

Coronary Heart Disease Death* 2002‐2006 176.2 2006 184.5 2006 144.4 166.0

Cancer Death* 2002‐2006 180.3 2006 194.9 2006 180.8 159.9

Unintentional Injury Death* 2002‐2006 51.2 2006 55.6 2006 39.3 17.5

Transportation‐Related Death* 2002‐2006 22.9 2006 21.0 2006 14.5 9.2

Note: * means (Age‐adjusted death per 100,000 to the 2000 U.S. standard population).

Reference:

[1] Healthy People 2010 volume I and II, U.S. Department of Health and Human Services, November 2000.

[2] Centers for Disease Control and Prevention (CDC), Wide‐Ranging Online Data for Epidemiologic Research:

Data for Oklahoma and United States.

[3] CDC, National Center for Chronic Disease Prevention and Health Promotion, the Behavioral Risk Factor

Surveillance System (BRFSS): Data for Oklahoma and United States.

[4] Oklahoma State Department of Health (OSDH), OK2SHARE, BRFSS: Data for Oklahoma Counties.

[5] OSDH, OK2SHARE, Vital Statistics: Data for Oklahoma Counties.

Most Recent Data: Year(s)Healthy People 2010 Indicators 2010 TargetOklahoma United States

Health Care Cost Summary

WASHITA COUN TY

Teen Pregnancy

Average 24 births to females aged 15-19 a year12

$3,200 in costs a year13

Total—$76,800.00 a year

Motor Vehicle-Related Injury Death

Average 2.4 deaths per year4

$1,300,000.00 in economic costs per death16

Total—$3,120,000.00 a year

Tobacco Use

28.3% of population8 (2,452)

$3,300 in health care costs21

Total—$8,091,600.00 a year

Cardiovascular Disease (Heart Disease)

Average hospital discharges per year5 = 179

Average charges5 = $35,176.19

Total—$6,296,538.00 a year

Obesity

21.9% of population8 (1,897)

$395 in additional medical costs per person aged 18-646

Total—$749,315.00

Diabetes

Average hospital discharges per year5 = 37.0

Average charges5 = $12,681.78

Total—$469,226.00 a year

Grand Total for Washita County:

$18,803,479.00

County Health Department Usage


County Health Department Unduplicated Clients, and Visits by Program, Washita County, State Fiscal Year 2009

2 8 318

2

185

0

50

100

150

200

250

300

350

Adult Services Child Health Early Intervention Family Planning STD WIC

Number of Unduplicated Clients and Visits

Unduplicated Clients Visits

WASHITA

Data Note: Data is reflective of all services offered in a

county, including county health departments and contracts.

WASHITA COUN TY

Texas6

Osage6

Ellis6

Beaver3

Kay21

Cimarron2

Le Flore14

Caddo5

McCurtain14

Woods4

Grady18

Grant1

Atoka3

Creek24

Bryan20

Pittsburg26

Blaine7

Harper2

Custer15

Dewey2

Alfalfa1

Craig5

Lincoln7

Carter25

Garfield37

Washita2

Noble3

Tillman2

Greer4

Mayes13

Cotton1

Comanche48

Latimer2

Beckham17

Stephens23

Canadian40

Major5

Kiowa4

Garvin8

Logan11

Woodward7

Pushmataha6

Coal1

Adair8

Payne40 Tulsa

1142

Love4

Hughes3

Roger Mills2

Jackson16

Rogers27

Choctaw5

Kingfisher4

Jefferson2

Haskell3

Del

awar

e12

Pontotoc5

Che

roke

e16

Muskogee29

McIntosh6

Now

ata

2

Pawnee3

Johnston5

McClain7

Sequoyah6

Oklahoma1366

Har

mon

2

Sem

inole8

Okmulgee13

Ottawa13

Pottaw

atomie

33

Cleveland

156

Marshall7

Was

hing

ton

33

Okfuskee3

Wagoner12

Murray5

Rate of Primary Care Physicians per 100,000 Population, 2009 - 2010

LegendPer 100,00 Population

13.2 - 23.6

23.7 - 35.4

35.5 - 52.3

52.4 - 91.8

91.9 - 200.2

Note: The number of Primary Care Physicians for each county is represented under the county name. Source: 2009-2010 Physician Survey, Office of Primary Care and Rural Health, Community Development Service, Oklahoma State Department of Health

Primary Care Coverage Map

OSDH Health Education

Kathy Payne, Director

1000 NE 10th St, room 506

Oklahoma City, OK 73117

405-271-6127

[email protected]

[̀

[̀[̀

[̀

[̀[̀[̀[̀[̀

[̀[̀[̀[̀[̀[̀[̀[̀[̀[̀[̀[̀[̀

[̀

[̀

[̀[̀[̀[̀

[̀[̀[̀[̀ [̀[̀[̀

[̀

[̀

[̀[̀[̀!

!

!

!

!

!

!

!

!

!!!

!

!

!

!

!

OSAGE

TEXASKAY

BEAVER

ELLIS

CADDO

LE FLORE

CIMARRON

WOODS

MCCURTAIN

GRADY

CREEK

ATOKA

KIOWA

GRANT

BRYAN

DEWEY

MAJOR

BLAINE

HARPER

CUSTER

PITTSBURG

CRAIG

NOBLE

PAYNE

LINCOLN

WASHITA

LOGAN

ALFALFA

GARFIELD

CARTERPUSHMATAHA

GARVIN

LOVE

MAYES

TILLMAN

COAL

WOODWARD

HUGHESGREER

COMANCHE

BECKHAM

TULSA

ADAIR

JACKSON

ROGERS

CANADIAN

STEPHENS

LATIMER

ROGER MILLS

CHOCTAW

COTTON

MUSKOGEE

KINGFISHER CHEROKEE

HASKELL

PAWNEE

JEFFERSON

NOWATA

MCINTOSH

PONTOTOC

SEQUOYAH

OKMULGEEOKLAHOMA

JOHNSTON

OKFUSKEE

OTTAWA

WAGONER

MURRAY

DELAWARE

MCCLAIN

SEMIN

OLE

HARMON

POTTAW

ATOM

IE

CLEVELAND

MARSHALL

WAS H

ING

TON

If you have an after‐school program that is interested in learning more about CATCH Kids Club, a physical activity and nutrition program for children grades K‐5, please contact the local health educator or Kathy Payne for information.

CATCH Kids Club Sites

! CKC Pilot Sites 2009-2010 (17)

[̀ NEW CKC Sites 2009-2010 (40)

Health Education

Board of Health Members

Alfred Baldwin, Jr.

Barry L. Smith, J.D.

Cris Hart-Wolfe (Treasurer)

Jenny Alexopulos, M.D. (President)

Kenneth Miller, MD

Michael D. Anderson, PhD (State at Large)

R. Murali Krishna, M.D. (Vice-President)

Richard G. Davis, DDS

Ronald Woodson, MD

OSAGE

TEXASKAY

ELLIS

BEAVER

LE FLORE

CADDO

CIMARRON

WOODS

GRADY

MCCURTAIN

CREEK

ATOKA

KIOWA

BRYAN

GRANT

DEWEY

MAJOR

BLAINE

CUSTER

HARPER

PITTSBURG

CRAIG

PAYNE

LINCOLN

WASHITA

NOBLEGARFIELD

CARTER

ALFALFA

LOGAN

GARVIN

LOVE

PUSHMATAHA

MAYES

TILLMAN

COAL

GREERHUGHES

WOODWARD

ADAIR

COMANCHE

BECKHAM

JACKSON

ROGERS

STEPHENS

ROGER MILLS

LATIMER

CANADIAN

CHOCTAW

COTTON

KINGFISHER

MUSKOGEE

HASKELL

JEFFERSON

SEQUOYAHMCINTOSH

PONTOTOC

JOHNSTON

OKLAHOMA

OTTAWA

WAGONER

MURRAY

TULSA

CHEROKEE

DELAWAREPAWNEE

NOWATA

MCCLAIN

SEMIN

OLE

OKMULGEE

OKFUSKEE

HARMO

N

POTTAW

ATOM

IE

CLEVELAND

MARSHALL

WASH

ING

TON

OSDH Board of Health Map

Created: 11.03.2010 Source: Oklahoma State Department of Health

Oklahoma Health Improvement Plan


Reference List

WASHITA COUN TY

1. U.S. Census Bureau, Population Estimates, Accessed February 12, 2010 from www.census.gov.

2. U.S. Census Bureau, 2008 Census Estimates, Accessed February 12, 2010 from www.census.gov.

3. U.S. Census Bureau, Census 2000 Summary File 3, Accessed February 12, 2010 from www.census.gov

4. Oklahoma State Department of Health, Health Care Information, OK2SHARE, Death Statistics ‐ Final, Accessed April 13, 2010, www.health.ok.gov/ok2share.

5. Oklahoma State Department of Health, Health Care Information, OK2SHARE, Inpatient Discharge Statistics, Accessed May 20, 2010, www.health.ok.gov/ok2share. Note: Data does not include federal or tribal facilities.

6. Sturm, R., 2002. The effects of obesity, smoking, and drinking on medical problems and costs. Health Affairs, 21, 245.

7. Oklahoma State Department of Health, Health Care Informat0ion, OK2SHARE, Youth Risk Behavior Survey (YRBS), www.health.ok.gov/ok2share.

8. Oklahoma State Department of Health, Health Care Informat0ion, OK2SHARE, Behavioral Risk Factor Surveillance Survey (BRFSS), www.health.ok.gov/ok2share.

9. Winning at Work—Diabetes Facts, American Diabetes Association, Accessed May 24, 2010 from www.diabetes.org

10. United Health Foundation, America’s Health Rankings, www.americashealthrankings.org

11. Healthy Teen Network, Unique Needs of Children Born to Teen Parents, Accessed May 24, 2010 from www.healthteennetwork.org

12. Oklahoma State Department of Health, Health Care Informat0ion, OK2SHARE, Birth Statistics—Final, www.health.ok.gov/ok2share.

13. Than National Campaign to prevent Teen Pregnancy, By the Numbers: The Public Costs of Teen Childbearing in Oklahoma, November 2006.

14. Finch, B. K., 2003. Early origins of the gradient: The relationship between socioeconomic status and infant mortality in the United States. Demography, 40, 675‐699.

15 United States Department of Health and Human Services (US DHHS), Centers of Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Office of Analysis and Epidemiology (OAE), Division of Vital Sta‐tistics (DVS), Linked Birth / Infant Death Records 2003‐2005 on CDC WONDER On‐line Database. Accessed at http://wonder.cdc.gov/lbd‐current.html on May 25, 2010 4:08:29 PM

16. National Safety Council, Estimating the Costs of Unintentional Injuries, Accessed May 25, 2010 from http://www.nsc.org/news_resources/injury_and_death_statistics/Pages/EstimatingtheCostsofUnintentionalInjuries.aspx.

17. March of Dimes, Low Birthweight Fact Sheet, Accessed May 25, 2010 from http://www.marchofdimes.com/professionals/14332_1153.asp#head2.

18. United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public‐use data 2003‐2006, on CDC WONDER Online Database, March 2009. Accessed at http://wonder.cdc.gov/natality‐current.html on May 25, 2010 5:09:49 PM

19. Oklahoma State Department of Health, 2005 State of the State’s Health, Accessed May 25, 2010 from http://www.ok.gov/health/pub/boh/state05/index.html.

20. Oklahoma State Department of Health, Tobacco Use Prevention Service.

21. Centers for Disease Control and Prevention. Annual smoking‐attributable mortality, years of potential life lost, and economic costs—United States, 1995–1999. MMWR 2002;51(14):300–303.

The Oklahoma Turning Point Initiative is public health improvement in

action involving partnerships between the state and county departments of

health, local communities, and policy-makers. The Oklahoma Turning

point engine is fueled by a community-based decision making process

whereby local communities tap into the capacities, strengths, and vision of

their citizens to create and promote positive, sustainable changes in the

public health system, and the public’s health.

We are at a cross roads in our state and in Washita county. Please

come and be part of the solutions that will lead Oklahoma and

Washita County to becoming a healthy place to live, work and learn.


If you are interested in learning more about Turning Point or

becoming involved in local activities, please

contact:

Washita Health Action Team

Community and Family Health Services

Community Development Service 1000 NE 10th St, Room 508 Oklahoma City, OK 73117

Phone: 405-271-6127

OKLAHOMA STATE DEPARTMENT OF HEALTH

Working Together For Health Neil Hann, MPH, CHES Community Dev., OSDH

1000 NE 10th Oklahoma City, OK 73117

(405) 271‐6127 Email: [email protected]

Website: www.okturningpoint.org

“If we are together nothing is impossible.

If we are divided all will fail.” - Winston Churchill

Report compiled by: Miriam McGaugh, Ph.D.

Epidemiologist and

Shu-Chuan Lin, Ph.D. Epidemiologist

Coalition Priorities: 1. Substance Abuse Prevention.

2. Positive Youth Development.

2009 Significant Outcomes:

$20,000 meth prevention grant by the ODMHSAS.

Media campaign for meth prevention project.

Sponsored youth to attend 2m2l Leadership Camp.

SWOSU became a Tobacco Free Campus.

Hosted Crystal Darkness Event.

http://www.ok.gov/health

state of the county’s health report - ok.gov county 2010.pdf · (11,445 to 11,500) ... 26.8%...

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