Data Update 2020 Since its inception, HCI had provided to the - PDF document

5/26/2020 HCI Data Update Prepared April 2020 R. Keith Howard Healthy Communities Initiative of Jefferson County Coordinator 1 2 Data Update 2020 • Since its inception, HCI had provided to the community data to compare the health of Jefferson County to the rest of the state and nation. • Over time, the data set has been expanded to provide additional insights. • Timely data is still difficult to access . 2 1

5/26/2020 Facts about Jefferson County Category 2014 2018 IN - 2018 Total Population 32,410 32,308 6,732,219 Children in Need of Services (Rate /1000) 9.1 38.4 21.8 Child Abuse and Neglact (Rate/1000) 20.8 30.0 17.2 Single Parent Families 41.2% 38.9% 34.2% Children receiving Free or Reduced Lunch 54.8% 52.5% 52.6% Median Household Income $ 45,964 $ 51,031 $ 55,725 Ratio of Population to One Mental Health Provider 1,248 1,040 670 High School Graduates Enrolling in College 64.2% 53.8% 63.0% Postsecondary Degree Attainment 24.9% 29.0% 43.6% Sources: 2020 Indiana Kids Count Data Book, IYI and Stronger Nation, Lumina Foundation 3 3 4 Healthy Lifestyles 4 2

5/26/2020 . Deaths Due to Stroke Rate per 100,000 and Count 2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 39.5 3,040 40.2 3,151 39.4 3,154 Jefferson County 57.3 23 41.7 18 62.6 25 Statistical unit is Age Adjusted Death Rate per 100,000. ICD-10 code: I60-I69 . Source: Indiana State Department of Health, Stats Explorer 5 5 . Death from Diseases of the Heart Rate per 100,000 (Crude Rate) and Count 2016 2017 2018 Locality Rate Count Rate Count Rate Count 180.6 13,954 183.1 14,437 180.6 14,522 Indiana 221.1 93 237.2 97 243.0 101 Jefferson County Statistical unit is Age Adjusted Death Rate per 100,000. ICD-10 code: I00-I09,I11,I13,I20-I51. Source: Indiana State Department of Health, Stats Explorer 6 6 3

5/26/2020 . Deaths from Diabetes Mellitus Rate per 100,000 and County 2016 2017 2018 Locality Rate Count Rate Count Rate Count 26.0 1,994 26.6 2,095 26 2,092 Indiana 24.2 10 28.1 9 15.5 5 Jefferson County Statistical unit is Age Adjusted Death Rate per 100,000. ICD-10 code: E10-E14. Source: Indiana State Department of Health, Stats Explorer 7 7 Percentage of Smoking Adults Location 2013 2014 2015 2016 2017 United 19.0 18.1 17.5 17.1 17.1 States Indiana 21.9 22.9 20.6 21.1 21.8 Location 2003-07 2008-12 2013-17 Jefferson 34.3 29.6 34.0 Source: Indiana State Department of Health/CDC – 2017 8 8 4

5/26/2020 Smoked During Pregnancy Percent of the Population Years 2014 to 2018 Location 2014 2015 2016 2017 2018 United 8.0 8.0 7.2 States Indiana 15.1 14.3 13.5 11.5 13.5 Jefferson 27.1 31.3 30.4 28.2 26.1 Source: Indiana State Department of Health/CDC – 2017 and Indiana Youth Institute-2020 9 . Tobacco Outlets Non-Compliance Rates for Minimum Age Laws - 2018 Category Jefferson Indiana Number of tobacco 70 8,173 compliance inspections Percent of inspections 2.90% 11.00% that were non-compliant Includes data from compliance checks conducted for 3 monitoring programs - US Food and Drug Administration, Indiana State Excise Police, and the Synar program overseen by the Indiana Division of Mental Health and Addiction. Source: Indiana Prevention Resource Council - https://iprc.iu.edu/epidemiological-data/epi_table.php?table_id=t603&county=39 10 10 5

5/26/2020 Healthy Lifestyle Highlights • Deaths due to stroke remain above the statewide average. • Deaths from heart disease is higher than the state of Indiana and increasing. • Deaths due to diabetes is decreasing. • The number of women who smoke while pregnant remains much higher than the statewide rate. 11 11 1 2 Substance Abuse 12 6

5/26/2020 . Alcohol Outlets Non-Compliance Rates for Minimum Age Laws - 2018 Category Jefferson Indiana Number of alcohol 43 7,983 compliance inspections Percent of inspections 4.70% 5.50% that were non-compliant IN State Excise Police, Survey for Alcohol Compliance Program Source: Indiana Prevention Resource Council - https://iprc.iu.edu/epidemiological-data/epi_table.php?table_id=t603&county=39 13 13 . Alcohol-Impaired Driving Deaths 2016 2017 2018 Category Jefferson Indiana Jefferson Indiana Jefferson Indiana Number of alcohol-impaired 1 192 3 236 0 191 motor vehicle deaths Percent of driving deaths 20.0% 24.7% 37.5% 28.2% 0.0% 24.7% with alcohol involvement Source: National Traffic Highway and Safety Administration, Fatality and Injury Reporting System, https://cdan.dot.gov/query 14 14 7

5/26/2020 . Deaths from Alcohol-Related Causes Rate per 100,000 (Crude Rate) and Count 2016 2017 2018 Locality Rate Count Rate Count Rate Count Indiana 9.4 706 9.6 721 10.7 793 6.2 2 15.6 5 24.9 8 Jefferson County Source: Indiana State Department of Health, Stats Explorer , https://gis.in.gov/apps/isdh/meta/stats_layers.htm?q=VAR_ID%20like%20%27%25%25%27&prof=18077 15 15 . Jefferson County Drugs Submitted to Indiana State Police Lab Drug DEA Grouping 2016 2017 2018 Acrylfentanyl Opioid 0 1 0 Alprazolam Depressant 1 0 1 Amphetamine Stimulant 1 0 0 Buprenorphine Opioid 12 4 6 Cocaine Stimulant 2 1 1 Fentanyl Opioid 0 2 2 Heroin Opioid 0 5 1 Hydrocodone Opioid 1 0 3 Marijuana Cannabis 7 6 5 Methadone Opioid 1 0 0 Methamphetamine Stimulant 47 27 29 Oxycodone Opioid 6 0 1 Tetrahydrocannabinol (THC) Cannabis 1 0 0 Total 2,095 2,063 2,067 Source: Indiana State Police - https://hub.mph.in.gov/dataset/drug-submissions-to-indiana-state-police-laboratories 16 16 8

5/26/2020 . Substance Use Treatment Episodes - FY2018 Treatment Type Jefferson Indiana Total number of admissions for treatment 307 33,399 Number of admissions with alcohol use reported 96 15,250 Percent of admissions with alcohol use reported 31.3% 45.7% Number of admissions with marijuana use reported 162 16,489 Percent of admissions with marijuana use reported 52.8% 49.4% Number of admissions with cocaine use reported 13 3,934 Percent of admissions with cocaine use reported 4.2% 11.8% Number of admissions with heroin use reported 40 7,131 Percent of admissions with heroin use reported 13.0% 21.4% Number of admissions with methamphetamine use reported 153 9,976 Percent of admissions with methamphetamine use reported 49.8% 29.9% Number of admissions with prescription opioid use reported 108 6,818 Percent of admissions with prescription opioid use reported 35.2% 20.4% * Note: Treatment data represent the number of admissions to treatment, not the number of individuals (who may be admitted to treatment more than once in a year). The data include only admissions to state-funded treatment (individuals who are 200% below the federal poverty level). Source: Indiana Prevention Resource Center - https://iprc.iu.edu/epidemiological-data/epi_table.php?table_id=t901&county=39 17 17 Drug Overdoses by Type – 2018 Rate per 100,000 (Crude Rate) and Count A Closer Look at Jefferson County Resident Fatal Drug Overdoses Jefferson Indiana Jefferson Indiana Drug Category Count Count Rate Rate All Drugs 7 1,626 21.8 24.3 All Opioids 2 1,098 6.2 16.4 Cocaine 0 332 0.0 3.8 Heroin 0 309 0.0 4.6 Benzodiazepines 0 253 0.0 5.0 Psychostimulants other than Cocaine 3 377 9.33 5.6 Source: Indiana State Department of Health, Stats Explorer, https://gis.in.gov/apps/isdh/meta/stats_layers.htm?q=VAR_ID%20like%20%27%25%25%27&prof=18077 18 18 9

5/26/2020 . Non-Fatal Emergency Department Visits Involving Any Drug Overdose Rate per 100,000 (Crude Rate) and Count 2016 2017 2018 County Rate Count Rate Count Rate Count 299.1 19,839 311 20,732 258.7 17,311 Indiana 311.6 100 296.1 96 263.9 85 Jefferson County Source: Indiana State Department of Health, Stats Explorer 19 19 . Non-Fatal Emergency Department Visits Involving Any Opioid Overdose Rate per 100,000 (Crude Rate) and Count 2016 2017 2018 Locality Rate Count Rate Count Rate Count 104.5 6,934 122.5 8,169 87 5,825 Indiana 43.2 14 37.4 12 21.7 7 Jefferson County Source: Indiana State Department of Health, Stats Explorer 20 20 10

5/26/2020 . Non-Fatal Emergency Department Visits Involving Any Heroin Overdose Rate per 100,000 (Crude Rate) and Count 2016 2017 2018 Locality Rate Count Rate Count Rate Count 70.7 4,690 85.4 5,693 55.7 3,727 Indiana 27.8 9 24.9 8 0 0 Jefferson County Source: Indiana State Department of Health, Stats Explorer 21 21 . Non-Fatal In-Patient Hospitalizations Involving Any Drug Overdose Rate per 100,000 (Crude Rate) and Count 2016 2017 2018 Locality Rate Count Rate Count Rate Count 119.7 7,940 112.8 7,522 105.8 7,079 Indiana 83.3 27 59.2 19 86.9 28 Jefferson County Source: Indiana State Department of Health, Stats Explorer 22 22 11