Disclosure

Please read footnotes, titles and explanations with each chart for source(s) and explanation of data. It is important to note that some of the data presented below can not be taken as absolutely definitive since a minimum of 15 cases are required to calculate a stable age-adjusted rate. Considering the small populations in our rural counties, in several instances, the age-adjusted rates displayed below were calculated with fewer than 15 cases. Also, where the information is left blank, counts/rates were suppressed, likely due to having fewer than 5 reported cases within the specified category.

Instructions

Some of the tables below have filters. In such, use these filters to select the “category” for which you are interested. Then, click the county/counties within the legend of the associated chart (just below the appropriate tables) to view the county/counties for which you are interested. The charts are defaulted to display “District”, “Kentucky” and “United States” trends.

Socioeconomic Indicators

LCDHD has higher poverty rates than the state and nation resulting in poorer health. Poverty is a high predictor of poor health. Chronic diseases such as diabetes, heart and lung diseases are more prevalent and mirror smoking and obesity rates. In recent years, smoking rates have declined (KY health ranking data 2016 see CHA), as such, the statistics should improve over time.

Median Income

Select and De-select counties by clicking the legend options.

Source: Small Area Income and Poverty Estimates

Other SocioEconomic Factors (including Teen Pregnancy)

Select the category by using the filter below. Select and De-select counties by clicking the legend options.

Category:

Year	Category	Adair	Casey	Clinton	Cumberland	Green	McCreary	Pulaski	Russell	Taylor	Wayne	District	Kentucky	United States	HP 2020	District Score
2010	4 Year Graduation Percent															na
2011	4 Year Graduation Percent															na
2012	4 Year Graduation Percent															na
2013	4 Year Graduation Percent	89.80	93.30	82.40	95.20	95.00	93.50	90.70	88.90	100.00	91.00		86.10	81.00	87.00	na
2014	4 Year Graduation Percent	94.30	93.60	87.10	92.40	97.00	92.00	93.40	91.60	100.00	86.70		87.50	82.30	87.00	na
2015	4 Year Graduation Percent	98.50	97.40	95.00	94.90	95.30	79.30	97.70	88.60	98.60	90.20		88.60	83.20	87.00	na
2016	4 Year Graduation Percent															na
2010	65 and Under Percent Uninsured	23.00	24.20	21.10	23.00	21.10	21.70	19.60	21.40	20.00	22.20		17.50	17.60		na
2011	65 and Under Percent Uninsured	21.40	22.00	20.50	20.20	19.80	21.20	18.10	19.60	19.10	19.40		16.90	17.30		na
2012	65 and Under Percent Uninsured	20.20	21.90	18.90	20.40	20.80	19.80	18.10	20.80	18.40	19.90		16.20	16.90		na
2013	65 and Under Percent Uninsured	21.20	23.20	20.50	21.30	22.00	21.00	18.30	21.70	19.10	20.10		16.80	16.70		na
2014	65 and Under Percent Uninsured	12.20	13.20	11.80	12.20	12.20	11.90	10.50	13.00	10.70	11.90		9.90	13.50		na
2015	65 and Under Percent Uninsured	8.30	9.30	9.20	8.10	8.40	8.80	8.10	9.20	7.20	8.30		7.10	10.90		na
2016	65 and Under Percent Uninsured															na
2010	Age 15-19 Birth Percent: 7 Year Average	4.23	5.53	6.37	5.82	4.72	8.11	6.51	8.09	4.82	7.89	6.22	5.00	3.43		D
2011	Age 15-19 Birth Percent: 7 Year Average	4.15	5.49	6.26	5.73	4.47	8.38	6.46	8.44	4.89	7.50	6.19	4.93	3.13		D
2012	Age 15-19 Birth Percent: 7 Year Average	3.94	5.73	6.33	5.46	4.02	8.40	6.41	8.45	4.90	7.40	6.14	4.84	2.94		D
2013	Age 15-19 Birth Percent: 7 Year Average	3.69	5.94	6.73	5.66	4.36	8.35	6.33	7.93	4.98	7.41	6.12	4.66	2.65		D
2014	Age 15-19 Birth Percent: 7 Year Average	3.36	5.98	6.11	4.91	4.51	8.34	5.94	7.55	4.80	7.06	5.83	4.42	2.42		D
2015	Age 15-19 Birth Percent: 7 Year Average															na
2016	Age 15-19 Birth Percent: 7 Year Average															na
2010	All Ages Percent in Poverty	24.00	27.80	25.40	26.30	21.60	36.50	21.50	27.80	22.80	28.30		18.90	15.30		na
2011	All Ages Percent in Poverty	23.10	27.60	27.20	27.40	24.60	36.60	24.40	21.90	18.80	31.70		19.10	15.90		na
2012	All Ages Percent in Poverty	27.10	27.90	27.50	27.90	21.90	41.60	23.50	28.00	22.10	26.90		19.30	15.90		na
2013	All Ages Percent in Poverty	25.00	29.70	27.60	26.20	23.10	40.70	25.20	25.50	20.70	27.50		18.80	15.80		na
2014	All Ages Percent in Poverty	26.30	30.60	25.70	27.80	21.50	47.00	26.00	26.30	26.70	26.20		19.00	15.50		na
2015	All Ages Percent in Poverty	27.20	25.10	26.40	24.80	20.50	41.50	23.00	24.60	23.00	28.00		18.30	14.70		na
2016	All Ages Percent in Poverty															na
2010	Under Age 18 Percent in Poverty Percent	35.40	40.80	37.50	39.50	32.40	49.30	29.40	37.40	35.00	40.70		26.10	21.60		na
2011	Under Age 18 Percent in Poverty Percent	37.60	41.90	39.00	41.00	35.20	47.80	34.70	34.90	29.50	47.80		27.20	22.50		na
2012	Under Age 18 Percent in Poverty Percent	39.20	40.10	39.50	42.10	31.40	51.20	31.20	39.50	31.50	38.00		26.50	22.60		na
2013	Under Age 18 Percent in Poverty Percent	39.00	42.80	41.20	40.30	31.60	52.60	33.30	37.90	32.20	39.30		25.50	22.20		na
2014	Under Age 18 Percent in Poverty Percent	38.30	42.60	37.50	37.80	29.60	50.20	34.40	37.40	35.40	37.70		25.90	21.70		na
2015	Under Age 18 Percent in Poverty Percent	41.00	38.20	39.60	36.20	29.10	51.90	31.70	35.80	33.80	40.30		25.30	20.70		na
2016	Under Age 18 Percent in Poverty Percent															na
	Category

Sources:

Poverty: Small Area Income and Poverty Estimates
Graduation Rates: Kentucky Department of Education: School Report Card & National Center for Educational Statistic
Insurance: Small Area Health Insurance Estimates
Teen Births (Local/State): County Health Rankings and Roadmap
Teen Births (National): HHS.gov Office of Adolescent Health

Hospitalizations and ER Vistis Compared to Total Population (per 1,000) for Overdoes – Any Substance

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Year	Category	Adair	Casey	Clinton	Cumberland	Green	McCreary	Pulaski	Russell	Taylor	Wayne	District
2010	Hospitalizations or ER Vistis per 1,000 for Overdoes - Any Substance
2011	Hospitalizations or ER Vistis per 1,000 for Overdoes - Any Substance
2012	Hospitalizations or ER Vistis per 1,000 for Overdoes - Any Substance	3.24	5.34	5.60	5.60	2.61	2.97	2.78	4.41	3.44	2.77	3.47
2013	Hospitalizations or ER Vistis per 1,000 for Overdoes - Any Substance	2.71	4.96	4.03	3.83	3.24	2.58	1.96	4.01	3.63	1.75	2.90
2014	Hospitalizations or ER Vistis per 1,000 for Overdoes - Any Substance	2.24	4.21	3.05	6.19	1.98	1.96	2.45	3.73	3.08	2.82	2.87
2015	Hospitalizations or ER Vistis per 1,000 for Overdoes - Any Substance	3.39	5.78	2.26	5.31	3.15	2.63	3.15	4.52	4.62	2.43	3.58
2016	Hospitalizations or ER Vistis per 1,000 for Overdoes - Any Substance	2.40	4.58	1.97	4.72	2.70	3.59	2.87	3.28	4.31	1.99	3.15

Sources:

Overdose: Kentucky Injury Prevention and Research Center

Note:

To make the data comparable, Hospital Admissions and ER Visits have been presented as a ratio of total population.

Introduction

Healthy outcomes are closely linked to social indicators such as income, education and having health insurance.

Analysis (February 2018)

All counties in our district have lower median incomes than Kentucky and the Nation. However, McCreary County has the lowest. The median income has increased in most counties between 2010 and 2015; but, McCreary’s has not and, consequently, it has the highest percent of citizens in poverty, lowest high school graduation percentages and highest teen pregnancy rates. As far as insurance for all counties, 20-25% of those under 65 years were uninsured in 2010 but only 10% in 2015.

Discussion

The LCDHD provides Family Planning services and education. All 13 school districts across Lake Cumberland are offered an evidence-based, abstinence program focusing on teen pregnancy, HIV/STD prevention for 7th, 8th and 9th grade. A special project is being considered to support and mentor adolescents in McCreary County. The goal of the project would be to provide holistic adolescent health services in order to improve well-being and decrease mental health issues, teen pregnancy and suicide.