West Central District Health Department Data

County Data             chr             HP 2020 Target
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Chronic Disease and Conditions

Cancer

• Age-adjusted Cancer Death Rate; All causes (National Cancer Institute) orange
• Age-Adjusted Death Rate due to Breast Cancer (National Cancer Institute) HP 2020 Target orange
• Age-Adjusted Death Rate due to Cervical Cancer (National Cancer Institute) orange
• Age-Adjusted Death Rate due to Colorectal Cancer (National Cancer Institute) HP 2020 Target lightgreen
• Age-Adjusted Death Rate due to Lung Cancer (National Cancer Institute) HP 2020 Target yellow
• Age-Adjusted Death Rate due to Prostate Cancer (National Cancer Institute) HP 2020 Target yellow
• Breast Cancer Incidence Rate (National Cancer Institute) lightgreen
• Cancer Incidence Rate; All causes (National Cancer Institute) yellow
• Cervical Cancer Incidence Rate (National Cancer Institute) green
• Colorectal Cancer Incidence Rate (National Cancer Institute) HP 2020 Target lightgreen
• Lung Cancer Incidence Rate (National Cancer Institute) yellow
• Mammography screening (County Health Rankings) chr lightgreen
• Prostate Cancer Incidence Rate (National Cancer Institute) yellow

Diabetes

• % of diabetic Medicare enrollees age 65-75 that receive HbAc monitoring orange
• Age-Adjusted Death Rate due to Diabetes yellow
• Diabetes monitoring (County Health Rankings) chr orange
• Incidence of Diabetes among Adults (CDC) lightgreen
• Nebraska BRFSS: Ever told they have diabetes (excluding pregnancy) orange
• Prevalence of Diabetes among Adults (CDC) lightgreen

Heart Disease and Stroke

• Nebraska BRFSS: Had cholesterol checked in past 5 years orange

Heart Disease

• Age-Adjusted Death Rate due to Heart disease lightgreen
• Nebraska BRFSS: Ever told they had a heart attack or coronary heart disease red

Stroke

• Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke) yellow
• Nebraska BRFSS: Ever told they had a stroke orange

Respiratory Disease

• Adults with Asthma red
• Children with Asthma red

Disabilities

• Social associations (County Health Rankings) chr lightgreen

Health Behaviors

Healthy Food and Nutrition

Food Security

• Food insecurity chr yellow

Nutrition

• Nebraska BRFSS: Consumed fruits less than 1 time per day red
• Nebraska BRFSS: Consumed vegetables less than 1 time per day yellow

Physical Activity

• Access to exercise opportunities (County Health Rankings) chr orange
• Adults who are physically inactive (CDC) chr yellow
• Frequent physical distress (County Health Rankings) chr lightgreen
• Nebraska BRFSS: General health fair or poor health orange
• Nebraska BRFSS: Met aerobic physical activity recommendation lightgreen
• Nebraska BRFSS: Met both aerobic PA and muscle strengthening recommendations yellow
• Nebraska BRFSS: Met muscle strengthening recommendation yellow
• Nebraska BRFSS: No leisure-time physical activity in past 30 days yellow
• Poor or fair health (County Health Rankings) chr lightgreen
• Poor physical health days (County Health Rankings) chr yellow
• Recreation & Fitness Facilities Density green

Screening, Counseling and Education

• Nebraska BRFSS: Had cholesterol checked in past 5 years orange

Health Care

Access

• Dentists (County Health Rankings) chr lightgreen
• Mental health providers (County Health Rankings) chr green
• Other primary care providers (County Health Rankings) chr green
• Primary care physicians (County Health Rankings) chr green

Insurance Coverage

• Adults with Private Health Insurance lightgreen
• Adults without Health Insurance (American Community Survey) lightgreen
• Children without Health Insurance (American Community Survey) lightgreen
• Disabled Persons without Health Insurance (American Community Survey) lightgreen

Medicare

• % of diabetic Medicare enrollees age 65-75 that receive HbAc monitoring orange
• Diabetes monitoring (County Health Rankings) chr orange
• Health care costs (County Health Rankings) chr orange
• Nebraska BRFSS: Ever told they had a heart attack or coronary heart disease red
• Nebraska BRFSS: Ever told they have cancer orange
• Nebraska BRFSS: Ever told they have high cholesterol, among those who have ever had it checked orange

Uninsured

• Nebraska BRFSS: No health care coverage, 18-64 year olds yellow
• Uninsured (County Health Rankings) chr lightgreen
• Uninsured adults (County Health Rankings) chr lightgreen
• Uninsured children (County Health Rankings) chr green

Unmet Needs

• Nebraska BRFSS: Needed to see a doctor but could not due to cost in past year lightgreen
• Nebraska BRFSS: No personal doctor or health care provider lightgreen

Expenditures

• Health care costs (County Health Rankings) chr orange

Quality

• Adults with Asthma red
• Nebraska BRFSS: Ever told they had a heart attack or coronary heart disease red
• Nebraska BRFSS: Ever told they have depression red
• Nebraska BRFSS: Obese (BMI=30+) lightgreen
• Nebraska BRFSS: Overweight or Obese (BMI=25+) red
• Preventable hospital stays (County Health Rankings) chr yellow

Utilization

Emergency Care

• Nebraska BRFSS: Ever told they have cancer orange

Inpatient Care

• Children with Asthma red
• Preventable hospital stays for ambulatory care sensitive conditions orange

Health Risk Factors

• Adults who are physically inactive (CDC) chr yellow
• Insufficient sleep (County Health Rankings) chr yellow

Alcohol

• Alcohol-impaired driving deaths (County Health Rankings) chr lightgreen
• Excessive drinking (County Health Rankings) chr green
• Nebraska BRFSS: Binge drank in past 30 days green

Diabetes

• Incidence of Diabetes among Adults (CDC) lightgreen
• Nebraska BRFSS: Ever told they have diabetes (excluding pregnancy) orange
• Prevalence of Diabetes among Adults (CDC) lightgreen

High Cholesterol

• Nebraska BRFSS: Ever told they have high cholesterol, among those who have ever had it checked orange
• Nebraska BRFSS: Had cholesterol checked in past 5 years orange

Hypertension

• Nebraska BRFSS: Ever told they have high blood pressure (excluding pregnancy) orange

Illicit Drug Use

• Drug overdose deaths (County Health Rankings) chr orange

Obesity and BMI

• Adults who are Obese (CDC) HP 2020 Target green
• Adults who are Overweight (CDC) yellow
• Nebraska BRFSS: Obese (BMI=30+) lightgreen
• Nebraska BRFSS: Overweight or Obese (BMI=25+) red

Tobacco

• Adult smoking (County Health Rankings) chr lightgreen
• Nebraska BRFSS: Current cigarette smoking yellow
• Nebraska BRFSS: Current smokeless tobacco use red

Infectious Disease

HIV and AIDS

• HIV prevalence rate (CDC) green

Influenza

• Nebraska BRFSS: Had a flu vaccination in past year green

Sexually Transmitted Diseases

• Chlamydia Incidence green
• Chlamydia Incidence Rate (CDC) lightgreen
• Gonorrhoea Incidence green
• Gonorrhoea Incidence Rate (CDC) lightgreen
• Syphilis Incidence yellow
• Syphilis Incidence Rate (CDC) green

Tuberculosis

• Tuberculosis Incidence HP 2020 Target green

Injury and Violence

• Age-Adjusted Death Rate due to Unintentional Injuries HP 2020 Target lightgreen
• Injury deaths (County Health Rankings) chr lightgreen
• Preventable hospital stays for ambulatory care sensitive conditions orange

Interpersonal Violence

• Child Abuse Rate green

Homicide

• Firearm fatalities (County Health Rankings) chr yellow
• Homicides (County Health Rankings) chr green

Weapons and Firearms

• Firearm fatalities (County Health Rankings) chr yellow

Motor Vehicle, Pedestrian, and Bicycle Safety

• Alcohol-impaired driving deaths (County Health Rankings) chr lightgreen
• Motor Vehicle Accident deaths HP 2020 Target green
• Motor vehicle crash deaths (County Health Rankings) chr lightgreen
• Nebraska BRFSS: Always wear a seatbelt when driving or riding in a car yellow
• Pedestrian Death Rate HP 2020 Target lightgreen

Suicide

• Age-Adjusted Death Rate due to Suicide HP 2020 Target green

Surveillance

• Violent Crime Rate (FBI Bureau of Investigation) green

Maternal and Infant Health

Births

Birth Outcomes

Infant Mortality

• Infant mortality (County Health Rankings) chr orange
• Infant Mortality Rate HP 2020 Target lightgreen

Low Birthweight

• Low birthweight (County Health Rankings) chr yellow

Very Low Birthweight

• Babies with Low Birth Weight HP 2020 Target yellow

Natality

• Teen Birth Rate yellow
• Teen births (County Health Rankings) chr lightgreen

Infant Screenings and Postpartum Follow-up

Screenings

• Syphilis Incidence yellow

Preconception and Prenatal Health

• Syphilis Incidence yellow

Prenatal Care and Education

• Mothers who Received Early Prenatal Care HP 2020 Target lightgreen

Mental Health and Substance Abuse

• Poor mental health days (County Health Rankings) chr lightgreen

Mental Health

• Frequent mental distress (County Health Rankings) chr green

Disorders and Conditions

• Age-Adjusted Death Rate due to Alzheimer's Disease lightgreen
• Nebraska BRFSS: Ever told they have depression red
• Nebraska BRFSS: Frequent mental distress in past 30 days lightgreen

Services, Screening, and Treatment

• Age-Adjusted Death Rate due to Alzheimer's Disease lightgreen
• Mental health providers (County Health Rankings) chr green
• Nebraska BRFSS: Ever told they have depression red
• Nebraska BRFSS: Frequent mental distress in past 30 days lightgreen

Social Support

• Children in single-parent households (County Health Rankings) chr yellow

Suicide

• Age-Adjusted Death Rate due to Suicide HP 2020 Target green

Substance Abuse

Alcohol

• Alcohol-impaired driving deaths (County Health Rankings) chr lightgreen
• Excessive drinking (County Health Rankings) chr green
• Nebraska BRFSS: Binge drank in past 30 days green

Illicit Drugs

• Drug overdose deaths (County Health Rankings) chr orange

Occupational Health and Safety

Work-related Illness

• Age-Adjusted Death Rate due to Pneumonia lightgreen

Oral Health

• Dentists (County Health Rankings) chr lightgreen

Diseases and Conditions

Oral and Pharyngeal Cancers

• Age-Adjusted Death Rate due to Oral Cancer (National Cancer Institute) green
• Oral Cancer Incidence Rate (National Cancer Institute) yellow

Physical Environment

Air quality

• Air pollution - particulate matter (County Health Rankings) chr lightgreen
• Annual Ozone Air Quality green
• Annual Particle Pollution green
• Particle Pollution green
• PBT Released green
• Recognized Carcinogens Released into Air green

Built Environment

• % of households lacking complete kitchen or plumbing facilities lightgreen
• % of households with at least 1 of 4 housing problems: overcrowding, high housing costs, lack of kitchen, lack of plumbing yellow
• % of households with overcrowding green
• Driving alone to work (County Health Rankings) chr red
• Farmers Market Density green
• Fast-food Restaurants Density yellow
• Food environment index (County Health Rankings) chr orange
• Grocery Store Density green
• Limited access to healthy foods (County Health Rankings) chr green
• Long commute - driving alone (County Health Rankings) chr green
• Severe housing problems (County Health Rankings) chr yellow

Water quality

• Drinking water violations (County Health Rankings) chr na

Population

• Commutes to work by walking or riding a bicycle green
• Homeownership Rate yellow
• Long travel time to work green
• Mean Travel Time to Work lightgreen
• Median Household Income lightgreen
• Percent of grandparent responsible for own grandchildren under 18 years green
• Residential segregation non-white/white (County Health Rankings) chr lightgreen
• Residential segregation—black/white (County Health Rankings) chr yellow
• Unemployed Workers in Civilian Labor Force lightgreen
• Voter Turnout yellow
• Workers who Commute to Work: Public Transportation green
• Workers who Drive Alone to Work red

Prevention Through Healthcare

Immunizations

• Nebraska BRFSS: Had a flu vaccination in past year green

Screening

• Age-Adjusted Death Rate due to Cervical Cancer (National Cancer Institute) orange
• Cervical Cancer Incidence Rate (National Cancer Institute) green
• Mammography screening (County Health Rankings) chr lightgreen
• Nebraska BRFSS: Had cholesterol checked in past 5 years orange

Social Determinants of Health

• Social associations (County Health Rankings) chr lightgreen

Community Safety

• Homicides (County Health Rankings) chr green

Education

• Disconnected youth (County Health Rankings) chr green

Educational Attainment

• 4th Grade Students Proficient in Math green
• 4th Grade Students Proficient in Reading green
• 8th Grade Students Proficient in Math green
• 8th Grade Students Proficient in Reading lightgreen
• People 25+ with a Bachelors Degree or Higher (Census) lightgreen
• Some college (County Health Rankings) chr orange
• Students Eligible for the Free Lunch Program yellow
• Student-to-Teacher Ratio red

Food Access and Quality

• Food insecurity chr yellow
• Nebraska BRFSS: Consumed fruits less than 1 time per day red

Poverty

• Children eligible for free or reduced price lunch (County Health Rankings) chr yellow
• Children in poverty (County Health Rankings) chr lightgreen
• Children Living Below Poverty Level yellow
• Families Living Below Poverty Level lightgreen
• Households with Public Assistance lightgreen
• Households without a Car and > 1 Mile from a Grocery Store green
• Income inequality (County Health Rankings) chr yellow
• Low-Income and >1 Mile from a Grocery Store green
• Low-Income Persons who are SNAP Participants yellow
• Median household income (County Health Rankings) chr lightgreen
• People 65+ Living Below Poverty Level green
• People 65+ Living Below Poverty Level orange
• People Living 150% Above Poverty Level (American Community Survey) orange
• People Living Below Poverty Level lightgreen
• Per Capita Income orange
• Renters Spending 30% or More of Household Income on Rent lightgreen