McIntosh County - Community Health Needs Assessment

Transcription

by preventing illness and injury, promoting
healthy behaviors, and protecting from harm.
of those who live, work, and play
in McIntosh County, and
To improve the health
Community Health Needs Assessment
Coastal Health District
McIntosh
County,
Georgia
Prepared by College of Coastal Georgia Faculty and Students
Mary Eleanor Wickersham, D.P.A., Assistant Professor of Public Affairs, and Student
Interns: Stephanie Basey, Suncica Beba, Jannronn Bradford, April Davis, Jennifer Dougherty,
John Lander, Maurice Mason, Jay Moreno, Maurey Moss, and Corliss Wade
2013 McIntosh County
October 31, 2013
Diane Z. Weems, M.D.
District Health Director, Coastal Health District
24 Oglethorpe Professional Boulevard
Savannah, Georgia 31406
Dear Dr. Weems,
Following this letter of transmittal, you will find the Community Health Needs Assessment
for McIntosh County, Georgia.
The document includes four sections: public data, survey data and focus group responses,
and data analysis.
It has been a tremendous learning experience for the students who have volunteered to
work on this project. Thank you for this opportunity.
Yours truly,
Mary Eleanor Wickersham, D.P.A., Assistant Professor of Public Affairs and Students in the
Public Affairs and Health Informatics Programs, Stephanie Basey, Suncica Beba, Jannronn
Bradford, April Davis, Jennifer Dougherty, John Lander, Maurice Mason, Jay Moreno,
Maurey Moss, and Corliss Wade
2
Executive Summary
As part of its responsibility to better meet the needs of the communities it serves, Coastal
Health District authorized a Community Health Needs Assessment for three of its southern
counties in late August 2013. The College of Coastal Georgia Foundation received a small
grant in return for work on the survey by students in the College of Coastal Georgia Public
Affairs and Health Informatics Programs.
Following approval by the college’s Institutional Review Board, faculty and students worked
together to devise, distribute, and collect surveys, host focus groups to discuss survey data,
and analyze data that will be useful for program planning for the Coastal Health District.
This Assessment is provided to readers in three sections:
1. Public Data - This section includes county-level data derived from public sources,
including the Georgia Department of Public Health. Data used are the most recent
available and trending was conducted whenever data were available.
2. Survey Data - A 36-question survey was prepared and approved by the Coastal
Health District and the college’s IRB. It was distributed online and as a paper survey.
There were 251 respondents in McIntosh County. Although each question varied
slightly in the number of respondents, overall the survey results have a 95%
confidence level with a margin of error of plus or minus six. Once survey results
were in, highlights of the survey were shared with focus groups, who commented on
the validity of the information provided by respondents and made other suggestions
about community needs. These comments follow the appropriate survey data.
3. The final phase of the project was data analysis, in which trends are identified and
relationships between findings are identified. There is much more that could be
learned from this information, however, a focus was placed on areas that could be
impacted by Public Health.
3
Table of Contents
Public Data ....................................................................................................................... 7
Demographic Data ...................................................................................................................8
Race, Age, Gender Data ..................................................................................................................8
Income ......................................................................................................................................... 10
Poverty Indicators ........................................................................................................................ 11
Employment ................................................................................................................................. 13
Housing Characteristics ............................................................................................................. 18
Special Populations ...................................................................................................................... 22
Pregnancy and Birth Rates by County .......................................................................................... 24
Mortality Data ....................................................................................................................... 25
Non-Injury Mortality Rates Per 100,000 ...................................................................................... 25
Compressed Mortality Rates per 100,000 from Injuries ............................................................. 26
Suicides ........................................................................................................................................ 26
Top Hospital Discharge Diagnoses ............................................................................................... 31
Discharge Rate per 100,000 for Colon Cancer by Race................................................................ 32
Discharge Rate per 100,000 for Breast Cancer by Race............................................................... 33
Discharge Rate per 100,000 for Lung Cancer by Race ................................................................. 34
Discharge Rate per 100,000 for Prostate Cancer......................................................................... 35
Discharge Rate per 100,000 for High Blood Pressure by Race .................................................... 36
Discharge Rate per 100,000 for Kidney Disease by Race ............................................................. 37
Discharge Rate per 100,000 for Obstructive Heart Disease by Race ..................................... 38
Discharge Rate per 100,000 for Diabetes by Race and Gender ................................................... 39
Discharge Rate per 100,000 for Bone and Muscle Diseases by Race and Gender ...................... 40
Discharge Rate per 100,000 for Pneumonia by Race and Gender............................................... 41
Discharge Rate per 100,000 for Nervous System Diseases by Race and Gender ........................ 42
Communicable/Infectious Disease Counts, McIntosh County..................................................... 43
Data Provided by Georgia Department of Public Health, Coastal Health District ....................... 43
Sexually Transmitted Diseases ..................................................................................................... 44
Percentage of Persons Who Did Not See a Doctor in the Past 12 Months, Due to Cost ............. 45
Uninsured Population .................................................................................................................. 45
Medicare Enrollees Who Had a Mammogram ............................................................................ 45
Medicare Spending Per Enrollee.................................................................................................. 46
Preventable Hospital Stays for Medicare Enrollees ..................................................................... 46
Diabetic Screening and Prevalence of Diabetes .......................................................................... 47
Emergency Room (ER) Visits by County ....................................................................................... 47
4
Age-Adjusted Emergency Room Visit Rate, McIntosh County, 2006 – 2010 Aggregate ............. 48
Mental and Physical Health Status .............................................................................................. 49
Obesity Rates ............................................................................................................................... 50
Index Crimes ................................................................................................................................ 50
Family Violence, McIntosh County 2012 (GBI)............................................................................ 50
Auto Injuries ................................................................................................................................. 51
Alcohol and Drug Abuse/Use ....................................................................................................... 52
Controlled Substance Prescriptions by County ............................................................................ 53
Georgia Department of Juvenile Justice (DJJ), McIntosh Statistics, 2009 – 2011........................ 55
Environmental Risks ..................................................................................................................... 56
Healthcare Resources ............................................................................................................. 60
McIntosh County Greenway Trails ............................................................................................... 62
Access to Healthy Foods .............................................................................................................. 63
Public Transportation Opportunities ........................................................................................... 64
McIntosh County Survey Data......................................................................................... 65
Survey Respondent Demographics .......................................................................................... 66
Age, Race, Gender, and Marital Status ........................................................................................ 66
Educational Attainment ............................................................................................................... 67
Employment Status ...................................................................................................................... 68
Income ......................................................................................................................................... 68
Health Insurance Status ............................................................................................................... 69
Survey Respondent Morbidity ................................................................................................ 70
Self-Reported Health Status and Need for Supports ................................................................... 70
Self-Reported Health Problems ................................................................................................... 71
Persons Who Report Need for Assistance with Activities of Daily Living .................................... 72
Social and Emotional Support Needs ........................................................................................... 72
Social Issues that Affect the Health and Safety of McIntosh Residents ...................................... 73
Survey Respondent Health Resource Utilization ...................................................................... 74
Primary Source of Health Care..................................................................................................... 74
Barriers to Health Care ................................................................................................................ 75
Physician and Dentist Visits in the Last Two Years ...................................................................... 76
Gaps in Health Care in McIntosh ................................................................................................. 76
Respondent Health Risks/Behaviors ....................................................................................... 77
Tobacco Use ................................................................................................................................. 77
Binge Drinking .............................................................................................................................. 77
Weight, Exercise, and Diet Findings ............................................................................................. 78
Self-Reported Experience with Risks ........................................................................................... 79
Emergency Planning and Ability to Evacuate............................................................................... 80
Top Environmental Problems ...................................................................................................... 80
Primary Source of Health Information ......................................................................................... 81
5
Access to Computer and Internet ................................................................................................ 81
Public Health Services Accessed by Respondents ....................................................................... 82
Challenges to Good Health Experienced by McIntosh Families .................................................. 83
Resources that Could be Leveraged to Improve Health .............................................................. 84
McIntosh County Open-Ended Responses by Age and Gender ................................................... 85
Analysis.......................................................................................................................... 87
Select Trends in Public Data .................................................................................................... 88
Survey Demographics and Health Status ................................................................................. 89
Education and Health Status ........................................................................................................ 89
Smoking by Race, Gender, Income, and Health Status ................................................................ 90
Household Income, Education, and Healthy Diets ...................................................................... 91
Overweight by Race ..................................................................................................................... 92
Age and Exercise Habits ............................................................................................................... 93
Exercise Habits and Weight ......................................................................................................... 93
Exercise and Healthy Diets ........................................................................................................... 94
Access to Computer and Internet for Health Education .............................................................. 95
Need for Emotional and Social Supports by Age ......................................................................... 96
Evacuation in the Event of a Natural Disaster ............................................................................. 97
Health Services Utilization ...................................................................................................... 98
Primary Source of Care for Insured, Uninsured ........................................................................... 99
Dental Visits and Income ........................................................................................................... 100
6
Public Data
7
Demographic Data
Race, Age, Gender Data
Census Details
Census Details
2010
Census
Counts
Percentages
2000
Census
Counts
14,333
100.00%
10,847
100.00%
53
45
5,149
10
0.37%
0.31%
35.92%
0.07%
41
32
3,993
4
0.38%
0.30%
36.81%
0.04%
88
177
8,811
0.61%
1.23%
61.47%
29
94
6,654
0.27%
0.87%
61.34%
Population by Hispanic or Latino Origin (of any race)
Persons of Hispanic or Latino Origin
227
Persons Not of Hispanic or Latino Origin
14,106
1.58%
98.42%
99
10,748
0.91%
99.09%
Population by Gender
Male
Female
48.76%
51.24%
5,369
5,478
49.50%
50.50%
5.48%
16.00%
61.24%
17.29%
715
2,327
6,525
1,280
6.59%
21.45%
60.15%
11.80%
McIntosh County, Total Population
Population by Race
American Indian and Alaska native alone
Asian alone
Black or African American alone
Native Hawaiian and Other Pacific native
alone
Some other race alone
Two or more races
White alone
6,989
7,344
Population by Age
Persons 0 to 4 years
785
2,293
8,777
Persons 65 years and over
2,478
Source:
http://censusviewer.com/county/GA/McIntosh
8
Percentages
Population Trends
Population Trends
11,878
2003
12,408
12,182
2004
2005
12,950
2006
13,623
2007
13,973
2008
14,268
2009
14,271
2010
14,170 13,839
2011
2012
Data from U.S. Census
Population by Race
McIntosh County Population by Race
0.37%
0.31%
American Indian and Alaska
native alone
Asian alone
Black or African American
alone
35.92%
Native Hawaiian and Other
Pacific native alone
Some other race alone
61.47%
0.07%
0.61%
1.23%
Data from U.S. Census
9
Two or more races
White alone
Income
McIntosh County Income, U.S. Census Data
McIntosh County, Georgia
Households
Families
Marriedcouple
families
Nonfamily
households
Estimate
Estimate
Estimate
Estimate
Total
5,583
3,638
2,590
1,945
Less than $10,000
11%
2%
0%
27%
$10,000 to $14,999
8%
4%
2%
15%
$15,000 to $24,999
16%
15%
8%
19%
$25,000 to $34,999
14%
13%
12%
16%
$35,000 to $49,999
12%
13%
14%
8%
$50,000 to $74,999
20%
28%
32%
5%
$75,000 to $99,999
10%
12%
14%
6%
$100,000 to $149,999
8%
11%
15%
3%
$150,000 to $199,999
1%
2%
3%
0%
$200,000 or more
1%
0%
0%
1%
Median income ($)
37,194
53,812
62,778
17,997
Mean income ($)
49,407
57,901
31,946
Household Income McIntosh County
2%
19%
32%
19%
29%
$0-14,999
$15,000-$34,999
$75,000-$149,999
$150,000-more
$35,000-$74,999
All Data on page from U.S. Census
10
Poverty Indicators
Gini Index* Comparison
County ( 2006-2010)
Gini Index*
Camden
Glynn
McIntosh
U.S.
.402 - .421
.461- .645
.439 - .460
.467
*GINI Index defined: The Gini index varies between zero and one. A value of one indicates perfect inequality
where only one household has any income. A value of zero indicates perfect equality, where all households
have equal income.” (Bee, Adam. 2012. “Household Income Inequality within U.S. Counties: 2006 – 2010.”)
Data from American Community Survey Briefs, U.S. Census.
McIntosh County Residents Receiving Food Stamps
SNAP
Recipients
(Food
Stamps)
Percentage of
Population on
SNAP
Percentage
Increase
Since 2000
*2009
2,591
17%
--
**2011
2,591
17%
199%
*Data from “County-by-County Review of SNAP/Food Stamp Participation,”
http://frac.org/wp-content/uploads/2010/07/ny_times_snap_poverty_formatted.pdf; **2013 from Slate:
Kirk, Chris. “How Many People Around You Receive Food Stamps?” Slate. April 30, 2013.
Percentage of Population in Poverty by County
Percent of Residents in Poverty, 2011
All Persons
Children 0 - 17
26.6
19.2
Georgia
35.5
31.1
20.4
14.7
Camden
21.7
19.6
Glynn
McIntosh
USDA Economic Research Service, http://www.ers.usda.gov/data-products/county-level-datasets/poverty.aspx#.UjYSXMZeaSo
11
Families with children with annual incomes of less than
150% of the federal poverty threshold
Location
Georgia
Camden
Glynn
McIntosh
Data Type
2005 - 2009
2006 - 2010
2007 - 2011
Number
340,003
359,789
374,251
Percent
27.30%
28.50%
29.60%
Number
1,809
1,995
2,020
Percent
25.30%
27.90%
27.60%
Number
2,552
2,999
3,144
Percent
28.10%
30.60%
32.60%
Number
447
591
607
Percent
33.80%
37.60%
43.50%
Data from Kids Count Database, http://datacenter.kidscount.org/data/tables/698-families-with-children-withannual-incomes-of-less-than-150-of-the-federal-povertythreshold?loc=12&loct=5#detailed/5/1946,1989,2024/true/1067,1000,939/any/8886,8887
Eligible children, birth through 4, enrolled in the Women, Infants, and Children (WIC)
program
Location
2007
2008
2009
2010
2011
Camden
2,509
2,645
2,718
2,635
2,743
Glynn
3,316
3,444
3,599
3,590
3,447
McIntosh
504
519
541
533
523
Georgia
340,589
361,291
379,071
377,186
373,572
Data from Kids Count Database, http://datacenter.kidscount.org/data/tables/698-families-with-children-withannual-incomes-of-less-than-150-of-the-federal-povertythreshold?loc=12&loct=5#detailed/5/1946,1989,2024/true/1067,1000,939/any/8886,8887
12
Employment
Employment Characteristics by Family
All data from U.S. Census, American Community Survey
Georgia
Glynn
County,
Georgia
Total
Estimate
McIntosh
County,
Georgia
Total
Estimate
Families
2,389,321 13,419
EMPLOYMENT STATUS CHARACTERISTICS
Married-couple families
1,701,625 10,566
Both husband and wife in 54.50%
52.60%
labor force
Husband in labor force,
23.80%
26.90%
wife not in labor force
Wife in labor force,
7.20%
7.40%
husband not in labor
force
Both husband and wife
14.60%
13.00%
not in labor force
20,756
3,638
15,105
49.00%
2,590
42.90%
21.60%
24.00%
7.20%
6.00%
22.20%
27.20%
Other families
Female householder, no
husband present
In labor force
Not in labor force
Male householder, no
wife present
In labor force
Not in labor force
Total
Estimate
Camden
County,
Georgia
Total
Estimate
687,696
76.90%
2,853
78.80%
5,651
81.40%
1,048
81.70%
55.80%
21.10%
23.10%
57.00%
21.80%
21.20%
57.20%
24.20%
18.60%
55.20%
26.50%
18.30%
18.40%
4.70%
12.00%
9.30%
14.10%
4.40%
15.90%
2.40%
13
Employment
Characteristics by Family
Georgia
Camden
County,
Georgia
Total
Estimate
Glynn
County,
Georgia
Total
Estimate
McIntosh
County,
Georgia
Total
Estimate
13,419
12.10%
20,756
17.70%
3,638
19.90%
35.50%
34.40%
38.90%
52.40%
47.90%
41.20%
1,701,625 10,566
57.20%
58.40%
15,105
52.90%
2,590
46.50%
29.30%
30.30%
28.00%
24.50%
18.70%
18.10%
16.50%
15.30%
5.30%
4.50%
4.60%
2.30%
24.10%
23.50%
30.50%
38.20%
13.30%
11.50%
20.20%
25.40%
Total
Estimate
WORK STATUS CHARACTERISTICS
Families
2,389,321
No workers in the past 12 13.10%
months
1 worker in the past 12
35.40%
months
2 + workers in the past 12 51.60%
months
Married-couple families
Householder worked fulltime, year-round in the
past 12 months
Spouse worked full-time,
year-round in the past 12
months
Householder worked
part-time or part-year in
the past 12 months
Spouse worked part-time
or part-year in the past
12 months
Householder did not
work in the past 12
months
Spouse did not work in
the past 12 months
All data from U.S. Census, American Community Survey
14
Work Status
Work Status
Georgia
Population 16 to 64 years
WEEKS WORKED
Worked 50 to 52 weeks
Did not work
USUAL HOURS WORKED
Usually worked 35 or more
hours per week
Usually worked 15 to 34
hours per week
Usually worked 1 to 14
hours per week
Did not work
Mean usual hours worked
for workers
Camden
County,
Georgia
Glynn
County,
Georgia
McIntosh
County,
Georgia
Estimate Estimate Estimate Estimate
6,396,436 33,596
50,036
9,100
53.80%
6.10%
4.70%
4.00%
5.30%
26.10%
58.50%
4.80%
4.90%
3.70%
4.50%
23.60%
58.60%
5.40%
3.50%
3.40%
5.40%
23.60%
50.40%
2.80%
4.90%
4.30%
4.50%
33.20%
58.30%
60.60%
59.80%
49.60%
12.60%
13.00%
14.00%
12.50%
2.90%
2.80%
2.60%
4.60%
26.10%
23.60%
23.60%
33.20%
39.3
40.6
39
38.3
Data from U.S. Census Bureau, American Community Survey
Quarter Wages and Employment Census, McIntosh
Quarterly Wages and Employment Census,
McIntosh County, 2003 - 2012
2458
2348
2222
2312
2351
2225
2056
1905
1709 1775
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Bureau of Labor Statistics, http://www.bls.gov/cew/
15
Employment Status of Residents
All data from U.S. Census,
American Community Survey
Camden
County
Glynn
County
McIntosh
County
EMPLOYMENT STATUS
Population 16 years and over
38,083
61,777
11,440
In labor force
25,678
39,675
6,638
Civilian labor force
21,969
39,636
6,638
Employed
19,928
36,014
6,031
Unemployed
2,041
3,622
607
Armed Forces
3,709
39
0
Not in labor force
12,405
22,102
4,802
Civilian employed population 16 years and over
19,928
36,014
6,031
Management, business, science, and arts occupations
6,197
11,291
1,628
Service occupations
4,003
8,684
1,232
Sales and office occupations
5,325
8,921
1,264
Natural resources, construction, and maintenance
occupations
Production, transportation, and material moving
occupations
INDUSTRY
2,244
3,618
1,101
2,159
3,500
806
19,928
36,014
6,031
Agriculture, forestry, fishing and hunting, and mining
97
279
311
Construction
1,240
2,782
879
Manufacturing
1,655
2,446
409
Wholesale trade
566
877
61
Retail trade
2,678
4,119
671
Transportation and warehousing, and utilities
1,041
1,555
276
Information
247
660
144
Finance and insurance, and real estate and rental and
leasing
Professional, scientific, and management, and
administrative and waste management services
Educational services, and health care and social
assistance
Arts, entertainment, and recreation, and
accommodation and food services
Other services, except public administration
807
1,631
209
1,867
3,717
380
3,684
7,196
1,293
2,085
5,801
623
920
2,279
202
3,041
2,672
573
OCCUPATION
Public administration
CLASS OF WORKER
19,928
36,014
6,031
Private wage and salary workers
13,519
27,127
4,059
Government workers
5,553
6,186
1,427
825
2,603
545
31
98
0
Self-employed in own not incorporated business
workers
Unpaid family workers
16
Unemployment Rate
Unemployment Rate, 2005 - 2012
12
Percentage
10
8
6
4
2
0
2005
Camden
2006
2007
Glynn
2008
2009
McIntosh
2010
2011
Georgia
2012
U.S.
*Data from Bureau of Labor Statistics, http://www.bls.gov/lau/ and
http://data.bls.gov/timeseries/LNS14000000
McIntosh continues to fall behind its neighbors, the state, and the U.S. in employment. This
trend makes clear that there has not been a full recovery since the economic downturn that
began in 2009.
17
Housing Characteristics
Housing Characteristics
Georgia
Percent
Camden
County,
Georgia
Percent
Glynn
County,
Georgia
Percent
McIntosh
County,
Georgia
Percent
Total housing units
4,063,024
20,945
40,332
8,966
Occupied housing units
85.90%
86.00%
76.80%
62.30%
Vacant housing units
14.10%
14.00%
23.20%
37.70%
3,490,754
18,015
30,980
5,583
Owner-occupied
66.80%
69.30%
63.90%
78.60%
Renter-occupied
33.20%
30.70%
36.10%
21.40%
3,490,754
18,015
30,980
5,583
Utility gas
42.70%
6.10%
14.20%
6.00%
Bottled, tank, or LP gas
6.30%
2.20%
3.10%
16.10%
Electricity
49.50%
90.40%
81.50%
75.70%
Fuel oil, kerosene, etc.
0.30%
0.10%
0.40%
0.00%
Coal or coke
0.00%
0.00%
0.00%
0.00%
Wood
1.00%
0.50%
0.40%
2.10%
Solar energy
0.00%
0.00%
0.00%
0.00%
Other fuel
0.10%
0.20%
0.00%
0.00%
No fuel used
0.30%
0.40%
0.40%
0.00%
3,490,754
18,015
30,980
5,583
Lacking complete plumbing
facilities
Lacking complete kitchen facilities
0.50%
0.90%
1.30%
1.80%
0.70%
1.00%
1.40%
1.30%
No telephone service available
4.10%
2.70%
4.20%
7.00%
HOUSING OCCUPANCY
HOUSING TENURE
HOUSE HEATING FUEL
SELECTED CHARACTERISTICS
Data from U.S. Census, American Community Survey
18
Georgia
Camden
Glynn
McIntosh
VALUE
Owner-occupied units
2,332,685
12,486
19,800
4,388
Less than $50,000
9.10%
10.20%
10.80%
22.30%
$50,000 to $99,999
15.80%
10.70%
16.10%
28.60%
$100,000 to $149,999
20.40%
21.30%
14.20%
7.80%
$150,000 to $199,999
19.10%
23.80%
13.00%
12.90%
$200,000 to $299,999
17.80%
20.20%
16.10%
8.70%
$300,000 to $499,999
11.90%
9.20%
17.60%
16.10%
$500,000 to $999,999
4.80%
3.60%
9.50%
2.40%
$1,000,000 or more
1.10%
1.10%
2.60%
1.20%
Owner-occupied units
2,332,685
12,486
19,800
4,388
Housing units with a mortgage
71.40%
73.20%
66.70%
52.30%
Housing units without a mortgage
28.60%
26.80%
33.30%
47.70%
Occupied units paying rent
1,084,745
5,107
10,574
868
Less than $200
1.90%
0.30%
3.10%
12.30%
$200 to $299
3.20%
2.40%
3.00%
9.80%
$300 to $499
9.10%
7.70%
12.00%
23.70%
$500 to $749
25.30%
26.20%
26.30%
42.70%
$750 to $999
29.90%
34.10%
29.50%
9.70%
$1,000 to $1,499
24.70%
24.50%
20.80%
1.70%
$1,500 or more
6.00%
4.80%
5.20%
0.00%
MORTGAGE STATUS
GROSS RENT
Source: U.S. Census Bureau, 2007-2011 American Community Survey
19
Educational Attainment
Estimate
969,452
21.00%
32.00%
Camden
County,
Georgia
Estimate
6,509
16.00%
42.30%
Glynn
County,
Georgia
Estimate
6,662
22.60%
40.50%
McIntosh
County,
Georgia
Estimate
1,459
17.30%
49.60%
39.60%
35.00%
32.20%
26.80%
7.40%
6.70%
4.70%
6.30%
Less than 9th grade
9th to 12th grade, no diploma
High school graduate (or GED)
Some college, no degree
Associate's degree
Bachelor's degree
Graduate or professional
degree
6,152,481
5.90%
10.10%
29.40%
20.50%
6.60%
17.70%
9.80%
29,965
2.40%
8.30%
31.20%
28.90%
8.90%
12.20%
8.10%
52,973
3.90%
10.00%
30.10%
22.90%
7.30%
16.10%
9.70%
9,486
9.10%
13.50%
38.10%
18.70%
5.50%
9.60%
5.60%
High school graduate or higher
Bachelor's degree or higher
1,327,582
84.90%
28.90%
7,132
93.20%
19.20%
9,523
84.50%
24.50%
1,030
91.10%
21.60%
1,413,864
87.70%
31.40%
6,695
92.40%
19.40%
10,056
90.10%
25.50%
1,664
74.00%
15.40%
2,404,926
86.10%
28.00%
11,651
89.60%
21.60%
21,653
88.20%
24.80%
4,452
79.00%
12.80%
1,006,109
72.60%
19.00%
4,487
77.50%
19.60%
11,741
80.10%
29.20%
2,340
71.10%
16.90%
Less than high school graduate
High school graduate (includes
equivalency)
Some college or associate's
degree
Georgia
Data Source: U.S. Census Bureau, 2007-2011, American Community Survey
According to the National Center for Education Statistics, National Assessment of Adult Literacy, in
2003 (the most recent year for which statistics are available), 19.8% of adults lacked basic literacy
skills.
20
Graduation Rates and Educational Attainment by Age Group
McIntosh County Graduation Rate
Graduation Rate
100%
94%
92%
90%
88%
86%
84%
82%
80%
78%
76%
80%
60%
40%
20%
0%
2010
2010
2011
Camden
2012
2011
Glynn
2012
McIntosh
Data from Georgia Department of Education
Education Attainment for Population 25 Years and Older
50.0%
40.0%
30.0%
20.0%
10.0%
0.0%
Georgia
Camden
Glynn
McIntosh
Less than 9th grade
9th to 12th grade, no diploma
High school graduate (or GED)
Some college, no degree
Associate's degree
Bachelor's degree
Graduate or professional degree
U.S. Census Bureau, American Community Survey, 2007 – 2011
According to the National Center for Education Statistics, in 2003, (the most recent data
available by county), 19.8% of the McIntosh population did not have basic literacy skills.
21
Special Populations
Older Residents as a Percentage of Population
Percentage of Older Persons in Population
20
15
% 65+
10
% 85+
5
0
2003
2010
Data from Georgia Statistics System, http://www.georgiastats.uga.edu
SSI* and SSI + OASDI** Recipients by County and Total Payments by County,
December 2012
Georgia
Camden
Glynn
McIntosh
Total
Aged
Blind
and
Disabled
Under
18
18-64
65 or
older
SSI
recipients
also
receiving
OASDI
Total
payments
in
thousands
of dollars*
247,951
846
1,924
464
24,722
51
134
43
223,229
795
1,790
421
45,271
197
370
49
151,984
520
1,251
305
50,696
129
303
110
82,568
277
713
211
135,864
433
1,009
205
*SSI stands for Supplemental Security Income; **OASDI stands for Old Age, Survivors, and Disability Insurance
or what we know as Social Security. According to the Social Security Administration, “SSI targets eligible
persons who have limited income and resources and who are disabled, blind, or aged 65 or older. Blind or
disabled children, as well as adults, are also eligible to receive SSI benefits.”
SOURCES: Social Security Administration, Master Beneficiary Record and Supplemental Security Record, 100
percent data. *The state payment total does not equal the sum of the rounded county totals.
http://www.ssa.gov/policy/docs/statcomps/ssi_sc/2005/index.html
22
Persons with Disabilities in the Civil Non-Institutionalized Population, 2000
(2010 Disability Data Not Available)
Georgia
Total disabilities
tallied
Total disabilities
tallied for people
5 to 15 years
Sensory disability
2,638,739
Camden
County
10,656
Glynn County
24,738
McIntosh
County
5,053
99,511
644
931
143
12,885
67
154
10
Physical disability
13,471
48
204
27
Mental disability
60,819
466
508
97
Self-care disability
12,336
63
65
9
Total disabilities
tallied for people
16 to 64 years
Sensory disability
1,784,544
7,992
14,637
3,610
122,519
641
1,275
350
Physical disability
336,687
1,802
2,942
778
Mental disability
190,182
887
1,977
372
93,199
487
775
264
Go-outside-home
disability
Employment
disability
Total disabilities
tallied for people
65 years and over
Sensory disability
375,962
1,154
2,603
644
665,995
3,021
5,065
1,202
754,684
2,020
9,170
1,300
119,668
384
1,618
228
Physical disability
256,057
767
3,051
456
Mental disability
107,051
236
1,329
187
89,319
240
1,177
142
Go-outside-home
182,589
393
1,995
287
disability
Data from U.S. Census, Fact Finder, http://factfinder2.census.gov/faces/tableservices/jsf/pages/
productview.xhtml?pid=DEC_00_SF3_P041&prodType=table
23
Pregnancy and Birth Rates by County
Birth Rates by County, 2000-2010
Pregnancy Rate, age 20+
60
60
50
50
40
40
30
30
20
20
10
10
0
2000
2005
Camden
Glynn
0
2010
McIntosh
2000
2005
2010
Camden
Glynn
McIntosh
First Births to Mothers Age 20 or Older
with 12 Years of Education
80.00%
70.00%
60.00%
50.00%
40.00%
30.00%
20.00%
10.00%
0.00%
2003
2004
Georgia
2005
2006
Camden
2007
2008
Glynn
All data on page from Georgia Family Connection Partnership
24
2009
2010
McIntosh
2011
Mortality Data
Non-Injury Mortality Rates Per 100,000
Compressed Mortality, Non-Injury, 1999 - 2010,
McIntosh County
All other diseases
Diseases indicated by abnornal labs
Perinatal conditions
Kidney disease
Chronic liver disease/ cirrhosis
Other respiratory diseases
Chronic respiratory disease
Flu and pneumonia
Circulatory system diseases
Atherosclerosis
Cerebrovascular diseases/stroke
Hypertension
Diseases of Heart
Alzheimers disease
Diabetes mellitus
Malignant neoplasms (Cancers)
HIV
Septicemia
0
50
100
150
200
250
Centers for Disease Control, Wonder Database,
http://wonder.cdc.gov/controller/datarequest/D91;jsessionid=1123EB164D7EBF83302C63A85AD0E
C85
25
Compressed Mortality Rates per 100,000 from Injuries
Compressed Mortality, Injuries, 1999 - 2010,
McIntosh County
30
25
20
15
10
5
0
Drowning
Firearm
Motor Vehicle Traffic
Centers for Disease Control, Wonder Database,
http://wonder.cdc.gov/controller/datarequest/D91;jsessionid=1123EB164D7EBF83302C63A85AD0E
C85
Suicides
Suicides by County
25
20
15
10
5
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Camden
Glynn
McIntosh
26
Top Ten Causes of Death in McIntosh, 2007 - 2011
County Comparison with Georgia
Cause
McIntosh
Rank
Georgia
Rank
Ischemic Heart and Vascular Disease
1
1
Malignant Neoplasms of the Trachea,
Bronchus and Lung
All COPD Except Asthma
2
2
3
4
Cerebrovascular Disease
4
3
Alzheimer’s Disease
5
7
Nephritis, Nephrotic Syndrome and
Nephrosis
Malignant Neoplasms of Colon, Rectum
and Anus
Motor Vehicle Crashes
6
9
7
12
8
13
Malignant Neoplasm of the Breast
9
14
All Other Mental and Behavioral
Disorders
10
5
Data from Georgia Department of Public Health
Years of Potential Life Lost
Years
Years of Potential Life Lost Before Age 75 Per
100,000 Population (Age-adjusted)
14000
12000
10000
8000
6000
4000
2000
0
Camden
Glynn
McIntosh
Georgia
2010
2011
2012
2013
Data from County Health Rankings, http://www.countyhealthrankings.org/our-approach/healthoutcomes/premature-death
Years of Potential Life Lost provides a measure of the overall population health.
According to County Health Rankings, “Premature deaths are deaths that occur
before a person reaches an expected age, for instance, age 75. Many of these
deaths are considered to be preventable.”
27
Infant Mortality
Infant Deaths by County, 2005 – 2011
2005
2006
2007
2008
2009
2010
2011
Georgia
1,196
1,241
1,292
1,157
1,192
1,070
1,165
Camden
1
3
3
4
3
4
4
Glynn
6
10
7
5
6
8
7
McIntosh
3
1
1
1
3
0
3
Data from OASIS, Georgia Public Health Online Statistical Information System,
http://oasis.state.ga.us/oasis/oasis/qryMCH.aspx
Leading Causes of Infant Deaths, by Crude Death Rate, 2000 – 2007
McIntosh County
Certain Conditions Originating in the Perinatal Period
Suffocation
Infant Deaths, 2000 - 2011
Numbe of Infant Deaths
20
15
Camden
10
Glynn
McIntosh
5
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
28
Induced Terminations by County
Induced Termination of Pregnancy
Camden
Glynn
McIntosh
51
25
18
11
9
2
1
2000
5
1
2005
2010
Number of Early Childhood Deaths by County
Early Childhood Deaths (Ages 1-4) by County
Camden
Glynn
McIntosh
44
3
2
2
11
0 0
1 1
0
2
22
1
2
1 1
0
22
2
11
00
0 0 0
11
0 0 0
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Data from Georgia Public Health, OASIS
29
Morbidity Data
Health Risks Related to Pregnancy
Pregnancy Rate, age 10-19
60
50
40
30
20
10
0
2000
2005
Camden
Glynn
2010
McIntosh
Low Birthweight Rate 2000-2010
14
12
10
8
6
4
2
0
2000
2005
Camden
Glynn
2010
McIntosh
Very Low Birthweight Rate 2000-2010
5
4
3
2
1
0
2000
2005
Camden
Glynn
2010
McIntosh
30
All data on
this page from
Georgia
Department
of Public
Health, OASIS
Statistical
System
Inadequate Prenatal Care
2000
Births
Camden 48
Glynn
109
McIntosh 17
% Inadequate
Prenatal Care
Utilization
7.5
11
10.6
2005
Births
% Inadequate
Prenatal Care
Utilization
125
81
6
19.5
8
4.8
Data from Georgia Department of Public Health, OASIS
Top Hospital Discharge Diagnoses
McIntosh/Georgia Age-Adjusted Hospital Discharge Rate, 2006- 2010
Cause
McIntosh County
Rank
1
Georgia
Rank
1
Diseases of the Musculoskeletal System and Connective Tissue
2
3
All Other Mental and Behavioral Disorders
3
4
Ischemic Heart and Vascular Disease
4
2
Pneumonia
5
5
All Other Diseases of the Genitourinary System
6
6
Cerebrovascular Disease
7
7
Essential (Primary) Hypertension and Hypertensive Renal, and
Heart Disease
All Other Endocrine, Nutritional and Metabolic Diseases
8
17
9
8
10
10
Pregnancy, Childbirth and the Puerperium
Data provided by Georgia Department of Public Health
31
Discharge Rate per 100,000 for Colon Cancer by Race
Discharge Rates for Colon Cancer
Among Whites by County
120
100
80
60
40
20
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Camden
Glynn
McIntosh
Discharge Rates for Colon Cancer
Among Blacks by County
70
60
50
40
30
20
10
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Camden
Glynn
McIntosh
Source: http://oasis.state.ga.us/oasis
Age-Adjusted Discharges, Rates based on 1-4 events are not shown
32
Discharge Rate per 100,000 for Breast Cancer by Race
70.0
Discharge Rates for Breast Cancer
60.0
50.0
40.0
Camden
30.0
Glynn
20.0
McIntosh
10.0
0.0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Discharge Rates for Breast Cancer
40.0
30.0
Camden
20.0
Glynn
McIntosh
10.0
0.0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
33
Discharge Rate per 100,000 for Lung Cancer by Race
Discharge Rates for Lung Cancer
among Whites by County
120.0
100.0
80.0
Camden
60.0
Glynn
40.0
McIntosh
20.0
0.0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Discharge Rates for Lung Cancer
among Blacks by County
70
60
50
40
Camden
30
Glynn
McIntosh
20
10
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
34
Discharge Rate per 100,000 for Prostate Cancer
Discharge Rates for Prostate Cancer
35.0
30.0
25.0
20.0
Camden
15.0
Glynn
McIntosh
10.0
5.0
0.0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Discharge Rates for Prostate Cancer
45.0
40.0
35.0
30.0
25.0
Camden
20.0
Glynn
15.0
McIntosh
10.0
5.0
0.0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
35
Discharge Rate per 100,000 for High Blood Pressure by Race
Discharge Rates for High Blood Pressure
70
60
50
40
Camden
30
Glynn
McIntosh
20
10
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Discharge Rates for High Blood Pressure
250.0
200.0
150.0
Camden
Glynn
100.0
McIntosh
50.0
0.0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
36
Discharge Rate per 100,000 for Kidney Disease by Race
Discharge Rates for Kidney Disease
200
180
160
140
120
100
80
60
40
20
0
Camden
Glynn
McIntosh
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Discharge Rates for Kidney Disease
300.0
250.0
200.0
Camden
150.0
Glynn
100.0
McIntosh
50.0
0.0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
37
Discharge Rate per 100,000 for Obstructive Heart Disease,
Including Heart Attack, by Race
Discharge Rates for Heart Disease
1000
900
800
700
600
500
400
300
200
100
0
Camden
Glynn
McIntosh
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Discharge Rates for Heart Disease
450
400
350
300
Camden
250
Glynn
200
McIntosh
150
100
50
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
38
Discharge Rate per 100,000 for Diabetes by Race and Gender
Discharge Rates for Diabetes Among Whites
McIntosh County, 2000-2010
300
250
200
150
White Male McIntosh
100
White Female McIntosh
50
0
Discharge Rates for Diabetes Among Blacks
350
300
250
200
Black Male McIntosh
150
Black Female McIntosh
100
50
0
According to the Centers for Disease Control, in 2009, 11.4% of McIntosh residents had been
diagnosed with diabetes, and 31.3% percent were obese. Almost 29% were physically inactive. This
data from http://apps.nccd.cdc.gov/DDT_STRS2/CountyPrevalenceData.aspx?mode=OBS.
39
Discharge Rate per 100,000 for Bone and Muscle Diseases by Race and Gender
Discharge Rates for Bone and Muscle Diseases Among
Whites, McIntosh,County, 2000-2010
700
600
500
400
White Male McIntosh
300
200
100
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
0
Discharge Rates for Bone and Muscle Diseases Among
Blacks, McIntosh County, 2000-2010
700
600
500
400
Black Male McIntosh
300
200
100
0
40
Discharge Rate per 100,000 for Pneumonia by Race and Gender
Discharge Rates for Pneumonia Among Whites
700
600
500
400
White Male McIntosh
300
200
100
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Discharge Rates for Pneumonia Among Blacks
500
450
400
350
300
250
200
150
100
50
0
Black Male McIntosh
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
41
Discharge Rate per 100,000 for Nervous System Diseases by Race and Gender
Discharge Rates for Nervous system Diseases Among
Whites. McIntosh County, 2000-2010
250
200
150
White Male McIntosh
100
50
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
0
Discharge Rates for Nervous System Diseases Among
Blacks, McIntosh County, 2000-2010
300
250
200
150
Black Male McIntosh
100
50
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
0
Source for data above and below: http://oasis.state.ga.us/oasis
42
Communicable/Infectious Disease Counts, McIntosh County
Years with no reported cases are left blank.
Disease
2008
2009
2010
2011
2012
3
1
13
3
1
4
2
Animal Bite
Positive Rabid Animals
3
Lyme Disease
2
Influenza-Fatal
1
Hepatitis B (Acute)
1
Hepatitis B (Chronic)
1
1
2
2
Total Hepatitis B Reported
1
1
2
3
2
2
3
Hepatitis C (Chronic)
Hepatitis C (Infected)
1
1
Total Hepatitis C Reported
1
1
1
2
Streptococcal Disease, Group A (Invasive)
2
4
1
Streptococcal Disease, Group B (Invasive)
2
Streptococcus Pneumoniae (Invasive)
Total Invasive Pathogens
2
1
1
3
1
2
2
2
2
3
6
2
1
1
1
1
Aseptic Meningitis
1
Neisseria Meningitidis (Invasive)
Meningitis (Cryptococcus)
Total Meningitis
1
Mumps
Legionelolsis
Pertussis
Varicella
Shigatoxin Producing E. Coli (Stec)
Vibrios-Other
Yersinia
Total Enteric Pathogens Reported
Data Provided by Georgia Department of Public Health, Coastal Health District
43
Sexually Transmitted Diseases
Sexually Transmitted Diseases, Counts, 2000 - 2010
700
600
500
400
300
200
100
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Camden
Glynn
McIntosh
Data from Georgia Statistics System, www.georgiastats.uga.edu
44
Health Resource Utilization
Percentage of Persons Who Did Not See a Doctor in the Past 12 Months, Due to Cost
Year
2012
2013
Camden
14%
14%
Glynn
12%
11%
McIntosh
19%
18%
Georgia
16%
16%
Data from http://www.countyhealthrankings.org
Uninsured Population
Number Uninsured
Camden
Glynn
McIntosh
Percent Uninsured
2012
7664
13127
2182
2013
7689
15361
2728
2012
Camden 18%
Glynn
21%
McIntosh 23%
Medicare Enrollees Who Had a Mammogram
Number of Female Medicare Enrollees Who
Had Mammography Screening by County
1000
800
600
400
200
0
2011
2012
Camden
Glynn
2013
McIntosh
Data from County Health Rankings, http://www.countyhealthrankings.org
45
2013
17%
23%
23%
Percent of Female Medicare Enrollees Who Had
Mammography Screening
80.00%
75.00%
70.00%
65.00%
2012
Camden
2013
Glynn
McIntosh
Medicare Spending Per Enrollee
Price-Adjusted Medicare Spending Per Enrollee
$15,000.00
$10,000.00
$5,000.00
$0.00
Camden
Glynn
2012
McIntosh
Georgia
2013
Preventable Hospital Stays for Medicare Enrollees
Preventable Hospital Stays for Medicare Enrollees
Axis Title
Per 1000 Hospitalizations for Ambulatory Sensitive
Conditions)
100
80
60
40
20
0
Camden
Glynn
McIntosh
2010
2011
2012
2013
All data on this page from County Health Rankings, http://www.countyhealthrankings.org
46
Diabetic Screening and Prevalence of Diabetes
Percentage of Persons Having Diabetic Screenings
100%
80%
Camden County
60%
McIntosh County
Glynn County
40%
Georgia
20%
USA
0%
2010
2011
2012
2013
Emergency Room (ER) Visits by County
40000
3600000
35000
3500000
30000
3400000
25000
3300000
20000
3200000
15000
3100000
10000
5000
3000000
0
2900000
2005 2006 2007 2008 2009 2010
Data from Georgia Public Health OASIS Statistics System
47
ER Visits for State
ER Visits by County
ER Visits, 2005 - 2010
Georgia
Camden
Glynn
McIntosh
Age-Adjusted Emergency Room Visit Rate, McIntosh County, 2006 – 2010 Aggregate
Cause
McIntosh County
Rank
Georgia Rank
All Other Unintentional Injury
1
1
Diseases of the Musculoskeletal System and Connective Tissue
2
2
All Other Diseases of the Genitourinary System
3
4
Falls
4
3
Motor Vehicle Crashes
5
5
All Other Mental and Behavioral Disorders
6
7
Pregnancy, Childbirth and the Puerperium
7
6
8
10
All Other Diseases of the Nervous System
9
8
Assault (Homicide)
10
12
Data from Georgia Department of Public Health
According to the Georgia Department of Public Health: “The age-adjusted emergency room
rate for the period described above was 3,597.9. The rate for the previous 4 year aggregate
(2002 - 2005) was 4,458.5. This difference is statistically significant.”
48
Risk Factors/Health Behaviors
Mental and Physical Health Status
McIntosh County Self-Reported Health Status
Number of Poor Physical Health Days
Number of Poor Mental Health Days
Percentage Who Describe Their
Health as Poor or Fair
2010
4.5
6
25%
2011
4.2
5.1
N/A
2012
4.2
4.4
N/A
2013
3.9
4.2
N/A
Georgia Self-Reported Health Status
2010
2011
2012
2013
Number of Poor Physical Health Days
3.6
3.5
3.6
3.5
Number of Poor Mental Health Days
3.5
3.4
3.4
3.4
Percentage Who Describe Their
17%
17%
16%
16%
Health as Poor or Fair
http://www.countyhealthrankings.org/app/georgia/2013/mcintosh/county/outcomes/overall/snapshot/byrank
Physical Inactivity
Years
2012
2013
Camden
24%
24%
McIntosh
30%
30%
Glynn
26%
26%
Georgia
24%
24%
USA
21%
21%
Data from County Health Rankings
49
Obesity Rates
Obesity Rates
35.00%
30.00%
25.00%
Camden County
20.00%
McIntosh County
15.00%
Glynn County
10.00%
Georgia
USA
5.00%
0.00%
2010
2011
2012
2013
Index Crimes
McIntosh County Index Crimes, 2008-2012 (GBI)
2008
2009
2010
2011
2012
Murder
Rape
Robbery
Assault
Burglary
Larceny
Vehicle
Theft
1
0
2
2
1
0
2
2
1
0
6
7
11
2
4
50
58
33
17
20
95
162
167
118
146
279
269
260
256
231
18
34
39
26
23
Data in chart above and below from Georgia Bureau of Investigation,
http://services.georgia.gov/gbi/crimestats
Family Violence, McIntosh County 2012 (GBI)
Abuse Type
Fatal Injury
Permanently Disabled
Temporarily Disabled
Broken Bones
Gun/Knife Wounds
Superficial Wounds
Property Damage
Threats
Abusive Language
Sexual Abuse
Male
0
0
1
0
3
26
9
9
6
1
Female
0
0
0
0
0
9
2
2
1
0
Other Abuse
5
1
Total
60
15
50
Safety Seat/Restraint Use, 2006
Safety Restraint Use Crashes, Injuries and Fatalities, Occupants over Age 5
(Number and Percent, 2006)
Crashes
Injuries
Fatalities
Number
Restrained
Percent
Restrained
Total
Occupants
Number
Restrained
Percent
Restrained
Total
Occupants
Number
Restrained
Percent
Restrained
Camden
Glynn
McIntosh
Georgia
Total
Occupants
County
2,739
7,923
183
776,157
2,464
6,713
137
628,137
90.0%
84.7%
74.9%
80.9%
461
1,236
52
119,572
380
1,024
37
94,628
82.4%
82.8%
71.2%
79.1%
6
23
3
1,308
4
12
0
492
66.7%
52.2%
0.0%
37.6%
http://www.gahighwaysafety.org/research/data-by-county/
Safety Restraint Use, Crashes Occupants under Age 6
(Number and Percent, 2006)
Crashes
County
Total
Occupants
167
421
10
38597
Camden
Glynn
McIntosh
Georgia
Number
Restrained
102
225
8
25076
Percent
Restrained
61.1%
53.4%
80.0%
65.0%
Car Restraint Information from Governor’s Office of Highway Safety,
http://www.gahighwaysafety.org/research/data-by-county/
Auto Injuries
McIntosh Auto Crashes, Injuries, Fatalities
140
Crashes and Injuries
120
100
80
Fatalities
60
Injuries
40
Crashes
20
3
4
8
2007
2008
2009
2
5
2010
2011
0
Georgia Department of Highway Safety, http://www.gahighwaysafety.org/research/data-by-county/
51
Crashes by Young Drivers, 2006, Number and Rate Per 100,000 Licensed Drivers
Ages 15 – 17
Ages 18 – 20
Ages 21 – 24
Crashes
Rate per
100,000
LD
Licensed
Drivers
Crashes
Rate per
100,000
LD
Licensed
Drivers
Crashes
Rate per
100,000
LD
Camden
Glynn
McIntosh
Totals
Licensed
Drivers
County
1,530
1,958
352
233,888
147
315
12
474
9,607
16,087
3,409.1
202.7
2,242
2,818
413
328,158
213
519
9
741
9,500
18,417
2,179
225
3,320
3,871
559
462,825
224
580
15
819
6,747
14,983
2,683
177
All auto crash data from Governor’s Office of Highway Safety, www.georgiahighwaysafety.org
According to the Governor’s Office of Highway Safety, traffic fatalities related to alcohol
included 2 in 2007, 0 in 2008 and 2009, 2 in 2010, and 0 in 2011. In 2011, 80% of fatalities
were not wearing seatbelts, and 20% were unknown.
http://www.gahighwaysafety.org/fullpanel/uploads/files/mcintosh.pdf
Alcohol and Drug Abuse/Use
Binge Drinking
18.00%
16.00%
14.00%
12.00%
Camden County
10.00%
McIntosh County
8.00%
Glynn County
6.00%
Georgia
4.00%
USA
2.00%
0.00%
2010
2011
2012
2013
52
Controlled Substance Prescriptions by County
Per Capita Prescriptions for Controlled Substances by County,
January – August 2013
County
Number of
Prescriptions
for Controlled
Substances
2012
Census
Population
Estimate
Prescriptions
Per Capita
Camden
Glynn
McIntosh
Georgia
53465
104776
13978
10205243
51402
81022
13839
9919945
1.04
1.29
1.01
1.03
Data from Georgia Drug and Narcotics Agency,
2012 Census Estimates, State and County Quick Facts, http://www.quickfacts.census.gov
Tobacco Use
Adult Smoking
Years
Camden
Glynn County
McIntosh
Georgia
USA
2010
23%
24%
26%
21%
N/A
2011
23%
21%
28%
20%
15%
2012
22%
19%
N/A
19%
14%
2013
22%
17%
N/A
19%
13%
Data from County Health Rankings (2012, 2013 data not available for McIntosh)
Births with Reported Tobacco Use
25
20
15
10
5
0
2000
2005
Camden
Glynn
2010
McIntosh
Data from Public Health, OASIS Statistics System
53
Child Welfare
Children Leaving Foster Care Who are Reunified with Their Families
or Placed with a Relative within 12 Months of Entering Foster Care
Location
Data
Type
2007
2008
Camden
Camden
Number
Percent
7
70%
10
66.7%
Glynn
Glynn
Number
Percent
45
70.3%
28
68.3%
McIntosh
McIntosh
Number
Percent
21
61.8%
6
54.5%
Data from Georgia Family Connection Partnership
Unduplicated Count of Children with a Substantiated Incident of Child Abuse and/or
Neglect
Location
Camden
Glynn
McIntosh
Data Type
2009
2010
2011
2012
Number
134
113
118
107
Rate per 1,000
9.9
8.2
8
7.3
Number
177
115
164
149
Rate per 1,000
9.2
6
7.7
7
Number
45
17
19
24
Rate per 1,000
13.9
5.6
5.8
7.4
Data from Georgia Family Connection Partnership
54
Georgia Department of Juvenile Justice (DJJ), McIntosh Statistics, 2009 – 2011
Legal Status
Intake
Diversion /
Informal
Probation
Short Term
Program
Commitment
Placement
FY
2009
FY
2010
FY
2011
At Home Awaiting Adjudication
67
61
52
Non-Secure Detention
5
3
3
Secure Detention RYDC
16
18
11
Intake Total
69
68
56
At Home
30
27
30
Non-secure Residential
Treatment
0
0
0
Diversion / Informal Total
30
27
30
At Home
37
24
11
Treatment
6
3
2
Probation Total
38
25
12
Treatment
1
0
0
RYDC
9
3
3
YDC
7
0
0
Short Term Program Total
9
3
3
At Home
3
5
5
Treatment
1
3
5
RYDC Awaiting Placement
1
8
3
YDC
3
2
1
Commitment Total
5
9
6
93
91
75
MCINTOSH
DJJ County
Total
Department of Juvenile Justice,
http://www.djj.state.ga.us/ResourceLibrary/rptstatComparative.asp?type=County&County=20&Cou
ntyName=GLYNN
Availability of Fluoridated Water
Of 47 water systems in McIntosh County, only the City of Darien adds fluoride to
optimum levels to help reduce dental caries.
http://apps.nccd.cdc.gov/MWF/PWSDetailV.asp?PWSID=0390002&State=GA&StartPg=1&EndPg=20&County=
Camden&PWSName=&Filter=0&PWS_ID=&State_ID=GA&SortBy=1&StateName=Georgia
55
Environmental Risks
Coastal Hurricane Flood Zones for Category 3 Storm Surge
Data from http://www.gachd.org/extra/general_hurricane_information.php
56
Percentage of Homes Lacking Complete Plumbing Facilities
Homes Lacking Complete Plumbing Facilities,
2007 - 2011
398
163
98
Camden
Glynn
McIntosh
Data from American Fact Finder: http://www.factfinder2.census.gov
Toxic/Hazardous Waste Sites
County
Camden
Glynn
McIntosh
Hazardous Waste
Sites
Number, 2012
2
14
2
Toxic Chemical
Releases
# Facilities, 2011
2
6
1
Toxic Chemical
Releases
Pounds, 2011
62,792
1,335,967
37
57
Air Quality Measures
A B C D F
A = Best/Cleanest in the US; F = Worst/Dirtiest in the US.
Map from http://creativemethods.com/airquality/maps/georgia.htm
Air Pollution-Particulate Matter Days
10
8
Camden County
6
McIntosh County
4
Glynn County
Georgia
2
USA
0
2010
2011
2012
58
Data from County
Health Rankings
Water Quality Measures
Water quality measures change with conditions. Current data are available for beaches
at http://waterwatch.usgs.gov/wqwatch/map?state=ga&pcode=00010. Beach advisories
are available at http://www.coastalgadnr.org/node/2130.
59
Healthcare Resources
Physician and Dentist Data
McIntosh Physicians by Specialty, 2000, 2010
6
5
4
3
2000
2
2010
1
0
Family
Practice
Internal Pediatrics OB/GYN
Medicine
General Total, All
Surgery Specialities
Data from Georgia Board for Physician Workforce,
http://gbpw.georgia.gov/sites/gbpw.georgia.gov/files/related_files/site_page/Physicians%20by%20County%2
0by%20Specialty%202010.pdf;
http://gbpw.georgia.gov/sites/gbpw.georgia.gov/files/imported/GBPW/Files/PRIMARY.pdf
Population to Primary Care Physician Ratio
14,000
12,000
10,000
Camden County
8,000
McIntosh County
6,000
Glynn County
Georgia
4,000
USA
2,000
0
2011
2012
2013
60
Population to Dentist Ratio
16000
14000
12000
10000
8000
6000
4000
2000
0
Camden
Glynn
McIntosh
2010-2011
Georgia
2011-2012
61
U.S.
Quality of Life/Non-Health Care Resources
McIntosh County Greenway Trails
Map courtesy of McIntosh County Chamber of Commerce
62
Access to Recreational Facilities
18
16
14
12
Camden County
10
McIntosh County
8
Glynn County
6
Georgia
4
USA
2
0
2011
2012
2013
Access to Healthy Foods
Percent of Population Who Are Low-Income and Do Not Live Close to a Grocery Store
Years
2012
2013
Camden
McIntosh
Glynn
Georgia
USA
1%
42%
17%
10%
0%
11%
N/A
9%
8%
1%
Data from County Health Rankings (McIntosh data not available for 2013)
Percent of All Restaurants That Are Fast-Food Establishments
Years
2012
2013
Camden
McIntosh
Glynn
Georgia
USA
50%
33%
43%
50%
25%
47%
30%
44%
50%
27%
63
Public Transportation Opportunities
 Coastal Regional Commission offers subsidized shuttle services within McIntosh,
Glynn, Camden, Long, Chatham, Effingham, Bryan, Liberty and Screven Counties.
Intra-county $3 each way, Inter-county $6 each way. Public Transit with no eligibility
requirements. CRC can be used to go to/from anywhere (shopping, doctors’ offices,
etc.) coaches run. (Information from Coastal Regional Commission)
64
McIntosh County
Survey Data
65
Survey Respondent Demographics
Age, Race, Gender, and Marital Status
McIntosh County
Respondents by Age
24%
12%
McIntosh County
Respondents by Gender
18 - 24 years
29%
25 - 44 years
28%
36%
45 - 64 years
65 years and over
71%
Male
Female
Persons 65 and over make up a higher percentage of the population than in most Georgia counties.
Older persons are somewhat overrepresented in this sample, as the census data indicates only
about 17% of the population is 65 or older. The male/female population is close to 50/50 in
McIntosh. Women are overrepresented in this survey sample.
McIntosh County Respondents
by Race/Ethnicity
0.39%
1.95%
1.17%
Black or African
American
Non-Hispanic White
44.53%
Two or more races
51.95%
Asian
Hispanic or Latino
66
The U.S. Census reports
that McIntosh County is
approximately 36%
African-American.
African-Americans are
over-represented in this
sample.
McIntosh County Respondents by Marital Status
5%
Married
8%
3%
Never Married
Divorced
47%
18%
Separated
Unmarried Couple
19%
Widowed
McIntosh Respondent Educational Attainment
10%
No high school
diploma
19%
19%
High school
diploma
Some college or
technical school
21%
31%
College graduate
Post graduate
work
67
98% of respondents
speak English at home.
The other 2% speak
Spanish at home.
Employment Status
McIntosh County Respondents by Work Status
Unemployed, but looking for work
13%
Retired
25%
Employed part-time
13%
Employed full-time
36%
Disabled and unable to work
13%
0%
5%
In
McIntosh
County,
according
to the U.S.
Census,
about 43%
of married
couples
both work.
10% 15% 20% 25% 30% 35% 40%
Income
Household Income of McIntosh County Respondents
9%
Less than $10,000
6%
34%
7%
$10,001 to $25,000
$25,001 to $40,000
$55,001 to $70,000
13%
$70,001 to $85,000
More than $85,000
31%
According to U.S. Census Data, 48% of McIntosh residents make less than $35,000. Although the
economic downturn may have resulted in higher unemployment since that time (see above chart),
the McIntosh sample represents a higher number of people in poverty than in the 2010 Census.
68
Health Insurance Status
Health Insurance Status of McIntosh Respondents
I don't have medical
insurance
Individual insurance
7%
4%
19%
Insurance through
employer
2%
Medicaid
22%
Medicare
Medicare and Medicaid
14%
32%
Tricare or other
government insurance
69
The 19% of
people who
are uninsured
in McIntosh
mirrors state
and federal
data from
recent polls.
Survey Respondent Morbidity
Self-Reported Health Status and Need for Supports
Self-Reported Health Status of Survey
Respondents
6%
18%
Excellent
20%
Good
Fair
Poor
56%
County Health
Rankings survey
data from 2012
indicated that
25% of
McIntosh
residents
considered
themselves to
be in poor or
fair health.
15% of survey respondents indicated that they need assistance with activities of daily living,
including activities such as driving, housekeeping, and cooking.
70
Self-Reported Health Problems
Do you currently have or have you been affected by any of
the following health issues?
Other
Thyroid
2%
0%
Stroke
2%
STD
0%
Septicemia
1%
Seizures
0%
Seasonal allergies
Prostate cancer
Polio
Pneumonia
13%
1%
0%
1%
Obesity
4%
None of these
13%
Mental health problems or behavioral disorders
2%
Lung cancer
1%
Liver disease
1%
Kidney disease
High Cholesterol
1%
0%
High blood pressure
19%
Heart Disease
Drug addiction
4%
1%
Diabetes
7%
COPD (not including asthma)
Colon cancer
3%
1%
Asthma
Breast Cancer
6%
1%
Arthritis
Any sort of muscular or bone disease
11%
2%
Any disease of the nervous system
1%
Alzheimer’s disease
1%
Alcoholism
1%
71
The high percentage of self-reported arthritis may reflect the higher percentage of older adults
participating in the survey and the relative age of the population. Diabetes may be underreported,
since 2009 data from County Health Rankings reports that 11.4% of McIntosh residents have been
diagnosed with diabetes.
Persons Who Report Need for Assistance with Activities of Daily Living
Do you need assistance with daily activities?
15%
85%
No
For example;
driving,
shopping,
dressing,
cooking or
housekeeping
Yes
The relatively high proportion of elders in McIntosh and their over-representation in the sample
may reflect the 15% who report needing assistance with activities of daily living.
Social and Emotional Support Needs
How often do you get all the social and
emotional support you need?
50%
40%
30%
20%
10%
0%
I don't need any
social or
emotional
support
Never
Sometimes
All the time
Only 2% of respondents consider mental health services as a gap in care in McIntosh.
72
Social Issues that Affect the Health and Safety of McIntosh Residents
What are the top social problems in McIntosh that affect
the health of families?
Sub-standard housing
3%
Poverty
24%
Low paying jobs with no benefits
18%
Lack of personal responsibility
6%
Lack of after-school activities
8%
Lack of affordable housing
9%
Lack of access for persons with disabilities
3%
Violence/crime, inc. fear of crime
5%
Hunger
7%
Homelessness
Gang activity
Drug use
Domestic violence
Child abuse/child neglect
5%
2%
0%
3%
7%
Focus group respondents strongly agreed with survey respondents that poverty and low-paying jobs
with no benefits are the primary factors that limit the health and safety of McIntosh residents.
According to the Georgia Statistics System, 19% of McIntosh residents lived in poverty in 2010. The
economic downturn may have worsened those numbers.
73
Survey Respondent Health Resource Utilization
Primary Source of Health Care
Primary Source of Health Care
VA
Urgent care clinic (not at hospital)
School/college
Public health office
none
Mental health provider
Free care clinic
Emergency room
Doctor’s office
Community health center
0
20
40
60
80
100
120
140
160
180
Focus group discussants in McIntosh County pointed out that the disparate geographic
location of facilities in McIntosh is a deterrent to care. One suggested that if there were
a more centralized location for health services that health care would be more
accessible. There is no Community Health Center (Federally Qualified Health Center) in
McIntosh, nor a free care clinic, which implies that these services are being obtained
outside of McIntosh County. One focus group participant commented that an
orthopedic center with an urgent care service is expected to open in the near future. A
relatively large number of residents use the Emergency Room (ER) and urgent care.
One focus group member commented that this reflects lack of after-hours care in
McIntosh. The 19% of the population of uninsured persons may also be a factor in ER
use.
74
Barriers to Health Care
Identify any barriers you and your family have to receiving health care.
No childcare
1%
Lack of transportation
5%
Lack of information about medical resources
2%
Lack of education
3%
Lack of available appointments
1%
Insurance doesn’t cover my health problems
2%
Inability to pay
10%
Have not experienced any barriers
14%
Finding an office or clinic open during non-work hours
7%
Finding a provider who will take Medicaid
4%
Don’t have a regular medical provider
7%
Cultural or language barriers
1%
Cost of prescription medications
11%
Co-payments and deductibles for insurance are too expensive
12%
Ability to take off from work and not lose pay when self or family…
Finding free or reduced-cost health care services
5%
15%
The cost of health care figures into the greatest barriers to access: finding free or
reduced-cost health care; co-payments and deductibles are too high, cost of
prescription medications, and inability to pay were the top four barriers. This aligns
with the focus group assertion that poverty is a major factor in access to health care in
McIntosh. Focus group members also discussed access to transportation, lack of doctors
who are willing to take new Medicaid patients, and the need for a Community Health
Center (Federally Qualified Health Center) in McIntosh.
75
Physician and Dentist Visits in the Last Two Years
Respondents to Have Send a Doctor or Dentist
in the Last Two Years
Yes
No
85%
59%
41%
15%
DOCTOR
DENTIST
85% of respondents have seen a doctor in the last two years, but only 59% have seen a
dentist in the last two years. County Health Rankings reports that 18% of residents
have not seen a doctor in the last two years. McIntosh has a much higher population to
doctor and population to dentist ratio than surrounding counties, which may reduce
use.
Gaps in Health Care in McIntosh
Health Care Gaps
Personal doctor or primary care doctor
10%
Public health services
1%
Physical therapy
1%
Pediatric care (care for babies and children)
1%
None of these
54%
Mental health services
2%
Hospital care
2%
Home care services
1%
Free care for people who can’t afford it
Doctor who provides specialty services
15%
4%
Dental care
Assisted living
8%
1%
76
Respondent Health Risks/Behaviors
Tobacco Use
McIntosh Respondents Who
Smoke or Use Tobacco
24%
Nearly a quarter
of McIntosh
residents smoke
or use tobacco.
This is well above
the national rate
of 13% in 2013.
No
Yes
76%
Binge Drinking
The definition for binge drinking is the Centers for Disease Control’s definition. The questions were
presented as follows: “If you are a woman, how often do you drink four or more alcoholic drinks in
a two hour period? If you are a man, how often do you drink five or more alcoholic drinks in a two
hour period?”
Female Binge Drinking
Never
67%
Daily
1%
Several times a week
2%
Several times a month
4%
Once a month
4%
A few times a year
21%
Male Binge Drinking
Never
Daily
56%
5%
Several times a week
8%
Several times a month
8%
Once a month
A few times a year
2%
23%
77
Weight, Exercise, and Diet Findings
Are you overweight?
These charts
tell a story
about the
relationship
between
weight,
exercise and
diet. Nearly
one-third of
respondents
never
exercise and
60% report
that they are
overweight.
40%
60%
No
Yes
Do you eat a healthy diet?
48%
52%
No
A healthy
diet is one
that is low
in fat, with
5 or more
servings of
fuits and
vegetables
per day.
Yes
How often do you exercise?
35%
32%
29%
30%
24%
25%
20%
16%
15%
10%
5%
0%
Seldom or never
Once or twice a
week
Three to four
times a week
78
More than 4 times
a week
Self-Reported Experience with Risks
In the past 5 years, has anyone in your household been negatively affected by
any of the issues listed below?
Sports injuries
6%
Sexual assault
0%
On the job injuries
3%
None of the above
64%
Motor vehicle accidents
5%
Health care issues of elderly parents
0%
Gun violence
0%
Gang activity
0%
Falls
5%
Failure to use seat belts in a motor vehicle
1%
Failure to use helmets when riding a bike or motorcycle
1%
Drunk driving
2%
Drug abuse
4%
Domestic violence
4%
Alcohol abuse
4%
If the category of “none of the above” is removed, the data is more striking. The chart below
illustrates the percentages of respondents whose families have been affected by these specific
issues.
Issues Affecting McIntosh Families
Water safety accidents
2%
Sports injuries
Sexual assault
8%
2%
On the job injuries
8%
Motor vehicle accidents
Gun violence
Gang activity
13%
3%
2%
Falls
15%
Failure to use seat belts in a motor vehicle
Failure to use helmets when riding a bike or…
Failure to use child safety car seats
6%
3%
4%
Drunk driving
8%
Drug abuse
Domestic violence
12%
3%
Alcohol abuse
13%
79
Emergency Planning and Ability to Evacuate
250
No
216
Yes
200
142
150
113
100
36
50
0
Do You have evacuation plan?
Could you evacuate?
Top Environmental Problems
Respondent Identified Environmental
Problems in McIntosh
Rodents and other pests
Agricultural pesticides
Septic system runoff
63
11
23
Mosquitos
198
Threat of hurricanes and flooding
71
Exposure to tobacco smoke
30
Water quality/pollution
Hazardous waste sites
Air quality/pollution
45
14
32
Survey participants were asked to list the top two environmental problems in McIntosh
County. Focus group members felt strongly that air and water pollution are not a problem,
though this may be a public perception. Focus group members agreed that mosquitos are a
problem, due in part to heavy rains in summer 2013. Some respondents also blamed the
mosquito population on the fact that Little St. Simons does not spray, although McIntosh
does have a spraying program for mosquitos.
80
Health and Other Resources/Challenges
Primary Source of Health Information
Respondent Top Three Sources of Healthcare Information
Note that WIC is a service of Public Health
6%
WIC
18%
Computer/internet
20%
Friends/family
7%
Churches
6%
Bulletin Boards
12%
Public Health
32%
Healthcare providers
Access to Computer and Internet
Access to Computer and Internet for Looking
up Health Information
32%
68%
No
Yes
81
Public Health Services Accessed by Respondents
Public Health (PH) Services Accessed by Respondents
Never accessed PH services
84
Health information
39
Blood tests
Medical appointment
Dental, hearing, health, vision screenings
34
30
25
Access to WIC benefits
42
Mother and baby care
25
Advice on a health condition
27
Family planning
34
Immunizations/vaccinations
107
32% of respondents had never accessed any Public Health Services. Some respondents accessed
multiple services.
82
Challenges to Good Health Experienced by McIntosh Families
In the past year, has anyone in your household been
negatively affected by any of the issues listed below?
Obese or overweight
13%
Not enough physical activity
15%
None of these
36%
Lack of sidewalks
12%
Lack of safe places to exercise
8%
Lack of nutritional knowledge
3%
Lack of meal planning
8%
Junk food and sugary drinks at…
4%
The chart below illustrates challenges to families, if the category “none of these” is removed.
Junk food and sugary
drinks at school
Lack of meal planning
7%
20%
13%
Lack of nutritional
knowledge
Lack of safe places to
exercise
Lack of sidewalks
5%
12%
23%
Not enough physical
activity
Obese or overweight
20%
83
Resources that Could be Leveraged to Improve Health
What are the three most important factors that make this county
a good place to live?
Strong family life
13%
Religious or spiritual values
16%
Parks and recreation
4%
Low death and disease rates
2%
Low crime rate/safe neighborhoods
Healthy behaviors and lifestyles
12%
1%
Good schools
Good jobs and a healthy economy
9%
2%
Community involvement
13%
Clean environment
Arts and cultural events
10%
3%
Affordable housing
Access to higher education
Access to good health care
Acceptance of diversity
5%
2%
3%
5%
Respondents were asked about factors that make the community a good place to live. Some
of these factors, such as church and community involvement, might be leveraged to engage
others in working to improve the health status of McIntosh families.
84
McIntosh County Open-Ended Responses by Age and Gender
Age
Group/Gender
Perceived Problems
Recommendations for Health
Department Action
Women,
18 – 44
Alcohol addiction
Cancer
Crime
Drugs
DUI drivers
Gangs
Lack of access to healthy foods
Lack of after-school programs
Lack of awareness of diseases
Lack of clinicians
Lack of jobs
Lack of public parks
Lack of sidewalks
Lack of walk-in clinics
More health care resources for
seniors
Mosquitos
Obesity
Pests
Pollution
Poverty
Speeding
Threat of hurricanes
Unintended pregnancy
Violence
Water quality
Abandoned buildings
Air quality
Alcohol abuse
Crime
Dirty surroundings
Drug use
EMT qualifications
Hunger
Industrial pollution
Lack of after school activities
Lack of availability of doctors
Lack of county water
Education about health risks
Have a program for abused
children of parents with drug
addictions
Need more funding
Offer affordable health care
Offer free birth control
Offer free or low cost health
care/primary care
Offer health checks to uninsured
Offer swimming lessons for
children
Provide doctors
Provide more health promotion
programs
Women, 45+
85
Create public awareness of health
issues and role of public health
Encourage early parental
involvement
Increase awareness of public
health
More health fairs/health
screenings
Offer free clinics
Organize citizen participation to
work on problems
Promote healthy lifestyles
Men,
18 - 44
Men, 45+
Lack of education/ignorance
Lack of presence of Department of
Family and Children Services
Lack of septic systems
Lack of sidewalks
Lack of traffic lights
Lack of transportation
Mosquitos
Obesity
Poverty
Smokers
Storm water drainage issues
Air pollution
Drugs
Hazardous wastes
High cost of health care
HIV
Lack of health care services
Poor road conditions
Poverty
Smoking
Air Pollution
Bugs
Cancer
Drugs
Drugs
Hazardous waste
Homelessness
Lack of a hospital
Lack of a trauma center
Lack of health care services
Lack of physicians
Lack of primary care
Mosquitos
Obesity
Poverty
Reckless drivers
Smoking
Teen pregnancy
86
Provide doctors
Provide education on nutrition,
exercise/disease prevention
Provide flu shots
Provide free services
Provide outreach to low income
families about children’s health
Provide safety information
Provide services to residents
without insurance
Work on mosquito problem
Offer medical services
More education on teen
pregnancy
Add staff
Create community physician
services
Educate residents
Free clinics
Have a full time doctor on staff
Lead food drives
Offer primary care
Provide drug screening
Provide obesity counseling
Support healthy lifestyle initiatives
Work on mosquito control
Analysis
87
Select Trends in Public Data













46.5% of families had a member who worked full-time year round in the past 12
months, compared to the Georgia rate of 57.2%.
Only 62.3% of total housing units are occupied in McIntosh County compared to
85.9% in Georgia.
McIntosh has 1.8% of homes without complete plumbing, compared to 0.5% for the
state.
7% of McIntosh residents do not have telephone service.
Over 12% of houses in McIntosh rent for less than $200, compared to only 1.9%
statewide. 42.7% of homes rent for between $500 and $749 compared to 25.3%
statewide.
30% of McIntosh residents are inactive, compared to the Georgia rate of 24% and
the U.S. rate of 21%.
McIntosh has a relatively low binge drinking percentage at approximately 7%, a
figure lower than Georgia’s and the U.S., but that figure has been increasing since
2010.
McIntosh has fewer hazardous waste sites than nearby counties.
McIntosh had a poverty rate of 21.7% in 2011, compared to the state’s poverty rate
of 19.2%. The rate of children in poverty in McIntosh was 35.5%, compared to a
state rate of 26.6%.
The percentage of persons below the 150% of Federal Poverty Level has increased
since 2005.
The graduation rate has declined from 2010 to 2012.
Public data describing the birth rates from 2000 – 2010 and pregnancy rate, age 20+
both show a sharp decline since 2005.
McIntosh has a much higher rate of hospital discharges for hypertension and heart
disease than Georgia as a whole.
88
Survey Demographics and Health Status
Education and Health Status
Self-Reported Health Status by Educational Attainment
Fair/Poor
College/Post-Grad
Excellent
50%
No HS Diploma
HS/Some College
Good
35%
26%
13%
15%
61%
59%
13%
29%
This chart indicates that that survey respondents with college and post-graduate degrees are more
likely to be in excellent health, and those with no high school diplomas are significantly more likely
to be in fair or poor health. (P - <.0001, Cramer’s V = .23, a moderate association)
89
Smoking by Race, Gender, Income, and Health Status
Smoking and Gender
100%
81%
80%
61%
60%
Yes
39%
40%
19%
20%
No
0%
Female
Male
There was virtually no difference in rates of smoking by race, but there are distinct
differences in smoking by gender. Smoking is much more prevalent among men in
McIntosh. As noted in the survey data discussion, the rate of smoking among men in
McIntosh is about three times the national average for all groups. In analysis of selfreported health status and smoking, there was not relationship. The chart below holds a
somewhat surprising finding: the largest percentage per income group who smoke are
those in the less than $25,000 income category. Those with incomes above $55,000 follow
closely behind.
Percentage of Smokers by Income Group
29%
26%
7%
up to $25000
$25000 - $55000
> $55000
90
Tobacco Use and Self-Reported Health Status
Yes
No
21%
Fair/Poor
79%
34%
Good
66%
Excellent 0%
100%
None of the respondents who consider themselves in excellent health status smoke.
Household Income, Education, and Healthy Diets
Education and Healthy Diets
70%
50%
60%
58%
60%
51% 49%
42%
40%
58%
54%
46%
40%
42%
30%
Yes
20%
No
10%
0%
No high
school
diploma
High school Some college College
diploma or technical graduate
school
Post
graduate
work
The chart above appears to indicate that, in general and with the exception of those who
have some college/technical school, that education is associated with healthy diets. 58% of
those with no high school diploma indicated that they do not have healthy diets, compared
to 46% of college graduates and 42% of those who have completed post graduate studies.
The chart below illustrates the percentage of each income group that said their families ate
a healthy diet, that is, a low-fat diet with five or more fruits or vegetables daily. There
appears to be no association between income and healthy diets.
91
Household Income and Healthy Diets
70%
60%
50%
40%
30%
20%
10%
0%
Less than
$10,000
$10,001 to $25,001 to $40,001 to $55,001 to $70,001 to More than
$25,000
$40,000
$55,000
$70,000
$85,000
$85,000
Yes
No
Overweight by Race
Overweight and Race
Yes
No
63%
55%
45%
37%
Black or African American
Non-Hispanic White
Fewer respondents who were black indicated that they were overweight. Whether this is factual or
self-perception is not clear.
92
Age and Exercise Habits
Age Group and Exercise
40.0%
35.0%
30.0%
25.0%
20.0%
15.0%
10.0%
5.0%
0.0%
18 - 24 years
25 - 44 years
More than 4 times a week
45 - 64 years
Three to four times a week
65 years and over
Once or twice a week
Seldom or never
The group least likely to exercise is the 25 – 44 age group, which may reflect pressures of work and
family.
Exercise Habits and Weight
Exercise Habits by Self-Reported Overweight Status
More than 4 times a week
Seldom or never
Three to four times a week
71%
64%
63%
55%
45%
37%
36%
29%
No
Yes
93
Exercise and Healthy Diets
Exercise and Healthy Diets
80%
60%
40%
Yes
20%
No
0%
More than 4 times a
week
Three to four times a
week
Seldom or never
There is a direct relationship between increased exercise activity and healthy eating among
respondents to the survey.
Major Disease Processes by Race
Self-Reported Major Diseases by Race
50%
40%
30%
20%
10%
0%
Asthma
High blood
pressure
Arthritis
Black
Diabetes
White
94
Obesity
Access to Computer and Internet for Health Education
Access to Computer and Internet for
Health Information by Age Group
35.0%
30.0%
25.0%
20.0%
15.0%
10.0%
5.0%
0.0%
18-24
25-44
45-64
65+
Surprisingly, given the fact that most young people have grown up with the computers, the group
least likely to have access to a computer and the internet is the 18-24 age group.
95
Need for Emotional and Social Supports by Age
Emotional and Social Support Needs by Age Group
All the time
Sometimes
Never
I don’t need any social or emotional support
63%
48%
35% 36%
33% 35%
31%
25%
19%
19%
11%
7%
18 - 24 years
10%
8%
25 - 44 years
13%
45 - 64 years
7%
65 years and over
This chart indicates that the oldest cohort is slightly less likely to be assured of social and emotional
support all the time than other groups.
96
Evacuation in the Event of a Natural Disaster
The chart below indicates that, while the majority of McIntosh residents do not have a disaster plan
in place, nearly all would be able to evacuate if necessary. The following chart provides the
percentage by age group who say that they have an evacuation plan.
Evacuation Plan and Being Able to Evacuate in
the Event of a Natural Disaster
120.00%
98.53%
100.00%
80.00%
68.87%
Yes
60.00%
No
31.13%
40.00%
20.00%
1.47%
0.00%
No
Yes
Emergency Evacuation Plan by Age Group
40%
35%
30%
25%
20%
No
15%
Yes
10%
5%
0%
18 - 24 years
25 - 44 years
45 - 64 years
65 years and
over
97
Health Services Utilization
Insurance Status, Work Status, and Doctor Visits in the Last Two Years
Insurance Status and Seen by a Doctor in the Last Two Years
Tricare or other government insurance
0%
100%
Medicare and Medicaid
6%
Medicare
7%
94%
93%
10%
Medicaid
No
90%
Yes
6%
Insurance through employer
Individual insurance
94%
0%
100%
51%
49%
I don't have medical insurance
0%
20%
40%
60%
80%
100%
120%
Having insurance clearly matters to McIntosh residents who need to see a physician. Just over half
of McIntosh respondents without insurance had not seen a doctor in the last two years. 10% of
Medicaid recipients also report that that they have not seen a doctor in the same timeframe, which
may indicate problems with access to a provider who accepts Medicaid or transportation issues. The
chart below illustrates that those who are unemployed and those who are employed part-time are
least likely to have had a doctor visit.
98
Percentage by Category of Respondents Who Have Not Visited a
Doctor in the Last Two Years
Unemployed, not looking for work
Unemployed, but looking for work
Retired
Employed part-time
Employed full-time
Disabled and unable to work
0%
5%
10% 15% 20% 25% 30% 35% 40% 45%
Primary Source of Care for Insured, Uninsured
Primary Source of Care for Insured, Uninsured
VA
Urgent care clinic (not at hospital)
School/college
Public health office
none
Mental health provider
Free care clinic
Emergency room
Doctor’s office
Community health center
0%
Insured
20%
40%
60%
80%
100%
No Insurance
Note that 83% of insured respondents use a doctor as their primary source of care,
compared to only 4% of uninsured persons. 33% of uninsured respondents seek their
primary care at a hospital emergency room, 20% depend on a free care clinic, and 12% use
an urgent care center. 5% of insured respondents depend on the ER as their primary
source of care.
99
Dental Visits by Age Group
Respondents by Percentage of Age Category Who Have
Visited a Dentist in the Past Two Years
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
18-24
25-44
45-64
65+
Younger survey respondents were less likely to have visited a dentist in the past two years than
others.
Dental Visits and Income
Respondents Who Have Visited a Dentist in
the Last Two Years by Income
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
94%
88%
94%
93%
69%
68%
54%
46%
32%
Yes
31%
No
12%
6%
Less than
$10,000
7%
6%
$10,001 to $25,001 to $40,001 to $55,001 to $70,001 to More than
$25,000
$40,000
$55,000
$70,000
$85,000
$85,000
There is a clear relationship between respondent dental visits and income. The lower the income of
respondents, the less likely that a dental visit has taken place in the past two years.
100

McIntosh County - Community Health Needs Assessment

Transcription

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