- Collection:
- Georgia Government Publications
- Title:
- Health disparities report 2008 : a county-level look at health outcomes for minorities in Georgia / a report from the Georgia Department of Community Health's Office of Health Improvement and the Minority Health Advisory Council
- Creator:
- Georgia. Office of Health Improvement
- Contributor to Resource:
- Georgia. Office of Minority Health
Minority Health Advisory Council (Ga.) - Publisher:
- Atlanta, GA : Georgia Dept. of Community Health, Office of Health Improvement, [2008]
- Date of Original:
- 2008
- Subject:
- Ethnic groups--Medical care--Georgia--Statistics
Minorities--Medical care--Georgia--Statistics
Health services accessibility--Georgia--Statistics
Medical care--Georgia--Statistics
Medical policy--Georgia--Planning - Location:
- United States, Georgia, 32.75042, -83.50018
- Medium:
- state government records
- Type:
- Text
- Format:
- application/pdf
- Description:
- "This report was developed through the leadership of the Minority Health Advisory Council in collaboration with the Georgia Department of Community Health's Office of Improvement and Office of Minority Health."--P. 4
1st ed - External Identifiers:
- OCLC 271639547
NZ MMS ID 9910310783202931
Call Number C900.H4 M1 2008 H4
Call Number RA447.G5 - Metadata URL:
- https://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-bc900-ph4-bm1-b2008-bh4-belec-p-btext
- Digital Object URL:
- https://dlg.galileo.usg.edu/do:dlg_ggpd_y-ga-bc900-ph4-bm1-b2008-bh4-belec-p-btext
- Extent:
- 356 p. : ill., maps ; 28 cm.
- Holding Institution:
- University of Georgia. Map and Government Information Library
- Rights:
-
Georgia
Health Equity Initiative
Health Disparities Report 2008: A County-Level Look at Health Outcomes for Minorities in Georgia
First Edition
A report from the Georgia Department of Community Health's Office of Health Improvement and the Minority Health Advisory Council
Health Disparities Report 2008: A County-Level Look at Health Outcomes for Minorities in Georgia
Rhonda M. Medows, MD, Commissioner
Sonny Perdue, Governor
2 Peachtree Street, NW Atlanta, GA 30303-3159 www.dch.georgia.gov
Fellow Georgians,
Thank you for taking time to review the 2008 Georgia Health Disparities Report. This report is a critical first step in working together to eliminate health disparities in Georgia. By framing the critical issues and defining our opportunities, we can work collaboratively to develop strategies for eliminating disparities. Our intention is to leverage the data in this report to inspire advocacy and action that will result in measurable improvement in health status for all Georgians. Achieving health equity among minority populations is one strategic way that we can improve Georgia's overall health status.
At the Georgia Department of Community Health, we champion: n Access to affordable, quality health care in our communities n Responsible health planning and use of health care resources n Healthy behaviors and improved health outcomes
Within each of these areas, we are considering the opportunities that exist to strengthen access, increase resource allocation and improve health outcomes. Our Office of Health Improvement is expected to bring attention and solutions to those health related issues that affect specific groups of people for whom disparities exist. Our strategic planning efforts are focused on areas and populations where health challenges are most significant.
I encourage you to use this report as a tool for policy development, programmatic planning and to educate others about the significant impact disparities have on the health of all of us. These gaps do not stand alone, they are a reflection of our health as a state. By closing the gaps we will improve our health status ranking and end the cycle of paying socially and economically for avoidable health problems. Together we can make a difference in Georgia's health status. Please join us in this effort.
Rhonda Medows, M.D. Commissioner
Georgia Health Disparities Report 2008
Executive Summary
Is a Picture Really Worth a Thousand Words?
In December 2006, Dr. Rhonda Medows, Commissioner of the Georgia Department of Community Health, met with the newly appointed members of the Minority Health Advisory Council. During this meeting, she expressed her passion to reduce and eliminate health disparities among minority populations in Georgia. At the time, Georgia ranked 42nd nationally in health outcomes according to the United Health Foundation's America's Health Rankings report.
Armed with this charge, the 12-member council made a commitment to work with the Georgia Department of Community Health's Office of Health Improvement and Office of Minority Health to improve health outcomes for Georgia's minorities. The three areas that the council decided are critical to improving minority health outcomes are education, action and resource allocation.
Racial and ethnic minorities make up roughly one-third of Georgia's population, yet their disease burden is significantly higher. Georgia has well documented health disparities in cultural competence, cardiovascular disease, diabetes, kidney disease, cancer, stroke and HIV/AIDS. Improving health outcomes for minority and other underserved populations will result in reducing and eliminating adverse health outcomes.
The Georgia Health Disparities Report provides the necessary data and information that will enable the public to understand health disparities, identify gaps in health status, and target interventions in the areas of greatest need. This report is the first of its kind to focus solely on minority health outcomes for each of Georgia's 159 counties. By illustrating the realities of Georgia's health disparities, the report reveals the need for intensified collaborative efforts by the community, health policy makers, health care advocates, health systems, and practitioners, all of whom have a responsibility in improving Georgia's health status.
The picture of health disparities in Georgia does not have to be blurred by adverse health outcomes. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and catalyze action to achieve health equity for all Georgians. Readers of this report are encouraged to look at other counties, compare positive and negative contributing factors, identify models of best practice and determine how those practices may be adapted to their county.
Georgia's position in the United Health Foundation's America's Health Rankings report improved from 42nd in 2006 to 40th in 2007, but there is much work yet to be done. This report is meant to inspire us to action.
Below are some suggested action steps that Georgians can take to improve health outcomes and achieve health equity in their county:
1. Review your county's detailed minority health and health disparities report available at www.dch. georgia.gov to find specific indicators of success and those needing improvement
2. Disseminate the report to all segments of the community. Convene meetings of all interested stakeholders from the health sector (hospitals, public health departments, community health centers, free clinics, private practice health professionals, etc.); and non-health sector (business, government, elected officials, faith communities, educators, consumer advocates, etc.)
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community and together develop an action plan for intervention
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific timeframe. Hold regular followup meetings and review frequent data updates on these indicators to assess progress and refine the interventions
The Georgia Department of Community Health's Office of Health Improvement is available to offer technical assistance. You may reach us at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
There are several people, organizations and institutions to thank for without their assistance this report would not have been possible. Their expertise and knowledge, contributions, research, data collection and analysis conveys a story of Georgia's challenges in addressing health disparities and charges Georgians to paint a "picture of Georgia's improved health that speaks volumes."
Georgia Health Disparities Report 2008
Minority Health Advisory Council
Members
Co-Chairpersons
Dr. D. Ann Travis Honeycutt Medical Director Georgia Academy of Family Physicians
Dr. George Rust, MPH, Director National Center for Primary Care Morehouse School of Medicine
Dr. Jaime Altamirano Medical Epidemiologist Centers for Disease Control and Prevention
Sonia Alvarez-Robinson Advisory Services PricewaterhouseCoopers, LLP
Pamela Craft Executive Director Georgia Dental Society
Mel Lindsey President and Chief Executive Officer AMERIGROUP
Orlin Marquez President Medical Interpreter Network of Georgia
Dr. Dan Salinas Chief Medical Officer Children's Healthcare of Atlanta
Katherine Cummings Executive Director Georgia Rural Health Association
Tish Towns Vice President Grady Memorial Hospital
Chaiwon Kim Executive Director Center for Pan Asian Services
Not Pictured: Dr. Juanita Cone, MPH Crescent Medical Center
MISSION To improve the health of all Georgians by eliminating health disparities and achieving health quality
and equity for all.
VISION The Minority Health Advisory Council will excel in eliminating health disparities by leading, shaping
and enhancing the overall health status of minorities in Georgia.
Georgia Health Disparities Report 2008
Acknowledgements
This report was developed through the leadership of the Minority Health Advisory Council in collaboration with the Georgia Department of Community Health's Office of Health Improvement and Office of Minority Health. The entire Office of Health Improvement staff is to be commended for all of their efforts in the research and development of the first iteration of the Georgia Health Disparities Report.
Debbie Hall Chief Operating Officer Georgia Department of Community Health
Office of Health Improvement Staff
James T. Peoples Executive Director
Kristal L. Ammons, MPH Program Consultant 2
C. Lynn Christian Confidential Secretary
Edgar Angulo Public Consultant 1
Paulette Poole Public Health Planner
Mae Bowden HIV/AIDS TAKE Project Public Health Planner
Harold Young HIV/AIDS TAKE Project Coordinator
We also offer our sincere appreciation to others who made significant contributions:
Dr. George Rust, Director National Center for Primary Care Morehouse School of Medicine
Sonia Alvarez-Robinson Advisory Services PricewaterhouseCoopers, LLP
Peter Baltrus, Ph.D., Research Instructor National Center for Primary Care Morehouse School of Medicine
Gordon Freymann, Director Office of Health Information and Policy Division of Public Health Georgia Department of Human Resources
Richard Gooden, Director of Communications National Center for Primary Care Morehouse School of Medicine
Colin Smith, Data and Policy Analyst Office of Health Information and Policy Division of Public Health Georgia Department of Human Resources
Jiali Ye, Ph.D., Research Coordinator National Center for Primary Care Morehouse School of Medicine
Kristal L. Ammons, Program Consultant Office of Health Improvement Office of Minority Health Georgia Department of Community Health
Dena' Brummer Ryan DeBaun Office of Communications Georgia Department of Community Health
Georgia Health Disparities Report 2008
"In many ways, Americans of all ages and in every race and ethnic groups have better health today than a decade ago yet considerable disparities remain. We should commit our nation to eliminate disparities...for through prevention we can improve the health
of all Americans." Dr. David Satcher, Former U.S. Surgeon General
Table of Contents
I.
Introduction...................................................................................................................7
II. Health Disparities Defined
A.
What are Health Disparities?........................................................................... 8
B.
What Causes Health Disparities?.................................................................... 8
C.
Terms You Should Know....................................................................................9
D.
How Are Health Disparities Measured?.......................................................10
III. Georgia's Health Disparities
A.
Profile of Georgia's Diversity.......................................................................... 12
B.
A Historical Context......................................................................................... 13
C.
The Impact of Health Disparities On Our Communities......................... 13
D.
The State of Health Disparities in Georgia................................................. 14
E.
Counties With the Best Health Outcomes
and the Greatest Health Needs.....................................................................15
F.
County Health Outcomes............................................................................... 16
G.
Hospital Admissions and ER Visits Summary Grades...............................17
H.
Mental Health Access Summary Grades......................................................18
I.
Primary Care Safety New Access Summary Grades..................................19
J.
Prenatal Care and Birth Outcomes Summary Grades..............................20
K.
Socioeconomic Summary Grades.................................................................21
L.
Mortality Rates and Inequalities Summary Grades..................................22
IV. Report Limitations
A.
What is Missing?................................................................................................24
V. Health Disparities Reports
A.
B.
Data Sources and Methodology....................................................................26 County Report Cards i. Atlanta Metropolitan Statistical Areas...............................................31 - 96 ii. Non-Atlanta Metropolitan Statistical Areas...................................97 - 136 iii. Rural Areas...........................................................................................137 - 354
IV. Recommendations.......................................................................................356
Georgia Health Disparities Report 2008
Introduction
T his report has been developed by the Minority Health Advisory Council for the the Georgia Department of Community Health, Office of Health Improvement, Office of Minority Health with the intention of inspiring advocacy, action and program development that will contribute to the elimination of health disparities in Georgia.
The Minority Health Advisory Council believes that addressing policy issues to improve health outcomes for Georgia's minority populations is essential to the elimination of health disparities. The council actively participates in developing comprehensive policy initiatives and advocates for the implementation of sound public health policies, programs and initiatives that:
n serve to eliminate health disparities; n remove barriers to access for minority populations; n promote prevention and healthy lifestyle changes; n enhance cultural awareness and sensitivity among n caregiver, community groups and policy makers;
and, n foster collaborative partnerships.
In pursuing this effort, the council worked to identify, collect and report racial/ethnic specific data on the health status of Georgia's minority populations. The data may be utilized to link poor health status indicators to social conditions and other factors; thus, providing the necessary tools for the council to inform policy. The council's recommendations will become a part of the development of the Georgia Health Equity Intiative. It will provide information and guidance to health policy makers, health care advocates, health systems, and practitioners and communities to eliminate disparities in health care and improve health outcomes.
Engaging a broad network of partnerships is necessary to move our efforts forward to improve Georgia's overall health status. Conducting these community conversations will enable the council to not only explain the report, but will also provide an opportunity to listen to the leaders and people of Georgia for reactions to the report's findings.
In concert with the community conversations, the Georgia Department of Community Health is creating a grant opportunity to specifically address the elimination of health disparities. The grant program will fund community groups, health centers, clinics, etc., to enhance existing programs or develop new projects and initiatives that specifically address racial/ethnic health disparities throughout Georgia.
The council believes that in order to reduce and eliminate health disparities a coordinated effort is essential. The effort must be systematic and must consist of a sustained approach from all parties, including but not limited to, state and local government agencies, community and minority community based organizations, health care providers, and private and public sectors. One solution will not solve all of the problems that are inherent in addressing racial and ethnic health disparities and improving health outcomes. However, the collection, analysis and presentation of data for this report gives Georgia a solid foundation from which we may start. This foundation is measurable and is essential to the council's goal of making Georgia one of the healthiest states in the nation.
The council and the Office of Minority Health will conduct meetings and hold strategic planning sessions to determine how best to illustrate to the people of Georgia, the importance of understanding health disparities, and its relationship to the overall health status of our citizens. Their plan of action for the Georgia Health Equity Intiative begins with this report, and it entails a comprehensive longterm effort that will ultimately contribute to the reduction of racial/ethnic inequalities in health care across our state.
Shortly after the release of this report, several community conversations will be held throughout the state to explain the contents of this report to local and regional leaders, community advocates and the general public. The report's contents, grading and ranking system, and what this data shows about each Georgia county will also be discussed.
"Educating the community about the health issues impacting our minority populations is a critical step in creating change and improving
the health of our citizens." - Dr. Rhonda
Medows, Commissioner of the Georgia Department of
Community Health
Georgia Health Disparities Report 2008
Health Disparities Defined
What Are Health Disparities?
Health disparities can be defined as "differences in health status among distinct segments of the population including differences that occur by gender, race or ethnicity, education or income, disability, or living in various geographic localities." 1
One way to look at health disparities is using this broad definition and analyzing population health trends based on all these variables combined. The Georgia Department of Human Resources' Division of Public Health, Office of Health Information and Policy has conducted an analysis of Georgia's populations and identified four distinct types of communities in Georgia characterized by age, income, family structure, housing value, housing type, education and employment type. These variables were further partitioned into a total of 18 distinct demographic clusters. Of the 18 demographic clusters, four experience much higher rates of lung cancer, HIV, homicide and heart attack. To close the gap in health status, focus can be given to address health issues in those specific communities.
In addition to looking broadly at health disparities, racial and ethnic minorities experience distinctly different health status than their white counterparts, even when socioeconomic and geographic conditions are held constant. Additional focus must be given to racial and ethnic variables in order to eliminate health disparities in Georgia. Not coincidentally, there is a strong correlation between the demographic clusters described above and the racial/ethnic composition of those communities.
"Health is the state of complete physical, mental, and social well-being, and not merely the absence of disease." - World
Health Organization
What Causes Health Disparities?
There are multiple factors that influence health status and the presence of health disparities. Root causes include employment status and educational levels which influence income, poverty and other economic conditions. In turn, these factors influence safety and adequacy of housing, environmental conditions (air and water quality), crime rates, mental health (including depression), diet, physical activity, and drug and alcohol use. As a result, these factors influence access to preventive health care, healthy lifestyles, wellness resources and experiences with the health care system. Other factors that influence health disparities include diversity of the health workforce, effectiveness of care, language accessibility and cultural competency of health providers and appropriate health promotion information. These same issues are present in rural communities, and in many situations these challenges are greater than in urban settings.
1Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services, Rockville, Md.
Georgia Health Disparities Report 2008
Health Disparities Defined
Terms You Should Know
For the purposes of this publication, the council wishes to clarify the terms below as they are communicated in this report.
Cultural Competence2 is a developmental process that evolves over an extended period of time. Individuals, organizations and systems are at various levels of awareness, knowledge and skills along the cultural competence continuum. It requires organizations to:
n have a defined set of values and principles, and demonstrate behaviors, attitudes, policies and structures that enable them to work effectively cross-culturally;
n have the capacity to (1) value diversity, (2) conduct selfassessment, (3) manage the dynamics of difference, (4) acquire and institutionalize cultural knowledge, and (5) adapt to the diversity and cultural contexts of communities they serve; and
n incorporate the above into all aspects of policymaking, administration, practice and service delivery, and systematically involve consumers, key stakeholders and communities.
Health Disparities3 are differences in health status among distinct segments of the population including differences that occur by gender, race or ethnicity, education or income, disability, or living in various geographic localities.
Health Equity4 is 1) distribution of disease, disability and death in such a way as to not create a disproportionate burden on one population, and 2) the absence of persistent health differences over time, and between racial and ethnic groups. In this report, the single terms equity and inequality are often used.
Racial/Ethnic Classifications used by the U.S. Census Bureau
n American Indian and Alaska Native refers to people having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment
n Asian refers to people having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, Bangladesh, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, Philippines, Taiwan, Thailand and Vietnam. It includes Asian Indian, Chinese, Filipino, Korean, Japanese, Taiwanese, Vietnamese and other Asian. It also includes Afghanis
n Black or African American refers to people having origins in any of the black racial groups of Africa. It includes people who indicate their race as black, African American, or Negro, or provide written entries such as African American, Afro American, Caribbean American, Haitian, Kenyan or Nigerian
2Colorado Office of Health Disparities 3Healthy People 2010 4Colorado Office of Health Disparities
n Hispanic or Latino refers to those who classify themselves in one of the specific Hispanic or Latino categories such as Mexican, Puerto Rican or Cuban. It also includes people who indicate that they are other Hispanic, Latino or Spanish. People who identify their origin as Hispanic, Latino or Spanish may be of any race
n Multi-racial people may have chosen to provide two or more races either by checking two or more race response check boxes, providing multiple write-in responses, or some combination of check boxes and write-in responses
n Native Hawaiian and other Pacific Islander refers to a person having origins in any of the original peoples of Hawaii, Guam, Samoa or other Pacific Islands. It includes people who indicate their race as Guamanian or Chamorro, Native Hawaiian, Samoan and other Pacific Islander. The U.S. Census counts indigenous Australians as part of the Pacific Islander race
n White refers to people having origins in any of the original peoples of Europe, the Middle East or North Africa. It includes people who indicate their race as white or report entries such as Arab, Assyrian, British, German, Iraqi, Irish, Italian, Near Easterner, Persian, Polish or Spanish
Race is an artificial social construct that characterizes and separates people on the basis of visibly identifiable characteristics such as skin color, facial features, hair and body types. It has often been used as the basis to perpetuate superiority/inferiority between groups of people. The term race is sometimes used interchangeably with ethnicity. Ethnicity is related to culture, language and geography, and can be, but is not necessarily, associated with race. While there is a difference, for the purposes of this report, our definitions and classifications are consistent with that of the U.S. Census.
Racism is a belief that one's race is superior to that of another. Institutionalized, this belief is systematically perpetuated into an almost unconscious mode of operation. Individualized, these biases are often manifested into behaviors that target groups who are perceived as inferior. Even when beliefs about inferiority have been suppressed, racism can also be expressed as persistent attitudinal and structural biases that provide enhanced treatment or favored status for one racial group over another, even if such outcomes are unconscious or unintended.
Georgia Health Disparities Report 2008
Health Disparities Defined
How Are Disparities Being Measured?
This report intends to look holistically at the major factors that influence differences in health status and their relationship to racial and ethnic characteristics. The factors that this report will describe include:
n social and economic well-being n health status indicators (presence of disease and
premature death) n quality and access to care n health professional workforce
The report provides a statewide and county-by-county assessment of disparities in each of the four or five categories using a variety of available data sets including: Georgia vital statistics (birth and death records), hospital discharge data and epidemiological data. Some of this information (specifically the behaviorally related data) is not yet available at the county level.
The health of a community is more than just the presence or absence of disease. This report aims to look at the health of Georgia's diverse populations. We have carefully selected data that will help us identify where we have the greatest opportunities to make a positive impact.
The specific data used in this report are:
Social and Economic Indicators
Poverty n Percent of families living below the Federal Poverty Level (FPL) n Percent unemployed n Median family income n Percent of homes owner occupied
Education n Percent less than 9th grade education n Percent linguistically isolated
Mortality (Deaths)
n Age adjusted death rate n Years potential life lost (due to premature death) (YPLL)
Quality and Access to Care
Health professions diversity n Physicians n Health professional shortage areas q Primary care q Mental health q Dental health
Access/insurance disparities n Rate of uninsured n Health care available for uninsured people (Safety Net Clinics)
Emergency room and hospitalization disparities n Avoidable emergency room visits (based on conditions where preventive health services would make an emergency room visit unnecessary such as diabetes or asthma) n Avoidable hospitalizations
"Health is a basic human right. People should have the same opportunity to live their lives no matter
what their race." - Dr. Adewale Troutman,
Former Director of
the Fulton County
Department of Health
and Wellness
Georgia Health Disparities Report 2008
10
"When I moved to Georgia in 2007, I learned of the huge disparities in health
outcomes between racial and socioeconomic groups. This report represents the beginning
of a journey towards improving the health of all Georgians." Carladenise A. Edwards,
Chief of Staff, Georgia Department of Community Health
Georgia's Health Disparities
A Profile of Georgia's Diversity
Georgia consists of 159 counties and more than nine million people (a more than 14 percent increase from 2000).
In the 2007 United Health Foundation's, America's Health Rankings report, Georgia ranked 40th in health status overall. Their report cited that in Georgia, African-American people experience 44 percent more premature deaths than their white counterparts. The health status of the state as a whole can be significantly improved if a focus is given to populations who are at the greatest risk and experience the worst health outcomes.5
Georgia's population today is diverse. Population estimates for 2005 indicate the number of people in each racial/ethnic category is:
n White (not Hispanic) 5,411,373 (59.6 percent) n Black/African American (not Hispanic) 2,665,629 (29.4 percent) n Hispanic/Latino (all races) 646,568 (7.1 percent) n Asian 239,798 (2.6 percent) n Native American/American Indian 19,119 (.2 percent) n Native Hawaiian or Pacific Islander 4,487 (.05 percent) n Multi-racial 85,602 (.94 percent)
Top Nations of Origin for Foreign-Born Georgia Residents,
20046
Nation of Birth U.S. Born Foreign Born Total Georgia Pop.
Number 7,803,486 767,595 8,571,081
% 91.0% 9.0% 100.0%
Georgia's Racial/Ethnic Composition (2005 data) Black
White
Source: U.S. Census Bureau
American Indian and Alaska Native Asian
Hispanic or Latino
52007 United Health Foundation, America's Health Rankings report 6U.S. Census Bureau: Current Population Survey Supplement, March 2004.
Nation of Birth
Mexico Germany Korea/South Korea India Jamaica Philippines Nigeria China Colombia Brazil South America Puerto Rico Japan Panama Uruguay England Canada El Salvador Cuba Ethiopia Holland/Netherlands Slovakia/Slovak Republic Haiti France Honduras Russia Thailand Vietnam Hong Kong
Number 216,920 44,751 42,151 32,481 28,215 26,265 24,529 23,883 22,900 21,575 20,630 19,003 13,835 13,431 12,110 11,764 11,386 10,541 10,078 8,638 7,574
7,492
7,058 6,384 6,298 5,399 5,280 4,872 4,842
% 2.5% 0.5% 0.5% 0.4% 0.3% 0.3% 0.3% 0.3% 0.3% 0.3% 0.2% 0.2% 0.2% 0.2% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1%
0.1%
0.1% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1%
Georgia Health Disparities Report 2008
12
Georgia's Health Disparities
A Historical Context
As we examine disparities in health for Georgia, it is important to note historical trends in our population. Our state was once occupied almost exclusively by Native Americans and today they now constitute less than one percent. This change is a reflection of our painful history of the 1830 Indian Removal Act and the subsequent Trail of Tears which forced them out of Georgia. This history has an impact on the health and well being of that community today and its relationships with the dominant culture and institutions.
Households by Language Spoken & Linguistic Isolation7
Total Households Linguistically Not Linguistically
by Language
Isolated
Isolated
% Linguistic Isolation
English
2,664,976
0
2,664,976
0.0%
Spanish
Other IndoEuropean languages Asian and Pacific Island languages
Other languages
180,548 96,410 46,926 18,818
44,233 10,384 13,986 2,501
136,315 86,026 32,940 16,317
24.5% 10.8% 29.8% 13.3%
Total
3,007,678
71,104
2,936,574
2.4%
The African-American population in Georgia is higher than in the United States (30 percent versus 12.8 percent respectively). The migration patterns of Georgia's AfricanAmerican population are rooted in the history of slavery where the transatlantic slave trade brought many people to Georgia by force. Northern migrations followed as people sought freedom in states where slavery and Jim Crow laws were not present or prominent. In the past two decades, many African Americans have returned to Georgia and other parts of the "new South." The tragic history of slavery in the United States has left residual effects that can be seen in health outcomes for African-American communities.
The growth of Georgia's Hispanic/Latino population is relatively new. According to U.S. Census demographics, the Hispanic/Latino population is three times the size it was in 1995. Recent immigrants from Spanish speaking countries have settled in Georgia communities where viable employment opportunities exist. In some Georgia counties, such as Hall and Whitfield for instance, the Hispanic/ Latino population is as high as 25 percent and 28 percent respectively. This report reflects how these population changes have impacted Georgia's Hispanic/Latino population's uninsured rates and health outcomes.
According to the Asian American Justice Center in its report "A Community of Contrasts: Asian Americans and Pacific Islanders (AAPI)," the AAPI population has seen tremendous growth in 1980, 1990 and again in 2000. Monumental changes in demographics are taking place in Georgia, most specifically in the metro Atlanta area, where policy makers may not fully understand or government and other agencies may not have the infrastructure to serve the unique need of Asian Americans and Pacific Islanders. Georgia has experienced this growth spurt in five of its major counties - Gwinnett, Fulton, Cobb, Clayton, and DeKalb. Research is needed to better understand these communities and additional resources must be allocated to serve their needs. Where available, this report will attempt to describe disparate health outcomes experienced by this
growing population that is faced with issues of poverty, limited English proficiency and linguistic isolation.
The Impact of Health Disparities in Our Communities
The obvious and tragic impact of health disparities in our communities is the disproportionate loss of life and suffering that certain populations experience. There is also a major economic impact of health disparities. The ability to be self-sufficient, earn a livable wage and be productive citizens relies on good health. When populations are disproportionately unhealthy, they are unable to maintain steady employment, contribute to society and are more likely to rely on others for support.
Health disparities impact Georgia's business community in the form of employee absences and lower productivity. The U.S. Bureau of Labor Statistics projects that over the next decade racial and ethnic minorities will account for 41.5 percent of the workforce. Large employers should have a vested interest in ensuring that health care treatments and services, for which they are paying, are of the highest quality and deliver the greatest value.
The costs to the health system are significant when care for Georgia's uninsured people are uncompensated and the costs are absorbed by the health institutions. The cost of treating unhealthy patients in Georgia's emergency rooms is much higher than the cost of preventing health problems. When populations have disproportionately higher illness rates and higher uninsured rates, it results in higher costs to the health system overall.
"Of all the inequalities, inequalities in health are the most inhumane of all."
-Dr. Martin Luther King, Jr.
7Georgia Minority Health and Health Disparities Report: The Melting Pot, Morehouse School of Medicine, National Center for Primary Care
13
Georgia Health Disparities Report 2008
Georgia's Health Disparities
The State of Health Disparities in Georgia
Social and Economic Well-Being
n The rate of poverty for Hispanics/Latinos is more than 21 percent; it is greater than 23 percent for African Americans compared to about eight percent for their white counterparts. According to the University of Georgia's Initiative on Poverty and Economics, more than one in five Hispanic/Latino (21 percent) and African-American (23 percent) persons have family incomes below the poverty level, compared to only one in 12 (about eight percent) of their white counterparts8
n Sixteen percent of rural Georgians (counties of 35,000 people or less) live in poverty in comparison to 12 percent of urban Georgians9
n Babies born to unmarried mothers were 23.4 percent for whites, 46.9 percent for Hispanic/Latino and 67.3 percent for African-American10
n The graduation rate in the 2006-2007 school year was only 60.3 percent for Hispanics and 65.5 percent for African Americans and 65.5 percent for Native Americans. This compares with 77.5 percent graduation rates for whites students11
Health Status Indicators (presence of disease and premature death)
n African-American males were diagnosed with AIDS at a rate of 90.8 per 100,000 compared to a rate of 10.3 in white males in 2005. HIV/AIDS was the cause of death for African Americans at a rate of 18.4 per 100,000 compared to 2.5 for whites12
n African-American males in Georgia are 39 percent more likely than white males to die of cancer; AfricanAmerican females are 13 percent more likely than white females to die of cancer
n Hispanics/Latinos are twice as likely to die from heart disease than whites
n The death rate from diabetes is two times higher for African-American women than for white women
n Homicide was the cause of in 33 percent of deaths among African-American males ages 13-29 compared to 3 percent of white males in the same age group13
n Suicide was the cause of 4.4 percent of deaths among Hispanic/Latino men compared to 1.3 percent of African American men and 2.6 percent of white men14
n The death rate of African-American babies in the first year of life is two times the rate of white babies16
82005 Vital Statistics 9Georgia Rural Health Association and the Center for Rural Health and Research, Georgia Southern University 102005 Vital Statistics 11Governor's Office of Student Achievement 12OASIS 132005 Vital Statistics 142005 Vital Statistics 15OASIS 162005 Oral Health Survey 17Georgia Campaign for Adolescent Pregnancy Prevention 18Georgia Rural Health Association
n More than 9.2 percent of Hispanic/Latina women received less than five prenatal visits during their pregnancy versus 2.9 percent of white non-Hispanic women
Health Behaviors
n African-American middle school children were more likely to be obese (17 percent) than white children (11 percent)17
n African-American teens have a higher rate of teen pregnancy (85.3) than white teens (46.9). Hispanic/ Latino teens have the highest teen pregnancy rate in Georgia and that rate has increased over the past decade while it has declined for other ethnic/racial groups18
n Hispanic/Latino and African-American children get less recommended physical activity than their white classmates
Quality and Access to Care
n Hispanic/Latino persons make up the largest group of uninsured Georgians at 20 percent and African Americans make up the second largest at 13 percent
n Georgia has 118 rural counties. Poverty rates for rural counties exceed those in urban counties by 58 percent. The rural counties have approximately half as many physicians and dramatic shortages of nurses, therapists, and nutritionists (per capita) as the metro counties19
"Rural Georgians have greater health disparities than their urban neighbors. Professional workforce shortages, income, education, transportation, insurance coverage, and access to care, create challenges which must be addressed by all Georgians to improve the health status of those living in rural
communities."
-Katherine Cummings, Minority Health Advisory Council Member
Georgia Health Disparities Report 2008
14
Georgia's Health Disparities
Counties With the Best Health Outcomes and the Greatest Health Needs
The counties highlighted in green have achieved the best minority health outcomes, and the counties in red have the greatest health challenges, as measured by years of potential life lost due to premature death before age 75 (YPLL-75).
DADE
CATOOSA
MURRAY WHITFIELD
FANNIN
UNION
TOWNS
RABUN
WALKER
GILMER
WHITE HABERSHAM
CHATTOOGA FLOYD
GORDON BARTOW
PICKENS
LUMPKIN DAWSON
CHEROKEE
FORSYTH HALL
STEPHENS FRANKLIN
BANKS
JACKSON
MADISON
HART ELBERT
Best Health Outcomes
(lowest YPLL-75)
Greatest Health Needs
(most years of potential life lost due to premature death in minority populations)
POLK HARALSON
PAULDING
COBB
GWINNETT
DEKALB
DOUGLAS Atlanta
BARROW WALTON
CLARKE OGLETHORPE
OCONEE
WILKES
LINCOLN
CARROLL HEARD
FULTON CLAYTON
ROCKDALE NEWTON
MORGAN
GREENE TALIAFERRO
COLUMBIA
FAYETTE
HENRY
COWETA
SPALDING
BUTTS
JASPER
PUTNAM
HANCOCK
WARREN MCDUFFIE
GLASCOCK
RICHMOND
TROUP
MERIWETHER
PIKE
LAMAR MONROE
JONES
BALDWIN
HARRIS
UPSON TALBOT
CRAWFORD
BIBB
WILKINSON TWIGGS
JEFFERSON WASHINGTON
JOHNSON
BURKE
JENKINS
SCREVEN
MUSCOGEE
TAYLOR
CHATAHOOCHEE MARION
SCHLEY
MACON
STEWART
WEBSTER
SUMTER
QUITMAN TERRELL LEE
RANDOLPH
CLAY
CALHOUN
DOUGHERTY
EARLY MILLER
BAKER MITCHELL
PEACH
EMANUEL
HOUSTON BLECKLEY
LAURENS
TREUTLEN
CANDLER
DOOLY
PULASKI DODGE
MONTGOMERY
WHEELER
TOOMBS
BULLOCH
EFFINGHAM
EVANS
BRYAN
CHATHAM
CRISP
WILCOX
TELFAIR
TURNER
BEN HILL
JEFF DAVIS
TATTNALL
APPLING
LIBERTY LONG
WORTH
IRWIN TIFT
COFFEE
BACON PIERCE
WAYNE
MCINTOSH
BERRIEN
ATKINSON
GLYNN
COLQUITT
COOK
WARE
BRANTLEY
SEMINOLE
DECATUR
GRADY
THOMAS
BROOKS
LANIER
CLINCH
LOWNDES
ECHOLS
CHARLTON
CAMDEN
15
Georgia Health Disparities Report 2008
Georgia's Health Disparities
County Health Outcomes Based on Years of Potential Life Lost (YPL)
DADE
CATOOSA
MURRAY WHITFIELD
FANNIN
UNION
TOWNS
RABUN
WALKER
GILMER
WHITE HABERSHAM
CHATTOOGA FLOYD
GORDON BARTOW
PICKENS
LUMPKIN DAWSON
CHEROKEE
FORSYTH HALL
STEPHENS FRANKLIN
BANKS
JACKSON
MADISON
HART ELBERT
* Not graded (8) A (14) B (24) C (46) D (51) F (16)
* The minority population is not represented in significant numbers to effecively assign a grade.
POLK HARALSON
PAULDING
COBB
GWINNETT
DEKALB
DOUGLAS Atlanta
BARROW WALTON
CLARKE OGLETHORPE
OCONEE
WILKES
LINCOLN
CARROLL HEARD
FULTON CLAYTON
ROCKDALE NEWTON
MORGAN
GREENE TALIAFERRO
COLUMBIA
FAYETTE
HENRY
COWETA
SPALDING
BUTTS
JASPER
PUTNAM
HANCOCK
WARREN MCDUFFIE
GLASCOCK
RICHMOND
TROUP
MERIWETHER
PIKE
LAMAR MONROE
JONES
BALDWIN
HARRIS
UPSON TALBOT
CRAWFORD
BIBB
WILKINSON TWIGGS
JEFFERSON WASHINGTON
JOHNSON
BURKE
JENKINS
SCREVEN
MUSCOGEE
TAYLOR
CHATAHOOCHEE MARION
SCHLEY
MACON
STEWART
WEBSTER
SUMTER
QUITMAN TERRELL LEE
RANDOLPH
CLAY
CALHOUN
DOUGHERTY
EARLY MILLER
BAKER
MITCHELL
PEACH
EMANUEL
HOUSTON BLECKLEY
LAURENS
TREUTLEN
CANDLER
DOOLY
PULASKI DODGE
MONT GOMERY
WHEELER
TOOMBS
BULLOCH
EFFINGHAM
EVANS
BRYAN
CHATHAM
CRISP
WILCOX
TELFAIR
TURNER
BEN HILL
JEFF DAVIS
TATTNALL
APPLING
LIBERTY LONG
WORTH
IRWIN TIFT
COFFEE
BACON PIERCE
WAYNE
MCINTOSH
BERRIEN
ATKINSON
GLYNN
COLQUITT
COOK
WARE
BRANTLEY
SEMINOLE
DECATUR
GRADY
THOMAS
BROOKS
LANIER
CLINCH
LOWNDES
ECHOLS
CHARLTON
CAMDEN
Georgia Health Disparities Report 2008
16
Georgia's Health Disparities
Hospital Admissions and ER Visits Summary Grades
DADE
CATOOSA
MURRAY WHITFIELD
FANNIN
UNION
TOWNS
RABUN
WALKER
GILMER
WHITE HABERSHAM
CHATTOOGA FLOYD
GORDON BARTOW
PICKENS
LUMPKIN DAWSON
CHEROKEE
FORSYTH HALL
STEPHENS FRANKLIN
BANKS
JACKSON
MADISON
HART ELBERT
* Not graded (1) A (18) B (32) C (37) D (34) F (37)
* The minority population is not represented in significant numbers to effecively assign a grade.
POLK HARALSON
PAULDING
COBB
GWINNETT
DEKALB
DOUGLAS Atlanta
BARROW WALTON
CLARKE OGLETHORPE
OCONEE
WILKES
LINCOLN
CARROLL HEARD
FULTON CLAYTON
ROCKDALE NEWTON
MORGAN
GREENE TALIAFERRO
COLUMBIA
FAYETTE
HENRY
COWETA
SPALDING
BUTTS
JASPER
PUTNAM
HANCOCK
WARREN MCDUFFIE
GLASCOCK
RICHMOND
TROUP
MERIWETHER
PIKE
LAMAR MONROE
JONES
BALDWIN
HARRIS
UPSON TALBOT
CRAWFORD
BIBB
WILKINSON TWIGGS
JEFFERSON WASHINGTON
JOHNSON
BURKE
JENKINS
SCREVEN
MUSCOGEE
TAYLOR
CHATAHOOCHEE MARION
SCHLEY
MACON
STEWART
WEBSTER
SUMTER
QUITMAN TERRELL LEE
RANDOLPH
CLAY
CALHOUN
DOUGHERTY
EARLY MILLER
BAKER
MITCHELL
PEACH
EMANUEL
HOUSTON BLECKLEY
LAURENS
TREUTLEN
CANDLER
DOOLY
PULASKI DODGE
MONT GOMERY
WHEELER
TOOMBS
BULLOCH
EFFINGHAM
EVANS
BRYAN
CHATHAM
CRISP
WILCOX
TELFAIR
TURNER
BEN HILL
JEFF DAVIS
TATTNALL
APPLING
LIBERTY LONG
WORTH
IRWIN TIFT
COFFEE
BACON PIERCE
WAYNE
MCINTOSH
BERRIEN
ATKINSON
GLYNN
COLQUITT
COOK
WARE
BRANTLEY
SEMINOLE
DECATUR
GRADY
THOMAS
BROOKS
LANIER
CLINCH
LOWNDES
ECHOLS
CHARLTON
CAMDEN
17
Georgia Health Disparities Report 2008
Georgia's Health Disparities
Mental Health Access Summary Grades
DADE
CATOOSA
MURRAY WHITFIELD
FANNIN
UNION
TOWNS
RABUN
WALKER
GILMER
WHITE HABERSHAM
CHATTOOGA FLOYD
GORDON BARTOW
PICKENS
LUMPKIN DAWSON
CHEROKEE
FORSYTH HALL
STEPHENS FRANKLIN
BANKS
JACKSON
MADISON
HART ELBERT
* Not graded (5) A (15) B (33) C (66) D (7) F (33)
* The minority population is not represented in significant numbers to effecively assign a grade.
POLK HARALSON
PAULDING
COBB
GWINNETT
DEKALB
DOUGLAS Atlanta
BARROW WALTON
CLARKE OGLETHORPE
OCONEE
WILKES
LINCOLN
CARROLL HEARD
FULTON CLAYTON
ROCKDALE NEWTON
MORGAN
GREENE TALIAFERRO
COLUMBIA
FAYETTE
HENRY
COWETA
SPALDING
BUTTS
JASPER
PUTNAM
HANCOCK
WARREN MCDUFFIE
GLASCOCK
RICHMOND
TROUP
MERIWETHER
PIKE
LAMAR MONROE
JONES
BALDWIN
HARRIS
UPSON TALBOT
CRAWFORD
BIBB
WILKINSON TWIGGS
JEFFERSON WASHINGTON
JOHNSON
BURKE
JENKINS
SCREVEN
MUSCOGEE
TAYLOR
CHATAHOOCHEE MARION
SCHLEY
MACON
STEWART
WEBSTER
SUMTER
QUITMAN TERRELL LEE
RANDOLPH
CLAY
CALHOUN
DOUGHERTY
EARLY MILLER
BAKER
MITCHELL
PEACH
EMANUEL
HOUSTON BLECKLEY
LAURENS
TREUTLEN
CANDLER
DOOLY
PULASKI DODGE
MONT GOMERY
WHEELER
TOOMBS
BULLOCH
EFFINGHAM
EVANS
BRYAN
CHATHAM
CRISP
WILCOX
TELFAIR
TURNER
BEN HILL
JEFF DAVIS
TATTNALL
APPLING
LIBERTY LONG
WORTH
IRWIN TIFT
COFFEE
BACON PIERCE
WAYNE
MCINTOSH
BERRIEN
ATKINSON
GLYNN
COLQUITT
COOK
WARE
BRANTLEY
SEMINOLE
DECATUR
GRADY
THOMAS
BROOKS
LANIER
CLINCH
LOWNDES
ECHOLS
CHARLTON
CAMDEN
Georgia Health Disparities Report 2008
18
Georgia's Health Disparities
Primary Care Safety New Access Summary Grades
DADE
CATOOSA
MURRAY WHITFIELD
FANNIN
UNION
TOWNS
RABUN
WALKER
GILMER
WHITE HABERSHAM
CHATTOOGA FLOYD
GORDON BARTOW
PICKENS
LUMPKIN DAWSON
CHEROKEE
FORSYTH HALL
STEPHENS FRANKLIN
BANKS
JACKSON
MADISON
HART ELBERT
A (18) B (32) C (37) D (34) F (37)
* The minority population is not represented in significant numbers to effecively assign a grade.
POLK HARALSON
PAULDING
COBB
GWINNETT
DEKALB
DOUGLAS Atlanta
BARROW WALTON
CLARKE OGLETHORPE
OCONEE
WILKES
LINCOLN
CARROLL HEARD
FULTON CLAYTON
ROCKDALE NEWTON
MORGAN
GREENE TALIAFERRO
COLUMBIA
FAYETTE
HENRY
COWETA
SPALDING
BUTTS
JASPER
PUTNAM
HANCOCK
WARREN MCDUFFIE
GLASCOCK
RICHMOND
TROUP
MERIWETHER
PIKE
LAMAR MONROE
JONES
BALDWIN
HARRIS
UPSON TALBOT
CRAWFORD
BIBB
WILKINSON TWIGGS
JEFFERSON WASHINGTON
JOHNSON
BURKE
JENKINS
SCREVEN
MUSCOGEE
TAYLOR
CHATAHOOCHEE MARION
SCHLEY
MACON
STEWART
WEBSTER
SUMTER
QUITMAN TERRELL LEE
RANDOLPH
CLAY
CALHOUN
DOUGHERTY
EARLY MILLER
BAKER MITCHELL
PEACH
EMANUEL
HOUSTON BLECKLEY
LAURENS
TREUTLEN
CANDLER
DOOLY
PULASKI DODGE
MONT GOMERY
WHEELER
TOOMBS
BULLOCH
EFFINGHAM
EVANS
BRYAN
CHATHAM
CRISP
WILCOX
TELFAIR
TURNER
BEN HILL
JEFF DAVIS
TATTNALL
APPLING
LIBERTY LONG
WORTH
IRWIN TIFT
COFFEE
BACON PIERCE
WAYNE
MCINTOSH
BERRIEN
ATKINSON
GLYNN
COLQUITT
COOK
WARE
BRANTLEY
SEMINOLE
DECATUR
GRADY
THOMAS
BROOKS
LANIER
CLINCH
LOWNDES
ECHOLS
CHARLTON
CAMDEN
19
Georgia Health Disparities Report 2008
Georgia's Health Disparities
Prenatal Care and Birth Outcomes Summary Grades
DADE
CATOOSA
MURRAY WHITFIELD
FANNIN
UNION
TOWNS
RABUN
WALKER
GILMER
WHITE HABERSHAM
CHATTOOGA FLOYD
GORDON BARTOW
PICKENS
LUMPKIN DAWSON
CHEROKEE
FORSYTH HALL
STEPHENS FRANKLIN
BANKS
JACKSON
MADISON
HART ELBERT
* Not graded (16) A (2) B (20) C (37) D (43) F (37)
* The minority population is not represented in significant numbers to effecively assign a grade.
POLK HARALSON
PAULDING
COBB
GWINNETT
DEKALB
DOUGLAS Atlanta
BARROW WALTON
CLARKE OGLETHORPE
OCONEE
WILKES
LINCOLN
CARROLL HEARD
FULTON CLAYTON
ROCKDALE NEWTON
MORGAN
GREENE TALIAFERRO
COLUMBIA
FAYETTE
HENRY
COWETA
SPALDING
BUTTS
JASPER
PUTNAM
HANCOCK
WARREN MCDUFFIE
GLASCOCK
RICHMOND
TROUP
MERIWETHER
PIKE
LAMAR MONROE
JONES
BALDWIN
HARRIS
UPSON TALBOT
CRAWFORD
BIBB
WILKINSON TWIGGS
JEFFERSON WASHINGTON
JOHNSON
BURKE
JENKINS
SCREVEN
MUSCOGEE
TAYLOR
CHATAHOOCHEE MARION
SCHLEY
MACON
STEWART
WEBSTER
SUMTER
QUITMAN TERRELL LEE
RANDOLPH
CLAY
CALHOUN
DOUGHERTY
EARLY MILLER
BAKER
MITCHELL
PEACH
EMANUEL
HOUSTON BLECKLEY
LAURENS
TREUTLEN
CANDLER
DOOLY
PULASKI DODGE
MONT GOMERY
WHEELER
TOOMBS
BULLOCH
EFFINGHAM
EVANS
BRYAN
CHATHAM
CRISP
WILCOX
TELFAIR
TURNER
BEN HILL
JEFF DAVIS
TATTNALL
APPLING
LIBERTY LONG
WORTH
IRWIN TIFT
COFFEE
BACON PIERCE
WAYNE
MCINTOSH
BERRIEN
ATKINSON
GLYNN
COLQUITT
COOK
WARE
BRANTLEY
SEMINOLE
DECATUR
GRADY
THOMAS
BROOKS
LANIER
CLINCH
LOWNDES
ECHOLS
CHARLTON
CAMDEN
Georgia Health Disparities Report 2008
20
Georgia's Health Disparities
Socioeconomic Summary Grades
DADE
CATOOSA
MURRAY WHITFIELD
FANNIN
UNION
TOWNS
RABUN
WALKER
GILMER
WHITE HABERSHAM
CHATTOOGA FLOYD
GORDON BARTOW
PICKENS
LUMPKIN DAWSON
CHEROKEE
FORSYTH HALL
STEPHENS FRANKLIN
BANKS
JACKSON
MADISON
HART ELBERT
* Not graded (1) A (7) B (25) C (25) D (47) F (54)
* The minority population is not represented in significant numbers to effecively assign a grade.
POLK HARALSON
PAULDING
COBB
GWINNETT
DEKALB
DOUGLAS Atlanta
BARROW WALTON
CLARKE OGLETHORPE
OCONEE
WILKES
LINCOLN
CARROLL HEARD
FULTON CLAYTON
ROCKDALE NEWTON
MORGAN
GREENE TALIAFERRO
COLUMBIA
FAYETTE
HENRY
COWETA
SPALDING
BUTTS
JASPER
PUTNAM
HANCOCK
WARREN MCDUFFIE
GLASCOCK
RICHMOND
TROUP
MERIWETHER
PIKE
LAMAR MONROE
JONES
BALDWIN
HARRIS
UPSON TALBOT
CRAWFORD
BIBB
WILKINSON TWIGGS
JEFFERSON WASHINGTON
JOHNSON
BURKE
JENKINS
SCREVEN
MUSCOGEE
TAYLOR
CHATAHOOCHEE MARION
SCHLEY
MACON
STEWART
WEBSTER
SUMTER
QUITMAN TERRELL LEE
RANDOLPH
CLAY
CALHOUN
DOUGHERTY
EARLY MILLER
BAKER
MITCHELL
PEACH
EMANUEL
HOUSTON BLECKLEY
LAURENS
TREUTLEN
CANDLER
DOOLY
PULASKI DODGE
MONT GOMERY
WHEELER
TOOMBS
BULLOCH
EFFINGHAM
EVANS
BRYAN
CHATHAM
CRISP
WILCOX
TELFAIR
TURNER
BEN HILL
JEFF DAVIS
TATTNALL
APPLING
LIBERTY LONG
WORTH
IRWIN TIFT
COFFEE
BACON PIERCE
WAYNE
MCINTOSH
BERRIEN
ATKINSON
GLYNN
COLQUITT
COOK
WARE
BRANTLEY
SEMINOLE
DECATUR
GRADY
THOMAS
BROOKS
LANIER
CLINCH
LOWNDES
ECHOLS
CHARLTON
CAMDEN
21
Georgia Health Disparities Report 2008
Georgia's Health Disparities
Mortality Rates and Inequalities Summary Grades
DADE
CATOOSA
MURRAY WHITFIELD
FANNIN
UNION
TOWNS
RABUN
WALKER
GILMER
WHITE HABERSHAM
CHATTOOGA FLOYD
GORDON BARTOW
PICKENS
LUMPKIN DAWSON
CHEROKEE
FORSYTH HALL
STEPHENS FRANKLIN
BANKS
JACKSON
MADISON
HART ELBERT
* Not graded (1) A (14) B (24) C (46) D (51) F (16)
* The minority population is not represented in significant numbers to effecively assign a grade.
POLK HARALSON
PAULDING
COBB
GWINNETT
DEKALB
DOUGLAS Atlanta
BARROW WALTON
CLARKE OGLETHORPE
OCONEE
WILKES
LINCOLN
CARROLL HEARD
FULTON CLAYTON
ROCKDALE NEWTON
MORGAN
GREENE TALIAFERRO
COLUMBIA
FAYETTE
HENRY
COWETA
SPALDING
BUTTS
JASPER
PUTNAM
HANCOCK
WARREN MCDUFFIE
GLASCOCK
RICHMOND
TROUP
MERIWETHER
PIKE
LAMAR MONROE
JONES
BALDWIN
HARRIS
UPSON TALBOT
CRAWFORD
BIBB
WILKINSON TWIGGS
JEFFERSON WASHINGTON
JOHNSON
BURKE
JENKINS
SCREVEN
MUSCOGEE
TAYLOR
CHATAHOOCHEE MARION
SCHLEY
MACON
STEWART
WEBSTER
SUMTER
QUITMAN TERRELL LEE
RANDOLPH
CLAY
CALHOUN
DOUGHERTY
EARLY MILLER
BAKER
MITCHELL
PEACH
EMANUEL
HOUSTON BLECKLEY
LAURENS
TREUTLEN
CANDLER
DOOLY
PULASKI DODGE
MONT GOMERY
WHEELER
TOOMBS
BULLOCH
EFFINGHAM
EVANS
BRYAN
CHATHAM
CRISP
WILCOX
TELFAIR
TURNER
BEN HILL
JEFF DAVIS
TATTNALL
APPLING
LIBERTY LONG
WORTH
IRWIN TIFT
COFFEE
BACON PIERCE
WAYNE
MCINTOSH
BERRIEN
ATKINSON
GLYNN
COLQUITT
COOK
WARE
BRANTLEY
SEMINOLE
DECATUR
GRADY
THOMAS
BROOKS
LANIER
CLINCH
LOWNDES
ECHOLS
CHARLTON
CAMDEN
Georgia Health Disparities Report 2008
22
"It is critically important that we lessen the impact and burden of illness on all people in our communities, regardless of race, gender, or religion. Working together we can execute
plans that are thoughtful, strategic and responsive to the needs of our communities." Debbie Hall, Chief Operating Officer, Georgia Department of Community of Health
Report Limitations
What is Missing?
Significant gaps in data exist for the Hispanic/Latino, Asian/ Pacific Islander and American Indian/Native American communities. Unfortunately, most data collected in Georgia is in a black/white context, notations exist where data is insufficient to draw any conclusions. We hope that this report will instigate improvements in the data collection and reporting systems so that future versions of this report will more accurately reflect the diversity of Georgia's population.
While the report touches upon the economic impact of health disparities, the council did not endeavor to fully explore or attempt to document the impact. Much work is needed so that there is a clear understanding on how poor health outcomes affect the economic well-being for individuals, their families, employers and Georgia as a whole.
With regard to sample size and availability of data, existing data are inadequate for evaluating behavioral risk factors by racial-ethnic groups by counties. Data are also inadequate for breaking out most indicators by racial-ethnic groups other than African American and white, since the sample sizes become very small at the county level. We also have inadequate measures for the availability of interpreters and bilingual health professionals in each Georgia county. These inadequacies present us with a major gap in our ability to assess and develop local solutions.
"We must find more effective and far-reaching strategies if we are to succeed in reducing the toll health disparities take on our health, wellbeing and productivity." - Dr. Garth Graham,
Deputy Assistant Secretary for Minority Health, The
U.S. Dept. of Health and Human Service's Office of
Minority Health
This report is intended to serve as a catalyst for review and action by cities, counties and regional groups. While the data is limited in some respects due to small populations and reporting, the information available indicates that there is work to be done across our state. Health care professionals, elected officials, educators, business and community leaders are encouraged to use this report, along with others such as the Georgia Primary Care Access Plan and the State Rural Health Plan, to better understand the health care needs of their communities. The Georgia Department of Community Health is committed to helping communities understand the health status of their citizens and working with them to develop viable solutions to make effective change and improve health outcomes.
Georgia Health Disparities Report 2008
24
"Disparities are not inevitable. We can achieve equality and improve health outcomes for everyone, if we all pull together and work to make it happen in each community across
Georgia." Dr. George Rust, Director, National Center for Primary Care
Health Disparities Reports
Data Sources and Methodology
The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equity for all Georgians. The information is a compilation of data and analyses that may be used to provide a clearer picture of the health disparities in your county based upon social and economic well-being, pre-mature death, disease prevalence, quality and access to care, and health behavioral data, where available.
This section is meant to provide you with information and explanations of key terms that will help you to understand and interpret the data that is being presented. Such clarification will enable you to utilize the information to address the reduction and/or elimination of health disparities in your respective communities. This publication presents a summary grade and information about each county. Detailed information for each county may be obtained at the www.dch.ga.gov.
Understanding the Data
The report cards are presented in three sections: Atlanta Metropolitan Statistical Areas; non-Atlanta Metropolitan Statistical Areas; and, Rural non-Metropolitan Statistical Areas.
This report uses the U.S. Census Bureau figure of 50,000 people per county to classify a rural county. The state of Georgia defines rural counties as 35,000 people or less. This pertains to counties with a military base and civilian population of less than 35,000 people (e.g. Liberty county).
Years of Potential Life Lost (YPLL)-75 is the term used to describe the number of person-years of life lost due to deaths before age 75. Consider one African-American male dying at age 54 (YPLL = 21 person years) and one white male dying at age 73 (YPLL = 2 person years) and the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Health Professional Shortage Area (HPSA) is categorized by the Health Resources & Services Administration (HRSA) in three areas primary care, mental health, and dental. This was the only oral health indicator available for this report.
Data Sources Used in Compiling Report
Data analysis was performed at the National Center for Primary Care, Morehouse School of Medicine, using various secondary data sources, and with assistance from various
state agencies, including the Division of Public Health. Unfortunately, existing data are inadequate for evaluating behavioral risk factors by racial-ethnic group (the one indicator we have shows that white women smoke at twofold higher rates than African-American or Hispanic/Latino women during pregnancy). Data are also inadequate for breaking out most indicators by racial-ethnic groups other than African American and white, since the sample sizes become small at the county level. Therefore this report does not adequately reflect Georgia's diversity, or the extent of disparities that surely exist in these other groups. We also have inadequate measures for the availability of interpreters and bilingual health professionals in each Georgia county.
n The Online Analytical Statistical Information System (OASIS) is a suite of interactive tools used to access the Georgia Division of Public Health's standardized data repository. OASIS was designed and is maintained by the Georgia DHR Office of Health Information and Policy. It incorporates data from many of the sources that follow: n The Behavioral Risk Factor Surveillance System (BRFSS) is a state-based surveillance system, administered by the Georgia Department of Human Resources, Division of Public Health, in collaboration with the CDC (Centers for Disease Control and Prevention). Information from this system is available on OASIS, but most data is not available at the county-level by raceethnicity n The Vital Records Information System holds information about vital events which are defined as births, deaths, induced terminations of pregnancy, and fetal deaths. Statistics of vital events provide a unique source of information about the health, behavior, and wellness of a population. The monitoring of such major life events provides essential information to individuals, institutions and agencies involved in analyzing, planning, and evaluating health service delivery for Georgia residents. Information from this system is available on OASIS. Most mortality data is derived from CDC's Compressed Mortality File, which does not contain detailed ethnicity data. The MultipleCause of Death File includes more groups, including Asian and American Indian, but sample sizes are too small to create meaningful rates for these groups in smaller counties n Hospital discharge data is provided to the Division of Public Health by the Georgia Hospital Association and is an abridged data set of hospital discharge records for the state of Georgia. This data set is provided on an annual basis. Information from this system is available on OASIS. Data on emergency department visits is collected in a similar manner
n Georgia Board of Physician Workforce is a state agency responsible for advising the Governor and the General Assembly on physician workforce and medical education policy and issues. http://gbpw.georgia.gov
n The Georgia County Guide, published at the University of Georgia, provides detailed county-level and state data related to agriculture, crime, economics, education, government, health, housing, labor, natural resources, occupations, population, public assistance, transportation, and vital statistics
n The HRSA Area Resource File is a compilation of data on all U.S. counties from various secondary data sources, including Census data, AMA physician masterfile, CDC Vital Statistics data, etc. (www.arfsys.com)
Georgia Health Disparities Report 2008
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Health Disparities Reports
County Health Disparities Indicators - Variables and Sources of Data
Population / Community Indicators (Social Determinants)
Variable
Year(s)
Geographic Level of Data
Race/Ethnicity
Source of Data
Population (Decennial census (2000) is a hard-count; later years are only estimates)
Total persons
2006 (est.)
County
All groups
Census population estimates for 2005
Population Density (persons per square mile) Total persons by racial-ethnic group
2006 (est.)
2006 (est.)
County County
All groups All groups
Census population estimates for 2005
Census population estimates for 2005
Persons in linguistically-isolated households
2000
County
N/A
Decennial Census
Socioeconomics and Poverty (2004 updated projections do not show income by race-ethnicity)
Persons below poverty Median household income
2000 2000
County County
All groups All groups
Decennial Census Decennial Census
% unemployed Education / Youth
2000
County
All groups
Decennial Census
% Adults (>25) Having Completed less than 9th grade education 2000
County
All groups
Decennial Census
Environmental Rural Urban Continuum
2003
County
N/A
USDA
Health Behaviors and Health Outcome Indicators (Morbidity, Mortality, etc.)
Variable
Year(s)
Geographic Level of Data
Race/ Ethnicity
Source of Data
Caveats / Limitations
Health Behaviors (BRFSS behavioral risk data not available by racial-ethnic group at the county level.)
Smoking during pregnancy
2000-2004 State & district none
Oasis / BRFSS
Maternal-Infant Health
Very Low Birthweight (VLBW) Births
2004-2006 County
Blk-Wht-Hisp DHR / OASIS
Inadequate prenatal care (Kotelchuck index)
2004-2006 County
Blk-Wht-Hisp DHR / OASIS
Tobacco use in pregnancy
2004-2006 County
Blk-Wht-Hisp DHR / OASIS
Deaths (Consolidated rates for 3-years from 2003-05 in order to assure adequate sample size for smaller counties; Five-year aggregate (2001-2005) for infant mortality)
Infant Deaths (0-1)
2003-05
County
All groups
DHR / OASIS
Deaths (#)
2003-05
County
All groups
DHR / OASIS
Age-adjusted death rates
2003-05
County
All groups
DHR / OASIS
YPLL-75:Years of Life Lost by Premature Death
2003-05
County
All groups
DHR / OASIS
Hospitalizations and Disability (Consolidated rates for 3-years (2003-05) to increase sample size)
Hospitalization rates per 100,000 pop. for ambulatory care sensitive (ACS) conditions
2003-05
County
Blk-Wht
DHR / OASIS
Hispanic ethnicity not consistently recorded
Illness Events (Consolidated rates for 3-years (2003-05) to increase sample size)
Emergency Dept Visits per 100,000 pop. for ambulatory care sensitive (ACS) conditions
2003-05
County
Blk-Wht
DHR / GHA
Hispanic ethnicity not consistently recorded
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Georgia Health Disparities Report 2008
Health Disparities Reports
Variable
Health Care Access Uninsured persons Uninsured children
Health Behaviors and Health Care Access
Year(s)
Geographic Level of Data
Race/Ethnicity
2000/2005 2000/2005
County (estimates) County (estimates)
Blk-Wht-Hisp 2000 Blk-Wht-Hisp 2000
Primary Care Physicians per 100,000 pop.
2004
County
All groups
CHC/FQHC site (yes/no)
2005
County
N/A
Free Clinic or other Safety Net Primary Care Access registered with DCH
2005
County
N/A
Culturally and Linguistically Appropriate (CLAS) Health Care (See CLAS standards at OMH and JCAHO websites)
Physician Diversity per pop. by race and ethnicity
2004
County
All groups
Bilingual (Spanish-speaking) physicians per 1,000 persons in Spanish-speaking households
Full-time Medical Interpreters on Hospital Staff (if hospital in county) Oral Health
Dental Health Professional Shortage Area (HPSA)
Mental Health / Substance Abuse
Licensed Psychologists, Counselors, and Clinical Social Workers per 100,000 population
Mental Health Emergency Department Visit rate
2004 2006 2004
2006 2003-05
County County County County
N/A N/A All Groups N/A
Mental Health Professional Shortage Area (HPSA)
2004
County
All Groups
Source of Data
Georgia Board of Physician Workforce DCH Georgia Free Clinic Network & DCH Georgia Board of Physician Workforce DATA NOT AVAILABLE
DATA NOT AVAILABLE
HRSA
Georgia Licensing Board DHR / GHA HRSA
Equivalent Data Sources listed by 2007 Georgia County Guide
ESTIMATES OF TOTAL POPULATION: 1990-2005 "Time Series of Georgia Intercensal Population Estimates by County: April 1, 1990 to April 1, 2000 " (COEST2001- 1213) release date, 4/17/02; and, "Annual Estimates of the Population for Counties of Georgia: April 1, 2000 to July 1, 2005" (CO-EST2005-01-13) release date, 3/16/06. Population Division
RACE AND ETHNICITY; BLACK, WHITE, OTHER RACES, LATINO/HISPANIC: 2005 "Annual Estimates of the Population by Selected Age Groups and Sex: April 1, 2000 to July 1, 2005 (CCEST2005agesex-13)," "Annual Estimates of the Population by Race Alone and Hispanic or Latino Origin for Counties: April 1, 2000 to July 1, 2005 (CC-EST2005-6RACE-13)," release date 8/4/2006; and, "County Population Estimates with Sex, 5 Race Groups and Hispanic Origin: April 1, 2000 to July 1, 2005 (CC-EST2005-5RACE-13); Population Division HOUSEHOLD INCOME, POVERTY
CHARACTERISTICS BY AGE, RACE, HISPANIC ORIGIN: 1999 (1999) Census 2000 Summary File 3, http://factfinder.census.gov/home/saff/ main.html
EDUCATIONAL ATTAINMENT BY RACE AND HISPANIC ORIGIN: 2000 Census 2000 Summary File 3
METROPOLITAN, MICROPOLITAN AND COMBINED STATISTICAL AREAS (maps): 2006
Maps graphics source: Center for Agribusiness and Economic Development, The University of Georgia, Athens, GA. 706542-0760. http://www.caed.uga.edu/
RURAL-URBAN CONTINUUM CODES; URBAN INFLUENCE: 2003 Economic Research Service, USDA, Washington, DC. http://www.ers.usda.gov/briefing/rurality/
GEORGIA VITAL STATISTICS REPORTS, 1995-2004 and OASIS Web Query, Georgia Dept. of Human Resources, Division of Public Health, Center for Health Information, Atlanta, GA. 404-657-6320. http://health.state.ga.us/programs/ohip/ birthdeath.asp http://oasis.state.ga.us/
PHYSICIANS BY SPECIALTY: 2004 Georgia Board for Physician Workforce, Atlanta, GA, 404-206-5420. http://gbpw.georgia.gov/00/channel_ title/0,2094,49259818_54218987,00.html
**US Census Bureau Regional office in Atlanta (AL, FL, GA)
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Grading Methods
For this report our methods were to assign a grade first for the outcome (such as ageadjusted mortality) in a minority population, and then to assign a second grade for equality (based on the black-white rate ratio, for example). We did this because some counties appear to have no disparities (i.e., black-white equality), only because white outcomes are just as bad as the outcomes among African Americans. It would not have been appropriate to give such counties a grade of "A", the same grade as that given to counties which have achieved both equality and excellent health outcomes in both populations.
Outcome Grades
For most of the outcomes, such as death rates or poverty rates, we assigned grades according to county rankings for that indicator, according to Table A.
TABLE A
Outcome Grade based on county rankings
Lookup Table Lower-bound Thresholds For Black Unemployment Rate By County
Rankings
Corresponding Grades
0
*
1
A
32
B
64
C
96
D
128
F
TABLE B
Lookup Table Lowerbound Thresholds For Black & Latino % Inadequate Prenatal Care Outcome
Corresponding Grades
TABLE C
Lookup Table Thresholds For Black %vlbw Outcome
Corresponding Grades
In some cases, we assigned grades to outcomes based either on national norms or obvious break-points in the data, i.e., groupings of outcomes that would not have matched a precise cut-off in rankings. For example, if the table above would have assigned a "B" to a county ranked 63rd and a "C" to a county ranked 64th, but the "B" and "C" counties had very similar outcomes (differing in rank only by decimal point differences), then we looked for natural break points or groupings of outcomes for which we could assign grades (see Tables "B" and "C").
Equality Grades
Equality grades were assigned based on the black-to-white rate ratio for any given indicator (some Hispanic/Latino to White nonHispanic ratios also received a grade, although most indicators did not have sufficient data to do this). For some indicators, especially socioeconomic indicators such as poverty or unemployment, these ratios could be quite high, and grades were assigned accordingly (see Table D).
0
*
0.1
A
10
B
14
C
18
D
23
F
TABLE D Equality Grade based on Wide-
Range of Rate Ratios (0.4 to 15)
Lookup Table Lower-bound Thresholds For Black-white Unemployment
Rate Ratio
Corresponding Grades
0
*
0.1
A
1.5
B
3
C
5
D
9
F
0
*
0.1
A
1.5
B
2.5
C
3.5
D
4.5
F
TABLE E Equality Grade based on More Narrow
Range of Rate Ratios (0.5 to 3.9)
Lookup table thresholds for black-white infant mortality
rate ratio
Corresponding Grades
0
*
0.1
A
1.5
B
2
C
2.5
D
3
F
For other indicators, the rate ratios are narrower but still deeply troubling. For example, eliminating the black-white infant mortality gap in Georgia would save one more baby's life almost every day (see Table E).
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Combined Grades (Outcome and Equality)
For each major indicator, we then took the assigned outcome grade and the combined equality grade to create consolidated grades (i.e., a "B" for infant mortality as an outcome and a "C" for infant mortality black-white equality would generate a "BC" combined grade, which would be translated into a "B-") according to Table F.
Summary grades for broad categories such as socioeconomic status were assigned by combining grades for multiple variables and then assigning a combined grade reflecting essentially a grade average. Summary grades were assigned in the following categories:
n Summary Grade Socioeconomic n Summary Grade Mortality n Summary Grade Illness Events n Summary Grade Birth Outcomes n Summary Grade Primary Health Care
Access n Summary Grade Mental Health Access
Unfortunately, the only indicator we had available for the Summary Grade on Oral Health/ Dental Access was the designation of each county as a dental health professional shortage area (HPSA whole county, partial county, or non-HPSA), and so we showed this designation rather than assigning a grade.
In future years, we hope additional data sources will allow us to better reflect disparities in health behaviors, as well as disparities experienced by sub-groups within larger racial-ethnic categories. We need better documentation of disparities within larger racial ethnic categories.
These data also do not allow us to accurately reflect the heterogeneity or "within-group" diversity of each racial-ethnic group, such as diversity in language and nations of origin for communities labeled "Asian" or "Hispanic" or "black," or tribal diversity among American Indian communities.
TABLE F
Combined Grades (Outcome and Equality)
Combined Consolidated
grades
Grade
Combined Narrative
AA
A
AB
A-
AC
B
AD
B-
AF
C
BA
B+
BB
B
BC
C+
BD
C
BF
D
CA
C+
CB
C
CC
C
CD
D
CF
F
DA
C
DB
D+
DC
D
DD
D
DF
F
FA
D
FB
F
FC
F
FD
F
FF
F
Excellent Black Performance or Outcome combined with High Level of Equality Excellent Black Performance or Outcome combined with some Racial Inequality Excellent Black Performance or Outcome but Moderately Racial Inequality Excellent Black Performance or Outcome but Severe Racial Inequality Excellent Black Performance or Outcome but Very Severe Racial Inequality Better than Average Black Performance or Outcome combined with High Level of Equality Better than Average Black Performance or Outcome combined with Some Racial Inequality Better than Average Black Performance or Outcome but Moderately High Racial Inequality Better than Average Black Performance or Outcome but Severe Racial Inequality Better than Average Black Performance or Outcome but Very Severe Racial Inequality Mediocre Black Performance or Outcome despite High Level of Equality Mediocre Black Performance or Outcome combined with Some Racial Inequality Mediocre Black Performance or Outcome combined with Moderately High Racial Inequality Mediocre Black Performance or Outcome combined with Severe Racial Inequality Mediocre Black Performance or Outcome combined with Very Severe Racial Inequality Poor Black Performance or Outcome despite High Level of Equality Poor Black Performance or Outcome combined with Some Racial Inequality Poor Black Performance or Outcome made worse by Moderately High Racial Inequality Poor Black Performance or Outcome made worse by Severe Racial Inequality Poor Black Performance or Outcome made worse by Very Severe Racial Inequality Extremely Poor Black Performance or Outcome despite High Level of Equality Extremely Poor Black Performance or Outcome combined with Some Racial Inequality Extremely Poor Black Performance or Outcome made worse by Moderately High Racial Inequality Extremely Poor Black Performance or Outcome made worse by Severe Racial Inequality Extremely Poor Black Performance or Outcome made worse by Very Severe Racial Inequality
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Health Disparities Reports
Atlanta Metropolitan Statistical Area (Pages 31-96)
The Atlanta MSA includes:
n Barrow County n Bartow County n Butts County n Carroll County n Cherokee County n Clayton County n Cobb County n Coweta County n Dawson County n DeKalb County n Douglas County n Fayette County n Forsyth County n Fulton County n Gwinnett County n Hall County n Haralson County n Heard County n Henry County n Jasper County n Lamar County n Meriwether County n Newton County n Paulding County n Pickens County n Pike County n Polk County n Rockdale County n Spalding County n Troup County n Upson County n Walton County
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Georgia Health Disparities Report 2008
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Atlanta Metropolitan Statistical Areas
DADE
CATOOSA
MURRAY WHITFIELD
FANNIN
UNION
TOWNS
RABUN
WALKER
GILMER
WHITE HABERSHAM
CHATTOOGA FLOYD
GORDON BARTOW
PICKENS
LUMPKIN DAWSON
CHEROKEE
FORSYTH HALL
STEPHENS FRANKLIN
BANKS
JACKSON
MADISON
HART ELBERT
Atlanta MSA Counties
POLK HARALSON
PAULDING
COBB
GWINNETT
DEKALB
DOUGLAS Atlanta
BARROW WALTON
CLARKE OGLETHORPE
OCONEE
WILKES
LINCOLN
CARROLL HEARD
FULTON CLAYTON
ROCKDALE NEWTON
MORGAN
GREENE TALIAFERRO
COLUMBIA
FAYETTE
HENRY
COWETA
SPALDING
BUTTS
JASPER
PUTNAM
HANCOCK
WARREN MCDUFFIE
GLASCOCK
RICHMOND
TROUP
MERIWETHER
PIKE
LAMAR MONROE
JONES
BALDWIN
HARRIS
UPSON TALBOT
CRAWFORD
BIBB
WILKINSON TWIGGS
JEFFERSON WASHINGTON
JOHNSON
BURKE
JENKINS
SCREVEN
MUSCOGEE
TAYLOR
CHATAHOOCHEE MARION
SCHLEY
MACON
STEWART
WEBSTER
SUMTER
QUITMAN TERRELL LEE
RANDOLPH
CLAY
CALHOUN
DOUGHERTY
EARLY MILLER
BAKER MITCHELL
PEACH
EMANUEL
HOUSTON BLECKLEY
LAURENS
TREUTLEN
CANDLER
DOOLY
PULASKI DODGE
MONTGOMERY
WHEELER
TOOMB S
BULLOCH
EFFINGHAM
EVANS
BRYAN
CHATHAM
CRISP
WILCOX
TELFAIR
TATTNALL
TURNER
BEN HILL
JEFF DAVIS
APPLING
LIBERTY LONG
WORTH
IRWIN TIFT
COFFEE
BACON PIERCE
WAYNE
MCINTOSH
BERRIEN
ATKINSON
GLYNN
COLQUITT
COOK
WARE
BRANTLEY
SEMINOLE
DECATUR
GRADY
THOMAS
BROOKS
LANIER
CLINCH
LOWNDES
ECHOLS
CHARLTON
CAMDEN
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Barrow County Minority Health Report Card
Barrow County includes Auburn, Bethlehem, Carl, Statham and Winder.
Barrow County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
51,023
85.1%
Social and Economic Indicators
B
African American or Black
6,461
10.8%
Mortality (Deaths)
C
Hispanic or Latino
3,743
6.2%
Illness Events (Hospital Admits & Emergency Visits)
D+
Asian
1,647
<1%
Prenatal Care & Birth Outcomes
B-
American Indian
191
<1%
Other or MultiRacial
2,470
<1%
Primary Care Access
C
Physician Racial-Ethnic Diversity
D
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
5.8% 12.6%
Black-White racial inequalities in health outcomes cost Barrow County 216 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
8.3%
12.1%
14.4%
1.6
9.8%
2.4
A-
Education (adults w/ <9th grade education)
9.4%
11.8%
23.2%
1.4
8.4%
1.4
A-
Employment (adult unemployment)
4.2%
8
10.2%
2.3
4.0%
2.6
B
Mortality
YPLL-75 Rate (Life-Years Lost)
8,201.50
11,440.50
2,042.90
1.43
5,828
1.2
C
Age-Adjusted Death Rate per 100,000
1,003.8
1,392.2
617.4
1.4
989.5
1.15
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
16,992.3
32,219.5
*
1.9
15,277.8
1.65
D+
Mental Health Emergency Dept Visits
2,139.3
2,768.1
*
1.3
1,994.5
1.1
C+
Birth Outcomes
Low Birth Weight
7.6%
11.1
6.8
1.46
7%
1.9
B
Inadequate Prenatal Care
11.4%
21.1%
14
2.18
12.9%
1.6
C
Tobacco Use in Pregnancy
11.2%
3.9%
0%
0.31
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Barrow County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
50.1
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
12.6% 243 persons
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (Dental)
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area Median is 57.8 per 100,000, much lower than for white
physicians. 14.8% (median uninsured rate)
225 persons
11/32 are whole or partial county Dental HPSAs
Mental Health Access (Mental Health Professional Shortage non-HPSA (Mental 16 out of 32 are whole or partial
Area HPSA; grade also based on mental health ED visits)
Health)
county Mental Health HPSAs
County Grade
C C D B ungraded ungraded C+
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
Georgia Health Disparities Report 2008
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Bartow County Minority Health Report Card
Bartow County includes Cartersville, Emerson, Euharlee, Kingston, and White.
Bartow County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
79,095
88.6%
Social and Economic Indicators
B-
African American or Black
Hispanic or Latino
8,270 5,040
9.3% 5.6%
Asian
696
<1%
American Indian
281
<1%
Other or MultiRacial
1,864
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
D
Primary Care Access
F
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
Oral Health Care Access
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
C+
Whole County HPSA
5.5%
14.7%
Black-White racial inequalities in health outcomes cost Bartow County 270 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
35
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
8.6%
13.1%
16%
1.7
9.8%
2.4
A-
Education (adults w/ <9th grade education)
9.5%
9.2%
22.7%
1
8.4%
1.4
A+
Employment (adult unemployment)
4%
9.4
6%
2.7
4.0%
2.6
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
8,969.20
12,224.90
3,031.40
1.38
5,828
1.2
C
Age-Adjusted Death Rate per 100,000
960.5
1,119.9
*
1.2
989.5
1.15
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
24,931.5
34,866.6
*
1.4
15,277.8
1.65
C-
Mental Health Emergency Dept Visits
3,613.3
3,293.6
*
.9
1,994.5
1.1
C
Birth Outcomes
Low Birth Weight
7%
11.8
6.1
1.69
7%
1.9
B
Inadequate Prenatal Care
11%
19.4%
38.5
3.23
12.9%
1.6
F
Tobacco Use in Pregnancy
11.5%
7.7%
*
0.56
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Bartow County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
69.2
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population)
14.7%
14.8% (median uninsured rate)
Persons Living in Linguistically-Isolated Households
325 persons
225 persons
Oral Health Access (Dental Health Professional Shortage Area)
Whole County HPSA (Dental)
11/32 are whole or partial county Dental HPSAs
Mental Health Access (Mental Health Professional Shortage non-HPSA (Mental 16 out of 32 are whole or partial
Area HPSA; grade also based on mental health ED visits)
Health)
county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F
F
C C ungraded ungraded C+
Georgia Health Disparities Report 2008
36
Health Disparities Reports
Butts County Minority Health Report Card
Butts County includes Flovilla, Jackson and Jenkinsburg.
Butts County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
15,550
73.9%
Social and Economic Indicators
A
African American or Black
Hispanic or Latino
5,166 416
24.5% 2%
Asian
83
<1%
American Indian
103
<1%
Other or MultiRacial
329
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
F
Primary Care Access
F
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
2.8%
% Estimated to Have No Health Insurance
14.5%
Black-White racial inequalities in health outcomes cost Butts County 87 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
37
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
11.5%
15.5%
0%
1.5
9.8%
2.4
A-
Education (adults w/ <9th grade education)
10.1%
15.1%
4.2%
1.9
8.4%
1.4
C+
Employment (adult unemployment)
3.9%
8
14.5%
3.5
4.0%
2.6
B-
Mortality
YPLL-75 Rate (Life-Years Lost)
9,068.30
10,277.70
*
1.18
5828
1.2
C
Age-Adjusted Death Rate per 100,000
947.2
1,334.1
*
1.4
989.5
1.15
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,942
30,780.1
*
2.2
15,277.8
1.65
C-
Mental Health Emergency Dept Visits
2,082.8
2,978.7
*
1.4
1,994.5
1.1
C
Birth Outcomes
Low Birth Weight
9.3%
18.8
*
2.02
7%
1.9
F
Inadequate Prenatal Care
13.1%
9.1%
56
0.69
12.9%
1.6
F
Tobacco Use in Pregnancy
23.5%
9.1%
0%
0.37
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Butts County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
No
53.7
14.5% 26 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area Median is 57.8 per 100,000, much lower than for white
physicians.
14.8% (median uninsured rate)
225 persons
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F
F
D C ungraded ungraded C-
Georgia Health Disparities Report 2008
38
Health Disparities Reports
Carroll County Minority Health Report Card
Carroll County includes Bowdon, Carrollton, Mount Zion, Roopville, Temple, Villa Rica and Whitesburg.
Carroll County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
85,750
81.3%
Social and Economic Indicators
C
African American or Black
Hispanic or Latino
17,558 4,191
16.7% 4%
Asian
843
<1%
American Indian
304
<1%
Other or MultiRacial
2,145
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C
Primary Care Access
A
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.8% 15%
Black-White racial inequalities in health outcomes cost Carroll County 159 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
39
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
13.7%
27%
19.9%
2.5
9.8%
2.4
C
Education (adults w/ <9th grade education)
10.1%
14.5%
30.1%
1.6
8.4%
1.4
C+
Employment (adult unemployment)
4.8%
10.7
6.5%
2.8
4.0%
2.6
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
9,180.50
10,100.90
3,954.40
1.10
5,828
1.2
C
Age-Adjusted Death Rate per 100,000
1,076.4
950.6
0
0.8
989.5
1.15
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
22,261.8
39,801.8
*
1.8
15,277.8
1.65
F
Mental Health Emergency Dept Visits
2,408.5
2,229.6
*
.9
1,994.5
1.1
B+
Birth Outcomes
Low Birth Weight
6.8%
11.8
5.2
1.74
7%
1.9
B
Inadequate Prenatal Care
5.6%
13.5%
*
3.46
12.9%
1.6
D
Tobacco Use in Pregnancy
19.8%
7.9%
0%
0.35
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Carroll County
Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
72.0
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15%
14.8% (median uninsured rate)
401 persons
225 persons
non-HPSA (Dental)
11/32 are whole or partial county Dental HPSAs
Whole County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
A A
C C ungraded ungraded C
Georgia Health Disparities Report 2008
40
Health Disparities Reports
Cherokee County Minority Health Report Card
Cherokee County includes Ball Ground, Canton, Holly Springs, Waleska, and Woodstock.
Cherokee County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
169,354
91.9%
Social and Economic Indicators
B
African American or Black
Hispanic or Latino
9,001 14,714
4.9% 8%
Asian
2,819
<1%
American Indian
707
<1%
Other or MultiRacial
5,856
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
A
Illness Events (Hospital Admits & Emergency Visits)
B
Prenatal Care & Birth Outcomes
D
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
8%
% Estimated to Have No Health Insurance
13%
Black-White racial inequalities in health outcomes cost Cherokee County 8 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
41
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
5.3%
10.2%
13.2%
2.1
9.8%
2.4
B
Education (adults w/ <9th grade education)
5.8%
6.3%
35.1%
1.3
8.4%
1.4
A+
Employment (adult unemployment)
2.7%
6.9
4.3%
2.8
4.0%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
5,812.70
5,873.30
4,275.10
0.99
5,828
1.2
A
Age-Adjusted Death Rate per 100,000
1,024.9
988.8
*
0.9
989.5
1.15
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
10,822.2
17,061.9
*
1.6
15,277.8
1.65
B
Mental Health Emergency Dept Visits
1,557
1,600.2
*
1.0
1,994.5
1.1
B+
Birth Outcomes
Low Birth Weight
7%
14.2
6.2
2.03
7%
1.9
C
Inadequate Prenatal Care
23.1%
23.7%
34.6
1.07
12.9%
1.6
F
Tobacco Use in Pregnancy
10.2%
6.5%
0%
0.46
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Cherokee County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
75.1
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
13%
14.8% (median uninsured rate)
894 persons
225 persons
non-HPSA (Dental)
11/32 are whole or partial county Dental HPSAs
Whole County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C
C B ungraded ungraded C
Georgia Health Disparities Report 2008
42
Health Disparities Reports
Clayton County Minority Health Report Card
Clayton County includes Forest Park, Jonesboro, Lake City, Lovejoy, Morrow and Riverdale.
Clayton County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
82,790
30.9%
Social and Economic Indicators
B-
African American or Black
Hispanic or Latino
166,439 28, 411
62.1% 10.6%
Asian
13,493
0.1%
American Indian
872
<1%
Other or MultiRacial
18,737
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B+
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
C+
Primary Care Access
A
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
B
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
14.9% 17.5%
Black-White racial inequalities in health outcomes cost Clayton County 3,861 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
43
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
10.1%
10.4%
19.1%
1.3
9.8%
2.4
A
Education (adults w/ <9th grade education)
6.4%
2.2%
40.6%
0.3
8.4%
1.4
A+
Employment (adult unemployment)
5.5%
6.6
6.3%
1.6
4.0%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
8,238.80
7,876.50
4,211.90
0.77
5,828
1.2
B+
Age-Adjusted Death Rate per 100,000
980.5
1,107
*
1.2
989.5
1.15
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,316
19,452.3
*
1.5
15,277.8
1.65
B-
Mental Health Emergency Dept Visits
1,989.5
1,566.5
*
.8
1,994.5
1.1
B+
Birth Outcomes
Low Birth Weight
6.6%
13.1
5.7
1.98
7%
1.9
C
Inadequate Prenatal Care
12.5%
15%
13
1.33
12.9%
1.6
B-
Tobacco Use in Pregnancy
14.6%
10.1%
0%
0.58
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Clayton County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
54.7
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
17.5%
3,135 persons
non-HPSA (Dental) non-HPSA (Mental
Health)
14.8% (median uninsured rate)
225 persons
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
A A
D D ungraded ungraded B
Georgia Health Disparities Report 2008
44
Health Disparities Reports
Cobb County Minority Health Report Card
Cobb County includes Acworth, Austell, Kennesaw, Mableton, Marietta, Powder Springs and Smyrna.
Cobb County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
477,300
71.9%
Social and Economic Indicators
B-
African American or Black
Hispanic or Latino
149,159 69,274
22.5% 10.4%
Asian
25,916
<1%
American Indian
2,012
<1%
Other or MultiRacial
37,359
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C+
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
D
Primary Care Access
B
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
B-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
14.7% 15.3%
Black-White racial inequalities in health outcomes cost Cobb County 2,520 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
45
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
6.5%
9.5%
17.7%
1.9
9.8%
2.4
A-
Education (adults w/ <9th grade education)
3.9%
2.5%
25%
0.9
8.4%
1.4
A+
Employment (adult unemployment)
3.8%
6.4
6.2%
2.3
4.0%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
5,598.70
7,085.00
3,680.80
1.32
5,828
1.2
C+
Age-Adjusted Death Rate per 100,000
946.4
1,037.8
*
1.1
989.5
1.15
C+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
7,887.2
20,280.5
*
2.6
15,277.8
1.65
D
Mental Health Emergency Dept Visits
1,304.4
2,014.1
*
1.5
1,994.5
1.1
B-
Birth Outcomes
Low Birth Weight
6.5%
11.7
6
1.80
7%
1.9
B
Inadequate Prenatal Care
20.7%
26.2%
29.5
1.4
12.9%
1.6
F
Tobacco Use in Pregnancy
12.2%
7.7%
0%
0.57
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Cobb County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Partial-County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
74.0
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15.3%
14.8% (median uninsured rate)
7,726 persons
225 persons
non-HPSA (Dental)
11/32 are whole or partial county Dental HPSAs
Partial-County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B
C C ungraded ungraded B-
Georgia Health Disparities Report 2008
46
Health Disparities Reports
Coweta County Minority Health Report Card
Coweta County includes Grantville, Haralson, Moreland, Newnan, Senoia, Sharpsburg and Turin.
Coweta County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
88,695
80.7%
Social and Economic Indicators
B-
African American or Black
18,953
17.2%
Mortality (Deaths)
C+
Hispanic or Latino
5,603
5.1%
Illness Events (Hospital Admits & Emergency Visits)
D
Asian
1,055
<1%
Prenatal Care & Birth Outcomes
D
American Indian
233
<1%
Other or MultiRacial
2,255
<1%
Primary Care Access
B
Physician Racial-Ethnic Diversity
D
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
C-
Oral Health Care Access
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
non-HPSA 5.6% 11.5%
Black-White racial inequalities in health outcomes cost Coweta County 526 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
47
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
7.8%
20.3%
20.3%
4.3
9.8%
2.4
C
Education (adults w/ <9th grade education)
6.2%
12.2%
32.3%
2.8
8.4%
1.4
B
Employment (adult unemployment)
3.9%
9.4
2.2%
3.2
4.0%
2.6
B-
Mortality
YPLL-75 Rate (Life-Years Lost)
7,468.20
9,950.70
5,149.20
1.40
5,828
1.2
C+
Age-Adjusted Death Rate per 100,000
1,013.4
1,138.6
284.2
1.2
989.5
1.15
C+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
11,885
31,459.8
*
2.6
15,277.8
1.65
D
Mental Health Emergency Dept Visits
1,621.9
2,557.8
*
1.6
1,994.5
1.1
C
Birth Outcomes
Low Birth Weight
6.4%
11.4
3.6
1.78
7%
1.9
B
Inadequate Prenatal Care
25.3%
17.4%
65.3
0.6
12.9%
1.6
F
Tobacco Use in Pregnancy
10.3%
6.3%
*
0.52
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Coweta County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
43.6
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
11.5%
14.8% (median uninsured rate)
328 persons
225 persons
non-HPSA (Dental)
11/32 are whole or partial county Dental HPSAs
Whole County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B
D A ungraded ungraded C-
Georgia Health Disparities Report 2008
48
Health Disparities Reports
Dawson County Minority Health Report Card
Dawson County includes Dawsonville.
Dawson County's Racial-Ethnic Diversity
Health Report Card
Race
White African American or Black Hispanic or Latino
Number of Persons 19,297
135
543
Percentage of Population 97.8%
0.7%
2.8%
Asian
98
<1%
American Indian
47
<1%
Other or MultiRacial
299
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
Minority Health Outcome Category County Grade
Social and Economic Indicators
C
Mortality (Deaths)
*
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
D+
Primary Care Access
A
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
Oral Health Care Access
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
* Whole County
HPSA 3.3%
12%
*Insufficient Data are available to calculate YPPL rates.
What do the Grades Mean?
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Action Steps:
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
49
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
7.6%
0%
10.3%
0
9.8%
2.4
*
Education (adults w/ <9th grade education)
6%
0%
0%
0
8.4%
1.4
*
Employment (adult unemployment)
3.4%
0
0%
0
4.0%
2.6
*
Mortality
YPLL-75 Rate (Life-Years Lost)
7,808.70
*
*
*
5,828
1.2
*
Age-Adjusted Death Rate per 100,000
846
979
*
1.1
989.5
1.15
*
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
12,494.6
8247.4
*
0.7
15,277.8
1.65
A
Mental Health Emergency Dept Visits
1,596.3
0
*
.0
1,994.5
1.1
*
Birth Outcomes
Low Birth Weight
9%
0
*
0.00
7%
1.9
*
Inadequate Prenatal Care
14.6%
24.1%
21.7
1.91
12.9%
1.6
D+
Tobacco Use in Pregnancy
8.4%
*
*
*
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Dawson County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
147.6
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
12%
14.8% (median uninsured rate)
46 persons
225 persons
Whole County HPSA 11/32 are whole or partial
(Dental)
county Dental HPSAs
non-HPSA (Mental 16 out of 32 are whole or partial
Health)
county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
A A
B B ungraded ungraded *
Georgia Health Disparities Report 2008
50
Health Disparities Reports
DeKalb County Minority Health Report Card
DeKalb County includes Avondale Estates, Chamblee, Clarkston, Decatur, Doraville, Lithonia, Pine Lake and Stone Mountain.
DeKalb County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
263,526
38.9%
Social and Economic Indicators
B-
African American or Black
377,038
55.6%
Mortality (Deaths)
C+
Hispanic or Latino
61,327
9%
Asian
26,983
<1%
American Indian
1,822
<1%
Other or MultiRacial
37,395
<1%
Populations are estimated based on the 2005 Census data
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
D
Primary Care Access
B
Physician Racial-Ethnic Diversity
C
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
A-
Oral Health Care Access
PartialCounty HPSA
% Speaking non-English Language at Home
17.4%
% Estimated to Have No Health Insurance
16.4%
Black-White racial inequalities in health outcomes cost DeKalb County 13,847 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
51
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
10.8%
11.8%
20.9%
1.6
9.8%
2.4
A-
Education (adults w/ <9th grade education)
5.6%
3.9%
38%
0.9
8.4%
1.4
A+
Employment (adult unemployment)
5.5%
7.4
6%
2.6
4.0%
2.6
B
Mortality
YPLL-75 Rate (Life-Years Lost)
7,759.40
9,537.30
3,845.70
1.62
5,828
1.2
C
Age-Adjusted Death Rate per 100,000
991
959.6
*
1
989.5
1.15
C+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
6,662.3
19,024.6
*
2.9
15,277.8
1.65
D
Mental Health Emergency Dept Visits
986.7
1,311.7
*
1.3
1,994.5
1.1
A-
Birth Outcomes
Low Birth Weight
6.5%
13
6.4
2.00
7%
1.9
C
Inadequate Prenatal Care
10.1%
23.9%
*
2.91
12.9%
1.6
F
Tobacco Use in Pregnancy
23.4%
*
0%
*
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
DeKalb County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Partial-County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
91.4
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
16.4%
14.8% (median uninsured rate)
12,673 persons
225 persons
Partial-County HPSA 11/32 are whole or partial
(Dental)
county Dental HPSAs
non-HPSA (Mental 16 out of 32 are whole or partial
Health)
county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B
C C ungraded ungraded A-
Georgia Health Disparities Report 2008
52
Health Disparities Reports
Douglas County Minority Health Report Card
Douglas County includes Douglasville.
Douglas County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
73,549
65.2%
Social and Economic Indicators
B
African American or Black
35,636
31.6%
Mortality (Deaths)
B+
Hispanic or Latino
5,496
4.9%
Illness Events (Hospital Admits & Emergency Visits)
B
Asian
1,500
<1%
Prenatal Care & Birth Outcomes
B+
American Indian
412
<1%
Other or MultiRacial
3,575
<1%
Primary Care Access
F
Physician Racial-Ethnic Diversity
C
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
Mental Health Care Access
B
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
6.2% 12.8%
Black-White racial inequalities in health outcomes cost Douglas County 262 excess years of potential life lost due to premature deaths.
What do the Grades Mean?
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
53
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
7.8%
11.6%
14.5%
1.8
9.8%
2.4
A-
Education (adults w/ <9th grade education)
5.5%
3.4%
23.2%
0.6
8.4%
1.4
A+
Employment (adult unemployment)
3.8%
6.8
3.6%
2.1
4.0%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
8,025.90
7,672.10
2,869.50
0.91
5,828
1.2
B+
Age-Adjusted Death Rate per 100,000
1,042.3
1,172.3
*
1.3
989.5
1.15
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
16,905
21,187.2
*
1.3
15,277.8
1.65
B
Mental Health Emergency Dept Visits
2,142
1,734.2
*
.8
1,994.5
1.1
B+
Birth Outcomes
Low Birth Weight
7.3%
11.4
6.2
1.56
7%
1.9
B
Inadequate Prenatal Care
6%
6.5%
*
1.27
12.9%
1.6
A-
Tobacco Use in Pregnancy
5.6%
2.5%
0%
0.23
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Douglas County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
69.4
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
12.8%
347 persons
non-HPSA (Dental) non-HPSA (Mental
Health)
14.8% (median uninsured rate)
225 persons
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F
C B ungraded ungraded B
Georgia Health Disparities Report 2008
54
Health Disparities Reports
Fayette County Minority Health Report Card
Fayette County includes Brooks, Fayetteville, Peachtree City, Tyrone and Woolsey.
Fayette County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
81,697
78.4%
Social and Economic Indicators
A
African American or Black
17,742
17%
Mortality (Deaths)
A
Hispanic or Latino
3,816
3.7%
Asian
3,361
<1%
American Indian
210
<1%
Other or MultiRacial
4,809
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
B
Prenatal Care & Birth Outcomes
D
Primary Care Access
B
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
B-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
7% 11.3%
Black-White racial inequalities in health outcomes cost Fayette County 94 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
55
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
2.6%
4.2%
4.2%
1.7
9.8%
2.4
A-
Education (adults w/ <9th grade education)
2.2%
2.6%
11.3%
1.2
8.4%
1.4
A+
Employment (adult unemployment)
2.6%
3.4
2.6%
1.4
4.0%
2.6
A+
Mortality
YPLL-75 Rate (Life-Years Lost)
5,021.70
4,678.30
3,276.20
0.90
5,828
1.2
A
Age-Adjusted Death Rate per 100,000
899.2
744.5
*
0.8
989.5
1.15
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
8,620.2
13,419.5
*
1.6
15,277.8
1.65
B
Mental Health Emergency Dept Visits
1,022.4
1,227.6
*
1.2
1,994.5
1.1
A-
Birth Outcomes
Low Birth Weight
5.2%
11
3.3
2.12
7%
1.9
B-
Inadequate Prenatal Care
16.3%
24.2%
26.8
1.83
12.9%
1.6
F
Tobacco Use in Pregnancy
21.1%
9.7%
*
0.38
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Fayette County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
142.0
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
11.3%
14.8% (median uninsured rate)
402 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
225 persons
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B B A ungraded ungraded B-
Georgia Health Disparities Report 2008
56
Health Disparities Reports
Forsyth County Minority Health Report Card
Forsyth County includes Cumming.
Forsyth County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
131,259
93.5%
Social and Economic Indicators
F
African American or Black
3,140
2.2%
Mortality (Deaths)
A
Hispanic or Latino
10,640
7.6%
Asian
4,144
<1%
American Indian
402
<1%
Other or MultiRacial
5,994
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
C
Primary Care Access
A
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
A-
Oral Health Care Access
PartialCounty HPSA
% Speaking non-English Language at Home
8.6%
% Estimated to Have No Health Insurance
11.8%
Black-White racial inequalities in health outcomes cost Forsyth County 76 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
57
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
5.5%
37.3%
22.9%
7.9
9.8%
2.4
F
Education (adults w/ <9th grade education)
5.6%
38.6%
38.1%
8.2
8.4%
1.4
F
Employment (adult unemployment)
2.1%
4.2
3.3%
2.1
4.0%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
4,961.70
2,856.80
3,092.80
0.55
5,828
1.2
A
Age-Adjusted Death Rate per 100,000
1,119.9
1,325.4
*
1.3
989.5
1.15
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
8,984.9
8,114.2
*
0.9
15,277.8
1.65
A
Mental Health Emergency Dept Visits
1,291.2
895.4
*
.7
1,994.5
1.1
A
Birth Outcomes
Low Birth Weight
6.9%
11.5
6.8
1.67
7%
1.9
B
Inadequate Prenatal Care
14%
21.3%
17.9
2.88
12.9%
1.6
D
Tobacco Use in Pregnancy
12.8%
7.6%
*
0.43
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Forsyth County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
136.4
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
11.8%
14.8% (median uninsured rate)
610 persons
225 persons
Partial-County HPSA 11/32 are whole or partial
(Dental)
county Dental HPSAs
non-HPSA (Mental 16 out of 32 are whole or partial
Health)
county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
A A
B A ungraded ungraded A-
Georgia Health Disparities Report 2008
58
Health Disparities Reports
Fulton County Minority Health Report Card
Fulton County includes Alpharetta, Atlanta, College Park, East Point, Fairburn, Hapeville, Johns Creek, Milton, Mountain Park, Palmetto, Roswell and Union City.
Fulton County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
472,593
51.6%
Social and Economic Indicators
C
African American or Black
392,723
42.9%
Mortality (Deaths)
F
Hispanic or Latino
67,345
7.4%
Asian
37,465
<1%
American Indian
2,237
<1%
Other or MultiRacial
50,307
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
D
Primary Care Access
B
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
C
Oral Health Care Access
PartialCounty HPSA
% Speaking non-English Language at Home
13.3%
% Estimated to Have No Health Insurance
15.5%
Black-White racial inequalities in health outcomes cost Fulton County 28,022 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
59
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate in
County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.7%
26.5%
20.5%
4.6
9.8%
2.4
D
Education (adults w/ <9th grade education)
5.1%
6.8%
26.6%
2.5
8.4%
1.4
A
Employment (adult unemployment)
8.9%
13.1
7.4%
2.4
4.0%
2.6
F
Mortality
YPLL-75 Rate (Life-Years Lost)
7,716.90
12,157.70
3,237.00
2.61
5,828
1.2
F
Age-Adjusted Death Rate per 100,000
1,076.2
1,171.8
0
1.2
989.5
1.15
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
5,901.6
29,390.5
*
5
15,277.8
1.65
D
Mental Health Emergency Dept Visits
960.4
2,212.8
*
2.3
1,994.5
1.1
C
Birth Outcomes
Low Birth Weight
7%
14.6
6
2.09
7%
1.9
D+
Inadequate Prenatal Care
15.2%
20.9%
23.5
2.61
12.9%
1.6
D
Tobacco Use in Pregnancy
7.3%
5.5%
0%
0.57
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Fulton County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Partial-County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
157.6
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15.5%
14.8% (median uninsured rate)
9,910 persons
225 persons
Partial-County HPSA 11/32 are whole or partial
(Dental)
county Dental HPSAs
Partial-County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B
B C ungraded ungraded C
Georgia Health Disparities Report 2008
60
Health Disparities Reports
Gwinnett County Minority Health Report Card
Gwinnett County includes Berkeley Lake, Buford, Dacula, Duluth, Grayson, Lawrenceville, Lilburn, Loganville, Norcross, Snellville, Sugar Hill and Suwanee.
Gwinnett County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
505,007
69.5%
Social and Economic Indicators
B-
African American or Black
140,179
19.3%
Mortality (Deaths)
A-
Hispanic or Latino
117,018
16.1%
Asian
66,268
0.1%
American Indian
3,073
<1%
Other or MultiRacial
81,087
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
C
Primary Care Access
A
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
B
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
21.2% 15.1%
Black-White racial inequalities in health outcomes cost Gwinnett County 1,015 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
61
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
5.7%
8.1%
17.2%
1.9
9.8%
2.4
A-
Education (adults w/ <9th grade education)
4.6%
2%
26.6%
0.6
8.4%
1.4
A+
Employment (adult unemployment)
3.3%
5.3
5.4%
2.2
4.0%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
5,350.90
6,223.80
3,846.60
1.13
5,828
1.2
A-
Age-Adjusted Death Rate per 100,000
1,224.7
1,201.2
*
1
989.5
1.15
A-
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
7,430.3
15,483
*
2.1
15,277.8
1.65
B-
Mental Health Emergency Dept Visits
1,241.4
1,492.6
*
1.2
1,994.5
1.1
B
Birth Outcomes
Low Birth Weight
6.2%
12.1
6
1.95
7%
1.9
B-
Inadequate Prenatal Care
11.1%
17.3%
20
1.9
12.9%
1.6
D+
Tobacco Use in Pregnancy
10.2%
6.2%
0%
0.53
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Gwinnett County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
62.2
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15.1%
14.8% (median uninsured rate)
11,450 persons
225 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
A A
C C ungraded ungraded B
Georgia Health Disparities Report 2008
62
Health Disparities Reports
Hall County Minority Health Report Card
Hall County includes Clermont, Flowery Branch, Gainesville, Lula and Oakwood.
Hall County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
149,398
90.1%
Social and Economic Indicators
D
African American or Black
11,615
7%
Mortality (Deaths)
F
Hispanic or Latino
41,360
25%
Asian
2,438
0.1%
American Indian
618
<1%
Other or MultiRacial
4,758
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
D+
Primary Care Access
B
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
20.7% 16.4%
Black-White racial inequalities in health outcomes cost Hall County 852 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
63
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
12.4%
21.6%
27.6%
2.2
9.8%
2.4
B-
Education (adults w/ <9th grade education)
13.9%
10.9%
54.4%
1
8.4%
1.4
A-
Employment (adult unemployment)
3.8%
8.9
5.9%
2.9
4.0%
2.6
B
Mortality
YPLL-75 Rate (Life-Years Lost)
6,963.40
14,060.50
2,917.40
2.16
5,828
1.2
F
Age-Adjusted Death Rate per 100,000
758.6
802
*
1
989.5
1.15
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,685
42,959.8
*
2.4
15,277.8
1.65
F
Mental Health Emergency Dept Visits
2,000.4
3,200.1
*
1.6
1,994.5
1.1
C
Birth Outcomes
Low Birth Weight
5.8%
15.5
4.8
2.67
7%
1.9
D
Inadequate Prenatal Care
14.4%
22.4%
19.8
1.64
12.9%
1.6
C-
Tobacco Use in Pregnancy
6.3%
0%
0%
0
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Hall County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Partial-County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
35.1
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
16.4%
3,094 persons
non-HPSA (Dental) non-HPSA (Mental
Health)
14.8% (median uninsured rate)
225 persons
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B
D C ungraded ungraded C+
Georgia Health Disparities Report 2008
64
Health Disparities Reports
Haralson County Minority Health Report Card
Haralson County includes Bremen, Buchanan, Tallapoosa and Waco.
Haralson County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
26,482
93.5%
Social and Economic Indicators
D
African American or Black
1,548
5.5%
Mortality (Deaths)
C
Hispanic or Latino
292
1%
Asian
106
0.1%
American Indian
28
<1%
Other or MultiRacial
308
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
B
Primary Care Access
D
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
2.1%
% Estimated to Have No Health Insurance
14.8%
Black-White racial inequalities in health outcomes cost Haralson County 9 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
65
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.5%
25.6%
28%
1.8
9.8%
2.4
B
Education (adults w/ <9th grade education)
13.7%
21.6%
0%
1.6
8.4%
1.4
F
Employment (adult unemployment)
4.1%
11.3
0%
3.1
4.0%
2.6
C
Mortality
YPLL-75 Rate (Life-Years Lost)
10,917.00
10,489.20
*
0.95
5,828
1.2
C+
Age-Adjusted Death Rate per 100,000
987.9
1,218.3
*
1.4
989.5
1.15
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
29,926.9
40,252.2
*
1.3
15,277.8
1.65
F
Mental Health Emergency Dept Visits
4,131.8
4,849.7
*
1.2
1,994.5
1.1
F
Birth Outcomes
Low Birth Weight
7.9%
11.2
*
1.42
7%
1.9
B
Inadequate Prenatal Care
10%
12.6%
12
1.59
12.9%
1.6
B
Tobacco Use in Pregnancy
12.8%
8.7%
*
0.55
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Haralson County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
60.9
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
14.8%
14.8% (median uninsured rate)
27 persons
225 persons
Whole County HPSA 11/32 are whole or partial
(Dental)
county Dental HPSAs
non-HPSA (Mental 16 out of 32 are whole or partial
Health)
county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D
C C ungraded ungraded F
Georgia Health Disparities Report 2008
66
Health Disparities Reports
Heard County Minority Health Report Card
Heard County includes Centralhatchee, Ephesus and Franklin.
Heard County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
10,094
89%
Social and Economic Indicators
D
African American or Black
1,170
10.3%
Mortality (Deaths)
C
Hispanic or Latino
156
Asian
15
1.4% 0.1%
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
F
American Indian
26
Other or MultiRacial
82
<1%
Primary Care Access
C
<1%
Physician Racial-Ethnic Diversity
*
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
F
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.3% 15.5%
Black-White racial inequalities in health outcomes cost Heard County 8 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
67
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
13.6%
23.3%
50%
2
9.8%
2.4
B-
Education (adults w/ <9th grade education)
12.5%
24.7%
5.7%
2.2
8.4%
1.4
F
Employment (adult unemployment)
5.7%
11.6
12%
2.4
4.0%
2.6
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
11,209.70
11,834.10
*
1.07
5,828
1.2
C
Age-Adjusted Death Rate per 100,000
934.8
1,069.5
0
1.2
989.5
1.15
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
21,062.3
30,295.6
*
1.4
15,277.8
1.65
C
Mental Health Emergency Dept Visits
2,053.8
4,187.2
*
2.0
1,994.5
1.1
F
Birth Outcomes
Low Birth Weight
9.8%
23.7
0
2.42
7%
1.9
F
Inadequate Prenatal Care
7.6%
9.1%
*
1.21
12.9%
1.6
A
Tobacco Use in Pregnancy
15.6%
*
0%
*
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Heard County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15.5%
14.8% (median uninsured rate)
13 persons
225 persons
non-HPSA (Dental)
11/32 are whole or partial county Dental HPSAs
Whole County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C
* C ungraded ungraded F
Georgia Health Disparities Report 2008
68
Health Disparities Reports
Henry County Minority Health Report Card
Henry County includes Hampton, Locust Grove, McDonough and Stockbridge.
Henry County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
114,918
68.5%
Social and Economic Indicators
A
African American or Black
45,672
27.2%
Mortality (Deaths)
A
Hispanic or Latino
6,733
4%
Asian
4,478
<1%
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
C
American Indian
494
<1%
Other or MultiRacial
7,258
<1%
Primary Care Access
B
Physician Racial-Ethnic Diversity
C
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
B-
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
5.6%
% Estimated to Have No Health Insurance
10.9%
Black-White racial inequalities in health outcomes cost Henry County 7 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
69
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
4.9%
9.9%
1.3%
2.4
9.8%
2.4
B
Education (adults w/ <9th grade education)
4.1%
6.2%
6.7%
1.7
8.4%
1.4
A
Employment (adult unemployment)
2.7%
4.9
3.5%
2.1
4.0%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
6,734.70
6,907.30
4,757.20
1.00
5,828
1.2
A
Age-Adjusted Death Rate per 100,000
1,066.4
1,208.9
0
1.2
989.5
1.15
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
6,478.8
5,819.5
*
0.9
15,277.8
1.65
A
Mental Health Emergency Dept Visits
909.6
611.4
*
.7
1,994.5
1.1
A
Birth Outcomes
Low Birth Weight
6.4%
12
6.9
1.88
7%
1.9
B-
Inadequate Prenatal Care
13.8%
21.2%
*
2.06
12.9%
1.6
D+
Tobacco Use in Pregnancy
14.9%
*
0%
*
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Henry County
Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
79.3
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
10.9%
14.8% (median uninsured rate)
206 persons
225 persons
Whole County HPSA 11/32 are whole or partial
(Dental)
county Dental HPSAs
Whole County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B
C A ungraded ungraded B-
Georgia Health Disparities Report 2008
70
Health Disparities Reports
Jasper County Minority Health Report Card
Jasper County includes Monticello and Shady Dale.
Jasper County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
10,075
76.6%
Social and Economic Indicators
D
African American or Black
2,984
22.7%
Mortality (Deaths)
B
Hispanic or Latino
359
2.7%
Asian
18
<1%
American Indian
16
<1%
Other or MultiRacial
88
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
C
Primary Care Access
F
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
B
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.4% 14.8%
Black-White racial inequalities in health outcomes cost Jasper County 52 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
71
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
14.2%
29.5%
29.3%
3.6
9.8%
2.4
D
Education (adults w/ <9th grade education)
9.1%
16.1%
8.9%
2.4
8.4%
1.4
C+
Employment (adult unemployment)
4.7%
7.7
0%
2
4.0%
2.6
B
Mortality
YPLL-75 Rate (Life-Years Lost)
8,021.90
9,473.40
*
1.23
5,828
1.2
B
Age-Adjusted Death Rate per 100,000
1,114.6
1,154.4
*
1.1
989.5
1.15
B
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,712.1
29,473.7
*
1.7
15,277.8
1.65
C
Mental Health Emergency Dept Visits
1,638.2
1,804.5
*
1.1
1,994.5
1.1
B
Birth Outcomes
Low Birth Weight
7.1%
11.3
*
1.59
7%
1.9
B
Inadequate Prenatal Care
12.3%
14.5%
*
*
12.9%
1.6
D
Tobacco Use in Pregnancy
8.6%
5.6%
0%
0.3
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Jasper County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
29.9
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
14.8%
14.8% (median uninsured rate)
30 persons
225 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F
F C ungraded ungraded B
Georgia Health Disparities Report 2008
72
Health Disparities Reports
Lamar County Minority Health Report Card
Lamar County includes Aldora, Barnesville and Milner.
Lamar County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
11,534
70.4%
Social and Economic Indicators
B-
African American or Black
4,649
28.4%
Mortality (Deaths)
D
Hispanic or Latino
225
1.4%
Asian
85
<1%
American Indian
29
<1%
Other or MultiRacial
195
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
D
Primary Care Access
C
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
2.8%
% Estimated to Have No Health Insurance
15.7%
Black-White racial inequalities in health outcomes cost Lamar County 128 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
73
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
11.2%
23.1%
11%
3.7
9.8%
2.4
D
Education (adults w/ <9th grade education)
9.3%
11.3%
26.9%
1.3
8.4%
1.4
A-
Employment (adult unemployment)
5.5%
10.7
14.3%
3.2
4.0%
2.6
C
Mortality
YPLL-75 Rate (Life-Years Lost)
12,420.30
14,486.70
0
1.25
5,828
1.2
D+
Age-Adjusted Death Rate per 100,000
1,000
1,232.6
*
1.5
989.5
1.15
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
16,085.9
25,255.3
*
1.6
15,277.8
1.65
B-
Mental Health Emergency Dept Visits
1,713
2,537.9
*
1.5
1,994.5
1.1
C
Birth Outcomes
Low Birth Weight
9.2%
12.8
*
1.39
7%
1.9
C+
Inadequate Prenatal Care
15.1%
16.9%
31.8
1.35
12.9%
1.6
F
Tobacco Use in Pregnancy
8.5%
5.4%
*
0.4
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Lamar County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
20.5
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15.7%
14.8% (median uninsured rate)
23 persons
225 persons
Whole County HPSA 11/32 are whole or partial
(Dental)
county Dental HPSAs
Whole County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C
F C ungraded ungraded C-
Georgia Health Disparities Report 2008
74
Health Disparities Reports
Meriwether County Minority Health Report Card
Meriwether County includes Gay, Greenville, Lone Oak, Luthersville, Manchester, Warm Springs and Woodbury.
Meriwether County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
13,276
57.9%
Social and Economic Indicators
B-
African American or Black
9,399
41%
Mortality (Deaths)
D
Hispanic or Latino
308
1.3%
Asian
51
<1%
American Indian
83
<1%
Other or MultiRacial
244
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
C+
Primary Care Access
F
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.2% 17.3%
Black-White racial inequalities in health outcomes cost Meriwether County 410 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
75
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
17.8%
27.5%
11.8%
2.7
9.8%
2.4
C
Education (adults w/ <9th grade education)
12%
18.3%
40.4%
2.3
8.4%
1.4
C-
Employment (adult unemployment)
7%
11.9
0%
3
4.0%
2.6
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
12,302.80
15,072.70
0
1.44
5,828
1.2
D
Age-Adjusted Death Rate per 100,000
1,082.6
1,136.3
0
1.1
989.5
1.15
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
16,946.4
27,144.9
*
1.6
15,277.8
1.65
C
Mental Health Emergency Dept Visits
1,941.4
1,933.2
*
1.0
1,994.5
1.1
B+
Birth Outcomes
Low Birth Weight
7.1%
13
*
1.83
7%
1.9
C
Inadequate Prenatal Care
12%
12.5%
*
1.1
12.9%
1.6
B+
Tobacco Use in Pregnancy
6.9%
3.3%
0%
0.19
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Meriwether County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
20.6
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
17.3%
14.8% (median uninsured rate)
18 persons
225 persons
non-HPSA (Dental)
11/32 are whole or partial county Dental HPSAs
Whole County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F
F D ungraded ungraded C
Georgia Health Disparities Report 2008
76
Health Disparities Reports
Newton County Minority Health Report Card
Newton County includes Covington, Mansfield, Newborn, Oxford and Porterdale.
Newton County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
56,982
65.7%
Social and Economic Indicators
A
African American or Black
27,770
32%
Mortality (Deaths)
B
Hispanic or Latino
2,737
3.2%
Asian
1,018
<1%
American Indian
196
<1%
Other or MultiRacial
1,961
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
B-
Primary Care Access
B
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
B
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.9% 12.7%
Black-White racial inequalities in health outcomes cost Newton County 375 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
77
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
10%
20.4%
3.4%
3
9.8%
2.4
C
Education (adults w/ <9th grade education)
7.6%
14.3%
17.3%
2.4
8.4%
1.4
C+
Employment (adult unemployment)
5.2%
12.3
7.2%
3.6
4.0%
2.6
D+
Mortality
YPLL-75 Rate (Life-Years Lost)
8,616.20
9,678.00
3,680.20
1.17
5,828
1.2
B
Age-Adjusted Death Rate per 100,000
906.5
949.3
0
1.1
989.5
1.15
B
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
15,843.1
27,242.1
*
1.7
15,277.8
1.65
C
Mental Health Emergency Dept Visits
2,094.7
2,249.9
*
1.1
1,994.5
1.1
B
Birth Outcomes
Low Birth Weight
7%
13.3
5.3
1.90
7%
1.9
C
Inadequate Prenatal Care
7.5%
8.7%
*
1.38
12.9%
1.6
A-
Tobacco Use in Pregnancy
13.4%
2.3%
0%
0.1
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Newton County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
27.3
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
12.7%
14.8% (median uninsured rate)
140 persons
225 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B
F B ungraded ungraded B
Georgia Health Disparities Report 2008
78
Health Disparities Reports
Paulding County Minority Health Report Card
Paulding County includes Braswell, Dallas and Hiram.
Paulding County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
95,322
84.8%
Social and Economic Indicators
B
African American or Black
14,449
12.9%
Mortality (Deaths)
A
Hispanic or Latino
4,112
3.7%
Asian
789
<1%
American Indian
375
<1%
Other or MultiRacial
2,640
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
B
Prenatal Care & Birth Outcomes
B-
Primary Care Access
F
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
B
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
4.3%
% Estimated to Have No Health Insurance
10.8%
Black-White racial inequalities in health outcomes cost Paulding County 110 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
79
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
5.5%
8.3%
12.2%
1.6
9.8%
2.4
A-
Education (adults w/ <9th grade education)
5.1%
4.4%
12.3%
0.9
8.4%
1.4
A+
Employment (adult unemployment)
2.6%
5.6
2.6%
2.5
4.0%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
7,357.80
6,792.70
4,708.10
0.90
5,828
1.2
A
Age-Adjusted Death Rate per 100,000
929.1
957.9
184.9
1
989.5
1.15
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
18,212
20,772.4
*
1.1
15,277.8
1.65
B
Mental Health Emergency Dept Visits
2,186.9
1,774.8
*
.8
1,994.5
1.1
B+
Birth Outcomes
Low Birth Weight
6.8%
11.2
6.9
1.65
7%
1.9
B
Inadequate Prenatal Care
12.7%
16.5%
24.7
1.36
12.9%
1.6
C-
Tobacco Use in Pregnancy
9%
2.4%
*
0.24
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Newton County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
11.7
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
10.8%
14.8% (median uninsured rate)
88 persons
225 persons
Whole County HPSA 11/32 are whole or partial
(Dental)
county Dental HPSAs
non-HPSA (Mental 16 out of 32 are whole or partial
Health)
county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F
F A ungraded ungraded B
Georgia Health Disparities Report 2008
80
Health Disparities Reports
Pickens County Minority Health Report Card
Pickens County includes Jasper, Nelson and Talking Rock.
Pickens County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
27,580
97%
Social and Economic Indicators
B-
African American or Black
445
1.6%
Mortality (Deaths)
A
Hispanic or Latino
765
2.7%
Asian
104
<1%
American Indian
119
<1%
Other or MultiRacial
417
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
*
Primary Care Access
F
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
C
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.6% 12.8%
Black-White racial inequalities in health outcomes cost Pickens County 16 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
9.2%
23.8%
11.4%
2.7
9.8%
2.4
C
Education (adults w/ <9th grade education)
11.7%
12.9%
51.6%
1.1
8.4%
1.4
A-
Employment (adult unemployment)
2.3%
8.3
2.8%
3.8
4.0%
2.6
B-
Mortality
YPLL-75 Rate (Life-Years Lost)
8,887.00
5,406.50
*
0.60
5,828
1.2
A
Age-Adjusted Death Rate per 100,000
1,008.3
1,156
197.2
1.3
989.5
1.15
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
18,554.9
16,339.9
*
0.9
15,277.8
1.65
A
Mental Health Emergency Dept Visits
2,639.5
1,634
*
.6
1,994.5
1.1
B+
Birth Outcomes
Low Birth Weight
7.5%
*
5.7
*
7%
1.9
*
Inadequate Prenatal Care
4.3%
5%
3.3
1.52
12.9%
1.6
A-
Tobacco Use in Pregnancy
8%
6%
*
0.52
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Pickens County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Whole County HPSA No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
165.8
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
12.8%
45 persons
non-HPSA (Dental) Whole County HPSA
(Mental Health)
14.8% (median uninsured rate)
225 persons
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F
B B ungraded ungraded C
Georgia Health Disparities Report 2008
82
Health Disparities Reports
Pike County Minority Health Report Card
Pike County includes Concord, Meansville, Molena, Williamson and Zebulon.
Pike County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
13,948
86.5%
Social and Economic Indicators
B
African American or Black
2,024
12.5%
Mortality (Deaths)
D
Hispanic or Latino
229
1.4%
Asian
80
<1%
American Indian
33
<1%
Other or MultiRacial
156
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
D
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
2.9%
% Estimated to Have No Health Insurance
12.8%
Black-White racial inequalities in health outcomes cost Pike County 116 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
83
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
9.6%
22.1%
9.6%
3
9.8%
2.4
D
Education (adults w/ <9th grade education)
8.4%
14.1%
27.4%
1.9
8.4%
1.4
B
Employment (adult unemployment)
3.4%
9.6
0%
3.6
4.0%
2.6
C
Mortality
YPLL-75 Rate (Life-Years Lost)
8,804.80
13,973.40
0
1.72
5,828
1.2
D
Age-Adjusted Death Rate per 100,000
815
735
*
0.8
989.5
1.15
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
11,605.2
23,378.4
*
2
15,277.8
1.65
C
Mental Health Emergency Dept Visits
1,427.5
3,108.1
*
2.2
1,994.5
1.1
C-
Birth Outcomes
Low Birth Weight
7.5%
13
0
1.73
7%
1.9
C+
Inadequate Prenatal Care
17.6%
22.1%
26.4
1.36
12.9%
1.6
F
Tobacco Use in Pregnancy
17.2%
7.8%
8.5%
0.4
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Pickens County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
12.8%
14.8% (median uninsured rate)
19 persons
225 persons
Whole County HPSA 11/32 are whole or partial
(Dental)
county Dental HPSAs
Whole County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C
* B ungraded ungraded C-
Georgia Health Disparities Report 2008
84
Health Disparities Reports
Polk County Minority Health Report Card
Polk County includes Aragon, Cedartown and Rockmart.
Polk County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
34,607
85.5%
Social and Economic Indicators
F
African American or Black
5,287
13.1%
Mortality (Deaths)
D
Hispanic or Latino
4,046
10%
Asian
161
<1%
American Indian
115
<1%
Other or MultiRacial
585
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
F
Primary Care Access
D
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
F
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
7.9% 17%
Black-White racial inequalities in health outcomes cost Polk County 216 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
85
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.5%
35%
28.5%
3.1
9.8%
2.4
F
Education (adults w/ <9th grade education)
14.8%
12.5%
47.8%
0.9
8.4%
1.4
A-
Employment (adult unemployment)
6%
12.6
11.5%
2.8
4.0%
2.6
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
12,064.00
15,844.00
7,283.80
1.37
5,828
1.2
D
Age-Adjusted Death Rate per 100,000
978.4
1,056.4
340.9
1.1
989.5
1.15
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
37,116.9
52,837.8
*
1.4
15,277.8
1.65
F
Mental Health Emergency Dept Visits
4,774.2
5,185.8
*
1.1
1,994.5
1.1
F
Birth Outcomes
Low Birth Weight
8.8%
17.2
7.4
1.95
7%
1.9
F
Inadequate Prenatal Care
14.7%
22.7%
34.2
1.73
12.9%
1.6
F
Tobacco Use in Pregnancy
14.4%
5.5%
*
0.33
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Polk County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
49.5
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
17%
14.8% (median uninsured rate)
369 persons
225 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D
D D ungraded ungraded F
Georgia Health Disparities Report 2008
86
Health Disparities Reports
Rockdale County Minority Health Report Card
Rockdale County includes Conyers.
Rockdale County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
48,873
62.2%
Social and Economic Indicators
C
African American or Black
26,993
34.4%
Mortality (Deaths)
B+
Hispanic or Latino
6,734
8.6%
Asian
1,584
<1%
American Indian
219
<1%
Other or MultiRacial
2,679
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
B-
Primary Care Access
B
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
B
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
9.7% 13.3%
Black-White racial inequalities in health outcomes cost Rockdale County 60 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
87
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
8.2%
14.3%
27.7%
2.4
9.8%
2.4
B
Education (adults w/ <9th grade education)
6.2%
6.2%
40.6%
1.2
8.4%
1.4
A+
Employment (adult unemployment)
4.2%
7.4
12.8%
2.4
4.0%
2.6
B
Mortality
YPLL-75 Rate (Life-Years Lost)
7,517.00
7,884.10
2,915.60
1.03
5,828
1.2
B+
Age-Adjusted Death Rate per 100,000
995.1
1,102.5
404.3
1.1
989.5
1.15
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,152.7
2,0767
*
1.6
15,277.8
1.65
B-
Mental Health Emergency Dept Visits
1,964.4
1,998.1
*
1.0
1,994.5
1.1
B+
Birth Outcomes
Low Birth Weight
6.3%
12.4
4.8
1.97
7%
1.9
B-
Inadequate Prenatal Care
13.9%
18.8%
18.6
1.59
12.9%
1.6
C-
Tobacco Use in Pregnancy
15%
7.9%
3%
0.44
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Rockdale County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
117.5
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
13.3%
14.8% (median uninsured rate)
611 persons
225 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B
B B ungraded ungraded B
Georgia Health Disparities Report 2008
88
Health Disparities Reports
Spalding County Minority Health Report Card
Spalding County includes Griffin, Orchard Hill and Sunny Side.
Spalding County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
40,351
65.8%
Social and Economic Indicators
D
African American or Black
19,871
32.4%
Mortality (Deaths)
C
Hispanic or Latino
1,431
2.3%
Asian
507
<1%
American Indian
134
<1%
Other or MultiRacial
1,067
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
F
Primary Care Access
F
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
F
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.1% 15.9%
Black-White racial inequalities in health outcomes cost Spalding County 64 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
89
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.5%
27.2%
32%
2.9
9.8%
2.4
C
Education (adults w/ <9th grade education)
10.9%
13.6%
20.3%
1.4
8.4%
1.4
A-
Employment (adult unemployment)
6.2%
11
8.6%
2.6
4.0%
2.6
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,398.70
10,816.40
9,466.30
1.03
5,828
1.2
C+
Age-Adjusted Death Rate per 100,000
767.8
1,038.3
311.6
1.6
989.5
1.15
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
14,712.5
35,447.3
*
2.4
15,277.8
1.65
D
Mental Health Emergency Dept Visits
2,758.8
4,832.3
*
1.8
1,994.5
1.1
F
Birth Outcomes
Low Birth Weight
9.7%
19.1
6.1
1.97
7%
1.9
F
Inadequate Prenatal Care
11.3%
11.6%
20.6
1.02
12.9%
1.6
C+
Tobacco Use in Pregnancy
1.7%
1.9%
0.3%
1.27
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Spalding County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
45.5
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15.9%
14.8% (median uninsured rate)
159 persons
225 persons
non-HPSA (Dental)
11/32 are whole or partial county Dental HPSAs
Whole County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F
D C ungraded ungraded F
Georgia Health Disparities Report 2008
90
Health Disparities Reports
Troup County Minority Health Report Card
Troup County includes Hogansville, LaGrange and West Point.
Troup County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
40,625
65.5%
Social and Economic Indicators
C-
African American or Black
20,341
32.8%
Mortality (Deaths)
C
Hispanic or Latino
1,428
2.3%
Asian
527
<1%
American Indian
77
<1%
Other or MultiRacial
1,049
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.8% 15.3%
Black-White racial inequalities in health outcomes cost Troup County 289 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
91
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
14.8%
28.1%
19.5%
3.4
9.8%
2.4
D
Education (adults w/ <9th grade education)
9%
14.4%
21.1%
2.1
8.4%
1.4
C+
Employment (adult unemployment)
5.2%
8.3
1.1%
2
4.0%
2.6
B
Mortality
YPLL-75 Rate (Life-Years Lost)
10,368.10
11,513.80
2,107.70
1.15
5,828
1.2
C
Age-Adjusted Death Rate per 100,000
942.3
1,095
111.5
1.2
989.5
1.15
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,773.4
31,647.2
*
1.8
15,277.8
1.65
C
Mental Health Emergency Dept Visits
2,398.3
3,039.6
*
1.3
1,994.5
1.1
C+
Birth Outcomes
Low Birth Weight
7.6%
14.7
6.8
1.93
7%
1.9
D+
Inadequate Prenatal Care
14%
21.7%
27.2
1.62
12.9%
1.6
F
Tobacco Use in Pregnancy
12.4%
9%
*
0.7
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Troup County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
51.1
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15.3%
14.8% (median uninsured rate)
159 persons
225 persons
non-HPSA (Dental)
11/32 are whole or partial county Dental HPSAs
Whole County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C
D C ungraded ungraded C-
Georgia Health Disparities Report 2008
92
Health Disparities Reports
Upson County Minority Health Report Card
Upson County includes Hogansville, LaGrange and West Point.
Upson County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
19,412
70.1%
Social and Economic Indicators
D
African American or Black
7,971
28.8%
Mortality (Deaths)
C
Hispanic or Latino
471
1.7%
Asian
109
<1%
American Indian
80
<1%
Other or MultiRacial
296
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
D
Primary Care Access
A
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.3% 14.8%
Black-White racial inequalities in health outcomes cost Upson County 38 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
93
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
14.7%
28.6%
30.2%
3
9.8%
2.4
D
Education (adults w/ <9th grade education)
12.4%
19.8%
21.1%
2
8.4%
1.4
C-
Employment (adult unemployment)
7%
14.8
5.3%
3.3
4.0%
2.6
F
Mortality
YPLL-75 Rate (Life-Years Lost)
12,043.70
12,547.20
0
1.04
5,828
1.2
C
Age-Adjusted Death Rate per 100,000
1,029.6
1,636.9
115.6
1.6
989.5
1.15
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
24,921.6
42,046.7
*
1.7
15,277.8
1.65
F
Mental Health Emergency Dept Visits
2,938
3,262.9
*
1.1
1,994.5
1.1
C-
Birth Outcomes
Low Birth Weight
9.2%
13.7
0
1.49
7%
1.9
C+
Inadequate Prenatal Care
16.7%
*
33.8
0
12.9%
1.6
F
Tobacco Use in Pregnancy
19.5%
0%
*
0
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Upson County
Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA Yes
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
14.8%
14.8% (median uninsured rate)
58 persons
225 persons
non-HPSA (Dental)
11/32 are whole or partial county Dental HPSAs
Whole County HPSA 16 out of 32 are whole or partial
(Mental Health) county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
A A
* C ungraded ungraded C-
Georgia Health Disparities Report 2008
94
Health Disparities Reports
Walton County Minority Health Report Card
Walton County includes Good Hope, Loganville, Monroe, Social Circle and Walnut Grove.
Walton County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
63,187
83.5%
Social and Economic Indicators
D
African American or Black
10,934
14.5%
Mortality (Deaths)
D
Hispanic or Latino
1,918
2.5%
Asian
718
<1%
American Indian
195
<1%
Other or MultiRacial
1,526
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C
Primary Care Access
F
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.3% 11.6%
Black-White racial inequalities in health outcomes cost Walton County 471 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
9.7%
25.9%
31%
3.7
9.8%
2.4
D
Education (adults w/ <9th grade education)
8.3%
15.4%
23.9%
2.2
8.4%
1.4
C+
Employment (adult unemployment)
3.4%
10.4
4.1%
4.3
4.0%
2.6
C
Mortality
YPLL-75 Rate (Life-Years Lost)
8,736.30
12,726.70
5,053.60
1.54
5,828
1.2
D
Age-Adjusted Death Rate per 100,000
940.7
917.3
384.9
1
989.5
1.15
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
14,684.7
38,821.6
*
2.6
15,277.8
1.65
F
Mental Health Emergency Dept Visits
2,184.4
3,786.7
*
1.7
1,994.5
1.1
D+
Birth Outcomes
Low Birth Weight
6.4%
12.6
3
1.97
7%
1.9
C
Inadequate Prenatal Care
9.2%
12.1%
16.9
1.68
12.9%
1.6
C
Tobacco Use in Pregnancy
11.7%
4.2%
1.8%
0.26
12.0%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Walton County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
17 out of 32 are Whole County (4 Partial County) Primary Care
HPSAs 16 out of 32 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
65.0
Median is 57.8 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
11.6%
14.8% (median uninsured rate)
128 persons
225 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
11/32 are whole or partial county Dental HPSAs
16 out of 32 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F
C A ungraded ungraded C-
Georgia Health Disparities Report 2008
96
Health Disparities Reports
Non-Atlanta Metropolitan Statistical Area (Pages 97-136)
The Non-Atlanta MSA Area includes:
n Bibb County n Bryan County n Catoosa County n Chatham County n Chattahoochee County n Crawford County n Dade County n Effingham County n Harris County n Houston County n Jones County n Liberty County n Long County n Marion County n Monroe County n Muscogee County n Peach County n Twiggs County n Walker County
97
Georgia Health Disparities Report 2008
Health Disparities Reports
Non-Atlanta Metropolitan Statistical Areas
DADE
CATOOSA
MURRAY WHITFIELD
FANNIN
UNION
TOWNS
RABUN
WALKER
GILMER
WHITE HABERSHAM
CHATTOOGA FLOYD
GORDON BARTOW
PICKENS
LUMPKIN DAWSON
CHEROKEE
FORSYTH HALL
STEPHENS FRANKLIN
BANKS
JACKSON
MADISON
HART ELBERT
Non- Atlanta MSA Counties
POLK HARALSON
PAULDING
COBB
GWINNETT
DEKALB
DOUGLAS Atlanta
BARROW WALTON
CLARKE OGLETHORPE
OCONEE
WILKES
LINCOLN
CARROLL HEARD
FULTON CLAYTON
ROCKDALE NEWTON
MORGAN
GREENE TALIAFERRO
COLUMBIA
FAYETTE
HENRY
COWETA
SPALDING
BUTTS
JASPER
PUTNAM
HANCOCK
WARREN MCDUFFIE
GLASCOCK
RICHMOND
TROUP
MERIWETHER
PIKE
LAMAR MONROE
JONES
BALDWIN
HARRIS
UPSON
TALBOT
CRAWFORD
BIBB
WILKINSON TWIGGS
JEFFERSON WASHINGTON
JOHNSON
BURKE
JENKINS
SCREVEN
MUSCOGEE
TAYLOR
CHATAHOOCHEE MARION
SCHLEY
MACON
STEWART
WEBSTER
SUMTER
QUITMAN TERRELL LEE
RANDOLPH
CLAY
CALHOUN
DOUGHERTY
EARLY MILLER
BAKER MITCHELL
PEACH
EMANUEL
HOUSTON BLECKLEY
LAURENS
TREUTLEN
CANDLER
DOOLY
PULASKI DODGE
MONTGOMERY
WHEELER
TOOMB S
BULLOCH
EFFINGHAM
EVANS
BRYAN
CHATHAM
CRISP
WILCOX
TELFAIR
TATTNALL
TURNER
BEN HILL
JEFF DAVIS
APPLING
LIBERTY LONG
WORTH
IRWIN TIFT
COFFEE
BACON PIERCE
WAYNE
MCINTOSH
BERRIEN
ATKINSON
GLYNN
COLQUITT
COOK
WARE
BRANTLEY
SEMINOLE
DECATUR
GRADY
THOMAS
BROOKS
LANIER
CLINCH
LOWNDES
ECHOLS
CHARLTON
CAMDEN
Georgia Health Disparities Report 2008
98
Health Disparities Reports
Bibb County Minority Health Report Card
Bibb County includes Macon.
Bibb County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
73,511
47.5%
Social and Economic Indicators
C-
African American or Black
Hispanic or Latino
77,866 2,485
50.3% 1.6%
Asian
2,187
<1%
American Indian
266
<1%
Other or MultiRacial
3,541
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
F
Primary Care Access
B
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
F
Oral Health Care Access
PartialCounty HPSA*
% Speaking non-English Language at Home
4%
% Estimated to Have No Health Insurance
16.1%
Black-White racial inequalities in health outcomes cost Bibb County 3,092 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
19.1%
31.5%
20.2%
4.2
12.5%
3.3
D
Education (adults w/ <9th grade education)
7%
10.7%
8%
2.5
7.3%
2.5
B
Employment (adult unemployment)
7.5%
11.5%
7.5%
2.6
4.9%
2.6
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
11,724.10
13,890.50
3,240.20
1.42
6,287
1.4
D
Age-Adjusted Death Rate per 100,000
1,108.2
1,218.1
*
1.1
983.5
1.2
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,342.5
27,649.4
*
2.1
14,345.6
1.9
C-
Mental Health Emergency Dept Visits
2,257.3
4,202.1
*
1.9
1,874.3
1.3
F
Birth Outcomes
Low Birth Weight
8.2%
16.3
6
1.99
7.4%
2.0
D+
Inadequate Prenatal Care
14.3%
26.4%
22.6
2.15
13.8%
1.6
F
Tobacco Use in Pregnancy
10.5%
4.5%
*
0.38
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Bibb County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Partial-County HPSA
Yes
116.3
16.1% 383 persons Partial-County HPSA
(Dental) non-HPSA (Mental
Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B
B
B C ungraded ungraded F
Georgia Health Disparities Report 2008
100
Health Disparities Reports
Bryan County Minority Health Report Card
Bryan County includes Ellabelle, Groveland, Hardwicke, Keller, Lanier, Pembroke, and Richmond Hill.
Bryan County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
23,472
82.2%
Social and Economic Indicators
B-
African American or Black
Hispanic or Latino
4,276 694
15% 2.4%
Asian
297
<1%
American Indian
121
<1%
Other or MultiRacial
801
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
D
Primary Care Access
C
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
B-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
4.2%
% Estimated to Have No Health Insurance
12.6%
Black-White racial inequalities in health outcomes cost Bryan County 129 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
11.7%
29.4%
1.4%
3.3
12.5%
3.3
D
Education (adults w/ <9th grade education)
5.8%
11.3%
4.9%
2.3
7.3%
2.5
B
Employment (adult unemployment)
3.1%
11.6%
9.2%
6.6
4.9%
2.6
D
Mortality
YPLL-75 Rate (Life-Years Lost)
7,561.10
10,398.50
*
1.44
6,287
1.4
C
Age-Adjusted Death Rate per 100,000
988.9
1,259.7
*
1.4
983.5
1.2
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
10,096.9
19,840.7
*
2
14,345.6
1.9
C
Mental Health Emergency Dept Visits
1,227.5
1,479.5
*
1.2
1,874.3
1.3
A-
Birth Outcomes
Low Birth Weight
6.1%
13.3
11.9
2.18
7.4%
2.0
C
Inadequate Prenatal Care
22%
23.1%
38.6
1.08
13.8%
1.6
F
Tobacco Use in Pregnancy
14.2%
11.6%
*
0.77
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Bryan County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Partial-County HPSA
No
20.0
12.6% 47 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C
C
F B ungraded ungraded B-
Georgia Health Disparities Report 2008
102
Health Disparities Reports
Catoosa County Minority Health Report Card
Catoosa County includes Ringgold and Fort Oglethorpe.
Catoosa County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
58,167
95.6%
Social and Economic Indicators
C-
African American or Black
Hispanic or Latino
1,295 1,005
2.1% 1.7%
Asian
603
<1%
American Indian
191
<1%
Other or MultiRacial
1,351
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B+
Illness Events (Hospital Admits & Emergency Visits)
A-
Prenatal Care & Birth Outcomes
F
Primary Care Access
B
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
B-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.5% 11.3%
Black-White racial inequalities in health outcomes cost Catoosa County 3 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
9.4%
30.4%
20.9%
3.5
12.5%
3.3
D
Education (adults w/ <9th grade education)
7.6%
9.2%
4.3%
1.2
7.3%
2.5
A+
Employment (adult unemployment)
3.3%
5.7%
4.2%
1.8
4.9%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
7,666.20
7,567.80
*
0.97
6,287
1.4
B+
Age-Adjusted Death Rate per 100,000
1,112.7
1,442.9
*
1.5
983.5
1.2
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
10,450
12,837.8
*
1.2
14,345.6
1.9
A-
Mental Health Emergency Dept Visits
1,505.4
1,351.4
*
.9
1,874.3
1.3
A
Birth Outcomes
Low Birth Weight
8.8%
18.9
*
2.15
7.4%
2.0
F
Inadequate Prenatal Care
20.8%
23.2%
46.7
1.44
13.8%
1.6
F
Tobacco Use in Pregnancy
14%
8.7%
*
0.36
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Catoosa County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA
No
375.7
11.3% 129 persons non-HPSA (Dental) Whole County HPSA (Mental Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B
B
B A ungraded ungraded B-
Georgia Health Disparities Report 2008
104
Health Disparities Reports
Chatham County Minority Health Report Card
Chatham County includes Bloomingdale, Garden City, Georgtown, Isle of Hope-Dutch Island, Montgomery, Port Wentworth, Pooler, Savannah, Skidaway Island, Thunderbolt, Tybee Island, Whitmarsh Island, Wilmington Island, and Vernonburg.
Chatham County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
131,315
55.1%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
98,376 6,414
41.3% 2.7%
Asian
5,083
<1%
American Indian
684
<1%
Other or MultiRacial
8,719
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
C
Primary Care Access
B
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C+
Oral Health Care Access
PartialCounty HPSA*
% Speaking non-English Language at Home
6.7%
% Estimated to Have No Health Insurance
15.8%
Black-White racial inequalities in health outcomes cost Chatham County 3,604 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
105
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.6%
26%
27.9%
3.2
12.5%
3.3
D
Education (adults w/ <9th grade education)
5.6%
9.1%
17%
3
7.3%
2.5
B
Employment (adult unemployment)
6.1%
10.2%
3.9%
2.8
4.9%
2.6
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
9,710.50
12,156.00
7,689.70
1.46
6,287
1.4
C
Age-Adjusted Death Rate per 100,000
951.8
*
*
*
983.5
1.2
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
11,649.9
30,500.9
*
2.6
14,345.6
1.9
D
Mental Health Emergency Dept Visits
1,846.9
3,085.8
*
1.7
1,874.3
1.3
C
Birth Outcomes
Low Birth Weight
7.4%
13.9
8.1
1.88
7.4%
2.0
C
Inadequate Prenatal Care
6%
*
*
*
13.8%
1.6
*
Tobacco Use in Pregnancy
10.9%
0%
*
0
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Chatham County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Partial-County HPSA
Yes
64.0
15.8% 1,181 persons Partial-County HPSA
(Dental) non-HPSA (Mental
Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B
B
C C ungraded ungraded C+
Georgia Health Disparities Report 2008
106
Health Disparities Reports
Chattahoochee County Minority Health Report Card
Chattahoochee County includes Cusseta.
Chattahoochee County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
9,591
65.3%
Social and Economic Indicators
A-
African American or Black
Hispanic or Latino
4,230 1,577
28.8% 10.7%
Asian
301
<1%
American Indian
124
<1%
Other or MultiRacial
858
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C+
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
B-
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
B
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
14.2% 19%
Black-White racial inequalities in health outcomes cost Chattahoochee County 103 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
10.6%
13.2%
9.6%
1.4
12.5%
3.3
A
Education (adults w/ <9th grade education)
2.4%
4.5%
0.8%
3.8
7.3%
2.5
B
Employment (adult unemployment)
7.5%
8%
24.4%
1.6
4.9%
2.6
B
Mortality
YPLL-75 Rate (Life-Years Lost)
5,090.60
7,051.70
1,619.80
1.55
6,287
1.4
C+
Age-Adjusted Death Rate per 100,000
983.5
1,006.1
331.3
1
983.5
1.2
C+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
5,240.2
11,483.1
*
2.2
14,345.6
1.9
B-
Mental Health Emergency Dept Visits
544.2
770
*
1.4
1,874.3
1.3
B
Birth Outcomes
Low Birth Weight
5.2%
8.7
*
1.67
7.4%
2.0
A-
Inadequate Prenatal Care
11.2%
12.4%
25.3
1.22
13.8%
1.6
D+
Tobacco Use in Pregnancy
10.2%
5.7%
*
0.39
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Chattahoochee County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a FederallyQualified Community Health Center? grade based on HPSA
plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households Oral Health Access (Dental Health Professional Shortage
Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
Yes
72.4 19% 34 persons non-HPSA (Dental) non-HPSA (Mental Health)
13 out of 19 are Whole County (2 Partial County)
Primary Care HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white physicians.
15.7% (median
84 persons
10/19 are whole or partial county Dental HPSAs 9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C D ungraded ungraded B
Georgia Health Disparities Report 2008
108
Health Disparities Reports
Crawford County Minority Health Report Card
Crawford County includes Knoxville and Roberta.
Crawford County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
9,952
77.3%
Social and Economic Indicators
C+
African American or Black
Hispanic or Latino
2,781 316
21.6% 2.5%
Asian
22
<1%
American Indian
46
<1%
Other or MultiRacial
141
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
D
Primary Care Access
F
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
2%
% Estimated to Have No Health Insurance
15.7%
Black-White racial inequalities in health outcomes cost Crawford County 25 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.4%
28.7%
5.7%
2.7
12.5%
3.3
C-
Education (adults w/ <9th grade education)
7.3%
17.7%
0%
4.7
7.3%
2.5
D+
Employment (adult unemployment)
4.6%
6.7%
21.1%
1.8
4.9%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
8,847.80
9,521.50
0
1.11
6,287
1.4
B
Age-Adjusted Death Rate per 100,000
922.2
1095.7
*
1.3
983.5
1.2
B
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
10,063.2
18,889.4
*
1.9
14,345.6
1.9
B-
Mental Health Emergency Dept Visits
1,319.3
2,578.1
*
2.0
1,874.3
1.3
C-
Birth Outcomes
Low Birth Weight
7.6%
11.7
*
1.54
7.4%
2.0
B
Inadequate Prenatal Care
20.9%
26.7%
34.7
1.89
13.8%
1.6
F
Tobacco Use in Pregnancy
11.5%
9.1%
*
0.63
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Crawford County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
No
32.3
15.7% 14 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F
F
D C ungraded ungraded C-
Georgia Health Disparities Report 2008
110
Health Disparities Reports
Dade County Minority Health Report Card
Dade County includes Trenton.
Dade County's Racial-Ethnic Diversity
Health Report Card
Race
White African American or Black Hispanic or Latino
Number of Persons 15,632
194
174
Percentage of Population 97.5%
1.2%
1.1%
Asian
63
<1%
American Indian
68
<1%
Other or MultiRacial
214
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
Minority Health Outcome Category County Grade
Social and Economic Indicators
F
Mortality (Deaths)
*
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
C
Primary Care Access
C
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
Oral Health Care Access
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
BWhole County
HPSA* 3.3%
13.8%
*Insufficient Data are available to calculate YPPL rates.
What do the Grades Mean?
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Action Steps:
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
111
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
9.7%
50%
13.2%
5.3
12.5%
3.3
F
Education (adults w/ <9th grade education)
12.6%
0%
52.1%
0
7.3%
2.5
*
Employment (adult unemployment)
5.4%
0%
7%
0
4.9%
2.6
*
Mortality
YPLL-75 Rate (Life-Years Lost)
8,220.80
*
0
*
6,287
1.4
*
Age-Adjusted Death Rate per 100,000
976.8
856.6
*
0.9
983.5
1.2
*
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
5,552.1
1,219.5
*
0.2
14,345.6
1.9
A
Mental Health Emergency Dept Visits
937
609.8
*
.7
1,874.3
1.3
A
Birth Outcomes
Low Birth Weight
10.1%
*
0
*
7.4%
2.0
*
Inadequate Prenatal Care
11.5%
15.8%
*
1.41
13.8%
1.6
C+
Tobacco Use in Pregnancy
25.6%
14%
*
0.53
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Dade County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
Yes
1,395.7
13.8% 44 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C
C
B B ungraded ungraded B-
Georgia Health Disparities Report 2008
112
Health Disparities Reports
Effingham County Minority Health Report Card
Effingham County includes Clyo, Ebenezer, Egypt, Guyton, Meldrim, Pineora, Rincon, Shawnee, Springfield, and Stillwell.
Effingham County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
39,876
85%
Social and Economic Indicators
C
African American or Black
Hispanic or Latino
6,227 833
13.3% 1.8%
Asian
274
<1%
American Indian
139
<1%
Other or MultiRacial
821
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
B
Primary Care Access
D
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.8% 12.7%
Black-White racial inequalities in health outcomes cost Effingham County 67 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
113
Georgia Health Disparities Report 2008
Health Disparities Reports
SuSmummmarayroyfoFfiFnidnidnignsgs
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
9.3%
23.6%
19%
3.5
12.5%
3.3
D
Education (adults w/ <9th grade education)
5.8%
13.1%
11.6%
2.9
7.3%
2.5
B
Employment (adult unemployment)
4.2%
8.6%
14.8%
2.6
4.9%
2.6
B
Mortality
YPLL-75 Rate (Life-Years Lost)
7,651.30
8,723.80
*
1.15
6,287
1.4
B
Age-Adjusted Death Rate per 100,000
893.9
1,164.7
0
1.4
983.5
1.2
B
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
15,041.4
31,702.2
*
2.1
14,345.6
1.9
C-
Mental Health Emergency Dept Visits
1,895.5
2,576.8
*
1.4
1,874.3
1.3
C+
Birth Outcomes
Low Birth Weight
7.5%
12.3
9.8
1.64
7.4%
2.0
B
Inadequate Prenatal Care
3.4%
6.2%
*
2.48
13.8%
1.6
B-
Tobacco Use in Pregnancy
13.1%
3.9%
*
0.24
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Effingham County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
No
29.5
12.7% 85 persons non-HPSA (Dental) non-HPSA (Mental
Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D
D
F B ungraded ungraded C+
Georgia Health Disparities Report 2008
114
Health Disparities Reports
Harris County Minority Health Report Card
Harris County includes Hamilton, Pine Mountain, Shiloh and Waverly Hall.
Harris County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
22,193
79.9%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
5,098 470
18.4% 1.7%
Asian
184
<1%
American Indian
98
<1%
Other or MultiRacial
488
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
A-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
4.1%
% Estimated to Have No Health Insurance
11.8%
Black-White racial inequalities in health outcomes cost Harris County 250 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
115
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
8.2%
21.7%
35.1%
4.7
12.5%
3.3
D
Education (adults w/ <9th grade education)
7.3%
21.2%
11%
5.3
7.3%
2.5
F
Employment (adult unemployment)
3.4%
8.1%
19.7%
3.3
4.9%
2.6
B-
Mortality
YPLL-75 Rate (Life-Years Lost)
7,033.30
11,505.80
0
1.87
6,287
1.4
D
Age-Adjusted Death Rate per 100,000
856.4
776.4
*
0.9
983.5
1.2
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
8,879.7
20,140.4
*
2.3
14,345.6
1.9
C
Mental Health Emergency Dept Visits
1,133.4
1,067.4
*
.9
1,874.3
1.3
A
Birth Outcomes
Low Birth Weight
7.4%
17.2
*
2.32
7.4%
2.0
F
Inadequate Prenatal Care
4.9%
*
*
*
13.8%
1.6
*
Tobacco Use in Pregnancy
19.4%
*
0%
*
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Harris County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
Yes
19.9
11.8% 15 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C
C
F A ungraded ungraded A-
Georgia Health Disparities Report 2008
116
Health Disparities Reports
Houston County Minority Health Report Card
Houston County includes Centerville, Perry and Warner Robins.
Houston County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
87,291
69.2%
Social and Economic Indicators
B
African American or Black
Hispanic or Latino
33,894 4,688
26.9% 3.7%
Asian
2,409
<1%
American Indian
443
<1%
Other or MultiRacial
4,978
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
D
Primary Care Access
F
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
6.1% 12.6%
Black-White racial inequalities in health outcomes cost Houston County 484 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
117
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
10.2%
24.3%
9.5%
4.5
12.5%
3.3
D
Education (adults w/ <9th grade education)
4.9%
9.2%
15%
3
7.3%
2.5
A
Employment (adult unemployment)
4.9%
9%
10.1%
2.7
4.9%
2.6
B
Mortality
YPLL-75 Rate (Life-Years Lost)
8,021.30
9,257.50
3,455.20
1.19
6,287
1.4
B
Age-Adjusted Death Rate per 100,000
865.5
1,122.2
*
1.4
983.5
1.2
B
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,747.6
33,060.6
*
1.9
14,345.6
1.9
D+
Mental Health Emergency Dept Visits
2,663.8
3,338.5
*
1.3
1,874.3
1.3
C-
Birth Outcomes
Low Birth Weight
6.7%
13.5
7.6
2.01
7.4%
2.0
C
Inadequate Prenatal Care
15.4%
15.8%
35.1
1.1
13.8%
1.6
F
Tobacco Use in Pregnancy
14.5%
2%
*
0.1
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Houston County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
No
85.4
12.6% 404 persons non-HPSA (Dental) Whole County HPSA (Mental Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F
F
C B ungraded ungraded C-
Georgia Health Disparities Report 2008
118
Health Disparities Reports
Jones County Minority Health Report Card
Jones County includes Gray.
Jones County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
26,836
75.1%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
6,249 236
23.3% 0.9%
Asian
241
<1%
American Indian
70
<1%
Other or MultiRacial
440
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
B-
Primary Care Access
B
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.3% 12.4%
Black-White racial inequalities in health outcomes cost Jones County 241 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
10.2%
21.6%
30.5%
3.4
12.5%
3.3
D
Education (adults w/ <9th grade education)
8.1%
15.6%
28%
2.8
7.3%
2.5
C+
Employment (adult unemployment)
4.5%
6.5%
11.3%
1.7
4.9%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
9,179.10
12,402.90
0
1.50
6,287
1.4
C
Age-Adjusted Death Rate per 100,000
1,044.4
1,093.7
0
1.2
983.5
1.2
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
9,544.6
19,252
*
2
14,345.6
1.9
C
Mental Health Emergency Dept Visits
1,568.8
3,625.5
*
2.3
1,874.3
1.3
D
Birth Outcomes
Low Birth Weight
6.9%
14
0
2.03
7.4%
2.0
C
Inadequate Prenatal Care
18.1%
19.3%
0
1.23
13.8%
1.6
A
Tobacco Use in Pregnancy
10.1%
7.4%
0%
0.42
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Jones County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA
No
30.8
12.4% 52 persons non-HPSA (Dental) non-HPSA (Mental
Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B
B
D B ungraded ungraded C-
Georgia Health Disparities Report 2008
120
Health Disparities Reports
Liberty County Minority Health Report Card
Liberty County includes Allenhurst, Flemington, Gumbranch, Hinesville, McIntosh, Midway, Retreat, Riceboro, Sunbury and Walthourville.
Liberty County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
28,452
49.4%
Social and Economic Indicators
B
African American or Black
Hispanic or Latino
25,621 4,124
44.5% 7.2%
Asian
1,109
<1%
American Indian
315
<1%
Other or MultiRacial
3,471
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
C
Primary Care Access
D
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
12.9%
% Estimated to Have No Health Insurance
20.8%
Black-White racial inequalities in health outcomes cost Liberty County 439 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15%
20.1%
11.7%
2
12.5%
3.3
B
Education (adults w/ <9th grade education)
3.4%
4.8%
4.9%
2.4
7.3%
2.5
A
Employment (adult unemployment)
8.6%
11.3%
9.7%
2.1
4.9%
2.6
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
7,715.70
8,929.50
2,372.40
1.23
6,287
1.4
B
Age-Adjusted Death Rate per 100,000
1,059
1,314.6
0
1.4
983.5
1.2
B
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
19,349.5
30,756.2
*
1.6
14,345.6
1.9
C
Mental Health Emergency Dept Visits
2,065.5
2,503.9
*
1.2
1,874.3
1.3
C+
Birth Outcomes
Low Birth Weight
6.8%
13.1
6.3
1.93
7.4%
2.0
C
Inadequate Prenatal Care
10.3%
15.1%
*
2.36
13.8%
1.6
C-
Tobacco Use in Pregnancy
12.2%
9.6%
0%
0.66
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Liberty County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
27.9
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
20.8%
271 persons
Whole County HPSA (Dental)
Whole County HPSA (Mental Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D
D
F F ungraded ungraded C-
Georgia Health Disparities Report 2008
122
Health Disparities Reports
Long County Minority Health Report Card
Long County includes Ludowici.
Long County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
8,047
72.6%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
2,660 1,012
24% 9.1%
Asian
109
<1%
American Indian
80
<1%
Other or MultiRacial
376
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B+
Illness Events (Hospital Admits & Emergency Visits)
B
Prenatal Care & Birth Outcomes
D+
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
B-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
9.4%
% Estimated to Have No Health Insurance
22%
Black-White racial inequalities in health outcomes cost Long County 74 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
19.5%
34.6%
33%
2.6
12.5%
3.3
D
Education (adults w/ <9th grade education)
10%
12.6%
42.2%
1.6
7.3%
2.5
B
Employment (adult unemployment)
8.8%
13.9%
12.1%
2.1
4.9%
2.6
F
Mortality
YPLL-75 Rate (Life-Years Lost)
9,024.50
7,210.50
*
0.71
6,287
1.4
B+
Age-Adjusted Death Rate per 100,000
1,140.1
1,265.3
0
1.2
983.5
1.2
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
16,633
21,090.9
*
1.3
14,345.6
1.9
B
Mental Health Emergency Dept Visits
1,672.5
1,212.1
*
.7
1,874.3
1.3
A
Birth Outcomes
Low Birth Weight
6.5%
15.6
11.5
2.40
7.4%
2.0
D
Inadequate Prenatal Care
13.1%
15%
*
1.88
13.8%
1.6
C
Tobacco Use in Pregnancy
4.2%
2.8%
0%
0.35
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Long County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
Yes
0.0
22% 84 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C
C
* F ungraded ungraded B-
Georgia Health Disparities Report 2008
124
Health Disparities Reports
Marion County Minority Health Report Card
Marion County includes Buena Vista.
Marion County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
71,20
64.3%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
3,801 113
34.3% 1%
Asian
40
<1%
American Indian
48
<1%
Other or MultiRacial
147
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
D
Primary Care Access
F
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
A-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
3.6%
% Estimated to Have No Health Insurance
20.9%
Black-White racial inequalities in health outcomes cost Marion County 104 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
125
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
22.4%
35.4%
20.2%
2.3
12.5%
3.3
D+
Education (adults w/ <9th grade education)
11.9%
20.5%
21.3%
2.8
7.3%
2.5
F
Employment (adult unemployment)
3.6%
7.5%
0.9%
3.1
4.9%
2.6
B-
Mortality
YPLL-75 Rate (Life-Years Lost)
13,566.20
21,501.80
*
2.17
6,287
1.4
F
Age-Adjusted Death Rate per 100,000
1,198.5
1,430.7
0
1.2
983.5
1.2
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
18,439.4
7,734.6
*
0.4
14,345.6
1.9
A
Mental Health Emergency Dept Visits
2,361.6
431.9
*
.2
1,874.3
1.3
A
Birth Outcomes
Low Birth Weight
7.5%
15.8
*
2.11
7.4%
2.0
D+
Inadequate Prenatal Care
11.1%
19.3%
*
2.44
13.8%
1.6
D
Tobacco Use in Pregnancy
16.2%
6.3%
0%
0.31
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Marion County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
No
25.5
20.9% 54 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F
F
F F ungraded ungraded A-
Georgia Health Disparities Report 2008
126
Health Disparities Reports
Monroe County Minority Health Report Card
Monroe County includes Forsyth and Culloden.
Monroe County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
17,369
73%
Social and Economic Indicators
C
African American or Black
Hispanic or Latino
6,089 422
25.6% 1.8%
Asian
109
<1%
American Indian
87
<1%
Other or MultiRacial
327
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
F
Primary Care Access
F
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3% 14.3%
Black-White racial inequalities in health outcomes cost Monroe County 208 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
SuSmummmarayroyfoFfiFnidnidnignsgs
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
9.8%
21.3%
37.4%
4
12.5%
3.3
C
Education (adults w/ <9th grade education)
7.9%
16.3%
20%
3.3
7.3%
2.5
C
Employment (adult unemployment)
3.4%
6.8%
0%
2.9
4.9%
2.6
A
Mortality
YPLL-75 Rate (Life-Years Lost)
9,212.70
11,955.90
*
1.42
6,287
1.4
C
Age-Adjusted Death Rate per 100,000
892.5
1,000.3
*
1.2
983.5
1.2
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
20,932.1
39,114.1
*
1.9
14,345.6
1.9
D+
Mental Health Emergency Dept Visits
2,686.9
3,702.8
*
1.4
1,874.3
1.3
C-
Birth Outcomes
Low Birth Weight
6.1%
17
0
2.79
7.4%
2.0
F
Inadequate Prenatal Care
11.1%
18.6%
*
*
13.8%
1.6
D
Tobacco Use in Pregnancy
12.3%
*
*
*
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Monroe County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
No
81.3
14.3% 27 persons non-HPSA (Dental) non-HPSA (Mental
Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F
F
C C ungraded ungraded C+
Georgia Health Disparities Report 2008
128
Health Disparities Reports
Muscogee County Minority Health Report Card
Muscogee County includes Columbus.
Muscogee County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
91,325
49.3%
Social and Economic Indicators
C
African American or Black
Hispanic or Latino
85,904 76,33
46.4% 4.1%
Asian
3,774
<1%
American Indian
700
<1%
Other or MultiRacial
8,042
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
F
Primary Care Access
B
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
8.1% 16.6%
Black-White racial inequalities in health outcomes cost Muscogee County 3,249 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.7%
24.4%
17.9%
3.1
12.5%
3.3
D
Education (adults w/ <9th grade education)
7%
9.1%
11.6%
1.8
7.3%
2.5
A
Employment (adult unemployment)
7%
11.3%
7.2%
3.2
4.9%
2.6
C
Mortality
YPLL-75 Rate (Life-Years Lost)
10,660.80
12,960.30
5,774.70
1.43
6,287
1.4
D
Age-Adjusted Death Rate per 100,000
975.1
1,125.9
*
1.3
983.5
1.2
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
18,989.7
39,165.1
*
2.1
14,345.6
1.9
D
Mental Health Emergency Dept Visits
2,936.3
3,425.2
*
1.2
1,874.3
1.3
C-
Birth Outcomes
Low Birth Weight
7.2%
14.8
7.1
2.06
7.4%
2.0
D+
Inadequate Prenatal Care
18.3%
25.1%
*
2.22
13.8%
1.6
F
Tobacco Use in Pregnancy
9%
10.1%
0%
1.23
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Muscogee County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Partial-County HPSA
Yes
97.0
16.6% 958 persons non-HPSA (Dental) non-HPSA (Mental
Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B
B
C C ungraded ungraded C+
Georgia Health Disparities Report 2008
130
Health Disparities Reports
Peach County Minority Health Report Card
Peach County includes Byron and Fort Valley.
Peach County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
13,769
55.5%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
10,752 1,185
43.4% 4.8%
Asian
104
<1%
American Indian
68
<1%
Other or MultiRacial
273
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
D
Primary Care Access
F
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
6.9% 17.6%
Black-White racial inequalities in health outcomes cost Peach County 235 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
131
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
20.2%
35.8%
19.3%
4.8
12.5%
3.3
F
Education (adults w/ <9th grade education)
9.2%
13.6%
55.8%
2.5
7.3%
2.5
B
Employment (adult unemployment)
12.9%
25%
2.1%
5.2
4.9%
2.6
F
Mortality
YPLL-75 Rate (Life-Years Lost)
9,395.00
10,752.30
*
1.27
6,287
1.4
C
Age-Adjusted Death Rate per 100,000
979.4
950
294
1
983.5
1.2
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
18,654.4
36,163.3
*
1.9
14,345.6
1.9
D
Mental Health Emergency Dept Visits
2,399.3
3,265.3
*
1.4
1,874.3
1.3
C-
Birth Outcomes
Low Birth Weight
7.1%
13.7
*
1.93
7.4%
2.0
C
Inadequate Prenatal Care
18%
25.1%
37.5
1.45
13.8%
1.6
F
Tobacco Use in Pregnancy
17.2%
9.7%
1.5%
0.53
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Peach County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
No
16.8
17.6% 129 persons non-HPSA (Dental) Whole County HPSA (Mental Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F
F
F D ungraded ungraded C-
Georgia Health Disparities Report 2008
132
Health Disparities Reports
Twiggs County Minority Health Report Card
Twiggs County includes Danville and Jeffersonville.
Twiggs County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,972
58%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
4,259 142
41.4% 1.4%
Asian
23
<1%
American Indian
11
<1%
Other or MultiRacial
68
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
2.2%
% Estimated to Have No Health Insurance
17.3%
Black-White racial inequalities in health outcomes cost Twiggs County 137 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
133
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
19.7%
31.5%
47.3%
3
12.5%
3.3
D
Education (adults w/ <9th grade education)
13%
18.9%
4.3%
2.1
7.3%
2.5
C-
Employment (adult unemployment)
8.3%
12.5%
0%
2.6
4.9%
2.6
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
12,325.00
14,376.60
*
1.31
6,287
1.4
D
Age-Adjusted Death Rate per 100,000
1,012.9
1,155.2
296.1
1.2
983.5
1.2
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
14,818.1
21,940
*
1.5
14,345.6
1.9
B-
Mental Health Emergency Dept Visits
1,874.3
3,365.2
*
1.8
1,874.3
1.3
D+
Birth Outcomes
Low Birth Weight
11.6%
19.7
0
1.70
7.4%
2.0
F
Inadequate Prenatal Care
13.8%
17.6%
11.6
1.64
13.8%
1.6
C+
Tobacco Use in Pregnancy
10.3%
5.7%
4.3%
0.42
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Twiggs County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
Yes
0.0
17.3% 0 persons Whole County HPSA (Dental) non-HPSA (Mental Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C
C
* D ungraded ungraded C-
Georgia Health Disparities Report 2008
134
Health Disparities Reports
Walker County Minority Health Report Card
Walker County includes Chickamauga, LaFayette, Lookout Mountain, and Rossville.
Walker County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
60,450
94.6%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
2,589 807
41.4% 1.3%
Asian
274
<1%
American Indian
132
<1%
Other or MultiRacial
851
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B+
Illness Events (Hospital Admits & Emergency Visits)
B
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.2% 12.5%
Black-White racial inequalities in health outcomes cost Walker County 10 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
12.5%
26.2%
27.3%
2.2
12.5%
3.3
B-
Education (adults w/ <9th grade education)
12.3%
9.2%
26.8%
0.7
7.3%
2.5
A+
Employment (adult unemployment)
4.3%
12.5%
12.6%
3.2
4.9%
2.6
D+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,219.10
9,845.00
*
0.96
6,287
1.4
B+
Age-Adjusted Death Rate per 100,000
1,005.1
1,144.9
440.5
1.2
983.5
1.2
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
14,345.6
19,819.3
*
1.4
14,345.6
1.9
B
Mental Health Emergency Dept Visits
1,935.3
2,089.2
*
1.1
1,874.3
1.3
B
Birth Outcomes
Low Birth Weight
10.6%
17.8
*
1.68
7.4%
2.0
F
Inadequate Prenatal Care
20.4%
24.2%
25.8
1.5
13.8%
1.6
F
Tobacco Use in Pregnancy
9.1%
6.2%
3.1%
0.49
12.2%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Walker County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
Yes
29.7
12.5% 102 persons non-HPSA (Dental) Whole County HPSA (Mental Health)
13 out of 19 are Whole County (2 Partial County) Primary Care
HPSAs 9 out of 19 are included in a community health center
catchment area Median is 132.7 per 100,000, much lower than for white
physicians.
15.7% (median uninsured rate)
84 persons
10/19 are whole or partial county Dental HPSAs
9 out of 19 are whole county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C
C
F B ungraded ungraded C
Georgia Health Disparities Report 2008
136
Health Disparities Reports
Rural Statistical Areas of Georgia (Pages 137-354) The Non-metro Rural Area includes:
n Appling County n Atkinson County n Bacon County n Baker County n Baldwin County n Banks County n Ben Hill County n Berrien County n Bleckley County n Brantley County n Brooks County n Bulloch County n Burke County n Calhoun County n Camden County n Candler County n Charlton County n Chattooga County n Clarke County n Clay County n Clinch County n Coffee County n Colquitt County n Columbia County n Cook County n Crisp County n Decatur County n Dodge County n Dooly County n Dougherty County n Early County n Echols County n Elbert County n Emanuel County n Evans County n Fannin County
n Floyd County n Franklin County n Gilmer County n Glascock County n Glynn County n Gordon County n Grady County n Greene County n Habersham County n Hancock County n Hart County n Irwin County n Jackson County n Jeff Davis County n Jefferson County n Jenkins County n Johnson County n Lanier County n Laurens County n Lee County n Lincoln County n Lowndes County n Lumpkin County n McDuffie County n McIntosh County n Macon County n Madison County n Miller County n Mitchell County n Montgomery County n Morgan County n Murray County n Oconee County n Oglethorpe County n Pierce County n Pulaski County
n Putnam County n Quitman County n Rabun County n Randolph County n Richmond County n Schley County n Screven County n Seminole County n Stephens County n Stewart County n Sumter County n Talbot County n Taliaferro County n Tattnall County n Taylor County n Telfair County n Terrell County n Thomas County n Tift County n Toombs County n Towns County n Treutlen County n Turner County n Union County n Ware County n Warren County n Washington County n Wayne County n Webster County n Wheeler County n White County n Whitfield County n Wilcox County n Wilkes County n Wilkinson County n Worth County
137
Georgia Health Disparities Report 2008
Health Disparities Reports
Rural Areas
DADE
CATOOSA
MURRAY WHITFIELD
FANNIN
UNION
TOWNS
RABUN
WALKER
GILMER
WHITE HABERSHAM
CHATTOOGA FLOYD
GORDON BARTOW
PICKENS
LUMPKIN DAWSON
CHEROKEE
FORSYTH HALL
STEPHENS FRANKLIN
BANKS
JACKSON
MADISON
HART ELBERT
Rural Counties
POLK HARALSON
PAULDING
COBB
GWINNETT
DEKALB
DOUGLAS Atlanta
BARROW WALTON
CLARKE OGLETHORPE
OCONEE
WILKES
LINCOLN
CARROLL HEARD
FULTON CLAYTON
ROCKDALE NEWTON
MORGAN
GREENE TALIAFERRO
COLUMBIA
FAYETTE
HENRY
COWETA
SPALDING
BUTTS
JASPER
PUTNAM
HANCOCK
WARREN MCDUFFIE
GLASCOCK
RICHMOND
TROUP
MERIWETHER
PIKE
LAMAR MONROE
JONES
BALDWIN
HARRIS
UPSON TALBOT
CRAWFORD
BIBB
WILKINSON TWIGGS
JEFFERSON WASHINGTON
JOHNSON
BURKE
JENKINS
SCREVEN
MUSCOGEE
TAYLOR
CHATAHOOCHEE MARION SCHLEY
MACON
STEWART
WEBSTER
SUMTER
QUITMAN TERRELL LEE
RANDOLPH
CLAY
CALHOUN
DOUGHERTY
EARLY MILLER
BAKER MITCHELL
PEACH
EMANUEL
HOUSTON BLECKLEY
LAURENS
TREUTLEN
CANDLER
DOOLY
PULASKI DODGE
MONTGOMERY
WHEELER
TOOMB S
BULLOCH
EFFINGHAM
EVANS
BRYAN
CHATHAM
CRISP
WILCOX
TELFAIR
TATTNALL
TURNER
BEN HILL
JEFF DAVIS
APPLING
LIBERTY LONG
WORTH
IRWIN TIFT
COFFEE
BACON PIERCE
WAYNE
MCINTOSH
BERRIEN
ATKINSON
GLYNN
COLQUITT
COOK
WARE
BRANTLEY
SEMINOLE
DECATUR
GRADY
THOMAS
BROOKS
LANIER
CLINCH
LOWNDES
ECHOLS
CHARLTON
CAMDEN
Georgia Health Disparities Report 2008
138
Health Disparities Reports
Appling County Minority Health Report Card
Appling County includes Baxley, Graham and Surrency.
Appling County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
14,440
80.4%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
3,325 1,023
18.5% 5.7%
Asian
70
<1%
American Indian
48
<1%
Other or MultiRacial
189
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
D
Primary Care Access
F
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
F
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
6.1% 20.6%
Black-White racial inequalities in health outcomes cost Appling County 2 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
139
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
18.6%
30.3%
34.6%
2
19.9%
2.8
C
Education (adults w/ <9th grade education)
11.6%
13.5%
51.7%
1.3
11.8%
1.9
A-
Employment (adult unemployment)
4.8%
11.9%
9.5%
4
5.8%
2.9
D+
Mortality
YPLL-75 Rate (Life-Years Lost)
12,634.70
12,831.40
*
1.01
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
1,099.4
965.2
*
0.9
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,323.7
25,578.2
*
1.5
17,803.4
1.8
B-
Mental Health Emergency Dept Visits
2,624.8
4,308.4
*
1.6
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
9.5%
16
9.2
1.68
7.7%
1.9
C-
Inadequate Prenatal Care
19.2%
21.6%
35.1
1.19
11.6%
1.7
F
Tobacco Use in Pregnancy
16.9%
8.9%
*
0.46
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Appling County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
No
91.5 20.6% 125 persons non-HPSA (Dental) Whole County HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F C F ungraded ungraded F
Georgia Health Disparities Report 2008
140
Health Disparities Reports
Atkinson County Minority Health Report Card
Atkinson County includes Axson, Kirkland, Pearson and Willacoochee.
Atkinson County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
6,433
80.1%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
1,476 1,731
18.4% 21.6%
Asian
23
<1%
American Indian
60
<1%
Other or MultiRacial
121
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
F
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
B-
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C
Oral Health Care Access
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
Whole County HPSA
16.4%
25.1%
Black-White racial inequalities in health outcomes cost Atkinson County 84 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
141
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
23%
30.6%
34.8%
1.7
19.9%
2.8
C+
Education (adults w/ <9th grade education)
22.1%
25.5%
68.3%
1.8
11.8%
1.9
F
Employment (adult unemployment)
5.2%
12.6%
9.4%
6.6
5.8%
2.9
D
Mortality
YPLL-75 Rate (Life-Years Lost)
12.,531.80
17,245.40
9,535.40
1.52
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
1,117.6
1,174
494.2
1.1
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
23,351.2
34,737.9
*
1.5
17,803.4
1.8
D+
Mental Health Emergency Dept Visits
1,911
2,158.3
*
1.1
2,357.1
1.3
B
Birth Outcomes
Low Birth Weight
7.4%
11.6
5.7
1.57
7.7%
1.9
B
Inadequate Prenatal Care
20.6%
16.4%
29
0.77
11.6%
1.7
C
Tobacco Use in Pregnancy
8.2%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Atkinson County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
Yes
0.0
25.1% 207 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * F ungraded ungraded C
Georgia Health Disparities Report 2008
142
Health Disparities Reports
Bacon County Minority Health Report Card
Bacon County includes Alma, Rockingham, and Sessoms.
Bacon County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
8,540
82.3%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
1,692 424
16.3% 4.1%
Asian
74
<1%
American Indian
14
<1%
Other or MultiRacial
147
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
F
Primary Care Access
D
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
F
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.5% 19.4%
Black-White racial inequalities in health outcomes cost Bacon County 61 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
23.7%
47.2%
27.5%
2.5
19.9%
2.8
F
Education (adults w/ <9th grade education)
12%
18.5%
22.2%
1.7
11.8%
1.9
C-
Employment (adult unemployment)
4.5%
12.9%
0%
4
5.8%
2.9
D+
Mortality
YPLL-75 Rate (Life-Years Lost)
12,852.90
16,065.30
0
1.29
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
1,071.3
1,028.3
0
1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
30,031.3
72,495.1
*
2.4
17,803.4
1.8
F
Mental Health Emergency Dept Visits
3,975
6,090.4
*
1.5
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
8.7%
16.8
*
1.93
7.7%
1.9
D+
Inadequate Prenatal Care
16.7%
30.8%
21.1
2.59
11.6%
1.7
F
Tobacco Use in Pregnancy
17.9%
10.3%
0%
0.5
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Bacon County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
250.3
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population)
19.4%
18.6% (median uninsured rate)
Persons Living in Linguistically-Isolated Households
22 persons
39 persons
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (Dental)
47/108 are whole or partial county Dental HPSAs
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D B D ungraded ungraded F
Georgia Health Disparities Report 2008
144
Health Disparities Reports
Baker County Minority Health Report Card
Baker County includes Newton.
Baker County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
2,009
48.4%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
2,127 114
51.2% 2.7%
Asian
0
<0%
American Indian
13
<1%
Other or MultiRacial
18
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B
Illness Events (Hospital Admits & Emergency Visits)
B
Prenatal Care & Birth Outcomes
*
Primary Care Access
C
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
B-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.9% 23.7%
Black-White racial inequalities in health outcomes cost Baker County 37 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
23.4%
36.1%
43.5%
4
19.9%
2.8
F
Education (adults w/ <9th grade education)
15.7%
22.5%
78.7%
2.6
11.8%
1.9
F
Employment (adult unemployment)
8.3%
12.1%
0%
2
5.8%
2.9
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
7,371.40
8,259.00
0
1.28
6,363
1.2
B
Age-Adjusted Death Rate per 100,000
608.7
645.5
0
1.1
971.8
1.1
B
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
7,899.8
11,882.5
*
1.5
17,803.4
1.8
B
Mental Health Emergency Dept Visits
1,926.8
1,134.8
*
.6
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
*
12.2
0
*
7.7%
1.9
*
Inadequate Prenatal Care
8.3%
9.8%
*
*
11.6%
1.7
*
Tobacco Use in Pregnancy
14.6%
9.8%
0%
0.49
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Baker County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
44.6
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
23.7%
28 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C D F ungraded ungraded B-
Georgia Health Disparities Report 2008
146
Health Disparities Reports
Baldwin County Minority Health Report Card
Baldwin County includes Milledgeville.
Baldwin County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
24,539
54.3%
Social and Economic Indicators
C
African American or Black
Hispanic or Latino
19,879 687
44% 1.5%
Asian
527
<1%
American Indian
93
<1%
Other or MultiRacial
812
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C+
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
C
Primary Care Access
B
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
A-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
5.3% 15.5%
Black-White racial inequalities in health outcomes cost Baldwin County 471 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
147
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
16.8%
25.2%
21.7%
2.4
19.9%
2.8
B-
Education (adults w/ <9th grade education)
8.5%
12%
22.1%
2
11.8%
1.9
B
Employment (adult unemployment)
6.2%
10.7%
4.3%
3.2
5.8%
2.9
C
Mortality
YPLL-75 Rate (Life-Years Lost)
8,128.10
9,554.30
14,648.80
1.34
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
954.6
987.7
0
1
971.8
1.1
C+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
14,579.2
25,350.9
*
1.7
17,803.4
1.8
B-
Mental Health Emergency Dept Visits
1,147.1
1,281.9
*
1.1
2,357.1
1.3
A-
Birth Outcomes
Low Birth Weight
6.1%
14.1
*
2.31
7.7%
1.9
C-
Inadequate Prenatal Care
12%
*
20.6
*
11.6%
1.7
C-
Tobacco Use in Pregnancy
12%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Baldwin County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
171.3
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15.5%
147 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B B C ungraded ungraded A-
Georgia Health Disparities Report 2008
148
Health Disparities Reports
Banks County Minority Health Report Card
Banks County includes Homer.
Banks County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
15,300
95.3%
Social and Economic Indicators
B-
African American or Black
551
Hispanic or Latino
606
3.4% 3.8%
Asian
94
<1%
American Indian
45
<1%
Other or MultiRacial
204
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B+
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
*
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C+
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
3.7%
% Estimated to Have No Health Insurance
17.3%
Black-White racial inequalities in health outcomes cost Banks County 7 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
149
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
12.5%
15%
19.2%
1.2
19.9%
2.8
A
Education (adults w/ <9th grade education)
13.2%
20.2%
32.7%
1.6
11.8%
1.9
C-
Employment (adult unemployment)
3%
7.9%
10.6%
3.3
5.8%
2.9
B-
Mortality
YPLL-75 Rate (Life-Years Lost)
9,384.40
8,036.30
0
0.85
6,363
1.2
B+
Age-Adjusted Death Rate per 100,000
1,154
949
*
0.8
971.8
1.1
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
19,968.9
34,626
*
1.7
17,803.4
1.8
D+
Mental Health Emergency Dept Visits
2,395.5
2,770.1
*
1.2
2,357.1
1.3
C+
Birth Outcomes
Low Birth Weight
8.2%
*
*
*
7.7%
1.9
*
Inadequate Prenatal Care
15.5%
20.1%
19.3
1.69
11.6%
1.7
C-
Tobacco Use in Pregnancy
14.3%
9.2%
0%
0.5
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Banks County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
17.3%
55 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * D ungraded ungraded C+
Georgia Health Disparities Report 2008
150
Health Disparities Reports
Ben Hill County Minority Health Report Card
Ben Hill County includes Bowens Hill, Fitzgerald, Queensland and Westwood.
Ben Hill County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
11,291
65.2%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
5,831 1,106
33.7% 6.4%
Asian
64
<1%
American Indian
51
<1%
Other or MultiRacial
194
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
F
Primary Care Access
D
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
5%
% Estimated to Have No Health Insurance
20.9%
Black-White racial inequalities in health outcomes cost Ben Hill County 64 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
22.3%
41%
54.9%
3.7
19.9%
2.8
F
Education (adults w/ <9th grade education)
12.9%
16.5%
37.6%
1.6
11.8%
1.9
C+
Employment (adult unemployment)
6.3%
9.3%
7.2%
1.8
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
12,331.70
11,690.30
*
0.91
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
1,073.4
906.7
*
0.8
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
22,582.6
37,704
*
1.7
17,803.4
1.8
D+
Mental Health Emergency Dept Visits
3,915.9
6,500.7
*
1.7
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
11.4%
25.9
3.4
2.27
7.7%
1.9
F
Inadequate Prenatal Care
7.6%
*
*
*
11.6%
1.7
*
Tobacco Use in Pregnancy
24.4%
*
*
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Ben Hill County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
28.8
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
20.9%
110 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D F F ungraded ungraded F
Georgia Health Disparities Report 2008
152
Health Disparities Reports
Berrien County Minority Health Report Card
Berrien County includes Alapaha, Bannockburn, Enigma, Glory, Nashville, Ray City and Weber.
Berrien County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
14,684
87.9%
Social and Economic Indicators
F
African American or Black
1,840
11%
Mortality (Deaths)
F
Hispanic or Latino
467
2.8%
Illness Events (Hospital Admits & Emergency Visits)
F
Asian
61
<1%
Prenatal Care & Birth Outcomes
F
American Indian
29
<1%
Primary Care Access
F
Other or MultiRacial
184
<1%
Physician Racial-Ethnic Diversity
*
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
C-
Oral Health Care Access
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
non-HPSA 4%
18.6%
Black-White racial inequalities in health outcomes cost Berrien County 184 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
17.7%
36.8%
38.2%
2.6
19.9%
2.8
D
Education (adults w/ <9th grade education)
11.8%
18.8%
35.3%
1.8
11.8%
1.9
C-
Employment (adult unemployment)
4.5%
8.7%
0%
2.2
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
11,142.70
20,546.50
7,080.00
2.03
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
1,025
1,045.2
*
1
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
28,543.1
48,423.8
*
1.7
17,803.4
1.8
F
Mental Health Emergency Dept Visits
3,231.3
3,327.5
*
1.0
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
7.8%
20
*
2.56
7.7%
1.9
F
Inadequate Prenatal Care
14.3%
18.9%
28.9
1.77
11.6%
1.7
F
Tobacco Use in Pregnancy
6.5%
3.3%
*
0.36
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Berrien County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
18.6%
37 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F * D ungraded ungraded C-
Georgia Health Disparities Report 2008
154
Health Disparities Reports
Bleckley County Minority Health Report Card
Bleckley County includes Cochran.
Bleckley County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
8,968
73.9%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
2,997 167
24.7% 1.4%
Asian
140
<1%
American Indian
2
<1%
Other or MultiRacial
176
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C
Primary Care Access
F
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
F
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.7% 13.9%
Black-White racial inequalities in health outcomes cost Bleckley County 196 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
155
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.9%
31.1%
42.8%
2.8
19.9%
2.8
C-
Education (adults w/ <9th grade education)
12.9%
26.5%
36.6%
2.8
11.8%
1.9
F
Employment (adult unemployment)
6%
13.9%
0%
3.4
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
9,200.90
14,297.10
*
1.88
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
1,280.7
1,328.6
*
1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
23,021.4
43,820.9
*
1.9
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,505
4,138.3
*
1.7
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
9.9%
15.3
*
1.55
7.7%
1.9
C-
Inadequate Prenatal Care
11.9%
15%
*
2.17
11.6%
1.7
C
Tobacco Use in Pregnancy
10.2%
4.3%
0%
0.22
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Bleckley County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
31.6
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
13.9%
23 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F D B ungraded ungraded F
Georgia Health Disparities Report 2008
156
Health Disparities Reports
Brantley County Minority Health Report Card
Brantley County includes Atkinson, Hickox, Hoboken, Hortense, Lulaton, Nahunta, Trudie, and Waynesville.
Brantley County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
14,664
94.7%
Social and Economic Indicators
D
African American or Black
666
4.3%
Mortality (Deaths)
B+
Hispanic or Latino
185
1.2%
Asian
15
<1%
American Indian
5
<1%
Other or MultiRacial
161
<1%
Populations are estimated based on the 2005 Census data
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
C-
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
2.6%
% Estimated to Have No Health Insurance
16.4%
Black-White racial inequalities in health outcomes cost Brantley County 23 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.6%
31.2%
35.9%
2.1
19.9%
2.8
C
Education (adults w/ <9th grade education)
9.6%
17.9%
9.6%
1.9
11.8%
1.9
C-
Employment (adult unemployment)
4.9%
4.8%
11.1%
1
5.8%
2.9
A+
Mortality
YPLL-75 Rate (Life-Years Lost)
11,859.90
8,518.30
*
0.70
6,363
1.2
B+
Age-Adjusted Death Rate per 100,000
1,027.1
983.8
*
0.9
971.8
1.1
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
18,297.9
17,197.5
*
0.9
17,803.4
1.8
A
Mental Health Emergency Dept Visits
1,995.3
3,184.7
*
1.6
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
7.1%
*
28.6
*
7.7%
1.9
*
Inadequate Prenatal Care
9.2%
16.5%
*
2.7
11.6%
1.7
C-
Tobacco Use in Pregnancy
14.1%
4%
*
0.22
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Brantley County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
16.4%
26 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * C ungraded ungraded C-
Georgia Health Disparities Report 2008
158
Health Disparities Reports
Brooks County Minority Health Report Card
Brooks County includes Baden, Barney, Barwick, Dixie, Grooverville, Morven, Nankin, New Rock Hill and Quitman.
Brooks County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
9,935
60.9%
Social and Economic Indicators
F
African American or Black
6,219
38.1%
Mortality (Deaths)
C
Hispanic or Latino
654
4%
Illness Events (Hospital Admits & Emergency Visits)
F
Asian
57
<1%
Prenatal Care & Birth Outcomes
C-
American Indian
23
<1%
Primary Care Access
D
Other or MultiRacial
173
<1%
Physician Racial-Ethnic Diversity
F
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
3.4%
% Estimated to Have No Health Insurance
22%
Black-White racial inequalities in health outcomes cost Brooks County 63 excess years of potential life lost due to premature deaths.
What do the Grades Mean?
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
159
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
23.4%
40.6%
25.2%
3.6
19.9%
2.8
F
Education (adults w/ <9th grade education)
12%
15.4%
30.4%
1.6
11.8%
1.9
C+
Employment (adult unemployment)
5.3%
9.5%
0%
2.9
5.8%
2.9
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
11,344.30
11,751.30
*
1.10
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
1,255.4
1,395.2
*
1.3
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
20,631.4
44,221.6
*
2.1
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,567.5
5,540.2
*
2.2
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
5.9%
15.7
*
2.66
7.7%
1.9
D
Inadequate Prenatal Care
11.5%
13.8%
*
2
11.6%
1.7
B-
Tobacco Use in Pregnancy
5.1%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Brooks County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Whole County HPSA No
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
29.1
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
22%
55 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D F F ungraded ungraded F
Georgia Health Disparities Report 2008
160
Health Disparities Reports
Bulloch County Minority Health Report Card
Bulloch County includes Brooklet, Denmark, Hopeulikit, Leefield, Nevils, Portal, Register, Statesboro, and Stilson.
Bulloch County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
42,722
69.5%
Social and Economic Indicators
F
African American or Black
17,547
28.6%
Mortality (Deaths)
C+
Hispanic or Latino
1,453
2.4%
Asian
697
<1%
American Indian
121
<1%
Other or MultiRacial
1,185
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
D
Primary Care Access
F
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
D
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
5.5% 17.7%
Black-White racial inequalities in health outcomes cost Bulloch County 436 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
161
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
24.5%
36.7%
41.7%
1.9
19.9%
2.8
C-
Education (adults w/ <9th grade education)
7.5%
14.2%
20.6%
2.6
11.8%
1.9
C+
Employment (adult unemployment)
10.2%
15.2%
10.7%
1.8
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
7,876.70
9,809.80
4,322.30
1.35
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
786.3
1,117.4
*
1.5
971.8
1.1
C+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
16,231.6
39,814.8
*
2.5
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,109.1
3,520.4
*
1.7
2,357.1
1.3
D+
Birth Outcomes
Low Birth Weight
7.1%
13.1
7.7
1.85
7.7%
1.9
C
Inadequate Prenatal Care
20%
27%
*
1.69
11.6%
1.7
F
Tobacco Use in Pregnancy
15.7%
4.3%
0%
0.19
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Bulloch County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
49.6
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
17.7%
195 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F D D ungraded ungraded D
Georgia Health Disparities Report 2008
162
Health Disparities Reports
Burke County Minority Health Report Card
Burke County includes Girard, Keysville, Midville, Sardis and Waynesboro.
Burke County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
11,179
48%
Social and Economic Indicators
F
African American or Black
11,856
50.9%
Mortality (Deaths)
D
Hispanic or Latino
411
1.8%
Asian
89
<1%
American Indian
40
<1%
Other or MultiRacial
264
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
C-
Primary Care Access
D
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
3.5%
% Estimated to Have No Health Insurance
21.3%
Black-White racial inequalities in health outcomes cost Burke County 173 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
163
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
28.7%
42.1%
35.4%
3
19.9%
2.8
F
Education (adults w/ <9th grade education)
13.3%
19.7%
13.8%
2.5
11.8%
1.9
C-
Employment (adult unemployment)
9.3%
13.4%
0%
2.4
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
12,465.30
13,371.10
*
1.13
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
801.4
1,034.5
1,333.4
1.4
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,497.9
23,724.3
*
1.8
17,803.4
1.8
B-
Mental Health Emergency Dept Visits
1,989.7
2,488.5
*
1.3
2,357.1
1.3
C+
Birth Outcomes
Low Birth Weight
8.8%
16
*
1.82
7.7%
1.9
D+
Inadequate Prenatal Care
15%
17.8%
13.3
1.25
11.6%
1.7
B-
Tobacco Use in Pregnancy
4.9%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Burke County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
8.2
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
21.3%
34 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D F F ungraded ungraded C-
Georgia Health Disparities Report 2008
164
Health Disparities Reports
Calhoun County Minority Health Report Card
Calhoun County includes Edison, Leary and Morgan.
Calhoun County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
2,185
36.6%
Social and Economic Indicators
F
African American or Black
3,766
63.1%
Mortality (Deaths)
D
Hispanic or Latino
211
3.5%
Asian
9
<1%
American Indian
8
<1%
Other or MultiRacial
21
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
B
Prenatal Care & Birth Outcomes
D
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
D
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
2.1%
% Estimated to Have No Health Insurance
23.8%
Black-White racial inequalities in health outcomes cost Calhoun County 206 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
165
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate in
County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
26.5%
37.1%
29.8%
3.4
19.9%
2.8
F
Education (adults w/ <9th grade education)
13.4%
15.5%
11.1%
1.4
11.8%
1.9
B-
Employment (adult unemployment)
5.6%
10.5%
0%
26.8
5.8%
2.9
D
Mortality
YPLL-75 Rate (Life-Years Lost)
13,356.80
15,495.40
*
1.58
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
902.3
981.9
0
1.2
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
14,333.9
19,603.6
*
1.4
17,803.4
1.8
B
Mental Health Emergency Dept Visits
2,136
3,351.4
*
1.6
2,357.1
1.3
D+
Birth Outcomes
Low Birth Weight
8.1%
16.8
19.2
2.07
7.7%
1.9
D+
Inadequate Prenatal Care
18.7%
21.2%
*
*
11.6%
1.7
D
Tobacco Use in Pregnancy
9%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Calhoun County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Whole County HPSA Yes
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
61.4
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
23.8%
0 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C F ungraded ungraded D
Georgia Health Disparities Report 2008
166
Health Disparities Reports
Camden County Minority Health Report Card
Camden County includes Colesburg, Dover Bluff, Harrietts Bluff, Kings Bay Base, Kingsland, St. Marys, Tarboro, Waverly, White Oak, and Woodbine.
Camden County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
34,574
75.6%
Social and Economic Indicators
B
African American or Black
9,416
20.6%
Mortality (Deaths)
B
Hispanic or Latino
1,491
3.3%
Asian
610
<1%
American Indian
306
<1%
Other or MultiRacial
1,769
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
C
Primary Care Access
F
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
A-
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
6.2%
% Estimated to Have No Health Insurance
13.7%
Black-White racial inequalities in health outcomes cost Camden County 48 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
167
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
10.1%
21.1%
10.3%
3.1
19.9%
2.8
C
Education (adults w/ <9th grade education)
4.4%
10.3%
4.9%
3.8
11.8%
1.9
B
Employment (adult unemployment)
5.8%
7.9%
14.7%
1.6
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
7,203.70
7,905.50
*
1.07
6,363
1.2
B
Age-Adjusted Death Rate per 100,000
1,138.8
1,167.6
0
1
971.8
1.1
B
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
23,326.9
8,182.6
*
0.4
17,803.4
1.8
A
Mental Health Emergency Dept Visits
2,527.2
723.5
*
.3
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
4.4%
10.2
4.5
2.32
7.7%
1.9
C
Inadequate Prenatal Care
16.5%
20.3%
*
1.53
11.6%
1.7
C-
Tobacco Use in Pregnancy
15.8%
11.3%
0%
0.61
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Camden County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Whole County HPSA No
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
124.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
13.7%
94 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F B B ungraded ungraded A-
Georgia Health Disparities Report 2008
168
Health Disparities Reports
Candler County Minority Health Report Card
Candler County includes Metter and Pulaski.
Candler County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
7,614
73.8%
Social and Economic Indicators
F
African American or Black
2,596
25.2%
Mortality (Deaths)
D
Hispanic or Latino
1,254
12.1%
Asian
32
<1%
American Indian
59
<1%
Other or MultiRacial
111
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C+
Primary Care Access
C
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
9.5%
% Estimated to Have No Health Insurance
21.1%
Black-White racial inequalities in health outcomes cost Candler County 93 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
169
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
26.1%
43.7%
54.6%
2.9
19.9%
2.8
F
Education (adults w/ <9th grade education)
17.9%
21.8%
50.3%
1.7
11.8%
1.9
F
Employment (adult unemployment)
7.2%
14.7%
0%
2.7
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
11,525.20
14,338.30
*
1.36
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
1,086.2
1,060
*
1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
32,827.8
63,646.9
*
1.9
17,803.4
1.8
F
Mental Health Emergency Dept Visits
3,107.1
4,936.1
*
1.6
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
5%
12
4.7
2.40
7.7%
1.9
C
Inadequate Prenatal Care
10.5%
14.9%
10
1.8
11.6%
1.7
B
Tobacco Use in Pregnancy
9.3%
3.8%
*
0.31
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Candler County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
54.2
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
21.1%
124 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C D F ungraded ungraded F
Georgia Health Disparities Report 2008
170
Health Disparities Reports
Charlton County Minority Health Report Card
Charlton County includes Folkston, Homeland, Moniac, Race Pond, Saint George, and Winokur.
Charlton County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
7,536
69.8%
Social and Economic Indicators
F
African American or Black
3,089
28.6%
Mortality (Deaths)
A
Hispanic or Latino
82
0.8%
Asian
47
<1%
American Indian
47
<1%
Other or MultiRacial
165
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
A-
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
2.2%
% Estimated to Have No Health Insurance
17.8%
Black-White racial inequalities in health outcomes cost Charlton County 24 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
171
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
20.9%
38.2%
40%
2.5
19.9%
2.8
F
Education (adults w/ <9th grade education)
10.9%
16.2%
44.4%
1.8
11.8%
1.9
C+
Employment (adult unemployment)
5.2%
13.9%
0%
4.8
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
6,935.70
6,503.50
0
0.89
6,363
1.2
A
Age-Adjusted Death Rate per 100,000
928.5
*
0
*
971.8
1.1
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
32,750.7
46,504
*
1.4
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,410.3
3,050.2
*
1.3
2,357.1
1.3
C+
Birth Outcomes
Low Birth Weight
7.7%
7.9
0
1.03
7.7%
1.9
A
Inadequate Prenatal Care
7.9%
*
*
*
11.6%
1.7
*
Tobacco Use in Pregnancy
15.7%
0%
*
0
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Charlton County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
71.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
17.8%
25 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C D ungraded ungraded C-
Georgia Health Disparities Report 2008
172
Health Disparities Reports
Chattooga County Minority Health Report Card
Chattooga County includes Lyerly, Menlo, Summerville and Trion.
Chattooga County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
23,452
88.3%
Social and Economic Indicators
B-
African American or Black
2,844
10.7%
Mortality (Deaths)
C
Hispanic or Latino
853
Asian
68
3.2% <1%
Illness Events (Hospital Admits & Emergency Visits)
B+
Prenatal Care & Birth Outcomes
D
American Indian
6
<1%
Primary Care Access
F
Other or MultiRacial
274
<1%
Physician Racial-Ethnic Diversity
*
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
B-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.7% 13.6%
Black-White racial inequalities in health outcomes cost Chattooga County 7 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
173
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
14.3%
23.1%
10.6%
1.7
19.9%
2.8
B
Education (adults w/ <9th grade education)
16.6%
15.5%
58.3%
0.9
11.8%
1.9
B-
Employment (adult unemployment)
5.6%
8.2%
8.2%
1.6
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
10,492.90
10,843.60
*
1.02
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
993.5
1,085.4
*
1.1
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
20,762.7
20,234.9
*
1
17,803.4
1.8
B+
Mental Health Emergency Dept Visits
2,934.3
1,219.5
*
.4
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
8.4%
13.6
10.3
1.62
7.7%
1.9
C+
Inadequate Prenatal Care
11%
15.1%
31.6
1.66
11.6%
1.7
F
Tobacco Use in Pregnancy
12.5%
3.7%
*
0.22
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Chattooga County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Whole County HPSA No
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
13.6%
53 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F * B ungraded ungraded B-
Georgia Health Disparities Report 2008
174
Health Disparities Reports
Clarke County Minority Health Report Card
Clarke County includes Athens and Winterville.
Clarke County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
72,151
69.1%
Social and Economic Indicators
D
African American or Black
27,135
26%
Mortality (Deaths)
F
Hispanic or Latino Asian
8,682 3,576
8.3% <1%
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
D+
American Indian
285
<1%
Other or MultiRacial
5,153
<1%
Primary Care Access
B
Physician Racial-Ethnic Diversity
C
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
11.8% 18.3%
Black-White racial inequalities in health outcomes cost Clarke County 1,643 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
175
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
28.3%
28.5%
30%
1
19.9%
2.8
B-
Education (adults w/ <9th grade education)
7.1%
10.6%
33.7%
2.2
11.8%
1.9
B
Employment (adult unemployment)
10.2%
13.2%
10.6%
1.5
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
5,756.30
10,337.80
3,518.70
2.39
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
982.8
1,194.4
*
1.4
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
5,736.1
37,302.1
*
6.5
17,803.4
1.8
F
Mental Health Emergency Dept Visits
1,143.7
3,182.7
*
2.8
2,357.1
1.3
D
Birth Outcomes
Low Birth Weight
6.3%
14.9
5.9
2.37
7.7%
1.9
D
Inadequate Prenatal Care
14%
17.8%
*
2.97
11.6%
1.7
C-
Tobacco Use in Pregnancy
10.1%
4%
*
0.18
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Clarke County
Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
67.1
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
18.3%
1,344 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B C D ungraded ungraded C-
Georgia Health Disparities Report 2008
176
Health Disparities Reports
Clay County Minority Health Report Card
Clay County includes Bluffton and Fort Gaines.
Clay County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
1,270
39.2%
Social and Economic Indicators
F
African American or Black
1,954
60.3%
Mortality (Deaths)
D
Hispanic or Latino
29
0.9%
Asian
11
<1%
American Indian
0
0%
Other or MultiRacial
18
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
D
Primary Care Access
F
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
1.9% 24.3%
Black-White racial inequalities in health outcomes cost Clay County 79 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
177
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
31.3%
48.5%
0%
8.8
19.9%
2.8
F
Education (adults w/ <9th grade education)
13.6%
23.1%
0%
7
11.8%
1.9
F
Employment (adult unemployment)
6.8%
11.3%
0%
4.6
5.8%
2.9
C
Mortality
YPLL-75 Rate (Life-Years Lost)
10,991.00
12,735.20
0
1.52
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
899.6
*
*
*
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
5,358.8
14,984.7
*
2.8
17,803.4
1.8
C
Mental Health Emergency Dept Visits
363.3
1,682
*
4.6
2,357.1
1.3
D
Birth Outcomes
Low Birth Weight
*
17.1
0
*
7.7%
1.9
*
Inadequate Prenatal Care
16.5%
*
28.6
*
11.6%
1.7
F
Tobacco Use in Pregnancy
8.2%
0%
0%
0
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Clay County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
24.3%
5 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F * F ungraded ungraded C-
Georgia Health Disparities Report 2008
178
Health Disparities Reports
Clinch County Minority Health Report Card
Clinch County includes Cogdell, Council, Dupont, Edith, Fargo, Homerville, Sirmans, Thelma and Withers.
Clinch County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
4,704
67.2%
Social and Economic Indicators
D+
African American or Black
Hispanic or Latino
2,166 75
31% 1.1%
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
F
Asian
39
<1%
Prenatal Care & Birth Outcomes
A-
American Indian
49
<1%
Primary Care Access
F
Other or MultiRacial
126
<1%
Physician Racial-Ethnic Diversity
C
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
F
Oral Health Care Access
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
Whole County HPSA 3.1%
18%
Black-White racial inequalities in health outcomes cost Clinch County 9 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
179
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
23.4%
35.4%
14.3%
1.9
19.9%
2.8
C-
Education (adults w/ <9th grade education)
19.3%
21.5%
0%
1.1
11.8%
1.9
F
Employment (adult unemployment)
4.2%
7.9%
0%
2.8
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
11,167.20
11,562.20
0
1.04
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
1,124.1
1,292.6
362.5
1.2
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
32,226.8
51,854.5
*
1.6
17,803.4
1.8
F
Mental Health Emergency Dept Visits
3,025.9
5,381.8
*
1.8
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
10.2%
9.7
*
0.95
7.7%
1.9
A
Inadequate Prenatal Care
6.3%
8%
13.2
1.57
11.6%
1.7
B-
Tobacco Use in Pregnancy
10.6%
5%
*
0.35
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Clinch County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
89.2
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
18%
9 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F C D ungraded ungraded F
Georgia Health Disparities Report 2008
180
Health Disparities Reports
Coffee County Minority Health Report Card
Coffee County includes Ambrose, Broxton, Bushnell, Douglas, Lax, Mora, Nicholls, Pridgen, Upton and West Green.
Coffee County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
28,343
71.4%
Social and Economic Indicators
D
African American or Black
10,716
27%
Mortality (Deaths)
C
Hispanic or Latino
3,461
8.7%
Asian
296
<1%
American Indian
155
<1%
Other or MultiRacial
615
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
D+
Primary Care Access
A
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
7.8%
% Estimated to Have No Health Insurance
22.1%
Black-White racial inequalities in health outcomes cost Coffee County 135 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
181
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
19.1%
30.8%
22.8%
2.1
19.9%
2.8
C
Education (adults w/ <9th grade education)
12.2%
11.9%
37.7%
1.1
11.8%
1.9
A-
Employment (adult unemployment)
6.4%
9.4%
11.3%
1.9
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
9,887.00
10,988.00
3,704.60
1.13
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
895
*
*
*
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
25,779.3
45,644.3
*
1.8
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,476.9
3,058.4
*
1.2
2,357.1
1.3
C+
Birth Outcomes
Low Birth Weight
7.3%
16.6
5.3
2.27
7.7%
1.9
D+
Inadequate Prenatal Care
7.3%
*
*
*
11.6%
1.7
*
Tobacco Use in Pregnancy
18.2%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Coffee County
Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA Yes
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
67.5
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
22.1%
342 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
A A C F ungraded ungraded C-
Georgia Health Disparities Report 2008
182
Health Disparities Reports
Colquitt County Minority Health Report Card
Colquitt County includes Berlin, Doerun, Ellenton, Funston, Moultrie, Norman Park and Riverside.
Colquitt County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
33,065
75.3%
Social and Economic Indicators
F
African American or Black
10,280
23.4%
Mortality (Deaths)
D
Hispanic or Latino
6,153
14%
Asian
180
<1%
American Indian
132
<1%
Other or MultiRacial
570
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C+
Primary Care Access
C
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
10.8%
% Estimated to Have No Health Insurance
22.1%
Black-White racial inequalities in health outcomes cost Colquitt County 580 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
19.8%
35.3%
34.3%
2.7
19.9%
2.8
D
Education (adults w/ <9th grade education)
14.8%
16.9%
61.6%
1.6
11.8%
1.9
C-
Employment (adult unemployment)
6.3%
10.7%
14.7%
2.9
5.8%
2.9
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,708.10
15,352.30
5,520.50
1.62
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
888.3
972.1
*
1.1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
25,482.5
5,4511
*
2.1
17,803.4
1.8
F
Mental Health Emergency Dept Visits
3,901.9
5,387.9
*
1.4
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
7.7%
13.2
5.9
1.71
7.7%
1.9
C+
Inadequate Prenatal Care
10%
18.3%
9
1.99
11.6%
1.7
B
Tobacco Use in Pregnancy
19.4%
14%
0%
0.69
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Colquitt County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Partial-County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
25.9
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
22.1%
501 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C F F ungraded ungraded F
Georgia Health Disparities Report 2008
184
Health Disparities Reports
Columbia County Minority Health Report Card
Columbia County includes Appling, Grovetown and Harlem.
Columbia County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
83,876
80.8%
Social and Economic Indicators
A-
African American or Black
14,576
14%
Mortality (Deaths)
C+
Hispanic or Latino
2,993
2.9%
Asian
3,565
<1%
American Indian
305
<1%
Other or MultiRacial
5,360
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
C
Primary Care Access
B
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
B
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
8.2% 10.7%
Black-White racial inequalities in health outcomes cost Columbia County 370 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
185
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
5.1%
12.8%
9.9%
3.1
19.9%
2.8
C
Education (adults w/ <9th grade education)
3.9%
9.6%
10.8%
3.2
11.8%
1.9
B
Employment (adult unemployment)
3.7%
7.9%
6.7%
2.6
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
6,579.90
9,025.50
1,890.80
1.41
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
880.5
*
308.5
*
971.8
1.1
C+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
8,947.4
17,845
*
2
17,803.4
1.8
B-
Mental Health Emergency Dept Visits
1,343
1,484.3
*
1.1
2,357.1
1.3
B
Birth Outcomes
Low Birth Weight
6.3%
12.8
5.2
2.03
7.7%
1.9
C
Inadequate Prenatal Care
20.4%
0%
40.9
0
11.6%
1.7
C
Tobacco Use in Pregnancy
14.9%
0%
*
0
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Columbia County Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
46.1
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
10.7%
276 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B D A ungraded ungraded B
Georgia Health Disparities Report 2008
186
Health Disparities Reports
Cook County Minority Health Report Card
Cook County includes Adel, Cecil, Lenox, and Sparks.
Cook County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
11,599
70.9%
Social and Economic Indicators
F
African American or Black
4,581
28%
Mortality (Deaths)
D
Hispanic or Latino
806
4.9%
Asian
100
<1%
American Indian
34
<1%
Other or MultiRacial
186
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
F
Primary Care Access
F
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.5% 20.7%
Black-White racial inequalities in health outcomes cost Cook County 120 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
187
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
20.7%
34.1%
47.5%
2.3
19.9%
2.8
D+
Education (adults w/ <9th grade education)
12.9%
18.8%
38.3%
1.8
11.8%
1.9
C-
Employment (adult unemployment)
5.3%
10.2%
2%
3
5.8%
2.9
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
12,227.90
14,339.90
*
1.24
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
1,169.1
1,656.1
0
1.4
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
26,477.9
44,703.8
*
1.7
17,803.4
1.8
F
Mental Health Emergency Dept Visits
3,211.6
3,797.9
*
1.2
2,357.1
1.3
C-
Birth Outcomes
Low Birth Weight
10.7%
18
6.7
1.68
7.7%
1.9
F
Inadequate Prenatal Care
7.3%
27.8%
0
*
11.6%
1.7
C
Tobacco Use in Pregnancy
13.8%
0%
0%
0
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Cook County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
20.7%
59 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F * F ungraded ungraded C-
Georgia Health Disparities Report 2008
188
Health Disparities Reports
Crisp County Minority Health Report Card
Crisp County includes Arabi and Cordele.
Crisp County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
11,921
54.1%
Social and Economic Indicators
F
African American or Black
9,718
44.1%
Mortality (Deaths)
F
Hispanic or Latino
548
2.5%
Asian
255
<1%
American Indian
38
<1%
Other or MultiRacial
378
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
D
Primary Care Access
D
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
4.6%
% Estimated to Have No Health Insurance
21.9%
Black-White racial inequalities in health outcomes cost Crisp County 812 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
189
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
29.3%
50.8%
39%
3.9
19.9%
2.8
F
Education (adults w/ <9th grade education)
11.5%
17.2%
38.5%
2.3
11.8%
1.9
C-
Employment (adult unemployment)
7%
15.2%
0%
6.4
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
12,586.40
17,503.80
*
1.99
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
1,099.7
1,189.2
*
1.3
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
19,991.3
46,857.2
*
2.3
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,784.7
4,890.6
*
1.8
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
7.8%
16.2
8.5
2.08
7.7%
1.9
D+
Inadequate Prenatal Care
14.7%
16.6%
*
*
11.6%
1.7
D
Tobacco Use in Pregnancy
7.8%
6.9%
*
0.49
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Crisp County
Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Whole County HPSA No
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
51.8
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
21.9%
71 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D D F ungraded ungraded F
Georgia Health Disparities Report 2008
190
Health Disparities Reports
Decatur County Minority Health Report Card
Decatur County includes Attapulgus, Bainbridge, Brinson and Climax.
Decatur County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
16,617
58.1%
Social and Economic Indicators
F
African American or Black
11,607
40.6%
Mortality (Deaths)
B+
Hispanic or Latino
1,044
3.6%
Asian
140
<1%
American Indian
122
<1%
Other or MultiRacial
394
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
B-
Primary Care Access
F
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.7% 21.3%
Black-White racial inequalities in health outcomes cost Decatur County 16 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
191
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
22.7%
37.9%
35%
3.3
19.9%
2.8
F
Education (adults w/ <9th grade education)
11.2%
16%
32.4%
2
11.8%
1.9
C+
Employment (adult unemployment)
6.5%
11.4%
9.9%
3.2
5.8%
2.9
C
Mortality
YPLL-75 Rate (Life-Years Lost)
9,237.20
9,382.50
3,776.30
1.02
6,363
1.2
B+
Age-Adjusted Death Rate per 100,000
991.1
1,107.9
*
1.1
971.8
1.1
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,778.3
30,783.9
*
1.7
17,803.4
1.8
C
Mental Health Emergency Dept Visits
2,975.2
3,469
*
1.2
2,357.1
1.3
C-
Birth Outcomes
Low Birth Weight
7.7%
13.4
4
1.74
7.7%
1.9
C+
Inadequate Prenatal Care
7.8%
5.7%
9.1
0.69
11.6%
1.7
A
Tobacco Use in Pregnancy
15%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Decatur County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
275.7
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
21.3%
122 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F B F ungraded ungraded C-
Georgia Health Disparities Report 2008
192
Health Disparities Reports
Dodge County Minority Health Report Card
Dodge County includes Chauncey, Chester, and Eastman.
Dodge County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
13,457
68.7%
Social and Economic Indicators
D
African American or Black
5,980
30.6%
Mortality (Deaths)
D
Hispanic or Latino
345
1.8%
Asian
67
<1%
American Indian
38
<1%
Other or MultiRacial
137
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
D+
Primary Care Access
D
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C+
Oral Health Care Access
PartialCounty HPSA
% Speaking non-English Language at Home
2.8%
% Estimated to Have No Health Insurance
18.1%
Black-White racial inequalities in health outcomes cost Dodge County 195 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
193
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
17.4%
28.4%
32.7%
2.1
19.9%
2.8
C
Education (adults w/ <9th grade education)
12.6%
14.4%
53.6%
1.2
11.8%
1.9
B-
Employment (adult unemployment)
5.4%
7.7%
0%
1.6
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
10,742.70
13,151.00
*
1.35
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
946.3
1,282.9
0
1.5
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
31,501.9
39,509
*
1.3
17,803.4
1.8
C-
Mental Health Emergency Dept Visits
4,031.1
3,897.7
*
1.0
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
9%
16.8
*
1.87
7.7%
1.9
D+
Inadequate Prenatal Care
13.7%
16.5%
*
1.33
11.6%
1.7
C+
Tobacco Use in Pregnancy
7.9%
4.7%
0%
0.49
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Dodge County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
84.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
18.1%
33 persons Partial-County HPSA
(Dental) non-HPSA (Mental
Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D C D ungraded ungraded C+
Georgia Health Disparities Report 2008
194
Health Disparities Reports
Dooly County Minority Health Report Card
Dooly County includes Byromville, Dooling, Lilly, Pinehurst, Unadilla and Vienna.
Dooly County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,754
49%
Social and Economic Indicators
F
African American or Black
5,834
49.7%
Mortality (Deaths)
C
Hispanic or Latino
535
4.6%
Asian
85
<1%
American Indian
16
<1%
Other or MultiRacial
161
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
D
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
4.7%
% Estimated to Have No Health Insurance
23.5%
Black-White racial inequalities in health outcomes cost Dooly County 32 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
195
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
22.1%
32.3%
28.1%
2.9
19.9%
2.8
D
Education (adults w/ <9th grade education)
11.5%
16.6%
33.1%
2.7
11.8%
1.9
C+
Employment (adult unemployment)
6.4%
10.7%
8.3%
4.1
5.8%
2.9
C
Mortality
YPLL-75 Rate (Life-Years Lost)
11,398.40
11,293.60
*
0.95
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
956.4
1,058.1
*
1.1
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
16,069.8
27,147.1
*
1.7
17,803.4
1.8
C
Mental Health Emergency Dept Visits
1,069.8
3,158.9
*
3.0
2,357.1
1.3
D
Birth Outcomes
Low Birth Weight
9%
16
8.1
1.78
7.7%
1.9
C-
Inadequate Prenatal Care
10.4%
14.8%
36.8
1.63
11.6%
1.7
F
Tobacco Use in Pregnancy
17.7%
6.3%
0%
0.29
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Dooly County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
23.5%
34 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * F ungraded ungraded C-
Georgia Health Disparities Report 2008
196
Health Disparities Reports
Dougherty County Minority Health Report Card
Dougherty County includes Albany.
Dougherty County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
32,478
34.2%
Social and Economic Indicators
D+
African American or Black
60,487
63.7%
Mortality (Deaths)
C
Hispanic or Latino
1,417
1.5%
Asian
1,007
<1%
American Indian
213
<1%
Other or MultiRacial
1,917
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
D
Primary Care Access
B
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
4.4%
% Estimated to Have No Health Insurance
19.9%
Black-White racial inequalities in health outcomes cost Dougherty County 1,128 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
197
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
24.8%
34.2%
13.9%
3.3
19.9%
2.8
F
Education (adults w/ <9th grade education)
8.6%
11.2%
15.8%
2.1
11.8%
1.9
B
Employment (adult unemployment)
10.1%
15%
9.6%
3.8
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
10,396.70
11,238.80
8,417.60
1.21
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
1,215.6
1,185.6
*
1
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
15,802
33,499.5
*
2.1
17,803.4
1.8
D
Mental Health Emergency Dept Visits
2,973.2
4,757.7
*
1.6
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
8.4%
14.1
7
1.68
7.7%
1.9
C+
Inadequate Prenatal Care
15.1%
19.4%
33.1
1.36
11.6%
1.7
F
Tobacco Use in Pregnancy
17.2%
9.3%
0%
0.49
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Dougherty County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Partial-County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
242.9
Median is 34.9 per 100,000, much lower than for white physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
19.9%
166 persons
Whole County HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B
B
B D ungraded ungraded F
Georgia Health Disparities Report 2008
198
Health Disparities Reports
Early County Minority Health Report Card
Early County includes Arlington, Blakely, Damascus and Jakin.
Early County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,827
48.3%
Social and Economic Indicators
F
African American or Black
6,133
50.9%
Mortality (Deaths)
D
Hispanic or Latino
165
1.4%
Asian
28
<1%
American Indian
14
<1%
Other or MultiRacial
96
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C-
Primary Care Access
C
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
2.6%
% Estimated to Have No Health Insurance
23.7%
Black-White racial inequalities in health outcomes cost Early County 317 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
199
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
25.7%
41.2%
33.5%
3.6
19.9%
2.8
F
Education (adults w/ <9th grade education)
13.7%
20.6%
0%
2.3
11.8%
1.9
F
Employment (adult unemployment)
8.1%
14.7%
0%
4
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
10,250.60
12,956.10
*
1.74
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
1,066.4
1,192.2
*
1.2
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
18,582.7
48,789.7
*
2.6
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,545
4,142
*
1.6
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
8.8%
16.8
*
1.91
7.7%
1.9
D+
Inadequate Prenatal Care
10.1%
13.1%
*
1.9
11.6%
1.7
B-
Tobacco Use in Pregnancy
13.9%
4.4%
0%
0.18
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Early County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
15.9
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
23.7%
15 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C F F ungraded ungraded F
Georgia Health Disparities Report 2008
200
Health Disparities Reports
Echols County Minority Health Report Card
Echols County includes Fruitland, Haylon, Howell, Mayday, Needmore, Potter, Statenville and Tarver.
Echols County's Racial-Ethnic Diversity
Health Report Card
Race
White African American or Black Hispanic or Latino
Number of Persons 3,826
374
1,162
Percentage of Population 90%
8.8%
27.3%
Asian
5
<1%
American Indian
44
<1%
Other or MultiRacial
53
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
Minority Health Outcome Category County Grade
Social and Economic Indicators
F
Mortality (Deaths)
*
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
*
Primary Care Access
F
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
B-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
22.4% 23.3%
*Insufficient Data are available to calculate YPPL rates.
What do the Grades Mean?
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Action Steps:
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
201
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
28.7%
41.7%
62.4%
1.9
19.9%
2.8
F
Education (adults w/ <9th grade education)
17.9%
27.4%
60.8%
2
11.8%
1.9
F
Employment (adult unemployment)
3.7%
8.4%
5.2%
3
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
5,445.50
*
*
*
6,363
1.2
*
Age-Adjusted Death Rate per 100,000
1,005.3
1,048.7
0
1
971.8
1.1
*
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
9,594.2
23,144.1
*
2.4
17,803.4
1.8
C
Mental Health Emergency Dept Visits
1,099.7
436.7
*
.4
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
5.9%
*
7.1
*
7.7%
1.9
*
Inadequate Prenatal Care
5.2%
9.2%
*
3.68
11.6%
1.7
C
Tobacco Use in Pregnancy
7%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Echols County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
23.3%
59 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F * F ungraded ungraded B-
Georgia Health Disparities Report 2008
202
Health Disparities Reports
Elbert County Minority Health Report Card
Elbert County includes Bowman and Elberton.
Elbert County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
14,334
68.9%
Social and Economic Indicators
C-
African American or Black
6,290
30.2%
Mortality (Deaths)
C
Hispanic or Latino
740
Asian
63
American Indian
48
Other or MultiRacial
175
3.6% <1% <1% <1%
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C
Primary Care Access
C
Physician Racial-Ethnic Diversity
D
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
F
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.4% 15.7%
Black-White racial inequalities in health outcomes cost Elbert County 63 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
203
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
17.3%
30.9%
21.2%
2.8
19.9%
2.8
C-
Education (adults w/ <9th grade education)
11%
16.3%
42.4%
1.8
11.8%
1.9
C+
Employment (adult unemployment)
5.8%
9.1%
18.6%
2.1
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
10,530.30
11,288.50
*
1.10
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
1,145.2
1,192
0
1.1
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,316.9
36,493.8
*
2.7
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,443.7
4,130.5
*
1.7
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
8%
13.2
*
1.65
7.7%
1.9
C+
Inadequate Prenatal Care
10.6%
15.4%
*
1.86
11.6%
1.7
C
Tobacco Use in Pregnancy
17.6%
5.8%
*
0.25
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Elbert County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
57.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15.7%
60 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C D C ungraded ungraded F
Georgia Health Disparities Report 2008
204
Health Disparities Reports
Emanuel County Minority Health Report Card
Emanuel County includes Adrian, Garfield, Stillmore, Swainsboro and Twin City.
Emanuel County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
14,700
66.5%
Social and Economic Indicators
F
African American or Black
7,218
32.6%
Mortality (Deaths)
D
Hispanic or Latino
1,311
5.9%
Asian
87
<1%
American Indian
34
<1%
Other or MultiRacial
190
<1%
Populations are estimated based on the 2005 Census data
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
5.9%
% Estimated to Have No Health Insurance
23.3%
Black-White racial inequalities in health outcomes cost Emanuel County 401 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
205
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
27.4%
43.2%
61.4%
2.4
19.9%
2.8
F
Education (adults w/ <9th grade education)
15%
20.4%
43.9%
1.7
11.8%
1.9
F
Employment (adult unemployment)
4.4%
7.1%
0.4%
2
5.8%
2.9
A
Mortality
YPLL-75 Rate (Life-Years Lost)
12,241.80
15,997.80
4,851.70
1.56
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
982.5
714.4
0
0.7
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
23,512.1
40,467.8
*
1.7
17,803.4
1.8
F
Mental Health Emergency Dept Visits
3,058.4
4,148.3
*
1.4
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
6.9%
14.2
4.5
2.06
7.7%
1.9
C
Inadequate Prenatal Care
10.8%
14.4%
*
1.48
11.6%
1.7
C+
Tobacco Use in Pregnancy
13.6%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Emanuel County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
76.6
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
23.3%
90 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C F ungraded ungraded F
Georgia Health Disparities Report 2008
206
Health Disparities Reports
Evans County Minority Health Report Card
Evans County includes Bellville, Claxton, Daisy and Hagan.
Evans County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
7,654
66.9%
Social and Economic Indicators
F
African American or Black
3,666
32%
Mortality (Deaths)
C
Hispanic or Latino
1,000
8.7%
Asian
47
<1%
American Indian
55
<1%
Other or MultiRacial
123
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
C
Primary Care Access
B
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
D
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
7.1% 22.9%
Black-White racial inequalities in health outcomes cost Evans County 49 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
207
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
27%
41.4%
54.6%
2.3
19.9%
2.8
F
Education (adults w/ <9th grade education)
14.3%
17.8%
55.7%
1.7
11.8%
1.9
C-
Employment (adult unemployment)
8.1%
10.8%
3.8%
1.4
5.8%
2.9
B-
Mortality
YPLL-75 Rate (Life-Years Lost)
9,349.60
10,433.90
*
1.16
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
812.9
665.2
*
0.8
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
19,438.4
35,153.3
*
1.8
17,803.4
1.8
D+
Mental Health Emergency Dept Visits
2,246.4
3,275.9
*
1.5
2,357.1
1.3
D+
Birth Outcomes
Low Birth Weight
7%
10.1
3.5
1.44
7.7%
1.9
B
Inadequate Prenatal Care
5.1%
11.8%
*
3.19
11.6%
1.7
D
Tobacco Use in Pregnancy
7.3%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Evans County
Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
22.9%
128 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B * F ungraded ungraded D
Georgia Health Disparities Report 2008
208
Health Disparities Reports
Fannin County Minority Health Report Card
Fannin County includes Blue Ridge, McCaysville and Morganton.
Fannin County's Racial-Ethnic Diversity
Health Report Card
Race
White African American or Black Hispanic or Latino
Number of Persons 21,411
123
260
Percentage of Population 97.8%
0.6%
1.2%
Asian
57
<1%
American Indian
79
<1%
Other or MultiRacial
353
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
Minority Health Outcome Category County Grade
Social and Economic Indicators
C
Mortality (Deaths)
*
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
*
Primary Care Access
C
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
*
Oral Health Care Access
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
Whole County HPSA 2.3%
16.4%
*Insufficient Data are available to calculate YPPL rates.
What do the Grades Mean?
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Action Steps:
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
209
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
12.4%
0%
21.7%
0
19.9%
2.8
*
Education (adults w/ <9th grade education)
12.7%
0%
28.4%
0
11.8%
1.9
*
Employment (adult unemployment)
3.9%
0%
0%
0
5.8%
2.9
*
Mortality
YPLL-75 Rate (Life-Years Lost)
10,542.30
0
*
0.00
6,363
1.2
*
Age-Adjusted Death Rate per 100,000
1,063.4
1,138.8
*
1
971.8
1.1
*
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,100.4
5,154.6
*
0.4
17,803.4
1.8
A
Mental Health Emergency Dept Visits
2,031.8
0
*
.0
2,357.1
1.3
*
Birth Outcomes
Low Birth Weight
8%
0
*
0.00
7.7%
1.9
*
Inadequate Prenatal Care
12.8%
16.4%
*
1.86
11.6%
1.7
C
Tobacco Use in Pregnancy
10.5%
8.6%
0%
0.69
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Fannin County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
524.8
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
16.4%
21 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C B C ungraded ungraded *
Georgia Health Disparities Report 2008
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Health Disparities Reports
Floyd County Minority Health Report Card
Floyd County includes Cave Spring and Rome.
Floyd County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
78,799
83.7%
Social and Economic Indicators
D
African American or Black
12,878
13.7%
Mortality (Deaths)
D
Hispanic or Latino
6,551
7%
Asian
1,257
<1%
American Indian
324
<1%
Other or MultiRacial
2,521
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
D
Primary Care Access
B
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
F
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
7.8% 15.1%
Black-White racial inequalities in health outcomes cost Floyd County 432 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
14.4%
31.2%
26.9%
2.8
19.9%
2.8
C-
Education (adults w/ <9th grade education)
11.5%
13.2%
44.9%
1.3
11.8%
1.9
A-
Employment (adult unemployment)
6.7%
12.4%
6.4%
2.1
5.8%
2.9
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
10,105.00
13,298.90
5,237.50
1.36
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
980.9
756.8
*
0.8
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
31,351
69,687.5
*
2.2
17,803.4
1.8
F
Mental Health Emergency Dept Visits
4,563.2
6,177.9
*
1.4
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
7.7%
14.9
6.9
1.94
7.7%
1.9
D+
Inadequate Prenatal Care
10.4%
*
19
0
11.6%
1.7
D+
Tobacco Use in Pregnancy
12.3%
*
*
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Floyd County
Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
132.1
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15.1%
774 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B B C ungraded ungraded F
Georgia Health Disparities Report 2008
212
Health Disparities Reports
Franklin County Minority Health Report Card
Franklin County includes Canon, Carnesville, Franklin Springs, Lavonia and Royston.
Franklin County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
19,426
90%
Social and Economic Indicators
D
African American or Black
1,896
8.8%
Mortality (Deaths)
D
Hispanic or Latino
322
1.5%
Asian
105
<1%
American Indian
46
<1%
Other or MultiRacial
268
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
B+
Primary Care Access
C
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
F
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.4% 14.9%
Black-White racial inequalities in health outcomes cost Franklin County 50 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
13.9%
28.8%
0%
2.3
19.9%
2.8
C
Education (adults w/ <9th grade education)
11.1%
22.4%
7%
2.2
11.8%
1.9
F
Employment (adult unemployment)
4.2%
5.8%
50.8%
1.6
5.8%
2.9
A
Mortality
YPLL-75 Rate (Life-Years Lost)
10,370.80
13,103.10
*
1.28
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
946.4
906.4
*
0.9
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
20,930.4
37,852.7
*
1.8
17,803.4
1.8
D+
Mental Health Emergency Dept Visits
3,431.8
4,780.6
*
1.4
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
7.9%
10.2
*
1.29
7.7%
1.9
B
Inadequate Prenatal Care
5.6%
7%
*
1.43
11.6%
1.7
A-
Tobacco Use in Pregnancy
15.5%
5.1%
*
0.23
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Franklin County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
180.2
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
14.9%
11 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C B C ungraded ungraded F
Georgia Health Disparities Report 2008
214
Health Disparities Reports
Gilmer County Minority Health Report Card
Gilmer County includes East Ellijay and Ellijay.
Gilmer County's Racial-Ethnic Diversity
Health Report Card
Race
White African American or Black Hispanic or Latino
Number of Persons 26,373
212
2,386
Percentage of Population 96.5%
0.8%
8.7%
Asian
60
<1%
American Indian
225
<1%
Other or MultiRacial
750
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
Minority Health Outcome Category County Grade
Social and Economic Indicators
C
Mortality (Deaths)
*
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
*
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
Oral Health Care Access
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
C Whole County
HPSA* 8.1%
19%
*Insufficient Data are available to calculate YPPL rates.
What do the Grades Mean?
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Action Steps:
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
215
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
12.5%
9.5%
28.1%
0.8
19.9%
2.8
A
Education (adults w/ <9th grade education)
14.2%
0%
57.9%
0
11.8%
1.9
*
Employment (adult unemployment)
4.2%
0%
4.4%
0
5.8%
2.9
*
Mortality
YPLL-75 Rate (Life-Years Lost)
10,213.30
*
8,317.90
*
6,363
1.2
*
Age-Adjusted Death Rate per 100,000
916.2
810.7
*
0.9
971.8
1.1
*
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
21,114.4
6,206.9
*
0.3
17,803.4
1.8
A
Mental Health Emergency Dept Visits
2,539.8
2,069
*
.8
2,357.1
1.3
B+
Birth Outcomes
Low Birth Weight
9.3%
*
7.9
*
7.7%
1.9
*
Inadequate Prenatal Care
15.5%
26.8%
20
1.84
11.6%
1.7
F
Tobacco Use in Pregnancy
20.4%
8.5%
0%
0.4
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Gilmer County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
77.9
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
19%
243 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C D ungraded ungraded C
Georgia Health Disparities Report 2008
216
Health Disparities Reports
Glascock County Minority Health Report Card
Glascock County includes Edgehill, Gibson and Mitchell.
Glascock County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
2,428
89.8%
Social and Economic Indicators
D
African American or Black
264
9.8%
Mortality (Deaths)
F
Hispanic or Latino
12
0.4%
Asian
0
0%
American Indian
2
<1%
Other or MultiRacial
13
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
*
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
0.4% 13%
Black-White racial inequalities in health outcomes cost Glascock County 36 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
217
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
17.2%
37.7%
0%
2.5
19.9%
2.8
D
Education (adults w/ <9th grade education)
15.9%
41.6%
42.9%
3.1
11.8%
1.9
F
Employment (adult unemployment)
12.3%
39.2%
42.9%
4
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
14,292.60
29,235.40
0
2.27
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
1,130.1
1,506.4
*
1.5
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
12,513.8
30,964.5
*
2.5
17,803.4
1.8
C-
Mental Health Emergency Dept Visits
1,384.3
3,045.7
*
2.2
2,357.1
1.3
C-
Birth Outcomes
Low Birth Weight
9.5%
*
0
*
7.7%
1.9
*
Inadequate Prenatal Care
18.8%
26.1%
33.3
1.83
11.6%
1.7
F
Tobacco Use in Pregnancy
13.6%
5.2%
0%
0.28
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Glascock County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
13%
0 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * B ungraded ungraded C-
Georgia Health Disparities Report 2008
218
Health Disparities Reports
Glynn County Minority Health Report Card
Glynn County includes Brunswick, Country Club Estate, Dock Junction, Everitt, Jekyll Island, Sea Island, Sterling, St. Simon's Island, and Thalman.
Glynn County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
51,750
72%
Social and Economic Indicators
D
African American or Black
18,716
26%
Mortality (Deaths)
C
Hispanic or Latino
2,920
4.1%
Asian
519
<1%
American Indian
227
<1%
Other or MultiRacial
1,408
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
C-
Primary Care Access
B
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
A-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
5.8% 16.3%
Black-White racial inequalities in health outcomes cost Glynn County 447 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
219
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.1%
29.7%
29.1%
3.1
19.9%
2.8
D
Education (adults w/ <9th grade education)
5.9%
10.9%
25.1%
2.5
11.8%
1.9
B
Employment (adult unemployment)
5.6%
12.2%
3.9%
3.3
5.8%
2.9
D+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,185.00
12,171.20
3,739.30
1.26
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
1,070.2
1,232.9
*
1.2
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
19,413.3
10,386.1
*
0.5
17,803.4
1.8
A
Mental Health Emergency Dept Visits
2,695.4
1,016.4
*
.4
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
7.1%
14.3
7.2
2.01
7.7%
1.9
C
Inadequate Prenatal Care
13.9%
18.9%
*
2.17
11.6%
1.7
D+
Tobacco Use in Pregnancy
12.8%
6%
*
0.3
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Glynn County
Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
57.8
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
16.3%
284 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B D C ungraded ungraded A-
Georgia Health Disparities Report 2008
220
Health Disparities Reports
Gordon County Minority Health Report Card
Gordon County includes Calhoun, Fairmont, Ranger, Resaca and Plainville.
Gordon County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
47,462
94.4%
Social and Economic Indicators
B-
African American or Black
1,758
3.5%
Mortality (Deaths)
C
Hispanic or Latino
6,314
12.6%
Asian
397
<1%
American Indian
193
<1%
Other or MultiRacial
1,059
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
C
Primary Care Access
F
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
8.9% 16.1%
Black-White racial inequalities in health outcomes cost Gordon County 27 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
9.9%
17.6%
18.5%
2
19.9%
2.8
B
Education (adults w/ <9th grade education)
13.5%
10.8%
45.9%
0.9
11.8%
1.9
A-
Employment (adult unemployment)
3.5%
9.6%
7.5%
3.3
5.8%
2.9
C
Mortality
YPLL-75 Rate (Life-Years Lost)
9,772.70
11,338.10
3,513.00
1.16
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
944.4
854.9
*
0.9
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
22,025.5
35,264.9
*
1.6
17,803.4
1.8
D+
Mental Health Emergency Dept Visits
3,899.2
3,228.5
*
.8
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
7%
14
4
2.00
7.7%
1.9
C
Inadequate Prenatal Care
11%
15.2%
*
2.14
11.6%
1.7
C
Tobacco Use in Pregnancy
13.4%
*
*
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Gordon County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
26.6
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
16.1%
481 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F F C ungraded ungraded C+
Georgia Health Disparities Report 2008
222
Health Disparities Reports
Grady County Minority Health Report Card
Grady County includes Cairo and Whigham.
Grady County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
16,989
69.4%
Social and Economic Indicators
F
African American or Black
7,064
28.9%
Mortality (Deaths)
D
Hispanic or Latino
2,144
8.8%
Asian
109
<1%
American Indian
192
<1%
Other or MultiRacial
413
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
D
Primary Care Access
B
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
D
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
5.3%
% Estimated to Have No Health Insurance
21.3%
Black-White racial inequalities in health outcomes cost Grady County 263 excess years of potential life lost due to premature deaths
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
223
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
21.3%
34.5%
33.2%
2.3
19.9%
2.8
D+
Education (adults w/ <9th grade education)
11.3%
16.6%
48.4%
2
11.8%
1.9
C+
Employment (adult unemployment)
7.4%
13.5%
6.6%
2.6
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
11,038.70
13,880.30
7,882.90
1.39
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
999.6
1,134.5
*
1.2
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,910.1
33,430.4
*
2.4
17,803.4
1.8
D
Mental Health Emergency Dept Visits
2,283.5
3,828.9
*
1.7
2,357.1
1.3
D+
Birth Outcomes
Low Birth Weight
7%
12.9
4.3
1.84
7.7%
1.9
C
Inadequate Prenatal Care
13.8%
15.1%
44.3
1.23
11.6%
1.7
F
Tobacco Use in Pregnancy
11.1%
7.4%
0%
0.48
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Grady County
Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA No
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
34.9
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
21.3%
155 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B D F ungraded ungraded D
Georgia Health Disparities Report 2008
224
Health Disparities Reports
Greene County Minority Health Report Card
Greene County includes Greensboro, Siloam, Union Point, White Plains and Woodville.
Greene County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
9,228
58.8%
Social and Economic Indicators
F
African American or Black
6,325
40.3%
Mortality (Deaths)
D
Hispanic or Latino
548
3.5%
Asian
63
<1%
American Indian
43
<1%
Other or MultiRacial
140
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C-
Primary Care Access
C
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
3.6%
% Estimated to Have No Health Insurance
18.1%
Black-White racial inequalities in health outcomes cost Greene County 396 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
22.3%
36.9%
27.5%
3.7
19.9%
2.8
F
Education (adults w/ <9th grade education)
10.3%
17.4%
33.3%
3.1
11.8%
1.9
D+
Employment (adult unemployment)
6.7%
12.6%
10.8%
4.8
5.8%
2.9
D+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,391.00
14,371.70
*
1.85
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
1,071.8
1,116.1
*
1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
11,421.5
38,202.8
*
3.3
17,803.4
1.8
F
Mental Health Emergency Dept Visits
1,596.3
4,060.5
*
2.5
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
7.5%
14.1
7.9
1.88
7.7%
1.9
C
Inadequate Prenatal Care
5.4%
11.2%
*
3.39
11.6%
1.7
D
Tobacco Use in Pregnancy
14.6%
4.2%
0%
0.23
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Greene County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
32.3
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
18.1%
69 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C D D ungraded ungraded F
Georgia Health Disparities Report 2008
226
Health Disparities Reports
Habersham County Minority Health Report Card
Habersham County includes Alto, Baldwin, Clarkesville, Cornelia and Mount Airy.
Habersham County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
36,654
92.6%
Social and Economic Indicators
C
African American or Black
1,490
3.8%
Mortality (Deaths)
B
Hispanic or Latino
4,241
10.7%
Asian
865
<1%
American Indian
221
<1%
Other or MultiRacial
1,459
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
F
Primary Care Access
F
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
11.7% 15.1%
Black-White racial inequalities in health outcomes cost Habersham County 18 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
227
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
12.2%
18.3%
32.9%
1.5
19.9%
2.8
A-
Education (adults w/ <9th grade education)
13.2%
15.5%
57.8%
1.3
11.8%
1.9
B-
Employment (adult unemployment)
4.2%
12.2%
10.6%
3.4
5.8%
2.9
D+
Mortality
YPLL-75 Rate (Life-Years Lost)
6,867.00
7,994.40
1,000.90
1.16
6,363
1.2
B
Age-Adjusted Death Rate per 100,000
884.3
1,217.4
*
1.5
971.8
1.1
B
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,233.7
14,240.3
*
0.8
17,803.4
1.8
A
Mental Health Emergency Dept Visits
2,730.1
2,943.5
*
1.1
2,357.1
1.3
C+
Birth Outcomes
Low Birth Weight
6.6%
22
5.6
3.33
7.7%
1.9
F
Inadequate Prenatal Care
16.4%
22.3%
42.1
1.63
11.6%
1.7
F
Tobacco Use in Pregnancy
10.9%
6%
0%
0.45
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Habersham County Comparison Counties*
County Grade
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-
Qualified Community Health Center? grade based on HPSA
No
plus FQHC)
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
18.6
Median is 34.9 per 100,000, much lower than for white physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households Oral Health Access (Dental Health Professional Shortage
Area) Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
15.1%
435 persons
non-HPSA (Dental) non-HPSA (Mental
Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
F
F
F C ungraded ungraded C+
Georgia Health Disparities Report 2008
228
Health Disparities Reports
Hancock County Minority Health Report Card
Hancock County includes Sparta.
Hancock County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
2,225
23.1%
Social and Economic Indicators
F
African American or Black
7,383
76.6%
Mortality (Deaths)
D
Hispanic or Latino
56
0.6%
Asian
16
<1%
American Indian
17
<1%
Other or MultiRacial
35
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
B
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
A-
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
1.4%
% Estimated to Have No Health Insurance
18.9%
Black-White racial inequalities in health outcomes cost Hancock County 175 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
229
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
29.4%
35.5%
25%
9.4
19.9%
2.8
F
Education (adults w/ <9th grade education)
14.5%
17.9%
3.8%
3.4
11.8%
1.9
D+
Employment (adult unemployment)
13.7%
15.6%
0%
2.9
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
12,932.70
13,544.30
*
1.22
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
912.6
959.7
*
1.1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
10,550.7
15,200.9
*
1.4
17,803.4
1.8
B
Mental Health Emergency Dept Visits
874.9
1,036.8
*
1.2
2,357.1
1.3
A-
Birth Outcomes
Low Birth Weight
8.6%
16.1
*
1.87
7.7%
1.9
D+
Inadequate Prenatal Care
19.5%
22%
32
1.17
11.6%
1.7
F
Tobacco Use in Pregnancy
16.5%
8%
0%
0.43
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Hancock County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
40.3
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
18.9%
0 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C D D ungraded ungraded A-
Georgia Health Disparities Report 2008
230
Health Disparities Reports
Hart County Minority Health Report Card
Hart County includes Hartwell.
Hart County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
19,029
79.2%
Social and Economic Indicators
D
African American or Black
4,701
19.6%
Mortality (Deaths)
C
Hispanic or Latino
333
1.4%
Asian
177
<1%
American Indian
35
<1%
Other or MultiRacial
306
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.6% 12.8%
Black-White racial inequalities in health outcomes cost Hart County 142 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
231
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
14.8%
25.5%
30.7%
2.2
19.9%
2.8
B-
Education (adults w/ <9th grade education)
9.5%
14.2%
16.7%
1.7
11.8%
1.9
C+
Employment (adult unemployment)
5.3%
11.8%
7.3%
2.9
5.8%
2.9
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
9,733.30
12,401.70
*
1.35
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
1,022.3
1,001.9
*
1
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,418.6
25,584.3
*
1.9
17,803.4
1.8
C-
Mental Health Emergency Dept Visits
3,038.6
3,303.2
*
1.1
2,357.1
1.3
C-
Birth Outcomes
Low Birth Weight
7.2%
14.9
*
2.07
7.7%
1.9
D+
Inadequate Prenatal Care
13.2%
36.1%
30
3.28
11.6%
1.7
F
Tobacco Use in Pregnancy
19.5%
15.3%
*
0.76
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Hart County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
62.6
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
12.8%
13 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C B ungraded ungraded C+
Georgia Health Disparities Report 2008
232
Health Disparities Reports
Irwin County Minority Health Report Card
Irwin County includes Abba, Holt, Irwinville, Mystic, Ocilla, Osterfield, Waterloo, and Wray.
Irwin County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
7,440
73.7%
Social and Economic Indicators
D+
African American or Black
2,579
25.6%
Mortality (Deaths)
F
Hispanic or Latino
267
2.6%
Asian
53
<1%
American Indian
17
<1%
Other or MultiRacial
74
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
F
Primary Care Access
A
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.7% 19.6%
Black-White racial inequalities in health outcomes cost Irwin County 207 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
233
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
17.8%
37.3%
14.7%
3.4
19.9%
2.8
F
Education (adults w/ <9th grade education)
12.6%
19.1%
11.5%
1.8
11.8%
1.9
C-
Employment (adult unemployment)
6%
11.7%
0%
2.5
5.8%
2.9
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
9,228.30
15,338.20
0
2.15
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
1,107
1,381.4
0
1.4
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
19,404.4
41,121.5
*
2.1
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,959.4
3,738.3
*
1.3
2,357.1
1.3
C-
Birth Outcomes
Low Birth Weight
8.1%
20.5
0
2.53
7.7%
1.9
F
Inadequate Prenatal Care
19.6%
24.1%
*
1.88
11.6%
1.7
F
Tobacco Use in Pregnancy
19.6%
10.3%
0%
0.31
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Irwin County
Comparison Counties*
Health Care Access Access to Primary Care Providers (Health Professional Shortage
Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
non-HPSA Yes
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
35.1
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
19.6%
14 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
A A D D ungraded ungraded C-
Georgia Health Disparities Report 2008
234
Health Disparities Reports
Jackson County Minority Health Report Card
Jackson County includes Arcade, Braselton, Commerce, Hoschton, Jefferson, Maysville, Nicholson, Pendergrass and Talmo.
Jackson County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
47,393
90.6%
Social and Economic Indicators
B-
African American or Black
3,736
7.1%
Mortality (Deaths)
F
Hispanic or Latino Asian American Indian
1,969 709 66
3.8% <1% <1%
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
F
Other or MultiRacial
1,163
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Primary Care Access
F
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
B
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
5% 14.6%
Black-White racial inequalities in health outcomes cost Jackson County 270 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
235
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
12%
19.7%
15.1%
1.8
19.9%
2.8
A-
Education (adults w/ <9th grade education)
11.5%
13.7%
32%
1.3
11.8%
1.9
A-
Employment (adult unemployment)
3.4%
4.4%
7.8%
1.4
5.8%
2.9
A+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,262.20
17,241.10
3,151.80
1.75
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
788.4
*
558.6
*
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,828.4
27,930
*
1.6
17,803.4
1.8
C
Mental Health Emergency Dept Visits
1,871.7
1,788.4
*
1.0
2,357.1
1.3
B+
Birth Outcomes
Low Birth Weight
7.7%
17.5
5.7
2.27
7.7%
1.9
F
Inadequate Prenatal Care
16.5%
*
36.6
*
11.6%
1.7
F
Tobacco Use in Pregnancy
18.4%
0%
*
0
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Jackson County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
54.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
14.6%
137 persons
non-HPSA (Dental)
non-HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F D C ungraded ungraded B
Georgia Health Disparities Report 2008
236
Health Disparities Reports
Jeff Davis County Minority Health Report Card
Jeff Davis County includes Hazlehurst.
Jeff Davis County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
10,977
83.9%
Social and Economic Indicators
F
African American or Black
1,960
15%
Mortality (Deaths)
D
Hispanic or Latino
955
Asian
95
American Indian
36
7.3% <1% <1%
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
C
Other or MultiRacial
146
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Primary Care Access
F
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
F
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
5.7% 19.8%
Black-White racial inequalities in health outcomes cost Jeff Davis County 35 excess years of potential life lost due to premature deaths
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
237
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
19.4%
40.9%
29.2%
2.8
19.9%
2.8
F
Education (adults w/ <9th grade education)
13.1%
14.3%
54.3%
1.2
11.8%
1.9
B-
Employment (adult unemployment)
5.6%
11.6%
6.6%
2.4
5.8%
2.9
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
12,996.70
14,742.70
*
1.15
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
1,182.5
1,747.1
*
1.7
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
30,225.6
32,434.6
*
1.1
17,803.4
1.8
C-
Mental Health Emergency Dept Visits
3,825.2
4,916.7
*
1.3
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
7.1%
14.1
5.8
1.99
7.7%
1.9
C
Inadequate Prenatal Care
12.3%
14.5%
*
1.36
11.6%
1.7
C+
Tobacco Use in Pregnancy
12.3%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Jeff Davis County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
185.3
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
19.8%
39 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F B D ungraded ungraded F
Georgia Health Disparities Report 2008
238
Health Disparities Reports
Jefferson County Minority Health Report Card
Jefferson County includes Avera, Bartow, Louisville, Stapleton, Wadley and Wrens.
Jefferson County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
7,344
43.4%
Social and Economic Indicators
D
African American or Black
9,483
56%
Mortality (Deaths)
D
Hispanic or Latino
301
Asian
51
American Indian
19
1.8% <1% <1%
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
C
Other or MultiRacial
99
Primary Care Access
D
<1%
Physician Racial-Ethnic Diversity
*
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
D
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
1.9% 21.2%
Black-White racial inequalities in health outcomes cost Jefferson County 362 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
239
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
23%
31.9%
0%
2.9
19.9%
2.8
C-
Education (adults w/ <9th grade education)
16.7%
21.2%
50%
1.8
11.8%
1.9
F
Employment (adult unemployment)
11.8%
18%
25%
3.9
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
12,918.70
14,734.70
*
1.38
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
976.6
1,145.4
0
1.3
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
14,529.3
31,040.7
*
2.1
17,803.4
1.8
C-
Mental Health Emergency Dept Visits
2,042.6
3,923.2
*
1.9
2,357.1
1.3
D
Birth Outcomes
Low Birth Weight
4.8%
13.8
*
2.88
7.7%
1.9
C-
Inadequate Prenatal Care
11.8%
15.9%
*
2.06
11.6%
1.7
C
Tobacco Use in Pregnancy
15%
6.8%
0%
0.28
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Jefferson County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
21.2%
26 persons
non-HPSA (Dental)
Whole County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D * F ungraded ungraded D
Georgia Health Disparities Report 2008
240
Health Disparities Reports
Jenkins County Minority Health Report Card
Jenkins County includes Millen.
Jenkins County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,074
58.1%
Social and Economic Indicators
F
African American or Black
3,585
41.1%
Mortality (Deaths)
D
Hispanic or Latino
366
Asian
23
American Indian
28
4.2% <1% <1%
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
D
Other or MultiRacial
70
Primary Care Access
D
<1%
Physician Racial-Ethnic Diversity
F
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA
% Speaking non-English Language at Home
4.2%
% Estimated to Have No Health Insurance
22.3%
Black-White racial inequalities in health outcomes cost Jenkins County 79 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
241
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
28.4%
48.7%
68.6%
3.7
19.9%
2.8
F
Education (adults w/ <9th grade education)
17.2%
26.6%
41.9%
2.2
11.8%
1.9
F
Employment (adult unemployment)
10.7%
18.5%
0%
2.8
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
12,922.80
14,402.90
*
1.19
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
965.7
1,093.6
*
1.2
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
24,109.5
47,619
*
2
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,684.7
4,629.6
*
1.7
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
5.5%
13.9
0
2.53
7.7%
1.9
C-
Inadequate Prenatal Care
15.7%
13.7%
73.7
0.78
11.6%
1.7
F
Tobacco Use in Pregnancy
15.5%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Jenkins County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
25.3
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
22.3%
44 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D F F ungraded ungraded F
Georgia Health Disparities Report 2008
242
Health Disparities Reports
Johnson County Minority Health Report Card
Johnson County includes Kite and Wrightsville.
Johnson County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,726
60%
Social and Economic Indicators
F
African American or Black
3,769
39.5%
Mortality (Deaths)
B+
Hispanic or Latino
114
Asian
22
American Indian
4
1.2% <1% <1%
Illness Events (Hospital Admits & Emergency Visits)
B
Prenatal Care & Birth Outcomes
C-
Other or MultiRacial
43
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
B
Oral Health Care Access
non-HPSA
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
1.2% 19.5%
Black-White racial inequalities in health outcomes cost Johnson County 103 excess years of potential life lost due to premature deaths.
Action Steps:
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
243
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
22.6%
44.1%
0%
3.9
19.9%
2.8
F
Education (adults w/ <9th grade education)
15.8%
24.8%
0%
2
11.8%
1.9
F
Employment (adult unemployment)
5.5%
11.9%
0%
3.8
5.8%
2.9
D+
Mortality
YPLL-75 Rate (Life-Years Lost)
8,971.30
7,328.90
0
0.72
6,363
1.2
B+
Age-Adjusted Death Rate per 100,000
967
1,233.7
*
1.3
971.8
1.1
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
10,661.8
15,330.9
*
1.4
17,803.4
1.8
B
Mental Health Emergency Dept Visits
942.1
657.6
*
.7
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
8%
13.1
*
1.64
7.7%
1.9
C+
Inadequate Prenatal Care
11.2%
15.4%
26.7
1.45
11.6%
1.7
D+
Tobacco Use in Pregnancy
23.5%
19.7%
0%
0.81
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Johnson County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
61.8
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
19.5%
0 persons
non-HPSA (Dental)
Partial-County HPSA (Mental Health)
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C D ungraded ungraded B
Georgia Health Disparities Report 2008
244
Health Disparities Reports
Lanier County Minority Health Report Card
Lanier County includes Lakeland and Stockton.
Lanier County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,506
72.9%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
1,907 180
25.2% 2.4%
Asian
33
<1%
American Indian
51
<1%
Other or MultiRacial
140
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
D
Primary Care Access
F
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.6% 19.6%
Black-White racial inequalities in health outcomes cost Lanier County 7 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
245
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
18.5%
31.6%
22.7%
2.2
19.9%
2.8
C
Education (adults w/ <9th grade education)
10.7%
11.9%
26%
1.2
11.8%
1.9
A-
Employment (adult unemployment)
6.2%
12.7%
5.9%
2.9
5.8%
2.9
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
9,841.20
10,344.80
0
1.04
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
1,063.9
1,085.4
0
1
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
40,779.4
51,769.2
*
1.3
17,803.4
1.8
F
Mental Health Emergency Dept Visits
4,457.5
3,923.1
*
.9
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
8.8%
14.1
*
1.60
7.7%
1.9
C+
Inadequate Prenatal Care
23.4%
31.6%
*
3.4
11.6%
1.7
F
Tobacco Use in Pregnancy
7.7%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Lanier County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population)
19.6%
18.6% (median uninsured rate)
Persons Living in Linguistically-Isolated Households
15 persons
39 persons
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (Dental)
47/108 are whole or partial county Dental HPSAs
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F * D ungraded ungraded C-
Georgia Health Disparities Report 2008
246
Health Disparities Reports
Laurens County Minority Health Report Card
Laurens County includes Dublin, Dudley, East Dublin, Montrose and Rentz.
Laurens County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
29,727
63.4%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
16,471 696
35.1% 1.5%
Asian
403
<1%
American Indian
101
<1%
Other or MultiRacial
698
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
F
Primary Care Access
B
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
B
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.8% 17.4%
Black-White racial inequalities in health outcomes cost Laurens County 749 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
247
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
18.4%
35.9%
28.1%
4
19.9%
2.8
F
Education (adults w/ <9th grade education)
10.6%
17%
22.6%
2.3
11.8%
1.9
C-
Employment (adult unemployment)
5.2%
9.2%
7%
2.7
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
10,993.70
14,253.90
*
1.51
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
1,019.1
1,115.3
0
1.3
9,71.8
1.1
D
Illness Events
Extreme variation in rates & rate ratios across counties indicate racial disparities
Preventable Hospitalizations
Rates / 100,000
operating in two opposite directions lack of access to primary /preventive care
2.69
and increased illness increasing need for hospital admission, but bias against
admitting uninsured or low-income clients working to decrease admit rates.
Preventable Emergency Dept. Visits
14,456.1
30,405.7
*
2.1
17,803.4
1.8
C-
Mental Health Emergency Dept Visits
1,687.7
2,273.6
*
1.3
2,357.1
1.3
B
Birth Outcomes
Low Birth Weight
7.6%
17.1
*
2.25
7.7%
1.9
F
Inadequate Prenatal Care
10.6%
13.6%
*
*
11.6%
1.7
C
Tobacco Use in Pregnancy
9.1%
11.4%
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Laurens County Comparison Counties* County Grade
Health Care Access
County
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
non-HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
87.7 17.4% 85 persons
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (dental)
Mental Health Access (Mental Health Professional Shortage non-HPSA (Mental
Area HPSA; grade also based on mental health ED visits)
Health)
Comparison Counties*
County Grade
85 out of 108 are Whole County
(4 Partial County) Primary Care
B
HPSAs
46 out of 108 are included in
a community health center
B
catchment area
Median is 34.9 per 100,000, much lower than for white physicians.
C
18.6% (median uninsured rate)
D
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health HPSAs
ungraded ungraded
B
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
Georgia Health Disparities Report 2008
248
Health Disparities Reports
Lee County Minority Health Report Card
Lee County includes Leesburg and Smithville.
Lee County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
25,268
81.3%
Social and Economic Indicators
B
African American or Black
Hispanic or Latino
5,201 407
16.7% 1.3%
Asian
389
<1%
American Indian
83
<1%
Other or MultiRacial
630
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
D
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.3% 12.7%
Black-White racial inequalities in health outcomes cost Lee County 82 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
249
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
8.2%
24.2%
9.1%
4.1
19.9%
2.8
D
Education (adults w/ <9th grade education)
4.1%
13.2%
2.1%
5.3
11.8%
1.9
C
Employment (adult unemployment)
3.4%
12.5%
6.5%
5.6
5.8%
2.9
D
Mortality
YPLL-75 Rate (Life-Years Lost)
6,180.40
7,638.10
0
1.27
6,363
1.2
B
Age-Adjusted Death Rate per 100,000
1,099.6
1,229.3
226
1.1
971.8
1.1
B
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
8,760.2
17,034.6
*
1.9
17,803.4
1.8
B-
Mental Health Emergency Dept Visits
1,588
3,251.8
*
2.0
2,357.1
1.3
D
Birth Outcomes
Low Birth Weight
7%
14.7
*
2.10
7.7%
1.9
D+
Inadequate Prenatal Care
21.2%
27.2%
31.9
1.39
11.6%
1.7
F
Tobacco Use in Pregnancy
12.8%
7.8%
0%
0.55
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Lee County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
19.8
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population)
12.7%
18.6% (median uninsured rate)
Persons Living in Linguistically-Isolated Households
20 persons
39 persons
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (Dental)
47/108 are whole or partial county Dental HPSAs
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C F B ungraded ungraded D
Georgia Health Disparities Report 2008
250
Health Disparities Reports
Lincoln County Minority Health Report Card
Lincoln County includes Lincolnton.
Lincoln County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,492
66.9%
Social and Economic Indicators
B
African American or Black
Hispanic or Latino
2,665 76
32.5% 0.9%
Asian
9
<1%
American Indian
30
<1%
Other or MultiRacial
50
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
F
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
F
Primary Care Access
F
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
A-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
1.9%
% Estimated to Have No Health Insurance
16.2%
Black-White racial inequalities in health outcomes cost Lincoln County 203 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
251
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.3%
26.6%
9.1%
2.8
19.9%
2.8
C
Education (adults w/ <9th grade education)
9.6%
18.7%
10%
3.3
11.8%
1.9
D+
Employment (adult unemployment)
6%
14.1%
0%
5.5
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
10,620.40
15,964.50
*
1.97
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
1,095.7
1,175.9
*
1.1
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
10,009.4
25,965.4
*
2.6
17,803.4
1.8
D
Mental Health Emergency Dept Visits
1,707.2
1,168.7
*
.7
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
9.5%
20
0
2.11
7.7%
1.9
F
Inadequate Prenatal Care
12.8%
19.5%
19.2
2.27
11.6%
1.7
D+
Tobacco Use in Pregnancy
11.8%
10%
*
0.78
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Lincoln County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
36.5
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population)
16.2%
18.6% (median uninsured rate)
Persons Living in Linguistically-Isolated Households
7 persons
39 persons
Oral Health Access (Dental Health Professional Shortage Area)
Whole County HPSA (Dental)
47/108 are whole or partial county Dental HPSAs
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F D C ungraded ungraded A-
Georgia Health Disparities Report 2008
252
Health Disparities Reports
Lowndes County Minority Health Report Card
Lowndes County includes Barretts, Bermiss, Clyattville, Dasher, Hahira, Kinderlou, Lake Park, Naylor, Ousley, Remerton, Twin Lakes and Valdosta.
Lowndes County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
60,947
63%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
32,976 2,876
34.1% 3%
Asian
1,269
<1%
American Indian
369
<1%
Other or MultiRacial
2782
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
F
Primary Care Access
B
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.9% 16.9%
Black-White racial inequalities in health outcomes cost Lowndes County 1,599 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
253
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
18.3%
32.2%
25.4%
3
19.9%
2.8
D
Education (adults w/ <9th grade education)
6.6%
11.2%
19.2%
2.7
11.8%
1.9
B
Employment (adult unemployment)
5.8%
9.7%
4.8%
2.5
5.8%
2.9
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
9,036.80
12,451.80
6,228.20
1.67
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
1,006.2
1,241.7
453.2
1.3
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
12,637.2
23,337
*
1.8
17,803.4
1.8
B-
Mental Health Emergency Dept Visits
2,004.4
2,933.2
*
1.5
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
7.1%
15.1
5.7
2.13
7.7%
1.9
D+
Inadequate Prenatal Care
14.8%
19.4%
28.4
1.52
11.6%
1.7
F
Tobacco Use in Pregnancy
11.9%
7.7%
*
0.55
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Lowndes County Comparison Counties* County Grade
Health Care Access
County
Comparison Counties*
County Grade
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
non-HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
B
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
B
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
78.0
Median is 34.9 per 100,000, much lower than for white
physicians.
C
Health Insurance Coverage (uninsured rate as % of population)
16.9%
18.6% (median uninsured rate)
C
Persons Living in Linguistically-Isolated Households
230 persons
39 persons
ungraded
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (dental)
47/108 are whole or partial county Dental HPSAs
ungraded
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
C-
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
Georgia Health Disparities Report 2008
254
Health Disparities Reports
Lumpkin County Minority Health Report Card
Lumpkin County includes Dahlonega.
Lumpkin County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
23,350
96%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
404 1,167
1.7% 4.8%
Asian
98
<1%
American Indian
173
<1%
Other or MultiRacial
570
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
A
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
*
Primary Care Access
F
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
6.7% 14.9%
Black-White racial inequalities in health outcomes cost Lumpkin County 8 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
255
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
13.2%
37.3%
29.7%
2.9
19.9%
2.8
D
Education (adults w/ <9th grade education)
11.2%
29.2%
31.9%
2.8
11.8%
1.9
F
Employment (adult unemployment)
4%
6.1%
0%
1.6
5.8%
2.9
A
Mortality
YPLL-75 Rate (Life-Years Lost)
7,718.90
5,937.50
*
0.75
6,363
1.2
A
Age-Adjusted Death Rate per 100,000
799.9
*
*
*
971.8
1.1
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
21,680.5
39,607.8
*
1.8
17,803.4
1.8
F
Mental Health Emergency Dept Visits
3,026.6
3,529.4
*
1.2
2,357.1
1.3
C-
Birth Outcomes
Low Birth Weight
6.8%
*
7.2
*
7.7%
1.9
*
Inadequate Prenatal Care
2.4%
*
*
0
11.6%
1.7
*
Tobacco Use in Pregnancy
21.9%
0%
0%
0
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Lumpkin County Comparison Counties* County Grade
Health Care Access
County
Comparison Counties*
County Grade
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
F
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
F
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
127.3
Median is 34.9 per 100,000, much lower than for white
physicians.
B
Health Insurance Coverage (uninsured rate as % of population)
14.9%
18.6% (median uninsured rate)
C
Persons Living in Linguistically-Isolated Households
84 persons
39 persons
ungraded
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (Dental)
47/108 are whole or partial county Dental HPSAs
ungraded
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
C+
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
Georgia Health Disparities Report 2008
256
Health Disparities Reports
Macon County Minority Health Report Card
Macon County includes Ideal, Marshallville, Montezuma and Oglethorpe.
Macon County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
4,639
64%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
2,459 500
33.9% 6.9%
Asian
34
<1%
American Indian
22
<1%
Other or MultiRacial
146
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
F
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
C
Primary Care Access
B
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
A-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
6.5%
% Estimated to Have No Health Insurance
21%
Black-White racial inequalities in health outcomes cost Macon County 268 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
257
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
25.8%
30.7%
57.8%
1.9
19.9%
2.8
C+
Education (adults w/ <9th grade education)
16.2%
19.8%
52%
2
11.8%
1.9
C-
Employment (adult unemployment)
9.1%
13%
0%
3.1
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
11,595.80
14,673.30
0
2.04
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
1,094.7
1,073.2
*
1
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
10,621.1
22,896
*
2.2
17,803.4
1.8
C
Mental Health Emergency Dept Visits
1,380.1
1,299.5
*
.9
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
9.2%
15.7
*
1.71
7.7%
1.9
C-
Inadequate Prenatal Care
5%
8.3%
*
3.61
11.6%
1.7
C
Tobacco Use in Pregnancy
16.5%
3.6%
0%
0.13
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Macon County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
non-HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
No
70.0
21% 35 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians.
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B
B C F ungraded ungraded A-
Georgia Health Disparities Report 2008
258
Health Disparities Reports
Madison County Minority Health Report Card
Madison County includes Carlton, Colbert, Comer, Danielsville, Hull and Ila.
Madison County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
13,245
60.9%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
8,249 383
37.9% 1.8%
Asian
81
<1%
American Indian
79
<1%
Other or MultiRacial
249
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
F
Primary Care Access
D
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C+
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
2.4%
% Estimated to Have No Health Insurance
16.9%
Black-White racial inequalities in health outcomes cost Madison County 546 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
259
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
11.6%
25.7%
24.7%
2.6
19.9%
2.8
C
Education (adults w/ <9th grade education)
8.5%
15.3%
36.4%
2
11.8%
1.9
C+
Employment (adult unemployment)
2.7%
5.8%
10.3%
2.6
5.8%
2.9
A
Mortality
YPLL-75 Rate (Life-Years Lost)
8,256.90
7,911.40
*
0.94
6,363
1.2
B+
Age-Adjusted Death Rate per 100,000
834.4
*
0
*
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
15,546.4
42,041.4
*
2.7
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,083.1
2,978.6
*
1.4
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
7.5%
21
*
2.80
7.7%
1.9
F
Inadequate Prenatal Care
2.9%
*
*
0
11.6%
1.7
*
Tobacco Use in Pregnancy
23.8%
0%
*
0
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Madison County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
57.9
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population)
16.9%
18.6% (median uninsured rate)
Persons Living in Linguistically-Isolated Households
71 persons
39 persons
Oral Health Access (Dental Health Professional Shortage Area)
Whole County HPSA (Dental)
47/108 are whole or partial county Dental HPSAs
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D D C ungraded ungraded C+
Georgia Health Disparities Report 2008
260
Health Disparities Reports
McDuffie County Minority Health Report Card
McDuffie County includes Dearing and Thomson.
McDuffie County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,388
39.2%
Social and Economic Indicators
C-
African American or Black
Hispanic or Latino
8,178 510
59.5% 3.7%
Asian
93
<1%
American Indian
48
<1%
Other or MultiRacial
179
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
F
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
C-
Primary Care Access
D
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.4% 21%
Black-White racial inequalities in health outcomes cost McDuffie County 582 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
261
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
18.4%
35.2%
9.2%
4.4
19.9%
2.8
F
Education (adults w/ <9th grade education)
11.3%
20.4%
0%
3
11.8%
1.9
F
Employment (adult unemployment)
7.7%
18.1%
2.2%
6.9
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
12,220.00
16,548.80
0
1.71
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
954.5
1,034.5
*
1.1
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,739.2
32,872.6
*
1.9
17,803.4
1.8
D+
Mental Health Emergency Dept Visits
2,145.1
3,455.6
*
1.6
2,357.1
1.3
D+
Birth Outcomes
Low Birth Weight
6.3%
15
*
2.38
7.7%
1.9
D
Inadequate Prenatal Care
6.3%
9.1%
*
2.22
11.6%
1.7
B
Tobacco Use in Pregnancy
10.7%
4.1%
0%
0.25
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
McDuffie County Comparison Counties* County Grade
Health Care Access
County
Comparison Counties*
County Grade
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
D
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in
a community health center
D
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
0.0
Median is 34.9 per 100,000, much lower than for white
physicians.
*
Health Insurance Coverage (uninsured rate as % of population)
21%
18.6% (median uninsured rate)
F
Persons Living in Linguistically-Isolated Households
13 persons
39 persons
ungraded
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (Dental)
47/108 are whole or partial county Dental HPSAs
ungraded
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
C-
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
Georgia Health Disparities Report 2008
262
Health Disparities Reports
McIntosh County Minority Health Report Card
McIntosh County includes Cox, Crescent, Darien, Eulonia, Pine Harbour, Ridgeville, Shellman Bluff, South Newport, Townsend, and Valona.
McIntosh County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
24,490
89.7%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
2,335 655
8.6% 2.4%
Asian
171
<1%
American Indian
59
<1%
Other or MultiRacial
464
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B+
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
F
Primary Care Access
F
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
B-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.7% 14.8%
Black-White racial inequalities in health outcomes cost McIntosh County 12 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
263
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
18.7%
26.7%
35%
1.9
19.9%
2.8
B
Education (adults w/ <9th grade education)
10%
13.4%
0%
1.7
11.8%
1.9
B
Employment (adult unemployment)
5.7%
7.8%
0%
1.7
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
11,452.80
13,494.50
*
1.27
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
986.4
1051
*
1.1
971.8
1.1
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
11,971.6
23,514.7
*
2
17,803.4
1.8
C
Mental Health Emergency Dept Visits
1,772.5
1,375.9
*
.8
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
7.4%
14.5
0
1.96
7.7%
1.9
D+
Inadequate Prenatal Care
15.3%
18.8%
28
1.55
11.6%
1.7
F
Tobacco Use in Pregnancy
3.3%
*
*
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
McIntosh County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
33.4
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population)
14.8%
18.6% (median uninsured rate)
Persons Living in Linguistically-Isolated Households
2 persons
39 persons
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (Dental)
47/108 are whole or partial county Dental HPSAs
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F D C ungraded ungraded B-
Georgia Health Disparities Report 2008
264
Health Disparities Reports
Miller County Minority Health Report Card
Miller County includes Colquitt.
Miller County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
4,476
71.9%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
1,727 44
27.7% 0.7%
Asian
1
<1%
American Indian
10
<1%
Other or MultiRacial
25
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
A
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
C+
Primary Care Access
D
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
1.5% 17.8%
Black-White racial inequalities in health outcomes cost Miller County 98 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
265
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate in
County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
21.2%
38.2%
0%
2.8
19.9%
2.8
F
Education (adults w/ <9th grade education)
13.6%
24.6%
0%
2.5
11.8%
1.9
F
Employment (adult unemployment)
4%
11.6%
0%
8.4
5.8%
2.9
D
Mortality
YPLL-75 Rate (Life-Years Lost)
10,471.30
6,371.10
*
0.52
6,363
1.2
A
Age-Adjusted Death Rate per 100,000
1,056.1
1,064.3
0
1
971.8
1.1
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
6,828.3
15,062.4
*
2.2
17,803.4
1.8
B-
Mental Health Emergency Dept Visits
1,182.4
1,871.7
*
1.6
2,357.1
1.3
B-
Birth Outcomes
Low Birth Weight
4.8%
11.2
0
2.33
7.7%
1.9
C
Inadequate Prenatal Care
5.3%
7.2%
*
2.67
11.6%
1.7
B-
Tobacco Use in Pregnancy
8.1%
2.9%
*
0.2
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Miller County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
56.5
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population)
17.8%
18.6% (median uninsured rate)
Persons Living in Linguistically-Isolated Households
5 persons
39 persons
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (Dental)
47/108 are whole or partial county Dental HPSAs
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D D D ungraded ungraded C
Georgia Health Disparities Report 2008
266
Health Disparities Reports
Mitchell County Minority Health Report Card
Mitchell County includes Baconton, Camilla, Pelham and Sale City.
Mitchell County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
12,293
51.7%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
11,204 620
47.1% 2.6%
Asian
98
<1%
American Indian
69
<1%
Other or MultiRacial
294
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
F
Primary Care Access
D
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4% 21.6%
Black-White racial inequalities in health outcomes cost Mitchell County 5 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
267
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
26.4%
42.1%
31.2%
3.7
19.9%
2.8
F
Education (adults w/ <9th grade education)
12.1%
17.2%
54.2%
2.4
11.8%
1.9
C-
Employment (adult unemployment)
6.2%
11%
6.3%
3.5
5.8%
2.9
C
Mortality
YPLL-75 Rate (Life-Years Lost)
9,888.00
10,049.00
*
1.00
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
1,044.2
1,461.9
*
1.5
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,654
35,851
*
2
17,803.4
1.8
D
Mental Health Emergency Dept Visits
2,268.6
3,120.9
*
1.4
2,357.1
1.3
C+
Birth Outcomes
Low Birth Weight
8.8%
17.3
*
1.97
7.7%
1.9
F
Inadequate Prenatal Care
9.6%
13%
14.6
1.46
11.6%
1.7
B
Tobacco Use in Pregnancy
19.3%
9.6%
*
0.44
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Mitchell County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
16.9
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population)
21.6%
18.6% (median uninsured rate)
Persons Living in Linguistically-Isolated Households
60 persons
39 persons
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (Dental)
47/108 are whole or partial county Dental HPSAs
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D F F ungraded ungraded C-
Georgia Health Disparities Report 2008
268
Health Disparities Reports
Montgomery County Minority Health Report Card
Montgomery County includes Ailey, Alston, Higgston, Mount Vernon, and Uvalda.
Montgomery County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
6,629
74.4%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
2,230 405
25% 4.5%
Asian
31
<1%
American Indian
1
<1%
Other or MultiRacial
50
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
C+
Prenatal Care & Birth Outcomes
C
Primary Care Access
F
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
B
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.2% 20.3%
Black-White racial inequalities in health outcomes cost Montgomery County 70 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
269
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
19.9%
30.7%
71%
2
19.9%
2.8
C
Education (adults w/ <9th grade education)
9.3%
12.2%
57.3%
1.6
11.8%
1.9
B
Employment (adult unemployment)
3.9%
5.6%
0%
1.7
5.8%
2.9
A
Mortality
YPLL-75 Rate (Life-Years Lost)
10,573.20
12,947.60
*
1.32
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
864.4
690.4
0
0.7
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
24,116.8
28,898.3
*
1.2
17,803.4
1.8
C+
Mental Health Emergency Dept Visits
3,046.3
2,287.8
*
.8
2,357.1
1.3
B+
Birth Outcomes
Low Birth Weight
5.6%
16
*
2.86
7.7%
1.9
D
Inadequate Prenatal Care
8.3%
9.6%
*
1.25
11.6%
1.7
A
Tobacco Use in Pregnancy
6.9%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Montgomery County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
No
151.7 20.3% 6 persons non-HPSA (Dental) non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F B F ungraded ungraded B
Georgia Health Disparities Report 2008
270
Health Disparities Reports
Morgan County Minority Health Report Card
Morgan County includes Bostwick, Buckhead, Madison and Rutledge.
Morgan County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
12,851
73.5%
Social and Economic Indicators
A
African American or Black
Hispanic or Latino
4,439 350
25.4% 2%
Asian
90
<1%
American Indian
12
<1%
Other or MultiRacial
202
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
B-
Primary Care Access
F
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
B
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.4% 13.1%
Black-White racial inequalities in health outcomes cost Morgan County 228 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
271
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
10.9%
19.1%
1.5%
2.7
19.9%
2.8
B-
Education (adults w/ <9th grade education)
8.2%
14.3%
29.8%
2.4
11.8%
1.9
C+
Employment (adult unemployment)
5.1%
10.3%
0%
3.3
5.8%
2.9
C
Mortality
YPLL-75 Rate (Life-Years Lost)
7,919.40
11,996.20
*
1.81
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
889.8
752.4
*
0.8
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
11,746.9
29,819.3
*
2.5
17,803.4
1.8
D
Mental Health Emergency Dept Visits
1,352.1
1,573
*
1.2
2,357.1
1.3
B
Birth Outcomes
Low Birth Weight
6.5%
9.4
*
1.45
7.7%
1.9
A-
Inadequate Prenatal Care
10.1%
*
20
0
11.6%
1.7
D+
Tobacco Use in Pregnancy
10.5%
0%
*
0
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Morgan County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
46 out of 108 are included in a community health center
catchment area
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
20.9
Median is 34.9 per 100,000, much lower than for white
physicians.
Health Insurance Coverage (uninsured rate as % of population)
13.1%
18.6% (median uninsured rate)
Persons Living in Linguistically-Isolated Households
0 persons
39 persons
Oral Health Access (Dental Health Professional Shortage Area) non-HPSA (Dental)
47/108 are whole or partial county Dental HPSAs
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F F B ungraded ungraded B
Georgia Health Disparities Report 2008
272
Health Disparities Reports
Murray County Minority Health Report Card
Murray County includes Chatsworth and Eton.
Murray County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
39,627
97.1%
Social and Economic Indicators
C
African American or Black
Hispanic or Latino
532 5,068
1.3% 12.4%
Asian
118
<1%
American Indian
148
<1%
Other or MultiRacial
653
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
A
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
*
Primary Care Access
C
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
6.5%
% Estimated to Have No Health Insurance
16.1%
Black-White racial inequalities in health outcomes cost Murray County 28 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
273
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
12.7%
21.1%
30.2%
1.8
19.9%
2.8
A-
Education (adults w/ <9th grade education)
17.3%
23.8%
52.3%
1.5
11.8%
1.9
F
Employment (adult unemployment)
4%
5.1%
5.2%
1.3
5.8%
2.9
A+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,129.30
4,908.20
3,087.80
0.48
6,363
1.2
A
Age-Adjusted Death Rate per 100,000
1,112.2
1,244.2
*
1.2
971.8
1.1
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
23,702.2
6,542.1
*
0.3
17,803.4
1.8
A
Mental Health Emergency Dept Visits
3,450.1
1,869.2
*
.5
2,357.1
1.3
B+
Birth Outcomes
Low Birth Weight
8%
0
4.5
0.00
7.7%
1.9
*
Inadequate Prenatal Care
14.8%
21.7%
50
2.13
11.6%
1.7
F
Tobacco Use in Pregnancy
11.6%
*
*
*
11.7%
0.4
Not graded
* Counties are compared within these three categories Atlanta metropolitan(Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro.| ** *Insufficient Data are available for groups other than Black & White at the County Level; In addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Murray County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
Yes
17.8
16.1% 275 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians.
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C F C ungraded ungraded C
Georgia Health Disparities Report 2008
274
Health Disparities Reports
Oconee County Minority Health Report Card
Oconee County includes Bishop, Bogart, High Shoals and Watkinsville.
Oconee County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
26,990
90.7%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
1869 986
6.3% 3.3%
Asian
633
<1%
American Indian
68
<1%
Other or MultiRacial
889
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
A-
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
C
Primary Care Access
B
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
F
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
6.4% 10.1%
Black-White racial inequalities in health outcomes cost Oconee County 5 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
275
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
6.5%
28.7%
22.7%
6.8
19.9%
2.8
D
Education (adults w/ <9th grade education)
4.5%
13.3%
31.1%
3.9
11.8%
1.9
B-
Employment (adult unemployment)
3.7%
11.5%
12.4%
3.9
5.8%
2.9
D+
Mortality
YPLL-75 Rate (Life-Years Lost)
4,924.90
5,278.40
*
1.06
6,363
1.2
A-
Age-Adjusted Death Rate per 100,000
981.1
1,148.8
0
1.2
971.8
1.1
A-
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
5,744.4
28,515.9
*
5
17,803.4
1.8
D
Mental Health Emergency Dept Visits
1,069.6
3,885
*
3.6
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
6.6%
12.1
5.4
1.83
7.7%
1.9
B-
Inadequate Prenatal Care
12.6%
21.7%
*
2.86
11.6%
1.7
D
Tobacco Use in Pregnancy
11.6%
3.8%
0%
0.24
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Oconee County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA
No
0.0 10.1% 88 persons non-HPSA (Dental) non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County) Primary Care
HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians.
18.6% (median uninsured rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B * A ungraded ungraded F
Georgia Health Disparities Report 2008
276
Health Disparities Reports
Oglethorpe County Minority Health Report Card
Oglethorpe County includes Chatsworth and Eton.
Oglethorpe County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
10,930
80.3%
Social and Economic Indicators
C
African American or Black
Hispanic or Latino
2,558 376
18.8% 2.8%
Asian
33
<1%
American Indian
10
<1%
Other or MultiRacial
121
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B+
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
D
Primary Care Access
C
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
B
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.4% 13.3%
Black-White racial inequalities in health outcomes cost Oglethorpe County 3 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
277
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
13.2%
27.1%
0%
2.8
19.9%
2.8
C
Education (adults w/ <9th grade education)
9.6%
22.6%
22.1%
3.4
11.8%
1.9
F
Employment (adult unemployment)
3%
7.4%
5.6%
3.6
5.8%
2.9
B-
Mortality
YPLL-75 Rate (Life-Years Lost)
8,258.10
8,463.20
*
1.02
6,363
1.2
B+
Age-Adjusted Death Rate per 100,000
999.9
1,022
664.8
1
971.8
1.1
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
7,931.6
24,596.5
*
3.1
17,803.4
1.8
D
Mental Health Emergency Dept Visits
1,324
1,947.7
*
1.5
2,357.1
1.3
B-
Birth Outcomes
Low Birth Weight
7.6%
10.9
*
1.43
7.7%
1.9
B
Inadequate Prenatal Care
12.5%
15.4%
37.9
1.71
11.6%
1.7
F
Tobacco Use in Pregnancy
11.6%
6.8%
*
0.38
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Oglethorpe County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
34.1 13.3% 20 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C D B ungraded ungraded B
Georgia Health Disparities Report 2008
278
Health Disparities Reports
Pierce County Minority Health Report Card
Pierce County includes Blackshear, Bristol, Mershon, Offerman and Patterson.
Pierce County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
15,081
88.1%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
1,839 494
10.7% 2.9%
Asian
41
<1%
American Indian
45
<1%
Other or MultiRacial
199
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
B
Prenatal Care & Birth Outcomes
C-
Primary Care Access
C
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.6% 18.4%
Black-White racial inequalities in health outcomes cost Pierce County 29 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
279
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
18.4%
38.7%
48.3%
2.5
19.9%
2.8
F
Education (adults w/ <9th grade education)
12%
20%
52.6%
1.9
11.8%
1.9
C-
Employment (adult unemployment)
4%
7.3%
3.4%
1.9
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
11,014.50
12,666.50
*
1.15
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
946.8
1,225.7
370
1.4
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
18,562.8
24,342.1
*
1.3
17,803.4
1.8
B
Mental Health Emergency Dept Visits
1,975
2,878.3
*
1.5
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
8.4%
13.3
5.4
1.58
7.7%
1.9
C+
Inadequate Prenatal Care
11.6%
16.5%
26.3
1.92
11.6%
1.7
D
Tobacco Use in Pregnancy
13.4%
10.5%
*
0.68
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Pierce County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
Yes
50.1 18.4% 66 persons non-HPSA (Dental) Whole County HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C D D ungraded ungraded C-
Georgia Health Disparities Report 2008
280
Health Disparities Reports
Pulaski County Minority Health Report Card
Pulaski County includes Hawkinsville.
Pulaski County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
6,454
66.3%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
3,158 430
32.4% 4.4%
Asian
52
<1%
American Indian
27
<1%
Other or MultiRacial
125
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
D
Primary Care Access
B
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
B
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
7.3%
% Estimated to Have No Health Insurance
18%
Black-White racial inequalities in health outcomes cost Pulaski County 45 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
281
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
16.4%
26.8%
35.5%
2.5
19.9%
2.8
C
Education (adults w/ <9th grade education)
8.8%
15.6%
40.6%
2.8
11.8%
1.9
C+
Employment (adult unemployment)
5.5%
12.9%
0%
4.7
5.8%
2.9
D+
Mortality
YPLL-75 Rate (Life-Years Lost)
9,702.40
10,815.80
0
1.16
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
835.1
490.5
*
0.6
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
24,263.8
36,513.4
*
1.5
17,803.4
1.8
D+
Mental Health Emergency Dept Visits
2,642.2
2,645.3
*
1.0
2,357.1
1.3
B-
Birth Outcomes
Low Birth Weight
7.5%
14
0
1.87
7.7%
1.9
C
Inadequate Prenatal Care
6.6%
12.5%
27.8
1.98
11.6%
1.7
F
Tobacco Use in Pregnancy
10.9%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Pulaski County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
non-HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
32.9
18%
45 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B D D ungraded ungraded B
Georgia Health Disparities Report 2008
282
Health Disparities Reports
Putnam County Minority Health Report Card
Putnam County includes Eatonton.
Putnam County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
14,072
71%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
5,512 758
27.8% 3.8%
Asian
131
<1%
American Indian
42
<1%
Other or MultiRacial
245
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
D
Primary Care Access
C
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C+
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
4.7%
% Estimated to Have No Health Insurance
16%
Black-White racial inequalities in health outcomes cost Putnam County 260 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
283
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
14.6%
28.6%
42.4%
3.6
19.9%
2.8
D
Education (adults w/ <9th grade education)
7.9%
10.5%
56.4%
1.5
11.8%
1.9
A
Employment (adult unemployment)
3.8%
5.9%
15.9%
2.4
5.8%
2.9
A
Mortality
YPLL-75 Rate (Life-Years Lost)
9,618.50
13,112.00
*
1.59
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
900.8
1,068.1
348.5
1.3
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
18,199.1
35,153.5
*
1.9
17,803.4
1.8
D
Mental Health Emergency Dept Visits
2,072.4
2,771
*
1.3
2,357.1
1.3
C+
Birth Outcomes
Low Birth Weight
6.8%
14.2
5
2.09
7.7%
1.9
C
Inadequate Prenatal Care
22%
25.5%
37.5
1.39
11.6%
1.7
F
Tobacco Use in Pregnancy
6.7%
3.4%
2.4%
0.33
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Putnam County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
18.2
16%
62 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C F C ungraded ungraded C+
Georgia Health Disparities Report 2008
284
Health Disparities Reports
Quitman County Minority Health Report Card
Quitman County includes Georgetown.
Quitman County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
1,347
54.6%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
1,112 33
45.1% 1.3%
Asian
1
<1%
American Indian
2
<1%
Other or MultiRacial
8
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
F
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
*
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
2.3%
% Estimated to Have No Health Insurance
21.6%
Black-White racial inequalities in health outcomes cost Quitman County 118 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
285
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
21.9%
36.6%
0%
3.8
19.9%
2.8
F
Education (adults w/ <9th grade education)
16.2%
24.1%
100%
2.2
11.8%
1.9
F
Employment (adult unemployment)
5.8%
10.2%
0%
3.3
5.8%
2.9
C
Mortality
YPLL-75 Rate (Life-Years Lost)
19,311.00
25,227.50
0
1.78
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
851.4
518.1
270.3
0.6
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
3,299.7
10,224.1
*
3.1
17,803.4
1.8
C
Mental Health Emergency Dept Visits
458.3
2,100.8
*
4.6
2,357.1
1.3
D
Birth Outcomes
Low Birth Weight
*
14.2
0
*
7.7%
1.9
*
Inadequate Prenatal Care
7.1%
5.4%
28.3
0.74
11.6%
1.7
C-
Tobacco Use in Pregnancy
6.2%
3.1%
0.4%
0.48
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Quitman County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA
Yes
0.0
21.6% 0 persons Whole County HPSA (Dental) non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * F ungraded ungraded C-
Georgia Health Disparities Report 2008
286
Health Disparities Reports
Rabun County Minority Health Report Card
Rabun County includes Clayton, Dillard, Mountain City, Sky Valley, Tiger and Tallulah Falls.
Rabun County's Racial-Ethnic Diversity
Health Report Card
Race
White African American or Black Hispanic or Latino
Number of Persons 15,636
217
1,152
Percentage of Population 97.2%
1.3%
7.2%
Asian
71
<1%
American Indian
67
<1%
Other or MultiRacial
234
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
Minority Health Outcome Category County Grade
Social and Economic Indicators
C
Mortality (Deaths)
*
Illness Events (Hospital Admits & Emergency Visits)
C+
Prenatal Care & Birth Outcomes
*
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
7.2% 15.1%
*Insufficient Data are available to calculate YPPL rates.
What do the Grades Mean?
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Action Steps:
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
287
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
11.1%
25.5%
17.2%
2.4
19.9%
2.8
B-
Education (adults w/ <9th grade education)
8.5%
14.7%
38.9%
1.9
11.8%
1.9
C+
Employment (adult unemployment)
4.9%
0%
8.7%
0
5.8%
2.9
*
Mortality
YPLL-75 Rate (Life-Years Lost)
8,505.50
*
4,186.30
*
6,363
1.2
*
Age-Adjusted Death Rate per 100,000
791.4
1,005.6
192.8
1.4
971.8
1.1
*
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
22,545.7
26,415.1
*
1.2
17,803.4
1.8
C+
Mental Health Emergency Dept Visits
3,264
3,773.6
*
1.2
2,357.1
1.3
C-
Birth Outcomes
Low Birth Weight
8.1%
0
7.1
0.00
7.7%
1.9
*
Inadequate Prenatal Care
21.7%
28.1%
22.5
1.49
11.6%
1.7
F
Tobacco Use in Pregnancy
6.1%
8.5%
*
1.67
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Rabun County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
77.7 15.1% 117 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C C ungraded ungraded C+
Georgia Health Disparities Report 2008
288
Health Disparities Reports
Randolph County Minority Health Report Card
Randolph County includes Coleman, Cuthbert and Shellman.
Randolph County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
2,851
39%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
4,396 115
60.1% 1.6%
Asian
13
<1%
American Indian
27
<1%
Other or MultiRacial
63
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
*
Primary Care Access
D
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
3.4%
% Estimated to Have No Health Insurance
23.4%
Black-White racial inequalities in health outcomes cost Randolph County 155 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
289
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
27.7%
39.5%
0%
4.1
19.9%
2.8
F
Education (adults w/ <9th grade education)
16.8%
22.7%
18.8%
2.4
11.8%
1.9
F
Employment (adult unemployment)
7.9%
13.1%
33.3%
5.8
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
13,629.70
15,002.40
0
1.33
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
809.7
867.8
340.1
1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
18,678.3
61,799.3
*
3.3
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,019.3
5,640.1
*
2.8
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
*
18.6
0
*
7.7%
1.9
*
Inadequate Prenatal Care
13.2%
11.6%
19.2
0.69
11.6%
1.7
B-
Tobacco Use in Pregnancy
3.3%
1.9%
0.6%
0.3
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Randolph County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
25.4
23.4%
8 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D F F ungraded ungraded F
Georgia Health Disparities Report 2008
290
Health Disparities Reports
Richmond County Minority Health Report Card
Richmond County includes Augusta, Blythe, and Hephzibah.
Richmond County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
85,511
43.7%
Social and Economic Indicators
C
African American or Black
Hispanic or Latino
103,206 5,203
52.7% 2.7%
Asian
3,035
<1%
American Indian
542
<1%
Other or MultiRacial
7,052
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
C+
Primary Care Access
B
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
6.6% 18.1%
Black-White racial inequalities in health outcomes cost Richmond County 1,849 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
291
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
19.6%
26.3%
19.5%
2.2
19.9%
2.8
B-
Education (adults w/ <9th grade education)
7.5%
8.9%
7.7%
1.5
11.8%
1.9
A+
Employment (adult unemployment)
9.2%
12.3%
11.5%
2
5.8%
2.9
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
11,392.80
15,568.30
3,668.10
1.17
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
724.4
771.9
319.6
1.1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,609.7
38,990.1
*
2.2
17,803.4
1.8
D
Mental Health Emergency Dept Visits
2,785.2
3,270.3
*
1.2
2,357.1
1.3
C-
Birth Outcomes
Low Birth Weight
7.4%
13.1
7
1.77
7.7%
1.9
C+
Inadequate Prenatal Care
6.5%
8.1%
13.8
1.31
11.6%
1.7
B
Tobacco Use in Pregnancy
3.3%
2.6%
0.3%
0.7
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Richmond County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Partial-County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
167.5 18.1% 657 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B B D ungraded ungraded C+
Georgia Health Disparities Report 2008
292
Health Disparities Reports
Schley County Minority Health Report Card
Schley County includes Ellaville.
Schley County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
2,999
72.8%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
1,095 98
26.6% 2.4%
Asian
0
0%
American Indian
0
0%
Other or MultiRacial
28
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
F
Primary Care Access
F
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
B
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.8% 19%
Black-White racial inequalities in health outcomes cost Schley County 48 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
293
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
19.9%
38.2%
24.5%
3.6
19.9%
2.8
F
Education (adults w/ <9th grade education)
8.4%
19.4%
33.3%
5.4
11.8%
1.9
D
Employment (adult unemployment)
5.7%
14.3%
0%
4.8
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
11,284.00
14,751.00
*
1.45
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
981.3
1,260.5
210.3
1.4
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,753.6
33,426.2
*
2.4
17,803.4
1.8
D
Mental Health Emergency Dept Visits
1,814.7
1,949.9
*
1.1
2,357.1
1.3
B
Birth Outcomes
Low Birth Weight
6.2%
17.4
0
2.81
7.7%
1.9
F
Inadequate Prenatal Care
20.4%
26.5%
19.9
1.46
11.6%
1.7
F
Tobacco Use in Pregnancy
10.7%
8.8%
*
0.77
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Schley County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
0.0 19% 8 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F * D ungraded ungraded B
Georgia Health Disparities Report 2008
294
Health Disparities Reports
Screven County Minority Health Report Card
Screven County includes Newington, Oliver, Rocky Ford and Sylvania.
Screven County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
8,462
54.8%
Social and Economic Indicators
B-
African American or Black
Hispanic or Latino
6,849 178
44.4% 1.2%
Asian
66
<1%
American Indian
39
<1%
Other or MultiRacial
119
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
C
Primary Care Access
F
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
F
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.7% 18.4%
Black-White racial inequalities in health outcomes cost Screven County 101 excess years of potential life lost due to premature deaths
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
20.1%
26.9%
11.5%
1.8
19.9%
2.8
B
Education (adults w/ <9th grade education)
14.2%
23.7%
12.2%
3
11.8%
1.9
F
Employment (adult unemployment)
9.4%
12.9%
8%
1.9
5.8%
2.9
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
10,570.40
11,507.30
0
1.16
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
817.2
901.2
245.8
1.1
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
22,883.9
36,949.7
*
1.6
17,803.4
1.8
D+
Mental Health Emergency Dept Visits
2,318.6
4,290.2
*
1.9
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
6.9%
16
*
2.32
7.7%
1.9
D
Inadequate Prenatal Care
4.6%
7%
6
1.67
11.6%
1.7
A-
Tobacco Use in Pregnancy
7.2%
3.5%
4.3%
0.43
11.7%
0.4
Not graded
*Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Screven County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
0.0 18.4% 34 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F * D ungraded ungraded F
Georgia Health Disparities Report 2008
296
Health Disparities Reports
Seminole County Minority Health Report Card
Seminole County includes Donalsonville and Iron City.
Seminole County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
6,109
66.2%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
3,077 313
33.4% 3.4%
Asian
20
<1%
American Indian
17
<1%
Other or MultiRacial
40
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
D+
Primary Care Access
B
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
F
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
5% 21.4%
Black-White racial inequalities in health outcomes cost Seminole County 164 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
23.2%
38%
40.1%
2.8
19.9%
2.8
F
Education (adults w/ <9th grade education)
13.4%
18%
59%
1.8
11.8%
1.9
C-
Employment (adult unemployment)
7%
13.6%
4.2%
3.1
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
11,396.10
15,110.60
*
1.59
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
912.5
1,043.6
361.7
1.2
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,860.5
28,388.7
*
2
17,803.4
1.8
C-
Mental Health Emergency Dept Visits
2,508.5
4,143.2
*
1.7
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
6.5%
16
*
2.46
7.7%
1.9
D
Inadequate Prenatal Care
7.5%
14.3%
16.4
2.38
11.6%
1.7
C-
Tobacco Use in Pregnancy
8.4%
6.2%
1.3%
0.68
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Seminole County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
non-HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
34.9 21.4% 20 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B D F ungraded ungraded F
Georgia Health Disparities Report 2008
298
Health Disparities Reports
Stephens County Minority Health Report Card
Stephens County includes Martin and Toccoa.
Stephens County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
21,594
86.2%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
3,013 382
12% 1.5%
Asian
176
<1%
American Indian
69
<1%
Other or MultiRacial
453
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
D
Primary Care Access
B
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
F
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.5% 14.3%
Black-White racial inequalities in health outcomes cost Stephens County 119 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
299
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
15.1%
22.3%
26.7%
1.6
19.9%
2.8
B
Education (adults w/ <9th grade education)
11.4%
14.1%
41.5%
1.3
11.8%
1.9
A-
Employment (adult unemployment)
4.2%
4.8%
0%
1.2
5.8%
2.9
A+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,918.70
14,815.90
*
1.40
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
924.8
1,028.2
243.6
1.2
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
31,021.7
51,978.5
*
1.7
17,803.4
1.8
F
Mental Health Emergency Dept Visits
4,662.5
6,301.9
*
1.4
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
8.1%
15.1
*
1.86
7.7%
1.9
D+
Inadequate Prenatal Care
9.2%
10.7%
24.8
2.02
11.6%
1.7
D
Tobacco Use in Pregnancy
6.4%
4.2%
0%
0.34
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Stephens County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
non-HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
0.0 14.3% 40 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B * C ungraded ungraded F
Georgia Health Disparities Report 2008
300
Health Disparities Reports
Stewart County Minority Health Report Card
Stewart County includes Lumpkin and Richland.
Stewart County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
1,847
37.8%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
3,007 86
61.6% 1.8%
Asian
13
<1%
American Indian
11
<1%
Other or MultiRacial
28
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
F
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C+
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
2.6%
% Estimated to Have No Health Insurance
21%
Black-White racial inequalities in health outcomes cost Stewart County 250 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
301
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
22.2%
30.1%
0%
3.6
19.9%
2.8
D
Education (adults w/ <9th grade education)
17.3%
23.5%
0%
2.6
11.8%
1.9
F
Employment (adult unemployment)
10.1%
15%
0%
4.1
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
13,673.20
17,232.10
0
2.15
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
989.6
878.1
308.1
0.9
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
15,614.6
29,147.1
*
1.9
17,803.4
1.8
C
Mental Health Emergency Dept Visits
1,528.2
2,483.6
*
1.6
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
7.5%
18.7
0
2.49
7.7%
1.9
F
Inadequate Prenatal Care
10%
12%
19.2
1.4
11.6%
1.7
C
Tobacco Use in Pregnancy
10.2%
3%
1%
0.2
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Stewart County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
77.6
21%
9 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C F ungraded ungraded C+
Georgia Health Disparities Report 2008
302
Health Disparities Reports
Sumter County Minority Health Report Card
Sumter County includes Americus, Andersonville, Leslie and Plains.
Sumter County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
16,126
49%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
16,402 1,138
49.8% 3.5%
Asian
205
<1%
American Indian
107
<1%
Other or MultiRacial
384
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
F
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
D
Primary Care Access
A
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
5.4% 18.9%
Black-White racial inequalities in health outcomes cost Sumter County 1,105 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
303
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
21.4%
32.3%
45.1%
3.3
19.9%
2.8
F
Education (adults w/ <9th grade education)
10.8%
16.3%
35.9%
2.5
11.8%
1.9
C+
Employment (adult unemployment)
6.8%
11.3%
2.6%
3.2
5.8%
2.9
C
Mortality
YPLL-75 Rate (Life-Years Lost)
10,322.10
13,863.20
*
2.03
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
841.3
817.3
*
1
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
18,992.3
44,695.2
*
2.4
17,803.4
1.8
F
Mental Health Emergency Dept Visits
1,950.4
3,800.2
*
1.9
2,357.1
1.3
D
Birth Outcomes
Low Birth Weight
7.7%
14.4
8.5
1.87
7.7%
1.9
C
Inadequate Prenatal Care
14.1%
19.1%
29.2
1.47
11.6%
1.7
F
Tobacco Use in Pregnancy
12.7%
4.2%
*
0.3
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Sumter County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
non-HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
48.8 18.9% 121 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
A A D D ungraded ungraded C-
Georgia Health Disparities Report 2008
304
Health Disparities Reports
Talbot County Minority Health Report Card
Talbot County includes Geneva, Junction City, Talbotton and Woodland.
Talbot County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
2,860
42.6%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
3,806 114
56.7% 1.7%
Asian
22
<1%
American Indian
6
<1%
Other or MultiRacial
43
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
C
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
A-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
1.9%
% Estimated to Have No Health Insurance
18%
Black-White racial inequalities in health outcomes cost Talbot County 93 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
305
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
24.2%
33.6%
57.1%
3.6
19.9%
2.8
F
Education (adults w/ <9th grade education)
13%
19.2%
65.5%
4.8
11.8%
1.9
D+
Employment (adult unemployment)
8.7%
11.1%
0%
1.9
5.8%
2.9
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
15,054.40
16,269.30
0
1.19
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
715.4
766.9
296.4
1.1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
12,885.2
23,315.1
*
1.8
17,803.4
1.8
B-
Mental Health Emergency Dept Visits
1,353.9
1,202.2
*
.9
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
9.4%
15.7
0
1.67
7.7%
1.9
C-
Inadequate Prenatal Care
7.1%
10.1%
18.1
1.58
11.6%
1.7
C
Tobacco Use in Pregnancy
3.9%
*
*
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Talbot County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
25.5
18%
0 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * D ungraded ungraded A-
Georgia Health Disparities Report 2008
306
Health Disparities Reports
Taliaferro County Minority Health Report Card
Taliaferro County includes Crawfordville and Sharon.
Taliaferro County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
705
38.6%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
1,117 19
61.2% 1%
Asian
0
0%
American Indian
0
0%
Other or MultiRacial
4
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
*
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
B
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
1.7% 20.6%
Black-White racial inequalities in health outcomes cost Taliaferro County 27 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
307
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
23.4%
32%
0%
2.9
19.9%
2.8
C-
Education (adults w/ <9th grade education)
21.4%
29.2%
0%
2.7
11.8%
1.9
F
Employment (adult unemployment)
9.8%
12%
0%
1.8
5.8%
2.9
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
11,122.20
12,149.20
0
1.27
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
941.1
1,150.7
143.5
1.2
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
11,074.4
26,553
*
2.4
17,803.4
1.8
C-
Mental Health Emergency Dept Visits
1,652.9
2,192.4
*
1.3
2,357.1
1.3
B
Birth Outcomes
Low Birth Weight
0%
12.5
0
*
7.7%
1.9
*
Inadequate Prenatal Care
13.7%
15.1%
38.1
1.12
11.6%
1.7
F
Tobacco Use in Pregnancy
15.1%
12.2%
*
0.76
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Taliaferro County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
0.0 20.6% 0 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * F ungraded ungraded B
Georgia Health Disparities Report 2008
308
Health Disparities Reports
Tattnall County Minority Health Report Card
Tattnall County includes Cobbtown, Collins, Glennville, Manassas and Reidsville.
Tattnall County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
16,071
69.2%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
6,879 2,744
29.6% 11.8%
Asian
90
<1%
American Indian
61
<1%
Other or MultiRacial
261
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B+
Illness Events (Hospital Admits & Emergency Visits)
C+
Prenatal Care & Birth Outcomes
B-
Primary Care Access
C
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
8.3%
% Estimated to Have No Health Insurance
20.9%
Black-White racial inequalities in health outcomes cost Tattnall County 144 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
309
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
23.9%
44.6%
48%
3.5
19.9%
2.8
F
Education (adults w/ <9th grade education)
11.7%
9.1%
64.3%
1
11.8%
1.9
A+
Employment (adult unemployment)
6.8%
15.7%
6.1%
3.2
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
11,256.80
9,701.00
4,355.70
0.82
6,363
1.2
B+
Age-Adjusted Death Rate per 100,000
796.2
459.7
295.9
0.6
971.8
1.1
B+
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
23,900.4
27,370.8
*
1.1
17,803.4
1.8
C+
Mental Health Emergency Dept Visits
3,209
2,990.7
*
.9
2,357.1
1.3
B-
Birth Outcomes
Low Birth Weight
9.1%
11.9
9.2
1.31
7.7%
1.9
B
Inadequate Prenatal Care
4.2%
11.6%
8.6
2.83
11.6%
1.7
C
Tobacco Use in Pregnancy
4.2%
*
0.7%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Tattnall County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
33.4
20.9%
190 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C D F ungraded ungraded C
Georgia Health Disparities Report 2008
310
Health Disparities Reports
Taylor County Minority Health Report Card
Taylor County includes Butler and Reynolds.
Taylor County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,214
58.7%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
3,594 214
40.4% 2.4%
Asian
43
<1%
American Indian
14
<1%
Other or MultiRacial
79
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
D
Primary Care Access
F
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
B
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
2.5%
% Estimated to Have No Health Insurance
19.3%
Black-White racial inequalities in health outcomes cost Taylor County 119 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
311
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
26%
40.1%
2.3%
2.6
19.9%
2.8
F
Education (adults w/ <9th grade education)
15%
19.4%
73.3%
1.7
11.8%
1.9
C-
Employment (adult unemployment)
8%
15.6%
27.3%
3.9
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
11,390.60
13,527.20
0
1.34
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
845.2
1,082.8
297
1.5
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
14,307.9
34,812.4
*
2.4
17,803.4
1.8
D
Mental Health Emergency Dept Visits
1,837
1,815.2
*
1.0
2,357.1
1.3
B+
Birth Outcomes
Low Birth Weight
7.4%
15.7
*
2.12
7.7%
1.9
D+
Inadequate Prenatal Care
14.3%
21.2%
20.2
2.47
11.6%
1.7
D
Tobacco Use in Pregnancy
2.9%
4.4%
0.4%
2.59
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Taylor County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
26.3
19.3%
5 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F F D ungraded ungraded B
Georgia Health Disparities Report 2008
312
Health Disparities Reports
Telfair County Minority Health Report Card
Telfair County includes Helena, Lumber City, McRae, Milan and Scotland.
Telfair County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
7,580
57.4%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
5,565 430
42.1% 3.3%
Asian
37
<1%
American Indian
1
<1%
Other or MultiRacial
60
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
B+
Prenatal Care & Birth Outcomes
F
Primary Care Access
F
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
B
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.2% 21.9%
Black-White racial inequalities in health outcomes cost Telfair County 37 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
313
Georgia Health Disparities Report 2008
Health Disparities Reports
SuSmummmarayroyfoFfiFnidnidnignsgs
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
21.2%
34.3%
27.7%
2.5
19.9%
2.8
D
Education (adults w/ <9th grade education)
10.3%
13.7%
10.1%
1.6
11.8%
1.9
B
Employment (adult unemployment)
6.5%
10.2%
3.4%
2.1
5.8%
2.9
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
11,748.70
11,385.70
*
0.94
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
894.4
1,067.2
245.2
1.2
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
31,779.9
23,858.8
*
0.8
17,803.4
1.8
B+
Mental Health Emergency Dept Visits
2,768.7
2,235.3
*
.8
2,357.1
1.3
B+
Birth Outcomes
Low Birth Weight
10.2%
17.4
10.5
1.71
7.7%
1.9
F
Inadequate Prenatal Care
7.2%
5.6%
25.8
0.72
11.6%
1.7
C
Tobacco Use in Pregnancy
12.8%
6.5%
*
0.41
11.7%
0.4
Not graded
* Counties are compared within these three categories Atlanta metropolitan(Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. ** *Insufficient Data are available for groups other than Black & White at the County Level; In addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Telfair County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
0.0 21.9% 22 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F * F ungraded ungraded B
Georgia Health Disparities Report 2008
314
Health Disparities Reports
Terrell County Minority Health Report Card
Terrell County includes Bronwood, Dawson, Parrott and Sasser.
Terrell County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
4,066
38%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
6,552 159
61.2% 1.5%
Asian
57
<1%
American Indian
22
<1%
Other or MultiRacial
93
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
D
Prenatal Care & Birth Outcomes
D
Primary Care Access
C
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
F
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.6% 22.4%
Black-White racial inequalities in health outcomes cost Terrell County 76 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
315
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
28.6%
40%
47.7%
3.7
19.9%
2.8
F
Education (adults w/ <9th grade education)
11.8%
17.9%
8.6%
3.8
11.8%
1.9
D+
Employment (adult unemployment)
8.5%
13.1%
10.2%
4.6
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
12,835.30
13,336.70
0
1.10
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
983.1
1,138.3
438.5
1.2
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
10,665.9
29,487.8
*
2.8
17,803.4
1.8
D
Mental Health Emergency Dept Visits
1,265.4
3,500.9
*
2.8
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
12.2%
16.7
*
1.37
7.7%
1.9
C-
Inadequate Prenatal Care
25.1%
21.3%
49.1
0.84
11.6%
1.7
F
Tobacco Use in Pregnancy
14.4%
18%
*
1.25
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Terrell County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
14.9 22.4% 16 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C F F ungraded ungraded F
Georgia Health Disparities Report 2008
316
Health Disparities Reports
Thomas County Minority Health Report Card
Thomas County includes Boston, Coolidge, Meigs, Ochlocknee and Thomasville.
Thomas County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
26,979
60.4%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
17,080 821
38.2% 1.8%
Asian
224
<1%
American Indian
93
<1%
Other or MultiRacial
633
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C-
Primary Care Access
B
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
D
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.8% 18.1%
Black-White racial inequalities in health outcomes cost Thomas County 433 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
17.4%
29.9%
30.7%
3.3
19.9%
2.8
D
Education (adults w/ <9th grade education)
10%
14.4%
35.3%
1.9
11.8%
1.9
C+
Employment (adult unemployment)
6.5%
11.5%
9.3%
2.9
5.8%
2.9
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,244.40
11,972.90
*
1.29
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
762.5
664.5
297.3
0.8
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
12,748.2
37,050.6
*
2.9
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,000.7
3,200.4
*
1.6
2,357.1
1.3
D+
Birth Outcomes
Low Birth Weight
8.1%
16.3
6.7
2.01
7.7%
1.9
D+
Inadequate Prenatal Care
11.4%
11.1%
19
0.91
11.6%
1.7
B-
Tobacco Use in Pregnancy
2.3%
1.6%
0.3%
0.57
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Thomas County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
non-HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
68.4 18.1% 154 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B C D ungraded ungraded D
Georgia Health Disparities Report 2008
318
Health Disparities Reports
Tift County Minority Health Report Card
Tift County includes Brookfield, Chula, Eldorado, Harding, Omega, Phillipsburg, Sunsweet, Tifton, Ty Ty and Unionville.
Tift County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
28,627
70.2%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
11,335 4,134
27.8% 10.1%
Asian
575
<1%
American Indian
89
<1%
Other or MultiRacial
831
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
F
Primary Care Access
B
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
F
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
8.8% 20.2%
Black-White racial inequalities in health outcomes cost Tift County 448 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
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Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
19.9%
40.2%
30.2%
4
19.9%
2.8
F
Education (adults w/ <9th grade education)
11.7%
14.8%
46%
1.8
11.8%
1.9
C+
Employment (adult unemployment)
6.8%
12.1%
7.5%
2.5
5.8%
2.9
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
8,955.00
12,021.20
6,513.40
1.52
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
715.9
842.4
219.7
1.2
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
25,129.7
64,631.5
*
2.6
17,803.4
1.8
F
Mental Health Emergency Dept Visits
3,269.1
6,204.7
*
1.9
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
9.3%
16.8
5.3
1.81
7.7%
1.9
D+
Inadequate Prenatal Care
11.6%
*
23.1
*
11.6%
1.7
F
Tobacco Use in Pregnancy
10.4%
26.1%
*
2.56
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Tift County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
non-HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
46.0 20.2% 311 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
B B D F ungraded ungraded F
Georgia Health Disparities Report 2008
320
Health Disparities Reports
Toombs County Minority Health Report Card
Toombs County includes Lyons and Vidalia.
Toombs County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
20,140
73.8%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
6,837 3,004
25.1% 11%
Asian
164
<1%
American Indian
66
<1%
Other or MultiRacial
297
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C
Primary Care Access
D
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
F
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
10.2% 23.2%
Black-White racial inequalities in health outcomes cost Toombs County 314 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
321
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
23.9%
38%
55.8%
2.4
19.9%
2.8
F
Education (adults w/ <9th grade education)
11.4%
14.3%
46.4%
1.7
11.8%
1.9
C+
Employment (adult unemployment)
5.7%
9.7%
5.9%
2.1
5.8%
2.9
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,614.30
14,366.70
5,725.90
1.51
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
863.5
1,223.2
263.6
1.4
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
26,655.5
61,227.5
*
2.3
17,803.4
1.8
F
Mental Health Emergency Dept Visits
3,387.6
8,084.8
*
2.4
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
8.4%
16.7
6.4
1.99
7.7%
1.9
D+
Inadequate Prenatal Care
9.7%
7.6%
12.2
0.78
11.6%
1.7
A
Tobacco Use in Pregnancy
2.9%
3%
0.2%
1
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Toombs County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
93.3 23.2% 198 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D C F ungraded ungraded F
Georgia Health Disparities Report 2008
322
Health Disparities Reports
Towns County Minority Health Report Card
Towns County includes Hiawassee and Young Harris.
Towns County's Racial-Ethnic Diversity
Health Report Card
Race
White African American or Black Hispanic or Latino
Number of Persons 10,110
126
144
Percentage of Population 98%
1.2%
1.4%
Asian
46
<1%
American Indian
17
<1%
Other or MultiRacial
79
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
Minority Health Outcome Category County Grade
Social and Economic Indicators
F
Mortality (Deaths)
*
Illness Events (Hospital Admits & Emergency Visits)
*
Prenatal Care & Birth Outcomes
*
Primary Care Access
D
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
*
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.1% 12.2%
*Insufficient Data are available to calculate YPPL rates.
What do the Grades Mean?
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Action Steps:
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
323
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
11.8%
100%
47.9%
8.5
19.9%
2.8
F
Education (adults w/ <9th grade education)
10.2%
0%
48%
0
11.8%
1.9
*
Employment (adult unemployment)
3.8%
0%
0%
0
5.8%
2.9
*
Mortality
YPLL-75 Rate (Life-Years Lost)
9,339.60
0
0
0.00
6,363
1.2
*
Age-Adjusted Death Rate per 100,000
881.8
761.5
441.7
0.8
971.8
1.1
*
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
20,808.2
0
*
0
17,803.4
1.8
*
Mental Health Emergency Dept Visits
2,505
0
*
.0
2,357.1
1.3
*
Birth Outcomes
Low Birth Weight
7.5%
0
0
0.00
7.7%
1.9
*
Inadequate Prenatal Care
10%
14%
19.8
1.79
11.6%
1.7
C
Tobacco Use in Pregnancy
6.7%
1.8%
2.3%
0.19
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Towns County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
0.0 12.2% 29 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D * B ungraded ungraded *
Georgia Health Disparities Report 2008
324
Health Disparities Reports
Treutlen County Minority Health Report Card
Treutlen County includes Soperton.
Treutlen County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
4,523
67%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
2,187 108
32.4% 1.6%
Asian
36
<1%
American Indian
1
<1%
Other or MultiRacial
43
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
A-
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
A-
Oral Health Care Access
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
Whole County HPSA* 4.5%
21%
Black-White racial inequalities in health outcomes cost Treutlen County 24 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
325
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
26.3%
35.2%
59.7%
1.7
19.9%
2.8
C-
Education (adults w/ <9th grade education)
14.9%
16.2%
60%
1.1
11.8%
1.9
B-
Employment (adult unemployment)
9.4%
13%
0%
1.7
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
10,552.10
11,372.50
*
1.11
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
853.4
847.3
273.8
1
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
15,397.9
18,317.2
*
1.2
17,803.4
1.8
A-
Mental Health Emergency Dept Visits
1,701.3
1,229.8
*
.7
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
2.8%
17.7
*
6.32
7.7%
1.9
F
Inadequate Prenatal Care
10.3%
14.2%
19
1.69
11.6%
1.7
C
Tobacco Use in Pregnancy
11.8%
6.3%
2.9%
0.44
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Treutlen County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
0.0
21%
18 persons Whole County HPSA
(dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * F ungraded ungraded A-
Georgia Health Disparities Report 2008
326
Health Disparities Reports
Turner County Minority Health Report Card
Turner County includes Ashburn, Ambroy, Coverdale, Dakota, Inaha, Rebecca, Sycamore and Worth.
Turner County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,517
58.2%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
3,881 306
41% 3.2%
Asian
43
<1%
American Indian
22
<1%
Other or MultiRacial
76
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
C
Prenatal Care & Birth Outcomes
F
Primary Care Access
F
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C-
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
6.2% 23.9%
Black-White racial inequalities in health outcomes cost Turner County 73 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
327
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
26.7%
46.1%
42.9%
4
19.9%
2.8
F
Education (adults w/ <9th grade education)
10.5%
13.4%
37.3%
1.6
11.8%
1.9
B
Employment (adult unemployment)
8%
14%
11.9%
3.4
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
11,567.30
12,741.70
0
1.18
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
934.4
1,131.7
*
1.3
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,968.2
30,133
*
1.7
17,803.4
1.8
C
Mental Health Emergency Dept Visits
2,594.9
3,158.8
*
1.2
2,357.1
1.3
C+
Birth Outcomes
Low Birth Weight
6.6%
18
0
2.73
7.7%
1.9
F
Inadequate Prenatal Care
3.1%
3.8%
8.3
1.46
11.6%
1.7
B-
Tobacco Use in Pregnancy
5.1%
2.7%
0%
0.39
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Turner County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
0.0 23.9% 54 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F * F ungraded ungraded C-
Georgia Health Disparities Report 2008
328
Health Disparities Reports
Union County Minority Health Report Card
Union County includes Blairsville.
Union County's Racial-Ethnic Diversity
Health Report Card
Race
White African American or Black Hispanic or Latino
Number of Persons 19,384
243
194
Percentage of Population 98%
1.2%
1%
Asian
56
<1%
American Indian
31
<1%
Other or MultiRacial
155
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
Minority Health Outcome Category County Grade
Social and Economic Indicators
*
Mortality (Deaths)
*
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
*
Primary Care Access
C
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
*
Oral Health Care Access
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
Whole County HPSA* 2%
14%
*Insufficient Data are available to calculate YPPL rates.
What do the Grades Mean?
These grades are a composite grade based on both the minority health .
outcome (African-American rates of preventable death, for example)
and the county's level of racial inequality, typically measured by a ratio
of African American to white death rates (black-white rate ratio).
2.
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white 3. outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial
Inequality, or Above-Average Outcomes but Severe Racial
4.
Inequality
C- Below-Average Outcomes made worse by Severe Racial
Inequality
D+ Poor Outcomes made worse by Moderately High Racial
Inequality
D Poor Outcomes made worse by Extremely Severe Racial
Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial
Inequality
Action Steps:
Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.). Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
329
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
12.5%
0%
15.4%
0
19.9%
2.8
*
Education (adults w/ <9th grade education)
9.1%
0%
17.2%
0
11.8%
1.9
*
Employment (adult unemployment)
3.2%
0%
0%
0
5.8%
2.9
*
Mortality
YPLL-75 Rate (Life-Years Lost)
9,264.70
*
0
*
6,363
1.2
*
Age-Adjusted Death Rate per 100,000
937.3
1,053.6
396.2
1.2
971.8
1.1
*
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,729.7
4,968.9
*
0.3
1,7803.4
1.8
A
Mental Health Emergency Dept Visits
2,811.3
0
*
.0
2,357.1
1.3
*
Birth Outcomes
Low Birth Weight
7.2%
0
*
0.00
7.7%
1.9
*
Inadequate Prenatal Care
10.1%
12.7%
21.7
1.57
11.6%
1.7
C
Tobacco Use in Pregnancy
6.2%
3.1%
*
0.36
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Union County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
237.1
14%
9 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C B C ungraded ungraded *
Georgia Health Disparities Report 2008
330
Health Disparities Reports
Ware County Minority Health Report Card
Ware County includes Waycross.
Ware County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
24,682
71.6%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
9,405 947
27.3% 2.7%
Asian
189
<1%
American Indian
65
<1%
Other or MultiRacial
405
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
C+
Primary Care Access
C
Physician Racial-Ethnic Diversity
B
Mental Health Care Access
F
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.1% 18.9%
Black-White racial inequalities in health outcomes cost Ware County 194 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
331
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
20.5%
39.6%
33.6%
3
19.9%
2.8
F
Education (adults w/ <9th grade education)
10.2%
11.8%
20.3%
1.3
11.8%
1.9
A-
Employment (adult unemployment)
6.4%
10.9%
20.2%
2.4
5.8%
2.9
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
12,085.00
13,688.40
*
1.18
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
1,011.7
749.2
355.8
0.7
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
21,540.9
45,337.7
*
2.1
17,803.4
1.8
F
Mental Health Emergency Dept Visits
3,060.4
4,398.7
*
1.4
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
6.2%
12.7
*
2.05
7.7%
1.9
C
Inadequate Prenatal Care
4.5%
7.4%
9.5
1.9
11.6%
1.7
B
Tobacco Use in Pregnancy
8.8%
1.7%
2.5%
0.17
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Ware County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
221.2 18.9% 108 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
Whole County HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C B D ungraded ungraded F
Georgia Health Disparities Report 2008
332
Health Disparities Reports
Warren County Minority Health Report Card
Warren County includes Camak, Norwood and Warrenton.
Warren County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
2,503
41%
Social and Economic Indicators
C-
African American or Black
Hispanic or Latino
3,571 69
58.5% 1.1%
Asian
13
<1%
American Indian
10
<1%
Other or MultiRacial
27
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
D
Primary Care Access
C
Physician Racial-Ethnic Diversity
F
Mental Health Care Access
C+
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
3.2%
% Estimated to Have No Health Insurance
19.1%
Black-White racial inequalities in health outcomes cost Warren County 61 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
333
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
27%
37.6%
5.6%
3.5
19.9%
2.8
F
Education (adults w/ <9th grade education)
20%
29.5%
30%
3.2
11.8%
1.9
F
Employment (adult unemployment)
9.4%
13%
0%
2.6
5.8%
2.9
C-
Mortality
YPLL-75 Rate (Life-Years Lost)
13,037.80
12,406.90
0
0.87
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
1,108.4
1,246.8
305.1
1.1
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
12,057.8
30,115.5
*
2.5
17,803.4
1.8
C-
Mental Health Emergency Dept Visits
1,644.2
2,764
*
1.7
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
11.2%
14.1
0
1.26
7.7%
1.9
C+
Inadequate Prenatal Care
22.3%
20.8%
57.5
0.93
11.6%
1.7
F
Tobacco Use in Pregnancy
16.1%
10.6%
*
0.62
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Warren County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
27.5
19.1%
10 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C F D ungraded ungraded C+
Georgia Health Disparities Report 2008
334
Health Disparities Reports
Washington County Minority Health Report Card
Washington County includes Davisboro, Deepstep, Harrison, Oconee, Riddleville, Sandersville and Tennille.
Washington County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
9,268
46.1%
Social and Economic Indicators
C-
African American or Black
Hispanic or Latino
10,713 137
53.3% 0.7%
Asian
66
<1%
American Indian
35
<1%
Other or MultiRacial
137
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
B+
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
A-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
2.4%
% Estimated to Have No Health Insurance
17.5%
Black-White racial inequalities in health outcomes cost Washington County 230 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
335
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
22.9%
35.8%
6.3%
4.3
19.9%
2.8
F
Education (adults w/ <9th grade education)
11.8%
16.8%
13%
2.4
11.8%
1.9
C-
Employment (adult unemployment)
9.5%
14.6%
0%
2.9
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
11,030.60
12,121.50
0
1.22
6,363
1.2
C
Age-Adjusted Death Rate per 100,000
1,020.5
1132
383.5
1.2
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
4,145.7
4,154.3
*
1
17,803.4
1.8
A
Mental Health Emergency Dept Visits
462.1
245.1
*
.5
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
11.9%
13.9
0
1.17
7.7%
1.9
B-
Inadequate Prenatal Care
10.1%
12.8%
6.7
2.03
11.6%
1.7
A-
Tobacco Use in Pregnancy
9.2%
5.9%
2.7%
0.42
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Washington County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
86.8
17.5%
10 persons Whole County HPSA
(dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C D ungraded ungraded A-
Georgia Health Disparities Report 2008
336
Health Disparities Reports
Wayne County Minority Health Report Card
Wayne County includes Jesup, Odum and Screven.
Wayne County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
22,259
78.4%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
5,726 1,258
20.2% 4.4%
Asian
169
<1%
American Indian
70
<1%
Other or MultiRacial
405
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
D
Mental Health Care Access
C-
Oral Health Care Access
PartialCounty HPSA*
% Speaking non-English Language at Home
5.6%
% Estimated to Have No Health Insurance
18.5%
Black-White racial inequalities in health outcomes cost Wayne County 132 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
337
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
16.7%
34.7%
40%
3
19.9%
2.8
F
Education (adults w/ <9th grade education)
11.1%
15.9%
21.9%
1.7
11.8%
1.9
C+
Employment (adult unemployment)
5%
9.3%
5.6%
2.2
5.8%
2.9
B
Mortality
YPLL-75 Rate (Life-Years Lost)
10,841.90
12,875.30
*
1.22
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
894.6
857.9
277
0.9
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
22,663.3
31,896.8
*
1.4
17,803.4
1.8
D+
Mental Health Emergency Dept Visits
3,926.6
3,357.6
*
.9
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
8%
15.3
7.3
1.91
7.7%
1.9
D+
Inadequate Prenatal Care
17.9%
15.4%
30.7
0.78
11.6%
1.7
F
Tobacco Use in Pregnancy
8.4%
3.8%
1.2%
0.31
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Wayne County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Partial-County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
45.2
18.5%
120 persons Partial-County HPSA
(dental) Whole County HPSA
(Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C D D ungraded ungraded C-
Georgia Health Disparities Report 2008
338
Health Disparities Reports
Webster County Minority Health Report Card
Webster County includes Preston.
Webster County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
1,211
52.9%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
1,075 99
47% 4.3%
Asian
0
0%
American Indian
0
0%
Other or MultiRacial
3
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
B
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
A-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
5.8%
% Estimated to Have No Health Insurance
18.4%
Black-White racial inequalities in health outcomes cost Webster County 60 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
339
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
19.3%
30.3%
30.5%
3.8
19.9%
2.8
D
Education (adults w/ <9th grade education)
16.3%
25.6%
78.8%
3.8
11.8%
1.9
F
Employment (adult unemployment)
7.5%
10.9%
14.5%
2.6
5.8%
2.9
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,257.60
13,379.10
*
1.80
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
1,044.4
1,131.3
168.9
1.1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
13,551.9
23,707.4
*
1.7
17,803.4
1.8
B-
Mental Health Emergency Dept Visits
1,311.5
1,387.1
*
1.1
2,357.1
1.3
A-
Birth Outcomes
Low Birth Weight
11.3%
13
*
1.15
7.7%
1.9
B-
Inadequate Prenatal Care
8.4%
11.3%
14.9
1.71
11.6%
1.7
B-
Tobacco Use in Pregnancy
12.5%
4.7%
*
0.26
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Webster County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
0.0
18.4%
2 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * D ungraded ungraded A-
Georgia Health Disparities Report 2008
340
Health Disparities Reports
Wheeler County Minority Health Report Card
Wheeler County includes Alamo and Glenwood.
Wheeler County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
4,389
65.4%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
2,254 311
33.6% 4.6%
Asian
5
<1%
American Indian
48
<1%
Other or MultiRacial
63
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
A
Illness Events (Hospital Admits & Emergency Visits)
B+
Prenatal Care & Birth Outcomes
B-
Primary Care Access
D
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
B
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
3.5% 23.3%
Black-White racial inequalities in health outcomes cost Wheeler County 91 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
341
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
25.3%
36.7%
59.5%
1.9
19.9%
2.8
C-
Education (adults w/ <9th grade education)
15.4%
18.5%
73.1%
1.4
11.8%
1.9
C
Employment (adult unemployment)
5%
9.8%
0%
2.7
5.8%
2.9
C+
Mortality
YPLL-75 Rate (Life-Years Lost)
8,808.50
6,236.80
0
0.60
6,363
1.2
A
Age-Adjusted Death Rate per 100,000
859.8
1,044.1
*
1.3
971.8
1.1
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
26,961.5
19,917.5
*
0.7
17,803.4
1.8
B+
Mental Health Emergency Dept Visits
2,999.1
1,708.9
*
.6
2,357.1
1.3
B+
Birth Outcomes
Low Birth Weight
7.4%
8.9
*
1.20
7.7%
1.9
A
Inadequate Prenatal Care
11.5%
15.5%
20.7
1.94
11.6%
1.7
D+
Tobacco Use in Pregnancy
7.1%
2.6%
*
0.24
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Wheeler County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
0.0 23.3% 23 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
D D * F ungraded ungraded B
Georgia Health Disparities Report 2008
342
Health Disparities Reports
White County Minority Health Report Card
White County includes Cleveland and Helen.
White County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
22,979
95.5%
Social and Economic Indicators
C
African American or Black
533
Hispanic or Latino
569
2.2% 2.4%
Asian
172
<1%
American Indian
63
<1%
Other or MultiRacial
543
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
A
Illness Events (Hospital Admits & Emergency Visits)
A
Prenatal Care & Birth Outcomes
*
Primary Care Access
F
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
B
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
4.4% 15.6%
Black-White racial inequalities in health outcomes cost White County 27 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
343
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
10.5%
22.3%
18.5%
2.2
19.9%
2.8
B-
Education (adults w/ <9th grade education)
9%
19.1%
28.4%
2.2
11.8%
1.9
C-
Employment (adult unemployment)
2.8%
8.5%
12.5%
3.3
5.8%
2.9
B-
Mortality
YPLL-75 Rate (Life-Years Lost)
9,466.90
4,591.80
*
0.47
6,363
1.2
A
Age-Adjusted Death Rate per 100,000
906.4
1,109.2
287.4
1.3
971.8
1.1
A
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
17,321.4
18,085.1
*
1
17,803.4
1.8
A
Mental Health Emergency Dept Visits
1,866.8
1,595.7
*
.9
2,357.1
1.3
B+
Birth Outcomes
Low Birth Weight
7.4%
*
*
*
7.7%
1.9
*
Inadequate Prenatal Care
17.5%
19.7%
22.9
1.2
11.6%
1.7
C-
Tobacco Use in Pregnancy
1.9%
*
0%
*
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
White County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
0.0 15.6% 39 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F * C ungraded ungraded B
Georgia Health Disparities Report 2008
344
Health Disparities Reports
Whitfield County Minority Health Report Card
Whitfield County includes Cohutta, Dalton, Tunnel Hill and Varnell.
Whitfield County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
84,807
93.3%
Social and Economic Indicators
C
African American or Black
Hispanic or Latino
3,510 25,614
3.9% 28.2%
Asian
1,194
<1%
American Indian
440
<1%
Other or MultiRacial
2,572
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
B
Illness Events (Hospital Admits & Emergency Visits)
D+
Prenatal Care & Birth Outcomes
C-
Primary Care Access
F
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
F
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
22.2%
% Estimated to Have No Health Insurance
17.9%
Black-White racial inequalities in health outcomes cost Whitfield County 23 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
345
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
11.5%
12.5%
23.6%
1.3
19.9%
2.8
A
Education (adults w/ <9th grade education)
18.2%
9.8%
52.8%
0.7
11.8%
1.9
A+
Employment (adult unemployment)
3.6%
8.3%
6.7%
3.2
5.8%
2.9
B-
Mortality
YPLL-75 Rate (Life-Years Lost)
8,195.20
8,969.70
3,558.20
1.08
6,363
1.2
B
Age-Adjusted Death Rate per 100,000
1,009.8
1,163
367.7
1.2
971.8
1.1
B
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
21,274.1
37,824.3
*
1.8
17,803.4
1.8
D+
Mental Health Emergency Dept Visits
3,347.3
4,016.7
*
1.2
2,357.1
1.3
F
Birth Outcomes
Low Birth Weight
6.5%
13.6
4.6
2.09
7.7%
1.9
C
Inadequate Prenatal Care
11.7%
16.2%
27.1
1.84
11.6%
1.7
D
Tobacco Use in Pregnancy
11.5%
5.7%
*
0.37
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Whitfield County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
No
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
81.0
17.9%
2,402 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
F F C D ungraded ungraded F
Georgia Health Disparities Report 2008
346
Health Disparities Reports
Wilcox County Minority Health Report Card
Wilcox County includes Abbeville, Pineview, and Rochelle.
Wilcox County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,529
63.4%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
3,163 134
36.3% 1.5%
Asian
16
<1%
American Indian
11
<1%
Other or MultiRacial
29
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
B
Prenatal Care & Birth Outcomes
D+
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
C+
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
2%
% Estimated to Have No Health Insurance
19.5%
Black-White racial inequalities in health outcomes cost Wilcox County 87 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
347
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
21%
41.9%
31.9%
3.7
19.9%
2.8
F
Education (adults w/ <9th grade education)
14.3%
20.3%
70.8%
1.9
11.8%
1.9
C-
Employment (adult unemployment)
4.9%
11.7%
27.9%
5.4
5.8%
2.9
D
Mortality
YPLL-75 Rate (Life-Years Lost)
11,887.50
13,730.00
*
1.27
6,363
1.2
D+
Age-Adjusted Death Rate per 100,000
980.8
988.2
*
1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
22,501.2
25,492.7
*
1.1
17,803.4
1.8
B
Mental Health Emergency Dept Visits
2,440.7
3,102.7
*
1.3
2,357.1
1.3
C+
Birth Outcomes
Low Birth Weight
7.8%
15.9
*
2.04
7.7%
1.9
D+
Inadequate Prenatal Care
8.3%
17.8%
*
2.25
11.6%
1.7
C
Tobacco Use in Pregnancy
19.7%
9.6%
*
0.48
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Wilcox County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
0.0
19.5%
3 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * D ungraded ungraded C+
Georgia Health Disparities Report 2008
348
Health Disparities Reports
Wilkes County Minority Health Report Card
Wilkes County includes Rayle, Tignall and Washington.
Wilkes County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,942
56.8%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
4,410 259
42.2% 2.5%
Asian
39
<1%
American Indian
21
<1%
Other or MultiRacial
105
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
F
Illness Events (Hospital Admits & Emergency Visits)
C-
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
C+
Oral Health Care Access
non-HPSA*
% Speaking non-English Language at Home
% Estimated to Have No Health Insurance
2.6% 16.3%
Black-White racial inequalities in health outcomes cost Wilkes County 330 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
349
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
17.5%
29.2%
33.3%
3.5
19.9%
2.8
D
Education (adults w/ <9th grade education)
12.7%
21.1%
10.6%
3.2
11.8%
1.9
F
Employment (adult unemployment)
4.4%
6.2%
12.3%
2
5.8%
2.9
A
Mortality
YPLL-75 Rate (Life-Years Lost)
10,885.70
15,567.00
0
2.06
6,363
1.2
F
Age-Adjusted Death Rate per 100,000
907
963.1
311
1.1
971.8
1.1
F
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
12,565.8
30,505.4
*
2.4
17,803.4
1.8
C-
Mental Health Emergency Dept Visits
2,127.2
3,001.5
*
1.4
2,357.1
1.3
C
Birth Outcomes
Low Birth Weight
4.3%
15.2
0
3.53
7.7%
1.9
F
Inadequate Prenatal Care
12.1%
20.6%
21.6
2.04
11.6%
1.7
D+
Tobacco Use in Pregnancy
12.8%
6.4%
*
0.45
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Wilkes County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
70.7 16.3% 23 persons non-HPSA (Dental)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
non-HPSA (Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C C ungraded ungraded C+
Georgia Health Disparities Report 2008
350
Health Disparities Reports
Wilkinson County Minority Health Report Card
Wilkinson County includes Allentown, Gordon, Irwinton, Ivey, McIntyre and Toomsboro.
Wilkinson County's Racial-Ethnic Diversity
Health Report Card
Race
NumWilber of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
5,960
58.8%
Social and Economic Indicators
D
African American or Black
Hispanic or Latino
4,128 173
40.7% 1.7%
Asian
10
<1%
American Indian
24
<1%
Other or MultiRacial
55
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
C
Illness Events (Hospital Admits & Emergency Visits)
B-
Prenatal Care & Birth Outcomes
C
Primary Care Access
C
Physician Racial-Ethnic Diversity
*
Mental Health Care Access
A-
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
2.8%
% Estimated to Have No Health Insurance
16.5%
Black-White racial inequalities in health outcomes cost Wilkinson County 11 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
351
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
17.9%
27.9%
22.1%
2.6
19.9%
2.8
C-
Education (adults w/ <9th grade education)
9.7%
12%
11.6%
1.4
11.8%
1.9
A-
Employment (adult unemployment)
6.7%
11.8%
10.7%
3.1
5.8%
2.9
D+
Mortality
YPLL-75 Rate (Life-Years Lost)
10,564.60
10,209.40
0
0.97
6,363
1.2
C+
Age-Adjusted Death Rate per 100,000
1,012.6
1,120.7
*
1.1
971.8
1.1
C
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
14,038.2
20,276
*
1.4
17,803.4
1.8
B-
Mental Health Emergency Dept Visits
1,057.4
1,061.6
*
1.0
2,357.1
1.3
A
Birth Outcomes
Low Birth Weight
9.1%
13.6
0
1.49
7.7%
1.9
C+
Inadequate Prenatal Care
16.8%
22.7%
17.6
1.67
11.6%
1.7
C-
Tobacco Use in Pregnancy
16.5%
9.3%
0%
0.45
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Wilkinson County Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
0.0
16.5%
12 persons Whole County HPSA
(Dental) non-HPSA (Mental
Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C * C ungraded ungraded A-
Georgia Health Disparities Report 2008
352
Health Disparities Reports
Worth County Minority Health Report Card
Worth County includes Poulan, Sumner, Sylvester and Warwick.
Worth County's Racial-Ethnic Diversity
Health Report Card
Race
Number of Persons
Percentage of Population
Minority Health Outcome Category County Grade
White
15,203
69.1%
Social and Economic Indicators
F
African American or Black
Hispanic or Latino
6,576 273
29.9% 1.2%
Asian
61
<1%
American Indian
75
<1%
Other or MultiRacial
217
<1%
Populations are estimated based on the 2005 Census data
This report card draws from detailed minority health data, from various sources. Unfortunately, data were insufficient to assess specific health behaviors in each county, or to reflect accurately the health barriers and inequities experienced by members of racial or ethnic sub-groups comprising less than 10% of Georgia's population, including Hispanic or Latino, Asian, and American Indian segments of our communities. The goal of the report and the county level report cards is not to stereotype or lump people in groups, but to identify pockets of inequality in health care and outcomes, and to catalyze action to achieve health equality for all Georgians.
What do the Grades Mean?
These grades are a composite grade based on both the minority health outcome (African-American rates of preventable death, for example) and the county's level of racial inequality, typically measured by a ratio of African American to white death rates (black-white rate ratio).
A Excellent Outcomes with Good to Excellent Level of Equality
A- Excellent Outcomes but Some Racial Inequality
B+ Above-Average Outcomes with Good to Excellent Level of Equality
B Above-Average Outcomes but Some Racial Inequality
B- Above-Average Outcomes but Moderately High Racial Inequality, or Below-Average Outcome with High Level of Equality (white outcomes equally bad)
C+ Below-Average Outcomes but Some Racial Inequality
C Below-Average Outcomes with Moderately High Racial Inequality, or Above-Average Outcomes but Severe Racial Inequality
C- Below-Average Outcomes made worse by Severe Racial Inequality
D+ Poor Outcomes made worse by Moderately High Racial Inequality
D Poor Outcomes made worse by Extremely Severe Racial Inequality
F Extremely Poor Outcomes and/or Extremely Severe Racial Inequality
Mortality (Deaths)
D
Illness Events (Hospital Admits & Emergency Visits)
F
Prenatal Care & Birth Outcomes
F
Primary Care Access
C
Physician Racial-Ethnic Diversity
C
Mental Health Care Access
*
Oral Health Care Access
Whole County HPSA*
% Speaking non-English Language at Home
1.8%
% Estimated to Have No Health Insurance
17%
Black-White racial inequalities in health outcomes cost Worth County 261 excess years of potential life lost due to premature deaths.
Action Steps:
. Review your county's detailed minority health and health disparities report available at www.dch.ga.gov to find specific indicators of success, and those needing improvement.
2. Disseminate the report to all segments of the community; Convene meetings of all interested stakeholders from the health sector (hospital, emergency department, public health, community health center, free clinics, private practice health professionals, etc.) as well as from stakeholders outside the health sector (business, government, elected officials, faith communities, teachers and school leaders, consumer advocates, etc.).
3. Develop a list of priorities for indicators needing improvement which might be amenable to specific interventions. Get buy-in from key stakeholders in the community, and together develop an action plan for intervention.
4. Commit to specific, measurable goals for improving performance on key indicators to be achieved within a specific time-frame; Hold regular follow-up meetings, and review frequent data updates on these indicators to assess progress and re-tune the interventions.
Seek technical assistance from the Office of Health Improvement by contacting James Peoples at 404-656-6684 or by e-mail at gahealthequity@dch.ga.gov.
353
Georgia Health Disparities Report 2008
Health Disparities Reports
Summary of Findings
Health Outcome Category
Whole County Rate or Measure
AfricanAmerican or Black Rate
in County
Hispanic or Latino Rate in County
County Black-White Inequalities
Ratio
Comparison Counties*
Rate or Measure
Comparison Counties
Black-White Inequalities Ratio (1.0 =
equality)
County Grade
Social and Economic
% Below Poverty
18.5%
35.7%
27.5%
3.3
19.9%
2.8
F
Education (adults w/ <9th grade education)
10.8%
17%
53.7%
2
11.8%
1.9
C-
Employment (adult unemployment)
7.2%
14.8%
21.6%
3.3
5.8%
2.9
F
Mortality
YPLL-75 Rate (Life-Years Lost)
10,258.80
13,280.40
0
1.46
6,363
1.2
D
Age-Adjusted Death Rate per 100,000
911.4
998.2
159.5
1.1
971.8
1.1
D
Note: YPLL-75 represents the number of person-years of life lost due to deaths before age 75. Consider one African-American man dying at age 54 (YPLL = 21 person years) and one white man dying at age 73 (YPLL = 2 person-years). Consider the disproportionate impact (lost grand-parenting, lost productivity and income, and lost wisdom of our elders) of the younger man's death on the African-American community.
Illness Events
Preventable Emergency Dept. Visits
21,612
48,713
*
2.3
17,803.4
1.8
F
Mental Health Emergency Dept Visits
2,426
0
*
1.2
2,357.1
1.3
*
Birth Outcomes
Low Birth Weight
7.9%
14.9
0
1.89
7.7%
1.9
D+
Inadequate Prenatal Care
21.1%
17.8%
31.2
0.83
11.6%
1.7
F
Tobacco Use in Pregnancy
9.2%
16.1%
0.4%
1.77
11.7%
0.4
Not graded
Counties are compared within these three categories Atlanta metropolitan (Atlanta-Gainesville MSA), Non-Atlanta Metro Areas, or Rural non-metro. *Insufficient Data are available for groups other than Black & White at the County Level; in addition to confidentiality concerns with small numbers of deaths, other groups are also not broken out in the compressed mortality data file. See more detailed racial-ethnic break-out of Asian, Hispanic/Latino, and American Indian mortality in statewide report.
Other Indicators Relevant to Health Disparities
Worth County
Comparison Counties*
Health Care Access
Access to Primary Care Providers (Health Professional Shortage Area--HPSA?)
Whole County HPSA
Primary Care Safety Net (Yes/No Is there a Federally-Qualified Community Health Center? grade based on HPSA plus FQHC)
Yes
Health Professional Diversity (Black & Latino Physicians per 100,000 Black-Latino- pop.)
Health Insurance Coverage (uninsured rate as % of population) Persons Living in
Linguistically-Isolated Households
Oral Health Access (Dental Health Professional Shortage Area)
Mental Health Access (Mental Health Professional Shortage Area HPSA; grade also based on mental health ED visits)
77.3
17%
7 persons Whole County HPSA
(Dental) Whole County HPSA
(Mental Health)
85 out of 108 are Whole County (4 Partial County)
Primary Care HPSAs 46 out of 108 are included in a community health center
catchment area Median is 34.9 per 100,000, much lower than for white
physicians. 18.6% (median uninsured
rate)
39 persons
47/108 are whole or partial county Dental HPSAs
53 out of 108 are whole or partial county Mental Health
HPSAs
HPSA = Health Professional Shortage Area as designated by the Health Resources and Services Administration
County Grade
C C C D ungraded ungraded *
Georgia Health Disparities Report 2008
354
Key Recommendations
355
Georgia Health Disparities Report 2008
Key Recommendations
Increased Awareness
Best Practices
Increase awareness of health disparities among the general public as well as key stakeholders by promoting, developing, and investing in programs and initiatives that work to eliminate racial and ethnic health disparities.
Data Collection and Documentation
Identify, celebrate and highlight best practices that are dedicated to improving the health of disadvantaged and disenfranchised populations; and, recognize the programs that effectively demonstrate the link between health, poverty and improved health outcomes for Georgia's indigent and minority populations.
Commit to and budget for measuring disparities at local levels for all racial and ethnic groups, ensuring that documentation of progress is monitored towards the elimination of health disparities.
Community Empowerment
Promote and increase community-level involvement by supporting leadership development and increasing the capacity within the community to more effectively address health disparities on the local levels. Additionally, funding must be provided for community organizations that represent and serve the target populations.
Public Policy
Workforce Diversity
Work to create a culturally competent and diverse healthcare workforce that is responsive to and reflects the reality of Georgia's ethnic and racial diversity. The area of workforce diversity must also consider preparing emerging healthcare professionals to work effectively as public health and health policy leaders.
Accountability and Ownership
Provide information to affected communities so that health disparities are known and increasing patient knowledge of how best to access care and participate in treatment decisions.
Public policies and practices that have implications for improving and/or impacting health outcomes must be developed, identified and/or explored to ensure that they include key health disparities issues. It is imperative that incorporate key health disparities issues and identify areas for improvement.
Collaboration and Partnerships
Include a diversity of traditional and non-traditional constituents i.e., foundations, civic planning organizations/ agencies, indigenous community leaders; traditional providers of services to the population including physicians, community health centers, the faith community and elected officials (city, county and state) to address the elimination of health disparities.
Georgia Health Disparities Report 2008
356
Georgia Health Equity Initiative
Georgia Departement of Community Health 2 Peachtree Street Atlanta, GA 30303
www.dch.georgia.gov