Transcript HSN Indicators

HSN Indicators
Children Birth to Five
October 2006
Glossary of terms
•
Number - Actual number of reported cases
•
Percent - The percent of the total number of cases compared to the
population - ex: 1 out of 4 = 25%
•
Rate - How many you would expect, given your actual number,
based on an agreed upon higher population. For example, most
health related ‘rates’, compare all actual numbers to a population
of 100,000. Rates are used to compare numbers between small
groups and large groups.
30
46,500
•
=
64.6
100,000
=
6,395
9,900,000
The above example changes 30 cases in Hillsdale County with a
population of 46,500, to a rate of 64.6 cases per 100,000. This
allows comparison to a larger population rate. Michigan, with
6,395 actual cases, has the same rate – 64.6
Is your data significant?
3% exceeds 2% by 50%, not by
1%
Immunizations
Complete immunizations, 19-36 Months
Percent Complete
Source: Community Health Agency/MCIR
80
70
66 65
66
69
63
56
60
% Complete
65
71
48
50
40
30
20
10
0
2003
2004
2005
Branch
Hillsdale
Michigan
Percent of Hillsdale mothers without a
high school diploma
Source: Michigan birth files
40
Mom-HD
Mom-BR
Mom-MI
35
Percent
30
25
20
15
10
5
0
2000
2001
2002
2003
2004
Percent of Hillsdale fathers without a
high school diploma
Source: Michigan birth files
40
Dad-HD
Dad-BR
Dad-MI
35
Percent
30
25
20
15
10
5
0
2000
2001
2002
2003
2004
Abuse and neglect
(Studied vs. substantiated)1999-2004
Number
Source: Kids Count Data Books
2000
1800
1600
1400
1200
1000
800
600
400
200
0
HD - Studied
HD - Substantiated
Branch - Studied
Branch - Substantiated
1999
2000
2001
2002
Calendar Year
2003
2004
Number of children in Hillsdale County,
age 0-5, who were victims of domestic
violence, 2002-2005
Source: MSP Uniform Crime Reports
Victims of Domestic violence
Hillsdale Branch
200220032004
2
2
2
1
2
0
Number of children in Hillsdale County
ages 0 to 18 housed by Domestic
Violence Shelter, 1996-2005
Source: Domestic Harmony
140
120
Number
100
81
80
60
64
48
48
55
55
36
48
48
2003-4
2004-5
40
20
0
1996-97
1997-98
1998-99
1999-00
2000-01
2001-02
2002-3
Number of resident nights provided for
children ages 0 to 18 by Domestic
Violence Shelter, 1996-2005
Source: Domestic Harmony
1600
1331
1400
1066
1059
1000
807
762
800
711
600
797
556
545
400
200
20
04
-5
20
03
-4
20
02
-3
2
20
01
-0
1
20
00
-0
0
19
99
-0
9
19
98
-9
8
19
97
-9
7
0
19
96
-9
Number
1200
FIA Foster Care, youth under 18,
1997-2005 - averages
Source: DHS Website PUB 170
70
59
60
45
43
37
40
30
30
25
27
19
20
10
20
04
/0
5
20
03
/0
4
20
02
/0
3
20
01
/0
2
20
00
/0
1
19
99
19
98
0
19
97
Number
50
Poverty estimates for
Hillsdale County children age 0 to 5
Source: U.S Census 1990 & 2000
1990
1993 1995
555
1997
2000
Total Children 3296
0-5
3669 3598
3554
3643
919
596
428
Number in
Poverty
685
792
Percentage in
Poverty
20.8% 25% 22.0%
16.8% 11.8%
Pregnancy & Prenatal Care
Number of Hillsdale County
births, Medicaid births 1994-2004
Source: MDCH Birth Files
% Medicaid 1999 -29%, 2004 - 43%
Medicaid
Non Medicaid
700
600
500
400
300
200
100
0
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Percent of mothers who report
smoking while pregnant
Michigan/Branch/Hillsdale Co.
Source: Michigan Birth Files
35.0
30.0
Percent
25.0
20.0
15.0
10.0
5.0
0.0
95 996 997 998 999 000 001 002 003 004
9
1
1
1
1
1
2
2
2
2
2
Hillsdale %
Branch %
Mich. %
Adequacy of Prenatal Care during
pregnancy –Hillsdale/Branch/MI
Source: Michigan Birth Files
Based on Kessner Prenatal Care Index
Hillsdale
Branch
MI
100
80
60
40
20
0
1997
1998
1999
2000
2001
2002
2003
2004
No Pre-natal Care as a % of births –
Hillsdale/Branch/MI
Source: Michigan Birth Files
2
1.8
1.6
1.4
1.2
1
0.8
0.6
0.4
0.2
0
7
8
9
0
1
2
3
4
9
9
9
0
0
0
0
0
19
19
19
20
20
20
20
20
Hillsdale
Branch
Michigan
Infant Mortality – Hillsdale County 3 year
moving average (1994-2004)with Branch/MI
Source: Michigan birth files
10
8
6
Hillsdale
Branch
Michigan
4
2
4
20
3
2
00
10
2
2
00
00
1
2
00
90
0
1
99
80
99
79
1
99
68
1
1
99
57
99
1
99
46
0
1
Ave. Infant Death
Rate
12
Infant deaths and Prenatal Care
Statistics – Hillsdale County
Source: Michigan Birth Files
70
60
Number
50
Infant Deaths
No PNC
< 6 PNC Visits
56
44
40
37
40
39
32
29
30
20
10 46
0
1997
12
9
4
77
5
1998
1999
2000
4
8
2001
37
2
8
4
2002
2003
9
7
0
2004
Deaths of children ages 0 to 18,
Hillsdale County, 1997-04
Source: MDCH Death Files
18
16
16
12
12
10
10
8
14
13
14
8
7
9
6
4
4 3
2
10
9
7
8
8
6
6
11
4
7
55
4
2
0
1997 1998 1999 2000 2001 2002 2003 2004
Male
Female
Total
Branch vs. Hillsdale vs. MI
Abnormal conditions of newborn
(Including; Anemia, birth injury, Fetal Alcohol Syndrome, and
seizures)
Source: Michigan Birth Files
25
Rate/1000
20
15
13.2
13.1
11.4
10
6.8
8
5.4 4.6
5 2.9
5.3
4.3
5.3 4.9
5.6
4.4
5.8
0
2000
2001
2002
Birth year
2003
2004
Branch
Hillsdale
Michigan
WIC enrollment, Hillsdale/Branch Counties,
2002/3 to 2004/05
Source: MDCH WIC program data
1400
1200
Women-HD
Number
1000
700 800
800
783 887
1000
823
Women-BR
Kids-HD
Kids-BR
600
400
200
268
203
248 297
258
336
0
2002-03
2003-04
2004-05
Conclusions – Birth to 5
• No prenatal care as a % of births
- Hillsdale more than 20 higher than MI
- More than double Branch County
• Moms who report smoking while pregnant
- HD is 62% higher than MI
• No HS diploma for parents
- HD dads 78% > than MI with no HS Diploma
-- HD moms 34% > than MI with no HS Diploma
• Only 12.8% of HD adults >25 have a college degree compared
with 21.8% in Michigan –(US Census data)
Conclusions – Birth to 5 Continued
• Current 3 year infant mortality rate (2002/04) is less than half of
the Michigan Branch County rates
• Children ages 19-36 months are compliant for immunizations at a
10% higher level than children statewide (69% vs. 63%)
• The Classification ‘Abnormal Conditions of Newborn’ – needs
more in-depth study as the percent for Hillsdale is much higher
than the percent for Michigan (11.4% vs. 5.8%)