Oral Health Data Profile - Thurston County...Oral Health Data Profile Thurston County Local Impact...

Oral Health Data ProfileThurston County Local Impact Network

Thurston County Public Health and Social Services DepartmentSeptember 2018

Mary Ann O’Garro, Epidemiologist

Presenter

Presentation Notes

Prepared for the Thurston County Local Impact Network

Thurston County Public Health & Social Services Department

Purpose

Population Health Indicators Describe current conditions

Identify oral health disparities

Inform anchor strategy planning

Support network collaborationPopulation-Level:

The whole community is accountable

Thurston Countyis ranked 6th healthiest in Washington State


Presenter

Presentation Notes

Source: County Health Rankings, University of Wisconsin and Robert Wood Johnson Foundation http://www.countyhealthrankings.org/app/washington/2018/rankings/thurston/county/outcomes/overall/snapshot Overall, Thurston County is ranked 6th healthiest compared to all 39 counties for health outcomes The rank measures how long people live and how healthy people are while alive A lower rank is better (1 best, 39 worst)

Dental Insurance Data


Dental Insurance: Thurston County Adults

Detail Timeframe: 2016

Uninsured Estimate = 51,000 adults

Parameters: Covered or partially covered by dental insurance

Note: Any form of dental insurance

Source: BRFSS


76%

24%

DENTAL INSURANCE

Insured Uninsured

All Adults

Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “Do you have any kind of insurance coverage that pays for some or all of your routine dental care, including dental insurance, prepaid plans such as HMOs, or government plans such as Medicaid?” Estimate based on Washington State Office of Financial Management Population Estimates for 2016 In 2016, 24% of Thurston County adults did not have dental insurance Comparison for Washington State All Adults: Insured = 67%, Uninsured = 33% Thurston Uninsured Rank (1 worst, 39 best) = 35th


Detail Timeframe: 2012-2016

Insured Estimate• 2012 = 131,500 adults

• 2016 = 161,700 adults



Source: BRFSS


66%72% 76%

63% 65% 67%

0%

20%

40%

60%

80%

100%

2012 2014 2016

Thurston WA State

Insured Adults

Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “Do you have any kind of insurance coverage that pays for some or all of your routine dental care, including dental insurance, prepaid plans such as HMOs, or government plans such as Medicaid?” Estimate based on Washington State Office of Financial Management Population Estimates for 2012 and 2016 The percent of Thurston County adults covered by dental insurance increased between 2012 and 2016

34%

14%

66% 86%

Low Income Not Low Income

Chart Title

Uninsured Insured

Adults by Income




Low Income: Annual household income less than $35,000


Source: BRFSS


Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “Do you have any kind of insurance coverage that pays for some or all of your routine dental care, including dental insurance, prepaid plans such as HMOs, or government plans such as Medicaid?” In 2016, 34% of low income Thurston County adults had no dental insurance compared to 14% of county adults who were not low income Comparison for Washington State Low Income: Insured = 49%, Uninsured = 51% Not Low Income: Insured = 77%, Uninsured = 23%

21%34%

79% 66%

18 to 64 65 and Up

Chart Title

Uninsured Insured

Adults by Age



Uninsured Estimate Age 18 to 64 = 35,200

Age 65 and Up = 15,200


Note: Any form of insurance

Source: BRFSS


Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “Do you have any kind of insurance coverage that pays for some or all of your routine dental care, including dental insurance, prepaid plans such as HMOs, or government plans such as Medicaid?” Estimate based on Washington State Office of Financial Management Population Estimates for 2016 In 2016, 21% of Thurston County adults age 18-64 had no dental insurance compared to 34% of county adults age 65 and up Comparison for Washington State Age 18 to 64: Insured = 73%, Uninsured = 27% Age 65 and Up: Insured = 46%, Uninsured = 54%

Medicare & Dental Insurance: Thurston County Adults

Detail Insurance: Medicare

Timeframe: 2016



Source: BRFSS


67%

33%

DENTAL INSURANCE

Dental Insurance No Dental Insurance

All Medicare Adults

Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “Do you have Medicare?” Question asked “Do you have any kind of insurance coverage that pays for some or all of your routine dental care, including dental insurance, prepaid plans such as HMOs, or government plans such as Medicaid?” Of Thurston County adults covered by Medicare in 2016, 33% did not have dental insurance

Health & Dental Insurance: Thurston County Adults


Parameters: 18 and up with any form of dental insurance

Source: BRFSS


59%

12%

11%

10%

5%

2%

1%

Employer/Union Plan

Medicaid

Military

Medicare

Purchased Own Plan

Other

No Health Insurance

0% 50% 100%

Among Adults with Dental Insurance

Source of Health Insurance

Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “What is the primary source of your health care coverage?” Question asked “Do you have any kind of insurance coverage that pays for some or all of your routine dental care, including dental insurance, prepaid plans such as HMOs, or government plans such as Medicaid?” Of Thurston County adults with dental insurance, 59% had a health insurance plan purchased through an employer or union in 2016

Medicaid Dental Utilization Data



All Ageso WA State: 39%o Thurston: 31%

Presenter

Presentation Notes

Source: Health Care Authority Apple Health (Medicaid) https://www.hca.wa.gov/about-hca/dental-data Green is best, blue is better, yellow less than state, red worst Thurston County is yellow and our peer LIN Spokane is green Thurston County is worse than surrounding counties In fiscal year 2017, 31% of Thurston County residents covered by Medicaid used dental services. Thurston County Utilization Rank (1 best, 39 worst) = 30th


Age Birth to 20o WA State: 56%o Thurston: 47%

Presenter

Presentation Notes

Source: Health Care Authority Apple Health (Medicaid) https://www.hca.wa.gov/about-hca/dental-data Children coverage goes through age 20, adult benefits change at 21. Color patterns do improve for some places for children, but not for Thurston County. In fiscal year 2017, 47% of Thurston County residents age birth to 20 covered by Medicaid used dental services. Thurston County Utilization Rank (1 best, 39 worst) = 29th


Age 21 and Upo WA State: 23%o Thurston: 19%

Presenter

Presentation Notes

Source: Health Care Authority Apple Health (Medicaid) https://www.hca.wa.gov/about-hca/dental-data In fiscal year 2017, 19% of Thurston County adults age 21 and up covered by Medicaid used dental services. Thurston County Utilization Rank (1 best, 39 worst) = 26th

29,88531,692 33,054

34,991 36,430

13,052 13,84215,039

16,443 17,043

FY 2013 FY 2014 FY 2015 FY 2016 FY 2017

Chart Title

Eligibles Users

Age birth to 20

Dental Care Utilization: Thurston County Residents

Detail Insurance: Medicaid

Timeframe: 2013-2017

Percent Change: Eligibles = 22% increase

Users = 31% increase

Note: FY = Fiscal Year

Source: Health Care Authority


Presenter

Presentation Notes

Source: Health Care Authority Apple Health (Medicaid) https://www.hca.wa.gov/about-hca/dental-data Between fiscal year 2013 and 2017, the number of Thurston County residents age birth to 20 covered by Medicaid who used dental services increased from 13,052 to 17,043 (31% increase in use) Comparison for Washington State Percent Change Age Birth to 20 Eligibles = 16% increase, Users = 19% increase

18,762

32,595

43,71949,261 49,960

1,9544,616

7,425 8,384 9,618

FY 2013 FY 2014 FY 2015 FY 2016 FY 2017

Chart Title

Eligibles Users

Age 21 and Up

Dental Care Utilization: Thurston County Residents


Timeframe: 2013-2017

Percent Change: Eligibles = 166% increase

Users = 392% increase




Presenter

Presentation Notes

Source: Health Care Authority Apple Health (Medicaid) https://www.hca.wa.gov/about-hca/dental-data Between fiscal year 2013 and 2017, the number of Thurston County residents age 20 and up covered by Medicaid who used dental services increased from 1,954 to 9,618 (392% increase in use) Comparison for Washington State Percent Change Eligibles = 129% increase, Users = 268% increase


Age Birth to 5o WA State: 53%o Thurston: 45%

Presenter

Presentation Notes

Source: Health Care Authority Apple Health (Medicaid) https://www.hca.wa.gov/about-hca/dental-data In fiscal year 2017, 45% of Thurston County residents age birth to 5 covered by Medicaid used dental services.

Dental Care Utilization: Thurston County Children


Timeframe: 2017




FY 2017 # Eligibles # Users % Users

Age birth to 1 4,769 1,366 29%

Age 2 to 5 7,517 4,152 55%

Age 6 to 14 15,263 8,359 55%

Age 15 to 17 4,692 2,152 46%

Presenter

Presentation Notes

Source: Health Care Authority Apple Health (Medicaid) https://www.hca.wa.gov/about-hca/dental-data

Licensed Provider Data


Ratio of Population to Dentists: Thurston County


Total Dentists = 203

Ratio Thurston = 1,360 to 1

WA = 1,250 to 1

Source: HRSA


Presenter

Presentation Notes

Source: County Health Rankings, Health Resources and Services Administration (HRSA) http://www.countyhealthrankings.org/app/washington/2018/rankings/thurston/county/outcomes/overall/snapshot Thurston County Rank (1 best, 30 worst) = 10th Best = King, Worst = Skamania Note: Thurston County based dentists serve individuals from outside of the county

Designationso North Countyo South Countyo Nisqually Tribe


Presenter

Presentation Notes

Source: Washington State Department of Health, Health Care Professional Shortage program https://www.doh.wa.gov/ForPublicHealthandHealthcareProviders/RuralHealth/DataandOtherResources/HealthProfessionalShortageAreas Thurston County designations are geographic with date of designation and last update 10/2017 Nisqually Health Clinic has a facility/tribal designation with a last update of 10/2009 Only dentists are counted for shortage designation and are defined as a non-federal dentist with an active dentist credential who provides patient care addressing general dental care

Dental Visit Data


Last Dental Visit: Thurston County 8th Graders


Visit 1 or More Years Ago Estimate = 740 8th graders

Parameters: Visit for any reason

Note: Provider can be based in any county

Source: HYS


77%

7%

3%

13%

DENTAL VISIT

In Past Year 1 to 2 Years2 or More Years Never or Not Sure

All 8th Graders

Presenter

Presentation Notes

Source: Healthy Youth Survey (HYS), Washington State Department of Health Question asked “When was the last time you saw a dentist for a check-up, exam, teeth cleaning, or other dental work?” 8th Graders are usually age 13-14 In 2016, 77% of Thurston County 8th graders had visited a dentist in the past year (23% had not) Comparison for Washington State All 8th Graders: In Past Year 76%, 1 to 2 Years = 7%, 2 or More Years = 3%, Never or Not Sure = 14%

Last Dental Visit: Thurston County 10th Graders


Visit 1 or More Years Ago Estimate = 670 10th graders



Source: HYS


80%

9%

5%6%

DENTAL VISIT

In Past Year 1 to 2 Years2 or More Years Never or Not Sure

All 10th Graders

Presenter

Presentation Notes

Source: Healthy Youth Survey (HYS), Washington State Department of Health Question asked “When was the last time you saw a dentist for a check-up, exam, teeth cleaning, or other dental work?” 10th Graders are usually age 15-16 In 2016, 80% of Thurston County 10th graders had visited a dentist in the past year (20% had not) Comparison for Washington State All 10th Graders: In Past Year = 80%, 1 to 2 Years = 8%, 2 or More Years = 4%, Never or Not Sure = 8%


Last Dental Visit, Thurston County Youth

69% 70%

84% 85%

0%

20%

40%

60%

80%

100%

8th Graders 10th Graders


In Past YearDetail Timeframe: 2016


Low income: Eligible for free or reduced school meals


Source: HYS

Presenter

Presentation Notes

Source: Healthy Youth Survey (HYS), Washington State Department of Health Question asked “When was the last time you saw a dentist for a check-up, exam, teeth cleaning, or other dental work?” 8th Graders are usually age 13-14 10th Graders are usually age 15-16 Low income Thurston County youth are less likely to visit a dentist compared to not low income youth. In 2016, 69% of low income Thurston County 8th graders visited a dentist in the past year compared to 84% of not low income 8th graders. In 2016, 70% of low income Thurston County 10th graders visited a dentist in the past year compared to 85% of not low income 10th graders.

Last Dental Visit: Thurston County Adults

Detail Timeframe: 2016 Last Visit

• 1 Year or More Ago Estimate = 63,800 adults

• 5 or More Years Ago Estimate = 17,000 adults

Parameters: Visit for any reason, including specialists


Source: BRFSS Thurston County Public Health & Social Services Department

70%13%

9%

8%

DENTAL VISIT

In Past Year 1 to Under 2 Years

2 to Under 5 Years 5 or More Years

All Adults

Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “How long has it been since you last visited a dentist or a dental clinic for any reason? Include visits to dental specialists, such as orthodontists” Estimate based on Washington State Office of Financial Management Population Estimates for 2016 In 2016, 70% of Thurston County adults had visited a dentist in the past year Comparison for Washington State All Adults: In Past Year = 69%, 1 to Under 2 Years = 12%, 2 to Under 5 Years = 9%, 5 or More Years = 9%

28% 22%

72% 78%

18 to 64 65 and Up

Chart Title

Not in Past Year Past Year

By Age





Source: BRFSS


Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “Question asked “How long has it been since you last visited a dentist or a dental clinic for any reason? Include visits to dental specialists, such as orthodontists” Comparison for Washington State Age 18 to 64: Past Year = 68%, 1 Year or More = 32% Age 65 and Up: Past Year = 71%, 1 Year or More = 29%

43%

24%

57% 76%


Chart Title

Not in Past Year In Past Year

By Income






Source: BRFSS


Presenter

Presentation Notes

Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “Question asked “How long has it been since you last visited a dentist or a dental clinic for any reason? Include visits to dental specialists, such as orthodontists” In 2016, 57% of low income Thurston County adults visited a dentist in the past year (43% visited one or more years ago or never) Comparison for Washington State Low Income: In Past Year = 52%, Not in Past Year = 48% Not Low Income: In Past Year = 77%, Not in Past Year = 23%

Oral Health Data


Missed School Toothache: Thurston County 6th Graders


Missed School Due to Toothache Estimate = 220 6th graders

Parameters: Missing school in past year (answer of yes or 1 or more days)

Note: Does not include braces or injury

Source: HYS


7%

93%

TOOTH PAIN

Yes No

6th Graders

Presenter

Presentation Notes

Source: Healthy Youth Survey (HYS), Washington State Department of Health Question “During the past year, did you miss any time from school because of toothache? (Do not include toothache due to braces or an injury.)” 6th Graders are usually age 11-12 Estimate based on Office of Superintendent of Public Instruction enrollment for the 2016-2017 school year In 2016, 7% of Thurston County 6th graders missed school due to a toothache Comparison for Washington State All 8th Graders: No Days = 94%, 1 or More Days= 6%

Missed School Toothache: Thurston County 8th Graders


Missed School Due to Toothache Estimate = 120 8th graders



Source: HYS


4%

96%

TOOTH PAIN

Yes No

8th Graders

Presenter

Presentation Notes

Source: Healthy Youth Survey (HYS), Washington State Department of Health Question asked “During the past 12 months, how many days did you miss some school because of toothache? (Do not include toothache due to braces or injury.)” 8th Graders are usually age 13-14 Estimate based on Office of Superintendent of Public Instruction enrollment for the 2016-2017 school year In 2016, 4% of Thurston County 8th graders missed school due to a toothache Comparison for Washington State All 8th Graders: No Days = 96%, 1 or More Days= 4%


Missed School Toothache, Thurston County Youth

6% 6%

3% 3%

0%

5%

10%

15%

20%

8th Graders 10th Graders


By IncomeDetail Timeframe: 2016


Low income: Eligible for free or reduced school meals


Source: HYS

Presenter

Presentation Notes

Source: Healthy Youth Survey (HYS), Washington State Department of Health Question asked “During the past 12 months, how many days did you miss some school because of toothache? (Do not include toothache due to braces or injury.)” 8th Graders are usually age 13-14 10th Graders are usually age 15-16 Low income Thurston County youth are more likely to miss school due to a toothache compared to not low income youth. In 2016, 6% of low income Thurston County 8th graders missed school due to a toothache compared to 3% of not low income 8th graders. In 2016, 6% of low income Thurston County 10th graders missed school due to a toothache compared to 3% of not low income 10th graders.

Mouth Pain in Past Year: Thurston County Adults


Experienced Mouth Pain Estimate = 34,000 adults

Parameters: Yes (very often, occasionally), No (hardly ever, never)

Source: BRFSS


16%

84%

TOOTH PAIN

Yes No

All Adults

Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “How often during the last year have you had painful aching anywhere in your mouth?” Estimate based on Washington State Office of Financial Management Population Estimates for 2016 In 2016, 16% of Thurston County adults experienced mouth pain in the past year Comparison for Washington State All Adults: Yes = 16%, No = 84%

18%9%

82% 91%

18 to 64 65 and Up

Chart Title

Yes No

By Age




Source: BRFSS


Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “How often during the last year have you had painful aching anywhere in your mouth?” In 2016, 18% of Thurston County adults age 18-64 had experienced mouth pain in the past year compared to 9% of county adults age 65 and up. Comparison for Washington State Age 18 to 64: Yes = 18%, No = 82% Age 65 and Up: Yes = 11%, No = 89%

30%

12%

70% 88%


Chart Title

Yes No

By Income





Source: BRFSS


Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “How often during the last year have you had painful aching anywhere in your mouth?” In 2016, 30% of low income Thurston County adults had experienced mouth pain in the past year compared to 12% of county adults who were not low income. Comparison for Washington State Low Income: Yes = 24%, No= 76% Not Low Income: Yes = 13%, No = 87%

Permanent Teeth Removed: Thurston County Adults


1 or More Teeth Removed Estimate = 78,700 adults

Parameters: Due to tooth decay or gum disease

Source: BRFSS


33%

4%63%

TOOTH PAIN

1 or More, Not All All None

All Adults

Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “How many of your permanent teeth have been removed because of tooth decay or gum disease? Include teeth lost to infection, but do not include teeth lost for other reasons, such as injury or orthodontics.” Estimate based on Washington State Office of Financial Management Population Estimates for 2016 In 2016, 37% of Thurston County had 1 or more permanent teeth removed due to tooth decay (33% 1 tooth, but not all and 4% all) Comparison for Washington State All Adults: 1 or More, Not All = 33%, All = 4%, None = 63%

31%

58%

69% 42%

18 to 64 65 and Up

Chart Title

1 or More None

By Age




Source: BRFSS


Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “How many of your permanent teeth have been removed because of tooth decay or gum disease? Include teeth lost to infection, but do not include teeth lost for other reasons, such as injury or orthodontics.” Comparison for Washington State Age 18 to 64: 1 or More = 31%, None = 69% Age 65 and Up: 1 or More = 62%, None = 38%

48%

31%

53% 69%


Chart Title

1 or More None

By Income





Source: BRFSS


Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “How many of your permanent teeth have been removed because of tooth decay or gum disease? Include teeth lost to infection, but do not include teeth lost for other reasons, such as injury or orthodontics.” Comparison for Washington State Low Income: 1 or More = 50%, None= 50% Not Low Income: 1 or More = 31%, None = 69%

Diabetes: Thurston County Adults


Diabetes Estimate = 21,200 adults

Parameters: Ever told by health professional

Source: BRFSS


10%

1%

2%

87%

DIABETES

Yes Yes, PregnancyPre-Diabetes No

All Adults

Presenter

Presentation Notes

Source: Behavioral Risk Factor Surveillance Survey (BRFSS), Washington State Department of Health Question asked “Has a doctor, nurse, or other health professional ever told you that you had any of the following: Diabetes?” Estimate based on Washington State Office of Financial Management Population Estimates for 2016 In 2016, 10% of Thurston County adults had been diagnosed with diabetes Comparison for Washington State All Adults: Yes = 9%, Yes, Pregnancy = 1%, Pre-Diabetes = 1%, No = 89%

Smile Survey Data


Arcora Foundation Report for Thurston County

http://bit.ly/ThurstonArcoraOralHealth2017

http://bit.ly/ThurstonArcoraOralHealth2017

Emergency Department Data


60

12

2017-2018

Chart Title

In-County Out-of-County

Location

Oral Health ED Visits: Thurston County Residents

Detail Timeframe: July 1, 2017 - June 30,

2018

Total Visits = 72

Parameters: Visits for tooth, teeth, dental in chief complaint or discharge

In-County: Providence St. Peter Hospital

Note: ED = Emergency Department

Source: ESSENCE


Presenter

Presentation Notes

Source: Electronic Surveillance System for Early Notification of Community-based Epidemics (ESSENCE) Providence St. Peter Hospital is participating with data available Capital Medical Center is participating in the system, but does not yet have data available to users Includes county residents who went to in-county and out-of-county emergency department



2018

Total Visits = 72



Source: ESSENCE


8%

76%

15%

AGE

19 and younger 20 to 49 50 and up

Age

Presenter

Presentation Notes




2018

Total Visits = 72



Source: ESSENCE


50%

50%

GENDER

Female Male

Gender

Presenter

Presentation Notes



Overdose ED Visits, Thurston County Residents

45

58

24

50

21

8

0

10

20

30

40

50

60

70

7/2017 to 12/2017 1/2018 to 6/2018

Any Opioid Non-Heroin Opioid Heroin

OpioidsDetail Timeframe: July 1, 2017 - June 30,

2018 Total Visits = 103 Average: 2 opioid overdoses ED visits

every week (1st half 2018) Parameters: Includes unintentional,

intentional, assault and undetermined Note: ED = Emergency Department Source: ESSENCE

Presenter

Presentation Notes



Overdose Deaths, Thurston County Residents

14

19

810

2

5

02468

101214161820

2016 2017

Any Opioid Rx Opioid Heroin

OpioidsDetail Timeframe: Calendar Year 2016-2017

Average: 1 opioid overdose death every 3 weeks (2017)

Parameters: Includes unintentional, intentional, assault and undetermined

Source: Opioid Quarterly Report

Presenter

Presentation Notes

Source: Opioid Quarterly Report from Death Certificates, Washington State Department of Health

Definition• A difference in health outcomes due to systematic experiences or societal

conditions that impact specific groups of people.

• Thurston County• Age• Income

Oral Health Disparities


Presenter

Presentation Notes

In Thurston County oral health disparities have been identified for age and income

Population Change: Thurston County Residents


23,629

32,764

44,964

49,971

67,252

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

2000 2010 2016 2020 2030

Age 65 and Up

Presenter

Presentation Notes

Source: Washington State Office of Financial Management, Thurston Regional Planning Council Population Forecast Population change for the number of Thurston County residents age 65 and up for 2000-2016 = 90% increase Population change for the number of Thurston County residents age 65 and up for 2016-2030 = 50% increase

57,46761,269

71,393

22,206 25,41729,303

2007 2010 2016

Chart Title

Low Income Poverty

All Ages

Income Change: Thurston County Residents

Detail Timeframe: 2007-2016

Parameters: Low income (less than 200% of poverty), Poverty (less than 100% of poverty)

Source: American Community Survey


Presenter

Presentation Notes

Source: US Census Bureau, American Community Survey, Ratio of Income to Poverty Level in Past 12 Months The number of Thurston County low income residents changed from 61,269 in 2010 to 71,393 in 2016 = 17% increase The number of Thurston County residents living in poverty changed from 25,417 in 2010 to 29,303 in 2016 = 15% increase

Mary Ann O’Garroo 360-867-2525o [email protected]

Presentation available online in PDF and Powerpointo http://bit.ly/PHSSHealthData

Contact Information


Presenter

Presentation Notes

Requests for additional data or further detail is welcome

http://bit.ly/PHSSHealthData

Oral Health Data Profile - Thurston County...Oral Health Data Profile Thurston County Local Impact...

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