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R National Center for Rural Health Works

Community Health Needs Assessment Template

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For information on the Community Health Needs Assessment Template, contact National Center for Rural Health Works at 405-744-6083 or email [email protected].

R H W

Health Indicators for Ocean Beach Hospital

and Medical Clinics in Pacific County,

Washington

Facilitated by:

National Center for Rural Health Works Oklahoma State University

Community Needs Assessment Template

October 2011

Pacific County

State of Washington

Rank (of 39)

Health Outcomes 29Mortality 36

Table 1

Premature death - Years of potential life lost before age 75 per 100,000 population (age-adjusted) 8,800 5,915Morbidity 16

Poor or fair health - Percent of adults reporting fair or poor health (age-adjusted) 16.0% 13.0%Poor physical health days - Average number of physically unhealthy days reported in past 30 days (age-adjusted) 4.2 3.6Poor mental health days - Average number of mentally unhealthy days reported in past 30 days (age-adjusted) 3.7 3.3Low birthweight - Percent of live births with low birthweight (< 2500 grams) 4.7% 6.1%g g ( g )

Health Factors 37Health Behaviors 37

Adult smoking - Percent of adults that report smoking ≥ 100 cigarettes and currently smoking 25.0% 17.0%Adult obesity - Percent of adults that report a BMI ≥ 30 31.0% 27.0%Excessive drinking - Binge plus heavy drinking 14.0% 16.0%Motor vehicle crash death rate - Motor vehicle crash deaths per 100 000 population 25 12Motor vehicle crash death rate - Motor vehicle crash deaths per 100,000 population 25 12Sexually transmitted infections - Chlamydia rate per 100,000 population 136 331Teen birth rate - Teen birth rate per 1,000 female population, ages 15-19 40 34

Clinical Care 38Uninsured adults - Percent of population under age 65 without health insurance 16.0% 15.0%Primary care physicians - Ratio of population to primary care physicians 3051:1 736:1P t bl h it l t H it li ti t f b l t iti diti 1 000 M di ll 77 47Preventable hospital stays - Hospitalization rate for ambulatory-care sensitive conditions per 1,000 Medicare enrollees 77 47Diabetic screening - Percent of diabetic Medicare enrollees that receive HbA1c screening 85.0% 86.0%Mammography screening - Percent of female Medicare enrollees that receive mammography screening 46.0% 66.0%

Social & Economic Factors 34High school graduation - Percent of ninth grade cohort that graduates in 4 years 75.0% 75.0%Some college - Percent of adults aged 25-44 years with some post-secondary education 53.0% 66.0%Unemployment - Percent of population age 16+ unemployed but seeking work 12.2% 8.9%Children in poverty - Percent of children under age 18 in poverty 25.0% 14.0%Inadequate social support - Percent of adults without social/emotional support 20.0% 17.0%Children in single-parent households - Percent of children that live in household headed by single parent 29.0% 28.0%Homicide rate - Deaths due to homicide per 100,000 population (age-adjusted) 185 336

Physical Environment 6Physical Environment 6Air pollution - particulate matter days - Annual number of unhealthy air quality days due to fine particulate matter 8 6Air pollution-ozone days - Annual number of unhealthy air quality days due to ozone 0 3Access to healthy foods - Healthy food outlets include grocery stores and produce stands/farmers' markets 86.0% 69.0%Access to recreational facilities - Rate of recreational facilities per 100,000 population 14 11

SOURCE: University of Wisconsin Population health Institute and Robert Wood Johnson Foundation, County Health Rankings (www.countyhealthranking.org).

Communities may wish to obtain information about these measures, collected and monitored at local level.

Table 2Risk Factors for Premature Death1

for Pacific County, Washington

RISK FACTORS FOR PREMATURE DEATH1

Pacific County, WA

27.4%

39.2%

34.9%

74.3%

22.7%

Smoker

High Blood Pressure

Obesity

Few Fruits/Vegetables

No exercise

SOURCE: U.S. Department of Health and Human Services, Community Health Status Indicators (www.communityhealth.hhs.gov).1CDC Behavioral Risk Factor Surveillance System. 2000-2006.

8.0%

27.4%

0% 10% 20% 30% 40% 50% 60% 70% 80%

Diabetes

S o e

Percentage of Adults

Pacific County, WA

Uninsured individuals (age under 65)1 2,819Medicare beneficiaries2

Elderly (age 65+) 4,803Disabled 867

Medicaid beneficiaries2 4,733Primary care physicians per 100,000 population2 28.2Dentists per 100,000 population2 23.5Community/Migrant Health Centers3 YesHealth Professional Shortage Area3 No

Table 3

3HRSA. Geospatial Data Warehouse, 2009.

Access to Carefor Pacific County, Washington

In addition to use of services, access to care may be characterized by medical care coverage and service availability.

SOURCE: U.S. Department of Health and Human Services, Community Health Status Indicators (www.communityhealth.gov).1The Census Bureau. Small Area Health Insurance Estimates Program, 2006.2HRSA. Area Resource File, 2008.

ACCESS TO CARE

AVERAGE LIFE EXPECTANCY1

Pacific (76.5)Median for all U.S. counties(76.5)Range among peer counties (74.1 - 77.0)

Years

ALL CAUSES OF DEATH2

Pacific (1,476.1)Median for all U.S. counties(1,136.9)Range among peer counties (1,372.6 - 1,683.6)

Deaths per 100,000 population

SELF-RATED HEALTH STATUS3

Pacific (18 1%)

Table 4

SUMMARY MEASURES OF HEALTHPacific County, WA

65 69 73 858177

1,100 1,225 1,350 1,7251,6001,475

Pacific (18.1%)Median for all U.S. counties(17.1%)Range among peer counties (14.4 - 33.1%)

Percent of adults who report fair or poor health

AVERAGE NUMBER OF UNHEALTHY DAYS IN PAST MONTH3

Pacific (6.1)Median for all U.S. counties(6.0)Range among peer counties (4.2 - 7.9)

Average number of unhealthy days in past month

SOURCE: U. S. Department of Health and Human Services, Community Health Status Indicators [www.communityhealth.hhs.gov/ {September 2011}].1 Murray et al., PLoS Medicine 2006 Vol. 3, No. 9, e260 doi:10.1371/journal.pmed.0030260.2 NCHS. Vital Statistics Reporting System, 2001-2005.3 CDC. Behavioral Risk Factor Surveillance System, 2000-2006.

14 18 22 343228

4 5 6 987

Pacific County, WAIndicates a status favorable to peer county median value

Births to Women under 18 Coronary Heart DiseaseBirths to Unmarried Women Motor Vehicle InjuriesWhite non Hispanic Infant Mortality StrokePost-neonatal Infant MortalityBreast Cancer (Female)Colon CancerHomicideLung CancerSuicideUnintentional Injury

Births to Women age 40-54 Low Birth Weight (<2500 g )

Table 5

RELATIVE HEALTH IMPORTANCE

Indicates that a closer look and perhaps reduction to the percent or rate may be needed. Blank indicates no comparison.

Your Health Status Compared to peersUNFAVORABLE FAVORABLE

s Hea

lth C

ompa

red

to U

S R

ates

EU

NFA

VO

RA

BL

E

Births to Women age 40-54 Low Birth Weight (<2500 g )Infant Mortality Very Low Birth Weight (<1500 g )

Premature Births (<37 weeks)Neonatal Infant Morality

The Relative Health Importance table creates four categories of relative concern by simply comparing a county to its peers and to the U.S.

A county's indicators in the upper left-hand box ( ) are higher than the U.S. and its peers and may warrant more attention. Conversely, indicators in the lower right-hand box ( ) of the table compare favorably to both peers and the U.S. The other boxes represent intermediate levels of health where a county's rate is higher than either its peers or the U.S., but not both.

SOURCE: U.S. Department of Health and Human Services, Community Health Status Indicators [www.communityhealth.hhs.gov/ {September 2011}].

You

r C

ount

y'

FAV

OR

AB

LE

County Percent Peer County Range Birth Measures U.S. Percent 2005 Healthy People 2010 Target5.6 5.6 - 8.8 Low Birth Wt. (<2500 g) 8.2 5.00.9 0.9 - 2.1 Very Low Birth Wt. (<1500 g) 1.5 0.9

10.6 10.4 - 14.2 Premature Births (<37 weeks) 12.7 7.64.9 3.4 - 6.3 Births to Women under 18 3.4 No objective2.1 0.8 - 2.2 Births to Women age 40-54 2.7 No objective

37.7 26.1 - 35.7 Births to Unmarried Women 36.9 No objectiveCDNA6 CDNA6 No Care in First Trimester2 CDNA6 10.0

County Percent Peer County Range Infant Mortality3 U.S. Percent 2005 Healthy People 2010 Target6.5 3.3 - 9.5 Infant Mortality 6.9 4.56.4 2.8 - 9.6 White non Hispanic Infant Mortality 5.8 4.5

NRF5 0.0 - 64.5 Black non Hispanic Infant Mortality 13.6 4.5NRF5 0.0 - 6.0 Hispanic Infant Mortality 5.6 4.5

3.5 1.6 - 6.3 Neonatal Infant Mortality 4.5 2.93.0 0.0 - 5.0 Post-Neonatal Infant Mortality 2.3 1.2

County Percent Peer County Range Death Measures4 U.S. Percent 2005 Healthy People 2010 Target53.1 28.3 - 56.1 Breast Cancer (Female) 24.1 21.337.9 28.0 - 43.9 Colon Cancer 17.5 13.7

324.4 250.7 - 405.6 Coronary Heart Disease 15.0 162.010 8 2 7 15 5 Homicide 6 1 2 8

Table 6Measures of Birth and Death1

Pacific County, WA

10.8 2.7 - 15.5 Homicide 6.1 2.8109.6 78.9 - 127.7 Lung Cancer 52.6 43.3

41.7 32.0 - 71.3 Motor Vehicle Injuries 14.6 8.093.6 85.5 - 137.6 Stroke 47.0 50.034.3 13.9 - 34.5 Suicide 10.9 4.854.1 30.2 - 58.1 Unintentional Injury 39.1 17.1

The total number of births during this time period was 971 and the total number of deaths was 900.

6CDNA comparable data not available

SOURCE: U.S. Department of Health and Human Services, Community Health Status Indicators (www.communityhealth.hhs.gov/ [September 2011]).

5 NRF No report, fewer than 500 births and 5 events (birth measures and infant mortality) or fewer than 10 events (death measures) occurred during the specified time period.

Indicates a status favorable to peers.

Indicates a status less than favorable.

4Rates are age-adjusted to the year 2000 standard; per 100,000 population.

3Infant mortality: deaths per 1,000 live births (Neonatal: <28 days; post-neonatal: day 28 to under 1 year).

2Include 37 states, New York City and DC (see the Data Sources, Definitions, and Notes for details).

1NCHS. Vital Statistics Reporting System, 2001-2005.

Age Group No. % No. % No. % No. % No. % No. %

<15 0 0.0% 0 0.0% 0 0.0% 89 0.1% 82 0.1% 56 0.1%15-19 31 14.3% 22 10.0% 14 8.0% 7,427 8.4% 7,378 8.2% 6,826 7.6%20-24 62 28.6% 55 25.0% 70 39.8% 21,044 23.7% 21,283 23.6% 20,445 22.9%25-29 70 32.3% 70 31.8% 45 25.6% 25,530 28.7% 26,334 29.2% 26,164 29.3%30-34 33 15.2% 52 23.6% 29 16.5% 20,903 23.5% 21,433 23.7% 21,960 24.6%35-39 20 9.2% 12 5.5% 15 8.5% 11,357 12.8% 11,077 12.3% 10,974 12.3%40-44 1 0.5% 9 4.1% 3 1.7% 2,366 2.7% 2,481 2.7% 2,583 2.9%45+ 0 0.0% 0 0.0% 0 0.0% 183 0.2% 191 0.2% 223 0.2%Unknown 0 0.0% 0 0.0% 0 0.0% 22 0.0% 11 0.0% 11 0.0%

Total Births 217 100.0% 220 100.0% 176 100.0% 88,921 100.0% 90,270 100.0% 89,242 100.0%

SOURCE: Center for Health Statistics, Washington State Department of Health (www.doh.wa.gov [October 2011]).

Table 7Births by Mother's Age Group

for Pacific County and the State of Washington

Pacific County2007 2008 2009

State of Washington2007 2008 2009

2007 2008 2009 2007 2008 2009

Very Low Birthweight1 1 1 3 965 969 869% of Total Births 0.5% 0.5% 1.7% 1.1% 1.1% 1.0%

Low Birthweight2 9 13 8 4,660 4,754 4,707% of Total Births 4.1% 5.9% 4.5% 5.2% 5.3% 5.3%

Total Births 217 220 176 88,921 90,270 89,242

1Very low birthweight is birthweight less than 1500 grams.2Low birthweight is birthweight less than 2500 grams.

Pacific County State of Washington

Table 8Briths by Birthweight



2007 2008 2009 2007 2008 2009

1st Trimester 158 169 143 61,939 64,561 65,138% of Total Births 72.8% 76.8% 81.3% 69.7% 71.5% 73.0%

2nd Trimester 46 38 26 14,670 14,438 14,137% of Total Births 21.2% 17.3% 14.8% 16.5% 16.0% 15.8%

3rd Trimester 9 6 2 3,579 3,520 3,354% of Total Births 4.1% 2.7% 1.1% 4.0% 3.9% 3.8%

No Care 1 0 0 990 1,351 1,340% of Total Births 0.5% 0.0% 0.0% 1.1% 1.5% 1.5%

Unknown 3 7 5 7,743 6,400 5,273% of Total Births 1.4% 3.2% 2.8% 8.7% 7.1% 5.9%

Total Births 217 220 176 88,921 90,270 89,242100.0% 100.0% 100.0% 100.0% 100.0% 100.0%



Table 9Prenatal Care


No. % No. % No. % No. % No. % No. %

<15 2 2.3% 0 0.0% 0 0.0% 89 0.3% 79 0.3% 55 0.2%15-19 19 21.8% 16 18.6% 14 16.1% 6,103 20.8% 6,107 20.0% 5,654 19.0%20-24 33 37.9% 32 37.2% 41 47.1% 10,792 36.8% 11,261 36.9% 10,766 36.1%25-29 23 26.4% 20 23.3% 18 20.7% 6,935 23.7% 7,339 24.1% 7,269 24.4%30-34 3 3.4% 13 15.1% 8 9.2% 3,366 11.5% 3,507 11.5% 3,779 12.7%35-39 7 8.0% 1 1.2% 4 4.6% 1,632 5.6% 1,732 5.7% 1,764 5.9%40-44 0 0.0% 4 4.7% 2 2.3% 336 1.1% 449 1.5% 445 1.5%45+ 0 0.0% 0 0.0% 0 0.0% 35 0.1% 36 0.1% 54 0.2%Unknown 0 0.0% 0 0.0% 0 0.0% 5 0.0% 4 0.0% 7 0.0%

Total Births to Single Mothers 87 100.0% 86 100.0% 87 100.0% 29,293 100.0% 30,514 100.0% 29,793 100.0%

% of Total Births 40.1% 39.1% 49.4% 32.9% 33.8% 33.4%

2009



Table 10Illegitimate Births by Mothers Age Group


2007 2008 2009 2007 2008

No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate

Fetal Deaths1 0 * 2 * 2 * 493 5.5 543 6 497 5.6

Perinatal Mortality2 1 * 4 * 4 * 692 7.7 776 8.5 698 7.8

Neonatal Mortality3 1 * 3 * 2 * 253 2.8 301 3.3 254 2.8

Infant Mortality4 1 * 5 22.7 3 * 427 4.8 491 5.4 438 4.9

Table 11Fetal Death, Perinatal, Neonatal, and Infant Mortality


1Fetal death rate is fetal deaths per 1,000 live births.2Perinatal mortality rate is fetal deaths pplus deaths to infants within first 6 days of life per 1,000 live births.

Pacific County State of Washington2007 2008 2009 2007 2008 2009

3Neonatal mortality rate is deaths to infants within first 27 days of life per 1,000 live births4Infant mortality rate is deaths to infants under one year of age per 1,000 live births.*Rate not calculated because the number of deaths is less than 5.


No. Rate1 No. Rate1 No. Rate1 No. Rate1 No. Rate1 No. Rate1

Major Cardiovascular Disease 121 560.2 101 463.3 107 490.8 14,828 228.5 14,756 224.0 14,189 212.8Cancer 65 300.9 70 321.1 88 403.7 11,525 177.6 11,593 176.0 11,903 178.5Diseases of the Heart 81 379.6 86 394.5 82 376.1 10,958 168.9 10,868 165.0 10,537 158.0Ischemic Heart Disease 63 291.7 66 302.8 64 293.6 7,385 113.8 7,430 112.8 7,203 108.0Chronic Lower Respiratory Disease 13 60.2 14 64.2 26 119.3 2,675 41.2 2,933 44.5 2,934 44.0Cerebrovascular Disease 26 120.4 8 36.7 17 78.0 2,681 41.3 2,765 42.0 2,584 38.8Diabetes 16 74.1 12 55.0 16 73.4 1,504 23.2 1,587 24.1 1,552 23.3Alzheimer's Disease 17 78.7 10 45.9 12 55.0 2,683 41.4 3,104 47.1 3,008 45.1Chronic Liver Disease and Cirrhosis 1 * 4 * 6 27.5 658 10.1 678 10.3 748 11.2Pneumonia and Influenza 8 41.7 8 36.7 5 22.9 754 11.6 786 11.9 680 10.2

SOURCE: Center for Health Statistics, Washington State Department of Health (www.doh.wa.gov [October 2011]).1Rate is per 100,000 population.*Rate not calculated because the number of deaths was less than 5.

Table 12Selected Causes of Death


2007 2008Pacific County

2009 2007 2008 2009State of Washington

Pacific County and Washington State Demographic Factors

8480

90 Pacific CountyWA State

70

60

70

pu

lati

on

362830

40

50

ce

nt o

f P

op

12

211914

10

20

30

Pe

rc

0Income Below

200% FPLLacking College

DegreeNon-White or

HispanicLacking Health

Insurance

Over a third of household have income less than 200% of poverty.

4 out of 5 adults 25 and older do not have a college degreecollege degree.

21% of adults have no medical insurance. 21% of adults have no medical insurance.

Data Source: US Census Bureau, 2005-2007 Census (income, education, race/ethnicity); WA Behavioral Risk Factor Surveillance System 2006 2008 (health insurance)Behavioral Risk Factor Surveillance System 2006-2008 (health insurance)

Health Risk Factors Among Adults in Pacific County and Washington

7974

90100

g y gState

Pacific CountyWA State

41

74

607080

d P

erc

en

t WA State

18

41

28

16

37

304050

e-A

dju

ste

d

6

169

16

39

01020A

ge

Food Insecurity

Inadequate Fruit/Veg

Consumption

Inadequate Physical Activity

Cigarette Smoking

Smokeless Tobacco Use

Home SHS Exposure

18% of households experience food insecurity.

Nearly 80% of adults do not eat enough fruits and y gvegetables.

2 out of 5 adults do not get adequate physical activity.

More than a quarter of adults are current cigarette smokers.

Six percent of adults use smokeless tobacco Six percent of adults use smokeless tobacco.

Sixteen percent of adults say that smoking occurs in the home.

Data Source: WA Behavioral Risk Factor Surveillance System 2006 2008 (Obesity) 2005 2007Data Source: WA Behavioral Risk Factor Surveillance System 2006-2008 (Obesity), 2005-2007 (hypertension, cholesterol), 2006-2008 (cancer screening)

Health Risk Factors Among 10th Grade Youth in Pacific County and Washington State

7758

79

75 758090

100

tg

Pacific CountyWA State

5875

57

75

50607080

ste

d P

erc

en

t

18 17

147

1520304050

Ag

e-A

dju

s

7

010

Smoking Smokeless Tobacco Use

Inadequate Fruit &

Inadequate Physical

Drinks Sugar Sweetened

Drinks Soda Twice a Day

Vegetable Consumption

yActivity Beverages at

School

y

*County level smokeless tobacco use not reported because minimum sample requirement not met.

Eighteen percent of 10th grade students smoke.

More than 3 out of 4 youth do not eat enough fruits and vegetables.

Close to 60 percent do not get enough physical activity.

Nearly 80 percent drink sugar sweetened beverages at y p g gschool.

About 17 percent drink soda 2 or more times a day.

Data Source: WA Healthy Youth Survey, 2008. Smokeless tobacco use not reported because minimum sample requirement was not met

About 17 percent drink soda 2 or more times a day.

minimum sample requirement was not met.

90100

Health Risk Conditions Among Adults in Pacific County and Washington State

Pacific County

60708090

Pe

rce

nt WA State

31 2936

30 2836

25 2532

26 26 28304050

e-A

dju

ste

d

01020

Obesity Hypertension High Lack Lack Lack

Ag

e

Obesity Hypertension High Cholesterol

Lack Screening for Breast Cancer

Lack Screening for

Cervical Cancer

Lack Screening for

Colorectal Cancer

Close to a third of adults are obese.

Nearly 30 percent of adults have high blood pressure.

Over a third of adults have high cholesterol Over a third of adults have high cholesterol.

About 30 percent of women 40 and over have not been screened for breast cancer.

More than a quarter of women 18 and over have not More than a quarter of women 18 and over have not been screened for cervical cancer.

Ab t 36 t f d 50 d h About 36 percent of men and women 50 and over have not been screened for colorectal cancer.

Chronic Disease Prevalence Among Adults in Pacific County and Washington State

18

20

Washington State

Pacific County

11 1112

14

16

erc

en

t

Pacific County

WA State

99

768

10

12

Ad

juste

d P

e

6

4

6

Ag

e-A

0

2

Asthma Diabetes Heart Disease & Stroke

Cancer Incidence Rate (per 100,000) Among Adults in Pacific Co nt and Washington State

115

169

160

180ar

in Pacific County and Washington State

115

120

140

00 p

er y

ea Pacific CountyWA State

696880

100

per

100

,00

39 47

20

40

60

iag

no

ses

0

20

Colorectal Cancer Lung Cancer Breast Cancer

D

About 1 in 10 adults have asthma.

About 1 in 10 adults have diabetes.

Nearly 1 in 10 adults have had a heart attack, coronary y yheart disease, angina, or stroke.

About 4 out of 10,000 people are diagnosed with , p p gcolorectal cancer per year.

About 7 out of 10,000 people are diagnosed with lung About 7 out of 10,000 people are diagnosed with lung cancer per year.

More than 12 out of 10 000 women are diagnosed with More than 12 out of 10,000 women are diagnosed with breast cancer per year.

Rates of diabetes, heart disease and stroke in Pacific County are higher than the state average.

The number of people diagnosed with breast cancer per year in Pacific County is lower than the state average.

Data Source: WA Behavioral Risk Factor Surveillance System, 2006-2008 (asthma, diabetes, heart disease and stroke), WA State Cancer Registry, 2004-2006 (cancer incidence)

Current Cigarette SmokingPercent of students who report smoking cigarettes

in the past 30 days

Local State

80

100

40

60

1

713

23

26

12

19

0

20

Grade 6 Grade 8 Grade 10 Grade 12

Source: Healthy Youth Survey 2010 Pacific County (County No. 25)

Current Chewing Tobacco UsePercent of students who report using chewing tobacco, snuff, or dip

in the past 30 days

Local State

80

100

40

60

1 2

118

1 36

9

0

20



Lifetime Alcohol UsePercent of students who report having ever drunk more than a sip of alcoholPercent of students who report having ever drunk more than a sip of alcohol

Local State

82

7180

100

45

57

38

57

71

40

60

24 26

0

20



Current Alcohol UsePercent of students who report having drunk a glass, can, or bottle

of alcohol in the past 30 days

Local State

80

100

3340

40

60

3

15

25

4

14

27

0

20



Lifetime Marijuana UsePercent of students who report having ever smoked marijuanaPercent of students who report having ever smoked marijuana

Local State

80

100

31

52

31

46

40

60

3

12

31

4

13

31

0

20



Current Marijuana UseP t f t d t h t ki ij i th t 30 dPercent of students who report smoking marijuana in the past 30 days

Local State

80

100

40

60

17

19

28

2

9

2026

0

20



Current Prescription Drug UsePercent of students who report using a pain killerPercent of students who report using a pain killer

to get high in the past 30 days

Local State

80

100

40

60

39

14

48 8

0

20



Substance Use at SchoolPercent of students who report being drunk or high at schoolPercent of students who report being drunk or high at school

in the past year

Local State

80

100

40

60

8

15

22

8

17 19

0

20



Weapon Carrying At SchoolPercent of students who report carrying a weapon on school

property in the past 30 days

Local State

80

100

40

60

59

45 7 7

0

20



Gang MembershipPercent of students who report being members of a gang in the past yearPercent of students who report being members of a gang in the past year

Local State

80

100

40

60

7 73

6 6 5

0

20



Excessive Television/Video Game UsePercent of students who report 3 or more hours of watching television, playingPercent of students who report 3 or more hours of watching television, playing

video games or using the computer for fun on an average school day

Local State

80

100

36

52

39

51 50 51

40

60

0

20



ObesityP t f t d t h b ( di t t d h i ht d i ht)Percent of students who are obese (according to reported height and weight)

Local State

80

100

40

60

18

9

1711 10 11

0

20



Access to Dental CarePercent of students who report visiting a dentist for a routinePercent of students who report visiting a dentist for a routine

checkup in the past year

Local State

72 7175 77

7580

100

65

40

60

0

20



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