Week5_Application_community_assessment_exercise_week_5_REVISED

Choose three of your indicators compare them to the

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Choose three of your indicators. Compare them to the Healthy People 2020 Standards (or 2010 if appropriate) and provide URL(s) for the relevant Web page from Healthy People to the specific indicator. Coverage of health insurance in sample is 8 0% and target for healthy people 2020 to cover 100% people into health insurance. URL: http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx? topicId=1 For the given sample, it stands 48 th in 50 cities with highest premature mortality rate. Target (healthy people 2020): 5.6 fetal deaths per 1,000 live births and fetal deaths Source: http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx? topicId=26 In the given sample, below poverty rate is (18%) Percentage of persons living below poverty line is 15.1% Source: http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx? topicId=39 3. How do you explain the health disparities of these indicators? (i.e., as shown by this comparison with HP?] 6
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All the three health indicators are different from the healthy people 2020 objectives. Improvement is neede to achieve the Healthy people 2020 standards. You have completed this Application on assessment. Submit this completed form in the Dropbox following the submission instructions in the Week 5 Application area. 7
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APPENDIX 1: DATA TABLES Community Health Assessment Indicators Pitt County (NC), North Carolina, and the United States Domain: Maternal and Child Health (2004) Indicator Pitt County North Carolina United States Infant mortality rate per 1,000 live births (2004) 7.1 8.8 6.9 Black infant mortality per 1,000 live births 8.1 15.6 14.1 White infant mortality per 1,000 live births 7.0 6.2 5.8 Neonatal infant mortality rate per 1,000 live births(<28 days of age) (2000-2004) 5.7 6.0 4.6 Black neonatal infant mortality rate 8.9 11.2 7.3 White neonatal infant mortality rate 3.3 4.1 3.8 Low birth weight (<2,500 g) per 100 births (2004) 11.6 9.1 7.9 Minority births <2500 g 15.9 13.4 13.0 White births <2500 g 8.3 7.4 6.5 Very low birth weight (<1500 g) per 100 births (2000-2004) 2.8 1.9 1.4 Minority births <1500 g 3.3 3.6 3.0 White births <1500 g 2.4 1.0 Teen pregnancy rate per 1,000 teens (ages 15-19)(2000-2004) 39.8 64.1 (11.9%) 83.6 Minority pregnancies 54.5 87.3 153.3 White pregnancies 27.0 53.6 71.4 Smoked during pregnancy 8.9 12.5 11.4 Postneonatal infant mortality per 1,000 live births (>28 days <1 year) (2000-2004) 1.4 2.8 2.3 Black postneonatal rate 1.1 4.5 4.8 White postneonatal rate 1.7 2.1 1.9 Immunization status at 2 years of age NA 82% Immunization status at school entry NA 99% 8
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BRFSS for 2004 Age adjusted rates Pitt County North Carolina Adult disability 28.3 25.0 Current asthma 7.1 6.4 Smoking: women of childbearing age 30.4 24.4 Smoking everyday: men 32.9 37.6 Obesity 26.1 22.7 Binge drinking (childbearing age) 9.5 6.8 Binge Drinking (all) 12.0 8.4 Men 19.8 Women 3.1 No leisure time physical activity 26.4 26.3 Are any firearms kept in your home 39.6 40.9 Domain: Access to Care Indicator Pitt County North Carolina United States % No medical insurance 20.8 17.5 16.5 % Children with no health insurance 14.3 12.5 9.8 % Children enrolled in Medicaid 36.7 32.6 26.0 % Children enrolled in NC Health Choice 5.2 5.9 NA Primary Care Physicians/100,000 population 149 83.5 Dentists/100,000 population 37.8 40.5 58.4 Kindergarten Tooth Decay Rates 27.7% 22% 26% whites 36% A-A 43% Hispanic BRFSS 2001 Eastern NC North Carolina
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