Le Sueur Waseca Community Health Board Community Health Assessment Report

Transcription

1 Community Health Assessment Report Le Sueur Waseca Community Health Board Community Health Assessment Report Le Sueur County Public Health Cindy Shaughnessy, Public Health Director 88 South Park Ave Le Center, MN * (507) Waseca County Public Health Amy Roggenbuck, Public Health Director 299 Johnson Avenue SW Waseca, MN * (507) Published January 2014

2 Community Health Assessment Report Table of Contents Introduction...1 Demographics..2 Population by Gender..3 Population by Race..5 Economic Status..6 Unemployment Annual Average.7 Percent Living in Poverty 8 Total Per Capital Income.8 Students Eligible for Free or Reduced Meals Dependency Ratios..9 Education...10 High School Graduation Rate 10 Grades by Race/Ethnicity..11 Students with Limited English Proficiency...11 Natality...12 Birth Rate...13 Number of Births...13 Preterm Births Low Birth Weight..14 Prenatal Care in the First Trimester...15 Births to Unmarried Mothers.15 Teen Pregnancy Rate.15 Teen Birth Rate..16 Number of Infant Deaths...16 Mortality and Chronic Conditions.16 Death Rate..18 Number of Deaths..18 Leading Causes of Death...19 Cancer Incidence 19 Diabetes Prevalence...20 Chronic Conditions Mortality Rate 20 Leading Causes of Death Rates and Ranks 21 Years of Potential Life Lost...22 Health Behaviors 23 Alcohol Use...25 Smoking.25 Nutrition.26 Physical Activity 27 BMI 28 Infectious Disease..29 STD 30 HIV 30 TB..30 Childhood Immunization Rates.31 Unintentional Injury...31 Unintentional Injury Death Rates..32

3 Percent of Motor Vehicle Deaths and Injuries Related to Alcohol...32 Number of Fatal Unintentional Injuries (homicide, suicide, motor vehicle, falls)...32 Mental Health.33 Suicidal Thoughts..33 Suicide Attempts 34 Mental Health Professionals..34 Violence, Child Abuse, and Neglect..34 Percent of 9 th graders Who Were Threatened (hit, hurt, forced to have sex) 35 Rate of Child Maltreatment...35 Health Care Access and Coverage.35 Percent of Population Uninsured...36 Number of Physicians 36 Primary Care Health Professional Shortage Area..37 Medically Underserved Areas physicians and dentists...37 Environmental Health 37 Radon.38 Elevated Blood Lead Levels.38 Carbon Monoxide Poisoning 38 Age of Dwellings...39 Purpose...40 Report Source.40 References..41

4 Community Health Assessment Report Introduction The health status of a community is a dynamic indicator of a community s social and economic prosperity, therefore it is imperative that a community strives to continually improve and uphold its health status. Le Sueur County Public Health and Waseca County Public Health are two separate agencies that deliver health programs and are joined as a community health board; because each county provides health programs, knowledge regarding the health status of the community is essential when planning successful health programs. Additionally, efficacious health programming requires input from the community members, organizations within the community, and those who live in the community. An important component in improving the health status of any community is to complete a community health assessment. A community health assessment is a methodical collection and analysis of data gleaned from a variety of methods such as surveys and reports. The results of the community health assessment can facilitate the creation of innovative and sustainable strategies to improve and preserve the health of the community The following are components of the community health assessment: Demographics, Economic Status, Education, Natality, Mortality, Health Behaviors, Chronic Conditions, Infectious Disease, Unintentional Injury, Mental Health, Violence, Healthcare Access, and Environmental Health. Note: The data for the CHA (Community Health Assessment) was collected by MDH (Minnesota Department of Health) South Central District Epidemiologist, Brad Krier, with assistance from an intern. Le Sueur County Public Health Nurse, Jessica Stadick, MSN, RN used the raw data to compile the tables, graphs and narrative analysis. Technical support was provided by MDH Center for Health Statistics: Senior Research Scientist, Ann Kinney, PhD and Epidemiologist, Kim Edelman, MPH. ABOUT LE SUEUR COUNTY AND WASECA COUNTY Established in 1700, Le Sueur County is named after the Great French Explorer, Pierre Charles Le Sueur, who traveled up the St. Peter's River, now known as the Minnesota River, in the year of The county seat of Le Sueur County is Le Center and as of 2012 the county has a total population of 27,677 people. The name Le Center was changed from Le Sueur Center to Le Center in 1930 (Le Sueur County, 2006, para. 1). The following cities make up Le Sueur County: Cleveland, Elysian, Kasota, Kilkenny, LeCenter, Le Sueur, Montgomery, New Prague and Waterville. Waseca County was founded by Dakota Indians who inhabited the land of Waseca County before the first white settlers located in the area. The Asa and Eliza Sutlief family filed the first claim in the county in Wilton Township in By the time the county was organized in 1857, most of the areas in the county were established (Discover Waseca, 2013, para. 1). The city of Waseca serves as the county seat and as of 2012 the county has a total population of 19,237 people. The following cities make up Waseca County: Janesville, New Richland, Waldorf and Waseca. Le Sueur and Waseca Counties are a part of the South West/South Central (SW/SC) Region. The following counties make up the SW/SC Region: Big Stone, Blue Earth, Brown, Chippewa, Cottonwood, Faribault, Jackson, Kandiyohi, Lac Qui Parle, Le Sueur, Lincoln, Lyon, McLeod, Martin, Meeker, Murray, Nicollet, Nobles, Pipestone, Redwood, Renville, Rock, Sibley, Swift, Waseca, Watonwan, and Yellow Medicine. 1

5 Demographics In 2011, individuals 65 years of age and older comprised a marginally higher percentage of the population in Le Sueur/Waseca Counties (14.3% and 15% respectively when compared to 13% in the state of MN). Together the CHB s population of those 65 years and older is 14.7%. The percentage for those aged years is lower in Le Sueur and Waseca counties when compared to the state of MN; 6.7%, 7.2%, and 9.4% respectively. The following figures depict the population when broken down by gender for the state, the counties separately and the CHB together. (Figure 1, 2, 3, and 4 under the subsection Population illustrate the population according to gender.) The diversity of the population is broken down by race. Le Sueur/Waseca Counties are less diverse when compared to the state of MN. Together the CHB is predominantly White 96.44%, and has a Latino population of 5.39%, an Asian population of 0.72%, American Indian population 0.57%, and African American population of 1.21%. The state of MN comprises a total White population of 86.9%, a Latino population of 4.85%, an Asian population of 4.28%, an American Indian population of 1.28%, and African American population 5.36%. Collectively the CHB is less diverse with the exception of the Latino population comprising approximately one percent higher than the State of MN. (Figures 1, 2, 3, and 4 under the subsection Population illustrate the percent of population by Race individually.) 2

6 Age Group Age Group Population: male/female by age Source: U.S. Census Bureau, Figure 1: Le Sueur County Population by Gender, &up Percent of Total Population Figure 2: Waseca County Population by Gender, &up Percent of Total Population 3

7 Age Group Age Group Figure 3: Le Sueur-Waseca Community Health Board (CHB) Population by gender, &up Percent of Total Population Figure 4: Minnesota Population by Gender, &up Percent of Total Population 4

8 Population: By Race, 2011 Source: U.S. Census Bureau, Figure 1: Le Sueur County Population by Race White Afr. American Amer. Indian Asian Latino Figure 2: Waseca County Population by Race, 2011 White Afr. American Amer. Indian Asian Latino 5

9 Figure 3: Le Sueur-Waseca Community Health Board (CHB) Population by Race, 2011 White Afr. American Amer. Indian Asian Latino Figure 4. Minnesota Population by Race, 2011 White Afr. American Amer. Indian Asian Latino Economic Status The unemployed rate (annual average) from for the CHB was 7.7%, with the highest percent in 2009 at 10% of the population. When compared to the state of MN the CHB remains at a higher average; the annual average from for MN was 6.4%. The average for Le Sueur and Waseca County individually was 8.5% and 6.5% respectively. (Table 1 under the subsection Economic Status illustrates the individual annual rates from by entity.) The percentage of those living in poverty for the CHB has increased each year since 2007 with the exception of 2011; the percent decreased 0.5% from from 9.8% to 9.3% respectively. The average percent of all ages living in poverty in Le Sueur/Waseca counties combined was 8.7% from , the state of MN averaged 10.7% respectively. Each entity overall has had a slight increase each year with the exception of for all entities except the state of MN which increased 0.3%. (Table 2 under the subsection 6

10 Economic Status depicts the percent of all ages living in poverty from by each individual entity. Table 3 illustrates percent of all people living at or below the 200% poverty level and Table 5 depicts the percent of those eligible for free or reduced meals for preschool through 12 th grade.) Each entity reported an increase in total per capita income from 2007 to 2008, 2009 to 2010 and from 2010 to 2011; each entity reported a decrease from 2008 to In 2011 the state of MN averaged 44,560 dollars per person annually and the CHB reported 37,834 dollars per person annually. In 2011 Le Sueur County averaged 37,608 dollars per person annually and Waseca County averaged 38,159 dollars per person annually, thus Le Sueur/Waseca County residents are earning less money than the residents of the State of MN. (Table 4 under the subsection Economic Status illustrates the trend of per capita income from for each entity individually.) The dependency ratio of the population represents the ratio of those typically not in the work force. Each year this ratio has increased for all entities from for the elderly and children (only exception is for children for Waseca County ). In 2011, the CHB and Waseca County reported the highest dependency ratio for the elderly population at 22.5 and 23.1; the State of MN was 19.6 and Le Sueur County was In 2010, Le Sueur County reported the highest child dependency ratio of 32.7, followed by Waseca County at 30.5, and the State of MN at (Table 6 & 7 under the Economic Status subsection provides specific numbers and trends for each entity for Elderly and Child Dependency Ratios for the current and past reporting periods.) Table 1: Unemployed Rate: Annual Average Unemployed Annual Average State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Employment and Economic Development, 7

11 Table 2: Percent of all Ages Living in Poverty All Ages in Poverty State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca US Census Poverty estimates and median household income: Table 3: Percent of all People of all Ages living at or below 200% Poverty Level Percent at or below 200% of poverty State of Minnesota 25.5 Le Sueur-Waseca CHB 24.3 Le Sueur 23.3 Waseca 25.9 US Census Poverty estimates and median household income: Table 4: Total per Capita Income Per Capita Income State of Minnesota 45,177 45,412 42,936 43,871 44,560 Le Sueur-Waseca 34,796 37,157 36,053 36,675 37,834 CHB Le Sueur 35,438 37,330 35,899 36,622 37,608 Waseca 33,874 36,907 36,281 36,752 38,159 US Department of Commerce, Bureau of Economic Analysis, 8

12 Table 5: Percent of Students Eligible for Free or Reduced Meals Percent of Students Eligible for Free or Reduced Meals P State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Education: Table 6: Elderly (65+years) dependency ratio (per 100 population 15-64) Elderly Dependency Ratio State of MN Le Sueur Waseca CHB Le Sueur Waseca US Census Poverty estimates and median household income: Table 7: Child (under 15 years) dependency ratio (per 100 population 15-64) Child Dependency Ratio State of MN Le Sueur-Waseca CHB Le Sueur County Waseca County US Census Poverty estimates and median household income: 9

13 Education Overall, Le Sueur and Waseca Counties boast a higher graduation rate when compared to the State of MN for the years The CHB reported an average of 86.8 graduates and the State of MN reported an average of 77.6 graduates per 100 population. Le Sueur County alone reports 85.6 graduates per 100 of the population and Waseca County reports 88.3 graduates per 100. (Table 1 under the subsection Education depicts the four year high school graduation rate per 100 people for each entity for the years The Four Year Graduation Rate is a four-year, on-time graduation rate based on a cohort of first time ninth grade students plus transfers into the cohort within the four year period minus transfers out of the cohort within the four year period.) School enrollment by race/ethnicity is similar to the overall population demographic indicator (by race/ethnicity) as populations of diversity make up a smaller percentage of the Le Sueur/Waseca Counties with the exception of the Hispanic/Latino population. The Le Sueur County school enrollment of Hispanic students is 9.9% and 6.5% for Waseca County; the State of MN reports 7.1% Hispanic students for the year (Table 3 depicts the White, African American, American Indian, Asian, and Hispanic Race/Ethnicity of the students for each entity for the 2011 school year. Table 4 depicts the percent of those students with limited English proficiency.) Table 1: Four Year High School Graduation Rate Four Year High School Graduation Rate per State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Education - The Four-Year Graduation Rate is a four-year, on-time graduation rate based on a cohort of first time ninth grade students plus transfers into the cohort within the four year period minus transfers out of the cohort within the four year period. 10

14 Table 2: Percent of Population Aged 25 years and older with less than or equal to High School Education or Equivalent (e.g. GED) Percent of Population State of Minnesota 36.9 Le Sueur-Waseca CHB 48.1 Le Sueur 47.6 Waseca American Community Survey (ACS), US Census Series 1501 Table 3: Number of Prekindergarten 12 th Grade Students by Race/Ethnicity, 2011 White African American State of Minnesota American Indian Asian Hispanic Total 619,092 85,844 18,789 56,076 59, ,426 Le Sueur- Waseca CHB 7, ,936 Le Sueur 3, ,333 Waseca 3, ,603 Minnesota Department of Education - Table 4: Percent of Prekindergarten 12 th Grade Students with Limited English Proficiency Percent of Prekindergarten 12 th Grade Students with Limited English Proficiency State of Minnesota Le Sueur Waseca CHB Le Sueur Waseca Minnesota Department of Education

15 Natality Natality is examined to analyze the ratio of the births to the size of the population: the birth rates. For the years Le Sueur and Waseca Counties reported a birth rate of 12.6 per 1,000 population and 11.8 respectively. The State of MN reported a slightly higher birth rate of 13.4 per 1,000 population; combined the CHB had a 12.3 birth rate. The birth rate for all entities has fluctuated slightly from the reported years of 1992 to The number of total births was higher in Le Sueur County with 1,751 than Waseca County with 1,137 from (Table 1 under the subsection Natality illustrates the birth rate fluctuations from Table 2 depicts the trend of total number births per entity.) The percent of infants born premature (less than 37 weeks gestation) in Le Sueur/Waseca Counties has fluctuated marginally from , but specifically with an overall decrease of 1.5 percentage points for Le Sueur County from and a slight increase of 0.7 percentage points for Waseca County. The State of MN had a small overall decrease of 0.3% from , and together the CHB averaged a 0.7% decrease respectively. (Figure 1 under the subsection Natality depicts the percent of preterm births for each entity for the years ) The percentage of low birth weight singleton births decreased slightly for both Le Sueur and Waseca County for the years Le Sueur County had a decrease of 0.1% of low birth weight (less than 2,500 grams singleton births) and Waseca County had a decrease of 0.3%; together a 0.2% reduction was noted for the CHB. The State of MN remained the same from (Table 3 under the Natality subsection depicts the percent of low birth weight singleton births for each entity individually for the years ) There has been a steady increase in women seeking 1 st trimester prenatal care (within the first 3 months of pregnancy) for the years compared to ; Le Sueur County increased 1.3% with an average of 88.0% and Waseca County increased 0.5% with an average of 88.2%. Together they average 88.1% for those who obtain prenatal care in the first trimester for the years The State of MN has had a slight decrease of 0.5% from to data collection periods. (Table 4 under the subsection Natality displays percent of births in which prenatal care was initiated in the first trimester for each entity.) Teen pregnancy rates were the lowest in Le Sueur County, averaging 28.8 pregnancies per 1,000 females years of age for the years Waseca County and the State of MN have slightly higher rates of teen pregnancy averaging 30 and 33.2 pregnancies per 1,000 females years of age. Le Sueur and Waseca Counties combined averaged 29.4 pregnancies for the years The teen birth rate has declined for each entity steadily since Le Sueur County has averaged a 7.9 decrease per four year increment since 1992 with an average of 23.0 pregnancies for the years Waseca County remained steady for the years with a decrease of 5.5 pregnancies for the years where they averaged 26.1 pregnancies. The CHB and State of MN have experienced similar patterns of decline; specific details are displayed in Table 7 for each entity. (Table 6 under the subsection Natality displays teen pregnancy rates per 1,000 females aged years of age for each entity.) 12

16 The number of infant deaths for Le Sueur and Waseca Counties has decreased from the report to the report. Le Sueur and Waseca Counties each had 4 infant deaths for the years ; therefore the CHB had 8 total infant deaths. Conversely the State of MN has fluctuated, most recently with an increase of 165 infant deaths from , with 1,893 total infant deaths from (Table 8 under the subsection Natality displays infant deaths for each entity from ) Table 1: Birth rate per 1,000 Population Birth Rate per 1,000 population State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Health, Center for Health Statistics, Table 2: Number of Births Number of Births State of 321, , , ,497 Minnesota Le Sueur-Waseca 2,720 2,817 3,037 2,888 CHB Le Sueur 1,604 1,564 1,751 1,751 Waseca 1,116 1,253 1,286 1,137 Minnesota Department of Health, Center for Health Statistics, 13

17 Figure 1: Percent Preterm Births Minnesota Department of Health, Center for Health Statistics, State of MN Le Sueur-Waseca Le Sueur Waseca Table 3: Percent births born low birth weight (less than 2,500 grams) singletons births Percent Births Born Low Birth Weight (Singleton Births Only) State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Health, Center for Health Statistics, 14

18 Table 4: Prenatal Care in the First Trimester Percent Births in which Prenatal Care Initiated in First Trimester State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Health, Center for Health Statistics, Table 5: Births to Unmarried Mothers Percent of Births in which Mother was Unmarried State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Health, Center for Health Statistics, Table 6: Teen Pregnancy 5 year Rate per (15-19 years of age) Teen Pregnancy Rate per 1,000 females years old State of Minnesota 33.2 Le Sueur-Waseca CHB 29.4 Le Sueur 28.8 Waseca 30 Minnesota Department of Health, Center for Health Statistics and the US Census 15

19 Table 7: Teen Birth Rate Teen Birth Rate per 1,000 females years old State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Health, Center for Health Statistics, Table 8: Number of Infant Deaths Infant deaths State of Minnesota 2,340 1,990 1,728 1,893 Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Health, Center for Health Statistics, linked birth/death cohort Mortality and Chronic Conditions The death rate overall; crude and age adjusted amongst the top 15 causes reveals that overall Le Sueur County has the lowest number of female deaths per 100,000 population at for the years Waseca County reported female deaths per 100,000 population for the same years. Together the CHB totaled deaths for females; slightly below the State of MN who reported female deaths per 100,000 population for the years The number of male deaths per 100,000 population proves to be higher for each entity with Waseca County reporting the lowest number of male deaths, the CHB with male deaths, Le Sueur County with male deaths, and the State of MN with male deaths for the years (Table 1 under the Mortality and Chronic Conditions subsection depicts the trends for each entity for females and males specifically.) 16

20 The total number of deaths for the years for the State of MN was 191,974, which was an increase of 4,461 deaths from the previous reported period for the years Le Sueur and Waseca Counties both reported a small decline of total deaths for the years with a total of 1,804 deaths for the CHB. (Table 2 under the Mortality and Chronic Conditions subsection shows the number of deaths for each entity for the years ) The number one cause of death for all entities for the years was cancer with heart disease as the second leading cause of death. Le Sueur County reported a total of deaths per 100,000 population for cancer deaths and for heart disease. Similarly, Waseca County had deaths per 100,000 population from cancer and for heart disease. Together the CHB averaged and deaths per 100,000 population for cancer and heart disease respectively. The State of MN averaged deaths from cancer and deaths from heart disease for the same reporting period. (Table 3 under the Mortality and Chronic Conditions subsection depicts the leading causes of death-age adjusted rates per 100,000 for cancer, heart disease, and stroke for each entity. Furthermore Figures 1 and 2 illustrate the cancer incidence of all types combined and the prevalence of the chronic disease Diabetes among adults over the age of 20 years in 2009.) The number of deaths from chronic conditions (cancer, heart disease, and stroke) is similar to the age adjusted rate per 100,000 population. Cancer had the highest number of deaths for all entities; 47, 249 for the State of MN, 478 for the CHB, 268 for Le Sueur County, and 210 for Waseca County. The number of deaths from heart disease followed a similar pattern with the State of MN of 35,467, the CHB 426, Le Sueur County 239, and Waseca County 187 for the years Stroke had the lowest number of deaths for all entities. (Table 4 under the Mortality and Chronic Conditions subsection Leading causes of Death depicts the number of deaths for each entity from the years for cancer, heart disease, and stroke.) The years of potential life lost (YPLL) is viewed as an estimated average time a person would have lived had he or she not died prematurely or in other words a measure of premature mortality (Gardner and Sanborn, 1990). In 2010, cancer and heart disease assumed the largest amount of years of potential life lost for Le Sueur County for the reference age of 65 with 160 and 95 years lost respectively. For the reference age of 75, cancer and heart disease were also responsible for the highest amount of years of potential life lost for Le Sueur County with 481 and 185 years lost respectively. In 2010, cancer, unintentional injury, perinatal conditions and suicide assumed the largest amount of years of potential life lost for Waseca County for the reference age of 65 with 80, 210, 62.5, and 35 years lost respectively. For the reference age of 75, cancer, unintentional injury, and heart disease were responsible for the highest amount of potential years of life lost at 282, 273, and 74 years respectively. (Tables 3 and 4 under the subsection Mortality and Chronic Conditions: Leading Causes of Death Rates Ranks, provides specific numbers to 23 causes of years of potential life lost and totals for both Le Sueur and Waseca County separately. Preceding these tables is Table 1 and 2 under these subsections that illustrate the specific leading causes of death for Le Sueur and Waseca County.) 17

21 Table 1: Death Rate Overall; crude and age adjusted rated and top 15 causes Age Adjusted Death Rate per 100,000 Females Female Female Female Female State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Age Adjusted Death Rate per 100,000 Males Male Male Male Male State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Health, Center for Health Statistics, Table 2: Number of Deaths Number of Deaths State of Minnesota 182, , , ,974 Le Sueur 1,060 1,094 1,015 1,010 Waseca Le Sueur-Waseca CHB 1,896 1,967 1,843 1,804 Minnesota Department of Health, Center for Health Statistics, 18

22 Table 3: Leading Causes of Death-age adjusted rates per 100,000 (e.g. cancer, heart disease, stroke.) For stroke State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca For cancer State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca For heart disease State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Health, Center for Health Statistics, Figure 1: Cancer Incidence (all types combined, age adjusted per 100,000) Cancer incidence (all cancer types combined, age adjusted per 100,000); Cancer Incidence all types, age adjusted State of MN Le Sueur Waseca Minnesota Department of Health, Public Health Data Access Network (extracted from Minnesota Cancer Surveillance System (MCSS), Minnesota Department of Health) 19

23 Figure 2: Percent of Diabetes Prevalence among Adults Over 20 Years of Age; Diabetes prevalence among adults over age 20 years; % Diabetes Prevalence 2009 State of MN Le Sueur Waseca CDC Behavioral Risk Factor Surveillance System via Diabetes Interactive Atlas Table 4: Chronic Conditions Mortality (Number of deaths) For cancer State of Minnesota 43,001 44,505 45,364 47,249 Le Sueur-Waseca CHB Le Sueur Waseca For heart disease State of Minnesota 51,358 45,945 40,060 35,467 Le Sueur-Waseca CHB Le Sueur Waseca For stroke State of Minnesota 14,889 14,294 12,374 10,409 Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Health, Center for Health Statistics, 20

24 Leading Causes of Death Rates and Ranks Table 1: Le Sueur County Mortality Table: Minnesota s 15 Leading Causes of Death 2011 All Ages Cause Rank Number Alzheimer's Disease 12 2 Cancer 1 54 Cirrhosis 12 2 Chronic lower respiratory dis Diabetes 5 7 Heart Disease 2 33 Hypertension 14 0 Nephritis 7 5 Parkinson s 10 3 Pneumonia and Influenza 8 4 Pneumonitis due to solids/liquids 14 0 Septicemia 10 3 Stroke 3 13 Suicide 8 4 Unintentional Injury 5 7 Source: Minnesota Department of Health, Center for Health Statistics Table 2: Waseca County Mortality Table: Minnesota s 15 Leading Causes of Death 2011 All Ages Cause Rank Number Alzheimer's Disease 6 4 Cancer 1 49 Cirrhosis 13 0 Chronic lower respiratory dis Diabetes 8 3 Heart Disease 2 36 Hypertension 11 1 Nephritis 6 4 Parkinson s 11 1 Pneumonia and Influenza 10 2 Pneumonitis due to solids/liquids 13 0 Septicemia 13 0 Stroke 3 12 Suicide 8 3 Unintentional Injury 5 9 Source: Minnesota Department of Health, Center for Health Statistics For more data on deaths in Minnesota go the Minnesota Vital Statistics Interactive Queries Website: 21

25 Table 3: Years of Potential Life Lost Le Sueur County to Age 65 and 75, 2010 Le Sueur County Years of Potential Life Lost Cause YPLL 65 YPLL 75 AIDS/HIV Alzheimer s Disease Atherosclerosis Cancer Cirrhosis Congenital Anomalies Chronic Lower Respiratory Disease Diabetes Heart Disease Homicide Hypertension Nephritis Perinatal Conditions Pneumonia and Influenza Septicemia SIDS Stroke Suicide Unintentional Injury Other Total Minnesota Department of Health, Center for Health Statistics 22

26 Table 4: Years of Potential Life Lost Waseca County to Age 65 and 75, 2010 Waseca County Years of Potential Life Lost Cause YPLL 65 YPLL 75 AIDS/HIV Alzheimer s Disease Atherosclerosis Cancer Cirrhosis Congenital Anomalies Chronic Lower Respiratory Disease Diabetes Heart Disease Homicide Hypertension Nephritis Perinatal Conditions Pneumonia and Influenza Septicemia SIDS Stroke Suicide Unintentional Injury Other Total Minnesota Department of Health, Center for Health Statistics Health Behaviors In 2010, 30.7% of the adults and 17% of the 9 th graders in Le Sueur County reported they consumed five or more servings of fruit and vegetables the day before the survey. In 2010, 28.8 % of the adults and 16% of the 9 th graders in Waseca County reported they consumed five or more servings of fruit and vegetables the day before the survey. Le Sueur and Waseca Counties are slightly below the state average of 18% of 9 th graders who consumed five or more servings of fruits and vegetables the day before the survey. Together, the CHB averaged 16% for the 9 th graders. (Table 1 and Table 2 under the Health Behaviors subsection Nutrition depict the specific results for adults and trends for 9 th graders.) 23

27 In 2010, 35.1% of adults and 63% of 9 th graders in Le Sueur County reported they were physically active for at least 30 minutes five out of seven days. In 2010, 41.9% of adults and 62% of 9 th graders in Waseca County reported they were physically active for at least 30 minutes five out of seven days. The Le Sueur Waseca CHB was above the State of MN average of 56 % for 9 th graders. Additionally in 2010, 34.4% of the adults in Le Sueur County were considered overweight according to BMI [body mass index] and 32.5% were overweight in Waseca County. In 2010, 15% of the 9 th graders were considered overweight for Le Sueur County and 11% for Waseca County. (Table 1 and 2 under the Health Behaviors subsection Physical Activity depicts the specific results for adults and trends for 9 th graders. Tables 3, 4, 5 and 6 show specific data regarding the percent of those overweight and those who are obese for each entity.) In 2010, 14.8% of adults in Le Sueur County were current smokers and 10% of the 9 th graders reported they smoked with in the last 30 days. In 2010, 14% of the adults in Waseca County were current smokers and 15% of the 9 th graders reported they smoked with in the last 30 days. Overall, the State of MN reports that 9% of 9 th graders have smoked in the last 30 days, thus Le Sueur County and Waseca County have a higher percent than the state as a whole. However, Le Sueur County, the CHB, and State of MN have seen a decline in the percent of 9 th graders who have smoked in the last 30 days; specifically an 8% decline for Le Sueur County and a 4% decline for the CHB. Waseca County reported a 1% increase from the last reporting period in (Table 1 and 2 under the Health Behaviors subsection Smoking depicts the specific results for adults and trends for 9 th graders. Table 3 depicts exposure to second hand smoke.) Binge drinking is defined as a pattern of drinking that brings the person s blood alcohol concentration to 0.08 grams (Centers for Disease Control and Prevention [CDC], para 1, 2012). It is generally 5 or more drinks for men and 4 or more drinks for women in about 2 hours (CDC, para 1, 2012). In 2010, 14% of 9 th graders in Le Sueur County engaged in binge drinking in the past 2 weeks and 13% of Waseca County 9 th graders did. The State of MN reported an average of 10% of 9 th graders who engaged in binge drinking. (Table 1 under the Health Behaviors subsection Alcohol Use depicts the specific trends for the 9 th graders from and Table 2 depicts the percent of 9 th graders who have used alcohol one or more times in the last 12 months.) 24

28 Alcohol Use Table 1: Alcohol Use Amongst 9 th graders Percent of 9th graders who engaged in binge drinking in the last 2 weeks State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Student Survey Selected Single Year Results by State, County and CHB, Table 2: Percent of 9 th Graders Who Have Used Alcohol One or More Times in the Last 12 Months Percent of 9th graders who used alcohol one or more times in the last 12 months State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Student Survey Selected Single Year Results by State, County and CHB, Smoking Table 1:Smoking: Percent of Adults who are Current Smokers County Percent of Adults who are Current Smokers 2010 Le Sueur 14.8 Waseca 14.0 Wilder Research, 2010 Southwest/South Central Adult Health Survey 25

29 Table 2: Percent of 9 th graders who Smoked Cigarettes in the last 30 days Percent of 9th Graders who smoked Cigarettes in last 30 Days State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Student Survey Selected Single Year Results by State, County and CHB, Table 3: Exposure to Second Hand Smoke in the Last 7 Days Exposure to Second Hand Smoke in the Last 7 Days Home Car Other Le Sueur-Waseca CHB Le Sueur Waseca Wilder Research, 2010 Southwest/South Central Adult Health Survey Nutrition Table 1: Percent of Adults Who Consumed Five or More Servings of Fruit and Vegetables Yesterday County Percent of Adults Who Consumed Five or More Servings of Fruit and Vegetables Yesterday 2010 Le Sueur 30.7 Waseca 28.8 Wilder Research: 2010 Southwest/South Central Adult Health Survey 26

30 Table 2: Percent of 9 th Graders Who Ate Five or More servings of Fruit and Vegetables Yesterday Percent of 9th graders who ate 5+ servings of fruit, fruit juice and/or vegetables yesterday State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Student Survey Selected Single Year Results by State, County and CHB, Physical Activity Table 1: Percent of Adults Who Reported 30 plus Minutes of Moderate Physical Activity on Five or More Days per Week County Percent of Adults Who Reported 30+ Minutes of Moderate Physical Activity on Five or More Days per Week 2010 Le Sueur 35.1 Waseca 41.9 Wilder Research: 2010 Southwest/South Central Adult Health Survey Table 2: Percent of 9 th Graders Who Reported 30 plus Minutes of Moderate Physical Activity on Five or More Days per Week Percent of 9th graders physically active for 30+ minutes in 5/7 days State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Student Survey Selected Single Year Results by State, County and CHB,

31 Table 3: Percent of Adults Who Are Overweight According to BMI Percent of Adults Who Are Overweight According to BMI Year 2010 Le Sueur 34.4 Waseca 32.5 Wilder Research: 2010 Southwest/South Central Adult Health Survey Table 4: Percent of 9 th Graders Who Are Overweight But Not Obese According to BMI Percent of 9 th graders Who Are Overweight But Not Obese According to BMI State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Student Survey Selected Single Year Results by State, County and CHB, Table 5: Percent of Adults Who Are Obese According to BMI Percent of Adults Who Are Obese According to BMI 2010 Le Sueur 33.8 Waseca 35.6 Wilder Research: 2010 Southwest/South Central Adult Health Survey 28

32 Table 6: Percent of 9 th Graders Who Are Obese According to BMI Percent of 9 th Graders Who Are Obese / BMI State of Minnesota 9 9 Le Sueur-Waseca CHB Le Sueur Waseca 10 8 Minnesota Student Survey Selected Single Year Results by State, County and CHB, Infectious Disease In 2011, Chlamydia continues to be the highest reported sexually transmitted disease for all entities; Le Sueur and Waseca Counties reported 45 cases and 19 cases respectively. The State of MN reported 16,898 cases for the year Unlike the State of MN, the CHB did not report any cases of Syphilis and a marginal number of Gonorrhea cases. (Table 1 under the Infectious Disease subsection below depicts the reported numbers for 2011 for STD and Table 2 portrays number of HIV.) Le Sueur County and Waseca County did not have any TB cases for the reporting period, unlike the State of MN who had 137 cases in (Table 3 under the subsection Infectious Disease shows the number of TB cases.) In 2011, Le Sueur County reported that 76.3% of children aged months were up to date with their immunizations and Waseca County reported that 71.9% of their children aged months were up to date. Both counties reported significantly higher percentages than the State of MN, who reported that 55.7% of the total population aged months, were up to date. (Table 4 under the subsection Infectious Disease shows the number percentages of each entity for 2011.) 29

33 Table 1: STD Numbers for 2011 STD Numbers for 2011 Chlamydia Gonorrhea Primary/Secondary Syphilis Syphilis - All Stages State of Minnesota 16,898 2, Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Health, STD & HIV Surveillance Systems Table 2: HIV Numbers for 2011 HIV Numbers for 2011 State of Minnesota 292 Le-Sueur-Waseca CHB 2 Le Sueur 0 Waseca 2 Minnesota Department of Health, STD & HIV Surveillance Systems Table 3: Number of TB Cases in 2011 Number of Tuberculosis cases for 2011 Tuberculosis cases in 2011 State of Minnesota 137 Le Sueur-Waseca CHB 0 Le Sueur 0 Waseca 0 Minnesota Department of Health, Acute Disease Epidemiology 30

34 Table 4: Percent of Children age Months Up to Date with Immunizations (vaccine series) Percent of Children age Months Up to Date with Immunizations 2011 State of Minnesota 55.7 Le Sueur 76.3 Waseca 71.9 Minnesota Immunization Information Connection (MIIC), MDH Unintentional Injury The unintentional injury rate has mostly declined for all entities over the reporting periods. In , Le Sueur County had the lowest rate at 28.8, then the CHB at 29.7, with Waseca following at 31.8 and the State of MN the highest at 36.9 per 100,000 population. Each entity except the State of MN experienced a decline of at least 0.9 from the previous reporting period. (Table 1 under the Unintentional Injury subsection portrays the specific rates for each entity from ) In 2011, Le Sueur County had 3 people killed in crashes and none of those were in an alcohol related crash. Waseca County had 2 people killed in crashes and 1 of those was in an alcohol related crash. Le Sueur County had 127 people injured in crashes and 21 of those were in an alcohol related crash. Waseca County had 75 people injured in crashes and 10 of those were in an alcohol related crash. MN had 368 people killed in crashes and 111 of those were in an alcohol related crash. MN had 30,295 people injured in crashes and 2,375 of those were in an alcohol related crash. (Table 2 under the Unintentional Injury subsection depicts the percent of injuries and deaths related to alcohol.) The number of deaths related to fatal unintentional injuries, homicides, suicides, fatal falls, and motor vehicle and pedestrian injuries differed amongst each entity. The highest number of deaths for Le Sueur and Waseca Counties were the result of unintentional injuries at 8 deaths in 2010 for each county and 16 total deaths when combined as a CHB. Motor vehicles crashes and fatal falls were the second leading causes of death for the CHB combined with 5 deaths in each category in Similarly the State of MN reported the highest number of deaths related to unintentional injury with 2,087 in 2010; with fatal falls and suicide following at 784 and 599 deaths respectively in (Table 3 under the Unintentional Injury subsection shows specifics data for each entity for the reporting year 2010.) 31

35 Table 1: Unintentional Injury Death- Age Adjusted rate per 100,000 Unintentional Injury Death Age adjusted rate per 100, State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Department of Health, Center for Health Statistics, Table 2: Percent of Motor Vehicle Injuries and Deaths that are related to Alcohol Fatalities Injuries State of Minnesota Le Sueur-Waseca CHB Minnesota Department of Public Safety Le Sueur Waseca Table 3: Number of Fatal Unintentional Injuries, Homicides, Suicides, Fatal Falls, Motor Vehicle and Pedestrian Injuries, 2010 Number of Fatal Unintentional Injuries, Homicides, Suicides, Fatal Falls, Motor Vehicle and Pedestrian Injuries All Ages Unintentional Homicide Suicide Fatal Motor Pedestrian Injury Falls Vehicle State of 2, Minnesota Le Sueur Waseca Le Sueur- Waseca CHB Source: Minnesota Department of Health Center for Health Statistics

36 Mental Health In 2010, the percent of 9 th graders who had suicidal thoughts increased from 17% in 2007 to 19% for Le Sueur County; Waseca County remained unchanged at 17%. Together the CHB had a total of 19% for The State of MN also stayed the same from 2007 to 2010 at 17% total 9 th graders. Similarly, the percent of 9 th graders who reported they tried to kill themselves in the last year increased for Le Sueur County from 1% in 2007 to 6% in Waseca dropped 1% from the last reporting period, from 4% to 3% respectively; together the CHB increased 1% from 3% to 4%. The State of MN decreased 1% from 4% in 2007 to 3% in (Under the Mental Health Subsection: Table 1 depicts the specific trends for each entity from and Table 2 provides specific details regarding percentages of 9 th graders who have tried to kill themselves in the last year for each entity.) Noteworthy: in 2012 Le Sueur County was designated as a Mental Health Professional Shortage Area. Waseca County was not designated as a shortage area. (Table 3 under the Mental Health subsection shows the designation for Le Sueur County in February 2012.) Table 1: Percent of 9 th Graders who had suicidal thoughts in the last year Percent of 9th graders who had suicidal thoughts in last year State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Student Survey Selected Single Year Results by State, County and CHB,

37 Table 2: Percent of 9 th Graders who tried to kill themselves in the last year Percent of 9th graders who tried to kill themselves in the last year State of Minnesota Le Sueur-Waseca CHB Le Sueur Waseca Minnesota Student Survey Selected Single Year Results by State, County and CHB, Table 3: Mental Health Professional Shortage Area Mental Health Professional Shortage Area County 2012 Le Sueur Designated 2/2012 Waseca Not Designated Source: Minnesota Department of Health Office of Rural Health, Jan HPSA designations 1_2013.mxd Violence, Child Abuse, and Neglect Le Sueur County and the CHB reported an increase in the percent of 9 th graders who reported that someone they were going out with had ever hit, hurt, threatened or forced them to have sex. Le Sueur County reported an increase of 4% from 2007 to 2010 and the CHB had a 2% increase. Waseca County reported a 1% decrease from 2007 to 2010 and the State of MN remained at 10% for both reporting periods. (Table 1 under Violence, Child Abuse and Neglect subsection portrays specific numbers for each entity.) In 2011, Le Sueur County reported a rate of 10.0/1,000 population for children who have experienced maltreatment. Waseca County reported 8.2/1,000 and the State of MN reported 17.7/1,000 population. (Table 2 under Violence, Child Abuse and Neglect subsection portrays specific details for each entity regarding family assessment; investigation alleged and determined rate/1,000.) 34