Community Outreach Resource Center

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Community Outreach Resource Center Tier 1 Report: Gillespie County Child & Adolescent Health Child Abuse Rates in Gillespie County 23 7 Gillespie County Children Living in Poverty 23 7 Rate per 1, 14. 12. 1. 8. 6. 4. 2. 6. 4. 8.7 13.9 6.6 27 26 2 24 23 1.7% (N=739) 1. (N=713) 16. (N=78) 16. (N=731) 16. (N=748). 23 24 2 26 27 1. 1. 1. 1. 1.8% 16. 16. 16. 27 26 2 24 23 22 23% 2 21% 2 19% 18% Gillespie County CHIP Enrollment 22 7 7.9% (N=33,649 4.1% (N=31,2) 4.9% (N=22,298).1% (N=21,319) 8% 28 27 26 2 24 43. (N=1,3) 7. (N=18,416) 7.9% (N=2,816) Medicaid Enrollment Among Gillespie County Children 23 7 19. (N=948) 22.7% (N=1,16) 21. (N=1,68) 2.8% (N=1,38) 2. (N=1,37) 23 24 2 26 27 Gillespie County Children Receiving Free or Reduced Price Lunch 24 8 4.1% (N=1,469) 44.8% (N=1,43) 41% 4 43% 4 4 4 47% 47. (N=1,9) 47. (N=1,7) 17% 1 13% 11% 1 1 1 9% 7% 3% 1% Gillespie County Child Food Stamp Enrollment 22 6 8% Births to Teens Ages 13 to 19 in Gillespie County 21 12.9% (N=3) 26 2 24 23 22.7% (N=27) 7.7% (N=38) 22 23 24 2 26 1. (N=23) 14.(N=33) 13.7% (N=34) 21 22 23 24 2 26.9% (N=289) 27. (N=329) 1. (N=474) 1.3% (N=474) 27.7% (N=323) 11.9%(N=29) Gillespie County WIC Enrollment 22 6 28. (N=29) 26. 27. 27. 28. 28. 29. 12.8% (N=64) 28.8% (N=327)

Population Unemployment Rate Rate per 1 Age Dollar Amount Community Outreach Resource Center Tier 1 Report: Gillespie County Demographics Ages of Gillespie County Residents Average Wage per Job in TAB Counties 27 8 + 6 to 79 4 to 9 2 to 39 to 19 6.8% (N=,229) 29.8% (N=4,42) 2. (N=6,383) 17. (N=7,31) 2.7% (N=1,714) 1 2 3 $4, $3, $2, $1, $ $39,832 $33,2 $33,371 $27,23 $28,94 Bexar Comal Frio Gillespie Guadalupe Source: TDSHS Center for Health Statistics 29 Source: Bureau of Economic Analysis Educational Levels of Gillespie County Residents Ages 2 and Older Less than 9th grade Fertility Rates in Gillespie County 21-3 2 2 1 1 1.3% 9.7% 29. 23. 4.3% 1.1% 7.8% 9-12th grade High School / GED Some College Associate's Degree Bachelor's Degree Graduate Degree N = 1,2 Source: American Community Surveys 2-7 7 7 6 6 74.3 71.7 71. 69. 67.4 21 22 23 24 2 Source: TDSHS, Texas Health Data 2 Deaths by Sex and Place of Residence Among Gillespie County Residents. Unemployment Rates in Gillespie County 2-9 4. 12 1 8 6 4 6.9% (N=9) 43.1% (N=72) 62.7% (N=11) 32.3% (N=6) Fredericksburg Other Town 4. 3. 2. 1. 3.4 3.6 3. 3.1 2 Males Females Source: TDSHS, Texas Health Data 2. 2 26 27 28 29 Source: Bureau of Labor Statistics Gillespie County Population Projections 2 to 21 3 28792 29 2794 28 2644 27 26 239 2 24 23 29 211 213 21 Source: TDSHS Center for Health Statistics 29 Race and Ethnicities in Gillespie County 17.43% (N=4,411).6 (N=17) White Hispanic Other 81.9 (N=2,741) Source: TDSHS Center for Health Statistics 29

Community Outreach Resource Center Tier 1 Report: Gillespie County Demographics Income Distributions in Gillespie County of Males and Females in Gillespie County $1k or more 14. $7k to $99,999 12.1% $k to $74,999 23.9% $3k to $49,999 1. $2k to $34,999 12.9% $1k to $24,999 $14,999 or less 1. 1.7% (N=12,94) 48% (N=11,49) 1 1 2 2 Source: American Community Surveys 2-7 Male Female Source: American Community Survey s 2-7 7 6 4 3 2 1 Marital Status of Gillespie County Residents 18. (N=3,19) 63. (N=12,187) 9.3% (N=1,778) 8.8% (N=1,683) Single Married Widowed Divorced/ Separated Gillespie County Children Living in Poverty 23-7 27 1.7% (N=739) 26 16. (N=78) 2 16. (N=731) 24 1. (N=713) 23 16. (N=748) 1. 1. 1. 1. 1.8% 16. 16. 16. Source: American Community Surveys 2-7 26. (N=,234) Languages Spoken Among Gillespie County Residents Ages and Older 73. (N=14,49) 3 3 2 2 1 1 Medically Uninsured Residents in TAB Counties 24.6 2 2 32.4 24.3 Bexar Comal Frio Gillespie Guadalupe English Only Other than English Source: American Community Survey 2-7 County Source: TDSHS SElected Health Facts 2

Community Outreach Resource Center Tier 1 Report: Gillespie County Disability Social Security Beneficiaries Among the Disabled in Gillespie County 28 1.9% (N=1) 16.8% (N=9) 1 Disabilities Among All Gillespie County Residents Ages to 1 8. 81.3% (N=43) 8% 4. 4.. Disabled Recipients Spouses of Disabled Disabled Children Source: Social Security OASDI Annual Report 28 Any Disability Sensory Mental Self Care Source: American Community Survey 2 7 Go outside home Self care Mental Physical Sensory Any Disability Employment Disabilities Among All Gillespie County Residents Ages 16 to 64 1. 2. 4. 4. 6. 6.1% 8% 1 1 Source: American Community Survey 2 7 11. 4 3 3 2 2 1 1 Disabilities Among All Gillespie County Residents Ages 6 and Older 39. Any Disability Sensory 24.1% Physical 17.7% Mental Self care 9.1% 9. Go outside home 4. Source: American Community Survey 2 7 Employed Gillespie County Residents with Any Disability by Sex Gillespie County Residents with Any Disability Living in Poverty by Sex Total 38.8% 1 11.3% 13.3% 9.3% Male Female 36. 41. 1 3 3 38% 4 4 Source: American Community Survey 2 7 Total Male Female Source: American Community Survey 2 7

Community Outreach Resource Center Tier 1 Report: Gillespie County Maternal & Child Health Total Live Births in Gillespie County 21 Abortions Performed by Ages of Gillespie County Women in 26 2 24 23 22 21 221 229 232 244 249 1 1 Younger than 1 1 7 1 to 19 2 to 24 2 to 29 3 to 34 3 to 39 Older than 4 1 1 2 21 22 23 24 2 Ages Source: Texas Vital Statistics 26 Rate per 1, 2 24 23 22 21 9 8 7 6 4 3 2 1 Infants & Fetuses with Monitored Birth Defects in Gillespie County 2 4 14 12 1 8 6 4 2 12 Low Birth Weight Births in Gillespie County 21 2. (N=19) 4.1% (N=2).7% (N=13) 8% 4. (n=1) 4.1 (n=1) 7.8% (N=6) 8. (N=9) Source: TDSHS Texas Health Data 21 Infant Mortality Rates for Gillespie County 24 6 8 2 21 22 23 24 8.2 (n=2) 24 2 26 9 Source: TDSHS Texas Health Data 2 4 Source: Texas Vital Statistics 7 White Hispanic 19% 17% 1 13% 11% 9% 7% 3% 1% 2 2 1 1 Total Gillespie County Women Who Recieved Prental Care in the 1st Trimester by Race/Ethnicity 2 4 6 8 1 Teen Pregnancies in Gillespie County 2 17.7% Health Vulnerabilities of Infants & Mothers in Gillespie County 28.114 12.9% 1..7 % Very LBW % Premature Births 14. 63..21 % Births Women < 18 73. (n=64) 13.7% 8. (n=116) Source: Texas Vital Statistics 26 11.9% 2 21 22 23 24 2 Source: Kids Count Data Center.211 % Births Women > 4 Source: DHHS Community Health Status Indicator Report 28

Rate per 1k Rate per 1k Rate per 1k Community Outreach Resource Center Tier 1 Report: Gillespie County Morbidity Invasive Cancer Rates for Gillespie County 22-6 Serious Injuries Caused by Motor Vehicle Accidents in Gillespie County 24-8 48. 46. 44. 42. 4. 38. 4.7 433.4 467.3 446.8 49.6 28 27 26 2 24 11 144 137 124 136 36. 22 23 24 2 26 Source: Texas Cancer Registry 1 1 of Injuries Source: Texas Deoartnent oftransortation Gonorrhea Rates for Gillespie County 24-8 Chlamydia Rates for Gillespie County 24-8 2 2 1 1 22.4 (N=) 14.3 (N=3) 17.2 (N=4) 13.3 (N=3) (N=) 24 2 26 27 28 Source: TDSHS HIV/STD Surveillance Reports 2 18 16 14 12 1 8 6 4 2 172. (N=39) 94.2 (N=21) 126.9 (N=3) 8.9 (N=2) 8.6 (N=18) 24 2 26 27 28 Source: TDSHS HIV/STD Surveillance Reports Gillespie County Residents with Premature Death Risk Factors Diabetes Prevalence in TAB Counties 2 18. 16. Bexar Comal 7. 8.3% 1 1.8% Frio Gillespie 7. 9. Guadalupe 8.9% High Blood Pressure Smokers Diabetic Source: DHHS Community Indicator Report 8% 1 Source: CDC National DIabetes SurveillanceSystem 2

Rate per 1, Births Rate per 1k Community Outreach Resource Center Tier 1 Report: Gillespie County Mortality 2 2 2 Deaths Caused by Cancer in Gillespie County 22-6 2. (N=71) 24.8% (N=7) 23. (N=66) 23.3% (N=63) 21. (N=6) 2 24 23 Heart Disease Mortality Rate in Gillespie County 22-14 177. 2.1 2 18% 22 23 24 2 26 22 183.9 1 1 2 Rate per 1k Source: TDSHS Health Data 22-3. 3. 2. 2. 1. 1... 26 2 24 23 22 Deaths Caused by Diabetes in Gillespie County 22-6 1. 2. Deaths Caused by Influenza & Pneumonia in Gillespie County 22-6 1. (N=4) 3. 2.1% (N=8) 2.9% (N=7) 3. (N=1) 4.1% (N=1) 1% 3% 1. 2. 22 23 24 2 26 Source: TDSHS Health Data 22-6 Source: Texas Health Data 22-6 6 4 2 7% 3% 1% Various Mortality Rates in Gillespie County 33. Breast Cancer Deaths Caused by Accidents in Gillespie County 22-6 2.1% (N=6) 1.1 Colon Cancer 6.1% (N=17) 39.6 Lung Cancer 3. (N=1). (N=17). (N=14) 22 23 24 2 26 23.4 Motor Vehicle Accidents 9.8 Stroke Source: DHHS Community Indicator Report 28 Source: Texas Health Data 22-6 Deaths Caused by Chronic Lower Respiratory in Gillespie County 22-6 8% 7.9% (N=2) 7% 6.7% (N=17).49% (N=18) 4.4 (N=12) 2.1% (N=7) 3% 6 4 2 Infant Mortality Rates in Gillespie County 28.2 3. 1. 1% 22 23 24 2 26 County White Hispanic Neonatal Post Neonatal Source: Texas Health Data 22-6 Source: DHHS Community Health Status Inidcators Report 28

Community Outreach Resource Center Tier 1 Report: Gillespie County Substance Abuse 1 8% Alcohol Related Arrests Among All Arrests In Gillespie County 2 4 8..7% 2. 6.1% 4.8% 4. 6. 1.8% 7. 7..8% 6. 6.8% 2. 1.7% 2 21 22 23 24 DWI Liquor Law Violations Public Intoxication 8% Drug Related Arrests Among All Arrests in Gillespie County 2 4 4. 6. 2 21 22 23 24 3.8% 6..1% Source: Texas Commission on Alcohol Drug Abuse Source: Texas Commission on Alcohol & Drug Abuse.1.1. Alcohol Related Motor Vehicle Accidents in Gillespie County 1998 21 (N=12) 1 (N=2) 1 (N=28) 1998 1999 2 21 1 (N=22) Source: Texas Commission on Alcohol & Drug Abuse Alcohol and Drug Related Deaths in Gillespie County 1998 22 2 21 19 18 2 19 18 1 1 3 3 2 2 1998 1999 2 21 22 Alcohol Related Deaths Drug Related Deaths Source: Texas Commission on Alcohol Drug Abuse Race & Ethnicities of Substance Abuse Treatment Clients in Gillespie County 9. Characteristics of Gillespie County Substance Abuse Treatment Clients Admitted for 1st Time 6.3% Criminal Justice Referred 21.9% 9. Employed Married Males Using Needles 21.9% 4. 6.3% 6. White No Hispanic Hispanic 1 2 3 4 6 7 * Among Gillespie County Residents Only Source: Texas Commission on Alcohol & Drug Abuse Source: Texas Commission on Alcohol & Drug Abuse