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
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
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
Dental Insurance: Thurston County Adults
Detail Timeframe: 2012-2016
Insured Estimate• 2012 = 131,500 adults
• 2016 = 161,700 adults
Parameters: Covered or partially covered by dental insurance
Note: Any form of dental insurance
Source: BRFSS
Thurston County Public Health & Social Services Department
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
Dental Insurance: Thurston County Adults
Detail Timeframe: 2016
Parameters: Covered or partially covered by dental insurance
Low Income: Annual household income less than $35,000
Note: Any form of dental insurance
Source: BRFSS
Thurston County Public Health & Social Services Department
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
Dental Insurance: Thurston County Adults
Detail Timeframe: 2016
Uninsured Estimate Age 18 to 64 = 35,200
Age 65 and Up = 15,200
Parameters: Covered or partially covered by dental insurance
Note: Any form of insurance
Source: BRFSS
Thurston County Public Health & Social Services Department
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
Parameters: Covered or partially covered by dental insurance
Note: Any form of dental insurance
Source: BRFSS
Thurston County Public Health & Social Services Department
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
Detail Timeframe: 2016
Parameters: 18 and up with any form of dental insurance
Source: BRFSS
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
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
Detail Insurance: Medicaid
Timeframe: 2013-2017
Percent Change: Eligibles = 166% increase
Users = 392% increase
Note: FY = Fiscal Year
Source: Health Care Authority
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
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
Detail Insurance: Medicaid
Timeframe: 2017
Note: FY = Fiscal Year
Source: Health Care Authority
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
Ratio of Population to Dentists: Thurston County
Detail Timeframe: 2016
Total Dentists = 203
Ratio Thurston = 1,360 to 1
WA = 1,250 to 1
Source: HRSA
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
Last Dental Visit: Thurston County 8th Graders
Detail Timeframe: 2016
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
Thurston County Public Health & Social Services Department
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
Detail Timeframe: 2016
Visit 1 or More Years Ago Estimate = 670 10th graders
Parameters: Visit for any reason
Note: Provider can be based in any county
Source: HYS
Thurston County Public Health & Social Services Department
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%
Thurston County Public Health & Social Services Department
Last Dental Visit, Thurston County Youth
69% 70%
84% 85%
0%
20%
40%
60%
80%
100%
8th Graders 10th Graders
Low Income Not Low Income
In Past YearDetail Timeframe: 2016
Parameters: Visit for any reason
Low income: Eligible for free or reduced school meals
Note: Provider can be based in any county
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
Note: Provider can be based in any county
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
Last Dental Visit: Thurston County Adults
Detail Timeframe: 2016
Parameters: Visit for any reason, including specialists
Note: Provider can be based in any county
Source: BRFSS
Thurston County Public Health & Social Services Department
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%
Low Income Not Low Income
Chart Title
Not in Past Year In Past Year
By Income
Last Dental Visit: Thurston County Adults
Detail Timeframe: 2016
Parameters: Visit for any reason, including specialists
Low Income: Annual household income less than $35,000
Note: Provider can be based in any county
Source: BRFSS
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
Missed School Toothache: Thurston County 6th Graders
Detail Timeframe: 2016
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
Thurston County Public Health & Social Services Department
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
Detail Timeframe: 2016
Missed School Due to Toothache Estimate = 120 8th graders
Parameters: Missing school in past year (answer of yes or 1 or more days)
Note: Does not include braces or injury
Source: HYS
Thurston County Public Health & Social Services Department
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%
Thurston County Public Health & Social Services Department
Missed School Toothache, Thurston County Youth
6% 6%
3% 3%
0%
5%
10%
15%
20%
8th Graders 10th Graders
Low Income Not Low Income
By IncomeDetail Timeframe: 2016
Parameters: Missing school in past year (answer of yes or 1 or more days)
Low income: Eligible for free or reduced school meals
Note: Does not include braces or injury
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
Detail Timeframe: 2016
Experienced Mouth Pain Estimate = 34,000 adults
Parameters: Yes (very often, occasionally), No (hardly ever, never)
Source: BRFSS
Thurston County Public Health & Social Services Department
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
Mouth Pain in Past Year: Thurston County Adults
Detail Timeframe: 2016
Parameters: Yes (very often, occasionally), No (hardly ever, never)
Source: BRFSS
Thurston County Public Health & Social Services Department
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%
Low Income Not Low Income
Chart Title
Yes No
By Income
Mouth Pain in Past Year: Thurston County Adults
Detail Timeframe: 2016
Parameters: Yes (very often, occasionally), No (hardly ever, never)
Low Income: Annual household income less than $35,000
Source: BRFSS
Thurston County Public Health & Social Services Department
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
Detail Timeframe: 2016
1 or More Teeth Removed Estimate = 78,700 adults
Parameters: Due to tooth decay or gum disease
Source: BRFSS
Thurston County Public Health & Social Services Department
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
Permanent Teeth Removed: Thurston County Adults
Detail Timeframe: 2016
Parameters: Due to tooth decay or gum disease
Source: BRFSS
Thurston County Public Health & Social Services Department
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%
Low Income Not Low Income
Chart Title
1 or More None
By Income
Permanent Teeth Removed: Thurston County Adults
Detail Timeframe: 2016
Parameters: Due to tooth decay or gum disease
Low Income: Annual household income less than $35,000
Source: BRFSS
Thurston County Public Health & Social Services Department
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
Detail Timeframe: 2016
Diabetes Estimate = 21,200 adults
Parameters: Ever told by health professional
Source: BRFSS
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
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
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
Note: ED = Emergency Department
Source: ESSENCE
Thurston County Public Health & Social Services Department
8%
76%
15%
AGE
19 and younger 20 to 49 50 and up
Age
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
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
Note: ED = Emergency Department
Source: ESSENCE
Thurston County Public Health & Social Services Department
50%
50%
GENDER
Female Male
Gender
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
Thurston County Public Health & Social Services Department
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
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
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
Presenter
Presentation Notes
In Thurston County oral health disparities have been identified for age and income
Population Change: Thurston County Residents
Thurston County Public Health & Social Services Department
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
Thurston County Public Health & Social Services Department
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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 ogarrom@co.thurston.wa.us
Presentation available online in PDF and Powerpointo http://bit.ly/PHSSHealthData
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Thurston County Public Health & Social Services Department
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Requests for additional data or further detail is welcome