2010 McHenry CountyHealthy Community Study

Community AnalysisCommunity Analysis

Prepared by

Kristen Harrison, M.P.HEpidemiologist

McHenry County Department of Health

Topics

April 2011

**Note: All data in this presentation is specific to McHenry County, unless otherwise noted.

POPULATION

April 2011

McHenry County Population: 1900 - 2010 The population of McHenry County grew by 18.7% from 2000 to

2010.

Source: US Census Bureau, decennial Census counts

April 2011

DEMOGRAPHICS

April 2011

Persons by Race/Ethnicity1: 2009

1All groups except Hispanic are non-Hispanic. Source: US Census Bureau, Population Division, 2009 Census estimates April 2011

Population Change by Race/Ethnic Group: 2000 - 2009

1All groups except Hispanic are non-Hispanic. Source: US Census Bureau, Population Division, 2009 Census estimates and decennial Census for 2000 April 2011

Population by Age Group: 2009 Median age: 37.9 years. One in 5 people were under 18 years. One in 10 people were 65 years or older.

Source: US Census Bureau, Population Division, 2009 Census estimates

April 2011

Percent Change Among Selected Age Groups: 2000 - 2009

Source: US Census Bureau, Population Division, 2009 Census estimates and decennial Census for 2000

Age Distribution by Gender: 2009 In 2009, for every female there was 1.3 males.

Source: US Census Bureau, Population Division, 2009 Census estimates

April 2011

HOUSEHOLD & MARITAL STATUS

April 2011

Household Types: 2005 - 2009 106,951 households in McHenry County Average household size: 2.91 persons Average family size: 3.38 persons

Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year estimates

All Households Households With Children <18 Years

April 2011

Marriages, Divorces/Annulments& Dissolution Ratio: 1980 - 2009 In 2009, for every 100 marriages there were 76 divorces in the

County – 31 more than the State.

Source: Illinois Department of Public Health

April 2011

Marriages & Divorces Dissolution Ratio

HOUSING

April 2011

Home Value: 2005 - 2009 County median home value: $251,200 (IL: $200,400)

Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year Estimates

April 2011

Home Sales and Median Price:2005 - 2009

Source: Illinois Association of Realtors, Market Sales

Percent Change 2005 - 2009• Single family : -55%• Condo: -57%

Percent Change 2005 - 2009• Single family : -39%• Condo: -17%

April 2011

Homeownership & Housing Costs:2005 -2009 County homeownership rate: 85% (IL: 69%, US: 67%).

Median home costs: Homeowners w mortgage: 26.9% of annual income (IL: 25.5%,

US: 24.8%) Renters: 31% (IL: 31.0%, US: 30.0%)

Affordable housing is generally considered to be <30% of the annual income of a household1

Percent of homeowners with home costs ≥30% of annual household income Homeowners w mortgage: 40.8% (IL: 38.1%; US: 36.7%) Renters: 48.4% (IL: 46.4%; US: 38.7%)

1US Department of Housing and Urban Development (HUD)Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year Estimates April 2011

EDUCATION

April 2011

Educational Attainment (Adults 25 Years and Older): 2005 - 2009

Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year EstimatesApril 2011

EMPLOYMENT

April 2011

Unemployment: 1980 - 2009 2009 unemployment rate: 9.7% (IL: 10.1%; US: 9.3%)

Source: Illinois Department of Employment Security, Local Area Unemployment Statistics

April 2011

Annual Employment by Industry: 2000 - 2009

Net gain: +3,812 jobs (+4.2%)

Largest employment growth: Professional and business

services sector (+51.1%)

Largest employment loss: Manufacturing (-33.2%)

Source: Illinois Department of Employment Security, LEHD State of Illinois County Reports – Quarterly Workforce Indicators April 2011

INCOME& POVERTY

April 2011

Median Household Income:1999 & 2005 - 2009 The County’s median household income exceeded the State by

$22,092 during 2005-2009.

Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year estimates and decennial Census for 2000April 2011

Poverty for Selected Groups: 2005 - 2009

GroupMcHenry County

Illinois US

All people 5.6% 12.4% 13.5%

People 65 years and older 4.5% 8.9% 9.8%

Families 4.2% 9.1% 9.9%

With children < 18 years old 6.3% 14.1% 15.3%

With children < 5 years old 7.6% 15.2% 16.6%

Female-headed families 21.2% 28.1% 28.7%

With children < 18 years old 29.7% 36.8% 37.1%

With children < 5 years old 55.3% 45.0% 45.6%

Source: US Census Bureau, 2005 – 2009 American Community Survey 5-Year estimates.

April 2011

Medicaid Recipients: 1990 - 2009 More than 5-fold increase in the number of recipients

Source: Illinois Department of Human Services, Bureau of Research and Analysis.

April 2011

CRIME

April 2011

Crime1 & Crime Rate: 1999 - 2008 2008 crime rate: 1,807.9 crimes per 100,000 population.

75% were theft and 14% were burglary.

1Only counting index crimes, which include murder and manslaughter, criminal sexual assault, robbery, aggravated assault (including attempted murder, aggravated battery, and ritual mutilation), burglary, larceny/theft, motor vehicle theft, and arson.Source: Illinois State Police, Illinois Uniform Crime Reporting Program April 2011

NATALITY(Births)

April 2011

Birth Rates: 1980 - 2008 2008 birth rate: 12.0 births per 1,000 population (IL: 13.8; US: 14.0)

Source: Illinois Department of Public Health, and National Center for Health Statistics

April 2011

Age-Specific Fertility: 2008

1Age-group specific female populationSource: Illinois Department of Public health, and US Census Bureau, 2008 estimates April 2011

The overall fertility rate for McHenry County was 28.1 births per 1,000 females (IL: 31.2).

Births to Teen Mothers: 1980 - 2008 2008 percent of births to teen mothers: 5.0% (IL: 10.0%; US: 10.4%)

Source: Illinois Department of Public Health, and National Center for Health Statistics

April 2011

Births to Unmarried Mothers: 1980 - 2008 2008 percent of births to unmarried mothers: 29.1% (IL: 40.7% , US:

40.6%)

Source: Illinois Department of Public Health, and National Center for Health Statistics

April 2011

Infant Mortality: 1980 - 2007 2007 infant deaths: 21 2007 infant death rate: 5.1 deaths per 1,000 live births (IL: 6.6; US: 6.8) 1980 – 2007 percent change: -52%

Source: Illinois Department of Public Health, and National Center for Health Statistics

April 2011

MORTALITY(Deaths)

April 2011

Mortality Rate: 1980 - 2007 2007 mortality rate: 5.8 deaths per 1,000 population (IL: 7.8; US: 8.0)

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database

April 2011

Leading Causes of Death: 2007

1Rate per 100,000 populationSource: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database April 2011

Leading Causes of Death:1997 & 2007

1997 2007

Cause

Age-Adjusted Mortality

Rate1

1. Heart disease 161.3

2. Cancer 147.2

3. Stroke 47.4

4. Chronic lower respiratory disease

27.2

5. Accidents 20.6

Cause

Age-Adjusted Mortality

Rate1

1. Cancer 190.8

2. Heart disease 169.1

3. Stroke 45.5

4. Chronic lower respiratory disease

39.1

5. Accidents 30.3

1Rate per 100,000 population using 2000 US standard populationSource: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER database April 2011

Leading Causes of Premature Mortality: 2007

Cause

Percent Of Cause Under 65 Years

McHenry County

Illinois

All Causes 24.7% 26.4%

Suicide 90.3% 85.2%

Accidents 67.4% 67.7%

Diabetes mellitus 32.5% 26.4%

Cancer 28.4% 30.2%

Kidney disease 20.9% 16.1%

Heart disease 17.7% 20.3%

Influenza & pneumonia 16.1% 13.5%

Stroke 11.8% 13.4%

Chronic lower respiratory disease 10.6% 13.7%

Septicemia 10.3% 24.0%

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER databaseApril 2011

Leading Causes of Death by Age Group:2003 – 2007

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER databaseApril 2011

HEALTH STATUS & BEHAVIORS

April 2011

Perception of General Health (Adults 25 Years & Older): 2007

Source: Illinois Department of Public Health, Behavioral Risk Factor Survey April 2011

Source: Illinois Department of Public Health, Behavioral Risk Factor Survey

Perception of Health Status: 2007

April 2011

Source: Illinois Department of Public Health, Behavioral Risk Factor Survey

Prevalence of Selected Conditions in Adults: 2007

April 2011

Obesity Status (Adults 25 Years & Older): 2007

Source: Illinois Department of Public Health, Behavioral Risk Factor Survey

Almost 60% of adults are overweight or obese in the County and 62% in Illinois.

April 2011

Smoking Status (Adults 25 Years & Older): 2007

Source: Illinois Department of Public Health, Behavioral Risk Factor Survey April 2011

Site Number Rate1

TOTAL 3,117 446.8

1. Invasive breast 867 120.6

2. Lung & bronchus 402 60.6

3. Colon & rectum 335 49.5

4. Corpus & uterus 223 31.4

Leading Cancer Incidence by Site: 2003 - 2007

Site Number Rate1

TOTAL 3,140 552.6

1. Prostate 888 156.1

2. Lung & bronchus 422 79.4

3. Colon & rectum 324 59.0

4. Urinary bladder 221 42.0

1Age-adjusted incidence rate per 100,000 populationSource: Illinois Department of Public Health, Illinois State Cancer Registry

Males Females

April 2011

Disabilities include:• Sensory: blindness, deafness or a severe

vision or hearing impairment• Physical: a condition that substantially limits

one or more basic physical activities, such as walking, climbing stairs, reaching, lifting or carrying

• Mental: learning, remembering or concentration

• Self-care: dressing, bathing or getting around inside the home

• Outside home: going outside the home alone to shop or visit a doctor’s office

• Employment: working at a job or business

Disabilities include:• Sensory: blindness, deafness or a severe

vision or hearing impairment• Physical: a condition that substantially limits

one or more basic physical activities, such as walking, climbing stairs, reaching, lifting or carrying

• Mental: learning, remembering or concentration

• Self-care: dressing, bathing or getting around inside the home

• Outside home: going outside the home alone to shop or visit a doctor’s office

• Employment: working at a job or business

Population With At Least One Disabilityby Age Group: 2005 - 2007 9.6% of people five years and older have at least one disability (US:

15.1%).

Source: US Census Bureau, 2005 – 2007 American Community Survey 3-Year Estimates

April 2011

HEALTHCARE RESOURCES & UTILIZATION

April 2011

Healthcare Utilization: 2007

Source: Illinois Department of Public Health, Behavioral Risk Factor Survey

April 2011

Last Dental Visit (Adults 25 Years & Older): 2007

Source: Illinois Department of Public Health, Behavioral Risk Factor Survey April 2011

Hospitalization Rate for Leading Reasons1: 2009

Rank Diagnosis-Related Group (DRG) DescriptionMcHenry County Illinois

Number Rate2 Rate2

1. Psychoses (885) 1,737 54.1 74.7

2. Major joint replacement/reattachment of lower extremity without complications (470)

1,050 32.7 31.2

3. Esophagitis, gastroenteritis and miscellaneous digestive disorders without complications (392)

986 30.7 32.4

4. Alcohol/drug abuse or dependence without rehabilitation therapy or complications (897)

628 19.6 27.7

5. Chest pain (313) 509 15.9 19.8

6. Rehabilitation (945) 484 15.1 17.4

7. Nutritional and miscellaneous metabolic disorders without complications (641)

438 13.6 17.0

8. Percutaneous cardiovascular procedure with drug-eluting stent without complications (247)

407 12.7 10.9

9. Circulatory disorders except acute myocardial infarction, with cardiac catheterization without complications (287)

394 12.3 12.2

10. Simple pneumonia and pleurisy with comorbid conditions (194) 388 12.1 16.5

1Excluding birth-related reasons2Rate per 10,000 populationSource: Illinois Hospital Association, COMPdata April 2011

Population Per Physician: 2008

Source: American Medical Association, Physician Characteristics and Distribution in the US 2010 Edition

. April 2011

ENVIRONMENTALHEALTH

April 2011

McHenry County Air Quality: 1998 - 2008 2008 percent of days: 83.9% good, 16.1% moderate 1998 – 2008 Average Percent of Days:

85.1% good air quality, 13.3% moderate, and 1.6% unhealthy for sensitive groups.

Source: US Environmental Protection Agency, Air Quality Index Report

April 2011

STRENGTHS & CHALLENGES

April 2011

Strengths - General

High homeownership rates Higher overall educational attainment High median household income Low poverty rates Decreasing crime rate

April 2011

Strengths - Health Decreasing birth rates, births to teen moms and infant mortality, and

increasing births to older moms Low mortality rate Perception of general and physical health is higher than State Lower diabetes and high cholesterol prevalence than State and

comparable hypertension prevalence Lower obesity rates Small percent of the population with a disability Higher rates of health care coverage than State Good air quality

April 2011

Challenges - General Population growth Increase in minority populations Aging population Increasing divorce rate and decreasing marriage rate Home values are high and the cost is a substantial portion of income

for many Falling housing market Increasing unemployment, especially in manufacturing High poverty among single mothers Increasing Medicaid participation

April 2011

Challenges - Health Increasing births to unmarried mothers Most deaths due to cancer or heart disease Percent of population experiencing poor mental health is higher than

the State Higher prevalence of asthma and arthritis than State 3 out of 5 adults are overweight or obese Prostate (men only) and Breast (female only), lung and colorectal

cancers are the most common in the County Most frequent reasons for hospitalization were for mental disorders,

hip/knee replacements and digestive disorders High population per physician for all types of practices and

specialties

April 2011