Commissioned by JumpStart Tulsa Prepared by the Community Service Council October 2011

STATE OF HUNGER TULSA COUNTY

Commissioned by JumpStart Tulsa

Prepared by the Community Service CouncilOctober 2011

TULSA COUNTY

Demographic Trends Economics Health Indicators

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DEMOGRAPHIC TRENDS

DEMOGRAPHIC TRENDS

Population change--migration to suburban areas of Tulsa and Oklahoma City MSA with an overall decrease in new births

Age--aging population Race and ethnicity--more culturally

diverse Living arrangements--transitional for

family living arrangement

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Prepared by the Community Service Council of Greater Tulsa

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sRace Comparison for Total Population and Children under 5

Oklahoma and Tulsa County, 2010

Source: US Census Bureau, 2010 Census.

59.3%

8.2%11.0%

1.6%

19.8%54.9%

12.6%

7.3%

2.5%

22.8%

72.2%

7.4%

8.6%

1.7%

10.1%

69.2%

10.7%

6.0%

2.3%

11.7%

White Black American Indian Asian Other/2+ races

Oklahoma Tulsa County

Under 5

Total Population

N = 591,982

N = 48,035N = 266,547

N = 3,642,361

Hispanic16.8%

Hispanic20.6%

Hispanic8.9%

Hispanic11.0%


Population Trends and Projections by Age GroupTulsa County, 1970 - 2030

Source: US Census Bureau, 1970, 1980, 1990, & 2000 Censuses; US Census Bureau, Population Estimates Division, Population Projections, 2000 - 2030.

6.3

6.6

6.8

7.4

7.7

7.7

8.5

16.6

17.1

18.2

18.9

18.4

19.8

25.9

9.2

9.7

10.1

10

10.1

13.5

10.7

47.8

50.5

52.5

51.9

52.2

49.1

46.2

17.5

14.1

10.6

10.4

10.4

9

8.1

2030

2020

2010

2000

1990

1980

1970

0% 20% 40% 60% 80% 100%

Percent of population

0-4 5-17 18-24 25-64 65-84 85+

1.9

1.4

1.2

.9

.6

Pro

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ions 2.5

2.1

Demographics


Living Arrangements of Related Children Under 18Tulsa County, 1970, 1980, 1990, 2000 & 2005-07 Estimates

Source: US Census Bureau, 1970, 1980, 1990, and 2000 Censuses; US Census Bureau, American Community Survey 2005-07.

Married Couple Male-headed Female-headed Other relatives0%

20%

40%

60%

80%

100% 1970 1980 1990 2000 2005-07 est.

1970 82% 1% 11% 4%

1980 74% 2% 16% 6%

1990 71% 3% 18% 5%

2000 65% 5% 21% 7%

2005-07 est. 61% 6% 25% 8%

Children living with 1 or both parents

Demographics

ECONOMICS AND EMPLOYMENT

Ratio of Income to Poverty LevelPercentage of Total Population and Children

Tulsa County, 2005-09

Source: US Census Bureau, 2005-09 American Community Survey.

Total population Under 18 Under 6 6-170%

25%

50%

75%

Percentage of population

Below 100% Below 185% Below 200%

Below 100% 19.8% 22.2% 26.8% 19.6%

Below 185% 41.6% 42.1% 47.9% 38.7%

Below 200% 45.4% 45.4% 51.1% 42.1%

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Family of Three, Tulsa County, 2010*

Source: Oklahoma Association of Community Action Agencies and the Oklahoma Asset Building Coalition, December 2009, The Self-Sufficiency Standard for Oklahoma 2009; 2009 HHS Poverty Guidelines, Federal Register, Vol. 74, No. 14, January 23, 2009, p. 4200; Oklahoma State Dept. of Human Services; U.S. Census Bureau, 2006-08 American Community Survey.

$73,324

$52,870

$36,832

$10,309$15,312

$18,310

$33,874

$21,551

WelfareWage

MinimumWage

PovertyWage

185% PovertyWage

Median FamilyIncome

(2006-08 ACS)

$0

$20,000

$40,000

$60,000

$80,000Annual Wage

Self-Sufficiency Wage = $39,978 ($18.93/hr)

Comparison of Wages: Self-Sufficiency, Welfare, Minimum, Poverty, 185% of Poverty, and Median Family Income

($4.88/hr) ($7.25/hr) ($8.67/hr) ($16.04/hr)

Notes: For the self-sufficiency wage, family of three consists of one adult, one preschooler and one schoolage child. Hourly wages given assume full-time, year-round employment. The 2009 poverty guidelines are being used until at least March 1, 2010. Welfare wage is the combined value of TANF, SNAP, & WIC.

Married-couple families w/ children <18($34.72/hr)

All families w/ children <18

Male-headed families w/ children <18

Female-headed families w/ children <18

($17.44/hr)

($25.03/hr)

($10.20/hr)

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Participation in Public Assistance ProgramsNumber of Participants and Percentage of Population Participating

Tulsa County, 2011

Source: Oklahoma Dept. of Human Services, Statistical Bulletin, June 2011; Oklahoma State Dept. of Education, Low Income Report for 2010-11; US Census Bureau, 2010 Census; Oklahoma State Department of Health-WIC Service, Caseload Report, August 2011.

129,750

73,002

4,152

9,972

4,231

87,852

2,533

31,732

4,946

21.5%

44.9%

47.1%

22.3%

9.5%

14.6%

1.6%

52.8%

8.2%

Soonercare Total (185%/100%) (8/11)

Soonercare <19 (185%) (8/11)

WIC Infants (185%) (8/11)

WIC age 1-5 (185%) (8/11)

Child Care Subsidy <5 (185%) 6/11)

SNAP Total (130%) (6/11)

TANF <18 (50%) (6/11)

Elem. School Free Lunch (130%)(SY 2010-11)

Elem. School Reduced Lunch (185%)(SY 2010-11)

050,000100,000150,000

Number of Participants

0% 20% 40% 60%

Percent of Population

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Educational Attainment for Persons Age 25 & OlderTulsa County, 2006-08 Estimates

Source: US Census Bureau, American Community Survey 2006-08.

15.1%

33%

22.8%

6.7%

15.1%

5.1%

1.4%

0.8%

Less than high school

High school graduate

Some college

Associate degree

Bachelor's degree

Master's degree

Professional school degree

Doctorate degree

0% 10% 20% 30% 40%

Percent of persons 25+

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HEALTH INDICATORS

WHAT IS OKLAHOMA’S RISK FOR HUNGER?

8th in the nation per capita of people hungry 13% of population food insecure compared to 11.3%

nationally 1 in 5 children and 1 in 3 elderly are food insecure 32 of 77 counties are food deserts with at least 25

percent of the population living ten miles or more from a supermarket or supercenter

9 of those counties are "severe food deserts," meaning that the entire population has limited access to such food outlets. These counties are Cimarron, Dewey, Ellis, Grant, Greer, Harmon, Harper, Hughes and Jefferson Counties.

Oklahoma loses an estimated $1.4 billion each year from hunger through illness, increased illness and decreased academic achievement alone. (Oklahoma Food Bank Network, (2010). Retrieved http://www.hungerinoklahoma.org/facts.html)


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THE ADVERSE CHILDHOOD EXPERIENCES (ACE) STUDY PYRAMID

Early Death

Disease, Disability and

Social Problems

Adoption of Health-risk Behaviors

Social, Emotional and Cognitive Impairment

Disrupted Neurodevelopment

Adverse Childhood Experiences

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Conception

Death

Mechanisms by which Adverse Childhood Experiences Influence Health and Well-being throughout the Lifespan

Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

ADVERSE CHILDHOOD EXPERIENCES…

Recurrent physical abuse

Recurrent emotional abuse

Sexual abuse An alcohol or drug

abuser An incarcerated

household member

Someone who is chronically depressed, suicidal, institutionalized or mentally ill

Mother being treated violently

One or no parents Emotional or

physical neglectSource: The Adverse Childhood Experiences Study website: www.acestudy.org, “What are Adverse Childhood Experieinces (ACE’s).”

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…GROWING UP IN A HOUSEHOLD WITH:

…LEAD TO HEALTH-RISK BEHAVIORS…

Smoking Overeating Physical inactivity Heavy alcohol use Drug use Promiscuity

Source: The Adverse Childhood Experiences Study website: www.acestudy.org

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…WHICH CAUSE DISEASE, DISABILITY AND SOCIAL PROBLEMS IN ADULTHOOD

Heart disease Cancer Chronic lung and

liver disease Stroke Diabetes Sexually transmitted

diseases

Nicotine addiction Alcoholism Drug addiction Obesity Depression Suicide Injuries Unintentional

pregnancy

Source: Felitti, Vincent J., “The Relationship of Adverse Childhood Experiences to Adult Health: Turning gold into lead;” CDC Media Relations, May 14, 1998, “Adult Health Problems Linked to Traumatic Childhood Experiences.”

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Summary of Risk Factors for InfantsTulsa County and Oklahoma, 2008

Source: Oklahoma State Department of Health, Vital Statistics.

12.1%

43.9%

8%

23.2%

7%

1.8%

31.5%

17.6%

12.2%

13.7%

42.3%

5.4%

21.4%

6.9%

1.4%

34.8%

20.5%

11%

Teen mother(age 15-19)

Unmarried mother

Poor prenatal care(3rd trimester/no care)

Mother w/ <12th gradeeducation

Low birthweight(1500-2499 grams)

Very low birthweight(<1500 grams)

Short birth spacing(<24 mos. apart)

Very short birth spacing(<18 mos. apart)

Premature(<37 weeks gest.)

0% 10% 20% 30% 40% 50%

Percent of Births

Tulsa Co.

Oklahoma

Tulsa County births: 9,530 Oklahoma births: 54,753


Child Deaths Due to AbuseOklahoma, Fiscal Years 1978 - 2007

Source: Oklahoma Dept. of Human Services, Children & Family Services Division.

75

12 13

1821

16 16

24

31

2325

18

38

2023

3134

29

4245

47 48

3835

27

51

40

32

39

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

0

10

20

30

40

50

60

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CHILD ABUSE & NEGLECT

In Tulsa County in FY 2009, there were 3,933 reports of child abuse and/or neglect accepted for investigation or assessment. 6,583 children were involved in these reports (duplicated count).

1,248 children were confirmed victims of child abuse and/or neglect. 89 were abused, 992 were neglected, 167 were victims of both abuse and neglect.

Eight of every 1,000 children in Tulsa County are victims of abuse and/or neglect. In Oklahoma, the rate is 10 of every 1,000 children.

Oklahoma ranks #35 in the nation in the rate of children who are victims of abuse and/or neglect.

Parents make up 73.7% of all perpetrators, followed by “no relation” at 6.9%, step-parents at 5.9%, and grandparents at 3.5%.

Substance abuse is a major contributing factor to child neglect.


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Age of Children of Confirmed Abuse and NeglectOklahoma, FY 2009

Source: Oklahoma Dept. of Human Services, Children & Family Services Division.

Under 11,492 (17.3%)

1-21,480 (17.2%)

3-62,351 (27.3%)

7-111,883 (21.9%)

12 & older1,399 (16.3%)

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Elementary School Students Eligible for Free and Reduced Lunch Program

By School District, Tulsa County, 2010-2011 School Year

Source: Oklahoma State Dept. of Education, Low Income Report for 2009-2010.

52.8%

78.2%

64.5%

50.1%

51.4%

50.7%

51.6%

40.1%

43.1%

31.5%

31%

29.9%

24.7%

26.3%

20.5%

8.2%

8.3%

7%

17.2%

13.6%

12.1%

9.7%

12.3%

8.6%

12%

7.4%

7.4%

7.4%

5.4%

4.2%

Tulsa County Total

Tulsa

Sperry

Keystone

Sand Springs

Liberty

Union

Glenpool

Skiatook

Collinsville

Broken Arrow

Berryhill

Owasso

Jenks

Bixby

0% 20% 40% 60% 80% 100%

Percent of Students Eligible

Free

Reduced

Free lunch eligibility requirement: annual household income below 130% of poverty, which currently is $24,089 for a family of three.

Reduced lunch eligibility requirement: annual household income below 185% of poverty, which currently is $34,281 for a family of three.

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Source: Centers for Disease Control, Youth Risk Behavior Surveillance System; Oklahoma State Department of Health, OK2SHARE.

47.8%

22%

9.9%

22.2%

26.5%

17.5%

30.6%

40.5%

18.7%

7.1%

18.4%

28.6%

12.3%

25.8%

43.1%

15.9%

5.5%

19.1%

23.2%

13.3%

26.8%

39%

17.2%

4.8%

16.8%

22.6%

11%

23.1%

44.7%

19.7%

4.4%

22.3%

20%

10.5%

29.1%

Alcohol

Marijuana

Methamphetamine

Offered/sold/givenillegal drugs at school

Smoked cigarettesduring past month

Drove after drinkingalcohol in past month

Rode with drinkingdriver in past month

0% 20%40%60%80%100%

2003 Oklahoma

2005 Oklahoma

2007 Oklahoma

2009 Oklahoma

2007 US

Youth Risk Behavior Survey:Summary of Alcohol, Other Drug & Tobacco Use

High School Students, Oklahoma, 2003 through 2009, and U.S., 2007

Used once or more during past 30 days...

Ever used...

Note: National 2009 YRBSS data have not yet been released.

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Source: Centers for Disease Control, Youth Risk Behavior Surveillance System; Oklahoma State Department of Health, OK2SHARE.

50%

5.8%

64.3%

17.7%

7%

14.2%

49.3%

6.5%

61.7%

16.4%

7.9%

15.9%

38.2%

50.9%

5.8%

59.6%

16.7%

5.9%

15.2%

49.6%

51.1%

4.7%

56.7%

22.7%

7%

16.4%

47.4%

47.8%

7.1%

61.5%

16%

6.9%

15.8%

34.7%

Ever hadsexual intercourse

Had sex before age 13

Used condom last time

Used birth controlpills last time

Attempted suicidein past year

Overweight(according to BMI)

Physical activity for60 min/day 5 of past 7 days

0% 20% 40% 60% 80% 100%

2003 Oklahoma

2005 Oklahoma

2007 Oklahoma

2009 Oklahoma

2007 US

Youth Risk Behavior Survey:Summary of Sexual Behaviors, Suicide & Physical Health

High School Students, Oklahoma, 2003 through 2009, and U.S., 2007

Note: National 2009 YRBSS data have not yet been released.

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Health StatusOklahoma and United States, 1996 - 2009

Source: United Health Foundation, “America’s Health Rankings.“

'96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '090%

5%

10%

15%

20%

25%

Pe

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du

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ep

ort

ing

f air

or

po

or

he

alt h

0

10

20

30

40

50

Sta

te ra

nk

Oklahoma Rank US

Oklahoma 13.1% 14% 13.4% 12.6% 17.4% 15.3% 19.6% 17.7% 17.8% 19.7% 18.7% 20.2% 19.2% 18.7%

Rank 26 32 28 25 42 34 45 41 41 44 42 46 43 42

US 12.9% 12.9% 12.8% 12.6% 13% 13.9% 14% 14.7% 14.7% 14.9% 14.8% 14.7% 14.9% 14.4%

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Prevalence of ObesityOklahoma and United States, 1990 - 2009


'90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '090%

5%

10%

15%

20%

25%

30%

35%

Pe

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f po

pu

l ati o

n e

stim

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d t o

be

ob

ese

0

10

20

30

40

50

Sta

te ra

nk

Oklahoma Rank US

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Prevalence of SmokingOklahoma and United States, 1990 - 2009


'90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '090%

10%

20%

30%

40%

50%

60%

Pe

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f po

pu

l ati o

n o

ver

18

t ha

t sm

oke

re

gu

lar l

y

0

10

20

30

40

50

60

Sta

te ra

nk

Oklahoma Rank US

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Health Insurance Status, by AgeOklahoma, 2007-2008

Source: Kaiser Family Foundation.

1,714,100 (48.5%)

156,600 (4.4%)

505,000 (14.3%)

590,500 (16.7%)

564,700 (16.0%)

456,300 (47.0%)

38,900 (4.0%)

337,000 (34.7%)

38,600 (4.0%)101,000 (10.4%)

1,255,500 (60.6%)

114,800 (5.5%)

146,300 (7.1%)

96,800 (4.7%)

457,500 (22.1%)

2,300 (0.5%)2,900 (0.6%)21,700 (4.4%)

455,100 (93.2%)

6,200 (1.3%)

Employer Individual Medicaid Medicare/Other Public Uninsured

Total Population Under Age 19

Age 19-64 Age 65 & over

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Oklahoma's Rankings in Health Determinants, 2010 (part 1)According to United Health Foundation's State Health Rankings


#48

#10

#46

#23

#40

#44

#28

#31

#24

Personal Behaviors

Prevalence of smoking

Prevalence of Binge Drinking

Prevalence of obesity

Community & Environment

High school graduation

Violent crime

Occupational fatalities

Infectious disease

Children in poverty

Air pollution

#0 #10 #20 #30 #40 #50

1990 2010

Ranking: 1=best, 50=worst

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Oklahoma's Rankings in Health Determinants, 2010 (part 2)According to United Health Foundation's State Health Rankings


#35

#14

#18

#47

#49

#46

#45

Public & Health Policies

Lack of health insurance

Public health funding (per capita)

Immunization coverage

Clinical Care

Early prenatal care

Primary Care Physicians

Preventable Hospitalizations

All Determinants

#0 #10 #20 #30 #40 #50

1990 2010


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Oklahoma's Rankings in Health Outcomes, 2010According to United Health Foundation's State Health Rankings


#48

#46

#21

#44

#48

#40

#46

#46

Poor mental health days

Poor physical health days

Geographic disparity

Infant mortality

Cardiovascular deaths

Cancer deaths

Premature death

All Health Outcomes

#0 #10 #20 #30 #40 #50

1990 2010


Oklahoma’s overall health ranking for 2010 is # 46

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…IN SUMMARY

STATE OF HUNGER TULSA COUNTY

Prepared by the Community Service Council of Greater TulsaOctober 2011

…is available on our website:www.csctulsa.org

Documents

Commissioned by JumpStart Tulsa Prepared by the Community Service Council October 2011