Community Health Status Report

8/3/2019 Community Health Status Report

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Community Health Status Report

Clay County Health Department

Preliminary Draft

December 2011



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Table of Contents

Section 1. Demographic and Socioeconomic Characteristics ………………………………………………… pg. 3

Section 2. General Health and Access to Care Indicators ……………………………………………………… pg. 7

Section 3. Maternal and Child Health Indicators ………………………………………………………………….. pg. 9

Section 4. Chronic Disease Indicators …………………………………………….……………………………………. pg. 12

Section 5. Infectious Disease Indicators ………………………………………………………………………………. pg. 15



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Section 1. Demographic and Socioeconomic Characteristics

_____________________________________________________________________________________

Clay County is a rural community located in the Southeastern portion of Illinois. The county has a total

population of 13,815 residents. This is a 5.1% decrease in population since 2000. Despite the decrease

in total population, there was an increase in the population of 45 to 64 years old between the 2000

Census and 2010 Census.

The county has an aging population. Since 2000, the median age has risen from 39.7 years to 42.2 years

in 2010.

Table 1.1: Population by Age and Gender

PopulationClay

1990

Clay

2000

Clay %

2000

Clay

2010

Clay %

2010

IL %

2010

percent

change

Total population 14,460 14,560 100.0 13,815 100.0 100.0 -5.1%Male 6,838 6,987 48.0 6,781 49.1 49.0 -2.9%

Female 7,622 7,573 52.0 7,034 50.9 51.0 -7.1%

Age

Under 5 904 859 5.9 852 6.2 6.5 -0.8%

5 to 9 1108 992 6.8 903 6.5 6.7 -9.0%

10 to 14 1,059 1,009 6.9 853 6.2 6.9 -15.5%

15 to 19 934 996 6.8 926 6.7 7.2 -7.0%

20 to 24 808 789 5.4 708 5.1 6.9 -10.3%

25 to 34 2,064 1,684 11.6 1552 11.2 13.8 -7.8%

35 to 44 1,923 2,084 14.3 1602 11.6 13.5 -23.1%

45 to 54 1,475 1,896 13.0 2083 15.1 14.6 9.9%

55 to 59 669 757 5.2 990 7.2 6.3 30.8%60 to 64 716 702 4.8 878 6.4 5.2 25.1%

65 to 74 1,443 1,273 8.7 1224 8.9 6.4 -3.8%

75 to 84 986 1,044 7.2 853 6.2 4.1 -18.3%

85 + 371 475 3.3 391 2.8 1.8 -17.7%

Median age (years) 39.7 (X) 42.2 (X) 36.6

U.S. Census Bureau

Clay County has a predominantly white population, accounting for 97.7% of the county’s total

population. The racial makeup of the remaining 2.3% are 0.3% Black or African American, 0.2%

American Indian or Alaskan Native, 0.5% Asian, 0.8% two or more races, and 0.5% of other race. People

of Hispanic or Latino origin of any race accounted for 1.1% of the population.



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Table 1.2: Race/Ethnicity Distribution

Race Distribution

Race 2000 Percent 2010 Percent % Change

Total Population 14560 100.0% 13,815 100.0% -5.1%

One Race 14502 99.6% 13704 99.2% -5.5%

White 14345 98.5% 13,499 97.7% -5.9%

Black or African American 16 0.1% 47 0.3% 193.8%

American Indian and Alaska Native 33 0.2% 32 0.2% -3.0%

Asian 76 0.5% 63 0.5% -17.1%

Native Hawaiian/Pacific Islander 2 0.0% 0 0.0% -100.0%

Other Race 30 0.2% 63 0.5% 110.0%

Two or More Races 58 0.4% 111 0.8% 91.4%

Hispanic or Latino* 88 0.6% 151 1.1% 71.6%

U.S. Census Bureau

There are 3,790 family households in the county, 78.3% of which are husband-wife families. Single-

parent households, female or male householder alone, account for 21.7% of family households.

Figure 1.1: Percentage of Single Parent Households, 2010

Source: US Census Bureau

78.3%

14.1%7.6%

81.9%

12.7%5.4%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%80.0%

90.0%

Husband-wife families Female householder,

no husband present

Male householder, no

wife present

Single Parent Household, 2010

Clay

Illinois



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Table: 1.3: Educational Attainment by Percent of Population Age 25+

Level of Education

2000 2009

Clay IL Clay IL

Less than High School 24.0% 18.6% 14.6% 15.4%

High School grad or higher 76.0% 81.4% 85.4% 84.6%

Bachelor's or higher 9.7% 26.0% 15.6% 27.5%

Source: US Census Bureau

Since 2000, the percentage of Clay County residents age 25+ with a high school degree or higher has

risen from 76.0% to an estimated 85.4% in 2009. Clay County has also seen an increase in residents who

have attained a bachelor’s degree or higher from 9.7% to 15.6%. Despite these increases, the

percentage of residents with at least a bachelor’s degree is still much lower compared to the state at

27.5%.

Figure 1.2: Median Household Income, 2000 - 2010

Source: “Small Area Income and Poverty Estimates,” US Census Bureau

Figure 1.3: Percent of Population in Poverty, 2000 - 2010

Source: “Small Area Income and Poverty Estimates,” US Census Bureau

$38,091

$52,967

$0

$10,000

$20,000

$30,000

$40,000

$50,000

$60,000

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

I n c o m e i n D o l l a r s

Median Household Income, 2000-2010

Clay Illinois

15.3%

13.8%

7.5%

8.5%

9.5%

10.5%

11.5%

12.5%

13.5%

14.5%

15.5%

16.5%

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

P e r c e n t

Percent of Population in Poverty, 2000-2010

Clay Illinois



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Figure 1.4: Unemployment Rate, 2004 - 2010

Source: Illinois Department of Employment Security

The median household income in Clay County was $38, 091 compared to the state median household income of

$52, 967. Clay County also had a higher percentage of the population living in poverty. An estimated 15.3% of

Clay County residents were living in poverty compared to 13.8% of the state. Approximately 809 households, or

13% of the population, in the county received food stamps in February 2010 (Heartland Alliance).

Another factor that may contribute to the poverty level is the county’s high unemployment rate. Clay County has

an unemployment rate of 12.1%, higher than the state and national averages of 10.3% and 9.6% respectively.

12.1

10.3

9.6

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2004 2005 2006 2007 2008 2009 2010

P e r c e n t

Unemployment Rate, 2004-2010

Clay IL US



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Section 2. General Health and Access to Care Indicators

_____________________________________________________________________________________

Table 2.1: Leading Causes of Death

Top Ten Leading Causes of Death in Clay County, 2008

Clay Illinois

Rank Cause of Death

Number of

Deaths

Percent of

Deaths

Number of

Deaths

Percent of

Deaths

All Causes 182 100.0% 103,069 100.0%

1 Cancer 44 24.2% 24,210 23.5%

2 Diseases of the Heart 43 23.6% 25,979 25.2%

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Chronic Lower Respiratory

Disease 15 8.2% 5,584 5.4%

4 Cerebrovascular Disease 13 7.1% 5,765 5.6%

5 Accidents 10 5.5% 4,173 4.0%

6 Septicemia 6 3.3% 1,956 1.9%

7 Suicide 5 2.7% 1,188 1.2%

8 Alzheimer's Disease 4 2.2% 3,188 3.1%

8 Diabetes Mellitus 4 2.2% 2,839 2.8%

10 Influenza and Pneumonia 3 1.6% 2,663 2.6%

Source: Illinois Department of Public Health

In 2008, the leading cause of death in Clay County was cancer with heart disease falling in a very close

second. Similarly, heart disease and cancer were the top two leading causes of death in the state of Illinois.

The crude mortality rate for the county was approximately 1317.4 per 100,000 versus 803.3 per 100,000

for the state. While the crude mortality rate for Clay County is higher than the state’s rate, it is

important to remember that this is not an age-adjusted figure. Since Clay County has an aging

population, it is expected that the crude mortality rate would be higher compared to a younger

population.

The Illinois Department of Human Services estimates that life expectancies at birth for males to be 71.8

years and 78.79 years for females. Life expectancies at the county-level were not available.



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Figure 2.1: Percent of Population without Insurance Coverage, 2009

Source: US Census Bureau, Small Area Health Insurance Estimates

In 2009, an estimated 13.6% of Clay County residents under the age of 65 did not have insurance

coverage compared to 15.0% in Illinois. Residents between the ages of 18 to 39 years are most likely to

be uninsured with an estimated 22.3% of 18-39 year olds uninsured.

Table 2.2: Years of Potential Life Lost, 2006

Years of Potential Life Lost (YPLL), 2006

Clay Illinois

Total for All Races

Malignant Neoplasms 58 Accidents 85,216

Motor Vehicle Accidents 30 Malignant Neoplasms 73,388

Accidents 30 Diseases of Heart 54,578

Lung Cancer 29 Perinatal Conditions 45,158

Diseases of Heart 21 Coronary Heart Disease 36,136

Coronary Heart Disease 21 Motor Vehicle Accidents 31,128

Fires and Burns 10 Homicide 27,677

Suicide 10 Firearms 27,275

Cerebrovascular Diseases 7 Congenital Malformations 19,618

Diabetes Mellitus 7 Suicide 17,193

Source: IPLAN Data System

In 2006, cancers account for the highest number of years of potential life lost (YPLL) in the county at 58

years of life lost. Accidents, specifically motor vehicle accidents, are second in the county for YPLL. For

the state of Illinois, accidents are first on the list of highest number of YPLL.

13.6%

4.9%

22.3%

13.8%15.0%

4.9%

24.5%

14.3%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

Under 65 19 and under 18 - 39 40 - 64

P e r c e n t o f P o p u l a t i o n

Age

Percent of Population Uninsured, 2009

Clay

Illinois



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Section 3. Maternal and Child Health Indicators

_____________________________________________________________________________________

Table 3.1 Birth by Characteristics, 2009

ResidentCounty

TotalBirths

Low Birth Very Low Birth Preterm

Weight Weight (<37 weeks)

(<2,500 grams) (<1,500 grams)

Births Percent Births Percent Births Percent

ILLINOIS 171,077 14,372 8.4 2,655 1.6 17,109 10

Clay 178 17 9.6 1 * 20 11.2

*does not meet standards of reliability, numerator <10 or denominator <100

Source: Birth Characteristics by Resident County 2009, IDPH

Table 3.2: Birth by Characteristics Continued, 2009

ResidentCounty

TotalBirths

Adequate Cesarean Mother Not H.S.

Prenatal Care Section ** Unmarried Graduate,

(Kotelchuck) ** Age 20+ **

Births Percent Births Percent Births Percent Births Percent

ILLINOIS 171,077 125,932 80.2 53,296 31.5 69,728 40.8 21,313 14

Clay 178 157 92.4 49 28 75 42.1 13 8.3

Source: Birth Characteristics by Resident County 2009, IDPH

In 2009, there were 178 births in Clay County. Infants born to Clay County mothers were slightly more

likely to be low birth weight or preterm babies. However, Clay County mothers were significantly more

likely to have adequate prenatal care at 92.4% compared to the state at 80.2%.

Table 3.3: Birth by Demographics, 2009

ResidentCounty

TotalBirths

Sex Race HispanicOriginMale Female White Black Other

ILLINOIS 171,077 87,706 83,371 130,629 30,186 10,262 40,369

Clay 178 80 98 176 0 2 2

Source: Birth Demographics by Resident County 2009, IDPH



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Table 3.4: Birth by Demographics Continued, 2009

ResidentCounty

TotalBirths

Mother's Age Group (Years)

< 20 20 - 24 25 - 29 30 - 34 35 - 39 40 +

ILLINOIS 171,077 16,376 36,342 47,462 44,169 21,649 5,067

Clay 178 21 55 59 32 7 4

Source: Birth Demographics by Resident County 2009, IDPH

Approximately 11.8% of births in Clay County were to teen mother less than 20 years of age. This is

higher than the state teen birth rate of 9.6% in 2009.

Table 3.5: Infant Mortality

Year 2006 2007 2008

County Births

Infant

Deaths

IM

Births

Infant

Deaths

IM

Births

Infant

Deaths

IM

Rate Rate Rate

ILLINOIS 180,503 1,343 7.4 180,530 1,196 6.6 176,634 1,263 7.2

CLAY 167 -- -0- 170 2 ** 164 1 **

*does not meet standards of reliability, numerator <10 or denominator <100

Source: Infant Mortality Number by County 2006-2008, IDPH

Figure 3.1: Mothers Who Smoke During Pregnancy


Clay County has a significantly higher percentage, 25.7%, of expecting mothers who smoke during

pregnancy compared to the state’s rate of 8.6%. This rate is much higher than HP 2020’s target to

reduce the percentage of mother who smoke during pregnancy to 1.4%.

33.8%

27.5%

25.9%

34.5%

25.7%

10.5%10.0% 9.6% 8.6% 8.6%

HP 2020 Target:

1.4%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

2001 2002 2003 2005 2006

P e r c e n t o f P r e g n a n t M o t h e r s

Mothers Who Smoke During Pregnancy,

2001-2006

Clay

Illinois



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Figure 3.2: Mothers Who Drink During Pregnancy


Although Clay County rates of mothers who drink during pregnancy are higher compared to the state,

both Clay County and Illinois are well below the HP 2020 target of 1.7%.

0.6%

0.3%

HP 2020 Target:

1.7%

0.0%

0.5%

1.0%

1.5%

2.0%

2001 2002 2003 2005 2006

P e r c e n t o f P r e g n a n t M o t h e r s

Mothers Who Drink During Pregnancy,

2001 - 2006

Clay

Illinois



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Section 4. Chronic Disease Indicators

_____________________________________________________________________________________

Table 4.1: Crude Mortality Rates

Crude Mortality Rates, 2008

Clay IL

All Deaths 1317.4 803.3

Cancer 318.5 188.7

Coronary Heart Disease 311.3 202.5

Cerebrovascular 94.1 44.9

Chronic Liver Disease * 8.9

* If < 10 events, no rate calculated


Table 4.2: Cancer Incidence and Mortality Rates, 2004 - 2008

Type of Cancer

Clay County Illinois

Incidence Mortality Incidence Mortality

Male Female Male Female Male Female Male Female

All Sites 706.9 430.8 237.7 156.2 577.0 433.8 235.4 163.4

Colorectal 82.6 51.8 31.9 17.7 63.9 46.5 23.9 16.5

Lung & Bronchus 117.1 64.8 69.1 46.0 89.9 59.8 71.1 42.2

Breast -- 106.6 -- 21.0 -- 123.9 -- 25.2

Prostate 208.2 -- 26.7 -- 157.7 -- 26.2 --Cervix -- 4.8 -- -- 8.8 --

Overcall cancer death rate, HP 2020 target: 160.6 deaths per 100,000

Source: American Cancer Society, Illinois Cancer Registry

Although the incidence rates of cancer in Clay County is higher than the state average, mortality rates

are approximately the same as Illinois cancer mortality rates. The higher incidence rates can be due to

successful cancer detection programs in which a larger proportion of the county participates in routine

cancer screenings.



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Figure 4.1: Percent of Adults with Diagnosed with Diabetes

Source: National Diabetes Surveillance System, CDC

Figure 4.2: Percent of Population Considered Obese


7.5%

8.3%

6.0%

6.5%

7.0%

7.5%

8.0%

8.5%

2004 2005 2006 2007 2008


Percent of Adults with Diagnosed

Diabetes, 2004 - 2008

Clay

IL

24.7%

25.4%

27.0%

27.6%27.4%

23.0%

25.1% 25.1%

25.6%

26.9%

22.0%

23.0%

24.0%

25.0%

26.0%

27.0%

28.0%

2004 2005 2006 2007 2008


Percent of Population Obese, 2004 - 2008

Clay

IL



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Figure 4.3: Percent of Population No Leisure-Time Physical Activity


Figure 4.4: Percent of Population that Smokes

Source: Illinois Behavioral Risk Factor and Surveillance System

26.4%

28.0%

20.0%

21.0%

22.0%

23.0%

24.0%

25.0%

26.0%

27.0%

28.0%

29.0%

2004 2005 2006 2007 2008


Percent of Population No Leisure-Time

Physical Activity, 2004-2008

Clay

IL

22.9%

21.3%

HP 2020 Target:

12.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

1998 2002 2005 2008


Percent of Population that Smokes,

1998-2008

Clay

Illinois



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Section 5. Infectious Disease Indicators

_____________________________________________________________________________________

Table 5.1: Cases & Rates of Chlamydia, Gonorrhea, and Syphilis, 2005-2009

Cases Rates

N/A Rates are per 100,000 population.Chlamydia Chlamydia

COUNTY 2005 2006 2007 2008 2009 2005 2006 2007 2008 2009

CLAY 11 9 10 23 20 75.5 61.8 68.7 158.0 137.4

TOTAL

ILLINOIS50,559 53,586 55,470 59,169 60,542 407.1 431.5 446.6 476.4 487.5

Total Ill.

Excluding

Chicago

27,705 29,937 33,289 33,704 33,750 290.9 314.4 349.6 353.9 354.4

Gonorrhea

COUNTY 2005 2006 2007 2008 2009 2005 2006 2007 2008 2009CLAY 3 2 0 2 2 20.6 13.7 0 13.7 13.7

TOTAL

ILLINOIS20,019 20,186 20,813 20,674 19,962 161.2 162.5 167.6 166.5 160.7

Total Ill.

Excluding

Chicago

10,130 10,292 11,425 10,165 8,955 106.4 108.1 120 106.7 94

Early Syphilis

COUNTY 2005 2006 2007 2008 2009 2005 2006 2007 2008 2009

CLAY 0 1 0 0 0 0 6.9 0 0 0

TOTALILLINOIS

922 698 688 825 1,094 7.4 5.6 5.5 6.6 8.8

Total Ill.

Excluding

Chicago

177 216 195 207 320 1.9 2.3 2 2.2 3.4

Primary and Secondary Syphilis

CLAY 0 1 0 0 0 0 6.9 0 0 0

TOTAL

ILLINOIS525 431 464 554 750 4.2 3.5 3.7 4.5 6

Total Ill.

Excluding

Chicago

107 136 133 129 189 1.1 1.4 1.4 1.4 2


The rates of infection for chlamydia and gonorrhea in Clay County are significantly lower compared to

the rates of infection across the state-level and Illinois counties excluding Chicago. Generally, rates of

syphilis in the county are also well below syphilis rates across the states. Only one case of syphilis was

reported between the years 2005 – 2009.



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Table 5.2: Incidence Rates of HIV/AIDS, 2010

2010 HIV (non-AIDS) Cases 2010 AIDS Cases

County

Diagnosed

as of

12/31/10

Living as

of

12/31/10

Cumulative

Cases

Diagnosed

since 2005

2005-2010

HIV

Diagnosis

Rate

Diagnosed

as of

12/31/10

Living as

of

12/31/10

Cumulative

Cases

Diagnosed

since 2005

2005-2

AID

Diagno

RateClay 0 4 0 0.0 0 3 4 4.9

Totals 871 15785 7178 9.3 445 17820 5942 7.7

Downstate

Counties* 163 2478 1099 4.1 84 2786 1003 3.8

*Downstate counties are all Illinois counties excluding Cook and collar counties

Source: IDPH, http://www.idph.state.il.us/aids/Surv_Report_1210.pdf

No new cases of HIV (non-AIDS) were reported between the years 2005 - 2010. Since 2005, four cases

of AIDS have been diagnosed.

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Community Health Status Report