OKLAHOMA’S RURAL HEALTH STATUS

Richard Perry, M.A., DirectorOklahoma AHEC

OSU Center for Rural Health

Healthy People 2010:

A Systematic Approach to Health Improvement

Determinants of Health

Policies and Interventions

Behavior

Physical Social Environment Individual Environment

Biology

Access to Quality Health Care

Health Status

• Listen for:Listen for:– WhyWhy is Oklahoma’s health status so bad and is Oklahoma’s health status so bad and

seems only to get worseseems only to get worse? ? Which Demographic, Which Demographic, Economic, and Behavioral trends that impact Economic, and Behavioral trends that impact health statushealth status

– What factors would impact the What factors would impact the wayway you you practice.practice.

– What factors would impact the decision you What factors would impact the decision you make about make about wherewhere you want to practice. you want to practice.

14 “ Corridor” Counties 61% of the Population Resides

Median Age Oklahoma, 2000

Legend

Years

27.6 – 33.2

34.2 – 37.0

37.2 – 38.7

38.9 – 40.9

41.3 – 45.3

State Median Age = 35.5

14 “ I-44 Corridor” Counties 61% of the Population Resides

Persons per sq

mile

2 - 26

29 - 58

70 - 118

388 - 388

931 - 988

Population Trends in Rural Oklahoma

             

  Rural Population 1990 2000Numerical Change

1990 - 2000Percent Change

1990 - 2000  

             

 

Rural Oklahoma total population 1,224,940 1,293,624 68,684 6%  

 

Rural Oklahoma population under age 18 320,579 326,023 5,444 2%  

 

Rural Oklahoma population under age 6 99,788 99,880 92 Less than 0.5%  

             

Percent of People 25 yrs and Older with High School Diploma or More in 2000

Legend

63.2 – 70.4

70.8 – 74.3

74.7 – 78.2

78.6 – 82.7

83.4 – 88.1

Direct from High School-to-College-Going Rate2001-2002 through 2003-2004

Three Year Rate of Youth Under Age 19 Dropping Out of High School (2001/2002 through 2003/2004

Oklahoma kids count Factbook 2005

Per Capita Income in OklahomaMetro/Non-Metro

Poverty Rural/Non-rural

Rural Kids Count, August, 2004

Percent of Persons Below Poverty Level in 2000

Legend

7.9-12.0

12.5-14.6

15.0-17.2

17.6-20.8

21.7-29.7

County Economic Index:Rankings of Various Economic Factors

Oklahoma kids count Factbook 2005

Percent of Adult Respondents Reporting Currently Smoking Cigarettes by Sub-State Planning Districts: Oklahoma 2002

•High rates of smoking among Native Americans.• Decreased smoking with increased age.• Decreased smoking with increased education.• Decreased smoking with increased income.

Percent of Adult Respondents With Any Kind of Health Plan by Sub-State Planning Districts:

Okahoma 2001-2003

• Clear disparity of lack of health plan coverage with younger ages.• Increased rate of health plan coverage with increased education and income.• Highest rates of health plan coverage among whites.• Lowest rates of health plan coverage in southeast Oklahoma.

Medicaid as a Percent of Population

Oklahoma Health Care AuthorityState Fiscal year 2003Annual Report

Oklahoma’s Rural Health Status

Healthy People 2010:

A Systematic Approach to Health Improvement

Determinants of Health

Policies and Interventions

Behavior

Physical Social Environment Individual Environment

Biology

Access to Quality Health Care

Health Status

Crude Mortality Rates by County (Deaths per 100,000 population)

2003 County Average 1123

Age Adjusted Mortality Rate(Deaths Per 100,000 Population

2003 County Average 1024

Years of Potential Life Lost Prior to Age 75 per Death by, County, 1994 – 1996 Average

Historical Trends (1978 - 2002)Mortality, All Cancer Sites, All Races, Both Sexes, All Ages

190

195

200

205

210

215

220

1978 1982 1986 1990 1994 1998 2002

OK US

Cancer MortalityHistorical Trends

1978 - 2002

• Discussion:Discussion:– WhyWhy is Oklahoma’s health status so bad and is Oklahoma’s health status so bad and

seems only to get worseseems only to get worse? ? Which Demographic, Which Demographic, Economic, and Behavioral trends that impact Economic, and Behavioral trends that impact health statushealth status

– What factors would impact the What factors would impact the wayway you you practice.practice.

– What factors would impact the decision you What factors would impact the decision you make about make about wherewhere you want to practice. you want to practice.