2017 Pennsylvania State Health Assessment
The 2017 Pennsylvania State Health Assessment is a report on health status, health risks and healthcare services in Pennsylvania. It identifies areas for health improvement, reports factors that contribute tohealth issues; and identifies assets and resources that can be mobilized to address population healthimprovement. National standards for public health departments, developed by the Public HealthAccreditation Board, have been used to guide the process for the state assessment.The state health assessment was developed through a collaborative process coordinated by thePennsylvania Department of Health. It included other state agencies and organizations that representeddiverse state populations and state health challenges, as well as Department of Health bureaus andprograms. The contributing organizations provided data and narrative to create the comprehensive statehealth assessment.Information provided in the 2017 Pennsylvania State Health Assessment Key Health Findings At-aGlance focuses on the general population of the commonwealth. Health disparity information includingrace/ethnicity, age, sex and geographic comparisons are included in the full report.The Pennsylvania State Health Assessment 2017 Update Key Health Findings is organized into thefollowing 10 major topics and includes data relevant to each topic:1. Context of Health, 2017 UpdateThe state and its people (population demographics), health insurance and public healthpreparedness2. General Health Status, 2017 UpdateGeneral health status; overall mortality, morbidity, life expectancy; people with disabilities3. Major Risk and Protective FactorsTobacco use and exposure, obesity and overweight, physical activity, nutrition, alcoholand drugs, mental health, and oral health4. Infectious DiseaseVaccine preventable diseases, sexually transmitted diseases, HIV/AIDS, tuberculosis,hepatitis A, hepatitis B, hepatitis C, healthcare-acquired infections, West Nile virus, Lymedisease, salmonellosis, campylobacteriosis, legionella, E.coli and rabies5. Chronic DiseaseCoronary heart disease, hypertension/stroke, chronic obstructive pulmonary disease,asthma, cancer, diabetes, chronic kidney disease, organ donation, arthritis, osteoporosisand Alzheimer’s disease6. Injury and ViolenceUnintentional injury, violence and traumatic brain injury7. Maternal and Child HealthContraception use, unintended pregnancy, adolescent pregnancy and childbearing,preterm birth and low birth weight, infant mortality, breastfeeding, postpartumPennsylvania State Health Assessment, 2017 UpdateKey Health Findings At-A-Glancexxxiii
depression, childhood screening, children and youth with special health care needs, andchildren’s emotional health8. Environmental HealthSafe drinking water, pesticide-related illness and injury, air quality, children’senvironmental health and arsenic in ground water9. Health Care ServicesPrimary care, patient-centered medical home, prenatal and preconception care, dentalcare, behavioral health care, hospitals, emergency medical services system, long-termcare, hospice care and services, and health information technology10. Occupational HealthFatal farming-related incidences, occupational poisoning, elevated adult blood leadlevels, non-fatal occupational injury and fatal occupational injuriesEach of the key health findings presents sourced information in the following format: Pa., Points in Time – Compares Pennsylvania key health finding data between two different yearswhen available. National Rate or Number– Presents national statistic compared to Pa. statistic (using the lastyear listed in the Pa., Points in Time unless otherwise noted.) HP2020 Target – Presents the HealthyPeople 2020 target for the key health finding whenavailable. Pa. Rank – Compares Pennsylvania with other states (using data from the same year listed in thelast year of the Pa., Points in Time unless otherwise noted.) Rank is determined based on the #1state being the healthiest and the #50 state being the unhealthiest. Ranking healthiest andunhealthiest does not take into account sampling errors or other sources of statistical variations. Other States Range – Presents the #1 state’s (healthiest) statistic and the #50 state’s(unhealthiest) statistic in comparison to the Pa. Rank. As noted above, ranking healthiest andunhealthiest does not take into account sampling errors or other sources of statistical variations.Several figures present the #1 state’s (largest, not healthiest) statistic and #50 state’s (smallest,not unhealthiest) statistic, namely: total population, number of rural residents, median ageresidents, and percent of population 65 and over.Pennsylvania State Health Assessment, 2017 UpdateKey Health Findings At-A-Glancexxxiv
Key Health IndicatorContext of HealthTotal population 1Pa., Points in TimeNationalRate orNumber†HP2020TargetPa. †RankOther States Range†#1#50(Healthiest)2010201612,702,379 ian age of residents 32010201640.240.637.9N/A844.530.7Percent of population 65 andover 42010201615.5%17.4%15.2%N/A719.8%10.2%Percent of adults (25 ) withbachelor’s degree or higher 384.1%86%83%(2014-15)87%10-16of 49(201213)90%(2012-13)69%(2012-13)*Percent of population under 65years old without healthinsurance 10,112010201612.1%7.6 %10.9%0.0%143.2%13%Percent of population living belowpoverty level 122011201613.7%12.9%14%N/A227.6%21%General Health StatusPercent of adults who reportedtheir general health status as fairor poor 132011201616.8%16.6%16.7%N/A2611.7%26.3%Overall number of deaths per100,000 population (age-adjustedto 2000 standard population) s of years life expectancyfrom year of birth 16,17, .0%12.0%318.8%24.8%*Percent of high school studentswho smoked cigarettes in past 30days 23,242009201518.4%12.9%10.8%16.0%27 out of374.8%18.8%*Percent of adults (20 ) who wereobese .9%βNumberof rural residents 2*Percent of students whograduated with regular diploma 4years after start of 9th grade 6,7, 8,9 Percent of people aged 16-64with disabilities who areemployed 19,20Major Risk and Protective Factors*Percent of adults who smokedcigarettes in past 30 days 21,22Pennsylvania State Health Assessment, 2017 UpdateKey Health Findings At-A-Glancexxxv
Key Health Indicator*Percent of children grades k-6who were obese 28,29Pa., Points in TimeNationalRate orNumber†17.5%(2011-14)HP2020TargetPa. †Rank15.7%N/AOther States 16.7%*Percentage of adults whoengaged in aerobic physicalactivity of at least moderateintensity for at least 150minutes/week 30,31,322011201549%50%51 %47.9%18-1960.6%38%*Percent of adults who consumedvegetables less than one time perday 332013201524.7%24.2%22.3%N/A3316.5%31.2%*Percent of adults who consumedfruit less than one time per day 34*Percent of 9th-12th graders whoreported they had not eatengreen salad, potatoes (excludingFrench fries, fried potatoes orpotato chips), carrots or othervegetables in the past 7 days 3.3%51.2%6.7%N/A7-8of 323.3%11.3%*Percent of adolescents aged 12to 17 who reported use of alcoholduring the past 30 days 4%13.8%*Percent of adults who engaged inbinge drinking during the past 30days e monthly number of daysactivity was limited due to mentalhealth difficulties 43,44201220154.13.93.7N/A342.74.8*Percent of adults who reportedvisiting a dentist or dental clinic inthe past year .5%72.8%72.2%80%2680.664.4 Incidence rate of gonorrheaamong females aged 15-44 per100,000 population 4(2014)521.3(2014) Incidence rate of primary andsecondary syphilis among malesper 100,000 population 50, 8(2014)Infectious Disease*Percent of fully immunizedchildren (aged 19-35 months),which includes 4 DTaP, 3 polio, 1MMR, 3 Hib, 3 hepatitis B, 1varicella, 4 PCV 46,47Pennsylvania State Health Assessment, 2017 UpdateKey Health Findingsxxxvi
Key Health IndicatorPa., Points in TimeNationalRate orNumber†6.8HP2020TargetPa. †Rank12.433Other States Range†#1#50(Healthiest)1.213.5 Incidence rate of AIDS (aged13 ) per 100,000 population 52,53,54201020148.45.3 Incidence rate of tuberculosisper 100,000 population 55, 015) Incidence rate of hepatitis A per100,000 population 57,58,59201120160.50.50.4(20150.311-22Of 50(2015)0.1(2015)0.8(2015) Incidence rate of acute hepatitisB per 100,000 population 60,61,62201120160.70.31.1(2015)0.0(aged 2to 18years)1.5(aged19 yearsandolder)17-22of 48(2015)0(2015)14.7(2015) Incidence rate of hepatitis C per100,000 population 63,64,65201120150.31.00.80.2526- 27of 4003.7 Standardizedinfection rate ofcentral line-associatedbloodstream infections per 1,000days 0.77(2013)Incidence rate of West Nile virusper 1,000,000 population 68,69201220154.762.346.9N/A14of 420.0046.6Incidence rate of Lyme disease per100,000 population 70,712011201642.189.58.1N/A48086.4 Incidence rate of Salmonella per100,000 population 72,732010201614.912.515.7(2015)11.4N/AN/AN/A Incidence rate ofcampylobacteriosis per 100,000population 5123.0108.897.2103.43359.1144.2 Stroke death rate per 100,000population (age-adjusted to 2000standard population) 79,802010201539.338.837.634.8342652.6 Death rate due to chronicobstructive pulmonary disease(COPD) among adults 45 ronic Disease Coronary heart disease deathrate per 100,000 population (ageadjusted to 2000 standardpopulation) 76,77,78Pennsylvania State Health Assessment, 2017 UpdateKey Health Findingsxxxvii
Key Health IndicatorPa., Points in Time100,000 population (age-adjustedto 2000 standard population) 81,82NationalRate orNumber†HP2020TargetPa. †RankOther States Range†#1#50(Healthiest) Asthma death rate per 1,000,000population age 35 83,842008-102012-144.03.64.1(2015)N/A2-3Of 11(2015)2.68.8 Asthma death rate per 1,000,000population age 35-64 85,862008-102012-1412.011.911.74.913 of268.124.8 Asthma death rate per 1,000,000population age 65 87,882008-102012-1433.532.532.321.517 of2817.868.2 Number of cancer deaths per100,000 population (age-adjustedto 2000 standard population) 89,9020102015180.1166.2158.5161.436125.2195.9 Number of breast cancer deathsper 100,000 female population(age-adjusted to 2000 standardpopulation) 91,922010201523.321.720.320.744-4517.322.8 Number of cervical cancerdeaths per 100,000 femalepopulation (age-adjusted to 2000standard population) 93201020151.92.12.32.212-15of 3713.9 Number of colorectal cancerdeaths per 100,000 population(age-adjusted to 2000 standardpopulation) 94,952010201517.015.014.314.534-3610.919 Number of lung cancer deathsper 100,000 population (ageadjusted to 2000 standardpopulation) 96,972010201548.742.840.545.5291964.2 Number of prostate cancerdeaths per 100,000 malepopulation (age-adjusted to 2000standard population) 98,992010201521.218.418.821.819-2113.824.6 Number of melanoma of theskin cancer deaths per 100,000population (age-adjusted to 2000standard population) 100,101201020153.02.52.42.419-25of 481.73.6Diabetes death rate per 100,000population (age-adjusted to 2000standard population) 4)33.3(2014) End-stage renal disease incidentrate (age-sex-race adjusted per1,000,000) 105, 012)1,397(2012)Pennsylvania State Health Assessment, 2017 UpdateKey Health Findingsxxxviii
Key Health IndicatorPa., Points in TimeNationalRate orNumber†49%HP2020TargetPa. †Rank50%(DonateLifeAmericatarget)27-28of 39Other States Range†#1#50(Healthiest)8830Percent of organ donors who hadjoined their state donor registrybefore their deaths 108,1092012201645.7%48% Percent of adults with doctordiagnosed arthritis who reportedlimited activities due to arthritis orjoint symptoms (age-adjusted to2000 standard population) 110,1112011201551%44%44%(2013-15)35.5%N/AN/AN/A Percent of adults aged 50 andolder with osteoporosis (ageadjusted to 2000 standardpopulation) 112,1132002200714 %12 %7.3%(2013-14)5.3%N/AN/AN/ANumber of deaths due toAlzheimer's disease per 100,000population (age-adjusted to 2000standard population) 4)43.6(2014)2010201560.072.863.953.72943.0104.6 Number of unintentional injurydeaths per 100,000 population(age-adjusted to 2000 standardpopulation) 117,1182010201540.151.543.236.43529.777.9* Number of homicides per100,000 population (age-adjustedto 2000 standardpopulation) 119,120201020155.65.65.75.525-26of 471.712.4* Number of suicides per 100,000population (age-adjusted to 2000standard population) 121,1222010201511.713.913.310.27.828 Nonfatal child maltreatment, per1,000 population, 18 years 123201020151.21.49.18.511.422.4 Rate of traumatic brain injurydeaths per 100,000 population(age-adjusted to 2000 standardpopulation) 1242010201516.216.816.815.7169.537.8Injury and Violence*Number of injury deaths per100,000 population (age-adjustedto 2000 standard population) 11620-21Maternal and Child HealthPennsylvania State Health Assessment, 2017 UpdateKey Health Findingsxxxix
Key Health IndicatorPa., Points in TimeNationalRate orNumber†α45.3%(15-44years)HP2020TargetPa. †Rankα44%14of 24Other States Range†#1#50(Healthiest)31.5%54.8%Percent of pregnancies that areunintended 125, 1262010201141.4%39.2%The teen birth rate per 1,000female population aged 1519 cent of preterm (less than 37week gestation) live births )13.1(2013) Percent of infants born at lowbirth weight ( 2500grams) 132,133,134201220158.1%8.2%8.1%7.8%235.8%11.5%*The infant death rate per 1,000live births 135,136, 137201020157.36.25.96.0284.29.3 Percent of infants who are everbreastfed rcent mothers that reportedpostpartum depressivesymptoms 1412008201211.9%12.3%11.5N/A18of 278%20.1%Percent of children (0-17) withspecial health care needs 142,1432009/10201617.0%19 of nt of students who reportedthat, in the past 12 months, theyfelt so sad or hopeless almostevery day for two or more weeksin a row that they stopped doingsome usual activities 144,145(15-44years)Environmental Health*Number of days with Air QualityIndex exceeds 100 146 Proportion of persons served bycommunity water systems whoreceive a supply of drinking waterthat meets the regulations of theSafe Drinking Water Act 147,148Percent of children less than 72months old with blood lead levels 10 µg/dL of children tested 149,150Health Care ServicesPercentage of adults reportingneeding to but not seeing adoctor because of cost in the pastPennsylvania State Health Assessment, 2017 UpdateKey Health Findingsxl
Key Health IndicatorPa., Points in TimeNationalRate orNumber†82.7%HP2020TargetPa. †Rank89.4%6Other States Range†#1#50(Healthiest)86.5%60.9%*Percent of adults (18-64)reporting they have a primary careprovider 152,153,1542011201584%84% Percentage of births to motherswho obtained prenatal care in firsttrimester Number of hospital admissionsper 1,000 population 15720102015142123104N/A43-4470138Number of hospital staffed bedsper 1,000 population 158201020153.12.92.4N/A16-174.71.7Number of emergency room visitsper 1,000 population 15920102015482507440N/A37316726Percent of population with accessto trauma care 160Occupational Health Number of work-related injuriesper 100,000 full time employees inthe private sector industriesresulting in medical treatment,lost time from work or restrictedwork activity, as reported by Number of workplace fatalinjuries per 100,000 full timeemployees 12.33.6†Data and rankings are from the same year as the last year listed in the Pa. Trend unless otherwise noted.*HealthyPeople 2020 Leading Health Indicators HealthyPeople 2020 Objectiveα This number is obtained from 100% subtracted by intended pregnancy target objective in healthy people 2020.β This number used rural definition set by the American Census Bureau.N/A – information not availablePennsylvania State Health Assessment, 2017 UpdateKey Health Findingsxli
Endnotes:United States Census Bureau. Annual Estimate of the Resident Population for Selected Age Groups by Sex for the United States, States,Counties, and Puerto Rico Commonwealth and Municipios: April 1, 2010 to July 1, ices/jsf/pages/productview.xhtml?pid PEP 2016 PEPAGESEX&prodType table2United States Census Bureau. Urban and Rural Universe: Total Population 2010 Census Summary File s/jsf/pages/productview.xhtml?pid DEC 10 SF1 P2&prodType table3United States Census Bureau. Median Age by Sex Universe: Total Population 2016 American Community Survey 1-Year eservices/jsf/pages/productview.xhtml?pid ACS 16 1YR B01002&prodType table4United States Census Bureau. Age and Sex 2016 American Community Survey 1-Year eservices/jsf/pages/productview.xhtml?pid ACS 16 1YR S0101&prodType table5United States Census Bureau. Educational Attainment 2016 American Community Survey 1-Year eservices/jsf/pages/productview.xhtml?pid ACS 16 1YR S1501&prodType table6United States Department of Education. National Center for Education Statistics. Public School Graduates and Dropouts from theCommon Core of Data: School Year 2009 – 10. Table 1. Public High School Number of Graduates, Averaged Freshman Graduation Rate(AFGR), and Estimated First-Time 9th-Graders, by State or Jurisdiction: School Year 2009-10. https://nces.ed.gov/pubs2013/2013309rev.pdf7United States Department of Education. National Center for Education Statistics. Trends in High School Dropout and Completion Ratesin the United States: 2013. Figure 5.2. Adjusted Cohort Graduation Rate (ACGR) of Public High School Students, by State: f8Office of Disease Prevention and Health Promotion. Healthy People 2020. Social Determinants. Latest Data. Students Who Graduate withA Regular Diploma 4 Years after Starting 9th Grade (AH-5.1). #AH-519National Center for Education Statistics. Common Core of Data. America’s Public School. Public High School 4-Year Adjusted CohortGraduation Rate (ACGR) for the United States, the 50 States and the District of Columbia: School Years 2010-11 to 2012-13.https://nces.ed.gov/ccd/tables/ACGR 2010-11 to 2012-13.asp10United States Census Bureau. Small Area Health Insurance Estimates (SAHIE) 2010 and 2016. html?s appName sahie&menu trends11Office of Disease Prevention and Health Promotion. Healthy People 2020. Access to Health ices12United States Census Bureau. Small Area Health Insurance Estimates (SAHIE) 2011 and 2016. https://www.c
Pennsylvania State Health Assessment, 2017 Update Key Health Findings At-A-Glance xxxiii The 2017 Pennsylvania State Health Assessment is a report on health status, health risks and health care services in Pennsylvania. It identifies areas for health
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