Health report: County fit for Ky.

Rankings aren’t much different from state scores, previous years
By Nick Tabor, New Era Staff Writer
A county-by-county survey of the nation’s health statistics hit the Internet on Tuesday. From one perspective, Christian County’s statistics are jarring.
The county scored significantly worse than the national benchmark in premature death rates, people in poor or fair health, smoking, obesity, physical inactivity, excessive drinking, deaths in vehicle wrecks, sexually-transmitted infections, teen births, preventable hospital stays, unemployment, children living in poverty, children in single-parent homes, inadequate social support, violent crime rates, limited access to healthy food, and prevalence of fast food restaurants.
But from another perspective, this report brings no surprises at all; it only shows Christian County is deeply situated in its time and place. Comparing the new data with a 2007 statewide study shows Christian County’s health has not changed much in the last five years.
Moreover, Kentucky ranked as the eighth unhealthiest state in a 2011 publication of the United Health Foundation. Christian County’s statistics are close to state averages in most areas.
The same is largely true of Todd and Trigg counties.
This year Christian County ranked 51st, down five slots from 46th last year, among Kentucky’s 120 counties. In the 2007 study by the Kentucky Institute of medicine, Christian County ranked 54th.
Todd County’s rank improved by 26 slots from last year, making it the 56th healthiest county in Kentucky. Trigg’s ranking changed from the 70th healthiest county to the 85th.
Minimal changes
The University of Wisconsin’s Population Health Institute and the Robert Wood Johnson Foundation released the survey on Tuesday. It is a compilation of mostly public data; its sources include the National Center for Health Statistics, the Center for Disease Control and the FBI.
The study’s overall scores factor in five criteria: the rate of people dying before age 75, the number of people in poor or fair health, the numbers of days people report being in poor physical health, the days they report of poor mental health, and the number of infants with low birth-weights.
Some of Christian County’s most extreme divergences from the state and national averages occur in areas relating to sexual health. It reported sexually-transmitted infections at a rate of 421, compared to the state average of 311 and the national benchmark of 84.
It reported a teen birth rate of 83, whereas the state’s average is 52 and the national benchmark is 22.
Roughly 24 percent of Christian County’s population is in poor or fair health, according to the data. Compare this to 22 percent of Kentucky’s population and the national benchmark of 10 percent.
Christian County’s adult obesity rate, 31 percent, fell below the state average of 33 percent — but well above the national benchmark of 25 percent.
Roughly 28 percent of Christian County’s residents consider themselves smokers, compared to 27 percent of Kentucky’s residents. The national benchmark is 14 percent.
Eighteen percent of the county’s residents lacked health insurance, compared to 17 percent of Kentucky residents and a national benchmark of 11 percent.
In the Kentucky Institute of Medicine’s 2007 study, Christian County’s numbers were similar to the current numbers in many major areas, including obesity, physical inactivity, premature deaths and the number of uninsured residents. The percentage of adult smokers increased from 20 percent to 28 percent over five years.
Todd and Trigg
Todd County showed improvement this past year in its mortality rate, which decreased by about 16 percent.
Its percentage of uninsured adults dropped from 27 last year to 22 this year.
Most of Todd’s statistics stayed steady: obesity, smoking, those in poor or fair health. The rate of sexually transmitted infections increased from 214 to 216; the teen birth rate went from 43 last year to 42 this year.
But its improvements sufficed to boost it 26 points.
By contrast, Trigg’s mortality rate increased by about 15 percent.
Its rate of sexually transmitted infections jumped from 134 last year to 231 this year.
The New Era could not reach representatives from either Trigg or Todd’s health departments for comment Wednesday afternoon.
Improving infrastructure
Mark Pyle, director of the Christian County Health Department, said Kentucky’s poor health statistics — including Christian County’s — have actually persisted for about 20 years, not just five. Millions of dollars spent on preventive health care have not boosted the statistics significantly, he said.
“Our society wants to do whatever they want, eat whatever they want whenever they want until they get sick and then they want a pill to cure them immediately so they can get back to whatever they want to do,” Pyle wrote in an email to the New Era. “We all know that we need to eat right and get regular exercise.”
Still, to ensure residents truly have a choice to live more healthy lives, this county needs better infrastructure, Pyle said, especially public education on health issues and free access to exercise opportunities. To this end, the health department will support the creation of hiking trails and public transportation, as well as a public smoking ban, Pyle said.
Pyle has said the department will release its comprehensive community health assessment later this year.

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