CHNA Data - My Doc Vault



COMMUNITY HEALTH NEEDS ASSESSMENTAdvancing Community Health and Well Being In North Central WashingtonCHNA Data DRAFT ReportDemographicsReport Area: Chelan County, Washington; Douglas County, Washington; Grant County, Washington; Okanogan County, WashingtonDemographics // Social & Economic Factors // Physical Environment // Clinical Care // Health Behaviors // Health OutcomesTotal PopulationTotal Male PopulationTotal Female PopulationTotal Population Age 0-4Total Population Age 5-17Total Population Age 18-24Total Population Age 25-34Total Population Age 35-44Total Population Age 45-54Total Population Age 55-64Total Population Age 65 or OlderMedian AgeChange in Total PopulationLinguistically Isolated PopulationCurrent population demographics and changes in demographic composition over time play a determining role in the types of health and social services needed by communities.Total PopulationThis indicator reports the total number of people in a specific geographic area. This indicator is relevant because population counts are necessary to quantify the community as defined.Report AreaTotal PopulationTotal Land Area(Square Miles)Population Density (Per Square Mile)Report Area233,53512,687.2818.41Chelan County70,9952,920.5324.31Douglas County37,1601,819.2620.43Grant County85,1422,679.5131.78Okanogan County40,2385,267.987.64Washington6,561,29766,455.5098.73United States303,965,2713,531,905.5086.06Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Population Density (Per Sq. Mi.), By Tract, U.S. Census 2010Over 10,0005,001 - 10,000500.0 - 5,00050.1 - 500.0Under 50.1Total Population, by GenderReport AreaMaleFemalePercent MalePercent FemaleReport Area117,231116,30450.20%49.80%Chelan County35,09935,89649.44%50.56%Douglas County18,44618,71449.64%50.36%Grant County43,48341,65951.07%48.93%Okanogan County20,20320,03550.21%49.79%Washington3,267,4883,293,80949.80%50.20%United States149,398,720154,566,54449.15%50.85%Total Population, by Age GroupsReport AreaAge 0-4Age 5-17Age 18-24Age 25-34Age 35-44Age 45-54Age 55-64Age 65 Report Area17,68546,00820,94227,35628,50832,48428,34032,212Chelan County4,75513,2206,1047,9058,47310,6839,07010,785Douglas County2,6257,5553,1604,4864,6795,2684,4574,930Grant County7,65218,3348,58810,89210,71910,3678,5949,996Okanogan County2,6536,8993,0904,0734,6376,1666,2196,501Washington426,4501,134,331640,200896,865923,449981,066778,359780,577United States20,131,42053,901,69630,205,49640,191,01242,206,14044,302,69634,277,39238,749,416Total Population, Percent by Age GroupsReport AreaAge 0-4Age 5-17Age 18-24Age 25-34Age 35-44Age 45-54Age 55-64Age 65 Report Area7.57%19.70%8.97%11.71%12.21%13.91%12.14%13.79%Chelan County6.70%18.62%8.60%11.13%11.93%15.05%12.78%15.19%Douglas County7.06%20.33%8.50%12.07%12.59%14.18%11.99%13.27%Grant County8.99%21.53%10.09%12.79%12.59%12.18%10.09%11.74%Okanogan County6.59%17.15%7.68%10.12%11.52%15.32%15.46%16.16%Washington6.50%17.29%9.76%13.67%14.07%14.95%11.86%11.90%United States6.62%17.73%9.94%13.22%13.89%14.57%11.28%12.75%Total Population, by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area183,2041,5781,9456,90923933,7035,957Chelan County63,623242494927644,0851,560Douglas County28,206175270325297,0181,137Grant County61,3481,0258771,1665218,4622,212Okanogan County30,0271363044,491944,1381,048Washington5,199,167229,885457,77195,21235,706271,417272,139United States224,895,69637,978,75214,185,4932,480,465491,67316,603,8087,329,381Total Population, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area78.45%0.68%0.83%2.96%0.10%14.43%2.55%Chelan County89.62%0.34%0.70%1.31%0.09%5.75%2.20%Douglas County75.90%0.47%0.73%0.87%0.08%18.89%3.06%Grant County72.05%1.20%1.03%1.37%0.06%21.68%2.60%Okanogan County74.62%0.34%0.76%11.16%0.23%10.28%2.60%Washington79.24%3.50%6.98%1.45%0.54%4.14%4.15%United States73.99%12.49%4.67%0.82%0.16%5.46%2.41%Hispanic Population, Total by RaceReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area28,332305815361933,3752,604Chelan County12,4532022178104,062569Douglas County2,3145107896,926495Grant County11,35323459186018,3301,194Okanogan County2,212009404,057346Washington361,8928,0574,01811,450643259,08246,406United States28,322,928856,327163,519431,68132,89815,918,1392,002,041Hispanic Population, Percent by RaceReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area43.42%0.47%0.12%0.82%0.03%51.15%3.99%Chelan County71.92%0.12%0.13%1.03%0.06%23.46%3.29%Douglas County23.44%0.52%0%0.79%0.09%70.15%5.01%Grant County36.21%0.75%0.19%0.59%0%58.46%3.81%Okanogan County32.97%0%0%1.40%0%60.47%5.16%Washington52.33%1.17%0.58%1.66%0.09%37.46%6.71%United States59.34%1.79%0.34%0.90%0.07%33.35%4.19%Non-Hispanic Population, Total by RaceReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area154,8721,2731,8646,3732203283,353Chelan County51,1702224727495423991Douglas County25,8921242702472092642Grant County49,995791818980521321,018Okanogan County27,8151363044,3979481702Washington4,837,275221,828453,75383,76235,06312,335225,733United States196,572,76837,122,42414,021,9742,048,784458,775685,6695,327,340Non-Hispanic Population, Percent by RaceReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area92.03%0.76%1.11%3.79%0.13%1.48%1.99%Chelan County95.32%0.41%0.88%1.40%0.10%1.27%1.85%Douglas County94.89%0.45%0.99%0.91%0.07%0.79%2.35%Grant County92.95%1.47%1.52%1.82%0.10%2.55%1.89%Okanogan County82.96%0.41%0.91%13.11%0.28%0.65%2.09%Washington82.41%3.78%7.73%1.43%0.60%0.77%3.85%United States76.71%14.49%5.47%0.80%0.18%1.10%2.08%Total Population Age 0-4This indicator reports the percentage of children aged 0-4 in a specific geographic area. This indicator is relevant because it is important to understand the percentage of infants and young children in the community, as this population has unique health needs which should be considered separately from other age groups.Report AreaTotal PopulationTotal Population (Age 0-4)Percent Population (Age 0-4)Report Area233,53517,6857.57%Chelan County70,9954,7556.70%Douglas County37,1602,6257.06%Grant County85,1427,6528.99%Okanogan County40,2382,6536.59%Washington6,561,297426,4506.50%United States303,965,28020,131,4206.62%Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Population, By Tract, ACS 2006-2010 5-Year EstimateOver 8.5%7.1 - 8.5%5.6 - 7.0%4.1 - 5.5%Under 4.1%Population Age 0-4, Total by GenderReport AreaMaleFemalePercent MalePercent FemaleReport Area9,3328,35352.77%47.23%Chelan County2,4262,32951.02%48.98%Douglas County1,3351,29050.86%49.14%Grant County4,0103,64252.40%47.60%Okanogan County1,5611,09258.84%41.16%Washington218,403208,04751.21%48.79%United States10,286,1509,845,27051.10%48.90%Population Age 0-4, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area11,423257131737114,386740Chelan County3,87864371250517134Douglas County1,51800380874195Grant County4,5071879412002,419325Okanogan County1,520604541157686Washington295,15917,51927,6898,6122,89032,22542,356United States13,357,8572,824,391892,125197,28438,0881,618,5931,203,082Population Age 0-4, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area64.59%1.45%0.74%4.17%0.06%24.80%4.18%Chelan County81.56%1.35%0.78%2.63%0%10.87%2.82%Douglas County57.83%0%0%1.45%0%33.30%7.43%Grant County58.90%2.44%1.23%1.57%0%31.61%4.25%Okanogan County57.29%0.23%0%17.11%0.41%21.71%3.24%Washington69.21%4.11%6.49%2.02%0.68%7.56%9.93%United States66.35%14.03%4.43%0.98%0.19%8.04%5.98%Population Age 0-4, Total by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area8,6129,073Chelan County2,1662,589Douglas County1,2601,365Grant County4,2593,393Okanogan County9271,726Washington88,763337,687United States4,971,10615,160,314Population Age 0-4, Percent by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area48.70%51.30%Chelan County45.55%54.45%Douglas County48%52%Grant County55.66%44.34%Okanogan County34.94%65.06%Washington20.81%79.19%United States24.69%75.31%Population by Race/Ethnicity, Percent Age 0-4Report AreaWhiteBlackAsianNative American / Alaskan NativeNative Hawaiian / Pacific IslanderOther RaceMultiple RacesHispanic / LatinoNon-Hispanic / LatinoReport Area6.24%16.29%6.74%10.67%4.60%13.01%12.42%13.20%5.39%Chelan County6.10%26.45%7.49%13.48%0%12.66%8.59%12.51%4.82%Douglas County5.38%0%0%11.69%0%12.45%17.15%12.76%5%Grant County7.35%18.24%10.72%10.29%0%13.10%14.69%13.58%6.31%Okanogan County5.06%4.41%0%10.11%11.70%13.92%8.21%13.82%5.15%Washington5.68%7.62%6.05%9.05%8.09%11.87%15.56%12.84%5.75%United States5.94%7.44%6.29%7.95%7.75%9.75%16.41%10.42%5.92%Total Population Age 5-17This indicator reports the percentage of youth aged 5-17 in a specific geographic area. This indicator is relevant because it is important to understand the percentage of youth in the community, as this population has unique health needs which should be considered separately from other age groups.Report AreaTotal PopulationTotal Population (Age 5-17)Percent Population (Age 5-17)Report Area233,53546,00819.70%Chelan County70,99513,22018.62%Douglas County37,1607,55520.33%Grant County85,14218,33421.53%Okanogan County40,2386,89917.15%Washington6,561,2971,134,33117.29%United States303,965,28053,901,69617.73%Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Population, By Tract, ACS 2006-2010 5-Year EstimateOver 22.0%19.1 - 22.0%16.1 - 19.0%13.1 - 16.0%Under 13.1%Population Age 5-17, Total by GenderReport AreaMaleFemalePercent MalePercent FemaleReport Area23,49922,50951.08%48.92%Chelan County6,5666,65449.67%50.33%Douglas County3,8503,70550.96%49.04%Grant County9,4688,86651.64%48.36%Okanogan County3,6153,28452.40%47.60%Washington581,927552,40451.30%48.70%United States27,604,35226,297,34451.21%48.79%Population Age 5-17, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area32,6043754441,559408,9202,066Chelan County11,3246213527910905505Douglas County4,97030709401,938453Grant County11,98922614921005,036724Okanogan County4,3215790976301,041384Washington827,60747,15171,71219,9827,72268,07392,084United States36,780,9408,011,4642,269,268539,483100,6813,834,4502,365,411Population Age 5-17, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area70.87%0.82%0.97%3.39%0.09%19.39%4.49%Chelan County85.66%0.47%1.02%2.11%0.08%6.85%3.82%Douglas County65.78%0.40%0.93%1.24%0%25.65%6%Grant County65.39%1.23%0.81%1.15%0%27.47%3.95%Okanogan County62.63%0.83%1.30%14.15%0.43%15.09%5.57%Washington72.96%4.16%6.32%1.76%0.68%6%8.12%United States68.24%14.86%4.21%1%0.19%7.11%4.39%Population Age 5-17, Total by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area18,98427,024Chelan County4,9658,255Douglas County2,9864,569Grant County9,1039,231Okanogan County1,9304,969Washington185,056949,275United States11,350,82542,550,872Population Age 5-17, Percent by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area41.26%58.74%Chelan County37.56%62.44%Douglas County39.52%60.48%Grant County49.65%50.35%Okanogan County27.98%72.02%Washington16.31%83.69%United States21.06%78.94%Population by Race/Ethnicity, Percent Age 5-17Report AreaWhiteBlackAsianNative American / Alaskan NativeNative Hawaiian / Pacific IslanderOther RaceMultiple RacesHispanic / LatinoNon-Hispanic / LatinoReport Area17.80%23.76%22.83%22.56%16.74%26.47%34.68%29.09%16.06%Chelan County17.80%25.62%27.33%30.10%15.63%22.15%32.37%28.68%15.38%Douglas County17.62%17.14%25.93%28.92%0%27.61%39.84%30.24%16.74%Grant County19.54%22.05%16.99%18.01%0%27.28%32.73%29.03%17.16%Okanogan County14.39%41.91%29.61%21.73%31.91%25.16%36.64%28.77%14.82%Washington15.92%20.51%15.67%20.99%21.63%25.08%33.84%26.76%16.17%United States16.35%21.09%16.00%21.75%20.48%23.09%32.27%23.78%16.61%Total Population Age 18-24This indicator reports the percentage of youth aged 18-24 in a specific geographic area. This indicator is relevant because it is important to understand the percentage of youth in the community, as this population has unique health needs which should be considered separately from other age groups.Report AreaTotal PopulationTotal Population (Age 18-24)Percent Population (Age 18-24)Report Area233,53520,9428.97%Chelan County70,9956,1048.60%Douglas County37,1603,1608.50%Grant County85,1428,58810.09%Okanogan County40,2383,0907.68%Washington6,561,297640,2009.76%United States303,965,28030,205,4969.94%Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Population, By Tract, ACS 2006-2010 5-Year EstimateOver 12.0%10.1 - 12.0%8.1 - 10.0%6.1 - 8.0%Under 6.1%Population Age 18-24, Total by GenderReport AreaMaleFemalePercent MalePercent FemaleReport Area10,9789,96452.42%47.58%Chelan County3,1432,96151.49%48.51%Douglas County1,6601,50052.53%47.47%Grant County4,6803,90854.49%45.51%Okanogan County1,4951,59548.38%51.62%Washington330,690309,51051.65%48.35%United States15,469,93114,735,56551.22%48.78%Population Age 18-24, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area14,26122518583804,840593Chelan County5,061027930782141Douglas County1,99338222001,02859Grant County5,36216212916302,509263Okanogan County1,8452575620521130Washington477,21826,91048,35112,1375,22036,28434,080United States20,968,6524,384,6281,478,291297,92868,0672,141,830866,101Population Age 18-24, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area68.10%1.07%0.88%4.00%0%23.11%2.83%Chelan County82.91%0%0.44%1.52%0%12.81%2.31%Douglas County63.07%1.20%0.70%0.63%0%32.53%1.87%Grant County62.44%1.89%1.50%1.90%0%29.22%3.06%Okanogan County59.71%0.81%0.23%18.19%0%16.86%4.21%Washington74.54%4.20%7.55%1.90%0.82%5.67%5.32%United States69.42%14.52%4.89%0.99%0.23%7.09%2.87%Population Age 18-24, Percent by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area8,540%12,402%Chelan County2,357%3,747%Douglas County1,263%1,897%Grant County4,077%4,511%Okanogan County843%2,247%Washington89,308%550,892%United States5,841,952%24,363,544%Population Age 18-24, Percent by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area40.78%59.22%Chelan County38.61%61.39%Douglas County39.97%60.03%Grant County47.47%52.53%Okanogan County27.28%72.72%Washington13.95%86.05%United States19.34%80.66%Population by Race/Ethnicity, Percent Age 18-24Report AreaWhiteBlackAsianNative American / Alaskan NativeNative Hawaiian / Pacific IslanderOther RaceMultiple RacesHispanic / LatinoNon-Hispanic / LatinoReport Area7.78%14.26%9.51%12.13%0%14.36%9.95%13.09%7.37%Chelan County7.95%0%5.47%10.03%0%19.14%9.04%13.61%6.98%Douglas County7.07%21.71%8.15%6.15%0%14.65%5.19%12.79%6.95%Grant County8.74%15.80%14.71%13.98%0%13.59%11.89%13%8.39%Okanogan County6.14%18.38%2.30%12.51%0%12.59%12.40%12.57%6.70%Washington9.18%11.71%10.56%12.75%14.62%13.37%12.52%12.91%9.39%United States9.32%11.54%10.42%12.01%13.84%12.90%11.82%12.24%9.51%Total Population Age 25-34This indicator reports the percentage of youth aged 25-34 in a specific geographic area. This indicator is relevant because it is important to understand the percentage of youth in the community, as this population has unique health needs which should be considered separately from other age groups.Report AreaTotal PopulationTotal Population (Age 25-34)Percent Population (Age 25-34)Report Area233,53527,35611.71%Chelan County70,9957,90511.13%Douglas County37,1604,48612.07%Grant County85,14210,89212.79%Okanogan County40,2384,07310.12%Washington6,561,297896,86513.67%United States303,965,28040,191,01213.22%Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Population, By Tract, ACS 2006-2010 5-Year EstimateOver 17.0%14.1 - 17.0%11.1 - 14.0%8.1 - 11.0%Under 8.1%Population Age 25-34, Total by GenderReport AreaMaleFemalePercent MalePercent FemaleReport Area13,86113,49550.67%49.33%Chelan County4,0343,87151.03%48.97%Douglas County2,2162,27049.40%50.60%Grant County5,6205,27251.60%48.40%Okanogan County1,9912,08248.88%51.12%Washington454,961441,90450.73%49.27%United States20,168,94620,022,06850.18%49.82%Population Age 25-34, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area19,253187203825826,236570Chelan County6,94233910916673123Douglas County2,992153560121,28587Grant County6,775134115132413,487208Okanogan County2,54454452413791152Washington671,82236,20881,97712,5216,35154,54633,440United States28,054,7245,227,3452,482,158346,47884,7933,125,453870,061Population Age 25-34, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area70.38%0.68%0.74%3.02%0.30%22.80%2.08%Chelan County87.82%0.42%0.11%1.38%0.20%8.51%1.56%Douglas County66.70%0.33%0.78%1.34%0.27%28.64%1.94%Grant County62.20%1.23%1.06%1.21%0.38%32.01%1.91%Okanogan County62.46%0.12%1.08%12.87%0.32%19.42%3.73%Washington74.91%4.04%9.14%1.40%0.71%6.08%3.73%United States69.80%13.01%6.18%0.86%0.21%7.78%2.16%Population Age 25-34, Total by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area10,78416,572Chelan County2,9104,995Douglas County1,6122,874Grant County5,1865,706Okanogan County1,0762,997Washington126,256770,609United States8,146,11932,044,892Population Age 25-34, Percent by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area39.42%60.58%Chelan County36.81%63.19%Douglas County35.93%64.07%Grant County47.61%52.39%Okanogan County26.42%73.58%Washington14.08%85.92%United States20.27%79.73%Population by Race/Ethnicity, Percent Age 25-34Report AreaWhiteBlackAsianNative American / Alaskan NativeNative Hawaiian / Pacific IslanderOther RaceMultiple RacesHispanic / LatinoNon-Hispanic / LatinoReport Area10.51%11.85%10.44%11.94%34.31%18.50%9.57%16.53%9.85%Chelan County10.91%13.64%1.82%11.76%25%16.47%7.88%16.81%9.30%Douglas County10.61%8.57%12.96%18.46%41.38%18.31%7.65%16.33%10.53%Grant County11.04%13.07%13.11%11.32%78.85%18.89%9.40%16.54%10.61%Okanogan County8.47%3.68%14.47%11.67%13.83%19.12%14.50%16.04%8.94%Washington12.92%15.75%17.91%13.15%17.79%20.10%12.29%18.26%13.13%United States12.47%13.76%17.50%13.97%17.25%18.82%11.87%17.07%12.51%Total Population Age 35-44This indicator reports the percentage of youth aged 35-44 in a specific geographic area. This indicator is relevant because it is important to understand the percentage of youth in the community, as this population has unique health needs which should be considered separately from other age groups.Report AreaTotal PopulationTotal Population (Age 35-44)Percent Population (Age 35-44)Report Area233,53528,50812.21%Chelan County70,9958,47311.93%Douglas County37,1604,67912.59%Grant County85,14210,71912.59%Okanogan County40,2384,63711.52%Washington6,561,297923,44914.07%United States303,965,28042,206,14013.89%Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Population, By Tract, ACS 2006-2010 5-Year EstimateOver 17.0%15.1 - 17.0%13.1 - 15.0%11.1 - 13.0%Under 11.1%Population Age 35-44, Total by GenderReport AreaMaleFemalePercent MalePercent FemaleReport Area14,14014,36849.60%50.40%Chelan County4,2444,22950.09%49.91%Douglas County2,2582,42148.26%51.74%Grant County5,4335,28650.69%49.31%Okanogan County2,2052,43247.55%52.45%Washington466,985456,46450.57%49.43%United States21,000,24421,205,89649.76%50.24%Population Age 35-44, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area21,618285310942344,696623Chelan County7,49945238217607200Douglas County3,410327836171,01492Grant County7,48019813622302,425257Okanogan County3,2291073601065074Washington723,46035,58777,42913,7575,49240,77326,951United States30,723,8685,383,8592,382,560351,28573,7632,588,967701,838Population Age 35-44, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area75.83%1.00%1.09%3.30%0.12%16.47%2.19%Chelan County88.50%0.53%0.27%0.97%0.20%7.16%2.36%Douglas County72.88%0.68%1.67%0.77%0.36%21.67%1.97%Grant County69.78%1.85%1.27%2.08%0%22.62%2.40%Okanogan County69.64%0.22%1.57%12.96%0%14.02%1.60%Washington78.34%3.85%8.38%1.49%0.59%4.42%2.92%United States72.79%12.76%5.65%0.83%0.17%6.13%1.66%Population Age 35-44, Percent by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area8,854%19,654%Chelan County2,379%6,094%Douglas County1,369%3,310%Grant County4,190%6,529%Okanogan County916%3,721%Washington95,544%827,905%United States6,979,225%35,226,916%Population Age 35-44, Percent by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area31.06%68.94%Chelan County28.08%71.92%Douglas County29.26%70.74%Grant County39.09%60.91%Okanogan County19.75%80.25%Washington10.35%89.65%United States16.54%83.46%Population by Race/Ethnicity, Percent Age 35-44Report AreaWhiteBlackAsianNative American / Alaskan NativeNative Hawaiian / Pacific IslanderOther RaceMultiple RacesHispanic / LatinoNon-Hispanic / LatinoReport Area11.80%18.06%15.94%13.63%14.23%13.93%10.46%13.57%11.68%Chelan County11.79%18.60%4.66%8.85%26.56%14.86%12.82%13.74%11.35%Douglas County12.09%18.29%28.89%11.08%58.62%14.45%8.09%13.87%12.13%Grant County12.19%19.32%15.51%19.13%0%13.14%11.62%13.36%12.14%Okanogan County10.75%7.35%24.01%13.38%0%15.71%7.06%13.65%11.10%Washington13.91%15.48%16.91%14.45%15.38%15.02%9.90%13.82%14.10%United States13.66%14.18%16.80%14.16%15.00%15.59%9.58%14.62%13.75%Total Population Age 45-54This indicator reports the percentage of youth aged 45-54 in a specific geographic area. This indicator is relevant because it is important to understand the percentage of youth in the community, as this population has unique health needs which should be considered separately from other age groups.Report AreaTotal PopulationTotal Population (Age 45-54)Percent Population (Age 45-54)Report Area233,53532,48413.91%Chelan County70,99510,68315.05%Douglas County37,1605,26814.18%Grant County85,14210,36712.18%Okanogan County40,2386,16615.32%Washington6,561,297981,06614.95%United States303,965,28044,302,69614.57%Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Population, By Tract, ACS 2006-2010 5-Year EstimateOver 18.0%16.1 - 18.0%14.1 - 16.0%12.1 - 14.0%Under 12.1%Population Age 45-54, Total by GenderReport AreaMaleFemalePercent MalePercent FemaleReport Area16,17416,31049.79%50.21%Chelan County5,2115,47248.78%51.22%Douglas County2,6472,62150.25%49.75%Grant County5,2815,08650.94%49.06%Okanogan County3,0353,13149.22%50.78%Washington487,585493,48149.70%50.30%United States21,781,06422,521,63249.16%50.84%Population Age 45-54, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area27,81391249834402,846611Chelan County9,807012111121390233Douglas County4,5264131210490159Grant County8,395383415501,616129Okanogan County5,08512635471935090Washington821,68632,90264,03813,0964,24123,11521,988United States34,227,8125,322,3121,980,435346,25361,4421,748,891615,553Population Age 45-54, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area85.62%0.28%0.77%2.57%0.12%8.76%1.88%Chelan County91.80%0%1.13%1.04%0.20%3.65%2.18%Douglas County85.91%0.78%0.59%0.40%0%9.30%3.02%Grant County80.98%0.37%0.33%1.50%0%15.59%1.24%Okanogan County82.47%0.19%1.02%8.87%0.31%5.68%1.46%Washington83.75%3.35%6.53%1.33%0.43%2.36%2.24%United States77.26%12.01%4.47%0.78%0.14%3.95%1.39%Population Age 45-54, Total by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area5,45727,027Chelan County1,5399,144Douglas County8594,409Grant County2,4607,907Okanogan County5995,567Washington58,125922,941United States5,006,19139,296,504Population Age 45-54, Percent by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area16.80%83.20%Chelan County14.41%85.59%Douglas County16.31%83.69%Grant County23.73%76.27%Okanogan County9.71%90.29%Washington5.92%94.08%United States11.30%88.70%Population by Race/Ethnicity, Percent Age 45-54Report AreaWhiteBlackAsianNative American / Alaskan NativeNative Hawaiian / Pacific IslanderOther RaceMultiple RacesHispanic / LatinoNon-Hispanic / LatinoReport Area15.18%5.77%12.80%12.07%16.74%8.44%10.26%8.36%16.06%Chelan County15.41%0%24.49%11.97%32.81%9.55%14.94%8.89%17.03%Douglas County16.05%23.43%11.48%6.46%0%6.98%13.98%8.70%16.16%Grant County13.68%3.71%3.88%13.29%0%8.75%5.83%7.85%14.70%Okanogan County16.93%8.82%20.72%12.18%20.21%8.46%8.59%8.93%16.60%Washington15.80%14.31%13.99%13.75%11.88%8.52%8.08%8.41%15.72%United States15.22%14.01%13.96%13.96%12.50%10.53%8.40%10.49%15.34%Total Population Age 55-64This indicator reports the percentage of youth aged 55-64 in a specific geographic area. This indicator is relevant because it is important to understand the percentage of youth in the community, as this population has unique health needs which should be considered separately from other age groups.Report AreaTotal PopulationTotal Population (Age 55-64)Percent Population (Age 55-64)Report Area233,53528,34012.14%Chelan County70,9959,07012.78%Douglas County37,1604,45711.99%Grant County85,1428,59410.09%Okanogan County40,2386,21915.46%Washington6,561,297778,35911.86%United States303,965,28034,277,39211.28%Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Population, By Tract, ACS 2006-2010 5-Year EstimateOver 14.0%12.1 - 14.0%10.1 - 12.0%8.1 - 10.0%Under 8.1%Population Age 55-64, Total by GenderReport AreaMaleFemalePercent MalePercent FemaleReport Area14,28514,05550.41%49.59%Chelan County4,6494,42151.26%48.74%Douglas County2,1772,28048.84%51.16%Grant County4,3074,28750.12%49.88%Okanogan County3,1523,06750.68%49.32%Washington380,898397,46148.94%51.06%United States16,524,89817,752,49648.21%51.79%Population Age 55-64, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area25,69180155623111,340440Chelan County8,5833866670113203Douglas County4,0240342036136Grant County7,65321357111674129Okanogan County5,4312120483019272Washington678,86019,87145,3958,8702,39810,52112,444United States27,761,4563,553,0781,408,687228,27737,492900,422387,983Population Age 55-64, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area90.65%0.28%0.55%2.20%0.04%4.73%1.55%Chelan County94.63%0.42%0.73%0.74%0%1.25%2.24%Douglas County90.28%0%0.76%0.04%0%8.10%0.81%Grant County89.05%0.24%0.41%0.83%0.13%7.84%1.50%Okanogan County87.33%0.34%0.32%7.77%0%3.09%1.16%Washington87.22%2.55%5.83%1.14%0.31%1.35%1.60%United States80.99%10.37%4.11%0.67%0.11%2.63%1.13%Population Age 55-64, Total by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area2,67025,670Chelan County7138,357Douglas County4304,027Grant County1,1697,425Okanogan County3585,861Washington29,347749,012United States2,886,61331,390,780Population Age 55-64, Percent by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area9.42%90.58%Chelan County7.86%92.14%Douglas County9.65%90.35%Grant County13.60%86.40%Okanogan County5.76%94.24%Washington3.77%96.23%United States8.42%91.58%Population by Race/Ethnicity, Percent Age 55-64Report AreaWhiteBlackAsianNative American / Alaskan NativeNative Hawaiian / Pacific IslanderOther RaceMultiple RacesHispanic / LatinoNon-Hispanic / LatinoReport Area14.02%5.07%7.97%9.02%4.60%3.98%7.39%4.09%15.25%Chelan County13.49%15.70%13.36%7.23%0%2.77%13.01%4.12%15.57%Douglas County14.27%0%12.59%0.62%0%5.14%3.17%4.36%14.76%Grant County12.47%2.05%3.99%6.09%21.15%3.65%5.83%3.73%13.80%Okanogan County18.09%15.44%6.58%10.75%0%4.64%6.87%5.34%17.48%Washington13.06%8.64%9.92%9.32%6.72%3.88%4.57%4.24%12.76%United States12.34%9.36%9.93%9.20%7.63%5.42%5.29%6.05%12.25%Total Population Age 65 or OlderThis indicator reports the percentage of seniors aged 65 and older in a specific geographic area. This indicator is relevant because it is important to understand the percentage of seniors in the community, as this population has unique health needs which should be considered separately from other age groups.Report AreaTotal PopulationTotal Population (Age 65 )Percent Population (Age 65 )Report Area233,53532,21213.79%Chelan County70,99510,78515.19%Douglas County37,1604,93013.27%Grant County85,1429,99611.74%Okanogan County40,2386,50116.16%Washington6,561,297780,57711.90%United States303,965,28038,749,41612.75%Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Population, By Tract, ACS 2006-2010 5-Year EstimateOver 17.0%14.1 - 17.0%11.1 - 14.0%8.1 - 11.0%Under 8.1%Population Age 65 or Older, Total by GenderReport AreaMaleFemalePercent MalePercent FemaleReport Area14,96217,25046.45%53.55%Chelan County4,8265,95944.75%55.25%Douglas County2,3032,62746.71%53.29%Grant County4,6845,31246.86%53.14%Okanogan County3,1493,35248.44%51.56%Washington346,039434,53844.33%55.67%United States16,563,13722,186,27642.74%57.26%Population Age 65 or Older, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area30,5417826855121439314Chelan County10,5290766109821Douglas County4,7731905402856Grant County9,18759185920296177Okanogan County6,05207344211760Washington703,35513,73741,1806,2371,3925,8808,796United States33,020,3923,271,6751,291,969173,47727,347645,202319,352Population Age 65 or Older, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area94.81%0.24%0.83%1.71%0.07%1.36%0.97%Chelan County97.63%0%0.70%0.57%0%0.91%0.19%Douglas County96.82%0.39%0%1.10%0%0.57%1.14%Grant County91.91%0.59%1.85%0.92%0%2.96%1.77%Okanogan County93.09%0%0.11%5.29%0.32%0.26%0.92%Washington90.11%1.76%5.28%0.80%0.18%0.75%1.13%United States85.22%8.44%3.33%0.45%0.07%1.67%0.82%Population Age 65 and Up, Total by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area1,35130,861Chelan County28510,500Douglas County944,836Grant County9129,084Okanogan County606,441Washington19,149761,428United States2,545,50236,203,912Population Age 65 and Up, Percent by Ethnicity AloneReport AreaHispanicNon-HispanicReport Area4.19%95.81%Chelan County2.64%97.36%Douglas County1.91%98.09%Grant County9.12%90.88%Okanogan County0.92%99.08%Washington2.45%97.55%United States6.57%93.43%Population by Race/Ethnicity, Percent Age 65 and UpReport AreaWhiteBlackAsianNative American / Alaskan NativeNative Hawaiian / Pacific IslanderOther RaceMultiple RacesHispanic / LatinoNon-Hispanic / LatinoReport Area16.67%4.94%13.78%7.98%8.79%1.30%5.27%2.07%18.34%Chelan County16.55%0%15.38%6.58%0%2.40%1.35%1.65%19.56%Douglas County16.92%10.86%0%16.62%0%0.40%4.93%0.95%17.72%Grant County14.98%5.76%21.09%7.89%0%1.60%8%2.91%16.89%Okanogan County20.16%0%2.30%7.66%22.34%0.41%5.73%0.89%19.21%Washington13.53%5.98%9.00%6.55%3.90%2.17%3.23%2.77%12.97%United States14.68%8.61%9.11%6.99%5.56%3.89%4.36%5.33%14.13%Median AgeThis indicator reports the median age according to the 2010 Census population estimate. This indicator is relevant because the age demographics of a population indicate the potential for age-specific conditions and a demand for related services.Report AreaTotal PopulationMedian AgeReport Area233,535no dataChelan County70,99539.70Douglas County37,16036.60Grant County85,14232.20Okanogan County40,23842.20Washington6,561,29737United States303,965,28036.90Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Median Age, By Tract, ACS 2006-2010 5-Year EstimateOver 44.040.1 - 44.036.1 - 40.032.1 - 36.0Under 32.1Population Median Age, by Gender / Race / EthnicityReport AreaMaleFemaleWhiteBlackNative American / Alaska NativeAsianNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesHispanicReport Areano datano datano datano datano datano datano datano datano datano dataChelan County38.8040.7041.8013.6019.3045.7038.4023.4024.5022Douglas County35.5037.7042.4038.3025.5035.7036.3023.3016.6021.60Grant County31.4033.1037.7021.6031.903131.5022.9018.6021.80Okanogan County41.5042.7048.7018.3029.1035.4030.5024.1018.9022.40Washington363839.7031.2030.2034.9027.8024.8018.3023.60United States35.6038.1039.503230.7034.9029.1027.1018.6027Change in Total PopulationThis indicator reports the percent difference in population counts from the 2000 Census population estimate to the 2010 Census population estimate. This indicator is relevant because a positive or negative shift in total population over time impacts healthcare providers and the utilization of community resources. Report AreaTotal Population, 2010 CensusTotal Population, 2000 CensusPercent Change from 2000-2010 CensusReport Area241,124213,48112.95%Chelan County72,45366,6168.76%Douglas County38,43132,60317.88%Grant County89,12074,69819.31%Okanogan County41,12039,5643.93%Washington6,724,5405,894,12114.09%United States308,745,538281,421,9069.71%Note: No breakout data available.Data Source: U.S. Census Bureau, 2000 Census of Population and Housing, Summary File 1; U.S. Census Bureau, 2010 Census of Population and Housing, Summary File 1. Source geography: County.Percent Change, By County, U.S. Census 2000 - 2010Over 15.0% Growth10.1 - 15.0% Growth5.1 - 10.0% Growth0 - 5.0% Growth0 - 5.0% LossOver 5.0% LossLinguistically Isolated PopulationThis indicator reports the percentage of the population aged 5 and older who speak a language other than English at home and speak English less than "very well." This indicator is relevant because an inability to speak English well creates barriers to healthcare access, provider communications, and health literacy/education.Report AreaTotal Population(For Whom Linguistic Isolation is Determined)Total Linguistically Isolated PopulationPercent Linguistically Isolated PopulationReport Area215,85026,93312.48%Chelan County66,2406,91010.43%Douglas County34,5354,29312.43%Grant County77,49013,25717.11%Okanogan County37,5852,4736.58%Washington6,134,847482,3887.86%United States283,833,85624,704,7528.70%Note: This indicator is compared with the state average.Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Linguistically Isolated PopulationReport AreaWashingtonUnited StatesPercent Population, By Tract, ACS 2006-2010 5-Year EstimateOver 20.0%10.1 - 20.0%5.1 - 10.0%2.6 - 5.0%Under 2.6%Linguistically Isolated Population, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area11,93091573152913,884294Chelan County5,027451127301,55796Douglas County1,17626393592,98424Grant County4,836203673407,865135Okanogan County8910551001,47839Washington180,74918,916157,0713,8195,068109,0337,732United States12,309,267954,6604,701,656195,87659,1766,061,060423,059Linguistically Isolated Population, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area5.53%0.04%0.27%0.07%0.00%6.43%0.14%Chelan County72.75%0.65%1.62%1.06%0%22.53%1.39%Douglas County27.39%0.61%0.91%0.82%0.21%69.51%0.56%Grant County36.48%0.15%2.77%0.26%0%59.33%1.02%Okanogan County36.03%0%2.22%0.40%0%59.77%1.58%Washington37.47%3.92%32.56%0.79%1.05%22.60%1.60%United States49.83%3.86%19.03%0.79%0.24%24.53%1.71%Linguistically Isolated Population, Total by Ethnicity AloneReport AreaHispanic / LatinoNon-Hispanic / LatinoReport Area24,9132,020Chelan County6,295615Douglas County4,123170Grant County12,2251,032Okanogan County2,270203Washington219,301263,087United States15,773,7228,931,030Linguistically Isolated Population, Percent by Ethnicity AloneReport AreaHispanic / LatinoNon-Hispanic / LatinoReport Area11.54%708.93%Chelan County91.10%8.90%Douglas County96.04%3.96%Grant County92.22%7.78%Okanogan County91.79%8.21%Washington45.46%54.54%United States63.85%36.15%Population by Race/Ethnicity, Percent Linguistically IsolatedReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesHispanic / LatinoNon-Hispanic / LatinoReport Area6.94%6.89%31.59%2.46%3.95%47.36%5.64%43.98%1.27%Chelan County8.41%25.28%24.51%9.10%0%43.64%6.73%41.56%1.20%Douglas County4.41%14.86%14.44%12.20%31.03%48.57%2.55%47.87%0.66%Grant County8.51%2.39%46.87%3.25%0%49.02%7.15%45.12%2.05%Okanogan County3.13%0%18.09%0.25%0%41.49%4.05%39.26%0.64%Washington3.69%8.91%36.52%4.41%15.44%45.58%3.36%36.38%4.76%United States5.82%2.72%35.37%8.58%13.05%40.45%6.91%36.89%3.70%Social & Economic FactorsEconomic and social insecurity often are associated with poor health. Poverty, unemployment, and lack of educational achievement affect access to care and a community’s ability to engage in healthy behaviors. Without a network of support and a safe community, families cannot thrive. Ensuring access to social and economic resources provides a foundation for a healthy community. Adequate Social or Emotional SupportThis indicator reports the percentage of adults aged 18 and older who self-report receiving sufficient social and emotional support all of most of the time. This indicator is relevant because social and emotional support is critical for navigating the challenges of daily life as well as for good mental health. Social and emotional support is also linked to educational achievement and economic stability. Report AreaPopulation (Age 18 )Adults Reporting Adequate Social or Emotional SupportPercent Adults Reporting Adequate Social or Emotional SupportReport Area11,6659,41780.73%Chelan County3,2822,70182.30%Douglas County2,9992,43881.30%Grant County2,2351,75978.70%Okanogan County3,1492,51980%Washington156,092129,55683.00%United States2,744,6362,204,74980.33%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2006-2010. Source geography: County.Percent Adults Reporting Adequate Social or Emotional SupportReport AreaWashingtonUnited StatesPct. of Adults With Adequate Social or Emotional Support, by County, BRFSS 2006-2010Over 88.0%84.1 - 88.0%80.1 - 84.0%76.1 - 80.0%Under 76.1%Children in PovertyThis indicator reports the percentage of children aged 0-17 living under 100% of the Federal Poverty Level (FPL). This indicator is relevant because poverty creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status. Report AreaTotal Population(For Whom Poverty Status is Determined)Children in PovertyPercent Children in PovertyReport Area62,65415,00723.95%Chelan County17,7232,97716.80%Douglas County10,0482,21122%Grant County25,5667,27128.44%Okanogan County9,3172,54827.35%Washington1,534,092244,93015.97%United States72,850,29613,980,49719.19%Note: This indicator is compared with the state average.Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Children in PovertyReport AreaWashingtonUnited StatesPercentage of Children (Age 0-17), by Tract, ACS 2006-2010 5-Year EstimateOver 40.0%30.1 - 40.0%20.1 - 30.0%10.1% - 20.0%Under 10.1%Children in Poverty, Total by GenderReport AreaMaleFemalePercent MalePercent FemalePercent of Males in PovertyPercent of Females in PovertyReport Area7,8907,11752.58%47.42%24.46%23.42%Chelan County1,5901,38753.41%46.59%18.02%15.58%Douglas County1,2091,00254.68%45.32%23.67%20.28%Grant County3,7493,52251.56%48.44%28.33%28.56%Okanogan County1,3421,20652.67%47.33%26.32%28.58%Washington123,331121,59950.35%49.65%15.68%16.27%United States7,085,8446,894,65350.68%49.32%19.02%19.37%Children in Poverty, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RaceReport Area8,49220063746414,880585Chelan County2,299423910055631Douglas County982024001,020185Grant County3,91615507902,944177Okanogan County1,2953065741360192Washington145,10621,02910,5768,8362,65435,09521,634United States7,234,1423,755,610371,383238,82730,7321,651,652698,151Children in Poverty, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RaceReport Area56.59%1.33%0.42%4.97%0.27%32.52%3.90%Chelan County77.23%1.41%1.31%0.34%0%18.68%1.04%Douglas County44.41%0%1.09%0%0%46.13%8.37%Grant County53.86%2.13%0%1.09%0%40.49%2.43%Okanogan County50.82%0.12%0%25.78%1.61%14.13%7.54%Washington59.24%8.59%4.32%3.61%1.08%14.33%8.83%United States51.74%26.86%2.66%1.71%0.22%11.81%4.99%Children in Poverty, Total by Ethnicity AloneReport AreaHispanic / LatinoNon-Hispanic / LatinoReport Area8,8366,171Chelan County1,6181,359Douglas County1,443768Grant County5,0012,270Okanogan County7741,774Washington84,597160,333United States4,685,9149,294,583Children in Poverty, Percent by Ethnicity AloneReport AreaHispanic / LatinoNon-Hispanic / LatinoReport Area58.88%41.12%Chelan County54.35%45.65%Douglas County65.26%34.74%Grant County68.78%31.22%Okanogan County30.38%69.62%Washington34.54%65.46%United States33.52%66.48%Children by Race / Ethnicity, Percent in PovertyReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RaceHispanic / LatinoNon-Hispanic / LatinoReport Area19.69%32.15%11.15%33.08%80.39%36.87%20.95%32.35%17.46%Chelan County15.37%33.33%22.67%2.48%0%39.10%4.92%22.90%12.75%Douglas County15.35%0%34.29%0%0%36.55%28.73%34.15%13.19%Grant County24.25%38.46%0%23.94%0%39.76%16.87%37.92%18.34%Okanogan County23%4.76%0%46.76%100%22.26%40.85%27.31%27.36%Washington13.14%33.09%10.73%32.51%25.31%35.75%16.43%31.52%12.67%United States14.64%35.40%11.84%33.34%22.62%30.86%19.94%29.21%16.36%Free and Reduced Price School Lunch EligibilityThis indicator reports the percentage of public school students eligible for free or reduced price lunches. This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple health access, health status, and social support needs. Additionally, when combined with poverty data, providers can use this measure to identify gaps in eligibility and enrollment. Report AreaTotal Student EnrollmentNumber Free/Reduced Price Lunch EligiblePercent Free/Reduced Price Lunch EligibleReport Area46,07428,22961.27%Chelan County12,7797,23656.62%Douglas County6,9363,80154.80%Grant County18,75313,15870.16%Okanogan County7,6064,03453.04%Washington1,045,265419,89640.17%United States49,692,76624,021,06948.34%Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Department of Education, National Center for Education Statistics (NCES), Common Core of Data, Public School Universe File, 2010-2011. Source geography: Address.Percent Free/Reduced Price Lunch EligibleReport AreaWashingtonUnited StatesPercentage of Students Eligible for Free or Reduced Price Lunch, by School, NCES 2010-2011Over 80.0%60.1 - 80.0%40.1 - 60.0%20.1 - 40.0%Under 20.1%Not ReportedHigh School Graduation RateThis indicator reports the average freshman graduate rate, which measures the percentage of students receiving their high school diploma within four years. This indicator is relevant because low levels of education are often linked to poverty and poor health. Report AreaAverage Freshman Base EnrollmentEstimated Number of Diplomas IssuedOn-Time Graduation RateReport Area3,2642,41874.10Chelan County1,02173471.90Douglas County53642879.80Grant County1,3221,00676.10Okanogan County38425065Washington85,12362,76473.70United States4,024,3453,039,01575.50HP 2020 Target>82.4Note: This indicator is compared with the Healthy People 2020 Target. No breakout data available.Data Source: The University of Wisconsin, Population Health Institute, County Health Rankings, 2012 and the U.S. Department of Education, National Center for Education Statistics (NCES), Common Core of Data, Public School Universe Survey Data, 2005-06, 2006-07 and 2007-08. Source geography: County.On-Time Graduation RateReport AreaHP 2020 TargetUnited StatesAverage Freshman Graduation RateOver 90.0%85.1 - 90.0%80.1 - 85.0%75.1 - 80.0%Under 75.1%Population Below 200% of Poverty LevelThis indicator reports the percentage of the population living under 200% of the Federal Poverty Level (FPL). This indicator is relevant because poverty creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status. Report AreaTotal Population(For Whom Poverty Status is Determined)Population with Income Below 200% Poverty LevelPercent Population with Income Below 200% Poverty LevelReport Area230,79393,43240.48%Chelan County70,15623,18333.04%Douglas County36,92114,76339.99%Grant County83,90738,03745.33%Okanogan County39,80917,44943.83%Washington6,430,2311,805,49328.08%United States296,141,15294,693,41631.98%Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Population with Income Below 200% Poverty LevelReport AreaWashingtonUnited StatesPercentage of Total Population, By Tract, ACS 2006-2010 5-Year EstimateOver 80.0%60.1 - 80.0%40.1 - 60.0%20.1 - 40.0%Under 20.1%Population Receiving MedicaidThis indicator reports the percentage of the population that is enrolled in Medicaid. This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple health access, health status, and social support needs; when combined with poverty data, providers can use this measure to identify gaps in eligibility and enrollment. Report AreaPopulation(for Whom Insurance Status is Determined)Population Receiving MedicaidPercent Population Receiving MedicaidReport Area237,72853,31122.57%Chelan County71,74214,07219.72%Douglas County37,9138,08321.40%Grant County87,34322,50626%Okanogan County40,7308,65021.32%Washington6,546,0491,002,23115.31%United States301,501,76048,541,09616.10%Note: This indicator is compared with the state average.Data Source: U.S. Census Bureau, 2008-2010 American Community Survey 3-Year Estimates. Source geography: PUMA.Percent Population Receiving MedicaidReport AreaWashingtonUnited StatesPercent Population, By PUMA, ACS 2008-2010 3-Year EstimateOver 25.0%18.1 - 25.1%12.1 - 18.0%6.1 - 12.0%Under 6.0%Population by Gender, Total Receiving MedicaidReport AreaMaleFemalePercent MalePercent FemalePercent of Males Receiving MedicaidPercent of Females Receiving MedicaidReport Area26,23527,07649.21%50.79%22.10%23.04%Chelan County7,4086,66452.64%47.36%20.84%18.62%Douglas County3,9184,16548.47%51.53%20.82%21.99%Grant County11,15511,35149.56%50.44%25.39%26.63%Okanogan County3,7544,89643.40%56.60%18.38%24.31%Washington459,800542,43145.88%54.12%14.23%16.36%United States21,858,51626,682,57845.03%54.97%14.87%17.27%Population by Age Group, Total Receiving MedicaidReport AreaAge 0-17Age 18-64Age 65 Percent Age 0-17Percent Age 18-64Percent Age 65 Report Area31,72616,5635,02259.51%31.07%9.42%Chelan County7,8354,4691,76855.68%31.76%12.56%Douglas County5,0082,40766861.96%29.78%8.26%Grant County14,0126,7161,77862.26%29.84%7.90%Okanogan County4,8712,97180856.31%34.35%9.34%Washington512,395375,939113,89751.13%37.51%11.36%United States24,267,75418,415,8385,857,50349.99%37.94%12.07%Population with No High School DiplomaEducational attainment is considered a key driver of health status.This indicator reports the percentage of the population aged 25 and older without a high school diploma (or equivalency) or higher. This indicator is relevant because low levels of education are often linked to poverty and poor health. Report AreaTotal Population(For Whom Educational Attainment is Determined)Population with No High School DiplomaPercent Population with No High School DiplomaReport Area148,90030,01120.16%Chelan County46,9167,94616.94%Douglas County23,8204,94220.75%Grant County50,56812,65125.02%Okanogan County27,5964,47216.21%Washington4,360,316454,53410.42%United States199,726,65629,898,48214.97%Note: This indicator is compared with the state average.Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Population with No High School DiplomaReport AreaWashingtonUnited StatesPercentage of Total Population (Age 25 ), By Tract, ACS 2006-2010 5-Year EstimateOver 40.0%30.1 - 40.0%20.1 - 30.0%10.1 - 20.0%Under 10.1%Population with No High School Diploma, Total by GenderReport AreaMaleFemalePercent MalePercent FemalePercent of Males with No High School DiplomaPercent of Females with No High School DiplomaReport Area15,73014,28152.41%47.59%21.42%18.92%Chelan County4,0333,91350.76%49.24%17.56%16.34%Douglas County2,4962,44650.51%49.49%21.52%20.02%Grant County7,0005,65155.33%44.67%27.64%22.39%Okanogan County2,2012,27149.22%50.78%16.27%16.15%Washington231,241223,29350.87%49.13%10.82%10.04%United States14,979,57714,918,90650.10%49.90%15.60%14.39%Population with No High School Diploma, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area18,79214919270709,795376Chelan County6,60933010601,12276Douglas County2,4453908802,30565Grant County6,8445516412805,290170Okanogan County2,894222838501,07865Washington302,86518,06745,11210,4422,90064,50210,646United States19,517,5804,355,7181,362,029338,36640,1313,827,321457,337Population with No High School Diploma, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesReport Area62.62%0.50%0.64%2.36%0%32.64%1.25%Chelan County83.17%0.42%0%1.33%0%14.12%0.96%Douglas County49.47%0.79%0%1.78%0%46.64%1.32%Grant County54.10%0.43%1.30%1.01%0%41.81%1.34%Okanogan County64.71%0.49%0.63%8.61%0%24.11%1.45%Washington66.63%3.97%9.92%2.30%0.64%14.19%2.34%United States65.28%14.57%4.56%1.13%0.13%12.80%1.53%Population with No High School Diploma, Total by Ethnicity AloneReport AreaHispanic / LatinoNon-Hispanic / LatinoReport Area17,72512,286Chelan County4,6343,312Douglas County2,9691,973Grant County8,4384,213Okanogan County1,6842,788Washington135,600318,934United States9,834,42520,064,057Population with No High School Diploma, Percent by Ethnicity AloneReport AreaHispanic / LatinoNon-Hispanic / LatinoReport Area59.06%40.94%Chelan County58.32%41.68%Douglas County60.08%39.92%Grant County66.70%33.30%Okanogan County37.66%62.34%Washington29.83%70.17%United States32.89%67.11%Population by Race / Ethnicity, Percent with No High School Diploma Report AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesHispanic / LatinoNon-Hispanic / LatinoReport Area15.04%20.67%16.20%18.73%0%62.96%14.70%60.88%10.26%Chelan County15.24%28.45%0%24.65%0%59.65%9.74%59.21%8.47%Douglas County12.40%36.45%0%50.87%0%72.53%15.12%68.03%10.14%Grant County17.33%12.22%32.48%19.02%0%62.25%18.89%60.63%11.49%Okanogan County12.95%45.83%13.53%15.41%0%53.90%14.51%55.97%11.34%Washington8.41%13.06%14.55%19.17%14.59%47.84%10.27%41.29%7.91%United States12.69%19.14%14.27%23.40%14.09%42.48%15.80%38.47%11.52%Poverty Rate (< 100% FPL)Poverty is considered a key driver of health status.This indicator reports the percentage of the population living below 100% of the Federal Poverty Level (FPL). This indicator is relevant because poverty creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status. Report AreaTotal Population (For Whom Poverty Status is Determined)Total Population in PovertyPercent Population in PovertyReport Area230,79338,21716.56%Chelan County70,1568,04611.47%Douglas County36,9215,27014.27%Grant County83,90717,12020.40%Okanogan County39,8097,78119.55%Washington6,430,231780,00912.13%United States296,141,15240,917,51213.82%Note: This indicator is compared with the state average.Data Source: U.S. Census Bureau, 2006-2010 American Community Survey 5-Year Estimates. Source geography: Tract.Percent Population in PovertyReport AreaWashingtonUnited StatesPercentage of Total Population, By Tract, ACS 2006-2010 5-Year EstimateOver 40.0%30.1 - 40.0%20.1 - 30.0%10.1 - 20.0%Under 10.1%Population in Poverty, Total by GenderReport AreaMaleFemalePercent MalePercent FemalePercent of Males in PovertyPercent of Females in PovertyReport Area17,65920,55846.21%53.79%15.29%17.83%Chelan County3,5344,51243.92%56.08%10.24%12.66%Douglas County2,6172,65349.66%50.34%14.27%14.28%Grant County7,8679,25345.95%54.05%18.45%22.42%Okanogan County3,6414,14046.79%53.21%18.20%20.90%Washington352,433427,57645.18%54.82%11.05%13.19%United States18,063,62622,853,88844.15%55.85%12.48%15.10%Population in Poverty, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RaceReport Area24,5583991951,878829,9871,118Chelan County6,686428769161,07967Douglas County2,821104430122,138215Grant County9,9983443531905,951473Okanogan County5,0533291,46054819363Washington535,88252,81847,97224,0876,52971,82440,897United States24,378,3509,180,0611,580,505631,61478,7123,803,2541,265,017Population in Poverty, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RaceReport Area64.26%1.04%0.51%4.91%0.21%26.13%2.93%Chelan County83.10%0.52%0.86%1.08%0.20%13.41%0.83%Douglas County53.53%0.19%0.57%0.83%0.23%40.57%4.08%Grant County58.40%2.01%1.86%0.20%0%34.76%2.76%Okanogan County64.94%0.04%18.76%0.37%0.69%10.53%4.67%Washington68.70%6.77%3.09%6.15%0.84%9.21%5.24%United States59.58%22.44%1.54%3.86%0.19%9.29%3.09%Population by Race/Ethnicity, Percent in PovertyReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RaceHispanicNon-HispanicReport Area13.56%26.55%10.27%27.70%34.31%29.88%19.04%26.32%12.76%Chelan County10.63%17.36%17.83%7.55%25%26.88%4.36%15.82%10.07%Douglas County10.07%5.71%16.30%9.71%41.38%30.56%18.98%28.33%9.16%Grant County16.54%35.46%4.18%27.57%0%32.54%21.94%31.61%13.82%Okanogan County17.00%2.59%9.54%33.19%57.45%19.88%34.64%25.68%18.31%Washington10.50%24.08%10.63%26.25%18.57%27.07%15.46%25.09%10.61%United States11.10%25.28%11.34%26.42%16.50%23.41%17.84%22.41%12.21%Supplemental Nutrition Assistance Program (SNAP) RecipientsThis indicator reports the average percentage of the population receiving the Supplemental Nutrition Assistance Program (SNAP) benefits from the months of July 2008 to July 2009. This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple health access, health status, and social support needs; when combined with poverty data, providers can use this measure to identify gaps in eligibility and enrollment. Report AreaTotal Estimated Population, 2009Total Population Receiving SNAP BenefitsPercent Population Receiving SNAP BenefitsReport Area238,58743,26018.13%Chelan County72,37211,33415.66%Douglas County37,5654,19211.16%Grant County88,09818,71421.24%Okanogan County40,5529,02022.24%Washington6,664,195912,89413.70%United States307,006,55038,701,17612.60%Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Census Bureau, Small Area Income and Poverty Estimates (SAIPE), 2009. Source geography: County.Percent Population Receiving SNAP BenefitsReport AreaWashingtonUnited StatesPercentage of Total Population, By County, SAIPE 2009Over 25.0%20.1 - 25.0%15.1 - 20.0%10.1 - 15.0%Under 10.1%Teen BirthsThis indicator reports the rate of total births to women under the age of 15 - 19 per 1,000 female population age 15 - 19. This indicator is relevant because in many cases, teen parents have unique social, economic, and health support services. Additionally, high rates of teen pregnancy may indicate the prevalence of unsafe sex practices. Report AreaFemale Population Age 15 - 19Births to Mothers Age 15 - 19Teen Birth Rate (Per 1,000 Births)Report Area59,9303,34955.88Chelan County17,66878844.60Douglas County9,15643447.40Grant County22,7481,60670.60Okanogan County10,35852150.30Washington1,498,68549,00732.70United States72,071,1172,969,33041.20Note: This indicator is compared with the state average.Data Source: Centers for Disease Control and Prevention, National Vital Statistics Systems, 2003-2009. Accessed through the Health Indicators Warehouse. Source geography: County.Teen Birth Rate (Per 1,000 Births)Report AreaWashingtonUnited StatesRate of Births to Women Age 15 - 19 (Per 1,000 Population), By County, CDC NVSS 2003-2009Over 70.055.1 - 70.040.1 - 55.025.1 - 40.0Under 25.1Teenage Girls by Race / Ethnicity, Birth Rate (Per 1,000 Births)Report AreaWhite (Non-Hispanic)Black (Non-Hispanic)AsianAmerican Indian / Alaskan NativeHispanic/LatinoReport Area33.70no data124.4077.70100.10Chelan County26no data127.50no data90.10Douglas County31.90no datano datano data84.20Grant County41.50no data121.20100.60115Okanogan County34no datano data71.3083.40Washington23.1039.1022.6071.8093.40United States26.3062.4016.7057.5079.70Unemployment RateThis indicator reports the percentage of the civilian noninstituionalized population age 16 and older that is unemployed (non-seasonally adjusted). This indicator is relevant because unemployment creates financial instability and barriers to access including insurance coverage, health services, healthy food, and other necessities that contribute to poor health status.Report AreaTotal Labor ForceNumber UnemployedUnemployment RateReport Area116,07811,3199.75Chelan County37,6903,1658.40Douglas County20,3321,7488.60Grant County39,0434,39211.20Okanogan County19,0132,01410.60Washington3,455,854265,6347.70United States156,178,45912,014,7477.70Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Bureau of Labor Statistics, July, 2012 Local Area Unemployment Statistics. Source geography: County.Unemployment RateReport AreaWashingtonUnited StatesPercentage of Workforce Unemployed, By County, BLS 2012Over 12.0%10.1 - 12.0%8.1 - 10.0%6.1 - 8.0%Under 6.1%Uninsured PopulationThe lack of health insurance is considered a key driver of health status.This indicator reports the percentage of the total civilian non-institutionalized population without health insurance coverage. This indicator is relevant because lack of insurance is a primary barrier to healthcare access including regular primary care, specialty care, and other health services that contributes to poor health status.Report AreaTotal Population(For Whom Insurance Status is Determined)Number UninsuredPercent UninsuredReport Area236,22548,07120.35%Chelan County71,34414,12919.80%Douglas County37,7656,70817.76%Grant County86,55017,82220.59%Okanogan County40,5669,41223.20%Washington6,546,049876,68413.39%United States301,501,76045,368,29615.05%Note: This indicator is compared with the state average.Data Source: U.S. Census Bureau, 2008-2010 American Community Survey 3-Year Estimates. Source geography: PUMA.Percent UninsuredReport AreaWashingtonUnited StatesPercent Population, By PUMA, ACS 2008-2010 3-Year EstimateOver 25.0%18.1 - 25.0%12.1 - 18.0%6.1 - 12.0%Under 6.1%Uninsured Population, Total by GenderReport AreaMaleFemalePercent MalePercent FemalePercent of Males that are UninsuredPercent of Females that are UninsuredReport Area26,92821,14356.02%43.98%22.68%17.99%Chelan County7,6446,48554.10%45.90%21.50%18.12%Douglas County4,0932,61561.02%38.98%21.75%13.80%Grant County9,9067,91655.58%44.42%22.55%18.57%Okanogan County5,2854,12756.15%43.85%25.87%20.49%Washington487,461389,22355.60%44.40%15.09%11.74%United States24,442,60020,925,69853.88%46.12%16.62%13.55%Uninsured Population, Total by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RaceReport Area30,9061152951,689no data13,1291,182Chelan County11,740no datano data351no data1,580406Douglas County3,500no datano datano datano data2,871204Grant County10,089115295no datano data6,674404Okanogan County5,577no datano data1,338no data2,004168Washington620,90236,69562,24124,3266,40188,74037,379United States29,670,8646,568,2592,162,975715,55781,2335,065,6301,103,781Uninsured Population, Percent by Race AloneReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RaceReport Area64.29%0.24%0.61%3.51%no data27.31%2.46%Chelan County83.09%no datano data2.48%no data11.18%2.87%Douglas County52.18%no datano datano datano data42.80%3.04%Grant County56.61%0.65%1.66%no datano data37.45%2.27%Okanogan County59.25%no datano data14.22%no data21.29%1.78%Washington70.82%4.19%7.10%2.77%0.73%10.12%4.26%United States65.40%14.48%4.77%1.58%0.18%11.17%2.43%Uninsured Population, Total by Ethnicity AloneReport AreaHispanic / LatinoNon-Hispanic / LatinoReport Area24,23823,833Chelan County6,9677,162Douglas County3,6993,009Grant County10,5887,234Okanogan County2,9846,428Washington215,337661,347United States15,043,08330,325,213Uninsured Population, Percent by Ethnicity AloneReport AreaHispanic / LatinoNon-Hispanic / LatinoReport Area50.42%49.58%Chelan County49.31%50.69%Douglas County55.14%44.86%Grant County59.41%40.59%Okanogan County31.70%68.30%Washington24.56%75.44%United States33.16%66.84%Population by Race/Ethnicity, Percent UninsuredReport AreaWhiteBlackAsianNative American / Alaska NativeNative Hawaiian / Pacific IslanderSome Other RaceMultiple RacesHispanic / LatinoNon-Hispanic / LatinoReport Area16.69%10.25%29.62%31.16%no data38.83%17.91%35.77%14.15%Chelan County18.42%no datano data39.62%no data37.41%21.82%38.93%13.40%Douglas County12.26%no datano datano datano data39.82%17.62%35.40%11.02%Grant County16.10%10.25%29.62%no datano data37.06%15.01%32.60%13.38%Okanogan County18.44%no datano data29.50%no data45.90%18.86%43.01%19.12%Washington11.99%16.47%13.39%26.30%17.20%33.63%13.05%30.07%11.34%United States13.22%17.69%14.97%29.29%16.72%34.10%14.45%30.97%11.99%Physical EnvironmentA community’s health also is affected by the physical environment. A safe, clean environment that provides access to healthy food and recreational opportunities is important to maintaining and improving community health.Fast Food Restaurant AccessThis indicator reports the number of fast food restaurants per 100,000 population. Fast food restaurants are defined as limited-service establishments primarily engaged in providing food services (except snack and nonalcoholic beverage bars) where patrons generally order or select items and pay before eating. This indicator is relevant because it provides a measure of healthy food access and environmental influences on dietary behaviors. Report AreaTotal Population,2010 CensusNumber of EstablishmentsEstablishment Rate (Per 100,000 Pop.)Report Area241,12414158.48Chelan County72,4535778.67Douglas County38,4311436.43Grant County89,1205056.10Okanogan County41,1202048.64Washington6,724,5404,74470.55United States312,471,327213,45368.31Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Census Bureau, County Business Patterns, 2010. Source geography: County.Establishment Rate (Per 100,000 Pop.)Report AreaWashingtonUnited StatesFast Food Restaurant Rate (Per 100,000 Pop.), By County, US Census County Business Patterns, 2010Over 100.080.1 - 100.060.1 - 80.040.1 - 60.0Under 40.1Grocery Store AccessThis indicator reports the number of grocery stores per 100,000 population. Grocery stores are defined as supermarkets and smaller grocery stores primarily engaged in retailing a general line of food, such as canned and frozen foods; fresh fruits and vegetables; and fresh and prepared meats, fish, and poultry. Included are delicatessen-type establishments. Convenience stores and large general merchandise stores that also retail food, such as supercenters and warehouse club stores are excluded. This indicator is relevant because it provides a measure of healthy food access and environmental influences on dietary behaviors. Report AreaTotal Population,2010 CensusNumber of EstablishmentsEstablishment Rate (Per 100,000 Pop.)Report Area241,1247129.45Chelan County72,4532331.74Douglas County38,4311026.02Grant County89,1202528.05Okanogan County41,1201331.61Washington6,724,5401,57423.41United States312,471,32767,34221.55Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Census Bureau, County Business Patterns, 2010. Source geography: County.Establishment Rate (Per 100,000 Pop.)Report AreaWashingtonUnited StatesGrocery Stores (Per 100,000 Pop.), By County, US Census County Business Patterns, 2010Over 40.030.1 - 40.020.1 - 30.010.1 - 20.0Under 10.1Liquor Store AccessThis indicator reports the number of beer, wine, and liquor stores per 100,000 population, as defined by North American Industry Classification System (NAICS) Code 445310. This indicator is relevant because it provides a measure of healthy food access and environmental influences on dietary behaviors. Report AreaTotal Population,2010 CensusNumber of EstablishmentsEstablishment Rate (Per 100,000 Pop.)Report Area241,124177.05Chelan County72,45379.66Douglas County38,43112.60Grant County89,12055.61Okanogan County41,12049.73Washington6,724,5403615.37United States308,745,53831,48210.20Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Census Bureau, County Business Patterns, 2010. Source geography: County.Establishment Rate (Per 100,000 Pop.)Report AreaWashingtonUnited StatesBeer, Wine, or Liquor Store Rate (Per 100,000 Pop.), By County, US Census County Business Patterns, 2010Over 30.020.1 - 30.010.1 - 20.05.1 - 10.0Under 5.1Poor Air Quality (Ozone)This indicator reports the percentage of days per year with Ozone (O3) levels above the National Ambient Air Quality Standard of 75 parts per billion (ppb). Figures are calculated using data collected by monitoring stations and modeled to include census tracts where no monitoring stations exist. This indicator is relevant because poor air quality contributes to respiratory issues and overall poor health. Report AreaAverage Daily Ozone ConcentrationNumber of Days Exceeding Emissions StandardsPercentage of Days Exceeding Emissions StandardsReport Area20.450.780.21%Chelan County20.0110.23%Douglas County20.4510.15%Grant County21.8110.23%Okanogan County18.9110.20%Washington20.765.641.54%United States24.822.920.80%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, National Environmental Public Health Tracking Network, 2008. Source geography: Tract.Percentage of Days Exceeding Emissions StandardsReport AreaWashingtonUnited StatesPercentage of Days Above NAAQS Standards, By Tract, CDC 2008Over 12.00%6.01 - 12.00%3.01 - 6.00%1.01 - 3.00%0.51 - 0.00%Under 0.51%ZeroPoor Air Quality (Particulate Matter 2.5)This indicator reports the percentage of days with particulate matter 2.5 levels above the National Ambient Air Quality Standard (35 micrograms per cubic meter) per year, calculated using data collected by monitoring stations and modeled to include counties where no monitoring stations occur. This indicator is relevant because poor air quality contributes to respiratory issues and overall poor health. Report AreaAverage Daily Ambient Particulate Matter 2.5Number of Days Exceeding Emissions StandardsPercentage of Days Exceeding Emissions StandardsReport Area4.681.520.44%Chelan County3.991.690.49%Douglas County4.511.210.33%Grant County6.321.620.46%Okanogan County3.361.440.41%Washington10.4311.573.21%United States10.724.071.16%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, National Environmental Public Health Tracking Network, 2008. Source geography: Tract.Percentage of Days Exceeding Emissions StandardsReport AreaWashingtonUnited StatesPct. of Days Above National Ambient Air Quality Standard (PM 2.5), By Tract, CDC 2008Over 6.0%3.1 - 6.0%1.1 - 3.0%Under 1.0%ZeroPopulation Living in Food DesertsThis indicator reports the percentage of the population living in census tracts designated as food deserts. A food desert is defined as a low-income census tract (where a substantial number or share of residents has low access to a supermarket or large grocery store. This indicator is relevant because it highlights populations and geographies facing food insecurity. Report AreaTotal PopulationPopulation Living in a Food DesertsPercent Living in Food DesertsReport Area213,48164,61930.27%Chelan County66,6168,21712.33%Douglas County32,6039,84130.18%Grant County74,69836,08648.31%Okanogan County39,56410,47526.48%Washington5,894,121565,0429.59%United States281,421,90625,609,4339.10%Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Department of Agriculture, Food Desert Locator, 2009. Source geography: Tract (2000).Percent Living in Food DesertsReport AreaWashingtonUnited StatesPercentage of Population with Low Food Access, by Tract, USDA 2006100%75.1 - 99.9%50.1 - 75.0%25.1 - 50.0%Under 25.0%Recreation and Fitness Facility AccessThis indicator reports the number per 100,000 population of recreation and fitness facilities as defined by North American Industry Classification System (NAICS) Code 713940. This indicator is relevant because access to recreation and fitness facilities encourages physical activity and other healthy behaviors. Report AreaTotal Population,2010 CensusNumber of EstablishmentsEstablishment Rate (Per 100,000 Pop.)Report Area241,1242811.61Chelan County72,4531622.08Douglas County38,43125.20Grant County89,12066.73Okanogan County41,12049.73Washington6,724,54077211.48United States308,745,53829,8969.68Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Census Bureau, County Business Patterns, 2010. Source geography: County.Establishment Rate (Per 100,000 Pop.)Report AreaWashingtonUnited StatesRecreation Facility Rate (Per 100,000 Pop.), By County, US Census County Business Patterns, 2010Over 16.012.1 - 16.08.1 - 12.04.1 - 8.0Under 4.1WIC-Authorized Food Store AccessThis indicator reports the number of food stores and other retail establishments per 100,000 population that are authorized to accept WIC Program (Special Supplemental Nutrition Program for Women, Infants, and Children) benefits and that carry designated WIC foods and food categories. This indicator is relevant because it provides a measure of food security and healthy food access for women and children in poverty as well as environmental influences on dietary behaviors. Report AreaTotal Population (2011 Estimate)Number WIC-Authorized Food StoresWIC-Authorized Food Store Rate (Per 100,000 Pop.)Report Area245,1245522.40Chelan County73,4771317.69Douglas County38,971820.53Grant County91,2652021.91Okanogan County41,4111433.81Washington6,849,10377611.30United States318,921,53850,04215.60Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Department of Agriculture, Food Environment Atlas, 2012. Source geography: County.WIC-Authorized Food Store Rate (Per 100,000 Pop.)Report AreaWashingtonUnited StatesWIC-Authorized Stores (Per 100,000 Pop.), 2011Over 50.036.1 - 50.022.1 - 36.08.1 - 22.0Under 8.1Clinical CareA lack of access to care presents barriers to good health. The supply and accessibility of facilities and physicians, the rate of uninsurance, financial hardship, transportation barriers, cultural competency, and coverage limitations affect access.Rates of morbidity, mortality, and emergency hospitalizations can be reduced if community residents access services such as health screenings, routine tests, and vaccinations. Prevention indicators can call attention to a lack of access or knowledge regarding one or more health issues and can inform program interventions.Access to Primary CareThis indicator reports the number of primary care physicians per 100,000 population. This indicator is relevant because a shortage of health professionals contributes to access and health status issues. Report AreaTotal PopulationTotal Primary Care ProvidersPrimary Care Provider Rate (Per 100,000 Pop.)Report Area241,12419179.20Chelan County72,45385117.31Douglas County38,4311641.63Grant County89,1204651.61Okanogan County41,12044107Washington6,724,5406,06690.20United States312,471,327264,89784.70Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Health Resources and Services Administration Area Resource File, 2011 . Source geography: County.Primary Care Provider Rate (Per 100,000 Pop.)Report AreaWashingtonUnited StatesPrimary Care Physicians (Per 100,000 Pop.), By County, HRSA 2011Over 120.060.1 - 120.030.1 - 60.010.1 - 30.0Under 10.1Breast Cancer Screening (Mammogram)This indicator reports the percentage of female Medicare enrollees, age 55 or older, who have received one or more mammograms in the past two years. This indicator is relevant because engaging in preventive behaviors allows for early detection and treatment of health problems. This indicator can also highlight a lack of access to preventive care, a lack of health knowledge, insufficient provider outreach, and/or social barriers preventing utilization of services. Report AreaTotal Female Medicare EnrolleesNumber Regularly ScreenedPercent Regularly ScreenedReport Area2,0551,38267.25%Chelan County70053576.43%Douglas County26518971.32%Grant County61637560.88%Okanogan County47428359.70%Washington40,50926,44865.29%United States4,203,4612,660,62663.30%Note: This indicator is compared with the state average. No breakout data available.Data Source: Dartmouth Atlas of Healthcare, Selected Measures of Primary Care Access and Quality, 2003-2007. Source geography: County.Percent Regularly ScreenedReport AreaWashingtonUnited StatesPercentage of Medicare Patients (Female) with Mammogram, Past 2 Years, By County, Dartmouth Atlas 2003-2007Over 72.0%66.1 - 72.0%60.1 - 66.0%54.1 - 60.0%Under 54.1%Cervical Cancer Screening (Pap Test)This indicator reports the percentage of women aged 18 and older who self-report that they have had a Pap test in the past three years. This indicator is relevant because engaging in preventive behaviors allows for early detection and treatment of health problems. This indicator can also highlight a lack of access to preventive care, a lack of health knowledge, insufficient provider outreach, and/or social barriers preventing utilization of services. Report AreaTotal Population(Women Age 18 )Est. Population Regularly ScreenedPercentage Regularly ScreenedReport Area82,99063,01875.93%Chelan County26,59420,47777%Douglas County13,33110,21276.60%Grant County27,94020,95575%Okanogan County15,12511,37475.20%Washington2,486,5941,921,43177.27%United States116,709,90986,326,16073.97%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2004-2010. Source geography: County.Percentage Regularly ScreenedReport AreaWashingtonUnited StatesPct. of Women (Age 18 ) with Pap Test in Past 2 Years, By County, CDC BRFSS 2004-2010Over 85.0%80.1 - 85.0%75.1 - 80.0%70.1 - 75.0%Under 70.1%Colon Cancer Screening (Sigmoid/Colonoscopy)This indicator reports the percentage of adult men aged 50 and older who self-report that they have ever had a sigmoidoscopy or colonoscopy. This indicator is relevant because engaging in preventive behaviors allows for early detection and treatment of health problems. This indicator can also highlight a lack of access to preventive care, a lack of health knowledge, insufficient provider outreach, and/or social barriers preventing utilization of services. Report AreaTotal Population (Men Aged 50 )Number Ever ScreenedPercent Ever ScreenedReport Area36,40020,47656.25%Chelan County11,9657,13159.60%Douglas County5,5563,22257.99%Grant County11,3246,14954.30%Okanogan County7,5553,97452.60%Washington3,672,8182,269,72961.80%United States119,567,20361,919,22151.79%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2004-2010. Source geography: County.Percent Ever ScreenedReport AreaWashingtonUnited StatesPct. of Men (Age 50 ) Ever Receiving Sigmoid/Colonoscopy, By County, CDC BRFSS 2004-2010Over 68.0%60.1 - 68.0%52.1 - 60.0%44.1 - 52.0%Under 44.1%Dental Care Utilization (Adult)This indicator reports the percentage of adults aged 18 and older who self-report that they have not visited a dentist, dental hygienist or dental clinic within the past year. This indicator is relevant because engaging in preventive behaviors decreases the likelihood of developing future health problems. This indicator can also highlight a lack of access to preventive care, a lack of health knowledge, insufficient provider outreach, and/or social barriers preventing utilization of services.Report AreaTotal Population(Age 18 )Number Adults with No Dental ExamPercent Adults with No Dental ExamReport Area169,84262,82436.99%Chelan County53,02018,73235.33%Douglas County26,9808,70932.28%Grant County59,15622,79938.54%Okanogan County30,68612,58441.01%Washington5,000,5161,383,14327.66%United States232,747,22270,151,188.9430.14%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2006-2010. Source geography: County.Percent Adults with No Dental ExamReport AreaWashingtonUnited StatesPct. of Population (Age 18 ) without Dental Exam within Past 1 Year, By County, CDC BRFSS 2006-2010Over 50.0%40.1 - 50.0%30.1 - 40.0%20.1 - 30.0%Under 20.1%Diabetes Management (Hemoglobin A1c Test)This indicator reports the percentage of diabetic Medicare patients who have had a hemoglobin A1c (hA1c) test, a blood test which measures blood sugar levels, administered by a health care professional in the past year. This indicator is relevant because engaging in preventive behaviors allows for early detection and treatment of health problems. This indicator can also highlight a lack of access to preventive care, a lack of health knowledge, insufficient provider outreach, and/or social barriers preventing utilization of services. Report AreaTotal Medicare Enrollees(Age 65-75) with DiabetesNumber Patients TestedPercent Patients TestedReport Area2,2401,98588.62%Chelan County67159588.67%Douglas County30727890.55%Grant County76066887.89%Okanogan County50244488.45%Washington43,71037,44785.67%United States5,408,1884,343,57380.31%Note: This indicator is compared with the state average. No breakout data available.Data Source: Dartmouth Atlas of Healthcare, Selected Measures of Primary Care Access and Quality, 2003-2007. Source geography: County.Percent Patients TestedReport AreaWashingtonUnited StatesPct. Diabetic Medicare Patients Screened, By County, Dartmouth Atlas, 2003-2007Over 90.082.1 - 90.074.1 - 82.066.1 - 74.0Under 66.1Facilities Designated as Health Professional Shortage AreasThis indicator reports the number and location of health care facilities designated as "Health Professional Shortage Areas" (HPSAs), defined as having shortages of primary medical care, dental or mental health providers. This indicator is relevant because a shortage of health professionals contributes to access and health status issues.Report AreaTotal FacilitiesPrimary Care FacilitiesMental Health Care FacilitiesDental Care FacilitiesReport Area231166Chelan County3111Douglas County1100Grant County8422Okanogan County11533Washington243917775United States8,1983,1372,6012,460Note: No breakout data available.Data Source: U.S. Health Resources and Services Administration, Health Professional Shortage Area File, 2012. Source geography: Address.Health Professional Shortage Area Facilities, by Type, HRSA, Nov. 2012Primary CareDental CareMental HealthFederally Qualified Health CentersThis indicator reports the number of Federally Qualified Halth Centers (FQHCs) in the community. This indicator is relevant because FQHCs are community assets that provide health care to vulnerable populations; they receive extra funding from the federal government to promote access to ambulatory care in areas designated as medically underserved.Report AreaNumber of Federally Qualified Health CentersReport Area10Chelan County3Douglas County0Grant County4Okanogan County3Washington131United States5,459Note: No breakout data available.Data Source: U.S. Health Resources and Services Administration, Centers for Medicare & Medicaid Services, Provider of Service File, 2011. Source geography: Address.Federally Qualified Health CentersHigh Blood Pressure ManagementThis indicator reports the percentage of adults aged 18 and older who self-report that they are not taking medication for their high blood pressure. This indicator is relevant because engaging in preventive behaviors decreases the likelihood of developing future health problems. When considered with other indicators of poor health, this indicator can also highlight a lack of access to preventive care, a lack of health knowledge, insufficient provider outreach, and/or social barriers preventing utilization of services.Report AreaTotal Population(Age 18 )Number Adults Not Taking Blood Pressure Medication (When Needed)Percent Adults Not Taking MedicationReport Area169,84246,18427.19%Chelan County53,02012,49723.57%Douglas County26,9806,86625.45%Grant County59,15617,49229.57%Okanogan County30,6869,32930.40%Washington5,000,5161,400,64528.01%United States232,747,22250,606,335.5221.74%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2006-2010. Source geography: County.Percent Adults Not Taking MedicationReport AreaWashingtonUnited StatesPct. of Adults (Age 18 ) Not Taking Medicine for High Blood Pressure (When Present), by County, CDC BRFSS 2006-2010Over 35.0%25.1 - 35.0%15.1 - 25.0%5.1 - 15.0%Under 5.1%HIV ScreeningsThis indicator reports the percentage of teens and adults age 12-70 who self-report that they have never been screened for HIV. This indicator is relevant because engaging in preventive behaviors allows for early detection and treatment of health problems. This indicator can also highlight a lack of access to preventive care, a lack of health knowledge, insufficient provider outreach, and/or social barriers preventing utilization of services.Report AreaTotal Population(Age 18 )Number Adults Never ScreenedPercent Adults Never ScreenedReport Area169,842109,33964.38%Chelan County53,02033,67363.51%Douglas County26,98017,85566.18%Grant County59,15639,35166.52%Okanogan County30,68618,46160.16%Washington5,000,5163,036,81360.73%United States232,747,222139,253,113.5159.83%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2006-2010. Source geography: County.Percent Adults Never ScreenedReport AreaWashingtonUnited StatesPct. of Population (Age 18 ) Never Screened for HIV/AIDS, By County, CDC BRFSS 2006-2010Over 80.0%70.1 - 80.0%60.1 - 70.0%50.1 - 60.0%Under 50.1%Lack of a Consistent Source of Primary CareThis indicator reports the percentage of adults aged 18 and older who self-report that they do not have at least one person who they think of as their personal doctor or health care provider. This indicator is relevant because access to regular primary care is important to preventing major health issues and emergency department visits. Report AreaTotal Population(Age 18 )Number Adults Without Any Regular DoctorPercent Adults Without Any Regular DoctorReport Area169,84242,88725.25%Chelan County53,02012,27923.16%Douglas County26,9806,26523.22%Grant County59,15615,97227%Okanogan County30,6868,37127.28%Washington5,000,5161,078,61121.57%United States232,747,22244,961,851.4419.32%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2006-2010. Source geography: County.Percent Adults Without Any Regular DoctorReport AreaWashingtonUnited StatesPct. of Adults (Age 18 ) Without Consistent Source of Primary Care, by County, CDC BRFSS 2006-2010Over 25.0%20.1 - 25.0%15.1 - 20.0%10.1 - 15.0%Under 10.1%Pneumonia Vaccinations (Age 65 )This indicator reports the percentage of adults aged 65 and older who self-report that they have ever received a pneumonia vaccine. This indicator is relevant because engaging in preventive behaviors decreases the likelihood of developing future health problems. This indicator can also highlight a lack of access to preventive care, a lack of health knowledge, insufficient provider outreach, and/or social barriers preventing utilization of services.Report AreaTotal Population (Adults Aged 65 )Number VaccinatedPercent VaccinatedReport Area31,46121,092.7967.04%Chelan County10,7077,098.7466.30%Douglas County4,7483,375.8371.10%Grant County9,6316,366.0966.10%Okanogan County6,3754,252.1366.70%Washington760,085529,65069.68%United States37,999,22521,156,71755.68%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2004-2010. Source geography: County.Percent VaccinatedReport AreaWashingtonUnited StatesPct. of Population (Age 65 )Receiving Flu Shot, Past Year, By County, CDC BRFSS 2004-2010Over 75.0%70.1 - 75.0%65.1 - 70.0%60.1 - 65.0%Under 60.1%Population Living in a Health Professional Shortage AreasThis indicator reports the percentage of the population that is living in a geographic area designated as a "Health Professional Shortage Area" (HPSA), defined as having a shortage of primary medical care, dental or mental health professionals. This indicator is relevent because a shortage of health professionals contributes to access and health status issues.Report AreaTotal Population,2010 CensusHPSA Designation PopulationUnderserved PopulationPercent of Designated Population UnderservedReport Area241,124120,903.1894,103.3277.83%Chelan County72,45324,109.9920,058.8883.20%Douglas County38,43112,788.5710,639.7583.20%Grant County89,12057,246.9048,933.1085.48%Okanogan County41,12026,757.7214,471.5954.08%Washington6,745,7521,199,964.98834,968.7769.58%United States312,676,55752,826,822.6532,117,352.0560.80%Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Health Resources and Services Administration, Health Professional Shortage Area File, 2012. Source geography: HPSA.Percent of Designated Population UnderservedReport AreaWashingtonUnited StatesUnderserved Population in HPSA for Primary Care Providers, 2011Over 80.0%70.1 - 80.0%60.1 - 70.0%50.1 - 60.0%Under 50.1%Preventable Hospital EventsThis indicator reports the discharge rate (per 1,000 hospital admissions) for conditions that are ambulatory care sensitive (those admissions which could have been prevented if adequate primary care resources were available and accessed by those patients). This indicator is relevant because analysis of ACS discharges allows demonstrating a possible “return on investment” from interventions that reduce admissions (for example, for uninsured or Medicaid patients) through better access to primary care resources. Report AreaTotal Medicare Enrollees(Age 65-75)Preventable Hospital Admissions (ACSCs)Preventable Hospital Admission (ACSC) Rate (Per 1,000 Medicare Enrollees)Report Area25,2551,23348.82Chelan County8,73941847.83Douglas County3,50415845.09Grant County7,79640752.21Okanogan County5,21625047.93Washington512,96825,17449.08United States53,239,8654,053,74076.14Note: This indicator is compared with the state average. No breakout data available.Data Source: Dartmouth Atlas of Healthcare, Selected Measures of Primary Care Access and Quality, 2003-2007. Source geography: County.Preventable Hospital Admission (ACSC) Rate (Per 1,000 Medicare Enrollees)Report AreaWashingtonUnited StatesRate (Per 1,000 Medicare Patients), By County, Dartmouth Atlas, 2003-2007Over 120.0100.1 - 120.075.1 - 100.050.1 - 75.0Under 50.1Health BehaviorsHealth behaviors such as poor diet, a lack of exercise, and substance abuse contribute to poor health status. Heavy Alcohol ConsumptionThis indicator reports the percentage of adults aged 18 and older who self-report heavy alcohol consumption (defined as more than two drinks per day for men and one drink per day for women). This indicator is relevant because current behaviors are determinants of future health and this indicator may illustrate a cause of significant health issues, such as cirrhosis, cancers, and untreated mental and behavioral health needs. Report AreaTotal Population(Age 18 )Number Heavy DrinkersPercent Heavy DrinkersReport Area166,19325,343.0115.25%Chelan County52,5808,255.0615.70%Douglas County26,0994,019.2515.40%Grant County57,5967,833.0613.60%Okanogan County29,9185,235.6517.50%Washington1,716,677286,68516.70%United States111,821,88718,576,86716.61%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2004-2010. Source geography: County.Insert ACES – Health Youth Survey data on impact on youth –How many kids live in homes where there is substance abuse including alcoholPercent Heavy DrinkersReport AreaWashingtonUnited StatesPct. of Adults (Age 18 ) Drinking Alcohol Heavily, By County, CDC BRFSS 2004-2010Over 22.0%18.1 - 22.0%14.1 - 18.0%10.1 - 14.0%Under 10.1%Inadequate Fruit/Vegetable Consumption (Adult)This indicator reports the percentage of adults aged 18 and older who self-report consuming less than 5 servings of fruits and vegetables each day. This indicator is relevant because current behaviors are determinants of future health, and because unhealthy eating habits may illustrate a cause of significant health issues, such as obesity and diabetes.Report AreaTotal Population(Age 18 )Population Consuming Few Fruits or VegetablesPercent Consuming Few Fruits or VegetablesReport Area166,193127,016.4376.43%Chelan County52,58039,750.4875.60%Douglas County26,09919,600.3575.10%Grant County57,59645,616.0379.20%Okanogan County29,91822,049.5773.70%Washington1,716,6771,289,22475.10%United States111,821,88784,891,30975.92%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2003-2009. Source geography: County.Percent Consuming Few Fruits or VegetablesReport AreaWashingtonUnited StatesPct. of Adults (Age 18 ) Consuming Few Fruits/Vegetables, By County, CDC BRFSS 2004-2010Over 85.0%81.1 - 85.0%77.1 - 81.0%73.1 - 77.0%Under 73.1%Physical Inactivity (Adult)This indicator reports the percentage of adults aged 18 and older who self-report no leisure time for activity, based on the question: "During the past month, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?". This indicator is relevant because current behaviors are determinants of future health and this indicator may illustrate a cause of significant health issues, such as obesity and poor cardiovascular health.Report AreaTotal Population(Age 18 )Number Physically InactivePercent Physically InactiveReport Area166,19339,822.9423.96%Chelan County52,58011,304.7021.50%Douglas County26,0995,872.2822.50%Grant County57,59615,435.7326.80%Okanogan County29,9187,210.2424.10%Washington1,716,677312,43518.20%United States111,821,88727,579,94924.66%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2004-2010. Source geography: County.Percent Physically InactiveReport AreaWashingtonUnited StatesPct. of Adults (Age 18 ) Performing No Physical Activity, By County, CDC BRFSS 2004-2010Over 32.0%27.1 - 32.0%22.1 - 27.0%17.1 - 22.0%Under 17.1%Tobacco Usage (Adult)This indicator reports the percentage of adults aged 18 and older who self-report currently smoking cigarettes some days or every day. This indicator is relevant because tobacco use is linked to leading causes of death such as cancer and cardiovascular disease. Report AreaTotal Population(Age 18 )Number Cigarette SmokersPercent Cigarette SmokersReport Area166,19329,52917.77%Chelan County52,5807,99215.20%Douglas County26,0994,48917.20%Grant County57,59610,13717.60%Okanogan County29,9186,91123.10%Washington1,716,677284,96816.60%United States111,821,88721,551,35019.27%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2004-2010. Source geography: County.Percent Cigarette SmokersReport AreaWashingtonUnited StatesPct. of Adults (Age 18 ) Smoking Cigarettes, By County, CDC BRFSS 2004-2010Over 30.1%25.1 - 30.0%20.1 - 25.0%15.1 - 20.0%Under 15.1%Health OutcomesMeasuring morbidity and mortality rates allows assessing linkages between social determinants of health and outcomes. By comparing, for example, the prevalence of certain chronic diseases to indicators in other categories (e.g., poor diet and exercise) with outcomes (e.g., high rates of obesity and diabetes), various causal relationship may emerge, allowing a better understanding of how certain community health needs may be addressed.Accident MortalityThis indicator reports the rate of death due to unintentional injury (accident) per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because accidents are a leading cause of death in the U.S.Report AreaTotal Population, 2006-2010 AverageAnnual Deaths, 2006-2010 AverageCrude Death Rate (Per 100,000 Pop.)Age-Adjusted Death Rate(Per 100,000 Pop.)Report Area233,29512151.8750.78Chelan County70,9393347.0841.40Douglas County37,1291438.7839.29Grant County85,0174654.3456.88Okanogan County40,2102767.1565.03Washington6,557,3072,67040.7139.89United States303,844,430121,21739.8939.07HP 2020 Target<= 36.0Note: This indicator is compared with the Healthy People 2020 Target.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, Underlying Cause of Death, 2006-2010. . Accessed through CDC WONDER. Source geography: County.Age-Adjusted Death Rate(Per 100,000 Pop.)Report AreaHP 2020 TargetUnited StatesDeath Rate (Per 100,000 Pop.), By County, CDC NVSS 2006-2010Over 75.060.1 - 75.045.1 - 60.030.1 - 45.0Under 30.1Population by Race / Ethnicity, Accident Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaWhiteBlackAsianAmerican Indian / Alaskan NativeHispanic / LatinoNot Hispanic / LatinoReport Area49.01no datano data148.0736.0353.11Chelan County42.25no datano datano data39.6843.39Douglas County39.19no datano datano data31.6239.47Grant County57.06no datano datano data35.4158.69Okanogan County53.84no datano data148.07no data70.82Washington40.8537.3019.4478.9928.3340.58United States40.9934.0915.8149.5028.4940.45Population by Gender, Accident Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaMaleFemaleReport Area66.6734.58Chelan County53.1930.03Douglas County57.7218.94Grant County72.3941.68Okanogan County86.1442.42Washington53.0227.70United States53.8225.53Asthma PrevalenceThis indicator reports the percentage of adults aged 18 and older who self-report that they have ever been told by a doctor, nurse, or other health professional that they had asthma. This indicator is relevant because asthma is a prevalent problem in the U.S. that is often exacerbated by poor environmental conditions. Report AreaTotal Population(Age 18 )Number Adults with AsthmaPercent Adults with AsthmaReport Area169,84222,08013.00%Chelan County53,0206,81312.85%Douglas County26,9803,58813.30%Grant County59,1567,21112.19%Okanogan County30,6864,46814.56%Washington5,000,516749,57714.99%United States232,747,22230,473,296.4413.09%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2006-2010. Source geography: County.Percent Adults with AsthmaReport AreaWashingtonUnited StatesPct. of Population (Age 18 ) Ever Diagnosed with Asthma, By County, CDC BRFSS 2006-2010Over 18.0%15.1 - 18.0%12.1 - 15.0%9.1 - 12.0%Under 9.1%Breast Cancer IncidenceThis indicator reports the age adjusted incidence rate (cases per 100,000 population per year) of females with breast cancer adjusted to 2000 U.S. standard population age groups (Under Age 1, 1-4, 5-9, ..., 80-84, 85 and older). This indicator is relevant because cancer is a leading cause of death and it is important to identify cancers separately to better target interventions.Report AreaTotal Population,ACS 2005-2009Annual Incidence, 2005-2009 AverageAnnual Incidence Rate (Per 100,000 Pop.)Report Area230,131255110.80Chelan County70,66879112.40Douglas County36,14544120.40Grant County83,61292109.70Okanogan County39,70640101.30Washington6,465,7558,522131.80United States301,461,536367,783122Note: This indicator is compared with the state average.Data Source: The Centers for Disease Control and Prevention, and the National Cancer Institute: State Cancer Profiles, 2005-2009. Source geography: County.Annual Incidence Rate (Per 100,000 Pop.)Report AreaWashingtonUnited StatesBreast Cancer Age Adjusted Incidence Rate (Per 100,000 Pop.), By County, NCI 2005-2009Over 135.0120.1 - 135.0105.1 - 120.090.1 - 105.0Under 90.1Cancer MortalityThis indicator reports the rate of death due to malignant neoplasm (cancer) per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because cancer is a leading cause of death in the United States.Report AreaTotal Population, 2006-2010 AverageAnnual Deaths, 2006-2010 AverageCrude Death Rate (Per 100,000 Pop.)Age-Adjusted Death Rate(Per 100,000 Pop.)Report Area233,295450192.89173.89Chelan County70,939142199.89161.54Douglas County37,12972192.84178.84Grant County85,017146172.20181.97Okanogan County40,21090224.32174.02Washington6,557,30711,607177.01174.90United States303,844,430566,121186.32176.66HP 2020 Target<= 160.6Note: This indicator is compared with the Healthy People 2020 Target.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, Underlying Cause of Death, 2006-2010. . Accessed through CDC WONDER. Source geography: County.Age-Adjusted Death Rate(Per 100,000 Pop.)Report AreaHP 2020 TargetUnited StatesDeath Rate (Per 100,000 Pop.), By County, CDC NVSS 2006-2010Over 210.0190.1 - 210.0170.1 - 190.0150.1 - 170.0Under 150.1Population by Race / Ethnicity, Cancer Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaWhiteBlackAsianAmerican Indian / Alaskan NativeHispanic / LatinoNot Hispanic / LatinoReport Area173.26no data233.43251.45116.96179.55Chelan County161.29no datano datano data72.98167.47Douglas County180.79no datano datano data122.04185.57Grant County180.71no data233.43285.99115.95191.52Okanogan County171.82no datano data239.38227.35174.82Washington45.0732.1215.7043.6115.6843.98United States176.12209.70108.72122.20121.09180.92Population by Gender, Cancer Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaMaleFemaleReport Area210.89144.82Chelan County187.37141.05Douglas County223.79142.63Grant County222.31151.80Okanogan County215.68139.02Washington206.71152.22United States215.04150.05Cervical Cancer Incidence Does hospital have internal data???This indicator reports the age adjusted incidence rate (cases per 100,000 population per year) of females with cervical cancer adjusted to 2000 U.S. standard population age groups (Under age 1, 1-4, 5-9, ..., 80-84, 85 and older). This indicator is relevant because cancer is a leading cause of death and it is important to identify cancers separately to better target interventions.Report AreaTotal Population,ACS 2005-2009Annual Incidence, 2005-2009 AverageAnnual Incidence Rate (Per 100,000 Pop.)Report Area230,131no datano dataChelan County70,668no datano dataDouglas County36,145no datano dataGrant County83,612no datano dataOkanogan County39,706no datano dataWashington6,465,7554466.90United States301,461,53624,1178HP 2020 Target<= 7.1Note: This indicator is compared with the Healthy People 2020 Target.Data Source: The Centers for Disease Control and Prevention, and the National Cancer Institute: State Cancer Profiles, 2005-2009. Source geography: County.Annual Incidence Rate (Per 100,000 Pop.)Report AreaHP 2020 TargetUnited StatesAge Adjusted Rate (Per 100,000 Pop.), By County, NCI 2005-2009Over 12.010.1 - 12.08.1 - 10.06.1 - 8.0Under 6.0Chlamydia Incidence – Who’s reporting it? Or not reporting?This indicator reports incidence rate of chlamydia cases per 100,000 population. This indicator is relevant because it is a measure of poor health status and indicates the prevalence of unsafe sex practices. Report AreaTotal Population,2010 Census Reported Cases of ChlamydiaChlamydia Rate (Per 100,000 Pop.)Report Area241,124609252.57Chelan County72,453230321.50Douglas County38,4311438.20Grant County89,120260307Okanogan County41,120105262.30Washington6,724,54021,387326.56United States308,730,6771,236,680406.89Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention and the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, 2009. Source geography: County.Chlamydia Rate (Per 100,000 Pop.)Report AreaWashingtonUnited StatesChlamydia Incidence (Per 100,000 Pop.), By County, CDC 2009Over 400.0300.1 - 400.0200.1 - 300.1100.1 - 200.0Under 100.1Colon and Rectum Cancer IncidenceThis indicator reports the age adjusted incidence rate (cases per 100,000 population per year) of colon and rectum cancer adjusted to 2000 U.S. standard population age groups (Under age 1, 1-4, 5-9, ..., 80-84, 85 and older). This indicator is relevant because cancer is a leading cause of death and it is important to identify cancers separately to better target interventions. Report AreaTotal Population,ACS 2005-2009Annual Incidence, 2005-2009 AverageAnnual Incidence Rate (Per 100,000 Pop.)Report Area230,1319239.90Chelan County70,6682738.80Douglas County36,1451542.40Grant County83,6123339Okanogan County39,7061741.60Washington6,465,7552,74142.40United States301,461,536121,18840.20HP 2020 Target<= 38.6Note: This indicator is compared with the Healthy People 2020 Target.Data Source: The Centers for Disease Control and Prevention, and the National Cancer Institute: State Cancer Profiles, 2005-2009. Source geography: County.Annual Incidence Rate (Per 100,000 Pop.)Report AreaHP 2020 TargetUnited StatesAge Adjusted Incidence Rate (Per 100,000 Pop.), By County, NCI 2005-2009Over 56.050.1 - 56.044.1 - 50.038.1 - 44.0Under 38.1Population by Race / Ethnicity, New Colon and Rectum Cancer Incidence (Count)Report AreaWhiteBlackAsianAmerican Indian / Alaskan NativeHispanic / LatinoReport Area750000Chelan County260000Douglas County120000Grant County250000Okanogan County120000Washington1,61810414446172United States101,23620,4214,752788118,173Population by Race / Ethnicity, Colon and Rectum Cancer Incidence Rate (Per 100,000)Report AreaWhiteBlackAsianAmerican Indian / Alaskan NativeHispanic / LatinoReport Area41.100000Chelan County40.900000Douglas County43.600000Grant County41.600000Okanogan County38.800000Washington31.1047.2033.9050.7027.60United States45.1054.803632.5039.20Diabetes PrevalenceThis indicator reports the percentage of adults aged 20 and older who have ever been told by a doctor that they have diabetes. This indicator is relevant because diabetes is a prevalent problem in the U.S.; it may indicate an unhealthy lifestyle and puts individuals at risk for further health issues.Report AreaTotal Population (Age 20 )Population with DiabetesPercent with DiabetesReport Area185,757.6914,7657.95%Chelan County60,589.044,4237.30%Douglas County28,897.442,2547.80%Grant County60,321.845,2488.70%Okanogan County35,949.372,8407.90%Washington5,099,075.37395,1867.75%United States239,583,791.9721,015,5238.77%Note: This indicator is compared with the state average.Data Source: Centers for Disease Control and Prevention, National Diabetes Surveillance System, 2009. Source geography: County.Percent with DiabetesReport AreaWashingtonUnited StatesPct. Adults Diagnosed with Diabetes, By County, CDC National Diabetes Surveillance System, 2009Over 12.0%10.1 - 12.0%8.1 - 10.0%6.1 - 8.0%Under 6.1%Population by Gender, Adults with Diabetes, Percentage (Age-Adjusted)Report AreaMaleFemaleReport Area8.60%7.43%Chelan County7.60%7%Douglas County8.30%7.30%Grant County9.60%7.90%Okanogan County8.60%7.40%Washington8.28%7.22%United States9.48%8.08%Heart Disease MortalityThis indicator reports the rate of death due to coronary heart disease per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because heart disease is a leading cause of death in the United States.Report AreaTotal Population, 2006-2010 AverageAnnual Deaths, 2006-2010 AverageCrude Death Rate (Per 100,000 Pop.)Age-Adjusted Death Rate(Per 100,000 Pop.)Report Area233,295302129.28115.75Chelan County70,93999139.56104.19Douglas County37,12941110.43103.13Grant County85,017104122.56130.84Okanogan County40,21057142.75115.88Washington6,557,3078,065122.99121.14United States303,844,430432,552142.36134.65HP 2020 Target<= 100.8Note: This indicator is compared with the Healthy People 2020 Target.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, Underlying Cause of Death, 2006-2010. . Accessed through CDC WONDER. Source geography: County.Age-Adjusted Death Rate(Per 100,000 Pop.)Report AreaHP 2020 TargetUnited StatesDeath Rate (Per 100,000 Pop.), By County, CDC NVSS 2006-2010Over 175.0150.1 - 175.0125.1 - 150.0100.1 - 125.0Under 100.1Population by Race / Ethnicity, Coronary Heart Disease Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaWhiteBlackAsianAmerican Indian / Alaskan NativeHispanic / LatinoNot Hispanic / LatinoReport Area115.94no datano data108.3677.09118.46Chelan County104.11no datano datano datano data106.64Douglas County103.70no datano datano datano data105.90Grant County131.71no datano datano data77.09137.71Okanogan County115.24no datano data108.36no data116.74Washington122.49137.1277.57156.7688.27121.96United States132.80170.3580.4798.48109.88136.45Population by Gender, Coronary Heart Disease Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaMaleFemaleReport Area149.3886.86Chelan County138.8475.83Douglas County134.4878.50Grant County166.4199.68Okanogan County144.9587.54Washington158.9791.07United States175103.44Heart Disease PrevalenceThis indicator reports the percentage of adults aged 18 and older who have ever been told by a doctor that they have coronary heart disease or angina. This indicator is relevant because coronary heart disease is a leading cause of death in the U.S. and is also related to high blood pressure, high cholesterol, and heart attacks. Report AreaTotal Population(Age 18 )Number Adults with Heart DiseasePercent Adults with Heart DiseaseReport Area169,8426,7273.96%Chelan County53,0202,2694.28%Douglas County26,9801,0633.94%Grant County59,1561,9233.25%Okanogan County30,6861,4734.80%Washington5,000,516173,0183.46%United States232,747,2229,911,760.854.26%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2006-2010. Source geography: County.Percent Adults with Heart DiseaseReport AreaWashingtonUnited StatesPct. of Population (Age 18 ) Ever Diagnosed with Cardiovascular Disease, By County, CDC BRFSS 2006-2010Over 7.0%5.1 - 7.0%4.1 - 5.0%2.1 - 4.0%Under 2.1%HIV PrevalenceThis indicator reports prevalence rate of HIV per 100,000 population. This indicator is relevant because HIV is a life-threatening communicable disease that disproportionately affects minority populations and may also indicate the prevalence of unsafe sex practices. Report AreaTotal PopulationACS 2005-2009Estimated Population with HIVHIV Prevalence RateReport Area230,13111549.90Chelan County70,6684564.90Douglas County36,145616.90Grant County83,6123542.30Okanogan County39,7062975.30Washington6,465,75512,013185.80United States297,679,913994,491334Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention and the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, 2008. Source geography: County.HIV Prevalence RateReport AreaWashingtonUnited StatesRate (Per 100,000 Pop.), By County, CDC 2008Over 300.0200.1 - 300.0100.1 - 200.050.1 - 100.0Under 50.1ACES – ShellyEver abused by an adult?? Emotional, physical, sexual - RDA- County Protective Neglect – emotional, physical - RDAMother treated violently - RDAHousehold substance abuse – TARGET system has Medicaid Systems Abuse abuseHousehold mental illness – RSN?? Tamara?, Roger Bauer in Okan.? Jeff in GrantParental separation or divorce – County data? – Trends?Incarcerated household member – County data? – Trends?Treatment Related data-RDA reportJust for Medicaid/GAU population- Adult and youth drug of choice?- disabled- treatment completion- How much is spent on treatment- use by age, court involved- whether they’re a parent- if their homeless- identified mental health issuesHomicide Look up data for Chelan and DouglasThis indicator reports the rate of death due to assault (homicide) per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because homicide rate is a measure of poor community safety and is a leading cause of premature death.Report AreaTotal Population, 2006-2010 AverageAnnual Deaths, 2006-2010 AverageCrude Death Rate (Per 100,000 Pop.)Age-Adjusted Death Rate(Per 100,000 Pop.)Report Area233,29565.115.95Chelan County70,939no datano datano dataDouglas County37,129no datano datano dataGrant County85,01745.185.74Okanogan County40,21024.976.39Washington6,557,3072043.113.09United States303,844,43017,5645.785.81HP 2020 Target<= 5.5Note: This indicator is compared with the Healthy People 2020 Target.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, Underlying Cause of Death, 2006-2010. . Accessed through CDC WONDER. Source geography: County.Age-Adjusted Death Rate(Per 100,000 Pop.)Report AreaHP 2020 TargetUnited StatesDeath Rate (Per 100,000 Pop.), By County, CDC NVSS 2006-2010Over 11.08.1 - 11.05.1 - 8.02.1 - 5.0Under 2.1Population by Race / Ethnicity, Homicide, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaWhiteBlackAsianAmerican Indian / Alaskan NativeHispanic / LatinoNot Hispanic / LatinoReport Area5.16no datano datano data9.46no dataChelan Countyno datano datano datano datano datano dataDouglas Countyno datano datano datano datano datano dataGrant County5.16no datano datano data9.46no dataOkanogan Countyno datano datano datano datano datano dataWashington2.6210.042.767.934.572.85United States3.5819.502.165.986.335.68Population by Gender, Homicide Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaMaleFemaleReport Area10.33no dataChelan Countyno datano dataDouglas Countyno datano dataGrant County10.33no dataOkanogan Countyno datano dataWashington4.481.67United States9.162.43Infant MortalityThis indicator reports the rate of deaths to infants less than one year of age per 1,000 births. This indicator is relevant because high rates of infant mortality indicate the existence of broader issues pertaining to access to care and maternal and child health. Report AreaTotal BirthsTotal Infant DeathsInfant Mortality Rate (Per 1,000 Births)Report Area24,9711576.29Chelan County6,818385.57Douglas County3,621226.08Grant County10,698736.82Okanogan County3,834246.26Washington600,4273,0885.14United States58,600,996393,0746.71HP 2020 Target<= 6.0Note: This indicator is compared with the Healthy People 2020 Target.Data Source: Centers for Disease Control and Prevention, National Vital Statistics System, 2003-2009. Source geography: County.Infant Mortality Rate (Per 1,000 Births)Report AreaHP 2020 TargetUnited StatesDeath Rate (Per 1,000 Births), By County, CDC NVSS 2003-2009Over 11.09.1 - 11.07.1 - 9.05.1 - 7.0Under 5.0Population by Race / Ethnicity, Infant Mortality Rate (Per 1,000 Live Births)Report AreaWhite (Non-Hispanic)Black (Non-Hispanic)Asian (Non-Hispanic)American Indian / Alaskan NativeHispanic / LatinoReport Area5.63no datano datano datano dataChelan County5.91no datano datano data5.46Douglas County5.50no datano datano data7.68Grant County5.44no datano datano datano dataWashington4.6510.833.40no data5.98United States5.5813.763.447.175.65Low Birth WeightThis indicator reports the percentage of total births that were low birth weight (Under 2500g). This indicator is relevant because low birth weight infants are at high risk for health problems. This indicator can also highlight the existence of health disparities. Report AreaTotal BirthsNumber Low Birth Weight (< 2500g)Percent Low Birth WeightReport Area24,3701,5236.25%Chelan County6,6854005.98%Douglas County3,5081955.56%Grant County10,4576656.36%Okanogan County3,7202637.07%Washington587,60336,4776.21%United States29,126,4512,359,8438.10%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, National Vital Statistics Systems, 2003-2009. Accessed through the Health Indicators Warehouse. Source geography: County.Percent Low Birth WeightReport AreaWashingtonUnited StatesPct. of Total Live Births, By County, NCHS 2002-2008Over 10.0%8.6 - 10.0%7.1 - 8.5%5.6 - 7.0%Under 5.6%Lung Cancer IncidenceThis indicator reports the age adjusted incidence rate (cases per 100,000 population per year) of lung cancer adjusted to 2000 U.S. standard population age groups (Under age 1, 1-4, 5-9, ..., 80-84, 85 and older). This indicator is relevant because cancer is a leading cause of death and it is important to identify cancers separately to better target interventions. Report AreaTotal Population,ACS 2005-2009Annual Incidence, 2005-2009 AverageAnnual Incidence Rate (Per 100,000 Pop.)Report Area230,13112855.60Chelan County70,6683651.40Douglas County36,1451952.40Grant County83,6125059.70Okanogan County39,7062356.80Washington6,465,7554,15164.20United States301,461,536202,58267.20Note: This indicator is compared with the state average.Data Source: The Centers for Disease Control and Prevention, and the National Cancer Institute: State Cancer Profiles, 2005-2009. Source geography: County.Annual Incidence Rate (Per 100,000 Pop.)Report AreaWashingtonUnited StatesAge Adjusted Incidence Rate (Per 100,000 Pop.), By County, NCI 2005-2009Over 90.080.1 - 90.070.1 - 80.060.1 - 70.0Under 60.1Lung Disease MortalityThis indicator reports the rate of death due to chronic lower respiratory disease per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because lung disease is a leading cause of death in the United States.Report AreaTotal Population, 2006-2010 AverageAnnual Deaths, 2006-2010 AverageCrude Death Rate (Per 100,000 Pop.)Age-Adjusted Death Rate(Per 100,000 Pop.)Report Area233,29511649.8944.97Chelan County70,9393752.4441.06Douglas County37,1291540.9438.95Grant County85,0173844.9348.30Okanogan County40,2102664.1650.37Washington6,557,3072,78942.5443.30United States303,844,430133,80644.0442.40Note: This indicator is compared with the state average.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, Underlying Cause of Death, 2006-2010. . Accessed through CDC WONDER. Source geography: County.Age-Adjusted Death Rate(Per 100,000 Pop.)Report AreaWashingtonUnited StatesDeath Rate (Per 100,000 Pop.), By County, CDC NVSS 2006-2010Over 75.060.1 - 75.045.1 - 60.030.1 - 45.0Under 30.1Population by Race / Ethnicity, Lung Disease Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaWhiteBlackAsianAmerican Indian / Alaskan NativeHispanic / LatinoNot Hispanic / LatinoReport Area45.21no datano datano datano datano dataChelan County41.03no datano datano datano datano dataDouglas County38.64no datano datano datano datano dataGrant County49.23no datano datano datano datano dataOkanogan County50.94no datano datano datano datano dataWashington45.0732.1215.7043.6115.6843.98United States44.7129.1514.6132.0719.6444Population by Gender, Lung Disease Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaMaleFemaleReport Area48.1543.09Chelan County42.4340.50Douglas County43.2635.14Grant County53.9544.95Okanogan County50.2051.20Washington47.5040.72United States49.5637.82Motor Vehicle Crash DeathThis indicator reports the rate of death due to motor vehicle crashes per 100,000 population, which include collisions with another motor vehicle, a nonmotorist, a fixed object, and a non-fixed object, an overturn, and any other non-collision. This indicator is relevant because motor vehicle crash deaths are preventable and they are a cause of premature death.Report AreaTotal Deaths,2008-2010Average Annual Deaths,2008-2010Average Annual Death Rate(Per 100,000 Pop.)Report Area1193916.40Chelan County25811.50Douglas County625.20Grant County602022.44Okanogan County28922.70Washington1,4584867.20United States103,04834,34911.13HP 2020 Target<= 12.4Note: This indicator is compared with the Healthy People 2020 Target. No breakout data available.Data Source: National Highway Traffic Safety Administration, Fatality Analysis Reporting System, 2008-2010. Source geography: County.Average Annual Death Rate(Per 100,000 Pop.)Report AreaHP 2020 TargetUnited StatesDeath Rate (Per 100,000 Pop.), By County, NHTSA, 2008-2010Over 72.036.1 - 72.012.1 - 36.0Under 12.1No DeathsObesity (Adult) Add age related data – Child obesityThis indicator reports the percentage of adults aged 18 and older who self-report that they have a Body Mass Index (BMI) greater than 30.0 (obese). This indicator is relevant because excess weight is a prevalent problem in the U.S.; it indicates an unhealthy lifestyle and puts individuals at risk for further health issues.Report AreaTotal Population (Age 20 )Number ObesePercent ObeseReport Area166,448.7946,95228.21%Chelan County52,454.5512,69424.20%Douglas County26,231.057,26627.70%Grant County58,308.6418,89232.40%Okanogan County29,454.558,10027.50%Washington4,946,122.841,341,72027.13%United States224,690,904.7161,460,30827.35%Note: This indicator is compared with the state average.Data Source: Centers for Disease Control and Prevention, National Diabetes Surveillance System, 2009. Source geography: County.Percent ObeseReport AreaWashingtonUnited StatesPct. Adults Obese (BMI >25.0), By County, CDC National Diabetes Surveillance System, 2009Over 32.0%30.1 - 32.0%28.1 - 30.0%26.1 - 28.0%Under 26.1%Population by Gender, Adults Obese, Percentage (Age-Adjusted)Report AreaMaleFemaleReport Area29.36%27.01%Chelan County25.70%22.60%Douglas County28.50%26.90%Grant County33.70%31.10%Okanogan County27.80%27.20%Washington28.03%26.10%United States28.30%26.03%Overweight (Adult)This indicator reports the percentage of adults aged 18 and older who self-report that they have a Body Mass Index (BMI) between 25.0 and 30.0 (overweight). This indicator is relevant because excess weight is a prevalent problem in the U.S.; it indicates an unhealthy lifestyle and puts individuals at risk for further health issues.Report AreaTotal Population(Age 18 )Number OverweightPercent OverweightReport Area169,84261,12335.99%Chelan County53,02018,88035.61%Douglas County26,98010,39338.52%Grant County59,15621,09535.66%Okanogan County30,68610,75535.05%Washington5,000,5161,796,18535.92%United States232,747,22284,521,271.0936.31%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2006-2010. Source geography: County.Percent OverweightReport AreaWashingtonUnited StatesPct. of Adults (Age 18 ) Overweight (BMI 25.0-29.9), by County, CDC BRFSS 2006-2010Over 45.0%40.1 - 45.0%35.1 - 40.0%30.1 - 35.0%Under 30.1%Pedestrian Motor Vehicle DeathThis indicator reports the rate of pedestrians killed by motor vehicles per 100,000 population. This indicator is relevant because pedestrian-motor vehicle crash deaths are preventable and they are a cause of premature death. Report AreaTotal Deaths,2008-2010Average Annual Deaths,2008-2010Average Annual Death Rate(Per 100,000 Pop.)Report Area821.10Chelan County311.38Douglas County000Grant County411.50Okanogan County100.81Washington183610.90United States12,7504,2501.38HP 2020 Target<= 1.3Note: This indicator is compared with the Healthy People 2020 Target. No breakout data available.Data Source: National Highway Traffic Safety Administration, Fatality Analysis Reporting System, 2008-2010. Source geography: County.Average Annual Death Rate(Per 100,000 Pop.)Report AreaHP 2020 TargetUnited StatesDeath Rate (Per 100,000 Pop.), By County, NHTSA, 2008-2010Over 5.003.01 - 5.001.51 - 3.00Under 1.51No DeathsPoor Dental HealthThis indicator reports the percentage of adults age 18 and older who self-report that six or more of their permanent teeth have been removed due to tooth decay, gum disease, or infection. This indicator is relevant because it indicates lack of access to dental care and/or social barriers to utilization of dental services.Report AreaTotal Population(Age 18 )Number Adults with Poor Dental HealthPercent Adults with Poor Dental HealthReport Area169,84225,94715.28%Chelan County53,0207,67214.47%Douglas County26,9804,41916.38%Grant County59,1568,89115.03%Okanogan County30,6864,96516.18%Washington5,000,516601,06212.02%United States232,747,22236,229,52015.57%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2006-2010. Source geography: County.Percent Adults with Poor Dental HealthReport AreaWashingtonUnited StatesPct. of Population (Age 18 ) with 6 or More Permanent Teeth Removed, By County, CDC BRFSS 2006-2010Over 30.0%24.1 - 30.0%18.1 - 24.0%12.1 - 18.0%Under 12.1%Poor General HealthThis indicator reports the percentage of adults age 18 and older who self-report having poor or fair health. This indicator is relevant because it is a measure of general poor health status. The source of this indicator is the Centers for Disease Control and Prevention, Behavioral Risk Factors Surveillance System (BRFSS) 2010.Report AreaTotal Population (Age 18 )Number Reporting Poor General HealthPercent Reporting Poor General HealthReport Area166,19327,962.4616.83%Chelan County52,5807,72914.70%Douglas County26,0994,04515.50%Grant County57,59610,71318.60%Okanogan County29,9185,47518.30%Washington1,716,677228,31813.30%United States111,821,88718,188,24216.27%Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2004-2010. Source geography: County.Percent Reporting Poor General HealthReport AreaWashingtonUnited StatesPct. of Adults (Age 18 ) with Poor or Fair Health, By County, CDC BRFSS 2004-2010Over 25.0%20.1 - 25.0%15.1 - 20.0%10.1 - 15.0%Under 10.1%Population with Any DisabilityThis indicator reports the percentage of the total civilian noninstitutionalized population with a disability. This indicator is relevant because disabled individuals comprise a vulnerable population that requires targeted services and outreach by providers. Report AreaPopulation for Whom Disability Status Is DeterminedTotal Population with a DisabilityPercent Population with a DisabilityReport Area236,22531,39113.29%Chelan County71,3449,16212.84%Douglas County37,7655,46514.47%Grant County86,55010,68312.34%Okanogan County40,5666,08114.99%Washington6,546,049783,92011.98%United States301,501,76036,180,12412%Note: This indicator is compared with the state average. No breakout data available.Data Source: U.S. Census Bureau, 2008-2010 American Community Survey 3-Year Estimates. Source geography: Tract.Percent Population with a DisabilityReport AreaWashingtonUnited StatesDisabled Population, By County, 2008-2010 3-Year ACSOver 18.0%15.1 - 18.0%13.1 - 15.0%10.1 - 13.0%Under 10.1%Premature DeathThis indicator reports Years of Potential Life Lost (YPLL) before age 75 per 100,000 population for all causes of death, age-adjusted to the 2000 standard. YPLL measures premature death and is calculated by subtracting the age of death from the 75 year benchmark. This indicator is relevant because a measure of premature death can provide a unique and comprehensive look at overall health status. Report AreaTotal Population,2006-2008 AverageAnnual Premature Deaths,2006-2008 AverageYears of Potential Life Lost (Rate per 100,000 Pop.)Report Area214,5377646,515Chelan County64,8592035,054Douglas County34,2221076,101Grant County78,4392636,985Okanogan County37,0171918,462Washington6,106,53919,7165,888United States283,115,0151,058,4937,131Note: This indicator is compared with the state average. No breakout data available.Data Source: Centers for Disease Control and Prevention, National Vital Statistics System, 2008-2010 (As Reported in the 2012 County Health Rankings). Source geography: County.Years of Potential Life Lost (Rate per 100,000 Pop.)Report AreaWashingtonUnited StatesYears of Potential Life Lost Before Age 75 (Per 100,000 Pop.)Over 12,00010,001 - 12,0008,001 - 10,0006,001 - 8,000Under 6,000Prostate Cancer Incidence – Look for data on screening?This indicator reports the age adjusted incidence rate (cases per 100,000 population per year) of males with prostate cancer adjusted to 2000 U.S. standard population age groups (Under age 1, 1-4, 5-9, ..., 80-84, 85 and older). This indicator is relevant because cancer is a leading cause of death and it is important to identify cancers separately to better target interventions. Report AreaTotal Population,ACS 2005-2009Annual Incidence, 2005-2009 AverageAnnual Incidence Rate (Per 100,000 Pop.)Report Area230,131420182.50Chelan County70,668137194.50Douglas County36,14578217.50Grant County83,612138165.20Okanogan County39,70667169.80Washington6,465,75510,041155.30United States301,461,536456,412151.40Note: This indicator is compared with the state average.Data Source: The Centers for Disease Control and Prevention, and the National Cancer Institute: State Cancer Profiles, 2005-2009. Source geography: County.Annual Incidence Rate (Per 100,000 Pop.)Report AreaWashingtonUnited StatesAge Adjusted Rate (Per 100,000 Pop.), By County, NCI 2004-2008Over 180.0160.1 - 180.0140.1 - 160.0120.1 - 140.0Under 120.1Stroke MortalityThis indicator reports the rate of death due to cerebrovascular disease (stroke) per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because stroke is a leading cause of death in the United States.Report AreaTotal Population, 2006-2010 AverageAnnual Deaths, 2006-2010 AverageCrude Death Rate (Per 100,000 Pop.)Age-Adjusted Death Rate(Per 100,000 Pop.)Report Area233,29511348.2743.08Chelan County70,9394258.9243.54Douglas County37,1291642.0240.85Grant County85,0173541.1744.55Okanogan County40,2102050.2441.24Washington6,557,3072,66640.6540.63United States303,844,430133,10743.8141.78HP 2020 Target<= 33.8Note: This indicator is compared with the Healthy People 2020 Target.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, Underlying Cause of Death, 2006-2010. . Accessed through CDC WONDER. Source geography: County.Age-Adjusted Death Rate(Per 100,000 Pop.)Report AreaHP 2020 TargetUnited StatesDeath Rate (Per 100,000 Pop.), By County, CDC NVSS 2006-2010Over 60.050.1 - 60.040.1 - 50.030.1 - 40.0Under 30.1Population by Race / Ethnicity, Stroke Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaWhiteBlackAsianAmerican Indian / Alaskan NativeHispanic / LatinoNot Hispanic / LatinoReport Area42.96no datano datano datano data43.47Chelan County43.50no datano datano datano data43.38Douglas County39.96no datano datano datano data40.32Grant County45.29no datano datano datano data46.20Okanogan County39.51no datano datano datano data41.81Washington39.9353.7541.7652.4232.9040.73United States40.1057.9735.2730.3634.2042.14Population by Gender, Stroke Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaMaleFemaleReport Area40.2544.76Chelan County3946.78Douglas County40.1740.30Grant County40.8247.29Okanogan County41.3040.05Washington39.9740.60United States41.9540.96Suicide – Look for data by age??This indicator reports the rate of death due to intentional self-harm (suicide) per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because suicide is an indicator of poor mental health.Report AreaTotal Population, 2006-2010 AverageAnnual Deaths, 2006-2010 AverageCrude Death Rate (Per 100,000 Pop.)Age-Adjusted Death Rate(Per 100,000 Pop.)Report Area233,2953414.5715.21Chelan County70,939912.6912.77Douglas County37,129615.0816.80Grant County85,017101212.70Okanogan County40,210922.8823.34Washington6,557,30788813.5513.16United States303,844,43035,84111.8011.57HP 2020 Target<= 10.2Note: This indicator is compared with the Healthy People 2020 Target.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, Underlying Cause of Death, 2006-2010. . Accessed through CDC WONDER. Source geography: County.Age-Adjusted Death Rate(Per 100,000 Pop.)Report AreaHP 2020 TargetUnited StatesDeath Rate (Per 100,000 Pop.), By County, CDC NVSS 2006-2010Over 20.016.1 - 20.012.1 - 16.08.1 - 12.0Under 8.1Population by Race / Ethnicity, Suicide, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaWhiteBlackAsianAmerican Indian / Alaskan NativeHispanic / LatinoNot Hispanic / LatinoReport Area14.28no datano datano datano data18.58Chelan County12.31no datano datano datano data15.85Douglas County16.51no datano datano datano data19.59Grant County12.50no datano datano datano data15.70Okanogan County20.09no datano datano datano data26.73Washington13.837.646.8016.565.3013.82United States12.895.115.8010.305.7112.44Population by Gender, Suicide Mortality, Age-Adjusted Rate (Per 100,000 Pop.)Report AreaMaleFemaleReport Area22.797.07Chelan County19.207.16Douglas County24.26no dataGrant County18.577Okanogan County36.74no dataWashington21.175.71United States18.964.77FOOTNOTES ................
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