Community Health Status Assessment: Nelson County

1. Community Health Status Assessment:Nelson County Mobilizing for Action through Planning and Partnerships A Compilation of Data that Reflects the Community’s Health

2. Section One: Who are we and what do we bring to the table? Demographics Socioeconomics Health Resource Availability

3. Demographics

4. Population GrowthTJHD by Locality, 1990-2010 Source: Weldon Cooper Center

5. Percent Change in PopulationTJHD by Locality, TJHD, and Virginia1990-2010 Source: Weldon Cooper Center and the Thomas Jefferson District Planning Commission

6. Age and Sex DistributionNelson County, 2010 Source: U.S. Census Bureau

7. Age DistributionNelson County, 2000, 2010 Source: U.S. Census Bureau

8. Racial CompositionNelson County, 2010 • Other includes: American Indian, Alaska Native, Native Hawaiian, Pacific Islander, and some other race Source: U.S. Census Bureau

9. Percent of Population by RaceTJHD by Locality, 1980-2010 Source: U.S. Census Bureau

10. Percent Change in Hispanic PopulationNelson County and Virginia, 2000-2010 Source: U.S. Census Bureau

11. Limited English Proficient Student EnrollmentNelson County, TJHD, and Virginia, 2002-2012 Source: Virginia Department of Education

12. SSI and Disabled OASDI BeneficiariesTJHD by Locality and Virginia, 2011 Residents who received SSI (Supplemental Security Income) benefits, excluding those who also received OASDI (Old-Age, Survivors, and Disability Insurance) benefits to avoid duplication, PLUS persons classified as “Disabled” who received OASDI benefits. Source: U.S. Social Security Administration; U.S. Census Bureau

13. Percent of Supplemental Security Income (SSI) Recipients Nelson County, 2010 Nelson County 2.4% *Measured as December 2010 recipients of SSI benefits divided by the total population Source: Weldon Cooper Center, County Health Rankings; U.S. Social Security Administration

14. Percent of Students Receiving Special Education Nelson County, 2006-2010 Source: Virginia Department of Education; U.S. Census Bureau, Small Area Health Insurance Estimates

15. On-Time* Graduation Rate Nelson County and Virginia, 2008-2011 *The percentage of students in a cohort who earn a diploma within 4 years of entering high school **Cohort: Students who entered the ninth grade for the first time together and were scheduled to graduate 4 years later Source: Virginia Department of Education

16. Educational AttainmentCharlottesville Metro Area, and Virginia, 2011 Source: American Community Survey

17. Socioeconomics

18. Median Household IncomeNelson County, Virginia, and U.S., 2000-2011 Source: U.S. Census Bureau, Small Area Income and Poverty Estimates

19. Percent of Persons in PovertyNelson County, 2010 Nelson County 13.1% Source: Weldon Cooper Center; U.S. Census Bureau, Small Area Income and Poverty Estimates

20. Percent of Persons in Poverty Nelson County, Virginia, and U.S., 2000-2011 Source: U.S. Census Bureau, Small Area Income and Poverty Estimates

21. Percent of Children in PovertyNelson County, Virginia, and U.S., 2000-2011 Source: U.S. Census Bureau, Small Area Income and Poverty Estimates

22. Percent of Students Eligible for Free/Reduced Lunch Nelson County, TJHD, and Virginia, 2005-2012 Source: Virginia Department of Education, School Nutrition Program

23. Number of Households Receiving Supplemental Nutrition AssistanceNelson County, 2001-2011 168% increase Source: Virginia Department of Social Services

24. Percent of Supplemental Nutrition Assistance Program (SNAP) Participants Nelson County, 2010 Nelson County 13.7% *Measured as average monthly persons on SNAP divided by the total population Source: Weldon Cooper Center; Virginia Department of Social Services

25. Number of Homeless PersonsTJHD, 2004-2011 Source: Thomas Jefferson Area Coalition for the Homeless (TJACH)

26. Unemployment RateNelson County, TJHD, Virginia, and U.S., 2000-2011 Source: Virginia Workforce Connection

27. Health Resource Availability

28. Sources of Health Insurance Virginia and U.S., 2010 Virginia United States Percentages may not sum to 100% due to rounding effects Source: Kaiser Family Foundation

29. Health Insurance Coverage by AgeVirginia, 2010-2011 Source: U.S. Census Bureau, Annual Social and Economic Supplement

30. Estimated Uninsured Persons, 18-64Nelson County, TJHD, and Virginia, 2005-2010 Source: U.S. Census Bureau, Small Area Health Insurance Estimates

31. Estimated Uninsured Persons <19 YearsNelson County and Virginia, 2006-2010 Source: U.S. Census Bureau, Small Area Health Insurance Estimates

32. Medicaid Enrollment and Spending by Recipient Group Virginia and U.S., FY 2009 Virginia United States Source: Kaiser Family Foundation

33. Number of Primary Care ProvidersTJHD by Locality, 2011 Source: UVA Physician Directory; Martha Jefferson Hospital Physician Directory

34. Number of Charlottesville Free Clinic Medical PatientsTJHD by Locality, FY2012 Source: Charlottesville Free Clinic

35. Number of Dental Service ProvidersTJHD by Locality, 2012 Source: Community Dental Center; DentaQuest; yellow pages

36. Number of Charlottesville Free Clinic Dental PatientsTJHD by Locality, FY2012 Source: Charlottesville Free Clinic

37. Average Number of Community Dental Center Patients Served Per Month, FY2010-2012 Source: Community Dental Center

38. Medicaid/FAMIS Enrollees <19 Years Receiving Dental Services Nelson County and TJHD, FY 2007- FY 2010 Source: Virginia Smiles for Children

39. Number of Licensed Mental Health Providers TJHD by Locality, 2011 Source: Mental Health America

40. Number of Region Ten Community Services Board Direct Service StaffTJHD by Locality, 2012 All mental health direct service staff at Region Ten – anyone who provides mental health services, whether licensed or not Source: Region Ten

41. Number of Public Health Staff by SpecialtyTJHD by Locality, 2012 Source: Thomas Jefferson Health District

42. Section Two: What are the strengths and risks in our community that contribute to health? Community Resources Community Safety Environmental Quality Health Behaviors

43. Community Resources

44. JAUNT PassengersNelson County, FY2008-FY2012 *Passengers are counted by trip and may be duplicated Source: Jaunt Ridership Report

45. JAUNT Passengers by TypeTJHD, FY2008–FY2012 Source: Jaunt Ridership Report

46. Recreational Facilities TJHD by Locality and Virginia, 2009 Source: County Health Rankings

47. Food Stores by TypeNelson County, 2009 Source: U.S. Department of Agriculture

48. Licensed Child Care FacilitiesTJHD by Locality, 2012 Fluvanna Charlottesville & Albemarle Louisa Nelson Greene Source: Virginia Department of Social Services

49. Community Safety

50. Reported Crime Incident RatesNelson County and TJHD, 2000-2011 *Reported Group A Offenses; arson, assault, bribery, burglary, counterfeiting/forgery, destruction/damage/vandalism of property; drug/narcotic; embezzlement; extortion/blackmail; fraud; gambling; homicide; kidnapping/abduction; larceny/theft; motor vehicle theft; pornography/obscene material; prostitution; robbery; sex, forcible and non-forcible; stolen property; weapon law violations Source: Department of State Police, Virginia Uniform Crime Reporting Program