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Prepared by: National Center for Health Statistics Centers for Disease Control and Prevention

A Demographic and Health Snapshot of Region IV. Congressional Black Caucus Joint Meeting of the Environmental Justice and Health Braintrusts June 7-8, 2002. Prepared by: National Center for Health Statistics Centers for Disease Control and Prevention. Public Health Service Region IV. D.C.

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Prepared by: National Center for Health Statistics Centers for Disease Control and Prevention

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  1. A Demographic and Health Snapshot of Region IV Congressional Black Caucus Joint Meeting of the Environmental Justice and Health BraintrustsJune 7-8, 2002 Prepared by: National Center for Health Statistics Centers for Disease Control and Prevention

  2. Public Health Service Region IV D.C. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee

  3. Demographic characteristics

  4. Percent distribution of the population by age and race: United States and Region IV, 2000 Age in years Black/African American Total 85 and over Region IV Region IV United States United States 75-84 65-74 60-64 55-59 45-54 35-44 25-34 20-24 15-19 10-14 5-9 Under 5 20 15 10 5 0 5 10 15 20 20 15 10 5 0 5 10 15 20 Percent of population Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Source: Census 2000 Summary File 1, US Bureau of the Census.

  5. Percent distribution of the population by specified race/ethnicity: United States and Region IV, 2000 United States Region IV Percent American Indian/ Alaska Native* Black/African American, not-Hispanic Hispanic** Asian/Pacific Islander* White, not-Hispanic *Includes persons of Hispanic and non-Hispanic origin. **Persons of Hispanic origin may be any race. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Source: Census 2000 Summary File 1, US Bureau of the Census.

  6. Percent of population that is black/African American:United States and Region IV States, 2000 Percent Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV Source: Census 2000 Summary File 1, US Bureau of the Census.

  7. Percent of households that are headed by females*:United States and Region IV States, by race, 2000 Total population Black/African American Percent Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *No spouse present. Source: Census 2000 Summary File 1, US Bureau of the Census.

  8. Percent of population that lives in a rural area:United States and Region IV States, 1990 Percent Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV Source: 1990 Census of Population and Housing, US Bureau of the Census.

  9. Median household income in the past 12 months:United States and Region IV States, by race, 2000 Total population Black/African American In thousands (dollars) Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV I = 90% confidence interval. Source: Census 2000 Supplementary Survey, US Bureau of the Census.

  10. Percent of population below the federal poverty level :United States and Region IV States, by race, 2000 Total population Black/African American Percent Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV I = 90% confidence interval. Percents are based on income in the past 12 months. Source: Census 2000 Supplementary Survey, US Bureau of the Census.

  11. Percent of civilian labor force 16 and older who are unemployed: United States and Region IV States, 2000 Percent Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV Source: Census 2000 Supplementary Survey, US Bureau of the Census.

  12. Mortality

  13. 15 Leading causes of death, 1999 *Rank based on number of deaths. **Cause-of-death definitions may differ for those used in Healthy People 2010 and the Leading Health Indicators. ***Age-adjusted rates per 100,000 standard population based on year 2000 standard. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  14. Coronary heart disease* death rates: United Statesand Region IV, by specified race, 1999 United States Region IV Age-adjusted rate per 100,000 standard population 2010 target (US) American Indian/ Alaska Native** Black/African American, not-Hispanic Hispanic*** Asian/Pacific Islander** White, not-Hispanic *Coronary heart disease (ICD-10 codes: I11, I20-I25) is a subcategory of Diseases of heart (ICD-10 codes: I00-I09, I11, I13, I51). **Includes persons of Hispanic and non-Hispanic origin. ***Persons of Hispanic origin may be any race. Rates are age-adjusted to the year 2000 standard population. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  15. 2010 target (US) Coronary heart disease* death rates: United Statesand Region IV States, by race, 1999 Total population Black/African American Age-adjusted rate per 100,000 standard population Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *Coronary heart disease(ICD-10 codes: I11, I20-I25) is a subcategory of Diseases of heart (ICD-10 codes: I00-I09, I11, I13, I51). Rates are age-adjusted to the year 2000 standard population. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  16. 2010 target (US) Human immunodeficiency virus (HIV)* death rates:United States and Region IV, by specified race, 1999 United States Region IV Age-adjusted rate per 100,000 standard population Black/African American, not-Hispanic Hispanic*** White, not-Hispanic *HIV deaths are classified by ICD-10 codes: I11, I20-I25. Rates are age-adjusted to the year 2000 standard population. American Indian/Alaska Native and Asian/Pacific Islander death rates from HIV are unreliable in Region IV. Information on these populations have been suppressed. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  17. 2010 target (US) Human immunodeficiency virus (HIV)* death rates:United States and Region IV States, by race, 1999 Total population Black/African American Age-adjusted rate per 100,000 standard population Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *HIV deaths are classified by ICD-10 codes: I11, I20-I25. Rates are age-adjusted to the year 2000 standard population. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  18. Malignant neoplasms (cancer)* death rates:United States and Region IV, by specified race, 1999 Region IV United States 2010 target (US) Age-adjusted rate per 100,000 standard population American Indian/ Alaska Native** Black/African American, not-Hispanic Hispanic*** Asian/Pacific Islander** White, not-Hispanic *Cancer deaths are classified by ICD-10 codes: C00-C97. **Includes persons of Hispanic and non-Hispanic origin. ***Persons of Hispanic origin may be any race. Rates are age-adjusted to the year 2000 standard population. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  19. 2010 target (US) Malignant neoplasms (cancer)* death rates:United States and Region IV States, by race, 1999 Total population Black/African American Age-adjusted rate per 100,000 standard population Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *Cancer deaths are classified by ICD-10 codes: C00-C97. Rates are age-adjusted to the year 2000 standard population. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  20. 2010 target (US) Infant*mortality: United States andRegion IV, by specified race, 1999 United States Region IV Rate per 1,000 live births American Indian/ Alaska Native** Black/African American, not-Hispanic Hispanic*** Asian/Pacific Islander** White, not-Hispanic *Under 1 year. **Includes persons of Hispanic and non-Hispanic origin. ***Persons of Hispanic origin may be any race. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Source: National Vital Statistics System (NVSS) Linked Birth and Infant Death File, Centers for Disease Control and Prevention, NCHS.

  21. 2010 target (US) Infant* mortality: United States andRegion IV States, by race, 1999 Total population Black/African American Rate per 1,000 live births Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *Under 1 year. Source: National Vital Statistics System (NVSS) Linked Birth and Infant Death File, Centers for Disease Control and Prevention, NCHS.

  22. Unintentional injury* death rates: United States and Region IV, by specified race, 1999 United States Region IV Age-adjusted rate per 100,000 standard population 2010 target (US) American Indian/ Alaska Native** Black/African American, not-Hispanic Hispanic*** Asian/Pacific Islander** White, not-Hispanic *Unintentional injury deaths are classified by ICD-10 codes: V01-X59, Y85-Y86. **Includes persons of Hispanic and non-Hispanic origin. ***Persons of Hispanic origin may be any race. Rates are age-adjusted to the year 2000 standard population. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  23. 2010 target (US) Unintentional injury* death rates: United Statesand Region IV States, by race, 1999 Total population Black/African American Age-adjusted rate per 100,000 standard population Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *Unintentional injury deaths are classified by ICD-10 codes: V01-X59, Y85-Y86. Rates are age-adjusted to the year 2000 standard population. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  24. 2010 target (US) Cerebrovascular disease (stroke)* death rates:United States and Region IV, by specified race, 1999 United States Region IV Age-adjusted rate per 100,000 standard population American Indian/ Alaska Native** Black/African American, not-Hispanic Hispanic*** Asian/Pacific Islander** White, not-Hispanic *Stroke deaths are classified by ICD-10 codes: I60-I69. **Includes persons of Hispanic and non-Hispanic origin. ***Persons of Hispanic origin may be any race. Rates are age-adjusted to the year 2000 standard population. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  25. 2010 target (US) Cerebrovascular disease (stroke)* death rates:United States and Region IV States, by race, 1999 Total population Black/African American Age-adjusted rate per 100,000 standard population Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *Stroke deaths are classified by ICD-10 codes: I60-I69. Rates are age-adjusted to the year 2000 standard population. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  26. 2010 target (US) Diabetes death* rates: United States andRegion IV, by specified race, 1999 Region IV United States Age-adjusted rate per 100,000 standard population American Indian/ Alaska Native** Black/African American, not-Hispanic Hispanic*** Asian/Pacific Islander** White, not-Hispanic *Diabetes deaths are classified by ICD-10 codes: E10-E14 and may be the underlying or contributing cause of death. **Includes persons of Hispanic and non-Hispanic origin. ***Persons of Hispanic origin may be any race. Rates are age-adjusted to the year 2000 standard population. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  27. 2010 target (US) Diabetes death* rates: United States andRegion IV States, by race, 1999 Total population Black/African American Age-adjusted rate per 100,000 standard population Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *Diabetes deaths are classified by ICD-10 codes: E10-E14 and may be the underlying or contributing cause of death. Rates are age-adjusted to the year 2000 standard population. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  28. Chronic lower respiratory disease* death rates for people 45 years and older: United States and Region IV,by specified race, 1999 United States Region IV Age-adjusted rate per 100,000 standard population 2010 target (US) American Indian/ Alaska Native** Black/African American, not-Hispanic Hispanic*** Asian/Pacific Islander** White, not-Hispanic *Chronic lower respiratory disease deaths are classified by ICD-10 codes: J40-J47. **Includes persons of Hispanic and non-Hispanic origin. ***Persons of Hispanic origin may be any race. Rates are age-adjusted to the year 2000 standard population. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  29. 2010 target (US) Chronic lower respiratory disease* death rates for people 45 years and older: United States and Region IV States, by race, 1999 Total population Black/African American Age-adjusted rate per 100,000 standard population Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *Chronic lower respiratory disease deaths are classified by ICD-10 codes: J40-J47. Rates are age-adjusted to the year 2000 standard population. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  30. Influenza and pneumonia* death rates: United Statesand Region IV, by specified race, 1999 United States Region IV Age-adjusted rate per 100,000 standard population American Indian/ Alaska Native** Black/African American, not-Hispanic Hispanic*** Asian/Pacific Islander** White, not-Hispanic *Influenza and pneumonia deaths are classified by ICD-10 codes: J10-J18. **Includes persons of Hispanic and non-Hispanic origin. ***Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  31. Influenza and pneumonia* death rates: United Statesand Region IV States, by race, 1999 Total population Black/African American Age-adjusted rate per 100,000 standard population Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *Influenza and pneumonia deaths are classified by ICD-10 codes: J10-J18. Rates are age-adjusted to the year 2000 standard population. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  32. Breast cancer* death rates among females: United Statesand Region IV, by specified race, 1999 United States Region IV Age-adjusted rate per 100,000 standard population 2010 target (US) Black/African American, not-Hispanic White, not-Hispanic Hispanic** *Breast cancer deaths are classified by ICD-10 code: C50. **Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population. American Indian/Alaska Native and Asian/Pacific Islander female breast cancer death rates are unreliable for Region IV. Information for these populations have been suppressed. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  33. 2010 target (US) Breast cancer* death rates among females: United Statesand Region IV States, by race, 1999 Total population Black/African American Age-adjusted rate per 100,000 standard population Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *Breast cancer deaths are classified by ICD-10 code: C50. Rates are age-adjusted to the year 2000 standard population. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  34. Prostate cancer* death rates among males : United Statesand Region IV, by specified race, 1999 United States Region IV Age-adjusted rate per 100,000 standard population 2010 target (US) Black/African American, not-Hispanic White, not-Hispanic Hispanic** *Prostate cancer deaths are classified by ICD-10 code: C61. **Persons of Hispanic origin may be any race.Rates are age-adjusted to the year 2000 standard population. American Indian/Alaska Native and Asian/Pacific Islander prostate cancer death rates are unreliable for Region IV. Information for these populations have been suppressed. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  35. 2010 target (US) Prostate cancer* death rates among males: United Statesand Region IV States, by race, 1999 Total population Black/African American Age-adjusted rate per 100,000 standard population Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV *Prostate cancer deaths are classified by ICD-10 code: C61. Rates are age-adjusted to the year 2000 standard population. Source: National Vital Statistics System (NVSS), Centers for Disease Control and Prevention, NCHS.

  36. Healthy People 2010 and the Leading Health Indicators

  37. Healthy People 2010 • 2 broad goals • Increase quality and years of healthy life • Eliminate health disparities • 28 Focus Areas • 467 specific objectives • U.S. targets to be reached by the year 2010 • Tracking Healthy People 2010 – Statistical compendium

  38. Leading Health Indicators • Areas of broad public health importance • Specific Healthy People 2010 objectives • Measurable at the State and local level • Ability to educate and motivate action

  39. Mental health Injury and violence Environmental quality Immunization Access to health care Physical activity Overweight and obesity Tobacco use Substance abuse Responsible sexual behavior Leading Health Indicators:Ten major public health issues

  40. Leading Health Indicators

  41. Percent of students in grades 9 - 12 who engage in vigorous physical activity*: United States,by specified race, 1999 2010 target (US) Percent Black/African American, not-Hispanic Hispanic** White, not-Hispanic I = 95% confidence interval. *Exercising or participating for at least 20 minutes in physical activity that makes them sweat and breathe hard 3 or more days per week. **Persons of Hispanic origin may be any race. American Indian/Alaska Native and Asian/Pacific Islander activity rates are unreliable. Information on these populations have been suppressed. Source: Youth Risk Behavior Surveillance System (YRBSS), Centers for Disease Control and Prevention, NCCDPHP.

  42. Percent of students in grades 9 - 12 who engage in vigorous physical activity*: United States and Region IV States, by race, 1999 Black/African American, Not-Hispanic Total population 2010 target (US) Percent Alabama Mississippi Tennessee United States South Carolina I = 95% confidence interval. *Exercising or participating for at least 20 minutes in physical activity that makes them sweat and breathe hard 3 or more days per week. Region IV States include Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee. Student activity rates are unreliable for Florida and Kentucky. Information on these States have been suppressed. Student activity rates are unavailable from Georgia and North Carolina. Source: Youth Risk Behavior Surveillance System (YRBSS), Centers for Disease Control and Prevention, NCCDPHP.

  43. Percent of adults 18 and older who engage in moderate and/or vigorous physical activity*: United States and Region IV, by specified race, 2000 Region IV Total population 2010 target (US) Age-adjusted percent White, not-Hispanic Black/African American, not-Hispanic Hispanic*** Asian/Pacific Islander** I = 95% confidence interval. *Vigorous: Exercising or participating in physical activity that causes sweating and hard breathing for at least 20 minutes 3 or more times per week. Moderate: Exercising or participating in physical activity that causes light sweating and slight to moderate increase in breathing or heart rate for at least 30 minutes 5 or more times per week. **Includes persons of Hispanic and non-Hispanic origin. ***Persons of Hispanic origin may be any race. Percents are age-adjusted to the year 2000 standard population. American Indian/Alaska Native activity rates are unreliable. Information for this population has been suppressed. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee. Source: National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS.

  44. Percent of adults 18 and older who engage in moderate and/or vigorous physical activity*: United States andRegion IV States, by race, 2000 Total population Black/African American 2010 target (US) Age-adjusted percent Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV I = 95% confidence interval. *Vigorous: Exercising or participating in physical activity that causes sweating and hard breathing for at least 20 minutes 3 or more times per week. Moderate: Exercising or participating in physical activity that causes light sweating and slight to moderate increase in breathing or heart rate for at least 30 minutes 5 or more times per week. Percents are age-adjusted to the year 2000 standard population. Source: National/Regional - National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS; State – Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

  45. Percent of adults 20 and older who are obese*:United States and Region IV States, by race, 2000 2010 target (US)** Total population Black/African American Age adjusted percent Florida Georgia Alabama Kentucky Mississippi Tennessee North Carolina South Carolina I = 95% confidence interval. *Body mass index > 30 kg/m2 (based on self-reported height and weight). **The 2010 target for the United States is based on measured height and weight data. Percents are age-adjusted to the year 2000 standard population. Source: Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

  46. 2010 target (US) Percent of students in grades 9 - 12 who smoked cigarettes in the past month: United States and Region IV States, by race, 1999 Total population Black/African American, Not-Hispanic Percent Alabama Mississippi Tennessee United States South Carolina I = 95% confidence interval. *Region IV States include Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee. Student smoking rates are unreliable for Florida and Kentucky. Information on these States have been suppressed. Student smoking rates are unavailable from Georgia and North Carolina. Source: Youth Risk Behavior Surveillance System (YRBSS), Centers for Disease Control and Prevention, NCCDPHP.

  47. 2010 target (US) Percent of adults 18 and older who are current smokers*: United States and Region IV, by specified race, 2000 Region IV Total population Age-adjusted percent White, not-Hispanic Black/African American, not-Hispanic Hispanic*** Asian/Pacific Islander** I = 95% confidence interval. *Current smokers have smoked more than 100 cigarettes in their life and now smoke cigarettes every day or some days. **Includes persons of Hispanic and non-Hispanic origin. ***Persons of Hispanic origin may be any race. Percents are age-adjusted to the year 2000 standard population. American Indian/Alaska Native smoking rates for Region IV are unreliable. Information for this population has been suppressed. Region IV: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee. Source: National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS.

  48. 2010 target (US) Percent of adults 18 and older who are current smokers*:United States and Region IV States, by race, 2000 Total population Black/African American Age adjusted percent Florida Georgia Alabama Kentucky Mississippi Tennessee United States North Carolina South Carolina Region IV I = 95% confidence interval. *Current smokers have smoked more than 100 cigarettes in their life and now smoke cigarettes every day or some days. Percents are age-adjusted to the year 2000 standard population. Source: National/Regional - National Health Interview Survey (NHIS), Centers for Disease Control and Prevention, NCHS; State – Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention, NCCDPHP.

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