What does your Community look like and how is it changing?

What does your Community look like and how is it changing? Trends in the State population related to health and health determinants and where you can find this data to support your local work Who is Likely to be in your Health Community? People living in your community What is happening to your population base? People who have poorer health What does that make your community look like? Other trends in the country or state that can impact your Health Community? Population Changes from 2000 to 2010 1

Current Population by County Who in Community is likely to be in Poorer Health? Health is determined by a bundle of factors We are going to look at these determinants separately to build the Health community profile Determinants of Health VARIABLES Tobacco use Diet & Exercise Alcohol use Sexual Behavior Access to / Quality of Care Education / Employment Physical Environment 2

Insurance Coverage in Michigan 100.0% 90.0% Michigan Health Insurance Status Over Time 89.0% 87.8% 87.6% 88.2% 80.0% 70.0% 60.0% 73.1% 69.9% 68.6% 68.4% 50.0% 40.0% 30.0% 29.6% 31.6% 33.2% 33.9% 20.0% 10.0% 0.0% 11.0% 12.2% 12.4% 11.8% 2008 2009 2010 2011 Have Health Insurance No Health Insurance Private Health Insurance Public Health Insurance 20.0% Demographics of Michigan s Uninsured Age & Gender 18.0% 17.5% 16.0% 14.0% 13.7% 12.0% 10.0% 10.3% 8.0% 6.0% 4.0% 4.2% 2.0% 0.0% 0.4% Under 18 18 64 years 65 years and older Male Female Median Age by County 3

Impact of Median Age by County Number of Uninsured 18 34 Year olds in County Health Status: Gender & Marital Status How are these linked? What are the state trends & County Demographics? 4

Trends on Marital Status Now Married by County Never Married by County 5

Fertility of Unmarried Demographics of Michigan s Uninsured Race/Ethnicity 35.0% 30.0% 29.1% 27.7% 25.0% 22.2% 20.0% 19.4% 15.8% 15.0% 10.7% 11.5% 11.5% 10.0% 5.0% 0.0% White Afr. American American Asian Native Other Race Two or More Hispanic Indian Hawaiian Race/Ethnicity Changes from 2000 to 2010 6

Percentage of African Americans by County Percentage of Hispanics by County Percentage of Native Americans by County 7

Demographics of Michigan s Uninsured Education Level 25.0% 20.0% 19.5% 16.0% 15.0% 13.7% 10.0% 5.6% 5.0% 0.0% Less than HS HS/GED Some College Bachelor's Degree+ Education Less than HS (9 12 th Completed) by County Number of Less than HS Completed with No Insurance by County 8

Education Levels High School Diploma (2011) Number of High School with No Insurance by County Education Level Some College (2011) 9

Number of Some College with No Insurance by County Education Level BA+ Number College Degree with No Insurance by County 10

45.0% 40.0% Demographics of Michigan s Uninsured Work Status 40.8% 35.0% 30.0% 25.0% 23.1% 20.0% 17.7% 15.0% 10.0% 14.0% 8.6% 10.1% 11.9% 5.0% 0.0% In Labor Force Employed Unemployed Not in Labor ForceWorking Full TimeWorking Part time Did not Work Unemployment Rates 2012 Change in Unemployment from 5 years 11

Change in Unemployment Rate over 3 Years Percent Not In Labor Force by County Percentage Self Employed in Labor Force by County 12

Working Part Time and in Poverty by County Number Working Full Time and Receiving Public Insurance Household Income Trends 13

Household Median Income by County Percentage receiving SNAP benefits by County 25.0% Demographics of Michigan s Uninsured Depth of Poverty 21.9% 20.0% 18.4% 15.0% 12.1% 10.0% 7.3% 5.0% 0.0% All Uninsured with Pov. calculated Under 1.38 Poverty 1.38 1.99 Poverty 2.00 Poverty and over 14

Poverty Rates for State Over Time Poverty Rate for State of Michigan Percentage of All persons in Poverty (2011) % Change in Poverty from 2000 15

Percentage of Older Persons (65+) in Poverty (2011) Percentage of Children in Poverty (2011) Trends of Children in Poverty 16

Uninsured Percentage of those who are 18 64 who are uninsured & below 200% of Poverty Number of Uninsured 18 64 below 200% of poverty 35.0% Demographics of Michigan s Uninsured Nativity 30.0% 30.0% 25.0% 20.0% 15.0% 13.9% 11.3% 10.0% 5.0% 0.0% Native Born Foreign Born Naturalized Foreign Born Not a Citizen 17

Percent of Foreign Born by County Percent Who Lived Abroad 1 Year Ago by County Percent with Language Other than English Spoken at Home by County 18

Housing Living in Old Housing by County Housing Percentage Renters Housing Median Rent (2011) 19

Housing Percentage of Renters paying 35% or more of income to Housing Costs Housing Percentage of Homeowners paying 35% or more of income to Housing Costs Housing Overcrowding in Housing Percent of housing where are 1.01 to 1.5 occupants per room Percent of housing where are 1.5 or more occupants per room 20

Housing Conditions Lack of Telephone by County Housing Moving Moving & in Poverty by County 21

Finding this Public Data for Your County American FactFinder Search http://factfinder2.census.gov/faces/nav/jsf/pages/searchresul ts.xhtml?refresh=t PolicyMap. Good Data. Smart Decisions. http://www.policymap.com/maps Michigan Labor Market Information, Mi Fast Facts, HOME http://www.milmi.org/ Rankings County Health Rankings & Roadmaps http://www.countyhealthrankings.org/ Using American Fact Finder Getting a Report 22

Using Policy Map Adult Obesity Rate 2009 Low Income Child Obesity 2009 23

Using County Health Rankings The RWJ Scorecard RWJ Additional Measures 24

Questions? 25