Health Equity Profile

Health Equity Profile - 2019

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Health Equity Profile - Alachua County, Florida 2019
			RACE/ETHNICITY						RATE RATIOS
Indicator	Measure	Year(s)	Total	White	Black	Other Race	Hispanic	Non- Hispanic	Black/ White	Other Race/ White	Hispanic/ Non-Hispanic	Non-Hispanic/ Hispanic
Population
Population Population	Total Population	2019	266,649	69.9%	20.6%	9.6%	10.3%	89.7%	0.3:1	0.1:1	0.1:1	8.7:1
Population under 18 Population under 18	Population under 18	2019	48,019	58.2%	28.8%	13%	10.6%	89.4%	0.5:1	0.2:1	0.1:1	8.4:1
Population 18-64 Population 18-64	Population 18-64	2019	181,254	70.7%	19.7%	9.6%	11.4%	88.6%	0.3:1	0.1:1	0.1:1	7.8:1
Population 65 and Over Population 65 and Over	Population 65+	2019	37,376	80.8%	14.5%	4.7%	4.7%	95.3%	0.2:1	0.1:1	0:1	20.3:1
Income and Employment
Income Inequality Income Inequality	Index	2014-18	0.5138
Median household income Median household income	Dollars	2014-18	$49,078	$54,112	$30,132	$49,350	$42,410	$55,377	0.6:1	0.9:1	0.8:1	1.3:1
Households with 1 worker Households with 1 worker	Percent	2014-18	41.7
Individuals below poverty level Individuals below poverty level	Percent	2014-18	21.8	18.5	31.2	25.3	28.6	17.1	1.7:1	1.4:1	1.7:1	0.6:1
Children under 18 below poverty level Children under 18 below poverty level	Percent	2014-18	20.5	10.9	40.8	34.3	15.3	10.4	3.7:1	3.1:1	1.5:1	0.7:1
Unemployed civilian labor force Unemployed civilian labor force	Percent	2014-18	6.1	4.6	10.8	8.4	5.7	4.6	2.3:1	1.8:1	1.2:1	0.8:1
Civilian labor force employed in management, business, science, or arts	Percent	2014-18	46.9
Housing and Households
Occupied households with monthly housing costs of 30% or more of household income	Percent	2014-18	34.6
Occupied housing units without a vehicle	Percent	2014-18	6.7
Median owner-occupied housing unit value	Dollars	2014-18	$173,900
Owner-occupied housing units Owner-occupied housing units	Percent	2014-18	54.8	59.6	40.1	36.4	37.7	61.8	0.7:1	0.6:1	0.6:1	1.6:1
Owner-occupied households with monthly housing costs of 30% or more of household income	Percent	2014-18	20.2
Renter-occupied housing units Renter-occupied housing units	Percent	2014-18	45.2	40.4	59.9	63.6	62.3	38.2	1.5:1	1.6:1	1.6:1	0.6:1
Renter-occupied households with gross rent costing 30% or more of household income	Percent	2014-18	58.2
Rental vacancy rate Rental vacancy rate	Percent	2014-18	15.9
Severe housing problems Severe housing problems	Percent	2016	20.1
Individuals 1 year and over that lived in a different house 1 year earlier	Percent	2014-18	21.7	21.8	18.6	8.9	28.9	21.1	0.9:1	0.4:1	1.4:1	0.7:1
Occupied housing units with more than 1 occupant per room	Percent	2014-18	1.8	1.4	2.9	0	3.4	1.1	2.1:1	0:1	3:1	0.3:1
Homeless Homeless	Count	2019	714
Children under 18 in single-parent households	Percent	2014-18	34.9
Community Determinants
Life expectancy Life expectancy	Years	2017-19	78.8 (78.4-79.2)
Racial residential segregation Racial residential segregation	Index	2018	0.3889
Individuals 25 years and over with no high school diploma	Percent	2014-18	7.6	5.7	15.2	7.6	11	5.1	2.6:1	1.3:1	2.2:1	0.5:1
High school graduation rate High school graduation rate	Percent	2019	88.5	92.9	79.9		90		0.9:1
Population living within ½ mile of a park	Percent	2019	37.4
Population living within ½ mile of a fast food restaurant	Percent	2019	27.9
Workers who walked to work Workers who walked to work	Percent	2014-18	2.9
Behaviors and Exposures
Adults who are current smokers Adults who are current smokers	Percent	2016	13.1	12.9	18.9		7.5		1.5:1
Adults who engage in heavy or binge drinking	Percent	2016	20.9	23.9	6.9		19.9		0.3:1
Adults who are obese Adults who are obese	Percent	2016	24.8	26.4	28.6		9		1.1:1
Adults who are overweight Adults who are overweight	Percent	2016	32.1	32.5	34.7		24.4		1.1:1
Adults who are sedentary Adults who are sedentary	Percent	2016	24.5	19.9	46.9		36.6		2.4:1
Adults who are inactive or insufficiently active	Percent	2016	51.7	46.3	69.6		64.1		1.5:1
Adults who meet aerobic recommendations Adults who meet aerobic recommendations	Percent	2016	50.6	55.9	33.9		38.9		0.6:1
Adults who meet muscle strengthening recommendations3	Percent	2016	38.6	38.5	49.4				1.3:1
Out-of-school suspensions grades K-12 Out-of-school suspensions grades K-12	Per 100,000 population	2018	6392.6
Inmate Admissions Inmate Admissions	Count	2019	642
Incarceration rate Incarceration rate	Per 1,000 population	2018	3.3
Access to Care
Civilian non-institutionalized population with health insurance	Per 100,000 population	2014-18	90.8	91.7	87.3	84.4	88.2	92.1	1:1	0.9:1	1:1	1:1
Adults who could not see a doctor at least once in the past year due to cost	Percent	2016	13.7	12.5	11.4		30.4		0.9:1
Adults who have a personal doctor Adults who have a personal doctor	Percent	2016	69.5	74.5	68		58.2		0.9:1
Adults who said their overall health was good to excellent	Percent	2016	82.8	84.6	78.3		65.4		0.9:1
Adults who had a medical checkup in the past year	Percent	2016	74.2	74.5	90.3		65.4		1.2:1
Adults who visited a dentist or a dental clinic in the past year	Percent	2016	62.3	66.2	53.5		65.8		0.8:1
Adults who received a flu shot in the past year	Percent	2016	41	42.3	32.4		44.1		0.8:1
Adults who have ever received a pneumonia vaccination	Percent	2016	32.9	35.1	35.1		22.6		1:1
Diet/nutrition
Food insecurity rate Food insecurity rate	Percent	2017	18.7
Child food insecurity rate Child food insecurity rate	Percent	2017	20.1
Households receiving cash public assistance or food stamps	Percent	2014-18	11
Preventable Hospitalizations Under 65 from nutritional deficiencies	Per 100,000 population	2019	58
Nutritional deficiency age-adjusted death rate	Per 100,000 population	2019	3.1	3.8	0	0	0	3.3	0:1	0:1	0:1	N/A
Health Outcomes
Cancer
Cancer Incidence Cancer Incidence	Per 100,000 population	2017	515.3	518.5	485	352.1	298.1	527.9	0.9:1	0.7:1	0.6:1	1.8:1
Cancer cases diagnosed at advanced stage	Percent	2017	49	47.8	54.8		44.4	49.1	1.1:1		0.9:1	1.1:1
Cancer age-adjusted death rate Cancer age-adjusted death rate	Per 100,000 population	2019	159	159	183.6	71	110.7	162.2	1.2:1	0.4:1	0.7:1	1.5:1
Cervical Cancer
Women 18 years of age and older who received a Pap test in the past year	Percent	2016	49.5	41.5
Cervical cancer age-adjusted incidence rate	Per 100,000 Females	2017	9.7	13.4	0	0	5.9	9.6	0:1	0:1	0.6:1	1.6:1
Cervical cancer age-adjusted death rate Cervical cancer age-adjusted death rate	Per 100,000 Females	2019	0.5	0	3.9	0	0		N/A	N/A		N/A
Prostate Cancer
Men 50 years of age and older who received a PSA test in the past two years	Percent	2016	52.3	58.4
Prostate cancer age-adjusted incidence rate	Per 100,000 Males	2017	91.4	81.3	136	29	45.4	93.5	1.7:1	0.4:1	0.5:1	2.1:1
Prostate cancer age-adjusted death rate Prostate cancer age-adjusted death rate	Per 100,000 Males	2019	20.6	20.1	34.3	0	0		1.7:1	0:1		N/A
Breast Cancer
Women 40 years of age and older who received a mammogram in the past year	Percent	2016	55.8	55.4
Breast cancer age-adjusted incidence rate	Per 100,000 Females	2017	163.6	173.8	144.8	109.3	69.1	167.9	0.8:1	0.6:1	0.4:1	2.4:1
Breast cancer age-adjusted death rate Breast cancer age-adjusted death rate	Per 100,000 Females	2019	19.5	21.8	15.1	0	17.1		0.7:1	0:1
Colorectal Cancer
Adults 50 years of age and older who received a sigmoidoscopy or colonoscopy in the past five years	Percent	2016	51.8	52.1	49.5				1:1
Adults 50 years of age and older who received a blood stool test in the past year	Percent	2016	7.8	7.2	8.2				1.1:1
Colorectal cancer age-adjusted incidence rate	Per 100,000 Population	2017	40.4	37.6	51.8	34.6	43.7	41	1.4:1	0.9:1	1.1:1	0.9:1
Colorectal cancer age-adjusted death rate	Per 100,000 Population	2019	18.6	18.1	24.6	6	14.3		1.4:1	0.3:1
Lung Cancer
Lung cancer age-adjusted incidence rate Lung cancer age-adjusted incidence rate	Per 100,000 Population	2017	71.7	72.4	78	16.3	30.7	74	1.1:1	0.2:1	0.4:1	2.4:1
Lung cancer age-adjusted death rate Lung cancer age-adjusted death rate	Per 100,000 Population	2019	36.1	37.3	41.9	0	16.5		1.1:1	0:1
CLRD and Asthma
Emergency room visits due to asthma, age-adjusted rate	Per 100,000 Population	2019	465.6	197.7	1232.6	338.2	299.6	482.9	6.2:1	1.7:1	0.6:1	1.6:1
Age-adjusted asthma hospitalization rate	Per 100,000 Population	2019	1112.4	779.2	2330.6	974	740.1	1132.9	3:1	1.2:1	0.7:1	1.5:1
Hospitalizations from C.L.R.D. (including asthma)	Per 100,000 population	2019	337.4	240.5	666	237.5	163.5	349.3	2.8:1	1:1	0.5:1	2.1:1
Chronic Lower Respiratory Disease (CLRD) age-adjusted death rate	Per 100,000 population	2019	34.3	40.4	13.6	0	24.5	34.5	0.3:1	0:1	0.7:1	1.4:1
Diabetes
Adults who have ever been told they had diabetes	Percent	2016	9.9	10.4	11		12.6		1.1:1
Emergency room visits due to diabetes Emergency room visits due to diabetes	Per 100,000 population	2019	185.1	114.9	470.6	156.6	124.8	191.4	4.1:1	1.4:1	0.7:1	1.5:1
Preventable hospitalizations under 65 from diabetes	Per 100,000 population	2019	130.4
Hospitalizations from or with diabetes Hospitalizations from or with diabetes	Per 100,000 population	2019	2868.5	2095.8	6206	2844.6	1691.7	2913	3:1	1.4:1	0.6:1	1.7:1
Diabetes age-adjusted death rate Diabetes age-adjusted death rate	Per 100,000 population	2019	26	20.7	53.7	13.8	5	27.3	2.6:1	0.7:1	0.2:1	5.5:1
Heart Disease
Coronary heart disease age-adjusted hospitalization rate	Per 100,000 Population	2019	249	228.8	324.2	237.6	122.3	250.9	1.4:1	1:1	0.5:1	2.1:1
Coronary heart disease age-adjusted death rate	Per 100,000 population	2019	72	72.9	80.7	25.8	41.1		1.1:1	0.4:1
Congestive heart failure age-adjusted hospitalization rate	Per 100,000 Population	2019	1883	1493.7	3694.6	1295.1	769.7	1942.2	2.5:1	0.9:1	0.4:1	2.5:1
Congestive heart failure age adjusted death rate	Per 100,000 Population	2019	10.7	9.6	15.6	8.8	24.5	9.6	1.6:1	0.9:1	2.6:1	0.4:1
Injury
Unintentional injury hospitalizations Unintentional injury hospitalizations	Per 100,000 population	2019	607.2
Unintentional injury age-adjusted death rate	Per 100,000 population	2019	51.9	53.1	52	34.1	34.5	53.5	1:1	0.6:1	0.6:1	1.5:1
Unintentional poisoning age-adjusted death rate	Per 100,000 population	2019	10.3	8.9	17.3	3.2	2.6	11.1	1.9:1	0.4:1	0.2:1	4.2:1
Drug poisoning age-adjusted death rate Drug poisoning age-adjusted death rate	Per 100,000 population	2019	10.4	9.8	14.7	3.2	2.6	11.1	1.5:1	0.3:1	0.2:1	4.2:1
Hospitalizations for non-fatal unintentional falls	Per 100,000 Population	2019	328.9	388.7	187.6	172.6	142.3	345.3	0.5:1	0.4:1	0.4:1	2.4:1
Unintentional falls age-adjusted death rate	Per 100,000 population	2019	19.4	21.6	5.8	26.3	19.7	19.5	0.3:1	1.2:1	1:1	1:1
Hospitalizations for non-fatal motor vehicle traffic related injuries	Per 100,000 Population	2019	99	90.2	133	78.4	69.3	100.7	1.5:1	0.9:1	0.7:1	1.5:1
Motor vehicle crash age-adjusted death rate	Per 100,000 Population	2019	15.5	17	18.3	0	12.2		1.1:1	0:1
Hospitalizations for non-fatal traumatic brain injuries	Per 100,000 Population	2019	90	88	89.3	102	83.9	89.5	1:1	1.2:1	0.9:1	1.1:1
Traumatic brain injury age-adjusted death rate	Per 100,000 Population	2019	10.9	12.3	10.1		2.6	11.4	0.8:1		0.2:1	4.3:1
Hospitalizations for non-fatal firearm injuries	Per 100,000 Population	2019	8.6	4.3	25.5	0	7.3	8.8	5.9:1	0:1	0.8:1	1.2:1
Firearms-related age-adjusted death rate	Per 100,000 Population	2019	7.5	7.9	6.7	5.3	0		0.8:1	0.7:1		N/A
Hospitalizations for non-fatal unintentional firearm injuries	Per 100,000 Population	2019	2.6	0.5	9.1	0	3.6	2.5	18.2:1	0:1	1.4:1	0.7:1
Unintentional deaths due to fire age-adjusted death rate	Per 100,000 Population	2019	0	0	0	0	0		N/A	N/A		N/A
Unintentional drowning age-adjusted death rate	Per 100,000 Population	2019	1.6	1.6	1.5	0	0		0.9:1	0:1		N/A
Homicide age-adjusted death rate Homicide age-adjusted death rate	Per 100,000 population	2019	3	2.4	4	5.3	0	3.4	1.7:1	2.2:1	0:1	N/A
Suicide age-adjusted death rate Suicide age-adjusted death rate	Per 100,000 population	2019	11.9	15.6	2.6	3.2	4.8	12.7	0.2:1	0.2:1	0.4:1	2.6:1
HIV/AIDS
Adults who had ever been tested for HIV Adults who had ever been tested for HIV	Percent	2016	44.7	39	66.6		68.9		1.7:1
HIV Diagnoses HIV Diagnoses	Per 100,000 population	2019	13.9	4.9	45.1	4.2	14.6	13.8	9.2:1	0.9:1	1.1:1	0.9:1
Persons with HIV (PWH) Persons with HIV (PWH)	Per 100,000 population	2019	393.8	198.6	1219.4	75.4	222.5	413.4	6.1:1	0.4:1	0.5:1	1.9:1
AIDS Diagnoses AIDS Diagnoses	Per 100,000 population	2019	6.8	3.7	20.7	0	3.6	7.1	5.6:1	0:1	0.5:1	2:1
HIV/AIDS age-adjusted death rate HIV/AIDS age-adjusted death rate	Per 100,000 population	2019	4.1	2.6	12.4	0	0	3.8	4.7:1	0:1	0:1	N/A
Kidney disease
Preventable hospitalizations under 65 from kidney/urinary infection	Per 100,000 population	2019	26.2
Nephritis, nephrotic syndrome & nephrosis age-adjusted death rate	Per 100,000 population	2019	8.8	5.6	25.5	8.3	5	8.9	4.6:1	1.5:1	0.6:1	1.8:1
Liver disease
Chronic liver disease and cirrhosis age-adjusted death rate	Per 100,000 population	2019	13.4	15.3	8.6	6	26.9	12.2	0.6:1	0.4:1	2.2:1	0.5:1
Maternal and Child Health
Births to mothers ages 15-19 Births to mothers ages 15-19	Per 1,000 Females 15-19	2019	7.9	4.7	20.3	3	7.1	8	4.3:1	0.6:1	0.9:1	1.1:1
Repeat births to mothers Ages 15-19 Repeat births to mothers Ages 15-19	Percent	2019	11.2	11.4	12		9.1	11.5	1.1:1		0.8:1	1.3:1
Births to unwed mothers ages 15-19 Births to unwed mothers ages 15-19	Percent	2019	97.8	97.1	98		100	97.4	1:1		1:1	1:1
Births to unwed mothers ages 15-44 Births to unwed mothers ages 15-44	Percent	2019	42.7	30	76.3		38.6	43.1	2.5:1		0.9:1	1.1:1
Births to mothers 19 and over without high school education	Percent	2019	7	5.3	12.6		11.4	6.4	2.4:1		1.8:1	0.6:1
Resident live births to mothers who smoked during pregnancy	Percent	2019	4.7	5.4	4.6	1.3	2.5	4.9	0.9:1	0.2:1	0.5:1	2:1
Births to mothers who are underweight (BMI <18.5) at time pregnancy occurred	Percent	2019	3.9	3.6	4.2		3	4	1.2:1		0.8:1	1.3:1
Births to mothers who are overweight (BMI 25.0-29.9) at time pregnancy occurred	Percent	2019	24.9	26.1	21.7		27.4	24.6	0.8:1		1.1:1	0.9:1
Births to mothers who are obese (BMI >= 30) at time pregnancy occurred	Percent	2019	29.1	24.2	45.4		28.9	29.1	1.9:1		1:1	1:1
Births with inter-pregnancy interval < 18 months	Percent	2019	36.2	37.4	35.9		29.9	37	1:1		0.8:1	1.2:1
Births with 1st trimester prenatal care Births with 1st trimester prenatal care	Percent	2019	78.9	81.5	72.9	80.9	72	79.8	0.9:1	1:1	0.9:1	1.1:1
Births with no prenatal care Births with no prenatal care	Percent	2019	0.8	0.8	0.9	0.4	0	0.8	1.1:1	0.5:1	0:1	N/A
Births < 37 weeks of gestation Births < 37 weeks of gestation	Percent	2019	12.1	9.4	18.5	9.9	10.1	12.4	2:1	1.1:1	0.8:1	1.2:1
Very low birthweight infants born in subspecialty perinatal centers	Percent	2018	84.5	76.2	90.7		75	85.1	1.2:1		0.9:1	1.1:1
Births < 1500 grams (very low birth weight)	Percent	2019	2	1.3	3.7	1.7	0.7	2.2	2.8:1	1.3:1	0.3:1	3.1:1
Births < 2500 grams (low birth weight) Births < 2500 grams (low birth weight)	Percent	2019	11	7.7	18.4	8.6	8.7	11.2	2.4:1	1.1:1	0.8:1	1.3:1
Mothers who initiate breastfeeding Mothers who initiate breastfeeding	Percent	2019	87.1	92.6	74.3		92.4	86.5	0.8:1		1.1:1	0.9:1
Severe Maternal Morbidity Severe Maternal Morbidity	Per 1,000 Delivery Hospitalizations	2019	7.2	5.8	8.8	9.5	8.4	7.3	1.5:1	1.6:1	1.2:1	0.9:1
Fetal deaths Fetal deaths	Per 1,000 Deliveries	2019	8.1	3.8	14.6	13	3.6	8.2	3.8:1	3.4:1	0.4:1	2.3:1
Infant deaths Infant deaths	Per 1,000 births	2019	10	7	13.6	16.5	7.2	10.4	1.9:1	2.4:1	0.7:1	1.4:1
Sudden Unexpected Infant Deaths (SUID) Sudden Unexpected Infant Deaths (SUID)	Per 1,000 Births	2019	1.5	1.3	0	6.6	0	1.7	0:1	5.1:1	0:1	N/A
Maternal deaths Maternal deaths	Per 100,000 Births	2019	0	0	0	0	0	0	N/A	N/A	N/A	N/A
Mental health conditions and trauma
Hospitalizations for mental disorders Hospitalizations for mental disorders	Per 100,000 population	2019	1224.5	1151.6	1502.9	956.9	744.3	1249	1.3:1	0.8:1	0.6:1	1.7:1
Stroke
Adults who have ever been told they had a stroke	Percent	2016	3.3	3	7.7		1.3		2.6:1
Hospitalizations from stroke Hospitalizations from stroke	Per 100,000 population	2019	285.4	258.2	380.7	168.6	109.4	295.9	1.5:1	0.7:1	0.4:1	2.7:1
Stroke age-adjusted death rate Stroke age-adjusted death rate	Per 100,000 population	2019	40	32.3	82.3	31.3	14.8	41.7	2.5:1	1:1	0.4:1	2.8:1

Data Note(s):

Data shown for white race represent non-Hispanic white. Data shown for black race represent non-Hispanic black. Data shown in the other race column represent non-Hispanic other race.

Rate ratios in this report compare rates of two populations, for example, the black rate to the white rate. A ratio of 2:1 would mean that the black rate is two times the white rate. A ratio of 0.5:1 would mean that the black rate is half of the white rate. Rate ratios are not calculated when a rate is zero (n/a indicated in the county ratio column).

All indicators in this report, except the indicators from the Behavioral Risk Factor Surveillance System (BRFSS), report rates based on the entire black population. Indicators from the BRFSS only include non-Hispanic blacks in the rates reported here. These indicators all begin with the word "Adults".

Indicators included here are based, in part, by the Prevention Institute's report for the Robert Wood Johnson Foundation in June 2015 titled "Measuring What Works to Achieve Health Equity: Metrics for the Determinants of Health".

When the Racial Residential Segregation Index is less than 0.3 the county’s population is “well integrated.” Values between 0.3 and 0.6 indicate the county’s population is “moderately segregated.” Values above 0.6 indicate the county’s population is “very segregated."

Income inequality is an index that ranges from 0 to 1. Zero indicates a perfect distribution of income where everyone receives an equal share. One indicates an imperfect distribution of income where only one or a group of recipients receive all the income.

Some indicators important to understanding the context of health disparities are displayed even when race and ethnicity breakouts are not available. In these cases, only the totals are provided.