OKLAHOMA’S RURAL HEALTH STATUS Richard Perry, M.A., Director Oklahoma AHEC OSU Center for Rural Health

Healthy People 2010: A Systematic Approach to Health Improvement Determinants of Health Policies and Interventions Behavior Physical Social EnvironmentIndividualEnvironment Biology Access to Quality Health Care Health Status

Listen for:Listen for: –Why is Oklahoma’s health status so bad and seems only to get worse ? Which Demographic, Economic, and Behavioral trends that impact health status –What factors would impact the way you practice. –What factors would impact the decision you make about where you want to practice.

14 “ Corridor” Counties 61% of the Population Resides

Median Age Oklahoma, 2000 Legend Years 27.6 – – – – – 45.3 State Median Age = 35.5

14 “ I-44 Corridor” Counties 61% of the Population Resides Persons per sq mile

Population Trends in Rural Oklahoma Rural Population Numerical Change Percent Change Rural Oklahoma total population1,224,9401,293,62468,6846% Rural Oklahoma population under age 18320,579326,0235,4442% Rural Oklahoma population under age 699,78899,88092Less than 0.5%

Percent of People 25 yrs and Older with High School Diploma or More in 2000 Legend 63.2 – – – – – 88.1

Direct from High School-to-College-Going Rate through

Three Year Rate of Youth Under Age 19 Dropping Out of High School (2001/2002 through 2003/2004 Oklahoma kids count Factbook 2005

Per Capita Income in Oklahoma Metro/Non-Metro

Poverty Rural/Non-rural Rural Kids Count, August, 2004

Percent of Persons Below Poverty Level in 2000 Legend

County Economic Index: Rankings of Various Economic Factors Oklahoma kids count Factbook 2005

Percent of Adult Respondents Reporting Currently Smoking Cigarettes by Sub- State Planning Districts: Oklahoma 2002 High rates of smoking among Native Americans. Decreased smoking with increased age. Decreased smoking with increased education. Decreased smoking with increased income.

Percent of Adult Respondents With Any Kind of Health Plan by Sub-State Planning Districts: Okahoma Clear disparity of lack of health plan coverage with younger ages. Increased rate of health plan coverage with increased education and income. Highest rates of health plan coverage among whites. Lowest rates of health plan coverage in southeast Oklahoma.

Medicaid as a Percent of Population Oklahoma Health Care Authority State Fiscal year 2003 Annual Report

Oklahoma’s Rural Health Status

Healthy People 2010: A Systematic Approach to Health Improvement Determinants of Health Policies and Interventions Behavior Physical Social EnvironmentIndividualEnvironment Biology Access to Quality Health Care Health Status

Crude Mortality Rates by County (Deaths per 100,000 population) 2003 County Average 1123

Age Adjusted Mortality Rate (Deaths Per 100,000 Population 2003 County Average 1024

Years of Potential Life Lost Prior to Age 75 per Death by, County, 1994 – 1996 Average

Cancer Mortality Historical Trends

Discussion:Discussion: –Why is Oklahoma’s health status so bad and seems only to get worse ? Which Demographic, Economic, and Behavioral trends that impact health status –What factors would impact the way you practice. –What factors would impact the decision you make about where you want to practice.