Location: Breathitt County

Key Indicators

Demographics

Breathitt Kentucky
Total Population 13,284 4,436,974

Data Source: Population Division, U.S. Census Bureau, Kentucky State Data Center

High School Graduation (percent adults age 25 or older) Breathitt Kentucky
Total 69% 84%
Female 73% 85%
Male 64% 83%

Data Source: American Community Survey, U.S. Census Bureau, Kentucky State Data Center

Breathitt Kentucky USA
Per Capita Income $15,737 $24,063 $28,155

About the Indicator: Mean income for every man, woman, and child in a particular geography.

Data Source: American Community Survey, U.S. Census Bureau, Kentucky State Data Center

Breathitt Kentucky USA
Median Household Income $25,817 $43,740 $53,046

Data Source: American Community Survey, U.S. Census Bureau, Kentucky State Data Center

Social & Behavioral Indicators

Lack of Physical Activity (percent adults) Breathitt Kentucky
County 29%(21.51-38.71) 30%(29.4-31.1)
County Group 36%(31.41-40.1) 30%(29.4-31.1)

About the Indicator: Percent of adults who did not participate in any physical activity or exercise during the past month.

Data Source: BRFSS, Population Division, U.S. Census Bureau

Prevalence of Obesity (percent adults) Breathitt Kentucky
County 37%(28.14-46.39) 33%(32.2-34)
County Group 36%(31.77-40.51) 33%(32.2-34)

About the Indicator: The percentage of adults estimated to be obese, defined as having a Body Mass Index (BMI) of 30.0 or higher. BMI is equal to weight in pounds divide by height in inches squared and then multiplied by 703.

Data Source: BRFSS

Prevalence of Overweight (percent adults) Breathitt Kentucky
County 69%(58.35-77.33) 67%(66.1-67.9)
County Group 71%(67.07-75.51) 67%(66.1-67.9)

About the Indicator: The percentage of adults estimated to be overweight, defined as having a Body Mass Index (BMI) of 25.0 or higher. This category includes those adults estimated to be obese, defined as having a BMI of 30.0 or greater. BMI is equal to weight in pounds divide by height in inches squared and then multiplied by 703.

Data Source: BRFSS

Recommended Fruit and Vegetable Intake (percent adults) Breathitt Kentucky
County 6%(2.46-14.72) 19%(17.94-19.69)
County Group 12%(8.11-17.25) 19%(17.94-19.69)

About the Indicator: Percent of adults who consume five or more servings of fruits and vegetables per day.

Data Source: BRFSS

Prevalence of Smoking (percent adults) Breathitt Kentucky
County 31%(23.07-40.19) 27%(26.1-27.8)
County Group 34%(29.32-38.77) 27%(26.1-27.8)

Data Source: BRFSS

Tooth Loss (percent adults missing 6 or more teeth) Breathitt Kentucky
County 47%(36.07-57.54) 24%(22.7-24.4)
County Group 47%(41.46-52.9) 24%(22.7-24.4)

About the Indicator: The percentage of adults with six or more permanent teeth removed because of tooth decay or gum disease.

Data Source: BRFSS

Limited Activities in Previous Month (percent adults) Breathitt Kentucky
County 37%(28.82-46.96) 27%(25.9-27.5)
County Group 34%(30.23-38.65) 27%(25.9-27.5)

About the Indicator: Percent of adults who could not perform work or household tasks due to physical, mental or emotional problems.

Data Source: BRFSS

Binge Drinking (percent adults) Breathitt Kentucky
County 10%(5.01-19.55) 14%(13.1-14.5)
County Group 7%(4.65-9.89) 14%(13.1-14.5)

About the Indicator: Binge drinking is defined as having five or more drinks on one occasion for males and having four or more drinks on one occasion for females.

Data Source: BRFSS

Health Outcomes

Breathitt Kentucky
Premature Death (years lost per 100,000 population) 17,528 9,612

About the Indicator: Years of Potential Life Lost prior to age 75 is a measure of premature mortality that is calculated over the age range from birth to 75 years of age.

Data Source: Kentucky State Data Center - Vital Statistics

Breathitt Kentucky
Total Mortality (per 100,000 population) 1,281 909

About the Indicator: Age-adjusted rate of deaths (from all causes) per year.

Data Source: Kentucky State Data Center - Vital Statistics

Deaths by Age Group (count & rate per 100,000 population) Breathitt Kentucky
Less than 1 year 1 682.4
1-4 years 1 30.1
5-9 years 0 13.9
10-14 years 1 17.2
15-19 years 1 53.6
20-24 years 1 99.5
25-29 years 3 136.5
30-34 years 3 180.4
35-39 years 3 224.7
40-44 years 6 297.1
45-49 years 8 458.4
50-54 years 11 688.6
55-59 years 16 962.5
60-64 years 17 1,326.1
65-69 years 19 1,933.0
70-74 years 23 2,960.3
75-79 years 20 4,543.4
80-84 years 20 7,208.4
85 years and older 28 15,164.6

Data Source: Kentucky State Data Center - Vital Statistics

Breathitt Kentucky
Motor Vehicle Deaths (count) 2 761

Data Source: FARS, Kentucky State Data Center

Less than Good Health (percent adults) Breathitt Kentucky
County 29%(21.79-37.92) 23%(22.5-24)
County Group 35%(31.04-39.45) 23%(22.5-24)

About the Indicator: Adults were asked to rate their own health status as excellent, very good, good, fair or poor.  Data indicates the percentage of adults reporting their health status as generally being fair or poor.

Data Source: BRFSS

Physically Unhealthy Days (per month) Breathitt Kentucky
County 6(4.52-8.02) 5(4.8-5.2)
County Group 7(6.08-8.01) 5(4.8-5.2)

About the Indicator: Average number of days in the past 30 days when physical health, including physical illness and injury, was not good.

Data Source: BRFSS

Mentally Unhealthy Days (per month) Breathitt Kentucky
County 6(4.34-8.21) 5(4.5-4.8)
County Group 6(4.85-6.66) 5(4.5-4.8)

About the Indicator: Average number of days in the past 30 days when mental health, including stress, depression, and problems with emotions, was not good.

Data Source: BRFSS

Prevalence of Asthma (percent adults) Breathitt Kentucky
County 20%(13.9-28.68) 16%(15.6-17)
County Group 18%(14.71-21.2) 16%(15.6-17)

Data Source: BRFSS

Prevalence of Diabetes (percent adults) Breathitt Kentucky
County 15%(10.1-21.28) 12%(11.7-12.8)
County Group 12%(9.83-14.52) 12%(11.7-12.8)

Data Source: BRFSS

Prevalence of Hypertension (percent adults) Breathitt Kentucky
County 39%(29.02-50.99) 39%(38-40.1)
County Group 46%(40.95-51.89) 39%(38-40.1)

About the Indicator: Precent of adults who report they have been told they have high blood pressure or hypertension by a health care professional.

Data Source: BRFSS

Cancer Deaths (age-adjusted rate per 100,000 population) Breathitt Kentucky
All Cancers 248 200
Lung and Bronchus 79 69
Colorectal 26 17
Breast 22
Prostate 20

About the Indicator: Breast Cancer Death Rate is the number of deaths per 100,000 females. Prostate Cancer Death Rate is the number of deaths per 100,000 males.

Data for counties with fewer than 15 deaths is considered unstable and has been supressed.

Data Source: Kentucky Cancer Registry

Breathitt Kentucky
Heart Disease Deaths (per 100,000 population) 364 202

About the Indicator: Age-adjusted rate of deaths (due to heart disease) per year.

Data Source: Kentucky State Data Center - Vital Statistics

Breathitt Kentucky
Stroke Deaths (per 100,000 population) 60 42

About the Indicator: Age-adjusted rate of deaths (due to stroke) per year.

Data Source: Kentucky State Data Center - Vital Statistics

Breathitt Kentucky USA
Infectious Disease 2007 (per 100,000 population) 13.5 8.0 23.0

About the Indicator: The occurrence of Acquired Immune Deficiency Syndrome (AIDS), tuberculosis, and hepatitis (all types).

Data Source: The Health of Kentucky: A County Assessment (Kentucky Reportable Disease System)

Access to Care

Flu Vaccination in the Past Year (percent adults) Breathitt Kentucky
County 39%(30.41-49.24) 43%(42.3-44.2)
County Group 42%(37.4-46.55) 43%(42.3-44.2)

About the Indicator: Percent of adults who report having received a flu vaccine in the past year.

Data Source: BRFSS

Lack of Cholesterol Awareness (percent adults) Breathitt Kentucky
County 14%(6.83-27.26) 23%(22.2-24.4)
County Group 15%(11.41-20.57) 23%(22.2-24.4)

About the Indicator: Percent of adults who report that they have not had their cholesterol level checked in the past 5 years.

Data Source: BRFSS

HIV Testing (percent adults under 65) Breathitt Kentucky
County 31%(22.2-41.78) 34%(32.5-34.4)
County Group 32%(26.95-36.47) 34%(32.5-34.4)

About the Indicator: Percent of adults younger than 65 who report having ever been tested for HIV.

Data Source: BRFSS

Personal Doctor or Health Care Provider (percent adults) Breathitt Kentucky
County 85%(75.18-91.63) 80%(79.3-81)
County Group 87%(82.71-89.8) 80%(79.3-81)

About the Indicator: Percent of adults reporting that there was one person they think of as their personal doctor or health care provider.

Data Source: BRFSS

Health Care Providers (per 1,000 population) Breathitt Kentucky
Primary Care Physicians 1.2 1.0
Physician Specialists 0.7 1.4
Registered Nurses 10.1 11.2
Pharmacists 0.6 1.1
Dentists 0.3 0.6

About the Indicator: Physician and Dentist data based on provider's county of practice as reported to the Kentucky Board of Medical Licensure or Kentucky Board of Dentistry.  Nurse, Physician Assistant, and Pharmacist data based on provider's county of residence. 

Data Source: Kentucky Board of Medical Licensure, Kentucky Board of Dentistry, Kentucky Board of Nursing, Kentucky Board of Pharmacy

Health Care Providers Available Breathitt Kentucky
All Physicians 30 10,115
Primary Care Physicians 19 4,241
Physician Specialists 11 5,874
Registered Nurses 160 47,948
Nurse Practitioners 4 2,797
Physician Assistants 3 772
Pharmacists 9 4,524
Dentists 5 2,461

About the Indicator: Physician and Dentist data based on provider's county of practice as reported to the Kentucky Board of Medical Licensure or Kentucky Board of Dentistry.  Nurse, Physician Assistant, and Pharmacist data based on provider's county of residence. 

Data Source: Kentucky Board of Medical Licensure, Kentucky Board of Dentistry, Kentucky Board of Nursing, Kentucky Board of Pharmacy

Physicians Available Breathitt Kentucky
Total Physicians 30 10,115
Total Primary Care 19 4,241
Family Practice 5 1,547
General Practice 1 116
Internal Medicine 9 1,375
Obstetrics and Gynecology 1 493
Pediatrics 3 710
Other Specialty 11 5,874

About the Indicator: Based on physician's county of practice as reported to the Kentucky Board of Medical Licensure.

Data Source: Kentucky Board of Medical Licensure

Prevention Quality Indicators (risk-adjusted rate per 1,000 adults) Breathitt Kentucky
Chronic 27 12
Acute 10 8
Overall 38 20

About the Indicator: Prevention Quality Indicators (PQIs) are a set of measure that can be used to identify "ambulatory care sensitive conditions," which are conditions for which good outpatient care can potentially prevent the need for hospitalization, complications or more severe disease.  The Acute PQI is a composite representing admissions for dehydration, bacterial pneumonia, and urinary tract infections.  The Chronic PQI is a composite representing admissions for diabetes short-term complications, diabetes long-term complications, chronic obstructive pulmonary disease, hypertension, congestive heart failure, angina admissions without a procedure,  uncontrolled diabetes, adult asthma, and lower-extremity amputation among patients with diabetes.  The Overall PQI is a composite representing all of the preceding acute and chronic indicators.

Data Source: Office of Health Policy, Kentucky Cabinet for Health and Family Services

Breathitt
Local Health Care Jobs (percent of total employment) 15.7%

About the Indicator: The percent of all employment within the health care sector.

Data Source: CEDIK

Breathitt
Local Health Care Jobs (total number) 472.0

Data Source: CEDIK

Breathitt Kentucky
Uninsured Population (percent adults under age 65) 8% 7%

About the Indicator: The percentage of the population age 18-64 not covered by private or public health insurance.

Data Source: Small Area Health Insurance Estimates Program, U.S. Census Bureau, Kentucky State Data Center

Forego Care Due to Cost (percent adults) Breathitt Kentucky
County 18%(10.84-27.71) 16%(14.9-16.3)
County Group 19%(15.91-23.45) 16%(14.9-16.3)

About the Indicator: The percent of adults who report that there was a time in the past year when they needed to see a doctor but could not because of the cost.

Data Source: BRFSS

Health Plan Enrollment (member months) Breathitt Kentucky
Aetna Health 0 9,047
Aetna Life Insurance 12 6,429
Anthem 3,583 2,530,116
Bluegrass Family Health 1,275 198,875
CHA Health 1,784 332,379
Connecticut General 0 0
Humana 488 546,460
John Alden 0 16,893
Mega Life and Health 22 12,745
Mid-West
New York Life
Principal 0 24,167
Time Insurance 0 58,115
Union Security 0 1,955
United Healthcare Insurance Company 0 33,699
United Healthcare of Kentucky 0 105,179
United Healthcare of Ohio 0 56,753

About the Indicator: Health Plan Enrollment data indicates Kentucky members only. Health Plan Income data includes operations in other states for Aetna, Human and UnitedHealthcare Ohio.

Data Source: Kentucky Health Care Market Report

Medicaid Enrollment Breathitt Kentucky
Total 7,193 928,615
65 and Over 755 92,515
Adults ages 20-64 3,173 313,706
Children ages 0-19 3,269 518,695
Foster Care Children 66 16,110
Blind and Disabled 2,534 208,640
BCCA 4 520

About the Indicator: BCCA refers to women eligible for coverage through the Kentucky Women's Cancer Screening Program.

Data Source: Kentucky Health Care Market Report (Kentucky Department of Medicaid Services)

Medicaid Expenditures Breathitt Kentucky
Total Expenditures $32,737,071 $4,126,757,251
Average Expenditures per Recipient $4,551 $4,444

Data Source: Kentucky Health Care Market Report (Kentucky Department of Medicaid Services)

Maternal & Child Health

Breathitt Kentucky
Adequacy of Prenatal Care (percent pregnant women) 63% 67%

About the Indicator: Percentage of pregnant women who received prenatal care during the first trimester of pregnancy and had 10 or more prenatal visits.

Data Source: Kentucky State Data Center - Vital Statistics

Breathitt Kentucky
Infant Mortality (per 1,000 live births) 8 7

About the Indicator: Deaths at any time from birth up to, but not including, one year of age.

Data Source: Kentucky State Data Center - Vital Statistics

Breathitt Kentucky USA
Immunization Coverage (percent children ages 19-35 months) 79% 80% 81%

About the Indicator: Percentage of children ages 19 to 35 months who have received the suggested early childhood immunizations, including recommended dosages for DTP, poliovirus, MCV, HiB, HepB.

Data Source: The Health of Kentucky: A County Assessment (Kentucky Health Profiles)

Breathitt Kentucky USA
Prevalence of Youth Smoking (percent of high school students) 18% 25% 23%

About the Indicator: Percent of high school students who smoke tobacco products regularly.

Data Source: The Health of Kentucky: A County Assessment (Youth Tobacco Survey and Youth Risk Behavior Survey)

Breathitt Kentucky
Uninsured Child Population (percent children under age 19) 4% 4%

About the Indicator: The percentage of the population age younger than 19 years not covered by private or public health insurance.

Data Source: Small Area Health Insurance Estimates Program, U.S. Census Bureau, Kentucky State Data Center

KCHIP Enrollment Performance Breathitt
Free and Reduced School Lunch Program 9
Medicaid and KCHIP Enrollment 14

About the Indicator: Counties were ranked (from 1 to 120) according to the percentage of public school students enrolled in free and reduced lunch program.  This data is considered a proxy for the number of low-income and potentially KCHIP-eligible children in a county.

Counties were subsequently ranked (from 1 to 120) according to the percentage of children enrolled in KCHIP or Medicaid.

While the two measures are not directly comparable (school lunch data does not provide information on children too young to attend school, for example), counties with large variations in these two rankings (>10 places) may want to explore their program enrollment to ensure that children in need are not being missed.

Data Source: Kentucky Injury Prevention Center

Senior Health

Data Sources:

Population Division, U.S. Census Bureau

Description: Decennial population data (2000, 2010, etc.) is from the Decennial Census. Data for all other years is from the Population Estimates Program, Population Division, U.S. Census Bureau.

Kentucky State Data Center

Description: Calculated by the Kentucky State Data Center.

American Community Survey, U.S. Census Bureau

Description: Data from American Community Survey 5-Year Estimates.  1-Year and 3-Year Estimates may be available for counties with large populations.  For more information, visit census.gov.

BRFSS

Description: Centers for Disease Control and Prevention (CDC) and Kentucky Department for Public Health. Behavioral Risk Factor Surveillance System Data as analyzed at the county level by the University of Kentucky Markey Cancer Control Program and College of Public Health.

Data for counties with fewer than 50 respondents have been suppressed. 

County groups were developed by researchers at the University of Kentucky Markey Cancer Control Program and College of Public Health under the direction of the Kentucky Department for Public Health. The county groups were developed through a methodology which considered socioeconomic, demographic, and health-related statistics at the county level, together with geographical proximity and number of BRFSS respondents, to cluster counties based on similar characteristics. County groups are expected to provide more stable rates and reliable estimates for small areas in Kentucky. For additional information, please email rseger at healthy-ky.org.  

Kentucky State Police Annual Reports & FBI Uniform Crime Reports

Description: Calculated by the Kentucky State Data Center.
Rates are calculated using data from the Kentucky State Police Crime in Kentucky Annual Report www.kentuckystatepolice.org/data.htm and FBI Uniform Crime Reports for the specified year and population data from the Population Estimates Program, Population Division, U.S. Census Bureau.

The Health of Kentucky: A County Assessment (Kentucky State Police Crime in Kentucky)

Description: Kentucky Institute of Medicine. The Health of Kentucky: A County Assessment. Lexington, KY; 2007. Authors' analysis of data from Kentucky State Police Crime in Kentucky annual reports (1999-2003).

Kentucky State Data Center - Vital Statistics

Description: Kentucky State Data Center analysis of records from the Kentucky Department for Public Health Office of Vital Statistics.

FARS

Description: Fatality Analysis Reporting System (FARS) by the National Highway Traffic Safety Administration.

Kentucky Cancer Registry

Description: Additional incidence and mortality data for these and other cancer types is available from the Kentucky Cancer Registry (KCR).  Counties with supressed data may be able to obtain stable rates by expanding the selected time frame on the KCR website, www.kcr.uky.edu.

The Health of Kentucky: A County Assessment (Kentucky Reportable Disease System)

Description: Kentucky Institute of Medicine. The Health of Kentucky: A County Assessment. Lexington, KY; 2007. Authors' analysis of data from Kentucky Reportable Disease System (1999-2003).

The Health of Kentucky: A County Assessment (Traffic Collisions in Kentucky)

Description: Kentucky Institute of Medicine. The Health of Kentucky: A County Assessment. Lexington, KY; 2007.  Authors' analysis of data from Kentucky State Police Traffic Collisions in Kentucky annual reports (2000-2004).

The Health of Kentucky: A County Assessment (Kentucky Department of Labor, Census of Fatal Occupational Injuries)

Description: Kentucky Institute of Medicine. The Health of Kentucky: A County Assessment. Lexington, KY; 2007. Authors' analysis of data from Kentucky Department of Labor, Census of Fatal Occupational Injuries (1999-2003).

Kentucky Board of Medical Licensure

Kentucky Board of Dentistry

Kentucky Board of Nursing

Kentucky Board of Pharmacy

Office of Health Policy, Kentucky Cabinet for Health and Family Services

CEDIK

Description: Analysis provided by the Community and Economic Development Initaitive of Kentucky at the University of Kentucky College of Agriculture. http://www.ca.uky.edu/CEDIK

Small Area Health Insurance Estimates Program, U.S. Census Bureau

Kentucky Health Care Market Report

Description: Baumgarten A. Kentucky Health Care Market Report, 2007. Minneapolis, MN: Allan Baumgarten and Associates; February 2008.

Kentucky Health Care Market Report (Kentucky Department of Medicaid Services)

Description: Baumgarten A. Kentucky Health Care Market Report, 2007. Minneapolis, MN: Allan Baumgarten and Associates; February 2008.  Author's analysis of 2006 data file prepared by Kentucky Department of Medicaid Services.

The Health of Kentucky: A County Assessment (Kentucky Health Profiles)

Description: Kentucky Institute of Medicine. The Health of Kentucky: A County Assessment. Lexington, KY; 2007. Authors' analysis of data from Kentucky Health Profiles, Leading and Selected Causes of Death, Kentucky Department for Public Health (1999-2003).

The Health of Kentucky: A County Assessment (Youth Tobacco Survey and Youth Risk Behavior Survey)

Description: Kentucky Institute of Medicine. The Health of Kentucky: A County Assessment. Lexington, KY; 2007. Authors' analysis of data from Youth Tobacco Survey and Youth Risk Behavior Survey (2001-2002).

Kentucky Injury Prevention Center