HEALTH STATUS OF WOMEN IN REGION IV Prepared under contract to the DHHS Office on Women's Health by Quality Resource Systems, Inc. The Project Officers were: Suzanne Haynes, PhD, Senior Science Advisor, DHHS/OSOPHS/OWH and Laurie Konsella, MPA, Regional Women’s Health Coordinator, Denver Regional Office, DHHS/OSOPHS/OWH. The Region IV Women's Health Coordinator, Annie Brayboy Fair, MSW, MPH, participated in the oversight of the effort. A panel of expert advisors was assembled to review the proceedings and comment on draft materials: Michelle Berlin, MD, MPH (obstetrics/gynecology and public health), Jean Hamilton, MD (psychiatry), Mary Grace Kovar, DrPH (statistics), Kelley Phillips, MD, MPH (women's health), Patricia Rieker, PhD (sociology), and Jeffrey Weber, MD, PhD (oncology). Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Health Status of Women in Region IV November 2004 US Department of Health and Human Services Office on Women's Health Suzanne Haynes, PhD Laurie Konsella, MPA Prepared by: Quality Resource Systems, Inc. Colleen R. Goodman, MBA Alfred J. Meltzer Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV CONTENTS 1.0 INTRODUCTION................................................................................................................................. 1 2.0 SUMMARY ........................................................................................................................................... 5 2.1 DEMOGRAPHICS............................................................................................................................. 6 2.2 MORTALITY..................................................................................................................................... 7 2.3 CHRONIC AND INFECTIOUS DISEASES ..................................................................................... 8 2.4 MENTAL HEALTH ........................................................................................................................... 9 2.5 REPRODUCTIVE AND MATERNAL HEALTH........................................................................... 10 2.6 VIOLENCE AND ABUSE ............................................................................................................... 11 2.7 PREVENTION ................................................................................................................................. 12 2.8 ACCESS TO CARE.......................................................................................................................... 12 2.9 HEALTHY PEOPLE 2010 ............................................................................................................... 13 3.0 DEMOGRAPHIC CHARACTERISTICS IN REGION IV ........................................................... 19 3.1 FEMALE POPULATION IN REGION IV BY RACE/ETHNICITY AND AGE ............................ 20 3.2 RURAL STATUS ............................................................................................................................. 22 3.3 EDUCATION ................................................................................................................................... 25 3.4 FOREIGN BORN POPULATION/LINGUISTIC ISOLATION...................................................... 27 3.5 EMPLOYMENT AND INCOME..................................................................................................... 28 3.6 POVERTY AND PUBLIC ASSISTANCE....................................................................................... 30 3.7 HOUSEHOLD COMPOSITION...................................................................................................... 32 3.8 INCARCERATED WOMEN ........................................................................................................... 34 4.0 MORTALITY IN REGION IV ......................................................................................................... 35 4.1 FEMALE MORTALITY .................................................................................................................. 36 4.1.1 Unadjusted Death Rates for All Females .................................................................................. 37 4.1.2 Age-Adjusted Death Rates for All Females ............................................................................... 37 4.2 FEMALE MORTALITY BY RACE ................................................................................................ 39 4.2.1 Unadjusted Death Rates by Race .............................................................................................. 41 4.2.2 Age-Adjusted Death Rates by Race ........................................................................................... 42 4.3 FEMALE MORTALITY BY AGE................................................................................................... 44 4.4 FEMALE MORTALITY BY URBAN/RURAL RESIDENCE........................................................ 48 5.0 INDICATORS OF CHRONIC AND INFECTIOUS DISEASES OF WOMEN IN REGION IV............................................................................................................................................... 51 5.1 INDICATORS OF CHRONIC DISEASES ...................................................................................... 51 5.1.1 Prevalence of Diabetes, Elevated Cholesterol, and Hypertension............................................ 52 5.1.2 Prevalence of Asthma, Arthritis, or Disabilities ...................................................................... 53 5.1.3 Incidence of Cancer in Women ................................................................................................. 54 5.2 INDICATORS OF INFECTIOUS DISEASE ................................................................................... 56 6.0 INDICATORS OF MENTAL HEALTH OF WOMEN IN REGION IV ...................................... 61 6.1 BEHAVIORAL MEASURES OF MENTAL ILLNESSES.............................................................. 61 6.2 MORTALITY MEASURES ASSOCIATED WITH MENTAL HEALTH...................................... 64 v Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 7.0 REPRODUCTIVE AND MATERNAL HEALTH IN REGION IV .............................................. 66 7.1 BIRTHS AND REPRODUCTIVE RATES ..................................................................................... 67 7.2 BIRTHS BY MOTHER’S RACE/ETHNICITY............................................................................... 67 7.3 BIRTHS BY MOTHERS’ AGE........................................................................................................ 69 7.3.1 Teen Mothers............................................................................................................................. 70 7.3.2 Births to Older Women.............................................................................................................. 73 7.4 BIRTHS TO UNMARRIED WOMEN............................................................................................. 74 7.5 INDICATORS OF BIRTH OUTCOMES BY RACE/ETHNICITY................................................. 75 7.5.1 Preterm Births by Race/Ethnicity of Mother ............................................................................. 75 7.5.2 Low Birthweight Births by Race and Ethnicity of Mother ........................................................ 76 7.5.3 Method of Delivery.................................................................................................................... 77 7.5.4 Multiple Births........................................................................................................................... 78 7.5.5 Abnormal Conditions and Congenital Anomalies of the Newborn ........................................... 80 7.6 CHARACTERISTICS OF PREGNANT WOMEN.......................................................................... 81 7.6.1 Unintended Pregnancies ........................................................................................................... 81 7.6.2 Abuse During Pregnancy .......................................................................................................... 81 7.6.3 Education .................................................................................................................................. 81 7.7 HEALTH BEHAVIOR OF PREGNANT WOMEN......................................................................... 81 7.8 BREASTFEEDING .......................................................................................................................... 86 7.9 MATERNAL DEATHS.................................................................................................................... 86 8.0 INDICATORS OF VIOLENCE AND ABUSE IN REGION IV .................................................... 87 8.1 GENERAL CRIME ENVIRONMENT ............................................................................................ 88 8.2 MURDER OF WOMEN ................................................................................................................... 89 8.3 RAPE OF WOMEN.......................................................................................................................... 91 8.4 DOMESTIC VIOLENCE DURING PREGNANCY........................................................................ 91 9.0 INDICATORS OF PREVENTION IN REGION IV....................................................................... 92 9.1 PREVENTION INDICATORS FOR FEMALE HIGH SCHOOL STUDENTS .............................. 92 9.2 PREVENTION INDICATORS FOR WOMEN ............................................................................... 99 9.3 MANDATED HEALTH INSURANCE COVERAGE FOR PREVENTION ................................ 104 10.0 INDICATORS OF WOMEN’S ACCESS TO CARE IN REGION IV...................................... 105 10.1 INDICATORS OF ACCESS TO PHYSICIANS AND OTHER PROVIDERS ........................... 106 10.2 INDICATORS OF ACCESS TO HEALTH CARE FACILITIES ................................................ 112 10.3 RELEVANT LEGISLATIVE ACTIVITIES ................................................................................ 114 10.4 HEALTH INSURANCE............................................................................................................... 115 APPENDIX A: METHODS AND SOURCES..................................................................................... 116 APPENDIX B: STATE LEVEL DETAILED DATA .......................................................................... 141 APPENDIX C: COUNTY LEVEL DETAILED DATA...................................................................... 172 APPENDIX D: COUNTY MAPS AND RESERVATIONS ................................................................ 425 INDEX...................................................................................................................................................... 433 vi Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV TABLES TABLE 1: PERCENT OF TOTAL FEMALE POPULATION BY AGE: 2000...............................................................6 TABLE 2: PERCENT OF FEMALE POPULATION BY RACE/ETHNICITY: 2000....................................................6 TABLE 3: AGE-ADJUSTED FEMALE SUICIDE RATES BY RACE/ETHNICITY: 2000........................................10 TABLE 4: FEMALE POPULATION OF REGION IV BY RACE/ETHNICITY: 2000................................................21 TABLE 5: FEMALE POPULATION BY AGE: 2000...................................................................................................23 TABLE 6: POPULATION DENSITY AND PERCENT URBAN POPULATION: 2000.............................................24 TABLE 7: EDUCATION BY GENDER (FOR POPULATION AGE 25 AND OVER): 2000......................................25 TABLE 8: FOREIGN BORN POPULATION: 2000 .....................................................................................................27 TABLE 9: LINGUISTICALLY ISOLATED HOUSEHOLDS: 2000 ...........................................................................28 TABLE 10: EMPLOYMENT STATUS BY GENDER: 1999 .......................................................................................29 TABLE 11: MEDIAN EARNINGS BY GENDER: 1999..............................................................................................29 TABLE 12: POVERTY STATUS BY GENDER: 1999 ................................................................................................30 TABLE 13: FEMALE HOUSEHOLDERS BY RACE/ETHNICITY WITH CHILDREN UNDER 18, BELOW POVERTY: 1999 ...............................................................................................................................................31 TABLE 14: SUPPLEMENTAL SECURITY INCOME AND PUBLIC ASSISTANCE INCOME RECEIVED: 1999 ..............................................................................................................................................31 TABLE 15: FEMALE-HEADED FAMILIES AND SAME SEX PARTNER HOUSEHOLDS: 2000..........................32 TABLE 16: INCARCERATED FEMALES: 2000 & 2001............................................................................................34 TABLE 17: FEMALE DEATHS FOR THE LEADING CAUSES: 2000 ......................................................................37 TABLE 18: FEMALE DEATH RATES (UNADJUSTED) FOR THE LEADING CAUSES OF DEATH: 2000 .........38 TABLE 19: AGE-ADJUSTED FEMALE DEATH RATES FOR LEADING CAUSES: 2000 .....................................39 TABLE 20: FEMALE DEATHS AND RANKS FROM SIX LEADING CAUSES: 2000 ............................................40 TABLE 21: FEMALE DEATHS AND RATES FROM ALL CAUSES, BY RACE/ETHNICITY: 2000 .....................41 TABLE 22: AGE-ADJUSTED DEATH RATES FOR ALL CAUSES, BY RACE/ETHNICITY: 2000.......................42 TABLE 23: AGE-ADJUSTED DEATH RATES BY RACE/ETHNICITY AND CAUSE: 2000 .................................43 TABLE 24: FEMALE DEATHS AND RATES FOR ALL CAUSES, BY AGE: 2000 .................................................45 TABLE 25: DEATHS AND RATES FOR FEMALES UNDER THE AGE OF 15 FOR SELECTED CAUSES: 2000 ..................................................................................................................................................46 TABLE 26: DEATHS AND RATES FOR FEMALES 15 TO 24 YEARS OF AGE FOR SELECTED CAUSES: 2000 ..................................................................................................................................................46 TABLE 27: DEATHS AND RATES FOR FEMALES 25 TO 44 YEARS OF AGE FOR SELECTED CAUSES: 2000 ..................................................................................................................................................47 TABLE 28: DEATHS AND RATES FOR FEMALES 45 TO 64 YEARS OF AGE FOR SELECTED CAUSES: 2000 ..................................................................................................................................................48 TABLE 29: DEATHS AND RATES FOR FEMALES 65 YEARS OF AGE AND OLDER FOR SELECTED CAUSES: 2000 ..................................................................................................................................................49 TABLE 30: AGE-ADJUSTED PERCENT OF FEMALES EVER DIAGNOSED WITH DIABETES, HIGH CHOLESTEROL OR HYPERTENSION: 2001 ................................................................................................52 TABLE 31: AGE-ADJUSTED PERCENT OF FEMALES HAVING ASTHMA, ARTHRITIS, OR A DISABILITY LIMITATION: 2001 ...................................................................................................................53 TABLE 32: SITE-SPECIFIC CANCER CASES REPORTED FOR WOMEN: 2000 ...................................................54 TABLE 33: SITE-SPECIFIC, AGE-ADJUSTED INCIDENCE RATES OF CANCER IN FEMALES: 2000..............55 TABLE 34: INCIDENCE OF INFECTIOUS DISEASES IN WOMEN: 2000 ..............................................................57 TABLE 35: INCIDENCE RATE OF INFECTIOUS DISEASES IN WOMEN: 2000 ..................................................57 TABLE 36: INCIDENCE RATE OF AIDS IN WOMEN, BY RACE/ETHNICITY: 2000 ...........................................59 TABLE 37: INCIDENCE RATE OF TUBERCULOSIS IN WOMEN: 2000................................................................60 TABLE 38: INDICATORS OF MENTAL HEALTH IN FEMALES 18 YEARS AND OVER (AGE-ADJUSTED): 2001 .................................................................................................................................61 TABLE 39: DEPRESSION/SUICIDE INFORMATION REGARDING FEMALE HIGH SCHOOL STUDENTS: 2001 .............................................................................................................................................62 TABLE 40: FEMALE ADOLESCENT AND TOTAL SUICIDE RATES: 2000 ..........................................................63 TABLE 41: FEMALE DEATHS FROM ALL CAUSES AND SELECTED MENTAL DISORDERS: 2000...............64 vii Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV TABLE 42: AGE-ADJUSTED FEMALE MORTALITY FROM ORGANIC DEMENTIA AND ALZHEIMER’S DISEASE: 2000 ......................................................................................................................65 TABLE 43: BIRTHS, BIRTH RATES, FERTILITY RATES, AND PREGNANCY RATES: 2000.............................68 TABLE 44: NUMBER OF BIRTHS BY RACE/ETHNICITY OF MOTHER: 2000.....................................................68 TABLE 45: BIRTH AND FERTILITY RATES BY RACE/ETHNICITY OF MOTHER: 2000...................................69 TABLE 46: BIRTHS TO TEEN MOTHERS BY AGE AND RACE/ETHNICITY: 2000.............................................70 TABLE 47: PERCENT OF BIRTHS TO TEEN MOTHERS BY RACE/ETHNICITY: 2000.......................................71 TABLE 48: PERCENT TEEN MOTHERS WITH AT LEAST ONE CHILD WHEN GIVING BIRTH BY RACE/ETHNICITY: 2000..............................................................................................................73 TABLE 49: PERCENT OF BIRTHS TO WOMEN 40 YEARS AND OLDER: 2000 ...................................................74 TABLE 50: PERCENT OF BIRTHS TO UNMARRIED WOMEN BY RACE/ETHNICITY: 2000 ............................75 TABLE 51: PRETERM BIRTH RATE BY RACE/ETHNICITY OF MOTHER: 2000...............................................76 TABLE 52: PERCENT LOW BIRTHWEIGHT AND VERY LOW BIRTHWEIGHT BIRTHS BY RACE/ETHNICITY OF MOTHER: 2000 .........................................................................................................77 TABLE 53: TYPE OF DELIVERY BY RACE/ETHNICITY: 2000 .............................................................................78 TABLE 54: MULTIPLE BIRTH RATES BY RACE/ETHNICITY: 2000 ....................................................................79 TABLE 55: RATES OF SELECTED ABNORMAL BIRTH CONDITIONS AND CONGENITAL ANOMALIES: 2000 ..........................................................................................................................................80 TABLE 56: PERCENT OF WOMEN GIVING BIRTH NOT COMPLETING HIGH SCHOOL BY RACE/ ETHNICITY: 2000..........................................................................................................................82 TABLE 57: MEDICAL RISK FACTORS, TOBACCO USE AND ALCOHOL CONSUMPTION REPORTED BY WOMEN GIVING BIRTH: 2000 ................................................................................................................83 TABLE 58: PERCENT OF WOMEN GAINING LESS THAN 16 POUNDS DURING PREGNANCY BY RACE AND ETHNICITY: 2000 ........................................................................................84 TABLE 59: INITIATION OF PRENATAL CARE BY RACE/ETHNICITY: 2000 .....................................................85 TABLE 60: OVERALL CRIME STATISTICS: 2000 ...................................................................................................88 TABLE 61: FEMALE HOMICIDES: 2000 ...................................................................................................................90 TABLE 62: FBI VS. NCHS REPORTING OF HOMICIDES: 2000...............................................................................90 TABLE 63: PERCENT OF HOMICIDE VICTIMS WHO KNEW THEIR OFFENDER: 2000....................................91 TABLE 64: GENERAL INDICATORS OF AT-RISK BEHAVIOR IN FEMALE HIGH SCHOOL STUDENTS: 2001 .............................................................................................................................................93 TABLE 65: DEATHS DUE TO MOTOR VEHICLE ACCIDENTS FOR FEMALES 15–19: 2000 .............................93 TABLE 66: RISK BEHAVIOR IN FEMALE HIGH SCHOOL STUDENTS: 2001 .....................................................94 TABLE 67: FEMALES INITIATING AT-RISK BEHAVIOR BEFORE AGE 13: 2001..............................................95 TABLE 68: PERCENT DRUG USE IN FEMALE HIGH SCHOOL STUDENTS: 2001..............................................96 TABLE 69: SUMMARY OF SEXUAL BEHAVIOR OF FEMALE HIGH SCHOOL STUDENTS: 2001 .............................................................................................................................................97 TABLE 70: OVERWEIGHT STATUS OF FEMALE HIGH SCHOOL STUDENTS: 2001.........................................98 TABLE 71: EATING BEHAVIORS OF FEMALE HIGH SCHOOL STUDENTS: 2001 ............................................98 TABLE 72: EXERCISE BEHAVIORS OF FEMALE HIGH SCHOOL STUDENTS: 2001 ........................................99 TABLE 73: INDICATORS OF GENERAL HEALTH IN WOMEN (AGE-ADJUSTED): 2001................................100 TABLE 74: INDICATORS OF AT-RISK BEHAVIOR IN WOMEN (AGE-ADJUSTED): 2001 ..............................101 TABLE 75: SUBSTANCE USE IN WOMEN (AGE-ADJUSTED): 2001 ..................................................................102 TABLE 76: IMMUNIZATIONS RECEIVED BY WOMEN (AGE-ADJUSTED): 2001 ...........................................103 TABLE 77: PREVENTATIVE MEASURES TAKEN BY WOMEN (AGE-ADJUSTED): 2000 ..............................103 TABLE 78: SUMMARY OF HEALTH RESOURCES...............................................................................................106 TABLE 79: DISTRIBUTION OF PHYSICIANS BY SPECIALTY: 2000 .................................................................107 TABLE 80: DISTRIBUTION OF DENTISTS: 1998...................................................................................................108 TABLE 81: RATES OF NURSES, PHYSICIAN ASSISTANTS AND CHIROPRACTORS.....................................111 TABLE 82: RATES OF OTHER HEALTH PROVIDERS: 2000................................................................................112 TABLE 83: RATES OF THERAPISTS: 2000.............................................................................................................113 TABLE 84: SHORT TERM GENERAL HOSPITALS (AND SERVICES): 2000......................................................113 TABLE 85: HOSPITAL BEDS PER 1,000 FEMALES: 2000 .....................................................................................114 viii Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FIGURES FIGURE 1: MINORITY FEMALES AS PERCENT OF TOTAL FEMALES IN REGION IV: 2000 ...........................19 FIGURE 2: LOCATION OF INDIAN RESERVATIONS.............................................................................................20 FIGURE 3: FEMALES BY AGE GROUPS AND RACE/ETHNICITY IN REGION IV: 2000 ....................................24 FIGURE 4: MAPS OF POPULATION DENSITY AND RURAL/URBAN DESIGNATIONS IN REGION IV ..........26 FIGURE 5: PERCENT OF FAMILIES HEADED BY WOMEN AND PERCENT OF WOMEN DIVORCED: 2000 .............................................................................................................................................33 FIGURE 6: FEMALE AGE-ADJUSTED DEATH RATES (ALL CAUSES) IN REGION IV: 1998-2000...................35 FIGURE 7: COMPARISON OF FEMALE AGE-ADJUSTED DEATH RATES IN REGION IV TO US AVERAGES: 2000 ...................................................................................................................................................................36 FIGURE 8: AGE-ADJUSTED BREAST CANCER DEATH RATES FOR WHITE WOMEN IN REGION IV: 1998-2000 ....................................................................................................................................44 FIGURE 9: AGE-ADJUSTED RATES OF BREAST CANCER FOR BLACK AND WHITE FEMALES IN REGION IV: 2000 .............................................................................................................................................................55 FIGURE 10: AGE-ADJUSTED RATES OF LUNG CANCER FOR BLACK AND WHITE FEMALES IN REGION IV: 2000.........................................................................................................................................56 FIGURE 11: FEMALE CHLAMYDIA RATES IN REGION IV: 2000.........................................................................58 FIGURE 12: PERCENT OF PREGNANT WOMEN USING TOBACCO PRODUCTS IN REGION IV: 1998-2000 ....................................................................................................................................67 FIGURE 13: PERCENT BIRTHS BY MOTHER’S AGE AND RACE/ETHNICITY IN REGION IV: 2000 ...............71 FIGURE 14: TEEN BIRTH RATE (AGES 15 TO 17) IN REGION IV: 1998-2000 ......................................................72 FIGURE 15: PERCENT DELIVERIES BY C-SECTION IN REGION IV: 1998-2000 ................................................79 FIGURE 16: PERCENT OF PREGNANT WOMEN CONSUMING ALCOHOL IN REGION IV: 1998-2000 ...........84 FIGURE 17: RATE OF RAPES PER 100,000 WOMEN IN REGION IV: 2000 ...........................................................87 FIGURE 18: PRIMARY CARE PHYSICIANS PER 100,000 FEMALES IN REGION IV: 2000...............................105 FIGURE 19: PEDIATRICIANS AND OB/GYN’S PER 100,000 FEMALES IN REGION IV: 2000 .........................109 FIGURE 20: ALL SPECIALISTS AND PSYCHIATRISTS PER 100,000 FEMALES IN REGION IV: 2000 ...........110 FIGURE 21: AGE-ADJUSTED PERCENT OF FEMALES LACKING HEALTH INSURANCE IN REGION IV: 2001............................................................................................................................................115 ix Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV x Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 1.0 INTRODUCTION This document synthesizes information on the health status of women and minority populations in Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee, the eight states comprising Department of Health and Human Services (DHHS) Region IV. It is one of ten regional reports prepared for the DHHS’ Office on Women's Health (OWH) to identify, analyze, and publish health status indicators for women and minority populations in all 50 states, the District of Columbia (DC), and US territories and possessions. 1 The objectives of the project are to: • identify a meaningful set of indicators depicting women’s and minority health, collect and integrate available data to calculate the indicators, and prepare region-specific databases displaying the data and indicators in a user-friendly fashion; • consolidate the indicators in a series of ten regionally-focused reports to provide current information and to serve as a baseline against which progress can be assessed; • distribute copies of the regional databases, provide on-site training to representative users in all states, the District of Columbia, and the US territories/possessions, and provide technical assistance to the users; and • develop and deploy a national database (assembled from the ten regional databases) on the OWH website, along with an interactive geographic information system so that users will be able to map the data and indicators. This database is available and can be accessed on www.4woman.gov. The information assembled in the reports and CD-ROMs for each DHHS region is provided for use by health care planners and policy makers at regional, state, and local levels. The health status indicators have been constructed from a broad array of sources and integrated to create as complete a picture as possible. This report thus serves three purposes. It consolidates current information relevant to the health status of women and minority populations. It serves as a baseline against which progress in improving health status can be monitored, including the Healthy People 2010 targets. It identifies gaps where new data collection efforts can be initiated or on-going efforts can be expanded or improved. Specific suggestions to this effect are addressed at appropriate points in the document. While much of the information presented in the report is summarized, the companion database available both on CD-ROM and on the Internet provides more detailed information. The two Co-Project Officers -- one from the Central Office and one from the Denver region of DHHS 2 -- coordinated oversight of the project with representatives from each of the regional offices. 3 This effort represents a collaboration of all ten regional women’s health coordinators, 1 Prepared under contract by Quality Resource Systems, Inc. Suzanne Haynes, PhD, Senior Science Advisor, DHHS/OSOPHS/OWH and Laurie Konsella, MPA, Regional Women’s Health Coordinator, Denver Regional Office, DHHS/OSOPHS/OWH. 3 The Region IV Women's Health Coordinator is Annie Brayboy Fair, MSW, MPH, email [email protected] 2 1 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV along with the state women’s health coordinators of all 50 states, US territories and possessions. It also has required the participation and involvement of numerous public health departments within each of these jurisdictions. The effort would not have been possible without support from hundreds of different agencies across the nation. The selection of health status indicators was accomplished two ways. One of the activities included reviewing the literature and recommendations of government and academic research with regard to the factors considered important in assessing women’s health. This activity also included identifying and incorporating relevant Healthy People 2010 objectives to the extent possible. The specific interests of the Regional and State Women's Health Coordinators were also determined. The second activity involved identifying the data upon which the indicators could be developed. A panel of prominent researchers was assembled to provide guidance and to review the findings and recommendations from these two activities and to serve as external advisors to the project. 4 The advisors participated in the establishment of health status indicators, provided assistance when confronting clinical and quantitative issues during the data collection phases, and reviewed this report. Data for the selected health status indicators were sought at the county as well as state and national levels. County-level data were sought on the assumption that analyses of small areas would be most useful for targeting pockets of unmet needs and establishing state and regional approaches for addressing the needs. By and large, this approach has proven successful, although county-level data accentuate issues of small numbers, posing the problems of privacy and statistical validity discussed below. In general, county-level data are available for indicators of general demographic characteristics, mortality, reproductive health, maternal health, and access to health care. In most states, county level data are available for indicators of infectious and some chronic diseases, mental health, and violence/abuse. No data were available for indicators of preventive health below the state level. Data were sought from nationally recognized sources wherever possible. A single source permitted data to be obtained for each of the nation's counties without concern for different collection approaches used by different collection agencies in different jurisdictions. However, several categories of sub-state and gender-specific data could only be obtained from state agencies; specifically, disease incidence data, fetal deaths, and abortion data fell into this category. These data were sought from individual agencies in each state. While staff attempted to ensure that comparable data were obtained, state agencies often collect data in different ways; thus, comparisons should be made with caution. The OWH Co-Project Officers and Regional Women's Health Coordinators, QRS staff, and members of the advisory panel have considered the advantages and disadvantages of reporting small numbers, especially at the county level. The preferences expressed by state and local users for this information were also considered. In order to provide as much information as possible, 4 Michelle Berlin, MD, MPH (obstetrics/gynecology, preventive medicine, and public health), Jean Hamilton, MD (psychiatry), Mary Grace Kovar, DrPH (statistics), Kelley Phillips, MD (psychiatry, women's health), Patricia Rieker, PhD (sociology), and Jeffrey Weber, MD, PhD (oncology, internal medicine, molecular cell biology). 2 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV actual observations are reported where state or national data providers do not require suppression of data below specified thresholds. Readers of this document and users of the database are cautioned to take into account the absolute numbers that underlie either numerators or denominators of rate calculations. Many of the numerators for health status indicators are quite small because the incidence is low – for example, for a sexually transmitted infection such as syphilis. This problem is compounded when the population denominator is also very small, for example, when reporting incidence by race and ethnicity in a state with few minority residents. Because the intent of this effort has been to provide as much detailed information as possible regarding the health status of women and minorities—from the perspective of geography, race/ethnicity and other characteristics— much of the information is based on small numbers. This creates particular difficulties for county and state comparisons, as differences between them are as likely to result from random rather than to systematic variation. Two approaches have been taken to minimize misinterpretation of the findings: (1) cautions are offered in the discussions introducing the findings; and (2) detailed data are provided in the appendices to the document so users can know the actual number of observations involved in calculating rates. The source data for information on women and minority health status comes predominantly from vital statistics, decennial census data, and surveys. Survey data is subject to sampling error, so that estimates based on a sample are often accompanied by calculation of confidence intervals or standard deviations. Vital statistics and decennial census data are not subject to sampling error; however, when incidence rates are based on small numbers of observations (perhaps less than 100), variation within and between jurisdictions (e.g., states) may reflect random, not systematic variation and other statistical tests apply. 5, 6 Some statistical tests of significance have been performed in the preparation of this report. Tests are performed for age-adjusted and age-specific death rates and for all reproductive health areas (natality, fetal deaths, abortions). In these cases, tests of significance have been performed when comparisons are made between jurisdictions (e.g., state to state, state to region, region to nation) on topics thought to be compelling and where sufficient data exist. Conversely, when statistical tests do not yield significant findings, comparisons are not made in the text. Statistical tests for significant differences were conducted according to guidelines issued by the National Center for Health Statistics. 7, 8 Following these guidelines resulted in different tests being performed based 5 Diehr P, Kane K, Connell F, Volinn E. What is too much variation? The null hypothesis in small area analysis. HSR 24:6 (February 1990) 741-771. 6 Kane K, Diehr P. Testing the null hypothesis in small area analysis HSR 27:3 (August 1992) 267-294. 7 Arias E, et al. Deaths: final data for 2001, National Vital Statistics Reports, 52:3, Sept 2003. Contains statistical techniques for testing the significance of deaths for varying numbers of occurrences; these tests were used in preparing this report. 8 Martin, J, et. al. Births: final data for 2000, National Vital Statistics Reports, 50:5, Feb 2002. Contains statistical techniques for testing the significance of births for varying numbers of occurrences; these tests were used in preparing this report. 3 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV upon the absolute numbers in the numerators and denominators. 9 Statistical testing was not performed for other areas in this publication. Investigators are awaiting three years’ data before performing such tests in order to increase sample sizes to produce more reliable estimates – especially in minority populations. Source data are cited for each component of every table or other illustration, and readers are encouraged to familiarize themselves with the characteristics of the data compilation, such as survey sample size and whether data are based on self-reported information. Each chapter of this report deals primarily with issues at the state, regional, and national levels, as enormous quantities of data would be required to depict each demographic characteristic or health indicator for each of the region’s 726 counties; and small numbers problems abound. However, many county-level indicators are provided in appendices to this document. Much more extensive data are available at both the state and county levels on the companion databases. Data for the year 2000 were used throughout the document for presentation of state indicators unless otherwise specified. Previous or subsequent year's data were used when 2000 were not available. For the county-level indicators presented, 1998-2000 3-year averages have been presented in order to reduce effects of small values in small geographic areas. For comparative purposes, both the year 2000 and 3-year averages are presented in the appendices. This document is presented in ten chapters and a series of appendices. Following this Introduction is a chapter summarizing the major findings for Region IV. The regional summary is followed by a chapter describing the demographic characteristics of the region; this information is especially important in assessing the number of occurrences and the rates presented in subsequent chapters. The next seven chapters present the findings in each of the content areas of interest: mortality, infectious and chronic diseases, mental health, reproductive and maternal health, violence and abuse, preventive health, and access to health care. The document concludes with appendices which present data methods applied and sources used (Appendix A), detailed tabulations (state-level data in Appendix B and county-level data in Appendix C), and maps displaying counties and Indian reservations/tribal lands (Appendix D). With regard to the data tabulations, there are 726 counties in the eight states of Region IV, five age cohorts, five race/ethnicity categories, and several hundred indicators that have been considered. Because of the small populations of many of the counties, especially when stratified by gender, race, and age, there are many instances of either zero cases or numbers so small that privacy issues prevent their publication. For example, there may be only five female breast cancer deaths in a particular county in 2000. Even when data suppression is not required, any indicators involving small numbers should be interpreted with caution. Throughout this document, rates using small numbers are identified to caution the reader as to potential issues of unreliability. 9 For example, when testing the difference between two rates, R1 and R2, when both rates are based upon incidence of 100 or more, the Z-test may be used. If Z is greater than or equal to 1.96, the difference could be considered statistically significant at the 0.05 level. When either or both of the rates are based upon fewer that 100 occurrences, the overlap of 95% confidence intervals of the two rates may be used to determine if the difference is statistically significant. When either or both of the rates are based upon fewer than 20 occurrences, the results are considered too small to be tested. 4 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2.0 SUMMARY Many indicators can characterize women’s health. While region-wide averages come close to the national averages for many indicators, there is substantial variability within the region. There are a number of specific areas of concern described below. While age-adjusted death rates for women in the region are equal to or slightly higher than found nationally (for total deaths as well as for all of the leading causes except unintentional injuries), the age-adjusted total death rate for women in Mississippi is 19 percent higher than the national average and for heart disease is 35 percent higher. For women in North and South Carolina, the age-adjusted Alzheimer’s death rate is 39 percent higher than the national average. Additionally, the age-adjusted stroke death rate for South Carolina women is 30 percent above the national average. Cancer and diabetes morbidity are also higher in the region. For example, the age-adjusted lung cancer incidence rate for Kentucky women is almost 36 percent higher than the national average and is the second highest among the 42 reporting states. Diabetes prevalence in white women in Florida is 27 percent above the national average and hypertension prevalence in black women in Alabama is 22 percent above the national average. In terms of sexually transmitted infections, Alabama women are 52 percent above the national average for chlamydia and over double the rate for gonorrhea. While the regional average across the range of mental illnesses is similar to those of the nation, Kentucky women report ‘poor mental health days’ 36 percent more often than women across the nation and Alabama women report 27 percent more often. The organic dementia age-adjusted death rate for women in South Carolina is 50 percent higher than the national average for women. Tobacco usage among women in Kentucky and Tennessee during pregnancy is very high—over twice the national average in Kentucky and 39 percent higher in Tennessee. The national average itself is well-above the Healthy People 2010 target. Also, women in South Carolina received late or no prenatal care 5.3 percent of the time; this rate is 36 percent above the national average. Violence against women is higher in the region across all measures, and women in the region reported being raped at a higher rate than nation-wide. The rates of rape in Florida and South Carolina are 39 and 30 percent higher the national rate, respectively. Also, women in South Carolina and Tennessee were homicide victims at a high rate and knew their assailants almost three quarters of the time. However, all violence-related rates in Kentucky are well below national averages. With regard to prevention, women in the region appear to fare worse than their counterparts across the nation. Young women in Alabama rode in cars with drivers who had been drinking 18 percent more than nationally, and Florida women drove after drinking at a rate 12 percent above the national average. Further, Kentucky adolescents use tobacco at a higher rate and report binge drinking at a much higher rate than their counterparts in the region. 5 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV In general, women in the region have poorer access to health resources than do women nationally and, as with all of the US, substantial pockets of underservice can be found in Region IV. 2.1 DEMOGRAPHICS Chapter 3 presents detailed demographic information. Additional indicators in subsequent chapters are directly dependent upon the characteristics of the female and minority populations in each jurisdiction, whether county, state, region, or the entire nation. In order to understand the meaning of the indicators, the reader should consider the demographic data that affect the results. The breakdown of Region IV’s female population by age (Table 1) shows a population that is slightly older than that of the nation, while the racial/ethnic breakdown shows a substantially greater percent representation for black women and a lower percentage in each of the other minority racial groups, as shown in Table 2. Table 1: PERCENT OF TOTAL FEMALE POPULATION BY AGE: 2000 Region IV Total US <15 15-19 20-24 25-44 45-64 65-84 85+ 19.5 20.5 6.6 6.9 6.4 6.5 29.3 29.6 22.7 22.2 13.3 12.3 2.1 2.1 Table 2: PERCENT OF FEMALE POPULATION BY RACE/ETHNICITY: 2000 Region IV Total US White Black 73.7 75.1 21.4 12.7 American Indian, Eskimo and Aleut 0.4 0.9 Asian/ Pacific Islander 1.4 3.8 Some Other Race 1.6 5.1 Two or More Races 1.5 2.4 Hispanic 6.7 12.0 Note: Females of Hispanic/Latino origin can be of any race. The relative representation of minorities in the region is illustrated in Table 2. While white females comprise 74 percent of the region’s female population, nationally they comprise 75 percent. The differential representation is not uniform: • • • • Black women comprise 21.4 percent of the region’s female population and they make up close to 13 percent of the nation's female population; American Indian females account for 0.4 percent of the regional population as compared with nearly one percent of the national population; Asian/Pacific Islander females are 1.4 percent of the regional population and nearly four percent of the national population; Hispanic women make up nearly 6.7 percent of the women in the region while they make up 12 percent of the women in the nation. 6 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV There is also a lower percent of foreign-born population in the region (7.8 percent versus 11.1 percent nationally) although Florida’s rate is 50 percent higher than the US average. Mississippi’s rate is lowest at 1.4 percent (87 percent lower). Of those foreign-born households in the region, a lower percentage appears to experience linguistic isolation; such isolation could represent a barrier to health care access. While the region has an overall lower percent of linguistic isolation, of note is the large foreign-born population in Florida which experiences linguistic isolation at a rate 44 percent higher than the national average. The percent of female population below the poverty level is higher in the region than the nation (15.2 percent versus 13.5 percent). As is the case nationally, the percent of female population below the poverty level is greater than for the male population. Again, when comparing the region to the nation, the percent of female-headed households is higher as are the percents of white and black female householders below the poverty level and having children under the age of 18. While overall population density is higher than the national average, the percent of the population in urban areas is lower than the national average, with Florida being the only state above the national average as a consequence of the very large Miami-Fort Lauderdale metropolitan area. 2.2 MORTALITY When compared to women across the nation, women in Region IV have a 4 percent higher ageadjusted death rate from all causes (Table 19). Women in the region show higher death rates for heart disease (4 percent greater than the national rate), stroke (7 percent greater), Alzheimer’s (7 percent greater), unintentional injury (20 percent higher), and about the same rate for chronic lower respiratory disease and cancer. With regard to unintentional injury mortality, each of the Region IV states (except Florida) has an age-adjusted death rate above the national average. The examination of age-adjusted mortality by racial group and ethnicity, discussed in detail in Chapter 4, also reveals substantial differences between the region and the national averages: • • • • The age-adjusted death rate for white females from cancer is 3 percent lower than the national average for white females, and for stroke it is 3 percent higher. Black females’ death rate from cancer is 5 percent lower than the national average for black females, and for stroke it is 14 percent higher. Age-adjusted death rates for Asian/Pacific Islander females are 32 percent lower than the national rate for heart disease, 29 percent lower for cancer and 17 percent lower for stroke (although the difference was not statistically significant for stroke). Hispanic females have an age-adjusted death rate that is 11 percent below the national average for cancer and 29 percent lower for stroke. Although these differences in mortality appear to be dramatic, cautious interpretation is in order, owing to the relatively small numbers of American Indian and Asian/Pacific Islander females. 7 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Female death rates for all causes in the region are much above the national rates (13 to 30 percent) in all age cohorts with the exception of the oldest (65 years and older), at 1 percent below the national rate. Women living in metropolitan counties within the region have a lower overall age-adjusted death rate than women living in urban or rural counties. The rates for each county group in Region IV mirror the nation as a whole where women in non-metropolitan urban counties have the highest overall death rate. 2.3 CHRONIC AND INFECTIOUS DISEASES Data were difficult to obtain systematically for indicators of chronic and infectious diseases. Chronic disease data were available for cancers, by site, and for diabetes, elevated cholesterol, and hypertension. Cancer data were obtained from the Centers for Disease Control and Prevention and from state cancer registries, while the latter three categories of chronic diseases were obtained from survey data, not from registries or other reporting systems. Most data on infectious diseases were obtained from the individual state agencies, and were mainly available for hepatitis, tuberculosis, and sexually transmitted infections. However, not all these data were available in all states; Mississippi, for example, did not have data available for sexually transmitted infections. With regard to chronic diseases, while women in the region have an age-adjusted death rate from diabetes comparable to the nation, data collected in a national survey of women found that women in the region reported prevalence of diabetes 8 percent higher than the national average. Mortality data come from death certificates and the prevalence data come from self-reported information in a survey of a relatively small number of women. Survey data for high cholesterol and hypertension indicate that women in the region report 3 and 8 percent higher rates, respectively, of having been diagnosed with these problems as compared to women across the nation. Cancer incidence data were available for all states, though from two different sources. The Center for Disease Control and Prevention’s National Program of Cancer Registries report data for six of the eight states in the region (Mississippi and Tennessee are not provided). More complete county data were obtained from the individual state cancer registries. Chapter 5 (Table 32) displays cancer incidence for a number of cancer types; these types, or sites, have been included when at least 6 of the eight reporting states provided data. Overall, state age-adjusted cancer incidence rates in the region are lower than the national average for Alabama (13 percent), Georgia (5 percent), North Carolina (10 percent) and South Carolina (10 percent); approximately the same for Florida and higher for Kentucky (6 percent). Georgia posts the highest breast cancer rate in the region but it is still 2 percent lower than the national rate. Lung cancer rates for Alabama, North Carolina and South Carolina are below the national rate while one of the states—Georgia—is about equal and Florida and Kentucky are higher; Kentucky is 31 percent higher. 8 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV With regard to infectious diseases, the most consequential information is the differential rates of these conditions by racial/ethnic group. The states in the region have a total female incidence rate of AIDS that ranges from 1.8 to 19.1 per 100,000, but in every state reporting data by race the rate is much higher for blacks—the range is 10.3 to 88.0 per 100,000 females. Rates for both white and black females are highest in Florida. The substantial variation found within each category of infectious disease may be partially explained by a lack of commonality of definitions, collection completeness, and reporting among the states. For example, the incidence rate for newly diagnosed cases of chlamydia ranges from a low of 313 per 100,000 females (in Kentucky) to a high of 599 per 100,000 females (in Alabama). Just as varied is the reported incidence of gonorrhea—Kentucky reported 84 cases per 100,000 females and Alabama reported 261 cases per 100,000 females. The small number of observations in each category as well as potential inconsistencies in reporting and definition warrants caution in interpretation. 2.4 MENTAL HEALTH As with chronic diseases, the mental health status indicators discussed in Chapter 6 were assembled from various sources. In general, two categories of data were obtained—survey data from adults and from high school students, and mortality data from death records. Women 18 years of age and older from the region reported equal ‘poor mental health days’ 10 in the month prior to responding to the survey as the average for survey respondents nationally. This finding encompasses Florida, North Carolina and Tennessee women who had fewer ‘poor mental health days,’ South Carolina women who had about equal numbers, and Alabama, Georgia, Kentucky and Mississippi women who had more frequent ‘poor mental health days.’ Kentucky was 36 percent higher than both the region and the nation. Survey data from high school students were assessed to determine the state of mind of the young women. One set of questions relating to mental health referred to suicide—that is, has the respondent considered suicide, attempted suicide, and required medical attention as a result of a suicide attempt. Mortality data from death certificates were analyzed to augment survey data regarding suicides. Survey data were not available for Georgia; therefore, no Region IV averages were calculated for comparison to the national survey average for high school students. Of the seven participating states, Alabama, Kentucky, and Mississippi high school students were 16-19 percent less likely than national respondents to require medical attention for a suicide attempt while high school students in South Carolina were 19 percent more likely. In terms of completed suicides, high school-aged females in Georgia, Kentucky and North Carolina have rates 56, 85 and 41 percent higher than the national average, respectively. As seen in Table 3, when considering the suicide rates for females of all ages, the regional death rate based on death certificates is 20 percent higher than the national rate of 4.0 per 100,000 females, 10 Percent responding on the CDC's BRFSS survey that mental health was not good on 8 or more days of the last 30. 9 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 3: AGE-ADJUSTED FEMALE SUICIDE RATES BY RACE/ETHNICITY: 2000 Region IV Total US Region:US All 4.8 4.0 1.20 White 5.7 4.4 1.30 Black 1.5 1.7 0.88 American Indian 2.8 3.8 0.74 Asian/Pac Islander 1.4 2.8 0.50 Hispanic 1.8 1.7 1.06 Note: Females of Hispanic/Latino origin can be of any race. Rates are per 100,000 females. although rates for minority races were lower than the national averages. The black, American Indian and Asian/Pacific Islander female populations in the region have suicide rates 12 to 50 percent lower than the national average for their racial group, while the white and Hispanic population rates are 30 and 6 percent higher. Finally, across all races and ages, North Carolina females have suicide rates 38 percent above the national average. A review of the deaths from mental disorders in Chapter 6 reveals that across the range of causes, only organic dementia results in a large number of deaths. Specifically, about 82 percent of all deaths from mental disorders result from organic dementia. Georgia, North Carolina, South Carolina and Tennessee are above the national average. South Carolina females, for example, die from organic dementia at a rate 50 percent above the national average. While the data available provide a limited picture of the mental health status of females in the region, many data gaps exist. The available mental health data are not directly focused on many issues most often impacting the mental health of women—depression, anxiety, bipolar disorder, and eating disorders. The Substance Abuse and Mental Health Services Administration collects state and county data on these topics; however, at present, the data are not available by gender. The agency has been contacted to determine whether the data can be made available by gender. Further, it is hoped that state-specific assessments will be possible as more attention is focused on mental health. Despite these limitations, regional rates for females of all ages indicating poor mental health are higher than the national findings. For young adults, the suicide statistics show slightly lower reported attempts in the region than nationally and lower rates of completed suicides. 2.5 REPRODUCTIVE AND MATERNAL HEALTH Indicators of reproductive and maternal health of the region, discussed in Chapter 7, are generally comparable to national averages. But rates for preterm births, births to unmarried women, and low birthweight births in the region are higher than national rates, as are rates for both primary and repeat C-section deliveries. Women receive early prenatal care at an equal rate to the national rate. Overall, women in the region have similar birth rates and fertility rates compared to the national averages. When these two indicators are examined by race and ethnicity, white and Hispanic females are found to have lower birth and fertility rates than the national averages for their 10 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV respective racial groups, whereas black, American Indian, and Asian/Pacific Islander women have birth and fertility rates that are generally equal to or greater than national rates. Women in the region have a much higher percentage of low and very low birthweight births than the average for women nationally. Births to teenage mothers did not exceed one percent of total births for any race in the under-15 year age group and did not exceed 10 percent for any race in the 15-17 year age category. Additionally, white and Asian/Pacific Islander women appear more often to have children later than the other racial groups, as evidenced by the distribution of births across age categories. With the exception of black women, a lower percentage of Region IV mothers are unmarried when they give birth than the national average for their group, though the regional aggregate rate for all females is higher. The rate of multiple births for the region is about equal to the national rate. Specific medical risk factors for pregnant women reveal higher rates reported for anemia, eclampsia, chronic hypertension and pregnancy-related hypertension. Behavioral characteristics reveal women in Region IV are below the national average for alcohol use during pregnancy; however, the rate of alcohol usage by Kentucky women during pregnancy is 33 percent above the national average. Further, the use of tobacco products by pregnant women in some states in the region is alarming. While region-wide, pregnant women used tobacco at a rate similar to the national average, only three states in the region were below the national average (Florida, Georgia and South Carolina), whereas, pregnant women in Kentucky used tobacco products during pregnancy at a rate that is twice the national average, and Tennessee women used tobacco 39 percent more than nationally. Women in the region received prenatal care at about the same rate as the national average while a slightly lower percentage of women in the region initiated such care late in the pregnancy period or had no care at all. 2.6 VIOLENCE AND ABUSE A worrisome picture emerges when viewing the data available on violence and abuse (see Chapter 8). When looking at FBI crime statistics for the total population, Region IV appears to have 10 to 28 percent higher rates of murder, rape, robbery, and assault than the nation as a whole. Additionally, the cross-state variation is substantial: the rape rate in Kentucky is about one quarter of the national average whereas the rates in Florida, South Carolina and Tennessee are 39, 30 and 25 percent higher than the national average, respectively. While misclassification and underreporting may understate actual occurrences, reported rapes provide an indication of the level of violence and abuse in the region as well as comparative data for other states, regions and the nation as a whole. In addition, the data for female homicide rates (that is, where the victim is a female) show a regional average rate 41 percent above the national average. These data also show that the 11 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV victims knew the offenders 70 percent of the time, which is higher than the national pattern of 66 percent. However, in South Carolina women knew their offenders 77 percent of the time. 2.7 PREVENTION Chapter 9 details the data available on health promotion and disease prevention from surveys of high school students and surveys of adults. Based on the student surveys, young women in Kentucky report using tobacco at a rate 20 percent higher than the national average, whereas young women in Florida report a rate 16 percent lower than the national rate. Perhaps equally telling is the higher rates of young women in Alabama who reported riding with a driver who had been drinking or women in Florida who drove after drinking. As compared with young women across the nation, greater percentages of Region IV young women initiated sexual activity before 13 years of age, smaller percentages reported using birth control measures, and higher percentages reported having ever been pregnant. In the Behavioral Risk Factor Surveillance System survey of women 18 years and older, 11 females in the region report having poor health more often, having health insurance less often, and exercising slightly less than the national survey averages. Further, they report currently smoking 8 percent more and binge drinking 29 percent less than do their peers nationally. For example, Hispanic females reported an age-adjusted binge drinking rate 24 percent lower than Hispanic women across the nation. Women in the region report taking preventive measures essentially in line with women nationwide -- across the racial and ethnic groups reporting, Region IV women had Pap smears, mammograms, flu shots and pneumonia shots at or near the national averages, and exercised slightly less than the national average. 2.8 ACCESS TO CARE The overall indicators of access to care are generally lower than the national rates although there are large variations among states in the region and between physicians who are Doctors of Medicine (MD degree) and Doctors of Osteopathy (DO degree). Compared to the national averages, Region IV has relatively more DO physicians and fewer MD physicians. For MD physicians: • • • • 11 12 the rate of all physicians per 100,000 females is 89 percent of the national rate; the rate for primary care physicians is 89 percent of the national average; 12 the rate for pediatricians is 86 percent of the national average; and the rate for Ob/Gyn physicians is 97 percent of the national average. DHHS/CDC, 2001 Behavioral Risk Factor Surveillance System Primary care physicians include general practice/family practice, general internal medicine, general pediatrics, and Ob/Gyn 12 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV With the exception of psychiatrists, physician-to-population ratios for the region are within 14 percent of the national rates. The regional rate for general/family practice is 3 percent below the national average but the rate for psychiatrists is 27 percent below the national rate. For DO physicians: • the rate of all physicians per 100,000 females is 33 percent below the national average; • the rate for primary care physicians is 38 percent below the national rate;12 • the rate for pediatricians is 50 percent below the national rate; and • the rate for ob/gyn care is 44 percent below the national rate. For each category of DO physician, the physician-to-population ratio falls below the national average by more than 33 percent. When combined, total physicians (including both MDs and DOs) appear to be lower (i.e., 12 percent) than the national average. For specialty care, the Region IV rate is 86 percent of the national value. For psychiatry, the regional rate is 73 percent of the national value and examination of the sub-state data suggests a poorer distribution of psychiatrists regionally than nationally. Dentists are represented in the region at a much lower rate than the national average and chiropractors are also represented at a lower rate. However, the number of physician assistants per 100,000 females is 94 percent of the national average and the number of nurse practitioners is 111 percent of the national rate. A substantial maldistribution of resources appears to exist. There are pockets of underserved areas throughout the region. Chapter 10 presents maps of the region displaying the problem areas and tables identifying the state-level data. Appendix C presents data for each of the individual counties. 2.9 HEALTHY PEOPLE 2010 Healthy People 2010, a document prepared by the Department of Health and Human Services, is the prevention agenda for the nation. 13 It is a statement of national health objectives designed to identify the most significant preventable threats to health and to establish national goals to reduce these threats. It has two overarching goals: (1) improve healthcare for the entire population and (2) eliminate disparities among subpopulations (e.g., race, gender). Ambitious targets are set for the year 2010. While health promotion and disease prevention is a major national priority, in many cases the types of data required are not systematically collected with sufficient geographic or clinical detail to assess the current status of the population or to determine whether all segments of the 13 A complete description of Healthy People 2010 is available at http://www.healthypeople.gov or at http://wonder.cdc.gov/data2010/. 13 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV population are taking appropriate actions. This report attempts to take advantage of available current data that are relevant to the objectives, and to alert readers to data that are anticipated in the near future. Much of the information related to the Healthy People 2010 objectives is derived from two sample surveys that provide a starting point for identification of areas in which Region IV’s population may be falling short and, therefore, where community and national resources might be directed. The Youth Risk Behavior Survey (YRBS), a survey of high school students, and the Behavioral Risk Factor Surveillance System (BRFSS), a survey of adults 18 and older, are both conducted by the Centers for Disease Control and Prevention (CDC) in conjunction with participating states and are discussed later. The Healthy People 2010 objectives cover a broad spectrum from reducing death rates not only from disease but also from lifestyle behaviors such as smoking, alcohol or other drug use, failure to wear seat belts and helmets. The document sets targets for health maximization activities such as prenatal care that contributes to the reduction of premature births and low birthweight infants. Finally, the Healthy People 2010 agenda includes a variety of screening and preventive measures, such as mammograms, Pap smears, and flu shots. The remainder of this section identifies the Healthy People 2010 targets and rates in the context of the relevant chapters of this document. Healthy People 2010 (HP) sets objectives in several disease areas. Heart disease, cancer and stroke are the leading causes of death for females in both the region and the US. HP target 12-01 is to reduce coronary heart disease deaths to less than 166/100,000 population. Females in all states except Mississippi and Tennessee meet this objective. Although this target is met in six states for the total female population, the rate varies substantially among the different racial groups, with black females consistently having a substantially higher death rate from heart disease. HP target 12-07 is to reduce deaths from stroke to no more than 48/100,000. Only Florida meets this goal with a rate of 47.5 percent. There are many Healthy People 2010 goals set with regard to reducing cancer death rates: • • • • • HP 03-01--Reduce overall cancer death rate to no more than 159.9/100,000 population; HP 03-02--Reduce lung cancer death rate to 44.9/100,000 population; HP 03-03--Reduce breast cancer death rate to 22.3/100,000 population; HP 03-04--Reduce cervical cancer death rate to 2.0/100,000 population; HP 03-05--Reduce colorectal cancer death rate to 13.9/100,000 population; Only Florida meets the overall cancer death rate goal; North Carolina is near at 162/100,000 population. Cancer death rates vary by race significantly within the region, but rates for American Indian, Asian/Pacific Islander and Hispanic females in the region do achieve the goal of 159.9, with the rate for American Indian females being 107.2, for Asian/Pacific Islander 14 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV females being 71.6, and Hispanic females being 99.1. The rate for Black females in the region is much higher than the goal, at 183.5. Unlike the overall cancer rate, seven of the states in Region IV are better than the target rate for lung cancer. Only Kentucky with a rate of 54/100,000 exceeds the Healthy People 2010 goal of 44.9. This is true for females by race within the region as well, including black females, who have rates lower than the target rate in all states except Kentucky with a rate of 64.7. In the remaining seven states, black female rates range from 25.7 in Florida to 43.5 in Tennessee. None of the Region IV states meet the goal for breast cancer of 22.3/100,000 although all states meet this goal for the Asian/Pacific Islander and most meet it for American Indian and Hispanic females. The age-adjusted breast cancer mortality in North Carolina is closest to the HP goal (8.9 percent above) while the rate in Mississippi is almost 35 percent higher than the goal. No states have cervical cancer death rates lower than the target of 2/100,000 population, and rates for black females are consistently about twice the targeted rate. Females in the region have rates higher than the goal of 13.9 for colorectal cancer, with black females in the region having a rate 68 percent higher (23.4) than the target. In a finding similar to breast cancer, none of the states meet the HP colorectal cancer goal; the closest to the goal is Florida (14 percent higher) and the furthest from the goal is Tennessee (at 40 percent higher). Healthy People 2010 sets goals for reducing deaths due to injuries, suicide and homicide as well as those due to disease: • • • • • HP 15-13--Reduce the unintentional injury death rate to no more than 17.5/100,000 population; HP 15-15a--Reduce the motor vehicle accident death rate to no more than 9.2; HP 16-04--Reduce the maternal death rate to less than 3.3 per 100,000 births; HP 15-32--Reduce the homicide death rate to no more than 3.0; and HP 18-01--Reduce the suicide death rate to no more than 5.0. Although none of the Region IV states meet the goal of no more than 17.5 deaths per 100,000 for unintentional injuries for total females, this goal is met in the region for half of the states for Asian/Pacific Islander females and for all but North Carolina and Tennessee Hispanic females. No states meet the goal of fewer than 9.2 motor vehicle deaths per 100,000 females but Florida is closest at 10.8. Metropolitan, urban and rural counties in the region all fail to meet the goal. 14 The overall female homicide rate for the region is about 25 percent higher than the goal of 3.0 per 100,000 population. However, the homicide rate for black females in the region is more than twice the desired goal, with all states exceeding the goal rate of 3.0 and four states—Alabama, Kentucky, Mississippi and Tennessee—exceeding a rate of 9.0. In general, rates are lower in the metropolitan areas than in the urban and rural areas of the region. 14 Metropolitan counties are counties with more than 250,000 persons, urban counties have more than 2,500 but less than 250,000 persons, and rural counties have fewer than 2,500 persons. 15 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV The rate of female suicides in all states in the region except North Carolina met the HP target of 5.0. This is consistent with national figures and reflects the fact that many fewer females actually complete suicide attempts than males. There is no marked difference between the rate for metropolitan areas in the region and urban or rural area rates. None of the states in the region met the target of no more than 3.3 maternal deaths per 100,000 births. Alabama was the closest at a rate of 4.7. Black females in the states and the region had rates two to three times higher than white females. In many cases, the actual number of maternal deaths varied little from white to black, so the resulting rates show the difference in population between the two groups. There were very few maternal deaths in the region in the other minority racial groups. The Healthy People 2010 objectives for reducing infectious diseases includes hepatitis A, tuberculosis, and sexually transmitted infections (STIs) such as gonorrhea, syphilis, and AIDS: • • • • • HP 14-6--reduce new cases of hepatitis A to no more than 4.5 cases per 100,000 persons; HP 14-11--reduce new cases of tuberculosis to no more than 1 per 100,000 persons; HP 25-02-- reduce new cases of gonorrhea to a maximum 19 cases per 100,000 persons; HP 25-03--reduce new cases of syphilis (primary and secondary) to fewer than 0.2 cases per 100,000 persons; and HP 13-01--reduce new cases of AIDS to a maximum 1 per 100,000 persons. These data are examined in detail in Chapter 5. The regional picture is complicated by nonreporting states, the fact that for some diseases the numbers of cases is small, and perhaps, definitional issues. For example, regional rates for disease could only be computed for tuberculosis due to missing state data. The regional and national TB rates were about 4 times the targeted value. Rates for female primary and secondary syphilis exceed the target of 0.2 cases per 100,000 by 10 to 43 percent in the Region IV states. State rates for female gonorrhea range from 4 to 14 percent higher than the nation which itself is 6.6 times the target of 19 cases per 100,000 persons. Data describing births in Region IV (see Chapter 7) were more readily available than on infectious disease. The rate of preterm births (prior to 37 weeks of gestation) for each state and for the region as a whole are above HP target 16-11a of 7.6 percent. While Georgia has the lowest percent of preterm births (12%) for all women as well as for most racial and ethnic categories, the rates are well above the target. For all states in the region, the rate of preterm births for black females is consistently higher than other racial groups and significantly higher than the HP goal. Preterm birth rates for black females range from 15.2 percent in Georgia to 20.4 percent in Mississippi. According to Healthy People 2010, low birthweight is the risk factor most closely associated with neonatal mortality. Increasing birthweight can substantially reduce the infant death rate. HP target 16-10a calls for reducing low birthweight births to less than 5 percent and HP 16-10b is to reduce very low birthweight births to 0.9 percent of total births. Florida women gave birth to the lowest percentage of low birthweight babies (8%), but again, still above the target. The 16 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Region IV states were even further from the very low birthweight goal, ranging from a low of 1.4 percent (Kentucky) to a high of 2.2 percent (Mississippi). One of the Healthy People 2010 objectives (16-17c) is to have 99 percent of pregnant women abstain from smoking. Decreasing the number of smokers among pregnant women is one of the clearest ways to reduce the incidence of adverse outcomes such as infant mortality, low birthweight, and other complications. According to the CDC, the number of low birthweight infants is 66 percent higher among smokers than non-smokers. The percentage of Region IV birth mothers who reported smoking during pregnancy is slightly higher than the national average and well above the one percent target, ranging from a low of 8.4 percent (in Georgia) to a high of 24.6 percent (in Kentucky). The rates at which Region IV pregnant females seek early prenatal care vary substantially by race/ethnic group, with white women seeking care at the highest rate. Healthy People 2010 objective 16-06a is to increase prenatal care initiated in the first trimester to greater than 90 percent. While white and Asian/Pacific Islander women in the region are 3 and 4 percent below this target, black, American Indian, and Hispanic women are roughly 17 percent lower. At the state level, Georgia comes the closest to reaching this goal, with 86.9 percent of women initiating care in the first trimester and South Carolina is lowest at 79.4 percent. Behaviors such as alcohol use, driving while intoxicated, and use of seatbelts all affect motor vehicle-related accident and death rates. Surveys of high school females under age 18 reveal relatively high use of alcohol and a low rate of seatbelt use. According to Healthy People 2010, the death rate for alcohol-related motor vehicle crash deaths is 6.1 per 100,000 population, which accounts for more than half of the death rate for all motor vehicle crash deaths. Healthy People 2010 objective 15-19 is for 92 percent of the adolescent population to use seatbelts; that is, no more than 8 percent using seatbelts ‘rarely’ or ‘never.’ Young women in North Carolina reported usage above 92 percent while in Mississippi only 81 percent reported using seatbelts. Another objective (15-23) is to increase bicycle helmet usage, although no specific target has been set. Of the seven states reporting, the highest reported usage is 13.4 percent in Florida. The Healthy People 2010 target for high school students using tobacco products is no more than 21 percent. Young women report rates from 24.9 percent in Florida to a high of 35.4 percent in Kentucky. The HP target (26-10a) for abstaining from alcohol consumption in the past 30 days is 89 percent, or no more than 11 percent using. The Region IV state respondents report a usage rate low of 35.9 (North Carolina) percent and a high of 45.5 (Florida). Table 66 shows the percentage of young women who rode in a car driven by an individual who had been consuming alcohol. The percentages in Kentucky and North Carolina met the HP target 26-06 of no more than 30 percent while percentages in the other states were above the target. Healthy People 2010 goal 26-11c is to reduce the proportion of adults engaging in binge drinking to a maximum of 6 percent. All states except Florida in the region achieve this target. Regional rates are higher for white females in Region IV compared to black and Hispanic 17 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV females. Black females in every state achieved the target rate, as did Hispanic females in Florida, Kentucky, North Carolina and South Carolina. The goal of 'responsible sexual behavior' put forth by Healthy People 2010 target 25-11 is 95 percent of students abstaining from sex or using a condom if sexually active. Of the states responding to this question, female students in Florida report a high of 86 percent being responsible, Mississippi reported a low of 82 percent. Healthy People 2010 also sets goals for adolescent exercise and television watching. HP goal 2207 is for at least 80 percent of adolescents to have some form of vigorous exercise 3 times a week. No state comes close to meeting this objective, but North Carolina is high at 54.9 percent. Six states report on television watching and while none achieve Healthy People 2010 goal 22-11 for no more than 25 percent of adolescents to exceed watching three hours of television on an average school day, Kentucky is closest at 30.3 percent and Mississippi is the furthest at 52.7 percent. Healthy People 2010 identifies a variety of preventive measures to reduce the risk of future health problems. Among the findings are: • • • the rate at which women in the region report ever having a Pap smear is essentially identical to the national values for the white, black and Hispanic populations. HP goal 03-11a sets a target of 97 percent. Rates in the region range from Kentucky and Florida having rates of 93.3 to Georgia having a rate of 96.6; Healthy People 2010 goal 03-11b is for 90 percent of women to have had a Pap smear within the past three years, and the Region IV average in 2000 was 84.6. North Carolina has a rate of 87.4 and Kentucky reports the lowest rate of 82.4; and HP goal 03-13 is for at least 70 percent of women 40 years and over to have had a mammogram in the past 2 years; all states in the region except Mississippi (at 67.4 percent) achieve this goal. There is clearly much work to be done in Region IV in order to achieve the Healthy People 2010 goals for adolescent females and women. 18 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 3.0 DEMOGRAPHIC CHARACTERISTICS IN REGION IV The demographic characteristics of the people in a region are important to consider before examining specific indicators of health status. Different racial and ethnic groups are associated with different levels of health risk, as are factors such as unemployment, educational attainment, and urban or rural residence. Throughout this document, the number of occurrences and rates of various diseases, vital statistics, reproductive health, lifestyle, and risk behavior are examined comparing women in each state to each other, to all women in Region IV, and to US averages. All of these factors are directly or indirectly dependent upon the demographic characteristics of the female population in the region. The following description of actual and comparative socioeconomic status provides a foundation for predictive information to develop and evaluate programs addressing women’s health. This and subsequent chapters begin with a map depicting one of the factors discussed in the chapter. Figure 1 shows the distribution of minority females (including those of Hispanic/Latino origin) in the region. Minority females make up less than 27.6 percent of the female population in over half of the 736 counties in the region. Interestingly, 87 percent of Kentucky’s counties have less than ten percent minority females while 2 percent of Mississippi’s counties have less than ten percent minority females. Figure 1: MINORITY FEMALES AS PERCENT OF TOTAL FEMALES IN REGION IV: 2000 KY ( ! ( ! Nashville-Davidson TN Memphis ( ! ( ! AL MS Atlanta Charlotte NC SC GA ( ! Jacksonville FL 0 - 27.5% 27.6 - 33.8% 33.9% + ( ! Miami Source: US Census Bureau, Census 2000 (Region 30.8%, Nation: 30.7%) 19 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV High concentrations of minority populations occur around the larger cities and on Indian reservations, but also generally in an arcing pattern that extends from the eastern borders of North and South Carolina to the southern borders of Georgia, Alabama and Mississippi. Figure 2 shows the location of Indian reservations in the region, and data are presented in more detail, by state, in Appendix D. Figure 2: LOCATION OF INDIAN RESERVATIONS KY NC TN SC MS AL GA FL Source: Bureau of Indian Affairs 3.1 FEMALE POPULATION IN REGION IV BY RACE/ETHNICITY AND AGE Table 4 displays the total female population of the eight states in the region as well as the number and percent of females by race and of Hispanic origin. The table also presents the regional totals for each race and the comparable national values. As noted, these data (and the data throughout this chapter) are from the 2000 Census. Because the detail provided by the Census Bureau is more extensive than provided by most state and national sources, subsequent chapters employ Census 'bridge' populations in the calculation of race-specific rates. 15 Proportionally, there is a higher percentage of minority females in Region IV than there are in the nation as a whole. Their representation varies within and among the eight states, although the majority of counties with 27.6 percent or more minority females occur in Mississippi, 15 Because many state and national data systems do not conform to the Census racial categories (e.g., two or more races), the National Center for Health Statistics, in collaboration with the US Bureau of the Census, developed bridged race population estimates for the year 2000 Census data. These estimates are the result of bridging the Census race groups to the four race categories used by many data systems. These are the racial population figures used throughout this document for calculation of rates. Refer to Appendix A for more information. 20 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 4: FEMALE POPULATION OF REGION IV BY RACE/ETHNICITY: 2000 Female Population by Race and Ethnicity All Females Alabama Florida Kentucky Black Asian Native Hawaiian/ Pacific Islander Some Other Race Two or More Hispanic/ Races Latino 2,300,596 1,618,383 619,936 11,161 17,258 16,595 663 11,494 22,364 32,710 100.0% 70.3% 26.9% 0.5% 0.8% 0.7% 0.0% 0.5% 1.0% 1.4% 6,382,195 1,214,385 25,798 8,184,663 100.0% Georgia White Asian/ American Pacific Islander Indian 4,159,340 78.0% 146,421 142,284 4,137 228,594 187,270 1,342,606 14.8% 0.3% 1.8% 1.7% 0.1% 2.8% 2.3% 16.4% 2,684,658 1,241,597 176,943 10,085 90,233 88,322 1,911 77,222 55,545 100.0% 64.5% 29.9% 0.2% 2.2% 2.1% 0.0% 1.9% 1.3% 4.3% 2,066,401 1,864,475 151,915 4,163 16,240 15,534 706 8,499 21,109 24,430 100.0% 90.2% 7.4% 0.2% 0.8% 0.8% 0.0% 0.4% 1.0% 1.2% Mississippi 1,471,104 890,155 549,440 5,915 10,241 9,907 334 5,169 10,184 16,697 100.0% 60.5% 37.3% 0.4% 0.7% 0.7% 0.0% 0.4% 0.7% 1.1% N Carolina 4,106,618 2,951,945 921,278 50,476 60,586 58,783 1,803 72,085 50,248 152,341 100.0% 71.9% 22.4% 1.2% 1.5% 1.4% 0.0% 1.8% 1.2% 3.7% 2,063,083 1,371,361 630,374 6,786 19,823 19,073 750 14,835 19,904 38,339 100.0% 66.5% 30.6% 0.3% 1.0% 0.9% 0.0% 0.7% 1.0% 1.9% 2,919,008 2,334,309 494,226 7,238 30,584 29,556 1,028 21,434 31,217 50,527 100.0% 80.0% 16.9% 0.2% 1.0% 1.0% 0.0% 0.7% 1.1% 1.7% Region IV 27,270,813 20,097,481 5,823,151 121,622 S Carolina Tennessee 100.0% US Total 21.4% 0.4% 143,368,343 107,687,432 18,193,005 1,241,974 100.0% 73.7% 75.1% 12.7% 391,386 380,054 1.4% 1.4% 5,490,463 5,294,257 0.9% 3.8% 3.7% 11,332 439,332 397,841 1,834,593 0.0% 1.6% 1.5% 6.7% 196,206 7,349,859 3,405,610 17,144,023 0.1% 5.1% 2.4% 12.0% Region IV as Pct of US Pop 19.0% 18.7% 32.0% 9.8% 7.1% 7.2% 5.8% 6.0% 11.7% 10.7% Source: US Bureau of the Census, Census 2000 Females of Hispanic/Latino origin may be of any race The Asian/Pacific Islander category is the sum of the Asian and the Native Hawaiian/Other Pacific Islander categories. Alabama, Georgia, South Carolina, and North Carolina. The following are a few other noteworthy findings: • • Region IV represents 19 percent of the total and female populations of the US, but disproportionately fewer minorities in every racial category except blacks – having 10.7 percent of Hispanic/Latino females, 9.8 percent of American Indian females, 7.2 percent of Asian females, and 5.8 percent of Native Hawaiian/Other Pacific Islander females, but 32.0 percent of black females in the nation; as a result, in Georgia, Mississippi and South Carolina black females constitute more than 29 percent of the female population; Hispanic/Latino females represent only 6.7 percent 21 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV • • • • • • of the region’s female population while comprising 12 percent of the national female population; Asian/Pacific Islander females are represented in the region at roughly one third of the national percentage, and American Indian females are represented in the region at roughly one-half of the national percentage; nearly 75 percent of the region’s Hispanic/Latino female population is located in Florida; the Hispanic/Latino female population in the remainder of the states in the region is between 1 and 4 percent of all females while in Florida it is 16.4 percent; black females in Kentucky make up only 7.4 percent of all females in the state, while in other states in the region they represent from 14.8 to 37.3 percent; over 95 percent of the region’s female population is either white or black; over 41 percent of American Indian females in the region live in North Carolina, but they represent only 1.2 percent of the total female population for the state; and the Asian/Pacific Islander female population represents 3.8 percent of females nationally but only 1.4 percent regionally. Table 5 describes the age distribution of females in Region IV and Figure 3 presents the percentage of each race that falls into each age cohort. Both perspectives offer important information for health planners seeking to identify problems and target audiences for age and culturally sensitive communications. Appendix B presents the same information by race and ethnicity. The 65-plus age category has been subdivided to facilitate examination of both the “young” and “old” elderly female population as each poses different health issues. None of the differences in the distribution of females by age group between Region IV as a whole and the national averages is substantial. The most notable difference among the states is the high percentage of elderly females in Florida (19.5 percent compared to 14.4 percent nationally), which is also by far the most populous state in the region and is therefore more affected by health issues of the elderly. As indicated in Figure 3, there are substantial differences in the distribution of females by race and ethnicity within age groups. In general, minority females are concentrated in the younger age cohorts. White women are much more heavily represented in the 65-plus age group. 3.2 RURAL STATUS Region IV states exhibit substantial differences in both population density and rural/urban distributions. Rural and urban areas typically have different demographic make-ups and different health issues. Population density is defined as the total population per square mile. 22 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 5: FEMALE POPULATION BY AGE: 2000 <15 Alabama 2,300,596 454,120 100% 19.7% 7.0% Florida 8,184,663 1,479,035 100% 18.1% 492,593 6.0% Georgia 4,159,340 100% 888,803 21.4% 286,463 6.9% 285,733 1,325,714 6.9% 31.9% 898,583 21.6% 408,575 9.8% 65,469 1.6% Kentucky 2,066,401 100% 401,019 19.4% 141,027 6.8% 139,149 6.7% 607,970 29.4% 476,424 23.1% 258,257 12.5% 42,555 2.1% Mississippi 1,471,104 100% 313,398 21.3% 114,460 7.8% 106,154 7.2% 414,268 28.2% 315,191 21.4% 176,521 12.0% 31,112 2.1% N Carolina 4,106,618 807,425 262,107 274,090 1,246,569 936,390 501,944 78,093 100% 19.7% 6.4% 6.7% 30.4% 22.8% 12.2% 1.9% S Carolina 2,063,083 410,516 144,584 138,481 601,252 479,651 251,466 37,133 100% 19.9% 7.0% 6.7% 29.1% 23.2% 12.2% 1.8% 2,919,008 100% 567,463 19.4% 192,626 6.6% 191,603 6.6% 866,449 29.7% 679,438 23.3% 361,807 12.4% 59,622 2.0% 27,270,813 5,321,779 1,794,025 1,743,402 7,996,247 6,203,544 3,629,386 100% 19.5% 6.6% 6.4% 29.3% 22.7% 13.3% 582,430 2.1% Tennessee Region IV US Total 15 - 19 Female Population 20 – 24 25 – 44 Total 160,165 45 – 64 65 - 84 85+ 155,060 655,656 527,283 298,993 49,319 6.7% 28.5% 22.9% 13.0% 2.1% 453,132 2,278,369 1,890,584 1,371,823 5.5% 27.8% 23.1% 16.8% 219,127 2.7% 143,368,343 29,399,168 9,828,886 9,276,187 42,471,924 31,810,050 17,569,539 3,012,589 100% 20.5% 6.9% 6.5% 29.6% 22.2% 12.3% 2.1% Source: US Bureau of the Census, Census 2000 Refer to Appendix B.1 for female population by race and age detail. The population density of each individual state as well as the region and the nation as a whole are shown in Table 6. Population density in Region IV is approximately 80 percent higher than the US average, though Mississippi’s population density is well below the national rate. Only one county in the region, Issaquena, MS, earns the designation frontier. A county falls under this designation if its population density is less than or equal to six people per square mile. 16 Nearly 60 percent of the Region IV counties have a population density less than that of the region as a whole, which is raised by a few large cities, most notably Atlanta, Miami, Jacksonville, Memphis, Nashville, and Charlotte. Another indicator of population distribution is the rural/urban continuum code. This code describes the metropolitan nature of an area, designating counties as metropolitan counties (codes 0 through 3), non-metropolitan counties considered to be urban (codes 4 through 7), and non-metropolitan counties considered to be totally rural (codes 8 and 9). Metropolitan counties 16 This definition was established by the DHHS Office of Rural Health Policy in the report Definition of rural: a handbook for health policy makers and researchers, July 1998. 23 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Figure 3: FEMALES BY AGE GROUPS AND RACE/ETHNICITY IN REGION IV: 2000 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% < 15 White Black 15 - 19 American Indian 20 - 24 Asian 25 - 44 Nat Hawaiian/PI 45 - 64 Other Two or More 65+ + Hisp/Latino Source: US Bureau of the Census: Census 2000 Females of Hispanic/Latino origin may be of any race. The chart presents the age distribution by race. For example, 17.4 percent of the white female population in the region is under the age of 15 while 24 percent of the Hispanic female population in the region is under the age of 15. Refer to Appendix B.1 for specific age race distributions. Table 6: POPULATION DENSITY AND PERCENT URBAN POPULATION: 2000 2000 Population Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Population Density 87.6 296.3 141.3 101.7 60.6 165.2 133.2 138.0 Percent Urban Population 55.4 89.3 71.7 55.7 48.8 60.2 60.5 63.6 Region IV 144.2 69.7 US Total 79.6 79.0 Source: US Bureau of the Census, Census 2000 Geographic Comparison Table GCT-PH1: Population, Housing Units, Area and Density: 2000 Population is defined as the number of persons per square mile. 24 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV are counties with more than 250,000 persons, urban counties have more than 2,500 but less than 250,000 persons, and rural counties have fewer than 2,500 persons. 17 Figure 4 presents a comparison of population density and rural/urban continuum code designations. The map on the top of the page shows the population density and the map on the bottom shows the rural/urban continuum codes. The previously mentioned cities are easy to distinguish on the population density map as they tend to be surrounded by density areas that exceed the regional average. Because the demographics and health issues can be so different in these areas, county data in Appendix C present metropolitan as well frontier status to permit comparison with similar groups of counties. 3.3 EDUCATION Educational attainment is another demographic factor affecting access to care, health status and the rate at which females participate in prevention-oriented health activities. Table 7 displays the percent of the total population over 25, by sex, who have completed high school and who have a Bachelor’s degree or higher. Table 7: EDUCATION BY GENDER (FOR POPULATION AGE 25 AND OVER): 2000 Percent Completing High School Female Male Percent Obtaining Bachelor's Degree or Higher Female Male Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 75.4 80.3 79.0 75.0 73.7 79.1 76.9 76.3 75.1 79.4 78.1 73.1 71.9 77.0 75.7 75.5 17.9 20.2 23.0 16.4 16.6 21.8 19.4 18.3 20.3 24.7 25.7 18.0 17.3 23.2 21.6 20.9 Region IV 78.1 77.0 19.9 22.8 US Total 80.7 80.1 22.8 26.1 Region:US 0.97 0.96 0.87 0.87 Source: US Bureau of the Census, Census 2000 Region:US is defined as the regional value divided by the US value 17 1995 Rural-Urban Continuum Codes for Metro and Nonmetro Counties, Department of Agriculture. See Appendix A for a complete definition. 25 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Figure 4: MAPS OF POPULATION DENSITY AND RURAL/URBAN DESIGNATIONS IN REGION IV Population Density KY ( ! Nashville-Davidson TN ( ! ( ! Memphis SC Atlanta ( ! GA AL MS NC Charlotte ( ! Jacksonville FL Frontier 6.1 - 79.5 79.6 - 144.2 144.3 + ( ! Miami Source: US Bureau of the Census, Census 2000 (Region: 144.2 ppsm, Nation: 79.6 ppsm) Frontier counties are defined as 6 or fewer persons per square mile, based on 2000 population data and Land Area data Rural/Urban Continuum Code KY TN Memphis MS NC Nashville AL Charlotte SC Atlanta GA Jacksonville Rural Urban Metro FL Miami Source: US Department of Agriculture, Rural-Urban Continuum Codes for Metro and Nonmetro Counties 26 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Region IV has a lower percentage of high school graduates than the national average and the gap widens slightly at the college graduate level. And, while women complete high school at a slightly higher rate than men, a higher percentage of males attain Bachelor’s or more advanced degrees. Again, differences among the states are greater than between the region and national averages. For example, the difference between males and females is greatest for Florida college graduates, and both males and females in Georgia are more likely to obtain Bachelor’s degrees or higher than in the other six states. Florida has the highest percentage of males and females completing high school, while Mississippi has the lowest percent. 3.4 FOREIGN BORN POPULATION/LINGUISTIC ISOLATION Areas with a high percentage of immigrants may require special considerations in communications concerning access, prevention, and other activities that could influence health status. In general, persons who do not speak English well may be linguistically isolated, 18 may have greater difficulty obtaining employment, and are less likely to have health insurance. As shown in Table 8, the percentage of Region IV’s population that is foreign born is just over two-thirds that of the national average. Only in Florida is the percent of foreign-born population above the national average, while the other states in the region are substantially lower than the Table 8: FOREIGN BORN POPULATION: 2000 Foreign Born Population by Place of Birth Total Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Region IV US Total Percent Eastern Central South Central South Caribbean All Other Asia Asia East Asia America America 87,772 2.0 9,840 6,209 7,875 3,770 28,778 3,026 28,274 2,670,828 16.7 54,521 53,827 90,396 1,105,079 430,822 407,880 528,303 577,273 7.1 47,531 42,722 47,790 39,100 228,992 32,265 138,873 80,271 2.0 10,699 7,059 6,763 4,053 19,031 2,543 30,123 39,908 1.4 3,844 3,311 6,541 1,535 11,454 1,593 11,630 430,000 5.3 27,553 22,981 35,251 13,836 208,735 17,282 104,362 115,978 2.9 9,715 6,570 11,153 3,937 38,651 7,020 38,932 159,004 2.8 15,942 11,342 16,804 4,850 53,580 5,054 51,432 4,161,034 7.8 179,645 154,021 222,573 1,176,160 1,020,043 476,663 931,929 11.1 2,739,510 1,745,201 3,044,288 2,953,066 11,203,637 1,930,271 7,491,916 31,107,889 Source: US Bureau of the Census, Census 2000 Percent - Percent of total population All Other includes all of Europe, Africa, and Oceania (i.e. the Pacific islands, including Australia) as well as Western Asia (typically called the Middle East). national value. Because Florida accounts for 30 percent of the Region IV total population and 64 percent of the foreign-born population, it is the dominant influence on the regional average. 18 Linguistically isolated is defined as a household in which all members 14 years and older speak a non-English language and have difficulty with English (speak English less than “very well”). 27 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV The selected places of birth shown in Table 8 account for the majority of the foreign born population within the Region IV states. Residents born in the Caribbean and Central America account for over half of the total foreign born population in the area. Florida accounts for roughly one third of the region’s total population and nearly two thirds of the foreign born population and therefore has a large effect on the regional value – 94 percent of the region’s Caribbean born population and 86 percent of the region’s South American born population resides in Florida, for example. Also, Florida is the home to nearly 40 percent of all Caribbean born people residing in the entire United States. The potential for linguistic isolation parallels foreign birth. The rate of linguistic isolation (linguistically isolated households to total households) in Region IV, shown in Table 9, is just over two thirds that of the national average, consistent with the percentage of foreign-born population in the region. Table 9: LINGUISTICALLY ISOLATED HOUSEHOLDS: 2000 Linguistically Isolated Households Total Percent Percent Percent Other Percent Spanish Indo-European Asian/Pac Isl Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 1,737,385 6,341,121 3,007,678 1,591,739 1,047,555 3,133,282 1,534,334 2,234,229 12,374 372,259 71,104 11,704 5,786 60,839 15,889 21,692 0.7 5.9 2.4 0.7 0.6 1.9 1.0 1.0 13.9 28.1 24.5 12.9 9.4 25.8 16.0 16.0 6.6 17.2 10.8 9.1 5.6 8.9 7.4 8.5 21.2 22.8 29.8 27.0 20.1 25.8 24.1 25.6 Region IV 20,627,323 571,647 2.8 25.2 13.4 25.1 105,539,122 4,361,638 4.1 23.9 15.5 29.2 US Total Source: US Bureau of the Census, Census 2000 Linguistically isolated is defined as a household in which all members 14 years and older speak a non-English language and have difficulty with English (speak English less than “Very well”). Percent Spanish, Other Indo-European, and Asian/Other Pacific Islander linguistically isolated is calculated as a percent of the respective households; e.g., Percent Spanish linguistically isolated is calculated using the total number of Spanish households as the denominator. 3.5 EMPLOYMENT AND INCOME Because most access to health insurance is linked to employment, it is another factor that influences access to care and thus health status. Table 10 presents the percent of women and men 16 years and older in the civilian labor force unemployed in 2000. The basis for the table is persons in the labor force, meaning that one must either be working or looking for work. Those who have never worked, or who are no longer looking, are excluded, and these may include the chronically ill and disabled. While the labor force based figures may underestimate the reservoir of people whose lack of income or employment-associated insurance abridges their access to 28 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 10: EMPLOYMENT STATUS BY GENDER: 1999 Percent Unemployed Male Female Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 7.0 5.9 6.1 5.8 8.0 5.8 6.4 5.9 5.5 5.2 5.0 5.7 6.8 4.9 5.3 5.1 Ratio Females to Males SelfEmployed in Incorporated Business 0.35 0.38 0.38 0.36 0.37 0.38 0.35 0.37 Region IV 6.1 5.3 0.37 US Total 5.8 5.7 0.37 Region:US 1.05 0.93 1.00 Source: US Bureau of the Census, Census 2000 Population 16 years of age and older in civilian labor force. health care, they are nevertheless valid measures. The rates of employment indicated here are slightly higher for women and slightly lower for men in the region than in the nation, on average. Table 11 shows the median income for the total working population, males, and females. With the exception of Georgia, the median earnings for the states in the region are lower than the national average. For the female population, only Georgia is above the national average. Georgia had the highest median income in the region for total, male, and female populations. Table 11: MEDIAN EARNINGS BY GENDER: 1999 Median Earnings (Dollars) Total Male Female Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 21,188 22,050 24,111 20,951 19,715 22,276 21,571 21,700 26,880 26,297 29,053 26,288 24,709 26,812 26,593 26,622 16,182 18,526 19,649 16,163 15,297 18,619 17,316 17,318 US Total 23,755 29,458 18,957 Source: US Bureau of the Census, Census 2000 29 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 3.6 POVERTY AND PUBLIC ASSISTANCE Table 12 shows that the percent of female population below the poverty level is substantially higher than the national average in three states in the region—Alabama, Kentucky and Mississippi. This is also true for the male population in Mississippi. None of the Region IV states is below the national average for either female or males. Table 12: POVERTY STATUS BY GENDER: 1999 Males below Poverty Level 295,110 852,536 445,214 273,576 231,930 409,162 230,546 320,215 Percent Males below Poverty Level 14.2 11.3 11.5 14.3 17.6 10.8 12.3 11.9 Females below Poverty Level 402,987 1,100,093 588,579 347,520 316,149 549,505 317,323 426,574 Percent Females below Poverty Level 17.9 13.7 14.4 17.2 22.1 13.7 15.8 14.9 Region IV 3,058,289 12.2 4,048,730 15.2 US Total 14,925,062 11.2 18,974,750 13.5 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Source: US Bureau of the Census, Census 2000 Census Bureau uses the federal government’s official poverty definition Consistent with the national pattern, the percent of females below the poverty level is higher in each of the Region IV states than it is for the male population in the respective state. Poverty is more prevalent in female-headed households having children. Differences are even greater in the minority populations, as indicated in Table 13, which shows the percent of female householders with children under 18 years old, below the poverty level, by race and ethnicity. Disparities by race and ethnicity are evident, with all minority racial categories except Asian being much higher than white. It is useful when considering the data in Table 13 to refer back to Table 4, which describes the number of females in each state by race/ethnicity, to obtain a sense of proportion. For example, Black/African Americans are the most numerous minority population within Region IV, almost 6 million people, with more than 40 percent concentrated in Florida and Georgia. On average in the region, some 44.7 percent of Black/African American female-headed households live in poverty, representing a large number of individuals. The least populous minority group in the region is Native Hawaiian/Pacific Islander which totals only 11,332 individuals; as a consequence of the small number of these female-headed households in some states, the US Bureau of Census estimates of percent in poverty tend to be more variable, ranging here from 0 percent in Kentucky and Mississippi to 60.5 percent in North Carolina. 30 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 13: FEMALE HOUSEHOLDERS BY RACE/ETHNICITY WITH CHILDREN UNDER 18, BELOW POVERTY: 1999 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Percent Female Householders with Children Under 18, below Poverty American Native Some Two or Hispanic/ Indian/ Hawaiian/ White Black Asian Other More Alaskan Other Pacific Latino Race Races Native Islander 32.8 52.3 51.8 26.7 34.6 55.2 41.1 51.3 25.6 42.7 37.3 26.6 40.2 39.4 39.6 35.7 25.0 40.9 48.0 25.9 23.5 45.1 37.2 43.5 41.1 48.2 54.7 41.1 0.0 37.2 45.0 41.9 31.9 54.6 59.1 40.4 0.0 45.9 49.9 44.9 26.0 40.7 43.0 26.3 60.5 46.7 38.2 45.0 25.8 44.5 41.7 22.0 40.0 42.6 43.3 41.0 33.0 43.4 38.0 37.2 24.2 41.6 38.7 39.9 Region IV 29.1 44.7 43.9 27.8 37.1 41.6 39.9 37.5 US 27.8 41.8 45.7 27.9 37.1 46.6 39.4 44.5 Source: US Bureau of the Census, Census 2000 Females of Hispanic/Latino origin may be of any race. Table 14 shows the percent of households receiving Supplemental Security Income and Public Assistance Income and the amount received per household. Supplemental Security Income is a Table 14: SUPPLEMENTAL SECURITY INCOME AND PUBLIC ASSISTANCE INCOME RECEIVED: 1999 Supplemental Security Income Public Assistance Income SSI per PAI per Percent of Percent of Household Household Households Households (Dollars) (Dollars) Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 6.0 4.2 4.5 7.2 7.6 4.2 4.7 5.2 5,686 6,295 5,889 5,809 5,671 5,747 5,726 5,823 2.2 2.8 2.9 3.8 3.5 2.8 2.5 3.5 2,108 2,449 2,261 2,174 1,919 2,276 2,145 1,984 Region IV 4.9 5,911 2.9 2,236 US Total 4.4 6,320 3.4 3,032 Source: US Bureau of the Census, Census 2000 31 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV benefit administered by the Social Security Administration in order to assist those who are aged, blind, or disabled and have little or no income. Public Assistance Income covers other forms of public assistance, such as aid to families with dependent children and general assistance. These programs support more women than men (for example, 62 percent of adults receiving SSI payments in 2000 were women). A greater percentage of households in Region IV received Supplemental Security Income and a smaller percentage received Public Assistance Income than in the nation as a whole, and on average all states in the region receive lower household payments than the national value. 3.7 HOUSEHOLD COMPOSITION Table 15 presents the percent of female-headed families, and the percent of households with same sex partners. The percentage of both female-headed families and the percent of same sex partner households are similar in the region and the nation. Table 15: FEMALE-HEADED FAMILIES AND SAME SEX PARTNER HOUSEHOLDS: 2000 Families Unmarried Male Unmarried Female Householder – Male Partner Householder – Female Partner Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 1,215,968 4,210,760 2,111,647 1,104,398 747,159 2,158,869 1,072,822 1,547,835 Pct Female Headed 20.3 18.0 20.6 17.0 24.2 18.1 21.2 18.6 Region IV 14,169,458 19.2 64,949 0.3 61,986 0.3 US Total 71,787,347 18.0 332,645 0.3 326,066 0.3 Total Number Percent of Households Number Percent of Households 4,561 25,067 11,127 3,404 2,342 8,843 3,978 5,627 0.3 0.4 0.4 0.2 0.2 0.3 0.3 0.3 4,167 20,389 10,073 4,244 2,827 9,557 4,806 5,923 0.2 0.3 0.3 0.3 0.3 0.3 0.3 0.3 Source: US Bureau of the Census, Census 2000 Female heads of families and percentage of women divorced are presented by county in Figure 5. As might be expected, the percentage of divorced females is greater in the metropolitan counties. 32 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Figure 5: PERCENT OF FAMILIES HEADED BY WOMEN AND PERCENT OF WOMEN DIVORCED: 2000 Percent of Families Headed by Females KY ( ! Memphis Nashville-Davidson TN ( ! ( ! NC Charlotte Atlanta SC ( ! GA AL MS ( ! Jacksonville FL 0 - 16.1% 16.2% - 19.8% 19.9% + Miami ( ! (Region 19.2%, Nation 18.0%) Percent of Females Divorced KY ( ! ( ! Nashville-Davidson Memphis TN CharlotteNC ( ! ( ! MS AL Atlanta SC GA Jacksonville ( ! FL 0 - 9.6% 9.7% - 11.8% 11.9% + ( ! Miami Source: US Census Bureau, Census 2000 (Region 11.5%, Nation 10.8%) 33 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 3.8 INCARCERATED WOMEN Nationally, over 90,000 women were incarcerated in either state or federal prisons in 2000. Among the many noteworthy characteristics of this population is the almost identical number of black and white inmates, yielding a black-to-white incarceration rate difference of almost six-toone due to the much larger white population. Further, in 2000, over a third of all female prisoners were held in Texas (13,622) and California (11,161) state prisons, and in the Federal penal system (10,245). The Department of Justice reports that from 1995 to 2001 the female prisoner population has grown at an annual average rate of at least 10 percent in 13 states; in Region IV, Mississippi and Tennessee had average annual rates of 14.9 percent. North Carolina’s rate of change (2.4 percent) was the lowest in the region. Table 16 shows the number of women incarcerated in state penal institutions in Region IV states, along with the change between 2000 and 2001. The incarceration rate is based upon the number of female prisoners with sentences of more than one year. State and U.S. total percent change figures were down for the period, while in the region all but Alabama had rates that increased for the period. Mississippi’s 2001 rate of incarceration was essentially double the national rate. Nationally, the three-year recidivism rate for women is 10 percentage points less than for males (58 versus 68 percent). 19 Table 16: INCARCERATED FEMALES: 2000 & 2001 Female Inmates Percent 2001 Change 1,783 -2.4 4,281 4.3 2,834 2.8 1,138 7.3 1,823 9.2 2,015 5.9 1,509 6.3 1,468 7.2 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 2000 1,826 4,105 2,758 1,061 1,669 1,903 1,420 1,369 Region IV 16,111 16,851 4.6 State Prisons 82,989 82,058 -1.1 US Total 93,234 93,031 -0.2 2001 Incarceration Rate (per 100,000 females) 74 50 66 52 113 35 65 50 58 Source: Bureau of Justice Statistics Bulletin: Prisoners in 2001, July 2002, NCJ 195189 http://www.ojp.usdoj.gov/bjs/pub/pdf/p01.pdf Incarceration Rate is number of female prisoners with sentences of more than 1 year per 100,000 US residents. State Prisons and US Total differ by approximately 10,000 female inmates in federal penal institutions. 19 Lanagan PA, Levin DJ, Recidivism of prisoners released in 1994, Bureau of Justice Statistics, June 2002. 34 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 4.0 MORTALITY IN REGION IV Heart disease, cancer (malignant neoplasms) and stroke (cerebrovascular disease) are the three leading causes of death for women. More women die each year from strokes (61.4 percent of all stroke deaths in 2000) and from influenza and pneumonia than men (56.1 percent of these deaths in 2000 were women), because most of these deaths occur among the elderly and females on average live six years longer than males. In 2000, Alzheimer’s disease became the seventh leading cause of death for women, and nearly 71 percent of deaths due to Alzheimer’s disease were to women. 20 The death rate per 100,000 females for the eight-state Region IV average is higher than the national average. Both unadjusted, or crude death rates, and age-adjusted total death rates for females (that is, for women of all ages and races) are 8 and 4 percent higher than the national average, respectively. 21 The age-adjusted heart disease death rate for the region is 4 percent higher than the national rate, stroke and Alzheimer’s death rates are 7 percent higher and unintentional injuries is 20 percent higher, while rates for cancer, chronic lower respiratory diseases (CLRD), diabetes and pneumonia/influenza are all within 1 percent of the national rate for females. Figure 6 displays the three-year average age-adjusted death rate for females in each county in the region. While many of the high rates shown on the map may result from small numbers of Figure 6: FEMALE AGE-ADJUSTED DEATH RATES (ALL CAUSES) IN REGION IV: 1998-2000 20 Bonsignore M, Heun R. Mortality in Alzheimer’s disease. Dementia and Geriatric Cognitive Disorders. 2003; 15(4):231-6. Crude death rates are the deaths/100,000 population; age-adjusted death rates account for the population distribution, by age, in an area. 21 35 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV occurrences in low-population counties, it is noteworthy that the overall age-adjusted regional rate is 4 percent higher than the national figure. With regard to the map, metropolitan counties have lower death rates when compared to non-metropolitan urban or rural counties in Region IV. For example, Gwinnett, Georgia (Atlanta) has a rate of 697.6 deaths per 100,000 females, Williamson, Tennessee (Nashville) has a rate of 661, and Dade, Florida (Miami) has a rate of 646.6, each of which is significantly below the regional and national averages. Alternatively, Lafayette, FL, a rural county, has a rate of 813.4 deaths per 100,000 females. Figure 7 summarizes the age-adjusted differences between the Region IV average and the national average, by cause of death. As noted, the CLRD, heart disease, all causes, stroke, and Alzheimer's disease death rates are higher for females in Region IV than the national averages and pneumonia/influenza, cancer and diabetes death rates are lower. Figure 7: COMPARISON OF FEMALE AGE-ADJUSTED DEATH RATES IN REGION IV TO US AVERAGES: 2000 -1.4% Pneum/Influ -1.4% Cancer -0.4% Diabetes 0.5% 4.3% Heart Disease All Causes 4.3% Stroke 7.1% Region IV Better 7. 0% 6. 0% 5. 0% 4. 0% 3. 0% 2. 0% 7.3% 1. 0% 0. 0% -1 .0 % -2 .0 % Alzheimer's 8. 0% CLRD Region IV Worse Sources: Deaths - NCHS, 2000 NVSS Mortality; Population - US Bureau of the Census, Census 2000 Pneumonia includes influenza and pneumonia, CLRD is chronic lower respiratory disease Note: All values except pneumonia/influenza and diabetes are significant at the 0.05 level of confidence. 4.1 FEMALE MORTALITY Data are presented for both crude and age-adjusted rates in this chapter. Crude rates are helpful in determining the service needs for a given population; however, the rates are influenced by the underlying age distribution of the state's population. 22 The crude rates reflect the actual death rate for a particular population of an area. In general, age adjustment reduces the range of variation between states and facilitates comparisons among areas. Even with age adjustment, however, differences may be random when relatively small numbers of deaths occur within a specific disease category, especially for the least populous minority racial groups. 22 US Cancer Statistics Working Group. US Cancer Statistics: 2000 Incidence. Atlanta (GA): Department of Health and Human Services, CDC and NCI; 2004 36 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 17 displays the number of female deaths in each state, the region and the entire nation for the leading causes of female deaths in the region. The rankings of the first four causes of death are identical between the region and nation. Pneumonia/Influenza is the eighth leading cause in the region but sixth for the nation. Table 17: FEMALE DEATHS FOR THE LEADING CAUSES: 2000 CLRD Uninten -tional Injuries Diabetes Alzheimer's Pneumonia/ Influenza 1,968 6,092 2,832 1,619 1,233 3,584 1,768 2,645 931 4,480 1,496 1,100 569 1,765 773 1,374 720 2,050 1,096 611 561 1,179 654 964 788 2,135 809 607 411 1,169 680 883 647 2,260 919 620 307 1,297 632 725 657 1,767 1,004 663 462 1,160 404 985 52,692 21,741 12,488 7,835 7,482 7,407 7,102 267,009 102,892 62,005 34,083 37,699 35,120 36,655 All Causes Heart Disease Cancer Stroke Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 22,709 80,309 32,389 20,058 14,498 36,579 18,237 27,973 6,940 25,058 8,910 6,196 4,919 10,057 4,885 8,319 4,425 18,061 6,468 4,238 2,752 7,305 3,725 5,718 Region IV 252,752 75,284 US Total 1,225,773 365,953 Source: NCHS, 2000 NVSS Mortality CLRD: Chronic Lower Respiratory Diseases 4.1.1 Unadjusted Death Rates for All Females Table 18 presents the crude (unadjusted) death rates for each of the leading causes of death. 23 Differences among the states are far greater than between the regional and national averages. More detailed data are provided in Appendix B. 4.1.2 Age-Adjusted Death Rates for All Females In order to account for differing age distributions in various geographic areas, age-adjusted rather than crude death rates are more appropriate for comparative purposes. The overall effect of age adjustment for the Region IV states is to reduce the variation in death rates among states and between the region average and the national average which is attributable to age differences. Rates have been age-adjusted to the 2000 population standard and are consistent with the standard used for Healthy People 2010 objectives. 24 The overall age-adjusted death rate for females across the US, shown in Table 19, is 731.3 per 100,000 females and the comparable value for Region IV is 763.1, or 4 percent higher. 23 Unadjusted death rate for each cause is the number of female deaths from the cause per 100,000 females in the jurisdiction. Age-adjustment, the population distributions for different years, and the rationale for selecting a year 2000 population basis are discussed in Appendix A. 24 37 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 18: FEMALE DEATH RATES (UNADJUSTED) FOR THE LEADING CAUSES OF DEATH: 2000 All Causes Heart Disease Cancer Stroke CLRD Unintentional Injuries Diabetes Alzheimer's Pneumonia/ Influenza Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 987.1 981.2 778.7 970.7 985.5 890.7 884.0 958.3 301.7 306.2 214.2 299.8 334.4 244.9 236.8 285.0 192.3 220.7 155.5 205.1 187.1 177.9 180.6 195.9 85.5 74.4 68.1 78.3 83.8 87.3 85.7 90.6 40.5 54.7 36.0 53.2 38.7 43.0 37.5 47.1 31.3 25.0 26.4 29.6 38.1 28.7 31.7 33.0 34.3 26.1 19.5 29.4 27.9 28.5 33.0 30.3 28.1 27.6 22.1 30.0 20.9 31.6 30.6 24.8 28.6 21.6 24.1 32.1 31.4 28.2 19.6 33.7 Region IV 926.8 276.1 193.2 79.7 45.8 28.7 27.4 27.2 26.0 US Total 855.0 255.3 186.2 71.8 43.2 23.8 26.3 24.5 25.6 Region:US 1.08 1.08 1.04 1.11 1.06 1.21 1.04 1.11 1.02 Sources: Deaths -- NCHS, 2000 NVSS Mortality; Population – US Bureau of the Census, Census 2000 CLRD: Chronic Lower Respiratory Diseases Rates per 100,000 females. Age-adjusted death rates per 100,000 females in Florida for each cause except CLRD are lower, sometimes by as much as 20 percent or more, than other state rates as well as the regional and national averages. For example, the age-adjusted death rate for heart disease in Florida is 32 percent lower than Mississippi’s rate, 12 percent below the regional average and 8 percent below the national average. Many state rates are above the region and nation. For cancer the ageadjusted rate for Kentucky is 10 percent above the regional average and 9 percent above the national averages. Diabetes in South Carolina is 30 percent higher than the regional and national figure. While diabetes alone accounts for about three percent of deaths regionally and nationally, diabetes has been found to be a significant independent risk factor for the occurrence of stroke 25 and heart disease. Healthy People 2010 sets several goals for reduced death rates. These include reducing the rate of deaths from cancer to no more than 159.9 per 100,000 population, the stroke rate to 48 per 100,000 and the unintentional injuries rate to 17.5 per 100,000. Florida meets both the cancer and stroke objectives, but no states in the region meet the unintentional injuries objective. Comparisons of single year and three-year average age-adjusted female death rates to Healthy People 2010 goals are provided in Appendix B.3. Additional comparisons between male and female death counts and rates are provided in Appendix B.2. 25 Cohen JA, Estacio RO, Lundgren RA, Esler AL, Schrier RW. Diabetic autonomic neuropathy is associated with an increased incidence of strokes. Auton Neurosci. 2003 Oct 31;108(1-2):73-78 38 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 19: AGE-ADJUSTED FEMALE DEATH RATES FOR LEADING CAUSES: 2000 All Causes Heart Disease Cancer Stroke CLRD Unintentional Injuries Diabetes Alzheimer's Pneumonia/ Influenza Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 823.8 666.7 822.9 829.4 869.4 792.9 803.8 826.3 244.6 194.3 226.3 250.1 284.9 214.1 212.6 240.0 166.5 158.2 167.1 182.2 173.7 162.4 166.0 174.5 69.0 47.5 72.0 64.7 72.0 75.8 76.6 75.4 33.9 35.8 39.1 46.0 34.4 38.4 33.9 41.0 28.9 21.7 26.9 27.5 36.1 26.9 30.4 31 28.8 18.0 20.9 25.3 25.0 25.6 30.0 26.4 21.8 16.6 23.1 24.1 16.8 26.9 26.9 20.1 22.5 13.8 25.2 26.3 26.1 24.3 17.4 27.8 Region IV 763.1 219.9 165.2 63.2 37.6 26.4 22.9 20.7 20.4 US Total 731.3 210.9 167.6 59.1 37.4 22 23.0 19.3 20.7 HP Goals -- * 159.9 48.0 -- 17.5 ** -- -- Sources: Deaths - NCHS, 2000 NVSS Mortality; Population - US Bureau of the Census, Census 2000 Age-adjusted rates/100,000 female population using year 2000 population standard * HP 2010 sets a goal for coronary heart disease at no more than 166 deaths/100,000 population; CHD constitutes a portion of the illnesses that comprise all heart diseases. As shown in Appendix B.3, six of the states achieve this objective. ** HP 2010 sets a goal for diabetes related deaths at 45 deaths/100,000 population; the table above presents only deaths where diabetes was the primary cause of death. All diabetes-related deaths would be much higher. 4.2 FEMALE MORTALITY BY RACE Females account for a disproportionate percent of deaths among those diseases where prevalence increases with age, most notably Alzheimer’s disease, stroke, certain types of cancer, and diabetes. There are also disparities in the rate of female deaths across the different races. Specifically, blacks have a 60 percent higher risk of death from stroke and slightly poorer survival from breast cancer. 2627 Likewise, while white women comprise approximately 75 percent of the female population nationally, they account for nearly 94 percent of the deaths due to Alzheimer’s disease. It is therefore helpful to examine female mortality by racial groups even though it is difficult to assess in some areas of the region because of the small numbers of women in minority racial groups. Table 20 summarizes the number of female deaths by race according to the region’s leading causes of death. Much information is conveyed on this table including the rank order of causes of death by race, within each state. For example, while heart disease is the leading cause of death for women in the country, the region and in the Region IV states, it is the second leading cause of death for Asian/Pacific Islander women in the region and the nation and fifth in Mississippi. Additionally, while chronic lower respiratory disease is the fourth leading cause of death in the region and the nation for all women and white women, region-wide it is the tenth 26 Quick Topic for Minority Health, www.cdc.gov/washington/quicktopic.htm O’Malley CD, Le GM, Glaser SL, Shema SJ, West DW. Socioeconomic status and breast carcinoma survival in four racial/ethnic groups: a population-based study. Cancer. 2003 Mar 1;97(5):1303-11. 27 39 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV leading cause of death for black women, the eighth leading cause for American Indian women, and the fifth leading cause for Asian/Pacific Islander and Hispanic women. Table 20: FEMALE DEATHS AND RANKS FROM SIX LEADING CAUSES: 2000 Leading Causes All Females White Alabama 6,940 ( 1 ) 5,341 ( 1 ) Florida 25,058 ( 1 ) 22,746 ( 1 ) Georgia 8,910 ( 1 ) 6,526 ( 1 ) Kentucky 6,196 ( 1 ) 5,756 ( 1 ) 4,919 ( 1 ) 3,339 ( 1 ) Heart Disease Mississippi N Carolina 10,057 ( 1 ) 7,826 ( 1 ) S Carolina 4,885 ( 1 ) 3,495 ( 1 ) Tennessee 8,319 ( 1 ) 6,966 ( 1 ) Region IV 75,284 ( 1 ) 61,995 ( 1 ) US 365,953 ( 1 ) 320,168 ( 1 ) Alabama 4,425 ( 2 ) 3,438 ( 2 ) Florida 18,061 ( 2 ) 16,334 ( 2 ) Georgia 6,468 ( 2 ) 4,838 ( 2 ) Kentucky 4,238 ( 2 ) 3,928 ( 2 ) Malignant 2,752 ( 2 ) 1,924 ( 2 ) Neoplasms Mississippi N Carolina 7,305 ( 2 ) 5,821 ( 2 ) (Cancer) S Carolina 3,725 ( 2 ) 2,683 ( 2 ) Tennessee 5,718 ( 2 ) 4,869 ( 2 ) Region IV 52,692 ( 2 ) 43,835 ( 2 ) US 267,009 ( 2 ) 232,608 ( 2 ) Alabama 1,968 ( 3 ) 1,461 ( 3 ) Florida 6,092 ( 3 ) 5,411 ( 3 ) Georgia 2,832 ( 3 ) 2,074 ( 3 ) Kentucky 1,619 ( 3 ) 1,518 ( 3 ) Cerebrovascular Mississippi 1,233 ( 3 ) 843 ( 3 ) Disease N Carolina 3,584 ( 3 ) 2,830 ( 3 ) (Stroke) S Carolina 1,768 ( 3 ) 1,220 ( 3 ) Tennessee 2,645 ( 3 ) 2,252 ( 3 ) Region IV 21,741 ( 3 ) 17,609 ( 3 ) US 102,892 ( 3 ) 89,642 ( 3 ) Alabama 931 ( 4 ) 853 ( 4 ) Florida 4,480 ( 4 ) 4,291 ( 4 ) Georgia 1,496 ( 4 ) 1,330 ( 4 ) Kentucky 1,100 ( 4 ) 1,058 ( 4 ) Chronic Mississippi 569 ( 4 ) 486 ( 4 ) Lower Respiratory N Carolina 1,765 ( 4 ) 1,611 ( 4 ) Diseases S Carolina 773 ( 4 ) 692 ( 4 ) Tennessee 1,374 ( 4 ) 1,282 ( 4 ) Region IV 12,488 ( 4 ) 11,603 ( 4 ) US 62,005 ( 4 ) 58,024 ( 4 ) Alabama 720 ( 6 ) 554 ( 5 ) Florida 2,050 ( 7 ) 1,793 ( 6 ) Georgia 1,096 ( 5 ) 830 ( 5 ) Kentucky 611 ( 7 ) 571 ( 7 ) Unintentional Mississippi 561 ( 5 ) 406 ( 5 ) Injuries N Carolina 1,179 ( 6 ) 926 ( 7 ) S Carolina 654 ( 6 ) 477 ( 6 ) Tennessee 964 ( 6 ) 819 ( 6 ) Region IV 7,835 ( 5 ) 6,376 ( 6 ) US 34,083 ( 8 ) 29,263 ( 8 ) Black 1,588 ( 1 2,250 ( 1 2,349 ( 1 434 ( 1 1,571 ( 1 2,151 ( 1 1,382 ( 1 1,333 ( 1 13,058 ( 1 40,783 ( 1 977 ( 2 1,643 ( 2 1,578 ( 2 298 ( 2 820 ( 2 1,409 ( 2 1,024 ( 2 831 ( 2 8,580 ( 2 29,128 ( 2 504 ( 3 658 ( 3 736 ( 3 100 ( 3 384 ( 3 729 ( 3 544 ( 3 384 ( 3 4,039 ( 3 11,195 ( 3 77 ( 10 180 ( 7 162 ( 10 40 ( 6 82 ( 10 148 ( 10 79 ( 11 87 ( 8 855 ( 10 3,369 ( 7 157 ( 7 245 ( 6 248 ( 7 37 ( 7 152 ( 6 229 ( 6 173 ( 5 140 ( 5 1,381 ( 5 3,746 ( 6 40 ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) American Asian/Pacific Hispanic Indian Islander 4 ( 2 ) 7 ( 1 ) 9 ( 1 ) 15 ( 1 ) 47 ( 2 ) 2,213 ( 1 ) 7 ( 2 ) 28 ( 2 ) 24 ( 2 ) 1 ( 2 ) 5 ( 2 ) 19 ( 2 ) 8 ( 1 ) 1 ( 5 ) 5 ( 1 ) 70 ( 1 ) 10 ( 2 ) 14 ( 3 ) 5 ( 1 ) 3 ( 3 ) 5 ( 3 ) 2 ( 1 ) 18 ( 1 ) 12 ( 2 ) 112 ( 1 ) 119 ( 2 ) 2,301 ( 1 ) 1,076 ( 1 ) 3,926 ( 2 ) 12,253 ( 1 ) 6 ( 1 ) 4 ( 2 ) 4 ( 2 ) 10 ( 2 ) 74 ( 1 ) 1,304 ( 2 ) 14 ( 1 ) 38 ( 1 ) 38 ( 1 ) 4 ( 1 ) 8 ( 1 ) 23 ( 1 ) 4 ( 4 ) 4 ( 1 ) 3 ( 3 ) 51 ( 2 ) 24 ( 1 ) 18 ( 2 ) 4 ( 2 ) 14 ( 1 ) 7 ( 2 ) 2 ( 1 ) 16 ( 2 ) 14 ( 1 ) 95 ( 2 ) 182 ( 1 ) 1,411 ( 2 ) 917 ( 2 ) 4,356 ( 1 ) 10,022 ( 2 ) 1 ( 7 ) 2 ( 5 ) 2 ( 5 ) 3 ( 5 ) 20 ( 3 ) 396 ( 3 ) 6 ( 4 ) 16 ( 3 ) 11 ( 5 ) 0 1 ( 7 ) 4 ( 4 ) 4 ( 4 ) 2 ( 3 ) 3 ( 3 ) 20 ( 4 ) 5 ( 4 ) 5 ( 5 ) 0 4 ( 2 ) 2 ( 6 ) 1 ( 3 ) 8 ( 3 ) 1 ( 10 ) 35 ( 3 ) 58 ( 3 ) 424 ( 3 ) 322 ( 5 ) 1,733 ( 3 ) 3,322 ( 3 ) 1 ( 7 ) 0 1 ( 7 ) 3 ( 5 ) 6 ( 5 ) 241 ( 4 ) 1 ( 5 ) 3 ( 9 ) 4 ( 9 ) 0 2 ( 4 ) 3 ( 6 ) 1 ( 9 ) 0 0 6 ( 9 ) 0 1 ( 10 ) 1 ( 4 ) 1 ( 8 ) 1 ( 9 ) 0 5 ( 4 ) 0 13 ( 8 ) 17 ( 5 ) 251 ( 5 ) 201 ( 7 ) 411 ( 7 ) 1,238 ( 7 ) 2 ( 3 ) 7 ( 1 ) 3 ( 3 ) 0 12 ( 4 ) 205 ( 6 ) 7 ( 2 ) 11 ( 4 ) 20 ( 3 ) 0 3 ( 3 ) 4 ( 4 ) 2 ( 6 ) 1 ( 5 ) 3 ( 3 ) 16 ( 5 ) 8 ( 3 ) 37 ( 1 ) 1 ( 4 ) 3 ( 3 ) 8 ( 1 ) 0 5 ( 4 ) 7 ( 3 ) 28 ( 5 ) 50 ( 4 ) 287 ( 4 ) 453 ( 3 ) 621 ( 4 ) 2,134 ( 5 ) Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Alabama 788 ( 5 ) 490 ( 8 ) 298 ( 4 ) 0 0 0 Florida 2,135 ( 6 ) 1,653 ( 7 ) 475 ( 4 ) 1 ( 8 ) 6 ( 5 ) 219 Georgia 809 ( 8 ) 475 ( 8 ) 331 ( 4 ) 1 ( 5 ) 2 ( 12 ) 6 Kentucky 607 ( 8 ) 534 ( 8 ) 71 ( 4 ) 1 ( 2 ) 1 ( 7 ) 3 Mississippi 411 ( 7 ) 217 ( 8 ) 189 ( 4 ) 5 ( 2 ) 0 0 Diabetes N Carolina 1,169 ( 7 ) 698 ( 8 ) 445 ( 4 ) 22 ( 3 ) 4 ( 5 ) 4 S Carolina 680 ( 5 ) 328 ( 7 ) 351 ( 4 ) 1 ( 4 ) 0 3 Tennessee 883 ( 7 ) 613 ( 8 ) 267 ( 4 ) 0 3 ( 6 ) 3 Region IV 7,482 ( 6 ) 5,008 ( 8 ) 2,427 ( 4 ) 31 ( 4 ) 16 ( 6 ) 238 US 37,699 ( 5 ) 29,552 ( 7 ) 7,250 ( 4 ) 341 ( 4 ) 556 ( 5 ) 2,821 ( ) denotes the rank within the state, region, or nation; e.g. Diabetes is the 5th leading cause of death for women in the US, but it is 8th in Georgia. Source: NCHS, 2000 NVSS Mortality; Leading cause of deaths determined from the NCHS Tabulation Lists (see Appendix A for more information). Females of Hispanic origin may be of any race. See Appendix B for unadjusted and age-adjusted death rates. ( 5 ) ( 7 ) ( 6 ) ( ( ( ( ( 7 4 4 6 4 ) ) ) ) ) 4.2.1 Unadjusted Death Rates by Race Table 21 presents unadjusted death rates for women of all ages and for all causes by race and ethnicity. The number of deaths in the region is especially small for American Indian and Asian/Pacific Islander women. Consistent with the mortality data describing all women, the regional average crude death rates for white, black and Hispanic women are above the national average. Table 21: FEMALE DEATHS AND RATES FROM ALL CAUSES, BY RACE/ETHNICITY: 2000 Deaths Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Amer Asian/ Rates White Black Indian Pac Isl Hisp 17,234 5,422 22 31 31 Alabama 71,734 8,285 55 235 6,373 Florida 23,627 8,569 46 147 183 Georgia 18,639 1,384 7 28 84 Kentucky 9,817 4,629 38 14 21 Mississippi 28,467 7,761 270 81 133 N Carolina 12,906 5,278 17 36 34 S Carolina 23,566 4,333 7 67 61 Tennessee Region IV 205,990 45,661 US Total 462 639 6,920 Region IV 1,064,096 140,642 5,178 15,857 47,082 US Total White 1048.8 1069.9 848.5 988.1 1090.2 934.4 924.7 992.4 Black 866.2 646.8 677.5 877.4 836.8 825.5 827.3 861.6 Amer Asian/ Indian Pac Isl Hisp 174.0 165.0 94.8 172.9 140.8 474.7 370.0 150.9 103.4 150.9 159.0 343.8 593.3 126.7 125.8 501.8 122.2 87.3 220.5 165.2 88.7 84.7 201.2 120.7 993.4 765.7 335.5 147.5 377.2 912.3 733.0 346.1 262.3 274.6 Sources: Deaths – NCHS, 2000 NVSS; Population – US Bureau of the Census, Census 2000 Females of Hispanic Origin may be of any race. 1.09 1.04 0.97 0.56 1.37 Region:US Rates/100,000 female population Note: Fewer than 50,000 American Indian/Aleut/Eskimo females reside in each state in the region except North Carolina, and fewer than 50,000 Asian/Pacific Islander reside in each state except Florida, Georgia and North Carolina; therefore, rates may be unreliable. 41 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 4.2.2 Age-Adjusted Death Rates by Race As shown in Table 22, black women tend to have higher age-adjusted death rates than women in other racial groups in both the nation and the region. Asian/Pacific Islander women tend to have lower death rates than women in other racial categories in the nation and the region. The rates for American Indian females vary substantially – rates in Tennessee and Kentucky are about onefifth the rate of Mississippi, and the Florida rate is about half of the regional rate, but in all cases the numbers of deaths and the population of females are small. Table 22: AGE-ADJUSTED DEATH RATES FOR ALL CAUSES, BY RACE/ETHNICITY: 2000 All Females White Black American Indian Asian/Pac Islander Hispanic Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 823.8 666.7 822.9 829.4 869.4 792.9 803.8 826.3 792.8 642.7 784.0 819.9 813.2 756.9 752.5 792.9 937.5 890.5 958.0 1,014.4 994.7 952.5 959.3 1,064.6 325.9 283.9 734.4 197.4 967.3 785.6 380.7 190.3 350.2 270.6 376.5 454.4 289.9 271.9 333.3 533.4 166.3 503.6 289.6 717.5 175.6 194.1 192.6 284.7 Region IV 763.1 727.8 955.7 558.4 321.7 485.0 US Total 731.3 715.2 927.4 604.5 416.6 546.3 Region: US 1.04 1.02 1.03 0.92 0.77 0.89 Sources: Deaths - NCHS, 2000 NVSS Mortality; Population - US Bureau of the Census, Census 2000 Females of Hispanic origin may be of any race. Rates/100,000 female population. Age-adjusted using year 2000 population standard Note: Fewer than 50,000 American Indian/Aleut/Eskimo females reside in all states in the region except North Carolina, and fewer than 50,000 Asian/Pacific Islander reside in all the states in the region except Florida, Georgia and North Carolina; therefore, rates may be unreliable. One of the notable findings is the race-specific difference in diabetes mortality. Specifically, age-adjusted diabetes death rates for black females are between two and three times greater than for whites females. As shown in Appendix B, the white female death rate from diabetes in the region is between 15 and 23 per 100,000 females (the regional average is 17.9); while for black females the number varies between 38 and 68 deaths per 100,000 (the regional average is 52.9). This large disparity among racial groups is consistent with national diabetes death rates. Further examining the age-adjusted causes of death by race highlights some of the problems experienced by black females. These data are presented in Table 23 for the three leading causes of death. More complete data by race and cause are presented in Appendix B. 42 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 23: AGE-ADJUSTED DEATH RATES BY RACE/ETHNICITY AND CAUSE: 2000 White Black American Indian Asian/Pacific Islander Hispanic Heart Cancer Stroke Heart Cancer Stroke Heart Cancer Stroke Heart Cancer Stroke Heart Cancer Stroke Alabama 237.4 164.1 64.6 274.4 175.8 86.9 51.4 97.6 19.9 122.8 27.4 30.5 64.8 25.2 11.1 Florida 188.3 156.9 45.1 257.5 176.6 75.9 90.4 48.1 20.1 71.1 62.9 31.9 175.6 103.0 31.6 Georgia 213.5 164.2 67.7 274.0 179.8 85.8 149.8 177.4 137.4 85.9 86.7 59.2 59.4 71.9 28.3 Kentucky 246.6 180.0 64.4 319.8 229.0 71.9 19.7 133.8 115.3 24.9 183.5 203.1 36.8 Mississippi 86.3 28.3 263.0 168.3 66.8 340.9 186.4 84.0 216.1 N Carolina 202.6 S Carolina 199.7 160.0 72.7 267.9 176.0 90.6 225.4 141.4 158.7 69.2 254.7 188.7 100.0 137.0 Tennessee 227.1 170.2 72.5 336.4 210.3 96.0 46.2 Region IV 209.6 162.5 59.2 280.6 183.5 US Total 205.6 166.9 57.2 Region:US 1.02 0.97 1.03 0.0 83.1 163.9 28.7 43.1 45.6 52.5 28.7 63.9 31.9 63.2 30.5 44.9 40.9 6.5 63.4 0.0 47.4 107.3 46.5 44.0 39.7 21.6 49.8 32.3 197.9 103.2 78.4 83.4 77.0 4.6 86.7 152.7 107.2 50.6 78.1 71.6 40.9 166.8 99.1 30.7 277.6 193.8 76.2 143.6 108.4 43.7 115.7 100.7 49.1 163.7 110.9 43.0 1.01 1.14 1.06 1.16 0.68 0.83 1.02 0.89 0.71 0.95 0.99 0.71 Sources: Deaths -- NCHS, 2000 NVSS Mortality; Population -- US Bureau of the Census, Census 2000 Rates/100,000 female population. Females of Hispanic origin can be of any race. Note: Fewer than 50,000 American Indian/Aleut/Eskimo females reside in all states in the region except North Carolina, and fewer than 50,000 Asian/Pacific Islander reside in all the states in the region except Florida, Georgia and North Carolina; therefore, rates may be unreliable. The age-adjusted death rates for white women in Region IV are slightly higher than the national rates for heart and stroke deaths as shown in Table 23. However, the within-region variation is substantial; Mississippi's heart disease rate is 25 percent higher than the regional average. Black female death rates are higher for heart disease, cancer and stroke in the region when compared to the other racial/ethnic groups. Conversely, Asian/Pacific Islander females have the lowest rates in the region for heart disease and cancer. In addition, Hispanic females have significantly lower stroke mortality compared to white, black, and Asian/Pacific Islander females in the region. Another perspective on these data can be gained by viewing a county-level map of the region. Figure 8 presents three-year average age-adjusted breast cancer death rates for white women. For those counties whose rate is in the upper range (i.e., 28.1 and greater white female breast cancer deaths per 100,000), the actual number of deaths is between 4 and 92. Metropolitan counties in the region have similar rates to the regional and lower than national averages. For example, Gwinnett and Dekalb County, Georgia (Atlanta) have rates of 24.2 and 25, respectively, Shelby, Tennessee (Memphis) has a rate of 25.8, and Miami-Dade, Florida (Miami) and Mecklenburg, NC (Charlotte) have rates of 21.8 and 21.3, respectively. Additionally, metropolitan counties average a rate of 25.0, rural counties in the region average 25.0, and nonmetropolitan urban areas average 24.9 deaths per 100,000 white women, all lower than the national counterparts. 43 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Figure 8: AGE-ADJUSTED BREAST CANCER DEATH RATES FOR WHITE WOMEN IN REGION IV: 1998-2000 KY ( Nashville-Davidson ! Memphis ! ( TN ( ! ( ! MS AL Charlotte NC Atlanta SC GA ( Jacksonville ! (Suppressed) 0.0 - 25.4 25.5 - 28.0 28.1 - 67.2 FL (Region 25.0, Nation 26.7) Source: NCHS, NVSS Mortality 1998-2000) ( Miami ! Because of small populations in many counties in the region, presenting maps by race and cause is often only meaningful for all females and white females. As can be seen, even when looking at white females, when data are suppressed for fewer than 5 deaths, many counties are eliminated. More detailed presentations of the number of deaths and rates are provided in the appendices. 4.3 FEMALE MORTALITY BY AGE Table 24 presents the number of deaths and death rates from all causes for females in different age cohorts. Regional rates are significantly higher than the national rates for all age ranges except the age range of 65 years and above. 44 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 24: FEMALE DEATHS AND RATES FOR ALL CAUSES, BY AGE: 2000 Deaths <15 15-19 20-24 25-44 45-64 65+ Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 331 907 654 245 298 615 301 438 77 190 144 70 75 112 76 102 116 247 172 85 91 140 88 125 917 2,869 1,686 720 730 1,445 842 1,134 3,189 9,433 5,000 2,762 2,139 5,196 2,874 4,026 18,079 66,655 24,733 16,176 11,165 29,071 14,051 22,148 Region IV 3,789 846 1,064 10,343 34,619 202,078 US Total 17,484 3,866 4,370 45,062 157,468 997,456 Rates <15 15-19 20-24 25-44 45-64 65+ Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 72.9 61.3 73.6 61.1 95.1 76.2 73.3 77.2 48.1 38.6 50.3 49.6 65.5 42.7 52.6 53.0 74.8 54.5 60.2 61.1 85.7 51.1 63.5 65.2 139.9 125.9 127.2 118.4 176.2 115.9 140.0 130.9 604.8 498.9 556.4 579.7 678.6 554.9 599.2 592.5 5,190.5 4,189.6 5,217.4 5,377.4 5,377.3 5,011.9 4,868.7 5,255.5 Region IV 71.2 47.2 61.0 129.3 558.1 4,797.9 US Total 59.5 39.3 47.1 106.1 495.0 4,846.2 Region:US 1.20 1.20 1.30 1.22 1.13 0.99 Sources: Deaths - NCHS, 2000 NVSS Mortality; Population - US Bureau of the Census, Census 2000 Rates are per 100,000 female population The following tables present deaths by age and cause, and highlight age-specific issues within the region. The percentage of deaths nationwide that occurred in the region is presented to indicate the relative difference between each category in the region and the nation. Table 25 shows that unintentional injuries is the leading cause of death for all females under the age of 15. Homicide, another preventable cause of death, follows as the third most prevalent cause of death in this age group and the homicide rate in this age group is higher for females in the region than it is across the US, although this difference is not statistically significant. 45 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 25: DEATHS AND RATES FOR FEMALES UNDER THE AGE OF 15 FOR SELECTED CAUSES: 2000 Deaths <15 Years of Age Unintentional Injuries Cancer Homicide Death Rates <15 Years of Age Nutrition Nutrition 18 2.2 1.3 0.7 1.2 13 11.6 1.8 2.0 1.5 8 5 10.5 1.7 2.0 1.2 11 4 12.4 1.3 3.5 1.3 6 8 9.0 1.5 0.7 1.0 8 6 9.5 3.2 1.9 1.5 20 11 8 10.0 3.5 1.9 1.4 527 113 91 65 9.9 2.1 1.7 1.2 2,226 674 448 297 7.6 2.3 1.5 1.0 23.7% 16.8% 20.3% 21.9% 10 3 Florida 132 36 19 Georgia 103 16 18 Kentucky 42 7 Mississippi 39 4 N Carolina 73 12 S Carolina 39 13 Tennessee 57 Region IV Sources: Homicide 1.1 2.4 5 Pct of US Cancer 9.2 8.9 42 Alabama US Total Unintentional Injuries Deaths - NCHS, 2000 NVSS Mortality; Population - US Bureau of the Census, Census 2000 Rates are per 100,000 females under age 15. As shown in Table 26, three of the four leading causes of death for females ages 15 to 24 are also preventable: unintentional injuries, homicide and suicide. Unintentional injuries are by far the Table 26: DEATHS AND RATES FOR FEMALES 15 TO 24 YEARS OF AGE FOR SELECTED CAUSES: 2000 Deaths 15-24 Years Death Rates 15-24 Years Unintentional Injuries Homicide Alabama 106 21 15 5 33.6 6.7 4.8 1.6 Florida 192 38 39 20 20.3 4.0 4.1 2.1 Georgia 118 34 21 25 20.6 5.9 3.7 4.4 Cancer Suicide Unintentional Injuries Homicide Cancer Suicide Kentucky 77 10 14 14 27.5 3.6 5.0 5.0 Mississippi 72 14 8 9 32.6 6.3 3.6 4.1 113 26 12 19 21.1 4.8 2.2 3.5 North Carolina 79 16 17 2 27.9 5.7 6.0 0.7 Tennessee 127 18 9 12 33.1 4.7 2.3 3.1 Region IV 884 177 135 106 25.0 5.0 3.8 3.0 US Total 3,653 736 691 570 19.1 3.9 3.6 3.0 Pct of US 24.2% 24.0% 19.5% 18.6% South Carolina Sources: Deaths - NCHS, 2000 NVSS Mortality; Population - US Bureau of the Census, Census 2000 46 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV leading cause of death in this age group, with 884 of 1,910 total female deaths in the region falling into this category. Table 26 also shows that the suicide and cancer rates are average in the region compared to the US, while rates for unintentional injuries and homicide are significantly higher. Additionally, the unintentional injury rates for 15 to 24 year old females in Alabama, Mississippi and Tennessee are about 50 percent higher than in Georgia, Florida and North Carolina. As shown in Table 27, in the 25 to 44 age group, cancer is the leading cause of death for females, with unintentional injuries second. Death rates are substantially higher in the region for all causes except cancer. The death rates in Mississippi are the highest in the region for all causes of death except HIV/AIDS (highest in Florida) and suicide (highest in Alabama.). The homicide rate in Mississippi is over 2 ½ times that of Florida and the heart disease rate in Mississippi is over 2 times the rate in Florida. Table 27: DEATHS AND RATES FOR FEMALES 25 TO 44 YEARS OF AGE FOR SELECTED CAUSES: 2000 Deaths 25-44 Years Death Rates 25-44 Years 25-44 Cancer Unintentional Injuries Heart Disease 25-44 HIV/ AIDS Suicide Homicide Cancer Unintentional Injuries Heart Disease HIV/ AIDS Suicide Homicide Alabama 179 141 129 32 55 52 27.3 21.5 19.7 4.9 8.4 7.9 Florida 645 409 260 363 159 101 28.3 18.0 11.4 15.9 7.0 4.4 Georgia 369 263 214 113 73 84 27.8 19.8 16.1 8.5 5.5 6.3 Kentucky 175 131 98 5 32 37 28.8 21.5 16.1 0.8 5.3 6.1 Mississippi 135 128 101 33 18 46 32.6 30.9 24.4 8.0 4.3 11.1 N Carolina 341 235 158 82 92 74 27.4 18.9 12.7 6.6 7.4 5.9 S Carolina 179 138 110 48 39 37 29.8 23.0 18.3 8.0 6.5 6.2 Tennessee 242 234 138 37 62 55 27.9 27.0 15.9 4.3 7.2 6.3 Region IV 2,265 1,679 1,208 713 530 486 28.3 21.0 15.1 8.9 6.6 6.1 US Total 11,238 6,679 4,931 2,313 2,302 1,703 26.5 15.7 11.6 5.4 5.4 4.0 Pct of US 20.2% 25.1% 24.5% 30.8% 23.0% 28.5% Sources: Deaths - NCHS, 2000 NVSS Mortality; Population - US Bureau of the Census, Census 2000 Rates are per 100,000 females ages 25 to 44. Table 28 presents similar data for the 45 to 64 year old female population. In this cohort, cancer, and heart disease remain among the leading causes, joined by stroke, CLRD and diabetes and unintentional injuries. Georgia women have the lowest death rates in the region for cancer and diabetes; and in the case of heart disease, the rate in Florida is less than one-half the rate in Mississippi but only slightly lower than the rate in the nation. Mississippi has the highest rate for each cause except CLRD (highest in Tennessee) and diabetes (highest in Alabama). 47 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 28: DEATHS AND RATES FOR FEMALES 45 TO 64 YEARS OF AGE FOR SELECTED CAUSES: 2000 Deaths 45-64 Years Cancer Heart Disease Stroke CLRD Death Rates 45-64Years Diabetes Uninten -tional Injuries Cancer Heart Disease Stroke CLRD Diabetes Uninten -tional Injuries Alabama 1139 701 163 136 139 115 216.0 132.9 30.9 25.8 26.4 21.8 Florida 3912 1629 420 400 358 365 206.9 86.2 22.2 21.2 18.9 19.3 Georgia 1772 1074 287 216 161 185 197.2 119.5 31.9 24.0 17.9 20.6 Kentucky 1140 623 108 146 94 86 239.3 130.8 22.7 30.6 19.7 18.1 Mississippi 733 549 134 85 76 89 232.6 174.2 42.5 27.0 24.1 28.2 N Carolina 1963 1018 271 249 225 180 209.6 108.7 28.9 26.6 24.0 19.2 S Carolina 1007 597 150 109 148 121 209.9 124.5 31.3 22.7 30.9 25.2 Tennessee 1460 894 190 216 167 160 214.9 131.6 28.0 31.8 24.6 23.5 Region IV 13,126 7,085 1,723 1,557 1,368 1,301 211.6 114.2 27.8 25.1 22.1 21.0 US Total 64,397 29,667 7,236 6,765 6,376 5,587 202.4 93.3 22.7 21.3 20.0 17.6 Pct of US 20.4% 23.9% 23.8% 23.0% 21.5% 23.3% Sources: Deaths - NCHS, 2000 NVSS Mortality; Population - US Bureau of the Census, Census 2000 Rates are per 100,000 females ages 45 to 64. Table 29 presents comparable data for the 65-plus female population of Region IV. As noted, the table is presented in two parts, deaths in the first part and rates in the second. While there are some reversals in terms of the most numerous, only pneumonia and Alzheimer's disease are added as leading causes. The rates in Region IV are lower for each of the leading causes with the exceptions of stroke, Alzheimer’s disease and unintentional injuries. The higher rates are 2, 3 and 6 percent greater than the national value, respectively. Mississippi women continue to have much higher heart disease mortality (29 percent higher than the regional rate). Florida female death rates from cancer, stroke, Alzheimer’s disease, pneumonia, diabetes and unintentional injuries are the lowest among the states in the region and are lower than the national values in each case. 4.4 FEMALE MORTALITY BY URBAN/RURAL RESIDENCE The fraction of the female population living in very rural areas in Region IV is higher than that of the nation—approximately four percent of Region IV versus two percent of the national population live in such areas. The fraction of those living in non-metropolitan urban areas is higher in Region IV than the nation, and the fraction of those in metropolitan areas is lower. The 48 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 29: DEATHS AND RATES FOR FEMALES 65 YEARS OF AGE AND OLDER FOR SELECTED CAUSES: 2000 Deaths 65 Years and Older Heart Disease Cancer Stroke CLRD Alzheimer’s Pneumonia Unintentional Injuries Diabetes 6,092 3,087 1,768 785 640 608 623 316 Florida 23,128 13,429 5,582 4,054 2,238 1,612 1,714 952 Georgia 7,580 4,290 2,475 1,255 910 895 617 427 Kentucky 5,454 2,902 1,476 942 614 610 495 275 Mississippi 4,251 1,872 1,061 476 306 412 315 233 8,855 4,977 3,248 1,491 1,291 1,060 902 578 4,158 2,509 1,579 650 626 367 507 277 Tennessee 7,263 3,987 2,414 1,138 718 905 682 386 Region IV 66,781 37,053 19,603 10,791 7343 6,469 5,855 3,444 US Total 330,529 190,008 93,845 54,451 34,805 33,848 30,216 15,936 Pct of US 20.2% 19.5% 20.9% 19.8% 21.1% 19.1% 19.4% 21.6% Alabama North Carolina South Carolina Death Rates 65 Years and Older Heart Disease Cancer Stroke CLRD Alzheimer’s Pneumonia Unintentional Injuries Diabetes Alabama 1,749.0 886.3 507.6 225.4 183.7 174.6 178.9 90.7 Florida 1,453.7 844.1 350.9 254.8 140.7 101.3 107.7 59.8 Georgia 1,599.0 905.0 522.1 264.7 192.0 188.8 130.2 90.1 Kentucky 1,813.1 964.7 490.7 313.2 204.1 202.8 164.6 91.4 Mississippi 2,047.4 901.6 511.0 229.3 147.4 198.4 151.7 112.2 1,526.6 858.0 560.0 257.1 222.6 182.7 155.5 99.6 1,440.8 869.4 547.1 225.2 216.9 127.2 175.7 96.0 1,723.4 946.1 572.8 270.0 170.4 214.7 161.8 91.6 Region IV 1,585.6 879.7 465.4 256.2 174.3 153.6 139.0 81.8 US Total 1,605.9 923.2 456.0 264.6 169.1 164.5 146.8 77.4 North Carolina South Carolina Tennessee Sources: Deaths - NCHS, 2000 NVSS Mortality; Population - US Bureau of the Census, Census 2000 Rates are per 100,000 females ages 65 and older. 49 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV overall age-adjusted death rate for females living in rural areas within the region is the highest in the US but regionally the urban area death rate is the highest. This ranking is similar to the findings for the nation as a whole. The age-adjusted death rate for females living in rural areas within the region is 812.1 per 100,000 population as compared to 737.9 for females in all rural areas within the US. The rate for females living in non-metropolitan urban areas is 823.9 in the Region IV versus 760.2 in the US, and the rate for females living in metropolitan areas is 739.6 compared with 724.2 for the US. Overall, rural death rates are similar to regional figures with the exceptions of unintentional injury and motor vehicle deaths. The unintentional injury death rate for females in rural areas of the region is 35.0 per 100,000 female population, significantly greater than the rate of 23.7 for metropolitan areas, and only slightly different than the rate non-metropolitan urban areas (33.5). The comparable US rates are 34.4 for rural, 30.0 for non-metropolitan urban and 19.9 for metropolitan. Region IV compares favorably with national rates, being lower or the same in each area except the rural figure which is equal. Likewise, the age-adjusted motor vehicle accident death rate for females is higher in rural areas for both the region and nation; the rate is 20 per 100,000 females in Region IV rural areas, 17.6 in non-metropolitan urban areas (not statistically significant) and 10.8 in metropolitan areas as compared to 20.3 in all US rural areas, 15.6 in non-metropolitan urban areas and 7.9 in metropolitan areas. The region is only lower in the rural category. The age-adjusted female death rates (per 100,000 population) in the region are compared to the Healthy People 2010 goals, below, for the different types of counties in the region. Healthy People 2010 Goal Region IV Findings (2000) Coronary heart disease < 166 deaths Stroke deaths < 48 deaths Cancer deaths < 159.9 deaths Lung cancer < 44.9 deaths Breast cancer < 22.3 deaths Cervical cancer < 2.0 deaths Colorectal cancer < 13.9 deaths Unintentional injury < 17.5 deaths Motor vehicle accident < 9.2 deaths Suicide < 5.0 deaths Homicide < 3.0 deaths Metro = 154.9, Metro = 59.6, Metro = 164.5, Metro = 43.0, Metro = 25.7, Metro = 3.0, Metro = 17.0, Metro = 23.7, Metro = 10.8, Metro = 4.8, Metro = 3.5, 50 Urban = 163.7, Urban = 72.7, Urban = 167.4, Urban = 42.8, Urban = 26.1, Urban = 3.7, Urban = 17.9, Urban = 33.5, Urban = 17.6, Urban = 4.7, Urban = 4.5, Rural = 158.4 Rural = 68.6 Rural = 165.1 Rural = 42.3 Rural = 25.5 Rural = 3.5 Rural = 17.6 Rural = 35.0 Rural = 20.0 Rural = 4.9 Rural = 4.3 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 5.0 INDICATORS OF CHRONIC AND INFECTIOUS DISEASES OF WOMEN IN REGION IV County level gender and race-specific disease incidence data, by and large, must be obtained from local sources. National sources, such as the Centers for Disease Control and Prevention only publish data at the state level, and focus primarily on the communicable diseases. Further, much of the national data are published without regard to gender or race, with the exception of data on AIDS and cancers. As a result, state health departments in Region IV were contacted to obtain county and state disease data. County-level data were obtained for HIV and AIDS, sexually transmitted infections (STIs), tuberculosis, hepatitis, and cancer. Information regarding prevalence of chronic disease including diabetes, elevated cholesterol and hypertension were obtained from CDC's Behavioral Risk Surveillance System (BRFSS) for adults. Sources are documented in Appendix A. Additionally, expanded cancer data were obtained from CDC/NCI National Program of Cancer Registries (NPCR). Unfortunately, neither Mississippi nor Tennessee supplied data to NPCR. The NPCR only releases state-level data for 42 states and county-level data for 26 states; this results from a combination of states supplying data and quality control guidelines imposed by the NPCR. Issues of incomplete and inconsistent data make it difficult to form a comprehensive picture of status of women in the region with regard to infectious and chronic diseases, and these issues are not unique to Region IV. Even at the national level, with all the resources available, the data are fragmented. For example, while heart disease is the leading cause of death in the nation, there are no good incidence data available at small geographic areas for the entire nation. Data from national surveys (e.g., CDC’s NHIS) and extracts from hospital records (e.g., AHRQ’s HCUP) present part of the picture; however, the great number of cases identified by physicians are not collected systematically and hence are not captured for analysis and epidemiological purposes. 5.1 INDICATORS OF CHRONIC DISEASES Chronic diseases include cardiovascular diseases, stroke, diabetes, hypertension, elevated cholesterol and cancer. With the exception of cancer, none of these were considered to be ‘reportable diseases’. As such, data for these conditions were obtained from the CDC BRFSS survey. 28 The BRFSS provides a single source using a consistent collection approach. However, sample sizes in the BRFSS are insufficient for estimating prevalence at the county levels for more than a handful of mainly metropolitan areas. Therefore, estimates are only available at the state levels. 28 BRFSS, the Behavioral Risk Factor Surveillance System is sponsored by the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention – a national sample survey of men and women 18 years of age and older. 51 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 5.1.1 Prevalence of Diabetes, Elevated Cholesterol, and Hypertension Table 30 shows the prevalence of diabetes, elevated cholesterol, and hypertension as reported by the women surveyed in the region. The region as a whole and five of the states (Alabama, Florida, Georgia, Mississippi and South Carolina) are found to be above the national level for diabetes. This illuminates the health challenges posed by diabetes. A study published in 2003 estimates females born in the year 2000 have a 38.5 percent lifetime risk of developing diabetes, which is higher than a woman’s risk of breast cancer and comparable to a woman’s risk for heart disease. 29 Moreover, there are major disparities in risk by race and ethnicity. In general, estimates based on national data show the current prevalence of diabetes among the Black population is 70 percent higher than among whites; for Hispanics, the prevalence is nearly double that of whites. 30 Table 30: AGE-ADJUSTED PERCENT OF FEMALES EVER DIAGNOSED WITH DIABETES, HIGH CHOLESTEROL OR HYPERTENSION: 2001 Total White High High HyperDiabetes Diabetes Cholesterol Cholesterol tension Black Hypertension High Diabetes Cholesterol Hispanic Hypertension Diabetes High Cholesterol Hypertension Tennessee 10.1 10.5 8.9 7.1 11.3 7.8 10.1 8.4 27.2 26.3 28.9 27.5 27.5 27.4 24.5 28.4 31.5 23.1 28.1 27.6 32.7 27.3 27.9 28.3 8.4 9.9 8.1 6.8 9.3 6.3 9.6 7.4 27.1 26.5 29.8 28.8 27.7 27.3 24.9 29.3 28.0 21.3 24.7 26.4 27.1 23.1 24.2 26.4 17.2 15.6 12.5 9.6 16.7 12.9 12.1 13.9 27.8 29.1 26.8 13.8 27.2 28.3 24.9 21.4 45.4 33.2 37.3 41.6 45.1 42.3 38.2 39.8 16.0 11.7 12.4 11.1 12.3 7.4 10.2 6.4 31.8 24.3 37.5 36.2 31.7 18.2 22.1 28.2 39.3 24.7 21.7 30.4 20.5 24.1 19.9 32.4 Region IV 9.3 27.2 26.9 8.3 27.6 24.1 13.9 26.7 39.3 11.4 24.8 25.2 US Total 8.6 26.5 25.0 7.8 26.8 23.4 12.6 25.2 37.1 14.0 26.0 25.2 1.08 1.03 1.08 1.06 1.03 1.03 1.10 1.06 1.06 0.81 0.95 1.00 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Region:US Source: CDC, 2001 BRFSS Females of Hispanci/Latino origin can be of any race. Note: State values for Hispanic females may be unreliable due to small numbers in all states except Florida. Women in South Carolina report being diagnosed with elevated cholesterol levels less often than do women in the nation or the other states in the region. Women in all of the states except Florida reported more diagnoses of high blood pressure than the average for women nationally. While the higher rate of hypertension diagnoses could suggest greater prevalence, it is equally possible that females in Region IV are more aware of their health risks and seek to be tested. A recent expert panel considered the impact of elevated cholesterol levels, hypertension, smoking 29 Narayan KM, Boyle JP, Thompson TJ, Sorensen SW, Williamson DF. Lifetime risk for diabetes mellitus in the United States. JAMA. 2003 Oct 8; 290(14):1884-90. 30 Quick Topic for Minority Health; www.cdc.gov/washington/quicktopic.htm 52 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV and the other major factors influencing cardiovascular disease in women and prepared a learned set of guidelines for improving cardiovascular health.31 While the guidelines focus on women, they offer reasonable approaches for the entire population to prevent cardiovascular diseases. Finally, “the need to emphasize prevention of coronary heart disease in women [is] important because first events are often fatal in women. Factors that are unique in terms of their influence on risk for coronary heart disease in women include age, reproductive and hormonal status, high density lipoprotein cholesterol and triglyceride levels, and the presence of diabetes.” 32 5.1.2 Prevalence of Asthma, Arthritis, or Disabilities Table 31 presents the age-adjusted percent of females that report ever having been diagnosed with asthma or arthritis, or who report having a disability limitation due to physical, mental, or emotional problems. In almost all cases, the Region IV averages are within 10 percent of the national values. Table 31: AGE-ADJUSTED PERCENT OF FEMALES HAVING ASTHMA, ARTHRITIS, OR A DISABILITY LIMITATION: 2001 Total White Black Hispanic Asthma Arthritis Disability Asthma Arthritis Disability Asthma Arthritis Disability Asthma Arthritis Disability Alabama Tennessee 11.5 11.7 11.6 13.0 9.4 11.5 11.6 11.2 34.0 26.0 27.5 32.4 29.6 27.3 26.8 28.0 20.5 16.7 15.9 22.2 19.9 16.7 17.7 16.4 11.8 11.4 10.4 12.8 8.0 11.9 12.0 11.6 33.5 26.5 26.8 32.7 27.6 26.7 26.6 27.9 21.4 17.6 16.7 22.4 19.9 17.0 19.0 16.8 10.8 12.1 14.2 12.8 10.8 11.1 11.5 10.1 36.6 29.4 29.5 32.2 33.6 30.0 29.6 28.1 18.4 17.9 14.6 21.4 19.9 18.2 13.3 15.0 12.4 12.2 26.4 11.1 16.7 8.5 27.7 3.0 43.4 22.2 30.9 24.8 36.6 17.5 21.7 37.5 16.3 12.0 18.9 20.6 19.9 7.9 24.7 13.2 Region IV 11.5 28.0 17.4 11.3 27.9 18.2 11.8 30.6 16.8 12.2 23.8 12.9 US Total 12.8 26.0 17.2 12.5 26.1 17.4 14.3 29.0 16.3 12.4 23.2 14.3 Region:US 0.90 1.08 1.01 0.90 1.07 1.05 0.83 1.06 1.03 0.98 1.03 0.90 Florida Georgia Kentucky Mississippi N Carolina S Carolina Source: CDC, 2001 BRFSS Females of Hispanic/Latino origin can be of any race. Note: State values for Hispanic females may be unreliable due to small numbers in all states except Florida. 31 Mosca L, et al. Evidence-based guidelines for cardiovascular disease prevention in women. Circulation. 2004; 109:672-693. King KB, Mosca L. Prevention of heart disease in women: recommendations for management of risk factors. Progress in Cardiovascular Nursing. 2000 Spring;15(2):36-42. 32 53 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 5.1.3 Incidence of Cancer in Women Malignant neoplasms (cancer) are the second leading cause of death across almost all age and race categories for women, and tend to result in deaths twice as often as from the next leading cause. This section presents data on incidence within the region. Table 32 presents the number of newly reported cancer cases, by site. The sites selected for the table are those most often reported by the states in the region. Data are from the National Program of Cancer Registries prepared jointly by the Centers for Disease Control and Prevention and the National Cancer Institute. Approximately one in three female cancer cases is identified in the breast, and of the remaining cases, roughly one in five is identified in the lungs. While it is unclear what can be done to prevent the onset of breast cancer, a recent study has “confirm[ed] that years of cigarette smoking is far more important than the number of cigarettes smoked per day in predicting lung cancer risk in United States men, regardless of age, and provides new evidence that a qualitatively similar pattern holds for women.” 33 Table 32: SITE-SPECIFIC CANCER CASES REPORTED FOR WOMEN: 2000 Total Bladder Brain 170 1,236 315 226 -361 146 -- 139 570 204 113 -228 98 -- Breast ColoOvarian Uterine Kidney rectal 2,857 12,315 4,953 2,737 -5,430 2,637 -- 1,134 5,519 1,690 1,247 -1,862 994 -- 364 1,630 526 366 -661 284 -- 423 2,237 714 539 -827 406 -- 185 858 331 216 -346 164 -- Leukemia Lung Skin* 170 920 301 208 -277 153 -- 1,271 6,751 1,965 1,625 -2,093 1,073 -- 216 1,268 532 355 -533 231 -- Stomach Thyroid Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 9,158 43,941 15,203 9,800 -16,103 8,105 -- US Total** 533,647 13,361 6,912 164,895 63,907 20,188 30,207 11,010 11,521 69,316 15,611 116 523 193 90 -185 99 -- 168 872 338 193 -285 170 -- 6,712 13,019 Sources: CDC, National Program of Cancer Registries, 2000 * includes only melanoma of the skin ** total of all reporting districts -- data not available Table 33 presents age-adjusted incidence rates for cancers in women. Because the risk of cancer increases with age, age adjustment reduces the range of variation among states. Rates for total cancers are higher in Florida and Kentucky than in the rest of the region and exceed the national value. The incidence rate for breast cancer, the most frequent site for cancer in females, is lower than the nation in all states in the region. Incidence rates for lung cancer, the second most frequently occurring site in women, are lower than the national rate in all states except Florida and Kentucky whose rate is more than 35 percent higher. 33 Flanders WD, Lally CA, Zhu BP, Henley SJ, Thun MJ. Lung cancer mortality in relation to age, duration of smoking, and daily cigarette consumption: results from Cancer Prevention Study II. Cancer Research. 2003 Oct 1;63(19):6556-62. 54 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 33: SITE-SPECIFIC, AGE-ADJUSTED INCIDENCE RATES OF CANCER IN FEMALES: 2000 Total Bladder Brain Breast ColoOvarian Uterine Kidney rectal Leukemia Lung Skin* Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 357.9 413.0 388.0 434.5 -367.1 367.7 -- 6.3 10.5 8.2 9.7 -8.0 6.5 -- 5.7 5.9 5.1 5.2 -5.3 4.6 -- 113.6 121.3 125.6 123.0 -125.1 120.6 -- 43.0 47.8 43.6 53.5 -41.6 44.4 -- 14.5 16.0 13.4 16.4 -15.2 12.9 -- 16.5 21.2 18.3 24.1 -18.9 18.4 -- 7.3 7.9 8.5 9.5 -7.9 7.4 -- 6.6 8.5 7.6 9.1 -6.4 7.0 -- 48.6 59.9 51.5 71.2 -47.3 48.1 -- 8.8 12.9 13.1 16.4 -12.4 10.7 -- US Total** 409.4 9.8 5.5 128.9 47.0 15.8 23.5 8.4 8.7 52.5 12.4 Stomach Thyroid 4.3 4.5 4.9 3.8 -4.1 4.4 -4.9 7.1 10.1 8.2 9.2 -6.7 8.0 -10.7 Rate/100,000 female population Source: CDC, National Program of Cancer Registries, 2000 * includes only melanoma of the skin ** rates for all reporting districts -- data not available Figure 9 presents data for black and white female breast cancer. In all states, white females have a slightly lower breast cancer incidence rate than the national average. In North Carolina, Figure 9: AGE-ADJUSTED RATES OF BREAST CANCER FOR BLACK AND WHITE FEMALES IN REGION IV: 2000 US South Carolina North Carolina Kentucky Georgia Florida Alabama 0 20 40 60 White Females 80 100 120 140 Black Females Source: CDC, National Program of Cancer Registries, 2000 Kentucky and Georgia, black females have a higher incidence rate than the national average, and in Kentucky black females have a higher rate than white females, which is opposite the national trend. 55 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV The findings for lung cancer incidence rates in the Region IV states are presented in Figure 10. In all states except Kentucky, black females have a lower lung cancer incidence rate than the national average for black females. In all states except Kentucky, Georgia and Florida, white females have a lower incidence rate than the national average. Kentucky has the smallest black population among the states which may explain the unusually high rates for both breast and lung cancer. Figure 10: AGE-ADJUSTED RATES OF LUNG CANCER FOR BLACK AND WHITE FEMALES IN REGION IV: 2000 US South Carolina North Carolina Kentucky Georgia Florida Alabama 0 10 20 30 40 White Females 50 60 70 80 Black Females Source: CDC, National Program of Cancer Registries, 2000 5.2 INDICATORS OF INFECTIOUS DISEASE Data reported by the states for newly diagnosed incidence of infectious disease are presented in Table 34. Table 35 presents these same data as rates of incidence by state. State rates were estimated based on the number of newly reported cases in a state and that state’s total female population. US totals are derived from different sources using different approaches, as noted in the footnote to Table 34. Caution is in order when interpreting each state’s data since each was obtained from a different source and the number of cases is also very small in most states. 56 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 34: INCIDENCE OF INFECTIOUS DISEASES IN WOMEN: 2000 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Hepatitis A B 30 33 230 221 113 127 15 29 54 50 77 87 --49 93 Region IV -- US Total*+ -- Sexually Transmitted Diseases Chlamydia Gonorrhea Syphilis AIDS HIV 13,776 5,997 61 --27,165 10,598 161 1,560 2,350 23,956 9,447 160 332 -6,465 1,725 42 38 ------18,800 8,539 234 173 326 10,254 4,721 94 228 322 11,648 5,343 247 172 286 Tuberculosis C 1 22 -14 111 11 -40 -- 91 362 227 46 58 146 80 116 1126 5,552 2,997 1,180 -- 6,148 -- 563,206 -- 178,854 -- -- 2,445 10,568 6,887 Sources: Incidence data were collected from the individual states and include the number of newly diagnosed cases during 2000; US Tuberculosis/Hepatitis/Chlamydia/Gonorrhea/Syphilis data from MMWR Summary of Notifiable Diseases, US 2000; AIDS data from CDC HIV Surveillance Syphilis refers to primary and secondary syphilis only. *For HIV and AIDS, US Total includes territory information -- data not available + HIV data represent 34 states, Guam and the Virgin Islands Table 35: INCIDENCE RATE OF INFECTIOUS DISEASES IN WOMEN: 2000 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Hepatitis A B 1.3 1.4 2.8 2.7 2.7 3.1 0.7 1.4 3.7 3.4 1.9 2.1 --1.7 3.2 C 0.0 0.3 -0.7 7.5 0.3 -1.4 Region IV -- -- -- 4.1 US Total*+ 3.9 2.1 0.8 4.3 Tuberculosis 4.0 4.4 5.5 2.2 3.9 3.6 3.9 4.0 Sexually Transmitted Infections Chlamydia Gonorrhea Syphilis AIDS HIV 598.8 260.7 2.7 --331.9 129.5 2.0 19.1 28.7 576.0 227.1 3.8 8.0 -312.9 83.5 2.0 1.8 ------457.8 207.9 5.7 4.2 7.9 497.0 228.8 4.6 11.1 15.6 399.0 183.0 8.5 5.9 9.8 -392.8 -- -- 124.8 -1.7 7.3 -8.1 Sources: Identified in Table 34; Population – US Census Bureau. Census 2000. Rates estimated based on incidence data provided by the states per 100,000 total female population, 2000. Syphilis refers to primary and secondary syphilis only. *For HIV and AIDS, US Total includes territory information -- data not available + HIV data represent 34 states, Guam and the Virgin Islands 57 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Healthy People 2010 establishes the following objectives for hepatitis A, tuberculosis, gonorrhea, syphilis, and AIDS: • • • • • Hepatitis A – reduce to no more than 4.5 cases per 100,000 persons; all of the Region IV states meet this objective for females; Tuberculosis – reduce to no more than 1 per 100,000 persons; none of the females in the region meet this objective, although all states other than Florida and Georgia are below the national rate; Gonorrhea – reduce to no more than 19 cases per 100,000 persons; Syphilis – reduce primary and secondary syphilis to fewer than 0.20 cases per 100,000 persons; none of the states in Region IV come close to this objective, but the rates shown here for syphilis would appear to be suspect since their within-region variation is over a factor of 4; AIDS – confine actual incidence to no more than 1 per 100,000 persons. Chlamydia infection is the most commonly diagnosed sexually transmitted infection. Figure 11 presents county-level crude rates for Chlamydia. As can be seen, no data were available for Mississippi or Kentucky at the county level. National data are from the CDC’s Morbidity and Mortality Weekly Report. Figure 11: FEMALE CHLAMYDIA RATES IN REGION IV: 2000 KY ( Nashville-Davidson ! Memphis ! ( TN Charlotte ( ! NC Atlanta ! ( MS AL SC GA ( Jacksonville ! No Data 0.0 - 353.5 353.6 - 432.1 432.2 + FL (Region 439.3, Nation 392.8) Source: CDC, MMWR) 58 ! Miami ( Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 36 shows the rate of AIDS per 100,000 females by race and ethnicity to the extent these data were reported. As noted, rates are substantially higher for black females than the other racial groups. Nationally, over 50 percent of all AIDS cases are among black and Hispanic persons, who make up only 21 percent of the national population. 34 As such, black and Hispanic populations are disproportionately affected by HIV and AIDS across the nation. These are consistent with Region IV findings, where state-by-state the black and Hispanic incidence of female AIDS is much greater than for white females. For example, black females in Florida had 1,079 of the 1,560 female cases reported (69 percent), although they only comprise 14.8 percent of the female population in the state. In Georgia, black females make up 29.9 percent of the female population, but reported 289 out of 332 female AIDS cases in the state (87 percent). Table 36: INCIDENCE RATE OF AIDS IN WOMEN, BY RACE/ETHNICITY: 2000 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Region IV US Total* Female AIDS Incidence per 100,000 Females Asian/ American Total White Black Pacific Hispanic Indian Islander ------19.1 3.9 88.0 4.2 1.3 9.9 8.0 1.3 23.1 0.0 -3.4 1.8 1.1 10.3 0.0 5.8 0.0 ------4.2 1.0 14.5 7.8 1.6 2.0 11.1 1.6 32.1 0.0 4.7 5.2 5.9 1.4 27.8 0.0 0.0 2.0 -- -7.3 -1.7 -- 35.6 -5.4 -1.4 9.7 Sources: Identified in Table 34; Population – US Census Bureau. Census 2000. Rates estimated based on incidence data provided by the states per 100,000 total female population, 2000. * US Total includes territory information Note: Fewer than 50,000 American Indian females reside in each state in the region except North Carolina, and fewer than 50,000 Asian/Pacific Islander and Hispanic females reside in Alabama, Kentucky, Mississippi, South Carolina and Tennessee; therefore, rates may be unreliable. Table 37 shows the Tuberculosis rates by race. However, due to the low incidence rates and small populations, the racial disparities must be interpreted cautiously. 34 Quick Topic for Minority Health, www.cdc.gov/washington/quicktopic.htm 59 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 37: INCIDENCE RATE OF TUBERCULOSIS IN WOMEN: 2000 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Female Tuberculosis Incidence per 100,000 Females Total White Black American Asian/ Pacific Hispanic Indian Islander 4.0 2.1 8.5 0.0 21.3 12.2 4.4 1.7 14.6 4.2 14.4 4.8 5.5 1.5 11.0 0.0 29.4 10.7 2.2 2.0 3.8 0.0 11.6 0.0 3.9 2.8 5.3 0.0 27.9 6.0 3.6 1.6 8.8 0.0 19.6 7.9 3.9 1.4 8.0 0.0 41.3 10.4 4.0 2.4 10.1 0.0 12.0 11.9 Region IV 4.1 -- -- -- -- -- US Total 4.3 1.2 10.3 9.1 27.2 8.4 Sources: Identified in Table 34; US rates by race – CDC, Reported TB in US, 2000; Population – US Census Bureau. Census 2000. Rates estimated based on incidence data provided by the states per 100,000 total female population, 2000. Hispanic females may be of any race. Note: Fewer than 50,000 American Indian females reside in each state in the region except North Carolina; fewer than 50,000 Asian/Pacific Islander and Hispanic females reside in Alabama, Kentucky, Mississippi, South Carolina, and Tennessee; therefore, rates may be unreliable. 60 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 6.0 INDICATORS OF MENTAL HEALTH OF WOMEN IN REGION IV Very few measures of women’s mental health are available at the county and state levels because of a lack of necessary data. The chapter on prevention (Chapter 9) discusses the results of behavioral surveys that bear on this issue, and a few findings from those surveys are included in this chapter. Typically, the focus on mental health is on diagnoses such as depression, anxiety, and bipolar disorders. Because these are not reportable diseases, and there is no formal mechanism to collect information from individual practitioner offices, consistent state and local data are not available on these and the many other related mental illnesses. Moreover, the kinds of information available at the state level are collected from delivery systems that receive funding from the state and federal agencies. This poses two types of problems. One is a form of sample bias, in that individuals who use these agencies may not be broadly representative of the population as a whole. The second type of problem is that different jurisdictions collect these data according to different schemes, with some using CPT billing codes, some using DSM IV codes, or still other schemes. Even after trying to reconcile different coding systems among states, the only mental health data that is systematically available is for the subset of population that seeks care from delivery systems that receive state or federal funding (e.g., Community Mental Health Centers – CMHCs). 6.1 BEHAVIORAL MEASURES OF MENTAL ILLNESSES Surveys provide good measures of the mental health of the Region IV population. Table 38 presents data from the 2001 Behavioral Risk Factor Surveillance System, or BRFSS. Women 18 Table 38: INDICATORS OF MENTAL HEALTH IN FEMALES 18 YEARS AND OVER (AGEADJUSTED): 2001 Poor Mental Health* Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 19.9 14.1 16.6 21.3 17.0 13.9 15.4 13.6 Region IV 15.7 US Total 15.7 Region:US 1.00 Source: CDC, 2001 BRFSS * Percent responding mental health not good on 8 or more days of the last 30. 61 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV years of age and older were asked about the number of days in the recent month their mental health was poor. The regional and national percentages are seen to be the same, and half of the states in the region are above the regional and national percentages while the other half are below both the regional and national values. The second segment, shown in Table 39, presents data for teenage females from the 2001 Youth Risk Behavior Survey, or YRBS. Several indicators among the series of questions posed to the respondents focused on suicide. The data shown in the table reflect the percentage of young women responding that they had felt sad or hopeless for an extended period of time, had considered suicide, had made a suicide plan, had attempted suicide, and had required medical attention for a suicide attempt. No region-wide average is presented because Georgia did not participate in the survey in 2001 and certain data are not available for North Carolina, leaving the regional data lacking. Table 39: DEPRESSION/SUICIDE INFORMATION REGARDING FEMALE HIGH SCHOOL STUDENTS: 2001 Felt Sad or Hopeless^* Considered Suicide* Attempted Suicide* 17.6 19.4 -19.7 17.4 21.8 19.4 22.0 Made a Suicide Plan* 14.3 13.3 -15.7 14.1 -15.1 17.1 10.2 10.0 -9.6 8.5 -11.2 10.7 Required Medical Attention* 2.3 3.2 -2.3 2.2 -3.7 2.7 Alabama Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee 33.6 34.7 -31.9 33.1 38.0 32.4 37.8 US Total 34.5 23.6 17.7 11.2 3.1 Source: CDC, 2001 YRBS Percentage responding positively to questions ^Almost every day for at least two weeks in a row *During the year preceding the survey Depression in female high school students is another factor considered in the YRBS survey. To distinguish between normal reaction to loss or other, non-clinical depression, sadness that persists at least two weeks is the first criterion for the diagnosis of the depression, according to the Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition (DSM-IV), published by the American Psychiatric Association. Because the feeling most commonly related to suicidal behavior as a possible result of depression is hopelessness, the YRBS question examined in Table 39 focuses on extended feelings of sadness or hopelessness and thoughts of suicide. Approximately one fifth of high school females in the states that reported and in the national sample have considered suicide while slightly more than one in ten have tried to commit suicide. 62 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV The values within the region are similar to, but mostly slightly lower than, the national values. Patterns within the states show decreasing numbers from considering suicide to requiring medical attention for a suicide attempt. For example, 58 percent of students in Alabama who reported considering suicide actually attempted it, but only 23 percent of those required medical attention for a suicide attempt. Despite the fact that female high school students in the Region IV reporting states considered suicide at a lower rate than did their survey counterparts nationwide, and attempted suicide at the same or a lower rate than the nation, there were more completed suicide deaths (per 100,000 females) in the region than in the nation for all females, as shown in Table 40. The suicide rate for females ages 15 to 19, however, is slightly less in the region than the national rate. Only Mississippi shows a suicide rate lower than the national average for both age categories. Georgia, Kentucky, and North Carolina, on the other hand, are higher than the national rate in both age categories. Table 40: FEMALE ADOLESCENT AND TOTAL SUICIDE RATES: 2000 Suicide Rate 15-19* All Ages** Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 1.2 1.4 4.2 5.0 1.7 3.8 0.7 1.6 4.9 5.1 4.4 4.1 3.6 5.5 5.0 5.0 Region IV 2.5 4.9 US Total 2.7 4.0 Region:US 0.93 1.23 Source: NCHS 2000 NVSS Mortality *Suicides per 100,000 females (ages 15-19) from NCHS, 2000 Mortality Detail File **Suicides per 100,000 females (all ages) from NCHS, 2000 Mortality Detail File The final mental health topic addresses self-medication. Rates of smoking among females of different ages and racial/ethnic groups is explored elsewhere in this report, and these data cannot be correlated with the data in this chapter on mental disorders. However, a recent study found that while smoking in populations with serious mental illness (SMI) has been largely ignored in research, it found that 75 to 85 percent of persons with schizophrenia, bipolar disorder, and other SMI use tobacco. 35 Clinicians report that persons with SMI use tobacco for self-medication purposes. 35 Ziedonis D, Williams JM, Smelson D. Serious mental illness and tobacco addiction: a model program to address this common but neglected issue. Am J Med Sci. 2003 Oct;326(4):223-30. 63 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 6.2 MORTALITY MEASURES ASSOCIATED WITH MENTAL HEALTH The category called mental disorders as used in this report consists of organic dementia and other organic mental disorders; disorders due to alcohol; disorders due to other substances; schizophrenia and delusional disorders; mood (affective) disorders; neurotic disorders; mental retardation; and other mental disorders as classified in the International Classification of Diseases, Version 10. The specific ICD-10 codes for these disorders are provided in Appendix A. These diagnoses only partially represent the problems that typically concern public health and mental health professionals interested in the mental health status of women and minorities. As noted, there are gaps in the data available to examine this vital subject. Deaths caused by mental disorders rank ninth among the leading causes in both the nation and the region, while ranking from eighth to eleventh in the states in the region. Table 41 presents the number of deaths from all causes in each state and the number associated with each of the mental disorder diagnoses based on the selected ICD-10 codes. The data indicate that 2.4 percent of all female deaths in the region are the result of the specified types of mental disorders and 2.3 percent of all female deaths in the nation are the result of these mental disorders. The percentages range from a low of 1.2 percent in Mississippi to a high of 2.9 percent in South Carolina. The percentage of all male deaths due to mental disorders (not shown) is 1.5 in the region and the nation, and 1.7 in South Carolina. While these numbers indicate a systematic difference between mental disorder deaths of females and males, the preponderance of females in the totals reflects their greater longevity as well as other factors. Table 41: FEMALE DEATHS FROM ALL CAUSES AND SELECTED MENTAL DISORDERS: 2000 Deaths Mood from all Organic Other Alcohol Drug Schizo- (Affective) Neurotic Mental causes Dementia Organic Related Related phrenia Disorders Disorder Retardation Alabama 22,709 354 69 14 13 4 8 1 5 Florida 80,309 1,648 179 91 38 19 15 2 2 Georgia 32,389 669 27 53 21 6 16 1 2 Kentucky 20,058 326 31 18 7 4 7 2 5 Mississippi North Carolina South Carolina 14,498 116 27 12 2 3 4 0 2 36,579 775 45 43 21 3 14 3 4 18,237 445 22 28 11 4 9 0 5 Tennessee 27,973 554 30 20 18 6 13 1 3 Region IV 252,752 4,887 430 279 131 49 86 10 28 US Total 1,225,773 23,317 Source: NCHS, 2000 NVSS Mortality 1,582 1,285 807 302 554 43 182 64 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 42 shows the age-adjusted death rates for organic dementia and Alzheimer’s disease. The reason for considering these causes is that the other causes shown above result in a very small number of deaths. Organic dementia accounts for over 80 percent of total mental disorder deaths in the region and the nation. The Region IV death rates for both diseases are 7 percent greater than the national rates. Half of the Region IV states have rates for organic dementia higher than the national average, although there is considerable variation among states. The highest rates of mortality for organic dementia are found in Georgia and South Carolina, the latter having a rate 50 percent greater than the national value. The lowest rate by far is in Mississippi, at less than half the national rate. Table 42: AGE-ADJUSTED FEMALE MORTALITY FROM ORGANIC DEMENTIA AND ALZHEIMER’S DISEASE: 2000 Organic Dementia Alzheimer’s Disease Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 11.8 12.0 16.6 12.4 6.2 15.9 18.9 15.1 21.8 16.6 23.1 24.1 16.8 26.9 26.9 20.1 Region IV 13.5 20.7 US Total 12.6 19.3 Region:US 1.07 1.07 Sources: NCHS, 2000 NVSS Mortality; US Bureau of the Census 2000. Rates/100,000 female population. The highest Alzheimer’s rates are in North and South Carolina, and are 39 percent greater than the national rate. The lowest rate, in Florida, is 14 percent below the national average. All of the states in the region other than Florida and Mississippi have rates above the national value for Alzheimer’s disease. It is interesting to note that these two states are the only two in the region with both rates below the regional and national averages. The rates of death from alcohol related disorders (not shown), while based on small numbers of occurrences, were slightly above the national average. The behavioral data presented in Chapter 9 will show that alcohol usage in young teens was above the national average for half of the states in Region IV. Students in these states were more likely to have initiated drinking before age 13, but students in all Region IV states were less likely to be currently binge drinking. 65 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 7.0 REPRODUCTIVE AND MATERNAL HEALTH IN REGION IV In general, women in Region IV compare equally to women across the nation with regard to reproductive and maternal health. In 2000, women in Region IV had a higher rate of births to unmarried women, more preterm and low birthweight births than the national average, higher teen birth rates, higher rates of primary and repeat C-section deliveries, and a higher percentage of birth mothers having chronic and pregnancy-related hypertension and eclampsia. However, there were in the region a lower percentage of women 40 years of age, or older, giving birth, a lower percentage of birth mothers having cardiac diseases, lung diseases, and diabetes, a lower 3-year average of alcohol consumption than women giving birth across the nation, and a higher percentage of women getting early prenatal care than the national average. Although many of the reproductive and maternal health indicators in Region IV are favorable relative to national averages, it must be noted that many of the national averages are well-above those recommended by public health practitioners. Both region and state averages mask pockets of problem behavior/outcomes at county and city levels. For example, while the percentage of Region IV woman using alcohol during pregnancy is below the national average as shown later in the chapter, the rate in a number of counties is higher than the national average. Also, as noted, a higher percentage of Region IV birth mothers smoked or used other tobacco products during pregnancy. Nationally, slightly more than 12 percent of pregnant women use tobacco products, and a larger percentage of women of childbearing age smoke or otherwise use tobacco products. The map in Figure 12 shows that the Region IV counties vary greatly in the percentage of mothers who smoked during their pregnancies. As noted in Healthy People 2010, among the consequences of smoking during pregnancy are spontaneous abortions, low birthweight births, and SIDS. One of the Healthy People 2010 objectives is to reduce tobacco use by pregnant women to no more than one percent. One most obvious way to improve the incidence of adverse outcomes such as infant mortality, low birthweight, and other complications is to reduce the number of smokers in the maternal population. According to the CDC, the number of low birthweight infants is 66 percent higher among smokers than non-smokers. There is no “safe” level of smoking - even among pregnant women who smoked as few as 1-5 cigarettes per day the incidence of low birthweight was 56 percent higher than for non-smokers. Rates of smoking have fallen steadily since 1989, but smoking continues to be an issue, particularly in rural areas. 36 With regard to Figure 12, it is interesting to note that the smoking percentage among pregnant women is lower in the major metropolitan counties than in the rural counties. As noted on the figure, the lighter colors on the counties containing Nashville, Memphis, Atlanta, Jacksonville, Miami, Columbia, SC, Raleigh, NC, etc. indicate percentages below the regional and national values, while the preponderant number of rural counties are above the regional value. This finding is similar across the nation. The range used on the map is ten percent above and below the national average – this tight range was selected since the Healthy People 2010 goal is so much lower than both the regional and national percentages (i.e., one percent). 36 Martin JA, et. al. Births: final data for 2000, National Vital Statistics Reports CDC, February 12, 2002, Volume 50, Number 5. 66 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Figure 12: PERCENT OF PREGNANT WOMEN USING TOBACCO PRODUCTS IN REGION IV: 19982000 KY ( ! Nashville-Davidson Memphis TN ( ! ( ! ( ! MS AL Atlanta NC Charlotte SC GA Jacksonville ( ! FL 0 - 11.3% 11.4% - 13.8% 13.9% + Miami ( ! Source: NCHS, 1998-2000 Natality Detail File (Region 13%, Nation 12.5%) 7.1 BIRTHS AND REPRODUCTIVE RATES Many of the indicators presented in this chapter use the number of live births as the denominator for rates, rather than the total female population as in previous chapters. Table 43 presents the births and birth rates for all females in the region, and by state. National figures are presented for comparison. Table 43 shows that women in the region have slightly lower birth and fertility rates than the averages for women nationally. With the exceptions of women in Georgia, Mississippi and North Carolina, the states exhibit lower values in both categories. The highest birth and fertility rates are in Georgia. With the exception of Florida, all of the reporting states in the region have lower pregnancy rates than the national average; the lowest rate is in Kentucky. 7.2 BIRTHS BY MOTHER’S RACE/ETHNICITY As is true across the nation, birth rates in the region vary by the race and ethnicity of the mother. Table 44 shows that the majority of births in Region IV, 70.6 percent, are to white females. As was noted in the demographics discussion (Chapter 3), the region is comprised of approximately the same percentage of white women as the national average, and this is reflected in the relative numbers of births by race. 67 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 43: BIRTHS, BIRTH RATES, FERTILITY RATES, AND PREGNANCY RATES: 2000 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Total Births 63,299 204,125 132,644 56,029 44,075 120,311 56,114 79,611 Birth Rate* 14.2 12.8 16.2 13.9 15.5 14.9 14.0 14.0 Fertility Rate** 65.2 63.3 69.9 63.1 69.4 67.5 63.5 63.7 Region IV 756,208 14.2 65.6 4,058,814 14.4 65.9 US Total Pregnancy Rate*** 77.9 91.3 85.7 68.7 -82.9 75.3 76.6 -87.7 Sources: Births: NCHS, 2000 Natality Detail File; Abortions and Fetal Deaths were collected from the states * Births per 1,000 total population ** Births per 1,000 women of childbearing age (15-44) *** Births + Abortions + Fetal Deaths per 1,000 women of childbearing age (15-44) Table 44: NUMBER OF BIRTHS BY RACE/ETHNICITY OF MOTHER: 2000 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Total Births 63,299 204,125 132,644 56,029 44,075 120,311 56,114 79,611 White 42,061 150,608 84,646 50,216 23,540 86,428 35,341 61,224 Black 20,512 47,367 44,161 5,127 19,893 29,369 19,734 16,909 American Indian 182 1,129 303 75 248 1,740 188 154 Asian/Pac Islander 544 5,021 3,534 611 394 2,774 851 1,324 Hispanic 1,901 45,856 13,363 1,089 623 12,557 2,261 3,220 Region IV 756,208 534,064 203,072 4,019 15,053 80,870 4,058,814 3,194,005 622,598 41,668 200,543 815,868 18.6% 16.7% 32.6% 9.6% 7.5% 9.9% US Total Region IV % of US Source: NCHS, 2000 Natality Detail File Females of Hispanic origin may be of any race. The birth and fertility rates shown in Table 45 display the differences in childbearing rates by race. No one state has consistently higher birth rates for all races. While the birth rates for American Indian women appear to differ greatly, it is noted that the actual numbers of births in this race category are quite small, less than one percent of the births in the region. 68 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 45: BIRTH AND FERTILITY RATES BY RACE/ETHNICITY OF MOTHER: 2000 Birth Rate* Black AI 17.6 7.2 19.2 17.0 18.4 11.3 16.7 7.7 19.1 19.7 16.5 16.3 16.4 12.0 17.8 8.9 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Total 14.2 12.8 16.2 13.9 15.5 14.9 14.0 14.0 White 13.1 11.5 15.2 13.6 13.3 14.3 12.8 13.1 Region IV 14.2 13.1 18.0 US Total 14.4 13.9 Region: US 0.99 0.94 Fertility Rate** White Black AI 63.1 71.2 29.0 59.8 78.4 73.6 69.4 71.4 47.6 62.5 70.5 32.0 64.2 76.7 81.3 67.2 67.6 68.4 61.1 67.9 48.8 61.7 71.8 37.8 A/PI 15.2 15.9 18.4 17.9 18.9 21.4 20.5 20.6 Hisp 25.1 17.1 30.7 18.2 15.7 33.1 23.8 26.0 Total 65.2 63.3 69.9 63.1 69.4 67.5 63.5 63.7 A/PI 54.7 58.7 65.9 63.1 67.5 76.7 73.4 73.2 Hisp 113.8 73.3 134.1 88.0 75.6 144.8 107.2 118.6 14.3 18.0 20.8 65.6 63.3 72.4 60.2 65.3 90.1 17.0 14.0 17.1 23.1 65.9 65.3 70.0 58.7 65.8 95.9 1.06 1.02 1.05 0.90 1.00 0.97 1.03 1.03 0.99 0.94 Females of Hispanic origin may be of any race. Source: Births- NCHS, 2000 Natality Detail File; Population- US Bureau of the Census, 2000 Census. * Births per 1,000 total population. ** Births per 1,000 women of childbearing age (15-44). Females of Hispanic origin may be of any race. Note: Fewer than 50,000 females of child bearing age reside as follows: American Indian/Aleut/Eskimo and Asian/Pacific Islander females in each state in the region; and Hispanic females in Alabama, Kentucky, Mississippi, South Carolina and Tennessee; therefore, rates may be unreliable. Fertility rates for Hispanic women in Alabama, Georgia, North Carolina, South Carolina and Tennessee exceed the regional fertility rate by 19 to 61 percent, and yet the regional fertility rate is 6 percent lower than the national fertility rate for Hispanic women. This is best explained by the state of Florida which contributes over half the number of births to Hispanic women to the regional total but which also has a lower fertility rate –19 percent lower than the regional rate. When compared to fertility rates in the US, the rural and urban fertility rates in the region are higher, while the metropolitan rate is lower. The rural fertility rate in Region IV is 63.9 versus the US rural rate of 62.0. The metropolitan fertility rate in the region is 65.0, compared to the US metropolitan rate of 66.3. In both cases, the rates are within 3 percent of the national values. 7.3 BIRTHS BY MOTHERS’ AGE Black females under the age of 15 gave birth at a higher rate than the national average for that racial group. And, as noted, women over 40 years of age had a lower birth rate than the national average. The age at which a mother gives birth is seen as a predictor of birth outcomes. The material below examines the findings in Region IV. 69 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 7.3.1 Teen Mothers Very young teenage mothers are somewhat more likely to have low birthweight infants than are birth mothers in the 18 to19 age group. Nationally, births to teen mothers are decreasing. The number of births to teenage mothers by age and race/ethnicity are shown in Table 46. Table 46: BIRTHS TO TEEN MOTHERS BY AGE AND RACE/ETHNICITY: 2000 <15 Years White Alabama 61 Black 138 AI 15-17 Years A/PI 1 Hisp White 1 8 1,725 Black 1,657 AI 18-19 Years A/PI 11 Hisp White 10 122 3,563 Black AI A/PI 2,723 24 14 Hisp 183 Florida 217 306 4 4 124 5,018 3,530 59 41 2,022 10,547 5,725 113 133 3,459 Georgia 104 288 2 2 42 3,044 3,002 18 50 699 6,569 5,211 24 76 1,305 96 34 0 0 6 2,010 385 1 7 50 4,651 690 8 23 144 Kentucky Mississippi 30 205 2 0 3 1,020 1,874 26 8 34 2,137 2,922 25 16 46 N Carolina 128 201 5 3 49 2,775 2,125 127 60 660 6,414 3,496 233 123 1,336 S Carolina 64 143 0 1 12 1,273 1,618 13 17 128 2,811 2,599 16 35 233 Tennessee 93 132 1 0 9 2,374 1,373 4 26 191 5,374 2,258 12 37 345 Region IV 793 1,447 15 11 253 19,239 15,564 259 219 3,906 42,066 25,624 455 457 7,051 4,439 3,808 160 112 US Total Region IV % of US 2,638 106,786 44,618 2,897 17.9% 38.0% 9.4% 9.8% 9.6% Females of Hispanic origin may be of any race. Source: NCHS, 2000 Natality Detail File 18.0% 34.9% 8.9% 2,908 48,423 226,227 74,336 5,158 6,060 81,046 7.5% 8.1% 18.6% 34.5% 8.8% 7.5% 8.7% Examination of the percentage of births to teenagers as compared to the total number of births in the respective racial/ethnic category, as shown in Table 47, provides a more useful perspective. White teenage mothers below the age of 15 represent one tenth of a percent of the total white births in the region, black teenagers constitute 0.7 percent, and so on. Note the very small number of minority births in the region – there were only 15 to American Indian mothers under the age of 15, and only 11 to Asian/Pacific Islander under 15. There were 253 such births to young Hispanic teens, which constitute 0.3 percent of the total Hispanic births. In the 15 to17 category, white and black teenagers exhibit higher birth rates than the national values, while Asian/Pacific Islander rates are equal, and American Indian and Hispanic teen pregnancy rates are 9 and 19 percent below the national values, respectively. These findings are similar to mothers 18 to19 years of age. Asian/Pacific Islander and white females gave birth later, on average, than black, American Indian, and Hispanic women. This may be seen more clearly in Figure 13 which shows the percent of total births within each racial/ethnic group that occur at each age interval. In all racial categories the cumulative number of births exceeds 99.7 percent by 44 years of age. 70 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 47: PERCENT OF BIRTHS TO TEEN MOTHERS BY RACE/ETHNICITY: 2000 <15 Years White Black AI 15-17 Years A/PI Hisp White Black AI Hisp White Black 13.3 12.1 11.8 13.5 14.7 11.9 13.2 13.4 AI 13.2 10.0 7.9 10.7 10.1 13.4 8.5 7.8 A/PI Hisp Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 0.1 0.1 0.1 0.2 0.1 0.1 0.2 0.2 0.7 0.6 0.7 0.7 1.0 0.7 0.7 0.8 0.5 0.4 0.7 0.0 0.8 0.3 0.0 0.6 0.2 0.1 0.1 0.0 0.0 0.1 0.1 0.0 0.4 0.3 0.3 0.6 0.5 0.4 0.5 0.3 4.1 3.3 3.6 4.0 4.3 3.2 3.6 3.9 8.1 7.5 6.8 7.5 9.4 7.2 8.2 8.1 1.8 0.8 1.4 1.1 2.0 2.2 2.0 2.0 6.4 4.4 5.2 4.6 5.5 5.3 5.7 5.9 8.5 7.0 7.8 9.3 9.1 7.4 8.0 8.8 2.6 2.6 2.2 3.8 4.1 4.4 4.1 2.8 9.6 7.5 9.8 13.2 7.4 10.6 10.3 10.7 Region IV 0.1 0.7 0.4 0.1 0.3 3.6 7.7 6.4 1.5 4.8 7.9 12.6 11.3 3.0 8.7 US Total 0.1 0.6 0.4 0.1 0.3 3.3 7.2 7.0 1.5 5.9 7.1 11.9 12.4 3.0 9.9 Region: US 6.0 5.2 5.9 1.3 10.5 7.3 6.9 2.6 A/PI 18-19 Years 1.00 1.17 1.00 1.00 1.00 1.09 1.07 0.91 1.00 0.81 1.11 1.06 0.91 1.00 0.88 Source: NCHS, 2000 NVSS Natality Detail File Females of Hispanic origin may be of any race. Figure 13: PERCENT BIRTHS BY MOTHER’S AGE AND RACE/ETHNICITY IN REGION IV: 2000 100% 90% 80% 70% White Black AI A/PI Hisp 60% 50% 40% 30% 20% 10% 0% < 15 15 - 17 18 - 19 20 - 24 25 - 44 Females of Hispanic origin may be of any race. Source: NCHS, 2000 Natality Detail File 71 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV It is also interesting to consider the distribution of teen births at the county level. As was noted, the region compares poorly with the nation as a whole. Figure 14 shows the teen birth rate for mothers between the ages of 15 and 17. Figure 14: TEEN BIRTH RATE (AGES 15 TO 17) IN REGION IV: 1998-2000 KY Nashville-Davidson ( ! ( ! Memphis TN Charlotte ( ! Atlanta SC ( ! AL MS NC GA Jacksonville ( ! (Suppressed) 0 - 25.3 25.4 - 31.0 31.1 + FL Miami ( ! Source: NCHS, 1998-2000 Natality Detail Files (Region 34.8, Nation 28.2) In this map, rates have been suppressed in counties where the three-year average number of births is fewer than five. As can be seen, the birth rates to mothers 15 to 17 are generally lower in the major metropolitan areas. However, as also shown, the teen birth rate in almost all counties across the region is more than ten percent greater than the national rate. Another issue of concern for the health status of women is the number of teens having more than one child. Table 48 shows that the regional percent for Black and American Indian teens is slightly higher than the national average. Black teens have a rate greater than or equal to the national average for every state but North and South Carolina. The percentage for white teens is equivalent for the region and nation, and the percentages for Hispanic and Asian/Pacific Islander teens are lower than the national average. 72 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 48: PERCENT TEEN MOTHERS WITH AT LEAST ONE CHILD WHEN GIVING BIRTH BY RACE/ETHNICITY: 2000 All Women White American Indian Black Asian/Pac Islander Hispanic Alabama 22.5 19.2 26.4 22.2 20.0 26.5 Florida 21.4 18.6 26.1 26.7 11.2 21.1 Georgia 23.6 20.8 26.8 15.9 21.1 22.7 Kentucky 20.8 20.1 25.2 0.0 20.0 24.5 Mississippi 25.0 20.3 28.1 20.8 12.5 24.1 N Carolina 22.0 19.8 25.0 28.8 26.3 22.4 S Carolina 21.5 19.4 23.6 10.3 15.1 19.9 Tennessee 22.0 18.7 29.0 23.5 21.0 19.3 Region IV 22.3 19.5 26.3 25.4 19.1 21.7 US Total 21.1 19.6 25.1 23.4 19.4 23.2 Region: US 1.06 0.99 1.05 1.09 0.98 0.94 Source: NCHS, 2000 Natality Detail File. Females of Hispanic origin may be of any race. Note: Fewer than 50,000 teen females with at least one child reside in any state in the region; therefore, rates may be unreliable. 7.3.2 Births to Older Women Region IV women had slightly fewer children after reaching the age of 40 than the national average (see Table 49). This pattern is consistent across all racial categories, except American Indians, whose percentage is equivalent to the national average. For each of the other races, the percentage of women giving birth after the age of 40 was between 6 and 21 percent lower than women across the nation. Further, this finding confirms the race-specific characteristics earlier in this chapter. Table 47 shows that both white and Asian/Pacific Islander women had fewer children in the 1517 and the 18-19 age categories than the other ethnic groups. They also had a higher percentage of total births in the 40-plus age group than the other groups. Finally, black women exhibited higher percentages in the teen categories, and correspondingly lower percentages in the 40-plus age group. 73 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 49: PERCENT OF BIRTHS TO WOMEN 40 YEARS AND OLDER: 2000 All Women White American Indian Black Asian/Pac Islander Hispanic Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 1.3 2.4 1.8 1.4 1.3 1.7 1.6 1.4 1.4 2.5 1.9 1.4 1.4 1.8 1.7 1.5 1.1 2.0 1.5 1.3 1.2 1.3 1.4 1.2 1.6 1.7 3.0 0.0 1.6 1.1 1.6 3.2 1.3 3.2 2.7 2.6 1.5 2.8 1.4 2.6 1.2 2.1 1.1 0.6 1.8 1.0 0.8 0.9 Region IV 1.8 1.9 1.5 1.6 2.8 1.6 US Total 2.3 2.4 1.8 1.6 3.3 1.7 0.78 0.79 0.83 1.00 0.85 0.94 Region: US Persons of Hispanic origin may be of any race and are also included in the appropriate race category. Source: NCHS, 2000 Natality Detail File Note: Fewer than 50,000 women over 40 years of age gave birth in any state in the region; therefore rates may be unreliable. 7.4 BIRTHS TO UNMARRIED WOMEN Nationally, births to unmarried women have increased in recent years. Births to unmarried women are displayed in Table 50 as a percentage of total births to women of the same race. In 2000, white, American Indian, Asian/Pacific Islander and Hispanic women in the region were unmarried at the time of delivery at rates lower than the national average for their racial/ethnic groups. Nationally and regionally, over two-thirds of black births are to unwed mothers, and roughly one-half of American Indian births are to unmarried women, even though there are fewer in the region than in the nation. Region IV women as a whole are 10 percent more likely to be unmarried when giving birth than the national average. For all states, Asian/Pacific Islander women had the lowest rate of births to unmarried women; this is also true at the national level. What is even more telling is that the percentage of unwed Asian/Pacific Islander mothers at the regional level is 45 percent less than the percentage of unwed white mothers, 80 percent less than black mothers, 72 percent less than American Indian mothers, and 65 percent less than Hispanic mothers. 74 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 50: PERCENT OF BIRTHS TO UNMARRIED WOMEN BY RACE/ETHNICITY: 2000 All Women White Black American Indian Asian/Pac Islander Hispanic Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 34.3 38.2 37.0 31.0 46.0 33.3 39.8 34.5 18.0 29.7 22.7 26.9 21.7 22.5 23.0 24.6 68.1 67.5 66.4 73.4 75.1 65.8 70.9 72.3 35.7 52.6 24.4 26.7 62.1 55.3 39.9 37.0 13.6 14.0 12.0 14.7 17.5 13.0 16.9 14.4 24.8 38.3 38.0 37.4 40.3 42.7 37.8 39.7 Region IV 36.6 24.9 68.7 49.8 13.7 38.7 US Total 33.2 27.1 68.5 58.4 14.8 42.7 Region: US 1.10 0.92 1.00 0.85 0.93 0.91 Females of Hispanic origin may be of any race. Source: NCHS, 2000 Natality Detail File Note: Fewer than 50,000 females of child bearing age reside as follows: American Indian/Aleut/Eskimo and Asian/Pacific Islander females in each state in the region; and Hispanic females in Alabama, Kentucky, Mississippi, South Carolina and Tennessee; therefore, rates may be unreliable. 7.5 INDICATORS OF BIRTH OUTCOMES BY RACE/ETHNICITY This section presents information on the results of the pregnancy and birthing periods. Together these indicators represent the status of reproductive experience in the region in 2000 and establish a baseline for future assessments. The specific issues detailed are: pre-term births, low birthweight births, method of delivery, multiple births, and abnormal outcomes of the newborn. 7.5.1 Preterm Births by Race/Ethnicity of Mother Table 51 presents the findings with regard to preterm births. Preterm births are defined as births occurring prior to 37 weeks of gestation. For the most populous minority groups, black and Hispanic, Region IV and the national averages are almost identical. Asian/Pacific Islander women have the lowest percentage of preterm births in the region and in the nation, though the regional percentage is higher than the national average. Black women have the highest percentage of preterm births in Region IV and in the nation. All races in the region except Hispanic have a higher percentage of preterm births than their national averages. Although preterm births have been steadily increasing rather than decreasing for over a decade, a Healthy People 2010 objective is to reduce the incidence of preterm births to no more than 7.6 per 100 live births. As noted in the table, no racial group in any of the states achieves this target. 75 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 51: PRETERM BIRTH RATE BY RACE/ETHNICITY OF MOTHER: 2000 All Women 15.0 12.4 12.0 12.7 16.2 13.0 13.6 13.5 White 12.5 10.9 10.4 12.0 12.9 11.2 11.3 12.1 Black 20.3 17.3 15.2 19.4 20.4 18.3 17.9 18.9 American Indian 18.8 12.8 12.9 12.0 15.3 13.5 14.5 8.4 Asian/Pac Islander 9.9 11.1 9.0 10.5 11.4 11.4 10.6 11.2 Hispanic 12.3 11.5 8.9 12.3 12.6 11.2 11.8 12.2 Region IV 13.1 11.3 17.9 13.4 10.6 11.1 US Total 11.6 10.6 17.3 12.7 9.9 11.2 Region: US 1.13 1.07 1.03 1.06 1.07 0.99 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Females of Hispanic origin may be of any race. Source: NCHS, 2000 Natality Detail File Births occurring prior to 37 weeks of gestation per 100 live births. Healthy People 2010 goal is no more than 7.6 preterm births per 100 live births. Note: Fewer than 50,000 females of child bearing age reside as follows: American Indian/Aleut/Eskimo and Asian/Pacific Islander females in each state in the region; and Hispanic females in Alabama, Kentucky, Mississippi, South Carolina and Tennessee; therefore, rates may be unreliable. 7.5.2 Low Birthweight Births by Race and Ethnicity of Mother The risk of early death increases as birthweight declines. Twenty-five percent of very low birthweight newborns (less than 1500 grams), 2 percent of low birthweight newborns (less than 2500 grams) and only 0.03 percent of newborns weighing 2500 grams and over will by die by age one. 37 The number of low birthweight newborns is linked in part with the increase in multiple births – multiple births are much more likely to result in low birthweight births – associated with the use of fertility drugs. The rate of twinning, for example, has risen 55 percent since 1990. As noted earlier, the high rate of smoking during pregnancy is another contributing factor to low birthweight births. Further, low birthweight rates tend to be highest for the youngest (under 15 years of age) and the oldest mothers (over 44 years). 38 Table 52 presents the findings with regard to low birthweight and very low birthweight births within the region. The data are shown as a percentage of total births for each racial/ethnic category. Hispanic women in the region had a slightly smaller percentage of low birthweight births and an equal percentage of very low birthweight births when compared to the nation. All other races had higher percentages of low and very low birthweight births when compared to women of the same race in the nation. It is of interest to note that black women in the region and in the nation as a whole both had 13 percent of actual births considered low birthweight. 37 38 National Vital Statistics Reports, Ibid. Ibid. 76 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 52: PERCENT LOW BIRTHWEIGHT AND VERY LOW BIRTHWEIGHT BIRTHS BY RACE/ETHNICITY OF MOTHER: 2000 Low Birthweight Births Total White Black AI A/PI Hisp Very Low Birthweight Births Total White Black AI A/PI Hisp Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 9.7 8.0 8.6 8.2 10.7 8.8 9.7 9.2 7.7 6.6 6.6 7.7 7.9 7.1 7.2 7.8 14.0 12.3 12.7 13.7 14.0 13.6 14.2 14.6 7.1 6.0 9.6 9.3 8.1 9.8 10.1 5.8 7.0 8.7 7.4 8.2 5.8 8.5 5.9 7.9 6.5 6.5 5.6 7.3 7.4 6.1 7.4 6.6 2.0 1.5 1.8 1.4 2.2 1.9 2.0 1.7 1.3 1.1 1.1 1.3 1.3 1.4 1.3 1.2 3.4 2.8 3.1 3.0 3.2 3.5 3.3 3.3 1.1 0.4 1.3 0.0 2.4 1.9 1.6 0.6 0.9 1.3 0.8 1.5 0.5 1.3 0.4 1.1 0.9 1.2 0.9 1.7 1.0 1.1 1.4 0.9 Region IV 8.8 7.1 13.3 8.4 8.0 6.3 1.7 1.2 3.2 1.3 1.1 1.1 US Total 7.6 6.5 13.0 6.8 7.3 6.4 1.4 1.1 3.1 1.2 1.0 1.1 1.16 1.09 1.02 1.24 1.10 0.98 1.21 1.09 1.03 1.08 1.10 1.00 Region: US Source: NCHS, 2000 Natality Detail File Females of Hispanic origin may be of any race. Low birthweight is < 2500 grams; very low birthweight is < 1500 grams. Healthy People 2010 goal: less than 5% low birthweight and less than 0.9% very low birthweight births. Note: Fewer than 50,000 females of child bearing age reside as follows: American Indian/Aleut/Eskimo and Asian/Pacific Islander females in each state in the region except Florida; and Hispanic females in Alabama, Kentucky, Mississippi, South Carolina and Tennessee; therefore, rates may be unreliable. According to Healthy People 2010, low birthweight is the risk factor most closely associated with neonatal mortality. As such, improvements in birthweight can substantially reduce the infant mortality rate. A Healthy People 2010 objective is to reduce low birthweight births to less than five percent and very low birthweight births to less than one percent of total births. American Indian, Asian/Pacific Islander, and Hispanic women meet the goal for very low birthweight births in a few states in the region. The underlying numbers of very low birthweight births are so small that the results cannot be examined in too much detail. It is sufficient to note that the percentages are consistent with the earlier discussion and that on the whole, Region IV patterns are largely consistent with national averages. 7.5.3 Method of Delivery The methods of delivery for women in Region IV are similar to the nation, though cesarean section percentages are slightly higher. As shown in Table 53, each minority category has equal to or less than the national percentage of vaginal deliveries, and has correspondingly more primary C-section deliveries. Women in Region IV have a slightly higher percentage of repeat C-section deliveries in the region as a whole, and American Indian women have a significantly higher rate. As shown in Table 53 (by combining the percent of primary C-section and repeat 77 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 53: TYPE OF DELIVERY BY RACE/ETHNICITY: 2000 Percent Vaginal Deliveries Total White Black 73.2 74.7 77.5 75.2 70.6 77.3 74.4 75.1 74.5 75.5 77.0 74.9 72.9 75.6 74.9 75.1 Percent Primary C-Section AI A/PI Hisp Total White Black 71.8 79.8 79.5 81.3 67.2 74.2 71.8 79.1 76.4 77.1 80.6 79.8 79.9 80.1 81.0 78.4 77.6 72.4 83.5 78.3 77.1 82.5 78.1 78.3 16.4 15.8 14.5 15.5 16.6 15.2 16.1 15.9 16.6 15.9 14.3 15.5 17.5 14.9 16.4 16.0 16.1 15.6 14.8 15.2 15.7 16.0 15.8 15.9 Percent Repeat C-Section AI A/PI Hisp Total White Black 21.0 11.7 14.6 12.5 19.4 15.4 18.1 8.5 14.9 15.5 14.1 14.0 13.2 14.1 14.0 15.5 12.8 16.6 10.6 14.4 13.8 11.2 14.5 13.4 9.9 9.2 8.1 9.3 11.7 7.9 9.2 8.9 10.2 9.4 8.2 9.3 11.9 7.7 9.2 9.0 9.3 8.8 8.1 9.9 11.5 8.4 9.3 9.1 AI 7.2 8.5 6.0 6.3 13.4 10.4 10.1 12.4 A/PI 8.7 7.4 5.4 6.1 6.9 5.8 5.0 6.1 Hisp Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 73.6 75.0 77.4 75.2 71.7 76.9 74.7 75.1 9.6 11.0 5.9 7.3 9.0 6.4 7.4 8.3 Region IV 75.4 75.3 75.4 75.8 78.9 76.4 15.6 15.6 15.6 14.6 14.7 14.4 9.0 9.0 9.0 9.6 6.4 9.1 US Total 77.1 77.2 75.7 79.8 78.9 77.9 14.3 14.2 15.3 12.0 14.4 12.9 8.6 8.6 9.0 8.2 6.7 9.2 Region: US 0.98 0.98 1.00 0.95 1.00 0.98 1.09 1.10 1.02 1.22 1.02 1.12 1.05 1.05 1.00 1.17 0.96 0.99 Source: NCHS, 2000 Natality Detail File Females of Hispanic origin may be of any race. Note: Fewer than 50,000 females of child bearing age reside as follows: American Indian/Aleut/Eskimo and Asian/Pacific Islander females in each state in the region; and Hispanic females in Alabama, Kentucky, Mississippi, South Carolina and Tennessee; therefore, rates may be unreliable. C-sections), the US overall C-section rate of deliveries in 2000 was 22.9 while for Region IV it was 24.6. Figure 15, the percentage of live births delivered by C-section, shows that the majority of counties in the region are at or above the national value. That is, most counties are more than 10 percent above the national value of 22 percent of live births delivered by C-section. 7.5.4 Multiple Births Another factor considered in reproductive outcomes is multiple births. Because a multiple birth is more likely to result in a low birthweight birth and possible other associated birth problems, the rate of multiple births is important. Table 54 displays the finding for the region and the nation. With the exception of births to Asian/Pacific Islander women, the regional rates are less than the national rates of multiple births. The lowest regional multiple birth rate is for American Indian women, who also had the fewest total births and the lowest fertility rates. Multiple births are especially low for American Indian women in Florida, with a rate half that of the nation, while the rate for American Indian women in South Carolina was 45 percent higher than the national rate. The South Carolina rate may be influence by the small population size of American Indian women of childbearing age (fewer than 4,000). Asian/Pacific Islander women also show great variation between states, with a rate in Mississippi less than one quarter of the regional rate, although this difference is not statistically signficant. Again, Mississippi has a small population of Asian/Pacific Islander women of childbearing age (fewer than 6,000). 78 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Figure 15: PERCENT DELIVERIES BY C-SECTION IN REGION IV: 1998-2000 KY (Nashville-Davidson ! ( ! Memphis TN Atlanta SC ( ! AL MS NC ( Charlotte ! GA ( ! Jacksonville FL 0 - 19.7% 19.8% - 24.2% 24.3% + !Miami ( Source: NCHS, 1998-2000 Natality Detail Files (Region 23.6%, Nation 22.0%) Table 54: MULTIPLE BIRTH RATES BY RACE/ETHNICITY: 2000 All Women White Black American Indian Asian/Pac Islander Hispanic Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 33.7 29.6 30.4 32.1 31.6 31.0 30.1 30.2 33.7 29.2 28.9 31.2 31.9 31.0 31.2 29.7 34.1 31.9 34.0 42.1 32.1 32.1 29.0 32.8 22.0 10.6 13.2 26.7 16.1 25.3 31.9 13.0 16.5 25.7 22.4 22.9 5.1 23.1 11.8 20.4 18.9 22.9 14.4 21.1 25.7 18.0 21.7 18.6 Region IV 30.7 30.3 32.7 19.4 22.2 20.4 US Total 31.1 31.2 34.0 22.0 21.9 21.0 Region: US 0.99 0.97 0.96 0.88 1.01 0.97 Source: NCHS, 2000 Natality Detail File. Females of Hispanic origin may be of any race. Multiple births per 1,000 live births. Note: Fewer than 50,000 females of child bearing age reside as follows: American Indian/Aleut/Eskimo and Asian/Pacific Islander females in each state except Florida; and Hispanic females in Alabama, Kentucky, Mississippi, South Carolina and Tennessee; therefore, rates may be unreliable. 79 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 7.5.5 Abnormal Conditions and Congenital Anomalies of the Newborn Abnormal birth conditions and congenital anomalies in the region vary considerably according to the specific condition. Table 55 presents the rates of selected conditions per 1,000 live births. In most cases the numbers are small. For example, there were 606 cases of anemia reported across all states in the region, 638 heart conditions, 571 other circulatory problems, and 256 cases of Down’s syndrome. The region average varies from 44 percent below (other circulatory) to 11 percent above the national rate (assisted ventilation for 30 minutes or more) in these problem areas, though in general the region experiences fewer problems than nationally. Table 55: RATES OF SELECTED ABNORMAL BIRTH CONDITIONS AND CONGENITAL ANOMALIES: 2000 Anemia Abnormal Birth Conditions^ Assisted Ventilation Injury <30 min. >=30 min. Congenital Anomalies# Heart Other Conditions Circulatory Down's Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 0.47 0.99 1.13 0.71 0.82 0.47 0.82 0.68 1.12 1.04 1.21 1.17 2.04 6.33 3.37 0.86 10.07 18.28 7.39 45.84 13.91 26.27 31.19 55.06 14.20 10.62 7.02 10.42 11.37 10.52 15.08 8.63 0.92 0.70 0.69 1.79 1.18 0.73 1.02 0.89 2.20 0.20 0.90 0.90 0.93 0.26 1.82 0.74 0.41 0.26 0.26 0.55 0.52 0.28 0.41 0.48 Region IV 0.82 2.16 23.19 10.42 0.86 0.77 0.34 US Total 0.98 2.83 22.04 9.40 1.25 1.38 0.47 Region: US 0.84 0.76 1.05 1.11 0.69 0.56 0.72 Source: NCHS, 2000 Natality Detail File All rates are per 1,000 live births. ^Anemia – hemoglobin level of less than 13.0 g/dL or a hematocrit of less than 39%. Birth Injury – impairment of the infant’s body function or structure due to adverse influences which occurred at birth. # Heart malformations – a congenital anomaly of the heart; Other circulatory/respiratory anomalies – other specified anomalies of the circulatory an respiratory systems, Down’s syndrome – the most common chromosomal defect with most cases resulting from an extra chromosome (trisomy 21). The rate for birth injuries in North Carolina appears to be 2.24 times the national average, while Kentucky’s rate for assisted ventilation less than 30 minutes is 2.08 times the national rate. In Florida and North Carolina, other circulatory conditions at birth occur at a rate that is less than one fifth of the national rate. Without confirmation from multiple data sources, and owing to the problems inherent to small numbers of observations, cautious interpretation is in order regarding such extreme variation, which could also be artifacts of coding practice in each state’s hospitals. 80 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 7.6 CHARACTERISTICS OF PREGNANT WOMEN Four out of the eight states in Region IV – Alabama, Florida, North Carolina and South Carolina – participated in the Centers for Disease Control and Prevention’s 1999 Pregnancy Risk Assessment Monitoring Systems (PRAMS). The 2000/2001 survey will include these four states as well as Mississippi and Georgia. Hence, while PRAMS data currently add little regional and no sub-state information, subsequent updates will provide both added regional and national information regarding the health status of women giving birth. 7.6.1 Unintended Pregnancies The 1999 findings show that women in the Region IV states are on the upper end in terms of unintended pregnancies. Alabama reported 47.4 percent, Florida reported 42.5 percent, North Carolina, 41.9 percent, and South Carolina, 44.4 percent, and the range of all participating 17 states was from 33.7 to 52.0 percent. In these states and across the nation, the rate of unintended pregnancies reported by black women was roughly twice that by white women and women of other racial/ethnic groups. 7.6.2 Abuse During Pregnancy In terms of physical abuse during pregnancy, while the 17 participating states ranged from 2 to over 6 percent, North Carolina reported 3.2 percent, Alabama and Florida reported 3.9 percent, and South Carolina reported 4.9 percent. Again, black women reported roughly twice the rate of abuse reported by white women. 7.6.3 Education Women giving birth in Region IV states in 2000 tended to be equally well educated in comparison with the national average, as is shown in Table 56. Education level is an important indicator as it is associated with the greater likelihood that the mother will seek early and regular prenatal care and will be aware of and abstain from behaviors that might be hazardous to the health of the fetus/newborn. Black and Asian/Pacific Islander women giving birth in Region IV were 2 and 5 percent more likely to not have completed high school, respectively, than the national average for their racial/ethnic group. Differences between racial/ethnic groups are far greater than between regional and national averages within groups. Hispanic women giving birth are three and a half times as likely to not have completed high school as Asian/Pacific Islander women giving birth. Hispanic women are also more than twice as likely not to have completed high school as white and black women. 7.7 HEALTH BEHAVIOR OF PREGNANT WOMEN The importance of refraining from tobacco use during pregnancy cannot be overstated. As shown earlier (in Figure 12) Region IV counties with a higher percentages of mothers who smoke tend to be rural, which is typical of national data as well. Some of the extreme variation may be attributed to the fact that these areas have small populations and few births; for example, 81 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 56: PERCENT OF WOMEN GIVING BIRTH NOT COMPLETING HIGH SCHOOL BY RACE/ ETHNICITY: 2000 All Women White Black American Indian Asian/Pac Islander Hispanic Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 20.8 19.1 21.5 19.8 22.9 20.6 18.9 19.6 19.6 17.8 22.5 19.6 19.5 20.4 17.4 18.5 23.7 23.9 20.5 22.9 27.0 21.1 21.7 24.3 23.9 50.5 23.4 12.2 38.9 30.4 35.3 18.2 14.1 8.2 11.7 12.4 16.5 14.8 15.8 11.3 56.5 28.5 61.6 45.5 46.0 63.8 54.3 59.0 Region IV 20.2 19.4 22.8 35.3 11.5 42.1 US Total 20.2 20.2 22.4 29.1 11.0 47.3 Region: US 1.00 0.96 1.02 1.21 1.05 0.89 Source: NCHS, 2000 Natality Detail File Females of Hispanic origin may be of any race. Mothers completing less than 12 years of education, adjusted for age – i.e., excludes females under 17 years Note: Fewer than 50,000 females of child bearing age reside as follows: American Indian/Aleut/Eskimo and Asian/Pacific Islander females in each state except Florida; and Hispanic females in Alabama, Kentucky, Mississippi, South Carolina and Tennessee; therefore, rates may be unreliable. a county with one birth, if it were to a smoking mother, yields a rate of 100 percent. To moderate the effects of such small numbers, county data are three-year averages and therefore more reliably indicate systematic differences among these areas. Even then, the range of variation is substantial. For instance, DeKalb County, Georgia had 358 births to mothers who smoked (3.4 percent), whereas Owsley County, Kentucky had 27 smoking mothers (45.8 percent). Additional health conditions and behaviors of pregnant women are examined in Table 57, which records the percent of women stating that they had specified medical risk factors when they gave birth. The table also shows the state-level data on tobacco and alcohol usage that was presented in Figure 12, earlier, and in Figure 16 below. The risk factors presented are: anemia, cardiac disease, acute or chronic lung disease, diabetes, genital herpes, chronic hypertension, pregnancyassociated hypertension, and eclampsia. Women in the region fared well in the first five categories of medical risk factors but were higher than the national average with regard to hypertension and eclampsia. As discussed, in the tobacco and alcohol usage areas the issues are less clear-cut. As noted earlier, the Healthy People 2010 objective is to reduce smoking by pregnant women to no more than one percent. The state-level data provide the following summary information: • Women in Kentucky and Tennessee used tobacco products during pregnancy at rates substantially greater than the national average; 82 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 57: MEDICAL RISK FACTORS, TOBACCO USE AND ALCOHOL CONSUMPTION REPORTED BY WOMEN GIVING BIRTH: 2000 Percent Mothers Having the Following Risk Factors Mothers Used Anemia Cardiac Lung Diabetes Herpes Hyper C Hyper P Eclampsia Tobacco Alcohol Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 3.1 2.8 2.1 1.8 2.6 2.4 2.3 2.7 0.4 0.4 0.2 0.4 0.5 0.5 0.6 0.9 0.7 0.4 0.2 0.8 0.9 0.9 0.8 1.5 2.8 2.5 1.8 3.7 2.6 2.8 3.2 3.7 0.7 1.0 0.9 0.9 0.5 1.3 1.1 0.3 1.3 0.7 0.6 1.2 1.5 1.0 1.0 1.0 4.9 3.8 2.5 6.3 5.4 5.3 4.1 5.7 0.3 0.4 0.5 0.5 0.5 0.5 0.7 0.3 12.6 9.5 8.4 24.6 12.3 14.0 12.0 17.0 0.5 0.5 0.7 1.2 0.7 0.6 0.8 0.8 Region IV 2.5 0.4 0.7 2.7 0.9 0.9 4.4 0.5 12.5 0.7 US Total 2.4 0.5 1.2 2.9 0.9 0.8 3.9 0.3 12.2 0.9 1.04 0.80 0.58 0.93 1.00 1.13 1.13 1.67 1.02 0.78 Region: US Source: NCHS, 2000 Natality Detail File Hyper C is Chronic Hypertension, Hyper P is Pregnancy-related hypertension Healthy People 2010 goal: abstaining from smoking is 99%. • • Women in Alabama, Mississippi, and South Carolina used tobacco at a rate similar to the national rate; and Women in Florida and Georgia used tobacco at a much lower rate than the current national rate. With the exception of Kentucky, state alcohol consumption among mothers is lower than the national percentage; Alabama and Florida are just over half the national rate. But like tobacco use, Kentucky posts a much higher percentage of alcohol use among mothers than the other states in Region IV - 71 percent higher than the regional average. Figure 16 presents the percentage of pregnant women consuming alcohol by county. The rate of alcohol use is much lower than was found for tobacco use, both in the region and nationally. Again, the highest rates are generally associated with rural counties, invoking the small number problem. For the 10 counties with the highest rates of alcohol consumption (all in Kentucky), the largest number was 90 out of 3,529 mothers reporting, giving a percent of 2.6 percent for Fayette, Kentucky, and the smallest number was 2 out of 54 mothers reporting, or 3.7 percent for Lyon, Kentucky. Appendices B and C present more details of the state and county-level findings. Table 58 displays the percentage of women gaining fewer than 16 pounds across the full term of their pregnancies. These values have been adjusted for gestation period – that is, women with gestation of less than 37 weeks have been excluded from this computation. Inadequate weight 83 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Figure 16: PERCENT OF PREGNANT WOMEN CONSUMING ALCOHOL IN REGION IV: 1998-2000 KY ! Nashville-Davidson ( ( ! TN Memphis ! Charlotte NC ( Atlanta SC ( ! AL MS GA ( ! Jacksonville FL 0 - 0.8% 0.9% - 1.1% 1.2% + ( Miami ! Source: NCHS, 1998-2000 Natality Detail Files (Region 0.7%, Nation 1.0%) Table 58: PERCENT OF WOMEN GAINING LESS THAN 16 POUNDS DURING PREGNANCY BY RACE AND ETHNICITY: 2000 All Women White Black American Indian Asian/Pac Islander Hispanic Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 13.5 9.5 11.9 11.5 13.7 12.0 14.4 11.6 10.8 8.2 10.1 11.1 10.1 10.3 11.4 10.9 19.8 14.3 16.0 16.5 18.4 17.3 20.5 14.9 14.9 14.6 15.4 11.1 15.0 16.8 15.5 11.5 9.0 6.8 9.5 6.7 11.1 9.5 9.8 8.0 19.2 9.6 14.7 13.3 17.4 16.9 17.4 18.5 Region IV 11.6 9.9 16.8 15.6 8.4 12.4 US Total 10.8 10.0 15.2 15.7 8.6 13.1 Region: US 1.07 0.99 1.11 0.99 0.98 0.95 Source: NCHS, 2000 Natality Detail File Females of Hispanic origin may be of any race. Adjusted for gestation period – i.e., excludes preterm births. Note: Fewer than 50,000 females of child bearing age reside as follows: American Indian/Aleut/Eskimo and Asian/Pacific Islander females in each state in the region; and Hispanic females in Alabama, Kentucky, Mississippi, South Carolina and Tennessee; therefore, rates may be unreliable. 84 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV gain by mothers has been associated with low birthweight births in newborns. Despite National Academy of Sciences weight gain guidelines that vary according to body mass, the data sources for vital statistics do not permit such examination. However, NCHS and other sources generally consider adequate weight gain to be a minimum of 16 pounds or more. With the exception of black women, the percentage of women who failed to gain 16 pounds was slightly better in the region than across the nation. However, there are other differences by race within the region: black women were about 70 percent more likely to gain less than 16 pounds during their pregnancies than white women, and American Indian women were about 58 percent more likely than white women. The rate at which women seek prenatal medical care is a key for reducing risk factors as early prenatal care can help in the management of pre-existing risk factors such as diabetes, anemia, or herpes and help in identifying new conditions before they can cause problems for the fetus. As shown in Table 59, women in the region appear to initiate prenatal care at approximately the same time in their pregnancies as do women of the same racial groups across the nation, with one exception. Hispanic women in Region IV were slightly more likely to seek prenatal care late or not at all as compared to the national average. As in other indicators, there are substantial differences among the racial and ethnic groups. Table 59: INITIATION OF PRENATAL CARE BY RACE/ETHNICITY: 2000 Prenatal Care Initiated in the First Trimester Late or No Prenatal Care All White Black AI A/PI Hisp All White Black AI A/PI Hisp Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 82.8 83.7 86.9 86.8 81.3 84.6 79.4 83.1 88.1 86.8 89.8 87.6 88.8 87.7 84.2 86.0 72.0 73.6 81.1 78.6 72.4 75.9 70.9 72.2 75.7 65.4 81.7 83.6 79.8 75.6 78.4 79.5 89.0 88.1 89.8 88.4 83.4 83.0 79.0 83.3 55.8 81.0 77.9 68.0 75.2 68.4 59.1 56.1 3.7 3.5 2.6 2.6 3.9 3.3 5.3 4.2 2.6 2.7 2.0 2.4 2.1 2.5 4.1 3.0 6.1 5.9 3.9 4.5 6.0 5.6 7.5 8.2 3.9 14.3 4.2 2.7 4.9 3.8 5.4 7.3 2.4 18.2 2.3 4.5 1.8 6.1 2.7 9.6 5.6 8.9 3.0 7.6 5.5 13.6 4.6 16.2 Region IV 84.0 87.4 75.0 73.8 86.5 76.2 3.5 2.6 5.8 7.0 2.8 6.4 US Total 83.2 85.0 74.3 69.3 84.0 74.4 3.9 3.3 6.7 8.6 3.3 6.3 Region: US 1.01 1.03 1.01 1.06 1.03 1.02 0.90 0.79 0.87 0.81 0.85 1.02 Source: NCHS, 2000 Natality Detail File Females of Hispanic origin may be of any race. Health People 2010 goal: 90% initiate prenatal care during the first trimester. Note: Fewer than 50,000 females of child bearing age reside as follows: American Indian/Aleut/Eskimo and Asian/Pacific Islander females in each state except Florida; and Hispanic females in Alabama, Kentucky, Mississippi, South Carolina and Tennessee; therefore, rates may be unreliable. White women seek care during the first trimester at the highest rate, followed by Asian/Pacific Islander, Hispanic, black, and American Indian women. With the exception of Hispanic women, 85 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV a lower percentage of Region IV women had late or no prenatal care as compared to the national percentages. The Healthy People 2010 objective is to increase prenatal care initiated in the first trimester to greater than 90 percent. While white and Asian/Pacific Islander women are 3 and 4 percent below this target, black, American Indian, and Hispanic women are 14-17 percent lower. 7.8 BREASTFEEDING With regard to the percentage of mothers who initiate breastfeeding their infants, women in the Region IV reporting states were at or below the 17 state average (Alabama = 53%, Florida = 70%, North Carolina = 64%, South Carolina = 53%, 17 states = 69%). As noted, only 17 states responded to the PRAMS survey in 2000. Healthy People 2010 establishes a goal for early breastfeeding of 75 percent; none of the reporting states meet this goal. 7.9 MATERNAL DEATHS Maternal deaths are rare occurrences in the region and across the nation. Nationally, the rate of maternal deaths in 2000 was 10.0 per 100,000 births; and in Region IV the maternal death rate was 12.7 per 100,000 births. While the difference between the two rates is almost 30 percent, the total number of maternal deaths in the region in 2000 was 96. As such, the same caution should be applied to these values as is suggested when dealing with many of the small numbers found in this report. While the number of maternal deaths across the entire nation is very low, the rate is substantially higher than desired. Healthy People 2010 establishes a goal of no more than 3.3 maternal deaths per 100,000 births. 86 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 8.0 INDICATORS OF VIOLENCE AND ABUSE IN REGION IV It is difficult to obtain data that permit a comprehensive assessment of violence and abuse directed at women, especially at a state or sub-state level, on a repeatable and consistent basis. Although it is acknowledged that violence against women is underreported, 39 the most complete nationwide source available for annual, sub-state statistics is the FBI. These data do not represent the full extent of violent crimes perpetrated against women since they represent only reported events; however, they do provide an indication of the levels of violence. And, while the FBI crime statistics provide information for all counties in the US, even these data are not always comprehensive. A number of the data issues regarding violence and abuse are presented in this chapter as well as in the methods discussion provided in Appendix A. Despite inconsistencies in the data, the pattern of overall violence in the region is high relative to national averages. The rates for FBI reported crimes are consistently higher in the region than in the nation. However, only rape and homicide data are gender-specific, preventing closer examination of robberies and assaults perpetrated specifically against women. Perhaps the most clear-cut indicator of violence against women is rape. Figure 17 displays the crude rate of rapes per 100,000 females in each county in the region. As can be seen on the map, the rape rates are much higher in the large metropolitan areas than in the rural areas. Figure 17: RATE OF RAPES PER 100,000 WOMEN IN REGION IV: 2000 KY !Nashville-Davidson ( TN (Memphis ! MS AL NC (Charlotte ! SC !Atlanta ( GA (Jacksonville ! FL 0.0 - 48.9 49.0 - 73.4 73.5 + (Miami ! Sources: FBI, 2000 FBI Uniform Crime Statistics US Census Bureau, Census 2000 (Region 63.0, Nation 61.2) 39 Ruggiero KJ, Kilpatrick DG. Rape in Rhode Island: A report to the state. Charleston, SC: National Violence Against Women Prevention Research Center, Medical University of South Carolina. 2003. 87 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Specifically, the largest counties in the region have rates well above the regional average, which is found to be 3 percent higher than the national average. For example, Miami-Dade County, Florida (with over one million women) has a rate of 94 rapes per 100,000 women, Fulton County, Georgia (Atlanta) has a rate of 92.9, and Shelby, Tennessee (Memphis) has a rate of 131.2. Further, the region to national comparison provides interesting findings – the variation among rural, urban and metro counties in the region is greater than the national variation among such counties. For example, the Region IV rates for rural/urban/metro counties are 18.0, 42.8, and 72.1, respectively, and the comparable values nationally are 25.9, 47.2 and 59.1, respectively. Hence, in Region IV the rape rate in metro counties is on average 4 times greater than the rural rate, whereas nationally, the metro rape rate is 2.3 times greater than in rural counties, on average. As a final note, 22 percent of all rapes in rural counties across the nation occurred in Region IV (i.e., 191 rapes in rural counties in Region IV and 882 rapes in rural counties nationally). More detail is provided in Section 8.3, below. 8.1 GENERAL CRIME ENVIRONMENT In 2000, Region IV had higher murder, rape, robbery, and assault rates per population than the nation as a whole. Table 60 shows that the region’s rate of rape to females is 11 percent higher than the national average, with three clusters among the states. The highest rates are in Florida, South Carolina and Tennessee; and the lowest in Kentucky. The rate in Florida is more than 5 times the rate in Kentucky. Table 60: OVERALL CRIME STATISTICS: 2000 Murder Occurrences Rape Robbery Assault Murder Rates+ Rape Robbery Assault 283 890 602 72 171 547 287 420 1,241 6,952 1,851 331 845 2,110 1,638 2,224 4,990 31,392 12,977 2,148 2,752 12,304 6,074 9,515 11,476 88,807 23,993 4,106 3,629 23,948 24,672 28,054 6.4 5.6 7.4 1.8 6.0 6.8 7.2 7.4 53.9 84.9 44.5 16.0 57.4 51.4 79.4 76.2 112.2 196.4 158.5 53.1 96.7 152.9 151.4 167.2 258.1 555.7 293.1 101.6 127.6 297.5 615.0 493.1 Region IV 3,272 17,192 82,152 208,685 6.1 63.0 154.3 391.9 US Total 14,728 87,675 394,635 858,762 5.2 61.2 140.2 305.2 Region: US 1.17 1.11 1.10 1.28 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Source: FBI, 2000 FBI Uniform Crime Statistics; US Census Bureau, Census 2000 + Rape rates are per 100,000 female population, other rates are per 100,000 total population 88 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV While the rape data are specific to females, the rates for murder, robbery and assaults are based on the total population. As shown in Table 60, while the Region IV average rate of assaults is 28 percent higher than the national average, the individual states are very different from one another. Two states have very low rates (Kentucky and Mississippi) and three states have moderate rates (Alabama, Georgia and North Carolina). Florida, South Carolina, and Tennessee are above the national average. The highest is South Carolina, whose rate is twice the national average. Overall, the regional average rate of murder perpetrated against females is 17 percent above the national average, but the pattern among the states again differs substantially. Georgia, South Carolina and Tennessee are the states with the highest rates and are almost equivalent to one another, while Florida is closer to the national average. Kentucky’s rate is 65 percent below the national average and the lowest in the region. With the exception of Alabama, Kentucky and Mississippi, rates of robbery in the individual states are higher than the national average. Since no gender-specific data are available in the Uniform Crime Statistics for robbery and assaults, it is impossible to determine whether women were disproportionately targeted for these crimes. And while these numbers are provided as the best indicators available, note that they represent reported crimes and are thus likely to be underestimates of true crime rate. 8.2 MURDER OF WOMEN The FBI collects some gender-specific data. The FBI Supplementary Homicide Report includes the crimes of homicide and non-negligent manslaughter, which are combined in the data presented in Table 61. The Region IV average rate of female homicides in 2000 was higher than the national average, and as in the general crime statistics appearing in the previous table, the range among the states is substantial. Similar variation occurs regarding the percent of female victims who knew their offender. The regional average is 6 percent higher than the national rate, with variation among states. The FBI data used in the table do not agree with the number of homicides reported in the NCHS mortality database. The difference can partially be explained by the fact that the FBI data is based on place of occurrence whereas the NCHS data is based on place of residence. However, the differences are larger than this factor would explain. For example, the FBI reports 863 cases of homicide of females in the region while the NCHS database reports 1022 female homicides. Another factor possibly contributing to the differences is the voluntary nature of the data reported in the FBI Supplementary Homicide Report. 89 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 61: FEMALE HOMICIDES: 2000 Total FBI Supplemental Homicide Report - Female Homicide Data Victim Percent White Black AI A/PI Rate* Knew Knew Offender Offender Alabama Florida** Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 57 272 134 22 60 125 75 118 19 -50 10 20 65 48 63 35 -81 11 40 55 26 54 0 -0 0 0 4 1 0 2 -3 0 0 1 0 1 2.5 3.3 3.2 1.1 4.1 3.0 3.6 4.0 34 -93 14 46 80 58 90 59.6% -69.4% 63.6% 76.7% 64.0% 77.3% 76.3% Region IV 863 275 302 5 7 3.2 415 70.2% 3,441 1,870 1,164 29 71 2.4 2,090 66.0% US Total**+ Source: FBI, 2000 FBI Supplementary Homicide Report; US Census Bureau, Census 2000 *Rate per 100,000 female population. ** Data for Florida obtained from the state; only totals available. +US Totals do not include DC or Florida. As shown in Table 62, the FBI and NCHS state data also diverge. Whereas agreement between sources for the Region IV total is 84 percent, the variation between individual states is much greater. For example, the FBI data report 30 percent of the number of homicides for Kentucky compared the NCHS detailed mortality files. Table 62: FBI vs. NCHS REPORTING OF HOMICIDES: 2000 FBI data NCHS data Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 57 272* 134 22 60 125 75 118 105 238 175 73 92 148 77 114 Region IV 863 1,022 US Total+ 3,441 3,945 Source: FBI, 2000 FBI Supplementary Homicide Report. NCHS, 2000 NVSS Mortality. *Florida data obtained from the state. +US Totals do not include DC or Florida. While the FBI data under report homicides, these are the only data that address the percent of victims who knew their attacker, and this provides some insight into relationship violence. With 90 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV regard to the victim knowing the offender, the percentages are high. While this does not directly indicate domestic abuse, it does confirm the notion that women are more frequently acquainted with the offender than the subject of random or chance killings. The statistics for men and the total population are shown for comparison in Table 63. Table 63: PERCENT OF HOMICIDE VICTIMS WHO KNEW THEIR OFFENDER: 2000 Percent of Victims Who Knew Their Offender Total Male Female Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 46.8 -51.6 43.5 67.5 47.2 61.7 54.5 43.4 -44.9 34.0 63.0 42.3 56.1 46.8 59.6 -69.4 63.6 76.7 64.0 77.3 76.3 Region IV 52.8 46.8 70.2 US Total+ 44.9 38.3 66.0 Source: FBI, 2000 FBI Supplementary Homicide Report +US Totals do not include DC or Florida. 8.3 RAPE OF WOMEN As shown in Table 60 and in Figure 17, although the regional rape rate is 11 percent higher than the national rate, the state values exhibit a much wider variation. On one end, Kentucky’s rape rate is 75 percent lower than the regional value; and on the other end, Florida’s rape rate is 35 percent higher than the regional value. While Florida constitutes 30 percent of the region’s female population, it constitutes 40 percent of all rapes in the region. Conversely, while Kentucky accounts for 7.5 percent of the female population of Region IV, it only accounts for 2 percent of all rapes in the region. 8.4 DOMESTIC VIOLENCE DURING PREGNANCY One other indicator of domestic violence is abuse of women during pregnancy. Among the 17 states participating in the PRAMS survey in 1999, prevalence of abuse during pregnancy ranged from two to over six percent. North Carolina reported 3.2 percent, Alabama reported 3.9 percent, Florida reported 3.9 percent and South Carolina reported 4.9 percent; with black women reporting roughly twice the rate of abuse as reported by white women. 40 Although only four states in the region participated in the PRAMS survey in 1999, additional states participated in the 2000 survey and these results should be available shortly. 40 Beck, L, et al. Prevalence of selected maternal behaviors and experiences, pregnancy risk assessment monitoring system (PRAMS), 1999, MMWR April 26, 2002/51(SS02);1-26. 91 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 9.0 INDICATORS OF PREVENTION IN REGION IV Health promotion/disease prevention is a major national priority. Healthy People 2010, a document prepared by the Department of Health and Human Services, focuses on improvement opportunities and sets goals for all segments of the population. However, the types of data are not systematically collected with sufficient geographical or clinical detail to assess the current status of the population or to determine whether all segments of the population are taking appropriate actions. Two sample surveys provide a starting point for identification of areas in which Region IV’s population may be falling short and, therefore, where community and national resources might be directed. The Youth Risk Behavior Survey (YRBS), a survey of high school students, and the Behavioral Risk Factor Surveillance System (BRFSS), a survey of women 18 and older, are both conducted by the Centers for Disease Control and Prevention (CDC) in coordination with the states. This chapter examines the data available in the age categories covered by the surveys. The sample sizes in the states comprising Region IV are not sufficient for preparing estimates at the county level. As is discussed in the methods appendix (Appendix A), the YRBS does not include data for Georgia because the state does not conduct this survey. Given these limitations, no regional averages were calculated. 9.1 PREVENTION INDICATORS FOR FEMALE HIGH SCHOOL STUDENTS Knowledge of at-risk behaviors is a prerequisite for prevention. Table 64 presents five indicators of risky behaviors in order to develop a context for considering prevention efforts by female high school students. These data represent the percentage of respondents answering questions relevant to health maintenance. Due to the small sample size in the YRBS, data cannot be analyzed by race even at the state level. The first question discussed is whether the respondent routinely wears a seat belt when riding in an automobile. The number presented in the table is the percent of women students who responded that they ‘rarely’ or ‘never’ wore seatbelts. Female high school students in North Carolina and Alabama wore their seatbelts more often than did their peers in the region and in the nation. Seatbelt usage by female students in the region is generally much lower than in the nation. Furthermore, such accidents account for almost one-half of all deaths in this age cohort. According to Healthy People 2010, the death rate for alcohol-related motor vehicle crash deaths is 6.1 per 100,000 population, which accounts for nearly half of the death rate for motor vehicle crash deaths (refer to Table 65). The goal is for this rate to be reduced to 4.0. The Healthy People 2010 target objective for seatbelt usage is 92 percent of the population using them; that is, no more than 8 percent using seatbelts ‘rarely’ or ‘never’. Another objective is an increase in bicycle helmet usage, to at least 50 percent. 92 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 64: GENERAL INDICATORS OF AT-RISK BEHAVIOR IN FEMALE HIGH SCHOOL STUDENTS: 2001 Percent of High School Females Indicating That They: Rarely or Never Rarely or Never Carried a Currently Use Currently Use Wore Auto Wore Bicycle Alcohol** Weapon** Tobacco** Seatbelts Helmets* Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 9.0 12.7 -13.3 18.9 6.0 12.0 12.9 88.3 86.6 -92.1 93.5 88.4 91.4 87.9 8.3 6.5 -6.1 6.8 7.5 7.0 6.1 26.1 24.9 -35.4 26.9 -29.2 32.4 42.9 45.5 -39.6 40.6 35.9 42.3 43.3 US Total HP 2010*** 10.2 8 82.6 50 6.2 -- 29.5 21 45.0 11 Source: CDC, 2001 YRBS *Of those who rode bicycles in the last 12 months, during the 30 days preceding the survey **During the 30 days preceding the survey ***Healthy People 2010 targets Table 65: DEATHS DUE TO MOTOR VEHICLE ACCIDENTS FOR FEMALES 15–19: 2000 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Region IV US Motor Percent of Vehicle Total Total Accident Deaths Deaths Deaths (%) 49 77 63.6 79 190 41.6 54 144 37.5 35 70 50.0 38 75 50.7 50 112 44.6 41 76 53.9 58 102 56.9 MVA Death Rate* 30.6 16.0 18.9 24.8 33.2 19.1 28.4 30.1 404 846 47.8 22.5 1,724 3,866 44.6 17.5 Source: NCHS, 2000 Mortality Detail File *Based on 2000 population data for females ages 15-19 Mortality rate/100,000 female population age 15-19 The percentage of female high school students carrying a weapon is lower in the nation than in all but two of the states in the region. Female high school students in Region IV states use tobacco at rates lower than the national value of 29.5 percent. Female high school students in 93 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Kentucky and Tennessee were 20 and 10 percent more likely to be currently using tobacco than in the nation as a whole, respectively. The Healthy People 2010 target for high school students using tobacco products is no more than 21 percent. Current alcohol consumption by high school females in the region is lower than that of the nation, with the exception of Florida, where slightly more female high school students drink, than do their peers nationwide. As noted, female high school students in Kentucky used tobacco more and alcohol less (except North Carolina) than in the other states. The death rate for female high school students 15 to 19 years old resulting from motor vehicle accidents is shown in Table 65, as is the percentage of total 15-19 year old deaths caused by motor vehicle accidents. Half or more of the deaths of females 15-19 in Alabama, Kentucky, Mississippi, South Carolina and Tennessee result from motor vehicle accidents. Only Georgia was low, at 37.5 percent. Additional risk factors for female high school students are presented in Table 66. As noted, the percentage of female high school students reporting carrying a weapon on school property is equal to or less than the national value, with the exception of Alabama. In all cases except Alabama, this number is less than half the number of female students who have carried a weapon (see Table 64). The Healthy People 2010 target for young people (that is, both men and women) carrying a weapon on school property is 4.9 percent overall. (The national average at which young men reported carrying a weapon on school property is 10.2 percent, and Table 66: RISK BEHAVIOR IN FEMALE HIGH SCHOOL STUDENTS: 2001 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee US Total HP 2010** Rode After Drove After Carried a Weapon Driver Had Been Drinking* on School Property* Drinking* 35.0 9.8 4.7 30.3 10.6 2.9 24.1 33.0 21.5 31.5 31.5 7.5 9.7 6.1 9.6 9.1 2.2 2.9 2.4 2.3 1.9 29.6 30.0 9.5 -- 2.9 4.9 Source: CDC, 2001 YRBS *During the 30 days preceding the survey ** Healthy People 2010 targets a total of 29.3 percent of young men reported carrying a weapon on or off school property, comparable to the 6.2 rate for females shown in Table 64.) Table 66 also shows the percentage of female high school students who rode in a car driven by an individual who had been consuming alcohol. The percentages were higher than that of the 94 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV nation, with the exceptions of Kentucky and North Carolina. Alabama had the highest percent of females riding with a driver who had been drinking. The Healthy People 2010 target for students who rode with a driver who had been drinking is no more than 30 percent. Only Kentucky and North Carolina achieve this goal. The other variable shown is the percentage of female high school students who have driven after drinking. The regional percentages range from 36 percent below (in North Carolina) to 12 percent above (in Florida) the national percentage in this behavior. If the objective is to change behaviors, it is important to know at what age they begin so as to design appropriate interventions. Table 67 presents the percentage of female high school students beginning specific behavior before the age of 13 years. These data suggest both a regional and national problem of significance: a fifth of female respondents acknowledged that they began smoking cigarettes, and a quarter acknowledged that they began drinking alcohol in their preteen years. A larger percentage of students in Kentucky and North Carolina began smoking cigarettes in their pre-teen years than did students in other states or nationwide. Conversely, a lower percentage of students in Kentucky, North Carolina, and Tennessee report drinking alcohol in their pre-teen years as compared to their peers on the national level. Female high school students in Florida and Tennessee reported initiating marijuana use before age 13 at a rate more than 10 percent greater than that of the nation and the other states in the region. Marijuana usage in Alabama is especially low, 20 percent below the national average. Table 67: FEMALES INITIATING AT-RISK BEHAVIOR BEFORE AGE 13: 2001 At-Risk Behavior Cigarettes Alcohol Marijuana Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 21.3 19.5 25.3 26.5 6.0 8.4 24.5 19.3 25.1 21.8 22.7 21.8 29.0 21.4 26.9 23.5 7.6 7.1 7.4 7.3 8.5 US Total 19.8 24.2 7.5 Source: CDC, 2001 YRBS Percentage responding positively to questions. Healthy People 2010 establishes target ages for both sexes for the initiation of alcohol and drugs, based on the current averages. According to the National Household Survey on Drug Abuse, the average age for women to begin consuming alcohol is currently 13.4 and for marijuana use, the average for initiation is 14.0. The Survey also concludes that the prevalence of “current” smoking increased from 6.6 percent of 12 year olds to 30.3 percent of 17 year olds. The Healthy People 2010 target age for initiation of alcohol use is no younger than 16.1 years of age and the target for initiation of marijuana use is no earlier than 17.4 years of age. 95 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 68 also looks at drug use, but instead of asking about when female high school students began these behaviors these questions pertain to the 30 days preceding the survey. The table shows that the use of alcohol is generally lower among the reporting states in the region than the total survey-state average, with North Carolina the lowest at 80 percent of the survey-state average. Marijuana use is about equal to or lower in the region than the survey average for all states, while the use of the harder substances, cocaine and inhalants, is less common in the region than in the nation, with the exception of inhalant use in Kentucky. Kentucky had the highest percentage in the region of female high school students who currently use tobacco, binge drink, use cocaine, and use inhalants. Florida, South Carolina, and Tennessee had the highest levels of marijuana use and Florida also had the highest level of alcohol use. Table 68: PERCENT DRUG USE IN FEMALE HIGH SCHOOL STUDENTS: 2001 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 26.1 24.9 -35.4 26.9 -29.2 32.4 42.9 45.5 -39.6 40.6 35.9 42.3 43.3 Current Binge Drinking*^ 22.1 23.3 -24.9 18.5 18.7 22.1 24.7 US Total HP 2010 29.5 21 45.0 11 26.4 3# Current Current Tobacco Use* Alcohol Use* Current Current Current Marijuana Cocaine Use* Inhalant Use* Use* 16.6 2.1 3.8 20.0 3.1 3.8 ---17.1 3.1 4.3 14.9 1.8 3.0 17.8 1.9 -20.0 1.9 4.0 20.5 2.4 3.3 20.0 0.7# 3.7 -- 4.2 0.7# Source: CDC, 2001 YRBS Percentage responding positively to questions *Used during the 30 days preceding the survey ^5 or more alcoholic drinks on any occasion during the 30 days preceding the survey # Target set to 12-17 year olds The results presented in the table, in conjunction with targets proposed in Healthy People 2010 indicate that the Region IV states, and the nation, have a major task at hand to achieve the target values. Table 69 summarizes the findings of the YRBS questions related to sexual behavior. Female high school students in Kentucky exhibited a less frequent tendency to have initiated sex before age thirteen and an equal tendency to use the birth control pill as compared to the survey average. Female high school students in the participating states were more likely than their national counterparts to have ever had sex, to have initiated sex before the age of thirteen years, 96 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 69: SUMMARY OF SEXUAL BEHAVIOR OF FEMALE HIGH SCHOOL STUDENTS: 2001 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee US Total Percent of Female Students Currently Sexually Active*, Used during Last Intercourse: Responsible Ever had Initiated Currently Birth Alcohol/ Ever Been Sexually Condom Sexual Sexual Sex Before Control Pill Drugs Pregnant Active* Behavior** Intercourse Age 13 --------46.2 4.7 6.2 34.5 59.3 17.1 18.1 86.1 --------45.5 3.2 6.1 34.3 50.3 20.7 18.7 83.2 58.5 6.4 6.6 44.8 59.1 17.2 15.2 81.9 --------50.3 6.7 6.1 37.7 59.3 17.2 18.5 84.8 48.7 5.9 7.5 36.9 51.2 19.0 16.9 82.1 42.9 4.0 5.4 33.4 51.3 21.1 20.7 83.9 Source: CDC, 2001 YRBS Percentage responding positively to questions *During preceding 3 months **Never had sex; have had sex, but not in the past 3 months; have had sex in the past 3 months, but used a condom; Healthy People 2010 goal: at least 95% of adolescents practice responsible sexual behavior to have ever been pregnant, and to be currently sexually active. They were also more likely to use a condom, though they were less likely to use the birth control pill and less likely to have used alcohol and/or drugs the last time they had sex. Florida and South Carolina female high school students were more likely to demonstrate responsible sexual behavior than female high school students across the nation. The importance of this conclusion is magnified by a recent study that reported 81.3 percent of adolescent females who contracted a sexually transmitted infection during the course of a year had perceived themselves to be at little or not risk for infection. 41 The goal of responsible sexual behavior put forth by Healthy People 2010 is 95 percent of students abstaining from sex or using a condom if sexually active. The YRBS also questioned students on their weight, height, and eating behaviors. Tables 70 and 71 summarize these data. According to Table 70, with regard to being at risk for becoming overweight, the states range from 1 percent below to 28 percent above the national rate. With regard to being overweight, the states range from 1 percent below to 46 percent above the national rate. The percentage of female high school students who thought they were overweight is two to three times the percentage who were at risk for becoming overweight, for all the states in the region and for the national average. Table 71 shows that young women in the participating states in the region are generally less likely to be trying to lose weight, even though Table 70 shows the number of female high school students in the region who thought they were 41 Ethier KA, Kershwa T, Niccolai L, Lewis JB, Ickovics JR. Adolescent women underestimate their susceptibility to sexually transmitted infections. Sexually Transmitted Infections. 2003 Oct:79(5):408-11. 97 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 70: OVERWEIGHT STATUS OF FEMALE HIGH SCHOOL STUDENTS: 2001 Alabama Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee At Risk for Becoming Overweight* 15.0 13.2 -12.9 14.4 13.1 14.1 11.6 11.7 US Total 7.6 6.8 -8.9 9.9 9.0 9.4 10.1 Thought They were Overweight 38.2 33.6 -36.8 32.1 34.4 33.2 37.0 6.9 34.9 Overweight** Source: CDC, 2001 YRBS *Percent having a Body Mass Index (BMI) greater than or equal to the 85th percentile but less than the 95th percentile by age and sex **Percent having a BMI greater than or equal to the 95th percentile by age and sex Table 71: EATING BEHAVIORS OF FEMALE HIGH SCHOOL STUDENTS: 2001 Percent who Used Behavior to Lose/Avoid Gaining Weight Trying to Restriction Diet Pills, Laxatives/ Exercise* of Food Fasting* Powders, or Lose Vomiting* Weight Intake* Liquids* Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 56.8 57.1 -64.0 57.0 58.7 56.5 61.0 63.4 64.2 -69.8 60.5 67.7 65.6 69.1 50.7 52.9 -60.1 52.6 -51.4 58.8 18.2 17.9 -20.6 19.5 -18.3 21.2 14.3 11.1 -16.1 12.8 10.9 9.8 14.6 5.6 6.6 -7.3 6.7 6.4 7.1 7.1 Region IV -- -- -- -- -- -- US Total 62.3 68.4 58.6 19.1 12.6 7.8 Source: CDC, 2001 YRBS *During the 30 days preceding the survey overweight is similar to the national average. Female high school students in all but Kentucky and Tennessee are less likely than the national average to exercise or restrict their food intake to lose or avoid gaining weight. The three right-most behaviors listed on Table 71 used to lose or to avoid gaining weight, when done for the purpose of weight control, may be related to the 98 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV development of eating disorders. The use of laxatives/vomiting appears to be less common in the region than in the nation as a whole. Healthy People 2010 set an abstract goal of reducing the number of eating disorder relapses. Table 72 displays data on adolescent exercise and television watching and the associated Healthy People 2010 goals. Women students in Region IV were less likely to participate in either vigorous or moderate exercise than female students across the nation. Mississippi in particular has lower rates of exercise participation and correspondingly, a much higher rate of women students reporting no or insufficient exercise. Female high school students in Mississippi were less than half as likely to attend daily PE classes than female high school students across the nation and to watch three or more hours of television on an average school night than in the US. Table 72: EXERCISE BEHAVIORS OF FEMALE HIGH SCHOOL STUDENTS: 2001 Exercise Habits Television Attend PE Vigorous* Moderate* Insufficient^ None Watching# Class Daily Alabama 48.0 16.7 48.3 13.5 44.8 23.1 Florida 48.8 17.1 46.6 14.7 42.2 20.8 -- -- -- -- -- -- Kentucky 51.7 17.3 43.6 12.4 30.3 14.7 Mississippi 42.7 16.0 51.9 20.3 52.7 12.5 North Carolina 54.9 20.3 39.8 13.7 -- 28.2 South Carolina 51.0 17.1 44.4 13.0 48.2 23.4 Tennessee 51.4 21.5 41.9 11.4 41.3 19.8 US Total 57.0 22.8 37.9 11.6 35.0 28.4 85 30 -- -- 25 50 Georgia HP 2010** Source: CDC, 2001 YRBS Percentage responding positively to questions *Participated in vigorous activity (causing sweating/hard breathing) for at least 20 minutes on at least 3 of the 7 days preceding the survey ** Participated in activities not causing sweating/hard breathing for at least 30 minutes on no fewer than 5 of the 7 days preceding the survey, may overlap individuals participating in vigorous exercise ^Reported exercise, but not enough to qualify as moderate or vigorous #Reported watching 3 or more hours of television on an average school day ** Healthy People 2010 targets 9.2 PREVENTION INDICATORS FOR WOMEN Data from the Behavioral Risk Factor Surveillance System (BRFSS) provide a perspective on the behavior of women 18 years and older. The data presented in the following tables have been age-adjusted so that comparisons can be made across jurisdictions without age skewing the results. Tables 73 through 75 summarize general information concerning risks taken by women in each state in the region in comparison to the national averages. 99 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 73 indicates that women in Region IV report worse overall health and a lower rate of health insurance than do women across the nation. However, the racial differences are large. Black women in the region were over 40 percent more likely than white women to report poor health and no health insurance. The state-to-state variation reveals differences: Florida women report poor health at a rate 7 percent below the national average while Mississippi women report a rate 90 percent above the national average; on average Mississippi women report no insurance at a rate 39 percent over the national average and Tennessee women report at a rate 38 percent below the national rate. A goal of Healthy People 2010 is to increase the proportion of people with health insurance to 100 percent. Table 73: INDICATORS OF GENERAL HEALTH IN WOMEN (AGE-ADJUSTED): 2001 Females Reporting Poor General Health* Total White Black Hispanic Alabama Females Reporting No Health Insurance Total White Black Hispanic 7.8 7.5 8.9 7.7 15.8 13.7 22.1 4.9 Florida 4 3.6 5 2.3 17.9 14.5 19.2 31.5 Georgia 5.1 4.7 6.8 6.9 12.5 10.1 16.6 17.3 Kentucky 7.3 7.5 3.2 15.1 15.7 15.6 16.1 8.6 Mississippi 8.2 6.8 12.1 20.2 18.5 15 24.8 17.8 North Carolina 5.9 5.4 8.3 0.9 13.5 12.5 15.5 11.3 South Carolina 5 4.5 5.5 8.4 16.2 13.7 22.6 19.9 Tennessee 7 6.8 8.9 5.7 8.3 7.8 10.2 11.8 Region IV 5.6 5.3 7.5 3.2 14.8 12.7 18.1 27.6 US Total 4.3 3.8 6.4 6.7 13.3 11.8 17.2 28.6 Region:US 1.30 1.39 1.17 .48 1.11 1.08 1.05 .97 Source: CDC, 2001 BRFSS Females of Hispanic/Latino origin can be of any race Percentage responding positively to questions Note: State values for Hispanic females may be unreliable due to small numbers in all states except Florida *Percent responding “poor” when asked about general health As shown in Table 74, women in the region report being overweight more and exercising less than do their national counterparts. Region IV women report exercising five percent less than the national average and women in the region report being overweight 2 percent more than the national value. Again, the race-specific variation is much greater: black women reported being overweight 48 percent more than white women and Hispanic women reported being overweight 11 percent more than white women. However, Hispanic women in the region are 14 percent less likely to be overweight than their peers nationally. With regard to being overweight, obesity is consistently linked to heart disease, but abdominal obesity was also recently linked to ischemic stroke in all race-ethnic groups for both men and women. 42 Exercise differences display similar 42 Suk SH, Sacco RL, Boden-Albala B, Cheun JF, Pittman JG, Elkind MS, Paik MC; Northern Manhattan Stroke Study. Abdominal obesity and risk of ischemic stroke: the Northern Manhattan Stroke Study. Stroke. 2003 Jul;34(7):1586-92. 100 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 74: INDICATORS OF AT-RISK BEHAVIOR IN WOMEN (AGE-ADJUSTED): 2001 Females Reporting Overweight* Total White Black Hispanic Females Reporting Exercise** Total White Black Hispanic Alabama 53.0 48.1 70.7 50.7 66.1 69.6 56.9 66.5 Florida 45.7 41.0 64.6 50.4 71.3 75.5 61.1 57.6 Georgia 52.8 46.9 65.8 63.9 69.3 73.7 58.9 66.4 Kentucky 53.6 52.8 67.4 38.7 64.2 64.0 65.5 68.5 Mississippi 57.4 48.3 75.4 73.6 61.8 64.9 56.1 47.5 North Carolina 49.1 44.3 67.8 40.7 70.6 74.6 58.7 56.9 South Carolina 52.8 45.6 72.3 45.7 70.7 74.5 60.5 48.7 Tennessee 51.0 49.1 64.7 56.7 61.8 63.3 52.6 71.0 Region IV 50.3 45.8 67.9 50.8 68.4 71.6 58.8 58.6 US Total 49.5 46.9 67.2 59.4 71.7 74.0 60.9 57.6 Region:US 1.02 .98 1.01 .86 .95 .97 .97 1.02 Source: CDC, 2001 BRFSS Females of Hispanic/Latino origin can be of any race Note: State values for Hispanic females may be unreliable due to small numbers in all states except Florida Percentage responding positively to questions *Body Mass Index greater than or equal to 25.0 indicates at risk for becoming overweight or overweight ** HP 2010 Target: 80 trends with black and Hispanic women (reporting) exercising 18 percent less often than white women. The cross-state variation is quite small with regard to reports of being overweight (i.e., 9 percent below the regional average in Florida to 14 percent above the average in Mississippi) whereas the variation is less concerning exercise (i.e., 10 percent below the regional average in Mississippi and Tennessee to 4 percent above the average in Florida). In this regard the findings appear to be consistent—women in Alabama, Kentucky, Mississippi and Tennessee report exercising less and being overweight more than the regional average and in North Carolina they report being overweight less and exercising more. Healthy People 2010 sets a goal for 80 percent or more of adults to engage in some leisure time physical activity. Age-adjusted rates for substance abuse are shown in Table 75. Women in the region report 8 percent higher smoking rates than the US, and in the case of binge drinking, over 29 percent lower than the US figure. Smoking rates for black and Hispanic women are 29 and 45 percent lower than for white women; in addition, the rates for Hispanic women are about equal to the rates for their counterparts across the nation. The state-to-state variation is also quite large; women in Florida report smoking rates 32 percent lower than in Kentucky. Healthy People 2010 seeks to reduce tobacco use to 12 percent of the adult population. Furthermore, the document’s goal for the proportion of adults engaging in binge drinking is a maximum of 6 percent. 101 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 75: SUBSTANCE USE IN WOMEN (AGE-ADJUSTED): 2001 Females Reporting Currently Smoke Cigarettes Total White Black Hispanic Females Reporting Binge Drinking* Total White Black Hispanic Alabama Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee 22.9 20.8 21.9 30.8 22.5 23.8 24.9 23.5 25.4 23.4 24.8 30.6 27 24.9 28 26 15.4 17.7 17.6 34.5 16 21.1 18.8 13.4 30.8 11.2 18.1 27.6 10.3 20.1 37.7 14.8 4.4 7.7 5.7 3.3 5.1 4.7 6.0 2.3 4.8 9.2 6.5 3.1 5.3 5.3 7.0 2.5 3.9 4.2 4.8 5.0 4.5 2.6 3.8 1.7 8.7 3.7 11.7 2.6 9.3 2.7 1.1 Region IV 23.1 25.5 18.1 13.9 5.5 6.1 3.8 4.2 US Total 21.4 22.4 19.6 14.1 7.7 8.5 4.7 5.5 Region:US 1.08 1.14 .92 .99 .71 .72 .81 .76 Source: CDC, 2001 BRFSS Percentage responding positively to questions Females of Hispanic/Latino origin can be of any race Note: State values for Hispanic females may be unreliable due to small numbers in all states except Florida Healthy People 2010 objective for smoking: no more than 12%. *Reported consuming more than five drinks on at least one occasion in the past month; Healthy People 2010 objective is no more than 6%. Table 76 shows the preventive measures taken by women to reduce the risk of future health problems. Women in Region IV are similar to women across the nation in taking pneumonia shots and 10 percent lower in taking flu shots. Hispanic women in the region are 21 percent less likely to receive the flu shot than their peers nationwide. The flu and pneumonia shots have been shown to be particularly important for white and black adults who also have diabetes, as there is an increased risk of death from pneumonia/influenza for white adults aged 25 or older and black adults aged 25-64. 43 Healthy People 2010 has set goals for flu shots in non-institutionalized, high-risk adults aged 18-64 at 60 percent. Some data on women’s preventive activities is missing because only 13 states answered the questions on the additional subjects. However, in the 2000 BRFSS, all states answered these questions and the results are presented in Table 77. Healthy People 2010 set goals for each of these measures: 43 Valdez R, Narayan KM, Geiss LS, Engelgua MM. Impact of diabetes mellitus on mortality associated with pneumonia and influenza among non-Hispanic and white US adults. American Journal of Public Health. 1999 Nov;89(ii):1715-21. 102 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 76: IMMUNIZATIONS RECEIVED BY WOMEN (AGE-ADJUSTED): 2001 Females Reporting Flu Shot* Total White Black Hispanic Females Reporting Pneumonia Shot Total White Black Hispanic Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 30.0 23.7 26.4 26.8 28.7 30.9 30.4 32.0 31.6 24.2 28.5 26.6 31.8 31.8 30.2 32.3 24.8 19.7 20.3 26.1 21.3 26.6 28.7 27.0 35.2 18.9 35.0 27.7 29.2 30.7 35.4 38.0 22 19.9 19.8 16.0 19.6 20.0 18.5 18.5 22.8 19.9 21.1 16.0 21.7 20.1 19.8 18.9 18.1 19.0 14.4 11.8 13.0 18.6 12.8 15.7 17.9 13.5 23.1 20.4 15.7 29.1 21.5 17.1 Region IV 27.6 28.4 23.6 21.5 19.5 19.9 16.1 15.3 US Total 29.6 30.2 24.8 27.3 19.7 19.9 17.4 17.0 Region:US .93 .94 .95 .79 .99 1.00 .93 .90 Source: CDC, 2001 BRFSS Females of Hispanic/Latino origin can be of any race Note: State values for Hispanic females may be unreliable due to small numbers in all states except Florida *HP 2010 Target: 60 Table 77: PREVENTATIVE MEASURES TAKEN BY WOMEN (AGE-ADJUSTED): 2000 Mammogram w/in 2yrs* Ever had a Pap Smear Pap Smear w/in 3 Years Total White Black Hisp Total White Black Hisp Total White Black Hisp Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 74.3 77.7 75.1 75.1 67.4 77.8 78.2 75.0 73.1 77.1 76.6 74.5 69.2 78.3 79.3 75.0 78.9 79.6 71.3 88.1 63.4 76.6 75.6 74.7 Region IV 76.2 76.4 75.3 US Total 76.4 76.7 Region:US 1.00 1.00 96.4 93.3 96.6 93.3 95.4 96.5 95.9 93.7 96.5 93.7 97.2 93.4 96.1 96.9 96.6 94.1 96.1 100.0 84.4 92.4 89.4 82.8 95.6 95.4 85.3 97.0 100.0 82.4 94.2 97.9 82.5 94.7 95.5 87.4 93.9 97.4 86.7 93.5 92.2 83.8 83.8 83.2 84.8 82.0 81.6 87.0 87.5 83.5 85.9 80.7 87.4 91.0 84.4 89.2 84.5 88.0 94.6 83.3 78.8 90.4 85.4 83.4 95.8 80.9 79.4 95.0 95.3 94.4 91.0 84.6 84.4 85.9 84.2 77.2 75.9 94.2 94.8 93.9 90.9 83.0 83.2 85.4 81.5 .98 1.05 1.01 1.01 1.01 1.00 1.02 1.01 1.01 1.03 80.1 72.9 82.4 Source: CDC, 2000 BRFSS *women over 40 years of age. Females of Hispanic/Latino origin can be of any race Note: State values for Hispanic females may be unreliable due to small numbers in all states except Florida Healthy People 2010 sets the following objectives: Pap smear= 97%, Pap smear within 3 years= 90%; mammogram within 2 years, 40 years and over = 70%. 103 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV • • • the goal for women over 40 having a mammogram within the previous 2 years is 70 percent (the regional figure is 76.2 percent which exceeds the target figure), the goal for women having ever had a Pap smear is 97 percent (the regional figure is 95 percent), and the goal for women having a Pap smear within the previous 3 years is 90 percent (the regional figure is 84.6 percent). 9.3 MANDATED HEALTH INSURANCE COVERAGE FOR PREVENTION The National Conference of State Legislatures published state lists concerning mandated coverage or mandated offering of coverage for certain procedures/hospital stays. 44 From these data, Region IV states may be compared with other states in the nation. All of the Region IV states, as part of 50 states in the nation, mandate coverage for breast cancer screening; yet only Georgia, North Carolina, and South Carolina are among the 25 states nationwide that mandate coverage for cervical cancer screening, and only North Carolina is among the 13 states that mandate coverage for colorectal screening. Florida, Georgia, Kentucky, North Carolina, and Tennessee comprise almost half of the 12 states that mandate coverage for the diagnosis and treatment of osteoporosis. Georgia, Kentucky, and North Carolina are three of only 24 states to enact laws mandating contraceptive coverage. Only 15 states across the nation mandate infertility coverage, none of which are in Region IV. 44 National Conference of State Legislatures, Major health care policies, 50 states profiles, 2001, January 2002. 104 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 10.0 INDICATORS OF WOMEN’S ACCESS TO CARE IN REGION IV Overall, the Region IV average rates for indicators of access to care are generally lower than the national average, although there are large variations among the states. These findings might be expected considering this region accounts for 19 percent of the US female population but has substantial population differences among the states and the counties within the states (as described in Chapter 3). The actual counts, rates per population, and distribution of health care resources are considered in this chapter and presented in detail in Appendices B and C. Access to primary care physicians, illustrated in Figure 18, is critical for achieving health status objectives on a local basis. Figure 18: PRIMARY CARE PHYSICIANS PER 100,000 FEMALES IN REGION IV: 2000 KY (Nashville-Davidson ! TN Memphis ! ( Charlotte ( ! NC Atlanta ( ! MS AL SC GA ! Jacksonville ( 0 - 179.1 179.2 - 268.9 269.0 + FL Miami ( ! Source: BHPr, Area Resource File, February 2002 (Region 193.3, Nation 224.0) The primary care specialties presented in the map include the specialties and subspecialties of general/family practice, internal medicine, pediatrics, and obstetrics/gynecology. Overall, the Region IV average for physicians per 100,000 females is below the national average. The distribution of physicians by specialty and the details of other health resources are described in the following sections. Table 78 summarizes the health resources in the region, by state. One overall measure of the adequacy of health care providers in an area is the HPSA, or health profession shortage area, designation, which is presented for each state in the table. 105 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 78: SUMMARY OF HEALTH RESOURCES 2000 HPSA* Full 2000 Physicians^ Partial Number 2000 Hospitals# /100,000 /100,000 Number Number Females Females 2000 Other Facilities~ Beds/1000 Females HHA RHC CMHC FQHC 143 316 99 111 62 164 77 153 58 133 124 73 133 124 95 34 78 113 9 14 5 28 7 22 84 85 55 27 60 44 56 58 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 30 14 45 44 51 16 16 23 33 47 77 29 11 30 27 40 388.1 459.8 407.5 410.5 318.5 453.8 415.9 472.7 299 3,019 580 264 238 356 238 345 13.0 36.9 13.9 12.8 16.2 8.7 11.5 11.8 105 194 154 103 99 117 66 116 7.1 6.4 6.0 7.2 10.0 5.8 5.8 7.4 Region IV 239 294 117,694 431.6 5,339 19.6 954 6.6 1,125 774 276 469 US Total 851 1,138 708,463 494.2 45,191 31.5 4,833 5.8 7,126 3,334 764 2053 11.8% -- 19.7% -- Pct of Total 28.1% 25.8% 8,929 37,635 16,950 8,482 4,685 18,634 8,581 13,798 2001 DOs+ 16.6% -- 15.8% 23.2% 36.1% 22.8% Source: BHPr, Area Resource File, February 2002 *Number of counties designated as either a full or partial county primary care health professions shortage area ^Total number of Non-Federal MD physicians (all specialties) and per 100,000 females +Total number of Non-Federal DO physicians (all specialties) and per 100,000 females #Total short term general hospitals and short term hospital beds per 1,000 total females ~HHA: home health agencies; RHC: rural health clinics; CMHC: community mental health centers; FQHC: federally qualified health centers The table shows the number and rate (per 100,000 females) of all year 2000 active M.D. physicians in the region. In terms of total M.D. physicians in the region, the regional rate is about 13 percent lower than the national rate of 494 physicians per 100,000 females. With regard to health facility resources, the region has 14 percent more short-term general hospital beds per 1,000 females than the nation. The region has 16 percent of Medicare-certified home health agencies, 23 percent of the rural health clinics, 36 percent of the community mental health centers and 23 percent of the federally qualified health centers. Given that the region has 19 percent of the women in the nation, has several large cities, and has almost twice the population density of the nation as a whole, these percentages are greater than might be expected. 10.1 INDICATORS OF ACCESS TO PHYSICIANS AND OTHER PROVIDERS Table 79 documents the regional rates of physicians per 100,000 females in 2000, as compared to the national rates. In terms of total physicians, the region is at 87 percent of the national rate and 89 percent in terms of all primary care, patient care physicians. While the region has 13 percent fewer total practitioners than the national average, there are an almost equal distribution of general/family practice and ob/gyn in the region compared with the nation. The number of internists per 100,000 females is particularly low in Mississippi and South Carolina. With regard 106 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 79: DISTRIBUTION OF PHYSICIANS BY SPECIALTY: 2000 Non-Federal MD Physicians per 100,000 Females All General/ Total Primary Internal Specialty Patient Family Pediatric Ob/Gyn Psychiatry Active Care* Medicine Care Care Practice Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 388.1 459.8 407.5 410.5 318.5 453.8 415.9 472.7 352.2 414.2 366.6 373.0 293.5 401.0 377.0 425.0 171.4 185.8 175.7 175.8 139.1 189.7 176.4 202.5 52.4 52.4 45.8 59.3 49.1 57.8 66.8 58.2 29.9 35.6 33.5 34.1 23.1 36.2 29.4 40.7 66.3 73.4 66.9 60.2 46.1 68.6 54.5 76.4 22.9 24.4 29.4 22.2 20.8 27.1 25.7 27.3 216.7 274.0 231.9 234.7 179.4 264.1 239.5 270.2 12.2 17.8 18.0 16.5 10.5 20.1 19.6 16.4 Region IV 431.6 388.4 181.4 54.3 34.2 67.5 25.5 250.1 17.2 US Total 494.2 434.7 204.8 55.7 39.6 83.1 26.4 289.4 23.7 Region:US 0.87 0.89 0.89 0.97 0.86 0.81 0.97 0.86 0.73 Non-Federal DO Physicians per 100,000 Females Total All Patient Primary General/Family Pediatric Internal Ob/Gyn Active Care Care* Practice Medicine Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 13.0 36.9 13.9 12.8 16.2 8.7 11.5 11.8 8.8 26.1 9.9 7.7 10.2 5.0 8.5 8.1 7.5 22.5 8.9 7.0 10.7 5.0 6.8 7.7 6.3 18.5 7.3 5.6 8.4 3.8 4.9 6.1 0.2 0.8 0.2 0.2 0.5 0.2 0.3 0.3 0.8 2.5 0.8 0.7 1.0 0.7 1.2 1.0 0.3 0.7 0.6 0.5 0.7 0.3 0.3 0.3 Region IV 19.6 13.5 11.9 9.7 0.4 1.3 0.5 US Total 31.5 20.3 19.2 15.3 0.8 2.2 0.9 Region:US 0.62 0.67 0.62 0.63 0.50 0.59 0.56 Source: BHPr, Area Resource File, February 2002 *Primary Care includes non-federal general/family practice, pediatrics, internal medicine, ob/gyn to the psychiatrist-to-population ratio, the states range from 15 to 56 percent below the national average. Region IV women’s rate of access to MD pediatricians, and specialists is approximately 14 percent below the national average, and access to DO physicians (Doctors of Osteopathy) is 107 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV substantially lower than the national average. Overall availability of all patient care physicians is around 11 percent less than the US average, consistent with the finding that general and family practitioners are available 3 percent less than the US average while internal medicine physicians are available 19 percent less. Physician-to-population ratios in Mississippi are substantially lower than the regional or US averages. In South Carolina, where the overall physician to population ratio is 3 percent below the regional average and its internist rate is 18 percent below the regional average, its general/family practice rate is 23 percent above the regional average. The distributions of pediatricians and ob/gyn physicians at the county-level shown in Figure 19 reveal considerable variation within the region. The patterns of distributions for pediatricians and ob/gyn physicians are very similar. That is, counties with a low rate of pediatricians are likely to have a low rate of ob/gyn physicians. The same is true for the distribution patterns of specialists and psychiatrists, as shown in Figure 20. While having a high rate of specialists usually predicts having a high rate of psychiatrists, the converse is not true; that is, a high rate of psychiatrists does not necessarily correspond with a high rate of specialists. Over 21 percent of the actively practicing providers in the region are female, close to the national average of 25. While this does not directly affect women’s health, it may have some effect on women seeking medical advice. Table 80 presents the number of total and general practice dentists. The table contains the gender of the practitioners; however, the gender-specific information is only available for dentists in private practice. Table 80: DISTRIBUTION OF DENTISTS: 1998 Number of Dentists Dentists Per 100,000 Females Total* General Practice*^ Total Active Total* General Practice*^ Male* Female* Alabama 1,681 1,543 1,258 1,372 171 68.2 55.6 Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 6,791 2,982 1,915 959 2,883 1,513 2,485 6,293 2,672 1,702 860 2,554 1,352 2,240 5,054 2,177 1,460 743 2,084 1,098 1,894 5,446 2,339 1,420 791 2,264 1,213 2,026 847 333 282 69 290 139 214 82.0 68.1 84.0 60.0 65.7 68.0 79.7 65.8 55.5 72.1 51.8 53.6 55.3 67.4 Region IV 21,209 19,216 15,768 16,871 2,345 73.9 60.6 US Total 141,859 130,836 108,959 114,360 16,476 94.6 78.8 14.5% 14.8% 14.2% -- -- Pct of Total 15.0% 14.7% Source: BHPr, Area Resource File, February 2000 *Only Non-Federal dentists in private practice; hence, will not add to Total Active ^General Practice and Pediatrics 108 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Figure 19: PEDIATRICIANS AND OB/GYN’S PER 100,000 FEMALES IN REGION IV: 2000 KY !Nashville-Davidson ( TN Memphis ! ( Charlotte ( ! NC Atlanta ( ! MS AL SC GA ( Jacksonville ! Pediatricians 0 - 28.2 28.3 - 52.5 52.6 + FL Miami ( ! Source: BHPr, Area Resource File, February 2002 (Region 34.6, Nation 40.4) Rates per 100,000 females KY (Nashville-Davidson ! TN Memphis ! ( Charlotte NC ( ! Atlanta ( ! MS AL SC GA ( Jacksonville ! Ob/Gyn 0 - 18.4 18.5 - 34.3 34.4 + FL ! Miami ( Source: BHPr, Area Resource File, February 2002 (Region 25.5, Nation 26.4) Rates per 100,000 females 109 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Figure 20: ALL SPECIALISTS AND PSYCHIATRISTS PER 100,000 FEMALES IN REGION IV: 2000 KY !Nashville-Davidson ( NC TN Memphis ! ( ( Charlotte ! Atlanta ( ! MS SC AL GA ( Jacksonville ! Specialists 0 - 231.4 231.5 - 347.3 347.4 + FL Miami ( ! Source: BHPr, Area Resource File, February 2002 (Region 241.3, Nation 277.3) Rates per 100,000 females KY !Nashville-Davidson ( NC TN Memphis! ( ! Charlotte ( Atlanta ( ! MS AL SC GA ( Jacksonville ! Psychiatrists 0 - 16.5 16.6 - 34.3 34.4 + FL Miami ( ! Source: BHPr, Area Resource File, February 2002 (Region 18.5, Nation 25.9) Rates per 100,000 females 110 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV The dentist-to-population ratios indicate that the region has fewer dental practitioners per 100,000 females than does the nation as a whole. However, there is a sizable variation among the states. Florida, Kentucky and Tennessee were higher than the regional and lower than the national average, and the other 5 states were below both regional and national averages. Mississippi also had the lowest rates of dentists overall and for general/family practice practitioners. The percentage of female dentists in private practice in the region (14 percent) is slightly higher than in the nation (12 percent). Data for other health providers were obtained from a variety of sources. The HRSA workforce profiles of the states in the region provided data on a number of nursing professions, with each subset being from a different year, ranging from 1997 to 2000. However more current data were available for physician assistants, chiropractors and nurse practitioners for 2001, as shown in Table 81. (County-level data are currently being collected by the Bureau of Health Professions, HRSA, DHHS, on most of the major health professions, and should be available within the next few years for future assessments of the region.) Table 81: RATES OF NURSES, PHYSICIAN ASSISTANTS AND CHIROPRACTORS Nurses by Specialty per 100,000 Females* Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 2001 Other Primary Care Providers per 100,000 Females+ Licensed Certified Certified Registered Physician Nurse Chiropractors Practical Nurse Registered Nurse Nurses Assistants Practitioners Nurses Midwives Anesthetists 1481.1 669.4 1.3 33.7 16.6 26.1 39.9 1532.6 536.1 4.4 16.5 35.5 45.9 79.1 1343.5 512.3 6.2 16.8 41.1 54.1 45.8 1628.7 498.0 3.3 18.3 33.6 30.8 43.1 1450.5 607.7 2.2 19.3 4.6 17.1 48.6 1681.6 395.0 4.2 30.8 62.1 29.4 39.9 1416.6 469.2 3.2 22.2 24.1 40.0 32.3 1700.1 660.5 2.7 28.9 21.4 25.4 57.0 Region IV 1848.3 531.7 3.9 22.2 34.6 37.6 54.5 US Total 1535.8 470.0 4.0 16.0 36.9 46.6 48.9 1.20 1.13 0.98 1.39 0.94 0.81 1.11 Region:US Sources: *HRSA, State Health Workforce Profiles, RN – 2000, LPN – 1998, CNM – 2000, CRNA - 1997 2000 female population from the US Census Bureau, Census 2000 +BHPr, Area Resource File, February 2002 As can be determined from these data, the regional averages were less than the national averages for physician assistants and chiropractors but higher than the nation for nurse practitioners. The regional average for physician assistants was 6 percent lower than the national rate and the regional rate for chiropractors was 19 percent below the national average, while the regional rate for nurse practitioners was 11 percent higher than the national rate. There is a large variation 111 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV among the states, with physician assistants ranging from 87 percent below the regional rate to 79 percent above the regional rate. State rates for chiropractors range from 55 percent below to 44 percent above the regional rate. However, for the other nursing specialties the region has 20 percent more RNs per 100,000 females than the nation, 13 percent more LPNs and almost 40 percent more CRNAs than the nation as a whole. The rates of other health providers and therapists are presented in Tables 82 and 83. Table 82: RATES OF OTHER HEALTH PROVIDERS: 2000 Providers by Specialty per 100,000 Females* Sociologists, Social Emergency Medical Social Dietitians and Psychologists Scientists and Technicians and Pharmacists Workers Nutritionists Related Workers Paramedics Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 53.0 87.2 81.4 72.1 48.9 96.2 63.0 80.8 17.0 21.3 21.4 16.5 8.8 22.0 15.0 17.5 324.5 328.2 342.1 451.8 279.4 478.1 378.1 342.1 62.6 48.9 57.3 55.2 66.6 59.5 56.0 59.1 85.6 73.6 80.4 107.2 115.6 97.4 108.1 106.4 166.0 145.0 156.9 156.1 143.8 130.8 155.4 158.4 Region IV 79.1 19.1 364.6 56.0 90.2 149.4 US Total 119.1 25.2 449.6 56.1 78.7 143.9 0.7 0.8 0.8 1.0 1.1 1.0 Region:US Source: 2000 Census EEO Employment File 10.2 INDICATORS OF ACCESS TO HEALTH CARE FACILITIES Table 84 presents the number of short-term general hospitals in each state of the region in 2000. The table also indicates the number of facilities in each state providing specific services of interest to the study of women’s health care access. The region had about 20 percent of all short-term general hospitals in the US in 2000. Of the hospitals in the region, 55 percent offered obstetrical services, 71 percent offered breast cancer screening and mammography services, 31 percent offered geriatric services, and 12 percent offered assistance with reproductive issues. For the nation as a whole, 62 percent offered obstetrical services, 72 percent offered breast cancer screening services, 39 percent offered geriatric care, and 17 percent offered reproductive services. The percentages of hospitals offering these services were lower in the region than the national averages but most similar for breast cancer screening services. 112 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 83: RATES OF THERAPISTS: 2000 Therapists by Specialty per 100,000 Females* Occupational Physical Radiation Recreational Respiratory Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 25.6 41.8 32.1 37.3 25.8 37.5 25.4 33.1 66.7 99.5 70.8 89.0 66.3 80.0 75.9 99.5 5.9 9.8 7.6 7.7 3.7 6.9 5.6 5.8 5.0 6.5 8.9 9.9 8.8 11.9 7.8 9.9 56.7 73.7 67.0 89.8 75.8 51.0 67.4 79.3 Region IV 34.9 85.1 7.5 8.4 69.3 US Total 44.7 94.1 7.4 11.9 61.6 Region:US 0.8 0.9 1.0 0.7 1.1 Source: 2000 Census EEO Employment File Table 84: SHORT TERM GENERAL HOSPITALS (AND SERVICES): 2000 Hospitals Offering the Following Services* Obstetrical Breast Cancer Geriatric Reproductive Services Screening Services Services 46 58 16 10 98 138 76 37 96 125 37 20 51 80 32 7 52 61 24 4 75 90 47 18 46 56 29 6 57 70 32 15 Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee Total Hospitals 105 194 154 103 99 117 66 116 Region IV 954 521 678 293 117 US Total 4,833 2,983 3,474 1,874 799 Pct of Total 19.7% 17.5% 19.5% 15.6% 14.6% Source: BHPr, Area Resource File, February 2002 *Short-term general hospitals; reproductive health services include areas such as fertility counseling and in vitro fertilization 113 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Table 85 displays the number of hospital beds available per 1,000 females in the region, a better indicator of supply than number of hospitals. The first column of the table presents the rate for all hospitals in the region, including short-term, long-term and specialty care facilities (e.g. cancer hospitals). The second category shows the number of short term general hospital beds per 1,000 females, and the third category presents obstetrical beds set up in short-term general hospitals per 1,000 females. The region has 10 percent more total hospital beds and 14 percent more short term general beds per 1,000 women than in the nation. With the exception of obstetrical beds, South Carolina has a lower bed supply than the rest of the region for the other two categories, though it is on par with the nation; Florida has the lowest number of obstetric beds per 1,000 females and Mississippi exceeds the regional numbers in all three categories. Table 85: HOSPITAL BEDS PER 1,000 FEMALES: 2000 Hospital Beds per 1,000 Females Total Beds Short Term General Beds Obstetric Beds Alabama Florida Georgia Kentucky Mississippi N Carolina S Carolina Tennessee 8.3 7.1 7.2 8.1 11.6 7.1 6.6 8.3 7.1 6.4 6.0 7.2 10.0 5.8 5.8 7.4 0.40 0.30 0.44 0.39 0.42 0.36 0.34 0.34 Region IV 7.6 6.6 0.36 US Total 6.9 5.8 0.36 Source: BHPr, Area Resource File, February 2002 10.3 RELEVANT LEGISLATIVE ACTIVITIES As noted in the previous chapter, according to the National Conference of State Legislatures, 45 there is much legislative activity concerning women’s health issues. Currently there are 40 states in the US that require managed care organizations (MCOs) to allow their consumers either direct access to ob/gyn providers/services or to permit an ob/gyn to be designated as the primary care provider (PCP). All eight of the Region IV states are among these. There are only 24 states that require MCOs to allow persons suffering from chronic medical conditions to name a specialist as her/his PCP; Alabama, Florida, Mississippi, North Carolina and Tennessee are five of these states. In the nation, 42 states, including all but Kentucky, North Carolina and Tennessee in Region IV, now cover breast and cervical cancer treatment under Medicaid. This option is new 45 NCSL, Ibid. 114 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV to states following the federal Breast and Cancer Treatment Act of 2000 that was designed to allow for follow-up services for individuals identified as having breast and cervical cancer. 10.4 HEALTH INSURANCE Having health insurance is key to women seeking health care. The Healthy People 2010 objective is to ensure all individuals have health insurance. Figure 21 presents data from the CDC, BRFSS on insurance coverage by state. As can be seen, females are covered at a lower rate than males. The uninsurance rate for females varies from roughly 8.1 percent in Tennessee to18 percent in Mississippi. Figure 21: AGE-ADJUSTED PERCENT OF FEMALES LACKING HEALTH INSURANCE IN REGION IV: 2001 35 30 20 15 10 5 Total White Black S U Te nn es se e M is si ss ip pi N or th C ar ol in a So ut h C ar ol in a Ke nt uc ky eo rg ia G Fl or id a 0 Al ab am a Percent 25 Hispanic Note: State values for Hispanic females may be unreliable due to small numbers in all states except Florida. 115 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV APPENDIX A: METHODS AND SOURCES METHODS The objective of this project was to develop, examine, and present indicators of women’s and minority health status, emphasizing indicators that could be compared across geographical areas and over time to permit planners at the local, state, regional and national levels to assess health disparities and to monitor progress toward Healthy People 2010 goals. (More information on Healthy People 2010 is available at http://wonder.cdc.gov/data2010/.) Therefore, both current and anticipated availability of data were important considerations. In all cases, an attempt was made to obtain data at the lowest geographic level (preferably county) and for the most detailed racial and age categories for the indicators identified. These objectives presented different challenges, depending on the particular data being sought. For some of the topics of interest (e.g., women taking folic acid, women suffering from osteoporosis), no data readily exist at the state level, not to mention for small geographic areas. For other topics, state level survey data exist but county data are not available (e.g., incidence of diabetes). Other data were available at the county level, but had to be obtained from the individual states, which involved not only major data collection efforts but also required standardizing the data provided from the different sources (e.g., infectious and chronic diseases). Yet other data were available at the county level and from a consolidated source (e.g., mortality and natality data) but privacy restrictions often precluded reporting at the county level because of the small number of occurrences. Because Region IV, like most other regions of the nation, is comprised of both dense and sparsely populated areas, rates for the selected health status indicators can become distorted, as when a single or very few births, deaths, or incidences of a disease may make a rate appear unrealistically high. This problem is especially common for data broken out by race since individual minority populations (e.g. American Indian females) in each state are often less than 2 percent of the state population. Users are cautioned to consider these data across time and in conjunction with other local information prior to making policy or funding decisions. Despite this cautionary note, the data in this database are the best estimates available for assessing the health status of women and minority populations in the region. The data are provided primarily to serve as a baseline for assessment of potential problem areas. Some statistical tests of significance have been performed in the preparation of this report. Tests are performed for age-adjusted and age-specific death rates and for all reproductive health areas (natality, fetal deaths, abortions). In these cases, tests of significance have been performed when comparisons are made between jurisdictions (e.g., state to state, state to region, region to nation) on topics thought to be compelling and where sufficient data exist. Conversely, when statistical tests do not yield significant findings, comparisons are not made in the text. Statistical tests for significant differences were conducted according to guidelines issued by the National Center for Health Statistics. 46, 47 Following these guidelines resulted in different tests being performed 46 Arias E, et al. Deaths: final data for 2001, National Vital Statistics Reports, 52:3, Sept 2003. Contains statistical techniques for testing the significance of deaths for varying numbers of occurrences; these tests were used in preparing this report. 47 Martin, J, et. al. Births: final data for 2000, National Vital Statistics Reports, 50:5, Feb 2002. Contains statistical techniques for testing the significance of births for varying numbers of occurrences; these tests were used in preparing this report. 116 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV based upon the absolute numbers in the numerators and denominators. 48 Statistical testing was not performed for other areas in this publication. Investigators are awaiting three years of data before performing such tests in order to increase sample sizes to produce more reliable estimates – especially in minority populations. For 2000 Census population and demographic data, the total population is the sum of White, Black/African American, American Indian/Alaskan Native, Asian, Native Hawaiian/Other Pacific Islander, Other single race, and Two or more races. Because most state data collection systems do not conform to these racial categories for data in the year 2000, health status indicators displayed by race throughout this report are reported as White, Black, American Indian, and Asian/Pacific Islander, the sum of which equals total population. These two different methods of classifying race are described below under Bridge Populations. Throughout this report, persons of Hispanic (or Hispanic/Latino) origin can be of any race. Native Americans residing on reservations are included in all county and state data, unless otherwise noted. The report is organized into eight topic areas; these are: Demographics, Mortality, Infectious and Chronic Diseases, Mental Health, Reproductive and Maternal Health, Violence and Abuse, Prevention, and Access to Care. The methods for data collection and presentation are described for each topic area, as are the details of the material presented in the report. Also, the computational approaches, definitions, and factors employed are detailed. SOURCES Data source information for the Office on Women’s Health Region IV Women’s and Minority Health Status Indicators effort is presented according to topic area. Department names and, when available, addresses and web addresses are shown for the state agencies and other organizations providing data for this effort. DEMOGRAPHICS Data describing the demographic makeup of the female and minority populations were available at the county level and presented few limitations in consistency and availability. Note that persons of Hispanic (or Hispanic/Latino) origin may be of any race. Total population is equal to White, Black/African American, American Indian and Alaskan Native and Asian/Pacific Islander for everything but Census 2000 data. For Census 2000 data, the total population is the sum of White, Black/African American, American Indian/Alaskan Native, Asian, Native Hawaiian/Other Pacific Islander, Other single race, and Two or more races. Because the 2000 Census revised race definitions to add specificity and permit reporting more than one race, there 48 For example, when testing the difference between two rates, R1 and R2, when both rates are based upon incidence of 100 or more, the Z-test may be used. If Z is greater than or equal to 1.96, the difference could be considered statistically significant at the 0.05 level. When either or both of the rates are based upon fewer that 100 occurrences, the overlap of 95% confidence intervals of the two rates may be used to determine if the difference is statistically significant. When either or both of the rates are based upon fewer than 20 occurrences, the results are considered too small to be tested. 117 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV will be some definitional differences when comparing earlier Census estimates with the 2000 Census figures. Additional information and details regarding the Census data can be found at http://www.census.gov. Year 2000 Population by age, sex, race, and Hispanic/Latino origin data are from the 2000 Census, Summary File 1. Note that the database includes race-specific detail for Asian/Pacific Islander totals and for Asian and Native Hawaiian/Other Pacific Islander detail. The additional detail is provided on the 2000 Census file. The combined figure for Asian/Pacific Islander is provided for consistency and comparability across years. 2000 Female head of household data are from the 2000 Census Summary File 1. 2000 Females and Males 16+ unemployed, 2000 Females and Males 16+ employed and 2000 Females and Males 16+ in the civilian labor force data are from 2000 Census Summary File 3, Table P43. 2000 Females and Males 25+ by educational attainment data are from 2000 Census Summary File3, Table P37. 2000 Females and Males 15+ divorced data are from the 2000 Census Summary File 3, Table P18. 2000 Urban and rural population data are from the 2000 Census Summary File 3, Table P5. 2000 Households linguistically isolated data are from the 2000 Census Summary File 3, Table P20. 2000 Population with disability by sex by age, employed and unemployed data are from the 2000 Census Summary File 3, Table P42. 2000 Females and Males in management positions data are from the 2000 Census Summary File 3, Table P50. 2000 Females and Males self-employed in own incorporated business data are from the 2000 Census Summary File 3, Table P51. 1999 Supplemental Security Income per household and Public Assistance Income per household data are from the 2000 Census Summary File 3, Tables P63, P64, P72, P73. 1999 Median earnings (dollars) by sex for the population 16 years and over w/earnings data are from the 2000 Census Summary File 3, Table P85. Ratio of income in 1999 to poverty level for the population for whom poverty status is determined data are from the 2000 Census Summary File 3, Table P88. 118 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 1999 Poverty status for male and female population data are from the 2000 Census Summary File 3, Table PCT49. 2000 Unmarried-partner households with same sex of householder and partner data are from the 2000 Census Summary File 3, Table PCT1. 2000 Single parent households with income in 1999 below poverty level by sex by race data are from the 2000 Census Summary File 3, Tables P160A through P160I. 2000 Foreign born population from selected regions are from the 2000 Census Summary File 3, Table PCT19. 2000 Population with disability by sex by age by type of disability data are from the 2000 Census Summary File 3, Table PCT26. 2000 Single Parent Households by race, 2000 Number of Families, 2000 Married-Couple Families, 2000 Number/Percent of Families with Female Head, 2000 Median Age by race, 2000 Average Household size by race data are from the 2000 Census Summary File 1. 2000 Bridge Populations are from the NCHS Bridged-race populations. The National Center for Health Statistics (NCHS), in collaboration with the US Bureau of the Census created the Bridged-race population estimates for April 1, 2000. The estimates are the result of bridging the 31 race categories from Census 2000 to the four race categories used by many data systems, including vital statistics. The Census race categories are those specified by the 1997 Office of Management and Budget (OMB) directive on the standards for race and ethnicity data collection whereas the four race categories are based on the 1977 version of the race and ethnicity data collection standards. In all cases, Hispanic is considered an ethnicity and is therefore dealt with separately. More information on the bridge populations can be found at http://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htm. 1999 Estimated Median Household Income is from the Small Area Income and Poverty Estimates published by the United States Bureau of the Census. 2000 Per Capita Income estimates come from the U.S. Department of Commerce, Bureau of Economic Analysis (BEA), Regional Economic Measurement Division. Incarcerated Females data are from the U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics at http://www.ojp.usdoj.gov/bjs/ July 2002 Bulletin. "Prisoners in 2001" by Paige M. Harrison and Allen J. Beck, Ph. D at http://www.ojp.usdoj.gov/bjs/pub/pdf/p01.pdf. MORTALITY Mortality data were calculated using the 1998-2000 National Center for Health Statistics NVSS Detail Mortality Files. Data were available at the county level, on an annual basis and from a 119 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV single, consistent source. Data presented are based on place of residence. The primary issue with these data is the handling and interpretation of very small numbers at the county level. Such data (1) can present a distorted view of an area when taken as a single point in time, and (2) are restricted in use due to privacy guidelines when fewer than three cases occur in an area. Therefore, data were screened to ensure no data were inappropriately presented. Some data presented in more detail at the state level have been consolidated or omitted from the county data tables because of very small numbers. For the year 2000 data, incidence data of fewer than five occurrences and the associated rates are presented as blanks for sub-state data. Additionally, three-year average data are provided. These data do not have the same restrictions; therefore occurrences are not suppressed in order to enable aggregations to higher geographic units (e.g., health planning districts). However, calculated rates for sub-state three-year averages of fewer than five occurrences are suppressed to minimize misinterpretation of small numbers. Data were examined to present a picture of women’s and minority mortality with regard to the leading national causes of death for these populations, the leading causes of death within the region, and particular areas of interest. Mortality rates age-adjusted to the year 2000 population standard are presented as they relate to HP 2010 targets when available. More information on Healthy People 2010 is available at http://wonder.cdc.gov/data2010/. Race-specific rates were calculated per 100,000 female population using a bridge population file developed by the National Center for Health Statistics in collaboration with the US Census Bureau for the year 2000, and the standard Census estimates for the years 1998 and 1999. The 2000 bridge population serves to condense the 31 race categories used in Census 2000, as required by the OMB’s 1997 standards for race and ethnicity data collection, to the four race categories specified by the 1977 standards and currently being used by many reporting systems: namely White, Black, American Indian, and Asian/Pacific Islander. Transition to the 1997 standards is still under way in the vital statistics program. Age-adjusted rates were calculated using the bridge population according to the year 2000 population standard. 1996-2000 Infant Mortality rates by race are calculated from the National Center for Health Statistics, National Vital Statistics System, Detail Mortality and Natality files. The major causes of death contained on the database are defined as follows: ICD-9 Codes (1998) 001-139 042-044 140-208 153-154 162 174 (female), 175 (male) 180 179, 182 183.0 185 Cause of Death Infectious & parasitic diseases HIV/AIDS Malignant neoplasm (Cancer) Colorectal cancer Lung cancer (including trachea & bronchus) Breast cancer Cervical cancer Uterine cancer Ovarian cancer Prostate cancer 120 Preliminary Comparability Ratios ICD-10 Codes (1999-2000) A00-B99 B20-B24 C00-C97 C18-C21 C33-C34 C50 1.0637 1.0068 0.9993 0.9837 1.0056 C53 C54-C55 C56 C61 0.9871 1.026 0.9954 1.0134 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Testicular cancer Endocrine, nutritional and metabolic diseases and immunity disorders 186 240-279 Diabetes Blood diseases Mental disorders Senile Organic Psychoses Alcohol Psychoses Other Psychoses Alcohol and Drug Dependence Alcohol Dependence Drug Dependence Other Mental Disorders 250 280-289 290-319 290-319 291-299 291 292-299 303-304 303 304 300-302, 305-319 300-302, 305-316 317-319 Other Mental Disorders Mental Retardation Mental and Behavioral Disorders Organic dementia Other and unspecified organic mental disorders Mental and behavioral disorders due to psychoactive substance use Mental and behavioral disorders due to use of alcohol Mental and behavioral disorders due to other psychoactive substance use Schizophrenia, schizotypal and delusional disorders Mood (affective) disorders Neurotic, stress-related and somatoform disorders Mental retardation Other and unspecified mental and behavioral disorders Nervous system and sensory organs Alzheimer’s Circulatory system All heart disease 320-389 331.0 390-459 390-398, 402,404-429 401-404 410-414 (429.2) 402, 410-414, 429.2 430-438 (-435) 440-448 460-519 480-487 490-496 (-495) Hypertension Ischemic heart disease Coronary heart disease Cerebrovascular disease (Stroke) Arterial diseases Respiratory disease Pneumonia/influenza Chronic obstructive pulmonary disease (COPD) – ICD-9 Chronic lower respiratory disease (CLRD) – ICD-10 Digestive disorders Genitourinary Maternal Deaths Unintentional injuries 520-579 580-629 630-676 E800-E949 (E800869,E880-E929 for HP) Motor vehicle accidents E810-E825 (E810-819 for HP) 121 C62 E00-E88, D80D89 E10-E14 D50-D76 F01-F99 F01 – F03 F04-F09 F10-F19 F10 F11-F19 F20-F29 F30-F39 F40-F48 F70-F79 F50-F69, F80F99 G00-H93 G30 I00-I99 I00-I09, I11, I13, I20-I51 I10-I13 I20-I25 I11, I20-I25 I60-I69 I70-I78 J00-J98 J10-J18 J40-J47 K00-K92 N00-N98 O00-O99 V01-X59, Y85-Y86 (comp. to E800-E869, E880-E929 V02-V04, V09.0, V09.2, V12-V14, V19.0-V19.2, 1.0082 1.5536 0.9858 0.9990 1.0588 0.6982 1.0478 --1.0305 0.8527 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Other accidents E800E809,E826E949 Suicide E950-E959 Homicide E960-E978 (E960-969 for HP) V19.4-V19.6, V20-V79, V80.3-V80.5, V81.0-V81.1, V82.0-V82.1, V83-V86, V87.0-V87.8, V88.0-V88.8, V89.0, V89.2 (comp. to E810-E825) V01, V05-V08, V09.1, V09.3V11, V15-V18, V19.3, V19.7V19.9, V80.0V80.2, V80.6V80.9, V81.2V81.9, V82.2V82.9, V87.9, V88.8, V89.1, V89.3-X59, Y85-Y86 X60-X84, Y87.0 X85-Y09, Y87.1 (comp. to E960-E969) 0.9962 0.9983 For three-year averages, the comparability ratio was applied to the 1998 data to make it comparable with 1999 and later years’ data. Depending on the specific variable, incidence, crude rates or age-adjusted rates are presented in the report and on the database. Age-adjustment takes the distribution of a population into account. Age adjustment applies age-specific rates in a population of interest to a standardized age distribution in order to eliminate differences in observed rates that result from age differences in population composition. Such adjustments are useful when comparing two or more populations at a single point in time or one population at two or more points in time. Because this report is intended both to provide a comparison of the females and minorities in a given region to the US and to present a baseline point in time to gauge changes in the states, age-adjusted figures are more accurate than unadjusted figures. All age adjustments were calculated using the 2000 population standard recommended by NCHS to provide a baseline to future efforts and to be compatible with the Healthy People 2010 targets. While some demographic analyses use the population distribution found in 1940 as the base for adjusting segments of the population, most newer reporting systems use the 2000 population standard beginning with data year 1999. Healthy People 2010 objectives and targets are presented using the year 2000 basis. The HP 2010 objectives noted in the database are based on the February 2003 Edition. The values published in much of the literature based on 1940 population and those based on the year 2000 are markedly different. For example, applying the two adjustment approaches to the 1996 number of total female deaths from heart disease—the leading cause of death for both women and men—yield the following death rates per 100,000 females: 122 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV TABLE B.1: COMPARISON OF AGE-ADJUSTED 1996 FEMALE HEART DISEASE DEATH RATES BASED ON 1940 AND 2000 POPULATION STANDARDS US Total 1940 Age Adjustment 98.2 2000 Age Adjustment 234.1 INFECTIOUS AND CHRONIC DISEASE Infectious and chronic disease data were collected from the individual states, and from many different offices within each government agency. For example, data on sexually transmitted infections were available from one office while tuberculosis was from another and Hepatitis still another. Definitions, data suppression, and availability varied from state to state, and in some cases, within a state depending on the particular disease. In some instances, the year of the data may differ, and this is always noted. Most often data were available from the states with Hispanic being reported as an ethnicity rather than a race; therefore data are presented for the following race/ethnicity categories: White, Black/African American, American Indian/Alaskan Native, and Asian/Pacific Islander. Asian and Native Hawaiian/Other Pacific Islander populations are not identified separately because the majority of states were not able to separate these populations. Persons of Hispanic origin may be of any race. The primary exception to this is in the area of HIV/AIDS; all states consistently report persons of Hispanic origin as a race. State specific variations from these definitions are noted. Upon receipt of these data from the different sources, data were reviewed in detail to ensure the most consistent, comparable data were presented. Notation is made where they are different, however, there may be some underlying definitional differences that were not stipulated by the sources. Where data were collected from numerous state agencies, attempts were made to locate and obtain comparable national figures. These sources are not always directly comparable due to definitional differences and other reasons. The data were standardized to the extent possible, but each state has its own definitions and use restrictions. Therefore, care must be taken when comparing these numbers. In particular, many county numbers are suppressed since the data obtained frequently omitted occurrences of fewer than three and occasionally fewer than ten. These are represented as blanks in the database. Syphilis refers to Primary/Secondary Syphilis, not Early Latent, Late Latent, or Congenital. Data were also taken from the CDC’s 2001 Behavioral Risk Factor Surveillance System, or BRFSS, which represented the only data available on certain topics. Data from these sources are based on samples of the population. Because of the small sample sizes in the states, no reliable estimates could be made at the county level. Complete documentation on survey methodology, historic information, confidence intervals, etc. can be found at the following website: http://www.cdc.gov/brfss. 123 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Data on HIV among incarcerated females are from the U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics (http://www.ojp.usdoj.gov/bjs/) October 2002 Bulletin. "HIV in Prisons" by Laura M. Maruschak (http://www.ojp.usdoj.gov/bjs/pub/pdf/hivp99.pdf). 2000 data regarding infectious diseases and cancer were obtained from the following agencies within the individual states: (note, Sexually Transmitted Infections include Chlamydia, Gonorrhea, and Syphilis). HIV/AIDS Alabama No data were available. Florida Florida Department of Health Bureau of HIV/AIDS (HSDHIV) 4052 Bald Cypress Way, BIN A09 Tallahassee, Florida 32399-1715 Note: Fewer than 3 cases are suppressed (0s are not suppressed), except for geographical areas with populations of 500,000 or more. State totals include Department of Corrections data. HIV cases of Other/Unknown Race category are included in the totals. Georgia HIV/STD Epidemiology Section 2 Peachtree St., NW Room 14-461 Atlanta, GA 30303 Note: HIV data are not presented. Fewer than 5 cases are suppressed (0s are not suppressed) Kentucky Kentucky Department for Public Health, HIV/AIDS Branch, 275 East Main St. Mail Stop HS2C-A, Frankfort, KY 40621 Note: Only AIDS data are available for Kentucky; Only data for geographic areas where the population size is larger or equal 100,000 are released due to the restrictions of the Kentucky HIV/AIDS data release policy. Mississippi No data were available. North Carolina Epidemiology Section NC Division of Public Health 1902 Mail Service Center Raleigh, NC 27699-1902 124 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV South Carolina Surveillance and Technical Support, Bureau of Disease Control, SC DHEC Note: Fewer than 4 cases are suppressed Tennessee STD/HIV Surveillance Data Manager Tennessee Dept. of Health US MMWR Summary of Notifiable Diseases – US, 2000, CDC, Tables 2, 4, 5, 6. Sexually Transmitted Infections Alabama Alabama Department of Public Health Bureau of Communicable Disease Sexually Transmitted Disease Division Suite 1440 RSA Tower 201 Monroe Street P.O. Box 303017 Montgomery, Alabama 36130-3017 334-206-5350 Note: Syphilis Incidence Data are presented by following races: White, Black. Other/Unknown Race category contains all cases of Hispanic Origin. Cases of Unknown sex are included into the totals. Florida State of Florida Department of Health, Division of Disease Control, Bureau of STD Disease Prevention and Control 4052 Bald Cypress Way Bin # A19 Tallahassee, Florida 32399-1716 Georgia website: http://www.ph.dhr.state.ga.us:8090/ehi/owa/epi_run.call_query Note: Fewer than 5 cases are suppressed (0s are not suppressed). Data on cases of Hispanic Origin are not presented. Cases of mixed race are included in the Other/Unknown Race category. Cases of unknown sex are included in the totals. Kentucky Commonwealth of Kentucky, Cabinet for Health Services, Department for Public Health, 275 East Main St, Frankfort, KY 40621-0001 Note: Data by Race/Gender breakdowns are presented on the state level only. Other/Unknown Race category contains all cases of Hispanic Origin. Cases of Unknown sex are included into the totals. 125 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Mississippi No data were available. North Carolina Epidemiology Section NC Division of Public Health 1902 Mail Service Center Raleigh, NC 27699-1902 Note: Other/Unknown Race category contains all cases of Hispanic Origin. Surveillance and Technical Support, Bureau of Disease Control, SC DHEC Note: Cases of Unknown sex are included in the totals. South Carolina Tennessee US STD/HIV Surveillance Data Manager Tennessee Dept. of Health MMWR Summary of Notifiable Diseases-US, 2000, Tables 2, 4, 5, 6 found at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4953a1.htm Note: No race detail available by gender. Hepatitis Alabama Alabama Department of Public Health Bureau of Communicable Disease Communicable Disease Branch 201 Monroe Street, RSA Tower Montgomery, AL 36130 Note: Other/Unknown Race category contains all cases of Hispanic Origin. Florida Bureau of Epidemiology, Florida Department of Health Georgia website: http://www.ph.dhr.state.ga.us:8090/ehi/owa/epi_run.call_query Note: Fewer than 5 cases are suppressed (0s are not suppressed). Data on cases of Hispanic Origin are not presented. Cases of mixed race are included into the Other/Unknown Race category. Cases of unknown sex are included in the totals. Kentucky Department for Public Health, Epidemiology & Health Planning, Surveillance & Health Data Branch, 275 East Main Street – HS1E-C Frankfort, KY 40621 Mississippi Office of Epidemiology, Mississippi State Department of Health, 570 East Woodrow Wilson P/O Box 1700 Jackson, MS 39215-1700 Note: Data on cases of Hispanic Origin are not presented. 126 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV North Carolina Epidemiology Section NC Division of Public Health 1902 Mail Service Center Raleigh, NC 27699-1902 Note: Cases of Unknown sex are included in the totals. South Carolina Tennessee No data were available. Surveillance Program Director, Communicable and Environmental Disease Services, Tennessee Department of Health Note: Cases of Unknown sex are included in the totals. US MMWR Summary of Notifiable Diseases-US, 2000, Tables 2, 4, 5, and 6 found on-line at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4953a1.htm Note: No race detail available by gender. Tuberculosis Alabama Alabama Department of Public Health Bureau of Communicable Disease Tuberculosis Control Division 201 Monroe Street, RSA Tower Montgomery, AL 36130 Florida Bureau of TB and Refugee Health, 4052 Bald Cypress Way, BIN # A-20, Tallahassee, Florida 32399-1717 Note: Other/Unknown Race category contains all cases of Hispanic Origin. Georgia Tuberculosis Epidemiology Section, Georgia Department of Human Resources, Division of Public Health Note: Fewer than 5 cases are suppressed (0s are not suppressed). Other/Unknown Race category contains all cases of Hispanic Origin. Kentucky Division of Epidemiology and Health Planning, Kentucky State Department for Public Health, 275 East Main Street, HS2C-B, Frankfort, KY 40621 Note: Other/Unknown Race category contains all cases of Hispanic Origin. 127 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Mississippi Office of Epidemiology, Mississippi State Department of Health, 570 East Woodrow Wilson P/O Box 1700 Jackson, MS 39215-1700 Note: Other/Unknown Race category contains all cases of Hispanic Origin North Carolina Epidemiology Section NC Division of Public Health 1902 Mail Service Center Raleigh, NC 27699-1902 South Carolina Surveillance and Technical Support, Bureau of Disease Control SC DHEC Tennessee Tennessee Department of Health, Communicable and Environmental Disease Services Section, Division of Tuberculosis Control, 4th Floor, Cordell Hull Bldg. 425 Fifth Avenue, North Nashville, TN 37247-4911 US MMWR Summary of Notifiable Diseases-US, 2000, Tables 2, 4, 5, 6 found at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4953a1.htm Additional report summarizing TB: Reported Tuberculosis in the United States, 2000, Table 11, found at http://www.cdc.gov/nchstp/tb/surv/surv2000/default.htm CANCER Cancer data were obtained from two sources: data for the 42 reporting states and 26 areas providing county data were obtained from the Centers for Disease Control and Prevention's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS). To the extent greater geographic and gender/race detail could be obtained from each of the states, these data were obtained directly from each of the states. Invasive cancer counts are included for Urinary Bladder (which includes in situ), Brain, Breast, Colorectal, Corpus Uterus (female), Kidney and Renal Pelvis, Leukemia, Lung and Bronchus, Melanoma of the Skin, Ovarian (female), Prostate (male), Stomach, Thyroid. The category All Cancers includes those sites shown as well as those not shown. Cancer sites for each state are only different where noted. Counts are for year 2000 unless noted. State sources are: 128 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Alabama Alabama Department of Public Health Bureau of Health Promotion and Chronic Disease Cancer Prevention Branch 201 Monroe Street, RSA Tower Montgomery, AL 36130 Note: Fewer than 6 cases are suppressed. Florida website http://fcds.med.miami.edu/stats/2000/i00/index.html Note: By race data are not available. Georgia Georgia Comprehensive Cancer Registry 2 Peachtree St NW Ste 14.292 Atlanta, GA 30303-3142 Note: Fewer than 5 cases are suppressed. Data are presented by following races: White, Black. Kentucky No data were available. Mississippi No data were available. North Carolina State Center for Health Statistics NC Division of Public Health 1908 Mail Service Center Raleigh, NC 27699-1908 Note: Total State Cases are not available by Hispanic ethnicity. County specific cases are not available for Thyroid Cancer (all races) or by any of the racial or ethnic groups. Fewer than 5 cases are suppressed (0s are not suppressed). South Carolina South Carolina Central Cancer Registry Office of Public Health Statistics and Information Services South Carolina Department of Health and Environmental Control 2600 Bull Street, Columbia, SC 29201 Note: Fewer than 5 cases are suppressed; 5 to 10 cases are shown as 10 Tennessee No data were available. US Cancer Facts & Figures 2000, American Cancer Society, Inc., on-line at www.cancer.org Note: Estimates only. Brain includes Other Nervous System. In addition to collecting cancer data from the individual states, 2000 Cancer data were obtained from the National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS), Centers for Disease Control and Prevention, from data submitted to NPCR-CSS in January 2003 129 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV by state health department or their designees, and by the National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) Program, from data submitted to SEER by state and metropolitan area central cancer registries for SEER’s November 2002 data submission. Data were provided for states meeting the following data criteria for all sites combined for each year presented: case ascertainment is at least 90% complete; > 97% of cases pass a standard set of computerized edits (i.e., a standard set of logic error checks which does not alter the data); < 5% of cases were reported by death certificate only (DCO); < 3% of cases are missing information on sex; < 5% of cases are missing information on race; and < 3% of cases are missing information on age. County tables present three-year (1998-2000) averages for case counts rounded to whole numbers, with incidence less than six suppressed. State tables present 2000 incidence, crude rates and age-adjusted rates (no age-adjusted rates are available for male and female combined); when fewer than 16 cases have been reported for a specific cancer site-race category, rates and counts are suppressed, but the suppressed cases are included in the calculations of rates for the US. Races presented are White, Black, and all races combined. MENTAL HEALTH Limited indicators of mental health are available. Two of the primary sources are the CDC’s Youth Risk Behavior Survey (YRBS) and Behavior Risk Factor Surveillance System (BRFSS), both of which are samples with relatively small numbers of respondents. The intent of these surveys is to provide a composite picture of the behaviors of high school students and members of the population 18 years and older, respectively. Although attempts were made to further refine these estimates to the county level, analysis indicated that with so few respondents to the specific topic areas, any derived county estimates would be misleading. As such, data are provided from these surveys only at the state level. Other surveys were reviewed for possible inclusion, but the sources indicated the surveys were not designed to be used at the county level, or even at the state level (e.g., the NHIS). YRBS data by race are not available at the state level, but BRFSS data by race is available. The BRFSS data presented in this database by race are for Total, White (Non-Hispanic and Hispanic), Black (Non-Hispanic and Hispanic), and Hispanic. The white and black categories will not match those presented on the CDC’s website, because those are white non-Hispanic and black Non-Hispanic even though they are stated as white and black. Poor mental health was calculated using the CDC’s 2001 BRFSS and is defined as the percent of population indicating they had more than eight poor mental health days in the month prior to the survey. High school students feeling persistent sadness, considering, attempting, making a plan for, and requiring medical assistance from attempting suicide are from the 2001 YRBS, which is only available every other year. 130 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Mortality statistics were calculated using the 2000 NCHS Mortality Detail File. Rates were calculated using the 2000 bridge population, as described in the Mortality section. three-year averages are not provided for deaths from mental disorders because data are not comparable between ICD-9 and ICD-10. The mental health mortality data were suppressed at the county level if the number of events was fewer than five. 2000 causes of death from mental disorders are defined as follows: Mental and Behavioral Disorders Organic dementia Other and unspecified organic mental disorders Mental and behavioral disorders due to psychoactive substance use Mental and behavioral disorders due to use of alcohol Mental and behavioral disorders due to other psychoactive substance use Schizophrenia, schizotypal and delusional disorders Mood (affective) disorders Neurotic, stress-related and somatoform disorders Mental retardation Other and unspecified mental and behavioral disorders ICD-10 Codes F01-F99 F01 – F03 F04-F09 F10-F19 F10 F11-F19 F20-F29 F30-F39 F40-F48 F70-F79 F50-F69, F80-F99 REPRODUCTIVE AND MATERNAL HEALTH Reproductive and maternal health statistics were calculated using the 1998-2000 National Center for Health Statistics National Vital Statistics System Detail Natality Files. Rates were calculated using the 2000 age, race, gender bridge population Census data, as described in Demographics. Data are available at the county level, and are based on place of residence. The primary issue with these data is the handling and interpretation of very small numbers at the county level. Such data (1) can present a distorted view of an area when taken as a single point in time, and (2) are restricted in use due to privacy guidelines when fewer than three cases occur in an area. Therefore, data were screened to ensure no data were inappropriately presented. Some data presented in more detail at the state level have been consolidated or omitted from the county data tables because of very small numbers. Incidence data of fewer than five occurrences and the associated rates are suppressed and presented as blanks in the database. Additionally, three year average data are provided. These data do not have the same restrictions; occurrences are unsuppressed to enable aggregation to higher geographic levels; rates for fewer than five occurrences are suppressed. Not all data are available for all states. Nebraska and Texas do not report birth injuries. New Mexico does not report any congenital anomalies. New York City does not report data on assisted ventilation after birth. As a result, the New York state level figures do not include values for New York City, that is the sum of the state excludes the counties Bronx (36005), Kings (36047), New York (36061), Queens (36081), and Richmond (36085). 131 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV For 1998, 1999, and 2000, Texas does not report cases of Herpes. California, for all three years, and South Dakota, for 1998 and 1999, do not report cases of tobacco or alcohol use during pregnancy. For 1998 and 1999, Indiana and New York State report tobacco use, but not the same way as NCHS, so they are not reported in the total. In this case, the New York state level figures represent the values for New York City only, that is, the sum the counties Bronx (36005), Kings (36047), New York (36061), Queens (36081), and Richmond (36085). For all three years, California does not report mothers’ weight gain. Further, some data presented in more detail at the state level have been consolidated or omitted from the county data tables because of very small numbers. Incidence data of four or fewer occurrences and the associated rates are presented as blanks in the database. Births are reported by place of residence of the mother. Rates were developed to be consistent with data prepared by NCHS, and as such used the bridge 2000 population developed by NCHS in collaboration with the US Census Bureau. The bridge population serves to condense the 31 race categories used in census 2000, as required by the OMB’s 1997 standards for race and ethnicity data collection, to the four race categories specified by the 1977 standards, namely white, black, American Indian, and Asian/Pacific Islander. Transition to the 1997 standards is still under way in the vital statistics program. Pregnancy Rates were calculated using live births, fetal deaths, and intentional termination of pregnancy (ITOP, or abortion) data. Because the ITOP data was acquired from the states, the data may be missing procedures performed to residents out of state. As a result, the calculated pregnancy rates may be lower than the actual rates. Some pregnancy related variables were obtained from the Pregnancy Risk Assessment Monitoring System (PRAMS). The source for these variables was MMWR, April 26, 2002 / 51(SS02);1–26. Additional data were collected from the individual states regarding fetal deaths and abortions. These data were not always available at the county level and sometimes were suppressed due to small numbers of occurrences. Abortion data are by county of residence, unless otherwise noted. Abortion and Fetal Death data were acquired from the following sources with limitations, as noted: Fetal Deaths Alabama Alabama Department of Public Health Bureau of Information Services Center for Health Statistics 201 Monroe Street, RSA Tower Montgomery, AL 36130 132 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Florida Florida Department of Health Office of Vital Statistics Public Health Statistics Section P.O. Box 210 Jacksonville, FL 32231-0042 Georgia Health Information and Policy, 2 Peach Street S15213 Atlanta, GA 30303-3142 Surveillance & Health Data Branch Division of Epidemiology & Health Planning Kentucky Dept. for Public Health 275 E. Main St. HS1E-C Frankfort, Kentucky 40621 Kentucky Mississippi No data were available. North Carolina State Center for Health Statistics NC Division of Public Health 1908 Mail Service Center Raleigh, NC 27699-1908 South Carolina Division of Biostatistics and Health GIS Public Health Statistics and Information Services South Carolina Department of Health and Environmental Control Tennessee Health Statistics and Research Cordell Hull Bldg., 4th Floor 425 Fifth Avenue North Nashville, TN 37247 US Computed from fetal mortality rate in Table 23 of Health, US, 2002, with Chartbook on Trends in the Health of Americans, Hyattsville, MD: 2002, and reflects fetal deaths of 20 weeks or more gestation. Note: White and Black only; no Hispanic rates reported. Abortions (Intentional Termination of Pregnancy) Alabama Alabama Department of Public Health Bureau of Family Health Services Women's and Children's Health Division 201 Monroe Street, RSA Tower Montgomery, AL 36130 133 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Florida Georgia Florida Department of Health Office of Vital Statistics Public Health Statistics Section P.O. Box 210 Jacksonville, FL 32231-0042 Note: Data by Race breakdowns are presented on the state level only. Data are presented by county of occurrence. Health Information and Policy, 2 Peach Street S15213 Atlanta, GA 30303-3142 Kentucky Vital Statistics Branch Division of Epidemiology and Health Planning Department for Public Health Cabinet for Health Services 275 East Main Street 1E-A Frankfort Kentucky 40621 Note: Data by Race breakdowns are presented on the state level only. Data are presented by following races: White, Black, and Other/Unknown. Data are presented by county of occurrence for selected counties. Mississippi No data were available. An estimate of the number of abortions obtained in Mississippi is provided in the database. This estimate can be found in the state profiles for abortion at www.agi-usa.org and is rounded to the nearest ten. Estimates include resident and non-resident abortions. North Carolina State Center for Health Statistics NC Division of Public Health 1908 Mail Service Center Raleigh, NC 27699-1908 South Carolina Division of Biostatistics and Health GIS Public Health Statistics and Information Services South Carolina Department of Health and Environmental Control Tennessee Health Statistics and Research Cordell Hull Bldg., 4th Floor 425 Fifth Avenue North Nashville, TN 37247 US Table 17, Health, United States, 2000 With Adolescent Health Chartbook, Hyattsville, Maryland: 2000. http://www.cdc.gov/nchs/data/hus/hus00.pdf 134 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Maternal health statistics also have all the same data limitations and restrictions as those described for mortality and reproductive health. In addition, not all states collect data in all categories. For 1998, 1999, and 2000, Texas does not report cases of Herpes. California, for all three years, and South Dakota, for 1998 and 1999, do not report cases of tobacco or alcohol use during pregnancy. For 1998 and 1999, Indiana and New York State report tobacco use, but not the same way as NCHS, so they are not reported in the total. In this case, the New York state level figures represent the values for New York City only, that is the sum the counties Bronx (36005), Kings (36047), New York (36061), Queens (36081), and Richmond (36085). For all three years, California does not report mothers’ weight gain. Maternal Health statistics were calculated using the 2000 NCHS Natality Detail Files. Rates were calculated using the 2000 age, race, gender bridge population Census data, as described in Demographics. Single year Maternal Health statistics were suppressed at the county level for fields where the number of occurrences was 1, 2, 3, or 4. VIOLENCE AND ABUSE Many different agencies and organizations were contacted in an attempt to obtain local level statistics. The only source that could provide fairly detailed and comprehensive data across the region was the FBI. The FBI collects data from law enforcement agencies across the nation on a voluntary basis. No attempt has been made to adjust for underreporting nor have adjustments been made in the file to reflect prior year changes. Totals in the database do not always equal race/gender specific detail because race and gender are not always known. Totals of Frontier/Not Frontier and Urban/Rural/Metro designations will not equal the totals for the region or for the nation because some of the data are from unknown counties and therefore cannot be classified under those designations. The FBI statistics had to be coded and deciphered before being presented in this database. An extensive amount of processing was required. Homicide data come from the FBI in a file that contains each individual case: cases had to processed for the relevant variables (race, sex, relationship of victim to offender) and summed to the state level. Murders, Rapes, Robberies, and Assaults data come in a month-by-month file that contains negative numbers to adjust for misreported information in previous months. Homicide rates are per 100,000 population. Many indicators, such as assault against women, are not available at the state or local levels. In general, very little gender-specific data were available. The exceptions were for homicide/manslaughter and rape. The FBI’s rape data only includes rapes perpetrated against women. 135 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Data are missing for homicide from the District of Columbia and Florida. Homicide data for the District of Columbia and Florida were requested from the individual states, as were rape data for Illinois and Delaware. Florida’s homicide data had a different format than the FBI data and as a result, the offender count is unknown. Rape data for Illinois and Delaware may contain rapes perpetrated against men as well as women whereas the FBI file only contains rapes perpetrated against women. The data will not match the FBI’s Crime in the US because that file was created in April 2000. However, it does match other reports from the FBI. Data reported are by place of occurrence, not residence. They reflect a 95% report rate. Overall crime statistics were obtained from the 2000 FBI Uniform Crime Statistics files. Homicide data were calculated using the 2000 FBI Supplementary Homicide Report data files. ILLNESS PREVENTION Data were obtained from the CDC’s Behavioral Risk Factor Surveillance System, or BRFSS and the Youth Risk Behavior Surveillance System, YRBS, which represented the only data available on certain topics. The BRFSS is conducted annually and the YRBS is conducted biennially. Data from these sources are based on samples of the population. Because of the small sample sizes, no reliable estimates could be made at the county level. Complete documentation on survey methodology, historic information, confidence intervals, etc. can be found at the websites: http://www.cdc.gov/brfss/about.htm and http://www.cdc.gov/nccdphp/dash/yrbs. Illness prevention data for adults was processed using the CDC’s 2001 BRFSS. For the BRFSS, the US value was calculated using the values from all of the states, whereas the BRFSS website gives the US value as the median of the states. Illness prevention data for teenagers were obtained from the CDC’s 2001 YRBS. Alaska, Arizona, California, Connecticut, Georgia, Kansas, Maryland, Minnesota, New Mexico, Ohio, Oklahoma, Oregon, Pennsylvania, Virginia, Washington and West Virginia are all lacking data for 2001. There are several data items missing, primarily due to the states not asking a particular question, as outlined below with the individual questions. Participation in vigorous exercise is defined by the YRBS as participating in “activities that made students sweat and breathe hard for >= 20 minutes on >= 3 of the 7 days preceding the survey.” Participation in moderate exercise is defined by the YRBS as participating in “activities that did not make students sweat or breathe heard for >= 30 minutes on >= 5 of the 7 days preceding the survey. 136 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Some YRBS data are weighted and as a result, the sum of the sample student size in the states is more than the US total. All of the participating states are listed below as either weighted or unweighted. Weighted Alabama Arkansas Delaware Florida Idaho Maine Massachusetts Michigan Mississippi Missouri Montana Nevada New Jersey North Carolina North Dakota Rhode Island South Dakota Texas Utah Vermont Wisconsin Wyoming Unweighted Colorado District of Columbia Hawaii Illinois* Indiana Iowa Kentucky Louisiana* Nebraska New Hampshire New York* South Carolina Tennessee * survey lacked one of the state’s largest districts ACCESS TO CARE These data were available at the county level and are from sources that are often available on an annual basis. While many areas of interest (e.g., greater information regarding health professionals) are not currently available, they are in the process of being collected by the Bureau of Health Professions of DHHS/HRSA, and should be available for future assessment. For example, data are currently being collected for certified nurse midwives, RNs, LPNs, and pharmacists. Access to Health Care data were calculated using the Health Resources and Services Administration, Bureau of Health Professions’ Area Resource File (ARF) (February 2003). Original source data are: 137 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 Health Professions Shortage Area (HPSA) codes are from the Bureau of Primary Health Care, Health Resources and Services Administration. 2000 Hospital Facilities data are from the 2000 American Hospital Association’s Annual Survey of Hospitals. 2000 M.D. Physicians data are from the 2000 American Medical Association Physician Masterfiles. These numbers include only MD’s, not DO’s. 2001 D.O. Physicians data are from the American Osteopathic Association. 2001 Chiropractors were prepared by the Palmer Center for Chiropractic Research under contract to Bureau of Health Professions, Health Resources and Services Administration. 2001 Nurse Practitioners data are from 2001 American Academy of Nurse Practitioners Survey. 1998 Dentists data are from the 1998 ADA Distribution of Dentists in the United States by Region and State. 2001 Physicians Assistants data are from the American Academy of Physician Assistants File. 2000 Home Health Agencies, Rural Health Centers, Community Mental Health Centers, and Federally Qualified Health Centers data are from the 2000 Centers for Medicare and Medicaid Services (formerly Health Care Financing Administration) Provider of Services file. 2000 Total Registered Nurses and 2000 Registered Nurses employed in nursing are from the Bureau of Health Professions, National Center for Health Workforce Analysis, National Sample Survey of Registered Nurses located at http://bhpr.hrsa.gov/healthworkforce/data/nurse.htm. Additionally, 1998 Licensed Practical Nurses, 1998 Nurse Practitioners, 2000 Certified Nurse Midwives, 1997 Certified Registered Nurse Anesthetists, 1998 Psychiatrists, 1998 Social Workers, and 1998 Pharmacists are from the Bureau of Health Professions, National Center for Health Workforce Analysis, State Health Profiles, located at http://bhpr.hrsa.gov/healthworkforce/reports/profiles/default.htm. All other health providers (e.g., therapists, psychologists, etc.) are from the 2000 Census EEO Employment File. The data for the percentage of women living in a county without an abortion provider came from the National Women’s Law Center’s 2001 publication of Making the Grade on Women’s Health. The original source for the data is Stanley K. Henshaw, “Abortion Incidence and Services in the United States, 1995-1996,” Family Planning Perspectives 30 (November/December 1998), 263-270, 287. Regional values were calculated using the female 138 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV population of the states along with the percent living in a county without an abortion provider. As the publication explains on page 152, “This measure includes women age 15 to 44 living in a county without an abortion provider (defined as a place where abortions are performed, e.g., a hospital, clinic, or physician’s office). If an organization offers abortion services at more than one location, each service site is counted as a provider. The number of providers is different than the number of physicians who perform abortions, because one physician could be responsible for services in several facilities, and several physicians could perform abortions in a single setting. An abortion is defined as ‘any procedure, including menstrual extraction and menstrual regulation, intended to terminate a pregnancy.’” Health Professional Shortage Areas The 2000 and 2001 Health Professional Shortage Area (HPSA) codes for Primary Medical Care, Dentists and Mental Health Professionals are from the Bureau of Primary Health Care, DHHS. HPSA data for Primary Care Physicians and Dentists are defined as follows: 1) For Critical Physician Shortage, the identifying CHP Agency must have indicated a shortage of physicians in primary care (i.e., M.D.'s and D.O.'s practicing general or family medicine, internal medicine, pediatrics, obstetrics/gynecology, and those general surgeons who spend 50% or more of their patient care time in primary care practice). The proposed shortage area must have a primary care physician-to-population ratio of less than 1:4000. 2) For Critical Dental Shortage, the identifying CHP Agency must have indicated a shortage of dentists in general practice. If the area is an entire county, the overall dentist-to-population ratio (including both general and specialty dentists) in the county within which the area is located must be less than 1:5000. 3) The criteria for psychiatric HPSA's were expanded to mental health HPSA's in 1992 as published in the Federal Register, Vol. 57, No. 14; Wednesday, January 22, 1992. To be designated as having a shortage of mental health professionals, a geographic area must meet the following criteria where core mental health professionals include those psychiatrists, clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists who meet the definitions set forth in the ruling. Refer to the Federal Register publication for more information A. The area is a rational area for the delivery of mental health services. B. One of the following conditions prevails within the area: 1. The area has: a) population-to-core-mental-health-professional ratio greater than or equal to 6,000:1 and a population-to-psychiatrist ratio greater than or equal to 20,000:1, or b) a population-to-core-professional ratio greater than or equal to 9,000:1, or c) a population-to-psychiatrist ratio greater than or equal to 30,000:1; 139 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2. The area has unusually high needs for mental health services, and has: a) population-to-core-mental-health-professional ratio greater than or equal to 4,500:1 and a population-to-psychiatrist ratio greater than or equal to 15,000:1, or b) a population-to-core-professional ratio greater than or equal to 6,000:1, or c) a population-to-psychiatrist ratio greater than or equal to 20,000:1; C. Mental health professionals in contiguous areas are overutilized, excessively distant or inaccessible to residents of the area under consideration. 4) Since April 1980, HPSA data classify counties as follows: 0 = None of the county designated as a shortage area; 1 = The whole county was designated as a shortage area; 2 = One or more parts of the county was designated as a shortage area. More detailed HPSA information can be found at http://belize.hrsa.gov/newhpsa/newhpsa.cfm. 140 Quality Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV APPENDIX B: STATE LEVEL DETAILED DATA B.1: FEMALE POPULATION BY RACE/ETHNICITY AND AGE: 2000 Total <15 White Female Population 15 - 19 20 - 24 25 – 44 45 - 64 65 - 84 85+ Alabama 1,618,383 100.0% 290,207 17.9% 101,601 6.3% 99,493 6.1% 453,788 28.0% 398,110 24.6% 237,030 14.6% 38,154 2.4% Florida 6,382,195 100.0% 1,010,632 15.8% 336,636 5.3% 309,775 4.9% 1,707,530 26.8% 1,566,219 24.5% 1,248,317 19.6% 203,086 3.2% Georgia 2,684,658 100.0% 512,304 19.1% 167,914 6.3% 165,660 6.2% 831,114 31.0% 640,421 23.9% 316,732 11.8% 50,513 1.9% Kentucky 1,864,475 348,566 124,795 122,695 546,698 440,044 241,904 39,773 100.0% 18.7% 6.7% 6.6% 29.3% 23.6% 13.0% 2.1% 890,155 162,013 60,058 56,921 244,923 214,291 129,738 22,211 100.0% 18.2% 6.7% 6.4% 27.5% 24.1% 14.6% 2.5% 2,951,945 100.0% 521,522 17.7% 172,628 5.8% 180,790 6.1% 881,875 29.9% 722,516 24.5% 408,733 13.8% 63,881 2.2% 1,371,361 100.0% 241,995 17.6% 85,899 6.3% 85,253 6.2% 394,811 28.8% 343,176 25.0% 192,348 14.0% 27,879 2.0% Tennessee 2,334,309 100.0% 418,210 17.9% 145,613 6.2% 144,623 6.2% 683,283 29.3% 572,857 24.5% 317,479 13.6% 52,244 2.2% Region IV 20,097,481 100.0% 3,505,449 1,195,144 1,165,210 17.4% 5.9% 5.8% 5,744,022 28.6% 4,897,634 24.4% 3,092,281 15.4% 497,741 2.5% Mississippi North Carolina South Carolina US Total 107,687,432 20,008,342 6,879,090 6,388,969 31,104,935 25,490,101 15,125,868 2,690,127 100.0% 18.6% 6.4% 5.9% 141 28.9% 23.7% 14.0% 2.5% Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Black/African American Female Population 15 - 19 20 - 24 25 – 44 45 – 64 Total <15 619,936 100.0% 146,926 23.7% 53,286 8.6% 50,253 8.1% 182,238 29.4% 117,851 19.0% 58,558 9.4% 10,824 1.7% Florida 1,214,385 100.0% 317,483 26.1% 106,088 8.7% 93,263 7.7% 373,307 30.7% 220,351 18.1% 91,212 7.5% 12,681 1.0% Georgia 1,241,597 100.0% 310,382 25.0% 99,513 8.0% 96,689 7.8% 411,778 33.2% 224,957 18.1% 83,976 6.8% 14,302 1.2% Kentucky 151,915 36,334 12,398 12,219 46,208 28,698 13,591 2,467 100.0% 23.9% 8.2% 8.0% 30.4% 18.9% 8.9% 1.6% Mississippi 549,440 142,490 51,599 46,511 159,700 95,462 45,025 8,653 100.0% 25.9% 9.4% 8.5% 29.1% 17.4% 8.2% 1.6% 921,278 100.0% 215,504 23.4% 69,671 7.6% 69,157 7.5% 287,679 31.2% 181,763 19.7% 84,197 9.1% 13,307 1.4% 630,374 100.0% 150,924 23.9% 53,294 8.5% 47,404 7.5% 186,835 29.6% 126,522 20.1% 56,415 8.9% 8,980 1.4% 494,226 100.0% 122,706 24.8% 39,608 8.0% 38,720 7.8% 153,974 31.2% 92,199 18.7% 40,100 8.1% 6,919 1.4% Region IV 5,823,151 100.0% 1,442,749 24.8% 485,457 8.3% 454,216 7.8% 1,801,719 30.9% 1,087,803 18.7% 473,074 8.1% 78,133 1.3% US Total 18,193,005 4,495,560 1,446,788 1,348,124 5,647,355 3,506,393 1,520,276 228,509 31.0% 19.3% 8.4% 1.3% Alabama North Carolina South Carolina Tennessee 100.0% 24.7% 8.0% 7.4% 142 65 – 84 85+ Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Total American Indian/Alaskan Native Female Population <15 15 - 19 20 - 24 25 – 44 45 - 64 65 – 84 85+ Alabama 11,161 100.0% 2,405 21.5% 1,067 9.6% 858 7.7% 3,655 32.7% 2,517 22.6% 598 5.4% 61 0.5% Florida 25,798 100.0% 5,663 22.0% 1,978 7.7% 1,778 6.9% 8,718 33.8% 5,878 22.8% 1,611 6.2% 172 0.7% Georgia 10,085 100.0% 2,225 22.1% 764 7.6% 796 7.9% 3,575 35.4% 2,222 22.0% 454 4.5% 49 0.5% 4,163 837 329 288 1,469 935 276 29 100.0% 20.1% 7.9% 6.9% 35.3% 22.5% 6.6% 0.7% 5,915 1,649 583 488 1,756 1,103 299 37 100.0% 27.9% 9.9% 8.3% 29.7% 18.6% 5.1% 0.6% 50,476 100.0% 12,337 24.4% 4,116 8.2% 3,992 7.9% 15,753 31.2% 10,434 20.7% 3,479 6.9% 365 0.7% 6,786 100.0% 1,522 22.4% 571 8.4% 543 8.0% 2,285 33.7% 1,476 21.8% 356 5.2% 33 0.5% Tennessee 7,238 100.0% 1,428 19.7% 538 7.4% 508 7.0% 2,522 34.8% 1,782 24.6% 422 5.8% 38 0.5% Region IV 121,622 100.0% 28,066 23.1% 9,946 8.2% 9,251 7.6% 39,733 32.7% 26,347 21.7% 7,495 6.2% 784 0.6% 1,241,974 342,863 113,001 95,894 382,248 228,783 70,962 8,223 100.0% 27.6% 9.1% 7.7% 30.8% 18.4% 5.7% 0.7% Kentucky Mississippi North Carolina South Carolina US Total 143 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Total <15 Asian/Pacific Islander Female Population 15 - 19 20 - 24 25 – 44 45 - 64 65 - 84 85+ Alabama 17,258 100.0% 3,268 18.9% 1,196 6.9% 1,409 8.2% 6,566 38.0% 3,884 22.5% 898 5.2% 37 0.2% Florida 146,421 100.0% 25,974 17.7% 10,016 6.8% 10,671 7.3% 54,644 37.3% 35,035 23.9% 9,491 6.5% 590 0.4% Georgia 90,233 100.0% 18,152 20.1% 6,486 7.2% 7,327 8.1% 36,124 40.0% 17,922 19.9% 4,000 4.4% 222 0.2% 16,240 3,268 1,057 1,456 6,464 3,193 760 42 100.0% 20.1% 6.5% 9.0% 39.8% 19.7% 4.7% 0.3% 10,241 2,068 802 816 3,810 2,150 555 40 100.0% 20.2% 7.8% 8.0% 37.2% 21.0% 5.4% 0.4% 60,586 100.0% 13,361 22.1% 4,500 7.4% 5,232 8.6% 23,514 38.8% 11,273 18.6% 2,558 4.2% 148 0.2% 19,823 100.0% 3,623 18.3% 1,463 7.4% 1,591 8.0% 7,514 37.9% 4,551 23.0% 1,020 5.1% 61 0.3% Tennessee 30,584 100.0% 6,181 20.2% 2,238 7.3% 2,652 8.7% 11,818 38.6% 6,201 20.3% 1,402 4.6% 92 0.3% Region IV 391,386 100.0% 75,895 19.4% 27,758 7.1% 31,154 8.0% 150,454 38.4% 84,209 21.5% 20,684 5.3% 1,232 0.3% 5,490,463 1,048,725 383,885 427,037 1,971,268 1,187,685 433,061 38,802 100.0% 19.1% 7.0% 7.8% 35.9% 21.6% 7.9% 0.7% Kentucky Mississippi North Carolina South Carolina US Total 144 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Total <15 15 - 19 Asian Female Population 20 - 24 25 – 44 45 - 64 65 - 84 85+ Alabama 16,595 100.0% 3,109 18.7% 1,141 6.9% 1,344 8.1% 6,353 38.3% 3,762 22.7% 853 5.1% 33 0.2% Florida 142,284 100.0% 25,121 17.7% 9,643 6.8% 10,201 7.2% 53,223 37.4% 34,276 24.1% 9,266 6.5% 554 0.4% Georgia 88,322 100.0% 15,534 100.0% 9,907 100.0% 17,676 20.0% 3,095 19.9% 1,999 20.2% 6,325 7.2% 987 6.4% 772 7.8% 7,078 8.0% 1,358 8.7% 783 7.9% 35,416 40.1% 6,243 40.2% 3,698 37.3% 17,670 20.0% 3,082 19.8% 2,083 21.0% 3,946 4.5% 730 4.7% 534 5.4% 211 0.2% 39 0.3% 38 0.4% 58,783 100.0% 12,923 22.0% 4,337 7.4% 4,981 8.5% 22,875 38.9% 11,021 18.7% 2,504 4.3% 142 0.2% 19,073 100.0% 3,451 18.1% 1,408 7.4% 1,503 7.9% 7,242 38.0% 4,428 23.2% 987 5.2% 54 0.3% Tennessee 29,556 100.0% 5,943 20.1% 2,151 7.3% 2,517 8.5% 11,463 38.8% 6,046 20.5% 1,350 4.6% 86 0.3% Region IV 380,054 100.0% 73,317 19.3% 26,764 7.0% 29,765 7.8% 146,513 38.6% 82,368 21.7% 20,170 5.3% 1,157 0.3% 5,294,257 997,391 365,951 408,587 1,907,690 1,154,248 422,718 37,672 100.0% 18.8% 6.9% 7.7% 36.0% 21.8% 8.0% 0.7% Kentucky Mississippi North Carolina South Carolina US Total 145 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Total Native Hawaiian/Other Pacific Islander Female Population <15 15 - 19 20 - 24 25 – 44 45 - 64 65 - 84 85+ Alabama 663 100.0% 159 24.0% 55 8.3% 65 9.8% 213 32.1% 122 18.4% 45 6.8% 4 0.6% Florida 4,137 100.0% 853 20.6% 373 9.0% 470 11.4% 1,421 34.3% 759 18.3% 225 5.4% 36 0.9% Georgia 1,911 100.0% 706 100.0% 334 100.0% 476 24.9% 173 24.5% 69 20.7% 161 8.4% 70 9.9% 30 9.0% 249 13.0% 98 13.9% 33 9.9% 708 37.0% 221 31.3% 112 33.5% 252 13.2% 111 15.7% 67 20.1% 54 2.8% 30 4.2% 21 6.3% 11 0.6% 3 0.4% 2 0.6% 1,803 100.0% 438 24.3% 163 9.0% 251 13.9% 639 35.4% 252 14.0% 54 3.0% 6 0.3% 750 100.0% 172 22.9% 55 7.3% 88 11.7% 272 36.3% 123 16.4% 33 4.4% 7 0.9% Tennessee 1,028 100.0% 238 23.2% 87 8.5% 135 13.1% 355 34.5% 155 15.1% 52 5.1% 6 0.6% Region IV 11,332 100.0% 2,578 22.7% 994 8.8% 1,389 12.3% 3,941 34.8% 1,841 16.2% 514 4.5% 75 0.7% US Total 196,206 51,334 17,934 18,450 63,578 33,437 10,343 1,130 100.0% 26.2% 9.1% 9.4% 32.4% 17.0% 5.3% 0.6% Kentucky Mississippi North Carolina South Carolina 146 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Total <15 Some Other Race Female Population 15 - 19 20 - 24 25 – 44 45 - 64 65 - 84 85+ Alabama 11,494 100.0% 4,124 35.9% 1,095 9.5% 1,428 12.4% 3,820 33.2% 859 7.5% 146 1.3% 22 0.2% Florida 228,594 100.0% 63,953 28.0% 22,453 9.8% 23,415 10.2% 77,936 34.1% 31,115 13.6% 8,781 3.8% 941 0.4% Georgia 77,222 100.0% 25,767 33.4% 7,254 9.4% 10,488 13.6% 27,155 35.2% 5,577 7.2% 878 1.1% 103 0.1% 8,499 3,419 749 1,002 2,633 570 108 18 100.0% 40.2% 8.8% 11.8% 31.0% 6.7% 1.3% 0.2% 5,169 1,714 512 634 1,734 485 84 6 100.0% 33.2% 9.9% 12.3% 33.5% 9.4% 1.6% 0.1% 72,085 100.0% 24,810 34.4% 6,958 9.7% 10,358 14.4% 24,691 34.3% 4,469 6.2% 731 1.0% 68 0.1% 14,835 100.0% 4,791 32.3% 1,631 11.0% 2,070 14.0% 4,951 33.4% 1,149 7.7% 215 1.4% 28 0.2% Tennessee 21,434 100.0% 7,346 34.3% 2,082 9.7% 2,828 13.2% 7,232 33.7% 1,655 7.7% 266 1.2% 25 0.1% Region IV 439,332 100.0% 135,924 30.9% 42,734 9.7% 52,223 11.9% 150,152 34.2% 45,879 10.4% 11,209 2.6% 1,211 0.3% 7,349,859 2,281,861 699,948 746,086 2,437,296 917,555 242,942 24,171 100.0% 31.0% 9.5% 10.2% 33.2% 12.5% 3.3% 0.3% Kentucky Mississippi North Carolina South Carolina US Total 147 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Total <15 Two or More Races Female Population 15 - 19 20 - 24 25 – 44 45 - 64 65 - 84 85+ Alabama 22,364 100.0% 7,190 32.1% 1,920 8.6% 1,619 7.2% 5,589 25.0% 4,062 18.2% 1,763 7.9% 221 1.0% Florida 187,270 100.0% 55,330 29.5% 15,422 8.2% 14,230 7.6% 56,234 30.0% 31,986 17.1% 12,411 6.6% 1,657 0.9% Georgia 55,545 100.0% 19,973 36.0% 4,532 8.2% 4,773 8.6% 15,968 28.7% 7,484 13.5% 2,535 4.6% 280 0.5% 21,109 8,595 1,699 1,489 4,498 2,984 1,618 226 100.0% 40.7% 8.0% 7.1% 21.3% 14.1% 7.7% 1.1% 10,184 3,464 906 784 2,345 1,700 820 165 100.0% 34.0% 8.9% 7.7% 23.0% 16.7% 8.1% 1.6% 50,248 100.0% 19,891 39.6% 4,234 8.4% 4,561 9.1% 13,057 26.0% 5,935 11.8% 2,246 4.5% 324 0.6% 19,904 100.0% 7,661 38.5% 1,726 8.7% 1,620 8.1% 4,856 24.4% 2,777 14.0% 1,112 5.6% 152 0.8% Tennessee 31,217 100.0% 11,592 37.1% 2,547 8.2% 2,272 7.3% 7,620 24.4% 4,744 15.2% 2,138 6.8% 304 1.0% Region IV 397,841 100.0% 133,696 33.6% 32,986 8.3% 31,348 7.9% 110,167 27.7% 61,672 15.5% 24,643 6.2% 3,329 0.8% 3,405,610 1,221,817 306,174 270,077 928,822 479,533 176,430 22,757 100.0% 35.9% 9.0% 7.9% 27.3% 14.1% 5.2% 0.7% Kentucky Mississippi North Carolina South Carolina US Total 148 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Total Alabama <15 Hispanic/Latino Female Population 15 - 19 20 - 24 25 – 44 45 - 64 65 - 84 85+ 32,710 100.0% 10,259 31.4% 2,854 8.7% 3,484 10.7% 10,368 31.7% 4,038 12.3% 1,486 4.5% 221 0.7% 1,342,606 100.0% 285,555 21.3% 92,737 6.9% 95,949 7.1% 437,109 32.6% 268,564 20.0% 142,656 10.6% 20,036 1.5% 176,943 100.0% 55,612 31.4% 15,206 8.6% 22,043 12.5% 62,427 35.3% 16,968 9.6% 4,205 2.4% 482 0.3% 24,430 7,726 2,114 2,639 7,617 3,103 1,060 171 100.0% 31.6% 8.7% 10.8% 31.2% 12.7% 4.3% 0.7% 16,697 4,897 1,550 1,568 5,121 2,471 967 123 100.0% 29.3% 9.3% 9.4% 30.7% 14.8% 5.8% 0.7% 152,341 100.0% 50,162 32.9% 13,633 8.9% 20,753 13.6% 52,322 34.3% 12,173 8.0% 2,972 2.0% 326 0.2% 38,339 100.0% 11,319 29.5% 3,775 9.8% 4,692 12.2% 12,632 32.9% 4,457 11.6% 1,336 3.5% 128 0.3% 50,527 100.0% 15,894 31.5% 4,480 8.9% 5,831 11.5% 16,832 33.3% 5,624 11.1% 1,655 3.3% 211 0.4% Region IV 1,834,593 100.0% 441,424 24.1% 136,349 7.4% 156,959 8.6% 604,428 32.9% 317,398 17.3% 156,337 8.5% 21,698 1.2% US Total 17,144,023 5,135,565 1,483,090 1,534,288 5,492,325 2,492,038 905,626 101,091 32.0% 14.5% 5.3% 0.6% Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee 100.0% 30.0% 8.7% 8.9% Source: US Bureau of the Census, Census 2000 Females of Hispanic/Latino origin may be of any race. The Asian/Pacific Islander category is the sum of the Asian and the Native Hawaiian/Other Pacific Islander categories. 149 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV B.2: MORTALITY BY RACE/ETHNICITY MORTALITY AL 2000 Female Deaths FL GA KY MS NC SC TN Region IV 22,709 80,309 32,389 20,058 14,498 36,579 18,237 27,973 US 252,752 1,225,773 2000 Female Death Rate 987.1 981.2 778.7 970.7 985.5 890.7 884.0 958.3 926.8 855.0 2000 Female Death Rate (Age Adj) 823.8 666.7 822.9 829.4 869.4 792.9 803.8 826.3 763.1 731.3 1998-2000 Female Deaths 22,406 79,156 31,285 19,686 14,043 35,303 17,774 27,272 246,925 1,207,236 1998-2000 Female Death Rate 983.1 1,004.3 776.9 963.4 969.3 887.5 879.7 955.1 930.6 860.2 1998-2000 Fem Dth Rate (Age Adj) 830.6 818.4 829.1 862.2 781.0 811.6 826.8 766.7 735.9 680.1 2000 Male Deaths 22,353 84,086 31,481 19,446 14,156 35,356 18,711 27,273 2000 Male Death Rate 1,041.4 1,078.3 2000 Male Death Rate (Age Adj) 1,253.6 1998-2000 Male Deaths 22,200 82,773 30,824 19,200 14,185 34,539 18,169 26,870 781.7 984.4 1,030.6 1,051.8 1,110.3 1998-2000 Male Death Rate (Age Adj) 1,261.6 2000 White Female Deaths 17,234 71,734 23,627 18,639 2000 White Female Death Rate 1,048.8 1,069.9 792.8 991.5 1,058.8 853.0 1,122.1 1,053.7 248,760 1,170,099 993.9 870.2 1,131.1 1,060.0 9,817 28,467 12,906 23,566 205,990 1,064,096 848.5 988.1 1,090.2 934.4 924.7 992.4 993.4 912.3 784.0 819.9 756.9 752.5 792.9 727.8 715.2 16,916 70,750 22,807 18,283 1,033.0 1,093.2 653.8 915.9 973.2 960.9 1,002.9 642.7 801.6 1998-2000 White Female Death Rate 795.0 984.5 992.2 1,211.0 1,231.3 1,335.8 1,177.0 1,219.9 1,245.3 1998-2000 White Female Deaths 1998-2000 Wh Fem Dth Rate (Age Adj) 960.1 978.6 1,207.2 1,235.9 1,303.5 1,179.2 1,224.4 1,235.0 1998-2000 Male Death Rate 2000 White Fem Death Rate (Age Adj) 896.7 252,862 1,177,578 813.2 9,412 27,296 12,631 23,003 201,098 1,048,634 836.9 976.8 1,057.7 921.7 920.6 988.0 992.7 913.4 778.9 819.7 738.7 761.0 795.0 729.3 718.7 2000 White Male Deaths 16,815 74,865 22,637 18,086 2000 White Male Death Rate 1,067.6 1,164.8 2000 White Male Death Rate (Age Adj) 1,195.6 800.7 9,479 26,930 13,206 22,910 812.1 1,002.7 1,090.0 204,928 1,007,191 971.7 1,003.6 1,019.8 887.8 951.8 1,143.2 1,225.5 1,237.3 1,108.3 1,143.2 1,190.2 1,068.7 1,029.4 1998-2000 White Male Deaths 16,636 73,652 22,156 17,872 1998-2000 White Male Death Rate 1,068.5 1,196.2 1998-2000 White Mal Dth Rte(Age Adj) 1,224.8 900.3 9,414 26,309 12,728 22,598 824.3 1,005.5 1,108.1 918.1 201,365 1,000,905 962.5 1,020.5 1,036.3 901.0 982.5 1,170.4 1,248.3 1,280.0 1,130.9 1,150.4 1,222.9 1,097.4 1,056.6 2000 Black Female Deaths 5,422 8,285 8,569 1,384 4,629 7,761 5,278 4,333 45,661 140,642 2000 Black Female Death Rate 866.2 646.8 677.5 877.4 836.8 825.5 827.3 861.6 765.7 733.0 2000 Black Fem Death Rate (Age Adj) 937.5 890.5 958.0 1,014.4 994.7 952.5 959.3 1,064.6 955.7 927.4 1998-2000 Black Female Deaths 5,440 8,115 8,311 1,371 4,579 7,650 5,093 4,198 44,757 138,342 1998-2000 Black Female Death Rate 883.1 662.1 689.3 897.0 843.4 843.3 817.8 855.9 776.6 746.7 1998-2000 Blk Fem Dth Rate (Age Adj) 962.5 945.8 958.6 1,002.5 1,004.0 963.6 965.1 1,051.2 969.9 940.1 2000 Black Male Deaths 5,492 8,865 8,616 1,326 4,608 7,990 5,454 4,288 46,639 145,184 2000 Black Male Death Rate 1,014.0 746.5 762.2 883.2 944.5 956.3 970.4 958.8 873.0 834.1 2000 Black Male Death Rate (Age Adj) 1,514.9 1,306.8 1,477.6 1,488.9 1,504.3 1,547.7 1,513.5 1,601.5 1,472.8 1,403.2 144,768 1998-2000 Black Male Deaths 5,513 8,787 8,456 1,300 4,711 7,826 5,390 4,201 46,185 1998-2000 Black Male Death Rate 1,039.8 776.9 793.9 922.9 991.3 975.9 988.5 976.4 902.1 863.4 1998-2000 Black Mal Dth Rte (Age Adj) 1,542.8 1,387.4 1,483.4 1,451.5 1,574.0 1,546.1 1,542.7 1,632.1 1,505.1 1,408.0 150 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV MORTALITY AL 2000 AmInd Female Deaths FL KY MS 7 38 2000 AmInd Female Death Rate 174.0 172.9 370.0 150.9 2000 AmInd Fem Death Rate (Age Adj) 325.9 283.9 734.4 197.4 270 SC TN Region IV 7 593.3 501.8 220.5 84.7 335.5 346.1 967.3 785.6 380.7 190.3 558.4 604.5 6 32 11 455 5,083 172.0 572.7 540.1 245.9 161.3 372.3 391.2 1998-2000 AmInd Fem Dh Rate (Age Adj) 360.4 262.4 553.0 214.4 916.2 846.3 417.0 197.1 554.5 622.4 12 39 14 560 6,185 633.1 415.6 43 332 14 5,178 37 81 276 462 US 17 259.6 179.0 365.3 22 54 NC 1998-2000 AmInd Female Death Rate 2000 AmInd Male Deaths 24 55 GA 46 1998-2000 AmInd Female Deaths 22 17 2000 AmInd Male Death Rate 172.7 234.2 299.6 237.9 628.5 213.4 153.6 392.2 2000 AmInd Male Death Rate (Age Adj) 399.5 412.7 499.7 462.2 1,148.5 1,250.9 481.9 199.8 761.7 841.5 528 6,090 1998-2000 AmInd Male Deaths 28 71 36 8 38 703.2 316 17 15 1998-2000 AmInd Male Death Rate 310.5 225.8 324.7 218.3 631.5 291.6 211.2 427.2 475.4 1998-2000 AmInd Male Dth Rate (Age Adj) 534.2 336.6 526.7 365.6 1,170.1 1,191.6 657.2 269.4 717.3 838.2 15,857 2000 API Female Deaths 147 28 14 67 639 2000 API Female Death Rate 165.0 140.8 150.9 159.0 126.7 122.2 165.2 201.2 147.5 262.3 2000 API Fem Death Rate (Age Adj) 350.2 270.6 376.5 454.4 289.9 271.9 333.3 533.4 321.7 416.6 1998-2000 API Female Deaths 31 130 26 20 59 615 15,177 171.1 192.8 141.4 181.6 198.6 158.0 265.8 1998-2000 API Fem Dth Rate (Age Adj) 388.2 268.8 370.2 414.9 415.3 330.2 326.7 442.4 324.3 420.2 22 30 735 19,018 275 185 82 36 159.3 153.9 151.3 24 237 81 1998-2000 API Female Death Rate 2000 API Male Deaths 26 235 104 36 34 61 2000 API Male Death Rate 140.5 185.2 194.8 133.6 304.7 164.4 171.7 196.0 183.3 332.9 2000 API Male Death Rate (Age Adj) 384.3 383.8 562.0 432.4 761.6 482.3 578.7 501.0 456.1 624.1 20 23 682 18,336 1998-2000 API Male Deaths 22 263 176 88 34 56 1998-2000 API Male Death Rate 152.0 194.2 215.8 138.7 240.6 164.2 195.9 205.1 192.8 344.7 1998-2000 API Male Death Rate (Age Adj) 488.3 363.8 556.7 388.7 617.6 439.7 654.9 491.2 437.8 634.8 47,082 2000 Hisp Female Deaths 2000 Hisp Female Death Rate 2000 Hisp Fem Death Rate (Age Adj) 1998-2000 Hisp Female Deaths 183 84 21 133 94.8 474.7 103.4 31 6,373 343.8 125.8 87.3 166.3 503.6 289.6 717.5 175.6 6,920 377.2 274.6 194.1 192.6 284.7 485.0 546.3 168 72 19 61 6,728 45,139 136.5 507.0 128.3 382.0 142.9 104.1 128.4 161.8 423.9 283.7 1998-2000 Hisp Fem Dth Rate (Age Adj) 222.5 525.6 249.6 748.5 195.5 173.3 236.9 300.1 501.1 503.3 390 102 46 147 8,340 60,172 2000 Hisp Male Death Rate 132.2 534.3 151.0 287.3 201.1 148.3 179.8 200.5 405.5 331.3 2000 Hisp Male Death Rate (Age Adj) 263.7 803.4 454.5 357.1 469.0 425.4 57 7,160 988.4 290.9 324 99 38 1998-2000 Hisp Male Death Rate 181.9 572.3 193.5 417.0 1998-2000 Hisp Male Dth Rate (Age Adj) 339.7 803.6 422.9 1,085.1 1998-2000 Hisp Male Deaths 54 6,817 151 107 34 1998-2000 Hisp Female Death Rate 2000 Hisp Male Deaths 34 6,231 61 88.7 120.7 336 38 102 764.1 818.4 109 7,835 57,995 245.6 227.5 230.9 233.5 475.8 353.9 379.4 390.1 410.6 449.1 770.9 762.8 309 85 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Heart Disease Mortality AL 2000 Female Deaths FL 6,940 25,058 GA KY MS 8,910 6,196 4,919 10,057 NC SC TN 4,885 8,319 Region IV 75,284 US 365,953 2000 Female Death Rate 301.7 306.2 214.2 299.8 334.4 244.9 236.8 285.0 276.1 255.3 2000 Female Death Rate (Age Adj) 244.6 194.3 226.3 250.1 284.9 214.1 212.6 240.0 219.9 210.9 1998-2000 Female Deaths 6,887 25,187 9,000 6,160 4,903 9,849 4,903 8,313 75,201 368,407 1998-2000 Female Death Rate 302.2 319.6 223.5 301.5 338.4 247.6 242.7 291.1 283.4 262.5 1998-2000 Fem Dth Rate (Age Adj) 248.4 202.2 235.7 253.4 292.2 213.5 221.6 246.3 226.0 217.2 2000 Male Deaths 6,466 25,278 8,496 5,740 4,337 9,666 5,008 7,855 72,846 344,807 2000 Male Death Rate 301.2 324.2 211.0 290.6 315.8 245.2 257.0 283.5 280.4 249.8 2000 Male Death Rate (Age Adj) 375.0 292.8 346.1 378.1 413.8 334.7 339.1 368.1 333.1 320.0 1998-2000 Male Deaths 6,485 25,538 8,571 5,770 4,429 9,527 5,016 7,932 73,267 348,432 1998-2000 Male Death Rate 307.3 342.6 222.9 298.0 330.6 252.6 265.3 296.1 292.7 259.1 1998-2000 Male Death Rate (Age Adj) 380.1 303.6 357.1 381.9 432.8 336.4 348.7 379.3 342.4 326.6 2000 White Female Deaths 5,341 22,746 6,526 5,756 3,339 7,826 3,495 6,966 61,995 320,168 2000 White Female Death Rate 325.0 339.2 234.4 305.1 370.8 256.9 250.4 293.4 299.0 274.5 2000 White Fem Death Rate (Age Adj) 237.4 188.3 213.5 246.6 263.0 202.6 199.7 227.1 209.6 205.6 1998-2000 White Female Deaths 5,269 22,830 6,606 5,733 3,307 7,688 3,517 6,991 61,940 322,892 1998-2000 White Female Death Rate 321.8 352.8 242.4 306.3 371.6 259.6 256.3 300.3 305.8 281.2 1998-2000 Wh Fem Dth Rate (Age Adj) 239.7 194.9 223.1 250.6 269.3 202.4 208.1 234.5 215.1 211.8 2000 White Male Deaths 5,055 23,127 6,376 5,388 2,965 7,659 3,771 6,675 61,016 301,551 2000 White Male Death Rate 320.9 359.8 228.7 298.7 340.9 256.1 277.5 292.4 303.6 265.8 2000 White Male Death Rate (Age Adj) 369.1 289.1 336.9 377.4 395.8 323.8 332.7 356.3 324.2 316.7 1998-2000 White Male Deaths 5,060 23,379 6,467 5,402 3,035 7,547 3,747 6,759 61,397 304,896 1998-2000 White Male Death Rate 325.0 379.7 240.6 303.9 357.2 263.4 283.4 305.2 316.0 274.5 1998-2000 White Mal Dth Rte(Age Adj) 372.7 299.0 349.6 380.7 414.6 325.6 339.3 367.5 332.8 323.3 2000 Black Female Deaths 1,588 2,250 2,349 434 1,571 2,151 1,382 1,333 13,058 40,783 2000 Black Female Death Rate 253.7 175.7 185.7 275.1 284.0 228.8 216.6 265.1 219.0 212.6 2000 Black Fem Death Rate (Age Adj) 274.4 257.5 274.0 319.8 340.9 267.9 254.7 336.4 280.6 277.6 1998-2000 Black Female Deaths 1,607 2,289 2,362 422 1,586 2,072 1,377 1,307 13,022 40,612 1998-2000 Black Female Death Rate 260.9 186.8 195.9 276.1 292.1 228.4 221.1 266.5 225.9 219.2 1998-2000 Blk Fem Dth Rate (Age Adj) 284.1 288.1 284.2 312.0 351.4 264.3 265.8 334.4 289.9 285.2 2000 Black Male Deaths 1,399 2,058 2,068 343 1,353 1,892 1,223 1,167 11,503 36,740 2000 Black Male Death Rate 258.3 173.3 182.9 228.5 277.3 226.4 217.6 261.0 215.3 211.1 2000 Black Male Death Rate (Age Adj) 411.1 344.6 394.2 411.4 474.0 392.3 365.7 477.7 397.3 392.5 1998-2000 Black Male Deaths 1,410 2,076 2,053 362 1,379 1,876 1,256 1,160 11,573 37,148 1998-2000 Black Male Death Rate 265.9 183.6 192.7 257.0 290.2 233.9 230.3 269.6 226.0 221.5 1998-2000 Black Mal Dth Rte (Age Adj) 420.6 377.5 400.7 428.3 496.0 394.5 387.0 489.1 412.0 397.6 152 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Heart Disease Mortality AL 2000 AmInd Female Deaths FL GA KY MS NC SC TN Region IV US 4 15 7 1 8 70 5 2 112 2000 AmInd Female Death Rate 31.6 47.2 56.3 21.6 124.9 130.1 64.9 24.2 81.3 71.9 2000 AmInd Fem Death Rate (Age Adj) 51.4 90.4 149.8 19.7 216.1 225.4 137.0 46.2 152.7 143.6 6 14 6 1 6 78 3 2 115 1,075 1998-2000 AmInd Female Death Rate 64.9 46.4 59.2 28.7 107.4 152.6 52.7 29.3 94.1 82.7 1998-2000 AmInd Fem Dh Rate (Age Adj) 54.5 70.8 90.2 0.0 168.6 253.2 65.5 30.5 146.2 137.9 1,341 1998-2000 AmInd Female Deaths 2000 AmInd Male Deaths 2000 AmInd Male Death Rate 2000 AmInd Male Death Rate (Age Adj) 1998-2000 AmInd Male Deaths 1998-2000 AmInd Male Death Rate 1998-2000 AmInd Male Dth Rate (Age Adj) 2000 API Female Deaths 2000 API Female Death Rate 2000 API Fem Death Rate (Age Adj) 1998-2000 API Female Deaths 1998-2000 API Female Death Rate 1998-2000 API Fem Dth Rate (Age Adj) 2000 API Male Deaths 2000 API Male Death Rate 2000 API Male Death Rate (Age Adj) 1998-2000 API Male Deaths 1998-2000 API Male Death Rate 1998-2000 API Male Death Rate (Age Adj) 2000 Hisp Female Deaths 1,076 7 19 12 4 9 94 5 3 153 54.9 54.9 83.6 79.3 146.1 177.9 62.8 32.9 107.1 90.1 127.0 83.8 138.8 111.7 311.5 444.3 207.1 40.8 242.5 222.2 1,315 9 15 9 3 7 84 5 3 135 99.8 47.7 81.2 81.9 129.5 167.9 85.8 42.2 109.2 102.7 157.5 77.2 153.2 133.4 226.8 364.3 226.9 36.2 206.7 214.4 7 47 28 5 1 10 3 18 119 3,926 37.3 28.2 28.7 28.4 9.0 15.1 13.8 54.1 27.5 65.0 122.8 71.1 85.9 83.1 28.7 31.9 47.4 197.9 78.1 115.7 5 53 27 4 4 12 7 14 124 3,829 30.6 34.4 31.4 26.3 38.6 20.7 35.3 47.1 31.9 67.1 100.8 73.8 98.8 112.3 130.3 50.6 75.5 148.5 82.9 118.7 5 74 40 5 10 21 9 10 174 5,175 29.3 49.8 42.1 30.4 101.6 33.2 45.5 32.1 43.4 90.6 131.8 103.2 153.0 107.4 235.5 117.3 149.0 108.7 119.6 185.5 5,073 6 68 42 4 7 19 7 10 162 41.5 50.2 51.5 27.7 73.2 35.5 40.3 36.6 45.8 95.4 172.1 109.8 172.1 67.9 180.4 127.8 164.4 98.0 126.9 192.2 12,253 9 2,213 24 19 5 14 5 12 2,301 2000 Hisp Female Death Rate 27.5 164.8 13.6 77.8 29.9 9.2 13.0 23.7 125.4 71.5 2000 Hisp Fem Death Rate (Age Adj) 64.8 175.6 59.4 183.5 52.5 44.9 44.0 83.4 166.8 163.7 1998-2000 Hisp Female Deaths 6 2,153 25 18 5 13 8 12 2,240 12,021 1998-2000 Hisp Female Death Rate 24.1 175.2 19.1 95.5 37.6 12.6 27.0 31.8 141.1 75.5 1998-2000 Hisp Fem Dth Rate (Age Adj) 43.8 182.8 53.0 205.0 55.6 38.3 56.2 74.4 170.8 150.7 6 2,120 51 28 5 23 12 18 2,263 13,566 2000 Hisp Male Deaths 2000 Hisp Male Death Rate 13.9 158.2 19.7 78.9 21.9 10.1 21.2 24.6 110.0 74.7 2000 Hisp Male Death Rate (Age Adj) 37.4 263.6 112.1 341.8 47.0 79.6 122.6 111.9 247.2 238.2 8 2,025 45 24 5 23 8 16 2,154 13,289 1998-2000 Hisp Male Death Rate 27.0 170.0 26.9 101.1 32.3 16.9 21.7 34.3 130.8 81.1 1998-2000 Hisp Male Dth Rate (Age Adj) 68.6 259.8 109.3 351.7 64.2 73.4 66.6 130.6 243.8 219.4 1998-2000 Hisp Male Deaths 153 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Cancer Mortality AL 2000 Female Deaths FL 4,425 18,061 GA KY MS NC SC TN 6,468 4,238 2,752 7,305 3,725 5,718 Region IV 52,692 US 267,009 2000 Female Death Rate 192.3 220.7 155.5 205.1 187.1 177.9 180.6 195.9 193.2 186.2 2000 Female Death Rate (Age Adj) 166.5 158.2 167.1 182.2 173.7 162.4 166.0 174.5 165.2 167.6 1998-2000 Female Deaths 4,409 17,874 6,242 4,169 2,707 7,281 3,684 5,591 51,957 264,082 1998-2000 Female Death Rate 193.5 226.8 155.0 204.0 186.9 183.0 182.3 195.8 195.8 188.2 1998-2000 Fem Dth Rate (Age Adj) 168.8 162.0 165.8 182.3 173.8 165.6 169.1 174.9 167.4 169.3 2000 Male Deaths 5,382 21,122 7,222 4,969 3,323 8,481 4,525 6,621 61,645 286,082 2000 Male Death Rate 250.7 270.9 179.3 251.5 241.9 215.1 232.2 239.0 237.3 207.2 2000 Male Death Rate (Age Adj) 292.1 236.8 271.4 299.8 302.7 271.7 286.4 288.0 264.7 249.0 1998-2000 Male Deaths 5,277 20,823 7,136 4,853 3,365 8,407 4,348 6,527 60,736 285,299 1998-2000 Male Death Rate 250.0 279.3 185.6 250.6 251.2 222.9 229.9 243.6 242.7 212.2 1998-2000 Male Death Rate (Age Adj) 291.2 240.7 275.0 297.2 313.7 275.9 282.2 290.7 267.5 251.5 2000 White Female Deaths 3,438 16,334 4,838 3,928 1,924 5,821 2,683 4,869 43,835 232,608 2000 White Female Death Rate 209.2 243.6 173.7 208.2 213.7 191.1 192.2 205.0 211.4 199.4 2000 White Fem Death Rate (Age Adj) 164.1 156.9 164.2 180.0 168.3 160.0 158.7 170.2 162.5 166.9 1998-2000 White Female Deaths 3,405 16,221 4,660 3,867 1,851 5,738 2,675 4,749 43,166 230,006 1998-2000 White Female Death Rate 207.9 250.6 171.0 206.6 208.0 193.7 195.0 204.0 213.1 200.3 1998-2000 Wh Fem Dth Rate (Age Adj) 165.2 161.1 162.1 180.1 164.7 160.9 162.3 170.2 164.1 168.1 2000 White Male Deaths 4,137 19,126 5,400 4,634 2,277 6,584 3,236 5,643 51,037 247,403 2000 White Male Death Rate 262.7 297.6 193.7 256.9 261.8 220.1 238.1 247.2 254.0 218.1 2000 White Male Death Rate (Age Adj) 277.7 233.2 258.1 296.6 281.6 254.9 263.6 276.9 253.7 243.9 1998-2000 White Male Deaths 4,035 18,810 5,282 4,538 2,304 6,550 3,078 5,544 50,142 246,856 1998-2000 White Male Death Rate 259.2 305.5 196.5 255.3 271.2 228.6 232.8 250.4 258.0 222.2 1998-2000 White Mal Dth Rte(Age Adj) 275.1 236.2 258.4 294.9 290.8 259.3 256.3 278.4 255.3 246.3 2000 Black Female Deaths 977 1,643 1,578 298 820 1,409 1,024 831 8,580 29,128 2000 Black Female Death Rate 156.1 128.3 124.8 188.9 148.2 149.9 160.5 165.2 143.9 151.8 2000 Black Fem Death Rate (Age Adj) 175.8 176.6 179.8 229.0 186.4 176.0 188.7 210.3 183.5 193.8 994 1,571 1,538 292 847 1,470 995 822 8,528 29,031 161.4 128.2 127.6 191.1 156.0 162.1 159.8 167.6 148.0 156.7 1998-2000 Black Female Deaths 1998-2000 Black Female Death Rate 1998-2000 Blk Fem Dth Rate (Age Adj) 182.9 180.1 181.3 223.3 195.9 188.6 190.5 211.3 188.3 198.4 2000 Black Male Deaths 1,235 1,915 1,771 323 1,033 1,807 1,279 956 10,319 32,817 2000 Black Male Death Rate 228.0 161.3 156.7 215.1 211.7 216.3 227.6 213.8 193.2 188.5 2000 Black Male Death Rate (Age Adj) 363.0 309.0 336.1 375.1 365.3 370.6 372.5 389.8 351.6 340.3 1998-2000 Black Male Deaths 1,232 1,930 1,805 308 1,051 1,778 1,256 960 10,321 32,804 1998-2000 Black Male Death Rate 232.4 170.6 169.5 218.7 221.2 221.7 230.3 223.1 201.6 195.6 1998-2000 Black Mal Dth Rte (Age Adj) 368.1 327.2 351.1 356.5 381.6 372.2 380.5 401.6 362.0 341.8 154 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Cancer Mortality AL 2000 AmInd Female Deaths FL GA KY MS NC SC TN Region IV US 6 10 14 4 4 51 4 2 95 917 2000 AmInd Female Death Rate 47.4 31.4 112.6 86.2 62.5 94.8 51.9 24.2 69.0 61.3 2000 AmInd Fem Death Rate (Age Adj) 97.6 48.1 177.4 133.8 86.3 141.4 63.4 49.8 107.2 108.4 4 9 10 3 4 50 2 4 86 901 1998-2000 AmInd Female Death Rate 43.3 29.8 98.7 86.0 71.6 97.8 35.1 58.7 70.4 69.3 1998-2000 AmInd Fem Dh Rate (Age Adj) 64.9 46.7 131.4 110.8 130.0 144.9 49.7 75.0 98.7 108.8 1998-2000 AmInd Female Deaths 2000 AmInd Male Deaths 4 17 8 4 9 65 2 4 113 997 2000 AmInd Male Death Rate 31.4 49.2 55.7 79.3 146.1 123.0 25.1 43.9 79.1 67.0 2000 AmInd Male Death Rate (Age Adj) 80.4 87.0 90.8 213.2 368.1 245.7 90.8 38.1 159.6 155.8 1998-2000 AmInd Male Deaths 4 17 8 3 6 60 4 5 107 964 1998-2000 AmInd Male Death Rate 44.4 54.1 72.2 81.9 111.0 119.9 68.6 70.4 86.6 75.3 1998-2000 AmInd Male Dth Rate (Age Adj) 91.1 86.6 124.3 96.0 268.9 236.5 228.6 70.1 158.8 153.1 4 74 38 8 4 24 14 16 182 4,356 2000 API Female Death Rate 21.3 44.3 39.0 45.4 36.2 36.2 64.3 48.1 42.0 72.1 2000 API Fem Death Rate (Age Adj) 27.4 62.9 86.7 115.3 43.1 63.2 107.3 103.2 71.6 100.7 6 73 34 7 5 23 13 16 176 4,144 1998-2000 API Female Death Rate 36.8 47.4 39.6 46.1 48.2 39.7 65.6 53.9 45.2 72.6 1998-2000 API Fem Dth Rate (Age Adj) 68.9 66.5 80.9 108.8 59.6 82.8 117.4 99.0 75.0 102.1 6 64 43 8 4 25 8 18 176 4,865 2000 API Female Deaths 1998-2000 API Female Deaths 2000 API Male Deaths 2000 API Male Death Rate 2000 API Male Death Rate (Age Adj) 1998-2000 API Male Deaths 1998-2000 API Male Death Rate 1998-2000 API Male Death Rate (Age Adj) 2000 Hisp Female Deaths 35.1 43.1 45.3 48.6 40.6 39.5 40.4 57.8 43.9 85.2 141.7 85.8 111.6 157.4 164.2 104.0 156.3 150.0 107.6 150.8 4,675 5 65 41 5 4 19 10 17 167 34.6 48.0 50.3 34.7 41.8 35.5 57.6 62.3 47.2 87.9 119.5 88.7 118.3 127.2 107.2 79.5 205.4 156.0 105.9 153.6 10,022 4 1,304 38 23 3 18 7 14 1,411 2000 Hisp Female Death Rate 12.2 97.1 21.5 94.1 18.0 11.8 18.3 27.7 76.9 58.5 2000 Hisp Fem Death Rate (Age Adj) 25.2 103.0 71.9 203.1 28.7 40.9 39.7 77.0 99.1 110.9 1998-2000 Hisp Female Deaths 6 1,299 35 16 3 13 7 15 1,393 9,571 1998-2000 Hisp Female Death Rate 24.1 105.7 26.7 84.9 22.6 12.6 23.7 39.8 87.8 60.1 1998-2000 Hisp Fem Dth Rate (Age Adj) 47.0 108.8 61.5 161.2 33.1 29.3 47.8 80.5 103.6 104.3 6 1,584 44 13 5 26 12 17 1,707 11,138 2000 Hisp Male Deaths 2000 Hisp Male Death Rate 13.9 118.2 17.0 36.6 21.9 11.5 21.2 23.2 83.0 61.3 2000 Hisp Male Death Rate (Age Adj) 48.2 175.1 97.2 166.0 56.9 74.9 89.5 104.3 164.7 171.7 8 1,553 41 14 5 20 10 12 1,662 10,781 1998-2000 Hisp Male Death Rate 27.0 130.4 24.5 59.0 32.3 14.7 27.2 25.7 100.9 65.8 1998-2000 Hisp Male Dth Rate (Age Adj) 84.0 178.7 94.7 194.5 69.6 62.2 77.5 92.7 168.2 159.8 1998-2000 Hisp Male Deaths 155 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Stroke Mortality 2000 Female Deaths AL FL GA KY MS NC SC TN 1,968 6,092 2,832 1,619 1,233 3,584 1,768 2,645 Region IV 21,741 US 102,892 2000 Female Death Rate 85.5 74.4 68.1 78.3 83.8 87.3 85.7 90.6 79.7 71.8 2000 Female Death Rate (Age Adj) 69.0 47.5 72.0 64.7 72.0 75.8 76.6 75.4 63.2 59.1 1,931 6,161 2,746 1,664 1,163 3,548 1,818 2,616 21,647 102,932 1998-2000 Female Death Rate 84.7 78.2 68.2 81.4 80.3 89.2 90.0 91.6 81.6 73.3 1998-2000 Fem Dth Rate (Age Adj) 69.3 49.8 71.8 68.0 69.6 76.4 81.9 77.0 64.9 60.4 1,215 4,440 1,793 1,018 766 2,165 1,188 1,621 14,206 64,769 1998-2000 Female Deaths 2000 Male Deaths 2000 Male Death Rate 56.6 56.9 44.5 51.5 55.8 54.9 61.0 58.5 54.7 46.9 2000 Male Death Rate (Age Adj) 72.9 51.6 77.6 70.8 74.7 80.7 86.8 81.9 67.0 62.4 64,665 1998-2000 Male Deaths 1,213 4,429 1,736 996 762 2,163 1,182 1,571 14,052 1998-2000 Male Death Rate 57.5 59.4 45.1 51.4 56.9 57.4 62.5 58.6 56.1 48.1 1998-2000 Male Death Rate (Age Adj) 73.6 52.8 76.8 69.8 76.2 81.6 87.9 80.6 67.7 62.8 1,461 5,411 2,074 1,518 843 2,830 1,220 2,252 17,609 89,642 88.9 80.7 74.5 80.5 93.6 92.9 87.4 94.8 84.9 76.9 2000 White Female Deaths 2000 White Female Death Rate 2000 White Fem Death Rate (Age Adj) 64.6 45.1 67.7 64.4 66.8 72.7 69.2 72.5 59.2 57.2 1,448 5,453 2,010 1,560 777 2,770 1,258 2,234 17,510 89,898 1998-2000 White Female Death Rate 88.4 84.3 73.8 83.3 87.3 93.5 91.7 95.9 86.4 78.3 1998-2000 Wh Fem Dth Rate (Age Adj) 65.4 46.9 67.8 67.8 63.7 72.3 74.1 74.3 60.6 58.6 2000 White Male Deaths 885 3,926 1,223 936 498 1,621 802 1,348 11,239 54,938 1998-2000 White Female Deaths 2000 White Male Death Rate 56.2 61.1 43.9 51.9 57.3 54.2 59.0 59.0 55.9 48.4 2000 White Male Death Rate (Age Adj) 67.0 48.9 69.5 69.1 69.1 74.6 77.9 77.8 61.6 59.9 1998-2000 White Male Deaths 871 3,899 1,182 925 481 1,609 776 1,301 11,042 54,872 1998-2000 White Male Death Rate 55.9 63.3 44.0 52.0 56.6 56.2 58.7 58.7 56.8 49.4 1998-2000 White Mal Dth Rte(Age Adj) 67.5 49.8 69.1 68.8 68.2 74.9 76.9 76.5 61.8 60.3 2000 Black Female Deaths 504 658 736 100 384 729 544 384 4,039 11,195 2000 Black Female Death Rate 80.5 51.4 58.2 63.4 69.4 77.5 85.3 76.4 67.7 58.3 2000 Black Fem Death Rate (Age Adj) 86.9 75.9 85.8 71.9 84.0 90.6 100.0 96.0 86.7 76.2 1998-2000 Black Female Deaths 479 684 718 103 381 753 556 374 4,048 11,091 1998-2000 Black Female Death Rate 77.8 55.8 59.6 67.4 70.2 83.0 89.3 76.3 70.2 59.9 1998-2000 Blk Fem Dth Rate (Age Adj) 84.4 86.7 86.4 73.2 84.4 95.8 107.5 96.2 90.2 78.0 2000 Black Male Deaths 330 490 552 81 262 529 385 268 2,897 8,026 2000 Black Male Death Rate 2000 Black Male Death Rate (Age Adj) 1998-2000 Black Male Deaths 1998-2000 Black Male Death Rate 1998-2000 Black Mal Dth Rte (Age Adj) 60.9 41.3 48.8 54.0 53.7 63.3 68.5 59.9 54.2 46.1 100.0 86.0 111.3 107.2 91.5 115.8 121.0 117.0 104.6 89.7 341 508 537 70 277 533 404 265 2,936 8,047 64.3 44.9 50.4 49.7 58.3 66.5 74.1 61.6 57.3 48.0 103.0 95.7 110.4 88.8 100.1 118.7 131.2 117.0 108.4 89.4 156 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Stroke Mortality AL 2000 AmInd Female Deaths 2000 AmInd Female Death Rate 2000 AmInd Fem Death Rate (Age Adj) 1998-2000 AmInd Female Deaths 1998-2000 AmInd Female Death Rate 1998-2000 AmInd Fem Dh Rate (Age Adj) 2000 AmInd Male Deaths FL GA KY MS NC SC TN Region IV US 1 3 6 0 4 20 0 1 35 322 7.9 9.4 48.3 0.0 62.5 37.2 0.0 12.1 25.4 21.5 19.9 20.1 137.4 0.0 163.9 63.9 0.0 32.3 50.6 43.7 1 3 5 0 2 20 1 0 32 318 10.8 9.9 49.4 0.0 35.8 39.1 17.6 0.0 26.2 24.5 0.0 10.9 84.0 0.0 102.2 68.0 0.0 0.0 40.3 41.1 0 5 3 1 3 12 0 0 24 250 2000 AmInd Male Death Rate 0.0 14.5 20.9 19.8 48.7 22.7 0.0 0.0 16.8 16.8 2000 AmInd Male Death Rate (Age Adj) 0.0 39.8 106.8 67.4 74.7 56.1 0.0 0.0 47.8 46.1 1998-2000 AmInd Male Deaths 1 3 3 1 2 15 1 1 27 230 1998-2000 AmInd Male Death Rate 11.1 9.5 27.1 27.3 37.0 30.0 17.2 14.1 21.8 18.0 1998-2000 AmInd Male Dth Rate (Age Adj) 29.3 20.2 43.3 0.0 22.0 70.5 0.0 22.8 43.5 40.7 2 20 16 1 2 5 4 8 58 1,733 2000 API Female Death Rate 10.6 12.0 16.4 5.7 18.1 7.5 18.4 24.0 13.4 28.7 2000 API Fem Death Rate (Age Adj) 30.5 31.9 59.2 24.9 45.6 30.5 46.5 78.4 40.9 49.1 3 22 13 1 2 5 3 7 57 1,626 2000 API Female Deaths 1998-2000 API Female Deaths 1998-2000 API Female Death Rate 18.4 14.3 15.1 6.6 19.3 8.6 15.1 23.6 14.6 28.5 1998-2000 API Fem Dth Rate (Age Adj) 42.7 29.5 44.9 32.3 27.2 30.3 27.5 70.5 38.8 48.5 0 19 15 0 3 3 1 5 46 1,555 2000 API Male Deaths 2000 API Male Death Rate 0.0 12.8 15.8 0.0 30.5 4.7 5.1 16.1 11.5 27.2 2000 API Male Death Rate (Age Adj) 0.0 38.0 70.2 0.0 123.4 38.6 31.1 43.3 44.0 58.0 1,515 1998-2000 API Male Deaths 1 19 14 1 2 5 1 4 47 1998-2000 API Male Death Rate 6.9 14.0 17.2 6.9 20.9 9.3 5.8 14.6 13.3 28.5 1998-2000 API Male Death Rate (Age Adj) 0.0 31.4 56.8 50.0 44.8 30.4 15.8 64.4 38.0 58.7 3,322 2000 Hisp Female Deaths 2000 Hisp Female Death Rate 2000 Hisp Fem Death Rate (Age Adj) 1998-2000 Hisp Female Deaths 2 396 11 4 3 5 2 1 424 6.1 29.5 6.2 16.4 18.0 3.3 5.2 2.0 23.1 19.4 11.1 31.6 28.3 36.8 28.3 6.5 21.6 4.6 30.7 43.0 4 381 12 6 2 7 2 3 417 3,178 1998-2000 Hisp Female Death Rate 16.1 31.0 9.2 31.8 15.0 6.8 6.8 8.0 26.3 20.0 1998-2000 Hisp Fem Dth Rate (Age Adj) 24.9 32.4 22.6 64.7 10.3 19.5 18.4 19.8 31.8 39.0 2 316 17 5 2 6 1 3 352 2,865 2000 Hisp Male Deaths 2000 Hisp Male Death Rate 4.6 23.6 6.6 14.1 8.7 2.6 1.8 4.1 17.1 15.8 17.2 38.8 42.1 85.7 34.5 18.4 5.3 17.8 37.9 50.5 3 313 12 5 1 5 3 3 345 2,825 1998-2000 Hisp Male Death Rate 10.1 26.3 7.2 21.1 6.5 3.7 8.1 6.4 20.9 17.2 1998-2000 Hisp Male Dth Rate (Age Adj) 21.2 39.8 23.7 76.3 0.0 10.1 14.1 17.9 38.4 46.7 2000 Hisp Male Death Rate (Age Adj) 1998-2000 Hisp Male Deaths 157 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Chronic Lower Respiratory Diseases Mortality AL 2000 Female Deaths 931 FL GA KY 4,480 1,496 1,100 MS 569 NC 1,765 SC 773 TN Region IV 1,374 12,488 US 62,005 2000 Female Death Rate 40.5 54.7 36.0 53.2 38.7 43.0 37.5 47.1 45.8 43.2 2000 Female Death Rate (Age Adj) 33.9 35.8 39.1 46.0 34.4 38.4 33.9 41.0 37.6 37.4 1998-2000 Female Deaths 934 4,482 1,410 1,062 544 1,669 777 1,278 12,155 60,664 1998-2000 Female Death Rate 41.0 56.9 35.0 52.0 37.6 42.0 38.5 44.8 45.8 43.2 1998-2000 Fem Dth Rate (Age Adj) 34.6 37.0 37.7 45.3 33.6 37.0 35.1 39.2 37.5 37.4 1,126 4,165 1,571 1,070 688 1,934 957 1,513 13,024 60,004 2000 Male Deaths 2000 Male Death Rate 52.5 53.4 39.0 54.2 50.1 49.1 49.1 54.6 50.1 43.5 2000 Male Death Rate (Age Adj) 65.2 46.6 66.5 71.0 67.6 68.0 66.5 72.1 59.0 55.8 60,721 1998-2000 Male Deaths 1,172 4,303 1,590 1,122 696 1,881 932 1,522 13,217 1998-2000 Male Death Rate 55.5 57.7 41.3 57.9 52.0 49.9 49.3 56.8 52.8 45.2 1998-2000 Male Death Rate (Age Adj) 69.3 49.2 68.8 74.6 68.8 66.8 65.6 73.2 61.0 56.8 2000 White Female Deaths 853 4,291 1,330 1,058 486 1,611 692 1,282 11,603 58,024 2000 White Female Death Rate 51.9 64.0 47.8 56.1 54.0 52.9 49.6 54.0 56.0 49.7 2000 White Fem Death Rate (Age Adj) 39.2 37.0 44.8 47.0 40.1 43.0 39.9 43.5 40.7 39.5 1998-2000 White Female Deaths 855 4,294 1,243 1,014 459 1,507 689 1,185 11,247 56,709 1998-2000 White Female Death Rate 52.2 66.4 45.6 54.2 51.6 50.9 50.2 50.9 55.5 49.4 1998-2000 Wh Fem Dth Rate (Age Adj) 39.8 38.3 42.9 46.0 38.8 40.8 40.9 41.3 40.4 39.3 2000 White Male Deaths 979 3,909 1,351 1,028 568 1,638 791 1,382 11,646 54,816 2000 White Male Death Rate 62.2 60.8 48.5 57.0 65.3 54.8 58.2 60.5 58.0 48.3 2000 White Male Death Rate (Age Adj) 70.2 47.0 72.0 72.2 76.5 69.2 69.7 74.1 60.4 57.2 55,494 1998-2000 White Male Deaths 1,014 4,008 1,352 1,075 570 1,605 781 1,394 11,798 1998-2000 White Male Death Rate 65.1 65.1 50.3 60.5 67.1 56.0 59.1 62.9 60.7 50.0 1998-2000 White Mal Dth Rte(Age Adj) 74.2 49.1 73.9 75.7 77.0 68.2 70.3 75.5 62.3 58.3 2000 Black Female Deaths 77 180 162 40 82 148 79 87 855 3,369 2000 Black Female Death Rate 12.3 14.1 12.8 25.4 14.8 15.7 12.4 17.3 14.3 17.6 2000 Black Fem Death Rate (Age Adj) 14.0 20.1 18.5 30.4 18.9 18.4 14.7 22.8 18.5 22.7 77 179 163 47 84 152 86 90 878 3,367 1998-2000 Black Female Death Rate 12.5 14.6 13.5 30.8 15.5 16.8 13.8 18.3 15.2 18.2 1998-2000 Blk Fem Dth Rate (Age Adj) 14.0 21.5 19.3 35.1 19.3 19.5 16.5 23.5 19.6 23.3 2000 Black Male Deaths 146 248 215 42 119 271 163 126 1,330 4,238 1998-2000 Black Female Deaths 2000 Black Male Death Rate 27.0 20.9 19.0 28.0 24.4 32.4 29.0 28.2 24.9 24.3 2000 Black Male Death Rate (Age Adj) 44.9 41.8 44.3 51.5 44.2 60.3 54.2 55.4 49.0 47.5 1998-2000 Black Male Deaths 156 284 231 47 125 257 150 126 1,376 4,323 1998-2000 Black Male Death Rate 29.4 25.1 21.7 33.4 26.3 32.0 27.5 29.3 26.9 25.8 1998-2000 Black Mal Dth Rte (Age Adj) 48.3 52.2 49.1 58.1 47.3 58.6 49.4 57.4 52.0 48.3 158 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Chronic Lower Respiratory Diseases Mortality AL 2000 AmInd Female Deaths FL GA KY MS NC SC TN Region IV US 1 3 1 0 1 6 1 0 13 201 7.9 9.4 8.0 0.0 15.6 11.2 13.0 0.0 9.4 13.4 14.5 13.9 18.7 0.0 48.2 17.5 24.2 0.0 15.9 26.2 1 4 1 0 0 9 1 0 16 193 1998-2000 AmInd Female Death Rate 10.8 13.3 9.9 0.0 0.0 17.6 17.6 0.0 13.1 14.9 1998-2000 AmInd Fem Dh Rate (Age Adj) 16.8 24.2 40.1 0.0 0.0 27.3 29.1 0.0 20.4 25.2 0 0 2 0 1 20 1 1 25 228 2000 AmInd Male Death Rate 0.0 0.0 13.9 0.0 16.2 37.9 12.6 11.0 17.5 15.3 2000 AmInd Male Death Rate (Age Adj) 0.0 0.0 17.4 0.0 35.5 110.9 12.6 11.7 46.9 43.7 2000 AmInd Female Death Rate 2000 AmInd Fem Death Rate (Age Adj) 1998-2000 AmInd Female Deaths 2000 AmInd Male Deaths 1998-2000 AmInd Male Deaths 0 3 2 0 1 16 0 0 23 214 1998-2000 AmInd Male Death Rate 0.0 9.5 18.0 0.0 18.5 32.0 0.0 0.0 18.6 16.7 1998-2000 AmInd Male Dth Rate (Age Adj) 0.0 15.9 43.3 0.0 0.0 79.3 0.0 0.0 38.8 38.8 0 6 3 2 0 0 1 5 17 411 2000 API Female Death Rate 0.0 3.6 3.1 11.4 0.0 0.0 4.6 15.0 3.9 6.8 2000 API Fem Death Rate (Age Adj) 0.0 7.0 9.8 57.2 0.0 0.0 8.2 37.2 9.8 11.7 0 5 2 1 1 1 1 3 14 395 1998-2000 API Female Death Rate 0.0 3.2 2.3 6.6 9.6 1.7 5.0 10.1 3.6 6.9 1998-2000 API Fem Dth Rate (Age Adj) 0.0 6.4 8.6 27.2 16.9 2.6 0.0 23.9 8.8 11.7 1 8 3 0 0 5 2 4 23 722 2000 API Female Deaths 1998-2000 API Female Deaths 2000 API Male Deaths 2000 API Male Death Rate 2000 API Male Death Rate (Age Adj) 1998-2000 API Male Deaths 1998-2000 API Male Death Rate 1998-2000 API Male Death Rate (Age Adj) 2000 Hisp Female Deaths 5.9 5.4 3.2 0.0 0.0 7.9 10.1 12.9 5.7 12.6 16.0 13.8 14.2 0.0 0.0 44.5 62.3 84.6 22.5 28.3 1 8 4 1 0 2 1 2 20 690 6.9 5.9 4.9 6.9 0.0 3.7 5.8 7.3 5.7 13.0 20.0 13.3 27.6 0.0 0.0 30.8 33.7 49.5 17.6 28.1 1,238 1 241 4 3 0 1 1 0 251 2000 Hisp Female Death Rate 3.1 18.0 2.3 12.3 0.0 0.7 2.6 0.0 13.7 7.2 2000 Hisp Fem Death Rate (Age Adj) 8.1 19.3 13.5 31.2 0.0 3.3 12.1 0.0 18.3 16.3 1998-2000 Hisp Female Deaths 1998-2000 Hisp Female Death Rate 1998-2000 Hisp Fem Dth Rate (Age Adj) 2000 Hisp Male Deaths 1 230 2 2 1 1 0 2 238 1,236 4.0 18.7 1.5 10.6 7.5 1.0 0.0 5.3 15.0 7.8 10.1 19.5 2.6 25.8 11.6 0.0 0.0 12.4 18.2 15.3 0 235 4 4 0 2 4 1 250 1,451 2000 Hisp Male Death Rate 0.0 17.5 1.5 11.3 0.0 0.9 7.1 1.4 12.2 8.0 2000 Hisp Male Death Rate (Age Adj) 0.0 30.2 10.3 50.7 0.0 0.8 60.0 0.9 28.5 28.8 1 256 2 2 0 2 2 1 267 1,496 1998-2000 Hisp Male Death Rate 3.4 21.5 1.2 8.4 0.0 1.5 5.4 2.1 16.2 9.1 1998-2000 Hisp Male Dth Rate (Age Adj) 0.0 34.6 6.9 30.3 0.0 6.4 37.6 0.0 32.0 27.7 1998-2000 Hisp Male Deaths 159 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Diabetes Mortality AL 2000 Female Deaths 788 FL 2,135 GA 809 KY 607 MS 411 NC 1,169 SC 680 TN Region IV 883 7,482 US 37,699 2000 Female Death Rate 34.3 26.1 19.5 29.4 27.9 28.5 33.0 30.3 27.4 26.3 2000 Female Death Rate (Age Adj) 28.8 18.0 20.9 25.3 25.0 25.6 30.0 26.4 22.9 23.0 1998-2000 Female Deaths 796 2,108 814 633 378 1,130 641 829 7,328 36,801 1998-2000 Female Death Rate 34.9 26.7 20.2 31.0 26.1 28.4 31.7 29.0 27.6 26.2 2000 Male Deaths 533 2,314 652 500 265 915 526 708 6,413 31,602 2000 Male Death Rate 24.8 29.7 16.2 25.3 19.3 23.2 27.0 25.6 24.7 22.9 2000 Male Death Rate (Age Adj) 29.3 26.1 24.3 31.2 23.9 29.4 33.6 31.3 27.8 27.8 1998-2000 Male Deaths 532 2,183 623 481 259 909 467 633 6,086 30,860 1998-2000 Male Death Rate 25.2 29.3 16.2 24.8 19.3 24.1 24.7 23.6 24.3 23.0 2000 White Female Deaths 490 1,653 475 534 217 698 328 613 5,008 29,552 2000 White Female Death Rate 29.8 24.7 17.1 28.3 24.1 22.9 23.5 25.8 24.2 25.3 2000 White Fem Death Rate (Age Adj) 22.7 15.1 15.9 23.6 17.9 18.7 19.2 20.9 17.9 20.4 1998-2000 White Female Deaths 470 1,624 481 564 192 659 321 591 4,902 28,763 1998-2000 White Female Death Rate 28.7 25.1 17.7 30.1 21.6 22.3 23.4 25.4 24.2 25.1 2000 White Male Deaths 345 1,997 451 450 157 610 331 542 4,883 26,009 2000 White Male Death Rate 21.9 31.1 16.2 24.9 18.1 20.4 24.4 23.7 24.3 22.9 2000 White Male Death Rate (Age Adj) 23.8 24.5 22.1 29.9 19.4 23.8 28.2 27.5 24.7 26.0 1998-2000 White Male Deaths 349 1,880 429 429 154 609 287 487 4,624 25,334 1998-2000 White Male Death Rate 22.4 30.5 16.0 24.1 18.1 21.3 21.7 22.0 23.8 22.8 2000 Black Female Deaths 298 475 331 71 189 445 351 267 2,427 7,250 2000 Black Female Death Rate 47.6 37.1 26.2 45.0 34.2 47.3 55.0 53.1 40.7 37.8 2000 Black Fem Death Rate (Age Adj) 53.3 53.9 38.9 53.4 42.3 56.0 65.3 67.7 52.9 49.4 1998-2000 Black Female Deaths 325 474 329 67 182 447 318 236 2,377 7,114 1998-2000 Black Female Death Rate 52.8 38.7 27.3 43.8 33.5 49.3 51.1 48.1 41.2 38.4 2000 Black Male Deaths 185 299 195 49 106 293 194 163 1,484 4,771 2000 Black Male Death Rate 34.2 25.2 17.3 32.6 21.7 35.1 34.5 36.4 27.8 27.4 2000 Black Male Death Rate (Age Adj) 53.6 48.0 33.4 57.7 37.2 58.9 54.3 65.1 49.3 48.7 1998-2000 Black Male Deaths 181 290 191 51 100 285 179 144 1,421 4,693 1998-2000 Black Male Death Rate 34.1 25.6 17.9 36.2 21.0 35.5 32.8 33.5 27.8 28.0 160 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Diabetes Mortality AL 2000 AmInd Female Deaths FL GA KY MS NC SC TN Region IV US 0 1 1 1 5 22 1 0 31 341 2000 AmInd Female Death Rate 0.0 3.1 8.0 21.6 78.1 40.9 13.0 0.0 22.5 22.8 2000 AmInd Fem Death Rate (Age Adj) 0.0 2.9 27.0 26.4 114.0 64.1 24.2 0.0 36.9 42.0 1 2 1 0 3 20 1 1 30 361 10.8 6.6 9.9 0.0 53.7 39.1 17.6 14.7 24.5 27.8 2 4 0 0 2 10 0 0 18 275 2000 AmInd Male Death Rate 15.7 11.6 0.0 0.0 32.5 18.9 0.0 0.0 12.6 18.5 2000 AmInd Male Death Rate (Age Adj) 47.1 23.2 0.0 0.0 37.1 26.9 0.0 0.0 21.3 41.4 2 4 0 0 4 13 0 0 24 303 22.2 12.7 0.0 0.0 74.0 26.0 0.0 0.0 19.4 23.7 0 6 2 1 0 4 0 3 16 556 2000 API Female Death Rate 0.0 3.6 2.1 5.7 0.0 6.0 0.0 9.0 3.7 9.2 2000 API Fem Death Rate (Age Adj) 0.0 10.8 4.2 24.9 0.0 26.6 0.0 27.0 11.9 14.8 0 8 3 2 0 3 0 2 19 564 0.0 5.2 3.5 13.2 0.0 5.2 0.0 6.7 4.9 9.9 1 14 6 1 0 2 1 3 28 547 1998-2000 AmInd Female Deaths 1998-2000 AmInd Female Death Rate 2000 AmInd Male Deaths 1998-2000 AmInd Male Deaths 1998-2000 AmInd Male Death Rate 2000 API Female Deaths 1998-2000 API Female Deaths 1998-2000 API Female Death Rate 2000 API Male Deaths 2000 API Male Death Rate 2000 API Male Death Rate (Age Adj) 1998-2000 API Male Deaths 1998-2000 API Male Death Rate 2000 Hisp Female Deaths 5.9 9.4 6.3 6.1 0.0 3.2 5.1 9.6 7.0 9.6 16.0 19.9 22.3 40.0 0.0 28.2 31.1 14.8 20.9 18.4 1 9 3 0 0 2 0 2 18 530 6.9 6.6 3.7 0.0 0.0 3.7 0.0 7.3 5.1 10.0 0 219 6 3 0 4 3 3 238 2,821 2000 Hisp Female Death Rate 0.0 16.3 3.4 12.3 0.0 2.6 7.8 5.9 13.0 16.5 2000 Hisp Fem Death Rate (Age Adj) 0.0 17.3 16.2 32.8 0.0 14.5 20.9 19.8 17.1 34.6 0 243 5 3 0 3 2 2 258 2,742 0.0 19.8 3.8 15.9 0.0 2.9 6.8 5.3 16.3 17.2 1 239 9 1 1 7 0 2 260 2,507 1998-2000 Hisp Female Deaths 1998-2000 Hisp Female Death Rate 2000 Hisp Male Deaths 2000 Hisp Male Death Rate 2000 Hisp Male Death Rate (Age Adj) 1998-2000 Hisp Male Deaths 1998-2000 Hisp Male Death Rate 2.3 17.8 3.5 2.8 4.4 3.1 0.0 2.7 12.6 13.8 13.0 26.8 21.4 16.2 19.6 24.4 0.0 2.4 25.5 39.6 0 226 5 1 0 5 1 2 240 2,354 0.0 19.0 3.0 4.2 0.0 3.7 2.7 4.3 14.6 14.4 161 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Unintentional Injuries Mortality AL 2000 Female Deaths 720 FL GA 2,050 1,096 KY 611 MS 561 NC 1,179 SC 654 TN Region IV 964 7,835 US 34,083 2000 Female Death Rate 31.3 25.0 26.4 29.6 38.1 28.7 31.7 33.0 28.7 23.8 2000 Female Death Rate (Age Adj) 28.9 21.7 26.9 27.5 36.1 26.9 30.4 31.0 26.4 22.0 1998-2000 Female Deaths 779 2,039 1,109 602 567 1,141 635 930 7,802 34,115 1998-2000 Female Death Rate 34.2 25.9 27.5 29.5 39.1 28.7 31.4 32.6 29.4 24.3 1998-2000 Fem Dth Rate (Age Adj) 31.8 22.5 28.0 27.4 37.2 26.9 30.2 30.5 27.1 22.5 1,373 4,217 2,007 1,227 1,092 2,346 1,320 1,779 15,361 63,817 2000 Male Deaths 2000 Male Death Rate 64.0 54.1 49.8 62.1 79.5 59.5 67.7 64.2 59.1 46.2 2000 Male Death Rate (Age Adj) 67.6 53.8 57.4 66.2 85.0 64.9 71.9 68.7 61.5 49.3 63,541 1998-2000 Male Deaths 1,420 4,023 1,994 1,153 1,102 2,220 1,259 1,741 14,913 1998-2000 Male Death Rate 67.3 54.0 51.9 59.5 82.3 58.9 66.6 65.0 59.6 47.3 1998-2000 Male Death Rate (Age Adj) 70.9 53.6 59.6 63.6 87.9 64.3 71.0 69.4 61.9 50.3 2000 White Female Deaths 554 1,793 830 571 406 926 477 819 6,376 29,263 2000 White Female Death Rate 33.7 26.7 29.8 30.3 45.1 30.4 34.2 34.5 30.7 25.1 2000 White Fem Death Rate (Age Adj) 30.0 22.0 28.7 27.8 39.9 27.1 31.0 31.5 26.9 22.2 1998-2000 White Female Deaths 602 1,780 835 564 380 894 458 805 6,318 29,248 1998-2000 White Female Death Rate 36.8 27.5 30.6 30.1 42.7 30.2 33.4 34.6 31.2 25.5 1998-2000 Wh Fem Dth Rate (Age Adj) 33.1 22.9 29.5 27.7 38.0 27.1 30.4 31.5 27.4 22.6 1,009 3,605 1,423 1,153 715 1,747 860 1,505 12,017 53,329 2000 White Male Deaths 2000 White Male Death Rate 64.1 56.1 51.1 63.9 82.2 58.4 63.3 65.9 59.8 47.0 2000 White Male Death Rate (Age Adj) 66.6 54.8 56.5 67.7 85.4 62.1 66.0 69.3 60.7 49.2 52,936 1998-2000 White Male Deaths 1,035 3,403 1,406 1,090 693 1,649 819 1,475 11,570 1998-2000 White Male Death Rate 66.5 55.3 52.3 61.3 81.6 57.5 61.9 66.6 59.5 47.7 1998-2000 White Mal Dth Rte(Age Adj) 68.9 53.7 58.6 65.0 84.4 61.6 65.1 70.0 60.4 49.8 2000 Black Female Deaths 157 245 248 37 152 229 173 140 1,381 3,746 2000 Black Female Death Rate 25.1 19.1 19.6 23.5 27.5 24.4 27.1 27.8 23.2 19.5 2000 Black Fem Death Rate (Age Adj) 25.9 21.1 22.4 23.9 28.5 25.9 28.6 29.7 25.1 21.3 1998-2000 Black Female Deaths 172 243 263 35 182 222 175 119 1,411 3,836 1998-2000 Black Female Death Rate 27.9 19.8 21.8 22.9 33.5 24.5 28.1 24.3 24.5 20.7 1998-2000 Blk Fem Dth Rate (Age Adj) 28.6 22.2 25.2 23.4 35.3 25.9 30.0 25.7 26.7 22.6 2000 Black Male Deaths 361 580 558 73 368 544 456 268 3,208 8,531 2000 Black Male Death Rate 66.6 48.8 49.4 48.6 75.4 65.1 81.1 59.9 60.0 49.0 2000 Black Male Death Rate (Age Adj) 77.2 56.8 65.8 57.7 90.7 79.0 93.4 71.5 72.4 58.1 1998-2000 Black Male Deaths 381 594 562 62 400 524 435 259 3,218 8,703 1998-2000 Black Male Death Rate 71.9 52.5 52.8 44.0 84.2 65.3 79.8 60.2 62.9 51.9 1998-2000 Black Mal Dth Rte (Age Adj) 82.1 62.3 66.1 53.2 99.5 76.9 90.1 72.4 74.5 60.9 162 Quality . . Resource Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV Unintentional Injuries Mortality AL 2000 AmInd Female Deaths FL GA KY MS NC SC TN Region IV US 2 0 7 0 2 16 1 0 28 453 2000 AmInd Female Death Rate 15.8 0.0 56.3 0.0 31.2 29.7 13.0 0.0 20.3 30.3 2000 AmInd Fem Death Rate (Age Adj) 16.1 0.0 89.8 0.0 34.9 30.0 11.5 0.0 21.7 33.9 3 3 3 1 3 18 1 1 33 439 1998-2000 AmInd Female Death Rate 32.4 9.9 29.6 28.7 53.7 35.2 17.6 14.7 27.0 33.8 1998-2000 AmInd Fem Dh Rate (Age Adj) 29.9 9.3 40.6 0.0 74.2 39.8 17.0 0.0 28.2 37.4 1998-2000 AmInd Female Deaths 2000 AmInd Male Deaths 1 13 4 0 3 40 0 1 62 900 2000 AmInd Male Death Rate 7.8 37.6 27.9 0.0 48.7 75.7 0.0 11.0 43.4 60.5 2000 AmInd Male Death Rate (Age Adj) 7.2 38.2 22.0 0.0 36.5 79.2 0.0 9.6 43.8 70.8 1998-2000 AmInd Male Deaths 2 9 4 0 5 37 1 1 60 893 1998-2000 AmInd Male Death Rate 22.2 28.6 36.1 0.0 92.5 73.9 17.2 14.1 48.5 69.7 1998-2000 AmInd Male Dth Rate (Age Adj) 10.5 25.8 40.6 0.0 105.2 90.1 0.0 0.0 51.2 79.6 7 12 11 3 1 8 3 5 50 621 2000 API Female Death Rate 37.3 7.2 11.3 17.0 9.0 12.1 13.8 15.0 11.5 10.3 2000 API Fem Death Rate (Age Adj) 55.9 6.5 18.0 15.2 34.5 25.0 15.5 14.5 15.2 13.2 3 13 8 2 2 7 1 4 40 592 1998-2000 API Female Death Rate 18.4 8.4 9.3 13.2 19.3 12.1 5.0 13.5 10.3 10.4 1998-2000 API Fem Dth Rate (Age Adj) 11.4 8.3 10.5 11.3 6.9 20.2 3.6 16.5 11.7 12.8 2 19 22 1 6 15 4 5 74 1,057 2000 API Female Deaths 1998-2000 API Female Deaths 2000 API Male Deaths 2000 API Male Death Rate 2000 API Male Death Rate (Age Adj) 1998-2000 API Male Deaths 11.7 12.8 23.2 6.1 60.9 23.7 20.2 16.1 18.5 18.5 7.7 16.1 34.5 4.9 55.6 56.2 27.3 16.1 25.0 23.1 1,009 2 17 22 1 4 11 4 6 66 1998-2000 API Male Death Rate 13.8 12.6 27.0 6.9 41.8 20.5 23.0 22.0 18.7 19.0 1998-2000 API Male Death Rate (Age Adj) 10.1 14.0 43.1 0.0 18.9 28.2 43.8 15.8 24.2 23.8 2,134 2000 Hisp Female Deaths 2000 Hisp Female Death Rate 2000 Hisp Fem Death Rate (Age Adj) 1998-2000 Hisp Female Deaths 3 205 20 4 3 37 8 7 287 9.2 15.3 11.3 16.4 18.0 24.3 20.9 13.9 15.6 12.4 10.2 15.5 12.3 13.2 17.3 18.8 17.1 19.3 16.8 16.1 4 201 24 4 1 25 6 6 270 2,062 16.1 16.4 18.3 21.2 7.5 24.3 20.3 15.9 17.0 13.0 1998-2000 Hisp Fem Dth Rate (Age Adj) 8.4 16.4 15.7 13.0 0.0 20.5 19.3 18.8 17.5 15.6 2000 Hisp Male Deaths 21 600 113 17 12 138 39 51 991 6,696 1998-2000 Hisp Female Death Rate 2000 Hisp Male Death Rate 48.7 44.8 43.8 47.9 52.5 60.9 68.7 69.6 48.2 36.9 2000 Hisp Male Death Rate (Age Adj) 47.9 47.1 51.3 50.7 46.8 57.3 53.0 67.8 49.7 44.5 18 550 92 17 11 128 30 35 882 6,543 1998-2000 Hisp Male Death Rate 60.6 46.2 54.9 71.6 71.1 94.2 81.5 75.0 53.6 39.9 1998-2000 Hisp Male Dth Rate (Age Adj) 54.5 48.3 49.9 52.9 49.5 84.0 59.8 59.3 54.1 46.2 1998-2000 Hisp Male Deaths 163 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV B.3: FEMALE MORTALITY FOR HEALTHY PEOPLE 2010 AREAS FEMALE AGE-ADJUSTED DEATH RATES FOR SELECTED CAUSES AL FL GA KY MS NC SC TN Region IV HP 2010 US 2000 Fem Cancer 166.5 158.2 167.1 182.2 173.7 162.4 1998-2000 Fem Cancer 168.8 166 174.5 165.2 167.6 162 165.8 182.3 173.8 165.6 169.1 174.9 167.4 169.3 2000 Fem Lung Cancer 39.4 42.6 42.4 54.1 42.7 40.6 39.6 44.8 42.9 41.3 1998-2000 Fem Lung Canc 38.9 42.7 40.2 52.5 42.1 39.9 39.1 43.6 42.3 41 2000 Fem Breast Cancer 26.7 24.6 25.7 26.2 30.1 24.3 28.8 26.5 25.8 26.8 1998-2000 Fem Breast Canc 26.3 25.4 26.7 27 28.4 26.4 28.4 27.4 26.5 27.3 2000 Fem Cervical Cancer 3.9 3.3 2.7 3 3.5 2.9 3 3.7 3.2 2.8 1998-2000 Fem Cervic Canc 3.2 3.3 3.1 3.5 4 3.1 3.6 3.5 3.3 2.9 2000 Fem Colorectal Cancer 15.4 15.8 16.9 19.5 20.5 17.6 18.9 19.5 17.3 17.7 1998-2000 Fem Colo Canc 16.7 16.6 16.5 19.1 19.1 17.8 18.3 18.6 17.4 18 2000 Fem CHD 2000 Fem Stroke 137.9 158.3 134.4 69 47.5 72 162 184.6 152.7 146.2 187.6 64.7 72 75.8 76.6 75.4 157.2 154.6 63.2 59.1 1998-2000 Fem Stroke 69.3 49.8 71.8 68 69.6 76.4 81.9 77 64.9 60.4 2000 Fem Unintent Injury 28.9 21.7 26.9 27.5 36.1 26.9 30.4 31 26.4 22 159.9 44.9 22.3 2.0 13.9 166.0 48.0 17.5 1998-2000 Fem Unint Injury 31.8 22.5 28 27.4 37.2 26.9 30.2 30.5 27.1 22.5 2000 Fem MVA 14.1 10.8 11.8 11.9 19.2 12.1 14.6 15.5 12.8 9.5 1998-2000 Fem MVA 15 11 12.5 11.6 19.3 12.1 14.6 13.9 12.8 9.4 2000 Fem Homicide 4.6 3 4.1 3.6 6.4 3.6 3.8 3.9 3.8 2.8 1998-2000 Fem Homicide 5.2 3.4 4 3.3 6 3.8 4.2 3.9 4 2.9 2000 Fem Maternal per 100,000 births 4.7 14.2 15.8 7.1 18.2 11.6 16 10 12.7 10 3.3 5.0 2000 Fem Suicide 4.8 4.9 4.4 4.1 3.7 5.4 4.9 4.9 4.8 4 1998-2000 Fem Suicide 4.6 5.6 4.2 4.3 4 4.8 4.3 5 4.8 4.1 164 9.2 3.0 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV B.4: MORTALITY BY CAUSE MORTALITY AL 2000 Female Deaths FL GA KY MS NC SC TN Region IV 22,709 80,309 32,389 20,058 14,498 36,579 18,237 27,973 US 252,752 1,225,773 2000 Female Death Rate 987.1 981.2 778.7 970.7 985.5 890.7 884.0 958.3 926.8 855.0 2000 Female Death Rte (Age Adj) 823.8 666.7 822.9 829.4 869.4 792.9 803.8 826.3 763.1 731.3 1998-2000 Female Deaths 22,406 79,156 31,285 19,686 14,043 35,303 17,774 27,272 246,925 1,207,236 1998-2000 Female Death Rate 983.1 1,004.3 776.9 963.4 969.3 887.5 879.7 955.1 930.6 860.2 1998-2000 Fem Dth Rte (Age Adj) 830.6 818.4 829.1 862.2 781.0 811.6 826.8 766.7 735.9 2000 Male Deaths 680.1 22,353 84,086 31,481 19,446 14,156 35,356 18,711 27,273 2000 Male Death Rate 1,041.4 1,078.3 2000 Male Death Rate (Age Adj) 1,253.6 984.5 973.2 853.0 978.6 1,207.2 1,235.9 1,303.5 1,179.2 1,224.4 1,235.0 1,122.1 1,053.7 1998-2000 Male Deaths 22,200 82,773 30,824 19,200 14,185 34,539 18,169 26,870 1998-2000 Male Death Rate 1,051.8 1,110.3 1998-2000 Male Dth Rte (Age Adj) 1,261.6 781.7 801.6 984.4 1,030.6 991.5 1,058.8 896.7 915.9 960.1 252,862 1,177,578 248,760 1,170,099 960.9 1,002.9 993.9 870.2 992.2 1,211.0 1,231.3 1,335.8 1,177.0 1,219.9 1,245.3 1,131.1 1,060.0 Heart Disease Mortality GA KY MS SC TN 6,940 25,058 AL 8,910 6,196 4,919 10,057 4,885 8,319 75,284 365,953 2000 Female Death Rate 301.7 306.2 214.2 299.8 334.4 244.9 236.8 285.0 276.1 255.3 2000 Female Death Rte (Age Adj) 244.6 194.3 226.3 250.1 284.9 214.1 212.6 240.0 219.9 210.9 1998-2000 Female Deaths 6,887 25,187 9,000 6,160 4,903 9,849 4,903 8,313 75,201 368,407 1998-2000 Female Death Rate 302.2 319.6 223.5 301.5 338.4 247.6 242.7 291.1 283.4 262.5 1998-2000 Fem Dth Rte (Age Adj) 248.4 202.2 235.7 253.4 292.2 213.5 221.6 246.3 226.0 217.2 2000 Male Deaths 6,466 25,278 8,496 5,740 4,337 9,666 5,008 7,855 72,846 344,807 2000 Female Deaths FL NC Region IV US 2000 Male Death Rate 301.2 324.2 211.0 290.6 315.8 245.2 257.0 283.5 280.4 249.8 2000 Male Death Rate (Age Adj) 375.0 292.8 346.1 378.1 413.8 334.7 339.1 368.1 333.1 320.0 1998-2000 Male Deaths 6,485 25,538 8,571 5,770 4,429 9,527 5,016 7,932 73,267 348,432 1998-2000 Male Death Rate 307.3 342.6 222.9 298.0 330.6 252.6 265.3 296.1 292.7 259.1 1998-2000 Male Dth Rte (Age Adj) 380.1 303.6 357.1 381.9 432.8 336.4 348.7 379.3 342.4 326.6 165 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Hypertension Disease Mortality AL 2000 Female Deaths 478 2000 Female Death Rate 2000 Male Deaths 2000 Male Death Rate FL GA KY MS NC SC TN Region IV 6,145 US 1,880 869 310 530 851 460 767 26,685 20.8 23.0 20.9 15.0 36.0 20.7 22.3 26.3 22.5 18.6 311 1,466 590 183 307 489 306 473 4,125 17,934 14.5 18.8 14.7 9.3 22.4 12.4 15.7 17.1 15.9 13.0 Coronary Heart Disease Mortality AL FL GA KY MS NC SC TN 2000 Female Deaths 3,898 20,547 5,277 4,003 3,169 7,184 3,361 6,519 Region IV 53,958 268,515 US 2000 Female Dth Rt (Age Adj) 137.9 158.3 134.4 162.0 184.6 152.7 146.2 187.6 157.2 154.6 2000 Male Deaths 4,030 21,250 5,682 4,070 2,986 7,483 3,760 6,527 55,788 270,450 2000 Male Dth Rt (Age Adj) 231.6 245.6 229.5 264.0 281.1 257.0 252.8 304.9 254.4 250.1 Stroke Mortality AL 2000 Female Deaths 1,968 FL GA KY MS NC SC TN 6,092 2,832 1,619 1,233 3,584 1,768 2,645 Region IV 21,741 US 102,892 2000 Female Death Rate 85.5 74.4 68.1 78.3 83.8 87.3 85.7 90.6 79.7 71.8 2000 Female Death Rate (Age Adj) 69.0 47.5 72.0 64.7 72.0 75.8 76.6 75.4 63.2 59.1 1998-2000 Female Deaths 1,931 6,161 2,746 1,664 1,163 3,548 1,818 2,616 21,647 102,932 1998-2000 Female Death Rate 84.7 78.2 68.2 81.4 80.3 89.2 90.0 91.6 81.6 73.3 1998-2000 Fem Dth Rate (Age Adj) 69.3 49.8 71.8 68.0 69.6 76.4 81.9 77.0 64.9 60.4 1,215 4,440 1,793 1,018 766 2,165 1,188 1,621 14,206 64,769 2000 Male Deaths 2000 Male Death Rate 56.6 56.9 44.5 51.5 55.8 54.9 61.0 58.5 54.7 46.9 2000 Male Death Rate (Age Adj) 72.9 51.6 77.6 70.8 74.7 80.7 86.8 81.9 67.0 62.4 64,665 1998-2000 Male Deaths 1,213 4,429 1,736 996 762 2,163 1,182 1,571 14,052 1998-2000 Male Death Rate 57.5 59.4 45.1 51.4 56.9 57.4 62.5 58.6 56.1 48.1 1998-2000 Male Dth Rate (Age Adj) 73.6 52.8 76.8 69.8 76.2 81.6 87.9 80.6 67.7 62.8 166 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Cancer Mortality AL FL KY MS NC SC TN 4,425 18,061 6,468 4,238 2,752 7,305 3,725 5,718 52,692 267,009 2000 Female Death Rate 192.3 220.7 155.5 205.1 187.1 177.9 180.6 195.9 193.2 186.2 2000 Female Dth Rt (Age Adj) 166.5 158.2 167.1 182.2 173.7 162.4 166.0 174.5 165.2 167.6 1998-2000 Female Deaths 4,409 17,874 6,242 4,169 2,707 7,281 3,684 5,591 51,957 264,082 1998-2000 Female Death Rate 193.5 226.8 155.0 204.0 186.9 183.0 182.3 195.8 195.8 188.2 1998-2000 Fem Dth Rt(Age Adj) 168.8 162.0 165.8 182.3 173.8 165.6 169.1 174.9 167.4 169.3 2000 Male Deaths 5,382 21,122 7,222 4,969 3,323 8,481 4,525 6,621 61,645 286,082 2000 Female Deaths GA Region IV US 2000 Male Death Rate 250.7 270.9 179.3 251.5 241.9 215.1 232.2 239.0 237.3 207.2 2000 Male Death Rate (Age Adj) 292.1 236.8 271.4 299.8 302.7 271.7 286.4 288.0 264.7 249.0 1998-2000 Male Deaths 5,277 20,823 7,136 4,853 3,365 8,407 4,348 6,527 60,736 285,299 1998-2000 Male Death Rate 250.0 279.3 185.6 250.6 251.2 222.9 229.9 243.6 242.7 212.2 1998-2000 Mal Dth Rt(Age Adj) 291.2 240.7 275.0 297.2 313.7 275.9 282.2 290.7 267.5 251.5 Breast Cancer Mortality FL GA KY 2000 Female Deaths AL 691 2,653 1,007 598 463 1,075 637 863 7,987 41,872 2000 Female Death Rate 30.0 32.4 24.2 28.9 31.5 26.2 30.9 29.6 29.3 29.2 2000 Female Dth Rt (Age Adj) 26.7 24.6 25.7 26.2 30.1 24.3 28.8 26.5 25.8 26.8 1998-2000 Female Deaths 667 2,631 1,019 606 430 1,138 610 867 7,968 41,662 1998-2000 Female Death Rate 29.3 33.4 25.3 29.7 29.7 28.6 30.2 30.4 30.0 29.7 1998-2000 Fem Dth Rt(Age Adj) 26.3 25.4 26.7 27.0 28.4 26.4 28.4 27.4 26.5 27.3 6 31 10 9 5 9 6 7 83 428 2000 Male Deaths MS NC SC TN Region IV US 2000 Male Death Rate 0.3 0.4 0.2 0.5 0.4 0.2 0.3 0.3 0.3 0.3 2000 Male Death Rate (Age Adj) 0.4 0.4 0.4 0.5 0.4 0.3 0.4 0.3 0.4 0.4 388 1998-2000 Male Deaths 6 27 8 5 2 8 6 7 69 1998-2000 Male Death Rate 0.3 0.4 0.2 0.3 0.1 0.2 0.3 0.3 0.3 0.3 1998-2000 Mal Dth Rt(Age Adj) 0.3 0.3 0.4 0.3 0.2 0.2 0.4 0.3 0.3 0.3 Colorectal Cancer Mortality AL FL GA KY MS NC SC TN Region IV US 2000 Female Deaths 423 1,885 657 467 333 800 428 648 5,641 2000 Female Death Rate 18.4 23.0 15.8 22.6 22.6 19.5 20.7 22.2 20.7 20.2 2000 Female Dth Rt (Age Adj) 15.4 15.8 16.9 19.5 20.5 17.6 18.9 19.5 17.3 17.7 1998-2000 Female Deaths 449 1,921 623 448 306 793 401 607 5,547 28,918 1998-2000 Female Death Rate 19.7 24.4 15.5 21.9 21.1 19.9 19.8 21.3 20.9 20.6 1998-2000 Fem Dth Rt(Age Adj) 16.7 16.6 16.5 19.1 19.1 17.8 18.3 18.6 17.4 18.0 2000 Male Deaths 471 2,007 632 484 325 761 424 611 5,715 28,462 2000 Male Death Rate 21.9 25.7 15.7 24.5 23.7 19.3 21.8 22.1 22.0 20.6 2000 Male Death Rate (Age Adj) 26.1 22.6 23.7 30.1 29.5 24.6 27.0 26.9 24.8 25.1 1998-2000 Male Deaths 441 2,010 588 455 287 740 403 570 5,494 28,207 1998-2000 Male Death Rate 20.9 27.0 15.3 23.5 21.4 19.6 21.3 21.3 22.0 21.0 1998-2000 Mal Dth Rt(Age Adj) 24.8 23.3 22.6 28.6 26.8 24.5 26.4 25.7 24.5 25.2 167 29,015 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Lung Cancer Mortality 2000 Female Deaths AL FL GA KY 1,041 4,895 1,619 1,248 MS 668 NC 1,816 SC 891 TN 1,455 Region IV 13,633 US 65,052 2000 Female Death Rate 45.2 59.8 38.9 60.4 45.4 44.2 43.2 49.8 50.0 45.4 2000 Female Dth Rt (Age Adj) 39.4 42.6 42.4 54.1 42.7 40.6 39.6 44.8 42.9 41.3 1,013 4,751 1,495 1,191 649 1,749 855 1,385 13,086 63,280 1998-2000 Female Death Rate 44.4 60.3 37.1 58.3 44.8 44.0 42.3 48.5 49.3 45.1 1998-2000 Fem Dth Rt(Age Adj) 38.9 42.7 40.2 52.5 42.1 39.9 39.1 43.6 42.3 41.0 1,925 6,854 2,548 2,009 1,265 3,059 1,531 2,486 21,677 90,469 1998-2000 Female Deaths 2000 Male Deaths 2000 Male Death Rate 89.7 87.9 63.3 101.7 92.1 77.6 78.6 89.7 83.4 65.5 2000 Male Death Rate (Age Adj) 100.8 75.6 92.8 115.8 111.8 94.3 92.3 103.2 90.3 76.7 1998-2000 Male Deaths 1,881 6,755 2,510 1,896 1,252 2,979 1,474 2,455 21,201 89,959 89.1 90.6 65.3 97.9 93.5 79.0 78.0 91.6 84.7 66.9 100.1 76.8 93.9 111.9 113.4 94.1 91.3 105.0 90.7 77.4 1998-2000 Male Death Rate 1998-2000 Mal Dth Rt(Age Adj) Ovarian Cancer Mortality AL FL GA KY MS NC SC TN Region IV US 2000 Female Deaths 246 965 342 189 138 376 175 290 2,721 14,060 2000 Female Death Rate 10.7 11.8 8.2 9.1 9.4 9.2 8.5 9.9 10.0 9.8 2000 Female Dth Rt (Age Adj) 9.3 8.6 8.8 8.2 8.7 8.4 7.8 8.9 8.5 8.9 1998-2000 Female Deaths 238 943 328 189 135 367 183 289 2,673 13,672 1998-2000 Female Death Rate 10.4 12.0 8.1 9.2 9.3 9.2 9.1 10.1 10.1 9.7 1998-2000 Fem Dth Rt(Age Adj) 9.1 8.7 8.8 8.3 8.7 8.4 8.3 9.0 8.7 8.9 Uterine Cancer Mortality AL 2000 Female Deaths 92 FL 395 GA 160 KY 92 MS 56 NC 188 SC 72 TN 142 Region IV 1,197 US 6,586 2000 Female Death Rate 4.0 4.8 3.8 4.5 3.8 4.6 3.5 4.9 4.4 4.6 2000 Female Dth Rt (Age Adj) 3.4 3.5 4.2 3.9 3.5 4.2 3.2 4.3 3.7 4.1 1998-2000 Female Deaths 101 398 149 89 60 184 89 129 1,197 6,547 1998-2000 Female Death Rate 4.4 5.0 3.7 4.4 4.1 4.6 4.4 4.5 4.5 4.7 1998-2000 Fem Dth Rt(Age Adj) 3.8 3.5 4.0 3.8 3.8 4.1 4.0 4.0 3.8 4.2 Cervical Cancer Mortality AL FL GA KY MS NC SC TN Region IV US 2000 Female Deaths 96 306 110 66 54 128 66 114 940 2000 Female Death Rate 4.2 3.7 2.6 3.2 3.7 3.1 3.2 3.9 3.4 2.9 2000 Female Dth Rt (Age Adj) 3.9 3.3 2.7 3.0 3.5 2.9 3.0 3.7 3.2 2.8 1998-2000 Female Deaths 80 296 119 77 59 130 76 109 945 4,230 1998-2000 Female Death Rate 3.5 3.8 3.0 3.8 4.1 3.3 3.8 3.8 3.6 3.0 1998-2000 Fem Dth Rt(Age Adj) 3.2 3.3 3.1 3.5 4.0 3.1 3.6 3.5 3.3 2.9 168 4,200 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Chronic Lower Respiratory Diseases Mortality AL 2000 Female Deaths 931 FL GA KY MS NC SC TN 4,480 1,496 1,100 569 1,765 773 1,374 Region IV 12,488 US 62,005 2000 Female Death Rate 40.5 54.7 36.0 53.2 38.7 43.0 37.5 47.1 45.8 43.2 2000 Female Death Rt(Age Adj) 33.9 35.8 39.1 46.0 34.4 38.4 33.9 41.0 37.6 37.4 1998-2000 Female Deaths 934 4,482 1,410 1,062 544 1,669 777 1,278 12,155 60,664 1998-2000 Female Death Rate 41.0 56.9 35.0 52.0 37.6 42.0 38.5 44.8 45.8 43.2 1998-2000 Fem Dth Rt(Age Adj) 34.6 37.0 37.7 45.3 33.6 37.0 35.1 39.2 37.5 37.4 60,004 2000 Male Deaths 1,126 4,165 1,571 1,070 688 1,934 957 1,513 13,024 2000 Male Death Rate 52.5 53.4 39.0 54.2 50.1 49.1 49.1 54.6 50.1 43.5 2000 Male Death Rate(Age Adj) 65.2 46.6 66.5 71.0 67.6 68.0 66.5 72.1 59.0 55.8 60,721 1998-2000 Male Deaths 1,172 4,303 1,590 1,122 696 1,881 932 1,522 13,217 1998-2000 Male Death Rate 55.5 57.7 41.3 57.9 52.0 49.9 49.3 56.8 52.8 45.2 1998-2000 Male Dth Rt(Age Adj) 69.3 49.2 68.8 74.6 68.8 66.8 65.6 73.2 61.0 56.8 Pneumonia/Influenza Mortality FL GA MS NC SC 2000 Female Deaths AL 657 1,767 1,004 KY 663 462 1,160 404 TN 985 Region IV 7,102 36,655 US 2000 Female Death Rate 28.6 21.6 24.1 32.1 31.4 28.2 19.6 33.7 26.0 25.6 2000 Female Death Rt(Age Adj) 22.5 13.8 25.2 26.3 26.1 24.3 17.4 27.8 20.4 20.7 1998-2000 Female Deaths 644 1,665 946 644 437 1,101 441 922 6,799 36,067 1998-2000 Female Death Rate 28.3 21.1 23.5 31.5 30.2 27.7 21.8 32.3 25.6 25.7 2000 Male Deaths 481 1,598 788 494 347 785 295 687 5,475 28,658 2000 Male Death Rate 22.4 20.5 19.6 25.0 25.3 19.9 15.1 24.8 21.1 20.8 2000 Male Death Rate(Age Adj) 31.2 19.0 37.2 36.5 36.6 30.8 22.7 36.6 27.0 28.9 1998-2000 Male Deaths 498 1,523 746 484 349 804 341 687 5,433 28,329 1998-2000 Male Death Rate 23.6 20.4 19.4 25.0 26.0 21.3 18.0 25.6 21.7 21.1 Alzheimer’s Mortality MS NC SC 2000 Female Deaths AL 647 2,260 FL GA 919 KY 620 307 1,297 632 TN 725 Region IV 7,407 35,120 US 2000 Female Death Rate 28.1 27.6 22.1 30.0 20.9 31.6 30.6 24.8 27.2 24.5 2000 Female Dth Rt (Age Adj) 21.8 16.6 23.1 24.1 16.8 26.9 26.9 20.1 20.7 19.3 2000 Male Deaths 248 1,005 316 225 136 428 242 299 2,899 14,438 2000 Male Death Rate 11.6 12.9 7.8 11.4 9.9 10.9 12.4 10.8 11.2 10.5 2000 Male Death Rate(Age Adj) 16.7 11.9 17.1 18.1 15.0 18.6 20.3 17.0 15.1 15.2 169 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV Diabetes Mortality AL FL GA KY MS NC SC TN Region IV US 2000 Female Deaths 788 2,135 809 607 411 1,169 680 883 7,482 37,699 2000 Female Death Rate 34.3 26.1 19.5 29.4 27.9 28.5 33.0 30.3 27.4 26.3 2000 Female Death Rt (Age Adj) 28.8 18.0 20.9 25.3 25.0 25.6 30.0 26.4 22.9 23.0 1998-2000 Female Deaths 796 2,108 814 633 378 1,130 641 829 7,328 36,801 1998-2000 Female Death Rate 34.9 26.7 20.2 31.0 26.1 28.4 31.7 29.0 27.6 26.2 2000 Male Deaths 533 2,314 652 500 265 915 526 708 6,413 31,602 2000 Male Death Rate 24.8 29.7 16.2 25.3 19.3 23.2 27.0 25.6 24.7 22.9 2000 Male Death Rate (Age Adj) 29.3 26.1 24.3 31.2 23.9 29.4 33.6 31.3 27.8 27.8 1998-2000 Male Deaths 532 2,183 623 481 259 909 467 633 6,086 30,860 1998-2000 Male Death Rate 25.2 29.3 16.2 24.8 19.3 24.1 24.7 23.6 24.3 23.0 Unintentional Injuries Mortality AL 2000 Female Deaths 720 FL GA 2,050 1,096 KY MS 611 561 NC 1,179 SC TN 654 Region IV 964 7,835 US 34,083 2000 Female Death Rate 31.3 25.0 26.4 29.6 38.1 28.7 31.7 33.0 28.7 23.8 2000 Female Death RteAge Adj) 28.9 21.7 26.9 27.5 36.1 26.9 30.4 31.0 26.4 22.0 1998-2000 Female Deaths 779 2,039 1,109 602 567 1,141 635 930 7,802 34,115 1998-2000 Female Death Rate 34.2 25.9 27.5 29.5 39.1 28.7 31.4 32.6 29.4 24.3 1998-2000 Fem Dth Rt(Age Adj) 31.8 22.5 28.0 27.4 37.2 26.9 30.2 30.5 27.1 22.5 1,373 4,217 2,007 1,227 1,092 2,346 1,320 1,779 15,361 63,817 64.0 54.1 49.8 62.1 79.5 59.5 67.7 64.2 59.1 46.2 2000 Male Deaths 2000 Male Death Rate 2000 Male Death Rate (Age Adj) 1998-2000 Male Deaths 67.6 53.8 57.4 66.2 85.0 64.9 71.9 68.7 61.5 49.3 1,420 4,023 1,994 1,153 1,102 2,220 1,259 1,741 14,913 63,541 1998-2000 Male Death Rate 67.3 54.0 51.9 59.5 82.3 58.9 66.6 65.0 59.6 47.3 1998-2000 Male Dth Rt(Age Adj) 70.9 53.6 59.6 63.6 87.9 64.3 71.0 69.4 61.9 50.3 Motor Vehicle Accidents Mortality KY MS NC SC TN Region IV AL 2000 Female Deaths FL 333 933 GA 489 250 287 503 306 459 3,560 US 13,903 2000 Female Death Rate 14.5 11.4 11.8 12.1 19.5 12.2 14.8 15.7 13.1 9.7 2000 Female Death RteAge Adj) 14.1 10.8 11.8 11.9 19.2 12.1 14.6 15.5 12.8 9.5 13,375 1998-2000 Female Deaths 350 908 499 243 283 487 299 401 3,470 1998-2000 Female Death Rate 15.4 11.5 12.4 11.9 19.5 12.2 14.8 14.0 13.1 9.5 1998-2000 Fem Dth Rt(Age Adj) 15.0 11.0 12.5 11.6 19.3 12.1 14.6 13.9 12.8 9.4 2000 Male Deaths 731 2,124 1,047 582 648 1,190 719 936 7,977 29,451 2000 Male Death Rate 34.1 27.2 26.0 29.5 47.2 30.2 36.9 33.8 30.7 21.3 2000 Male Death Rate (Age Adj) 34.5 27.3 27.5 29.9 48.1 30.7 37.3 34.6 30.9 21.7 1998-2000 Male Deaths 706 1,904 991 540 621 1,084 656 852 7,355 27,574 1998-2000 Male Death Rate 33.5 25.5 25.8 27.9 46.4 28.7 34.7 31.8 29.4 20.5 1998-2000 Male Dth Rt(Age Adj) 33.7 25.6 27.0 28.2 47.5 29.4 35.0 32.4 29.6 20.9 AL 2000 Female Deaths 2000 Dths per 100,000 Births FL GA Maternal Deaths MS NC SC KY TN Region IV US 3 29 21 4 8 14 9 8 96 404 4.7 14.2 15.8 7.1 18.2 11.6 16.0 10.0 12.7 10.0 170 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV B.5: CANCER INCIDENCE 2000 INCIDENCE OF CANCER IN FEMALES Female Cancer Counts State Name Alabama Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee Region IV US All Bladder Breast Colorectal Uterine Lung Skin Ovarian Thyroid Cancers Cancers Cancers Cancers Cancers Cancers Cancers Cancers Cancers Count Count Count Count Count Count Count Count Count 9,158 170 2,857 1,134 423 1,271 216 364 168 43,941 1,236 12,315 5,519 2,237 6,751 1,268 1,630 872 15,203 315 4,953 1,690 714 1,965 532 526 338 9,800 226 2,737 1,247 539 1,625 355 366 193 ---------16,103 8,105 -- 361 146 -- 5,430 2,637 -- 1,862 994 -63,907 827 406 -- 533,647 13,361 164,895 30,207 All Cancers Crude Rate 398.1 536.9 365.5 474.3 -- Bladder Cancers Crude Rate 7.4 15.1 7.6 10.9 -- Breast Cancers Crude Rate 124.2 150.5 119.1 132.5 -- Colorectal Cancers Crude Rate 49.3 67.4 40.6 60.3 -- Uterine Cancers Crude Rate 18.4 27.3 17.2 26.1 -- 392.1 392.9 -- 8.8 7.1 132.2 127.8 -- 45.3 48.2 2,093 1,073 -- 533 231 -- 69,316 661 284 -- 285 170 -- 15,611 20,188 13,019 Lung Cancers Crude Rate 55.2 82.5 47.2 78.6 -- Skin Cancers Crude Rate 9.4 15.5 12.8 17.2 -- Ovarian Cancers Crude Rate 15.8 19.9 12.6 17.7 -- Thyroid Cancers Crude Rate 7.3 10.7 8.1 9.3 -- 20.1 19.7 -- 51.0 52.0 -- 13.0 11.2 -- 16.1 13.8 -- 6.9 8.2 25.1 57.6 13 16.8 10.8 Crude Rates per 100,000 Females State Name Alabama Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee Region IV US 443.6 -11.1 -- 137.1 53.1 -- Age Adjusted Rates per 100,000 Females State Name Alabama Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee Region IV US All Cancers Age Adj Rate 357.9 413.0 388.0 434.5 -- Bladder Cancers Age Adj Rate 6.3 10.5 8.2 9.7 -- Breast Cancers Age Adj Rate 113.6 121.3 125.6 123.0 -- Colorectal Cancers Age Adj Rate 43.0 47.8 43.6 53.5 -- Uterine Cancers Age Adj Rate 16.5 21.2 18.3 24.1 -- Lung Cancers Age Adj Rate 48.6 59.9 51.5 71.2 -- Skin Cancers Age Adj Rate 8.8 12.9 13.1 16.4 -- Ovarian Cancers Age Adj Rate 14.5 16.0 13.4 16.4 -- Thyroid Cancers Age Adj Rate 7.1 10.1 8.2 9.2 -- 367.1 367.7 -- 8.0 6.5 125.1 120.6 -- 41.6 44.4 18.9 18.4 -- 47.3 48.1 -- 12.4 10.7 -- 15.2 12.9 -- 6.7 8.0 23.5 52.5 12.4 15.8 409.4 -9.8 128.9 -47 -10.7 US counts and rates are for all reporting districts. 171 Quality . . 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HEALTH STATUS OF WOMEN IN REGION IV APPENDIX C: COUNTY LEVEL DETAILED DATA 2000 POPULATION FEMALES by RACE FIPS Code County Name 01 ALABAMA TOTAL Females All Races Black/ African Amercn White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Two or More Races Some Other Race 4,447,100 2,300,596 1,618,383 619,936 11,161 16,595 663 17,258 11,494 01001 Autauga, AL 43,671 22,450 17,886 4,026 103 142 9 151 78 206 01003 Baldwin, AL 140,415 71,567 62,413 7,397 399 332 22 354 290 714 01005 Barbour, AL 29,038 14,068 7,167 6,661 43 45 5 50 63 84 01007 Bibb, AL 20,826 10,081 7,935 2,040 26 11 0 11 18 51 01009 Blount, AL 51,024 25,548 24,345 315 116 47 8 55 432 285 01011 Bullock, AL 11,714 5,574 1,252 4,239 7 13 1 14 16 46 01013 Butler, AL 21,399 11,380 6,522 4,766 24 17 0 17 6 45 112,249 58,547 45,777 11,280 209 395 39 434 293 554 110 01015 Calhoun, AL 22,364 01017 Chambers, AL 36,583 19,298 11,547 7,563 23 37 0 37 18 01019 Cherokee, AL 23,988 12,194 11,313 691 37 19 0 19 35 99 01021 Chilton, AL 39,593 20,012 17,400 2,188 53 44 2 46 186 139 01023 Choctaw, AL 15,922 8,433 4,549 3,824 10 4 0 4 9 37 01025 Clarke, AL 27,867 14,687 8,062 6,475 28 22 1 23 20 79 01027 Clay, AL 14,254 7,302 6,012 1,173 21 9 1 10 21 65 01029 Cleburne, AL 14,123 7,086 6,703 271 21 15 1 16 13 62 01031 Coffee, AL 43,615 22,312 17,097 4,165 194 290 16 306 182 368 01033 Colbert, AL 54,984 28,673 23,174 4,992 99 70 8 78 78 252 01035 Conecuh, AL 14,089 7,422 3,976 3,365 16 10 3 13 8 44 01037 Coosa, AL 12,202 5,970 3,825 2,059 21 5 1 6 8 51 01039 Covington, AL 37,631 19,639 16,815 2,540 97 38 1 39 25 123 01041 Crenshaw, AL 13,665 7,201 5,238 1,870 22 9 0 9 9 53 01043 Cullman, AL 77,483 39,269 38,122 342 142 97 18 115 167 381 01045 Dale, AL 49,129 24,773 18,110 5,313 135 366 33 399 303 513 01047 Dallas, AL 46,365 25,273 8,640 16,369 24 80 2 82 22 136 01049 DeKalb, AL 64,452 32,944 30,647 599 248 74 15 89 824 537 01051 Elmore, AL 65,874 32,532 25,508 6,257 144 144 6 150 135 338 01053 Escambia, AL 38,440 18,965 12,454 5,571 589 49 5 54 50 247 01055 Etowah, AL 103,459 53,953 44,473 8,312 184 200 18 218 287 479 01057 Fayette, AL 18,495 9,560 8,253 1,194 18 22 2 24 21 50 01059 Franklin, AL 31,223 15,894 14,426 697 51 19 11 30 540 150 01061 Geneva, AL 25,764 13,235 11,495 1,474 95 23 2 25 58 88 01063 Greene, AL 9,974 5,293 949 4,316 5 5 0 5 7 11 01065 Hale, AL 17,185 9,075 3,476 5,488 14 16 3 19 20 58 01067 Henry, AL 16,310 8,556 5,504 2,889 16 7 1 8 71 68 01069 Houston, AL 88,787 46,617 33,743 11,842 163 286 7 293 149 427 01071 Jackson, AL 53,926 27,645 25,410 1,042 481 69 4 73 85 554 01073 Jefferson, AL 662,047 349,958 200,129 141,909 710 2,999 84 3,083 1,460 2,667 01075 Lamar, AL 15,904 8,224 7,109 1,036 10 7 0 7 18 44 01077 Lauderdale, AL 87,966 45,885 40,353 4,741 126 163 6 169 143 353 34,803 17,737 13,687 2,484 951 22 1 23 42 550 115,092 58,462 42,542 14,048 123 966 9 975 232 542 01079 Lawrence, AL 01081 Lee, AL 172 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FIPS Code County Name TOTAL Females All Races White Black/ African Amercn FEMALES by RACE Native American Haw/ Indian/ Asian Pacific /Pacific Alaskan Islandr Islandr Native Asian Two or More Races Some Other Race 01083 Limestone, AL 65,676 32,342 27,570 3,909 151 131 4 135 287 290 01085 Lowndes, AL 13,473 7,171 1,748 5,369 7 13 3 16 2 29 01087 Macon, AL 24,105 13,030 1,628 11,240 19 30 0 30 15 98 01089 Madison, AL 276,700 141,681 101,016 33,359 1,063 2,801 74 2,875 741 2,627 01091 Marengo, AL 22,539 11,970 5,433 6,423 8 24 2 26 16 64 01093 Marion, AL 31,214 15,763 15,084 454 38 30 3 33 49 105 01095 Marshall, AL 01097 Mobile, AL 01099 Monroe, AL 82,231 42,220 39,754 604 213 123 19 142 1,049 458 399,843 208,799 129,412 72,475 1,338 2,674 53 2,727 693 2,154 24,324 12,748 7,236 5,235 123 40 2 42 13 99 01101 Montgomery, AL 223,510 117,151 56,058 58,201 240 1,228 47 1,275 345 1,032 01103 Morgan, AL 111,064 56,613 48,111 6,558 358 277 22 299 589 698 01105 Perry, AL 11,861 6,451 1,925 4,488 6 0 1 1 4 27 01107 Pickens, AL 20,949 11,140 6,045 4,981 12 14 4 18 15 69 01109 Pike, AL 29,605 15,620 9,296 5,942 94 45 3 48 34 206 01111 Randolph, AL 22,380 11,570 8,809 2,608 23 26 1 27 36 67 01113 Russell, AL 49,756 26,052 14,432 10,975 104 118 14 132 127 282 01115 St. Clair, AL 64,742 32,090 29,183 2,339 128 72 5 77 99 264 01117 Shelby, AL 143,293 73,036 65,509 5,643 260 764 14 778 336 510 01119 Sumter, AL 14,798 8,003 1,974 5,952 10 10 2 12 11 44 01121 Talladega, AL 80,321 41,036 27,508 12,997 86 89 12 101 66 278 01123 Tallapoosa, AL 41,475 21,771 15,745 5,766 61 48 3 51 25 123 01125 Tuscaloosa, AL 164,875 85,503 56,974 26,570 193 729 18 747 343 676 01127 Walker, AL 70,713 36,596 33,726 2,303 85 82 8 90 84 308 01129 Washington, AL 18,097 9,228 5,912 2,543 677 6 3 9 4 83 01131 Wilcox, AL 13,183 7,041 1,869 5,129 9 10 0 10 9 15 12,388 50 57 23 1 24 60 98 6,382,195 1,214,385 25,798 142,284 4,137 146,421 228,594 187,270 2,203 01133 Winston, AL 12 FLORIDA 12001 Alachua, FL 12003 Baker, FL 12005 Bay, FL 24,843 12,677 15,982,378 8,184,663 217,955 111,550 81,357 22,312 275 3,841 29 3,870 1,533 22,259 10,571 9,109 1,263 38 51 3 54 18 89 148,217 74,811 62,612 8,110 560 1,593 59 1,652 467 1,410 12007 Bradford, FL 26,088 11,492 9,414 1,774 33 84 11 95 51 125 12009 Brevard, FL 476,230 243,044 210,254 20,766 847 4,219 142 4,361 2,575 4,241 12011 Broward, FL 1,623,018 839,786 589,839 176,767 1,907 18,851 426 19,277 24,735 27,261 12013 Calhoun, FL 13,017 5,993 5,073 691 88 36 3 39 26 76 12015 Charlotte, FL 141,627 73,979 68,612 3,140 132 709 20 729 562 804 12017 Citrus, FL 118,085 61,394 58,319 1,429 193 523 21 544 223 686 12019 Clay, FL 140,814 71,479 62,309 4,852 318 1,623 64 1,687 915 1,398 12021 Collier, FL 251,377 125,521 109,626 5,749 372 878 69 947 6,228 2,599 12023 Columbia, FL 56,513 27,857 22,448 4,528 137 206 13 219 142 383 12027 DeSoto, FL 32,209 14,106 11,139 1,675 127 66 4 70 908 187 12029 Dixie, FL 13,827 6,463 5,909 422 32 23 2 25 12 63 12031 Duval, FL 778,879 401,098 259,988 115,792 1,282 11,301 246 11,547 4,841 7,648 12033 Escambia, FL 294,410 148,227 106,101 32,839 1,299 3,628 159 3,787 1,045 3,156 12035 Flagler, FL 49,832 25,945 22,527 2,394 62 318 7 325 254 383 12037 Franklin, FL 11,057 4,815 4,189 514 19 18 1 19 17 57 12039 Gadsden, FL 45,087 23,639 8,825 13,951 60 72 3 75 519 209 173 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FIPS Code County Name TOTAL Females All Races White Black/ African Amercn FEMALES by RACE Native American Haw/ Indian/ Asian Pacific /Pacific Alaskan Islandr Islandr Native Asian Two or More Races Some Other Race 12041 Gilchrist, FL 14,437 6,794 6,395 253 21 13 0 13 34 78 12043 Glades, FL 10,576 4,775 3,779 380 265 16 1 17 261 73 12045 Gulf, FL 13,332 6,213 5,188 860 37 29 3 32 13 83 12047 Hamilton, FL 13,327 5,670 3,415 2,080 18 16 0 16 91 50 12049 Hardee, FL 26,938 12,293 9,148 787 82 43 6 49 2,013 214 12051 Hendry, FL 12053 Hernando, FL 12055 Highlands, FL 12057 Hillsborough, FL 12059 Holmes, FL 36,210 16,090 11,013 2,455 146 77 4 81 2,002 393 130,802 68,672 63,598 2,940 196 503 14 517 648 773 87,366 44,766 37,837 4,229 177 498 14 512 1,400 611 998,948 510,176 382,393 78,764 1,896 11,713 371 12,084 22,317 12,722 18,564 8,718 8,213 221 79 46 3 49 48 108 112,947 58,314 51,225 4,783 165 445 14 459 1,024 658 12063 Jackson, FL 46,755 22,222 15,990 5,596 134 97 5 102 124 276 12065 Jefferson, FL 12,902 6,321 3,738 2,452 23 22 2 24 23 61 12067 Lafayette, FL 7,022 2,822 2,509 183 14 3 0 3 85 28 12069 Lake, FL 210,528 108,662 95,110 9,182 344 939 46 985 1,834 1,207 12071 Lee, FL 440,888 225,384 198,435 15,227 612 1,913 84 1,997 5,857 3,256 12073 Leon, FL 239,452 125,318 81,781 38,030 317 2,367 44 2,411 914 1,865 12075 Levy, FL 34,450 17,760 15,101 2,100 78 84 6 90 147 244 7,021 2,867 2,415 315 53 3 0 3 48 33 12079 Madison, FL 18,733 9,023 5,216 3,639 20 33 0 33 36 79 12081 Manatee, FL 264,002 136,453 118,266 11,291 366 1,315 56 1,371 3,344 1,815 12083 Marion, FL 258,916 133,971 112,665 15,700 570 1,068 32 1,100 2,065 1,871 12085 Martin, FL 126,731 64,539 58,728 3,043 174 425 56 481 1,418 695 2,253,362 1,164,467 808,090 240,113 2,114 16,463 394 16,857 53,548 43,745 12061 Indian River, FL 12077 Liberty, FL 12086 Miami-Dade, FL 12087 Monroe, FL 79,589 37,210 33,714 1,771 157 365 22 387 559 622 12089 Nassau, FL 57,663 29,220 26,247 2,353 108 162 8 170 84 258 2,512 12091 Okaloosa, FL 12093 Okeechobee, FL 12095 Orange, FL 12097 Osceola, FL 12099 Palm Beach, FL 170,498 84,338 70,010 7,206 502 2,941 110 3,051 1,057 35,910 16,665 13,885 961 99 129 7 136 1,280 304 896,344 452,628 308,614 84,497 1,523 15,406 406 15,812 26,902 15,280 172,493 87,471 67,398 6,522 392 2,024 60 2,084 7,959 3,116 1,131,184 584,445 464,609 80,582 1,115 8,985 284 9,269 15,607 13,263 12101 Pasco, FL 344,765 179,348 168,550 3,571 603 1,804 62 1,866 2,378 2,380 12103 Pinellas, FL 921,482 482,523 414,645 43,701 1,356 9,966 240 10,206 4,921 7,694 12105 Polk, FL 483,924 246,558 197,562 33,589 847 2,434 99 2,533 8,060 3,967 70,423 35,632 27,597 6,328 143 177 18 195 947 422 12109 St. Johns, FL 123,135 63,321 57,398 4,158 139 645 36 681 332 613 12111 St. Lucie, FL 192,695 98,576 78,131 15,454 219 1,028 57 1,085 2,032 1,655 12107 Putnam, FL 12113 Santa Rosa, FL 117,743 58,684 53,442 2,100 568 1,007 49 1,056 340 1,178 12115 Sarasota, FL 325,957 171,539 159,125 7,218 349 1,444 39 1,483 1,693 1,671 12117 Seminole, FL 3,938 365,196 186,420 153,276 18,148 550 4,808 84 4,892 5,616 12119 Sumter, FL 53,345 25,033 21,513 2,806 115 115 15 130 217 252 12121 Suwannee, FL 34,844 17,832 15,000 2,299 67 89 5 94 135 237 12123 Taylor, FL 19,256 9,423 7,452 1,683 95 45 0 45 25 123 12125 Union, FL 13,442 4,749 3,919 717 23 18 0 18 24 48 12127 Volusia, FL 443,343 227,982 196,316 21,622 660 2,336 80 2,416 3,871 3,097 12129 Wakulla, FL 22,863 11,027 9,645 1,130 64 29 1 30 31 127 174 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FIPS Code County Name TOTAL Females All Races Black/ African Amercn White FEMALES by RACE Native American Haw/ Indian/ Asian Pacific /Pacific Alaskan Islandr Islandr Native Asian Two or More Races Some Other ace 12131 Walton, FL 40,601 19,789 17,747 1,143 263 113 11 124 123 389 12133 Washington, FL 20,973 10,190 8,502 1,235 159 43 7 50 36 208 2,684,658 1,241,597 55,545 8,186,453 4,159,340 10,085 88,322 1,911 90,233 77,222 13001 Appling, GA 13 GEORGIA 17,419 8,838 6,773 1,832 15 32 2 34 131 53 13003 Atkinson, GA 7,609 3,842 2,584 806 14 4 1 5 385 48 13005 Bacon, GA 10,103 5,151 4,189 846 6 19 0 19 42 49 13007 Baker, GA 4,074 2,188 1,001 1,141 5 0 0 0 25 16 13009 Baldwin, GA 44,700 20,568 11,286 8,734 46 244 2 246 96 160 13011 Banks, GA 14,422 7,139 6,675 232 23 50 1 51 109 49 13013 Barrow, GA 46,144 23,205 19,717 2,350 65 482 10 492 261 320 13015 Bartow, GA 76,019 38,459 33,814 3,464 113 207 12 219 449 400 13017 Ben Hill, GA 17,484 9,115 5,685 3,137 19 23 0 23 182 69 13019 Berrien, GA 16,235 8,260 7,053 988 23 25 6 31 82 83 153,887 83,087 41,021 40,075 148 898 16 914 317 612 13023 Bleckley, GA 11,666 6,046 4,409 1,521 7 54 0 54 19 36 13025 Brantley, GA 14,629 7,286 6,871 300 11 10 1 11 16 77 13027 Brooks, GA 16,450 8,558 4,891 3,471 19 26 3 29 72 76 13029 Bryan, GA 23,417 11,814 9,708 1,729 36 112 9 121 59 161 13021 Bibb, GA 13031 Bulloch, GA 55,983 28,728 19,364 8,711 25 233 10 243 166 219 13033 Burke, GA 22,243 11,687 5,257 6,196 28 32 1 33 52 121 13035 Butts, GA 19,522 9,119 6,385 2,583 26 30 1 31 18 76 13037 Calhoun, GA 6,320 2,747 1,065 1,647 7 4 0 4 9 15 13039 Camden, GA 43,664 21,098 15,563 4,492 97 267 21 288 256 402 13043 Candler, GA 9,577 4,773 3,168 1,346 8 12 1 13 199 39 13045 Carroll, GA 87,268 44,736 35,897 7,575 118 281 7 288 366 492 13047 Catoosa, GA 53,282 27,499 26,529 345 87 196 5 201 86 251 13049 Charlton, GA 10,282 4,842 3,415 1,304 24 19 3 22 6 71 13051 Chatham, GA 232,048 120,258 65,231 50,213 254 2,118 71 2,189 872 1,499 13053 Chattahoochee, GA 14,882 5,477 2,887 1,925 36 100 29 129 280 220 13055 Chattooga, GA 25,470 12,331 11,113 995 10 18 4 22 58 133 13057 Cherokee, GA 141,903 70,691 65,853 1,767 247 647 21 668 1,319 837 13059 Clarke, GA 101,489 51,957 33,328 14,933 96 1,655 17 1,672 1,241 687 3,357 1,831 677 1,132 1 5 2 7 0 14 236,517 121,625 45,022 65,082 344 5,317 69 5,386 3,392 2,399 13061 Clay, GA 13063 Clayton, GA 13065 Clinch, GA 6,878 3,458 2,410 993 17 3 0 3 4 31 13067 Cobb, GA 607,751 306,243 221,312 60,317 741 9,431 121 9,552 8,780 5,541 13069 Coffee, GA 37,413 18,839 13,033 4,892 57 98 4 102 581 174 13071 Colquitt, GA 42,053 21,225 14,583 5,309 63 62 5 67 1,013 190 13073 Columbia, GA 89,288 45,658 37,458 5,317 129 1,680 42 1,722 348 684 13075 Cook, GA 15,771 8,208 5,498 2,506 14 35 5 40 86 64 13077 Coweta, GA 89,215 45,053 35,290 8,526 93 343 8 351 344 449 61 13079 Crawford, GA 12,495 6,233 4,509 1,568 18 14 1 15 62 13081 Crisp, GA 21,996 11,655 6,183 5,237 20 77 0 77 50 88 13083 Dade, GA 15,154 7,733 7,542 59 29 37 3 40 9 54 13085 Dawson, GA 15,999 7,965 7,753 27 31 28 3 31 43 80 175 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FIPS Code County Name TOTAL Females All Races FEMALES by RACE Native American Asian Haw/ Indian/ Pacific /Pacific Alaskan Islandr Islandr Native Asian Black/ African Amercn White Two or More Races Some Other Race 13087 Decatur, GA 28,240 14,787 8,300 6,108 34 49 3 52 183 110 13089 DeKalb, GA 665,865 343,085 121,116 192,622 660 13,183 152 13,335 8,563 6,789 13091 Dodge, GA 19,171 9,349 6,604 2,612 14 22 2 24 51 44 13093 Dooly, GA 11,525 5,500 2,548 2,747 5 23 2 25 131 44 13095 Dougherty, GA 96,065 51,265 18,848 31,484 98 270 14 284 191 360 13097 Douglas, GA 92,174 46,912 36,097 8,880 150 583 11 594 526 665 13099 Early, GA 12,354 6,602 3,256 3,247 14 12 4 16 18 51 3,754 1,737 1,403 135 19 2 0 2 157 21 13101 Echols, GA 13103 Effingham, GA 37,535 18,889 15,844 2,579 58 109 3 112 91 205 13105 Elbert, GA 20,511 10,672 7,033 3,462 20 33 4 37 46 74 13107 Emanuel, GA 21,837 11,328 7,161 3,953 9 29 0 29 122 54 13109 Evans, GA 10,495 5,393 3,290 1,873 6 17 1 18 172 34 13111 Fannin, GA 19,798 10,232 10,056 7 35 26 0 26 9 99 13113 Fayette, GA 91,263 46,605 38,984 5,410 94 1,175 11 1,186 356 575 13115 Floyd, GA 90,565 46,742 38,217 6,435 133 421 37 458 997 502 13117 Forsyth, GA 98,407 48,557 46,507 286 119 429 7 436 793 416 13119 Franklin, GA 20,285 10,451 9,323 979 22 24 4 28 26 73 13121 Fulton, GA 816,006 414,280 193,919 193,523 707 12,022 151 12,173 8,233 5,725 13123 Gilmer, GA 23,456 11,554 11,000 28 49 23 16 39 294 144 2,556 1,328 1,205 113 2 0 0 0 1 7 13127 Glynn, GA 67,568 35,246 24,718 9,601 87 227 13 240 243 357 13129 Gordon, GA 44,104 22,162 20,138 813 60 124 11 135 799 217 13131 Grady, GA 23,659 12,414 7,909 3,971 123 39 1 40 274 97 13133 Greene, GA 14,406 7,506 3,879 3,476 21 19 0 19 72 39 588,448 291,699 213,082 40,156 712 21,216 127 21,343 10,439 5,967 13125 Glascock, GA 13135 Gwinnett, GA 13137 Habersham, GA 35,902 17,470 16,039 407 43 300 14 314 435 232 139,277 68,393 55,906 5,297 227 914 102 1,016 5,097 850 13141 Hancock, GA 10,076 4,696 908 3,760 4 7 0 7 1 16 13143 Haralson, GA 25,690 13,159 12,234 727 28 41 0 41 16 113 13145 Harris, GA 23,695 11,994 9,322 2,400 40 80 2 82 36 114 13147 Hart, GA 22,997 11,671 9,232 2,265 19 70 0 70 21 64 13149 Heard, GA 11,012 5,604 4,869 633 14 9 5 14 28 46 13139 Hall, GA 13151 Henry, GA 119,341 60,473 48,969 9,088 133 1,161 25 1,186 418 679 13153 Houston, GA 110,765 56,258 38,995 14,537 181 1,083 41 1,124 484 937 13155 Irwin, GA 9,931 5,051 3,638 1,334 1 20 1 21 35 22 13157 Jackson, GA 41,589 20,758 18,564 1,564 32 187 0 187 196 215 13159 Jasper, GA 11,426 5,824 4,068 1,667 14 9 1 10 28 37 13161 Jeff Davis, GA 12,684 6,456 5,266 1,023 13 17 2 19 98 37 13163 Jefferson, GA 17,266 9,139 3,750 5,281 8 17 1 18 41 41 8,575 4,466 2,419 1,926 8 10 2 12 73 28 11 13165 Jenkins, GA 13167 Johnson, GA 8,560 4,342 2,744 1,577 5 3 1 4 1 13169 Jones, GA 23,639 12,098 8,939 2,955 18 68 2 70 27 89 13171 Lamar, GA 15,912 8,293 5,495 2,649 19 31 1 32 26 72 13173 Lanier, GA 7,241 3,572 2,582 895 24 16 1 17 16 38 13175 Laurens, GA 44,874 23,302 14,488 8,356 42 186 7 193 77 146 13177 Lee, GA 24,757 12,251 10,226 1,785 28 102 1 103 34 75 176 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name TOTAL Females All Races Black/ African Amercn White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Two or More Races Some Other Race 13179 Liberty, GA 61,610 29,164 13,007 12,913 149 675 125 800 1,242 13181 Lincoln, GA 8,348 4,284 2,715 1,516 14 7 1 8 9 22 13183 Long, GA 10,304 5,098 3,421 1,313 32 45 14 59 179 94 13185 Lowndes, GA 92,115 46,304 28,179 16,278 168 671 19 690 385 604 13187 Lumpkin, GA 21,016 10,707 10,120 139 96 46 5 51 139 162 13189 McDuffie, GA 21,231 11,211 6,693 4,349 18 41 4 45 26 80 13191 McIntosh, GA 10,847 5,478 3,267 2,101 19 21 4 25 11 55 13193 Macon, GA 14,074 7,090 2,560 4,348 13 38 0 38 81 50 13195 Madison, GA 25,730 13,088 11,634 1,146 27 46 2 48 111 122 7,144 3,626 2,182 1,309 11 3 3 6 72 46 22,534 11,771 6,514 5,081 35 25 6 31 28 82 13197 Marion, GA 13199 Meriwether, GA 13201 Miller, GA 1,053 6,383 3,375 2,340 1,007 8 3 3 6 5 9 13205 Mitchell, GA 23,932 11,762 5,884 5,634 25 32 6 38 111 70 13207 Monroe, GA 21,757 10,912 7,643 3,083 33 43 1 44 23 86 8,270 4,033 2,899 1,020 2 8 1 9 79 24 15,457 7,970 5,453 2,393 14 23 1 24 20 66 13209 Montgomery, GA 13211 Morgan, GA 13213 Murray, GA 13215 Muscogee, GA 36,506 18,264 17,434 113 54 63 2 65 435 163 186,291 95,674 47,142 43,357 260 1,681 109 1,790 1,444 1,681 13217 Newton, GA 62,001 31,847 23,763 7,342 65 228 7 235 160 282 13219 Oconee, GA 26,225 13,301 11,948 867 23 190 8 198 159 106 13221 Oglethorpe, GA 12,635 6,498 5,061 1,312 10 20 2 22 35 58 13223 Paulding, GA 81,678 40,805 36,903 2,911 118 193 13 206 213 454 111 13225 Peach, GA 23,668 12,224 6,082 5,765 41 46 5 51 174 13227 Pickens, GA 22,983 11,738 11,333 152 43 31 3 34 84 92 13229 Pierce, GA 15,636 7,943 6,869 931 21 17 6 23 53 46 13231 Pike, GA 13,688 6,838 5,715 1,017 14 27 0 27 21 44 13233 Polk, GA 38,127 19,144 15,585 2,660 42 59 4 63 630 164 13235 Pulaski, GA 9,588 5,507 3,279 2,100 15 14 7 21 44 48 13237 Putnam, GA 18,812 9,548 6,351 2,965 19 60 7 67 65 81 13239 Quitman, GA 2,598 1,375 706 656 4 0 0 0 0 9 15,050 7,623 7,298 65 31 26 1 27 129 73 13241 Rabun, GA 13243 Randolph, GA 7,791 4,190 1,574 2,564 13 8 4 12 9 18 13245 Richmond, GA 199,775 103,400 45,747 52,727 260 1,775 102 1,877 960 1,829 13247 Rockdale, GA 70,111 35,266 26,727 6,706 85 672 24 696 627 425 3,766 1,963 1,272 641 5 1 4 5 16 24 15,374 8,031 4,204 3,735 13 20 4 24 17 38 13249 Schley, GA 13251 Screven, GA 13253 Seminole, GA 9,369 4,905 3,016 1,768 6 7 0 7 91 17 13255 Spalding, GA 58,417 30,235 19,784 9,800 59 210 6 216 153 223 13257 Stephens, GA 117 25,435 13,221 11,306 1,641 34 71 9 80 43 13259 Stewart, GA 5,252 2,742 1,005 1,710 6 6 0 6 1 14 13261 Sumter, GA 33,200 17,645 8,325 8,867 49 101 3 104 187 113 13263 Talbot, GA 6,498 3,466 1,217 2,196 6 10 0 10 9 28 13265 Taliaferro, GA 2,077 1,075 421 636 0 1 0 1 9 8 22,305 9,447 6,493 2,285 17 37 9 46 513 93 13267 Tattnall, GA 13269 Taylor, GA 8,815 4,511 2,450 2,008 2 6 0 6 19 26 13271 Telfair, GA 11,794 5,591 3,583 1,939 1 8 0 8 38 22 177 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name TOTAL Females All Races White Native Asian Haw/ Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Black/ African Amercn Two or More Races Some Other Race 13273 Terrell, GA 10,970 5,826 2,148 3,601 12 16 2 18 7 40 13275 Thomas, GA 42,737 22,620 13,157 9,029 62 94 9 103 90 179 158 13277 Tift, GA 38,407 19,743 12,895 5,858 37 194 3 197 598 13279 Toombs, GA 26,067 13,624 9,434 3,492 26 67 1 68 517 87 9,319 4,908 4,861 4 10 19 0 19 3 11 13281 Towns, GA 13283 Treutlen, GA 13285 Troup, GA 6,854 3,450 2,288 1,123 2 8 0 8 8 21 58,779 30,769 20,104 10,063 52 176 9 185 134 231 13287 Turner, GA 9,504 4,934 2,748 2,094 8 17 0 17 51 16 13289 Twiggs, GA 10,590 5,520 2,939 2,502 11 9 1 10 12 46 13291 Union, GA 17,289 8,792 8,660 18 23 25 1 26 14 51 13293 Upson, GA 27,597 14,492 10,068 4,204 40 63 2 65 46 69 13295 Walker, GA 61,053 31,412 29,732 1,100 95 98 9 107 106 272 13297 Walton, GA 60,687 31,131 25,619 4,754 77 215 7 222 164 295 13299 Ware, GA 35,483 17,953 12,717 4,839 29 89 5 94 146 128 6,336 3,399 1,304 2,057 7 8 0 8 7 16 13303 Washington, GA 21,176 11,668 5,159 6,374 20 34 3 37 17 61 13305 Wayne, GA 131 13301 Warren, GA 26,565 12,749 10,030 2,363 23 61 0 61 141 13307 Webster, GA 2,390 1,189 590 574 1 0 0 0 15 9 13309 Wheeler, GA 6,179 2,709 1,873 782 3 4 0 4 22 25 13311 White, GA 19,944 10,064 9,614 212 40 47 9 56 29 113 13313 Whitfield, GA 83,525 41,491 34,275 1,651 139 367 11 378 4,278 770 13315 Wilcox, GA 8,577 3,835 2,533 1,261 3 8 1 9 11 18 13317 Wilkes, GA 10,687 5,581 3,010 2,486 14 14 3 17 17 37 13319 Wilkinson, GA 10,220 5,361 3,058 2,242 9 4 0 4 16 32 13321 Worth, GA 21,967 11,440 7,646 3,599 40 34 1 35 54 66 4,041,769 2,066,401 1,864,475 151,915 4,163 15,534 706 16,240 8,499 21,109 21001 Adair, KY 17,244 8,889 8,534 228 19 21 1 22 11 75 21003 Allen, KY 17,800 9,084 8,858 106 18 13 2 15 21 66 21005 Anderson, KY 19,111 9,771 9,396 255 13 15 1 16 12 79 21 KENTUCKY 21007 Ballard, KY 8,286 4,195 4,013 112 2 11 0 11 5 52 21009 Barren, KY 38,033 19,735 18,622 802 29 73 7 80 68 134 21011 Bath, KY 11,085 5,609 5,433 111 14 2 0 2 13 36 21013 Bell, KY 30,060 15,690 15,066 366 40 58 6 64 20 134 21015 Boone, KY 85,991 43,492 41,475 590 112 578 15 593 281 441 21017 Bourbon, KY 19,360 9,948 9,032 724 12 18 2 20 70 90 21019 Boyd, KY 49,752 25,389 24,723 292 34 79 0 79 29 232 21021 Boyle, KY 27,697 13,966 12,511 1,110 23 79 4 83 71 168 21023 Bracken, KY 8,279 4,182 4,121 18 14 5 1 6 9 14 21025 Breathitt, KY 16,100 8,156 8,058 21 6 26 2 28 5 38 21027 Breckinridge, KY 18,648 9,390 8,997 273 19 9 2 11 9 81 21029 Bullitt, KY 61,236 30,782 30,165 115 107 97 5 102 52 241 21031 Butler, KY 13,010 6,538 6,442 21 12 10 0 10 16 37 21033 Caldwell, KY 13,060 6,782 6,366 323 9 14 0 14 30 40 21035 Calloway, KY 34,177 17,689 16,657 594 33 221 4 225 61 119 21037 Campbell, KY 88,616 45,870 44,405 667 79 261 6 267 120 332 5,351 2,741 2,679 24 11 2 0 2 7 18 21039 Carlisle, KY 178 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name Females TOTAL All Races White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Black/ African Amercn Two or More Races Some Other Race 21041 Carroll, KY 10,155 5,048 4,863 77 12 6 2 8 35 21043 Carter, KY 26,889 13,726 13,587 12 38 19 0 19 11 53 59 21045 Casey, KY 15,447 7,897 7,782 23 15 7 4 11 12 54 21047 Christian, KY 72,265 34,971 24,319 8,593 167 355 104 459 635 798 21049 Clark, KY 33,144 17,119 16,018 865 33 37 1 38 41 124 21051 Clay, KY 70 24,556 11,598 11,327 168 17 9 1 10 6 21053 Clinton, KY 9,634 4,994 4,961 5 7 4 0 4 3 14 21055 Crittenden, KY 9,384 4,842 4,747 35 8 6 0 6 7 39 21057 Cumberland, KY 7,147 3,708 3,534 128 6 2 1 3 2 35 21059 Daviess, KY 91,545 47,524 44,632 2,025 56 218 9 227 147 437 21061 Edmonson, KY 28 11,644 5,897 5,817 16 28 5 0 5 3 21063 Elliott, KY 6,748 3,457 3,421 0 4 0 1 1 0 31 21065 Estill, KY 15,307 7,897 7,828 6 17 3 0 3 4 39 21067 Fayette, KY 260,512 132,607 107,672 18,376 238 3,129 46 3,175 1,169 1,977 21069 Fleming, KY 13,792 7,038 6,862 98 7 13 0 13 10 48 21071 Floyd, KY 42,441 21,578 21,284 103 21 50 18 68 16 86 21073 Franklin, KY 47,687 24,621 21,770 2,198 29 176 4 180 108 336 39 21075 Fulton, KY 7,752 4,131 3,069 991 4 14 0 14 14 21077 Gallatin, KY 7,870 3,956 3,835 56 9 6 0 6 8 42 21079 Garrard, KY 14,792 7,518 7,204 230 7 5 0 5 20 52 21081 Grant, KY 22,384 11,354 11,165 19 27 31 8 39 37 67 21083 Graves, KY 37,028 18,987 17,677 849 38 42 3 45 161 217 21085 Grayson, KY 24,053 12,143 11,946 40 20 27 1 28 19 90 21087 Green, KY 11,518 5,849 5,643 140 6 9 0 9 15 36 21089 Greenup, KY 36,891 19,133 18,768 98 33 69 0 69 32 133 21091 Hancock, KY 8,392 4,250 4,168 32 12 10 0 10 5 23 94,174 46,617 38,390 5,229 184 1,088 102 1,190 531 1,093 21095 Harlan, KY 33,202 17,314 16,524 474 79 51 2 53 10 174 21097 Harrison, KY 17,983 9,222 8,824 236 32 19 3 22 39 69 21099 Hart, KY 17,445 8,858 8,236 525 20 9 3 12 10 55 21101 Henderson, KY 44,829 23,158 21,161 1,635 36 87 0 87 71 168 21103 Henry, KY 15,060 7,558 7,153 242 18 33 1 34 49 62 5,262 2,751 2,422 282 5 2 0 2 4 36 21107 Hopkins, KY 46,519 24,353 22,389 1,551 37 99 2 101 62 213 21109 Jackson, KY 13,495 6,841 6,784 3 14 2 1 3 4 33 21111 Jefferson, KY 693,604 362,005 278,879 70,625 749 4,886 128 5,014 1,926 4,812 220 21093 Hardin, KY 21105 Hickman, KY 21113 Jessamine, KY 39,041 19,856 18,785 623 36 119 6 125 67 21115 Johnson, KY 23,445 12,142 12,002 14 17 29 1 30 7 72 151,464 77,181 72,617 2,937 101 488 22 510 258 758 21117 Kenton, KY 21119 Knott, KY 17,649 8,947 8,797 62 12 18 2 20 6 50 21121 Knox, KY 31,795 16,485 16,129 137 37 28 4 32 11 139 21123 Larue, KY 13,373 6,844 6,496 230 14 15 3 18 16 70 21125 Laurel, KY 52,715 26,950 26,323 163 103 94 3 97 17 247 21127 Lawrence, KY 15,569 7,890 7,807 5 21 8 1 9 5 43 7,916 3,780 3,715 19 11 4 0 4 3 28 21129 Lee, KY 179 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name TOTAL Females All Races White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Black/ African Amercn Two or More Races Some Other Race 21131 Leslie, KY 12,401 6,357 6,303 3 6 6 2 8 1 21133 Letcher, KY 25,277 12,911 12,726 76 15 38 2 40 3 51 21135 Lewis, KY 14,092 7,083 7,020 9 13 3 0 3 5 33 21137 Lincoln, KY 23,361 11,898 11,434 315 20 16 1 17 30 82 9,804 4,957 4,890 6 18 2 1 3 12 28 26,573 13,760 12,473 1,069 28 27 1 28 24 138 8,080 3,461 3,353 62 11 6 0 6 8 21 21145 McCracken, KY 65,514 34,392 29,769 3,824 63 177 18 195 124 417 21147 McCreary, KY 63 21139 Livingston, KY 21141 Logan, KY 21143 Lyon, KY 36 17,080 8,674 8,537 25 39 2 0 2 8 21149 McLean, KY 9,938 5,061 4,985 19 7 3 1 4 10 36 21151 Madison, KY 70,872 36,664 34,181 1,595 92 272 5 277 106 413 21153 Magoffin, KY 13,332 6,760 6,713 5 16 8 0 8 1 17 21155 Marion, KY 18,212 9,002 8,150 699 6 39 0 39 23 85 21157 Marshall, KY 30,125 15,365 15,175 7 25 28 1 29 11 118 21159 Martin, KY 12,578 6,353 6,307 0 2 4 5 9 0 35 21161 Mason, KY 16,800 8,675 7,884 630 12 31 3 34 30 85 21163 Meade, KY 26,349 13,149 12,150 522 71 94 17 111 104 191 21165 Menifee, KY 6,556 3,249 3,183 26 4 2 0 2 5 29 21167 Mercer, KY 20,817 10,728 10,128 393 21 47 2 49 38 99 21169 Metcalfe, KY 10,037 5,142 5,007 86 11 5 0 5 4 29 21171 Monroe, KY 11,756 6,053 5,818 169 9 1 1 2 15 40 21173 Montgomery, KY 22,554 11,589 10,992 438 17 12 3 15 21 106 21175 Morgan, KY 13,948 6,247 6,201 6 4 7 0 7 0 29 21177 Muhlenberg, KY 31,839 16,082 15,301 595 23 23 1 24 20 119 21179 Nelson, KY 37,477 19,054 17,675 1,092 22 99 3 102 47 116 6,813 3,517 3,468 25 7 6 0 6 4 7 22,916 11,659 11,413 85 20 27 4 31 36 74 21185 Oldham, KY 46,178 21,583 20,662 457 40 113 3 116 107 201 21187 Owen, KY 10,547 5,261 5,133 49 12 19 0 19 13 35 4,858 2,407 2,387 3 2 2 0 2 0 13 32 21181 Nicholas, KY 21183 Ohio, KY 21189 Owsley, KY 21191 Pendleton, KY 14,390 7,184 7,088 25 17 8 0 8 14 21193 Perry, KY 29,390 15,100 14,711 232 7 76 3 79 7 64 21195 Pike, KY 68,736 35,164 34,588 146 37 142 8 150 34 209 21197 Powell, KY 13,237 6,640 6,554 31 7 2 0 2 1 45 21199 Pulaski, KY 56,217 28,735 28,047 286 62 116 3 119 26 195 21201 Robertson, KY 2,266 1,163 1,151 1 1 0 0 0 0 10 21203 Rockcastle, KY 16,582 8,381 8,284 4 22 11 1 12 4 55 21205 Rowan, KY 22,094 11,351 10,945 149 17 107 1 108 17 115 21207 Russell, KY 16,315 8,412 8,282 45 11 15 2 17 3 54 21209 Scott, KY 33,061 16,882 15,594 903 37 86 2 88 71 189 21211 Shelby, KY 33,337 17,105 14,923 1,616 39 77 10 87 222 218 21213 Simpson, KY 16,405 8,402 7,382 879 9 38 5 43 19 70 21215 Spencer, KY 11,766 5,830 5,683 65 16 6 0 6 11 49 21217 Taylor, KY 22,927 11,900 11,164 587 10 25 4 29 26 84 21219 Todd, KY 11,971 6,146 5,469 579 6 18 2 20 28 44 21221 Trigg, KY 12,597 6,397 5,624 653 10 25 0 25 12 73 180 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name 21223 Trimble, KY TOTAL Females All Races White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Black/ African Amercn Two or More Races Some Other Race 8,125 4,129 4,051 9 19 3 0 3 20 27 21225 Union, KY 15,637 7,749 6,817 801 10 14 0 14 20 87 21227 Warren, KY 92,522 47,166 41,302 4,066 105 605 36 641 442 610 21229 Washington, KY 10,916 5,553 5,016 441 7 21 0 21 27 41 21231 Wayne, KY 19,923 10,072 9,812 118 15 13 0 13 26 88 21233 Webster, KY 14,120 7,215 6,766 343 10 7 5 12 37 47 21235 Whitley, KY 35,865 18,554 18,256 55 45 34 3 37 10 151 21237 Wolfe, KY 7,065 3,559 3,534 8 3 1 1 2 2 10 21239 Woodford, KY 23,208 12,026 11,129 656 14 42 1 43 84 100 28 MISSISSIPPI 2,844,658 1,471,104 890,155 549,440 5,915 9,907 334 10,241 5,169 10,184 28001 Adams, MS 34,340 18,454 8,287 9,943 25 51 2 53 35 111 28003 Alcorn, MS 34,558 17,827 15,555 2,029 17 39 7 46 76 104 28005 Amite, MS 13,599 7,036 3,885 3,084 8 9 2 11 12 36 28007 Attala, MS 19,661 10,268 5,906 4,211 13 30 0 30 44 64 28009 Benton, MS 8,026 4,124 2,541 1,523 25 4 0 4 10 21 28011 Bolivar, MS 40,633 21,633 6,929 14,383 15 106 3 109 77 120 28013 Calhoun, MS 15,069 7,901 5,431 2,342 8 7 5 12 63 45 28015 Carroll, MS 10,769 5,405 3,393 1,975 3 10 0 10 2 22 28017 Chickasaw, MS 19,440 10,095 5,694 4,245 18 19 2 21 70 47 28019 Choctaw, MS 9,758 5,086 3,416 1,614 13 8 1 9 12 22 28021 Claiborne, MS 11,831 6,372 927 5,402 1 7 0 7 3 32 28023 Clarke, MS 17,955 9,386 5,928 3,397 10 12 0 12 13 26 28025 Clay, MS 21,979 11,625 4,836 6,690 10 16 0 16 22 51 28027 Coahoma, MS 30,622 16,557 4,713 11,602 19 84 2 86 39 98 28029 Copiah, MS 28,757 14,909 7,053 7,698 8 22 2 24 48 78 28031 Covington, MS 19,407 10,077 6,293 3,684 18 19 2 21 9 52 28033 DeSoto, MS 107,199 54,131 46,317 6,387 162 386 25 411 446 408 28035 Forrest, MS 72,604 38,350 24,290 13,290 71 278 6 284 116 299 28037 Franklin, MS 8,448 4,394 2,731 1,622 9 5 0 5 0 27 28039 George, MS 19,144 9,542 8,555 847 22 18 0 18 47 53 28041 Greene, MS 13,299 5,783 4,693 1,051 9 7 2 9 1 20 28043 Grenada, MS 23,263 12,385 7,036 5,215 19 41 2 43 10 62 28045 Hancock, MS 42,967 21,668 19,500 1,537 125 201 6 207 72 227 28047 Harrison, MS 189,601 95,223 68,957 20,777 400 2,668 83 2,751 747 1,591 28049 Hinds, MS 843 250,800 132,837 48,745 82,122 146 759 14 773 208 28051 Holmes, MS 21,609 11,540 2,278 9,159 16 19 0 19 7 61 28053 Humphreys, MS 11,206 5,978 1,571 4,347 5 16 0 16 17 22 28055 Issaquena, MS 2,274 1,065 387 668 0 0 0 0 2 8 28057 Itawamba, MS 22,770 11,730 10,831 776 20 27 0 27 29 47 131,420 66,293 49,583 14,218 221 1,109 23 1,132 385 754 18,149 9,500 4,338 5,093 8 6 0 6 7 48 9,740 4,895 616 4,258 3 5 1 6 0 12 28059 Jackson, MS 28061 Jasper, MS 28063 Jefferson, MS 28065 Jefferson Davis, MS 13,962 7,353 3,013 4,270 11 12 1 13 4 42 28067 Jones, MS 64,958 33,535 23,712 9,211 126 101 4 105 225 156 28069 Kemper, MS 10,453 5,438 2,078 3,207 112 8 0 8 3 30 28071 Lafayette, MS 38,744 19,696 13,884 5,245 34 297 2 299 58 176 181 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name TOTAL Females All Races Black/ African Amercn White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Two or More Races Some Other Race 28073 Lamar, MS 39,070 20,214 17,182 2,694 36 135 2 137 47 118 28075 Lauderdale, MS 78,161 41,001 24,320 16,040 65 217 14 231 115 230 28077 Lawrence, MS 13,258 6,898 4,515 2,318 14 19 1 20 4 27 28079 Leake, MS 20,940 10,574 5,992 3,930 494 19 2 21 77 60 28081 Lee, MS 75,755 39,402 28,762 9,960 59 205 4 209 129 283 28083 Leflore, MS 37,947 19,714 5,948 13,429 16 127 6 133 97 91 28085 Lincoln, MS 33,166 17,257 11,785 5,294 32 46 3 49 21 76 28087 Lowndes, MS 61,586 32,437 17,863 13,912 53 221 6 227 104 278 28089 Madison, MS 74,674 39,260 23,311 15,110 49 494 10 504 91 195 28091 Marion, MS 25,595 13,216 8,809 4,251 31 30 1 31 13 81 28093 Marshall, MS 34,993 17,676 8,436 9,035 27 24 3 27 42 109 28095 Monroe, MS 38,014 20,038 13,479 6,381 21 40 4 44 14 99 28097 Montgomery, MS 12,189 6,538 3,448 3,043 4 18 3 21 2 20 28099 Neshoba, MS 28,684 15,007 9,781 3,008 2,025 35 4 39 32 122 28101 Newton, MS 21,838 11,349 7,256 3,564 444 27 0 27 20 38 28103 Noxubee, MS 12,548 6,586 1,860 4,652 12 9 0 9 11 42 148 28105 Oktibbeha, MS 42,902 21,457 11,941 8,771 31 464 6 470 96 28107 Panola, MS 34,274 17,866 8,844 8,852 27 34 4 38 38 67 28109 Pearl River, MS 48,621 25,015 21,249 3,216 116 70 7 77 76 281 28111 Perry, MS 12,138 6,207 4,661 1,464 24 11 3 14 12 32 28113 Pike, MS 38,940 20,712 10,512 9,969 37 76 0 76 22 96 28115 Pontotoc, MS 26,726 13,742 11,533 2,016 38 19 1 20 62 73 28117 Prentiss, MS 25,556 13,166 11,231 1,773 23 24 0 24 18 97 28119 Quitman, MS 10,117 5,426 1,596 3,776 5 8 0 8 6 35 115,327 58,971 47,831 10,087 90 386 15 401 208 354 28121 Rankin, MS 28123 Scott, MS 28,423 14,623 8,267 5,903 43 30 3 33 248 129 28125 Sharkey, MS 6,580 3,487 1,006 2,443 7 10 0 10 8 13 28127 Simpson, MS 27,639 14,216 9,085 4,966 18 21 0 21 46 80 28129 Smith, MS 16,182 8,277 6,238 1,972 11 8 5 13 12 31 28131 Stone, MS 13,622 6,872 5,389 1,374 23 15 2 17 23 46 28133 Sunflower, MS 34,369 15,919 4,653 11,082 11 74 0 74 53 46 28135 Tallahatchie, MS 14,903 7,936 3,052 4,812 5 26 0 26 3 38 28137 Tate, MS 25,370 13,098 8,718 4,239 23 15 4 19 26 73 28139 Tippah, MS 20,826 10,753 8,771 1,784 17 12 2 14 97 70 28141 Tishomingo, MS 19,163 9,942 9,484 300 21 10 1 11 60 66 28143 Tunica, MS 9,227 4,828 1,252 3,494 6 20 1 21 27 28 28145 Union, MS 25,362 13,085 10,934 1,965 14 30 3 33 63 76 28147 Walthall, MS 15,156 7,915 4,264 3,553 9 19 2 21 10 58 28149 Warren, MS 49,644 26,369 14,074 11,832 53 171 4 175 72 163 28151 Washington, MS 62,977 33,545 11,015 22,075 29 176 4 180 62 184 28153 Wayne, MS 21,216 11,081 6,701 4,304 9 20 1 21 11 35 28155 Webster, MS 10,294 5,319 4,105 1,139 5 12 1 13 37 20 28157 Wilkinson, MS 10,312 4,958 1,507 3,428 4 3 0 3 0 16 28159 Winston, MS 20,160 10,409 5,740 4,541 64 9 0 9 15 40 28161 Yalobusha, MS 13,051 6,824 4,013 2,753 10 9 4 13 4 31 28163 Yazoo, MS 28,149 13,828 5,840 7,814 30 53 1 54 16 74 182 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name 37 NORTH CAROLINA TOTAL 8,049,313 Females All Races 4,106,618 Black/ African Amercn White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian 2,951,945 921,278 50,476 Two or More Races Some Other Race 58,783 1,803 60,586 72,085 50,248 37001 Alamance, NC 130,800 67,957 51,339 13,266 235 592 16 608 1,751 758 37003 Alexander, NC 33,603 16,854 15,534 822 18 174 1 175 174 131 37005 Alleghany, NC 10,677 5,418 5,249 58 10 7 0 7 54 40 37007 Anson, NC 25,275 12,860 6,333 6,324 40 78 4 82 30 51 37009 Ashe, NC 24,384 12,353 12,093 74 27 40 0 40 56 63 37011 Avery, NC 17,167 8,104 7,931 31 22 13 2 15 43 62 37013 Beaufort, NC 44,958 23,520 15,912 7,094 36 58 2 60 250 168 37015 Bertie, NC 19,773 10,540 3,740 6,685 33 11 0 11 25 46 37017 Bladen, NC 32,278 16,758 9,412 6,599 352 18 9 27 245 123 37019 Brunswick, NC 73,143 37,178 30,566 5,556 259 109 16 125 311 361 37021 Buncombe, NC 206,330 107,296 95,931 8,066 366 731 37 768 925 1,240 37023 Burke, NC 89,148 44,574 39,192 2,585 118 1,479 58 1,537 636 506 37025 Cabarrus, NC 131,063 66,522 55,429 8,419 217 611 21 632 1,189 636 37027 Caldwell, NC 77,415 39,180 36,154 2,124 75 157 8 165 363 299 37029 Camden, NC 6,885 3,471 2,778 618 13 21 1 22 5 35 37031 Carteret, NC 59,383 30,226 27,316 2,089 124 207 23 230 141 326 37033 Caswell, NC 23,501 11,605 7,123 4,242 19 21 2 23 105 93 37035 Catawba, NC 141,685 71,803 61,306 6,191 186 2,055 36 2,091 1,240 789 37037 Chatham, NC 49,329 25,061 18,883 4,475 106 155 10 165 1,154 278 37039 Cherokee, NC 24,298 12,512 11,887 190 205 40 2 42 41 147 37041 Chowan, NC 14,526 7,721 4,592 2,983 24 25 1 26 41 55 8,775 4,503 4,409 41 18 3 3 6 7 22 96,287 49,981 38,169 10,755 67 347 8 355 273 362 231 37043 Clay, NC 37045 Cleveland, NC 37047 Columbus, NC 54,749 28,426 17,916 9,023 874 70 6 76 306 37049 Craven, NC 91,436 45,284 31,353 11,791 178 588 21 609 596 757 302,963 149,742 80,025 54,240 2,363 3,652 383 4,035 4,321 4,758 37051 Cumberland, NC 37053 Currituck, NC 18,190 9,158 8,249 682 42 44 4 48 44 93 37055 Dare, NC 29,967 14,869 14,118 384 41 66 7 73 109 144 37057 Davidson, NC 147,246 75,128 65,300 7,178 289 633 8 641 1,064 656 37059 Davie, NC 34,835 17,686 16,010 1,213 37 64 4 68 216 142 37061 Duplin, NC 49,063 24,746 14,632 7,701 60 48 14 62 2,049 242 223,314 115,684 58,535 48,045 307 3,589 41 3,630 3,247 1,920 37063 Durham, NC 37065 Edgecombe, NC 37067 Forsyth, NC 55,606 29,760 11,599 17,549 66 40 3 43 340 163 306,067 159,850 108,862 42,662 428 1,631 39 1,670 4,256 1,972 37069 Franklin, NC 47,260 23,946 15,685 7,455 103 87 10 97 380 226 37071 Gaston, NC 190,365 98,271 81,194 14,250 268 919 27 946 771 842 37073 Gates, NC 51 10,516 5,361 3,126 2,143 19 16 1 17 5 37075 Graham, NC 7,993 4,093 3,757 5 282 7 1 8 1 40 37077 Granville, NC 48,498 23,014 14,334 7,909 68 76 3 79 444 180 37079 Greene, NC 18,974 9,226 4,858 3,829 18 10 0 10 444 67 37081 Guilford, NC 421,048 219,319 140,724 66,549 993 5,107 61 5,168 2,923 2,962 37083 Halifax, NC 57,370 30,086 12,818 15,909 878 151 4 155 115 211 37085 Harnett, NC 91,025 46,102 32,850 10,652 379 383 28 411 1,116 694 37087 Haywood, NC 54,033 28,136 27,272 357 126 74 11 85 101 195 37089 Henderson, NC 89,173 46,002 42,899 1,358 121 312 6 318 871 435 183 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name TOTAL Females All Races Black/ African Amercn White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Two or More Races Some Other Race 37091 Hertford, NC 22,601 12,217 4,423 7,478 146 39 0 39 37 94 37093 Hoke, NC 33,646 16,659 7,244 6,440 1,994 179 26 205 432 344 37095 Hyde, NC 5,826 2,746 1,793 896 4 13 0 13 17 23 122,660 62,540 51,200 9,011 179 770 13 783 798 569 37099 Jackson, NC 33,121 16,947 14,612 253 1,711 79 3 82 66 223 37101 Johnston, NC 121,965 61,371 48,370 9,958 233 211 21 232 1,997 581 37097 Iredell, NC 37103 Jones, NC 10,381 5,380 3,228 2,007 17 12 4 16 55 57 37105 Lee, NC 49,040 24,827 17,516 5,308 102 197 9 206 1,426 269 37107 Lenoir, NC 59,648 31,336 17,429 13,132 58 106 10 116 423 178 37109 Lincoln, NC 63,780 32,060 28,977 2,124 76 108 3 111 454 318 37111 McDowell, NC 42,151 21,149 19,772 711 56 192 2 194 250 166 37113 Macon, NC 29,811 15,522 15,162 121 43 65 1 66 31 99 37115 Madison, NC 19,635 9,951 9,764 46 23 30 2 32 28 58 37117 Martin, NC 25,593 13,725 7,075 6,414 43 29 4 33 83 77 5,022 37119 Mecklenburg, NC 695,454 353,997 224,987 104,240 1,176 10,775 167 10,942 7,630 37121 Mitchell, NC 15,687 8,021 7,872 19 33 19 0 19 31 47 37123 Montgomery, NC 26,822 13,241 9,272 2,853 54 228 5 233 677 152 37125 Moore, NC 74,769 38,745 31,056 6,200 254 197 23 220 674 341 37127 Nash, NC 87,420 45,359 27,957 15,828 183 230 12 242 706 443 37129 New Hanover, NC 160,307 82,936 65,648 14,849 314 706 48 754 517 854 37131 Northampton, NC 22,086 11,503 4,412 6,954 28 9 3 12 24 73 37133 Onslow, NC 150,355 67,369 47,945 13,086 467 1,599 133 1,732 1,900 2,239 37135 Orange, NC 118,227 62,189 48,565 8,941 225 2,573 12 2,585 808 1,065 37137 Pamlico, NC 12,934 6,421 4,765 1,520 35 32 2 34 30 37 37139 Pasquotank, NC 34,897 18,007 10,188 7,326 60 155 6 161 62 210 37141 Pender, NC 41,082 20,419 14,838 4,946 85 50 8 58 299 193 37143 Perquimans, NC 11,368 5,942 4,149 1,732 10 13 0 13 5 33 37145 Person, NC 35,623 18,435 12,590 5,384 108 28 3 31 181 141 37147 Pitt, NC 133,798 70,357 43,001 24,711 186 754 23 777 952 730 37149 Polk, NC 18,324 9,632 8,903 571 16 25 3 28 41 73 130,454 65,962 59,143 3,815 288 428 11 439 1,660 617 37151 Randolph, NC 37153 Richmond, NC 46,564 23,716 15,352 7,347 399 146 8 154 193 271 37155 Robeson, NC 123,339 63,341 20,492 16,446 24,290 196 28 224 1,017 872 91,928 47,559 36,768 9,555 135 135 17 152 585 364 130,340 65,960 52,885 10,621 197 548 18 566 1,056 635 37161 Rutherford, NC 62,899 32,598 28,350 3,673 43 108 9 117 160 255 37163 Sampson, NC 60,161 30,361 18,344 9,408 568 94 25 119 1,600 322 37165 Scotland, NC 35,998 19,112 9,679 7,340 1,672 104 4 108 61 252 249 37157 Rockingham, NC 37159 Rowan, NC 37167 Stanly, NC 58,100 29,429 25,059 3,326 68 490 5 495 232 37169 Stokes, NC 44,711 22,805 21,323 1,070 57 61 12 73 158 124 37171 Surry, NC 71,219 36,391 33,197 1,545 79 209 9 218 976 376 37173 Swain, NC 12,968 6,663 4,455 85 1,942 12 0 12 26 143 37175 Transylvania, NC 29,334 15,219 14,286 606 39 73 6 79 32 177 37177 Tyrrell, NC 4,149 1,938 1,152 711 3 11 0 11 43 18 37179 Union, NC 123,677 61,921 51,353 8,078 230 376 20 396 1,279 585 37181 Vance, NC 42,954 22,648 10,750 11,231 48 83 6 89 356 174 184 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name 37183 Wake, NC TOTAL Females All Races Black/ African Amercn White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Two or More Races Some Other Race 627,846 316,410 227,795 66,118 1,070 10,591 84 10,675 5,930 4,822 37185 Warren, NC 19,972 10,159 3,930 5,573 498 12 1 13 56 89 37187 Washington, NC 13,723 7,234 3,437 3,638 3 26 4 30 69 57 37189 Watauga, NC 42,695 21,422 20,709 325 49 135 5 140 69 130 37191 Wayne, NC 113,329 57,446 34,843 19,652 176 686 16 702 1,367 706 37193 Wilkes, NC 65,632 33,261 31,057 1,404 40 111 15 126 420 214 37195 Wilson, NC 73,814 38,589 21,345 15,795 92 150 8 158 865 334 37197 Yadkin, NC 36,348 18,505 17,226 638 27 41 4 45 438 131 37199 Yancey, NC 17,774 9,080 8,908 48 34 15 0 15 25 50 4,012,012 2,063,083 1,371,361 630,374 6,786 19,073 750 19,823 14,835 19,904 26,167 13,623 9,094 4,347 12 34 3 37 40 93 142,552 73,885 52,139 19,622 274 489 22 511 499 840 45 SOUTH CAROLINA 45001 Abbeville, SC 45003 Aiken, SC 45005 Allendale, SC 11,211 5,374 1,404 3,900 5 6 4 10 27 28 45007 Anderson, SC 165,740 85,664 69,470 14,693 184 397 14 411 258 648 45009 Bamberg, SC 16,658 8,827 3,119 5,618 15 18 1 19 9 47 45011 Barnwell, SC 23,478 12,185 6,593 5,371 43 40 2 42 46 90 45013 Beaufort, SC 120,937 59,744 41,749 15,223 151 567 34 601 1,242 778 45015 Berkeley, SC 142,651 70,189 47,010 19,418 345 1,420 60 1,480 712 1,224 45017 Calhoun, SC 15,185 7,989 3,874 4,013 12 16 3 19 17 54 45019 Charleston, SC 309,969 160,182 97,132 57,835 391 1,853 68 1,921 1,126 1,777 45021 Cherokee, SC 52,537 27,114 20,676 5,866 49 86 5 91 198 234 45023 Chester, SC 34,068 17,699 10,399 7,064 60 54 1 55 31 90 45025 Chesterfield, SC 42,768 22,137 14,039 7,660 78 66 4 70 120 170 45027 Clarendon, SC 32,502 16,545 7,280 9,014 36 49 4 53 87 75 45029 Colleton, SC 38,264 19,937 10,866 8,659 119 68 10 78 57 158 45031 Darlington, SC 67,394 35,513 19,885 15,194 56 83 3 86 101 191 45033 Dillon, SC 30,722 16,393 8,092 7,633 354 54 4 58 135 121 45035 Dorchester, SC 96,413 49,229 34,664 12,551 360 649 34 683 280 691 45037 Edgefield, SC 24,595 11,556 6,778 4,592 27 26 5 31 45 83 45039 Fairfield, SC 23,454 12,287 4,765 7,365 21 24 0 24 54 58 45041 Florence, SC 125,761 66,662 38,312 27,097 148 463 9 472 214 419 45043 Georgetown, SC 55,797 29,097 17,018 11,669 38 76 8 84 140 148 379,616 194,834 150,633 36,834 348 2,664 78 2,742 2,135 2,142 45047 Greenwood, SC 66,271 35,183 22,822 11,526 65 235 9 244 275 251 45049 Hampton, SC 21,386 10,492 4,381 5,975 18 16 1 17 51 50 45051 Horry, SC 196,629 100,095 81,121 16,026 375 792 42 834 720 1,019 45053 Jasper, SC 20,678 9,800 4,109 5,334 38 52 4 56 190 73 45055 Kershaw, SC 52,647 27,223 19,261 7,420 79 90 11 101 143 219 45057 Lancaster, SC 61,351 30,958 22,153 8,301 56 84 5 89 158 201 45059 Laurens, SC 69,567 35,926 25,450 9,840 88 57 13 70 227 251 45045 Greenville, SC 45061 Lee, SC 45063 Lexington, SC 45065 McCormick, SC 45067 Marion, SC 20,119 9,991 3,430 6,434 13 24 0 24 35 55 216,014 111,037 93,286 14,566 374 1,186 35 1,221 591 999 9,958 4,659 2,067 2,520 4 17 0 17 17 34 35,466 19,078 7,626 11,152 52 56 0 56 96 96 45069 Marlboro, SC 28,818 14,681 6,544 7,436 503 33 0 33 25 140 45071 Newberry, SC 36,108 18,687 11,828 6,427 50 67 17 84 163 135 185 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name TOTAL Females All Races Black/ African Amercn White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Two or More Races Some Other Race 45073 Oconee, SC 66,215 33,661 29,937 2,939 80 127 6 133 300 272 45075 Orangeburg, SC 91,582 48,972 17,701 30,381 225 206 9 215 108 342 45077 Pickens, SC 110,757 55,481 50,162 3,982 73 563 6 569 247 448 45079 Richland, SC 320,677 165,940 82,147 76,519 387 2,907 125 3,032 1,575 2,280 45081 Saluda, SC 19,181 9,658 6,330 3,036 22 6 0 6 215 49 45083 Spartanburg, SC 253,791 130,453 97,737 28,053 274 1,881 41 1,922 1,218 1,249 45085 Sumter, SC 104,646 53,966 26,296 25,915 151 631 30 661 331 612 29,881 15,806 10,686 4,939 20 30 5 35 25 101 45087 Union, SC 45089 Williamsburg, SC 45091 York, SC 37,217 19,808 6,235 13,387 28 37 0 37 23 98 164,614 84,863 65,061 17,028 685 774 15 789 529 771 47 TENNESSEE 5,689,283 2,919,008 2,334,309 494,226 7,238 29,556 1,028 30,584 21,434 31,217 47001 Anderson, TN 71,330 37,321 34,939 1,411 116 322 5 327 120 408 47003 Bedford, TN 37,586 18,941 16,511 1,643 48 99 11 110 410 219 47005 Benton, TN 16,537 8,531 8,190 194 32 31 0 31 19 65 47007 Bledsoe, TN 12,367 5,596 5,451 44 16 7 2 9 7 69 47009 Blount, TN 105,823 54,596 51,770 1,583 147 409 16 425 149 522 47011 Bradley, TN 87,965 45,077 42,038 1,769 112 284 5 289 320 549 47013 Campbell, TN 39,854 20,655 20,280 56 64 40 7 47 28 180 47015 Cannon, TN 12,826 6,535 6,356 90 11 12 0 12 18 48 47017 Carroll, TN 29,475 15,327 13,444 1,597 37 31 3 34 56 159 47019 Carter, TN 56,742 29,168 28,505 243 52 87 3 90 54 224 47021 Cheatham, TN 35,912 17,931 17,361 262 75 43 10 53 63 117 47023 Chester, TN 15,540 7,990 7,033 816 19 20 0 20 22 80 47025 Claiborne, TN 29,862 15,449 15,080 123 39 54 2 56 24 127 47027 Clay, TN 7,976 4,099 3,980 58 11 8 2 10 9 31 33,565 17,244 16,625 340 62 26 1 27 28 162 47031 Coffee, TN 48,014 24,615 23,076 868 68 194 10 204 153 246 47033 Crockett, TN 14,532 7,516 6,196 1,098 11 2 0 2 173 36 47035 Cumberland, TN 46,802 24,075 23,628 32 54 76 5 81 92 188 47029 Cocke, TN 47037 Davidson, TN 569,891 294,026 196,993 79,038 765 6,582 201 6,783 5,142 5,305 47039 Decatur, TN 11,731 6,031 5,706 209 13 16 3 19 34 50 47041 DeKalb, TN 17,423 8,811 8,468 121 25 10 0 10 102 85 47043 Dickson, TN 43,156 21,998 20,578 991 84 66 2 68 66 211 47045 Dyer, TN 37,279 19,412 16,465 2,627 47 60 6 66 58 149 47047 Fayette, TN 28,806 14,661 9,043 5,394 28 40 1 41 40 115 47049 Fentress, TN 16,625 8,474 8,413 4 9 10 0 10 2 36 47051 Franklin, TN 39,270 20,160 18,582 1,153 38 85 7 92 85 210 47053 Gibson, TN 48,152 25,408 19,891 5,163 52 32 4 36 73 193 47055 Giles, TN 29,447 15,144 13,072 1,809 44 57 1 58 24 137 47057 Grainger, TN 20,659 10,380 10,219 35 14 13 5 18 36 58 47059 Greene, TN 62,909 32,252 31,119 670 60 96 8 104 103 196 47061 Grundy, TN 14,332 7,288 7,168 13 14 12 0 12 21 60 47063 Hamblen, TN 58,128 29,492 27,028 1,271 61 180 13 193 681 258 47065 Hamilton, TN 307,896 160,614 121,698 33,666 430 1,993 74 2,067 990 1,763 47067 Hancock, TN 6,786 3,479 3,406 12 6 4 0 4 14 37 28,105 12,956 7,610 5,212 7 36 3 39 15 73 47069 Hardeman, TN 186 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name TOTAL Females All Races Black/ African Amercn White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Two or More Races Some Other Race 47071 Hardin, TN 25,578 13,004 12,317 509 24 28 2 30 36 88 47073 Hawkins, TN 53,563 27,509 26,746 437 49 75 2 77 48 152 47075 Haywood, TN 19,797 10,542 4,822 5,527 13 10 2 12 111 57 47077 Henderson, TN 25,522 13,232 12,024 1,029 16 23 1 24 26 113 47079 Henry, TN 31,115 16,089 14,319 1,471 24 49 4 53 51 171 47081 Hickman, TN 22,295 10,494 10,060 243 45 13 0 13 25 108 47083 Houston, TN 8,088 4,089 3,880 133 11 6 3 9 21 35 47085 Humphreys, TN 17,929 9,110 8,691 272 27 27 1 28 15 77 47087 Jackson, TN 10,984 5,554 5,490 4 18 5 1 6 5 31 47089 Jefferson, TN 44,294 22,422 21,505 493 59 70 8 78 108 179 47091 Johnson, TN 17,499 8,155 8,018 38 26 14 1 15 16 42 382,032 197,455 173,595 17,687 490 2,485 56 2,541 855 2,287 47093 Knox, TN 47095 Lake, TN 7,954 3,169 2,478 647 2 4 0 4 16 22 47097 Lauderdale, TN 27,101 13,025 8,599 4,177 83 19 1 20 49 97 47099 Lawrence, TN 39,926 20,546 19,923 284 55 64 7 71 63 150 47101 Lewis, TN 11,367 5,773 5,614 78 10 13 0 13 10 48 47103 Lincoln, TN 31,340 16,163 14,532 1,266 77 63 6 69 34 185 47105 Loudon, TN 39,086 20,032 19,291 231 69 53 2 55 194 192 47107 McMinn, TN 49,015 25,348 23,554 1,123 68 178 6 184 149 270 47109 McNairy, TN 24,653 12,695 11,708 796 24 20 0 20 30 117 47111 Macon, TN 20,386 10,325 10,151 16 45 31 6 37 39 37 47113 Madison, TN 91,837 47,802 30,782 16,011 82 315 4 319 215 393 113 47115 Marion, TN 27,776 14,182 13,350 623 37 35 3 38 21 47117 Marshall, TN 26,767 13,698 12,231 1,109 35 49 2 51 162 110 47119 Maury, TN 69,498 35,716 29,286 5,367 114 124 7 131 400 418 47121 Meigs, TN 11,086 5,542 5,407 65 14 16 0 16 5 35 47123 Monroe, TN 38,961 19,760 18,788 459 69 81 4 85 122 237 47125 Montgomery, TN 134,768 66,993 48,492 12,990 336 1,623 131 1,754 1,378 2,043 47127 Moore, TN 5,740 2,897 2,783 81 5 4 0 4 8 16 47129 Morgan, TN 19,757 9,219 9,086 11 25 19 0 19 14 64 47131 Obion, TN 32,450 16,780 14,779 1,728 23 38 3 41 98 111 47133 Overton, TN 20,118 10,252 10,120 23 30 9 3 12 18 49 7,631 3,834 3,705 64 8 5 4 9 13 35 47135 Perry, TN 47137 Pickett, TN 47139 Polk, TN 4,945 2,513 2,491 3 4 2 0 2 0 13 16,050 8,095 7,961 8 23 12 2 14 8 81 299 47141 Putnam, TN 62,315 31,402 29,918 465 57 262 22 284 379 47143 Rhea, TN 28,400 14,615 13,968 306 54 55 2 57 64 166 47145 Roane, TN 51,910 26,760 25,463 765 49 106 8 114 38 331 47147 Robertson, TN 54,433 27,382 24,313 2,528 75 94 6 100 146 220 47149 Rutherford, TN 182,023 91,438 78,453 8,988 268 1,761 33 1,794 875 1,060 47151 Scott, TN 21,127 10,704 10,548 8 32 15 0 15 11 90 47153 Sequatchie, TN 11,370 5,735 5,659 11 16 9 2 11 8 30 47155 Sevier, TN 71,170 36,331 35,396 181 116 203 8 211 126 301 47157 Shelby, TN 897,472 468,827 217,585 234,255 831 7,503 153 7,656 3,997 4,503 47159 Smith, TN 17,712 8,992 8,584 242 32 16 0 16 36 82 47161 Stewart, TN 12,370 6,212 5,897 70 37 119 4 123 15 70 187 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 POPULATION FEMALES by RACE FIPS Code County Name TOTAL Females All Races White Native Haw/ Asian Pacific /Pacific Islandr Islandr American Indian/ Alaskan Native Asian Black/ African Amercn Two or More Races Some Other Race 47163 Sullivan, TN 153,048 79,188 76,569 1,418 167 342 9 351 144 539 47165 Sumner, TN 130,449 66,573 60,834 4,022 178 460 22 482 419 638 51,271 26,021 20,058 5,408 85 123 13 136 79 255 7,259 3,686 3,197 421 11 4 0 4 28 25 47171 Unicoi, TN 17,667 9,054 8,884 3 19 11 3 14 68 66 47173 Union, TN 17,808 8,958 8,825 5 18 18 0 18 13 79 47167 Tipton, TN 47169 Trousdale, TN 47175 Van Buren, TN 47177 Warren, TN 47179 Washington, TN 5,508 2,764 2,737 3 5 4 0 4 3 12 38,276 19,475 18,165 632 42 89 5 94 358 184 532 107,198 55,021 51,738 2,001 110 391 13 404 236 47181 Wayne, TN 16,842 7,598 7,454 54 15 23 1 24 8 43 47183 Weakley, TN 34,895 17,971 16,186 1,325 31 228 1 229 77 123 47185 White, TN 47187 Williamson, TN 47189 Wilson, TN 84 REGION IV 91 UNITED STATES 23,102 11,776 11,405 185 19 31 6 37 41 89 126,638 64,280 58,849 3,443 118 828 21 849 485 536 88,809 44,979 41,124 2,869 142 242 14 256 186 402 53,252,966 27,270,813 20,097,481 5,823,151 121,622 380,054 11,332 391,386 439,332 397,841 281,421,906 143,368,343 107,687,432 18,193,005 1,241,974 5,294,257 196,206 5,490,463 7,349,859 3,405,610 188 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by ETHNICITY FEMALES by RACE FIPS Code 01 County Name TOTAL ALABAMA Females All Races Black/ African American White American Indian/ Alaskan Native Asian/ Pacific Islander Hispanic /Latino NonHispanic 4,447,100 2,300,596 1,643,179 625,980 12,646 18,791 32,710 01001 Autauga, AL 43,671 22,450 18,105 4,063 116 166 278 2,267,886 22,172 01003 Baldwin, AL 140,415 71,567 63,206 7,519 445 397 1,121 70,446 01005 Barbour, AL 29,038 14,068 7,270 6,701 46 51 149 13,919 01007 Bibb, AL 20,826 10,081 7,994 2,049 27 11 86 9,995 01009 Blount, AL 51,024 25,548 25,007 339 131 71 1,111 24,437 01011 Bullock, AL 11,714 5,574 1,282 4,269 9 14 103 5,471 01013 Butler, AL 21,399 11,380 6,547 4,789 25 19 69 11,311 01015 Calhoun, AL 112,249 58,547 46,404 11,428 235 480 785 57,762 01017 Chambers, AL 36,583 19,298 11,622 7,610 24 42 138 19,160 01019 Cherokee, AL 23,988 12,194 11,425 709 37 23 97 12,097 01021 Chilton, AL 39,593 20,012 17,688 2,215 56 53 416 19,596 01023 Choctaw, AL 15,922 8,433 4,567 3,851 11 4 60 8,373 01025 Clarke, AL 27,867 14,687 8,111 6,521 31 24 104 14,583 01027 Clay, AL 14,254 7,302 6,086 1,182 22 12 93 7,209 01029 Cleburne, AL 14,123 7,086 6,771 277 21 17 75 7,011 01031 Coffee, AL 43,615 22,312 17,482 4,269 226 335 539 21,773 01033 Colbert, AL 54,984 28,673 23,409 5,070 112 82 292 28,381 01035 Conecuh, AL 14,089 7,422 4,011 3,377 21 13 51 7,371 01037 Coosa, AL 12,202 5,970 3,871 2,070 22 7 40 5,930 19,490 01039 Covington, AL 37,631 19,639 16,937 2,561 100 41 149 01041 Crenshaw, AL 13,665 7,201 5,279 1,885 27 10 40 7,161 01043 Cullman, AL 77,483 39,269 38,602 364 181 122 646 38,623 01045 Dale, AL 49,129 24,773 18,682 5,458 164 469 801 23,972 01047 Dallas, AL 46,365 25,273 8,711 16,441 31 90 146 25,127 01049 DeKalb, AL 64,452 32,944 31,897 620 327 100 1,492 31,452 01051 Elmore, AL 65,874 32,532 25,856 6,344 163 169 377 32,155 01053 Escambia, AL 38,440 18,965 12,658 5,612 636 59 181 18,784 01055 Etowah, AL 103,459 53,953 45,083 8,423 208 239 733 53,220 01057 Fayette, AL 18,495 9,560 8,309 1,207 18 26 75 9,485 01059 Franklin, AL 31,223 15,894 15,072 723 52 47 862 15,032 01061 Geneva, AL 25,764 13,235 11,620 1,490 97 28 176 13,059 01063 Greene, AL 9,974 5,293 954 4,327 6 6 31 5,262 01065 Hale, AL 17,185 9,075 3,515 5,523 18 19 80 8,995 01067 Henry, AL 16,310 8,556 5,617 2,913 17 9 118 8,438 01069 Houston, AL 88,787 46,617 34,131 11,981 187 318 530 46,087 01071 Jackson, AL 53,926 27,645 25,909 1,077 584 75 282 27,363 01073 Jefferson, AL 662,047 349,958 202,887 142,896 827 3,348 4,162 345,796 01075 Lamar, AL 15,904 8,224 7,154 1,049 13 8 86 8,138 01077 Lauderdale, AL 87,966 45,885 40,766 4,799 140 180 402 45,483 01079 Lawrence, AL 17,557 01081 Lee, AL 01083 34,803 17,737 14,120 2,517 1,076 24 180 115,092 58,462 43,115 14,174 153 1,020 754 57,708 Limestone, AL 65,676 32,342 28,067 3,964 165 146 691 31,651 01085 Lowndes, AL 13,473 7,171 1,756 5,386 13 16 34 7,137 01087 Macon, AL 24,105 13,030 1,646 11,318 30 36 95 12,935 01089 Madison, AL 276,700 141,681 103,216 34,110 1,240 3,115 2,440 139,241 189 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FIPS Code County Name TOTAL Females All Races FEMALES by RACE American Indian/ Black/ African Alaskan Native White American FEMALES by ETHNICITY Asian/ Pacific Islander Hispanic /Latino NonHispanic 01091 Marengo, AL 22,539 11,970 5,469 6,463 12 26 108 11,862 01093 Marion, AL 31,214 15,763 15,220 466 41 36 164 15,599 01095 Marshall, AL 01097 Mobile, AL 82,231 42,220 41,148 654 252 166 1,912 40,308 399,843 208,799 131,197 73,193 1,480 2,929 2,353 206,446 01099 Monroe, AL 24,324 12,748 7,297 5,274 131 46 99 12,649 01101 Montgomery, AL 223,510 117,151 56,769 58,707 284 1,391 1,194 115,957 01103 Morgan, AL 111,064 56,613 49,182 6,677 424 330 1,520 55,093 01105 Perry, AL 11,861 6,451 1,932 4,510 6 3 52 6,399 01107 Pickens, AL 20,949 11,140 6,088 5,012 15 25 75 11,065 01109 Pike, AL 29,605 15,620 9,440 6,013 113 54 181 15,439 01111 Randolph, AL 22,380 11,570 8,899 2,621 23 27 128 11,442 01113 Russell, AL 49,756 26,052 14,688 11,095 115 154 349 25,703 01115 St. Clair, AL 64,742 32,090 29,502 2,366 136 86 297 31,793 01117 Shelby, AL 143,293 73,036 66,214 5,702 283 837 1,179 71,857 01119 Sumter, AL 14,798 8,003 1,995 5,985 10 13 83 7,920 01121 Talladega, AL 80,321 41,036 27,736 13,097 96 107 266 40,770 01123 Tallapoosa, AL 41,475 21,771 15,832 5,815 65 59 106 21,665 01125 Tuscaloosa, AL 164,875 85,503 57,699 26,779 213 812 921 84,582 01127 Walker, AL 70,713 36,596 34,072 2,337 92 95 278 36,318 01129 Washington, AL 18,097 9,228 5,965 2,550 697 16 77 9,151 01131 Wilcox, AL 13,183 7,041 1,882 5,139 9 11 62 6,979 01133 Winston, AL 24,843 12,677 12,536 55 59 27 136 12,541 15,982,378 8,184,663 6,705,029 1,280,913 31,803 166,918 1,342,606 6,842,057 217,955 111,550 84,100 22,967 347 4,136 6,315 105,235 22,259 10,571 9,193 1,281 40 57 110 10,461 148,217 74,811 63,952 8,378 639 1,842 1,721 73,090 26,088 11,492 9,552 1,798 43 99 192 11,300 12 FLORIDA 12001 Alachua, FL 12003 Baker, FL 12005 Bay, FL 12007 Bradford, FL 12009 Brevard, FL 476,230 243,044 215,255 21,853 997 4,939 11,138 231,906 12011 Broward, FL 1,623,018 839,786 624,767 190,125 2,361 22,533 138,456 701,330 12013 Calhoun, FL 13,017 5,993 5,162 698 93 40 117 5,876 12015 Charlotte, FL 141,627 73,979 69,614 3,392 155 818 2,352 71,627 12017 Citrus, FL 118,085 61,394 59,053 1,512 238 591 1,640 59,754 12019 Clay, FL 140,814 71,479 64,022 5,201 375 1,881 3,072 68,407 12021 Collier, FL 251,377 125,521 117,075 6,884 449 1,113 20,937 104,584 12023 Columbia, FL 56,513 27,857 22,837 4,618 159 243 665 27,192 12027 DeSoto, FL 32,209 14,106 12,168 1,718 143 77 2,235 11,871 12029 Dixie, FL 13,827 6,463 5,968 436 33 26 74 6,389 12031 Duval, FL 778,879 401,098 268,371 118,521 1,493 12,713 15,817 385,281 12033 Escambia, FL 294,410 148,227 108,882 33,630 1,488 4,227 3,477 144,750 12035 Flagler, FL 49,832 25,945 22,999 2,518 75 353 1,355 24,590 12037 Franklin, FL 11,057 4,815 4,252 523 20 20 56 4,759 12039 Gadsden, FL 45,087 23,639 9,427 14,056 73 83 1,190 22,449 12041 Gilchrist, FL 14,437 6,794 6,493 264 23 14 132 6,662 12043 Glades, FL 10,576 4,775 4,082 390 281 22 596 4,179 12045 Gulf, FL 13,332 6,213 5,256 884 39 34 56 6,157 12047 Hamilton, FL 13,327 5,670 3,518 2,114 19 19 240 5,430 190 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by ETHNICITY FEMALES by RACE FIPS Code County Name TOTAL Females All Races Black/ African American White American Indian/ Alaskan Native Asian/ Pacific Islander Hispanic /Latino NonHispanic 12049 Hardee, FL 26,938 12,293 11,276 846 101 70 4,052 8,241 12051 Hendry, FL 36,210 16,090 13,306 2,517 163 104 5,542 10,548 12053 Hernando, FL 130,802 68,672 64,719 3,111 240 602 3,370 65,302 12055 Highlands, FL 87,366 44,766 39,583 4,412 210 561 4,372 40,394 12057 Hillsborough, FL 998,948 510,176 411,310 82,696 2,480 13,690 89,361 420,815 12059 Holmes, FL 18,564 8,718 8,352 230 83 53 115 8,603 12061 Indian River, FL 112,947 58,314 52,660 4,948 193 513 3,191 55,123 21,826 12063 Jackson, FL 46,755 22,222 16,270 5,685 155 112 396 12065 Jefferson, FL 12,902 6,321 3,809 2,461 26 25 93 6,228 12067 Lafayette, FL 7,022 2,822 2,619 186 14 3 159 2,663 12069 Lake, FL 210,528 108,662 97,698 9,423 414 1,127 5,597 103,065 12071 Lee, FL 440,888 225,384 206,083 16,246 756 2,299 18,910 206,474 12073 Leon, FL 239,452 125,318 83,569 38,752 376 2,621 4,270 121,048 12075 Levy, FL 34,450 17,760 15,429 2,139 92 100 655 17,105 12077 Liberty, FL 7,021 2,867 2,479 329 55 4 70 2,797 12079 Madison, FL 18,733 9,023 5,291 3,678 20 34 167 8,856 12081 Manatee, FL 264,002 136,453 122,705 11,783 424 1,541 10,891 125,562 12083 Marion, FL 258,916 133,971 115,808 16,259 657 1,247 7,610 126,361 12085 Martin, FL 12086 Miami-Dade, FL 12087 Monroe, FL 79,589 37,210 34,696 1,903 12089 Nassau, FL 57,663 29,220 26,533 2,376 12091 Okaloosa, FL 12093 Okeechobee, FL 12095 Orange, FL 12097 Osceola, FL 12099 Palm Beach, FL 12101 Pasco, FL 12103 Pinellas, FL 12105 Polk, FL 12107 Putnam, FL 12109 12111 126,731 64,539 60,548 3,217 226 548 4,097 60,442 2,253,362 1,164,467 885,326 255,712 3,087 20,342 670,465 494,002 181 430 5,781 31,429 117 194 419 28,801 80,904 170,498 84,338 72,460 7,757 589 3,532 3,434 35,910 16,665 15,393 996 119 157 2,495 14,170 896,344 452,628 341,643 91,032 1,949 18,004 84,464 368,164 172,493 87,471 76,796 7,698 491 2,486 25,638 61,833 1,131,184 584,445 485,662 86,760 1,497 10,526 67,753 516,692 344,765 179,348 172,564 3,885 738 2,161 9,513 169,835 921,482 482,523 424,181 45,442 1,668 11,232 20,967 461,556 483,924 246,558 207,719 34,921 1,047 2,871 20,690 225,868 70,423 35,632 28,792 6,448 169 223 1,924 33,708 St. Johns, FL 123,135 63,321 58,124 4,278 163 756 1,610 61,711 St. Lucie, FL 192,695 98,576 80,888 16,213 261 1,214 7,156 91,420 12113 Santa Rosa, FL 117,743 58,684 54,553 2,250 657 1,224 1,426 57,258 12115 Sarasota, FL 325,957 171,539 161,885 7,598 413 1,643 6,717 164,822 12117 Seminole, FL 365,196 186,420 160,878 19,341 684 5,517 20,825 165,595 12119 Sumter, FL 53,345 25,033 21,910 2,847 126 150 878 24,155 12121 Suwannee, FL 34,844 17,832 15,307 2,341 80 104 593 17,239 12123 Taylor, FL 19,256 9,423 7,565 1,701 106 51 107 9,316 12125 Union, FL 13,442 4,749 3,978 729 24 18 83 4,666 12127 Volusia, FL 443,343 227,982 202,061 22,406 798 2,717 14,094 213,888 12129 Wakulla, FL 22,863 11,027 9,760 1,164 70 33 183 10,844 12131 Walton, FL 40,601 19,789 18,157 1,174 316 142 361 19,428 12133 Washington, FL 20,973 10,190 8,686 1,262 185 57 169 10,021 8,186,453 4,159,340 2,784,676 1,264,801 12,431 97,432 176,943 3,982,397 17,419 8,838 6,932 1,851 15 40 251 8,587 13 13001 GEORGIA Appling, GA 191 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by ETHNICITY FEMALES by RACE Females All Races Black/ African American American Indian/ Alaskan Native Asian/ Pacific Islander Hispanic/ Latino NonHispanic FIPS Code County Name 13003 Atkinson, GA 13005 Bacon, GA 13007 Baker, GA 4,074 13009 Baldwin, GA 44,700 13011 Banks, GA 14,422 7,139 6,820 236 23 60 195 6,944 13013 Barrow, GA 46,144 23,205 20,164 2,412 82 547 598 22,607 37,438 TOTAL White 7,609 3,842 2,974 833 22 13 565 3,277 10,103 5,151 4,258 866 6 21 113 5,038 2,188 1,033 1,149 5 1 57 2,131 20,568 11,431 8,820 55 262 260 20,308 13015 Bartow, GA 76,019 38,459 34,554 3,527 130 248 1,021 13017 Ben Hill, GA 17,484 9,115 5,897 3,172 19 27 303 8,812 13019 Berrien, GA 16,235 8,260 7,188 1,014 23 35 150 8,110 82,123 13021 Bibb, GA 153,887 83,087 41,523 40,407 169 988 964 13023 Bleckley, GA 11,666 6,046 4,447 1,536 7 56 41 6,005 13025 Brantley, GA 14,629 7,286 6,949 312 12 13 62 7,224 13027 Brooks, GA 16,450 8,558 5,011 3,493 21 33 159 8,399 13029 Bryan, GA 23,417 11,814 9,853 1,771 47 143 224 11,590 13031 Bulloch, GA 55,983 28,728 19,631 8,800 34 263 401 28,327 13033 Burke, GA 22,243 11,687 5,374 6,243 32 38 132 11,555 13035 Butts, GA 19,522 9,119 6,447 2,608 31 33 114 9,005 13037 Calhoun, GA 6,320 2,747 1,083 1,651 8 5 33 2,714 13039 Camden, GA 43,664 21,098 16,022 4,629 117 330 724 20,374 13043 Candler, GA 9,577 4,773 3,383 1,360 14 16 290 4,483 13045 Carroll, GA 87,268 44,736 36,547 7,731 136 322 889 43,847 27,211 13047 Catoosa, GA 53,282 27,499 26,809 370 101 219 288 13049 Charlton, GA 10,282 4,842 3,467 1,327 26 22 35 4,807 13051 Chatham, GA 232,048 120,258 66,652 50,918 309 2,379 2,349 117,909 13053 Chattahoochee, GA 14,882 5,477 3,209 2,068 47 153 560 4,917 13055 Chattooga, GA 25,470 12,331 11,256 1,032 10 33 165 12,166 13057 Cherokee, GA 141,903 70,691 67,744 1,880 304 763 2,997 67,694 13059 Clarke, GA 101,489 51,957 34,907 15,171 112 1,767 2,697 49,260 13061 Clay, GA 3,357 1,831 683 1,140 1 7 19 1,812 13063 Clayton, GA 236,517 121,625 48,659 66,746 463 5,757 7,158 114,467 13065 Clinch, GA 6,878 3,458 2,432 1,006 17 3 26 3,432 13067 Cobb, GA 607,751 306,243 232,502 62,349 961 10,431 19,488 286,755 13069 Coffee, GA 37,413 18,839 13,694 4,973 59 113 1,001 17,838 13071 Colquitt, GA 42,053 21,225 15,689 5,362 74 100 1,623 19,602 13073 Columbia, GA 89,288 45,658 38,204 5,447 147 1,860 1,125 44,533 13075 Cook, GA 15,771 8,208 5,614 2,533 15 46 180 8,028 13077 Coweta, GA 89,215 45,053 35,919 8,619 115 400 1,051 44,002 13079 Crawford, GA 12,495 6,233 4,609 1,587 19 18 83 6,150 13081 Crisp, GA 21,996 11,655 6,272 5,277 22 84 130 11,525 13083 Dade, GA 15,154 7,733 7,600 62 30 41 62 7,671 13085 Dawson, GA 15,999 7,965 7,865 37 31 32 109 7,856 13087 Decatur, GA 28,240 14,787 8,547 6,141 43 56 374 14,413 13089 DeKalb, GA 665,865 343,085 130,939 196,920 939 14,287 19,857 323,228 13091 Dodge, GA 19,171 9,349 6,676 2,630 19 24 88 9,261 13093 Dooly, GA 11,525 5,500 2,692 2,773 7 28 211 5,289 13095 Dougherty, GA 96,065 51,265 19,126 31,721 105 313 590 50,675 192 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by ETHNICITY FEMALES by RACE FIPS Code County Name TOTAL Females All Races Black/ African American White American Indian/ Alaskan Native Asian/ Pacific Islander Hispanic/ Latino NonHispanic 13097 Douglas, GA 92,174 46,912 36,947 9,108 204 653 1,207 13099 Early, GA 12,354 6,602 3,296 3,272 15 19 77 45,705 6,525 13101 Echols, GA 3,754 1,737 1,574 141 19 3 220 1,517 13103 Effingham, GA 37,535 18,889 16,081 2,622 62 124 259 18,630 13105 Elbert, GA 20,511 10,672 7,133 3,481 20 38 150 10,522 13107 Emanuel, GA 21,837 11,328 7,310 3,974 12 32 207 11,121 13109 Evans, GA 10,495 5,393 3,471 1,886 9 27 251 5,142 13111 Fannin, GA 19,798 10,232 10,159 10 37 26 57 10,175 13113 Fayette, GA 91,263 46,605 39,624 5,576 115 1,290 1,304 45,301 13115 Floyd, GA 90,565 46,742 39,542 6,548 152 500 1,932 44,810 13117 Forsyth, GA 98,407 48,557 47,623 308 154 472 2,101 46,456 13119 Franklin, GA 20,285 10,451 9,404 995 23 29 69 10,382 13121 Fulton, GA 816,006 414,280 203,938 196,420 921 13,001 19,084 395,196 13123 Gilmer, GA 23,456 11,554 11,391 37 79 47 639 10,915 13125 Glascock, GA 2,556 1,328 1,208 113 4 3 6 1,322 13127 Glynn, GA 67,568 35,246 25,135 9,741 100 270 834 34,412 13129 Gordon, GA 44,104 22,162 21,074 864 65 159 1,212 20,950 13131 Grady, GA 23,659 12,414 8,230 4,009 131 44 466 11,948 13133 Greene, GA 14,406 7,506 3,963 3,500 22 21 172 7,334 13135 Gwinnett, GA 588,448 291,699 226,209 41,864 990 22,636 26,718 264,981 13137 Habersham, GA 13139 Hall, GA 13141 35,902 17,470 16,610 435 71 354 1,066 16,404 139,277 68,393 61,570 5,455 274 1,094 11,096 57,297 Hancock, GA 10,076 4,696 915 3,770 4 7 10 4,686 13143 Haralson, GA 25,690 13,159 12,345 745 28 41 65 13,094 13145 Harris, GA 23,695 11,994 9,435 2,429 43 87 121 11,873 13147 Hart, GA 22,997 11,671 9,289 2,286 19 77 78 11,593 13149 Heard, GA 11,012 5,604 4,926 649 14 15 57 5,547 13151 Henry, GA 119,341 60,473 49,742 9,273 165 1,293 1,280 59,193 13153 Houston, GA 110,765 56,258 39,930 14,853 225 1,250 1,572 54,686 13155 Irwin, GA 9,931 5,051 3,684 1,342 4 21 71 4,980 13157 Jackson, GA 41,589 20,758 18,898 1,615 37 208 525 20,233 13159 Jasper, GA 11,426 5,824 4,117 1,683 14 10 86 5,738 13161 Jeff Davis, GA 12,684 6,456 5,396 1,027 13 20 240 6,216 13163 Jefferson, GA 17,266 9,139 3,798 5,310 8 23 82 9,057 13165 Jenkins, GA 8,575 4,466 2,503 1,937 14 12 111 4,355 13167 Johnson, GA 8,560 4,342 2,752 1,581 5 4 36 4,306 13169 Jones, GA 23,639 12,098 9,017 2,985 24 72 88 12,010 13171 Lamar, GA 15,912 8,293 5,562 2,675 23 33 82 8,211 13173 Lanier, GA 7,241 3,572 2,626 903 24 19 46 3,526 13175 Laurens, GA 44,874 23,302 14,622 8,425 49 206 239 23,063 13177 Lee, GA 24,757 12,251 10,306 1,805 28 112 121 12,130 13179 Liberty, GA 61,610 29,164 14,395 13,660 196 913 2,339 26,825 13181 Lincoln, GA 8,348 4,284 2,737 1,524 15 8 33 4,251 13183 Long, GA 10,304 5,098 3,645 1,349 33 71 379 4,719 13185 Lowndes, GA 92,115 46,304 28,838 16,498 202 766 1,058 45,246 13187 Lumpkin, GA 21,016 10,707 10,391 151 112 53 314 10,393 193 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by ETHNICITY FEMALES by RACE FIPS Code County Name TOTAL Females All Races Black/ African American White American Indian/ Alaskan Native Asian/ Pacific Islander Hispanic/ Latino NonHispanic 13189 McDuffie, GA 21,231 11,211 6,755 4,390 20 46 137 11,074 13191 McIntosh, GA 10,847 5,478 3,298 2,130 25 25 42 5,436 13193 Macon, GA 14,074 7,090 2,661 4,373 15 41 128 6,962 13195 Madison, GA 25,730 13,088 11,833 1,164 29 62 240 12,848 13197 Marion, GA 13199 Meriwether, GA 7,144 3,626 2,271 1,329 14 12 125 3,501 22,534 11,771 6,584 5,114 40 33 87 11,684 13201 Miller, GA 6,383 3,375 2,352 1,009 8 6 21 3,354 13205 Mitchell, GA 23,932 11,762 6,022 5,667 30 43 181 11,581 13207 Monroe, GA 21,757 10,912 7,722 3,102 36 52 120 10,792 13209 Montgomery, GA 8,270 4,033 2,997 1,025 2 9 113 3,920 13211 Morgan, GA 15,457 7,970 5,502 2,426 16 26 108 7,862 13213 Murray, GA 17,390 13215 Muscogee, GA 13217 36,506 18,264 17,989 140 62 73 874 186,291 95,674 48,960 44,417 323 1,974 3,573 92,101 Newton, GA 62,001 31,847 24,074 7,437 74 262 535 31,312 13219 Oconee, GA 26,225 13,301 12,176 889 24 212 373 12,928 13221 Oglethorpe, GA 12,635 6,498 5,125 1,336 11 26 90 6,408 13223 Paulding, GA 81,678 40,805 37,409 3,009 138 249 692 40,113 13225 Peach, GA 23,668 12,224 6,307 5,814 45 58 384 11,840 13227 Pickens, GA 22,983 11,738 11,495 157 49 37 190 11,548 13229 Pierce, GA 15,636 7,943 6,950 947 21 25 125 7,818 13231 Pike, GA 13,688 6,838 5,760 1,032 14 32 79 6,759 13233 Polk, GA 38,127 19,144 16,310 2,711 46 77 1,078 18,066 13235 Pulaski, GA 9,588 5,507 3,346 2,123 16 22 104 5,403 13237 Putnam, GA 18,812 9,548 6,447 3,005 25 71 158 9,390 13239 Quitman, GA 2,598 1,375 710 661 4 0 7 1,368 13241 Rabun, GA 15,050 7,623 7,484 74 34 31 237 7,386 13243 Randolph, GA 7,791 4,190 1,590 2,573 15 12 36 4,154 13245 Richmond, GA 199,775 103,400 47,109 53,876 320 2,095 2,612 100,788 13247 Rockdale, GA 70,111 35,266 27,571 6,861 99 735 1,532 33,734 13249 Schley, GA 3,766 1,963 1,302 648 7 6 41 1,922 13251 Screven, GA 15,374 8,031 4,237 3,752 15 27 84 7,947 13253 Seminole, GA 9,369 4,905 3,113 1,778 7 7 132 4,773 13255 Spalding, GA 58,417 30,235 20,043 9,882 64 246 400 29,835 13257 Stephens, GA 25,435 13,221 11,418 1,683 36 84 116 13,105 13259 Stewart, GA 5,252 2,742 1,010 1,717 9 6 36 2,706 13261 Sumter, GA 33,200 17,645 8,548 8,929 56 112 374 17,271 13263 Talbot, GA 6,498 3,466 1,235 2,214 7 10 40 3,426 13265 Taliaferro, GA 2,077 1,075 431 642 0 2 9 1,066 13267 Tattnall, GA 22,305 9,447 7,052 2,328 19 48 686 8,761 13269 Taylor, GA 8,815 4,511 2,477 2,023 4 7 44 4,467 13271 Telfair, GA 11,794 5,591 3,631 1,951 1 8 68 5,523 13273 Terrell, GA 10,970 5,826 2,174 3,619 12 21 62 5,764 13275 Thomas, GA 42,737 22,620 13,349 9,093 70 108 332 22,288 13277 Tift, GA 38,407 19,743 13,575 5,914 38 216 1,072 18,671 13279 Toombs, GA 26,067 13,624 9,993 3,527 31 73 880 12,744 13281 Towns, GA 9,319 4,908 4,874 5 10 19 24 4,884 194 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by ETHNICITY FEMALES by RACE FIPS Code County Name 13283 Treutlen, GA 13285 Troup, GA 13287 Turner, GA 9,504 13289 Twiggs, GA 10,590 13291 Union, GA 17,289 13293 Upson, GA 13295 13297 13299 Ware, GA 13301 Warren, GA 13303 TOTAL Females All Races Black/ African American White American Indian/ Alaskan Native Asian/ Pacific Islander Hispanic /Latino NonHispanic 6,854 3,450 2,312 1,127 2 9 24 3,426 58,779 30,769 20,354 10,153 66 196 392 30,377 4,934 2,803 2,105 9 17 75 4,859 5,520 2,982 2,514 12 12 55 5,465 8,792 8,722 20 23 27 60 8,732 27,597 14,492 10,148 4,229 43 72 147 14,345 Walker, GA 61,053 31,412 30,036 1,152 102 122 260 31,152 Walton, GA 60,687 31,131 25,974 4,813 94 250 530 30,601 35,483 17,953 12,933 4,888 34 98 293 17,660 6,336 3,399 1,320 2,064 7 8 27 3,372 Washington, GA 21,176 11,668 5,196 6,408 22 42 64 11,604 13305 Wayne, GA 26,565 12,749 10,239 2,418 25 67 315 12,434 13307 Webster, GA 2,390 1,189 614 574 1 0 22 1,167 13309 Wheeler, GA 6,179 2,709 1,904 795 4 6 71 2,638 13311 White, GA 19,944 10,064 9,738 226 42 58 115 9,949 13313 Whitfield, GA 83,525 41,491 39,057 1,820 175 439 7,881 33,610 13315 Wilcox, GA 8,577 3,835 2,551 1,270 3 11 47 3,788 13317 Wilkes, GA 10,687 5,581 3,043 2,507 14 17 57 5,524 13319 Wilkinson, GA 10,220 5,361 3,085 2,262 10 4 45 5,316 13321 Worth, GA 21,967 11,440 7,746 3,616 40 38 110 11,330 4,041,769 2,066,401 1,886,416 157,739 4,639 17,607 24,430 2,041,971 21001 21 Adair, KY KENTUCKY 17,244 8,889 8,605 242 19 23 57 8,832 21003 Allen, KY 17,800 9,084 8,926 124 18 16 66 9,018 21005 Anderson, KY 19,111 9,771 9,461 279 13 18 75 9,696 21007 Ballard, KY 8,286 4,195 4,063 119 2 11 31 4,164 21009 Barren, KY 38,033 19,735 18,784 841 30 80 157 19,578 21011 Bath, KY 11,085 5,609 5,470 119 17 3 28 5,581 21013 Bell, KY 30,060 15,690 15,193 389 41 67 105 15,585 42,715 21015 Boone, KY 85,991 43,492 42,063 662 124 643 777 21017 Bourbon, KY 19,360 9,948 9,163 749 13 23 149 9,799 21019 Boyd, KY 49,752 25,389 24,920 349 36 84 115 25,274 21021 Boyle, KY 27,697 13,966 12,665 1,179 28 94 171 13,795 21023 Bracken, KY 8,279 4,182 4,144 18 14 6 18 4,164 21025 Breathitt, KY 16,100 8,156 8,099 23 6 28 45 8,111 21027 Breckinridge, KY 18,648 9,390 9,067 292 20 11 77 9,313 21029 Bullitt, KY 61,236 30,782 30,409 136 123 114 184 30,598 21031 Butler, KY 13,010 6,538 6,494 22 12 10 45 6,493 21033 Caldwell, KY 13,060 6,782 6,422 333 9 18 45 6,737 21035 Calloway, KY 34,177 17,689 16,797 622 33 237 207 17,482 21037 Campbell, KY 88,616 45,870 44,761 725 94 290 347 45,523 21039 Carlisle, KY 5,351 2,741 2,700 28 11 2 24 2,717 21041 Carroll, KY 10,155 5,048 4,935 91 12 10 116 4,932 13,646 21043 Carter, KY 26,889 13,726 13,656 12 38 20 80 21045 Casey, KY 15,447 7,897 7,842 28 16 11 69 7,828 21047 Christian, KY 72,265 34,971 25,258 8,979 200 534 1,416 33,555 21049 Clark, KY 33,144 17,119 16,153 889 34 43 124 16,995 195 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by ETHNICITY FEMALES by RACE FIPS Code County Name TOTAL Females All Races White Black/ African American American Indian/ Alaskan Native Asian/ Pacific Islander Hispanic/ Latino NonHispanic 21051 Clay, KY 24,556 11,598 11,384 186 18 10 74 21053 Clinton, KY 9,634 4,994 4,978 5 7 4 40 11,524 4,954 21055 Crittenden, KY 9,384 4,842 4,786 41 9 6 29 4,813 21057 Cumberland, KY 7,147 3,708 3,550 142 8 8 18 3,690 21059 Daviess, KY 91,545 47,524 45,055 2,163 60 246 370 47,154 21061 Edmonson, KY 11,644 5,897 5,845 18 29 5 36 5,861 21063 Elliott, KY 6,748 3,457 3,451 1 4 1 23 3,434 21065 Estill, KY 15,307 7,897 7,868 9 17 3 41 7,856 21067 Fayette, KY 260,512 132,607 109,941 19,004 285 3,377 2,969 129,638 21069 Fleming, KY 13,792 7,038 6,903 115 7 13 46 6,992 21071 Floyd, KY 42,441 21,578 21,369 115 21 73 123 21,455 21073 Franklin, KY 47,687 24,621 22,068 2,321 32 200 242 24,379 21075 Fulton, KY 7,752 4,131 3,103 1,010 4 14 27 4,104 21077 Gallatin, KY 7,870 3,956 3,877 60 11 8 26 3,930 21079 Garrard, KY 14,792 7,518 7,261 244 8 5 71 7,447 21081 Grant, KY 22,384 11,354 11,248 23 30 53 111 11,243 21083 Graves, KY 37,028 18,987 17,996 895 46 50 342 18,645 12,055 21085 Grayson, KY 24,053 12,143 12,044 51 20 28 88 21087 Green, KY 11,518 5,849 5,687 146 6 10 52 5,797 21089 Greenup, KY 36,891 19,133 18,913 110 37 73 110 19,023 21091 Hancock, KY 21093 Hardin, KY 8,392 4,250 4,193 35 12 10 29 4,221 94,174 46,617 39,505 5,584 221 1,307 1,374 45,243 21095 Harlan, KY 33,202 17,314 16,670 504 82 58 121 17,193 21097 Harrison, KY 17,983 9,222 8,912 256 32 22 83 9,139 21099 Hart, KY 17,445 8,858 8,290 535 21 12 59 8,799 21101 Henderson, KY 44,829 23,158 21,341 1,683 37 97 205 22,953 21103 Henry, KY 15,060 7,558 7,241 265 18 34 123 7,435 21105 Hickman, KY 5,262 2,751 2,450 294 5 2 24 2,727 24,176 21107 Hopkins, KY 46,519 24,353 22,586 1,622 42 103 177 21109 Jackson, KY 13,495 6,841 6,818 6 14 3 31 6,810 21111 Jefferson, KY 693,604 362,005 283,308 72,386 871 5,440 5,291 356,714 21113 Jessamine, KY 39,041 19,856 19,014 670 38 134 198 19,658 21115 Johnson, KY 23,445 12,142 12,074 21 17 30 63 12,079 21117 Kenton, KY 151,464 77,181 73,377 3,108 123 573 767 76,414 21119 Knott, KY 17,649 8,947 8,842 71 13 21 54 8,893 21121 Knox, KY 31,795 16,485 16,265 150 38 32 101 16,384 21123 Larue, KY 13,373 6,844 6,557 254 14 19 59 6,785 21125 Laurel, KY 52,715 26,950 26,534 196 116 104 142 26,808 21127 Lawrence, KY 15,569 7,890 7,852 8 21 9 30 7,860 21129 Lee, KY 7,916 3,780 3,745 20 11 4 16 3,764 21131 Leslie, KY 12,401 6,357 6,333 8 6 10 39 6,318 21133 Letcher, KY 25,277 12,911 12,779 76 15 41 52 12,859 21135 Lewis, KY 14,092 7,083 7,056 11 13 3 29 7,054 21137 Lincoln, KY 23,361 11,898 11,525 336 20 17 80 11,818 21139 Livingston, KY 21141 Logan, KY 9,804 4,957 4,930 6 18 3 39 4,918 26,573 13,760 12,596 1,106 28 30 111 13,649 196 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by ETHNICITY FEMALES by RACE FIPS Code County Name TOTAL Females All Races Black/ African American White American Indian/ Alaskan Native Asian/ Pacific Islander Hispanic/ Latino NonHispanic 21143 Lyon, KY 8,080 3,461 3,378 65 11 7 14 3,447 21145 McCracken, KY 65,514 34,392 30,163 3,942 78 209 326 34,066 21147 McCreary, KY 17,080 8,674 8,601 29 41 3 36 8,638 21149 McLean, KY 9,938 5,061 5,030 20 7 4 36 5,025 21151 Madison, KY 70,872 36,664 34,548 1,702 103 311 295 36,369 21153 Magoffin, KY 13,332 6,760 6,731 5 16 8 27 6,733 21155 Marion, KY 18,212 9,002 8,222 731 6 43 59 8,943 21157 Marshall, KY 30,125 15,365 15,299 12 25 29 101 15,264 21159 Martin, KY 12,578 6,353 6,342 0 2 9 36 6,317 21161 Mason, KY 16,800 8,675 7,959 666 12 38 60 8,615 21163 Meade, KY 26,349 13,149 12,368 571 79 131 280 12,869 21165 Menifee, KY 6,556 3,249 3,213 29 4 3 34 3,215 21167 Mercer, KY 20,817 10,728 10,230 428 21 49 97 10,631 21169 Metcalfe, KY 10,037 5,142 5,035 91 11 5 26 5,116 21171 Monroe, KY 11,756 6,053 5,863 179 9 2 42 6,011 11,479 21173 Montgomery, KY 22,554 11,589 11,089 464 19 17 110 21175 Morgan, KY 13,948 6,247 6,228 7 4 8 22 6,225 21177 Muhlenberg, KY 31,839 16,082 15,410 621 24 27 96 15,986 21179 Nelson, KY 37,477 19,054 17,802 1,123 23 106 169 18,885 21181 Nicholas, KY 6,813 3,517 3,477 27 7 6 14 3,503 21183 Ohio, KY 22,916 11,659 11,512 95 20 32 93 11,566 21,316 21185 Oldham, KY 46,178 21,583 20,912 496 46 129 267 21187 Owen, KY 10,547 5,261 5,173 57 12 19 37 5,224 21189 Owsley, KY 4,858 2,407 2,399 4 2 2 18 2,389 21191 Pendleton, KY 14,390 7,184 7,130 27 18 9 38 7,146 21193 Perry, KY 29,390 15,100 14,767 245 7 81 83 15,017 21195 Pike, KY 68,736 35,164 34,797 169 39 159 229 34,935 21197 Powell, KY 13,237 6,640 6,597 34 7 2 40 6,600 21199 Pulaski, KY 56,217 28,735 28,227 316 68 124 184 28,551 21201 Robertson, KY 2,266 1,163 1,157 1 1 4 8 1,155 21203 Rockcastle, KY 16,582 8,381 8,339 8 22 12 51 8,330 21205 Rowan, KY 22,094 11,351 11,050 167 18 116 92 11,259 21207 Russell, KY 16,315 8,412 8,336 48 11 17 56 8,356 21209 Scott, KY 33,061 16,882 15,799 946 39 98 183 16,699 21211 Shelby, KY 33,337 17,105 15,283 1,690 43 89 447 16,658 21213 Simpson, KY 16,405 8,402 7,442 905 9 46 63 8,339 21215 Spencer, KY 11,766 5,830 5,730 78 16 6 52 5,778 21217 Taylor, KY 22,927 11,900 11,243 612 13 32 86 11,814 21219 Todd, KY 11,971 6,146 5,526 589 8 23 77 6,069 21221 Trigg, KY 12,597 6,397 5,688 673 10 26 45 6,352 21223 Trimble, KY 8,125 4,129 4,094 13 19 3 43 4,086 21225 Union, KY 15,637 7,749 6,874 839 11 25 92 7,657 21227 Warren, KY 92,522 47,166 42,154 4,192 125 695 954 46,212 21229 Washington, KY 10,916 5,553 5,070 453 7 23 74 5,479 21231 Wayne, KY 19,923 10,072 9,902 134 22 14 109 9,963 21233 Webster, KY 14,120 7,215 6,840 351 10 14 107 7,108 197 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by ETHNICITY FEMALES by RACE FIPS Code County Name 21235 Whitley, KY 21237 Wolfe, KY 21239 28 TOTAL Females All Races White Black/ African American American Indian/ Alaskan Native Asian/ Pacific Islander Hispanic/ Latino NonHispanic 35,865 18,554 18,389 75 47 43 115 7,065 3,559 3,546 8 3 2 16 18,439 3,543 Woodford, KY 23,208 12,026 11,282 682 16 46 228 11,798 MISSISSIPPI 1,454,407 2,844,658 1,471,104 900,473 553,174 6,405 11,052 16,697 28001 Adams, MS 34,340 18,454 8,369 9,989 32 64 142 18,312 28003 Alcorn, MS 34,558 17,827 15,710 2,047 20 50 182 17,645 28005 Amite, MS 13,599 7,036 3,917 3,097 11 11 57 6,979 28007 Attala, MS 19,661 10,268 5,985 4,234 18 31 105 10,163 28009 Benton, MS 8,026 4,124 2,566 1,529 25 4 43 4,081 28011 Bolivar, MS 40,633 21,633 7,050 14,449 19 115 226 21,407 28013 Calhoun, MS 15,069 7,901 5,516 2,362 10 13 131 7,770 28015 Carroll, MS 10,769 5,405 3,409 1,982 3 11 37 5,368 28017 Chickasaw, MS 19,440 10,095 5,792 4,261 20 22 190 9,905 28019 Choctaw, MS 9,758 5,086 3,438 1,623 13 12 34 5,052 28021 Claiborne, MS 11,831 6,372 935 5,426 3 8 42 6,330 28023 Clarke, MS 17,955 9,386 5,957 3,406 11 12 56 9,330 28025 Clay, MS 21,979 11,625 4,885 6,707 14 19 106 11,519 28027 Coahoma, MS 30,622 16,557 4,781 11,667 20 89 133 16,424 28029 Copiah, MS 28,757 14,909 7,121 7,748 8 32 130 14,779 28031 Covington, MS 19,407 10,077 6,326 3,708 20 23 65 10,012 28033 DeSoto, MS 107,199 54,131 47,046 6,441 190 454 962 53,169 28035 Forrest, MS 72,604 38,350 24,568 13,398 89 295 399 37,951 28037 Franklin, MS 8,448 4,394 2,746 1,634 9 5 18 4,376 28039 George, MS 19,144 9,542 8,646 854 22 20 113 9,429 28041 Greene, MS 13,299 5,783 4,708 1,056 9 10 29 5,754 28043 Grenada, MS 23,263 12,385 7,081 5,232 20 52 63 12,322 28045 Hancock, MS 42,967 21,668 19,741 1,573 137 217 400 21,268 28047 Harrison, MS 189,601 95,223 70,540 21,245 462 2,976 2,320 92,903 28049 Hinds, MS 250,800 132,837 49,159 82,675 182 821 906 131,931 28051 Holmes, MS 21,609 11,540 2,295 9,205 18 22 95 11,445 28053 Humphreys, MS 11,206 5,978 1,592 4,365 5 16 67 5,911 28055 Issaquena, MS 2,274 1,065 395 668 2 0 4 1,061 28057 Itawamba, MS 28059 Jackson, MS 22,770 11,730 10,900 781 22 27 100 11,630 131,420 66,293 50,426 14,389 260 1,218 1,187 65,106 18,149 9,500 4,369 5,113 12 6 55 9,445 9,740 4,895 618 4,268 3 6 25 4,870 28061 Jasper, MS 28063 Jefferson, MS 28065 Jefferson Davis, MS 13,962 7,353 3,028 4,291 21 13 57 7,296 28067 Jones, MS 64,958 33,535 24,021 9,268 135 111 379 33,156 28069 Kemper, MS 10,453 5,438 2,090 3,222 118 8 33 5,405 28071 Lafayette, MS 38,744 19,696 14,038 5,281 35 342 162 19,534 28073 Lamar, MS 39,070 20,214 17,308 2,720 37 149 197 20,017 28075 Lauderdale, MS 78,161 41,001 24,515 16,157 84 245 426 40,575 28077 Lawrence, MS 13,258 6,898 4,532 2,332 14 20 49 6,849 28079 Leake, MS 20,940 10,574 6,088 3,957 504 25 158 10,416 28081 Lee, MS 75,755 39,402 29,048 10,053 72 229 395 39,007 28083 Leflore, MS 37,947 19,714 6,075 13,483 17 139 255 19,459 198 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by RACE American Indian/ Black/ African Alaskan White American Native FEMALES by ETHNICITY Asian/ Pacific Islander FIPS Code County Name 28085 Lincoln, MS 33,166 17,257 11,847 5,325 34 51 105 17,152 28087 Lowndes, MS 61,586 32,437 18,100 14,033 58 246 304 32,133 28089 Madison, MS 74,674 39,260 23,492 15,182 52 534 309 38,951 28091 Marion, MS 25,595 13,216 8,862 4,291 32 31 75 13,141 28093 Marshall, MS 34,993 17,676 8,538 9,080 30 28 185 17,491 19,914 TOTAL Females All Races Hispanic /Latino NonHispanic 28095 Monroe, MS 38,014 20,038 13,547 6,418 22 51 124 28097 Montgomery, MS 12,189 6,538 3,456 3,054 6 22 58 6,480 28099 Neshoba, MS 28,684 15,007 9,860 3,041 2,059 47 147 14,860 28101 Newton, MS 21,838 11,349 7,289 3,582 448 30 86 11,263 28103 Noxubee, MS 12,548 6,586 1,883 4,673 21 9 60 6,526 28105 Oktibbeha, MS 42,902 21,457 12,113 8,812 34 498 213 21,244 28107 Panola, MS 34,274 17,866 8,917 8,881 27 41 154 17,712 28109 Pearl River, MS 48,621 25,015 21,538 3,254 141 82 345 24,670 28111 Perry, MS 12,138 6,207 4,693 1,473 25 16 60 6,147 28113 Pike, MS 38,940 20,712 10,572 10,013 47 80 116 20,596 28115 Pontotoc, MS 26,726 13,742 11,644 2,035 40 23 185 13,557 28117 Prentiss, MS 25,556 13,166 11,310 1,801 26 29 84 13,082 28119 Quitman, MS 10,117 5,426 1,611 3,801 5 9 37 5,389 28121 Rankin, MS 115,327 58,971 48,290 10,159 94 428 680 58,291 28123 Scott, MS 28,423 14,623 8,564 5,976 49 34 595 14,028 28125 Sharkey, MS 6,580 3,487 1,019 2,449 9 10 44 3,443 28127 Simpson, MS 27,639 14,216 9,171 5,001 20 24 153 14,063 28129 Smith, MS 16,182 8,277 6,268 1,983 11 15 60 8,217 28131 Stone, MS 13,622 6,872 5,447 1,384 24 17 79 6,793 28133 Sunflower, MS 34,369 15,919 4,704 11,116 18 81 188 15,731 28135 Tallahatchie, MS 14,903 7,936 3,070 4,829 10 27 66 7,870 28137 Tate, MS 25,370 13,098 8,791 4,261 26 20 101 12,997 28139 Tippah, MS 20,826 10,753 8,910 1,808 19 16 162 10,591 28141 Tishomingo, MS 19,163 9,942 9,592 311 21 18 123 9,819 28143 Tunica, MS 9,227 4,828 1,285 3,511 9 23 95 4,733 28145 Union, MS 25,362 13,085 11,042 1,992 14 37 167 12,918 28147 Walthall, MS 15,156 7,915 4,304 3,578 10 23 96 7,819 28149 Warren, MS 49,644 26,369 14,205 11,906 69 189 248 26,121 28151 Washington, MS 62,977 33,545 11,137 22,177 32 199 233 33,312 28153 Wayne, MS 21,216 11,081 6,725 4,320 12 24 63 11,018 28155 Webster, MS 10,294 5,319 4,154 1,146 6 13 83 5,236 28157 Wilkinson, MS 10,312 4,958 1,510 3,437 8 3 20 4,938 28159 Winston, MS 20,160 10,409 5,767 4,563 68 11 81 10,328 28161 Yalobusha, MS 13,051 6,824 4,038 2,763 10 13 68 6,756 28163 Yazoo, MS 28,149 13,828 5,878 7,859 33 58 112 13,716 3,954,277 8,049,313 4,106,618 3,046,424 940,117 53,809 66,268 152,341 37001 37 Alamance, NC NORTH CAROLINA 130,800 67,957 53,447 13,544 278 688 3,673 64,284 37003 Alexander, NC 33,603 16,854 15,798 850 18 188 328 16,526 37005 Alleghany, NC 10,677 5,418 5,339 62 10 7 157 5,261 37007 Anson, NC 25,275 12,860 6,385 6,347 42 86 76 12,784 37009 Ashe, NC 24,384 12,353 12,209 77 27 40 171 12,182 199 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by RACE American Indian/ Black/ African Alaskan Native White American FEMALES by ETHNICITY Asian/ Pacific Islander FIPS Code County Name 37011 Avery, NC 17,167 8,104 8,026 35 25 18 90 8,014 37013 Beaufort, NC 44,958 23,520 16,244 7,163 41 72 596 22,924 37015 Bertie, NC 19,773 10,540 3,773 6,717 37 13 85 10,455 37017 Bladen, NC 32,278 16,758 9,695 6,661 372 30 432 16,326 37019 Brunswick, NC 73,143 37,178 31,094 5,646 295 143 705 36,473 37021 Buncombe, NC 206,330 107,296 97,693 8,326 417 860 2,419 104,877 37023 Burke, NC 89,148 44,574 40,063 2,667 154 1,690 1,104 43,470 37025 Cabarrus, NC 131,063 66,522 56,971 8,573 252 726 2,794 63,728 37027 Caldwell, NC 77,415 39,180 36,730 2,186 88 176 693 38,487 37029 Camden, NC 6,885 3,471 2,812 624 13 22 24 3,447 37031 Carteret, NC 59,383 30,226 27,668 2,154 146 258 442 29,784 37033 Caswell, NC 23,501 11,605 7,265 4,291 20 29 164 11,441 37035 Catawba, NC 141,685 71,803 62,964 6,361 212 2,266 3,117 68,686 37037 Chatham, NC 49,329 25,061 20,181 4,578 115 187 1,947 23,114 37039 Cherokee, NC 24,298 12,512 12,042 212 215 43 132 12,380 37041 Chowan, NC 14,526 7,721 4,660 3,008 25 28 106 7,615 37043 Clay, NC 8,775 4,503 4,437 42 18 6 43 4,460 37045 Cleveland, NC 96,287 49,981 38,649 10,866 70 396 640 49,341 37047 Columbus, NC 54,749 28,426 18,298 9,127 914 87 486 27,940 37049 Craven, NC 91,436 45,284 32,285 12,090 220 689 1,504 43,780 37051 Cumberland, NC 302,963 149,742 85,514 56,935 2,635 4,658 9,570 140,172 37053 Currituck, NC 18,190 9,158 8,360 693 49 56 139 9,019 37055 Dare, NC 29,967 14,869 14,338 409 45 77 283 14,586 37057 Davidson, NC 147,246 75,128 66,727 7,330 325 746 2,066 73,062 37059 Davie, NC 34,835 17,686 16,306 1,265 42 73 511 17,175 37061 Duplin, NC 49,063 24,746 16,772 7,810 87 77 2,914 21,832 37063 Durham, NC 223,314 115,684 62,433 48,972 407 3,872 6,117 109,567 37065 Edgecombe, NC 37067 Forsyth, NC 37069 Franklin, NC 47,260 23,946 16,186 7,537 111 37071 Gaston, NC 190,365 98,271 82,470 14,454 315 37073 Gates, NC 10,516 5,361 3,159 2,163 20 37075 Graham, NC 7,993 4,093 3,789 7 37077 Granville, NC 48,498 23,014 14,830 8,015 TOTAL Females All Races Hispanic /Latino NonHispanic 55,606 29,760 11,938 17,689 73 60 652 29,108 306,067 159,850 113,863 43,625 503 1,859 8,317 151,533 112 768 23,178 1,032 2,402 95,869 19 38 5,323 289 8 30 4,063 82 87 649 22,365 37079 Greene, NC 18,974 9,226 5,311 3,872 31 12 617 8,609 37081 Guilford, NC 421,048 219,319 144,661 67,945 1,113 5,600 6,412 212,907 37083 Halifax, NC 57,370 30,086 12,963 16,032 928 163 266 29,820 37085 Harnett, NC 91,025 46,102 34,269 10,911 440 482 2,081 44,021 37087 Haywood, NC 54,033 28,136 27,527 379 139 91 326 27,810 37089 Henderson, NC 89,173 46,002 44,073 1,437 151 341 1,945 44,057 37091 Hertford, NC 22,601 12,217 4,467 7,544 160 46 116 12,101 37093 Hoke, NC 33,646 16,659 7,755 6,592 2,087 225 964 15,695 37095 Hyde, NC 5,826 2,746 1,822 905 4 15 53 2,693 37097 Iredell, NC 122,660 62,540 52,297 9,201 200 842 1,744 60,796 37099 Jackson, NC 33,121 16,947 14,810 274 1,775 88 229 16,718 37101 Johnston, NC 121,965 61,371 50,654 10,151 292 274 3,592 57,779 200 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FIPS Code County Name TOTAL Females All Races FEMALES by RACE American Indian/ Black/ African Alaskan White American Native FEMALES by ETHNICITY Asian/ Pacific Islander Hispanic /Latino NonHispanic 37103 Jones, NC 10,381 5,380 3,306 2,030 24 20 109 5,271 37105 Lee, NC 49,040 24,827 19,068 5,387 121 251 2,340 22,487 37107 Lenoir, NC 59,648 31,336 17,901 13,242 68 125 721 30,615 37109 Lincoln, NC 63,780 32,060 29,664 2,173 89 134 1,592 30,468 37111 McDowell, NC 42,151 21,149 20,133 740 64 212 462 20,687 37113 Macon, NC 29,811 15,522 15,270 138 44 70 175 15,347 37115 Madison, NC 19,635 9,951 9,846 49 24 32 95 9,856 37117 Martin, NC 25,593 13,725 7,179 6,464 48 34 223 13,502 37119 Mecklenburg, NC 695,454 353,997 234,679 106,196 1,409 11,713 17,338 336,659 37121 Mitchell, NC 15,687 8,021 7,944 23 34 20 125 7,896 37123 Montgomery, NC 26,822 13,241 10,039 2,883 65 254 1,217 12,024 37125 Moore, NC 74,769 38,745 31,904 6,301 291 249 1,255 37,490 37127 Nash, NC 87,420 45,359 28,826 16,047 209 277 1,202 44,157 37129 New Hanover, NC 160,307 82,936 66,664 15,110 345 817 1,425 81,511 37131 Northampton, NC 22,086 11,503 4,457 7,000 32 14 62 11,441 37133 Onslow, NC 150,355 67,369 50,740 14,029 558 2,042 4,220 63,149 37135 Orange, NC 118,227 62,189 49,926 9,273 258 2,732 2,075 60,114 37137 Pamlico, NC 12,934 6,421 4,821 1,529 35 36 80 6,341 37139 Pasquotank, NC 34,897 18,007 10,334 7,429 71 173 197 17,810 19,830 37141 Pender, NC 41,082 20,419 15,254 5,004 101 60 589 37143 Perquimans, NC 11,368 5,942 4,167 1,750 10 15 30 5,912 37145 Person, NC 35,623 18,435 12,819 5,469 113 34 284 18,151 37147 Pitt, NC 133,798 70,357 44,244 25,065 205 843 1,761 68,596 37149 Polk, NC 18,324 9,632 8,998 585 21 28 216 9,416 37151 Randolph, NC 130,454 65,962 61,208 3,931 323 500 3,633 62,329 37153 Richmond, NC 46,564 23,716 15,674 7,436 438 168 503 23,213 37155 Robeson, NC 123,339 63,341 21,643 16,612 24,810 276 2,206 61,135 37157 Rockingham, NC 37159 Rowan, NC 91,928 47,559 37,552 9,678 156 173 1,097 46,462 130,340 65,960 54,308 10,787 222 643 2,251 63,709 37161 37163 Rutherford, NC 62,899 32,598 28,683 3,740 47 128 503 32,095 Sampson, NC 60,161 30,361 20,029 9,549 617 166 2,514 27,847 37165 Scotland, NC 35,998 19,112 9,844 7,395 1,759 114 194 18,918 37167 Stanly, NC 58,100 29,429 25,420 3,397 71 541 509 28,920 37169 Stokes, NC 44,711 22,805 21,568 1,101 62 74 355 22,450 37171 Surry, NC 71,219 36,391 34,474 1,581 89 247 1,866 34,525 37173 Swain, NC 12,968 6,663 4,545 89 2,017 12 82 6,581 37175 Transylvania, NC 29,334 15,219 14,433 655 43 88 130 15,089 37177 Tyrrell, NC 4,149 1,938 1,197 718 3 20 72 1,866 37179 Union, NC 123,677 61,921 52,984 8,204 271 462 3,026 58,895 37181 Vance, NC 42,954 22,648 11,158 11,329 59 102 825 21,823 37183 Wake, NC 627,846 316,410 235,986 67,847 1,262 11,315 13,402 303,008 10,029 37185 Warren, NC 19,972 10,159 3,993 5,626 526 14 130 37187 Washington, NC 13,723 7,234 3,518 3,679 3 34 104 7,130 37189 Watauga, NC 42,695 21,422 20,873 347 52 150 228 21,194 37191 Wayne, NC 113,329 57,446 36,434 20,019 200 793 2,353 55,093 37193 Wilkes, NC 65,632 33,261 31,620 1,458 41 142 901 32,360 201 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FIPS Code County Name TOTAL Females All Races FEMALES by RACE American Indian/ Black/ African Alaskan White American Native FEMALES by ETHNICITY Asian/ Pacific Islander Hispanic /Latino NonHispanic 37195 Wilson, NC 73,814 38,589 22,340 15,957 110 182 1,753 36,836 37197 Yadkin, NC 36,348 18,505 17,758 661 28 58 1,002 17,503 37199 Yancey, NC 17,774 9,080 8,977 51 34 18 180 8,900 4,012,012 2,063,083 1,395,642 637,942 7,710 21,789 38,339 2,024,744 26,167 13,623 9,176 4,397 12 38 105 13,518 142,552 73,885 53,074 19,931 316 564 1,350 72,535 45 SOUTH CAROLINA 45001 Abbeville, SC 45003 Aiken, SC 45005 Allendale, SC 11,211 5,374 1,444 3,910 6 14 81 5,293 45007 Anderson, SC 165,740 85,664 70,116 14,885 199 464 818 84,846 45009 Bamberg, SC 16,658 8,827 3,147 5,643 18 19 58 8,769 45011 Barnwell, SC 23,478 12,185 6,677 5,416 47 45 112 12,073 45013 Beaufort, SC 120,937 59,744 43,344 15,525 185 690 3,136 56,608 45015 Berkeley, SC 142,651 70,189 48,317 19,816 405 1,651 1,747 68,442 45017 Calhoun, SC 15,185 7,989 3,924 4,032 12 21 94 7,895 45019 Charleston, SC 309,969 160,182 99,009 58,570 452 2,151 2,910 157,272 45021 Cherokee, SC 52,537 27,114 21,018 5,929 53 114 424 26,690 45023 Chester, SC 34,068 17,699 10,466 7,112 63 58 110 17,589 45025 Chesterfield, SC 42,768 22,137 14,241 7,731 88 77 332 21,805 45027 Clarendon, SC 32,502 16,545 7,386 9,058 41 60 216 16,329 45029 Colleton, SC 38,264 19,937 10,981 8,735 133 88 219 19,718 45031 Darlington, SC 67,394 35,513 20,058 15,289 65 101 300 35,213 45033 Dillon, SC 30,722 16,393 8,267 7,688 376 62 240 16,153 45035 Dorchester, SC 96,413 49,229 35,279 12,781 402 767 846 48,383 45037 Edgefield, SC 24,595 11,556 6,865 4,626 31 34 133 11,423 45039 Fairfield, SC 23,454 12,287 4,830 7,405 23 29 119 12,168 45041 Florence, SC 125,761 66,662 38,732 27,261 166 503 642 66,020 45043 Georgetown, SC 55,797 29,097 17,220 11,733 47 97 333 28,764 45045 Greenville, SC 379,616 194,834 154,013 37,476 412 2,933 5,841 188,993 45047 Greenwood, SC 66,271 35,183 23,225 11,613 77 268 805 34,378 45049 Hampton, SC 21,386 10,492 4,442 6,005 26 19 102 10,390 98,357 45051 Horry, SC 196,629 100,095 82,438 16,299 424 934 1,738 45053 Jasper, SC 20,678 9,800 4,315 5,383 43 59 362 9,438 45055 Kershaw, SC 52,647 27,223 19,507 7,514 85 117 421 26,802 45057 Lancaster, SC 61,351 30,958 22,414 8,382 63 99 326 30,632 45059 Laurens, SC 69,567 35,926 25,807 9,918 108 93 502 35,424 45061 Lee, SC 20,119 9,991 3,478 6,469 14 30 93 9,898 45063 Lexington, SC 216,014 111,037 94,481 14,815 425 1,316 1,617 109,420 45065 McCormick, SC 45067 Marion, SC 9,958 4,659 2,091 2,546 5 17 33 4,626 35,466 19,078 7,740 11,217 62 59 194 18,884 45069 Marlboro, SC 28,818 14,681 45071 Newberry, SC 36,108 18,687 6,629 7,479 536 37 98 14,583 12,052 6,487 56 92 543 18,144 45073 Oconee, SC 66,215 33,661 30,414 3,006 89 152 681 32,980 45075 Orangeburg, SC 91,582 48,972 17,907 30,580 250 235 398 48,574 45077 Pickens, SC 110,757 55,481 50,734 4,054 83 610 744 54,737 45079 Richland, SC 320,677 165,940 84,306 77,852 470 3,312 3,953 161,987 45081 Saluda, SC 45083 Spartanburg, SC 19,181 9,658 6,555 3,069 22 12 479 9,179 253,791 130,453 99,644 28,416 345 2,048 2,750 127,703 202 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FIPS Code County Name 45085 Sumter, SC 45087 Union, SC 45089 Williamsburg, SC 45091 York, SC TOTAL Females All Races FEMALES by RACE American Indian/ Black/ African Alaskan White American Native FEMALES by ETHNICITY Asian/ Pacific Islander Hispanic /Latino NonHispanic 104,646 53,966 26,832 26,228 171 735 852 53,114 29,881 15,806 10,751 4,984 21 50 107 15,699 37,217 19,808 6,274 13,448 38 48 131 19,677 164,614 84,863 66,022 17,229 745 867 1,244 83,619 47 TENNESSEE 5,689,283 2,919,008 2,374,549 502,894 8,268 33,297 50,527 2,868,481 47001 Anderson, TN 71,330 37,321 35,349 1,490 129 353 385 36,936 47003 Bedford, TN 37,586 18,941 17,058 1,708 56 119 1,104 17,837 47005 Benton, TN 16,537 8,531 8,265 197 32 37 85 8,446 47007 Bledsoe, TN 12,367 5,596 5,511 55 16 14 60 5,536 47009 Blount, TN 105,823 54,596 52,302 1,658 179 457 496 54,100 47011 Bradley, TN 87,965 45,077 42,743 1,871 145 318 804 44,273 20,538 47013 Campbell, TN 39,854 20,655 20,465 69 68 53 117 47015 Cannon, TN 12,826 6,535 6,416 95 12 12 67 6,468 47017 Carroll, TN 29,475 15,327 13,610 1,638 39 40 189 15,138 47019 Carter, TN 56,742 29,168 28,740 275 58 95 217 28,951 47021 Cheatham, TN 35,912 17,931 17,522 274 75 60 206 17,725 47023 Chester, TN 15,540 7,990 7,114 833 19 24 70 7,920 47025 Claiborne, TN 29,862 15,449 15,207 137 39 66 100 15,349 47027 Clay, TN 47029 Cocke, TN 7,976 4,099 4,013 65 11 10 38 4,061 33,565 17,244 16,778 365 68 33 137 17,107 24,202 47031 Coffee, TN 48,014 24,615 23,405 923 80 207 413 47033 Crockett, TN 14,532 7,516 6,394 1,106 13 3 334 7,182 47035 Cumberland, TN 46,802 24,075 23,883 46 62 84 261 23,814 47037 Davidson, TN 569,891 294,026 204,779 80,855 930 7,462 10,158 283,868 47039 Decatur, TN 11,731 6,031 5,775 222 13 21 69 5,962 47041 DeKalb, TN 17,423 8,811 8,644 131 26 10 212 8,599 47043 Dickson, TN 43,156 21,998 20,801 1,029 92 76 197 21,801 47045 Dyer, TN 37,279 19,412 16,614 2,679 48 71 182 19,230 47047 Fayette, TN 28,806 14,661 9,166 5,416 34 45 123 14,538 47049 Fentress, TN 16,625 8,474 8,451 4 9 10 49 8,425 47051 Franklin, TN 39,270 20,160 18,822 1,196 40 102 275 19,885 47053 Gibson, TN 48,152 25,408 20,101 5,210 55 42 217 25,191 47055 Giles, TN 29,447 15,144 13,189 1,849 44 62 117 15,027 47057 Grainger, TN 20,659 10,380 10,307 41 14 18 96 10,284 32,011 47059 Greene, TN 62,909 32,252 31,365 715 63 109 241 47061 Grundy, TN 14,332 7,288 7,247 14 14 13 63 7,225 47063 Hamblen, TN 58,128 29,492 27,857 1,354 81 200 1,184 28,308 47065 Hamilton, TN 307,896 160,614 123,695 34,183 507 2,229 2,356 158,258 47067 Hancock, TN 6,786 3,479 3,455 14 6 4 14 3,465 47069 Hardeman, TN 28,105 12,956 7,662 5,244 9 41 77 12,879 47071 Hardin, TN 25,578 13,004 12,414 531 24 35 124 12,880 47073 Hawkins, TN 53,563 27,509 26,914 462 53 80 190 27,319 47075 Haywood, TN 19,797 10,542 4,963 5,553 14 12 224 10,318 47077 Henderson, TN 25,522 13,232 12,128 1,063 17 24 108 13,124 47079 Henry, TN 31,115 16,089 14,485 1,520 25 59 143 15,946 47081 Hickman, TN 22,295 10,494 10,173 256 51 14 99 10,395 203 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FIPS Code County Name TOTAL Females All Races FEMALES by RACE American Indian/ Black/ African Alaskan White American Native FEMALES by ETHNICITY Asian/ Pacific Islander Hispanic /Latino NonHispanic 47083 Houston, TN 8,088 4,089 3,926 143 11 9 39 4,050 47085 Humphreys, TN 17,929 9,110 8,767 284 28 31 85 9,025 47087 Jackson, TN 10,984 5,554 5,526 4 18 6 41 5,513 47089 Jefferson, TN 44,294 22,422 21,739 537 61 85 238 22,184 47091 Johnson, TN 47093 Knox, TN 17,499 8,155 8,072 40 27 16 59 8,096 382,032 197,455 175,934 18,211 564 2,746 2,232 195,223 47095 Lake, TN 47097 Lauderdale, TN 7,954 3,169 2,501 660 2 6 42 3,127 27,101 13,025 8,698 4,219 87 21 108 12,917 47099 Lawrence, TN 47101 Lewis, TN 39,926 20,546 20,105 307 60 74 171 20,375 11,367 5,773 5,665 85 10 13 57 47103 5,716 Lincoln, TN 31,340 16,163 14,701 1,306 84 72 148 16,015 47105 Loudon, TN 39,086 20,032 19,639 253 74 66 346 19,686 47107 McMinn, TN 49,015 25,348 23,895 1,187 77 189 388 24,960 47109 McNairy, TN 24,653 12,695 11,822 817 24 32 105 12,590 47111 Macon, TN 20,386 10,325 10,223 18 46 38 123 10,202 47113 Madison, TN 91,837 47,802 31,179 16,183 87 353 594 47,208 47115 Marion, TN 27,776 14,182 13,458 644 40 40 78 14,104 47117 Marshall, TN 26,767 13,698 12,476 1,135 35 52 305 13,393 47119 Maury, TN 69,498 35,716 29,951 5,470 151 144 913 34,803 47121 Meigs, TN 11,086 5,542 5,442 68 16 16 35 5,507 47123 Monroe, TN 38,961 19,760 19,102 488 77 93 283 19,477 63,744 47125 Montgomery, TN 134,768 66,993 50,751 13,788 401 2,053 3,249 47127 Moore, TN 5,740 2,897 2,802 86 5 4 15 2,882 47129 Morgan, TN 19,757 9,219 9,160 11 26 22 59 9,160 47131 Obion, TN 32,450 16,780 14,939 1,769 23 49 220 16,560 47133 Overton, TN 20,118 10,252 10,184 25 30 13 56 10,196 47135 Perry, TN 7,631 3,834 3,750 67 8 9 32 3,802 47137 Pickett, TN 4,945 2,513 2,502 5 4 2 14 2,499 47139 Polk, TN 16,050 8,095 8,048 10 23 14 57 8,038 47141 Putnam, TN 62,315 31,402 30,527 511 64 300 751 30,651 47143 Rhea, TN 28,400 14,615 14,159 337 61 58 185 14,430 47145 Roane, TN 51,910 26,760 25,753 822 62 123 184 26,576 47147 Robertson, TN 54,433 27,382 24,601 2,579 88 114 452 26,930 47149 Rutherford, TN 182,023 91,438 79,960 9,237 296 1,945 2,038 89,400 47151 Scott, TN 21,127 10,704 10,646 10 33 15 56 10,648 47153 Sequatchie, TN 11,370 5,735 5,696 12 16 11 37 5,698 47155 Sevier, TN 71,170 36,331 35,774 203 132 222 414 35,917 47157 Shelby, TN 897,472 468,827 223,349 236,253 1,009 8,216 9,001 459,826 47159 Smith, TN 17,712 8,992 8,687 255 34 16 75 8,917 47161 Stewart, TN 12,370 6,212 5,973 74 38 127 65 6,147 47163 Sullivan, TN 153,048 79,188 77,119 1,494 187 388 523 78,665 47165 Sumner, TN 130,449 66,573 61,683 4,145 204 541 1,007 65,566 47167 Tipton, TN 51,271 26,021 20,301 5,462 93 165 286 25,735 47169 Trousdale, TN 7,259 3,686 3,243 428 11 4 47 3,639 47171 Unicoi, TN 17,667 9,054 9,002 13 23 16 140 8,914 47173 Union, TN 17,808 8,958 8,910 8 19 21 71 8,887 204 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 BRIDGE POPULATION FEMALES by ETHNICITY FEMALES by RACE FIPS Code County Name 47175 Van Buren, TN 47177 Warren, TN 47179 Washington, TN 47181 Wayne, TN 47183 Weakley, TN TOTAL Female Black/ African American White American Indian/ Alaskan Native Asian/ Pacific Islander Hispanic /Latino NonHispanic 5,508 2,764 2,752 3 5 4 6 2,758 38,276 19,475 18,675 661 43 96 561 18,914 107,198 55,021 52,329 2,124 124 444 669 54,352 16,842 7,598 7,501 58 15 24 57 7,541 34,895 17,971 16,355 1,354 31 231 178 17,793 47185 White, TN 47187 Williamson, TN 23,102 11,776 11,520 197 21 38 106 11,670 126,638 64,280 59,701 3,547 128 904 1,399 62,881 47189 Wilson, TN 88,809 44,979 41,594 2,941 162 282 526 44,453 84 REGION IV 53,252,966 27,270,813 20,736,388 5,963,560 137,711 433,154 1,834,593 25,436,220 91 UNITED STATES 281,421,906 143,368,343 116,640,724 19,187,280 205 1,496,044 6,044,295 17,144,023 126,224,320 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 01 ALABAMA 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Urban Frontr Metro born 2000 Total Pop Size, Poverty ($) ($) ($) Population Density Pop Total Level Status Status Pop 4,447,100 87.6 55.4% 01001 Autauga, AL 43,671 73.3 55.4% 01003 Baldwin, AL 140,415 87.9 01005 Barbour, AL 29,038 32.8 1999 Percent Fem Pop Below Poverty Level 2.0% 23,521 21,188 16,182 3.01 16.1% 17.9% 1.2% 22,719 23,205 17,924 3.12 10.9% 12.4% No Yes 45.4% No Yes 2.1% 25,433 21,942 16,331 2.94 10.1% 11.5% 29.5% No No 1.5% 20,264 17,929 14,462 3.04 26.8% 30.8% 21.7% 01007 Bibb, AL 20,826 33.5 18.2% No No 0.4% 18,033 20,837 14,706 3.08 20.6% 01009 Blount, AL 51,024 79.0 9.2% No Yes 3.1% 20,142 22,065 16,452 3.02 11.7% 13.3% 01011 Bullock, AL 11,714 18.7 38.4% No No 3.1% 16,164 16,268 14,934 3.13 33.5% 37.2% 01013 Butler, AL 01015 Calhoun, AL 21,399 27.5 24.7% No No 0.4% 18,283 18,224 13,045 3.06 24.6% 26.7% 112,249 184.3 69.1% No Yes 1.7% 21,232 19,766 14,849 2.94 16.1% 18.6% 01017 Chambers, AL 36,583 61.3 50.3% No No 0.8% 20,394 20,661 16,828 3.01 17.0% 19.4% 01019 Cherokee, AL 23,988 43.4 0.0% No No 1.1% 17,255 20,616 15,402 2.86 15.6% 16.9% 01021 Chilton, AL 39,593 57.1 12.1% No No 1.9% 20,081 21,212 14,427 3.00 15.7% 17.8% 01023 Choctaw, AL 15,922 17.4 0.0% No No 0.6% 18,512 18,950 13,003 2.99 24.5% 26.9% 26.0% 01025 Clarke, AL 27,867 22.5 25.6% No No 0.5% 20,309 20,619 14,400 3.13 22.6% 01027 Clay, AL 14,254 23.6 0.0% No No 0.9% 19,388 19,453 15,209 2.93 17.1% 19.6% 01029 Cleburne, AL 14,123 25.2 0.0% No No 0.9% 19,140 20,212 13,814 2.95 13.9% 15.4% 01031 Coffee, AL 43,615 64.2 44.6% No No 2.7% 22,631 20,530 14,479 2.93 14.7% 16.7% 01033 Colbert, AL 54,984 92.4 52.9% No Yes 0.9% 22,299 19,946 14,259 2.92 14.0% 16.3% 01035 Conecuh, AL 14,089 16.6 0.0% No No 0.4% 18,638 18,531 15,255 3.01 26.6% 31.0% 01037 Coosa, AL 12,202 18.7 2.6% No No 0.3% 17,559 18,531 15,420 2.98 14.9% 16.7% 01039 Covington, AL 37,631 36.4 28.0% No No 0.6% 19,657 18,323 12,888 2.90 18.4% 21.0% 01041 Crenshaw, AL 13,665 22.4 0.0% No No 0.3% 21,066 18,020 14,375 2.96 22.1% 24.6% 01043 Cullman, AL 77,483 104.8 24.3% No No 1.7% 21,103 20,850 15,446 2.94 13.0% 14.2% 01045 Dale, AL 49,129 87.6 45.2% No Yes 3.1% 20,680 20,107 13,910 2.99 15.1% 17.0% 01047 Dallas, AL 46,365 47.3 52.7% No No 0.7% 19,949 18,669 14,814 3.15 31.1% 34.0% 01049 DeKalb, AL 64,452 82.8 11.7% No No 4.1% 20,476 19,252 15,066 2.98 15.4% 17.1% 01051 Elmore, AL 65,874 105.9 37.5% No Yes 1.1% 22,439 22,772 18,056 3.07 10.2% 12.0% 01053 Escambia, AL 38,440 40.5 39.2% No No 0.6% 18,761 17,771 13,477 2.99 20.9% 20.9% 103,459 193.4 60.1% No Yes 1.6% 21,486 20,167 14,915 2.93 15.7% 17.5% 01055 Etowah, AL 01057 Fayette, AL 18,495 29.5 21.6% No No 0.7% 18,887 19,969 13,715 2.92 17.3% 19.3% 01059 Franklin, AL 31,223 49.1 27.4% No No 5.6% 19,723 18,274 13,933 2.97 18.9% 21.2% 01061 Geneva, AL 25,764 44.7 13.2% No No 0.8% 18,870 18,354 15,233 2.92 19.6% 22.3% 01063 Greene, AL 9,974 15.4 0.0% No No 0.7% 16,035 16,297 13,391 3.16 34.3% 36.9% 01065 Hale, AL 17,185 26.7 15.2% No No 0.3% 17,328 18,313 13,816 3.19 26.9% 30.3% 01067 Henry, AL 16,310 29.0 0.0% No No 1.1% 19,910 20,140 15,738 2.95 19.1% 22.0% 01069 Houston, AL 88,787 153.1 65.1% No Yes 1.6% 24,587 20,979 15,607 2.95 15.0% 17.5% 01071 Jackson, AL 53,926 50.0 23.7% No No 0.7% 21,441 20,408 15,935 2.92 13.7% 15.7% 01073 Jefferson, AL 16.2% 662,047 594.8 89.3% No Yes 2.3% 29,895 23,724 19,933 3.04 14.8% 01075 Lamar, AL 15,904 26.3 0.0% No No 0.8% 18,789 18,886 12,708 2.89 16.1% 18.5% 01077 Lauderdale, AL 87,966 131.3 48.2% No Yes 1.0% 20,832 19,853 14,141 2.89 14.4% 16.4% 01079 Lawrence, AL 34,803 50.2 7.5% No Yes 0.5% 19,716 20,657 14,250 2.99 15.3% 17.0% 115,092 189.0 66.9% No Yes 2.7% 18,484 17,183 13,763 3.03 21.8% 22.1% 01083 Limestone, AL 65,676 115.6 33.3% No Yes 1.7% 21,592 21,936 16,044 3.02 12.3% 13.5% 01085 Lowndes, AL 13,473 18.8 0.0% No No 0.3% 16,329 17,503 14,816 3.28 31.4% 32.7% 01081 Lee, AL 206 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 01087 Macon, AL 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Urban Frontr Metro born 2000 Total Pop Size, Poverty ($) ($) ($) Population Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 24,105 39.5 50.7% No No 1.5% 15,678 14,847 12,670 3.13 32.8% 34.8% 01089 Madison, AL 276,700 343.7 77.1% No Yes 4.0% 28,995 24,227 18,250 3.00 10.5% 11.7% 01091 Marengo, AL 22,539 23.1 29.5% No No 0.7% 21,616 20,025 14,425 3.08 25.9% 27.5% 01093 Marion, AL 31,214 42.1 0.3% No No 0.5% 18,612 19,238 14,601 2.87 15.6% 18.1% 01095 Marshall, AL 82,231 145.0 42.6% No No 4.0% 19,783 20,349 15,115 2.96 14.7% 16.5% 01097 Mobile, AL 399,843 324.3 80.3% No Yes 2.3% 21,703 20,628 15,093 3.13 18.5% 20.3% 01099 Monroe, AL 24,324 23.7 21.5% No No 0.3% 19,439 20,109 13,736 3.09 21.3% 24.0% 01101 Montgomery, AL 223,510 282.9 88.1% No Yes 2.0% 27,313 21,542 18,131 3.06 17.3% 18.4% 01103 Morgan, AL 111,064 190.8 56.4% No Yes 2.7% 25,486 21,781 15,541 2.99 12.3% 14.0% 01105 Perry, AL 11,861 16.5 0.0% No No 0.5% 16,476 15,675 12,712 3.23 35.4% 39.0% 01107 Pickens, AL 20,949 23.8 0.0% No No 0.4% 18,503 19,360 14,209 3.11 24.9% 28.1% 01109 Pike, AL 29,605 44.1 39.8% No No 1.9% 20,509 16,464 12,401 2.98 23.1% 26.3% 01111 Randolph, AL 22,380 38.5 21.5% No No 1.2% 17,361 18,777 14,210 3.02 17.0% 18.9% 01113 Russell, AL 49,756 77.6 63.7% No Yes 2.0% 19,582 20,452 15,564 3.05 19.9% 22.5% 01115 St. Clair, AL 64,742 102.1 12.3% No Yes 0.6% 21,142 23,255 18,392 3.01 12.1% 13.6% 01117 Shelby, AL 143,293 180.2 64.3% No Yes 2.4% 31,940 30,548 22,518 3.04 6.3% 7.1% 01119 Sumter, AL 14,798 16.4 0.0% No No 0.5% 17,284 14,737 11,977 3.26 38.7% 41.2% 01121 Talladega, AL 80,321 108.5 44.7% No No 0.7% 18,779 20,651 15,709 3.00 17.6% 19.8% 01123 Tallapoosa, AL 41,475 57.8 24.1% No No 0.4% 21,192 19,740 15,995 2.94 16.6% 18.9% 01125 Tuscaloosa, AL 164,875 124.4 70.7% No Yes 2.1% 23,652 19,947 15,354 3.00 17.0% 18.5% 01127 Walker, AL 70,713 88.9 22.7% No No 0.7% 21,075 20,320 14,036 2.93 16.5% 18.0% 01129 Washington, AL 18,097 16.7 0.0% No No 0.5% 18,689 20,628 13,362 3.17 18.5% 20.5% 01131 Wilcox, AL 13,183 14.8 0.0% No No 0.3% 15,754 16,250 11,696 3.31 39.9% 43.1% 01133 Winston, AL 24,843 40.4 16.4% No No 1.0% 18,634 18,181 13,957 2.89 17.1% 19.9% 16.7% 27,764 22,050 18,526 2.98 12.5% 13.7% Yes 7.3% 24,507 16,730 13,834 2.94 22.8% 23.7% 17.4% 12 FLORIDA 12001 Alachua, FL 12003 Baker, FL 12005 Bay, FL 12007 Bradford, FL 12009 Brevard, FL 12011 Broward, FL 15,982,378 296.3 89.3% 217,955 249.4 74.4% No 22,259 38.0 37.7% No No 1.1% 18,972 21,730 16,890 3.20 14.7% 148,217 194.0 89.4% No Yes 3.6% 23,479 20,402 15,764 2.92 13.0% 14.7% 26,088 89.0 34.9% No No 1.8% 17,598 19,538 15,839 3.01 14.6% 17.5% 476,230 467.4 95.5% No Yes 6.5% 25,650 22,338 17,079 2.84 9.5% 10.5% 1,623,018 1,342.4 99.9% No Yes 25.3% 29,409 25,838 21,698 3.07 11.5% 12.6% 23.2% 12013 Calhoun, FL 13,017 23.0 34.5% No No 2.2% 15,627 17,997 14,860 3.02 20.0% 12015 Charlotte, FL 141,627 204.1 90.6% No Yes 8.0% 24,650 19,840 15,944 2.56 8.2% 9.2% 12017 Citrus, FL 118,085 202.2 57.9% No No 4.9% 21,497 18,298 14,705 2.60 11.7% 12.6% 12019 Clay, FL 140,814 234.3 75.1% No Yes 4.5% 25,421 25,379 19,618 3.11 6.8% 7.7% 12021 Collier, FL 251,377 124.1 89.7% No Yes 18.3% 40,121 22,143 19,139 2.79 10.3% 10.7% 12023 Columbia, FL 56,513 70.9 32.2% No No 2.3% 19,128 19,891 15,483 3.02 15.0% 16.2% 12027 DeSoto, FL 32,209 50.6 45.8% No No 18.7% 17,902 15,506 13,824 3.00 23.6% 20.7% 13,827 12029 Dixie, FL 19.6 24.2% No No 2.0% 14,978 17,504 12,983 2.87 19.1% 21.3% 12031 Duval, FL 778,879 1,006.3 96.2% No Yes 5.9% 27,084 23,887 20,314 3.06 11.9% 13.4% 12033 Escambia, FL 294,410 443.4 89.0% No Yes 3.7% 22,560 19,825 15,676 2.98 15.4% 17.3% 12035 Flagler, FL 49,832 102.7 67.4% No Yes 9.9% 23,420 20,395 16,527 2.67 8.7% 9.4% 12037 Franklin, FL 11,057 20.7 26.9% No No 1.9% 19,259 18,323 13,777 2.77 17.7% 20.3% 207 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Urban Frontr Metro born 2000 Total Pop Size, Poverty ($) ($) ($) Population Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 12039 Gadsden, FL 45,087 87.4 33.8% No Yes 4.1% 19,087 19,870 17,491 3.18 19.9% 12041 Gilchrist, FL 14,437 41.4 0.0% No No 1.7% 17,042 20,321 16,363 3.01 14.1% 17.4% 12043 Glades, FL 10,576 13.7 26.4% No No 7.9% 15,673 20,354 15,185 2.91 15.2% 15.0% 12045 Gulf, FL 13,332 23.6 33.1% No No 2.1% 17,921 20,433 15,818 2.87 16.7% 18.9% 12047 Hamilton, FL 13,327 25.9 18.6% No No 2.3% 14,214 18,557 15,812 3.07 26.0% 30.0% 12049 Hardee, FL 26,938 42.3 52.6% No No 17.5% 17,843 15,378 12,484 3.40 24.6% 25.2% 12051 Hendry, FL 21.3% 36,210 31.4 63.7% No No 24.0% 20,265 17,023 14,288 3.44 24.1% 24.5% 12053 Hernando, FL 130,802 273.6 76.1% No Yes 5.3% 22,921 19,338 15,220 2.70 10.3% 11.5% 12055 Highlands, FL 87,366 84.9 66.6% No No 9.1% 20,505 17,263 14,901 2.70 15.2% 15.9% 998,948 950.5 94.4% No Yes 11.5% 27,458 23,586 20,228 3.07 12.5% 13.9% 20.3% 12057 Hillsborough, FL 12059 Holmes, FL 18,564 38.4 21.1% No No 1.7% 16,674 17,660 14,109 2.92 19.1% 112,947 224.5 91.8% No No 8.1% 35,623 20,383 16,761 2.72 9.3% 9.7% 12063 Jackson, FL 46,755 51.0 17.0% No No 1.5% 18,410 19,297 16,381 2.95 17.2% 19.2% 12065 Jefferson, FL 12,902 21.6 0.0% No No 1.2% 21,728 20,393 18,990 3.03 17.1% 17.6% 12067 Lafayette, FL 7,022 12.9 0.0% No No 6.6% 15,293 20,096 15,938 3.06 17.5% 20.7% 210,528 220.9 69.6% No Yes 5.1% 23,976 21,357 16,972 2.75 9.6% 10.8% 12061 Indian River, FL 12069 Lake, FL 12071 Lee, FL 440,888 548.4 88.5% No Yes 9.2% 26,655 21,720 18,332 2.73 9.7% 10.5% 12073 Leon, FL 239,452 359.0 85.6% No Yes 4.7% 26,564 20,591 17,282 2.95 18.2% 19.4% 12075 Levy, FL 34,450 30.8 0.0% No No 2.6% 17,942 18,138 14,894 2.88 18.6% 21.0% 7,021 8.4 0.0% No No 2.1% 15,547 20,317 18,038 3.00 19.9% 23.1% 12079 Madison, FL 18,733 27.1 22.8% No No 2.0% 16,833 17,911 15,912 3.06 23.1% 24.2% 12081 Manatee, FL 264,002 356.3 91.9% No Yes 8.4% 31,064 22,083 19,096 2.78 10.1% 11.1% 12083 Marion, FL 258,916 164.0 61.1% No Yes 5.2% 22,191 19,207 15,521 2.79 13.1% 14.2% 12085 Martin, FL 126,731 227.9 89.0% No Yes 8.1% 40,186 23,309 19,509 2.71 8.8% 9.2% 2,253,362 1,158.5 99.3% No Yes 50.9% 25,320 20,607 17,487 3.35 18.0% 19.6% 12077 Liberty, FL 12086 Miami-Dade, FL 12087 Monroe, FL 79,589 79.8 93.3% No No 14.7% 35,423 24,306 20,648 2.73 10.2% 11.3% 12089 Nassau, FL 57,663 88.4 49.5% No Yes 2.7% 28,189 25,058 18,046 2.97 9.1% 10.1% 170,498 182.2 88.0% No Yes 5.3% 26,501 21,169 15,701 2.94 8.8% 10.3% 35,910 46.4 57.5% No No 11.5% 17,725 17,857 14,644 3.07 16.0% 18.0% 12095 Orange, FL 896,344 987.2 96.6% No Yes 14.4% 26,668 22,145 18,859 3.14 12.1% 13.2% 12097 Osceola, FL 172,493 130.5 76.6% No Yes 14.0% 18,700 20,635 17,113 3.18 11.5% 12.6% 1,131,184 573.0 98.3% No Yes 17.4% 41,007 25,405 21,050 2.89 9.9% 10.8% 12101 Pasco, FL 344,765 462.8 85.2% No Yes 7.0% 24,153 20,957 17,149 2.77 10.7% 11.8% 12103 Pinellas, FL 921,482 3,291.0 99.9% No Yes 9.5% 31,321 23,062 20,366 2.77 10.0% 10.8% 12105 Polk, FL 483,924 258.1 79.8% No Yes 6.9% 23,285 21,026 16,989 2.96 12.9% 14.3% 70,423 97.5 45.6% No No 3.4% 18,665 18,927 15,113 2.95 20.9% 23.3% 12109 St. Johns, FL 123,135 202.2 76.8% No Yes 4.9% 40,635 25,531 20,092 2.90 8.0% 9.0% 12111 St. Lucie, FL 192,695 336.3 93.9% No Yes 10.5% 21,993 20,513 16,731 2.89 13.4% 14.2% 12113 Santa Rosa, FL 117,743 115.9 70.6% No Yes 3.0% 24,311 22,011 15,399 3.00 9.8% 10.6% 12115 Sarasota, FL 325,957 569.9 95.1% No Yes 9.3% 37,430 22,125 18,731 2.61 7.8% 8.4% 12117 Seminole, FL 365,196 1,185.7 96.0% No Yes 9.1% 31,358 26,235 21,321 3.07 7.4% 8.0% 12091 Okaloosa, FL 12093 Okeechobee, FL 12099 Palm Beach, FL 12107 Putnam, FL 12119 Sumter, FL 53,345 97.7 49.4% No No 5.5% 14,508 17,557 14,000 2.62 13.7% 14.5% 12121 Suwannee, FL 34,844 50.6 18.4% No No 4.7% 18,432 18,496 15,285 2.96 18.5% 20.1% 12123 Taylor, FL 19,256 18.5 33.9% No No 1.7% 18,730 18,470 12,870 2.95 18.0% 20.4% 208 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 12125 Union, FL 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Urban Frontr Metro born 2000 Total Pop Size, Poverty ($) ($) ($) Population Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 13,442 56.0 47.4% No No 2.1% 12,462 20,753 18,173 3.13 14.0% 12127 Volusia, FL 443,343 400.9 90.7% No Yes 6.4% 22,574 20,024 16,304 2.82 11.6% 12.5% 12129 Wakulla, FL 22,863 37.7 0.0% No No 1.5% 22,556 23,020 19,429 2.99 11.3% 12.6% 12131 Walton, FL 40,601 38.4 20.6% No No 3.2% 17,384 19,080 15,432 2.83 14.4% 16.5% 12133 Washington, FL 20,973 36.2 17.3% No No 2.5% 17,321 17,508 13,972 2.93 19.2% 22.1% 8,186,453 141.3 71.7% 7.1% 27,794 24,111 19,649 3.14 13.0% 14.4% 17,419 34.2 29.9% No 3.4% 17,852 18,760 13,905 3.04 18.6% 20.1% 13 GEORGIA 13001 Appling, GA 13003 Atkinson, GA 13005 Bacon, GA 13007 Baker, GA No 15.4% 7,609 22.5 0.0% No No 12.1% 18,557 17,984 14,032 3.27 23.0% 25.1% 10,103 35.4 26.5% No No 1.6% 20,508 18,025 13,438 3.03 23.7% 25.4% 26.1% 4,074 11.9 0.0% No No 1.9% 18,919 16,769 13,535 3.20 23.4% 13009 Baldwin, GA 44,700 172.6 66.0% No No 1.9% 20,556 20,057 16,799 3.02 16.8% 18.3% 13011 Banks, GA 14,422 61.6 5.8% No No 2.1% 18,829 21,724 17,544 3.06 12.5% 12.8% 13013 Barrow, GA 46,144 284.8 46.9% No Yes 3.6% 20,289 24,951 18,902 3.17 8.3% 9.6% 13015 Bartow, GA 76,019 165.3 58.8% No Yes 2.5% 24,132 24,478 19,162 3.14 8.6% 9.6% 13017 Ben Hill, GA 17,484 69.4 65.2% No No 3.4% 22,547 17,901 13,636 3.09 22.3% 25.2% 20.8% 13019 Berrien, GA 13021 Bibb, GA 13023 Bleckley, GA 16,235 35.8 25.3% No No 1.4% 19,449 19,305 15,607 3.03 17.7% 153,887 615.5 85.2% No Yes 1.9% 28,097 21,774 17,576 3.06 19.1% 21.3% 11,666 53.8 47.4% No No 1.4% 22,280 21,050 16,305 3.02 15.9% 18.3% 13025 Brantley, GA 14,629 32.9 1.1% No No 0.9% 17,503 20,764 15,042 3.06 15.6% 17.9% 13027 Brooks, GA 16,450 33.3 29.7% No No 1.7% 18,763 17,182 13,758 3.11 23.4% 26.0% 13029 Bryan, GA 23,417 53.0 39.5% No Yes 2.5% 23,560 26,774 18,937 3.22 11.7% 13.5% 13031 Bulloch, GA 55,983 82.0 48.5% No No 3.1% 18,524 15,104 11,269 3.08 24.5% 26.1% 13033 Burke, GA 22,243 26.8 24.7% No No 0.8% 18,698 18,450 15,118 3.27 28.7% 33.3% 13035 Butts, GA 19,522 104.4 22.6% No No 0.9% 20,396 21,738 17,378 3.15 11.5% 13.7% 13037 Calhoun, GA 6,320 22.6 0.0% No No 1.9% 17,258 15,546 13,612 3.15 26.5% 28.2% 13039 Camden, GA 43,664 69.3 64.2% No No 2.3% 19,020 22,336 16,170 3.22 10.1% 11.8% 13043 Candler, GA 9,577 38.8 27.8% No No 6.1% 19,833 16,964 14,052 3.17 26.1% 29.9% 13045 Carroll, GA 87,268 174.9 47.2% No Yes 2.9% 21,668 21,345 15,926 3.09 13.7% 15.3% 13047 Catoosa, GA 53,282 328.9 71.0% No Yes 1.7% 20,684 22,733 19,646 3.00 9.4% 11.0% 23.3% 13049 Charlton, GA 10,282 13.2 38.4% No No 0.9% 16,430 18,470 13,564 3.20 20.9% 13051 Chatham, GA 232,048 527.4 94.5% No Yes 4.0% 28,364 21,578 17,162 3.05 15.6% 17.3% 14,882 59.8 78.6% No Yes 6.0% 27,274 17,233 14,423 3.64 10.6% 11.5% 16.0% 13053 Chattahoochee, GA 13055 Chattooga, GA 25,470 81.1 43.7% No No 1.9% 18,340 20,679 17,593 2.94 14.3% 13057 Cherokee, GA 141,903 334.7 74.8% No Yes 5.8% 28,600 30,356 22,189 3.18 5.3% 5.9% 13059 Clarke, GA 101,489 838.8 91.3% No Yes 8.4% 23,382 12,679 10,781 2.95 28.3% 30.0% 3,357 17.2 0.0% No No 0.7% 18,572 15,833 12,474 2.99 31.3% 34.9% 236,517 1,654.0 98.8% No Yes 10.9% 21,570 24,486 21,380 3.30 10.1% 10.8% 25.1% 13061 Clay, GA 13063 Clayton, GA 13065 Clinch, GA 13067 Cobb, GA 8.5 41.8% No No 1.4% 17,784 18,528 14,872 3.09 23.4% 607,751 1,787.5 6,878 99.5% No Yes 11.6% 37,665 30,912 25,732 3.14 6.5% 6.9% 62.5 33.1% No No 5.4% 20,648 19,185 15,746 3.14 19.1% 21.3% 21.5% 13069 Coffee, GA 37,413 13071 Colquitt, GA 42,053 76.2 36.5% No No 6.5% 19,165 17,884 14,825 3.12 19.8% 13073 Columbia, GA 89,288 307.9 73.8% No Yes 4.8% 26,080 28,237 20,081 3.18 5.1% 6.2% 13075 Cook, GA 15,771 68.9 41.1% No No 2.3% 18,474 18,135 12,928 3.12 20.7% 23.4% 13077 Coweta, GA 89,215 201.4 54.4% No Yes 3.7% 26,410 27,685 20,963 3.17 7.8% 8.6% 209 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Total Population 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Pop Urban Frontr Metro born Size, Poverty ($) ($) ($) Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 13079 Crawford, GA 12,495 38.4 0.0% No No 0.5% 16,762 22,144 17,193 3.14 15.4% 17.4% 13081 Crisp, GA 21,996 80.3 58.7% No No 2.1% 19,499 18,329 13,602 3.10 29.3% 32.5% 13083 Dade, GA 15,154 87.1 20.2% No Yes 1.4% 20,072 20,651 13,787 2.97 9.7% 11.0% 13085 Dawson, GA 15,999 75.8 0.0% No No 1.4% 25,462 25,146 19,471 2.98 7.6% 8.6% 13087 Decatur, GA 28,240 47.3 42.0% No No 2.3% 19,630 19,093 15,698 3.14 22.7% 25.5% 13089 DeKalb, GA 99.6% No Yes 15.2% 32,630 26,435 24,974 3.20 10.8% 11.4% 13091 Dodge, GA 19,171 38.3 29.1% No No 1.4% 18,322 19,363 16,303 3.02 17.4% 19.3% 13093 Dooly, GA 11,525 29.3 23.3% No No 1.5% 18,656 18,337 15,467 3.14 22.1% 23.5% 13095 Dougherty, GA 96,065 291.1 86.5% No Yes 1.7% 23,672 19,271 15,639 3.13 24.8% 26.9% 13097 Douglas, GA 92,174 463.2 79.9% No Yes 3.9% 25,234 27,131 21,416 3.17 7.8% 8.6% 13099 Early, GA 12,354 24.2 37.3% No No 0.7% 20,921 16,937 13,425 3.13 25.7% 27.0% 27.6% 13101 Echols, GA 665,865 2,484.6 3,754 9.3 0.0% No No 12.6% 12,964 16,560 13,974 3.26 28.7% 13103 Effingham, GA 37,535 78.2 22.8% No Yes 1.3% 23,016 25,986 16,643 3.18 9.3% 10.4% 13105 Elbert, GA 20,511 55.6 31.3% No No 1.9% 21,004 19,146 14,868 3.01 17.3% 18.5% 13107 Emanuel, GA 21,837 31.8 29.9% No No 4.1% 18,652 17,183 13,430 3.10 27.4% 29.9% 13109 Evans, GA 10,495 56.7 38.5% No No 4.3% 19,983 15,713 12,215 3.10 27.0% 30.1% 13111 Fannin, GA 19,798 51.3 0.0% No No 1.1% 19,109 19,307 15,346 2.80 12.4% 13.6% 13113 Fayette, GA 91,263 463.3 78.1% No Yes 5.0% 34,762 35,145 24,409 3.20 2.6% 3.1% 13115 Floyd, GA 90,565 176.5 65.2% No No 5.2% 23,887 20,912 16,319 3.02 14.4% 16.1% 13117 Forsyth, GA 98,407 435.4 65.9% No Yes 6.0% 34,608 32,028 24,353 3.12 5.5% 5.8% 13119 Franklin, GA 20,285 77.1 10.8% No No 1.2% 22,306 20,283 15,303 2.96 13.9% 16.2% 816,006 1,542.5 17.3% 13121 Fulton, GA 97.9% No Yes 9.6% 44,838 27,150 22,992 3.15 15.7% 23,456 54.9 14.6% No No 5.8% 17,315 20,746 15,995 2.96 12.5% 13.5% 2,556 17.8 0.0% No No 0.0% 20,179 21,480 13,571 2.94 17.2% 20.4% 13127 Glynn, GA 67,568 160.1 76.7% No No 3.3% 29,511 21,856 17,153 2.95 15.1% 17.6% 13129 Gordon, GA 44,104 124.2 34.2% No No 6.4% 21,844 21,785 17,352 3.08 9.9% 11.2% 13131 Grady, GA 23,659 51.7 38.1% No No 3.9% 18,133 17,498 13,865 3.08 21.3% 24.1% 14,406 37.1 18.3% No No 2.6% 21,081 19,121 14,836 3.02 22.3% 25.4% 588,448 1,359.0 97.5% No Yes 16.9% 32,268 30,295 24,903 3.28 5.7% 5.7% 35.1% No No 7.8% 21,974 21,138 16,890 2.98 12.2% 12.9% 13123 Gilmer, GA 13125 Glascock, GA 13133 Greene, GA 13135 Gwinnett, GA 13137 Habersham, GA 13139 Hall, GA 35,902 129.1 139,277 353.5 67.0% No No 16.2% 24,555 22,318 18,370 3.26 12.4% 13.5% 13141 Hancock, GA 10,076 21.3 39.4% No No 0.3% 15,675 15,985 13,945 3.22 29.4% 32.4% 13143 Haralson, GA 25,690 91.1 17.0% No No 0.9% 20,615 21,089 15,847 3.03 15.5% 15.9% 13145 Harris, GA 23,695 51.1 2.9% No Yes 1.9% 27,124 26,230 21,496 3.02 8.2% 8.6% 13147 Hart, GA 22,997 99.1 24.3% No No 1.3% 21,628 20,334 16,050 2.92 14.8% 16.7% 15.2% 13149 Heard, GA 11,012 37.2 0.0% No No 0.7% 16,944 23,088 17,120 3.12 13.6% 13151 Henry, GA 119,341 369.5 72.1% No Yes 3.4% 23,624 30,334 23,030 3.19 4.9% 5.6% 13153 Houston, GA 110,765 293.8 84.9% No Yes 3.4% 23,682 24,236 18,222 3.10 10.2% 11.8% 13155 Irwin, GA 13157 Jackson, GA 9,931 27.8 31.6% No No 1.3% 19,635 20,069 16,181 3.07 17.8% 22.0% 41,589 121.6 12.0% No No 2.5% 22,208 22,526 16,783 3.10 12.0% 13.7% 13159 Jasper, GA 11,426 30.8 0.0% No No 2.1% 21,106 21,757 16,204 3.14 14.2% 16.1% 13161 Jeff Davis, GA 12,684 38.1 31.0% No No 3.8% 19,373 19,399 13,551 3.02 19.4% 22.1% 13163 Jefferson, GA 17,266 32.7 18.5% No No 0.5% 19,264 17,924 13,643 3.17 23.0% 25.0% 8,575 24.5 36.0% No No 0.9% 18,268 18,430 13,653 3.16 28.4% 29.9% 13165 Jenkins, GA 210 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 13167 Johnson, GA 2000 Total Population 2000 2000 Percent Percent 2000 2000 Foreign Pop Urban Frontr Metro born Density Pop Status Status Pop 2000 Per Capita Income ($) 1999 2000 2000 2000 Percent Median Median Averg Pop Earning Earning Family Below Fem Total Size, Poverty ($) ($) Total Level 1999 Percent Fem Pop Below Poverty Level 8,560 28.2 0.0% No No 0.2% 18,713 19,100 14,393 3.06 22.6% 25.7% 13169 Jones, GA 23,639 60.0 18.4% No Yes 1.0% 22,831 25,648 20,606 3.09 10.2% 12.0% 13171 Lamar, GA 15,912 86.0 42.9% No No 1.0% 18,284 20,721 16,303 3.05 11.2% 13.3% 13173 Lanier, GA 7,241 38.7 6.0% No No 1.1% 18,201 20,055 15,581 3.12 18.5% 23.1% 13175 Laurens, GA 44,874 55.2 42.9% No No 1.1% 21,597 20,475 16,234 3.06 18.4% 21.3% 13177 Lee, GA 24,757 69.5 50.4% No Yes 1.7% 20,019 25,348 19,439 3.21 8.2% 8.7% 13179 Liberty, GA 61,610 118.7 80.1% No No 5.7% 16,494 19,345 13,930 3.29 15.0% 16.8% 13181 Lincoln, GA 8,348 39.6 0.0% No No 0.7% 20,034 20,594 15,887 3.01 15.3% 16.8% 13183 Long, GA 10,304 25.7 10.2% No No 5.4% 12,374 18,863 12,506 3.28 19.5% 23.1% 13185 Lowndes, GA 92,115 182.8 67.9% No No 2.7% 21,759 18,952 13,721 3.14 18.3% 21.4% 13187 Lumpkin, GA 21,016 73.7 14.2% No No 2.9% 22,279 20,349 14,640 3.04 13.2% 14.6% 13189 McDuffie, GA 21,231 81.7 37.9% No Yes 0.6% 21,833 20,758 15,125 3.08 18.4% 21.2% 13191 McIntosh, GA 10,847 25.0 26.5% No No 1.0% 16,214 17,199 13,668 3.00 18.7% 21.5% 13193 Macon, GA 14,074 34.9 42.1% No No 1.8% 19,181 17,644 13,547 3.25 25.8% 28.0% 13195 Madison, GA 25,730 90.6 4.0% No Yes 2.0% 21,314 22,671 18,043 3.04 11.6% 12.8% 7,144 19.5 0.0% No No 5.0% 16,274 19,703 16,378 3.12 22.4% 22.9% 22,534 44.8 17.1% No No 0.7% 20,622 20,289 16,661 3.18 17.8% 19.8% 13197 Marion, GA 13199 Meriwether, GA 13201 Miller, GA 6,383 22.6 0.0% No No 0.4% 22,175 17,336 14,228 3.03 21.2% 24.8% 13205 Mitchell, GA 23,932 46.7 46.8% No No 1.6% 19,341 17,701 15,315 3.19 26.4% 29.9% 13207 Monroe, GA 21,757 54.9 25.1% No No 1.0% 20,252 22,060 16,568 3.12 9.8% 10.8% 8,270 33.8 1.7% No No 3.9% 18,222 17,965 13,783 3.08 19.9% 22.4% 15,457 44.2 22.8% No No 1.1% 25,323 21,885 16,295 3.15 10.9% 12.1% 13209 Montgomery, GA 13211 Morgan, GA 13213 Murray, GA 13215 Muscogee, GA 36,506 106.1 26.4% No No 3.6% 17,994 22,386 19,351 3.10 12.7% 14.0% 186,291 862.5 97.5% No Yes 4.7% 25,715 20,717 16,881 3.08 15.7% 17.6% 11.3% 13217 Newton, GA 62,001 224.6 55.7% No Yes 2.5% 22,125 25,718 19,770 3.14 10.0% 13219 Oconee, GA 26,225 141.0 49.7% No Yes 4.4% 24,996 26,417 20,991 3.21 6.5% 7.6% 13221 Oglethorpe, GA 12,635 28.7 0.1% No No 0.8% 19,550 22,061 17,391 3.05 13.2% 14.7% 13223 Paulding, GA 81,678 260.1 60.1% No Yes 2.1% 17,458 28,094 21,252 3.20 5.5% 6.1% 13225 Peach, GA 23,668 156.7 63.6% No Yes 3.8% 23,494 19,773 14,506 3.14 20.2% 22.4% 13227 Pickens, GA 22,983 99.1 21.8% No Yes 2.0% 24,156 23,204 17,966 2.91 9.2% 10.2% 13229 Pierce, GA 15,636 45.6 22.5% No No 2.1% 21,223 18,738 13,249 3.06 18.4% 20.4% 13231 Pike, GA 13,688 62.8 0.0% No No 1.0% 20,233 23,931 17,744 3.18 9.6% 10.7% 13233 Polk, GA 38,127 122.6 48.3% No No 6.0% 20,252 20,351 16,193 3.09 15.5% 16.7% 13235 Pulaski, GA 9,588 38.8 41.5% No No 2.6% 20,938 19,387 15,478 3.04 16.4% 19.7% 13237 Putnam, GA 18,812 54.5 25.0% No No 2.5% 22,259 20,891 16,845 2.90 14.6% 16.9% 13239 Quitman, GA 2,598 17.1 40.2% No No 0.7% 17,675 18,849 15,645 2.95 21.9% 25.2% 15,050 40.6 0.0% No No 4.1% 21,491 20,485 16,282 2.82 11.1% 11.6% 13243 Randolph, GA 7,791 18.2 47.7% No No 0.7% 19,025 16,864 12,242 3.20 27.7% 31.9% 13245 Richmond, GA 199,775 616.6 92.2% No Yes 3.4% 23,685 19,731 16,494 3.13 19.6% 21.5% 13247 Rockdale, GA 70,111 535.2 84.9% No Yes 7.6% 26,516 27,082 21,291 3.20 8.2% 8.7% 3,766 22.4 0.0% No No 1.8% 20,555 20,940 17,194 3.11 19.9% 21.6% 13251 Screven, GA 15,374 23.7 16.6% No No 1.7% 18,396 19,324 14,067 3.14 20.1% 22.3% 13253 Seminole, GA 9,369 39.4 27.9% No No 1.1% 21,656 18,835 15,804 3.01 23.2% 25.5% 13255 Spalding, GA 58,417 295.0 59.9% No Yes 2.2% 22,938 21,542 16,997 3.12 15.5% 17.5% 13241 Rabun, GA 13249 Schley, GA 211 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code 2000 Total County Name Population 2000 2000 Percent Percent 2000 2000 Foreign Pop Urban Frontr Metro born Density Pop Status Status Pop 2000 Per Capita Income ($) 1999 2000 2000 2000 Percent Median Median Averg Pop Earning Earning Family Below Fem Total Size, Poverty ($) ($) Total Level 1999 Percent Fem Pop Below Poverty Level 13253 Seminole, GA 9,369 39.4 27.9% No No 1.1% 21,656 18,835 15,804 3.01 23.2% 25.5% 13255 Spalding, GA 58,417 295.0 59.9% No Yes 2.2% 22,938 21,542 16,997 3.12 15.5% 17.5% 13257 Stephens, GA 25,435 142.1 40.0% No No 1.4% 22,302 19,477 15,315 2.94 15.1% 16.8% 13259 Stewart, GA 5,252 11.4 0.0% No No 1.6% 20,463 17,167 14,476 3.07 22.2% 24.0% 13261 Sumter, GA 33,200 68.5 56.5% No No 2.0% 21,526 18,728 15,258 3.15 21.4% 24.0% 13263 Talbot, GA 6,498 16.5 0.0% No No 0.7% 17,054 19,165 16,415 3.06 24.2% 27.8% 13265 Taliaferro, GA 2,077 10.7 0.0% No No 0.5% 15,708 20,632 16,417 3.00 23.4% 26.6% 13267 Tattnall, GA 22,305 46.1 21.7% No No 5.8% 17,762 18,632 14,576 3.12 23.9% 25.1% 13269 Taylor, GA 8,815 23.3 0.0% No No 1.0% 18,231 19,385 15,482 3.12 26.0% 29.7% 13271 Telfair, GA 11,794 26.7 42.5% No No 1.1% 17,823 19,015 15,313 3.01 21.2% 23.0% 13273 Terrell, GA 10,970 32.6 46.3% No No 1.7% 17,762 17,098 15,643 3.18 28.6% 31.8% 13275 Thomas, GA 42,737 78.0 49.0% No No 1.4% 24,459 19,993 16,681 3.06 17.4% 19.4% 13277 Tift, GA 38,407 144.9 56.0% No No 5.5% 22,852 18,908 15,152 3.10 19.9% 22.9% 13279 Toombs, GA 26,067 71.0 49.0% No No 5.9% 19,941 17,449 13,664 3.13 23.9% 25.5% 13281 Towns, GA 9,319 55.8 0.0% No No 2.7% 22,091 17,278 12,309 2.61 11.8% 12.2% 13283 Treutlen, GA 6,854 34.1 44.6% No No 1.9% 14,829 17,673 14,740 3.05 26.3% 29.6% 13285 Troup, GA 58,779 142.0 57.3% No No 2.0% 26,311 21,699 17,342 3.12 14.8% 16.8% 13287 Turner, GA 9,504 33.2 52.7% No No 2.4% 17,586 16,280 13,367 3.19 26.7% 30.7% 13289 Twiggs, GA 10,590 29.4 0.0% No Yes 0.8% 16,572 21,117 15,619 3.20 19.7% 21.9% 13291 Union, GA 17,289 53.5 0.0% No No 1.3% 21,297 19,170 15,135 2.77 12.5% 13.6% 13293 Upson, GA 27,597 84.7 54.2% No No 2.0% 20,347 20,568 16,096 3.01 14.7% 17.1% 13295 Walker, GA 61,053 136.9 56.5% No Yes 1.0% 21,250 21,183 16,406 2.98 12.5% 14.5% 13297 Walton, GA 60,687 184.5 42.2% No Yes 2.0% 19,855 26,053 18,807 3.16 9.7% 11.3% 13299 Ware, GA 35,483 39.3 71.6% No No 1.8% 20,479 18,269 14,870 3.01 20.5% 22.3% 13301 Warren, GA 6,336 22.2 0.0% No No 0.5% 17,695 17,655 13,289 3.09 27.0% 30.5% 13303 Washington, GA 21,176 31.1 33.8% No No 0.5% 22,365 20,054 13,368 3.17 22.9% 26.9% 13305 Wayne, GA 26,565 41.2 48.2% No No 1.5% 19,646 21,242 14,348 3.06 16.7% 18.0% 13307 Webster, GA 2,390 11.4 0.0% No No 2.0% 18,658 17,278 14,199 3.07 19.3% 23.7% 13309 Wheeler, GA 6,179 20.7 0.0% No No 1.9% 15,000 19,533 15,962 3.08 25.3% 28.4% 13311 White, GA 19,944 82.4 0.0% No No 2.0% 21,683 20,822 16,873 2.91 10.5% 12.8% 13313 Whitfield, GA 83,525 288.0 68.4% No No 16.6% 27,559 22,158 18,891 3.24 11.5% 12.0% 13315 Wilcox, GA 8,577 22.6 0.0% No No 0.8% 17,072 20,127 14,931 3.09 21.0% 23.6% 13317 Wilkes, GA 10,687 22.7 33.2% No No 1.3% 21,923 20,344 15,821 2.98 17.5% 20.6% 13319 Wilkinson, GA 10,220 22.9 0.0% No No 1.4% 22,046 20,838 16,111 3.13 17.9% 19.2% 13321 Worth, GA 21,967 38.5 30.0% No No 1.0% 19,483 21,155 15,357 3.12 18.5% 21.5% 4,041,769 101.7 55.7% 2.0% 24,085 20,951 16,163 2.97 15.8% 17.2% 17,244 42.4 25.4% 0.6% 16,676 15,277 12,176 2.93 24.0% 25.5% 19.5% 21 KENTUCKY 21001 Adair, KY No No 21003 Allen, KY 17,800 51.4 22.6% No No 0.8% 16,836 21,115 17,096 2.99 17.3% 21005 Anderson, KY 19,111 94.1 50.9% No No 0.9% 23,851 25,025 19,520 2.99 7.5% 8.8% 8,286 33.0 0.0% No No 0.8% 25,273 20,489 13,484 2.85 13.6% 16.0% 21007 Ballard, KY 21009 Barren, KY 38,033 77.5 35.9% No No 1.2% 22,182 20,070 15,423 2.91 15.6% 17.5% 21011 Bath, KY 11,085 39.7 0.0% No No 0.7% 17,876 19,089 16,257 2.93 21.9% 23.6% 21013 Bell, KY 30,060 83.3 37.0% No No 0.7% 16,436 16,535 12,986 2.95 31.1% 33.5% 212 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code 2000 Total County Name Population 2000 2000 Percent Percent 2000 2000 Foreign Pop Urban Frontr Metro born Density Pop Status Status Pop 2000 Per Capita Income ($) 1999 2000 2000 2000 Percent Median Median Averg Pop Earning Earning Family Below Fem Total Size, Poverty ($) ($) Total Level 1999 Percent Fem Pop Below Poverty Level 21015 Boone, KY 85,991 349.6 75.3% No Yes 3.0% 28,776 27,108 20,259 3.17 5.6% 6.5% 21017 Bourbon, KY 19,360 66.5 54.9% No Yes 2.0% 29,526 21,217 17,831 2.95 14.0% 16.2% 21019 Boyd, KY 49,752 311.0 74.3% No Yes 1.1% 25,265 20,505 14,566 2.86 15.5% 17.1% 21021 Boyle, KY 27,697 152.2 63.2% No No 1.8% 24,531 19,879 15,730 2.87 11.9% 13.7% 21023 Bracken, KY 8,279 40.8 0.0% No No 0.3% 18,652 20,702 14,839 3.00 10.8% 12.9% 21025 Breathitt, KY 16,100 32.5 20.4% No No 0.4% 15,607 15,496 12,026 3.00 33.2% 35.6% 21027 Breckinridge, KY 18,648 32.6 0.0% No No 0.5% 17,530 19,069 12,843 2.97 15.8% 17.1% 21029 Bullitt, KY 61,236 204.8 64.6% No Yes 0.6% 23,025 24,151 17,402 3.07 7.9% 9.4% 21031 Butler, KY 13,010 30.4 0.0% No No 1.8% 16,837 17,775 14,150 2.98 16.0% 18.5% 21033 Caldwell, KY 13,060 37.6 48.6% No No 0.5% 21,577 18,605 13,634 2.85 15.9% 19.0% 21035 Calloway, KY 34,177 88.5 47.6% No No 2.7% 23,610 15,541 11,508 2.79 16.6% 18.1% 21037 Campbell, KY 88,616 583.0 84.3% No Yes 1.4% 25,047 24,857 19,600 3.09 9.3% 10.7% 21039 Carlisle, KY 5,351 27.7 0.0% No No 0.2% 23,309 17,667 13,500 2.88 13.1% 14.6% 21041 Carroll, KY 10,155 78.1 49.0% No No 1.9% 21,766 20,104 13,795 2.98 14.9% 16.7% 21043 Carter, KY 26,889 65.4 17.8% No Yes 0.4% 17,733 17,119 11,965 2.95 22.3% 23.5% 21045 Casey, KY 15,447 34.6 0.0% No No 1.2% 16,382 16,422 14,204 2.94 25.5% 26.5% 21047 Christian, KY 72,265 100.2 72.6% No Yes 2.5% 19,586 18,875 14,397 3.12 15.0% 16.8% 21049 Clark, KY 33,144 130.5 66.6% No Yes 1.0% 25,355 22,167 16,752 2.95 10.6% 12.0% 21051 Clay, KY 40.7% 24,556 52.1 19.1% No No 0.7% 14,256 15,287 13,298 3.06 39.7% 21053 Clinton, KY 9,634 48.7 0.0% No No 0.8% 18,265 14,604 12,202 2.85 25.8% 27.6% 21055 Crittenden, KY 9,384 25.9 29.6% No No 0.4% 17,536 20,679 13,128 2.93 19.1% 21.0% 21057 Cumberland, KY 7,147 23.4 0.0% No No 0.3% 15,953 15,074 13,558 2.89 23.8% 27.2% 21059 Daviess, KY 91,545 198.1 73.8% No Yes 1.0% 24,238 20,904 15,800 3.00 12.3% 13.7% 21061 Edmonson, KY 11,644 38.4 0.0% No No 0.4% 15,707 16,084 11,519 2.88 18.4% 20.9% 21063 Elliott, KY 6,748 28.8 0.0% No No 0.2% 12,400 16,334 12,725 3.02 25.9% 26.6% 21065 Estill, KY 15,307 60.3 27.5% No No 0.3% 17,692 17,124 13,594 2.94 26.4% 28.2% 260,512 914.1 95.7% No Yes 5.9% 31,218 22,120 18,855 2.90 12.9% 13.7% 21067 Fayette, KY 21069 Fleming, KY 13,792 39.3 20.4% No No 0.2% 17,305 18,308 15,556 2.99 18.6% 18.6% 21071 Floyd, KY 42,441 107.7 12.5% No No 0.6% 17,880 18,263 12,851 2.93 30.3% 31.9% 21073 Franklin, KY 47,687 226.0 73.6% No No 1.9% 29,145 23,540 20,293 2.86 10.7% 12.4% 21075 Fulton, KY 7,752 37.1 36.2% No No 0.4% 22,144 17,296 12,122 2.92 23.1% 26.6% 21077 Gallatin, KY 7,870 79.5 0.0% No Yes 0.4% 17,399 21,507 17,129 3.11 13.4% 15.0% 21079 Garrard, KY 14,792 64.0 26.7% No No 1.6% 18,072 20,016 16,313 2.95 14.7% 16.3% 21081 Grant, KY 22,384 86.1 22.2% No Yes 1.0% 19,191 22,598 17,323 3.10 11.1% 12.6% 21083 Graves, KY 37,028 66.6 30.2% No No 2.1% 20,785 18,561 12,942 2.92 16.4% 18.3% 21085 Grayson, KY 24,053 47.7 22.5% No No 0.6% 18,123 18,015 13,320 2.91 18.1% 20.3% 21087 Green, KY 11,518 39.9 0.0% No No 0.7% 15,842 16,451 12,118 2.87 18.4% 20.3% 21089 Greenup, KY 36,891 106.6 61.3% No Yes 0.6% 20,421 20,392 14,076 2.91 14.1% 15.9% 21091 Hancock, KY 8,392 44.4 11.0% No No 0.8% 25,539 22,228 14,763 3.01 13.6% 15.2% 21093 Hardin, KY 94,174 150.0 63.7% No No 4.5% 22,164 21,117 15,771 3.07 10.0% 11.3% 21095 Harlan, KY 33,202 71.1 47.7% No No 0.6% 16,069 15,879 11,920 3.00 32.5% 34.1% 21097 Harrison, KY 17,983 58.0 36.1% No No 1.2% 20,972 21,311 16,145 2.99 12.0% 13.2% 21099 Hart, KY 17,445 41.9 12.8% No No 0.6% 16,673 17,646 14,193 3.05 22.4% 23.5% 213 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code 2000 Total County Name Population 2000 2000 Percent Percent 2000 2000 Foreign Pop Urban Frontr Metro born Density Pop Status Status Pop 2000 Per Capita Income ($) 1999 2000 2000 2000 Percent Median Median Averg Pop Earning Earning Family Below Fem Total Size, Poverty ($) ($) Total Level 1999 Percent Fem Pop Below Poverty Level 21101 Henderson, KY 44,829 101.9 59.2% No Yes 1.1% 25,401 21,721 16,614 2.93 12.3% 14.2% 21103 Henry, KY 15,060 52.1 0.0% No No 1.4% 21,601 21,237 16,382 2.97 13.7% 14.6% 21105 Hickman, KY 5,262 21.5 0.0% No No 0.6% 29,170 19,164 13,799 2.82 17.4% 19.6% 21107 Hopkins, KY 46,519 84.4 54.2% No No 0.6% 21,092 19,192 14,213 2.91 16.5% 17.9% 13,495 39.0 0.0% No No 0.4% 14,842 14,947 11,962 2.96 30.2% 31.2% 693,604 1,801.6 98.2% No Yes 3.4% 31,934 23,504 19,558 2.97 12.4% 13.6% 21109 Jackson, KY 21111 Jefferson, KY 21113 Jessamine, KY 39,041 225.7 69.4% No Yes 1.8% 24,118 20,616 16,053 3.05 10.5% 12.0% 21115 Johnson, KY 23,445 89.5 25.5% No No 0.5% 17,703 18,765 13,201 2.93 26.6% 28.3% 10.2% 21117 Kenton, KY 151,464 929.2 92.6% No Yes 1.6% 28,086 25,526 20,227 3.11 9.0% 21119 Knott, KY 17,649 50.1 0.0% No No 0.4% 16,168 18,336 12,639 3.00 31.1% 33.3% 21121 Knox, KY 31,795 81.9 29.5% No No 0.4% 16,102 15,217 11,489 3.01 34.8% 36.0% 21123 Larue, KY 13,373 50.8 23.3% No No 0.4% 21,832 19,635 15,214 2.94 15.4% 17.2% 21125 Laurel, KY 52,715 120.9 32.5% No No 0.8% 19,918 17,637 12,896 2.97 21.3% 22.8% 21127 Lawrence, KY 15,569 37.2 22.0% No No 0.1% 15,553 17,192 11,792 3.02 30.7% 30.6% 32.5% 21129 Lee, KY 7,916 37.7 0.0% No No 0.2% 15,326 15,419 13,283 2.91 30.4% 21131 Leslie, KY 12,401 30.7 0.0% No No 0.2% 16,586 16,231 11,485 2.94 32.7% 34.8% 21133 Letcher, KY 25,277 74.6 0.3% No No 0.4% 16,677 16,727 11,809 2.94 27.1% 27.6% 21135 Lewis, KY 14,092 29.1 0.0% No No 0.1% 13,421 15,904 12,225 2.98 28.5% 29.3% 21137 Lincoln, KY 23,361 69.3 19.6% No No 0.7% 18,284 18,246 14,745 2.95 21.1% 23.1% 21139 Livingston, KY 21141 Logan, KY 21143 Lyon, KY 9,804 31.0 0.0% No No 0.2% 23,216 19,916 14,202 2.86 10.3% 11.4% 26,573 47.8 25.2% No No 0.8% 20,696 20,324 15,115 2.96 15.5% 17.5% 8,080 37.4 0.0% No No 0.8% 16,630 21,618 15,162 2.70 12.7% 14.7% 21145 McCracken, KY 65,514 261.0 71.4% No No 0.9% 27,924 21,018 15,050 2.86 15.1% 16.9% 21147 McCreary, KY 17,080 39.9 0.0% No No 0.5% 13,691 13,967 11,091 3.03 32.2% 33.8% 21149 McLean, KY 9,938 39.1 0.0% No No 0.7% 25,158 18,834 14,481 2.93 16.0% 16.7% 21151 Madison, KY 70,872 160.7 58.6% No Yes 1.5% 21,203 17,381 12,374 2.90 16.8% 18.5% 21153 Magoffin, KY 13,332 43.0 0.0% No No 0.2% 14,508 18,131 11,245 3.04 36.6% 38.6% 21155 Marion, KY 18,212 52.5 30.2% No No 1.2% 19,765 18,229 14,610 3.06 18.6% 19.9% 21157 Marshall, KY 30,125 98.8 13.9% No No 0.8% 23,197 21,603 15,459 2.83 9.5% 11.0% 21159 Martin, KY 12,578 54.5 0.0% No No 0.1% 16,105 16,165 10,867 3.05 37.0% 38.6% 21161 Mason, KY 16,800 69.7 49.5% No No 1.4% 21,898 19,506 15,669 2.92 16.8% 18.8% 21163 Meade, KY 26,349 85.3 16.8% No No 2.0% 21,551 21,664 15,184 3.15 11.3% 13.3% 21165 Menifee, KY 6,556 32.1 0.0% No No 0.4% 14,703 16,510 13,407 2.88 29.6% 31.3% 21167 Mercer, KY 20,817 82.9 40.5% No No 1.7% 23,444 21,093 16,759 2.93 12.9% 15.4% 21169 Metcalfe, KY 10,037 34.5 0.0% No No 0.2% 16,523 15,456 12,871 2.93 23.6% 24.6% 21171 Monroe, KY 11,756 35.5 0.0% No No 1.4% 18,542 15,445 12,053 2.94 23.4% 26.1% 21173 Montgomery, KY 22,554 113.3 45.0% No No 0.5% 20,673 20,220 15,162 2.93 15.2% 17.2% 21175 Morgan, KY 13,948 36.6 20.7% No No 0.7% 13,146 15,876 12,146 2.97 27.2% 28.4% 21177 Muhlenberg, KY 31,839 67.0 32.0% No No 0.3% 19,480 18,478 12,855 2.90 19.7% 21.3% 21179 Nelson, KY 37,477 88.6 37.4% No No 1.2% 23,595 21,725 16,404 3.08 12.2% 13.7% 21181 Nicholas, KY 6,813 34.6 0.0% No No 0.5% 18,497 19,897 18,222 2.92 13.2% 14.1% 21183 Ohio, KY 22,916 38.6 25.1% No No 0.7% 17,041 18,345 12,836 2.98 17.3% 18.4% 21185 Oldham, KY 46,178 244.3 65.2% No Yes 1.6% 32,305 28,408 20,715 3.17 4.1% 4.8% 214 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code 2000 Total County Name Population 21187 Owen, KY 21189 Owsley, KY 21191 Pendleton, KY 2000 2000 Percent Percent 2000 2000 Foreign Pop Urban Frontr Metro born Density Pop Status Status Pop 2000 Per Capita Income ($) 1999 2000 2000 2000 Percent Median Median Averg Pop Earning Earning Family Below Fem Total Size, Poverty ($) ($) Total Level 1999 Percent Fem Pop Below Poverty Level 10,547 30.0 0.0% No No 0.7% 18,845 20,430 16,951 3.00 15.5% 4,858 24.5 0.0% No No 0.1% 16,154 11,951 10,582 2.98 45.4% 15.8% 47.7% 14,390 51.4 0.0% No Yes 0.5% 19,264 22,198 16,711 3.14 11.4% 12.4% 21193 Perry, KY 29,390 85.9 21.9% No No 0.6% 20,100 18,375 13,428 2.98 29.1% 30.0% 21195 Pike, KY 68,736 87.2 9.2% No No 0.4% 20,502 19,613 13,267 2.90 23.4% 24.8% 21197 Powell, KY 13,237 73.5 23.7% No No 0.2% 15,445 17,094 12,725 3.02 23.5% 26.1% 21199 Pulaski, KY 56,217 84.9 39.5% No No 0.8% 20,982 17,749 13,879 2.87 19.1% 20.4% 21201 Robertson, KY 2,266 22.7 0.0% No No 0.5% 16,194 16,778 14,726 3.00 22.2% 24.4% 21203 Rockcastle, KY 16,582 52.1 17.0% No No 0.0% 15,984 16,987 13,915 2.95 23.1% 25.1% 21205 Rowan, KY 22,094 78.6 30.3% No No 1.4% 17,368 12,726 10,591 2.91 21.3% 21.7% 21207 Russell, KY 16,315 64.2 0.0% No No 1.0% 17,307 16,130 11,961 2.82 24.3% 26.0% 21209 Scott, KY 33,061 116.0 57.6% No Yes 1.9% 27,780 23,913 17,297 3.01 8.8% 9.8% 21211 Shelby, KY 33,337 86.8 39.9% No No 3.9% 27,427 23,627 18,862 3.00 9.9% 11.1% 14.4% 21213 Simpson, KY 16,405 69.5 55.4% No No 1.2% 21,795 22,303 16,590 2.97 11.6% 21215 Spencer, KY 11,766 63.3 0.0% No No 1.2% 16,279 23,652 18,156 3.08 8.8% 9.7% 21217 Taylor, KY 22,927 84.9 50.8% No No 1.3% 18,388 16,837 12,386 2.89 17.5% 19.5% 21219 Todd, KY 11,971 31.8 0.0% No No 1.3% 19,582 18,901 14,388 3.05 17.2% 17.5% 21221 Trigg, KY 12,597 28.4 21.1% No No 0.8% 19,141 21,175 16,326 2.84 12.3% 14.7% 21223 Trimble, KY 8,125 54.5 5.9% No No 1.1% 15,673 21,564 15,247 3.00 13.6% 15.5% 21225 Union, KY 15,637 45.3 35.3% No No 1.4% 20,947 18,662 14,038 2.99 17.7% 17.6% 21227 Warren, KY 92,522 169.8 63.0% No No 4.3% 24,459 18,983 14,201 2.97 15.4% 17.1% 21229 Washington, KY 10,916 36.3 0.0% No No 0.7% 22,109 20,110 15,394 3.03 13.5% 16.0% 21231 Wayne, KY 19,923 43.4 31.1% No No 1.3% 15,112 15,718 12,331 2.94 29.4% 29.9% 21233 Webster, KY 14,120 42.1 21.3% No No 1.9% 22,208 19,352 13,347 2.94 15.4% 15.5% 21235 Whitley, KY 35,865 81.5 37.5% No No 0.7% 17,248 15,093 11,947 3.01 26.4% 27.6% 36.2% 21237 Wolfe, KY 7,065 31.7 0.0% No No 0.7% 15,313 16,167 12,832 2.96 35.9% 21239 Woodford, KY 23,208 121.5 58.8% No Yes 2.7% 34,448 26,024 20,940 2.99 7.3% 8.0% 28 MISSISSIPPI 2,844,658 60.6 48.8% 1.4% 20,900 19,715 15,297 3.14 19.9% 22.1% 28001 Adams, MS 34,340 74.7 68.6% No No 1.4% 20,209 17,782 13,323 3.03 25.9% 28.1% 28003 Alcorn, MS 34,558 86.4 34.1% No No 1.0% 20,154 20,441 15,489 2.91 16.6% 19.0% 28005 Amite, MS 13,599 18.6 0.0% No No 0.4% 16,187 17,513 12,287 3.06 22.6% 26.2% 28007 Attala, MS 19,661 26.7 35.6% No No 0.8% 17,288 16,699 13,053 3.07 21.8% 25.0% 28009 Benton, MS 8,026 19.7 0.0% No No 0.7% 16,023 17,780 14,201 3.12 23.2% 25.4% 28011 Bolivar, MS 40,633 46.4 57.8% No No 0.5% 17,594 16,474 14,137 3.36 33.3% 35.2% 28013 Calhoun, MS 15,069 25.7 17.9% No No 1.6% 19,442 18,094 15,081 2.97 18.1% 21.0% 28015 Carroll, MS 10,769 17.1 0.0% No No 0.8% 17,158 19,950 16,127 3.01 16.0% 17.3% 28017 Chickasaw, MS 19,440 38.7 16.6% No No 1.3% 18,421 19,444 16,511 3.17 20.0% 22.3% 28019 Choctaw, MS 9,758 23.3 0.0% No No 0.3% 16,066 17,875 13,393 3.06 24.7% 26.7% 28021 Claiborne, MS 11,831 24.3 25.3% No No 0.6% 15,452 13,035 11,475 3.35 32.4% 33.6% 28023 Clarke, MS 17,955 26.0 0.0% No No 0.3% 17,389 19,420 14,628 3.06 23.0% 26.1% 28025 Clay, MS 21,979 53.7 43.2% No No 0.5% 19,044 18,498 14,854 3.19 23.5% 26.5% 28027 Coahoma, MS 30,622 55.3 67.9% No No 0.9% 19,041 16,283 14,437 3.42 35.9% 38.4% 28029 Copiah, MS 28,757 37.0 41.1% No No 0.8% 16,698 16,866 13,579 3.20 25.1% 27.5% 28031 Covington, MS 19,407 46.9 0.0% No No 0.6% 16,771 17,438 12,797 3.16 23.5% 25.8% 215 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Urban Frontr Metro born 2000 Total Pop Size, Poverty ($) ($) ($) Population Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 28033 DeSoto, MS 107,199 224.3 67.6% No Yes 1.9% 25,478 27,130 20,866 3.11 7.1% 8.2% 28035 Forrest, MS 72,604 155.5 66.7% No Yes 2.0% 22,093 15,360 11,809 3.07 22.5% 24.6% 28037 Franklin, MS 8,448 15.0 0.0% No No 0.3% 14,659 18,089 12,700 3.13 24.1% 25.9% 28039 George, MS 19,144 40.1 0.0% No No 1.3% 19,071 21,204 11,366 3.17 16.7% 19.3% 28041 Greene, MS 13,299 18.7 0.0% No No 0.3% 12,607 17,527 12,622 3.12 19.6% 21.5% 28043 Grenada, MS 23,263 55.1 55.7% No No 1.0% 20,076 20,096 14,366 3.09 20.9% 23.9% 28045 Hancock, MS 42,967 90.1 61.5% No Yes 1.4% 20,901 20,618 15,386 2.99 14.4% 16.5% 28047 Harrison, MS 189,601 326.3 78.4% No Yes 3.6% 24,157 20,374 16,456 3.07 14.6% 16.4% 28049 Hinds, MS 250,800 288.6 84.8% No Yes 1.1% 26,101 20,076 17,260 3.22 19.9% 21.2% 28051 Holmes, MS 21,609 28.6 27.0% No No 0.3% 13,424 14,144 12,330 3.48 41.1% 44.5% 28053 Humphreys, MS 11,206 26.8 54.1% No No 0.8% 17,833 14,377 11,642 3.54 38.2% 41.8% 28055 Issaquena, MS 2,274 5.5 0.0% Yes No 0.2% 9,679 14,662 11,146 3.37 33.2% 37.9% 28057 Itawamba, MS 22,770 42.8 12.1% No No 0.6% 20,049 20,650 15,840 2.95 14.0% 16.0% 131,420 180.8 67.7% No Yes 2.7% 22,292 22,209 16,282 3.14 12.7% 14.3% 18,149 26.8 0.0% No No 0.3% 16,139 17,384 13,117 3.19 22.7% 25.5% 9,740 18.8 28.5% No No 0.3% 10,528 16,184 13,480 3.36 36.0% 38.3% 28065 Jefferson Davis, MS 13,962 34.2 0.0% No No 0.3% 15,441 15,316 11,583 3.20 28.2% 30.5% 28067 Jones, MS 64,958 93.6 40.3% No No 2.0% 21,963 18,102 13,469 3.08 19.8% 21.6% 28069 Kemper, MS 10,453 13.6 0.0% No No 0.4% 16,775 15,772 11,744 3.11 26.0% 27.0% 28071 Lafayette, MS 38,744 61.4 50.8% No No 2.4% 20,049 14,502 12,020 2.97 21.3% 22.9% 28073 Lamar, MS 39,070 78.6 32.4% No Yes 1.1% 19,959 21,115 15,279 3.11 13.3% 15.5% 28075 Lauderdale, MS 78,161 111.0 52.1% No No 0.7% 22,871 19,692 15,012 3.06 20.8% 23.4% 28077 Lawrence, MS 13,258 30.8 0.0% No No 0.6% 18,381 19,096 12,648 3.10 19.6% 22.2% 28079 Leake, MS 20,940 35.9 18.5% No No 1.4% 17,990 18,398 14,592 3.13 23.3% 26.0% 28081 Lee, MS 75,755 168.3 53.8% No No 1.1% 25,575 22,056 17,421 3.05 13.4% 15.1% 28083 Leflore, MS 37,947 64.1 78.7% No No 1.1% 18,909 16,046 13,422 3.33 34.8% 37.4% 28059 Jackson, MS 28061 Jasper, MS 28063 Jefferson, MS 28085 Lincoln, MS 33,166 56.6 36.0% No No 0.6% 19,766 17,772 12,925 3.08 19.2% 21.1% 28087 Lowndes, MS 61,586 122.7 60.3% No No 1.3% 21,270 19,867 13,891 3.13 21.3% 24.8% 28089 Madison, MS 74,674 103.9 66.7% No Yes 1.7% 27,908 26,731 21,861 3.23 14.0% 15.8% 28091 Marion, MS 25,595 47.2 31.0% No No 0.8% 17,790 16,289 10,893 3.13 24.8% 27.2% 28093 Marshall, MS 34,993 49.6 19.2% No No 1.0% 17,659 19,258 15,131 3.19 21.9% 24.1% 28095 Monroe, MS 38,014 49.8 34.9% No No 0.6% 18,255 20,091 14,604 3.07 17.2% 19.9% 28097 Montgomery, MS 12,189 29.9 39.3% No No 0.2% 17,847 17,894 14,297 3.10 24.3% 27.8% 28099 Neshoba, MS 28,684 50.3 23.0% No No 0.8% 20,468 18,581 14,618 3.11 21.0% 23.3% 28101 Newton, MS 21,838 37.8 15.3% No No 0.5% 19,299 18,636 14,195 3.04 19.9% 22.4% 28103 Noxubee, MS 12,548 18.1 24.1% No No 1.0% 17,016 15,331 13,001 3.36 32.8% 35.1% 28105 Oktibbeha, MS 42,902 93.7 60.8% No No 3.3% 18,799 12,290 10,797 3.03 28.2% 30.2% 28107 Panola, MS 34,274 50.1 27.5% No No 0.6% 16,367 18,273 14,857 3.25 25.3% 27.1% 28109 Pearl River, MS 48,621 59.9 30.3% No No 1.2% 16,969 19,828 13,018 3.08 18.4% 20.7% 28111 Perry, MS 12,138 18.8 0.0% No No 0.5% 14,771 17,947 12,313 3.18 22.0% 25.3% 28113 Pike, MS 38,940 95.2 47.6% No No 0.9% 18,112 16,218 12,478 3.12 25.3% 28.2% 28115 Pontotoc, MS 26,726 53.8 16.0% No No 1.1% 18,767 21,418 17,158 3.08 13.8% 15.5% 216 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Urban Frontr Metro born 2000 Total Pop Size, Poverty ($) ($) ($) Population Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 28117 Prentiss, MS 25,556 61.6 23.9% No No 0.4% 16,312 18,356 14,361 3.00 16.5% 19.2% 28119 Quitman, MS 10,117 25.0 36.8% No No 0.2% 14,819 15,639 13,108 3.42 33.1% 36.2% 115,327 148.8 60.0% No Yes 1.6% 26,053 24,833 20,629 3.07 9.5% 10.5% 28,423 46.7 29.1% No No 4.2% 17,653 17,667 14,064 3.21 20.7% 22.6% 28125 Sharkey, MS 6,580 15.4 0.0% No No 0.4% 13,484 14,674 11,833 3.56 38.3% 39.3% 28127 Simpson, MS 27,639 46.9 16.0% No No 0.9% 17,564 19,019 14,018 3.14 21.6% 23.2% 28129 Smith, MS 16,182 25.4 0.0% No No 0.5% 18,994 20,205 14,533 3.13 16.9% 18.6% 28131 Stone, MS 13,622 30.6 21.2% No No 1.0% 16,840 17,706 13,226 3.13 17.5% 19.6% 28133 Sunflower, MS 34,369 49.5 63.4% No No 0.6% 14,418 16,603 13,203 3.50 30.0% 32.6% 28135 Tallahatchie, MS 14,903 23.1 20.2% No No 0.5% 14,802 16,253 12,897 3.36 32.2% 36.8% 28137 Tate, MS 25,370 62.6 31.2% No No 0.2% 21,618 19,563 14,421 3.18 13.5% 15.5% 28139 Tippah, MS 20,826 45.5 21.5% No No 1.9% 18,819 20,268 16,245 3.00 16.9% 18.9% 28141 Tishomingo, MS 14.9% 28121 Rankin, MS 28123 Scott, MS 19,163 45.2 0.0% No No 1.0% 17,003 19,912 14,484 2.89 14.1% 28143 Tunica, MS 9,227 20.3 41.0% No No 0.9% 17,606 16,048 14,767 3.44 33.1% 35.9% 28145 Union, MS 25,362 61.0 23.7% No No 1.8% 19,897 20,940 16,900 3.02 12.6% 14.5% 28147 Walthall, MS 15,156 37.5 0.0% No No 0.5% 15,146 15,507 11,583 3.19 27.8% 30.5% 28149 Warren, MS 49,644 84.6 63.2% No No 1.2% 25,382 20,846 15,973 3.14 18.7% 20.5% 28151 Washington, MS 62,977 87.0 82.9% No No 0.8% 19,237 17,441 14,062 3.35 29.2% 32.1% 28153 Wayne, MS 21,216 26.2 23.0% No No 0.3% 16,607 17,293 12,472 3.15 25.4% 27.6% 28155 Webster, MS 10,294 24.3 0.0% No No 0.5% 18,021 18,879 14,202 3.07 18.7% 20.7% 28157 Wilkinson, MS 10,312 15.2 0.0% No No 0.1% 13,933 15,958 13,577 3.16 37.7% 40.1% 28159 Winston, MS 20,160 33.2 24.8% No No 1.1% 18,177 18,197 13,696 3.09 23.7% 25.7% 28161 Yalobusha, MS 13,051 27.9 19.4% No No 0.4% 17,610 18,448 13,008 3.02 21.8% 24.7% No No 3.9% 34.6% 28163 Yazoo, MS 28,149 30.6 52.8% 8,049,313 165.2 60.2% 37001 Alamance, NC 130,800 303.5 69.3% No 37003 Alexander, NC 33,603 129.2 17.2% 37005 Alleghany, NC 10,677 45.4 0.0% 37007 Anson, NC 25,275 47.5 26.4% 37 NORTH CAROLINA 17,314 16,362 12,999 3.35 31.9% 5.3% 26,882 22,276 18,619 2.98 12.3% 13.7% Yes 6.3% 25,832 21,884 18,646 2.95 11.1% 12.3% No Yes 2.4% 23,738 21,904 17,637 2.95 8.5% 10.3% No No 4.1% 25,413 17,387 15,424 2.75 17.2% 18.9% No No 0.7% 21,883 19,923 16,205 3.09 17.8% 20.5% 37009 Ashe, NC 24,384 57.2 0.0% No No 1.9% 22,681 18,802 15,078 2.75 13.5% 14.5% 37011 Avery, NC 17,167 69.5 0.0% No No 2.6% 24,162 17,170 15,265 2.82 15.3% 15.6% 37013 Beaufort, NC 44,958 54.3 31.3% No No 2.6% 22,530 20,128 15,552 2.89 19.5% 22.0% 37015 Bertie, NC 19,773 28.3 0.0% No No 0.7% 21,436 17,426 14,337 3.07 23.5% 25.3% 37017 Bladen, NC 32,278 36.9 11.1% No No 2.3% 21,494 19,960 15,750 2.97 21.0% 22.8% 37019 Brunswick, NC 73,143 85.5 33.8% No Yes 2.9% 21,707 20,007 15,191 2.76 12.6% 14.1% 37021 Buncombe, NC 206,330 314.5 71.0% No Yes 3.9% 27,221 21,236 17,658 2.86 11.4% 12.9% 11.5% 37023 Burke, NC 89,148 175.8 54.4% No Yes 4.8% 21,729 21,296 18,611 2.94 10.7% 37025 Cabarrus, NC 131,063 360.1 72.4% No Yes 4.7% 28,961 25,639 20,888 3.03 7.1% 7.9% 37027 Caldwell, NC 77,415 164.0 61.7% No Yes 1.9% 24,707 21,766 18,549 2.89 10.7% 12.1% 37029 Camden, NC 6,885 28.6 0.0% No No 0.7% 22,755 24,974 17,383 2.97 10.1% 13.4% 37031 Carteret, NC 59,383 111.8 62.0% No No 2.0% 26,090 20,798 15,574 2.76 10.7% 12.4% 37033 Caswell, NC 23,501 55.2 0.0% No No 1.6% 19,494 21,306 18,728 3.01 14.4% 15.6% 37035 Catawba, NC 141,685 354.2 64.9% No Yes 6.5% 27,937 22,720 19,166 2.98 9.1% 10.8% 217 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Total Population 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Pop Urban Frontr Metro born Size, Poverty ($) ($) ($) Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 37037 Chatham, NC 49,329 72.2 19.3% No Yes 8.7% 30,380 24,150 20,548 2.91 9.7% 11.1% 37039 Cherokee, NC 24,298 53.4 0.0% No No 1.2% 18,323 18,246 14,283 2.76 15.3% 16.4% 37041 Chowan, NC 14,526 84.0 37.3% No No 0.9% 23,532 17,447 14,787 2.94 17.6% 19.0% 8,775 40.8 0.0% No No 1.2% 21,292 18,808 14,115 2.68 11.4% 13.5% 96,287 207.5 44.5% No No 1.7% 22,259 21,344 16,914 2.98 13.3% 14.9% 25.0% 37043 Clay, NC 37045 Cleveland, NC 37047 Columbus, NC 54,749 58.4 11.7% No No 1.4% 21,640 18,979 14,492 3.01 22.7% 37049 Craven, NC 91,436 131.4 67.8% No No 3.4% 25,342 19,747 15,540 2.93 13.1% 14.4% 302,963 464.0 87.3% No Yes 5.3% 24,899 20,754 16,218 3.11 12.8% 14.7% 11.8% 37051 Cumberland, NC 37053 Currituck, NC 18,190 69.4 0.0% No Yes 1.4% 24,515 22,177 15,775 2.98 10.7% 37055 Dare, NC 29,967 78.4 69.6% No No 2.5% 25,454 21,714 17,252 2.79 8.0% 8.5% 147,246 266.8 43.1% No Yes 3.6% 25,327 22,629 19,239 2.92 10.1% 11.2% 37059 Davie, NC 34,835 131.5 22.8% No Yes 3.4% 29,156 24,308 20,211 2.91 8.6% 9.7% 37061 Duplin, NC 49,063 60.0 13.5% No No 11.3% 20,560 18,226 14,732 3.10 19.4% 20.8% 14.2% 37057 Davidson, NC 37063 Durham, NC 37065 Edgecombe, NC 37067 Forsyth, NC 223,314 767.4 92.5% No Yes 10.9% 29,739 25,098 22,972 2.99 13.4% 55,606 110.1 54.9% No Yes 2.1% 20,827 19,483 16,946 3.16 19.6% 21.9% 306,067 746.5 90.9% No Yes 6.5% 32,291 24,838 20,649 2.94 11.0% 12.2% 37069 Franklin, NC 47,260 96.1 8.7% No Yes 3.6% 23,276 22,679 19,371 3.03 12.6% 14.7% 37071 Gaston, NC 190,365 533.2 77.5% No Yes 3.3% 25,006 23,416 19,485 2.97 10.9% 12.3% 37073 Gates, NC 10,516 30.8 0.0% No No 1.1% 19,260 21,159 15,465 3.09 17.0% 20.0% 37075 Graham, NC 7,993 27.4 0.0% No No 1.3% 18,732 17,139 15,051 2.82 19.5% 22.9% 37077 Granville, NC 48,498 91.3 34.4% No No 4.0% 21,850 22,692 20,743 3.05 11.7% 13.4% 37079 Greene, NC 18,974 71.6 0.0% No No 4.9% 20,894 19,359 15,307 3.09 20.2% 21.6% 37081 Guilford, NC 421,048 647.8 83.8% No Yes 6.5% 30,372 24,117 20,231 2.96 10.6% 11.7% 37083 Halifax, NC 57,370 79.1 42.6% No No 1.1% 19,874 19,362 15,674 3.06 23.9% 26.8% 37085 Harnett, NC 91,025 153.0 33.8% No No 4.6% 19,781 21,282 17,387 3.07 14.9% 16.7% 37087 Haywood, NC 54,033 97.5 52.1% No No 1.6% 22,571 20,351 15,896 2.76 11.5% 12.7% 37089 Henderson, NC 89,173 238.4 52.8% No No 5.9% 26,593 21,817 17,149 2.78 9.7% 10.9% 37091 Hertford, NC 22,601 63.8 34.0% No No 1.2% 20,384 18,877 15,169 2.99 18.3% 20.0% 37093 Hoke, NC 33,646 86.1 43.5% No No 5.8% 13,408 20,228 16,363 3.22 17.7% 19.5% 37095 Hyde, NC 5,826 9.5 0.0% No No 2.3% 20,600 18,986 15,373 2.94 15.4% 18.0% 122,660 213.7 50.4% No No 3.6% 25,767 24,090 18,968 3.00 8.2% 9.3% 37099 Jackson, NC 33,121 67.5 21.6% No No 1.7% 21,221 17,049 13,354 2.79 15.1% 16.9% 37101 Johnston, NC 37097 Iredell, NC 121,965 154.0 31.6% No Yes 5.9% 24,851 24,632 20,666 3.02 12.8% 13.9% 37103 Jones, NC 10,381 21.9 0.0% No No 2.1% 20,032 19,239 15,718 2.99 16.9% 18.2% 37105 Lee, NC 49,040 190.8 51.9% No No 9.5% 26,983 22,230 18,581 3.05 12.8% 14.3% 37107 Lenoir, NC 59,648 149.1 55.3% No No 2.7% 22,953 20,014 16,675 2.96 16.6% 18.2% 37109 Lincoln, NC 63,780 213.3 37.9% No Yes 4.8% 20,899 23,673 18,658 3.00 9.2% 10.6% 37111 McDowell, NC 42,151 95.4 23.3% No No 2.7% 20,374 21,095 17,942 2.90 11.6% 13.6% 37113 Macon, NC 29,811 57.7 18.9% No No 2.6% 22,979 18,725 15,086 2.74 12.6% 13.3% 37115 Madison, NC 19,635 43.7 0.0% No Yes 1.7% 20,279 20,872 15,846 2.81 15.4% 17.1% 37117 Martin, NC 25,593 55.3 22.4% No No 1.5% 20,638 18,957 15,121 3.02 20.2% 22.0% 695,454 1,319.6 96.2% No Yes 9.8% 37,737 27,382 23,069 3.06 9.2% 10.0% 37119 Mecklenburg, NC 218 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Urban Frontr Metro born 2000 Total Pop Size, Poverty ($) ($) ($) Population Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 37121 Mitchell, NC 15,687 70.7 0.0% No No 1.5% 20,510 20,226 15,780 2.82 13.8% 15.5% 37123 Montgomery, NC 26,822 54.6 12.5% No No 8.0% 20,766 19,900 16,413 3.08 15.4% 16.9% 37125 Moore, NC 74,769 107.0 41.3% No No 4.2% 30,238 21,885 17,811 2.81 11.4% 13.1% 37127 Nash, NC 87,420 161.9 51.5% No Yes 3.0% 27,024 22,208 18,555 3.02 13.4% 15.2% 37129 New Hanover, NC 160,307 805.6 95.4% No Yes 3.2% 27,588 21,686 17,041 2.83 13.1% 14.7% 37131 Northampton, NC 22,086 41.2 9.8% No No 0.7% 20,487 19,824 15,559 2.99 21.3% 24.2% 37133 Onslow, NC 150,355 196.0 71.2% No Yes 4.1% 22,847 16,480 13,356 3.09 12.9% 15.0% 37135 Orange, NC 118,227 295.6 68.0% No Yes 9.1% 28,864 20,753 17,029 2.95 14.1% 15.2% 37137 Pamlico, NC 12,934 38.4 0.0% No No 1.8% 22,788 19,817 16,058 2.81 15.3% 17.7% 37139 Pasquotank, NC 34,897 153.7 54.9% No No 2.3% 22,701 18,534 14,797 3.01 18.4% 20.8% 37141 Pender, NC 41,082 47.2 7.9% No No 3.6% 20,044 20,738 16,371 2.90 13.6% 14.8% 37143 Perquimans, NC 11,368 46.0 0.0% No No 0.7% 20,056 18,118 14,583 2.86 17.9% 20.5% 13.3% 37145 Person, NC 35,623 90.9 26.6% No No 1.3% 22,015 22,420 19,706 2.95 12.0% 37147 Pitt, NC 133,798 205.2 65.4% No Yes 3.6% 24,599 19,766 16,017 3.02 20.3% 22.8% 37149 Polk, NC 18,324 77.0 9.3% No No 3.7% 30,161 21,141 17,482 2.78 10.1% 10.8% 37151 Randolph, NC 130,454 165.6 39.7% No Yes 5.7% 23,548 22,114 18,291 2.97 9.1% 10.5% 37153 Richmond, NC 46,564 98.2 54.2% No No 2.2% 20,643 19,505 16,507 3.01 19.6% 21.4% 37155 Robeson, NC 123,339 130.0 34.5% No No 4.2% 17,473 18,324 15,299 3.20 22.8% 25.7% 37157 Rockingham, NC 91,928 162.1 40.7% No No 2.7% 21,989 21,380 18,192 2.93 12.8% 14.5% 130,340 255.1 58.8% No Yes 3.7% 23,327 22,272 18,289 2.98 10.6% 11.9% 37161 Rutherford, NC 62,899 111.5 37.0% No No 1.4% 21,101 20,488 16,532 2.90 13.9% 15.4% 37163 Sampson, NC 60,161 63.6 14.8% No No 7.1% 20,437 19,664 15,628 3.09 17.6% 19.5% 37165 Scotland, NC 35,998 112.8 47.2% No No 1.3% 20,714 21,229 17,057 3.10 20.6% 23.0% 37167 Stanly, NC 58,100 147.1 32.3% No No 2.6% 23,090 21,349 16,557 3.00 10.7% 11.8% 37169 Stokes, NC 44,711 98.9 20.1% No Yes 1.5% 22,429 23,024 18,828 2.94 9.1% 10.4% 37171 Surry, NC 71,219 132.6 30.2% No No 5.3% 23,319 20,413 16,358 2.92 12.4% 13.7% 37173 Swain, NC 12,968 24.6 0.0% No No 1.0% 17,160 17,894 14,781 2.91 18.3% 20.5% 37175 Transylvania, NC 37159 Rowan, NC 29,334 77.6 37.1% No No 2.3% 25,254 20,025 15,547 2.74 9.5% 11.0% 37177 Tyrrell, NC 4,149 10.6 0.0% No No 4.0% 19,257 16,836 11,720 2.95 23.3% 25.5% 37179 Union, NC 123,677 194.2 50.2% No Yes 5.7% 24,356 26,346 20,589 3.15 8.1% 8.9% 37181 Vance, NC 42,954 169.1 49.2% No No 3.4% 20,923 20,222 17,034 3.06 20.5% 22.0% 37183 Wake, NC 627,846 752.8 88.1% No Yes 9.7% 36,581 28,599 23,736 3.06 7.8% 8.4% 19,972 46.6 0.0% No No 2.3% 16,779 18,627 15,820 2.97 19.4% 20.1% 25.4% 37185 Warren, NC 37187 Washington, NC 13,723 39.4 34.5% No No 1.4% 19,443 18,575 13,153 2.99 21.8% 37189 Watauga, NC 42,695 136.4 40.0% No No 1.9% 23,328 14,110 11,233 2.80 17.9% 17.2% 37191 Wayne, NC 113,329 204.9 55.2% No Yes 4.2% 21,550 20,459 16,362 3.03 13.8% 16.0% 37193 Wilkes, NC 65,632 86.7 26.3% No No 3.0% 24,162 20,814 17,262 2.87 11.9% 13.7% 37195 Wilson, NC 73,814 199.0 63.1% No No 4.9% 24,477 20,154 16,499 3.03 18.5% 21.0% 37197 Yadkin, NC 36,348 108.2 13.9% No Yes 4.4% 22,816 22,004 18,589 2.92 10.0% 11.6% 37199 Yancey, NC 17,774 57.0 0.0% No No 2.8% 19,383 20,039 16,039 2.81 15.8% 17.6% 4,012,012 133.2 60.5% 2.9% 24,000 21,571 17,316 3.02 14.1% 15.8% 26,167 51.5 23.4% No No 1.0% 20,384 15,858 3.00 13.7% 16.0% 45 SOUTH CAROLINA 45001 Abbeville, SC 219 20,429 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 45003 Aiken, SC 2000 Total Population 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Pop Urban Frontr Metro born Size, Poverty ($) ($) ($) Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 142,552 132.9 60.9% No Yes 2.3% 24,179 22,625 17,176 3.03 13.8% 45005 Allendale, SC 11,211 27.5 59.0% No No 1.4% 17,843 17,623 15,473 3.21 34.5% 15.5% 38.2% 45007 Anderson, SC 165,740 230.8 58.3% No Yes 1.5% 23,981 22,503 17,817 2.94 12.0% 13.9% 45009 Bamberg, SC 16,658 42.4 45.7% No No 0.9% 18,656 17,281 15,223 3.10 27.8% 30.9% 45011 Barnwell, SC 23,478 42.8 14.9% No No 0.6% 21,027 21,106 17,427 3.08 20.9% 23.9% 45013 Beaufort, SC 120,937 206.0 71.4% No No 6.3% 32,112 21,610 17,872 2.90 10.7% 11.7% 45015 Berkeley, SC 142,651 129.7 66.0% No Yes 3.1% 18,160 21,434 17,303 3.15 11.8% 13.2% 45017 Calhoun, SC 15,185 40.0 0.0% No No 1.0% 21,023 21,442 16,988 3.03 16.2% 18.0% 45019 Charleston, SC 309,969 338.0 86.3% No Yes 3.6% 28,466 21,481 17,662 3.01 16.4% 17.9% 45021 Cherokee, SC 52,537 133.7 38.7% No Yes 1.3% 20,070 21,137 17,102 3.01 13.9% 15.5% 45023 Chester, SC 34,068 58.6 32.7% No No 0.8% 19,764 21,032 16,649 3.11 15.3% 17.5% 45025 Chesterfield, SC 42,768 53.5 27.4% No No 1.6% 19,584 20,579 16,260 3.05 20.3% 22.6% 45027 Clarendon, SC 32,502 53.5 14.7% No No 1.3% 17,727 18,888 15,316 3.12 23.1% 25.3% 45029 Colleton, SC 38,264 36.2 26.2% No No 1.2% 18,672 19,416 14,070 3.11 21.1% 23.7% 45031 Darlington, SC 67,394 119.9 45.4% No No 0.9% 21,038 20,671 16,068 3.07 20.3% 22.4% 45033 Dillon, SC 30,722 75.9 34.3% No No 1.0% 17,580 17,753 14,528 3.24 24.2% 26.2% 45035 Dorchester, SC 96,413 167.7 73.0% No Yes 2.8% 20,906 23,896 18,642 3.13 9.7% 11.8% 45037 Edgefield, SC 24,595 49.0 21.2% No Yes 1.3% 16,221 21,929 17,691 3.12 15.5% 17.1% 45039 Fairfield, SC 23,454 34.1 25.4% No No 0.5% 21,424 20,674 17,372 3.12 19.6% 21.8% 45041 Florence, SC 125,761 157.4 58.0% No Yes 1.8% 24,517 20,757 16,661 3.08 16.4% 18.2% 19.0% 45043 Georgetown, SC 45045 Greenville, SC 45047 Greenwood, SC 45049 Hampton, SC 45051 Horry, SC 55,797 68.5 54.7% No No 2.2% 23,618 19,501 15,411 3.01 17.1% 379,616 479.3 83.0% No Yes 4.9% 28,743 24,143 18,797 3.00 10.5% 11.8% 66,271 145.3 56.8% No No 2.8% 23,658 21,364 17,463 3.00 14.2% 16.2% 21,386 38.2 35.8% No No 0.7% 19,028 19,630 15,204 3.19 21.8% 24.1% 196,629 173.4 60.4% No Yes 4.0% 23,315 19,796 16,592 2.84 12.0% 13.2% 45053 Jasper, SC 20,678 31.6 17.5% No No 5.4% 16,716 19,257 15,319 3.22 20.7% 22.8% 45055 Kershaw, SC 52,647 72.5 37.9% No No 1.7% 20,835 22,176 17,650 3.02 12.8% 14.9% 45057 Lancaster, SC 61,351 111.8 38.6% No No 1.3% 20,765 21,648 17,926 3.01 12.8% 15.0% 45059 Laurens, SC 69,567 97.6 34.3% No No 1.6% 20,714 21,196 17,359 3.01 14.3% 15.9% 45061 Lee, SC 20,119 49.1 18.7% No No 2.1% 15,386 16,912 14,526 3.23 21.8% 24.4% 216,014 308.2 66.3% No Yes 2.9% 27,053 25,387 20,628 3.01 9.0% 9.9% 9,958 27.7 0.0% No No 0.6% 16,546 19,207 15,477 2.82 17.9% 20.7% 45063 Lexington, SC 45065 McCormick, SC 45067 Marion, SC 35,466 72.5 39.7% No No 1.4% 17,881 17,198 14,616 3.16 23.2% 25.8% 45069 Marlboro, SC 28,818 60.0 52.8% No No 0.6% 16,981 19,005 16,461 3.14 21.7% 24.2% 45071 Newberry, SC 36,108 57.2 33.1% No No 3.5% 20,639 20,204 16,631 2.99 17.0% 18.9% 45073 Oconee, SC 66,215 105.9 29.4% No No 2.4% 24,783 21,672 17,171 2.85 10.8% 12.6% 23.4% 45075 Orangeburg, SC 91,582 82.8 33.1% No No 1.0% 19,619 18,828 15,479 3.11 21.4% 45077 Pickens, SC 110,757 222.9 58.3% No Yes 2.9% 21,176 19,268 15,357 2.95 13.7% 14.5% 45079 Richland, SC 320,677 423.6 87.2% No Yes 3.9% 28,206 21,812 18,681 3.05 13.7% 14.8% 45081 Saluda, SC 19,181 42.5 18.7% No No 5.9% 18,683 20,979 17,146 3.07 15.6% 17.8% 45083 Spartanburg, SC 253,791 312.9 64.8% No Yes 3.7% 23,803 22,527 18,296 3.01 12.3% 13.7% 45085 Sumter, SC 104,646 157.1 62.1% No Yes 2.1% 20,493 19,710 15,907 3.17 16.2% 18.1% 220 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Total Population 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Pop Urban Frontr Metro born Size, Poverty ($) ($) ($) Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 45087 Union, SC 29,881 58.1 35.7% No No 0.6% 19,848 20,931 17,115 2.93 14.3% 17.2% 45089 Williamsburg, SC 37,217 39.8 15.1% No No 0.5% 17,248 16,636 13,667 3.22 27.9% 30.6% 164,614 241.0 64.3% No Yes 2.4% 25,158 23,898 18,352 3.05 10.0% 11.5% 47 TENNESSEE 5,689,283 138.0 63.6% 2.8% 25,946 21,700 17,318 2.99 13.5% 14.9% 47001 Anderson, TN 71,330 211.0 59.0% No Yes 1.9% 26,032 21,582 16,310 2.88 13.1% 14.7% 47003 Bedford, TN 37,586 79.3 40.7% No No 6.4% 21,321 19,684 16,052 3.06 13.1% 14.3% 47005 Benton, TN 16,537 41.9 22.1% No No 0.7% 20,388 17,822 12,665 2.82 15.6% 17.3% 47007 Bledsoe, TN 12,367 30.5 0.0% No No 0.4% 16,958 19,548 14,854 2.94 18.1% 19.6% 47009 Blount, TN 105,823 189.3 63.4% No Yes 1.5% 24,262 21,812 16,742 2.88 9.7% 11.0% 47011 Bradley, TN 87,965 267.4 66.4% No No 2.2% 24,394 20,470 15,648 2.94 12.2% 13.5% 45091 York, SC 47013 Campbell, TN 39,854 83.0 43.9% No No 0.8% 17,075 17,430 13,507 2.91 22.8% 24.5% 47015 Cannon, TN 12,826 48.2 0.0% No No 0.8% 21,602 20,780 16,389 2.99 12.8% 14.1% 47017 Carroll, TN 29,475 49.2 16.8% No No 1.1% 21,374 19,120 15,042 2.90 13.9% 15.8% 47019 Carter, TN 56,742 166.4 60.1% No Yes 0.8% 18,112 17,593 13,892 2.83 16.9% 18.6% 47021 Cheatham, TN 35,912 118.5 6.8% No Yes 1.1% 24,047 25,403 19,582 3.08 7.4% 8.0% 47023 Chester, TN 15,540 53.8 33.7% No Yes 0.5% 19,148 18,437 13,592 2.97 14.4% 16.0% 47025 Claiborne, TN 29,862 68.8 29.9% No No 0.9% 19,071 17,270 13,286 2.91 22.6% 24.1% 7,976 33.8 0.0% No No 1.1% 17,361 15,503 11,850 2.80 19.1% 22.9% 33,565 77.3 32.5% No No 0.8% 18,280 16,268 12,684 2.87 22.5% 23.4% 47031 Coffee, TN 48,014 111.9 52.4% No No 2.3% 23,041 20,010 14,407 2.96 14.3% 15.6% 47033 Crockett, TN 14,532 54.8 0.0% No No 3.9% 21,774 20,044 15,651 3.01 16.9% 18.6% 46,802 68.6 31.1% No No 1.9% 20,932 17,900 14,079 2.74 14.7% 16.1% 569,891 1,135.2 95.4% No Yes 6.9% 34,008 23,826 21,039 2.96 13.0% 14.1% 17.5% 47027 Clay, TN 47029 Cocke, TN 47035 Cumberland, TN 47037 Davidson, TN 47039 Decatur, TN 11,731 35.1 0.0% No No 1.7% 20,489 19,485 14,669 2.82 16.0% 47041 DeKalb, TN 17,423 57.1 21.1% No No 2.7% 19,841 20,016 16,311 2.90 17.0% 17.9% 47043 Dickson, TN 43,156 88.1 31.2% No Yes 0.7% 23,832 23,099 18,019 3.02 10.2% 12.1% 47045 Dyer, TN 37,279 73.0 55.5% No No 1.3% 22,532 21,320 16,554 2.97 15.9% 18.0% 47047 Fayette, TN 28,806 40.9 0.0% No Yes 0.7% 23,823 22,617 18,889 3.14 14.3% 15.0% 47049 Fentress, TN 16,625 33.3 0.0% No No 0.4% 18,718 16,541 13,464 2.94 23.1% 24.3% 47051 Franklin, TN 39,270 71.0 29.9% No No 1.4% 21,126 19,633 14,706 2.92 13.2% 14.5% 47053 Gibson, TN 48,152 79.9 50.4% No No 0.8% 22,531 20,986 16,736 2.93 12.8% 14.9% 12.9% 47055 Giles, TN 29,447 48.2 25.9% No No 0.9% 23,263 22,175 16,969 2.96 11.7% 47057 Grainger, TN 20,659 73.8 0.0% No No 1.1% 17,414 19,182 14,775 2.89 18.7% 21.2% 47059 Greene, TN 62,909 101.1 30.9% No No 1.3% 22,927 18,957 16,132 2.84 14.5% 16.3% 47061 Grundy, TN 14,332 39.7 0.0% No No 0.7% 18,313 16,732 11,509 3.01 25.8% 28.1% 47063 Hamblen, TN 58,128 361.0 74.2% No No 5.3% 24,060 20,188 15,715 2.91 14.4% 15.1% 47065 Hamilton, TN 307,896 567.0 90.3% No Yes 3.0% 29,761 22,265 18,128 2.95 12.1% 13.6% 47067 Hancock, TN 6,786 30.6 0.0% No No 0.3% 13,626 15,887 12,060 2.91 29.4% 30.5% 47069 Hardeman, TN 28,105 42.1 36.7% No No 0.7% 16,124 18,349 15,613 3.06 19.7% 21.1% 47071 Hardin, TN 25,578 44.3 31.3% No No 0.7% 21,002 18,958 13,668 2.87 18.8% 21.5% 47073 Hawkins, TN 53,563 110.0 38.6% No Yes 0.7% 19,255 21,453 15,636 2.86 15.8% 17.5% 47075 Haywood, TN 19,797 37.1 52.1% No No 1.7% 20,058 18,546 15,965 3.09 19.5% 21.0% 221 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Total Population 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Pop Urban Frontr Metro born Size, Poverty ($) ($) ($) Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 47077 Henderson, TN 25,522 49.1 22.7% No No 0.7% 21,584 21,308 16,772 2.90 12.4% 14.0% 47079 Henry, TN 31,115 55.4 32.8% No No 1.0% 22,347 19,328 15,050 2.82 14.3% 16.2% 47081 Hickman, TN 22,295 36.4 0.0% No No 0.8% 18,130 19,559 14,152 3.02 14.3% 15.3% 47083 Houston, TN 8,088 40.4 0.0% No No 1.6% 17,358 19,813 14,132 2.92 18.1% 19.9% 47085 Humphreys, TN 17,929 33.7 21.3% No No 0.9% 19,756 21,270 15,312 2.90 10.8% 13.0% 47087 Jackson, TN 10,984 35.5 0.0% No No 1.6% 18,624 16,893 14,966 2.89 18.1% 18.3% 47089 Jefferson, TN 44,294 161.7 24.7% No No 1.5% 19,986 18,457 13,769 2.89 13.4% 15.2% 47091 Johnson, TN 17,499 58.5 16.3% No No 0.6% 14,348 16,438 13,888 2.81 22.6% 24.0% 47093 Knox, TN 382,032 750.6 86.9% No Yes 2.5% 28,281 21,623 17,056 2.92 12.6% 13.9% 47095 Lake, TN 7,954 48.8 0.0% No No 0.5% 13,110 16,033 13,510 2.92 23.6% 27.7% 47097 Lauderdale, TN 27,101 57.5 40.4% No No 0.7% 16,339 20,740 16,890 3.06 19.2% 22.4% 47099 Lawrence, TN 39,926 64.7 25.0% No No 0.9% 19,981 19,766 15,165 3.02 14.6% 16.1% 47101 Lewis, TN 11,367 40.3 28.2% No No 1.0% 16,732 18,851 15,126 2.98 13.4% 15.8% 47103 Lincoln, TN 31,340 55.0 21.5% No No 0.9% 20,740 20,893 15,549 2.93 13.6% 15.7% 47105 Loudon, TN 39,086 170.7 50.1% No Yes 1.8% 26,241 22,281 16,981 2.82 10.0% 10.8% 47107 McMinn, TN 49,015 114.0 41.5% No No 1.3% 19,855 20,107 14,347 2.90 14.5% 16.5% 47109 McNairy, TN 24,653 44.0 15.7% No No 0.9% 20,604 20,212 14,073 2.89 15.9% 17.8% 47111 Macon, TN 20,386 66.4 18.5% No No 1.8% 17,845 18,842 14,819 3.00 15.1% 17.1% 47113 Madison, TN 91,837 164.9 71.4% No Yes 2.3% 25,817 21,679 17,405 3.00 14.0% 15.4% 47115 Marion, TN 27,776 55.6 20.7% No Yes 0.5% 21,380 21,386 16,713 2.93 14.1% 15.9% 47117 Marshall, TN 26,767 71.4 36.4% No No 1.4% 23,889 21,990 17,382 3.02 10.0% 10.8% 47119 Maury, TN 69,498 113.4 56.4% No No 2.1% 23,165 22,431 16,694 3.03 10.9% 13.2% 47121 Meigs, TN 11,086 56.9 0.0% No No 0.6% 16,241 19,571 14,420 2.94 18.3% 19.7% 47123 Monroe, TN 38,961 61.4 21.8% No No 1.2% 17,335 20,092 14,984 2.94 15.5% 16.6% 11.6% 47125 Montgomery, TN 134,768 250.0 74.4% No Yes 4.4% 23,670 21,442 15,907 3.11 10.0% 47127 Moore, TN 5,740 44.5 0.0% No No 1.0% 18,915 20,197 15,267 2.95 9.6% 11.0% 47129 Morgan, TN 19,757 37.8 17.2% No No 0.4% 15,047 18,071 13,322 3.01 16.0% 17.4% 47131 Obion, TN 32,450 59.5 40.8% No No 1.3% 24,409 20,496 15,021 2.89 13.3% 15.7% 47133 Overton, TN 20,118 46.5 15.7% No No 0.5% 17,820 18,084 14,042 2.90 16.0% 19.1% 47135 Perry, TN 7,631 18.4 0.0% No No 0.5% 20,310 20,237 16,338 2.96 15.4% 16.5% 47137 Pickett, TN 4,945 30.3 0.0% No No 0.3% 18,794 15,772 13,308 2.83 15.6% 17.3% 16,050 36.9 0.0% No No 0.8% 18,675 20,562 13,932 2.89 13.0% 14.6% 47141 Putnam, TN 62,315 155.4 60.7% No No 3.4% 23,403 17,484 14,695 2.92 16.4% 17.0% 47143 Rhea, TN 28,400 89.9 32.1% No No 1.3% 18,475 20,032 14,976 2.90 14.7% 17.5% 47145 Roane, TN 51,910 143.8 50.3% No No 1.2% 22,000 21,676 16,758 2.87 13.9% 16.2% 47147 Robertson, TN 54,433 114.1 42.2% No Yes 2.5% 24,733 23,841 19,249 3.06 9.0% 10.3% 47149 Rutherford, TN 182,023 294.1 75.3% No Yes 3.6% 25,953 24,481 20,046 3.09 9.0% 10.0% 47151 Scott, TN 21,127 39.7 15.0% No No 0.4% 16,582 17,574 14,623 3.02 20.2% 22.3% 47153 Sequatchie, TN 11,370 42.7 0.0% No No 1.2% 18,357 19,959 15,572 2.92 16.5% 17.8% 47155 Sevier, TN 71,170 120.2 35.0% No Yes 1.6% 22,275 18,867 15,373 2.88 10.7% 12.2% 897,472 1,188.7 96.7% No Yes 3.8% 30,981 24,112 20,505 3.18 16.0% 17.5% 20.5% No No 0.9% 20,829 21,927 17,258 3.00 12.2% 14.1% 47139 Polk, TN 47157 Shelby, TN 47159 Smith, TN 17,712 56.4 222 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Total Population 1999 2000 2000 2000 2000 2000 Percent Median Median Averg Pop 2000 Percent Per Percent 2000 2000 Foreign Capita Earning Earning Family Below Fem Income Total Pop Urban Frontr Metro born Size, Poverty ($) ($) ($) Density Pop Total Level Status Status Pop 1999 Percent Fem Pop Below Poverty Level 47161 Stewart, TN 12,370 27.0 0.0% No No 1.7% 17,498 21,532 15,567 2.91 12.4% 14.0% 47163 Sullivan, TN 153,048 370.6 73.5% No Yes 1.3% 24,451 20,426 15,634 2.84 12.9% 14.3% 47165 Sumner, TN 130,449 246.6 69.4% No Yes 2.4% 25,895 25,104 19,712 3.04 8.1% 9.3% 51,271 111.7 33.7% No Yes 0.8% 19,086 22,769 18,261 3.17 12.1% 14.0% 47167 Tipton, TN 47169 Trousdale, TN 7,259 63.7 0.0% No No 1.7% 17,678 21,094 17,667 2.99 13.4% 13.6% 47171 Unicoi, TN 17,667 95.0 54.2% No Yes 1.4% 21,557 20,629 14,973 2.80 13.1% 14.7% 47173 Union, TN 17,808 79.5 0.0% No Yes 0.3% 15,070 18,100 14,310 2.99 19.6% 21.2% 5,508 20.1 0.0% No No 0.2% 16,594 19,563 16,102 2.90 15.2% 16.6% 38,276 88.4 37.7% No No 3.7% 22,299 19,983 14,802 2.93 16.6% 18.8% 14.9% 47175 Van Buren, TN 47177 Warren, TN 47179 Washington, TN 107,198 328.8 67.4% No Yes 1.9% 23,882 19,247 15,195 2.85 13.9% 47181 Wayne, TN 16,842 22.9 0.0% No No 0.4% 15,521 18,549 12,438 2.93 16.3% 18.2% 47183 Weakley, TN 34,895 60.2 28.7% No No 2.0% 20,288 17,375 13,486 2.89 16.0% 17.9% 15.1% 47185 White, TN 47187 Williamson, TN 47189 Wilson, TN 84 REGION IV 91 UNITED STATES 23,102 61.3 17.7% No No 0.8% 18,816 18,686 15,247 2.90 14.3% 126,638 217.2 70.7% No Yes 3.9% 39,906 32,163 22,491 3.18 4.7% 5.4% 88,809 155.5 53.9% No Yes 1.4% 26,515 26,474 21,264 3.03 6.7% 7.9% 53,252,966 144.2 69.7% 7.8% 26,160 281,421,906 79.6 79.0% 11.1% 29,469 23,755 18,957 3.14 12.4% 13.5% 223 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 01 ALABAMA 2000 Total Population 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 2000 2000 2000 Percent 2000 2000 Percent Percnt Percent of Percnt Pop Fem Fem 16-64 Percent Families 16+ 16+ Fem 16+ with Fem with Unem- Unem- 2000 Fem with Employment 15+ Female Divorced Head ployed ployed Population Disability Disability 2000 Unmarried Female HshldrFemale Partner 4,447,100 6.2% 7.0% 2,300,596 26.5% 5.0% 11.2% 20.3% 44.6% 01001 Autauga, AL 43,671 4.9% 5.2% 22,450 25.4% 4.7% 11.0% 17.0% 35.1% 58 01003 Baldwin, AL 140,415 4.3% 4.7% 71,567 24.4% 6.4% 11.5% 14.1% 32.9% 128 01005 Barbour, AL 29,038 5.7% 6.9% 14,068 32.6% 5.0% 9.3% 26.8% 59.9% 32 01007 Bibb, AL 20,826 6.2% 6.4% 10,081 28.5% 4.4% 7.1% 16.8% 57.7% 13 01009 Blount, AL 51,024 4.8% 5.9% 25,548 26.8% 4.5% 8.4% 10.2% 35.8% 61 01011 Bullock, AL 11,714 8.6% 11.8% 5,574 37.7% 9.5% 9.4% 41.2% 61.6% 29 01013 Butler, AL 21,399 10.6% 13.3% 11,380 34.6% 6.6% 9.6% 26.0% 53.3% 19 01015 Calhoun, AL 58,547 27.2% 4.3% 11.8% 19.3% 47.6% 44 01017 Chambers, AL 36,583 6.5% 6.5% 19,298 31.7% 8.7% 12.2% 24.7% 42.6% 45 01019 Cherokee, AL 23,988 3.9% 4.8% 12,194 29.2% 5.5% 8.8% 12.4% 54.1% 28 01021 Chilton, AL 39,593 4.3% 4.8% 20,012 27.6% 4.5% 10.0% 14.1% 46.2% 49 01023 Choctaw, AL 15,922 8.8% 10.9% 8,433 32.6% 3.2% 7.5% 22.3% 61.9% 25 01025 Clarke, AL 27,867 8.9% 11.5% 14,687 29.1% 5.9% 7.5% 21.6% 56.0% 11 01027 Clay, AL 14,254 5.5% 7.4% 7,302 29.5% 4.9% 11.7% 14.7% 44.4% 9 01029 Cleburne, AL 14,123 5.3% 4.6% 7,086 27.2% 3.4% 7.9% 11.7% 44.6% 0 01031 Coffee, AL 43,615 5.7% 7.2% 22,312 26.5% 3.7% 10.3% 16.8% 46.5% 48 01033 Colbert, AL 54,984 5.2% 5.7% 28,673 30.4% 7.1% 11.0% 16.9% 43.8% 48 01035 Conecuh, AL 14,089 9.8% 13.6% 7,422 32.4% 5.4% 11.4% 23.9% 61.3% 15 01037 Coosa, AL 12,202 7.1% 8.2% 5,970 34.8% 4.4% 9.3% 18.6% 47.7% 12 112,249 6.6% 7.1% 4,167 01039 Covington, AL 37,631 7.6% 9.4% 19,639 31.1% 6.0% 11.0% 16.4% 51.3% 36 01041 Crenshaw, AL 13,665 5.4% 6.8% 7,201 32.9% 5.0% 9.4% 22.1% 53.1% 15 01043 Cullman, AL 77,483 4.1% 5.2% 39,269 24.8% 4.4% 10.7% 11.8% 34.4% 40 01045 Dale, AL 49,129 7.7% 9.2% 24,773 27.2% 5.0% 11.7% 18.8% 48.3% 41 01047 Dallas, AL 46,365 11.2% 11.5% 25,273 32.9% 6.5% 9.3% 36.2% 64.5% 42 01049 DeKalb, AL 64,452 5.1% 6.1% 32,944 29.1% 5.4% 11.0% 13.5% 39.8% 67 01051 Elmore, AL 65,874 5.0% 5.4% 32,532 23.3% 4.5% 11.1% 15.6% 35.9% 86 01053 Escambia, AL 01055 Etowah, AL 38,440 7.0% 7.3% 18,965 30.6% 7.0% 12.1% 21.4% 52.3% 47 103,459 6.0% 6.3% 53,953 28.8% 5.9% 11.9% 18.5% 43.5% 123 01057 Fayette, AL 18,495 7.7% 9.2% 9,560 29.9% 4.0% 6.6% 14.9% 49.0% 5 01059 Franklin, AL 31,223 5.6% 5.7% 15,894 31.2% 5.6% 10.2% 14.2% 50.2% 27 01061 Geneva, AL 25,764 8.0% 11.5% 13,235 31.3% 5.6% 10.8% 15.5% 58.5% 22 01063 Greene, AL 9,974 13.1% 15.8% 5,293 35.9% 6.4% 7.5% 40.2% 61.8% 7 01065 Hale, AL 17,185 8.0% 12.4% 9,075 35.1% 5.9% 8.6% 30.7% 58.6% 15 01067 Henry, AL 16,310 6.3% 6.6% 8,556 33.3% 9.2% 8.9% 20.3% 50.5% 13 01069 Houston, AL 88,787 5.2% 6.2% 46,617 25.6% 5.0% 12.8% 20.1% 46.0% 72 01071 Jackson, AL 53,926 5.1% 5.4% 27,645 27.6% 4.5% 11.7% 14.3% 38.1% 46 01073 Jefferson, AL 662,047 6.3% 6.4% 349,958 25.7% 5.1% 12.7% 25.7% 37.6% 621 01075 Lamar, AL 15,904 7.1% 9.3% 8,224 29.9% 5.5% 9.3% 14.9% 44.4% 18 01077 Lauderdale, AL 87,966 5.6% 6.1% 45,885 25.6% 5.6% 10.2% 15.5% 41.9% 41 01079 Lawrence, AL 34,803 6.2% 7.2% 17,737 28.5% 4.6% 9.8% 14.9% 41.3% 21 01081 Lee, AL 115,092 5.8% 6.5% 58,462 19.9% 4.1% 8.6% 19.8% 40.2% 131 4.3% 5.5% 32,342 25.5% 5.1% 10.0% 14.1% 39.8% 53 11.9% 13.9% 7,171 37.5% 8.1% 8.5% 35.2% 61.2% 25 01083 Limestone, AL 65,676 01085 Lowndes, AL 13,473 224 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 01087 Macon, AL 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 2000 Percent 2000 2000 Percent of 2000 Percnt Fem 16-64 Percent Families Percnt Fem Fem 16+ with Fem with 16+ Unem- 2000 Fem with Employment 15+ Female ployed Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 24,105 12.3% 12.1% 13,030 34.3% 5.4% 9.3% 41.7% 55.9% 12 01089 Madison, AL 276,700 5.7% 6.4% 141,681 20.7% 3.5% 12.2% 17.3% 34.7% 246 01091 Marengo, AL 22,539 8.7% 8.5% 11,970 33.9% 7.3% 9.1% 27.1% 60.9% 0 01093 Marion, AL 31,214 8.1% 9.8% 15,763 29.6% 3.6% 11.4% 13.3% 48.0% 19 01095 Marshall, AL 01097 Mobile, AL 01099 Monroe, AL 82,231 5.7% 6.7% 42,220 26.8% 4.0% 11.2% 14.8% 51.4% 42 399,843 7.6% 8.4% 208,799 26.7% 5.7% 11.9% 24.9% 51.3% 382 24,324 8.4% 10.7% 12,748 26.6% 3.4% 10.1% 22.4% 59.1% 15 01101 Montgomery, AL 223,510 6.7% 7.1% 117,151 25.2% 4.8% 12.8% 28.1% 42.5% 229 01103 Morgan, AL 111,064 5.4% 6.4% 56,613 25.4% 5.2% 11.0% 15.5% 39.6% 113 01105 Perry, AL 11,861 14.7% 19.0% 6,451 32.7% 5.5% 7.9% 35.8% 63.6% 19 01107 Pickens, AL 20,949 8.2% 11.3% 11,140 32.3% 5.3% 8.9% 25.4% 58.7% 30 01109 Pike, AL 29,605 9.3% 12.2% 15,620 26.5% 4.6% 9.2% 26.2% 56.9% 32 01111 Randolph, AL 22,380 5.3% 7.2% 11,570 28.2% 4.9% 9.8% 16.9% 38.2% 35 01113 Russell, AL 49,756 6.3% 6.8% 26,052 30.1% 5.7% 13.3% 27.8% 48.3% 32 01115 St. Clair, AL 64,742 4.2% 4.3% 32,090 23.5% 4.0% 10.4% 13.0% 35.0% 102 01117 Shelby, AL 143,293 3.0% 3.2% 73,036 17.4% 3.1% 10.3% 10.9% 25.7% 118 01119 Sumter, AL 14,798 11.5% 14.0% 8,003 31.7% 5.9% 9.3% 36.6% 64.9% 20 01121 Talladega, AL 80,321 7.7% 9.4% 41,036 32.5% 6.3% 10.9% 21.2% 50.9% 84 01123 Tallapoosa, AL 41,475 6.1% 6.9% 21,771 33.2% 7.5% 11.3% 20.2% 49.5% 85 01125 Tuscaloosa, AL 164,875 6.2% 6.7% 85,503 23.3% 3.6% 10.5% 21.7% 40.6% 158 01127 Walker, AL 70,713 6.4% 6.9% 36,596 32.4% 5.7% 11.5% 16.4% 43.5% 63 01129 Washington, AL 18,097 7.7% 9.2% 9,228 26.3% 4.8% 7.6% 16.6% 51.6% 19 01131 Wilcox, AL 13,183 15.2% 20.1% 7,041 32.2% 5.0% 7.5% 37.4% 66.9% 17 01133 Winston, AL 12 FLORIDA 12001 Alachua, FL 12003 Baker, FL 12005 Bay, FL 24,843 6.3% 8.4% 12,677 27.1% 5.4% 11.2% 12.7% 43.6% 7 15,982,378 5.6% 5.9% 8,184,663 24.7% 5.7% 12.7% 18.0% 32.8% 20,389 217,955 7.0% 6.8% 111,550 17.5% 3.3% 10.9% 22.5% 40.2% 315 22,259 4.5% 6.2% 10,571 25.1% 2.6% 11.2% 16.4% 45.3% 2 148,217 4.9% 5.2% 74,811 24.8% 5.2% 14.4% 17.7% 39.5% 121 12007 Bradford, FL 26,088 4.8% 4.7% 11,492 27.9% 7.2% 12.5% 18.3% 38.6% 15 12009 Brevard, FL 476,230 4.9% 5.0% 243,044 23.7% 5.2% 12.9% 15.3% 31.2% 499 12011 Broward, FL 1,623,018 5.3% 5.7% 839,786 23.6% 5.9% 13.2% 19.9% 28.4% 2,283 12013 Calhoun, FL 13,017 6.5% 4.9% 5,993 28.9% 5.6% 10.5% 19.2% 49.7% 24 12015 Charlotte, FL 141,627 3.5% 3.4% 73,979 26.2% 6.4% 10.0% 10.5% 25.5% 138 12017 Citrus, FL 118,085 6.7% 7.4% 61,394 28.4% 6.5% 10.9% 11.0% 36.2% 110 12019 Clay, FL 140,814 4.6% 5.1% 71,479 21.0% 4.9% 11.4% 13.7% 22.6% 108 12021 Collier, FL 292 251,377 3.7% 3.6% 125,521 21.1% 6.3% 11.4% 10.4% 26.3% 12023 Columbia, FL 56,513 6.0% 6.3% 27,857 28.6% 5.0% 13.3% 18.1% 33.7% 65 12027 DeSoto, FL 32,209 5.3% 6.4% 14,106 25.9% 5.8% 9.2% 14.5% 49.0% 28 12029 Dixie, FL 13,827 7.4% 6.8% 6,463 35.6% 4.8% 10.5% 15.1% 46.6% 5 12031 Duval, FL 778,879 5.0% 5.2% 401,098 24.4% 5.8% 14.8% 23.6% 31.7% 1,075 12033 Escambia, FL 294,410 6.6% 6.7% 148,227 25.2% 4.2% 14.2% 22.7% 43.2% 390 12035 Flagler, FL 49,832 4.3% 4.1% 25,945 23.0% 5.5% 9.7% 11.0% 33.6% 29 12037 Franklin, FL 11,057 3.6% 5.5% 4,815 28.9% 5.0% 14.7% 14.8% 38.0% 4 12039 Gadsden, FL 45,087 7.6% 8.2% 23,639 29.6% 6.2% 11.6% 31.2% 43.3% 69 225 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 Percnt Fem 16+ Unemployed 2000 2000 Percent 2000 2000 Percent of Percnt Fem 16-64 Percent Families Fem 16+ with Fem with 2000 Fem with Employment 15+ Female Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 12041 Gilchrist, FL 14,437 4.4% 5.1% 6,794 28.5% 5.6% 12.0% 15.1% 42.1% 0 12043 Glades, FL 10,576 8.8% 6.9% 4,775 26.6% 5.3% 8.6% 12.0% 50.4% 7 12045 Gulf, FL 13,332 6.0% 5.6% 6,213 29.4% 7.2% 10.8% 16.5% 50.0% 13 12047 Hamilton, FL 13,327 7.1% 8.3% 5,670 32.6% 8.3% 9.6% 23.4% 56.5% 3 12049 Hardee, FL 26,938 9.7% 9.6% 12,293 29.3% 6.2% 9.5% 14.5% 42.7% 14 12051 Hendry, FL 12053 Hernando, FL 12055 Highlands, FL 12057 Hillsborough, FL 12059 Holmes, FL 36,210 7.8% 9.5% 16,090 26.1% 5.8% 9.4% 16.6% 44.3% 60 130,802 5.2% 5.7% 68,672 27.9% 5.6% 10.0% 12.0% 32.4% 204 87,366 4.4% 5.1% 44,766 29.2% 6.6% 8.8% 12.4% 45.8% 55 998,948 5.7% 6.1% 510,176 24.3% 5.7% 13.6% 20.2% 31.9% 1,513 18,564 6.2% 7.9% 8,718 30.5% 5.3% 12.0% 15.3% 48.2% 2 112,947 4.5% 4.2% 58,314 24.7% 8.1% 11.2% 13.4% 28.1% 131 12063 Jackson, FL 46,755 5.7% 7.1% 22,222 32.2% 7.3% 10.5% 20.7% 39.3% 37 12065 Jefferson, FL 12,902 4.8% 4.1% 6,321 27.7% 5.5% 11.3% 21.5% 39.7% 12 12061 Indian River, FL 12067 Lafayette, FL 12069 Lake, FL 7,022 4.5% 7.0% 2,822 24.5% 3.1% 9.2% 12.4% 48.3% 2 210,528 3.9% 4.0% 108,662 27.2% 7.0% 10.0% 12.0% 36.9% 193 12071 Lee, FL 440,888 3.7% 4.1% 225,384 23.1% 6.4% 11.5% 12.8% 29.9% 477 12073 Leon, FL 239,452 8.3% 6.9% 125,318 15.3% 2.5% 11.5% 23.1% 33.0% 329 12075 Levy, FL 34,450 6.1% 5.9% 17,760 29.7% 4.1% 13.1% 16.9% 46.1% 34 7,021 5.0% 6.5% 2,867 32.2% 6.7% 13.9% 18.9% 50.4% 3 12079 Madison, FL 18,733 5.4% 6.5% 9,023 33.9% 10.2% 11.8% 24.7% 54.0% 16 12081 Manatee, FL 264,002 3.6% 3.7% 136,453 25.3% 6.2% 12.0% 14.3% 29.9% 309 12083 Marion, FL 258,916 5.8% 6.2% 133,971 27.9% 6.4% 12.0% 15.3% 36.4% 250 12085 Martin, FL 126,731 4.2% 4.2% 64,539 22.1% 7.3% 11.4% 11.3% 25.8% 66 2,253,362 8.7% 10.0% 1,164,467 26.6% 5.2% 13.3% 24.4% 37.3% 2,731 119 12077 Liberty, FL 12086 Miami-Dade, FL 12087 Monroe, FL 79,589 3.2% 2.3% 37,210 25.6% 9.5% 14.6% 12.5% 25.4% 12089 Nassau, FL 57,663 4.8% 5.2% 29,220 21.9% 5.1% 10.7% 13.1% 27.6% 53 170,498 4.7% 5.3% 84,338 20.8% 4.8% 12.8% 14.5% 33.1% 118 12091 Okaloosa, FL 12093 Okeechobee, FL 12095 Orange, FL 12097 Osceola, FL 12099 Palm Beach, FL 35,910 4.7% 4.9% 16,665 31.3% 7.4% 11.3% 15.0% 35.8% 57 896,344 5.0% 5.5% 452,628 23.1% 5.7% 12.6% 20.9% 30.3% 1,089 172,493 5.0% 5.1% 87,471 24.4% 5.7% 11.9% 17.3% 30.4% 242 1,131,184 5.0% 5.3% 584,445 23.1% 5.9% 11.9% 15.1% 28.7% 1,516 12101 Pasco, FL 344,765 4.7% 4.7% 179,348 28.8% 6.7% 11.1% 13.3% 32.0% 624 12103 Pinellas, FL 921,482 4.3% 4.0% 482,523 26.1% 6.6% 14.8% 17.9% 26.6% 1,883 12105 Polk, FL 483,924 5.7% 6.2% 246,558 27.5% 6.8% 11.6% 17.0% 37.0% 548 70,423 5.7% 6.7% 35,632 33.2% 7.7% 12.3% 18.4% 52.6% 141 12109 St. Johns, FL 123,135 3.3% 3.3% 63,321 20.1% 6.0% 13.0% 13.0% 26.7% 156 12111 St. Lucie, FL 192,695 5.2% 5.8% 98,576 26.9% 7.7% 11.4% 15.7% 40.0% 132 12113 Santa Rosa, FL 117,743 5.3% 6.2% 58,684 23.0% 3.9% 11.1% 13.4% 37.8% 105 12115 Sarasota, FL 325,957 3.7% 3.4% 171,539 23.4% 6.6% 12.5% 12.2% 27.5% 341 12117 Seminole, FL 365,196 3.7% 3.9% 186,420 19.4% 4.5% 12.7% 16.5% 21.7% 356 12119 Sumter, FL 53,345 4.8% 6.3% 25,033 29.3% 7.2% 9.7% 11.6% 43.0% 17 12121 Suwannee, FL 34,844 7.3% 7.7% 17,832 31.8% 5.6% 12.3% 15.6% 41.1% 19 12123 Taylor, FL 19,256 5.5% 8.2% 9,423 30.1% 7.3% 14.0% 20.2% 48.3% 28 12107 Putnam, FL 226 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 12125 Union, FL 12127 Volusia, FL 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 2000 Percent 2000 2000 2000 Percent of Percnt Percnt Fem 16-64 Percent Families Fem 16+ Fem 16+ with Fem with Unem2000 Fem with Employment 15+ Female ployed Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 13,442 4.0% 4.7% 4,749 24.6% 4.2% 11.4% 19.3% 35.8% 4 443,343 6.3% 6.0% 227,982 25.4% 5.3% 13.1% 16.7% 33.0% 676 12129 Wakulla, FL 22,863 3.9% 4.6% 11,027 21.2% 4.3% 14.6% 16.8% 31.1% 43 12131 Walton, FL 40,601 4.4% 5.8% 19,789 28.7% 7.1% 13.5% 15.0% 47.4% 72 12133 Washington, FL 20,973 5.5% 6.3% 10,190 29.0% 3.2% 9.7% 16.0% 51.4% 17 8,186,453 5.5% 6.1% 4,159,340 22.6% 4.7% 11.6% 20.6% 35.3% 10,073 13001 Appling, GA 17,419 4.8% 6.0% 8,838 25.9% 4.4% 11.7% 17.0% 46.1% 10 13003 Atkinson, GA 7,609 5.2% 5.0% 3,842 25.0% 2.0% 8.7% 17.5% 49.6% 12 13005 Bacon, GA 10,103 4.5% 3.0% 5,151 29.8% 4.6% 10.1% 19.2% 52.8% 5 13007 Baker, GA 4,074 8.3% 10.5% 2,188 30.9% 4.9% 8.0% 27.0% 46.8% 1 44,700 6.2% 6.2% 20,568 24.4% 3.9% 10.9% 27.3% 36.2% 29 13 GEORGIA 13009 Baldwin, GA 13011 Banks, GA 14,422 3.0% 2.5% 7,139 25.1% 4.8% 9.6% 10.2% 36.0% 11 13013 Barrow, GA 46,144 4.2% 4.6% 23,205 23.6% 3.9% 11.0% 15.1% 26.8% 33 113 13015 Bartow, GA 76,019 4.0% 5.2% 38,459 21.9% 3.8% 11.1% 14.3% 23.5% 13017 Ben Hill, GA 17,484 6.3% 7.4% 9,115 28.5% 7.8% 9.8% 25.1% 57.3% 0 13019 Berrien, GA 16,235 4.5% 5.9% 8,260 28.7% 5.1% 10.8% 16.2% 47.7% 15 164 13021 Bibb, GA 153,887 7.5% 8.0% 83,087 26.4% 5.5% 12.9% 30.8% 46.6% 13023 Bleckley, GA 11,666 6.0% 6.8% 6,046 29.3% 5.3% 10.5% 21.7% 38.0% 5 13025 Brantley, GA 14,629 4.9% 4.7% 7,286 31.9% 9.8% 10.0% 13.8% 46.2% 22 13027 Brooks, GA 16,450 5.3% 5.4% 8,558 30.1% 5.9% 10.3% 25.5% 61.6% 28 13029 Bryan, GA 23,417 3.1% 3.5% 11,814 18.4% 2.4% 11.2% 14.8% 45.3% 37 13031 Bulloch, GA 55,983 10.2% 10.5% 28,728 19.6% 3.3% 8.0% 19.9% 44.7% 78 13033 Burke, GA 22,243 9.3% 10.8% 11,687 34.8% 8.2% 11.5% 31.2% 54.7% 9 13035 Butts, GA 19,522 3.9% 4.8% 9,119 26.4% 5.6% 12.0% 18.5% 29.3% 30 13037 Calhoun, GA 6,320 5.6% 5.6% 2,747 34.0% 9.5% 8.8% 33.8% 56.8% 0 13039 Camden, GA 43,664 5.8% 6.0% 21,098 19.2% 5.3% 10.5% 15.1% 37.7% 86 13043 Candler, GA 9,577 7.2% 9.8% 4,773 32.1% 5.1% 10.0% 20.0% 61.3% 8 13045 Carroll, GA 87,268 4.8% 5.8% 44,736 23.4% 4.7% 10.9% 16.8% 38.3% 124 58 13047 Catoosa, GA 53,282 3.3% 3.8% 27,499 22.7% 4.9% 12.9% 14.6% 29.6% 13049 Charlton, GA 10,282 5.2% 5.5% 4,842 25.9% 3.5% 10.1% 20.1% 56.3% 14 13051 Chatham, GA 232,048 6.1% 6.3% 120,258 25.8% 5.9% 12.6% 25.7% 40.0% 340 13053 Chattahoochee, GA 14,882 7.5% 9.3% 5,477 17.6% 4.3% 5.6% 11.3% 39.3% 5 13055 Chattooga, GA 25,470 5.6% 6.3% 12,331 29.1% 6.8% 12.4% 17.7% 34.4% 21 13057 Cherokee, GA 141,903 2.7% 3.1% 70,691 15.9% 3.7% 11.3% 10.5% 16.3% 195 13059 Clarke, GA 101,489 10.2% 10.5% 51,957 17.6% 3.1% 8.8% 26.9% 47.0% 183 13061 Clay, GA 13063 Clayton, GA 13065 Clinch, GA 13067 Cobb, GA 3,357 6.8% 9.0% 1,831 30.1% 4.6% 6.8% 33.9% 69.8% 0 236,517 5.5% 5.7% 121,625 21.3% 5.0% 14.6% 28.2% 20.7% 364 6,878 4.2% 7.2% 3,458 32.4% 5.4% 10.9% 23.3% 49.1% 2 607,751 3.8% 4.2% 306,243 16.5% 3.8% 11.9% 15.6% 17.9% 687 13069 Coffee, GA 37,413 6.4% 8.2% 18,839 28.5% 4.8% 10.5% 20.8% 45.6% 49 13071 Colquitt, GA 42,053 6.3% 7.5% 21,225 31.1% 6.3% 10.0% 21.7% 46.2% 14 75 13073 Columbia, GA 89,288 3.7% 4.8% 45,658 17.6% 4.1% 9.5% 13.1% 24.9% 13075 Cook, GA 15,771 5.3% 8.4% 8,208 28.8% 4.3% 10.0% 21.0% 55.0% 5 13077 Coweta, GA 89,215 3.9% 5.2% 45,053 20.0% 4.7% 10.3% 15.6% 28.5% 69 227 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 Percnt Fem 16+ Unemployed 2000 2000 Percent 2000 2000 Percent of Percnt Fem 16-64 Percent Families Fem 16+ with Fem with 2000 Fem with Employment 15+ Female Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 13079 Crawford, GA 12,495 4.6% 4.9% 6,233 21.5% 4.0% 7.9% 16.3% 40.7% 8 13081 Crisp, GA 21,996 7.0% 9.1% 11,655 32.4% 6.3% 10.0% 30.6% 67.8% 32 13083 Dade, GA 15,154 5.4% 7.0% 7,733 22.9% 4.1% 7.9% 12.6% 21.1% 17 13085 Dawson, GA 15,999 3.4% 3.6% 7,965 21.5% 5.6% 11.2% 10.6% 26.6% 10 13087 Decatur, GA 28,240 6.5% 7.2% 14,787 28.3% 5.6% 11.3% 26.8% 55.9% 27 13089 DeKalb, GA 665,865 5.5% 5.6% 343,085 19.5% 4.0% 13.1% 28.1% 21.1% 1,542 13091 Dodge, GA 19,171 5.4% 7.8% 9,349 32.4% 7.7% 9.9% 21.9% 39.6% 0 13093 Dooly, GA 11,525 6.4% 8.5% 5,500 29.4% 5.5% 9.9% 29.0% 40.9% 17 13095 Dougherty, GA 96,065 10.1% 10.5% 51,265 27.6% 4.6% 12.9% 33.9% 51.5% 151 13097 Douglas, GA 92,174 3.8% 4.2% 46,912 20.9% 3.9% 12.3% 16.7% 24.7% 165 13099 Early, GA 12,354 8.1% 8.6% 6,602 33.6% 4.2% 8.0% 29.7% 61.8% 16 3,754 3.7% 6.3% 1,737 23.2% 5.8% 14.2% 14.6% 50.8% 18 13101 Echols, GA 13103 Effingham, GA 37,535 4.2% 5.5% 18,889 20.9% 4.1% 10.5% 13.9% 30.4% 36 13105 Elbert, GA 20,511 5.8% 6.7% 10,672 30.3% 4.6% 8.4% 21.8% 44.1% 16 13107 Emanuel, GA 21,837 4.4% 5.6% 11,328 28.9% 5.6% 9.2% 23.9% 57.4% 48 13109 Evans, GA 10,495 8.1% 12.4% 5,393 26.3% 4.5% 12.0% 23.1% 59.1% 0 13111 Fannin, GA 19,798 3.9% 5.6% 10,232 30.0% 4.1% 11.5% 12.4% 34.9% 15 13113 Fayette, GA 91,263 2.6% 2.3% 46,605 13.9% 3.7% 8.3% 10.1% 14.3% 56 13115 Floyd, GA 90,565 6.7% 8.8% 46,742 27.7% 5.1% 11.7% 18.2% 41.9% 83 13117 Forsyth, GA 98,407 2.1% 2.6% 48,557 15.5% 3.4% 8.7% 8.2% 18.1% 58 13119 Franklin, GA 20,285 4.2% 5.1% 10,451 30.3% 7.0% 8.6% 14.6% 43.3% 27 13121 Fulton, GA 816,006 8.9% 8.9% 414,280 21.3% 4.5% 12.4% 28.5% 39.4% 1,210 13123 Gilmer, GA 23,456 4.2% 5.9% 11,554 26.2% 5.4% 10.3% 11.4% 32.2% 14 2,556 12.3% 16.7% 1,328 30.9% 5.1% 11.0% 13.4% 28.1% 0 13127 Glynn, GA 67,568 5.6% 7.3% 35,246 23.5% 4.7% 14.9% 21.6% 42.4% 40 13129 Gordon, GA 44,104 3.5% 3.3% 22,162 24.5% 4.9% 12.5% 14.6% 31.5% 68 13131 Grady, GA 23,659 7.4% 9.4% 12,414 26.3% 3.6% 10.9% 21.9% 49.2% 14 13133 Greene, GA 14,406 6.7% 8.4% 7,506 29.7% 8.8% 9.1% 24.8% 51.2% 5 588,448 3.3% 3.8% 291,699 16.0% 3.8% 11.1% 13.3% 14.2% 674 13125 Glascock, GA 13135 Gwinnett, GA 13137 Habersham, GA 35,902 4.2% 4.9% 17,470 25.2% 7.0% 10.3% 12.5% 27.0% 35 139,277 3.8% 4.4% 68,393 24.2% 5.3% 10.5% 14.2% 29.4% 175 13141 Hancock, GA 10,076 13.7% 10.5% 4,696 39.0% 10.9% 6.3% 39.5% 60.6% 18 13143 Haralson, GA 25,690 4.1% 4.0% 13,159 28.0% 3.3% 11.3% 15.5% 32.3% 17 13145 Harris, GA 23,695 3.4% 3.5% 11,994 23.1% 4.6% 9.7% 13.5% 27.4% 57 13147 Hart, GA 22,997 5.3% 6.2% 11,671 27.5% 5.5% 10.1% 16.5% 44.7% 16 13149 Heard, GA 11,012 5.7% 6.4% 5,604 26.2% 4.1% 11.5% 16.1% 39.2% 19 13139 Hall, GA 13151 Henry, GA 119,341 2.7% 3.3% 60,473 18.8% 4.4% 11.1% 12.8% 18.0% 31 13153 Houston, GA 110,765 4.9% 5.2% 56,258 21.6% 4.3% 11.6% 19.0% 35.6% 134 13155 Irwin, GA 13157 Jackson, GA 9,931 6.0% 7.6% 5,051 25.1% 3.4% 9.8% 19.4% 47.2% 0 41,589 3.4% 3.9% 20,758 24.8% 4.8% 10.5% 14.2% 41.7% 49 13159 Jasper, GA 11,426 4.7% 5.6% 5,824 26.7% 5.6% 11.3% 17.8% 40.7% 33 13161 Jeff Davis, GA 12,684 5.6% 7.9% 6,456 30.6% 5.3% 10.9% 18.3% 43.6% 7 13163 Jefferson, GA 17,266 11.8% 14.4% 9,139 33.4% 7.0% 8.3% 32.2% 48.4% 0 228 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 Percnt Fem 16+ Unemployed 2000 2000 Percent 2000 2000 Percent of Percnt Fem 16-64 Percent Families Fem 16+ with Fem with 2000 Fem with Employment 15+ Female Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 12 13165 Jenkins, GA 8,575 10.7% 10.8% 4,466 30.0% 4.7% 12.5% 27.8% 49.5% 13167 Johnson, GA 8,560 5.5% 5.7% 4,342 32.8% 6.1% 10.2% 25.5% 66.2% 0 13169 Jones, GA 23,639 4.5% 4.6% 12,098 21.3% 6.1% 10.0% 17.2% 30.6% 24 13171 Lamar, GA 15,912 5.5% 6.3% 8,293 25.8% 4.6% 12.1% 21.7% 37.3% 13 13173 Lanier, GA 7,241 6.2% 7.3% 3,572 28.1% 7.2% 11.6% 18.4% 48.0% 10 13175 Laurens, GA 44,874 5.2% 5.3% 23,302 27.4% 4.4% 12.1% 24.0% 50.1% 49 13177 Lee, GA 24,757 3.4% 3.8% 12,251 17.3% 2.9% 9.8% 15.8% 28.0% 0 13179 Liberty, GA 61,610 8.6% 10.8% 29,164 18.7% 3.7% 10.2% 19.0% 51.9% 29 9 13181 Lincoln, GA 8,348 6.0% 7.6% 4,284 28.5% 3.1% 8.2% 21.2% 40.8% 13183 Long, GA 10,304 8.8% 12.4% 5,098 20.3% 3.9% 10.9% 19.4% 54.2% 2 13185 Lowndes, GA 92,115 5.8% 6.7% 46,304 23.6% 4.9% 11.4% 23.3% 47.6% 86 13187 Lumpkin, GA 21,016 4.0% 5.8% 10,707 24.7% 4.8% 8.9% 13.2% 31.3% 27 13189 McDuffie, GA 21,231 7.7% 8.5% 11,211 29.0% 6.7% 10.9% 26.1% 43.8% 23 13191 McIntosh, GA 10,847 5.7% 7.1% 5,478 29.7% 6.4% 13.0% 20.4% 43.0% 17 13193 Macon, GA 14,074 9.1% 10.6% 7,090 31.3% 5.7% 7.9% 33.8% 53.8% 4 13195 Madison, GA 25,730 2.7% 4.0% 13,088 24.4% 7.4% 10.2% 14.2% 30.5% 32 13197 Marion, GA 13199 Meriwether, GA 13201 Miller, GA 7,144 3.6% 4.1% 3,626 32.4% 7.0% 7.5% 21.1% 40.8% 8 22,534 7.0% 7.1% 11,771 32.2% 4.4% 9.3% 25.3% 40.2% 48 13 6,383 4.0% 4.9% 3,375 30.8% 8.8% 11.1% 21.8% 49.4% 13205 Mitchell, GA 23,932 6.2% 7.8% 11,762 29.2% 5.8% 9.3% 30.6% 58.8% 40 13207 Monroe, GA 21,757 3.4% 3.8% 10,912 26.0% 7.2% 9.3% 17.7% 38.9% 38 13209 Montgomery, GA 13211 Morgan, GA 13213 Murray, GA 13215 Muscogee, GA 8,270 3.9% 5.6% 4,033 25.7% 3.1% 9.7% 19.1% 41.1% 28 15,457 5.1% 5.6% 7,970 24.5% 5.4% 8.6% 18.9% 37.4% 13 36,506 4.0% 3.7% 18,264 28.6% 5.4% 14.5% 14.3% 29.5% 36 186,291 7.0% 7.5% 95,674 26.9% 5.5% 14.1% 28.7% 40.0% 201 13217 Newton, GA 62,001 5.2% 6.5% 31,847 22.8% 4.4% 10.9% 18.1% 28.3% 111 13219 Oconee, GA 26,225 3.7% 5.1% 13,301 15.6% 2.2% 8.8% 11.6% 31.9% 31 13221 Oglethorpe, GA 12,635 3.0% 3.3% 6,498 28.5% 7.8% 12.5% 15.8% 35.4% 9 13223 Paulding, GA 81,678 2.6% 3.1% 40,805 17.9% 4.1% 10.2% 11.1% 17.6% 62 13225 Peach, GA 23,668 12.9% 14.9% 12,224 25.5% 6.1% 11.0% 27.5% 42.0% 39 13227 Pickens, GA 22,983 2.3% 3.0% 11,738 24.6% 7.1% 10.8% 11.5% 26.8% 30 13229 Pierce, GA 15,636 4.0% 4.7% 7,943 32.5% 7.2% 9.9% 15.5% 62.5% 9 13231 Pike, GA 13,688 3.4% 4.9% 6,838 21.8% 2.8% 9.6% 13.2% 29.9% 13 13233 Polk, GA 71 38,127 6.0% 7.2% 19,144 30.6% 5.1% 10.7% 17.7% 39.2% 13235 Pulaski, GA 9,588 5.5% 5.7% 5,507 27.9% 5.8% 10.4% 22.9% 46.2% 31 13237 Putnam, GA 18,812 3.8% 4.7% 9,548 27.2% 3.8% 11.3% 17.3% 52.0% 27 13239 Quitman, GA 2,598 5.8% 8.6% 1,375 35.9% 11.0% 7.2% 25.9% 45.8% 0 15,050 4.9% 4.8% 7,623 26.2% 4.6% 12.5% 11.6% 22.6% 26 13243 Randolph, GA 7,791 7.9% 10.1% 4,190 30.1% 5.9% 7.1% 33.3% 57.3% 1 13245 Richmond, GA 199,775 9.2% 9.1% 103,400 28.4% 5.2% 14.0% 31.0% 44.1% 193 13247 Rockdale, GA 70,111 4.2% 4.3% 35,266 21.0% 3.5% 11.2% 15.8% 18.8% 102 3,766 5.7% 6.3% 1,963 29.8% 6.1% 13.6% 21.6% 36.9% 5 13251 Screven, GA 15,374 9.4% 10.3% 8,031 31.4% 6.3% 10.6% 25.8% 46.4% 15 13253 Seminole, GA 9,369 7.0% 9.3% 4,905 27.5% 4.9% 11.6% 24.6% 49.9% 17 13241 Rabun, GA 13249 Schley, GA 229 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 Percnt Fem 16+ Unemployed 2000 2000 Percent 2000 2000 of Percent Percnt Fem 16-64 Percent Families Fem 16+ with Fem with 2000 Fem with Employment 15+ Female Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 48 13255 Spalding, GA 58,417 6.2% 7.3% 30,235 28.5% 6.3% 12.8% 24.8% 40.8% 13257 Stephens, GA 25,435 4.2% 4.5% 13,221 26.9% 7.0% 10.5% 15.6% 29.1% 35 13259 Stewart, GA 5,252 10.1% 10.3% 2,742 36.1% 5.5% 10.5% 34.4% 45.5% 14 13261 Sumter, GA 33,200 6.8% 8.6% 17,645 26.0% 4.5% 10.4% 31.2% 52.0% 16 13263 Talbot, GA 6,498 8.7% 9.0% 3,466 31.1% 7.3% 7.0% 28.1% 56.6% 10 13265 Taliaferro, GA 2,077 9.8% 13.4% 1,075 35.4% 2.0% 7.9% 31.1% 54.5% 3 22,305 6.8% 7.3% 9,447 26.0% 5.4% 11.9% 19.3% 54.0% 23 13269 Taylor, GA 8,815 8.0% 7.9% 4,511 31.0% 5.8% 8.9% 28.8% 54.8% 4 13271 Telfair, GA 11,794 6.5% 6.7% 5,591 35.0% 8.1% 9.9% 24.1% 48.4% 14 13273 Terrell, GA 10,970 8.5% 11.3% 5,826 32.5% 6.4% 8.6% 32.9% 51.6% 3 13275 Thomas, GA 42,737 6.5% 7.4% 22,620 30.2% 6.5% 12.9% 26.2% 43.1% 44 13267 Tattnall, GA 13277 Tift, GA 38,407 6.8% 7.8% 19,743 26.2% 5.8% 11.6% 23.3% 50.1% 24 13279 Toombs, GA 26,067 5.7% 6.2% 13,624 26.7% 4.9% 12.4% 22.5% 45.9% 38 16 13281 Towns, GA 9,319 3.8% 4.7% 4,908 25.2% 5.6% 8.6% 9.0% 35.1% 13283 Treutlen, GA 6,854 9.4% 11.7% 3,450 34.0% 5.0% 10.6% 24.0% 40.8% 9 58,779 5.2% 4.9% 30,769 27.1% 6.2% 12.2% 25.1% 40.0% 41 13285 Troup, GA 13287 Turner, GA 9,504 8.0% 9.5% 4,934 27.0% 6.7% 11.2% 25.2% 53.7% 0 13289 Twiggs, GA 10,590 8.3% 9.0% 5,520 28.3% 4.4% 9.5% 23.5% 46.4% 18 24 13291 Union, GA 17,289 3.2% 4.2% 8,792 24.1% 5.0% 10.1% 9.7% 30.8% 13293 Upson, GA 27,597 7.0% 7.9% 14,492 30.1% 5.7% 11.7% 23.6% 38.9% 0 13295 Walker, GA 61,053 4.3% 5.0% 31,412 29.9% 7.0% 12.2% 16.2% 42.6% 42 13297 Walton, GA 60,687 3.4% 4.4% 31,131 23.0% 4.5% 9.9% 16.1% 33.9% 29 13299 Ware, GA 35,483 6.4% 6.5% 17,953 32.1% 6.9% 11.4% 21.4% 50.0% 13 13301 Warren, GA 6,336 9.4% 13.1% 3,399 33.2% 4.5% 7.6% 31.9% 57.0% 0 13303 Washington, GA 21,176 9.5% 11.7% 11,668 30.2% 4.8% 9.4% 29.6% 53.0% 8 13305 Wayne, GA 33 26,565 5.0% 5.6% 12,749 25.6% 5.5% 8.8% 18.9% 48.2% 13307 Webster, GA 2,390 7.5% 7.2% 1,189 29.9% 10.2% 6.9% 22.7% 51.0% 0 13309 Wheeler, GA 6,179 5.0% 7.7% 2,709 32.4% 4.6% 9.1% 18.8% 46.0% 8 13311 White, GA 19,944 2.8% 2.1% 10,064 25.6% 4.8% 12.0% 11.6% 38.7% 28 13313 Whitfield, GA 83,525 3.6% 4.0% 41,491 25.3% 4.9% 11.6% 14.3% 24.9% 48 13315 Wilcox, GA 8,577 4.9% 5.4% 3,835 31.0% 3.4% 8.4% 21.2% 62.7% 3 13317 Wilkes, GA 10,687 4.4% 5.4% 5,581 31.9% 7.6% 11.0% 25.1% 41.7% 28 13319 Wilkinson, GA 10,220 6.7% 7.6% 5,361 30.2% 5.2% 10.2% 25.1% 44.2% 13 13321 Worth, GA 21,967 7.2% 8.7% 11,440 27.9% 5.1% 9.7% 20.7% 46.9% 23 4,041,769 5.7% 5.8% 2,066,401 26.5% 4.8% 11.8% 17.0% 42.7% 4,244 21001 Adair, KY 17,244 10.8% 11.9% 8,889 33.1% 6.4% 9.2% 14.3% 46.7% 13 21003 Allen, KY 17,800 4.9% 6.6% 9,084 32.0% 6.7% 10.9% 13.3% 40.3% 13 21005 Anderson, KY 9 21 KENTUCKY 19,111 4.0% 5.2% 9,771 23.8% 3.5% 12.5% 12.2% 21.3% 21007 Ballard, KY 8,286 4.2% 5.2% 4,195 24.1% 2.8% 9.1% 11.3% 48.9% 0 21009 Barren, KY 38,033 5.4% 5.7% 19,735 29.0% 5.3% 10.4% 13.8% 41.9% 46 21011 Bath, KY 11,085 6.7% 9.0% 5,609 34.0% 3.1% 10.3% 14.3% 56.5% 11 21013 Bell, KY 30,060 11.1% 11.6% 15,690 39.6% 6.7% 11.8% 22.1% 69.5% 17 21015 Boone, KY 85,991 3.1% 3.1% 43,492 18.7% 4.6% 11.0% 13.1% 24.3% 102 230 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 Percnt Fem 16+ Unemployed 2000 2000 Percent 2000 2000 Percent of Percnt Fem 16-64 Percent Families Fem 16+ with Fem with 2000 Fem with Employment 15+ Female Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 30 21017 Bourbon, KY 19,360 3.8% 3.7% 9,948 25.8% 4.4% 12.3% 17.3% 50.7% 21019 Boyd, KY 49,752 8.5% 9.2% 25,389 29.2% 5.0% 12.4% 16.5% 43.0% 11 21021 Boyle, KY 27,697 4.3% 4.9% 13,966 25.3% 4.4% 13.1% 18.0% 43.7% 16 14 21023 Bracken, KY 8,279 4.9% 6.5% 4,182 27.4% 8.5% 9.6% 14.7% 44.1% 21025 Breathitt, KY 16,100 10.1% 7.0% 8,156 40.0% 5.7% 10.7% 19.3% 69.5% 38 21027 Breckinridge, KY 18,648 6.0% 6.6% 9,390 25.3% 3.4% 9.7% 12.2% 32.0% 13 21029 Bullitt, KY 61,236 3.2% 4.0% 30,782 22.2% 5.8% 12.1% 13.0% 35.2% 55 21031 Butler, KY 13,010 4.8% 5.5% 6,538 27.5% 3.7% 8.9% 12.7% 54.8% 16 26 21033 Caldwell, KY 13,060 5.5% 5.9% 6,782 27.5% 3.8% 11.5% 14.0% 46.1% 21035 Calloway, KY 34,177 9.6% 9.3% 17,689 23.3% 4.6% 9.7% 13.0% 47.2% 17 21037 Campbell, KY 88,616 3.9% 4.0% 45,870 22.2% 4.6% 12.0% 18.5% 35.9% 110 21039 Carlisle, KY 5,351 6.2% 7.5% 2,741 26.5% 5.9% 9.8% 13.1% 41.3% 0 21041 Carroll, KY 10,155 6.7% 8.3% 5,048 28.1% 2.4% 12.3% 17.0% 51.4% 19 40 21043 Carter, KY 26,889 8.2% 7.4% 13,726 25.2% 2.9% 9.3% 14.3% 44.4% 21045 Casey, KY 15,447 5.9% 7.9% 7,897 31.6% 5.5% 9.9% 15.3% 43.8% 8 21047 Christian, KY 72,265 6.8% 8.2% 34,971 27.1% 7.0% 10.2% 18.4% 41.2% 49 40 21049 Clark, KY 33,144 4.6% 4.7% 17,119 26.7% 5.6% 12.3% 16.5% 35.3% 21051 Clay, KY 24,556 10.7% 9.1% 11,598 39.0% 4.9% 10.5% 16.5% 65.5% 0 9,634 6.1% 8.1% 4,994 37.7% 6.5% 11.9% 14.1% 63.7% 10 16 21053 Clinton, KY 21055 Crittenden, KY 9,384 6.7% 4.9% 4,842 31.0% 4.9% 10.8% 12.6% 51.2% 21057 Cumberland, KY 7,147 6.5% 4.9% 3,708 36.6% 5.2% 9.4% 16.3% 45.0% 4 21059 Daviess, KY 91,545 5.8% 5.6% 47,524 24.6% 5.8% 12.2% 17.1% 41.9% 57 21061 Edmonson, KY 11,644 6.9% 8.0% 5,897 34.6% 5.3% 9.7% 11.9% 58.7% 0 6,748 10.5% 10.1% 3,457 38.2% 9.0% 12.2% 13.3% 54.9% 12 21063 Elliott, KY 21065 Estill, KY 21067 Fayette, KY 15,307 7.4% 8.4% 7,897 36.3% 5.2% 11.2% 17.8% 55.8% 7 260,512 5.4% 5.1% 132,607 19.4% 4.4% 12.3% 19.8% 31.6% 485 21069 Fleming, KY 13,792 6.7% 7.7% 7,038 32.3% 6.6% 10.9% 13.0% 41.0% 7 21071 Floyd, KY 42,441 10.0% 9.9% 21,578 36.6% 4.2% 11.3% 16.9% 66.3% 61 21073 Franklin, KY 47 47,687 6.2% 6.0% 24,621 26.0% 5.7% 16.3% 18.9% 36.2% 21075 Fulton, KY 7,752 8.6% 11.6% 4,131 27.8% 3.7% 12.1% 27.6% 57.2% 9 21077 Gallatin, KY 7,870 3.5% 4.0% 3,956 29.2% 8.8% 11.5% 14.5% 44.7% 11 21079 Garrard, KY 14,792 5.1% 3.9% 7,518 28.3% 6.3% 9.7% 12.5% 40.6% 18 21081 Grant, KY 22,384 5.4% 5.2% 11,354 27.1% 4.7% 12.2% 14.6% 40.2% 28 21083 Graves, KY 37,028 5.5% 6.7% 18,987 27.1% 4.4% 10.5% 14.1% 56.1% 64 21085 Grayson, KY 24,053 5.7% 6.1% 12,143 31.4% 6.1% 11.0% 13.8% 52.2% 9 21087 Green, KY 11,518 5.1% 6.2% 5,849 30.7% 3.3% 10.8% 11.9% 54.6% 16 21089 Greenup, KY 36,891 7.3% 6.6% 19,133 30.6% 3.8% 9.8% 13.7% 45.3% 52 21091 Hancock, KY 8,392 5.1% 6.0% 4,250 20.0% 3.1% 10.3% 11.0% 49.5% 5 94,174 5.7% 6.0% 46,617 23.5% 4.7% 12.3% 16.2% 32.6% 78 21095 Harlan, KY 33,202 13.2% 10.2% 17,314 39.3% 4.3% 10.6% 18.5% 61.2% 24 21097 Harrison, KY 17,983 3.6% 3.9% 9,222 25.6% 3.7% 10.4% 14.3% 39.7% 19 21099 Hart, KY 17,445 6.6% 7.7% 8,858 30.8% 4.0% 10.5% 14.6% 51.2% 26 21101 Henderson, KY 44,829 5.4% 5.4% 23,158 25.8% 3.6% 11.8% 16.7% 40.3% 31 21103 Henry, KY 15,060 3.7% 4.5% 7,558 28.1% 5.6% 12.0% 14.0% 36.6% 18 21093 Hardin, KY 231 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 2000 Percent 2000 2000 of Percent 2000 Percnt Percnt Fem 16-64 Percent Families Fem 16+ with Fem Fem 16+ with Unem2000 Fem with Employment 15+ Female ployed Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 21105 Hickman, KY 5,262 6.5% 6.8% 2,751 27.7% 5.6% 9.5% 15.4% 56.3% 0 21107 Hopkins, KY 46,519 7.0% 6.7% 24,353 28.3% 5.0% 11.9% 16.7% 49.0% 81 21109 Jackson, KY 13,495 8.8% 7.0% 6,841 36.9% 7.7% 11.2% 13.8% 61.2% 19 21111 Jefferson, KY 693,604 5.0% 4.9% 362,005 23.7% 4.8% 13.9% 23.1% 36.9% 750 47 21113 Jessamine, KY 39,041 4.3% 4.5% 19,856 22.3% 3.0% 10.4% 14.4% 36.5% 21115 Johnson, KY 23,445 8.4% 8.0% 12,142 35.4% 3.9% 11.0% 15.0% 54.2% 22 151,464 3.5% 3.7% 77,181 22.2% 4.1% 12.6% 18.2% 33.8% 190 21119 Knott, KY 17,649 15.6% 13.7% 8,947 35.6% 3.1% 9.6% 17.0% 66.5% 19 21121 Knox, KY 31,795 8.9% 8.5% 16,485 39.5% 5.1% 11.8% 18.8% 60.6% 26 21123 Larue, KY 13,373 4.8% 6.0% 6,844 28.9% 6.7% 9.6% 14.4% 46.3% 15 21125 Laurel, KY 52,715 5.4% 4.8% 26,950 30.9% 5.5% 11.5% 15.2% 57.6% 44 21127 Lawrence, KY 15,569 11.5% 9.8% 7,890 35.7% 4.3% 9.4% 14.0% 56.5% 12 7,916 9.4% 12.0% 3,780 34.0% 4.8% 11.2% 18.0% 64.1% 7 21131 Leslie, KY 12,401 10.2% 10.2% 6,357 38.6% 4.2% 11.6% 17.2% 66.0% 9 21133 Letcher, KY 25,277 11.0% 8.6% 12,911 36.5% 5.7% 9.0% 15.5% 66.4% 16 21135 Lewis, KY 14,092 11.7% 12.6% 7,083 31.1% 5.6% 9.6% 13.0% 56.6% 6 21137 Lincoln, KY 23,361 5.0% 3.8% 11,898 32.3% 7.7% 10.9% 14.1% 37.0% 18 21117 Kenton, KY 21129 Lee, KY 21139 Livingston, KY 21141 Logan, KY 21143 Lyon, KY 9,804 4.7% 3.4% 4,957 22.3% 3.3% 10.3% 10.9% 27.9% 0 26,573 4.2% 4.5% 13,760 27.1% 5.8% 11.7% 15.5% 35.7% 18 8,080 5.5% 4.0% 3,461 34.6% 15.8% 10.7% 11.5% 42.8% 13 21145 McCracken, KY 65,514 6.0% 6.1% 34,392 25.3% 4.2% 12.7% 18.4% 50.9% 41 21147 McCreary, KY 17,080 11.3% 10.5% 8,674 39.1% 4.0% 13.0% 18.9% 60.1% 0 21149 McLean, KY 9,938 6.1% 5.1% 5,061 28.0% 5.6% 11.5% 12.1% 46.5% 1 21151 Madison, KY 70,872 5.0% 5.4% 36,664 23.6% 3.8% 11.1% 16.0% 43.8% 84 21153 Magoffin, KY 13,332 12.8% 9.5% 6,760 35.2% 5.1% 9.6% 14.6% 68.4% 18 21155 Marion, KY 18,212 5.9% 7.2% 9,002 29.2% 4.3% 9.4% 19.1% 50.1% 28 21157 Marshall, KY 30,125 4.2% 5.1% 15,365 26.7% 7.0% 9.9% 10.9% 35.9% 31 21159 Martin, KY 12,578 12.8% 11.1% 6,353 39.7% 3.0% 10.4% 16.5% 70.2% 11 21161 Mason, KY 16,800 5.4% 4.0% 8,675 26.3% 6.8% 10.5% 16.2% 41.2% 15 21163 Meade, KY 26,349 7.2% 8.4% 13,149 23.0% 3.5% 10.1% 12.5% 35.4% 32 21165 Menifee, KY 6,556 8.3% 7.2% 3,249 32.9% 4.5% 12.5% 11.7% 62.0% 2 21167 Mercer, KY 20,817 3.6% 3.4% 10,728 25.9% 6.6% 12.1% 14.5% 42.1% 5 21169 Metcalfe, KY 10,037 6.5% 8.2% 5,142 30.9% 4.4% 11.5% 13.9% 53.8% 2 21171 Monroe, KY 11,756 10.1% 12.8% 6,053 33.2% 5.1% 10.9% 14.5% 49.4% 12 55 21173 Montgomery, KY 22,554 5.9% 5.4% 11,589 28.7% 6.7% 12.1% 15.5% 38.5% 21175 Morgan, KY 13,948 8.4% 7.7% 6,247 32.0% 3.9% 9.7% 12.3% 59.9% 19 21177 Muhlenberg, KY 31,839 7.6% 7.5% 16,082 28.3% 4.0% 10.2% 14.1% 53.9% 30 21179 Nelson, KY 37,477 3.7% 4.2% 19,054 23.3% 5.0% 11.4% 16.5% 42.4% 66 6,813 9.6% 12.0% 3,517 28.8% 6.4% 12.4% 13.9% 26.7% 10 21181 Nicholas, KY 21183 Ohio, KY 22,916 5.3% 5.2% 11,659 28.3% 5.2% 8.9% 12.4% 37.3% 8 21185 Oldham, KY 46,178 2.5% 2.8% 21,583 15.1% 3.7% 9.4% 9.5% 20.4% 44 21187 Owen, KY 10,547 5.3% 5.4% 5,261 26.9% 6.7% 9.3% 10.9% 32.7% 10 4,858 8.8% 5.4% 2,407 42.2% 6.7% 12.1% 17.3% 79.4% 5 14,390 5.0% 5.8% 7,184 24.6% 5.1% 10.9% 12.5% 36.4% 0 21189 Owsley, KY 21191 Pendleton, KY 232 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 2000 Percent 2000 2000 of Percent 2000 Percnt Percnt Fem 16-64 Percent Families Fem 16+ with Fem Fem 16+ with Unem2000 Fem with Employment 15+ Female ployed Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 21193 Perry, KY 29,390 11.6% 9.1% 15,100 34.3% 5.5% 12.0% 17.9% 56.7% 23 21195 Pike, KY 68,736 9.0% 8.0% 35,164 33.8% 3.7% 10.8% 15.5% 58.2% 60 21197 Powell, KY 13,237 5.6% 6.0% 6,640 36.7% 7.0% 11.6% 16.5% 63.1% 7 21199 Pulaski, KY 56,217 5.1% 5.3% 28,735 33.4% 7.0% 10.7% 14.1% 52.7% 25 21201 Robertson, KY 2,266 5.7% 6.9% 1,163 22.7% 2.9% 7.5% 12.7% 46.2% 5 21203 Rockcastle, KY 16,582 6.7% 6.3% 8,381 31.3% 4.3% 11.3% 15.6% 46.3% 19 21205 Rowan, KY 22,094 8.1% 9.2% 11,351 23.3% 3.2% 10.1% 15.5% 50.9% 30 21207 Russell, KY 16,315 6.5% 7.6% 8,412 34.2% 3.1% 11.4% 14.7% 58.1% 18 21209 Scott, KY 33,061 3.8% 5.0% 16,882 22.0% 4.5% 11.9% 15.5% 31.3% 53 21211 Shelby, KY 33,337 3.9% 4.2% 17,105 20.9% 3.4% 9.6% 14.1% 28.4% 81 21213 Simpson, KY 16,405 3.2% 3.2% 8,402 24.5% 6.0% 11.2% 15.9% 36.6% 20 21215 Spencer, KY 11,766 4.1% 4.6% 5,830 24.1% 6.3% 8.4% 9.6% 51.5% 12 21217 Taylor, KY 22,927 7.3% 8.3% 11,900 29.7% 3.6% 10.9% 16.1% 51.3% 0 21219 Todd, KY 11,971 4.4% 5.3% 6,146 30.3% 5.0% 12.0% 15.7% 40.5% 2 21221 Trigg, KY 12,597 4.9% 4.3% 6,397 32.1% 9.4% 10.9% 11.6% 48.6% 5 8,125 5.2% 7.7% 4,129 27.4% 5.9% 11.8% 11.7% 38.3% 9 21225 Union, KY 15,637 12.8% 9.9% 7,749 26.8% 4.7% 9.7% 15.9% 46.1% 9 21227 Warren, KY 92,522 5.8% 6.4% 47,166 21.4% 3.8% 11.2% 17.0% 47.3% 86 21223 Trimble, KY 21229 Washington, KY 10,916 4.6% 5.3% 5,553 25.3% 3.2% 7.7% 13.7% 40.4% 7 21231 Wayne, KY 19,923 7.9% 9.9% 10,072 39.7% 6.8% 9.9% 14.4% 72.3% 15 21233 Webster, KY 14,120 4.7% 5.4% 7,215 26.2% 4.9% 11.5% 14.2% 36.7% 13 21235 Whitley, KY 35,865 6.7% 5.4% 18,554 34.0% 5.3% 12.1% 18.1% 58.9% 47 7,065 9.1% 11.4% 3,559 40.1% 5.3% 12.5% 17.8% 69.1% 16 21239 Woodford, KY 23,208 2.6% 2.8% 12,026 22.7% 4.8% 11.8% 13.0% 24.9% 14 28 MISSISSIPPI 2,844,658 7.4% 8.0% 1,471,104 27.6% 5.0% 10.6% 24.2% 48.1% 2,827 21237 Wolfe, KY 28001 Adams, MS 34,340 9.1% 10.1% 18,454 31.9% 6.6% 13.4% 31.3% 57.3% 40 28003 Alcorn, MS 34,558 4.7% 4.8% 17,827 30.2% 4.5% 12.0% 16.5% 41.3% 30 28005 Amite, MS 13,599 8.9% 9.3% 7,036 35.5% 7.7% 8.8% 22.2% 55.7% 19 28007 Attala, MS 19,661 7.0% 8.1% 10,268 33.8% 4.8% 8.2% 23.4% 49.7% 28 28009 Benton, MS 8,026 7.1% 6.0% 4,124 32.5% 9.0% 7.7% 20.0% 53.6% 3 28011 Bolivar, MS 40,633 15.1% 15.2% 21,633 28.2% 3.8% 8.0% 38.7% 57.6% 79 28013 Calhoun, MS 15,069 6.5% 6.6% 7,901 33.1% 5.7% 9.5% 21.7% 45.4% 6 28015 Carroll, MS 10,769 7.4% 9.5% 5,405 33.6% 7.1% 7.2% 20.1% 36.1% 2 28017 Chickasaw, MS 39 19,440 5.2% 6.7% 10,095 34.0% 6.3% 10.8% 24.7% 48.0% 28019 Choctaw, MS 9,758 11.7% 14.2% 5,086 34.7% 4.0% 7.7% 20.1% 58.6% 5 28021 Claiborne, MS 11,831 18.0% 15.1% 6,372 25.0% 3.2% 5.2% 39.2% 54.9% 19 28023 Clarke, MS 17,955 8.5% 8.5% 9,386 27.1% 3.3% 10.7% 22.1% 57.7% 16 28025 Clay, MS 21,979 8.1% 7.1% 11,625 29.4% 7.8% 10.2% 31.0% 51.8% 48 26 28027 Coahoma, MS 30,622 10.1% 10.9% 16,557 31.2% 5.2% 8.4% 40.5% 56.0% 28029 Copiah, MS 28,757 11.0% 12.1% 14,909 31.0% 3.8% 10.3% 27.2% 53.2% 8 28031 Covington, MS 19,407 7.7% 8.6% 10,077 29.1% 3.3% 10.0% 23.2% 53.4% 28 28033 DeSoto, MS 107,199 3.6% 4.3% 54,131 19.5% 3.6% 11.4% 15.0% 22.7% 135 28035 Forrest, MS 72,604 7.9% 9.2% 38,350 24.5% 4.2% 12.2% 27.1% 46.3% 80 28037 Franklin, MS 8,448 8.7% 7.7% 4,394 29.6% 4.3% 6.5% 20.1% 59.3% 4 233 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 2000 Percent 2000 2000 2000 2000 of Percent Percent Percnt Percnt Fem 16-64 Percent Families Pop 16+ Fem 16+ Fem 16+ with Fem with Unem2000 Total Unem2000 Fem with Employment 15+ Female ployed Divorced Head Population ployed Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 28039 George, MS 19,144 9.1% 11.0% 9,542 25.7% 3.2% 8.9% 13.2% 53.0% 16 28041 Greene, MS 13,299 10.4% 10.8% 5,783 27.5% 2.5% 7.5% 15.6% 56.3% 17 28043 Grenada, MS 23,263 6.0% 7.0% 12,385 35.3% 9.0% 10.5% 26.1% 54.2% 10 28045 Hancock, MS 42,967 6.9% 7.9% 21,668 30.5% 7.1% 12.9% 16.2% 37.5% 28 28047 Harrison, MS 189,601 6.1% 5.8% 95,223 27.8% 5.9% 14.7% 22.2% 39.1% 201 28049 Hinds, MS 250,800 7.9% 7.8% 132,837 25.6% 5.5% 11.8% 33.2% 42.4% 292 28051 Holmes, MS 21,609 17.3% 13.3% 11,540 37.0% 5.9% 8.5% 43.7% 63.3% 32 28053 Humphreys, MS 11,206 11.4% 10.7% 5,978 37.9% 5.3% 5.9% 38.6% 62.2% 3 28055 Issaquena, MS 2,274 13.5% 15.9% 1,065 26.7% 1.6% 6.0% 22.7% 70.0% 4 28057 Itawamba, MS 28059 Jackson, MS 28061 Jasper, MS 22,770 7.2% 7.8% 11,730 30.0% 5.1% 10.2% 13.4% 39.2% 15 131,420 6.7% 7.6% 66,293 24.4% 4.4% 11.8% 19.4% 43.0% 135 18,149 8.3% 8.1% 9,500 32.6% 5.3% 9.0% 24.7% 51.3% 31 9,740 14.2% 13.6% 4,895 34.5% 5.5% 10.8% 40.3% 61.5% 10 28065 Jefferson Davis, MS 13,962 12.9% 16.5% 7,353 36.2% 4.4% 9.0% 29.7% 51.5% 5 28067 Jones, MS 64,958 5.7% 7.2% 33,535 30.5% 5.6% 11.2% 20.9% 47.9% 56 28069 Kemper, MS 10,453 12.6% 13.2% 5,438 29.5% 5.8% 7.3% 28.3% 51.6% 13 28071 Lafayette, MS 38,744 6.6% 7.8% 19,696 20.3% 3.0% 8.7% 19.7% 33.8% 29 28063 Jefferson, MS 28073 Lamar, MS 39,070 4.3% 4.7% 20,214 22.2% 4.7% 10.4% 15.4% 40.3% 40 28075 Lauderdale, MS 78,161 7.5% 8.4% 41,001 26.2% 4.8% 12.0% 26.6% 51.4% 75 28077 Lawrence, MS 13,258 6.3% 8.2% 6,898 30.6% 3.9% 8.9% 19.3% 56.1% 11 28079 Leake, MS 20,940 7.1% 8.2% 10,574 31.0% 4.1% 9.9% 22.5% 51.8% 21 28081 Lee, MS 75,755 4.9% 5.8% 39,402 25.5% 4.6% 13.1% 20.5% 39.7% 63 28083 Leflore, MS 37,947 15.9% 14.0% 19,714 33.1% 5.7% 8.6% 40.2% 57.3% 34 28085 Lincoln, MS 33,166 7.1% 8.9% 17,257 27.1% 3.6% 9.2% 20.0% 52.2% 26 28087 Lowndes, MS 61,586 7.9% 10.2% 32,437 23.3% 3.8% 8.9% 26.1% 62.6% 65 28089 Madison, MS 74,674 5.0% 5.8% 39,260 20.1% 3.9% 11.3% 21.9% 38.9% 95 28091 Marion, MS 25,595 7.0% 7.0% 13,216 30.6% 5.0% 9.1% 21.1% 64.5% 18 28093 Marshall, MS 34,993 8.9% 9.3% 17,676 28.1% 5.7% 10.4% 26.8% 46.0% 66 19 28095 Monroe, MS 38,014 6.7% 8.6% 20,038 28.2% 5.5% 9.5% 23.5% 47.7% 28097 Montgomery, MS 12,189 6.9% 9.2% 6,538 33.0% 5.7% 8.5% 26.2% 56.3% 2 28099 Neshoba, MS 28,684 7.4% 8.2% 15,007 28.3% 5.2% 10.6% 21.5% 53.5% 23 28101 Newton, MS 21,838 5.2% 5.9% 11,349 29.3% 3.8% 8.1% 22.0% 53.8% 7 28103 Noxubee, MS 12,548 9.4% 11.5% 6,586 32.9% 6.5% 7.3% 34.2% 62.3% 23 28105 Oktibbeha, MS 42,902 11.7% 8.7% 21,457 21.7% 3.6% 8.6% 25.4% 55.0% 28 28107 Panola, MS 34,274 7.8% 8.6% 17,866 32.5% 8.1% 9.6% 27.1% 49.9% 35 28109 Pearl River, MS 48,621 7.3% 8.3% 25,015 29.4% 4.8% 10.5% 16.6% 53.6% 48 28111 Perry, MS 12,138 7.1% 7.8% 6,207 28.8% 3.6% 8.3% 17.5% 59.2% 0 28113 Pike, MS 38,940 9.4% 9.8% 20,712 32.3% 6.4% 10.3% 28.0% 59.1% 28 28115 Pontotoc, MS 26,726 5.5% 7.4% 13,742 24.3% 5.1% 10.4% 15.9% 28.7% 23 28117 Prentiss, MS 25,556 5.6% 5.1% 13,166 30.0% 5.6% 10.8% 17.2% 40.7% 37 10,117 8.4% 9.1% 5,426 33.9% 6.3% 8.6% 38.1% 56.7% 6 115,327 3.8% 3.6% 58,971 21.3% 4.8% 12.1% 16.5% 27.6% 100 28119 Quitman, MS 28121 Rankin, MS 28123 Scott, MS 28125 Sharkey, MS 28,423 6.0% 7.6% 14,623 31.7% 5.5% 11.2% 25.4% 47.2% 37 6,580 14.5% 15.4% 3,487 31.7% 5.3% 5.8% 36.5% 65.5% 10 234 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 2000 Percent 2000 2000 2000 2000 of Percent Percent Percnt Percnt Fem 16-64 Percent Families Pop 16+ Fem 16+ Fem 16+ with Fem with Unem2000 Total Unem2000 Fem with Employment 15+ Female ployed Divorced Head Population ployed Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 28127 Simpson, MS 27,639 6.3% 7.9% 14,216 29.3% 4.4% 9.4% 20.2% 50.9% 11 28129 Smith, MS 16,182 5.9% 7.6% 8,277 35.4% 5.3% 8.7% 15.7% 41.9% 10 28131 Stone, MS 13,622 6.8% 6.8% 6,872 27.3% 2.4% 9.9% 17.4% 53.4% 13 28133 Sunflower, MS 34,369 12.9% 13.1% 15,919 31.7% 5.6% 6.9% 37.4% 55.2% 38 28135 Tallahatchie, MS 14,903 9.6% 9.7% 7,936 37.2% 7.2% 6.7% 32.3% 61.4% 9 28137 Tate, MS 25,370 10.3% 10.0% 13,098 25.3% 3.0% 9.0% 20.4% 33.0% 8 28139 Tippah, MS 20,826 5.3% 5.6% 10,753 31.7% 6.1% 10.2% 16.2% 46.9% 10 28141 Tishomingo, MS 19,163 5.7% 7.8% 9,942 30.1% 4.9% 10.7% 14.3% 38.7% 29 28143 Tunica, MS 9,227 9.3% 8.6% 4,828 31.9% 7.5% 8.1% 40.0% 48.1% 2 28145 Union, MS 25,362 4.8% 6.6% 13,085 27.5% 5.3% 9.5% 14.9% 31.3% 34 28147 Walthall, MS 15,156 9.8% 9.9% 7,915 32.9% 4.8% 9.4% 22.9% 61.0% 20 28149 Warren, MS 49,644 6.7% 7.1% 26,369 27.0% 5.8% 10.7% 27.1% 45.5% 51 28151 Washington, MS 62,977 11.9% 14.3% 33,545 27.9% 4.9% 9.1% 36.2% 54.2% 55 28153 Wayne, MS 21,216 7.8% 9.9% 11,081 30.5% 7.2% 7.8% 23.1% 63.9% 9 28155 Webster, MS 10,294 6.7% 9.1% 5,319 27.9% 4.5% 7.0% 17.8% 58.3% 0 28157 Wilkinson, MS 10,312 10.4% 11.5% 4,958 35.9% 7.5% 7.8% 34.9% 63.9% 16 28159 Winston, MS 20,160 7.4% 7.2% 10,409 27.5% 4.0% 9.1% 25.1% 53.2% 20 28161 Yalobusha, MS 13,051 7.0% 7.6% 6,824 32.5% 4.0% 10.0% 25.7% 59.5% 18 28163 Yazoo, MS 28,149 10.7% 12.1% 13,828 30.9% 4.7% 8.3% 32.7% 59.3% 22 5.3% 5.8% 4,106,618 24.0% 5.2% 9.9% 18.1% 34.3% 9,557 37001 Alamance, NC 37 NORTH CAROLINA 8,049,313 130,800 5.1% 5.2% 67,957 25.0% 5.6% 10.5% 18.4% 27.3% 180 37003 Alexander, NC 33,603 2.5% 2.6% 16,854 24.2% 4.7% 10.3% 12.7% 33.1% 31 37005 Alleghany, NC 10,677 4.6% 5.2% 5,418 28.0% 4.6% 9.5% 10.9% 20.1% 15 37007 Anson, NC 25,275 6.0% 7.0% 12,860 36.1% 9.1% 7.4% 27.3% 42.7% 22 17 37009 Ashe, NC 24,384 4.6% 5.0% 12,353 29.9% 5.0% 7.1% 11.8% 35.9% 37011 Avery, NC 17,167 7.0% 4.1% 8,104 29.9% 4.4% 8.9% 13.1% 29.5% 12 37013 Beaufort, NC 44,958 6.4% 7.0% 23,520 27.9% 5.5% 7.9% 18.8% 49.3% 75 37015 Bertie, NC 19,773 7.1% 7.4% 10,540 34.0% 7.8% 6.9% 28.7% 46.7% 17 37017 Bladen, NC 32,278 5.6% 5.3% 16,758 31.3% 5.0% 8.7% 22.7% 46.7% 47 37019 Brunswick, NC 73,143 4.6% 5.3% 37,178 26.6% 6.0% 10.4% 14.1% 43.4% 91 37021 Buncombe, NC 206,330 4.8% 4.7% 107,296 23.9% 4.9% 11.6% 16.6% 35.2% 429 37023 Burke, NC 89,148 4.2% 4.3% 44,574 29.7% 7.4% 10.7% 15.6% 27.6% 108 37025 Cabarrus, NC 131,063 4.2% 4.4% 66,522 23.2% 5.4% 9.6% 14.3% 21.3% 137 37027 Caldwell, NC 77,415 3.4% 4.0% 39,180 27.9% 6.0% 11.0% 15.1% 30.7% 118 37029 Camden, NC 6,885 3.7% 5.0% 3,471 22.8% 4.4% 8.1% 12.4% 42.3% 14 37031 Carteret, NC 59,383 5.0% 5.5% 30,226 25.5% 6.0% 11.1% 13.9% 40.0% 55 37033 Caswell, NC 23,501 6.5% 5.6% 11,605 30.4% 5.7% 7.2% 19.3% 32.1% 27 37035 Catawba, NC 141,685 3.3% 3.6% 71,803 23.0% 4.9% 10.5% 15.4% 30.7% 181 37037 Chatham, NC 49,329 2.9% 2.9% 25,061 19.9% 4.5% 9.3% 14.2% 36.2% 73 37039 Cherokee, NC 24,298 5.5% 6.7% 12,512 28.0% 4.9% 8.8% 13.1% 38.2% 23 37041 Chowan, NC 14,526 6.7% 7.1% 7,721 26.5% 5.7% 8.0% 21.8% 43.9% 0 8,775 4.0% 5.0% 4,503 28.5% 7.5% 8.8% 10.6% 42.8% 8 37045 Cleveland, NC 96,287 5.4% 5.9% 49,981 28.0% 7.4% 9.7% 18.8% 37.8% 129 37047 Columbus, NC 54,749 7.7% 9.2% 28,426 35.3% 7.4% 8.9% 22.4% 47.3% 65 37043 Clay, NC 235 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 37049 Craven, NC 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 Percnt Fem 16+ Unemployed 2000 2000 Percent 2000 2000 of Percent Percnt Fem 16-64 Percent Families Fem 16+ with Fem with 2000 Fem with Employment 15+ Female Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 91,436 5.3% 6.3% 45,284 23.2% 5.2% 9.4% 17.2% 39.5% 89 302,963 8.6% 9.4% 149,742 24.9% 4.7% 11.5% 21.5% 38.4% 162 37053 Currituck, NC 18,190 3.7% 3.4% 9,158 25.4% 7.2% 8.2% 12.3% 42.0% 51 37055 Dare, NC 29,967 4.9% 6.1% 14,869 15.7% 3.3% 12.0% 12.1% 24.3% 31 147,246 4.1% 4.8% 75,128 23.8% 6.0% 10.2% 14.8% 29.4% 132 37059 Davie, NC 34,835 3.7% 4.4% 17,686 24.2% 7.0% 8.6% 12.3% 27.5% 20 37061 Duplin, NC 49,063 7.4% 8.6% 24,746 30.9% 5.8% 8.2% 19.9% 36.3% 39 223,314 5.1% 5.2% 115,684 20.5% 4.3% 10.7% 24.4% 31.8% 550 55,606 9.6% 10.6% 29,760 31.3% 6.2% 10.3% 29.5% 44.6% 59 306,067 4.6% 4.5% 159,850 20.8% 4.5% 10.8% 20.5% 31.5% 421 37051 Cumberland, NC 37057 Davidson, NC 37063 Durham, NC 37065 Edgecombe, NC 37067 Forsyth, NC 37069 Franklin, NC 47,260 4.7% 5.7% 23,946 25.9% 5.0% 9.6% 18.2% 36.5% 52 37071 Gaston, NC 190,365 5.7% 6.1% 98,271 27.3% 5.4% 10.2% 18.3% 32.5% 198 37073 Gates, NC 0 10,516 4.4% 4.1% 5,361 29.7% 7.6% 6.6% 17.7% 40.3% 37075 Graham, NC 7,993 5.9% 7.4% 4,093 28.1% 2.7% 7.5% 11.7% 73.0% 0 37077 Granville, NC 48,498 4.4% 4.7% 23,014 29.9% 7.8% 9.8% 20.7% 30.1% 55 37079 Greene, NC 18,974 7.3% 8.7% 9,226 29.9% 5.2% 6.2% 23.3% 44.2% 31 37081 Guilford, NC 421,048 5.5% 5.8% 219,319 21.8% 5.0% 10.7% 20.5% 29.7% 581 37083 Halifax, NC 57,370 8.1% 7.9% 30,086 35.9% 7.5% 9.1% 29.5% 51.4% 67 37085 Harnett, NC 91,025 8.3% 10.0% 46,102 25.5% 5.3% 10.2% 19.0% 40.0% 123 37087 Haywood, NC 54,033 4.6% 5.1% 28,136 26.0% 4.4% 11.5% 13.7% 40.4% 28 37089 Henderson, NC 89,173 4.6% 5.5% 46,002 24.8% 5.1% 9.6% 12.0% 38.1% 71 37091 Hertford, NC 22,601 8.7% 9.5% 12,217 37.6% 5.9% 10.2% 28.0% 36.7% 25 37093 Hoke, NC 33,646 7.0% 8.2% 16,659 29.5% 8.3% 8.8% 23.6% 38.9% 42 37095 Hyde, NC 5,826 5.3% 8.8% 2,746 36.5% 8.0% 4.3% 20.0% 27.5% 7 122,660 4.0% 3.6% 62,540 23.7% 5.1% 9.3% 15.4% 29.6% 128 37099 Jackson, NC 33,121 10.2% 10.3% 16,947 23.4% 4.4% 10.4% 15.3% 39.5% 64 37101 Johnston, NC 121,965 4.0% 4.6% 61,371 25.7% 5.9% 9.4% 14.6% 29.5% 141 37103 Jones, NC 10,381 5.0% 5.5% 5,380 31.7% 6.8% 8.8% 21.1% 46.4% 16 37105 Lee, NC 49,040 4.6% 5.8% 24,827 22.8% 5.1% 9.4% 18.5% 36.7% 74 37107 Lenoir, NC 59,648 8.0% 8.4% 31,336 28.8% 6.3% 10.3% 25.6% 40.3% 41 37109 Lincoln, NC 63,780 3.9% 4.3% 32,060 25.0% 4.8% 9.1% 13.2% 36.1% 66 37111 McDowell, NC 42,151 4.5% 4.7% 21,149 30.0% 6.2% 10.3% 14.1% 36.8% 59 37097 Iredell, NC 37113 Macon, NC 29,811 4.9% 4.6% 15,522 25.8% 6.4% 10.1% 11.5% 37.0% 17 37115 Madison, NC 19,635 5.2% 5.3% 9,951 25.3% 2.6% 8.3% 12.8% 39.9% 32 25,593 8.0% 10.4% 13,725 32.5% 5.7% 9.0% 24.5% 49.2% 21 695,454 5.2% 5.7% 353,997 18.4% 4.4% 10.5% 19.4% 24.2% 922 37117 Martin, NC 37119 Mecklenburg, NC 37121 Mitchell, NC 15,687 4.1% 4.3% 8,021 30.5% 5.1% 7.4% 11.3% 50.5% 2 37123 Montgomery, NC 26,822 5.1% 5.7% 13,241 28.3% 7.2% 7.9% 17.0% 32.0% 41 56 37125 Moore, NC 74,769 5.5% 6.8% 38,745 23.1% 6.0% 8.9% 14.2% 37.9% 37127 Nash, NC 87,420 5.5% 6.2% 45,359 26.5% 6.5% 8.8% 20.4% 36.4% 39 160,307 5.7% 5.9% 82,936 21.2% 5.6% 11.3% 18.8% 38.6% 143 37129 New Hanover, NC 37131 Northampton, NC 22,086 8.6% 8.9% 11,503 37.4% 5.5% 7.8% 26.7% 50.2% 14 37133 Onslow, NC 150,355 6.9% 8.1% 67,369 21.8% 4.3% 9.3% 15.2% 41.4% 140 37135 Orange, NC 118,227 3.7% 3.4% 62,189 14.2% 1.9% 8.5% 16.5% 21.2% 239 236 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 2000 Percent 2000 2000 2000 2000 of Percent Percent Percnt Percnt Fem 16-64 Percent Families Pop 16+ Fem 16+ Fem 16+ with Fem with Unem2000 Total Unem2000 Fem with Employment 15+ Female ployed Divorced Head Population ployed Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 37137 Pamlico, NC 12,934 5.7% 4.5% 6,421 29.3% 5.5% 8.3% 16.0% 49.3% 11 37139 Pasquotank, NC 34,897 9.8% 10.5% 18,007 28.7% 5.4% 10.3% 23.1% 50.9% 47 37141 Pender, NC 41,082 5.7% 5.9% 20,419 28.2% 7.1% 8.3% 15.3% 35.9% 56 37143 Perquimans, NC 11,368 5.9% 6.9% 5,942 30.6% 5.5% 7.5% 17.3% 50.6% 16 37145 Person, NC 35,623 4.7% 5.1% 18,435 25.7% 4.2% 10.5% 19.2% 25.5% 51 168 37147 Pitt, NC 133,798 6.8% 7.2% 70,357 22.0% 3.7% 9.1% 23.4% 41.0% 37149 Polk, NC 18,324 4.1% 4.5% 9,632 26.3% 4.4% 11.4% 11.7% 29.5% 26 130,454 3.1% 3.7% 65,962 24.7% 5.8% 9.7% 13.8% 30.0% 146 37151 Randolph, NC 37153 Richmond, NC 46,564 6.9% 7.3% 23,716 31.7% 7.6% 10.1% 24.2% 46.6% 103 37155 Robeson, NC 123,339 9.6% 10.8% 63,341 32.1% 7.0% 9.4% 28.2% 49.9% 101 91,928 5.8% 6.2% 47,559 28.2% 5.4% 10.7% 18.0% 34.2% 89 130,340 6.3% 6.2% 65,960 26.8% 6.5% 9.8% 16.7% 33.0% 124 37161 Rutherford, NC 62,899 6.0% 7.2% 32,598 29.1% 6.3% 9.1% 16.4% 37.8% 44 37163 Sampson, NC 60,161 6.9% 7.2% 30,361 33.0% 6.4% 8.3% 19.7% 41.6% 59 37165 Scotland, NC 35,998 9.9% 10.9% 19,112 31.6% 6.7% 9.8% 28.3% 51.3% 40 37167 Stanly, NC 58,100 4.5% 4.2% 29,429 26.0% 7.2% 8.1% 14.4% 36.7% 99 37169 Stokes, NC 44,711 5.9% 6.8% 22,805 25.7% 5.3% 9.3% 13.1% 21.8% 23 37157 Rockingham, NC 37159 Rowan, NC 37171 Surry, NC 71,219 3.4% 3.7% 36,391 28.5% 5.6% 9.0% 13.5% 30.6% 65 37173 Swain, NC 12,968 10.1% 9.1% 6,663 30.0% 5.2% 12.0% 19.7% 38.6% 15 37175 Transylvania, NC 21 29,334 4.9% 4.0% 15,219 22.9% 4.1% 9.8% 12.3% 36.6% 37177 Tyrrell, NC 4,149 6.1% 7.6% 1,938 37.4% 7.9% 8.6% 24.1% 59.1% 0 37179 Union, NC 123,677 4.3% 4.3% 61,921 20.2% 5.0% 8.0% 12.4% 27.7% 123 37181 Vance, NC 42,954 8.3% 9.2% 22,648 29.5% 6.2% 9.7% 28.4% 42.5% 49 37183 Wake, NC 627,846 3.9% 4.0% 316,410 15.4% 3.6% 9.8% 15.0% 22.4% 693 37185 Warren, NC 19,972 8.3% 9.1% 10,159 31.8% 6.9% 8.8% 24.5% 46.1% 26 37187 Washington, NC 13,723 7.1% 8.5% 7,234 30.2% 9.1% 6.3% 25.9% 53.6% 30 37189 Watauga, NC 42,695 8.2% 10.5% 21,422 16.6% 3.2% 7.9% 12.0% 28.8% 70 37191 Wayne, NC 113,329 6.3% 6.8% 57,446 27.8% 6.0% 9.8% 21.7% 40.3% 91 37193 Wilkes, NC 65,632 3.8% 4.5% 33,261 27.9% 5.5% 8.9% 13.0% 31.3% 76 37195 Wilson, NC 73,814 7.2% 9.6% 38,589 32.6% 10.9% 9.3% 23.9% 43.4% 105 12 37197 Yadkin, NC 36,348 3.1% 3.0% 18,505 25.3% 5.7% 9.2% 12.4% 30.8% 37199 Yancey, NC 17,774 4.5% 6.1% 9,080 30.5% 7.7% 8.5% 10.9% 42.9% 15 45 SOUTH CAROLINA 4,012,012 5.9% 6.4% 2,063,083 25.3% 5.8% 9.9% 21.2% 37.7% 4,806 45001 Abbeville, SC 26,167 5.1% 5.8% 13,623 29.1% 6.6% 7.7% 21.2% 35.3% 32 142,552 5.9% 6.3% 73,885 24.4% 5.2% 10.8% 19.4% 39.8% 176 45005 Allendale, SC 11,211 10.2% 9.6% 5,374 31.4% 4.7% 7.2% 38.7% 57.5% 41 45007 Anderson, SC 165,740 4.3% 5.0% 85,664 26.9% 5.7% 10.4% 17.7% 34.9% 220 45009 Bamberg, SC 16,658 11.7% 9.5% 8,827 36.0% 4.4% 7.4% 30.7% 53.3% 25 45011 Barnwell, SC 23,478 7.7% 9.0% 12,185 33.9% 7.1% 9.4% 27.1% 46.4% 22 45003 Aiken, SC 45013 Beaufort, SC 120,937 4.3% 4.9% 59,744 18.5% 4.5% 9.4% 15.1% 35.0% 103 45015 Berkeley, SC 142,651 5.0% 5.7% 70,189 26.0% 5.9% 9.8% 18.9% 34.7% 178 45017 Calhoun, SC 15,185 5.9% 7.1% 7,989 28.9% 6.1% 6.9% 21.9% 37.8% 12 45019 Charleston, SC 309,969 5.9% 6.0% 160,182 23.8% 5.5% 10.8% 25.3% 43.1% 415 45021 Cherokee, SC 52,537 6.2% 6.7% 27,114 31.1% 8.2% 10.2% 21.6% 31.8% 22 237 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 Percnt Fem 16+ Unemployed 2000 2000 Percent 2000 2000 of Percent Percnt Fem 16-64 Percent Families Fem 16+ with Fem with 2000 Fem with Employment 15+ Female Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 63 45023 Chester, SC 34,068 6.8% 6.9% 17,699 31.2% 8.7% 9.6% 25.7% 35.3% 45025 Chesterfield, SC 42,768 8.9% 9.3% 22,137 28.9% 7.0% 9.5% 23.1% 46.3% 44 45027 Clarendon, SC 32,502 6.7% 7.4% 16,545 33.9% 9.9% 7.5% 27.2% 44.9% 49 45029 Colleton, SC 38,264 6.4% 7.1% 19,937 29.8% 5.8% 9.6% 23.2% 48.8% 73 45031 Darlington, SC 67,394 8.0% 8.7% 35,513 29.9% 6.8% 10.2% 26.1% 45.0% 77 45033 Dillon, SC 30,722 8.7% 9.0% 16,393 34.0% 9.7% 10.1% 30.9% 49.1% 20 45035 Dorchester, SC 96,413 4.8% 5.5% 49,229 22.9% 4.7% 9.8% 19.3% 29.1% 89 45037 Edgefield, SC 24,595 6.4% 7.4% 11,556 25.8% 5.5% 8.0% 20.7% 40.4% 25 45039 Fairfield, SC 23,454 6.9% 6.0% 12,287 28.4% 7.8% 8.8% 27.4% 44.6% 56 45041 Florence, SC 125,761 7.9% 8.5% 66,662 27.6% 5.7% 9.6% 25.2% 41.6% 163 45043 Georgetown, SC 55,797 6.2% 6.2% 29,097 25.2% 5.1% 8.8% 20.7% 46.7% 67 379,616 4.6% 5.5% 194,834 21.2% 3.9% 10.1% 18.0% 32.9% 482 45047 Greenwood, SC 66,271 6.3% 7.1% 35,183 26.9% 7.0% 9.8% 23.3% 33.2% 81 45049 Hampton, SC 21,386 6.1% 7.5% 10,492 28.1% 5.8% 6.6% 26.3% 50.5% 35 196,629 4.6% 5.5% 100,095 25.0% 7.4% 11.6% 17.3% 32.3% 192 45045 Greenville, SC 45051 Horry, SC 45053 Jasper, SC 20,678 3.9% 5.3% 9,800 32.1% 7.7% 8.2% 25.2% 44.6% 42 45055 Kershaw, SC 52,647 5.3% 5.5% 27,223 25.6% 5.7% 9.5% 18.4% 36.3% 51 45057 Lancaster, SC 61,351 6.4% 6.9% 30,958 27.5% 6.0% 9.4% 21.3% 33.3% 60 45059 Laurens, SC 69,567 7.1% 7.0% 35,926 31.5% 7.2% 10.4% 21.8% 35.0% 75 45061 Lee, SC 20,119 10.0% 11.6% 9,991 29.1% 5.8% 9.5% 33.3% 42.9% 26 216,014 3.7% 4.0% 111,037 20.8% 4.9% 10.7% 16.2% 27.9% 333 9,958 5.8% 7.3% 4,659 35.3% 10.9% 8.5% 24.0% 39.8% 7 35,466 9.8% 11.4% 19,078 31.5% 7.2% 10.1% 33.1% 48.4% 37 45063 Lexington, SC 45065 McCormick, SC 45067 Marion, SC 45069 Marlboro, SC 28,818 8.2% 9.2% 14,681 32.5% 6.4% 9.9% 31.8% 45.1% 56 45071 Newberry, SC 36,108 7.8% 7.8% 18,687 29.4% 6.4% 7.0% 23.0% 40.7% 57 45073 Oconee, SC 66,215 4.3% 4.5% 33,661 26.9% 5.3% 8.1% 14.1% 38.5% 90 45075 Orangeburg, SC 91,582 8.5% 8.9% 48,972 29.3% 5.7% 7.7% 29.0% 42.9% 101 45077 Pickens, SC 110,757 5.4% 5.8% 55,481 22.3% 5.3% 9.0% 13.6% 32.6% 108 45079 Richland, SC 320,677 6.7% 7.0% 165,940 21.8% 5.3% 10.5% 25.6% 33.4% 424 45081 Saluda, SC 19,181 5.0% 5.8% 9,658 25.2% 4.8% 7.4% 19.5% 39.6% 16 45083 Spartanburg, SC 253,791 5.5% 6.0% 130,453 26.8% 5.7% 10.3% 19.5% 35.6% 242 45085 Sumter, SC 104,646 7.6% 8.4% 53,966 27.4% 5.3% 9.8% 25.0% 40.9% 74 29,881 7.3% 8.3% 15,806 30.9% 6.0% 9.5% 23.9% 41.1% 38 37,217 9.1% 10.2% 19,808 34.0% 9.3% 7.4% 30.6% 54.1% 57 164,614 6.1% 7.7% 84,863 22.7% 6.5% 9.2% 18.1% 30.9% 150 45087 Union, SC 45089 Williamsburg, SC 45091 York, SC 47 TENNESSEE 5,689,283 5.5% 5.9% 2,919,008 25.1% 4.8% 12.2% 18.6% 37.6% 5,923 47001 Anderson, TN 71,330 5.3% 6.0% 37,321 27.7% 3.7% 12.6% 16.7% 38.6% 70 47003 Bedford, TN 37,586 4.4% 4.2% 18,941 24.0% 4.4% 11.3% 16.0% 32.6% 14 47005 Benton, TN 16,537 7.3% 9.7% 8,531 33.6% 9.0% 10.7% 13.3% 56.0% 16 47007 Bledsoe, TN 12,367 6.6% 7.8% 5,596 29.0% 3.6% 10.3% 12.2% 45.2% 12 47009 Blount, TN 105,823 4.5% 4.7% 54,596 23.9% 4.3% 12.1% 13.9% 36.2% 130 47011 Bradley, TN 87,965 5.0% 6.2% 45,077 24.4% 4.7% 12.5% 15.1% 39.8% 80 47013 Campbell, TN 39,854 6.7% 5.9% 20,655 36.7% 5.5% 11.1% 17.5% 56.5% 27 47015 Cannon, TN 12,826 4.6% 3.8% 6,535 26.2% 5.3% 9.1% 13.6% 37.2% 3 238 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Percent Pop 16+ 2000 Total UnemPopulation ployed 2000 Percent 2000 2000 of 2000 Percnt Percnt Percent Fem 2000 Families Fem 16+ 16-64 with Fem 16+ Percent with UnemEmployment Fem 15+ Female 2000 Fem with ployed Divorced Head Population Disability Disability 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 47017 Carroll, TN 29,475 8.3% 11.2% 15,327 28.8% 4.8% 11.5% 16.2% 36.6% 48 47019 Carter, TN 56,742 5.9% 5.5% 29,168 29.4% 4.6% 12.4% 15.9% 43.8% 15 47021 Cheatham, TN 35,912 2.8% 3.2% 17,931 22.9% 5.6% 10.1% 12.2% 18.3% 39 47023 Chester, TN 15,540 6.8% 7.5% 7,990 27.6% 5.4% 11.4% 15.5% 38.8% 22 47025 Claiborne, TN 29,862 7.3% 8.2% 15,449 33.4% 5.0% 11.5% 14.9% 59.9% 21 47027 Clay, TN 47029 Cocke, TN 7,976 7.6% 7.2% 4,099 32.4% 6.7% 10.9% 14.1% 50.3% 6 33,565 8.8% 9.7% 17,244 30.4% 5.3% 13.9% 18.4% 54.1% 8 18 47031 Coffee, TN 48,014 6.0% 7.6% 24,615 24.9% 4.1% 11.7% 15.4% 41.5% 47033 Crockett, TN 14,532 5.1% 5.6% 7,516 32.8% 4.1% 12.0% 16.3% 40.9% 16 47035 Cumberland, TN 46,802 5.2% 5.0% 24,075 27.1% 4.6% 11.4% 12.8% 43.3% 29 47037 Davidson, TN 569,891 5.2% 5.1% 294,026 22.9% 4.6% 14.7% 24.6% 34.7% 897 47039 Decatur, TN 11,731 5.2% 6.6% 6,031 29.7% 5.2% 10.5% 13.0% 47.1% 7 47041 DeKalb, TN 17,423 5.2% 5.8% 8,811 29.0% 4.6% 12.6% 15.6% 47.0% 8 47043 Dickson, TN 43,156 4.4% 5.3% 21,998 24.7% 4.9% 12.9% 15.6% 33.5% 25 47045 Dyer, TN 37,279 7.6% 8.3% 19,412 31.3% 7.0% 12.9% 19.2% 47.6% 4 47047 Fayette, TN 28,806 5.4% 6.9% 14,661 27.2% 5.7% 8.6% 18.2% 35.9% 18 47049 Fentress, TN 16,625 7.3% 6.3% 8,474 34.3% 3.0% 12.0% 15.7% 51.9% 13 47051 Franklin, TN 39,270 5.0% 5.4% 20,160 25.4% 5.0% 9.1% 14.0% 37.8% 22 47053 Gibson, TN 48,152 5.8% 6.9% 25,408 29.4% 7.0% 11.5% 19.6% 34.2% 23 47055 Giles, TN 29,447 4.3% 4.6% 15,144 25.1% 4.2% 11.1% 16.7% 37.0% 37 47057 Grainger, TN 20,659 4.9% 6.1% 10,380 30.1% 5.2% 11.4% 11.8% 48.6% 8 47059 Greene, TN 62,909 5.6% 5.3% 32,252 29.0% 6.5% 12.3% 15.4% 45.1% 27 47061 Grundy, TN 14,332 6.4% 6.9% 7,288 30.7% 3.5% 11.4% 16.5% 57.7% 23 47063 Hamblen, TN 58,128 4.2% 4.9% 29,492 25.5% 4.2% 12.9% 15.8% 40.2% 44 47065 Hamilton, TN 307,896 5.5% 5.9% 160,614 23.7% 4.8% 13.2% 20.1% 37.7% 280 47067 Hancock, TN 6,786 5.7% 7.9% 3,479 38.4% 5.9% 9.9% 15.7% 54.5% 0 47069 Hardeman, TN 28,105 6.6% 7.5% 12,956 30.0% 5.0% 11.9% 24.6% 44.8% 26 47071 Hardin, TN 25,578 5.3% 5.9% 13,004 29.6% 4.0% 12.5% 14.2% 52.2% 36 47073 Hawkins, TN 53,563 5.1% 5.0% 27,509 27.0% 4.6% 11.3% 13.6% 48.8% 64 47075 Haywood, TN 19,797 6.8% 6.9% 10,542 32.5% 8.0% 10.8% 30.6% 38.3% 12 47077 Henderson, TN 25,522 4.5% 5.2% 13,232 26.8% 5.3% 12.9% 16.1% 33.7% 4 47079 Henry, TN 31,115 6.1% 6.5% 16,089 27.5% 5.0% 11.5% 16.2% 39.4% 0 47081 Hickman, TN 22,295 4.6% 5.5% 10,494 29.8% 4.8% 10.0% 13.0% 31.8% 30 8,088 3.7% 2.3% 4,089 30.0% 5.6% 11.3% 14.5% 42.3% 3 17,929 4.6% 6.5% 9,110 27.4% 7.1% 11.3% 14.3% 31.0% 45 47083 Houston, TN 47085 Humphreys, TN 47087 Jackson, TN 10,984 6.3% 6.8% 5,554 31.2% 3.6% 11.4% 14.6% 38.5% 9 47089 Jefferson, TN 44,294 5.4% 6.3% 22,422 25.6% 5.4% 10.8% 13.3% 42.0% 40 17,499 7.0% 9.7% 8,155 35.6% 8.8% 12.9% 14.3% 56.2% 11 382,032 4.8% 4.9% 197,455 22.5% 3.7% 12.5% 17.1% 38.4% 577 47091 Johnson, TN 47093 Knox, TN 47095 Lake, TN 7,954 8.6% 9.9% 3,169 35.4% 7.0% 12.3% 24.3% 60.5% 1 47097 Lauderdale, TN 27,101 6.9% 8.4% 13,025 32.1% 7.6% 12.1% 24.7% 50.6% 25 47099 Lawrence, TN 39,926 7.6% 7.6% 20,546 27.6% 4.7% 11.1% 14.4% 34.5% 25 47101 Lewis, TN 11,367 7.9% 10.3% 5,773 27.3% 3.3% 12.9% 14.5% 32.2% 0 47103 Lincoln, TN 31,340 5.6% 6.7% 16,163 26.3% 3.7% 11.2% 15.0% 37.1% 31 239 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV DEMOGRAPHICS FIPS Code County Name 2000 Total Population 2000 Percent Pop 16+ Unemployed 2000 Percnt Fem 16+ Unemployed 2000 Fem Population 2000 2000 Percent 2000 2000 of Percent Percnt Fem 16-64 Percent Families Fem 16+ with Fem with with Employment 15+ Female Disability Disability Divorced Head 2000 Percent Fem Hshlders w/Children <18 below poverty level 2000 Unmarried Female HshldrFemale Partner 29 47105 Loudon, TN 39,086 3.6% 4.1% 20,032 26.1% 6.2% 12.4% 12.1% 27.1% 47107 McMinn, TN 49,015 5.3% 6.1% 25,348 28.1% 4.4% 11.9% 14.6% 40.5% 38 47109 McNairy, TN 24,653 5.2% 5.8% 12,695 28.9% 4.2% 11.6% 13.9% 40.4% 32 47111 Macon, TN 20,386 5.0% 6.3% 10,325 33.7% 5.8% 11.4% 12.0% 34.8% 15 47113 Madison, TN 91,837 6.9% 7.2% 47,802 25.2% 5.4% 11.8% 23.0% 36.7% 96 47115 Marion, TN 27,776 5.4% 5.9% 14,182 31.2% 5.3% 12.1% 15.7% 41.9% 6 47117 Marshall, TN 26,767 4.3% 4.3% 13,698 24.8% 4.5% 12.1% 16.0% 30.2% 26 47119 Maury, TN 69,498 4.2% 4.3% 35,716 22.3% 4.2% 11.6% 17.7% 36.7% 85 47121 Meigs, TN 11,086 6.3% 6.9% 5,542 29.6% 4.5% 11.9% 13.0% 50.8% 0 47123 Monroe, TN 38,961 7.5% 8.5% 19,760 28.4% 3.9% 11.7% 13.7% 36.3% 76 166 47125 Montgomery, TN 134,768 6.3% 7.2% 66,993 22.4% 4.4% 11.5% 16.4% 33.6% 47127 Moore, TN 5,740 4.9% 4.5% 2,897 25.9% 8.4% 6.4% 9.9% 44.2% 6 47129 Morgan, TN 19,757 7.0% 8.3% 9,219 32.1% 4.4% 12.5% 13.7% 35.8% 13 47131 Obion, TN 32,450 5.3% 6.9% 16,780 26.4% 4.9% 10.0% 15.6% 50.7% 34 47133 Overton, TN 20,118 5.5% 5.1% 10,252 31.1% 3.3% 11.6% 13.5% 38.4% 24 47135 Perry, TN 7,631 5.4% 5.4% 3,834 27.7% 3.4% 9.3% 12.3% 25.9% 9 47137 Pickett, TN 4,945 4.0% 1.5% 2,513 28.4% 2.8% 8.9% 11.2% 31.7% 4 47139 Polk, TN 16,050 4.9% 5.0% 8,095 30.0% 3.6% 11.7% 12.3% 36.8% 12 47141 Putnam, TN 62,315 5.0% 5.0% 31,402 25.1% 4.4% 11.8% 14.8% 38.1% 54 47143 Rhea, TN 28,400 6.4% 8.5% 14,615 30.5% 4.7% 10.7% 15.5% 50.9% 14 47145 Roane, TN 51,910 5.6% 5.8% 26,760 29.2% 5.4% 12.0% 14.1% 43.2% 35 47147 Robertson, TN 54,433 3.4% 4.2% 27,382 24.7% 5.5% 10.9% 14.5% 33.7% 47 47149 Rutherford, TN 182,023 5.0% 5.1% 91,438 18.5% 3.5% 11.9% 15.6% 25.8% 221 16 47151 Scott, TN 21,127 7.3% 9.1% 10,704 35.1% 5.3% 11.0% 16.2% 44.9% 47153 Sequatchie, TN 11,370 5.1% 7.0% 5,735 27.3% 5.1% 12.1% 15.0% 44.1% 3 47155 Sevier, TN 71,170 6.5% 8.4% 36,331 24.5% 5.7% 13.3% 13.8% 34.2% 71 47157 Shelby, TN 897,472 6.8% 7.0% 468,827 24.5% 5.8% 12.3% 29.7% 37.7% 1,023 47159 Smith, TN 17,712 4.4% 4.1% 8,992 24.3% 2.6% 10.1% 13.3% 35.3% 16 47161 Stewart, TN 12,370 7.6% 6.6% 6,212 28.3% 4.4% 10.2% 10.9% 37.0% 21 47163 Sullivan, TN 153,048 4.6% 4.6% 79,188 26.8% 4.7% 12.1% 14.4% 41.0% 116 47165 Sumner, TN 130,449 3.7% 4.2% 66,573 21.6% 4.4% 11.7% 14.2% 30.6% 131 51,271 4.9% 4.9% 26,021 23.4% 3.9% 10.0% 17.7% 38.9% 74 7,259 3.4% 4.4% 3,686 32.0% 5.9% 12.1% 15.4% 30.0% 27 47171 Unicoi, TN 17,667 6.8% 9.0% 9,054 30.6% 5.6% 9.8% 13.6% 36.6% 0 47173 Union, TN 17,808 5.2% 6.3% 8,958 29.9% 5.9% 10.1% 13.7% 57.1% 13 14 47167 Tipton, TN 47169 Trousdale, TN 47175 Van Buren, TN 5,508 6.7% 6.9% 2,764 29.1% 4.3% 12.6% 14.8% 45.0% 38,276 4.7% 5.7% 19,475 30.4% 5.1% 12.8% 15.7% 51.7% 43 107,198 5.4% 6.1% 55,021 26.0% 4.7% 12.7% 15.8% 39.4% 179 47181 Wayne, TN 16,842 7.4% 7.1% 7,598 31.0% 6.2% 10.9% 13.8% 42.0% 12 47183 Weakley, TN 34,895 6.1% 6.9% 17,971 24.5% 3.7% 10.0% 14.1% 46.0% 15 18 47177 Warren, TN 47179 Washington, TN 47185 White, TN 23,102 6.2% 6.8% 11,776 32.2% 4.9% 12.5% 14.7% 36.2% 126,638 2.6% 3.1% 64,280 13.7% 2.8% 9.0% 9.8% 19.4% 90 47189 Wilson, TN 88,809 3.9% 4.2% 44,979 20.7% 4.6% 10.6% 12.9% 24.4% 50 84 REGION IV 53,252,966 5.7% 6.1% 27,270,813 24.8% 5.2% 11.5% 19.2% 37.2% 61,986 91 UNITED STATES 281,421,906 5.8% 5.8% 143,368,343 22.0% 4.6% 10.8% 18.0% 34.3% 326,066 47187 Williamson, TN 240 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) 19982000 2000 FIPS Female Female Code County Name Deaths Deaths 01 ALABAMA 19982000 White Female Deaths 2000 White Female Deaths 19982000 Black Female Deaths 2000 Black Female Deaths 2000 AmInd Female Deaths 19982000 API Female Deaths 2000 API Female Deaths 22,406 17,234 16,916 5,422 5,440 170 177 144 142 26 34 0 0 1 01003 Baldwin, AL 645 642 589 581 56 61 0 0 2 01005 Barbour, AL 153 145 100 93 53 52 0 0 0 97 99 80 81 17 18 0 0 0 221 223 215 219 6 3 0 0 1 0 01011 Bullock, AL 31 26 31 19982000 Hisp Female Deaths 22,709 01009 Blount, AL 24 2000 Hisp Female Deaths 01001 Autauga, AL 01007 Bibb, AL 22 19982000 AmInd Female Deaths 34 77 69 27 21 50 47 0 0 01013 Butler, AL 131 130 82 91 49 39 0 0 0 01015 Calhoun, AL 674 649 570 540 101 107 0 2 1 01017 Chambers, AL 280 243 213 176 67 67 0 0 0 01019 Cherokee, AL 131 130 123 123 8 7 0 0 0 01021 Chilton, AL 197 195 173 173 24 22 0 0 0 79 79 47 47 32 32 0 0 0 140 139 87 85 53 53 0 0 0 90 91 81 82 9 9 0 0 0 0 01023 Choctaw, AL 01025 Clarke, AL 01027 Clay, AL 01029 Cleburne, AL 74 73 72 69 4 0 0 01031 Coffee, AL 239 223 190 180 47 41 0 1 1 01033 Colbert, AL 297 301 249 249 48 52 0 1 0 01035 Conecuh, AL 93 98 56 58 37 40 0 0 0 01037 Coosa, AL 55 59 33 39 22 20 0 0 0 245 247 219 215 26 32 0 0 0 01039 Covington, AL 01041 Crenshaw, AL 84 94 64 71 20 23 0 0 0 01043 Cullman, AL 438 403 428 398 8 5 0 0 0 01045 Dale, AL 228 220 182 182 44 37 0 1 1 01047 Dallas, AL 284 290 117 136 166 153 0 0 0 01049 DeKalb, AL 341 333 334 326 7 7 0 0 2 01051 Elmore, AL 267 288 227 238 38 49 0 1 1 01053 Escambia, AL 210 226 156 159 52 64 4 0 0 01055 Etowah, AL 659 660 583 584 75 75 1 0 0 0 01057 Fayette, AL 134 124 120 111 14 13 0 0 01059 Franklin, AL 185 188 177 181 8 7 0 0 1 01061 Geneva, AL 148 153 134 134 14 19 0 0 0 01063 Greene, AL 49 55 6 9 43 46 0 0 0 01065 Hale, AL 99 106 45 47 54 59 0 0 0 104 94 70 61 34 33 0 0 0 01067 Henry, AL 01069 Houston, AL 459 443 345 337 113 105 0 0 0 01071 Jackson, AL 254 251 246 239 8 11 0 0 0 5 5 01073 Jefferson, AL 3,782 3,833 2,443 2,487 1,332 1,339 1 01075 Lamar, AL 104 89 90 80 13 9 0 0 0 01077 Lauderdale, AL 440 429 399 387 41 42 0 0 1 01079 Lawrence, AL 187 164 164 144 23 20 0 0 0 01081 Lee, AL 368 352 263 240 103 110 1 1 1 01083 Limestone, AL 276 274 238 242 36 30 0 1 0 55 64 14 17 41 46 0 0 0 01085 Lowndes, AL 241 5 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) 19982000 2000 FIPS Female Female Code County Name Deaths Deaths 01087 Macon, AL 2000 White Female Deaths 19982000 White Female Deaths 19982000 Black Female Deaths 2000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 19982000 API Female Deaths 2000 API Female Deaths 19982000 Hisp Female Deaths 2000 Hisp Female Deaths 144 132 19 23 125 109 0 0 0 01089 Madison, AL 1,052 1,036 873 850 177 183 2 1 2 01091 Marengo, AL 132 133 56 59 76 74 0 0 0 01093 Marion, AL 181 173 178 167 5 0 0 0 01095 Marshall, AL 01097 Mobile, AL 01099 Monroe, AL 453 441 439 433 10 6 1 0 2 2,056 1,974 1,377 1,324 673 642 5 3 3 143 135 93 84 49 50 0 0 0 1,031 1,063 647 651 382 410 0 2 1 576 529 519 473 57 56 0 0 0 84 75 30 29 54 46 0 0 0 01107 Pickens, AL 129 119 80 74 49 45 0 0 0 01109 Pike, AL 159 152 107 99 51 52 1 1 0 01111 Randolph, AL 139 129 119 103 20 26 0 0 0 01113 Russell, AL 309 286 208 184 101 101 0 0 1 01115 St. Clair, AL 275 280 259 259 16 20 0 0 0 01117 Shelby, AL 425 413 392 369 30 40 1 2 0 01101 Montgomery, AL 01103 Morgan, AL 01105 Perry, AL 01119 Sumter, AL 01121 Talladega, AL 70 87 24 26 46 61 0 0 0 395 402 303 305 92 97 0 0 0 01123 Tallapoosa, AL 263 255 205 197 58 58 0 0 0 01125 Tuscaloosa, AL 717 713 490 509 224 202 1 1 1 01127 Walker, AL 446 451 421 418 24 33 0 0 1 01129 Washington, AL 84 83 51 54 31 25 3 0 0 01131 Wilcox, AL 66 71 16 19 50 52 0 0 0 01133 Winston, AL 137 131 133 129 80,309 79,156 71,734 70,750 8,285 8,115 741 754 574 582 162 169 88 85 76 76 12 9 12005 Bay, FL 713 672 632 599 75 69 1 12007 Bradford, FL 125 125 114 109 10 15 0 12009 Brevard, FL 2,577 2,397 2,404 2,240 164 148 2 9 8 31 31 12011 Broward, FL 8,117 8,095 7,283 7,274 810 793 3 22 25 349 326 12013 Calhoun, FL 62 67 56 59 6 7 0 0 1,051 1,021 1,030 989 21 28 1 2 17 12 12017 Citrus, FL 889 894 871 878 18 14 0 2 8 9 12019 Clay, FL 507 505 475 476 24 25 1 4 6 5 1,077 1,040 1,047 1,013 27 25 1 1 45 38 12 FLORIDA 12001 Alachua, FL 12003 Baker, FL 12015 Charlotte, FL 12021 Collier, FL 2 0 55 54 0 235 1 237 6,373 0 4 5 0 0 0 3 3 5 0 7 6,231 6 1 0 12023 Columbia, FL 303 282 257 239 45 41 1 0 2 12027 DeSoto, FL 146 133 133 119 12 13 1 0 2 75 68 69 64 6 4 0 0 12031 Duval, FL 3,351 3,336 2,466 2,466 865 850 3 16 17 35 29 12033 Escambia, FL 5 8 12029 Dixie, FL 1,432 1,422 1,106 1,106 312 302 9 11 7 12035 Flagler, FL 283 282 253 255 29 26 1 0 8 9 12037 Franklin, FL 64 65 56 56 8 9 0 0 0 12039 Gadsden, FL 231 208 83 93 148 115 0 0 3 242 6 0 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 19982000 2000 Female Female Deaths Deaths 2000 White Female Deaths 19982000 White Female Deaths 19982000 Black Female Deaths 2000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 19982000 API Female Deaths 2000 API Female Deaths 19982000 Hisp Female Deaths 2000 Hisp Female Deaths 12041 Gilchrist, FL 82 76 81 73 3 0 0 0 12043 Glades, FL 37 35 34 31 3 2 0 1 12045 Gulf, FL 67 78 58 64 8 13 0 1 0 12047 Hamilton, FL 56 49 41 31 15 18 0 0 0 12049 Hardee, FL 95 97 86 91 8 6 1 0 5 9 12051 Hendry, FL 133 118 108 98 25 19 1 0 10 11 12053 Hernando, FL 874 901 852 876 21 23 1 1 19 15 12055 Highlands, FL 549 574 520 545 29 28 0 1 14 14 4,259 4,122 3,699 3,573 538 527 3 19 428 400 3 0 0 38 39 0 0 8 6 12057 Hillsborough, FL 21 12059 Holmes, FL 106 104 105 101 12061 Indian River, FL 694 689 656 650 12063 Jackson, FL 262 267 199 205 63 62 0 0 0 12065 Jefferson, FL 76 74 40 42 36 32 0 0 0 2 0 0 72 77 1 1 16 11 12067 Lafayette, FL 28 27 26 26 12069 Lake, FL 1,423 1,319 1,349 1,239 12071 Lee, FL 0 0 2,365 2,298 2,263 2,196 99 98 1 4 40 40 12073 Leon, FL 850 786 629 585 217 199 0 2 7 6 12075 Levy, FL 193 187 182 170 11 17 0 0 2 36 29 30 26 6 3 0 0 0 12077 Liberty, FL 12079 Madison, FL 105 105 60 63 45 42 0 0 12081 Manatee, FL 1,667 1,624 1,581 1,541 83 81 0 2 13 15 12083 Marion, FL 1,534 1,450 1,376 1,306 153 137 3 4 39 29 12085 Martin, FL 769 756 743 730 25 24 1 1 7 7 9,222 9,375 7,620 7,781 1,567 1,558 33 4,432 4,437 12 18 7 6 12086 Miami-Dade, FL 7 3 28 12087 Monroe, FL 267 286 250 270 16 16 0 1 12089 Nassau, FL 251 233 222 203 29 30 0 0 12091 Okaloosa, FL 653 633 616 588 29 37 1 12093 Okeechobee, FL 12095 Orange, FL 12097 Osceola, FL 12099 Palm Beach, FL 6 0 5 3 23 25 240 198 3 64 64 16 12 165 163 2 36 32 3 14 15 67 62 7 3 30 34 175 176 161 164 14 11 0 2,949 2,638 2,472 454 450 2 615 622 579 586 33 33 0 6,350 6,381 5,846 5,864 487 505 0 2,510 2,462 2,477 2,428 30 30 12103 Pinellas, FL 6,500 6,551 6,156 6,195 325 338 12105 Polk, FL 2 5 1 6 3,116 12101 Pasco, FL 0 2,471 2,463 2,200 2,194 263 264 2 12107 Putnam, FL 433 412 356 342 76 70 0 0 4 12109 St. Johns, FL 558 536 519 490 38 45 0 1 4 12111 St. Lucie, FL 1,071 1,018 925 886 144 129 446 421 412 400 27 17 12115 Sarasota, FL 2,473 2,419 2,385 2,343 81 71 1 6 12117 Seminole, FL 9 12113 Santa Rosa, FL 5 1 1 2 2 22 20 5 22 17 9 68 65 2 1,283 1,243 1,145 1,117 128 116 1 12119 Sumter, FL 291 256 260 233 29 21 0 1 3 12121 Suwannee, FL 205 215 184 193 21 21 0 0 2 12123 Taylor, FL 106 101 91 84 15 17 0 0 0 12125 Union, FL 43 44 38 40 5 5 0 0 0 243 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 19982000 2000 Female Female Deaths Deaths 2000 White Female Deaths 19982000 White Female Deaths 2000 Black Female Deaths 19982000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 2000 API Female Deaths 19982000 API Female Deaths 2000 Hisp Female Deaths 12127 Volusia, FL 2,763 2,753 2,576 2,568 184 180 1 3 12129 Wakulla, FL 95 90 82 80 13 10 0 0 12131 Walton, FL 195 202 181 186 12 15 0 1 1 12133 Washington, FL 125 101 112 89 13 12 0 0 0 13 GEORGIA 37 147 130 43 0 32,389 31,285 23,627 22,807 8,569 8,311 13001 Appling, GA 100 87 85 72 15 15 0 0 0 13003 Atkinson, GA 26 27 18 18 8 9 0 0 0 13005 Bacon, GA 44 56 39 50 6 0 0 0 13007 Baker, GA 14 15 5 9 9 6 0 0 0 166 175 106 120 60 55 0 0 1 13009 Baldwin, GA 46 51 19982000 Hisp Female Deaths 183 168 13011 Banks, GA 43 45 42 44 1 0 0 0 13013 Barrow, GA 198 164 172 148 25 16 0 0 0 13015 Bartow, GA 322 296 289 263 33 33 0 0 0 13017 Ben Hill, GA 108 119 75 86 33 33 0 0 0 13019 Berrien, GA 73 79 63 68 10 11 0 0 0 13021 Bibb, GA 852 869 509 512 339 355 1 2 1 13023 Bleckley, GA 58 64 44 51 14 13 0 0 0 13025 Brantley, GA 51 50 50 46 4 0 0 0 13027 Brooks, GA 115 101 83 69 32 32 0 0 0 13029 Bryan, GA 62 63 51 51 11 12 0 0 0 198 196 150 151 47 45 0 0 0 99 108 56 56 43 51 0 0 0 13031 Bulloch, GA 13033 Burke, GA 13035 Butts, GA 89 80 70 62 19 18 0 0 0 13037 Calhoun, GA 24 37 13 16 11 21 0 0 0 13039 Camden, GA 95 87 70 65 25 22 0 0 0 13043 Candler, GA 69 61 53 46 16 15 0 0 1 52 13045 Carroll, GA 396 378 344 325 52 0 0 1 13047 Catoosa, GA 223 206 222 203 2 0 0 0 13049 Charlton, GA 36 39 32 31 8 0 0 0 13051 Chatham, GA 1,189 1,138 724 690 458 443 1 3 3 6 0 0 0 12 10 0 0 0 13053 Chattahoochee, GA 7 12 15 8 9 13055 Chattooga, GA 157 143 145 133 13057 Cherokee, GA 411 384 401 373 10 10 1 1 2 13059 Clarke, GA 345 337 225 228 118 107 0 1 2 13061 Clay, GA 13063 Clayton, GA 13065 Clinch, GA 23 27 13 13 10 14 0 700 633 460 456 231 167 2 0 5 8 10 9 0 8 7 29 21 33 31 22 23 10 8 0 1,624 1,580 1,422 1,401 190 167 3 13069 Coffee, GA 167 156 123 115 44 40 0 0 13071 Colquitt, GA 219 224 178 175 41 49 0 0 2 13073 Columbia, GA 257 252 211 208 35 39 1 4 2 13067 Cobb, GA 13075 Cook, GA 13077 Coweta, GA 13079 Crawford, GA 0 8 0 1 95 92 74 69 20 22 0 1 0 330 313 270 254 58 58 1 1 2 37 35 29 24 8 10 0 0 0 244 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) 2000 White Female Deaths 19982000 2000 FIPS Female Female Code County Name Deaths Deaths 19982000 White Female Deaths 19982000 Black Female Deaths 2000 Black Female Deaths 13081 Crisp, GA 126 131 84 84 13083 Dade, GA 66 62 65 61 42 19982000 AmInd Female Deaths 2000 AmInd Female Deaths 19982000 API Female Deaths 2000 API Female Deaths 19982000 Hisp Female Deaths 2000 Hisp Female Deaths 47 0 0 1 1 0 0 0 13085 Dawson, GA 55 46 54 46 1 0 0 0 13087 Decatur, GA 178 159 120 104 57 54 0 1 0 13089 DeKalb, GA 2,009 1,993 1,202 1,208 785 761 13091 Dodge, GA 95 113 83 89 12 24 6 4 0 16 20 0 27 24 13093 Dooly, GA 64 57 31 31 33 27 0 0 0 13095 Dougherty, GA 418 426 199 215 219 211 0 0 0 13097 Douglas, GA 0 286 275 253 246 31 28 0 1 1 13099 Early, GA 70 77 43 47 26 30 0 0 0 13101 Echols, GA 11 8 10 8 1 0 0 0 13103 Effingham, GA 133 112 116 95 16 17 0 0 0 13105 Elbert, GA 120 124 93 92 27 32 0 0 0 13107 Emanuel, GA 0 123 118 90 84 33 34 0 0 13109 Evans, GA 54 55 39 35 15 20 0 0 0 13111 Fannin, GA 114 111 113 110 0 0 0 0 13113 Fayette, GA 241 254 217 229 19 22 1 13115 Floyd, GA 563 528 504 468 56 57 0 13117 Forsyth, GA 280 238 280 237 0 0 1 1 13119 Franklin, GA 124 108 112 99 12 9 0 0 0 13121 Fulton, GA 3,258 3,199 1,571 1,550 1,669 1,632 2 13123 Gilmer, GA 116 104 116 104 0 0 0 1 17 17 16 16 1 0 0 0 13125 Glascock, GA 5 14 2 1 2 2 15 23 25 13127 Glynn, GA 374 357 281 269 91 88 0 0 0 13129 Gordon, GA 204 188 197 180 6 8 0 1 1 13131 Grady, GA 128 130 99 99 28 30 0 0 1 85 80 56 50 29 30 0 0 0 100 79 13133 Greene, GA 13135 Gwinnett, GA 1,192 1,104 1,058 995 13137 Habersham, GA 154 153 152 150 13139 Hall, GA 535 484 495 447 35 6 6 2 0 34 0 28 23 20 19 6 5 0 5 2 1 13141 Hancock, GA 47 52 19 21 28 31 0 0 0 13143 Haralson, GA 134 136 121 126 13 10 0 0 0 13145 Harris, GA 93 87 66 58 26 28 0 0 0 141 134 113 113 28 21 0 0 0 13149 Heard, GA 45 51 40 44 5 7 0 0 0 13151 Henry, GA 376 345 323 299 48 44 0 2 1 13153 Houston, GA 387 368 296 293 87 72 1 2 1 60 57 38 39 22 18 0 0 0 204 183 182 167 22 16 0 0 0 13159 Jasper, GA 50 54 36 40 13 14 0 0 0 13161 Jeff Davis, GA 75 66 66 56 9 11 0 0 0 13163 Jefferson, GA 13147 Hart, GA 13155 Irwin, GA 13157 Jackson, GA 5 119 107 49 50 70 57 0 0 0 13165 Jenkins, GA 46 44 27 27 19 17 0 0 0 13167 Johnson, GA 55 53 40 38 15 15 0 0 0 245 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 19982000 2000 Female Female Deaths Deaths 2000 White Female Deaths 19982000 White Female Deaths 2000 Black Female Deaths 19982000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 2000 API Female Deaths 19982000 API Female Deaths 2000 Hisp Female Deaths 19982000 Hisp Female Deaths 13169 Jones, GA 78 85 57 65 21 20 0 0 0 13171 Lamar, GA 88 79 66 60 22 19 0 0 0 13173 Lanier, GA 47 36 38 27 9 8 0 0 0 225 229 147 154 78 75 0 0 0 72 54 55 38 16 15 0 0 0 13179 Liberty, GA 140 122 79 65 57 54 1 2 1 13181 Lincoln, GA 42 43 30 33 11 9 0 0 0 13175 Laurens, GA 13177 Lee, GA 13183 Long, GA 13185 Lowndes, GA 33 25 25 20 8 5 0 0 0 340 348 203 217 134 130 1 1 1 0 0 0 0 38 42 0 0 0 13187 Lumpkin, GA 95 75 94 75 13189 McDuffie, GA 106 115 68 72 13191 McIntosh, GA 40 48 21 27 19 21 0 0 0 13193 Macon, GA 83 82 38 37 45 45 0 0 0 121 113 110 99 11 13 0 0 0 30 32 24 23 6 9 0 0 0 116 118 69 71 47 47 0 0 0 13195 Madison, GA 13197 Marion, GA 13199 Meriwether, GA 13201 Miller, GA 42 38 32 30 10 8 0 0 0 13205 Mitchell, GA 117 115 76 72 41 43 0 0 0 13207 Monroe, GA 1 115 109 86 73 29 36 0 0 13209 Montgomery, GA 42 35 28 24 14 11 0 0 0 13211 Morgan, GA 66 77 45 52 21 25 0 0 0 13213 Murray, GA 116 118 115 117 0 0 13215 Muscogee, GA 937 930 605 586 327 338 1 13217 Newton, GA 253 240 199 194 54 46 0 0 1 13219 Oconee, GA 80 84 75 79 5 6 0 0 0 13221 Oglethorpe, GA 5 0 1 5 4 73 60 57 49 16 11 0 0 0 13223 Paulding, GA 222 183 211 174 10 9 0 1 0 13225 Peach, GA 54 51 0 0 0 3 0 0 0 10 0 0 0 111 113 56 61 13227 Pickens, GA 98 93 94 91 13229 Pierce, GA 76 74 69 64 7 13231 Pike, GA 62 53 50 41 12 12 0 0 1 13233 Polk, GA 204 205 179 178 24 26 0 0 1 13235 Pulaski, GA 60 65 33 41 27 24 0 0 0 13237 Putnam, GA 73 72 54 48 19 24 0 0 1 5 13239 Quitman, GA 12 14 7 9 13241 Rabun, GA 83 74 83 74 5 0 0 0 0 0 0 0 0 0 13243 Randolph, GA 58 59 21 23 37 35 0 13245 Richmond, GA 987 940 557 549 425 383 3 13247 Rockdale, GA 234 230 210 207 23 22 0 5 5 3 0 2 13249 Schley, GA 21 20 10 11 11 9 0 0 0 13251 Screven, GA 83 92 51 58 32 34 0 0 0 13253 Seminole, GA 52 48 40 34 12 14 0 0 0 13255 Spalding, GA 329 320 238 247 91 72 0 0 1 13257 Stephens, GA 165 151 151 136 14 15 0 0 0 246 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) 19982000 2000 FIPS Female Female Code County Name Deaths Deaths 19982000 White Female Deaths 2000 White Female Deaths 19982000 Black Female Deaths 2000 Black Female Deaths 19982000 AmInd Female Deaths 2000 AmInd Female Deaths 2000 API Female Deaths 19982000 API Female Deaths 19982000 Hisp Female Deaths 2000 Hisp Female Deaths 13259 Stewart, GA 35 36 11 15 24 21 0 0 13261 Sumter, GA 200 191 117 109 81 81 1 1 0 13263 Talbot, GA 39 39 16 16 23 23 0 0 0 13265 Taliaferro, GA 0 14 14 9 8 5 6 0 0 0 13267 Tattnall, GA 102 107 82 89 20 18 0 0 0 13269 Taylor, GA 60 54 40 33 20 20 0 0 0 13271 Telfair, GA 69 74 52 53 17 21 0 0 0 13273 Terrell, GA 63 71 30 34 33 37 0 0 0 233 248 139 156 93 91 0 1 0 13275 Thomas, GA 13277 Tift, GA 195 171 149 125 46 45 0 0 1 13279 Toombs, GA 137 143 100 103 37 38 0 1 1 13281 Towns, GA 66 60 66 60 0 0 0 0 13283 Treutlen, GA 32 36 20 27 12 9 0 0 0 13285 Troup, GA 379 349 269 242 108 106 0 1 1 13287 Turner, GA 56 58 40 41 16 16 0 0 0 13289 Twiggs, GA 52 48 31 27 21 21 0 0 0 13291 Union, GA 107 104 107 104 0 0 0 0 13293 Upson, GA 209 191 168 143 41 47 0 1 0 13295 Walker, GA 360 342 338 328 21 13 0 1 0 13297 Walton, GA 224 207 189 175 33 31 1 0 1 13299 Ware, GA 223 217 169 164 53 52 0 1 1 13301 Warren, GA 49 50 29 28 20 21 0 0 0 13303 Washington, GA 104 103 60 52 44 51 0 0 0 13305 Wayne, GA 115 114 97 95 18 19 0 0 0 13307 Webster, GA 13 14 7 6 6 8 0 0 0 13309 Wheeler, GA 30 29 22 22 8 7 0 0 0 13311 White, GA 86 85 79 81 6 3 1 0 366 349 347 333 19 16 0 0 13313 Whitfield, GA 0 6 5 13315 Wilcox, GA 43 44 31 30 12 15 0 0 13317 Wilkes, GA 70 70 52 47 18 23 0 0 1 13319 Wilkinson, GA 49 46 25 27 24 19 0 0 0 13321 Worth, GA 97 99 69 73 28 26 20,058 19,686 18,639 18,283 1,384 1,371 21001 Adair, KY 88 82 85 80 2 0 0 21003 Allen, KY 96 92 94 90 1 0 0 0 21005 Anderson, KY 75 72 69 69 5 3 0 0 0 2 0 0 0 12 11 0 0 1 21 KENTUCKY 21007 Ballard, KY 68 64 65 62 21009 Barren, KY 221 207 209 196 0 0 7 6 0 28 26 0 84 72 1 21011 Bath, KY 73 59 69 55 3 0 0 0 21013 Bell, KY 174 173 171 168 5 0 0 0 21015 Boone, KY 258 269 258 267 1 0 0 1 95 104 83 93 12 12 0 0 0 3 0 0 2 13 17 0 0 0 21017 Bourbon, KY 21019 Boyd, KY 338 320 335 317 21021 Boyle, KY 152 150 139 133 247 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 19982000 2000 Female Female Deaths Deaths 2000 White Female Deaths 19982000 White Female Deaths 19982000 Black Female Deaths 2000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 19982000 API Female Deaths 2000 API Female Deaths 19982000 Hisp Female Deaths 2000 Hisp Female Deaths 21023 Bracken, KY 42 51 42 51 0 0 0 21025 Breathitt, KY 74 77 73 77 0 0 0 0 21027 Breckinridge, KY 93 93 91 91 2 0 0 0 21029 Bullitt, KY 154 163 154 163 0 0 0 1 21031 Butler, KY 59 60 59 59 0 0 0 0 21033 Caldwell, KY 75 85 72 82 21035 Calloway, KY 191 182 186 177 21037 Campbell, KY 449 454 445 21039 Carlisle, KY 46 33 21041 Carroll, KY 74 21043 Carter, KY 143 21045 Casey, KY 0 3 0 0 1 5 0 0 0 449 4 0 0 1 45 33 0 0 0 0 62 71 61 1 0 0 0 135 143 134 0 0 0 1 5 81 79 80 78 1 0 0 0 21047 Christian, KY 314 298 243 231 70 67 0 0 1 21049 Clark, KY 157 155 135 139 22 16 0 0 1 21051 Clay, KY 113 109 109 106 3 0 0 0 21053 Clinton, KY 36 44 35 43 0 0 0 0 21055 Crittenden, KY 61 63 61 61 2 0 0 0 21057 Cumberland, KY 50 50 48 48 3 0 0 0 527 485 507 467 16 0 1 2 21061 Edmonson, KY 51 56 51 56 0 0 0 1 21063 Elliott, KY 34 33 34 33 0 0 0 0 21065 Estill, KY 85 81 85 81 0 0 0 0 21067 Fayette, KY 1,041 1,028 888 868 157 0 3 21069 Fleming, KY 77 74 75 72 2 0 0 21071 Floyd, KY 229 215 228 213 1 0 0 1 21073 Franklin, KY 240 229 225 216 15 13 0 0 1 5 21059 Daviess, KY 17 151 6 4 0 21075 Fulton, KY 52 60 47 52 8 0 0 0 21077 Gallatin, KY 48 34 48 34 0 0 0 0 21079 Garrard, KY 60 63 58 58 4 0 0 0 21081 Grant, KY 91 88 91 88 0 0 0 0 21083 Graves, KY 242 234 223 217 16 0 0 2 21085 Grayson, KY 129 128 129 128 0 0 0 1 56 55 55 53 2 0 0 0 204 201 201 199 2 0 0 1 21087 Green, KY 21089 Greenup, KY 21091 Hancock, KY 19 37 32 37 32 0 0 21093 Hardin, KY 346 318 323 296 18 19 0 21095 Harlan, KY 213 208 204 202 9 6 84 97 83 95 2 21099 Hart, KY 110 94 102 88 7 21101 Henderson, KY 226 232 200 209 25 21103 Henry, KY 59 75 54 70 5 21105 Hickman, KY 30 34 26 30 21107 Hopkins, KY 304 284 274 259 21109 Jackson, KY 67 69 67 69 21097 Harrison, KY 29 248 0 0 3 2 0 0 0 0 0 0 6 0 0 1 22 0 0 1 5 5 0 0 0 3 0 0 0 25 0 0 1 0 0 0 0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 21111 Jefferson, KY 19982000 2000 Female Female Deaths Deaths 2000 White Female Deaths 19982000 White Female Deaths 2000 Black Female Deaths 19982000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 2000 API Female Deaths 6 2000 Hisp Female Deaths 13 19982000 Hisp Female Deaths 3,788 3,763 3,195 3,154 586 602 1 21113 Jessamine, KY 117 114 111 109 6 4 0 0 1 21115 Johnson, KY 133 127 133 127 0 0 0 2 21117 Kenton, KY 639 620 615 598 20 0 1 2 21119 Knott, KY 74 77 73 77 0 0 0 0 21121 Knox, KY 176 173 174 170 3 0 0 0 21 6 19982000 API Female Deaths 11 21123 Larue, KY 65 64 63 60 3 0 0 0 21125 Laurel, KY 240 217 239 215 1 0 0 0 21127 Lawrence, KY 81 86 81 86 0 0 0 0 21129 Lee, KY 34 41 34 41 0 0 0 0 21131 Leslie, KY 57 53 57 53 0 0 0 0 158 140 157 140 0 0 0 0 62 67 62 67 0 0 0 0 21137 Lincoln, KY 98 107 92 103 4 0 0 0 21139 Livingston, KY 50 55 50 55 1 0 0 0 126 148 112 136 14 12 0 0 1 2 0 0 1 32 35 0 1 0 1 21133 Letcher, KY 21135 Lewis, KY 21141 Logan, KY 21143 Lyon, KY 6 68 52 65 50 420 401 387 364 21147 McCreary, KY 81 91 81 91 0 0 0 21149 McLean, KY 61 65 61 65 0 0 0 0 21151 Madison, KY 275 274 263 256 12 18 0 0 1 21153 Magoffin, KY 60 56 59 56 0 0 0 0 21155 Marion, KY 96 96 91 90 5 6 0 0 1 21145 McCracken, KY 21157 Marshall, KY 187 175 187 175 0 0 0 21159 Martin, KY 48 53 48 53 0 0 0 0 21161 Mason, KY 119 114 110 106 8 0 0 1 21163 Meade, KY 68 79 68 76 2 0 0 0 21165 Menifee, KY 28 28 28 28 0 0 0 0 21167 Mercer, KY 147 119 141 113 5 0 0 0 9 6 6 3 21169 Metcalfe, KY 44 54 44 53 1 0 0 0 21171 Monroe, KY 62 69 62 67 3 0 0 1 117 117 107 108 9 0 0 1 64 56 64 56 0 0 0 0 21177 Muhlenberg, KY 206 189 197 181 8 7 0 1 1 21179 Nelson, KY 175 161 158 147 17 14 0 0 0 47 42 45 42 1 0 0 0 21183 Ohio, KY 134 126 131 124 2 0 0 0 21185 Oldham, KY 129 111 126 108 2 0 0 1 21187 Owen, KY 42 53 41 51 1 0 0 0 21189 Owsley, KY 29 28 29 28 0 0 0 0 0 21173 Montgomery, KY 21175 Morgan, KY 21181 Nicholas, KY 21191 Pendleton, KY 9 51 52 50 51 1 0 0 21193 Perry, KY 140 147 138 144 3 0 0 0 21195 Pike, KY 354 360 351 358 2 0 0 0 249 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) 19982000 2000 FIPS Female Female Code County Name Deaths Deaths 2000 White Female Deaths 19982000 White Female Deaths 19982000 Black Female Deaths 2000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 2000 API Female Deaths 19982000 API Female Deaths 2000 Hisp Female Deaths 19982000 Hisp Female Deaths 21197 Powell, KY 50 56 49 55 1 0 0 0 21199 Pulaski, KY 305 296 301 292 4 0 0 1 21201 Robertson, KY 18 16 18 16 0 0 0 0 21203 Rockcastle, KY 79 86 78 85 1 0 0 1 21205 Rowan, KY 80 80 79 79 0 0 0 0 21207 Russell, KY 92 93 92 92 1 0 0 0 21209 Scott, KY 151 131 141 121 9 9 0 0 1 21211 Shelby, KY 1 153 145 137 135 16 10 0 0 21213 Simpson, KY 89 76 75 68 14 8 0 0 1 21215 Spencer, KY 51 42 47 38 3 0 0 0 21217 Taylor, KY 128 129 119 121 9 7 0 0 0 21219 Todd, KY 57 76 48 66 9 10 0 0 0 21221 Trigg, KY 75 69 66 60 9 9 0 0 1 21223 Trimble, KY 38 39 38 38 0 0 1 0 21225 Union, KY 89 86 81 80 8 6 0 0 0 32 21227 Warren, KY 354 378 322 346 31 0 1 1 21229 Washington, KY 71 66 68 63 3 0 0 0 21231 Wayne, KY 98 88 97 86 1 0 0 0 21233 Webster, KY 80 86 77 83 3 0 0 1 21235 Whitley, KY 205 206 204 204 2 0 0 0 47 40 47 40 0 0 0 0 21239 Woodford, KY 106 95 91 85 14 9 0 0 0 28 MISSISSIPPI 21237 Wolfe, KY 14,498 14,043 9,817 9,412 4,629 4,579 28001 Adams, MS 199 221 114 117 85 104 0 0 0 28003 Alcorn, MS 269 228 232 199 37 29 0 0 0 28005 Amite, MS 62 57 46 34 16 23 0 0 0 28007 Attala, MS 88 110 60 74 28 36 0 0 0 28009 Benton, MS 36 49 28 38 8 11 0 0 0 28011 Bolivar, MS 248 225 91 85 156 140 0 0 1 93 95 72 76 21 18 0 0 0 28013 Calhoun, MS 28015 Carroll, MS 28017 Chickasaw, MS 38 32 14 20 21 19 41 42 23 25 18 17 0 0 0 107 98 77 67 30 31 0 0 0 28019 Choctaw, MS 49 49 32 32 17 18 0 0 0 28021 Claiborne, MS 58 55 14 14 44 41 0 0 0 0 28023 Clarke, MS 102 92 75 62 27 30 0 0 28025 Clay, MS 105 109 52 58 53 52 0 0 0 28027 Coahoma, MS 197 197 74 80 122 116 0 1 0 28029 Copiah, MS 153 148 86 77 67 71 0 0 0 71 79 48 57 23 23 0 0 0 28033 DeSoto, MS 385 362 341 316 44 46 0 0 0 28035 Forrest, MS 401 388 292 285 108 102 0 1 1 28037 Franklin, MS 62 58 47 41 15 17 0 0 0 28039 George, MS 111 102 101 92 9 9 0 0 0 28041 Greene, MS 54 45 46 38 8 7 0 0 0 28031 Covington, MS 250 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 19982000 2000 Female Female Deaths Deaths 2000 White Female Deaths 19982000 White Female Deaths 2000 Black Female Deaths 19982000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 2000 API Female Deaths 19982000 API Female Deaths 2000 Hisp Female Deaths 19982000 Hisp Female Deaths 28043 Grenada, MS 177 162 108 103 69 59 0 0 28045 Hancock, MS 221 204 208 190 13 14 0 0 1 28047 Harrison, MS 862 848 694 683 165 157 1 6 5 1,080 1,167 510 583 569 583 0 1 0 124 126 46 47 78 79 0 0 0 82 67 27 24 54 42 0 1 0 28049 Hinds, MS 28051 Holmes, MS 28053 Humphreys, MS 0 28055 Issaquena, MS 7 5 3 5 2 0 0 0 28057 Itawamba, MS 128 128 123 124 5 4 0 0 0 28059 Jackson, MS 590 546 487 442 101 100 1 3 1 28061 Jasper, MS 124 100 74 62 50 38 0 0 0 28063 Jefferson, MS 45 44 6 7 39 37 0 0 0 28065 Jefferson Davis, MS 87 81 40 39 47 42 0 0 0 358 322 278 249 80 71 1 0 1 58 51 30 28 28 23 0 0 0 135 136 104 102 31 35 0 0 0 28067 Jones, MS 28069 Kemper, MS 28071 Lafayette, MS 28073 Lamar, MS 153 145 132 125 20 20 0 1 0 28075 Lauderdale, MS 528 498 365 344 161 152 0 1 0 28077 Lawrence, MS 28079 Leake, MS 76 73 55 51 21 22 117 121 76 79 36 38 5 0 0 0 4 0 0 28081 Lee, MS 402 360 336 294 66 67 0 0 0 28083 Leflore, MS 246 224 105 94 140 129 0 1 0 28085 Lincoln, MS 249 224 178 163 71 60 0 0 0 28087 Lowndes, MS 221 246 135 147 86 99 0 0 0 28089 Madison, MS 451 348 316 226 134 121 0 1 0 28091 Marion, MS 191 172 142 125 49 47 0 0 0 28093 Marshall, MS 155 157 76 79 79 78 0 0 0 28095 Monroe, MS 218 204 168 152 50 53 0 0 0 28097 Montgomery, MS 85 78 46 47 39 32 28099 Neshoba, MS 165 158 108 110 30 28 28101 Newton, MS 27 0 0 0 20 0 0 0 120 115 81 77 36 36 3 0 28103 Noxubee, MS 56 57 24 22 32 35 0 0 0 28105 Oktibbeha, MS 146 141 88 86 58 54 0 1 0 28107 Panola, MS 183 184 111 108 72 76 0 0 0 28109 Pearl River, MS 230 215 206 186 23 29 0 0 0 28111 Perry, MS 73 62 58 45 15 17 0 0 0 28113 Pike, MS 240 235 145 142 95 93 0 0 1 28115 Pontotoc, MS 118 122 104 107 14 15 0 0 0 28117 Prentiss, MS 98 100 90 93 8 7 0 0 0 28119 Quitman, MS 66 66 24 30 42 35 0 0 0 28121 Rankin, MS 383 392 310 317 73 74 0 1 1 28123 Scott, MS 3 118 135 79 87 39 48 1 0 28125 Sharkey, MS 26 32 8 10 18 21 0 0 0 28127 Simpson, MS 161 159 127 116 34 43 0 0 0 88 86 71 67 17 19 0 0 0 28129 Smith, MS 251 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 28131 Stone, MS 28133 Sunflower, MS 28135 Tallahatchie, MS 19982000 2000 Female Female Deaths Deaths 2000 White Female Deaths 19982000 White Female Deaths 2000 Black Female Deaths 19982000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 2000 API Female Deaths 19982000 API Female Deaths 2000 Hisp Female Deaths 19982000 Hisp Female Deaths 69 66 54 53 15 13 0 0 0 162 164 71 67 91 97 0 0 0 0 71 71 29 35 42 36 0 0 28137 Tate, MS 127 115 89 79 38 36 0 0 0 28139 Tippah, MS 129 134 109 117 20 17 0 0 0 28141 Tishomingo, MS 141 132 134 127 7 5 0 0 0 28143 Tunica, MS 42 47 13 18 29 29 0 0 0 28145 Union, MS 0 141 136 128 118 13 18 0 0 28147 Walthall, MS 74 84 53 59 21 25 0 0 0 28149 Warren, MS 258 262 155 154 103 107 0 0 0 28151 Washington, MS 350 347 144 135 206 212 0 0 0 91 96 66 64 25 31 0 0 0 28153 Wayne, MS 28155 Webster, MS 70 70 62 61 8 8 0 0 0 28157 Wilkinson, MS 68 59 31 24 37 35 0 0 0 133 122 91 84 42 38 0 0 0 75 77 56 55 19 22 0 0 0 165 156 80 78 85 79 0 0 0 28159 Winston, MS 28161 Yalobusha, MS 28163 Yazoo, MS 36,579 35,303 28,467 27,296 7,761 7,650 37001 Alamance, NC 37 NORTH CAROLINA 707 669 577 552 128 115 1 1 37003 Alexander, NC 142 137 134 127 7 9 0 0 0 37005 Alleghany, NC 71 70 69 69 1 0 0 0 37007 Anson, NC 152 137 86 73 37009 Ashe, NC 144 151 140 149 37011 Avery, NC 37013 Beaufort, NC 86 91 86 91 285 273 200 187 66 85 270 276 81 82 133 107 1 64 0 0 0 2 0 0 0 0 0 0 0 86 0 0 0 0 37015 Bertie, NC 151 142 66 62 84 80 0 0 37017 Bladen, NC 190 192 123 117 65 73 2 0 0 37019 Brunswick, NC 337 320 294 276 43 44 0 0 0 37021 Buncombe, NC 1,162 1,150 1,087 1,060 73 87 0 2 3 37023 Burke, NC 421 410 390 380 28 27 0 3 1 37025 Cabarrus, NC 599 599 514 521 84 77 0 0 1 37027 Caldwell, NC 369 359 349 337 20 22 0 0 1 37029 Camden, NC 32 33 24 25 8 7 0 0 0 37031 Carteret, NC 314 310 297 288 17 21 0 1 0 37033 Caswell, NC 106 113 67 71 38 42 0 0 37035 Catawba, NC 653 629 593 572 58 55 0 2 42 50 0 0 1 2 3 0 0 31 0 0 0 0 1 0 0 85 0 1 1 0 37037 Chatham, NC 237 239 194 188 37039 Cherokee, NC 132 137 128 132 37041 Chowan, NC 90 87 56 56 37043 Clay, NC 56 53 54 52 512 484 433 398 37045 Cleveland, NC 34 77 37047 Columbus, NC 325 306 227 208 94 95 3 0 37049 Craven, NC 415 408 287 279 127 128 0 0 37051 Cumberland, NC 976 921 588 564 365 334 252 11 10 12 12 0 7 4 0 10 7 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 37053 Currituck, NC 19982000 2000 Female Female Deaths Deaths 2000 White Female Deaths 19982000 White Female Deaths 2000 Black Female Deaths 12 19982000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 2000 API Female Deaths 19982000 API Female Deaths 92 82 80 70 37055 Dare, NC 122 112 119 108 37057 Davidson, NC 707 622 638 557 37059 Davie, NC 177 173 158 158 19 14 0 0 37061 Duplin, NC 273 265 190 173 82 92 0 0 66 2000 Hisp Female Deaths 19982000 Hisp Female Deaths 12 0 0 4 0 0 0 0 62 0 2 2 0 6 3 37063 Durham, NC 946 940 573 575 371 363 1 1 4 37065 Edgecombe, NC 322 314 157 153 165 162 0 0 1 37067 Forsyth, NC 1,476 1,459 1,118 1,095 354 361 1 3 37069 Franklin, NC 232 212 149 139 83 73 0 0 0 37071 Gaston, NC 5 6 1,041 986 939 862 102 122 1 1 0 37073 Gates, NC 64 58 37 32 27 26 0 0 0 37075 Graham, NC 56 50 56 48 0 2 0 0 37077 Granville, NC 200 201 123 125 75 0 0 1 77 37079 Greene, NC 87 89 58 56 28 33 37081 Guilford, NC 1,904 1,786 1,475 1,357 420 419 6 0 0 4 6 0 5 4 37083 Halifax, NC 319 329 163 170 152 152 7 0 0 37085 Harnett, NC 375 355 295 280 77 72 2 1 2 5 1 0 0 11 15 0 1 1 37087 Haywood, NC 322 326 318 320 37089 Henderson, NC 563 521 551 505 37091 Hertford, NC 136 132 63 65 69 65 37093 Hoke, NC 106 108 48 49 46 47 11 2 0 0 12 0 0 37095 Hyde, NC 40 34 32 25 8 9 0 0 0 37097 Iredell, NC 598 547 508 465 89 82 0 1 1 37099 Jackson, NC 154 147 146 139 7 0 0 37101 Johnston, NC 475 467 388 384 86 82 0 1 2 58 60 33 40 25 20 0 0 0 37105 Lee, NC 265 243 188 187 75 54 1 1 2 37107 Lenoir, NC 349 347 213 206 136 141 0 0 0 37109 Lincoln, NC 288 257 273 242 15 15 0 0 2 37111 McDowell, NC 200 177 191 170 9 7 0 0 1 37113 Macon, NC 173 172 172 170 1 0 0 0 37115 Madison, NC 108 106 107 106 0 0 0 0 37103 Jones, NC 37117 Martin, NC 37119 Mecklenburg, NC 2 5 221 197 141 122 79 74 1 2,326 2,254 1,651 1,626 654 612 3 0 18 14 1 13 11 37121 Mitchell, NC 106 99 106 98 0 0 0 37123 Montgomery, NC 138 124 99 91 38 32 0 0 0 1 37125 Moore, NC 441 435 380 366 60 69 1 0 1 37127 Nash, NC 459 434 321 305 137 128 0 1 1 37129 New Hanover, NC 692 673 551 529 141 144 0 0 1 37131 Northampton, NC 137 135 63 61 74 74 0 0 37133 Onslow, NC 353 360 284 290 68 68 0 1 37135 Orange, NC 364 362 291 290 71 71 0 1 1 37137 Pamlico, NC 57 69 43 52 14 17 0 0 0 194 190 128 118 66 72 0 0 0 37139 Pasquotank, NC 253 0 9 5 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 37141 Pender, NC 19982000 2000 Female Female Deaths Deaths 2000 White Female Deaths 19982000 White Female Deaths 2000 Black Female Deaths 19982000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 2000 API Female Deaths 19982000 API Female Deaths 2000 Hisp Female Deaths 19982000 Hisp Female Deaths 173 169 112 115 60 53 0 0 0 74 68 44 42 30 27 0 0 0 37145 Person, NC 200 176 148 124 51 50 1 1 0 37147 Pitt, NC 574 528 352 311 222 216 0 1 1 37143 Perquimans, NC 37149 Polk, NC 149 142 140 132 8 9 0 0 0 37151 Randolph, NC 558 537 521 502 35 33 1 0 1 37153 Richmond, NC 291 262 191 176 100 86 37155 Robeson, NC 579 584 254 256 163 157 37157 Rockingham, NC 553 525 458 432 95 37159 Rowan, NC 672 679 565 570 37161 Rutherford, NC 389 362 350 322 0 0 0 171 0 3 92 0 0 1 107 108 1 1 1 37 38 1 0 0 162 37163 Sampson, NC 289 307 187 196 96 106 5 3 1 2 37165 Scotland, NC 202 176 122 106 66 59 14 11 0 0 37167 Stanly, NC 320 315 282 281 37 32 0 2 1 37169 Stokes, NC 210 193 202 182 8 11 0 0 0 37171 Surry, NC 378 386 365 368 13 18 0 0 2 8 7 37173 Swain, NC 37175 Transylvania, NC 96 75 81 62 163 169 155 161 0 15 13 0 0 0 1 0 37177 Tyrrell, NC 18 22 12 14 6 8 0 0 0 37179 Union, NC 399 396 343 334 55 62 0 0 2 37181 Vance, NC 224 235 123 132 101 102 0 37183 Wake, NC 1,691 1,680 1,277 1,262 404 406 1 99 111 40 45 58 63 3 49 42 0 0 0 1 0 0 0 1 37185 Warren, NC 0 10 10 0 9 0 9 0 37187 Washington, NC 116 91 67 49 37189 Watauga, NC 143 140 141 139 37191 Wayne, NC 596 557 369 345 225 210 0 1 37193 Wilkes, NC 355 331 336 314 19 17 0 0 1 37195 Wilson, NC 378 396 250 255 128 141 0 0 2 37197 Yadkin, NC 199 175 191 168 8 7 0 0 0 37199 Yancey, NC 111 89 109 87 2 0 0 18,237 17,774 12,906 12,631 45 SOUTH CAROLINA 45001 Abbeville, SC 5,278 5,093 17 14 36 36 1 34 38 98 117 68 83 30 34 0 0 0 638 624 480 473 154 149 0 2 1 45005 Allendale, SC 42 56 21 18 21 37 0 0 0 45007 Anderson, SC 828 808 695 682 132 124 0 1 1 45003 Aiken, SC 45009 Bamberg, SC 106 100 50 43 56 57 0 0 0 45011 Barnwell, SC 111 122 57 67 54 55 0 0 0 45013 Beaufort, SC 444 419 343 318 100 99 0 2 2 45015 Berkeley, SC 419 393 277 267 139 125 0 1 3 45017 Calhoun, SC 73 79 41 41 32 38 0 0 0 1,395 1,283 903 821 489 457 1 4 3 45021 Cherokee, SC 268 256 218 214 50 42 0 0 0 45023 Chester, SC 160 159 105 109 55 50 0 0 0 45025 Chesterfield, SC 198 219 133 148 65 71 0 0 0 45019 Charleston, SC 254 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 19982000 2000 Female Female Deaths Deaths 2000 White Female Deaths 19982000 White Female Deaths 2000 Black Female Deaths 19982000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 2000 API Female Deaths 19982000 API Female Deaths 2000 Hisp Female Deaths 19982000 Hisp Female Deaths 45027 Clarendon, SC 165 156 61 65 104 91 0 0 45029 Colleton, SC 185 183 101 99 84 84 0 0 0 0 45031 Darlington, SC 397 389 241 249 156 140 0 0 0 45033 Dillon, SC 158 158 84 93 71 62 3 0 0 45035 Dorchester, SC 368 358 247 251 119 106 0 1 1 0 45037 Edgefield, SC 98 95 65 58 33 38 0 0 45039 Fairfield, SC 169 147 86 81 83 66 0 0 0 45041 Florence, SC 655 647 392 412 262 234 1 1 1 45043 Georgetown, SC 45045 Greenville, SC 45047 Greenwood, SC 269 249 161 151 108 98 0 1,738 1,677 1,427 1,382 302 289 1 372 353 283 265 88 87 0 0 7 6 1 10 0 8 0 45049 Hampton, SC 111 100 52 51 59 49 0 0 0 45051 Horry, SC 825 817 717 700 106 116 0 2 2 45053 Jasper, SC 80 84 31 36 49 48 0 0 0 45055 Kershaw, SC 242 226 157 149 85 76 0 1 1 45057 Lancaster, SC 299 292 230 225 68 67 0 0 0 45059 Laurens, SC 379 371 281 285 98 86 0 0 0 45061 Lee, SC 45063 Lexington, SC 45065 McCormick, SC 45067 Marion, SC 79 99 37 39 42 60 0 0 0 836 809 745 721 89 84 0 3 1 44 55 25 30 19 25 0 0 0 195 201 88 91 106 110 0 0 0 45069 Marlboro, SC 168 173 88 94 78 76 3 0 0 45071 Newberry, SC 179 189 131 138 47 51 0 0 0 45073 Oconee, SC 323 307 299 281 24 26 0 0 0 45075 Orangeburg, SC 485 472 218 227 267 245 0 1 0 434 446 394 407 40 39 0 1,306 1,264 787 734 513 522 1 45077 Pickens, SC 45079 Richland, SC 45081 Saluda, SC 45083 Spartanburg, SC 0 5 6 0 5 5 98 97 77 72 21 25 0 0 0 1,335 1,264 1,065 1,012 266 248 0 4 2 45085 Sumter, SC 466 459 248 248 217 211 0 0 1 45087 Union, SC 182 177 137 130 45 47 0 0 0 45089 Williamsburg, SC 187 186 61 65 126 121 0 0 0 45091 York, SC 630 639 499 506 126 129 5 3 1 47 TENNESSEE 27,973 27,272 23,566 23,003 4,333 4,198 7 11 47001 Anderson, TN 408 402 398 390 7 10 0 2 0 47003 Bedford, TN 204 188 183 172 21 16 0 0 2 47005 Benton, TN 100 102 98 101 1 0 0 0 47007 Bledsoe, TN 51 49 48 48 1 0 0 0 47009 Blount, TN 509 521 495 503 14 18 0 0 0 47011 Bradley, TN 428 399 413 385 14 14 0 0 1 47013 Campbell, TN 213 218 212 216 2 0 0 1 67 59 1 61 61 47015 Cannon, TN 64 63 64 63 0 0 0 0 47017 Carroll, TN 252 224 231 206 21 18 0 0 0 47019 Carter, TN 306 307 301 303 5 3 0 0 0 255 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 47021 Cheatham, TN 47023 Chester, TN 47025 Claiborne, TN 47027 Clay, TN 2000 Female Deaths 19982000 Female Deaths 2000 White Female Deaths 19982000 White Female Deaths 2000 Black Female Deaths 19982000 Black Female Deaths 2000 AmInd Female Deaths 19982000 AmInd Female Deaths 2000 API Female Deaths 19982000 API Female Deaths 2000 Hisp Female Deaths 19982000 Hisp Female Deaths 124 121 119 117 5 3 0 0 76 75 63 65 13 10 0 0 1 0 179 160 178 160 1 0 0 0 37 40 35 39 1 0 0 0 47029 Cocke, TN 193 180 186 173 7 7 0 0 1 47031 Coffee, TN 251 242 238 231 12 10 0 1 1 88 97 70 83 18 14 0 0 0 265 237 263 237 0 0 0 2,650 2,573 1,998 1,951 608 1 47033 Crockett, TN 47035 Cumberland, TN 47037 Davidson, TN 634 18 13 0 8 8 47039 Decatur, TN 66 82 65 78 3 0 0 47041 DeKalb, TN 93 100 91 97 3 0 0 0 1 47043 Dickson, TN 174 187 165 177 9 10 0 0 1 47045 Dyer, TN 243 224 207 196 36 27 0 1 0 47047 Fayette, TN 132 132 80 81 52 51 0 0 0 47049 Fentress, TN 91 100 91 100 0 0 0 0 47051 Franklin, TN 218 209 206 197 12 11 0 1 0 47053 Gibson, TN 359 360 308 299 50 60 0 1 0 47055 Giles, TN 17 0 165 163 148 144 19 0 0 47057 Grainger, TN 89 93 89 92 0 0 0 0 47059 Greene, TN 328 323 325 315 7 0 0 0 47061 Grundy, TN 90 80 90 80 0 0 0 0 47063 Hamblen, TN 327 295 305 277 21 18 0 0 1 47065 Hamilton, TN 1,674 1,669 1,314 1,332 359 335 1 2 47067 Hancock, TN 42 41 42 41 0 0 0 0 0 6 5 47069 Hardeman, TN 147 143 103 100 44 43 0 0 47071 Hardin, TN 153 145 144 137 9 8 0 0 0 47073 Hawkins, TN 255 242 252 237 4 0 0 0 47075 Haywood, TN 103 116 61 65 42 51 0 0 0 47077 Henderson, TN 144 143 136 132 7 11 0 0 0 47079 Henry, TN 231 229 208 206 23 22 0 0 0 47081 Hickman, TN 118 103 117 100 2 0 0 0 47083 Houston, TN 44 46 44 45 1 0 0 0 47085 Humphreys, TN 101 104 101 101 3 0 0 1 47087 Jackson, TN 79 72 79 72 0 0 0 0 47089 Jefferson, TN 210 206 203 199 7 0 0 1 47091 Johnson, TN 90 90 89 88 2 0 0 0 1,890 1,877 1,682 1,690 182 1 4 2 47093 Knox, TN 47095 Lake, TN 7 205 51 57 39 46 12 11 0 0 0 47097 Lauderdale, TN 157 141 111 97 45 43 1 0 0 47099 Lawrence, TN 193 202 191 197 5 0 0 1 61 56 60 55 1 0 0 0 47103 Lincoln, TN 195 179 175 162 20 17 0 0 0 47105 Loudon, TN 219 220 214 217 3 0 0 0 47107 McMinn, TN 247 256 236 244 9 10 0 1 1 47101 Lewis, TN 256 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Deaths for Females by Race/Ethnicity) FIPS Code County Name 47109 McNairy, TN 47111 Macon, TN 47113 Madison, TN 2000 Female Deaths 19982000 Female Deaths 2000 White Female Deaths 19982000 White Female Deaths 19982000 AmInd Female Deaths 19982000 API Female Deaths 19982000 Hisp Female Deaths 2000 Black Female Deaths 19982000 Black Female Deaths 8 6 0 0 0 0 0 0 0 1 1 181 151 173 145 97 96 97 95 492 480 332 335 159 144 2000 AmInd Female Deaths 2000 API Female Deaths 2000 Hisp Female Deaths 0 47115 Marion, TN 162 143 147 132 15 10 0 0 0 47117 Marshall, TN 128 129 123 120 5 9 0 0 0 47119 Maury, TN 322 348 272 299 50 49 0 0 1 47121 Meigs, TN 42 42 42 42 0 0 0 0 47123 Monroe, TN 179 187 176 181 47125 Montgomery, TN 415 402 354 327 47127 Moore, TN 29 25 28 47129 Morgan, TN 86 86 47131 Obion, TN 198 47133 Overton, TN 120 47135 Perry, TN 6 0 69 0 24 1 0 0 0 86 86 0 0 0 0 203 169 180 23 0 0 0 109 120 109 0 0 0 0 44 44 43 43 1 0 0 0 47137 Pickett, TN 32 33 32 33 0 0 0 0 47139 Polk, TN 95 102 95 102 0 0 0 0 54 29 0 7 6 0 5 3 47141 Putnam, TN 325 293 322 292 1 0 0 0 47143 Rhea, TN 152 139 151 137 2 0 0 1 47145 Roane, TN 285 288 274 275 9 12 0 1 0 47147 Robertson, TN 257 244 220 213 37 31 0 0 1 47149 Rutherford, TN 59 1 567 517 504 466 47 0 3 47151 Scott, TN 97 101 97 101 0 0 0 1 47153 Sequatchie, TN 59 58 59 57 0 0 0 0 47155 Sevier, TN 348 308 347 307 47157 Shelby, TN 4,181 4,078 2,273 2,193 1,895 7 47159 Smith, TN 97 95 90 89 47161 Stewart, TN 68 66 66 65 0 0 1,869 1 1 12 14 0 11 11 6 0 0 0 1 0 0 0 47163 Sullivan, TN 889 832 870 815 17 16 0 1 1 47165 Sumner, TN 536 518 507 491 29 27 0 0 1 47167 Tipton, TN 249 212 190 161 58 50 0 0 0 58 47 46 38 12 9 0 0 0 47171 Unicoi, TN 114 115 114 115 0 0 0 0 47173 Union, TN 61 70 61 70 0 0 0 0 47175 Van Buren, TN 23 30 23 30 0 0 0 0 47177 Warren, TN 199 199 192 189 6 10 0 0 0 47179 Washington, TN 583 546 562 530 20 15 0 1 1 1 0 0 0 8 12 1 0 1 2 0 0 0 47169 Trousdale, TN 47181 Wayne, TN 67 78 66 77 47183 Weakley, TN 183 197 174 184 47185 White, TN 155 130 152 128 47187 Williamson, TN 321 329 292 300 28 29 0 1 2 47189 Wilson, TN 300 320 261 287 37 31 0 1 2 252,752 246,925 205,990 84 REGION IV 91 UNITED STATES 201,098 45,661 44,757 462 1,225,773 1,207,236 1,064,096 1,048,634 140,642 138,342 5,178 455 639 615 6,920 6,728 5,083 15,857 15,177 47,082 45,139 Note: Fewer than 5 occurrences are suppressed for year 2000 county-level data. 3-yr averages are not suppressed. Hispanics can be of any race. 257 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) 19982000 2000 Female Female FIPS Death Death Code County Name Rate Rate 01 ALABAMA 2000 White Female Death Rate 19982000 White Female Death Rate 2000 Black Female Death Rate 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 866.2 883.1 795.4 823.6 639.9 732.9 0.0 0.0 901.3 920.4 931.9 968.4 744.8 674.3 0.0 0.0 1,087.6 1,053.2 1,375.5 1,298.7 790.9 795.1 0.0 0.0 0.0 829.7 817.4 0.0 0.0 0.0 0.0 0.0 01011 Bullock, AL 1,381.4 1,227.3 2,106.1 1,594.5 1,171.2 1,094.8 0.0 0.0 0.0 01013 Butler, AL 1,151.1 1,134.8 1,252.5 1,388.7 1,023.2 799.8 0.0 0.0 0.0 01015 Calhoun, AL 1,151.2 1,085.0 1,228.3 1,146.6 883.8 895.0 0.0 01017 Chambers, AL 1,450.9 1,260.3 1,832.7 1,499.3 880.4 893.3 0.0 0.0 0.0 01019 Cherokee, AL 1,074.3 1,132.4 1,076.6 1,155.0 1,128.3 898.6 0.0 0.0 0.0 944.6 0.0 0.0 0.0 01009 Blount, AL 962.2 999.5 1,000.8 1,055.0 865.0 912.6 859.8 914.9 1,769.9 978.1 1,017.6 1,083.5 94.8 19982000 Hisp Female Death Rate 983.1 1,048.8 1,033.0 01007 Bibb, AL 159.3 2000 Hisp Female Death Rate 801.3 01005 Barbour, AL 165.0 19982000 API Female Death Rate 987.1 01003 Baldwin, AL 259.6 2000 API Female Death Rate 757.2 01001 Autauga, AL 174.0 19982000 AmInd Female Death Rate 136.5 01021 Chilton, AL 984.4 1,004.3 01023 Choctaw, AL 936.8 950.3 1,029.1 1,062.9 831.0 825.4 0.0 0.0 0.0 01025 Clarke, AL 953.2 935.8 1,072.6 1,043.8 812.8 795.6 0.0 0.0 0.0 01027 Clay, AL 1,232.5 1,250.0 1,330.9 1,367.1 761.4 717.1 0.0 0.0 0.0 01029 Cleburne, AL 1,044.3 1,010.5 1,063.4 1,009.4 0.0 0.0 0.0 01031 Coffee, AL 1,071.2 1,020.3 1,086.8 1,041.4 1,101.0 986.8 0.0 01033 Colbert, AL 1,035.8 1,080.3 1,063.7 1,102.6 946.7 1,010.9 0.0 01035 Conecuh, AL 1,253.0 1,336.4 1,396.2 1,462.4 1,095.6 1,198.0 0.0 0.0 949.2 0.0 0.0 0.0 01039 Covington, AL 1,247.5 1,252.4 1,293.0 1,278.2 1,015.2 1,137.2 0.0 0.0 0.0 01041 Crenshaw, AL 1,166.5 1,309.0 1,212.4 1,378.6 1,061.0 1,146.0 0.0 0.0 0.0 01043 Cullman, AL 1,115.4 1,037.1 1,108.8 1,039.2 2,197.8 1,432.7 0.0 0.0 0.0 0.0 01037 Coosa, AL 01045 Dale, AL 921.3 1,001.5 806.2 730.1 0.0 01047 Dallas, AL 1,123.7 1,144.0 1,343.1 1,433.5 1,009.7 970.4 0.0 0.0 01049 DeKalb, AL 1,035.1 1,068.4 1,047.1 1,079.3 1,129.0 1,098.9 0.0 0.0 01051 Elmore, AL 920.4 820.7 886.3 852.5 1,035.9 1,062.8 914.0 974.2 877.9 954.6 0.0 977.5 599.0 707.5 0.0 0.0 01053 Escambia, AL 1,107.3 1,209.9 1,232.4 1,266.0 926.6 1,150.3 0.0 01055 Etowah, AL 1,221.4 1,214.3 1,293.2 1,281.2 890.4 0.0 0.0 01057 Fayette, AL 1,401.7 1,309.8 1,444.2 1,357.1 1,159.9 1,029.3 0.0 0.0 01059 Franklin, AL 1,164.0 1,203.4 1,174.4 1,222.8 1,106.5 01061 Geneva, AL 1,118.2 1,175.3 1,153.2 1,188.0 894.3 0.0 0.0 925.9 0.0 0.0 939.6 1,151.5 0.0 0.0 0.0 963.6 993.8 1,051.4 0.0 0.0 0.0 01065 Hale, AL 1,090.9 1,179.0 1,280.2 1,380.7 977.7 1,060.8 0.0 0.0 0.0 01067 Henry, AL 1,215.5 1,116.5 1,246.2 1,148.8 1,167.2 1,069.7 0.0 0.0 0.0 0.0 01063 Greene, AL 925.8 1,034.8 628.9 01069 Houston, AL 984.6 970.3 1,010.8 1,009.8 943.2 889.5 0.0 0.0 01071 Jackson, AL 918.8 931.3 949.4 742.8 909.8 0.0 0.0 0.0 01073 Jefferson, AL 1,080.7 1,092.8 1,204.1 1,177.3 932.1 980.7 208.2 173.5 01075 Lamar, AL 1,264.6 1,076.4 1,258.0 1,114.8 1,239.3 0.0 01077 Lauderdale, AL 01079 Lawrence, AL 01081 Lee, AL 958.9 1,054.3 629.5 949.5 149.3 840.3 0.0 0.0 977.4 854.3 869.7 0.0 0.0 947.8 1,161.5 1,064.7 913.8 704.7 0.0 0.0 0.0 657.0 726.7 780.7 0.0 0.0 960.2 978.8 610.0 624.7 01083 Limestone, AL 853.4 869.2 848.0 890.3 908.2 727.4 0.0 01085 Lowndes, AL 767.0 908.4 797.3 1,022.9 761.2 856.9 0.0 258 0.0 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) 19982000 2000 Female Female FIPS Death Death Code County Name Rate Rate 01087 Macon, AL 01089 Madison, AL 2000 White Female Death Rate 19982000 White Female Death Rate 2000 Black Female Death Rate 1,105.1 1,044.9 1,154.3 1,482.0 1,104.4 742.5 728.7 845.8 803.8 518.9 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 989.5 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 2000 Hisp Female Death Rate 19982000 Hisp Female Death Rate 0.0 0.0 0.0 564.4 01091 Marengo, AL 1,102.8 1,093.7 1,024.0 1,058.5 1,175.9 1,127.0 0.0 0.0 0.0 01093 Marion, AL 1,148.3 1,104.5 1,169.5 1,105.2 0.0 0.0 0.0 01095 Marshall, AL 1,073.0 1,049.4 1,066.9 1,054.9 1,529.1 01097 Mobile, AL 01099 Monroe, AL 01101 Montgomery, AL 984.7 867.1 0.0 989.4 919.5 886.2 457.0 1,121.7 1,078.7 1,274.5 1,171.1 929.1 961.4 0.0 921.0 1,139.7 1,079.8 650.7 762.9 0.0 939.5 1,055.3 853.7 880.1 941.1 1,049.6 1,010.1 958.5 0.0 0.0 01103 Morgan, AL 1,017.4 869.0 0.0 0.0 0.0 01105 Perry, AL 1,302.1 1,128.0 1,552.8 1,382.9 1,197.3 1,013.0 0.0 0.0 0.0 01107 Pickens, AL 1,158.0 1,061.8 1,314.1 1,217.1 977.7 884.3 0.0 0.0 0.0 01109 Pike, AL 1,017.9 993.5 1,133.5 1,071.2 848.2 878.1 01111 Randolph, AL 1,201.4 1,195.4 1,337.2 1,274.0 763.1 975.2 0.0 0.0 0.0 01113 Russell, AL 1,186.1 1,091.6 1,416.1 1,227.3 0.0 910.3 915.6 0.0 0.0 01115 St. Clair, AL 857.0 887.9 877.9 904.1 676.2 735.3 0.0 0.0 01117 Shelby, AL 581.9 565.6 592.0 559.7 526.1 639.3 0.0 0.0 01119 Sumter, AL 874.7 1,048.6 1,203.0 1,206.5 768.6 996.6 0.0 0.0 0.0 01121 Talladega, AL 962.6 1,000.0 1,092.4 1,131.8 702.5 741.1 0.0 0.0 0.0 997.4 952.2 0.0 0.0 0.0 836.5 792.7 01123 Tallapoosa, AL 01125 Tuscaloosa, AL 01127 Walker, AL 1,208.0 1,186.3 1,294.8 1,285.6 838.6 845.7 849.2 878.9 1,218.7 1,225.3 1,235.6 1,228.1 1,027.0 1,264.9 01129 Washington, AL 910.3 909.2 855.0 920.1 1,215.7 01131 Wilcox, AL 937.4 996.2 850.2 947.2 01133 Winston, AL 12 FLORIDA 0.0 0.0 925.2 973.0 1,017.8 1,080.7 1,047.7 1,060.9 1,040.3 0.0 0.0 0.0 0.0 0.0 0.0 981.2 1,004.3 1,069.9 1,093.2 646.8 662.1 12001 Alachua, FL 664.3 719.8 682.5 754.8 705.4 715.7 0.0 12003 Baker, FL 832.5 832.8 826.7 873.2 936.8 638.3 0.0 12005 Bay, FL 953.1 897.1 988.2 958.7 895.2 729.3 12007 Bradford, FL 1,087.7 1,125.0 1,193.5 1,206.3 556.2 777.6 12009 Brevard, FL 1,060.3 1,000.6 1,116.8 1,062.8 750.5 662.9 182.2 146.7 278.3 282.2 12011 Broward, FL 966.6 1,007.6 1,165.7 1,170.5 426.0 492.6 97.6 134.2 252.1 294.0 12013 Calhoun, FL 1,034.5 1,140.0 1,084.9 1,187.6 859.6 878.3 12015 Charlotte, FL 1,420.7 1,426.4 1,479.6 1,467.3 619.1 895.4 722.8 475.4 12017 Citrus, FL 1,448.0 1,484.4 1,474.9 1,520.0 1,190.5 12019 Clay, FL 12021 Collier, FL 709.3 712.0 741.9 746.5 858.0 945.8 894.3 461.4 392.2 411.5 974.4 766.4 12027 DeSoto, FL 1,035.0 1,060.9 1,093.0 1,139.3 698.5 685.3 12029 Dixie, FL 1,160.5 1,069.0 1,156.2 1,103.3 1,376.1 12033 Escambia, FL 918.9 835.5 860.2 948.9 729.8 744.8 966.1 971.4 1,015.8 1,049.2 927.7 870.9 1,090.8 1,114.4 1,100.0 1,146.8 1,151.7 1,001.5 12037 Franklin, FL 1,329.2 1,308.6 1,317.0 1,327.6 1,529.6 1,300.6 977.2 889.0 880.4 1,082.0 1,052.9 259 784.3 153.9 474.7 507.0 79.2 107.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 372.1 0.0 487.8 526.9 195.3 166.6 214.9 207.2 221.3 194.6 0.0 0.0 0.0 12035 Flagler, FL 12039 Gadsden, FL 140.8 271.4 828.4 987.8 12031 Duval, FL 179.0 532.6 1,087.7 1,043.9 1,125.4 1,124.1 12023 Columbia, FL 172.9 0.0 403.2 294.3 0.0 0.0 125.9 136.9 189.3 195.4 316.4 177.9 0.0 590.4 570.3 0.0 0.0 0.0 0.0 0.0 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 12041 Gilchrist, FL 12043 Glades, FL 12045 Gulf, FL 19982000 2000 Female Female Death Death Rate Rate 2000 White Female Death Rate 19982000 White Female Death Rate 2000 Black Female Death Rate 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 1,206.9 1,147.2 1,247.5 1,163.2 774.9 833.7 832.9 19982000 AmInd Female Death Rate 2000 API Female Death Rate 0.0 2000 Hisp Female Death Rate 0.0 912.6 19982000 Hisp Female Death Rate 0.0 0.0 905.0 1,121.7 0.0 12047 Hamilton, FL 987.7 848.8 1,165.4 923.4 709.6 758.9 0.0 12049 Hardee, FL 772.8 913.9 762.7 929.3 945.6 869.6 0.0 123.4 284.8 826.6 791.8 811.7 0.0 180.4 252.6 563.8 491.0 320.2 432.6 479.0 462.8 250.7 252.8 12051 Hendry, FL 1,078.4 1,256.2 1,103.5 1,283.9 19982000 API Female Death Rate 828.1 993.2 712.4 12053 Hernando, FL 1,272.7 1,346.8 1,316.5 1,390.7 675.0 727.8 12055 Highlands, FL 1,226.4 1,399.4 1,313.7 1,515.0 657.3 630.9 650.6 680.4 12057 Hillsborough, FL 834.8 842.3 899.3 897.7 12059 Holmes, FL 1,215.9 1,169.6 1,257.2 1,196.1 12061 Indian River, FL 1,190.1 1,284.0 1,245.7 1,356.0 0.0 0.0 0.0 153.4 162.0 0.0 0.0 0.0 0.0 0.0 0.0 768.0 762.8 12063 Jackson, FL 1,179.0 1,219.5 1,223.1 1,325.4 1,108.2 999.0 0.0 0.0 0.0 12065 Jefferson, FL 1,202.3 1,153.9 1,050.1 1,231.7 1,462.8 1,082.9 0.0 0.0 0.0 0.0 0.0 12067 Lafayette, FL 992.2 1,015.0 992.7 1,077.1 12069 Lake, FL 1,309.6 1,229.3 1,380.8 1,306.2 12071 Lee, FL 1,049.3 1,088.0 1,098.1 1,143.5 764.1 687.1 0.0 285.9 231.6 609.4 597.5 739.2 560.0 569.9 0.0 12075 Levy, FL 1,086.7 1,096.7 1,179.6 1,182.4 514.3 701.9 0.0 12077 Liberty, FL 1,255.7 1,043.2 1,210.2 1,092.0 1,823.7 0.0 0.0 0.0 12079 Madison, FL 1,163.7 1,207.2 1,134.0 1,319.6 1,223.5 1,081.1 0.0 0.0 0.0 12081 Manatee, FL 1,221.7 1,252.3 1,288.5 1,328.4 704.4 681.0 0.0 12083 Marion, FL 1,145.0 1,125.9 1,188.2 1,200.6 941.0 748.7 512.5 464.8 12085 Martin, FL 1,191.5 1,238.2 1,227.1 1,287.2 777.1 678.9 170.9 190.0 12073 Leon, FL 678.3 672.6 752.7 12086 Miami-Dade, FL 792.0 820.0 860.7 883.4 612.8 650.4 12087 Monroe, FL 717.5 750.2 720.5 769.6 840.8 684.3 0.0 12089 Nassau, FL 859.0 813.8 836.7 808.8 1,220.5 924.8 0.0 12091 Okaloosa, FL 774.3 747.7 850.1 822.7 447.8 373.9 226.8 688.4 694.0 772.2 754.4 498.7 559.3 703.1 782.1 753.9 825.9 428.7 543.7 0.0 1,086.5 1,152.4 1,203.7 1,269.0 561.3 623.4 0.0 127.7 12101 Pasco, FL 1,399.5 1,417.9 1,435.4 1,454.3 772.2 739.5 12103 Pinellas, FL 1,347.1 1,391.1 1,451.3 1,493.4 715.2 750.6 12105 Polk, FL 1,002.2 1,035.5 1,059.1 1,106.8 753.1 730.3 12107 Putnam, FL 1,215.2 1,150.5 1,236.5 1,221.2 1,178.7 943.7 0.0 0.0 12109 St. Johns, FL 12111 St. Lucie, FL 12113 Santa Rosa, FL 12115 Sarasota, FL 12117 Seminole, FL 893.9 888.3 776.1 1,086.5 1,082.4 1,143.6 1,176.8 881.2 888.2 744.1 730.6 1,200.0 628.9 760.0 871.9 707.7 892.9 755.2 1,441.7 1,468.8 1,473.3 1,516.1 1,066.1 688.2 679.6 711.7 706.5 661.8 299.8 166.0 174.0 661.0 675.6 207.6 272.5 139.5 203.8 164.4 0.0 200.4 165.8 284.1 0.0 0.0 12097 Osceola, FL 12099 Palm Beach, FL 119.4 137.6 12095 Orange, FL 270.7 160.9 0.0 169.9 12093 Okeechobee, FL 1,050.1 1,133.3 1,045.9 1,153.9 1,405.6 1,028.0 211.5 163.9 300.3 249.6 370.8 273.5 152.0 129.4 243.5 378.4 358.7 124.6 156.4 319.5 346.9 145.0 219.8 307.4 355.7 243.8 0.0 761.0 860.8 365.2 323.0 327.5 309.8 612.6 163.1 173.3 326.5 351.0 12119 Sumter, FL 1,162.5 1,206.0 1,186.7 1,312.2 1,018.6 650.0 0.0 12121 Suwannee, FL 1,149.6 1,247.2 1,202.1 1,352.6 897.1 753.5 0.0 0.0 12123 Taylor, FL 1,124.9 1,085.3 1,202.9 1,162.1 881.8 878.6 0.0 0.0 0.0 685.9 617.3 0.0 0.0 0.0 12125 Union, FL 905.5 970.9 955.3 1,086.7 260 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 12127 Volusia, FL 19982000 2000 Female Female Death Death Rate Rate 0.0 996.9 1,094.7 1,022.1 988.1 0.0 1,226.7 1,004.0 1,289.4 1,081.7 1,030.1 766.8 778.7 776.9 840.2 848.5 836.9 1,131.5 1,006.1 1,226.2 1,104.1 2000 Hisp Female Death Rate 361.9 0.0 0.0 370.0 365.3 151.3 345.5 0.0 0.0 150.9 19982000 Hisp Female Death Rate 0.0 103.4 128.3 721.5 0.0 0.0 0.0 841.9 0.0 0.0 0.0 608.5 0.0 0.0 0.0 484.0 1,010.1 783.3 523.1 0.0 0.0 0.0 853.3 927.3 1,099.3 680.3 591.0 0.0 0.0 675.1 615.8 696.0 853.3 757.5 853.0 805.7 1,036.5 837.3 789.5 836.4 794.8 854.2 1,048.1 915.9 1,155.3 13007 Baker, GA 639.9 734.2 13009 Baldwin, GA 807.1 13011 Banks, GA 602.3 13013 Barrow, GA 724.8 605.2 682.1 0.0 0.0 0.0 563.2 0.0 0.0 0.0 935.6 805.7 0.0 0.0 0.0 1,184.9 1,273.8 1,271.8 1,470.1 1,040.4 957.6 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 883.8 944.6 876.5 954.7 986.2 940.2 1,025.4 1,042.5 1,225.8 1,215.8 839.0 880.8 911.5 818.1 13023 Bleckley, GA 959.3 1,082.7 989.4 1,200.3 13025 Brantley, GA 700.0 719.5 13027 Brooks, GA 689.3 19982000 API Female Death Rate 810.4 13005 Bacon, GA 13021 Bibb, GA 677.5 2000 API Female Death Rate 960.4 676.7 13019 Berrien, GA 19982000 AmInd Female Death Rate 683.5 893.0 13003 Atkinson, GA 13017 Ben Hill, GA 2000 AmInd Female Death Rate 764.7 985.4 1,062.1 13015 Bartow, GA 19982000 Black Female Death Rate 821.2 12131 Walton, FL 13001 Appling, GA 2000 Black Female Death Rate 940.6 1,116.8 861.5 13 GEORGIA 19982000 White Female Death Rate 1,211.9 1,240.6 1,274.9 1,317.6 12129 Wakulla, FL 12133 Washington, FL 2000 White Female Death Rate 712.6 701.8 1,343.8 1,187.3 1,656.4 1,508.9 916.1 822.4 13029 Bryan, GA 524.8 524.1 517.6 523.0 621.1 572.0 0.0 0.0 0.0 13031 Bulloch, GA 689.2 728.4 764.1 832.6 534.1 528.2 0.0 0.0 0.0 13033 Burke, GA 847.1 900.8 1,042.1 1,110.7 688.8 739.7 0.0 0.0 0.0 13035 Butts, GA 976.0 907.0 1,085.8 1,106.4 728.5 571.2 0.0 0.0 0.0 13037 Calhoun, GA 873.7 1,359.3 1,200.4 1,614.5 666.3 1,220.9 0.0 0.0 0.0 450.3 540.1 414.0 0.0 0.0 0.0 1,445.6 1,288.8 1,566.7 1,476.3 1,176.5 942.8 0.0 0.0 628.4 0.0 0.0 13039 Camden, GA 13043 Candler, GA 400.7 436.9 412.3 13045 Carroll, GA 885.2 865.4 941.3 928.3 13047 Catoosa, GA 810.9 769.3 828.1 775.5 13049 Charlton, GA 743.5 803.6 923.0 939.7 13051 Chatham, GA 988.7 958.0 1,086.2 1,072.2 13053 Chattahoochee, GA 219.1 264.0 13055 Chattooga, GA 13057 Cherokee, GA 13059 Clarke, GA 13061 Clay, GA 13063 Clayton, GA 249.3 672.6 528.1 899.5 272.5 1,273.2 1,190.1 1,288.2 1,239.6 1,162.8 0.0 0.0 0.0 0.0 0.0 0.0 854.2 294.2 292.3 0.0 0.0 0.0 808.4 0.0 0.0 0.0 581.4 555.9 591.9 560.9 531.9 563.1 664.0 688.6 644.6 716.8 777.8 701.9 0.0 877.2 1,137.3 0.0 1,256.1 1,433.1 1,903.4 2,012.4 575.5 560.9 945.4 704.8 346.1 393.6 13065 Clinch, GA 954.3 899.1 904.6 975.0 994.0 744.2 13067 Cobb, GA 530.3 532.5 611.6 578.0 304.7 379.1 886.5 856.3 898.2 906.6 884.8 742.5 0.0 1,031.8 1,069.3 1,134.6 1,174.0 764.6 828.1 0.0 642.6 651.3 13069 Coffee, GA 13071 Colquitt, GA 13073 Columbia, GA 13075 Cook, GA 562.9 545.7 552.3 547.8 789.6 804.4 13077 Coweta, GA 1,157.4 1,154.8 1,318.1 1,332.8 732.5 695.9 751.7 765.3 672.9 509.5 13079 Crawford, GA 593.6 621.3 629.2 643.9 504.1 534.8 261 0.0 86.9 148.8 95.9 95.0 0.0 0.0 111.8 138.1 148.8 150.5 0.0 0.0 0.0 0.0 430.1 0.0 0.0 0.0 0.0 0.0 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) 19982000 2000 Female Female FIPS Death Death Code County Name Rate Rate 13081 Crisp, GA 2000 White Female Death Rate 19982000 White Female Death Rate 19982000 Black Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 0.0 0.0 800.2 855.3 802.3 0.0 0.0 13085 Dawson, GA 690.5 597.1 686.6 605.5 0.0 0.0 13089 DeKalb, GA 0.0 0.0 0.0 639.0 0.0 841.4 398.6 467.9 456.3 854.4 0.0 0.0 13093 Dooly, GA 1,163.6 1,016.0 1,151.6 1,225.8 1,190.0 888.7 0.0 0.0 0.0 0.0 0.0 13099 Early, GA 918.0 19982000 Hisp Female Death Rate 1,016.2 1,219.8 1,243.3 1,388.5 13097 Douglas, GA 620.8 846.0 2000 Hisp Female Death Rate 13091 Dodge, GA 13095 Dougherty, GA 585.6 928.2 894.7 19982000 AmInd Female Death Rate 853.5 1,203.8 1,105.9 1,404.0 1,316.0 795.9 2000 AmInd Female Death Rate 13083 Dade, GA 13087 Decatur, GA 1,081.1 1,156.1 1,339.3 1,396.5 2000 Black Female Death Rate 112.0 142.2 136.0 153.7 0.0 815.4 838.7 1,040.5 1,036.7 690.4 713.9 0.0 609.7 598.1 627.9 340.4 459.5 0.0 1,060.3 1,169.9 1,304.6 1,447.5 794.6 908.5 0.0 0.0 0.0 0.0 0.0 0.0 684.8 13101 Echols, GA 633.3 580.6 635.3 675.7 13103 Effingham, GA 704.1 599.2 721.3 616.0 610.2 545.6 0.0 0.0 0.0 1,124.4 1,201.1 1,303.8 1,377.0 775.6 891.6 0.0 0.0 0.0 13107 Emanuel, GA 1,085.8 1,060.8 1,231.2 1,220.2 830.4 812.6 0.0 0.0 0.0 13109 Evans, GA 1,001.3 1,050.4 1,123.6 1,089.3 795.3 1,000.5 0.0 0.0 0.0 13111 Fannin, GA 1,114.2 1,123.8 1,112.3 1,120.7 0.0 0.0 0.0 0.0 13105 Elbert, GA 13113 Fayette, GA 13115 Floyd, GA 13117 Forsyth, GA 13119 Franklin, GA 13121 Fulton, GA 563.4 340.7 569.1 1,204.5 1,163.9 1,274.6 1,244.3 517.1 855.2 789.7 0.0 0.0 0.0 1,186.5 1,065.1 1,191.0 1,112.4 1,206.0 759.5 0.0 576.6 786.4 553.1 514.5 806.3 547.6 588.0 770.3 518.0 886.3 13123 Gilmer, GA 1,004.0 1,002.9 1,018.3 1,012.0 13125 Glascock, GA 1,280.1 1,272.5 1,324.5 1,379.3 13127 Glynn, GA 1,061.1 1,008.2 1,118.0 1,094.4 13129 Gordon, GA 0.0 163.3 0.0 0.0 0.0 0.0 0.0 934.2 844.0 0.0 0.0 823.9 698.4 717.7 0.0 0.0 13133 Greene, GA 1,132.4 1,076.0 1,413.1 1,445.1 828.6 758.5 0.0 0.0 238.9 316.6 426.1 606.1 180.8 0.0 694.4 467.7 0.0 120.5 0.0 889.1 400.4 934.8 0.0 107.7 1,031.1 1,114.3 1,202.9 1,340.6 408.6 877.4 770.1 13131 Grady, GA 13135 Gwinnett, GA 920.5 849.7 387.6 805.4 123.7 0.0 74.9 110.2 54.1 76.2 13137 Habersham, GA 881.5 937.7 915.1 976.1 13139 Hall, GA 782.2 762.7 804.0 795.2 641.6 546.5 0.0 13141 Hancock, GA 1,000.9 1,067.1 2,076.5 2,389.1 742.7 777.3 0.0 0.0 0.0 13143 Haralson, GA 1,018.3 1,048.3 980.2 1,057.3 1,745.0 1,026.7 0.0 0.0 0.0 699.5 0.0 13145 Harris, GA 13147 Hart, GA 13149 Heard, GA 775.4 699.3 1,070.4 894.6 0.0 0.0 799.7 0.0 0.0 0.0 853.7 0.0 0.0 0.0 0.0 950.1 812.0 975.4 770.4 13151 Henry, GA 621.8 608.0 649.4 626.2 517.6 548.9 13153 Houston, GA 687.9 666.1 741.3 747.5 585.7 496.8 13155 Irwin, GA 1,187.9 1,170.2 1,031.5 1,203.0 1,639.3 1,122.2 13157 Jackson, GA 982.8 925.2 963.1 13159 Jasper, GA 858.5 980.4 874.4 1,157.7 1,161.7 1,022.3 1,223.1 1,066.1 13161 Jeff Davis, GA 0.0 457.0 1,208.1 1,167.3 1,216.5 1,286.4 1,224.8 803.0 754.3 0.0 139.4 386.7 0.0 0.0 0.0 753.7 0.0 0.0 0.0 772.4 689.0 0.0 0.0 0.0 876.3 943.4 0.0 0.0 0.0 954.2 1,362.2 13163 Jefferson, GA 1,302.1 1,133.5 1,290.2 1,367.2 1,318.3 989.9 0.0 0.0 0.0 13165 Jenkins, GA 1,030.0 986.1 1,078.7 1,143.1 980.9 816.5 0.0 0.0 0.0 13167 Johnson, GA 1,266.7 1,202.1 1,453.5 1,422.7 948.8 867.6 0.0 0.0 0.0 262 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 19982000 2000 Female Female Death Death Rate Rate 710.9 2000 White Female Death Rate 632.1 19982000 White Female Death Rate 2000 Black Female Death Rate 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 2000 Hisp Female Death Rate 19982000 Hisp Female Death Rate 13169 Jones, GA 644.7 781.2 703.5 563.4 0.0 0.0 13171 Lamar, GA 1,061.1 989.4 1,186.6 1,204.3 822.4 640.6 0.0 0.0 0.0 0.0 13173 Lanier, GA 1,315.8 1,012.7 1,447.1 1,108.8 996.7 743.5 0.0 0.0 0.0 13175 Laurens, GA 965.6 993.3 1,005.3 1,105.3 925.8 841.2 0.0 0.0 0.0 13177 Lee, GA 587.7 461.3 533.7 406.5 886.4 667.6 0.0 0.0 0.0 13179 Liberty, GA 480.0 434.8 548.8 463.6 417.3 428.4 13181 Lincoln, GA 980.4 1,002.8 1,096.1 1,323.2 721.8 507.9 0.0 0.0 0.0 13183 Long, GA 647.3 546.4 685.9 606.1 593.0 419.8 0.0 0.0 0.0 13185 Lowndes, GA 734.3 780.5 703.9 800.2 812.2 785.9 13187 Lumpkin, GA 887.3 747.1 904.6 778.4 0.0 0.0 0.0 0.0 13189 McDuffie, GA 945.5 1,007.7 1,006.7 1,093.4 865.6 880.3 0.0 0.0 0.0 13191 McIntosh, GA 730.2 892.0 853.7 0.0 0.0 0.0 1,170.7 1,162.0 1,428.0 1,491.9 1,029.0 13193 Macon, GA 905.8 636.7 961.9 991.2 0.0 0.0 0.0 13195 Madison, GA 924.5 886.1 875.3 945.0 963.7 0.0 0.0 0.0 13197 Marion, GA 827.4 904.5 1,056.8 1,182.5 451.5 574.7 0.0 0.0 0.0 13199 Meriwether, GA 985.5 987.8 1,048.0 1,159.8 919.0 812.9 0.0 0.0 0.0 1,244.4 1,133.0 1,360.5 1,326.8 991.1 739.4 0.0 0.0 0.0 723.5 719.8 0.0 0.0 0.0 934.9 1,003.1 0.0 0.0 13201 Miller, GA 929.6 13205 Mitchell, GA 994.7 1,006.3 1,262.0 1,334.6 13207 Monroe, GA 1,053.9 1,051.5 1,113.7 1,088.6 13209 Montgomery, GA 1,041.4 895.8 934.3 13211 Morgan, GA 971.0 817.9 1,057.6 639.3 828.1 889.9 1,365.9 920.5 0.0 0.0 0.0 865.6 840.6 0.0 0.0 0.0 0.0 0.0 13213 Murray, GA 635.1 684.6 13215 Muscogee, GA 979.4 980.2 1,235.7 1,176.3 736.2 798.3 13217 Newton, GA 794.4 770.9 826.6 857.0 726.1 557.4 0.0 13219 Oconee, GA 601.5 665.6 616.0 695.5 562.4 548.9 0.0 0.0 0.0 980.6 1,112.2 1,104.6 1,197.6 665.5 0.0 0.0 0.0 13221 Oglethorpe, GA 1,123.4 686.3 0.0 253.3 204.5 0.0 13223 Paulding, GA 544.1 469.6 564.0 478.6 332.3 389.6 0.0 13225 Peach, GA 908.0 887.7 887.9 1,019.2 928.8 769.6 0.0 0.0 13227 Pickens, GA 834.9 861.9 817.7 865.1 0.0 0.0 0.0 13229 Pierce, GA 956.8 918.8 992.8 932.8 0.0 0.0 0.0 906.7 804.2 868.1 797.0 1,162.8 13231 Pike, GA 851.1 0.0 0.0 0.0 0.0 986.3 1,410.4 1,271.8 1,271.9 0.0 0.0 837.6 0.0 0.0 1,065.6 1,080.7 1,097.5 1,136.2 13235 Pulaski, GA 1,089.5 1,348.8 13239 Quitman, GA 764.6 776.3 885.3 828.0 632.3 706.5 985.9 1,465.8 756.4 690.6 0.0 0.0 0.0 0.0 0.0 13241 Rabun, GA 1,088.8 1,032.5 1,109.0 1,046.7 0.0 0.0 0.0 0.0 13243 Randolph, GA 1,384.2 1,379.8 1,320.8 1,508.2 1,438.0 1,288.7 0.0 0.0 0.0 13245 Richmond, GA 13247 Rockdale, GA 872.7 1,041.7 860.6 818.4 13233 Polk, GA 13237 Putnam, GA 739.2 0.0 954.5 939.9 1,182.4 1,157.9 788.8 777.3 335.2 238.7 166.4 663.5 659.0 761.7 702.2 469.9 0.0 0.0 13249 Schley, GA 1,069.8 990.1 768.0 892.9 1,697.5 1,156.8 0.0 0.0 13251 Screven, GA 1,033.5 1,185.4 1,203.7 1,508.5 852.9 876.1 0.0 0.0 0.0 13253 Seminole, GA 1,060.1 970.5 1,284.9 1,137.5 674.9 722.8 0.0 0.0 0.0 13255 Spalding, GA 1,088.1 1,063.3 1,187.4 1,266.5 920.9 699.0 0.0 0.0 13257 Stephens, GA 1,248.0 1,145.9 1,322.5 1,216.7 831.8 795.3 0.0 0.0 263 0.0 0.0 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) 19982000 2000 Female Female FIPS Death Death Code County Name Rate Rate 2000 White Female Death Rate 19982000 White Female Death Rate 2000 Black Female Death Rate 19982000 Black Female Death Rate 13259 Stewart, GA 1,276.4 1,291.7 1,089.1 1,644.7 1,397.8 1,130.9 13261 Sumter, GA 1,133.5 1,114.8 1,368.7 1,353.2 907.2 908.3 13263 Talbot, GA 1,125.2 1,087.3 1,295.5 1,391.3 1,038.8 13265 Taliaferro, GA 1,302.3 1,361.9 2,088.2 2,116.4 13267 Tattnall, GA 1,079.7 1,179.6 1,162.8 1,367.1 13269 Taylor, GA 2000 AmInd Female Death Rate 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 2000 Hisp Female Death Rate 19982000 Hisp Female Death Rate 0.0 0.0 0.0 948.1 0.0 0.0 0.0 778.8 927.4 0.0 0.0 0.0 859.1 722.9 0.0 0.0 0.0 1,330.1 1,215.9 1,614.9 1,458.9 988.6 923.4 0.0 0.0 0.0 13271 Telfair, GA 1,234.1 1,238.3 1,432.1 1,443.7 871.3 915.4 0.0 0.0 0.0 13273 Terrell, GA 1,081.4 1,190.1 1,379.9 1,641.7 911.9 955.6 0.0 0.0 13275 Thomas, GA 1,030.1 1,087.8 1,041.3 1,217.0 1,022.8 926.3 0.0 13277 Tift, GA 742.5 0.0 13279 Toombs, GA 1,005.6 1,052.6 1,000.7 1,069.6 1,049.1 1,007.7 0.0 13281 Towns, GA 1,344.7 1,306.9 1,354.1 1,312.0 13283 Treutlen, GA 987.7 890.4 1,097.6 927.5 1,094.6 966.6 777.8 0.0 865.1 1,318.4 1,064.8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 728.2 0.0 0.0 0.0 0.0 13285 Troup, GA 1,231.8 1,128.8 1,321.6 1,224.3 1,063.7 975.3 0.0 13287 Turner, GA 1,135.0 1,182.9 1,427.0 1,552.4 760.1 718.5 0.0 0.0 835.3 775.5 0.0 0.0 0.0 1,217.0 1,209.0 1,226.8 1,218.5 0.0 0.0 0.0 0.0 13293 Upson, GA 1,442.2 1,332.7 1,655.5 1,480.0 969.5 1,028.7 0.0 13295 Walker, GA 1,146.1 1,067.5 1,125.3 1,077.1 1,822.9 13289 Twiggs, GA 13291 Union, GA 13297 Walton, GA 942.0 719.5 894.7 1,039.6 1,022.0 695.4 727.7 750.0 685.6 949.6 0.0 1,242.1 1,196.6 1,306.7 1,292.1 1,084.3 982.6 0.0 13301 Warren, GA 1,441.6 1,493.4 2,197.0 2,341.1 969.0 980.9 0.0 13305 Wayne, GA 0.0 504.1 13299 Ware, GA 13303 Washington, GA 0.0 0.0 0.0 0.0 891.3 935.3 1,154.7 1,109.5 686.6 811.3 0.0 0.0 0.0 902.0 877.6 744.4 661.1 0.0 0.0 0.0 13307 Webster, GA 1,093.4 1,196.6 1,140.1 1,129.9 1,045.3 1,252.0 947.4 946.4 0.0 0.0 0.0 13309 Wheeler, GA 1,107.4 1,129.7 1,155.5 1,297.9 1,006.3 0.0 0.0 0.0 13311 White, GA 854.5 900.4 811.3 896.1 2,654.9 13313 Whitfield, GA 882.1 837.5 888.4 851.4 1,044.0 809.2 0.0 788.6 0.0 0.0 13315 Wilcox, GA 1,121.3 1,139.6 1,215.2 1,220.5 944.9 1,075.3 0.0 0.0 13317 Wilkes, GA 1,254.3 1,268.1 1,708.8 1,721.6 718.0 832.1 0.0 0.0 0.0 76.1 123.9 0.0 13319 Wilkinson, GA 914.0 822.5 810.4 914.3 1,061.0 723.3 0.0 0.0 13321 Worth, GA 847.9 854.7 890.8 991.3 774.3 628.0 0.0 0.0 970.7 963.4 988.1 976.8 877.4 897.0 990.0 959.9 987.8 969.6 0.0 0.0 1,056.8 1,054.9 1,053.1 1,047.9 0.0 0.0 0.0 0.0 0.0 0.0 0.0 21 KENTUCKY 21001 Adair, KY 21003 Allen, KY 21005 Anderson, KY 767.6 749.0 729.3 743.1 1,792.1 150.9 172.0 159.0 171.1 21007 Ballard, KY 1,621.0 1,499.5 1,599.8 1,501.9 0.0 0.0 21009 Barren, KY 1,119.8 1,057.8 1,112.6 1,057.6 1,426.9 1,159.1 0.0 0.0 21011 Bath, KY 1,301.5 1,073.1 1,261.4 1,033.1 21013 Bell, KY 1,109.0 1,133.7 1,125.5 1,137.1 21015 Boone, KY 593.2 21017 Bourbon, KY 955.0 1,043.7 637.0 0.0 0.0 343.8 382.0 0.0 0.0 0.0 1,231.5 0.0 0.0 0.0 0.0 0.0 905.8 1,026.4 1,602.1 1,374.6 0.0 0.0 613.4 646.2 21019 Boyd, KY 1,331.3 1,266.5 1,344.3 1,277.4 0.0 0.0 21021 Boyle, KY 1,088.4 1,076.3 1,097.5 1,055.0 1,102.6 1,366.6 0.0 0.0 264 0.0 0.0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 21023 Bracken, KY 19982000 2000 Female Female Death Death Rate Rate 2000 White Female Death Rate 19982000 White Female Death Rate 2000 Black Female Death Rate 1,004.3 1,187.2 1,013.5 1,196.1 21025 Breathitt, KY 907.3 962.5 901.3 967.9 21027 Breckinridge, KY 990.4 1,029.7 1,003.6 1,047.8 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 2000 Hisp Female Death Rate 19982000 Hisp Female Death Rate 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 21029 Bullitt, KY 500.3 538.4 506.4 544.2 0.0 0.0 0.0 21031 Butler, KY 902.4 967.3 908.5 957.6 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 21033 Caldwell, KY 1,105.9 1,226.9 1,121.1 1,261.7 21035 Calloway, KY 1,079.8 1,047.2 1,107.3 1,064.4 21037 Campbell, KY 978.9 996.2 21039 Carlisle, KY 1,678.2 1,196.5 1,666.7 1,214.6 21041 Carroll, KY 1,465.9 1,240.2 1,438.7 1,249.5 21043 Carter, KY 1,041.8 21045 Casey, KY 1,025.7 1,029.0 1,020.1 1,024.4 21047 Christian, KY 897.9 983.7 1,047.2 863.7 803.9 862.1 994.2 1,004.2 962.1 0.0 979.8 933.6 0.0 779.6 0.0 0.0 750.9 0.0 0.0 0.0 0.0 0.0 21049 Clark, KY 917.1 921.7 835.8 881.4 2,474.7 1,646.1 0.0 0.0 21051 Clay, KY 974.3 943.5 957.5 936.1 0.0 0.0 21053 Clinton, KY 720.9 894.5 703.1 877.9 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 21055 Crittenden, KY 0.0 1,259.8 1,288.6 1,274.6 1,265.6 21057 Cumberland, KY 1,348.4 1,374.4 1,352.1 1,382.5 21059 Daviess, KY 1,108.9 1,020.2 1,125.3 1,034.2 785.9 753.7 0.0 0.0 21061 Edmonson, KY 864.8 959.4 872.5 969.5 0.0 0.0 21063 Elliott, KY 983.5 985.1 985.2 986.0 0.0 0.0 0.0 0.0 1,076.4 1,011.5 1,080.3 1,014.3 0.0 0.0 0.0 0.0 21065 Estill, KY 21067 Fayette, KY 785.0 799.1 807.7 811.3 794.6 844.5 0.0 0.0 202.1 21069 Fleming, KY 1,094.1 1,069.8 1,086.5 1,062.3 0.0 0.0 21071 Floyd, KY 1,061.3 981.7 1,067.0 980.9 0.0 0.0 974.8 945.9 1,019.6 21073 Franklin, KY 0.0 983.2 646.3 640.4 0.0 0.0 21075 Fulton, KY 1,258.8 1,473.5 1,514.7 1,633.7 495.0 916.4 0.0 0.0 0.0 21077 Gallatin, KY 1,213.3 0.0 0.0 0.0 0.0 21079 Garrard, KY 0.0 0.0 0.0 21081 Grant, KY 0.0 0.0 0.0 0.0 21083 Graves, KY 1,274.6 1,246.1 1,239.2 1,219.9 2,122.9 1,744.8 0.0 0.0 21085 Grayson, KY 1,062.3 1,054.1 1,071.1 1,062.1 21087 Green, KY 21089 Greenup, KY 905.0 1,238.1 924.4 798.1 859.0 798.8 823.9 801.5 822.0 809.0 827.8 0.0 0.0 983.7 0.0 0.0 1,066.2 1,056.2 1,062.8 1,056.9 0.0 0.0 957.4 986.5 967.1 21091 Hancock, KY 870.6 729.8 882.4 740.4 21093 Hardin, KY 742.2 694.1 817.6 756.9 21095 Harlan, KY 21097 Harrison, KY 21099 Hart, KY 0.0 0.0 0.0 322.3 383.8 0.0 1,230.2 1,176.6 1,223.8 1,190.2 1,785.7 967.7 910.9 1,065.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 972.4 0.0 0.0 931.3 1,080.7 1,241.8 1,075.9 1,230.4 1,087.0 1,308.4 382.6 21101 Henderson, KY 975.9 1,005.1 937.2 984.5 1,485.4 1,279.1 0.0 0.0 21103 Henry, KY 780.6 745.8 972.8 1,886.8 1,577.3 0.0 0.0 0.0 21105 Hickman, KY 1,090.5 1,238.6 1,061.2 1,219.0 0.0 0.0 0.0 21107 Hopkins, KY 1,248.3 1,177.8 1,213.1 1,162.5 1,787.9 1,474.9 0.0 0.0 0.0 0.0 21109 Jackson, KY 993.9 0.0 979.4 1,038.5 982.7 1,041.0 0.0 265 0.0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 21111 Jefferson, KY 21113 Jessamine, KY 21115 Johnson, KY 21117 Kenton, KY 21119 Knott, KY 21121 Knox, KY 21123 Larue, KY 21125 Laurel, KY 21127 Lawrence, KY 21129 Lee, KY 21131 Leslie, KY 21133 Letcher, KY 21135 Lewis, KY 21137 Lincoln, KY 21139 Livingston, KY 21141 Logan, KY 19982000 2000 Female Female Death Death Rate Rate 2000 White Female Death Rate 19982000 White Female Death Rate 1,046.4 1,053.3 1,127.7 1,106.3 589.2 595.8 583.8 595.1 827.9 811.3 838.1 817.2 827.1 851.3 825.6 859.4 949.7 949.1 960.8 934.6 890.5 822.3 900.7 825.2 1,026.6 1,084.6 1,031.6 1,089.6 287.3 0.0 0.0 755.6 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 896.6 900.0 794.7 0.0 0.0 0.0 0.0 1,223.8 1,057.7 1,228.6 1,068.9 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 990.9 0.0 0.0 0.0 0.0 921.1 0.0 0.0 0.0 792.6 875.3 973.6 878.7 978.1 823.7 927.9 798.3 925.6 1,785.7 1,008.7 1,133.8 1,014.2 1,139.2 915.7 1,087.9 889.2 1,102.0 1,265.8 933.8 1,063.6 811.8 941.8 1,069.5 1,205.3 1,297.4 1,212.7 1,306.0 0.0 0.0 0.0 0.0 0.0 705.1 993.9 0.0 0.0 0.0 0.0 0.0 684.0 828.7 0.0 0.0 0.0 0.0 0.0 5,940.6 0.0 0.0 0.0 1,371.8 1,305.4 1,382.1 1,324.7 1,351.4 1,146.1 0.0 0.0 750.1 771.0 761.3 766.8 887.6 807.7 876.5 810.5 755.5 857.2 756.9 859.1 21163 Meade, KY 517.1 560.7 549.8 598.1 21165 Menifee, KY 861.8 926.8 871.5 936.1 21171 Monroe, KY 0.0 245.7 0.0 1,217.1 1,134.2 1,222.3 1,138.7 21169 Metcalfe, KY 0.0 19982000 Hisp Female Death Rate 0.0 21157 Marshall, KY 21167 Mercer, KY 144.0 0.0 2000 Hisp Female Death Rate 0.0 1,066.4 1,102.1 1,106.8 1,131.8 21161 Mason, KY 110.3 19982000 API Female Death Rate 0.0 21155 Marion, KY 21159 Martin, KY 2000 API Female Death Rate 907.9 1,055.1 1,221.2 1,172.8 1,283.0 1,206.2 21153 Magoffin, KY 19982000 AmInd Female Death Rate 899.5 1,041.4 1,964.8 1,492.5 1,924.2 1,475.8 21151 Madison, KY 675.7 2000 AmInd Female Death Rate 893.7 1,067.6 1,050.8 1,069.8 1,046.7 21145 McCracken, KY 21149 McLean, KY 809.5 19982000 Black Female Death Rate 895.5 1,095.4 1,040.8 1,101.5 1,047.2 21143 Lyon, KY 21147 McCreary, KY 2000 Black Female Death Rate 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1,370.2 1,104.4 1,378.3 1,103.7 1,401.9 1,057.1 0.0 0.0 0.0 0.0 873.9 1,082.1 0.0 0.0 1,024.3 1,171.3 1,057.5 1,177.5 855.7 1,073.8 0.0 0.0 21173 Montgomery, KY 1,009.6 1,045.8 0.0 0.0 21175 Morgan, KY 1,024.5 0.0 0.0 0.0 0.0 21177 Muhlenberg, KY 1,280.9 1,152.6 1,278.4 1,155.5 1,288.2 1,021.9 0.0 21179 Nelson, KY 900.9 1,027.6 0.0 0.0 0.0 1,336.4 1,173.8 1,294.2 1,191.8 0.0 0.0 0.0 21183 Ohio, KY 1,149.3 1,098.7 1,137.9 1,095.9 0.0 0.0 0.0 0.0 0.0 21187 Owen, KY 21189 Owsley, KY 597.7 859.9 887.5 904.2 21181 Nicholas, KY 21185 Oldham, KY 918.4 964.9 1,013.8 1,939.7 1,785.7 0.0 843.7 1,513.8 1,161.8 511.0 602.5 513.6 798.3 1,019.8 792.6 999.2 1,204.8 1,089.1 1,208.8 1,093.8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 21191 Pendleton, KY 709.9 733.0 701.3 723.5 0.0 0.0 0.0 21193 Perry, KY 927.2 946.6 934.5 948.6 0.0 0.0 0.0 996.8 1,008.7 1,000.1 0.0 0.0 0.0 21195 Pike, KY 1,006.7 266 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) 19982000 2000 Female Female FIPS Death Death Code County Name Rate Rate 21197 Powell, KY 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 2000 Hisp Female Death Rate 19982000 Hisp Female Death Rate 835.2 0.0 0.0 0.0 0.0 21201 Robertson, KY 1,547.7 1,397.4 1,555.7 1,402.3 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 21207 Russell, KY 21209 Scott, KY 21211 Shelby, KY 942.6 1,054.6 935.4 1,046.2 704.8 714.9 892.5 796.4 951.4 869.6 0.0 0.0 894.5 900.3 896.4 940.9 21225 Union, KY 21227 Warren, KY 0.0 0.0 946.7 608.3 0.0 0.0 900.0 1,007.8 915.1 1,547.0 824.7 0.0 0.0 798.3 737.0 0.0 0.0 0.0 0.0 0.0 868.6 1,263.2 1,528.0 1,522.1 0.0 0.0 0.0 1,172.4 1,079.8 1,160.3 1,073.5 1,337.3 1,165.8 0.0 0.0 874.8 21223 Trimble, KY 0.0 801.3 21215 Spencer, KY 21221 Trigg, KY 707.9 894.4 1,059.3 21219 Todd, KY 700.6 0.0 1,093.7 1,108.7 1,103.6 1,105.8 21213 Simpson, KY 21217 Taylor, KY 742.8 2000 Black Female Death Rate 1,061.4 1,020.5 1,066.4 1,024.4 21205 Rowan, KY 843.8 19982000 White Female Death Rate 21199 Pulaski, KY 21203 Rockcastle, KY 753.0 2000 White Female Death Rate 820.2 1,075.6 1,087.1 1,058.4 1,080.9 1,470.6 1,104.1 927.4 1,287.3 920.3 973.3 928.2 953.8 1,148.5 1,079.5 1,178.4 1,135.7 750.5 820.3 763.9 836.0 0.0 0.0 953.5 678.7 0.0 763.4 764.1 0.0 0.0 0.0 0.0 0.0 21229 Washington, KY 1,278.6 1,167.9 1,341.2 1,234.3 0.0 0.0 0.0 21231 Wayne, KY 891.6 0.0 0.0 0.0 21233 Webster, KY 1,108.8 1,220.2 1,125.7 1,255.7 0.0 0.0 21235 Whitley, KY 1,104.9 1,103.3 1,109.4 1,103.3 21237 Wolfe, KY 1,320.6 1,089.9 1,325.4 1,093.2 21239 Woodford, KY 28 MISSISSIPPI 973.0 894.1 979.6 806.6 0.0 0.0 0.0 0.0 0.0 0.0 767.1 2,052.8 1,155.3 0.0 0.0 0.0 881.4 797.5 985.5 969.3 1,090.2 1,057.7 836.8 843.4 593.3 572.7 126.7 192.8 0.0 125.8 142.9 28001 Adams, MS 1,078.4 1,199.8 1,362.2 1,362.0 850.9 1,066.1 0.0 0.0 0.0 28003 Alcorn, MS 1,508.9 1,314.0 1,476.8 1,312.5 1,807.5 1,360.9 0.0 0.0 0.0 28005 Amite, MS 881.2 907.6 516.6 684.9 0.0 0.0 0.0 28007 Attala, MS 857.0 1,109.7 1,002.5 1,298.0 661.3 863.1 0.0 0.0 0.0 872.9 1,177.3 1,091.2 1,532.9 0.0 28009 Benton, MS 800.3 1,174.4 523.2 659.5 0.0 0.0 28011 Bolivar, MS 1,146.4 1,039.8 1,290.8 1,188.1 1,079.7 974.8 0.0 0.0 28013 Calhoun, MS 1,177.1 1,216.9 1,305.3 1,390.9 28015 Carroll, MS 28017 Chickasaw, MS 28019 Choctaw, MS 28021 Claiborne, MS 889.1 772.2 0.0 0.0 0.0 809.8 908.2 789.2 0.0 0.0 0.0 1,059.9 1,013.5 1,329.4 1,198.8 704.1 765.6 0.0 0.0 0.0 959.8 1,047.4 1,101.6 0.0 0.0 0.0 758.6 798.8 963.4 982.6 674.7 930.8 910.2 876.2 1,497.3 1,428.6 810.9 776.7 0.0 0.0 0.0 1,086.7 962.8 1,259.0 1,040.1 792.7 839.2 0.0 0.0 0.0 903.2 948.2 1,064.5 1,173.6 790.2 797.3 0.0 0.0 0.0 28027 Coahoma, MS 1,189.8 1,171.2 1,547.8 1,537.9 1,045.7 1,006.7 0.0 28029 Copiah, MS 1,026.2 28023 Clarke, MS 28025 Clay, MS 0.0 982.6 1,207.7 1,089.1 864.7 892.2 0.0 0.0 0.0 28031 Covington, MS 704.6 829.5 758.8 962.5 620.3 643.5 0.0 0.0 0.0 28033 DeSoto, MS 711.2 698.6 724.8 712.7 683.1 651.0 0.0 0.0 0.0 28035 Forrest, MS 1,045.6 986.4 1,188.5 1,123.1 806.1 750.4 0.0 28037 Franklin, MS 1,411.0 1,338.3 1,711.6 1,554.2 28039 George, MS 1,163.3 1,027.5 1,168.2 1,036.3 1,053.9 28041 Greene, MS 933.8 808.3 977.1 866.0 918.0 1,006.5 757.6 267 0.0 0.0 0.0 904.5 0.0 0.0 0.0 601.9 0.0 0.0 0.0 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 19982000 2000 Female Female Death Death Rate Rate 2000 White Female Death Rate 19982000 White Female Death Rate 2000 Black Female Death Rate 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 28043 Grenada, MS 1,429.1 1,336.5 1,525.2 1,528.9 1,318.8 1,106.7 0.0 0.0 28045 Hancock, MS 1,019.9 0.0 0.0 972.7 1,053.6 1,011.5 741.9 28047 Harrison, MS 905.2 918.4 997.7 776.7 774.3 28049 Hinds, MS 813.0 886.5 1,037.4 1,040.0 688.2 781.3 0.0 28051 Holmes, MS 1,074.5 1,090.2 2,004.4 1,877.7 847.4 875.4 0.0 28053 Humphreys, MS 1,371.7 1,112.0 1,696.0 1,401.9 1,237.1 981.3 0.0 28055 Issaquena, MS 28057 Itawamba, MS 28059 Jackson, MS 28061 Jasper, MS 657.3 983.8 826.4 546.4 1,091.2 1,156.7 1,128.4 1,211.6 890.0 820.0 965.8 877.1 19982000 Hisp Female Death Rate 0.0 218.3 0.0 0.0 0.0 0.0 748.5 0.0 0.0 0.0 640.2 0.0 0.0 0.0 701.9 669.9 977.9 754.1 0.0 0.0 0.0 913.8 923.2 0.0 0.0 0.0 28065 Jefferson Davis, MS 1,183.2 1,109.1 1,321.0 1,280.4 1,095.3 993.8 0.0 0.0 0.0 28067 Jones, MS 1,067.5 772.9 28069 Kemper, MS 1,066.6 28063 Jefferson, MS 28071 Lafayette, MS 28073 Lamar, MS 1,305.3 1,067.3 1,693.8 1,436.5 184.6 2000 Hisp Female Death Rate 919.3 956.5 970.9 1,198.6 967.8 1,157.3 1,043.6 863.2 0.0 938.0 1,435.4 1,306.0 869.0 724.9 0.0 0.0 0.0 685.4 738.0 740.8 796.7 587.0 671.4 0.0 0.0 0.0 756.9 740.2 762.7 746.9 735.3 743.5 0.0 28075 Lauderdale, MS 1,287.8 1,229.5 1,488.9 1,401.2 996.5 972.2 0.0 28077 Lawrence, MS 1,101.8 1,064.8 1,213.6 1,155.2 900.5 910.2 0.0 0.0 28079 Leake, MS 1,106.5 1,174.6 1,248.4 1,332.9 909.8 978.1 0.0 0.0 28081 Lee, MS 1,020.3 656.5 698.9 0.0 0.0 0.0 917.6 1,156.7 998.5 992.1 0.0 0.0 0.0 28083 Leflore, MS 1,247.8 1,148.4 1,728.4 1,392.4 1,038.3 1,021.1 0.0 28085 Lincoln, MS 1,442.9 1,324.3 1,502.5 1,432.7 1,333.3 1,093.9 0.0 0.0 0.0 0.0 0.0 28087 Lowndes, MS 681.3 28089 Madison, MS 1,148.8 28091 Marion, MS 28093 Marshall, MS 796.5 612.8 736.9 0.0 892.8 1,345.1 1,065.8 882.6 693.8 0.0 1,445.2 1,271.1 1,602.3 1,387.7 1,141.9 1,050.3 0.0 0.0 0.0 876.9 764.3 914.6 745.9 0.0 890.1 0.0 992.5 870.0 852.9 0.0 0.0 0.0 28095 Monroe, MS 1,087.9 1,012.1 1,240.1 1,125.5 779.1 803.9 0.0 0.0 0.0 28097 Montgomery, MS 1,300.1 1,181.3 1,331.0 1,349.8 1,277.0 1,032.9 0.0 0.0 0.0 28099 Neshoba, MS 1,099.5 1,082.9 1,095.3 1,145.0 940.9 1,311.3 1,016.8 0.0 0.0 28101 Newton, MS 1,057.4 1,018.1 1,111.3 1,063.5 1,005.0 1,004.7 0.0 0.0 0.0 0.0 0.0 0.0 986.5 28103 Noxubee, MS 850.3 867.6 1,274.6 1,165.9 684.8 752.0 0.0 28105 Oktibbeha, MS 680.4 690.7 740.8 658.2 656.5 0.0 1,024.3 1,036.3 1,244.8 1,250.6 810.7 838.6 0.0 706.8 770.0 0.0 0.0 0.0 978.5 1,018.3 1,108.9 0.0 0.0 0.0 0.0 28107 Panola, MS 28109 Pearl River, MS 919.4 871.4 726.5 956.4 898.1 28111 Perry, MS 1,176.1 1,004.5 1,235.9 28113 Pike, MS 1,158.7 1,153.0 1,371.5 1,368.0 0.0 948.8 937.3 0.0 28115 Pontotoc, MS 858.7 914.5 893.2 961.5 688.0 694.8 0.0 0.0 0.0 28117 Prentiss, MS 744.3 777.7 795.8 838.7 444.2 404.6 0.0 0.0 0.0 1,216.4 1,245.8 1,489.8 1,612.9 1,105.0 1,024.0 0.0 0.0 0.0 28119 Quitman, MS 28121 Rankin, MS 649.5 684.3 642.0 682.6 718.6 709.0 0.0 28123 Scott, MS 806.9 995.4 922.5 1,098.9 652.6 859.6 28125 Sharkey, MS 745.6 907.0 785.1 957.9 735.0 851.6 0.0 0.0 0.0 28127 Simpson, MS 1,132.5 1,187.2 1,384.8 1,335.2 679.9 922.4 0.0 0.0 0.0 28129 Smith, MS 1,063.2 1,079.2 1,132.7 1,107.6 857.3 1,000.0 0.0 0.0 0.0 268 0.0 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 19982000 2000 Female Female Death Death Rate Rate 968.5 2000 White Female Death Rate 19982000 White Female Death Rate 28131 Stone, MS 1,004.1 28133 Sunflower, MS 1,017.7 1,048.1 1,509.4 1,350.5 2000 Black Female Death Rate 991.4 1,012.6 1,083.8 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 2000 Hisp Female Death Rate 19982000 Hisp Female Death Rate 836.6 0.0 0.0 0.0 818.6 914.8 0.0 0.0 0.0 869.7 752.0 0.0 0.0 0.0 891.8 787.2 0.0 0.0 0.0 28139 Tippah, MS 1,199.7 1,232.4 1,223.3 1,314.9 1,106.2 873.6 0.0 0.0 0.0 28141 Tishomingo, MS 1,418.2 1,342.3 1,397.0 1,347.2 2,250.8 1,336.9 28135 Tallahatchie, MS 894.7 904.5 28137 Tate, MS 969.6 904.6 1,012.4 28143 Tunica, MS 28145 Union, MS 28147 Walthall, MS 28149 Warren, MS 28151 Washington, MS 28153 Wayne, MS 944.6 1,160.1 976.2 869.9 1,054.0 1,011.7 1,657.5 826.0 864.9 0.0 0.0 0.0 0.0 0.0 0.0 1,077.6 1,077.1 1,159.2 1,114.0 652.6 901.4 0.0 0.0 0.0 934.9 1,110.8 1,231.4 1,432.0 586.9 731.6 0.0 0.0 0.0 978.4 1,002.9 1,091.2 1,064.5 865.1 935.2 0.0 0.0 0.0 1,043.4 1,015.2 1,293.0 1,080.2 928.9 988.3 0.0 0.0 0.0 977.0 578.7 731.6 0.0 0.0 0.0 28155 Webster, MS 1,316.0 1,286.3 1,492.5 1,461.8 698.1 637.5 0.0 0.0 0.0 28157 Wilkinson, MS 1,371.5 1,207.5 2,053.0 1,629.3 1,076.5 1,028.8 0.0 0.0 0.0 28159 Winston, MS 1,277.7 1,187.3 1,577.9 1,483.1 920.4 841.3 0.0 0.0 0.0 28161 Yalobusha, MS 1,099.1 1,147.7 1,386.8 1,382.3 687.7 810.9 0.0 0.0 0.0 28163 Yazoo, MS 1,193.2 1,146.3 1,361.0 1,321.4 1,081.6 1,033.9 0.0 0.0 37 NORTH CAROLINA 37001 Alamance, NC 37003 Alexander, NC 821.2 890.7 886.7 887.5 981.4 934.4 921.7 1,040.4 1,034.1 1,079.6 1,084.1 945.1 884.2 823.5 937.5 122.2 141.4 0.0 87.3 104.1 0.0 0.0 0.0 0.0 0.0 37007 Anson, NC 1,182.0 1,094.6 1,346.9 1,163.2 1,039.9 1,039.0 0.0 0.0 0.0 37009 Ashe, NC 1,165.7 1,217.6 1,146.7 1,214.7 0.0 0.0 0.0 37011 Avery, NC 1,061.2 1,140.9 1,071.5 1,151.9 0.0 0.0 0.0 0.0 37013 Beaufort, NC 1,211.7 1,156.8 1,231.2 1,169.9 1,186.7 1,140.6 0.0 0.0 0.0 37015 Bertie, NC 1,432.6 1,313.4 1,749.3 1,557.0 1,250.6 1,178.4 0.0 37017 Bladen, NC 1,133.8 1,168.0 1,268.7 1,239.9 886.5 945.5 838.9 540.1 0.0 906.5 848.2 501.8 1,310.4 1,345.1 1,292.4 1,351.1 37021 Buncombe, NC 844.1 843.3 37005 Alleghany, NC 37019 Brunswick, NC 842.5 825.5 941.6 1,083.0 1,105.9 1,112.7 1,125.7 975.8 1,096.8 761.6 683.7 0.0 876.8 1,006.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 37023 Burke, NC 944.5 959.5 973.5 980.3 1,049.9 954.1 0.0 37025 Cabarrus, NC 900.5 934.2 902.2 950.6 979.8 897.0 0.0 0.0 37027 Caldwell, NC 941.8 921.1 950.2 922.7 914.9 981.3 0.0 0.0 37029 Camden, NC 921.9 959.3 853.5 960.1 1,282.1 873.9 0.0 0.0 847.8 0.0 37031 Carteret, NC 1,038.8 1,021.8 1,073.4 1,053.2 789.2 37033 Caswell, NC 913.4 1,007.0 922.2 1,063.8 885.6 931.3 0.0 37035 Catawba, NC 909.4 903.3 941.8 926.3 911.8 855.5 0.0 945.7 993.1 961.3 1,012.1 917.4 949.8 0.0 37037 Chatham, NC 37039 Cherokee, NC 1,055.0 1,135.7 1,062.9 1,141.0 37041 Chowan, NC 1,165.7 1,138.4 1,201.7 1,219.5 1,130.3 1,030.6 37043 Clay, NC 1,243.6 1,193.2 1,217.0 1,186.9 37045 Cleveland, NC 1,024.4 37047 Columbus, NC 1,143.3 1,098.4 1,240.6 1,153.1 1,029.9 1,064.2 987.0 1,120.3 1,049.9 0.0 0.0 0.0 794.4 37049 Craven, NC 916.4 907.8 889.0 878.7 1,050.5 1,057.0 37051 Cumberland, NC 651.8 639.3 687.6 655.0 641.1 269 673.3 0.0 224.6 0.0 708.6 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 417.5 372.9 257.6 0.0 0.0 0.0 0.0 211.3 104.5 62.8 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 37053 Currituck, NC 19982000 2000 Female Female Death Death Rate Rate 2000 White Female Death Rate 19982000 White Female Death Rate 2000 Black Female Death Rate 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 2000 Hisp Female Death Rate 19982000 Hisp Female Death Rate 1,004.6 907.1 956.9 873.5 1,731.6 1,311.5 0.0 0.0 0.0 37055 Dare, NC 820.5 758.4 830.0 763.1 0.0 0.0 0.0 37057 Davidson, NC 941.1 849.2 956.1 857.0 900.4 834.6 0.0 969.0 1,032.1 1,502.0 37059 Davie, NC 1,000.8 1,025.6 973.6 0.0 0.0 37061 Duplin, NC 1,103.2 1,147.2 1,132.8 1,138.8 1,049.9 1,184.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 37063 Durham, NC 37065 Edgecombe, NC 920.0 757.6 824.1 1,082.0 1,053.3 1,315.1 1,247.9 817.7 854.5 917.8 932.8 929.2 37067 Forsyth, NC 923.4 941.2 981.9 977.2 811.5 882.7 37069 Franklin, NC 968.8 902.6 920.5 926.8 1,101.2 875.7 37071 Gaston, NC 1,059.3 1,019.7 1,138.6 1,053.0 37073 Gates, NC 1,193.8 1,115.2 1,171.3 1,116.5 1,248.3 1,126.0 37075 Graham, NC 1,368.2 1,282.7 1,478.0 1,328.9 898.4 915.3 960.7 876.6 37079 Greene, NC 943.0 978.6 1,092.1 1,081.7 723.1 847.0 37081 Guilford, NC 868.1 851.0 1,019.6 618.1 697.9 37085 Harnett, NC 1,060.3 1,110.9 1,257.4 1,279.2 813.4 808.4 860.8 855.5 948.1 997.4 705.7 698.6 37087 Haywood, NC 1,144.4 1,188.9 1,155.2 1,192.1 1,312.3 37089 Henderson, NC 1,223.9 1,196.8 1,250.2 1,213.3 765.5 1,028.8 37091 Hertford, NC 1,113.2 1,098.8 1,410.3 1,396.6 37093 Hoke, NC 37095 Hyde, NC 37097 Iredell, NC 636.3 678.9 619.0 731.7 1,456.7 1,253.7 1,756.3 1,412.4 956.2 905.2 971.4 930.6 37099 Jackson, NC 908.7 916.9 985.8 994.2 37101 Johnston, NC 774.0 812.3 766.0 824.5 914.6 907.1 697.8 698.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 868.6 690.3 625.0 945.7 862.2 948.7 874.4 1,216.2 846.4 1,114.5 1,141.3 1,126.4 1,150.4 37115 Madison, NC 1,085.3 1,099.8 1,086.7 1,112.4 37117 Martin, NC 1,610.2 1,422.6 1,964.1 1,652.9 1,222.2 1,155.2 0.0 615.8 404.6 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 634.1 153.7 0.0 0.0 994.9 1,318.1 1,063.8 0.0 0.0 1,138.2 1,146.3 1,191.1 1,195.0 952.2 1,002.5 37127 Nash, NC 1,011.9 986.6 853.7 813.9 0.0 838.7 841.8 933.2 880.1 0.0 0.0 1,191.0 1,209.4 1,413.5 1,406.5 1,057.1 1,090.2 0.0 0.0 834.4 826.5 75.0 97.4 0.0 0.0 922.3 1,113.6 37133 Onslow, NC 524.0 571.0 559.7 613.3 484.7 546.3 0.0 37135 Orange, NC 585.3 609.3 582.9 614.0 765.7 742.3 0.0 37137 Pamlico, NC 887.7 1,069.9 37139 Pasquotank, NC 145.1 0.0 37125 Moore, NC 37131 Northampton, NC 0.0 0.0 920.3 37113 Macon, NC 37129 New Hanover, NC 0.0 0.0 842.5 986.2 0.0 0.0 0.0 898.3 1,042.2 1,001.0 0.0 517.5 0.0 1,113.7 1,104.4 1,189.9 1,138.7 1,027.0 1,073.7 37123 Montgomery, NC 0.0 0.0 37107 Lenoir, NC 1,321.5 1,271.3 1,334.3 1,268.1 527.1 281.7 929.0 37121 Mitchell, NC 0.0 0.0 781.8 979.4 1,392.2 701.7 0.0 847.2 981.8 703.5 0.0 0.0 985.9 664.4 738.4 0.0 78.0 0.0 998.2 1,311.9 1,231.5 657.1 0.0 144.7 967.7 1,067.4 37119 Mecklenburg, NC 0.0 539.1 838.1 1,078.1 1,172.3 37111 McDowell, NC 0.0 884.0 37105 Lee, NC 37109 Lincoln, NC 0.0 967.3 37103 Jones, NC 961.3 140.0 0.0 0.0 869.0 938.2 60.1 890.3 37077 Granville, NC 37083 Halifax, NC 829.4 705.7 0.0 205.9 0.0 213.3 95.5 891.9 1,106.4 915.6 1,000.0 0.0 0.0 0.0 1,077.4 1,043.6 1,238.6 1,094.4 888.4 1,001.5 0.0 0.0 0.0 270 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 37141 Pender, NC 19982000 2000 Female Female Death Death Rate Rate 2000 AmInd Female Death Rate 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 0.0 0.0 0.0 0.0 37145 Person, NC 1,084.9 37153 Richmond, NC 37155 Robeson, NC 817.5 1,199.0 19982000 Black Female Death Rate 876.0 37151 Randolph, NC 734.2 2000 Black Female Death Rate 1,245.4 1,153.1 1,055.9 1,063.8 1,714.3 1,404.8 37149 Polk, NC 833.9 19982000 White Female Death Rate 37143 Perquimans, NC 37147 Pitt, NC 847.3 2000 White Female Death Rate 985.1 1,154.5 1,012.8 932.5 910.9 776.3 885.7 891.7 0.0 1,546.9 1,551.1 1,555.9 1,558.1 1,367.5 1,421.8 0.0 815.8 845.9 843.7 795.6 851.2 725.6 851.2 890.4 981.2 997.8 37157 Rockingham, NC 1,162.8 1,109.9 1,219.6 1,165.2 981.6 924.2 37159 Rowan, NC 1,018.8 1,044.7 1,040.4 1,066.5 991.9 995.4 37161 Rutherford, NC 1,193.3 1,132.0 1,220.2 1,147.9 989.3 1,008.2 37163 Sampson, NC 951.9 1,082.8 933.6 1,078.1 1,005.3 1,118.9 37165 Scotland, NC 1,056.9 892.5 809.2 37167 Stanly, NC 1,087.4 1,078.7 1,109.4 1,110.3 1,089.2 920.6 37169 Stokes, NC 862.6 936.6 865.8 726.6 653.0 0.0 0.0 691.3 0.0 0.0 0.0 0.0 795.9 709.7 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 37173 Swain, NC 1,440.8 1,185.4 1,782.2 1,423.0 0.0 688.2 0.0 37175 Transylvania, NC 1,071.0 1,138.5 1,073.9 1,146.7 1,221.4 1,046.3 743.7 0.0 928.8 1,133.4 1,002.5 1,221.6 835.7 1,027.0 0.0 0.0 37179 Union, NC 644.4 680.9 670.4 676.9 0.0 0.0 37181 Vance, NC 989.0 1,045.2 1,102.3 1,127.9 891.5 957.1 0.0 37183 Wake, NC 534.4 595.5 620.8 37185 Warren, NC 37187 Washington, NC 37189 Watauga, NC 541.1 557.8 974.5 1,139.0 1,001.8 1,209.7 1,030.9 1,137.6 660.6 675.5 0.0 0.0 674.7 0.0 0.0 0.0 960.8 1,123.9 1,073.8 0.0 1,067.3 1,017.7 1,062.6 1,020.4 1,303.2 1,064.5 0.0 0.0 802.2 947.6 0.0 0.0 968.7 1,210.3 947.2 0.0 0.0 0.0 0.0 979.6 1,066.6 1,119.1 1,158.4 37197 Yadkin, NC 1,075.4 37199 Yancey, NC 1,222.5 1,014.1 1,214.2 1,003.1 884.0 879.7 924.7 920.6 827.3 817.8 45001 Abbeville, SC 719.4 886.6 741.1 943.9 682.3 782.9 0.0 45003 Aiken, SC 863.5 878.7 904.4 912.2 772.7 806.0 0.0 45005 Allendale, SC 781.5 1,026.0 1,454.3 1,134.2 537.1 958.8 0.0 45007 Anderson, SC 966.6 886.8 828.8 0.0 45009 Bamberg, SC 45011 Barnwell, SC 952.6 991.2 983.6 1,200.9 1,141.2 1,588.8 1,346.3 911.0 1,049.9 97.4 0.0 37193 Wilkes, NC 45 SOUTH CAROLINA 0.0 67.2 0.0 1,037.5 964.6 1,075.6 102.0 0.0 37191 Wayne, NC 37195 Wilson, NC 984.9 1,012.8 0.0 0.0 88.4 1,603.5 1,268.5 1,904.5 1,319.0 1,331.9 1,228.1 667.5 0.0 0.0 37177 Tyrrell, NC 555.5 0.0 0.0 895.8 647.4 0.0 810.4 822.3 1,070.8 673.1 0.0 0.0 1,038.7 1,086.5 1,058.8 1,094.2 37171 Surry, NC 920.9 921.1 1,239.3 1,041.8 0.0 0.0 834.6 946.4 1,173.6 1,219.0 19982000 Hisp Female Death Rate 0.0 1,227.0 1,098.5 1,218.6 1,095.9 1,344.8 1,179.2 914.1 2000 Hisp Female Death Rate 853.7 1,055.3 220.5 245.9 165.2 181.6 0.0 88.7 128.4 0.0 0.0 0.0 0.0 992.4 1,029.4 0.0 0.0 0.0 997.0 1,055.5 0.0 0.0 0.0 45013 Beaufort, SC 743.2 737.8 791.3 803.9 644.1 609.2 0.0 45015 Berkeley, SC 597.0 565.4 573.3 546.2 701.5 682.1 0.0 45017 Calhoun, SC 913.8 1,035.3 1,044.9 1,137.3 793.7 949.1 0.0 0.0 0.0 45019 Charleston, SC 870.9 781.9 816.3 834.9 750.0 45021 Cherokee, SC 988.4 973.8 1,037.2 1,053.7 843.3 726.5 0.0 0.0 0.0 45023 Chester, SC 904.0 879.1 1,003.2 1,031.4 773.3 673.3 0.0 0.0 0.0 45025 Chesterfield, SC 894.4 1,006.4 840.8 930.3 0.0 0.0 0.0 912.0 933.9 1,054.7 271 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 19982000 2000 Female Female Death Death Rate Rate 2000 White Female Death Rate 19982000 White Female Death Rate 2000 Black Female Death Rate 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 2000 Hisp Female Death Rate 19982000 Hisp Female Death Rate 45027 Clarendon, SC 997.3 977.0 825.9 956.0 1,148.2 998.9 0.0 0.0 0.0 45029 Colleton, SC 927.9 928.5 919.8 941.4 961.6 929.9 0.0 0.0 0.0 1,117.9 1,100.8 1,201.5 1,227.7 1,020.3 937.4 0.0 0.0 0.0 0.0 0.0 45031 Darlington, SC 45033 Dillon, SC 963.8 981.5 1,016.1 1,105.7 923.5 844.3 45035 Dorchester, SC 747.5 770.2 700.1 740.7 931.1 920.4 0.0 848.0 898.3 946.8 1,000.7 713.4 801.0 0.0 0.0 0.0 1,375.4 1,237.1 1,780.5 1,695.3 1,120.9 933.9 0.0 0.0 0.0 45037 Edgefield, SC 45039 Fairfield, SC 45041 Florence, SC 982.6 974.1 1,012.1 1,059.6 961.1 864.2 45043 Georgetown, SC 924.5 866.4 935.0 926.6 920.5 793.7 45045 Greenville, SC 892.0 889.7 926.5 920.6 805.8 804.3 45047 Greenwood, SC 1,057.3 1,030.2 1,218.5 1,151.2 757.8 791.6 0.0 0.0 0.0 45049 Hampton, SC 1,057.9 970.4 1,170.6 1,138.1 982.5 845.3 0.0 0.0 0.0 824.2 869.1 869.7 918.5 650.3 705.2 0.0 45053 Jasper, SC 816.3 919.8 718.4 953.9 910.3 906.0 0.0 0.0 0.0 45055 Kershaw, SC 889.0 869.3 804.8 817.4 1,131.2 997.8 0.0 965.8 943.4 1,026.1 998.4 811.3 807.0 0.0 0.0 0.0 1,054.9 1,092.2 1,088.9 1,189.4 988.1 872.3 0.0 0.0 0.0 0.0 0.0 45051 Horry, SC 45057 Lancaster, SC 45059 Laurens, SC 0.0 0.0 238.7 284.9 171.2 208.3 45061 Lee, SC 790.7 978.2 1,063.8 1,071.7 649.3 930.5 0.0 45063 Lexington, SC 752.9 749.2 771.1 600.7 638.2 0.0 45065 McCormick, SC 944.4 1,213.9 1,195.6 1,592.4 746.3 949.5 0.0 0.0 0.0 945.0 1,017.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 788.5 45067 Marion, SC 1,022.1 1,060.6 1,137.0 1,137.4 45069 Marlboro, SC 1,144.3 1,148.6 1,327.5 1,335.8 1,042.9 1,004.0 45071 Newberry, SC 957.9 1,037.3 1,087.0 1,187.9 983.1 724.5 787.0 45073 Oconee, SC 959.6 924.2 939.7 798.4 841.7 0.0 45075 Orangeburg, SC 990.4 992.8 1,217.4 1,237.3 873.1 850.9 0.0 0.0 45077 Pickens, SC 782.2 815.9 776.6 816.1 986.7 932.3 45079 Richland, SC 787.0 785.0 933.5 849.6 658.9 734.8 45081 Saluda, SC 1,014.7 1,073.6 1,174.7 1,196.0 684.3 835.8 0.0 45083 Spartanburg, SC 1,023.4 936.1 880.5 0.0 45085 Sumter, SC 45087 Union, SC 863.5 976.9 1,068.8 1,017.2 836.1 924.3 186.4 0.0 126.5 0.0 131.4 0.0 881.8 827.4 817.2 0.0 0.0 1,151.5 1,095.6 1,274.3 1,169.4 902.9 943.0 0.0 0.0 0.0 0.0 0.0 0.0 944.1 938.6 972.3 974.7 936.9 923.8 45091 York, SC 742.4 775.3 755.8 792.6 731.3 744.6 671.1 958.3 955.1 992.4 84.7 988.0 861.6 855.9 47001 Anderson, TN 1,093.2 1,081.5 1,125.9 1,114.7 469.8 615.4 0.0 47003 Bedford, TN 1,077.0 1,032.5 1,072.8 1,065.4 1,229.5 842.5 0.0 47005 Benton, TN 1,172.2 1,188.5 1,185.7 1,218.8 47007 Bledsoe, TN 0.0 151.0 45089 Williamsburg, SC 47 TENNESSEE 0.0 0.0 911.4 949.4 871.0 946.0 161.3 201.2 198.6 120.7 161.8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 47009 Blount, TN 932.3 975.0 946.4 985.3 844.4 975.1 0.0 0.0 47011 Bradley, TN 949.5 907.7 966.2 925.1 748.3 716.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 971.9 0.0 0.0 0.0 0.0 0.0 0.0 47013 Campbell, TN 47015 Cannon, TN 1,031.2 1,078.4 1,035.9 1,079.9 979.3 992.4 997.5 1,015.5 47017 Carroll, TN 1,644.2 1,469.9 1,697.3 1,544.6 1,282.1 47019 Carter, TN 1,049.1 1,095.3 1,047.3 1,098.0 1,818.2 272 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 19982000 2000 Female Female Death Death Rate Rate 2000 White Female Death Rate 19982000 White Female Death Rate 2000 Black Female Death Rate 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 2000 Hisp Female Death Rate 19982000 Hisp Female Death Rate 47021 Cheatham, TN 691.5 677.9 679.1 673.7 1,824.8 0.0 0.0 47023 Chester, TN 951.2 965.4 885.6 950.6 1,560.6 1,114.8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 47025 Claiborne, TN 47027 Clay, TN 47029 Cocke, TN 1,158.7 1,044.0 1,170.5 1,064.0 902.7 1,048.2 872.2 1,044.2 1,119.2 1,068.8 1,108.6 1,056.9 1,917.8 1,767.7 47031 Coffee, TN 1,019.7 1,004.5 1,016.9 1,012.2 1,300.1 1,020.4 0.0 47033 Crockett, TN 1,170.8 1,316.0 1,094.8 1,362.7 1,627.5 1,107.6 0.0 0.0 47035 Cumberland, TN 1,100.7 1,011.9 1,101.2 1,020.3 0.0 0.0 47037 Davidson, TN 901.3 904.5 975.7 963.9 0.0 784.1 808.7 241.2 212.8 47039 Decatur, TN 1,094.3 1,431.8 1,125.5 1,432.5 0.0 0.0 47041 DeKalb, TN 1,055.5 1,174.7 1,052.8 1,161.4 0.0 0.0 867.3 0.0 0.0 1,251.8 1,160.1 1,245.9 1,183.1 1,343.8 1,023.1 0.0 47043 Dickson, TN 47045 Dyer, TN 47047 Fayette, TN 47049 Fentress, TN 791.0 900.3 852.6 853.6 793.2 872.8 857.6 941.9 874.6 960.1 1,073.9 1,197.9 1,076.8 1,201.5 0.0 0.0 78.8 130.4 0.0 0.0 749.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 47051 Franklin, TN 1,081.3 1,072.9 1,094.5 1,089.2 1,003.3 863.4 0.0 0.0 47053 Gibson, TN 1,412.9 1,413.0 1,532.3 1,499.0 959.7 1,099.9 0.0 0.0 47055 Giles, TN 1,089.5 1,087.9 1,122.1 1,126.8 919.4 901.8 0.0 0.0 911.6 0.0 0.0 0.0 0.0 47059 Greene, TN 1,017.0 1,021.6 1,036.2 1,024.8 940.9 0.0 0.0 0.0 47061 Grundy, TN 1,234.9 1,101.6 1,241.9 1,107.4 0.0 0.0 0.0 0.0 47063 Hamblen, TN 1,108.8 1,032.8 1,094.9 1,026.9 1,551.0 1,295.0 0.0 0.0 0.0 0.0 0.0 0.0 47057 Grainger, TN 857.4 913.6 863.5 47065 Hamilton, TN 1,042.3 1,059.9 1,062.3 1,098.3 1,050.2 47067 Hancock, TN 1,207.2 1,191.2 1,215.6 1,198.8 47069 Hardeman, TN 1,134.6 1,118.5 1,344.3 1,328.2 827.1 0.0 0.0 0.0 47071 Hardin, TN 1,176.6 1,118.7 1,160.0 1,116.4 1,694.9 1,259.8 0.0 0.0 0.0 0.0 0.0 0.0 924.4 936.3 839.1 992.6 0.0 926.3 254.7 255.6 47073 Hawkins, TN 927.0 47075 Haywood, TN 977.0 1,114.0 1,229.1 1,337.2 756.3 923.6 0.0 0.0 0.0 47077 Henderson, TN 1,088.3 1,108.5 1,121.4 1,126.2 658.5 961.5 0.0 0.0 0.0 47079 Henry, TN 1,435.8 1,454.2 1,436.0 1,474.6 1,513.2 1,301.8 0.0 0.0 0.0 47081 Hickman, TN 1,124.5 1,010.0 1,150.1 1,015.6 0.0 0.0 0.0 47083 Houston, TN 1,076.1 1,135.2 1,120.7 1,162.5 0.0 0.0 0.0 47085 Humphreys, TN 1,108.7 1,175.5 1,152.0 1,191.5 47087 Jackson, TN 1,422.4 1,402.1 1,429.6 1,410.7 47089 Jefferson, TN 47091 Johnson, TN 47093 Knox, TN 936.6 913.3 933.8 0.0 0.0 0.0 0.0 0.0 913.9 1,303.5 1,072.0 0.0 0.0 0.0 0.0 1,103.6 1,133.2 1,102.6 1,121.2 957.2 961.6 956.0 978.1 1,125.7 1,609.3 1,808.4 1,559.4 1,872.2 1,818.2 1,589.6 47097 Lauderdale, TN 1,205.4 1,122.9 1,276.2 1,159.9 1,066.6 1,048.8 939.4 47101 Lewis, TN 1,056.6 47103 Lincoln, TN 47105 Loudon, TN 47107 McMinn, TN 984.2 950.0 980.7 992.2 1,059.1 993.0 0.0 950.3 47095 Lake, TN 47099 Lawrence, TN 0.0 1,618.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1,206.5 1,143.2 1,190.4 1,150.3 1,531.4 1,158.8 0.0 0.0 0.0 1,093.3 1,084.3 1,089.7 1,090.6 0.0 0.0 0.0 974.4 1,041.8 987.7 1,056.2 758.2 273 793.0 0.0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM ALL CAUSES (Crude Death Rates per 100,000 Females by Race/Ethnicity) FIPS Code County Name 47109 McNairy, TN 47111 Macon, TN 19982000 2000 Female Female Death Death Rate Rate 2000 White Female Death Rate 19982000 White Female Death Rate 1,425.8 1,202.5 1,463.4 1,247.0 939.5 988.8 948.8 2000 Black Female Death Rate 979.2 986.6 982.5 19982000 Black Female Death Rate 2000 AmInd Female Death Rate 19982000 AmInd Female Death Rate 2000 API Female Death Rate 19982000 API Female Death Rate 2000 Hisp Female Death Rate 19982000 Hisp Female Death Rate 686.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 910.4 0.0 47113 Madison, TN 1,029.2 1,037.0 1,064.8 1,110.6 47115 Marion, TN 1,142.3 1,030.2 1,092.3 1,003.5 2,329.2 1,506.0 0.0 0.0 0.0 47117 Marshall, TN 934.4 949.0 985.9 982.6 440.5 696.1 0.0 0.0 0.0 47119 Maury, TN 901.6 962.8 908.1 1,007.1 914.1 0.0 47121 Meigs, TN 757.8 813.0 771.8 47123 Monroe, TN 905.9 1,004.1 47125 Montgomery, TN 47127 Moore, TN 790.7 0.0 829.9 0.0 0.0 0.0 0.0 921.4 1,007.7 1,127.8 0.0 0.0 0.0 619.5 619.1 697.5 660.6 1,001.0 930.4 999.3 927.7 932.9 967.5 938.9 973.1 391.6 539.3 0.0 341.0 256.6 153.9 0.0 0.0 0.0 0.0 0.0 0.0 47131 Obion, TN 1,180.0 1,209.3 1,131.3 1,215.7 1,639.3 1,200.4 0.0 0.0 0.0 47133 Overton, TN 1,170.5 1,083.8 1,178.3 1,087.5 47135 Perry, TN 1,147.6 1,146.1 1,146.7 1,148.8 47129 Morgan, TN 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 47137 Pickett, TN 1,273.4 1,360.3 1,279.0 1,363.6 0.0 0.0 0.0 0.0 47139 Polk, TN 1,173.6 1,316.0 1,180.4 1,325.7 0.0 0.0 0.0 0.0 0.0 47141 Putnam, TN 1,035.0 954.0 1,054.8 980.1 0.0 0.0 47143 Rhea, TN 1,040.0 957.9 1,066.5 975.5 0.0 0.0 47145 Roane, TN 1,065.0 1,099.0 1,064.0 1,095.5 1,094.9 1,327.4 0.0 0.0 47147 Robertson, TN 938.6 889.2 894.3 883.6 1,434.7 968.1 0.0 47149 Rutherford, TN 620.1 590.8 630.3 609.5 524.4 0.0 47151 Scott, TN 906.2 966.3 911.1 972.0 0.0 0.0 0.0 1,028.8 1,058.2 1,035.8 1,044.0 0.0 0.0 0.0 0.0 0.0 47153 Sequatchie, TN 47155 Sevier, TN 957.9 894.7 970.0 905.2 47157 Shelby, TN 891.8 884.6 1,017.7 951.1 638.7 802.1 839.1 0.0 0.0 0.0 146.1 206.2 122.2 168.7 47159 Smith, TN 1,078.7 1,095.1 1,036.0 1,069.1 2,745.1 1,935.5 0.0 0.0 0.0 47161 Stewart, TN 1,094.7 1,098.4 1,105.0 1,113.4 0.0 0.0 0.0 47163 Sullivan, TN 1,122.6 1,058.7 1,128.1 1,066.3 1,137.9 1,051.9 0.0 47165 Sumner, TN 805.1 800.9 821.9 817.6 699.6 669.3 0.0 0.0 47167 Tipton, TN 956.9 847.4 935.9 863.3 1,061.9 812.2 0.0 0.0 47169 Trousdale, TN 1,573.5 1,311.4 1,418.4 1,248.4 2,803.7 1,730.8 0.0 0.0 0.0 47171 Unicoi, TN 1,259.1 1,276.6 1,266.4 1,281.2 0.0 0.0 0.0 0.0 47173 Union, TN 681.0 47175 Van Buren, TN 832.1 1,149.9 826.7 0.0 0.0 0.0 0.0 835.8 1,155.6 0.0 0.0 0.0 0.0 47177 Warren, TN 1,021.8 1,050.1 1,028.1 1,044.3 907.7 1,408.5 0.0 0.0 0.0 47179 Washington, TN 1,059.6 1,018.0 1,074.0 1,037.5 941.6 720.8 0.0 0.0 0.0 590.8 882.4 47181 Wayne, TN 822.8 881.8 1,015.5 684.6 0.0 879.9 1,021.4 47183 Weakley, TN 1,018.3 1,135.3 1,063.9 1,165.0 47185 White, TN 1,316.2 1,105.0 1,319.4 1,113.9 0.0 0.0 0.0 0.0 0.0 47187 Williamson, TN 499.4 528.7 489.1 524.9 789.4 672.5 0.0 47189 Wilson, TN 667.0 733.6 627.5 717.8 1,258.1 963.6 84 REGION IV 926.8 930.6 993.4 992.7 765.7 776.6 335.5 372.3 147.5 158.0 377.2 423.9 91 UNITED STATES 855.0 860.2 912.3 913.4 733.0 746.7 346.1 391.2 262.3 265.8 274.6 283.7 0.0 Note: Rates are suppressed for < 5 occurrences for year 2000 county-level data. 3-yr average county-level rates are suppressed for < 5 occurrences, except 0. Hispanics can be of any race. Rates should be considered with population to assess the potential impact of small numbers. 274 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 FIPS Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Code County Name Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 6,940 6,887 4,425 931 934 01001 Autauga, AL 01 ALABAMA 44 54 36 38 16 18 5 7 01003 Baldwin, AL 154 175 164 143 49 52 30 34 01005 Barbour, AL 49 50 33 27 17 15 7 01007 Bibb, AL 25 27 16 19 8 12 6 01009 Blount, AL 50 71 63 49 18 22 12 11 01011 Bullock, AL 29 27 11 10 6 7 2 1 01013 Butler, AL 42 48 22 20 10 13 5 4 01015 Calhoun, AL 4,409 1,968 1,931 644 720 779 788 3 8 6 8 8 14 20 25 19 18 5 3 5 6 3 4 237 222 123 130 40 50 40 30 01017 Chambers, AL 76 71 47 40 35 29 13 9 01019 Cherokee, AL 34 44 27 25 7 8 01021 Chilton, AL 71 57 35 39 18 19 01023 Choctaw, AL 22 27 17 18 7 8 01025 Clarke, AL 48 42 26 24 12 15 01027 Clay, AL 30 32 16 17 12 9 01029 Cleburne, AL 27 24 16 16 5 4 8 657 13 13 19 3 6 5 9 8 4 3 3 2 7 5 3 21 24 22 16 16 4 9 11 6 7 4 7 6 7 7 6 8 9 2 6 3 5 5 5 4 1 5 3 3 2 2 3 2 2 5 8 5 796 4 8 4 2 6 5 1 10 6 01031 Coffee, AL 87 81 42 44 19 17 14 16 6 8 9 5 6 7 01033 Colbert, AL 94 98 65 64 24 32 11 15 10 7 15 10 7 7 01035 Conecuh, AL 38 37 16 20 9 8 2 2 4 5 01037 Coosa, AL 20 21 9 9 6 5 2 1 3 2 01039 Covington, AL 83 79 55 54 26 29 6 7 01041 Crenshaw, AL 34 35 15 17 8 7 7 5 142 141 87 77 42 31 17 17 01043 Cullman, AL 7 9 5 5 19 8 6 6 10 4 2 13 7 12 9 16 11 13 10 7 8 10 01045 Dale, AL 59 67 49 44 15 15 10 11 8 8 01047 Dallas, AL 92 87 58 56 26 25 9 11 9 5 01049 DeKalb, AL 128 126 52 56 26 29 17 14 12 12 10 13 10 7 01051 Elmore, AL 80 83 44 60 23 24 13 13 11 7 11 14 9 9 01053 Escambia, AL 01055 Etowah, AL 63 63 39 44 15 22 5 9 6 6 5 7 11 13 230 224 130 131 48 48 32 35 22 25 22 19 18 18 3 4 3 6 4 8 4 7 7 12 10 8 4 12 1 2 01057 Fayette, AL 50 46 27 22 11 11 01059 Franklin, AL 56 62 36 37 23 20 5 5 01061 Geneva, AL 54 55 20 24 13 11 01063 Greene, AL 14 20 11 10 8 5 9 4 3 2 6 01065 Hale, AL 31 38 23 21 9 9 3 2 3 01067 Henry, AL 38 32 18 16 5 8 6 3 2 138 129 90 91 34 38 01069 Houston, AL 27 25 10 10 11 12 2 13 10 01071 Jackson, AL 96 90 50 49 23 20 10 11 5 4 7 7 12 12 01073 Jefferson, AL 995 996 689 739 374 362 165 156 117 125 94 120 140 149 3 7 3 5 4 16 18 15 14 15 14 14 12 01075 Lamar, AL 01077 Lauderdale, AL 01079 Lawrence, AL 35 31 17 17 15 10 122 121 96 90 51 43 2 67 55 40 35 15 13 4 8 5 7 9 8 01081 Lee, AL 102 102 70 75 34 32 18 14 13 10 15 15 12 10 01083 Limestone, AL 130 141 39 34 20 15 9 9 2 9 10 6 9 23 28 11 10 1 2 01085 Lowndes, AL 3 275 3 5 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 01087 Macon, AL 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 51 44 23 26 15 12 01089 Madison, AL 277 309 256 238 83 83 1 3 5 7 7 6 26 25 30 33 42 47 01091 Marengo, AL 40 41 30 23 18 16 01093 Marion, AL 65 57 38 36 7 14 10 4 5 4 7 10 9 8 5 9 8 8 01095 Marshall, AL 170 145 77 77 54 51 7 22 21 6 11 14 19 11 11 01097 Mobile, AL 632 609 409 400 172 01099 Monroe, AL 39 44 26 24 13 155 74 76 62 53 58 63 71 67 9 5 5 5 5 3 7 01101 Montgomery, AL 311 310 202 221 9 68 74 44 47 23 25 33 29 65 69 01103 Morgan, AL 28 23 14 56 44 5 163 161 118 107 53 48 15 20 21 19 14 01105 Perry, AL 22 19 15 12 6 6 3 1 5 3 5 4 01107 Pickens, AL 61 47 18 21 8 9 4 4 01109 Pike, AL 64 64 27 25 14 13 7 2 01111 Randolph, AL 47 43 23 23 9 8 9 4 3 4 6 6 01113 Russell, AL 51 48 59 62 26 22 13 12 15 10 6 6 7 5 3 2 4 3 01115 St. Clair, AL 100 93 42 54 22 22 16 15 9 8 5 11 5 8 01117 Shelby, AL 115 102 87 89 37 34 18 19 8 9 19 18 15 14 14 16 17 20 11 7 01119 Sumter, AL 01121 Talladega, AL 31 34 9 14 5 5 123 118 76 77 37 41 11 15 2 1 4 2 01123 Tallapoosa, AL 86 76 65 49 18 19 17 14 7 8 7 9 10 8 01125 Tuscaloosa, AL 190 196 143 136 70 68 23 24 24 25 27 26 20 25 01127 Walker, AL 29 23 12 17 19 17 20 14 165 167 82 81 01129 Washington, AL 25 28 18 15 01131 Wilcox, AL 22 25 10 12 51 47 22 22 01133 Winston, AL 12 FLORIDA 12001 Alachua, FL 12003 Baker, FL 12005 Bay, FL 19 14 7 1 1 4 6 5 5 2 1 1 11 11 6 3 6 7 5 1,665 2,050 2,039 2,135 2,108 23 26 18 15 25,058 25,187 18,061 17,874 6,092 6,161 4,480 4,482 128 144 166 167 26 22 17 19 230 221 174 151 70 41 76 40 41 6 7 8 44 40 45 1,767 19 18 21 3 22 18 23 4 33 30 5 4 3 12007 Bradford, FL 31 35 23 21 7 9 11 8 6 7 4 6 4 12009 Brevard, FL 782 761 663 608 209 198 175 157 53 45 51 49 70 55 12011 Broward, FL 2,846 2,875 1,853 1,878 613 630 405 397 162 147 150 168 155 167 12013 Calhoun, FL 23 25 9 11 6 4 12015 Charlotte, FL 383 357 243 244 65 74 24 22 4 66 60 1 38 41 3 21 19 4 12017 Citrus, FL 261 285 213 208 65 70 66 67 25 19 29 25 24 23 12019 Clay, FL 136 148 113 114 39 38 42 38 11 9 15 14 13 16 12021 Collier, FL 312 318 279 273 90 74 73 66 14 15 33 37 19 17 12023 Columbia, FL 69 77 65 60 25 20 21 22 11 8 10 9 11 8 12027 DeSoto, FL 56 45 32 28 7 9 7 8 5 3 7 7 8 6 12029 Dixie, FL 19 17 16 14 5 9 7 1 5 5 12031 Duval, FL 899 938 772 752 246 263 182 180 90 85 88 92 114 113 12033 Escambia, FL 36 2 342 377 289 304 151 143 86 79 40 37 36 46 46 12035 Flagler, FL 84 72 80 75 16 20 12 19 12 7 6 8 9 12037 Franklin, FL 13 18 19 17 5 4 5 3 1 2 276 2 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 12039 Gadsden, FL 58 54 46 44 14 15 5 3 12041 Gilchrist, FL 22 22 18 17 10 8 4 2 2 1 12043 Glades, FL 13 12 9 11 2 1 0 1 1 12045 Gulf, FL 18 25 15 19 5 0 2 1 12047 Hamilton, FL 17 15 11 11 4 1 1 12049 Hardee, FL 29 32 10 17 5 2 12051 Hendry, FL 12053 Hernando, FL 12055 Highlands, FL 12057 Hillsborough, FL 12059 Holmes, FL 12061 Indian River, FL 9 9 5 6 4 10 10 7 11 6 9 6 18 12 2 6 5 38 37 35 27 9 8 9 6 2 7 5 9 6 239 275 229 215 79 77 52 58 11 14 21 18 14 19 179 189 119 129 55 54 29 29 12 18 13 15 18 20 1,306 1,221 921 890 335 366 252 253 65 68 121 131 167 155 14 15 15 19 5 8 6 7 40 43 15 16 10 6 12 8 189 205 183 173 90 95 35 40 16 3 3 3 12063 Jackson, FL 87 89 43 47 29 24 14 4 13 16 12065 Jefferson, FL 14 16 12 15 6 10 2 1 7 4 12067 Lafayette, FL 7 9 7 6 2 1 0 445 412 326 304 136 125 75 80 31 26 30 33 35 34 12069 Lake, FL 4 1 1 12071 Lee, FL 820 786 549 560 162 159 131 143 48 43 83 69 60 62 12073 Leon, FL 171 171 186 183 78 73 49 37 21 14 36 25 36 29 12075 Levy, FL 49 54 44 41 13 14 8 11 6 5 9 7 6 5 12077 Liberty, FL 13 10 7 7 12079 Madison, FL 36 37 16 17 12081 Manatee, FL 549 561 379 12083 Marion, FL 471 440 361 12085 Martin, FL 261 257 12086 Miami-Dade, FL 3,385 2 1 1 1 7 7 4 3 6 7 6 1 368 132 120 97 91 35 32 41 44 37 36 369 153 132 102 86 25 23 37 37 50 39 192 197 71 67 45 42 8 6 13 12 11 14 3,392 1,833 1,912 537 574 364 388 230 237 257 245 274 297 9 9 15 15 12087 Monroe, FL 61 69 74 77 17 20 19 17 6 5 8 11 12089 Nassau, FL 72 70 48 48 13 17 17 18 9 9 18 9 192 186 160 155 46 46 38 43 18 19 22 21 4 5 3 90 89 89 93 12091 Okaloosa, FL 12093 Okeechobee, FL 12095 Orange, FL 12097 Osceola, FL 12099 Palm Beach, FL 12101 Pasco, FL 12103 Pinellas, FL 5 58 63 38 37 14 11 10 12 8 7 937 883 703 655 228 211 175 170 87 85 193 129 141 57 49 47 41 17 16 20 22 24 22 2,285 1,541 1,524 482 494 275 306 135 111 143 150 114 137 568 564 153 164 182 169 40 45 54 57 68 63 1,815 1,337 1,358 461 512 358 385 127 118 111 106 134 128 185 2,193 712 1,771 727 12105 Polk, FL 853 866 559 534 176 172 135 144 50 57 63 67 70 66 12107 Putnam, FL 119 115 96 87 26 27 30 28 11 9 13 13 16 18 12109 St. Johns, FL 121 118 141 138 37 35 46 37 22 17 21 16 12 13 12111 St. Lucie, FL 360 336 265 252 60 70 52 61 19 16 31 27 31 27 12113 Santa Rosa, FL 116 111 99 93 39 33 39 35 8 10 18 18 17 16 12115 Sarasota, FL 691 702 572 545 222 241 175 158 63 58 60 56 37 34 12117 Seminole, FL 409 401 289 302 95 85 80 76 30 25 35 32 52 43 12119 Sumter, FL 101 97 69 63 22 16 7 12 6 4 10 7 10 54 53 29 37 16 19 17 16 4 6 5 12121 Suwannee, FL 277 6 7 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 12123 Taylor, FL 21 27 25 21 12125 Union, FL 8 10 11 9 12127 Volusia, FL 786 833 644 617 12129 Wakulla, FL 33 30 11 16 12131 Walton, FL 73 68 40 41 12133 Washington, FL 36 32 21 21 9 13 GEORGIA 8,910 9,000 6,468 30 30 17 13 13003 Atkinson, GA 8 9 7 5 17 20 8 12 13007 Baker, GA 5 13009 Baldwin, GA 49 55 13011 Banks, GA 20 15 13013 Barrow, GA 62 50 31 31 8 5 4 2 3 5 4 1 235 177 187 9 8 10 7 23 23 10 15 8 14 9 262 6,242 2,832 2,746 1,496 1,410 13001 Appling, GA 13005 Bacon, GA 6 6 5 5 5 4 5 3 946 1,096 1,109 809 814 1 2 1 1 1 1 0 5 5 3 1 3 2 5 28 24 6 6 26 24 14 9 9 10 8 11 69 79 58 58 32 26 12 12 37 26 23 8 8 7 6 40 42 13 151 64 72 13023 Bleckley, GA 11 18 18 13 6 4 13025 Brantley, GA 13 15 18 12 13027 Brooks, GA 46 37 13 13 13029 Bryan, GA 15 17 15 15 13031 Bulloch, GA 53 63 38 33 19 22 13033 Burke, GA 30 34 13 16 5 5 13035 Butts, GA 32 26 14 14 9 9 8 5 6 6 2 5 6 6 2 5 7 8 7 8 12 11 2 5 4 4 28 21 3 7 3 23 24 1 21 25 1 2 2 3 0 2 1 2 1 9 3 4 3 1 2 5 1 5 4 4 11 3 3 31 13 1 3 3 151 4 1 5 25 83 1 2 246 1 87 6 5 26 61 5 1 251 53 5 3 11 4 6 18 13037 Calhoun, GA 1,004 7 1 1 5 3 13017 Ben Hill, GA 13021 Bibb, GA 50 4 13015 Bartow, GA 13019 Berrien, GA 44 10 6 7 6 6 8 7 5 5 7 3 7 4 6 5 1 8 6 2 4 2 3 5 1 0 1 2 3 3 13039 Camden, GA 29 29 19 18 3 5 0 5 13043 Candler, GA 18 18 11 9 4 3 5 4 1 13045 Carroll, GA 113 105 75 81 56 44 13 15 7 9 18 20 6 7 13047 Catoosa, GA 66 63 53 47 16 15 18 15 4 10 8 10 7 13049 Charlton, GA 18 15 2 0 13051 Chatham, GA 325 332 27 27 13055 Chattooga, GA 49 13057 Cherokee, GA 13059 Clarke, GA 249 240 46 25 84 90 82 94 13053 Chattahoochee, GA 13061 Clay, GA 13063 Clayton, GA 13065 Clinch, GA 13067 Cobb, GA 7 3 86 87 25 14 90 84 68 65 5 62 58 13 5 27 26 37 36 45 46 119 116 3 5 6 6 5 195 183 152 136 7 11 9 5 419 430 363 366 3 2 1 37 33 5 6 4 29 25 10 8 19 16 5 8 12 12 9 7 11 14 8 9 40 36 17 14 26 18 13 15 88 87 34 35 76 61 34 31 9 8 0 1 4 31 0 1 7 5 1 1 1 2 25 1 1 0 1 2 1 1 13069 Coffee, GA 60 48 22 22 11 15 7 7 9 7 9 8 13071 Colquitt, GA 65 72 48 39 11 17 11 9 7 9 8 9 3 13073 Columbia, GA 69 68 63 63 28 22 10 11 10 8 12 12 5 13075 Cook, GA 18 28 17 17 18 12 2 5 3 2 278 4 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 13077 Coweta, GA 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 84 82 55 60 32 32 9 8 10 8 6 3 13081 Crisp, GA 29 33 28 26 11 11 13083 Dade, GA 24 24 16 13 8 13085 Dawson, GA 13 12 13 11 13087 Decatur, GA 57 54 24 27 12 14 13089 DeKalb, GA 446 486 433 436 164 159 13091 Dodge, GA 24 35 14 17 7 9 13093 Dooly, GA 23 18 11 10 5 7 3 13079 Crawford, GA 13095 Dougherty, GA 26 21 14 10 20 13 6 7 7 7 2 1 1 5 4 5 8 2 1 1 3 3 1 3 5 4 3 8 6 6 5 80 76 65 66 72 75 55 53 7 6 5 6 4 2 1 1 6 2 1 1 107 114 95 90 42 39 27 19 8 13 8 9 9 11 13097 Douglas, GA 81 77 63 61 23 22 19 13 11 9 11 13 6 7 13099 Early, GA 22 26 13 14 9 10 2 2 3 4 1 0 0 0 0 5 2 4 3 3 3 5 4 1 13101 Echols, GA 2 1 13103 Effingham, GA 41 37 31 25 9 10 13105 Elbert, GA 39 40 25 23 10 13 13107 Emanuel, GA 35 33 19 18 10 10 11 5 2 5 13109 Evans, GA 16 14 11 12 10 11 6 3 2 1 1 13111 Fannin, GA 23 29 32 24 11 8 7 7 5 4 4 13113 Fayette, GA 8 5 5 66 71 43 56 19 21 13 13 14 11 6 7 148 167 107 95 47 43 20 17 17 22 16 14 13117 Forsyth, GA 87 76 57 45 27 20 17 13 10 9 8 13119 Franklin, GA 46 40 26 18 14 10 8 5 5 4 13121 Fulton, GA 846 865 666 645 258 246 103 113 97 97 13123 Gilmer, GA 36 36 23 24 10 6 4 7 5 4 3 5 6 2 0 1 0 1 13115 Floyd, GA 13125 Glascock, GA 13127 Glynn, GA 3 82 4 15 12 9 4 3 3 97 98 103 92 88 80 31 31 23 21 10 10 7 13 13129 Gordon, GA 57 51 37 37 29 20 13 9 7 9 13 10 13131 Grady, GA 44 41 23 27 13 11 4 4 7 4 5 4 13133 Greene, GA 25 28 24 14 9 7 3 2 2 5 5 272 258 262 252 87 81 72 62 24 30 47 46 33 34 17 17 9 10 161 143 114 91 49 52 22 22 19 14 13141 Hancock, GA 16 17 7 10 1 1 13143 Haralson, GA 35 39 25 27 15 12 8 6 4 13145 Harris, GA 25 24 20 19 8 8 2 4 3 6 3 13147 Hart, GA 42 39 27 24 9 13 5 3 3 5 5 13149 Heard, GA 7 13 9 7 6 7 2 1 5 4 13151 Henry, GA 113 99 90 79 28 30 12 17 7 16 14 12 8 13153 Houston, GA 13 16 9 12 8 8 11 13135 Gwinnett, GA 13137 Habersham, GA 13139 Hall, GA 5 6 39 23 6 4 36 44 44 6 5 4 20 17 22 2 1 5 6 3 3 2 108 111 84 76 32 32 13155 Irwin, GA 19 15 11 9 5 4 13157 Jackson, GA 49 54 49 39 23 17 13159 Jasper, GA 16 23 6 10 2 1 1 1 1 13161 Jeff Davis, GA 37 29 9 9 4 3 2 3 3 13163 Jefferson, GA 40 33 22 18 9 2 4 2 3 7 279 13 5 92 3 12 9 2 5 5 6 11 2 2 8 5 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 13165 Jenkins, GA 14 13 5 6 9 5 1 1 2 13167 Johnson, GA 14 17 8 9 5 5 1 2 0 1 13169 Jones, GA 18 21 15 19 4 5 2 4 13171 Lamar, GA 21 20 17 16 13 9 2 3 3 13173 Lanier, GA 10 10 9 7 6 4 2 2 2 13175 Laurens, GA 71 77 29 35 27 30 13177 Lee, GA 26 14 12 11 9 5 13179 Liberty, GA 37 30 26 24 12 10 13181 Lincoln, GA 19 14 11 10 8 7 12 7 13185 Lowndes, GA 104 115 59 69 43 38 14 15 13187 Lumpkin, GA 19 19 18 15 14 8 5 3 13189 McDuffie, GA 35 37 18 20 10 9 3 13191 McIntosh, GA 11 17 7 9 3 13193 Macon, GA 22 24 12 13 6 6 13195 Madison, GA 33 33 36 26 8 8 7 10 6 4 28 34 22 19 13183 Long, GA 13197 Marion, GA 13199 Meriwether, GA 9 22 14 7 2 4 2 2 1 9 6 9 6 4 2 1 8 2 1 2 2 1 1 8 9 8 8 3 7 0 9 7 3 4 4 4 3 1 1 2 1 3 5 1 8 6 4 1 4 2 1 1 1 3 12 13 4 5 7 2 14 13 5 6 3 0 34 33 18 22 12 11 4 13207 Monroe, GA 41 37 22 20 6 13209 Montgomery, GA 18 15 13211 Morgan, GA 23 30 13215 Muscogee, GA 14 12 3 2 6 13205 Mitchell, GA 13213 Murray, GA 8 1 13201 Miller, GA 14 6 4 2 6 4 6 4 1 2 7 7 14 9 3 7 4 1 1 8 3 3 7 3 1 1 2 1 14 5 1 1 3 1 27 31 31 27 7 9 5 5 3 6 4 273 283 160 178 76 68 42 45 31 33 23 22 18 21 3 13 10 13 9 10 11 7 6 13217 Newton, GA 70 66 44 47 28 33 13219 Oconee, GA 24 30 14 16 10 7 3 3 3 13221 Oglethorpe, GA 20 20 13 10 7 6 2 0 2 5 2 13223 Paulding, GA 58 48 59 46 15 12 6 9 11 13 7 5 6 5 4 2 4 7 2 13 6 2 3 2 3 1 2 2 0 7 8 3 4 0 5 3 2 13225 Peach, GA 27 31 28 25 10 9 13227 Pickens, GA 30 33 18 17 8 6 13229 Pierce, GA 24 25 11 12 8 6 13231 Pike, GA 19 16 14 13 7 4 13233 Polk, GA 59 69 35 39 17 17 5 14 11 5 7 4 5 13235 Pulaski, GA 18 17 12 12 7 9 4 2 13237 Putnam, GA 21 21 14 15 7 6 2 3 24 22 24 19 6 5 13239 Quitman, GA 13241 Rabun, GA 3 1 2 2 7 3 2 5 5 0 0 0 6 3 2 3 13243 Randolph, GA 18 20 12 9 7 8 13245 Richmond, GA 238 262 195 180 72 69 52 44 27 27 26 28 16 21 13247 Rockdale, GA 64 59 50 50 22 26 9 10 5 5 13 9 9 7 5 5 4 13249 Schley, GA 1 2 0 13251 Screven, GA 19 26 19 19 7 12 3 13253 Seminole, GA 18 14 5 8 5 6 2 280 2 3 1 6 3 1 6 2 0 3 5 1 1 1 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 13255 Spalding, GA 112 99 56 61 35 37 13257 Stephens, GA 47 47 36 30 17 13 13259 Stewart, GA 11 10 7 7 13261 Sumter, GA 60 53 38 34 21 19 13263 Talbot, GA 12 13 6 5 6 4 2 13267 Tattnall, GA 23 31 24 13269 Taylor, GA 19 18 13271 Telfair, GA 30 30 13273 Terrell, GA 18 13275 Thomas, GA 13277 Tift, GA 13265 Taliaferro, GA 13 3 15 23 19 6 8 6 7 5 6 6 3 8 9 1 1 9 3 3 1 2 2 2 0 1 1 0 4 6 3 1 2 1 2 2 5 1 1 4 2 2 2 2 12 3 5 7 2 20 14 14 9 9 8 6 7 10 6 8 24 20 16 8 9 58 64 48 53 26 31 13 11 8 6 6 6 55 51 40 29 15 13 7 7 8 6 4 10 13279 Toombs, GA 36 42 22 26 17 14 8 3 7 7 5 3 13281 Towns, GA 18 17 11 14 6 1 2 2 1 13283 Treutlen, GA 11 14 5 3 3 1 2 13285 Troup, GA 109 107 72 64 36 38 15 10 13287 Turner, GA 20 18 8 11 8 7 6 13289 Twiggs, GA 25 20 5 6 13291 Union, GA 29 34 22 20 5 7 2 11 9 6 10 10 7 7 1 5 4 5 1 2 4 0 2 3 1 11 9 3 4 3 1 13293 Upson, GA 53 53 39 33 30 27 10 10 7 6 9 8 13295 Walker, GA 117 117 76 66 28 32 23 22 10 9 12 10 2 5 7 11 13297 Walton, GA 74 68 31 36 32 22 12 10 7 5 9 9 8 6 13299 Ware, GA 68 65 34 39 17 19 10 8 7 6 5 6 9 6 13301 Warren, GA 14 13 6 9 3 2 2 0 3 13303 Washington, GA 30 29 24 21 8 8 3 4 4 3 13305 Wayne, GA 29 32 14 17 19 18 4 4 2 1 1 0 1 1 0 1 1 1 3 2 3 13307 Webster, GA 5 3 2 5 4 13309 Wheeler, GA 13 11 13311 White, GA 34 30 17 16 9 10 5 4 13313 Whitfield, GA 93 90 71 72 34 34 17 12 6 16 12 9 13 1 12 13 13315 Wilcox, GA 15 14 10 8 3 2 3 1 2 13317 Wilkes, GA 21 20 15 14 5 5 3 2 2 3 13319 Wilkinson, GA 17 16 7 7 5 5 3 1 5 2 1 13321 Worth, GA 35 35 22 18 6 9 3 3 5 4 663 644 611 602 10 21 KENTUCKY 6,196 6,160 4,238 4,169 1,619 1,664 1,100 1,062 21001 Adair, KY 20 23 23 17 7 8 21003 Allen, KY 36 30 18 19 13 12 21005 Anderson, KY 21 19 14 12 6 7 5 4 6 4 2 3 1 7 4 2 4 2 14 13 34 33 13 9 5 6 21009 Barren, KY 85 75 36 37 15 20 21011 Bath, KY 17 15 21 14 5 1 1 21013 Bell, KY 72 67 28 35 14 12 4 8 11 3 18 19 10 3 5 7 67 69 65 62 17 23 21017 Bourbon, KY 23 33 22 23 7 11 281 633 2 21007 Ballard, KY 21015 Boone, KY 4 607 1 7 7 1 1 5 4 1 8 4 5 8 6 8 7 6 7 3 4 6 4 2 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 21019 Boyd, KY 78 88 81 74 34 34 14 15 11 9 6 8 21021 Boyle, KY 49 40 27 35 10 13 7 7 13 9 5 5 3 9 14 7 9 6 9 5 1 2 6 21023 Bracken, KY 21025 Breathitt, KY 33 30 14 14 5 4 21027 Breckinridge, KY 26 28 27 25 8 8 21029 Bullitt, KY 50 49 39 45 9 11 21031 Butler, KY 20 22 6 8 5 5 9 2 5 3 3 2 8 3 3 3 5 4 2 6 15 13 2 5 6 6 3 2 2 21033 Caldwell, KY 21 27 19 18 9 7 4 5 3 21035 Calloway, KY 70 60 38 38 14 15 5 5 11 10 7 7 6 7 21037 Campbell, KY 115 123 108 101 42 46 21 23 11 12 12 12 19 24 21039 Carlisle, KY 15 13 2 11 6 5 3 2 1 21041 Carroll, KY 28 23 13 13 8 5 2 1 1 21043 Carter, KY 48 44 33 29 6 7 7 4 21045 Casey, KY 6 4 5 5 7 11 1 2 5 8 10 11 27 26 20 17 7 9 5 101 105 54 54 29 20 16 13 8 8 21049 Clark, KY 43 42 35 33 15 11 12 8 5 5 21051 Clay, KY 37 38 21 22 5 6 6 7 3 9 13 11 11 5 1 21055 Crittenden, KY 23 25 10 10 4 2 4 2 3 21057 Cumberland, KY 19 23 11 7 5 6 2 1 2 1 43 52 21047 Christian, KY 21053 Clinton, KY 21059 Daviess, KY 25 2 4 6 2 1 143 115 104 14 12 12 5 6 1 1 2 21063 Elliott, KY 10 9 10 7 4 3 1 2 2 21065 Estill, KY 31 29 18 20 9 9 1 1 2 290 299 228 214 85 90 6 26 30 8 2 1 13 62 13 5 6 145 69 17 1 21061 Edmonson, KY 21067 Fayette, KY 34 4 4 11 21 25 20 20 2 32 31 21069 Fleming, KY 25 23 11 13 3 7 4 21071 Floyd, KY 55 63 61 53 16 14 14 15 6 5 12 7 9 12 21073 Franklin, KY 71 64 44 48 27 23 12 16 7 7 12 7 6 8 21075 Fulton, KY 22 26 5 9 4 5 3 3 2 1 21077 Gallatin, KY 14 13 14 8 1 5 3 1 1 2 3 2 2 21079 Garrard, KY 18 17 18 16 2 3 2 21081 Grant, KY 26 24 21 21 6 5 5 5 2 4 7 8 21083 Graves, KY 66 69 44 46 18 21 27 16 10 8 7 6 7 21085 Grayson, KY 40 41 27 29 11 10 5 8 7 6 6 21087 Green, KY 19 19 8 10 4 7 4 1 2 21089 Greenup, KY 62 67 45 44 21 19 8 8 8 5 4 21091 Hancock, KY 13 12 8 6 21093 Hardin, KY 83 85 85 72 19 26 19 15 11 15 17 5 7 7 3 1 6 1 3 3 2 8 6 14 6 6 5 11 10 1 1 21095 Harlan, KY 54 60 48 41 13 14 21 17 21097 Harrison, KY 37 39 11 19 8 9 6 3 3 21099 Hart, KY 41 32 24 16 8 8 2 2 5 5 21101 Henderson, KY 79 82 45 44 22 23 8 5 6 21103 Henry, KY 23 22 8 13 6 3 3 4 1 8 10 6 3 2 2 1 2 21105 Hickman, KY 282 5 11 10 4 2 2 7 6 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 21107 Hopkins, KY 93 88 59 52 29 31 21109 Jackson, KY 28 26 10 14 6 5 21111 Jefferson, KY 25 17 17 4 234 13 3 114 9 5 2 1,141 1,168 820 819 294 287 35 28 27 27 16 13 21115 Johnson, KY 48 44 33 30 9 10 5 9 9 5 177 175 135 135 44 48 43 44 18 21 13 10 6 5 5 1 2 8 8 6 2 3 5 111 94 3 5 6 115 3 2 12 12 9 7 3 16 17 6 7 26 29 16 18 8 5 21121 Knox, KY 50 57 32 31 17 15 21123 Larue, KY 15 17 16 13 7 6 21125 Laurel, KY 78 74 66 52 17 17 12 11 21127 Lawrence, KY 29 31 23 21 6 6 5 2 3 21129 Lee, KY 10 14 12 10 2 1 1 1 21131 Leslie, KY 15 16 9 12 4 3 4 2 21133 Letcher, KY 50 44 29 28 21135 Lewis, KY 18 21 13 14 21137 Lincoln, KY 30 32 17 21 21139 Livingston, KY 17 24 10 10 21141 Logan, KY 48 55 26 28 21143 Lyon, KY 8 4 3 1 6 9 8 5 5 7 13 15 2 112 21119 Knott, KY 5 4 116 7 1 21113 Jessamine, KY 21117 Kenton, KY 231 10 9 6 3 3 4 2 1 8 4 2 1 5 5 4 16 14 8 7 5 25 18 8 9 148 74 72 36 44 16 18 21147 McCreary, KY 14 23 17 24 6 5 13 8 2 21149 McLean, KY 21 20 10 12 7 8 1 3 21151 Madison, KY 103 86 36 42 25 24 13 12 3 1 15 7 9 4 8 2 12 5 4 5 4 2 162 21145 McCracken, KY 6 2 1 5 3 5 6 2 9 1 6 1 12 11 5 2 6 4 9 5 6 21153 Magoffin, KY 15 15 13 15 3 6 5 2 4 21155 Marion, KY 25 26 22 22 8 9 7 5 9 4 2 4 21157 Marshall, KY 71 62 36 37 27 22 6 7 5 5 4 2 21159 Martin, KY 19 21 12 13 21161 Mason, KY 31 38 28 22 14 11 21163 Meade, KY 16 22 18 20 6 5 21165 Menifee, KY 8 10 6 4 1 21167 Mercer, KY 45 33 30 29 2 14 12 3 7 5 5 1 2 1 5 3 4 5 1 3 3 4 1 1 4 4 5 2 6 6 21169 Metcalfe, KY 13 19 7 7 5 2 2 21171 Monroe, KY 27 26 10 14 3 2 3 6 6 21173 Montgomery, KY 34 37 27 27 21175 Morgan, KY 21 17 13 11 11 9 5 6 3 2 2 1 6 4 2 1 4 1 3 5 2 3 1 21177 Muhlenberg, KY 75 64 36 36 25 19 7 6 7 6 10 9 21179 Nelson, KY 48 43 32 37 22 19 6 6 8 7 9 6 21181 Nicholas, KY 10 8 11 10 4 1 21183 Ohio, KY 40 39 31 29 5 5 6 4 3 6 6 21185 Oldham, KY 35 29 30 27 16 12 7 6 4 5 3 21187 Owen, KY 12 18 6 9 3 3 1 1 1 9 9 5 6 2 2 1 1 2 21191 Pendleton, KY 17 17 7 11 5 3 5 3 21193 Perry, KY 50 55 32 34 6 4 7 8 21189 Owsley, KY 4 283 5 4 7 6 5 1 1 5 4 6 3 2 3 6 5 3 6 4 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 21195 Pike, KY 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 148 140 73 81 21197 Powell, KY 21 18 5 11 21199 Pulaski, KY 87 85 71 70 20 20 27 6 23 2 22 13 22 6 3 1 12 10 13 11 13 13 16 12 12 3 7 8 1 21201 Robertson, KY 7 8 1 0 1 0 21203 Rockcastle, KY 25 25 15 18 7 8 4 2 4 4 21205 Rowan, KY 26 25 25 16 7 11 4 1 2 2 21207 Russell, KY 26 27 25 23 6 9 3 21209 Scott, KY 42 40 35 28 10 13 6 6 21211 Shelby, KY 49 45 35 25 27 23 6 6 5 21213 Simpson, KY 41 31 16 15 21215 Spencer, KY 20 14 10 10 6 5 4 5 4 2 4 2 6 4 3 3 1 1 1 2 1 36 29 32 29 9 11 20 29 8 13 6 5 21221 Trigg, KY 20 22 17 14 8 12 7 9 24 30 20 18 21227 Warren, KY 7 6 5 21219 Todd, KY 21225 Union, KY 6 3 21217 Taylor, KY 21223 Trimble, KY 3 0 6 4 5 3 0 2 4 3 1 4 2 3 1 1 2 1 14 8 3 2 2 3 107 109 89 89 29 39 21229 Washington, KY 16 15 14 13 7 6 21231 Wayne, KY 29 27 20 18 3 6 6 5 6 6 16 9 9 3 6 4 4 3 13 6 12 10 3 3 6 4 2 2 5 9 22 25 16 15 7 9 21235 Whitley, KY 78 69 37 44 14 14 10 8 21237 Wolfe, KY 17 12 10 10 4 5 4 1 1 0 21239 Woodford, KY 32 25 16 19 4 2 5 3 28 MISSISSIPPI 10 2,707 1,233 1,163 569 2 12 3 21233 Webster, KY 17 3 5 5 12 8 4,919 4,903 2,752 28001 Adams, MS 80 84 37 47 17 17 28003 Alcorn, MS 83 69 43 37 29 25 28005 Amite, MS 26 20 15 13 5 3 2 1 3 4 28007 Attala, MS 27 37 10 20 11 11 3 2 4 2 28009 Benton, MS 19 17 5 9 7 1 28011 Bolivar, MS 95 85 61 47 8 13 5 28013 Calhoun, MS 37 34 11 15 21 17 1 3 2 2 2 2 5 7 2 6 5 3 3 8 544 462 437 8 17 10 8 13 10 6 561 16 2 11 9 567 411 3 13 4 2 6 3 378 6 8 0 8 2 8 3 28015 Carroll, MS 18 14 8 12 28017 Chickasaw, MS 45 34 22 21 28019 Choctaw, MS 21 19 7 10 4 1 1 2 28021 Claiborne, MS 24 28 11 9 4 1 1 2 1 28023 Clarke, MS 41 45 11 10 8 1 3 3 1 28025 Clay, MS 52 53 18 17 7 7 1 28027 Coahoma, MS 73 67 31 36 15 14 6 9 9 7 11 28029 Copiah, MS 60 56 24 25 14 13 7 6 9 5 8 8 28031 Covington, MS 27 32 17 19 5 4 28033 DeSoto, MS 97 98 96 82 29 23 18 19 7 8 23 17 23 13 28035 Forrest, MS 134 132 62 73 37 33 32 28 8 9 14 11 28037 Franklin, MS 26 28 9 9 28039 George, MS 32 27 19 22 14 10 2 1 4 1 3 9 9 3 5 1 14 22 3 1 1 2 7 3 6 6 1 5 12 9 284 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 28041 Greene, MS 18 12 9 8 28043 Grenada, MS 48 50 28 27 2 32 26 1 6 6 2 8 8 11 2 3 7 2 28045 Hancock, MS 77 77 45 39 16 12 12 11 5 6 9 9 4 28047 Harrison, MS 310 310 199 192 63 55 34 38 11 18 36 33 9 28049 Hinds, MS 36 377 400 191 221 77 94 43 29 32 34 46 32 28051 Holmes, MS 40 43 26 23 11 12 3 5 5 5 5 5 28053 Humphreys, MS 30 26 17 11 3 3 0 0 1 0 41 49 22 23 12 10 12 6 3 7 7 4 16 24 18 28055 Issaquena, MS 28057 Itawamba, MS 28059 Jackson, MS 1 1 0 2 5 1 183 181 117 113 41 42 31 27 28061 Jasper, MS 43 37 27 19 10 8 5 4 2 4 28063 Jefferson, MS 11 15 11 8 5 4 1 2 1 2 28065 Jefferson Davis, MS 30 33 13 12 5 5 6 2 2 8 4 2 25 24 10 11 17 12 12 28067 Jones, MS 100 104 59 57 28069 Kemper, MS 31 22 7 7 28071 Lafayette, MS 46 50 25 25 28073 Lamar, MS 16 4 1 13 2 22 2 32 23 2 6 4 7 5 10 4 11 8 3 1 7 4 50 44 29 32 22 17 7 7 6 5 7 5 180 176 87 99 29 32 27 23 26 21 24 18 28077 Lawrence, MS 31 32 16 13 10 6 2 1 3 2 28079 Leake, MS 44 48 29 24 10 10 5 4 4 2 4 28081 Lee, MS 135 126 70 65 48 40 21 13 15 11 28083 Leflore, MS 111 103 38 40 25 20 10 9 5 4 28085 Lincoln, MS 70 67 43 40 27 25 5 8 15 10 5 6 28087 Lowndes, MS 59 72 48 45 22 21 8 8 5 5 9 10 28089 Madison, MS 113 93 143 96 40 31 21 15 11 10 6 10 10 28075 Lauderdale, MS 28091 Marion, MS 54 50 24 29 21 19 13 9 28093 Marshall, MS 45 49 27 33 23 18 5 4 28095 Monroe, MS 66 61 47 42 17 19 10 8 28097 Montgomery, MS 25 28 13 13 8 9 2 28099 Neshoba, MS 68 59 22 24 19 16 3 9 28101 Newton, MS 41 41 22 24 28103 Noxubee, MS 21 25 10 7 10 23 5 5 8 5 10 9 10 6 4 8 5 5 6 6 3 7 9 3 2 4 1 1 4 1 3 28 23 16 14 5 4 8 5 6 6 30 18 21 8 6 10 11 8 11 28109 Pearl River, MS 70 63 54 45 19 15 17 13 7 7 7 4 5 4 4 6 13 15 11 11 5 19 11 37 28115 Pontotoc, MS 43 45 19 20 7 8 28117 Prentiss, MS 32 32 23 20 8 11 25 18 9 8 28119 Quitman, MS 28121 Rankin, MS 28123 Scott, MS 22 21 19 16 154 156 74 73 14 8 38 51 23 26 28125 Sharkey, MS 8 10 7 8 28127 Simpson, MS 46 47 24 26 4 285 14 7 5 6 5 5 2 2 5 16 3 4 30 36 3 6 55 24 10 8 64 91 11 4 6 46 18 18 7 70 99 23 7 28107 Panola, MS 28113 Pike, MS 6 3 28105 Oktibbeha, MS 28111 Perry, MS 6 9 4 1 6 17 2 6 6 17 9 2 11 17 19 2 6 3 6 2 4 2 14 19 17 6 3 7 7 3 1 1 1 1 9 4 7 14 3 11 2 6 5 7 5 9 5 Quality . Resource . Systems, Inc. 7 HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 28129 Smith, MS 29 30 12 13 28131 Stone, MS 21 25 18 14 12 8 28133 Sunflower, MS 51 61 26 28 7 12 28135 Tallahatchie, MS 28 26 9 15 7 6 28137 Tate, MS 35 38 27 27 9 8 28139 Tippah, MS 55 55 22 26 15 10 28141 Tishomingo, MS 67 55 22 24 13 12 28143 Tunica, MS 11 18 9 9 28145 Union, MS 46 44 27 24 6 3 8 17 3 2 3 3 6 3 0 5 10 6 7 7 1 7 5 2 15 3 3 6 6 1 5 4 4 10 7 2 5 4 6 6 2 4 5 5 2 1 2 2 1 7 5 3 5 6 5 6 3 28147 Walthall, MS 22 30 14 14 12 6 1 28149 Warren, MS 80 86 47 49 24 21 8 10 11 9 8 8 5 5 8 16 14 15 9 28151 Washington, MS 3 3 108 112 74 72 23 25 11 12 28153 Wayne, MS 33 36 15 17 8 6 6 4 1 3 28155 Webster, MS 17 22 10 9 9 6 5 5 2 2 28157 Wilkinson, MS 23 20 10 12 6 4 2 1 3 28159 Winston, MS 47 46 32 26 15 13 2 1 28161 Yalobusha, MS 36 30 12 16 9 8 2 2 28163 Yazoo, MS 48 47 26 26 16 16 5 4 37 NORTH CAROLINA 10,057 9,849 7,305 5 7,281 3,584 3,548 1,765 1,669 1,160 5 2 3 1 5 2 5 3 3 5 1 5 10 9 1,101 1,179 1,141 1,169 1,130 19 18 37001 Alamance, NC 179 183 140 137 68 73 26 30 17 17 28 22 37003 Alexander, NC 44 44 32 32 16 14 5 6 6 7 5 5 2 37005 Alleghany, NC 17 16 17 17 6 8 8 4 2 4 37007 Anson, NC 51 45 24 26 14 11 5 9 5 4 37009 Ashe, NC 47 46 26 29 16 15 13 11 3 5 5 3 37011 Avery, NC 32 31 17 17 5 4 6 5 4 5 2 15 37013 Beaufort, NC 4 2 9 105 106 48 52 29 22 12 18 10 37015 Bertie, NC 36 34 30 28 13 15 4 6 3 37017 Bladen, NC 70 61 25 28 25 26 6 8 7 102 97 78 75 26 30 15 9 37019 Brunswick, NC 20 9 7 5 5 4 10 9 8 6 6 8 8 8 10 11 10 22 37021 Buncombe, NC 299 315 256 248 127 120 71 71 27 36 34 32 24 37023 Burke, NC 111 115 82 86 45 40 29 25 19 15 12 14 17 15 37025 Cabarrus, NC 164 170 113 124 46 46 26 27 25 24 14 18 18 17 37027 Caldwell, NC 102 104 85 73 28 31 18 19 20 14 11 14 13 11 37029 Camden, NC 7 9 10 8 37031 Carteret, NC 96 97 70 68 12 8 22 13 13 13 4 22 24 37033 Caswell, NC 23 36 24 20 12 12 37035 Catawba, NC 182 168 130 138 69 58 1 2 1 8 7 10 26 22 32 29 27 27 22 5 3 1 3 37037 Chatham, NC 58 65 42 47 21 24 6 7 13 15 10 8 37039 Cherokee, NC 48 40 32 35 10 11 5 7 6 4 5 4 7 3 2 2 1 8 4 37041 Chowan, NC 27 27 10 15 12 10 37043 Clay, NC 13 15 15 11 6 5 37045 Cleveland, NC 155 140 105 105 55 53 22 20 15 15 14 19 15 16 37047 Columbus, NC 112 109 64 62 27 32 13 9 5 6 14 12 16 11 37049 Craven, NC 109 108 92 86 34 39 22 17 17 13 15 10 9 12 286 4 2 3 6 4 0 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 37051 Cumberland, NC 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 289 257 192 195 64 67 52 48 37053 Currituck, NC 29 21 17 16 12 10 6 4 6 3 37055 Dare, NC 29 31 32 28 12 9 5 4 5 2 217 197 139 118 68 66 35 35 37059 Davie, NC 55 56 28 31 12 14 10 8 3 6 5 7 6 37061 Duplin, NC 54 64 44 49 45 39 18 10 9 14 11 17 12 229 220 192 195 89 91 41 41 26 29 35 33 17 25 96 89 62 66 33 34 7 10 7 8 8 10 14 10 386 389 302 303 125 144 71 67 58 45 46 39 52 50 5 5 10 32 28 40 35 37057 Davidson, NC 37063 Durham, NC 37065 Edgecombe, NC 37067 Forsyth, NC 32 28 24 20 29 22 33 20 39 39 1 1 17 15 37069 Franklin, NC 69 63 55 42 32 26 8 7 10 7 37071 Gaston, NC 280 271 202 188 103 85 61 67 35 31 37073 Gates, NC 22 16 12 14 5 2 2 2 37075 Graham, NC 14 14 10 8 3 4 2 3 2 37077 Granville, NC 60 51 38 42 6 6 7 56 58 13 19 37079 Greene, NC 20 20 22 18 5 5 37081 Guilford, NC 494 462 393 397 200 198 8 6 99 83 8 7 80 67 4 2 2 6 3 48 43 37083 Halifax, NC 93 99 57 61 28 35 15 13 10 10 10 8 6 12 37085 Harnett, NC 104 102 73 75 37 33 20 17 18 14 20 13 15 15 17 13 37087 Haywood, NC 90 98 57 66 30 31 19 15 15 12 12 11 145 129 134 111 50 52 39 40 22 18 15 17 37091 Hertford, NC 35 31 30 29 13 12 4 5 5 7 6 5 37093 Hoke, NC 29 29 19 25 9 10 3 2 4 9 7 37095 Hyde, NC 17 14 6 7 2 1 0 37097 Iredell, NC 180 176 107 98 20 15 37089 Henderson, NC 5 2 56 59 20 17 17 17 19 20 9 0 37099 Jackson, NC 29 36 32 34 21 15 10 8 5 4 6 4 8 5 37101 Johnston, NC 154 145 101 96 42 40 15 16 8 12 11 19 18 15 37103 Jones, NC 14 19 7 11 8 6 2 2 1 6 2 37105 Lee, NC 78 74 56 50 19 19 16 11 7 11 9 10 10 37107 Lenoir, NC 102 99 67 68 28 35 9 15 8 7 10 11 14 13 37109 Lincoln, NC 83 77 59 56 30 24 17 14 17 10 10 10 9 8 37111 McDowell, NC 50 44 41 39 17 19 14 11 7 5 8 6 7 8 14 7 6 6 5 6 6 5 5 7 4 2 37113 Macon, NC 55 54 36 34 27 23 37115 Madison, NC 24 28 23 20 12 10 37117 Martin, NC 37119 Mecklenburg, NC 74 61 42 36 17 17 7 6 9 7 8 6 14 13 536 536 481 475 224 228 108 112 62 69 64 64 67 66 37121 Mitchell, NC 31 30 13 21 16 13 5 2 5 3 37123 Montgomery, NC 49 40 31 29 8 9 8 6 3 8 5 37125 Moore, NC 129 129 88 94 51 50 32 25 14 12 13 37127 Nash, NC 123 116 84 85 60 53 14 18 18 18 16 13 14 15 37129 New Hanover, NC 188 195 144 139 70 70 33 36 21 21 20 13 25 25 10 3 2 6 8 37131 Northampton, NC 35 37 30 27 9 12 7 7 3 5 6 37133 Onslow, NC 83 86 77 77 36 31 18 25 11 12 11 15 10 10 37135 Orange, NC 74 77 94 98 25 32 13 13 13 12 18 15 9 10 37137 Pamlico, NC 10 21 16 16 11 7 2 7 5 287 3 4 Quality . Resource . Systems, Inc. 1 HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 37139 Pasquotank, NC 51 55 39 39 23 21 14 13 9 6 4 7 37141 Pender, NC 56 47 36 40 26 22 10 10 4 5 5 5 37143 Perquimans, NC 24 22 11 12 5 9 1 3 37145 Person, NC 37147 Pitt, NC 37149 Polk, NC 37151 Randolph, NC 7 60 52 50 40 20 20 10 9 6 4 131 141 113 98 67 56 17 19 16 15 36 36 23 25 16 15 7 10 188 178 88 109 58 48 22 27 13 1 7 6 2 2 5 6 27 18 25 23 12 17 17 8 8 4 3 2 37153 Richmond, NC 98 90 52 46 23 19 12 12 5 6 10 8 18 12 37155 Robeson, NC 159 177 103 100 67 62 16 18 12 13 23 28 32 34 37157 Rockingham, NC 134 134 120 117 54 58 37 31 9 12 19 17 17 16 37159 Rowan, NC 211 218 114 123 53 64 27 32 26 27 29 24 29 21 37161 Rutherford, NC 108 106 72 68 50 36 11 12 18 14 15 13 5 4 37163 Sampson, NC 71 82 51 52 29 41 13 13 13 14 13 13 17 14 4 8 7 11 10 7 12 37165 Scotland, NC 68 59 40 31 18 18 9 7 37167 Stanly, NC 114 109 62 61 26 29 14 12 37169 Stokes, NC 63 51 32 36 31 33 11 9 7 8 7 7 10 8 37171 Surry, NC 99 103 72 83 42 46 16 19 12 12 14 14 10 9 37173 Swain, NC 22 20 13 13 5 7 10 5 2 1 7 37175 Transylvania, NC 51 47 33 41 13 14 9 10 4 3 79 84 33 30 22 16 37177 Tyrrell, NC 8 7 37179 Union, NC 126 123 5 1 5 11 1 6 1 10 10 1 13 16 53 6 3 0 12 11 3 6 10 57 52 59 37181 Vance, NC 71 71 48 47 26 26 6 8 9 8 37183 Wake, NC 418 420 386 370 178 182 86 77 29 31 37185 Warren, NC 32 32 17 23 14 12 5 5 3 4 37187 Washington, NC 31 27 18 20 7 5 4 1 2 3 37189 Watauga, NC 37191 Wayne, NC 38 38 22 26 20 19 12 8 6 6 174 167 110 118 58 52 29 23 16 13 21 3 7 5 17 34 28 37193 Wilkes, NC 75 74 60 65 45 45 23 17 22 16 12 10 10 9 37195 Wilson, NC 102 108 61 75 36 38 19 14 7 8 10 10 12 15 5 6 13 11 8 7 680 641 32 25 38 31 5 3 37197 Yadkin, NC 59 51 36 34 15 15 6 37199 Yancey, NC 33 22 29 22 13 12 2 4,885 4,903 3,725 45 SOUTH CAROLINA 45001 Abbeville, SC 45003 Aiken, SC 3,684 1,768 1,818 29 33 17 24 13 13 165 159 131 128 52 51 163 157 81 75 45005 Allendale, SC 15 17 45007 Anderson, SC 205 228 11 773 777 32 31 41 40 2 404 441 17 18 13 21 2 3 3 654 635 10 21 26 25 4 1 2 4 1 3 3 4 45009 Bamberg, SC 35 32 27 22 12 13 1 3 45011 Barnwell, SC 33 37 24 24 10 16 4 4 5 5 45013 Beaufort, SC 104 101 99 101 33 36 22 18 13 10 20 15 7 9 45015 Berkeley, SC 99 98 106 95 50 41 14 20 6 11 17 18 15 16 45017 Calhoun, SC 18 24 11 14 6 9 318 321 296 278 158 138 62 62 29 31 44 45 63 52 45021 Cherokee, SC 76 69 54 54 27 22 12 17 8 6 10 11 12 13 45023 Chester, SC 43 48 40 32 13 14 4 8 7 16 10 7 1 2 45019 Charleston, SC 288 2 3 4 2 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 45025 Chesterfield, SC 59 69 44 46 11 16 7 11 5 9 10 7 6 45027 Clarendon, SC 34 37 42 33 15 25 8 5 5 10 7 5 4 45029 Colleton, SC 62 60 45 38 13 15 5 4 10 6 8 7 102 106 81 73 45 54 15 10 21 18 15 14 5 7 8 6 5 8 12 13 9 4 7 6 6 3 4 9 9 15 26 30 45031 Darlington, SC 15 16 18 15 5 45033 Dillon, SC 35 40 37 31 20 15 45035 Dorchester, SC 99 104 81 74 59 68 45037 Edgefield, SC 32 33 13 15 8 5 2 45039 Fairfield, SC 69 52 18 23 10 13 4 8 5 45041 Florence, SC 235 221 114 119 62 66 32 28 11 12 17 45043 Georgetown, SC 8 4 74 68 61 56 24 22 12 12 3 13 9 11 8 432 455 337 337 146 130 80 84 37 44 73 62 73 66 45047 Greenwood, SC 90 95 81 81 31 32 17 13 16 9 12 11 12 8 45049 Hampton, SC 41 36 23 23 9 9 2 5 3 215 198 186 193 74 82 33 31 24 23 6 8 9 8 14 11 28 24 15 12 45045 Greenville, SC 45051 Horry, SC 45053 Jasper, SC 26 25 15 16 10 11 45055 Kershaw, SC 71 63 47 49 22 22 45057 Lancaster, SC 45059 Laurens, SC 45061 Lee, SC 41 12 15 16 12 7 6 3 3 3 1 90 96 58 52 29 27 12 13 10 10 9 12 108 61 60 29 44 14 14 7 12 18 15 40 42 14 23 38 29 7 7 6 4 5 7 6 6 13 9 9 8 5 5 4 5 8 6 5 27 28 15 21 8 9 199 168 181 77 79 45065 McCormick, SC 11 16 10 10 45067 Marion, SC 57 64 40 39 11 20 4 3 45069 Marlboro, SC 64 58 27 31 8 12 45071 Newberry, SC 48 48 38 39 20 20 45073 Oconee, SC 42 4 108 202 45063 Lexington, SC 4 1 2 5 5 2 2 3 1 95 95 69 72 31 27 13 12 6 10 10 10 6 7 45075 Orangeburg, SC 130 131 102 101 68 66 14 14 6 8 20 16 15 16 45077 Pickens, SC 119 116 87 89 56 55 19 21 11 12 16 18 8 11 45079 Richland, SC 305 321 293 277 102 111 55 46 44 40 51 43 39 47 40 36 18 15 3 6 3 45083 Spartanburg, SC 348 341 257 250 24 35 40 38 46 45085 Sumter, SC 22 45081 Saluda, SC 9 150 3 148 65 62 22 6 2 123 115 105 99 77 82 16 18 8 14 13 23 45087 Union, SC 59 55 34 39 19 18 6 7 2 6 6 5 6 45089 Williamsburg, SC 50 54 22 29 21 25 5 4 3 7 7 19 16 194 126 133 39 44 30 28 22 18 14 19 18 18 5,591 2,645 2,616 1,374 1,278 985 922 964 930 883 829 26 18 12 12 12 13 5 12 11 7 5 45091 York, SC 193 47 TENNESSEE 8,319 47001 Anderson, TN 8,313 5,718 100 104 86 90 38 39 29 27 47003 Bedford, TN 61 56 40 34 20 22 7 6 47005 Benton, TN 49 44 13 19 9 7 7 5 47007 Bledsoe, TN 16 16 8 8 6 5 6 3 47009 Blount, TN 133 147 98 95 81 65 24 28 17 19 13 20 10 12 47011 Bradley, TN 11 12 5 5 2 1 3 131 121 91 82 25 34 24 18 19 15 20 17 47013 Campbell, TN 55 63 49 46 23 21 21 16 13 15 10 8 47015 Cannon, TN 20 22 14 12 6 8 47017 Carroll, TN 101 84 32 39 24 24 289 3 9 11 1 10 7 1 2 5 3 8 5 1 6 7 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 47019 Carter, TN 89 88 73 58 28 32 13 18 15 10 11 47021 Cheatham, TN 40 38 29 26 7 8 6 6 5 8 9 2 47023 Chester, TN 19 22 15 16 7 6 3 2 4 4 47025 Claiborne, TN 72 60 41 37 13 13 5 3 47027 Clay, TN 12 16 8 8 2 3 47029 Cocke, TN 54 48 35 35 27 11 3 8 19 7 0 6 12 8 6 1 22 9 8 5 6 15 12 6 5 13 12 8 7 9 6 7 9 2 5 3 47031 Coffee, TN 64 71 51 51 19 22 47033 Crockett, TN 34 36 8 13 7 12 47035 Cumberland, TN 90 84 60 50 28 27 12 10 9 7 5 7 770 760 559 550 273 239 109 112 71 80 106 82 99 91 47039 Decatur, TN 20 27 15 18 5 2 6 3 5 3 47041 DeKalb, TN 32 31 18 20 6 10 2 4 5 5 5 47043 Dickson, TN 54 58 35 35 20 21 10 10 10 8 4 5 5 47045 Dyer, TN 93 77 47 41 13 18 14 12 6 6 47047 Fayette, TN 36 42 27 25 10 14 6 3 6 5 47049 Fentress, TN 30 31 16 19 7 12 8 47051 Franklin, TN 63 66 29 33 33 24 15 11 13 47053 Gibson, TN 13 14 2 47037 Davidson, TN 4 8 6 6 6 5 3 4 5 4 12 8 6 8 9 10 8 8 10 17 13 14 9 5 4 4 3 7 4 4 2 110 118 71 69 41 37 49 55 30 32 27 21 47057 Grainger, TN 17 19 17 19 14 11 6 4 47059 Greene, TN 91 100 66 64 30 31 17 16 19 18 14 11 47061 Grundy, TN 21 24 21 16 10 6 5 5 6 4 5 5 47063 Hamblen, TN 78 71 74 67 35 43 29 20 15 10 9 47065 Hamilton, TN 474 504 334 356 167 149 97 83 58 45 36 47067 Hancock, TN 10 13 9 7 47069 Hardeman, TN 49 49 28 28 6 8 6 3 11 47055 Giles, TN 5 3 2 1 5 6 9 8 9 16 11 45 42 40 7 4 7 2 2 9 7 2 47071 Hardin, TN 43 40 32 31 30 31 5 5 5 4 5 6 47073 Hawkins, TN 74 82 60 51 22 19 18 11 5 6 8 9 7 3 5 47075 Haywood, TN 35 44 22 23 6 9 3 4 5 4 47077 Henderson, TN 38 36 30 27 40 35 5 2 6 7 2 47079 Henry, TN 81 84 46 47 24 26 12 9 3 8 8 6 47081 Hickman, TN 35 29 20 17 5 6 6 5 2 6 4 4 47083 Houston, TN 11 14 8 8 3 5 4 2 1 2 47085 Humphreys, TN 33 36 24 24 7 8 47087 Jackson, TN 23 24 17 15 10 6 6 5 47089 Jefferson, TN 43 51 42 43 29 24 9 6 47091 Johnson, TN 24 22 21 18 13 12 6 5 497 514 414 393 148 139 105 100 47093 Knox, TN 3 8 5 3 5 3 7 62 4 4 4 2 3 7 7 6 4 5 5 64 56 60 13 9 53 55 3 47095 Lake, TN 18 19 11 14 4 5 5 2 2 0 47097 Lauderdale, TN 65 57 26 26 5 8 8 6 3 5 3 47099 Lawrence, TN 54 60 45 43 22 18 7 9 47101 Lewis, TN 17 20 14 10 2 5 4 47103 Lincoln, TN 75 64 45 38 17 19 47105 Loudon, TN 53 62 58 50 18 21 290 15 5 6 8 8 3 5 4 2 5 4 2 4 10 8 11 9 7 8 6 10 3 9 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Deaths for Females) FIPS Code County Name 19982000 2000 Heart Heart 2000 Disease Disease Cancer Deaths Deaths Deaths 19982000 2000 Cancer Stroke Deaths Deaths 1998199819981998- 2000 2000 2000 2000 19982000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 2000 Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths Deaths 47107 McMinn, TN 71 77 53 52 16 21 9 9 10 10 8 15 12 47109 McNairy, TN 61 55 29 28 20 15 5 5 9 6 6 7 5 4 47111 Macon, TN 22 26 28 20 5 7 6 4 129 130 98 96 50 54 23 19 23 15 17 6 47113 Madison, TN 3 11 2 12 19 47115 Marion, TN 43 43 35 29 13 12 10 7 5 6 10 6 47117 Marshall, TN 43 43 21 24 10 12 5 4 8 7 6 5 47119 Maury, TN 93 99 59 72 31 32 19 19 8 14 12 11 47121 Meigs, TN 9 12 8 10 51 50 34 35 20 21 5 8 7 34 41 26 21 5 47123 Monroe, TN 47125 Montgomery, TN 108 102 103 89 47127 Moore, TN 10 6 7 5 47129 Morgan, TN 21 26 16 15 47131 Obion, TN 73 75 37 47133 Overton, TN 42 38 21 47135 Perry, TN 15 12 9 10 4 2 3 1 1 4 3 9 8 2 0 7 9 8 5 7 7 14 16 13 12 1 1 0 1 2 3 2 7 5 5 6 42 9 19 12 7 7 6 7 19 14 13 5 7 2 5 3 2 2 4 3 1 3 6 8 7 47137 Pickett, TN 15 15 5 5 1 1 0 2 0 47139 Polk, TN 31 35 23 23 6 4 3 3 3 47141 Putnam, TN 87 86 70 61 28 33 18 13 12 10 15 9 47143 Rhea, TN 38 39 38 30 11 11 13 12 6 4 8 6 47145 Roane, TN 79 94 68 62 21 20 22 18 8 9 6 8 9 6 10 10 4 47147 Robertson, TN 94 75 52 49 28 30 8 12 7 8 9 8 10 6 47149 Rutherford, TN 144 149 129 122 54 51 30 24 30 18 31 21 10 11 47151 Scott, TN 29 31 27 26 8 7 7 7 3 4 2 47153 Sequatchie, TN 19 17 7 11 5 4 6 4 1 3 4 47155 Sevier, TN 133 112 72 67 23 23 11 11 7 8 11 11 10 8 47157 Shelby, TN 1,335 1,311 815 824 354 370 156 165 150 130 120 114 163 144 12 12 5 4 2 5 5 5 4 3 1 5 3 47159 Smith, TN 35 32 17 16 47161 Stewart, TN 22 22 15 18 47163 Sullivan, TN 228 225 184 176 47165 Sumner, TN 5 107 89 1 52 44 35 36 27 30 31 27 13 18 15 159 161 113 108 53 52 19 23 15 28 21 47167 Tipton, TN 97 77 50 48 15 12 14 9 4 7 6 5 47169 Trousdale, TN 20 14 12 11 5 6 3 2 1 1 15 4 2 47171 Unicoi, TN 32 35 25 23 15 3 47173 Union, TN 21 22 13 13 5 4 3 7 9 7 7 2 1 1 47175 Van Buren, TN 47177 Warren, TN 7 7 5 4 3 2 1 60 62 29 33 27 26 11 9 11 8 5 5 191 161 101 104 61 56 17 26 26 21 10 16 47181 Wayne, TN 28 29 11 14 2 5 4 47183 Weakley, TN 50 56 32 36 23 19 9 9 8 47185 White, TN 50 44 26 25 14 12 10 7 8 4 8 5 8 6 47187 Williamson, TN 79 95 74 69 36 37 27 23 5 7 9 11 5 6 89 90 63 66 20 34 14 15 14 47179 Washington, TN 47189 Wilson, TN 7 6 4 17 18 12 10 1 5 4 2 16 14 15 7 8 75,284 75,201 52,692 51,957 21,741 21,647 12,488 12,155 7,102 6,799 7,835 7,802 7,482 7,328 91 UNITED STATES 365,953 368,407 267,009 264,082 102,892 102,932 62,005 60,664 36,655 36,067 34,083 34,115 37,699 36,801 84 REGION IV Note: Counts are suppressed < 5 for year 2000 county-level data. 1998-2000 data are 3-year averages, and counts are not suppressed . 291 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 01 ALABAMA 19982000 19982000 Heart Heart 2000 2000 2000 Disease Disease Cancer Cancer Stroke Death Death Death Death Death Rate Rate Rate Rate Rate 19982000 Stroke Death Rate 19982000 2000 CLRD CLRD Death Death Rate Rate 301.7 302.2 192.3 193.5 85.5 84.7 40.5 41.0 01001 Autauga, AL 196.0 244.5 160.4 172.0 71.3 81.5 22.3 31.7 01003 Baldwin, AL 215.2 250.9 229.2 205.0 68.5 74.6 41.9 48.7 01005 Barbour, AL 348.3 363.2 234.6 196.1 120.8 108.9 49.8 36.3 01007 Bibb, AL 248.0 272.6 158.7 191.8 79.4 121.2 59.5 01009 Blount, AL 195.7 290.5 246.6 200.5 70.5 47.0 01011 Bullock, AL 520.3 480.3 197.3 177.9 107.6 124.5 01013 Butler, AL 369.1 419.0 193.3 174.6 87.9 113.5 43.9 01015 Calhoun, AL 404.8 371.1 210.1 217.3 68.3 83.6 01017 Chambers, AL 393.8 368.2 243.5 207.5 181.4 150.4 01019 Cherokee, AL 278.8 383.3 221.4 217.8 57.4 90.0 354.8 293.6 174.9 200.9 89.9 97.9 01023 Choctaw, AL 260.9 324.8 201.6 216.5 83.0 96.2 81.7 101.0 28.6 18.2 28.3 20.1 19982000 Unint Injury Death Rate 2000 Diabetes Death Rate 19982000 Diabetes Death Rate 31.3 34.2 34.3 34.9 35.6 27.2 35.6 36.2 27.9 35.8 26.5 25.8 35.5 43.6 59.5 50.5 32.7 50.5 45.0 50.9 32.7 35.2 61.5 43.6 68.3 50.2 32.5 35.1 41.0 36.8 27.3 26.7 67.4 46.7 46.6 57.1 31.1 36.3 40.0 46.4 30.0 25.8 33.7 68.1 40.4 69.7 01021 Chilton, AL 19982000 2000 2000 Pneum/ Pneum/ Unint Influenza Influenza Injury Death Death Death Rate Rate Rate 40.0 36.1 57.4 52.3 35.0 30.9 71.1 01025 Clarke, AL 326.8 282.8 177.0 161.6 01027 Clay, AL 410.8 439.6 219.1 233.5 164.3 123.6 34.0 54.5 33.7 34.0 01029 Cleburne, AL 381.0 332.2 225.8 221.5 01031 Coffee, AL 389.9 370.6 188.2 201.3 85.2 77.8 62.7 73.2 26.9 36.6 40.3 22.9 26.9 32.0 01033 Colbert, AL 327.8 351.7 226.7 229.7 83.7 114.9 38.4 53.8 34.9 25.1 52.3 35.9 24.4 25.1 01035 Conecuh, AL 512.0 504.6 215.6 272.7 121.3 109.1 01037 Coosa, AL 335.0 356.5 150.8 152.8 100.5 68.5 70.6 68.2 84.9 01039 Covington, AL 422.6 400.6 280.1 273.8 132.4 147.0 30.6 35.5 01041 Crenshaw, AL 472.2 487.4 208.3 236.7 111.1 97.2 69.6 97.5 35.6 45.6 25.5 40.6 30.6 30.4 69.6 01043 Cullman, AL 361.6 362.9 221.5 198.2 107.0 79.8 43.3 43.7 48.4 33.5 17.8 30.9 22.9 25.7 01045 Dale, AL 238.2 269.9 197.8 177.3 60.4 40.4 44.3 32.3 32.2 64.6 44.3 52.5 40.3 60.5 01047 Dallas, AL 364.0 343.2 229.5 220.9 102.9 98.6 35.6 43.4 35.6 19.7 27.6 31.7 39.4 01049 DeKalb, AL 388.5 404.3 157.8 179.7 78.9 93.0 51.6 44.9 36.4 38.5 30.4 41.7 30.4 22.5 01051 Elmore, AL 245.9 263.4 135.3 190.4 70.7 76.2 40.0 41.3 33.8 22.2 33.8 44.4 27.7 28.6 01053 Escambia, AL 332.2 337.3 205.6 235.6 79.1 117.8 26.4 48.2 31.6 32.1 26.4 37.5 58.0 69.6 01055 Etowah, AL 426.3 412.1 241.0 241.0 89.0 59.3 64.4 40.8 46.0 40.8 35.0 33.4 33.1 01057 Fayette, AL 523.0 485.9 282.4 232.4 115.1 116.2 01059 Franklin, AL 352.3 396.9 226.5 236.8 144.7 128.0 31.5 51.2 44.0 44.8 75.5 01061 Geneva, AL 408.0 422.5 151.1 184.4 37.8 61.5 90.7 69.1 01063 Greene, AL 264.5 01065 Hale, AL 341.6 01067 Henry, AL 444.1 380.1 210.4 88.3 98.2 84.5 376.3 207.8 188.1 151.1 94.1 422.6 253.4 233.6 99.2 100.1 190.0 58.4 62.8 66.7 95.0 71.3 01069 Houston, AL 296.0 282.6 193.1 199.3 72.9 83.2 57.9 54.8 21.5 01071 Jackson, AL 347.3 333.9 180.9 181.8 83.2 74.2 36.2 40.8 18.1 01073 Jefferson, AL 284.3 284.0 196.9 210.7 106.9 103.2 47.1 44.5 33.4 01075 Lamar, AL 425.6 374.9 206.7 205.6 182.4 120.9 265.9 270.8 209.2 201.4 111.1 96.2 01079 Lawrence, AL 377.7 317.9 225.5 202.3 84.6 75.1 01081 Lee, AL 174.5 190.4 119.7 140.0 58.2 59.7 30.8 26.1 61.8 47.6 27.8 28.5 402.0 447.3 120.6 107.9 01085 Lowndes, AL 320.7 397.4 153.4 141.9 21.9 35.6 23.6 26.3 27.9 21.9 25.3 26.0 43.4 44.5 26.9 34.2 40.0 42.5 85.1 01077 Lauderdale, AL 01083 Limestone, AL 64.0 34.9 40.3 32.7 31.3 45.1 28.9 22.2 18.7 32.7 60.8 31.3 30.5 40.5 50.7 26.9 46.2 25.7 28.0 20.5 18.7 27.8 31.7 18.6 28.5 71.0 292 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 1998Heart Heart 2000 2000 2000 Disease Disease Cancer Cancer Stroke Death Death Death Death Death Rate Rate Rate Rate Rate 19982000 Stroke Death Rate 19982000 2000 CLRD CLRD Death Death Rate Rate 01087 Macon, AL 391.4 348.3 176.5 205.8 115.1 95.0 01089 Madison, AL 195.5 217.3 180.7 167.4 58.4 01091 Marengo, AL 334.2 337.1 250.6 189.1 150.4 131.6 01093 Marion, AL 412.4 363.9 241.1 229.8 89.4 63.4 01095 Marshall, AL 402.7 345.0 182.4 183.2 127.9 121.4 52.1 58.6 44.4 39.5 30.9 19982000 2000 2000 Pneum/ Pneum/ Unint Influenza Influenza Injury Death Death Death Rate Rate Rate 19982000 Unint Injury Death Rate 2000 Diabetes Death Rate 19982000 Diabetes Death Rate 38.4 55.4 53.7 47.5 21.2 23.2 29.6 33.1 58.5 82.2 18.4 17.6 57.5 50.8 31.9 57.1 51.1 50.8 44.7 50.0 14.2 26.2 33.2 45.2 26.1 26.2 29.7 25.3 27.8 30.0 40.0 39.2 41.1 01097 Mobile, AL 302.7 290.4 195.9 190.7 82.4 73.9 35.4 36.2 01099 Monroe, AL 305.9 351.6 204.0 191.8 102.0 71.9 39.2 40.0 41.8 34.0 31.9 54.9 71.9 01101 Montgomery, AL 265.5 268.6 172.4 191.5 58.0 64.1 37.6 40.7 19.6 21.7 28.2 25.1 55.5 59.8 01103 Morgan, AL 287.9 285.9 208.4 190.0 93.6 85.2 49.5 40.8 24.7 26.6 35.3 37.3 33.6 24.9 01105 Perry, AL 341.0 285.8 232.5 180.5 93.0 90.2 01107 Pickens, AL 547.6 419.4 161.6 187.4 71.8 80.3 77.5 01109 Pike, AL 409.7 418.3 172.9 163.4 89.6 85.0 01111 Randolph, AL 406.2 398.5 198.8 213.1 77.8 74.1 77.8 01113 Russell, AL 195.8 183.2 226.5 236.6 99.8 84.0 49.9 45.8 45.8 77.5 32.0 57.6 38.2 22.9 51.9 55.6 23.0 26.7 01115 St. Clair, AL 311.6 294.9 130.9 171.2 68.6 69.8 49.9 47.6 28.0 25.4 15.6 34.9 15.6 25.4 01117 Shelby, AL 157.5 139.7 119.1 121.9 50.7 46.6 24.6 26.0 11.0 12.3 26.0 24.6 20.5 19.2 60.3 17.4 01119 Sumter, AL 387.4 409.8 112.5 168.7 62.5 01121 Talladega, AL 299.7 293.5 185.2 191.5 90.2 102.0 26.8 37.3 34.1 39.8 41.4 49.8 26.8 01123 Tallapoosa, AL 395.0 353.6 298.6 227.9 82.7 88.4 78.1 65.1 32.2 37.2 32.2 41.9 45.9 37.2 01125 Tuscaloosa, AL 222.2 232.5 167.2 161.3 81.9 80.7 26.9 28.5 28.1 29.7 31.6 30.8 23.4 29.7 01127 Walker, AL 450.9 453.7 224.1 220.1 79.2 62.5 32.8 46.2 51.9 46.2 54.7 51.6 38.3 38.0 01129 Washington, AL 270.9 306.7 195.1 164.3 65.0 54.8 01131 Wilcox, AL 312.5 350.8 142.0 168.4 71.0 70.2 01133 Winston, AL 402.3 375.9 173.5 176.0 86.8 88.0 48.0 55.2 40.0 306.2 319.6 220.7 226.8 74.4 78.2 54.7 56.9 21.6 21.1 25.0 25.9 26.1 26.7 12001 Alachua, FL 114.7 137.5 148.8 159.4 62.8 72.6 35.9 39.1 17.0 17.2 18.8 22.0 20.6 24.8 12003 Baker, FL 246.0 215.5 160.8 186.1 58.8 66.2 78.4 12005 Bay, FL 307.4 295.0 232.6 201.6 54.8 58.7 53.5 60.1 29.4 24.0 44.1 40.0 24.1 20.0 12007 Bradford, FL 269.8 315.0 200.1 189.0 60.9 81.0 95.7 72.0 52.2 63.0 12009 Brevard, FL 321.8 317.7 272.8 253.8 86.0 82.7 72.0 65.5 21.8 18.8 21.0 20.5 28.8 23.0 12011 Broward, FL 338.9 357.9 220.7 233.8 73.0 78.4 48.2 49.4 19.3 18.3 17.9 20.9 18.5 20.8 12013 Calhoun, FL 383.8 425.4 150.2 187.2 100.1 12015 Charlotte, FL 517.7 498.7 328.5 340.9 87.9 103.4 89.2 83.8 51.4 57.3 28.4 26.5 32.4 30.7 12017 Citrus, FL 425.1 473.2 346.9 345.4 105.9 116.2 107.5 111.2 40.7 31.5 47.2 41.5 39.1 38.2 12019 Clay, FL 190.3 208.7 158.1 160.7 15.4 12.7 21.0 19.7 18.2 22.6 12 FLORIDA 76.7 54.6 53.6 48.0 58.8 53.6 52.2 12021 Collier, FL 248.6 289.2 222.3 248.3 71.7 67.3 58.2 60.0 11.2 13.6 26.3 33.6 15.1 15.5 12023 Columbia, FL 247.7 285.0 233.3 222.1 89.7 74.0 75.4 81.4 39.5 29.6 35.9 33.3 39.5 29.6 49.6 71.8 49.6 63.8 35.4 49.6 55.8 56.7 47.9 77.4 78.6 29.1 12027 DeSoto, FL 397.0 359.0 226.9 223.4 12029 Dixie, FL 294.0 267.3 247.6 220.1 12031 Duval, FL 224.1 241.9 192.5 193.9 61.3 67.8 45.4 46.4 22.4 21.9 21.9 23.7 28.4 12033 Escambia, FL 230.7 257.5 195.0 207.7 101.9 97.7 58.0 54.0 27.0 25.3 24.3 24.6 31.0 31.4 12035 Flagler, FL 323.8 284.5 308.3 296.4 79.0 46.3 75.1 46.3 27.7 23.7 30.8 35.6 12037 Franklin, FL 270.0 362.4 394.6 342.3 103.8 12039 Gadsden, FL 245.4 230.8 194.6 188.1 38.5 76.1 51.3 78.6 139.3 110.0 61.7 59.2 103.8 64.1 293 21.2 21.4 46.5 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 1998Heart Heart 2000 2000 2000 Disease Disease Cancer Cancer Stroke Death Death Death Death Death Rate Rate Rate Rate Rate 19982000 Stroke Death Rate 12041 Gilchrist, FL 323.8 332.1 264.9 256.6 147.2 120.8 12043 Glades, FL 272.3 285.9 188.5 262.0 12045 Gulf, FL 289.7 402.6 241.4 306.0 144.9 145.0 19982000 2000 CLRD CLRD Death Death Rate Rate 2000 Pneum/ Influenza Death Rate 19982000 Pneum/ Influenza Death Rate 2000 Unint Injury Death Rate 19982000 Unint Injury Death Rate 2000 Diabetes Death Rate 19982000 Diabetes Death Rate 47.1 0.0 96.6 80.5 0.0 12047 Hamilton, FL 299.8 259.8 194.0 190.5 12049 Hardee, FL 235.9 301.5 81.3 160.2 81.3 94.2 56.9 47.1 48.8 56.5 48.8 12051 Hendry, FL 236.2 248.3 217.5 181.2 55.9 53.7 55.9 40.3 43.5 33.6 55.9 40.3 12053 Hernando, FL 348.0 411.1 333.5 321.4 115.0 115.1 75.7 86.7 16.0 20.9 30.6 26.9 20.4 28.4 12055 Highlands, FL 399.9 460.8 265.8 314.5 122.9 131.6 64.8 70.7 26.8 43.9 29.0 36.6 40.2 48.8 12057 Hillsborough, FL 256.0 249.5 180.5 181.9 49.4 51.7 12.7 13.9 23.7 26.8 32.7 31.7 12059 Holmes, FL 458.8 483.6 172.1 179.9 114.7 67.5 137.6 90.0 24.0 28.0 25.7 35.4 8.6 14.9 58.5 73.1 27.0 32.0 65.7 74.8 12061 Indian River, FL 324.1 382.0 313.8 322.4 154.3 177.0 60.0 74.5 12063 Jackson, FL 391.5 406.5 193.5 214.7 130.5 109.6 72.0 63.9 12065 Jefferson, FL 221.5 249.5 189.8 233.9 12067 Lafayette, FL 248.1 338.3 248.1 225.6 12069 Lake, FL 409.5 384.0 300.0 283.3 125.2 116.5 69.0 74.6 28.5 24.2 27.6 30.8 32.2 31.7 12071 Lee, FL 363.8 372.2 243.6 265.1 71.9 75.3 58.1 67.7 21.3 20.4 36.8 32.7 26.6 29.4 94.9 155.9 110.7 0.0 12073 Leon, FL 136.5 146.3 148.4 156.6 62.2 62.5 39.1 31.7 16.8 12.0 28.7 21.4 28.7 24.8 12075 Levy, FL 275.9 316.7 247.7 240.5 73.2 82.1 45.0 64.5 33.8 29.3 50.7 41.1 33.8 29.3 12077 Liberty, FL 453.4 359.7 244.2 251.8 12079 Madison, FL 399.0 425.4 177.3 195.4 77.6 80.5 69.0 77.6 69.0 12081 Manatee, FL 402.3 432.6 277.8 283.8 96.7 92.5 71.1 70.2 25.6 24.7 30.0 33.9 27.1 27.8 12083 Marion, FL 351.6 341.7 269.5 286.5 114.2 102.5 76.1 66.8 18.7 17.9 27.6 28.7 37.3 30.3 12085 Martin, FL 404.4 420.9 297.5 322.6 110.0 109.7 69.7 68.8 12.4 9.8 20.1 19.7 17.0 22.9 26.0 12086 Miami-Dade, FL 290.7 296.7 157.4 167.2 46.1 50.2 31.3 33.9 19.8 20.7 22.1 21.4 23.5 12087 Monroe, FL 163.9 181.0 198.9 202.0 45.7 52.5 51.1 44.6 16.1 13.1 21.5 28.9 24.2 12089 Nassau, FL 246.4 244.5 164.3 167.7 44.5 59.4 58.2 62.9 30.8 31.4 61.6 31.4 26.1 24.8 23.6 17.5 12091 Okaloosa, FL 227.7 219.7 189.7 183.1 54.5 54.3 45.1 50.8 21.3 22.4 12093 Okeechobee, FL 348.0 405.7 228.0 238.2 84.0 70.8 60.0 77.3 48.0 45.1 12095 Orange, FL 207.0 207.8 155.3 154.1 50.4 49.7 38.7 40.0 19.2 20.0 19.9 20.9 19.7 21.9 12097 Osceola, FL 211.5 242.7 147.5 177.3 65.2 61.6 53.7 51.6 19.4 20.1 22.9 27.7 27.4 27.7 12099 Palm Beach, FL 375.2 412.7 263.7 275.2 82.5 89.2 47.1 55.3 23.1 20.0 24.5 27.1 19.5 24.7 12101 Pasco, FL 397.0 418.7 316.7 324.8 85.3 94.4 101.5 97.3 22.3 25.9 30.1 32.8 37.9 36.3 12103 Pinellas, FL 367.0 385.4 277.1 288.4 95.5 108.7 74.2 81.8 26.3 25.1 23.0 22.5 27.8 27.2 12105 Polk, FL 346.0 364.1 226.7 224.5 71.4 72.3 54.8 60.5 20.3 24.0 25.6 28.2 28.4 27.7 12107 Putnam, FL 334.0 321.1 269.4 243.0 73.0 75.4 84.2 78.2 30.9 25.1 36.5 36.3 44.9 50.3 12109 St. Johns, FL 191.1 192.0 222.7 224.5 58.4 56.9 72.6 60.2 34.7 27.7 33.2 26.0 19.0 21.1 12111 St. Lucie, FL 365.2 357.2 268.8 267.9 60.9 74.4 52.8 64.9 19.3 17.0 31.4 28.7 31.4 28.7 12113 Santa Rosa, FL 197.7 186.6 168.7 156.3 66.5 55.5 66.5 58.8 13.6 16.8 30.7 30.3 29.0 26.9 12115 Sarasota, FL 402.8 426.2 333.5 330.9 129.4 146.3 102.0 95.9 36.7 35.2 35.0 34.0 21.6 20.6 12117 Seminole, FL 219.4 219.3 155.0 165.1 51.0 46.5 42.9 41.6 16.1 13.7 18.8 17.5 27.9 23.5 12119 Sumter, FL 403.5 457.0 275.6 296.8 87.9 75.4 28.0 56.5 24.0 39.9 33.0 39.9 12121 Suwannee, FL 302.8 307.5 162.6 214.6 89.7 110.2 95.3 92.8 33.6 29.0 63.7 106.1 75.2 12123 Taylor, FL 222.9 290.1 265.3 225.7 12125 Union, FL 168.5 220.7 231.6 198.6 86.0 53.1 17.8 17.7 30.0 28.3 40.6 105.3 294 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 199819981998Heart Heart 2000 2000 2000 2000 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Death Death Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate Rate Rate 12127 Volusia, FL 344.8 375.4 282.5 12129 Wakulla, FL 299.3 297.7 99.8 278.0 114.9 105.9 77.6 84.3 158.8 79.4 90.7 69.5 81.6 12131 Walton, FL 368.9 357.5 202.1 215.6 116.2 120.9 12133 Washington, FL 353.3 318.1 206.1 208.7 13 GEORGIA 88.3 50.5 78.9 79.5 137.4 89.5 35.0 214.2 223.5 155.5 155.0 68.1 68.2 36.0 339.4 346.9 192.4 150.3 67.9 57.8 56.6 13003 Atkinson, GA 208.2 241.6 182.2 134.2 13005 Bacon, GA 330.0 374.3 155.3 224.6 13001 Appling, GA 13007 Baker, GA 244.7 13009 Baldwin, GA 238.2 268.2 13011 Banks, GA 280.2 225.0 13013 Barrow, GA 267.2 13015 Bartow, GA 179.4 22.5 23.2 27.5 25.3 26.3 25.3 31.5 49.1 24.1 23.5 38.2 31.5 49.1 26.4 27.5 67.9 69.4 19.5 151.2 136.1 117.0 84.0 90.0 230.9 133.6 120.1 103.4 210.7 150.8 154.7 83.2 87.8 197.5 396.1 285.2 246.2 314.8 298.9 157.4 155.4 13021 Bibb, GA 302.1 295.1 181.7 181.1 77.0 13023 Bleckley, GA 181.9 304.5 297.7 219.9 99.2 13025 Brantley, GA 178.4 213.8 247.0 171.0 53.5 53.6 29.2 24.4 64.7 38.8 41.6 43.1 32.3 34.5 32.3 69.3 31.2 32.0 20.8 21.3 31.2 29.3 85.6 76.8 64.2 59.8 86.4 537.5 434.9 151.9 152.8 128.5 105.8 127.0 141.4 127.0 124.8 13031 Bulloch, GA 184.5 234.1 132.3 122.6 66.1 81.8 13033 Burke, GA 256.7 283.6 111.2 133.4 42.8 41.7 13035 Butts, GA 350.9 294.8 153.5 158.7 98.7 102.0 182.0 220.4 220.4 137.5 133.6 90.1 82.9 380.3 230.5 190.2 76.8 59.8 48.1 50.4 33.7 24.4 29.7 30.0 18.6 17.4 26.0 51.3 41.7 65.8 27.7 28.8 27.8 22.3 54.8 0.0 23.0 0.0 23.0 104.8 252.6 240.4 167.7 185.5 125.2 100.7 29.1 34.3 13047 Catoosa, GA 240.0 235.3 192.7 175.5 65.5 56.0 13049 Charlton, GA 371.7 309.1 13051 Chatham, GA 270.3 279.5 58.2 56.0 15.6 144.2 202.0 25.3 42.3 24.4 59.9 13045 Carroll, GA 207.1 25.2 41.6 293.9 377.1 23.1 0.0 13029 Bryan, GA 13043 Candler, GA 24.4 82.3 13027 Brooks, GA 13039 Camden, GA 20.2 0.0 150.7 75.0 37.4 93.6 13019 Berrien, GA 13053 Chattahoochee, GA 19.3 228.5 13017 Ben Hill, GA 13037 Calhoun, GA 199819982000 2000 2000 2000 1998Pneum/ Pneum/ Unint Unint 2000 2000 Influenza Influenza Injury Injury Diabetes Diabetes Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate 20.6 40.2 45.8 13.4 16.0 36.4 29.9 36.4 26.1 20.8 26.1 22.5 22.7 0.0 71.5 88.0 73.2 51.6 48.8 30.8 27.8 0.0 0.0 13055 Chattooga, GA 397.4 382.8 202.7 208.1 113.5 108.2 40.5 41.6 48.7 56.8 41.6 13057 Cherokee, GA 118.8 130.3 127.3 121.6 38.2 37.6 41.0 36.2 14.1 11.6 26.9 23.2 7.1 11.6 13059 Clarke, GA 157.8 192.1 130.9 132.8 71.2 73.6 23.1 24.5 17.3 14.3 21.2 28.6 15.4 18.4 13061 Clay, GA 273.1 318.5 327.7 265.4 13063 Clayton, GA 160.3 162.1 125.0 120.5 13065 Clinch, GA 202.4 319.0 260.3 145.0 13067 Cobb, GA 136.8 144.9 118.5 13069 Coffee, GA 318.5 263.5 116.8 13071 Colquitt, GA 306.2 343.7 226.1 0.0 37.0 40.8 32.9 31.9 14.0 12.4 21.4 15.9 10.7 13.3 123.4 38.9 39.1 28.7 29.3 11.1 11.8 24.8 20.6 11.1 10.4 120.8 58.4 82.3 37.2 38.4 47.8 38.4 47.8 43.9 47.8 43.9 186.2 51.8 81.2 51.8 43.0 33.0 43.0 37.7 43.0 61.3 47.6 21.9 23.8 21.9 17.3 26.3 26.0 13073 Columbia, GA 151.1 147.3 138.0 136.4 13075 Cook, GA 219.3 351.4 207.1 213.4 219.3 150.6 13077 Coweta, GA 186.4 182.3 122.1 133.4 71.0 13079 Crawford, GA 144.4 142.0 160.4 142.0 96.3 71.2 295 10.8 60.9 57.7 46.7 31.1 22.2 44.4 28.9 13.3 15.6 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 19981998Heart Heart 2000 2000 2000 2000 Disease Disease Cancer Cancer Stroke Stroke Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate 94.4 19982000 2000 CLRD CLRD Death Death Rate Rate 13081 Crisp, GA 248.8 291.2 240.2 229.5 13083 Dade, GA 310.4 309.8 206.9 167.8 103.5 103.3 97.1 51.5 13085 Dawson, GA 163.2 155.8 163.2 142.8 13087 Decatur, GA 385.5 375.6 162.3 187.8 81.2 97.4 33.8 13089 DeKalb, GA 130.0 151.4 126.2 135.8 47.8 49.5 23.3 13091 Dodge, GA 256.7 377.8 149.7 183.5 74.9 97.2 13093 Dooly, GA 418.2 320.9 200.0 178.3 90.9 124.8 2000 Pneum/ Influenza Death Rate 19982000 Pneum/ Influenza Death Rate 2000 Unint Injury Death Rate 44.1 23.7 18.9 20.6 75.6 64.2 54.0 19982000 Unint Injury Death Rate 2000 Diabetes Death Rate 19982000 Diabetes Death Rate 44.1 60.1 61.8 54.1 41.7 40.6 34.8 21.0 23.4 16.0 16.5 64.8 13095 Dougherty, GA 208.7 224.4 185.3 177.2 81.9 76.8 52.7 37.4 15.6 25.6 15.6 17.7 17.6 21.7 13097 Douglas, GA 172.7 167.5 134.3 132.7 49.0 47.8 40.5 28.3 23.4 19.6 23.4 28.3 12.8 15.2 13099 Early, GA 333.2 395.0 196.9 212.7 136.3 151.9 13103 Effingham, GA 217.1 198.0 164.1 133.8 47.6 42.4 26.8 13105 Elbert, GA 365.4 387.4 234.3 222.8 93.7 125.9 13107 Emanuel, GA 309.0 296.7 167.7 161.8 88.3 97.1 44.9 13109 Evans, GA 296.7 267.4 204.0 229.2 185.4 210.1 111.3 13111 Fannin, GA 224.8 293.6 312.7 243.0 107.5 81.0 68.4 70.9 48.9 13113 Fayette, GA 141.6 154.6 92.3 121.9 40.8 45.7 27.9 28.3 30.0 24.0 12.9 15.2 13115 Floyd, GA 316.6 368.1 228.9 209.4 100.6 94.8 42.8 37.5 36.4 48.5 34.2 30.9 13117 Forsyth, GA 179.2 164.3 117.4 55.6 43.2 35.0 28.1 20.6 19.5 16.5 19.5 13119 Franklin, GA 440.1 394.5 248.8 177.5 134.0 98.6 76.5 49.3 47.8 13121 Fulton, GA 204.2 218.0 160.8 162.6 62.3 62.0 24.9 28.5 19.8 24.4 13123 Gilmer, GA 311.6 347.2 199.1 231.4 86.6 57.9 13125 Glascock, GA 376.5 449.1 13127 Glynn, GA 292.2 259.8 249.7 225.9 88.0 87.5 65.3 13129 Gordon, GA 257.2 238.0 167.0 172.7 130.9 93.3 58.7 13101 Echols, GA 0.0 97.3 53.5 89.9 0.0 46.9 50.6 24.4 48.2 59.3 28.4 28.2 19.9 36.7 42.0 31.6 42.0 58.7 46.7 0.0 354.4 351.4 185.3 231.4 104.7 94.3 333.1 376.6 319.7 188.3 119.9 94.1 93.2 93.6 89.8 13137 Habersham, GA 269.0 281.9 188.9 208.4 97.3 104.2 51.5 61.3 13139 Hall, GA 235.4 225.3 166.7 143.4 71.6 32.2 34.7 13141 Hancock, GA 340.7 348.9 149.1 205.2 13143 Haralson, GA 266.0 300.6 190.0 208.1 114.0 92.5 60.8 46.2 13145 Harris, GA 208.4 208.1 166.8 164.7 66.7 69.4 13147 Hart, GA 359.9 339.8 231.3 209.1 77.1 113.3 51.4 43.6 13149 Heard, GA 124.9 242.2 160.6 130.4 107.1 130.4 91.4 29.8 29.4 81.9 48.4 23.4 13133 Greene, GA 22.5 32.1 26.5 23.7 23.2 14.2 16.9 0.0 56.4 24.7 0.0 44.9 60.6 13131 Grady, GA 13135 Gwinnett, GA 0.0 15.1 40.3 66.6 67.2 16.0 8.2 10.9 27.8 22.1 13.4 13.1 36.8 28.6 33.6 31.5 24.9 34.7 38.0 46.2 102.6 50.0 42.8 43.6 89.2 13151 Henry, GA 186.9 174.5 148.8 139.2 46.3 52.9 19.8 30.0 12.3 26.5 24.7 19.8 14.1 13153 Houston, GA 192.0 200.9 149.3 137.6 56.9 57.9 23.1 29.0 23.1 16.3 21.3 14.5 14.2 19.9 99.0 85.9 57.8 45.5 24.1 30.3 53.0 40.4 13155 Irwin, GA 376.2 307.9 217.8 184.8 13157 Jackson, GA 236.1 273.0 236.1 197.2 110.8 13159 Jasper, GA 274.7 417.6 103.0 181.6 13161 Jeff Davis, GA 573.1 449.2 139.4 139.4 13163 Jefferson, GA 437.7 349.6 240.7 13165 Jenkins, GA 313.5 291.3 13167 Johnson, GA 322.4 385.6 190.7 76.6 95.3 25.3 54.7 112.1 134.3 201.7 201.5 112.1 184.2 204.1 115.2 113.4 296 0.0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 1998Heart Heart 2000 2000 2000 Disease Disease Cancer Cancer Stroke Death Death Death Death Death Rate Rate Rate Rate Rate 19982000 Stroke Death Rate 13169 Jones, GA 148.8 175.6 124.0 158.9 13171 Lamar, GA 253.2 250.5 205.0 200.4 156.8 112.7 13173 Lanier, GA 280.0 281.3 252.0 196.9 168.0 13175 Laurens, GA 304.7 334.0 124.5 151.8 115.9 130.1 13177 Lee, GA 212.2 119.6 98.0 19982000 2000 CLRD CLRD Death Death Rate Rate 19982000 2000 2000 Pneum/ Pneum/ Unint Influenza Influenza Injury Death Death Death Rate Rate Rate 19982000 Unint Injury Death Rate 2000 Diabetes Death Rate 19982000 Diabetes Death Rate 41.8 72.4 94.4 60.7 35.6 30.9 24.9 33.6 94.0 73.5 42.7 41.1 13179 Liberty, GA 126.9 106.9 89.2 85.5 13181 Lincoln, GA 443.5 326.5 256.8 233.2 13183 Long, GA 156.9 153.0 235.4 153.0 13185 Lowndes, GA 224.6 257.9 127.4 154.8 92.9 85.2 30.2 13187 Lumpkin, GA 177.5 189.3 168.1 149.4 130.8 79.7 46.7 13189 McDuffie, GA 312.2 324.2 160.6 175.3 78.9 169.8 25.7 34.7 51.5 39.0 27.4 28.5 17.3 17.9 25.7 0.0 89.2 13191 McIntosh, GA 200.8 320.8 127.8 13193 Macon, GA 310.3 340.1 169.3 184.2 84.6 85.0 13195 Madison, GA 252.1 258.8 275.1 203.9 61.1 62.7 13197 Marion, GA 193.1 282.6 165.5 13199 Meriwether, GA 237.9 284.6 186.9 159.0 101.9 108.8 13201 Miller, GA 414.8 387.6 148.1 178.9 30.2 20.2 44.6 52.6 19.4 15.7 112.8 85.0 65.4 45.8 51.0 42.5 58.6 59.5 61.3 119.0 78.8 0.0 13205 Mitchell, GA 289.1 288.8 153.0 192.5 102.0 96.3 13207 Monroe, GA 375.7 356.9 201.6 192.9 77.2 55.0 64.1 13209 Montgomery, GA 446.3 383.9 13211 Morgan, GA 288.6 378.3 175.7 176.5 179.2 13213 Murray, GA 147.8 179.9 169.7 156.6 38.3 52.2 27.4 29.0 13215 Muscogee, GA 285.3 298.3 167.2 187.6 79.4 71.7 43.9 47.4 32.4 34.8 24.0 23.2 18.8 22.1 13217 Newton, GA 219.8 212.0 138.2 151.0 87.9 106.0 40.8 32.1 40.8 28.9 31.4 35.3 22.0 19.3 13219 Oconee, GA 180.4 237.7 105.3 126.8 75.2 55.5 13221 Oglethorpe, GA 307.8 326.9 200.1 163.4 107.7 98.1 13223 Paulding, GA 142.1 123.2 144.6 118.0 36.8 30.8 14.7 23.1 12.3 27.0 33.4 13225 Peach, GA 220.9 243.5 229.1 196.4 81.8 70.7 49.1 39.3 13227 Pickens, GA 255.6 305.8 153.3 157.6 68.2 55.6 110.8 55.6 13229 Pierce, GA 302.2 310.4 138.5 149.0 100.7 74.5 62.9 13231 Pike, GA 277.9 242.8 204.7 197.3 102.4 13233 Polk, GA 308.2 363.8 182.8 205.6 89.6 73.1 63.1 88.8 32.9 0.0 64.9 76.9 17.2 12.8 62.9 62.1 0.0 58.0 36.6 26.4 36.6 42.2 13235 Pulaski, GA 326.9 352.8 217.9 249.0 127.1 186.8 13237 Putnam, GA 219.9 226.4 146.6 161.7 73.3 64.7 0.0 13241 Rabun, GA 314.8 307.0 314.8 265.1 78.7 69.8 13243 Randolph, GA 429.6 467.7 286.4 210.5 167.1 187.1 13245 Richmond, GA 230.2 262.0 188.6 180.0 69.6 69.0 50.3 44.0 26.1 27.0 25.1 28.0 15.5 21.0 13247 Rockdale, GA 181.5 169.0 141.8 143.3 62.4 74.5 25.5 28.7 14.2 14.3 36.9 25.8 25.5 20.1 247.5 254.7 236.6 335.0 236.6 244.8 87.2 154.6 74.7 64.4 45.4 45.5 52.4 13239 Quitman, GA 0.0 13249 Schley, GA 13251 Screven, GA 91.8 0.0 0.0 13253 Seminole, GA 367.0 283.1 101.9 161.7 101.9 121.3 13255 Spalding, GA 370.4 328.9 185.2 202.7 115.8 122.9 13257 Stephens, GA 355.5 356.7 272.3 227.7 128.6 98.7 297 0.0 74.7 43.0 0.0 78.7 49.8 76.1 63.1 45.5 60.5 45.5 23.3 16.6 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 19981998Heart Heart 2000 2000 2000 2000 Disease Disease Cancer Cancer Stroke Stroke Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate 13259 Stewart, GA 401.2 358.8 255.3 13261 Sumter, GA 340.0 309.3 215.4 13263 Talbot, GA 346.2 362.4 13265 Taliaferro, GA 558.1 13267 Tattnall, GA 243.5 341.7 254.0 220.5 148.2 154.3 13269 Taylor, GA 421.2 405.3 199.5 202.7 177.3 135.1 13271 Telfair, GA 536.6 502.0 125.2 167.3 107.3 133.9 13273 Terrell, GA 309.0 402.3 343.3 268.2 137.3 150.9 13275 Thomas, GA 256.4 280.7 212.2 13277 Tift, GA 278.6 265.6 202.6 13279 Toombs, GA 264.2 309.1 13281 Towns, GA 366.7 370.3 13283 Treutlen, GA 318.8 425.7 19982000 2000 CLRD CLRD Death Death Rate Rate 198.4 119.0 110.9 68.0 19982000 Diabetes Death Rate 45.3 52.5 28.3 40.9 52.5 0.0 0.0 74.1 66.1 89.4 83.7 232.5 114.9 136.0 57.5 48.2 35.4 26.3 151.0 67.7 35.5 36.4 40.5 31.2 161.5 191.4 124.8 103.0 58.7 51.4 51.5 224.1 304.9 35.8 29.1 32.5 76.0 26.5 26.3 26.5 30.7 50.7 36.4 36.8 130.7 152.0 354.3 346.1 234.0 207.0 117.0 122.9 405.4 367.1 162.1 224.4 162.1 142.8 121.6 102.0 13289 Twiggs, GA 452.9 372.8 90.6 13291 Union, GA 329.8 395.3 250.2 232.5 125.1 104.6 48.8 111.8 32.3 32.3 16.3 0.0 13293 Upson, GA 365.7 369.8 269.1 230.3 207.0 188.4 13295 Walker, GA 372.5 365.2 241.9 206.0 69.0 69.8 48.3 41.9 62.1 55.8 89.1 99.9 73.2 68.7 31.8 28.1 38.2 31.2 22.3 34.3 120.9 102.8 73.9 38.5 33.6 22.5 16.8 28.9 30.2 25.7 20.2 94.7 104.8 55.7 44.1 39.0 33.1 27.9 33.1 50.1 33.1 13297 Walton, GA 237.7 228.4 99.6 13299 Ware, GA 378.8 358.4 189.4 215.1 13301 Warren, GA 411.9 388.3 176.5 268.8 34.9 0.0 13303 Washington, GA 257.1 263.3 205.7 190.7 13305 Wayne, GA 227.5 246.3 109.8 130.9 149.0 138.6 68.6 72.6 47.1 427.4 0.0 13309 Wheeler, GA 479.9 428.5 13311 White, GA 337.8 317.8 168.9 169.5 89.4 105.9 49.7 13313 Whitfield, GA 224.1 216.0 171.1 172.8 81.9 41.0 13315 Wilcox, GA 391.1 362.6 260.8 207.2 0.0 184.6 81.6 13317 Wilkes, GA 376.3 362.3 268.8 253.6 89.6 90.6 13319 Wilkinson, GA 317.1 286.1 130.6 125.2 93.3 89.4 13321 Worth, GA 305.9 302.2 192.3 155.4 52.4 77.7 299.8 301.5 205.1 204.0 78.3 81.4 53.2 225.0 269.2 258.7 199.0 78.7 93.6 56.2 217.9 143.1 137.6 21001 Adair, KY 2000 Diabetes Death Rate 167.3 144.3 13287 Turner, GA 21 KENTUCKY 19982000 Unint Injury Death Rate 251.2 13285 Troup, GA 13307 Webster, GA 19982000 2000 2000 Pneum/ Pneum/ Unint Influenza Influenza Injury Death Death Death Rate Rate Rate 21003 Allen, KY 396.3 344.0 198.2 21005 Anderson, KY 214.9 197.6 143.3 124.8 21007 Ballard, KY 810.5 773.2 309.9 210.9 119.2 140.6 21009 Barren, KY 430.7 383.3 182.4 189.1 76.0 102.2 21011 Bath, KY 303.1 272.8 374.4 254.6 127.3 61.4 72.8 28.8 38.6 28.8 32.1 31.5 112.5 70.2 31.2 35.5 35.8 18.9 29.6 29.5 29.4 31.0 71.6 70.9 66.4 25.3 40.5 90.9 458.9 439.1 178.5 229.4 89.2 78.6 51.0 72.1 154.1 163.4 149.5 146.8 39.1 54.5 41.4 45.0 23.0 21017 Bourbon, KY 231.2 331.2 221.1 230.8 70.4 110.4 21019 Boyd, KY 307.2 348.3 319.0 292.9 133.9 134.6 55.1 59.4 43.3 35.6 21021 Boyle, KY 350.9 287.0 193.3 251.1 50.1 50.2 93.1 64.6 298 28.9 43.7 52.0 21015 Boone, KY 93.3 31.2 93.3 21013 Bell, KY 71.6 21.7 32.8 51.0 39.3 16.6 13.8 16.6 23.6 31.7 59.1 35.8 35.9 50.3 60.3 51.5 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 19981998Heart Heart 2000 2000 2000 2000 Disease Disease Cancer Cancer Stroke Stroke Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate 21023 Bracken, KY 215.2 325.9 167.4 209.5 21025 Breathitt, KY 404.6 375.0 171.7 175.0 61.3 21027 Breckinridge, KY 276.9 310.0 287.5 276.8 85.2 88.6 21029 Bullitt, KY 162.4 161.8 126.7 148.6 29.2 36.3 129.0 76.5 80.6 19982000 2000 CLRD CLRD Death Death Rate Rate 19982000 2000 2000 Pneum/ Pneum/ Unint Influenza Influenza Injury Death Death Death Rate Rate Rate 19982000 Unint Injury Death Rate 2000 Diabetes Death Rate 19982000 Diabetes Death Rate 53.2 66.4 139.7 215.2 116.4 73.6 62.5 61.3 29.2 26.4 19.5 19.8 21031 Butler, KY 305.9 354.7 91.8 21033 Caldwell, KY 309.6 389.7 280.2 259.8 132.7 101.0 21035 Calloway, KY 395.7 345.2 214.8 218.6 79.1 86.3 28.3 28.8 62.2 57.5 39.6 40.3 33.9 40.3 21037 Campbell, KY 250.7 269.9 235.4 221.6 91.6 100.9 45.8 50.5 24.0 26.3 26.2 26.3 41.4 52.7 21039 Carlisle, KY 547.2 471.4 36.4 36.4 36.4 58.3 20.0 31.9 28.6 73.7 401.3 217.5 182.4 21041 Carroll, KY 554.7 460.1 257.5 21043 Carter, KY 349.7 320.6 240.4 260.1 158.5 100.0 211.3 21045 Casey, KY 341.9 338.7 253.3 221.4 43.7 43.7 51.0 91.2 114.0 51.0 65.1 21047 Christian, KY 288.8 304.3 154.4 156.5 82.9 58.0 45.8 37.7 22.9 23.2 21049 Clark, KY 251.2 249.8 204.5 196.2 87.6 65.4 70.1 47.6 29.2 29.7 21051 Clay, KY 319.0 328.9 181.1 190.4 43.1 51.9 60.4 21053 Clinton, KY 180.2 264.3 220.3 223.6 21055 Crittenden, KY 475.0 511.4 206.5 204.5 21057 Cumberland, KY 512.4 632.2 296.7 192.4 134.8 164.9 21059 Daviess, KY 305.1 300.8 242.0 218.8 90.5 109.4 52.6 35.8 21061 Edmonson, KY 220.5 239.8 203.5 205.6 85.7 19.6 51.9 31.9 29.7 51.7 51.9 27.3 16.8 23.1 42.1 42.1 23.3 15.8 19.4 24.1 24.1 101.6 21063 Elliott, KY 289.3 268.7 289.3 209.0 21065 Estill, KY 392.6 362.1 227.9 249.8 114.0 112.4 218.7 232.4 171.9 166.4 21069 Fleming, KY 355.2 332.5 156.3 187.9 21071 Floyd, KY 254.9 287.7 282.7 242.0 74.1 63.9 64.9 68.5 27.8 22.8 55.6 32.0 41.7 54.8 21073 Franklin, KY 288.4 264.4 178.7 198.3 109.7 95.0 48.7 66.1 28.4 28.9 48.7 28.9 24.4 33.0 21075 Fulton, KY 532.6 638.5 121.0 221.0 121.0 126.4 61.7 74.7 31.6 37.3 31.6 37.3 41.8 31.5 353.9 346.0 353.9 212.9 21079 Garrard, KY 239.4 231.8 239.4 218.2 70.0 102.8 21067 Fayette, KY 21077 Gallatin, KY 64.1 71.5 52.0 48.2 86.7 46.7 99.5 21081 Grant, KY 229.0 224.2 185.0 196.2 52.8 44.0 46.7 21083 Graves, KY 347.6 367.4 231.7 245.0 94.8 111.8 142.2 85.2 52.7 42.6 21085 Grayson, KY 329.4 337.6 222.4 238.8 90.6 65.9 57.6 49.4 21087 Green, KY 324.8 340.8 136.8 179.4 82.4 41.2 49.4 119.7 21089 Greenup, KY 324.0 352.1 235.2 231.2 109.8 21091 Hancock, KY 305.9 273.7 188.2 136.8 99.8 41.8 42.0 41.8 26.3 21093 Hardin, KY 178.0 185.5 182.3 157.2 21095 Harlan, KY 311.9 339.4 277.2 231.9 40.8 56.7 40.8 32.7 23.6 32.7 36.5 30.6 12.9 13.1 75.1 79.2 121.3 96.2 28.9 39.6 40.4 28.3 63.5 21097 Harrison, KY 401.2 428.3 119.3 208.7 56.6 86.7 98.8 56.4 57.2 21.6 47.7 43.2 34.7 21.6 26.0 30.2 26.0 70.5 69.8 41.5 53.4 37.3 20.5 29.0 21099 Hart, KY 462.9 366.3 270.9 183.1 90.3 91.6 21101 Henderson, KY 341.1 355.2 194.3 190.6 95.0 99.6 21103 Henry, KY 304.3 291.5 105.8 172.3 65.1 79.5 21105 Hickman, KY 290.8 364.3 21107 Hopkins, KY 381.9 365.0 242.3 215.7 119.1 128.6 102.7 218.6 21109 Jackson, KY 409.3 391.3 146.2 210.7 87.7 75.3 299 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 19981998Heart Heart 2000 2000 2000 2000 Disease Disease Cancer Cancer Stroke Stroke Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate 19982000 2000 CLRD CLRD Death Death Rate Rate 30.7 26.3 31.8 31.4 25.2 31.4 326.9 226.5 229.3 81.2 80.3 176.3 146.3 136.0 141.1 80.6 67.9 21115 Johnson, KY 395.3 360.6 271.8 245.9 74.1 82.0 41.2 73.8 74.1 41.0 21117 Kenton, KY 229.3 229.0 174.9 176.6 57.0 62.8 55.7 57.6 23.3 27.5 15.5 15.7 20.7 22.2 21119 Knott, KY 290.6 320.6 178.8 199.0 89.4 55.3 21121 Knox, KY 303.3 346.2 194.1 188.3 103.1 91.1 78.9 60.7 36.4 30.4 54.6 42.5 36.4 42.5 21123 Larue, KY 219.2 252.1 233.8 192.8 102.3 89.0 92.9 68.0 34.9 32.2 289.4 280.4 244.9 197.0 391.0 291.5 264.9 63.1 21129 Lee, KY 264.6 355.6 317.5 254.0 132.3 21131 Leslie, KY 236.0 239.3 141.6 179.5 21133 Letcher, KY 387.3 332.4 224.6 211.5 21135 Lewis, KY 254.1 305.1 183.5 203.4 32.5 19982000 Diabetes Death Rate 315.2 367.6 31.5 2000 Diabetes Death Rate 21113 Jessamine, KY 21127 Lawrence, KY 65.5 19982000 Unint Injury Death Rate 21111 Jefferson, KY 21125 Laurel, KY 63.8 19982000 2000 2000 Pneum/ Pneum/ Unint Influenza Influenza Injury Death Death Death Rate Rate Rate 26.1 74.2 64.4 44.5 41.7 75.7 76.0 63.1 29.7 30.3 46.5 45.3 42.0 43.4 22.7 94.4 62.0 68.0 62.0 68.0 46.5 72.7 21137 Lincoln, KY 252.1 277.5 142.9 182.1 21139 Livingston, KY 342.9 494.7 201.7 206.1 42.0 60.7 42.0 21141 Logan, KY 348.8 404.3 189.0 21143 Lyon, KY 722.3 516.6 231.1 205.8 94.5 110.3 58.1 58.8 258.3 143.5 21145 McCracken, KY 471.0 432.8 215.2 210.6 104.7 128.7 21147 McCreary, KY 161.4 268.8 196.0 280.5 46.5 52.6 58.4 149.9 93.5 21149 McLean, KY 414.9 399.2 197.6 239.5 138.3 159.7 21151 Madison, KY 280.9 242.0 98.2 118.2 21153 Magoffin, KY 221.9 216.4 192.3 216.4 21155 Marion, KY 277.7 298.5 244.4 252.6 88.9 103.3 77.8 57.4 100.0 21157 Marshall, KY 462.1 401.8 234.3 239.8 175.7 142.6 39.0 45.4 32.5 32.4 21159 Martin, KY 299.1 339.6 188.9 210.3 21161 Mason, KY 357.3 435.1 322.8 251.9 161.4 126.0 80.7 57.3 69.2 57.3 21163 Meade, KY 121.7 156.2 136.9 142.0 21165 Menifee, KY 246.2 331.0 184.7 21167 Mercer, KY 419.5 306.3 279.6 269.1 130.5 111.4 21169 Metcalfe, KY 252.8 377.8 136.1 139.2 21171 Monroe, KY 446.1 441.4 165.2 237.7 21173 Montgomery, KY 293.4 330.7 233.0 241.3 21175 Morgan, KY 336.2 273.5 208.1 177.0 69.2 68.2 45.6 67.5 43.6 46.8 36.3 36.8 40.7 23.4 80.7 58.4 58.4 118.6 35.5 35.5 33.8 19.1 25.3 88.8 72.1 16.4 25.3 13.6 16.9 32.5 35.5 46.6 55.9 55.9 99.4 99.1 94.9 80.4 44.7 53.6 51.8 43.1 21177 Muhlenberg, KY 466.4 390.3 223.9 219.5 155.5 115.9 43.5 36.6 43.5 36.6 62.2 54.9 21179 Nelson, KY 251.9 229.7 167.9 197.6 115.5 101.5 31.5 32.0 42.0 37.4 47.2 32.0 31.5 37.4 21181 Nicholas, KY 284.3 223.6 312.8 279.5 51.5 52.3 51.5 43.6 27.6 23.2 46.4 51.5 33.1 76.8 60.9 21183 Ohio, KY 343.1 340.1 265.9 252.9 42.9 43.6 51.5 21185 Oldham, KY 162.2 133.5 139.0 124.3 74.1 55.2 32.4 21187 Owen, KY 228.1 346.4 114.0 173.2 21189 Owsley, KY 373.9 350.1 207.7 233.4 21191 Pendleton, KY 236.6 239.6 97.4 155.1 69.6 21193 Perry, KY 331.1 354.2 211.9 218.9 39.7 21195 Pike, KY 420.9 387.6 207.6 224.3 56.9 21197 Powell, KY 316.3 271.2 75.3 165.7 23.2 69.6 55.4 16.6 39.7 32.2 39.7 31.3 36.0 37.0 44.3 90.4 300 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 19981998Heart Heart 2000 2000 2000 2000 Disease Disease Cancer Cancer Stroke Stroke Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate 241.3 80.0 19982000 2000 CLRD CLRD Death Death Rate Rate 75.9 45.2 41.4 19982000 2000 2000 Pneum/ Pneum/ Unint Influenza Influenza Injury Death Death Death Rate Rate Rate 21199 Pulaski, KY 302.8 293.1 247.1 21201 Robertson, KY 601.9 698.7 34.8 44.8 21203 Rockcastle, KY 298.3 306.6 179.0 220.7 83.5 98.1 21205 Rowan, KY 229.1 218.9 220.2 140.1 61.7 96.3 21207 Russell, KY 309.1 321.9 297.2 274.2 71.3 107.3 21209 Scott, KY 248.8 244.7 207.3 171.3 59.2 79.5 35.5 36.7 21211 Shelby, KY 286.5 279.4 204.6 155.2 157.8 142.8 35.1 37.3 40.9 37.3 21213 Simpson, KY 488.0 367.1 190.4 177.6 21215 Spencer, KY 343.1 266.1 171.5 190.1 21217 Taylor, KY 302.5 244.4 268.9 244.4 75.6 92.7 50.6 50.4 50.6 21219 Todd, KY 325.4 491.2 130.2 220.2 97.6 84.7 97.6 84.7 21221 Trigg, KY 312.6 344.3 265.7 219.1 21223 Trimble, KY 193.8 299.5 169.5 224.6 225.9 180.7 100.4 24.4 0.0 59.5 2000 Diabetes Death Rate 19982000 Diabetes Death Rate 27.6 41.8 41.4 0.0 71.3 71.5 71.3 0.0 59.6 29.6 59.2 42.0 0.0 78.2 21225 Union, KY 309.7 376.6 258.1 21227 Warren, KY 226.9 236.5 188.7 193.1 21229 Washington, KY 288.1 265.4 252.1 230.0 126.1 106.2 21231 Wayne, KY 287.9 274.3 198.6 182.9 21233 Webster, KY 304.9 354.7 221.8 212.8 97.0 127.7 21235 Whitley, KY 420.4 369.6 199.4 235.7 75.5 21237 Wolfe, KY 477.7 327.0 281.0 272.5 21239 Woodford, KY 266.1 209.9 133.0 159.5 141.4 28 MISSISSIPPI 61.5 84.6 10.6 34.7 19.1 19.5 75.0 27.6 26.0 59.6 61.0 32.3 26.8 25.4 53.9 42.8 64.7 42.8 48.2 140.5 0.0 83.9 334.4 338.4 187.1 186.9 83.8 80.3 433.5 456.1 200.5 255.2 92.1 92.3 28003 Alcorn, MS 465.6 397.6 241.2 213.2 162.7 144.1 28005 Amite, MS 369.5 280.8 213.2 182.5 21.7 108.0 59.6 28001 Adams, MS 97.4 19982000 Unint Injury Death Rate 42.0 38.7 44.9 37.6 31.4 30.2 43.4 92.1 54.3 38.1 39.1 46.1 72.9 57.6 89.8 74.9 23.1 50.8 41.6 27.7 37.0 27.9 26.1 37.0 37.0 54.4 53.5 32.6 71.1 28007 Attala, MS 263.0 373.2 28009 Benton, MS 460.7 408.5 121.2 216.2 201.8 107.1 111.0 28011 Bolivar, MS 439.1 392.8 282.0 217.2 28013 Calhoun, MS 468.3 435.5 139.2 192.1 265.8 217.8 28015 Carroll, MS 333.0 266.3 148.0 228.2 28017 Chickasaw, MS 445.8 351.6 217.9 217.2 28019 Choctaw, MS 412.9 381.0 137.6 200.5 28021 Claiborne, MS 376.6 446.1 172.6 143.4 28023 Clarke, MS 436.8 471.0 117.2 104.7 149.2 83.7 28025 Clay, MS 447.3 461.0 154.8 147.9 60.9 168.2 37.0 49.5 60.2 0.0 60.1 72.4 62.1 51.7 28027 Coahoma, MS 440.9 398.3 187.2 214.0 90.6 83.2 35.7 54.4 53.5 42.3 65.4 28029 Copiah, MS 402.4 371.8 161.0 166.0 93.9 86.3 47.0 39.8 60.4 33.2 53.7 53.1 28031 Covington, MS 267.9 336.0 168.7 199.5 49.6 28033 DeSoto, MS 179.2 189.1 177.3 158.2 53.6 44.4 33.3 36.7 12.9 15.4 42.5 32.8 42.5 25.1 28035 Forrest, MS 349.4 335.6 161.7 185.6 96.5 83.9 83.4 71.2 20.9 22.9 36.5 35.6 57.4 28.0 28037 Franklin, MS 591.7 646.1 204.8 207.7 52.5 159.3 28039 George, MS 335.4 272.0 199.1 221.6 104.8 28041 Greene, MS 311.3 215.6 155.6 143.7 60.4 28043 Grenada, MS 387.6 412.5 226.1 222.8 258.4 214.5 301 60.4 48.4 49.5 50.4 64.6 66.0 88.8 125.8 90.7 57.8 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Death Death Death Death Death Death Death Death Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate 28045 Hancock, MS 355.4 367.2 207.7 186.0 73.8 57.2 55.4 52.5 23.1 28.6 41.5 42.9 28047 Harrison, MS 325.6 335.7 209.0 207.9 66.2 59.6 35.7 41.2 11.6 19.5 37.8 35.7 28049 Hinds, MS 283.8 303.8 143.8 167.9 58.0 71.4 27.1 32.7 21.8 24.3 25.6 34.9 24.1 24.3 95.3 103.8 43.3 43.3 43.3 43.3 43.3 43.3 59.7 63.3 36.2 27.0 7.5 15.0 36.1 32.8 24.0 28051 Holmes, MS 346.6 372.0 225.3 199.0 28053 Humphreys, MS 501.8 431.5 284.4 182.6 28057 Itawamba, MS 349.5 442.8 187.6 207.8 102.3 90.4 102.3 54.2 28059 Jackson, MS 276.0 271.8 176.5 169.7 61.8 63.1 46.8 40.6 33.2 24.0 28061 Jasper, MS 452.6 394.9 284.2 202.8 105.3 85.4 52.6 51.1 35.8 28055 Issaquena, MS 0.0 0.0 9.7 0.0 0.0 28063 Jefferson, MS 224.7 326.1 224.7 173.9 102.1 28065 Jefferson Davis, MS 408.0 451.9 176.8 164.3 68.0 68.5 81.6 28067 Jones, MS 298.2 312.6 175.9 171.3 74.5 72.1 29.8 33.1 68.6 28069 Kemper, MS 570.1 404.6 128.7 128.7 28071 Lafayette, MS 233.5 271.3 126.9 135.7 81.2 70.5 35.5 38.0 28073 Lamar, MS 247.4 224.6 143.5 163.4 108.8 86.8 34.6 35.7 29.7 25.5 34.6 25.5 65.9 56.8 63.4 51.8 58.5 44.4 14.6 14.8 28.0 58.4 43.3 22.8 15.3 133.3 106.4 108.8 30.5 28075 Lauderdale, MS 439.0 434.5 212.2 244.4 70.7 79.0 28077 Lawrence, MS 449.4 466.7 232.0 189.6 145.0 87.5 28079 Leake, MS 416.1 466.0 274.3 233.0 97.1 47.3 28081 Lee, MS 342.6 321.2 177.7 165.7 121.8 102.0 53.3 33.1 38.1 28083 Leflore, MS 563.1 528.0 192.8 205.1 126.8 102.5 50.7 46.1 25.4 94.6 28085 Lincoln, MS 405.6 396.1 249.2 236.5 156.5 147.8 29.0 47.3 86.9 59.1 29.0 35.5 28087 Lowndes, MS 181.9 223.7 148.0 139.8 67.8 65.2 24.7 24.9 15.4 15.5 27.7 31.1 28089 Madison, MS 287.8 238.6 364.2 246.3 101.9 79.5 53.5 38.5 28.0 25.7 15.3 25.7 28.0 25.7 28091 Marion, MS 408.6 369.5 181.6 214.3 158.9 140.4 98.4 66.5 75.7 51.7 45.4 44.3 37.8 36.9 39.6 46.6 45.3 29.1 39.7 49.9 49.6 44.9 49.6 29.9 40.0 41.1 46.6 54.8 33.3 34.3 52.9 44.3 28093 Marshall, MS 254.6 285.4 152.7 192.2 130.1 104.9 28.3 28095 Monroe, MS 329.4 302.6 234.6 208.4 49.9 84.8 94.3 28097 Montgomery, MS 382.4 424.0 198.8 196.9 122.4 136.3 28099 Neshoba, MS 453.1 404.4 146.6 164.5 126.6 109.7 28101 Newton, MS 361.3 363.0 193.8 212.5 28103 Noxubee, MS 318.9 380.5 151.8 106.5 79.3 79.7 74.6 28105 Oktibbeha, MS 214.4 269.4 130.5 112.7 68.6 23.3 28107 Panola, MS 391.8 360.5 167.9 169.0 100.8 118.3 44.8 33.8 28109 Pearl River, MS 279.8 255.3 215.9 182.4 68.0 52.7 28111 Perry, MS 290.0 388.9 306.1 178.2 28113 Pike, MS 478.0 446.5 173.8 181.5 62.8 73.6 53.1 54.0 24.5 28115 Pontotoc, MS 312.9 337.3 138.3 149.9 50.9 60.0 36.4 45.0 37.5 28117 Prentiss, MS 243.1 248.9 174.7 155.5 60.8 85.5 28119 Quitman, MS 405.5 396.4 350.2 302.0 28121 Rankin, MS 261.1 272.3 125.5 127.4 23.7 43.6 30.5 29.7 28123 Scott, MS 259.9 376.0 157.3 191.7 54.7 66.4 54.7 44.2 28125 Sharkey, MS 229.4 283.4 200.7 226.8 28127 Simpson, MS 323.6 350.9 168.8 194.1 112.5 104.5 42.2 52.3 28129 Smith, MS 350.4 376.5 145.0 163.1 145.0 100.4 72.5 28131 Stone, MS 305.6 366.8 261.9 205.4 76.0 60.8 80.6 37.3 24.5 28.0 29.4 56.0 62.0 44.8 62.0 28.4 28.0 28.4 44.0 44.6 29.4 82.1 93.2 8.5 12.2 112.8 96.7 65.5 38.9 45.0 46.7 23.7 24.4 32.2 29.7 47.9 51.6 63.3 67.2 141.7 49.2 37.3 87.3 302 0.0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Death Death Death Death Death Death Death Death Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate 28133 Sunflower, MS 320.4 389.8 163.3 178.9 44.0 76.7 28135 Tallahatchie, MS 352.8 331.2 113.4 191.1 88.2 76.4 28137 Tate, MS 267.2 298.9 206.1 212.4 68.7 62.9 28139 Tippah, MS 511.5 505.8 204.6 239.1 139.5 92.0 50.3 53.4 44.7 44.0 47.2 38.2 32.0 46.0 28141 Tishomingo, MS 673.9 559.3 221.3 244.1 130.8 122.0 28143 Tunica, MS 227.8 403.7 186.4 201.8 28145 Union, MS 351.5 348.5 206.3 190.1 114.6 134.6 28147 Walthall, MS 278.0 396.7 176.9 185.1 151.6 79.3 28149 Warren, MS 303.4 329.2 178.2 187.6 91.0 80.4 28151 Washington, MS 322.0 327.7 220.6 210.6 68.6 73.1 32.8 28153 Wayne, MS 297.8 332.5 135.4 157.0 72.2 55.4 54.1 28155 Webster, MS 319.6 404.3 188.0 165.4 169.2 110.3 94.0 28157 Wilkinson, MS 463.9 409.3 201.7 245.6 121.0 28159 Winston, MS 451.5 447.7 307.4 253.0 144.1 126.5 28161 Yalobusha, MS 527.5 447.2 175.8 238.5 131.9 119.2 28163 Yazoo, MS 347.1 345.4 188.0 191.1 115.7 117.6 36.2 36.7 244.9 247.6 177.9 183.0 89.2 43.0 42.0 28.2 27.7 37001 Alamance, NC 263.4 282.9 206.0 211.8 100.1 112.8 38.3 46.4 25.0 26.3 37003 Alexander, NC 261.1 271.1 189.9 197.2 29.7 37.0 35.6 43.1 37005 Alleghany, NC 313.8 307.5 313.8 326.7 110.7 153.7 147.7 37007 Anson, NC 396.6 359.5 186.6 207.7 108.9 70.0 39.9 37009 Ashe, NC 380.5 370.9 210.5 233.9 129.5 121.0 105.2 88.7 37011 Avery, NC 394.9 388.7 209.8 213.1 74.0 62.7 37013 Beaufort, NC 446.4 449.2 204.1 220.3 123.3 63.8 50.8 37015 Bertie, NC 341.6 314.5 284.6 259.0 123.3 138.7 37 NORTH CAROLINA 87.3 94.9 45.9 38.3 76.3 55.1 55.8 55.2 50.8 37.7 32.0 50.8 47.5 53.5 39.6 39.6 30.6 37.9 42.1 34.1 30.6 30.3 19.1 35.1 14.9 23.4 47.7 41.0 44.7 26.3 48.0 48.7 36.2 36.7 72.3 28.7 28.7 28.5 28.4 41.2 34.0 28.0 27.8 29.7 30.8 91.9 100.8 86.3 87.9 61.7 93.2 37017 Bladen, NC 417.7 371.1 149.2 170.3 149.2 158.2 37019 Brunswick, NC 274.4 268.7 209.8 207.8 69.9 50.3 62.8 83.1 70.0 39.9 40.5 40.3 62.7 76.5 42.4 38.3 29.7 56.9 53.8 66.1 21.3 21.2 94.9 83.2 36.5 47.7 42.6 47.7 36.5 35.8 48.7 41.6 24.2 22.2 21.5 27.7 29.6 27.7 37021 Buncombe, NC 278.7 302.9 238.6 238.5 118.4 115.4 66.2 68.3 25.2 34.6 31.7 30.8 22.4 21.2 37023 Burke, NC 249.0 269.1 184.0 201.3 101.0 93.6 65.1 58.5 42.6 35.1 26.9 32.8 38.1 35.1 37025 Cabarrus, NC 246.5 265.1 169.9 193.4 69.2 71.7 39.1 42.1 37.6 37.4 21.0 28.1 27.1 26.5 37027 Caldwell, NC 260.3 266.8 216.9 187.3 71.5 79.5 45.9 48.7 51.0 35.9 28.1 35.9 33.2 28.2 37029 Camden, NC 201.7 261.6 288.1 232.6 72.8 79.1 86.0 72.5 26.5 23.1 33.0 39.7 26.4 37031 Carteret, NC 317.6 319.7 231.6 224.1 37033 Caswell, NC 198.2 320.8 206.8 178.2 103.4 106.9 37035 Catawba, NC 253.5 241.3 181.1 198.2 96.1 83.3 44.6 41.6 37.6 38.8 30.6 31.6 18.1 18.7 37037 Chatham, NC 231.4 270.1 167.6 195.3 83.8 99.7 23.9 29.1 51.9 62.3 39.9 33.2 51.9 33.2 37039 Cherokee, NC 383.6 331.6 255.8 290.1 79.9 91.2 40.0 58.0 48.0 37041 Chowan, NC 349.7 353.3 129.5 196.3 155.4 130.9 90.7 37043 Clay, NC 288.7 337.7 333.1 247.6 133.2 112.6 37045 Cleveland, NC 310.1 285.5 210.1 214.1 110.0 108.1 44.0 40.8 30.0 30.6 28.0 38.7 30.0 32.6 44.6 40.0 77.7 0.0 37047 Columbus, NC 394.0 391.3 225.1 222.5 95.0 114.9 45.7 32.3 17.6 21.5 49.3 43.1 56.3 39.5 37049 Craven, NC 240.7 240.3 203.2 191.4 75.1 86.8 48.6 37.8 37.5 28.9 33.1 22.3 19.9 26.7 37051 Cumberland, NC 193.0 178.4 128.2 135.3 42.7 46.5 34.7 33.3 21.4 16.7 19.4 22.9 26.0 27.1 37053 Currituck, NC 316.7 232.3 185.6 177.0 131.0 110.6 65.5 303 66.4 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 199819981998- 2000 Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Death Death Death Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate Rate Rate Rate 19982000 Pneum/ Influenza Death Rate 19982000 2000 Unint Unint 2000 Injury Injury Diabetes Death Death Death Rate Rate Rate 37055 Dare, NC 195.0 209.9 215.2 189.6 80.7 60.9 33.6 37057 Davidson, NC 288.8 268.9 185.0 161.1 90.5 90.1 46.6 47.8 37059 Davie, NC 311.0 332.0 158.3 183.8 67.9 83.0 56.5 47.4 37061 Duplin, NC 218.2 277.1 177.8 212.1 181.8 168.8 72.7 43.3 37063 Durham, NC 198.0 200.0 166.0 177.3 82.7 35.4 37.3 37065 Edgecombe, NC 322.6 298.6 208.3 221.4 110.9 114.1 23.5 33.5 37067 Forsyth, NC 241.5 250.9 188.9 195.5 92.9 44.4 43.2 37069 Franklin, NC 288.1 268.2 229.7 178.8 133.6 110.7 33.4 29.8 62.1 69.3 35.6 32.1 32.6 34.8 26.8 34.8 31.3 26.1 76.9 78.2 19982000 Diabetes Death Rate 33.9 37.3 27.3 29.3 27.3 22.6 20.5 33.9 29.6 39.6 35.6 39.0 56.6 47.6 68.7 51.9 22.5 26.4 30.3 30.0 14.7 22.7 23.5 26.8 26.9 33.5 47.0 33.5 36.3 29.0 28.8 41.8 29.8 25.2 32.5 32.3 21.3 20.9 42.6 29.0 40.7 36.2 37071 Gaston, NC 284.9 280.3 205.6 194.4 104.8 87.9 37073 Gates, NC 410.4 307.6 223.8 269.2 96.1 37075 Graham, NC 342.0 359.2 244.3 205.2 37077 Granville, NC 260.7 227.9 165.1 187.7 56.5 84.9 37079 Greene, NC 216.8 219.9 238.5 197.9 54.2 55.0 37081 Guilford, NC 225.2 220.1 179.2 189.2 91.2 94.3 45.1 39.5 36.5 31.9 25.5 27.6 21.9 37083 Halifax, NC 309.1 334.3 189.5 206.0 93.1 118.2 49.9 43.9 33.2 33.8 33.2 27.0 19.9 40.5 37085 Harnett, NC 225.6 232.3 158.3 170.8 80.3 43.4 38.7 39.0 31.9 43.4 29.6 32.5 34.2 60.4 47.4 75.1 26.8 31.3 66.0 37087 Haywood, NC 319.9 357.4 202.6 240.7 106.6 113.1 67.5 54.7 53.3 43.8 42.6 40.1 37089 Henderson, NC 315.2 296.3 291.3 255.0 108.7 119.4 84.8 91.9 47.8 41.3 32.6 39.0 37091 Hertford, NC 286.5 258.1 245.6 241.4 106.4 99.9 40.9 41.6 37093 Hoke, NC 174.1 182.3 114.1 157.1 54.0 62.9 30.0 37095 Hyde, NC 619.1 516.2 218.5 258.1 37097 Iredell, NC 287.8 291.3 171.1 162.2 89.5 97.6 32.0 28.1 27.2 37099 Jackson, NC 171.1 224.6 188.8 212.1 123.9 93.6 59.0 49.9 29.5 37101 Johnston, NC 250.9 252.2 164.6 167.0 69.6 24.4 27.8 13.0 37103 Jones, NC 260.2 371.2 130.1 214.9 148.7 117.2 37105 Lee, NC 314.2 292.7 225.6 197.8 76.5 75.2 64.4 43.5 37107 Lenoir, NC 325.5 315.1 213.8 216.4 89.4 111.4 28.7 47.7 37109 Lincoln, NC 258.9 252.4 184.0 183.6 93.6 78.7 53.0 37111 McDowell, NC 236.4 214.3 193.9 190.0 80.4 92.6 66.2 37113 Macon, NC 354.3 358.3 231.9 225.6 173.9 152.6 90.2 37115 Madison, NC 241.2 290.5 231.1 207.5 120.6 103.8 37117 Martin, NC 539.2 440.5 306.0 260.0 123.9 122.8 51.0 37119 Mecklenburg, NC 151.4 158.0 135.9 140.0 30.5 37121 Mitchell, NC 386.5 385.3 162.1 269.7 199.5 166.9 58.3 20.7 49.1 41.6 54.0 44.0 33.1 32.0 24.8 47.2 31.2 29.3 26.1 0.0 68.4 63.3 60.4 67.2 20.5 0.0 28.1 30.4 20.9 17.9 33.0 27.7 44.3 35.6 40.3 39.6 25.5 22.3 31.9 35.0 44.7 41.4 45.9 53.0 32.8 31.2 32.8 28.1 26.2 53.6 33.1 24.4 37.8 29.2 33.1 46.4 38.7 39.8 62.3 50.2 51.9 70.3 43.3 65.6 50.5 58.3 43.3 102.0 93.9 33.0 17.5 20.3 18.1 18.9 18.9 19.5 35.4 111.5 64.2 33.2 39.0 39.8 62.3 37123 Montgomery, NC 370.1 322.9 234.1 234.1 72.7 60.4 48.4 37125 Moore, NC 332.9 339.9 227.1 247.7 131.6 131.8 82.6 65.9 25.8 36.9 31.0 60.4 40.4 34.3 15.5 21.1 37127 Nash, NC 271.2 246.5 185.2 180.6 132.3 112.6 30.9 38.3 39.7 38.3 35.3 27.6 30.9 31.9 37129 New Hanover, NC 226.7 243.0 173.6 173.2 84.4 87.2 39.8 44.9 25.3 26.2 24.1 16.2 30.1 31.2 37131 Northampton, NC 304.3 331.5 260.8 241.9 78.2 107.5 60.9 62.7 43.5 53.7 37133 Onslow, NC 123.2 136.4 114.3 122.1 53.4 49.2 26.7 39.7 16.3 19.0 16.3 23.8 14.8 15.9 37135 Orange, NC 119.0 129.6 151.2 165.0 40.2 53.9 20.9 21.9 20.9 20.2 28.9 25.2 14.5 16.8 109.0 77.5 38.9 49.4 38.9 38.4 24.5 29.6 37137 Pamlico, NC 155.7 325.6 249.2 248.1 171.3 108.5 37139 Pasquotank, NC 283.2 302.1 216.6 214.2 127.7 115.3 77.7 71.4 37141 Pender, NC 274.3 231.9 176.3 197.4 127.3 108.6 49.0 49.3 304 33.3 24.5 24.7 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 1998Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Diabetes Death Death Death Death Death Death Death Death Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate 37143 Perquimans, NC 403.9 373.1 185.1 203.5 37145 Person, NC 325.5 291.1 271.2 223.9 108.5 111.9 84.1 152.6 54.2 50.4 32.5 27.1 33.6 37147 Pitt, NC 186.2 207.3 160.6 144.1 24.2 27.9 22.7 22.1 38.4 26.5 35.5 33.8 37149 Polk, NC 373.8 393.2 238.8 273.1 166.1 163.8 72.7 109.2 37151 Randolph, NC 285.0 279.7 133.4 171.2 87.9 75.4 33.4 42.4 19.7 18.9 25.8 26.7 12.1 12.6 37153 Richmond, NC 413.2 377.3 219.3 192.9 97.0 79.7 50.6 50.3 21.1 25.2 42.2 33.5 75.9 50.3 37155 Robeson, NC 251.0 286.8 162.6 162.1 105.8 100.5 25.3 29.2 18.9 21.1 36.3 45.4 50.5 55.1 37157 Rockingham, NC 281.8 283.3 252.3 247.4 113.5 122.6 77.8 65.5 18.9 25.4 40.0 35.9 35.7 33.8 37159 Rowan, NC 319.9 335.4 172.8 189.3 98.5 40.9 49.2 39.4 41.5 44.0 36.9 44.0 32.3 37161 Rutherford, NC 331.3 331.5 220.9 212.6 153.4 112.6 33.7 37.5 55.2 43.8 46.0 40.7 15.3 42.8 49.4 42.8 45.9 95.2 80.4 82.3 37163 Sampson, NC 233.9 289.2 168.0 183.4 95.5 144.6 42.8 45.9 37165 Scotland, NC 355.8 308.8 209.3 162.2 94.2 94.2 47.1 36.6 88.3 26.2 56.0 49.4 41.9 36.6 37167 Stanly, NC 387.4 373.3 210.7 208.9 99.3 47.6 41.1 37.4 20.5 37.4 34.2 23.8 41.1 37169 Stokes, NC 276.3 227.9 140.3 160.9 135.9 147.5 48.2 40.2 30.7 35.8 30.7 31.3 43.9 35.8 37171 Surry, NC 272.0 289.9 197.9 233.6 115.4 129.5 44.0 53.5 33.0 33.8 38.5 39.4 27.5 25.3 37173 Swain, NC 330.2 316.1 195.1 205.5 75.0 110.6 150.1 79.0 105.1 94.8 37175 Transylvania, NC 335.1 316.6 216.8 276.2 85.4 94.3 59.1 67.4 37177 Tyrrell, NC 412.8 360.6 257.6 37179 Union, NC 203.5 209.1 127.6 142.8 53.3 51.0 35.5 27.2 16.1 18.7 0.0 17.0 37181 Vance, NC 313.5 315.8 211.9 209.0 114.8 115.6 26.5 35.6 39.7 35.6 37183 Wake, NC 132.1 138.9 122.0 122.3 27.2 25.5 9.2 10.2 37185 Warren, NC 315.0 328.4 167.3 236.0 137.8 123.1 37187 Washington, NC 428.5 376.4 248.8 278.8 96.8 56.3 60.2 51.3 21.0 27.2 19.4 26.5 44.5 16.8 18.8 16.4 19.5 51.3 69.7 37189 Watauga, NC 177.4 179.3 102.7 122.7 93.4 89.6 56.0 37.7 28.0 28.3 32.7 23.6 37191 Wayne, NC 302.9 295.3 191.5 208.7 101.0 91.9 50.5 40.7 27.9 23.0 36.6 30.1 59.2 49.5 37193 Wilkes, NC 225.5 227.5 180.4 199.9 135.3 138.4 69.2 52.3 66.1 49.2 36.1 30.7 30.1 27.7 37195 Wilson, NC 264.3 290.9 158.1 202.0 93.3 102.4 49.2 37.7 18.1 21.5 25.9 26.9 31.1 40.4 37197 Yadkin, NC 318.8 281.1 194.5 187.4 81.1 33.1 27.0 33.1 70.3 60.6 43.2 38.6 37199 Yancey, NC 363.4 250.7 319.4 250.7 143.2 136.7 37.5 38.5 19.6 21.8 31.7 31.4 33.0 31.7 45 SOUTH CAROLINA 82.7 236.8 242.7 180.6 182.3 85.7 90.0 45001 Abbeville, SC 212.9 250.1 124.8 181.9 95.4 98.5 45003 Aiken, SC 223.3 223.9 177.3 180.3 70.4 71.8 43.3 43.7 23.0 25.3 13.5 29.6 43.3 35.2 45005 Allendale, SC 279.1 311.5 201.5 45007 Anderson, SC 239.3 268.8 190.3 185.1 94.6 88.4 47.9 47.2 15.2 24.8 30.4 29.5 44.4 36.5 45009 Bamberg, SC 396.5 365.2 305.9 251.1 135.9 148.4 45011 Barnwell, SC 270.8 318.4 197.0 206.5 82.1 137.7 41.0 43.0 41.0 45013 Beaufort, SC 174.1 177.8 165.7 177.8 55.2 63.4 36.8 31.7 21.8 17.6 33.5 26.4 11.7 15.8 45015 Berkeley, SC 141.0 141.0 151.0 136.7 71.2 59.0 19.9 28.8 8.5 15.8 24.2 25.9 21.4 23.0 45017 Calhoun, SC 225.3 314.5 137.7 183.5 75.1 117.9 45019 Charleston, SC 198.5 195.6 184.8 169.4 98.6 84.1 38.7 37.8 18.1 18.9 27.5 27.4 39.3 31.7 45021 Cherokee, SC 280.3 262.5 199.2 205.4 99.6 83.7 44.3 64.7 29.5 22.8 36.9 41.8 44.3 49.4 45023 Chester, SC 243.0 265.4 226.0 176.9 73.5 77.4 45.2 38.7 90.4 55.3 45025 Chesterfield, SC 266.5 317.1 198.8 211.4 49.7 73.5 31.6 50.5 22.6 23.0 40.7 46.0 31.6 27.6 45027 Clarendon, SC 205.5 231.7 253.9 206.7 90.7 156.6 48.4 31.3 31.3 60.4 43.8 30.2 305 38.7 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 1998199819982000 2000 199819981998- 2000 2000 2000 2000 Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Pneum/ Unint Unint 2000 Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Influenza Injury Injury Diabetes Death Death Death Death Death Death Death Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate 45029 Colleton, SC 311.0 304.4 225.7 192.8 45031 Darlington, SC 287.2 300.0 228.1 206.6 126.7 152.8 65.2 76.1 25.4 42.2 45.3 36.6 32.3 93.2 50.2 30.4 40.1 35.5 42.2 28.3 59.1 50.9 42.2 39.6 31.1 42.7 49.7 12.2 10.8 16.3 25.8 26.4 19.4 60.6 56.7 65.1 42.1 16.5 18.1 45033 Dillon, SC 213.5 248.5 225.7 192.6 122.0 45035 Dorchester, SC 201.1 223.7 164.5 159.2 119.8 146.3 45037 Edgefield, SC 276.9 312.0 112.5 141.8 69.2 45039 Fairfield, SC 561.6 437.6 146.5 193.6 81.4 109.4 45041 Florence, SC 352.5 332.7 171.0 179.2 93.0 99.4 48.0 42.2 45043 Georgetown, SC 254.3 236.6 209.6 194.9 82.5 76.5 41.2 41.8 45045 Greenville, SC 221.7 241.4 173.0 178.8 74.9 69.0 41.1 44.6 19.0 45047 Greenwood, SC 255.8 277.2 230.2 236.4 88.1 93.4 48.3 37.9 45049 Hampton, SC 390.8 349.3 219.2 223.2 85.8 87.3 45051 Horry, SC 214.8 210.6 185.8 205.3 73.9 87.2 42.0 43.6 45053 Jasper, SC 265.3 273.8 153.1 175.2 102.0 120.5 45055 Kershaw, SC 260.8 242.3 172.6 188.5 80.8 84.6 58.8 46.2 25.7 23.1 45057 Lancaster, SC 290.7 310.2 187.4 168.0 93.7 87.2 38.8 42.0 32.3 32.3 45059 Laurens, SC 300.6 317.9 169.8 176.6 80.7 129.5 39.0 41.2 19.5 35.3 50.1 44.2 45061 Lee, SC 270.2 276.7 150.1 207.5 80.1 88.9 45063 Lexington, SC 181.9 184.3 151.3 167.6 69.3 73.2 36.0 38.9 12.6 45065 McCormick, SC 236.1 353.1 214.6 220.7 49.7 36.7 36.9 31.4 47.3 51.9 73.2 75.7 25.5 22.6 39.0 45.2 44.7 31.3 37.8 27.8 23.3 37.5 32.9 37.5 35.0 45.5 26.3 34.1 32.1 34.1 23.3 12.0 16.0 33.0 33.0 24.0 22.0 30.8 33.1 29.1 38.8 47.7 24.5 30.8 16.2 39.0 32.4 49.4 45067 Marion, SC 298.8 337.7 209.7 205.8 57.7 105.5 45069 Marlboro, SC 435.9 385.1 183.9 205.8 54.5 45071 Newberry, SC 256.9 263.4 203.3 214.0 107.0 109.8 26.8 27.4 92.1 19982000 Diabetes Death Rate 79.7 39.8 21.3 39.8 34.2 26.9 25.2 22.2 26.2 36.9 78.6 63.3 88.5 59.8 61.3 53.1 26.8 43.9 32.1 27.4 45073 Oconee, SC 282.2 286.0 205.0 216.8 81.3 38.6 36.1 17.8 30.1 29.7 30.1 17.8 21.1 45075 Orangeburg, SC 265.5 275.5 208.3 212.4 138.9 138.8 28.6 29.4 12.3 16.8 40.8 33.7 30.6 33.7 45077 Pickens, SC 214.5 212.2 156.8 162.8 100.9 100.6 34.2 38.4 19.8 22.0 28.8 32.9 14.4 20.1 45079 Richland, SC 183.8 199.4 176.6 172.0 33.1 28.6 26.5 24.8 30.7 26.7 23.5 29.2 35.6 61.5 68.9 45081 Saluda, SC 414.2 398.5 186.4 166.0 45083 Spartanburg, SC 266.8 263.6 197.0 193.2 115.0 114.4 99.6 49.8 47.9 16.9 18.5 26.8 30.9 29.1 45085 Sumter, SC 227.9 209.5 194.6 180.3 142.7 149.4 29.6 32.8 11.1 14.6 25.9 23.7 42.6 40.1 45087 Union, SC 373.3 340.4 215.1 241.4 120.2 111.4 38.0 43.3 38.0 37.1 31.6 37.1 45089 Williamsburg, SC 252.4 272.5 111.1 146.3 106.0 126.2 25.2 35.3 35.3 95.9 80.7 45091 York, SC 227.4 235.4 148.5 161.4 46.0 53.4 35.4 34.0 25.9 21.8 16.5 23.1 21.2 21.8 47 TENNESSEE 285.0 291.1 195.9 195.8 90.6 91.6 47.1 44.8 33.7 32.3 33.0 32.6 30.3 29.0 47001 Anderson, TN 267.9 279.8 230.4 242.1 101.8 104.9 77.7 72.6 69.7 48.4 32.2 32.3 32.2 35.0 47003 Bedford, TN 322.1 307.5 211.2 186.7 105.6 120.8 37.0 33.0 27.5 63.4 60.4 37.0 27.5 47005 Benton, TN 574.4 512.7 152.4 221.4 105.5 81.6 82.1 58.3 47007 Bledsoe, TN 285.9 310.0 143.0 155.0 107.2 96.9 107.2 47009 Blount, TN 243.6 275.1 179.5 177.8 148.4 121.6 44.0 52.4 31.1 35.6 23.8 37.4 18.3 22.5 47011 Bradley, TN 290.6 275.3 201.9 186.5 53.2 40.9 42.2 34.1 44.4 38.7 24.4 27.3 79.1 62.9 74.2 48.4 39.6 55.5 77.3 62.1 47013 Campbell, TN 266.3 311.6 237.2 227.6 111.4 103.9 101.7 47015 Cannon, TN 306.0 346.6 214.2 189.0 58.6 58.3 24.7 91.8 126.0 47017 Carroll, TN 659.0 551.2 208.8 255.9 156.6 157.5 58.7 72.2 65.2 45.9 52.2 32.8 39.1 45.9 47019 Carter, TN 305.1 314.0 250.3 206.9 96.0 114.2 44.6 64.2 65.1 53.5 34.3 39.2 20.6 42.8 47021 Cheatham, TN 223.1 212.9 161.7 145.7 39.0 33.5 33.6 28.0 44.6 50.4 44.8 306 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 199819981998- 2000 Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Death Death Death Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate Rate Rate Rate 19982000 Pneum/ Influenza Death Rate 19982000 2000 Unint Unint 2000 Injury Injury Diabetes Death Death Death Rate Rate Rate 19982000 Diabetes Death Rate 45.3 32.6 51.8 39.2 47023 Chester, TN 237.8 283.2 187.7 205.9 87.6 77.2 47025 Claiborne, TN 466.0 391.5 265.4 241.4 84.1 84.8 47027 Clay, TN 292.8 419.3 195.2 209.6 47029 Cocke, TN 313.2 285.0 203.0 207.8 156.6 130.6 52.2 47.5 29.0 35.6 87.0 71.3 34.8 29.7 47031 Coffee, TN 260.0 294.7 207.2 211.7 77.2 52.8 49.8 32.5 29.1 36.6 24.9 28.4 37.4 47033 Crockett, TN 452.4 488.4 106.4 176.4 93.1 162.8 33.7 32.0 71.2 52.2 0.0 91.3 66.5 47035 Cumberland, TN 373.8 358.7 249.2 213.5 116.3 115.3 49.8 42.7 37.4 29.9 20.8 29.9 47037 Davidson, TN 261.9 267.2 190.1 193.4 37.1 39.4 24.1 28.1 36.1 28.8 47039 Decatur, TN 331.6 471.5 248.7 314.3 92.8 84.0 87.3 104.8 82.9 47041 DeKalb, TN 363.2 364.1 204.3 234.9 68.1 117.5 47043 Dickson, TN 245.5 264.5 159.1 159.6 90.9 95.8 45.5 45.6 45.5 36.5 58.7 56.7 58.7 22.7 22.8 47045 Dyer, TN 479.1 398.8 242.1 212.3 67.0 93.2 72.1 62.2 30.9 31.1 47047 Fayette, TN 245.5 271.6 184.2 161.7 68.2 90.5 40.9 40.9 32.3 75.0 41.4 30.9 31.1 38.8 34.1 47049 Fentress, TN 354.0 371.3 188.8 227.6 47051 Franklin, TN 312.5 338.8 143.8 169.4 163.7 123.2 74.4 56.5 64.5 61.6 39.7 30.8 39.7 47053 Gibson, TN 432.9 463.2 279.4 270.8 161.4 145.2 51.2 55.0 39.4 46.2 31.4 31.5 39.3 66.9 47055 Giles, TN 323.6 367.1 198.1 213.6 178.3 140.2 51.0 92.4 60.1 33.0 47057 Grainger, TN 163.8 186.6 163.8 186.6 134.9 108.1 57.8 47059 Greene, TN 282.2 316.3 204.6 202.4 93.0 98.1 52.7 50.6 58.9 56.9 47061 Grundy, TN 288.1 330.5 288.1 220.3 137.2 82.6 43.4 34.8 27.9 25.3 68.6 68.9 82.3 68.6 68.9 47063 Hamblen, TN 264.5 248.6 250.9 47065 Hamilton, TN 295.1 320.1 208.0 234.6 118.7 150.5 98.3 70.0 50.9 35.0 30.5 31.5 54.3 38.5 226.1 104.0 60.4 52.7 36.1 28.6 22.4 28.6 26.1 47067 Hancock, TN 287.4 377.7 258.7 203.4 25.4 54.0 83.9 141.6 94.6 95.8 59.0 67.4 145.3 47069 Hardeman, TN 378.2 383.3 216.1 219.0 62.6 46.3 39.1 47071 Hardin, TN 330.7 308.6 246.1 239.2 230.7 239.2 46.3 38.4 38.6 38.4 65.4 42.0 18.2 47073 Hawkins, TN 269.0 313.2 218.1 194.8 80.0 72.6 47075 Haywood, TN 332.0 422.5 208.7 220.9 56.9 86.4 47077 Henderson, TN 287.2 279.1 226.7 209.3 302.3 271.3 47079 Henry, TN 503.4 533.4 285.9 298.5 149.2 165.1 74.6 57.2 47081 Hickman, TN 333.5 284.4 190.6 166.7 57.2 49.0 47083 Houston, TN 269.0 345.5 195.6 197.4 47085 Humphreys, TN 362.2 406.9 263.4 271.3 47087 Jackson, TN 414.1 467.4 306.1 292.1 180.1 116.8 108.0 47.6 58.8 76.8 90.4 46.9 22.9 69.5 54.8 38.4 46.3 29.1 34.4 47.4 38.8 49.7 25.4 26.7 47.4 45.3 54.3 49.7 50.8 38.1 57.2 122.3 54.9 47089 Jefferson, TN 191.8 226.1 187.3 190.6 129.3 106.4 40.1 26.6 47091 Johnson, TN 294.3 277.0 257.5 226.6 159.4 151.1 73.6 63.0 47093 Knox, TN 251.7 263.3 209.7 201.3 53.2 51.2 47095 Lake, TN 568.0 602.8 347.1 444.2 47097 Lauderdale, TN 499.0 453.9 199.6 207.1 38.4 63.7 61.4 47.8 47099 Lawrence, TN 262.8 292.3 219.0 209.5 107.1 87.7 34.1 43.9 47101 Lewis, TN 294.5 354.4 242.5 177.2 47103 Lincoln, TN 464.0 408.7 278.4 242.7 105.2 121.3 47105 Loudon, TN 264.6 305.6 289.5 246.4 89.9 103.5 47107 McMinn, TN 280.1 313.4 209.1 211.6 63.1 47109 McNairy, TN 480.5 438.0 228.4 223.0 157.5 119.5 75.0 71.2 54.9 97.4 31.2 31.4 31.0 32.8 31.2 26.6 61.3 63.0 28.4 30.7 58.0 39.9 26.8 28.2 157.8 158.6 0.0 39.8 24.3 29.2 86.6 74.9 85.5 307 39.4 38.9 39.0 29.2 86.6 61.9 51.1 54.2 44.9 34.5 30.9 39.4 49.9 44.4 36.6 35.5 40.7 39.5 32.6 59.2 48.8 39.8 70.9 47.8 47.3 55.7 39.4 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV FEMALE MORTALITY FROM LEADING CAUSES (Crude Death Rates per 100,000 Females) FIPS Code County Name 19982000 2000 199819981998- 2000 Heart Heart 2000 2000 2000 2000 2000 2000 Pneum/ Disease Disease Cancer Cancer Stroke Stroke CLRD CLRD Influenza Death Death Death Death Death Death Death Death Death Rate Rate Rate Rate Rate Rate Rate Rate Rate 48.4 19982000 Pneum/ Influenza Death Rate 19982000 2000 Unint Unint 2000 Injury Injury Diabetes Death Death Death Rate Rate Rate 47111 Macon, TN 213.1 267.8 271.2 206.0 72.1 58.1 47113 Madison, TN 269.9 280.9 205.0 207.4 104.6 116.7 48.1 41.0 23.0 25.9 39.7 49.7 31.4 47115 Marion, TN 303.2 309.8 246.8 208.9 70.5 50.4 35.3 43.2 70.5 43.2 42.3 91.7 86.4 19982000 Diabetes Death Rate 36.7 47117 Marshall, TN 313.9 316.3 153.3 176.6 73.0 88.3 36.5 58.4 51.5 43.8 36.8 47119 Maury, TN 260.4 273.9 165.2 199.2 86.8 88.5 53.2 52.6 22.4 38.7 33.6 30.4 25.2 22.1 47121 Meigs, TN 162.4 232.3 144.4 193.6 47123 Monroe, TN 258.1 268.5 172.1 187.9 101.2 112.8 25.3 43.0 35.4 37.6 45.5 43.0 25.3 37.6 38.8 32.3 7.5 10.8 20.9 24.6 19.4 18.5 47.7 41.7 47125 Montgomery, TN 161.2 157.1 153.7 137.1 47127 Moore, TN 345.2 223.3 241.6 186.1 0.0 50.8 63.1 0.0 47129 Morgan, TN 227.8 292.5 173.6 168.7 75.9 56.2 54.2 67.5 47131 Obion, TN 435.0 446.8 220.5 250.2 53.6 113.2 71.5 41.7 47133 Overton, TN 409.7 377.8 204.8 188.9 136.6 129.3 48.8 69.6 47135 Perry, TN 391.2 312.6 234.7 260.5 47137 Pickett, TN 596.9 618.3 199.0 206.1 47139 Polk, TN 383.0 451.6 284.1 296.7 35.8 41.7 35.8 41.7 48.8 0.0 0.0 77.4 47141 Putnam, TN 277.1 280.0 222.9 198.6 89.2 107.4 57.3 42.3 38.2 47143 Rhea, TN 260.0 268.8 260.0 206.7 75.3 75.8 88.9 82.7 41.1 32.6 47.8 29.3 54.7 41.3 28.7 19.5 47145 Roane, TN 295.2 358.7 254.1 236.6 78.5 76.3 82.2 68.7 29.9 47147 Robertson, TN 343.3 273.3 189.9 178.6 102.3 109.3 29.2 43.7 25.6 34.3 22.4 29.2 32.9 30.5 37.4 38.2 29.2 36.5 47149 Rutherford, TN 157.5 170.3 141.1 139.4 59.1 58.3 32.8 27.4 32.8 20.6 21.9 33.9 24.0 10.9 47151 Scott, TN 270.9 296.6 252.2 248.8 74.7 67.0 65.4 67.0 12.6 47153 Sequatchie, TN 331.3 310.2 122.1 200.7 87.2 47155 Sevier, TN 366.1 325.3 198.2 194.6 63.3 66.8 30.3 47157 Shelby, TN 284.8 284.4 173.8 178.7 75.5 80.3 33.3 32.0 19.3 35.8 32.0 23.2 30.3 32.0 27.5 23.2 28.2 25.6 24.7 34.8 47159 Smith, TN 389.2 368.9 189.1 184.4 133.5 138.3 55.6 31.2 55.6 57.6 55.6 47161 Stewart, TN 354.2 366.1 241.5 299.6 47163 Sullivan, TN 287.9 286.3 232.4 224.0 135.1 113.3 65.7 56.0 44.2 45.8 34.1 38.2 39.1 34.4 47165 Sumner, TN 238.8 248.9 169.7 167.0 79.6 80.4 28.5 35.6 19.5 23.2 42.1 32.5 27.0 23.2 57.6 48.0 53.8 36.0 26.9 24.0 104.6 83.2 80.5 47167 Tipton, TN 372.8 307.8 192.2 191.9 47169 Trousdale, TN 542.6 390.6 325.6 306.9 135.6 167.4 47171 Unicoi, TN 353.4 388.5 276.1 255.3 165.7 166.5 47173 Union, TN 234.4 258.6 145.1 152.8 47175 Van Buren, TN 253.3 345.0 253.3 268.3 47177 Warren, TN 308.1 327.2 148.9 174.1 138.6 137.2 56.5 47.5 56.5 42.2 25.7 26.4 47179 Washington, TN 347.1 300.2 183.6 193.9 110.9 104.4 30.9 48.5 47.3 39.2 18.2 29.8 47181 Wayne, TN 368.5 377.6 144.8 182.3 47183 Weakley, TN 278.2 322.7 178.1 207.5 128.0 109.5 33.4 51.9 50.1 46.1 27.8 47185 White, TN 424.6 374.0 220.8 212.5 118.9 102.0 84.9 59.5 67.9 47187 Williamson, TN 122.9 152.7 115.1 110.9 56.0 59.5 42.0 37.0 7.8 47189 Wilson, TN 197.9 206.3 140.1 151.3 44.5 77.9 31.1 36.7 31.1 77.3 20.0 77.7 58.8 55.8 91.1 30.9 33.6 65.8 66.8 57.6 67.9 42.5 67.9 51.0 11.2 14.0 17.7 7.8 9.6 34.4 31.1 34.4 15.6 18.3 84 REGION IV 276.1 283.4 193.2 195.8 79.7 81.6 45.8 45.8 26.0 25.6 28.7 29.4 27.4 27.6 91 UNITED STATES 255.3 262.5 186.2 188.2 71.8 73.3 43.2 43.2 25.6 25.7 23.8 24.3 26.3 26.2 Note: Rates are suppressed for fewer than 5 occurrences for year 2000 county-level data. 1998-2000 data are 3-year averages. 1998-2000 3-year average rates are suppressed for county-level average occurrences fewer than 5, except 0. 308 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIIPS Code County Name TB Chlamydia Gonorrhea Syphilis HEP A HEP B HEP C 30 33 1 91 13,776 5,997 61 01001 Autauga, AL 01003 Baldwin, AL 0 0 1 0 0 0 0 2 115 208 55 64 0 1 01005 01007 01009 01011 01013 01015 Barbour, AL Bibb, AL Blount, AL Bullock, AL Butler, AL Calhoun, AL 1 1 0 0 0 0 0 1 0 0 2 1 0 0 0 0 0 0 0 1 0 0 0 0 142 48 27 89 133 394 42 19 2 40 51 166 1 0 0 0 0 5 01017 01019 01021 01023 01025 01027 Chambers, AL Cherokee, AL Chilton, AL Choctaw, AL Clarke, AL Clay, AL 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 149 24 48 34 144 43 57 11 14 12 43 5 0 0 0 0 0 0 01029 01031 01033 01035 01037 01039 Cleburne, AL Coffee, AL Colbert, AL Conecuh, AL Coosa, AL Covington, AL 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 4 1 0 0 0 21 138 94 30 22 87 8 37 47 6 11 33 0 1 0 0 0 0 01041 01043 01045 01047 01049 01051 Crenshaw, AL Cullman, AL Dale, AL Dallas, AL DeKalb, AL Elmore, AL 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2 1 0 4 0 33 108 124 461 43 190 7 15 37 161 7 54 0 0 0 0 0 0 01053 01055 01057 01059 01061 01063 Escambia, AL Etowah, AL Fayette, AL Franklin, AL Geneva, AL Greene, AL 0 2 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 81 237 33 26 48 38 21 84 4 7 7 19 1 1 0 0 0 1 01065 01067 01069 01071 01073 01075 Hale, AL Henry, AL Houston, AL Jackson, AL Jefferson, AL Lamar, AL 0 0 0 0 2 0 0 0 1 14 0 0 0 0 0 0 0 0 1 0 0 0 18 0 100 42 329 36 2,799 32 39 12 98 14 1,546 7 0 0 1 0 15 0 01077 01079 01081 01083 01085 01087 Lauderdale, AL Lawrence, AL Lee, AL Limestone, AL Lowndes, AL Macon, AL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0 183 62 333 81 124 148 64 23 143 25 43 71 0 1 0 0 0 0 2 2 0 6 579 215 2 01 ALABAMA 01089 Madison, AL 309 AIDS HIV Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name TB Chlamydia Gonorrhea Syphilis AIDS HIV 161 1,560 2,350 0 0 15 16 7 8 19 207 0 4 25 329 0 6 10 10 8 HEP A HEP B HEP C 01091 Marengo, AL 0 0 0 0 100 25 0 01093 01095 01097 01099 Marion, AL Marshall, AL Mobile, AL Monroe, AL 0 0 6 0 0 0 3 0 0 0 1 0 1 1 7 0 42 110 1,270 104 12 30 631 35 0 1 6 0 01101 01103 01105 01107 01109 01111 Montgomery, AL Morgan, AL Perry, AL Pickens, AL Pike, AL Randolph, AL 1 6 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 7 5 0 2 0 1 1,299 205 69 108 160 72 728 88 17 32 82 13 3 5 0 0 0 0 01113 01115 01117 01119 01121 01123 Russell, AL St. Clair, AL Shelby, AL Sumter, AL Talladega, AL Tallapoosa, AL 0 0 5 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 1 0 1 1 253 68 113 85 310 156 110 11 33 39 130 54 1 2 0 0 10 1 01125 01127 01129 01131 01133 Tuscaloosa, AL Walker, AL Washington, AL Wilcox, AL Winston, AL 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 9 0 0 2 0 695 124 61 95 17 387 36 23 31 4 2 0 0 0 0 230 221 22 362 27,165 10,598 1 0 2 0 0 0 4 0 862 54 414 28 12 FLORIDA 12001 Alachua, FL 12003 Baker, FL 12005 12007 12009 12011 12013 12015 Bay, FL Bradford, FL Brevard, FL Broward, FL Calhoun, FL Charlotte, FL 0 0 3 21 0 0 0 0 3 21 0 0 0 0 0 1 1 0 4 0 8 43 0 0 47 64 652 2,747 7 101 19 25 240 994 3 23 2 1 1 7 0 1 12017 12019 12021 12023 12027 12029 Citrus, FL Clay, FL Collier, FL Columbia, FL DeSoto, FL Dixie, FL 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 5 1 2 0 116 205 399 127 75 19 16 70 67 34 22 7 0 0 0 0 0 0 12031 12033 12035 12037 12039 12041 Duval, FL Escambia, FL Flagler, FL Franklin, FL Gadsden, FL Gilchrist, FL 3 0 0 0 0 0 21 5 0 0 0 0 0 2 0 0 0 0 23 10 0 0 2 0 2,652 972 66 2 123 21 1,481 427 11 0 61 4 12 0 0 0 2 0 81 16 146 27 3 0 6 0 1 0 0 0 1 0 0 0 0 0 0 0 7 2 45 1 2 9 0 0 0 0 0 0 12043 Glades, FL 12045 Gulf, FL 12047 Hamilton, FL 310 3 0 3 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B HEP C Syphilis AIDS 12049 12051 12053 12055 Hardee, FL Hendry, FL Hernando, FL Highlands, FL 0 1 2 1 1 0 1 0 0 0 0 0 0 2 1 2 82 99 125 152 4 19 38 46 0 1 0 0 3 4 12057 12059 12061 12063 12065 12067 Hillsborough, FL Holmes, FL Indian River, FL Jackson, FL Jefferson, FL Lafayette, FL 31 0 0 0 0 0 18 0 0 0 1 0 3 0 0 0 1 0 26 0 6 0 0 0 2,190 9 164 25 14 9 783 1 96 12 5 2 10 0 0 0 0 0 94 13 4 131 0 12 3 12069 12071 12073 12075 12077 12079 Lake, FL Lee, FL Leon, FL Levy, FL Liberty, FL Madison, FL 13 0 1 0 0 0 1 4 6 0 0 0 0 0 0 0 0 0 1 4 8 2 0 0 231 687 501 107 1 17 86 286 220 29 3 4 1 3 0 0 0 0 5 24 12 10 40 19 12081 12083 12085 12086 12087 12089 Manatee, FL Marion, FL Martin, FL Miami-Dade, FL Monroe, FL Nassau, FL 1 2 3 52 1 1 2 6 2 43 1 0 1 0 0 0 0 0 2 1 1 78 0 1 433 550 159 2,313 29 67 198 246 58 699 3 39 2 0 0 41 1 0 19 15 4 388 8 32 15 7 576 5 3 12091 12093 12095 12097 12099 12101 Okaloosa, FL Okeechobee, FL Orange, FL Osceola, FL Palm Beach, FL Pasco, FL 0 1 6 1 36 1 1 0 16 1 11 2 1 0 1 0 1 0 3 154 4 878 35 471 129 0 0 21 1 23 0 0 5 31 4 29 1 424 70 2,551 163 1,353 309 63 13 185 7 162 14 205 4 12103 12105 12107 12109 12111 12113 Pinellas, FL Polk, FL Putnam, FL St. Johns, FL St. Lucie, FL Santa Rosa, FL 15 6 2 0 3 6 21 4 2 2 4 4 3 0 0 0 0 0 11 8 0 2 13 1 1,534 1,035 145 49 313 145 728 410 78 19 122 31 2 8 1 0 1 0 43 24 6 3 33 0 45 40 6 6 60 0 12115 12117 12119 12121 12123 12125 Sarasota, FL Seminole, FL Sumter, FL Suwannee, FL Taylor, FL Union, FL 2 3 3 1 1 0 3 2 2 1 0 0 1 2 1 1 0 0 1 6 2 2 0 1 363 463 89 81 13 33 157 207 48 14 3 11 8 6 0 5 0 0 6 12 13 19 3 12127 12129 12131 12133 Volusia, FL Wakulla, FL Walton, FL Washington, FL 2 0 0 0 4 2 0 0 2 0 0 0 7 0 0 0 631 18 52 2 241 3 20 0 0 0 0 0 26 113 127 227 23,956 9,447 160 332 0 0 35 16 0 0 13 GEORGIA 13001 Appling, GA TB Chlamydia Gonorrhea 0 311 HIV 0 6 6 0 0 0 0 0 33 0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B HEP C 13003 13005 13007 13009 Atkinson, GA Bacon, GA Baker, GA Baldwin, GA 0 0 0 0 0 0 0 0 0 0 13011 13013 13015 13017 13019 13021 Banks, GA Barrow, GA Bartow, GA Ben Hill, GA Berrien, GA Bibb, GA 13023 13025 13027 13029 13031 13033 TB Chlamydia Gonorrhea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Bleckley, GA Brantley, GA Brooks, GA Bryan, GA Bulloch, GA Burke, GA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13035 13037 13039 13043 13045 13047 Butts, GA Calhoun, GA Camden, GA Candler, GA Carroll, GA Catoosa, GA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13049 13051 13053 13055 13057 13059 Charlton, GA Chatham, GA Chattahoochee, GA Chattooga, GA Cherokee, GA Clarke, GA 0 0 5 0 0 0 0 0 0 0 0 0 13061 13063 13065 13067 13069 13071 Clay, GA Clayton, GA Clinch, GA Cobb, GA Coffee, GA Colquitt, GA 0 6 0 8 0 0 0 6 0 9 0 0 0 0 0 0 0 0 13073 13075 13077 13079 13081 13083 Columbia, GA Cook, GA Coweta, GA Crawford, GA Crisp, GA Dade, GA 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 13085 13087 13089 13091 13093 13095 Dawson, GA Decatur, GA DeKalb, GA Dodge, GA Dooly, GA Dougherty, GA 0 0 9 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 13 0 0 0 0 0 0 0 26 0 312 AIDS 43 0 0 0 0 17 74 104 65 17 917 5 15 34 47 11 407 0 0 0 0 0 6 0 0 0 0 0 9 36 15 20 46 266 71 19 0 0 0 0 0 0 0 0 61 17 40 29 214 36 22 7 7 8 84 6 0 0 0 0 0 22 1,108 11 47 89 385 5 458 0 0 0 0 0 0 0 11 0 0 0 6 0 0 10 0 8 17 909 22 1,001 95 76 97 36 189 18 125 6 6 85 2,730 61 51 473 6 8 Syphilis 24 27 14 172 8 11 87 34 13 17 178 321 295 29 36 28 17 76 5 51 0 0 0 0 0 0 0 0 0 0 0 36 1,031 24 20 194 HIV 7 0 0 0 0 0 0 0 0 0 0 0 40 0 6 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B 13097 Douglas, GA TB Chlamydia Gonorrhea HEP C 0 0 172 46 0 0 0 0 0 0 0 0 60 27 68 74 12 40 0 0 0 0 0 0 0 0 0 97 40 8 60 247 44 35 16 13099 13101 13103 13105 Early, GA Echols, GA Effingham, GA Elbert, GA 0 0 0 0 13107 13109 13111 13113 13115 13117 Emanuel, GA Evans, GA Fannin, GA Fayette, GA Floyd, GA Forsyth, GA 0 0 13119 13121 13123 13125 13127 13129 Franklin, GA Fulton, GA Gilmer, GA Glascock, GA Glynn, GA Gordon, GA 0 25 7 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 35 4,641 20 13131 13133 13135 13137 13139 13141 Grady, GA Greene, GA Gwinnett, GA Habersham, GA Hall, GA Hancock, GA 0 0 5 0 0 6 0 0 0 0 0 0 0 0 0 0 0 23 0 43 53 654 30 187 43 23 33 127 13143 13145 13147 13149 13151 13153 Haralson, GA Harris, GA Hart, GA Heard, GA Henry, GA Houston, GA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 12 30 5 37 30 51 18 161 273 13155 13157 13159 13161 13163 13165 Irwin, GA Jackson, GA Jasper, GA Jeff Davis, GA Jefferson, GA Jenkins, GA 0 0 0 0 0 0 0 0 0 0 0 0 0 25 47 31 37 59 32 13 18 11 9 25 20 13167 13169 13171 13173 13175 13177 Johnson, GA Jones, GA Lamar, GA Lanier, GA Laurens, GA Lee, GA 0 0 0 27 26 45 11 175 32 5 13 14 13179 13181 13183 13185 13187 Liberty, GA Lincoln, GA Long, GA Lowndes, GA Lumpkin, GA 203 37 20 346 18 58 8 5 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313 117 57 20 101 8 9 2,344 0 65 6 Syphilis AIDS 0 0 0 0 0 0 0 0 0 0 0 0 42 60 46 13 0 0 0 5 78 0 0 0 0 0 125 0 0 0 0 0 0 6 0 0 42 16 HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B HEP C 13189 McDuffie, GA 0 0 0 0 96 38 0 13191 13193 13195 13197 McIntosh, GA Macon, GA Madison, GA Marion, GA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 30 50 20 5 5 17 5 0 0 0 0 13199 13201 13205 13207 13209 13211 Meriwether, GA Miller, GA Mitchell, GA Monroe, GA Montgomery, GA Morgan, GA 0 0 0 0 0 0 0 0 60 14 57 53 15 44 19 6 27 13 6 25 0 0 0 0 0 0 0 0 0 0 0 13213 13215 13217 13219 13221 13223 Murray, GA Muscogee, GA Newton, GA Oconee, GA Oglethorpe, GA Paulding, GA 0 5 0 0 0 0 0 0 0 0 0 0 0 6 36 941 131 10 11 55 5 494 31 0 10 0 0 0 0 0 7 13225 13227 13229 13231 13233 13235 Peach, GA Pickens, GA Pierce, GA Pike, GA Polk, GA Pulaski, GA 0 0 0 0 0 0 0 101 16 14 22 101 23 30 0 0 0 0 0 0 0 0 0 0 32 12 0 0 0 0 0 0 0 0 0 0 13237 13239 13241 13243 13245 13247 Putnam, GA Quitman, GA Rabun, GA Randolph, GA Richmond, GA Rockdale, GA 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 50 22 0 11 0 8 38 1,068 109 0 14 442 24 0 0 0 0 13 0 13249 13251 13253 13255 13257 13259 Schley, GA Screven, GA Seminole, GA Spalding, GA Stephens, GA Stewart, GA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 21 228 37 12 13261 13263 13265 13267 13269 13271 Sumter, GA Talbot, GA Taliaferro, GA Tattnall, GA Taylor, GA Telfair, GA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13273 13275 13277 13279 13281 Terrell, GA Thomas, GA Tift, GA Toombs, GA Towns, GA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TB Chlamydia Gonorrhea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 314 7 7 5 0 14 7 142 12 Syphilis 0 0 0 0 0 0 AIDS HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 115 23 9 58 20 42 45 7 6 18 11 16 58 141 130 73 27 66 42 24 0 0 0 0 0 0 0 0 0 0 0 10 0 5 0 0 0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B HEP C 13283 Treutlen, GA 0 0 0 13285 13287 13289 13291 Troup, GA Turner, GA Twiggs, GA Union, GA 0 0 0 0 0 0 0 0 0 0 13293 13295 13297 13299 13301 13303 Upson, GA Walker, GA Walton, GA Ware, GA Warren, GA Washington, GA 0 0 13305 13307 13309 13311 13313 13315 Wayne, GA Webster, GA Wheeler, GA White, GA Whitfield, GA Wilcox, GA 13317 Wilkes, GA 13319 Wilkinson, GA 13321 Worth, GA 21 KENTUCKY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TB Chlamydia Gonorrhea 0 0 0 0 0 0 14 135 12 0 0 240 41 21 8 76 94 114 141 47 20 45 0 0 Syphilis AIDS 0 0 0 39 11 46 52 9 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 42 27 6 9 10 0 0 0 0 0 6,465 1,725 42 38 0 0 0 0 15 29 14 46 21001 21003 21005 21007 Adair, KY Allen, KY Anderson, KY Ballard, KY 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 21009 21011 21013 21015 21017 21019 Barren, KY Bath, KY Bell, KY Boone, KY Bourbon, KY Boyd, KY 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 2 0 0 2 0 0 21021 21023 21025 21027 21029 21031 Boyle, KY Bracken, KY Breathitt, KY Breckinridge, KY Bullitt, KY Butler, KY 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 21033 21035 21037 21039 21041 21043 Caldwell, KY Calloway, KY Campbell, KY Carlisle, KY Carroll, KY Carter, KY 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 2 0 1 0 21045 Casey, KY 21047 Christian, KY 21049 Clark, KY 1 0 0 0 0 0 0 0 1 4 0 1 315 HIV 0 14 19 175 40 6 56 16 0 0 0 0 0 0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name TB Chlamydia Gonorrhea HEP A HEP B HEP C 21051 Clay, KY 0 0 0 1 21053 21055 21057 21059 Clinton, KY Crittenden, KY Cumberland, KY Daviess, KY 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 21061 21063 21065 21067 21069 21071 Edmonson, KY Elliott, KY Estill, KY Fayette, KY Fleming, KY Floyd, KY 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 3 0 0 21073 21075 21077 21079 21081 21083 Franklin, KY Fulton, KY Gallatin, KY Garrard, KY Grant, KY Graves, KY 0 0 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 21085 21087 21089 21091 21093 21095 Grayson, KY Green, KY Greenup, KY Hancock, KY Hardin, KY Harlan, KY 0 0 0 0 1 0 0 1 0 0 1 2 0 0 0 0 0 0 0 0 0 0 1 0 21097 21099 21101 21103 21105 21107 Harrison, KY Hart, KY Henderson, KY Henry, KY Hickman, KY Hopkins, KY 0 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 21109 21111 21113 21115 21117 21119 Jackson, KY Jefferson, KY Jessamine, KY Johnson, KY Kenton, KY Knott, KY 0 3 0 0 0 0 0 3 0 0 3 0 0 0 0 0 2 0 1 12 0 1 1 0 21121 21123 21125 21127 21129 21131 Knox, KY Larue, KY Laurel, KY Lawrence, KY Lee, KY Leslie, KY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 21133 21135 21137 21139 21141 Letcher, KY Lewis, KY Lincoln, KY Livingston, KY Logan, KY 0 1 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1 0 0 316 Syphilis AIDS HIV Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B HEP C 21143 21145 21147 21149 Lyon, KY McCracken, KY McCreary, KY McLean, KY 0 0 0 0 0 0 0 0 0 2 0 0 1 0 0 0 21151 21153 21155 21157 21159 21161 Madison, KY Magoffin, KY Marion, KY Marshall, KY Martin, KY Mason, KY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21163 21165 21167 21169 21171 21173 Meade, KY Menifee, KY Mercer, KY Metcalfe, KY Monroe, KY Montgomery, KY 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 4 0 21175 21177 21179 21181 21183 21185 Morgan, KY Muhlenberg, KY Nelson, KY Nicholas, KY Ohio, KY Oldham, KY 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21187 21189 21191 21193 21195 21197 Owen, KY Owsley, KY Pendleton, KY Perry, KY Pike, KY Powell, KY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 21199 21201 21203 21205 21207 21209 Pulaski, KY Robertson, KY Rockcastle, KY Rowan, KY Russell, KY Scott, KY 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21211 21213 21215 21217 21219 21221 Shelby, KY Simpson, KY Spencer, KY Taylor, KY Todd, KY Trigg, KY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21223 21225 21227 21229 21231 21233 Trimble, KY Union, KY Warren, KY Washington, KY Wayne, KY Webster, KY 0 0 0 0 0 0 0 0 0 0 1 1 0 0 3 0 0 0 0 0 0 0 0 0 TB Chlamydia Gonorrhea 317 Syphilis AIDS HIV Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B HEP C 21235 Whitley, KY 21237 Wolfe, KY 21239 Woodford, KY 0 0 0 0 0 0 0 0 0 2 1 0 28 MISSISSIPPI TB Chlamydia Gonorrhea 54 50 111 58 28001 Adams, MS 28003 Alcorn, MS 0 0 0 0 0 2 1 1 28005 28007 28009 28011 28013 28015 Amite, MS Attala, MS Benton, MS Bolivar, MS Calhoun, MS Carroll, MS 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 0 0 1 0 28017 28019 28021 28023 28025 28027 Chickasaw, MS Choctaw, MS Claiborne, MS Clarke, MS Clay, MS Coahoma, MS 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 1 1 0 1 0 1 28029 28031 28033 28035 28037 28039 Copiah, MS Covington, MS DeSoto, MS Forrest, MS Franklin, MS George, MS 0 1 0 3 0 3 4 0 0 0 0 0 5 1 2 2 0 1 2 0 0 1 0 1 28041 28043 28045 28047 28049 28051 Greene, MS Grenada, MS Hancock, MS Harrison, MS Hinds, MS Holmes, MS 0 0 0 1 32 0 0 0 1 2 6 0 0 0 5 9 30 1 0 0 1 5 3 1 28053 28055 28057 28059 28061 28063 Humphreys, MS Issaquena, MS Itawamba, MS Jackson, MS Jasper, MS Jefferson, MS 0 0 0 0 1 0 0 0 0 5 0 0 0 0 0 6 0 0 0 0 2 2 0 0 28065 28067 28069 28071 28073 28075 Jefferson Davis, MS Jones, MS Kemper, MS Lafayette, MS Lamar, MS Lauderdale, MS 0 3 0 0 0 0 0 1 0 0 2 3 0 1 1 0 0 3 0 2 0 0 0 1 28077 28079 28081 28083 Lawrence, MS Leake, MS Lee, MS Leflore, MS 0 0 0 0 2 0 5 0 0 1 0 0 0 1 3 1 318 Syphilis AIDS HIV Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name TB Chlamydia Gonorrhea Syphilis AIDS HIV 8,539 234 173 326 266 18 124 5 3 0 1 0 4 0 5 119 8 0 35 0 0 1 0 0 0 0 0 0 0 HEP A HEP B HEP C 28085 Lincoln, MS 0 0 0 0 28087 28089 28091 28093 Lowndes, MS Madison, MS Marion, MS Marshall, MS 0 1 0 0 2 2 0 0 4 6 1 0 1 1 0 1 28095 28097 28099 28101 28103 28105 Monroe, MS Montgomery, MS Neshoba, MS Newton, MS Noxubee, MS Oktibbeha, MS 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 28107 28109 28111 28113 28115 28117 Panola, MS Pearl River, MS Perry, MS Pike, MS Pontotoc, MS Prentiss, MS 0 0 1 0 0 0 0 0 0 1 1 1 0 2 0 1 0 2 2 2 0 1 1 1 28119 28121 28123 28125 28127 28129 Quitman, MS Rankin, MS Scott, MS Sharkey, MS Simpson, MS Smith, MS 0 0 1 0 1 4 0 1 0 0 1 0 0 8 1 0 5 0 0 1 3 0 0 0 28131 28133 28135 28137 28139 28141 Stone, MS Sunflower, MS Tallahatchie, MS Tate, MS Tippah, MS Tishomingo, MS 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 28143 28145 28147 28149 28151 28153 Tunica, MS Union, MS Walthall, MS Warren, MS Washington, MS Wayne, MS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 3 0 28155 28157 28159 28161 28163 Webster, MS Wilkinson, MS Winston, MS Yalobusha, MS Yazoo, MS 0 0 0 0 0 0 0 0 0 5 0 0 0 1 4 1 0 0 0 0 37 NORTH CAROLINA 77 87 11 146 18,800 37001 Alamance, NC 37003 Alexander, NC 11 1 0 1 0 0 0 0 37005 Alleghany, NC 37007 Anson, NC 37009 Ashe, NC 0 0 0 1 0 0 0 0 0 0 0 0 319 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B HEP C Syphilis AIDS 37011 Avery, NC 0 0 0 TB Chlamydia Gonorrhea 1 4 0 0 0 0 37013 37015 37017 37019 Beaufort, NC Bertie, NC Bladen, NC Brunswick, NC 2 0 0 1 0 2 1 0 0 0 0 0 1 0 3 2 117 65 97 112 58 20 52 45 0 0 0 4 4 2 0 1 2 0 0 2 37021 37023 37025 37027 37029 37031 Buncombe, NC Burke, NC Cabarrus, NC Caldwell, NC Camden, NC Carteret, NC 3 1 6 0 0 1 1 0 0 1 0 1 0 0 0 0 0 1 2 0 1 1 0 1 381 69 239 40 5 67 155 21 111 22 3 36 0 0 0 0 0 1 2 0 1 0 0 1 5 0 0 0 0 0 37033 37035 37037 37039 37041 37043 Caswell, NC Catawba, NC Chatham, NC Cherokee, NC Chowan, NC Clay, NC 1 2 2 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 2 2 0 0 0 50 217 53 10 29 2 16 83 20 0 22 0 2 1 3 0 0 0 0 2 0 0 1 0 0 3 1 0 1 0 37045 37047 37049 37051 37053 37055 Cleveland, NC Columbus, NC Craven, NC Cumberland, NC Currituck, NC Dare, NC 1 0 1 0 0 0 1 1 2 0 1 0 0 0 0 0 0 0 1 1 5 3 1 1 223 161 229 1,050 15 19 175 81 124 501 5 5 0 2 1 11 0 0 3 2 3 7 0 1 3 4 2 16 0 0 37057 37059 37061 37063 37065 37067 Davidson, NC Davie, NC Duplin, NC Durham, NC Edgecombe, NC Forsyth, NC 1 0 1 2 0 13 2 1 0 3 1 4 1 0 0 0 0 0 0 0 4 6 1 7 220 55 120 900 318 876 49 18 60 465 222 442 0 0 0 7 2 12 0 1 2 5 3 15 5 1 2 19 4 25 37069 37071 37073 37075 37077 37079 Franklin, NC Gaston, NC Gates, NC Graham, NC Granville, NC Greene, NC 0 0 0 0 1 0 0 4 1 0 0 1 0 2 0 0 0 0 1 4 0 0 1 1 94 438 7 3 106 74 61 218 4 1 53 33 0 4 0 0 2 0 0 3 0 0 3 1 1 13 0 0 1 1 37081 37083 37085 37087 37089 37091 Guilford, NC Halifax, NC Harnett, NC Haywood, NC Henderson, NC Hertford, NC 3 0 0 0 2 0 2 2 0 0 0 0 0 0 0 0 0 0 5 3 0 1 1 1 1,402 247 102 25 80 70 643 140 32 4 27 35 32 1 0 0 0 0 7 1 2 0 2 1 24 3 1 0 1 2 37093 37095 37097 37099 37101 Hoke, NC Hyde, NC Iredell, NC Jackson, NC Johnston, NC 0 0 1 0 3 1 0 1 0 0 0 0 0 0 1 0 0 1 0 3 122 9 142 27 98 47 2 67 1 44 1 0 0 0 4 0 0 0 0 2 1 0 0 1 6 320 HIV Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B HEP C Syphilis AIDS HIV 37103 Jones, NC 0 0 0 TB Chlamydia Gonorrhea 2 22 14 0 0 0 37105 37107 37109 37111 Lee, NC Lenoir, NC Lincoln, NC McDowell, NC 0 0 0 0 0 0 0 0 2 0 0 0 1 2 0 0 117 286 87 25 36 87 32 3 1 2 0 0 1 5 0 0 2 6 1 0 37113 37115 37117 37119 37121 37123 Macon, NC Madison, NC Martin, NC Mecklenburg, NC Mitchell, NC Montgomery, NC 0 0 0 3 0 0 0 0 0 27 0 0 0 0 0 1 0 0 0 0 1 24 0 0 11 14 105 1,545 8 80 2 0 46 762 0 24 0 0 1 24 0 19 0 0 0 17 0 1 0 0 3 56 0 1 37125 37127 37129 37131 37133 37135 Moore, NC Nash, NC New Hanover, NC Northampton, NC Onslow, NC Orange, NC 0 0 0 0 0 0 1 1 2 0 1 1 0 0 0 1 0 0 0 2 2 0 2 2 159 284 401 75 551 170 59 169 222 57 158 50 7 3 10 0 0 1 3 4 6 0 2 1 4 3 12 1 4 4 37137 37139 37141 37143 37145 37147 Pamlico, NC Pasquotank, NC Pender, NC Perquimans, NC Person, NC Pitt, NC 0 0 0 0 0 2 0 0 0 0 0 4 0 0 0 0 0 0 0 1 1 0 1 4 12 89 88 12 63 709 4 40 23 9 24 376 0 0 0 0 0 2 1 2 1 0 0 4 0 0 0 1 2 3 37149 37151 37153 37155 37157 37159 Polk, NC Randolph, NC Richmond, NC Robeson, NC Rockingham, NC Rowan, NC 0 2 0 1 1 0 0 2 1 1 1 0 0 0 0 0 0 1 0 0 1 0 2 2 14 180 166 708 120 305 6 68 64 316 56 164 0 5 7 27 7 0 0 1 1 6 0 1 2 2 2 3 2 3 37161 37163 37165 37167 37169 37171 Rutherford, NC Sampson, NC Scotland, NC Stanly, NC Stokes, NC Surry, NC 0 0 1 0 0 0 0 0 1 0 0 2 0 0 1 0 0 0 0 1 2 1 0 0 127 159 192 83 48 79 33 97 69 26 12 28 0 0 1 1 0 0 2 1 1 2 0 0 4 3 1 2 0 0 37173 37175 37177 37179 37181 37183 Swain, NC Transylvania, NC Tyrrell, NC Union, NC Vance, NC Wake, NC 0 0 0 0 0 4 1 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 14 24 34 15 193 189 1,169 0 2 0 57 102 519 0 0 0 1 1 16 0 0 0 0 1 24 1 2 1 0 1 28 37185 37187 37189 37191 37193 Warren, NC Washington, NC Watauga, NC Wayne, NC Wilkes, NC 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 3 1 67 27 33 322 32 40 11 4 92 3 0 0 0 2 0 0 0 0 2 0 1 0 0 7 0 321 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B HEP C Syphilis AIDS HIV 37195 Wilson, NC 0 2 0 TB Chlamydia Gonorrhea 1 327 174 1 4 3 37197 Yadkin, NC 37199 Yancey, NC 1 0 0 0 0 0 1 0 55 14 11 1 1 0 0 0 0 0 228 322 80 10,254 4,721 94 45001 Abbeville, SC 45003 Aiken, SC 45005 Allendale, SC 45 SOUTH CAROLINA 0 1 2 66 248 102 46 95 53 0 1 0 45007 45009 45011 45013 45015 45017 Anderson, SC Bamberg, SC Barnwell, SC Beaufort, SC Berkeley, SC Calhoun, SC 1 0 1 4 3 0 428 77 70 158 120 50 161 24 33 68 73 10 6 0 0 1 0 0 45019 45021 45023 45025 45027 45029 Charleston, SC Cherokee, SC Chester, SC Chesterfield, SC Clarendon, SC Colleton, SC 7 0 0 1 1 2 908 130 129 123 103 113 482 56 34 38 60 21 45031 45033 45035 45037 45039 45041 Darlington, SC Dillon, SC Dorchester, SC Edgefield, SC Fairfield, SC Florence, SC 2 3 1 0 0 4 226 113 81 43 88 398 45043 45045 45047 45049 45051 45053 Georgetown, SC Greenville, SC Greenwood, SC Hampton, SC Horry, SC Jasper, SC 0 6 2 0 6 0 45055 45057 45059 45061 45063 45065 Kershaw, SC Lancaster, SC Laurens, SC Lee, SC Lexington, SC McCormick, SC 45067 45069 45071 45073 45075 45077 7 5 5 4 4 4 3 1 0 0 2 0 21 30 4 4 5 105 40 38 18 51 213 4 2 0 1 0 3 5 8 5 8 17 22 212 245 222 81 346 41 67 226 116 31 160 16 0 4 1 1 6 0 7 11 12 16 9 5 20 4 1 1 0 0 2 0 97 211 125 83 158 126 34 66 42 36 85 67 1 11 0 1 3 0 16 21 Marion, SC Marlboro, SC Newberry, SC Oconee, SC Orangeburg, SC Pickens, SC 3 1 1 0 5 0 80 21 85 64 396 27 37 11 34 21 179 11 1 1 0 0 1 0 45079 Richland, SC 45081 Saluda, SC 45083 Spartanburg, SC 6 1 3 1,098 41 457 531 12 214 17 0 5 322 4 11 5 15 4 31 51 4 11 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name Syphilis AIDS HIV 45085 Sumter, SC 5 422 177 9 18 19 45087 Union, SC 45089 Williamsburg, SC 45091 York, SC 1 1 2 45 254 217 28 122 66 2 0 6 5 8 6 HEP A HEP B TB Chlamydia Gonorrhea HEP C 47 TENNESSEE 49 93 40 116 11,648 5,343 247 172 286 47001 Anderson, TN 47003 Bedford, TN 3 0 0 0 0 0 0 1 106 57 38 27 0 0 0 1 2 2 47005 47007 47009 47011 47013 47015 Benton, TN Bledsoe, TN Blount, TN Bradley, TN Campbell, TN Cannon, TN 0 0 0 4 1 0 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 2 0 1 14 7 102 95 25 12 4 1 38 22 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 47017 47019 47021 47023 47025 47027 Carroll, TN Carter, TN Cheatham, TN Chester, TN Claiborne, TN Clay, TN 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 1 2 0 0 53 33 22 32 24 6 11 7 6 7 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 47029 47031 47033 47035 47037 47039 Cocke, TN Coffee, TN Crockett, TN Cumberland, TN Davidson, TN Decatur, TN 0 0 0 0 7 0 0 0 0 0 13 0 1 0 0 0 6 1 0 0 2 1 23 0 56 33 7 24 1,758 5 3 9 2 1 1,016 1 0 0 0 1 83 0 2 1 0 1 38 0 1 2 0 0 61 0 47041 47043 47045 47047 47049 47051 DeKalb, TN Dickson, TN Dyer, TN Fayette, TN Fentress, TN Franklin, TN 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 2 0 21 27 83 51 13 24 1 14 38 14 1 16 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 0 0 0 47053 47055 47057 47059 47061 47063 Gibson, TN Giles, TN Grainger, TN Greene, TN Grundy, TN Hamblen, TN 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 2 0 3 0 1 98 38 19 73 11 78 25 23 2 5 0 12 0 1 0 0 0 0 2 0 0 1 0 0 3 0 0 0 0 1 47065 47067 47069 47071 47073 47075 Hamilton, TN Hancock, TN Hardeman, TN Hardin, TN Hawkins, TN Haywood, TN 1 0 0 0 0 0 7 0 0 1 1 2 10 0 0 1 1 0 4 0 1 0 0 0 894 9 137 13 42 70 380 0 35 6 1 25 5 0 1 0 0 0 6 0 0 0 0 2 19 0 3 0 0 4 47077 Henderson, TN 47079 Henry, TN 47081 Hickman, TN 1 0 0 0 0 0 0 0 0 0 0 0 41 65 18 9 29 1 0 0 0 0 0 0 0 0 0 323 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B HEP C Syphilis AIDS HIV 47083 47085 47087 47089 Houston, TN Humphreys, TN Jackson, TN Jefferson, TN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 11 4 45 0 0 0 12 0 1 0 0 0 0 0 0 0 0 0 2 47091 47093 47095 47097 47099 47101 Johnson, TN Knox, TN Lake, TN Lauderdale, TN Lawrence, TN Lewis, TN 0 2 0 0 0 0 0 5 0 0 1 0 1 1 0 0 0 0 0 7 0 0 0 0 4 752 13 71 45 17 0 413 6 27 8 2 0 1 1 0 2 0 0 4 0 0 1 0 0 9 0 0 0 0 47103 47105 47107 47109 47111 47113 Lincoln, TN Loudon, TN McMinn, TN McNairy, TN Macon, TN Madison, TN 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 1 0 2 0 1 3 0 0 2 45 30 11 392 25 31 28 3 1 169 4 13 0 0 0 16 0 0 2 0 0 2 1 1 2 0 0 2 2 1 47115 47117 47119 47121 47123 47125 Marion, TN Marshall, TN Maury, TN Meigs, TN Monroe, TN Montgomery, TN 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 2 0 1 2 159 50 46 4 49 189 64 11 6 1 11 63 1 0 0 0 0 2 0 0 0 0 0 2 0 1 0 1 0 1 47127 47129 47131 47133 47135 47137 Moore, TN Morgan, TN Obion, TN Overton, TN Perry, TN Pickett, TN 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 2 10 63 16 3 2 0 2 28 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 47139 47141 47143 47145 47147 47149 Polk, TN Putnam, TN Rhea, TN Roane, TN Robertson, TN Rutherford, TN 0 0 0 0 1 0 0 1 1 1 3 0 0 4 0 0 1 0 0 3 1 0 0 3 8 80 15 48 48 219 0 2 6 17 30 86 0 0 0 0 2 3 0 0 0 1 2 1 0 4 0 0 0 3 47151 47153 47155 47157 47159 47161 Scott, TN Sequatchie, TN Sevier, TN Shelby, TN Smith, TN Stewart, TN 3 0 2 14 0 0 0 0 0 40 1 0 0 0 1 1 0 0 0 1 1 31 0 0 13 4 47 3,943 12 10 1 0 10 2,225 2 5 0 0 0 123 0 0 0 0 0 89 0 0 0 0 2 149 0 0 47163 47165 47167 47169 47171 47173 Sullivan, TN Sumner, TN Tipton, TN Trousdale, TN Unicoi, TN Union, TN 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 2 1 1 0 1 1 135 146 102 3 6 21 23 64 45 3 0 7 1 1 1 0 0 0 3 0 2 1 0 0 0 1 1 0 0 0 TB Chlamydia Gonorrhea 324 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV 2000 INCIDENCE OF INFECTIOUS DISEASES IN FEMALES HEPATITIS FIPS Code County Name HEP A HEP B HEP C Syphilis AIDS HIV 47175 47177 47179 47181 Van Buren, TN Warren, TN Washington, TN Wayne, TN 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 5 60 95 10 0 4 33 0 0 0 0 0 0 0 0 0 0 0 0 0 47183 47185 47187 47189 Weakley, TN White, TN Williamson, TN Wilson, TN 0 0 1 1 2 0 0 1 1 0 0 0 0 0 0 1 61 10 45 111 17 1 8 40 0 0 0 0 0 0 2 1 0 0 2 1 5,552 2,997 1,180 6,148 563,206 178,854 2,445 TB Chlamydia Gonorrhea 84 REGION IV 91 UNITED STATES Note: Data could not be obtained for all states for all diseases. Refer to Appendix A for a discussion of data availability and the suppression guidelines applied by individual states. 325 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY FIPS Code County Name 01 ALABAMA 2000 White 1998 2000 White 1998 – 2000 Black 2000 Black 1998 2000 1998 2000 2000 API 2000 API Hispanic Hispanic 1998 2000 AmInd 2000 AmInd 42,061 41,777 20,512 20,099 01001 01003 01005 01007 Autauga, AL Baldwin, AL Barbour, AL Bibb, AL 446 1,551 172 209 467 1,481 162 233 135 239 226 74 127 262 205 69 01009 01011 01013 01015 01017 01019 Blount, AL Bullock, AL Butler, AL Calhoun, AL Chambers, AL Cherokee, AL 666 35 146 1,147 279 287 649 31 143 1,200 268 269 8 127 158 371 210 16 8 129 156 379 211 21 0 0 0 3 1 0 01021 01023 01025 01027 01029 01031 Chilton, AL Choctaw, AL Clarke, AL Clay, AL Cleburne, AL Coffee, AL 523 102 215 156 178 434 466 111 219 157 177 430 63 99 219 35 11 128 59 102 233 31 10 125 1 0 0 0 0 4 01033 01035 01037 01039 01041 01043 Colbert, AL Conecuh, AL Coosa, AL Covington, AL Crenshaw, AL Cullman, AL 534 63 66 360 117 980 559 73 79 368 127 990 129 117 51 90 52 9 130 114 46 88 44 9 2 0 1 1 0 1 01045 01047 01049 01051 01053 01055 Dale, AL Dallas, AL DeKalb, AL Elmore, AL Escambia, AL Etowah, AL 590 183 894 743 312 1,134 564 195 878 706 300 1,109 189 624 14 233 211 245 192 628 17 219 187 246 3 0 2 2 19 1 01057 01059 01061 01063 01065 01067 Fayette, AL Franklin, AL Geneva, AL Greene, AL Hale, AL Henry, AL 207 437 250 23 77 129 196 417 268 20 90 131 27 9 45 122 192 85 25 15 43 134 180 74 01069 01071 01073 01075 01077 01079 Houston, AL Jackson, AL Jefferson, AL Lamar, AL Lauderdale, AL Lawrence, AL 921 629 4,970 178 872 373 855 635 4,890 168 899 367 460 21 4,468 25 116 60 421 23 4,457 23 134 59 1,011 830 32 986 780 36 417 119 192 406 104 186 01081 Lee, AL 01083 Limestone, AL 01085 Lowndes, AL 326 182 8 6 18 161 1 7 1 0 544 15 7 8 11 0 0 2 1 0 0 7 8 1 6 11 0 2 1 2 2 1 461 1,901 1,611 2 12 2 0 6 52 14 5 41 7 1 1 1 0 8 2 0 100 19 82 13 0 34 2 2 2 0 1 0 1 4 33 2 2 0 0 0 2 5 10 3 2 4 1 6 1 0 1 0 0 0 11 121 27 38 8 33 45 34 132 13 5 72 72 10 8 2 91 0 3 0 19 16 297 27 4 0 19 69 15 26 0 2 6 5 28 11 1 1 2 1 37 37 3 113 10 4 56 1 66 6 0 1 3 16 14 237 2 15 4 19 47 1 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY 1998 – 2000 White 1998 – 2000 Black FIPS Code County Name 01087 01089 01091 01093 Macon, AL Madison, AL Marengo, AL Marion, AL 52 2,552 132 364 46 2,632 125 368 262 1,108 218 13 262 1,073 202 13 01095 01097 01099 01101 01103 01105 Marshall, AL Mobile, AL Monroe, AL Montgomery, AL Morgan, AL Perry, AL 1,151 3,611 182 1,439 1,331 26 1,195 3,644 187 1,427 1,333 31 10 2,619 170 2,166 240 186 11 2,584 179 2,072 222 169 01107 01109 01111 01113 01115 01117 Pickens, AL Pike, AL Randolph, AL Russell, AL St. Clair, AL Shelby, AL 146 227 206 398 798 2,003 137 226 202 425 772 1,994 151 230 92 298 72 196 153 208 84 303 67 175 01119 01121 01123 01125 01127 01129 Sumter, AL Talladega, AL Tallapoosa, AL Tuscaloosa, AL Walker, AL Washington, AL 34 724 345 1,438 903 156 38 708 358 1,412 866 153 186 412 197 864 70 86 177 417 192 854 72 74 39 343 40 308 224 202 2 01131 Wilcox, AL 01133 Winston, AL 12 FLORIDA 2000 White 2000 Black 1998 – 2000 1998 – 2000 2000 API 2000 API Hispanic Hispanic 1998 – 2000 AmInd 2000 AmInd 19 37 6 0 20 1 1 4 25 1 6 3 0 5 0 0 1 1 1 4 17 1 0 0 2 0 14 78 92 45 12 21 26 0 0 3 76 1 44 8 0 0 1 1 4 2 18 0 2 0 20 1 1 94 6 5 196 74 5 52 147 5 7 6 61 5 10 50 17 0 89 4 5 185 60 4 48 121 2 1 2 6 9 7 49 0 4 6 32 10 1 0 1 5 0 5 150,608 147,841 47,367 45,611 963 5,021 4,514 45,856 42,293 12001 Alachua, FL 1,690 1,610 796 769 4 113 90 110 109 12003 12005 12007 12009 Baker, FL Bay, FL Bradford, FL Brevard, FL 309 1,666 255 4,154 309 1,638 264 4,062 43 281 59 705 46 296 55 662 2 18 0 20 45 6 136 1 46 4 112 65 5 321 4 59 5 288 12011 12013 12015 12017 12019 12021 Broward, FL Calhoun, FL Charlotte, FL Citrus, FL Clay, FL Collier, FL 13,742 126 957 824 1,608 2,653 13,511 122 928 782 1,578 2,510 7,648 28 54 27 156 352 7,114 25 68 39 153 323 572 1 14 12 52 34 4,955 9 63 19 101 1,271 4,454 5 59 20 79 1,130 12023 12027 12029 12031 12033 12035 Columbia, FL DeSoto, FL Dixie, FL Duval, FL Escambia, FL Flagler, FL 602 359 139 7,453 2,486 361 599 353 148 7,506 2,576 318 145 61 19 4,229 1,182 47 149 63 17 4,154 1,179 49 7 1 0 446 123 4 22 147 5 556 126 24 18 126 3 505 103 23 94 270 100 263 12 435 16 441 1 1 99 1 99 12037 Franklin, FL 12039 Gadsden, FL 327 1,129 0 66 2 1 20 20 66 5 10 15 9 34 42 62 1 1 3 8 23 637 6 1 0 32 35 0 9 0 1 23 14 56 47 464 135 6 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY FIPS Code County Name 12041 12043 12045 12047 Gilchrist, FL Glades, FL Gulf, FL Hamilton, FL 12049 12051 12053 12055 12057 12059 2000 White 1998 2000 White 1998 – 2000 Black 2000 Black 177 66 108 116 164 61 110 105 10 16 57 4 12 23 62 Hardee, FL Hendry, FL Hernando, FL Highlands, FL Hillsborough, FL Holmes, FL 419 529 1,067 666 11,197 205 425 518 1,015 666 11,104 192 31 96 87 159 2,993 9 23 105 74 160 2,930 7 12061 12063 12065 12067 12069 12071 Indian River, FL Jackson, FL Jefferson, FL Lafayette, FL Lake, FL Lee, FL 949 408 75 79 1,972 4,411 900 393 80 69 1,903 4,107 164 161 61 12 352 739 161 158 66 9 336 697 12073 12075 12077 12079 12081 12083 Leon, FL Levy, FL Liberty, FL Madison, FL Manatee, FL Marion, FL 1,760 357 70 99 2,714 2,273 1,762 331 72 99 2,575 2,229 1,138 67 8 117 470 581 1,142 67 10 110 430 530 12085 12086 12087 12089 12091 12093 Martin, FL Miami-Dade, FL Monroe, FL Nassau, FL Okaloosa, FL Okeechobee, FL 982 22,120 704 690 1,909 483 959 21,845 676 684 1,913 452 129 9,446 67 48 343 37 126 9,336 71 60 307 37 111 254 6 12095 12097 12099 12101 12103 12105 Orange, FL Osceola, FL Palm Beach, FL Pasco, FL Pinellas, FL Polk, FL 9,713 2,264 9,265 3,544 7,533 5,444 9,435 2,108 9,265 3,367 7,517 5,258 3,751 252 3,491 143 1,656 1,330 3,415 217 3,383 124 1,551 1,308 12107 12109 12111 12113 12115 12117 Putnam, FL St. Johns, FL St. Lucie, FL Santa Rosa, FL Sarasota, FL Seminole, FL 662 1,166 1,576 1,387 2,365 3,780 676 1,096 1,556 1,410 2,347 3,672 234 141 621 70 289 646 237 126 623 73 253 604 12119 12121 12123 12125 Sumter, FL Suwannee, FL Taylor, FL Union, FL 364 383 189 109 347 391 186 124 107 81 56 24 86 71 54 25 328 1998 2000 1998 2000 2000 API 2000 API Hispanic Hispanic 1998 2000 AmInd 2000 AmInd 13 16 5 5 45 8 5 6 10 0 11 1 0 1 0 1 0 1 15 4 3 44 1 0 2 16 12 397 2 265 315 67 187 3,543 261 281 64 179 3,308 3 15 3 0 0 28 41 182 8 160 12 2 9 256 784 2 4 0 1 5 5 5 2 1 0 4 12 17 11 438 12 31 46 90 49 38 6 16 15 10 297 1,049 96 20 5 19 2 13 80 3 0 1 40 30 9 739 254 85 18 3 6 658 228 13 460 17 5 86 3 182 18,086 213 12 142 180 181 17,617 181 9 122 147 18 486 18 12 5 87 168 3 1 18 5 34 8 211 13 37 13 30 6 196 10 26 12 580 92 359 61 372 90 513 77 311 58 341 83 3,456 1,005 3,052 394 873 1,180 2,983 852 2,768 332 764 1,022 10 12 7 11 1 3 6 12 6 13 18 44 32 57 149 2 18 32 32 46 138 107 52 330 30 325 623 98 43 294 37 263 570 3 2 2 0 41 47 43 39 3 2 1 0 2 0 99 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY FIPS Code County Name 12127 12129 12131 12133 Volusia, FL Wakulla, FL Walton, FL Washington, FL 13 GEORGIA 2000 White 1998 – 2000 White 1998 – 2000 Black 2000 Black 1998 – 2000 AmInd 2000 AmInd 3,696 248 390 177 3,706 232 384 181 681 36 40 39 666 39 41 42 7 303 1998 – 2000 2000 Hispanic Hispanic 1998 – 2000 API 2000 API 6 0 4 3 72 254 3,534 7 69 1 4 2 509 13 5 460 1 13 3 10,720 84,646 81,379 44,161 42,514 3,096 13,363 13001 Appling, GA 193 189 72 65 1 1 21 20 13003 13005 13007 13009 13011 13013 Atkinson, GA Bacon, GA Baker, GA Baldwin, GA Banks, GA Barrow, GA 132 106 19 222 150 707 128 107 21 224 156 700 38 38 18 298 6 58 36 34 20 281 6 63 1 0 0 1 0 0 1 2 0 11 1 22 54 8 45 7 1 8 12 26 13015 13017 13019 13021 13023 13025 Bartow, GA Ben Hill, GA Berrien, GA Bibb, GA Bleckley, GA Brantley, GA 1,259 210 214 1,050 105 114 1,247 182 219 1,039 101 111 133 115 44 1,501 52 5 126 125 42 1,431 55 3 2 1 1 2 0 0 9 0 0 30 1 0 84 27 6 42 66 26 9 39 2 2 13027 13029 13031 13033 13035 13037 Brooks, GA Bryan, GA Bulloch, GA Burke, GA Butts, GA Calhoun, GA 86 333 387 162 219 23 86 322 413 145 195 26 102 60 269 251 91 67 100 64 252 241 90 67 0 1 0 0 0 0 0 4 5 0 1 0 8 10 18 6 6 16 6 4 3 13039 13043 13045 13047 13049 13051 Camden, GA Candler, GA Carroll, GA Catoosa, GA Charlton, GA Chatham, GA 546 123 1,136 707 98 1,692 560 111 1,081 664 91 1,708 134 46 258 12 39 1,764 129 48 233 10 40 1,785 4 0 0 1 0 5 15 0 7 7 2 57 31 29 54 11 29 29 41 9 0 84 13053 13055 13057 13059 13061 13063 Chattahoochee, GA Chattooga, GA Cherokee, GA Clarke, GA Clay, GA Clayton, GA 173 307 2,337 793 20 1,591 159 309 2,203 755 21 1,555 77 23 63 489 56 2,501 79 25 56 470 49 2,284 13065 13067 13069 13071 13073 13075 Clinch, GA Cobb, GA Coffee, GA Colquitt, GA Columbia, GA Cook, GA 83 7,455 468 486 1,037 147 77 7,044 461 471 980 150 42 2,469 201 219 148 92 39 2,248 198 194 163 84 13077 Coweta, GA 13079 Crawford, GA 1,206 102 1,125 108 280 35 277 35 329 8 22 9 19 21 0 1 10 6 0 13 0 17 2 1 5 1 4 0 14 27 10 25 5 6 13 12 5 70 6 17 44 187 434 25 5 18 11 13 38 99 7 1 18 46 1 189 562 19 10 167 182 1 429 0 358 3 4 28 2 1,675 82 120 42 13 0 1,320 64 116 31 12 13 0 22 14 222 223 70 40 0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY FIPS Code County Name 13081 13083 13085 13087 Crisp, GA Dade, GA Dawson, GA Decatur, GA 13089 13091 13093 13095 13097 13099 2000 White 1998 2000 White 1998 – 2000 Black 2000 Black 1998 2000 1998 2000 2000 API 2000 API Hispanic Hispanic 1998 2000 AmInd 2000 AmInd 143 172 260 219 147 178 245 222 196 220 199 1 1 223 DeKalb, GA Dodge, GA Dooly, GA Dougherty, GA Douglas, GA Early, GA 4,022 164 85 488 1,031 65 3,754 164 79 524 1,053 73 6,372 72 106 1,129 324 103 6,346 72 108 1,098 294 107 13101 13103 13105 13107 13109 13111 Echols, GA Effingham, GA Elbert, GA Emanuel, GA Evans, GA Fannin, GA 15 446 175 155 136 230 16 433 174 167 117 229 81 107 159 69 1 81 92 150 61 0 0 2 0 1 0 1 13113 13115 13117 13119 13121 13123 Fayette, GA Floyd, GA Forsyth, GA Franklin, GA Fulton, GA Gilmer, GA 787 1,085 1,889 204 6,453 345 764 1,051 1,723 218 6,185 351 117 207 13 25 6,900 0 2 2 5 0 19 1 13125 13127 13129 13131 13133 13135 Glascock, GA Glynn, GA Gordon, GA Grady, GA Greene, GA Gwinnett, GA 24 659 761 230 74 7,727 28 598 697 217 77 7,228 344 31 142 119 1,689 3 335 25 119 114 1,479 13137 13139 13141 13143 13145 13147 Habersham, GA Hall, GA Hancock, GA Haralson, GA Harris, GA Hart, GA 525 2,659 14 354 240 199 493 2,368 14 338 218 197 5 175 105 27 54 61 8 158 114 23 64 61 1 4 0 0 0 0 13149 13151 13153 13155 13157 13159 Heard, GA Henry, GA Houston, GA Irwin, GA Jackson, GA Jasper, GA 122 1,657 1,065 60 673 78 130 1,621 1,045 63 616 81 21 383 494 48 42 50 18 291 454 44 40 48 0 4 2 0 0 0 13161 13163 13165 13167 Jeff Davis, GA Jefferson, GA Jenkins, GA Johnson, GA 197 96 68 76 191 92 63 71 34 188 67 52 42 184 68 55 0 0 0 0 128 226 13 28 7,089 330 1 1 1 1 25 6 22 38 27 0 0 0 4 0 0 1 1 0 0 33 3 1 1 1 511 8 23 18 16 32 521 7 7 915 17 50 49 35 9 472 1 0 10 21 0 12 21 1,604 16 23 56 2 2 7 18 1,334 2 14 17 40 1 0 3 1 3 1 1 7 18 12 39 3 6 10 11 26 2 22 13 21 1 409 1 29 172 154 8 1,716 35 27 148 106 5 1,466 35 0 6 8 1 1 785 47 164 49 11 2,066 0 28 110 41 9 1,519 15 39 0 1 1 3 1 39 30 1 10 1 1 1 0 1 113 1,031 48 46 35 11 27 5 5 94 826 0 2 1 2 1 42 42 1 26 7 18 4 4 0 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY 1998 – 2000 White 1998 – 2000 Black 1998 – 2000 1998 – 2000 2000 API 2000 API Hispanic Hispanic 1998 – 2000 AmInd FIPS Code County Name 13169 13171 13173 13175 Jones, GA Lamar, GA Lanier, GA Laurens, GA 193 128 66 370 205 137 61 364 56 71 18 312 67 62 24 285 0 0 0 1 13177 13179 13181 13183 13185 13187 Lee, GA Liberty, GA Lincoln, GA Long, GA Lowndes, GA Lumpkin, GA 260 775 58 141 889 299 264 825 49 133 864 251 67 616 40 40 600 58 616 35 35 613 3 0 10 0 1 2 2 13189 13191 13193 13195 13197 13199 McDuffie, GA McIntosh, GA Macon, GA Madison, GA Marion, GA Meriwether, GA 189 94 89 317 63 145 182 90 76 313 64 148 184 79 151 30 34 140 165 70 147 30 39 144 0 0 0 1 0 1 0 1 1 1 2 1 13201 13205 13207 13209 13211 13213 Miller, GA Mitchell, GA Monroe, GA Montgomery, GA Morgan, GA Murray, GA 59 162 173 84 156 535 47 160 191 86 136 510 38 195 94 30 69 38 205 88 27 71 1 0 0 0 0 0 1 0 1 2 0 0 1 13215 13217 13219 13221 13223 13225 Muscogee, GA Newton, GA Oconee, GA Oglethorpe, GA Paulding, GA Peach, GA 1,524 855 270 122 1,392 220 1,478 804 264 108 1,315 218 1,592 285 22 31 108 186 1,569 255 18 32 82 167 13227 13229 13231 13233 13235 13237 Pickens, GA Pierce, GA Pike, GA Polk, GA Pulaski, GA Putnam, GA 322 212 149 572 65 146 290 212 160 534 72 134 5 28 26 75 58 125 5 28 23 77 57 114 13239 13241 13243 13245 13247 13249 Quitman, GA Rabun, GA Randolph, GA Richmond, GA Rockdale, GA Schley, GA 25 183 20 1,391 707 35 17 175 32 1,367 691 33 27 70 1,874 270 22 21 2 81 1,792 223 22 13251 13253 13255 13257 Screven, GA Seminole, GA Spalding, GA Stephens, GA 88 73 536 320 91 77 547 306 109 62 345 45 114 69 346 50 2000 White 2000 Black 331 2000 AmInd 10 10 12 7 0 0 0 1 2 6 35 30 3 40 0 1 24 2 6 110 9 69 25 6 8 14 14 12 50 58 5 5 0 8 2 160 24 7 0 1 0 2 0 0 0 1 0 2 2 1 19 10 0 0 0 8 3 0 0 0 0 48 18 0 0 0 1 0 71 5 5 3 1 0 8 11 52 10 5 0 0 6 3 16 27 114 8 22 85 130 21 4 1 1 8 0 110 0 8 52 19 5 1 8 6 10 1 1 12 4 10 3 32 137 17 9 2 17 27 12 10 1 87 2 5 0 17 0 78 90 2 1 4 20 6 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY 1998 2000 White 1998 – 2000 Black 1998 2000 1998 2000 2000 API 2000 API Hispanic Hispanic 1998 2000 AmInd FIPS Code County Name 13259 13261 13263 13265 Stewart, GA Sumter, GA Talbot, GA Taliaferro, GA 18 205 29 7 19 211 26 9 39 317 60 16 42 333 58 15 0 1 0 0 0 3 0 0 13267 13269 13271 13273 13275 13277 Tattnall, GA Taylor, GA Telfair, GA Terrell, GA Thomas, GA Tift, GA 243 61 103 54 327 429 243 63 94 43 355 409 78 64 91 136 318 217 82 62 77 135 315 218 1 0 0 0 1 0 1 0 0 1 4 2 13279 13281 13283 13285 13287 13289 Toombs, GA Towns, GA Treutlen, GA Troup, GA Turner, GA Twiggs, GA 312 93 61 571 69 65 304 90 55 587 69 68 144 26 352 90 63 128 0 32 340 82 66 0 0 0 1 0 0 13291 13293 13295 13297 13299 13301 Union, GA Upson, GA Walker, GA Walton, GA Ware, GA Warren, GA 193 239 751 840 338 26 170 236 776 826 344 25 121 34 171 180 58 1 120 34 160 164 58 0 0 1 1 1 0 13303 13305 13307 13309 13311 13313 Washington, GA Wayne, GA Webster, GA Wheeler, GA White, GA Whitfield, GA 113 280 13 45 264 1,741 111 278 13 46 252 1,642 153 74 19 23 38 148 79 14 24 3 47 1 0 0 0 0 3 13315 13317 13319 13321 Wilcox, GA Wilkes, GA Wilkinson, GA Worth, GA 66 56 90 147 68 63 95 150 43 71 68 131 50 64 72 128 1 0 0 2 50,216 49,282 5,127 4,989 212 231 252 212 238 247 8 4 1 6 0 0 0 0 1 0 1 2 2 90 474 161 367 1,386 211 90 445 156 371 1,312 219 24 17 4 21 1 4 22 18 0 1 0 0 2 0 1 3 0 1 21 0 0 6 2 2 33 5 528 311 520 283 7 31 9 29 0 0 21 KENTUCKY 21001 Adair, KY 21003 Allen, KY 21005 Anderson, KY 21007 21009 21011 21013 21015 21017 Ballard, KY Barren, KY Bath, KY Bell, KY Boone, KY Bourbon, KY 21019 Boyd, KY 21021 Boyle, KY 2000 White 2000 Black 16 2000 AmInd 332 75 89 6 6 6 11 5 22 611 27 4 1 0 5 0 1 0 1 3 11 3 0 1 1 0 0 2 17 22 89 7 16 104 60 16 9 10 10 29 16 12 7 680 1 20 0 0 72 2 4 1 16 86 57 1 2 10 5 1 2 6 8 25 19 0 1 10 1 4 4 564 0 1 0 2 6 3 2 2 1 560 1,089 930 2 2 34 6 4 3 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY FIPS Code County Name 21023 21025 21027 21029 Bracken, KY Breathitt, KY Breckinridge, KY Bullitt, KY 21031 21033 21035 21037 21039 21041 2000 White 1998 – 2000 White 112 143 214 725 109 160 222 730 Butler, KY Caldwell, KY Calloway, KY Campbell, KY Carlisle, KY Carroll, KY 159 119 312 1,204 69 151 164 130 324 1,249 67 132 21043 21045 21047 21049 21051 21053 Carter, KY Casey, KY Christian, KY Clark, KY Clay, KY Clinton, KY 362 195 1,200 406 276 130 364 200 1,108 416 284 133 21055 21057 21059 21061 21063 21065 Crittenden, KY Cumberland, KY Daviess, KY Edmonson, KY Elliott, KY Estill, KY 105 87 1,215 133 79 184 106 75 1,226 123 68 193 21067 21069 21071 21073 21075 21077 Fayette, KY Fleming, KY Floyd, KY Franklin, KY Fulton, KY Gallatin, KY 3,022 157 537 552 69 111 2,874 170 532 551 75 112 21079 21081 21083 21085 21087 21089 Garrard, KY Grant, KY Graves, KY Grayson, KY Green, KY Greenup, KY 178 398 470 361 124 436 171 377 475 321 115 402 21091 21093 21095 21097 21099 21101 Hancock, KY Hardin, KY Harlan, KY Harrison, KY Hart, KY Henderson, KY 158 1,248 409 232 233 564 126 1,239 414 234 221 563 21103 21105 21107 21109 Henry, KY Hickman, KY Hopkins, KY Jackson, KY 230 39 586 192 209 44 561 182 1998 – 2000 Black 2000 Black 8 8 15 33 430 19 70 581 57 35 30 5 193 6 7 46 5 7 36 1998 – 2000 1998 – 2000 2000 API 2000 API Hispanic Hispanic 1998 – 2000 AmInd 2000 AmInd 1 0 7 3 0 0 0 1 0 1 0 3 1 8 16 27 1 1 0 0 0 1 0 1 0 1 5 13 0 1 1 1 405 22 4 0 0 0 10 0 0 0 9 0 2 77 0 0 0 587 3 1 57 32 2 0 0 2 0 0 0 6 4 1 22 3 2 3 0 203 10 4 8 43 4 6 45 0 333 8 0 0 0 0 1 14 34 8 93 7 0 0 1 1 0 1 6 0 4 1 0 0 0 0 0 2 0 1 0 30 2 0 0 0 0 6 0 0 0 79 1 2 10 0 0 0 2 1 0 0 2 31 8 1 34 1 1 0 4 2 0 4 0 5 7 17 11 100 5 13 208 10 8 19 52 5 8 9 5 0 1 3 4 0 1 6 15 1 5 0 4 93 4 1 2 0 0 11 0 0 0 146 1 1 9 1 3 3 5 19 1 1 2 3 48 1 3 1 4 9 1 6 0 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY FIPS Code County Name 21111 21113 21115 21117 Jefferson, KY Jessamine, KY Johnson, KY Kenton, KY 21119 21121 21123 21125 21127 21129 2000 White 1998 2000 White 7,358 539 323 2,272 7,250 540 317 2,215 Knott, KY Knox, KY Larue, KY Laurel, KY Lawrence, KY Lee, KY 182 460 166 761 197 89 197 453 156 762 186 88 21131 21133 21135 21137 21139 21141 Leslie, KY Letcher, KY Lewis, KY Lincoln, KY Livingston, KY Logan, KY 149 285 193 314 110 382 159 297 183 302 96 340 21143 21145 21147 21149 21151 21153 Lyon, KY McCracken, KY McCreary, KY McLean, KY Madison, KY Magoffin, KY 56 711 225 153 910 204 55 697 224 138 901 190 21155 21157 21159 21161 21163 21165 Marion, KY Marshall, KY Martin, KY Mason, KY Meade, KY Menifee, KY 228 296 176 228 285 89 226 296 191 224 298 85 21167 21169 21171 21173 21175 21177 Mercer, KY Metcalfe, KY Monroe, KY Montgomery, KY Morgan, KY Muhlenberg, KY 268 150 158 341 136 388 255 135 149 326 149 400 21179 21181 21183 21185 21187 21189 Nelson, KY Nicholas, KY Ohio, KY Oldham, KY Owen, KY Owsley, KY 520 99 311 520 123 52 518 99 295 511 124 59 21191 21193 21195 21197 Pendleton, KY Perry, KY Pike, KY Powell, KY 201 429 763 185 188 402 808 188 1998 – 2000 Black 2000 Black 2,528 13 141 5 8 7 6 35 131 39 19 23 8 12 10 10 33 9 8 2,431 13 0 120 1998 2000 1998 2000 2000 API 2000 API Hispanic Hispanic 1998 2000 AmInd 2000 AmInd 22 27 1 0 3 2 4 7 5 1 0 0 1 0 0 0 0 0 0 0 6 0 30 222 31 199 4 0 20 208 11 38 190 8 1 36 0 2 1 5 0 0 0 1 1 3 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 1 1 2 1 4 1 134 0 1 43 1 0 1 0 0 1 0 1 8 0 0 6 0 18 0 0 17 8 0 0 0 0 0 1 0 1 1 0 1 0 0 12 0 5 7 1 13 0 0 1 0 0 0 1 0 0 0 0 1 7 34 0 2 10 1 0 0 0 0 1 0 0 4 0 1 3 1 0 8 0 6 3 0 0 0 0 0 0 2 3 0 334 6 6 7 5 17 7 0 12 0 0 7 0 2 1 0 2 2 0 6 6 10 5 1 1 5 0 1 4 0 4 11 4 0 1 0 1 1 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY 1998 – 2000 White FIPS Code County Name 21199 21201 21203 21205 Pulaski, KY Robertson, KY Rockcastle, KY Rowan, KY 699 24 213 275 715 26 202 259 21207 21209 21211 21213 21215 21217 Russell, KY Scott, KY Shelby, KY Simpson, KY Spencer, KY Taylor, KY 213 500 471 205 174 275 189 470 422 208 161 270 21219 21221 21223 21225 21227 21229 Todd, KY Trigg, KY Trimble, KY Union, KY Warren, KY Washington, KY 161 126 105 173 1,060 123 161 121 105 171 1,079 118 21231 21233 21235 21237 21239 Wayne, KY Webster, KY Whitley, KY Wolfe, KY Woodford, KY 245 186 491 105 298 245 176 483 106 278 28 MISSISSIPPI 2000 White 1998 – 2000 Black 2000 Black 5 2000 AmInd 1998 – 2000 1998 – 2000 2000 API 2000 API Hispanic Hispanic 1998 – 2000 AmInd 5 0 0 3 0 0 0 0 1 21 36 29 1 13 0 1 1 0 1 0 12 17 0 18 122 13 1 0 1 0 1 0 7 3 7 0 0 12 1 0 2 0 0 26 42 31 17 16 16 21 126 12 8 0 4 4 2 0 0 2 5 31 3 2 3 1 1 0 2 25 0 1 0 1 0 1 394 54 46 10 6 2 3 0 46 6 14 2 8 2 0 12 15 23,540 23,059 19,893 19,550 388 623 492 167 379 170 374 317 75 322 70 0 0 3 1 8 2 5 28005 28007 28009 28011 28013 28015 Amite, MS Attala, MS Benton, MS Bolivar, MS Calhoun, MS Carroll, MS 91 137 76 157 137 78 86 138 67 159 130 66 82 149 56 512 83 40 84 130 55 511 72 43 0 0 1 0 0 0 0 1 0 3 0 0 28017 28019 28021 28023 28025 28027 Chickasaw, MS Choctaw, MS Claiborne, MS Clarke, MS Clay, MS Coahoma, MS 159 68 14 146 91 107 169 76 14 130 104 104 154 53 180 113 232 543 153 46 158 111 238 508 0 0 0 0 0 1 0 0 1 1 1 2 14 28029 28031 28033 28035 28037 28039 Copiah, MS Covington, MS DeSoto, MS Forrest, MS Franklin, MS George, MS 194 168 1,580 614 62 291 177 165 1,441 597 70 301 265 136 215 469 48 34 257 137 216 473 55 37 0 0 2 1 0 0 2 1 14 12 0 1 12 126 166 128 162 29 161 35 150 0 0 335 236 25 4 1 0 1 28001 Adams, MS 28003 Alcorn, MS 28041 Greene, MS 28043 Grenada, MS 248 5 9 2 0 0 1 17 8 0 4 5 5 6 6 65 12 0 4 1 4 4 0 10 1 0 0 1 6 6 1 46 10 0 3 0 0 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY 1998 2000 White 1998 – 2000 Black 1998 2000 AmInd FIPS Code County Name 28045 28047 28049 28051 Hancock, MS Harrison, MS Hinds, MS Holmes, MS 518 2,096 1,043 49 475 2,077 1,054 48 46 757 2,938 371 43 756 2,880 365 28053 28055 28057 28059 28061 28063 Humphreys, MS Issaquena, MS Itawamba, MS Jackson, MS Jasper, MS Jefferson, MS 35 8 262 1,338 101 10 38 6 241 1,323 104 11 167 22 19 541 187 140 166 19 19 523 182 124 28065 28067 28069 28071 28073 28075 Jefferson Davis, MS Jones, MS Kemper, MS Lafayette, MS Lamar, MS Lauderdale, MS 76 642 36 244 489 621 67 600 35 246 511 615 127 397 96 171 109 528 140 379 105 173 93 563 28077 28079 28081 28083 28085 28087 Lawrence, MS Leake, MS Lee, MS Leflore, MS Lincoln, MS Lowndes, MS 114 190 865 126 283 443 114 168 830 128 300 477 75 154 409 505 177 496 68 149 395 498 178 484 28089 28091 28093 28095 28097 28099 Madison, MS Marion, MS Marshall, MS Monroe, MS Montgomery, MS Neshoba, MS 668 224 237 318 70 253 643 226 227 321 70 246 601 161 321 189 93 112 570 154 302 196 99 113 28101 28103 28105 28107 28109 28111 Newton, MS Noxubee, MS Oktibbeha, MS Panola, MS Pearl River, MS Perry, MS 199 49 264 218 555 135 184 53 252 225 553 138 124 168 285 365 105 43 118 172 265 348 109 53 28113 28115 28117 28119 28121 28123 Pike, MS Pontotoc, MS Prentiss, MS Quitman, MS Rankin, MS Scott, MS 255 348 288 27 1,375 241 247 325 289 33 1,307 236 376 54 57 139 307 214 393 55 51 142 295 203 0 0 0 0 2 3 28125 28127 28129 28131 Sharkey, MS Simpson, MS Smith, MS Stone, MS 13 218 125 161 17 221 137 146 93 169 53 52 97 182 67 56 0 0 0 2 2000 White 2000 Black 336 2000 AmInd 5 20 3 14 2 0 0 0 0 3 2 0 7 30 111 41 0 6 1 0 0 1 0 29 1 0 0 1 1 0 1 0 0 113 35 0 1 0 2 0 1998 2000 2000 Hispanic Hispanic 1998 2000 API 2000 API 8 117 31 48 9 6 14 5 19 19 14 6 116 33 0 1 0 2 38 1 1 0 2 0 11 4 7 1 1 11 3 1 8 19 1 1 2 2 2 1 1 18 2 1 0 3 0 1 0 13 1 1 1 0 1 6 81 14 41 51 10 12 24 19 5 11 16 8 8 12 22 29 5 8 72 17 0 2 0 0 26 1 0 1 21 0 2 9 14 1 13 13 6 1 11 10 1 3 2 1 4 3 2 5 2 7 1 2 6 1 1 20 25 1 3 1 2 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY 1998 – 2000 White 1998 – 2000 Black 1998 – 2000 AmInd 1998 – 2000 2000 Hispanic Hispanic 1998 – 2000 API FIPS Code County Name 28133 28135 28137 28139 Sunflower, MS Tallahatchie, MS Tate, MS Tippah, MS 106 61 256 280 113 64 240 265 444 152 158 68 438 149 150 61 0 0 0 0 28141 28143 28145 28147 28149 28151 Tishomingo, MS Tunica, MS Union, MS Walthall, MS Warren, MS Washington, MS 233 26 349 95 329 276 237 26 309 96 359 282 6 155 76 127 479 858 4 146 81 129 448 868 1 0 0 0 1 0 28153 28155 28157 28159 28161 28163 Wayne, MS Webster, MS Wilkinson, MS Winston, MS Yalobusha, MS Yazoo, MS 153 113 23 132 106 164 161 104 30 117 100 163 163 45 114 177 91 321 172 38 106 163 91 306 1 0 1 4 0 0 86,428 82,333 29,369 28,680 1,740 1,717 2,774 2,535 12,557 10,177 1,511 1,396 364 356 5 6 23 20 349 276 18 0 0 1 0 0 0 13 18 10 7 11 0 3 0 1 3 9 9 60 18 6 1 10 6 54 1 11 7 4 2 6 5 32 90 34 0 1 4 28 96 28 10 38 37 181 104 282 5 37 35 142 77 209 7 2 6 0 117 5 52 35 0 21 8 221 143 37 NORTH CAROLINA 37001 Alamance, NC 2000 White 2000 Black 37003 37005 37007 37009 37011 37013 Alexander, NC Alleghany, NC Anson, NC Ashe, NC Avery, NC Beaufort, NC 436 125 140 255 180 406 415 110 141 260 171 388 228 19 1 200 2 1 231 37015 37017 37019 37021 37023 37025 Bertie, NC Bladen, NC Brunswick, NC Buncombe, NC Burke, NC Cabarrus, NC 62 281 707 2,319 1,014 1,838 58 271 665 2,260 984 1,663 186 189 137 244 62 286 187 187 135 229 64 266 37027 37029 37031 37033 37035 37037 Caldwell, NC Camden, NC Carteret, NC Caswell, NC Catawba, NC Chatham, NC 972 58 577 176 1,832 581 979 42 555 171 1,696 570 67 15 54 85 178 74 74 9 61 92 173 90 37039 37041 37043 37045 37047 37049 Cherokee, NC Chowan, NC Clay, NC Cleveland, NC Columbus, NC Craven, NC 260 86 80 945 497 1,176 253 110 70 953 491 1,147 374 289 436 4 100 0 337 306 429 3,348 219 3,329 189 2,025 14 1,990 18 37051 Cumberland, NC 37053 Currituck, NC 208 101 337 2000 AmInd 11 7 2000 API 8 5 2 0 4 0 5 2 22 15 3 0 0 1 26 8 109 90 0 6 9 4 0 1 1 0 0 1 0 7 5 1 1 0 0 0 2 12 122 6 17 25 184 7 6 13 13 12 7 5 7 27 7 316 166 5 5 5 1 3 10 7 2 8 1 8 9 1 3 0 2 1 4 1 1 0 13 1 35 35 45 118 3 4 0 25 42 100 174 2 549 11 520 6 Quality . 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HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY FIPS Code County Name 37055 Dare, NC 2000 White 1998 2000 White 1998 – 2000 Black 2000 Black 334 315 13 11 37057 37059 37061 37063 Davidson, NC Davie, NC Duplin, NC Durham, NC 1,735 457 626 2,037 1,671 409 582 1,861 202 22 205 1,583 198 24 196 1,538 37065 37067 37069 37071 37073 37075 Edgecombe, NC Forsyth, NC Franklin, NC Gaston, NC Gates, NC Graham, NC 314 3,297 489 2,275 63 96 300 3,178 433 2,161 59 91 538 1,233 178 427 44 529 1,227 179 459 48 0 37077 37079 37081 37083 37085 37087 Granville, NC Greene, NC Guilford, NC Halifax, NC Harnett, NC Haywood, NC 411 145 3,674 292 1,094 555 397 144 3,525 270 1,050 537 186 113 2,138 472 313 5 191 120 2,031 447 333 5 37089 37091 37093 37095 37097 37099 Henderson, NC Hertford, NC Hoke, NC Hyde, NC Iredell, NC Jackson, NC 978 74 379 48 1,630 296 970 82 364 39 1,476 288 39 204 221 14 302 7 38 207 213 17 270 4 37101 37103 37105 37107 37109 37111 Johnston, NC Jones, NC Lee, NC Lenoir, NC Lincoln, NC McDowell, NC 1,742 54 660 429 842 423 1,624 65 641 428 792 421 358 33 199 425 61 13 328 42 193 420 59 12 37113 37115 37117 37119 37121 37123 Macon, NC Madison, NC Martin, NC Mecklenburg, NC Mitchell, NC Montgomery, NC 298 230 266 7,796 154 309 293 228 252 7,137 162 306 170 3,661 90 4 1 192 3,449 0 95 37125 37127 37129 37131 37133 37135 Moore, NC Nash, NC New Hanover, NC Northampton, NC Onslow, NC Orange, NC 706 788 1,503 101 2,585 984 720 753 1,459 91 2,519 927 200 496 483 159 622 223 196 466 480 175 599 203 77 230 372 77 227 347 31 217 117 33 215 110 37137 Pamlico, NC 37139 Pasquotank, NC 37141 Pender, NC 338 1998 2000 AmInd 2000 AmInd 1998 2000 2000 Hispanic Hispanic 1998 2000 API 2000 API 1 5 3 21 17 28 7 6 0 1 5 26 2 2 147 162 51 295 596 121 36 253 464 2 57 5 42 0 0 51 785 47 182 9 1 5 1 3 0 10 44 654 43 121 1 1 2 1 221 6 14 2 60 35 506 7 158 18 40 37 368 5 127 15 14 1 11 0 40 3 165 111 9 117 14 131 1 93 5 92 9 14 0 12 5 3 6 289 5 270 60 95 19 245 4 220 46 77 17 3 0 3 473 0 13 13 5 28 1,503 5 117 10 4 23 1,147 5 99 8 11 27 0 93 66 80 79 80 302 161 84 69 64 3 259 117 1 8 1 7 6 48 5 6 35 8 44 29 15 62 5 62 8 6 28 13 6 22 6 1 0 36 33 14 3 3 2 69 0 5 56 7 0 5 0 2 1 2 0 1 28 0 1 14 5 9 0 21 5 0 0 1 181 55 5 47 239 13 15 6 48 14 11 7 9 5 507 16 9 16 27 102 76 7 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY FIPS Code County Name 37143 Perquimans, NC 1998 2000 White 2000 White 1998 – 2000 Black 2000 Black 1998 2000 AmInd 2000 AmInd 1998 2000 2000 Hispanic Hispanic 1998 2000 API 2000 API 81 77 42 40 0 0 37145 37147 37149 37151 Person, NC Pitt, NC Polk, NC Randolph, NC 307 1,164 182 1,819 303 1,085 171 1,725 124 826 10 107 139 826 12 107 1 3 0 7 1 22 1 12 19 135 18 347 13 130 16 282 37153 37155 37157 37159 37161 37163 Richmond, NC Robeson, NC Rockingham, NC Rowan, NC Rutherford, NC Sampson, NC 443 638 947 1,333 752 611 410 627 939 1,347 715 609 247 557 254 339 112 297 264 536 252 325 109 270 17 953 5 9 4 26 4 4 41 167 84 163 27 196 35 143 71 135 20 193 37165 37167 37169 37171 37173 37175 Scotland, NC Stanly, NC Stokes, NC Surry, NC Swain, NC Transylvania, NC 248 615 509 918 116 281 245 603 507 904 104 266 243 110 13 39 50 14 245 99 19 37 0 17 2 34 2 12 1 3 39 12 165 10 6 3 35 10 133 6 3 37177 37179 37181 37183 37185 37187 Tyrrell, NC Union, NC Vance, NC Wake, NC Warren, NC Washington, NC 26 1,897 358 7,463 56 83 28 1,730 323 6,942 56 66 19 318 393 2,220 133 118 17 302 377 2,137 142 108 37189 37191 37193 37195 37197 37199 Watauga, NC Wayne, NC Wilkes, NC Wilson, NC Yadkin, NC Yancey, NC 346 1,105 877 610 498 216 334 1,109 824 594 492 191 10 627 41 467 26 6 609 40 509 20 1 35,341 34,832 19,734 19,224 226 228 108 117 0 5 0 1 0 2 5 14 7 1 17 0 1 2 52 45 SOUTH CAROLINA 45001 Abbeville, SC 45003 45005 45007 45009 45011 45013 Aiken, SC Allendale, SC Anderson, SC Bamberg, SC Barnwell, SC Beaufort, SC 1,295 32 1,695 78 145 1,356 1,262 30 1,700 73 157 1,244 631 146 501 154 184 511 580 143 466 147 178 490 45015 45017 45019 45021 45023 45025 Berkeley, SC Calhoun, SC Charleston, SC Cherokee, SC Chester, SC Chesterfield, SC 1,479 82 2,594 592 258 348 1,480 72 2,561 549 253 343 574 111 1,881 185 247 267 572 102 1,837 177 227 245 166 159 270 258 45027 Clarendon, SC 339 8 11 7 14 65 6 28 188 5 10 23 13 956 2 6 1 16 52 1 1 0 71 1 0 7 1 24 10 0 33 12 7 6 26 8 27 16 1 8 8 257 63 891 6 6 1 3 2 1 0 0 6 28 6 3 22 3 4 1 1 7 190 102 144 102 20 4 174 71 144 86 13 164 851 760 2,261 1,763 57 46 2 25 2 3 188 0 22 487 0 16 3 429 0 0 9 317 77 1,135 1 20 24 90 7 5 16 1 19 1 3 30 3 31 5 258 49 1 79 6 4 2 78 160 24 10 66 3 135 20 4 12 2 24 20 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY FIPS Code County Name 2000 White 1998 2000 White 1998 – 2000 Black 2000 Black 1998 2000 AmInd 2000 AmInd 1998 2000 2000 Hispanic Hispanic 1998 2000 API 2000 API 45029 Colleton, SC 305 296 280 252 3 1 11 8 45031 45033 45035 45037 Darlington, SC Dillon, SC Dorchester, SC Edgefield, SC 449 236 857 165 434 213 827 157 502 266 345 133 500 260 320 137 1 14 7 0 1 1 12 1 8 14 26 10 7 14 21 8 45039 45041 45043 45045 45047 45049 Fairfield, SC Florence, SC Georgetown, SC Greenville, SC Greenwood, SC Hampton, SC 102 931 404 4,170 570 121 105 973 406 4,118 596 112 237 914 359 1,092 370 176 222 884 363 1,080 346 189 1 15 5 107 8 1 25 18 403 72 7 2 22 15 306 53 6 45051 45053 45055 45057 45059 45061 Horry, SC Jasper, SC Kershaw, SC Lancaster, SC Laurens, SC Lee, SC 1,889 143 527 555 570 61 1,796 128 492 555 594 59 618 142 197 271 250 202 565 148 205 261 257 201 14 9 1 1 1 0 0 49 44 2 4 3 2 1 141 42 25 21 38 87 26 17 16 30 1 45063 45065 45067 45069 45071 45073 Lexington, SC McCormick, SC Marion, SC Marlboro, SC Newberry, SC Oconee, SC 2,420 36 203 185 294 686 2,427 28 180 181 297 691 529 62 320 235 200 72 523 58 318 240 199 87 7 7 0 2 16 2 2 47 44 1 3 1 1 6 91 42 39 64 1 11 2 34 34 45075 45077 45079 45081 45083 45085 Orangeburg, SC Pickens, SC Richland, SC Saluda, SC Spartanburg, SC Sumter, SC 418 1,224 1,902 168 2,486 835 434 1,243 1,893 171 2,447 819 882 93 2,419 91 752 880 871 91 2,370 87 749 857 2 3 9 0 5 4 11 10 126 100 23 8 14 103 0 97 25 12 39 141 56 183 38 13 29 119 43 142 40 45087 Union, SC 45089 Williamsburg, SC 45091 York, SC 215 152 1,716 232 140 1,673 161 389 525 147 391 509 43 1 1 32 5 26 0 0 22 75 3 5 56 47 TENNESSEE 61,224 60,179 16,909 16,764 154 141 1,324 1,187 3,220 2,550 3 2 0 0 15 5 11 4 1 0 7 140 9 98 2 1 4 2 1 0 0 1 17 9 16 10 2 0 2 2 10 29 5 13 26 2 2 4 5 1 5 6 47001 47003 47005 47007 Anderson, TN Bedford, TN Benton, TN Bledsoe, TN 745 575 174 138 758 524 166 127 34 31 37 43 5 0 47009 47011 47013 47015 47017 47019 Blount, TN Bradley, TN Campbell, TN Cannon, TN Carroll, TN Carter, TN 1,246 1,125 474 129 316 588 1,196 1,112 490 149 320 585 45 53 36 48 1 1 43 4 482 497 47021 Cheatham, TN 40 5 5 340 16 9 6 13 17 6 6 0 4 1 5 0 0 1 17 19 6 122 14 8 11 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY FIPS Code County Name 2000 White 1998 2000 White 1998 – 2000 Black 2000 Black 1998 2000 AmInd 2000 AmInd 1998 2000 2000 Hispanic Hispanic 1998 2000 API 2000 API 47023 Chester, TN 159 163 47025 47027 47029 47031 Claiborne, TN Clay, TN Cocke, TN Coffee, TN 362 95 398 619 360 85 394 623 47033 47035 47037 47039 47041 47043 Crockett, TN Cumberland, TN Davidson, TN Decatur, TN DeKalb, TN Dickson, TN 172 478 5,843 139 197 599 152 502 5,691 135 208 580 47045 47047 47049 47051 47053 47055 Dyer, TN Fayette, TN Fentress, TN Franklin, TN Gibson, TN Giles, TN 435 244 209 434 480 312 410 240 208 441 449 331 47057 47059 47061 47063 47065 47067 Grainger, TN Greene, TN Grundy, TN Hamblen, TN Hamilton, TN Hancock, TN 238 765 187 832 2,869 79 236 742 200 778 2,821 66 47069 47071 47073 47075 47077 47079 Hardeman, TN Hardin, TN Hawkins, TN Haywood, TN Henderson, TN Henry, TN 169 271 648 131 314 335 169 275 647 131 315 338 194 9 5 169 27 39 186 12 8 158 26 41 0 0 0 0 0 1 2 0 3 1 3 2 47081 47083 47085 47087 47089 47091 Hickman, TN Houston, TN Humphreys, TN Jackson, TN Jefferson, TN Johnson, TN 293 93 211 126 515 162 279 101 208 108 513 171 6 4 2 5 0 9 0 1 0 0 0 1 0 0 0 1 0 2 1 47093 47095 47097 47099 47101 47103 Knox, TN Lake, TN Lauderdale, TN Lawrence, TN Lewis, TN Lincoln, TN 4,189 57 261 586 140 334 4,164 62 241 546 136 342 496 19 159 7 38 503 18 170 8 2 31 470 544 319 464 549 304 5 35 31 6 30 27 47105 Loudon, TN 47107 McMinn, TN 47109 McNairy, TN 15 20 0 0 2 14 24 2 1 11 25 1 0 1 0 1 0 1 12 1 0 4 23 33 0 2,644 5 3 30 0 1 23 0 0 2 26 2,774 5 30 77 148 28 183 35 12 30 1,079 6 14 20 87 167 0 24 165 46 0 0 0 1 1 1 0 14 0 28 1,003 0 0 1 0 0 6 0 341 13 11 10 0 2 1 0 0 1 2 0 17 346 5 5 7 73 101 5 19 0 3 312 0 0 3 35 7 823 4 2 0 4 2 4 10 0 4 0 6 66 0 8 10 10 15 9 8 135 151 7 15 6 15 87 0 1 1 1 2 94 3 4 0 28 14 5 7 6 25 8 654 1 7 9 6 4 1 7 10 2 5 10 1 90 118 0 1 1 6 12 3 4 3 2 3 1 12 1 67 1 5 5 1 4 20 16 4 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV NUMBER OF BIRTHS BY RACE/ETHNICITY FIPS Code County Name 1998 2000 White 2000 White 1998 – 2000 Black 2000 Black 47111 Macon, TN 264 259 47113 47115 47117 47119 Madison, TN Marion, TN Marshall, TN Maury, TN 835 358 327 854 805 332 319 823 47121 47123 47125 47127 47129 47131 Meigs, TN Monroe, TN Montgomery, TN Moore, TN Morgan, TN Obion, TN 151 506 1,914 61 221 374 149 506 1,854 56 219 362 47133 47135 47137 47139 47141 47143 Overton, TN Perry, TN Pickett, TN Polk, TN Putnam, TN Rhea, TN 246 89 55 226 838 378 230 97 61 198 814 383 47145 47147 47149 47151 47153 47155 Roane, TN Robertson, TN Rutherford, TN Scott, TN Sequatchie, TN Sevier, TN 593 788 2,411 286 141 945 582 718 2,374 302 145 887 13 77 294 47157 47159 47161 47163 47165 47167 Shelby, TN Smith, TN Stewart, TN Sullivan, TN Sumner, TN Tipton, TN 5,798 230 135 1,757 1,631 539 5,874 225 141 1,708 1,611 515 8,589 6 47169 47171 47173 47175 47177 47179 Trousdale, TN Unicoi, TN Union, TN Van Buren, TN Warren, TN Washington, TN 87 175 217 47 557 1,275 85 191 221 54 516 1,279 5 47181 47183 47185 47187 47189 Wayne, TN Weakley, TN White, TN Williamson, TN Wilson, TN 178 384 301 1,588 1,159 173 363 288 1,549 1,107 84 REGION IV 91 UNITED STATES 534,064 1998 2000 AmInd 2000 AmInd 1 1 533 10 30 156 1 3 1 2 42 1 8 497 1 0 52 0 1 15 0 0 0 12 12 1 2 0 1 9 9 0 0 0 0 1 2 16 68 268 0 0 3 2 1 4 0 0 3 550 11 21 158 10 504 7 42 125 199 18 47 25 83 78 8,695 5 3 35 120 197 16 5 11 13 0 0 2 3 0 7 0 0 0 15 48 0 0 1 0 1 1 2 24 3 84 81 1 1 1 2 2 3,726 520,682 203,072 197,429 4,019 3,194,005 3,148,411 622,598 612,823 41,668 1998 2000 2000 Hispanic Hispanic 1998 2000 API 2000 API 6 83 7 85 10 354 11 22 6 19 1 11 8 8 1 2 4 27 27 2 11 43 1 1 70 0 0 1 0 0 0 1 5 1 3 2 82 0 1 7 320 1 0 8 17 6 0 0 0 0 4 15 19 70 10 1 8 177 0 1 9 82 9 1 0 1 1 53 8 7 177 54 118 26 616 5 14 67 9 52 33 2 33 107 1 1 17 484 3 3 10 45 4 2 9 0 0 37 27 28 6 0 5 1 24 6 77 27 1 5 2 60 20 15,053 13,500 80,870 70,537 7 5 40,703 200,543 184,657 815,868 771,623 Note: Fewer than 5 occurrences are suppressed for year 2000 county-level data. 1998-2000 data are 3-year averages. 3-year averages are not suppressed. Hispanics can be of any race. 342 Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV PERCENT LOW BIRTHWEIGHT BIRTHS FIPS Code County Name 01 ALABAMA 01001 Autauga, AL 1998 2000 Total 2000 White 1998 2000 White 2000 Black 1998 – 2000 2000 Black AmInd 9.4% 7.7% 7.5% 13.9% 13.6% 6.9% 5.6% 6.0% 8.1% 9.4% 18.4% 14.6% 12.2% 14.1% 15.1% 10.1% 01003 01005 01007 01009 01011 Baldwin, AL Barbour, AL Bibb, AL Blount, AL Bullock, AL 8.0% 11.1% 9.6% 8.5% 11.8% 7.0% 7.0% 7.2% 8.6% 6.8% 5.6% 9.4% 8.5% 14.2% 12.4% 01013 01015 01017 01019 01021 01023 Butler, AL Calhoun, AL Chambers, AL Cherokee, AL Chilton, AL Choctaw, AL 8.0% 8.7% 9.3% 9.0% 8.5% 10.8% 6.8% 8.0% 8.2% 9.4% 8.0% 12.7% 6.3% 7.2% 7.1% 7.8% 8.2% 9.0% 12.7% 15.6% 10.5% 9.6% 14.0% 12.3% 15.2% 11.9% 12.7% 01025 01027 01029 01031 01033 01035 Clarke, AL Clay, AL Cleburne, AL Coffee, AL Colbert, AL Conecuh, AL 8.8% 8.0% 8.0% 8.2% 11.0% 13.2% 6.0% 6.4% 8.4% 8.8% 11.0% 20.6% 6.4% 7.0% 7.9% 6.5% 10.9% 11.0% 12.3% 20.0% 11.2% 16.4% 17.1% 16.2% 13.6% 11.5% 14.9% 01037 01039 01041 01043 01045 01047 Coosa, AL Covington, AL Crenshaw, AL Cullman, AL Dale, AL Dallas, AL 12.7% 8.8% 6.4% 7.7% 8.1% 11.9% 9.1% 7.2% 6.8% 7.3% 8.1% 9.8% 8.9% 6.8% 7.1% 7.7% 6.7% 8.2% 13.7% 15.6% 19.6% 15.9% 14.3% 11.1% 12.5% 13.1% 01049 01051 01053 01055 01057 01059 DeKalb, AL Elmore, AL Escambia, AL Etowah, AL Fayette, AL Franklin, AL 8.5% 8.8% 10.5% 8.4% 8.1% 7.2% 9.2% 7.7% 10.6% 7.1% 10.1% 6.4% 8.2% 6.9% 8.7% 7.8% 8.2% 6.7% 15.9% 14.2% 12.7% 14.6% 14.4% 11.4% 01061 01063 01065 01067 01069 01071 Geneva, AL Greene, AL Hale, AL Henry, AL Houston, AL Jackson, AL 8.9% 12.9% 11.9% 9.2% 9.0% 8.1% 9.6% 7.5% 18.2% 9.3% 6.1% 8.1% 10.0% 8.4% 6.8% 7.7% 01073 01075 01077 01079 01081 01083 Jefferson, AL Lamar, AL Lauderdale, AL Lawrence, AL Lee, AL Limestone, AL 10.3% 8.9% 9.2% 9.1% 8.0% 7.8% 7.5% 10.1% 8.0% 6.7% 7.2% 7.5% 7.3% 8.3% 8.0% 8.4% 6.6% 6.8% 01085 Lowndes, AL 12.6% 7.1% 1998 2000 AmInd 6.8% 7.0% 1998 2000 API 8.0% 1998 2000 2000 Hispanic Hispanic 6.5% 6.4% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 22.2% 14.8% 10.9% 12.9% 13.0% 16.3% 13.4% 12.8% 10.8% 13.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 13.8% 13.7% 18.1% 10.0% 12.7% 17.6% 17.9% 11.9% 11.3% 15.4% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 15.1% 14.0% 0.0% 343 2000 API 0.0% 7.0% 0.0% 7.3% 0.0% 0.0% 0.0% 18.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 20.6% 9.1% 8.0% 0.0% 0.0% 6.9% 0.0% 5.8% 6.6% 0.0% 0.0% 0.0% 3.4% 0.0% 7.2% 0.0% 4.6% 0.0% 0.0% 0.0% 0.0% Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV PERCENT LOW BIRTHWEIGHT BIRTHS FIPS Code County Name 1998 – 2000 2000 Total White 1998 – 2000 2000 White Black 1998 – 2000 2000 Black AmInd 1998 – 2000 2000 AmInd API 01087 Macon, AL 11.3% 11.5% 10.3% 11.8% 01089 01091 01093 01095 01097 Madison, AL Marengo, AL Marion, AL Marshall, AL Mobile, AL 8.2% 13.1% 7.1% 7.9% 10.7% 6.5% 6.8% 7.7% 7.6% 8.3% 6.3% 6.4% 7.1% 7.8% 7.9% 15.1% 15.1% 13.0% 17.3% 13.9% 14.6% 01099 01101 01103 01105 01107 01109 Monroe, AL Montgomery, AL Morgan, AL Perry, AL Pickens, AL Pike, AL 10.9% 10.7% 9.3% 11.0% 10.0% 8.5% 4.9% 7.8% 8.0% 7.5% 6.7% 8.3% 19.4% 13.8% 17.9% 15.6% 9.3% 8.3% 14.5% 13.4% 15.8% 12.4% 11.1% 11.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 01111 01113 01115 01117 01119 01121 Randolph, AL Russell, AL St. Clair, AL Shelby, AL Sumter, AL Talladega, AL 14.1% 9.1% 9.7% 14.8% 14.0% 14.3% 14.3% 10.6% 10.4% 14.3% 11.9% 15.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 01123 01125 01127 01129 01131 01133 Tallapoosa, AL Tuscaloosa, AL Walker, AL Washington, AL Wilcox, AL Winston, AL 14.7% 17.1% 25.7% 16.3% 15.2% 13.5% 15.6% 16.7% 14.9% 12.9% 0.0% 0.0% 0.0% 12 FLORIDA 12001 Alachua, FL 8.9% 7.0% 8.8% 5.8% 10.5% 9.4% 7.7% 7.2% 11.1% 11.3% 9.7% 10.6% 9.8% 6.7% 9.4% 8.5% 7.5% 6.7% 9.3% 8.9% 10.4% 10.7% 8.5% 9.1% 12.0% 7.7% 7.2% 6.7% 6.4% 5.1% 8.4% 7.7% 7.9% 7.2% 8.1% 6.6% 6.8% 12.3% 12.3% 8.4% 5.5% 6.1% 14.3% 13.3% 20.9% 14.9% 15.2% 12.5% 10.9% 12.2% 11.1% 8.2% Baker, FL Bay, FL Bradford, FL Brevard, FL Broward, FL Calhoun, FL 6.4% 7.1% 8.0% 7.4% 8.3% 10.1% 4.9% 5.7% 7.8% 6.7% 6.6% 10.3% 5.2% 6.2% 7.6% 6.6% 6.7% 9.0% 12015 12017 12019 12021 12023 12027 Charlotte, FL Citrus, FL Clay, FL Collier, FL Columbia, FL DeSoto, FL 7.4% 7.2% 7.3% 6.6% 8.9% 6.7% 5.5% 7.3% 6.7% 6.0% 7.8% 6.1% 6.9% 7.0% 7.2% 6.3% 7.3% 6.2% 12029 12031 12033 12035 12037 12039 Dixie, FL Duval, FL Escambia, FL Flagler, FL Franklin, FL Gadsden, FL 6.7% 9.5% 8.7% 6.7% 7.7% 11.6% 4.3% 6.8% 6.1% 3.9% 5.4% 7.3% 6.6% 5.7% 7.0% 7.6% 11.3% 10.9% 0.0% 0.0% 0.0% 16.2% 8.7% 6.0% 6.6% 22.2% 5.8% 8.8% 15.9% 9.8% 9.8% 9.6% 14.8% 9.5% 13.5% 13.5% 14.3% 8.7% 14.5% 14.1% 344 0.0% 4.4% 8.9% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 8.5% 6.5% 6.5% 7.3% 6.4% 0.0% 6.3% 8.4% 0.0% 0.0% 7.2% 6.2% 0.0% 0.0% 0.0% 0.0% 9.7% 10.4% 9.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 7.0% 0.0% 0.0% 14.0% 13.3% 19.1% 8.2% 8.2% 0.0% 13.2% 6.7% 0.0% 0.0% 0.0% 0.0% 25.0% 10.6% 0.0% 0.0% 0.0% 9.2% 0.0% 5.3% 0.0% 0.0% 0.0% 7.5% 12003 12005 12007 12009 12011 12013 6.7% 0.0% 1998 – 1998 – 2000 2000 2000 API Hispanic Hispanic 0.0% 9.2% 10.6% 0.0% 0.0% 0.0% 6.6% 6.1% 0.0% 13.9% 5.7% 0.0% 11.4% 6.0% 7.5% 5.6% 6.1% 7.1% 0.0% 7.1% 7.8% 0.0% 5.1% Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV PERCENT LOW BIRTHWEIGHT BIRTHS FIPS Code County Name 1998 2000 Total 2000 White 2000 Black 1998 – 2000 2000 Black AmInd 12041 Gilchrist, FL 8.3% 12043 12045 12047 12049 12051 Glades, FL Gulf, FL Hamilton, FL Hardee, FL Hendry, FL 7.1% 7.4% 9.5% 6.5% 7.7% 5.6% 6.0% 7.4% 7.4% 7.3% 5.7% 6.4% 6.0% 12053 12055 12057 12059 12061 12063 Hernando, FL Highlands, FL Hillsborough, FL Holmes, FL Indian River, FL Jackson, FL 7.7% 7.7% 8.1% 7.9% 6.9% 9.7% 6.0% 7.4% 6.9% 11.7% 5.6% 7.1% 7.4% 6.8% 7.0% 7.8% 5.8% 7.4% 12065 12067 12069 12071 12073 12075 Jefferson, FL Lafayette, FL Lake, FL Lee, FL Leon, FL Levy, FL 7.5% 7.6% 8.5% 7.5% 9.3% 8.2% 6.7% 10.1% 7.7% 6.5% 6.1% 9.5% 12077 12079 12081 12083 12085 12086 Liberty, FL Madison, FL Manatee, FL Marion, FL Martin, FL Miami-Dade, FL 7.2% 10.9% 7.9% 7.9% 6.3% 7.9% 11.1% 6.6% 6.6% 5.9% 6.4% 9.1% 7.1% 6.9% 5.8% 6.4% 12087 12089 12091 12093 12095 12097 Monroe, FL Nassau, FL Okaloosa, FL Okeechobee, FL Orange, FL Osceola, FL 5.3% 7.9% 7.2% 6.4% 9.1% 7.7% 4.5% 6.7% 5.7% 6.2% 7.1% 6.7% 4.9% 7.5% 6.3% 6.0% 7.5% 7.4% 13.1% 13.5% 14.2% 11.1% 12099 12101 12103 12105 12107 12109 Palm Beach, FL Pasco, FL Pinellas, FL Polk, FL Putnam, FL St. Johns, FL 7.7% 7.2% 8.1% 7.4% 8.1% 7.8% 6.3% 7.2% 6.4% 6.6% 8.3% 5.7% 6.4% 6.9% 6.8% 6.5% 6.7% 6.8% 11.4% 14.7% 14.2% 9.5% 13.7% 14.2% 11.3% 15.3% 13.9% 10.6% 12.2% 15.9% 12111 12113 12115 12117 12119 12121 St. Lucie, FL Santa Rosa, FL Sarasota, FL Seminole, FL Sumter, FL Suwannee, FL 7.7% 7.4% 7.5% 7.9% 8.9% 8.2% 6.0% 7.4% 6.7% 6.2% 8.2% 6.5% 6.3% 7.2% 6.6% 6.8% 7.2% 7.2% 11.6% 11.4% 19.7% 14.4% 12.1% 16.0% 11.1% 12.3% 14.6% 14.1% 16.3% 14.1% 9.0% 6.0% 4.8% 6.4% 7.5% 5.6% 16.1% 14.8% 12123 Taylor, FL 12125 Union, FL 11.9% 1998 2000 White 7.9% 17.5% 16.1% 15.6% 16.2% 10.3% 14.5% 12.6% 10.8% 11.9% 12.3% 15.2% 15.5% 13.0% 15.2% 11.6% 13.1% 13.1% 10.4% 1998 2000 API 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 15.9% 0.0% 0.0% 0.0% 7.3% 0.0% 7.8% 1998 2000 2000 Hispanic Hispanic 0.0% 0.0% 6.0% 8.3% 7.5% 7.0% 7.6% 4.4% 0.0% 0.0% 14.9% 12.8% 13.2% 11.9% 0.0% 0.0% 0.0% 11.1% 12.1% 11.0% 10.1% 11.5% 11.8% 12.8% 12.1% 9.5% 11.4% 0.0% 0.0% 0.0% 0.0% 6.9% 6.5% 13.4% 9.9% 11.7% 12.1% 345 2000 API 5.4% 6.0% 6.1% 7.6% 0.0% 5.0% 0.0% 12.1% 7.4% 6.6% 6.9% 7.6% 1998 2000 AmInd 4.5% 5.5% 0.0% 0.0% 13.0% 7.8% 13.2% 8.4% 6.1% 5.4% 6.3% 8.2% 6.4% 0.0% 0.0% 6.2% 6.1% 6.1% 6.3% 8.3% 2.8% 8.1% 6.6% 6.6% 5.7% 10.6% 0.0% 0.0% 0.0% 0.0% 4.7% 6.9% 11.5% 0.0% 0.0% 0.0% 13.7% 11.5% 0.0% 12.1% 7.6% 8.1% 13.1% 8.9% 8.9% 0.0% 0.0% 9.3% 0.0% 9.6% 7.8% 6.3% 6.1% 7.8% 6.0% 7.4% 10.3% 10.6% 9.6% 0.0% 6.2% 7.6% 5.3% 5.8% 9.3% 6.1% 7.2% 5.2% 6.5% 5.5% 6.5% 7.4% 7.7% 6.5% 7.0% 0.0% 0.0% 12.3% 10.1% 3.9% 0.0% 7.4% 6.8% 8.0% 7.0% 0.0% 0.0% 8.7% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV PERCENT LOW BIRTHWEIGHT BIRTHS FIPS Code County Name 1998 – 2000 2000 Total White 1998 – 2000 2000 White Black 1998 – 2000 2000 Black AmInd 1998 – 2000 2000 AmInd API 1998 – 1998 – 2000 2000 2000 API Hispanic Hispanic 12127 Volusia, FL 8.1% 6.7% 7.0% 14.0% 14.0% 0.0% 11.6% 12129 Wakulla, FL 12131 Walton, FL 12133 Washington, FL 8.8% 6.7% 7.0% 8.9% 6.7% 7.3% 7.8% 6.3% 6.6% 16.7% 15.4% 0.0% 0.0% 0.0% 0.0% 13 GEORGIA 8.6% 6.6% 6.5% 12.7% 12.7% 7.0% 6.1% 9.8% 5.7% 4.5% 9.4% 5.3% 8.3% 13.2% 13.2% 12.3% 13001 Appling, GA 13003 Atkinson, GA 13005 Bacon, GA 9.3% 9.6% 9.1% 0.0% 0.0% 0.0% 0.0% 15.7% 0.0% 11.1% 13.5% 16.8% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% Baker, GA Baldwin, GA Banks, GA Barrow, GA Bartow, GA Ben Hill, GA 11.8% 8.6% 6.9% 7.9% 11.7% 4.1% 12.0% 7.5% 7.4% 10.0% 7.1% 9.0% 6.4% 7.5% 7.7% 13019 13021 13023 13025 13027 13029 Berrien, GA Bibb, GA Bleckley, GA Brantley, GA Brooks, GA Bryan, GA 7.6% 11.6% 9.6% 6.1% 10.8% 7.2% 7.0% 7.6% 6.7% 5.3% 11.6% 7.2% 6.8% 7.0% 5.9% 6.3% 10.5% 6.8% 15.9% 15.1% 19.2% 13.7% 13.3% 15.0% 16.4% 0.0% 11.0% 9.4% 13031 13033 13035 13037 13039 13043 Bulloch, GA Burke, GA Butts, GA Calhoun, GA Camden, GA Candler, GA 8.9% 9.8% 9.1% 13.8% 7.5% 9.4% 8.3% 9.9% 10.5% 6.8% 7.6% 8.2% 6.6% 8.1% 6.8% 6.3% 10.8% 9.6% 6.6% 16.4% 8.2% 26.1% 12.7% 11.2% 12.2% 16.4% 10.1% 14.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 13045 13047 13049 13051 13053 13055 Carroll, GA Catoosa, GA Charlton, GA Chatham, GA Chattahoochee, GA Chattooga, GA 7.2% 9.1% 6.0% 9.9% 5.7% 10.7% 6.4% 9.1% 7.1% 7.2% 4.0% 9.1% 5.8% 8.7% 15.5% 13.3% 6.6% 3.8% 10.7% 12.2% 9.1% 13.2% 10.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 13057 13059 13061 13063 13065 13067 Cherokee, GA Clarke, GA Clay, GA Clayton, GA Clinch, GA Cobb, GA 6.3% 8.8% 9.9% 9.2% 9.4% 7.4% 6.2% 6.3% 6.1% 6.6% 7.0% 7.2% 6.0% 7.0% 6.1% 17.5% 13.1% 16.1% 10.6% 19.0% 10.9% 10.7% 13.0% 12.2% 10.8% 15.4% 11.0% 13069 13071 13073 13075 13077 13079 Coffee, GA Colquitt, GA Columbia, GA Cook, GA Coweta, GA Crawford, GA 10.1% 9.3% 6.5% 9.3% 8.1% 7.7% 8.5% 7.0% 5.2% 5.4% 5.8% 6.9% 7.4% 7.9% 5.8% 6.7% 6.6% 6.5% 13.9% 14.2% 10.1% 13.0% 16.1% 14.3% 15.7% 13.4% 10.4% 14.3% 14.8% 14.8% 10.3% 12.0% 15.7% 346 7.0% 5.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 10.7% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 5.6% 0.0% 0.0% 0.0% 0.0% 7.6% 0.0% 0.0% 7.4% 0.0% 0.0% 0.0% 13007 13009 13011 13013 13015 13017 7.9% 10.6% 0.0% 8.1% 5.8% 5.4% 6.0% 5.2% 0.0% 7.9% 0.0% 8.7% 5.3% 4.9% 0.0% 5.8% 0.0% 0.0% 11.0% 6.7% 8.6% 0.0% 0.0% 0.0% 10.0% 0.0% 0.0% Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV PERCENT LOW BIRTHWEIGHT BIRTHS FIPS Code County Name 13081 Crisp, GA 1998 2000 Total 2000 White 1998 2000 White 2000 Black 1998 – 2000 2000 Black AmInd 1998 2000 AmInd 2000 API 1998 2000 API 1998 2000 2000 Hispanic Hispanic 12.0% 7.0% 9.5% 12.2% 14.1% 0.0% 0.0% 0.0% 9.4% 6.5% 9.2% 9.4% 8.9% 9.3% 6.9% 4.6% 6.1% 9.8% 9.6% 6.5% 6.3% 6.0% 7.3% 0.0% 0.0% 0.0% 0.0% 0.0% 7.0% 0.0% 0.0% 0.0% 12.3% 11.5% 13.9% 0.0% 0.0% 11.7% 11.6% 13.9% Dooly, GA Dougherty, GA Douglas, GA Early, GA Echols, GA Effingham, GA 9.0% 10.6% 7.3% 13.3% 9.4% 7.0% 5.6% 6.5% 6.1% 8.2% 11.3% 13.7% 10.2% 20.4% 7.3% 7.6% 6.5% 12.3% 13105 13107 13109 13111 13113 13115 Elbert, GA Emanuel, GA Evans, GA Fannin, GA Fayette, GA Floyd, GA 10.9% 10.6% 7.3% 9.1% 6.3% 8.2% 5.7% 7.1% 7.5% 9.0% 19.6% 13.2% 15.9% 9.1% 5.3% 7.6% 8.7% 5.9% 6.9% 13117 13119 13121 13123 13125 13127 Forsyth, GA Franklin, GA Fulton, GA Gilmer, GA Glascock, GA Glynn, GA 5.9% 7.8% 9.9% 5.9% 6.2% 6.9% 6.6% 5.8% 5.9% 7.3% 6.4% 6.0% 9.8% 7.6% 7.4% 13129 13131 13133 13135 13137 13139 Gordon, GA Grady, GA Greene, GA Gwinnett, GA Habersham, GA Hall, GA 6.8% 11.0% 8.3% 7.0% 7.7% 6.0% 7.4% 10.0% 6.5% 9.2% 6.1% 5.5% 5.1% 6.1% 7.7% 5.6% 13141 13143 13145 13147 13149 13151 Hancock, GA Haralson, GA Harris, GA Hart, GA Heard, GA Henry, GA 12.4% 8.8% 8.5% 11.2% 8.8% 7.0% 7.3% 7.1% 7.5% 5.7% 7.1% 8.3% 8.3% 8.1% 7.7% 6.2% 13153 13155 13157 13159 13161 13163 Houston, GA Irwin, GA Jackson, GA Jasper, GA Jeff Davis, GA Jefferson, GA 7.8% 8.3% 8.7% 10.0% 9.4% 11.2% 5.3% 6.1% 8.0% 6.4% 9.6% 8.1% 7.4% 7.3% 13083 13085 13087 13089 13091 Dade, GA Dawson, GA Decatur, GA DeKalb, GA Dodge, GA 13093 13095 13097 13099 13101 13103 13165 Jenkins, GA 13167 Johnson, GA 9.9% 10.3% 7.4% 9.2% 8.5% 8.6% 15.0% 7.0% 0.0% 5.6% 0.0% 12.0% 12.7% 11.9% 16.8% 0.0% 11.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 17.4% 12.7% 13.1% 0.0% 9.4% 14.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 8.9% 6.4% 0.0% 0.0% 12.9% 5.1% 6.8% 5.2% 6.9% 0.0% 6.4% 0.0% 0.0% 12.5% 15.5% 10.9% 10.5% 15.1% 11.4% 10.8% 13.1% 12.7% 14.3% 12.3% 26.2% 9.4% 19.7% 11.2% 11.3% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 10.1% 25.0% 14.3% 16.0% 14.7% 15.4% 11.7% 15.9% 20.0% 14.6% 19.0% 14.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 7.5% 11.5% 10.3% 12.7% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 4.3% 7.0% 0.0% 0.0% 7.6% 0.0% 347 6.0% 0.0% 6.1% 13.2% 0.0% 0.0% 14.0% 0.0% 0.0% 0.0% 6.4% 8.0% 4.5% 0.0% 5.9% 8.5% 4.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV PERCENT LOW BIRTHWEIGHT BIRTHS FIPS Code County Name 13169 Jones, GA 1998 – 2000 2000 Total White 1998 – 2000 2000 White Black 1998 – 2000 2000 Black AmInd 1998 – 2000 2000 AmInd API 1998 – 1998 – 2000 2000 2000 API Hispanic Hispanic 8.7% 9.3% 6.8% 8.9% 14.9% 0.0% 0.0% 13171 13173 13175 13177 13179 Lamar, GA Lanier, GA Laurens, GA Lee, GA Liberty, GA 10.5% 10.6% 10.0% 7.1% 8.7% 6.3% 7.6% 6.5% 6.2% 5.8% 9.5% 12.7% 27.8% 15.4% 11.9% 11.4% 12.9% 0.0% 0.0% 0.0% 0.0% 0.0% 13181 13183 13185 13187 13189 13191 Lincoln, GA Long, GA Lowndes, GA Lumpkin, GA McDuffie, GA McIntosh, GA 10.7% 6.5% 9.9% 5.8% 9.8% 11.8% 13.8% 5.7% 5.5% 6.4% 3.7% 12.8% 6.0% 6.4% 5.6% 5.5% 10.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 13193 13195 13197 13199 13201 13205 Macon, GA Madison, GA Marion, GA Meriwether, GA Miller, GA Mitchell, GA 12.5% 7.2% 10.5% 12.6% 10.1% 9.5% 6.7% 7.6% 10.9% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 13207 13209 13211 13213 13215 13217 Monroe, GA Montgomery, GA Morgan, GA Murray, GA Muscogee, GA Newton, GA 9.6% 8.8% 8.2% 7.0% 10.3% 7.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 13219 13221 13223 13225 13227 13229 Oconee, GA Oglethorpe, GA Paulding, GA Peach, GA Pickens, GA Pierce, GA 13231 13233 13235 13237 13239 13241 13243 13245 13247 13249 13251 13253 6.6% 6.4% 6.9% 14.4% 10.3% 11.4% 17.5% 13.2% 14.7% 12.7% 15.0% 0.0% 14.5% 14.3% 13.9% 15.6% 9.5% 14.7% 16.4% 17.9% 16.0% 4.3% 8.1% 15.4% 13.2% 6.4% 13.1% 3.2% 7.1% 7.0% 6.0% 7.9% 7.0% 6.6% 7.1% 7.0% 5.3% 11.7% 23.3% 10.1% 13.6% 7.0% 9.3% 5.8% 9.3% 6.1% 4.1% 8.5% 6.6% 5.5% 4.1% 6.8% 3.3% 6.8% 7.4% 5.7% 4.6% 6.2% 3.8% Pike, GA Polk, GA Pulaski, GA Putnam, GA Quitman, GA Rabun, GA 8.7% 8.9% 12.2% 8.8% 15.8% 6.8% 8.7% 8.2% 7.5% 8.1% 8.4% 9.7% 5.2% 7.1% 6.9% Randolph, GA Richmond, GA Rockdale, GA Schley, GA Screven, GA Seminole, GA 13.2% 9.8% 6.8% 6.3% 5.9% 11.7% 10.9% 13255 Spalding, GA 13257 Stephens, GA 11.1% 9.7% 14.5% 14.0% 5.6% 12.9% 11.3% 0.0% 13.6% 12.9% 7.3% 15.0% 8.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 6.2% 5.9% 14.8% 12.7% 10.3% 5.7% 6.8% 8.8% 9.1% 13.8% 8.1% 14.0% 11.6% 0.0% 0.0% 0.0% 0.0% 7.5% 7.5% 7.7% 8.5% 19.7% 24.4% 16.5% 20.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 4.4% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 15.7% 13.2% 9.6% 0.0% 0.0% 0.0% 0.0% 10.0% 6.6% 0.0% 0.0% 0.0% 11.7% 15.8% 13.2% 348 7.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 16.0% 24.1% 15.2% 22.2% 0.0% 0.0% 0.0% 0.0% 5.3% 0.0% 6.9% 0.0% 0.0% 0.0% 0.0% 6.2% 0.0% 0.0% 0.0% 0.0% Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV PERCENT LOW BIRTHWEIGHT BIRTHS FIPS Code County Name 13259 Stewart, GA 1998 2000 Total 2000 White Sumter, GA Talbot, GA Taliaferro, GA Tattnall, GA Taylor, GA 11.8% 14.3% 8.8% 7.3% 8.8% 6.2% 13271 13273 13275 13277 13279 13281 Telfair, GA Terrell, GA Thomas, GA Tift, GA Toombs, GA Towns, GA 9.3% 12.3% 8.3% 11.0% 8.5% 10.7% 9.3% 6.7% 7.7% 6.7% 13283 13285 13287 13289 13291 13293 Treutlen, GA Troup, GA Turner, GA Twiggs, GA Union, GA Upson, GA 9.2% 10.1% 10.6% 8.2% 7.6% 9.2% 13295 13297 13299 13301 13303 13305 Walker, GA Walton, GA Ware, GA Warren, GA Washington, GA Wayne, GA 8.6% 8.8% 8.2% 10.8% 11.9% 8.6% 13307 13309 13311 13313 13315 13317 Webster, GA Wheeler, GA White, GA Whitfield, GA Wilcox, GA Wilkes, GA 21 KENTUCKY 21001 Adair, KY 2000 Black 1998 – 2000 2000 Black AmInd 9.8% 13261 13263 13265 13267 13269 13319 Wilkinson, GA 13321 Worth, GA 1998 2000 White 8.1% 0.0% 9.8% 11.3% 0.0% 0.0% 0.0% 0.0% 0.0% 13.0% 14.1% 11.1% 17.9% 12.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 9.9% 14.1% 17.1% 9.1% 0.0% 12.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 26.5% 13.5% 11.7% 17.2% 15.7% 8.1% 20.6% 14.4% 11.0% 12.1% 16.2% 11.4% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 18.4% 20.9% 9.9% 0.0% 17.0% 16.0% 10.9% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 7.4% 7.3% 11.8% 19.1% 13.9% 13.3% 13.6% 13.7% 14.7% 15.5% 6.2% 10.3% 14.1% 7.4% 14.3% 16.2% 10.7% 19.4% 18.1% 5.9% 7.1% 6.6% 7.8% 8.7% 7.5% 5.9% 8.1% 7.7% 7.0% 8.0% 7.1% 6.3% 7.9% 19.2% 14.8% 16.7% 15.9% 0.0% 9.6% 10.3% 10.0% 6.8% 1998 2000 API 0.0% 13.6% 20.0% 7.6% 8.1% 4.2% 5.2% 2000 API 0.0% 0.0% 0.0% 0.0% 0.0% 7.6% 13.8% 8.3% 8.4% 5.4% 6.0% 8.4% 9.4% 1998 2000 AmInd 5.2% 5.7% 0.0% 0.0% 6.7% 0.0% 0.0% 0.0% 5.8% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 5.7% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 8.2% 7.7% 7.6% 9.4% 8.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% Allen, KY Anderson, KY Ballard, KY Barren, KY 9.2% 6.7% 11.5% 6.6% 10.4% 5.6% 5.6% 6.8% 9.2% 6.5% 11.1% 6.3% 0.0% 21011 21013 21015 21017 21019 21021 Bath, KY Bell, KY Boone, KY Bourbon, KY Boyd, KY Boyle, KY 8.9% 8.8% 6.3% 8.8% 7.0% 9.2% 8.7% 8.4% 5.9% 9.0% 7.6% 7.7% 9.0% 8.9% 6.3% 8.7% 6.9% 8.5% 0.0% 0.0% 19.4% 349 0.0% 0.0% 0.0% 8.2% 0.0% 5.1% 8.3% 21003 21005 21007 21009 9.0% 0.0% 0.0% 0.0% 9.3% 1998 2000 2000 Hispanic Hispanic 7.1% 0.0% 7.3% 6.9% 0.0% 0.0% 0.0% 0.0% 0.0% Quality . Resource . Systems, Inc. HEALTH STATUS OF WOMEN IN REGION IV PERCENT LOW BIRTHWEIGHT BIRTHS FIPS Code County Name 21023 Bracken, KY 1998 2000 Total 2000 White 199
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