Other Local Health Status and Access Indicators

Other Local Health Status and Access Indicators

In the 2021 County Health Rankings, Cecil County: • Ranked in the bottom quartile of Marylands 24 counties for Health Outcomes, • Ranked in the bottom half for Health Factors (which represents a composite of measures for Health Behaviors, Clinical Care, Social and Economic Factors, and Physical Environment,

• Ranked in the bottom quartile for 11 of the 42 indicators, including length of life, premature death, poor physical health days, physical inactivity, ration of population to primary care and dental providers, mammography screening, social associations, violent crime, injury deaths, and driving alone to work. Community Health Status Indicators (CHSI) compares County Health Rankings indicators for each county with those for peer counties across the United States. Each county is compared to 30 to 35 of its peers, which are selected based on socioeconomic characteristics such as population size, population density, percent elderly, per-capita income, and poverty rates. In CHSI, Cecil County compared unfavorably to peer counties for 18 of the 34 benchmark indicators. Cecil County was in the bottom quartile compared to peer counties for the following indicators: • Years of potential life lost • Newly diagnosed chlamydia cases per 100,000 • Percent of females 65-74 receiving an annual mammogram • Income inequality (ratio of income at the 80th percentile to the 20th percentile) • Percent of children in single-parent households • Membership associations per 10,000 • Reported violent crime offenses per 100,000 • Deaths due to injury per 100,000 • Percent of households with severe housing problems Secondary data from the Maryland Department of Health, the Centers for Disease Control, the Health Resources and Services Administration, the United States Department of Agriculture, and others also have been assessed. Based on an assessment of available secondary data, the indicators presented in Exhibit 4 appear to be most significant in Cecil County. An indicator is considered significant if it was found to vary materially from a benchmark statistic (e.g., an average value for Maryland, for peer counties, or for the United States). For example, the drug poisoning rate in the county was 74.1 per 100,000, significantly higher than the U.S. average of 24.0 per 100,000. The last column identifies exhibits in the report where more information regarding the data sources can be found.

Exhibit 4: Significant Indicators

Indicator Area Value Value Benchmark Area Exhibit

65+ population change, 2020-2030 Poverty rate, Black, 2016-2020 Poverty rate, Hispanic, 2016-2020

Percent of households rent burdened (> 30% income on housing) Cecil County Cecil County Cecil County Perry Point Warwick Elk Mills Elkton

Community Need Index™ Elkton

Housing type and transportation vulnerability

Ratio of population to primary care physicians Ratio of population to dentists Ratio of population to mental health providers Years of Potential Life Lost Before 75 Per 100,000 Rising Sun, Port Deposit, Perryville, North East, Elkton, Chesapeake City Cecil County Cecil County Cecil County Cecil County

Newly diagnosed Chlamydia Cases per 100,000 Cecil County

Percent of Females 65-74 With Annual Mammogram

Cecil County Income Inequality (Income at 80th percentile/20th percentile) Cecil County Percent Children in Single-Parent Households Cecil County

Membership Associations per 10,000 Reported Violent Crime Offenses per 100,000 Deaths Due to Injury Per 100,000 Percent of Households with Severe Housing Problems

Causes of Death (per 100,000)

Malignant neoplasms of trachea, bronchus and lung Cecil County Cecil County Cecil County Cecil County

Cecil County

Hypertensive heart disease Atherosclerotic cardiovascular disease Transport accidents Parkinson's disease Diseases of respiratory system Motor vehicle accidents Cecil County Cecil County Cecil County Cecil County Cecil County Cecil County

Drug poisoning

Youth Health Factors and Behaviors

Cecil County 43.1% 8.5% Community total

6 15.8% 12.8% U.S., All races/ethnicities 12 18.1% 12.8% U.S., All races/ethnicities 12 100.0% 49.1% United States 18

66.7% 49.1% United States 100.0% 49.1% United States 18 18

55.6% 49.1% United States

18 3.2 3.0 United States median 20

Bottom Quartile NA All U.S. Census Tracts 25

2,391:1 1,320:1 United States 2,449:1 1,259:1 United States 461:1 380:1 United States 9,841 7,896 Peer counties 327.0 272.9 Peer counties 39.0% 42.1% Peer counties 4.2 3.9 Peer counties 23.4% 19.6% Peer counties 6.5 10.1 Peer counties 426.8 166.6 Peer counties 112.2 86.7 Peer counties 13.3% 11.2% Peer counties

49.7 31.9 United States 46.0 16.0 United States 31.2 18.4 United States 21.8 13.3 United States 18.3 9.9 United States 17.4 10.9 United States 19.7 12.5 United States 74.1 24.0 United States 27 27 27 28 28 28 28 28 28 28 28 28

30 30 30 30 30 30 30 32

Births per 1,000 females 15-19 years, Non-Hispanic White Cecil County Currently use smokeless tobacco, youth Did not eat fruit or drink fruit juice in the last week Threatened with weapon at school, LGBT youth Cecil County Cecil County Cecil County

Electronically bullied, LGBT youth Cecil County

Currently use a vape, LGBT youth

Cecil County Currently drink alcohol (at least one drink), LGBT youth Cecil County Not physically active in last 5 days, LGBT youth Cecil County

18.2 13.6 United States 6.1% 3.8% United States 9.8% 6.3% United States 18.9% 6.0% Straight youth 33.0% 14.2% Straight youth 63.4% 53.3% Straight youth 42.1% 32.3% Straight youth 74.9% 52.1% Straight youth 32 41 41 42 42 42 42 42

Source: Verité Analysis.

When available Cecil County community health data are arrayed by race and ethnicity, significant differences are observed, for:

• Poverty rates • Uninsured rates • Educational achievement • Teen birth rate

These differences indicate the presence of racial and ethnic health inequities and disparities.