Community Health Status Indicators

o Adults with no leisure time physical activity o Adults reporting binge or heavy drinking o Number of newly diagnosed chlamydia cases o Ratio of population to dentists o Rate of hospital stays for ambulatory-care sensitive conditions o Adults with some college o Children in single-parent households o Violent crime offenses o Deaths due to injury o Average daily density of fine particulate matter o Workforce that drives alone to work

Community Health Status Indicators

Exhibit 29: Community Health Status Indicators, 2021 (Light Grey Shading Denotes Bottom Half of Peer Counties; Dark Grey Denotes Bottom Quartile)

Category Indicator New Castle County Peer Counties Average Quartile Ranking

Length of Life Years of Potential Life Lost Before 75 Per 100,000 % of Adults Reporting Fair or Poor Health

Quality of Life Average Number of Physically Unhealthy Days Per Month Average Number of Mentally Unhealthy Days Per Month % of Live Births with Low Birthweight % of Adults who Smoke % Adults with Obesity Food Environment Index 7,917.7 6,720 4 16.6% 16.4% 2 3.7 3.9 2

4.3 4.4 2

9.0%

7.9% 4 18.4% 17.9% 3 30.2% 31.4% 2 8.3 8.2 2

Health Behaviors

Clinical Care

Social & Economic Factors

Physical Environment % Physically Inactive % With Access to Exercise Opportunities % of Adults Reporting Binge or Heavy Drinking % Driving Deaths with Alcohol Involvement Newly Diagnosed Chlamydia Cases per 100,000 24.7% 22.6% 3 96.9% 82.5% 1 19.2% 20.1% 2 25.4% 29.6% 2 643.1 451.7 4

Births per 1,000 Females Aged 15-19 Years % of Population Under 65 Uninsured Primary Care Physicians Per 100,000 Dentists Per 100,000 15.8 5.9% 89.2 61.0

16.4 2 9.1% 1 60.9 1 57.3 2 Mental Health Providers Per 100,000 348.8 180.0 1 Preventable Hospitalizations Per 100,000 Medicare Enrollees 4,896 4,232 3 % of Females 65-74 With Annual Mammogram 46.0% 43.3% 1 % of FFS Medicare Beneficiaries with Annual Flu Vaccination 56.0% 50.9% 1 % of Adults 25+ Who Completed High School 91.6% 91.9% 3 % of Adults 25-44 with Some College 63.9% 69.9% 4 % Unemployed 3.7% 3.3% 4 % Children in Poverty 13.4% 12.0% 3 Ratio of Income at 80th Percentile to 20th Percentile 4.6 4.2 4 % Children in Single-Parent Households 28.1% 22.4% 4 Membership Associations per 10,000 10.7 8.5 1 Reported Violent Crime Offenses per 100,000 551.3 255.2 4 Deaths Due to Injury Per 100,000 82.0 72.8 3 Average Daily Density of Fine Particulate Matter (PM2.5) 9.4 7.9 4 % of Households with Severe Housing Problems 13.9% 14.3% 3 % Drive Alone to Work 79.7% 80.8% 2 % Long Commute - Drives Alone 34.5% 39.6% 2

Description County Health Rankings has assembled community health data for all 3,143 counties in the United States. Following a methodology developed by the Centers for Disease Control’s Community Health Status Indicators Project (CHSI), County Health Rankings also publishes lists of “peer counties,” so comparisons with peer counties in other states can be made. Each county in the U.S. is assigned 30 to 35 peer counties based on 19 variables including population size, population growth, population density, household income, unemployment, percent children, percent elderly, and poverty rates. CHSI formerly was available from the CDC. Because comparisons with peer counties (rather than only counties in the same state) are meaningful, Verité Healthcare Consulting rebuilt the CHSI comparisons for this and other CHNAs. Exhibit 29 compares each county to its respective peer counties and highlights community health issues found to rank in the bottom half and bottom quartile of the counties included

Source: County Health Rankings and Verité Analysis, 2021.

in the analysis. Light grey shading indicates rankings in the bottom half of peer counties; dark grey shading indicates rankings in the bottom quartile of peer counties. Underlying statistics also are provided. See Appendix D for lists of peer counties. Note that higher values generally indicate that health outcomes, health behaviors, and other factors are worse in the county than in its peer counties. However, for several indicators, lower values are more problematic, including:

• Food environment index, • Percent with access to exercise opportunities, • Percent receiving mammography screening, • Percent receiving flu vaccination, • High school graduation rate, and • Percent with some college. Observations

• New Castle County compared unfavorably to peer counties for 16 of the 34 benchmark indicators.

• New Castle County ranked in the bottom quartile for the following indicators: o Years of potential life lost before age 75 o Live births with low birthweight o Number of newly diagnosed chlamydia cases o Adults with some college o Unemployment o Income inequality o Children in single-parent households o Violent crime offenses o Average daily density of fine particulate matter