Community Profile Definition Page
- Geographic areas
- Health indicators
- Healthy People 2010 (HP 2010)
- Leading Health Indicator
- Direct age-adjusted rate
- Dynamic notes in the output table
- Dynamic footnote table
- Ranking and ranking quartile
1. Geographic areas
There are 46 counties in the State of South Carolina. They are grouped into
8 DHEC Regions (regions and counties map)
- Region 1 (Abbeville, Anderson, Edgefield, Greenwood, Laurens, McCormick,
Oconee, and Saluda Counties)
- Region 2 (Cherokee, Greenville, Pickens, Spartanburg, and Union Counties)
- Region 3 (Chester, Fairfield, Lancaster, Lexington, Newberry, Richland and
York Counties)
- Region 4 (Chesterfield, Clarendon, Darlington, Dillon, Florence, Kershaw,
Lee, Marion, Marlboro and Sumter Counties)
- Region 5 (Aiken, Allendale, Bamberg, Barnwell, Calhoun, and Orangeburg Counties)
- Region 6 (Georgetown, Horry, and Williamsburg Counties)
- Region 7 (Berkeley, Charleston, and Dorchester Counties)
- Region 8 (Beaufort, Colleton, Hampton, and Jasper Counties)
The main purpose of the Community Profile module is to assess the different
aspects of the public health issues across the geographic areas in South Carolina
such as counties or DHEC Regions. Rates, confidence interval (CI) and comparison
between the areas are more reliable on region level than on county level.
2. Health indicators
Unlike the other SCAN modules, the Community Profile Module intends to present
to the users with a comprehensive view of the public health issues: such as
demographic characteristics, infant and mother's health, health risk factor,
morbidity and mortality. The indicators included are from different sources.
More indicators from broader aspects of the community health will be added in
the future as the data becomes available.
All the health indicators are grouped into five health categories so they can
be quickly located. Clicking the categories' name below will open up new windows
showing the details of the indicators included in the module so far, such as
Healthy People 2010 information, whether an age-adjusted rate can be calculated,
data availability and data source, etc.
3. Healthy People 2010 (HP 2010)
Healthy People 2010 provides our Nation with the wide range of public health
opportunities that exist in the first decade of the 21st century. With 467 objectives
in 28 focus areas, Healthy People 2010 will be a tremendously valuable asset
to health planners, medical practitioners, educators, elected officials, and
all of us who work to improve health. Healthy People 2010 reflects the very
best in public health planning—it is comprehensive, it was created by
a broad coalition of experts from many sectors, it has been designed to measure
progress over time, and, most important, it clearly lays out a series of objectives
to bring better health to all people in this country. Healthy People 2010 presents
a comprehensive, nationwide health promotion and disease prevention agenda.
It is designed to serve as a roadmap for improving the health of all people
in the United States during the first decade of the 21st century.
Many of the indicators included in this module are HP 2010 objectives and more
objectives are expected to be added in the future. User can check which indicators
are HP 2010 objectives and which focus areas and objectives they belong to in
the detailed indicator table from the "Health indicator" section.
HP 2010 target information is featured in the Community Profile module so that
users can look at the trends or do comparisons in the output tables, trend-lines,
bar charts and even in the interactive maps. For more information about healthy
People 2010, please visit the official
site.
4. Leading Health Indicators
The Leading Health Indicators will be used to measure the health of the Nation
over the next 10 years. Each of the 10 Leading Health Indicators has one or
more objectives from Healthy People 2010 associated with it. As a group, the
Leading Health Indicators reflect the major health concerns in the United States
at the beginning of the 21st century. The Leading Health Indicators were selected
on the basis of their ability to motivate action, the availability of data to
measure progress, and their importance as public health issues. For more information
about Leading Health Indicators, please visit the official
site.
| Leading Health Indicator |
HP2010 objective |
HP2010 code |
Availability |
| Physical Activity |
Increase the proportion of adolescents who engage in vigorous physical
activity that promotes cardiorespiratory fitness 3 or more days per week
for 20 or more minutes per occasion. |
22-7 |
No |
| Increase the proportion of adults who engage regularly, preferably daily,
in moderate physical activity for at least 30 minutes per day |
22-2 |
Yes |
| Overweight and Obesity |
Reduce the proportion of children and adolescents who are overweight or
obese |
19-3c |
No |
| Reduce the proportion of adults who are obese |
19-2 |
Yes |
| Tobacco Use |
Reduce cigarette smoking by adolescents |
27-2b |
No |
| Reduce cigarette smoking by adults |
27-1a |
Yes |
| Substance Abuse |
Increase the proportion of adolescents not using alcohol or any illicit
drugs during the past 30 days |
26-10a |
No |
| Reduce the proportion of adults using any illicit drug
during the past 30 days |
26-10c |
No |
| Reduce the proportion of adults engaging in binge drinking
of alcoholic beverages during the past month |
26-11c |
Yes |
| Responsible Sexual Behavior |
Increase the proportion of adolescents who abstain from sexual intercourse
or use condoms if currently sexually active |
25-11 |
No |
| Increase the proportion of sexually active persons who use condoms |
13-6a |
No |
| Mental Health |
Increase the proportion of adults with recognized depression who receive
treatment |
18-9b |
No |
| Injury and Violence |
Reduce deaths caused by motor vehicle crashes |
15-15a |
Yes |
| Reduce homicides |
15-32 |
Yes |
| Environmental Quality |
Reduce the proportion of persons exposed to air that does not meet the
U.S. Environmental Protection Agency’s health-based standards for ozone.
|
8-1a |
No |
| Reduce the proportion of nonsmokers exposed to environmental
tobacco smoke |
27-10 |
No |
| Immunization |
Increase the proportion of young children who receive all vaccines that have been recommended for universal administration for at least 5 years |
14-24a |
No |
| Increase the proportion of noninstitutionalized adults who are vaccinated
annually against influenza and ever vaccinated against pneumococcal disease |
14-29a,b |
Yes |
| Access to Health Care |
Increase the proportion of persons with health insurance |
1-1 |
Yes |
| Increase the proportion of persons who have a specific
source of ongoing care |
1-4a |
Yes |
| Increase the proportion of pregnant women who begin
prenatal care in the first trimester of pregnancy |
16-6a |
Yes |
5. Direct age-adjusted rates
Age adjustment, using the direct method, is the application of observed age-specific
rates to a standard age distribution to eliminate differences in crude rates
in populations of interest that result from differences in the populations’
age distributions. Age adjustment is particularly relevant when populations
being compared have different age structures. Age-adjusted rates should be viewed
as relative indexes rather than actual measures of
risk.
Age-adjusted rates are calculated by the direct method as follows:
In the Community Profile module, whenever applicable, direct age-adjustment
is based on the year 2000 U.S. population, which is used to generate age-adjusted
baseline data for many Healthy People 2010 objectives.
6. Dynamic notes in the output table
| Dynamic note |
Full notation |
Condition of activation and explanation |
| AAR |
Age Adjusted Rate only |
Whenever applicable, the Healthy People 2010 targets are calculated in terms of age-adjusted rate.
This dynamic note is shown to prevent an invalid comparison between a crude rate and an age-adjusted rate.
User has to go back to the "Table/Map" input page and select "Age-adjusted Rates" in step six
for the indicator(s) that have HP 2010 targets in age-adjusted rate. |
| CR |
Crude Rate only |
When the age-adjusted rate in Step six is selected but one or more of the
selected indicators have crude rate. In order to show the crude rate or any statistics
related to the crude rate such as confidence interval or ranking, user need to go
back to the "Table/Map" input page and select "Crude Rates" in step six. |
| DSU |
Data Statistically Unreliable |
When the frequency or unweighted frequency (survey: BRFSS) of an event
is less than 15, or the unweighted underlying population (survey: BRFSS)
is less than 50, any output statistics that relate to the rate is masked
with this dynamic note. The frequency is still shown in the output table.
|
| NA |
Not Available |
Information is not applicable or not available. |
| NSD |
Not Significantly Different |
The rate of the selected area is not significantly different from the
same rate of the state average based on an alpha level of 0.05 |
| RD |
Regional level Data only |
One of more of the selected indicators don't have county level data. If
this is the case, users need to go back to the "Table/Map" input page and select "Regions" in Step One.
|
| SAR |
Single Age/Race group only |
For some of the survey indicators, 95% CI/age-adjusted rate cannot
be calculated if more than one age groups/race groups are selected in the
input page. |
| SH |
Significantly Higher than the state average |
The rate of the selected area is significantly higher than the same rate
of the state average based on an alpha level of 0.05 |
| SL |
Significantly Lower than the state average |
The rate of the selected area is significantly lower than the same rate
of the state average based on an alpha level of 0.05 |
| SY |
Survey data indicator is available for Single Year only |
Statistics for some of the survey indicators cannot be calculated
based on the combined years. User has to select single year or year as the row
variable in Step Two. |
7. Dynamic footnote table
One characteristics of the Community Profile Module is that the data come from
different sources and the indicators are different in my aspects. In order to
overcome the difficulty in combining these statistics, while still providing
multiple indicators on the same output page, this module is designed to retrieve
database information based on the user's selections and characteristics of the
indicators.
For example, a user can select the above four indicators together and select
year 2004 and all age, sex, race and ethnicity. The application retrieves the
correct multiplier and denominator for rate calculate for each indicator and
displays them in the footnote table. Business logic and rules are built into
SCAN based on the underlying data constraints so the application understand
that if the user is looking for "Teenage Pregnancy" statistics then
the data only applies to female of ages 15 to 19, and for "Women who received
a Pap test within last 2 year" the data only applies to female over 18
years old. User can also select different demographic levels of their interest,
which will be joined together at the valid level for the indicator, and the
intersection will be shown in the footnote table. By doing this, user can clear
understand which group of people the statistics is based upon and how the rates
are calculated.
8. Ranking and ranking quartile
The rankings/ranking quartiles are based on the crude/age-adjusted rate across all the counties/DHEC Regions.
The highest rate has the highest
rank and the lowest rate has the lowest rank. When the user selects the DHEC
Region geographic unit, the result is the ranking of the rate for the eight
regions. When user selects the county geographic unit, the rate is first ordered
from 1 to 46 for all 46 counties and then put into four quartiles: rank 1 to
11 in the 1st quartile, rank 2 to 23 in the 2nd quartile, rank 24 to 34 in the
3rd quartile and rank 35 to 46 in the 4th quartile. The reason this is done
for county level is that the statistic at the county level has much larger variability
than the same statistics at the region level. At the county level, the actual
ranking may have very large variability but becomes much more stable when grouped into
ranking quartiles.
Demographics
| Population |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
No |
County level, 1999 - 2004 |
Census |
| |
Natality
| Birth (birth rate) |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
No |
County level, 1999 - 2004 |
Vital Record |
| |
| Birth (fertility
rate) |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
No |
County level, 1999 - 2004 |
Vital Record |
| |
| Low Birth Weight
(LBW) |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 16-10a |
No |
County level, 1999 - 2004 |
Vital Record |
| LBW defined as birth weight less than 2500g (5.51 lbs) |
| Very Low Birth
Weight (VLBW) |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 16-10b |
No |
County level, 1999 - 2004 |
Vital Record |
| VLBW defined as birth weight less than 1500g
(3.31 lbs) |
| Preterm Birth |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 16-11a |
No |
County level, 1999 - 2004 |
Vital Record |
| |
| Mothers
without high school degree |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
No |
County level, 1999 - 2004 |
Vital Record |
| |
| Mothers who smoke
during pregnancy |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
No |
County level, 1999 - 2004 |
Vital Record |
| This includes any smoking in the first, second and third trimester |
| Mothers who are
unmarried (no PAT/ACK) |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
No |
County level, 1999 - 2004 |
Vital Record |
| Mothers with Paternal Acknowledgement are
grouped with "married" for statistical purpose |
| Mothers with Prenatal
Care Begin in the first trimester |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 16-6a |
No |
County level, 1999 - 2004 |
Vital Record |
| First trimester includes the first, second and third month
of pregnancy. |
| Mothers with adequate
prenatal care |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 16-6b |
No |
County level, 1999 - 2004 |
Vital Record |
| Adequate prenatal care is based on the Kotelchuck
Index |
| VLBW infants born
at level III hospitals |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 16-8 |
No |
County level, 1999 - 2004 |
Vital Record |
| |
| Birth paid by
Medicaid |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
No |
County level, 1999 - 2004 |
Vital Record |
| |
Health Risk Factor
| Health insurance,
age 18-65 |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 1-1 |
Yes |
Region level, 1999 - 2004 |
BRFSS |
| |
| Teenage pregnancy,
age 15-19 |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 9-7 |
No |
County level, 1999 - 2004 |
Vital Record |
| |
| Binge drinking
of alcoholic beverages, age 18+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 26-11c |
No |
Region level, 1999, 2001 - 2004 |
BRFSS |
| |
| Cigarette smoking,
age 18+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 27-1a |
Yes |
Region level, 1999 - 2004 |
BRFSS |
| |
| Adults who are
obese, age 20+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 19-2 |
Yes |
Region level, 1999 - 2004 |
BRFSS |
| Overweight corresponds to 25<=BMI<30 and Obese corresponds to BMI>=30 |
| Persons who have
a specific source of onging care, age 18+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 1-4a |
Yes |
Region level, 2001 - 2004 |
BRFSS |
| |
| Women who received
a mammogram within past 2 years, age 40+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 3-13 |
Yes |
Region level, 1999, 2000, 2002, 2004 |
BRFSS |
| |
| Blood cholesterol
checked in past 5 years, 18+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 12-15 |
Yes |
Region level, 1999, 2001 - 2003 |
BRFSS |
| |
| Women who ever
received a Pap test, age 18+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 3-11a |
Yes |
Region level, 1999, 2000, 2002, 2004 |
BRFSS |
| |
| Women who received
a Pap test within last 2 years, age 18+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 3-11b |
Yes |
Region level, 1999, 2000, 2002, 2004 |
BRFSS |
| |
| Fecal occult blood
test within last 2 years, age 50+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 3-12a |
Yes |
Region level, 1999, 2001 - 2004 |
BRFSS |
| |
| Regular moderate
physical activity, 3+ days/week for 30 or more minutes, age 18+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 22-2 |
Yes |
Region level, 2001 - 2004 |
BRFSS |
| |
| Influenza vaccination
within the past year, age 65+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 14-29a |
Yes |
Region level, 1999 - 2004 |
BRFSS |
| |
| Pneumococcal Pneumonia
Vaccination, ever had, age 65+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 14-29b |
Yes |
Region level, 2001 - 2004 |
BRFSS |
| |
Morbidity
| Diabetes that
is clinically diagnosed, age 18+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 5-3 |
Yes |
Region level, 1999 - 2004 |
BRFSS |
| |
| Limitation in
activity due to Arthritis: adults with Chronic Joint Symptoms, age 18+ |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
No |
County level, 1999 - 2004 |
BRFSS |
| |
Mortality
| Infant death with
birth weight less than 2500g |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
No |
County level, 1999 - 2004 |
Vital Record |
| |
| Infant death with
birth weight less than 1500g |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
No |
County level, 1999 - 2004 |
Vital Record |
| |
| Infant death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 16-1c |
No |
County level, 1999 - 2004 |
Vital Record |
| Infant death: death within 1 year |
| Neonatal death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 16-1d |
No |
County level, 1999 - 2004 |
Vital Record |
| Neonatal death: death within the first 28
days of life |
| Postneonatal death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 16-1e |
No |
County level, 1999 - 2004 |
Vital Record |
| Postneonatal death: death between 28 days and 1 year |
| Coronary heart
disease death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 12-1 |
Yes |
County level, 1999 - 2004 |
Vital Record |
| ICD-10: I20-I25 |
| Stroke death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 12-7 |
Yes |
County level, 1999 - 2004 |
Vital Record |
| ICD-10: I60 - I69 |
| Suicide death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
Yes |
County level, 1999 - 2004 |
Vital Record |
| ICD-10: X60-X85, Y87.0 |
| Homicide death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 15-32 |
Yes |
County level, 1999 - 2004 |
Vital Record |
| ICD-10: X85-Y10, Y87.1 |
| Motor vehicle
crashes death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 15-15a |
Yes |
County level, 1999 - 2004 |
Vital Record |
| ICD-10: V02-V04,V09.0, V09.2,V12-V14,V19.0-V19.2,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 |
| Unintentional
injury death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 15-13 |
Yes |
County level, 1999 - 2004 |
Vital Record |
| ICD-10: V01-X59, Y85-Y86 |
| Cancer death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 3-1 |
Yes |
County level, 1999 - 2004 |
Vital Record |
| ICD-10: C00-C97 |
| Breast cancer
death, female |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 3-3 |
Yes |
County level, 1999 - 2004 |
Vital Record |
| |
| Colorectal cancer
death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 3-5 |
Yes |
County level, 1999 - 2004 |
Vital Record |
| |
| Lung cancer death |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 3-2 |
Yes |
County level, 1999 - 2004 |
Vital Record |
| |
| Prostate cancer
death, male |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 3-7 |
Yes |
County level, 1999 - 2004 |
Vital Record |
| |
| Year of Potential
Life Lost (YPLL) before age 75: All cause |
HP 2010 |
Age-adjust |
Data availability |
Source |
| No |
No |
County level, 1999 - 2004 |
Vital Record |
| |
| Year of Potential
Life Lost (YPLL) before age 75: motor vehicle crashes |
HP 2010 |
Age-adjust |
Data availability |
Source |
| 12-1 |
Yes |
County level, 1999 - 2004 |
Vital Record |
| ICD-10: I20-I25 |
|