Chronic Disease Health Profile: Tennessee

CHRONIC DISEASE HEALTH PROFILE REGIONS AND COUNTIES: TENNESSEE
METROPOLITAN COUNTIES
TENNESSEE DEPARTMENT OF HEALTH OFFICE OF POLICY, PLANNING & ASSESSMENT SURVEILLANCE, EPIDEMIOLOGY AND EVALUATION
DECEMBER 2011
TABLE OF CONTENTS
SECTION 1: STATE PROFILE TENNESSEE 1
SECTION 2: RANKINGS REGIONAL RANKINGS OF SELECTED INDICATORS COUNTY RANKINGS OF SELECTED INDICATORS COUNTY RANKINGS OF SELECTED INDICATORS BY RURAL REGION 15 16 20
SECTION 3: METROPOLITAN COUNTY PROFILES DAVIDSON HAMILTON KNOX MADISON SHELBY SULLIVAN 24 38 52 66 80 94
SECTION 4: TECHNICAL NOTES TECHNICAL NOTES 108
Tennessee
Demographics
Quick Facts
Median Age1:
1
37.3
Median Income : $42,943 Home Ownership1: 72.0% Unemployment1: 7.9% Crime Rate2 (per 1,000):
3
91.9
Teen Pregnancy Rate (per 1,000)
Population by Age, Gender and Race, 2005-2009

Age Gender Female Male NonHispanic White 1,025,898 1,699,802 1,315,508 698,898 4,740,106
Overall: 63.4
Race NonHispanic Black 298,159 410,678 226,209 81,004 1,016,050
Total Hispanic
White: 52.4 Black: 103.3 Infant Mortality4 (per 1,000) Overall: 8.1
<18 18-44 45-64 65+ Total
720,623 1,143,968 827,771 464,909 3,157,271
754,407 1,140,065 775,142 332,068 3,001,682
90,277 106,533 25,576 6,057 228,443
1,475,030 2,284,033 1,602,913 796,977 6,158,953
White: 5.6 Black: 15.2 Automobile Accident Deaths4 (per 100,000): 18.7
Demographics of Tennessee, 2005-20091

Male Female NH White NH Black Hispanic HS Graduate Families in Poverty Individuals in Poverty 0
12.2 16.1 48.7 51.3 77.0 16.5 3.7 82.0
20
40 Percent
60
80
100
Data Source: U.S. Census Bureau, American Community Survey, 2005-2009.
Data Source: Tennessee Bureau of Investigation. "Tennessee Incident Based Reporting System (TIBRS)" accessed July 26, 2011. http://www.tennesseecrimeonline.com/tibrspublic2005, 2007-2009. Data Source: Birth Statistical System, Fetal Death Statistical System, and Induced Abortion Statistical System. Tennessee Department of Health, Division of Health Statistics, 2007-2009.
4 3
Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics, 2007-2009.
Tennessee
General Health
"Fair/Poor" Health1
40 40
Lacking Health Insurance1
Percent
Percent
20
20.5 20.5 21.3 19.9 20.7 18.1 19.4 19.5 18.8 18.3
20
11.9 10.7
13.0
12.7
11.8
14.0
13.2
14.7
16.6
15.7
0 2000
2002
2004
2006
2008
0 2000
2002
2004
2006
2008
Pneumonia and Influenza Vaccination Status1

100 80 Percent 60 40 20 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
52.3 76.7 55.4 61.3 60.8 63.5 63.8 66.5 65.3 64.3 63.9
50.8
55.0
53.1
53.0 41.6
53.0
57.0
54.1
55.7
Ever received pneumonia vaccination (age 65+)
Received flu shot in past 12 months (age 50+)

1
Prevalence for General Health Indicators Among Tennessee Adults 18+, 2009
Indicator Fair/Poor Health Status (%) Lacking Health Insurance (%) Ever Received Pneumonia Vaccination (%) Received Flu Shot in Past 12 Months (%) Mean # of Days of Poor Physical Health per Month (%) Mean # of Days of Poor Mental Health per Month (%)
3 2
Total 21.3 15.7 63.9 55.7 12.4 13.9
NH White 22.1 14.2 66.1 57.2 12.9 14.2
NH Black 20.6 20.0 44.5 43.7 10.9 13.5
Female 22.4 12.9 65.3 56.6 12.5 12.9
Male 20.1 18.9 62.0 54.7 12.4 15.3
1 2 3
Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. Age 65+. Age 50+.
Tennessee
Behavioral Risk Factors
60 40 20
11.8 12.8 12.9 15.7 15.0 18.4 17.4 17.7 19.2 20.5 34.8 34.3 32.2 33.1 34.8 35.2 32.7
Overweight and Obesity1

35.0 35.2 36.1 36.5 35.4 36.8 35.4 37.0 34.9 36.5 36.7 36.8 36.1
Percent
22.9
23.4
24.5
25.0
27.2
27.4
28.8
30.7
31.2
32.9
0 1990
1992
1994
1996 1998 Overweight
2000
2002
2004 Obese
2006
2008
Nutrition and Physical Activity1

100
77.8 76.7
40
Cholesterol Screening and High Cholesterol1

33.1 30.6 30.2 30.7 30.6 34.6 32.9 34.2 33
80
62.9
73.4
73.7
Percent
63.1
62.4
63.8
61.2
64.1
Percent
60 40 20 0 2001
29.0
26.6
20
24.6 25.2 23.9 20.5 18.7
2003
2005
2007
2009
0 2000
2002
2004
2006
2008
Eating < 5 Fruit & Vegetables/Day Not Meeting Physical Activity Recommendations
Cholesterol Not Checked in 5 Years Ever Told Had High Cholesterol
Prevalence for Behavioral Risk Factors Among Tennessee Adults 18+, 20091
Risk factor Eating <5 Fruits & Vegetables per Day (%) Not Meeting Physical Activity Recommendations (%) Overweight or Obese (%) Have Not Checked Cholesterol Within the Past 5 Years (%) Ever Told Had High Cholesterol (%) Ever Told Had High Blood Pressure (%) Total 76.7 64.1 69.1 18.7 33.0 32.7 NH White 75.3 63.6 66.9 18.3 34.1 32.5 NH Black 82.9 67.7 78.8 20.3 28.5 41.6 Female 73.9 66.8 64.4 16.7 32.0 33.5 Male 79.7 61.2 73.8 20.9 34.1 31.8
Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise.
Tennessee
Cigarette & Alcohol Use
5 4 Cost in Dollars 3 2 1 0 1990 1993 1996 1999 Since 1990: 338.7% Increase in Cost per Pack 63.2% Decrease in Sales 2002 2005 Pack Sales Per Capita 2008
Cigarette Cost and Sales in Tennessee1
140 120 100 80 60 40 20 0
Average Cost Per Pack
Current Cigarette Smokers2

40 35 30 25.7 25 20 15 10 5 0 2000 20 15 Percent
10.5 27.8 24.4 25.7 26.1 26.8 22.6
24.3
23.2
22.1
Percent
2002
2004
2006
2008
Alcohol Use2
10 5
8.3 6.5 3.3 2.2
8.2
8.6
8.5
9 6.8 3.5 2.6 1.9
3.6
3.4
3.4
0 2002
2004
2006 Heavy Drinking
2008 Binge Drinking
Prevalence for Alcohol and Tobacco Use Among Tennessee Adults 18+, 20092
Indicator
Heavy Drinking (%) Binge Drinking (%) Current Smokers (%)
1 2
Total
1.9 6.8 22.1
NH White
2.3 6.5 22.3
NH Black
1.0 6.8 20.9
Female
1.9 4.6 19.7
Male
2.0 9.0 24.7
Data Source: Centers for Disease Control and Prevention (CDC) State Tobacco Activities Tracking and Evaluation (STATE) System. Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise.
Pack Sales Per Capita
Tennessee
Leading Causes of Death
Leading Causes of Death, Tennessee, 2007-20091 Rank
1 2 3 4 5 6 7 8 9 10
2 3
Cause
Heart Disease Cancer Chronic Lower Respiratory Diseases Stroke Accidents Alzheimer's Disease Diabetes Mellitus Influenza and Pneumonia Suicide Kidney Disease 1 2
# Deaths
42,982 39,629 10,157 9,857 9,574 6,880 5,174 4,204 2,737 2,670 3 4 5
Age Adjusted Mortality Rate and Demographic Ranking

Total 220.7 200.8 52.7 51.3 50.8 36.2 26.5 21.9 14.4 13.9 White 214.7 196.4 55.2 48.3 53.0 36.8 23.3 22.1 16.0 12.1 Black 272.4 242.4 33.6 73.0 40.7 32.0 52.7 19.6 6.3 28.6 Female 174.7 159.8 45.6 49.1 33.9 38.7 23.7 19.4 6.3 12.1 Male 284.2 264.3 65.5 53.7 70.5 30.8 30.2 26.7 23.5 17.1
Ranking Key:
All Cause Mortality by Race, Tennessee, 2007-20091

Total White Black Female Male 0 200 400 600 800 Deaths per 100,000 1000
741.3 1,107.4 895.0 871.9 1,073.1
1200
1 2 3
Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjusted to the 2000 standard US population. Ranking order is based on counts for the total population. Demographic ranking is based on counts for each subgroup. Annual Mortality Rate per 100,000 population, age adjusted to the 2000 standard US population.
Tennessee
Heart Disease
Age Adjusted Mortality1 and Hospitalization2, Heart Disease
2000 Rate Per 100,000
1,525 1,528 1,545 1,545 1,549 1,505 1,456 1,436
1500 1000 500

297 293 279 284 273 253 245 233
1,357
1,323
1,242
223
226
213
0 1999
2001
2003
2005 Mortality
2007 2009 Hospitalization
Heart Disease Mortality1, Hospitialization2, 2007-2009

Total Mortality (per 100,000) Hospitalization (per 100,000) 220.7 1,306.8 White 214.7 1,144.7 Black 272.4 1,615.2 Female 174.7 1,069.4 Male 284.2 1,601.0
Heart Disease Prevalence3, 2009

Total Prevalence of MI4 (%) P Prevalence l of f CHD (%)
5
NH White 5.2 5.1 51
NH Black 3.6 2.5 25
Female 4.4 4.2 42
Male 5.1 4.8 48
4.7 4.5 45
Age Specific Mortality by Race, Heart Disease, 2007-20091

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 1000 2000 3000 Deaths per 100,000
58.4 37.7 163.0 119.6 416.5 244.6 854.6 533.9 1,826.1 1,451.3 3,996.9 4,433.6
Black White
4000
5000
Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjustment based on the 2000 standard US population.
Data Source: Hospital Discharge Data System, Tennessee Department of Health, Division of Health Statistics, 2007-2009. Data are for discharges, not necessarily for unique patients and are calculated for all ages. Age adjusted to the 2000 standard US population.
3 4 5
Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. MI= Myocardial Infarction. CHD=Coronary Heart Disease.
Tennessee
Stroke
Age Adjusted Mortality1 and Hospitalization2, Stroke
500 Rate per 100,000
402 398 400 394
400 300 200 100

76 78 73 71
382
363
356
356
329
322
303
68
63
61
55
55
51
48
0 1999
2001
2003
2005 Mortality
2007
2009 Hospitalization
Stroke Mortality1, Hospitialization2, and Prevalence3, 2007-2009

Total Mortality (per 100,000) Hospitalization (per 100,000) Prevalence (%)
4
White 48.3 273.4 31 3.1
Black 73.0 431.1 34 3.4
Female 49.1 299.8 37 3.7
Male 53.7 342.0 22 2.2
51.3 318.0 30 3.0
Age Specific Mortality by Race, Stroke, 2007-20091

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 200 400 600 Deaths per 100,000 800 1000
18.2 5.6 44.3 14.7 96.6 35.1 217.9 106.2 517.8 387.1 1121.5 1138
Black White
1200
3 4
Data Source: Tennessee Behavioral Risk Factor Surveillance System (BRFSS). Statistics are for 18+ unless indicated otherwise. 2009 data, NH white and NH black race groups.
Tennessee
CLRD1
600 Rate per 100,000 500 400 300 200 100
50 52 52 52 53 50 52 48 50 55 53 456 435
Age Adjusted Mortality2 and Hospitalization3, CLRD

441 454 459 429 457 417 461 400 451
0 1999
2001
2003
2005
2007 Mortality
Chronic Lower Respiratory Disease Mortality2 and Hospitialization3, 2007-2009

Total Mortality (per 100,000) Hospitalization (per 100,000) 52.7 437.5 White 55.2 402.8 Black 33.6 457.6 Female 45.6 481.1 Male 65.5 397.4
Asthma Prevalence, 20094

Total Ever Had Asthma (%) Currently Have Asthma (%) 11.9 8.3
4
NH White 12.8 8.9
NH Black 9.1 6.4
Female 11.9 9.5
Male 11.9 7.0

2
Prevalence of Self-Reported Current Asthma

12
Age Specific Mortality by Race, CLRD, 2007-2009

35-44
18.2 5.6 44.3 14.7 96.6 35.1 217.9 106.2 517.8 387.1
10
8.2 8.0
9.0 7.3 6.8 7.7
8.5
8.6
8.9 8.1
45-54
Age Group
Percent
55-64 65-74 75-84
Black White
6 4 2
85+ 0
1121.5 1138
2001
1 2
2003
2005
2007
2009
200
400 600 800 Deaths per 100,000
1000
1200
CLRD= Chronic Lower Respiratory Disease. Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjustment based on the 2000 standard US population.
4
Tennessee
Diabetes
Age Adjusted Mortality1 and Hospitalization2, Diabetes
Rate per 100,000 200 100
26 28 31 30 163 165 179 188 193 199 197 191 189 188 174
32
31
30
27
27
27
26
0 1999
2001
2003
2005
2007 Mortality
Diabetes Mortality1 and Hospitialization2, 2007-2009

Total Mortality (per 100,000) Hospitalization (per 100,000)
3
White 23.3 134.2

3
Black 52.7 409.8
Female 23.7 176.7
Male 30.2 192.7
26.5 183.7
Diabetes Prevalence and Diabetes Management Indicators , 2009

Total Prevalence (%) Self-Blood Glucose Monitoring at Least Once Daily (%) Foot Examined by a Doctor in Past 12 Months (%) Received a Dilated Eye Exam in past 12 Months (%) 10.3 73.8 72.7 68.2 NH White 10.4 75.5 73.5 68.1 NH Black 10.3 66.5 68.0 67.2 Female 10.6 76.3 67.4 63.4 Male 9.9 71.1 78.9 73.6
Age Specific Mortality by Race, Diabetes, 2007-20091

35-44 Age Group 45-54 55-64 65-74 75-84 85+ 0
1
13.3 6.2 30.6 16.7 75.2 36.9 192.2 71.3 393.2 159.7 551.4 300.1
Black White
100
200
300 Deaths per 100,000
400
500
600
3
Tennessee
Cancer
Age Adjusted Incidence1, Mortality1 and Hospitalization2, All Cancers
600 500 Rate per 100,000 400
407.6 399.8 208.7 390.8 202.7 473.2 444.2 470.8 475.8 473.3
300
206.7
371.0 199.2
367.4 194.5
200 100 0 2004
2005
2006 Incidence
2007 Mortality
Cancer Incidence and Mortality , 2004-2008

Total Incidence (per 100,000) Mortality (per 100,000) 467.8 202.2 White 466.6 196.9 Black 468.1 249.8 Female 405.3 163.3 Male 559.1 260.5
Age Specific Mortality by Race, All Cancer, 2007-20093

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 500 1000 Deaths Per 100,000 1500
46.9 35.9 182.1 138.2 495.3 369.2 958.8 802.9 1,608.3 1355.5 1,834.9 1528.5
Black White
2000
Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2000 standard US population.
3
Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics.
10
Tennessee
Lung Cancer
120 100 Rate per 100,000
83.2 83.4 82.2 78.6 78.0
Age Adjusted Incidence1 and Mortality1, Lung Cancer
80 60 40 20 0 2004
67.7 69.5 67.4 65.3
63.0
2005
2006
2007 Incidence
2008 Mortality
Lung Cancer Incidence and Mortality , 2004-2008

Total Incidence (per 100,000) Mortalit (per 100,000) Mortality 100 000) 81.0 66 5 66.5 White 81.7 66 5 66.5 Black 77.8 66 5 66.5 Female 60.8 66 5 66.5 Male 108.8 66 5 66.5
Age Specific Mortality by Race, Lung Cancer, 2007-20092

35-44
5.9 7.3 48.2 41.9 148.9 134.2 316.2 329.2 430.1 453.8 327.1 317.4
45-54 Age Group
55-64
Black White
65-74
75-84
85+ 0
1
100
200 300 Deaths Per 100,000
400
500
Data Source: Cancer Registry, Tennessee Department of Health, Office of Cancer Surveillance, all ages. Age adjusted to the 2000 standard US population. Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics.
11
Tennessee
Breast Cancer
140 120
121.1
Age Adjusted Incidence1 and Mortality1, Female Breast Cancer
Rate per 100,000
100 80 60 40 20
110.4
117.3
117.9
119.7
25.4
26.2
24.3
23.3
22.2
0 2004
2005
2006
2007 Incidence
2008 Mortality
Female Breast Cancer Incidence and Mortality , 2004-2008

Total Incidence (per 100,000) Mortality (per 100,000) 117.3 24.3 White 116.9 22.4 Black 116.7 36.6
Age Specific Mortality by Race, Female Breast Cancer, 2007-20092

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 50 100
13.8 8.0 46.8 23.9 88.2 50.3 98.1 75.4 158 114.6 275.7 142.1
Black White
150 Deaths Per 100,000
200
250
300
12
Tennessee
Colorectal Cancer
Age Adjusted Incidence1 and Mortality1, Colorectal Cancer
100 80 60 40
19.3 18.8 17.5 18.6 18.2 48.9 52.0 48.9 47.7 47.0
Rate per 100,000
20 0 2004
2005
2006
2007 Incidence
2008 Mortality
Colorectal Cancer Incidence and Mortality , 2004-2008

Age Specific Mortality by Race, Colorectal Cancer, 2007-20092

35-44
6.7 3.9 21.9 13.7 52.3 31.9 107.1 60.1 179.5 121.7 252.3 179.4
45-54
Black White
Age Group
55-64
65-74
75-84
85+ 0 50 100 150 Deaths Per 100,000
200
250
300
13
Tennessee
Prostate Cancer
200
Age Adjusted Incidence1 and Mortality1, Prostate Cancer

156.7 153.2
Rate per 100,000
150
120.7
137.2
142.4
100
50
27.7
27.5
26.8
26.2
23.4
0 2004
2005
2006
2007
Incidence
2008
Mortality
Prostate Cancer Incidence and Mortality , 2004-2008

Age Specific Mortality by Race, Prostate Cancer, 2007-20092

45-54
1.1 1.0 21.4 7.0 71.2 26.7 194.5 77.2 271.0 140.1
55-64 Age Group
65-74
Black White
75-84
85+ 0 50 100
200
250
300
14
Regional Rankings of Selected Indicators, Tennessee*

South Central UpperCumberland 14 1 10 13 10 11 9 1 8 6 6 10 1 4 8 11 5 10 10 5 4 11 5 8 4 2 12 14 12 11 2 4 4 9 6 7 MidCumberland Northwest Southwest 12 2 1 7 5 8 3 6 11 12 2 3 6 14 6 5 8 14 4 2 2 4 4 2 3 7 7 6 1 7 3 14 13 6 2 4 Northeast Southeast Hamilton Davidson Madison Sullivan 7 10 11 4 11 3 8 7 1 1 9 7 8 7 3 4 10 10 6 10 13 3 2 14 13 13 4 4 8 1 10 2 3 3 12 9 Shelby 4 2 2 1 1 1 11 12 14 7 7 11 2 12 12 1 14 4 5 6 6 9 13 3 9 14 6 7 5 9 4 9 14 2 1 1 Knox 2 12 14 6 14 13 13 13 4 2 10 14 12 3 5 9 13 10 9 12 14 13 9 12 5 7 12 10 14 8 12 1 5 1 13 2
Indicator High School Education or Higher Individuals in Poverty Unemployment Crime Teen Pregnancy Infant Mortality Fair/Poor Health Status Lacking Health Insurance Ever Received Pneumonia Vaccination1 2 Received Flu Shot in Past 12 Months 3 Eating <5 F&V 4 Not Meeting PA Recommendations Overweight or Obese Cholesterol Not Checked Within the Past 5 Years Ever Told High Cholesterol Ever Told High Blood Pressure Current Cigarette Smoker Heavy Drinking Binge Drinking All Cause Mortality Heart Disease Mortality Myocardial Infarction Prevalence CHD5 Prevalence Stroke Mortality Stroke Prevalence CLRD6 Mortality Asthma Prevalence (Ever) Asthma Prevalence (Current) Diabetes Mortality Diabetes Prevalence Cancer Mortality Cancer Incidence Lung Cancer Incidence Breast Cancer Incidence Colorectal Cancer Incidence Prostate Cancer Incidence
* 1 2 3 4 5 6
4 11 12 2 2 10 14 9 6 10 14 13 13 2 9 14 7 7 1 9 10 14 11 10 12 12 10 12 4 14 9 6 8 4 8 6
11 8 9 8 8 12 1 3 5 5 1 1 5 8 1 3 2 7 7 8 12 5 10 11 7 4 2 1 8 4 6 3 2 5 10 5
East
3 13 8 5 6 4 11 14 13 13 11 9 14 11 10 10 11 2 3 13 8 8 14 9 14 6 14 11 7 6 13 5 10 6 11 3
6 6 6 3 3 2 6 8 12 8 4 5 3 10 14 13 12 9 2 14 11 12 7 1 11 11 11 12 6 2 14 13 12 14 4 11
1 14 13 14 13 14 10 11 2 9 12 8 9 6 13 12 9 1 11 11 9 7 11 5 5 9 5 8 13 13 11 8 9 6 7 8
8 4 6 12 12 8 5 10 3 3 13 4 11 13 4 7 5 13 14 7 3 1 1 13 2 3 8 3 10 10 8 11 7 12 14 14
9 4 4 10 7 5 7 4 6 4 3 6 7 5 6 2 1 3 12 1 1 2 3 4 1 5 3 5 3 3 1 12 1 13 5 13
9 8 5 8 4 6 4 5 10 11 8 12 4 9 2 8 3 6 13 4 5 6 8 7 8 9 9 9 11 12 4 7 6 11 3 12
13 7 3 11 9 7 2 2 9 14 5 2 10 1 11 6 4 4 8 3 7 10 6 6 10 1 1 2 2 5 7 10 11 10 9 10
Regional rankings are in descending order, where a rank of 1 indicates the highest value for that indicator among all regions.
For population age 65+. For population age 50+. Fruit and vegetable. Physical Activity. Coronary heart disease. Chronic lower respiratory disease.
Data Sources: U.S. Census Bureau, American Community Survey, 2005-2009: High School Education or Higher, Individuals in Poverty, Unemployment. Tennessee Bureau of Investigation, "Tennessee Incident Based Reporting System (TIBRS)" 2007-2009: Crime. Tennessee Birth Statistical System, Fetal Death Statistical System, and Induced Abortion Statistical System, 2007-2009: Teen Pregnancy. Tennessee Death Statistical System, 2007-2009: Infant Mortality, All Cause Mortality, Heart Disease Mortality, Stroke Mortality, CLRD Mortality, Diabetes Mortality. Tennessee Behavioral Risk Factor Surveillance System, 2009: Fair/Poor Health Status, Lacking Health Insurance, Ever Received Pneumonia Vaccination, Received Flu Shot in Past 12 Months, Eating <5 FV, Not Meeting PA Recommendations, Overweight or Obese, Cholesterol Not Checked Within the Past 5 Years, Ever Told High Cholesterol, Ever Told High Blood Pressure, Current Cigarette Smoker, Heavy Drinking, Binge Drinking, Myocardial Infarction Prevalence, CHD Prevalence, Stroke Prevalence, Asthma Prevalence Ever/Current, Diabetes Prevalence. Tennessee Cancer Registry, 2004-2008: Cancer Mortality, Cancer Incidence, Lung Cancer Incidence, Breast Cancer Incidence, Colorectal Cancer Incidence, Prostate Cancer Incidence.
15
County Rankings of Selected Indicators, Tennessee*

All Cause Mortality Diabetes Mortality CLRD1 Mortality Stroke Mortality Teen Pregnancy Infant Mortality Colorectal Cancer Incidence 57 67 75 37 22 71 31 80 44 29 61 43 79 56 84 57 4 74 12 50 35 64 5 2 46 61 37 Cancer Incidence Cancer Mortality High School Education and Higher Unemployment Heart Disease Mortality Individuals in Poverty Prostate Cancer Incidence 15 9 6 44 4 28 11 41 20 45 53 18 48 24 1 24 22 28 74 13 37 54 65 47 78 51 40 Breast Cancer Incidence 31 37 14 52 23 27 41 25 45 28 75 34 76 20 35 77 2 62 71 37 90 48 17 29 3 51 48 Lung Cancer Incidence 60 70 38 76 86 34 50 66 2 5 47 14 31 26 53 32 1 49 15 43 57 28 16 45 24 46 68
County
Metropolitan Counties Davidson 9 Hamilton 7 Knox 5 Madison 14 Shelby 9 Sullivan 18 East Region Anderson 17 Blount 7 Campbell 89 Claiborne 84 Cocke 77 Grainger 93 Hamblen 43 Jefferson 48 Loudon 13 Monroe 74 Morgan 67 Roane 22 Scott 59 Sevier 27 Union 91 Mid-Cumberland Region Cheatham 16 Dickson 24 Houston 26 Humphreys 20 Montgomery 2 Robertson 32
70 77 74 48 34 65 63 88 11 31 15 55 65 49 86 56 20 77 9 83 32 92 82 21 86 81 91
76 57 92 51 30 69 67 64 22 51 26 55 48 48 76 13 69 64 15 87 93 78 69 14 74 82 69
Crime 3 9 26 2 1 11 19 61 7 34 23 71 17 49 47 42 90 35 14 12 81 48 22 33 77 15 53
5 41 77 10 3 59 78 70 56 79 22 61 6 44 40 24 82 66 34 15 47 79 48 4 76 21 11
44 29 68 17 6 28 83 61 58 24 35 85 61 24 88 63 76 16 86 36 80 91 33 87 57 48 58
76 87 86 88 55 80 81 89 31 16 25 24 49 30 91 61 47 60 22 84 66 72 52 54 46 71 33
70 67 89 71 55 79 84 94 43 11 8 41 64 66 86 65 92 80 45 50 77 56 53 83 30 82 14
63 55 71 20 26 83 92 66 95 49 77 62 40 34 72 38 82 53 94 87 52 43 30 2 13 12 8
74 56 57 72 89 78 66 52 15 36 86 27 22 47 87 53 18 60 4 95 12 64 71 14 31 26 81
35 50 82 43 38 54 81 69 66 69 52 45 7 9 52 41 63 33 18 88 31 85 89 85 3 37 32
74 84 79 73 41 66 52 87 13 4 44 6 31 34 82 42 9 39 19 86 62 76 22 53 29 60 26
34 31 21 54 43 23 28 39 17 18 51 8 45 7 15 48 1 55 37 20 80 53 9 49 11 58 47
16
All Cause Mortality
Diabetes Mortality
CLRD1 Mortality
Stroke Mortality
Teen Pregnancy
Infant Mortality
Colorectal Cancer Incidence 80 6 48 34 63 55 89 71 . 82 83 89 64 76 16 53 44 32 51 59 8 47 54 26 18 41 40 21
Cancer Incidence
Cancer Mortality
High School Education and Higher
Unemployment
Heart Disease Mortality
Individuals in Poverty
County
Rutherford Stewart Sumner Trousdale Williamson Wilson Northeast Region Carter Greene Hancock Hawkins Johnson Unicoi Washington Northwest Region Benton Carroll Crockett Dyer Gibson Henry Lake Obion Weakley South Central Region Bedford Coffee Giles Hickman Lawrence Lewis
4 31 6 74 1 3 50 52 95 43 86 63 11 41 57 41 46 35 21 92 25 36 72 28 28 69 55 48
90 45 93 88 95 94 21 37 1 42 8 52 69 46 26 29 25 37 57 5 72 37 37 58 58 50 58 18
78 39 62 31 95 94 46 57 23 11 18 62 78 21 9 41 69 31 27 3 78 57 25 51 16 68 48 1
Crime
28 74 43 49 92 37 72 51 85 44 82 79 27 59 73 76 5 32 38 83 29 45 67 18 41 65 13 57
63 84 65 57 95 90 73 48 71 62 48 79 86 30 19 33 8 43 36 1 24 93 9 26 67 20 46 58
65 74 68 92 90 73 13 76 37 65 83 43 20 92 45 8 4 38 38 27 26 71 15 51 68 7 76 30
90 28 83 37 94 79 68 38 6 57 82 13 77 2 7 27 42 17 23 1 39 63 29 56 44 62 64 8
72 4 74 47 90 60 46 19 22 62 91 17 54 2 3 1 35 38 9 25 33 63 10 68 24 93 68 5
63 84 63 6 49 23 70 68 32 93 59 57 78 27 39 56 41 13 11 81 60 80 36 19 21 89 88 29
61 72 67 1 90 80 50 33 8 41 40 23 77 28 79 92 48 75 61 3 29 35 64 58 45 53 46 76
76 28 78 75 89 68 45 56 11 74 17 59 71 42 34 48 84 15 67 4 14 10 83 80 29 72 29 1
83 36 67 50 92 71 55 15 64 71 63 21 78 25 14 77 51 15 59 1 35 27 20 28 69 32 46 9
52 22 36 86 39 71 89 42 82 58 88 65 46 30 10 60 83 37 61 72 41 78 63 19 74 33 14 73
74 48 54 72 90 79 72 17 84 39 80 67 61 9 7 22 57 25 36 10 40 63 64 40 68 8 13 71
47 60 44 78 10 56 86 30 53 59 84 22 21 58 26 7 78 40 56 46 66 67 36 63 72 15 16 91
Prostate Cancer Incidence 19 46 16 70 12 69 94 76 23 55 95 93 62 34 61 89 90 49 17 68 52 37 58 10 62 67 26 72
Breast Cancer Incidence
Lung Cancer Incidence
17
All Cause Mortality
Diabetes Mortality
CLRD1 Mortality
Stroke Mortality
Teen Pregnancy
Infant Mortality
Colorectal Cancer Incidence 19 7 51 94 1 25 88 73 11 26 76 69 42 59 15 86 92 39 91 48 85 20 9 13 3 24 36 87
Cancer Incidence
Cancer Mortality
Unemployment
County
Lincoln 33 Marshall 33 Maury 14 Moore 19 Perry 62 Wayne 65 Southeast Region Bledsoe 88 Bradley 30 Franklin 36 Grundy 94 Marion 61 McMinn 39 Meigs 60 Polk 76 Rhea 66 Sequatchie 52 Southwest Region Chester 54 Decatur 87 Fayette 23 Hardeman 90 Hardin 68 Haywood 63 Henderson 39 Lauderdale 82 McNairy 45 Tipton 12 Upper-Cumberland Region Cannon 51 Clay 83
76 46 85 83 13 63 14 72 80 2 68 50 11 54 30 23 71 44 77 34 24 4 62 7 27 53 75 43
82 38 61 90 66 7 11 43 46 45 43 51 23 28 5 55 34 74 18 16 28 2 20 4 8 31 84 9
Crime
38 64 8 86 68 84 94 21 54 69 58 6 36 46 56 70 62 74 66 40 10 4 20 16 63 25 89 87
32 16 28 94 87 92 18 52 88 83 53 54 42 17 7 27 91 14 51 22 38 13 45 2 38 54 85 68
31 4 33 92 19 79 17 71 40 9 20 47 48 11 14 11 31 3 74 80 67 1 58 9 41 48 89 53
51 40 59 95 69 53 48 78 70 3 20 43 14 65 18 36 85 9 67 73 41 26 35 34 11 32 75 45
20 28 81 95 57 21 29 61 78 27 49 88 51 58 39 76 36 23 37 52 26 6 13 15 12 32 84 40
37 46 35 54 51 43 5 73 17 48 28 23 16 86 25 47 57 15 66 69 4 22 1 75 10 74 43 60
94 63 59 84 49 43 30 68 38 5 13 42 18 38 20 16 90 69 51 83 88 93 85 44 16 24 32 24
87 91 48 23 57 61 93 35 39 45 20 12 44 8 16 73 6 24 2 5 61 19 27 25 64 64 58 94
56 37 68 95 11 32 94 80 80 47 3 56 93 18 43 24 90 49 70 65 38 23 60 7 48 12 89 58
70 13 27 95 15 75 91 81 57 29 44 77 4 35 2 66 92 79 94 64 84 85 67 62 32 50 68 90
78 42 37 94 20 34 80 92 77 30 27 87 11 18 4 85 93 19 95 75 44 88 62 65 56 57 89 91
42 11 12 . 64 54 70 50 68 9 24 73 8 68 1 81 18 83 93 61 80 87 13 88 5 55 89 94
Prostate Cancer Incidence 83 35 27 64 21 85 73 87 36 50 57 71 28 86 42 59 88 91 75 33 92 14 60 32 80 8 56 77
18
All Cause Mortality
Diabetes Mortality
CLRD1 Mortality
Stroke Mortality
Teen Pregnancy
Infant Mortality
Colorectal Cancer Incidence 78 23 10 66 13 69 68 32 30 93 17 26
Cancer Incidence
Cancer Mortality
Unemployment
County Cumberland Dekalb Fentress Jackson Macon Overton Pickett Putnam Smith Van Buren Warren White
1
38 69 79 79 77 79 56 57 46 84 73 71
58 6 3 10 15 32 17 19 65 28 41 34
34 5 39 34 34 85 89 87 86 90 60 41
Crime
29 31 52 88 80 78 95 24 91 93 59 55
29 35 69 74 12 71 89 75 63 60 37 31
55 22 23 92 54 80 2 51 46 64 55 41
92 12 10 5 4 21 58 74 15 93 50 19
75 44 16 7 18 31 48 59 73 87 34 41
90 7 85 9 33 18 91 79 3 75 42 31
82 21 11 9 7 10 2 55 6 34 70 37
92 55 21 50 77 25 95 60 13 40 79 21
91 45 8 75 2 17 88 54 5 85 30 40
26 55 6 87 24 76 12 3 69 93 25 5
82 28 3 55 22 33 6 21 52 83 51 12
32 33 65 82 6 92 85 4 74 43 39 18
*County rankings are in descending order, where a rank of 1 indicates the highest value for that indicator among all counties. Chronic lower respiratory disease. Data Sources: U.S. Census Bureau, American Community Survey, 2005-2009: High School Education or Higher, Individuals in Poverty, Unemployment. Tennessee Bureau of Investigation, "Tennessee Incident Based Reporting System (TIBRS)" 2007-2009: Crime. Tennessee Birth Statistical System, Fetal Death Statistical System, and Induced Abortion Statistical System, 2007-2009: Teen Pregnancy. Tennessee Death Statistical System, 2007-2009: Infant Mortality, All Cause Mortality, Heart Disease Mortality, Stroke Mortality, CLRD Mortality, Diabetes Mortality. Tennessee Cancer Registry, 2004-2008: Cancer Mortality, Cancer Incidence, Lung Cancer Incidence, Breast Cancer Incidence, Colorectal Cancer Incidence, Prostate Cancer Incidence.
Prostate Cancer Incidence 7 79 5 81 43 81 31 3 66 84 39 2
19
County Rankings of Selected Indicators by Rural Region, Tennessee*

Stroke Mortality Infant Mortality Teen Pregnancy Prostate Cancer Incidence 2 11 5 12 14 4 13 7 1 7 6 9 15 3 10 8 9 6 12 7 4 3 5 2 11 1 10 6 High School Education and Higher Unemployment Breast Cancer Incidence 8 3 9 4 12 5 13 2 6 14 1 10 11 7 15 7 3 4 1 9 7 6 11 5 12 2 10 7 Heart Disease Mortality Individuals in Poverty Lung Cancer Incidence Colorectal Cancer Incidence 4 14 7 3 11 6 13 9 15 10 1 12 2 8 5 11 2 1 6 9 5 12 3 7 4 10 8 5 All Cause Mortality CLRD Mortality Cancer Incidence 8 10 5 6 13 3 11 2 4 12 1 14 9 7 15 9 1 7 2 10 6 8 3 4 12 5 11 7 Diabetes Mortality 14 12 11 12 8 7 1 2 8 6 10 5 3 15 4 9 11 9 1 4 3 7 2 8 6 11 5 3 Cancer Mortality 11 15 4 1 10 2 6 7 13 9 3 8 5 14 12 10 1 6 3 7 2 11 4 8 5 12 9 3
1
County
East Region Anderson 3 Blount 1 Campbell 13 Claiborne 12 Cocke 11 Grainger 15 Hamblen 6 Jefferson 7 Loudon 2 Monroe 10 Morgan 9 Roane 4 Scott 8 Sevier 5 Union 14 Mid-Cumberland Region Cheatham 6 Dickson 8 Houston 9 Humphreys 7 Montgomery 2 Robertson 11 Rutherford 4 Stewart 10 Sumner 5 Trousdale 12 Williamson 1 Wilson 3 Northeast Region Carter 3
10 15 2 5 3 8 11 7 14 9 4 12 1 13 6 9 4 1 5 3 8 7 2 10 6 12 11 3
11 9 3 7 4 8 5 5 13 1 12 9 2 14 15 8 5 1 7 10 5 8 3 4 2 12 11 4
Crime 5 12 1 7 6 13 4 11 10 9 15 8 3 2 14 7 2 4 11 1 9 3 10 6 8 12 5 4
13 12 9 14 3 10 1 7 6 4 15 11 5 2 8 9 4 1 8 3 2 6 10 7 5 12 11 5
12 7 6 2 4 13 7 2 15 9 10 1 14 5 11 11 1 9 3 2 4 5 8 6 12 10 7 1
12 14 6 1 4 3 8 5 15 10 7 9 2 13 11 8 5 6 4 7 2 11 1 10 3 12 9 5
12 15 4 2 1 3 7 9 13 8 14 11 5 6 10 6 5 11 3 10 2 8 1 9 4 12 7 4
13 8 15 4 10 7 3 1 9 2 11 6 14 12 5 8 7 1 5 4 3 10 12 10 2 9 6 5
12 9 3 7 13 6 5 8 14 10 4 11 1 15 2 6 8 2 4 3 11 5 9 7 1 12 10 6
12 15 2 3 10 4 7 6 13 8 1 11 5 9 14 3 1 4 2 5 8 10 6 7 9 12 11 5
20
Stroke Mortality
Infant Mortality
Teen Pregnancy
County
Greene Hancock Hawkins Johnson Unicoi Washington Northwest Region Benton Carroll Crockett Dyer Gibson Henry Lake Obion Weakley South Central Region Bedford Coffee Giles Hickman Lawrence Lewis Lincoln Marshall Maury Moore Perry Wayne Southeast Region Bledsoe Bradley
4 7 2 6 5 1 5 8 5 7 3 1 9 2 4 12 3 3 11 8 7 5 5 1 2 9 10 9 1
4 1 5 2 6 7 7 3 4 2 5 8 1 9 5 3 6 6 5 6 2 10 4 12 11 1 9 3 9
5 3 1 2 6 7 3 2 6 8 5 4 1 9 7 4 7 3 10 6 1 11 5 8 12 9 2 2 5
3 7 2 6 5 1 6 7 8 1 3 4 9 2 5 9 3 5 8 2 6 4 7 1 12 10 11 10 2
1 4 3 1 6 7 5 3 6 2 8 7 1 4 9 1 4 9 3 7 8 6 2 5 12 10 11 3 6
6 3 5 7 4 2 9 7 2 1 5 5 4 3 8 3 8 9 2 10 5 6 1 7 12 4 11 5 10
3 1 4 7 2 6 2 3 6 8 4 5 1 7 9 2 7 4 9 10 1 5 3 8 12 11 6 7 10
2 3 6 7 1 5 2 3 1 7 8 4 5 6 9 2 8 5 11 8 1 3 6 10 12 7 4 2 7
4 1 7 3 2 6 3 4 6 5 2 1 9 7 8 5 1 2 12 11 3 6 8 4 10 9 7 1 9
3 1 5 4 2 7 2 8 9 5 7 6 1 3 4 9 6 2 5 3 10 12 8 7 11 4 1 6 10
4 1 7 2 5 6 6 5 7 9 4 8 1 3 2 10 9 3 8 3 1 11 12 5 2 6 7 10 5
1 5 6 4 2 7 4 2 9 7 3 8 1 6 5 3 4 11 5 8 1 9 7 10 12 2 5 10 7
1 5 3 6 4 2 2 1 5 9 3 6 7 4 8 7 4 10 6 2 9 8 1 5 12 3 11 10 9
1 7 2 6 4 3 2 1 4 8 5 6 3 7 9 8 6 9 1 2 10 11 7 5 12 3 4 7 10
3 4 5 6 2 1 6 2 1 9 3 5 4 7 8 5 8 10 3 4 11 6 1 2 . 9 7 8 5
2 . 3 4 5 1 9 2 7 4 3 6 8 1 5 11 7 3 9 8 5 4 2 10 12 1 6 10 7
Prostate Cancer Incidence 4 1 2 7 5 3 2 6 8 9 4 1 7 5 3 6 1 7 9 3 10 11 5 4 8 2 12 8 10
Unemployment
Colorectal Cancer Incidence
All Cause Mortality
CLRD Mortality
Cancer Incidence
Diabetes Mortality
Cancer Mortality
Crime
21
Stroke Mortality
Infant Mortality
Teen Pregnancy
County
Franklin 2 Grundy 10 Marion 6 McMinn 3 Meigs 5 Polk 8 Rhea 7 Sequatchie 4 Southwest Region Chester 5 Decatur 9 Fayette 2 Hardeman 10 Hardin 7 Haywood 6 Henderson 3 Lauderdale 8 McNairy 4 Tipton 1 Upper-Cumberland Region Cannon 3 Clay 13 Cumberland 1 Dekalb 6 Fentress 10 Jackson 10 Macon 9 Overton 10 Pickett 4 Putnam 5 Smith 2 Van Buren 14
10 1 8 6 2 7 5 4 9 6 10 5 3 1 8 2 4 7 14 11 12 2 1 3 4 8 5 6 13 7
8 7 5 9 3 4 1 10 9 10 5 4 7 1 6 2 3 8 9 2 3 1 6 3 3 10 13 12 11 14
5 8 7 1 3 4 6 9 7 10 9 6 2 1 4 3 8 5 11 9 2 3 4 10 8 7 14 1 12 13
10 9 7 8 5 2 1 4 10 3 8 4 5 2 7 1 5 9 13 8 2 4 9 11 1 10 14 12 7 6
7 1 6 8 9 2 4 2 4 2 9 10 8 1 7 3 5 6 13 7 9 2 3 14 8 12 1 6 5 11
9 1 4 6 2 8 3 5 10 1 8 9 7 3 6 5 2 4 12 8 13 4 3 2 1 7 10 11 5 14
9 1 4 10 5 6 3 8 8 5 9 10 6 1 3 4 2 7 13 6 12 8 2 1 3 4 9 10 11 14
3 8 6 4 2 10 5 7 6 4 7 8 2 5 1 10 3 9 8 9 13 2 12 3 6 4 14 11 1 10
7 1 2 9 4 7 5 3 9 5 4 6 8 10 7 3 1 2 9 8 14 7 6 4 3 5 1 12 2 10
6 8 4 2 7 1 3 9 3 5 1 2 8 4 7 6 9 9 8 13 12 7 2 6 10 4 14 9 1 5
7 5 1 6 9 2 4 3 10 6 9 8 4 3 7 1 5 2 13 9 14 7 3 10 1 4 12 8 2 11
6 3 5 8 2 4 1 7 9 6 10 4 7 8 5 3 1 2 9 13 7 8 3 12 5 11 4 1 10 14
6 5 4 9 2 3 1 8 9 1 10 7 2 8 5 6 3 4 13 14 11 6 1 10 5 7 2 4 9 12
6 3 4 9 2 6 1 10 3 7 10 5 6 8 2 9 1 4 12 14 4 5 8 10 2 13 11 1 9 7
1 3 8 6 4 5 2 9 10 6 9 7 8 4 2 3 1 5 8 13 12 4 1 9 2 11 10 7 6 14
Prostate Cancer Incidence 2 4 5 7 1 9 3 6 8 9 6 4 10 2 5 3 7 1 8 10 4 11 3 12 7 12 5 2 9 14
Unemployment
All Cause Mortality
CLRD Mortality
Cancer Incidence
Diabetes Mortality
Cancer Mortality
Crime
22
Stroke Mortality
Infant Mortality
Teen Pregnancy
County Warren White

1
8 7
10 9
8 7
6 5
5 3
9 4
9 6
5 7
7 5
13 11
11 2
5 6
6 2
8 3
6 3
3 5
*County rankings are in descending order, where a rank of 1 indicates the highest value for that indicator among all counties. Chronic lower respiratory disease. Data Sources: U.S. Census Bureau, American Community Survey, 2005-2009: High School Education or Higher, Individuals in Poverty, Unemployment. Tennessee Bureau of Investigation, "Tennessee Incident Based Reporting System (TIBRS)" 2007-2009: Crime. Tennessee Birth Statistical System, Fetal Death Statistical System, and Induced Abortion Statistical System, 2007-2009: Teen Pregnancy. Tennessee Death Statistical System, 2007-2009: Infant Mortality, All Cause Mortality, Heart Disease Mortality, Stroke Mortality, CLRD Mortality, Diabetes Mortality. Tennessee Cancer Registry, 2004-2008: Cancer Mortality, Cancer Incidence, Lung Cancer Incidence, Breast Cancer Incidence, Colorectal Cancer Incidence, Prostate Cancer Incidence.
Prostate Cancer Incidence 6 1
Unemployment
All Cause Mortality
CLRD Mortality
Cancer Incidence
Diabetes Mortality
Cancer Mortality
Crime
23
Davidson
Demographics
Quick Facts
Median Age1: Median Income1: Home Ownership : Unemployment : Crime Rate (per 1,000) :
3 2 1 1
34.3 $ 45,828 61.5% 6.8% 135.7
Population by Age, Gender, and Race Distribution (2005-2009)

Age Gender Female Male NonHispanic White 65,570 158,497 100,626 52,401 377,094 Race NonHispanic Black 46,045 74,010 35,721 12,183 167,959
Overall:
81.6 66.9 101.1
Total Hispanic
White: Black:
4
Infant Mortality (per 1,000) Overall: 7.5 5.4 12.1 12.7
<18 18-44 45-64 65+ Total
67,983 134,860 76,385 40,844 320,072
70,256 134,733 70,242 26,162 301,393
18,550 24,215 5,252 1,021 49,038
138,239 269,593 146,627 67,006 621,465
White: Black: Automobile Accident Deaths4 (per 100,000):
Demographics, 2005-20091
11.9 15.6 48.5 51.5 60.7 27.0 7.9 79.5
20
40 Percent
60
80
100
Data Source: Tennessee Bureau of Investigation. "Tennessee Incident Based Reporting System (TIBRS)" accessed July 26, 2011. http://www.tennesseecrimeonline.com/tibrspublic2005, 2007-2009.
Data Source: Birth Statistical System, Fetal Death Statistical System, and Induced Abortion Statistical System. Tennessee Department of Health, Division of Health Statistics, 2007-2009. Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics, 2007-2009.
24
Davidson
General Health
60
"Fair/Poor" Health1
60
Percent
40 Percent
15.9
40
15.8 11.4 16.2 16.3
20
15.5
13.5
15.5
14.2
20
13.5
0 2005
2006
2007
2008
2009
0 2005
2006
2007
2008
2009

100 80 Percent 60 40
42.2 50.1 55.5 55.4 53.2 65.6 63.6 64.9 60.3 65.7
20 0 2005 2006 Ever received pneumonia vaccination (age 65+) 2007 2008 2009

1
Prevalence for General Health Indicators Among Adults 18+, 2009

Indicator Fair/Poor Health Status (%) Lacking Health Insurance (%) Ever Received Pneumonia Vaccination2 (%) Received Flu Shot in Past 12 Months (%) Mean # of Days of Poor Physical Health per Month Mean # of Days of Poor Mental Health per Month
3
Total
NH White
NH Black
Female
Male
14.2 13.5 65.7 53.2 11.0 11.7
15.5 13.7 70.9 56.2 9.7 11.9
13.6 9.0 51.5 40.5 12.3 10.9
16.5 7.1 70.3 54.4 11.7 12.6
11.8 20.3 58.1 52.1 10.3 10.1
1 2 3
25
Davidson
60
40 Percent
35.8
35.5
33.3
33.0
34.7
20
27.0
31.8
28.0
29.5
29.2
0 2005
2006 Overweight
2007
2008 Obese
2009
100 80 60 Percent Perce 40 20 0 2005

70.0 68.5 69.7
60

31.0 28.7 30.8
40
57.6
Percent Percen
63.8
61.2
20
22.6
25.4 21.6
2007
Eating <5 Fruit Vegetables/Day
2009
0 2005
2007
2009
Not Meeting Physical Activity Recommendations
Prevalence for Behavioral Risk Factors, 20091

Risk factor Eating <5 Fruits & Vegetables per Day (%) Not Meeting Physical Activity Recommendations (%) Overweight or Obese (%) Have Not Checked Cholesterol Within the Past 5 Years (%) Ever Told High Cholesterol (%) Ever Told High Blood Pressure (%)
Total
69.7 57.6 63.9 21.6 30.8 25.4
NH White
62.1 53.9 57.8 21.7 29.5 22.3
NH Black
83.2 67.7 78.8 17.9 32.5 36.6
Female
70.9 64.5 56.6 22.0 35.2 24.7
Male
68.5 50.1 71.3 21.1 26.6 26.2
26
Davidson

40 35 30 25 22.6 20 15 10 5 0 2005
Percent
20.5
21.6 17.6 18.6
2006
2007
2008
2009
20 15 Percent Per 10 5
3.7 12.0 7.7
Alcohol Use1
11.8 9.0 13.1
3.1
3.2
3.2 1.8
0 2005
2006
2007 Heavy Drinking
2008 Binge Drinking
2009
Prevalence for Alcohol and Tobacco Use, 2009

Indicator Heavy Drinking (%) Binge Drinking (%) Current Smokers (%) Total 1.8 13.1 21.6 2.4 14.7 21.1
NH White
NH Black 0.6 6.0 20.8
Female 2.2 8.0 17.6
Male 1.3 18.5 25.8
27
Davidson
Leading Causes of Death, 2007-20091
Rank2 Cause # Deaths Age Adjusted Mortality Rate3 and Demographic Ranking Total White Black Female Male 211.0 195.5 48.2 49.1 48.1 31.4 29.3 17.3 12.9 12.4 198.6 185.6 52.1 53.1 43.6 32.0 21.9 17.2 6.6 14.6 266.5 245.9 38.7 34.2 67.1 30.2 60.5 18.2 26.9 7.2 167.6 157.5 34.6 43.8 46.3 31.9 26.2 16.2 3.8 6.1 273.3 262.5 63.8 59.7 50.3 29.4 33.8 20.2 21.8 19.5
1 2 3 4 5 6 7 8 9 9
Heart disease Cancer Accidents Chronic lower respiratory diseases Stroke Alzheimers disease Diabetes mellitus Influenza and pneumonia Homicide Suicide
3,637 3,329 855 822 821 532 503 298 222 222
Ranking Key:
All Cause Mortality by Race, 2007-20091,3

718.1 1,089.7 869.2 820.3 1,087.7
1200
1 2 3
Data Source: Death Statistical System, Tennessee Department of Health, Division of Health Statistics. Age adjusted to the 2000 standard US population. Ranking order is based on counts for the total population. Demographic ranking is based on counts for each subgroup. Annual mortality rate per 100,000 population. Age adjusted to the 2000 standard US population.
28
Davidson
Heart Disease
2000 Rate Per 100,000
1,462

1,449 1,437 1,393 1,409 1,373 1,354 1,323 1,270 1,289
1500 1000 500

298
1,229
1,174
1,063
286
286
276
265
268
255
237
238
221
218
221
194
0 1997
1999
2001
2003
2005 Mortality
2009
Heart Disease Mortality1 and Hospitialization2, 2007-2009

3 Heart Disease Prevalence , 2009
White 198.6 1,041.4
Black 266.5 1,481.2
Female 167.6 925.1
Male 273.3 1,445.7
211.0 1,154.6
Total Prevalence of MI (%) Pre alence of CHD (%) Prevalence

5 4
NH White 3.6 46 4.6
NH Black 2.1 33 3.3
Female 1.9 42 4.2
Male 4.0 37 3.7
2.9 39 3.9

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 1000 2000 3000 Deaths per 100,000 4000
52.6 32.5 154.9 97.5 384.1 227.2 847.4 438.3 1,768.8 1,324.0 4,145.7 4,562.1
Black White
5000
Data Source: Hospital Discharge Data System, Tennessee Department of Health, Division of Health Statistics, 2007-2009. Data are for discharges, not necessarily for unique patients and are calculated for all ages. Age adjusted to 2000 US standard population.
3 4 5
29
Davidson
Stroke
500 Rate per 100,000 400 300 200 100
76 65 73 80 70 69 69 55 52 53 50 49 46 380 367 370 384 361 343 347 329 328 321 280 274 258
0 1997
1999
2001
2003
2005 Mortality
2007
2009
Hospitalization

4
White 43.6 238.8 15 1.5
Black 67.1 363.0 36 3.6
Female 46.3 255.2 28 2.8
Male 50.3 294.3 11 1.1
48.1 270.6 20 2.0

19.1 5.7 32.5 14.0 119.1 39.8 173.6 119.2 497.2 317.8 987.1 958.3
Black White
1000
1200
3 4
30
Davidson
CLRD1
600 500 Rate per 100,000 400 300 200 100
45 43 47 43 48 49 53 48 46 48 47 54 47 434 392 429

391 384 363 373 341 354 373 321 318 312
0 1997
1999
2001
2003
2005 Mortality
2007


Total Ever Had Asthma (%) Currently Have Asthma (%) 9.2 5.7 NH White 11.5 7.3 NH Black 6.3 3.2 Female 10.6 7.0 Male 7.8 4.3
Prevalence of Self-Reported Current Asthma4

12
9.6

35-44
4.8 3.4 8.9 24.2 41.3 64.6 117.4 206.1 286.8 416.4 482.6 720.8
10
9.1 7.6
45-54
Percent
Age Group
8 6 4
5.4 5.7
Black White
55-64 65-74 75-84
2 85+ 0
2005
2006
2007
2008
2009
200
400 600 Deaths per 100,000
800
1 2
4
31
Davidson
Diabetes
Age Adjusted Mortality1, and Hospitalization2, Diabetes
Rate per 100,000 200 100
32 28 30 31 186 196 195 187 189 201 201 229 219 202 201 193 155
32
30
27
32
28
32
32
27
29
0 1997
1999
2001
2003
2005 Mortality
2007

3
White 21.9 116.0
Black 60.5 386.9

3
Female 26.2 183.1
Male 33.8 184.7
29.3 182.9

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0
23.9 4.6 47.2 16.2 85.1 36.9
194.0 69.5 439.8 144.3
Black White
614.2 283.3
100
200
300 400 Deaths per 100,000
500
600
700
3
32
Davidson
Cancer
Age Adjusted Incidence1 and Mortality1, All Cancers
600 500 Rate per 100,000 400 300
195.6 193.3 200.3 193.8 190.5 469.4 438.6 479.5 488.2 483.1
200 100 0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 500 1000 1500 Deaths Per 100,000
49.4 27.4 183.0 132.5 459.4 323.0 985.2 707.8 1673.2 1376.9 1908.3 1583.2
Black White
2000
2500
33
Davidson
Lung Cancer
200
Age Adjusted Incidence1, and Mortality1, Lung Cancer
Rate per 100,000
150
89.1 74.5 75.8
100
79.8
85.2
50
65.2
63.6
69.2
61.9
59.6
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 100 200
263.2 362.5 1.6 5.7 62.0 36.6 133.7 108.6 311.4 285.6 564.1 454.7
Black White
400
500
600
34
Davidson
Breast Cancer
200
Rate per 100,000
150
117.2 119.4 118.6
127.9
118.8
100
50
21.6
25.2
24.6
24.8
24.4
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 50 100
23.9 3.7 43.5 27.0 83.5 56.1 62.0 86.2 87.7 101.5 366.2 153.4
Black White
150 200 250 Deaths Per 100,000
300
350
400
35
Davidson
Colorectal Cancer
100 80 60
45.2 44.8 47.2 47.3 49.6
Rate per 100,000
40 20
17.8 16.5 16.6 18.5 19.2
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 50 100
11.2 4.0 1.4 10.2 58.3 30.5 102.1 47.2 143.4 107.7 307.1 183.3
Black White
150 200 Deaths Per 100,000
250
300
350
36
Davidson
Prostate Cancer
200

168.5 152.4 164.0 143.2
Rate per 100,000
150
116.8
100
50
25.9
24.3
27.1
24.7
32.0
0 2004
2005
2006
2007
Incidence
2008
Mortality


45-54 55-64 Age Group 65-74 75-84 85+ 0 200 400
6.5 2.1 49.0 17.7 241.1 59.5 441.9 192.3 1,387.5 546.8
Black White
600 800 1000 Deaths Per 100,000
1200
1400
1600
37
Hamilton
Demographics
Quick Facts
3 2 1 1
39.0 $ 45,557 69.9% 8.1% 94.4

Overall:
61.7 49.2 95.7
Total Hispanic
White: Black:
4
<18 18-44 45-64 65+ Total
35,782 60,618 47,419 28,403 172,222
37,697 58,401 43,309 19,312 158,719
4,112 4,094 1,401 343 9,950
73,479 119,019 90,728 47,715 330,941
10.0 14.0 48.0 52.0 74.0 20.1 3.0 79.8
20
40 Percent
60
80
100
38
Hamilton
General Health
60
"Fair/Poor" Health1
60
Percent
40
21.4 18.5 16.5
40 Percent
20
18.3
14.8
20
12.2
9.3
11.5
13.5
10.4
0 2005
2006
2007
2008
2009
0 2005
2006
2007
2008
2009

100
76.7
80 Percent 60 40
67.1
67.1
62.7 53.7
53.8 43.8
55.8
56.8 48.4
20 0 2005 2006 Ever received pneumonia vaccination (age 65+) 2007 2008 2009

1

Indicator Fair/Poor Health Status (%) Lacking Health Insurance (%) Ever Received Pneumonia Vaccination (%) Received Flu Shot in Past 12 Months (%) Mean # of Days of Poor Physical Health per Month Mean # of Days of Poor Mental Health per Month
3 2
Total
NH White
NH Black
Female
Male
16.5 10.3 53.7 48.4 8.9 11.7
14.6 7.0 54.3 49.0 8.8 11.9
25.5 23.0 35.8 29.7 8.4 9.4
18.3 12.6 60.8 49.9 10.4 10.3
14.4 7.8 41.0 46.2 6.9 14.1
1 2 3
39
Hamilton
60
40.6
40 Percent
32.4
33.6
35.7 31.0 32.4
20
27.3
25.7
27.8
25.8
0 2005
2006 Overweight
2007
2008 Obese
2009
100 80 60 Percent Perce 40 20 0 2005

73.8 71.7 73.8
60

29.9 30.4
40 Percent Percen
63.2 64.7 63.6 27.7
20
25.0 17.3 16 8 16.8
2007
2009
0 2005
2007
2009

Total
73.8 63.6 56.8 16.8 30.4 31.1
NH White
70.1 62.1 53.5 17.3 32.4 26.9
NH Black
86.2 80.3 76.3 17.2 32.2 47.7
Female
76.4 67.0 54.2 17.5 30.8 31.5
Male
70.7 59.5 59.5 16.1 30.0 30.7
40
Hamilton

40 35 30 25 22.7 20 15 10 5 0 2005
22.6 17.6
23.5 17.6
Percent
2006
2007
2008
2009
20 15 Percent Per
10.0
Alcohol Use1
12.4 10.2 8.6 6.1 6.1 4.1 4.7 2.3 2.7
10 5 0 2005
2006
2007 Heavy Drinking
2008 Binge Drinking
2009

NH White
NH Black 1.0 14.5 10.1
Female 3.5 10.7 17.8
Male 1.8 9.5 17.5
41
Hamilton
1 2 3 4 5 6 7 8 9 10
Heart disease Cancer Chronic lower respiratory diseases Stroke Alzheimers disease Accidents Diabetes mellitus Influenza and pneumonia Suicide y disease Kidney
2,450 2,051 615 565 486 409 307 154 129 125
Ranking Key:

704.4 1,045.3 845.2 809.5 1,040.2
1200
1 2 3
42
Hamilton
Heart Disease
2000 Rate Per 100,000 1500 1000 500
319 293 285 278 262 245 234 234 223 219 201 221 219 1,361 1,395

1,348 1,357 1,412 1,422 1,442 1,367 1,275
1,230
1,168
1,118
1,053
0 1997
1999
2001
2003
2005 Mortality
2009

White 200.8 1,050.1
Black 288.7 1,375.0
Female 169.7 857.6
Male 275.5 1,454.3
213.6 1,112.7

5 4
NH White 4.7 16 1.6
NH Black 3.3 35 3.5
Female 4.8 25 2.5
Male 3.4 14 1.4
4.1 19 1.9

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 1000 2000 3000 Deaths per 100,000
65.9 34.9 184.6 98.9 449.3 231.9 937.2 490.6 2,047.0 1,301.9 3,648.6 4,437.1
Black White
4000
5000
3 4 5
43
Hamilton
Stroke
500 Rate per 100,000 400 300 200 100
69 74 58 73 63 71 66 71 52 52 57 50 43 364 382 477 422 440 436 445 474 424 393 374 361 307
0 1997
1999
2001
2003
2005 Mortality
2007
2009
Hospitalization

4
White 48.4 320.9 15 1.5
Black 55.0 467.3 10 1.0
Female 49.1 315.8 16 1.6
Male 49.6 389.3 10 1.0
49.7 346.8 13 1.3

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 200 400
8.2 5.1 46.2 12.3 84.9 25.3 166.0 104.1 419.5 403.7 602.2 1174.5
Black White
600 800 Deaths per 100,000
1000
1200
1400
3 4
44
Hamilton
CLRD1
600 500 Rate per 100,000 400 300 200 100
39 45 49 54 63 62 59 65 63 50 48 61 54 358 321 357 315 308 316 326 305 313 265 245 281
254
0 1997
1999
2001
2003
2005 Mortality
2007



12

35-44
4.1 2.1 21.3 23.6 89.9 63.8 244.1 211.4 402.7 469.3 495.9 694.0
10
9.6
45-54
Percent
6.5 5.5 3.9 5.8
Age Group
8 6 4
Black White
55-64 65-74 75-84
2 85+ 0
2005
2006
2007
2008
2009
200
400 600 Deaths per 100,000
800
1 2
4
45
Hamilton
Diabetes
Rate per 100,000
211 227 203 229 232 239 222 225 218
200 100
157
156
167
183
21
27
24
23
33
31
27
30
25
23
25
29
28
0 1997
1999
2001
2003
2005 Mortality
2007

3
White 22.7 171.8
Black 54.0 452.2

3
Female 24.7 229.2
Male 31.7 218.3
27.4 221.9

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0
20.6 6.2 42.6 18.4 59.9 39.5 61.1
146.4 402.7 166.5
Black White
637.6 266.9
100
200
300 400 Deaths per 100,000
500
600
700
3
46
Hamilton
Cancer
600 500 Rate per 100,000 400 300
199.2 198.4 187.0 452.5 464.5 484.1 501.8 488.6
200 100 0 2004
170.6
177.1
2005
2006
2007 Incidence
2008 Mortality


45.3 51.3 174.0 98.9 469.2 259.2 800.5 721.8 1610.7 1312.0 1735.7 1566.0
Black White
2000
47
Hamilton
Lung Cancer
200
Rate per 100,000
150
93.5 76.7 78.3 75.2 69.1
100
50
66.5
64.9
61.9
56.8
49.1
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 50 100 150 200 250 Deaths Per 100,000 300
8.2 7.2 60.4 32.4 109.8 86.1 322.2 239.5 302.0 418.8 389.7 302.5
Black White
350
400
450
48
Hamilton
Breast Cancer
200
Rate per 100,000
150
120.2 109.1
132.9 111.9 114.2
100
50
20.7
30.1
25.1
16.6
18.8
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 50 100
22.3 6.3 51.3 12.0 63.1 23.7 66.7 66.4 51.1 110.8 372.8 154.3
Black White
150 200 250 Deaths Per 100,000
300
350
400
49
Hamilton
Colorectal Cancer
100 80 60 40 20
13.6 14.4 17.3 12.0 11.7 48.7 42.4 49.2 42.1
Rate per 100,000
44.2
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 50
4.1 3.1 0.0 9.6 49.9 13.2 78.1 49.6
Black White
218.1 103.4 141.7 172.0
100 150 Deaths Per 100,000
200
250
50
Hamilton
Prostate Cancer
200
162.9 145.8 185.2 193.8
Rate per 100,000
150
129.5
100
50
33.2
33.6
33.0
27.6
31.8
0 2004
2005
2006
2007
Incidence
2008
Mortality


45-54 55-64 Age Group 65-74 75-84 85+ 0 100 200 300 400 500 Deaths Per 100,000 600
7.9 3.6 44.8 10.4 188.5 87.5 537.1 261.9 738.6 615.7
Black White
700
800
51
Knox
Demographics
Quick Facts
3 2 1 1
37.0 $ 46,233 71.4% 5.6% 85.2

Overall:
48 41.6 100.4
Total Hispanic
White: Black:
4
Infant Mortality (per 1,000) Overall: 5.6 1 12.6 15.2
<18 18-44 45-64 65+ Total
45,014 84,726 56,361 32,005 218,106
47,760 82,378 53,229 22,182 205,549
3,804 4,260 1,448 387 9,899
92,774 167,104 109,590 54,187 423,655
10.0 14.7 48.5 51.5 85.6 8.9 2.3 80.1
20
40 Percent
60
80
100
52
Knox
General Health
60
"Fair/Poor" Health1
60
Percent
40
16.4 19.8 15.7
40 Percent
20
15.4 12.5
20
10.5 6.4
12.8
9.3
11.6
0 2005
2006
2007
2008
2009
0 2005
2006
2007
2008
2009

100
79.3 76.5 77.9
80 Percent 60 40 20
40.6 57.7 63.1
74.3
69.1
67.3
61.5
0 2005
2006 Ever received pneumonia vaccination (age 65+)
2007
2008
2009

1

3
Total
NH White
NH Black
Female
Male
15.6 11.4 69.1 61.5 11.0 10.6
16.4 9.3 67.8 62.3 11.1 11.0
11.4 35.0 78.3 67.7 13.8 7.7
14.4 6.6 63.2 64.7 10.9 10.7
16.9 16.8 78.1 57.4 11.1 10.5
1 2 3
53
Knox
60
40 Percent
36.4
35.2
35.9 31.0
33.6
31.2
20
21.8
25.0
26.0
25.2
0 2005
2006 Overweight
2007
2008 Obese
2009
100 80 60 Percent Perce 40 20 0 2005

70.4 71.5 75.4
60

34.6 29.9 34.9
40
58.7 56.9
Percent Percen
62.2
20
17.9 21.0 14 5 14.5
2007
2009
0 2005
2007
2009

Total
75.4 56.9 64.7 21.0 34.9 31.5
NH White
74.7 54.1 65.2 19.8 34.2 29.9
NH Black
73.2 81.6 79.3 34.9 49.3 53.2
Female
69.3 58.6 58.2 15.9 48.1 31.2
Male
82.5 54.8 71.3 26.5 24.3 31.8
54
Knox

40 35 30 25 21.8 20 15 10 5 0 2005
Percent
20.6 18.8
21.1 15.7
2006
2007
2008
2009
2.1
Alcohol Use1
13.4 11.3 11.2 7.0 2.7 1.2 6.0
6.7
1.6
0 2005
2006
2007 Heavy Drinking
2008 Binge Drinking
2009

NH White
NH Black 0.0 0.0 9.0
Female 2.3 7.0 13.9
Male 0.0 4.8 17.6
55
Knox
1 2 3 4 5 6 7 8 9 10
Cancer Heart disease Chronic lower respiratory diseases Accidents Stroke Alzheimers disease Influenza and pneumonia Diabetes mellitus Kidney disease Suicide
2,572 2,424 720 646 609 485 311 257 205 201
Ranking Key:

700.9 1,063.8 845.8 831.8 1,080.9
1200
1 2 3
56
Knox
Heart Disease
2000 Rate Per 100,000 1500 1000 500
267 271 258 246 232 231 208 191 181 181 175 178 1,383 1,310

1,268 1,241 1,290 1,242 1,275
1,186
1,168
1,088
1,051
963
968
266
0 1997
1999
2001
2003
2005 Mortality
2009

White 175.2 723.1
Black 233.1 1,225.4
Female 137.9 771.2
Male 238.3 1,279.4
178.1 993.3

5 4
NH White 3.2 48 4.8
NH Black 2.0 09 0.9
Female 2.1 66 6.6
Male 4.3 26 2.6
3.2 45 4.5

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 500 1000 1500 2000 2500 Deaths per 100,000 3000
77.7 24.1 170.8 117.9 381.6 217.9 678.6 417.2 1,486.7 1,201.4 3,122.4 3,422.3
Black White
3500
4000
3 4 5
57
Knox
Stroke
500 Rate per 100,000 400 300 200 100
64 54 53 59 60 59 56 60 54 45 48 45 44 367 362 327 320 332
316
297
298
272
292
300 268 270
0 1997
1999
2001
2003
2005 Mortality
2007
2009
Hospitalization

4
White 44.7 203.1 32 3.2
Black 53.1 348.0 23 2.3
Female 43.7 265.4 23 2.3
Male 47.9 300.1 41 4.1
45.5 278.9 31 3.1

7.1 7.2 44.3 15.9 78.3 30.9 135.7 84.9 389.4 374.6 821.7 1025.7
Black White
1000
1200
3 4
58
Knox
CLRD1
600 500 Rate per 100,000 400 300 200 100
48 47 58 52 57 57 49 49 55 47 46 60 55 370 360 381 331

412 405 338 336 337 296 294 287 279
0 1997
1999
2001
2003
2005 Mortality
2007



16 14 12
11.9 14.2

35-44 45-54
0.0 2.6 25.3 12.4 48.9 66.3 135.7 237.3 212.4 473.6 493.0 661.5
Percent
10 8 6 4 2 0
6.5
Age Group
9.3
Black White
55-64 65-74 75-84 85+
6.3
2005
2006
2007
2008
2009
200
400 600 Deaths per 100,000
800
1 2
4
59
Knox
Diabetes
Rate per 100,000 200
134 125 134 123 128 139 140
134
128
125
136
124
123
100
24 23 28 26 28 21 31 21 20 22 19 19 19
0 1997
1999
2001
2003
2005 Mortality
2007

3
White 18.0 83.3
Black 40.1 315.4

3
Female 16.4 104.4
Male 23.5 156.9
19.1 129.0

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0
7.1 3.9 12.7 11.8 58.7 21.4
116.3 64.9 318.6 132.0
Black White
657.4 225.3
100
200
300 400 Deaths per 100,000
500
600
700
3
60
Knox
Cancer
600 500 Rate per 100,000 400 300
201.2 190.0 184.2 192.8 479.3 496.8 498.5 499.3 490.6
200 100 0 2004
179.9
2005
2006
2007 Incidence
2008 Mortality


35.3 36.5 139.2 130.8 479.4 346.0 853.0 719.4 1132.7 1337.3 2218.6 1586.5
Black White
2000
2500
61
Knox
Lung Cancer
200
Rate per 100,000
150
90.4
100
85.3
87.8
83.4
82.8
50
65.6
66.6
60.6
61.8
57.7
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 100 200
0.0 5.9 31.6 36.0 176.1 119.3 329.6 287.3 389.4 428.9 739.5 311.6
Black White
300 400 500 Deaths Per 100,000
600
700
800
62
Knox
Breast Cancer
200
Rate per 100,000
150
117.5
135.7
128.3
127.6
137.3
100
50
24.0
23.1
17.7
17.9
18.4
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 50
32.3 63.5 53.6 100.1 212.1 142.7 26.1 6.5 48.4 25.5 54.0 43.9
Black White
100 150 Deaths Per 100,000
200
250
63
Knox
Colorectal Cancer
100 80 60
42.5 47.5 47.7
Rate per 100,000
43.4
38.4
40
19.2
20 0 2004
16.1
14.1
13.4
15.3
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 20 40 60 80 100 Deaths Per 100,000 120 140 160
0.0 7.2 0.0 11.2 48.9 25.8 96.9 50.0 106.2 81.5 164.3 167.8
Black White
180
64
Knox
Prostate Cancer
200
162.8

176.9 156.4 165.3
191.6
Rate per 100,000
150
100
50
22.5 15.2 18.2
23.7
23.8
0 2004
2005
2006
2007
Incidence
2008
Mortality


45-54 55-64 Age Group 65-74 75-84 85+ 0 200 400
13.3 2.4 64.3 12.3 96.9 55.6 417.5 189.1 1,459.9 532.4
Black White
600 800 1000 Deaths Per 100,000
1200
1400
1600
65
Madison
Demographics
Quick Facts
3 2 1 1
35.7 $ 39,743 69.1% 8.3% 133.7

Overall:
73.2 45.3 112.5
Total Hispanic
White: Black:
4
<18 18-44 45-64 65+ Total
11,700 18,329 12,795 7,108 49,932
12,505 17,549 11,541 4,819 46,414
1,104 1,455 310 30 2,899
24,205 35,878 24,336 11,927 96,346
14.9 18.0 48.2 51.8 61.5 33.2 3.0 78.0
20
40 Percent
60
80
100
66
Madison
General Health
60
"Fair/Poor" Health1
60
Percent
40
25.1 17.2 15.9 19.6
40 Percent
15.5 12.9 16.8
20
19.3
20
13.9
15.4
0 2005
2006
2007
2008
2009
0 2005
2006
2007
2008
2009

100 80
60.4 63.7 54.5 51.1 38.7 58.6 57.3 57.4 50.0 49.1
Percent
60 40 20
0 2005
2007
2008
2009

1

3
Total
NH White
NH Black
Female
Male
25.0 15.4 57.3 57.4 12.4 11.3
21.6 11.8 59.2 60.3 12.8 11.1
33.9 22.2 47.0 49.3 11.0 10.1
27.5 17.3 63.7 53.3 11.4 10.1
22.3 13.0 48.2 62.1 13.8 14.2
1 2 3
67
Madison
60

41.0
38.2
38.8 34.7
38.3
40 Percent
30.7
30.2
20
28.4
32.1
31.2
0 2005
2006 Overweight
2007
2008 Obese
2009
100 80 60 Percent Perce 40 20 0 2005

79.7 74.3 79.3
60
40 33.7
67.3
Percent Percen
64.5
67.9
24.8
25.6
20
23.8
22.6 17.1
2007
2009
0 2005
2007
2009

Total
79.3 67.9 72.2 17.1 25.6 25.9
NH White
80.5 67.9 70.5 17.6 29.3 26.7
NH Black
81.8 65.8 78.9 18.1 18.8 26.1
Female
80.2 66.2 68.9 19.7 22.2 29.8
Male
78.2 70.0 75.7 14.2 28.7 21.7
68
Madison

40 35 30 26.9 25 20 15 10 5 0 2005
21.5 17.0 18.1 17.0
Percent
2006
2007
2008
2009
20 15
Alcohol Use1
10.8
Percent Per
10 5
7.6 3.6
6.4
7.1
7.5
1.5
2.4 07 0.7
1.4
0 2005
2006
2007 Heavy Drinking
2008 Binge Drinking
2009

NH White
NH Black 0.0 12.7 18.5
Female 0.7 6.6 14.3
Male 2.3 15.6 20.0
69
Madison
1 2 3 4 5 6 7 8 9 10
Heart disease Cancer Stroke Chronic lower respiratory diseases Accidents Alzheimers disease Diabetes mellitus Influenza and pneumonia Suicide p Septicemia
651 547 190 145 111 105 86 50 45 44
Ranking Key:

694.9 1,056.8 844.9 785.5 1,019.0
1200
1 2 3
70
Madison
Heart Disease
2000
1,584

1,497 1,454 1,407 1,378 1,339 1,470 1,585 1,571 1,665 1,475 1,317 1,356
Rate Per 100,000
1500 1000 500
233
293
265
262
220
265
256
213
243
225
202
212
213
0 1997
1999
2001
2003
2005 Mortality
2009

White 197.3 1,172.2
Black 246.3 1,951.0
Female 171.0 1,070.8
Male 264.0 1,780.5
209.0 1,381.7

5 4
NH White 4.1 69 6.9
NH Black 2.0 05 0.5
Female 3.2 43 4.3
Male 3.5 52 5.2
3.3 47 4.7

55.8 27.3 139.1 111.5 448.1 241.4 578.8 433.5 1,554.2 1,325.3 4,412.9 4,259.9
Black White
5000
3 4 5
71
Madison
Stroke
500 Rate per 100,000 400 300 200 100
81 85 93 85 85 68 96 59 67 67 57 70 58 370 330 374 341 373 382 379 360 367 355 337 280 293
0 1997
1999
2001
2003
2005 Mortality
2007
2009
Hospitalization

4
White 51.6 254.2 33 3.3
Black 90.8 438.1 04 0.4
Female 56.7 267.4 24 2.4
Male 66.8 346.4 21 2.1
61.5 302.9 23 2.3

8.0 7.8 73.2 3.5 160.9 16.9 251.6 117.0 532.9 413.5 1497.2 1395.9
Black White
1400
1600
3 4
72
Madison
CLRD1
700 600 Rate per 100,000 500 400 300 200 100
46 45 35 48 39 54 45 47 48 40 44 62 42 502 483 530

514 461 410 414 354 441 388 420 461 407
0 1997
1999
2001
2003
2005 Mortality
2007



10 9 8 7 6 5 4 3 2 1 0
2.2 6.4 8.0 9.5

35-44 45-54
23.9 0.0 14.6 13.9 46.0 55.0 125.8 178.9 222.0 583.1 315.2 577.6
Percent
Age Group
5.7
Black White
55-64 65-74 75-84 85+
2005
2006
2007
2008
2009
200
400 600 Deaths per 100,000
800
1 2
4
73
Madison
Diabetes
Rate per 100,000 300
194 259 226 174 164 192 145 34 38 37 41 234 221 229 238 248 208
200 100
39
35
27
28
28
32
31
25
28
0 1997
1999
2001
2003
2005 Mortality
2007

3
White 17.8 98.1
Black 64.1 537.8

3
Female 23.0 250.0
Male 34.8 217.1
28.0 231.3

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0
8.0 0.0 22.0 17.4 91.9 38.1
302.0 55.1 444.1 106.0
Black White
709.2 240.7
100
200
300 400 500 Deaths per 100,000
600
700
800
3
74
Madison
Cancer
600
510.8
500 Rate per 100,000 400 300 200 100
464.4 420.7
429.4
424.9
220.1
225.7 176.1 176.1 181.8
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 200 400 600 800 1000 Deaths Per 100,000 1200 1400
47.8 19.5 175.7 87.1 459.6 283.7 830.4 750.1 1332.2 1198.1 1497.2 1612.5
Black White
1600
1800
75
Madison
Lung Cancer
200
Rate per 100,000
150
100
87.3
80.2
76.0
79.8 61.4
50
68.0
71.1 47.9 52.4 56.2
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 50 100
236.4 288.8 8.0 3.9 43.9 27.9 114.9 72.0
Black White
327.1 295.9 355.2 360.5
150 200 250 Deaths Per 100,000
300
350
400
76
Madison
Breast Cancer
200
Rate per 100,000
150
113.4 121.5 96.4 105.0 103.6
100
50
25.2
23.5 ^
24.1
31.9
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 50 100 150 Deaths Per 100,000 200
0.0 89.3 265.8 104.9 213.2 265.9 0.0 8.0 92.0 27.3 84.4 16.5
Black White
250
300
^ Indicates data has been suppressed due to small numbers.
77
Madison
Colorectal Cancer
100 80 60
43.0 66.3 56.8 53.4 42.3 22.3
Rate per 100,000
40 20
15.1 17.1 18.2 18.2
0 2004
2005
2006
2007 Incidence
2008 Mortality


15.9 0.0 7.4 0.0 34.5 42.3 100.7 55.1 177.6 180.2 236.4 168.5
Black White
200
250
78
Madison
Prostate Cancer
200
Age Adjusted Incidence1, Prostate Cancer*
181.2
Rate per 100,000
150
122.3 111.7 121.1
123.5
100
50
0 2004
2005
2006
2007
Incidence
2008


45-54 55-64 Age Group 65-74 75-84 85+ 0 100 200 300 400 Deaths Per 100,000 500
0.0 0.0 75.7 8.7 59.6 44.8 401.6 215.6 604.2 523.6
Black White
600
700
*All mortality trend data suppressed due to small numbers.
79
Shelby
Demographics
Quick Facts
3 2 1 1
34.1 $ 44,146 63.6% 9.6% 141.1

Overall:
90.8 43.8 118.2
Total Hispanic
White: Black:
4
Infant Mortality (per 1,000) Overall: 12.6 0.6 18 14.8
<18 18-44 45-64 65+ Total
125,139 179,290 120,010 55,592 480,031
128,155 168,584 105,697 35,719 438,155
17,198 18,251 4,978 1,317 41,744
253,294 347,874 225,707 91,311 918,186
15.2 19.3 41.3 50.6 4.5 79.5 47.7 52.3
20
40 Percent
60
80
100
80
Shelby
General Health
60
"Fair/Poor" Health1
60
Percent
40
18.9
40 Percent
16.6 18.8 11.2 13.4 12.6
20
14.9
12.6
15.7
20
18.2
0 2005
2006
2007
2008
2009
0 2005
2006
2007
2008
2009

100 80
59.2 59.4 66.8 54.2 50.5 57.8
Percent
60 40 20 0 2005 2006 Ever received pneumonia vaccination (age 65+)

47.4 47.6
49.6
49.0
2007
2008
2009

1

3
Total
NH White
NH Black
Female
Male
16.5 12.5 49.0 57.8 9.0 13.8
11.6 6.7 54.2 63.7 9.3 11.4
23.3 17.4 43.5 47.4 9.5 16.1
21.7 12.2 47.9 56.2 9.5 11.1
10.6 12.9 50.7 60.1 8.3 18.0
1 2 3
81
Shelby
60

42.9
40 Percent
37.5 31.7 32.7 33.4
40.0
33.6 28.2
20
28.6
26.9
0 2005
2006 Overweight
2007
2008 Obese
2009
100 80 60 Percent Perce 40 20 0 2005

72.2 71.7 77.1
60

32.0 25.8 29.1
40
58.4
Percent Percen
63.3
61.4
20
23.4 13.5 15.9 15 9
2007
2009
0 2005
2007
2009

Total
77.1 61.4 73.6 15.9 29.1 41.8
NH White
72.6 58.7 70.0 10.4 34.7 38.3
NH Black
82.2 67.1 77.5 20.6 23.7 47.3
Female
69.0 65.6 69.1 16.6 30.0 45.6
Male
86.2 56.6 78.6 15.1 28.3 37.3
82
Shelby

40 35 30 25.8 25 20 15 10 5 0 2005
22.8 18.2 18.8 14.8
Percent
2006
2007
2008
2009
20
14.5
Alcohol Use1
12.3 10.2 13.1 7.9 4.0 5.0 2.3
15 Percent Per 10
5.5 7.5
5 0 2005
2006
2007 Heavy Drinking
2008 Binge Drinking
2009

NH White
NH Black 0.7 4.1 17.9
Female 1.6 6.5 16.3
Male 3.1 9.4 13.1
83
Shelby
1 2 3 4 5 6 7 8 9 10
Heart disease Cancer Stroke Accidents Chronic lower respiratory diseases Alzheimers disease Diabetes mellitus Homicide Influenza and pneumonia y disease Kidney
5,577 5,100 1,382 1,172 968 880 715 494 463 391
Ranking Key:

761.3 1,147.0 777.9 1,090.3 914.8
1200
1400
1 2 3
84
Shelby
Heart Disease
2000 Rate Per 100,000
1,519 1,557

1,548 1,579 1,554 1,628 1,660 1,561 1,490 1,453 1,412 1,339 1,290
1500 1000 500

348 340 346 344 305 318 308 287 277 243
239
229
225
0 1997
1999
2001
2003
2005 Mortality
2009

White 198.8 1,034.0
Black 276.6 1,726.6
Female 187.2 1,139.8
Male 298.6 1,629.7
231.0 1,346.7

5 4
NH White 3.9 42 4.2
NH Black 4.5 31 3.1
Female 3.7 26 2.6
Male 4.1 41 4.1
3.9 34 3.4

63.0 27.6 162.7 73.4 408.4 178.1 864.7 477.3 1,859.5 1,420.9 4,142.2 4,645.1
Black White
5000
3 4 5
85
Shelby
Stroke
500 Rate per 100,000 400 300 200
89 87 83 87 470 495 483 483 488 479 477 436 464 441 382 378 350
100 0 1997
79
84
73
73
73
63
65
57
51
1999
2001
2003
2005 Mortality
2007
2009
Hospitalization

4
White 41.8 275.7 36 3.6
Black 80.8 483.0 25 2.5
Female 53.3 361.6 42 4.2
Male 64.2 379.8 13 1.3
57.6 369.8 28 2.8

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 200 400 600 800 Deaths per 100,000 1000
20.6 2.9 46.1 14.0 102.9 29.4 267.4 73.6 570.7 331.6 1174.0 1068.2
Black White
1200
1400
3 4
86
Shelby
CLRD1
600 500 Rate per 100,000 400 300 200 100
42 46 43 45 41 38 43 40 44 36 46 40 38 375 355 372 365 360 377 378 362

393 369 354 354
334
0 1997
1999
2001
2003
2005 Mortality
2007



9
7.8 7.5 6.7 5.9

35-44 45-54
2.6 1.2 16.2 6.3 39.4 36.7 98.4 173.4 246.9 448.3 388.6 793.1
8 7
Percent
Age Group
6 5 4 3 2 1 0
5.3
Black White
55-64 65-74 75-84 85+
2005
2006
2007
2008
2009
200
400 600 Deaths per 100,000
800
1000
1 2
4
87
Shelby
Diabetes
Rate per 100,000 400 300 200 100
172 193 190 200 212 222 251 251 258 243 248 249 256
25
27
31
36
34
31
34
29
36
28
28
30
28
0 1997
1999
2001
2003
2005 Mortality
2007

3
White 16.9 113.0
Black 47.9 413.0

3
Female 26.5 230.2
Male 32.6 273.1
28.9 250.7

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0
13.2 5.9 26.9 11.1 71.9 34.3
173.9 58.2 352.7 103.2 487.8 194.2
Black White
100
200
300 Deaths per 100,000
400
500
600
3
88
Shelby
Cancer
600
503.2 484.6 471.5 460.2
500 Rate per 100,000

405.6
400 300
210.7 223.6 218.8
209.7
205.0
200 100 0 2004
2005
2006
2007 Incidence
2008 Mortality


48.7 22.3 175.4 88.9 512.8 274.8 1025.5 686.3 1686.3 1370.2 1885.1 1739.9
Black White
2000
89
Shelby
Lung Cancer
200
Rate per 100,000
150
100
67.0
74.8
67.5
62.1
63.3
50
57.7
63.3
62.1
56.4
58.6
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 100
264.6 424.9 7.4 5.3 40.7 18.4 147.7 79.5 301.9 233.9 432.8 421.2
Black White
200 300 Deaths Per 100,000
400
500
90
Shelby
Breast Cancer
200
Rate per 100,000
150
110.0
126.9
127.0
128.7
123.3
100
50
33.9
33.5
33.7
28.6
30.8
0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 50
11.5 2.4 45.0 16.3 97.7 53.7 141.1 76.3 220.8 121.7 338.0 93.8
Black White
100
150 200 250 Deaths Per 100,000
300
350
400
91
Shelby
Colorectal Cancer
100 80
62.6 62.3 50.5 51.8
Rate per 100,000
60 40
52.0
22.4
21.3
22.5
23.3
22.8
20 0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 50 100 150 Deaths Per 100,000 200
5.8 2.9 2.6 8.7 51.0 23.3 123.1 64.1 185.9 131.9 248.0 230.6
Black White
250
300
92
Shelby
Prostate Cancer
250 200 Rate per 100,000 150
115.7

183.5 193.9 196.9 176.5
100 50
39.2 45.9 37.0 44.7 30.8
0 2004
2005
2006
2007
Incidence
2008
Mortality


45-54 55-64 Age Group 65-74 75-84 85+ 0 200 400
0.0 4.9 45.9 11.3 177.3 51.3 647.2 244.0 1,265.4 562.0
Black White
600 800 Deaths Per 100,000
1000
1200
1400
93
Sullivan
Demographics
Quick Facts
3 2 1 1
42.2 $ 39,106 76.8% 7.0% 97.5

Age Gender Female Male NonHispanic White 30,051 47,421 42,411 26,041 145,924 Race NonHispanic Black 717 1,116 913 332 3,078
Overall:
55.4 55.3 64.3
Total Hispanic
White: Black:
4
<18 18-44 45-64 65+ Total
15,856 25,092 22,712 15,578 79,238
16,660 24,811 21,390 11,215 74,076
654 638 157 175 1,624
32,516 49,903 44,102 26,793 153,314
12.4 16.1 48.3 51.7 95.2 2.0 1.1 77.7
20
40 Percent
60
80
100
94
Sullivan
General Health
60
"Fair/Poor" Health1
60
Percent
40
21.9 21.0 24.4 22.5 22.9
40 Percent
17.7
20
20
14.4
13.8
15.3
15.8
0 2005
2006
2007
2008
2009
0 2005
2006
2007
2008
2009

100 80 Percent 60
62.3 71.0 75.4 69.9 72.1 59.0 80.6 74.1
68.8
40 20
47.0
0 2005
2007
2008
2009

1

3
Total
NH White
NH Black
Female
Male
22.9 15.8 74.1 68.8 12.9 15.0
22.0 15.0 73.5 68.5 13.0 14.7
28.9 78.9 100.0 71.3 19.7 24.0
25.6 13.5 69.0 69.8 13.4 13.9
19.9 18.3 81.1 67.7 12.2 16.8
1 2 3
95
Sullivan
60
41.1
39.9 33.1
40 Percent
33.6
36.6
20
26.1
26.8
27.7
29.1
31.9
0 2005
2006 Overweight
2007
2008 Obese
2009
100 80 60 Percent Perce 40 20 0 2005

68.7 66.2 59.0 74.4 76.1
60

38.0 30.6 29.8
40 Percent Percen
65.2
20
22.1 21.6 18.2
2007
2009
0 2005
2007
2009

Total
76.1 65.2 68.6 18.2 38.0 38.0
NH White
75.9 65.1 68.3 17.6 38.0 38.1
NH Black
81.7 60.2 72.2 59.5 35.8 56.3
Female
67.7 67.3 64.7 13.9 37.8 39.6
Male
85.4 62.9 72.4 22.7 38.2 36.1
96
Sullivan

40 35 30 25.5 25 20 15 10 5 0 2005
30.5 22.5 17.5
Percent
18.7
2006
2007
2008
2009
7.1
Alcohol Use1
8.5 7.1 6.5 6.8
2.4
1.4
2.1
1.6
1.2
0 2005
2006
2007 Heavy Drinking
2008 Binge Drinking
2009

NH White
NH Black 21.3 21.3 45.8
Female 0.9 3.6 21.8
Male 1.5 10.2 15.2
97
Sullivan
1 2 3 4 5 6 7 8 9 10
Heart disease Cancer Chronic lower respiratory diseases Stroke Accidents Alzheimers disease Diabetes mellitus Influenza and pneumonia Kidney disease Essential hypertension and hypertensive renal disease 1 2 3
1,249 1,208 305 262 225 214 165 125 91 76
Ranking Key:

712.0 1,056.2 860.4 858.2 1,115.1
1200
1 2 3
98
Sullivan
Heart Disease
2000 Rate Per 100,000 1500 1000 500
287 269 244 240 245 250 250 224 218 224 199 196 204 1,431 1,271 1,156 1,168

1,310 1,353 1,293 1,301 1,314 1,250 1,263 1,257
1,223
0 1997
1999
2001
2003
2005 Mortality
2009

White 197.7 261.5
Black 325.1 205.3
Female 151.5 1,041.1
Male 262.3 1,504.7
199.4 1,256.4

5 4
NH White 6.7 71 7.1
NH Black 9.5 95 9.5
Female 4.8 97 9.7
Male 8.8 51 5.1
6.7 73 7.3

0.0 57.1 138.4 132.6 795.2 282.4 378.1 543.2 3,039.5 1,172.8 3,521.1 3,562.3
Black White
3500
4000
3 4 5
99
Sullivan
Stroke
500 Rate per 100,000 400 300 200 100
69 72 72 87 71 61 60 58 61 57 48 37 39 378 389 354 334 369 342 319 339 336 358 316 311 292
0 1997
1999
2001
2003
2005 Mortality
2007
2009
Hospitalization

4
White 40.2 64.4 17 1.7
Black 103.7 0.0 00 0.0
Female 41.8 288.4 26 2.6
Male 38.7 330.1 06 0.6
41.1 306.4 17 1.7

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 500
0.0 0.0 138.4 5.8 0.0 35.7 378.1 77.3 607.9 330.8 2112.7 1001.0
Black White
1000 1500 Deaths per 100,000
2000
2500
3 4
100
Sullivan
CLRD1
600 500 Rate per 100,000 400 300 200 100
59 53 46 61 57 57 65 54 51 51 49 52 42 273 275 269 271 275 317 272 299 312 324 292 323 345
0 1997
1999
2001
2003
2005 Mortality
2007



16 14 12
9.5 10.4 14.7

35-44 45-54
0.0 1.6 0.0 16.0 0.0 74.7 0.0 194.3 304.0 432.3 0.0 461.2
Percent
10 8 6 4 2 0
Age Group
9.5
9.4
Black White
55-64 65-74 75-84 85+
2005
2006
2007
2008
2009
100
200 300 Deaths per 100,000
400
500
1 2
4
101
Sullivan
Diabetes
Rate per 100,000
214 209 174 157 182 183 197 188
200
136
152
149
163 139
100
22 20 23 27
33
30
40
36
34
36
33
24
23
0 1997
1999
2001
2003
2005 Mortality
2007

3
White 25.9 45.6
Black 89.2 35.6

3
Female 23.7 189.0
Male 31.0 191.8
26.7 189.2

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0
0.0 14.7 0.0 11.7 198.8 55.2 0.0 77.3
Black White
607.9
172.9 2112.7 255.2
500
1000 1500 Deaths per 100,000
2000
2500
3
102
Sullivan
Cancer
600
517.4 496.7 471.7 483.2 487.0
500 Rate per 100,000 400 300

199.3
197.8
204.6
197.1
193.1
200 100 0 2004
2005
2006
2007 Incidence
2008 Mortality


35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0 200 400 600 800 1000 Deaths Per 100,000 1200
0.0 1338.3 1408.5 1432.8 0.0 48.9 138.4 154.5 695.8 332.7 1134.2 779.7
Black White
1400
1600
103
Sullivan
Lung Cancer
200
Rate per 100,000
150
95.9 91.1 89.3 77.9 74.5
100
83.8
50
71.4
68.8
67.6
64.4
0 2004
2005
2006
2007 Incidence
2008 Mortality

Total Incidence (per 100,000) Mortalit (per 100,000) Mortality 100 000) 87.4 69 3 69.3 White 88.2 69 7 69.7 Black ^ 60 6 60.6 Female 66.7 49 1 49.1 Male 115.8 96 8 96.8

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0
0.0 443.6 0.0 333.7 0.0 6.5 0.0 53.9 298.2 120.1 189.0 330.1
Black White
100
200 300 Deaths Per 100,000
400
500
104
Sullivan
Breast Cancer
200
Rate per 100,000
150
136.9 124.5 108.4 116.3 122.6
100
50
16.7
22.1
19.9
29.6 19.7
0 2004
2005
2006
2007 Incidence
2008 Mortality

Total Incidence (per 100,000) Mortality (per 100,000) 121.7 21.6 White 122.8 20.9 Black ^ ^

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0
0.0 77.8 0.0 104.3 0.0 178.7 0.0 9.7 143.9 22.9 192.3 62.2
Black White
50
100 150 Deaths Per 100,000
200
250
105
Sullivan
Colorectal Cancer
100 80 60 40 20
16.1 17.0 15.0 18.5 16.7 52.3 46.4 40.3 38.2
Rate per 100,000
45.8
0 2004
2005
2006
2007 Incidence
2008 Mortality

Total Incidence (per 100,000) Mortality (per 100,000) 44.6 16.6 White 44.5 16.7 Black ^ ^ Female 39.8 12.9 Male 50.4 21.2

35-44 45-54 Age Group 55-64 65-74 75-84 85+ 0
0.0 39.8 0.0 146.6 0.0 186.5 0.0 1.6 0.0 18.9 99.4 32.5
Black White
50
150
200
106
Sullivan
Prostate Cancer
200
163.3

154.1 129.2 130.7 120.5
Rate per 100,000
150
100
50
20.6 0.0
27.6 13.4
20.0
0 2004
2005
2006
2007
Incidence
2008
Mortality

Total Incidence (per 100,000) Mortality (per 100,000) 139.4 18.8 White 138.8 18.5 Black 203 ^

45-54 55-64 Age Group 65-74 75-84 85+ 0
0.0 0.0 0.0 17.0 0.0 51.1 0.0 106.7 0.0 445.8
Black White
100
200 300 Deaths Per 100,000
400
500
107
Technical Notes
Data Sources
American Community Survey (ACS) The American Community Survey is an ongoing survey administered by the U.S. Census Bureau that captures information related to demographic, socioeconomic status, employment status, and housing status. Demographic indicator definitions are as follows: Percent high school graduates: adults aged 18 and over that have completed high school, including those that have completed an education beyond high school. Poverty: families and individuals who are identified as having income at or below the 100% federal poverty level. http://www.census.gov/acs. State Tobacco Activities Tracking and Evaluation (STATE) System The STATE System is an electronic data warehouse maintained by the Centers of Disease Control and Prevention (CDC) in the Office on Smoking and Health (OSH), National Center for Chronic Disease Prevention and Health Promotion. It contains up-to-date and historical state-level data on tobacco use prevention and control. http://www.cdc.gov/tobacco/statesystem. Tennessee Incident Based Reporting System (TIBRS) TIBRS is an incident based reporting system that collects data on crimes that occur in the State of Tennessee. All law enforcement agencies, including colleges and universities, report monthly crime statistics to TIBRS. Population estimates used for calculating crime rates were taken from the 2010 U.S. Census. Crime statistics in this report include any crimes against persons, properties, or society. http://www.tennesseecrimeonline.com/tibrspublic2005. Tennessee Population Estimates The population estimates used to calculate rates for incidence, mortality, hospitalization and teen pregnancy were the 2003 Population Estimates and Projections, 2008 Revision, from the Tennessee Department of Healths Division of Health Statistics. Tennessee Death Statistical System (DSS) The DSS is an annual, state-based compilation of mortality data. Analyses were limited to Tennessee residents. The DSS was used to calculate infant mortality, automobile accident mortality, leading causes of death, age-specific mortality for selected chronic diseases and mortality time trends for non-cancer chronic diseases. An infant death is defined as one that occurs before one year of age and infant mortality rates were calculated by dividing the number of infant deaths in a calendar year(s) by the number of live births registered for the same period of time. DSS data were provided by the Tennessee Department of Healths Division of Health Statistics. Tennessee Birth Statistical System (BSS) The BSS is an annual, state-based compilation of birth data. All data included in this report are for births to Tennessee residents that occurred both in and out of state. Data were collected on the 2003 revision of the Tennessee version of the U.S. Standard Certificate of Live Birth. The BSS was used to calculate teen pregnancy rate and to determine the denominator for infant mortality rates based on the DSS. BSS data were provided by the Tennessee Department of Healths Division of Health Statistics. Hospital Discharge Data System (HDDS) The HDDS is an annual, state-based compilation of data on patients discharged from all acute care hospitals licensed by the Tennessee Department of Health. The HDDS does not include federal facilities (i.e., VA hospitals, etc.) or facilities licensed by the Tennessee Department of Mental Health and Developmental Disabilities. Analyses were limited to the records of Tennessee residents. HDDS data were provided by the Tennessee Department of Healths Division of Health Statistics. Tennessee Cancer Registry (TCR) Cancer incidence data contain records of cases of primary cancer that were first diagnosed among Tennessee residents between January 1, 2004 and December 31, 2008, and that were reported to the TCR as of December 2010. Cases with unknown race (732 cases) were included in the All Races category. Seven cases with gender reported
108
as hermaphrodite or transsexual and twelve cases with unknown age were excluded from all analyses. TCR data were provided by the Tennessee Department of Healths Office of Cancer Surveillance. Behavioral Risk Factor Surveillance System (BRFSS) The BRFSS is an annual, state-based, random-digit-dialed telephone survey of the U.S. non-institutionalized population, 18 years of age and older, which gathers self-reported data on certain health conditions and behavioral risk factors. BRFSS data were used to calculate time trends and prevalence for many of the behavioral risk factors presented in this report. Risk factor definitions are as follows: Overweight: body mass index (BMI) greater than or equal to 25 and less than 30. Obese: BMI greater than or equal to 30. Meeting physical activity recommendations: participating in either moderate physical activity for 30 or more minutes per day on five or more days per week, or vigorous activity for 20 or more minutes per day on three or more days per week. Current cigarette smokers: individuals who have smoked at least 100 cigarettes in their lifetime and who now smoke everyday or some days. Heavy drinking: men having more than two drinks per day or women having more than one drink per day. Binge drinking: men having five or more drinks on one occasion or women having four or more drinks on one occasion. Ever had asthma: having ever been told by a doctor, nurse, or other health care professional you have asthma. Currently having asthma: having been told by a doctor, nurse, or other health care professional you have asthma and still having asthma at the time of the survey.
Definition of Terms
Disease classifications For mortality data through 1998 and hospital discharge data for all years the International Classification of Diseases, 9th Revision (ICD-9) was used; for mortality data after 1999 the ICD-10 was used; for cancer incidence data International Classification of Diseases Oncology, 3rd Revision (ICD-O3) was used. List of the International Classification of Diseases codes for select diseases: Disease Category
All cancers Colorectal cancer Lung cancer Breast cancer (Female) Prostate cancer Diabetes mellitus Diseases of heart Stroke Chronic lower respiratory diseases (CLRD)
ICD-10
C00-C97 C18-C21 C33-C34 C50 C61 E10-E14 I00-I09, I11, I13, I20-I51 I60-I69 J40-J47 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
ICD-9
140-208 153-154 162 174 185 250 390-398,402,404,410-429 430-434,435,436-438 490-494,496
ICD-O3
C00.0-C80.9 C18.0-C18.9, C19.9, C20.9,C26.0 C34.0-C34.9 C50.0-C50.9 C61.9 N/A N/A N/A N/A
Motor vehicle accidents
E810-E825
N/A
Race and ethnicity For BSS, DSS and HDDS data the terms white and black refer to persons of any ethnicity. For BRFSS and U.S. Census data, the terms NH white and NH black refer to persons of non-Hispanic origin only, and the term Hispanic refers to persons of Hispanic ethnicity regardless of race.
109
Leading causes of death ranking Leading causes of death for the total population are listed in tables. A color code key was used to highlight the top five leading causes of death for each demographic group: total, white, black, female, and male. Ranks were based on number of deaths; however only diseases that appear in the top 10 leading causes of death for the total population are shown and/or highlighted for demographic subgroups. In most cases, the top five leading causes of death among demographic subgroups fall within the leading causes of death for the total population. Site-specific cancers Due to small numbers of site-specific (i.e. lung, female breast, colorectal, prostate) cancer deaths in most counties, county-level mortality time trends are not presented. Cancer incidence data were suppressed when there were only 1-9 cases. Cancer incidence time trends were presented for counties where at least three years of data were not suppressed. Teen pregnancy Teen pregnancy was defined as pregnancies among females aged 15-19 and was reported as rate per 1,000. The number of pregnancies was the sum of live births, reportable fetal deaths, and reported induced abortions. Teen pregnancy data were provided by Tennessee Department of Health, Division of Health Statistics. Ranking Regional and county rankings for select indicators are in descending order, where a rank of 1 indicates the highest value for that indicator among all regions or counties. Age-adjusted rate Cancer incidence and mortality rates were age-adjusted to the 2000 U.S. standard population with 5-year age intervals (19 age groups) except for age-specific rates. Counting of cases and calculation of rates were performed in SEER*STAT 7.0.4. Mortality rates for other diseases and hospitalization rates for all diseases were age-adjusted to the 2000 U.S. standard population with 10-year age intervals (11 age groups) unless indicated otherwise. Counting of cases and calculation of rates were performed using the SAS 9.2 software. Suppression of data Rates were suppressed for all conditions in which the population at risk was less than 100 persons. For cancer incidence data, rates were suppressed if the count was between 1 and 9 cases. Suppression of data is represented by a ^ symbol. A rate of 0 indicates that there were no events.
110

Chronic Disease Health Profile: Tennessee

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CHRONIC DISEASE HEALTH PROFILE REGIONS AND COUNTIES: TENNESSEE

SECTION 1: STATE PROFILE TENNESSEE 1

SECTION 4: TECHNICAL NOTES TECHNICAL NOTES 108

Teen Pregnancy Rate (per 1,000)

Population by Age, Gender and Race, 2005-2009

Race NonHispanic Black 298,159 410,678 226,209 81,004 1,016,050

<18 18-44 45-64 65+ Total

720,623 1,143,968 827,771 464,909 3,157,271

754,407 1,140,065 775,142 332,068 3,001,682

90,277 106,533 25,576 6,057 228,443

1,475,030 2,284,033 1,602,913 796,977 6,158,953

Demographics of Tennessee, 2005-20091

Data Source: U.S. Census Bureau, American Community Survey, 2005-2009.

Lacking Health Insurance1

Pneumonia and Influenza Vaccination Status1

Ever received pneumonia vaccination (age 65+)

Received flu shot in past 12 months (age 50+)

Total 21.3 15.7 63.9 55.7 12.4 13.9

NH White 22.1 14.2 66.1 57.2 12.9 14.2

NH Black 20.6 20.0 44.5 43.7 10.9 13.5

Female 22.4 12.9 65.3 56.6 12.5 12.9

Male 20.1 18.9 62.0 54.7 12.4 15.3

Overweight and Obesity1

1996 1998 Overweight

Nutrition and Physical Activity1

Cholesterol Screening and High Cholesterol1

24.6 25.2 23.9 20.5 18.7

Cholesterol Not Checked in 5 Years Ever Told Had High Cholesterol

Cigarette Cost and Sales in Tennessee1

140 120 100 80 60 40 20 0

Average Cost Per Pack

Current Cigarette Smokers2

8.3 6.5 3.3 2.2

9 6.8 3.5 2.6 1.9

2006 Heavy Drinking

2008 Binge Drinking

Pack Sales Per Capita

Age Adjusted Mortality Rate and Demographic Ranking

All Cause Mortality by Race, Tennessee, 2007-20091

1500 1000 500

2007 2009 Hospitalization

Heart Disease Mortality1, Hospitialization2, 2007-2009

Heart Disease Prevalence3, 2009

NH White 5.2 5.1 51

NH Black 3.6 2.5 25

Female 4.4 4.2 42

Male 5.1 4.8 48

Age Specific Mortality by Race, Heart Disease, 2007-20091

400 300 200 100

Stroke Mortality1, Hospitialization2, and Prevalence3, 2007-2009

White 48.3 273.4 31 3.1

Black 73.0 431.1 34 3.4

Female 49.1 299.8 37 3.7

Male 53.7 342.0 22 2.2

51.3 318.0 30 3.0

Age Specific Mortality by Race, Stroke, 2007-20091

Age Adjusted Mortality2 and Hospitalization3, CLRD

Chronic Lower Respiratory Disease Mortality2 and Hospitialization3, 2007-2009

Asthma Prevalence, 20094

NH White 12.8 8.9

NH Black 9.1 6.4

Female 11.9 9.5

Male 11.9 7.0

Prevalence of Self-Reported Current Asthma