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EPI DATA BRIEF - Louisville Metro Government

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Dr. LaQuandra Nesbitt, Director<br />

Office of Policy Planning and Evaluation November 2012, No. 1<br />

Health Behavioral Outcomes for Adolescents and Young Adults in<br />

<strong>Louisville</strong> <strong>Metro</strong><br />

DEMOGRAPHICS<br />

In 2010, more than one-third of the total population for <strong>Louisville</strong> <strong>Metro</strong> was 24 years of age<br />

and under (239,630). i<br />

Fifty one percent were male and 49% were female.<br />

According to 2010 American Community Survey estimates, there were 157,619 White,<br />

61,448 African American and 12,666 Hispanic/Latino individuals 24 years of age and under<br />

living in Jefferson County. ii<br />

DRUGS, ALCOHOL AND TOBACCO USE<br />

The 2011-2012 Safe and Drug Free School Survey found that the percentage of middle and<br />

high school students consuming alcohol, smoking marijuana or using other illegal drugs<br />

more than once in the past 30 days increased compared to the previous school year. iii<br />

Twenty percent of surveyed students reported engaging in alcohol use more than once in<br />

past 30 days.<br />

More than a quarter of students did not think there was a risk of self harm from smoking<br />

marijuana.<br />

The percentage of students that perceive consuming alcohol, smoking marijuana and<br />

tobacco products or using illegal drugs as having no or a slight risk of self harm has<br />

increased since 2009-2010.<br />

Percent of Students Engaging in<br />

Risk Behaviors More than Once<br />

in the Past 30 Days<br />

Alcohol Consumption<br />

Smoking & Other Tobacco<br />

Products Usage<br />

Smoked Marijuana<br />

Binge Drinking<br />

Used Illegal Drugs<br />

6<br />

7<br />

7<br />

12<br />

14<br />

14<br />

11<br />

11<br />

11<br />

2009-10<br />

2010-11<br />

2011-12<br />

18<br />

17<br />

20<br />

16<br />

15<br />

15<br />

Smoked Marijuana<br />

Alcohol<br />

consumption<br />

Smoking & Other<br />

Tobacco Products<br />

Usage<br />

Used Illegal Drugs<br />

Source: Safe and Drug Free School Survey, Jefferson County Public Schools<br />

<strong>EPI</strong> <strong>DATA</strong> <strong>BRIEF</strong><br />

Percent of Students Who Think<br />

There is No or Slight Risk of Self<br />

Harm if Regularly Engaging in Risk<br />

Behaviors<br />

11<br />

13<br />

13<br />

17<br />

19<br />

19<br />

17<br />

18<br />

18<br />

2009-10<br />

2010-11<br />

2011-12<br />

25<br />

27<br />

27<br />

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TEEN BIRTHS<br />

In 2010, the estimated<br />

birth rate to teenage<br />

females between 15 to 19<br />

years of age in <strong>Louisville</strong><br />

<strong>Metro</strong> was 41.4 per 1,000<br />

females.<br />

This rate was lower than<br />

the state (46.2) but higher<br />

than the national rate.<br />

(34.2).<br />

Females 19 years of age<br />

and under had the highest<br />

rates of low birth weight<br />

births in 2010 (12.7%).<br />

COMMUNICABLE DISEASES<br />

Source: 2010 Vital Statistics Jefferson County Preliminary Birth Records, Kentucky<br />

Department for Public Health; 2010 National Vital statistics Final Report, U.S.<br />

Centers for Disease Control and Prevention<br />

From 2007 to 2011, more than half of all Gonorrhea and Chlamydial infections reported were<br />

seen in individuals that were less than 25 years of age.<br />

The reported incidence of Chlamydial infections has more than doubled among this age group<br />

and increased by 60% for Gonorrhea infections during the same time period.<br />

From 2010 to 2011, the incidence rates among Blacks under the age of 25 increased by 23%<br />

for Gonorrhea and 21% for Chlamydia.<br />

For Whites under the age of 25 the incidence rates for Gonorrhea increased by 27% and 18%<br />

for Chlamydia during the same time period.<br />

528<br />

605<br />

1512<br />

1225<br />

<strong>Louisville</strong> <strong>Metro</strong><br />

Source: Kentucky Department for Public Health<br />

2915<br />

Source: KY Department for Public Health<br />

2404<br />

90<br />

Kentucky<br />

114<br />

USA<br />

LM White<br />

LM Black<br />

Birth Rates per 1,000 Females<br />

15-19 Years of Age by Race, 2010<br />

Trends of Gonorrhea and Chlamydia Incidence Rates<br />

per 100,000 Population Under 25 Year Age, Jefferson<br />

County/<strong>Louisville</strong> <strong>Metro</strong><br />

1427<br />

1568<br />

Total Black White Total Black White<br />

Gonorrhea Chlamydia<br />

Gonorrhea Chlamydia<br />

27.8<br />

34.2<br />

369<br />

2010<br />

2011<br />

435<br />

41.4<br />

46.2<br />

2 | P a g e<br />

60.8<br />

0.0 16.0 32.0 48.0 64.0


NUTRITION AND PHYSICAL ACTIVITY<br />

Of all high school students participating in the Youth Risk Behavioral Surveillance Survey<br />

(YRBS), 37% reported being physically active for at least an hour per day or more over the<br />

past 7 days.<br />

Twenty percent of female and 14% male high school students reported not being physically<br />

active in the past week.<br />

17<br />

Percentage of Students Participating in Physical Activities,<br />

2010<br />

Not Physically Active in past 7 days<br />

Physically active for at least 60 minutes per day on five or more of the past 7 days<br />

37<br />

Source: Community Putting Prevention to Work Youth Risk Behavior Surveillance Survey,<br />

Jefferson County Public Schools<br />

Seventeen percent of high school students reported consuming fruits and vegetables<br />

5 or more times per day in the past week.<br />

Twenty percent of male students and 14% of female students reported consuming 5<br />

or more fruits and vegetables.<br />

Percentage of Students Consuming Fruits and Vegetables<br />

5 or More Times Within the Past<br />

Week, 2010<br />

17<br />

14<br />

48<br />

20<br />

20<br />

All Students Male Female White Black<br />

14 14<br />

All Students Male Female White Black<br />

Source: Community Putting Prevention to Work Youth Risk Behavior Surveillance<br />

Survey, Jefferson County Public Schools<br />

26<br />

15<br />

41<br />

21<br />

21<br />

31<br />

3 | P a g e


INJURY AND VIOLENCE<br />

Unintentional injuries,<br />

assault (homicide) and<br />

motor vehicle crashes are<br />

the top three leading<br />

causes of death among<br />

adolescents and young<br />

adults in <strong>Louisville</strong> <strong>Metro</strong>.<br />

The assault (homicide)<br />

death rate for Blacks<br />

(12.2) is more than eight<br />

times that for Whites<br />

(1.5).<br />

i<br />

9.4<br />

Age-Adjusted Death Rate per 100,000<br />

Population for 24 Years Age and Under by<br />

Race, 2009<br />

<strong>Louisville</strong><br />

<strong>Metro</strong><br />

8.2<br />

12.9<br />

U.S. Census Bureau. (2010). Retrieved 2012 from American Factfinder at:<br />

http://factfinder2census.gov/faces/nav/jsf/pages/index.xhtml.<br />

ii American Community survey, U.S. Census Bureau. (2010). Retrieved 2012 from American Factfinder at:<br />

http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_10_3YR_S0201&<br />

prodType=table<br />

3.5<br />

3.8<br />

3.2<br />

4.1<br />

1.5<br />

12.2<br />

2.0<br />

White<br />

Black<br />

Unintentional injuries Motor vehicle crash Assault (Homicide) Suicide<br />

Source: 2009 Vital Statistics Final Death Records, Kentucky Department for Public Health<br />

Race/Ethnicity: For purposes of this report, specific terms of reference were selected. For race categories, the terms “White”<br />

and “Black” are used. Hispanic refers to an ethnic category and not one race. However, the ethnic category of Hispanic and<br />

other race categories, such as Asian/Pacific Islander and American Indian, were not included in this analysis due to limited<br />

sample size yielding unreliable data results.<br />

Data Sources: Sources include vital statistics obtained from Kentucky Department for Public Health; U.S. Census, U.S.<br />

Centers for Disease Control and Prevention (CDC); Jefferson County Public Schools and data collected and maintained at<br />

<strong>Louisville</strong> <strong>Metro</strong> Department of Public Health and Wellness (LMPHW).<br />

Result findings from the Safe and Drug-free School Survey (SDFS) were conducted in Jefferson County Public School district<br />

during the school years 2009-10, 2010-11 and 2011-12. The numbers of responses were more than 100,000 for three years<br />

combined and include students from grades 6-12. Every year the data is collected from different cohorts. The total sample<br />

size for each school year 2009-10, 2010-11 and 2011-12 was 31,647, 35,708 and 39,904 respectively. The following<br />

conclusions were drawn from the comparison of three years survey results. These results should be interpreted with caution<br />

as they may be impacted by total sample size for each year, response rates, size of the school and other issues.<br />

The Youth Risk Behavior Surveillance Survey (YRBS) was conducted as a part of Communities Putting Prevention to Work<br />

(CPPW) grant among 9th to 12 th grade students from selected Jefferson County Public Schools in 2011.<br />

Produced by: Office of Policy Planning and Evaluation, LMPHW<br />

For more information contact 502-574-8270 or visit the LMPHW website at: www.louisvilleky.gov/health.<br />

2.0<br />

4 | P a g e<br />

1.9

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