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Community Health Needs Assessment 2012 - Saint Joseph Hospital

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<strong>Community</strong> <strong>Health</strong> <strong>Needs</strong> <strong>Assessment</strong> 2013<br />

Children at Risk:<br />

Madison Co.<br />

2006<br />

Madison Co.<br />

2010<br />

Kentucky<br />

2010<br />

U.S.<br />

2010<br />

Children living in Poverty 19.8% 25% 26% 13%<br />

Children in single-parent households 33% 32% 20%<br />

Free and reduced rate lunches 47% 50%<br />

Source: Madison County <strong>Community</strong> <strong>Health</strong> Improvement Plan 2009<br />

The concern stems from a study in the 2011 Kids Count Data Book that shows the amount of children living<br />

in poverty in Madison County from 19.8% in 2006 to over 25% in 2010. To go along with this the<br />

number of free lunches and reduced meals for children has increased from 47% in 2006 to 50% in 2011.<br />

Diseases associated with children living in poverty include untreated dental problems, causing them to lose<br />

teeth too early; poor nutrition leading to health problems and obesity in some; and living in unsafe housing<br />

conditions can worsen asthma or chronic bronchitis.<br />

Children living in single-parent households are measured because children in these households are statistically<br />

―at risk for adverse health outcomes such as mental health problems (including substance abuse, depression,<br />

and suicide) and unhealthy behaviors such as smoking and excessive alcohol use.‖ In addition,<br />

self-reported health and mortality among lone parents tended to be worse than parents living as couples<br />

(Excerpted from an article in the Richmond Register on April 12, <strong>2012</strong>, ―18 Percent in County without<br />

<strong>Health</strong> Insurance).<br />

The Madison County <strong>Health</strong> Department has made an effort to increase enrollment of the number of youth<br />

under the age of 19 enrolled in Kentucky Child <strong>Health</strong> Insurance Program (KCHIP). Their goal was to increase<br />

it from 9% in 2000 to 15% by 2014 (from 1262 youths to 1451).<br />

Aging Population<br />

According to the Department of Aging<br />

for Kentucky, the over 60 population<br />

is the fastest growing population<br />

and estimated to increase 91%<br />

from the year 2000 to the year 2030.<br />

In Disabilities (including Alzheimer’s/Dementia)<br />

and poverty levels<br />

are unique needs that will impact<br />

this group and put an extra burden<br />

on families who take the role as caregivers.<br />

Another factor in looking<br />

at the aging demographic is that over<br />

half of the grandparents in Kentucky<br />

care for their grandchildren. Additionally,<br />

23% of aging make up total mental health population in Kentucky. Services for the aging population<br />

are limited, and the ones available are not always known by the elderly or their caregivers. Information<br />

is based on the Kentucky State Plan on Aging, 2009-<strong>2012</strong> report.<br />

Page 30

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