Friday, April 16, 2021

Some Clues for Racial Disparities for Cambria County

Last week I posted on the racial disparities in health outcomes in Cambria County.  These disparities are primarily what is driving the low rankings for the county in the County Health Rankings.

County Health Rankings provides a wealth of statistics called health factors which provide clues to these disparities.  Here is a list:

  • 9% of the live births in the county from 2013-2019 are low birthweight which is 1% higher then the state rate. 16% of African American births are low birthweight compared to 12% of Hispanic and 6% of Caucasian births. in the county
  • The teen birth rate is 20 per 1,000 live births from 2013-2019 compared to 17/1,000 for PA.  For African Americans it is 54/1,000, 19/1,000 for Hispanics, and 18/1,000 in the county.
  • The drug overdose death rate from 2017-2019 was 52 per 100,000 for the county.  For Pennsylvania it is 37/100,000.  For African-Americans the rate was 112/100,000  and for Caucasians it was 50/100,000.  According to the website Overdose free PA, there were 18 overdose deaths among African Americans (orange bar in the above graph) in the county from 2017-2019 out of 204 total overdose deaths or 8% of the total.

  • The rate of preventable hospital stays per 100,000 Medicare enrollees for 2018 is 5,762 in the county compared 4464 for PA.  The African American Rate is 6,154 while it is 5,779 for Caucasians in the county.
  • The rate of mammography screening is 42% for the county for Medicare enrollees for 2018 while it is 45% for the county.  For African Americans it is 31% compared to 38% for Asians, 50% for Hispanics, and 42% of Caucasians in the county.
  • The rate of flu vaccinations is 41% overall for the county for Medicare enrollees in 2018 compared to 53% for PA.  For African Americans the rate was 36% in the county while it was 45% for Asians and Hispanics and 41% for Caucasians.
  • The overall rate of child poverty was 23% for the county for 2019 while it was 17% for PA.  For African Americans it was 67% in the county while it was 19% for Asians, 42% for Hispanics, and 20% for Caucasians.
  • Median income in the county was $48,800 for 2019 while it was $63,500 in PA.  For African Americans it was 18,900 in the county while for Asians it was $90,000, for Hispanics it was $35,100, and for Caucasians it was $48,100.
  • The injury death rate was 128 per 100,000 for the county from 2015-2019 while it was 89/100,000 for PA.  For African-Americans it was 221/100,000 and 126/100,000 for Caucasians in the county.
  • The homicide death rate was 6/100,000 for the county from 2013-2019 while it was 5/100,000 from 2013-2019.  For African Americans it was 50/100,000 while it was 4/100,000 for Caucasians in the county.
  • For firearm fatalities the rate was 16/100,000 from 2015-2019 while it was 12/100,000 for PA.  For African Americans it was 41/100,000 and 15/100,000 for Caucasians in the county.
  • For reading scores, the average grade level was 3.1 for 3rd graders in both the County and PA in 2018.  For African Americans it was at a 2.2 grade level and 3.2 for Caucasians in the county.
  • For math scores, the average grade level for 3rd graders was 3.1 for both the county and PA in 2018.  For African Americans it was at a 2.0 grade level and 3.2 for Caucasians in the county
  • Finally the % of residents who drive alone to work for the county was 82% from 2015-2019 while it was 76% for PA.  For African Americans, 62% drives alone to work in the county while it was 65% for Hispanics and 84% for Caucasians.  This could be due to African Americans and Hispanics being more likely to rely on public transportation to get to work.
These 14 statistics provide some clues to the nature of the racial/ethnic disparities in Cambria County.  They suggest violence and poverty as the main explanatory factors.  One must be careful not to assume that they tell the whole story.  They do provide some clues to where public health resources need to be allocated.  It remains to be seen how the Coronavirus pandemic will interact with these health issues.

**Related Posts**

The 2021 County Health Rankings are Out


County Health Rankings and Corona Virus Cases: Lower ranked counties have fewer cases in PA (except for Philly)


Holiday Poverty Estimates for Johnstown and Cambria County

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