Environment and Public Health

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Historic Weekly Seasonal Influenza Reports (Marion County, 2012/2013 - 2016/2017)

A weekly update on influenza (flu) activity in Marion County was provided by the Marion County Public Health Department. These reports go back to the 2012/2013 flu season. [DR1202]

Marion County Community Health Assessment 2014: Adolescents (12-17 Years) Final Report (Marion County, 2003-2014)

This link is to the Marion County Public Health Department's comprehensive community health assessment (CHA) report on the chronic and infectious disease, environmental health, built environment and social determinates of health affecting Marion County residents 12-17 years of age. For the complete CHA report (all age groups), please refer to http://marionhealth.org/mcphd-community-health-assessment-2014/ instead of the above link.

Marion County Community Health Assessment 2014: Young Child Ages 5-11 Final Report (Marion County, 2003-2014)

This link is to the Marion County Public Health Department's comprehensive community health assessment (CHA) report on the chronic and infectious disease, environmental health, built environment and social determinates of health affecting Marion County residents 5-11 years of age. For the complete CHA report (all age groups), please refer to http://marionhealth.org/mcphd-community-health-assessment-2014/ instead of the above link.

Marion County Community Health Assessment 2014: Maternal, Infant and Children to Age 4 Final Report (Marion County, 2003-2014)

This link is to the Marion County Public Health Department's comprehensive community health assessment (CHA) report on maternal, infant, and young child (0-4 years of age) health. For the complete CHA report (all age groups), please refer to http://marionhealth.org/mcphd-community-health-assessment-2014/ instead of the above link.

The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile: 2018

Substance use continues to be a major public health concern, negatively impacting a variety of health, legal, and social outcomes. Nearly one-fourth of Hoosiers ages 12 and older engaged in binge drinking in the past month and one-tenth used an illicit substance. Furthermore, 7% of Indiana residents met criteria for substance use disorder (SUD) in the past year and 6.5% needed but did not receive treatment for their SUD.

Of particular concern is polysubstance use, or the use of two or more substances over a defined period, simultaneously or at differing times, for recreational purposes. In over 70% of admissions to substance use treatment in Indiana, the use of multiple substances was indicated, with 30% reporting the use of two drugs and nearly 41% reporting the use of three drugs.

During state fiscal year 2018, a total of 10,483 children were removed from their parents by the Department of Child Services in Indiana; almost two-thirds (64%) of these removals were due to parental alcohol and/or drug use.

Opioid Overdose Deaths: Marion County v. Nearby Cities (Marion County, 2012-2016)

This graph illustrates the opioid overdose death rate (age-adjusted per 100,000 population) in Marion County versus similar nearby cities during the period 2012-2016. (DR3473).

Overdose Deaths in the Midwest, Urban Counties, Indiana and the U.S. (Marion County, 2016)

During 2016, overdose deaths per 100,000 population in Marion County fell below the rate found in Franklin and Hamilton Counties in Ohio and were similar to the rate in Jefferson County, KY. Marion County rates were significantly higher than those in other similar, midwest counties, Indiana overall, and the U.S. (DR3871).

Drug Poisoning Deaths (Marion County, 2006-2012)

County health rankings provides the number of drug poisoning deaths per 100,000 population, by Indiana county. Counties can be compared and contrasted with easy data export.

Metrics for Quality of Life and Community Assessment (Marion County, 2000-2010)

This document provides information and data on demographics, health, economy, and the social and physical environment of Marion County.

Non-Physician Primary Care Providers (Marion County, 2014)

County health rankings provides the ratio of population to non-physician primary care physicians, by Indiana county. Counties can be compared and contrasted with easy data and map export.

Uninsured Children (Marion County, 2012)

County health rankings provides the percentage of children under age 19 without health insurance, by Indiana county. Counties can be compared and contrasted with easy data export.

Uninsured Adults (Marion County, 2012)

County health rankings provides the percentage of adults under age 65 without health insurance, by Indiana county. Counties can be compared and contrasted with easy data export.

Dental Care Providers (Marion County, 2013)

County health rankings provides the ratio of population to dentists, by Indiana county. Counties can be compared and contrasted with easy data and map export.

Mental Health Providers (Marion County, 2014)

County health rankings provides the ratio of population to mental health providers, by Indiana county. Counties can be compared and contrasted with easy data and map export.

Primary Care Physicians (Marion County, 2012)

County health rankings provides the ratio of population to primary care physicians, by Indiana county. Counties can be compared and contrasted with easy data and map export.

Health Insurance Coverage (Marion County, 2012)

County health rankings provides the percentage of the population under age 65 without health insurance, by Indiana county. Counties can be compared and contrasted with easy data and map export.

Percentage of Adults Reporting Fair or Poor Health (Marion County, 2006-2012)

County health rankings provides the percentage of adults reporting fair or poor health (age-adjusted), by county. Counties can be compared and contrasted with easy data and map export.

Poor Mental Health Days in Indiana by County (Marion County, 2006-2012)

County health rankings provides average number of mentally unhealthy days reported in past 30 days (age-adjusted), by county. Counties can be compared and contrasted with easy data and map export.

Response 24 Seven: A Report to the Community (Marion, 2008-2012)

A report to the Community regarding the Marion County Public Health Department delivering on all of the ten essential services of public health. These services are: monitoring health, diagnosing and investigating health hazards, informing and educating about health issues, mobilizing partnerships, developing health policies, enforcing environmental laws, access to care, assuring a competent public health workforce, evaluating health services, and researching public health concerns.

Institute for Health Metrics and Evaluation (IHME) County Profiles (Marion County, 2014)

The Institute for Health Metrics and Evaluation (IHME) at the University of Washington analyzed the performance of all 3,142 US counties or county-equivalents in terms of life expectancy at birth, mortality rates for select causes, alcohol use, smoking prevalence, obesity prevalence, and recommended physical activity using novel small area estimation techniques and the most up-to-date county-level information.

Premature Death in Indiana by County (2010-2012)

County health rankings provides years of potential life lost before age 75, per 100,000 population (age-adjusted), by county. Counties can be compared and contrasted with easy data and map export.

County Diabetes Report (2000-2009)

Marion County prevalence increased over 60 percent from 2000-2008, to 10.0% of adults (over 62,000 cases) but is not statistically different than national or state rates. Marion County’s 2008 prevalence is four times the Health People 2010 target for diabetes prevalence of 2.5% among adults. Marion County Black residents have a 60% higher prevalence rate than White residents and 33% higher rate than Hispanic residents.

DR2647 Hypertension Prevention Report 2015 - final

In 2013, an estimated 32% of Marion County adults reported that they had been diagnosed with hypertension which was similar to the national rate of 31.4%. A 32% hypertension prevalence translates to almost 219,000 Marion County adults that have been diagnosed with hypertension. The prevalence of hypertension in Marion County among Behavioral Risk Factor Surveillance System (BRFSS) sample years between 2003 and 2013 did not vary significantly. Hypertension is not evenly distributed spatially throughout Marion County. The prevalence of hypertension ranged from 25% to 43.4% among Marion County Public Health Department planning areas in 2012. (DR2647).

DR3605 Line Graph with Obesity and Diabetes Rates

The prevalence of obesity in Marion County adults was 27.4 per 100,000 residents in 2016 as compared to 24.7 per 100,000 in 2003. The change in diabetes prevalence was more noticeable, increasing from 8.6 per 100,000 in 2003 to 13.4 per 100,000. (DR3605).

DR4123 Obesity Prevalence Rate by Zip Code

Obesity prevalence from the 2018 Marion County Community Health Assessment Survey is presented, with confidence intervals, by zip code. (DR4123)

DR3769 Obesity Infographic

There has been a stable increase in the obesity rate in Marion County from 2008-2018. Marion County obesity prevalence is higher than some other Midwest cities, but lower than the national rate. Males and non-Hispanic blacks have the highest prevalence of obesity (DR3769).

Violence (Marion County, 2012-2017)

Violent crimes consist of murder, rape, robbery, assault, property crime, burglary, larceny, and motor theft. These crimes often influence the safety and wellbeing of a community. The rate of violent crime in Marion County is three times that of Indiana or the U.S. and has been trending higher since at least 2012 (DR3774).

Poverty Rates by Race/Ethnicity and Educational Attainment (Marion County, 2017)

The percentage of the population living below Federal Poverty Guidline is significantly higher for Marion County than it is for Indiana and the U.S. Racial minorities and individuals with low educational attainment experience a disproportionate burden of poverty in Marion County, DR3780.
 

Poverty in Indianapolis vs. Peer Cities (1970-2017)

Indiana University's Social Assets and Vulnerabilities Indicators online tool (SAVI) has compared rising poverty from 1970 to 2017 in Indianapolis to other similar cities in the nation. 

Prevalence of Depression and Mental Distress by Poverty levels among adults (Marion County, 2018)

In 2018, at least 26% of Marion County adults (1 out of 4)  have been diagnosed with depression by a health care provider at some point in their lives; whereas, at least 14% of adults experienced mental distress (mentally unhealthy days at least for 10 days a month). 

USDA Food Access Research Atlas

The USDA Food Access Research Atlas:

  • Presents a spatial overview of food access indicators for low-income and other census tracts using different measures of supermarket accessibility;
  • Provides food access data for populations within census tracts; and
  • Offers census-tract-level data on food access that can be downloaded for community planning or research purposes.
Food Deserts in Indianapolis, 2015

According to Indiana University's Social Assets and Vulnerabilities Indicators online tool (SAVI), an estimated 200,000 Indianapolis residents live in food deserts in 2015.

Opioid Overdose Fact Sheet (Marion County, 2010-2017)

This fact sheet describes opiod overdose and illustrates that Marion County: has higher or similar rates of overdose deaths than many other counties; had an increasing rate of opoid overdose deaths in recent years; and had a majority of overdose deaths involving opioids, DR3788.

Food Access

Food security describes when people have access to safe and healthy food. Food insecurity may lead to an increased risk of cancer, cardiovascular disease, diabetes, and overweight/obesity. Marion County has higher rates of food insecurity than Indiana and the U.S. as a whole. There was an increase in Marion County SNAP benefits from 2012-2015, and a slight decrease in 2016. About 21% of Marion County residents live in a food desert, DR3792.

Overdose Fact Sheet (Marion County, 2010-2017)

This fact sheet on overdoses shows that Marion County has: higher rates of overdose that many other counties; an increasing rate of overdoses in recent years; and that a majority of overdose deaths involved opioids, DR3788.

DR3737 MCPHD 2016-2017 community report tablesDR3737 MCPHD 2016-2017 community report natality & infant mortality tables.doc

Neonatal and infant mortality rates among racial/ethnic minority residents were higher than among White residents of Marion County during 2016 and 2017. Black residents carried the highest burden of disease with rates more than twice that of White residents (DR3737).

Infant Mortality Rate and Low Birth Weight by Race/Ethnicity (Marion County, 2007-2017)

Non-Hispanic Black women in Marion County had higher rates of infant mortality, often double the rate of their non-Hispanic white counterparts. Furthermore, non-Hispanic black infants are born with low birth weight almost twice as often as their non-Hispanic White peers, with rates staying between 12%-15% over the past 10 years. Hispanic women have the lowest rates of low birth weight, never exceeding 8% during the ten-year period. Non-Hispanic white women have higher rates of low birth weight births than Hispanic women, but lower rates than non-Hispanic blacks and overall Marion County rates, DR3484).

Mental health in Marion County - Fact sheet

This mental health fact sheet was developed in 2018 to define mental health and depression and to illustrate health impacts, treatment, risk factors, and inequities related to depression in Marion County. It also graphically represents the age-adjusted suicide mortality trend in Marion County from 2008 to 2017. Other details include Indiana's national ranking for mental illness prevalence and mental health care access among adults, youth and children (DR3783).

Health Equity and Life Expectancy by Zip Code and Race/Ethnicity (Marion County, 2016)

Life expectancy and other health measures were used in this fact sheet to illustrate differences in health equity among Marion County residents. Life expectancy in Marion County has been stable since 2007 and is similar to that in Indiana and the U.S. overall, but differs within Marion County by both race and place. African American residents experienced a life expectancy of 73.7 years in 2016, compared to 78.3 years for white residents. The diabetes mortality rate among African Americans (39 per 100,000) was also higher than that of their white peers (25 per 100,000). Breast feeding initiation rates are also provided in this fact sheet, DR3780.

Homicide Rate Trend (Marion County, 2012-2017)

The homicide rate in Marion County increased between 2012 and 2017, reaching its highest in 2016 (DR3774).

Smoking Prevalence (Zip Codes 46221 and 46222 Combined, 2005)

Among residents of Marion County zip codes 46221 and 46222 (combined), 69% of adult residents were current smokers in 2005, DR3632.

2012 CHA Report

Summary report on results of the 2012 Marion County Community Health Assessment (CHA) survey.

Depression in Marion County by gender (2016)

This graph depicts prevelance of depression by gender in the year 2016 in Marion County where prevelance among women is nearly twice that of men, DR3490.

Diabetes Prevalence in Adults by Race (Marion County, 2016)

During 2016, black, non-Hispanic adults had a higher prevalence of diabetes than their white, non-Hispanic and Hispanic counterparts, DR3535.

Life Expectancy for Marion County by Race and Overall, 2007-2016

This graphs illustrates life expectacy for Marion County residents from 2007-2016, both overall and by two races-white and black. White residents had consistently higher life expectancy over this ten year period, DR3568.

Life Expectancy by Zip Code (Marion County, 2015)

This map illustrates life expectancy rates by zip code in Marion County in 2015 (DR3031).

Top Ten Causes of Death by Age (Marion County, 2016)

Accidents continue to be a top cause of death among middle age residents in Marion County, DR3563.

Marion County Postneonatal Infant Mortality Rates by Race/Ethnicity, 2007-2016

This graph illustrates post-neonatal infant mortality rates (age 28-364 days) for Marion County by race/ethnicity from 2007-2016 (DR3484).

Marion County Neonatal Infant Mortality Rate by Race/Ethnicity, 2007-2016

This graph illustrates neonatal infant mortality rates (age less than 28 days) by race/ethnicity from 2007-2016 (DR3484).

Marion County Infant Mortality by Race/Ethnicity, 2007-2016

This graph shows infant mortality rates in Marion County by race/ethnicity from 2007-2016.

Life Expectancy Explained

This is a basic explanation of life expectancy from an article at Wikipedia.