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]
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.
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.
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.
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.
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).
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).
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.
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).
Diabetes prevalence among Marion County adults increased 9.8% between 2003 and 2014 but is similar to prevalence in Indiana and the U.S. Prevalence among African Americans was found to be 69% higher than among White residents and four times higher than among Hispanic residents during 2014. Diabetes hospitalizations and diabetes-related limb amputations also increased. Despite a trend of declining diabetes mortality rates, diabetes remained the 8th leading cause of death in Marion County during 2014 and the 7th leading cause nationally (2013). (DR2851).
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).
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).
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.
The adolescent pregnancy rate has decreased from 2012 to 2017 in Marion County. Hispanic teens have the highest rates, followed by Black non-Hispanic female teens. From 2016 to 2017, the adolescent pregnancy rate decreased for all races, but increased for Hispanic adolescents (DR3841).
The age-adjusted suicide rate of Marion County residents from 1999 to 2017 did not change significantly. In 2017, the age-adjusted suicide mortality rate for Marion County was 13.7 per 100,000 residents, similar to that for 1999.
During 2018, prevalence of depression and mental distress in Marion County were negatively correlated with income. Those living in poverty carried the greatest burden of these disorders.
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).
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 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.
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.
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).
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).
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.
The percentage of stabbing and firearm related emergency department (ED) visits in Marion County has been persitently higher among males compared to females. The percentage of stabbing and firearm related ED visits has increased more quickly among males between 2012 and 2018 while the increase among females has been rather consistent, increasing slightly between 2015 and 2018 (DR3774).
In Marion County, the homicide rate among males was consistently higher than that of females between 2012 and 2017. In 2017, the homicide rate among males was approximately four times higher than that of females, DR3774.
A racial inequity in homicide rates persisted between 2012 and 2017 such that non-Hispanic blacks experience higher homicide rates comapred to non-Hispanic whites. In 2017, the homicide rate of non-Hispanic blacks was approximately six times higher than that of non-Hispanic whites (DR3774).
The rate of domestic violence (intimate partner violence) in Marion County was nearly four-fold the national rate in 2016 and young women, particularly African American women, are at greatest risk, DR3773.
The homicide rate in Marion County increased between 2012 and 2017, reaching its highest in 2016 (DR3774).
In 2016, the Marion County homicide rate was approximately twice as high as the Indiana state homicide rate. Additionally, the Marion County homicide rate was higher than the United States' homicide rate, yet lower than Milwaukee's homicide rate (DR3774).
The prevalence of homelessness in Marion County is estimated to be 179 per 100,000 as has been relatively steady since 2014. African Americans bear the greatest burden of homelessness in Indianapolis, followed by white residents, DR3794.
The percentage of Marion County (Indiana) residents living with HIV and a suppressed viral load (HIV RNA <200 copies/mL) has increased steadily in recent years. During the period 2013-2017, viral suppression increased from 79.1% to 85.2% (Pearson R=0.91; P<.05).
About 90% of primary and secondary syphilis cases in Marion County are in men. Case rates of primary and secondary syphilis for men who have sex with men (MSM) have remained much higher than for men who have sex with women only (MSW). In 2012, the estimated rate for MSM was about 78 times higher than for MSW, and in 2016, the estimated rate for MSM was about 80 times higher than for MSW. [DR3530]
Myocardial infarction hospitalization rates decreased from 200.0 in 2006 to 174.8 in 2011 then gradually increased to 197.1 in 2016 (DR3631).
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.
Gonorrhea rates were consistently higher among African American residents of Marion County, with Hispanic/Latinos experiencing the lowest incidence during the period 2012-2016 (DR3530).
HIV infection rates were relatively steady in Marion County during the period 2012-2016 with African Americans being more than twice as likely to have been diagnosed than their white peers, DR3506.
During 2016, black, non-Hispanic adults had a higher prevalence of diabetes than their white, non-Hispanic and Hispanic counterparts, DR3535.
The myocardial infarction hospitalization rate in Marion County decreased from 2006-2009, but increased again in 2015-2016 (DR3631).
The maternal smoking rate among Marion County residents was highest among whites, followed by black and Hispanic residents (DR3484).
This graph shows the percentage of mothers who smoked during pregnancy by race/ethnicity from 2007-2016. During this period, white residents had the highest prevalence of maternal smoking, followed by black residents. Maternal smoking steadily declined during this period, DR3484.
This graph show the percentage of premature births (less than 37 weeks) in Marion County, by race/ethnicity, from 2007-2016 (DR3484).
This graph illustrates the percentage of mothers who initiated prenatal care in the first trimester from 2007-2016. During this period, non-Hispanic white women were more likely than their minority peers to have received prenatal care during the first trimester of their pregnancy (DR3484).
This graph show the percentage of very low birth weight births (less than 1,500 grams) in Marion County, by race/ethnicity, from 2007-2016 (DR3484).
This graph shows the percentage of low birth weight births (less than 2,500 grams) in Marion County from 2007-2016. African Americans had the highest rate of low birth weight births for all years reported (DR3484).
This graph shows the percentage of Marion County mothers who breast fed upon hospital release, by race/ethnicity, from 2007-2016 (DR3484).
This graph illustrates post-neonatal infant mortality rates (age 28-364 days) for Marion County by race/ethnicity from 2007-2016 (DR3484).
This graph illustrates neonatal infant mortality rates (age less than 28 days) by race/ethnicity from 2007-2016 (DR3484).
