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Last updated: March 27. 2014 5:44PM - 624 Views
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Much of the reason for Floyd County's next-to-last ranking in health outcomes is due to an extremely high rate of premature death, which is defined as “the years of potential life lost before age 75” over a three-year period. Extrapolated to a population of 100,000, Floyd County's rate of premature death is 65 percent higher than the state average and nearly double the national average.
Much of the reason for Floyd County's next-to-last ranking in health outcomes is due to an extremely high rate of premature death, which is defined as “the years of potential life lost before age 75” over a three-year period. Extrapolated to a population of 100,000, Floyd County's rate of premature death is 65 percent higher than the state average and nearly double the national average.
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After falling to last place in terms of health outcomes in the County Health Rankings last year, Floyd County inched upward one spot to 119 this year. During the five-year history of the Rankings, the county has never fared better than 110th on the measure.


But while terms like “last place” or “next-to-last” conjure strong images, they do not provide much detail as to what the rankings actually represent.


A county’s health outcomes score is a measure of equal parts longevity and quality of life.


Half of the health outcomes score is determined by years of life lost prematurely over a three-year period. Every death under the age of 75 contributes to the score, with the difference between actual age at death and 75 being added to the total number. The higher the number, the worse.


Floyd County had the the fifth-highest premature death score in the state, at 14,472. By comparison, the statewide average is 8,768, while the national average, according to Kentucky Health Statistics, is 7,562. According to County Health Rankings, the top 10 percent of counties in the nation have scores of 5,317 or lower.


The other half of the health outcomes score is divided among four measures, with 20 percent determined by the rate of low birth weight births. The remaining 30 percent is split equally across subjective measures of overall health, poor physical health days and poor mental health days, as determined by survey results.


In each of those measures, Floyd County ranked in the bottom 10 statewide.


Health factors

Health outcomes, however, is only half of the County Health Rankings. The study also ranks counties according to “health factors,” which represent 29 factors that can influence the health of a community and weighted by importance. Those 29 factors are split into four subgroups, representing health behaviors, clinical care, social and economic factors, and physical environment.


Social and economic factors are given the most weight, at 40 percent, followed by health behaviors, at 30 percent. Clinical care is 20 percent of the score, while physical environment makes up the remaining 10 percent.


In the health factors rankings, Floyd County fares somewhat better than in health outcomes, although not by much. In the most recent results, Floyd County ranked 104th. Much of the reason for the low ranking is due to the fact that Floyd County tends to score lowest on many of the factors under social and economic factors and health behaviors, which represent 70 percent of the total health factors score.


What follows is a list of all 29 measures used in the health factors score, their weight in the total score, Floyd County’s results and the state average:


Health behaviors

• Adult smoking: 10 percent of score; Floyd County: 29 percent; Kentucky: 26 percent


• Adult obesity: 5 percent of score; Floyd County: 39 percent; Kentucky: 33 percent


• Food environment index: 2 percent of score; Floyd County: 7.4; Kentucky: 7.4


• Physical inactivity: 2 percent of score; Floyd County: 39 percent; Kentucky: 31 percent


• Access to exercise opportunities: 1 percent of score; Floyd County: 49 percent; Kentucky: 62 percent


• Excessive drinking: 2.5 percent of score; Floyd County: 9 percent; Kentucky: 12 percent


• Alcohol-impaired driving deaths: 2.5 percent of score; Floyd County: 38 percent; Kentucky: 28 percent


• Sexually-transmitted infections: 2.5 percent of score; Floyd County: 194; Kentucky: 381


• Teen birth rate: 2.5 percent of score; Floyd County, 73; Kentucky: 49


Clinical care

• Uninsured: 5 percent of score; Floyd County: 18 percent; Kentucky: 17 percent


• Primary care physicians: 3 percent of score; Floyd County: 1,508 to 1; Kentucky: 1,560 to 1


• Dentists: 1 percent of score; Floyd County: 1,590 to 1; Kentucky: 1,781 to 1


• Mental health providers: 1 percent of score; Floyd County: 238 to 1; Kentucky: 877 to 1


• Preventable hospital stays: 5 percent of score; Floyd County: 182; Kentucky: 103


• Diabetic screening: 2.5 percent of score; Floyd County: 77 percent; Kentucky: 84 percent


• Mammography screening: 2.5 percent of score; Floyd County: 51.3 percent; Kentucky: 59 percent


Social and economic factors

• High school graduation: 5 percent of score; Floyd County: 79 percent; Kentucky: 79 percent


• Some college: 5 percent of score; Floyd County: 45 percent; Kentucky: 57 percent


• Unemployment: 10 percent of score; Floyd County: 10.6 percent; Kentucky: 8.2 percent


• Children in poverty: 10 percent of score; Floyd County: 44 percent; Kentucky: 27 percent


•Inadequate social support: 2.5 percent of score; Floyd County: 32 percent; Kentucky: 20 percent


• Single-parent households: 2.5 percent of score; Floyd County: 37 percent; Kentucky: 34 percent


• Violent crime: 2.5 percent of score; Floyd County: 54; Kentucky: 247


• Injury deaths: 2.5 percent of score; Floyd County: 150; Kentucky: 79


Physical environment

• Air pollution: 2.5 percent of score; Floyd County: 12.9; Kentucky: 13.5


• Drinking water violations: 2.5 percent of score; Floyd County: 49 percent; Kentucky: 7 percent


• Severe housing problems: 2 percent of score; Floyd County: 14 percent; Kentucky: 14 percent


• Driving alone to work: 2 percent of score; Floyd County: 85 percent; Kentucky: 82 percent


• Long commute: 1 percent of score; Floyd County: 28 percent; Kentucky: 28 percent


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