Ranking:
South Carolina is 48th this year; it was 42nd in 2007.
Strengths:
Strengths include high immunization coverage with 81.1 percent of children ages 19 to 35 months receiving complete immunizations, a low prevalence of binge drinking at 13.7 percent of the population and moderate public health funding at $81 per person.
Challenges:
Challenges include a low high school graduation rate with 60.1 percent of incoming ninth graders who graduate within four years, a high violent crime rate at 788 offenses per 100,000 population, a high prevalence of obesity at 29.0 percent of the population, a high infant mortality rate at 8.6 deaths per 1,000 live births and a high premature death rate with 9,559 years of potential life lost before age 75 per 100,000 population. South Carolina ranks lower for health determinants than for health outcomes, indicating that overall healthiness may decline over time as was the case this year.
Significant Changes:
↑ In the past year, the percentage of children in poverty increased from 15.6 percent to 21.0 percent of persons under age 18.
↓ In the past five years, the rate of uninsured population decreased from 11.9 percent to 16.2 percent.
↓ Since 1990, the rate of deaths from cardiovascular disease decreased from 458.9 to 316.1 deaths per 100,000 population.
↓ Since 1990, the infant mortality rate decreased from 13.0 to 8.6 deaths per 1,000 live births.
Health Disparities:
In South Carolina, cardiovascular death rates vary by race, with all races experiencing 316.1 deaths per 100,000 population in contrast to blacks who experience 398.6 deaths per 100,000 population. Access to health care varies significantly by race and ethnicity in the state; 42.0 percent of Hispanics lack health insurance compared to 16.3 percent of non-Hispanic whites.
State Health Department Web Site: www.scdhec.net |
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 South Carolina |
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2008 |
2007 |
2003 |
1990 |
| DETERMINANTS - Personal Behaviors |
Value |
Rank |
Value |
Rank |
Value |
Rank |
Value |
Rank |
Prevalence of Smoking (Percent of population) |
21.9 |
36 |
22.3 |
37 |
26.6 |
42 |
27.1 |
8 |
Prevalence of Binge Drinking (Percent of population |
13.7 |
14 |
13.1 |
14 |
12.4* |
10 |
--- |
--- |
Prevalence of Obesity (Percent of population) |
29.0 |
44 |
29.4 |
47 |
25.8 |
48 |
13.6 |
43 |
DETERMINANTS - Community & Environment |
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High School Graduation (Percent of incoming ninth graders) |
60.1 |
49 |
60.6 |
50 |
48* |
50* |
67.8* |
43 |
Violent Crime (Offenses per 100,000 population) |
788 |
50 |
766 |
50 |
720 |
46 |
665 |
42 |
Occupational Fatalities (Deaths per 100,000 workers) |
8.7 |
43 |
8.5 |
42 |
6.3 |
34 |
7.6* |
12 |
Infectious Disease (Cases per 100,000 population) |
22.8↓ |
43 |
25.6 |
42 |
28.8 |
39 |
36.7 |
33 |
Children in Poverty (Percent of persons under age 18) |
21.0↑ |
42 |
15.6 |
26 |
23.0 |
45 |
21.3 |
32 |
Air Pollution (Micrograms of fine particles per cubic meter) |
13.7 |
37 |
13.9 |
37 |
14.0 |
32 |
--- |
--- |
DETERMINANTS - Public & Health Policies |
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Lack of Health Insurance (Percent without health insurance) |
16.2 |
34 |
16.6 |
34 |
11.9 |
23 |
12.8 |
28 |
Public Health Funding (Dollars per person) |
$81 |
20 |
$77 |
22 |
--- |
--- |
--- |
--- |
Immunization Coverage (Percent of children ages 19 to 35 months) |
81.1↓ |
17 |
83.2 |
14 |
78.8 |
12 |
--- |
--- |
DETERMINANTS - Clinical Care |
|
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|
|
|
|
|
|
Adequacy of Prenatal Care (Percent of pregnant women) |
66.8%* |
--- |
70.5* |
29 |
73.24* |
33 |
56.7* |
49 |
Primary Care Physicians (Number per 100,000 population) |
105.5 |
34 |
106.6 |
30 |
--- |
--- |
--- |
--- |
Preventable Hospitalizations (Number per 1,000 Medicare enrollees) |
76.2 |
29 |
76.2 |
29 |
79.2 |
31 |
--- |
--- |
All Determinants |
-9.4 |
47 |
-7.1 |
44 |
-9.5 |
47 |
-2.5 |
37 |
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HEALTH OUTCOMES |
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Poor Mental Health Days (Days in previous 30 days) |
3.6 |
38 |
3.4 |
34 |
3.3 |
31 |
--- |
--- |
Poor Physical Health Days (Days in previous 30 days) |
3.5 |
23 |
3.5 |
31 |
3.3 |
30 |
--- |
--- |
Geographic Disparity (Relative standard deviation) |
10.8% |
26 |
10.3% |
23 |
--- |
--- |
--- |
--- |
Infant Mortality (Deaths per 1,000 live births) |
8.6 |
45 |
8.9 |
45 |
8.8 |
45 |
13.0 |
49 |
Cardiovascular Deaths (Deaths per 100,000 population) |
316.1↓ |
36 |
327.9 |
38 |
373.5 |
0 |
458.9 |
50 |
Cancer Deaths (Deaths per 100,000 population) |
204.7 |
38 |
205.8 |
38 |
209.2 |
34 |
193.7 |
22 |
Premature Death (Years lost per 100,000 population) |
9,559 |
44 |
9,493 |
45 |
9,597 |
47 |
10,599 |
49 |
All Health Outcomes |
-1.3 |
42 |
-3.0 |
41 |
-5.1 |
44 |
-3.7 |
43 |
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OVERALL |
-10.7 |
48 |
-10.1 |
42 |
-15.5 |
48 |
-6.2 |
36 |
↑ and ↓ indicate major increases and decreases in the last year. --- indicates data not available. *Data may not be comparable.
**See measure description for full details.
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