2011 Virginia Rural Health Summit presentation

1. The Proportion of Deaths in Virginia Associated With Reduced Household Income: The Virginia Study 2011 Virginia TeleHealth Summit April 6, 2011 Wintergreen Resort, Virginia Robert E. Johnson, PhD Department of Biostatistics Department of Family Medicine VCU Center on Human Needs Virginia Commonwealth University Richmond, Virginia

9. Poverty in Virginia

10. Poverty in Virginia Source : U.S. Department of Agriculture, Economic Research Service Rural Urban Total Poverty rate (%) 2009 15.9 9.7 10.6 Per-capita income 2008 30,024 46,410 44,075 Earnings per job 2008 34,796 55,936 53,585

12. U.S. Census Bureau, American Community Survey Reports, ACS-09, Income, Earnings, and Poverty: Data From the 2007 American Community Survey, U.S. Government Printing Office, Washington, DC, 2008.

13. Fairfax County, Virginia

22. Proportion of Deaths Averted, By Year

23. Absolute Number of Avertable Deaths in Virginia 220,211

24. Demographic Profile of Averted Deaths * 2005-2009 American Community Survey 5-year Estimates Demographic characteristics Proportion of averted deaths (%) 2005-2009 ACS* Population (%) Gender Male 49.2 49.1 Female 50.8 50.9 Age (years) 0-19 2.3 26.8 20-49 9.4 43.4 50-64 17.2 18.1 65 and above 71.1 11.8 Race/ethnicity Non-Hispanic whites 75.6 67.0 Non-Hispanic blacks 23.2 19.3 Hispanics 0.6 6.7

25. Avertable Deaths Among Adults (Age > 20) by Educational Attainment * * Some college = 1-3 years of post-secondary education, college = 4 or more years of post-secondary education * 2005-2009 American Community Survey 5-year Estimates

26. Avertable Deaths, by County, 2000-2004 Proportion of deaths averted

27. Averted Deaths, by County, 2000-2004 Proportion of deaths averted

28. Eastern Shore Richmond Williamsburg Charles City County Petersburg Dinwiddie County Virginia Beach Chesapeake Norfolk Prince George County Henrico County Chesterfield County Middle Peninsula Emporia Suffolk Sussex County Newport News Brunswick County

29. Charles City County (40.4%) Prince George County (26.4%) Dinwiddie County (40.4%) Study results Source : U.S. Census Bureau, Quick Facts, http://quickfacts.census.gov/qfd/states/51000.html VA=81.5% VA=$51,103 VA=$125,400

30. Averted Deaths by Rural-Urban Continuum 2003 Rural-Urban Continuum Codes Metro counties: 1 Counties in metro areas of 1 million population or more 2 Counties in metro areas of 250,000 to 1 million population 3 Counties in metro areas of fewer than 250,000 population Nonmetro counties : 4 Urban population of 20,000 or more, adjacent to a metro area 5 Urban population of 20,000 or more, not adjacent to a metro area 6 Urban population of 2,500 to 19,999, adjacent to a metro area 7 Urban population of 2,500 to 19,999, not adjacent to a metro area 8 Completely rural or less than 2,500 urban population, adjacent to a metro area 9 Completely rural or less than 2,500 urban population, not adjacent to a metro area

31. Urban-Rural Continuum 2000* * Source : U.S. Department of Agriculture, Economic Research Service, using data from the U.S. Bureau of the Census. Map from Atlas of Rural and Small Town America Avertable deaths, by city/county* * Source : study results

32. Averted Deaths by Metro, Non-Metro

33. Non-Metro cities/counties, 2000* * Source : U.S. Department of Agriculture, Economic Research Service, using data from the U.S. Bureau of the Census. Map from Atlas of Rural and Small Town America Avertable deaths, by city/county* * Source : study results

34. Averted Deaths by Population Density

35. Population Density, 2009* * Source : U.S. Department of Agriculture, Economic Research Service, using data from the U.S. Bureau of the Census. Map from Atlas of Rural and Small Town America Avertable deaths, by city/county* * Source : study results

36. Top 5 Counties in Percent Averted Deaths

37. Top 5 Cities in Percent Averted Deaths