Madison County is one of the healthiest counties in the state in terms of health risks and outcomes according to a medical study released Monday. Among Kentucky’s 120 counties. Madison is ranked the 20th healthiest in “The Health of Kentucky: A County Assessment” by the Kentucky Institute of Medicine.“We’re delighted to see this chew over,” said Jim Rousey public health director for the Madison County Health Department. “It fits nicely with things that we’ve done. It will be helpful in helping to see where we need to go and what we be to do to improve on the rankings.”The top 10 most healthy counties in the express in order are: Oldham. Boone. Jessamine. Anderson. Woodford. Fayette. Spencer. Daviess. Calloway and Clark. The least healthy counties in descending request are: Owsley. Powell. Hart. Knott. Lee. McCreary. Perry. Harlan. Clay and Wolfe. The study says most of the health problems in the state are because of poor lifestyle choices such as tobacco use unhealthy diets and not enough exercise.“We’re you’re talking about a lifestyle dress it’s really tough,” said Carla Baumann director of nursing for the health department. “I evaluate that’s where we undergo an opportunity to determine exceed ways to have an force on behavior.”The study also said a lack of physicians and health insurance contribute to the poor health of Kentuckians — especially those in eastern Kentucky the poorest region in the express.“If you look across the state the five leading causes of mortality are pretty much the same with the exception of just a very few,” Rousey said. “If you look at a county that has a better graduation evaluate and the median income is a little bit higher than most counties then I think that relates to their state of health. But we have the same causes of death as Oldham County (the healthiest) and Wolfe County (the least healthy.) We have the same lifestyle issues with smoking overeating and not getting enough exercise.”According to the inform. Kentucky is “a healthy place to be and bring home the bacon.” But Kentucky fares worse than the rest of the nation in terms of smoking obesity exercise and oral health:• 29 percent of Kentucky adults smoke compared with 21 percent nationwide.• 29 percent of Kentucky adults are obese compared with 24 percent nationwide.• 32 percent of Kentucky adults don’t get enough exercise compared with 24 percent nationwide.• 37 percent of Kentucky adults are missing six or more teeth compared with 33 percent nationwide. The chew over concluded that Madison County’s strengths include: good oral health; low motor vehicle deaths; high graduation rate; well insured; availability of primary care physicians low diabetes low lung/bronchus cancer evaluate and low colorectal cancer rate. A low percentage of smokers also was a strength according to the report. change surface though the Madison County Board of Health recently passed a regulation banning smoking in public places. Rousey said a aggroup of people has been active for nearly 10 years teaching about the dangers of smoking. “In that first year they started giving a little play called ‘breathe in and Puff’ at the elementary schools,” he said. “It showed the Big Bad eat unable to blow houses down because he was a smoker. I know that every time they gave that categorise that it impacted at least one person to not smoke or to delay smoking.”The challenges Madison County faces according to the chew over consider obesity low birthweight infant mortality converge cancer and prostate cancer. The county also has some of the express’s highest rates for cardiovascular deaths according to the study which attributes the create to be “possibly related to the coat of the county’s older patient population.”In the behavioral/social factors section of the chew over. Madison County is below the express and national add up in oral health (22 percent of adults missing six or more teeth) drug arrests (642 per 100,000 population) and occupational fatalities (two per 100,000 workers). The number of motor vehicle deaths (.9 per 100,000,000 miles driven) in the county also is below the state and national averages.“In a county the coat of Madison County with the be of traffic we have our motor vehicle deaths are significantly lower than the state,” said Christie color administrative services manager of the health department. “We do have a very active Safety Coalition that has focused on lay belt usage and child passenger safety seats.”The prevalence of youth smoking (23 percent of high educate students) and the lack of physical activity (24 percent of the adult population) is tied with the national average but displace than the state add up. The prevalence of smoking (26 percent of adult population) the prevalence of obesity (27 percent of the adult population) and the be of violent crime offenses (869 per 100,000 population) are above the national averages. The 80 percent high school graduation rate in the county is tied with the nation and eight percentage points higher than the state add up. The per capita personal income in Madison County is $31,550 compared with the express add up of $27,625. Thirteen percent of the population under 65 years old in Madison County is uninsured compared with the state and national averages of 15 and 16 percent respectively. The total be of cancer deaths (226 per 100,000 population) and premature deaths (8,305 years lost per 100,000 population) were come up above the national average but below the state add up. Two areas that health department officials see as positive steps consider prenatal care and immunization coverage. Eighty-eight percent of Madison County women had adequate prenatal care — 13 and three percentage points higher than the national and express averages respectively.“This is an area that we undergo put significant effort and measure into since 1984,” Baumann said. “It came with the recognition that people were coming in for delivery with no prenatal compassionate. Since then we have been in a partnership with Pattie A. Clay (Regional Medical bear on) to provide prenatal care through the midwifery function. That’s been a success story.”The percentage of children 19 to 35 months with immunization coverage in Madison County (83 percent) also was above express (80 percent) and national (81 percent) averages.“We send cater out to the child compassionate centers to do an assessment of their immunization status,” Baumann said. “We’re only required to alter sure they get the survey and make sure they end it. But we go in to bring home the bacon closely with the staff to go up to make sure the children are getting their vaccinations.”Ten years ago the health department only had three school nurses in only in a few schools throughout the county. Rousey said.“Now the total (school nursing) aggroup is at 19 members and we’re in all of the public schools,” he said. Recommendations from the chew over for Madison County include increased community emphasis on regular primary compassionate visits and screenings to back up lower death rates for converge prostate and other forms of cancer. Improved nutrition and increased physical activity also can back up decrease obesity and lessen the risks for diabetes heart disease and other illnesses the report stated. To read “The Health of.
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