The text presented
here provides a general overview of health care costs in Centre County.
This information may be copied/shared freely.
Data on health status is usually organized into three categories.
Mortality data includes information on death rates for various
diseases other non-disease causes. These data are often analyzed by sex, race,
age at death, and other characteristics of the deceased within a given time
period. Death rates for a particular jurisdiction (e.g., county) may be compared
with similar local, state and national data.
Morbidity data focus on the leading causes of illness, injury and
disability. Morbidity rates are based on the incidence or prevalence of disease
and other non-disease health events within a defined population and area.
Incidence is a measure of new cases of a disease or other health event that
occur during a period of time. Prevalence is a measure of all diseases or
cases and occurrences of an event that exist a particular period of time.
Health risk data are concerned with variables which research has shown
to be related to poor health status, such as poverty rates and percent receiving
no prenatal care in the 1st trimester, as well as self-reported behavioral
data, such as perceived health status, difficulties encountered in accessing
health care, seat belt usage, and similar health risk variables
Typically, simple counts of health events-e.g., number of deaths attributable
to heart disease or number of individuals with HIV/AIDS in a given population--are
inadequate for purposes of making comparisons to similar events in other populations.
For example, knowing that Centre County had 833 deaths due to heart disease
in the time period 2000-2002 while the state had 118,145 such deaths, has
little meaning for purposes of comparison. Using rates of occurrence, such
as percent of pregnant women receiving no prenatal care during the 1st trimester
or numbers of infant deaths per 1,000 live births, allows for useful comparisons.
Thus, mortality, morbidity and health-risk data are usually presented as rates.
Moreover, these rates are frequently adjusted for age, sex, and race differences
among the populations being studied and compared. In using health status data,
it is important to note the rate being reported and any adjustments made in
the information presented.
In Pennsylvania, the richest source of health status information is the Department
of Health's Bureau of Health Statistics, which makes available a variety of
health status data at county, regional, and statewide levels. The Bureau's
home page can be accessed at the following web site: www.dsf.health.pa.us/health/.
From this home page, a user can access a variety of health data sources by
clicking on the link Health Statistics and Vital Records. The table of links
below lists and describes many of the health status data sets available from
the Bureau of Health Statistics.
There are also other sources of health status information on Pennsylvania
residents. Many times, the data are embedded in a larger data set or report.
A good example of the former is the Center for Rural Pennsylvania's County
Profiles, which can be accessed at the following web site: http://www.ruralpa.org/county_profiles.html.
The Center's Profiles are an excellent resource for summary information related
to demography, health status and health resources for each Pennsylvania county
as well as the state. Another example is the Pennsylvania Department of Health's
report, Oral Health in Pennsylvania, issued in 2002. This report presents
both data on oral health in Pennsylvania and prescriptive narratives on oral
health prevention and treatment.
The accompanying table provides direct links to web sites containing health
status data for Centre County and Pennsylvania, and in a few cases regional
data for the Department of Health's Districts.