Community Profile 2008 Tulsa County Prepared for the Tulsa Area United Way Community Investments Process By the Community Service Council of Greater Tulsa.

Community Profile 2008Community Profile 2008Tulsa CountyTulsa County

Prepared for the Tulsa Area United Way Community Investments ProcessBy the Community Service Council of Greater Tulsa

December, 2007

Adults and Families at Risk…Adults and Families at Risk…

Top Risk Factors for Adults Top Risk Factors for Adults and Familiesand Families

Single-parent households Single-parent households

Low educational attainmentLow educational attainment

IlliteracyIlliteracy

Childhood abuse and other adverse childhood experiencesChildhood abuse and other adverse childhood experiences

Substance abuse/addiction Substance abuse/addiction

Lack of health insurance/poor health careLack of health insurance/poor health care

Poor diet & lack of exercisePoor diet & lack of exercise

Tobacco use & excessive alcohol useTobacco use & excessive alcohol use

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Prepared by the Community Service Council of Greater Tulsa

Types of Families with Own Children Under 18,by Race & Hispanic Origin

Tulsa County, 2000

Source: U.S. Census Bureau, 2000 Census.

69.5%

24.1%

6.4%

75.1%

18.9%

6.0%

37.4%

55.0%

7.6%

63.7%

28.0%

8.3%

86.4%

11.1%

2.5%

75.1%

16.8%

8.1%

Married couple Female-headed Male-headed

Total White Black

American Indian Asian Hispanic

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Educational Attainment for Persons Age 25 & OlderTulsa County, 2000 & 2006 Estimates

Source: US Census Bureau, 2000 Census; US Census Bureau, American Community Survey 2006.

Less thanhigh school

High schoolgraduate

Somecollege

Associate'sdegree

Bachelor'sdegree

Master'sdegree

Professionalschool degree

Doctoratedegree

0% 5% 10% 15% 20% 25% 30%

Percent of persons 25+

2000

2006 (est.)

Less thanhigh school

High schoolgraduate

Somecollege

Associate'sdegree

Bachelor'sdegree

Master'sdegree

Professionalschool degree

Doctoratedegree

2000 14.9% 26.5% 24.7% 6.9% 18.5% 5.4% 2.2% 0.8%

2006 (est.) 12.6% 28.6% 22.2% 7.1% 20.2% 6.1% 2.3% 1%

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Rates of Adult Level 1 LiteracyBy County

Source: Oklahoma Literacy Resource Office.

15%16%

25%

19%

13% 13%

Tulsa Co. Creek Co. Okmulgee Co. Osage Co. Rogers Co. Wagoner Co.0%

5%

10%

15%

20%

25%

30%Percent of adults at Level 1 Literacy

Level 1 Literacy is the lowest literacy level. Adults at this level display difficulty using certain reading, writing, and computational skills considered necessary for functioning in everyday life.

Oklahoma has a rate of 18%.

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Methamphetamine Labs Seized by AuthoritiesOklahoma and City of Tulsa, 1994 - 2007

Source: Oklahoma State Bureau of Narcotics and Dangerous Drugs Website, Tulsa Police Department Website.

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

( pre

l im.)

0

200

400

600

800

1,000

1,200

1,400

Number of labs discovered

Tulsa

Oklahoma

Tulsa 0 0 6 13 47 132 150 124 178 214 131 51 na na

Oklahoma 10 34 125 241 275 781 946 1,193 1,254 1,235 812 274 194 137


Health Insurance Status, by AgeOklahoma, 2005-2006

Source: Kaiser Family Foundation.

1,673,131 (48.2%)

141,341 (4.1%)459,315 (13.2%)

553,526 (15.9%)

644,292 (18.6%)

435,497 (50.5%)

312,416 (36.3%)

113,735 (13.2%)

1,240,462 (59.9%)

95,634 (4.6%)117,044 (5.6%)

93,994 (4.5%)

524,480 (25.3%)

3,337 (0.7%)29,855 (5.8%)

473,042 (92.3%) 6,077 (1.2%)

Employer Individual Medicaid Medicare/Other Public Uninsured

Total Population Under Age 19

Age 19-64 Age 65 & over

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Uninsured Rates by City, 2000

0 5 10 15 20 25 30

El Paso

Bakersfield

Albuquerque

Dallas

Denver

Oklahoma City

Memphis

Tulsa

Little Rock

Salt Lake City

US

Birmingham

Wichita

Kansas City

Omaha

Cincinnati

Buffalo

Pla

ce

Rate

Lapolla, Health Policy Analysis of the Tulsa Metropolitan Area, OU Center for Health Policy, 2005;.

THD – Patel/Woodruff 9/05

Major Health Concern:Major Health Concern: Uninsured – Tulsa to Comparable CitiesUninsured – Tulsa to Comparable Cities

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Oklahoma's Rankings in Risk Factors Associated with Poor Health, 1990 and 2007

According to United Health Foundation's State Health Rankings

Source: United Health Foundation.

#44

#23#31

#24#8

#32#21

#46

#41

#47#12

#44#24

#34#38

#24#42

#42#30

#25

#40#50

#45

Personal BehaviorsPrevalence of smoking

Prevalence of Binge Drinking

Prevalence of obesity

High school graduation

Community EnvironmentViolent crime

Occupational fatalities

Infectious disease

Children in poverty

Public & Health PoliciesLack of health insurance

Per capita public health spending

Immunization coverage

Clinical Care

Adequacy of prenatal care

Primary Care Physicians

Preventable Hospitalizations

1990 2007

Ranking: 1=best, 50=worst

Risk Factors Increase Likelihood of Risk Factors Increase Likelihood of Adverse Health and Social OutcomesAdverse Health and Social Outcomes

~ Adverse Outcomes for Adults and Families:

Lower earnings/lack of economic self-sufficiency Lower earnings/lack of economic self-sufficiency

Domestic violence Domestic violence

Crime/gang violence/incarcerationCrime/gang violence/incarceration

Effects of adverse childhood experiences Effects of adverse childhood experiences

Disease or disabilityDisease or disability

Suicide Suicide

Premature deathPremature death

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Ratio of Income to Poverty for Families by Family Type and Age of Children

Tulsa County, 1999

Source: U.S. Census Bureau, Census 2000.

19.9%

41.6%

64%

26.7%

50.6%

79.9%

5.6%

17.8%

34.5%

8.2%

23.6%

49.5%

Married-couple

Male-headed

Female-headed

Married-couple

Male-headed

Female-headed

0%

20%

40%

60%

80%

100%

Poverty rate

% below 100% %below 185%

# below 100% 3,033 996 6,537 1,935 476 3,322

# below 185% 10,828 2,325 12,123 6,317 1,021 5,358

Families with children <18 Families with children <5

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Real Hourly Wage by Educational AttainmentUnited States, 1973-2005

Source: Economic Policy Institute website.

1973

1975

1977

1979

1981

1983

1985

1987

1989

1991

1993

1995

1997

1999

2001

2003

2005

$0

$5

$10

$15

$20

$25

$30

$35

Real hourly wage (2005 dollars)

Less than high school High school College degree Advanced degree

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Adult Literacy Levels and IncomeAdult Literacy Levels and Income

Over 20% of American adults read at or below a 5th grade level - far below the level needed to earn a living wage.

43% of people with the lowest literacy skills live in poverty.

Workers who lack a high school diploma earned an average hourly wage of $9.50 in 2001, compared to $12.81 for high school graduates and $22.58 for those with a college degree.

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Source: Oklahoma Literacy Resource Office; Economic Policy Institute.

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Domestic Violence Cases Reported toLaw Enforcement Agencies

Oklahoma, 1994 - 2006

Source: Oklahoma State Bureau of Investigation 2004 & 2006 Uniform Crime Reports.

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 20060

5,000

10,000

15,000

20,000

25,000

30,000

Cases 18,153 18,621 21,683 23,087 21,435 21,211 22,065 23,687 25,157 23,773 24,542 25,893 24,105

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Domestic Violence Cases Reported to Law Enforcement Agencies, by Offense

Oklahoma, 2006

Source: Oklahoma State Bureau of Investigation 2006 Uniform Crime Report.

47 733

3,635

19,690

Murder Sex crimes Assaults Assault & Battery0

5,000

10,000

15,000

20,000

25,000A total of 24,105 domestic violence cases were reported to Oklahoma law enforcement agencies in 2006.

0

2,500

5,000

7,500

10,000

12,500

15,000

17,500

20,000

22,500

25,000

'50

'52

'54

'56

'58

'60

'62

'64

'66

'68

'70

'72

'74

'76

'78

'80

'82

'84

'86

'88

'90

'92

'94

'96

'98

'00

'02

'04

Oklahoma’s prison population was relatively stable until 1980 when laws passed to curb

illegal drug use came into effectOklahoma’s Prison Population

1950-2005

Source: Oklahoma State Department of Corrections, Prepared by the Community Service Council of Greater Tulsa for the Metropolitan Human Services Commission in Tulsa.

1980

Note: Number of inmates in Oklahoma prisons, data as of June 30 of each year

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0

1,000

2,000

3,000

4,000

5,000

6,000

FY'95 FY'96 FY'97 FY'98 FY'99 FY'00 FY'01 FY'02 FY'03 FY'04 FY'05

Other Crime Receptions

Drug Crime Receptions

Linear (Other Crime Receptions)

Linear (Drug Crime Receptions)

DOC Receptions Drug Crimes and DOC Receptions Drug Crimes and Other CrimesOther Crimes

FY1995 – FY 2005FY1995 – FY 2005

Source: Oklahoma State Department of Corrections Prepared by the Community Service Council of Greater Tulsa for the Metropolitan Human Services Commission in Tulsa.

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Violent Crimes Reported to Tulsa Police Department1994 to 2006

Source: Tulsa Police Department Statistical Report - 1998; TPD Website.

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 20060

1,000

2,000

3,000

4,000Number reported

Agg. Assault

Robbery

Forcible Rape

Homicide

Agg. Assault 3,344 3,195 3,330 3,461 3,315 3,361 3,464 3,565 3,233 3,161 3,402 3,614 3,554

Robbery 1,104 986 897 962 886 938 778 818 953 934 1,072 1,157 1,061

Forcible Rape 314 277 312 290 287 256 266 300 295 310 337 326 312

Homicide 45 33 35 46 50 44 34 39 33 70 49 60 56

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Source: Oklahoma Department of Corrections.

Department of Corrections Receptions from Tulsa County, FY 2005Percent Distribution by Race

51.8%

32.5%

7.6% 7.6%

0.4% 0.1%

White Black Hispanic NativeAmerican

Other Unknown0%

10%

20%

30%

40%

50%

60%Total receptions from Tulsa

County = 1,807. Drug related convictions account

for 35% of these receptions.

Department of Corrections Department of Corrections Receptions from Tulsa County by GenderReceptions from Tulsa County by Gender

1998-20021998-2002

0

50

100

150

200

250

300

350

1998 1999 2000 2001 2002

TOTAL female

0

200

400

600

800

1000

1200

1400

1600

1998 1999 2000 2001 2002

TOTAL male

Source: Oklahoma State Department of Corrections Prepared by the Community Service Council of Greater Tulsa for the Metropolitan Human Services Commission in Tulsa.

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The Adverse Childhood The Adverse Childhood Experiences (ACE) StudyExperiences (ACE) Study

Major American research project that poses the question Major American research project that poses the question of whether and how childhood experiences affect adult of whether and how childhood experiences affect adult health decades laterhealth decades later

Provides compelling evidence that:Provides compelling evidence that: Adverse childhood experiences are surprisingly commonAdverse childhood experiences are surprisingly common ACE’s happen even in “the best of families”ACE’s happen even in “the best of families” ACE’s have long-term, damaging consequencesACE’s have long-term, damaging consequences

Findings reveal powerful relationships between Findings reveal powerful relationships between emotional experiences as children and physical and emotional experiences as children and physical and mental health as adultsmental health as adults

Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

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The Adverse Childhood Experiences The Adverse Childhood Experiences (ACE) Study Pyramid(ACE) Study Pyramid

Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

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Adverse Childhood Experiences…Adverse Childhood Experiences…

Recurrent physical Recurrent physical abuseabuse

Recurrent emotional Recurrent emotional abuseabuse

Sexual abuseSexual abuse

An alcohol or drug An alcohol or drug abuserabuser

An incarcerated An incarcerated household memberhousehold member

Growing up in a household with:

Someone who is Someone who is chronically depressed, chronically depressed, suicidal, institutionalized suicidal, institutionalized or mentally illor mentally ill

Mother being treated Mother being treated violentlyviolently

One or no parentsOne or no parents

Emotional or physical Emotional or physical neglectneglect

Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “What are Adverse Childhood Experieinces (ACE’s).”

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……Lead to Health-Risk Behaviors…Lead to Health-Risk Behaviors…

SmokingSmoking

OvereatingOvereating

Physical inactivityPhysical inactivity

Heavy alcohol useHeavy alcohol use

Drug useDrug use

PromiscuityPromiscuity

Source: The Adverse Childhood Experiences Study website: www.acestudy.org

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……Which Cause Disease, Disability Which Cause Disease, Disability and Social Problems in Adulthoodand Social Problems in Adulthood

Heart diseaseHeart disease

CancerCancer

Chronic lung and liver Chronic lung and liver diseasedisease

Stroke Stroke

DiabetesDiabetes

Sexually transmitted Sexually transmitted diseasesdiseases

Nicotine addictionNicotine addiction

AlcoholismAlcoholism

Drug addictionDrug addiction

ObesityObesity

DepressionDepression

SuicideSuicide

InjuriesInjuries

Unintentional pregnancyUnintentional pregnancy

Source: Felitti, Vincent J., “The Relationship of Adverse Childhood Experiences to Adult Health: Turning gold into lead;” CDC Media Relations, May 14, 1998, “Adult Health Problems Linked to Traumatic Childhood Experiences.”

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Oklahoma's Rankings in Outcomes Associated with Poor Health, 1990 and 2007

According to United Health Foundation's State Health Rankings

Source: United Health Foundation.

#31

#27

#31

#24

#27

#47

#47

#48

#40

#50

#43

#43

Overall ranking

Poor mental health days

Poor physical health days

Infant mortality

Cardiovascular deaths

Cancer deaths

Premature death

1990 2007

Ranking: 1=best, 50=worst

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What is a Disability?

Source: ARC-USA, 2000; Americans with Disabilities Act of 1990 (ADA); Developmental Services Division (DDSD), Oklahoma Department of Human Services (DHS), 2000; National Organization on Disability (NOD), 2000; U.S. Bureau of the Census, 2001, Americans with Disabilities: 1997 .

A person is considered to have a disability if he or she has difficulty performing certain functions (e.g., seeing, hearing, talking, walking, climbing stairs, lifting and carrying, etc.), or has difficulty performing activities of daily living, or has difficulty with certain social roles (e.g., doing school work for children, working at a job and around the house for adults, etc.).

– A person who is unable to perform one or more activities, or who uses some type of assistive technology to improve daily participation in all aspects of work, school and community life, or who needs assistance from another person to perform basic activities is considered to have a severe disability.

–

1 in 5 Americans have some level of disability.1 in 8 Americans have a severe disability.1 in 9 children age 6 to 14 have a disability.

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Disability Prevalence by Age and Level of DisabilityOklahoma, 1997

Source: U.S. Bureau of the Census, 2001, Americans with Disabilities: 1997 (Aug.-Nov. 1997 data from Survey of Income and Program Participation); US Census Bureau, American Community Survey 2005.

2%

3.4%

11.2%

10.7%

13.4%

22.6%

35.7%

49%

73.6%

4.8%

5.3%

8.1%

13.9%

24.2%

31.8%

57.6%

0 to 2

3 to 5

6 to 14

15-24

25-44

45-54

55-64

65-79

80+

Age Group

0% 20% 40% 60% 80% 100%

Percent with Specified Level of Disability

Level of disabilityAny Severe

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Disability Prevalence by AgeNon-institutionalized Population

Oklahoma & Tulsa County, 2006 Estimates

Source: US Census Bureau, American Community Survey 2006.

19.6%

7%

17%

46.8%

16.9%

7.3%

14.5%

43.3%

5 & older 5-15 16-64 65 & older

0%

10%

20%

30%

40%

50%

Percent of population

Oklahoma % Tulsa Co. %

Oklahoma # 635,170 40,417 383,676 211,077

Tulsa Co. # 88,048 6,606 53,273 28,169

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Persons with Disabilities by Age and TypeCivilian Noninstitutionalized Population, Tulsa County, 2000


9.1%

5.0%

63.0%

1.9%

21.0%

5.8%

5.5%

17.2%0.3%

6.2%

30.0%

35.0%

7.5%

12.8%4.1%

0.2%2.9%

27.0%

45.5%

8.7%

25.1%2.2%0.2%

10.1%

53.7%

Sensory Physical Mental Self-care Go-outside-home Employment 2 or more disabilities

Age 5-15(N=6,099)

Age 16-20(N=5,639)

Age 21-64(N=61,895)

Age 65+(N=26,445)

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Labor Force Participation of People with Work DisabilitiesOklahoma, 1999

Source: U.S. Census Bureau, March 1999 Current Population Survey.

9.7%90.3%

69.5%

2.9%

27.6%

An estimated 10% of Oklahoma's population age 16-64 have a work disability.

Of those with a work disability, 31% are in labor

force and 28% are employed.

work disability

30.5% in labor force

Note: A work disability is one which prevents a person from working or limits a person in terms of kind or amount of work he or she can do.

employed

not in labor force

no work disability

unemployed2.9%

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Employment Rates by Disability TypeCivilian Noninstitutionalized Population Age 21 to 64, Tulsa County, 2000


Sensory

Physical

Mental

Self-care

Go-outside-home

Employment

0% 10% 20% 30% 40% 50% 60% 70%

Percent EmployedSensory Physical Mental Self-care Go-outside-home Employment

Disability 55.7% 40% 36.9% 23.3% 45.7% 64.1%

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Poverty Rates by Disability Status and AgeCivilian Noninstitutionalized Population, Tulsa County, 1999


24.7%22.5%

17.2%

11.7%

16.5%14.7% 15.3%

8%

5.7%

9.7%

Age 5-15 Age 16-20 Age 21-64 Age 65+ Total Age 5+0%

5%

10%

15%

20%

25%

30%Percent of population living below poverty

Persons with a disability Persons with no disability

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Cumulative Total of Oklahomans Living with HIV and AIDSBy Year, 1990 to 2007

Source: Oklahoma State Dept. of Health, "HIV/AIDS Statistics."

150

200

300

550

750

850

1,05

0

1,25

9

1,35

9

1,40

6

1,45

1

1,59

7

1,72

9

1,90

5

1,85

9

1,90

7

2,00

1

2,17

1

450 70

0 950 1,

100

1,25

0

1,45

0

1,65

0

1,79

6

1,98

0

2,07

3

2,20

9

2,39

4

2,45

8

2,52

9

2,44

2

2,38

5

2,30

5

2,34

3

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 20070

1,000

2,000

3,000

4,000

5,000Number of persons living with HIV and AIDS

AIDS HIV

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Age-Adjusted Death Rates for HIVTulsa County, Tulsa MSA and Oklahoma, 1985 - 2005

Source: Oklahoma State Department of Health, Vital Statistics.

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

0

2

4

6

8

10

12

14

16

18Rate per 100,000 persons

Tulsa County Tulsa MSA Oklahoma


Suicide Rates Among Persons of All AgesOklahoma, 1930 - 2005

Source: Oklahoma State Department of Health, Vital Statistics; National Center for Health Statistics, National Vital Statistics Report.

1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 20050

2

4

6

8

10

12

14


Rate 9.3 10.1 8 6.4 8.3 9 9.8 9.5 10.7 15.2 13.6 14.8 13.3 14.6 14.7 14.3

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Suicide Rates Among Persons of All AgesBy County, 3-Year Averages, 1991-93, 1996-98, 2001-03, 2003-05

Source: Oklahoma State Department of Health, Vital Statistics .

Tulsa Co. Creek Co. Okmulgee Co. Osage Co. Rogers Co. Wagoner Co.0

5

10

15

20


1991-93 1996-98 2001-03 2003-05

1991-93 14.6 15 11.7 22 17.9 15.5

1996-98 14.6 10.2 8.5 10.7 10.3 12.2

2001-03 15.2 18 15.1 13.3 9.7 6

2003-05 16 18 17.6 14.7 9.7 10.6

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Age-Adjusted Death Rates for the Leading Causes of DeathUnited States, 2004, Oklahoma and Tulsa County, 2005

Source: National Center for Health Statistics, Health E-Stats; Oklahoma State Department of Health, Vital Statistics.

Heart disease

Cancer

Stroke

Chronic lowerrespiratory diseases

Accidents

Diabetes mettitus

Alzheimer's disease

Influenza & pneumonia

0 50 100 150 200 250 300

Rate per 100,000 Persons

U.S.

Oklahoma

Tulsa County

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Mortality Rates for the Four Leading Causes of DeathOklahoma, 1930 - 2005

Source: Oklahoma State Department of Health, Vital Statistics.

1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 20050

50

100

150

200

250

300

350


Heart Disease

Cancer

Stroke

Chronic LowerRespiratory Disease

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Death Rates for Comparable Areas, 2002

600 700 800 900 1,000 1,100

Birmingham, AL

Washington, DC

Oklahoma City, OK

Louisville, KY

Tulsa, OK

Bakersfield, CA

Toledo, OH

Knoxville, TN

Little Rock, AR

Wichita, KS

Denver, CO

Omaha, NE

Baltimore, MD

Buffalo, NY

US

Fresno, CA

Tucson, AZ

Syracuse, NY

Albuquerque, NM

Salt Lake City, UT

El Paso, TX

Honolulu, HI

County Rate

Good:Good: Tulsa Co death rates parallel Tulsa Co death rates parallel

those of OK those of OK Tulsa rates below the OK rate Tulsa rates below the OK rate

for most years; for most years; 2002 Tulsa rate lower than 2002 Tulsa rate lower than

some metro areas of similar some metro areas of similar size and scope, including size and scope, including Oklahoma City.Oklahoma City.

Bad:Bad: By 2002 Tulsa County rate By 2002 Tulsa County rate was 14.5% higher than the nation. was 14.5% higher than the nation.

THD – Patel/Woodruff 9/05

Major Health Concern: Major Health Concern: Tulsa’s high age-adjusted death rate compared to Tulsa’s high age-adjusted death rate compared to

other areasother areasAge-Adjusted Deaths Rates for Tulsa and Comparable Areas, 2002Age-Adjusted Deaths Rates for Tulsa and Comparable Areas, 2002

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Community Profile 2008Community Profile 2008

……is available on our website:is available on our website:

www.csctulsa.orgwww.csctulsa.org

Prepared for the Tulsa Area United Way Community Investments ProcessBy the Community Service Council of Greater Tulsa

December, 2007

Community Profile 2008 Tulsa County Prepared for the Tulsa Area United Way Community Investments Process By the Community Service Council of Greater Tulsa.

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