Delaware

RANKING: Delaware is 30th this year; it was 33rd in 2005.

STRENGTHS: Strengths include high immunization coverage with 84.2 percent of children ages 19 to 35 months receiving complete immunizations, ready access to adequate prenatal care with 80.3 percent of pregnant women receiving adequate prenatal care and high per capita public health spending at $246 per person.

CHALLENGES: Challenges include a high violent crime rate at 632 offenses per 100,000 population, a high incidence of infectious disease at 31.5 cases per 100,000 population and a high infant mortality rate at 7.6 deaths per 1,000 live births.

SIGNIFICANT CHANGES:

In the past year, the prevalence of obesity increased from 21.0 percent to 23.5 percent of the population.

In the past year, the prevalence of smoking decreased from 24.3 percent to 20.6 percent of the population.

Since 1990, the rate of motor vehicle deaths decreased from 2.6 to 1.4 deaths per 100,000,000 miles driven.

Since 1990, the percentage of children in poverty increased from 8.6 percent to 14.2 percent of persons under age 18.

HEALTH DISPARITIES: In Delaware, the percentage of women who receive prenatal care varies from 73 percent among Hispanics to 92 percent among Asians/Pacific Islanders. Cancer is 74 percent more prevalent among blacks (511.0 cases per 100,000 population) than Hispanics (293.3 cases per 100,000 population).

CLINICAL CARE: The cost of clinical care in Delaware is high compared to other states and the quality of care is moderate.

STATE HEALTH DEPARTMENT WEB SITE: www.dhss.delaware.gov/dhss/


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Delaware

 

 

 

 

 

 

 

2006

 

2005

 

1990

 

DETERMINANTS - PERSONAL BEHAVIORS

Value

Rank

Value

Rank

Value

Rank

Prevalence of Smoking (Percent of population)

20.6↓

25

24.3

39

31.8

39

Motor Vehicle Deaths (Deaths per 100,000,000 miles driven)

1.4

21

1.5

25

2.6

33

Prevalence of Obesity (Percent of population)

23.5↑

19

21.0

11

14.4

47

High School Graduation (Percent of incoming ninth graders)

73.0

36

69.5

39

71*

36

DETERMINANTS - COMMUNITY ENVIRONMENT

 

 

 

 

 

 

Violent Crime (Offenses per 100,000 population)

632↑

44

568

42

432

27

Occupational Fatalities (Deaths per 100,000 workers)

4.6

16

4.9

19

8.7*

17

Infectious Disease (Cases per 100,000 population)

31.5

46

30.8

45

48.9

42

Children in Poverty (Percent of persons under age 18)

14.2↑

18

13.0

17

8.6

1

DETERMINANTS - PUBLIC & HEALTH POLICY

 

 

 

 

 

 

Lack of Health Insurance (Percent without health insurance)

13.0↓

20

14.5

29

9.1

13

Per Capita Public Health Spending ($ per person)

$ 246

8

$246

8

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Immunization Coverage (Percent of children ages 19 to 35 months)

84.2

11

86.0

9

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DETERMINANTS - PUBLIC & HEALTH POLICY

 

 

 

 

 

 

Adequacy of Prenatal Care (Percent of pregnant women)

80.3

15

78.1

20

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HEALTH OUTCOMES

 

 

 

 

 

 

Poor Mental Health Days (Days in previous 30 days)

3.1↓

17

3.8

44

---

---

Poor Physical Health Days (Days in previous 30 days)

3.4

16

3.4

21

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---

Infant Mortality (Deaths per 1,000 live births)

7.6

37

8.1

40

11.6

41

Cardiovascular Deaths (Deaths per 100,000 population)

315.5

29

321.4

27

417.1

32

Cancer Deaths (Deaths per 100,000 population)

210.8

37

210.2

34

222.9

50

Premature Death (Years lost per 100,000 population)

8,083

34

7,901

30

8,916

33

OVERALL RANK

 

30

 

33

 

30

 

 

 

 

 

 

 

↑ and ↓ indicate major increases and decreases in the last year. --- indicates data not available.