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Community Health Status Assessment:
Albemarle/Charlottesville
Mobilizing for Action through Planning and Partnerships
A Compilation of Data that Reflects the Community’s Health
DemographicsSocioeconomicsHealth Resource Availability
Section One: Who are we and what do we bring to the table?
Demographics
Population Growth TJHD by Locality, 1990-2010
Albemarle (18%)
Charlottesville (8%)
Fluvanna (28%)
Greene (21%) Louisa (29%) Nelson (4%)0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
100,000
68,172
40,475
12,42910,297
20,235
12,778
98,970
43,475
25,691
18,403
33,153
15,020
1990 2000 2010
Locality (% Change 2000-2010)
Nu
mb
er
of
Pe
rso
ns
Liv
ing
in L
oca
lity
Source: Weldon Cooper Center
Percent Change in PopulationTJHD by Locality, TJHD, and Virginia
1990-2010
Source: Weldon Cooper Center and the Thomas Jefferson District Planning Commission
1990 2000 2010 % Change 1990-2000
%Change 2000-2010
Albemarle 68,172 84,186 98,970 23% 18%
Charlottesville 40,475 40,099 43,475 -1% 8%
Fluvanna 12,429 20,047 25,691 61% 28%
Greene 10,297 15,244 18,403 48% 21%
Louisa 20,235 25,627 33,153 26% 29%
Nelson 12,778 14,445 15,020 13% 4%
TJHD 164,476 199,648 234,712 21% 18%
Virginia 6,189,317 7,079,030 8,001,024 14% 13%
Age and Sex Distribution Albemarle and Charlottesville, 2010
Albemarle Charlottesville
Source: U.S. Census Bureau
Male Female
Under 5 years5-9 yrs
10-14 yrs15-19 yrs20-24 yrs25-29 yrs30-34 yrs35-39 yrs40-44 yrs45-49 yrs50-54 yrs55-59 yrs60-64 yrs65-69 yrs70-74 yrs75-79 yrs80-84 yrs85-89 yrs
90+ yrs
6,0004,0002,00002,0004,0006,000
Under 5 years5-9 yrs
10-14 yrs15-19 yrs20-24 yrs25-29 yrs30-34 yrs35-39 yrs40-44 yrs45-49 yrs50-54 yrs55-59 yrs60-64 yrs65-69 yrs70-74 yrs75-79 yrs80-84 yrs85-89 yrs
90+ yrs
6,0004,0002,00002,0004,0006,000
Age Distribution Albemarle and Charlottesville, 2000,2010
< 18 yrs 18-44 yrs 45-64 yrs 65+ yrs < 18 yrs 18-44 yrs 45-64 yrs 65+ yrsAlbemarle Charlottesville
0
5000
10000
15000
20000
25000
30000
35000
40000
19683
30245
19388
9920
6835
26813
6853
4548
21285
36640
26861
14124
6474
24795
8189
4017
2000 2010
Nu
mb
er
of
Pe
rso
ns
Liv
ing
in L
oca
lity
Source: U.S. Census Bureau
Albemarle County
Racial Composition Albemarle and Charlottesville, 2010
City of Charlottesville
Source: U.S. Census Bureau
• Other includes: American Indian, Alaska Native, Native Hawaiian, Pacific Islander, and some other race
White81%
Black10%
Asian5%
Other3%
Two or more races3%
White69%
Black20%
Asian6%
Other2%
Two or more races3%
Percent of Population by RaceTJHD by Locality, 1980-2010
Percent of Population
1980 1990 2000 2010
Albemarle CountyBlack 11% 10% 10% 10%
White 87% 86% 85% 81%
City of CharlottesvilleBlack 18% 21% 22% 19%
White 81% 76% 70% 69%
Fluvanna CountyBlack 29% 23% 18% 15%
White 70% 77% 79% 81%
Greene CountyBlack 8% 6% 6% 6%
White 92% 93% 91% 88%
Louisa CountyBlack 33% 26% 22% 18%
White 67% 74% 77% 78%
Nelson CountyBlack 24% 19% 15% 13%
White 76% 80% 83% 83%
Source: U.S. Census Bureau
Percent Change in Hispanic PopulationAlbemarle, Charlottesville, and Virginia, 2000,2010
Source: U.S. Census Bureau
Albemarle Charlottesville Virginia0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
2000 2010
2,029
5,417
167% increase
102% increase
92% increase
2,223
1,102
329,540
631,825
Pe
rce
nt
of
To
tal P
ers
on
s L
ivin
g in
Lo
calit
y th
at
is
His
pa
nic
Limited English Proficient Student Enrollment
Albemarle, Charlottesville, TJHD, and Virginia, 2002-2012
2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-120%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
5.0%
6.2%
3.4%
9.1%
2.9%
4.6%4.2%
7.2%
Albemarle Charlottesville TJHD Virginia
Pe
rce
nt
of
To
tal S
tud
en
ts E
nro
lled
in P
ub
lic
Sch
oo
l
Source: Virginia Department of Education
SSI and Disabled OASDI BeneficiariesTJHD by Locality and Virginia, 2011
Source: U.S. Social Security Administration; U.S. Census Bureau
Total Number of
BeneficiariesTotal
PopulationPercent of the
Population
Albemarle 2,428 98,970 2.45%
Charlottesville 1,806 43,475 4.15%
Fluvanna 899 25,691 3.50%
Greene 725 18,403 3.94%
Louisa 1,850 33,153 5.58%
Nelson 891 15,020 5.93%
Virginia 355,299 8,001,024 4.44%
Residents who received SSI (Supplemental Security Income) benefits, excluding those who also received OASDI (Old-Age, Survivors, and Disability Insurance) benefits to avoid duplication, PLUS persons classified as “Disabled” who received OASDI benefits.
Albemarle County0.9%
Charlottesville2.0%
Source: Weldon Cooper Center, County Health Rankings; U.S. Social Security Administration
Percent of Supplemental Security Income (SSI) Recipients
Albemarle and Charlottesville, 2010
*Measured as December 2010 recipients of SSI benefits divided by the total population
Percent of Students Receiving Special Education
Albemarle County and Charlottesville, 2006-2010
Source: Virginia Department of Education; U.S. Census Bureau, Small Area Health Insurance Estimates
2006 2007 2008 2009 20100%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
8.13%
6.99%
9.30%9.05%
Albemarle Charlottesville
Pe
rce
nt
of
To
tal C
hild
ren
Ag
ed
19
an
d U
nd
er
Liv
ing
in L
oca
lity
On-time* Graduation RateAlbemarle, Charlottesville, and Virginia, 2008-2011
Source: Virginia Department of Education
*The percentage of students in a cohort who earn a diploma within 4 years of entering high school**Cohort: Students who entered the ninth grade for the first time together and were scheduled to graduate 4 years later
All StudentsDisadvantaged
All StudentsDisadvantaged
All StudentsDisadvantaged
2008 2009 2010 2011 2008 2009 2010 2011 2008 2009 2010 2011Albemarle Charlottesville Virginia
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
87.9%92.9%
74.6%
83.9% 82.1%86.6%
71.3%
86.1%
61.4%
89.1%
70.6%
79.9%
Pe
rce
nt
of
Stu
de
nts
in C
oh
ort
**
Educational AttainmentCharlottesville Metro Area, and Virginia, 2011
Source: American Community Survey
High School 2011 Bachelor's Degree 2011 Advanced Degree 20110%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
88.1%
44.7%
21.5%
87.8%
35.1%
14.6%
Charlottesville Metro Area Virginia
Pe
rce
nt
of
To
tal P
ers
on
s A
ge
d 2
5 a
nd
O
ver
Liv
ing
in L
oca
lity
Socioeconomics
Median Household IncomeAlbemarle, Charlottesville, Virginia, and U.S., 2000-2011
Source: U.S. Census Bureau, Small Area Income and Poverty Estimates
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
$50,000
$55,000
$60,000
$65,000
$70,000
$75,000
$53,263
$63,972
$32,903
$41,826
$46,789
$61,877
$41,990
$50,502
Albemarle Charlottesville Virginia U.S.
An
nu
al I
nco
me
in D
olla
rs
Albemarle County9.1%
Charlottesville20.2%
Source: Weldon Cooper Center: County Health Rankings; US Census Bureau, Small Area Income and Poverty Estimates 2010
Percent of Persons in PovertyAlbemarle and Charlottesville, 2010
Percent of Persons in PovertyAlbemarle, Charlottesville, Virginia, and U.S., 2000-2011
Source: U.S. Census Bureau, Small Area Income and Poverty Estimates
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011-2%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
22%
24%
26%
28%
30%
6.1%
9.7%
16.8%
23.0%
8.9%
11.6%11.3%
15.9%
Albemarle Charlottesville Virginia U.S.
Pe
rce
nt
of
To
tal P
ers
on
s L
ivin
g in
Lo
calit
y
Percent of Children in PovertyAlbemarle, Charlottesville, Virginia, and U.S., 2000-2011
Source: U.S. Census Bureau, Small Area Income and Poverty Estimates
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011-2%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
22%
24%
26%
28%
30%
8.0%
10.6%
20.1%
Charlottesville 22.2%
12.2%
15.6%16.2%
U.S. 22.5%
Albemarle Charlottesville Virginia U.S.
Per
cent
of T
otal
Chi
ldre
n A
ged
18 a
nd U
nder
Li
ving
in L
ocal
ity
Percent of Students Eligible for Free/Reduced Lunch
Albemarle, Charlottesville, TJHD, and Virginia, 2005-2012
2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-120%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
21.1%
26.5%
50.7%
54.4%
30.2%
36.0%32.9%
39.7%
Albemarle Charlottesville TJHD Virginia
Pe
rce
nt
of
To
tal S
tud
en
ts E
nro
lled
in P
ub
lic
Sch
oo
ls in
Lo
calit
y
Source: Virginia Department of Education, School Nutrition Program
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
250
500
750
1,000
1,250
1,500
1,750
2,000
2,250
2,500
2,750
3,000
3,250
3,500
775
3,198
1,386
3,052
Albemarle Charlottesville
Nu
mb
er
of
Ho
use
ho
lds
En
rolle
dNumber of Households Receiving Supplemental Nutrition Assistance
Albemarle and Charlottesville, 2001-2011
Albemarle: 313% increase
Charlottesville: 120% increase
Source: Virginia Department of Social Services, SNAP Participation Report.
Albemarle County5.8%
Charlottesville12.6%
Source: Weldon Cooper Center; Virginia Department of Social Services
Percent of Supplemental Nutrition Assistance Program (SNAP) Participants
Albemarle and Charlottesville, 2010
*Measured as average monthly persons on SNAP divided by the total population
Number of Homeless PersonsTJHD, 2004-2011
Source: Thomas Jefferson Area Coalition for the Homeless (TJACH)
2004 2005 2006 2007 2008 2009 2010 20110
50
100
150
200
250
300
129
277
235
35 18
Sheltered Unsheltered
Nu
mb
er
of
Ho
me
less
Pe
rso
ns
Unemployment Rate Albemarle, Charlottesville, TJHD, Virginia, & U.S., 2000-2011
Source: Virginia Workforce Connection
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
1.7%
4.9%
2.9%
6.2%
2.1%
5.5%
2.3%
4.0%
8.9%
Albemarle Charlottesville TJHD Virginia United States
Per
cent
of
Tot
al P
erso
ns A
ged
16 a
nd O
ver
Liv
ing
in
Loc
alit
y
Health Resource Availability
Sources of Health Insurance Virginia and U.S., 2010
Source: Kaiser Family Foundation
Virginia United States
Employer; 49%
Medicare; 13%
Medicaid; 16%
In-di-vidual; 5%
Other
Pub-lic; 1%
Uninsured;
16%
Employer; 55%
Medicare; 12%
Medicaid; 9%
In-di-vid-ual; 5%
Other Pub-lic; 4%
Uninsured; 14%
Percentages may not sum to 100% due to rounding effects
Health Insurance Coverage by AgeVirginia, 2010-2011
Source: U.S. Census Bureau, Annual Social and Economic Supplement
< 18 yrs 18-64 65+ yrs0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
67.7%70.3%
61.8%
35.4%
18.0%
94.9%
5.9%
18.8%
0.8%
Private Government Not Covered
Pe
rce
nt
of
To
tal P
ers
on
s in
Ag
e G
rou
p L
ivin
g
in L
oca
lity
Estimated Uninsured Persons, 18-64 Albemarle, Charlottesville, TJHD and Virginia, 2005-2010
Source: U.S. Census Bureau, Small Area Health Insurance Estimates
2005 2006 2007 2008 2009 20100%
5%
10%
15%
20%
25%
30%
35%
21.0%
15.3%
27.2%
19.7%
21.5%
16.7%
17.8%
Albemarle Charlottesville TJHD Virginia
Pe
rce
nt
of
To
tal P
ers
on
s A
ge
d 1
8 t
o 6
4 L
ivin
g
in L
oca
lity
Estimated Uninsured Persons <19 Years Albemarle, Charlottesville, TJHD and Virginia, 2006-2010
Source: U.S. Census Bureau, Small Area Health Insurance Estimates
2006 2007 2008 2009 20100%
2%
4%
6%
8%
10%
12%
14%
16%
18%
13.3%
Albemarle 7.4%9.4%
Charlottesville 7.5%
12.8%
TJHD 7.9%10.4%
Virginia 7.0%
Albemarle Charlottesville TJHD Virginia
Per
cent
of P
erso
ns
Ag
ed L
ess
tha
n 19
Yea
rs
Livi
ng in
Loc
alit
y
Medicaid Enrollment and Spending by Recipient Group Virginia and U.S., FY 2009
Source: Kaiser Family Foundation
Enrollment 0.95M
Spending $5.55B
Enrollment 62.59M
Spending $346B
Virginia United States
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
55%
25%
49%
21%
16%
10%
26%
14%
11%
20%
10%
23%
18%
45%
15%
42%
Children Adults Elderly Disabled
Pe
rce
nt
of
To
tal E
nro
llme
nt/
Sp
en
din
g
United StatesVirginia
Number of Primary Care ProvidersTJHD by Locality, 2011
Source: UVA Physician Directory; Martha Jefferson Hospital Physician Directory
Internal
MedicinePediatrics
Family Medicine
OB/GYN Geriatrics
Albemarle/Charlottesville 65 39 67 27 8
Fluvanna 3 1 4 - 1
Greene - - 4 - -
Louisa 1 1 8 - -
Nelson - - 9 - -
TJHD 69 41 92 27 9
Number of Charlottesville Free Clinic Medical Patients
TJHD by Locality, FY2012
61040.48%
52134.57%
1036.83%
583.85%
916.04%
261.73%
956.30%
30.20%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Other Unknown
Source: Charlottesville Free Clinic
Number of Dental Service ProvidersTJHD by Locality, 2012
Source: Community Dental Center; DentaQuest; yellow pages
Dentists in General Practice, Oral Surgery and Pediatric Specialists
Albemarle/Charlottesville 189
Fluvanna 11
Greene 8
Louisa 9
Nelson 10
Number of Charlottesville Free Clinic Dental Patients
TJHD by Locality, FY2012
Source: Charlottesville Free Clinic
98952.80%
55829.79%
1105.87%
985.23%
573.04%
30.16%
542.88%
40.21%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Other Unknown
Average Number of Community Dental Center Patients Served Per Month, FY2010-2012
Source: Community Dental Center
FY2010 FY2011 FY20120
50
100
150
200
250
300
350
400
450
500
550
600
495
564
522
Ave
rag
e N
um
be
r o
f P
atie
nts
Se
rve
d P
er
Mo
nth
Medicaid/FAMIS Enrollees <19 Years Receiving Dental Services
Albemarle, Charlottesville, and TJHD, FY 2007-FY 2010
Source: Virginia Smiles for Children
2006-2007 2007-2008 2008-2009 2009-20100%
10%
20%
30%
40%
50%
60%
0.412616963477224
0.474589127686473
0.5244788006559
36.7%
40.7%43.2%
50.2%
40.4%
44.2%46.4%
52.3%
Albemarle Charlottesville TJHD
Pe
rce
nt
of
To
tal P
ed
iatr
ic M
ed
ica
id/F
AM
IS
En
rolle
es
Liv
ing
in L
oca
lity
Number of Licensed Mental Health Providers TJHD by Locality, 2011
Source: Mental Health America
Clinicians Practices
PsychiatristsLicensed Therapists
Total Practices
Practices Serving Youth
Practices Accepting Medicaid
Albemarle/Charlottesville
24 115 66 7 35
Fluvanna 0 3 3 2 2
Greene 0 1 1 1 1
Louisa 2 16 4 2 2
Nelson 0 3 2 2 2
TJHD 26 135 73 11 39
Number of Region Ten Community Services Board Direct Service Staff
TJHD by Locality, 2012
Source: Region Ten
Number of Mental Health
Direct Service Staff
Albemarle/Charlottesville 161
Fluvanna 11
Greene 15
Louisa 14
Nelson 18
TJHD 219
All mental health direct service staff at Region Ten – anyone who provides mental health services, whether licensed or not
Number of Public Health Staff by SpecialtyTJHD by Locality, 2012
Local Health
Department
Number of Full-Time Equivalent Positions
Public Health Nurses
Environmental Health
SpecialistsNutritionists Clinicians
Public Health
Specialists
Albemarle/Charlottesville
10.65 9.00 3.70 0.70 4.40
Fluvanna 2.40 1.47 0.19 0.11 0.80
Greene 2.45 1.52 0.29 0.11 0.80
Louisa 4.85 2.59 0.63 0.37 2.00
Nelson 2.15 1.42 0.19 0.11 0.80
TJHD 22.50 16.00 5.00 1.40 8.80
Source: Thomas Jefferson Health District
Section Two: What are the strengths and risks in our community that
contribute to health?
Community ResourcesCommunity SafetyEnvironmental QualityHealth Behaviors
Community Resources
CAT Bus Route AlignmentsMonday-Saturday Service, Charlottesville, 2012
Source: Charlottesville Area Transit, Transit Development Plan: Fiscal Years 2012-2017
CAT Top Trip Origin and Destination LocationsCAT Survey Responses, Charlottesville, 2012
Source: Charlottesville Area Transit, Transit Development Plan: Fiscal Years 2012-2017
JAUNT PassengersTJHD by Locality, FY2008-FY2012
Source: Jaunt Ridership Report
*Passengers are counted by trip and may be duplicated
FY08 FY09 FY10 FY11 FY120
20,000
40,000
60,000
80,000
100,000
120,000
140,000
93,180
115,176110,209
126,191
Albemarle Charlottesville
Nu
mb
er
of
Pa
sse
ng
ers
(b
y p
lace
of
ori
gin
)
JAUNT Passengers by TypeTJHD, FY2008–FY2012
Source: Jaunt Ridership Report
FY08 FY09 FY10 FY11 FY120
50,000
100,000
150,000
200,000
250,000
300,000
350,000
75,353 82,703 84,080 81,128 86,606
92,19696,408 96,110 98,122 100,738
67,17879,322 84,377 93,819
93,279
Medical Elderly and Disabled (nonmedical)Children and Youth Elderly Nutrition ServicesRural Routes Other
Nu
mb
er
of
Pa
sse
ng
ers
Recreational Facilities TJHD by Locality and Virginia, 2009
Source: County Health Rankings
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Virginia0
5
10
15
20
25
12.6
21.3
7.8
5.4
9.1
6.5
11
Fa
cilit
ies
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
cal-
ity
National Bench-mark
Food Stores by TypeAlbemarle and Charlottesville, 2009
Source: U.S. Department of Agriculture
25
1
49
3
53
61
4
Albemarle
18
27
3
63
110
Charlottesville
Number of children < 5 yrs old residing in locality 7,832 1,592 1,310 2,029 727
Licensed Childcare Centers & Preschool Programs
Number of Slots Available (Includes 1 mo to 5 yrs old and 6-12 yrs old after school) 3,919 279 434 381 393
Number of Facilities 54 4 7 12 7
Number of those Facilities that Accept
Ages
1 mo to 1 yr old 19 2 1 1 -1 to 2 yrs old 6 - 1 - -2 to 4 yrs old 23 - 3 7 54 to 5 yrs old 6 2 2 4 2
Family Day Homes
Number of Slots Available (Includes 1 mo to 5 yrs old and 6-12 yrs old after school) 174 44 0 76 12
Number of Facilities 16 4 0 7 1
Number of those Facilities that Accept
Ages
1 mo to 1 yr old 12 2 - 7 11 to 2 yrs old 1 2 - - -2 to 4 yrs old 3 - - - -4 to 5 yrs old - - - - -
Source: Virginia Department of Social Services
Licensed Child Care FacilitiesTJHD by Locality, 2012
Fluvanna
GreeneLouisa
Nelson
Charlotte
sville &
Albemarle
Community Safety
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
11000
12000
13000
14000
5,179.50
3,800.35
10,067.00
8,470.68
6,016.59
4,336.80
Albemarle Charlottesville TJHD
Re
po
rte
d G
rou
p A
Off
en
ses*
pe
r 1
00
,00
0
Pe
rso
ns
Liv
ing
in L
oca
lity
Reported Crime Incident Rates Albemarle, Charlottesville, and TJHD, 2000-2011
*Reported Group A Offenses; arson, assault, bribery, burglary, counterfeiting/forgery, destruction/damage/vandalism of property; drug/narcotic; embezzlement; extortion/blackmail; fraud; gambling; homicide; kidnapping/abduction; larceny/theft; motor vehicle theft; pornography/obscene material; prostitution; robbery; sex, forcible and non-forcible; stolen property; weapon law violations
Source: Department of State Police, Virginia Uniform Crime Reporting Program
Domestic Violence Arrest Rates Albemarle and Charlottesville, 2001-2010
2001 2002 2003 2004 2005 2006 2007 2008 2009 20100
1
2
3
4
5
6
7
8
2.40
1.76
7.40
3.68
Albemarle Charlottesville
Dom
esti
c V
iole
nce
Arr
ests
per
1,0
00 P
erso
ns L
ivin
g in
Loc
alit
y
Source: Commission for Children and Families, Stepping Stones
0
2
4
6
8
10
12
14
16
18
20
22
24
26
19.39
4.99
12.36
15.06
0.31
7.34
1.48
9.44
15.47
6.53
1.001.58
3.46
2.47
6.67
0.35
1.92 1.031.12
2.64
Albemarle Charlottesville TJHD Virginia
Inci
de
nts
pe
r 1
,00
0 S
tud
en
ts E
nro
lled
in
Pu
blic
Sch
oo
ls in
Lo
calit
yViolence Incidence Rates in Schools
Albemarle, Charlottesville, TJHD, and Virginia, 2007-2011
Source: Virginia Department of Education
Founded Child Abuse and Neglect RatesAlbemarle, Charlottesville, TJHD, and Virginia, 2000-2011
Source: Virginia Department of Social Services
*Five-year rolling averages of Rate of Abuse and Neglect per 1,000 Children (Founded Investigations and Duplicated)
2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-10 2007-110
1
2
3
4
5
6
7
0.89 0.95
5.15
6.39
1.94
2.853.03
2.47
Albemarle Charlottesville TJHD Virginia
Fo
un
de
d C
hild
Ab
use
an
d N
eg
lect
Re
po
rts
pe
r 1
,00
0 C
hild
ren
Ag
ed
0-1
7 L
ivin
g in
Lo
calit
y
Reported Adult Abuse and Neglect RatesAlbemarle, Charlottesville, TJHD, and Virginia, 2008-2011
Source: Virginia Department of Social Services
2008 2009 2010 20110
1
2
3
4
5
6
7
8
9
10
11
12
5.68
Albemarle 4.91
9.73
7.00
5.25TJHD 4.96
2.412.88
Albemarle Charlottesville TJHD Virginia
Adu
lt P
rote
ctiv
e S
ervi
ce R
epor
ts p
er 1
,000
Adu
lts
Age
s 18
and
ove
r L
ivin
g in
Loc
alit
y
Drug/Narcotic Arrest Rates Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011
Source: Department of State Police, Virginia Uniform Crime Reporting Program
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
100
200
300
400
500
600
700
800
900
1000
1100
1200
335.0
469.6
900.2871.5
439.2
495.0455.4
595.7
Albemarle Charlottesville TJHD Virginia
Dru
g/N
arco
tic
Arr
ests
per
100
,000
Per
sons
Liv
ing
in
Loc
alit
y
Driving Under the Influence (DUI) Arrest Rates
Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
50100150200250300350400450500550600650700750800850900
288.9 268.2
483.1
298.0TJHD; 348.4
251.9
Virginia 352.0368.0
Albemarle Charlottesville TJHD Virginia
DU
I A
rres
ts p
er 1
00,0
00 P
erso
ns L
ivin
g in
Loc
alit
y
Source: Department of State Police, Virginia Uniform Crime Reporting Program
Environmental Quality
Air Quality Index Report Charlottesville, Fairfax, Richmond, and Virginia Beach
2011
Source: Environmental Protection Agency
Air Quality Rating
Total Number of
Days Monitored
(Number of days at each rating)
Good Moderate
Unhealthy for
Sensitive Groups
Unhealthy for
Anyone
Charlottesville CBSA 330 (91%) 34 (9%) 0 (0%) 0 (0%) 364
Fairfax CBSA 295 (82%) 54 (15%) 9 (2%) 2 (1%) 360
Richmond CBSA 283 (78%) 70 (19%) 11 (3%) 1 (0%) 365
Virginia Beach CBSA 276 (76%) 79 (21%) 10 (3%) 0 (0%) 365*Cities are defined as Core Based Statistical Areas (CBSA) – Charlottesville CBSA includes Albemarle, Fluvanna, Greene, and Nelson Counties and the City of Charlottesville; Richmond CBSA includes the Amelia, Caroline, Charles City, Chesterfield, Cumberland, Dinwiddie, Goochland, Hanover, Henrico, King And Queen, King William, Louisa, New Kent, Powhatan, Prince George and Sussex Counties as well as the Cities of Colonial Heights, Hopewell, Petersburg and Richmond.
Middle James - Buffalo
Pamunkey Rapidan - Upper Rappahannock
Rivanna South Fork Shenandoah
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
7880 77
27
117
5944 40
28
39
Impaired Streams Good Streams
Pe
rce
nt
of
To
tal S
tre
am
s in
Wa
ters
he
d
Good and Impaired Streams in Watersheds Albemarle and Charlottesville, 2008
Source: Environmental Protection Agency – Surf Your Watershed
Watersheds That Drain IntoAlbemarle County
Source: Environmental Protection Agency
South Fork ShenandoahRapidan – Upper Rappahannock
Pamunkey
Middle James - Buffalo
Rivanna
Albemarle County
Charlottesville
Impaired Steams Albemarle and Charlottesville, 2010
James River
Rivanna River
Source: Thomas Jefferson District Planning Commission
Rivanna: Biological Health ScoresAlbemarle and Charlottesville, 2006-2009
Source: StreamWatch
6%
22%
56%
13%
3%
Very Good Good
Fair Poor
Very Poor
Samples are scored per an index that reflects the composition and diversity of the array of captured organisms. Site health is assessed based on all scores generated during the assessment window
Lead Exposure: At-Risk Zip Codes* TJHD by Locality, 2011
Source: Virginia Department of Health, Lead Safe Virginia
Albemarle 2290122931
(Covesville)22937
(Esmont)22943
(Greenwood)22947
(Keswick)22959
(North Garden)24590
(Scottsville)
Charlottesville 22903
Fluvanna 23022 23084
Greene 22935(Dyke)
Louisa 23024
Nelson 22938 (Faber)
22964 (Piney River)
22969 (Schuyler)
22971 (Shipman)
24464 (Montebello)
24553 (Gladstone)
*VDH identifies areas in Virginia at risk for lead exposure as those with more than 27% of homes built before 1950 and/or those with an increased prevalence of children with elevated blood lead levels (EBLL)
Elevated Blood Lead Level Tests and Results in Children <72 Months of Age
Albemarle and Charlottesville, 2002-2011
Source: Virginia Department of Health, Lead Safe Virginia
2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
5
10
15
20
25
30
35
40
0
100
200
300
400
500
600
700
800
64
3
6
2 2
54
34
2
13
21
2 2
130109
248
304
747
637
607
700
625
768
121
102
274
260
614 563
90
427418
647
Albemarle Charlottesville AlbemarleCharlottesville
Nu
mb
er
of
Te
sts
Re
turn
ing
Po
sitiv
e (
ba
rs)
Nu
mb
er
of
Ch
ildre
n <
72
Mo
nth
s o
f A
ge
Te
ste
d (
Lin
es)
Health Behaviors
Low dietary polyunsaturated fatty acids (PUFA)
Low intake of fruits and vegetables
Alcohol use
High dietary trans fatty acids
Low dietary omega-3 fatty acids
High dietary salt
High LDL cholesterol
High blood glucose
Physical inactivity
Overweight-obesity (high BMI)
High blood pressure
Tobacco smoking
0 100 200 300 400 500
15
58
64
82
84
102
113
190
191
216
395
467
Septicemia
Kidney Disease
Influenza and Pneumonia
Alzheimer's Disease
Diabetes
Unintentional Injuries
Chronic Lower Respiratory Diseases
Stroke
Cancer
Heart Disease
-10% 0% 10% 20% 30%
1.4%
1.8%
2.5%
2.8%
3.1%
4.7%
5.1%
6.3%
23.1%
37.2%
Percentage of Total Deaths Deaths (in thousands)
Source: Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, et al. (2009) The Preventable Causes of Death in the United States: Comparative Risk Assessment of Dietary, Lifestyle, and Metabolic Risk Factors. PLoS Med 6(4):Heron, M., Tejada-Vera, B. (2009). Deaths: Leading Causes for 2005. National Vital Statistics Reports. 58(8)
Leading Causes of Death Deaths Attributable to Individual Risk Factors
Leading vs. Actual Causes of Death
Self-Reported Adult SmokersTJHD and Virginia, 2000-2010
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%
5%
10%
15%
20%
25%
17.6% 17.9%
22.9%
18.0%
TJHD Virginia
Pe
rce
nt
of
Ad
ults
Ag
ed
20
an
d O
ver
Liv
ing
in
Lo
calit
y
Healthy People 2020
Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance Survey
Tobacco Facts Virginia, 2012
Virginia United States
Adult Smoking Rank(1st = low smoking rates)
31st N/A
Cigarette Tax(per pack)
$0.30($0.35 local tax for Cville)
$1.46
Cigarette Tax Rank(1st = high taxes)
50th N/A
FY 2012 Funding for State TC Programs(millions)
$8.4 $456.7
Tobacco Prevention Spending % of CDC Target
8.1% 12.5%
Tobacco Prevention Spending Rank(1st =high spending rates)
30th N/A
Source: Campaign for Tobacco-Free Kids; City of Charlottesville City Treasurer Website
Physical InactivityTJHD by Locality and Virginia, 2009
Source: Behavioral Risk Factor Surveillance System; County Health Rankings *Numbers are self-reported
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Virginia0%
5%
10%
15%
20%
25%
30%
35%
19%
26%
22%
24%
30%
25%24%
Est
ima
ted
pe
rce
nt
of
ad
ults
ag
ed
20
an
d o
ver
rep
ort
ing
no
le
isu
re t
ime
ph
ysic
al a
ctiv
ity
Obesity Trends Among U.S. Adults1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends Among U.S. Adults1990
Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System
No Data <10% 10%–14% 15%–19%
Obesity Trends Among U.S. Adults1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System
No Data <10% 10%–14% 15%–19% ≥20%
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
Obesity Trends Among U.S. Adults2000
Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends Among U.S. Adults2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
Obesity Trends Among U.S. Adults2010
Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System
Percentage of Adults Who Are Obese Albemarle and Charlottesville, 2009
Albemarle County27.1%
Charlottesville26.9%
Source: Centers for Disease Control and Prevention: National Diabetes Surveillance System
**Body mass was derived from self-report of height and weight from adults 20 and Over.
*Obese = Body Mass Index (BMI) ≥30, or ~ 30 lbs. overweight for 5’ 4” person
Percentage of Adults Who Are Obese TJHD and Virginia, 2000-2010
Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance Survey
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010
-5%
0%
5%
10%
15%
20%
25%
30%
35%
21.6%
27.6%
21.0%
25.9%
TJHD Virginia
Pe
rce
nt
of
Ad
ults
Ag
ed
20
an
d O
ver
Liv
ing
in L
oca
l-ity
Overweight Prevalence: 5th gradeAlbemarle and Charlottesville Public Schools, 1998-2011
Source: Community Action on Obesity
1998 2003 2004 2007 2009 2010 20110%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
17.4% 18.2% 15.9% 16.9% 17.4% 15.9% 18.3%
17.6% 17.6% 19.3% 18.4% 18.3%15.2%
18.4%
Overweight Obese
Pe
rce
nt
of
Fift
h G
rad
ers
En
rolle
d in
Pu
blic
S
cho
ols
in L
oca
lity
Seat Belt UsageVirginia, 1987-2011
Source: Virginia Department of Motor Vehicles, Highway Safety Office
19871988
19891990
19911992
19931994
19951996
19971998
19992000
20012002
20032004
20052006
20072008
20092010
20110%5%
10%15%20%25%30%35%40%45%50%55%60%65%70%75%80%85%90%95%
100%
32.5%
81.8%
Virginia
National Average
Pe
rce
nt
of
Dri
vers
an
d P
ass
en
ge
rs U
sin
g S
ea
t B
elts
Three Year Rolling Average Number of Hospitalizations from Motor/Other Vehicle Accidents With and Without Safety
Device Usage, Albemarle and Charlottesville, 2007-2011
Source: Virginia Department of Health, Office of Emergency Medical Services
*Safety Devices include air bags, child safety seats, helmets, and safety belts; note that the presence of a safety device does not necessarily imply that it was used (properly or otherwise). Similarly, "none" does not necessarily mean that safety device was not used
2007-09 2008-10 2009-110
5
10
15
20
25
14.7
12.7
Albemarle with SD; 8.3
22.3
20.3
18.7
7.3 7.77.0
12.3
9.7Charlottesville without
SD; 8.7
Albemarle with SD Albemarle without SD Charlottesville with SD Charlottesville without SD
Nu
mb
er
of
Ho
spita
liza
tion
s fr
om
MV
As
Source: Virginia Department of Health, Division of Immunization
2008 2009 2010 20110%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
95.9% 95.1% 94.8% 93.4%
40.9%
95.7%
84.8%
94.7%
Public School Private School
Pe
rce
nt
of
Kin
de
rga
rte
ne
rs E
nro
lled
in R
e-
po
rtin
g S
cho
ols
*Percentage of Adequately Immunized
KindergartenersTJHD, 2008-2011
*Includes schools that submit student immunization survey results in the Fall of each year – approximately 30 public schools and 6 private schools (only 2 private schools reported in 2008)
2008 2009 2010 20110%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%97.5% 97.0% 97.8%
88.4%
21.4%
94.9%
81.8%78.8%
Public School Private School
Pe
rce
nt
of
Six
th G
rad
ers
En
rolle
d in
Re
po
rt-
ing
Sch
oo
ls*
Percentage of Adequately Immunized Sixth Graders
TJHD, 2008-2011
*Includes schools that submit student immunization survey results in the Fall of each school year – approximately 10 public schools and approximately 8 private schools (only 2 private schools reported in 2008)
Source: Virginia Department of Health, Division of Immunization
Section Three: What is our health status?
Maternal and Child HealthLeading Causes of DeathCancerUnintentional InjuryInfectious DiseasesAmbulatory Care Sensitive ConditionsMental Health
Maternal and Child Health
Live Birth Rates Albemarle, Charlottesville, TJHD, and Virginia, 1998-2011
*Live Births Counted by Place of Residence Source: Virginia Department of Health. Division of Health Statistics
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
2
4
6
8
10
12
14
16
18
20
12.3
10.5
11.6
11.5
12.9
10.8
13.9
12.7
Albemarle Charlottesville TJHD Virginia
Liv
e B
irth
s* p
er
1,0
00
To
tal P
ers
on
s L
ivin
g in
Lo
calit
y
Infant Mortality Rates*Albemarle, Charlottesville, TJHD, and Virginia, 1999-2011
Source: Virginia Department of Health, Division of Health Statistics
*Deaths among infants <1year of age
1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-20110
2
4
6
8
10
12
14
16
18
20
22
5.65.2
11.8
9.4
7.06.3
7.2 7.0
Albemarle Charlottesville TJHD Virginia
Healthy People 2020
Infa
nt
De
ath
s p
er
1,0
00
Liv
e B
irth
s b
y P
lace
of
Re
si-
de
nce
Infant Mortality Rates* by Race TJHD, Virginia, and U.S., 1999-2011
Source: Virginia Department of Health, Division of Health Statistics
1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-20110
2
4
6
8
10
12
14
16
18
20
22
14.9
17.3
13.8
13.8
TJHD White 5.7
TJHD White 4.5
Virginia White; 5.6 Virginia White; 5.4
TJHD Black Virginia Black U.S. Black TJHD White Virginia White U.S. White
Healthy People 2020
Infa
nt D
eath
s pe
r 1,
000
Live
Birt
hs b
y P
lace
of
Res
iden
ce
*Deaths among infants <1year of age
1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-20110
2
4
6
8
10
12
14
16
18
20
22
24
26
11.1
14.9
21.420.5
5.0
3.7
8.6
5.6
Albemarle Black Charlottesville Black Albemarle White Charlottesville White
Healthy People 2020
Infa
nt
De
ath
s p
er
1,0
00
Liv
e B
irth
s b
y P
lace
of
Re
si-
de
nce
Infant Mortality Rates* by Race Albemarle and Charlottesville, 1999-2011
Source: Virginia Department of Health, Division of Health Statistics
*Deaths among infants <1year of age
Infant Mortality Rates* among African AmericansAlbemarle, Charlottesville, TJHD, Virginia, and U.S., 1999-2011
Source: Virginia Department of Health, Division of Health Statistics
1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-20110
2
4
6
8
10
12
14
16
18
20
22
24
26
11.1
14.9
21.420.5
14.9
17.3
13.813.8
14.1
12.5
Albemarle Black Charlottesville Black TJHD Black Virginia Black U.S. Black
Healthy People 2020
Infa
nt
De
ath
s p
er
1,0
00
Liv
e B
irth
s b
y P
lace
of
Re
sid
en
ce
*Deaths among infants <1year of age
Neonatal Death Rate* TJHD and Virginia, 1999-2011
Source: Virginia Department of Health, Division of Health Statistics
*Deaths among infants <28 days of age
1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-20110
2
4
6
8
10
12
14
16
18
20
22
4.4 4.3
5.0 4.7
TJHD Virginia
Healthy People 2020
Infa
nt
De
ath
s p
er
1,0
00
Liv
e B
irth
s b
y P
lace
of
Re
si-
de
nce
Percentage of Preterm* BirthsAlbemarle, Charlottesville, TJHD, West Central Perinatal
Region, Virginia, and U.S.,1999-2010
Source: Virginia Department of Health
*Percent of live births born less than 37 weeks gestation
2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
8.21%
7.71%7.80%
8.47%TJHD 8.27%
TJHD 8.29%
9.77%
8.73%
10.37% 10.26%
Albemarle Charlottesville TJHD West Central Perinatal Region Virginia
Per
cent
of T
otal
Liv
e B
irths
by
Pla
ce o
f R
esid
ence
Healthy People 2020
Percentage of Low-Weight* BirthsAlbemarle, Charlottesville, TJHD, Virginia, and U.S.,1999-2011
Source: Virginia Department of Health, Division of Health Statistics
*Low Birth Weight = Live Births Weighing <2500 grams
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
14%
6.3%5.9%
Charlottesville; 8.3%
Charlottesville; 8.1%
7.1%
7.6%
Virginia; 7.9%
Virginia; 7.9%U.S.; 7.5%
U.S.; 8.2%
Albemarle Charlottesville TJHD Virginia U.S.
Healthy People 2020
Perc
ent o
f Tot
al L
ive
Bir
ths
by P
lace
of R
esid
ence
Percentage of Low-Weight Births* by Race, TJHD and Virginia, 1999-2011
Source: Virginia Department of Health, Division of Health Statistics
1999-01
2000-02
2001-03
2002-04
2003-05
2004-06
2005-07
2006-08
2007-09
2008-10
2009-11-1%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
14%
TJHD Black Virginia Black TJHD White Virginia White
Pe
rce
nt
of
To
tal L
ive
Bir
ths
by
Pla
ce o
f R
esi
-d
en
ce
Healthy People 2020
*Low Birth Weight = Live Births Weighing <2500 grams
Percentage of Low-Weight Births* by Race, Albemarle and Charlottesville, 1999-2011
Source: Virginia Department of Health, Division of Health Statistics
1999-01
2000-02
2001-03
2002-04
2003-05
2004-06
2005-07
2006-08
2007-09
2008-10
2009-11
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
14%
15%
16%
Albemarle Black Charlottesville Black Albemarle White Charlottesville White
Healthy People 2020
Per
cent
of
Tot
al L
ive
Bir
ths
by P
lace
of
Res
iden
ce
*Low Birth Weight = Live Births Weighing <2500 grams
Percentage of Low-Weight Births* among African Americans, Albemarle, Charlottesville, TJHD and Virginia, 1999-2011
Source: Virginia Department of Health, Division of Health Statistics
1999-01
2000-02
2001-03
2002-04
2003-05
2004-06
2005-07
2006-08
2007-09
2008-10
2009-11
0%45%90%
135%180%225%270%315%360%405%450%495%540%585%630%675%720%765%810%855%900%945%990%
Albemarle Black Charlottesville Black TJHD Black Virginia Black
Healthy People 2020
Pe
rce
nt
of
To
tal L
ive
Bir
ths
by
Pla
ce o
f R
esi
-d
en
ce
*Low Birth Weight = Live Births Weighing <2500 grams
Teen Pregnancy Rates: Ages 10-19Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110
5
10
15
20
25
30
35
40
45
50
55
60
65
Albemarle Charlottesville TJHD Virginia
Pre
gn
an
cie
s p
er
1,0
00
Fe
ma
les
Ag
ed
10
to
19
Teen Pregnancy Rates: Ages 15-17Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110
5
10
15
20
25
30
35
40
45
50
55
60
65
70
14.9
8.8
57.8
31.827.6
13.3
31.3
19.1
Albemarle Charlottesville TJHD Virginia
Pre
gn
an
cie
s p
er
1,0
00
Fe
ma
les
Ag
ed
15
-17
Healthy People 2020
Source: Virginia Department of Health, Division of Health Statistics
Teen Pregnancy Rates by Race,Ages 10-19, TJHD and Virginia, 2000-2011
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
41.2
26.2
48.7
35.1
19.5
13.8
23.6
16.7
TJHD Black Virginia Black TJHD White Virginia White
Pre
gn
an
cie
s p
er
1,0
00
Fe
ma
les
Ag
ed
10
to
19
Teen Pregnancy Rates by Race: Ages 10-19, Albemarle and Charlottesville, 2000-2011
Source: Virginia Department of Health, Division of Health Statistics
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
5
10
15
20
25
30
35
40
45
50
55
60
65
70
38.8
13.9
41.3
51.9
12.4
8.1
19.4
24.5
Albemarle Black Charlottesville Black Albemarle White Charlottesville White
Pre
gn
an
cie
s p
er
1,0
00
Fe
ma
les
Ag
ed
10
to
19
Induced Termination Rates Albemarle, Charlottesville, TJHD and Virginia, 2003-2011
Source: Virginia Department of Health, Division of Health Statistics
2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
6.1 6.1
26.9 26.0
12.1 11.7
16.215.1
Albemarle Charlottesville TJHD Virginia
Ind
uce
d T
erm
ina
tion
s p
er
1,0
00
Wo
me
n A
ge
d 1
5-4
4
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Albemarle; 79.9%Albemarle; 77.8%
Charlottesville 76.6%Charlottesville 75.0%TJHD; 79.3%
TJHD; 77.0%
84.7% 83.2%
Albemarle Charlottesville TJHD Virginia
Healthy People 2020
Perc
ent o
f Tot
al L
ive
Bir
ths
to M
othe
rs b
y Pl
ace
of R
esid
ence
Percentage of Mothers Entering Prenatal Care in the 1st Trimester
Albemarle, Charlottesville, TJHD and Virginia, 2000-2010
Source: Virginia Department of Health, Division of Health Statistics
*Percentage of Total Live Births with Prenatal Care Beginning in the First 13 Weeks
Percentage of Mothers Who had 10 or more Prenatal Care Visits
Albemarle, Charlottesville, TJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Albemarle; 79.8%Albemarle; 65.7%
Charlottesville 84.4%
Charlottesville 64.5%
TJHD; 79.8%
TJHD; 66.0%
Virginia 82.7%
77.7%
Albemarle Charlottesville TJHD Virginia
Per
cent
of T
otal
Liv
e B
irths
to M
othe
rs b
y P
lace
of R
esid
ence
Percentage of Mothers With <12th Grade Education
Albemarle, Charlottesville, and Virginia, 2002-2010
Source: Virginia Department of Health, Division of Health Statistics
2002 2003 2004 2005 2006 2007 2008 2009 20100%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
12% 11%
19%
14%15%
12%
Albemarle Charlottesville Virginia
Pe
rce
nt
of
To
tal L
ive
Bir
ths
to M
oth
ers
by
Pla
ce o
f R
esi
de
nce
Percentage of Mothers Who Smoke During Pregnancy
Albemarle, Charlottesville, TJHD, and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03
2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
5.6% 4.7%
10.9%9.2%
9.2%7.5%8.4%6.2%
Albemarle Charlottesville TJHD Virginia
Healthy People 2020 Pe
rce
nt
of
To
tal L
ive
Bir
ths
to M
oth
ers
by
Pla
ce o
f R
esi
de
nce
Reported Substance Exposed Infants*TJHD, FY1999-2011
Source: Virginia Department of Social Services
99-00 00-01 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 09-10 10-110
2
4
6
8
10
12
14
16
18
20
22
24
2
22
TJHD
Nu
mb
er
of
Re
po
rte
d S
ub
sta
nce
Exp
ose
d
Infa
nts
*Newborn infants that may have been exposed to controlled substances prior to birth (as indicated by a positive drug toxicology of the mother with presence of a controlled substance or by the child being born dependent on a controlled substance and demonstrating withdrawal symptoms) or have a diagnosis of fetal alcohol syndrome
Leading Causes of Death
Mortality RatesAlbemarle, Charlottesville, TJHD, and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-2001 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100
100
200
300
400
500
600
700
800
900
1,000
1,100
1,200
768.4
Albemarle 670.3
972.9
648.7
857.8
TJHD 678.5
882.9
747.7
Albemarle Charlottesville TJHD VirginiaAg
e-A
dju
ste
d D
ea
ths
per
100
,000
Pe
rso
ns L
ivin
g in
Lo
calit
y
Mortality Rates by Race TJHD and Virginia, 2002-2011
Source: Virginia Department of Health, Division of Health Statistics
2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
100
200
300
400
500
600
700
800
900
1,000
1,100
1,200
937.33TJHD Black; 896.86
1,048.97
Virginia Black 891.33
766.81
644.81
799.65
720.70
TJHD Black Virginia Black TJHD White Virginia WhiteAge
-Adj
uste
d D
eath
s pe
r 10
0,00
0 P
erso
ns L
ivin
g in
Loc
al-
ity
Five Leading Causes of DeathTJHD and Virginia, 2010
1. Cancer
2. Heart Disease
3. Stroke
4. Chronic Respiratory Disease (Chronic Obstructive Pulmonary Disease (COPD) and Asthma)
5. Unintentional Injuries
Source: Virginia Department of Health, Division of Health Statistics
Leading Causes of Death By AgeVirginia, 2010Youth/Teens
Source: Virginia Department of Health, Division of Health Statistics
6.1%
24.2%
3.0%
6.1%
60.6%
<1 Year
32.4%
12.4%
5.7%
1.0%
48.6%
1-14 Years
11.1%
7.3%
0.6%
0.3%
80.6%
15-24 Years
Leading Causes of Death By AgeVirginia, 2010
Adults
Source: Virginia Department of Health, Division of Health Statistics
21.4%
21.3%
3.0%1.1%
53.2%
25-39 Years
47.0%
31.9%
5.4%
3.5% 12.2%
40-59 Years
52.5%
30.4%
5.5%
7.4%
4.2%60-64 Years
Leading Causes of Death By AgeVirginia, 201065 and over
Source: Virginia Department of Health, Division of Health Statistics
50.7%
30.0%
6.6%
9.8%
2.9%
65-74 Years
39.5%
36.1%
9.6%
11.1%
3.7%75-84 Years
22.0%
50.8%
14.5%
8.1%
4.6%85 and over Years
Heart Disease Death RatesAlbemarle, Charlottesville, TJHD, and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
25
50
75
100
125
150
175
200
225
250
275
300
325
350
198.6
133.9
Charlottesville; 243.8
Charlottesville; 146.5222.6
TJHD 148.8
Virginia 243.3
171.6
Albemarle Charlottesville TJHD Virginia
Age
-Adj
uste
d H
eart
Dis
ease
Dea
ths
per
100,
000
Per
sons
Liv
ing
in L
ocal
ity
Heart Disease Death Rates by Race Albemarle, TJHD, and Virginia, 2000-2009
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090
25
50
75
100
125
150
175
200
225
250
275
300
325
350
Albemarle Black; 182.5
195.7
274.8
207.5
284.2
223.0
Albemarle White; 183.9
Albemarle White; 142.4
205.5
TJHD White 143.7
226.5
170.9
Albemarle Black TJHD Black Virginia Black Albemarle WhiteTJHD White Virginia White
Age
-Adj
uste
d H
eart
Dis
ease
Dea
ths
per
100,
000
Per
sons
Liv
ing
in L
ocal
ity
Heart Disease Death Rates by Race Charlottesville, TJHD, and Virginia, 2000-2009
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090
25
50
75
100
125
150
175
200
225
250
275
300
325
350341.1
245.3
274.8
207.5
284.2
223.0
197.6
131.1
205.5
143.7
226.5
170.9
Charlottesville Black TJHD Black Virginia Black Charlottesville WhiteTJHD White Virginia White
Ag
e-A
dju
ste
d H
ea
rt D
ise
ase
De
ath
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
Source: Virginia Department of Health, Division of Health Statistics
Stroke-Related Death Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
10
20
30
40
50
60
70
80
90
100
110
120
Albemarle 77.7
Albemarle 43.8
91.7
Charlottesville 41.7
TJHD 78.2
TJHD 44.2
67.2
Virginia 41.9
Albemarle Charlottesville TJHD Virginia
Age
-Adj
uste
d S
trok
e-R
elat
ed D
eath
s pe
r 10
0,00
0 P
erso
ns L
ivin
g in
Loc
ality
Stroke-Related Death Rates by Race TJHD and Virginia, 2000-2009
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090
10
20
30
40
50
60
70
80
90
100
110
120110.9
52.5
69.5
39.9
87.3
60.9
60.1
39.0
TJHD Black TJHD White Virginia Black Virginia White
Ag
e-A
dju
ste
d S
tro
ke-R
ela
ted
De
ath
s p
er
10
0,0
00
P
ers
on
s L
ivin
g in
Lo
calit
y
Source: Virginia Department of Health, Division of Health Statistics
Cancer-Related Death RatesAlbemarle, Charlottesville, TJHD, and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
25
50
75
100
125
150
175
200
225
250
275
300
325
350
179.3
Albemarle 181.9
217.5
165.3
190.4 TJHD 179.6206.9
174.5
Albemarle Charlottesville TJHD Virginia
Ag
e-A
dju
ste
d C
an
cer
De
ath
s p
er
10
0,0
00
Pe
r-so
ns
Liv
ing
in L
oca
lity
Cancer-Related Death Rates by RaceAlbemarle, TJHD, and Virginia, 2000-2009
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090
25
50
75
100
125
150
175
200
225
250
275
300
325
350
Albemarle Black 240.2
212.8TJHD Black 239.4
226.6
256.5
217.9
159.9
183.8180.0
TJHD White 171.2
193.7
Virginia White 173.5
Albemarle Black TJHD Black Virginia Black Albemarle WhiteTJHD White Virginia White
Age
-Adj
uste
d C
ance
r D
eath
s pe
r 10
0,00
0 P
er-
sons
Liv
ing
in L
ocal
ity
Source: Virginia Department of Health, Division of Health Statistics
Cancer-Related Death Rates by Race Charlottesville, TJHD, and Virginia, 2000-2009
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090
25
50
75
100
125
150
175
200
225
250
275
300
325
350
341.13
245.3239.4
TJHD Black 226.6
284.2
Virginia Black 223197.63
131.1
180.0
TJHD White; 171.2
226.5
Virginia White 170.93
Charlottesville Black TJHD Black Virginia Black Charlottesville WhiteTJHD White Virginia White
Age
-Adj
uste
d C
ance
r D
eath
s pe
r 10
0,00
0 P
er-
sons
Liv
ing
in L
ocal
ity
COPD-Related Death Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
Four-year rolling averages
1999-02 2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-09 2007-100
5
10
15
20
25
30
35
40
45
50
55
60
65
36.9
36.239.0
26.5
40.5
34.9
42.5
38.6
Albemarle Charlottesville TJHD Virginia
Ag
e-A
dju
ste
d C
OP
D D
ea
ths
pe
r 1
00
,00
0
Pe
rso
ns
Liv
ing
in L
oca
lity
COPD-Related Death Rates by Race TJHD and Virginia, 2000-2009
Source: Virginia Department of Health, Division of Health Statistics
2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-090
5
10
15
20
25
30
35
40
45
50
55
60
65
38.1
21.2
31.526.3
44.7
39.0
46.3
42.6
TJHD Black Virginia Black TJHD White Virginia White
Ag
e-A
dju
ste
d C
OP
D D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Diabetes-Related Death RatesAlbemarle, Charlottesville, TJHD, and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
Five-year rolling averages
1999-03 2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-100
5
10
15
20
25
30
35
40
45
50
55
12.5 11.8
26.524.8
21.115.7
23.720.1
Albemarle Charlottesville TJHD Virginia
Ag
e-A
dju
ste
d D
iab
ete
s D
ea
ths
pe
r 1
00
,00
0 P
er-
son
s L
ivin
g in
Lo
calit
y
Diabetes-Related Death Rates by RaceTJHD and Virginia, 2000-2009
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090
5
10
15
20
25
30
35
40
45
50
55
38.3
41.5
47.8
37.9
TJHD White; 19.5
12.5
Virginia White 19.7
16.3
TJHD Black Virginia Black TJHD White Virginia White
Ag
e-A
dju
ste
d D
iab
ete
s D
ea
ths
pe
r 1
00
,00
0
Pe
rso
ns
Liv
ing
in L
oca
lity
Unintentional Injury Death RatesAlbemarle, Charlottesville, TJHD, and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
Four-year rolling averages
1999-02 2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-09 2007-100
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
24.6
36.3
37.8
30.7TJHD; 33.8
38.4
Virginia; 34.0 34.5
Albemarle Charlottesville TJHD Virginia
Ag
e-A
dju
ste
d U
nin
ten
tion
al I
nju
ry D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Unintentional Injury Death Rates by Race TJHD and Virginia, 2000-2009
Source: Virginia Department of Health, Division of Health Statistics
2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-090
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
39.7
47.8
33.4
53.5
TJHD White 35.3
39.9VA White, 35.9
38.6
TJHD Black Virginia Black TJHD White Virginia White
Ag
e-A
dju
ste
d U
nin
ten
tion
al I
nju
ry D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Four-year rolling averages
Suicide and Homicide Rates TJHD and Virginia, 1999-2009
Source: Virginia Department of Health, Virginia Online Injury Reporting System
1999-2001
2000-2002
2001-2003
2002-2004
2003-2005
2004-2006
2005-2007
2006-2008
2007-2009
0
2
4
6
8
10
12
14
16
18
20
4.60
2.80
6.12
4.98
14.49
TJHD Suicide 11.4111.05
Virginia Suicide 11.54
TJHD Homicide Virginia Homicide TJHD Suicide Virginia SuicideAge
-Adj
uste
d D
eath
s pe
r 100
,000
Per
sons
Liv
ing
in L
ocal
ity
Youth Suicide Rates TJHD and Virginia, 2004-2008
• Suicide is the third leading cause of death for 10-24 year-olds.
• On average, two Virginia youths die each week from suicide.
• The suicide rate is higher in males than the rate of females.
• The White suicide rate is 2.4 times higher than the Black suicide rate.
Source: Virginia Department of Health, Office of Family Health Services
TJHD Virginia0
2
4
6
8
10
4.39
6.86
2004-2008
Dea
ths
per
100,
000
Per
sons
Liv
ing
in L
ocal
ity
Cancer
Lung Cancer Incidence RatesAlbemarle, Charlottesville, TJHD, and Virginia, 1999-2008
Albemarle Charlottesville TJHD Virginia0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
64.97
60.9964.43 64.44
69.80
61.77
69.8768.40
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Source: Virginia Cancer Registry
Age
-Adj
uste
d R
ate
of L
ung
& B
ronc
hus
Can
cer
Cas
es p
er 1
00,0
00 P
erso
ns L
ivin
g in
Loc
ality
Lung Cancer Incidence Rates by Race TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Black White Black WhiteTJHD Virginia
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
73.38
63.31
69.12
64.39
78.06
69.0671.73
68.91
Ag
e-A
dju
ste
d R
ate
of
Lu
ng
& B
ron
chu
s C
an
cer
Ca
ses
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Lung Cancer Death Rates TJHD and Virginia, 1996-2007
Source: Virginia Department of Health, Division of Health Statistics
1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-20070
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
55.252.5
60.7
54.8
TJHD Virginia
Ag
e-A
dju
ste
d R
ate
of
Lu
ng
Ca
nce
r D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Breast Cancer Incidence RatesAlbemarle, Charlottesville, TJHD, and Virginia, 1999-2008
Source: Virginia Cancer Registry
Albemarle Charlottesville TJHD Virginia0
20
40
60
80
100
120
140
160
180
200
175.67
158.68
144.81
124.5
140.7
109.6
127.5 124.8
Ag
e-A
dju
ste
d R
ate
of
Fe
ma
le B
rea
st C
an
cer
Ca
ses
pe
r 1
00
,00
0 F
em
ale
s L
ivin
g in
Lo
calit
y
19
99
-20
03
19
99
-20
03
19
99
-20
03
19
99
-20
03
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Breast Cancer Incidence Rates by Race TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Black White Black WhiteTJHD Virginia
0
10
20
30
40
50
60
70
80
90
100
110
120
130
140
150
160
129.15
147.74
118.13
126.59133.84
125.95 127.06 124.83
Ag
e-A
dju
ste
d R
ate
of
Fe
ma
le B
rea
st C
an
cer
Ca
ses
pe
r 1
00
,00
0 F
em
ale
s L
ivin
g in
Lo
calit
y
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Breast Cancer Death Rates TJHD and Virginia, 1996-2007
Source: Virginia Department of Health, Division of Health Statistics
1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-20070
10
20
30
40
50
60
70
80
90
100
26.6
20.9
28.825.4
TJHD Virginia
Ag
e-A
dju
ste
d R
ate
of
Bre
ast
Ca
nce
r D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Prostate Cancer Incidence RatesAlbemarle, Charlottesville, TJHD, and Virginia, 1999-2008
Source: Virginia Cancer Registry
Albemarle Charlottesville TJHD Virginia0
25
50
75
100
125
150
175
200
225
Ag
e-A
dju
ste
d R
ate
of
Pro
sta
te C
an
cer
Ca
ses
pe
r 1
00
,00
0 M
ale
s L
ivin
g in
Lo
calit
y
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Prostate Cancer Incidence Rates by Race, TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Black White Black WhiteTJHD Virginia
0
25
50
75
100
125
150
175
200
225
250
275
207.16
145.56
248.15
148.09
202.91
156.68
242.00
145.10
Ag
e-A
dju
ste
d R
ate
of
Pro
sta
te C
an
cer
Ca
ses
pe
r 1
00
,00
0 M
ale
s L
ivin
g in
Lo
calit
y
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Prostate Cancer Death RatesTJHD and Virginia, 1996-2007
Source: Virginia Department of Health, Division of Health Statistics
1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-200705
101520253035404550556065707580859095
100105
34.2 TJHD 27.3
36.8
Virginia 26.6
TJHD Virginia
Ag
e-A
dju
ste
d R
ate
of
Pro
sta
te C
an
cer
De
ath
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
Colorectal Cancer Incidence RatesAlbemarle, Charlottesville, TJHD, and Virginia, 1999-2008
Source: Virginia Cancer Registry
Albemarle Charlottesville TJHD Virginia0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
55.36
43.13
53.0850.20
46.53
34.54
44.17 45.14
Age
-Adj
uste
d R
ate
of C
olor
ecta
l Can
cer
Cas
es p
er
100,
000
Per
sons
Liv
ing
in L
ocal
ity
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Colorectal Cancer Incidence Rates by Race, TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Black White Black WhiteTJHD Virginia
0
5
10
15
20
25
30
35
40
45
50
55
60
65
7067.45
50.93
59.66
48.57
60.97
41.66
55.02
43.24
Ag
e-A
dju
ste
d R
ate
of
Co
lore
cta
l Ca
nce
r C
ase
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Colorectal Cancer Deaths RatesTJHD and Virginia, 1996-2007
Source: Virginia Department of Health, Division of Health Statistics
1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-20070
5
10
15
20
25
30
35
40
45
50
55
60
65
70
18.9
15.6
21.4
17.3
TJHD Virginia
Ag
e-A
dju
ste
d R
ate
of
Co
lore
cta
l Ca
nce
r D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Unintentional Injury
Percent of Hospitalizations due to Unintentional Injury by Cause Albemarle and Charlottesville, 1999-2009
Source: Virginia Department of Health, Virginia Online Injury Reporting System
Falls; 58.1%
Motor Vehicles/Other Transport Crashes;
16.1%
Struck by, against, 2.7%
Poisoning; 4.2%
Bites/Stings; 1.9%
Other/Unspecified; 17.0%
Hospitalizations due to Unintentional Injury by Cause and Age Group, Albemarle and Charlottesville, 1999-2009
0-19 20-64 65 and over
Number % Number % Number %
Falls 109 24 720 33 2,450 82
Motor Vehicle/Other Transport Crashes
177 39 618 29 115 4
Struck by, against 45 10 76 4 29 1
Poisoning 26 6 133 6 78 3
Bites, Stings 12 3 66 3 29 1
Other/Unspecified 87 19 551 25 305 10
Source: Virginia Department of Health, Virginia Online Injury Reporting System
Rates of Hospitalizations due to Falls among Persons Aged 65+, Albemarle, Charlottesville, TJHD, and Virginia,
1999-2009
Source: Virginia Department of Health, Virginia Online Injury Reporting System
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-090
25
50
75
100
125
150
175
200
225
173.25 185.90
170.22
152.66151.86
168.08160.99
193.04
Albemarle Charlottesville TJHD VirginiaRe
po
rte
d H
osp
ital D
isch
arg
es
for
Inju
rie
s d
ue
to
Fa
lls p
er
10
0,0
00
Pe
rso
ns
Ag
ed
65
an
d O
ver
Liv
ing
in L
oca
lity
Rates of Unintentional Injury Deaths by Cause, Albemarle-Charlottesville, TJHD, and Virginia,1999-2009
Falls Transport Crashes Suffocation Poisoning Drowning Fire/Flame Other/Unspecified0
2
4
6
8
10
12
14
16
18
5.57
10.73
2.69
3.76
0.9600000000000010.67000000000002
4.52
5.54
17.13
2.75
3.67
0.960000000000001 1.1
5.55.4
13.04
2.32
5.89
1.06 1.22
4.66
Albemarle-Charlottesville TJHD Virginia
Ag
e-A
dju
ste
d U
nin
ten
tion
al I
nju
ry D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Source: Virginia Department of Health, Virginia Online Injury Reporting System
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
250
500
750
1,000
1,250
1,500
1,750
2,000
2,250
2,500
2,750
3,000
3,250
3,500
2688.88
1861.79
2921.62
1767.56
2339.54
1688.09
2013.89
1480.63
Albemarle Charlottesville TJHD Virginia
Mo
tor
Ve
hic
le A
ccid
en
ts p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
*Crashes are by place of occurrence
Rates of Motor Vehicle AccidentsAlbemarle, Charlottesville,TJHD, and Virginia, 2000-2011
Source: Virginia Department of Motor Vehicles
Motor Vehicle Crash Fatality RatesAlbemarle, TJHD, and Virginia, 2000-2011
Source: Virginia Department of Motor Vehicles
Five Year Averages
2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-10 2007-110
5
10
15
20
25
30
35
40
45
50
18.00
15.39
20.19
16.46
12.77
10.45
Albemarle TJHD Virginia
Mo
tor
Ve
hic
le C
rash
Fa
talit
ies
pe
r 1
00
,00
0 P
er-
son
s L
ivin
g in
Lo
calit
y
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
6.6%
8.2%
7.0%7.2%
8.1%8.5%
7.9% 7.4%
Albemarle Charlottesville TJHD Virginia
Pe
rce
nt
of
To
tal M
oto
r V
eh
icle
Cra
she
s b
y P
lace
o
f O
ccu
rre
nce
Percent of Alcohol-Related Motor Vehicle Crashes, Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011
Source: Virginia Department of Motor Vehicles
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
41.2% 39.2%
0.0%
50.0%
44.5%
33.0%
38.3%37.0%
Albemarle Charlottesville TJHD Virginia
Pe
rce
nt
of
To
tal M
oto
r V
eh
icle
Cra
sh F
ata
litie
s b
y P
lace
of
Occ
urr
en
cePercent of Alcohol-Related Motor Vehicle Crash Fatalities, Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011
Source: Virginia Department of Motor Vehicles
Infectious Diseases
Rates of Reportable Communicable Diseases, TJHD and Virginia, 2000-2010
CommunicableDisease
TJHD Virginia
AverageNumber of
Cases
Average RatePer 100,000*
AverageNumber of
Cases
Average RatePer 100,000*
Chlamydia 559 260.2 23,406 306.7
Gonorrhea 134 62.3 8,723 119.3
Pertussis 56 26.3 246 3.3
Salmonellosis 35 16.3 1,186 15.8
Giardiasis 33 15.5 489 6.5
Chicken Pox 25 11.7 1,079 14.3
Campylobacteriosis 21 9.8 687 9.2
Lyme Disease 20 9.1 514 6.7
Source: Virginia Department of Health, Division of Surveillance and Investigation
*Population data based on U.S. Census Data for TJHD and State of Virginia (2000-2010)
Chlamydia Incidence RatesAlbemarle-Charlottesville, TJHD, and Virginia,1997-2010
1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
25
50
75
100
125
150
175
200
225
250
275
300
325
350
375
400
425
229.8
342.4
219.6
280.7
189.3
397.7
Albemarle-Charlottesville TJHD VirginiaRe
po
rte
d C
ase
s o
f Ch
lam
ydia
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
-ca
lity
Source: Virginia Department of Health, Division of Disease Prevention
Gonorrhea Incidence RatesAlbemarle-Charlottesville, TJHD, and Virginia,1997-2010
1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
20
40
60
80
100
120
140
160
119.1
89.594.3
68.6
134.4
109.4
Albemarle-Charlottesville TJHD VirginiaRe
po
rte
d C
ase
s o
f Go
no
rrh
ea
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
-ca
lity
Source: Virginia Department of Health, Division of Disease Prevention
HIV and AIDS Incidence RatesAlbemarle-Charlottesville, TJHD, and Virginia, 1997-2009
Source: Virginia Department of Health, Division of Disease Prevention
1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-090
2
4
6
8
10
12
14
16
9.1
7.2
Albemarle-Charlottesville AIDS 10.2
7.0
8.2
TJHD HIV 5.9
TJHD AIDS 10.2
TJHD AIDS 6.1
13.5
13.4
15.1
8.9
Albemarle-Charlottesville HIV Albemarle-Charlottesville AIDS TJHD HIV
TJHD AIDS Virginia HIV Virginia AIDSRe
po
rte
d C
ase
s o
f HIV
/AID
S p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
l-ity
Syphilis (early) Incidence RatesTJHD and Virginia,1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
1
2
3
4
5
6
7
8
0.5
2.8
4.1
6.8
TJHD Virginia
Rep
orte
d C
ases
of
Syp
hilis
per
100
,000
Per
sons
Liv
ing
in L
ocal
ity
Pertussis Incidence RatesAlbemarle-Charlottesville, TJHD, and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
10
20
30
40
50
60
70
24.4
11.8
20.4 16.4
2.23.5
Albemarle-Charlottesville TJHD VirginiaRe
po
rte
d C
ase
s o
f Pe
rtu
ssis
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
cal-
ity
Chicken Pox Incidence RatesAlbemarle-Charlottesville, TJHD, and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
5
10
15
20
25
30
1.7
19.0
2.1
16.3
12.7
12.1
Albemarle-Charlottesville TJHD Virginia
Re
po
rte
d C
ase
s o
f Ch
icke
n P
ox
pe
r 1
00
,00
0 P
er-
son
s L
ivin
g in
Lo
calit
y
Hepatitis B Incidence RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
2.3
0.4
2.4
1.4
TJHD Virginia
Healthy People 2020
Re
po
rte
d C
ase
s o
f He
pa
titis
B p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
o-
calit
y
Salmonellosis Incidence RatesAlbemarle-Charlottesville, TJHD, and Virginia,1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
2
4
6
8
10
12
14
16
18
20
22
12.7
11.8
18.5
14.0
17.4
14.9
Albemarle-Charlottesville TJHD Virginia
Healthy People 2020
Rep
orte
d C
ases
of
Sal
mon
ello
sis
per
100,
000
Per
sons
Liv
ing
in L
ocal
ity
Campylobacteriosis Incidence RatesAlbemarle-Charlottesville, TJHD, and Virginia,1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
2
4
6
8
10
12
14
16
18
15.8
10.3
14.2
11.7
8.5 9.5
Albemarle-Charlottesville TJHD Virginia
Rep
orte
d C
ases
of
Cam
pylo
bact
erio
sis
per
100,
000
Per
sons
Li
ving
in L
ocal
ity
E. Coli O157:H7 Incidence RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
2.7
3.4
1.0
2.3
TJHD Virginia
Healthy People 2020
Rep
orte
d C
ases
of
E.
Col
i O15
7:H
7 pe
r 10
0,00
0 P
erso
ns L
ivin
g in
Loc
ality
Giardiasis Incidence RatesAlbemarle-Charlottesville, TJHD, and Virginia,1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
2
4
6
8
10
12
14
16
18
20
22
24
26
28
22.9
18.217.8
12.8
6.3 6.2
Albemarle-Charlottesville TJHD VirginiaRe
po
rte
d C
ase
s o
f Gia
rdia
sis
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
-ca
lity
Legionellosis Incidence RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Disease Prevention
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
1.932.1
1.87
0.9
TJHD VirginiaRe
po
rte
d C
ase
s o
f Le
gio
ne
llosi
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
o-
calit
y
Lyme Disease Incidence RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
5
10
15
20
25
30
TJHD 1.7
25.3
Virginia 2.0
13.2
TJHD VirginiaRep
orte
d C
ases
of
Lym
e D
isea
se p
er 1
00,0
00 P
ers
on
s Li
ving
in L
ocal
ity
Spotted Fever Rickettsiosis Incidence Rates, TJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
0.5
4.4
0.3
1.5
TJHD Virginia
Rep
orte
d C
ases
of S
potte
d F
ever
Ric
ketts
iosi
s pe
r 10
0,00
0 P
erso
ns L
ivin
g in
Loc
ality
Tuberculosis Incidence RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Disease Prevention
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
1.8
2.9
4.4
3.6
TJHD Virginia
Healthy People 2020
Re
po
rte
d C
ase
s o
f Tu
be
rcu
losi
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
o-
calit
y
Ambulatory Care-Sensitive Conditions
Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance System
Percent of Adults Diagnosed with Diabetes (Self-Reported), TJHD and Virginia, 2000-2010
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
3.9%
8.7%
6.1%
7.8%
TJHD Virginia
Pe
rce
nt
of
To
tal A
du
lts A
ge
d 2
0 a
nd
Ove
r L
ivin
g
in L
oca
lity
Hospital Discharge Rates for DiabetesTJHD and Virginia, 2000-2011
Source: Virginia Hospital Information Systems
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
TJHD 15.8317.01
Virginia 15.4614.82
TJHD Virginia
Ag
e-A
dju
ste
d H
osp
ital D
isch
arg
es
for
Dia
be
tes
p
er
10
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Hospital Discharge Rates for DiabetesTJHD by Locality, 2000-2010
Source: Virginia Hospital Information Systems
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
14.59 15.76
24.60
26.13
Albemarle Charlottesville FluvannaGreene Louisa Nelson
Ag
e-A
dju
ste
d H
osp
ital D
isch
arg
es
for
Dia
be
tes
p
er
10
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Hospital Discharge Rates for AsthmaAlbemarle, Charlottesville, TJHD, and Virginia, 2000-2010
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
2
4
6
8
10
12
14
16
18
20
22
13.62
Albemarle 12.00
18.36
9.80
15.85
TJHD 11.94
14.99
12.66
Albemarle Charlottesville TJHD Virginia
Age
-Adj
uste
d H
ospi
tal D
isch
arge
s fo
r A
sthm
a pe
r 10
,000
Per
sons
Liv
ing
in L
ocal
ity
Source: Virginia Hospital Information Systems
Hospital Discharge Rates for Hypertension, TJHD and Virginia, 2000-2011
Source: VDH Data Warehouse; Virginia Hospital Information Systems
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
1
2
3
4
5
6
7
8
9
10
TJHD; 2.69 TJHD; 2.68
Virginia; 2.68 Virginia; 2.64
TJHD Virginia
Age
-Adj
uste
d H
ospi
tal D
isch
arge
s fo
r H
yper
tens
ion
per
10,0
00 P
erso
ns L
ivin
g in
Loc
ality
Hospital Discharge Rates for COPDAlbemarle, Charlottesville, TJHD, and Virginia, 2000-2010
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
5
10
15
20
25
30
20.90
Albemarle 17.72
24.44
14.96
22.49
TJHD; 17.69
21.52
Virginia 18.18
Albemarle Charlottesville TJHD Virginia
Ag
e-A
dju
ste
d H
osp
ital D
isch
arg
es
for
CO
PD
p
er
10
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Source: Virginia Hospital Information Systems
Mental Health
Average Number of Poor Physical/Mental Health in the Last 30 Days (Self-reported)
TJHD by Locality, TJHD and Virginia, 2004-2010
Source: County Health Rankings
*Numbers are self-reported
Albemarle Charlottesville Fluvanna Greene Louisa Nelson TJHD Average Virginia0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
2.2
2.9
3.4
2.9
4.7
1.2
2.883.2
2.5 2.8
2.1
2.8
3.7
2.5 2.73
3.2
Average Number of Physically Unhealthy Days reported in past 30 daysAverage Number of Poor Mental Health Days reported in past 30 daysNational Benchmark for Physically Unhealthy DaysNational Benchmark for Poor Mental Health Days
Nu
mb
er*
of
Ph
ysic
ally
Un
he
alth
y/P
oo
r M
en
tal H
ea
lth D
ays
0%
5%
10%
15%
20%
25%
30%
25%
12%11%
9%
7% 7%
3%2%
Pe
rce
nt
of
To
tal R
eg
ion
Te
n P
atie
nts
Se
rve
d
Region Ten Community Services Board’s Most Frequent Diagnosed Disorders, 2011
Source: Region Ten Community Services Board
Number of Emergency Services Delivered by Region 10 Community Services Board by Type of Service
1996-2009
Source: Region Ten Community Services Board
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 20090
500
1000
1500
2000
2500
3000
1453
2306
1042
629
Emergency Custody Order Evaluations Temporary Detention Orders IssuedTotal Evaluations Hospital AdmissionsWellness Recovery Center Referrals
Nu
mb
er
of
Re
gio
n T
en
Se
rvic
es
De
live
red
Source: Substance Abuse and Mental Health Services Administration
Adults with a co-occuring MH and AOD disorder
Children with a co-occurring MH and AOD disorder
0%
5%
10%
15%
20%
25%
30%
35%32.8%
7.6%
20.0%
4.6%
Virginia US
Per
cent
of
Tot
al A
dult
s/C
hild
ren
Ser
ved
thro
ugh
Sta
te M
enta
l Hea
lth
Age
ncie
sPercent of Persons Served though State Mental
Health Agencies with Co-Occurring Mental Health and Substance Abuse Disorders, Virginia and U.S., 2010
MH = Mental Health; AOD = Alcohol and Other Drug
Source: Substance Abuse and Mental Health Services Administration
Adults with a SMI and a substance abuse disorder
Children with a SMI and a substance abuse disorder
0%
5%
10%
15%
20%
25%
30%
35%31.8%
7.9%
24.4%
8.7%
Virginia US
Pe
rce
nt
of
To
tal A
du
lts/C
hild
ren
Se
rve
d
thro
ug
h S
tate
Me
nta
l He
alth
Ag
en
cie
sPercent of Persons Served though State Mental Health Agencies with Co-Occurring Severe Mental Health and
Substance Abuse Disorder, Virginia and U.S., 2010
Adults with a serious mental illness (SMI) are Persons 18 years and Over who, “at any time during a given year, had a diagnosable mental, behavioral, or emotional disorder without the benefit of treatment or other support services … that has resulted in functional impairment which substantially interferes with or limits one or more major life activities.…"
Hospital Discharge Rates for PsychosesTJHD and Virginia, 2000-2011
Source: VDH Data Warehouse; Virginia Hospital Information Systems
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
100
200
300
400
500
600
700
800
677.19
418.60
586.01
563.09
TJHD VA
Ho
spita
l Dis
cha
rge
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
l-ity
Hospital Discharge Rates for Neurotic Disorders, Personality Disorders, and other Nonpsychotic Mental Disorders
TJHD and Virginia, 2000-2011
Source: VDH Data Warehouse; Virginia Hospital Information Systems
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
50
100
150
200
250
300
257.45
206.30199.55
140.88
TJHD VAHo
spita
l Dis
cha
rge
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
l-ity
Adolescent Substance Abuse (Self-Reported) Albemarle and Charlottesville Public Schools, 2009-2011
Source: Safe Schools Healthy Students
Fall 2009 Spring 2010 Fall 2010 Spring 20110%
5%
10%
15%
20%
25%
30%
35%
18.8%
15.4%13.7%
12.7%
32.4% 32.5%
26.9% 26.8%
22.8%21.6%
19.3%20.3%21.4%
17.9%17.0%
14.5%
Smoked cigarettes in the past monthHad an alcoholic drink in the past monthUsed marijuana in the past monthRode in a vehicle while the driver was under the influence in the past month
Hig
h S
cho
ol S
tud
en
ts R
ep
ort
ing
at
Le
ast
On
ce
Adolescent Mental Health (Self-Reported), Albemarle and Charlottesville Public Schools, 2009-2011
Source: Safe Schools Healthy Students
Fall 2009 Spring 2010 Fall 2010 Spring 20110%
5%
10%
15%
20%
25%
30%
35%
28.8%
25.3%
23.3%22.5%
18.6%
14.5% 14.2%12.8%
Had depressive thoughts in the past yearHad suicidal thoughts in the past year
Hig
h S
cho
ol S
tud
en
ts R
ep
ort
ing
at
Le
ast
O
nce
Section Four: What are community members’ perceptions of health in their
communities?
Thomas Jefferson Area Community Survey
MAPP 2 Health Focus Groups
Thomas Jefferson Area Community Survey
Thomas Jefferson Area Community Survey (TJACS)
TJHD, 2012
Source: UVA Center for Survey Research
• Conducted by the UVA Center for Survey Research (CSR)
• Conducted in January 2012• Survey of 1,098 individuals living in
Charlottesville City and Albemarle, Nelson, Fluvanna, Greene, and Louisa Counties
• Conducted through a Random Digit Dial (RDD) sample of landline and cell-phone numbers – Also included a random sample of directory-listed
landline households
Medical Doctors DentistsCounselors for
Mental Health or Substance Abuse
Urgent Care
FacilitiesHospitals
Albemarle 15.0% 22.1% 40.7% 12.8% 9.4%
Charlottesville 14.9% 26.6% 33.5% 9.8% 15.3%
TJHD11.3% 13.4% 20.7% 17.9% 14.9%
19.7% Insists No Problems
Question 1: Thinking about Charlottesville/Albemarle County, which
of the following services is most difficult to get care from?
Source: UVA Center for Survey Research
• Open-ended response: “I don't use any services here. Neither do my relatives. Everything is done in Charlottesville. Everybody I know goes to town (Charlottesville).”
Problems with cost, insurance
or Medicaid
Distance or Transportation
Not enough doctors, dentists or counselors
Language or cultural
difficulties
Albemarle 77.8% 12.0% 6.7% 3.5%
Charlottesville 77.1% 10.3% 10.5% 2.2%
TJHD 59.4% 20.4% 11.0% 2.2%
Question 2: Thinking about Charlottesville/Albemarle County, what
is the biggest difficulty people have in getting health services?
Source: UVA Center for Survey Research
• Open-ended response: “Charlottesville is so diverse, so I'm not so sure that one answer would do for anybody. I think that some people just don't want and probably just don't care.”
• Open-ended response: “The insurance I have does not work with the network in Fluvanna or Charlottesville which causes me to have to pay more of the cost of my health care.”
SmokingWeight and
obesityAlcohol/ drug use
Infant Death
Mental Health
Albemarle 8.5% 36.1% 25.5% 4.0% 25.9%
Charlottesville 10.0% 39.4% 25.8% 2.8% 22.1%
TJHD 7.8% 36.0% 32.7% 3.1% 20.3%
Question 3: Which of the following public health concerns is the
most important for Charlottesville/Albemarle County to give more attention to?
Source: UVA Center for Survey Research
MAPP 2 Health Focus Groups
Focus Group DemographicsCharlottesville and Albemarle, 2012
Charlottesville Albemarle Number PercentAttendees 3 11 14 100.0%
GenderMale 1 5 6 42.9%
Female 2 6 8 57.1%
RaceWhite 3 9 12 85.7%
Other 0 2 2 14.3%
EthnicityHispanic or Latino 0 4 4 28.6%
Not Hispanic or Latino 3 7 10 71.4%
Age
18-27 2 4 6 42.9%
28-37 0 1 1 7.1%
38-47 0 3 3 21.4%
48-57 0 2 2 14.3%
58-67 1 1 2 14.3%
>68 0 0 0 0.0%
Unknown 0 0 0 0.0%
Focus Group DemographicsCharlottesville and Albemarle, 2012
Charlottesville Albemarle Number Percent
Marital Status
Married 1 9 10 71.4%
Widowed 0 0 0 0.0%
Divorced 0 0 0 0.0%
Never Married 2 2 4 28.6%
No Answer 0 0 0 0.0%
Employment status
Employed 3 11 14 100.0%
Retired 0 0 0 0.0%
Unemployed 0 0 0 0.0%
Disabled/ Unable to Work 0 0 0 0.0%
No Answer 0 0 0 0.0%
Focus Group DemographicsCharlottesville and Albemarle, 2012
Charlottesville Albemarle Number Percent
Education Completed
Less than eighth grade 0 0 0 0.0%
High school diploma or GED 0 0 0 0.0%
College degree (4 years or less of college) 0 8 8 57.1%
Advanced degree 3 3 6 42.9%
No Answer 0 0 0 0.0%
Income
< $15,000 3 2 5 35.7%
$15,000–$29,000 0 1 1 7.1%
$30,000–$44,000 0 4 4 28.6%
$45,000–$59,000 0 1 1 7.1%
$60,000–$74,000 0 0 0 0.0%
$75,000–$89,000 0 0 0 0.0%
>90,000 0 2 2 14.3%
No answer 0 1 1 7.1%
Focus Group Health Care CharacteristicsCharlottesville and Albemarle, 2012
Charlottesville Albemarle Number Percent
Medical Insurance
None 0 1 1 7.1%
Medicare 1 0 1 7.1%
Medicaid 0 0 0 0.0%
Private 1 1 2 14.3%
Employment-based 2 8 10 71.4%
Other 0 1 1 7.1%
No Answer 0 0 0 0.0%
On average, how many times each month do you use health care services (doctor, dentist, hospital, etc)?
1- 4 2 9 11 78.6%
5-9 0 0 0 0.0%
10-14 0 0 0 0.0%
15 or more 0 0 0 0.0%
Other: 1-4/year 0 0 0 0.0%
Never 1 2 3 21.4%
No Answer 0 0 0 0.0%
Focus Group Health Care CharacteristicsCharlottesville and Albemarle, 2012
Charlottesville Albemarle Number Percent
Do you have any of the following conditions? Check all that apply:
Smoking 0 0 0 0.0%
Diabetes 0 0 0 0.0%
Heart Disease 0 0 0 0.0%
Cancer 0 0 0 0.0%
Asthma 0 2 2 14.3%
High Blood Pressure 0 1 1 7.1%
Other 0 0 0 0.0%
Charlottesville Focus Group Results2012
• Mental Health– It is difficult to access mental health care
• Mental health providers aren’t visible within the community
• Stigma is a barrier to getting help
• Alcohol and Drug Use– Might be a consequence of not having access to
mental health care – may be a form of self-medication
– Finding substance abuse counselors is challenging – there aren’t many available
Charlottesville Focus Group Results2012
• Transportation– Is a community issue because people rely on
others for transportation to health care services– JAUNT is working well for people
• Cost/Insurance– Medicaid is limited as to what it covers in terms of
mental health• People who require assistance may not seek it
Charlottesville Focus Group Results 2012
• Weight and Obesity– The prevalence of diabetes among community
members makes this a significant issue• Type 2 diabetes is particularly common and has the
stigma of being the individual’s fault for being obese and acquiring the disease, which makes it a difficult issue for individuals
– It is a generational problem – parents pass on bad habits to their children
– Activity levels are low and people are more sedentary than they once were
Albemarle County Focus Group Results 2012
• Mental Health– Barriers surrounding mental health
• The stigma associated with mental health care (it starts in high school and continues through adulthood)
• The costs of mental health care – people are unsure what the costs of care are, which makes them unwilling to hunt for a provider, and insurance does not cover everything
• Many colleges provide services, but the same level of care is not available after college
– Should “normalize” services and make them more visible in the community
Albemarle County Focus Group Results 2012
• Weight and Obesity– May seem significant because it is a national
issue• On the other hand, anorexia may be an issue for
female teens in Albemarle County
– Once educated in nutrition, people are eager to share all that they learned within the community
– Reasons for Unhealthy Eating• Cost – it is more expensive to buy groceries from the
farmer’s market• Convenience – unhealthy food is more readily available
and easier to prepare
Albemarle County Focus Group Results 2012
• Alcohol and Drug Use– It is a problem for all age groups
• Unsure how much of an issue it is for the older community
• Alcohol is a particular problem among college students
– “You’re either part of the drug community or you’re not; there is no in-between.”
– Prescription drug use is a widespread problem
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