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The availability of preventive services and medical care utilization data for public use is very limited. This section compares the immunization rates, prenatal care use, and hospitalization rates for Arizona and its 15 counties. The Arizona Department of Health Services Community Health Profiles website provides selected community rates:
http://www.azdhs.gov/hsd/chpprofiles.htm
Immunization: The Arizona State Immunization System reported the two-year old child immunization rates for 4 DTP/DTap, 3 Polio, 1 MMR, and 3 HIB (4-3-1-3).
Table 1
shows the two-year rates (2000 and 2001) for Arizona and its 15 counties. The state 2000 and 2001 immunization rates (71.3% and 72.9%) were below the national rates (74.2% and 74.5%), respectively. Although the two urban counties immunization rates increased between 2000 and 2001, the rates were significantly lower than the state rates for the same period of time. Both rural-urban county immunization rates were above the state rates in 2001. Two the 11 rural-rural counties (Apache and Navajo) had the lowest immunization rates of all 15 counties for both 2000 and 2001.
Prenatal Care:
Table 2
,
Table 3
and
Table 4
summarize prenatal care in Arizona and its 15 counties from 1997 and 2001. The prenatal care state rate, started in the first trimester, increased during the last three years (1999 -2001). This was also the same trend for three counties: Maricopa (75.8% to 78.1%), Mohave (71.4% to 74.9%), and Yavapai (70.2% to 76.0%).
In 2001, the state beginning prenatal care in the first trimester percentage was 75.5%. Both urban counties had beginning prenatal care in the first trimester percentage above 70% (Maricopa – 80.6% and Pima – 71.6%). Of the two rural-urban counties, Coconino (80.6%) had the highest beginning prenatal care in the first trimester percentage of the 15 counties, and (63.8%) Yuma had the second lowest percentage. The three border rural counties were among the lowest first prenatal care trimester percentages (Cochise – 67.8%, Santa Cruz - 67.5%, and Yuma – 63.8%). These percentages do not include prenatal care that was obtained in Mexico.
During 1998 to 2001, the state average number of prenatal visits rose at a steady rate (11.1 to 11.4). Of the 15 counties, only Maricopa County had a similar trend (11.4 to 11.9). The overall trend for Gila (10.3 to 9.9) and Pima (11.2 to 10.5) Counties declined during the same time period. Both Greenlee and La Paz did not have any obstetrics/gynecology physicians nor certified nurse-midwives in their counties during the five year period. As expected, almost 100% of expectant mothers’ deliveries occurred outside the county.
Hospital Services: As expected, hospitalization rates increased with age in 2001, except for the 0-14 years of age group that had higher rates than those 15-19 years (refer to
Table 5
for details). For all 15 counties, the highest users of hospital services were those 65 years of age and older.
Table 6
presents the hospitalization rates for asthma, diabetes, heart attack, and stroke in 2000 and 2001. During 2000 and 2001, Apache and Coconino were the only two counties that had lower hospitalization rates for all four health conditions.
Dataline
Population Characteristics
Health Practitioner Workforce
Health Care Facilities, Telemedicine
Health Care Coverage
Health Services Utilization
Health Indicators
Tribal Health
