Health Indicators (Key)

Favorable Similar Unfavorable
Favorable Similar Unfavorable
 
Click on each indicator to see more. For complete information, download the full report.
 
Note: Healthy People 2020 (HP2020) is a widely accepted set of health promotion and disease prevention goals for all Americans.
 
Empty cells represent areas with no comparison data.
 
Social Determinants Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
Linguistically Isolated Population (Percent) 3.4
unfavorable
1.8
unfavorable
3.1
favorable
4.5
Population in Poverty (Percent) 12.0
similar
12.3
similar
12.4
favorable
15.1
Population Below 200% FPL (Percent) 28.2
similar
29.6
favorable
30.5
favorable
33.6
Children Below 200% FPL (Percent) 35.6
similar
36.4
favorable
38.5
favorable
43.3
No High School Diploma (Age 25+, Percent) 9.1
unfavorable
8.3
similar
9.3
favorable
13.0
Unemployment Rate (Age 16+, Percent) 2.5
similar
2.5
similar
2.4
favorable
3.9
favorable
3.4
% Low Health Literacy 13.0
favorable
23.3
% Worry/Stress Over Mortgage/Rent in Past Year 20.1
favorable
30.8
% "Often/Sometimes" Worry That Food Will Run Out 11.3
favorable
25.3
favorable
18.8
% Went w/o Electricity, Water, Heat in the Past Year 5.2
% Experienced Unhealthy Housing Conditions in Past Year 6.1
% 4+ Adverse Childhood Experiences (High ACEs Score) 15.1
 
Return to Top
 
Overall Health Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
% "Fair/Poor" Physical Health 12.4
similar
13.9
favorable
14.7
favorable
18.1
similar
12.7
% Activity Limitations 20.2
similar
18.4
unfavorable
17.8
favorable
25.0
similar
18.4
% Caregiver to a Friend/Family Member 26.7
unfavorable
20.8
 
Return to Top
 
Access to Health Services Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
% [Age 18-64] Lack Health Insurance 7.9
similar
7.8
favorable
14.7
favorable
13.7
unfavorable
0.0
favorable
12.1
% [Insured] Went Without Coverage in Past Year 3.7
favorable
5.5
% Difficulty Accessing Healthcare in Past Year (Composite) 31.7
favorable
43.2
similar
33.4
% Inconvenient Hrs Prevented Dr Visit in Past Year 11.9
similar
12.5
similar
12.5
% Cost Prevented Getting Prescription in Past Year 10.5
favorable
14.9
favorable
14.3
% Cost Prevented Physician Visit in Past Year 9.4
unfavorable
7.7
favorable
12.1
favorable
15.4
favorable
14.5
% Difficulty Getting Appointment in Past Year 11.8
favorable
17.5
similar
10.5
% Difficulty Finding Physician in Past Year 6.0
favorable
13.4
similar
6.6
% Cultural/Language Differences Prevented Med Care/Past Yr 0.4
favorable
1.2
favorable
0.9
% Transportation Hindered Dr Visit in Past Year 3.7
favorable
8.3
similar
4.7
% [Sarpy/Cass/Pott.] Traveled 30+ Min for Medical Appt/Past Yr 16.8
similar
19.6
% “Very/Somewhat” Likely to Participate in a Tele-Health Visit 69.1
% Skipped Prescription Doses to Save Costs 10.5
favorable
15.3
favorable
13.6
Primary Care Doctors per 100,000 119.5
favorable
84.0
favorable
90.7
favorable
87.8
favorable
108.7
% [Age 18+] Have a Specific Source of Ongoing Care 66.1
unfavorable
74.1
unfavorable
95.0
% Have a Particular Place for Medical Care 86.0
favorable
77.2
favorable
76.0
favorable
82.2
similar
86.3
% Have Had Routine Checkup in Past Year 71.5
similar
71.6
favorable
65.4
similar
68.3
favorable
66.8
% Two or More ER Visits in Past Year 6.4
favorable
9.3
unfavorable
4.9
% Attended Health Event in Past Year 27.6
favorable
23.8
% Rate Local Healthcare "Fair/Poor" 6.7
favorable
16.2
favorable
8.9
 
Return to Top
 
Arthritis, Osteoporosis & Chronic Back Conditions Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
% Chronic Pain (Arthritis, Back Pain, etc.) 29.4
 
Return to Top
 
Cancer Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
Cancer (Age-Adjusted Death Rate) 166.2
similar
163.3
unfavorable
157.0
similar
158.5
similar
161.4
favorable
185.5
Lung Cancer (Age-Adjusted Death Rate) 44.4
similar
43.0
unfavorable
39.9
unfavorable
40.3
similar
45.5
Prostate Cancer (Age-Adjusted Death Rate) 20.4
unfavorable
19.2
unfavorable
17.1
unfavorable
19.0
favorable
21.8
Female Breast Cancer (Age-Adjusted Death Rate) 20.6
unfavorable
19.0
similar
20.2
similar
20.3
similar
20.7
Colorectal Cancer (Age-Adjusted Death Rate) 14.8
similar
14.8
similar
15.2
similar
14.1
similar
14.5
Prostate Cancer Incidence per 100,000 116.1
similar
112.2
similar
119.6
similar
114.8
Female Breast Cancer Incidence per 100,000 129.2
similar
122.8
unfavorable
121.8
similar
123.5
Lung Cancer Incidence per 100,000 70.9
unfavorable
63.9
unfavorable
59.6
unfavorable
61.2
Colorectal Cancer Incidence per 100,000 44.3
similar
45.4
similar
43.6
unfavorable
39.8
Cervical Cancer Incidence per 100,000 6.3
favorable
6.7
favorable
7.2
favorable
7.6
% Cancer 9.2
% [Women 50-74] Mammogram in Past 2 Years 83.7
favorable
77.6
favorable
73.5
favorable
77.0
favorable
81.1
similar
82.3
% [Women 21-65] Pap Smear in Past 3 Years 82.5
similar
81.6
favorable
77.7
favorable
73.5
unfavorable
93.0
unfavorable
86.7
% [Age 50+] Sigmoid/Colonoscopy Ever 83.0
favorable
75.3
favorable
74.2
% [Age 50+] Blood Stool Test in Past 2 Years 20.3
unfavorable
30.6
unfavorable
29.5
% [Age 50-75] Colorectal Cancer Screening 80.5
favorable
68.6
favorable
66.0
similar
76.4
favorable
70.5
favorable
75.3
 
Return to Top
 
Chronic Kidney Disease Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
Kidney Disease (Age-Adjusted Death Rate) 11.1
unfavorable
8.0
similar
10.7
favorable
13.2
favorable
13.0
 
Return to Top
 
Dementias, Including Alzheimer's Disease Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
Alzheimer's Disease (Age-Adjusted Death Rate) 32.3
unfavorable
30.3
unfavorable
24.3
unfavorable
28.4
unfavorable
25.7
% [Age 45+] Increasing Memory Loss/Confusion in Past Yr 9.0
similar
11.2
 
Return to Top
 
Diabetes Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
Diabetes Mellitus (Age-Adjusted Death Rate) 22.8
favorable
24.4
similar
22.7
unfavorable
21.1
unfavorable
20.5
similar
23.7
% Diabetes/High Blood Sugar 11.2
unfavorable
9.3
unfavorable
8.8
similar
13.3
similar
10.6
% Borderline/Pre-Diabetes 7.7
similar
9.5
% [Non-Diabetes] Blood Sugar Tested in Past 3 Years 55.0
favorable
50.0
favorable
49.5
 
Return to Top
 
Family Planning Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
Births to Teenagers (Percent) 4.5
favorable
4.9
favorable
5.0
favorable
5.8
favorable
8.2
 
Return to Top
 
Heart Disease & Stroke Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
Diseases of the Heart (Age-Adjusted Death Rate) 143.2
favorable
160.3
similar
145.9
favorable
167.0
favorable
156.9
favorable
163.6
Stroke (Age-Adjusted Death Rate) 35.4
unfavorable
33.2
similar
33.8
similar
37.1
similar
34.8
favorable
41.9
% Heart Disease (Heart Attack, Angina, Coronary Disease) 4.7
favorable
8.0
similar
5.2
% Stroke 2.4
similar
3.1
similar
2.8
favorable
4.7
similar
2.3
 
Return to Top
 
HIV Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
HIV/AIDS (Age-Adjusted Death Rate) 1.4
unfavorable
0.6
unfavorable
0.9
favorable
2.5
favorable
3.3
HIV Prevalence per 100,000 192.2
unfavorable
75.9
unfavorable
120.3
favorable
353.2
% [Age 18-44] HIV Test in the Past Year 20.6
similar
24.7
favorable
16.1
 
Return to Top
 
Injury & Violence Prevention Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
Unintentional Injury (Age-Adjusted Death Rate) 35.5
favorable
43.3
favorable
38.2
favorable
43.7
similar
36.4
unfavorable
29.9
Motor Vehicle Crashes (Age-Adjusted Death Rate) 9.5
favorable
10.9
favorable
12.4
favorable
11.0
favorable
12.4
unfavorable
9.0
% [Age 45+] Fell in the Past Year 30.1
similar
31.6
[Age 65+] Fall-Related Deaths 70.7
favorable
89.7
unfavorable
62.6
unfavorable
60.6
Firearm-Related Deaths (Age-Adjusted Death Rate) 10.2
unfavorable
8.2
unfavorable
9.2
favorable
11.1
unfavorable
9.3
unfavorable
9.4
% Firearm in Home 36.4
unfavorable
32.7
similar
33.7
% [Homes With Children] Firearm in Home 36.4
similar
39.1
unfavorable
32.3
% [Homes With Firearms] Weapon(s) Unlocked & Loaded 12.5
favorable
26.9
similar
10.4
Homicide (Age-Adjusted Death Rate) 5.6
unfavorable
2.6
unfavorable
3.6
similar
5.6
similar
5.5
favorable
5.9
Violent Crime per 100,000 410.4
unfavorable
270.6
unfavorable
271.2
unfavorable
379.7
% Victim of Violent Crime in Past 5 Years 1.3
favorable
3.7
favorable
2.5
% Perceive Neighborhood as "Slightly/Not At All Safe" 13.9
similar
15.6
favorable
17.4
% Intimate Partner Was Controlling/Harassing in Past 5 Yrs 4.1
favorable
6.4
% Victim of Domestic Violence (Ever) 13.4
similar
14.2
similar
12.0
 
Return to Top
 
Maternal, Infant & Child Health Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
No Prenatal Care in First Trimester (Percent) 25.7
unfavorable
19.9
similar
24.7
unfavorable
22.1
favorable
29.6
Low Birthweight Births (Percent) 7.4
unfavorable
6.7
unfavorable
6.9
favorable
8.1
favorable
7.8
similar
7.6
Infant Death Rate 6.2
unfavorable
5.1
unfavorable
5.8
similar
5.9
similar
6.0
similar
6.0
 
Return to Top
 
Mental Health & Mental Disorders Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
% "Fair/Poor" Mental Health 8.3
favorable
13.0
similar
9.0
% Symptoms of Chronic Depression (2+ Years) 26.3
favorable
31.4
similar
25.1
Suicide (Age-Adjusted Death Rate) 12.0
favorable
13.8
favorable
12.7
favorable
13.0
unfavorable
10.2
unfavorable
10.3
% Typical Day Is "Extremely/Very" Stressful 10.0
favorable
13.4
similar
11.5
% Taking Rx/Receiving Mental Health Trtmt 14.4
similar
13.9
% Unable to Get Mental Health Svcs in Past Yr 2.7
favorable
6.8
% Have Someone to Turn to All/Most of the Time 86.1
 
Return to Top
 
Nutrition, Physical Activity & Weight Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
% Eat 5+ Servings of Fruit or Vegetables per Day 24.6
unfavorable
33.5
unfavorable
35.8
% Had 7+ Sugar-Sweetened Drinks in the Past Week 24.3
favorable
29.0
favorable
28.3
% "Very/Somewhat" Difficult to Buy Fresh Produce 16.1
favorable
22.1
favorable
22.8
Population With Low Food Access (Percent) 19.2
favorable
21.4
favorable
21.3
favorable
22.4
% Healthy Weight (BMI 18.5-24.9) 28.2
similar
30.2
similar
29.7
similar
30.3
unfavorable
33.9
unfavorable
31.0
% Overweight (BMI 25+) 70.7
similar
68.7
unfavorable
68.5
similar
67.8
unfavorable
67.5
% Obese (BMI 30+) 33.5
similar
32.0
similar
32.0
similar
32.8
unfavorable
30.5
unfavorable
30.3
% Medical Advice on Weight in Past Year 22.1
similar
24.2
unfavorable
24.7
% [Overweights] Counseled About Weight in Past Year 27.2
unfavorable
31.7
% [Overweight] Trying to Lose Weight 54.3
unfavorable
61.3
% No Leisure-Time Physical Activity 22.1
similar
22.7
similar
22.5
favorable
26.2
favorable
32.6
unfavorable
16.7
% Meeting Physical Activity Guidelines 22.0
favorable
19.4
similar
21.8
similar
22.8
favorable
20.1
Recreation/Fitness Facilities per 100,000 13.9
favorable
11.5
favorable
12.2
favorable
10.5
% Use Local Parks/Recreation Centers at Least Weekly 32.0
unfavorable
40.5
% Use Local Trails at Least Monthly 42.0
unfavorable
49.8
% Lack of Sidewalks/Poor Sidewalks Prevent Exercise 16.0
favorable
20.1
% Lack of Trails/Poor Quality Trails Prevent Exercise 14.0
similar
12.9
% Heavy Traffic in Neighborhood Prevents Exercise 13.2
favorable
16.7
% Lack of Street Lights/Poor Street Lights Prevent Exercise 9.9
similar
9.4
% Crime Prevents Exercise in Neighborhood 8.6
favorable
11.0
 
Return to Top
 
Oral Health Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
% [Age 18+] Dental Visit in Past Year 76.8
favorable
71.4
favorable
68.7
favorable
59.7
favorable
49.0
favorable
70.4
 
Return to Top
 
Respiratory Diseases Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
CLRD (Age-Adjusted Death Rate) 52.5
unfavorable
48.5
similar
50.6
unfavorable
40.9
favorable
56.3
Pneumonia/Influenza (Age-Adjusted Death Rate) 16.3
unfavorable
13.2
unfavorable
15.4
unfavorable
14.6
similar
15.9
% COPD (Lung Disease) 9.1
unfavorable
5.4
unfavorable
5.8
similar
8.6
unfavorable
7.4
% [Adult] Currently Has Asthma 9.3
unfavorable
7.8
similar
8.3
favorable
11.8
similar
8.6
 
Return to Top
 
Sexually Transmitted Diseases Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
Gonorrhea Incidence per 100,000 138.7
unfavorable
53.1
unfavorable
78.1
unfavorable
110.7
unfavorable
122.0
Chlamydia Incidence per 100,000 535.1
unfavorable
382.0
unfavorable
399.6
unfavorable
456.1
unfavorable
453.2
% [Unmarried 18-64] 3+ Sexual Partners in Past Year 8.7
favorable
13.8
unfavorable
3.3
% [Unmarried 18-64] Using Condoms 30.8
unfavorable
39.4
favorable
19.5
 
Return to Top
 
Substance Abuse Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
Cirrhosis/Liver Disease (Age-Adjusted Death Rate) 8.8
similar
9.1
similar
8.4
favorable
10.6
unfavorable
8.2
unfavorable
7.4
% Have Ever Shared Prescription Medication 8.0
% Used Opioids or Opiates in the Past Year 18.1
% Current Drinker 69.5
unfavorable
59.2
unfavorable
59.8
unfavorable
55.0
% Binge Drinker (Single Occasion - 5+ Drinks Men, 4+ Women) 23.1
similar
21.2
unfavorable
20.0
unfavorable
20.0
similar
24.4
% Excessive Drinker 26.0
unfavorable
22.5
similar
25.4
% Drinking & Driving in Past Month 5.0
favorable
6.2
similar
5.7
similar
5.2
similar
5.8
Drug-Induced Deaths (Age-Adjusted Death Rate) 7.2
favorable
7.8
unfavorable
5.5
favorable
14.3
favorable
11.3
unfavorable
5.3
% Ever Sought Help for Alcohol or Drug Problem 3.6
similar
3.4
similar
3.9
 
Return to Top
 
Tobacco Use Metro Area vs. IA vs. NE vs. US vs. HP2020 TREND
% Current Smoker 11.7
favorable
16.7
favorable
17.0
favorable
16.3
similar
12.0
favorable
17.0
% Someone Smokes at Home 7.3
favorable
10.7
favorable
15.1
% [Non-Smokers] Someone Smokes in the Home 2.6
similar
4.0
% [Smokers] Received Advice to Quit Smoking 66.3
similar
58.0
% Currently Use Electronic Cigarettes (E-Cigarettes) 4.6
similar
4.3
similar
4.9
similar
3.8
similar
5.8
% Use Smokeless Tobacco 3.1
favorable
4.6
favorable
5.7
similar
4.4
unfavorable
0.3
similar
3.0
 
Return to Top