The Purpose

In 2003, the RHC released a report on the state of health status, health disparity, and performance of the health care safety net in the St. Louis region.  The RHC committed to creating an updated report to look at community-wide progress in improving health status.

Released in 2012, the Decade Review of Health Status reaches that goal, and focuses on change over the past decade in 14 leading health indicators across St. Louis City and County. For example, the report measures prevalence of breast cancer, hypertension, sexually transmitted infections, and other factors of health status over the course of the decade.

The report was a collaborative and consensus-based effort led by the RHC’s Health Status Reporting Task Force, co-chaired by Dr. Dolores Gunn, Director of St. Louis County Department of Health, and Pamela Walker, Interim Director of the City of St. Louis Department of Health.

Objectives Fulfilled

  1. Present an objective analysis of change in leading health indicators and disparity metrics in St. Louis City and County from 2000-2010.
  2. Highlight noteworthy and relevant “success stories” about change in health status or factors that impact health in St. Louis City and County from 2000-2010.
  3. Provide a data-driven platform to guide future RHC and community-based funding initiatives geared toward improving health care access, reducing health disparities, and improving health outcomes for the uninsured and underinsured in St. Louis City and County in the decade to come.

Key Findings

The following are key findings from the Decade Review of Health Status Report.  For further detail on each, please download the report.

Download the Report

  1. Over the past 10 years, the region has seen substantial drops in mortality attributable to leading chronic health conditions
  2. The St. Louis region looks much different today than it did a decade ago.  Statistics about age, poverty, and racial/ethnic composition indicate considerable change
  3. Poor health outcomes continue to be geographically concentrated.
  4. Despite overall improvement in health status throughout the region over the past 10 years, race- and gender-based disparities persist.
  5. Despite overall improvement in health status over the past decade, negative trends in obesity, tobacco use, and inactivity were observed.  These risk factors are associated with many social determinants of health.

Over the last 10 years, the following gains in health occurred in the St. Louis region:

  • Heart disease mortality fell 29% in the region between 2000 and 2010
  • Diabetes mortality rates declined 24% in both the City and the County
  • Mortality rates for stroke fell 30% in region
  • Mortality rates for breast, lung, colorectal and prostate cancer fell (11-24%)
  • Lead poisoning prevalence dropped in the City, from 31% to 3%
  • The number of births by teenage mothers (ages 15-17) fell by 30%

Check out the Executive Summary for additional information on the progress made. Also, check out the RHC press page to read coverage related to the Health Status Report.

Key Documents

For further details on the report, please read the following:

Decade Review of Health Status Report

Download the Report

Decade Review of Health Status Report Appendices

Population for St. Louis City and County by Zip Code, All Ages
Appendix A.1

Population for St. Louis City and County by Zip Code, Under 5 Years Old
Appendix A.2

Heart Disease, Hospitalization Rates for St. Louis City and County by Zip Code, All Ages
Appendix B

Diabetes, Hospitalization Rates for St. Louis City and County by Zip Code, All Ages
Appendix C

Stroke, Hospitalization Rates for St. Louis City and County by Zip Code, All Ages
Appendix D

Chronic Pulmonary Disorder (COPD), Hospitalization Rates for St. Louis City and County by Zip Code, All Ages
Appendix E

Breast Cancer, Morality Rates for St. Louis City and County by Zip Codes, Females Only
Appendix F.1

Prostate Cancer, Mortality Rates for St. Louis City and County by Zip Codes, Males Only
Appendix F.2

Childhood Asthma, Acute Care Rates for St. Louis City and County by Zip Code, Under 15 Years Old
Appendix G

Behavioral Health, Acute Care Rates for St. Louis City and County by Zip Code, All Ages
Appendix H

Sexually Transmitted Infections, Rates for St. Louis City and County by Zip Code, All Ages, Males and Females
Appendix I

Injury Victims of Violence (Assault), Rates for St. Louis City and County by Zip Code, All Ages
Appendix J

References
Appendix K

Decade Review of Health Status Executive Summary

Download the Executive Summary