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APPENDIX 2: DEMOGRAPHY
The study area for this report is Mid Coast Maine, comprising fourteen communities:
Arrowsic, Bath, Bowdoin, Bowdoinham, Brunswick, Freeport, Georgetown, Harpswells,
Phippsburg, Richmond, Topsham, West Bath, and Woolwich. Total population of the region is
66, 207 (1990 Census figures).
Figures 2 and 3, respectively, reflect 1994-1996 death by place (numbers and
percentage). Total death have shown a gradual increase (542 to 562) over the three year
period. Most communities reflect an increase in deaths except for Brunswick, Arrowsic,
Bowdoin, and Phippsburg. Place of death figures reflect the major location of death: Maine
Hospital, At Home, and Intermediate Care Facilities. These comprise 539 (or 96%) of the
deaths in the region. Closer examination reflect trends in the sites between 1994 and
1996:
- Deaths in hospitals decreased from 252 to 236 (46% to 42%)
- Death at home increased from 118 to 134 (22% to 24%) – higher in 1995
- Deaths at Intermediate Care facilities increased from 128 to 169 (24% to 30%)
These shadow national studies that reveal a decrease in deaths in hospitals, an
increase in death at home with the largest increase being found in intermediate care
facilities.
The chief causes of death in the region are: infectious and parasitic diseases,
malignant neoplasms, diabetes mellitus, heart disease, cerebrovascular disease, pneumonia
and influenza, chronic obstruction and pulmonary disease, accidents and adverse effects
and all other causes. The three major causes of death are: malignancy, heart, chronic
obstruction pulmonary disease. Figure 1 depicts those three causes of death in number in
the three major locations of death in 1996. These figures also parallel national findings.
People with heart disease die in hospitals because of the suddenness or short term factor.
Cancer, for the most part, is a factor of longer, more prolonged process and, as a result,
people die in intermediate and extended care facilities (nursing homes).
Appendix 2, Figure 1
Major Causes of Death by Site |
Site |
Total Deaths by Site |
Malignant Neoplasms |
Heart Disease |
Chronic Obstruction Pulmonary Disease |
Maine Hospital |
236 |
63 (25.4 %) |
75 (30.2%) |
20 (8.1%) |
At Home |
134 |
31 (18.3%) |
48 (28.4%) |
13 (7.7%) |
Intermediate
Care Facility |
169 |
57 (42.5%) |
38 (28.4%) |
8 (6.7%) |
Total |
539 |
151 |
161 |
41 |
Percentages reflect
percentages of death by site. |
Figure 2: Number of deaths
by place of death
Residents of towns in Sagadahoc County, Brunswick, Freeport and
Harpswell |
Town |
Regional Total |
Maine Hospital |
At Home |
Intermediate
Care Facility |
Nursing Care |
Out of State
Hospital |
En Route to
Hospital |
Out Patient,
Penal Inst. |
Other |
Year |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
Brunswick |
195 |
175 |
163 |
107 |
85 |
70 |
36 |
46 |
36 |
39 |
38 |
50 |
4 |
|
|
2 |
3 |
5 |
1 |
|
|
|
|
|
6 |
3 |
2 |
Freeport |
67 |
53 |
70 |
24 |
19 |
27 |
6 |
11 |
10 |
36 |
23 |
30 |
1 |
|
|
|
|
|
|
|
2 |
|
|
|
|
|
1 |
Harpswell |
41 |
34 |
44 |
14 |
13 |
19 |
13 |
16 |
15 |
10 |
5 |
8 |
1 |
|
|
|
|
1 |
2 |
|
|
|
|
|
1 |
|
1 |
Arrowsic |
3 |
3 |
1 |
1 |
1 |
|
2 |
1 |
|
|
1 |
1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Bath |
86 |
97 |
101 |
45 |
30 |
48 |
15 |
25 |
18 |
15 |
39 |
33 |
6 |
|
|
|
2 |
|
|
1 |
1 |
|
|
|
5 |
|
1 |
Bowdoin |
21 |
14 |
13 |
8 |
9 |
6 |
7 |
3 |
5 |
3 |
1 |
2 |
1 |
|
|
|
1 |
|
|
|
|
|
|
|
2 |
|
|
Bowdoinham |
12 |
11 |
12 |
3 |
5 |
6 |
4 |
2 |
4 |
5 |
3 |
2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
|
Georgetown |
6 |
15 |
8 |
4 |
8 |
4 |
1 |
4 |
2 |
|
1 |
2 |
1 |
|
|
|
1 |
|
|
|
|
|
|
|
|
1 |
|
Phippsburg |
17 |
14 |
11 |
4 |
5 |
5 |
8 |
6 |
2 |
3 |
3 |
4 |
|
|
|
1 |
|
|
1 |
|
|
|
|
|
|
|
|
Richmond |
27 |
24 |
29 |
9 |
11 |
12 |
8 |
9 |
12 |
6 |
2 |
2 |
|
|
|
1 |
1 |
1 |
2 |
|
|
|
|
|
1 |
1 |
2 |
Topsham |
50 |
70 |
75 |
24 |
30 |
25 |
14 |
17 |
21 |
9 |
18 |
26 |
1 |
|
|
|
1 |
1 |
1 |
1 |
|
|
|
|
1 |
3 |
2 |
West Bath |
8 |
12 |
11 |
6 |
6 |
2 |
2 |
5 |
4 |
|
|
4 |
|
|
|
|
1 |
|
|
|
|
|
|
|
|
|
1 |
Woolwich |
9 |
26 |
24 |
3 |
12 |
12 |
2 |
9 |
5 |
2 |
4 |
5 |
2 |
|
|
|
|
1 |
|
|
|
|
|
|
|
1 |
1 |
Totals |
542 |
548 |
562 |
252 |
234 |
236 |
118 |
154 |
134 |
128 |
138 |
169 |
17 |
|
|
4 |
10 |
9 |
7 |
2 |
3 |
|
|
|
16 |
10 |
11 |
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Figure 3: Percent of deaths
by place of death |
Town |
Regional Total |
Maine Hospital |
At Home |
Intermediate
Care Facility |
Nursing Care |
Out of State
Hospital |
En Route to
Hospital |
Out Patient,
Penal Inst. |
Other |
Year |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
94 |
95 |
96 |
Brunswick |
195 |
175 |
163 |
55% |
49% |
43% |
18% |
26% |
22% |
20% |
22% |
31% |
2% |
|
|
1% |
2% |
3% |
1% |
|
|
|
|
|
3% |
2% |
1% |
Freeport |
67 |
53 |
70 |
36% |
36% |
39% |
9% |
21% |
14% |
54% |
43% |
43% |
1% |
|
|
|
|
|
|
|
3% |
|
|
|
|
|
1% |
Harpswell |
41 |
34 |
44 |
34% |
38% |
43% |
32% |
47% |
34% |
24% |
15% |
18% |
2% |
|
|
|
|
2% |
5% |
|
|
|
|
|
2% |
|
2% |
Arrowsic |
3 |
3 |
1 |
33% |
33% |
|
67% |
33% |
|
|
33% |
100% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Bath |
86 |
97 |
101 |
52% |
31% |
48% |
17% |
26% |
18% |
17% |
40% |
33% |
7% |
|
|
|
2% |
|
|
1% |
1% |
|
|
|
6% |
|
1% |
Bowdoin |
21 |
14 |
13 |
38% |
64% |
46% |
33% |
21% |
38% |
14% |
7% |
15% |
5% |
|
|
|
7% |
|
|
|
|
|
|
|
10% |
|
|
Bowdoinham |
12 |
11 |
12 |
25% |
45% |
50% |
33% |
18% |
33% |
42% |
27% |
17% |
|
|
|
|
|
|
|
|
|
|
|
|
|
9% |
|
Georgetown |
6 |
15 |
8 |
67% |
53% |
50% |
17% |
27% |
25% |
|
7% |
25% |
17% |
|
|
|
7% |
|
|
|
|
|
|
|
|
7% |
|
Phippsburg |
17 |
14 |
11 |
24% |
36% |
45% |
47% |
43% |
18% |
18% |
21% |
36% |
|
|
|
|
|
|
6% |
|
|
|
|
|
|
|
|
Richmond |
27 |
24 |
29 |
33% |
46% |
41% |
30% |
38% |
41% |
22% |
8% |
7% |
|
|
|
|
4% |
3% |
7% |
|
|
|
|
|
4% |
4% |
7% |
Topsham |
50 |
70 |
75 |
48% |
43% |
33% |
28% |
24% |
28% |
18% |
26% |
35% |
2% |
|
|
|
1% |
1% |
2% |
1% |
|
|
|
|
2% |
4% |
3% |
West Bath |
8 |
12 |
11 |
75% |
50% |
18% |
25% |
42% |
36% |
|
|
36% |
|
|
|
|
8% |
|
|
|
|
|
|
|
|
|
9% |
Woolwich |
9 |
26 |
24 |
33% |
46% |
50% |
22% |
35% |
21% |
22% |
15% |
21% |
22% |
|
|
|
|
4% |
|
|
|
|
|
|
|
4% |
4% |
Totals |
542 |
548 |
562 |
46% |
43% |
42% |
22% |
28% |
24% |
24% |
25% |
30% |
3% |
|
|
1% |
2% |
2% |
1% |
|
1% |
|
|
|
3% |
2% |
2% |
| Prepared by: Maine Department of Human
Services, Bureau of Health, Office of Data, Research and Vital Statistics, Janurary, 1998. |
A Call To Action
Appendix 3
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