7,000 Refugees Settle in CT Since 2001; Burma, Congo, Iran, Somalia Most Frequent Origin

The United States has long been the global leader in resettling refugees, defined as people forced to flee their home country to escape war, persecution or violence, explains Smithsonian magazine in a state-by-state comparison. Since 2001, the magazine reports, more than 895,000 refugees have settled in the U.S., typically after being referred by the United Nations and vetted by the State Department in a process that takes at least 18 months. By comparison, a million or so legal immigrants arrive annually. From October 2001 through 2016, Burma, Iraq, Somalia, Bhutan, and Iran are the top five nations that send refugees to the U.S.

Refugees to the United States have come mostly from the Middle East, Asia and Africa. While many immigrants, legal and undocumented, come from Latin America, U.S. regulations make it difficult for Central and South Americans to qualify as refugees, according to Smithsonian.

The magazine developed a series of charts that compare refugee populations resettled in 41 states since October 2001. In depicting the refugees’ nation or origin, the breakdown in each state is limited to nationalities with at least 500 people, and no more than the top 5 nationalities are shown.

The number of refugees from those five nations, as well the total number of refugees is indicated.

For Connecticut, the total number of refugees is 7,144. The largest percentage of refugees come from Burma, Democratic Republic of the Congo, Iran and Somalia.  Those four nations were the home country for 3,824 of the refugees who settled in Connecticut since 2001.

Massachusetts' total is three times Connecticut - 21,441 refugees moving to the Bay State since 2001.

States with the largest number of refugees include California (102,614), Texas (81,765), New York (53,790), Florida (46,553), Minnesota (40,762), Washington (40,111), Arizona (39,031), Michigan (38,175), and Georgia (35,328).

There were nine states that had less than 500 refugees from a single country since October 2001:  Alabama, Alaska, Arkansas, Delaware, Hawaii, Mississippi, Montana West Virginia and Wyoming.

Public Transit Commutes Double, Triple Driving Time in CT Cities

People who take public transportation to get to work in the Bridgeport-Stamford-Norwalk area will have a commute nearly three times longer than those who drive to work.  In New Haven, the commute via public transportation is twice as long. Data compiled by Governing magazine indicate that across the nation’s largest metropolitan areas, public transportation riders spend significantly longer traveling to work than those who drive.  Data was compiled for the 25 largest metro areas, including New Haven-Milford and Bridgeport-Stamford-Norwalk.

Bridgeport-Stamford-Norwalk area public transportation commuters spend an average of 69.2 minutes traveling to work. By comparison, it takes those who drive 24.9 minutes.  The 44,742 estimated public transportation commuters account for 10 percent of commuters, according to the data.

New Haven-Milford area public transportation commuters spend an average of 48.4 minutes traveling to work. By comparison, it takes those who drive alone 23.9 minutes.  The 17,504 estimated public transportation commuters account for 4 percent of all commuters.

In nearly every metro area, driving to work remains far quicker than using a bus or train, taking less than half as long in some places.  Across the country, Governing reports, transit systems are seeking to attract new customers as the latest national statistics show stagnant ridership. Cutting down on commute times represents an opportunity to serve more riders who otherwise have a choice in how to get to work.

“Operating speed is going to be important for customers, so if they want to compete in that market, they need to be more competitive,” says Steven Polzin of the Center for Urban Transportation Research. “Time is important to folks across the full economic spectrum.”

Governing compiled the most recent Census survey data measuring total commute times, including travel to stations and the time spent waiting for buses or trains. In the 25 metro areas where public transportation accounts for the largest share of all commuting, riders reported commute times an average of 1.9 times greater than those who drove alone. Similar gaps exist in regions where public transportation isn’t as prevalent.

A metro area’s overall commute times partly reflect its different types of transit. Commuter rail passengers spend an average of 69 minutes traveling to work, far longer than those taking bus or light rail. Accordingly, areas relying more on heavy rail, like Bridgeport-Stamford-Norwalk, report lengthier commutes overall, Governing points out.

On average, the latest Census suggest Americans who drive alone spend an average of nearly 25 minutes traveling to work. The national average for bus commuters is 45 minutes, while those who ride subways or streetcars spend an average of 47 minutes traveling to work. For those who primarily walk to work, commute times average only 12 minutes.

College towns are about the only areas where public transportation commute times mirror those for auto commuters, according to the data compiled by Governing.

UConn Researcher: E-Cigarettes as Harmful as Tobacco

Researchers at the University of Connecticut have revealed evidence that electronic cigarettes, or e-cigarettes, may be as harmful as tobacco cigarettes. Since e-cigarettes came on the market in 2004, there has been considerable debate on their safety, as well as the potential adverse health effects on users. E-cigarettes have risen in popularity in recent years as many consider them a "safer" alternative to traditional tobacco cigarettes.

Now, a just-published study by chemists at the University of Connecticut offers new evidence that electronic cigarettes, or e-cigarettes, are potentially as harmful as tobacco cigarettes.  The contents of e-cigarettes -- known as e-liquid or e-juice -- contain propylene glycol, glycerine, nicotine and flavorings.

Using a low-cost, 3-D printed testing device, UConn researchers found that e-cigarettes loaded with a nicotine-based liquid are potentially as harmful as unfiltered cigarettes when it comes to causing DNA damage.

“Some people use e-cigarettes heavily because they think there is no harm,” said Karteek Kadimisetty, a postdoctoral researcher in UConn’s chemistry department and the study’s lead author. “We wanted to see exactly what might be happening to DNA, and we had the resources in our lab to do that.”

The researchers found that vapor from non-nicotine e-cigarettes caused as much DNA damage as filtered cigarettes, possibly due to the many chemical additives present in e-cigarette vapors. Cellular mutations caused by DNA damage can lead to cancer.

The findings appear in the journal ACS Sensors, a publication of the American Chemical Society.  ACS Sensors is a peer-reviewed research journal that is devoted to the dissemination of new and original knowledge on all aspects of sensor science that selectively sense chemical or biological species or processes.  Since publication, the research has been widely featured in the news media across the country.

How much DNA damage e-cigarettes cause depends on the amount of vapor the user inhales, the other additives present, whether nicotine or non-nicotine liquid is used, and other factors, according to Kadimisetty.

“From the results of our study, we can conclude that e-cigarettes have as much potential to cause DNA damage as unfiltered regular cigarettes,” Kadimisetty told UConn Today.

How much e-cigarettes contribute to serious health problems and whether they serve as a gateway for future tobacco smokers remains the subject of debate among scientists, legislators and the public. A year ago, the U.S. Food and Drug Administration tightened some regulations on e-cigarettes due to concerns that were raised.

Electronic cigarettes are battery-powered devices that heat up liquid and turn it into an aerosol vapor that can be inhaled. Using e-cigarettes is also called ‘vaping.’ The contents of e-cigarettes, called e-liquid or e-juice, are usually made up of propylene glycol, glycerine, nicotine, and flavorings such as menthol, cherry, vanilla, or mint. Non-nicotine e-cigarettes are also available.

Joining Kadimisetty and Rusling on the study, UConn Today reported, was former UConn Ph.D. student Spundana Malla, now a scientist at Alliance Pharma in Pennsylvania. The study was supported by funding from the National Institute of Environmental Health Sciences of the National Institutes of Health.

Photo: UConn postdoctoral researcher Karteek Kadimisetty. (Peter Morenus/UConn Photo)

Student News Stories Showcase Next Generation of Journalists

With journalism and journalists under increasing criticism and new technology making old models of financing investigative journalism tougher, Hartford’s FOX 61 is showcasing young journalists as they learn the profession and develop stories that reach local newscasts. FOX 61 Student News was relaunched in February after a multi-year absence, and last week honored students at a special year-end awards ceremony held at Goodwin College in East Hartford. During the school year, FOX61 Student News empowered Connecticut middle and high school students to explore the world of multi-media journalism by giving them the opportunity to capture, edit and publish original content under the guidance of industry professionals.

Each student produced and hosted a news segment that showcased a local story or event that aligns with the station’s weekly HOPE segment. The student stories were featured on-air during Friday's Good Day Connecticut at 6:20 a.m. 7:30 a.m., and during the 5 and 10 p.m. news.

Among the winning stories:

• Best in Student News Reporting and Writing was awarded to Manchester High School’s Kailey Feshler for her story on the CT Humane Society.
• Best in Student News Pre and Post Production and Editing was awarded to three students from Daniel Hand High School in Madison: Liam Bennett, Delvantae Hutton and Ashleigh Violette for their story on Saferides.
• Best in Student News Photography and Lighting was awarded to two students from Norwich Free Academy: Alyssa Friedrich and Maggie Peter for their story on Local Manufacturing.

The winners in each of these categories received a scholarship, donated by Fox 61.

• Most Compelling Student News Story was awarded to three students from South Windsor High School: Lauren Adamo, Madison Donahue and Hannah Mitchell for their story on Josie the Therapy Dog. They shared the $3,500 scholarship provided by local sponsor, Big Y World Class Market.

Through the years, many students have participated in the Fox 61 Student News, reporting on different issues in their communities.

FOX 61 is one of the nation's most highly rated FOX Network affiliates, producing more news and winning more awards than any station in Connecticut. FOX 61 now airs more than 61 hours of local news and public affairs programming each week, more than any other market station. FOX 61 is owned and operated by Tribune Media, one of the country’s leading multimedia companies.

Migration Patterns Show Some Pluses as Population Numbers Decline

Connecticut's total population has declined over the past 3 years.  In fact, in 2016 Connecticut's total population fell below 2010 levels. New England and our neighboring states have also experienced an increase in people leaving. However, Connecticut has fallen the most post-recession, according to an analysis by the Connecticut Data Collaborative. International migration has helped, the data shows, but not enough to offset domestic out-migration.  Average international in-migration has grown 29% post-recession compared to pre-recession, but in terms of overall net migration, the state has seen an increased loss starting from 2012.

The state gains prime working age adults and children and also attracts well-educated international migrants, according to the analysis, and Connecticut loses the smallest percent of graduate degree holders. By income, the largest flows are at the lowest income levels (though largely due to age of earners), though the state is experiencing a slight loss of its highest income earners (incomes of $5 million or more).

Among the factors contribution to the population decline:

• Post-recession, Connecticut has about 14% fewer births each year compared to pre-recession averages. Increased deaths are also slightly contributing to Connecticut's overall population decline.
• Average domestic out-migration has increased by 55% post-recession compared to pre-recession, a difference of about 9,200 people.

Young adults move at a higher rate than the rest of the population (larger flows both in and out of Connecticut), and the state is losing young adults on net (18-29 year olds), but gaining working age adults (30-49 year olds), the Data Collaborative analysis shows.

Historically, Connecticut experienced population losses to other regions of the U.S. This is also true of New England in general. However, the recent declines in Connecticut's total population are primarily driven by increasing rates of net domestic out-migration and to a smaller degree a declining birth rate. But there are positive trends.

The state gains prime working age adults and children. Connecticut also attracts well-educated international migrants, and loses the smallest percent of graduate degree holders.  By income, the largest flows are at the lowest income levels (though largely due to age of earners), though the state is experiencing a slight loss of its highest income earners (incomes of $5 million or more).

Connecticut's domestic migration trends are now more like New York and New Jersey.  However domestic out-migration has more than doubled in Connecticut while New York and New Jersey are better than pre-recession, the researchers found.

Good News, Bad News in State Health-Related Data, Analysis Finds

Connecticut is 11^th best among states in the number of people who had no trouble finding a doctor in 2015, according to State Health Compare. The top 10 states were Minnesota, Kansas, Vermont, Utah, North Dakota, Montana, Maine, Nebraska, Hawaii and Tennessee.  That's the good news. But Connecticut is also 17^th worst among states in the percent of residents with high medical cost burdens, at 23.1 percent. Utah has the highest percentage at 27.5 percent; Maryland the lowest at 15.3 percent, among the 50 states.

According to the data, 70.7 percent of state residents had a general doctor or provider visit during the year, a lower percentage than the national average of 73 percent, and ranking the state 38th in the nation.  The data also reveal that Connecticut is 19^th lowest among states in the percent of state budget devoted to Medicaid, and 28^th lowest in state public health spending per person.

Nearly one in ten Connecticut residents (9.1 percent) spent the night in a hospital during the year, 15^th highest in the nation.

Created by SHADAC, State Health Compare is a new online comparison tool with state-level estimates across 46 measures of health and health care from six federal agency sources. SHADAC is a multidisciplinary health policy research center with a focus on state health policy, supported by the Robert Wood Johnson Foundation and affiliated with the Health Policy and Management Division of the School of Public Health at the University of Minnesota.

Categories in the database include health insurance coverage, cost of care, health behaviors, outcomes, access, utilization, quality of care, public health, and social and economic factors. Metrics include costs of potentially preventable hospitalizations, percent of residents who needed but did not get care due to cost, chronic disease prevalence, weight assessment in schools, and adult cancer screening rates.

Data for most measures is available for multiple years, allowing trend analysis. Within most of the 46 measures, the tool allows visitors to dive deeper into the data by subpopulations such as by age, race/ethnicity, and education level. The tool provides a map, state rank and trend display for each metric. The data can be downloaded and exported.

The data was recently featured in CT Health Notes, a biweekly informational newsletter of the Connecticut Health Policy Project. It includes research summaries, news, event notices, policy proposals and other issues important to Connecticut’s health policy.

Start-up Entrepreneurial Activity Boosts CT's Ranking from 22 to 18 Among Nation's 25 Smaller States

In a state-by-state analysis of start-up business activities, Connecticut moved from ranking 22^nd among the smallest 25 states a year ago to 18^th this year – the largest forward progress of any of the nation’s 25 smallest states.  Vermont also moved up four positions, from 13^th to 9^th.  And Kansas advanced three positions, from 18^th to 15^th. This year among the 25 smaller states, Nevada was top in startup activity, followed by Oklahoma, Wyoming, Montana, and Idaho. Among smaller states, eleven ranked higher than they did last year, five experienced no changes in rankings, and another nine ranked lower.

The analysis was included in the 2017 Kauffman Index Startup Activity State Report, issued this month by the Ewing Marion Kauffman Foundation, based in Kansas City.

Among the twenty-five largest states, the five states with the highest startup activity in the 2017 Index were California, Texas, Florida, Arizona, and Colorado. Seventeen out of the twenty-five largest states had higher levels of startup activity in 2017 compared to last year.  Among the twenty-five largest states, the four that experienced the biggest increase in ranks in 2017 were Massachusetts, Tennessee, Washington, and Minnesota. The three that experienced the biggest negative shifts in rank in 2017 compared to 2016 were Louisiana, Maryland, and Virginia.

After two years of large increases, startup activity rose slightly in 2016, continuing an upward trend started in 2014, the report indicated. Only three years ago, the Startup Activity Index was at its lowest point in the last twenty years. Today it has gone up three years in a row, reaching close to the peak before the Great Recession drop, the report pointed out.

Among the twenty-five smallest states, the three that experienced the biggest increase in ranks in 2017 were Connecticut, Vermont, and Kansas. The three that experienced the biggest negative shifts in rank in 2017 compared to 2016 were Hawaii, Rhode Island, and Delaware.  In the twenty-five smallest states, the five states with the highest startup activity in the 2017 Index were Nevada, Oklahoma, Wyoming, Montana, and Idaho. Eleven smaller states had higher Startup Activity Index measures this year.

The Startup Activity Index is an index measure of a broad range of startup activity in the United States across national, state, and metropolitan-area levels. The Startup Activity Index captures startup activity along three dimensions:

• The Rate of New Entrepreneurs in the economy— the percentage of adults becoming entrepreneurs in a given month.
• The Opportunity Share of New Entrepreneurs—the percentage of new entrepreneurs driven primarily by “opportunity” as opposed to “necessity.”
• Startup Density—the rate at which businesses with employees are created in the economy.

Motorcycle Deaths in CT Projected to Remain Steady This Year and Next

The state Department of Transportation expects 47 motorcyclists to die in traffic accidents in this year and next.  According to a Department of Transportation report for Fiscal 2017, there was a fluctuating number of motorcyclist fatalities from 2010 to 2014, with a low of 37 in 2011 and a high of 57 in 2013.  Those numbers are expected to remain constant, department projections indicate. The report said the majority of motorcycle fatal and injury crashes occurred between the hours of noon and 8 p.m. and the crashes most commonly happened on Saturdays and Sundays.  Most fatal and injury crashes occurred in the summer months, and almost all motorcycle operators involved in crashes were male.

Cited most often as contributing factors were “driver lost control,” “driving too fast for conditions,” and “road condition/object in road.” In multiple vehicle crashes where the other driver was at fault, the major contributing factor in 47 percent of these crashes was failure to grant the right-of-way, the DOT report indicated. May is Motorcycle Safety Awareness Month.

Earlier this month, a Meriden man died in a motorcycle accident and another rider was injured in East Haven, and last week a Manchester man was seriously injured in a motorcycle crash in Manchester and an East Hartford man was killed in rural Washington.  Motorcycle accidents in April in Stonington, Coventry, and Middletown injured riders.  Earlier this year, state legislators discussed a bill proposing to reinstate Connecticut's motorcycle helmet law, which was repealed four decades ago. Currently, the law only requires riders under age 18 to wear helmets. That law was approved in 1989.  For adults driving or riding as a passenger, helmets are optional, as they have been since 1976.  After the February 10 public hearing, the bill has not moved forward.

Only about 42 percent of motorcyclists in Connecticut wear helmets, according to Neil Chaudhary, PhD, leader of a Trumbull team of premier investigators on behavioral traffic safety-related issues at Preusser Research Group, Inc.  In states where helmets are required, there is near 100 percent compliance, he recently told the Newtown Bee, adding professional driver training, offered throughout the state, can help riders to develop stronger defensive driving skills.

The Connecticut Transportation Safety Research Center reports the estimated loss to the state from motorcycle related injuries and death is $400 million. The group says helmet use reduced the risk of death by 37% and head injuries by 69%, FOX61 reported.

“Ultimately a motorcycle is more vulnerable because there is no protection like you have in a passenger vehicle. The only protection you have is what you put on yourself,” Dr Chaudhary told the local newspaper.

State Police set a goal in the report to train 5,000 motorcycle operators of all skill levels this year in an effort to reduce the number of deaths and injuries by reducing “operator error.”  The effort includes adopting a newly updated curriculum developed by the Motorcycle Safety Foundation for Department of Transportation's Connecticut Rider Education Program (CONREP). This new curriculum, according to the report, “will have a larger focus on rider responsibility and risk awareness.”  In addition, there will be a targeted media campaign, including promoting helmet use by all riders (not just those young riders currently covered under existing law), and “including motorcyclists in the planned emphasis on reducing impaired driving.”  The CONREP website, ride4ever.org provides updated information on education programs. 

The National Highway Transportation Safety Administration (NHTSA) reports that about 5,000 motorcycle operators and hundreds of motorcycle passengers lose their lives in accidents each year in the United States. These numbers account for about 13 percent of total traffic fatalities, even though motorcycles account for just three percent of all registered vehicles, the Newtown Bee reported.  In addition to the fatalities, about 100,000 operators and passengers are injured each year.

Matchmaker Event Seeks to Boost Local Small Businesses

Putting entrepreneurial, start-up and small businesses in the same place at the same time with business decision makers seeking suppliers, subcontractors and project partners is the concept that drives the CT Business Matchmaker, among Connecticut's largest events designed to bring together small, established businesses with “primes”—large and medium-sized companies, government agencies, educational institutions, and municipalities who are actively interested in increasing and diversifying their supplier lists. “The Matchmaker program is a premier event offering significant new opportunities for Connecticut-based small businesses,” said Fred Wergeles, director of the University of Hartford’s Entrepreneurial Center, which manages and hosts the event. “Bringing together large companies and agencies with small businesses in the fast-paced Matchmaker environment creates the spark for emerging relationships that will fuel the state’s economy. The Entrepreneurial Center provides pre-event training for both the large and small businesses to maximize the value of their participation in the program.”

The eighth annual event will be held on June 1, 7:00 AM to 2:30 PM on the university campus.  CT Business Matchmaker 2017 will offer an opportunity for small business owners to expand their contracting relationships. During the event, small businesses will present their products and services to potential customers in a series of ten- minute, one-on-one interviews with Primes. All Prime participants, including state and federal agencies, large corporations, municipalities, and educational institutions, come to the event with business needs they are seeking to fill.

“At Viking Construction, we are always looking for qualified subcontractors. We need to find the right company for the job in order to create a successful project, so relationships are very important to us. We know we’ll meet the quality we are seeking at CT Business Matchmaker,” said Michele Yeager, project administrator at Viking Construction.

“Through the CT Business Matchmaker, we accomplished our goal of reaching out to new subcontractors and providing economic opportunities to local businesses. They help get the small businesses ready for the opportunities we put out to bid,” said Michael Jefferson at the Metropolitan District (MDC). “I like to network with those agencies as well so I know what resources are available to support the success of our vendors. The MDC is committed to this process that helps build opportunities for small businesses.”

Wergeles also emphasized his organization’s effort to reach out to businesses run by women and minorities. “Through our Women’s Business Center, we also focus on recruiting women-owned and minority-owned businesses. These businesses traditionally receive fewer contracts, so we strive to provide more opportunities for them through this event.”

Additional organizing partners for CT Business Matchmaker include the University of Hartford’s Construction Institute, U.S. Small Business Administration, state Department of Administrative Services, CT Procurement Technical Assistance Program, state Commission on Human Rights and Opportunities, and the U.S. General Services Administration.

Participants include: Boston Scientific, Canberra Industries, Cianbro Corporation, City of Hartford, City of New Britain, Charter Oak Environmental Services, Inc., Colt's Manufacturing Company LLC, CT Airport Authority, Connecticut Lottery Corporation, CSCU, Dimeo Construction Company, Elbit Systems of America, Kollsman Inc., Enfield Enterprises Inc., Enterprise Builders, Inc., General Dynamics Electric Boat, Great Lakes Dredge & Dock Company, LLC, Greater Hartford Transit District, Harvard Pilgrim, Kaman Composite Structures, Manafort Brothers Incorporated, Methuen Construction Co., Inc., Pioneer Valley Transit Authority, Pitney Bowes, Sikorsky a Lockheed Martin Company, Skanska USA, Staples Business Advantage, Supervisor of Ship Building, The Hartford, The Metropolitan District, The Whiting-Turner Contracting Company, Triumph Integrated Systems, UCONN Health, UCONN Purchasing Dept., UConn Supplier Diversity Program, United States Navy, US Environmental Protection Agency, US General Services Administration – FAS, US General Services Administration – PBS, United Technology Aerospace Systems, Viking Construction, and Western CT State University.

Immigration Is Key to Connecticut's Economic Strength, Report Shows

By 2014, Connecticut was home to almost half a million people who were born abroad.  In Connecticut, like the country as a whole, immigrants are currently punching far above their weight class as entrepreneurs, according to a report issued last year highlighting the impact of immigrants in the state. Foreign-born workers make up 21.3 percent of all entrepreneurs in the state, despite accounting for 13.7 percent of Connecticut’s population. Their firms generated $1.1 billion in business income in 2014, according to the report.

The report, “The Contributions of New Americans in Connecticut,” was prepared by the Partnership for a New American Economy, an organization that “brings together more than 500 Republican, Democratic and Independent mayors and business leaders who support sensible immigration reforms that will help create jobs for Americans.”

Immigrants are nothing new in Connecticut.  Even the Land of Steady Habits keeps changing.  In 1990, the state was already home to more than 279,000 immigrants, a group that made up 8.5 percent of Connecticut’s population overall. By 2010, the number of immigrants in this small state had grown to almost 473,000 people. By 2014, Connecticut was home to almost half a million people who were born abroad.

The report research also found:

• Of the 18 Fortune 500 firms based in the state, 50 percent have at least one founder who was an immigrant or the child of an immigrant. For the country as a whole, the equivalent figure is 41.4 percent.
• In Connecticut immigrants held $13.8 billion in spending power in 2014, defined in this brief as the net income available to a family after paying federal, state, and local taxes.
• In Connecticut 69.8 percent of the foreign-born population is working aged, defined in the report as between the ages 25 and 64, while only 50.8 percent of the native-born population is. That 19 percentage point gap has major implications for the state’s workforce.
• Foreign-born residents makeup more than one in three employees in the state’s computer systems design and related services industry. They also account for 32.2 percent of the state’s workers in medical equipment and supplies, contributing to Connecticut’s sizeable medical devices and supplies manufacturing industry, which generated more than $2.1 billion in sales in 2012.
• Despite making up 13.7 percent of the state’s population, foreign-born Connecticut residents made up 23.8 percent of STEM workers in the state in 2014.

Research for the report also found that in 2016 nearly one in three physicians in Connecticut graduated from a foreign medical school, “a likely sign they were born elsewhere.”  Only six other U.S. states had a higher share of foreign-educated physicians. Immigrant healthcare practitioners also made up 15.3 percent of the state’s nurses in 2014, as well as 29.5 percent of those working as nursing, psychiatric, or home health aides. Both those figures were higher than the national average.