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2018 Community Health Needs Assessment Report

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2018 Community Health Needs Assessment Report 2018 Community Health Needs Assessment Report Kane County, Illinois Prepared for: Kane County Health Department By: Professional Research Consultants, Inc. 11326 P Street Omaha, NE 68137-2316 www.PRCCustomResearch.com 2017-0852-02 © April 2018 COMMUNITY HEALTH NEEDS ASSESSMENT Table of Contents Introduction 6 Project Overview 7 Project Goals 7 Methodology 8 Summary of Findings 16 Significant Health Needs of the Community 16 Summary Tables: Comparisons With Benchmark Data 20 Summary of Key Informant Perceptions 41 Community Description 42 Population Characteristics 43 Total Population 43 Urban/Rural Population 44 Age 46 Race & Ethnicity 47 Linguistic Isolation 50 Social Determinants of Health 51 Poverty 51 Education 54 Employment 55 Food Insecurity 56 Child Care Services 58 General Health Status 59 Overall Health Status 60 Evaluation of Health Status 60 Activity Limitations 63 Mental Health 66 Evaluation of Mental Health Status 67 Depression 69 Stress 72 Social & Emotional Support 74 Suicide 75 Awareness of Local Mental Health Resources 76 Mental Health Treatment 77 Key Informant Input: Mental Health 80 2 COMMUNITY HEALTH NEEDS ASSESSMENT Death, Disease, & Chronic Conditions 85 Leading Causes of Death 86 Distribution of Deaths by Cause 86 Age-Adjusted Death Rates for Selected Causes 86 Cardiovascular Disease 88 Age-Adjusted Heart Disease & Stroke Deaths 88 Prevalence of Heart Disease & Stroke 92 Cardiovascular Risk Factors 95 Key Informant Input: Heart Disease & Stroke 101 Cancer 103 Age-Adjusted Cancer Deaths 103 Cancer Incidence 106 Cancer Screenings 107 Key Informant Input: Cancer 113 Respiratory Disease 115 Age-Adjusted Respiratory Disease Deaths 116 Key Informant Input: Respiratory Disease 120 Injury & Violence 122 Unintentional Injury 122 Intentional Injury (Violence) 129 Key Informant Input: Injury & Violence 132 Diabetes 134 Age-Adjusted Diabetes Deaths 134 Prevalence of Diabetes 136 Key Informant Input: Diabetes 139 Alzheimer’s Disease 142 Age-Adjusted Alzheimer’s Disease Deaths 142 Alzheimer’s Diagnoses 143 Key Informant Input: Dementias, Including Alzheimer’s Disease 144 Kidney Disease 146 Age-Adjusted Kidney Disease Deaths 146 Prevalence of Kidney Disease 148 Key Informant Input: Kidney Disease 149 Potentially Disabling Conditions 150 Arthritis, Osteoporosis, & Chronic Back Conditions 150 Key Informant Input: Arthritis, Osteoporosis, & Chronic Back Conditions 151 Key Informant Input: Vision & Hearing 152 Infectious Disease 153 Influenza & Pneumonia Vaccination 154 3 COMMUNITY HEALTH NEEDS ASSESSMENT Flu Vaccination 154 Pneumonia Vaccination 155 HIV 156 Age-Adjusted HIV/AIDS Deaths 156 HIV Prevalence 157 HIV Testing 158 Key Informant Input: HIV/AIDS 159 Sexually Transmitted Diseases 160 Safe Sexual Practices 160 Chlamydia & Gonorrhea 161 Key Informant Input: Sexually Transmitted Diseases 162 Immunization & Infectious Diseases 163 Key Informant Input: Immunization & Infectious Diseases 163 Births 164 Prenatal Care 165 Birth Outcomes & Risks 166 Low-Weight Births 166 Infant Mortality 167 Key Informant Input: Infant & Child Health 169 Family Planning 170 Births to Teen Mothers 170 Key Informant Input: Family Planning 172 Modifiable Health Risks 173 Nutrition 174 Daily Recommendation of Fruits/Vegetables 175 Health Advice About Diet & Nutrition 176 Access to Fresh Produce 176 Growing Food for Personal Consumption 178 Children’s Dietary Habits 179 Low Food Access (Food Deserts) 181 Physical Activity 182 Leisure-Time Physical Activity 182 Activity Levels 184 Access to Physical Activity 188 Weight Status 189 Adult Weight Status 189 Children’s Weight Status 193 Key Informant Input: Nutrition, Physical Activity, & Weight 195 Substance Abuse 198 4 COMMUNITY HEALTH NEEDS ASSESSMENT Age-Adjusted Cirrhosis/Liver Disease Deaths 198 Alcohol Use 200 Age-Adjusted Unintentional Drug-Related Deaths 202 Illicit Drug Use 204 Alcohol & Drug Treatment 205 Key Informant Input: Substance Abuse 206 Tobacco Use 210 Cigarette Smoking 210 Other Tobacco Use 213 Tobacco Cessation 215 Key Informant Input: Tobacco Use 218 Access to Health Services 219 Health Insurance Coverage 220 Type of Healthcare Coverage 220 Lack of Health Insurance Coverage 220 Difficulties Accessing Healthcare 222 Difficulties Accessing Services 222 Barriers to Healthcare Access 223 Accessing Healthcare for Children 225 Key Informant Input: Access to Healthcare Services 226 Primary Care Services 229 Access to Primary Care 229 Specific Source of Ongoing Care 230 Utilization of Primary Care Services 233 Need for Specialty Care 235 Emergency Room Utilization 237 Oral Health 239 Dental Insurance 239 Dental Care 241 Key Informant Input: Oral Health 243 Vision Care 245 Local Resources 246 Perceptions of Local Healthcare Services 247 Healthcare Resources & Facilities 249 Hospitals & Federally Qualified Health Centers (FQHCs) 249 Resources Available to Address the Significant Health Needs 250 5 Introduction COMMUNITY HEALTH NEEDS ASSESSMENT Project Overview Project Goals This Community Health Needs Assessment, a follow-up to a similar study conducted in 2015, is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in Kane County, Illinois. Subsequently, this information may be used to inform decisions and guide efforts to improve community health and wellness. A Community Health Needs Assessment provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. This Community Health Needs Assessment will serve as a tool toward reaching three basic goals: • To improve residents’ health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. • To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors that historically have had a negative impact on residents’ health. • To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. This assessment for Kane County Health Department was part of a larger project conducted on behalf of a collaboration of community partners in Kane County, including 708 INC Board, Advocate Sherman Hospital, Kane County Health Department, Northwestern Medicine Delnor Hospital, Presence Mercy Medical Center, Presence Saint Joseph Hospital, and Rush Copley Medical Center. This assessment was conducted by Professional Research Consultants, Inc. (PRC). PRC is a nationally recognized healthcare consulting firm with extensive experience conducting Community Health Needs Assessments in hundreds of communities across the United States since 1994. 7 COMMUNITY HEALTH NEEDS ASSESSMENT Methodology This assessment incorporates data from both quantitative and qualitative sources. Quantitative data input includes primary research (the PRC Community Health Survey) and secondary research (vital statistics and other existing health-related data); these quantitative components allow for trending and comparison to benchmark data at the state and national levels. Qualitative data input includes primary research gathered through an Online Key Informant Survey. PRC Community Health Survey Survey Instrument The survey instrument used for this study is based largely on the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS), as well as various other public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives and other recognized health issues. The final survey instrument was developed by Kane County Health Department, collaborating partner organizations, and PRC, and is similar to the previous survey used in the region, allowing for data trending. Community Defined for This Assessment The study area for the survey effort is comprised of residential ZIP Codes within Kane County, Illinois; respondents living in ZIP Codes extending outside the county borders were screened to include only those living within Kane County. The County was segmented into three planning areas utilized by the Kane County Health Department: North, Central, and South Kane County. This community definition is illustrated in the following map. 8 COMMUNITY HEALTH NEEDS ASSESSMENT Sample Approach & Design A precise and carefully executed methodology is critical in asserting the validity of the results gathered in the PRC Community Health Survey. Thus, to ensure the best representation of the population surveyed, a mixed-mode methodology was implemented. This included surveys conducted via telephone (landline and cell phone), as well as through online questionnaires. The sample design used for this effort consisted of a stratified random sample of 1,053 individuals age 18 and older in Kane County, including 410 in
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