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2011 Burke County Community Health Assessment Volume I (PDF)

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2011 Burke County Community Health Assessment Volume I (PDF) Burke County Community Health Assessment BURKE COUNTY 2011 COMMUNITY HEATLH ASSESSMENT VOLUME I - 1 - - 1 -Page 1 of 155 Burke County Community Health Assessment Narrative In Burke County a coalition of community partners, Healthy Burke, strives to promote better health for all residents throughout the community. This coalition plus an extended group of community partners and agencies provided assistance with collecting resources and data for the 2011 Community Health Assessment. Together the coalition developed a multi-phase plan for conducting the assessment. The team gathered secondary data from online resources, state and federal level data systems, local county agencies and the Western Piedmont Council of Governments. Second phase gathered primary data from surveys developed and distributed in paper form and online survey managed by Survey Monkey. The team distributed paper surveys and the online link to numerous agencies throughout the county. Third phase included analyzing, detailing and documenting all the data into the final Community Health Assessment report. The next phases will be taking place over the next several months when the team will determine action plans and task forces and strategies to best address the priorities (red flags) found during the assessment period. The last and important phases will be to present this wealth of information back to the stakeholders; the community. A community forum will be held in the Spring of 2012 to present the information and secure manpower and resources to implement successful strategies to improve the health and well being of the entire community. During the data analysis, several things became very clear that the shift in Burke County’s population will be driving a change in some priorities due to the increase of the older adults. The data also revealed that the top six leading causes of death in Burke County changed very little in the last four years. The change noted was an increase in Alzheimer’s Disease which rose to the sixth leading cause of death. Another overwhelming realization is the magnitude of unemployment/underemployment and how much it affects the health of this community. This information will be shared and discussed with the local administration to assess a plan for improvement over the next four years. Burke County has already implemented some positive strategies to improve the priority areas and will be highlighted in the action plans and community forum to follow this assessment. This community will pull together and combine resources in this difficult economic time to reverse some of the problems found. The Priority Areas (Red Flags) that will be worked on through current task forces or newly created ones include: * Heart Disease * Cancer * Chronic Lower Respiratory * Cerebrovascular Disease * Unintentional Non-Motor Vehicle Injuries * Alzheimer’s Disease * Diabetes * Aging population issues * Unemployment/Underemployment Several of these will be combined and go under the action plan for our Healthy Lifestyles Task Force to address. - 2 - - 2 -Page 2 of 155 Burke County Community Health Assessment Table of Contents Page Introduction 2 Chapter One: Demographic and Socioeconomic Data . 7 Location and Geography . 8 History . 9 County Map . 10 Population Characteristics . 11 Older Adults . 16 Non-English Speaking Population . 19 Commuting Patterns . 20 Civic Participation . 22 Economic Climate . 23 Employment . 24 Unemployment . 27 Business Closings and Layoffs . 27 Poverty . 28 Poverty and Race . 28 Poverty and Age . 29 Food Stamps . 30 Housing . 31 Affordable Housing . 31 Children and Families . 32 Single Parent Families . 33 Child Care . 34 Education . 36 - 3 - - 3 -Page 3 of 155 Burke County Community Health Assessment Page Crime and Safety . 38 Index Crime . 38 Crime Rates . 39 Numbers of Crimes . 40 Non-Index Criminal Activities . 40 Domestic Violence . 40 Child Abuse and Maltreatment . 41 Health Care Resources . 42 Practitioners . 42 Hospitals . 44 Local Health Department . 45 Community Health Centers and Clinics . 47 Long-Term Care Facilities . 48 Nursing Homes . 48 Medical Insurance . 49 Medically Indigent Population . 49 Medicaid . 50 North Carolina Health Choice . 51 Community Care of North Carolina: ACCESS . 52 Chapter Two: Health Statistics . 53 Methodology . 54 Understanding Health Statistics . 54 Behavioral Risk Factor Surveillance System . 54 - 4 - - 4 -Page 4 of 155 Burke County Community Health Assessment Page Maternal and Child Health . 57 Overall Pregnancies and Births . 57 Teen Pregnancies and Births . 59 Abortion . 60 Pregnancy Risk Factors . 61 Pregnancy Outcomes . ..
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