Defiance County Community Health Status Assessment 2015

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Defiance County Community Health Status Assessment 2015 Defiance County Community Health Status Assessment 2015 Examining the Health of Defiance County FOREWORD Once again on behalf of the POWER Defiance County Coalition, I am pleased to present the FOREWO 2015 Defiance County Community Health Assessment Report. This report is the fifth community health assessment conducted by various social service, business, and government organizations in Defiance County in an effort to collect data reporting the health and health behaviors of Defiance County residents. Data was collected for this assessment with the assistance of the Hospital Council of Northwest Ohio. Monitoring the health of local residents to identify community health problems is an essential public health service. This health status assessment should be used as a guide for strategic planning and decision making. It can help our communities identify new health concerns, measure the impact of current community improvement efforts, and guide the judicious use of local resources. However, this is only one planning tool. A true plan of action for community improvement will require taking a closer look at these survey results; seeking additional information from community residents, service providers, and others; identifying populations at risk for specific health conditions, and choosing effective strategies that will truly improve the health of Defiance County residents when put into action. This report would not have been possible without the help of members of the Power Defiance County Coalition as well as the groups who contributed financially. Both are acknowledged on the following pages. It is vital that assessments such as this continue so that scarce resources are used in the most advantageous ways. All contributions whether financial or expertise is greatly appreciated. RD Addressing the needs of the Defiance County community will take further collaborations and partnerships of many individuals and agencies. The work of public health is more a system than a single agency. Working together we can achieve a healthier Defiance County. Sincerely, Kimberly J. Moss, MPH, BSN Health Commissioner Defiance County General Health District This report has been funded by: Four County ADAMhs Board City of Defiance Community Memorial Hospital Defiance County Commissioners Defiance County General Health District Mercy Defiance Hospital ProMedica Defiance Regional Hospital United Way of Defiance County This report has been commissioned by POWER Defiance County: Promoting Overall Wellness and Empower Residents: City of Defiance Community Memorial Hospital Defiance Area Foundation Defiance Area YMCA Defiance City School Defiance County Commissioners Defiance County General Health District Defiance County Help Me Grow- Early Intervention Defiance County Juvenile Court Defiance County Ohio State University Extension Office Defiance Development and Visitors Bureau Family and Children First Council Four County ADAMhs Board Four County Family Center Hicksville Village Mercy Defiance Hospital Ministerial Association Northwestern Ohio Community Action Commission ProMedica Defiance Regional Hospital Recovery Services of Northwest Ohio United Way of Defiance County Project Management, Secondary Data, Data Collection, and Report Development ACKNOWLEDGEMENTS Hospital Council of Northwest Ohio Britney L. Ward, MPH Margaret Wielinski, MPH Director of Community Health Assistant Director of Community Health Improvement Improvement Michelle Von Lehmden Selena Coley Health Assessment Coordinator Community Health Improvement Assistant Tessa Elliott Derick Sekyere Graduate Assistant Graduate Assistant Anna Crisp Undergraduate Assistant Data Collection & Analysis James H. Price, Ph.D., MPH Joseph A. Dake, Ph.D., MPH Emeritus Professor of Health Education Professor and Chair of Health Education University of Toledo University of Toledo Timothy R. Jordan, Ph.D., M.Ed. Professor of Health Education University of Toledo To see Defiance County data compared to other counties, please visit the Hospital Council of Northwest Ohio’s Data Link website at http://www.hcno.org/community/data-indicator.html. The 2015 Defiance County Health Assessment is available on the following websites: Defiance County General Health District http://defiancecohealth.org/defiance-county-public-health/ Hospital Council of Northwest Ohio http://www.hcno.org/community/reports.html Contact Information Kimberly J. Moss, MPH, BSN Health Commissioner Defiance County General Health District 1300 E. Second St., Ste 100 Defiance, Ohio 43512 [email protected] (419)784-3818 TABLE OF CONTENTS EXECUTIVE SUMMARY PAGES 5-17 TREND SUMMARY PAGES 18-23 Adult Health (Ages 19 and Over) HEALTH STATUS PERCEPTIONS PAGES 24 HEALTH CARE COVERAGE PAGES 25-27 HEALTH CARE ACCESS AND UTILIZATION PAGES 28-30 CARDIOVASCULAR HEALTH PAGES 31-36 CANCER PAGES 37-41 DIABETES PAGES 42-45 ASTHMA AND OTHER RESPIRATORY DISEASE PAGES 46-48 WEIGHT STATUS PAGES 49-51 TOBACCO USE PAGES 52-57 ALCOHOL CONSUMPTION PAGES 58-64 DRUG USE PAGES 65-71 WOMEN’S HEALTH PAGES 72-75 MEN’S HEALTH PAGES 76-80 PREVENTIVE MEDICINE AND HEALTH SCREENINGS PAGES 81-84 SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES PAGES 85-89 QUALITY OF LIFE PAGES 90-91 SOCIAL CONTEXT AND SAFETY PAGES 92-99 MENTAL HEALTH AND SUICIDE PAGES 100-101 ORAL HEALTH PAGES 102-104 PARENTING TEENS PAGES 105 Youth Health (Ages 12-18) WEIGHT CONTROL PAGES 106-109 TOBACCO USE PAGES 110-112 ALCOHOL CONSUMPTION PAGES 113-116 DRUG USE PAGES 117-119 SEXUAL BEHAVIOR AND TEEN PREGNANCY OUTCOMES PAGES 120-123 MENTAL HEALTH AND SUICIDE PAGES 124-126 YOUTH SAFETY PAGES 127-128 YOUTH VIOLENCE ISSUES PAGES 129-131 Child Health (Ages 0-11) HEALTH AND FUNCTIONAL STATUS PAGES 132-135 HEALTH INSURANCE, ACCESS, UTILIZATION, AND MEDICAL HOME PAGES 136-137 EARLY CHILDHOOD (0-5 YEARS) PAGES 138-139 MIDDLE CHILDHOOD (6-11 YEARS) PAGES 140-141 FAMILY FUNCTIONING, NEIGHBORHOOD & COMMUNITY CHARACTERISTICS PAGES 142-145 PARENT HEALTH PAGE 146 Appendices HEALTH ASSESSMENT INFORMATION SOURCES APPENDIX I PAGES 147-151 LIST OF ACRONYMS AND TERMS APPENDIX II PAGES 152-153 WEIGHTING METHODS APPENDIX III PAGES 154-156 SCHOOL PARTICIPATION APPENDIX IV PAGE 157 DEMOGRAPHIC PROFILE APPENDIX V PAGE 158 DEMOGRAPHICS AND HOUSEHOLD INFORMATION APPENDIX VI PAGES 159-166 EXECUTIVE EXECUTIVE SUMMARY This executive summary provides an overview of health-related data for Defiance County adults (19 years of age and older), youth (ages 12 through 18), and children (ages 0-11) who participated in a county-wide health assessment survey during January 2015 through April 2015. The findings are based on self-administered surveys using a structured questionnaire. The questions were modeled after the survey instruments used by the Centers for Disease Control and Prevention for their national and state Behavioral Risk Factor Surveillance System (BRFSS) and Youth Risk Behavior Surveillance System (YRBSS) and the National Survey of Children’s Health (NSCH) developed by the Child and Adolescent Health Measurement Initiative. The Hospital Council of Northwest Ohio collected the data, guided the health assessment process and integrated sources of primary and secondary data into the final report. Primary Data Collection Methods DESIGN This community health assessment was cross-sectional in nature and included a written survey of adults, adolescents, and parents within Defiance County. From the beginning, community leaders were actively engaged in the planning process and helped define the content, scope, and sequence of the study. Active engagement of community members throughout the planning process is regarded as an important step in completing a valid needs assessment. INSTRUMENT DEVELOPMENT Three survey instruments were designed and pilot tested for this study: one for adults, one for adolescents in grades 6-12, and one for parents of children ages 0-11. As a first step in the design process, health education researchers from the University of Toledo and staff members SUMMARY from the Hospital Council of NW Ohio met to discuss potential sources of valid and reliable survey items that would be appropriate for assessing the health status and health needs of adults and adolescents. The investigators decided to derive the majority of the adult survey items from the BRFSS. The majority of the survey items for the adolescent survey were derived from the YRBSS. The majority of the survey items for the parents of children 0-11 were derived from the NSCH. This decision was based on being able to compare local data with state and national data. The Project Coordinator from the Hospital Council of NW Ohio conducted a series of meetings with the planning committee from Defiance County. During these meetings, banks of potential survey questions from the BRFSS, YRBSS, and NSCH surveys were reviewed and discussed. Based on input from the Defiance County planning committee, the Project Coordinator composed drafts of surveys containing 115 items for the adult survey, 75 items for the adolescent grades 6-12 survey, and 81 items for the 0-11 survey. The drafts were reviewed and approved by health education researchers at the University of Toledo. SAMPLING | Adult Survey Adults ages 19 and over living in Defiance County were used as the sampling frame for the adult survey. Since U.S. Census Bureau age categories do not correspond exactly to this age parameter, the investigators calculated the population of those 18 years and over living in Defiance County. There were 29,434 persons ages 18 and over living in Defiance County. The investigators
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