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Monroe County Final Health Assessment Report (Pdf)

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Monroe County Final Health Assessment Report (Pdf) Examining the Health of Monroe County FOREWORD The Monroe County Building Healthy Communities Coalition and its members are pleased to present the 2015 Health Assessment of our community. This comprehensive FOREWO Community Health Assessment provides a “snap shot” of where Monroe County residents currently stand in terms of their well-being as well as their health habits. Additionally, the local data provides a comparison with regional, state and national data. Because the statistics found in this report provide a clearer, more complete view of our collective health, the report can serve as a call to action for our residents, health professionals, employers, policy makers, community and religious leaders. This document will be used by the Monroe County Building Healthy Communities Coalition in collaboration with multiple community partners to complete a Health Improvement Plan for Monroe County. The Health Improvement Plan will prioritize strategies to strengthen the local health system and support individuals in becoming and staying healthy. Through the Mobilizing for Action, Planning and Partnerships (MAPP) process, the Health Improvement Plan will be developed. The MAPP process comes from National Association of County & City Officials (NACCHO). The Building Healthy Communities Coalition is committed to its vision of empowering Monroe County residents to live healthy lifestyles and its mission of improving the health of Monroe County residents by promoting physical activity, healthy eating and safe environments through community collaboration. This report offers assistance in identifying areas of opportunity to make Monroe County a healthier place to live, work and play. We would like to thank the partnerships and agencies (list follows) that worked on this RD project and especially the residents who answered the survey. Without all of you, this comprehensive health assessment would not have been possible. We also encourage you to use this report in planning and collaboration with partners to improve the health of our community. Sincerely, Kim Comerzan Annette Philips Health Officer/Director President Monroe County Health Department ProMedica Monroe Regional Hospital Funding for the Monroe County Health Assessment Provided by: Monroe County Health Plan Member Organizations of the Monroe County Building Healthy Communities Coalition: Mercy Memorial Hospital Health System City of Monroe Monroe County Health Department Area Agency on Aging Monroe County Health Plan United Way of Monroe Monroe County Substance Abuse Coalition Relay For Life Human Services Collaborative Network Great Start Collaborative American Cancer Society of SE Michigan Monroe County Family YMCA Monroe County Mental Health Authority Monroe County Community College Monroe County Head Start/Early Head Start Family Medical Center of Michigan Child Advocacy Network (CAN) Council Monroe Center for Healthy Aging Monroe County Planning Commission Department of Human Services Monroe County Board of Commissioners Community Foundation Catholic Charities of Southeast Michigan Monroe Public Schools Bedford Public Schools Jefferson Public Schools Ida Public Schools Dundee Public Schools Mason Consolidated Public Schools Summerfield Public Schools Whiteford Public Schools American Heart Association Monroe County Intermediate School District (ISD) American Red Cross Monroe County Commission on Aging Michigan State Police Monroe County MSU Extension Human Services Collaborative Network Contact Information Jamie R. Dean, B.S., M.S.Ed. Monroe County Health Department 2353 South Custer Rd. Monroe, MI 48161 Phone: (734)240-7909 [email protected] Project Management, Secondary Data, Data Collection, and Report Development Hospital Council of Northwest Ohio Britney L. Ward, MPH Margaret Wielinski, MPH Director of Community Health Assistant Director of Community Health FOREWO Improvement Improvement Michelle Von Lehmden Tessa Elliott Health Assessment Coordinator Graduate Assistant Derick Sekyere Anna Crisp Graduate Assistant Undergraduate Assistant Data Collection & Analysis James H. Price, Ph.D., MPH Joseph A. Dake, Ph.D., MPH Professor and Chair of Health Education Professor Emeritus of Health Education University of Toledo University of Toledo Timothy R. Jordan, Ph.D., M.Ed. Professor of Health Education University of Toledo RD To see Monroe 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. TABLE OF CONTENTS EXECUTIVE SUMMARY PAGES 5-15 TREND SUMMARY PAGES 16-18 Adult Health (Ages 19 and Over) HEALTH STATUS PERCEPTIONS PAGES 19-20 HEALTH CARE COVERAGE PAGES 21-23 HEALTH CARE ACCESS AND UTILIZATION PAGES 24-25 CARDIOVASCULAR HEALTH PAGES 26-31 CANCER PAGES 32-36 DIABETES PAGES 37-39 ASTHMA PAGES 40-42 ARTHRITIS PAGES 43-44 WEIGHT STATUS PAGES 45-47 TOBACCO USE PAGES 48-53 ALCOHOL CONSUMPTION PAGES 54-61 DRUG USE PAGES 62-64 WOMEN’S HEALTH PAGES 65-69 MEN’S HEALTH PAGES 70-73 PREVENTIVE MEDICINE AND HEALTH SCREENINGS PAGES 74-76 SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES PAGES 77-83 QUALITY OF LIFE PAGES 84-86 SOCIAL CONTEXT AND SAFETY PAGES 87-89 MENTAL HEALTH AND SUICIDE PAGES 90-93 ORAL HEALTH PAGES 94-95 PARENTING PAGE 96 Youth Health (Ages 12-18) WEIGHT CONTROL PAGES 97-100 TOBACCO USE PAGES 101-103 ALCOHOL CONSUMPTION PAGES 104-107 DRUG USE PAGES 108-110 SEXUAL BEHAVIOR AND TEEN PREGNANCY OUTCOMES PAGES 111-114 MENTAL HEALTH AND SUICIDE PAGES 115-117 YOUTH SAFETY PAGES 118-119 YOUTH VIOLENCE ISSUES PAGES 120-122 Appendices HEALTH ASSESSMENT INFORMATION SOURCES APPENDIX I PAGES 123-126 LIST OF ACRONYMS AND TERMS APPENDIX II PAGES 127-128 WEIGHTING METHODS APPENDIX III PAGES 129-131 SCHOOL PARTICIPATION APPENDIX IV PAGE 132 DEMOGRAPHIC PROFILE APPENDIX V PAGE 133 DEMOGRAPHICS AND HOUSEHOLD INFORMATION APPENDIX VI PAGES 134-141 EXECUTIVE EXECUTIVE SUMMARY This executive summary provides an overview of health-related data for Monroe County adults (19 years of age and older) and youth (grades 6-12) who participated in a county-wide health assessment survey during spring 2015. The findings are based on self-administered surveys using structured questionnaires. 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 Behavioral Surveillance System (YRBSS). 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 and youth within Monroe 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 Two survey instruments were designed and pilot tested for this study. As a first step in the design process, health education researchers from the University of Toledo and staff members 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 youth. The investigators decided to derive the majority of the adult survey items from the BRFSS and YRBSS. SUMMARY 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 Monroe County. During these meetings, banks of potential survey questions from the BRFSS and YRBSS surveys were reviewed and discussed. Based on input from the Monroe County planning committee, the Project Coordinator composed a draft survey containing 115 items for the adult survey and 76 items for the youth 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 Monroe 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 Monroe County. There were 106,973 persons ages 18 and over living in Monroe County. The investigators conducted a power analysis to determine what sample size was needed to ensure a 95% confidence level with a corresponding margin of error of 5% (i.e., we can be 95% sure that the “true” population responses are within a 5% margin of error of the survey findings.) A sample size of at least 383 adults was needed to ensure this level of confidence. The random sample of mailing addresses of adults from Monroe County was obtained from Allegra Marketing Services in Louisville, KY. SAMPLING | Adolescent Survey There were 15,972 persons ages 12 to 18 years old living in Monroe County. A sample size of 375 adolescents was needed to ensure a 95% confidence interval with a corresponding 5% margin of error. Students were randomly selected and surveyed in the schools. 5 PROCEDURE | Adult Survey Prior to mailing the survey to adults, an advance letter was mailed to 1,200 adults in Monroe County. This advance letter was personalized,
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