Community Health Assessment

2 0 1 8 WOOD COUNTY C O M M U N I T Y H E A L T H A S S E S S M E N T C o m m i s s i o n e d b y W o o d C o u n t y H e a l t h P a r t n e r s Foreword Members of the Wood County Health Partners are proud to present the 2018 Wood County Community Health Assessment. This report is the result of dedication to a partnership that is focused on improving the health of our community. This Community Health Assessment is a data-driven look at the health of adults, youth and children who live in Wood County. It compares new data to information from previous assessments, and also to data from across the state of Ohio and the United States. Partnership has been the hallmark of the process that led to the creation of this report. Wood County Health Partners sought to include as many stakeholders as possible so that the Community Health Assessment represents their interests and reflects their needs. The goal of the document is to highlight the strengths and needs of Wood County, so that organizations and agencies involved in the assessment process can make sound decisions using the best available data. It should help identify unmet needs, increase access to services, and provide insight into the best ways to favorably move the needle of the health of people in Wood County. While addressing every challenge or opportunity for improvement would surely be overwhelming, the 2018 Community Health Assessment should help guide health priorities in Wood County for the next several years or longer. It is our hope that this report will be enlightening not only for the general public, but also those partners and other organizations that will use the data to write grant requests, form sensible strategic plans, and motivate communities to become champions for positive change. The full report is available from Wood County Health Department at http://woodcountyhealth.org/Reports/reportsandpubs.html, and from the Hospital Council of Northwest Ohio at http://www.hcno.org/community-services/community-health-assessments. To see Wood County’s data compared to other counties, visit the Hospital Council of Northwest Ohio’s Data Link website at http://www.hcno.org/community-services/data-link. Sincerely, Wood County Health Partners Contact: Alex Aspacher Community Outreach Coordinator Wood County Health Department 1840 E. Gypsy Lane Road Bowling Green, OH 43402 419-354-9212 FOREWORD | 1 Acknowledgements Funding for the 2018 Wood County Community Health Assessment was provided by The Wood County Health Department and Wood County Hospital. This report was commissioned by Wood County Health Partners: A Renewed Mind Bowling Green Manor Bowling Green State University Children's Resource Center Harbor Behavioral Health United Way in Wood County Wood County Alcohol, Drug Addiction and Mental Health Services Board Wood County Board of Developmental Disabilities Wood County Committee on Aging Wood County Educational Service Center Wood County Health Department Wood County Hospital WSOS Community Action Community Health Assessment committee members: Alex Aspacher, Wood County Health Department Amy Jones, Wood County Health Department Angela Patchen, Wood County Educational Service Center Benjamin Batey, Wood County Health Department Bill Ivoska, Wood County Educational Service Center and Wood County ADAMHS Board Brent Baer, Wood County Board of Developmental Disabilities Brooke Harrison, Bowling Green Manor Cara Douglas, Harbor Behavioral Health Deb Chatfield, Wood County Hospital Denise Niese, Wood County Committee on Aging Diane Krill, Wood County Health Department Phil Welch, Bowling Green State University Faith Yingling, Bowling Green State University Janelle LaFond, Children's Resource Center Jason Goldswer, A Renewed Mind Jeff Howell, A Renewed Mind Kyle Clark, Wood County Educational Service Center Pat Snyder, Wood County Health Department Patty Kolozy, Wood County Health Department Ruthann House, WSOS Community Action Stan Korducki, Wood County Hospital Sue Clanton, United Way in Wood County Tyler Briggs, Wood County Health Department ACKNOWLEDGEMENTS | 2 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 Improvement Assistant Director of Community Health Improvement Selena Coley, MPH Emily A. Golias, MPH, CHES Community Health Improvement Coordinator Community Health Improvement Coordinator Tessa Elliott, MPH Emily Stearns, MPH, CHES Community Health Improvement Coordinator Community Health Improvement Coordinator Alyssa Miller Erin Rauschenberg Graduate Assistant Graduate Assistant Emily Soles Carolynn McCartney Graduate Assistant Graduate Assistant Data Collection & Analysis Joseph A. Dake, Ph.D., MPH Samantha Schroeder, MPA Professor and Chair Consultant School of Population Health University of Toledo Aaron J Diehr, PhD, CHES Consultant ACKNOWLEDGEMENTS | 3 Table of Contents Community Health Assessment Summary Pages 6-10 Executive Summary Pages 11-30 Public Health Accreditation Board (PHAB) Page 11 Primary Data Collection Methods Pages 11-13 Secondary Data Collection Methods Page 14 Healthy People 2020 Page 14 2016 Ohio State Health Assessment (SHA) Page 15 Data Summary Pages 16-30 HEALTHCARE ACCESS Healthcare Coverage Pages 31-33 Access and Utilization Pages 34-36 Preventive Medicine Pages 37-39 Women’s Health Pages 40-42 Men’s Health Pages 43-45 Oral Health Pages 46-47 HEALTH BEHAVIORS Health Status Perceptions Pages 48-50 Adult Weight Status Pages 51-55 Adult Tobacco Use Pages 56-59 Adult Alcohol Consumption Pages 60-63 Adult Drug Use Pages 64-69 Adult Sexual Behavior Pages 70-74 Adult Mental Health Pages 75-76 CHRONIC DISEASE Cardiovascular Health Pages 77-82 Cancer Pages 83-86 Arthritis Page 87 Asthma Pages 88-89 Diabetes Pages 90-92 Quality of Life Pages 93-94 SOCIAL CONDITIONS Social Determinants of Health Pages 95-101 Environmental Conditions Page 102 YOUTH HEALTH Youth Weight Status Pages 103-105 Youth Tobacco Use Pages 106-108 Youth Alcohol Consumption Pages 109-112 Youth Drug Use Pages 113-115 Youth Sexual Behavior Pages 116-119 Youth Mental Health Pages 120-122 Youth Social Determinants of Health Pages 123-127 Youth Violence Pages 128-130 CHILD HEALTH Health and Functional Status Pages 131-134 Health Care Access Pages 135-136 Early Childhood (0-5 Years) Pages 137-138 Middle Childhood (6-11 Years) Pages 139-140 Family and Community Characteristics Pages 141-145 TABLE OF CONTENTS | 4 APPENDICES APPENDIX I — Health Assessment Information Sources Pages 146-148 APPENDIX II — Acronyms and Terms Pages 149-150 APPENDIX III — Weighting Methods Pages 151-153 APPENDIX IV — School Participation Page 154 APPENDIX V — Demographic Profile Page 155 APPENDIX VI — Demographics and Household Information Pages 156-162 APPENDIX VII — County Health Rankings Pages 163-165 APPENDIX VIII — Trend Summary Tables Pages 166-170 APPENDIX IX — Community Stakeholder Perceptions Pages 171-172 TABLE OF CONTENTS | 5 Community Health Assessment Summary These charts are a summary of results, trends and comparisons from the 2018 Wood County Community Health Assessment. For the full report, go to www.woodcountyhealth.org. The arrows show whether the percentages went up, down or stayed the same. The colors show whether that was a good (green) or bad (red) change. Wood Change How does Wood Ohio U.S. Adult Trend Summary County since County compare 2016 2016 2018 2015 to Ohio average? Health Status Rated general health as good, very good, or excellent 86% 82% Better 83% Rated health as excellent or very good 52% 51% Better 52% Rated health as fair or poor 14% 18% Better 17% Average days that physical health not good (in the past month) 3.1 4.0‡ Better 3.7‡ Rated physical health as not good on four or more days (in the past 18% 22% Better 22% 30 days) Average days that mental health not good (in the past month) 4.8 4.3‡ Better 3.8‡ Rated their mental health as not good on four or more days (in the 32% 24% Worse 23% previous month) Poor physical or mental health kept them from doing usual activities, such as self-care, work, or recreation (on at least one day 32% 22% Worse 22% during the past 30 days) Health Care Coverage, Access, and Utilization Uninsured 6% Same 7% Better 10% Had at least one person they thought of as their personal doctor or 85% Same 83% Better 77% health care provider Visited a doctor for a routine checkup in the past year 61% 75% Worse 71% Diabetes, Asthma, and Arthritis Diagnosed with diabetes 8% 11% Better 11% Diagnosed with pre-diabetes or borderline 5% Same 1% Worse 2% diabetes Diagnosed with asthma 15% Same 14% Worse 14% Diagnosed with arthritis 28% 31% Better 26% Cardiovascular Health Had angina or coronary heart disease 5% 5% Same 4% Had a heart attack 3% 5% Better 4% Had a stroke 2% 4% Better 3% Diagnosed with high blood pressure 35% 34%* Worse 31%* Diagnosed with high blood cholesterol 32% 37%* Better 36%* Had blood cholesterol checked within the past 5 years 80% 78%* Better 78%* Weight Status Overweight 33% 35% Better 35% Obese 39% 32% Worse 30% Overweight or Obese 72% 67% Worse 65% Indicates alignment with the Ohio State Health Assessment (SHA) N/A – Not Available ‡2016 BRFSS Data as compiled by 2018 County Health Rankings *2015 BRFSS COMMUNITY HEALTH ASSESSMENT SUMMARY | 6 Wood Change Ohio How does Wood U.S. Adult Trend Summary County since County compare 2016 2016 2018 2015 to Ohio average? Alcohol Consumption Current drinker (drank alcohol at least once in the past month) 68% Same 53% Worse 54% Binge drinker (defined

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