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Nevada County Health Assessment

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Nevada County Health Assessment NEVADA COUNTY COMMUNITY HEALTH ASSESSMENT A profile of health, well-being, and quality of life. December 2016 Acknowledgements The Nevada County Public Health Department is grateful to the many people that assisted in outreach, data collection, reviewing documents, and helping to identify community assets and issues. Some of our partners are recognized below. 2-1-1 Nevada County Special thanks to the staff of 2-1-1 Nevada County for their development of a public health directory that residents can use to find information about local and regional agencies offering services related to public health. This directory can be found at http://2-1- 1nevadacounty.org/resources/public-health-guide/. Organizations Participating in Partner Survey Leaders at multiple organizations participated in an in-depth survey to look at cooperation, partnership, and collaboration with public health. Survey Respondents More than 500 people answered Community Health Assessment Survey. Their input was critical in the development of this report. Listening Session Participants Three listening sessions were held in June 2015 to share assessment data and identify additional assets, issues, and community context. Participants are gratefully acknowledged. Project Contacts Jill Blake, Public Health Director Holly Whittaker, Epidemiologist 500 Crown Point Circle 500 Crown Point Circle Grass Valley, Ca 95945 Grass Valley, Ca 95945 Phone: 530-265-1732 Phone: 530.470.2658 Fax: 530-271-0837 Fax: 530.271.0894 [email protected]. [email protected]. Report developed with Social Entrepreneurs Inc. 6548 South McCarran, Suite B. Reno, NV 89509 Phone. 775.324.4567 Fax. 775.324.4941 www.socialent.com The Nevada County Public Health Department produces the County Health Status Report. This document is updated regularly and may have more recent data. It is accessible online at MyNevadaCounty.com, or by clicking on this link: County Health Status Report. Contents Executive Summary .................................................................................................................................. 1 Introduction ............................................................................................................................................... 8 Public Health and the Public Health System ....................................................................................... 8 Community Health Assessment ........................................................................................................... 9 Social Determinants of Health ........................................................................................................... 10 Who We Are .............................................................................................................................................. 13 Overview of Nevada County ................................................................................................................... 13 Population .......................................................................................................................................... 14 Race, Ethnicity, and Gender ................................................................................................................ 15 Educational Attainment ..................................................................................................................... 16 Sub Populations .................................................................................................................................. 17 Where We Work, Live, and Play ........................................................................................................... 21 Income & Financial Stability .................................................................................................................... 21 Income ................................................................................................................................................ 22 Employment ....................................................................................................................................... 22 Poverty ................................................................................................................................................ 23 Food security ...................................................................................................................................... 23 Early Childhood Care and Education.................................................................................................. 26 Housing ............................................................................................................................................... 27 The Physical Environment ....................................................................................................................... 29 Air Quality ........................................................................................................................................... 29 Elevated Lead Levels .......................................................................................................................... 30 Water Quality and Availability........................................................................................................... 30 Commuting to Work ........................................................................................................................... 30 Transportation .................................................................................................................................... 31 Parks and Recreation ......................................................................................................................... 32 Our Health and Wellness ....................................................................................................................... 33 Maternal and Child Health ...................................................................................................................... 34 Prenatal Care ...................................................................................................................................... 34 Birth Outcomes ................................................................................................................................... 35 Breastfeeding ..................................................................................................................................... 35 Teen Pregnancy .................................................................................................................................. 36 Leading Causes of Death ......................................................................................................................... 36 Heathy People 2020 Status ..................................................................................................................... 38 Morbidity ................................................................................................................................................ 40 AIDS ..................................................................................................................................................... 40 Pertussis .............................................................................................................................................. 40 Sexually Transmitted Infections/Diseases ........................................................................................ 40 Diabetes .............................................................................................................................................. 41 Oral Health Disease ............................................................................................................................ 41 Overweight and Obesity .................................................................................................................... 42 Behavioral Health .................................................................................................................................... 43 Tobacco Use ........................................................................................................................................ 43 Adult Smoking .................................................................................................................................... 43 Substance Abuse ................................................................................................................................ 44 Alcohol ................................................................................................................................................ 46 Depression and Other Mental Health Disorders ............................................................................... 47 Physical Activity .................................................................................................................................. 47 Community Violence, Crime, and Safety ................................................................................................ 48 Child Maltreatment ............................................................................................................................ 48 Elder Abuse ......................................................................................................................................... 48 Domestic Violence .............................................................................................................................
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