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Central Oregon Regional Health Assessment 2012, INTRODUCTION

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Central Oregon Regional Health Assessment 2012, INTRODUCTION Central Oregon Health Report 2012 INTRODUCTION CENTRAL OREGON REGIONAL HEALTH ASSESSMENT Photos:oos: Gary Halvorson, Oregon State Archives & Tom Kuhn, DCHS Preliminary Final Draft 10/15/2012 pg. 1 Central Oregon Health Report 2012 INTRODUCTION INTRODUCTION 10/15/2012 pg. 2 Central Oregon Health Report 2012 INTRODUCTION What is Community Health? “Community health” is a discipline of public health that examines and seeks to improve the health-related characteristics of the relationships between people and their physical and social environments. “All measures of population health involve choices and value judgments in both their construction and their application.’ ‘Great care must be taken in the construction of summary measures precisely because “ The term ‘community’ in community (social cohesion), and socio-economic they may have far- health tends to focus on geographic status. areas rather than people with shared reaching effects.” A key approach or methodology of characteristics. From a community health community health is the creation and perspective, health is not simply a state empowerment of community partnerships free from disease but is the capacity of to take action that will improve the health people to be resilient and manage life's –US Institute of of the community. Community health challenges and changes. partnerships include representation from a Medicine panel, 1998 Community health focuses on a broad wide variety of sectors of the community, for example, recreation, the faith range of factors that impact health, such as the environment (including the built community, law enforcement, city planners environment), social structure, resource and policy makers, businesses, human and distribution (including, for example, social services, as well as public health and access to healthful foods), social capital health care providers. ” –Public Health Accreditation Board, 2011 10/15/2012 pg. 3 Central Oregon Health Report 2012 INTRODUCTION ABOUT THIS HEALTH REPORT The Central Oregon Health Report (COHR) 2012 is an overview of Ask more questions, dig data related to health in our region’s communities and populations. COHR 2012 aims to provide useful data for three Oregon counties deeper, explore… commonly referred to as “Central Oregon” or Central Oregon’s “tri- engage in conversations county region” including Crook, Deschutes and Jefferson Counties. As you look and dig deeper, consider the weaknesses and Recognizing that many factors impact the health of individuals and limitations of the data. Engage in conversations with colleagues, communities, a range of data from multiple sectors are included in peers, friends, family, neighbors, community members, and the report. strangers. Seek-out qualitative, personal and experiential information to complement the numbers you see. The Central Oregon Health Report Only when communities engage in this process can we draw the is not meant to answer all map to improved health and well-being for our neighborhoods, our communities and our region. questions. It is meant to provoke them. Data This health report utilizes multiple sources of data. Some of this How to Use data is available through the state of Oregon, some through national government and non-government agencies, and some We acknowledge that the Central Oregon Health Report, 2012 is not from local organizations. Sources include Centers for Disease a compendium of all indicators or analyses applicable to community Control and Prevention’s Behavioral Risk Factor Surveillance health assessment. Thus, we highly encourage readers to dig deeper, System (BRFSS), U.S. Census Bureau’s census statistics, Oregon check sources, and pull-in additional information to help you Health Authority Department of Public Health’s public health construct a more in-depth understanding of our community. and community data, Oregon Department of Education’s school data, and data from local organizations compiled by Deschutes COHR 2012 is not a static, single point-in-time document. Instead, it County Health Services. is intended to be a first-step in our region’s effort to continuously assess data. In this effort, we will aim to identify where to celebrate A Note About Data: There are many great and widely-used successes, recognize weaknesses and areas of concern, and instigate data sources available today. Data sets like these require community discussions on how to capitalize on strengths and turn significant amounts of labor and resources before they are weaknesses into opportunities for positive change. made publicly available. This can mean unavoidable lag-time where data is many months, often several years old. This lag The COHR is not intended to answer all questions. Instead, it should can present complications when trying to interpret and apply provoke them. We encourage readers to ask more questions, dig the information for the present day. While the data is still very deeper and explore. Many data reports and fact sheets on numerous valuable, it is important to always look at data sources’ dates relevant topics exist for our area – check them out! (See the full and time frames used, and to become familiar with what and report for a list of suggested documents and resources). how the data of interest is measured. For example, the County Health Rankings can be a great and useful public health The companion to the full report is the Executive Summary, which resource, but data used to calculate 2012 County Health calls attention to some of the indicators found in the full report, and Rankings can date as far back as 2003 (with 2010 being the complements the information found in the full report. most recent year). Similarly, several indicators in this health report pre-date the recession. These indicators are useful, but cannot help us fully understand how difficult economic times have impacted our region. 10/15/2012 pg. 4 Central Oregon Health Report 2012 INTRODUCTION Table 1 Why Do a Health Report? • Lay the groundwork for future assessments • Identify current health needs and trends • Assess capacity & resources Identify potential actions • • Similarly, indicators collected in nationwide surveys are WHY DO A HEALTH REPORT? not always applicable to many rural populations. For example, environmental exposures that may be A core function of public health agencies and public important indicators of environmental health to the health practice is to examine the community of nation as a whole (e.g., number of quality air days) may interest. A wide range of data and indicators that provide a false sense of environmental health in impact population and community health are used to Central Oregon when other exposures such as describe factors and status of a community’s health. pesticides or arsenic may be more relevant to the • Inform decisions of reso population. Yet, these indicators that may be more results • Seek input Seek results • Attention to this data can help identify areas of need relevant may not available, easily accessed or routinely or target populations who have an increased risk of assessed. poor health outcomes. Data can be used to compare population health outcomes or characteristics • Share In recent years, Central Oregon gained national related to health. Health assessments also build attention when unemployment rates approached 20% understanding of how community characteristics are in some areas and subsequent shifts in the economic impacting the population’s health and wellbeing. climate dramatically altered day-to-day living for many Central Oregonians. Other counties in Oregon urce allocation • L Establishing a regular health assessment and the nation experienced similar economic process ultimately functions to inform timely difficulties, but not with the magnitude of Central into possible causes public health strategies that are responsive Oregon. to a community’s distinctive needs and to lay the groundwork for tracking health The health impacts of these economically difficult changes in the future. times should be monitored in the coming years, as many effects will not be seen for several years. • at diversity ook in-depth This community health report, COHR 2012, is the first step in creating a more coordinated, collaborative and on-going process to assess our Central Oregon’s unique strengths and pressing needs. OPPORTUNITIES Based on these limitations, the following components cial & economic factors cial & economic factors • Look LIMITATIONS will be essential components to establish future, on- going community health assessment of Central Oregon Many of the statistics that could describe Crook in the future: multip Observe County’s health reside in the gaps of state and national data systems. Several reliable nationwide a) community and regional partnerships; surveys are unable provide estimates or data for b) utilization of existing data from outside sectors and Central Oregon, making it difficult to derive local organizations; meaning from some of the more readily available c) improved data sharing among collaborating secondary data. For example, there are gaps in large agencies; perspectivesle data sets such as the Behavioral Risk Factor d) dedicated resources to compile existing data into Surveillance System (BRFSS), the National Health and comprehensive, meaningful and interpretable formats; Nutrition Examination Survey (NHANES) and the Youth e) sharing results broadly in accessible formats; Risk Behavior Surveillance System (YRBSS), which f) engaged community-member and stakeholder input, many counties rely
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