2009 PRC Community Health Survey A Data-Driven Approach to Identifying Community Needs

Presentation of County-Level Findings County East Central

Major Sponsors: Florida Hospital & Winter Park Health Foundation

Additional Sponsors: Brevard County Health Department Coordinated by Brevard Health Alliance Circles of Care Devereux Florida Institute of Technology Health First Orange County Health Department Osceola County Health Department Parrish Medical Center Seminole County Health Dept. Research Conducted by & SCHD Tobacco Program Seminole Prevention Coalition Senior Resource Alliance 2009 East Community Health Survey Seminole County Results

BENCHMARKING Telephone Survey Issues Addressed • Florida BRFSS – Sample of 1,600 adults – Self-Reported Health Status data (CDC) throughout East Central – Death & Disability • U.S. (PRC Florida – Infectious & Chronic Disease National Health Survey) – By geography: – Modifiable Health Risks o 400 in Brevard County • Healthy People – Access to Healthcare 2010 targets o 400 in Orange County – Health Education & Outreach • State and o 400 in Osceola County national vital o 400 in Seminole County statistics – 154 survey items; approximately 25-minute interview – Maximum error: • ±2.5% regionally • ±4.9% county level 2009 East Central Florida Community Health Survey Seminole County Results

Population and Sample Characteristics (East Central Florida, 2009) 100.0% Actual Population Weighted Survey Sample

80.0%

62.5% 63.2% 60.0% 49.2% 49.2% 50.8% 50.8% 42.8% 42.8% 39.9% 39.9% 40.0%

17.3% 17.3% 18.5% 18.3% 20.0% 13.4% 13.2% 10.5% 10.7%

0.0% Men Women 18 to 39 40 to 64 65+ White Black Hispanic

Sources: • ESRI BIS Demographic Portfolio. • 2009 PRC Community Health Survey, Professional Research Consultants. Notes: • Hispanic can be of any race. • White and African American sample percentages exclude Hispanic respondents who did not offer a race response.

3 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

Self-Reported Health Status (East Central Florida, 2009)

Very Good 34.8%

Excellent 22.8%

Poor 4.8%

Fair 9.6% Good 28.0%

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 5] Note: • Asked of all respondents.

5 2009 East Central Florida Community Health Survey Seminole County Results

Experience "Fair" or "Poor" Overall Health 50.0% 1999 2004 2009

40.0%

30.0% Significant Significant Significant vs. US vs. US Significant vs. US 20.0% 18.3% 17.5% 17.4% 16.6% vs. US 16.4% 16.1% 16.6% 16.6% 14.4% 14.4% 14.2% 14.1% 14.4% 13.8% 12.9% 13.1% 12.5% 11.6% 11.5% 11.6% 12.3% 10.0% 8.4%

0.0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 5] • Behavioral Risk Factor Surveillance System Surveys Data. Atlanta, . Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of all respondents. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

6 2009 East Central Florida Community Health Survey Seminole County Results

Experience "Fair" or "Poor" Overall Health (East Central Florida) 50%

40% 36.6%

30% 22.6% 22.3% 21.2% 19.7% 20% 16.7% 17.3% 15.8% 12.1% 12.4% 11.4% 8.8% 10% 8.2%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 5] Note: • Asked of all respondents.

7 2009 East Central Florida Community Health Survey Seminole County Results

Experience “Fair” or “Poor” Mental Health 100.0%

80.0%

60.0%

40.0% Significant Significant vs. US vs. US 20.0% 12.8% 13.3% 12.9% 9.1% 9.1% 9.6% 10.4%

0.0% Brevard Orange Osceola Seminole Greater East Central United States County County County County Orlando* Florida 2008

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 109] • 2008 PRC National Health Survey, Professional Research Consultants. Note: • Asked of all respondents.

8 2009 East Central Florida Community Health Survey Seminole County Results

Experience “Fair” or “Poor” Mental Health (East Central Florida) 100.0%

80.0%

60.0%

40.0% 31.8%

17.4% 20.0% 15.4% 12.5% 11.2% 11.7% 12.4% 10.0% 10.3% 8.3% 6.4% 7.1% 8.1%

0.0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 109] Note: • Asked of all respondents. • FPL = Federal Poverty Level based on household income and number of household members [U.S. Dept. of Health & Human Services poverty guidelines].

9 2009 East Central Florida Community Health Survey Seminole County Results

Self-Reported Prevalence of Major Depression 50.0% 2004 2009

40.0%

30.0%

Significant vs. 2004 20.0%

12.3% 12.1% 11.5% 12.2% 11.5% 11.2% 11.3% 10.5% 10.3% 10.5% 10.9% 9.7% 10.0% 7.7% 8.5%

0.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 33] • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of all respondents. • Florida data not available.

10 2009 East Central Florida Community Health Survey Seminole County Results

Have Experienced Periods of Depression Which Lasted Two or More Years 100% 1999 2004 2009

80%

60% Significant Significant Significant vs. 1999 Significant vs. 2004 vs. 1999 vs. US 40% 33.1% 30% 28.5% 27.8% 28.3% 30.3% 27.5% 26.6% 27.6% 25% 26.9% 25.6% 21.7% 24% 23.6% 21.8% 24.2% 23.9% 22.1% 20%

0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 110] • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of all respondents. • Florida data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

11 2009 East Central Florida Community Health Survey Seminole County Results

Have Experienced Periods of Depression Which Lasted Two or More Years (East Central Florida) 100%

80% 64.1% 60%

34.8% 36.5% 37.9% 35.3% 40% 31.7% 31% 26.8% 26.1% 25.1% 27.6% 21.7% 20.9% 20%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Wom en 40 to 64 < Poverty >200% Pov Black Insured

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 110] Note: • Asked of all respondents.

12 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

Have Had Blood Pressure Checked Within the Past Two Years Healthy People 2010 Objective is 95% or higher 1999 2004 2009 100% 97.3% 95.6% 95.5% 96% 95.5% 94.8% 95% 94.5% 95.1% 94.9% 94.9% 95.1% 95.1% 94.5% 95% 93.6% 93.7% 93.6% 93.2% 92.9%

Significant Significant 90% vs. 1999 vs. 2004

85%

80%

75% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 41] • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 12-12] Notes: • Reflects the total sample of respondents. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

14 2009 East Central Florida Community Health Survey Seminole County Results

Have Been Told Blood Pressure Was High Healthy People 2010 Objective is 16% or lower 1999 2004 2009 100.0% Among East Central Florida adults told that they have high blood pressure: 70.5% were told this more than once. 80.0% 29.5% were told this only once.

Significant Significant Significant Significant 60.0% vs. 1999 vs. 1999 vs. 1999 vs. 1999

38.2% 38.7% 36.2% 35.5% 40.0% 33.2% 35.2% 34.5% 34.0% 31.3% 31.0% 32.8% 28.8% 29.4% 28.0% 26.1% 26.1% 26.9% 28.0% 23.1% 23.4% 20.9% 23.0% 20.0%

0.0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Items 39, 157] • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 12-9] Notes: • Reflects the total sample of respondents. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

15 2009 East Central Florida Community Health Survey Seminole County Results

Have Been Told That Blood Pressure Was High (East Central Florida) Healthy People 2010 Objective is 16% or lower 100%

80% 67.1%

60% 40.6% 42.7% 36.4% 39% 36.2% 40% 34.7% 32.7% 36.1% 33.9% 28.7% 27.7%

20% 15.6%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 157] • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 12-9] Note: • Reflects the total sample of respondents.

16 2009 East Central Florida Community Health Survey Seminole County Results

Taking Action to Control High Blood Pressure (Among Respondents With High Blood Pressure) Healthy People 2010 Objective is 95% or higher 1999 2004 2009 100.0% Significant vs. 1999 Significant vs. 1999 88.9% 90.0% 88.2% 85.2% 86.4% 85.4% 86.2% 83.6% 84.5% 83.6% 84.1% 83.2% 80.8% 81.4% 79.8% 79.4% 79.9% 80.0%

70.0%

60.0%

50.0% Brevard Orange Osceola Seminole Greater East Central County County County County Orlando* Florida

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 40] • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 12-11] Notes: • Asked of respondents who have been told more than once that their blood pressure was high. • Florida and national data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

17 2009 East Central Florida Community Health Survey Seminole County Results

Have Had Blood Cholesterol Level Checked Within the Past 5 Years Healthy People 2010 Objective is 80% or higher 1999 2004 2009 100% 91.9% 93.1% 91.9% 91.9% 91% 90.1% 90.8% 90.3% 88.6% 88.8% 87.3% 88% 87.3% 87% 87% 90% 85.9% 85.6% 83.7% 82.2% 78.5% 80% 78% Significant Significant Significant Significant Significant 75.3% vs. 2004/US vs. 1999 vs. US vs. US vs. 2004/US

70%

60%

50% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 45] • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 12-15] Notes: • Reflects the total sample of respondents. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

18 2009 East Central Florida Community Health Survey Seminole County Results

Have Been Told That Blood Cholesterol Level Was High Healthy People 2010 Objective is 17% or lower 1999 2004 2009 100%

80% Significant Significant Significant Significant Significant Significant 60% vs. US vs. 1999/US vs. 1999 vs. 1999 vs. 1999/US vs. 2004/US

39.6% 37% 35.5% 35.9% 36.8% 40% 34.4% 33.1% 32.8% 31.8% 32.5% 31.9% 28.4% 28.3% 30.1% 31% 30.2% 30.5% 25.8% 24.8% 25.9% 25.1% 21.4% 20%

0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 158] • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 12-14] Notes: • Reflects the total sample of respondents. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

19 2009 East Central Florida Community Health Survey Seminole County Results

Have Been Told That Blood Cholesterol Level Was High (East Central Florida) Healthy People 2010 Objective is 17% or low er 100%

80%

60% 55% 46.3% 39.3% 38% 36.8% 38.6% 36.4% 35.1% 40% 34.4% 32.1% 31% 18.5% 21.8% 20%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Wom en 40 to 64 < Poverty >200% Pov Black Insured

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 158] • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 12-14] Note: • Reflects the total sample of respondents.

20 2009 East Central Florida Community Health Survey Seminole County Results

Taking Action to Control High Blood Cholesterol (Among Respondents With High Blood Cholesterol) Significant Significant Significant Significant Significant Significant 100.0% vs. US vs. US vs. US vs. US vs. US vs. US 90.4% 80.3% 78.9% 79.6% 81.0% 79.4% 79.6% 80.0%

60.0%

40.0%

20.0%

0.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 44] • 2008 PRC National Health Survey, Professional Research Consultants. Note: • Asked of respondents who have been told that their blood cholesterol was high. • In this case, “ taking action” includes medication, diet modification, and/or exercise.

21 2009 East Central Florida Community Health Survey Seminole County Results

Present One or More Cardiovascular Risk Factors or Behaviors

Significant Significant Significant 1999 2004 2009 100% vs. 2004 vs. 1999 vs. 1999 92.1% 90.7% 89.3% 89.1% 89.9% 90% 90% 87.4% 87.8% 85.9% 86.5% 86.4% 86.3% 85.1% 84.8% 83.4% 84.7% 81.9% 81.3% 78.6% 80%

70%

60%

50% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 156 ] • PRC National Health Surveys, Professional Research Consultants. Notes: • Includes respondents reporting any of the following: overweight, cigarette smoking, high blood pressure, high cholesterol, or physical inactivity. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

22 2009 East Central Florida Community Health Survey Seminole County Results

Present One or More Cardiovascular Risk Factors or Behaviors (East Central Florida) 100% 95.5% 94.6% 95% 92.6% 93.1% 91.2% 90.6% 90% 88.4% 86.8% 84.1% 84.5% 85% 83.3% 80.2% 80.5% 80%

75% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 156] Note: • Includes respondents reporting any of the following: overweight, cigarette smoking, high blood pressure, high cholesterol, or physical inactivity.

23 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

Self-Reported Prevalence of Cancer (Not Including Skin Cancer) 25.0% 1999 2004 2009

20.0%

15.0% Significant vs. US

10.0% 9.0% 7.4% 6.2% 6.3% 6.5% 6.1% 6.0% 5.5% 5.7% 5.4% 5.9% 5.7% 5.8% 4.5% 4.6% 4.4% 4.6% 4.5% 4.5% 5.0%

0.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 30] • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of all respondents. • Florida data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

25 2009 East Central Florida Community Health Survey Seminole County Results

Self-Reported Prevalence of Skin Cancer 25.0% 1999 2004 2009

20.0% Significant vs. US

14.6% 14.7% 15.0% Significant Significant Significant vs. US vs. US vs. US 10.0% 9.1% 8.7% 8.5% 7.3% 7.5% 6.5% 6.3% 6.7% 6.4% 6.0% 5.5% 5.8% 5.4% 6.0% 5.5% 4.9% 4.6% 5.0%

0.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 31] • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of all respondents. • Florida data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

26 2009 East Central Florida Community Health Survey Seminole County Results

Have Ever Had a Sigmoidoscopy/Colonoscopy Examination (Among Persons Aged 50 and Older) Healthy People 2010 Objective is 50% or higher 1999 2004 2009 100% Significant Significant Significant Significant vs. 1999 vs. 1999 vs. 1999 vs. 1999 75.7% 80% 72.3% 72.5% 68.3% 69.9% 71.2% 64.8% 60.8% 60.7% 57.4% 58.9% 59.5% 58.9% 60% 52.3% 53.7% 50.3% 48% 48.7% 45.2% 44.4% 45.8% 41.4% 40%

20%

0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 188] 74.1% • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of 70.7% Health and Human Services, Centers for Disease Control and Prevention (CDC). • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: Men Women U.S. Government Printing Office, November 2000. [Objective 3-12b] Notes: • Asked of all respondents aged 50 or over. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999. 27 2009 East Central Florida Community Health Survey Seminole County Results

Have Had a Blood Stool Test in the Past Two Years (Among Persons Aged 50 and Older) Healthy People 2010 Objective is 50% or higher 1999 2004 2009 100%

80% Significant Significant vs. 1999 60.6% vs. 1999 60% 55.2% 50.5% 50.6% 48% 48.7% 48.4% 48.1% 48.3% 47.1% 45.6% 43.1% 46% 44.3% 45.6% 45.1% 39.8% 42% 40% 36.5%

20%

0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 189] • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 3-12a] Notes: • Asked of respondents aged 50 and older • Florida data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

28 2009 East Central Florida Community Health Survey Seminole County Results

Have Had a Mammogram in the Past Two Years (Among Women Aged 40 and Older) Healthy People 2010 Objective is 70% or higher 1999 2004 2009 100.0% 84.0% 81.6% 81.0% 78.7% 79.8% 77.9% 80.3% 79.2% 79.1% 79.6% 78.2% 79.6% 80.0% 75.5% 74.4% 74.2% 74.3% 76.5% 74.6% 67.8%

60.0%

40.0%

20.0%

0.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 186] • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 3-13] Notes: • Reflects women aged 40 and over. • Florida data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

29 2009 East Central Florida Community Health Survey Seminole County Results

Have Had a Pap Smear Within the Past Three Years (Among Women Aged 18 and Older) Healthy People 2010 Objective is 90% or higher 1999 2004 2009 100.0%

90.5% 89.2% 90.0% 87.0% 87.1% 85.9% 85.8% 84.7% 84.3% 83.9% 84.7% 84.5% 84.0% 84.8% 83.7% 82.7% 83.7% 82.6% 82.8% 81.3% 80.0% 77.7% 77.4% 77.8%

70.0%

60.0%

50.0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 79] • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 3-11b] Notes: • Asked of all female respondents. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

30 2009 East Central Florida Community Health Survey Seminole County Results

Have Had a Prostate-Specific Antigen (PSA) Test OR a Digital Rectal Exam in Past Two Years (Among Men Aged 50 and Older) Significant Significant 1999 2004 2009 100% vs. 1999 89.9% vs. 1999 84.5% 85.8% 81.2% 81.4% 81.7% 80.4% 82.8% 82.9% 81.3% 81.3% 77% 77.9% 80% 75% 73.4% 74.9% 75.6% 73.7% 70.1%

60%

40%

20%

0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 187] • PRC National Health Surveys, Professional Research Consultants. Notes: • Reflects male respondents aged 50 and older. • Florida data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

31 2009 East Central Florida Community Health Survey Seminole County Results

Seminole County Cancer Screenings (Seminole County vs. US) Significant vs. US Significant 100% vs. US Seminole County 2009 United States 2008 89.2% 81.3% 82.9% 80% 74.2% 74.6% 73.7% 69.9% 64.8% 60% 44.3% 40% 36.5%

20%

0% Ever Sigmoidoscopy 50+ Blood Stool Mammogram in Past Pap Smear in Past PSA/Digital Rectal Colonoscopy 50+ Test in Past 2 Yrs 2 Yrs 40+ 3 Yrs 18+ Males 50+

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Items 79,186-189] • 2008 PRC National Health Survey, Professional Research Consultants.

32 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

Self-Reported Prevalence of Diabetes 50.0% 1999 2004 2009

40.0%

30.0%

Significant 20.0% vs. 1999 13.5% 12.1% 12.5% 11.5% 12.0% 11.0% 10.5% 10.3% 10.1% 11.1% 9.3% 8.8% 9.2% 8.7% 10.0% 8.2% 8.1% 7.8% 6.3% 5.4%

0.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 34 ] • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of all respondents. Excludes gestational diabetes. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

34 2009 East Central Florida Community Health Survey Seminole County Results

Self-Reported Prevalence of Diabetes (East Central Florida, 2009) 50%

40%

30% 25.5% 21.9% 20% 15.1% 16.4% 15.9% 11.6% 12.3% 12.6% 11.1% 11.4% 9.6% 8.6% 10% 4.6% 5.5%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Overwt/Not Obese Women 40 to 64 < Poverty >200% Pov Black Healthy Wt Obese

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 34] Note: • Asked of all respondents.

35 2009 East Central Florida Community Health Survey Seminole County Results

Taking Action to Control Diabetes (Among East Central Florida Diabetics, 2009)

Yes 93.1%

No 6.9%

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 35] Note: • Asked of all self-reported diabetics.

36 2009 East Central Florida Community Health Survey Seminole County Results

Type of Help Needed With Controlling Diabetes (Among East Central Florida Diabetics, 2009)

Diet/Nutrition 24.0%

Medicine 25.0%

Nothing 21.3% Other 1.2% Support 3.2% Equipment 3.9% Education 5.0% Exercise 10.9% Multiple Things 5.5%

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 36] Note: • Asked of all self-reported diabetics. 37 2009 East Central Florida Community Health Survey Seminole County Results

Awareness of Blood Pressure, Blood Cholesterol and Blood Sugar Numbers (East Central Florida, 2009) 100.0% Blood Pressure Blood Cholesterol Blood Sugar

80.0% 71.0% 65.6% 64.8% 62.0% 63.5% 62.8% 60.0%

41.2% 37.1% 37.7% 37.4% 38.3% 40.0% 36.7% 36.6% 35.0% 36.9% 34.9% 35.4% 29.3%

20.0%

0.0% Brevard Orange Osceola Seminole Greater East Central County County County County Orlando* Florida

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Items 37,42,46] Notes: • Asked of all respondents. • Percentages represent "yes" responses to the inquiries.

38 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

Self-Reported Asthma 50.0% 1999 2004 2009

40.0%

30.0%

20.0% Significant Significant Significant vs. US vs. US vs. US 13.6% 11.9% 12.6% 10.2% 10.6% 10.3% 10.8% 10.1% 10.3% 9.1% 9.1% 9.4% 9.1% 8.9% 9.2% 9.9% 10.0% 8.0% 8.0% 8.0%

0.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Items ]26 • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of all respondents. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

40 2009 East Central Florida Community Health Survey Seminole County Results

Self-Reported Asthma (East Central Florida, 2009) 50%

40%

30%

20% 16.2% 11.9% 10.6% 10.6% 10.7% 10.2% 8.9% 10% 10.1% 9.3% 10.3% 9.2% 10% 8.3%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 26] Note: • Asked of all respondents.

41 2009 East Central Florida Community Health Survey Seminole County Results

Child Has Asthma (Among Respondents With Children Aged 0-17) 50.0% 1999 2004 2009

40.0% 20.0% 19.0% 9.8% 11.9% 12.5%

Boys 5/Under 13-17 30.0% Girls 6-12

Significant 19.2% 20.0% 16.9% vs. US 15.5% 15.2% 15.9% 14.1% 14.8% 13.3% 12.4% 13.4% 12.5% 12.5% 13.4% 10.8% 11.0% 11.5% 11.2% 11.9% 10.0% 8.4%

0.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Items 143] • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of respondents with children aged 0-17. • Florida data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

42 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

Limited in Activities in Some Way Due to a Physical, Mental or Emotional Problem 50% 1999 2004 2009

40%

30% Significant Significant Significant Significant vs. US 22.9% vs. US vs. US vs. US 21.8% 19.3% 19.3% 18.8% 18% 17.6% 20% 16.6% 17.3% 17.4% 17.3% 17.4% 16.4% 17.1% 17.5% 17.2% 15.4% 15.9% 14.9%

10%

0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 117] • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of all respondents. • Florida data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

44 2009 East Central Florida Community Health Survey Seminole County Results

Limited in Activities in Some Way Due to a Physical, Mental or Emotional Problem (East Central Florida, 2009) 50%

40%

30% 28.2% 25% 23.8% 24.5% 21.9% 19.6% 17.9% 18.3% 20% 15.5% 16.1% 13.4% 14.3% 13.9% 9.3% 10%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Overwt/Not Obese Women 40 to 64 < Poverty >200% Pov Black Healthy Wt. Obese

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 117] Note: • Asked of all respondents.

Back/neck problems, arthritis/rheumatism, and difficulties walking are the leading debilitating conditions.

45 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

Healthy Weight (Body Mass Index Between 18.5 and 24.9) Healthy People 2010 Objective is 60% or higher 1999 2004 2009 100.0%

80.0%

60.0% Significant Significant Significant vs. 1999 vs. 1999 vs. 2004 44.8% 43.1% 41.1% 40.3% 41.5% 37.8% 37.7% 38.6% 38.2% 38.1% 40.0% 37.1% 35.2% 35.8% 36.7% 33.4% 32.2% 33.4% 33.4% 32.0%

20.0%

0.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 165] • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. Notes: • Based on self-reported height and weight, asked of all respondents. • The definition of healthy weight is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), between 18.5 and 24.9. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999. 47 2009 East Central Florida Community Health Survey Seminole County Results

Prevalence of Overweight 100.0% Significant Significant Significant Significant vs. 2004 vs. 1999 vs. 1999 vs. 2004 80.0% 66.2% 67.4% 65.2% 63.5% 63.1% 64.5% 64.9% 60.8% 62.6% 60.4% 60.0% 62.1% 62.0% 58.7% 58.5% 57.0% 58.0% 56.9% 53.9% 60.0% 51.1% 53.7% 53.0%

40.0%

20.0%

0.0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States 1999 51.1% 58.5% 57.0% 53.7% 53.0% 56.9% 2004 58.7% 60.8% 62.6% 58.0% 60.4% 60.0% 53.9% 62.0% 2009 66.2% 65.2% 63.5% 63.1% 64.5% 64.9% 62.1% 67.4% Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 164] • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 19-2] Notes: • Based on self-reported height and weight, asked of all respondents. • The definition of overweight is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 25.0, regardless of gender. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

47.5% of overweight adults are trying to lose weight through both diet and exercise. 48 2009 East Central Florida Community Health Survey Seminole County Results

Prevalence of Obesity Healthy People 2010 Objective for Obesity is 15% or lower 100.0%

80.0%

60.0% Significant Significant Significant Significant Significant vs. 2004 vs. 1999 vs. 1999 Significant vs. 1999 vs. 2004 vs. US 40.0% 29.8% 29.4% 29.0% 28.0% 26.9% 27.9% 27.9% 27.7% 25.7% 24.0% 22.6% 21.8% 21.3% 23.1% 22.2% 24.1% 19.4% 18.1% 18.5% 19.7% 19.1% 20.0% 16.1%

0.0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States 1999 18.1% 22.6% 21.8% 19.7% 16.1% 19.1% 2004 19.4% 24.0% 26.9% 18.5% 23.1% 22.2% 27.7% 25.7% 2009 28.0% 29.8% 29.4% 21.3% 27.9% 27.9% 24.1% 29.0% Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 164] • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 19-2] Notes: • Based on self-reported height and weight, asked of all respondents. • The definition for obesity is a BMI greater than or equal to 30.0. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

55.0% of obese adults are trying to lose weight through both diet and exercise. 49 2009 East Central Florida Community Health Survey Seminole County Results

Prevalence of Obesity (East Central Florida, 2009) Healthy People 2010 Objective is 15% or lower 100%

80%

60% 47.6% 38.9% 40% 31.4% 32.4% 33% 26.2% 26.3% 25.2% 26.8% 24.5% 21.2% 20%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Women 40 to 64 < Poverty >200% Pov Black

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 164] • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 19-2] Notes: • Based on self-reported height and weight, asked of all respondents. • The definition of obesity is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 30.0.

50 2009 East Central Florida Community Health Survey Seminole County Results

In the Past Year, Doctor or Health Professional Has Asked About or Given Advice About: (Among Adults Who Are Overweight or Obese, 2009) 100.0% East Central Florida United States

80.0%

60.0% 49.4% 47.3% 46.6% 44.0% 40.0% 33.4% 30.4%

20.0%

0.0% Diet/Nutrition Physical Activity Weight

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. Notes: • Asked of all respondents.

51 2009 East Central Florida Community Health Survey Seminole County Results

Consume Five or More Servings of Fruits/Vegetables per Day

Healthy People 2010 Objective is 75% or higher 1999 2004 2009 100.0%

80.0%

Significant Significant Significant Significant Significant 60.0% vs. 1999 vs. 1999 vs. 2004 vs. 1999 vs. 1999/US 43.5% 41.5% 40.5% 40.1% 39.1% 39.6% 37.3% 39.7% 37.9% 40.0% 34.9% 34.2% 31.8% 32.6% 32.6% 30.1% 28.9% 30.7% 30.1% 30.0% 26.2% 21.9% 23.2% 20.0%

0.0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States

Source: • PRC Community Health Surveys, Professional Research Consultants. [Item 174] • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 19-5] Notes: • Asked of all respondents. • For this issue, respondents were asked to recall the foods they had eaten on the day prior to the interview. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

52 2009 East Central Florida Community Health Survey Seminole County Results

Consume Five or More Servings of Fruits/Vegetables per Day (East Central Florida, 2009) 100%

80%

60% 45% 43.6% 41.3% 42.6% 36.6% 39.2% 37.8% 40% 34.8% 32.1% 27.9% 29.7%

20%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Women 40 to 64 < Poverty >200% Pov Black

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 174] Notes: • Asked of all respondents. • For this issue, respondents were asked to recall the foods they had eaten on the day prior to the interview.

53 2009 East Central Florida Community Health Survey Seminole County Results

No Leisure-Time Physical Activity in the Past Month 100.0% 1999 2004 2009

80.0%

60.0%

Significant vs. 1999 40.0% 29.8% 31.5% 27.6% 28.3% 27.3% 27.7% 28.8% 24.9% 26.6% 25.0% 26.1% 25.8% 25.4% 26.8% 24.2% 22.5% 23.8% 22.6% 23.6% 21.8% 21.9% 20.2% 20.0%

0.0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 90] • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of all respondents. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

64.7% of employed respondents have jobs that entail mostly standing or sitting.

54 2009 East Central Florida Community Health Survey Seminole County Results

No Leisure-Time Physical Activity in Past Month (East Central Florida, 2009) 100%

80%

60% 45.1% 36.7% 36.6% 40% 35% 32.7% 27.9% 30.7% 23.7% 24.7% 26% 23.6% 19.3% 20% 20.6% 20%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Overwt/Not Obese Women 40 to 64 < Poverty >200% Pov Black Healthy Wt. Obese

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 90] Note: • Asked of all respondents.

55 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

Chronic Drinkers 25.0% 1999 2004 2009

20.0%

15.0%

Significant Significant 10.0% 9.1% vs. US vs. 2004

5.9% 5.7% 6.2% 5.8% 5.1% 5.1% 4.7% 5.0% 4.5% 4.2% 4.2% 4.1% 4.3% 3.9% 4.2% 5.0% 3.7% 3.2% 2.4%

0.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 179] • PRC National Health Surveys, Professional Research Consultants. Notes: • Reflects the total sample of respondents. • Chronic drinkers are defined as those who have had at least 60 drinks of alcoholic beverages during the past month. • Florida data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

57 2009 East Central Florida Community Health Survey Seminole County Results

Chronic Drinkers (East Central Florida, 2009) 25%

20%

15%

10% 5.6% 5.8% 4.6% 4.6% 5% 4% 4.1% 2.2% 2.9% 2.3% 0.6% 1.2% 0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Women 40 to 64 < Poverty >200% Pov Black

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 179] Notes: • Reflects the total sample of respondents. • Chronic drinkers are defined as those who have had at least 60 drinks of alcoholic beverages during the past month.

58 2009 East Central Florida Community Health Survey Seminole County Results

Binge Drinkers Healthy People 2010 Objective is 6% or lower 1999 2004 2009 100.0%

80.0%

60.0%

40.0%

18.9% 18.0% 17.8% 17.8% 17.1% 16.6% 16.6% 15.1% 15.0% 16.7% 17.3% 15.7% 16.2% 15.5% 16.4% 20.0% 13.4% 12.3% 13.6% 13.1% 12.0% 14.1% 13.7%

0.0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 180] • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 26-11c] Notes: • Reflects the total sample of respondents. • Binge drinkers are those who have had 5 or more alcoholic drinks on any one occasion at least once in the past month. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999. 59 2009 East Central Florida Community Health Survey Seminole County Results

Binge Drinkers (East Central Florida, 2009) Healthy People 2010 Objective is 6% or lower 100%

80%

60% 46.9%

40% 24.3% 25.9% 18.3% 20.8% 18% 18.3% 19.7% 20% 11.6% 14.7% 8.1% 7.4%

0% Men Men 18-24 40 to 64 < Poverty >200% Pov Black Women 18 to 39 65+ 100%-200% Pov White Hispanic

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 180] • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 26-11c] Notes: • Reflects the total sample of respondents. • Binge drinkers are those who have had 5 or more alcoholic drinks on any one occasion at least once during the past month.

60 2009 East Central Florida Community Health Survey Seminole County Results

Have Driven in the Past Month After Perhaps Having Too Much to Drink 50% 1999 2004 2009

40%

30%

20% Significant vs. 2004

10% 5.4% 4.8% 3.7% 4.1% 4.3% 3.8% 3.7% 3.8% 2% 3% 2.4% 2.6% 3.1% 3.1% 2.3% 3% 3.3% 2.7% 2.8% 0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 59] • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of all respondents. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

61 2009 East Central Florida Community Health Survey Seminole County Results

Smoking Prevalence (East Central Florida, 2009)

Former Smoker 27.6%

Occasional Smoker 5.5%

Regular Smoker 12.6%

Never Smoked 54.3%

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 175] Note: • Asked of all respondents.

62 2009 East Central Florida Community Health Survey Seminole County Results

Current Smokers Healthy People 2010 Objective is 12% or lower 100.0%

80.0%

60.0%

40.0%

19.9% 17.4% 17.5% 17.8% 17.5% 18.1% 19.3% 19.2% 20.0%

0.0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States Some Days 4.7% 6.2% 5.4% 4.8% 5.8% 5.5% 5.0% 5.1% Everyday 15.2% 11.2% 12.1% 13.0% 11.7% 12.6% 14.3% 14.1%

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 175] • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). • 2008 PRC National Health Survey, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 27-1a] Notes: • Asked of all respondents. • Includes regular and occasional smokers (everyday and some days). • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999. 63 2009 East Central Florida Community Health Survey Seminole County Results

Current Smokers Healthy People 2010 Objective is 12% or lower 1999 2004 2009 100%

80%

60%

Significant Significant Significant Significant Significant 40% vs. 1999 vs. 1999 vs. 1999 vs. 1999 vs. 2004 26.2% 23.9% 23.2% 24% 22.4% 23.6% 22.4% 22.8% 20.4% 19.9% 20.4% 21.4% 22.3% 20.9% 20.9% 17.4% 17.5% 17.8% 17.5% 18.1% 19.3% 19.2% 20%

0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 175] • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States64.3% Department of smokers of say that, in the Health and Human Services, Centers for Disease Control and Prevention (CDC). past year, their doctor • PRC National Health Surveys, Professional Research Consultants. recommended that they quit • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington,(although DC: most say he/she did not U.S. Government Printing Office, November 2000. [Objective 27-1a] recommend a specific method). Notes: • Asked of all respondents. • Includes regular and occasional smokers (everyday and some days). 43.6% also say that they have quit • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was notsmoking surveyed for in one 1999. or more days in the past year.

64 2009 East Central Florida Community Health Survey Seminole County Results

Current Smokers (East Central Florida, 2009) Healthy People 2010 Objective is 12% or lower 100%

80%

60%

40% 34.4% 31.7% 21.4% 22.3% 23.6% 19.8% 17.6% 17.7% 17.1% 17.5% 20% 16.4% 14.7% 13.9% 10.3%

0% Men Women 18-44 40 to 64 < Poverty >200% Pov Black Insured Women 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Items 175] • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 27-1a] Notes: • Asked of all respondents. • Includes those who smoke everyday or on some days.

65 2009 East Central Florida Community Health Survey Seminole County Results

Health Professional Has Recommended Quitting Smoking in the Past 12 Months (Among Everyday Smokers; East Central Florida)

Yes 64.3%

No 35.7%

Nationwide, 60.8% of smokers have had a doctor, nurse or health professional recommend that they quit smoking in the past year.

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 51] • 2008 PRC National Health Survey, Professional Research Consultants. Note: • Asked of current smokers who smoke every day. 66 2009 East Central Florida Community Health Survey Seminole County Results

Have Stopped Smoking for One Day or Longer in the Past Year in an Attempt to Quit Smoking (Among Adults Who Smoke Cigarettes Every Day) Healthy People 2010 Objective is 75% or higher 1999 2004 2009 100%

80% Significant Significant Significant Significant vs. 1999/US 60.2% vs. 1999/US vs. 1999/US vs. US 56.9% 57.2% 57% 60% 51.5% 52.1% 52.2% 50.8% 49.9% 49.7% 50.4% 48.4% 48.7% 43.6% 42.8% 43.2% 40.4% 37.3% 40.2% 40%

20%

0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 50] • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 27-5] Notes: • Asked of regular (everyday) smokers. • Florida data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999. 67 2009 East Central Florida Community Health Survey Seminole County Results

Member of Household Smokes at Home 50.0% Note: 6.3% of East Central Florida nonsmokers are exposed to smoke at home. 2004 2009

40.0%

30.0%

Significant Significant Significant vs. US vs. 2004/US vs. US 18.8% 20.0% 17.5% 16.3% 15.6% 15.2% 14.9% 13.7% 13.8% 13.5% 14.1% 14.1% 12.9% 13.1% 9.5% 10.0%

0.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Source: • PRC Community Health Surveys, Professional Research Consultants. [Item 54] • PRC Community Health Surveys, Professional Research Consultants. Note: • Reflects the total sample of respondents. • "Smokes at home" refers to someone smoking cigarettes, cigars or a pipe in the home an average of four or more times per week in the past month.

68 2009 East Central Florida Community Health Survey Seminole County Results

Member of Household Smokes at Home (East Central Florida, 2009) 50%

40%

29.6% 30% 24.8%

20% 17.2% 14.4% 13.1% 13.1% 12.7% 13.8% 11.1% 12.2% 12.1% 10.9% 10% 8.5%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 54] Note: • Reflects the total sample of respondents. • "Smokes at home" refers to someone smoking cigarettes, cigars or a pipe in the home an average of four or more times per week in the past month.

69 2009 East Central Florida Community Health Survey Seminole County Results

Percentage of Households With Young Children in Which Someone Smokes in the Home (Among Households With Children Aged 0 to 6)

Healthy People 2010 Objective is 10% or lower 2004 2009 50%

40%

30% 26.4%

Significant 17.7% 18.3% 20% 15.5% vs. 2004/US 13.8% 12.8% 13% 13.4% 13.1% 13% 12% 13.3% 9.6% 10% 7.1%

0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 177] • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 27-9] Notes: • Reflects respondents with children aged 0 to 6 years old. • "Smokes in the home" refers to someone smoking cigarettes, cigars or a pipe in the home an average of four or more times per week in the past month. 70 2009 East Central Florida Community Health Survey Seminole County Results

Believe That Secondhand Smoke Is Harmful (By Smoking Status; East Central Florida, 2009)

45.0% Very Harmful 68.1% 64.0%

40.5% Somewhat Harmful 26.5% 29.0%

9.0% Not Very Harmful 3.0% 4.1%

5.5% ECF Smokers Not Harmful At All 2.4% ECF Nonsmokers 2.9% ECF Total Sample

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 55] Note: • Asked of all respondents.

71 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

Lack Health Care Insurance Coverage (Among Adults Aged 18 to 64) Healthy People 2010 Objective is 0% 1999 2004 2009 50.0%

40.0%

Significant Significant vs. 2004 29.2% 30.0% vs. 2004 24.0% 22.4% 23.3% 21.8% 20.7% 20.6% 21.4% 21.5% 19.0% 17.5% 17.5% 17.7% 17.3% 17.7% 20.0% 15.8% 16.2% 16.5% 14.5% 15.5% 15.6% 15.3%

10.0%

0.0% Brevard Orange Osceola Seminole Greater East Central Florida United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 194] • Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 1-1] Notes: • Reflects respondents aged 18 through 64. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

73 2009 East Central Florida Community Health Survey Seminole County Results

Lack Health Care Insurance Coverage (East Central Florida, 2009; Among Adults Aged 18 to 64) Healthy People 2010 Objective is 0% 100%

80%

60%

40% 35% 26.5% 25.4% 28.5% 19.1% 21.8% 15.5% 20% 13.1% 10.2% 10.9%

0% Men 18 to 39 < Poverty >200% Pov Black Women 40 to 64 100%-200% Pov White Hispanic

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 194] • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 1-1] Note: • Reflects respondents aged 18 through 64.

11.9% of households with children report a child without healthcare insurance coverage.

74 2009 East Central Florida Community Health Survey Seminole County Results

Preventive Health Care (By Insured Status; East Central Florida, 2009) Uninsured Insured 100.0% 95.5% 93.1% 80.0% 88.1% 80.6% 77.5% 80.6% 72.2% 74.3% 60.0% 70.2%

51.8% 40.0% 45.5% 44.7% 37.2% 20.0% 25.9%

0.0% Specific Source Checkup Blood Pressure Cholesterol Test Dental Care Mammogram Prostate Exam of Ongoing Care in Past Year Test in Past 2 Yrs in Past 5 Yrs in Past Yr in Past 2 Yrs in Past 2 Yrs (W 40+) (M 50+)

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Items 20,23,51,55,174,175,183] Notes: • Reflects all respondents. • Insured respondents include those with either private or government-sponsored insurance plans, aged 18-64.

75 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

Experienced Difficulties or Delays of Some Kind in Receiving Needed Health Care in the Past Year Healthy People 2010 Objective is 7% or lower 2004 2009 100%

80% Significant vs. US Significant vs. 2004/US 60% 53% 50.8% 46.3% 45.2% 43.6% 45.8% 44.9% 43.6% 43.1% 42.4% 37% 37.4% 36.6% 40% 36%

20%

0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 196] • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 1-6] Notes: • Asked of all respondents. • Includes difficulties related to availability, cost, office hours, transportation or other unspecified troubles/delays. • Florida data not available.

77 2009 East Central Florida Community Health Survey Seminole County Results

Experienced Difficulties or Delays of Some Kind in Receiving Needed Health Care in the Past Year (East Central Florida, 2009) Healthy People 2010 Objective is 7% or lower 100%

80% 75.1% 73.1% 61% 60.3% 60% 48.7% 49.8% 44.7% 42.6% 42.1% 37.2% 40% 35.6% 35.8% 25.2%

20%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item196] • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 1-6] Note: • Asked of all respondents.

78 2009 East Central Florida Community Health Survey Seminole County Results

Barriers to Access Have Prevented Medical Care in the Past Year (Seminole County 2009 vs. US)

16.6% Cost (Prescriptions) 18.2%

14.7% Cost (Physician Visit) 19.7%

17.2% Trouble Getting an Appt. 18.9%

14.3% Significant Inconvenient Office Hours vs. US 18.8%

10.1% Trouble Finding a Physician 12.9% Seminole County 2009 6.6% Transportation 8.5% United States 2008

0.0% 10.0% 20.0% 30.0% 40.0% 50.0%

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Items 7-10, 12-13] • 2008 PRC National Health Survey, Professional Research Consultants. Note: • Asked of all respondents. 79 2009 East Central Florida Community Health Survey Seminole County Results

Barriers to Access Have Prevented Medical Care in the Past Year (Seminole County 1999-2009)

16.6% Significant vs. 1999 Cost (Prescriptions) 16.7% 6.3% Significant 14.7% vs. 1999 Cost (Physician Visit) 14.6% 7.5%

17.2% Significant Trouble Getting an Appt. 14.5% vs. 1999 12.3%

14.3% Inconvenient Office Hours 13.2% 10.8%

10.1% Trouble Finding a Physician 9.0% 7.7% Seminole County 2009

6.6% Significant Seminole County 2004 Transportation 5.2% vs. 1999 Seminole County 1999 3.4%

0.0% 10.0% 20.0% 30.0% 40.0% 50.0%

Source: • PRC Community Health Surveys, Professional Research Consultants. [Items 7-10, 12-13] Note: • Asked of all respondents.

80 2009 East Central Florida Community Health Survey Seminole County Results

Barriers to Access Have Prevented Medical Care in the Past Year (East Central Florida, 2009; Whites vs. Non-Whites)

32.5% Cost (Prescriptions) 14.7%

33.4% Cost (Physician Visit) 13.0%

23.5% Trouble Getting an Appt. 14.9%

21.5% Inconvenient Office Hours 13.7%

21.4% Trouble Finding a Physician 9.0% Non-Whites 15.4% Transportation 3.8% Whites

0.0% 10.0% 20.0% 30.0% 40.0% 50.0%

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Items 7-10, 12-13] Note: • Asked of all respondents.

81 2009 East Central Florida Community Health Survey Seminole County Results

Barriers to Access Have Prevented Medical Care in the Past Year (East Central Florida, 2009; <200% Poverty vs. >200% Poverty)

46.2% Cost (Prescriptions) 13.6%

41.6% Cost (Physician Visit) 12.6%

28.0% Trouble Getting an Appt. 14.6%

23.5% Inconvenient Office Hours 15.4%

24.3% Trouble Finding a Physician 10.0% <200% Poverty 20.6% Transportation 3.1% >200% Poverty

0.0% 10.0% 20.0% 30.0% 40.0% 50.0%

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Items 7-10, 12-13] Note: • Asked of all respondents.

82 2009 East Central Florida Community Health Survey Seminole County Results

Cost Prevented a Physician Visit Within the Past Year (East Central Florida, 2009) 100%

80%

61.6% 60% 56.3%

39.6% 40% 33.1% 27.3% 23.9% 23.4% 20.9% 17.5% 16.5% 20% 12.6% 13% 5.8%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Source: • 2009 PRC Community Health Survey, Professional Research Consultants [Item 9] Notes: • Asked of all respondents.

83 2009 East Central Florida Community Health Survey Seminole County Results

Cost Prevented Prescription Medicine in Past Year (East Central Florida, 2009) 70.0% 58.8% 60.0% 50.7% 50.0% 38.9% 38.2% 40.0%

30.0% 26.4% 27.6% 25.5% 20.5% 18.6% 20.0% 16.1% 13.6% 14.7% 10.8% 10.0%

0.0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Source: • 2009 PRC Community Health Survey, Professional Research Consultants [Item 10] Notes: • Asked of all respondents.

84 2009 East Central Florida Community Health Survey Seminole County Results

Stretched Prescription/Sacrificed for a Prescription/

Did Not Take Prescription as Ordered in the Past Year 100% 2004 2009 80%

60% Significant Significant vs. 2004 vs. 2004 39.3% 34% 40% 32.4% 31.9% 30.6% 28% 28.3% 27.1% 23.5% 26.5% 26.1% 25.6% 20%

0% Brevard Orange Osceola Seminole Greater East Central County County County County Orlando* Florida

Source: • PRC Community Health Surveys, Professional Research Consultants. [Item 11] Note: • Asked of all respondents.

85 2009 East Central Florida Community Health Survey Seminole County Results

Stretched Prescription/Sacrificed for a Prescription/ Did Not Take Prescription as Ordered in the Past Year (East Central Florida, 2009) 100%

80%

56.5% 55.5% 60% 49.9% 45.6% 35.9% 34.7% 34.2% 35.7% 40% 30.4% 25.1% 23.3% 24.3% 20% 14.7%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 11] Note: • Asked of all respondents.

86 2009 East Central Florida Community Health Survey Seminole County Results

Language Barriers or Cultural Differences Made

Obtaining Medical Care Difficult in the Past Year 50% 2004 2009

40%

30%

Significant Significant Significant 20% vs. 2004 vs. 2004 vs. 2004 10.8% 11.4% 8.9% 8.8% 10% 6.6% 7.5% 5.5% 5.7% 4.8% 2.1% 3.4% 3.3% 0% Brevard Orange Osceola Seminole Greater East Central County County County County Orlando* Florida

Source: • PRC Community Health Surveys, Professional Research Consultants. [Item 14] Note: • Asked of all respondents.

87 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

Have a Specific Source of Ongoing Medical Care Healthy People 2010 Objective is 96% or higher 2004 2009 100.0%

90.0% Significant 81.0% vs. 2004 79.2% 79.0% 80.0% 77.8% 78.2% 76.8% 76.8% 74.8% 75.4% 74.5% 73.3% 72.6% 73.4% 70.0% 66.1%

60.0%

50.0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 195] • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 1-4] Notes: • Asked of all respondents. • A specific source of ongoing care includes having a doctor's office, clinic, urgent care/walk-in clinic, health center facility, hospital outpatient clinic, HMO (health maintenance organization)/pre-paid group, military/VA healthcare, or some other kind of place to go if one is sick or needs advice about his/her health. A hospital emergency room is NOT considered a source of ongoing care in this instance. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999. 89 2009 East Central Florida Community Health Survey Seminole County Results

Have a Specific Source of Ongoing Medical Care (East Central Florida, 2009) Healthy People 2010 Objective is 96% or higher 100% 85.6% 83.8% 79.7% 80.2% 81.4% 80.6% 80% 73.8% 72.4% 68.3% 67.1% 61.1% 63.1% 60% 45.5%

40%

20%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 195] • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 1-4] Notes: • Asked of all respondents. • A specific source of ongoing care includes having a doctor's office, clinic, urgent care/walk-in clinic, health center facility, hospital outpatient clinic, HMO (health maintenance organization)/pre-paid group, military or other VA healthcare, or some other kind of place to go if one is sick or needs advice about his/her health. A hospital emergency room is NOT considered a source of ongoing care in this instance. 90 2009 East Central Florida Community Health Survey Seminole County Results

Have Visited a Physician for a Routine Checkup Within the Past Year 100% 1999 2004 2009

80% 70.5% 68.2% 69.3% 67.7% 67.7% 68.7% 68.6% 68.2% 65.9% 65.6% 67% 67.6% 66% 65.9% 65.2% 64% 62.1% 64.4% 64.1% 60%

40%

20%

0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 18] • PRC National Health Surveys, Professional Research Consultants. Notes: • Asked of all respondents. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

91 2009 East Central Florida Community Health Survey Seminole County Results

Have Visited a Physician for a Routine Checkup Within the Past Year (East Central Florida, 2009) 100% 87.1% 77.8% 80% 71.9% 70.6% 69.6% 69.8% 68.3% 70.2% 66.5% 63.4% 60% 56.6% 55.1%

37.2% 40%

20%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Uninsured Women 40 to 64 < Poverty >200% Pov Black Insured

Source: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 18] Note: • Asked of all respondents.

92 2009 East Central Florida Community Health Survey Seminole County Results

Have Visited a Dentist or Dental Clinic Within the Past Year Healthy People 2010 Objective is 56% or higher 1999 2004 2009 100% Significant Significant Significant Significant Significant vs. US vs. 2004 vs. 1999/US vs. US vs. 2004/US 75% 80% 71.6% 67.6% 68.1% 68.5% 67.5% 67.5% 68.9% 66.7% 66.4% 64.3% 61.3% 62.6% 61.7% 61.3% 63.5% 59.9% 58% 60% 55.5%

40%

20%

0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States

Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 21] • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 21-10] Notes: • Asked of all respondents. • Florida data not available. • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

93 2009 East Central Florida Community Health Survey Seminole County Results

Have Visited a Dentist or Dental Clinic Within the Past Year (East Central Florida, 2009) Healthy People 2010 Objective is 56% or higher 100%

80% 72.6% 72.2% 69.6% 68.3% 70.4% 65.2% 66% 65.1% 63.4% 59.8% 60% 56.4% 46.1% 44.7% 40%

20%

0% Men 18 to 39 65+ 100%-200% Pov White Hispanic Unins (Health) Women 40 to 64 < Poverty >200% Pov Black Insured (Health)

Sources: • 2009 PRC Community Health Survey, Professional Research Consultants. [Item 21] • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office, November 2000. [Objective 21-10] Note: • Asked of all respondents.

94 2009 East Central Florida Community Health Survey Seminole County Results

Child Has Visited a Dentist or Dental Clinic Within the Past Year (Among Respondents With Children Aged 2-17) Healthy People 2010 Objective is 56% or higher 1999 2004 2009 Significant 100% Significant vs. US Significant Significant vs. US Significant Significant vs. US 85.1% vs. US vs. US vs. US 74.7% 73.8% 75.8% 75.9% 80% 71.1% 73.4% 73.3% 67.9% 70.1% 69% 68.4% 69.2% 69.7% 69.3% 63.4% 62.9% 65% 59.5% 60%

40%

20%

0% Brevard Orange Osceola Seminole Greater East Central United County County County County Orlando* Florida States Sources: • PRC Community Health Surveys, Professional Research Consultants. [Item 142] 85.8% 81.6% • PRC National Health Surveys, Professional Research Consultants. • Healthy People 2010, 2nd Edition. U.S. Department of Health and Human Services. Washington, DC: 36.8% U.S. Government Printing Office, November 2000. [Objective 21-10] Notes: • Asked of respondents with children aged 2 to 17. Aged Ages Ages • Florida data not available. 2 to 5 6 to 12 13 to 17 • *Greater Orlando includes Orange, Osceola & Seminole Counties. Brevard County was not surveyed in 1999.

95 2009 East Central Florida Community Health Survey Seminole County Results

COMMUNITY HEALTH 2009 East Central Florida Community Health Survey Seminole County Results

How is Seminole County doing since 1999 and 2004? UNFAVORABLE TRENDS FAVORABLE TRENDS • High Blood Pressure & Cholesterol • Seat Belt Use • Barriers to Accessing Healthcare • Fruit & Vegetable Consumption – Cost (Doctor Visits & Prescriptions) • Weight Loss Efforts – Appointment Availability • Cigarette Smoking & – Lack of Transportation Tobacco Smoke in the Home – Language/Cultural Barriers • Seeking Help for Mental Health • Emergency Room Utilization • Efforts to Control • Chronic Lung Disease High Blood Pressure & Cholesterol • Major Depression • Colorectal Cancer Screening 2009 East Central Florida Community Health Survey Seminole County Results

Areas of Opportunity

REGIONAL-LEVEL COUNTY-SPECIFIC Death & Disease Seminole County • High Blood Cholesterol & Actions to Control HBC • Awareness of Blood Sugar Levels • Skin Cancer Prevalence • Awareness of "211" Services • Senior Flu Shots • Cholesterol Screening • Fruit Consumption Modifiable Health Risks • Overall Alcohol Use & Substance Abuse Treatment • Improper Prescription Use • Drinking & Driving/Riding • Vegetable Consumption • Overweight & Obesity • Vigorous Physical Activity • Smoking Cessation Attempts

Access to Healthcare Services • Cost/Insurance Difficulties • Accessing Child's Healthcare • Language/Cultural Barriers to Access • Children's Dental Care 2009 East Central Florida Community Health Survey Seminole County Results

www.PRCEasyView.com Results • Segment survey findings by: • Respondent demographics (e.g., age, gender, poverty status, etc.); • Response characteristics (e.g., overweight adults, smokers, adults with asthma, etc.); or • Combinations thereof. Reports & Presentations • View, download and/or print: - Full report in Adobe Acrobat - PowerPoint presentation file User = ECF Password = health (case-sensitive) 2009 East Central Florida Community Health Survey Seminole County Results

2009 East Central Florida Community Health Survey CHARTS 02/09/2009

2009 East Central Florida Community Health Survey PRESENTATION 02/09/2009

2009 East Central Florida Community Health Survey REPORT 02/09/2009 2009 East Central Florida Community Health Survey Seminole County Results 2009 East Central Florida Community Health Survey Seminole County Results

Q & A