Community Health Assessment
Total Page:16
File Type:pdf, Size:1020Kb
Brunswick County Community Health Assessment 2019 Brunswick County Health Services 1 THIS REPORT IS AVAILABLE ON THE BRUNSWICK COUNTY HEALTH SERVICES WEBSITE AT: www.brunswickcountync.gov/health Contact Brunswick County Health Department at 910-253-2250 for any questions or comments about the Community Health Assessment. 2 Dear Brunswick County Residents, On behalf of Brunswick County Health Services, I am pleased to present you with the 2019 Community Health Assessment. The contents of this assessment help us to gain a deeper understanding of residents’ opinions and feelings about health, illness, and services. It also provides us with key insights on important issues such as health risk factors, quality of life, mortality, morbidity, community assets, forces of change, social determinants of health, and essential services. Over the next four years, we will use this information to develop strategies to address these issues. Thank you to Brunswick County Health Services staff, the University of North Carolina at Wilmington Center for Healthy Communities, Steering Committee members, and community partners who contributed to the process and development of this report. I would also like to express my gratitude to Brunswick County residents for providing your opinions. We greatly appreciate your time and value your input. I look forward to our continued mission of promoting access to affordable care, treatment, and community resources to improve the well-being of all residents. Sincerely, Cris Harrelson, Director Brunswick County Health Services 3 TABLE OF CONTENTS Acknowledgements................................................................................................................................4 Executive Summary................................................................................................................................5 Chapter One: Introduction and Overview .............................................................................................11 Chapter Two: Demographics..................................................................................................................15 Chapter Three: CHA Findings and Priorities...........................................................................................20 County Health Rankings.............................................................................................................20 Community Concerns................................................................................................................22 Overall Health............................................................................................................................27 Maternal and Child Health.........................................................................................................29 Access to Health Care...............................................................................................................33 Aging Population........................................................................................................................38 Chronic Conditions.....................................................................................................................39 Social Determinants of Health...................................................................................................42 Substance Misuse......................................................................................................................46 HIV and AIDS.............................................................................................................................50 Road Maintenance (Unsafe Driving)...........................................................................................51 All Other Unintended Injury Mortality.........................................................................................51 Environmental Health Indicators................................................................................................52 Chapter Four: Community Priorities......................................................................................................55 Chapter Five: Priority Area Resources...................................................................................................58 Appendix 1: Additional Resources........................................................................................................61 Appendix 2: Focus Group Report...........................................................................................................71 Appendix 3: Survey Results...................................................................................................................91 Appendix 4: Secondary Data Tables and Sources...............................................................................247 Appendix 5: 2019 Brunswick County Data Book................................................................................339 4 ACKNOWLEDGMENTS Community Health Assessment Team • Cris Harrelson, Health Director, Brunswick County Health Services • Allison Campbell, Health Educator, Brunswick County Health Services • Leah Mayo, Center for Healthy Communities, UNC Wilmington, College of Health and Human Services • Rebekah Edwards, Center for Healthy Communities, UNC Wilmington, College of Health & Human Services Steering Committee NAME ORGANIZATION Allison Campbell Brunswick County Health Services Catherine Lytch Brunswick County Social Services and Housing Cris Harrelson Brunswick County Health Services Dr. Jerry Oates Brunswick County Schools Jennifer Bawab CommWell Health Jeremy Seamon Coastal Horizons June Baker Novant Health Medical Group Leah Mayo Center for Healthy Communities Lindsay Maher Brunswick Wellness Coalition Lois Smith Brunswick Community College – Academic & Student Affairs Paige Lippard Novant Health Brunswick Medical Center Rebekah Edwards Center for Healthy Communities Sheila Roberts New Hope Clinic Stephanie Bowen Brunswick Family Assistance Tanya McGee Brunswick County Parks & Rec Yvonne Hatcher Brunswick Transit System, Inc. CHA Contributors NAME ORGANIZATION Cierra Washington Center for Healthy Communities Courtney Christie Brunswick County Health Services Intern, UNCW Public Health Studies Student Dr. Joanne Halls UNCW, Department of Earth and Ocean Science, GIS Elizabeth Fulbright Center for Healthy Communities, UNC Gilling’s School of Public Health, MPH Candidate George Adams UNCW, Department of World Languages and Cultures Jeffry Edwards UNCW, Department of Earth and Ocean Science, GIS Student Joseph Sharp UNCW Data Science Student Kristen Godwin UNCW, Department of Sociology and Criminology Melissa Hollander Center for Healthy Communities Intern, UNCW Public Health Studies Student Morgan Dozier UNCW Data Science Student Robert Fairman Georgia State University, Doctoral Student, Health Promotion and Behavior Sarah Mason Brunswick County Health Services Intern, UNCW Public Health Studies Student Ashley Wells UNCW College of Health and Human Services 5 EXECUTIVE SUMMARY The Community Health Assessment The Community Health Assessment is conducted to examine the health and quality of life of Brunswick County citizens. The process includes gathering information from community residents (primary data), and comparing this data to available health statistics (secondary data) to identify the most pressing concerns. The information gathered is used by county leadership and stakeholders to strategically plan the best use of resources to address top community concerns, while tracking progress to reach the overall goal of improving health and quality of life in Brunswick County. Community Health Assessment Vision A healthy Brunswick County promotes access to affordable care, treatment, and community resources to improve the well-being of all residents. The Assessment Process Every four years, Brunswick County Health Services collaborates with community stakeholders and a multidisciplinary community health assessment (CHA) Steering Committee to lead the assessment process. The process includes collecting and analyzing primary (survey and focus groups) and secondary (health statistics) data and collectively setting priorities for the improvement of health and quality of life for residents. The results of the CHA are subsequently used to create a plan of action (community health improvement plan) in order to effect measurable change over the next four years. Brunswick County Health Services, in consultation with the Center for Healthy Communities at the University of North Carolina Wilmington’s College of Health and Human Services, collaborated with Community Health Assessment Steering Committee members and other community partners to complete the eight steps of the community health assessment process outlined by the North Carolina Division of Public Health. The community participated in the CHA process through input on the community health opinion survey (CHOS) and in focus groups. The 55-question CHOS was administered to randomly selected households through in-person door-to-door visits and through direct mailings. 6 A total of 183 surveys were completed. Following the CHOS, nine focus groups were conducted across the county with populations underrepresented in completion of the CHOS. The CHOS and focus group data were compared with publicly available health statistics data in order to allow the Steering Committee to complete the priority setting aspect of the health assessment process. Comparisons and Targets Comparisons are used