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Mchenry County Healthy Community Study

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Mchenry County Healthy Community Study McHenry County Healthy Community Study Ben Baer, Epidemiologist Meaghan Haak, Community Health Coordinator Special thanks to Debora Lischwe with Health Systems Research History • McHenry County Healthy Community Study was completed: • 2006, 2010, 2014, 2017 • In order to align with other funding partners, the study was completed in 2016. • MAPP workgroups will align with the priorities identified in the study. Funding Partners • Advocate Health Care • Centegra Health System • McHenry County Department of Health • McHenry County Mental Health Board • McHenry County Substance Abuse Coalition • United Way of Greater McHenry County Healthy Community Study Overview • Study consists of three components: • Community Analysis used existing datasets and information collected by MCDH • Survey conducted by Health Systems Research using paper surveys and online • Focus groups conducted by Health Systems Research Components Survey Target Population Focus Groups Community Leader Focus Groups • Distributed June-mid • Identified through by assessing current • Identified through August 2016 data and input from community partners input from funding • 1,090 total • Groups identified: and community • 774 electronic • Persons with mental illness, partners • 316 paper substance abuse or disabilities • 50 community leaders • Surpassed the 2014 survey • Hispanics/Latinos participated by 46.5% • Veterans • Low-income mothers McHenry County Population: 1900-2015 350,000 300,000 250,000 200,000 150,000 Population 100,000 50,000 0 1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 2010 2015 U.S. Census Bureau, decennial Censuses and American Community Survey 1-year Estimates McHenry County Residents by Race/Ethnicity: 2015 90% 82% 80% McHenry County U.S 70% 62% 60% 50% 40% 30% PercentPopulation 18% 20% 12% 13% 10% 5% 3% 1% 0% White, NH Asian, NH Black, NH Hispanic U.S. Census Bureau, and American Community Survey 2015 1-year Estimates McHenry County, Illinois, and United States Median Housing Costs: 2015 $1,800 $1,709 $1,588 $1,600 $1,477 $1,400 $1,200 $1,136 $959 $1,000 $936 $800 $743 $589 $600 $468 Median Housing Costs Housing Median $400 $200 $0 Owner w/mortgage Owner w/o mortgage Renter McHenry Co. Illinois U.S U.S. Census Bureau, and American Community Survey 2015 1-year Estimates McHenry County, Illinois, and U.S. Poverty by Race/Ethnicity: 2015 35% 31% 30% 27% 25% 25% 22% 21% 20% 19% 16% 14% 15% 12% 13% 11% Percent in Poverty Percent 10% 9% 7% 6% 5% 4% 0% McHenry Co. Illinois United States Overall White, NH Asian, NH Black, NH Hispanic U.S. Census Bureau, and American Community Survey 2015 1-year Estimates McHenry County, Illinois, and U.S. Travel Time to Work: 2015 60% 56% McHenry Co. Illinois United States 53% 50% 47% 40% 32% 32% 30% 29% 20% Percent Commuters Percent 15% 9% 10% 6% 7% 3% 3% 0% <30 Minutes 30 - 59 Minutes 60 - 89 Minutes 90+ Minutes U.S. Census Bureau, and American Community Survey 2015 1-year Estimates McHenry County Specific Drug Arrest Rate: 1998-2015 400 Drug Paraphernalia Cannabis Controlled Substance Hypodermic Syringe 350 300 250 Population 200 100,000 150 100 Rate Per Per Rate 50 0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Illinois State Police, Illinois Uniform Crime Reports McHenry County and Illinois Driving Under the Influence Arrest Rate: 2010-2014 450 400 350 300 250 200 150 McHenry Co. Illinois 100 50 Arrest per 1000,000 Population age 16+ Arrest Population per 1000,000 0 2010 2011 2012 2013 2014 Secretary of State, Illinois DUI Fact Books McHenry County, Illinois, and U.S. Birth Rate: 2000-2014 18 16 14 12 Population 10 McHenry Co. 8 1,000 Illinois 6 United States Rate Per Per Rate 4 2 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Centers for Disease Control and Prevention CDC WONDER McHenry County and U.S. Age-Specific Fertility: 2014 140.0 131.7 128.3 McHenry Co. United States 120.0 105.8 100.9 100.0 80.0 80.0 Women in Age Group Women 60.0 53.3 48.5 51.0 1,000 40.0 24.2 20.0 Births per 11.3 8.1 10.6 0.0 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 Centers for Disease Control and Prevention CDC WONDER McHenry County, Illinois, and U.S. Teen Births: 1995-2014 14.00% 12.00% 10.00% 8.00% 6.00% 4.00% Percent ofPercent <20 Births Women to 2.00% McHenry Co. Illinois United States 0.00% 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Centers for Disease Control and Prevention CDC WONDER McHenry County Deaths by Cause: 2012-2014 Other 21% Cancer Septicemia 26% 1% Parkinson’s Chronic liver disease 1% 2% Suicide 2% Pneumo. & flu 2% Nephritis 2% Heart disease 21% Alzheimer’s Diabetes 2% 3% Stroke Chronic lower resp. 5% Accidents 7% 5% Centers for Disease Control and Prevention CDC WONDER McHenry County Cancer Deaths by Type: 2012-2014 Other 31% Lung and bronchus 27% Colon, rectum, anus 8% Ovary 3% Non-Hodgkin’s lymphoma Breast 3% 8% Prostate Liver 5% Pancreas Leukemia 4% 6% 5% Centers for Disease Control and Prevention CDC WONDER McHenry County, Illinois, and U.S. Age-Adjusted Death Rates For Top Seven Causes: 2012-2014 200 180 160 140 McHenry Co. Illinois United States 120 100 80 60 40 Deaths per 100,000 Population per 100,000Deaths 20 0 Cancer Heart disease Chronic lower resp. Accidents Stroke Diabetes Alzheimer Centers for Disease Control and Prevention CDC WONDER McHenry County, Illinois, and U.S. Drug and Alcohol Induced Deaths: 1999-2014 30 25 20 15 10 per 1,000 Population per 1,000 Drug and AlcoholDeaths 5 McHenry Co. Illinois United States 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Centers for Disease Control and Prevention CDC WONDER McHenry County, Illinois, and U.S. Suicide Death Rate: 1999-2014 18 16 14 12 Population 10 8 100,000 6 4 Deaths per Deaths 2 McHenry Co. Illinois United States 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Center for Disease Control and Prevention WONDER McHenry County Students Mental Health by Grade Level: 2016 50% 8th grade 10th grade 12th grade 45% 40% 35% 35% 33% 31% 30% 25% 20% 18% 15% 15% Percent Experienced Past Year Past Experienced Percent 10% 5% 0% Considred suicide Sadness/hopeless for 2+ weeks in a row Illinois Youth Survey McHenry County, Collar Counties, and Illinois Perception of Health Status: 2014 70% 59% 60% 58% 50% 50% 46% 42% 40% 38% 30% 20% 10% Percent Reporting Health Status Health Reporting Percent 3% 4% 1% 0% Excellent/very good Good/fair Poor McHenry Co. Collar Counties Illinois Illinois Behavioral Risk Factor Surveillance System McHenry County, Collar Counties, and Illinois Prevalence of Selected Conditions: 2014 70% 60% 50% 40% 30% 27% 24% 23% 20% 11% 9% 8% 8% 10% Percent Reporting Health Status ReportingHealth Percent 10% 8% 0% Arthritis Asthma Diabetes McHenry Co. Collar Counties Illinois Illinois Behavioral Risk Factor Surveillance System Focus Group Methodology • Two types of focus groups: target populations and community leaders • Community leader groups replace key informants used in 2014 • Four target populations selected and 50 community leaders identified • Questions developed by McHenry County Healthy Community focus group subcommittee with guidance from HSR. Two sets of questions, one for each type of focus group, but with similar topics • Some questions repeated from 2014 and 2010 Target Populations Group Number Meeting Location Date Veterans Transitional Living Services 16 8/3 (TLS), McHenry Parents of Low-Income Children Verda Dierzen Early Learning 7 8/11 Center, Woodstock Parents/Persons with Mental Illness, McHenry County Mental Substance Abuse or Developmental/ 12 8/18 Health Board, Crystal Lake Intellectual Disabilities Hispanic/Latino(a)s Harvard Area Community 3 8/11 Health Center Hispanic/Latino(a)s Garden Quarter Neighborhood 21 9/19 Resource Center, McHenry Total 59 Community Leader Groups Meeting Place and Location Number Date McHenry County Department. of Health, 11 8/16 Woodstock McHenry County Mental Health Board, 12 8/25 Crystal Lake Harvard Area Community Health Center 6 9/15 Total Community Leader Participants 29 In 2014, 21 key informant interviews (22 participants) Total Participants, All Focus Groups = 88 Best Aspects of Living in McHenry County Target Populations Community Leaders • Small town atmosphere • Sense of community, feeling of • Available resources and services belonging • Rural environment • Green, open space • Access to major cities • Family-friendly atmosphere • Good schools • Proximity to Chicago and Milwaukee • Feel safe • Acceptance of Latino and LGBTQ populations • Available jobs Aspects Not Liked in McHenry County Remarks by target populations • Lack of public transportation • High cost of housing, property taxes • Road infrastructure, congestion • Discrimination towards Hispanic population • Community feels less safe • Financial constraints due to state budget and funding cutbacks • Lack of employment for veterans Named by Three Community Leader FGs and Subcommittee Persons with Mental Illness, Substance Abuse, Intellectual/ Developmental Disabilities Latino(a)s/Hispanic Population Low-income, Uninsured/underinsured, Medicaid Population Named by Two Community Leader FGs or Subcommittee Homeless Population Seniors Veterans LGBTQ Persons Named by One Focus Group Victims of Domestic Violence Youth Persons without Cars Persons with Mental Illness, Substance Abuse, Intellectual or Developmental Disabilities Service Needs Barriers • Transition services (high school to • Stigma attached to mental illness adulthood, crisis to recovery) • Inadequate supply of • Psychiatric care for Medicaid patients psychiatrists • Children’s inpatient hospitalization unit • Lack of affordable care • More rehabilitation services • Limited awareness of existing • Residential, suitable living services arrangements for adolescents, young • Geographic spread of county adults w.
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