i Table of Contents Introduction ...................................................................................................................... 1 Executive Summary ........................................................................................................... 2 St. Luke’s Elmore Overview ............................................................................................. 11 The Community We Serve ............................................................................................... 13 Community Health Needs Assessment Methodology ....................................................... 19 Health Outcome Measures and Findings .......................................................................... 22 Mortality Measure ....................................................................................................... 22 • Length of Life Measure: Years of Potential Life Lost ................................................. 22 Morbidity Measures .................................................................................................... 23 • "Fair or Poor" General Health .................................................................................... 24 • Poor Physical Health Days .......................................................................................... 26 • Poor Mental Health Days ........................................................................................... 26 • Low Birth Weight ....................................................................................................... 27 Chronic Disease Prevalence .......................................................................................... 29 • AIDS ............................................................................................................................ 30 • Arthritis ...................................................................................................................... 31 • Asthma ....................................................................................................................... 33 • Diabetes ..................................................................................................................... 34 • High Blood Pressure ................................................................................................... 36 • High Cholesterol ......................................................................................................... 37 • Mental Illness ............................................................................................................. 39 Top 10 Causes of Death ................................................................................................ 41 • Diseases of the Heart ................................................................................................. 41 • Cancer (malignant neoplasms) .................................................................................. 43 • Lung Cancer ................................................................................................................ 45 • Colorectal Cancer ....................................................................................................... 46 • Breast Cancer ............................................................................................................. 47 • Prostate Cancer .......................................................................................................... 48 • Pancreatic Cancer ...................................................................................................... 49 i • Skin Cancer (melanoma) ............................................................................................ 50 • Leukemia .................................................................................................................... 51 • Non-Hodgkin’s Lymphoma ........................................................................................ 52 • Chronic Lower Respiratory Diseases .......................................................................... 53 • Accidents .................................................................................................................... 54 • Cerebrovascular Diseases .......................................................................................... 55 • Alzheimer’s disease.................................................................................................... 56 • Diabetes Mellitus ....................................................................................................... 57 • Suicide ........................................................................................................................ 58 • Influenza and Pneumonia .......................................................................................... 59 • Nephritis..................................................................................................................... 60 Health Factor Measures and Findings .............................................................................. 62 Health Behavior Factors ............................................................................................... 62 • Adult Smoking ............................................................................................................ 63 • Adult Obesity ............................................................................................................. 66 • Food Environment Index............................................................................................ 68 • Physical Inactivity: Adults .......................................................................................... 70 • Access to Exercise Opportunities ............................................................................... 72 • Excessive Drinking ...................................................................................................... 73 • Alcohol Impaired Driving Deaths ............................................................................... 74 • Teen Birth Rate .......................................................................................................... 75 • Sexually Transmitted Infections ................................................................................. 77 • Overweight and Obese Adults ................................................................................... 78 • Overweight and Obese Teens .................................................................................... 79 • Nutritional Habits: Adults – Fruit and Vegetable Consumption ................................ 81 • Nutritional Habits: Youth – Fruit and Vegetable Consumption ................................. 82 • Physical Activity: Youth .............................................................................................. 83 • Drug Misuse ............................................................................................................... 84 • Youth Smoking ........................................................................................................... 86 Clinical Care Factors ..................................................................................................... 87 • Uninsured Adults ....................................................................................................... 87 ii • Primary Care Providers .............................................................................................. 90 • Preventable Hospital Stays ........................................................................................ 91 • Diabetes Screening .................................................................................................... 92 • Mammography Screening .......................................................................................... 93 • Cholesterol Screening ................................................................................................ 94 • Colorectal Screening .................................................................................................. 96 • Prenatal Care Begun in First Trimester ...................................................................... 97 • Dental Visits ............................................................................................................... 98 • Childhood Immunizations ........................................................................................ 100 • Mental Health Service Providers ............................................................................. 101 • Medical Home .......................................................................................................... 102 Social and Economic Factors ...................................................................................... 103 • Education: High School Graduation and Some College ........................................... 103 • Unemployment ........................................................................................................ 105 • Children in Poverty .................................................................................................. 106 • Inadequate Social Support ....................................................................................... 107 • Violent Crime ........................................................................................................... 110 Physical Environment Factors ....................................................................................