2015 WILKES COUNTY Report to NCDPH COMMUNITY HEALTH ASSESSMENT March, 2016 Wilkes County Health Department, Wilkes Regional Medical Center, and the Health Foundation, Inc. 1 TABLE OF CONTENTS Acknowledgments ...................................................................................................................... 5 Executive Summary ................................................................................................................... 6 Introduction ............................................................................................................................ 6 The Wilkes County Community............................................................................................... 6 Wilkes County Health Outcomes ............................................................................................ 6 Wilkes County Populations at Risk for Poor Health Outcomes ............................................... 8 Wilkes County Health Priorities .............................................................................................. 8 Next Steps .............................................................................................................................. 8 Introduction: The Community Health Assessment Process ........................................................ 9 Overview ................................................................................................................................ 9 Team Selection Process ......................................................................................................... 9 Team Operational Process ....................................................................................................10 Community Input and Engagement .......................................................................................10 Data Collection Process ........................................................................................................11 Wilkes County: Demographic, Economic and Sociodemographic Data Findings .......................14 County Description and History .............................................................................................14 Demographics .......................................................................................................................15 Economics .............................................................................................................................16 Income ...............................................................................................................................16 Employment .......................................................................................................................16 Sociodemographocs ..............................................................................................................18 Housing .............................................................................................................................18 Primary and Secondary Education .....................................................................................18 Schools and Enrollment ..................................................................................................18 Educational Attainment ...................................................................................................18 High School Drop-out Rate and Graduation Rate ...........................................................18 Crime and Safety ...............................................................................................................19 Crime Rates ...................................................................................................................19 Juvenile Crime ................................................................................................................20 Sexual Assault and Domestic Violence ..........................................................................20 Child Maltreatment .........................................................................................................20 Environmental Data Findings ....................................................................................................22 Air Quality Index ....................................................................................................................22 Toxic Chemical Releases ...................................................................................................22 Drinking Water Systems .....................................................................................................23 2 Solid Waste Disposal .........................................................................................................23 Rabies ...............................................................................................................................23 Health Data Findings.................................................................................................................24 Using Health Data .................................................................................................................24 Health Rankings ....................................................................................................................25 Maternal and Infant Health ....................................................................................................26 Pregnancy Rates ...............................................................................................................26 Overall Pregnancy Rate .................................................................................................26 Teen Pregnancy Rate .....................................................................................................26 Pregnancy Risk Factors .....................................................................................................26 High Parity and Short-Interval Births ...............................................................................26 Lack of Early Prenatal Care ............................................................................................26 Smoking during Pregnancy.............................................................................................27 Birth Outcomes ..................................................................................................................27 Low and Very Low Birth Weight Births ............................................................................27 Infant Mortality ................................................................................................................27 Life Expectancy and Leading Causes of Death .....................................................................28 Life Expectancy..................................................................................................................28 Leading Causes of Death ...................................................................................................28 Morbidity and Chronic Disease ..............................................................................................32 Diabetes ............................................................................................................................32 Overweight and Obesity .....................................................................................................32 Communicable Disease .....................................................................................................33 Mental Health .....................................................................................................................33 Prevention and Health Promotion Needs and Resources ..........................................................34 Health Insurance ...................................................................................................................34 Health Care Providers ...........................................................................................................35 Health Care Facilities ............................................................................................................36 Hospital ..............................................................................................................................36 Health Department .............................................................................................................36 Federally-Qualified Health Center ......................................................................................36 Emergency Medical Services .............................................................................................36 School Health ....................................................................................................................37 Long-Term Care Facilities ..................................................................................................37 Home Care, Home Health and Hospice Services ...............................................................37 Mental Health Services Providers and Service Facilities ....................................................37 3 Other Healthcare Resources ..............................................................................................38 Disease Prevention and Health Promotion Resources .......................................................38 Community Concerns Summary ...............................................................................................40