Community Health Needs Assessment Bollinger County, Missouri This assessment will identify the health needs of the residents of Bollinger County, Missouri, and those needs will be prioritized and recommendations will be made for programs to be implemented to meet these needs. Community Health Needs Assessment – Bollinger County, Missouri Page 0 Table of Contents LIST OF FIGURES ................................................................................................................................................... 5 LIST OF TABLES .................................................................................................................................................... 6 EXECUTIVE SUMMARY ......................................................................................................................................... 8 KEY FINDINGS .................................................................................................................................................... 10 PRIORITY HEALTH NEEDS ................................................................................................................................... 12 CHAPTER 1: COMMUNITY HEALTH NEEDS ASSESSMENT INTRODUCTION AND METHODS .................................. 13 COMMUNITY H EALTH N EEDS A SSESSMENT D ESCRIPTION .................................................................................................... 13 COMMUNITY H EALTH N EEDS A SSESSMENT R EQUIREMENTS ................................................................................................ 13 IMPLEMENTATION S TRATEGY R EQUIREMENTS ................................................................................................................... 14 COMMUNITY H EALTH N EEDS A SSESSMENT P ROCESS .......................................................................................................... 15 Defining “Community” ....................................................................................................................................... 15 Identifying Partners and Individuals Representing the Broad Interests of the Community ............................... 15 Gather Available Data and Current Assessments .............................................................................................. 16 Develop and Conduct Primary Research ............................................................................................................ 16 Aggregate Primary and Secondary Research ..................................................................................................... 17 Identify and Prioritize the Health Needs in the Community ............................................................................... 17 Develop and Implement a Strategy to tified Address the Iden Priority Health Issues ......................................... 17 Widely Disseminate the CHNA........................................................................................................................... 18 CHAPTER 2: COMMUNITY PROFILE ..................................................................................................................... 19 BACKGROUND I NFORMATION FOR B OLLINGER C OUNTY ....................................................................................................... 19 DEMOGRAPHIC C HARACTERISTICS ................................................................................................................................... 20 Population Growth ............................................................................................................................................. 20 Race ................................................................................................................................................................... 20 Ethnicity ............................................................................................................................................................. 21 Age Distribution ................................................................................................................................................. 21 Gender ............................................................................................................................................................... 22 Household/Family Configuration ....................................................................................................................... 23 Religion .............................................................................................................................................................. 23 SOCIAL C HARACTERISTICS .............................................................................................................................................. 24 Education ........................................................................................................................................................... 24 Language ........................................................................................................................................................... 26 Literacy .............................................................................................................................................................. 26 Marital Status .................................................................................................................................................... 26 ECONOMIC C HARACTERISTICS ........................................................................................................................................ 27 Income ............................................................................................................................................................... 27 Employment ....................................................................................................................................................... 28 Poverty Status .................................................................................................................................................... 28 Medicaid and ublic P Assistance Participation .................................................................................................... 29 Hunger and Food Uncertainty ............................................................................................................................ 30 Women, Infants, and Children (WIC) Participation............................................................................................ 30 Community Health Needs Assessment – Bollinger County, Missouri Page 1 Housing .............................................................................................................................................................. 31 Transportation ................................................................................................................................................... 31 ENVIRONMENT ........................................................................................................................................................... 31 Water Quality .................................................................................................................................................... 31 Air Quality .......................................................................................................................................................... 32 Lead Poisoning ................................................................................................................................................... 32 BUILT E NVIRONMENT ................................................................................................................................................... 33 Healthy Food Availability ................................................................................................................................... 33 Recreational Activities Available ........................................................................................................................ 33 PUBLIC S AFETY ........................................................................................................................................................... 34 Crime Index ........................................................................................................................................................ 34 Juvenile Crime Rates .......................................................................................................................................... 34 FAMILY AND D OMESTIC V IOLENCE .................................................................................................................................. 35 Child Abuse and Neglect .................................................................................................................................... 35 Child Out-­‐of-­‐Home Placement ........................................................................................................................... 35 Domestic Violence .............................................................................................................................................. 36 HEALTH P ROMOTION ................................................................................................................................................... 37 Community Health Programs ............................................................................................................................