A Snapshot of the HALDIMAND COUNTY AND NORFOLK COUNTY COMMUNITIES 2011 Prepared for the Healthy Communities Partnership Haldimand-Norfolk Prepared by Annamaria Feltracco • Savanna Harmon • March 2011 Designed by Communication Services Team - H-N Health Unit 2 TABLE OF CONTENTS Methodology .................................................................................................................. 7 Limitations ....................................................................................................................... 9 General Community Description .................................................................................. 11 Haldimand County ........................................................................................................... 12 Norfolk County ................................................................................................................ 15 Community Profile ........................................................................................................... 19 Population - Area and Geographic Distribution ................................................................ 21 Population - Age, Sex and Marital Status ......................................................................... 24 Population - Immigration, Visible Minority, Aboriginal Identity and Language .................... 27 Income ............................................................................................................................ 31 Education ........................................................................................................................ 34 Occupation, Labour Force Participation and Employment ................................................ 37 Health Status ................................................................................................................. 41 Health Status, Mortality .................................................................................................... 43 Health Status, Unintentional Injuries ................................................................................. 46 Health Status, Unintentional Injuries - Motor Vehicle Traffic Crashes ................................. 54 Health Status, Unintentional Injuries - Falls ....................................................................... 60 Health Status, Unintentional Injuries - Other Off-Road Motor Vehicles .............................. 64 Health Status, Obesity ..................................................................................................... 67 Health Behaviour Profile ............................................................................................... 69 Healthy Eating ................................................................................................................ 72 Mental Health .................................................................................................................. 74 Physical Activity ............................................................................................................... 80 Substance and Alcohol MisUse ....................................................................................... 85 Tobacco Use and Exposure ............................................................................................. 89 Factors Affecting Health ............................................................................................... 91 Housing ........................................................................................................................... 94 Poverty ............................................................................................................................ 97 Safety .............................................................................................................................. 101 Sense of Belonging ......................................................................................................... 106 Transportation ................................................................................................................. 110 Bibliography .................................................................................................................... 115 3 4 Reviewers: Jackie Esbaugh, Program Evaluator / Data Analyst, Haldimand-Norfolk Health Unit (excludes external sources) Deanna White, Epidemiologist, Haldimand-Norfolk Health Unit (excludes external sources) Michelle Pasichnyk, Program Coordinator, Haldimand-Norfolk Health Unit Jill Steen, Manager, Haldimand-Norfolk Health Unit Author’s Acknowledgements Data was provided for this report from a variety of sources. All data extraction and analysis was conducted by the organizations who provided the data, and not the authors. The Haldimand-Norfolk Health Unit, through Deanna White, Epidemiologist and Jackie Esbaugh, Data Analyst and Program Evaluator, provided all data for the report, except where explicitly stated. The authors are solely responsible for accurately reflecting the data as provided to them by the organizations involved. The authors owe a tremendous debt of gratitude to Heather Keam, Jennifer Walker, and Jill Steen who together provided much guidance and support to make this report possible. Citation: Feltracco, A. and Harmon S. A Roadmap for Health in Haldimand and Norfolk: Together We Can Turn the Curve Haldimand-Norfolk Healthy Communities Report. Simcoe: Haldimand-Norfolk Health Unit. 2011. 5 6 This Report provides a comprehensive overview of Haldimand County and Norfolk County communities with a particular emphasis on the community environment, health status, health behaviours and factors affecting health. The purpose of this section is to inform comprehensive action for Healthy Communities in the counties of Haldimand and Norfolk. METHODOLOGY The report uses data extracted from national surveys and census results and data that had already been published in other reports. Information for the community description was derived largely from the municipal websites of both Haldimand County and Norfolk County, municipal reports and documents, Statistics Canada and existing HNHU reports. Data for the community profile, health status, health behaviours and factors affecting health were provided by the HNHU epidemiologist and data analyst / program evaluator for the Healthy Communities Initiative from various public health databases or surveys, or were available from other HNHU reports. Four of these reports were of particular significance: Chronic Disease Prevention Health Status Report (2009), Mental Health Report with a Focus on Suicide (2009), Cancer Report (2007), and the Unintentional Injuries Report (2006). Two other data sources had been created by the HNHU for the Healthy Communities initiative and were used for this report: Healthy Communities: Baseline Data Assessment for Haldimand and Norfolk (2010) and Healthy Communities Haldimand and Norfolk Community Picture (2011). Other data was gathered from local agencies and service providers. The consultants used contact lists provided by health unit staff to contact local agencies and service providers by email and phone for data particular to their services, including service utilization data. Haldimand-Norfolk Health and Social Services Department provided data on supporting housing utilization and waiting lists, Haldimand and Norfolk Women’s Services provided annual report data on the number of families who used shelter services, and the Ontario Provincial Police provided offences data for 2006-1010. Additionally, the Haldimand-Norfolk Health and Social Services Department’s Public Transportation Systems in Haldimand County and Norfolk County Feasibility Study (2009) provided valuable data on the need for public transportation in the community. Using data from these sources, new tables and figures were created for the report. Where possible, data was provided for Haldimand County and Norfolk County separately and compared to Ontario data. In some cases, data was provided by urban areas within the counties. Urban areas as identified in the report are defined by Statistics Canada with reference to continuous population density. Some data (for example, hospital separations) was provided only for Haldimand and Norfolk counties combined and thus is reported here in the same manner. In this report, data is reported in four main chapters: Community Profile, Health Status, Health Behaviour Profile, and Factors Affecting Health. Within each chapter, there are different sections for factors or issues that affect the community’s health. These factors and issues are listed by section below: 7 Community Description and Profile Health Behaviours • Population – Area and Geographic Distribution • Healthy Eating • Population – Area, Sex and Marital Status • Mental Health • Population – Immigration, Visible Minority, Aboriginal • Physical Activity Identity and Language • Substance Abuse and Alcohol Misuse • Income • Tobacco Use and Exposure • Education • Occupation, Labour Force Participation and Factors Affecting Health Employment • Housing Health Status • Poverty • Safety • Mortality • Sense of Belonging • Unintentional Injuries • Transportation • Unintentional Injuries – Motor Vehicle Traffic Crashes • Unintentional Injuries – Falls • Unintentional Injuries – Other Off-Road Motor Vehicles • Obesity A summary of key findings is provided at the beginning of each chapter. Within each section, each main factor or issue is described with the intent to understand how