Benton County Community Health Assessment 2017-2021 Benton County Community Health Assessment 2017 Benton County Health Department 530 NW 27th Street Corvallis, OR 97330 Phone: (541) 766-6835 www.co.benton.or.u s/health Project Team (alphabetical): Peter Banwarth, MS Valerie Barnhill, MPH Intern Miyuki Blatt, MPH Intern Ann Brown, MBA Savannah Carrico, MPH Tatiana Dierwechter, MSW Jessica Deas, MPH Gerald Dyer, MPH Charlie Fautin, MPH, RN Brian Leon, MPH intern Tyra Jansson, MPH Ruby Kiker, MPH Noah Lininger, BS Intern Megan Patton-Lopez, PhD, RD Lauren Zimbelman, MPH For Further Information Regional Health Assessment 530 NW 27th St. Corvallis, OR 97330 [email protected] Fax: 541-766-6142 Contents Introduction and Overview .................................................................................................... 6 The Role of Public Health Data and the Cycle of Assessment .................................................... 9 A Framework for Public Health Action: The Health Impact Pyramid ....................................... 10 How to Use This Document ...................................................................................................... 12 Who We Are ........................................................................................................................ 15 Demographics: Population by Age and Sex .............................................................................. 17 Growing Diversity ...................................................................................................................... 19 People with disabilities ............................................................................................................. 23 Older adults ............................................................................................................................... 25 University and College Students ............................................................................................... 25 Family structure ........................................................................................................................ 25 Veterans .................................................................................................................................... 27 Lesbian, Gay, Bisexual, and Transgender (LGBT) populations .................................................. 28 Local Data .................................................................................................................................. 28 Environmental Health .......................................................................................................... 31 Natural Environment ................................................................................................................ 31 Recreation and Outdoor Spaces ............................................................................................... 32 Water Quality ............................................................................................................................ 33 Natural Hazards ........................................................................................................................ 36 Climate Change ......................................................................................................................... 38 Human-made Environment ...................................................................................................... 39 Tobacco-free Spaces ................................................................................................................. 41 Transportation .......................................................................................................................... 42 Access to Healthy Foods ........................................................................................................... 44 Food Safety and Health Inspections ......................................................................................... 45 Environmental Hazards ............................................................................................................. 46 Local Data .................................................................................................................................. 48 Social Determinants of Health ............................................................................................. 51 Income, Poverty, and Economic Challenges ............................................................................. 51 Education .................................................................................................................................. 57 Food Security ............................................................................................................................ 61 Housing and homelessness ....................................................................................................... 64 Local Data .................................................................................................................................. 69 Access to Health Services ..................................................................................................... 75 Demographic Differences in Access to Medical Care ............................................................... 76 Health Insurance Coverage ....................................................................................................... 76 Cost of Medical Care ................................................................................................................. 82 Access Capacity ......................................................................................................................... 84 Medical Services and Workforce .............................................................................................. 87 Timeliness ................................................................................................................................. 89 Oral Health Services .................................................................................................................. 91 Behavioral Health Services........................................................................................................ 93 Physical Health .................................................................................................................... 99 Maternal and Infant Health ...................................................................................................... 99 Physical Activity ...................................................................................................................... 110 Nutrition .................................................................................................................................. 113 Obesity .................................................................................................................................... 115 Oral Health .............................................................................................................................. 116 Infectious Diseases .................................................................................................................. 117 Injury and Violence ................................................................................................................. 126 Occupational Safety and Health ............................................................................................. 130 Leading Causes of Death in the Region .................................................................................. 132 Chronic Diseases and Conditions ............................................................................................ 132 Unintentional Injury Mortality ................................................................................................ 150 Behavioral Health .............................................................................................................. 153 Suicide ..................................................................................................................................... 154 Mental Health ......................................................................................................................... 159 Mental Illness .......................................................................................................................... 160 Bullying among youth ............................................................................................................. 163 Hate crimes ............................................................................................................................. 167 Alcohol, Tobacco, and Drug Abuse ......................................................................................... 168 Local Data ................................................................................................................................ 179 Health through an Equity Lens ........................................................................................... 181 Race and Ethnicity ................................................................................................................... 182 Sex and gender ........................................................................................................................ 190 Disability status ......................................................................................................................