Pender County Community Health Assessment 2018 1 Pender County THIS REPORT IS AVAILABLE ON THE PENDER COUNTY HEALTH DEPARTMENT WEBSITE AT: http://www.pendercountync.gov/hhs/document-category/reports-and-related-documents/ Contact the Pender County Health Department at (910) 259-1328 for any comments or questions 2018 about the Community Health Assessment. 2 Pender County Health Department ...Building a healthier tomorrow… Carolyn Moser, BSN, MPA Health and Human Services Director To Pender County Residents: The 2018 Community Health Assessment is complete! The Pender County Health Department will use this assessment as our roadmap over the next four years. We expect this report will serve as a valuable tool for many of our public and private partners, as well as the community. Thanks to Pender County Health and Human Services staff, many county government employees, community partners and our Pender County residents who assisted in this effort. Once again, staff with the North Carolina Institute for Public Health at the UNC Gillings School of Global Public Health are to be commended for their consultation and assistance throughout the assessment process and development of the final report. There are many opportunities ahead as we work to build a healthier tomorrow for Pender County residents. You are invited to embark on this journey with us. In the Spirit of Public Health, Carolyn Moser, Director Pender County Health and Human Services 803 S. Walker St., Burgaw, NC 28425 (910) 259-1230 Fax (910) 259-1258 Dental Center (910) 259-1503 Environmental Health (910) 259-1233 WIC (910) 259-1290 3 Table of Contents Executive Summary .............................................................................................................................................................. 6 Chapter One: Introduction and Overview ........................................................................................................................... 9 Process Summary .................................................................................................................................................................................... 9 Community Engagement ....................................................................................................................................................................... 10 Collaboration ......................................................................................................................................................................................... 10 Data Collection & Sources .................................................................................................................................................................... 10 Comparisons .......................................................................................................................................................................................... 10 Chapter Two: Demographic Profile ................................................................................................................................... 11 History ................................................................................................................................................................................................... 11 Geography ............................................................................................................................................................................................. 12 Economy ................................................................................................................................................................................................ 12 Demographics ........................................................................................................................................................................................ 12 Social determinants ................................................................................................................................................................................ 15 Chapter Three: CHA Findings and Priorities .................................................................................................................... 21 County Health Rankings ........................................................................................................................................................................ 21 Community Concerns .......................................................................................................................................................................... ..23 Overall Health ....................................................................................................................................................................................... 23 Pregnancies and Births .......................................................................................................................................................................... 25 Access to Care ....................................................................................................................................................................................... 27 Leading Causes of Death ....................................................................................................................................................................... 31 Chronic Disease and Health Behaviors .................................................................................................................................................. 34 Infectious Disease .................................................................................................................................................................................. 37 Mental Health and Substance Use Disorders ......................................................................................................................................... 39 Environmental Factors ........................................................................................................................................................................... 41 Chapter Four: Community Priorities ................................................................................................................................. 42 Overview ............................................................................................................................................................................................... 42 Forums ................................................................................................................................................................................................... 43 Prioritization .......................................................................................................................................................................................... 43 Next Steps .............................................................................................................................................................................................. 43 Chapter Five: Resources .................................................................................................................................................... 44 Mental Health and Substance Use ....................................................................................................................................................... ..44 Nutrition and Physical Activity ........................................................................................................................................................... .46 Cancer Prevention and Education ........................................................................................................................................................ ..47 Appendix 1: Additional Resources .................................................................................................................................... 49 Appendix 2: Community Forum Flier ................................................................................................................................ 52 Appendix 3: Survey Methods ............................................................................................................................................. 53 Appendix 4: Survey Results ............................................................................................................................................... 57 Appendix 5: Data Sources .................................................................................................................................................. 82 Appendix 6: Data Tables .................................................................................................................................................... 93 4 Acknowledgements Community Health Assessment Team Carolyn Moser, Health and Human Services Director, Pender County Health Department Shirley Steele, Director of Nursing, Pender County Health Department Elizabeth Thomas, North Carolina Institute for Public Health, UNC Gillings School of Global Public Health Matt Simon, North Carolina Institute for Public Health, UNC Gillings School of Global Public Health Steering Committee Toni Artemisio, Management Support, PCHD Denise Mulhollen, Director, Pender County Human Resources Kyle Breuer, Director, PC Planning &