HAYWOOD COUNTY COMMUNITY HEALTH COMMUNITY HEAL ASSESSMENT 2012

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3 HAYWOOD COUNTY COMMUNITY HEALTH ASSESSMENT 2012

4 Community Health Improvement Process Act on what s important and Evaluate Compile Health-related Data Needs and Assets Collaborative Implementation Planning Engaged Partners & Community Analysis and Interpretation Prioritization of Needs Our community is our patient We consider many factors that impact health

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6 2012 Community Health Assessment Regional Survey BENCHMARKING North Carolina BRFSS data (CDC) US Survey Data (PRC National Health Survey) Healthy People 2020 targets Telephone methodology o 74 core questions; each county allowed to add 3 custom county-specific questions o Landline and cell phone administration o Protocols modeled after the CDC Behavioral Risk Factor Surveillance System Stratified, random sample of 3,300 adults in Western North Carolina o Overall findings: ±1.7% maximum error o Final sample weighted to reflect the county-level population distributions, as well as the population distribution of WNC overall

7 Haywood County Population Geography Total Population (2010) # % # % Males Males Females Females Haywood County 59,036 28, , Regional Total 759, , , State Total 9,535,483 4,645, ,889, Date Source: 2010 US Census

8 Population in Poverty - All Ages 5-Year Estimates ( and ) Geography Population Estimate # Below Poverty Level % Below Poverty Level #Below 200% Federal Poverty Level Population Estimate # Below Poverty Level % Below Poverty Level #Below 200% Federal Poverty Level Haywood County 55,503 7, ,335 57,509 7, ,843 Regional Total 697, , , , , ,215 State Total 8,768,580 1,320, ,066,957 9,013,443 1,399, ,208,471

9 Haywood County Health Priorities Overweight/Poor Nutrition 2. Cardiovascular Disease 3. Substance Abuse (Drugs/Alcohol/Tobacco) 3. Cancer 4. Mental Health 5. Diabetes 6. Lack of Access to Care 7. Asthma & Lung Problems 8. Dental Health 9. STDs, AIDS, Communicable Disease 1. Substance Abuse 2. Physical Activity & Nutrition 3. Chronic Disease 4. Social Determinants of Health/ Access to Care 5. Mental Health 6. Unintentional Injury 6. Maternal/Infant Health/ Unintended Pregnancy 7. Dental Health 8. Communicable Disease 9. Environmental Health

10 Substance Abuse Alcohol Tobacco Other Drugs

11 Alcohol Binge Drinkers Sources: 2012 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 90] Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2010 North Carolina data PRC National Health Survey, Professional Research Consultants, Inc. US Department of Health and Human Services. Healthy People December [Objective SA-14.3]

12 Poisoning Mortality Rates: Unintentional and undetermined d intent t

13 Tobacco Current Smokers WNC Healthy Impact Survey Sources: 2012 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 86] 2011 PRC National Health Survey, Professional Research Consultants, Inc. Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2010 North Carolina data. US Department of Health and Human Services. Healthy People December [Objective TU-1.1] Notes: Asked of all respondents. Includes regular and occasional smokers (every day and some days).

14 Tobacco Current Smokeless Tobacco Users WNC Healthy Impact Survey Sources: 2012 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 43] 2011 PRC National Health Survey, Professional Research Consultants, Inc. US Department of Health and Human Services. Healthy People December h l [Objective TU-1.2] Notes: Asked of all respondents. Includes regular and occasional users (every day and some days).

15 Physical Activity and Nutrition Overweight Obesity Healthy Eating

16 Healthy Weight WNC Healthy Impact Survey Sources: 2012 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 85] 2011 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Based on reported heights and weights, asked of all respondents. US Department t of Health and Human Services. Healthy People December [Objective NWS-8] The definition of healthy weight is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), between 18.5 and 24.9.

17 Prevalence of Total Overweight WNC Healthy Impact Survey (Percent of Overweight or/obese Adults; Body Mass Index of 25.0 or Higher) Sources: 2012 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 85] 2011 PRC National Health Survey, Professional Research Consultants, Inc. Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2010 North Carolina data. Notes: Based on reported heights and weights, asked of all respondents. The definition of overweight is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 25.0, regardless of gender. The definition for obesity is a BMI greater than or equal to 30.0.

18 Prevalence of Total Obesity WNC Healthy Impact Survey (Percent of Obese Adults; Body Mass Index of 30.0 or Higher) Sources: 2012 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 85] 2011 PRC National Health Survey, Professional Research Consultants, Inc. US Department of Health and Human Services. Healthy People December [Objective NWS-9] Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2010 North Carolina data. Notes: Based on reported heights and weights, asked of all respondents. The definition of obesity is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 30.0, regardless of gender.

19 Had an Average of Five or More Servings of Fruits/Vegetables per Day in the Past Week WNC Healthy Impact Survey Sources: 2012 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 79] Notes: Asked of all respondents. For this issue, respondents were asked to recall their food intake during the previous week. Reflects 35 or more 1-cup servings of fruits and/or vegetables in the past week, excluding lettuce salad and potatoes.

20 I believe my county provides the facilities & programs needed for children & youth to be physically active throughout the year. WNC Healthy Impact Survey Sources: 2012 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 118] Notes: Asked of all respondents.

21 Chronic Disease Cardiovascular Disease Cancer Respiratory Disease

22 Heart Disease Mortality Rate Figure 6. Heart Disease Mortality Rate, Deaths per 100,000 Population Five-Year Aggregates ( through )

23 Total Cancer Mortality Rate Figure 8. Total Cancer Mortality Rate, Deaths per 100,000 Population (Five-Year Aggregates, through )

24 Chronic Lower Respiratory Disease Mortality Rate Fi 21 CLRD M t lit R t D th P l ti Figure 21. CLRD Mortality Rate, Deaths per 100,000 Population (Five-Year Aggregates, through )

25 10 Leading Causes of Death Mortality Leading Cause of Death Haywood County WNC Mean NC Rank Rate Rank Rate Rank Rate (Five-Year Aggregate, ) Heart Disease Total Cancer Chronic Lower Respiratory Disease Cerebrovascular Disease All Other Unintentional Injuries Note: Accidental drug overdose is included in "All Other Unintentional Injuries

26 10 Leading Causes of Death Mortality Leading Cause of Death Haywood County WNC Mean NC Rank Rate Rank Rate Rank Rate (Five-Year Aggregate, ) Pneumonia and Influenza Unintentional Motor Vehicle Injuries Alzheimer s Disease Suicide Diabetes Mellitus

27 Leading Causes of Death by Age Age Group Rank Leading Cause of Death Haywood County WNC NC Perinatal conditions Perinatal conditions Perinatal conditions 2 Motor vehicle injuries Motor vehicle injuries Congenital abnormalities 3 Other unintentional injuries Congenital abnormalities Motor vehicle injuries Other unintentional injuries Other unintentional injuries Other unintentional injuries Motor vehicle injuries 2 Suicide Motor vehicle injuries Other unintentional injuries 3 Motor vehicle injuries Suicide Suicide Unadjusted Death Rates per 100,000 Population / (Five-Year Aggregate, ) Note: Accidental drug overdose is included in All Other Unintentional Injuries

28 Leading Causes of Death by Age Age Group Rank Leading Cause of Death Haywood County WNC NC Cancer all sites Cancer all sites Cancer all sites 2 Heart disease Heart disease Heart disease 3 Other unintentional injuries Other unintentional injuries Other unintentional injuries Cancer all sites Cancer all sites Cancer all sites 2 Heart disease Heart disease Heart disease 3 Chronic lower respiratory disease Chronic lower respiratory disease Chronic lower respiratory disease Heart disease Heart disease Heart disease 2 Cancer all sites Cancer all sites Cancer all sites 3 Cerebrovascular disease Alzheimer s disease Cerebrovascular disease Unadjusted Death Rates per 100,000 Population / (Five-Year Aggregate, )

29 Primary Reason for Inability to Get Needed d Medical Care - ADULTS WNC Healthy Impact Survey Sources: 2012 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 14] Notes: Asked of all respondents. Haywood County

30 Lack of Healthcare Insurance Coverage Adults WNC Healthy Impact Survey Sources: 2012 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 125] Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC) : 2010 North Carolina data PRC National Health Survey, Professional Research Consultants, Inc. US Department of Health and Human Services. Healthy People December [Objective AHS-1] Notes: Reflects adults under the age of 65. Includes any type of insurance, such as traditional health insurance, prepaid plans such as HMOs, or government-sponsored coverage (e.g., Medicare, Medicaid, Indian Health Services, etc.).

31 Prioritization Tool MAGNITUDE Number of people who suffer from this problem CONSEQUENCES Seriousness to health if not addressed FEASIBILITY Probability bilit of success in addressing this problem NEEDS to be addressed more thoroughly than it currently is INTEREST I am personally interested in helping with this issue

32 Next Steps: Implementation Planning 2012 Priorities Possible Healthy NC 2020 Objectives 1. Substance Abuse 2. Physical Activity & Nutrition 3. Chronic Disease 4. Social Determinants of Health/ Access to Care 5. Mental Health 6. Unintentional Injury 6. Maternal/Infant Health/Unintended Pregnancy 7. Dental Health 8. Communicable Disease 9. Environmental Health Substance Abuse Reduce % 12 yr olds + reporting illicit drug use Physical Activity & Nutrition Increase % of adults getting recommended amount of PA Increase % of adults consuming 5+ fruits and vegetables daily Chronic Disease Reduce the cardiovascular disease mortality rate

33 THANK YOU! Thank you for your participation i on the Board of Commissioners & for all you do to make a healthy impact in Haywood County!

34 QUESTIONS?