DATA REVIEW
Poll: what do you think are the top 3 health-related issues in Kane County? 30% 26% 25% 22% 20% 17% 15% 12% 11% 10% 5% 4% 3% 2% 2% 1% 0% Mental Health Chronic Disease (Obesity, Diabetes, etc.) April 10, 2015 Stakeholder Meeting Income and Education Substance Abuse Access to Health Care Immunizations Cardiovascular Disease Transportation/ Mobility Cancer Access to Parks and Recreational Opportunities 2
BEHAVIORAL HEALTH MENTAL HEALTH & SUBSTANCE ABUSE 3
RESULTS OF POLLS Key Informant Perceptions: Major Problem Mental Health 84.6% 15.4% Moderate Problem Minor Problem Substance Abuse 50.0% 46.2% PRC Key Informant Focus Groups, Kane County, November 2014 0% 20% 40% 60% 80% 100% Are you surprised that mental health was the top rated concern in PRC s community member survey? Not at all surprised A little surprised Very surprised 64% 27% 8% April 10, 2015 Stakeholder Meeting 0% 20% 40% 60% 80% 100% 4
MENTAL HEALTH IN KANE COUNTY Mental Health was highlighted as an issue in all four MAPP assessments Mental Health noted in Executive Committee meeting as a key issue and as a pressing issue Mortality rate from heroin listed as pressing issue for substance abuse by Executive Committee and also a concern in LPHSA Kane County Mental Health Council Focus Group Unmet Mental Health Needs in Kane County Services for Spanish speakers Affordable psychiatric services Supportive housing for vulnerable community members Barriers to Mental Health Care Low reimbursement/lack of reimbursement Patients find the system hard to navigate Strengths and Resources Mental Health Council is a network of providers discussing these issues Strong partnerships, capacity, and commitment to addressing these issues among public health workforce 5
MENTAL HEALTH IN KANE COUNTY SELF-REPORTED MENTAL HEALTH STATUS DAYS OF POOR MENTAL HEALTH IN THE PAST MONTH Good 26.3% Fair 9.1% Poor 1.4% Three 3.2% Five 2.9% Six 0.3% Four 2.1% Seven/More 6.5% Two 9.7% One 7.6% Very Good 32.7% Excellent 30.5% None 67.6% Source: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 111 and 112] Notes: Asked of all respondents. 6
MENTAL HEALTH BY GEOGRAPHY 30% 25% 25.2% 21.6% 20% 19.3% 20.0% 15% 16.8% 16.0% 15.2% 16.9% 16.0% 10% 10.5% 11.5% 9.5% 8.1% 11.8% 6.6% 6.1% 5% 0% Experience "Fair" or "Poor" Mental Health Experienced 3+ Days of Poor Mental Health in the Past Month Experienced 3+ Days of Feeling Sad, Blue, or Depressed in the Past Month Kane County North Kane County Central Kane County South Kane County Have Been Diagnosed with a Depressive Disorder Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 111, 222, 223, 115] 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Asked of all respondents. 7
MENTAL HEALTH BY GENDER 30% 27.4% 25% 20% 19.8% 15.6% 15.9% 15% 12.6% 10% 8.3% 10.5% 7.7% 5% 0% Experience "Fair" or "Poor" Mental Health Experienced 3+ Days of Poor Mental Health in the Past Month Men Experienced 3+ Days of Feeling Sad, Blue, or Depressed in the Past Month Women Have Been Diagnosed with a Depressive Disorder Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 111, 222, 223, 115] 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Asked of all respondents. 8
MENTAL HEALTH BY AGE 25% 23.5% 22.3% 20% 19.8% 15% 15.7% 16.8% 14.5% 12.5% 12.5% 10% 8.5% 9.8% 10.7% 8.8% 5% 0% Experience "Fair" or "Poor" Mental Health Experienced 3+ Days of Poor Mental Health in the Past Month 18-39 40-64 65+ Experienced 3+ Days of Feeling Sad, Blue, or Depressed in the Past Month Have Been Diagnosed with a Depressive Disorder Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 111, 222, 223, 115] 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Asked of all respondents. 9
MENTAL HEALTH BY INCOME 35% 30% 30.8% 25% 20% 19.3% 18.8% 15% 16.1% 14.6% 16.2% 10% 9.5% 6.6% 5% 0% Experience "Fair" or "Poor" Mental Health Experienced 3+ Days of Poor Mental Health in the Past Month Low Income Experienced 3+ Days of Feeling Sad, Blue, or Depressed in the Past Month Mid/High Income Have Been Diagnosed with a Depressive Disorder Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 111, 222, 223, 115] 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Asked of all respondents. 10
MENTAL HEALTH BY RACE/ETHNICITY 35% 30% 29.2% 25% 20% 16.9% 16.2% 16.3% 19.6% 19.2% 15% 10% 8.5% 9.9% 12.1% 12.6% 11.2% 7.4% 5% 0% Experience "fair" or "poor" mental health Experienced 3+ days of poor mental health in the past month Experienced 3+ Days of Feeling Sad, Blue, or Depressed in the Past Month Have been diagnosed with a depressive disorder White Hispanic Other Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 111, 222, 223, 115] 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Asked of all respondents. 11
MENTAL HEALTH IN KANE COUNTY FREQUENCY OF GETTING SOCIAL & EMOTIONAL SUPPORT Seldom 3.9% Never 8.9% Sometimes 12.4% Always 46.8% Usually 28.0% Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 119] Notes: Asked of all respondents. 12
MENTAL HEALTH IN KANE COUNTY % THAT SELDOM OR NEVER GET SOCIAL AND EMOTIONAL SUPPORT 30% 25% 20% 20.9% 25.5% 26.9% 15% 10% 12.8% 14.4% 11.2% 15.5% 9.9% 14.4% 7.7% 6.5% 5% 0% Kane County Men Women 18 to 39 40 to 64 65+ Low Income Mid/High Income White Hispanic Other Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 119] Notes: Asked of all respondents. Hispanics can be of any race. Other race categories are non-hispanic categorizations (e.g., White reflects non-hispanic White respondents). Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. Low Income includes households with incomes up to 200% of the federal poverty level; Mid/High Income includes households with incomes at 200% or more of the federal poverty level. 13
MENTAL HEALTH IN KANE COUNTY 60% 60.9% 61.3% 64.8% 59.0% 56.5% 65.3% 58.5% 63.2% 62.2% 53.9% 66.7% 66.6% 47.5% 53.7% 40% Aware of Mental Health Resources in the Community 20% 0% 2.8% 2.2% Kane County 1.0% 4.2% 1.1% 4.4% 2.7% 3.7% 0.5% 6.1% North Central South Men Women 18 to 39 40 to 64 65+ Low Income 1.7% Mid/High Income 2.4% 4.7% 1.2% White Hispanic Other Could not get mental health services when needed in the past year Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 117, 121] Notes: Asked of all respondents. 14
Hospitalization rate per 10,000 HOSPITALIZATION RATES 1,400 1,200 Mental Disorders, 1,040.3 1,000 800 Heart Disease, 1,021.5 600 400 200 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 Asthma Diabetes Uncontrolled Hypertension Injury Pneumonia/ Influenza Injury Crashes Total Crashes Heart Disease Mental Disorders Source: Illinois Department of Public Health 15
MENTAL HEALTH IN KANE COUNTY 18 SUICIDE: AGE-ADJUSTED MORTALITY (2007-2011 Annual Average Deaths per 100,000 Population) Healthy People 2020 Target = 10.2 or Lower 16 14 12 10 8 6 4 2 0 11.8 9.0 7.8 12.5 3.3 3.0 10.3 11.1 7.7 11.2 11.8 10.3 US IL Kane County Men Women Hispanic NH White 15-19 years 25-34 years 35-44 years 45-54 years 55-64 years Gender Race/Ethnicity Age Sources: CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted November 2014. US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective MHMD-1] Notes: Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population. 16
MENTAL HEALTH IN KANE COUNTY 100% 80% ADULTS WITH DIAGNOSED DEPRESSION WHO HAVE EVER SOUGHT PROFESSIONAL HELP FOR A MENTAL OR EMOTIONAL PROBLEM (Among adults with diagnosed depressive disorder) 80.5% 76.6% 60% 40% 20% 0% Kane County US Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 159] 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Reflects those respondents with a depressive disorder diagnosed by a physician (such as depression, major depression, dysthymia, or minor depression). 17
MENTAL HEALTH IN KANE COUNTY CHILD S MENTAL HEALTH STATUS (Kane County Parents of Children Ages 5-17 years, 2014) CHILD EXPERIENCES FAIR OR POOR MENTAL HEALTH (Kane County Parents of Children 5-17; 2014) 9% 8.5% 8% Very Good 32.1% Good 18.8% Excellent 45.2% Fair 3.2% Poor 0.6% 7% 6% 5% 4% 3% 4.7% 3.8% 2% 1.5% 1% 0% Kane County North Kane County Central Kane County South Kane County Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 153] Notes: Asked of those respondents with children age 5-17 at home. 18
Mortality rate (per 100,000) SUBSTANCE ABUSE IN KANE COUNTY 9.00 8.00 KANE COUNTY HEROIN DEATHS 2009-2014 7.70 7.00 6.00 5.00 4.00 3.00 2.00 1.00 1.95 1.36 2.11 4.98 3.82 4.17 3.20 4.10 3.20 5.30 4.20 4.70 0.89 6.20 2.30 0.00 2009 2010 2011 2012 2013 2014 North Central South 15-24 25-34 35-44 45-54 55-64 Male Female Year Planning Area Age Gender Top 5 Kane County Municipalities for Heroin Deaths 2009-2014 Source: Kane County Health Department Note: *Too small to calculate a meaningful rate. Number of Deaths Mortality Rate (per 100,000) Aurora 43 3.61 Elgin 27 4.42 Geneva 7 5.40 St. Charles 6 3.01 Batavia 3 * South Elgin 3 * 19
ALCOHOL USE IN KANE COUNTY 80% 70% 60% 50% 56.5% 57.2% 61.9% 67.6% 69.7% % CURRENT DRINKERS 66.4% 65.5% 62.0% 57.6% 52.3% 49.9% 46.9% 74.2% 68.5% 48.3% 49.6% 40% 30% 20% 10% 0% US IL Kane County North Central South Men Women 18 to 39 40 to 64 65+ Low Mid/High White Hispanic Other Planning Area Gender Age Income Race/Ethnicity Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 200] Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2013 Illinois data. 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Asked of all respondents. Current drinkers had at least one alcoholic drink in the past month. 20
ALCOHOL USE IN KANE COUNTY 6% 5% 5.2% 5.4% % CHRONIC DRINKERS 5.3% 5.0% 4.4% 4% 3.7% 3.5% 3.8% 3.9% 3% 3.1% 2.8% 2.7% 2% 2.0% 2.1% 1.7% 1% 0% US North Central South Men Women 18 to 39 40 to 64 65+ Low Mid/High White Hispanic Other Kane County Planning Area Gender Age Income Race/Ethnicity Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 201] 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Asked of all respondents. Chronic drinkers are defined as having 60+ alcoholic drinks in the past month. 21
ALCOHOL USE IN KANE COUNTY % BINGE DRINKERS Healthy People 2020 Target = 24.4% or lower 25% 20% 19.5% 21.8% 18.6% 21.7% 20.7% 22.5% 18.6% 16.2% 15.8% 15.9% 15% 13.7% 13.5% 11.1% 10% 7.8% 8.1% 5% 4.2% 0% US IL Kane County North Central South Men Women 18 to 39 40 to 64 65+ Low Mid/High White Hispanic Other Planning Area Gender Age Income Race/Ethnicity Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 202] Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2013 Illinois data. 2013 PRC National Health Survey, Professional Research Consultants, Inc. US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective SA-14.3] Notes: Asked of all respondents. Binge drinkers are defined as men having 5+ alcoholic drinks on any one occasion or women consuming 4+ drinks on any one occasion. 22
SUBSTANCE ABUSE IN KANE COUNTY 9% 8% HAVE EVER SOUGHT PROFESSIONAL HELP FOR AN ALCOHOL/DRUG-RELATED PROBLEM 7.8% 7% 6% 5% 4% 4.0% 4.9% 3% 2% 1.3% 2.0% 1% 0% Kane County North Kane County Central Kane County South Kane County US Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 74] 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Asked of all respondents. 23
CHRONIC DISEASE, OBESITY & DIABETES 24
RESULTS OF POLLS Key Informant Perceptions Heart Disease and Stroke 46.2% 46.2% Diabetes 57.7% 38.5% Nutrition, Physical Activity, and Weight 84.6% 15.4% PRC Key Informant Focus Groups, Kane County, November 2014. 0% 20% 40% 60% 80% 100% Major Problem Moderate Problem Minor Problem Poll: Do you consider cardiovascular disease a Cardiovascular Disease 51% 49% 0% 20% 40% 60% 80% 100% Major Problem Moderate Problem April 10, 2015 Stakeholder Meeting 25
OBESITY, DIABETES & CARDIOVASCULAR DISEASE Identified by Executive Committee as a pressing issue and something that needs to be addressed Obesity and chronic disease prevention found as an issue and an opportunity in Forces of Change Assessment (FOCA) 26
OBESITY IN KANE COUNTY RELATIONSHIP OF OVERWEIGHT WITH OTHER HEALTH ISSUES, 2014 70% 60% 53.5% 50% 44.6% 40% 36.5% 30% 28.6% 30.2% 26.0% 20% 10% 0% 18.2% 18.9% High Blood Pressure High Cholesterol 15.2% 12.3% 10.3% 9.7% Activity Limitations "Fair/ Poor" Health 2.5% 9.6% 17.2% 6.6% 7.3% 11.7% 3.0% 3.2% Diabetes Asthma Kidney Disease Healthy Weight Overweight/Not Obese Obese 4.9% 0.8% 2.0% 2.6% Stroke Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 12, 37, 40, 47, 126, 162, 170, 172] Notes: Based on reported heights and weights, asked of all respondents. 27
US IL Kane County North Central South Men Women 15-39 40-64 65+ Low Income Mid/High Income White Hispanic Other OBESITY IN KANE COUNTY PREVALENCE OF OBESITY (Percent of Adults With a BMI of 30.0 or Higher) Healthy People 2020 Target = 30.5% or Lower 60% 44.3% 40% 20% 29.0% 29.4% 28.5% 25.1% 24.5% 34.5% 29.9% 27.2% 25.2% 32.0% 27.6% 30.2% 28.6% 25.0% 20.3% 0% Planning Area Gender Age Income Ethnicity Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 191] 2013 PRC National Health Survey, Professional Research Consultants, Inc. US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [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): 2013 Illinois data. Notes: Based on reported heights and weights, asked of all respondents 28 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.
OBESITY IN KANE COUNTY CHILD OBESITY PREVALENCE (Percent of Children Age 5-17 with a BMI in the 95 th Percentile or Higher) Healthy People 2020 Target = 14.5% Or Lower 50% 40% 30% 22.7% 20% 12.0% 13.5% 16.3% 14.8% 10% 0% Kane County North Kane County Central Kane County South Kane County US Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 195] 2013 PRC National Health Survey, Professional Research Consultants, Inc. US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective NWS-10.4] Notes: Asked of all respondents with children age 5-17 at home. Obesity among children is determined by children s Body Mass Index status equal to or above the 95 th percentile of US growth charts by gender and age. 29
US IL Kane County North Central South Men Women 18-39 40-64 65+ Low Income Mid/High Income White Hispanic Other DIABETES IN KANE COUNTY PREVALENCE OF DIABETES, 2014 30% 25% 20% 21.1% 15% 10% 11.7% 9.9% 9.4% 6.4% 6.9% 13.9% 8.3% 10.4% 13.4% 12.3% 6.4% 8.4% 12.1% 10.3% 5% 0% 1.0% Planning Area Gender Age Income Ethnicity Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 172] Notes: Asked of all respondents. Hispanics can be of any race. Other race categories are non-hispanic categorizations (e.g., White reflects non-hispanic White respondents). Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. Low Income includes households with incomes up to 200% of the federal poverty level; Mid/High Income includes households with incomes at 200% or more of the federal poverty level. Excludes gestation diabetes (occurring only during pregnancy). 30
DIABETES IN KANE COUNTY AGE-ADJUSTED MORTALITY TRENDS (Annual Average Deaths Per 100,000 Population) Healthy People 2020 Target = 20.5 or Lower (Adjusted) 30 25 20 15 10 5 0 2005 2006 2007 2008 2009 2010 Kane County 25.1 26.9 24.9 23.1 21.3 15.9 Illinois 24.0 21.9 21.9 21.6 20.6 18.5 US 24.9 23.6 22.5 22.0 21.0 20.8 Sources: CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted November 2014. Kane County Health Department Illinois Department of Public Health US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective D-3] Notes: Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population. The Healthy People 2020 target for Diabetes is adjusted to account for only diabetes mellitus coded deaths. 31
DIABETES IN KANE COUNTY CRUDE MORTALITY TRENDS BY PLANNING AREA (Annual average deaths per 100,000 population) 30 25 20 15 10 5 0 2008 2009 2010 2011 2012 Kane County 18.0 18.0 12.8 15.6 17.0 North 21.8 22.0 12.6 16.3 19.1 Central 13.3 16.5 17.6 18.5 23.9 South 16.4 14.8 11.0 13.6 12.2 Sources: Kane County Health Department Notes: Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). In this case, rates are per 100,000 population and are not age-adjusted. 32
Kane County White NH Hispanic Black NH Asian NH Kane County White NH Hispanic Black NH Asian NH Kane County White NH Hispanic Black NH Asian NH Kane County White NH Hispanic Black NH Asian NH Kane County White NH Hispanic Black NH Asian NH Age-Adjusted Mortality Rate (per 100,000) LEADING CAUSES OF DEATH TOP 5 CAUSES OF DEATH IN KANE COUNTY BY RACE/ETHNICITY, 2009-13 250 200 150 100 50 0 * * * Cerebrovascular diseases Ischaemic Heart Disease Malignant Neoplasms Organic, including symptomatic, mental disorders CDC Wonder: Compressed Mortality, 2009-2013 - Age-Adjusted * Rates too small to be reliable Other forms of heart disease 33
CHRONIC DISEASE IN KANE COUNTY 400 350 300 250 ALL CIRCULATORY DISEASES: AGE-ADJUSTED MORTALITY TRENDS (Annual Average Deaths per 100,000 Population) Healthy People 2020 Target for Heart Disease = 156.9 or Lower (adjusted) 200 150 100 Kane County IL US 50 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Kane County 327.1 304.2 299.7 281.7 269.4 269 242.6 216.8 218.6 205.8 210.8 202.8 178.5 173.6 166.2 IL 365.8 347 334.4 330 316.3 297.1 291 273.2 258.2 255.9 238.9 236.6 233.4 225.5 223.5 US 350.8 341.4 330.5 324.3 313.2 294.4 286.6 269.9 258.2 252.2 239.7 235.5 228.6 224.3 222.9 Sources: CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted June 2015. Kane County Health Department Illinois Department of Public Health US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective HDS-2] Notes: Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population. The Healthy People 2020 Heart Disease target is adjusted to account for all diseases of the heart.
CHRONIC DISEASE IN KANE COUNTY 250 CORONARY HEART DISEASE: AGE-ADJUSTED MORTALITY TRENDS (ANNUAL AVERAGE DEATHS PER 100,000 POPULATION) HEALTHY PEOPLE 2020 TARGET = 103.4 OR LOWER 200 150 100 50 Kane County IL US 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Kane County 187.3 166.7 154 134.8 140.4 133.8 107.6 109.4 106.4 94.9 93.9 90.1 77.5 78.9 65.9 IL 203.9 190.9 180.5 176.2 165.9 152.5 146.9 137.1 125.5 125.4 114.8 111.1 106.9 103.1 97 US 194.6 186.8 179 173.5 165.5 153.2 148.1 138.3 129.2 126.1 117.7 113.6 109.2 105.4 102.7 Sources: CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted June 2015. Kane County Health Department Illinois Department of Public Health US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective HDS-2] Notes: Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population.
CHRONIC DISEASE IN KANE COUNTY CEREBROVASCULAR DISEASE: AGE-ADJUSTED MORTALITY TRENDS (Annual Average Deaths per 100,000 Population) Healthy People 2020 Target for Stroke = 34.8 or Lower 80 70 60 50 40 30 20 Kane County IL US 10 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Kane County 64.0 54.2 54.1 69.2 54.6 50.7 43.9 36.5 39.8 33.9 38.6 40.8 33.7 30.0 28.5 IL 64.4 61.4 59.0 58.3 55.4 51.4 49.0 46.3 44.7 43.4 39.0 39.3 38.7 37.7 36.7 US 61.6 60.9 58.4 57.3 54.6 51.2 48.0 44.8 43.5 42.1 39.6 39.1 37.9 36.9 36.2 Sources: CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted June 2015. Kane County Health Department Illinois Department of Public Health US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective HDS-3] Notes: Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population.
CHRONIC DISEASE IN KANE COUNTY PREVALENCE OF HEART DISEASE, 2014 25% 20% 19.9% 15% 10% 5% 6.1% 5.9% 6.6% 4.2% 5.7% 8.3% 3.5% 7.1% 6.0% 5.2% 7.5% 2.8% 2.2% 0% 0.0% US North Central South Men Women 18 to 39 40 to 64 65+ Low Mid/High White Hispanic Other Kane County Planning Area Gender Age Income Race/Ethnicity Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 160] 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Asked of all respondents. Includes diagnoses of heart attack, angina or coronary heart disease.
CHRONIC DISEASE IN KANE COUNTY 70% 60% 50% 65.2% of these respondents have been told more than once that their blood pressure was high. PREVALENCE OF HIGH BLOOD PRESSURE, 2014 Healthy People 2020 Target = 26.9% or Lower 66.3% 40% 30% 34.1% 30.1% 32.2% 28.6% 33.6% 36.0% 33.3% 31.1% 38.8% 34.0% 30.7% 32.3% 28.4% 39.2% 20% 12.9% 10% 0% US IL Kane County North Central South Men Women 18 to 39 40 to 64 65+ Low Mid/High White Hispanic Other Planning Area Gender Age Income Race/Ethnicity Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 47] US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective HDS-5.1] Notes: Asked of all respondents. Hispanics can be of any race. Other race categories are non-hispanic categorizations (e.g., White reflects non-hispanic White respondents). Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. Low Income includes households with incomes up to 200% of the federal poverty level; Mid/High Income includes households with incomes at 200% or more of the federal poverty level.
CHRONIC DISEASE IN KANE COUNTY PRESENT ONE OR MORE CARDIOVASCULAR RISKS OR BEHAVIORS 100% 90% 80% 70% 82.3% 81.7% 82.6% 83.6% 79.8% 84.5% 78.9% 72.2% 87.3% 93.6% 84.2% 80.4% 81.7% 84.2% 77.6% 60% 50% 40% 30% 20% 10% 0% US North Central South Men Women 18 to 39 40 to 64 65+ Low Mid/High White Hispanic Other Kane County Planning Area Gender Age Income Race/Ethnicity Sources: 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 163] 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: Asked of all respondents. Cardiovascular risk is defined as exhibiting one or more of the following: 1) no leisure-time physical activity; 2) regular/occasional cigarette smoking; 3) hypertension; 4) high blood cholesterol; and/or 5) being overweight/obese.
INCOME, JOB-READY WORKFORCE & EDUCATION 40
Workforce capacity and needs documented in Forces of Change Assessment (FOCA) Areas discussed were changing demographics, aging population, workforce gaps and unemployment Opportunities to work with employers and partnerships to link workforce to employment opportunities INCREASING INCOME TO IMPROVE HEALTH OVER LONG-TERM 41
Workforce capacity and needs documented in Forces of Change Assessment (FOCA), as well as opportunity to work with employers Identified as an opportunity in Local Public Health System Assessment (LPHSA) to build partnerships with local business, employers, and other nontraditional partners EMPLOYABLE JOB-READY WORKFORCE 42
EDUCATION IN KANE COUNTY Graduation rates listed as an issue in Forces of Change Assessment (FOCA) Coordinated health education listed as an opportunity in FOCA, LPHSA, and Mental Health Council focus group Poll: Do you consider income and education a Income and Education 50% 40% 10% 0% 20% 40% 60% 80% 100% Major Problem Moderate Problem Minor Problem April 10, 2015 Stakeholder Meeting 43
EDUCATION IN KANE COUNTY HIGH SCHOOL GRADUATION RATE (Percent of Seniors Graduating in 2013, by School District) 100% 80% 76.4% 94.0% 94.3% 88.7% 80.1% 96.2% 97.7% 93.7% 83.2% 60% 61.0% 40% 20% 0% Aurora D129 Aurora D131 Batavia D101 Burlington D301 Carpentersville D300 Elgin U-46 Geneva D304 Kaneland D302 St Charles D303 Illinois Sources: Illinois State Board of Education 44
% Ready for College EDUCATION IN KANE COUNTY 100% Graduation and College Readiness Rates, School Districts, 2014 80% 9 60% 2 8 6 7 5 40% 3 1 20% 4 0% 0% 20% 40% 60% 80% 100% % Graduating within 5 years 1--School District U-46 2--School District 101 3--School District 129 4--School District 131 5--School District 300 6--School District 301 7--School District 302 8--School District 303 9--School District 304 Source: http://www.illinoisreportcard.com/default.aspx **ACT designates students with an ACT score of 21 or higher as being college ready 45
1.1% 1.4% 2.6% 4.7% 1.5% EDUCATION IN KANE COUNTY MOTHER'S EDUCATIONAL ATTAINMENT, 2011 BIRTHS Kane County 7.9% 14.4% 22.5% 17.3% 5.9% 20.1% 10.1% Southern Planning Area 9.3% 17.0% 26.7% 16.5% 5.6% 15.2% 8.2% Central Planning Area 11.0% 16.2% 7.9% 37.8% 18.4% Northern Planning Area 8.3% 15.2% 21.8% 18.2% 5.6% 19.9% 9.5% 0% 20% 40% 60% 80% 100% 8th Grade or less 9th-12th Grade, no diploma High school graduate, or GED College, no degree Associate Degree, AA, AS Bachelor's Degree, BA, BS, AB Master's Degree, MA, MS Doctorate Degree, PhD, EDD Unknown Source: Kane County Health Department, Illinois Department of Health 46
EDUCATION IN KANE COUNTY POPULATION WITH NO HIGH SCHOOL DIPLOMA (Population age 25+ without a high school diploma or equivalent, 2013) 59,183 individuals 20% 18% 17.8% 16% 14% 12% 10% 8% 6% 4% 2% 12.2% 13.4% 0% Kane County IL US Sources: US Census Bureau American Community Survey 1-year estimates (2013). Notes: This indicator is relevant because educational attainment is linked to positive health outcomes. 47
E D U C AT I O N I N K A N E C O U N T Y Population With No High School Diploma 48
EMPLOYMENT IN KANE COUNTY UNEMPLOYMENT RATE (% of Non-institutionalized Population Age 16+ Unemployed, Not Seasonally-adjusted) 12% 10% 10.2% 10.5% 9.9% 8.9% 8% 8.9% 6% 6.1% 5.8% 6.2% 4% 4.3% 4.8% 2% 0% 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Kane County IL US Sources: US Department of Labor, Bureau of Labor Statistics. Retrieved November 2014 from Community Commons at http://www.chna.org. Notes: This indicator is relevant because unemployment creates financial instability and barriers to access including insurance coverage, health services, healthy food, and other necessities that contribute to poor health status. 49
INCOME IN KANE COUNTY 100% POPULATION IN POVERTY (Populations Living Below 100% and Below 200% of the Poverty Level; 2013) 80% 60% 140,158 individuals 40% 27.1% 31.9% 34.8% 20% 10.7% 14.7% 15.8% 0% Kane County IL US <100% of Poverty <200% of Poverty Sources: US Census Bureau American Community Survey 1-year estimates (2013). Notes: Poverty is considered a key driver of health status. This indicator is relevant because poverty creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status. 50
3.5% 2.2% INCOME IN KANE COUNTY POVERTY POPULATION DISTRIBUTION BY RACE/ETHNICITY Poverty Population 56.4% 43.6% Population 30.9% 69.1% 46.6% Poverty Population 14.7% 34.0% 2.1% 1.8% Population 73.4% 5.3% 15.4% 0% 20% 40% 60% 80% 100% White Black Asian Other Two or More Hispanic Non-Hispanic 2009-2013 American Community Survey 5-Year Estimates 51
I N C O M E I N K A N E C O U N T Y Population Below the Poverty Level 52
I N C O M E I N K A N E C O U N T Y Population Below 200% of Poverty 53
INCOME IN KANE COUNTY PERCENT OF CHILDREN IN VERY LOW INCOME HOUSEHOLDS (Children 0-17 living below the poverty level, 2013) 25% 22,847 children 20.7% 22.2% 20% 16.0% 15% 10% 5% 0% Kane County IL US Sources: US Census Bureau American Community Survey 1-year estimates (2013). Notes: This indicator reports the percentage of children aged 0-17 living in households with income below 100% of the Federal Poverty Level (FPL). This indicator is relevant because poverty creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status. 54
I N C O M E I N K A N E C O U N T Y Children (0-17) Living Below 200% of Poverty 55
PUBLIC COMMENT
PUBLIC COMMENT RESULTS TOPIC AVERAGE SCORE RANK Mental Health 2.9 1 Chronic disease (obesity, diabetes, etc.) 3.2 2 Substance abuse 4.8 3 Access to health care 5.1 4 Immunizations 5.2 5 Income and Education 5.8 6 Cardiovascular Disease 5.9 7 Transportation/mobility 6.7 8 Cancer 6.8 9 Access to parks and recreational opportunities 7.7 10
PUBLIC COMMENT RESULTS What information presented in the webinar was most surprising to you? What other information from the webinar was the most indicative of the overall health of residents in the county? Differences between Kane County planning areas Education rates: % with high school diploma, graduation rates, etc. Disparities regarding the Hispanic population Diabetes, obesity, linguistically isolated population, etc. Immunization rates Importance of mental health Education Language barriers Mental health Poverty link to health Immunization Chronic disease Access to health services
PUBLIC COMMENT RESULTS What should be done? Increase low-cost access to exercise and health support Affordable mental health support for minorities Affordable opportunities for continuing education Increase immunization education and clinic use Improve access to health care and transportation Who should be involved? Schools Hospitals Health Department FQHCs Colleges/Universities Libraries Transportation agencies Community groups Homeless shelters Mental Health Organizations Breaking Free Renz Center Ecker Center Community Crisis Center Home visit programs What resources should be used? Taxes Public schools Farmers markets Park districts Community centers Hospital clinics Open health fairs Board of Health Board of Education Coalitions with county Community groups Minority community leaders AOK, EPEL, SPARK, etc.