2008 york county community health needs assessment summary of results
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2008 York County Community Health Needs Assessment Summary of Results. Presented By: Lisa Lehman, Holleran Dr. David Polk, York College April 3, 2009. Methodology. A total of 625 York County adults were interviewed by telephone to assess their health practices and health status.

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2008 York County Community Health Needs Assessment Summary of Results

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2008 york county community health needs assessment summary of results

2008 York County Community Health Needs Assessment

Summary of Results

Presented By:Lisa Lehman, Holleran

Dr. David Polk, York CollegeApril 3, 2009


Methodology

Methodology

  • A total of 625 York County adults were interviewed by telephone to assess their health practices and health status.

  • There was a 25% over-sampling in York City to allow for results to be tabulated for the city alone.

  • Interviews were conducted between April 7 and May 9, 2008 with additional interviews in York City conducted in November of 2008. Each interview lasted approximately 12-15 minutes.


Key areas examined

Key Areas Examined

  • General Health Status (Mental Health, Physical Health)

  • Access to Care

  • Chronic Disease (Diabetes, Cardiovascular Health, Cancer)

  • Risky Behavior (Substance Abuse, Communicable Disease)

  • Oral Health

  • Immunizations

  • Children’s Health

  • Women’s Health

  • Teen Risky Behaviors

  • Crime, Violence, and Race Relations

  • Environmental Health


General health status of york county residents

General Health Status of York County Residents


Would you say in general that your health is

Would you say in general that your health is…?


Community health status indicators www community health hhs gov compared to peer counties

Community Health Status Indicators(www.community health.hhs.gov)Compared to Peer Counties

6


Would you say in general that your health is1

Would you say in general that your health is…?

% Fair or Poor (Median 17.1%; Peers 8.2%-14.4%)

7


Trends subjective health assessment

Trends – Subjective Health Assessment

8


2008 york county community health needs assessment summary of results

During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities?

Respondents reporting 1 or more days of poor physical or mental health


Average number of unhealthy days in past month

Average Number of Unhealthy Days In Past Month

(Median 6.0; Peers 4.8-6.4)

10


2008 york county community health needs assessment summary of results

Exercise, Weight, & Nutrition


Body mass index bmi

Body Mass Index (BMI)

***Scores are significantly different than the National and Pennsylvania comparison.


Do you now consider yourself to be overweight underweight or about average

Do you now consider yourself to be overweight, underweight, or about average?


2008 york county community health needs assessment summary of results

During the past month, other than your regular job, did you participate in any physical activities or exercises?


Access to health care

Access to Health Care


Do you have any kind of health care coverage

Do you have any kind of health care coverage?


About how long has it been since you last visited a doctor for a routine checkup

About how long has it been since you last visited a doctor for a routine checkup?

***Scores are significantly different than the National and Pennsylvania comparison.


2008 york county community health needs assessment summary of results

Was there a time in the past 12 months when your doctor prescribed medication to you that you did not access because of cost?


Trends access to care

Trends – Access to Care

19


Oral health

Oral Health


How long has it been since you last visited a dentist or dental clinic for any reason

How long has it been since you last visited a dentist or dental clinic for any reason?


How many of your permanent teeth have been removed because of tooth decay or gum disease

How many of your permanent teeth have been removed because of tooth decay or gum disease?

**Scores are significantly different than the Pennsylvania comparison.


Disability

Disability


Are you limited in any way in any activities because of physical mental or emotional problems

Are you limited in any way in any activities because of physical, mental, or emotional problems?

***Scores are significantly different than the National and Pennsylvania comparison.


Do you now have any health problem that requires you to use special equipment

Do you now have any health problem that requires you to use special equipment?


2008 york county community health needs assessment summary of results

Alcohol Consumption


2008 york county community health needs assessment summary of results

During the past 30 days, how many days per weekor per month did you have at least one drink of any alcoholic beverage?

Respondents who had an alcoholic drink in the past 30 days

***Scores are significantly different than the National and Pennsylvania comparison.


On the days when you drank about how many drinks did you drink on average

On the days when you drank, about how manydrinks did you drink on average?

Respondents who had an alcoholic drink in the past 30 days


How many times during the past 30 days did you have 5 or more drinks on an occasion

How many times during the past 30 days did you have 5 or more drinks on an occasion?

Respondents who have had a drink in the past 30 days

***Scores are significantly different than the National and Pennsylvania comparison.


Trends behavioral risks

Trends – Behavioral Risks

30


Seniors immunizations

Seniors & Immunizations


During the past 12 months have you had a flu shot

During the past 12 months, have you had a flu shot?

Respondents age 65 and over


During the past 12 months have you had a flu shot1

During the past 12 months, have you had a flu shot?

***Scores are significantly different than the National and Pennsylvania comparison.


2008 york county community health needs assessment summary of results

Safety


How often do you use seat belts when you drive or ride in a car

How often do you use seat belts when you drive or ride in a car?

**Scores are significantly different than the Pennsylvania comparison.

***Scores are significantly different than the National and Pennsylvania comparison.


Trends behavioral risks1

Trends – Behavioral Risks

36


How safe from crime do you consider your neighborhood to be

How safe from crime do you consider your neighborhood to be?


Preventive screenings

Preventive Screenings


Have you ever had a mammogram

Have you ever had a mammogram?

Females 40 and Over


Have you ever been told by a doctor nurse or other health professional that you had prostate cancer

Have you ever been told by a doctor, nurse, or other health professional that you had prostate cancer?

Males 40 and Over


Have you ever used a home blood stool test

Have you ever used a home blood stool test?

Respondents 50 and Over

***Scores are significantly different than the National and Pennsylvania comparison.


Have you ever had a sigmoidoscopy or colonoscopy

Have you ever had a sigmoidoscopy or colonoscopy?


Adult preventive services used

Adult Preventive Services Used

43


Trends access to screening and preventative services

Trends – Access to Screening and Preventative Services

44


Hiv aids

HIV/AIDS


Have you ever been tested for hiv

Have you ever been tested for HIV?

Respondents under 65 years

***Scores are significantly different than the National and Pennsylvania comparison.


2008 york county community health needs assessment summary of results

Emotional Health


How often do you receive the emotional support you need

How often do you receive the emotional support you need?

***Scores are significantly different than the National and Pennsylvania comparison.


In general how satisfied are you with your life

In general, how satisfied are you with your life?

**Scores are significantly different than the Pennsylvania comparison.


Has a doctor or other healthcare provider ever told you that you had an anxiety disorder

Has a doctor or other healthcare provider ever told you that you had an anxiety disorder?

*Scores are significantly different than the National comparison.


Has a doctor or other healthcare provider ever told you that you have a depressive disorder

Has a doctor or other healthcare provider ever told you that you have a depressive disorder?

*Scores are significantly different than the National comparison.


2008 york county community health needs assessment summary of results

Does your family experience any problems with children or teenagers having behavior or emotional problems?


2008 york county community health needs assessment summary of results

Eye

Care


When was the last time you had your eyes examined by any doctor or eye care provider

When was the last time you had your eyes examined byany doctor or eye care provider?

Cost was #1 reason for not having eyes examined

*Scores are significantly different than the National comparison.


2008 york county community health needs assessment summary of results

Household Issues


In the past 30 days have you been concerned about having enough food for you or your family

In the past 30 days, have you been concerned about having enough food for you or your family?


Does your family experience any problems living in an apartment or house that needs major repairs

Does your family experience any problems living in an apartment or house that needs major repairs?


Does your family experience any problems in lacking money to pay for housing

Does your family experience any problems in lacking money to pay for housing?


Does your family experience any problems in lacking money to pay the utility bills

Does your family experience any problems in lacking money to pay the utility bills?


Public health

Public Health


How important is it that your community has a strong system of public health

How important is it that your community has a strong system of public health?


York city has an organized approach to address the health of the community

York City has an organized approach to address the health of the community


York county has an organized approach to address the health of the community

York County has an organized approach to address the health of the community


Another organization or agency serves my community s public health needs

Another organization or agency serves my community’s public health needs

Mentions: WellSpan, Red Cross, Office of Aging, Fire/Police, VNA, Church, Salvation Army


On a scale of 1 5 how effective do you think public health is in your community

On a scale of 1-5, how effective do you think public health is in your community?


2008 york county community health needs assessment summary of results

Birth Statistics


Birth measures s compared to peer counties

Birth Measures (%s)Compared to Peer Counties

67


Infant mortality rate deaths under age of 1 1000 live births compared to peer counties

Infant Mortality (Rate – Deaths Under Age of 1/1000 Live Births)Compared to Peer Counties

68


2008 york county community health needs assessment summary of results

Preventable Disease


Risk factors for premature death

Risk Factors For Premature Death

70


Death measures rate per 100 000 compared to peer counties

Death Measures (Rate per 100,000)Compared to Peer Counties

71


Prioritizing issues developing goals

Prioritizing Issues & Developing Goals


Sample goal statements

Sample goal statements:

  • To improve the quality of chronic disease care in South Central Pennsylvania.

  • To create a public health department to serve York County.

  • To increase the number of York County children who are physically active.

  • To promote improved health literacy practices in York County.

  • To reduce the incidence of dental caries among York County children through prevention education and services.

  • To increase access to oral health care for the uninsured and underinsured population of York County.

  • To advocate for policies that increase access to oral health treatment and preventative services.


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