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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

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




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



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



Body mass index bmi
Body Mass Index (BMI)

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



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 participate in any physical activities or exercises?


Do you have any kind of health care coverage
Do you have any kind of health participate in any physical activities or exercises?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.


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 prescribed medication to you that you did not access because of cost?

19


Oral health
Oral Health prescribed medication to you that you did not access because of cost?


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 prescribed medication to you that you did not access because of cost?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 of tooth decay or gum disease?


Are you limited in any way in any activities because of physical mental or emotional problems
Are you limited in any way in any of tooth decay or gum disease?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 of tooth decay or gum disease?requires you to use special equipment?


Alcohol Consumption of tooth decay or gum disease?


During the past 30 days, how many days per week of tooth decay or gum disease?or 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 many of tooth decay or gum disease?drinks 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 of tooth decay or gum disease?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 of tooth decay or gum disease?

30


Seniors immunizations

Seniors & Immunizations of tooth decay or gum disease?


During the past 12 months have you had a flu shot
During the past 12 months, have you had a flu shot? of tooth decay or gum disease?

Respondents age 65 and over


During the past 12 months have you had a flu shot1
During the past 12 months, have you of tooth decay or gum disease?had a flu shot?

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


Safety of tooth decay or gum disease?


How often do you use seat belts when you drive or ride in a car
How often do you use seat belts when of tooth decay or gum disease?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 of tooth decay or gum disease?

36



Preventive screenings
Preventive Screenings of tooth decay or gum disease?


Have you ever had a mammogram
Have you ever had a mammogram? of tooth decay or gum disease?

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 of tooth decay or gum disease?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? of tooth decay or gum disease?

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 of tooth decay or gum disease? or colonoscopy?


Adult preventive services used
Adult Preventive Services Used of tooth decay or gum disease?

43


Trends access to screening and preventative services
Trends – Access to Screening of tooth decay or gum disease?and Preventative Services

44


Hiv aids

HIV/AIDS of tooth decay or gum disease?


Have you ever been tested for hiv
Have you ever been tested for HIV? of tooth decay or gum disease?

Respondents under 65 years

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


Emotional Health of tooth decay or gum disease?


How often do you receive the emotional support you need
How often do you receive the emotional of tooth decay or gum disease?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? of tooth decay or gum disease?

**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 of tooth decay or gum disease?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 of tooth decay or gum disease?told you that you have a depressive disorder?

*Scores are significantly different than the National comparison.


Does your family experience any problems with children of tooth decay or gum disease? or teenagers having behavior or emotional problems?


Eye of tooth decay or gum disease?

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 by of tooth decay or gum disease?any doctor or eye care provider?

Cost was #1 reason for not having eyes examined

*Scores are significantly different than the National comparison.


Household Issues of tooth decay or gum disease?


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 of tooth decay or gum disease?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 of tooth decay or gum disease?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 of tooth decay or gum disease?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 of tooth decay or gum disease? lacking money to pay the utility bills?


Public health

Public Health of tooth decay or gum disease?


How important is it that your community has a strong system of public health
How important is it that your community of tooth decay or gum disease? has a strong system of public health?


York city has an organized approach to address the health of the community
York City of tooth decay or gum disease? 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 of tooth decay or gum disease? 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 of tooth decay or gum disease?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 of tooth decay or gum disease? public health is in your community?


Birth Statistics of tooth decay or gum disease?


Birth measures s compared to peer counties
Birth Measures (%s) of tooth decay or gum disease?Compared to Peer Counties

67


Infant mortality rate deaths under age of 1 1000 live births compared to peer counties
Infant Mortality of tooth decay or gum disease? (Rate – Deaths Under Age of 1/1000 Live Births)Compared to Peer Counties

68


Preventable Disease of tooth decay or gum disease?


Risk factors for premature death
Risk Factors For Premature Death of tooth decay or gum disease?

70


Death measures rate per 100 000 compared to peer counties
Death Measures (Rate per 100,000) of tooth decay or gum disease?Compared to Peer Counties

71


Prioritizing issues developing goals

Prioritizing Issues & of tooth decay or gum disease?Developing Goals


Sample goal statements
Sample goal statements: of tooth decay or gum disease?

  • 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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