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Shiawassee County 2012 Health Assessment Britney Ward, MPH Hospital Council of Northwest Ohio October 30, 2012

Shiawassee County 2012 Health Assessment Britney Ward, MPH Hospital Council of Northwest Ohio October 30, 2012. Commissioned by the Shiawassee County Health Needs Assessment Team:. Memorial Healthcare Shiawassee United Way Shiawassee County Community Mental Health Authority

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Shiawassee County 2012 Health Assessment Britney Ward, MPH Hospital Council of Northwest Ohio October 30, 2012

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  1. Shiawassee County 2012 Health Assessment Britney Ward, MPH Hospital Council of Northwest Ohio October 30, 2012

  2. Commissioned by the Shiawassee County Health Needs Assessment Team: • Memorial Healthcare • Shiawassee United Way • Shiawassee County Community Mental Health Authority • Shiawassee County Health Department • Shiawassee Regional Education Service District

  3. Funders • Memorial Healthcare • Shiawassee United Way • Shiawassee County Community Mental Health Authority • Shiawassee County Health Department • Shiawassee Community Foundation

  4. Acknowledgements Project Management, Secondary Data, Data Collection, & Report Development Healthy Communities Foundation of the Hospital Council of Northwest Ohio Britney L. Ward, MPH, Assistant Director of Health Planning Margaret Wielinski, MPH, Health Improvement Data Specialist Michelle Von Lehmden, Health Assessment Coordinator Patrick Trejchel, MPH, Community Improvement and Preparedness Coordinator Shari Gorski, Administrative Assistant Natalie Dugan, Graduate Student, University of Toledo Data Collection & Analysis James H. Price, Ph.D., MPH, Professor Emeritus of Health Education, University of Toledo Joseph A. Dake, Ph.D., MPH, Professor and Chair of Health Education, University of Toledo Timothy R. Jordan, Ph.D., M.Ed., Professor of Health Education, University of Toledo

  5. Health Perceptions Health Care Coverage Health Care Access Cardiovascular Health Cancer Diabetes Arthritis Asthma Weight Status Tobacco Use Alcohol Marijuana & Other Drugs Women’s Health Men’s Health Preventive Medicine Sexual Behavior Quality of Life Social Context and Safety Mental Health and Suicide Oral Health Overview

  6. Design Written surveys Instrument Development Majority of questions from BRFSS (CDC) Procedure 4-wave mailing campaign Sampling Adults 1000 adults ages 19 and older 43% response rate (n=428) 95% confidence interval 5% margin of error Methodology

  7. Data Analysis Analyzed using SPSS 17.0 Data weighted to reflect population statistics Limitations Adult data collection: CDC-telephone surveys Self-reported Data IRB Approval Chesapeake Research Review Inc., Columbia, Maryland Review methodology, surveys, and letters Methodology

  8. Keep in Mind… • Each graph • Secondary Data • Portion of report • Regional comparisons

  9. County Comparisons Visit The Hospital Council of Northwest Ohio website at http://www.hcno.orgto view individual health assessments and compare indicators through Data Link.

  10. Demographics of Survey Population

  11. Demographics of Survey Population

  12. Demographics of Survey Population

  13. Demographics of Survey Population

  14. Demographics of Survey Population

  15. Health Status Perceptions

  16. General Health Status 57% of Shiawassee County adults rated health status as excellent or very good Michigan - 50%, U.S.- 55% (2011 BRFSS) 13% rated their health as fair or poor Michigan - 17%, U.S.- 17% (2011 BRFSS) Those most likely to have rated health status as fair or poor: Had an annual income under $25,000 (37%) Were separated (25%) Had high blood pressure (27%) or high blood cholesterol (21%) Were 60 years of age or older (19%) Adult Health Status Perceptions

  17. 18% of adults rated their physical health as not good on four or more days in the past month Increasing to 32% of those with incomes less than $25,000 23% of adults rated their mental health as not good on four or more days in the past month Increasing to 42% of those under age 30 23% of Shiawassee County adults reported that poor mental health kept them from doing usual activities such as self care, work, or recreation in the past month Adult Health Status Perceptions

  18. Adult Health Status Perceptions

  19. Adult Health Status Perceptions * 2010 BRFSS data

  20. Health Care Coverage

  21. Health Care Coverage • 86% of adults had health care coverage • 14% were without coverage • Michigan- 15%, U.S.- 18% (2011 BRFSS) • Increasing to 20% of those ages 30-59 and 46% of those with incomes less than $25,000 • 19% of adults with children did not have healthcare coverage • Compared to 12% of those who did not have children living in their household

  22. Health Care Coverage • 7% of adults reported their health care coverage kept them from seeing doctors and using health facilities in Shiawassee County • The top reasons uninsured adults gave for being without health care coverage were: • They could not afford to pay the insurance premiums (52%) • They lost their job or changed employers (34%) • Their employer does not/stopped offering coverage (27%) • They lost Medicaid eligibility (18%) • They become a part-time/temporary employee (13%)

  23. Health Care Coverage

  24. Health Care Coverage

  25. Health Care Coverage

  26. Health Care Access

  27. 58% of adults visited a doctor for a routine checkup in the past year 2% of adults hadnever visited their doctor for a routine checkup 57% of adults reported they had one particular doctor or healthcare professional they go to for routine medical care Shiawassee County adults went to the following places when they were sick or needed advice about their health: Doctor’s office (67%) - Hospital outpatient department (1%) No usual place (6%) - Hospital ER (1%) Urgent Care center (4%) - Some other place (2%) Public health clinic (1%) - Some other Health Care Access

  28. 20% of adults could not see a doctor when needed at some time in the past year due to cost Increasing to 51% of those with incomes less than $25,000 Adults did not receive the following major care or preventive care to do cost: Medications (10%) - Weight-loss program (7%) Colonoscopy (9%) - Surgery (4%) Pap smear (7%) - PSA test (3%) Mammogram (7%) - Smoking cessation (2%) Health Care Access

  29. During the past year, Shiawassee County adults did not get a prescription from their doctor filled because: Could not afford out-of pocket expense (16%) Had no insurance (11%) Did not think they needed it (5%) Their co-pays were too high (5%) Their was so generic equivalent of what was prescribed (4%) Their deductibles were too high (2%) They were taking too many medications (2%) Health Care Access

  30. Shiawassee County adults had the following transportation problems when they needed health care: Could not afford gas (6%) - Car did not work (1%) No driver’s license (4%) - No car insurance (1%) No car (3%) - Other car issues/ expenses (2%) Disabled (2%) Health Care Access

  31. Health Care Access Shiawassee County Adults Able to Access Assistance Programs/Services

  32. Cardiovascular Health

  33. 5% of adults reported they had angina or coronary heart disease 4% reported having had a heart attack 2% reported having a stroke Heart disease and stroke accounted for 29% of all Shiawassee County adult deaths in 2010(Source: MDCH, Vital Statistics, 2010) Cardiovascular Health • Shiawassee County • Leading Types of Death • 2010 • Total Deaths: 711 • Heart Diseases (24% of all deaths) • Cancers (22%) • Chronic Lower Respiratory Diseases (9%) • Stroke (5%) • Accidents, Unintentional Injuries (5%) • (Source: MDCH, Vital Statistics 2010)

  34. Cardiovascular Health • 29% of adults were diagnosed with high blood pressure • Michigan - 34%, U.S.- 31% (2011 BRFSS) • 81% have had their blood pressure taken by a doctor, nurse, or other health professional within the past year • Those with high blood pressure were more likely to: • Have rated their general health as poor (56%) • Be age 60 or older (47%) • Have been classified as obese by BMI (43%)

  35. Cardiovascular Health • 37% of adults were diagnosed with high blood cholesterol • Michigan - 42%, U.S.- 38% (2011 BRFSS) • 82% of adults had their blood cholesterol checked in the past 5 years • Michigan - 77%, U.S.- 76% (2011 BRFSS) • Those with high blood cholesterol were more likely to: • Have rated their health as fair or poor (56%) • Be age 60 years and older (56%) • Be male (46%) • Have been overweight or obese (44%)

  36. Cardiovascular Health

  37. Cardiovascular Health

  38. Cancer

  39. Cancer • Shiawassee County • Incidence of Cancer • 2011 • All Sites: 252 cases • Lung and Bronchus: 47 cases (19%) • Breast: 41 cases (16%) • Prostate: 39 cases (15%) • Colon and Rectum: 15 cases (6%) • Non-Hodgkin’s Lymphoma: 14 cases (6%) • Bladder: 7 cases (3%) • (Source: Memorial Healthcare, Cancer Program, Community Needs Assessment, August 2012) • 12% of Shiawassee County adults were diagnosed with cancer at some point in their lives • From 2001-2010, cancers caused 23% (1,487 of 6,346 total deaths) of all Shiawassee County resident deaths (Source: MDH Vital Statistics)

  40. Lung Cancer Lung cancer was the second leading cause of male and female invasive cancer incidence from 2007 to 2009 in Shiawassee County, with a per year average of 34 cases for males and 27 cases for females (MDCH) According to the American Cancer Society, smoking causes 80% of lung cancer deaths in the U.S. 22% of Shiawassee County adult males and 15% of adult females were current smokers Cancer

  41. Breast Cancer Breast cancer was the leading cause of female invasive cancer incidence from 2007 to 2009 with an average of 53 cases per year For women age 40 and older, ACS recommends annual mammograms and annual clinical breast exams 60% of Shiawassee County women over the age of 40 had a mammogram in the past year 55% of females reported having a clinical breast exam in the past year Cancer

  42. Colon and Rectum Cancer In Shiawassee County, colorectal cancer was the third leading cause of male and female invasive cancer incidence from 2007 to 2009, with a per year average of 23 new invasive cancer cases for females and 23 for males In 2012, 57% of Shiawassee County adults over the age of 50 reported having been screened for colorectal cancers within the past 5 years. Prostate Cancer Prostate cancer was the leading cause of male invasive cancer incidence from 2007 to 2009, with an average of 71 cases per year 52% of Shiawassee County males over the age of 50 had a PSA test in the past year Cancer

  43. Diabetes

  44. Diabetes • 11% of Shiawassee County adults were diagnosed with diabetes • Increasing to 17% of males • Michigan- 11%, U.S.- 10% (2011 BRFSS) • 80% of those with diabetes felt they had received enough information on how to manage their diabetes • Adults diagnosed with diabetes also had one or more of the following characteristics or conditions: • 95% were overweight • 65% had been diagnosed with high blood pressure • 61% had been diagnosed with high blood cholesterol

  45. Diabetes

  46. Arthritis

  47. Arthritis • 33% of Shiawassee County adults were diagnosed with some form of arthritis • Increasing to 57% of those over the age of 60 • According to the 2011 BRFSS, 31% of Michigan adults and 24% of U.S. adults were told they have arthritis

  48. Asthma

  49. Asthma • 16% of Shiawassee County adults were diagnosed with asthma • Increasing to 26% of those with incomes less than $25,000 • 15% of Michigan and 14% of U.S. adults were diagnosed with asthma (2011 BRFSS)

  50. Adult Weight Status

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