2008 York County Community Health Needs Assessment Summary of Results

1. 2008 York County Community Health Needs Assessment Summary of Results Presented By:Lisa Lehman, Holleran Dr. David Polk, York CollegeApril 3, 2009

2. 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.

3. 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

4. General Health Status of York County Residents

5. Would you say in general that your health is…?

6. Community Health Status Indicators(www.community health.hhs.gov)Compared to Peer Counties 6

7. Would you say in general that your health is…? % Fair or Poor (Median 17.1%; Peers 8.2%-14.4%) 7

8. Trends – Subjective Health Assessment 8

9. 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

10. Average Number of Unhealthy Days In Past Month (Median 6.0; Peers 4.8-6.4) 10

11. Exercise, Weight, & Nutrition

12. Body Mass Index (BMI) ***Scores are significantly different than the National and Pennsylvania comparison.

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

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

15. Access to Health Care

16. Do you have any kind of health care coverage?

17. 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.

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

19. Trends – Access to Care 19

20. Oral Health

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

22. How many of your permanent teeth have been removed because of tooth decay or gum disease? **Scores are significantly different than the Pennsylvania comparison.

23. Disability

24. 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.

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

26. Alcohol Consumption

27. 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.

28. 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

29. 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.

30. Trends – Behavioral Risks 30

31. Seniors & Immunizations

32. During the past 12 months, have you had a flu shot? Respondents age 65 and over

33. During the past 12 months, have you had a flu shot? ***Scores are significantly different than the National and Pennsylvania comparison.

34. Safety

35. 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.

36. Trends – Behavioral Risks 36

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

38. Preventive Screenings

39. Have you ever had a mammogram? Females 40 and Over

40. Have you ever been told by a doctor, nurse, or other health professional that you had prostate cancer? Males 40 and Over

41. Have you ever used a home blood stool test? Respondents 50 and Over ***Scores are significantly different than the National and Pennsylvania comparison.

42. Have you ever had a sigmoidoscopy or colonoscopy?

43. Adult Preventive Services Used 43

44. Trends – Access to Screening and Preventative Services 44

45. HIV/AIDS

46. Have you ever been tested for HIV? Respondents under 65 years ***Scores are significantly different than the National and Pennsylvania comparison.

47. Emotional Health

48. How often do you receive the emotional support you need? ***Scores are significantly different than the National and Pennsylvania comparison.

49. In general, how satisfied are you with your life? **Scores are significantly different than the Pennsylvania comparison.

50. Has a doctor or other healthcare provider ever told you that you had an anxiety disorder? *Scores are significantly different than the National comparison.