2016 PRC Community Health Needs Assessment 2016.pdfTotal sample size gives an ... 13 Areas of...

2016 PRC Community Health Needs Assessment

Prepared for:

Logansport Memorial Hospital

By Professional Research Consultants, Inc.

Cass County, Indiana

PRC Community Health Needs Assessment

Customized Local Health Survey

• 750 surveys across Cass County

• Conducted via landline and cell phones

• Targets health status, experience, behaviors

Secondary Data

• County-level data

• Census data, vital statistics, other health-related data

Online Key Informant Survey

• Community stakeholder input (116 participants) — physicians, public health, other health providers, social services, community leaders

• Based on their experiences, the populations they serve

The PRC Community

Health Needs

Assessment consists of

both primary and

secondary data.

BENCHMARKING

• Previous Survey Data

• PRC National Health

Survey

• Indiana BRFSS data

• Healthy People 2020

targets

• National vital

statistics data

3

PRC Community Health Needs Assessment Cass County, Indiana

Population Survey

Total sample size gives an

excellent overall maximum

confidence interval of ± 3.6%.

Population & Survey Sample Characteristics

(Cass County, 2016)

48.4

%

51.6

%

37.3

%

44.1

%

18.5

%

80.9

%

8.3%

10.8

%

41.8

%

48.0

%

52.0

%

37.7

%

43.6

%

18.7

%

81.0

%

8.4%

10.6

%

41.1

%

0%

20%

40%

60%

80%

100%

Men Women 18 to 39 40 to 64 65+ White Hispanic Other <200%FPL

Actual Population

Weighted Survey SampleOver 125 survey items.

Many questions can be

trended to previous

(2013) survey.

4


Presentation

• Represents just a fraction of the data collected through this assessment.

• Primarily focuses on areas of need ("Areas of Opportunity"); however, there were many positive findings for the area as well.

• Will allow for Q&A at the end.

Prioritization

• Following the data presentation, you will be asked to rank health issues along various criteria to inform the prioritization process.

Today’s Activities

General Health Status

Areas of Opportunity

► Access to Healthcare Services

► Cancer

► Chronic Kidney Disease

► Diabetes

► Family Planning

► Heart Disease & Stroke

► Injury & Violence

► Mental Health

► Nutrition, Physical Activity & Weight

► Potentially Disabling Conditions

► Respiratory Diseases

► Substance Abuse

► Tobacco Use

Q & A

13 Areas of Opportunity




► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

7


Self-Reported Health Status (Cass County, 2016)

Sources: ● 2016 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 5]

Notes: ● Asked of all respondents.

Excellent 12.8%

Very Good 35.0%

Good 33.4%

Fair 14.2%

Poor 4.6%

Would you say that in general your health is:

Excellent, Very Good, Good, Fair or Poor?

Excellent/Very Good = 48.8%

Good = 33.4%

Fair/Poor = 18.8%

8


Experience “Fair” or “Poor” Overall Health

Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 5]

● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control

and Prevention (CDC): 2014 Indiana data.

● 2015 PRC National Health Survey, Professional Research Consultants, Inc.


12.5%

18.8%

2013 2016

Cass County

18.8% 18.9% 18.3%

Cass County Indiana US

0%

20%

40%

60%

80%

100%

Cass County similar to IN & US. Significantly higher than 2013 findings

9


Experience “Fair” or “Poor” Overall Health (Cass County, 2016)



● 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.

16.7% 20.7%

8.5%

24.6% 26.4% 26.6%

13.3% 18.8%

Men Women 18 to 39 40 to 64 65+ LowIncome

Mid/HighIncome

Cass County

0%

20%

40%

60%

80%

100%




► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

11


Healthcare Insurance Coverage (Among Adults Age 18-64; Cass County, 2016)


Notes: ● Reflects respondents age 18 to 64.

Insured, Employer-Based 60.4%

Insured, Self-Purchase 7.6%

Insured, Unknown Type 1.2%

Medicaid 8.8%

Medicare 5.4%

VA/Military 4.2%

Medicaid & Medicare 1.0%

Other Gov't Coverage 0.7%

No Insurance/ Self-Pay 10.7%

Private Insurance = 69.2%

Gov’t-Sponsored = 20.1%

Uninsured = 10.7% (similar to US)

12


Lack of Healthcare Insurance Coverage (Among Adults Age 18-64)

Healthy People 2020 Target = 0.0% (Universal Coverage)





● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective AHS-1]

Notes: ● Asked of all respondents under the age of 65.

Cass County

10.7%

18.0%

10.1%


0%

20%

40%

60%

80%

100%

13.6% 10.7%

2013 2016

Low income residents are more likely to be uninsured.

13


Barriers to Access Have

Prevented Medical Care in the Past Year

Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Items 7-13]



10.8

%

8.4%

9.7%

7.5%

8.0%

3.4%

13.5

%

12.9

%

12.6

%

12.0

%

11.8

%

5.1%

0.7%

Getting aDr Appointment

Cost(Doctor Visit)

Cost(Prescriptions)

InconvenientOffice Hours

Findinga Doctor

Lack ofTransportation

Language/Culture

0%

20%

40%

60%

80%

100%

Cass County 2013 Cass County 2016

n/a

Significantly

higher than

US (9.5%).

Significantly

higher than

US (8.7%).

14


Experienced Difficulties or Delays of Some Kind

in Receiving Needed Healthcare in the Past Year (Cass County, 2016)



● Represents the percentage of respondents experiencing one or more barriers to accessing healthcare in the past 12 months.



28.0%

46.0%

39.0% 39.6%

29.2%

47.0%

34.3% 37.4% 35.0%


Mid/HighIncome

Cass County US

0%

20%

40%

60%

80%

100%

Higher than previous findings (28.3%).

15


Skipped or Reduced Prescription Doses in

Order to Stretch Prescriptions and Save Money




Cass County

13.7% 10.2%

Cass County US

0%

20%

40%

60%

80%

100%

9.5% 13.7%

2013 2016

16




Notes: ● Asked of all respondents with children 0 to 17 in the household.

Child Has Visited a Physician

for a Routine Checkup in the Past Year (Among Parents of Children 0-17)

79.3% 78.5% 79.0%

89.3%

Cass CountyChildren 0-12


Cass County US

0%

20%

40%

60%

80%

100%

Have Visited a Physician for a Checkup in

the Past Year

72.2%

65.1% 70.5%


0%

20%

40%

60%

80%

100%

17


Have Used a Hospital

Emergency Room More Than Once in the Past Year




Cass County

9.4% 8.5%

Cass County US

0%

20%

40%

60%

80%

100%

Used the ER because:

• Emergency Situation = 69.3%

• Weekend/After Hours = 24.8%

• Access Problems = 4.4%

5.8% 9.4%

2013 2016

The Primary Care Physician ratio is also

significantly worse for Cass County

compared to Indiana and the US.

18


70.7% 73.8%

2013 2016

Child Has Visited a Dentist or Dental Clinic Within the Past Year (Among Parents of Children Age 2-17)

Healthy People 2020 Target = 49.0% or Higher



● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective OH-7]

Notes: ● Asked of all respondents with children age 2 through 17.

Cass County

64.8%

93.3%

73.8%

90.7%



Cass County US

0%

20%

40%

60%

80%

100%

Adults: 66.6% (similar to US)




► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

20


Leading Causes of Death (Cass County, 2012-2014)

Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance

and Informatics. Data extracted May 2016.

Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).

● CLRD is chronic lower respiratory disease.

Heart Disease 24.8%

Cancer 22.2%

CLRD 8.3% Stroke 4.7%

Diabetes Mellitus 4.6%

Unintentional Injuries 4.1%

Alzheimer's Disease 3.2%

Other Conditions 28.1%

#2

Age-adjusted death rates are worse than

IN & US for cancer overall, as well as

leading sites (lung, breast, colorectal).

21


Cancer Incidence Rates by Site (Annual Average Age-Adjusted Incidence per 100,000 Population, 2008-2012)

Sources: ● State Cancer Profiles.

● Retrieved April 2016 from Community Commons at http://www.chna.org.

Notes: ● This indicator reports the age adjusted incidence rate (cases per 100,000 population per year) of cancers, adjusted to 2000 US standard population age groups

(under age 1, 1-4, 5-9, ..., 80-84, 85 and older). This indicator is relevant because cancer is a leading cause of death and it is important to identify cancers

separately to better target interventions.

114.0 106.3

84.0

42.7

108.9 119.0

75.2

45.1

131.7 123.0

63.7

41.9

Prostate Cancer Female Breast Cancer Lung Cancer Colon/Rectal Cancer

0

25

50

75

100

125

150Cass County Indiana US





● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective C-17]

Notes: ● Reflects female respondents 50-74.

82.9%

72.4%

80.3%

CassCounty

Indiana US

0%

20%

40%

60%

80%

100%

Mammogram

in Past 2 Yrs (Among Women Age 50-74)


72.2% 78.0%

84.8%

CassCounty

Indiana US

0%

20%

40%

60%

80%

100%

Pap Test

in Past 3 Yrs (Among Women Age 21-65)


Sigmoid/Colonoscopy

Ever (Among Adults Age 50+)

68.9% 61.6%

74.5%

CassCounty

Indiana US

0%

20%

40%

60%

80%

100%

Better

than

2013

findings

Better

than

2013

findings




► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

24


Kidney Disease: Age-Adjusted Mortality (2012-2014 Annual Average Deaths per 100,000 Population)

Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and

Informatics. Data extracted May 2016.


● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.

14.3

18.0

13.2


0

2

4

6

8

10

12

14

16

18

20

Kidney disease mortality has significantly

decreased in the past decade.




► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

26


Diabetes: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population)

Healthy People 2020 Target = 20.5 or Lower (Adjusted)



● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective D-3]



● The Healthy People 2020 target for Diabetes is adjusted to account for only diabetes mellitus coded deaths.

2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 2010-2012 2011-2013 2012-2014

Cass County 36.3 36.8 30.4 24.4 22.9 30.7 36.8 36.3

Indiana 25.5 24.8 24.2 23.9 24.1 24.7 25.9 25.5

US 23.8 22.8 21.9 21.3 21.1 21.2 21.3 21.1

0

5

10

15

20

25

30

35

40

27


Prevalence of Diabetes (Cass County, 2016)





● Excludes gestational diabetes (occurring only during pregnancy).

14.7% 14.3%

5.0%

17.9%

25.5%

17.4% 13.9% 14.5% 14.5%


Mid/HighIncome

Cass County US

0%

20%

40%

60%

80%

100%

Another 6.9% of adults report

that they have been

diagnosed with “pre-diabetes”

or “borderline” diabetes.

(vs. 5.7% nationwide)

28


Perceptions of Diabetes

as a Problem in the Community (Key Informants, 2016)

Sources: ● PRC Online Key Informant Survey, Professional Research Consultants, Inc.


45.1% 32.4% 9.8% 12.7%

Major Problem Moderate Problem Minor Problem No Problem At All

Top Reasons for "Major Problem" Responses:

• Lifestyle

• Health Education

• Affordable Care/Services

Ranked

#4

among key informants




► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

30


Teen Birth Rate (Births to Women Age 15-19 Per 1,000 Female Population Age 15-19, 2006-2012)

Sources: ● Centers for Disease Control and Prevention, National Vital Statistics System. Accessed using CDC WONDER.


Notes: ● This indicator reports the rate of total births to women under the age of 15 - 19 per 1,000 female population age 15 - 19. This indicator is relevant because in many

cases, teen parents have unique social, economic, and health support services. Additionally, high rates of teen pregnancy may indicate the prevalence of unsafe

sex practices.

49.0

38.9 36.6


0

20

40

60

80

31


Teen Birth Rate (Births to Women Age 15-19 Per 1,000 Female Population Age 15-19;

Cass County by Race/Ethnicity, 2006-2012)

Sources: ● Centers for Disease Control and Prevention, National Vital Statistics System. Accessed using CDC WONDER.


Notes: ● This indicator reports the rate of total births to women under the age of 15-19 per 1,000 female population age 15-19. This indicator is relevant because in many

cases, teen parents have unique social, economic, and health support services. Additionally, high rates of teen pregnancy may indicate the prevalence of unsafe

sex practices.

41.9

33.5

24.6

97.9

64.6 62.0

49.0

38.9 36.6


0

20

40

60

80

100

120White (Non-Hispanic) Hispanic/Latina All Races/Ethnicities




► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

33


Leading Causes of Death (Cass County, 2012-2014)

Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance

and Informatics. Data extracted May 2016.



Heart Disease 24.8%

Cancer 22.2%

CLRD 8.3% Stroke 4.7% Diabetes Mellitus 4.6%

Unintentional Injuries 4.1%

Alzheimer's Disease 3.2%

Other Conditions 28.1%

#1

#4

Stroke prevalence much higher

than IN & US.

34


Prevalence of High Blood Pressure (Cass County, 2016)

Healthy People 2020 Target = 26.9% or Lower


● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective HDS-5.1]




46.7% 44.4%

21.2%

52.8%

77.1%

51.4%

44.1% 45.5%

36.5%


Mid/HighIncome

Cass County US

0%

20%

40%

60%

80%

100%

91.7% of adults with multiple HBP readings

are taking action to help control their levels

(such as medication, diet, and/or exercise).

35


90.0% 86.6%

2013 2016

Present One or More Cardiovascular Risks or Behaviors




● 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.

Cass County

86.6% 83.0%

Cass County US

0%

20%

40%

60%

80%

100%




► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

37


Select Injury Death Rates (By Cause of Death; Annual Average Deaths per 100,000 Population)



● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective IVP-13.1, IVP-23.1]



14.6

7.4

11.4

5.5

10.6

8.1

Motor Vehicle Accidents (2010-14)HP2020 Goal = 12.4 or Lower

Falls (2005-14)HP2020 Goal = 7.2 or Lower

0

2

4

6

8

10

12

14

16Cass County Indiana US

38


Fell One or More Times in the Past Year (Among Respondents Age 45 and Older)

Sources: ● 2016 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 125-126]


Notes: ● Asked of those respondents age 45 and older.

33.6% 28.2%

Cass County US

0%

20%

40%

60%

80%

100%

Of these adults, 38.4% were

injured as the result of a fall.

39


Have a Firearm Kept in

or Around the Home

Sources: ● 2016 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 51, 159-160]



● In this case, firearms include pistols, shotguns, rifles, and other types of guns; this does not include starter pistols, BB guns, or guns that cannot fire.

52.5%

33.8%

Cass County US

0%

20%

40%

60%

80%

100% Households With

Children: 53.0%

(vs. 31.0% nationwide)

44.9%

52.5%

2013 2016

Firearm-related mortality is significantly

lower than state and nation.

Cass County




► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

41


Experience “Fair” or “Poor” Mental Health (Cass County, 2016)





7.8% 13.8% 14.0%

10.3% 6.8%

22.4%

4.9% 11.0%

15.5%


Mid/HighIncome

Cass County US

0%

20%

40%

60%

80%

100%

Would you say that in general your mental health is:

Excellent, Very Good, Good, Fair or Poor?

42


Have Experienced Symptoms of Chronic Depression




● Chronic depression includes periods of two or more years during which the respondent felt depressed or sad on most days, even if (s)he felt okay sometimes.

Cass County

28.8% 29.9%

Cass County US

0%

20%

40%

60%

80%

100%

22.8% 28.8%

2013 2016

43


Mental Health Treatment



Notes: ● Reflects the total sample of respondents.

22.0%

13.2%

27.4%

13.6%

Ever Sought Help for aMental or Emotional Problem

Currently Taking Medication/Receiving Mental Health Treatment

0%

20%

40%

60%

80%

100%

Cass County US

44


Perceptions of Mental Health




43.5% 38.0% 7.4% 11.1%


Top Reasons for "Major Problem" Responses: • Access to Care/Services • Disease Management • Access to Providers • Denial/Stigma

Ranked

#5





► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

46






Notes: ● Based on reported heights and weights, asked of all respondents.

● The definition of overweight is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 25.0,

regardless of gender. The definition for obesity is a BMI greater than or equal to 30.0.

72.3% 66.4% 65.2%


0%

20%

40%

60%

80%

100%

Prevalence of Total Overweight (Percent of Adults With a Body Mass

Index of 25.0 or Higher)

39.0% 32.7% 33.4%


0%

20%

40%

60%

80%

100%

Prevalence of Obesity (Percent of Adults With a Body Mass Index of

30.0 or Higher) Healthy People 2020 Target = 30.5% or Lower

47


Prevalence of Obesity (Percent of Adults With a BMI of 30.0 or Higher; Cass County, 2016)


Sources: ● 2016 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 176] ● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective NWS-9] Notes: ● Based on reported heights and weights, asked of all 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. ● 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.

34.4%

43.7%

36.5%

45.1%

30.7%

48.7%

37.8% 39.0%


Mid/HighIncome

Cass County

0%

20%

40%

60%

80%

100%

The prevalence of obesity has significantly

increased since 2013 (31.4%).

48


Child Obesity Prevalence (Children Age 5-17 Who Are Obese; BMI in the 95th Percentile or Higher)




● 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 95th percentile of US growth charts by gender and age.

● *Interpret with caution as sample size is small (<50).

Cass County

20.3%

9.5%

Cass County US

0%

20%

40%

60%

80%

100%

16.4% 20.3%

2013 2016

49


44.0%

27.6%

46.8%

31.6%

22.5%

39.7%

31.2% 35.5%

30.2%


Mid/HighIncome

Cass County US

0%

20%

40%

60%

80%

100%

Had Seven or More

Sugar-Sweetened Beverages in the Past Week (Cass County, 2016)




with defined poverty status up to incomes just above the FPL, earning up to twice the poverty threshold; “Mid/High Income” includes households with incomes at

200% or more of the federal poverty level.

50


No Leisure-Time Physical Activity in the Past Month (Cass County, 2016)



● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective PA-1]




20.2% 22.4% 17.5%

21.8%

28.3% 31.7%

18.0% 21.4%

27.9%


Mid/HighIncome

Cass County US

0%

20%

40%

60%

80%

100%

Significant improvement seen since 2013.

51


Perceptions of Nutrition, Physical Activity, and Weight




50.5% 28.8% 8.1% 12.6%



• Obesity

• Access to Healthful Foods

• Lifestyle

Ranked

#2





► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

53


Prevalence of Potentially Disabling Conditions

Sources: ● 2016 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 28, 161-162]


● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective AOCBC-10]

Notes: ● The sciatica indicator reflects the total sample of respondents; the arthritis and osteoporosis columns reflect adults age 50+.

37.6%

10.5%

19.5%

32.0%

8.7%

19.4%

Arthritis/Rheumatism (50+) Osteoporosis (50+)HP2020 Objective = 5.3% or Lower

Sciatica/Chronic Back Pain (18+)

0%

20%

40%

60%

80%

100%

Cass County US

54


Prevalence of Blindness/Deafness



● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease

Control and Prevention (CDC): 2014 Indiana data.


5.2%

11.6% 7.3% 8.6%

Blindness/Trouble Seeing Even With Glasses Deafness/Trouble Hearing

0%

20%

40%

60%

80%

100%

Cass County US

Indiana = 4.5%




► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

56


CLRD: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population)






2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 2010-2012 2011-2013 2012-2014

Cass County 49.1 55.7 52.1 54.9 48.4 57.8 55.5 66.6

Indiana 51.7 52.8 54.3 56.3 56.2 56.2 57.3 56.0

US 42.1 42.4 42.9 43.2 42.5 42.1 42.0 41.4

0

10

20

30

40

50

60

70

57


Prevalence of

Chronic Obstructive Pulmonary Disease (COPD)

Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 24] ● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2014 Indiana data. ● 2015 PRC National Health Survey, Professional Research Consultants, Inc. Notes: ● Asked of all respondents. ● Includes those having ever suffered from or been diagnosed with COPD or chronic obstructive pulmonary disease, including bronchitis or emphysema. ● In prior data, the term “chronic lung disease” was used, which also included bronchitis or emphysema.

Cass County

11.1% 8.7% 9.5%


0%

20%

40%

60%

80%

100%

7.2% 11.1%

2013 2016

58


75.6%

57.2%

2013 2016

Older Adults: Have Had a Flu Vaccination in the Past Year (Among Adults Age 65+)


Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Items 163-164] ● 2015 PRC National Health Survey, Professional Research Consultants, Inc. ● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2014 Indiana data. ● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective IID-12.12] Notes: ● Reflects respondents 65 and older. ● “High-Risk” includes adults age 18 to 64 who have been diagnosed with heart disease, diabetes or respiratory disease. ● Includes FluMist as a form of vaccination.

Cass County

57.2% 56.3% 58.9%


0%

20%

40%

60%

80%

100%

High-Risk Adults = 46.1%

(HP2020 Goal = 70%)




► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

60


Excessive Drinkers (Cass County, 2016)



● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective SA-15]




● Excessive drinking reflects the number of persons aged 18 years and over who drank more than two drinks per day on average (for men) or more than one drink

per day on average (for women) OR who drank 5 or more drinks during a single occasion (for men) or 4 or more drinks during a single occasion (for women) during

the past 30 days.

27.8%

11.9%

25.3% 20.3%

6.4%

23.7% 21.2% 19.4% 22.2%


Mid/HighIncome

Cass County US

0%

20%

40%

60%

80%

100%

Excessive drinking has increased

significantly since 2013.

61


Have Ever Sought Professional Help

for an Alcohol/Drug-Related Problem




Cass County

2.0% 4.1%

Cass County US

0%

20%

40%

60%

80%

100%

3.4% 2.0%

2013 2016

28.9% report their life has been

negatively affected by substance abuse.

62


Perceptions of Substance Abuse




60.6% 27.5%

4.6%

7.3%


Top Reasons for "Major Problem" Responses: • Access to Care/Services • Denial/Stigma • Prevalence/Incidence Most problematic substance mentioned: Methamphetamines, heroin & alcohol

Ranked

#1





► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

64


Member of Household Smokes at Home

Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Items 58, 184]



● “Smokes at home” refers to someone smoking cigarettes, cigars, or a pipe in the home an average of four or more times per week in the past month.

Cass County

16.0% 10.2%

Cass County US

0%

20%

40%

60%

80%

100%

Households with children

exposed to smoke in the

home: 10.1%

17.0% 16.0%

2013 2016

16.4% of respondents report current

smoking (similar to US and 2013 findings).

65


Other Tobacco Use





● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objectives TU-1.2, TU-1.3]


● Smokeless tobacco includes chewing tobacco or snuff.

4.4% 5.4% 3.6% 3.0%

CigarsHP2020 Goal = 0.2% or Lower

Smokeless TobaccoHP2020 Goal = 0.3% or Lower

0%

20%

40%

60%

80%

100%

Cass County US

Indiana = 4.3%

66


Perceptions of Tobacco Use




48.6% 29.0% 13.1% 9.3%



• Prevalence/Incidence

• Community Attitude

• Comorbidities

Ranked

#3





► Cancer


► Diabetes

► Family Planning



► Mental Health




► Substance Abuse

► Tobacco Use

Q & A

Click to edit Master text styles

Prioritizing Health Needs

70


• Rate how much of a problem each issue is for our community. (i.e., How big is the problem?)

Scope & Severity

• Rate how much we are able to have a positive impact, either alone or

with community partners. (i.e., Can we make a difference?)

Ability to Impact

SCALE: Scope & Severity

❶ ↔ ❷ ↔ ❸ ↔ ❹ ↔ ❺ ↔ ❻ ↔ ❼ ↔ ❽ ↔ ❾ ↔ ❶⓿

EXTREMELY prevalent,

with very serious health

consequences

NOT very prevalent at

all, with only minimal

health consequences

Criteria

SCALE: Ability to Impact

❶ ↔ ❷ ↔ ❸ ↔ ❹ ↔ ❺ ↔ ❻ ↔ ❼ ↔ ❽ ↔ ❾ ↔ ❶⓿

GREAT ability to impact NO ability to impact

PRC Community Health Needs Assessment

Next Steps

Thank You!

73


Top-Ranked

Issues

Key Informants: Relative Position of

Health Topics as Problems in the Community

60.6%

50.5%

48.6%

45.1%

43.5%

31.1%

25.0%

24.5%

24.2%

21.6%

18.1%

16.8%

15.8%

9.8%

8.0%

7.1%

7.1%

5.6%

5.2%

4.1%

27.5%

28.8%

29.0%

32.4%

38.0%

38.7%

46.0%

27.4%

28.3%

43.3%

34.0%

35.6%

42.1%

34.8%

39.1%

33.3%

44.9%

16.7%

25.0%

29.6%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Substance Abuse

Nutrition, Physical Activity, and Weight

Tobacco Use

Diabetes

Mental Health

Cancer

Heart Disease and Stroke

Oral Health/Dental Care

Family Planning

Dementia/Alzheimer's Disease

Respiratory Diseases

Infant and Child Health

Access to Health Care Services

Sexually Transmitted Diseases

Chronic Kidney Disease

Injury and Violence

Arthritis/Osteoporosis/Back Conditions

HIV/AIDS

Hearing and Vision Problems

Immunization and Infectious Diseases


2016 PRC Community Health Needs Assessment 2016.pdfTotal sample size gives an ... 13 Areas of...

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