the health of calumet county community health assessment october 25, 2012

The Health of Calumet County

Community Health Assessment

October 25, 2012

Provide an overview of the health of the community

Look for opportunities for improvement

Age

Race/Ethnicity

English proficiency

Geography

Population

Percent of population below 18 and 65 +

Calumet and Wisconsin (2011)

Calumet County Wisconsin

% of population

below age 18: 26.6% 23.2%

% of population

age 65 and over: 11.6% 13.9%

Source: County Health Rankings/US Census

Race of Residents

Calumet County and Wisconsin (2011)


White Persons 95.7% 88.4%

Black persons 0.6% 6.5%

American Indian and Alaska Native persons 0.5% 1.1%

Asian persons 2.1% 2.4%

Native Hawaiian and Other Pacific Islander persons < 0.5% < 0.5%

Persons reporting two or more races 1.1% 1.6%

Persons of Hispanic or Latino Origin 3.6% 6.1%

White persons, not Hispanic 92.3% 83.1%


http://quickfacts.census.gov/qfd/meta/long_RHI825211.htm

What Makes a Community Healthy?

Mortality: Premature Death

Years of potential life lost before age 75 per 100,000 population (age-adjusted)



4,988 6,124

Morbidity: Quality of Life

Physical Health

Mental Health

Percent of adults self-reporting poor or fair health

(age-adjusted)

Calumet County and Wisconsin (2004-2010)


(4th quartile)

14% 12%

Source: County Health Rankings/BRFSS

Average number of physically unhealthy days self-reported in adults in past 30 days (age-adjusted)



(2nd quartile)

3.2 3.3


Average number of mentally unhealthy days reported in past 30 days (age-adjusted)



(1ST quartile)

2.6 3.0


Healthy Days – Mental HealthLocal - State Comparison

13* 2007 and 2003 Not asked locally

Healthy Days Effect

Health Behaviors

Tobacco Use

Physical Activity & Nutrition

Alcohol & Drug Use

Percent of adults self-reporting smoking > 100 cigarettes in their lifetime and currently smoking (every day or most

days)


Calumet CountyWisconsin

(1st quartile)

15% 20%


Regular physical activity in adults can lower the risk of: Early death Coronary heart disease Stroke High blood pressure Type 2 diabetes Breast and colon

cancer Falls Depressions

Physical activity in children and adolescents can: Improve bone health Improve cardio-

respiratory & muscular fitness

Decrease levels of body fat

Reduce symptoms of depression

Healthy diet reduces risk of: Overweight/obesity Malnutrition Anemia Heart disease High blood pressure Type 2 diabetes Osteoporosis Oral disease Diverticular disease Some cancers

At healthy weight less likely to: Have complications during

pregnancy Die at earlier age

Good nutrition in children important: To healthy growth &

development To maintaining appropriate

weight

Percent of adults (age 20 +) with BMI > 30



(3rd quartile)

31% 29%


Body Mass Index

Body Mass Index - Age

Percent of adults with no physical activity



(1st quartile)

19% 23%


Vigorous Exercise

Estimated 22 million people per year in the US have drug and alcohol problems

Can lead to: Fetal alcohol spectrum

disorder Alcohol and drug

dependencies Liver, brain, and heart

disease

Contributes to costly physical, mental and public health problems including: Teenage pregnancy HIV/AIDS and other

STDs Domestic violence Child abuse Motor vehicle crashes Physical fights Crime Homicide Suicide

Percent of the adult population that reports either

binge drinking or heavy drinking



(4th quartile)

33% 24%


Alcohol – 5 or More Drinks

Drinking and Driving

Social and Economic Factors

Education

Employment

Income

Years of formal education are correlated strongly with:

Improved work and economic opportunities Access to health care (through work situation) More stability during variations in the job market

Reduced psychosocial stress; a greater sense of personal control

Healthier lifestyles

Multi-generational health affects: Education of parents affects the health of their children

Percent of 9th grade cohort that graduates in four years



(1st quartile)

92% 86%

Source: County Health Rankings/WI Department of Public Instruction

Percent of adults age 25-44 with some college or associate’s degree



(1st quartile)

69% 63%


Unemployment:

Increases unhealthy behaviors: alcohol and tobacco use, diet, exercise

May lead to physical illness and even death (especially by suicide)

May mean less access to health care (because insurance is often tied to employment)

Percent of population age 16+ unemployed but seeking work



(1st quartile)

6.7% 8.3%

Source: County Health Rankings/Bureau of Labor Statistics

Poverty leads to increased risk of:DeathVariety of medical conditions and disease

incidenceDepression Intimate partner violencePoor health behaviors

Children are affected more than any age in:Accidental injuryLack of health care access.

Percent of children under 18 living below the Federal Poverty Line (FPL)



(1st quartile)

8% 19%


Physical Environment

Built Environment

Environmental Quality

Percent of population in poverty that also are far from a grocery store (10 miles rural/one mile urban)



(3rd quartile)

7% 6%

Source: County Health Rankings/USDA

Proportion of all restaurants in the county that are fast food restaurants



(3rd quartile)

38% 41%


Slide presentation adapted from:Slide presentation adapted from:

The Health of the Community: Community Health Assessment Presentation

v 1.0

6/2012

[Final Version due Spring 2014]

Wisconsin CHIPP Infrastructure Improvement Project

http://www.walhdab.org/CHIPPInfrastructure.htm



the health of calumet county community health assessment october 25, 2012

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