[PPT] - Adams County Community Health Assessment Survey and Indicator PowerPoint Presentation

SLIDE 1

Data Center Program

Survey and Indicator Summaries August 2018

Adams County Community Health Assessment

SLIDE 2

Data Center Program

Assessment Overview

Components so far

Community Health Assessment survey
Health indicators, analysis, prioritization
Community indicators

SLIDE 3

Data Center Program

Assessment Overview

Anticipated next steps:

Sharing results of assessment
Community meetings (focus groups? other?)
Prioritization and selecting focus
Strategic planning (CHIP)

SLIDE 4

Data Center Program

Community Health Assessment Survey

Overview:

Administered May-July 2018
Paper and web, English and Spanish versions
387 responses
Five sections:
Eligibility
Community
Health
Emergency preparedness
Demographics

SLIDE 5

Data Center Program

Survey Results – Eligibility and Demographics

Average age: 49 years old
67% home owners
City most connected to:
Othello: 52%
Ritzville: 40%
Lind: 5%
65% white, 22% Hispanic
44% make less than $50,000 per year
71% had less than a 4-year college degree

SLIDE 6

Data Center Program

Survey Results - Community

48% of respondents rate the quality of life in Adams county as ‘excellent’ or ‘very good’

Excellent, 12% Very Good, 37% Good, 41% Fair, 9% Poor, 1%

Resident-Rated Quality of Life

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Data Center Program

Survey Results - Community

Life Factors Affecting Quality of Life

58% 57% 31% 28% 10% 11% 1% 2% 0% 3% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Your relationship with your children Your relationship with your spouse or partner

Relationship with Family Member

Excellent Very Good Good Fair Poor 18% 34% 25% 30% 39% 21% 14% 8% 4% 7% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Your personal financial situation Your employment situation

Employment and Financial Situation

Excellent Very Good Good Fair Poor

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Data Center Program

Survey Results - Community

Experience as a Resident of Adams County

15% 28% 21% 9% 14% 16% 9% 55% 63% 59% 56% 68% 71% 42% 21% 7% 17% 29% 15% 11% 37% 9% 2% 3% 7% 3% 2% 12% 0% 20% 40% 60% 80% 100% I can access good healthcare in Adams County. I think Adams County is a good place to raise children. I think Adams County is a good place to grow old. I can find a good job in Adams County. I think Adams County is a clean place to live. I think Adams County is a safe place to live. I can find enough recreational and entertainment opportunities.

Experience as a Resident of Adams County

Strongly Agree Agree Disagree Strongly Disagree

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Data Center Program

Survey Results - Community

67% of respondents had volunteered at least

nce in the past 12 months.

Once a week, 18% Once a month, 15% A few times a year, 24% Once a year, 10% Not at all, 34%

Volunteerism in the Last 12 Months

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Data Center Program

Survey Results - Community

About 15% of respondents stated that there has been someone in their household who had to move in because they didn’t have a pace to live.

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Data Center Program

Survey Results - Community

5 10 15 20 25 30 35 40 Activities Jobs Health care Drugs and alcohol Business Crime and safety Housing Municipal services Social and community support People Elderly and disabled services Trash and blight Poverty Cost of living Other Mental health Access to services Illegal immigration Planning and growth Rural setting Social services Childcare

Number of Respondents Identifying the Issue

Issue Most Affecting Quality of Life

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Data Center Program

Survey Results - Community

Housing and mental health services were identified as the services most in need of improvement.

46% 44% 39% 39% 38% 33% 27% 19% 16% 12% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Housing Mental health services Treatment/ support for substance use/ abuse Care for elderly or disabled Health care Transportation Schools Law enforcement/ safety Food support Environmental health

What public services need the most improvement in Adams Community?

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Data Center Program

Survey Results - Community

43% 41% 41% 32% 27% 11% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Diet and nutrition Drug use/ abuse Stress management Exercise Alcohol Immunizations

What behaviors that affect your health does your community need more information about?

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Data Center Program

Survey Results - Health

58% ‘strongly agree’ or ‘agree’ they can easily access healthy, affordable food in Adams County.

49% 32% 15% 9% 9% 8% 0% 10% 20% 30% 40% 50% 60% Cost Do not have trouble accessing healthy foods Not enough fruits and vegetables avaiable Transportation No local market/ grocery Special diet needs unavailable

What prevents you from accessing healthy food in Adams county?

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Data Center Program

Survey Results - Health

12% said there was a time in the past 12 months when they did not have any health

insurance. 20% stated they had a problem

accessing needed health care.

34% 24% 16% 11% 8% 5% 2% 0% 5% 10% 15% 20% 25% 30% 35% 40% Regular medical care Dental care Filling a prescription Care for mental health issues Emergency care Disability care Substance use/ abuse treatment

What medical services did you have a problem getting?

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Data Center Program

Survey Results - Health

20% 18% 17% 11% 5% 3% 0% 5% 10% 15% 20% 25% Not offered in Adams County I did not want to use local services Unable to get appointment when needed Have health insurance but it did not cover the service cost Cost - no health insurance Offered in Adams County but unable to get needed transportation

What problems did you have accessing health services that you needed?

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Data Center Program

Survey Results - Health

88% go to a doctor or clinic when they need medical care.

Doctor/ clinic, 88% Emergency room, 3% Family/ friends, 3% Other, 6%

Where do you most often go when you need medical care

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Data Center Program

Survey Results - Health

68% have visited a doctor in the past year.

68% 16% 7% 4% 2% 4%

Time since last doctor visit for preventative or annual physical.

Within the past year 1-2 years ago 3-5 years ago More than 5 years ago Never Don't know

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Data Center Program

Survey Results - Health

39% used alternative medicine in the past year.

82 65 55 14 10 10 20 30 40 50 60 70 80 90 Chiropractic treatment Natural products Medicinal herbs Massage Acupuncture

Alternative Treatments Used

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Data Center Program

Survey Results - Health

59% know where to go for help with mental health or drug/ alcohol problems.

36% 19% 16% 11% 8% 5% 4%

Likely Source of Help for Mental Health/ Substance Abuse Problems

Primary care doctor Local treatment services Out of county Other Emergency Minister/ church Friends/ family

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Data Center Program

Survey Results - Health

Reason for not receiving counseling or mental health services. # Respondents Worried about confidentiality 83 Did not know where to get services 72 Did not choose to seek help or treatment 72 Couldn’t afford 55 Not covered/ only partially covered by insurance 44 Did not believe help was needed 42 Worried that it might affect employment 38 Worried about what other might think 34 Afraid of having to take medication 22 Afraid of being committed or hospitalized 15

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Data Center Program

Survey Results - Health

64% usually get health-related information from an internet search. 7% had difficulty understanding health-related materials.

64% 20% 14% 1% 1%

Source of Health-Related Information

Internet search Family/ friends Other (please describe) Social media (Facebook, Instagram, et..) Newspaper/ magazine

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Data Center Program

Survey Results - Health

41% exercise between 1 and 3 days a week.

1-3 days, 41% 4-5 days, 20% 6-7 days, 16% none, 24%

Frequency of Exercise per Week

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Data Center Program

Survey Results - Health

Reason for not exercising # Respondents No time 110 Health issues 45 No workout partner/ support 45 Not interested 42 Cost 23

75% 18% 8% 6% 5% 5% 0% 10% 20% 30% 40% 50% 60% 70% 80% Walking/ running Exercise equipment Bicycling Yoga Swimming Team sports

Type of Exercise

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Data Center Program

Survey Results - Health

30% have provided caregiving services in the past 12 months.

Problems getting care # Respondents Limited availability of at-home care 47 Cost 43 Lack of quality care 41 Unaware of options 36 Limited availability of in-patient care 24

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Data Center Program

Survey Results - Health

44% had gone to work sick in the past 12 months.

1-2 weeks per year, 37% No paid sick leave, 23% Less than 1 week per year, 22% 3 or more weeks per year, 18%

Availability of Paid Sick Leave

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Data Center Program

Survey Results - Health

19% usually go to work even if they are sick.

5% 27% 37% 12% 19% 0% 5% 10% 15% 20% 25% 30% 35% 40% When I first start to feel sick When I start to have many symptoms of being sick When I feel sick enough to go to the doctor Only if my doctor tells me to stay at home I usually go to work even if I'm sick

Staying Home due to Illness

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Data Center Program

Survey Results – Emergency Preparedness

33% would seek information from police/ fire department if a significant emergency

ccurred.

6% 9% 12% 13% 13% 14% 33% 0% 5% 10% 15% 20% 25% 30% 35% Radio Internet Friends/ family Other (please describe) Social media (Facebook, Instagram, et.. Television Police/ fire department

Source of Information During Emergency

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Data Center Program

Survey Results – Emergency Preparedness

21% had someone in their household with a disability or medical condition that would make it difficult to deal with an emergency situation.

19 17 16 10 10 10 8 7 6 5 4 4 3 2 2 2 4 6 8 10 12 14 16 18 20 Animals/ livestock Prefer to decide on own/ don't trust authorities No/ inadequate transportation Disability/illness/health prevents Don't know where to go/ no shelter Family Feel safe in home/ prepared Emergency responder Can't evacuate Stay to help Fear theft/ vandalism Protect home/ belongings Can't afford to evacuate Communication Other

Reason for Not Evacuating

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Data Center Program

Reflection

Thoughts or concerns?
Does this reflect your experience?

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Data Center Program

Community Indicators

35 Indicators, 6 Topics:

People
Economic Vitality
Education
Housing
Public Safety
Transportation

SLIDE 32

Data Center Program

Community Indicators

People:

Total population and growth rate
Median age
Share of population by age group
Total veterans and veterans’ share of civilian

population

Residual net migration
Total foreign-born and foreign-born share of citizenship
Average household size
Total single parent families and share of total families
Registered voters and voter participation

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Data Center Program

Community Indicators

5.00%
4.00%
3.00%
2.00%
1.00%

0.00% 1.00% 2.00% 3.00% 5000 10000 15000 20000 25000 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 GROWTH RATE TOTAL POPULATION

Total Population and Annual Growth Rate

Adams County Population Adams County Growth Rate

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Data Center Program

Community Indicators

29.6 29.6 29.5 29.2 29 28.9 28.9 28.6 36.8 37 37.1 37.2 37.3 37.4 37.4 37.6 5 10 15 20 25 30 35 40 2009 2010 2011 2012 2013 2014 2015 2016

Median Age of the Population

Adams County Washington State 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Share of Population by Age Groups

0-19 20-34 35-64 65+

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Data Center Program

Community Indicators

0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0% 9.0% 100 200 300 400 500 600 700 800 900 1000 2010 2011 2012 2013 2014 2015 2016 SHARE OF THE POPULATION TOTAL VETERANS

Total Veterans & Veterans' Share of the Civilian Population Age 18+

Total Veterans Share of the Population 18+

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Data Center Program

Community Indicators

2.00%
1.50%
1.00%
0.50%

0.00% 0.50% 1.00% 1.50%

300
200
100

100 200 300 1980-1981 1981-1982 1982-1983 1983-1984 1984-1985 1985-1986 1986-1987 1987-1988 1988-1989 1989-1990 1990-1991 1991-1992 1992-1993 1993-1994 1994-1995 1995-1996 1996-1997 1997-1998 1998-1999 1999-2000 2000-2001 2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018

Residual Net Migration

Residual Net Migration Net Migration as a Percent of Total

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Data Center Program

Community Indicators

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 500 1000 1500 2000 2500 3000 3500 4000 4500 5000 2010 2011 2012 2013 2014 2015 2016 SHARE OF THE POPULATION TOTAL PERSONS

Total Foreign-Born Population and Foreign-Born Share of Citizenship

Naturalized U.S. Citizen Not a U.S. Citizen Share Naturalized U.S. Citizen Share Not a U.S. Citizen

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Data Center Program

Community Indicators

3.15 3.17 3.19 3.22 3.2 3.24 3.28 2.49 2.5 2.52 2.54 2.55 2.56 2.57 0.5 1 1.5 2 2.5 3 3.5 2010 2011 2012 2013 2014 2015 2016

Average Household Size

Adams County Average Household Size WA Average Household Size

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Data Center Program

Community Indicators

0.0% 20.0% 40.0% 60.0% 80.0% 100.0% 100 200 300 400 500 600 700 800 2010 2011 2012 2013 2014 2015 2016

Total Single Parent Families with Children as a Share of Total Families with Children

Male Single Parent Families Female Single Parent Families Adams County Share of Single Parent Families with Children as a Share of All Families with Children WA Share of Single Parent Families with Children as a Share of All Families with Children

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Data Center Program

Community Indicators

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% 5200 5400 5600 5800 6000 6200 6400 6600 6800 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 VOTER PARTICIPATION REGISTERED VOTERS

Adams County Registered Voters & Voter Participation Rate

Adams County Registered Voters Adams County Voter Turnout WA Voter Turnout

SLIDE 41

Data Center Program

Community Indicators

Economic Vitality:

Median household income
Per capita personal income
Share of overall income by household income level
Total annual taxable retail sales and growth rate
Assessed value of taxable property and growth rate
Assessed value of new construction and growth rate
Total employed persons and unemployment rate
Total and share of overall population living in poverty

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Data Center Program

Community Indicators

$- $10,000.00 $20,000.00 $30,000.00 $40,000.00 $50,000.00 $60,000.00 $70,000.00 2009 2010 2011 2012 2013 2014 2015 2016

Median Household Income

Adams County Median Household Income WA Median Household Income United States Median Household Income

SLIDE 43

Data Center Program

Community Indicators

$- $10,000.00 $20,000.00 $30,000.00 $40,000.00 $50,000.00 $60,000.00 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Per Capita Personal Income

Adams County Per Capita Personal Income WA Per Capita Personal Income United States Per Capita Personal Income

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Data Center Program

Community Indicators

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% 100.00% 2010 2011 2012 2013 2014 2015 2016

Share of Total Overall Income Earned by Household Income Level

Adams County Top 81%-100% of Household Income Earners Adams County 61%-80% of Household Income Earners Adams County 41%-60% of Household Income Earners Adams County 21%-40% of Household Income Earners Adams County Lowest 0-20% of Income Earners

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Data Center Program

Community Indicators

15.0%
10.0%
5.0%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% $- $50,000.00 $100,000.00 $150,000.00 $200,000.00 $250,000.00 $300,000.00 $350,000.00 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 GROWTH RATE TAXABLE RETAIL SALES IN DOLLARS

Total Annual Taxable Retail Sales & Annual Growth Rate

Adams County Total Annual Taxable Retail Sales Adams County Annual Growth Rate Washington State Annual Growth Rate

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Data Center Program

Community Indicators

10.0%
5.0%

0.0% 5.0% 10.0% 15.0% 20.0% $- $200.00 $400.00 $600.00 $800.00 $1,000.00 $1,200.00 $1,400.00 $1,600.00 $1,800.00 $2,000.00 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 ANNUAL GROWTH RATE TOTAL ASSESSED VALUE (IN MILLIONS)

Assessed Value of Taxable Total Property & Annual Growth Rate

Adams County Assessed Value in Millions Adams County Growth Rate Washington State Growth Rate

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Data Center Program

Community Indicators

$- $500.00 $1,000.00 $1,500.00 $2,000.00 $2,500.00 $3,000.00 $3,500.00 $- $10.00 $20.00 $30.00 $40.00 $50.00 $60.00 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 VALUE PER CAPITA VALUE OF NEW CONSTRUCTION (IN MILLIONS)

Assessed Value of New Construction: Total & per Capita

Adams County Assessed Value of New Property (in Millions) Adams County Assessed Value of New Property per Capita Washington State Assessed Value of New Property per Capita

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Data Center Program

Community Indicators

2 4 6 8 10 12 14 16 18 1000 2000 3000 4000 5000 6000 7000 8000 9000 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 UNEMPLOYMENT RATE TOTAL PERSONS EMPLOYED

Total Number of Employed Persons & Unemployment Rate

Adams County Total Employed Adams County Unemplyment Rate Washington State Unemployment Rate

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Data Center Program

Community Indicators

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 3800 3900 4000 4100 4200 4300 4400 2012 2013 2014 2015 2016 PERCENT LIVING IN POVERTY TOTAL PERSONS

Total and Share of Overall Population Living in Poverty

Adams County Total Population in Poverty Adams County Share of Population in Poverty Washington State Share of Population in Poverty United States Share of Population in Poverty

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Data Center Program

Community Indicators

Education:

Total full-time students and students per

teacher

Public high school on-time graduation rate

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Data Center Program

Community Indicators

16 16.5 17 17.5 18 18.5 19 19.5 20 20.5 1000 2000 3000 4000 5000 6000 STUDENTS TEACHER RATIO TOTAL STUDENTS

Number of Full-Time Equivalent (FTE) Students and Students per FTE Teachers

Total Adams County FTE Students (Excluding Running Start) Adams County FTE Students per Certified Teachers Washington State FTE Students per Certified Teachers

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Data Center Program

Community Indicators

79.4% 74.2% 77.1% 71.6% 76.1% 74.8% 76.5% 76.6% 76.5% 76.0% 77.2% 78.1% 81.9% 79.3% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0% 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017

Public High School On-Time Graduation Rate

Adams County Public High School On-Time Graduation Rate Washington State Public High School On-Time Graduation Rate

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Data Center Program

Community Indicators

Housing:

Total and share of homeowners/ renters

paying 30%/ 50% or more of income on shelter

Homeowner/ rental vacancy rate
Median home resale value
Housing affordability index

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Data Center Program

Community Indicators

0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 200 400 600 800 1000 1200 2009 2010 2011 2012 2013 2014 2015 2016 PERCENT PAYING 30%+ TOTAL HOMEOWNERS

Total and Share of Homeowners Paying 30% or More of Their Household Income for Shelter Costs

Adams County 30% or More Adams County Share of Total Washington Share of Total United States Share of Total

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Data Center Program

Community Indicators

0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% 50 100 150 200 250 300 350 400 450 500 2009 2010 2011 2012 2013 2014 2015 2016 PERCENT PAYING 50%+ TOTAL HOMEOWNERS

Total and Share of Homeowners Paying 50% or More of Their Household Income for Shelter Costs

Adams County 50% or More Adams County Share of Total Washington Share of Total United States Share of Total

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Data Center Program

Community Indicators

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 100 200 300 400 500 600 700 800 900 2009 2010 2011 2012 2013 2014 2015 2016 PERCENT PAYING 30%+ TOTAL RENTERS

Total and Share of Renters Paying 30% or More of Their Household Income for Shelter Costs

Adams County 30% or More Adams County Share of Total Washington Share of Total United States Share of Total

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Data Center Program

Community Indicators

0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 50 100 150 200 250 300 350 400 450 2009 2010 2011 2012 2013 2014 2015 2016 PERCENT PAYING 50%+ TOTAL RENTERS

Total and Share of Renters Paying 50% or More of Their Household Income for Shelter Costs

Adams County 50% or More Adams County Share of Total Washington Share of Total United States Share of Total

SLIDE 58

Data Center Program

Community Indicators

0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 2010 2011 2012 2013 2014 2015 2016

Overall Homeowner Vacancy Rate

Adams County Homeowner Vacancy Rate Washington State Homeowner Vacancy Rate United States Homeowner Vacancy Rate

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Data Center Program

Community Indicators

1 2 3 4 5 6 7 8 9 2010 2011 2012 2013 2014 2015 2016

Overall Rental Vacancy Rate

Adams County Rental Vacancy Rate Washington State Rental Vacancy Rate United States Rental Vacancy Rate

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Data Center Program

Community Indicators

$- $50,000.00 $100,000.00 $150,000.00 $200,000.00 $250,000.00 $300,000.00 $350,000.00 $400,000.00 08Q3 08Q4 09Q1 09Q2 09Q3 09Q4 10Q1 10Q2 10Q3 10Q4 11Q1 11Q2 11Q3 11Q4 12Q1 12Q2 12Q3 12Q4 13Q1 13Q2 13Q3 13Q4 14Q1 14Q2 14Q3 14Q4 15Q1 15Q2 15Q3 15Q4 16Q1 16Q2 16Q3 16Q4 17Q1 17Q2 17Q3 17Q4 18Q1

Median Home Resale Value

Adams County Median Home Resale Value Washington State Median Home Resale Value

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Data Center Program

Community Indicators

50 100 150 200 250 300 07Q1 07Q2 07Q3 07Q4 08Q1 08Q2 08Q3 08Q4 09Q1 09Q2 09Q3 09Q4 10Q1 10Q2 10Q3 10Q4 11Q1 11Q2 11Q3 11Q4 12Q1 12Q2 12Q3 12Q4 13Q1 13Q2 13Q3 13Q4 14Q1 14Q2 14Q3 14Q4 15Q1 15Q2 15Q3 15Q4 16Q1 16Q2 16Q3 16Q4 17Q1 17Q2 17Q3 17Q4 18Q1

Housing Affordability Index for All Buyers

Adams County Housing Affordability Index Washington State Housing Affordability Index

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Data Center Program

Community Indicators

Public Safety:

Violent and property crime
Adult, juvenile, and total drug and alcohol

arrests

Domestic violence
Child abuse and neglect

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Data Center Program

Community Indicators

10 20 30 40 50 60 200 400 600 800 1000 1200 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 RATE PER 1,000 TOTAL

Total Property Crimes & Property Crimes per 1,000 Residents

Total Adams County Property Crimes Adams County Property Crime Rate per 1,000 Washington State Property Crime Rate per 1,000

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Data Center Program

Community Indicators

0.5 1 1.5 2 2.5 3 3.5 4 10 20 30 40 50 60 70 80 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 RATE PER 1,000 TOTAL

Total Violent Crimes & Violent Crimes per 1,000 Residents

Total Adams County Violent Crimes Adams County Violent Crime Rate per 1,000 Washington State Violent Crime Rate per 1,000

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Data Center Program

Community Indicators

5 10 15 20 25 50 100 150 200 250 300 350 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 RATE PER 1,000 TOTAL

Total Drug and Alcohol Arrests, and Arrests per 1,000 Adults and Juveniles

Adams County Total Juvenile Drug and Alcohol Violation Arrests Adams County Total Adult Drug and Alcohol Arrests Adams County Drug and Alcohol Arrests per 1,000 Adults and Juveniles Washington State Drug and Alcohol Arrests per 1,000 Adults and Juveniles

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Data Center Program

Community Indicators

5 10 15 20 25 30 10 20 30 40 50 60 70 80 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 RATE PER 1,000 TOTAL

Total Juvenile Drug and Alcohol Arrests, and Arrests per 1,000 Juveniles

Arrests (Age 10-17) Alcohol Violation Arrests (Age 10-17) Drug Violation Adams County Youth Drug and Alcohol Arrests per 1,000 Youths Washington State Youth Drug and Alcohol Arrests per 1,000 Youths

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Data Center Program

Community Indicators

5 10 15 20 25 50 100 150 200 250 300 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 RATE PER 1,000 TOTAL

Total Adult Drug and Alcohol Arrests, and Arrests per 1,000 Adults

Arrests (Age 18+) Alcohol-Related Arrests (Age 18+) Drug Violation Adams County Adult Drug and Alcohol Arrests per 1,000 Adults Washington State Adult Drug and Alcohol Arrests per 1,000 Adults

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Data Center Program

Community Indicators

2 4 6 8 10 12 14 50 100 150 200 250 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 RATE PER 1,000 TOTAL

Total Domestic Violence Offenses and Rate per 1,000 Persons

Adams County Total Domestic Violence Offenses Adams County Domestic Violence Rate per 1,000 Persons Washington State Domestive Violence Rate per 1,000 Persons

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Data Center Program

Community Indicators

5 10 15 20 25 30 35 40 20 40 60 80 100 120 140 160 180 200 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 RATE PER 1,000 YOUTH TOTAL

Accepted Victims of Child Abuse and Neglect & Rate per Youth Ages 0-17

Adams County Total Accepted Victims (birth-17) of Child Abuse and Neglect Adams County Child Abuse and Neglect Rate per 1,000 Persons Birth-17 Washington State Child Abuse and Neglect Rate per 1,000 Persons Birth-17

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Data Center Program

Community Indicators

Transportation:

Annual vehicle miles traveled
Daily vehicle miles traveled
Per capita vehicle miles traveled

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Data Center Program

Community Indicators

10 20 30 40 50 60 70 200 400 600 800 1000 1200 1400 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 DAILY VMT PER CAPITA TOTAL DAILY VMT (1,000S)

Average Daily & per Capita Daily Roadway Vehicle Miles Traveled

Adams County Daily VMT (1000s) Adams County Daily VMT Per Capita Washington State Daily VMT Per Capita

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Data Center Program

Health Indicators

52 indicators, 8 topics:

Environmental
Health Behavior
Health Care
Health Status
Infectious Disease
Injury and Violence
Reproductive Health
Summary Measures

SLIDE 73

Data Center Program

Health Indicators

Analysis and Prioritization

Review current rates and compare to:
Trend
State score
National score
HP 2020 score
Disparities
Magnitude

SLIDE 74

Data Center Program

Health Indicators

Health Care Dental Check-Up

52% 2 3 3 2 1 4 15

Insured (Adult)

76% 2 3 3 2 2 4 16

Mammogram

40% 2 2 1 4 13

Personal Doctor (Adult)

73% 2 2 2 2 3 4 15

Sigmoidoscopy/ Colonoscopy

60% 2 2 2 2 1 4 13

Health Status Asthma (Youth)

14% 2 2 2 3 13

Cancer

350.3 per 100,000 2 1 2 2 1 10

Childhood Disability

1% 1 1 2 2 10

Depression (Youth)

33% 2 2 3 3 4 16

Diabetes (Adult)

19% 2 3 2 3 1 3 14

Food Insecurity (Youth)

13% 2 2 3 2 3 14

General Health (Adult)

27% 2 3 3 2 4 16

Obesity (Adult)

43% 2 3 3 3 1 4 16

Overweight (Youth)

38% 2 3 3 1 4 15

Poor Mental Health (Adult)

9% 2 2 2 2 12

Serious Mental Illness

3% 2 2 2 2 12

Stroke (Adult)

3% 2 2 2 1 2 11

Tooth Loss (Adult)

22% 2 3 2 3 14

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Data Center Program

Health Indicators

Reproductive Health Abortion

5% 2 1 2 2 11

Low Birth Weight

6% 2 2 1 1 2 2 10

Pregnancy

102.9 per 1,000 women 15-44 2 1 3 1 11

Preterm Birth

6% 2 2 1 1 2 2 10

Summary Measures Of Health Deaths

645.8 per 100,000 3 1 1 3 1 11

Life Expectancy

76.7 years 3 2 1 12

Years Potential Life Lost Age 65

3945.9 3 3 3 15

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Data Center Program

Health Indicators

Indicator Score INSURED (ADULT) 16.0 DEPRESSION (YOUTH) 16.0 GENERAL HEALTH (ADULT) 16.0 OBESITY (ADULT) 16.0 WELL WATER 15.0 PHYSICAL ACTIVITY (YOUTH) 15.0 DENTAL CHECK-UP 15.0 PERSONAL DOCTOR (ADULT) 15.0 OVERWEIGHT (YOUTH) 15.0 BULLIED (YOUTH) 15.0 YEARS POTENTIAL LIFE LOST AGE 65 15.0

FOOD AND WATERBORNE DISEASE 14.0 DIABETES (ADULT) 14.0 FOOD INSECURITY (YOUTH) 14.0 TOOTH LOSS (ADULT) 14.0 FLU SHOT (ADULT) 14.0 TEEN IMMUNIZATION 14.0 BINGE DRINKING (ADULT) 13.0 BREASTFEEDING 13.0 MARIJUANA USE (YOUTH) 13.0 PHYSICAL ACTIVITY (ADULT) 13.0 MAMMOGRAM 13.0 SIGMOIDOSCOPY/ COLONOSCOPY 13.0 ASTHMA (YOUTH) 13.0 PRESCHOOL IMMUNIZATION 13.0 SEXUALLY TRANSMITTED INFECTIONS 13.0 DOMESTIC VIOLENCE 13.0 FRUIT AND VEGETABLE INTAKE (YOUTH) 12.0 ILLICIT DRUG USE (YOUTH) 12.0 POOR MENTAL HEALTH (ADULT) 12.0 SERIOUS MENTAL ILLNESS 12.0 PHYSICAL ABUSE (YOUTH) 12.0 LIFE EXPECTANCY 12.0

BINGE DRINKING (YOUTH) 11.0 SMOKERS (ADULT) 11.0 SMOKERS (YOUTH) 11.0 STROKE (ADULT) 11.0 SCHOOL AGE IMMUNIZATION 11.0 CHILD ABUSE 11.0 SUICIDE 11.0 ABORTION 11.0 PREGNANCY 11.0 DEATHS 11.0 CANCER 10.0 CHILDHOOD DISABILITY 10.0 VACCINE PREVENTABLE DISEASES 10.0 FALLS 10.0 LOW BIRTH WEIGHT 10.0 PRETERM BIRTH 10.0 UNINTENTIONAL INJURY 9.0 MATERNAL SMOKING 8.0 DRUG RESISTANT INFECTION 8.0

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Data Center Program

About SRHD

Mission

As a leader and partner in public health, we protect, improve and promote the health and well-being of all people through evidence-based practices.

Vision

Healthy Lives. Safe Environments. Thriving Communities.

Values

Integrity Compassion Respect Equity Collaboration Innovation