Community Health Assessment - 2018 Presented by: Tracy Metcalfe - - PowerPoint PPT Presentation

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Community Health Assessment - 2018 Presented by: Tracy Metcalfe - - PowerPoint PPT Presentation

Dec 24, 2022 347 likes •745 views

Community Health Assessment - 2018 Presented by: Tracy Metcalfe Community Health Educator/Health Analyst Bay County Health Department Funding provided by the Bay Area Community Foundation Bay County Population 2% decline in Bay County

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Community Health Assessment - 2018

Presented by: Tracy Metcalfe Community Health Educator/Health Analyst Bay County Health Department

Funding provided by the Bay Area Community Foundation

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Bay County Population

102,000 103,000 104,000 105,000 106,000 107,000 108,000 109,000 110,000 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Bay County Total Population Trend 2006-2016

2% decline in population in 3 years (2013 – 2016)

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Bay County Population by Age

2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 18-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Bay County Population by Age Group

2013 2016

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Bay County Population

  • 10%

1% 5%

  • 9%

2% 10% 3% 1%

  • 15%
  • 10%
  • 5%

0% 5% 10% 15% 18-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Percent Population Change Between 2013-2016 by Age Group

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Bay County Population by Race

  • 2%

5% 3% 8% 4%

  • 4%
  • 2%

0% 2% 4% 6% 8% 10% Caucasian African American Native American and Alaskan Indian Asian Hispanic Origin

Percent Population Change Between 2013-2016 by Race

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Poverty in Bay County

0% 5% 10% 15% 20% 25% All People Under 18 Over 18

Percent of People Below Poverty Level

2013 2016

38% 27% 6% 4% 17% 40% 27% 7% 3% 16%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% With Social Security With Retirement Income With Supplemental Security Income With Cash Public Assistance With Food Stamps/SNAP Benefits

Households Receiving Benefits in Bay County 2013 and 2016

2013 2016

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Poverty in Bay County

0% 5% 10% 15% 20% 25% 30% 35% 40% All Families Married Couple Families Female Householder (No Husband Present) Percent of Families Below Poverty Level 2013 2016 0% 10% 20% 30% 40% 50% 60% 70% Percent of Families Below Poverty Level 2013 2016

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Maternal and Child Health

1,057 1,043 1,034 1,027 1,063 1,000 1,010 1,020 1,030 1,040 1,050 1,060 1,070 2012 2013 2014 2015 2016

Live Births - Bay County 2012-2016 3.5% Increase

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Teen Pregnancy Trends

20 40 60 80 100 120 140 2012 2013 2014 2015 2016

Teen Pregnancy (15-19) Trends - Bay County - 2012-2016

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Maternal Characteristics - 2016

25% 34% 53% 78% 45% 27% 32% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Overweight Obese WIC Food During Pregnancy Breastfeeding Planned or Intiated Unmarried Mother Smoked During Pregnancy Household Smokig

Maternal Characteristics as a Percentage of Live Births - Bay County

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Low Birth Weight and Infant Mortality

0% 2% 4% 6% 8% 10% 2012 2013 2014 2015 2016 2017

Trends in Low Birth Weight Babies in Bay County

2 4 6 8 10 12 2012 2013 2014 2015 2016 2017

Infant Mortality Trends in Bay County 2012-2017

Bay County experienced a slight increase in low birthweight babies from 2016-2017 In 2016, Bay County

  • nly had 1 infant
  • death. That number

jumped to 6 in 2017

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Child Abuse and Neglect

2,709 366 111 3,818 466 105 3,706 556 113 500 1,000 1,500 2,000 2,500 3,000 3,500 Children in Investigated Families Confirmed Victims Children in Out-of-Home Care

Number of Child Abuse and Neglect Cases (0-17) in Bay County

2013 2016 2017

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Percent Children with Insurance

96% 41% 2% 0% 20% 40% 60% 80% 100% 120% Percent of Children Insured Medicaid MiChild

64% 82% 50% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Medicaid Enrolled Infants at 15 months Medicaid Enrolled Children aged 3-6 Medicaid Enrolled Adolescents aged 12-17

Received Each of their Recommended Well Child/Preventive Medical Visits

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General Health

0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 20% 2014 2015 2016 2017

Health of Bay County Residents

Fair or Poor Health Poor Mental Health Poor Physical Health

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Patient to Doctor Ratio – 2017

1,910 1,510 480 1,240 1,320 460 1,040 1,320 360 500 1,000 1,500 2,000 2,500 Patient to Primary Care Ratio Patient to Dentist Ratio Patient to Mental Health Provider Ratio Bay County Michigan Top US Performers

14% 9% 15% 8% 0% 2% 4% 6% 8% 10% 12% 14% 16% No Primary Care Provider No Access to Health Care in Last 12 Months

Primary Care and Access to Health Care

2013 2016

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Causes of Hospitalizations by Diagnosis

500 1,000 1,500 2,000 2,500 2014 2016

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Ten Leading Causes of Death

50 100 150 200 250 300 350 400 450 500 2013 2016

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Death by Suicide

15 8 16 21 23 21 20 5 10 15 20 25 2011 2012 2013 2014 2015 2016 2017

All Suicides - Bay County

5 10 15 20 25 2011 2012 2013 2014 2015 2016 2017

Bay County Suicide Deaths by Gender Male Female 2 4 6 8 10 12 14 2011 2012 2013 2014 2015 2016 2017 Under 25 25-54 55-64 65-74 75-84 85+

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Health Insurance Coverage

Percent Uninsured Employed Unemployed Graduated High School/GED Bachelors Degree

  • r higher

5% 6% 23% 6% 2% Percent Uninsured by Age Under 18 4% 19-25 7% 18-64 7%

49.6% 45.4% 4.0% 22.0% 4.0% 19.0% 0% 10% 20% 30% 40% 50% 60% Type of Private Health Insurance Coverage

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Health Behaviors - Youth

0% 10% 20% 30% 40% 50% 60% 2008 2010 2012 2014 2016

Middle School Students Obese or Overweight

Overweight Obese 0% 10% 20% 30% 40% 50% 60% 2008 2010 2012 2014 2016

High School Students Obese or Overweight

Overweight Obese

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Health Behaviors - Youth

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 2008 2010 2012 2014 2016

Middle Schoolers

% students who ate 5+ servings per day of fruits and vegetables % students who drank 3+ glasses of milk % students who drank a can, bottle, or glass of soda/pop 1+ times/day % students who did not eat breakfast

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Health Behaviors - Youth

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 2008 2010 2012 2014 2016

High Schoolers

% students who ate 5+ servings per day of fruits and vegetables % students who drank 3+ glasses of milk % students who drank a can, bottle, or glass of soda/pop 1+ times/day % of students who did not eat breakfast

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Health Behaviors - Youth

58% 60% 60% 53% 55% 54% 57% 54% 47% 50% 0% 10% 20% 30% 40% 50% 60% 70% 2008 2010 2012 2014 2016

Students Physically Active for at least 60 Minutes or More of the Past 7 Days

Middle School High School

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Health Behaviors - Youth

39% 27% 22% 20% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% Bullied on School Property in Last 12 Months Bullied Electronically in Last 12 Months

Percent of Students Who Were Bullied in the Last 12 Months

Middle School High School

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Health Behaviors - Youth

12% 25% 0% 5% 10% 15% 20% 25% 30% Middle School High School

Percent of Students whose Parents Ask Whether Their Homework is Done

13% 16% 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% Middle School High School

Percentage of Students Whose Parents Would Not Know If They Did Not Come Home On Time

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Health Behaviors - Youth

6% 3% 3% 4% 4% 39% 39% 10% 9% 10% 0% 10% 20% 30% 40% 50% 2008 2010 2012 2014 2016

Percent of Youth Who Have Smoked Cigarettes in the Past 30 Days

Middle School High School 0% 5% 10% 15% 2008 2010 2012 2014 2016

Alcohol Use Among Middle School Students

Drank Alcohol in Last 30 Days Had 5 or More Drinks w/in a Couple Of Hours in Past 30 Days 0% 10% 20% 30% 40% 2008 2010 2012 2014 2016

Alcohol Use Among High School Students

Drank Alcohol in Last 30 Days Had 5 or More Drinks w/in a Couple of Hours, in the Last 30 Days

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Health Behaviors Youth

0% 2% 4% 6% 8% 10% 12% 14% Used Marijuana in Past 30 Days Sniffed Glue or Breathed Contents

  • f Spray Can

Took a Prescription Drug w/out a Prescription in Past 30 Days Took a Painkiller w/out a Prescription in Past 30 Days Used Any Form of Cocaine (Lifetime) Used a Needle to Inject any Illegal Drug

Other Drug Use Among Middle School Students

2008 2010 2012 2014 2016

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Health Behaviors - Youth

0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 20% Used Marijuana in Past 30 Days Sniffed Glue or Breathed Contents of Spray Can Took a Prescription Drug w/out a Prescription in Past 30 Days Took a Painkiller w/out a Prescription in Past 30 Days Used Heroin in the Past 30 Days Used Any Form

  • f Cocaine

(Lifetime) Used a Needle to Inject any Illegal Drug

Other Drug Use Among High School Students

2008 2010 2012 2014 2016

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Health Behaviors - Adults

0% 10% 20% 30% 40% 50% 2007-2009 2008-2010 2011-2013 2013-2015 2014-2016

Weight Trends Among Adults - Bay County

Healthy Weight Overweight Obese

24% 6% 0% 35% 13% 11% 0% 5% 10% 15% 20% 25% 30% 35% 40% No Leisure Activity Limitation Adequate Physical Physical Activity Behaviors Among Adults - Bay County 2011 2015

44% 33% 12% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Fruit < 1 time/day Vegetables < 1 time/day Fruits and Vegetables > 5 times/day

Adult Fruit and Vegetable Consumption - Bay County 2015

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Health Behaviors – Adults

24% 24% 52% 23% 28% 49% 0% 10% 20% 30% 40% 50% 60% Current Smoker Former Smoker Never Smoked Smoking Behavior Among Adults 2014 55% 19% 53% 21% 0% 20% 40% 60% Any Drinking Binge Drinking Alcohol Use Among Adults 2014 2016

50 100 150 200 250 300 350 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Alcohol and Marijuana Driving and Fatalities

Drinking Driver Fatalities Marijuana Driver Fatalities Dirnking and Marijuana Driver Fatalities

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Health Behaviors – Adults

10 9 15 8 5 5 10 15 20 2013 2014 2015 2016 2017

Fatal Crash Trend in Bay County

2 2 50 100 150 200 250

Type of Crashes in Bay County - 2017

Total Crashes Total Injuries Total Fatalities

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Health Behaviors – Adults

2,750 2,800 2,850 2,900 2,950 3,000 3,050 3,100 2013 2014 2015 2016 2017

Total Crashes in Bay County

0.5 1 1.5 2 2.5 3 3.5 2013 2014 2015 2016 2017

Bay County THC Traffic Crashes

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Health Behaviors - Adults

9.2 11.9 3.5 4.7 2 4 6 8 10 12 14 Michigan Bay Alcona Alger

Domestic Violence Rate per 1,000 Population

48.5 31.1 14.5 52.2 10 20 30 40 50 60 Michigan Bay Alcona Alger

Number of Reported Violent Crime (Group A) Offenses Per 1,000 Population

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Summary

  • Bay County continues to see a decline in overall population with an

ever growing aging population.

  • Bay County continues to see an increase in the minority populations

with the larges increase among the Asian population

  • The population with the highest percentage of poverty is female

householders (35%) most specifically women with children under 5 years of age (61%)

  • More than half of pregnant moms are either overweight or obese,

just under half of women who gave birth are not married, and nearly a third of pregnant moms smoked while pregnant.

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Summary

  • Infant mortality jumped from 1 death 6 deaths in ONE year.
  • What did we see such a jump? What changed?
  • Significant increase in confirmed victims of child abuse and

neglect

  • We still have children without health or dental insurance
  • We still have children not getting annual well child check ups –

even those that have insurance

  • Adults reporting poor mental health is continuing to increase
  • Even with adequate provider to patient ratio
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Summary

  • We have a HUGE need to primary care physicians in Bay

County

  • Chronic Disease continue to be the leading causes of death in

Bay County - Heart Disease still holds the number 1 spot.

  • Youth reported obesity has dropped significantly
  • Could this be due to the reduction in pop consumption as eating

5+ cups of fruits and veggies

  • Bullying is an issue especially among middle school students

both at school and on line.

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Summary

  • There was a significant drop in youth tobacco use
  • Could this be correlated to e-cigarettes / vaping?
  • Alcohol use among youth increased slightly
  • Adult reported being overweight has decreased while obesity has

slightly increase

  • Adults are not getting adequate amounts of fruit and vegetables
  • Only 12% reported getting more than 5 cups in during the day.
  • Adults driving under the influence of alcohol and marijuana

continues to increase

  • Marijuana and alcohol related traffic fatalities increased by 47% in

ONE year.

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Summary

  • The number of car crashes in bay county continues to increase
  • Most crashes are the result of distracted driving and alcohol
  • We have a high rate of domestic violence in Bay County